Daga cikin sanannen ilimi game da farkon cutar kansa, akwai wasu matsalolin ilimin cutar cututtukan daji wanda ke buƙatar kulawa ta musamman da koyo. Ofayansu shine cutar kansa mara kyau. Tunanin "wanda ba shi da illa ga ciwace-ciwacen daji" yanzu ya fi shahara. Za a sami ra'ayoyi daban-daban kan batun suna. Wannan ka'idar abun ciki ita ce bisa ga abun ciki mai alaƙa da mujallar "ciki da hanji", kuma sunan kuma suna amfani da "ciwon kansa mara kyau".
Irin wannan raunin raunin yana da halayen ƙarancin rashin daidaituwa, wahalar ganewa, ilimin ilimin ɓoye, kuma ba a iya amfani da Mesda-g ba. Koyo wannan ilimin yana buƙatar fuskantar matsaloli.
1. Babban ilimin cutar kansa mara kyau
Tarihi
A da, an yi imani da cewa guda biyu masu fama da cutar ta gastic ne HP - Otrophy - Moteta Cussion - low ƙari - babban ƙari - babban tumo - babban ƙari - babban ƙari - babban cuta. Model na gargajiya koyaushe an yarda dashi, yarda da kuma gaskanta da gaske. Tumors suna samarwa tare akan Atrophy kuma a ƙarƙashin aikin HP, don haka masana cutar kansa suna girma cikin hanji na yau da kullun.
Daga baya, wasu likitoci sun gano cewa cutar kansa na iya faruwa har ma da kamuwa da cutar HP. Dukda cewa yawan abin da bai dace ba ya ragu sosai, yana yiwuwa. Wannan nau'in cutar kansa ana kiranta cutar kansa mara kyau.
Tare da fahimtar hankali da irin wannan cuta, cikin zurfin lura da kuma taƙaitawar abubuwan da aka fara da kuma taƙaitawa, kuma sunayen suna canzawa koyaushe. Akwai labarin a shekara ta 2014 da ake kira "Ciwon mahaifa bayan Mataimakin", wani labarin a shekara ta 2020 da ake kira "Tarihin Ciwon Ciwon Ciwon Ciwon Ciwon Ciwon Ciwon ciki ba tare da HP". Sunan canji yana nuna fahimtar zurfin fahimta.
Nau'in glands da tsarin girma
Akwai manyan nau'ikan gland na kayan kwalliya da glandar maras ruwa a ciki:
Asusun gland (glandiyar kayan glandiyar (oxytantic) ana rarraba su a cikin kudade, jiki, sasanninta, da sauransu na ciki. Suna da layi na layi na tubular. Sun hada da sel mucous, sel sel, sel na Parietal da sel na endocrine, kowannensu yana aiwatar da ayyukansu. Daga gare su, manyan sel da sel sel da aka makirci sun kasance tabbatacce, kuma sel na parietal a ɓoye hydrochloric acid.
Abubuwan da ke cikin butloric suna cikin yankin na kwastomomi da kuma sun hada da sel na Mucus da sel na endocrine. Kwayoyin Mikus sune muc6 tabbatacce, kuma sel na endocrine sun haɗa da sel g, slel da entochromapin. Glls gastrin, d tantel smeretatin, da shigar da sel sel semrete 5-ht.
Kwayoyin macosal na yau da kullun da ruwan tumor da tumo sel na sirri nau'ikan sunadarai iri-iri, waɗanda suka kasu zuwa "sunadarai na ciki da" hade "sunadarai na ciki. Ba a kira bayyanar cututtukan ciki da hanji a cikin phenotype ba takamaiman wurin da ciki da hanji.
Akwai wasu phenotyps huɗu na ciwace-ciwacen cututtukan ciki: gaba daya na ciki, ciki mai gauraye gauraye, hanji-rinjaye hade, da kuma hanji. Tumors da suka faru a kan tushen tsakiyar MotsaTasia gretly gastrointestal hade phenotype ciwace-ciwacen daji. Abubuwan da suka faru na cutar kansa galibi suna nuna nau'in hanji (muc2 +), da kuma masana cutar kansa sun nuna nau'in cututtukan ciki (muc5ac +, muc6 +).
