1.Kuki ari ngombwa gukora gastroenteroscopy?
Uko umuvuduko w'ubuzima n'imirire bihinduka, niko indwara zo mu gifu nazo zarahindutse. Mu Bushinwa, umubare w'abarwara kanseri yo mu gifu, mu gifu no mu mara uriyongera uko umwaka utashye.
Polyps zo mu gifu, kanseri yo mu gifu n'amara yo mu ntangiriro nta bimenyetso byihariye bigira, ndetse hari n'aho nta bimenyetso bigira mu cyiciro cya mbere. Abarwayi benshi bafite ibibyimba bibi byo mu gifu baba bari mu cyiciro cya mbere iyo babimenye, kandi uburyo ibibyimba biba biri mu cyiciro cya mbere n'icya nyuma biratandukanye rwose.
Gupima indwara zo mu gifu ni cyo gipimo cy’ingenzi mu kumenya indwara zo mu gifu, cyane cyane ibibyimba biri mu cyiciro cya mbere cy’indwara. Ariko, bitewe nuko abantu badasobanukiwe neza indwara zo mu gifu, cyangwa bumva ibihuha, ntibashaka cyangwa batinya kunyura muri endoscope y’igifu. Kubera iyo mpamvu, abantu benshi batakaje amahirwe yo kubimenya hakiri kare no kuvurwa hakiri kare. Kubwibyo, ni ngombwa gusuzuma endoscope y’igifu "idafite ibimenyetso".
2. Ni ryari gukorerwa isuzuma ry'igifu (gastroenteroscopy) biba ngombwa?
Turasaba ko abantu bose barengeje imyaka 40 bazajya bakora isuzuma ry’igifu buri gihe. Mu gihe kiri imbere, isuzuma ry’igifu rishobora gusuzumwa mu myaka 3-5 hashingiwe ku bisubizo by’isuzuma. Ku bantu basanzwe bafite ibimenyetso bitandukanye by’igifu, ni byiza ko bakora isuzuma ry’igifu igihe icyo ari cyo cyose. Niba hari amateka y’umuryango wa kanseri y’igifu cyangwa kanseri y’amara, ni byiza gutangira gukurikirana isuzuma ry’igifu mbere y’imyaka 30.
3. Kuki afite imyaka 40?
95% bya kanseri yo mu gifu na kanseri y'inkondo y'umura bikomoka kuri polyps zo mu gifu na polyps zo mu mara, kandi bifata imyaka 5-15 kugira ngo polyps zihinduke kanseri yo mu mara. Noneho reka turebe ihinduka ry'ibihe mu gihe cy'imibyimba mibi mu gihugu cyanjye:
Dukurikije imbonerahamwe, tubona ko umubare w’abantu barwara kanseri mu gihugu cyacu uri hasi cyane iyo bafite hagati y’imyaka 0 na 34, wiyongera cyane uvuye ku myaka 35 kugeza kuri 40, ni cyo gihe cy’impinduka mu myaka 55, kandi ukagera ku kigero cy’imyaka hafi 80.
Dukurikije itegeko ry’iterambere ry’indwara, imyaka 55 - 15 (ingendo y’ihindagurika rya kanseri y’inkondo y’umura) = imyaka 40. Ku myaka 40, ibizamini byinshi bipima gusa polyps, zikurwaho kandi zigasuzumwa buri gihe kandi ntizizahinduka kanseri y’amara. Kugira ngo dusubire inyuma, nubwo byahinduka kanseri, birashoboka cyane ko ari kanseri yo mu cyiciro cya mbere kandi ishobora gukira burundu hakoreshejwe colonoscopy.
Niyo mpamvu twasabwe kwitondera gusuzuma hakiri kare ibibyimba byo mu gifu. Gusuzuma indwara y’igifu ku gihe bishobora gukumira kanseri y’igifu na kanseri y’amara neza.
4. Ni iki cyiza kuri gastroenteroscopy isanzwe kandi itababaza? Bite ho ku isuzuma ry'ubwoba?
Niba ufite ubushobozi buke bwo kwihanganira indwara kandi udashobora gutsinda ubwoba bwawe bwo mu mutwe kandi utinya endoscopi, hitamo ububabare; niba nta bibazo nk'ibyo ufite, ushobora guhitamo bisanzwe.
