I.Ilungiselelo lokulungiselela
1. Qonda indawo, imvelo, usayizi nokugcotshwa kwezinto zakwamanye amazwe
Thatha ama-X-ray ama-X-ray noma ama-CT CT entamo, esifubeni, ukubonwa kwe-anteroposeor nasemuva, noma isisu njengoba kudingeka ukuqonda indawo, imvelo, ukwakheka, usayizi, nokuhlolwa kwe-barium Swallow.
2. Ukuzila ukudla nokudla kwamanzi
Ngokujwayelekile, iziguli zishesha amahora ayi-6 kuye kwayi-8 ukuze zikhiphe okuqukethwe yisisu, futhi isikhathi sokudla kanye nokudla kwamanzi singavuselelwa ngokufanele nge-gastroscopy ephuthumayo.
3. Usizo lwe-anesthesia
Izingane, lezo ezinokuphazamiseka kwengqondo, labo abangabambisani, noma labo abanezinto zakwamanye amazwe ezivalekile, imizimba eminingi yakwamanye amazwe, imisebenzi e-endoscopic okunzima kufanele isebenze ngaphansi kosizo lwe-anesthesia noma i-endotracheal. Susa izinto zakwamanye amazwe.
II. Ukulungiswa Kwemishini
1. Ukukhetha kwe-Endoscope
Zonke izinhlobo zokubuka phambili ze-gastroscopy ziyatholakala. Uma kulinganiselwa ukuthi kunzima ukususa umzimba wangaphandle noma umzimba wakwelinye izwe mkhulu, kusetshenziswa i-gastroscopcopy ethekwini ephindwe kabili. I-Endoscopes ene-wadeter encane yangaphandle ingasetshenziselwa izinsana nezingane ezincane.
2. Ukukhetha kwe-Forceps
Kakhulu kuncike ngosayizi nokwakheka komzimba wangaphandle. Izinsimbi ezisetshenziswayo ezivame ukusetshenziswa zifaka ama-biopsy Forceps, ugibe, amabutho ama-furps amathathu, ama-forcep afulethini, amandla omzimba wakwamanye amazwe (ama-rat-houth forceps, i-jaw-hoth forceps, njll.
Ukukhethwa kwensimbi kunganqunywa ngokususelwa ngosayizi, ukwakheka, uhlobo, njll. Ngokwemibiko yezincwadi, ama-rat-izinyo ama-forceps asetshenziswa kakhulu. Izinga lokusetshenziswa kwama-rat-izinyo lamandla angu-24.0% ~ 46.6% wazo zonke izinsimbi ezisetshenzisiwe, kanye ne-akhawunti yezingibe nge-4.0% ~ 23.6%. Ngokuvamile kuzwakala ukuthi izingibe zingcono kwimizimba yakwamanye amazwe ebunjiwe. Njengama-thermometer, amazinyo, ama-bamboo izinti, amapeni, nezinkezo, njll.
2.1 Izinhlaka zakwamanye amazwe ezibunjwe ngenduna kanye nezinhlaka zakwamanye amazwe ezikhethekile
Ngezinto zakwamanye amazwe ezibunjwe ngenduku enobumba obushelelezi kanye nobubanzi obuncane obungaphandle obunjengama-toothpick, kulula kakhulu ukukhetha amaPliers amahlathi amathathu, ama-pliers amazinyo, njll; Ngezinto zakwamanye amazwe eziyindilinga (ezifana nama-cores, amabhola ezingilazi, amabhethri enkinobho, njll.), Sebenzisa ibhasikidi yokususa amatshe noma isikhwama sokususwa samatshe ukuze ubasuse kunzima ukushiya.
2.2 Imizimba Ebukhali Ebukhali Yaphandle, Ama-Clumps Okudla, kanye namatshe amakhulu esiswini
Ngemizimba ende ebukhali yakwamanye amazwe, i-axis ende yomzimba wakwelinye izwe kufanele ibe ngokufana ne-eksisi ende ye-lumen, ngokuphela okubukhali noma okuvulekile okubheke phansi lapho kufakwa khona. Ngemizimba yakwamanye amazwe ebunjiwe noma izimbobo zangaphandle ezinezimbobo, kuphephile ukusebenzisa indlela yokuzikhipha ukuze uyisuse;
Okokudla okungama-clumps namatshe amakhulu esiswini, ama-bite forceps angasetshenziselwa ukuwachoboza bese asuswe ngamabutho amathathu emhlathini noma ugibe.
