Endoscopic polypectomy: chaiyo nzira

Kuvhiya Kupindira inobva kubviswa muura tyisa idzodzo, dzinova polyps inonzi polypectomy kubva muura. Panguva kutanga kwekupwanyiwa inotungamirwa polyps - nharaunda duku zvinyama, yakaumbwa sezvo namamota. Nokuti oncology polyps hazvisi zvechokwadi, asi nokuti vari akakurudzira kubviswa nokukurumidza zvakwakafukurwa, pasina basa chaizvo zvinodhaka kurapa tisina chaizvo zvairatidza. Kunyange zvazvo paumbwe polyps runoonekwa kuti chisingakuvadzi, ngozi iri yokuti kana polyps hadzina kubviswa uye vakasiya pasina kutarisirwa, ipapo vanogona ichapfachukira ichipinda bundu kenza.

Ndeipi endoscopic polypectomy?

umboo

Polypectomy inoitwa kuti kurapwa uye zviratidzo. Chirwere zvinogoneka kana paumbwe imwe chete, kana magadzirirwo zvichibvira. Nokuti histology kuti polyposis kubviswa panguva polyps akawanda kupfuura saizi vane dzakachinjwa chimiro. Kurapwa anoratidza chero diki polyps apo Kuvhiya hazvirevi kunotoreva matambudziko. Kana paumbwe pamusoro zvomukati vachishandisa endoscopic nzira. Uye zviitiko apo pane oga kana akawanda idzodzo vakaronga pedyo nepedyo, zvichiratidza kuvhiyiwa achava.

Ndezvipi contraindications riri endoscopic polypectomy?

Contraindications

Varwere vari chakakomba ezvinhu kana kutambura kubva murombo kweropa, regai kuitisa vakaronga kubviswa. Kubvisa contraindications, kuitisa miedzo ropa. The oparesheni haringapiwi kuitwa kana chiremba asarudza kuti achaita matambudziko.

Species uye zvaidiwa chirwere

The Kugara kupesana uye yokuti intestinal mucosa masero - zvakajairika, asi kana paine chimwe zvikanganiso dzinotyora mabasa aya, masero intestinal panzvimbo yoku- chimiro ari polyps.

Kwenguva yakareba vanhu vanogona kurarama navo uye vasingazivi chokuvapo kwavo muviri.

Endoscopic polypectomy of muura iyi kunogona kubatsira.

Nyanzvi vagovane mapoka anoverengeka polyps:

• Local mwana, nekuratidzwa muduku, kazhinji kusvika 6 makore. polyps aya kazhinji tinoshandurirwa nekenza, asi izvi hazvirevi apikise chikamu chiduku njodzi yavo, uye vanofanira kuva kubviswa.
• Gamartomatoznye yomuka ari mugaranhoko iri kujairika mubatanidzwa masero uye dzinokonzerwa yakaoma tishu kukura.
• Villous, vaizvambarara muchimiro yakafukidzwa pamusoro pamasvingo ura. Kazhinji kukura kenza.
• Hyperplastic, kukura muduku kukura uye izvo hazvikuvadzi. Vari pakati inonyanya siyana dzidzo.
• Adenomatous vechigaro zvikuru nengozi, nokuti vanopfuura kupinda kenza kakawanda.

The zvinokonzera chirwere

Pamberi kubviswa imwe polyp chiremba anoongorora zvichibvira zvinokonzera, anosarudza kuti mhando polyps kudzivisa matambudziko (vamwe polyps nani kwete kubata). Zvinhu kuti chirwise chimiro idzodzo, zvakaoma kutsanangura chaizvo. Zvikonzero zvakafanana angava:

• nemagene kubatwa;
• kupinda zvokudya yakawanda mafuta emhuka;
• zvemamiriro kukura uye vachiberekwa kubatwa;
• Kushomeka yaunodya pamusoro mbishi miriwo, hove uye dheri acids;
• chisingaperi bowel chirwere, kuzvimba;
• kunwa zvokudya zvakawanda carcinogens;
• gastrointestinal maitiro zvinetso, uye kupatira;
• tsika dzakaipa;
• zvimwe uremu, pasi mufambo, kusarovedza muviri.

