N'ime ihe ọmụma a ma ama banyere gastric gastric, enwere ụfọdụ ihe ọmụma ọrịa na-adịghị ahụkebe nke chọrọ nlebara anya na mmụta pụrụ iche. Otu n'ime ha bụ ọrịa kansa na-adịghị mma. Echiche nke "ndị na-enweghị atụ nke epithelial" ugbu a bụ ihe a ma ama. A ga-enwe echiche dị iche n'okwu a na-eme. Nkwupụta ọdịnaya a bụ nke sitere na ọdịnaya metụtara akwụkwọ akụkọ "afọ na eriri afọ", aha ahụ na-ejikwa "ọnya na-adịghị mma".
Ofdị ọnya a nwere njirimara nke obere oge, ihe isi ike na njirimara, ihe ọmụma usoro, yana usoro Misda-Ghaziri. Mụta ihe ọmụma a chọrọ ihu n'ihe isi ike.
1. Ihe omuma nke oria HP
Aguguala
N'oge gara aga, a kwenyere na onye mere ya na-eme ihe mere na ihe omume na-eweta gastric bụ ọrịa cultment bụ HP - Atrophy - cultation. A matara ụdị ihe nlereanya kpochapụwo mgbe niile, nakweere ma kwenyesie ike. Tuber na-etolite na atrophy na n'okpuru omume nke HP, n'ihi na cancers na-etolite na eriri eriri afọ na obere ọgwụ na-abụghị ọgwụ.
E mesịa, ụfọdụ ndị dọkịta chọpụtara na ọnya gastric nwere ike ime ọbụlagodi na enweghị ọrịa HP. Ọ bụ ezie na ụkọ ihe dị obere, ọ ga-ekwe omume. A na-akpọ ụdị kansa ọrịa kansa a na-adịghị mma.
Iji nghọta nke ụdị ọrịa a, usoro ihe nlere anya usoro na nchịkọta amalitela, aha ya na-agbanwekarị. E nwere otu isiokwu na 2012 A kpọrọ "kansa ọrịa na-aga n'ihu mgbe m gbasịrị" ọrịa cancer "HP" A na-akpọ "Epithelial Turus bu oria." Aha ahụ na-agbanwe aha na-egosi na nghọta zuru oke.
Graddị Grand na usoro uto
E nwere ụdị anụ ụlọ abụọ na gland pyyric na afọ:
A na-ekesa glands nke na-akụ (maylenic) na mgbakwunye, ahụ, nku, wdg nke afọ. Ha na-ejikwa otu ụdị tutular. Ha bụ mkpụrụ ndụ mucous, sel isi, sel parms na sel endorks, nke ọ bụla na - arụ ọrụ nke ha. N'etiti ha, mkpụrụ ndụ na-ezo na Mucki zoro ezo dị mma, na mkpụrụ ndụ parital kọrọ na nzuzo na-ezo hydrochloric na ihe mgbochi;
Glands glands dị na mpaghara andtric acùm ma mejupụtara mkpụrụ ndụ imi na sel. Mkpụrụ ndụ imi bụ muc6 dị mma, na mkpụrụ ndụ nke njedebe na - agụ g, mkpụrụ ndụ ya na mkpụrụ ndụ panelfromaffin. Mkpụrụ sel na-ezo aka na-ezo aka na mkpụrụ osisi na-ezo nso, mkpụrụ ndụ na-ezo zoro ezo, na patatomaffin sel na-ezo aka 5-HT.
Mkpụrụ ndụ mucosal na mkpụrụ ndụ tucosal na-ezochi ụdị proteins mucia dị iche iche, nke na-ekewa ya "gastric" na "eriri afọ" na "nri" mucia "agwakọta". A na-akpọ ngosipụta nke gastric na eriri afọ na eriri afọ, ọ bụghị ihe dị iche iche nke afọ na eriri afọ.
Enwere phenotpyypes anọ nke akpa gastric: kpamkpam gastric, gastric - na-agwakọta agwakọta, na-eji eriri afọ gwakọtara, na eriri afọ. Tubers na-eme na ntọala nke eriri afọ na-abụkarị eriri afọ agwakọtara iche iche phenotpe. Ọrịa cancers dị iche iche na-egosi ụdị eriri afọ (ma gbanyụọ ọrịa cancers na-egosi ụdị gastric (muc5ac +, Muc_6 +).
Chọpụta HP na-achọ ka otu njikọta nke ọtụtụ ụzọ nchọpụta maka mkpebi siri ike. Ọrịa cancer na-adịghị mma na mmiri na-eme ka ọ bụrụ ọrịa kansa abụọ bụ echiche abụọ dị iche iche. Maka ozi na ngosipụta X-ray nke ọrịa cancer na-adịghị mma, biko rụtụ aka na ngalaba dị mkpa nke "afọ na internet".