3. Imishini yokuvikela
Sebenzisa amadivaysi okuvikela ngangokunokwenzeka ngezinto zakwamanye amazwe okunzima ukuzikhipha futhi zinobungozi. Njengamanje, amadivaysi asetshenziswayo asetshenziswa ngokujwayelekile afaka izigqoko ezisobala, amashubhu angaphandle, nezimbobo ezivikelayo.
3.1 cap esobala
Ngesikhathi sokususwa komzimba wakwamanye amazwe, i-cap esobala kufanele isetshenziswe ekugcineni kwe-endoscopic lens ngangokunokwenzeka ukuvimbela i-mucosa ukuthi iklwebelwe ngumzimba wakwelinye izwe, futhi yandise i-esophagus ukunciphisa ukumelana nalokhu kususwa. Kungasiza futhi nokubopha nokukhipha umzimba wakwelinye izwe, okuzuzisa ukususwa komzimba wangaphandle. khipha.
Ngemizimba yakwamanye amazwe abunjwe ncamashi agxile eMucosa emaphethelweni womabili ama-esophagus, ingabe i-transparent cap ingasetshenziselwa ukusunduza ngobumnene i-esosaageal mucosa ezungeze umkhawulo we-esophageal mucosal ukugwema ukukhishwa okuqondile okubangelwa ukususwa okuqondile okubangelwa ukususwa okuqondile.
I-Transparent Cap inganikeza futhi indawo eyanele yokusebenza kwensimbi, elula ngokutholwa nokususwa kwezinhlaka zakwamanye amazwe engxenyeni emincane ye-esophageal ntambement.
Ngasikhathi sinye, i-Transparnt cap ingasebenzisa umfutho wokucindezela ongemuhle ukusiza ukudonsa ama-clumps wokudla futhi kusebenze ukucubungula okulandelayo.
3.2 ukubekwa kwangaphandle
Ngenkathi evikela i-esophagus kanye ne-esophageal-gastric Jevin Mucosa, ishubhu yangaphandle lisiza ukususwa kwe-endoscopic kwezinto ezinde, ezibukhali, kanye nokususwa kwezigameko zokudla, ukunciphisa izehlakalo zokususwa komhlaba wangaphandle. Khulisa ukuphepha nokusebenza kahle kokwelashwa.
Ama-Opture ajwayele ukusetshenziswa ezinganeni ngenxa yengozi yokulimaza i-esophagus ngesikhathi sokufakwa.
3.3 isembozo sokuvikela
Beka isembozo esivikelekile esibheke phansi ngaphambili kwe-endoscope. Ngemuva kokubopha into yakwamanye amazwe, shayela isembozo esivikelayo ngaphezulu bese usonga into yakwamanye amazwe lapho ukhipha i-endoscope ukugwema izinto zakwamanye amazwe.
Kuhlangana nolwelwesi lwe-mucous lwepheshana lokugaya ukudla futhi kudlala indima evikelayo.
4. Izindlela zokwelashwa zezinhlobo ezahlukene zezimbali zakwamanye amazwe epheshana lesisu eliphezulu
4.1 Izixuku zokudla e-Esophagus
Imibiko iphakamisa ukuthi ama-masses amancane okudla e-esophagus angaphoqelelwa ngobumnene esiswini futhi ashiywe ukuze akhishwe ngokwemvelo, okulula, okulula okungenzeka ukuthi kubangele izinkinga. Ngesikhathi senqubo yokuthuthuka kwe-gastroscopy, ukwehla kwamandla emali efanelekile kungenziwa ku-esophageal lumen, kepha ezinye iziguli zingahle zihambisane nama-esophageal amabumoni noma i-apophageal anastotic stenosis (Umdwebo 1). Uma kukhona ukumelana futhi ucindezela ngobudlova, ukusebenzisa ingcindezi enkulu kuzokwengeza ingozi yokugcwala. Kunconywa ukusebenzisa ibhasikidi elisuselwa e-Stone Removal noma isikhwama sokususwa samatshe ukususa ngokuqondile umzimba wangaphandle. Uma i-bolus yokudla inkulu, ungasebenzisa amandla omzimba wangaphandle, izingibe, njll. Ukuyilungisa ngaphambi kokuyihlukanisa. Yikhiphe.