Gupima indwara zisanzwe zo mu gifu bizatera ububabare: isesemi, ububabare bwo mu nda, kubyimba inda, kuruka, ubumuga bw'ingingo, nibindi. Ariko, mu bihe bisanzwe, igihe cyose badatinya cyane kandi bagakorana neza na muganga, abantu benshi bashobora kubyihanganira. Ushobora kwisuzuma. Ku bantu bakorana neza, gupima indwara zisanzwe zo mu gifu bishobora gutanga ibisubizo bishimishije kandi byiza by'isuzuma; icyakora, niba umuvuduko ukabije utuma habaho ubufatanye bubi, ibisubizo by'isuzuma bishobora kugira ingaruka ku rugero runaka.
Gupima indwara y'igifu idatera ububabare: Niba ufite ubwoba koko, ushobora guhitamo gupima indwara y'igifu idatera ububabare. Birumvikana ko intego ari uko igomba gusuzumwa na muganga kandi ikujuje ibisabwa kugira ngo ikoreshwe. Si buri wese ukwiriye gupima indwara y'igifu. Bitabaye ibyo, dushobora kubyihanganira gusa no gukora ibisanzwe. N'ubundi kandi, umutekano ni wo uza mbere! Gupima indwara y'igifu idatera ububabare bizaba byoroshye kandi birambuye, kandi ingorane zo kubagwa kwa muganga nazo zizagabanuka cyane.
5. Ni izihe nyungu n'ibibi byo gupima indwara y'igifu bitababaza?
Ibyiza:
1. Nta kubabara na gato: urimo usinziriye muri icyo gikorwa cyose, nta kintu na kimwe uzi, urimo kurota inzozi nziza gusa.
2. Kwangirika guke: kuko utazumva ufite isesemi cyangwa umerewe nabi, amahirwe yo kwangirika bitewe n'indorerwamo nayo ni make cyane.
3. Itegereze witonze: Iyo usinziriye, muganga ntazongera guhangayikishwa n'uko umerewe nabi ahubwo azakwitegereza atuje kandi witonze.
4. Kugabanya ibyago: kuko ibizamini bisanzwe bya gastroscopy bizatera uburibwe, umuvuduko w'amaraso, kandi umutima utera cyane, ariko nta bubabare nta mpamvu yo guhangayikishwa n'iki kibazo ukundi.
Intege nke:
1. Bitera ibibazo: ugereranije na endoskopi isanzwe y'igifu, hari ibindi bisabwa byihariye byo kwitegura: gusuzuma electrocardiogram, urushinge rwo guteramo inshinge mbere yo gusuzuma, abagize umuryango bagomba kuba baherekejwe, kandi ntushobora gutwara imodoka mu munsi umwe nyuma yo gusuzuma, nibindi.
2.Biratera akaga gato: nyuma ya byose, ni ikinya rusange, ibyago ni byinshi kuruta ibisanzwe. Ushobora kugira ikibazo cyo kugabanuka k'umuvuduko w'amaraso, kugorwa no guhumeka, guhumeka ku bw'impanuka, nibindi;
3.Kugira isereri nyuma yo kubikora: nubwo ntacyo wumva na gato mu gihe ubikora, uzumva isereri nyuma yo kubikora, kimwe no kuba wasinze, ariko birumvikana ko bitazamara igihe kirekire;
4. Birahenze gato: ugereranyije na endoscopiyu isanzwe y'igifu, igiciro cyayo kidatera ububabare kiri hejuru gato.
5.Si buri wese ushoboye kubikora: isuzuma ritababaza risaba isuzuma rya anesthesi. Hari abantu badashobora gupimwa nta bubabare, nk'abafite amateka yo kugira aleriji ku miti igabanya ububabare n'imiti igabanya ububabare, abafite bronchitis bafite ibisebe byinshi, abafite ibisigazwa byinshi mu gifu, n'abafite ikibazo gikomeye cyo kwiheba no guhumeka nabi mu gihe cyo gusinzira, kimwe n'abafite umubyibuho ukabije bagomba kwitonda, abantu bafite indwara z'umutima n'ibihaha badashobora kwihanganira anesthesi, abarwayi ba glaucoma, hyperplasia ya prostate n'amateka yo kubika inkari, abagore batwite n'abonsa bagomba kwitonda.
6. Ese ikinya cyo gupima indwara yo mu gifu kidatera ububabare kizatuma abantu batagira ubwenge, batakaza kwibuka, kandi bigira ingaruka ku bwenge bwabo?
