E mong oa tsebo e tummeng mabapi le mofetše oa pele oa kankere ea pele, ho na le lefu la bongaka la bolumeli le sa tloaelehang mabapi le tlhokomelo e khethehileng le ho ithuta. E 'ngoe ea tsona ke mofets'e o mobe o mobe. Mohopolo oa "li-tumol tse sa sebetseng hantle" li se li ratoa haholo. Ho tla ba le maikutlo a fapaneng makasineng ea lebitso. Khopolo ena e thehiloeng ho litaba e amanang le makasine e amanang le makasine ea "Mpeng le mohoebi le eona e sebelisa mofekotsi oa" HP-hampe.
Mofuta ona oa lesion o na le litšobotsi tsa keteo e tlase, ho thatafalloa ke tsebo ea theoretical, le mesda-g ea mesda-g e sa sebetse. Ho ithuta tsebo ena ho hloka ho tobana le mathata.
1. Tsebo ea mantlha ea mofets'e o mobe oa maastric
Nalane
Nakong e fetileng, ho ne ho lumeloa hore ngaka e le 'ngoe ha a hlaha le ts'ebetso ea mofets'e, mohlala oa ho hlala - atrophy - mala Mohlala oa khale esale o lemetse haholo, o ile a amohela ebile a lumela ka tieo. Makhopho a hlaha hammoho motheong oa ho arophy le ka tlasa ketso ea HP, kahoo bakuli ba hlasimolohileng haholo ba ka mpeng e sa sebetseng hantle.
Hamorao, lingaka tse ling li ile tsa fumana hore mofetše oa ka o sa tsotelleheng a ka hlaha leha a le sieo ha tšoaetso ea HP. Le ha boemo ba ho ikemela bo tlase haholo, ka nepo hoa khoneha. Mofuta ona oa kankere ea gastric o bitsoa kankere ea gastric.
Ka kutloisiso e lumellanneng ea mofuta ona oa lefutso, ho hlahlobisisa ka mokhoa o hlophisehileng le kakaretso ho qalile, 'me mabitso a lula a fetoha. Ho ne ho e-na le sengoloa ka 2012 tse bitsoang "mofetše oa mabenyane ka mor'a sterilization", sengoloa sa 2014 se bitsoang "420 tse bitsoang" Epithelial Phetoho e bonts'a kutloisiso e tebileng le e felletseng.
Mefuta ea Gland le Mefuta ea Khaolo
Ho na le mefuta e 'meli ea mantlha ea litšoelesa ea lithunya le pyloric ka mpeng:
Lits'oants'o tsa Bohlale (litlolo tsa okryntic) li tsamaisoa ka chelete, 'mele, likhutlo, joalo ka mpeng. Ke lits'oants'o tse le 'masene tse nyane. Li na le lisele tsa mucous, lisele tse ka sehloohong, lisele tsa pamiti le lisele tse bakolla, e 'ngoe le e' ngoe ea tsona li etsa mesebetsi ea eona e matla. Har'a bona, lisele tse kholo tsa PGI le Muc6 tse nang le bolotsana, le lisele tsa parrolital hydrochloric acid le ntho e tebileng;
Litsomi tsa Pyloric li sebakeng sa li-antric tsa antintrium 'me li entsoe ka lisele tsa mucus le lisele tse batsi. Lisele tsa mucus e le tse ntle tsa muc6 tse ntle, le lisele tse batsi le lisele tsa ba e susumetsang li kenyelletsa lisele tsa g, D lisele tsa Enterochromasvin. Lisele li haptrun, lisele tsa DRetos li ikoalla somatostatin, le lisele tsa enterrochromasvin li kenella 5-ht.
Lisele tsa lisele tsa likokoana-hloko tsa thapo le lisele tsa tlokoli li ja mefuta e fapaneng ea liprotheine tse fapaneng tsa liprotheine tsa mucross. Polelo ea li-mmala tsa gastric le mala a ka mpeng li bitsoa hore na ke sebaka se ikhethang sa acatomical sa mpa le mala.
Ho na le li-proltypes tse 'ne tsa sele ea lifofane tsa li-tumeric tsa gastric tsa gastric tsa gastric Makhoaba a etsahalang motheong oa mesuoe e ka mpeng a na le li-tumors tsa tlhaho tsa phenotypel. Moemeli ea khetholloang haholo-holo e bonts'a mofuta oa mala (muc2 +), 'me baetsi ba litsisheane haholoholo-holo li bontša mofuta oa gastric (Mucnac +, Muc6 +).
