EMR yog dab tsi? Cia peb kos nws!

Ntau tus neeg mob ntawm lub chaw ua haujlwm gastroenterology lossis chaw kho mob endoscopy raug pom zoo rau kev phais mob endoscopic mucosal (EMR). Nws nquag siv, tab sis koj puas paub txog nws cov lus qhia, kev txwv, thiab kev ceev faj tom qab phais?

Kab lus no yuav qhia koj txog cov ntaub ntawv tseem ceeb EMR los pab koj txiav txim siab paub thiab ntseeg siab.

Yog li, EMR yog dab tsi? Cia peb kos ua ntej thiab saib…

❋ Cov lus qhia txog kev tso cai hais li cas txog cov lus qhia rau EMR? Raws li cov lus qhia txog kev kho mob plab hnyuv hauv Nyij Pooj, Suav Cov Kws Tshaj Lij Pom Zoo, thiab European Society of Endoscopy (ESGE), cov lus qhia tam sim no tau pom zoo rau EMR suav nrog cov hauv qab no:

Ⅰ. Benign polyps los yog adenomas

● Cov kab mob ≤ 20 mm nrog cov npoo ntshiab

● Tsis muaj cov cim qhia pom tseeb ntawm kev cuam tshuam submucosal

● Laterally Spreading Tumor (LST-G)

Ⅱ. Focal high-qib intraepithelial neoplasia (HGIN)

● Mucosal-limited, tsis muaj ulceration

● Cov kab mob me dua 10 hli

● Zoo-differentiated

Ⅲ. Me me dysplasia los yog qib qis nrog cov kab mob ntshiab thiab kev loj hlob qeeb

◆ Cov neeg mob pom tau tias tsim nyog rau kev phais tom qab kev soj ntsuam

⚠ Ceeb Toom: Txawm hais tias cov lus qhia tau hais tias EMR tuaj yeem siv tau rau cov qog nqaij hlav thaum ntxov yog tias qhov mob me me, tsis muaj mob, thiab nyob hauv cov mucosa, hauv kev kho mob tiag tiag, ESD (endoscopic submucosal dissection) feem ntau nyiam los xyuas kom meej qhov kev txiav txim tiav, kev nyab xeeb, thiab kev ntsuam xyuas kab mob raug.

ESD muaj ntau yam zoo:

En bloc resection ntawm qhov txhab yog ua tau

Yooj yim rau kev ntsuam xyuas cov paj, txo qhov kev pheej hmoo ntawm kev rov tshwm sim

Haum rau cov kab mob loj lossis ntau dua

Yog li, EMR yog tam sim no siv feem ntau hauv kev kho mob rau:

1. Cov kab mob zoo uas tsis muaj kev pheej hmoo ntawm mob qog noj ntshav

2. Me me, yooj yim resectable polyps lossis colorectal LSTs

⚠ Kev ceev faj tom qab phais

1. Kev Tswj Xyuas Kev Noj Qab Haus Huv: Rau thawj 24 teev tom qab kev phais, tsis txhob noj lossis haus cov dej ntshiab, ces maj mam hloov mus rau cov khoom noj mos. Tsis txhob noj zaub mov ntsim, astringent, thiab khaus khaus.

2.Kev siv tshuaj: Proton twj tso kua mis inhibitors (PPIs) feem ntau yog siv tom qab kev phais mob rau cov kab mob plab los txhawb kev kho mob thiab tiv thaiv los ntshav.

3.Complication Monitoring: Ceev faj txog cov tsos mob tom qab los ntshav los yog perforation, xws li melena, hematemesis, thiab mob plab. Nrhiav kev kho mob sai yog tias muaj kev txawv txav tshwm sim.

4. Kev Npaj Saib Xyuas: Npaj cov kev mus ntsib tom qab thiab rov ua qhov endoscopies raws li kev tshawb pom kab mob.

Yog li, EMR yog cov txheej txheem tseem ceeb rau kev tshem tawm cov kab mob hauv plab. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab nws cov lus qhia kom raug thiab tsis txhob siv ntau dhau lossis siv tsis raug. Rau cov kws kho mob, qhov no yuav tsum tau txiav txim siab thiab kev txawj ntse; rau cov neeg mob, nws xav tau kev ntseeg siab thiab kev nkag siab.

Cia peb pom dab tsi peb tuaj yeem muab rau EMR.

Ntawm no yog peb EMR ntsig txog endoscopic consumables uas suav nrogHemostatic Clips,Polypectomy Snare,Txhaj koobthiabBiopsy Forceps.