Umdwebo 1 Ngemuva kokuhlinzwa ngomdlavuza we-esophageal, isiguli sasihambisana ne-esophageal stenosis nokugcinwa kwe-bolus yokudla.
4.2 Izinto Zangaphandle Ezimfishane Nezimnyama
Imizimba yakwamanye amazwe amafushane kakhulu futhi i-blunt ingasuswa ngokusebenzisa amandla omzimba wakwamanye amazwe, izingibe, obhasikidi abasuswa ngamatshe, izikhwama ze-Stone Removal Net, njll. (Umdwebo 2). Uma umzimba wakwelinye izwe e-esophagus kunzima ukususa ngqo, ungaphoqelelwa esiswini ukuze uguqule isikhundla sawo bese uzama ukuyikhipha. Amafushane, ama-blunt akwamanye amazwe anewazi langaphandle elinobubanzi be> 2,5 cm esiswini kunzima kakhulu ukudlula nge-pylorus, kanye nokungenelela kwe-endoscopic kufanele kwenziwe ngokushesha; Uma imizimba yakwamanye amazwe enama-diameter amancane esiswini noma i-duodenum ayikhombisi ukulimala kwesisu, bangalinda ukukhishwa kwabo kwemvelo. Uma kusele isikhathi esingaphezu kwamaviki ama-3-4 futhi namanje akwazanga ukukhishwa, kufanele kususwe ngokwezifiso.
Umdwebo wezinto zangaphandle zepulasitiki nezindlela zokususa
4.3 Imizimba yakwamanye amazwe
Izinto zangaphandle ezinobude be-≥6 cm (njengama-thermometer, amazinyo, ama-bamboo chopstick, amapeni, nezinkezo, njll.) Ngakho-ke akulula ukukhishwa ngogibe noma obhasikidi.
Ugibe lungasetshenziswa ukumboza ukuphela okukodwa (kungabi ngaphezu kwe-1 cm kude nasekupheleni), futhi kubekwe kwi-cap esobala ukuyikhipha. Idivaysi yangaphandle ye-cannula nayo ingasetshenziswa ukubamba umzimba wangaphandle bese ibuyela kahle kwi-cannula yangaphandle ukuze igweme ukulimaza i-mucosa.
4.4 Izinto Ezibukhali Zangaphandle
Izinto ezibukhali zakwamanye amazwe ezinjengamathambo ezinkukha, amathambo ezinkukhu, amazinyo, ama-pits ama-date, izinyo, iziqeshana zamaphepha, ama-razor ama-tin box wrappers (Umdwebo 3) kufanele anakwe ngokwanele. Izinto ezibukhali zakwamanye amazwe ezingalimaza kalula ulwelwesi lwama-mucous kanye nemithambo yegazi futhi ziholele ezinkingeni ezinjengokufanele kufanele ziphathwe ngokucophelela. Ukuphathwa okuphuthumayo endoscopic.
Umdwebo o-3 izinhlobo ezahlukene zezinto ezibukhali zakwamanye amazwe
Lapho ususa imizimba yakwamanye amazwe ebukhali ngaphansi kokuphelaI-Oscope, kulula ukuklwebhula i-mucosa yepheshana lokugaya ukudla. Kunconywa ukusebenzisa i-cap cap esobala, engadalula ngokuphelele i-lumen futhi igweme ukuklwebha udonga. Zama ukuletha isiphelo esimnyama semzimbeni wakwelinye izwe esiseduze kokuphela kwelensi ye-endoscopic ukuze kufakwe i-endoscopic lens, bese uchoboza i-axis yomzimba wakwamanye amazwe, bese uzama ukugcina i-eksisi yezangaphandle yomzimba wakwamanye amazwe ihambisane ne-esophagus ngaphambi kokusuka esikalini. Izidumbu zakwamanye amazwe ezishumeke ngakolunye uhlangothi lwe-esophagus zingasuswa ngokubeka i-cap esobala ekugcineni kwe-endoscope futhi zingene kancane kancane i-esophageal inlet. Kwemizimba yakwamanye amazwe agxiliswe emgodini we-esophageal kuwo womabili ama-Essophaageal, kufanele athululelwe umkhawulo wokuphela, imvamisa ohlangothini lweProximal, akhiphe uhlangothi lwenye indawo, alungise. Noma ngemuva kokusebenzisa ummese we-laser ukusika umzimba wangaphandle phakathi, okuhlangenwe nakho kwethu kukhulula i-aortic arch noma uhlangothi lwenhliziyo kuqala, bese ulususa ezigabeni.
