Endoscopic polypectomy: particular txoj kev

Phais pab raws li nyob rau hauv qhov kev tshem tawm ntawm cov nyuv unnatural formations, namely lub polyps yog hu ua ib tug polypectomy ntawm cov nyuv. Thaum thawj zaug rau theem ntawm tsim ntawm polyps - me me qhov chaw ntawm cov ntaub so ntswg, tsim raws li hlav. Rau Oncology polyps yog tsis muaj tseeb, tab sis vim hais tias lawv yog pom zoo kom yuav muab tshem tawm sai li sai tau raws li sab, tsis muab kev tshuaj kho nyob rau hauv lub qhaj ntawv ntawm kev indications. Txawm hais tias tsim ntawm polyps yog xav tau txawm, qhov kev nyab xeeb yog lus dag nyob rau hauv lub fact tias yog hais tias polyps tsis muab tshem tawm thiab sab laug tsis muaj xim, ces lawv yuav txeej tshaj rau hauv ib tug mob qog.

Yuav ua li cas yog lub endoscopic polypectomy?

zaj lus tim khawv

Polypectomy ua rau cov kev kho mob thiab kuaj mob. Mob yog tau thaum tsim ntawm ib zaug xwb, yog tias technically tau. Rau histology ntawm polyposis muab tshem tawm nyob rau ntau polyps coob loj muaj ib daim ntawv hloov. Rau kev kho mob qhia tau hais tias tej me me polyps thaum phais tsis entail teeb meem. Thaum tsim nyob rau hauv nruab nrog cev siv cov endoscopic txoj kev. Thiab nyob rau hauv tus neeg mob qhov chaw uas muaj keev xeeb los yog ntau formations txheej txheem tom ntej no mus rau txhua lwm yam, qhia lub lag luam yuav tsum tau.

Yuav ua li cas yog cov contraindications yog endoscopic polypectomy?

Contraindications

Cov neeg mob uas muaj nyob rau hauv ib tug loj mob los yog kev txom nyem los ntawm cov ntshav txhaws, tsis txhob ua lub tswv yim npaj tshem tawm. Yuav kom tshem tawm contraindications, kev kuaj ntshav. Lub lag luam yuav tsis tsum nqa tawm yog hais tias tus kws khomob tshwjxeeb txiav txim siab hais tias nws yuav ua rau mob.

Hom thiab nta ntawm tus kab mob

Lub qhov division thiab daim ntawv rov ntxiv ntawm plab hnyuv mucosa hlwb - nws yog dab tsi, tab sis yog hais tias muaj tej yam yuam kev uas ua txhaum cov kev tso cai, plab hnyuv hlwb es tsis txhob ntawm tshiab daim ntawv nyob rau hauv lub polyps.

Rau ib ntev lub sij hawm cov neeg tau nyob nrog lawv thiab yuav unaware ntawm lawv cov nyob rau hauv lub cev.

Endoscopic polypectomy ntawm cov nyuv nyob rau hauv cov ntaub ntawv no yuav pab tau.

Kws txawj faib ob peb pab pawg ntawm cov polyps:

• Local tus menyuam, tshwm ntawm ib tug hluas hnub nyoog, feem ntau mus txog 6 lub xyoo. Cov polyps yog tsis tshua muaj transformed rau hauv cov qog nqaij hlav, tab sis qhov no tsis negate ib tug me me feem pua ntawm lawv txaus ntshai, thiab lawv yuav tsum tau muab tshem tawm.
• Gamartomatoznye sawv nyob rau hauv lub qhov quav nyob rau hauv lub txawv txawv thaum lawv tseem hlwb thiab yog lub txiaj ntsim ntawm kev txawv txav cov ntaub so ntswg kev loj hlob.
• Villous, sprawling nyob rau hauv daim ntawv ntawm ib tug Ntaub pua plag ntawm cov phab ntsa hauv lub hnyuv. Feem ntau yuav loj hlob mus rau hauv cov qog nqaij hlav.
• Hyperplastic, tsim rau ib tug me me luaj li cas thiab uas yog harmless. Lawv yog cov feem ntau ntau hom kev kawm ntawv.
• Adenomatous teej tug mus rau lub feem ntau txaus ntshai, vim hais tias cov pass mus rau hauv cov qog nqaij hlav ntau zaus.

