Ntau tus neeg hauv lub neej xav tias qhov ntub dej hnyav dhau thaum lawv pom lawv cov quav tsis tsim kom zoo…… Qhov tseeb, cov quav tsis zoo tsis yog vim qhov ntub dej hnyav xwb, tab sis kuj tseem tuaj yeem ua rau cov quav tsis zoo……vim tsim ib pob hauv cov hnyuv nyob rau lub sijhawm ntev!
Lub sij hawm ntev malformed quav, xav nws's vim hnyav ya raws
UCia siab tias yuav raug kev txom nyem los ntawm ntau yam polyps ntawm txoj hnyuv
Mr. Jiang (ntseeg), uas muaj hnub nyoog 58 xyoo xyoo no, tau ntxhov siab los ntawm "cov quav tsis zoo" tau ntev, thiab cov tsos mob ntawm cov quav tsis zoo tau ntev li 6 xyoo. Yawg Jiang ib txwm xav tias nws yog vim nws qhov ntub dej hnyav, yog li nws tau siv tshuaj Suav ntau los tswj nws, tab sis nws cov tsos mob tseem tsis zoo. Nws tsis pom muaj qhov txawv txav hauv lub tsev kho mob hauv zos qhov kev kuaj mob thiab tsis zoo tom qab tau txais kev kho mob. Tsis ntev los no, tsis yog xwbcov tsos mob hnyav zuj zus, tab sis kujmob plab tsis tu ncua tau tshwm sim. Tsev neeg muaj kev ntxhov siab thiab nrog Mr. Jiang mus rau Xi'an Weitai Digestive Disease Hospital rau kev kho mob.
Mr. Jiang tau kho los ntawm Chi Shengqun, tus thawj coj ntawm chav kho mob sab nraud ntawm Xi'an Weitai Digestive Disease Hospital. Tom qab mloog Mr. Xu cov tsos mob piav qhia, Chi Shengqun tau pom zoo tias nws raug mobib colonoscopytxhawm rau txheeb xyuas qhov laj thawj ntxiv.
Nyob rau ntawm Digestive Endoscopy Center, Tus Lwm Thawj Coj Xu Mingliang tau uaib colonoscopyrau Mr. Jiang. Nyob rau hauv lub microscope, nws pomYamada 9 loj thiab me Yamada hom 2, hom 3 thiab hom 4 plab hnyuv polyps pom nyob rau hauv txoj hnyuv thiab qhov quav. CovQhov loj me yog li 0.5 * 0.7cm, thiab covQhov loj tshaj plaws yog 2.8 * 3.6cm, yuav luag thaiv txoj hnyuv.Qhov tshwm sim ntawm cov qog loj no tig mus ua mob qog noj ntshav yog qhov siab.
Tus kws kho mob ua endoscopic mucosal resection (EMR)kom sai tshem tawmntau lub plab hnyuv polyps
Hnov tias Xu muaj ntau yam polyps loj hlob hauv nws txoj hnyuv, nrog qhov loj tshaj polyp siab tshaj 2.5cm, nws tsev neeg txhawj xeeb heev. Tus Thawj Coj Xu Mingliang ua siab ntev nplij siab thiab hais rau Xu tsev neeg tias, "Tsis txhob txhawj, hom polyp notuaj yeem daws tauhauv qabcolonoscopythiabrov zoo sai. "Thaum Mr. Jiang tsev neeg ua pa ib qho kev mob siab rau thaum hnov cov xov xwm thiab pom zoo rau kev phais EMR.
Tom qab txiav txim siab txog txoj kev kho mob, Tus Thawj Coj Xu Mingliang ua tib zoo muab tso rau, txhaj tshuaj, thiab siv lub ntxiab rau electrocut lub polyps. Ib kauj ruam dhau los, 9 lub plab hnyuv polyps raug tshem tawm tag nrho, thiab cov ntaub so ntswg siv los kaw qhov txhab. Kev phais tau ua tiav. Tom qab ua haujlwm, 4 postoperative polyps cov ntaub so ntswg raug xa mus rau kev kuaj mob, uaspom ib tug villous tubular adenomauas yognquag mus rau malignant transformation. Hmoov zoo,kev txiav txim raws sij hawmtau ua,zoo tiv thaiv qhov tshwm sim ntawm cov qog nqaij hlav hauv plab.
"Kuv xav tias kuv yuav muaj kev lag luam loj, tab sis kuv tsis xav tias yuav daws tau los ntawmcolonoscopy!" Yawg Jiang hais zoo siab, Rov qab mus rau pawg neeg mob hauv tsev kho mob, Mr. Jiangrov pib nws txoj kev noj haus rau hnub obthiab yogtawm hauv tsev kho mob rau hnub thib rau day. Ua ntej tso tawm, Thawj Coj Xu Mingliang tau qhia Mr. Jiang rautau txais kev soj ntsuam xyuas hauv rau lub hlis.
Colonoscopyyog tus qauv kub rau kev tshuaj xyuas cov kab mob hauv plab
Thawj Tswj Hwm Xu Mingliang hais li ntawdcolonoscopytsis mob siab npaum li cov lus xaiv lossis kev thov hauv online. Nrog kev nce qib ntawm thev naus laus zis, endoscopes muajua kom mos thiab slender, thiab lub sijhawm xav tau raucolonoscopytseem luv heev,feem ntau nyob ib ncig ntawm 15-20 feeb.Nws pom zoo kom sawv dawsundergo ibcolonoscopy tom qab 40 xyoo.
Cov neeg muaj kev pheej hmoo siab uas tsis muaj tsev neeg keeb kwm ntawm plab hnyuv polyps thiab thawj cov txheeb ze nrog mob qog noj ntshavyuav raugcolonoscopy txhua 5 xyoos tom qab ntawd.Cov neegnrog plab hnyuv polyps thiab keeb kwm ntawm tsev neegxav tauua ntej lub sijhawm tshuaj ntsuam thawj zaug li ntawm 10 xyoothiabnyob rau hauvcolonoscopythaum muaj hnub nyoog 25 txog 35 xyoos. Yog plab hnyuvpolyps pom tom qabcolonoscopy, qhov zaus ntawm kev xeem yuav tsumua ntau zaus. Rau qhovpeb xyoos tom ntej no, colonoscopyyuav tsum yogtau ua txhua xyoolos txiav txim qhov zaus ntawm qhov kev ntsuam xyuas tom ntej raws li kev loj hlob ntawm polyp.
Post lub sij hawm: May-09-2024