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

'O ka ma'i 'a'ai 'o ia kekahi o nā ma'i ma'i 'ino e ho'opilikia 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 ua like ke kiʻekiʻe me 410,000. ʻO ia hoʻi, ma kahi o 1,300 poʻe ma koʻu ʻāina i loaʻa i ka maʻi maʻi ʻōpū i kēlā me kēia lā.

ʻO ke ola ola o nā maʻi maʻi maʻi ʻōpū e pili kokoke ana i ka pae o ka holomua o ka maʻi maʻi ʻōpū. Hiki ke hiki i ka 90% ka ma'i lapa'au o ka ma'i 'a'ai mua, a i 'ole i ho'ōla loa 'ia. ʻO ka lāʻau lapaʻau o ka maʻi maʻi maʻi maʻi waena waena ma waena o 60% a me 70%, ʻoiai ʻo 30% wale nō ka lāʻau lapaʻau o ka maʻi maʻi maʻi ʻōpū. a puni, no laila ua ʻike ʻia ka maʻi maʻi ʻōpū mua. A ʻo ka mālama mua ʻana ke kī i ka hōʻemi ʻana i ka make maʻi maʻi ʻōpū. ʻO ka mea pōmaikaʻi, me ka hoʻomaikaʻi ʻana o ka ʻenehana endoscopic i nā makahiki i hala iho nei, ua hoʻokō nui ʻia ka nānā ʻana i ka maʻi maʻi ʻōpū mua i koʻu ʻāina, kahi i hoʻomaikaʻi nui ai i ka helu ʻike o ka maʻi maʻi ʻōpū mua;

No laila, he aha ka maʻi maʻi ʻōpū mua? Pehea e ʻike ai i ka maʻi ʻaʻai mua? Pehea e mālama ai?

1 Ka manaʻo o ka maʻi maʻi ʻōpū mua

ʻO ka maʻi maʻi, ʻo ka maʻi maʻi ʻōpū mua loa e pili ana i ka maʻi maʻi ʻōpū me nā ʻeha mua loa, nā liona liʻiliʻi a ʻaʻohe hōʻailona maopopo. ʻO ka maʻi maʻi maʻi mua loa e ʻike ʻia e ka gastroscopic biopsy pathology. Pathologically, e pili ana i ka ma'i 'a'ai mua i ka ma'i 'a'ai i kaupalena 'ia i ka mucosa a me ka submucosa, a no ka nui o ka ma'i 'a'ai a inā he lymph node metastasis, no ka ma'i 'a'ai mua ia. I nā makahiki i hala iho nei, ua helu pū ʻia ka dysplasia koʻikoʻi a me ka neoplasia intraepithelial kiʻekiʻe ma ke ʻano he maʻi maʻi ʻōpū mua.

E like me ka nui o ka ma'i 'a'ai, ua mahele 'ia ka ma'i 'a'ai mua i: ka ma'i 'a'ai li'ili'i: 'o ke anawaena o ka ma'i 'a'ai 'o 6-10 mm. ʻO ka maʻi maʻi ʻāʻī liʻiliʻi: ʻO ke anawaena o ka piko maʻi maʻi ma lalo o 5 mm a i ʻole like. Punctate carcinoma: ʻO ka biopsy mucosa o ka ʻōpū he maʻi kanesa, akā ʻaʻole hiki ke loaʻa ke kino maʻi maʻi i loko o ka pūʻulu o nā hōʻailona ʻokiʻoki.

Endoscopically, ua mahele hou ia ka ma'i 'a'ai mua i: 'ano (polypoid type): 'o ka po'e me ka nui o ka ma'i 'a'ai ma kahi o 5 mm a oi. ʻAno II (ʻano pāpaʻu): Hoʻokiʻekiʻe a hoʻohaʻahaʻa ʻia ka nui o ka tumo i loko o 5 mm. ʻAno III (ʻano maʻi maʻi): ʻO ka hohonu o ke kaumaha o ka nui o ke kanesa ma mua o 5 mm, akā ʻaʻole i ʻoi aku ma mua o ka submucosa.

2 He aha nā hōʻailona o ka maʻi maʻi ʻōpū mua

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

ʻO kēlā mau mea i kapa ʻia nā hōʻailona mua o ka maʻi maʻi ʻōpū e holo 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. Hiki i kekahi poʻe ke loaʻa i kekahi mau hōʻailona kikoʻī ʻole, ka nui o ka indigestion, e like me ka ʻeha o ka ʻōpū, ka pehu, ka māʻona mua, ka pau ʻana o ka ʻai, ka hoʻoulu ʻana o ka waikawa, ka puʻuwai, belching, hiccups, a me nā mea ʻē aʻe. ʻaʻole hoʻokomo pinepine i ka manaʻo o ka poʻe. No laila, no ka poʻe ma luna o 40 makahiki, inā loaʻa iā lākou nā hōʻailona o ka indigestion, pono lākou e hele i ka haukapila no ka lāʻau lapaʻau i ka manawa, a hana gastroscopy inā pono, i ʻole e haʻalele i ka manawa maikaʻi loa e ʻike ai i ka maʻi maʻi ʻōpū mua.

