
uchal naan kelele chinh

naun-lifting chinh heey endoscopic tapasanivaril eka nishkarsh aahe jeey endoscopic shleshmal vichchhedanadvare (eae. emm. aar.) polypectomisathi mothya sapat kinwa cecil colorectal polypschya yogyatebaddal mahitee pradan karate. endoscopic shleshmal vichhedan karnyachya tayarisathi jevha dravpadarth polypkhali injectiondware deela jaato, tevha kahee polype "uchalat naheet", jeey asey darshavate qee polype submucosapasun vegale hott nahee. yamule polypectomy tantrikdrushtya adhik katheen hote aanee polypectomycha prayatna kelyas aatadyansambandhi chhidra honyacha dhoka vadhato. heey suruvatichya colorectal karkarogache dekhil soochak manale jaate jyane submukosavar lakshaniyaritya aakraman kele aahe (ess. emm. 3-submucosachya khalchya eka trutiyanshparyant aakraman), jyamule karkarog purnapane kadhoon taknyas parvanagi denyasathi gaath shastrakriya karoon kadhoon takane shreyaskar tharel. parinami, uchal naan kelele chinh samanyatah endoscopic shleshmal vichhedan karnyasathi eka matbhed manale jaate.
itihas.
japanchya hirosaki university school auph medicinechya yoshiharu uno aanee akihiro munakata yanni 1994 madhye pahilyanda naun-lifting chinhache varnan kele hote.
1999 madhye tyach chamoone dakhavun dile qee uthan naan jhalelya chinhachi upasthiti endoscopic vichchhedanasathi vicharat ghetalelya prarambhik colorectal karkarogadvare submucosachya aakramanachya sakholateshi sambandhit aahe. drav injectiondware dile gele tevha uchalalya gelelya gathee, naan ghetalelya gathipeksha qamee aakramak asalyache aadhalun aale (ess. emm. 1 kinwa ess. emm. 2-aakraman heey submucosachya varchya done trutiyanshparyant maryadit hote, khalee kiman 1 miimii naan guntalelya submucosache). asey manale jaate qee naan uchalanyache lakshan heey gathichya sabhovatalachya tantumay vikaramule hote jyamule gathee snayushleshmalat khilate.
tyanantarchya sanshodhananni asey suchavale qee endoscopistdware tumourchya mulyankanapeksha tumourchya aakramanachi kholee nirdharit karnyat naun-lifting chinh qamee achook aahe, parantu tarihi asey suchavate qee chinhachya upasthitimule endoscopic vichhedan tantrikdrushtya katheen hote. tathapi, agadi alikade asey aadhalun aale aahe qee endoscopic shleshmal vichhedan karnyacha prayatna karnyapurvi tumourchi biopsy kelee jaate tevha fibrosis houu shakato, jyamule chukiche sakaratmak naun-lifting chinh yete aanee tyamule chinhachi spasht achookata qamee hote. tyamule lekhakanni, jarr emm. aar. chaa prayatna karayacha asel tarr jakhamanchi biopsy talhanyachi shifaras kelee aanee jarr biopsy kelee gelee asel tarr emm. aar. chaa prayatna karnyapurvicha vel qamee keela pahije.