I-Endoscopic Sclerotherapy (EVS) ingxenye 1

1) Isimiso se-endoscopic sclerotherapy (EVS):

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

Umjovo we-Paravascular: udala ukusabela kokuvuvukala okubulalayo emithanjeni kubangele i-thrombosis.

2) Izinkomba ze-EVS:

(1) Ukuqhuma kwe-EV okunamandla nokopha;

(2) Abantu abanomlando wokuqhuma kwe-EV nokopha; (3) Abantu abanokuphindaphinda kwe-EV ngemva kokuhlinzwa; (4) Abantu abangafanele ukwelashwa ngokuhlinzwa.

3) I-Contraindication ye-EVS:

(1) Ngokufanayo ne-gastroscopy;

(2) I-Hepatic encephalopathy isigaba 2 nangaphezulu;

(3) Iziguli ezinokukhubazeka okukhulu kwesibindi nezinso, inani elikhulu lama-ascites, ne-jaundice enzima.

4) Izinyathelo zokuphepha zokusebenza

E-China, ungakhetha i-lauromacrol. Ngemithambo yegazi emikhulu, khetha umjovo we-intravascular. Ivolumu yomjovo ngokuvamile i-10 ~ 15mL. Ngemithambo yegazi emincane, ungakhetha umjovo we-paravascular. Zama ukugwema ukujova ezindaweni eziningana ezihlukene endizeni eyodwa (mhlawumbe Izilonda zingase zenzeke okuholela ekuqineni kommizo). Uma ukuphefumula kuthinteka ngesikhathi sokuhlinzwa, i-cap esobala ingafakwa ku-gastroscope. Emazweni angaphandle, ibhaluni livame ukungezwa ku-gastroscope. Kuyafaneleka ukufunda kukho.

5) Ukuphathwa kwangemva kokusebenza kwe-EVS

(1) Ungadli noma uphuze amahora angu-8 ngemva kokuhlinzwa futhi kancane kancane uqale kabusha ukudla okuwuketshezi;

(2) Sebenzisa inani elifanele lemithi elwa namagciwane ukuze uvimbele ukutheleleka; (3) Sebenzisa izidakamizwa ezehlisa umfutho wephothali ngendlela efanele.

6) Inkambo yokwelashwa kwe-EVS

I-Multiple sclerotherapy iyadingeka kuze kube yilapho imithambo ye-varicose inyamalala noma ngokuyisisekelo inyamalala, ngesikhawu esingangesonto eli-1 phakathi kokwelashwa ngakunye; I-gastroscopy izobuyekezwa inyanga engu-1, izinyanga ezingu-3, ​​izinyanga ezingu-6, kanye nonyaka ongu-1 ngemva kokuphela kwenkambo yokwelashwa.

 7) Izinkinga ze-EVS

(1) Izinkinga ezivamile: i-ectopic embolism, i-esophageal ulcer, njll., kanye

Kulula ukubangela ukuphuma kwegazi noma ukugobhoza igazi embotsheni yenaliti lapho inaliti ikhishwa.

(2) Izinkinga zendawo: izilonda, ukopha, i-stenosis, ukungasebenzi kahle kommizo, i-odynophagia, izilonda. Izinkinga zesifunda zifaka i-mediastinitis, ukubhobozwa, ukuphuma kwe-pleural, kanye ne-portal hypertensive gastropathy enengozi enkulu yokopha.

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

I-Endoscopic varicose vein ligation (EVL)

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

2) I-EVL Contraindications:

(1) Ukuphikisana okufanayo ne-gastroscopy;

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

(3) ehambisana nokukhubazeka okukhulu kwesibindi nezinso, inani elikhulu lama-ascites, i-jaundice

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

Ukuthatha ubukhosi bakwa-Han njenge-duofu eseduze kusho ukuthi abantu base-Hua bazokwazi ukunyakaza ngokukhululeka, noma imisipha nama-pulses kuzokwelulelwa ngasentshonalanga.

Ngu.

3) Isebenza kanjani

Kubandakanya ukuhlanganisa izinwele okukodwa, ukuhlanganisa izinwele eziningi, nokuhlanganisa intambo enayiloni.

Isimiso: Vimba ukugeleza kwegazi emithanjeni ye-varicose futhi unikeze i-hemostasis ephuthumayo → i-venous thrombosis endaweni yokuxhuma → i-tissue necrosis → i-fibrosis → ukunyamalala kwe-varicose veins.

(2) Izinyathelo zokuqapha

Ukuze uthole i-varicose ephakathi nendawo ukuya kokuqina, umthambo we-varicose ngamunye uboshwe ngendlela ezungeza phezulu ukusuka phansi kuye phezulu. I-ligator kufanele ibe eduze ngangokunokwenzeka endaweni ehlosiwe ye-ligation ye-varicose vein, ukuze iphuzu ngalinye lihlanganiswe ngokugcwele futhi lihlanganiswe. Zama ukumboza umthambo we-varicose ngamaphuzu angaphezu kwama-3.