Igisebe cyo mu gifu ahanini kivuga igisebe kidakira kiba mu gifu no mu gice cy’imbere cy’umura. Byitwa kubera ko ikorwa ry’igisebe rifitanye isano no gusya aside yo mu gifu na pepsin, bingana na 99% by’igisebe cyo mu gifu.
Ibisebe byo mu gifu ni indwara idakira ikunze kugaragara ku isi yose. Dukurikije imibare, ibisebe byo mu gifu bikunze kugaragara mu rubyiruko, kandi imyaka yo gutangira kurwara ibisebe byo mu gifu igabanuka, ugereranije, nyuma y’imyaka 10 ugereranyije n’ibisebe byo mu gifu. Indwara y’ibisebe byo mu gifu ikubye inshuro zigera kuri 3 ugereranyije n’ibisebe byo mu gifu. Muri rusange bikekwa ko bimwe mu bisebe byo mu gifu bizarwara kanseri, mu gihe ibisebe byo mu gifu muri rusange bitarwara kanseri.
Ishusho ya 1-1 Ishusho ya kanseri y'urubura yo mu ntangiriro Ishusho ya 1-2 Ishusho ya kanseri yo mu nda igeze mu zabukuru.
1. Ibisebe byinshi byo mu gifu birakira
Ku barwayi bafite igisebe cyo mu gifu, abenshi muri bo bashobora gukira: hafi 10%-15% muri bo nta bimenyetso bagira, mu gihe abarwayi benshi bafite ibimenyetso bisanzwe by’uburwayi, ari byo: kubabara igifu mu gihe cy’umuhindo n’itumba ndetse no mu gihe cy’itumba n’impeshyi.
Ibisebe byo mu gifu bikunze kugaragara nk'ububabare bukabije mu gihe umuntu atarya, mu gihe ibisebe byo mu gifu bikunze kugaragara nk'ububabare nyuma yo kurya. Bamwe mu barwayi bakunze kubura ibimenyetso bisanzwe by'uburwayi, kandi ibimenyetso byabo bya mbere ni ukuva amaraso no gutobora cyane.
Gupima indwara yo mu gifu cyangwa iy’igifu bishobora kwemeza indwara, kandi ubuvuzi buhuriweho n’imiti igabanya aside, imiti irinda indwara mu gifu, hamwe n’imiti irwanya udukoko bishobora gutuma abarwayi benshi bakira.
2.Ibisebe byo mu gifu bigaruka bifatwa nk'ibisebe bitarafata kanseri
Ibisebe byo mu gifu bifite igipimo runaka cya kanseri.Bikunze kugaragara cyane mu bantu bafite imyaka yo hagati n'irenga, abagabo, ibisebe bigaruka bidakira igihe kirekire. Mu by’ukuri, hagomba gukorwa biopsy y’indwara ku bisebe byose byo mu gifu mu buvuzi, cyane cyane ibisebe byavuzwe haruguru. Kuvura ibisebe bishobora gukorwa gusa nyuma yuko kanseri ivanyweho, kugira ngo hirindwe ko indwara yakwitabazwa nabi no gutinda. Byongeye kandi, nyuma yo kuvura ibisebe byo mu gifu, hagomba kongera gusuzumwa kugira ngo harebwe impinduka mu gukira kw’ibisebe no gukosora ingamba zo kuvura.
Ibisebe byo mu nda y'umura ntibikunze kugaragara nk'ibisebe bya kanseri, ariko ibisebe byo mu gifu bigaruka ubu abahanga benshi babifata nk'igisebe kibanziriza kanseri.
Raporo z’ubuvanganzo bw’Abashinwa zigaragaza ko hafi 5% by’ibisebe byo mu gifu bishobora kuba kanseri, kandi uyu mubare uri kwiyongera muri iki gihe. Imibare igaragaza ko kugeza kuri 29.4% bya kanseri zo mu gifu zituruka ku bisebe byo mu gifu.
Ubushakashatsi bwagaragaje ko abarwayi ba kanseri y'igifu babarirwa hagati ya 5% na 10% by'ibisebe byo mu gifu. Muri rusange, abarwayi benshi barwaye kanseri y'igifu barwaye ibisebe byo mu gifu bamaze igihe kirekire barwaye ibisebe byo mu gifu bidakira. Kwangirika kenshi kw'uturemangingo tw'inyuma y'igifu no gusana no kongera kumera neza, metaplasia, na hyperplasia idasanzwe byongera ibyago byo kurwara kanseri uko igihe kigenda gihita.
