Na 2017, Òtù Ahụ Ike Ụwa tụrụ aro atụmatụ nke"Nchọpụta mmalite, nchọpụta mmalite, na ọgwụgwọ mmalite", nke e bu n'obi ichetara ọha mmadụ ka ha ṅaa ntị na mgbaàmà n'ọdịnihu.Mgbe ọtụtụ afọ nke ezigbo ego ụlọ ọgwụ,Atụmatụ atọ a aghọwo ụzọ kacha dị irè isi gbochie ọrịa kansa.
Dị ka akwụkwọ akụkọ "Global Cancer Report 2020" nke WHO wepụtara, a na-ebu amụma na ọnụ ọgụgụ ọrịa cancer ọhụrụ n'ụwa niile ga-abawanye ruo nde 30.2 na 2040 na ọnụ ọgụgụ ndị nwụrụ ga-eru nde 16.3.
N'afọ 2020, a ga-enwe ọrịa kansa ọhụrụ nde iri na itoolu n'ụwa.N'oge ahụ, ọrịa cancer atọ ndị nwere ọnụ ọgụgụ kasị ukwuu nke ọrịa cancer n'ụwa bụ: ọrịa ara ara (nde 22.61), ọrịa cancer akpa ume (nde 2.206), colon (nde 19.31), na ọrịa cancer afọ nke ise na 10.89 nde ,n'ọnụ ọgụgụ nke ọrịa cancer ọhụrụ, ọrịa cancer eriri afọ na ọrịa kansa afọ bụ 15.8% nke ọrịa cancer ọhụrụ niile.
Dị ka anyị niile maara, traktị Manhua na-ezo aka site n'ọnụ ruo n'ọnụ ụzọ egwurugwu, nke gụnyere eriri afọ, afọ, eriri afọ, nnukwu eriri afọ (cecum, appendix, colon, rectum na anal canal), imeju, pancreas, wdg. na colorectum na ọrịa cancer ọhụrụ zuru ụwa ọnụ Ọrịa cancer na ọrịa afọ afọ abụọ so na tract digestive, ya mere ọrịa cancer ndị metụtara tract digestive kwesịkwara ileba anya na atụmatụ "n'oge atọ" kwesịrị itinye n'ọrụ.
N'afọ 2020, ọnụọgụ ọrịa kansa ọhụrụ na obodo m erutekwara nde 4.5, ọnụ ọgụgụ ndị nwụrụ kansa bụ nde 3.Ihe dị ka mmadụ 15,000 na-achọpụta ọrịa kansa kwa ụbọchị, na mmadụ 10.4 na-achọpụtakwa ọrịa kansa kwa nkeji.Nke ise bụ ọrịa kansa akpa ume(na-aza 17.9% nke ọrịa cancer ọhụrụ niile),cancer colorectal (12.2%), ọrịa kansa afọ (10.5%),ọrịa ara ara (9.1%), na ọrịa imeju (9%).N'ime ọrịa cancer ise kachasị elu naanị,ọrịa cancer eriri afọ bụ 31.7% nke ọrịa cancer ọhụrụ niile.Enwere ike ịhụ na anyị kwesịrị itinyekwu uche na nchọpụta na mgbochi ọrịa cancer tract digestive.
Ihe na-esonụ bụ mbipụta 2020 (nyocha pụrụ iche na mgbochi mgbochi nke etuto Chang Beihui nke ndị mmadụ) metụtara mgbochi mgbu na atụmatụ nyocha nke tract digestive:
Ọrịa cancer agba
Ihe dị oke egwu
1.Asymptomatic ndị mmadụ karịrị 1.45 afọ;
2.Ndị karịrị 240 nwere mgbaàmà anorectal maka izu abụọ":
3.Ndị na-arịa ọrịa ọnya ọnya ruo ogologo oge;
4.4 ndị mmadụ mgbe ịwa ahụ cancer colorectal;
5. Ọnụ ọgụgụ ndị mmadụ mgbe ọgwụgwọ nke adenoma colorectal;
6. Ndị ikwu ozugbo nwere akụkọ ihe mere eme ezinụlọ nke ọrịa cancer colorectal
7. Ndị ikwu ozugbo nke ndị ọrịa chọpụtara na ha nwere ọrịa cancer colorectal ketara eketa bụ ndị gafere afọ 20.
Ntụnye nyocha
1. "Obodo Ohaneze" na-ezute 1-5:
(1) Nyocha ọrịa cancer nke ụkwara na-amalite mgbe ọ dị afọ 45, n'agbanyeghị nwoke ma ọ bụ nwanyị, a na-achọpụta ọbara mgbaasị (FOBT) otu ugboro n'afọ.
Colonoscopy kwa afọ 10 ruo afọ 75;
(2) Ndị dị afọ 76-85, ndị nwere ezi ahụ ike, na ndị nwere ndụ ihe karịrị afọ 10, nwere ike ịnọgide na-ejigide ihe ịchọ mma ahụ.