3 Pehea e ʻike ai i ka maʻi maʻi ʻōpū mua

I nā makahiki i hala iho nei, ua hoʻokumu nā loea lapaʻau i ko mākou ʻāina, i hui pū ʻia me ke kūlana maoli o ko mākou ʻāina, i ka "Experts of the Early Gastric Cancer Screening Process in China".

He hana nui ia i ka hoʻomaikaʻi ʻana i ka helu maʻi a me ka hoʻōla ʻana o ka maʻi maʻi ʻōpū mua.

Early gastric maʻi 'aʻai screening mea nui ai i kekahi mau kiʻekiʻe-pilikia maʻi, e like me nā mea maʻi me Helicobacter pylori maʻi, nā mea maʻi me ka 'ohana mōʻaukala o gastric maʻi 'aʻai, nā mea maʻi ma luna o 35 makahiki, lōʻihi-makahiki paka, a me ke aloha i pickled meaʻai.

ʻO ke ʻano o ka nānā mua ʻana ʻo ia ka hoʻoholo ʻana i ka heluna nui o ka maʻi maʻi ʻōpū ma o ka hoʻokolokolo serological, ʻo ia hoʻi, ma o ka hana o ka ʻōpū a me ka ʻike ʻana o Helicobacter pylori antibody. A laila, nānā pono ʻia nā pūʻulu koʻikoʻi i loaʻa i ke kaʻina hana hoʻomaʻamaʻa mua e ka gastroscope, a hiki ke hoʻonui ʻia ka nānā ʻana i nā ʻeha ma ke ʻano o ka hoʻonui ʻana, staining, biopsy, etc. a inā hiki ke mālama ʻia ma lalo o ka microscope.

ʻOiaʻiʻo, ʻoi aku ka maikaʻi o ka ʻike ʻana i ka maʻi maʻi ʻōpū ma o ka hoʻokomo ʻana i ka endoscopy gastrointestinal i loko o nā mea nānā kino maʻamau i nā poʻe olakino ma o ka hoʻokolokolo kino.

4 He aha ke ʻano o ka hoʻāʻo ʻana o ka ʻōpū a me ka ʻōnaehana hōʻike ʻana i ka maʻi ʻōpū

ʻO ka hoʻāʻo hana ʻōpū e ʻike i ka ratio o ka pepsinogen 1 (PGI), pepsinogen (PGl1, a me ka protease) i ka serum.

(PGR, PGI/PGII) gastrin 17 (G-17) maʻiʻo, a me ka 'ā'ī maʻi 'aʻai maʻi 'aʻai 'ōnaehana ma muli o ka hopena o ka 'ā'ī hana ho'āʻo, hui 'ia me nā helu piha e like me Helicobacter pylori antibody, makahiki a me ke kāne, e hookolokolo ʻO ke ʻano o ka pilikia o ka maʻi ʻaʻai ʻai, ma o ka ʻōnaehana hōʻike ʻana i ka maʻi maʻi ʻōpū, hiki ke hoʻopaʻa i nā pūʻulu waena a me ke kiʻekiʻe o ka maʻi maʻi ʻōpū.

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

5 He aha ka Gastroscopy

No ka maʻalahi, ʻo ka gastroscopy ka hana endoscopic morphological analysis o nā ʻeha kānalua i loaʻa i ka manawa like me ka gastroscopy maʻamau, me ka endoscopy kukui keʻokeʻo maʻamau, chromoendoscopy, endoscopy magnifying, endoscopy confocal a me nā ʻano hana ʻē aʻe. Hoʻoholo ʻia ka liona i ka maikaʻi a i ʻole ka kānalua no ka maʻi maʻi, a laila hana ʻia ka biopsy o ka mea i manaʻo ʻia he maʻi ʻino, a hana ʻia ka hōʻailona hope e ka pathology. No ka hoʻoholo inā loaʻa nā maʻi maʻi kanesa, ka nui o ka infiltration lateral o ka maʻi kanesa, ka hohonu o ka infiltration vertical, ke degere o ka ʻokoʻa, a inā he mau hōʻailona no ka mālama ʻana i ka microscopic.

Ke hoʻohālikelike ʻia me ka gastroscopy maʻamau, pono e hana ʻia ka hoʻokolokolo gastroscopic ma lalo o nā kūlana ʻehaʻeha, e ʻae i ka poʻe maʻi e hoʻomaha loa iā lākou iho i kahi kūlana hiamoe pōkole a hana i ka gastroscopy me ka palekana. Loaʻa i ka Gastroscopy nā koi kiʻekiʻe i nā limahana. Pono e hoʻomaʻamaʻa ʻia i ka ʻike ʻana i ka maʻi maʻi maʻi mua, a hiki i nā endoskopist akamai ke hana i nā hoʻokolohua kikoʻī hou aʻe, i ʻike maikaʻi ʻia nā ʻeha a hana i nā nānā a me nā hoʻoholo kūpono.

