Kedu ihe bụ EMR? Ka anyị see ya!

Ọtụtụ ndị ọrịa nọ na ngalaba gastroenterology ma ọ bụ ebe endoscopy ka akwadoro maka resection mucosal endoscopic.EMR). A na-ejikarị ya eme ihe, mana ị maara ihe ngosi ya, oke ya, yana mkpachapụ anya mgbe emechara ya?

Edemede a ga-eduzi gị n'usoro site na ozi EMR bụ isi iji nyere gị aka ịme mkpebi mara mma na ntụkwasị obi.

Yabụ, gịnị bụ EMR? Ka anyị buru ụzọ see ya wee hụ…

❋ Kedu ihe ntuziaka ikike na-ekwu gbasara ihe ngosi maka EMR? Dị ka ntuziaka ọgwụgwọ ọrịa cancer afọ nke Japan, nkwenye ndị ọkachamara nke China, na ụkpụrụ European Society of Endoscopy (ESGE), ihe ngosi akwadoro ugbu a maka EMR gụnyere ihe ndị a:

Ⅰ Adenoma ma ọ bụ polyps dị nro

● Ọnya ≤ 20 mm nwere akụkụ doro anya

● Enweghị akara doro anya nke mbuso agha submucosal

● Tumor Na-agbasa n'azụ (LST-G)

Ⅱ Focal high-grade intraepithelial neoplasia (HGIN)

● Enwere oke mucosal, enweghị ọnya ọnya

● Ọnya na-erughị 10 mm

● Ndị dị iche iche

Ⅲ. Dysplasia dị nro ma ọ bụ ọnya dị ala nwere pathology doro anya yana uto ngwa ngwa

◆ Ndị ọrịa chere na ọ dị mma maka resection mgbe nlebanya nleba anya

Rịba ama: Ọ bụ ezie na ntuziaka na-ekwu na EMR na-anabata maka ọrịa cancer nke mmalite ma ọ bụrụ na ọnya ahụ dị ntakịrị, na-enweghị ọnya ọnya, ma na-ejikọta ya na mucosa, na usoro ọgwụgwọ n'ezie, ESD (endoscopic submucosal dissection) na-ahọrọkarị iji hụ na nchịkọta zuru ezu, nchekwa, na nyocha nke pathological.

ESD na-enye ọtụtụ uru bara uru:

En bloc resection nke ọnya kwere omume

Na-eme ka nyocha oke oke, na-ebelata ihe ize ndụ nke nlọghachi

Kwesịrị ekwesị maka ọnya buru ibu ma ọ bụ mgbagwoju anya

Ya mere, a na-eji EMR eme ihe ugbu a na omume ụlọ ọgwụ maka:

1. Ọnya na-adịghị mma na-enweghị ihe ize ndụ nke ọrịa kansa

2. Obere, mfe resectable polyps ma ọ bụ colorectal LSTs

⚠Akpachapụ anya mgbe emechara

1.Dietary Management: Maka awa 24 mbụ mgbe ịwachara ahụ, zere iri nri ma ọ bụ rie mmiri doro anya, wee jiri nwayọọ nwayọọ gbanwee gaa na nri dị nro. Zere nri na-esi ísì ụtọ, nke na-agbakasị ahụ, na nke na-ewe iwe.

2.Medication Use: A na-ejikarị proton pump inhibitors (PPI) eme ihe mgbe a wachara ya ahụ maka ọnya afọ iji kwalite ọgwụgwọ ọnya na igbochi ọbara ọgbụgba.

3.Nleba anya mgbagwoju anya: Kpachara anya maka mgbaàmà nke ọbara ọgbụgba ma ọ bụ perforation, dị ka melena, hematemesis, na mgbu afọ. Chọọ nlekọta ahụike ngwa ngwa ma ọ bụrụ na ihe ọ bụla na-adịghị mma emee.

4. Nyochaa Atụmatụ: Hazie nleta na-esochi ma megharịa endoscopic dabere na nchọpụta pathological.

Ya mere, EMR bụ usoro dị mkpa maka nhazi nke ọnya afọ. Otú ọ dị, ọ dị oké mkpa ịghọta n'ụzọ ziri ezi na-egosi ya ma zere ijibiga ihe ókè ma ọ bụ iji ya eme ihe n'ụzọ na-ezighị ezi. Maka ndị dibịa, nke a chọrọ ikpe na nka; maka ndị ọrịa, ọ chọrọ ntụkwasị obi na nghọta.

Ka anyị hụ ihe anyị nwere ike ịnye maka EMR.

Nke a bụ ngwaahịa endoscopic metụtara EMR nke gụnyereIhe nkiri Hemostatic,Polypectomy ọnyà,Ịgba ogwu ogbugbanaMmetụta biopsy.