Kanseri ikunze kugaragara mu gice cy’ibisebe kiyikikije. Uduce tw’ibi bice turangirika iyo igisebe kimaze gukora, kandi gishobora kuba kibi nyuma yo kwangirika kenshi no kongera kumera neza. Mu myaka ya vuba aha, bitewe n’iterambere ry’uburyo bwo gusuzuma no gusuzuma, byagaragaye ko kanseri yo mu gifu isanzwe igaragara mu gice cy’ibisebe ishobora kwangirika no gucikamo ibisebe, kandi ubuso bw’ingingo zayo bushobora guhinduka bitewe n’ibisebe bya kabiri by’ibisebe. Ibi bisebe bya kanseri bishobora gusanwa nk’ibisebe bidakomeye. kandi gusana bishobora kongera gukorwa, kandi uko indwara igenda ishobora kongerwa amezi menshi cyangwa ndetse n’igihe kirekire, bityo ibisebe byo mu gifu bigomba kwitabwaho cyane.
3. Ni ibihe bimenyetso by'impinduka mbi z'igisebe cyo mu gifu?
1. Impinduka mu miterere n'uburyo ububabare buhagaze:
Ububabare bw'igisebe cyo mu gifu bukunze kugaragara nk'ububabare budakomeye mu nda yo hejuru, bugashya cyangwa budakomeye, kandi ububabare butangira bufitanye isano no kurya. Iyo ububabare butakaje uburambe bwavuzwe haruguru, bugahinduka ibitero bidasanzwe, cyangwa bugahinduka ububabare budakomeye, cyangwa imiterere y'ububabare ikaba yarahindutse cyane ugereranije n'ibyahise, ugomba kuba maso ku bimenyetso bya kanseri.
2. Kudakora neza ku miti igabanya ibisebe:
Nubwo ibisebe byo mu gifu bikunze kwibasirwa n’ibisebe kenshi, ibimenyetso muri rusange biragabanuka nyuma yo gufata imiti igabanya ibisebe.
3. Abarwayi bagabanya ibiro buhoro buhoro:
Mu gihe gito, kubura ubushake bwo kurya, isesemi, kuruka, umuriro no kugabanya ibiro buhoro buhoro, kugabanya ibiro, ibyago byo kurwara kanseri ni byinshi cyane.
4. Hematemesi na melena bigaragara:
Kuba umurwayi aherutse kuruka amaraso cyangwa kwituma amara igihe kirekire, ibisubizo by’ibizamini by’amaraso y’umwanda bidashira, hamwe no kubura amaraso menshi bigaragaza ko ibisebe byo mu gifu bishobora guhinduka kanseri.
5. Uduce tw'imitsi tugaragara mu nda:
Abarwayi bafite ibisebe byo mu gifu muri rusange ntibakora uduce two mu nda, ariko iyo babaye kanseri, ibisebe bizarushaho kuba binini kandi bikomere, kandi abarwayi bageze mu zabukuru bashobora kumva uduce two mu nda yo hejuru y'ibumoso. Ubunini bw'igisebe akenshi buba bukomeye, bufite utudomo kandi ntibube bworoshye.
6. Abantu barengeje imyaka 45, bafite amateka yo kurwara ibisebe mu bihe byashize, kandi baherutse kugira ibimenyetso bigaruka, nko kwishimagura, kuribwa mu nda, kandi bigaherekezwa no kugabanya ibiro.
7. Amaraso y'imyanda yanduye:
Iyo ukomeje kugaragaza ubwandu, jya kwa muganga kugira ngo bagupime neza.
8. Ibindi:
Nyuma y'imyaka irenga 5 yo kubagwa igifu, hari ibimenyetso byo kubura ibinure, kugabanya ibiro, kubura amaraso no kuva amaraso mu gifu, ndetse no kubyimba inda yo hejuru mu buryo budasobanutse, kubyimba, kumererwa nabi, umunaniro, kugabanya ibiro, n'ibindi.
4, Impamvu itera ibisebe byo mu gifu
Impamvu y’igisebe cyo mu gifu ntirasobanuka neza, ariko byasobanuwe neza ko kwandura Helicobacter pylori, gufata imiti idakoresha steroide igabanya ubushyuhe n’imiti igabanya ubushyuhe mu mitsi, ndetse no gusohora aside yo mu gifu ikabije, ibintu bigize imiterere y’umubiri, ihindagurika ry’imitekerereze n’amarangamutima, n’imirire idahwitse. Imibonano mpuzabitsina, kurya utuntu duto, kunywa itabi, kunywa inzoga, ibidukikije n’ikirere, indwara zidakira nka emphysema na hepatite B nabyo bifitanye isano no kugaragara kw’igisebe cyo mu gifu.
