Ibisebe bya peptike bivuga cyane cyane ibisebe bidakira bibaho mu gifu no mu mara.Yiswe izina kubera ko ibisebe bifitanye isano no gusya aside gastric na pepsin, bingana na 99% by ibisebe bya peptike.
Indwara ya peptike nindwara isanzwe ikwirakwizwa kwisi yose.Dukurikije imibare, ibisebe byo mu nda bikunze kugaragara ku rubyiruko rukuze, kandi imyaka yo gutangira ibisebe byo mu gifu nyuma, ugereranije, nyuma yimyaka 10 ugereranije n’ibisebe byo mu nda.Indwara y'ibisebe byo mu nda ikubye inshuro 3 iy'ibisebe byo mu gifu..Muri rusange abantu bemeza ko ibisebe bimwe na bimwe byo mu gifu bizahinduka kanseri, mu gihe ibisebe byo mu nda bitabaho.
Igicapo 1-1 Ishusho ya gastroscopique ya kanseri yambere ya shelegi Igicapo 1-2 Ishusho ya gastroscopique ya kanseri yateye imbere.
1. Ibisebe byinshi bya peptike birashobora gukira
Ku barwayi bafite ibisebe bya peptike, benshi muribo barashobora gukira: abagera kuri 10% -15% muri bo nta bimenyetso bafite, mu gihe abarwayi benshi bafite ibimenyetso by’amavuriro bisanzwe, aribyo: igihe kirekire, injyana itangira igihe cyagenwe mu gihe cyizuba n'itumba n'itumba n'itumba. kubabara mu gifu.
Ibisebe byo mu nda bikunze kugaragara hamwe n'ububabare bwo kwiyiriza ubusa, mu gihe ibisebe byo mu gifu bikunze kugaragara hamwe n'ububabare bwa nyuma.Bamwe mu barwayi bakunze kubura ivuriro risanzwe, kandi ibimenyetso byabo bya mbere ni kuva amaraso no gutobora bikabije.
Indwara ya gastrointestinal angiografiya cyangwa gastroscopi irashobora kwemeza ko isuzumwe, kandi hamwe no kuvura hamwe na suppressants ya acide, imiti igabanya ubukana bwa gastricale, na antibiotique irashobora gutuma abarwayi benshi bakira.
2.Ibisebe byo mu gifu bikunze gufatwa nk'ibisebe bibanziriza
Ibisebe byo mu gifu bifite igipimo runaka cya kanseri.Bibaho cyane cyane hagati yimyaka n'abakuru, abagabo, ibisebe bisubiramo bidashobora gukira igihe kirekire.Mubyukuri, biopsy ya patologiya igomba gukorwa kubisebe byose byo munda mubikorwa byubuvuzi, cyane cyane ibisebe byavuzwe haruguru.Kurwanya ibisebe birashobora gukorwa gusa nyuma yo guhagarikwa bigomba kuvaho, kugirango hirindwe indwara mbi no gutinda kwindwara.Byongeye kandi, nyuma yo kuvura ibisebe byo mu gifu, bigomba kongera gukorwa kugira ngo harebwe impinduka zo gukira ibisebe no guhindura ingamba zo kuvura.
Ibisebe byo mu nda ntibikunze kuba kanseri, ariko ibisebe byo mu gifu bigenda bisubirwamo ubu bifatwa nabahanga benshi ko ari igikomere kibanziriza.
Nk’uko raporo z’ubuvanganzo bw’Abashinwa zibitangaza, hafi 5% by’ibisebe byo mu gifu bishobora kurwara kanseri, kandi ubu umubare uriyongera.Dukurikije imibare, kanseri yo mu gifu igera kuri 29.4% ituruka ku bisebe byo mu gifu.
Ubushakashatsi bwerekanye ko abarwayi ba kanseri yo mu gifu barwaye hafi 5% -10% by’indwara zifata igifu.Muri rusange, abarwayi benshi bafite kanseri yo mu gifu bafite amateka maremare y ibisebe bidakira.Kurimbuka inshuro nyinshi ingirabuzimafatizo ya epiteliyale kumpera y ibisebe na mucosal gusana no kuvugurura, metaplasia, na hyperplasia idasanzwe byongera amahirwe yo guhagarikwa mugihe runaka.