Cov ua ntawm tus kab mob

Ua ntej qhov kev tshem tawm ntawm ib tug polyp tus kws kho mob tshuaj xyuas qhov ua tau ua, txiav txim seb tus yam polyps kom tsis txhob mob (ib co polyps zoo tsis txhob kov). Yam uas ua rau muaj cov tsos ntawm formations, nws yog ib qhov nyuaj rau txhais kom meej precisely. Yog vim li cas cov tsos tej zaum yuav:

• kev tshuaj ntsuam genetic predisposition;
• nkag mus rau hauv cov khoom noj ntawm ib tug loj npaum li cas ntawm cov tsiaj roj;
• txawv txav loj hlob thiab congenital predisposition;
• Tsis txaus kom tsawg ntawm cov zaub nyoos, nqaij ntses nyoo thiab khoom noj siv mis acids;
• mob plob tsis so tswj kab mob, o;
• noj zaub mov nrog ib tug ntau ntawm carcinogens;
• hnyuv system kev ntshawv siab, thiab cem quav;
• tsis tau phem;
• nyhav ntxiv, tsis tshua muaj kev mus ncig, tsis muaj ntawm lub cev qoj ib ce.

Thaum twg thiab yog vim li cas tshem tawm?

Lub ntsiab yog vim li cas rau qhov kev tshem tawm yog los mus tiv thaiv cov kev loj hlob ntawm cancer. Nrog kev tshem tawm muaj nyob rau hauv kev mob ncus, swb nyob rau hauv cov hnyuv, los ntshav tackle patency. Txawm li cas los, ua ntej ib tug kws lag luam tseem ua txhij txhua mob vim muaj cov yam tseem ceeb uas txwv tsis pub phais pab vim hais tias ntawm cov kev phiv los yog tau txim. Risk yam tseem ceeb:

• cov kab mob ntawm lub plawv system;
• kev puas tsuaj rau cov phab ntsa hauv lub qhov quav;
• mob ntshav qab zib;
• kab mob;
• cov ntshav txhaws;
• tsis haum rau cov tshuaj;
• tshwj xeeb tshaj yog polyp (qhov chaw, loj, me, hom).

Thaum lub caij, muaj cov tau cawm phais hom kev kawm, li ntawd, thaum pom tias ceev tshem tawm ntawm polyps tus kws kho mob yuav xaiv qhov zoo tshaj plaws kev xaiv, piv txwv li, yuav tau muab endoscopic polypectomy.

nrhiav kom tau nta

Ua ntej tshem tawm cov polyps yuav tau pib rau pinpoint ntau yam, zoo thiab qhov chaw. Lub polyp tej zaum yuav nyob rau hauv daim ntawv ntawm cov pwm, i.e. muaj cov qauv pov tseg rau ntawm ib qho elongate kav, muaj ib tug dav puag, kev ntxhib los mos yog ntau ca thiab sib npaug lawm. Nyob rau hauv tas li ntawd, lub polyps yuav ua tau villous thiab du.

Ntes tus xub ntiag ntawm polyps nyob rau hauv lub cev tus neeg tau thaum lub sij hawm tus mob los yog kuaj rau lwm tus kab mob. Feem ntau nrhiav kom tau ntawm polyps yog random, raws li cov tsim thiab kev loj hlob ntawm cov hnyuv tsis tshua ntes tej yam tshwm sim ntawm lawv xub ntiag. Ntawm cov ntsiab txoj kev rau cov nrhiav kom tau ntawm polyps xws li endoscopy, mus xoos hnyuv laus thiab me.

Nyob rau hauv cov pa diagnostic thiab kuaj tau los ntawm mus xoos hnyuv laus polypouses formations tus kws kho mob xaiv lub feem ntau ib qho kev zoo embodiments ntawm kev txiav txim. Thaum lub sij hawm endoscopic xeem yuav ntes polyps thiab tshem tawm cov me ntau thiab tsawg pab ntawm kev kawm ntawv, qhov luaj li cas ntawm cov uas tsis pub tshaj 7 hli. Qhov no txoj kev ntawm kev tshem tawm ntawm polyps yuav siv tsis muaj ntau tshaj li 2 lub sij hawm ib xyoos twg.

