Endoscopic polypectomy: Ndondomeko makamaka

Opaleshoni alowererepo zachokera kuchotsa m'matumbo formations oyenerera, womwe ndi tizilombo ting'onoting'ono amatchedwa polypectomy ya m'matumbo. Pa siteji koyamba mapangidwe tizilombo ting'onoting'ono - madera aang'onoang'ono minofu, kupangidwa ngati zotupa. Pakuti tizilombo ting'onoting'ono Oncology sizoona, koma chifukwa iwo analimbikitsa kuti kuchotsedwa mwamsanga anapeza, popanda kupatsa mankhwala mankhwala enieni, pakalibe zizindikiro zenizeni. Ngakhale mapangidwe tizilombo ting'onoting'ono imatengedwa ngati chabwinobwino vuto lagona pa mfundo yakuti ngati tizilombo ting'onoting'ono si kuchotsedwa ndi opanda chidwi chirichonse, ndiye iwo akhoza adzasefukira mu kansa yotupa.

Kodi polypectomy endoscopic?

umboni

Polypectomy imachitika zochizira ndi matenda. Matendawa ndi zotheka pamene mapangidwe limodzi, ngati mwaukadaulo zotheka. Pakuti histology wa polyposis kuchotsedwa pa tizilombo ting'onoting'ono angapo waukulu kukula ndi kusinthidwa mawonekedwe. Mankhwala zikusonyeza tizilombo ting'onoting'ono iliyonse yaing'ono pamene opaleshoni si zikuphatikizapo zosokonezeka. Pamene mapangidwe ziwalo mkati ntchito njira endoscopic. Ndipo pa nthawi imene pali yekhayekha kapena angapo formations anakonza pafupi wina ndi mnzake, kuonetsera ntchito adzakhala.

ndi contraindications chiyani ndi endoscopic polypectomy?

contraindications

Odwala amene ali matenda oopsa kapena akudwala osauka clotting magazi, makhalidwe kuchotsa anakonza. Kuti achotse contraindications, kuchititsa MAGAZI. ntchito sadzakhala idzachitika ngati katswiri aganiza kuti adzachititsa zosokonezeka.

Species ndi mbali ya matenda

Kudulidwa zonse ndi makonzedwe a maselo matumbo mucosa - titadziwa, koma ngati pali zolakwa aliyense zimene zimaipitsa ntchitozo, maselo matumbo m'malo kusinthidwa fomu tizilombo ting'onoting'ono lapansi.

Kwa nthawi yaitali anthu angathe kukhala nawo ndipo sadziwa anafikapo ku thupi.

Endoscopic polypectomy ya m'matumbo Pankhaniyi angakuthandizeni.

Akatswiri kugawanitsa magulu angapo tizilombo ting'onoting'ono:

• Local wachinyamata, kuwonekera ali mwana, kawirikawiri mpaka zaka 6. tizilombo ting'onoting'ono izi kawirikawiri lidzasinthidwa khansa, koma zimenezi sizitanthauza negate ochepa ngozi awo, ndi iwo ayenera kuchotsedwa.
• Gamartomatoznye akuwuka mu rectum mu kuphatikiza zachilendo maselo ndizo zotsatira za chitukuko nthenda minofu.
• Villous, wodzaza mu mawonekedwe a pamphasa pa makoma a intestine lapansi. Nthaŵi zambiri kukula mu khansa.
• Hyperplastic, kukhala ndi kukula yaing'ono ndi zimene zili zabwinobwino. Iwo ali pakati pa mitundu yofala maphunziro.
• Adenomatous a owopsa, chifukwa chikudutsa mu khansa pafupipafupi.

The zimayambitsa matenda

Pamaso kuchotsa ndi polyp Adokotala zimayambitsa zotheka, ndiyo mtundu wa tizilombo ting'onoting'ono kupewa mavuto (ena tizilombo ting'onoting'ono bwino asakhudze). Zinthu zimene zimachititsa maonekedwe a dongosolo, n'zovuta kufotokoza ndendende. Chifukwa maonekedwe angakhale:

• kutengera za kumtundu;
• kulowa mu zakudya wambirimbiri mafuta a nyama;
• chitukuko nthenda ndi kobadwa nako kutengera za;
• Osakwanira kudya zamasamba zosaphika, nsomba ndi zidulo mkaka;
• aakulu matumbo matenda, kutupa;
• mowa chakudya ndi zambiri carcinogens;
• dongosolo a m'mimba, ndi kudzimbidwa;
• zizolowezi zoipa;
• owonjezera kulemera, otsika zoyendayenda, kusowa kwa thupi.

Ndipo n'chifukwa chiyani kuthetsa?