Ho etsa lintho tse mpe tse mpe ho hloka hore ho be le thepa e ikhethileng ea mekhoa e mengata ea ho tseba hore na Boikemisetso bo Felletseng. HP-Sterilization kankere ea gastrict ea ka mor'a nako ke methapo e 'meli e fapaneng. Bakeng sa tlhaiso-leseling mabapi le lipontšo tsa X-Ray tsa kankere ea HP-Rastric, ka kopo sheba karolo e loketseng ea "mala".
2. Lihlomo tsa li-andoscopic tsa kankere ea mabenyane a mabenyane
Tlhahlobo ea lingaka e sa tloaelehang ke eona mohopolo oa mofets'e o mobe. Ho kenyeletsoa haholo ha lithunya tsa mafika a koetliniki ea moea
1) Mofumahatsana oa Mofuthu oa Mafini
-Ke lesion e matla
Moruti oa Mofuthu oa Lichelete oa Mofuthu
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◆ Tloaelo ea 1: Bosoeu bo bosoeu
Tlhaloso:Mofuta oa gastric - Crance e Khabane ka Motle, 10 mm, mofuta o mosoeu, o joalo), ntle le metaso ea lapeng ka morao. Methapo ea mali e kang arbor
Tlhahlobo (e kopantsoe le Pathology):U, O-1LA, 9mm
-White lesela le bataletseng
Moruti oa Mofuthu oa Lichelete oa Mofuthu
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Tlhaloso:Lerako le ka hare la The Handric Tostnix-Cardia e Moholo oa Carnix-Cardia o Moholo oa Koloi ea 0-1lc (Nbi le amplizated)
Tlhahlobo (e kopantsoe le Pathology):U, 0
-Ke lesion e tsoetseng pele
Moruti oa Mofuthu oa Lichelete oa Mofuthu
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◆ VICE 3: LITLHAKISO TSE KHOLO
Tlhaloso:Lerako le ka hare la ho ts'oaroa le pelo e kholo ea pelo ke li-mm, ho hlakile hore 0-1
Tlhahlobo (e kopantsoe le Pathology):U, 0-1, 12mm, e leng 12mm
-Red, lesion e bataletseng, e sithabetsang maikutlos
Moruti oa Mofuthu oa Lichelete oa Mofuthu
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Tlhaloso:Lerako le ka morao la karolo e kholo ea karolo e kaholimo ea 'mele oa ka mpeng, ea 1mm, e se na methapo ea mali ka har'a eona, (nbi le methapo e sa hloekang )
Tlhahlobo (e kopantsoe le Pathology):U, O-1lc, 19mm, Cand
Buisanang ka
Ba batona le lefu lena ba tsofetse ho feta basali, le lilemo tse tloaelehileng ho ba lilemo li 67.7. Ka lebaka la litšobotsi tsa mofuta o mongata le heterochrorg Sebaka se tloaelehileng ka ho fetisisa ke sebaka sa lichelete sa mantlha le karolo e kaholimo ea mpa ea mpa ea mpa ea mpa ea mpa (fundus le karolo e bohareng le e kaholimo ea mmele oa ka mpeng). Lits'ebeletso tse tšoeu tsa SMT-joalo ka liso li atile haholo lebone le lesoeu. Phekolo e ka sehloohong ke ho ba joalo ka tšoantšetso / ed.
Ha ho na tlhaselo ea metastalatic kapa tlhaselo ea vascular e bonoe ho fihlela joale. Kamora kalafo, hoa hlokahala ho tseba hore na e tla etsa ts'ebetso e eketsehileng le ho lekola kamano lipakeng tsa maemo a bohloko le hp. Ha se bohle ba boholo-holo ba lichelete ba lichelete ke hp tse mpe.
1) Mofumahatsana oa Mofumahali oa Mofumahali oa Bohlokoa
Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu
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◆ taba ea 1
Tlhaloso:Lesion e phahamisitsoe hanyane, le Mukosa e sa senyehang ea RAC e ka bonoa ho e pota. Ho fetolela ka potlako le likokoana-hloko li ka bonoa karolong e 'ngoe e phahamisitsoeng ea' na-nbi, 'me DL e ka bonoa.
Tlhahlobo (e kopantsoe le Pathology):Katleho ea Mofuthusi oa Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu
Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu oa Mofuthu
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◆ taba ea 2
Tlhaloso: Letšoao le bataletseng le lerakong le leng le lengata la tsela e nyane ea pelo, e nang le khaello ea mali le bofubelu, methapo ea mali ea mali e ka bonoa holim'a metsi, 'me lesion e ka bonoa holim'a metsi,' me lesion e hlahisitsoe hanyane.
