Cov lus teb ncaj qha
Kev kuaj mob plab hnyuv loj yog ib qho kev kuaj mob endoscopic uas siv lub koob yees duab nyias nyias thiab yoog tau hla lub qhov quav los tshuaj xyuas tag nrho cov hnyuv loj. Kev kuaj mob plab hnyuv loj tso cai rau kev kuaj mob thiab tshem tawm cov polyps hauv tib lub sijhawm. Kev kuaj mob plab hnyuv loj yog siv rau kev kuaj mob qog noj ntshav plab hnyuv loj, rau kev los ntshav lossis kev hloov pauv ntawm tus cwj pwm hauv plab, thiab rau kev saib xyuas kab mob plab hnyuv.
Tus yuam sij takeaways
- Kev kuaj mob plab hnyuv loj (colonoscopy) ob qho tib si kuaj thiab kho, cov polyps tuaj yeem raug tshem tawm thiab kuaj cov nqaij mos thaum lub sijhawm ua tib yam.
- Qhov zoo ntawm kev kuaj mob plab hnyuv loj nyob ntawm seb koj npaj plab npaum li cas; kev npaj tsis zoo yuav zais tau cov qhov txhab tiaj tiaj thiab tej zaum yuav tsum tau rov ua qhov kev kuaj ntawd dua.
- Kev kuaj mob plab hnyuv loj ib txwm tsis txiav txim siab tias puas muaj kab mob sab nraum txoj hnyuv loj, thiab tsis kuaj pom txhua qhov mob.
- Kev kuaj mob plab hnyuv loj (colonoscopy) mus txog rau qee qhov ntawm txoj hnyuv uas kev kuaj sigmoidoscopy thiab kev kuaj quav ua tsis tau, tab sis nws tsis yog thawj qhov kev kuaj mob rau txhua yam tsos mob.
- Cov txiaj ntsig sib txawv nyob ntawm tus neeg mob qhov xwm txheej thiab yuav tsum tau txhais los ntawm tus kws kho mob uas tau thov kom ua qhov txheej txheem.
Ib nrais muag
| feature | Nthuav dav |
|---|---|
| Qhov uas tau tshuaj xyuas | Qhov quav, qhov sigmoid, qhov nqes, qhov hla thiab qhov nce ntawm txoj hnyuv loj, caecum; feem ntau yog ob peb centimeters kawg ntawm qhov ileum |
| Lub sijhawm ua haujlwm | Feem ntau li ntawm 20-45 feeb; ntev dua yog tias polyps raug tshem tawm |
| Tag nrho lub sijhawm nyob hauv tsev kho mob | Feem ntau siv sijhawm ob peb teev suav nrog kev kuaj xyuas, kev siv tshuaj loog thiab kev rov zoo |
| Kev Tsis Txaus Siab | Feem ntau yog siv tshuaj loog kom tsaug zog lossis siv tshuaj loog luv luv; qee chav kho mob muab cov txheej txheem uas tsis siv tshuaj loog. |
| Kev npaj | Kev noj zaub mov uas tsis muaj cov khib nyiab ntau, cov dej ntshiab, cov tshuaj ntxuav plab uas tau sau tseg |
| Xav tau tus neeg pab | Yog, yog tias siv tshuaj loog, koj tsis tuaj yeem tsav tsheb lossis caij tsheb mus tsev ib leeg |
| Muaj peev xwm kho thiab kuaj mob tau | Yog, polypectomy, biopsy, tswj kev los ntshav, dilatation hauv qee kis |
| Daim ntawv qhia muaj | Feem ntau cov ntaub ntawv pom los ntawm kev siv lub koob yees duab (endoscopy) tib hnub; kev kuaj nqaij los yog polyp histopathology siv sijhawm ntev dua |
Kuj hu ua
- Kev kuaj mob plab hnyuv qis dua
- Kev kuaj mob plab hnyuv loj / kev siv lub koob yees duab kuaj plab hnyuv loj
- Kev kuaj mob plab hnyuv loj, "colon scopy"
- Bade aant ki jaanch (kev kuaj mob plab)
- Muaj feem cuam tshuam tab sis txawv: sigmoidoscopy, proctoscopy, upper GI endoscopy (gastroscopy)
Kev kuaj mob plab hnyuv yog dab tsi
Lub koob yees duab plab hnyuv yog ib lub raj uas yoog tau thiab tuab li ib tug ntiv tes, nqa lub teeb, lub koob yees duab thiab cov kav dej uas cua lossis carbon dioxide, dej thiab cov cuab yeej hla mus. Tus kws kho mob endoscopist thawb lub koob yees duab plab hnyuv los ntawm lub qhov quav mus rau lub caecum, tom qab ntawd kuaj xyuas cov ntaub hauv plab kom zoo thaum rub tawm. Cov duab tshwm sim rau ntawm lub monitor thiab raug kaw cia.
Vim tias cov cuab yeej siv tau los ntawm lub tsom iav, kev kuaj mob plab hnyuv loj yog ob qho tib si kev kuaj mob thiab kev kho mob. Cov polyps tuaj yeem raug ntes lossis txiav tawm, cov qhov me me uas los ntshav tuaj yeem raug txiav lossis cauterised, cov biopsies tuaj yeem raug coj los ntawm cov chaw o lossis cov chaw uas muaj kev xav tias muaj teeb meem, thiab cov ntu nqaim qee zaum tuaj yeem nthuav lossis stented.
Vim li cas thiaj ua qhov kev kuaj mob colonoscopy
- Los ntshav: pom kev los ntshav hauv qhov quav, ntshav sib xyaw nrog cov quav, lossis ntshav tsis txaus hlau yam tsis muaj laj thawj pom tseeb.
- Kev hloov pauv ntawm kev quav tshuaj: raws plab tshiab tas li, cem quav lossis qhov quav nqaim.
- Kev kuaj pom thiab tshem tawm cov polyp: kev tshem tawm cov adenomatous polyps txo qhov kev pheej hmoo ntawm kev mob qog nqaij hlav colorectal, txawm hais tias nws tsis tshem tawm nws.
- Kev kuaj mob thiab saib xyuas mob qog nqaij hlav ntawm txoj hnyuv loj: nyob rau hauv cov pab pawg neeg uas muaj kev pheej hmoo nruab nrab thiab cov neeg uas muaj kev pheej hmoo siab dua, thiab tom qab muaj cov polyps lossis mob qog noj ntshav yav dhau los.
- Inflammatory plob tsis so tswj: kuaj mob thiab kos duab qhia txog mob ulcerative colitis thiab Crohn's disease, soj ntsuam kev kho mob, thiab kev saib xyuas dysplasia hauv mob colitis uas tau ntev lawm.
