Pehea e ʻike ai a mālama ai i ka maʻi ʻōpū mua?

ʻO ke kanesa ʻōpū kekahi o nā puʻupuʻu ʻino e hoʻoweliweli nui ana i ke ola o ke kanaka. Aia he 1.09 miliona mau hihia hou ma ka honua i kēlā me kēia makahiki, a ʻo ka nui o nā hihia hou ma koʻu ʻāina he 410,000. ʻO ia hoʻi, ma kahi o 1,300 poʻe ma koʻu ʻāina e ʻike ʻia ana he kanesa ʻōpū i kēlā me kēia lā.

ʻO ka nui o ke ola ʻana o nā maʻi maʻi ʻōpū e pili pono ana i ke kiʻekiʻe o ka holomua ʻana o ke kanesa ʻōpū. Hiki i ka nui o ka hoʻōla ʻana o ke kanesa ʻōpū mua ke hiki i ka 90%, a i ʻole e hoʻōla loa ʻia. ʻO ka nui o ka hoʻōla ʻana o ke kanesa ʻōpū waena ma waena o 60% a me 70%, ʻoiai ʻo ka nui o ka hoʻōla ʻana o ke kanesa ʻōpū holomua he 30% wale nō a puni, no laila ua loaʻa ke kanesa ʻōpū mua. A ʻo ka mālama mua ke kī i ka hōʻemi ʻana i ka make ʻana o ke kanesa ʻōpū. ʻO ka mea pōmaikaʻi, me ka hoʻomaikaʻi ʻana o ka ʻenehana endoscopic i nā makahiki i hala iho nei, ua hana nui ʻia ka nānā ʻana i ke kanesa ʻōpū mua ma koʻu ʻāina, kahi i hoʻomaikaʻi nui ai i ka nui o ka ʻike ʻana o ke kanesa ʻōpū mua;

No laila, he aha ke kanesa ʻōpū mua? Pehea e ʻike ai i ke kanesa ʻōpū mua? Pehea e mālama ai?

1 Ke kumumanaʻo o ke kanesa ʻōpū mua

Ma ke ʻano lapaʻau, ʻo ke kanesa ʻōpū mua e pili ana i ke kanesa ʻōpū me nā ʻeha mua, nā ʻeha palena iki a ʻaʻohe hōʻailona maopopo. Hoʻomaopopo nui ʻia ke kanesa ʻōpū mua e ka pathology biopsy gastroscopic. Ma ke ʻano pathological, ʻo ke kanesa ʻōpū mua e pili ana i nā hunaola kanesa i kaupalena ʻia i ka mucosa a me ka submucosa, a ʻaʻohe mea nui ka nui o ka puʻupuʻu a inā he metastasis lymph node, no ke kanesa ʻōpū mua ia. I nā makahiki i hala iho nei, ua hoʻokaʻawale ʻia hoʻi ka dysplasia koʻikoʻi a me ka neoplasia intraepithelial kiʻekiʻe he kanesa ʻōpū mua.

Wahi a ka nui o ka puʻupuʻu, ua māhele ʻia ke kanesa ʻōpū mua i: kanesa ʻōpū liʻiliʻi: ʻo ke anawaena o nā foci kanesa he 6-10 mm. Ka maʻi ʻōpū liʻiliʻi: ʻO ke anawaena o nā foci tumor he emi a like paha me 5 mm. Carcinoma punctate: ʻO ka biopsy mucosa gastric he kanesa, akā ʻaʻohe ʻiʻo kanesa i loaʻa i loko o nā ʻano ʻoki ʻoki.

Ma ke ʻano endoscopically, ua māhele hou ʻia ke kanesa ʻōpū mua i: ʻano (ʻano polypoid): nā mea me kahi puʻupuʻu puʻupuʻu e puka ana ma kahi o 5 mm a ʻoi aku paha. ʻAno II (ʻano superficial): Hoʻokiʻekiʻe ʻia a hoʻohaʻahaʻa ʻia paha ka puʻupuʻu puʻupuʻu i loko o 5 mm. ʻAno III (ʻano ulcer): ʻOi aku ka hohonu o ke kaumaha o ka puʻupuʻu kanesa ma mua o 5 mm, akā ʻaʻole i ʻoi aku ma mua o ka submucosa.

