Mob qog noj ntshav hauv plab yog ib qho ntawm cov qog nqaij hlav phem uas ua rau tib neeg muaj kev phom sij heev. Txhua xyoo muaj 1.09 lab tus neeg mob tshiab hauv ntiaj teb, thiab tus lej ntawm cov neeg mob tshiab hauv kuv lub tebchaws muaj txog li 410,000. Uas yog hais tias, muaj li ntawm 1,300 tus neeg hauv kuv lub tebchaws raug kuaj pom tias muaj mob qog noj ntshav hauv plab txhua hnub.
Tus nqi ntawm cov neeg mob qog nqaij hlav plab uas muaj sia nyob muaj feem cuam tshuam nrog qib kev loj hlob ntawm qog nqaij hlav plab. Tus nqi kho mob qog nqaij hlav plab thaum ntxov tuaj yeem ncav cuag 90%, lossis txawm tias kho tau tag nrho. Tus nqi kho mob qog nqaij hlav plab theem nrab yog ntawm 60% thiab 70%, thaum tus nqi kho mob qog nqaij hlav plab theem siab tsuas yog 30%. Nyob ib puag ncig, yog li ntawd pom muaj qog nqaij hlav plab thaum ntxov. Thiab kev kho mob thaum ntxov yog qhov tseem ceeb rau kev txo qis kev tuag ntawm qog nqaij hlav plab. Hmoov zoo, nrog kev txhim kho ntawm cov thev naus laus zis endoscopic hauv xyoo tas los no, kev tshuaj ntsuam qog nqaij hlav plab thaum ntxov tau ua dav dav hauv kuv lub tebchaws, uas tau txhim kho tus nqi kuaj pom qog nqaij hlav plab thaum ntxov;
Yog li, mob qog noj ntshav hauv plab thaum ntxov yog dab tsi? Yuav ua li cas thiaj nrhiav tau mob qog noj ntshav hauv plab thaum ntxov? Yuav kho nws li cas?
1 Lub tswv yim ntawm mob qog noj ntshav thaum ntxov
Hauv kev kho mob, mob qog nqaij hlav thaum ntxov feem ntau yog hais txog mob qog nqaij hlav uas muaj cov qhov txhab thaum ntxov, cov qhov txhab tsawg thiab tsis muaj cov tsos mob pom tseeb. Mob qog nqaij hlav thaum ntxov feem ntau raug kuaj pom los ntawm kev kuaj mob gastroscopic biopsy. Hauv kev kho mob, mob qog nqaij hlav thaum ntxov yog hais txog cov hlwb qog nqaij hlav uas txwv rau ntawm cov mucosa thiab submucosa, thiab txawm tias qhov mob loj npaum li cas thiab seb puas muaj cov qog ntshav metastasis, nws yog ib feem ntawm mob qog nqaij hlav thaum ntxov. Nyob rau hauv xyoo tas los no, dysplasia hnyav thiab qib siab intraepithelial neoplasia kuj raug cais ua mob qog nqaij hlav thaum ntxov.
Raws li qhov loj ntawm lub qog, mob qog noj ntshav hauv plab thaum ntxov raug muab faib ua: mob qog noj ntshav hauv plab me me: lub cheeb ntawm cov qog noj ntshav yog 6-10 hli. Mob qog noj ntshav hauv plab me me: Lub cheeb ntawm cov qog noj ntshav yog tsawg dua lossis sib npaug li 5 hli. Mob qog noj ntshav punctate: Cov ntaub so ntswg hauv plab yog mob qog noj ntshav, tab sis tsis muaj cov nqaij mob qog noj ntshav tuaj yeem pom hauv cov qauv phais.
Los ntawm kev siv txoj kev endoscopic, mob qog noj ntshav thaum ntxov tau muab faib ua: hom (hom polypoid): cov uas muaj qhov loj ntawm qog tawm li 5 hli lossis ntau dua. Hom II (hom nto): Qhov loj ntawm qog tau nce lossis nqes hauv 5 hli. Hom III (hom mob qog): Qhov tob ntawm qhov nqes ntawm qhov loj ntawm qog tshaj 5 hli, tab sis tsis tshaj qhov submucosa.