- Mob plab tsis paub meej lossis poob phaus qhov twg xav tias muaj kab mob plab hnyuv.
- Kev soj ntsuam cov duab tsis zoo lossis kev kuaj quav zoo xws li cov ntshav hauv cov quav uas pom tias muaj kab mob los yog kev kuaj tshuaj tiv thaiv kab mob hauv cov quav.
- Xav tias muaj kev kis kab mob mus ntev: nyob rau hauv Is Nrias teb, mob ntsws plab hnyuv thiab mob amoebic colitis yog qhov tseem ceeb uas yuav tsum xav txog, thiab feem ntau yuav tsum tau kuaj xyuas kom paub qhov txawv ntawm mob ntsws plab hnyuv thiab mob Crohn's.
Leej twg yuav tsum xav txog kev kuaj mob plab hnyuv
- Cov neeg laus uas muaj kev los ntshav hauv qhov quav, ntshav tsis txaus hlau uas tsis paub meej, lossis kev hloov pauv ntawm tus cwj pwm tso quav tsis paub meej, qhov kev kuaj mob tshwj xeeb thiab nws lub sijhawm nyob ntawm lub hnub nyoog thiab cov tsos mob.
- Cov neeg tsim nyog rau kev kuaj mob qog noj ntshav hauv plab hnyuv. Cov lus qhia thoob ntiaj teb feem ntau pib kuaj mob uas muaj feem yuav mob nruab nrab thaum muaj hnub nyoog 40 xyoo; Is Nrias teb tsis muaj kev pab cuam kuaj mob rau pej xeem thoob ntiaj teb, yog li kev kuaj mob feem ntau yog ua raws li tus kheej tom qab kev sib tham txog keeb kwm tsev neeg thiab kev pheej hmoo.
- Cov neeg uas muaj ib tug txheeb ze uas muaj mob qog nqaij hlav lossis mob qog nqaij hlav loj heev, feem ntau yuav tsum tau kuaj mob sai dua thiab ntau zaus dua.
- Cov neeg uas paub lossis xav tias muaj cov kab mob caj ces xws li Lynch syndrome lossis familial adenomatous polyposis, uas ua raws li cov sijhawm saib xyuas tshwj xeeb.
- Cov neeg uas muaj mob ulcerative colitis ntev los yog Crohn's colitis xav tau kev saib xyuas dysplasia.
- Cov neeg uas muaj kev kuaj mob los ntawm kev quav.
Kev kuaj mob plab hnyuv tsis yog qhov kev kuaj mob zoo rau txhua tus. Cov neeg tsis muaj zog, cov neeg uas muaj kab mob plawv thiab ua pa hnyav, lossis cov neeg uas tsis zoo li yuav hloov kev tswj hwm yuav zoo dua los ntawm kev kuaj mob tsawg lossis CT colonography. Koj tus kws kho mob plab yuav txiav txim siab nrog koj.
Tej yam uas kev kuaj mob plab hnyuv tsis tuaj yeem pom lossis tsis suav nrog
- Nws tsis kuaj xyuas lub plab me me dhau ob peb centimeters kawg ntawm cov ileum. Kev los ntshav hauv plab me me lossis tus kab mob Crohn nyob rau sab saud siab dua yuav tsis pom; tej zaum yuav xav tau capsule endoscopy, enteroscopy lossis MR enterography.
- Nws tsis kuaj lub plab lossis txoj hlab pas. Kev ntshav tsis txaus los yog los ntshav kuj yuav tsum tau kuaj mob GI sab saud thiab.
- Nws saib ntawm daim ntaub sab hauv, tsis yog cov khaubncaws sab nraud povtseg dhau nws. Qhov tob ntawm qhov mob qog nqaij hlav nkag mus rau hauv, cov qog ntshav hauv cov qog ntshav thiab kev sib kis yuav tsum tau kuaj CT, MRI lossis endoscopic ultrasound.
- Cov qhov txhab yuav tsis pom. Cov qhov txhab tiaj tus thiab sab xis, cov qhov txhab tom qab cov quav, thiab cov qhov txhab uas zais los ntawm cov quav seem yog cov laj thawj feem ntau. Mob qog noj ntshav thaum lub sijhawm ib ntus tuaj yeem tshwm sim tom qab kev kuaj plab hnyuv ib txwm muaj, yog li tsis tas yuav nyeem daim ntawv qhia txog kev kuaj plab hnyuv ua qhov lav.
- Kev kuaj plab hnyuv tsis tiav yuav kuaj tsawg dua li tag nrho plab hnyuv. Yog tias tsis tau mus txog lub caecum vim yog qhov khoov nruj, cov kab txuas, qhov nqaim lossis tsis xis nyob, qhov seem uas tsis tau kuaj xyuas tsuas yog tsis tau raug soj ntsuam xwb.
- Nws tsis tuaj yeem kuaj mob ncaj qha rau cov kab mob plab hnyuv. Kab mob plab hnyuv chim siab yog kev kuaj mob hauv tsev kho mob; kev kuaj mob plab feem ntau pab tshem tawm lwm yam teeb meem ntawm lub cev lossis kev o.
- "Tsis pom muaj qhov txawv txav" txhais tau tias tsis pom muaj qhov txawv txav li: nws tsis zoo ib yam li kev tshem tawm kab mob. Yog tias koj cov tsos mob tseem muaj, los ntshav rov qab los, lossis cov tsos mob tshiab tshwm sim txawm tias tau kuaj mob plab hnyuv li qub, rov qab mus ntsib koj tus kws kho mob dua li xav tias qhov teeb meem tau daws lawm.