Eterayyade HP mara kyau yana buƙatar takamaiman haɗin hanyoyin gano abubuwa da yawa don tabbatar da cikakken tsari. HP mara kyau cutar kansa da cutar kansa-post-chesaur sune ra'ayoyi biyu daban-daban. Don bayani game da X-ray bayyanar cututtukan cutar kansa, don Allah koma zuwa sashin da ya dace na "mujallar ciki da hanji".
2. Bayyanar endoscopics na cutar kansa mara kyau
Ganowaran asalin endoscopic shine mai da hankali game da cutar kansa mara kyau. Yana da yafi haɗa da kayan cututtukan cututtukan cututtukan daji na gastic, suna da nau'in cutar kansa na gastic, da sauran kasida.
1) Ganyen Gindijiya Gland
-White ya tashi raunuka
Glast na nau'in ciwon kansa
Hoto 1: White, Lesions
Bayanin:Gastic Fornic Fornix - Babban Curvature na Cardia - mafi girma carvature na Cardia, 10 mm, White, o-Steetin (SMT-LIST (SMT-LIGS), ba tare da Atrophasia ta hanji a bango ba. Za a iya ganin Arbor-Kamar Ana iya ganin tasoshin jini a farfajiya
Ganewar asali (hade da ilimin cuta):U, o-1la, 9mm, na zamani Gland na nau'in cutar kansa, PT1B / SM2 (600μm), Ulo, Ly0, VO, HMO, VMO
-White lebur lesions
Glast na nau'in ciwon kansa
◆ CASSA 2: White, Flat / raunin raunin
Bayanin:Karkashin bangon na Fornix-Cardia mafi girma, 14 mm, fari, 0-1lC, ba tare da atrophay ko hanji ba, da ba tare da hanji ba, jijiyoyin jini a farfajiya a farfajiya. (NBI da Amplification Albreved)
Ganewar asali (hade da ilimin cuta):U, 0-ILC, 14mm, SM2 Nau'in Ciwon Cancer, PT1B / SM2 (700μm), Ulo, Ly0, VO, HMO, VMO
-Ya kashe raunuka
Glast na nau'in ciwon kansa
Hasashen 3: Red da kuma raunuka
Bayanin:Garuwar bangon na babban carvature na zuciya shine 12 mm, a bayyane ja, nau'in jini a cikin bango, sharewar jini a farfajiya.
Ganewar asali (hade da ilimin cuta):U, 0-1, 12mm, kayan kwalliyar Glanda Carthric (200μm), Ulo, Lyo, VO, HMO, VMO
-Da, lebur, raunin raunis
Glast na nau'in ciwon kansa
◆ CESSA 4: Red, lebur / raunin raunin
Bayanin:Bangon posterial na mafi girma curvature na babba na ɓangaren jikin mai, 18mm, haske mai haske, nau'in ba a sani ba, babu iyaka na jini a farfajiya, (NBI da Ingantaccen Tsabtace)
Ganewar asali (hade da ilimin cuta):U-1LC, 19mm, SM1 (400μm), ULE, LYO, VMO
yi shawara
Maza tare da wannan cutar sun girmi mace, tare da matsakaita shekaru kusan shekaru 67.7. Saboda halayyar simulaneity da heterochrony, marasa lafiya sun gano tare da kayan aikin glanjin daji na gastic sau ɗaya a shekara. Yankin da aka fi amfani da shi shine yankin Gland a tsakiya da na sama na ciki (kudaden da tsakiya da na sama da na sama na jikin na ciki). Farin farin Smt-kamar raunin raunin ya zama ruwan dare gama gari. Babban magani shine ganewar asali Emr / ESD.
Babu cutar metastasis ko cutar da vascular ya zuwa yanzu. Bayan jiyya, ya zama dole a tantance ko don yin ƙarin tiyata da kuma kimanta dangantakar da ke tsakanin matsayin masifa da HP. Ba duk nau'in cutar sankarau na gland na ciki ba shi da kyau.
1) HANLAN MUCOSAL Gastcic Gastcalis
HANLIS MACOSEL Gastcic Gastcic
◆ CASSA 1
Bayanin:Lesion ne dan kadan ya tashe shi, da kuma za a iya ganin mucosa wanda ba za a iya ganin mucosa a kusa da shi ba. Za a iya ganin microstruche da microssesls a cikin ɓangaren da aka ɗaga na Me-NBI, kuma za a iya gani dl.
