ʻAʻole hiki i ka ʻoki ʻoki ʻana o ka pharyngeal mua ke hōʻemi i nā sequelae like ʻole i hana ʻia e nā kaʻina hana kuʻuna, akā hoʻopōkole pono i ka manawa hoʻōla postoperative.I kēia mau lā, ua hana hou ka 'Oihana o Gastroenterology ma ka Halemai Kanaka Mua o Zhenjiang City i ka endoscopic submucosal dissection (ESD) no ka manawa mua, me ka mālama ʻana i kahi Mr.Zhou (pseudonym) he 70 mau makahiki me kahi maʻi maʻi ma ka lalo pharynx.ʻO ka hoʻokō kūleʻa ʻana o kēia ʻokiʻoki ua hoʻonui hou i ka laulā o ka mālama ESD.
I ka hoʻomaka ʻana o Malaki o kēia makahiki, ua ʻike ʻo Mr.Zhou i ka neoplasia intraepithelial kiʻekiʻe o ka pharynx i ka wā o ka nānā ʻana i ka gastroscopy ma ka Halemai Mua o ke kūlanakauhale, ʻo ia ka maʻi pili i nā lesions precancerous. I ka ʻike ʻana o Mr. no ka mea, ʻo ia ka lua o ka manawa i loko o ʻelua mau makahiki i ʻike ai ʻo ia i kahi maʻi e pili ana i ka maʻi kanesa ma o ka gastroscopy. nā ʻeha mucosal ʻōpū, a me ka hyperplasia atypical o ka mucosa esophageal.
ʻAʻole kiʻekiʻe ka nui o ka nui o nā pilikia hypopharyngeal i loaʻa i kēia reexamination. E like me ke ʻano o ka mālama maʻamau, ʻo ka ʻoki ʻana ke ʻano nui, akā he hopena nui kēia ʻano hana i ka ʻai ʻana, ka hana leo a me ka hana ʻono o nā mea maʻi. ʻO ka poʻe ʻelemakule e hālāwai me nā hōʻailona ESD e like me ka mucosal tumor a ʻaʻohe lymph node metastasis, mai ka manaʻo o ka mea maʻi, ua noʻonoʻo ʻo Yao Jun inā hiki ke hoʻohana ʻia ka mālama ʻana i ka ESD liʻiliʻi o ka mucosa.
He aha ka ESD?
ʻO ESD kahi ʻoki ʻoki ʻana i ka maʻi maʻi i hana ʻia ma ogastroscopy or colonoscopyme nā mea hana kūikawā kūikawā. Ma mua, ua hoʻohana nuiʻia e wehe i nā maʻi koko ma ka papa mucosal a me ka papa submucosal o ka'ōpū, nā'ōpū, esophagus, a me nā wahi'ē aʻe, a me nā polyps pālahalaha nui ma kēia mau wahi.komo i loko o ka lumen maoli o ke kino kanaka no ka ʻoki ʻananā hana,ho'ōla koke nā poʻe maʻi ma hope o ke ʻoki ʻana.
Nā ʻanuʻu hana ESD:
Eia naʻe,ka wahi hana no ka mea, ua liʻiliʻi ka ʻoki ʻana o ka pharyngeal, me kahi ʻaoʻao ākea ākea a me kahi ʻāpana haʻahaʻa haʻahaʻa, e like me ke ʻano o ka funnel. Aia kekahi mau kiko koʻikoʻi e like me ka cartilage cricoid a puni ia.e hana ia i nā pilikia koʻikoʻi e like me ka edema laryngealEia kekahi, ʻaʻole nui nā palapala e pili ana i ka ESD pharyngeal haʻahaʻa ma ka home a me ka honua, ʻo ia hoʻi, ʻo ka ʻike hana kūleʻa kūleʻa i loaʻa no ka ʻōlelo a Yao Jun ua kaupalena ʻia. Ua hōʻiliʻili ʻo ia i ka nui o ka ʻike ʻokiʻoki me ka nui o ka hoʻomaʻamaʻa ESD makahiki o 700-800 mau hihia, kahi i hiki ai iā Yao Jun ke hōʻiliʻili i ka ʻike ʻoihana nui. Ma hope o ke kūkākūkā ʻana me nā ʻano aʻoaʻo like ʻole e like me ka otolaryngology, ka ʻoki ʻana i ke poʻo a me ka ʻāʻī, a me ke ʻoki maʻamau, ua lilo ʻo ia i mea hilinaʻi nui i ka hoʻohana ʻana o ESD i nā kula hou.I kekahi lā ma hope o ka ʻoki ʻana, ua hiki iā Mr.Zhou ke ʻai me ka ʻole o nā pilikia e like me ka hoarseness. Ua ola ʻo ia a ua hoʻokuʻu ʻia mai ka haukapila.
(Ka mea hoʻolaha ʻo China Jiangsu Net ʻo Yang Ling, Tang Yuezhi, Zhu Yan)
Ka manawa hoʻouna: Mei-08-2024