Nta mpamvu yo guhangayika na gato! Anesthesia yo mu mitsi ikoreshwa muri endoskopi y’igifu idatera ububabare ni propofol, amazi y’umweru asa n’amata abaganga bita "amata meza". Irahinduka vuba cyane kandi izabora burundu kandi igahinduka mu masaha make nta gutera ubwinshi. . Igipimo gikoreshwa kigenwa n'umuganga w’ikinya hashingiwe ku buremere bw'umurwayi, ubuzima bwiza bw'umubiri n'ibindi bintu. Muri make, umurwayi azabyuka mu buryo bwikora mu minota 10 nta ngaruka mbi zibayeho. Abantu bake bazumva bameze nk'abasinze, ariko abantu bake cyane bazabyuka mu buryo bwikora. Izashira vuba.
Bityo rero, mu gihe cyose ikorerwa n'abaganga b'inzobere mu bigo bisanzwe by'ubuvuzi, nta mpamvu yo guhangayika cyane.
5. Ese hari ingaruka ziterwa no gusinziriza?
Ibi byasobanuwe haruguru, ariko nta gikorwa na kimwe cyo kwa muganga gishobora kwemezwa ko nta ngaruka 100% kirimo, ariko nibura 99.99% bishobora gukorwa neza.
6. Ese ibimenyetso bya kanseri, gushushanya amaraso, n'ibipimo by'amaraso y'inkondo y'umura bishobora gusimbura endoscope y'igifu?
Ntabwo bishoboka! Muri rusange, gupima igifu bizasaba gupima amaraso y’umwanda, ibizamini bine by’imikorere y’igifu, ibimenyetso bya kanseri, nibindi. Buri kimwe gifite uburyo bwacyo bwo gukoresha:
7. Gupima amaraso y’inkondo y’umura: intego nyamukuru ni ukureba niba hari amaraso yihishe mu nzira y’igifu. Ibibyimba byo mu ntangiriro, cyane cyane kanseri ntoya, ntibiva amaraso mu ntangiriro. Amaraso y’inkondo y’umura akomeje kuba meza kandi akeneye kwitabwaho cyane.
8. Ikizamini cy'imikorere y'igifu: intego nyamukuru ni ukureba gastrin na pepsinogen kugira ngo hamenyekane niba gusohora ari ibintu bisanzwe. Ni ukureba gusa niba abantu bafite ibyago byinshi byo kurwara kanseri y'igifu. Iyo hagaragaye ibitagenda neza, isuzuma rya gastrinoscopy rigomba gukorwa ako kanya.
Ibimenyetso by'ibibyimba: Bishobora kuvugwa gusa ko bifite agaciro runaka, ariko ntibigomba gukoreshwa nk'aho ari byo byonyine bikoreshwa mu gusuzuma ibibyimba. Kuko hari ububyimba bushobora gutuma ibimenyetso by'ibibyimba byiyongera, kandi bimwe na bimwe bikaba bikiri ibisanzwe kugeza igihe biri hagati na nyuma. Kubwibyo, ntugomba gutinya niba biri hejuru, kandi ntushobora kubyirengagiza niba ari ibisanzwe.
9. Ese capsule endoscopy, barium meal, breath test, na CT bishobora gusimbura endoscopy y'igifu?
Ntibishoboka! Ikizamini cyo guhumeka gishobora gusa kumenya niba hari ubwandu bwa Helicobacter pylori, ariko ntigishobora kugenzura imiterere y'umuyoboro w'igifu; ifunguro rya barium rishobora gusa kubona "igicucu" cyangwa imiterere y'inzira y'igifu, kandi agaciro kabyo ko gusuzuma ni gato.
Isuzuma rya Capsule Endoscopy rishobora gukoreshwa nk'uburyo bwo gusuzuma bwa mbere. Ariko, bitewe nuko ridashobora gukurura, koza, kumenya no kuvura, nubwo hagaragaye igisebe, isuzuma risanzwe riracyakenewe mu gikorwa cya kabiri, kandi bihenze kuryishyura.
Gusuzuma indwara za CT bifite akamaro gakomeye ko gusuzuma kanseri y’igifu igeze kure, ariko ntibigira ingaruka mbi ku kanseri y’intangiriro, ibisebe bibanziriza kanseri, ndetse n’indwara z’igifu zitagira ingaruka mbi.
Muri make, niba ushaka kumenya kanseri y'igifu hakiri kare, endoscope y'igifu ntishobora gusimburwa.
10. Ese gupima indwara y'igifu bitababaza bishobora gukorwa hamwe?
Yego, ni ngombwa kumenya ko mbere yo gusuzuma, nyamuneka menyesha muganga mbere yo gukora isuzuma rya electrocardiogram kugira ngo akorerwe isuzuma rya anesthesia. Muri icyo gihe, umuntu wo mu muryango agomba kuguherekeza. Niba isuzuma rya gastroscopy rikozwe munsi y'ikinya hanyuma hagakorwa isuzuma rya colonoscopy, kandi iyo rikozwe hamwe na endoscopy y'igifu idatera ububabare, bisaba gusa isuzuma rimwe gusa, bityo nabyo bihendutse.