2
Nchọpụta Endoscopic bụ ihe na-elekwasị anya cancer na-adịghị mma. Ọ bụ glland cancer ga - agụ ọgwụ ga - enwe ọrịa cancer na - a cancer cancertic, gastric na - eme ka celcific epomil, wdg.
1) GLAND CLANDS Constric cancer
-Olee ọnya
GLAND CLANDR CLANDR CANGHER CHARTTRIC BANTRIC
Ikpe 1: White, Elu
Nkọwa:Gastric funlic nke Counic nke Cardia, 10 mm, White, O-Lia (SMT-Dị ka), na-enweghị ọgwụ mgbochi ma ọ bụ metaplasia eriri afọ. Enwere ike ịhụ arịa dị ka arịa dị n'elu (NBI ma nwekwuo obere)
Nchoputa (jikọtara ya na petrology):U, O-1Ma, 9mm, GLANST Consuc cancer cancer cancer, pt1b / sm2 (600μm), vo, hmo, vmo
-Olee ogologo lasons
GLAND CLANDR CLANDR CANGHER CHARTTRIC BANTRIC
◆ Ikpe 2: White, White, Clat / Engsion Laless
Nkọwa:Mgbidi nke gastric nke gasmix nke ga - eme nke ọma, 14 mm, White, pịnye 0-1lc, na - enweghị eriri afọ, na arịa ọbara ọbara na-ahụ n'elu. (NBI na AMPPLIONBARA)
Nchoputa (jikọtara ya na petrology):U, 0-ILC, 14mm, GLAND CANDR CANGTR CANGHIC CANCER CANETRICECELCIC, PT1B / SM2 (700μm), VOT, HMO, VMO
-Eme ka ọ dị elu
GLAND CLANDR CLANDR CANGHER CHARTTRIC BANTRIC
◆ N'ikpe 3: acha ọbara ọbara na ebili mmiri
Nkọwa:Mgbidi dị ukwuu nke Cartia bụ 12 mm, o doro anya na-acha ọbara ọbara, na-enweghị acorsia ma ọ bụ eriri afọ na-adị n'elu (NBI ma nwekwuo obere)
Nchoputa (jikọtara ya na petrology):U, 0-1, 12mm, GLAND CANGR CANGTR CANGHIC CANCER CANELRIC BANSTRIC, PT1B / SM1 (200μM), 200μM), vyo, hmo, vmo
-Eme, larịị, dara ada n'alas
GLAND CLANDR CLANDR CANGHER CHARTTRIC BANTRIC
◆ N'ikpe 4: Red, Flat / Efule Elu
Nkọwa:Mgbidi dị elu nke akụkụ ahụ dị elu nke akụkụ gastric, 18mm, ụdị ọbara ọbara, enweghị arịa ọbara, (NBI na Ngalaba Mbinye ama)
Nchoputa (jikọtara ya na petrology):U, O-1LC, 19mm, GLAND TYSTRIC CANGER CANELRICELCELT, PT1B / SM1 (400μm), nke a, hmo, vmo, vmo, vmo
ikpa maka
Lesmụ nwoke nwere ọrịa a tọrọ ụmụ nwanyị, na afọ ole na ole bụ afọ 67.7. N'ihi ihe eji eme ihe ngosi na heterochrooty, ndi oru choputara na Granch Tyn consic colr cancer cancer cancer cancer cancer na-emegharị otu ugboro n'afọ. Saịtị a na-ahụkarị bụ mpaghara GLAND nke dị n'etiti na elu nke afọ (ego na etiti na elu akụkụ nke gastric ahụ). White smt-dị ka ọnya ebili mmiri na-abụkarị ndị a na-ahụkarị. Ọgwụgwọ bụ isi a chọpụtara EMR / ESD.
Achọpụtala ọgba aghara ma ọ bụ mwakpo vaskụla ruo ugbu a. Mgbe ọgwụgwọ gachara, ọ dị mkpa iji chọpụta ma ọ ga-arụ ọrụ ahụ ma nyochaa mmekọrịta dị n'etiti ọnọdụ ọjọọ na HP. Ọ bụghị ụdị ọrịa cancertric na-eme mkpọtụ bụ HP adịghị mma.
1) gland cold mucosal gastric
Gland cold na-egbu egbu
Ikpe 1
Nkọwa:A ga-ahụ ya na ọnya ahụ, a pụrụ ịhụ na-enweghị mgbochi na-enweghị eriri na-enweghị mgbochi. Enwere ike ịhụ microvid na ngwa ngwa na ngwaa nke Me-NBI, na dl.
