Kanseri yo mu gifu ni kimwe mu bibyimba bibi byangiza ubuzima bw'abantu.Buri mwaka ku isi habarurwa miliyoni 1.09, kandi umubare w'abantu bashya mu gihugu cyanjye ugera kuri 410.000.Ni ukuvuga ko buri munsi abantu bagera ku 1.300 basuzumwa kanseri yo mu gifu.
Ikigereranyo cyo kubaho kw'abarwayi ba kanseri yo mu gifu gifitanye isano rya bugufi n'urwego rwo gutera imbere kwa kanseri yo mu nda.Igipimo cyo gukiza kanseri yo munda kare irashobora kugera kuri 90%, cyangwa igakira rwose.Igipimo cyo gukiza kanseri yo mu cyiciro cyo hagati kiri hagati ya 60% na 70%, mu gihe igipimo cyo gukiza kanseri yo mu gifu cyateye imbere ari 30% gusa.hirya no hino, bityo kanseri yo munda kare yabonetse.Kandi kuvura hakiri kare ni urufunguzo rwo kugabanya impfu za kanseri yo mu gifu.Ku bw'amahirwe, hamwe n'iterambere rya tekinoloji ya endoskopi mu myaka yashize, mu gihugu cyanjye hakozwe isuzuma rya kanseri yo mu nda hakiri kare, ibyo bikaba byarazamuye cyane igipimo cyo kumenya kanseri yo mu nda hakiri kare;
None, kanseri yo mu nda ni iki?Nigute ushobora kumenya kanseri yo munda hakiri kare?Nigute wabifata?
1 Igitekerezo cya kanseri yo munda kare
Mubuvuzi, kanseri yo munda hakiri kare yerekeza kuri kanseri yo munda ifite ibikomere hakiri kare, ibikomere bike ugereranije kandi nta bimenyetso bigaragara.Kanseri yo mu gifu hakiri kare isuzumwa na gastroscopic biopsy patology.Pathologique, kanseri yo mu gifu hakiri kare yerekeza ku ngirabuzimafatizo za kanseri zigarukira kuri mucosa na subucosa, kandi uko ikibyimba cyaba kingana kose kandi niba hari lymph node metastasis, ni kanseri yo mu gifu.Mu myaka yashize, dysplasia ikabije hamwe na neoplasia yo mu rwego rwo hejuru nayo ishyirwa mu rwego rwa kanseri yo mu gifu.
Ukurikije ubunini bw'ikibyimba, kanseri yo mu gifu hakiri kare igabanijwemo: kanseri yo mu gifu: diameter ya kanseri yibanda kuri mm 6-10.Kanseri ntoya yo mu gifu: Diameter yibibyimba yibibyimba biri munsi cyangwa bingana na mm 5.Kanseri ya punctate: Biopsy yo mu gifu ni kanseri, ariko nta tissue ya kanseri ishobora kuboneka murukurikirane rw'ibigereranyo byo kubaga.
Endoskopi, kanseri yo mu gifu hakiri kare igabanyijemo: ubwoko (ubwoko bwa polypoide): abafite ibibyimba biva kuri mm 5 cyangwa birenga.Ubwoko bwa II (ubwoko bwikirenga): Ubwinshi bwikibyimba burazamuka cyangwa bwihebye muri mm 5.Ubwoko bwa III (ubwoko bwibisebe): Ubujyakuzimu bwo kwiheba kwa kanseri irenga mm 5, ariko ntiburenza subucosa.
Ni ibihe bimenyetso bya kanseri yo mu gifu hakiri kare
Kanseri nyinshi zo mu gifu hakiri kare nta bimenyetso byihariye bifite, ni ukuvuga ko ibimenyetso bya mbere bya kanseri yo mu nda nta bimenyetso.umuyoboro
Ibyo byitwa ibimenyetso byambere bya kanseri yigifu ikwirakwira kuri interineti mubyukuri ntabwo ari ibimenyetso byambere.Yaba umuganga cyangwa umuntu wicyubahiro, biragoye gucira urubanza ibimenyetso nibimenyetso.Abantu bamwe bashobora kugira ibimenyetso bimwe bidasanzwe, cyane cyane kutarya, nko kubabara munda, kubyimba, guhaga hakiri kare, kubura ubushake bwo kurya, kongera aside aside, gutwika umutima, gukenyera, hiccups, nibindi. Ibi bimenyetso birasa cyane nibibazo byigifu bisanzwe, nuko rero akenshi ntibikurura abantu.Kubwibyo, kubantu barengeje imyaka 40, niba bafite ibimenyetso bigaragara byo kutarya, bagomba kujya mubitaro kwivuza mugihe, bagakora gastroscopi nibiba ngombwa, kugirango batabura igihe cyiza cyo kumenya kanseri yigifu.