11. Mfite umutima mubi. Ese nshobora gukora gastroenteroscopy?
Ibi biterwa n'uko ibintu bimeze. Gukoresha endoskopiya ntibisabwa mu bihe bikurikira:
1. Indwara zikomeye z’umutima n’ibihaha, nko kudakora neza kw’umutima, igihe cy’imikorere y’umutima, kunanirwa gukomeye k’umutima na asima, abantu bafite ibibazo byo guhumeka badashobora kuryama, badashobora kwihanganira endoscope.
2.Abarwayi bakekwaho gutungurwa n'ibimenyetso by'ubuzima bidahindagurika.
3. Abantu bafite indwara zo mu mutwe cyangwa ubumuga bukomeye bwo mu mutwe badashobora gukorana na endoscopy (isuzuma ry’indwara ritagira ububabare nibiba ngombwa).
4.Indwara y'umuhogo ikabije kandi ikomeye, aho endoscope idashobora gushyirwamo.
5. Abarwayi bafite ububabare bukabije bwo mu gifu no mu mwobo.
6. Abarwayi bafite ikibazo cy’imitsi igaragara mu gituza no mu bwonko (bafite kuva amaraso no gucika intege mu buryo bukabije).
7. Gufungana kw'amaraso kudasanzwe.
12. Uburyo bwo gusuzuma indwara ya biopsy ni iki? Ese bizatera kwangirika mu gifu?
Isuzuma ry'ibinyabuzima (biopsy) rigomba gukoreshwaforceps za biopsygukuraho agace gato k'urugingo mu nzira y'igifu no kohereza kuri pathology kugira ngo hamenyekane imiterere y'ibisebe byo mu gifu.
Mu gihe cyo kubagwa, abantu benshi ntibagira icyo bumva. Hari igihe bumva nk'aho igifu cyabo kirimo gukubitwa, ariko nta bubabare buba burimo. Uduce twa biopsy tuba tungana n'agace gato k'umuceri kandi nta cyangiza cyane mu gifu. Byongeye kandi, nyuma yo gufata utwo duce, muganga azahagarika kuva amaraso akoresheje gastroscopy. Igihe cyose ukurikije amabwiriza ya muganga nyuma yo gusuzumwa, amahirwe yo kongera kuva amaraso aba make cyane.
13. Ese kuba ukeneye isuzuma ry’umubiri (biopsy) bigaragaza kanseri?
Oya rwose! Gufata biopsy ntibisobanura ko indwara yawe ari mbi cyane, ahubwo ni uko muganga akuramo bimwe mu bice by'ibisebe kugira ngo bisuzumwe indwara mu gihe cyo gupima indwara. Urugero: polyps, imyororo, ibisebe, kubyimba, utubyimba, na gastritis itagira amazi bikoreshwa kugira ngo hamenyekane imiterere, uburebure, n'ingano y'indwara kugira ngo biyobore uburyo bwo kuvura no gusuzuma. Birumvikana ko abaganga banafata biopsy ku bisebe bikekwa ko ari kanseri. Kubwibyo, biopsy ni iyo gufasha gusa gusuzuma indwara ya gastroenteroscopy, si ibisebe byose byakuwe muri biopsy ari ibisebe bibi. Ntugahangayike cyane ahubwo tegereza wihanganye ibisubizo by'indwara.
Tuzi ko abantu benshi badashaka gupima indwara zo mu gifu bitewe n’imiterere y’umubiri wabo, ariko ndizera ko ushobora kwita ku ndwara zo mu gifu. Ndizera ko nyuma yo gusoma iki kibazo n’ibisubizo, uzagira ubumenyi burambuye.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa byihariye mu gukoresha ibikoresho byo mu nda, nka forceps za biopsy, hemoklip, umutego wa polyp, urushinge rwo kuvura sclerotherapy, katheteri itera umuti, uburoso bwa cytology,insinga y'ubuyobozi, agasanduku ko gukurura amabuye, katheteri itwara amazi mu mazurun'ibindi bikoreshwa cyane muriEMR, ESD,ERCPIbicuruzwa byacu bifite icyemezo cya CE, naho inganda zacu zifite icyemezo cya ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo Hagati no mu gice kimwe cya Aziya, kandi birushaho kumenyekana no gushimwa n'abakiriya!
Igihe cyo kohereza: Mata-02-2024