Kanseri yo mu gifu ni imwe mu ndwara mbi zishyira ubuzima bw'abantu mu kaga gakomeye. Hari abantu bashya miliyoni 1.09 ku isi buri mwaka, kandi umubare w'abandura mu gihugu cyanjye ni 410.000. Ni ukuvuga ko abantu bagera ku 1.300 mu gihugu cyanjye bafatwa na kanseri yo mu gifu buri munsi.
Igipimo cyo kubaho kw'abarwayi ba kanseri y'igifu gifitanye isano rya bugufi n'urugero rw'uko kanseri y'igifu ikomeza. Igipimo cyo gukira kanseri y'igifu ikiri mu ntangiriro gishobora kugera kuri 90%, cyangwa kikavurwa burundu. Igipimo cyo gukira kanseri y'igifu iri mu cyiciro cyo hagati kiri hagati ya 60% na 70%, mu gihe igipimo cyo gukira kanseri y'igifu ikiri mu cyiciro cyo hejuru ari 30% gusa, bityo kanseri y'igifu yabonetse hakiri kare. Kandi ubuvuzi hakiri kare ni ingenzi mu kugabanya impfu za kanseri y'igifu. Ku bw'amahirwe, hamwe n'iterambere ry'ikoranabuhanga rya endoscopic mu myaka ya vuba aha, gupima kanseri y'igifu hakiri kare byakozwe cyane mu gihugu cyanjye, byazamuye cyane igipimo cyo kumenya kanseri y'igifu hakiri kare;
None se, kanseri y'igifu ikiri kare ni iki? Ni gute wamenya kanseri y'igifu ikiri kare? Wayivura ute?
1 Igitekerezo cya kanseri y'igifu ikiri mu ntangiriro
Mu buvuzi, kanseri y'igifu itangira ahanini yerekeza kuri kanseri y'igifu ifite ibisebe bito cyane, ibisebe bike cyane kandi nta bimenyetso bigaragara. Kanseri y'igifu itangira ahanini ipimwa hakoreshejwe uburyo bwo gusuzuma indwara ya gastroscopic biopsy. Mu buvuzi, kanseri y'igifu itangira kare yerekeza ku turemangingo twa kanseri duherereye mu mucosa no mu gice cy'umugongo, kandi uko ikibyimba cyaba kingana kose ndetse niba hari metastasis ya lymph node, iba iy'igifu itangira. Mu myaka ya vuba aha, dysplasia ikomeye na neoplasia yo mu nda itera imbere nabyo bishyirwa mu byiciro bya kanseri y'igifu itangira kare.
Dukurikije ingano y'ikibyimba, kanseri yo mu gifu itangira igabanyijemo ibice bibiri: kanseri y'igifu gito: umurambararo w'ikibyimba cya kanseri ni mm 6-10. Kanseri nto yo mu gifu: Umurambararo w'ikibyimba cya kanseri ni munsi cyangwa ungana na mm 5. Kanseri yo mu gifu: Isuzuma ry'umuyoboro w'igifu ni kanseri, ariko nta ngirangingo ya kanseri iboneka mu ruhererekane rw'ibipimo byo kubagwa.
Mu buryo bwa endoskopiya, kanseri yo mu gifu yo hambere igabanyijemo ibice bibiri: ubwoko (ubwoko bwa polypoid): abafite ikibyimba kinini cya mm 5 cyangwa kirenga. Ubwoko bwa II (ubwoko bw'inyuma): Ikibyimba kinini cyazamutse cyangwa cyagabanutse muri mm 5. Ubwoko bwa III (ubwoko bw'ibisebe): Ubujyakuzimu bw'ikibyimba cya kanseri burenga mm 5, ariko ntiburenze submucosa.
2 Ni ibihe bimenyetso bya kanseri y'igifu ikiri mu ntangiriro
Kanseri nyinshi zo mu gifu zo hambere ntabwo zigaragaza ibimenyetso byihariye, ni ukuvuga ko ibimenyetso bya mbere bya kanseri yo mu gifu nta bimenyetso biba ari byo.
Ibyo byitwa ibimenyetso bya kanseri y'igifu bikwirakwira kuri interineti mu by'ukuri si ibimenyetso bya mbere. Yaba umuganga cyangwa umuntu w'icyubahiro, biragoye kumenya ibimenyetso ukurikije ibimenyetso. Hari abantu bashobora kugira ibimenyetso bimwe na bimwe bitari bimwe, cyane cyane kubabara mu gifu, nko kubabara mu nda, kubyimba inda, guhaga hakiri kare, kubura ubushake bwo kurya, kongera kurira aside, kuribwa mu gifu, gushyukwa, gucika intege, nibindi. Ibi bimenyetso bisa cyane n'ibibazo bisanzwe byo mu gifu, bityo akenshi ntibikurura abantu. Kubwibyo, ku bantu barengeje imyaka 40, niba bafite ibimenyetso bigaragara byo kubabara mu gifu, bagomba kujya kwa muganga kuvurwa ku gihe, kandi bagakorerwa gastroscopy nibiba ngombwa, kugira ngo badacikwa n'igihe cyiza cyo kubona kanseri y'igifu hakiri kare.
