Endoscopic Sclerotherapy (EVS) Nkebi 1

1) Iwu nke Endoscopic Sclerotherapy (Evas):

Interfaction injection: Onye na-a sclerosing na-eme ka ọfụma gburugburu veins, na-agbasi arịa ọbara ma gbochie ọbara ọbara;

Ọkpụkpụ paravasc: na-eme ka mmeghachi omume na-enweghị atụ na veins iji mee ka ihe ike.

2) Ngosiputa nke Evs:

(1) nnukwu ev ndakpọ na ọbara ọgbụgba;

(2) Ndị nwere akụkọ ihe mere eme nke desh rampad na ọbara ọgbụgba; (3) Ndị nwere nlọghachi nke Ev mgbe ọwasịrị ahụ; (4) Ndị na-adịghị mma maka ọgwụgwọ ahụ.

3) contraindications nke evs:

(1) otu ihe ruru afọ;

(2) ntisathacpathy ogbo 2 na n'elu;

(3) Ndị ọrịa nwere nnukwu imeju na akụrụ na-emegharị akụrụ, nnukwu ndị ASCIT, ma ezigbo Jaudice.

4) Ọrụ Arụ Ọrụ

Na China, ị nwere ike ịhọrọ Lauromacrol. Maka arịa ọbara buru ibu, họrọ ntụtụ in intraves. Olu ogwu a na-abụkarị 10 ~ 15ml. Maka obere arịa ọbara, ị nwere ike ịhọrọ ọgwụ nje. Gbalịa izere ịgbanye ya n'ọtụtụ ihe dị iche iche na otu ụgbọ elu (ikekwe ọnya nwere ike ibute ụzọ na-eduga na usoro mgbochi). Ọ bụrụ na e nwee ume iku ume n'oge ọrụ, enwere ike ịgbakwunye okpu ụgha na gastriscope. N'obodo mba ọzọ, a na-agbakwunye balloon na gastriscope. Ọ bara uru mmụta site na.

5) njikwa nhazi nke na-apụ apụ

(1) erila ma ọ bụ ị drinkụ mmanya maka awa 8 mgbe ọwachara ahụ ma jiri nwayọ gbanwee nri mmiri mmiri;

(2) jiri oke ọgwụ nje dabara adaba iji gbochie ọrịa; (3) Jiri ọgwụ na-agbadata oke nrụgide dị ka o kwesịrị ekwesị.

6) Evs ọgwụgwọ

A na-achọ ọtụtụ sclelerothepy a chọrọ ruo mgbe veins varicose veins na-apụ n'anya ma ọ bụ nke dị njọ, na nkeji ihe dị ka izu 1 n'etiti ọgwụgwọ. A ga-enyocha gastroscopy 1 ọnwa, ọnwa 3, ọnwa isii, na 1 afọ mgbe ọgwụgwụ nke ọgwụgwọ.

 7) Nchịkọta nke EVS

(1) Nchịkọta a na-ahụkarị, AMCOPICSTICALIMS: wdph vofriguall, wdg, na

Ọ dị mfe ịkpata ọbara ma ọ bụ na-agba ọbara site na oghere agịga mgbe a na-ewepụta agịga.

(2) Mgbaze mpaghara: ọnya, na-agba ọbara, stenasis, modnophagia, lacer. Njegharị mpaghara gụnyere mgbasa ozi, na-arụ ọrụ na-arụ ọrụ, na ọdụ ụgbọ mmiri na-abawanye ọbara ọbara na-agba ọbara ọbara.

(3) Selic Secictions: Sepsis, Assion na-atụ ọgwụ ike, hypocia, ọ bụ nje bacteriatis peritonitis, na Portal Vindbosis.

Endoscopic vanicose veun (EVL)

1) Ihe ngosi maka Evl:Otu ihe.

2) contraindications nke Evl:

(1) otu contraindications dị ka gastroscopy;

(2) Ev na GV doro anya;

(3) na-esonye site na nnukwu afọ

Ganggrene na ọtụtụ ọgwụgwọ sclerotherapy ma ọ bụ obere veins varcose

Na-ewere usoro Han dị ka ihe dị nso na Duofu pụtara na ndị hua ga-enwe ike ịgagharị n'enweghị nsogbu, ma ọ bụ akwara na pulles ga-agbatị na ọdịda anyanwụ.

Site.

3) Otu esi arụ ọrụ

Gụnyere otu ntutu isi, gụnyere ọtụtụ ntutu isi, na nylon eriri ụgbọ.

Prinkpụrụ: Gbochie ọbara nke vanicose ma na-enye hemostasis ihe mberede → na saịtị a na-ahụ maka mkpụrụ osisi → fibrose veins.

(2)

N'ihi na na-agafe agafe na veraphageal dị iche iche, akwara ọ bụla dị varicose na gburugburu elu elu site na ala ruo n'elu. Onye na-ere ahịa kwesịrị ịdị nso dị ka o kwere mee na vegentition Vagen nke vein varicose vein, nke mere na isi ihe ọ bụla na-agbaze ma na-emebi agbanwe. Gbalịa ikpuchi vein nke ọ bụla na ihe karịrị 3 isi.