Nchoputa (jikọtara ya na petrology):Colstant gland na-egbu egbu, u mpaghara, 0A, 47 * 37 * 37), PT1A, LYO, hmo, vmo
Gland cold na-egbu egbu
Ikpe 2
Nkowa: Leskwụ dị larịị dị larịị nke dị ala nke carvature nke Cartia, yana discoloration na-acha uhie uhie, enwere ike ịhụ arịa ọbara ọbara n'elu, a na-akpọlite akwara ọbara.
Nchoputa (jikọtara ya na petrology): Cold cancer gastric gastric, 0-lla, ptta, m, m, lyov0, hm0, vmo
ikpa maka
Aha nke "gastric gland mucomal adenocinnomi" bụ ntakịrị ihe siri ike ịkpọpụta, ọnụego onodu ojoo di ala. Ọ chọrọ mgbalị ndị ọzọ iji mata ma ghọta ya. Andenocan mucosal adenocarmino nwere njirimara dị elu.
E nwere njiri mara anọ nke Limiscopy Lightcopy: ① Homochitic-na-ada ụda; ② Natuepithelial tumo; ③ Obere arịa sitere na arịa ọbara dandritic; Mpempe akwụkwọ mpaghara mpaghara. M na arụmọrụ: DL (+) IMMP (+) IMSP (+ mce) mce metienti IP ma na-abawanye. Iji usoro MESDA-GRA atụ aro, 90% nke GLANCE CLANDS MUCOSTERSTERSTERSTERSTERSTERSTERS ọrịa na-ezute nchoputa.
3) Adenoma Adenoma (Pyloric Grand PGA)
gastric kwadenoma
Ikpe 1
Nkọwa:A na-ahụ oghere dị ọcha dị larịị na mgbidi nke gabigara nke gastric nke gabigara ókè. A na-ahụ ọdịdị Indigo na-egosighị ókè ihe doro anya, a na-ahụ ọdịdị Lst-G-dị ka nnukwu eriri afọ (bukwuo ntakịrị).
Nchoputa (jikọtara ya na petrology):ala Ascia Carcinoma, o-1LA, 47 * Dubularcinoma, PT1A / m, m, LYO, hmo, vmo
gastric kwadenoma
Ikpe 2
Nkowa: Eserede na nodules na mgbidi nke etiti akụkụ ahụ gastric. Enwere ike ịhụ ozu gastritis dị na ndabere. Enwere ike ịhụ indigo carmine dị ka ókè. (NBI na anya dịtụ)
PaatholojiA hụrụ Muc5ac na Epithelium Epithelium, na Muc 22 okwu na Epithelium Epithelium. Nchọpụta ikpeazụ bụ PGA.
ikpa maka
Adenomas gastric glands glands na-abanye strama ma kpuchie ya. N'ihi ụkọ nke glandular, nke bụ henomas ma ọ bụ nodulas, gastric aenomas hụrụ na-acha ọcha na-acha ọcha na-acha ọcha bụ niile na nke na-agbagha. Ọ dị mkpa ị attentiona ntị na ọkwa 4 nke Jiu Ming n'okpuru nyocha Endoscopic. Me-NBI nwere ike ilele njiri mara papillary / vislious nke PGA. PGA abụghị ezigbo HP na-adịghị mma na enweghị ọrịa, ma nwee ụfọdụ ihe ize ndụ nke ịrịa. A na-atụ aro nyocha nyocha mmalite na usoro ọgwụgwọ mbụ, yana mgbe nchọpụta ahụ gasịrị, arụ ọrụ en bloc na nyocha zuru ezu.
4) (utu-dị ka) na-agagharị nke mmiri
Rulpberry na-eme ka ọrịa epitelic
Ikpe 2
Nkọwa:(Wepụ)
Nchoputa (jikọtara ya na petrology): Ọrịa Cancetọlarị
Rulpberry na-eme ka ọrịa epitelic
Ikpe 3
Nkọwa:(Wepụ)
Nchoputa (jikọtara ya na petrology):Ọrịa Averialar
ikpa maka
Upberry, a na-akpọ "Tubai'er" na obodo anyị, bụ mkpụrụ ọhịa ọhịa n'okporo ụzọ mgbe anyị bụ ụmụaka. A na-ejikọ epothelium epithelium na glands, mana ha abụghị otu ọdịnaya. Ọ dị mkpa ịghọta uto na njiri mara nke mkpụrụ ndụ epithelical. Raspberry Epithelic gastric dị ka polypps gastric ma nwee ike hiere ụzọ maka polypins gastric. Akụkụ nke ndị na-ekwu okwu na-egosi na ha bụ ngosipụta nke muc5ac. Ya mere, na-efe efe nappinoma bụ ihe zuru oke maka ụdị a. Ọ nwere ike ịdị na HP na-adịghị mma, dị mma, ma ọ bụ mgbe ọpụpụ. Ngosiputa Endoscopic: Gburugburu ahihia na-acha uhie uhie na-acha uhie uhie - dika ibu, n'ozuzu ya na ókèala doro anya.