A.Dentures: Lapho udla, ukukhwehlela, noma ukukhulumaG, iziguli zingase ziwe ngengozi kumazinyo azo, bese zingena epheshana lesisu eliphezulu elinokugwinya ukunyakaza. Amazinyo abukhali anama-metal clashs kuwo womabili ama-Emps kulula ukugxiliswa ezindongeni zokugaya ukudla, ukwenza ukususwa kube nzima. Ezigulini ezihluleke ukwelashwa okujwayelekile kwe-endoscopic, amathuluzi amaningi wokubopha angasetshenziswa ukuzama ukususwa ngaphansi kwesiteshi se-endoscopy.
b.date Pits: Usuku Pits olushunyekiwe ku-esophagus luvame ukubukhali kuzo zombili iziphetho, ezingaholela ezinkingeni ezifana ne-mucosal damagE, ukopha, ukutheleleka okuphezulu kwendawo kanye nokugcotshwa ngesikhathi esifushane, futhi kufanele kuphathwe ngokwelashwa okuphuthumayo endoscopic (Umdwebo 4). Uma kungekho ukulimala kwesisu, iningi lamatshe amatshe esiswini noma i-duodenum lingakhishwa kungakapheli amahora angama-48. Labo abangakwazi ukukhishwa ngokwemvelo kufanele basuswe ngokushesha okukhulu.
Umdwebo 4 jujube Core
Ezinsukwini ezine kamuva, isiguli satholakala sinomzimba wakwelinye isizwe kwesinye isibhedlela. I-CT ikhombise umzimba wangaphandle e-esophagus nge-gebogation. I-jujube cores ebukhali kuyo yomibili imikhawulo isuswe ngaphansi kwe-endoscopy futhi i-gastroscopy yenziwa futhi. Kwatholakala ukuthi kwakhiwa i-fistula odongeni lwe-esophagus.
4.5 Izinto ezinkulu zakwamanye amazwe ezinamaphethelo amade kanye nemiphetho ebukhali (Umdwebo 5)
a. Faka ishubhu yangaphandle ngaphansi kwe-endoscope: faka i-gastroscope kusuka enkabeni ye-tube yangaphandle, ukuze umphetho ophansi weshubhu langaphandle useduze onqenqemeni olungaphezulu lwengxenye ye-gastroscope ye-gastroscope. Ifaka njalo i-gastroscope eduze komzimba wangaphandle. Faka amathuluzi afanele nge-biopsy tube, njengezingibe, ama-forcport omzimba wakwamanye amazwe, njll. Ngemuva kokubamba into yakwamanye amazwe, uwubeke eshubhu elingaphandle, futhi yonke idivaysi izophuma kanye nesibuko.
b. Isembozo esivikelekile se-mucous membrane sokuvikela i-membrane: Sebenzisa ikhava yesithupha yamagilavu enjoloba ezokwelashwa ukuze wenze ikhava elivikela ngaphambi kwe-endoscope endoscope. Sika eduze kwe-bevel yempande yesithupha yegilavu ibe yicilongo. Sika umgodi omncane emunwe, bese udlula isiphetho sangaphambili somzimba wesibuko ngokusebenzisa umgodi omncane. Sebenzisa indandatho encane yenjoloba ukuyokulungisa i-1.0cm kude nasekupheleni kwe-gastroscope, uyibuyisele emaphethelweni aphezulu we-gastroscope, bese uyithumela kanye ne-gastroscope emzimbeni wangaphandle. Thatha umzimba wakwelinye izwe bese ulikhipha kanye ne-gastroscope. I-Sleve evikelayo izoqhubekela phambili emzimbeni wakwelinye izwe ngenxa yokumelana. Uma ukuqondiswa kubuyiselwa emuva, kuzosongelwa ezintweni zakwamanye amazwe ukuze zivikeleke.