3 Uburyo bwo kumenya kanseri y'igifu hakiri kare
Mu myaka ya vuba aha, impuguke mu by'ubuvuzi mu gihugu cyacu, hamwe n'uko igihugu cyacu gihagaze mu buryo bufatika, zashyizeho "Impuguke mu gupima kanseri y'igifu hakiri kare mu Bushinwa".
Bizagira uruhare runini mu kunoza igipimo cyo gusuzuma no gukira kanseri y'igifu mu ntangiriro.
Gusuzuma kanseri y'igifu hakiri kare bigamije ahanini abarwayi bamwe na bamwe bafite ibyago byinshi byo kurwara kanseri y'igifu, nk'abarwayi banduye Helicobacter pylori, abarwayi bafite amateka yo kurwara kanseri y'igifu mu muryango wabo, abarwayi barengeje imyaka 35, abanywa itabi igihe kirekire, ndetse n'abakunda ibiryo birimo imbogamizi.
Uburyo bw'ibanze bwo gupima ni ukumenya umubare w'abantu bafite ibyago byinshi byo kurwara kanseri y'igifu binyuze mu gusuzuma indwara ziterwa n'amaraso, ni ukuvuga binyuze mu mikorere y'igifu no gupima ubudahangarwa bwa Helicobacter pylori. Hanyuma, amatsinda afite ibyago byinshi aboneka mu gikorwa cyo gupima cya mbere asuzumwa neza hakoreshejwe gastroscope, kandi kureba ibisebe bishobora kugirwaho ingaruka nziza binyuze mu kongera ibara, gusiga irangi, biopsy, nibindi, kugira ngo harebwe niba ibisebe ari kanseri kandi niba bishobora kuvurwa hifashishijwe mikorosikopi.
Birumvikana ko ari uburyo bwiza bwo kumenya kanseri y'igifu hakiri kare binyuze mu gushyira endoscope y'igifu mu bikoresho bisanzwe byo gusuzuma umubiri ku bantu bazima binyuze mu gusuzuma umubiri.
4 Uburyo bwo gupima imikorere y'igifu n'uburyo bwo gupima kanseri y'igifu ni iki?
Ikizamini cy'imikorere y'igifu ni ukumenya igipimo cya pepsinogen 1 (PGI), pepsinogen (PGl1, na poroteyine) mu maraso.
(PGR, PGI/PGII) gastrin 17 (G-17), kandi uburyo bwo gupima kanseri y'igifu bushingiye ku bisubizo by'ibizamini by'imikorere y'igifu, hamwe n'amanota yuzuye nka antibody ya Helicobacter pylori, imyaka n'igitsina, kugira ngo harebwe. Uburyo bwo gupima ibyago bya kanseri y'igifu, binyuze muri gahunda yo gupima kanseri y'igifu, bushobora gusuzuma amatsinda y'abantu bafite ibyago byo hagati n'abakomeye ba kanseri y'igifu.
Hazakorwa isuzuma rya endoskopiya no gukurikirana abantu bo mu byiciro biri hagati n’abari mu byiciro biri hejuru. Abantu bafite ibyago byinshi bazasuzumwa nibura rimwe mu mwaka, naho abo mu byiciro biri hagati bazasuzumwa nibura rimwe mu myaka 2. Ikivumburwa nyacyo ni kanseri ikiri kare, ishobora kuvurwa no kubagwa hakoreshejwe endoskopiya. Ibi ntibishobora kongera gusa igipimo cyo kumenyekana hakiri kare kwa kanseri y’igifu, ahubwo binagabanya endoskopiya idakenewe mu byiciro biri hasi.
5 Gastroscopy ni iki?
Mu magambo make, gastroscopy ni ugukora isesengura ry’imiterere y’ibisebe bikekwa byabonetse icyarimwe na gastroscopy isanzwe, harimo endoscopy isanzwe y’urumuri rwera, chromoendoscopy, magnizing endoscopy, confocal endoscopy n’ubundi buryo. Igisebe gifatwa nk’aho ari kibi cyangwa gikekwa ku ndwara ya kanseri, hanyuma hagakorwa biopsy y’igisebe gikekwaho kuba ari kibi, hanyuma hagakorwa isuzuma rya nyuma hifashishijwe uburwayi. Kugira ngo hamenyekane niba hari ibisebe bya kanseri, ingano y’uburyo kanseri yinjira mu ruhande, uburebure bw’uburyo umuntu yinjira mu buryo bugororotse, urwego rw’itandukaniro, ndetse niba hari ibimenyetso byo kuvura hakoreshejwe mikorosikopi.
Ugereranyije na gastroscopy isanzwe, isuzuma rya gastroscopy rigomba gukorwa mu gihe nta bubabare, rigatuma abarwayi baruhuka burundu mu gihe cyo gusinzira igihe gito kandi bagakora gastroscopy mu mutekano. Gastroscopy isaba abakozi benshi. Igomba guhugurwa mu gusuzuma kanseri hakiri kare, kandi abaganga b'inararibonye bashobora gukora isuzuma rirambuye, kugira ngo bamenye neza ibisebe kandi bakore isuzuma rikwiye.