2 Cov tsos mob ntawm mob qog noj ntshav hauv plab thaum ntxov yog dab tsi?
Feem ntau cov mob qog noj ntshav hauv plab thaum ntxov tsis muaj cov tsos mob tshwj xeeb, uas yog hais tias, cov tsos mob thaum ntxov ntawm mob qog noj ntshav hauv plab tsis muaj tsos mob. network
Cov cim qhia ntxov ntawm mob qog noj ntshav hauv plab uas muaj nyob hauv Is Taws Nem tsis yog cov cim qhia ntxov. Txawm yog kws kho mob lossis tus neeg zoo los xij, nws nyuaj rau txiav txim siab los ntawm cov tsos mob thiab cov cim qhia. Qee tus neeg yuav muaj qee cov tsos mob tsis tshwj xeeb, feem ntau yog mob plab zom mov, xws li mob plab, o, tsis txaus siab sai, tsis xav noj mov, kua qaub rov qab los, kub siab, ntuav, mob ntsws, thiab lwm yam. Cov tsos mob no zoo ib yam li cov teeb meem plab ib txwm muaj, yog li lawv feem ntau tsis nyiam tib neeg. Yog li ntawd, rau cov neeg hnub nyoog tshaj 40 xyoo, yog tias lawv muaj cov tsos mob pom tseeb ntawm kev zom zaub mov, lawv yuav tsum mus rau tsev kho mob kom kho mob raws sijhawm, thiab ua gastroscopy yog tias tsim nyog, kom tsis txhob plam lub sijhawm zoo tshaj plaws los kuaj mob qog noj ntshav hauv plab thaum ntxov.
3 Yuav ua li cas thiaj nrhiav tau mob qog noj ntshav hauv plab thaum ntxov
Nyob rau xyoo tas los no, cov kws kho mob hauv peb lub teb chaws, ua ke nrog qhov xwm txheej tiag tiag ntawm peb lub teb chaws, tau tsim "Cov Kws Tshaj Lij ntawm Kev Tshuaj Xyuas Mob Cancer Thaum Ntxov hauv Suav Teb".
Nws yuav ua lub luag haujlwm tseem ceeb hauv kev txhim kho qhov kev kuaj mob thiab kev kho mob ntawm mob qog noj ntshav hauv plab thaum ntxov.
Kev kuaj mob qog noj ntshav hauv plab thaum ntxov yog tsom rau qee tus neeg mob uas muaj kev pheej hmoo siab, xws li cov neeg mob uas muaj tus kab mob Helicobacter pylori, cov neeg mob uas muaj keeb kwm mob qog noj ntshav hauv plab hauv tsev neeg, cov neeg mob hnub nyoog tshaj 35 xyoo, cov neeg haus luam yeeb ntev, thiab nyiam cov khoom noj pickled.
Txoj kev kuaj mob tseem ceeb yog los txiav txim seb cov neeg muaj feem yuav mob qog noj ntshav hauv plab yog los ntawm kev kuaj mob serological, uas yog, los ntawm kev ua haujlwm ntawm plab thiab kev kuaj pom Helicobacter pylori antibody. Tom qab ntawd, cov pab pawg neeg muaj feem yuav mob qog noj ntshav uas pom muaj nyob rau hauv cov txheej txheem kuaj mob thawj zaug raug kuaj xyuas zoo los ntawm gastroscope, thiab kev soj ntsuam cov qhov txhab tuaj yeem ua kom pom tseeb dua los ntawm kev siv magnification, staining, biopsy, thiab lwm yam, kom paub tseeb tias cov qhov txhab puas yog mob qog noj ntshav thiab puas tuaj yeem kho tau hauv qab lub tshuab microscope.
Tau kawg, nws tseem yog ib txoj hauv kev zoo dua los nrhiav mob qog noj ntshav hauv plab thaum ntxov los ntawm kev siv lub tshuab endoscopy rau hauv cov khoom kuaj mob niaj hnub rau cov neeg noj qab haus huv los ntawm kev kuaj lub cev.
4 Kev kuaj mob plab thiab qhov system ntsuas mob qog noj ntshav hauv plab yog dab tsi?
Kev kuaj mob plab yog los nrhiav qhov sib piv ntawm pepsinogen 1 (PGI), pepsinogen (PGl1, thiab protease) hauv cov ntshav.
(PGR, PGI/PGII) gastrin 17 (G-17) cov ntsiab lus, thiab qhov system ntsuas qhov mob qog noj ntshav hauv plab yog raws li cov txiaj ntsig ntawm kev kuaj mob qog noj ntshav hauv plab, ua ke nrog cov qhab nia dav dav xws li Helicobacter pylori antibody, hnub nyoog thiab poj niam txiv neej, los txiav txim siab Txoj kev pheej hmoo ntawm mob qog noj ntshav hauv plab, los ntawm qhov system ntsuas qhov mob qog noj ntshav hauv plab, tuaj yeem tshuaj xyuas cov pab pawg nruab nrab thiab cov pab pawg muaj feem yuav mob qog noj ntshav hauv plab.
