Endoscopic sclerotherapy (EVS) ingxenye 1

1) Isimiso se-Endoscopic Sclerotherapy (EVS):

Ukujova kwe-IntraVASdular: Umenzeli we-Sclerosing ubangela ukuvuvukala ezungeze imithambo, ulukhuni imithambo yegazi futhi ivimbele ukuhamba kwegazi;

Ukujova kweParavascula: kubangela ukusabela kokuvuvukala oyinyumba kumathambo ukudala i-thrombosis.

2) izinkomba ze-EVS:

(1) Ukuqhamuka kwe-eV acture nokopha;

(2) Abantu abanomlando wokuqhamuka kwe-ev kuqhuma nokopha; (3) Abantu abaphindaphindwayo ngemuva kokuhlinzwa; (4) Abantu abangafanele ukwelashwa okuhlinzayo.

3) Contraindings of EVS:

(1) okufanayo ne-gastroscopy;

(2) I-hepatic encephalopathy Stage 2 nangaphezulu;

(3) Iziguli ezinesibindi esibi nokungasebenzi kahle kwezinso, amanani amakhulu ama-ASCITE, kanye ne-jaundice enzima.

4) Ukuqashwa kokuxhumana

EChina, ungakhetha iLauromaCrol. Ngemithambo yegazi emikhulu, khetha umjovo we-intravasfular. IVolumu yomjovo ngokuvamile i-10 ~ 15ml. Ngemithambo yegazi emincane, ungakhetha umjovo wephasishi. Zama ukugwema ukujova ngamaphoyinti ahlukahlukene ahlukahlukene endizeni efanayo (okungenzeka ukuthi izilonda zingahle ziholele ekulweni ne-esophageal). Uma ukuphefumula kuthinteka ngesikhathi sokusebenza, i-Transparent cap ingangezwa ku-gastroscope. Emazweni angaphandle, i-balloon ivame ukungezwa ku-gastroscope. Kufanelekile ukufunda kusuka.

5) ukuphathwa kwe-postoperative of EVS

(1) Ungadli noma uphuze amahora angama-8 ngemuva kokuhlinzwa bese uqhubeka kancane kancane ukudla okuwuketshezi;

(2) sebenzisa amanani afanele ama-antibiotics ukuvikela ukutheleleka; (3) Sebenzisa izidakamizwa eziphansi kwengcindezi ye-portal njengokufanele.

6) Inkambo yokwelashwa ye-EVS

I-Multiple Sclerotherapy iyadingeka kuze kube yilapho imithambo ye-varicose inyamalale noma inyamalale ngokuyisisekelo, ngesikhawu esingamaviki angu-1 phakathi kokwelashwa ngakunye; I-Gastroscopy izobuyekezwa ngenyanga eyi-1, izinyanga ezi-3, izinyanga eziyi-6, nonyaka owodwa ngemuva kokuphela kwenkambo yokwelashwa.

 7) Izinkinga ze-EVS

(1) Izinkinga ezijwayelekile: Ectopic embolism, elesi-esophageal ulcer, njll, futhi

Kulula ukudala igazi ukugqugquzela noma igazi eligcwele umgodi wenaliti lapho kukhishwa inaliti.

(2) Izinkinga zendawo: izilonda, ukopha, i-stenosis, i-esophageal motility dysfunction, Odnophagia, ama-lacerations. Izinkinga zesifunda zifaka i-MediaSTinitis, i-Yodwa, i-Pleural Pheral, kanye ne-Portal Hryplopathy enengozi eyandayo yokopha.

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I-endoscopic varicose vein litation (evl)

1) izinkomba ze-EVL:Okufanayo ne-EVS.

2) Ukuphambana kwe-EVL:

(1) Ukuphikisana okufanayo njenge-gastroscopy;

(2) eV ephelezelwa yi-GV esobala;

(3) ephelezelwa yisibindi esinzima nokungasebenzi kahle kwezinso, amanani amakhulu ama-ASCITE, i-jaundice

I-Gangrene kanye nokwelashwa kwama-sclerotherapy wakamuva noma imithambo ye-varicose encane

Ukuthatha i-Han Dynasty njenge-duofu eseduze kusho ukuthi abantu bakaHua bazokwazi ukuhamba ngokukhululeka, noma ama-tendon nama-pulses azokwelulwa entshonalanga.

Ngo.

3) Ukusebenza kanjani

Kubandakanya ukulethelwa kwezinwele ezizodwa, i-hair litation amaningi, kanye ne-nylon ngezintambo.

Isimiso: Vimba ukugeleza kwegazi kwemithambo ye-varicose futhi anikeze i-hemostasis ephuthumayo → i-thrombosis ye-venous kusayithi le-ligation → i-necrosis → Ukunyamalala kwemithambo ye-varicose.

(2) Ukuqapha

Ngezinhlobo ezilinganiselayo kuya ezinhlobonhlobo ze-esophageal, umthambo ngamunye we-varicose uvinjelwe ngendlela ephakeme esuka phezulu ukusuka phansi kuya phezulu. I-ligator kufanele isondele ngangokunokwenzeka kwithoni yokufudumala yethagethi ye-varicose vein, ukuze iphuzu ngalinye litholwe ngokuphelele futhi lithambekele kakhulu. Zama ukumboza umthambo we-varicose ngamunye ngamaphuzu angaphezu kwama-3.