The fibrous oesophagoscope checks _'s general knowledge of cancer of the esophagus

The fibrous oesophagoscope checks _'s general knowledge of cancer of the esophagus
(1) Indication
1 is cytologic to check the masculine gender, barium meal is negative or suspicious, needs to orient diagnosis and person who determines the nature diagnosis of histology.
The intersection of 2 and the intersection of barium meal and the intersection of pathological change and position definite, distinguish the difficult ones but benignly, malignantly.
3 is limited to mucomembranous early cancer needs to do excising, electricity congealing or person who treats laser under the mirror.
In later period the patient can understand that invade intensity, naked eye dividing into type, histologic classification and tumour by stages outside cancer in 4 , treat the plan before being beneficial to making the skill.
The narrow palliative treatment to cancer under the mirror in 5 , the application substantially as putting into treatments such as the alloy support, freezing, laser,etc..
(2) Taboo disease that the fibrous oesophagoscope checks
1 whole body state is extremely weak.
2 serious heart and lungs function obstacle.
3 acute airway infection.
4 bleeding illness seriously, or the persons who spitting blood, spit blood recently.
5 cancer is deep with the punch omen sign person at ulcer.
(3) Behave under the inner mirror
The patient should remove the doubt, cooperate with doctor as much as possible, it is convenient for doctor to operate and observe. It treat doctor in there last patient to in the esophaguses, can observe is mirror.
Behave in 1 early cancer of the esophagus under the mirror and dividing type
(1)Rotten type: Most common, account for more than half of early cancer of the esophagus, some and congested, the mucous membrane loses normal gloss, know at the border around pathological change. The rotten district takes the form of thick particle, the mucous membrane creases or with single shot or occuring frequently small tubercle.
(2)Spot piece type: Present more cooking stoves of the office, ashen, is higher than the mucomembranous level slightly. The surface is coarse or rotten, erupt small cancer tubercle simultaneously or is like one kind of granules of grains of sand sometimes.
(3)Small tubercle type: Shown as isolating or occuring frequently small tubercle, the surface is apt to crack to bleed. Take the form of polyp sometimes, wind it with the normal mucous membrane around. The single shot or occur frequently tubercle, can diverge from main cooking stove, form satellite focus while being even, ones that may form early cancer are some source more.
(4)Coarse type: Some mucous membrane of esophagus is coarse, and then increase thick, abnormality, lose the normal appearance.
(5)Hiding type: There are a few cases besides, the oesophageal mucous membrane does not have obvious shape that change.
Later period cancer of the esophagus in 2
Because course of disease size and cytologic type different, shape, size that display under the inner mirror, invade and can have very much loud difference while being narrow outside. Tumour is like gill fungus, granulation, cauliflower, mulberry fruit or polyp. The color is rubescent, dark red or ashen, the surface of body of tumour often has ulcer of depth, necrosis covered is organized, the quality is fragile, apt to bleed. Cancer and sarcoma that mainly grew in, it is obvious the base of a fruit of cancer links with tube wall. Cancer may draws back the narrow type one to reveal that highly narrow by later period, the esophagus is obviously expanded above it, the mirror is in charge of being difficult to pass. Deep at ulcer or highly narrow patient, is biting and fetching alive and should avoid being engaged in blindly particularly while examining, so as to avoid complications such as punching or massive haemorrhage,etc..
It is postoperative for oesophagoscope to check, begin to take food 2 hours after advising patients, in case suck by mistake. Advise patient, have a rest a little while being postoperative, observe, have complication take place, have the intersection of chest and belly pain, generate heat, breathe hard, should check the shank in time at the symptom, if find it is angry and swollen that covers are left, may punch for the esophagus, need acute disease to deal with.
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