Yuav muaj kev kuaj mob endoscopy thiab kev saib xyuas rau cov pab pawg nruab nrab thiab cov neeg muaj feem yuav mob hnyav. Cov pab pawg uas muaj feem yuav mob hnyav yuav raug kuaj tsawg kawg ib xyoos ib zaug, thiab cov pab pawg uas muaj feem yuav mob hnyav yuav raug kuaj tsawg kawg ib zaug txhua 2 xyoos ib zaug. Qhov tseeb uas pom tau yog mob qog noj ntshav thaum ntxov, uas tuaj yeem kho tau los ntawm kev phais endoscopic. Qhov no tsis yog tsuas yog ua rau kom tus nqi kuaj pom mob qog noj ntshav thaum ntxov xwb, tab sis kuj tseem txo qhov tsis tsim nyog ntawm kev kuaj endoscopy rau cov pab pawg uas muaj feem yuav mob hnyav.
5 Gastroscopy yog dab tsi?
Hais yooj yim xwb, kev kuaj gastroscopy yog kev kuaj mob endoscopic morphological ntawm cov qhov txhab uas pom tias muaj teeb meem tib lub sijhawm nrog kev kuaj gastroscopy niaj hnub, suav nrog kev kuaj mob dawb, kev kuaj chromoendoscopy, kev kuaj magnifying endoscopy, kev kuaj confocal endoscopy thiab lwm yam. Kev txiav txim siab seb qhov mob puas zoo lossis tsis zoo, thiab tom qab ntawd yuav kuaj xyuas qhov mob uas xav tias muaj teeb meem, thiab kev kuaj mob zaum kawg yog ua los ntawm kev kuaj mob. Txhawm rau txiav txim siab seb puas muaj cov qhov txhab mob qog noj ntshav, qhov loj ntawm kev nkag mus rau sab nraud ntawm qhov mob qog noj ntshav, qhov tob ntawm kev nkag mus rau ntsug, qhov sib txawv ntawm qhov sib txawv, thiab seb puas muaj cov cim qhia rau kev kho mob me me.
Piv rau kev kuaj mob gastroscopy ib txwm muaj, kev kuaj mob gastroscopic yuav tsum tau ua nyob rau hauv qhov mob tsis mob, tso cai rau cov neeg mob kom so kom txaus hauv lub sijhawm pw tsaug zog luv luv thiab ua gastroscopy kom muaj kev nyab xeeb. Gastroscopy muaj qhov xav tau siab rau cov neeg ua haujlwm. Nws yuav tsum tau kawm txog kev kuaj mob qog noj ntshav thaum ntxov, thiab cov kws kho mob endoscopist uas muaj kev paub dhau los tuaj yeem ua qhov kev kuaj mob kom ntxaws ntxiv, kom thiaj li kuaj tau cov qhov txhab zoo dua thiab ua qhov kev tshuaj xyuas thiab kev txiav txim siab tsim nyog.
Kev kuaj mob plab hnyuv (gastroscopy) muaj qhov yuav tsum tau siv cov khoom siv ntau, tshwj xeeb tshaj yog nrog cov thev naus laus zis txhim kho duab xws li chromoendoscopy/electronic chromoendoscopy lossis magnifying endoscopy. Kev kuaj mob plab hnyuv los ntawm ultrasound kuj tseem xav tau yog tias tsim nyog.
6 Kev Kho Mob Rau Mob Cancer Hauv Plab Thaum Ntxov
1. Kev phais mob los ntawm kev siv lub koob yees duab los txiav cov qog
Thaum kuaj pom tias muaj mob qog noj ntshav hauv plab thaum ntxov, kev phais mob los ntawm kev siv txoj kev endoscopic yog qhov kev xaiv thawj zaug. Piv rau kev phais mob ib txwm muaj, kev phais mob los ntawm kev siv txoj kev endoscopic muaj qhov zoo ntawm kev raug mob tsawg dua, muaj teeb meem tsawg dua, rov zoo sai dua, thiab tus nqi qis dua, thiab qhov ua tau zoo ntawm ob qho no yeej zoo ib yam. Yog li ntawd, kev phais mob los ntawm kev siv txoj kev endoscopic yog qhov kev kho mob zoo tshaj plaws hauv tsev thiab txawv teb chaws rau mob qog noj ntshav hauv plab thaum ntxov.
