intloko_ibhena

Iindaba

Iqhuma elikhulu elivala amathumbu, utyando lwe-Endoscopic EMR ukukhulula "ingozi enkulu efihliweyo"

Abantu abaninzi ebomini bacinga ukuba ubumanzi bunzima kakhulu xa bebona ilindle labo lingaphumi kakuhle……Enyanisweni, ilindle elingalunganga alibangelwa kukufuma kakhulu kuphela, kodwa kusenokwenzeka ukuba ilindle lingasebenzi kakuhle.ngenxa ye ukwakheka kweqhuma emathunjini ixesha elide!

Ilindle lexesha elide elingalunganga, ukuyicinga's ngenxa yokufuma okunzima

Ungokulindelekileyo ukubandezeleka kwiipolyps ezininzi zekholoni

UMnu. Jiang (igama elingaziwa), oneminyaka engama-58 ubudala kulo nyaka, uye wabandezeleka "ngesitulo esingenalwazi" ixesha elide, kwaye iimpawu ze-stool ezingatshintshiyo zihlala iminyaka eyi-6. UMnu. Jiang wayesoloko ecinga ukuba kungenxa yokufuma kwakhe kakhulu, ngoko wathatha amayeza amaninzi aseTshayina ukuze alawule oko, kodwa iimpawu zakhe azikaphucuki. Akazange afumane nakuphi na ukungahambi kakuhle kuvavanyo lwesibhedlele sendawo kwaye akazange aphucule emva kokufumana unyango lwamayeza. Kutshanje, hayi kuphelaiimpawu zaba mandundu, kodwa kwakhonaiintlungu ezingapheliyo zesisu zenzekile. Usapho lwaziva lungakhululekanga kwaye lwamkhapha uMnu. Jiang ukuya kwiSibhedlele seXi'an Weitai Digestive Disease ukuze bafumane unyango.

UMnu. Jiang wanyangwa nguChi Shengqun, umlawuli wesebe lezigulane ezingalaliswayo kwiSibhedlele seSifo seSifo se-Xi'an Weitai. Emva kokumamela inkcazo yeempawu zikaMnu. Xu, u-Chi Shengqun ucebise ukuba angeneikholonoscopyukuxilonga ngakumbi unobangela.

Kwiziko le-Endoscopy yeDigestive, uSekela Mlawuli uXu Mingliang uqhubeikholonoscopykuMnu. Jiang. Ngaphantsi kwe-microscope, wafumanisaI-9 enkulu kunye nencinci i-Yamada uhlobo lwe-2, uhlobo lwe-3 kwaye uthayiphe i-polyps ye-intestinal ye-4 ebonakalayo kwi-colon kunye ne-rectum. Iencinci yayimalunga ne-0.5 * 0.7cm, kwaye iEzona zinkulu zazimalunga ne-2.8*3.6cm, yaphantse yavala amathumbu.Amathuba okuba eli thumba likhulu lijike libe ngumhlaza liphezulu kakhulu.

I-Endoscopic Mucosal Resection (EMR)

Ugqirha wenza ei-ndoscopic mucosal resection (EMR)ukususa ngokukhawulezaiipolyps ezininzi zamathumbu

Uvile ukuba uMnumzana Xu uneepolyps ezininzi ezikhula emathunjini akhe, neyona polyp inkulu idlula i-2.5cm, usapho lwakhe lunexhala kakhulu. UMlawuli uXu Mingliang wathuthuzela ngomonde waza waxelela usapho lukaMnumzana Xu, “Musa ukuba nexhala, olu hlobo lwepolypinokusonjululwaphantsicolonoscopykwayeilulama ngokukhawuleza." Xa intsapho kaMnu. Jiang yaphefumla uphawu lokukhululeka ekuveni iindaba kwaye yavuma ukwenza utyando lwe-EMR.

Emva kokumisela indlela yonyango, uMlawuli uXu Mingliang wabeka ngononophelo, watofa, kwaye wasebenzisa umgibe ukusika iipolyps. Inyathelo ngenyathelo, iipolyps ezili-9 zamathumbu zaye zasuswa ngokupheleleyo, kwaye iikliphu zethishu zasetyenziselwa ukutywina inxeba. Utyando lwaba yimpumelelo. Emva kokusebenza, izicubu ze-polyps ezi-4 zathunyelwa kwi-pathological examination, leyowabonisa i-adenoma ye-tubular embiyiyo iutyekele kutshintsho olubi. Ngethamsanqa,ukususwa kwangethubayenziwe,ukuthintela ngempumelelo ukwenzeka komhlaza wekoloni.

Umfanekiso we-Endoscopic wamathumbu
Umfanekiso we-Endoscopic wamathumbu
Iipolyps ezivuyayo

“Bendicinga ukuba ndiza kwenziwa uqhaqho olukhulu, kodwa bendingalindelanga ukuba lunokupheliswacolonoscopy!" UMnu. Jiang watsho ngovuyo. Ebuyela kwiwadi yabagulayo, uMnu. JiangWaphinda watya ngosuku lwesibinikwaye kwabauphume esibhedlele ngomhla wesithandathuy. Ngaphambi kokukhutshwa, uMlawuli uXu Mingliang wayalela uMnu. Jiang ukubabaye kuvavanyelwa kolandelayo kwiinyanga ezintandathu.

Ukubuyisela emva kokuhlinzwa kwe-EMR

Ikholonoscopyngumgangatho wegolide wokuhlola izifo zamathumbu

UMlawuli uXu Mingliang uthecolonoscopyayikho buhlungu njengamahemuhemu okanye amabango e-intanethi. Ngokuhambela phambili kwetekhnoloji, ii-endoscopes ziyeuya uthamba ngakumbi kwaye ubhitye, kunye nexesha elifunekayocolonoscopynayo imfutshane kakhulu,ngokuqhelekileyo malunga ne-15-20 imizuzu.Kucetyiswa ukuba wonke umntuhamba acolonoscopy emva kweminyaka engama-40.

Abantu abasemngciphekweni omkhulu abangenayo imbali yosapho ye-polyps yamathumbu kunye nezizalwane zenqanaba lokuqala ezinomhlazaziya kuqhubacolonoscopy yonke iminyaka emi-5 emva koko.Abantungeepolyps zamathumbu kunye nembali yosaphokufuneke ndiukuqhubela phambili ixesha lokuqala lokuhlola malunga neminyaka eyi-10kwayeukungenacolonoscopykwiminyaka engama-25 ukuya kwengama-35. Ukuba ngamathumbuiipolyps zifumaneka emvacolonoscopy, ukuphindaphinda koviwo kufunekaukuba rhoqo. Ukwenzela ikwiminyaka emithathu ezayo, colonoscopykufuneke kuyenziwa minyaka leukufumanisa ukuphindaphinda koviwo olulandelayo olusekelwe ekukhuleni kwepolyp.


Ixesha lokuposa: May-09-2024