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Ikibyimba kinini kibuza amara surgery Kubaga Endoscopic EMR kubaga "akaga gakomeye kihishe"

Abantu benshi mubuzima batekereza ko ububobere buremereye cyane iyo babonye intebe yabo idakora neza …… Mubyukuri, intebe mbi ntabwo iterwa gusa nubushuhe bukabije, ariko nanone birashobokakubera kwibumbira mu mara mugihe kirekire!

Igihe kirekire intebe yahinduwe nabi, ubitekereza's kubera ubushuhe bukabije

Umuburyo buteganijwe kurwara polyps nyinshi ya colon

Bwana Jiang (izina ry'irihimbano), ufite imyaka 58 uyu mwaka, yababajwe n '"intebe idakozwe" kuva kera, kandi ibimenyetso by’intebe idakozwe bimaze imyaka 6. Bwana Jiang yahoraga atekereza ko ari ukubera ububobere bwe bukabije, bityo afata imiti myinshi yo mu Bushinwa kugira ngo ayigenzure, ariko ibimenyetso bye ntibyigeze bihinduka. Ntiyigeze abona ibintu bidasanzwe byagaragaye mu isuzuma ry’ibitaro byaho kandi ntiyigeze ahinduka nyuma yo kuvurwa imiti. Vuba aha, si gusaibimenyetso byarushijeho kwiyongera, ariko kandiububabare bwo munda burigihe bwabaye. Uyu muryango wumvise utuje kandi uherekeza Bwana Jiang mu bitaro bya Xi'an Weitai Digestive Disease Disease.

Bwana Jiang yavuwe na Chi Shengqun, umuyobozi w’ishami ry’indwara z’ibitaro bya Xi'an Weitai Digestive Disease Disease. Chi Shengqun amaze kumva ibisobanuro bya Bwana Xu, yasabye ko yakwirwacolonoscopikugirango turusheho gusuzuma impamvu.

Mu kigo cya Digestive Endoscopy, Umuyobozi wungirije Xu Mingliang yayoboyecolonoscopikuri Bwana Jiang. Munsi ya microscope, yasanze9 binini na bito Yamada ubwoko bwa 2, andika 3 hanyuma wandike 4 polyps zo munda zigaragara muri colon na rectum. Uwitekantoya yari hafi 0.5 * 0.7cm, nabinini binini bifite hafi 2.8 * 3.6cm, hafi yo guhagarika amara.Birashoboka ko iki kibyimba kinini gihinduka kanseri ni kinini.

Endoscopic Mucosal Resection (EMR)

Muganga akora endoscopic mucosal resection (EMR)gukuraho vubaamara menshi

Yumvise ko Bwana Xu afite polyps nyinshi zikura mu mara, hamwe na polyp nini irenga 2.5cm, umuryango we urahangayitse cyane. Umuyobozi Xu Mingliang yihanganiye ihumure abwira umuryango wa Bwana Xu ati: "Ntugire ubwoba, ubu bwoko bwa polypbirashobora gukemurwamunsicolonoscopynaakira vuba. "Igihe umuryango wa Bwana Jiang wahumekaga ikimenyetso cyo gutabarwa bumvise ayo makuru maze bemera kubagwa EMR.

Nyuma yo kumenya uburyo bwo kuvura, Umuyobozi Xu Mingliang yashyize yitonze, aterwa inshinge, kandi akoresha umutego wo gukwirakwiza amashanyarazi. Intambwe ku yindi, polyps 9 zo mu nda zavanyweho burundu, kandi hakoreshwa uduce twa tissue kugirango dushyire igikomere. Kubaga byagenze neza. Nyuma yo kubagwa, ibice 4 nyuma yo kubaga polyps yoherejwe kugirango bisuzumwe indwara, aribyoyerekanye adenoma mbinibyobikunda guhinduka nabi. Kubwamahirwe,kwangwa ku gihebyakozwe,gukumira neza indwara ya kanseri y'amara.

Amashusho ya endoskopi
Amashusho ya endoskopi
Polipi zishimishije

"Natekerezaga ko ngiye kubagwa bikomeye, ariko sinari niteze ko bizakemukacolonoscopy! "Bwana Jiang yavuze yishimye. Agaruka mu cyumba cy’indwara, Bwana Jiangyongeye kurya indyo ye kumunsi wa kabirikandi yariyasohotse mu bitaro ku ya gatandatu day. Mbere yo gusezererwa, Umuyobozi Xu Mingliang yategetse Bwana Jianggukora ikizamini cyo gukurikirana mu mezi atandatu.

Gukira nyuma yo kubagwa kwa EMR

Colonoscopyni igipimo cya zahabu mugupima indwara zo munda

Umuyobozi Xu Mingliang yavuze kocolonoscopyntabwo bibabaza nkibihuha cyangwa kubisaba kumurongo. Hamwe niterambere ryikoranabuhanga, endoskopi ifiteguhinduka cyane kandi byoroshye, n'igihe gikenewecolonoscopyni na ngufi cyane,mubisanzwe hafi iminota 15-20.Birasabwa ko abantu bosekunyura acolonoscopy nyuma yimyaka 40.

Abantu bafite ibyago byinshi badafite amateka yumuryango wa polyps yo munda na bene wabo bo mu rwego rwa mbere barwaye kanseribizanyuracolonoscopy buri myaka 5 nyuma yaho.Abantuhamwe na polyps yo munda n'amateka yumuryangobakeneyeguteza imbere igihe cyo gusuzuma mbere yimyaka 10nakunyuramocolonoscopyafite imyaka 25 kugeza 35. Niba amarapolyps iboneka nyumacolonoscopy, inshuro y'ibizamini igombakuba kenshi. Kuriimyaka itatu iri imbere, colonoscopyigomba kubabikorwa buri mwakakugirango umenye inshuro yikizamini gikurikira ukurikije imikurire ya polyp.


Igihe cyo kohereza: Gicurasi-09-2024