Kev ntsuam xyuas sib txuas tab sis sib txawv
| Kev xeem | Nws teb li cas | Cov sib txawv tseem ceeb |
|---|---|---|
| Colonoscopy | Daim ntaub ntawm tag nrho cov hnyuv loj zoo li cas, thiab puas tuaj yeem tshem tawm lossis kuaj cov qhov txhab tam sim no? | Kev npaj plab tag nrho, feem ntau yog kev siv tshuaj loog, tso cai rau kev kuaj mob thiab polypectomy |
| Sigmoidoscopy yooj yim | Puas muaj kab mob nyob rau hauv lub qhov quav thiab sab laug plab hnyuv? | Kev npaj tsawg, feem ntau tsis muaj tshuaj loog, sai dua; tsis ntsuas qhov mob plab hnyuv zoo |
| Kev kuaj mob plab hnyuv / kev kuaj mob plab hnyuv nruj | Puas muaj cov kab mob hemorrhoids, cov kab tawg lossis cov kab mob hauv qhov quav? | Cov txheej txheem ua haujlwm hauv chaw ua haujlwm, ncav cuag tsawg heev |
| CT colonography | Puas muaj cov qhov txhab hauv cov hnyuv uas tsis tuaj yeem ntxig lub raj xa pa rau hauv? | Tseem xav tau kev npaj plab hnyuv, siv kev siv hluav taws xob, tsis tuaj yeem kuaj lossis tshem tawm cov polyps; cov kev kuaj pom tsis zoo feem ntau ua rau muaj kev soj ntsuam plab hnyuv |
| Kev kuaj quav (FIT / cov ntshav zais hauv quav) | Puas muaj cov ntshav zais uas qhia tias yuav tsum tau tshawb nrhiav ntxiv? | Tsis muaj kev phais, tsis tas yuav npaj, rov ua dua ntawm lub sijhawm sib nrug; qhov kev kuaj tsis pom tias muaj mob qog noj ntshav lossis polyps tsis suav nrog |
| Capsule endoscopy | Puas muaj kab mob plab me? | Lub koob yees duab nqos; tsis muaj kev kuaj cov nqaij; tsis yog kev hloov pauv rau kev kuaj mob plab hnyuv |
| Upper GI endoscopy | Puas muaj kab mob hauv txoj hlab pas, plab lossis duodenum? | Txawv qhov ntsuas, txoj kev sib txawv; feem ntau ua ke nrog kev kuaj mob plab hnyuv rau kev mob ntshav tsis txaus |
Cov no tsis raug muab qeb los ntawm qhov phem tshaj plaws mus rau qhov zoo tshaj plaws. Lawv teb cov lus nug sib txawv. Qhov twg los ua ntej nyob ntawm qhov teeb meem kev kho mob, qhov pom kev los ntshav ntawm cov neeg laus hauv qhov quav, tus neeg tsis muaj tsos mob uas yuav tsum tau kuaj mob, thiab qhov xav tias muaj mob proctitis yog peb qhov xwm txheej sib txawv nrog peb qhov pib sib txawv.
Yuav npaj li cas rau kev kuaj mob plab hnyuv
Cov txheej txheem npaj sib txawv ntawm cov tsev kho mob thiab cov chav endoscopy, thiab nyob ntawm cov tshuaj ntxuav plab siv, lub sijhawm ntawm koj qhov kev teem caij thiab koj keeb kwm kev kho mob. Cov lus qhia sau los ntawm chav ua koj txoj kev kho mob yuav tseem ceeb dua txhua yam uas koj nyeem ntawm no.
- Noj cov zaub mov: feem ntau cov chav kho mob qhia kom noj zaub mov uas muaj cov khoom seem tsawg (tsis txhob noj noob, txiv ntoo qhuav, tawv nqaij, cov nplej tag nrho, zaub nyoos) rau ob peb hnub, tom qab ntawd haus dej kom huv si rau ib lub sijhawm teev tseg ua ntej ua cov txheej txheem.
- Cov tshuaj ntxuav plab hnyuv: Feem ntau cov txheej txheem noj ua ke, nrog rau ib feem ntawm hmo ua ntej thiab ib feem ntawm thaum sawv ntxov ntawm txoj kev kho mob. Ua raws li qhov ntim thiab lub sijhawm uas koj lub tshuab muab rau koj.
- Dej: feem ntau cov kua dej ntshiab raug tso cai kom txog thaum lub sijhawm teev tseg; cov chav sib txawv hauv lawv qhov kev txiav kawg.
- Cov tshuaj kho mob: qhia rau pab neeg txog cov tshuaj uas ua rau cov ntshav nyias, cov tshuaj tiv thaiv cov ntshav txhaws, cov tshuaj insulin thiab lwm yam tshuaj kho mob ntshav qab zib, cov tshuaj ntsiav hlau, thiab txhua yam tshuaj AYUSH, tshuaj ntsuab lossis cov tshuaj ntxiv rau hauv lub gym. Tsis txhob pib, tsum lossis hloov cov tshuaj uas tau muab rau koj tus kheej, nug tus kws sau ntawv lossis pab neeg endoscopy seb yuav ua li cas.
- Kev pab thiab kev pom zoo: Yog tias npaj yuav muab tshuaj loog, npaj kom muaj ib tug neeg laus uas muaj lub luag haujlwm nrog koj mus tsev. Npaj tsis txhob tsav tsheb, caij tsheb ob lub log, siv tshuab lossis kos npe rau cov ntaub ntawv raug cai rau hnub ntawd.
Cev xeeb tub
Kev kuaj plab hnyuv thaum cev xeeb tub tsuas yog ua thaum tsim nyog xwb, nrog kev sab laj nrog pab pawg kws kho mob yug menyuam, nrog rau kev saib xyuas qhov chaw, kev xaiv tshuaj loog thiab lub sijhawm. Cov khoom siv npaj plab hnyuv thiab kev hloov pauv dej xav tau kev soj ntsuam tshwj xeeb.
Cov menyuam yaus thiab tub ntxhais hluas
Kev siv lub tshuab kuaj plab hnyuv rau menyuam yaus siv kev npaj raws li qhov hnyav thiab feem ntau ua thaum muaj tshuaj loog hauv chaw kho mob menyuam yaus. Cov ntim tshuaj rau cov neeg laus yuav tsum tsis txhob siv rau menyuam yaus.
Kev kho mob ntshav qab zib nrog kev txo qis glucose
Kev yoo mov thiab npaj plab muaj feem yuav ua rau muaj ntshav qab zib tsawg. Feem ntau cov kws kho mob yuav tsum tau hloov kho cov sijhawm siv tshuaj insulin thiab lwm yam tshuaj uas txo cov piam thaj, thiab yuav tsum tau saib xyuas cov piam thaj hauv cov ntshav thaum lub sijhawm npaj. Thov kom tau cov lus qhia sau tseg meej.
Kab mob raum ntev, lub plawv tsis ua haujlwm thiab kev txwv dej
Kev npaj plab loj ua rau cov kua thiab electrolyte hloov pauv. Cov neeg uas muaj CKD theem siab heev, lub plawv tsis ua haujlwm, cirrhosis nrog ascites lossis tau teem sijhawm txwv cov kua dej xav tau cov tshuaj xaiv thiab saib xyuas los ntawm lawv tus kws kho mob. Cov tshuaj uas muaj phosphate raug zam hauv cov pab pawg no hauv ntau chav.
Cov laus
Kev npaj ua ntej yuav ua rau lub cev qhuav dej, kiv taub hau thiab ntog. Kev saib xyuas ntxiv hauv tsev thaum lub sijhawm npaj yog qhov tsim nyog, thiab kev siv tshuaj loog feem ntau yuav tsum tau ua tib zoo ntsuas.