2 N'ikwekọ na "nyocha ụlọ ọgwụ nke ndị òtù ezinụlọ nwere akụkọ ihe mere eme nke ezinụlọ nke ọrịa cancer colorectal:
(1) 1 onye ikwu nke mbụ nwere adenoma ma ọ bụ ihe mgbu (afọ mmalite bụ ihe na-erughị afọ 60), 2
Ndị ikwu nke mbụ na karịa nwere adenoma dị elu ma ọ bụ ọrịa kansa (afọ ọ bụla nke mmalite), malite na afọ 40 (ma ọ bụ malite na 10 afọ karịa afọ mmalite nke onye òtù ezinụlọ kacha nta), nyocha FOBT ozugbo. afọ, otu ugboro kwa afọ 5 Colonoscopy;
(2) Isiokwu ndị nwere nnukwu ihe ize ndụ nwere akụkọ ezinụlọ nke ndị ikwu ogo mbụ (naanị 1, na afọ mmalite dị elu karịa afọ 60):
Malite ịlele mgbe ị dị afọ 40, jiri ule FOBT kwa afọ yana nyocha colonoscopy kwa afọ iri.3 Nyochaa ndị òtù ezinụlọ nke nzukọ "ọrịa cancer colorectal eketa" 7;
Maka ndị otu ezinaụlọ nke ndị ọrịa nwere FAP na HNPCC, a na-atụ aro nyocha mkpụrụ ndụ ihe nketa mgbe mkpụrụ ndụ ihe nketa na nke mbụ n'ime ezinụlọ doro anya.
(1) Maka ndị nwere nyocha mkpụrụ ndụ ihe nketa dị mma, mgbe afọ 20 gasịrị, a ga-eme colonoscopy kwa afọ 1-2 ọ bụla;(2) Maka ndị nwere ule mgbanwe mkpụrụ ndụ na-adịghị mma, a ga-enyocha ndị mmadụ n'ozuzu ha.Ụzọ 4 akwadoro maka ịlele:
(1) Nnwale FOBT + nyocha n'etiti olu bụ isi ụzọ nyocha Han, ihe akaebe zuru oke:
(2) Nchọpụta mkpụrụ ndụ ọtụtụ ebumnuche nwere ike inye aka mee ka ngụkọ ahụ dịkwuo mma, ọnụ ahịa ya dịkwa oke ọnụ;(3) Ọ bụrụ na ọnọdụ kwere, enwere ike ịme nyocha site na ijikọta stool na usoro ọbara.
Ndụmọdụ mgbochi:
1. Mmega ahụ nwere ike ibelata ọnọdụ etuto ahụ nke ọma, na-agbaso nduzi egwuregwu, na igwu mmiri iji zere oke ibu;
2. Nri ụbụrụ dị mma, na-abawanye oriri nke crude fiber na mkpụrụ osisi ọhụrụ, ma zere nri ndị nwere abụba na protein dị elu;
3 Ọgwụ mgbochi mkpali na mgbochi ọrịa cancer na-abụghị nke anụ ahụ nwere ike ịdị irè n'igbochi ọrịa kansa afọ.Ndị agadi nwere ike ịnwale ọgwụ aspirin dị ntakịrị, nke nwere ike ibelata ihe ize ndụ nke ọrịa obi na akwara ozi na ọrịa cancer eriri afọ.Kpọtụrụ dọkịta maka ojiji a kapịrị ọnụ.
5. Belata ise siga iji zere nsi ya ogologo oge na mkpali mkpali na Qinghua Dao.
Ọrịa cancer afọ
Ihe dị oke egwu
Onye ọ bụla nwere otu n'ime ọnọdụ ndị a bụ ihe dị oke egwu;
1. Ihe karịrị afọ 60;
2 agafeghị oke na oké atrophic gastritis;
3. Ọnya afọ na-adịghị ala ala;
4. Polyps afọ;
5. Nnukwu mpịachi akara nke mucosa gastric;
6. Postoperative residual afo maka benign ọrịa;
7. Remnant afo mgbe ịwa ahụ ọrịa cancer gastric (ọnwa 6-12 mgbe ịwachara ahụ);
8. ọrịa Helicobacter pylori;
9. Akụkọ ezinụlọ doro anya nke ọrịa kansa afọ ma ọ bụ nke esophageal;
10. Anaemia dị njọ:
11. Ezinụlọ adenomatous polyposis (FAP), ihe nketa na-abụghị polyposis colon cancer (HNPCC) akụkọ ihe mere eme ezinụlọ.
Ntụnye nyocha
Afọ> 40 afọ nwere mgbu afọ, mgbakasị afọ, regurgitation acid, nrekasi obi na mgbaàmà ndị ọzọ nke ahụ erughị ala epigastric, na gastritis na-adịghị ala ala, gastric mucosal intestinal metaplasia, gastric polyps, afọ fọdụrụnụ, nnukwu eriri afọ gastric, ọnya afọ na-adịghị ala ala na gastric epithelial atypia. Hyperplasia na ọnya ndị ọzọ na ihe ndị nwere akụkọ ihe mere eme ezinụlọ nke etuto kwesịrị ịdị na-eme gastroscopy mgbe niile dịka ndụmọdụ ndị dọkịta si dị.