Umdwebo 5: Kwasuswa amathambo ezinhlanzi ezibukhali endoscopically, ngokuhlwanyelwa kwe-mucosal
4.6 I-Metallic Yezangaphandle Yezangaphandle
Ngaphezu kwamandla ajwayelekile, imizimba yakwamanye amazwe yensimbi ingasuswa ngokumunca nge-magnetic aphesheya kwamandla omzimba wamandla. Imizimba ye-Metallic yakwamanye amazwe ayingozi noma okunzima ukuyikhipha ingalashwa nge-endoscopicat ngaphansi kwe-x-ray fluoroscopy. Kunconywa ukusebenzisa ibhasikidi yokususa amatshe noma isikhwama sokususwa samatshe.
Izinhlamvu zemali zivame kakhulu phakathi kwezinto zakwamanye amazwe endaweni yokugaya ukudla kwezingane (Umdwebo 6). Yize izinhlamvu zemali eziningi ezise-esophagus zingaphasiswa ngokwemvelo, kunconywa ukwelashwa kwe-endoscopic. Ngoba izingane ziyinto encane yokubambisana, ukususwa kwe-endoscopic kwezinhlangano zakwamanye amazwe ezinganeni kungcono kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Uma uhlamvu lwemali kunzima ukulususa, lungadonswa esiswini bese luyakhishwa. Uma kungekho zimpawu esiswini, ungalinda ukuthi ifakwe ngokwemvelo ngokwemvelo. Uma uhlamvu lwemali luhlala isikhathi esingaphezu kwamasonto angama-3-4 futhi aluxoshiwe, kufanele luphathwe nge-endoscopically.
Umdwebo 6 Metal Coin Gontner yakwamanye amazwe
4.7 Indaba Yokulimaza Kwangaphandle
Imizimba yakwamanye amazwe ezonakele ingadala ukulimala kalula kwepheshana lokugaya ukudla noma i-necrosis. Ukwelashwa okuphuthumayo endoscopic kuyadingeka ngemuva kokuxilongwa. Amabhethri angumzimba ojwayelekile okonaka kakhulu futhi avame ukwenzeka ezinganeni ezingaphansi kweminyaka engu-5 (Umdwebo 7). Ngemuva kokulimaza i-esophagus, bangadala i-esophageal stenosis. I-Endoscopy kumele ibukezwe emavikini ambalwa. Uma kwakhiwa isivikelo, i-esophagus kufanele ihlanjululwe ngokushesha okukhulu.
Umdwebo 7 into yakwamanye amazwe ebhethri, umcibisholo obomvu ukhombisa indawo yento yakwamanye amazwe
4.8 Indaba Yangaphandle Yezibuthe
Lapho imizimba yakwamanye amazwe amaningi noma imizimba yakwamanye amazwe kazibuthe ehlanganiswe nensimbi ikhona epheshana lesisu eliphezulu lesisu, izinto ezidonsela phansi kalula futhi zicindezela ukulimala kwe-ischemive, okungukuphazamisa i-peritonitis kanye nokunye ukulimala okukhulu kwesisu. , kudinga ukwelashwa okuphuthumayo kwe-endoscopic. Izinto ezizilo zakwamanzi kamagnetic kufanele zisuswe ngokushesha okukhulu. Ngaphezu kwamandla ajwayelekile, imizimba yakwamanye amazwe kazibuthe ingasuswa ngaphansi kwamandla omzimba wakwama-magnetic waphesheya.