2 He aha nā hōʻailona o ke kanesa ʻōpū mua

ʻAʻohe hōʻailona kūikawā o ka hapa nui o nā maʻi ʻōpū mua, ʻo ia hoʻi, ʻaʻohe hōʻailona o nā hōʻailona mua o ka maʻi ʻōpū.

ʻO kēlā mau hōʻailona mua o ka maʻi ʻōpū e hoʻolaha nei ma ka Pūnaewele, ʻaʻole ia he mau hōʻailona mua. Inā he kauka a he kanaka hanohano paha, he paʻakikī ke hoʻoholo mai nā hōʻailona a me nā hōʻailona. Loaʻa paha i kekahi poʻe kekahi mau hōʻailona kikoʻī ʻole, ʻo ia hoʻi ka ʻōpū palupalu, e like me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka māʻona mua, ka nalowale o ka makemake, ka luaʻi ʻana o ka waikawa, ka ʻāʻī, ka belching, nā hiccups, a pēlā aku. Ua like loa kēia mau hōʻailona me nā pilikia ʻōpū maʻamau, no laila ʻaʻole lākou e huki pinepine i ka manaʻo o ka poʻe. No laila, no ka poʻe ma luna o 40 mau makahiki, inā loaʻa iā lākou nā hōʻailona maopopo o ka ʻōpū palupalu, pono lākou e hele i ka haukapila no ka mālama ʻana i ka lāʻau lapaʻau i ka manawa kūpono, a hana i ka gastroscopy inā pono, i ʻole e haʻalele i ka manawa kūpono e ʻike ai i ka maʻi ʻōpū palupalu mua.

3 Pehea e ʻike ai i ka maʻi ʻōpū mua

I nā makahiki i hala iho nei, ua hoʻokumu nā loea lapaʻau ma ko mākou ʻāina, me ke kūlana maoli o ko mākou ʻāina, i ka "Nā Akamai o ke Kaʻina Hana Nānā ʻAʻai Gastric Mua ma Kina".

He mea nui ia i ka hoʻomaikaʻi ʻana i ka helu hōʻoia a me ka helu ho'ōla o ka maʻi ʻōpū mua.

ʻO ka nānā mua ʻana i ke kanesa ʻōpū e pili nui ana i kekahi mau maʻi kiʻekiʻe ka pilikia, e like me nā maʻi me ka maʻi Helicobacter pylori, nā maʻi me ka mōʻaukala ʻohana o ke kanesa ʻōpū, nā maʻi ma luna o 35 mau makahiki, nā mea puhi paka lōʻihi, a me ka makemake nui i nā meaʻai i kālua ʻia.

ʻO ke ʻano loiloi mua, ʻo ia ka hoʻoholo ʻana i ka heluna kanaka pilikia kiʻekiʻe o ka maʻi ʻaʻai ʻōpū ma o ka hoʻokolokolo serological, ʻo ia hoʻi, ma o ka hana ʻōpū a me ka ʻike ʻana i ka antibody Helicobacter pylori. A laila, nānā pono ʻia nā hui pilikia kiʻekiʻe i loaʻa i ke kaʻina hana loiloi mua e ka gastroscope, a hiki ke hoʻomaopopo pono ʻia ka nānā ʻana i nā ʻeha ma o ka hoʻonui ʻana, ka hoʻoluʻu ʻana, ka biopsy, a me nā mea ʻē aʻe, i mea e hoʻoholo ai inā he maʻi ʻaʻai nā ʻeha a inā hiki ke mālama ʻia ma lalo o ka microscope.

ʻOiaʻiʻo, he ala maikaʻi loa nō hoʻi ia e ʻike ai i ka maʻi ʻaʻai ʻōpū mua ma ka hoʻohui ʻana i ka endoscopy gastrointestinal i nā mea hoʻokolokolo kino maʻamau i nā poʻe olakino ma o ka hoʻokolokolo kino.

4 He aha ka hoʻāʻo hana ʻōpū a me ka ʻōnaehana helu nānā ʻana i ke kanesa ʻōpū

ʻO ka hoʻāʻo hana ʻōpū ke ʻike i ka lakio o ka pepsinogen 1 (PGI), pepsinogen (PGl1, a me protease) i loko o ke koko.