5) Boogcinoma mgbago
Ihe ederede na-emegharị anya
Ihe ederede na-emegharị anya
debanye aha mgbanaka
Ikpe 1
Nkọwa:A na-ahụ anya dị larịị na mgbidi nke ga - eme ka eriri afọ nke ga - eme, 10 mm, dị iche iche, na - enweghị acRelination na rexeals, IMVP (-) IMSP (-)
Nchoputa (jikọtara ya na petrology):A na-eji ụdị mkpụrụ osisi ASD mee ihe iji nweta akara mgbatị mgbaaka.
Isi ihe ndị siri ike
Boottinet Rank Carcinoma bụ ụdị ojoo. Dabere na nhazi ọkwa Lauren, gastric mgbatị ahụ gastric na-ekewa dị ka ụdị carcinoma na-enweghị atụ. Ọ na - emekarị na ahụ afọ, ma na - ahụkarị na larịị na ọnya mmiri nke nwere ụda dị iche iche. Eserese ogologo na-adịghị ahụkebe ma nwee ike igosipụta dị ka mmejọ ma ọ bụ ọnya. O siri ike ịchọpụta n'oge nyocha Endoscopic na mmalite nke mmalite. Ọgwụgwọ nwere ike ịbụ ọgwụgwọ curative dị ka endoscopic esd, na-esochi ike na-esochi ma nyocha nke ma ị ga-arụ ịwa ahụ. Ọgwụ ndị na-abụghị ihe ga-achọ ịwa ahụ, ọ bụ dọkịta na-awa ahụ kpebie.
Ederede ederede dị n'elu na eserese site na "afọ na eriri afọ"
Na mgbakwunye, a ga-akwụkwa uche na nlebara anya na ọrịa kansa, cancer cancer, na Adenocarcinama dị iche iche a hụrụ na HP na-adịghị mma.
3. Nchikota
Taa amụtara m ihe ọmụma na ngosipụta endoropic nke ọrịa cancer na-adịghị mma. Ọ na - abụkarị: colder congy cancer cancer na - arịa ọrịa cancer, gastric mucosal, gastric, (utu-dị ka) Govetive Epinoma mgbaze.
Ọnọdụ ụlọ ọgwụ na-ahụ maka ọrịa kansa HP dị ala, o siri ike ikpe, ọ dịkwa mfe ịhapụ nchọpụta nchọpụta. Ihe siri ike karị bụ ngosipụta endoropic nke ọrịa dị mgbagwoju anya na nke na-adịghị ahụkebe. Ọ ga-aghọtakwa site na echiche endoscopic, ọkachasị ihe ọmụma banyere ya.
Ọ bụrụ n'ile anya na polyps gastric, ebe e hiwere na ebe ndị na-acha ọbara ọbara na ndị ọcha, ị kwesịrị ịtụle ohere kansa gastric na-adịghị mma. Ikpe nke HP na-adịghị mma ga-agbaso ụkpụrụ, ekwesịrị ịkwụ ụgwọ maka okwu ụgha nke ịdabere na nsonaazụ iku ume. Ahụmahụ Endoscopists tụkwasịrị onwe ha obi karịa. Iche echiche zuru ezu n'azụ kansa na-adịghị mma, anyị ga-aga n'ihu na-amụta, ịghọta ma na-eme ihe iji mee ya.
Anyị, Jiangxi Zhuoruihua Medical CO., LTD., Bụ onye nrụpụta na china pụrụ iche na a na-eri endoscopic consum, dị kaBiopsy, momoclip, plorey ọnyà, ScleleropapaPy agịga, spray catheter, brushes cytology,uzo ndu,nkata nchekwa, Nasal biliary igbapu mmiri wdg. nke a na-ejikarịEMR,ESD,Ercp.Ngwaahịa anyị na-ezitere ya, na osisi anyị bụ ihe a na-ezitere anyị. A na-ebuga ngwongwo anyị na Europe, North America, Middle East na akụkụ nke Eshia, ma nweta ndị ahịa nke nnabata na otuto!
Oge post: Jul-12-2024