3 Nigute ushobora kumenya kanseri yo munda hakiri kare
Mu myaka yashize, impuguke mu by'ubuvuzi mu gihugu cyacu, zifatanije n’imiterere nyayo y’igihugu cyacu, zateguye “Impuguke z’uburyo bwo gusuzuma kanseri yo mu nda ya mbere mu Bushinwa”.
Bizagira uruhare runini mu kuzamura igipimo cyo gusuzuma no gukiza kanseri yo mu gifu hakiri kare.
Kwipimisha kanseri yo mu gifu hakiri kare byibanda cyane cyane ku barwayi bafite ibyago byinshi, nk'abarwayi bafite indwara ya Helicobacter pylori, abarwayi bafite amateka yo mu muryango wa kanseri yo mu gifu, abarwayi barengeje imyaka 35, abanywa itabi igihe kirekire, kandi bakunda ibiryo byanduye.
Uburyo bwibanze bwo gusuzuma ni ukumenya umubare munini w’abaturage bafite kanseri yo mu gifu binyuze mu isuzuma rya serologiya, ni ukuvuga binyuze mu mikorere ya gastrica no gutahura antibody ya Helicobacter pylori.Noneho, amatsinda afite ibyago byinshi biboneka mugikorwa cyambere cyo gusuzuma asuzumwa neza na gastroscope, kandi kwitegereza ibikomere birashobora gukorwa cyane hakoreshejwe uburyo bwo gukuza, kwanduza, biopsy, nibindi, kugirango hamenyekane niba ibikomere ari kanseri. kandi niba zishobora kuvurwa munsi ya microscope.
Birumvikana ko kandi aribwo buryo bwiza bwo kumenya kanseri yo mu gifu hakiri kare endoskopi ya gastrointestinal endoscopi mubintu bisanzwe byo kwisuzumisha kumubiri kubantu bazima binyuze mubizamini byumubiri.
4 Ikizamini cyimikorere ya gastricike hamwe na sisitemu yo gusuzuma kanseri yo mu gifu
Ikizamini cyimikorere ya gastrici ni ukumenya igipimo cya pepsinogen 1 (PGI), pepsinogen (PGl1, na protease) muri serumu.
. uburyo bwa kanseri yo mu gifu, binyuze muri sisitemu yo gusuzuma amanota ya kanseri yo mu gifu, irashobora gusuzuma amatsinda yo hagati ya kanseri yo mu nda.
Endoscopi no gukurikirana bizakorwa mumatsinda yo hagati kandi afite ibyago byinshi.Amatsinda afite ibyago byinshi azasuzumwa byibuze rimwe mu mwaka, naho amatsinda yo hagati ashobora kugenzurwa byibuze rimwe mu myaka 2.Ubuvumbuzi nyabwo ni kanseri hakiri kare, ishobora kuvurwa no kubaga endoskopi.Ibi ntibishobora gusa kunoza igipimo cya kanseri yo munda hakiri kare, ariko kandi bigabanya endoskopi idakenewe mumatsinda afite ibyago bike.
5 Gastroscopy ni iki
Tubivuze mu buryo bworoshe, gastroscopi nugukora isesengura rya morfologiya ya endoskopique yibikomere bikekwa biboneka mugihe kimwe na gastroscopi isanzwe, harimo urumuri rusanzwe rwera endoskopi, chromoendoscopi, gukuza endoskopi, endoskopi ya conocal nubundi buryo.Indwara yiyemeje kuba nziza cyangwa ikekwa kubi, hanyuma hakorwa biopsy yumuntu ukekwaho kuba yaranduye, hanyuma isuzumabumenyi rya nyuma rikorwa na patologiya.Kugirango umenye niba hari ibikomere bya kanseri, urugero rwa kanseri yinjira mu mpande, ubujyakuzimu bwinjira mu gihagararo, urugero rwo gutandukana, ndetse niba hari ibimenyetso byerekana imiti ya microscopique.
Ugereranije na gastroscopie isanzwe, isuzuma rya gastroscopique rigomba gukorwa mubihe bitababaje, bigatuma abarwayi baruhuka rwose mugihe gito cyo gusinzira kandi bagakora gastroscopi neza.Gastroscopy ifite ibisabwa byinshi kubakozi.Igomba guhugurwa mugutahura kanseri hakiri kare, kandi endoscopiste inararibonye irashobora gukora ibizamini birambuye, kugirango ibashe kumenya neza ibikomere no gukora igenzura ryumvikana.