Ganewar asali (hade da ilimin cuta):HANLSIC GLSLAN MUCOSAL Gastcic, U, 0-1la, 47mm, PT1A, PT1A / SM1 (400μm), Ulo, Ly0, VO, HMO, VMO
HANLIS MACOSEL Gastcic Gastcic
◆ CASSA 2
Siffantarwa: Wani lebur mai rauni a bangon na ƙasa mai ƙarancin Caruritia, tare da hadewar zubewa, ana iya ganin magungunan jini a farfajiya, kuma ƙuruciyar cututtukan ƙwararru za a iya gani.
Ganewar asali (haɗe da cututtukan fata): HANLY MUCOSAL Gastic Cyewar Ciwani, 0-LLA, PT1A / M, Ulo, Lyov0, HM0, VMO
yi shawara
Sunan "Gastric Gland Mucosal Adenocaroma shine da wahala a faɗi, kuma ƙimar da ta dace ta ƙasa sosai. Yana buƙatar ƙarin ƙoƙari don gane da fahimta. HANLLSIC GLAN MUCOSAL Adenocarcarcarcinomaoma dabincincinoma suna da sifofin babban rashin ƙarfi.
Akwai manyan halaye huɗu na farin hasken haske: ① Homochromatic-famed lesions; ② zurfin bepthellial na ƙasa smt; ③ dilated cututtukan jini na lalata; ④ microparticles na yanki. Ni ta yi: DL (+) IMVP (+) IMP (+) Mace Widens IP da ƙaruwa. Yin amfani da tsari na Mesda-G, kashi 90% na kayan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan daji sun cika ka'idojin bincike.
3) adenoma na ciki adenoma pGA) gland adelin adenoma pga)
adenoma na ciki
◆ CASSA 1
Bayanin:An gan ta farin fararen rauni a jikin bangon na ciki na Fornix Vernix da ba a sanannu ba. Indigo Carmine stadding ba ta nuna bayyanar da iyakoki ba, kuma ana ganin bayyanar babban hanji a cikin babban hanji (an ƙage ɗan kadan).
Ganewar asali (hade da ilimin cuta):Low Atoypia Carcinomaoma, o-1la, 47mm, da kyau-daban adon adonicarcinoma, pt1a / m, Ulo, ly0, VO, HMO, VMO
adenoma na ciki
◆ CASSA 2
Siffantarwa: Rauni mai rauni tare da nodules akan bangon na tsakiya na ɓangare na jikin na ciki. Za'a iya ganin Gastritis mai aiki a bango. Ana iya ganin Carmine Carmine a matsayin kan iyaka. (NBI da Grightifita dan kadan)
Ilmin lissafi: An gani Muc5ac a zahiri epithelium, da bayyanar muc6 bayyana a cikin ainihin Epithelium. Cikakken binciken shine pGA.
yi shawara
Adminric Adenomas sune ainihin glandarsan glandar da ke shiga da Stream kuma an rufe shi da ProThelium. Saboda yaduwar gundumar glandular, waɗanda suke hacispheroical ko nodrulas adenomas gani tare da farin farin endoscopic duk nodular ne da kuma prenoscopic farin ciki ne. Wajibi ne a kula da Classsictions na Jiu Ming karkashin jarrabawar Endoscopic. Me-NBI na iya lura da halayyar papillary / villous bayyanar pGA. PGA ba cikakke HP mara kyau da rashin atrophic ba, kuma yana da wani hadarin casharations. Ana ba da shawara a farkon ganewar farko, kuma bayan ganowa, kuma bayan ganowa da kuma ana bada shawarar cikakken bincike.
4) (rasberi-kamar) foveolar epitheliial Gasticar Ciwon Ciwon
Rasberi fowoval m epithelial gastic
◆ CASSA 2
Bayanin:(omitted)
Ganewar asali (haɗe da cututtukan fata): foveolar epithelial gastic
Rasberi fowoval m epithelial gastic
◆ CASSA 3
Bayanin:(omitted)
Ganewar asali (hade da ilimin cuta):abverolar epithelial gastic
yi shawara
Rasberi, da ake kira "Tuobai'ar" a cikin garinmu, 'ya'yan itace ne na daji a kan hanya a kan hanya idan muka yara. An haɗa glanadulum da gland na da alaƙa, amma ba haka ba iri ɗaya ne. Wajibi ne a fahimci halayen girma da ci gaba na sel na epithelial. Rasberi epithelie gastican cutar kansa yana da kama da polyps polyps kuma ana iya ganin kuskure ga polyps polyps. Abun Hallmark na FoVoolar Epithelium shine mafi rinjaye maganar Muc5ac. Don haka kalma ta Popithellial Carcinoma ita ce tuni kalmar gaba ɗaya don wannan nau'in. Zai iya wanzu a HP mara kyau, tabbatacce, ko bayan haifuwa. Bayyanar engoscopic: zagaye mai haske mai haske.