1. Ubwandu bwa Helicobacter pylori (HP):
Marshall na Warren begukanye igihembo cya Nobel mu buvuzi mu 2005 kubera ko bashoboye guterura Helicobacter pylori mu 1983, kandi bakavuga ko ubwandu bwayo bugira uruhare mu gutera ibisebe byo mu gifu. Ubushakashatsi bwinshi bwagaragaje neza ko ubwandu bwa Helicobacter pylori ari bwo bwa mbere butera ibisebe byo mu gifu.
2. Ibintu bitera imiti n'imirire:
Gukoresha imiti nka aspirine na corticosteroids igihe kirekire bikunze gutera iyi ndwara. Byongeye kandi, kunywa itabi igihe kirekire, kunywa inzoga igihe kirekire, no kunywa icyayi gikomeye na kawa bisa nkaho bifitanye isano.
(1) Imiti itandukanye ya aspirine: Gukoresha aspirine igihe kirekire cyangwa kinini bishobora gutera ububabare mu gifu no kumererwa nabi. Mu bihe bikomeye, gucika amaraso, gucika amaraso, n'ibindi, bishobora kuboneka mu kubyimba kw'imitsi yo mu gifu, isuri no kurema ibisebe.
(2) Imiti isimbura imisemburo:
Imiti nka indomethacin na phenylbutazone ni imiti isimbura imisemburo, yangiza mucosa y'igifu kandi ishobora gutera ibisebe by'igifu bikomeye.
(3) Imiti igabanya ububabare igabanya ububabare:
Nka A.PC, parasetamol, ibinini bigabanya ububabare n'imiti ivura ibicurane nka Ganmaotong.
3. Aside yo mu gifu na pepsin:
Ivuka rya nyuma ry'ibisebe byo mu gifu riterwa no kwiyinjiza aside/pepsin mu gifu, ari na yo mpamvu nyamukuru ituma ibisebe bibaho. Ibyo bita "ibisebe bidafite aside".
4. Ibintu bitera stress mu mutwe:
Guhangayika cyane bishobora gutera ibisebe by'umuhangayiko. Abantu bafite stress idakira, imihangayiko, cyangwa ihindagurika ry'amarangamutima bakunze kurwara ibisebe by'umugongo
igisebe.
5. Ibintu bitera imiterere y'umubiri:
Mu ndwara zimwe na zimwe zidasanzwe ziterwa na genetiki, nka multiple endocrine adenoma type I, systemic mastocytosis, nibindi, igisebe cyo mu gifu ni kimwe mu bimenyetso byacyo.
6. Guhindagurika kw'igifu kudasanzwe:
Bamwe mu barwayi b'ibisebe byo mu gifu bafite ibibazo byo kugenda mu gifu, nko kwiyongera kwa aside yo mu gifu iterwa no gutinda gusohora ibisebe mu gifu no gusubira inyuma kw'igifu mu duodenal-gastric guterwa no kwangirika kw'inkondo y'umura, umutobe wa pancreas na lysolecithin ku mucosa.
7. Ibindi bintu:
Nk'ubwandu bw'agakoko ka herpes simplex ko mu gace runaka gashobora kuba gafitanye isano. Ubwandu bwa cytomegalovirus bushobora kandi kuba mu gutera impyiko cyangwa abarwayi bafite ubudahangarwa bw'umubiri budafite ubushobozi bwo kuvura.
Muri make, ibisebe bishobora kwirindwa neza binyuze mu kunoza imibereho, gufata imiti mu buryo bushyize mu gaciro, kurandura Helicobacter pylori, no gufata gastroscopy nk'ikintu gisanzwe cyo gusuzuma umubiri;
Iyo igisebe kibaye, ni ngombwa kugenzura neza uburyo bwo kuvura no gukora isuzuma rya gastroscopy buri gihe (nubwo igisebe cyaba cyakize), kugira ngo hirindwe ko kanseri yavuka neza.
“Akamaro ko gupima indwara y’igifu muri rusange gashobora gukoreshwa mu gusobanukirwa niba umwobo, igifu n’udukoko tw’umurwayi bifite urwego rutandukanye rw’ububyimbirwe, ibisebe, ibibyimba bya kanseri n’ibindi bikomere. Gastroscopy nayo ni uburyo budasimburwa bwo kugenzura mu buryo butaziguye, kandi ibihugu bimwe na bimwe byakoresheje isuzuma ry’indwara y’igifu. Nk’igipimo cyo gusuzuma ubuzima, ibizamini bigomba gukorwa kabiri mu mwaka, kuko kanseri y’igifu igaragara mu bihugu bimwe na bimwe. Kubwibyo, nyuma yo kumenyekana hakiri kare no kuvurwa ku gihe, ingaruka zo kuvura nazo ziragaragara.”
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 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: Kanama-15-2022