Yawancin marasa lafiya a sassan gastroenterology ko cibiyoyin endoscopy ana ba da shawarar don maganin mucosal na endoscopic (EMR). Ana amfani da shi akai-akai, amma kuna sane da alamunta, iyakokinta, da matakan kariya bayan tiyata?
Wannan labarin zai jagorance ku cikin tsari ta hanyar mahimman bayanan EMR don taimaka muku yanke shawara mai cikakken fahimta da ƙarfin gwiwa.
Don haka, menene EMR? Bari mu fara zana shi mu gani…
❋ Menene ƙa'idodin iko suka ce game da alamun EMR? Bisa ga ka'idodin Jiyya na Ciwon Ciki na Jafananci, Ƙwararrun Ƙwararrun Ƙwararrun Sinawa, da Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru na EMR sun haɗa da:
Ⅰ. Adenoma ko polyps
● Launuka ≤ 20 mm tare da bayyanannun gefe
● Babu bayyanannen alamun mamayewar submucosal
● Ciwon Ciwon Ciki (LST-G)
Ⅱ. Babban darajar intraepithelial neoplasia (HGIN)
● Mucosal-iyakance, babu miki
● Raunin ƙasa da 10 mm
● Da bambanci
Ⅲ. Dysplasia mai laushi ko ƙananan raunuka tare da bayyananniyar ilimin cututtuka da jinkirin girma
◆ Marasa lafiya da ake ganin sun dace da resection bayan lura da bin diddigi
Lura: Ko da yake jagororin sun bayyana cewa EMR an yarda da shi don ciwon daji na farko idan raunin ya kasance karami, ba shi da ciwon ciki, kuma an iyakance shi ga mucosa, a cikin ainihin aikin asibiti, ESD (endoscopic submucosal dissection) an fi so don tabbatar da cikakken resection, aminci, da kuma daidaitaccen kima.
ESD yana ba da fa'idodi masu mahimmanci da yawa:
En block resection na rauni yana yiwuwa
Yana sauƙaƙe ƙimancin gefe, rage haɗarin sake dawowa
Ya dace da manyan raunuka ko rikitarwa
Don haka, a halin yanzu ana amfani da EMR da farko a aikin asibiti don:
1. M raunuka ba tare da hadarin ciwon daji ba
2. Ƙananan, mai sauƙin gyara polyps ko LSTs masu launi
⚠Tsarin Kariya
1.Dietary Management: Domin farkon 24 hours bayan tiyata, kauce wa cin abinci ko cinye ruwa mai tsabta, sannan a hankali canzawa zuwa abinci mai laushi. Kauce wa kayan yaji, astringent, da abubuwan ban haushi.
2.Medication Use: Proton pump inhibitors (PPIs) ana amfani da su bayan tiyata don ciwon ciki don inganta warkar da ulcer da kuma hana zubar jini.
3.Cibiyar Kulawa: Kasance cikin faɗakarwa don alamun bayyanar jini ko ɓarna bayan tiyata, kamar melena, hematemesis, da ciwon ciki. A nemi kulawar likita da sauri idan wani rashin lafiya ya faru.
4. Shirye-shiryen Bita: Shirya ziyarar biyo baya da maimaita endoscopic bisa ga binciken cututtuka.
Don haka, EMR wata dabara ce da ba makawa ba don magance raunukan ciki. Koyaya, yana da mahimmanci don fahimtar alamunta daidai kuma a guji yawan amfani ko rashin amfani. Ga likitoci, wannan yana buƙatar hukunci da fasaha; ga marasa lafiya, yana buƙatar amincewa da fahimta.
Bari mu ga abin da za mu iya bayarwa ga EMR.
Anan akwai abubuwan endoscopic masu alaƙa da EMR waɗanda suka haɗa daHemostatic Clips,Polypectomy Snare,Allurar allurakumaKwayoyin Halitta.
Lokacin aikawa: Satumba-01-2025