Ubu bwoko bwa kanseri ya gastric buragoye kumenya, witonde rero mugihe cya endoscopi!

Mu bumenyi buzwi kuri kanseri ya gastric kare, hari abantu bafite indwara zidasanzwe zisaba kwitabwaho bidasanzwe no kwiga. Umwe muribo ni kanseri ya HP-mbi. Igitekerezo cya "Ibibyimba bitandujwe" ubu birakunzwe cyane. Hazabaho ibitekerezo bitandukanye ku kibazo cyizina. Ibitekerezo birimo ibibiri bishingiye ahanini kubirimo bijyanye n'ikinyamakuru "igifu n'amara", kandi izina rikoresha kandi kanseri ya HP-mbi ".

Ubu bwoko bwibikomere bufite ibiranga, ingorane zo kumenyekanisha, ubumenyi bugoye, hamwe na mesda-g inzira yoroheje ntabwo ikoreshwa. Kwiga ubu bumenyi bisaba guhangana ningorane.

1. Ubumenyi bwibanze bwa kanseri ya HP-mbi

Amateka

Kera, yizeraga ko nyirabayazana umwe mu gihe cyabayeho no guteza imbere kanseri y'imikorere ya HP, bityo icyitegererezo cya kanseri ya CP, bityo icyitegererezo cya kanseri ya kera ni HP - Atrophy - Ikibyimba cy'inda - Ikibyimba gito - Kansera. Icyitegererezo cya kera cyagaragaye cyane, cyemewe kandi cyizeraga. Ibibyimba bitera imbere hashingiwe kuri atrophy no mu bikorwa bya HP, kanseri rero ikura ahanini mu macakubiri y'amavuko ndetse no mu macakubiri asanzwe atavuga.

Nyuma, abaganga bamwe bavumbuye ko kanseri ya gastric ishobora kubaho nubwo yanduye HP. Nubwo igipimo rusange ari gito cyane, birashoboka rwose. Ubu bwoko bwa kanseri ya gastric yitwa kanseri ya HP-mbi.

Hamwe no gusobanukirwa buhoro buhoro nubu bwimba bwindwara, ubujyakuzimu bwimbitse kandi incamake yatangiye, kandi amazina ahora ahinduka. Muri 2012 habaye ingingo ya 2012 yitwa "Kanseri ya Gastric nyuma yo kuzamura" 2014 yitwa "kanseri ya HP-mbi", n'ingingo yo muri 2020 yitwa "Ibibyimba by'ibitabo ntibinduye HP". Impinduka zifatika zigaragaza uburyo bworoshye kandi bwuzuye.

Ubwoko bwa Glande no gukura

Hariho ubwoko bubiri bwingenzi bwa glande yinkunga na glande ya pyloric mu gifu:

Glande yinkunga (glande ogisizo) ikwirakwizwa muri fupus, umubiri, impande, nibindi. Igifu. Bafite umurongo umwe wa tubuland imwe. Bagizwe ningirabuzimafatizo, selile nini, selile za parikal hamwe na selile endocrine, buri kimwe cyacyo gikora imirimo yabo. Muri bo, selile nini yangiza PGI na Muc6 yari nziza, kandi selile zibangamira aside hydrochloric na acide yimbere;

Glande ya Pyloric iherereye mukarere ka gastric antrum kandi igizwe na selile za Mucus hamwe na selile. Ingirabuzimafatizo za mucus ni muc6 nziza, kandi selile endocrine irimo g, Dricals Dricals na Reropros. G selile ibanga gastrin, D selile ishyanga soma somatostatin, na enterochromaffin selile ibanga 5-HT.

Ingirabuzimafatizo zisanzwe hamwe na selile y'ibibyimba ibangamira ubwoko butandukanye bwa poroteyine za Mucus, zigabanijwemo "gastrical" na "intara" ya mucus. Imvugo ya gastric kandi yo mu mara yitwa phenotype ntabwo ari ahantu runaka conatomical yinda nimbeho.

Hano haribintu bine selile yibibyimba bibi: gastric rwose, gastric-yiganjemo ivanze, amara yiganze, kandi yiganze, kandi amara rwose. Ibibyimba bibaho hashingiwe kuri metaplasisa yinyama ni gastrointestinal ivanze ibibyimba bya phenotype. Kureka Kureka ahanini byerekana ubwoko bwinyamanswa (muc2 +), no guhagarika kanseri ya diffuse cyane byerekana ahanini ubwoko bwa gastric (muc5ac +, muc6 +).

Kugena HP nabi bisaba guhuza uburyo bwihariye bwo kumenya icyemezo cyuzuye. HP-kanseri mbi ya hp hamwe na post-sterisari ya kanseri ya gastric nibitekerezo bibiri bitandukanye. Kumakuru kuri X-ray kwigaragaza kwa kanseri ya HP-mbi, nyamuneka reba igice kijyanye n'ikinyamakuru "igifu n'ingenga".

2. Endoscopic kwigaragaza kwa kanseri ya HP-mbi

Isuzuma rya Endoscopic nibyibandwaho na kanseri ya HP-mbi. Harimo ahanini na kanseri ya Glande ya Gorveje, kanseri ya Gland ya Gland.

1) Kanseri ya Gorver ya Gorveje

-Wihite wazamuye ibinure