EMR ke eng? Ha re e toroeng!

Bakuli ba bangata mafapheng a gastroenterology kapa litsing tsa endoscopy ba khothaletsoa bakeng sa endoscopic mucosal resection.EMR). E sebelisoa hangata, empa na u tseba matšoao a eona, mefokolo, le mehato ea ho itšireletsa ka mor'a ho buuoa?

Sengoliloeng sena se tla u tataisa ka tatellano ho tlhahisoleseling ea bohlokoa ea EMR ho u thusa ho etsa qeto e nang le tsebo le boitšepo.

Joale, EMR ke eng? Ha re e toroeng pele 'me re bone...

❋Litataiso tsa bolaoli li reng mabapi le matšoao a EMR? Ho latela Tataiso ea Kalafo ea Kankere ea Kankere ea Kankere ea Japane, Tumellano ea Setsebi sa China, le tataiso ea European Society of Endoscopy (ESGE), matšoao a khothalletsoang hajoale a EMR a kenyelletsa tse latelang:

Ⅰ. Li-polyps tse kotsi kapa adenomas

● Maqeba ≤ 20 mm ka maqheka a hlakileng

● Ha ho na matšoao a hlakileng a tlhaselo ea submucosal

● Laterally Spreading Tumor (LST-G)

Ⅱ. Focal high-grade intraepithelial neoplasia (HGIN)

● Mucosal-limited, ha ho na liso

● Maqeba a manyane ho feta 10 mm

● E fapane hantle

Ⅲ. Dysplasia e bonolo kapa liso tsa boemo bo tlase tse nang le pathology e hlakileng le kholo e liehang

◆ Bakuli ba nkoang ba loketse ho khutlisetsoa morao ka mor'a tlhahlobo ea ho latela

⚠Tlhokomeliso: Le hoja litataiso li bolela hore EMR e amoheleha bakeng sa mofets'e oa pele haeba leqeba le le lenyenyane, le se na seso, 'me le le ka har'a mucosa, ka mokhoa oa sebele oa bongaka, ESD (endoscopic submucosal dissection) hangata e khethoa ho netefatsa ho tlosoa ka ho feletseng, polokeho, le tlhahlobo e nepahetseng ea pathological.

ESD e fana ka melemo e mengata ea bohlokoa:

En bloc resection ea lesion e ka etsahala

E thusa tlhahlobo ea margin, e fokotsa kotsi ea ho pheta-pheta

E loketse maqeba a maholo kapa a rarahaneng

Ka hona, EMR hajoale e sebelisoa haholo ts'ebetsong ea bongaka bakeng sa:

1. Maqeba a matle a se nang kotsi ea ho tšoaroa ke mofetše

2. Li-polyps tse nyenyane, tse khonang ho tlosoa habonolo kapa li-LST tsa colorectal

⚠Litlhokomelo tsa kamora ho buuoa

1.Dietary Management: Bakeng sa lihora tsa pele tsa 24 ka mor'a ho buuoa, qoba ho ja kapa ho sebelisa metsi a hlakileng, ebe butle-butle u fetela ho lijo tse bonolo. Qoba ho ja lijo tse nang le linoko, tse hlabosang le tse hlabang.

2.Ho Sebelisa Meriana: Proton pump inhibitors (PPIs) e atisa ho sebelisoa ka mor'a ho buuoa bakeng sa liso tsa ka mpeng ho khothalletsa pholiso ea seso le ho thibela ho tsoa mali.

3. Tlhokomelo ea Mathata: E-ba hlokolosi bakeng sa matšoao a ka morao a ts'ebetso ea ho tsoa mali kapa ho phunyeha, joalo ka melena, hematemesis, le bohloko ba mpeng. E-ea ngakeng hang-hang haeba ho etsahala lintho tse sa tloaelehang.

4. Moralo oa Tlhahlobo: Lokisetsa maeto a ho latela le ho pheta li-endoscopies ho latela liphuputso tsa pathological.

Ka hona, EMR ke mokhoa oa bohlokoahali oa ho phekola liso tsa ka mpeng. Leha ho le joalo, ho bohlokoa ho utloisisa ka nepo matšoao a eona le ho qoba tšebeliso e feteletseng kapa tšebeliso e mpe. Bakeng sa lingaka, sena se hloka kahlolo le tsebo; bakeng sa bakuli, ho hloka tšepo le kutloisiso.

Ha re boneng hore na re ka fana ka eng bakeng sa EMR.

Mona ke lisebelisoa tsa rona tsa endoscopic tse amanang le EMR tse kenyelletsangLikotlolo tsa Hemostatic,Leraba la Polypectomy,Nale ea EnteleBiopsy Forceps.