Ingxenye 1 ye-Endoscopic Sclerotherapy (EVS)

1) Isimiso se-endoscopic sclerotherapy (EVS):

Umjovo we-intravascular: i-sclerosing agent ibangela ukuvuvukala okuzungeze imithambo yegazi, iqinisa imithambo yegazi futhi ivimbele ukuhamba kwegazi;

Umjovo we-paravascular: kubangela ukusabela kokuvuvukala okungenamandla emithanjeni okubangela i-thrombosis.

2) Izinkomba ze-EVS:

(1) Ukuqhuma okukhulu kwe-EV kanye nokopha kwegazi;

(2) Abantu abanomlando wokuqhekeka kwe-EV nokopha; (3) Abantu abaphinde bahlaselwe yi-EV ngemva kokuhlinzwa; (4) Abantu abangafaneleki ukwelashwa ngokuhlinzwa.

3) Izimo zokuphikisana ne-EVS:

(1) Kufana ne-gastroscopy;

(2) Isifo sesibindi esibizwa ngokuthi i-hepatic encephalopathy isigaba sesi-2 nangaphezulu;

(3) Iziguli ezinenkinga enkulu yesibindi nezinso, i-ascites eningi, kanye ne-jaundice enzima.

4) Izinyathelo zokuphepha zokusebenza

EShayina, ungakhetha i-lauromacrol. Emithanjeni yegazi emikhulu, khetha umjovo wangaphakathi kwemithambo yegazi. Umthamo womjovo ngokuvamile u-10~15mL. Emithanjeni yegazi emincane, ungakhetha umjovo we-paravascular. Zama ukugwema ukujova ezindaweni eziningana ezahlukene endaweni efanayo (mhlawumbe kungase kube nezilonda ezibangela ukuqina komphimbo). Uma ukuphefumula kuthinteka ngesikhathi sokuhlinzwa, isivalo esibonakalayo singafakwa ku-gastroscope. Emazweni angaphandle, ibhaluni livame ukungezwa ku-gastroscope. Kuhle ukufunda kulo.

5) Ukuphathwa kwe-EVS ngemva kokuhlinzwa

(1) Ungadli noma uphuze amahora angu-8 ngemva kokuhlinzwa bese uqhubeka kancane kancane nokudla okumanzi;

(2) Sebenzisa amanani afanele ama-antibiotic ukuvimbela ukutheleleka; (3) Sebenzisa imithi eyehlisa umfutho wegazi njengoba kufanele.

6) Inkambo yokwelashwa kwe-EVS

Kudingeka ukwelashwa nge-sclerotherapy eminingana kuze kube yilapho imithambo ye-varicose inyamalala noma inyamalale, kube nesikhawu esingangesonto elilodwa phakathi kokwelashwa ngakunye; i-gastoscopy izobuyekezwa inyanga eyodwa, izinyanga ezintathu, izinyanga eziyisithupha, kanye nonyaka owodwa ngemuva kokuphela kwenkambo yokwelashwa.

 7) Izinkinga ze-EVS

(1) Izinkinga ezivamile: i-ectopic embolism, isilonda somphimbo, njll., kanye

Kulula ukubangela ukugeleza kwegazi noma ukugeleza kwegazi kusuka embobeni yenalithi uma inalithi ikhishwa.

(2) Izinkinga zendawo: izilonda, ukopha, i-stenosis, ukungasebenzi kahle kokunyakaza komphimbo, i-odynophagia, ukuklebhuka. Izinkinga zesifunda zifaka phakathi i-mediastinitis, ukubhoboka, ukuphuma kwegazi emzimbeni, kanye ne-portal hypertension gastropathy enengozi eyengeziwe yokopha.

(3) Izinkinga zesistimu: i-sepsis, i-aspiration pneumonia, i-hypoxia, i-peritonitis yamabhaktheriya ezenzakalelayo, kanye ne-portal vein thrombosis.

Ukubopha kwemithambo ye-varicose endoscopic (EVL)

1) Izinkomba ze-EVL:Kufana ne-EVS.

2) Izimo ezingqubuzanayo ze-EVL:

(1) Iziphazamiso ezifanayo ne-gastroscopy;

(2) I-EV ehambisana ne-GV esobala;

(3) okuhambisana nokungasebenzi kahle okukhulu kwesibindi nezinso, inani elikhulu lama-ascites, i-jaundice

I-Gangrene kanye nokwelashwa kwamuva kwe-multiple sclerotherapy noma imithambo emincane ye-varicose

Ukuthatha uBukhosi bukaHan njengobuseduze ne-duofu kusho ukuthi abantu baseHua bazokwazi ukuhamba ngokukhululeka, noma imisipha nama-pulse kuzokwelulwa ngasentshonalanga.

Ngu.

3) Indlela yokusebenza

Kubandakanya ukubopha izinwele okukodwa, ukubopha izinwele eziningi, kanye nokubopha izintambo ze-nylon.

Isimiso: Vimbela ukugeleza kwegazi emithanjeni evalekile futhi uhlinzeke nge-hemostasis ephuthumayo → i-venous thrombosis endaweni yokubopha → i-tissue necrosis → i-fibrosis → ukunyamalala kwemithambo evalekile.

(2) Izinyathelo Zokuqapha

Kuma-varice aphakathi nendawo kuya kwanzima omphinjeni, umthambo ngamunye we-varicose uboshelwa ngendlela ejikelezayo ukusuka phansi kuya phezulu. I-ligator kufanele isondele ngangokunokwenzeka endaweni yokubopha eqondiwe yomthambo we-varicose, ukuze iphuzu ngalinye liboshelwe ngokugcwele futhi liboshelwe kakhulu. Zama ukumboza umthambo ngamunye we-varicose ngamaphuzu angaphezu kwama-3.