Loaʻa i ka Gastroscopy nā koi kiʻekiʻe ma nā mea hana, ʻoi aku me nā ʻenehana hoʻonui kiʻi e like me ka chromoendoscopy/electronic chromoendoscopy a i ʻole ka endoscopy hoʻonui. Pono pū ka gastroscopy ultrasound inā pono.

6 Nā lāʻau lapaʻau no ka maʻi ʻaʻai mua

1. ʻO ka hoʻopau ʻana i ka endoscopic

I ka manawa e ʻike ʻia ai ka maʻi maʻi ʻōpū mua, ʻo ka endoscopic resection ka koho mua. Ke hoʻohālikelike ʻia me ka hana maʻamau, ʻoi aku ka maikaʻi o ka endoscopic resection i ka liʻiliʻi o ka trauma, ka liʻiliʻi o nā pilikia, ka wikiwiki o ka hoʻihoʻi ʻana, a me ka haʻahaʻa haʻahaʻa, a ʻo ka pono o nā mea ʻelua ke kumu like. No laila, ʻōlelo ʻia ka endoscopic resection ma ka home a me nā ʻāina ʻē e like me ka mālama ʻana no ka maʻi maʻi ʻōpū mua.

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

Pono e hoʻomaopopo ʻia ʻo ka endoscopic resection kahi hōʻoki liʻiliʻi invasive, akā aia nō kahi kiʻekiʻe o nā pilikia, ka mea nui me ke koko, perforation, Stenosis, ʻeha ʻōpū, maʻi, a me nā mea ʻē aʻe. e hana pū me ke kauka i mea e ola koke ai.

2 Oki Laparoscopic

Hiki ke noʻonoʻo ʻia ke ʻoki laparoscopic no nā poʻe maʻi me ka maʻi maʻi ʻōpū mua ʻaʻole hiki ke hoʻopaʻa ʻia endoscopic resection. ʻO ka ʻoki laparoscopic ka wehe ʻana i nā ala liʻiliʻi ma ka ʻōpū o ka mea maʻi. Hoʻokomo ʻia nā Laparoscopes a me nā mea hana ma o kēia mau ala me ka liʻiliʻi o ka pōʻino i ka mea maʻi, a hoʻouna ʻia ka ʻikepili kiʻi i loko o ka ʻōpū o ka ʻōpū i ka pale hōʻike ma o ka laparoscope, i hoʻopau ʻia ma lalo o ke alakaʻi ʻana o ka laparoscope. ʻoki maʻi ʻōpū. Hiki i ka laparoscopic ke hoʻopau i ka hana o ka laparotomy kuʻuna, hana i ka nui a i ʻole ka nui o ka gastrectomy, ka ʻoki ʻana i nā lymph nodes kānalua, a me nā mea ʻē aʻe, a me ka emi o ke koko, ka liʻiliʻi o ka pōʻino, ka liʻiliʻi o ka ʻokiʻoki postoperative, ka liʻiliʻi o ka ʻeha, a me ka wikiwiki o ka hoʻihoʻi ʻana i ka hana o ka ʻōpū ma hope o ke ʻoki ʻana.

3. Oki wehe

Mai ka 5% a hiki i ka 6% o intramucosal gastric cancer a me 15% a 20% o ka submucosal gastric cancer i perigastric lymph node metastasis, ʻoi aku ka adenocarcinoma undifferentiated i nā wahine ʻōpio, hiki ke noʻonoʻo ʻia ka laparotomy maʻamau, hiki ke hoʻoneʻe ʻia a me ka Lymph node dissection.

hōʻuluʻulu manaʻo

ʻOiai he mea ʻino loa ka maʻi ʻōpū, ʻaʻole ia he weliweli. Ke hoʻomaikaʻi ʻia ka ʻike o ka pale ʻana, hiki ke ʻike ʻia ka maʻi maʻi ʻōpū i ka manawa a mālama ʻia i ka wā mua, a hiki ke loaʻa ke ola piha. No laila, ʻōlelo ʻia nā hui koʻikoʻi ma hope o ke 40 o nā makahiki, me ka nānā ʻole ʻana i ka ʻeha o ka digestive tract, pono e hoʻopaʻa mua ʻia no ka maʻi maʻi ʻōpū, a i ʻole e hoʻohui ʻia ka endoscopy gastrointestinal i ka hoʻokolokolo kino maʻamau e ʻike i kahi hihia o ka mua. ka maʻi kanesa a hoʻopakele i ke ola a me ka ʻohana hauʻoli.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea hoʻohana endoscopic, e like mebiopsy forceps, hemoclip,pahele polyp, nila sclerotherapy, pulupulu pulupulu, cytology brushes, uea alakaʻi, hīnaʻi kiʻi pōhaku, ihu biliary drain catheteretc. i hoʻohana nui ʻia ma EMR, ESD, ERCP. ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!