Cov tshuaj ua kom cov ntshav nyias thiab cov teeb meem ntshav
Cov tshuaj Anticoagulants thiab antiplatelet cuam tshuam rau qhov kev pheej hmoo ntawm kev los ntshav ntawm kev tshem tawm polyp, thiab kev txwv tsis pub siv lawv muaj nws cov kev pheej hmoo. Kev txiav txim siab yog tus kws kho mob plawv lossis kws kho mob ua ke nrog tus kws kho mob endoscopist.
Cov khoom siv cog rau hauv lub cev, cov tshuab pacemakers thiab lwm yam khoom siv
Qhia rau pab neeg txog cov tshuab pacemakers, cov tshuab defibrillators uas muab tso rau hauv lub plawv thiab lwm yam khoom siv uas muab tso rau hauv lub plawv, vim tias tej zaum yuav xav tau kev hloov kho qhov chaw teeb tsa electrocautery.
Muaj dab tsi tshwm sim thaum lub sijhawm kuaj mob plab hnyuv
- Kos rau hauv: kev tso cai, kev tshuaj xyuas kev ua xua thiab tshuaj, ib lub cannula rau kev tsaug zog, thiab kev saib xyuas lub plawv dhia, ntshav siab thiab kev txaus ntawm cov pa oxygen.
- Txoj Haujlwm: koj pw rau sab laug nrog koj lub hauv caug rub, hnav ib lub tsho.
- Sedation: feem ntau muab tshuaj rau hauv cov hlab ntsha. Ib txhia neeg muaj tshuaj loog luv luv; qee chav muab cov txheej txheem yam tsis muaj tshuaj loog.
- Xeem: Lub koob tsom hnyuv loj raug thawb maj mam mus rau pem hauv ntej, nrog rau cov pa roj siv los qhib lub plab. Cov pa roj carbon dioxide, qhov twg muaj, raug nqus sai dua thiab feem ntau ua rau o tsawg dua li cua. Kev hloov chaw thiab kev nias ntawm lub plab feem ntau yog siv los kho qhov khoov.
- Kev Kho Mob: Cov polyps raug tshem tawm nrog lub snare lossis forceps; biopsies raug coj mus rau qhov twg xav tau; clips lossis cautery yuav siv tau los tiv thaiv kev los ntshav. Cov qauv mus rau histopathology.
- Rov qab: saib xyuas kom txog thaum cov tshuaj loog ploj mus, tom qab ntawd haus dej thiab noj zaub mov me me yog tias tso cai. Kev o thiab pa tawm yog ib txwm muaj rau ob peb teev.
Cov txheej txheem siv sijhawm ntev npaum li cas
- Npaj: npog hnub ua ntej thiab thaum sawv ntxov ntawm cov txheej txheem, nyob ntawm seb hom kev kho mob twg.
- Tus txheej txheem: feem ntau li ntawm 20-45 feeb; ntev dua nrog ntau lossis cov polyps nyuaj.
- Kev rov zoo tom qab kev siv tshuaj loog: feem ntau ib mus rau ob peb teev hauv chav tsev.
- Hnub puv: npaj yuav tsis mus ua haujlwm rau hnub ua cov txheej txheem, thiab rau ib feem ntawm hnub dhau los.
- Histopathology: siv sijhawm ntxiv hnub; cov ntaub ntawv pom ntawm endoscopy thiab daim ntawv qhia txog biopsy yog ob daim ntawv sib cais.
Kev Nkag Siab Txog Koj Daim Ntawv Qhia Txog Kev Siv Koob Tshuaj Colonoscopy
Daim ntawv qhia txog kev kuaj mob hauv plab feem ntau sau tseg tias lub koob yees duab tau mus txog deb npaum li cas, kev npaj plab zoo npaum li cas, pom dab tsi, ua dab tsi, thiab yuav tsum tau ua raws li cas. Cov ntsiab lus no tseem ceeb npaum li qhov kev tshawb pom tseem ceeb.
- Qhov Ntev: "ua tiav kev ntxig raj rau hauv plab hnyuv" txhais tau tias tau ntxig tag nrho cov hnyuv loj lawm. Yog tsis tau, daim ntawv qhia yuav tsum qhia tias qhov kev kuaj mob mus deb npaum li cas.
- Kev npaj zoo: feem ntau tau qhab nia piav qhia lossis nrog rau qhov ntsuas. Kev npaj tsis zoo ua rau txo qis kev ntseeg siab rau qhov tshwm sim thiab tej zaum yuav ua rau rov ua dua ua ntej.
- Cov kua qaub ncaug ib txwm muaj: tsis pom qhov txawv txav hauv cov ntu uas tau kuaj xyuas.
- Polyps: piav qhia los ntawm tus lej, qhov loj, qhov chaw thiab qhov tsos. Seb polyp puas tseem ceeb nyob ntawm nws cov histology, hyperplastic, adenomatous, serrated, uas tsuas yog daim ntawv qhia biopsy thiaj li qhia tau koj.
- Kev o, mob qog lossis kev tawg: ib qho qauv, tsis yog kev kuaj mob. Kev sib txawv ntawm cov kab mob ulcerative colitis, Crohn's disease, infectious colitis, intestinal tuberculosis, ischaemic colitis thiab kev raug mob los ntawm tshuaj yuav tsum tau kuaj nqaij thiab kev sib raug zoo hauv kev kho mob.
- Kab mob diverticulosis: cov hnab hauv phab ntsa hnyuv loj, uas feem ntau tshwm sim thaum muaj hnub nyoog thiab feem ntau tshwm sim tsis tu ncua.
- Cov kab mob ntshav: feem ntau tau tshaj tawm thiab feem ntau tsis yog qhov ua rau muaj cov tsos mob tseem ceeb; tseem yuav tsum tau suav nrog cov quav seem.
- Qhov hnyav los yog qhov nruj: piav qhia txog qhov mob uas yuav ua rau koj xav tias muaj teeb meem thiab muab coj mus kuaj. Kev kuaj pom tsis yog mob qog noj ntshav kom txog thaum kuaj pom tseeb tias muaj mob qog noj ntshav.
Cov lus piav qhia txog qhov hnyav ntawm kev kuaj mob plab hnyuv yog ib feem ntawm tus neeg mob xav thiab sib txawv ntawm cov kws kho mob endoscopist. Tsis txhob muab qib koj tus kheej qhov kev kwv yees los ntawm cov lus piav qhia hauv daim ntawv qhia. Tus kws kho mob uas tau thov kom ua qhov txheej txheem txhais nws nrog rau koj cov tsos mob, kev kuaj ntshav, kev thaij duab thiab kev kuaj mob qog nqaij hlav.