Ndụmọdụ mgbochi
1. Melite omume iri nri na usoro nri, ọ bụghị iribiga nri ókè;
2. Mkpochapụ ọrịa Helicobacter pylori;
3. Belata oriri oyi, ose, oke ọkụ na nri siri ike, yana nri nwere nnu dị ka anwụrụ ọkụ na pickled.
4. Kwụsị ise siga;
5. Na-aṅụ obere mmanya ma ọ bụ na-aṅụbiga mmanya ókè;
6. Wetuo obi ma gbadaa nke ọma
Ọrịa cancer nke esophageal
Ihe dị oke egwu
Afọ> 40 gbara afọ wee zute nke ọ bụla n'ime ihe egwu ndị a:
1. Site n'ebe dị elu nke ọrịa cancer esophageal na mba m (ebe kachasị njọ nke ọrịa cancer esophageal na obodo m dị na Hebei, Henan na Shanxi na mpaghara ndịda Taihang Mountain, karịsịa na Cixian County. na Qinling, Dabie Mountain, ugwu Sichuan, Fujian, Guangdong, Northern Jiangsu, Xinjiang, wdg ala na organic ụzọ abụọ na-lekwasị na elu-omume ebe);
2. Mgbaàmà nke eriri afọ nke elu, dị ka ọgbụgbọ, ọgbụgbọ, mgbu afọ, regurgitation acid, erughị ala na-eri nri na mgbaàmà ndị ọzọ;
3. Akụkọ ezinụlọ nke mgbu esophageal:
4. Na-ata ahụhụ site na ọrịa esophageal precancerous ọrịa ma ọ bụ precancerous ọnya:
5. Nwee nnukwu ihe ize ndụ maka ọrịa cancer esophageal dị ka ịṅụ sịga, ịṅụbiga mmanya ókè, oke ibu, mmasị nke nri ọkụ, squamous cell carcinoma nke isi na olu ma ọ bụ akụkụ iku ume;
6. Na-ata ahụhụ site na ọrịa reflux periesophageal (CERD);
7. Ọrịa papillomavirus mmadụ (HPV).
Ntụnye nyocha
Ndị mmadụ nwere nnukwu ihe ize ndụ nke ọrịa cancer esophageal:
1. Nkịtị endoscopy, otu ugboro n'afọ abụọ;
2 Endoscopy na nchọpụta pathological nke dysplasia dị nro, endoscopy otu ugboro n'afọ;
3 Endoscopy na nchọpụta pathological nke dysplasia agafeghị oke, endoscopy kwa ọnwa isii
Ndụmọdụ mgbochi
1. Aṅụla sịga ma ọ bụ kwụsị ise siga;
2. Obere mmanya na-aba n'anya ma ọ bụ enweghị mmanya;
3. Rie nri ezi uche dị na ya, rie ọtụtụ mkpụrụ osisi na akwụkwọ nri ọhụrụ
4. Mee ka mgbatị ahụ dịkwuo elu ma nọgide na-enwe ahụ ike;
5. Ejila nri ọkụ ma ọ bụ ṅụọ mmiri ọkụ.
ọrịa imeju
Ihe dị oke egwu
Ndị ikom karịrị afọ 35 na ụmụ nwanyị karịrị afọ 45 n'ime otu ndị a:
1. Ọrịa ịba ọcha n'anya B (HBV) na-adịghị ala ala ma ọ bụ nje ịba ọcha n'anya C (HCV) na-adịghị ala ala;
2. Ndị nwere akụkọ ihe mere eme ezinụlọ nke ọrịa kansa imeju;
3. Ndị ọrịa nwere imeju imeju nke schistosomiasis kpatara, mmanya, biliary cirrhosis bụ isi, wdg;
4. Ndị ọrịa nwere mmebi imeju nke ọgwụ na-akpata;
5. Ndị ọrịa nwere ọrịa metabolic ketara eketa, gụnyere: hemochromatosis a-1 antitrypsin erughi, ọrịa nchekwa glycogen, egbu egbu egbu egbu porphyria, tyrosinemia, wdg;