Gastroscopy ikenera ibikoresho byinshi, cyane cyane ikoranabuhanga ryo kunoza amashusho nka chromoendoscopy/electronic chromoendoscopy cyangwa magnifying endoscopy. Ultrasound gastroscopy nayo irakenewe iyo bibaye ngombwa.
Uburyo 6 bwo kuvura kanseri y'igifu ikiri mu ntangiriro
1. Gucamo ibice byo mu ruhu (endoscopic resection)
Iyo kanseri y'igifu imaze kumenyekana hakiri kare, gucibwamo endoscopic ni cyo kintu cya mbere gikoreshwa. Ugereranyije no kubagwa gakondo, gucibwamo endoscopic bifite ibyiza byo kuba ihungabana rike, ingorane nke, gukira vuba, no kugabanuka kw'ikiguzi, kandi ingaruka zabyo ni zimwe. Kubwibyo, gucibwamo endoscopic ni byiza mu gihugu no mu mahanga nk'uburyo bwiza bwo kuvura kanseri y'igifu hakiri kare.
Muri iki gihe, uburyo bwo gukata endoscopic bukoreshwa cyane cyane burimo gukata endoscopic mucosal resection (EMR) na endoscopic submucosal dissection (ESD). Ikoranabuhanga rishya ryateguwe, ESD single-channel endoscopy, rishobora kugera ku gukata rimwe gusa ibisebe byimbitse mu muscularis propria, mu gihe rinatanga uburyo nyabwo bwo kugabanya indwara kugira ngo ridasubira inyuma nyuma y’igihe gito.
Byakagombye kumenyekana ko kubaga endoscopic resection ari ukubaga guke cyane, ariko haracyari ibibazo byinshi, birimo kuva amaraso, gutobora, Stenose, kubabara mu nda, kwandura indwara, nibindi. Kubwibyo, kwita ku murwayi nyuma yo kubagwa, gukira no gusuzuma bigomba gukorana na muganga cyane kugira ngo akire vuba bishoboka.
2 Kubaga Laparoscopic
Kubagwa hakoreshejwe laparoscopic bishobora kwitabwaho ku barwayi ba kanseri y'igifu ikiri mu ntangiriro ariko badashobora kubagwa endoscopic. Kubagwa hakoreshejwe laparoscopic ni ugufungura imiyoboro mito mu nda y'umurwayi. Laparoscope n'ibikoresho byo kubaga bishyirwa muri iyo miyoboro nta ngaruka mbi nyinshi ku murwayi, kandi amakuru y'ishusho mu nda yoherezwa kuri ecran binyuze muri laparoscope, irangira iyobowe na laparoscope. Kubagwa hakoreshejwe laparoscope bishobora kurangiza kubagwa hakoreshejwe laparotomy isanzwe, gukora kubagwa mu nda gukomeye cyangwa kose, gucamo ibice by'imitsi bikekwaho, nibindi, kandi kuva amaraso make, kwangirika guke, inkovu nke nyuma yo kubagwa, ububabare buke, no gukira vuba imikorere y'igifu nyuma yo kubagwa.
3. Kubagwa ku mugaragaro
Kubera ko 5% kugeza kuri 6% bya kanseri y'igifu yo mu mara na 15% kugeza kuri 20% bya kanseri y'igifu yo mu mara bifite imiterere ya lymph node perigastric, cyane cyane adenocarcinoma idahinduka mu bagore bakiri bato, laparotomy gakondo ishobora gusuzumwa, ishobora gukurwaho burundu no gucibwamo lymph node.
incamake
Nubwo kanseri y'igifu ari mbi cyane, ntabwo ari mbi cyane. Igihe cyose ubumenyi ku kwirinda burushijeho kwiyongera, kanseri y'igifu ishobora kumenyekana ku gihe ikavurwa hakiri kare, kandi birashoboka ko yakira neza. Kubwibyo, ni byiza ko abantu bafite ibyago byinshi nyuma y'imyaka 40, batitaye ku kuba bafite ikibazo cyo mu gifu, bagomba gupimwa kanseri y'igifu hakiri kare, cyangwa se hakongerwamo endoscope y'igifu mu isuzuma risanzwe kugira ngo hamenyekane umuntu wafashwe na kanseri hakiri kare kandi harokoke ubuzima n'umuryango wishimye.
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 y'ubuyobozi, agasanduku ko gukurura amabuye, katheteri itwara amazi mu mazurun'ibindi bikoreshwa cyane muri EMR, ESD, ERCP. Ibicuruzwa byacu bifite icyemezo cya CE, kandi inganda zacu zifite icyemezo cya ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo Hagati no mu gice cya Aziya, kandi bituma abakiriya bamenyekana kandi bagashimwa cyane!
Igihe cyo kohereza ubutumwa: Kamena-21-2022