Thaum cov txiaj ntsig ntawm kev kuaj mob plab hnyuv tuaj yeem ua rau yuam kev
Cov kev tshawb pom uas yuav ua rau neeg ntseeg siab tsis tseeb (tsis pom lossis tsis tshua hu ua kab mob)
- Kev npaj plab tsis txaus ua rau pom cov qhov txhab tiaj lossis me me.
- Kev kuaj mob tsis tiav qhov twg tsis tau mus txog txoj hnyuv sab xis.
- Tshem tawm sai sai, yog li ntawd daim ntaub sab hauv tsis tshua xyuas kom zoo.
- Cov qhov txhab tiaj tus, serrated lossis sab xis, uas nyuaj rau pom.
- Kab mob sab nraum txoj hnyuv loj, txoj hnyuv me, plab, pancreas, poj niam lossis urological, uas kev kuaj plab loj yeej yuav tsis pom.
- Kab mob Crohn's uas tsis sib xws lossis o thaum ntxov uas zoo li yuav luag zoo li qub ntawm qhov chaw tab sis tsuas pom cov kev hloov pauv ntawm kev kuaj nqaij xwb.
Cov kev tshawb pom uas yuav ua rau muaj kab mob ntau dhau
- Kev liab ntsig txog kev npaj, lossis kev raug mob los ntawm lub scope, zoo li o.
- Kev siv NSAID tsis ntev los no ua rau muaj kev tawg lossis mob qog tsis cuam tshuam nrog kab mob plab hnyuv.
- Cov cim qhia txog cov hlab ntsha los yog cov cim ntawm cov hlab ntsha raug txhais ntau dhau tias yog qhov chaw los ntshav.
- Lymphoid hyperplasia rau cov menyuam yaus thiab cov tub ntxhais hluas, ib qho variant ib txwm muaj.
- Cov qhov txhab me me uas zoo los ntawm kev kho mob o, ischemia lossis kev phais mob yav dhau los raug yuam kev tias yog qog nqaij hlav kom txog thaum kuaj pom tseeb.
Kev Pheej Hmoo thiab Kev Nyab Xeeb
Kev kuaj mob plab hnyuv loj feem ntau ua thiab cov teeb meem loj tsis tshua muaj, tab sis lawv yog qhov tseeb, thiab qhov kev pheej hmoo tsis zoo ib yam rau txhua hom kev kho mob. Kev pheej hmoo nyob ntawm hnub nyoog, kev mob ua ke, kev siv tshuaj loog, thiab seb puas tau ua kev kho mob.
Kev kuaj mob plab hnyuv tsis muaj kev kho mob
Qhov o, mob plab thiab tsis xis nyob ib ntus yog ib qho uas pom ntau. Qhov tho thiab los ntshav ntau yog ib qho uas tsis tshua muaj nyob rau hauv kev kuaj mob xwb.
Kev kuaj mob plab hnyuv nrog kev phais polypectomy lossis resection
Kev tshem tawm cov polyps ntxiv rau qhov muaj feem yuav los ntshav, uas tuaj yeem tshwm sim tom qab ob peb hnub, thiab muaj feem yuav raug mob ntau dua li kev kuaj mob xwb. Cov qhov txhab loj dua, kev phais me me thiab kev phais endoscopic mucosal lossis submucosal muaj feem yuav muaj feem ntau dua thiab yuav tsum tau nyob hauv tsev kho mob luv luv.
Kev siv tshuaj loog thiab tshuaj loog
Tej yam txaus ntshai muaj xws li ntshav siab qis, cov pa oxygen tsawg, ua pa nyuaj thiab, tsis tshua muaj, ua pa tsis tau lossis mob plawv. Cov neeg uas muaj mob pw tsaug zog tsis taus pa, muaj kab mob plawv lossis ntsws loj, lossis rog dhau yuav tsum tau soj ntsuam ua ntej siv tshuaj loog.
Kev npaj plab hnyuv
Tej zaum yuav muaj kev qhuav dej, xeev siab, ntuav thiab teeb meem electrolyte, tshwj xeeb tshaj yog rau cov neeg laus thiab cov neeg uas muaj kab mob raum, plawv lossis siab. Tej zaum yuav muaj kev qaug dab peg los ntawm teeb meem electrolyte hnyav heev tab sis kuj tau tshaj tawm tias muaj.
lwm yam
Kev kis kab mob tsis tshua muaj nrog cov khoom siv rov ua dua tshiab. Cov tsos mob tom qab polypectomy, kev raug mob ntawm lub qog thiab cov qhov txhab uas tsis pom yog pom tab sis tsis tshua muaj. Cov txiaj ntsig thiab cov teeb meem sib txawv nyob ntawm tus neeg mob qhov xwm txheej.
Cov cim liab tom qab kuaj mob colonoscopy
Xwm txheej ceev: nrhiav kev kho mob tam sim no
- Mob plab hnyav lossis mob zuj zus tuaj, lossis mob plab tawv thiab mob heev.
- Los ntshav ntau hauv qhov quav, cov ntshav txhaws loj tawm, lossis los ntshav tsis tu ncua.
- Tsaus muag, kiv taub hau heev, tawv nqaij txias ntub dej los yog lub plawv dhia ceev.
- Ua tsis taus pa lossis mob hauv siab.
- ntuav tas li nrog rau qhov mob plab thiab tsis muaj peev xwm tso pa tawm.
- Kub taub hau nrog rau mob plab hnyav.
Tib hnub ntawd: tiv tauj chav endoscopy lossis koj tus kws kho mob hnub no
- Muaj cov ntshav me me tshiab txuas ntxiv mus dhau thawj hnub, lossis rov tshwm sim tom qab tshem cov polyp tawm.
- Kub taub hau yam tsis mob heev.
- Mob plab tas li uas tsis ploj tom qab ob peb teev.
- Tsis muaj peev xwm khaws cov kua dej kom qis.
- Tsis meej pem lossis tsis muaj zog tom qab npaj, tshwj xeeb tshaj yog rau cov neeg laus lossis cov neeg uas muaj ntshav qab zib, CKD lossis lub plawv tsis ua haujlwm.
Kev teem caij tsis tu ncua
- Sib tham txog cov txiaj ntsig ntawm kev kuaj nqaij los yog polyp histopathology thiab lub sijhawm saib xyuas tom qab.
- Mob plab me ntsis los yog ntshav me me uas ploj mus hauv ib hnub.
- Cov tsos mob uas tseem muaj lossis rov qab los txawm tias tau kuaj mob plab hnyuv li qub, cov no tseem yuav tsum tau saib xyuas dua.