Tlhahlobo (e kopantsoe le Pathology): Lichelete tsa Bohlokoa tsa Bohlokoa Moqomo oa mmusal mostric, 0-Lla, PT1A / M, Ulo, LO, LYOV0, HM0, VMO
Buisanang ka
Lebitso la "Gastric Gund Mucosal Adomarcinoma" ho thata ho e bitsa, 'me tekanyo ea ho ikemela e tlase haholo. Ho hloka boiteko bo eketsehileng ba ho elelloa le ho bo utloisisa. Bo-'m tsa Botle ba Bohlokoa M Nahlecoarcinoma e na le litšobotsi tse phahameng tsa lefutso.
Ho na le litšobotsi tse 'ne tse kholo tsa khanya e tšoeu endoscopy: ① homochromaticaticatic-fecking ② Tumor Boluol e hlahang; ③ lijana tsa mali tse futhumetseng tsa mali; ④ Microparticles ea tikoloho. Ke sebetsa: DL (+) IMVP (+) IMPS (+) Ho sebelisa ts'ebetso e khothalelitsoeng ea Mesda-G, 90% ea bafokoli ba lichelete ba messric ea Mofuthusi oa Mofuthu oa Mestic ea Mukosal oa Mofumahali oa Mestic oa Mukosal o sebetsana le mekhoa ea ho hlahloba.
3) gastric adentoma (Pyloric Guland Adento Pga)
gastric adenama
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◆ taba ea 1
Tlhaloso:Ho ile ha bonoa letšoele le tšoeu la bataletseng le neng le bonoa leboteng la ntlo ea mabenyane ka meeli e sa hlakaheng. Leqhubu la Indigo le tšoenyehile ha le bontše meeli e hlakileng, le ponahalo ea li-g-g-g-joalo ka ponahalo ea mala e kholo e ile ea bonoa (ho hooa hanyane).
Tlhahlobo (e kopantsoe le Pathology):Low Atypia Carcinoma, O-1LA, 47 * 32mm, e fapaneng hantle tubulaCinoma, PT1A / M, DM0, VMO
gastric adenama
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◆ taba ea 2
Tlhaloso: Lesion e phahamisitsoeng e nang le li-nodule tse leboteng tse ntle tsa karolo e bohareng ea 'mele oa gastric. Gastritis e sebetsang e ka bonoa ka morao. Carmigo Carmine e ka bonoa e le moeli. (Nbi le ho phahamisa hanyane)
Pathology: Polelo ea muclescoc e ile ea bonoa epithelium e otlolohileng ea epithelium, polelo ea muc6 e ile ea bonoa epithelium e phahameng haholo. Tlhahlobo ea ho qetela e ne e le pga.
Buisanang ka
Gastric Afenomas ha e le hantle ha e le hantle ha e le hantle ha e le hantle ha e le hantle litlokotsebe li kenella stroman 'me tsa koaheloa ke fovolar epithelium. Ka lebaka la ho ata ha li-bulandur tsa har'a li-bisgalar, tseo e leng mashala, tseo e leng nodular kapa nodular. Afernomas e tšoeu e bonoang le khanya e tšoeu ebile e mo hloeka. Hoa hlokahala ho ela hloko likheo tse 4 tsa jiu ming tlasa tlhatlhobo ea endoscopic. Me-nbi e ka bona popi e tšosang ea papilary ea papilary ea papilary ea papila. PGG ha e na thuso ea HP e fosahetseng ebile e se nang moferefere, 'me e na le kotsi e itseng ea ho siama. Tlhahlobo ea pele ea tlhahlobo le tšoaro ea pele e khothatsoa, 'me ka mor'a ho fumana libuka tsa bloc le thuto e hlakileng haholoanyane li khothalelitsoe.
4) (raspberry-like) fovolar etithelial cafral
raspberry fovolar etithelial cafral
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◆ taba ea 2
Tlhaloso:(o tlohile)
Tlhahlobo (e kopantsoe le Pathology): fovlar epithelial cafsit
raspberry fovolar etithelial cafral
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◆ taba ea 3
Tlhaloso:(o tlohile)
Tlhahlobo (e kopantsoe le Pathology):Fovolar epithelial cafral
Buisanang ka
Raspberry, e bitsoang "Tuoiaier" Motseng oa rona, ke tholoana e hlaha tseleng eo re neng re le bana ka thoko ho eona. Golalar epithelauum le litlokoe li hokahane, empa ha se litaba tse tšoanang. Hoa hlokahala ho utloisisa litšobotsi tsa kholo le tse kholo tsa lisele tsa tlhaho. Raspberry epithelil epithelil e ts'oana le polyps ea boholo bo boholo mme e ka ba phoso hore e be phoso bakeng sa lipopaana tsa mala. Ketsahalo ea Hallmalane ea Fovelar Epithelium ke polelo e kholo ea mucfac. So fovolar epithelial epithelial e tloaelehileng ke polelo e akaretsang ea mofuta ona. E ka ba teng ho HP tse fosahetseng, tse nepahetseng, kapa kamora ho thunngoa. Ponahalo ea Lindscopic: Ho potoloha le botala bo botala bo khanyang, ka kakaretso, ka kakaretso le meeli e hlakileng.