Kanseri ikunze kugaragara muri mucosa ikikije ibisebe.Mucosa yibi bice irashonga iyo ibisebe bikora, kandi birashobora kuba bibi nyuma yo kurimbuka no kuvuka bundi bushya.Mu myaka yashize, kubera iterambere ryuburyo bwo gusuzuma no gusuzuma, byagaragaye ko kanseri yo mu gifu ya mbere igarukira mu mucosa ishobora kwangirika no gukomeretsa, kandi ubuso bwayo bushobora guhinduka n’ibisebe bya peptike ya kabiri.Ibi bisebe bya kanseri birashobora gusanwa nkibisebe byiza.no gusana birashobora gusubirwamo, kandi inzira yindwara irashobora kongerwa amezi menshi cyangwa arenga, bityo ibisebe byo munda bigomba kwitabwaho cyane.
3. Ni ibihe bimenyetso byerekana ihinduka ribi ry'igisebe cyo mu gifu?
1. Impinduka muri kamere no guhorana ububabare:
Ububabare bw'igisebe cyo mu gifu bugaragarira cyane nk'ububabare butagaragara mu nda yo hejuru, bwaka cyangwa butuje, kandi gutangira ububabare bifitanye isano no kurya.Niba ububabare butakaje ibimaze kuvugwa haruguru, bigahinduka ibitero bidasanzwe, cyangwa bigahinduka ububabare budasubirwaho, cyangwa imiterere yububabare yarahindutse cyane ugereranije nigihe cyashize, igomba kuba maso kubimenyesha kanseri.
2. Ntabwo bigira ingaruka kumiti irwanya ibisebe:
Nubwo ibisebe byo mu gifu bikunda kwibasirwa, ibimenyetso muri rusange byoroha nyuma yo gufata imiti igabanya ubukana.
3. Abarwayi bagenda bagabanuka buhoro buhoro:
Mu gihe gito, gutakaza ubushake bwo kurya, isesemi, kuruka, umuriro no kugabanuka ibiro, kugabanuka, ibiro bya kanseri ni byinshi cyane.
4. Hematemesi na melena bigaragara:
Umurwayi aherutse kuruka mu maraso cyangwa kuntebe ya tarry, guhora ari byiza kwipimisha amaraso ya fecal, hamwe no kubura amaraso make byerekana ko ibisebe byo munda bishobora guhinduka kanseri.
5. Misa igaragara munda:
Abarwayi bafite ibisebe byo mu gifu muri rusange ntibakora imbaga yo munda, ariko nibaramuka bibaye kanseri, ibisebe bizaba binini kandi bikomere, kandi abarwayi bateye imbere barashobora kumva misa iri munda yo hejuru yibumoso.Ubwinshi bwa misa akenshi burakomeye, nodular kandi ntabwo bworoshye.
6.Abarengeje imyaka 45, bafite amateka y ibisebe kera, kandi wagaragaje ibimenyetso vuba aha, nka hiccups, gukenyera, kubabara munda, kandi biherekejwe no kugabanya ibiro.
7. Amaraso meza ya fecal:
Subiramo ibyiza, menya neza ko ujya mubitaro kwisuzumisha byuzuye.
8. Abandi:
Nyuma yimyaka irenga 5 nyuma yo kubagwa gastrica, hari ibimenyetso byigifu, guta ibiro, kubura amaraso no kuva amaraso gastrica, hamwe no kudasobanurwa no guta inda hejuru, gukenyera, kutamererwa neza, umunaniro, guta ibiro, nibindi.
4, Igitera ibisebe byo munda
Indwara ya etiologiya y ibisebe bya peptike ntirasobanuka neza, ariko byaragaragaye ko kwandura Helicobacter pylori, gufata imiti itari steroidal anti-inflammatory hamwe nibiyobyabwenge bya antithrombotic, hamwe no gusohora aside gastricike ikabije, ibintu bikomoka ku miterere, ihindagurika ry’imitekerereze n’amarangamutima, na indyo idasanzwe Imibonano mpuzabitsina, kurya ibiryo, kunywa itabi, kunywa, ibidukikije n’imiterere y’ikirere, indwara zidakira nka emphysema na hepatite B nazo zifitanye isano no kwandura ibisebe bya peptike.