- Npaj kev soj ntsuam dua, lossis tshuaj xyuas daim ntawv qhia uas hais tias kev npaj tsis zoo lossis kev kuaj xyuas tsis tiav.
Cov xwm txheej tshwj xeeb
Cev xeeb tub
Kev kuaj plab hnyuv yuav raug ncua tshwj tsis yog tias cov ntaub ntawv ntawd xav tau rau kev tswj hwm tam sim ntawd. Kev txiav txim siab yuav sib koom ntawm tus kws kho mob plab hnyuv, kws kho mob yug menyuam thiab kws kho mob loog, nrog rau kev saib xyuas cov tshuaj loog thiab kev tso tus menyuam rau niam.
Cov me nyuam
Cov cim qhia txawv ntawm cov neeg laus thiab suav nrog kab mob inflammatory bowel, polyposis syndromes thiab los ntshav ntev. Cov tsom iav me me rau menyuam yaus, tshuaj loog thiab kev npaj raws li qhov hnyav yog cov qauv.
Cov laus
Cov txiaj ntsig nyob ntawm lub neej ntev thiab mob nkeeg ib yam li hnub nyoog. Kev kam rau kev npaj, lub cev qhuav dej, kev ntog thiab kev pheej hmoo ntawm kev siv tshuaj loog txhua yam yog qhov tseem ceeb hauv kev txiav txim siab, thiab kev kuaj mob tsawg lossis CT colonography qee zaum tsim nyog dua.
Kev kho mob ntshav qab zib nrog kev txo qis glucose
Qhov teeb meem loj tshaj plaws yog qhov ua rau muaj ntshav qab zib tsawg thaum lub sijhawm npaj thiab yoo mov. Cov lus qhia sau los ntawm tus kws kho mob thiab kev soj ntsuam ntshav qab zib hauv tsev thaum lub sijhawm npaj yog qhov tseem ceeb. Feem ntau, teem sijhawm thaum sawv ntxov yog qhov zoo dua.
Kab mob raum ntev thiab lub plawv tsis ua haujlwm
Kev xaiv cov tshuaj thiab qhov ntau npaum li cas yuav tsum tau ua raws li tus kheej xav tau. Tsis txhob siv cov tshuaj tshwj xeeb, thiab siv cov tshuaj uas muaj kev saib xyuas lossis hloov kho rau cov kab mob hnyav heev.
Inflammatory plob tsis so tswj kab mob
Kev siv lub tshuab kuaj mob plab hnyuv loj (colonoscopy) los kuaj mob, soj ntsuam kev kho mob ntawm cov hnyuv me me (mucosal) thiab kev saib xyuas cov teeb meem dysplasia hauv cov mob plab hnyuv loj uas tau ntev los lawm, feem ntau yog siv cov tshuaj tsuag xim lossis cov txheej txheem ntsuas siab (high definition techniques) thiab ntau yam kev kuaj nqaij (biopsypsy).
Kev phais mob plab lossis lub duav yav dhau los, lossis kev kho mob radiotherapy yav dhau los
Kev sib txuas thiab kev hloov pauv ntawm lub cev tuaj yeem ua rau kev kuaj mob tag nrho nyuaj thiab yuav ua rau muaj feem ntau ntawm kev ua tiav tsis tiav.
Kev kuaj mob Colonoscopy hauv Is Nrias teb
- Cov kab mob tseem ceeb dua ntawm no. Kab mob ntsws hauv txoj hnyuv, kab mob amoebiasis thiab lwm yam kab mob sib kis tau zoo ib yam li kab mob Crohn. Feem ntau cov kev kuaj mob rau histopathology, kev pleev xim acid-fast thiab kev kuaj molecular raug coj los ua qhov sib txawv no, thiab qee zaum yuav tsum tau rov ua qhov kev kuaj mob plab hnyuv tom qab sim kho mob.
- Kab mob ntshav tsis txaus (anaemia) yog ib qho uas muaj ntau thiab muaj ntau yam ua rau. Feem ntau cov neeg uas muaj kab mob thalassemia vim tsis muaj hlau txaus hauv Is Nrias teb muaj cov kab mob no, thiab tus cwj pwm thalassemia kuj muaj ntau heev. Qhov ntawd tsis tshem tawm qhov yuav tsum nrhiav qhov chaw los ntshav hauv cov hnyuv thaum cov tsos mob qhia tias muaj li ntawd.
- Tsis muaj kev tshuaj ntsuam xyuas hauv tebchaws. Kev kuaj mob qog noj ntshav hauv Is Nrias teb feem ntau yog kev nrhiav sijhawm thiab kev coj los ntawm kws kho mob es tsis yog raws li pej xeem, yog li kev txiav txim siab los kuaj mob yog tus kheej thiab nyob ntawm keeb kwm tsev neeg thiab cov yam ntxwv uas ua rau muaj kev pheej hmoo.
- Cov kab mob hemorrhoids raug liam ntau dhau. Feem ntau cov ntshav tawm hauv qhov quav yog vim muaj pob zeb tsis tau kuaj xyuas ntxiv. Cov ntshav tawm hauv qhov quav yog ib qho uas pom ntau, tab sis qhov muaj cov ntshav tawm tsis yog vim muaj ntshav ntau, poob phaus, hloov pauv kev quav lossis los ntshav hauv cov neeg laus.
- Cov tshuaj ntxiv thiab kev kho tus kheej. Cov tshuaj ntsuab, AYUSH thiab cov tshuaj pab txhawb nqa kev ua si hauv gym, nrog rau cov NSAIDs thiab kev siv tshuaj laxative ntau dhau, tuaj yeem ua rau mob plab lossis mob siab. Nqa daim ntawv teev cov khoom noj uas koj noj kom raug.
- Kev ceev ntiag tug ntawm cov ntaub ntawv. Cov duab endoscopy, cov ntawv qhia thiab txhua daim ntawv teem sijhawm online lossis daim ntawv nug txog kev noj qab haus huv ntawm tus kheej, uas tau ua raws li Txoj Cai Tiv Thaiv Cov Ntaub Ntawv Tus Kheej Digital, 2023.
- Kev coj ua haujlwm. Kev pom zoo, kev tshaj tawm txog kev pheej hmoo thiab kev sib txuas lus ntawm cov txiaj ntsig yog tswj hwm los ntawm National Medical Commission cov qauv kev coj ua haujlwm.