6. Ndị na-arịa ọrịa ịba ọcha n'anya autoimmune;
7. Ndị ọrịa imeju na-adịghị egbu egbu (NAFLD).
Ntụnye nyocha
1. Ndị nwoke karịrị afọ 35 na ụmụ nwanyị karịrị afọ 45 nwere nnukwu ihe ize ndụ nke ọrịa kansa imeju kwesịrị nyocha;
2. Ngwakọta ọnụ nke serum alpha-fetoprotein (AFP) na imeju B-ultrasound, na-enyocha kwa ọnwa 6 ọ bụla.
Ndụmọdụ mgbochi
1. Mgbochi ịba ọcha n'anya B;
2. Ndị ọrịa nwere ịba ọcha n'anya na-adịghị ala ala kwesịrị ịnata ọgwụgwọ antiviral ozugbo enwere ike iji chịkwaa mmegharị nke nje ịba ọcha n'anya.
3. Zere ma ọ bụ belata ịṅụ mmanya;
4. Rie obere nri ma belata oriri nke abụba abụba
5. Zere iri nri ebu.
Ọrịa cancer pancreatic
Ihe dị oke egwu
Ndị mmadụ karịrị afọ 40, karịsịa karịa afọ 50, nwere nke ọ bụla n'ime ihe ndị a (ihe nke isii anaghị abawanye ohere nke ọrịa cancer pancreatic, mana a naghị eme nyocha n'ozuzu):
1. Akụkọ ezinụlọ nke ọrịa cancer pancreatic na ọrịa shuga;
2. Enwere akụkọ ihe mere eme nke ise siga ogologo oge, ịṅụ mmanya, oke abụba na nri protein dị elu;
3. Eju afọ nke etiti na nke elu, ahụ erughị ala, mgbu afọ na-enweghị ihe kpatara ya, na mgbaàmà dị ka ọnwụ nke agụụ, ike ọgwụgwụ, afọ ọsịsa, oke ibu, obere ihe mgbu, wdg;
4. Ugboro ugboro nke pancreatitis na-adịghị ala ala, karịsịa pancreatitis na-adịghị ala ala na nkume duct pancreatic, isi pancreatic duct-ụdị mucinous papilloma, mucinous cystic adenoma, na pseudopapillary tumor siri ike, na elu serum CA19-9;
5. Ọrịa shuga mellitus malitere na nso nso a na-enweghị akụkọ ezinụlọ;
6. Helicobacter pylori (HP) ziri ezi, akụkọ ihe mere eme nke periodontitis ọnụ, ọrịa PJ, wdg.
Ntụnye nyocha
1. A na-enyocha isiokwu ndị a kpọtụrụ aha n'elu na nsonaazụ nke nyocha ọbara nke ihe nrịbama tumor dị ka CA19-9, CA125 CEA, wdg, jikọtara ya na abdominal CT na MRI, na B-ultrasound nwekwara ike inye enyemaka kwekọrọ;
2. Nyocha CT ma ọ bụ MR otu ugboro n'afọ maka ọnụ ọgụgụ ndị a kpọtụrụ aha n'elu, karịsịa ndị nwere akụkọ ihe mere eme ezinụlọ na ọnya pancreatic dị adị.
Ndụmọdụ mgbochi
1. Kwụsị ise siga na ịchịkwa mmanya;
2. Kwalite nri ọkụ, dị mfe mgbaze, obere abụba nri;
3. Rie anụ ọkụkọ, azụ na oporo, ma kwalite oriri nke "+" akwụkwọ nri ifuru, dị ka kabeeji green, kabeeji, radish, broccoli, wdg;
4. Kwalite mmemme ikuku ikuku n'èzí
5. Iji gbochie mmebi nke ọnya na-adịghị mma, ndị nwere nkume duct pancreatic, papilloma intraductal mucinous papilloma na cystic adenoma ma ọ bụ ọnyá ndị ọzọ na-adịghị mma kwesịrị ịchọ nlekọta ahụike n'oge.
Anyị, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., bụ emeputa na China ọkachamara na endoscopic consumables, dị kabiopsy forceps, hemoclip, polyp ọnyà, sclerotherapy agịga, spray catheter, cytology brushes, guidewire, nkume eweghachite nkata, imi biliary drainage catheter wdg.nke a na-ejikarị na EMR, ESD, ERCP.Ngwaahịa anyị bụ CE asambodo, na osisi anyị bụ ISO asambodo.Ebupụla ngwongwo anyị na Europe, North America, Middle East na akụkụ nke Eshia, na-enwetakwa ndị ahịa nke nnabata na otuto!
Ike biopsy:https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip:https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
agịga sclerotherapy:https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
fesa catheter:https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
brushes cytology:https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
Ntuziaka ntuziaka:https://www.zrhendoscopy.com/gastrointestinal-endoscopic-ptfe-coated-ercp-hydrophilic-guidewire-product/
nkata eweghachite okwute:https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
imi biliary drainage catheter:https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
Oge nzipu: Sep-09-2022