4.9 Imizimba yakwamanye amazwe esiswini
Iningi lazo lingamakhambi, izintambo zensimbi, izipikili, njll. Imizimba eminingi yakwamanye amazwe yinde futhi inkulu, kunzima ukudlula ekhadiniya, futhi ingakwazi ukubhala kalula ulwelwesi lwe-mucous. Kunconywa ukusebenzisa amakhondomu ahlanganiswe ne-Rat-Toot ForcePS ukususa imizimba yakwamanye amazwe ngaphansi kokuhlolwa kwe-endoscopic. Okokuqala, faka ama-rat-izinyo amathophe emaphethelweni angaphambili we-endoscope ngomgodi we-endoscopic. Sebenzisa ama-forces we-rat-izinyo ukufezekisa indandatho yenjoloba ezansi kwekhondomu. Ngemuva kwalokho, baphinde babuyise umthwalo we-rat-too tios ubheke emgodini we-biopsy ukuze ubude bekhondomu bavezwe ngaphandle komgodi we-biopsy. Yinciphise ngangokunokwenzeka ngaphandle kokuthinta inkambu yokubuka, bese uyifaka emgodini we-gastric kanye ne-endoscope. Ngemuva kokuthola umzimba wangaphandle, faka igatsha langaphandle lingene kukhondomu. Uma kunzima ukususa, faka ikhondomu emgodini wesisu, bese usebenzisa ama-forceps we-rat-izinyo ukupheqelela umzimba wakwelinye izwe wayifaka. Ngaphakathi kwekhondomu, usebenzise ama-rat-amazinyo ukubopha ikhondomu.
I-4.10 Stomach Stones
Ama-Gastroliths ahlukaniswe yi-gastroliths yemifino, ama-gastroliths ezilwaneni, ama-gastroliths aqhutshwa izidakamizwa futhi ahlanganisiwe ama-gastroliths. Ama-gastroliths wezitshalo ajwayelekile kakhulu, ikakhulukazi okubangelwa ukudla inani elikhulu lama-Persimmons, ama-hawthor, izinsuku zobusika, amapetshisi, amapentshisi, ama-celery, i-kelp, kanye namakhukhunathi esiswini esingenalutho. Okubangelwa yi-ETC. Izitshalo ezisuselwa ekusekelweni kwezitshalo ezinjengePheresimmons, ama-hawthors, namajuba aqukethe i-tannic acid, i-pectin, kanye nesinsini. Ngaphansi kwesenzo se-gastric acid, kwakhiwa amaprotheni e-tannic acid acial, ahlanganisa i-pectin, gum, i-fiber yesitshalo, ikhasi kanye nomnyombo. Amatshe esisu.
Amatshe esisusi esibeletho asebenza ngengcindezi yodonga lwesisu futhi avuse ukunwetshwa kwemfihlo ye-gastric acid, engadala kalula ukuguguleka kwe-mucosal, izilonda kanye nokugcwala. Amatshe amancane ase-gastric angachithwa nge-sodium bicarbonate nezinye izidakamizwa bese evunyelwa ukuba i-excret ngokwemvelo.
Ezigulini ezihlulekile ukwelashwa, ukususwa kwamatshe e-endoscopic kungukukhetha kokuqala (Umdwebo 8). Ngamatshe asuselwa esisukwini okunzima ukususa ngqo ngaphansi kwe-endoscopy ngenxa yosayizi wawo omkhulu, amabutho omzimba wakwamanye amazwe, izingibe, obhasikidi abasuswa ngamatshe, njll. Kungasetshenziswa ukuchoboza ngokuqondile amatshe bese ubasusa; Kulabo abanokuthungwa okunzima okungenakuchotshozwa, ukusika amatshe kungabhekwa, kungabhekwa amatshe e-laser lithogripsy noma i-frequency frequency Lithodripsy, lapho ama-forces aphansi aphansi noma ama-forces asemzimbeni wangaphandle ukuze asuse ngangokunokwenzeka. Ukunakekelwa kufanele kuthathwe ukuvimba amatshe amakhulu kune-2cm ekukhisheni emgodini wamathumbu ngesisu futhi adale ukuvinjwa kwamathumbu.
Umdwebo 8 Amatshe Esiswini
4.11 isikhwama sezidakamizwa
Ukuqhekeka kwesikhwama sezidakamizwa kuzobeka engcupheni ebulalayo futhi kuyinto ephikisanayo yokwelashwa kwe-endoscopic. Iziguli ezingakwazi ukuzibandakanya ngokwemvelo noma ezisolwa ukuthi zibe nesikhwama sezikhwama sezidakamizwa kufanele zihlinzwe ngentshiseko.