Tus nqi thiab kev pov hwm hauv Is Nrias teb
Tus nqi rau kev kuaj mob plab hnyuv hauv Is Nrias teb sib txawv heev ntawm cov nroog, ntawm tsoomfwv thiab cov chaw ntiag tug, thiab ntawm kev kuaj mob yooj yim thiab ib qho uas muaj ntau lub polypectomies. Vim yog qhov sib txawv ntawd, tsis muaj ib tus lej twg muaj txiaj ntsig; nug chav ua haujlwm kom tau txais kev kwv yees sau ua ntej teem sijhawm.
Cov yam uas hloov tus nqi:
- Kev kuaj mob colonoscopy piv rau polypectomy, mucosal resection, dilatation lossis stenting.
- Kev siv tshuaj loog piv rau kev siv tshuaj loog dav dav, thiab seb puas muaj kws kho mob loog.
- Tus naj npawb ntawm cov qauv biopsy thiab cov nqi histopathology, uas tau them cais.
- Cov tshuaj siv rau kev npaj plab hnyuv, cov khoom siv tau xws li cov ntxiab, cov clips thiab cov koob txhaj tshuaj.
- Kev zov menyuam thaum nruab hnub piv rau kev pw hauv tsev kho mob, thiab pawg chav.
- Lub nroog, theem tsev kho mob thiab seb qhov chaw puas yog tsoomfwv, kev ntseeg siab lossis tuam txhab.
- Cov kev kuaj ua ntej kev phais mob xws li kev suav cov ntshav, cov qauv ntshav coagulation, ECG lossis kev tshuaj loog.
Kev Pov Hwm: kev kuaj mob plab hnyuv ua raws li kev kho mob thaum nruab hnub rau tus mob uas kuaj pom lossis xav tias muaj yog them los ntawm ntau txoj cai pov hwm kev noj qab haus huv Is Nrias teb, tab sis tsuas yog kev tshuaj ntsuam lossis kev tiv thaiv kab mob hauv tus neeg uas tsis muaj tsos mob feem ntau raug tshem tawm. Lub sijhawm tos, cov kab lus kab mob ua ntej, cov npe chaw zov menyuam thiab cov kev txwv me me txhua yam siv tau. Cov phiaj xwm tsoomfwv xws li Ayushman Bharat PM-JAY them rau cov neeg tau txais txiaj ntsig tsim nyog ntawm cov tsev kho mob hauv qab cov pob khoom txhais. Paub meej tias kev them nqi thiab kev tso cai ua ntej nrog koj tus neeg pov hwm lossis lub rooj pov hwm ntawm tsev kho mob ua ntej cov txheej txheem.
Cov lus dab neeg thiab qhov tseeb
| tswvyim hais ua dabneeg | fact |
|---|---|
| Kev kuaj mob plab hnyuv ib txwm txhais tau tias kuv txoj hnyuv zoo li qub tau kaum xyoo, txawm li cas los xij | Lub sijhawm kuaj mob uas pom zoo yog suav tias yog kev kuaj mob tag nrho nrog kev npaj zoo thiab tsis muaj tsos mob tshiab. Kev los ntshav tshiab, kev poob phaus lossis kev hloov pauv ntawm kev quav yuav tsum tau soj ntsuam dua txawm tias qhov kev kuaj mob plab hnyuv zaum kawg yog thaum twg los xij. |
| Kev kuaj mob plab hnyuv (colonoscopy) mob heev tsis muaj zog | Feem ntau cov neeg noj tshuaj loog thiab tsis tshua nco qab qhov tsis xis nyob. Kev o thiab mob plab tom qab ntawd yog ib qho uas pom ntau thiab feem ntau yog ib ntus xwb. |
| Kev los ntshav hauv cov tub ntxhais hluas yeej ib txwm yog pob | Kab mob ntshav yog qhov ua rau mob feem ntau tab sis tsis yog tib qho xwb. Kev los ntshav tas li, ntshav tsis txaus, lossis kev hloov pauv ntawm kev quav yuav tsum tau kuaj xyuas. |
| Txhua tus polyps yog mob qog noj ntshav | Feem ntau cov polyps tsis yog mob qog noj ntshav. Daim ntawv qhia txog histopathology txiav txim siab seb cov polyp puas muaj peev xwm ua rau mob qog noj ntshav ua ntej thiab yuav tsum tau ua raws li cas. |
| Kev kuaj quav tuaj yeem hloov kev kuaj mob plab hnyuv | Kev kuaj quav yog cov cuab yeej siv tau los kuaj mob tab sis tsis tuaj yeem tshem tawm cov polyps lossis coj biopsies, thiab kev kuaj quav yog tias tsis pom muaj kab mob tseem ceeb tsis suav nrog. |
| Kev npaj plab yog xaiv tau yog tias kuv noj me ntsis xwb. | Yog tsis ntxuav kom huv, cov qhov txhab yuav zais thiab yuav tsum tau kuaj dua. Kev noj zaub mov me me tsis yog ib qho kev hloov pauv rau kev npaj zaub mov raws li tau teem tseg. |
| Kev kuaj mob plab hnyuv kis tau mob qog noj ntshav | Tsis muaj pov thawj qhia tias kev kuaj mob plab hnyuv loj (colonoscopy) kis tau mob qog noj ntshav hauv plab hnyuv loj. Kev ncua sij hawm ntsuam xyuas cov tsos mob uas txhawj xeeb yog qhov muaj feem ntau dua. |
Lus nug cov lus nug
Puas yog colonoscopy mob?
Feem ntau cov kev kuaj mob plab hnyuv loj (colonoscopies) yog ua los ntawm kev siv tshuaj loog rau hauv cov hlab ntsha, thiab feem ntau cov neeg tsis nco qab txog cov txheej txheem no. Qee lub chaw kuaj mob plab hnyuv loj (colonoscopy) tsis siv tshuaj loog, qhov twg qhov mob plab thaum lub sijhawm ua voj voog yuav ua rau tsis xis nyob tab sis feem ntau luv luv. Qhov o thiab mob tom qab ntawd yog qhov tshwm sim ntau. Qhia rau pab neeg yog tias koj tau muaj kev kuaj mob nyuaj ua ntej.
Qhov txawv ntawm kev kuaj mob plab hnyuv thiab kev kuaj mob sigmoidoscopy yog dab tsi?
Kev kuaj sigmoidoscopy yooj ywm tsuas yog kuaj lub qhov quav thiab sab laug ntawm txoj hnyuv xwb, xav tau kev npaj me ntsis thiab feem ntau tsis muaj tshuaj loog. Kev kuaj plab hnyuv kuaj tag nrho cov hnyuv loj suav nrog sab xis ntawm txoj hnyuv, uas sigmoidoscopy mus tsis tau. Kev kuaj sigmoidoscopy yog qhov tsim nyog rau kev xav tias muaj kab mob ntawm lub qhov quav lossis sab laug; nws tsis hloov kev kuaj plab hnyuv tag nrho thaum tag nrho cov hnyuv xav tau kev soj ntsuam.