Tam sim no, cov kev phais mob endoscopic uas siv ntau tshaj plaws suav nrog endoscopic mucosal resection (EMR) thiab endoscopic submucosal dissection (ESD). Ib txoj kev siv tshuab tshiab uas tau tsim, ESD single-channel endoscopy, tuaj yeem ua tiav ib zaug xwb ntawm cov qhov txhab uas tob rau hauv cov leeg nqaij, thaum tseem muab kev ntsuas qhov mob kom raug kom txo qhov rov tshwm sim lig.
Yuav tsum nco ntsoov tias kev phais endoscopic resection yog kev phais mob uas tsis tas phais ntau, tab sis tseem muaj ntau yam teeb meem, feem ntau suav nrog kev los ntshav, kev tawg, Stenosis, mob plab, kev kis kab mob, thiab lwm yam. Yog li ntawd, kev saib xyuas tus neeg mob tom qab phais, kev rov zoo, thiab kev tshuaj xyuas yuav tsum koom tes nrog kws kho mob kom rov zoo sai li sai tau.
2 Kev phais mob Laparoscopic
Kev phais mob laparoscopic tuaj yeem xav txog rau cov neeg mob uas muaj mob qog noj ntshav hauv plab thaum ntxov uas tsis tuaj yeem phais endoscopic. Kev phais mob laparoscopic yog qhib cov kav dej me me hauv tus neeg mob lub plab. Laparoscopes thiab cov cuab yeej ua haujlwm raug tso rau hauv cov kav dej no yam tsis muaj kev puas tsuaj rau tus neeg mob, thiab cov ntaub ntawv duab hauv lub plab raug xa mus rau qhov screen tso saib los ntawm laparoscope, uas ua tiav raws li kev taw qhia ntawm laparoscope. Kev phais mob qog noj ntshav hauv plab. Kev phais mob laparoscopic tuaj yeem ua tiav kev phais mob laparotomy ib txwm muaj, ua qhov loj lossis tag nrho gastrectomy, txiav cov qog ntshav uas tsis paub meej, thiab lwm yam, thiab muaj tsawg dua los ntshav, tsawg dua kev puas tsuaj, tsawg dua qhov caws pliav tom qab phais, tsawg dua qhov mob, thiab rov zoo sai dua ntawm kev ua haujlwm ntawm lub plab zom mov tom qab phais.
3. Kev phais qhib
Vim tias 5% txog 6% ntawm cov mob qog nqaij hlav hauv plab thiab 15% txog 20% ntawm cov mob qog nqaij hlav hauv plab muaj cov qog nqaij hlav hauv plab, tshwj xeeb tshaj yog cov qog nqaij hlav adenocarcinoma uas tsis txawv ntawm cov poj niam hluas, kev phais laparotomy ib txwm muaj peev xwm xav txog, uas tuaj yeem raug tshem tawm thiab phais Lymph node.
kev xaus lus
Txawm hais tias mob qog noj ntshav hauv plab yog qhov txaus ntshai heev los xij, nws tsis yog qhov txaus ntshai. Tsuav yog kev paub txog kev tiv thaiv zoo dua, mob qog noj ntshav hauv plab tuaj yeem kuaj pom raws sijhawm thiab kho tau thaum ntxov, thiab nws muaj peev xwm ua tiav kev kho kom zoo. Yog li ntawd, nws raug pom zoo tias cov pab pawg neeg muaj kev pheej hmoo siab tom qab hnub nyoog 40 xyoo, txawm tias lawv muaj kev tsis xis nyob hauv txoj hnyuv, yuav tsum tau kuaj mob qog noj ntshav hauv plab thaum ntxov, lossis yuav tsum tau ntxiv kev kuaj mob plab hnyuv rau hauv kev kuaj lub cev ib txwm muaj kom pom tias muaj mob qog noj ntshav thaum ntxov thiab cawm tau ib txoj sia thiab tsev neeg zoo siab.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip,polyp snare, koob txhaj tshuaj sclerotherapy, tshuaj tsuag catheter, cov txhuam cytology, txoj hlua qhia, pob zeb rov qab tau pob zeb, lub raj xa dej ntawm lub qhov ntswgthiab lwm yam uas siv dav hauv EMR, ESD, ERCP. Peb cov khoom muaj ntawv pov thawj CE, thiab peb cov nroj tsuag muaj ntawv pov thawj ISO. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab tau txais kev lees paub thiab qhuas los ntawm cov neeg siv khoom!
Lub sijhawm tshaj tawm: Lub Rau Hli-21-2022