5) Signet e le 'ngoe ea sele cerinoma
Signet o lla sele carcinoma: ponahalo e tšoeu ea khanya
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Signet o lla sele carcinoma: ponahalo e tšoeu ea khanya
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SYETNEY RLE CLEN CLECINOMA
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◆ taba ea 1
Tlhaloso:Lesela le bataletseng le leboteng le ka morao la sebathe sa boholo ba boholo ba boholo ba mmala o nang le vastric, o ile oa ferekana ka morao, ke karolo ea morao-rao e fetoha tšoeu, imvp feela (-) im sp (-)
Tlhahlobo (e kopantsoe le Pathology):Mekhahlelo ea esd e sebelisetsoa ho etsa hore a bonoe signene e melelele ho lla ka sele carcinoma.
Matšoao a Pathogical
SYETNY RLE CLECE CLECINOMA ke mofuta oa matlwana o nang le mafura. Ho latela sehlopha sa Lauren, Lestric Sastnet o lla ka mofuta oa carcinoma, 'me ke mofuta oa carcinoma e sa utloahaleng. Hangata e etsahala ka 'mele oa mpa,' me e atile haholo ho na le liso tse bataletseng le liso tse ngata tse nang le lithane tse hlotsitsoeng. Masokho a ntse a mela ka 'mali a ka bonahatsa hore ke khoholeho kapa liso. Ho thata ho lemoha nakong ea tlhatlhobo ea edescopic methating ea pele. Phekolo e ka ba lipalo tse kang tsandoscopic e le ho latela le ho hlahloba hore na u tla etsa ho buuoa ka eona. Lipapiso tse seng tsa ho hloka thuso li tlameha ho hloka ngaka e eketsehileng, 'me mokhoa oa ho buuoa le oona o etsoa qeto ea ngaka e buoang.
Khopolo e kaholimo ea mongolo le litšoantšo li tsoa ho "mala le malakabe"
Ntle le moo, tlhokomelo e lokela ho lefelloa ho EsophagoStric Junction, mofets'e oa Cardia le Adetelicarcinomarcinomarcinomarcinomarcinoarcino.
3. Kakaretso
Kajeno ke ithutile lintlha tse amanang le tsebo le litsi tsa litsi tsa litsi tsa litlolo tsa maano. Ho kenyelletsa haholo: The Fultic Gund Mekkoereishene ea kankere ea mabenyane, Gasstic Aenima, (Raspberry -es) Foveor Tivolar Tumor le Signet
Tloaelo ea bongaka ea kankere e mpe ea HP e tlase, ho thata ho ahlola, 'me ho bonolo ho fetoa ke ho etsa tlhahlobo. Ke eng e thata ho feta ke lipontšo tsa mafutsana le mafu a rarahaneng a rarahaneng. E lokela ho utloisisoa ka pono e sa feleng, haholo-holo tsebo ea theoresical.
Haeba u sheba li-polyps tsa mala, likhohola, le libaka tse khubelu le tse tšoeu, u lokela ho nahana ka monyetla oa kankere e mpe ea HP-e mpe haholo. Kahlolo ea HP e fosahetseng e lokela ho latela litekanyetso, 'me tlhokomelo e lokela ho lefuoa ho lisosa tsa bohata tse bakiloeng ke ho pheta-pheta ho feta tekano. Batho ba nang le boiphihlelo ba nang le boiphihlelo ba tšepa mahlo a bona haholoanyane. Ho tobana le Khopolo e qaqileng ea Karete ea HP-Tender ea Mafutsana, re tlameha ho tsoela pele ho ithuta le ho ikoetlisa ho e utloisisa.
Rona.Li-Forces tsa Biopsy, Hemoclip, Polyp Snare, sclerotherapy nale, fafatsa catheter, Brushes Brushes,Ruta,Baskete ea ho khutlisa lejoe, Nasal Biliary Drainage Catheter etc. e sebelisoang haholo hoEMR,Esd,Ercp.Lihlahisoa tsa rona ke Cepideridedited, 'me lijalo tsa rona ke tsa netefalitsoe. Thepa ea rona e rometsoe Europe, Amerika Leboea, Mille Amerika Bochabela bo bohareng le karolo ea Asia, 'me u fumane moreki ka kamohelo le thoriso!
Nako ea poso: Jul-12-2024