Chifukwa chachikulu kuchotsa ndi kuteteza matenda kumayambitsa khansa. Kuphatikizapo kuchotsa tikuonera zomverera ululu, kulephera mu intestine, kutaya magazi chintchito patency. Komabe, pamaso opaleshoni katswiri akadali amachititsa matenda mokwanira chifukwa kukhalapo mfundo amene amaletsa alowererepo opaleshoni chifukwa cha mavuto kapena zotsatira zotheka. Zifukwa:

• matenda a m'thupi;
• kuwonongeka kwa mpanda wa rectum;
• shuga;
• nthenda;
• osauka magazi clotting;
• chifuwa kuti mankhwala;
• makamaka polyp (malo, kukula, mtundu).

Pa nthawi, pali yosalekerera njira opaleshoni, pamene asonyeza mwamsanga kuchotsa tizilombo ting'onoting'ono dokotala amatha mungachite bwino Mwachitsanzo, nkhani ya polypectomy endoscopic.

kudziwika Features

Pamaso kuchotsa tizilombo ting'onoting'ono ayenera kuyamba kudziŵa zosiyanasiyana, mawonekedwe ndi malo. The polyp akhale mawonekedwe a mafangasi i.e. ndi kapangidwe oyenerera pa elongate tsinde, ndi patsinde lonse, kapangidwe ndi zambiri athyathyathya ndipo anamaliza mawonekedwe. Komanso, tizilombo ting'onoting'ono kungakhale villous ndi yosalala.

Kudziwa kumene kuli tizilombo ting'onoting'ono mu thupi mungathe munthu pa matenda kapena kuphimba matenda ena. Nthawi zambiri kudziwika ndi tizilombo ting'onoting'ono ndi mwachisawawa, monga mapangidwe ndi chitukuko cha intestine ndi kawirikawiri kukakwera zizindikiro za pamaso pawo. Mwa njira zazikulu kudziwika ndi tizilombo ting'onoting'ono monga endoscopy, colonoscopy ndi biopsy.

Mu ochiritsira matenda ndipo wapezeka ndi colonoscopy polypouses formations dokotala amasankha embodiments kwambiri zaphindu kwa kanthu. Pa Kupenda endoscopic angazindikire ndi tizilombo ting'onoting'ono ndi kuchotsa zamitundu ang'onoang'ono a maphunziro, kukula kwa zomwe si upambana 7 mm. Njira imeneyi kuchotsa tizilombo ting'onoting'ono angagwiritsidwe ntchito zosaposa nthawi 2 pa chaka.

Nthawi zambiri amachitika endoscopic polypectomy a ndulu ya.

Pamene zofunika kuchotsa tizilombo ting'onoting'ono lalikulu, opaleshoni imagwiridwa kudzera polypectomy. Chotero opareshoni amafuna njira yapadera endoscopic.

Njira kwambiri yoyenera kuchotsa chilichonse tizilombo ting'onoting'ono angatchedwe kudzera gawo colonoscope wina zoona zake zina pansi maso, ndipo biopsy. opaleshoni zakonzedwa mapeto a nthawi imeneyi ndi kulandira zotsatira kafukufuku. Chotsatira kufufuza mbali yofunika kusankha phukusi opaleshoni, chifukwa ngati tizilombo ting'onoting'ono khansa chikhalidwe, wodwalayo kulandira njira mankhwala amphamvu.

Ndipo pambuyo tizilombo ting'onoting'ono ndi kuchotsedwa, zaka zingapo mu mzere chaka chilichonse adzayenera linakhala colonoscopy chifukwa tizilombo ting'onoting'ono akhoza kupangidwa kachiwiri.

mokoma opaleshoni

ntchito imene kumatha mapangidwe rectum anacemerwa endoscopic polypectomy. Mtundu wa opaleshoni amatanthauza njira zambiri sabweretsa chisoni chifukwa sikutanthauza amacheka kapena punctures. Pamene otschipyvanii kapena kuchotsa tizilombo ting'onoting'ono munthu safuna kumva ululu chifukwa cha mucosa ndi matumbo palibe molekezera mitsempha. Ndondomeko zambiri anachita mu chipatala, ndi chabe ndi tizilombo ting'onoting'ono ochepa 5 mm m'mimba mwake angathe kuchizidwa monga outpatients.

Koma nthawi zambiri amakhala ndi tizilombo ting'onoting'ono ochepa musakhudze, ndipo dikirani mpaka kucha, chifukwa iwo kuthetsa izo osavomerezeka chifukwa cha mosavuta kuwonongeka minofu ndi matumbo mucosa.

Kodi endoscopic polypectomy ya rectum?

