Gutandukana kwa endoskopi yibibyimba byo hambere ntibishobora kugabanya gusa urukurikirane rutandukanye uburyo bwo kubaga gakondo bushobora gutera, ariko kandi bigabanya neza igihe cyo gukira nyuma yibikorwa.Vuba aha, Ishami rya Gastroenterology mu bitaro bya mbere by’abaturage bo mu Mujyi wa Zhenjiang ryakoze ku buryo bwa mbere udushya twitwa endoscopic submucosal (ESD), bivura bwana Zhou ufite imyaka 70 (izina ry'irihimbano) ikibyimba mu muhogo wo hepfo.Gushyira mubikorwa neza kubaga byaguye kwagura ubuvuzi bwa ESD.
Mu ntangiriro za Werurwe uyu mwaka, BwanaZhou yavumbuye neoplasia yo mu rwego rwo hejuru ya pharynx mu gihe cyo gusuzuma gastroscopie mu bitaro bya mbere by’umujyi, iyi ikaba ari indwara y’indwara zanduye. Igihe BwanaZhou yabonaga iri suzuma, yari yaravanze ibyiyumvo kuko bwari ubwa kabiri mu myaka hafi ibiri avumbuye indwara iterwa na kanseri binyuze muri gastroscopie. Mu 2022, mu bitaro bimwe byo muri uyu mujyi, Yao Jun, umuyobozi w'ishami rya Gastroenterology, yavumbuye kanseri y'amara ya sigmoid, ibisebe byo mu gifu, hamwe na hyperplasia idasanzwe ya mucosa esophageal mucosa.Ku gihe cyo kuvura ESD ku gihe, gukomeza kwangirika kw'ibikomere byatinze.
Ikigereranyo cy’ibibazo bya hypopharyngeal biboneka muri iri suzuma ntabwo ari hejuru mu mavuriro. Ukurikije uburyo bwa gakondo bwo kuvura, kubaga nuburyo bwibanze, ariko ubu buryo bwo kubaga bugira ingaruka zikomeye kumira, kumvikanisha amajwi no kuryoherwa kwabarwayi. Urebye ibyo abageze mu zabukuru bahura n'ibimenyetso bya ESD nk'ikibyimba cya mucosal kandi nta lymph node metastasis, ukurikije uko umurwayi abibona, Yao Jun yatekereje niba kuvura ESD byibasiye imiti ya mucosa bishobora gukoreshwa.
ESD ni iki
ESD ni kubaga ibibyimba byakozwe hakoreshejwegastroscopy or colonoscopyhamwe nibikoresho byihariye byo kubaga. Mbere, byakoreshwaga cyane cyane mu kuvanaho ibibyimba mu gice cya mucosal na subucosal layer yo mu gifu, amara, esofagusi, n'utundi turere, ndetse na polyps nini nini muri utwo turere. Bitewe nuko ibikoresho byo kubagaandika lumen naturel yumubiri wumuntu kubagaibikorwa,abarwayi muri rusange bakira vuba nyuma yo kubagwa.
ESD intambwe zo kubaga ：
Ariko,umwanya ukoreramo kubaga pharyngeal kubaga ni bito, hamwe igice kinini cyo hejuru nigice gito cyo hepfo, gisa na feri ya feri. Hariho kandi tissue zingenzi nka cricoid cartilage irizengurutse.Iyo ibikorwa bimaze gukorwa kuri milimetero yegereye,bizatera ibibazo bitandukanye bikomeye nka laryngeal edema.Ikindi kandi, nta bitabo byinshi byanditse kuri ESD yo mu bwoko bwa ESD haba mu gihugu ndetse no ku rwego mpuzamahanga, bivuze ko uburambe bwo kubaga bwagezweho kuboneka kwa Yao Jun nabwo ari buke.Nyamara, mu myaka yashize, ishami rya gastroenterology ry’ibitaro bya mbere mu mujyi. yakusanyije ubunararibonye butari buke bwo kubaga hamwe na ESD ya buri mwaka yo kubaga inshuro 700-800, ibyo bikaba byarafashije Yao Jun gukusanya uburambe bwo kubaga. Amaze kugisha inama mubyiciro byinshi nka otolaryngologiya, kubaga umutwe nijosi, no kubaga rusange, yarushijeho kwigirira icyizere mugukoresha ESD mubice bishya.Umunsi umwe nyuma yo kubagwa, BwanaZhou yashoboye kurya nta ngorane nko gutontoma. Ubu amaze gukira asohoka mu bitaro.
(Ubushinwa Jiangsu Net umunyamakuru Yang Ling, Tang Yuezhi, Zhu Yan)
Igihe cyo kohereza: Gicurasi-08-2024