Feem ntau ua endoscopic polypectomy ntawm lub gallbladder.

Thaum tsim nyog los tshem tawm cov loj polyps, kev phais yog ua los ntawm polypectomy. Xws li ib tug lag luam yuav tsum tau tshwj xeeb endoscopic hom kev kawm.

Qhov tseem kom mus kom ze rau tej kev tshem tawm ntawm polyps yuav hu ua ntawm lub colonoscope ib feem thiab nws ntxiv xeem nyob rau hauv lub tshuab kuaj kab mob, thiab kev kuaj. lub lag luam yog npaj rau thaum xaus ntawm qib no thiab tau txais cov ntawv ntsuam xyuas tau. Txhua cov kev tshawb fawb tshwm sim yuav ua si ib qho tseem ceeb luag hauj lwm nyob rau hauv cov kev xaiv ntawm kev phais kev cuam tshuam, vim hais tias yog polyps mob xwm, tus neeg mob yuav tsum tau yauv mus ua ib lub chav kawm ntawm cov kws khomob.

Thiab tom qab uas lub polyps raug muab tshem tawm, ib tug ob peb xyoos nyob rau hauv ib tug kab txhua txhua xyoo yuav tau yauv mus ua ib tug mus xoos hnyuv laus vim hais tias polyps peev xwm yuav tsim dua.

nuances phais

Lub lag luam los ntawm cov uas eliminates lub tsim ntawm lub qhov quav, hu ua endoscopic polypectomy. Qhov no hom ntawm kev phais yog hais txog cov txheej txheem ntau tsis mob vim hais tias nws tsis yuav tsum tau incisions los yog punctures. Thaum otschipyvanii los yog tshem polyps neeg tsis hnov mob vim hais tias ntawm lub plab hnyuv mucosa yog tsis muaj paj txoj. Qhov no txoj kev no feem ntau yog ua nyob rau hauv ib tug lub tsev kho mob, thiab tsuas yog ib tug heev me me polyps 5 hli nyob rau hauv txoj kab uas hla yuav kho tau raws li outpatients.

Tiam sis feem ntau heev me me polyps tsis txhob kov, thiab tos kom txog thaum lawv yuav siav, vim hais tias lawv muab tshem tawm yog tsis pom zoo vim hais tias ntawm qhov yuav cov ntaub so ntswg kev puas tsuaj thiab plab hnyuv mucosa.

Yuav ua li cas yog endoscopic polypectomy ntawm qhov quav?

Muaj ob peb xaiv rau kev tshem tawm ntawm polyps los ntawm xws li cuam:

• Nyob rau hauv qis cheeb tsam ntawm ib tug loj polyp ua ntej tshem nws qhia ntsha spetsrastvor nyob rau hauv tshwj xeeb no, los mus tiv thaiv cov kev loj hlob ntawm cov teeb meem.
• Thaum tshem polypouses tsim nyob rau hauv mushroom daim ntawv siv cov txheej txheem coagulation voj sprinkles rau watered thiab truncating nws. Vim qhov no voj ncua los ntawm tsis muaj tam sim no, nws tam sim ntawd thiab cauterizes qhov chaw deletion.
• Nyob rau hauv tshem cov loj polyps muaj ib tug broad puag siv fragmentary txoj kev los ntawm tshem diathermic voj, nqa tawm fragmentation thiab tsim capture.

Nyob rau hauv qhov tseeb, tus tag nrho endoscopic polypectomy muaj nyob rau hauv inserting rau hauv lub qhov quav ntawm ib tug tshwj xeeb ntaus ntawv nrog ib tug ntev lub raj thiab lub koob yees duab, uas yog ua los ntawm ib tug nrog kev soj ntsuam ntawm lub qhov quav phab ntsa thiab tshem tawm cov formations. Nqa tawm txoj kev ua no yuav yog ib tug ntawm cov nram qab no cov txheej txheem. Txawm li cas los, cov txheej txheem rau qhov kev tshem tawm ntawm polyps yog xaiv tom qab nqa tawm ib tug diagnostic, thiab tsis nyob rau hauv cov thawj txoj kev tshawb no.

rov muaj dua ntawm polyps

Tom qab tshem tawm ntawm lub polyp tsis tshua mob heev npaj nyob rau hauv 13% ntawm cov neeg mob nyob rau hauv thawj 2 xyoo. Nyob rau hauv lwm qhov chaw ntawm cov nyuv kev pheej hmoo ntawm cov tshiab tsos - 7%.