5) Signet Zoben Carcinoma
Signet Zoben Carcinoma: Bayyanar farin fari
Signet Zoben Carcinoma: Bayyanar farin fari
Signet Zobe Carcinoma
◆ CASSA 1
Bayanin:Flat Lesion a kan bayan bangon na ciki na murfin ciki, 10 mm, iris, babu iyaka a bango, ba a bayyane ba ne kawai ya zama fari, IMVP (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-) imp (-)
Ganewar asali (hade da ilimin cuta):Ana amfani da samfurin ESD don gano asalin hanyar zoben zobe na Carcinoma.
Bayani na Pathology
Carcinoma zobe Carcinoma shine nau'in rashin yarda. Dangane da tsarin karatun, Carfinoma Royukan da aka yi kira a matsayin wani nau'in carcinoma na Carcineoma kuma wani nau'in Carcinoma mai ban tsoro ne. Da zaran yana faruwa a cikin jikin ciki, kuma ya kasance gama gari a cikin lebur da kuma raunukan rana tare da sautunan da aka ba da izini. Har ila yau, in mun gwada da wuya kuma yana iya bayyana kamar lalacewa ko urcers. Zai yi wuya a gano lokacin bincike na gaba a farkon matakan. Jiyya na iya zama a matsayin curative kamar endoscopic ESD, tare da tsayayyen bijiro da kimantawa na yin tiyata. Resector ɗin da ba ya buƙatar ƙarin tiyata, da kuma likitan tiyata ta yanke shawara.
Ka'idar rubutu na sama da hotuna sun fito daga "ciki da hanji"
Bugu da kari, da hankali ya kamata kuma a biya shi ga Esophagogastric junshagoggastastric juns, da kuma ingantaccen adonocarcinoma wanda aka samu a asalinsu mara kyau.
3. Takaitawa
A yau na koyi ilimin da ya dace da bayyananniyar bayyanar cututtukan cutar kansa. Ya fi dacewa ya hada da: Finan asalin Gastic na Ciwon daji na Gastic, (Rasaski-LIKE) CARCINOIELIELIEL.
Clinical ya faru da cutar kansa mara kyau, yana da wuya hukunci, kuma yana da sauki rasa ganewar asali. Abin da ya fi wahala shine bayyanannun bayyanar da rikice-rikice da cututtukan da basu da yawa. Ya kamata kuma a fahimta daga hangen nesa na Endoscopic, musamman kuma ilimin ka'idoji a bayan sa.
Idan ka kalli polys na ciki, lalacewa, da wuraren ja da fari da fari, ya kamata ka yi la'akari da yiwuwar cutar kansa mara kyau. Hukuncin HP mara kyau dole ne a cika ka'idodi, kuma ya kamata a biya kulawa da kulawa da kulawa da korar karya da ke haifar da sakamakon gwajin numfashi. Gogaggen mahalli sun dogara da idanunsu fiye da haka. Rayuwa cikakken ka'idar ciwon kai, dole ne mu ci gaba da koyo, fahimta da kuma aiwatar da hankali.
Mu, Jiangxi Zhoruihua Aikin Media Co., Ltd., Mai kerawa ne a cikin kasar Sin ta ƙware a cikin abubuwan da suka dace a ƙarshen ƙarshen, kamarBiopsy karfi, batoclip, polyp snare, allura sclerotheotherapy, fesa feather, Rage cytology goge,mashaya,kwando mai hankali, hanci na hanci. wanda aka yi amfani da shi sosai a cikiEMR,ESD,ERCP.Kayan samfuranmu suna da tabbacin CED, kuma tsire-tsire na dabbobi sune baicin. An fitar da kayanmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani ɓangare na Asiya, kuma yakai abokin ciniki na girmamawa da yabo!
Lokaci: Jul-12-2024