Gastroscopy ifite ibisabwa cyane kubikoresho, cyane cyane hamwe na tekinoroji yo kongera amashusho nka chromoendoscopy / chromoendoscopy ya elegitoroniki cyangwa gukuza endoskopi.Ultrasound gastroscopy nayo irakenewe nibiba ngombwa.
6 Umuti wa kanseri yo munda kare
1. Endoscopic resection
Iyo kanseri yo mu gifu imaze gupimwa, endoscopic resection niyo nzira yambere.Ugereranije no kubaga gakondo, kwanga endoskopique bifite ibyiza byo guhahamuka gake, ingorane nke, gukira vuba, hamwe nigiciro gito, kandi efficacy yabyo ni imwe.Kubwibyo, endoscopic resection irasabwa mugihugu ndetse no mumahanga nkubuvuzi bwatoranijwe bwa kanseri yo munda kare.
Kugeza ubu, imiti ikoreshwa cyane ya endoskopique irimo cyane cyane endoskopique mucosal resection (EMR) hamwe na endoscopic subucosal dissection (ESD).Ikoranabuhanga rishya ryatejwe imbere, ESD umuyoboro umwe wa endoskopi, irashobora kugera ku nshuro imwe ihuza ibisebe byimbitse mu mitsi, mu gihe kandi itanga uburyo nyabwo bwo gutangiza indwara kugira ngo bitagaruka.
Twabibutsa ko kwanga endoskopique ari kubaga byibasiwe cyane, ariko haracyariho umubare munini wibibazo biterwa cyane cyane no kuva amaraso, gutobora, Stenosis, kubabara munda, kwandura, nibindi. gufatanya cyane na muganga kugirango ukire vuba bishoboka.
Kubaga Laparoscopique
Kubaga Laparoscopique birashobora gufatwa kubarwayi barwaye kanseri yo munda kare badashobora kwandura endoskopi.Kubaga Laparoscopique nugukingura imiyoboro mito munda yumurwayi.Laparoskopi n'ibikoresho byo gukora bishyirwa muri iyo miyoboro bitagira ingaruka mbi ku murwayi, kandi amakuru y’ishusho mu cyuho cyo mu nda yoherezwa kuri ecran yerekana binyuze muri laparoskopi, ikarangira iyobowe na laparoscope.kubaga kanseri yo mu gifu.Kubaga Laparoscopique birashobora kurangiza imikorere ya laparotomie gakondo, gukora gastrectomie nini cyangwa yuzuye, gutandukanya imisemburo ya lymph ikekwa, nibindi, kandi ifite amaraso make, kwangirika gake, inkovu nkeya nyuma yo kubagwa, kubabara gake, no gukira vuba imikorere ya gastrointestinal nyuma yo kubagwa.
3. Kubaga kumugaragaro
Kubera ko 5% kugeza kuri 6% bya kanseri yo mu gifu na 15% kugeza kuri 20% bya kanseri yo mu gifu ya subucosal bafite perigastric lymph node metastasis, cyane cyane adenocarcinoma idatandukanijwe ku bagore bakiri bato, hashobora gutekerezwa laparotomie gakondo, ishobora gukurwaho burundu no gutandukana kwa Lymph node.
incamake
Nubwo kanseri yo mu gifu yangiza cyane, ntabwo iteye ubwoba.Igihe cyose imyumvire yo gukumira itezimbere, kanseri yo mu gifu irashobora kumenyekana mugihe kandi ikavurwa hakiri kare, kandi birashoboka kugera kumuti wuzuye.Niyo mpamvu, birasabwa ko amatsinda afite ibyago byinshi nyuma yimyaka 40, atitaye ko afite ikibazo cyigifu, agomba kwisuzumisha hakiri kare kanseri yigifu, cyangwa endoskopi gastrointestinal igomba kongerwaho kwisuzumisha bisanzwe kugirango hamenyekane ikibazo hakiri kare kanseri kandi ukize ubuzima n'umuryango wishimye.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nkabiopsy imbaraga, hemoclip,umutego, inshinge, spray catheter, cytology, kuyobora, igitebo cyo kugarura amabuye, izuru rya biliary drainage catheternibindi bikoreshwa cyane muri EMR, ESD, ERCP.Ibicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO.Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Jun-21-2022