(PGR, PGI/PGII) gastrin 17 (G-17) ka ʻike, a ua hoʻokumu ʻia ka ʻōnaehana helu nānā ʻana i ke kanesa ʻōpū ma nā hopena o ka hoʻāʻo ʻana i ka hana ʻōpū, i hui pū ʻia me nā helu piha e like me ka antibody Helicobacter pylori, ka makahiki a me ke kāne, e hoʻoholo ai ʻO ke ʻano o ka pilikia o ke kanesa ʻōpū, ma o ka ʻōnaehana helu nānā ʻana i ke kanesa ʻōpū, hiki ke nānā i nā hui waena a me nā hui kiʻekiʻe o ka maʻi kanesa ʻōpū.

E hana ʻia ka Endoscopy a me ka nānā ʻana no nā hui waena a me nā hui pilikia kiʻekiʻe. E nānā ʻia nā hui pilikia kiʻekiʻe ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, a e nānā ʻia nā hui pilikia waena ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia 2 mau makahiki. ʻO ka ʻike maoli, ʻo ia ka maʻi kanesa mua, hiki ke mālama ʻia e ke ʻoki endoscopic. ʻAʻole hiki i kēia ke hoʻomaikaʻi wale i ka helu ʻike mua o ke kanesa ʻōpū, akā e hōʻemi pū i ka endoscopy pono ʻole i nā hui haʻahaʻa.

5 He aha ka Gastroscope

I ka ʻōlelo maʻalahi, ʻo ka gastroscopy ke hana i ka nānā ʻana i ke ʻano morphological endoscopic o nā lesions kānalua i loaʻa i ka manawa like me ka gastroscopy maʻamau, me ka endoscopy kukui keʻokeʻo maʻamau, chromoendoscopy, magnifying endoscopy, confocal endoscopy a me nā ʻano hana ʻē aʻe. Hoʻoholo ʻia ka lesion he benign a kānalua paha no ka malignancy, a laila hana ʻia ka biopsy o ka lesion malignant i manaʻo ʻia, a hana ʻia ka ʻike hope loa e ka pathology. No ka hoʻoholo ʻana inā he mau lesions cancerous, ka nui o ka infiltration lateral o ke kanesa, ka hohonu o ka infiltration vertical, ke kekelē o ka differentiation, a inā he mau hōʻailona no ka mālama microscopic.

Ke hoʻohālikelike ʻia me ka gastroscopy maʻamau, pono e hana ʻia ka hoʻokolokolo gastroscopic ma lalo o nā kūlana ʻeha ʻole, e ʻae ana i nā mea maʻi e hoʻomaha loa iā lākou iho i kahi hiamoe pōkole a hana palekana i ka gastroscopy. He kiʻekiʻe nā koi o ka Gastroscopy ma luna o nā limahana. Pono e hoʻomaʻamaʻa ʻia i ka ʻike mua ʻana i ka maʻi ʻaʻai, a hiki i nā endoscopists akamai ke hana i nā hoʻokolokolo kikoʻī hou aku, i mea e ʻike maikaʻi ai i nā lesions a hana i nā nānā a me nā hoʻoholo kūpono.

He kiʻekiʻe nā koi o ka Gastroscopy ma nā lako, ʻoi aku hoʻi me nā ʻenehana hoʻonui kiʻi e like me ka chromoendoscopy/electronic chromoendoscopy a i ʻole ka magnifying endoscopy. Pono pū ʻia ka ultrasound gastroscopy inā pono.

6 Nā lāʻau lapaʻau no ka maʻi ʻōpū mua

1. ʻOki ʻana o ka endoscopic

Ke ʻike mua ʻia ke kanesa ʻōpū, ʻo ka endoscopic resection ke koho mua. Ke hoʻohālikelike ʻia me ke ʻoki kuʻuna, loaʻa i ka endoscopic resection nā pono o ka emi ʻana o ka trauma, ka emi ʻana o nā pilikia, ka wikiwiki o ka hoʻōla ʻana, a me ke kumukūʻai haʻahaʻa, a ua like like ka pono o nā mea ʻelua. No laila, ua ʻōlelo ʻia ka endoscopic resection ma ka home a ma waho e like me ka lāʻau lapaʻau makemake ʻia no ka maʻi ʻōpū mua.