Feem ntau ib tug pw endoscopic polypectomy.

kev tiv thaiv

Lub ntsiab txoj kev ntawm kev tiv thaiv ntawm polyps muaj xws li: kev hloov nyob rau hauv txoj kev ua neej, kev noj haus thiab kev tshawb fawb. Koj muaj peev xwm muab cov nram qab no rau kev tiv thaiv.

Nws yog tsim nyog los siv ntau calcium-nplua nuj zaub mov, vim calcium muaj ib tug prophylactic nyhuv, txawm nyob rau hauv rooj plaub twb raug kev txom nyem tus kab mob.

Koj yuav tsum noj ntau nplej, txiv hmab txiv ntoo thiab zaub vim cov ntsiab lus nyob rau hauv cov zaub mov no muaj nyob rau hauv antioxidants thiab fiber. Cov khoom uas txo txoj kev pheej hmoo ntawm formations.

Txwv txiav cov nqaijrog ntawm tsiaj keeb kwm. Cov neeg uas haus cov dej kuab muaj roj los ntawm khoom noj khoom haus, mas muaj kev pheej hmoo ntawm qhov quav cancer thiab polyps, raws li txwv mus rau cov neeg uas haus cov dej tsawg heev rog. zaub roj yuav pom zoo kom.

Haus dej cawv noj vim hais tias nws tsim txom heev tsub kom cov kev txaus ntshai ntawm tsis yog cov nyuv mob cancer thiab polyps, tab sis tseem muaj lwm cov kab mob.

Koj yuav tsum tsis txhob haus luam yeeb, raws li cov cwj pwm no zoo heev tsub kom qhov yuav tsim nyuv mob cancer. Nws tseem yog nqi tshem tawm cov hnyav thiab ua rau kom lub cev ua si.

Polypectomy lwm yam kabmob

Yuav ua li cas yog endoscopic polypectomy ntawm lub gallbladder?

Polyps feem ntau tshwm sim nyob rau hauv lub gallbladder. Ib tug me me yog tsis txaus ntshai. Nws yuav tsis quav ntsej li. Tab sis yog hais tias muaj ntau ntau, thiab lawv loj yog loj dua 10 hli, ces siv ib tug endoscopic polypectomy. Cov khoom hauv nrog cev yog fwm, kev kawm xwb los tshem tawm growths. Thaum lub loj loj luaj li cas ntawm polyps muab tshem tawm hauv lub cev raws li ib tug tag nrho, raws li yuav pab tau cancer.

Yuav ua li cas yog endoscopic polypectomy qhov ntswg?

Nyob rau hauv lub qhov ntswg, polyps kuj tshwm sim. poliektomiii endoscopic txoj kev tshem tawm cov growths sai sai thiab painlessly. Nyob rau hauv tej feem ntawm lub qhov ntswg turbinates thiab paranasal sinuses raug muab tshem tawm kev kawm ntawv. Nco ntsoov mus thov lub shaver thaum yeeb sucked.

Muaj endoscopic polypectomy plab.

Tej zaum cov hlwb loj hlob nyob rau hauv lub plab. Nws tseem yuav pab endoscopic phais. Tab sis txhua yam yuav nyob ntawm seb qhov loj ntawm lub tsim. Yog hais tias lawv yog loj, nws yog nqa tawm ib tug series ntawm kev pab. Tus neeg mob lub sij hawm no yog nyob rau hauv ib tug pw tsaug zog tshuaj.

Los ntawm endoscopic polypectomy resorted ntau heev. Qhov no yog ib tug zoo heev txoj kev tau txais tshem ntawm lub polyps nyob rau hauv ntau yam kabmob.