Mu kuvura indwara ya colonoscopy, ingorane zigaragara ni ukubomoka no kuva amaraso.
Gutobora bivuga imimerere aho umwobo uhujwe n'umwobo w'umubiri bitewe n'ubusembwa bw'ingingo, kandi kuba hari umwuka wigenga mu isuzuma rya X-ray ntibigira ingaruka ku gisobanuro cyawo.
Iyo impande z'umubiri wuzuye wuzuyemo ubugari kandi nta buryo bwo kuvugana n'umubiri, byitwa gutobora. Igisobanuro cy'amaraso ntabwo gisobanutse neza, kandi inama zitangwa ubu zirimo kugabanya hemoglobine irenga 2 g/dL cyangwa gukenera guterwa amaraso.
Kuva amaraso nyuma yo kubagwa bisobanurwa nk'aho amaraso menshi agaragara mu mwanda nyuma yo kubagwa bisaba kuvurwa amaraso cyangwa guterwa amaraso.
Ingano y'ibi bibazo iratandukanye bitewe n'uburyo bivurwa:
Igipimo cyo gutobora:
Kubaga polypectomy: 0.05%
Ibikoresho bikoreshwa mu gupima imikorere y'inyuma y'umubiri bifitanye isano: Umutego wo kuvanga imikorere y'inyuma y'umubiri
Gukuraho uturemangingo tw’amaraso mu ruhu (EMR): 0.58% ~ 0.8%
Ibikoresho bikoreshwa mu gupima amaraso bifitanye isano: Ibikoresho byo gupima amaraso bishobora gukoreshwa mu gupima amaraso
Ibikoresho bikoreshwa mu gupima imikorere y'umubiri bifitanye isano: Urushinge rwo guterwamo inshinge rushobora gukoreshwa
Gucamo ibice bya endoscopic submucosal (ESD): 2% ~ 14%
Ibikoresho bikoreshwa mu ikoranabuhanga bifitanye isano: Umuhoro wa ESD ukoreshwa mu isuku
Igipimo cyo kuva amaraso nyuma yo kubagwa:
Kubaga hakoreshejwe polypectomy: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7% ~ 3.1%
1. Uburyo bwo guhangana n'ibyimbirwa
Kubera ko urukuta rw'amara manini ari ruto ugereranyije n'urw'igifu, ibyago byo gutobora ni byinshi. Mbere yo kubagwa hakenewe kwitegura bihagije kugira ngo habeho gutobora.
Uburyo bwo kwirinda mu gihe cyo kubagwa:
Menya neza ko endoscope ikora neza. Hitamo endoscope zikwiye, ibikoresho byo kuvura, amazi yo guterwa inshinge, n'ibikoresho byo gutanga imyuka ya dioxyde de carbone bitewe n'aho iherereye, imiterere yayo, n'ingano ya fibrosis y'ikibyimba.
Uburyo bwo gucunga icyuho cyo gutobora mu gihe cyo kubaga:
Gufunga ako kanya: Uko byagenda kose, uduce duto dukunda gufungwa (imbaraga z'inama: urwego rwa 1, urwego rw'ibimenyetso: C). Muri ESD, rimwe na rimwe agace kazengurutse kagomba kubanza gukurwaho kugira ngo hirindwe ko kabangamira igikorwa cyo gukata.
Ugomba gushyiramo umwanya uhagije wo gukoreramo mbere yo gufunga.
Kwitegereza nyuma yo kubagwa: Iyo aho gutobora hashobora gufungwa burundu, kubagwa bishobora kwirindwa hakoreshejwe imiti igabanya ubukana bw'ibiyobyabwenge no kwiyiriza ubusa gusa.
Icyemezo cyo kubagwa: Gukenera kubagwa bigenwa hashingiwe ku bimenyetso byo mu nda, ibisubizo by'ibizamini by'amaraso, n'ibishushanyo aho kuba umwuka w'ubuntu ugaragara kuri CT gusa.
Uburyo bwihariye bwo kuvura ibice:
Agace ko hasi k'inda ntikazatuma inda ibomoka bitewe n'imiterere yayo, ariko gashobora gutera
Gutobora mu gituza, bigaragazwa no guhagarara k'imbere mu gituza, hagati mu gituza, cyangwa munsi y'umubiri.
Amabwiriza yo kwirinda:
Gufunga igikomere nyuma yo kubagwa bishobora gukumira ingorane ku rugero runaka, ariko ntibishobora
Hari ibimenyetso bihagije bigaragaza ko bigira ingaruka nziza mu gukumira gutinda gutobora.
2. Igisubizo ku kuva amaraso
Uburyo bwo kuvura kuva amaraso mu gihe cyo kubagwa:
Koresha ubushyuhe butuma amaraso ahagarara cyangwa agakoresho ko gufungana kugira ngo uhagarike kuva amaraso.
Kuva amaraso mu mitsi mito:
Muri EMR, agace k'umutego gashobora gukoreshwa mu gufungana k'ubushyuhe.
Muri ESD, umutwe w'icyuma cy'amashanyarazi ushobora gukoreshwa mu gukora ku gufungana k'ubushyuhe cyangwa gukoresha imbaraga za hemostatic kugira ngo amaraso ahagarike kuva.
Kuva amaraso mu mitsi minini: Koresha forceps zo mu maraso, ariko ugenzure urwego rw'ingufu zifatana kugira ngo wirinde gutinda gutobora.
Kwirinda kuva amaraso nyuma yo kubagwa:
Guca igikomere nyuma yo gucibwamo EMR:
Ubushakashatsi bwagaragaje ko gukoresha uburyo bwo gufunga amaraso mu gihe cyo kwirinda gufungana nta ngaruka nini bigira ku muvuduko wo kuva amaraso nyuma yo kubagwa, ariko hari icyerekezo cyo kugabanya. Uburyo bwo gufunga mu gihe cyo kwirinda bugira ingaruka nke ku bisebe bito, ariko bugira ingaruka nziza ku bisebe binini cyangwa abarwayi bafite ibyago byinshi byo kuva amaraso nyuma yo kubagwa (nk'abahabwa imiti igabanya imitsi).
Guca igikomere nyuma ya ESD:
Imitsi y'amaraso igaragara iba yapfutse, kandi uduce duto tw'amaraso dushobora gukoreshwa mu gukumira gufungana kw'imitsi minini y'amaraso.
Icyitonderwa:
Ku birebana na EMR y'ibisebe bito, ubuvuzi busanzwe bwo kwirinda ntibwasabwa, ariko ku bisebe binini cyangwa abarwayi bafite ibyago byinshi byo kubagwa, gukata nyuma yo kubagwa bigira ingaruka runaka (imbaraga z'inama: Urwego rwa 2, urwego rw'ibimenyetso: C).
Gutobora no kuva amaraso ni ingorane zikunze kugaragara mu gupima umwijima.
Gufata ingamba zikwiye zo kwirinda no kuvura mu bihe bitandukanye bishobora kugabanya neza indwara zidakira kandi bikanoza umutekano w'abarwayi.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa byihariye mu gukoresha ibikoresho byo mu nda, nkaforceps za biopsy, hemoklip, umutego wa polyp, urushinge rwo kuvura sclerotherapy, katheteri itera umuti, uburoso bwa cytology, insinga ziyobora, agasanduku ko gukurura amabuye, katheteri itwara amazi mu mazuru,agakingirizo k'umuyoboro w'inkarinaagakoresho ko kwinjira mu muyoboro w'inkari gafite uburyo bwo gukururan'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: Werurwe-21-2025