I kēia manawa, ʻo nā ʻoki endoscopic i hoʻohana nui ʻia e komo pū me ka endoscopic mucosal resection (EMR) a me ka endoscopic submucosal dissection (ESD). ʻO kahi ʻenehana hou i hoʻomohala ʻia, ʻo ka ESD single-channel endoscopy, hiki ke hoʻokō i kahi ʻoki en bloc hoʻokahi manawa o nā lesions hohonu i loko o ka muscularis propria, me ka hāʻawi pū ʻana i ka pathological staging pololei e hōʻemi i ka hoʻi hou ʻana o ka manawa.

Pono e hoʻomaopopo ʻia he ʻoki kino minimally invasive ka endoscopic resection, akā aia nō ka nui o nā pilikia, ʻo ia hoʻi ke kahe koko, ka perforation, Stenosis, ka ʻeha o ka ʻōpū, ka maʻi, a me nā mea ʻē aʻe. No laila, pono e hana pū ka mālama ʻana o ka mea maʻi ma hope o ka hoʻōla ʻana, a me ka loiloi me ke kauka i mea e hoʻōla koke ai.

2 ʻO ke ʻoki kino Laparoscopic

Hiki ke noʻonoʻo ʻia ke ʻoki laparoscopic no nā poʻe maʻi me ke kanesa ʻōpū mua ʻaʻole hiki ke hana i ka resection endoscopic. ʻO ke ʻoki laparoscopic ka wehe ʻana i nā kahawai liʻiliʻi i loko o ka ʻōpū o ka mea maʻi. Hoʻokomo ʻia nā laparoscopes a me nā mea hana ma o kēia mau kahawai me ka liʻiliʻi o ka hōʻeha i ka mea maʻi, a hoʻouna ʻia ka ʻikepili kiʻi i loko o ka lua ʻōpū i ka pale hōʻike ma o ka laparoscope, i hoʻopau ʻia ma lalo o ke alakaʻi ʻana o ka laparoscope. ʻoki ʻana i ke kanesa ʻōpū. Hiki i ke ʻoki laparoscopic ke hoʻopau i ka hana o ka laparotomy kuʻuna, hana i ka gastrectomy nui a piha paha, dissection o nā lymph nodes kānalua, a pēlā aku, a emi ke kahe koko, emi ka pōʻino, emi ka ʻeha postoperative, emi ka ʻeha, a me ka hoʻōla wikiwiki ʻana o ka hana gastrointestinal ma hope o ke ʻoki ʻana.

3. ʻOki wehe

ʻOiai ʻo 5% a 6% o ka maʻi ʻaʻai intramucosal gastric a me 15% a 20% o ka maʻi ʻaʻai submucosal gastric e loaʻa ana ka metastasis lymph node perigastric, ʻoi aku ka adenocarcinoma undifferentiated i nā wahine ʻōpio, hiki ke noʻonoʻo ʻia ka laparotomy kuʻuna, hiki ke wehe loa ʻia a me ka dissection Lymph node.

hōʻuluʻulu manaʻo

ʻOiai he mea ʻino loa ka maʻi ʻōpū, ʻaʻole ia he mea weliweli. Inā hoʻomaikaʻi ʻia ka ʻike o ka pale ʻana, hiki ke ʻike ʻia ka maʻi ʻōpū i ka manawa kūpono a mālama ʻia i ka wā mua, a hiki ke hoʻōla piha ʻia. No laila, ua ʻōlelo ʻia e pono i nā hui pilikia kiʻekiʻe ma hope o 40 mau makahiki, me ka nānā ʻole inā he ʻeha ko lākou i ke ala ʻai, e hana i ka nānā mua ʻana no ka maʻi ʻōpū, a i ʻole e hoʻohui ʻia ka endoscopy gastrointestinal i ka hoʻokolokolo kino maʻamau e ʻike i kahi hihia o ka maʻi ʻōpū mua a hoʻopakele i ke ola a me ka ʻohana hauʻoli.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, e like menā forceps biopsy, hemoclip,ʻūpā polyp, nila sclerotherapy, ʻaukā pīpī, nā palaki cytology, uea alakaʻi, hīnaʻi kiʻi pōhaku, catheter hoʻokahe wai biliary ihua pēlā aku i hoʻohana nui ʻia ma EMR, ESD, ERCP. Ua hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kahi ʻāpana o ʻAsia, a loaʻa nui ka mea kūʻai aku i ka ʻike a me ka hoʻomaikaʻi!