EMR ni iki? Reka tuyishushanye!

Abarwayi benshi bo mu mashami y’ubuvuzi bw’indwara z’igifu cyangwa ibigo bishinzwe gupima indwara z’igifu (endoscope) barasabwa gucibwamo uturemangingo tw’igifu (endoscopic mucosal resept).EMRIkunze gukoreshwa, ariko uzi ibimenyetso byayo, aho igarukira, n'uburyo bwo kwirinda nyuma yo kubagwa?

Iyi nkuru izagufasha gufata icyemezo cy’ingenzi kandi gishingiye ku makuru y’ingenzi ya EMR.

None se, EMR ni iki? Reka tubanze tuyishushanye turebe…

❋Amabwiriza yemewe avuga iki ku bimenyetso bya EMR? Dukurikije amabwiriza yo kuvura kanseri y'igifu y'Abayapani, ubwumvikane bw'inzobere z'Abashinwa, hamwe n'amabwiriza y'Umuryango w'Uburayi w'Ubuvuzi bw'Indwara zo mu Gifu (ESGE), ibimenyetso bya EMR bitangwa ubu birimo ibi bikurikira:

Ⅰ. Polyps cyangwa adenomas zitari nziza

● Ibisebe ≤ mm 20 bifite impande zisobanutse neza

● Nta bimenyetso bigaragara byerekana ko hari igice cy'umusemburo kiri mu mazi

● Ikwirakwira ry'ikibyimba mu mpande (LST-G)

Ⅱ. Indwara yo mu nda y'umugongo (HGIN) ifite ubushobozi bwo kuvura indwara z'imbere mu ruhu (focal high-grade intraepithelial neoplasia)

● Ifite amacandwe make, nta gisebe giterwa n'ibisebe

● Ibisebe bito kurusha mm 10

● Byatandukanijwe neza

Ⅲ. Kurwara indwara yo mu bwoko bwa dysplasia cyangwa ibisebe byo mu rwego rwo hasi bifite indwara igaragara neza kandi bigakura buhoro

◆ Abarwayi bafatwa nk'abakwiriye gucibwa nyuma yo gukurikiranwa

⚠Icyitonderwa: Nubwo amabwiriza avuga ko EMR yemewe ku ndwara za kanseri zo mu cyiciro cya mbere niba igisebe ari gito, kidakomeretse, kandi kikaba giherereye mu mucosa, mu buvuzi nyabwo, ESD (endoscopic submucosal dissection) muri rusange ni yo ikundwa kugira ngo habeho gucibwa burundu, umutekano, no gusuzuma neza indwara.

ESD itanga ibyiza byinshi by'ingenzi:

Gukuraho igisebe mu buryo bwa "En bloc resection" birashoboka

Yorohereza isuzuma ry'ibiciro, ikagabanya ibyago byo kongera kugaragara

Bikwiriye ku bikomere binini cyangwa bigoye cyane

Kubwibyo, EMR ubu ikoreshwa cyane cyane mu buvuzi kuri:

1. Ibisebe bidafite ingaruka nziza kandi nta ngaruka mbi ku ndwara ya kanseri

2. Polyps nto, zoroshye kuvurwa cyangwa LST zo mu maraso

⚠Amabwiriza yo kwirinda nyuma yo kubagwa

1. Gufata neza imirire: Mu masaha 24 ya mbere nyuma yo kubagwa, irinde kurya cyangwa kunywa ibinyobwa bisukuye, hanyuma uhindukire buhoro buhoro ufate indyo yoroshye. Irinde ibiryo birimo ibirungo, bigabanya ubukana, kandi bikarishye.

2. Imiti ikoreshwa: Ibinini bya pompe ya proton (PPI) bikunze gukoreshwa nyuma yo kubagwa ku bisebe byo mu gifu kugira ngo bikomeze gukira no gukumira kuva amaraso.

3. Gukurikirana ibibazo: Witondere ibimenyetso byo kuva amaraso cyangwa gutobora nyuma yo kubagwa, nka melena, gucika amaraso, no kubabara mu nda. Shaka abaganga vuba niba hari ikibazo kibayeho.

4. Gahunda yo gusuzuma: Tegura gahunda yo gukurikirana no gusubiramo endoscopies hashingiwe ku bipimo by'indwara.

Bityo, EMR ni uburyo bw'ingenzi mu gukata ibisebe byo mu gifu. Ariko, ni ngombwa gusobanukirwa neza ibimenyetso byayo no kwirinda kuyikoresha cyane cyangwa kuyikoresha nabi. Ku baganga, ibi bisaba ubushishozi n'ubuhanga; ku barwayi, bisaba icyizere no gusobanukirwa.

Reka turebe icyo twatanga kuri EMR.

Dore ibikoresho byacu bikoreshwa mu gupima imikorere ya EMR birimoUdupira two mu maraso,Umutego wo kubaga polypectomy,Urushinge rwo guterwamo inshingenaIngufu zo mu bwonko (Biopsy Forceps).