Kuv yuav tau txais kuv cov txiaj ntsig sai npaum li cas?
Tus kws kho mob endoscopist feem ntau piav qhia txog cov kev pom uas pom tau rau tib hnub ntawd, thaum kev siv tshuaj loog tsis ua haujlwm lawm, thiab muab daim ntawv qhia txog kev siv endoscopy sau ua ntawv. Kev kuaj mob ntawm cov nqaij me me lossis cov polyps uas raug tshem tawm siv sijhawm ntev dua thiab los ua daim ntawv qhia sib cais. Cov lus qhia kawg txog kev saib xyuas tom qab feem ntau tos cov txiaj ntsig ntawm kev kuaj mob ntawd.
Kuv puas noj tau li qub tom qab kuaj mob plab hnyuv?
Feem ntau cov chav kho mob pub haus dej thiab tom qab ntawd noj zaub mov me me thaum cov tshuaj loog tsis ua haujlwm lawm thiab koj xis nyob. Yog tias muaj ib lub polyp loj raug tshem tawm, qhov nqaim tau nthuav tawm, lossis xav tias muaj teeb meem, pab neeg yuav qhia kom noj zaub mov tsawg rau ib ntus. Ua raws li cov lus qhia tshwj xeeb uas tau muab rau koj thaum koj tawm hauv tsev kho mob.
Yog tias kuv txoj kev kuaj mob plab hnyuv tsis ua tiav ces yuav ua li cas?
Kev kuaj plab hnyuv tsis tiav txhais tau tias ib feem ntawm txoj hnyuv tsis tau kuaj, feem ntau yog vim muaj qhov voj voog, qhov nplaum, qhov nqaim lossis kev npaj tsis zoo. Qhov seem ntawd tsis tau raug soj ntsuam. Cov kev xaiv suav nrog kev kuaj plab hnyuv dua, qee zaum nrog cov txheej txheem sib txawv lossis kev siv tshuaj loog, lossis CT colonography los thaij duab ntawm txoj hnyuv tsis tau kuaj.
Yuav tsum tau ua qhov kev kuaj mob plab hnyuv ntau zaus npaum li cas?
Lub sijhawm sib nrug nyob ntawm seb vim li cas thiaj ua qhov kev kuaj mob plab hnyuv loj, qhov zoo ntawm kev kuaj mob, keeb kwm tsev neeg, thiab tus naj npawb, qhov loj thiab histology ntawm cov polyps raug tshem tawm. Cov neeg uas muaj kab mob plab hnyuv lossis cov kab mob caj ces ua raws li cov sijhawm saib xyuas sib cais. Koj tus kws kho mob plab hnyuv yuav teem sijhawm sib nrug tom qab pom daim ntawv qhia txog histopathology.
Kuv puas yuav tsum tsis txhob siv tshuaj ua kom cov ntshav nyias ua ntej yuav mus kuaj plab hnyuv?
Qee zaum, tab sis qhov kev txiav txim siab ntawd tsis yog koj li ua ib leeg xwb. Kev tsum tsis txhob noj tshuaj anticoagulant lossis antiplatelet muaj nws tus kheej qhov kev pheej hmoo ntawm cov teeb meem ntshav txhaws, thaum txuas ntxiv mus nws ua rau muaj kev pheej hmoo ntawm kev los ntshav yog tias polyps raug tshem tawm. Nug tus kws kho mob thiab pab pawg endoscopy ua ntej koj mus ntsib, thiab ua raws li lawv txoj kev npaj sau tseg.
Kuv puas rov qab mus ua haujlwm tau tib hnub ntawd?
Yog tias koj tau noj tshuaj loog, npaj so kom txaus rau hnub ntawd. Kev txiav txim siab thiab kev xav yuav tseem cuam tshuam rau ob peb teev, yog li tsis txhob tsav tsheb, caij tsheb ob lub log, siv tshuab lossis kos npe rau cov ntaub ntawv tseem ceeb. Cov neeg feem coob rov qab mus ua ub ua no li qub rau hnub tom qab, tshwj tsis yog tias kev kho mob yuav tsum tau rov zoo ntev dua.
Puas yog CT colonography yog lwm txoj hauv kev zoo?
Kev thaij duab CT colonography tuaj yeem pom cov qhov txhab ntawm cov qauv thiab nws muaj txiaj ntsig zoo thaum kev thaij duab colonoscopy tsis tiav, muaj kev pheej hmoo siab lossis tsis zoo. Nws tseem xav tau kev npaj plab hnyuv, siv hluav taws xob, thiab tsis tuaj yeem siv biopsies lossis tshem tawm cov polyps. Cov kev tshawb pom tseem ceeb ntawm CT colonography feem ntau ua rau kev thaij duab colonoscopy, yog li nws yog lwm txoj hauv kev hauv qee qhov xwm txheej es tsis yog kev hloov pauv dav dav.
Qhov chaw
- Lub Koom Haum Kev Noj Qab Haus Huv Ntiaj Teb / Lub Chaw Haujlwm Thoob Ntiaj Teb rau Kev Tshawb Fawb Txog Kab Mob Cancer, GLOBOCAN cov ntaub ntawv txog mob cancer colorectal thiab cov ntawv qhia txog Is Nrias teb.
- Pawg Sab Laj Saib Xyuas Kev Tshawb Fawb Kho Mob ntawm Is Nrias teb, National Cancer Registry Programme tshaj tawm.
- Lub Koom Haum Indian ntawm Gastroenterology, txoj haujlwm thiab cov lus pom zoo ntawm kev xyaum colonoscopy thiab ntawm kev sib txawv ntawm txoj hnyuv tuberculosis los ntawm Crohn's tus kab mob.
- Lub Koom Haum Amelikas rau Kev Tshawb Fawb Txog Kab Mob Plab Hnyuv, cov lus qhia txog kev npaj plab hnyuv, kev siv tshuaj loog, kev tswj hwm antithrombotic thiab kev saib xyuas tom qab polypectomy.
- Lub Koom Haum British Society of Gastroenterology / European Society of Gastrointestinal Endoscopy, cov qauv zoo ntawm kev kuaj mob plab hnyuv thiab kev taw qhia saib xyuas.
- Txoj Cai Tiv Thaiv Cov Ntaub Ntawv Tus Kheej Digital, 2023 (Tsoomfwv Is Nrias teb).
- Pawg Neeg Saib Xyuas Kev Kho Mob Hauv Tebchaws, cov cai tswjfwm kev coj ua haujlwm ntawm kev pom zoo thiab kev tshaj tawm.
