EMR ke eng? A re e thaleng!

Bakuli ba bangata mafapheng a gastroenterology kapa litsing tsa endoscopy ba khothalletsoa bakeng sa ho tlosoa ha mucosal ea endoscopic (EMRE sebelisoa khafetsa, empa na u tseba matšoao a eona, mefokolo le mehato ea ho itšireletsa ka mor'a opereishene?

Sengoloa sena se tla u tataisa ka mokhoa o hlophisehileng ka tlhaiso-leseling ea bohlokoa ea EMR ho u thusa ho etsa qeto e nang le tsebo le boitšepo haholoanyane.

Joale, EMR ke eng? A re e thaleng pele 'me re bone…

❋Litaelo tse nang le matla li re'ng ka matšoao a EMR? Ho ea ka Litaelo tsa Kalafo ea Kankere ea Mala ea Japane, Tumellano ea Litsebi tsa Chaena, le litataiso tsa Mokhatlo oa Europe oa Endoscopy (ESGE), matšoao a khothalletsoang hona joale a EMR a kenyelletsa tse latelang:

Ⅰ. Li-polyp tse se nang kotsi kapa li-adenoma

● Maqeba ≤ 20 mm a nang le mathoko a hlakileng

● Ha ho na matšoao a totobetseng a tlhaselo ea submucosal

● Hlahala e Jalang ka Mahlakoreng (LST-G)

Ⅱ. Focal high-grade intraepithelial neoplasia (HGIN)

● E lekanyelitsoe ke mala, ha e na liso

● Maqeba a manyane ho feta 10 mm

● E fapane hantle

Ⅲ. Dysplasia e bobebe kapa liso tse tlase tse nang le lefu le hlakileng le kholo e liehang

◆ Bakuli ba nkoang ba loketse ho buuoa hape kamora ho hlahlojoa ka hloko

⚠Hlokomela: Le hoja litataiso li bolela hore EMR e amoheleha bakeng sa mofetše oa mohato oa pele haeba leqeba le le lenyenyane, le sa tsoa liso, 'me le koaletsoe ka har'a mucosa, ts'ebetsong ea bongaka ea 'nete, ESD (endoscopic submucosal dissection) hangata e khethoa ho netefatsa ho tlosoa ka botlalo, polokeho le tlhahlobo e nepahetseng ea pathological.

ESD e fana ka melemo e 'maloa ea bohlokoa:

Ho ka khoneha ho tlosa leqeba ka bloc

E nolofatsa tlhahlobo ea moeli, e fokotsa kotsi ea ho khutla hape

E loketse liso tse kholo kapa tse rarahaneng haholoanyane

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

1. Maqeba a sa pheleng hantle a se nang kotsi ea kankere

2. Li-polyp tse nyane, tse ka ntšoang habonolo kapa LST tsa mala a maholo

⚠Mehato ea ho itšireletsa ka mor'a opereishene

1. Taolo ea Lijo: Lihoreng tse 24 tsa pele kamora opereishene, qoba ho ja kapa ho noa metsi a hloekileng, ebe butle-butle u fetohela lijong tse bonolo. Qoba lijo tse nang le linoko, tse hlabang le tse tenang.

2. Tšebeliso ea Meriana: Lithibela-pompo tsa proton (PPI) li sebelisoa hangata kamora opereishene bakeng sa liso tsa ka mpeng ho khothaletsa pholiso ea liso le ho thibela ho tsoa mali.

3. Tlhokomelo ea Mathata: Ela hloko matšoao a ho tsoa mali kapa ho phunyeha ha lesapo ka mor'a opereishene, joalo ka melena, hematemesis le bohloko ba mpa. Batla thuso ea bongaka hang-hang haeba ho hlaha lintho tse sa tloaelehang.

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

Ka hona, EMR ke mokhoa oa bohlokoa bakeng sa ho seha liso tsa mala. Leha ho le joalo, ho bohlokoa ho utloisisa matšoao a eona ka nepo le ho qoba ho e sebelisa ho feta tekano kapa ho e sebelisa hampe. Bakeng sa lingaka, sena se hloka kahlolo e molemo le boiphihlelo; bakeng sa bakuli, se hloka tšepo le kutloisiso.

A re boneng seo re ka se fanang ka EMR.

Tsena ke lintho tsa rona tse sebelisoang tsa endoscopic tse amanang le EMR tse kenyeletsangLi-Clips tsa Hemostatic,Leraba la ho ntša mpa,Nalete ea EnteleLi-Forceps tsa Biopsy.