I-Endoscopic dissection yamathumba okuqala e-pharyngeal ayikwazi nje ukunciphisa ama-sequelae ahlukahlukene okungenzeka ukuthi izinqubo zokuhlinzwa zendabuko zingabangela, kodwa futhi zifinyeze ngempumelelo isikhathi sokululama ngemuva kokuhlinzwa.Muva nje, uMnyango Wezifo Zomzimba eSibhedlela Sabantu Sokuqala saseZhenjiang City wenze ngendlela entsha i-endoscopic submucosal dissection (ESD) ngokokuqala ngqa, welapha uMnu. Zhou oneminyaka engu-70 (igama-mbumbulu) ngesimila kupharynx engezansi.Ukuqaliswa ngempumelelo kwalokhu kuhlinzwa kuye kwanweba ngokwengeziwe ububanzi bokwelashwa kwe-ESD.
Ekuqaleni kukaMashi kulo nyaka, uMnu. Zhou wathola i-neoplasia ye-intraepithelial esezingeni eliphezulu ngesikhathi sokuhlolwa kwe-gastroscopy eSibhedlela Sokuqala sedolobha, okuyisifo sezilonda eziyingozi. Lapho uMnu. Zhou ebona lokhu kuxilongwa, wayexubile imizwa ngoba kwase kungokwesibili cishe eminyakeni emibili ethola isifo esihlobene nomdlavuza esebenzisa i-gastroscopy. Ngo-2022, esibhedlela esifanayo edolobheni, u-Yao Jun, umqondisi womnyango we-Gastroenterology, wathola umdlavuza we-sigmoid colon, izilonda zamafinyila esiswini, kanye ne-atypical hyperplasia ye-esophageal mucosa.Ngenxa yokwelashwa ngesikhathi kwe-ESD, ukuwohloka okwengeziwe kwezilonda kwabambezeleka.
Izinga lezinkinga ze-hypopharyngeal ezitholakala kulokhu kuhlolwa kabusha aliphezulu ngokomtholampilo.Ngokwendlela yendabuko yokwelapha, ukuhlinzwa kuyindlela eyinhloko, kodwa le ndlela yokuhlinza inomthelela omkhulu ekugwinyeni, ekukhiqizweni kwezwi nasekunambithekeni kweziguli.Ngokucabangela lokho asebekhulile bahlangabezana nezinkomba ze-ESD ezifana nesimila somucosa kanye nokungabi bikho kwe-lymph node metastasis, ngokombono wesiguli, u-Yao Jun wacabanga ukuthi ingabe ukwelashwa kwe-ESD okungavamisile okuncane kungasetshenziswa yini.
Iyini i-ESD?
I-ESD ukuhlinzwa kokukhishwa kwesimila okwenziwa ngakhoi-gastroscopy or colonoscopyngezinsimbi ezikhethekile zokuhlinza.Phambilini, yayisetshenziselwa kakhulu ukususa izimila kulwelwesi lwamafinyila kanye nongqimba olungaphansi lwesisu, amathumbu, umminzo, nezinye izindawo, kanye nama-polyp amakhulu ayisicaba kulezi zindawo.Ngenxa yokuthi amathuluzi okuhlinzafaka i-lumen yemvelo yomzimba womuntu ukuze uhlinzweimisebenzi,iziguli ngokuvamile zilulama ngokushesha ngemva kokuhlinzwa.
Izinyathelo zokuhlinzwa ze-ESD:
Nokho,indawo yokusebenza ngoba ukuhlinzwa pharyngeal kuncane uma kuqhathaniswa, enengxenye engaphezulu ebanzi kanye nengxenye engezansi encane, efana nesimo sefaneli. Kukhona futhi izicubu ezibalulekile ezifana ne-cricoid cartilage nxazonke zayo.Uma ukuhlinzwa kwenziwa ngemilimitha eseduze,izobangela izinkinga ezihlukahlukene ezinzima ezifana ne-laryngeal edema.Ngaphezu kwalokho, azikho izincwadi eziningi nge-ESD ephansi yepharyngeal ngaphakathi nakwamanye amazwe, okusho ukuthi ukuhlinzwa okuphumelelayo okutholakala kunkomba ka-Yao Jun nakho kulinganiselwe. Nokho, eminyakeni yamuva, umnyango we-gastroenterology wesibhedlela sokuqala edolobheni. iqoqe inani elikhulu lokuhlangenwe nakho kokuhlinzwa ngevolumu yokuhlinzwa ye-ESD yaminyaka yonke yamakesi angama-700-800, okwenze u-Yao Jun wakwazi ukuqongelela ulwazi olunzulu lokuhlinzwa. Ngemva kokubonisana neziyalo eziningi ezifana ne-otolaryngology, ukuhlinzwa kwekhanda nentamo, nokuhlinzwa okuvamile, waba nokuzethemba nakakhulu ekusebenziseni i-ESD emikhakheni emisha.Ngolunye usuku ngemva kokuhlinzwa, uMnu.Zhou wakwazi ukudla ngaphandle kwezinkinga ezifana nokuhogela. Manje useluleme futhi usephumile esibhedlela.
(Intatheli ye-China Jiangsu Net uYang Ling, uTang Yuezhi, uZhu Yan)
Isikhathi sokuthumela: May-08-2024