EMR yog dab tsi? Cia peb kos nws!

Muaj ntau tus neeg mob ntawm chav kho mob plab hnyuv lossis chaw kuaj mob endoscopy raug pom zoo kom phais qhov mucosal endoscopic (EMR). Nws siv ntau zaus, tab sis koj puas paub txog nws cov cim qhia, kev txwv, thiab kev ceev faj tom qab phais?

Tsab xov xwm no yuav coj koj mus rau cov ntaub ntawv tseem ceeb ntawm EMR kom pab koj txiav txim siab tau zoo dua thiab ntseeg siab dua.

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

❋Cov lus qhia tseem ceeb hais li cas txog cov cim qhia rau EMR? Raws li Japanese Gastric Cancer Treatment Guidelines, Chinese Expert Consensus, thiab European Society of Endoscopy (ESGE) cov lus qhia, cov cim qhia tam sim no pom zoo rau EMR suav nrog cov hauv qab no:

Ⅰ. Cov polyps lossis adenomas zoo

● Cov qhov txhab ≤ 20 hli nrog cov npoo meej

● Tsis muaj cov cim qhia meej tias muaj kev nkag mus rau hauv cov hlab ntsha hauv qab

● Mob qog nqaij hlav kis mus rau sab nraud (LST-G)

Ⅱ. Focal high-grade intraepithelial neoplasia (HGIN)

● Txwv cov kua ntswg, tsis muaj qhov txhab

● Cov qhov txhab me dua 10 hli

● Zoo sib txawv

Ⅲ. Mob dysplasia me me los yog cov qhov txhab me me uas muaj kab mob pom tseeb thiab loj hlob qeeb

◆ Cov neeg mob uas pom zoo rau kev phais tom qab kev soj ntsuam tom qab

⚠ Ceeb Toom: Txawm hais tias cov lus qhia hais tias EMR siv tau rau cov mob qog nqaij hlav theem pib yog tias qhov mob me me, tsis muaj qhov txhab, thiab tsuas yog nyob rau hauv cov mucosa, hauv kev kho mob tiag tiag, ESD (endoscopic submucosal dissection) feem ntau yog qhov zoo dua los xyuas kom meej tias muaj kev phais tiav, kev nyab xeeb, thiab kev ntsuam xyuas kab mob kom raug.

ESD muaj ntau qhov zoo tseem ceeb:

Kev txiav tawm ntawm qhov mob hauv ib qho bloc yog ua tau

Pab txhawb kev ntsuam xyuas qhov nce, txo qhov kev pheej hmoo ntawm kev rov tshwm sim

Haum rau cov qhov txhab loj dua lossis nyuaj dua

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

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

2. Cov polyps me me, yooj yim phais lossis LSTs ntawm txoj hnyuv loj

⚠ Kev Ceeb Toom Tom Qab Kev Phais Mob

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

2. Kev Siv Tshuaj: Cov tshuaj Proton pump inhibitors (PPIs) feem ntau yog siv tom qab phais mob rau cov qhov txhab hauv plab kom pab kho qhov txhab thiab tiv thaiv kev los ntshav.

3. Kev Saib Xyuas Qhov Teeb Meem: Ceev faj txog cov tsos mob tom qab phais mob uas yog los ntshav lossis tawg, xws li melena, hematemesis, thiab mob plab. Yog tias muaj teeb meem tshwm sim, nrhiav kev kho mob tam sim ntawd.

4. Txoj Kev Npaj Tshuaj Xyuas: Npaj cov kev mus ntsib kws kho mob tom qab thiab rov ua qhov kev kuaj mob endoscopy raws li cov ntaub ntawv kuaj pom txog kab mob.

Yog li ntawd, EMR yog ib txoj kev tseem ceeb rau kev txiav cov qhov txhab ntawm txoj hnyuv. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab txog nws cov cim qhia thiab zam kev siv ntau dhau lossis siv tsis raug. Rau cov kws kho mob, qhov no yuav tsum muaj kev txiav txim siab thiab kev txawj ntse; rau cov neeg mob, nws yuav tsum muaj kev ntseeg siab thiab kev nkag siab.

Cia peb saib seb peb tuaj yeem muab dab tsi rau EMR.

Nov yog peb cov khoom siv endoscopic EMR uas suav nrogCov Yeeb Nkab Hemostatic,Kev phais tshem polypectomy,Koob txhaj tshuajthiabCov Cwj Pwm Siv Rau Kev Siv Biopsy.