Kana uye nei kubvisa?

Chikonzero chikuru chakaita kuti tisunungurwe ndiko kudzivirira kukura kenza. Kusanganisira Kubviswa unoratidzwa marwadzo nezvekufadza, kukundikana ari ura, ropa anokurukura patency. Zvisinei, asati nyanzvi kushanda anoitisa kwazvo chirwere nokuda pamberi zvinoita kuti Kurambidza kuvhiya kupindira nokuda nemishonga kana pezvingazoitika. Njodzi zvinhu:

• zvirwere kweropa hurongwa;
• kukuvadzwa pamasvingo mugaranhoko;
• chirwere cheshuga;
• zvirwere;
• murombo kweropa;
• Kurwara kune mishonga;
• kunyanya polyp (nzvimbo, saizi, mhando).

Panguva iyoyo, pane ndikuregererei kuvhiyiwa unyanzvi, saka kana kuratidzwa kukurumidza kusukwa polyps chiremba anogona kusarudza zvakanaka nzira Somuenzaniso, achaiswa basa endoscopic polypectomy.

kuonekwa Features

ari polyps Usati vachibvisa vanofanira kutanga kuona siyana, chimiro uye nzvimbo. The polyp anogona kuva chimiro chakuvhe, i.e. vane mamiriro dzinongoda pamusoro elongate hunde, kuva paupamhi hwaro, kuti unaku zvikuru sandara uye woita chimiro. Uyezve polyps zvinogona villous kumeso.

Wanikidza kuvapo polyps mumuviri munhu anogona panguva nechirwere kana avhare vamwe chirwere. Kazhinji kuziva miedzo polyps riri asingashumbi, sezvo paumbwe uye kuvandudzika ura kashoma abate zviratidzo zvavo pamberi. Pakati huru nzira nokuda kuziva miedzo polyps zvinosanganisira endoscopy, colonoscopy uye biopsy.

In kwakajairika chirwere uye kuona ne colonoscopy polypouses idzodzo chiremba anosarudza zvinobetsera embodiments kuita. Munguva endoscopic kuongororwa anogona kuona polyps uye kubvisa hukuru maduku dzidzo, kukura asingasvavi kupfuudza 7 mm. nzira iyi kubviswa polyps zvingashandiswa anopfuura 2 nguva pagore.

Kazhinji inoitwa endoscopic polypectomy yacho gallbladder.

Kana zvakakodzera kubvisa polyps guru, kuvhiya rinoitwa kuburikidza polypectomy. Kwakadaro kuvhiyiwa kunoda chaiwo endoscopic nzira.

The yakanyanyofanira yokusvika chero kubviswa polyps anganzi nomukombiyuta colonoscope mumwe mugove uye mimwe yayo kuongororwa pasi maikorosikopu, uye biopsy. kuvhiyiwa iri aronga kuti kuguma pachikuva ichi uye nekugamuchira kuongorora zvabuda. Mumwe tsvakurudzo mugumisiro uchava basa rinokosha pakusarudzwa kuvhiya kupindira, nekuti kana polyps kenza hunhu, murwere vachafanira narwo nzira mishonga.

Uye mushure polyps vanobviswa, makore mashoma mumutsetse ose gore achafanira rakagara colonoscopy nokuti polyps inogona kuumbwa zvakare.

Nuances kuvhiya

The oparesheni naro anobvisa paumbwe mugaranhoko, inonzi endoscopic polypectomy. Izvi mhando wokuvhiya kunoreva maitirwo yakawanda nyarara nokuti haatarisiri cheka kana punctures. Kana otschipyvanii kana achibvisa polyps munhu asingadi kunzwa marwadzo nokuda intestinal mucosa havasi tsinga harinzwi. nzira iyi raiwanzoitwa muchipatara, uye chete chidukuduku polyps 5 mm mu dhayamita zvinogona sevanhu outpatients.

Asi kazhinji polyps vashomashoma usagunzva, uye kumirira kusvikira vava kuibva, nokuti kutsakatisa haisi yakarumbidza nokuda mukana wokuti kukuvara rinenge uye intestinal mucosa.

Sei endoscopic polypectomy kuti mugaranhoko?