1. Indwara ya Helicobacter pylori (HP):
Marshall na Warren begukanye igihembo cyitiriwe Nobel mu buvuzi mu 2005 kubera guhinga neza Helicobacter pylori mu 1983 kandi bavuga ko kwandura kwayo bigira uruhare mu gutera ibisebe bya peptike.Umubare munini wubushakashatsi wagaragaje neza ko kwandura Helicobacter pylori ari yo mpamvu nyamukuru itera ibisebe bya peptike.
2. Ibiyobyabwenge nibiryo:
Gukoresha igihe kirekire ibiyobyabwenge nka aspirine na corticosteroide bikunze gutera iyi ndwara.Byongeye kandi, kunywa itabi igihe kirekire, kunywa igihe kirekire, no kunywa icyayi n'ikawa bikomeye bisa nkaho bifitanye isano.
(1) Imyiteguro itandukanye ya aspirine: Gukoresha igihe kirekire cyangwa kunywa cyane birashobora gutera ububabare bwigifu no kutamererwa neza.Mugihe gikabije, hematemesi, melena, nibindi, urashobora kuboneka mugutwika gastric mucosal inflammation, isuri no kurwara ibisebe.
(2) Imiti isimbuza imisemburo:
Ibiyobyabwenge nka indomethacine na phenylbutazone ni imiti isimbuza imisemburo, yangiza mu buryo butaziguye mucosa yo mu gifu kandi ishobora gutera ibisebe bikabije byo mu gifu.
(3) Kurwanya antipyretike:
Nka A.PC, paracetamol, ibinini bigabanya ububabare n'imiti ikonje nka Ganmaotong.
3. Acide igifu na pepsin:
Isozwa rya nyuma ry ibisebe byitwa peptike biterwa no kwifata kwa acide gastric / pepsin, nicyo kintu gifatika kibaho ibisebe.Ibyo bita "ibisebe bidafite aside".
4. Ibintu bitesha umutwe:
Guhangayika bikabije birashobora gutera ibisebe.Abantu bafite ibibazo bidakira, guhangayika, cyangwa guhindagurika, bakunda kurwara ibisebe
ibisebe.
5. Ibintu bikomokaho:
Muri syndromes zimwe na zimwe zidasanzwe, nka endocrine adenoma nyinshi yo mu bwoko bwa I, mastocytose ya sisitemu, nibindi, ibisebe bya peptike biri mubigaragaza.
6. Imikorere idasanzwe ya gastrici:
Bamwe mu barwayi bafite ibisebe byo mu gifu bafite ikibazo cyo kutagira igifu, nko kwiyongera kwa aside gastricike iterwa no gutinda gusohora gastrica no kugaruka kwa duodenal-gastricique iterwa na bile, umutobe wa pancreatic na lysolecithine yangiza mucosa.
7. Ibindi bintu:
Nkubwandu bwaho bwa herpes simplex virusi I nshobora kuba mfitanye isano.Indwara ya Cytomegalovirus irashobora kandi kugira uruhare mu gutera impyiko cyangwa abarwayi badafite ubudahangarwa.
Mu gusoza, ibisebe birashobora kwirindwa neza mugutezimbere mubuzima, gufata ibiyobyabwenge neza, kurandura Helicobacter pylori, no gufata gastroscopi nkikintu gisanzwe gisuzumwa kumubiri;
Iyo igisebe kimaze kubaho, ni ngombwa kugenzura neza uburyo bwo kuvura no gukora isuzuma rya gastroscopi buri gihe (niyo igisebe cyakize), kugirango birinde neza kanseri.
Ati: "Akamaro ka gastroscopi karashobora gukoreshwa muri rusange kugirango dusobanukirwe niba esofagusi yumurwayi, igifu na duodenum ifite urwego rutandukanye rwo gutwika, ibisebe, ibibyimba polyps nibindi bikomere.Gastroscopy nayo ni uburyo bwo kugenzura bidasubirwaho, kandi ibihugu bimwe na bimwe byakoresheje ibizamini bya gastroscopique.Nkikintu cyo gusuzuma ubuzima, ibizamini bigomba gukorwa kabiri mu mwaka, kubera ko indwara ya kanseri yo mu gifu hakiri kare mu bihugu bimwe na bimwe iba myinshi.Kubera iyo mpamvu, nyuma yo gutahurwa hakiri kare no kuvurwa ku gihe, ingaruka zo kuvura nazo ziragaragara. ”
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 muriEMR, 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: Kanama-15-2022