Kubantu bakunda ibiryo, kurya ibiryo biryoshye mubuntu rwose birashimishije. Ariko abantu bamwe babuze umunezero nkuyu, ndetse biragoye kurya mubisanzwe ……
Vuba aha, BwanaJiang wo muri Jiangxi yaje mu bitaro bya Shanghai Tongji kwivuza. Mu myaka itatu ishize,yasanze igihe cyose yariye vuba vuba, umuhogo uza kuniga. Iki kibazo nindetse biragaragara cyane iyo urya ibiryo bikomeye. Nyuma,ibyo arya bizanaruka bitaziguye.
Iki kimenyetso cyarushijeho gukomera nyuma.Kugeza nyuma, yashoboraga kumira ingano imwe y'umuceri icyarimwe, kandi rimwe na rimwe hari ububabare bukabije mu gituza. Bwana Jiang'suburemere nabwo bwamanutse buva ku kilo 75 bugera ku kilo 60.
Mu rwego rwo gukemura ikibazo cy "ikibazo cyo kurya", Bwana Jiang yashakishije ubuvuzi ahantu hose. Nyuma yo kwisuzumisha mu bitaro, byagaragaye koibiryo Bwana Jiang yariye ntabwo byinjiye mu gifu hafi ya esofagusi, ahubwo byafunzwe muri esofagusi!
Niyo mpamvu Bwana Jiang yagize ibimenyetso nkaibiryo bigaruka hamwe n'umuhogo. Ibi bifitebyanatumye kwaguka kugaragara kwa Esophage ya Bwana Jiang bitewe nigitutu cyibiryo.
Kuki iki kibazo cyabaye?
Porofeseri Shuchang Xu, umunyamabanga wa komite y’ishyaka akaba n’umuganga mukuru w’ishami rya Gastroenterology mu bitaro bya Tongji muri Shanghai, yakozwe nezaibizamini bya gastroscopi na gastroesophagealkuri Bwana Jiang.
Nyuma yo gusuzuma, byagaragaye kosphincter yumurwayi kuri kardia ntishobora kuruhuka neza.kubera kwaguka kwa esofage, esofagus ntishobora kugenda bisanzwe kandi ntishobora kugeza ibiryo mu gifu.
Izina ryemewe ryiyi ndwara niachalasia. Nubwoigipimo cyanduye ntabwo kiri hejuru cyane, bizazana ububabare bukomeye kubarwayi.Ingaruka zitaziguye nuko kurya biba umurimo utoroshye.
Bamwe mu barwayi bakeneye kurya ifunguro mu gihe cy'amasaha atatumbere yuko ibiryo barya bishobora kugera gahoro gahoro; Bamwe mu barwayi bafitekwishingikiriza ku biryo byamazi kugirango ibungabunge imirire,abarwayi rero bafite iyi ndwara bakunze guta ibiro, kandi icyateye iyi ndwara ntikiramenyekana neza.
Mu rwego rwo kwemerera BwanaJiang kurya bisanzwe, impuguke mu by'ubuvuzi zo mu bitaro bya Shanghai Tongji na Porofeseri Xu Shuchang bakoranye kugira ngo bige gahunda yo kuvura.
Kugeza ubu, hari uburyo bwinshi bwingenzi bwo kuvura achalasia, icya mbere ni ugukoresha ibiyobyabwenge kugirango woroshye imitsi ya sphincter yumutima wumurwayi, ariko ingaruka zubu buvuzi ntabwo ari nziza; icya kabiri ni ugukora umutima mugari wa gastroscopi, ariko ubu buryo bwo kuvura bushobora gukemura ibibazo byigihe gito gusa; icya gatatu ni ugutera uburozi bwa botulineum muri cardia sphincter munsi ya endoskopi, ariko ubu buryo nabwo buvura ibimenyetso ariko ntibubitera intandaro.
Hanyuma, inzobere mu buvuzi zo mu bitaro bya Tongji muri Shanghai ziyemeje gukoraIndwara ya endoskopi myotomygufasha Bwana Jiang kwikuramo burundu ibibazo bye.
Endotcopic myotomy preoral nayo yitwa "POEM".Uburyo bwo kubaga ni ukubanza gukora agace gato ku kibanza cya mucosal cyurukuta rwa gastroesophageal, hanyuma ugatobora endoskopi munsi ya mucosa. Muri iyi "tunnel", endoscope isanga imitsi ifite umubyimba mwinshi kuri kardia , gukata fungura iki gice cyimitsi, kandi woroshye rwose sphincter esofageal.Ibi birashobora gukemura byimazeyo ikibazo cya achalasia yumutima.
Nyuma yisaha imwe yo kubagwa, imitsi ya Bwana Jiang kuri kardia yaciwe neza.Ku rundi ruhande, bitewe no kubaga POEM bikorwa binyuze muri endoskopi, ihahamuka ku murwayi ni rito cyane.Bwana Jiang arashobora kunywa amazi mugihe cyamasaha 24 agakomeza indyo isanzwe mugihe cyicyumweru.
Kuva Inyenyeri Itukura Amakuru
Igihe cyo kohereza: Apr-22-2024