Pali zingapo zimene mungachite kuti kuchotsa tizilombo ting'onoting'ono ndi kuwasokoneza amenewa:

• Mu dera m'munsi mwa polyp lalikulu pamaso kuchotsa inayambitsa electrolyte spetsrastvor milandu wapadera, kupewa chitukuko cha matendawo.
• Mukamafinya polypouses lomenyera bowa mawonekedwe anagwiritsa ntchito njira coagulation kuzungulira sprinkles pa madzi ndi truncating izo. Popeza kuzungulira izi chimafikira kudzera panopa otsika, nthawi yomweyo ndipo cauterizes malo kufufutidwa.
• Pochotsa tizilombo ting'onoting'ono unali kukhala maziko yotakata ntchito njira otalikirana ndi kuchotsa diathermic kuzungulira, akuchita kugawikana ndi mapangidwe adani.

Ndipotu lonse endoscopic polypectomy tichipeza mu kulowetsa mu chotulukira chipangizo wapadera ndi paipi yaitali ndi kamera, amene amapangidwa mofatsa mkati mwa makoma rectum ndi kuchotsa dongosolo. Pogwira njirayi likukhudza mfundo imodzi pa njira zotsatirazi. Komabe, ndondomeko kuchotsa tizilombo ting'onoting'ono amusankha pambuyo pogwira ndi matenda, osati mu phunziro chachikulu.

zisadzachitikenso tizilombo ting'onoting'ono

Pambuyo kuchotsa zisadzachitikenso polyp akufotokozera mu 13% odwala mu zaka 2. M'madera ena a m'matumbo chiopsezo cha maonekedwe awo watsopano - 7%.

Nthawi zambiri outpatient endoscopic polypectomy.

kupewa

Njira yaikulu ya kapewedwe ndi tizilombo ting'onoting'ono monga: kusintha moyo, zakudya ndi maphunziro nthawi zonse. Mukhoza izi kupewa.

M'pofunika kugwiritsa ntchito zakudya kashiamu kulemera, kuyambira kashiamu kumakhudza prophylactic, ngakhale ngati kale akuvutika matenda.

Muyenera kudya mbewu zambiri, zipatso ndi ndiwo zamasamba chifukwa zili mu zakudya izi mkulu antioxidants ndi CHIKWANGWANI. mankhwala kuchepetsa chiopsezo formations.

Kuchepetsa mafuta chiyambi nyama. Anthu amene zimawononga yambiri mafuta chakudya, kwambiri pa chiopsezo khansa thumbo ndi tizilombo ting'onoting'ono, monga kuyenera anthu amene yambiri zochepa mafuta. masamba mafuta akhoza amalangiza.

Chepetsani mowa chifukwa nkhanza ake kumawonjezera kwambiri mavuto osati khansa ya m'matumbo ndi tizilombo ting'onoting'ono, komanso matenda ena.

Muyenera kusiya kusuta, monga khalidwe kumawonjezera kwambiri mosavuta khansa ya m'matumbo. Ndi ofunika kuchotsa kulemera owonjezera ndi kuonjezera zolimbitsa thupi.

Polypectomy ziwalo zina

Kodi endoscopic polypectomy a ndulu ya?

Tizilombo ting'onoting'ono amayambira mu ndulu ya. Wina waung'ono si owopsa. Iwo akhoza ananyalanyaza. Koma ngati pali zingapo, ndi kukula ndi lalikulu kuposa 10 mm, ndiye zimathera polypectomy endoscopic. limba lili phunziro yokha zophuka kuchotsa. Pamene kukula yaikulu tizilombo ting'onoting'ono kuchotsedwa thupi lonse, monga khansa akhoza.

Kodi endoscopic polypectomy mphuno?

Mu mphuno, ndi tizilombo ting'onoting'ono akhoza zimachitika. poliektomiii endoscopic njira amachotsa zophuka mwamsanga ndipo popanda kumva ululu uliwonse. Mu gawo lirilonse la pa turbinates m'mphuno ndi sinuses paranasal amachotsedwa maphunziro. Onetsetsani kuti ntchito chometera pamene akuchita mawere.

Pali endoscopic polypectomy m'mimba.

Nthawi zina maselo kukula m'mimba. Amathandizanso endoscopic opaleshoni. Koma zonse kudzadalira kukula kwa mapangidwe a. Ngati lalikulu, izo ikuchitika mndandanda wa njira. Wodwala pa nthawi iyi mu mankhwala tulo.

Ndi polypectomy endoscopic anadza zambiri. Iyi ndi njira kwambiri kwa ndiyotani pakuchotsa ndi tizilombo ting'onoting'ono ziwalo zosiyanasiyana.