Pane nzira dzakawanda kuti kubviswa polyps kubudikidza kukanganiswa kwakadaro:

• In yepazasi nharaunda huru polyp asati abvisa payo akatanga electrolyte spetsrastvor mune chaiyo zviitiko, kudzivirira kukura yematambudziko.
• Kana achibvisa polypouses inotungamirwa mu howa muchimiro aishandisa unyanzvi coagulation loop anosasa pamusoro wakadiridzwa uye truncating nayo. Sezvo loop ichi Kunoguma yakaderera kuitika, pakarepo uye cauterizes nzvimbo deletion.
• Nokubvisa guru polyps kuva wakafara nechimwe akashandisa Chidimbu nzira nokubvisa diathermic loop, kuita kusabatana uye inotungamirwa kubatwa.

Kutaura zvazviri, yose endoscopic polypectomy kunoratidzwa kuisa kupinda horo munhu zano rinokosha nomuchubhu refu uye kamera, icho zvinoberekwa ane womukati kuzviongorora mugaranhoko masvingo uye achibvisa idzodzo. Patinoita nzira iyi inosanganisira mumwe maitiro anotevera. Zvisinei, izvi nokuda kubviswa polyps anosarudzwa vapedza yokuongororwa, uye kwete zvikuru kudzidza.

dzokororo ine polyps

Pashure nokubviswa polyp dzokororo ikabuda 13% wevarwere ari 2 years okutanga. Mune mamwe mativi muura mukana wavo mutsva nechitarisiko - 7%.

Kazhinji outpatient endoscopic polypectomy.

dziviriro

The chikuru nzira kudzivirira polyps dzinosanganisira: mararamiro, kudya uye kugara zvidzidzo. Unogona zano zvinotevera kuti muzvidzivirire.

Zvakakosha kushandisa mamwe karusiyamu-vapfumi zvokudya, sezvo karusiyamu ane prophylactic chaizvoizvo kunyange nyaya kare kutambura chirwere.

Unofanira kudya zvakawanda zviyo, michero uye miriwo yakafanira kune zviri mukati zvekudya izvi mukuru antioxidants uye faibha. zvigadzirwa izvi yekuzvidzivirira idzodzo.

Kushomeka mafuta dzezvipfuwo mavambo. Vanhu uchapedza yakawanda mafuta zvokudya, zvikuru mungozi rectal kenza uye polyps, kusiyana nevanhu kudya kushoma mafuta. miriwo mafuta anogona yemutemberi.

Tikadzivisa doro nokuti ayo kushungurudzwa kunowedzera zvikuru ngozi kwete chete kenza muura uye polyps, asi zvimwe zvirwere.

Unofanira kurega kusvuta, sezvo tsika iyi rinowedzerawo zvikuru mikana yokuva nekenza muura. Chinhu zviripo kubvisa yokufutisa uye kuwedzera kurovedza muviri.

Polypectomy dzimwe nhengo

Sei endoscopic polypectomy of gallbladder?

Polyps kazhinji dzinoitika gallbladder. Chidiki haisi ngozi. Chinogona dzisaitwa. Asi kana pane dzakawanda, uye kukura kwavo yakakura kupfuura 10 neMM, ipapo vanopedza endoscopic polypectomy. The Nhengo hwaponeswa, pasi chete rokubvisa growths. Kana hombe kukura polyps akabvisa seboka, sezvo kenza vanokwanisa.

Chii endoscopic polypectomy mhino?

Mumhino, polyps zvinogonawo kuitika. poliektomiii endoscopic nzira anobvisa growths nokukurumidza uye painlessly. Chero chikamu ari nasal turbinates uye paranasal sinuses vanobviswa dzidzo. Iva nechokwadi kuti kushandisa shaver apo kuita vakanwa.

Pane endoscopic polypectomy mudumbu.

Dzimwe masero kurai mudumbu. Chinobatsira endoscopic kuvhiyiwa. Asi zvose achavaponesa kukura nokuumbwa. Kana vari guru, voitakura ane zvakati kupindira. Murwere panguva ino iri hope mishonga.

By endoscopic polypectomy akarwawo kazhinji. Iyi nzira inobudirira chaizvo ndichiva kuparadza polyps siyana dzomuviri.