Ana ba da shawarar a yi wa marasa lafiya da yawa tiyata a sashen gastroenterology ko cibiyoyin endoscopy tiyata don cire mucosal endoscopic (EMR) Ana yawan amfani da shi, amma shin kun san alamunsa, iyakokinsa, da kuma matakan kariya bayan tiyata?
Wannan labarin zai jagorance ku ta hanyar mahimman bayanai na EMR don taimaka muku yanke shawara mai zurfi da kwarin gwiwa.
To, menene EMR? Bari mu fara zana shi mu gani…
❋Me jagororin da aka amince da su suka ce game da alamun EMR? Dangane da Ka'idojin Maganin Ciwon Ciki na Japan, Yarjejeniyar Masana ta China, da kuma Ka'idojin Ƙungiyar Endoscopy ta Turai (ESGE), alamun da aka ba da shawarar a halin yanzu don EMR sun haɗa da waɗannan:
Ⅰ. Polyps ko adenomas marasa kyau
● Raunuka ≤ 20 mm tare da gefuna masu haske
● Babu wata alama a fili ta mamayewar karkashin mucosa
● Ciwon da ke Yaɗuwa a Kaikaice (LST-G)
Ⅱ. Ciwon ciki mai girman gaske (HGIN)
● An iyakance majina, babu gyambo
● Raunuka ƙasa da 10 mm
● An bambanta shi sosai
Ⅲ. Ƙananan raunuka ko ƙananan raunuka tare da bayyananniyar cuta da kuma jinkirin girma
◆ Marasa lafiya da aka ga sun dace da tiyatar cirewa bayan an duba lafiyarsu
⚠Lura: Duk da cewa jagororin sun bayyana cewa EMR ya dace da ciwon daji na farko idan raunin ya kasance ƙarami, ba shi da gyambo, kuma an takaita shi ga mucosa, a zahiri aikin asibiti, ana fifita ESD (ƙaddamar da endoscopic submucosal dissection) don tabbatar da cikakken yankewa, aminci, da kuma ingantaccen kimantawa na cututtuka.
ESD yana da fa'idodi masu mahimmanci:
Ana iya cire raunin ta hanyar cire shi daga cikin ramin
Yana sauƙaƙa kimanta riba, yana rage haɗarin sake dawowa
Ya dace da manyan raunuka ko mafi rikitarwa
Saboda haka, EMR a halin yanzu ana amfani da shi musamman a cikin aikin asibiti don:
1. Raunuka marasa kyau ba tare da haɗarin kamuwa da cutar kansa ba
2. Ƙananan polyps ko LSTs masu sauƙin cirewa
⚠ Gargaɗin Bayan Tiyata
1. Kula da Abinci: A cikin awanni 24 na farko bayan tiyata, a guji cin abinci ko shan ruwa mai tsabta, sannan a hankali a koma ga abinci mai laushi. A guji abinci mai yaji, mai tauri, da kuma mai tayar da hankali.
2. Amfani da Magani: Ana amfani da magungunan hana proton pump inhibitors (PPIs) bayan tiyata don raunukan ciki don inganta warkar da gyambon ciki da kuma hana zubar jini.
3. Kula da Matsalolin da ke Faruwa: A kula da alamun zubar jini ko kuma toshewar jini bayan tiyata, kamar su melena, hematemesis, da ciwon ciki. A nemi taimakon likita da wuri idan akwai wata matsala.
4. Tsarin Bita: Shirya ziyarar bibiya da kuma maimaita gwajin endoscopy bisa ga binciken cututtuka.
Saboda haka, EMR wata hanya ce mai matuƙar muhimmanci don cire raunukan ciki. Duk da haka, yana da mahimmanci a fahimci alamunsa daidai kuma a guji amfani da shi fiye da kima ko amfani da shi ba daidai ba. Ga likitoci, wannan yana buƙatar hukunci da ƙwarewa; ga marasa lafiya, yana buƙatar amincewa da fahimta.
Bari mu ga abin da za mu iya bayarwa don EMR.
Ga abubuwan amfani da endoscopic da suka shafi EMR waɗanda suka haɗa daShirye-shiryen Hemostatic,Tarkon tiyatar cire ƙwayoyin cuta,Allura ta allurakumaNa'urorin ɗaukar hoto na Biopsy.
Lokacin Saƙo: Satumba-01-2025