III. Izinkinga nokwelashwa
Izinkinga zomzimba wakwelinye izwe zihlobene nemvelo, ukwakheka, isikhathi sokuhlala kanye nezinga lodokotela. Izinkinga eziphambili zifaka ukulimala kwe-mucosal esophaal, ukopha kanye nokutheleleka kwemvelo.
Uma indikithi yezangaphandle incane futhi akukho nglimaza osobala lapho kukhishwa khona, ukulaliswa esibhedlela akudingeki ngemuva kokuhlinzwa, futhi ukudla okuthambile kungalandelwa ngemuva kokuzila amahora ayi-6.Ezigulini ezinokulimala kwe-esophageal mucosal, ama-glutamine granules, i-aluminium phosphate gel kanye nezinye izinhlaka ezivikela ama-mucosal zinganikezwa ukwelashwa. Uma kunesidingo, ukudla okusheshayo nokungapheli kunganikezwa.
Ezigulini ezinomonakalo osobala we-mucosal nokopha, ukwelashwa kungenziwa ngaphansi kombono we-endoscopic oqondile, njengokufafaza isiqeshana se-sorepinephPrine esibandayo, noma ama-endoscopic titanium clip ukuvala isilonda.
Ezigulini ze-CT ezisebenzisana ne-CT esebenzisana nazo zibonisa ukuthi umzimba wakwelinye izwe ungenise udonga lwe-esophageal ngemuva kokususwa kwe-endoscopic, Uma umzimba wakwamanye amazwe uhlala isikhathi esingaphansi kwamahora angama-24 futhi i-CT ayitholi ukwakheka kwamathumba ngaphandle kwe-esophageal lumen, ukwelashwa kwe-endoscopic kungenziwa ngqo. Ngemuva kokuthi umzimba wakwamanye amazwe ususwe nge-endoscope, kusetshenziselwa i-titanium clip ukubopha udonga olungaphakathi lwe-esophagus endaweni yokugcwala, engamisa ukopha bese uvala udonga lwangaphakathi lwe-esophagus ngasikhathi sinye. Ishubhu esiswini kanye ne-jeunal feed tube ifakwa ngaphansi kombono oqondile we-endoscope, futhi isiguli singeniswe esibhedlela ngenxa yokwelashwa okuqhubekayo. Ukwelashwa kufaka ukwelashwa okulula njengokudla, ukuwohloka kwesisu, ama-antibiotic kanye nokudla okunempilo. Ngasikhathi sinye, izimpawu ezibalulekile ezifana nokushisa komzimba kumele zibhekwe kakhulu, futhi ukwenzeka kwezinkinga ezinjenge-emphheema noma i-medio subcutaneem emphysema noma i-medianstinal emphheema kumele zibhekwe ngosuku lwesithathu ngemuva kokuhlinzwa. Ngemuva kokuthi iodine water angiography ikhombisa ukuthi akukho ukuvuvukala, ukudla nokuphuza kungavunyelwa.
Uma indikithi yezangaphandle igcinwe isikhathi esingaphezu kwamahora angama-24, uma izimpawu zokutheleleka ezinjengomkhuhlane, ama-chills, futhi kuphakame kakhulu ukubalwa kweseli okumhlophe kwegazi kwenzeka, uma kwenzeka ukuthi i-CT iveze ukwakheka kokwenziwa kwe-esophagus, noma uma kwenzeka izinkinga ezinkulu, iziguli kufanele zidluliselwe ekuhlinzeni ukwelashwa ngesikhathi esifanele.
IV. Izinyathelo zokuzivikela
. Ngakho-ke, ukungenelela okuphuthumayo endoscopic kuyadingeka ikakhulukazi.
. Kungcono ukufuna ukubonisana okuningiliziwe kanye nokulungiselela ukuhlinzwa.
(3) Ukusetshenziswa okunengqondo kwamadivayisi wokuvikela ama-esophageal kunganciphisa ukuvela kwezinkinga.
-KwethuAmandla okulahlwa yiwoisetshenziswa ngokubambisana nama-endoscopes athambile, ukungena emgodini womzimba womuntu onjengepheshana lokuphefumula, i-esophagus, isisu, amathumbu nokunye okuphathelene nezinto ezisetshenziswayo.
Isikhathi Seposi: Jan-26-26-2024