Ọgwụ Sclerotherapy nke Endoscopic (EVS) nke 1

1) Ụkpụrụ nke ọgwụgwọ endoscopic sclerotherapy (EVS):

Ọgwụ mgbochi ọbara n'ime akwara: ihe na-akpata sclerosing na-akpata mbufụt gburugburu akwara, na-eme ka akwara ọbara sie ike ma na-egbochi mgbasa ọbara;

Ọgwụ nje paravaskụla: na-akpata mmeghachi omume mkpali na-adịghị mma n'ime akwara iji mee ka thrombosis dị.

2) Ihe ngosi nke EVS:

(1) Mgbawa EV na ọbara ọgbụgba dị oke njọ;

(2) Ndị nwere akụkọ ihe mere eme nke mgbawa na ọbara ọgbụgba nke EV; (3) Ndị nwere nlọghachi nke EV mgbe a wachara ha ahụ; (4) Ndị na-adịghị mma maka ọgwụgwọ ịwa ahụ.

3) Ihe ndị na-egbochi EVS:

(1) Otu ihe ahụ dị ka gastroscopy;

(2) Ọrịa imeju nke ọkwa nke abụọ na karịa;

(3) Ndị ọrịa nwere nsogbu imeju na akụrụ siri ike, nnukwu ascites, na nnukwu jaundice.

4) Ịkpachara anya n'ọrụ

Na Chaịna, ị nwere ike ịhọrọ lauromacrol. Maka arịa ọbara buru ibu, họrọ ọgwụ intravascular. Olu ọgwụ ahụ na-abụkarị 10-15mL. Maka obere arịa ọbara, ị nwere ike ịhọrọ ọgwụ paravascular. Gbalịa izere ịgba ọgwụ n'ọtụtụ ebe dị iche iche n'otu ebe (o nwere ike ibute ọnya afọ na-ebute nsogbu esophagus). Ọ bụrụ na iku ume emetụta n'oge ịwa ahụ, enwere ike itinye mkpuchi doro anya na gastroscope. Na mba ndị ọzọ, a na-agbakwụnyekarị balloon na gastroscope. Ọ bara uru ịmụta ihe na ya.

5) Njikwa EVS mgbe ịwa ahụ gasịrị

(1) Erila nri ma ọ bụ ṅụọ ihe ọṅụṅụ ruo awa asatọ mgbe a wachara ya ahụ, wee jiri nwayọọ nwayọọ maliteghachi nri mmiri;

(2) Jiri ọgwụ nje kwesịrị ekwesị iji gbochie ọrịa; (3) Jiri ọgwụ ndị na-ebelata nrụgide ọnụ ụzọ dịka o kwesịrị.

6) Usoro ọgwụgwọ EVS

A chọrọ ọgwụgwọ sclerotherapy ugboro ugboro ruo mgbe akwara varicose ga-apụ n'anya ma ọ bụ pụọ n'anya kpamkpam, na-enwe oge dị ihe dị ka otu izu n'etiti ọgwụgwọ ọ bụla; a ga-enyocha gastroscopy otu ọnwa, ọnwa atọ, ọnwa isii, na otu afọ mgbe ọgwụgwọ ahụ gwụchara.

 7) Nsogbu nke EVS

(1) Nsogbu ndị a na-ahụkarị: ectopic embolism, ọnya esophageal, wdg, na

Ọ dị mfe ime ka ọbara gbapụta ma ọ bụ gbapụta ọbara site n'oghere agịga mgbe a dọpụtara agịga ahụ.

(2) Nsogbu mpaghara: ọnya afọ, ọbara ọgbụgba, stenosis, nsogbu mmegharị esophagus, odynophagia, lacerations. Nsogbu mpaghara gụnyere mediastinitis, oghere, pleural effusion, na portal hypertensive gastropathy nke nwere nnukwu ohere nke ọbara ọgbụgba.

(3) Nsogbu ndị dị na sistemu: sepsis, pneumonia aspiration, hypoxia, nje bacteria peritonitis, na thrombosis nke akwara portal.

Njikọ akwara varicose endoscopic (EVL)

1) Ihe ngosi maka EVL:Dị ka EVS.

2) Ihe ndị na-egbochi EVL:

(1) Ihe ndị na-emegide ya dịka nke gastroscopy;

(2) EV tinyere GV doro anya;

(3) tinyere nnukwu nsogbu imeju na akụrụ, nnukwu ascites, jaundice,

Ọgwụgwọ gangrene na ọgwụgwọ sclerotherapy ọhụrụ ma ọ bụ obere akwara varicose

Iwere usoro ọchịchị Han dị ka ihe fọrọ nke nta ka ọ bụrụ duofu pụtara na ndị Hua ga-enwe ike ịgagharị n'enweghị nsogbu, ma ọ bụ a ga-agbatị akwara na mkpụkpụ aka n'akụkụ ọdịda anyanwụ.

Site na.

3) Otu esi arụ ọrụ

Gụnyere otu ntutu isi, ọtụtụ ntutu isi, na eriri naịlọn.

Ụkpụrụ: Gbochie ọbara na-erugharị n'ime akwara varicose ma nye ọbara mberede → venous thrombosis na ebe njikọ → tissue necrosis → fibrosis → ọpụpụ nke varicose veins.

(2) Ihe Ndị A Ga-akpachara Anya

Maka nsogbu eriri afọ nke dị n'etiti ruo n'ókè siri ike, a na-ejikọta akwara eriri afọ nke ọ bụla n'ụzọ gbagọrọ agbagọ site n'ala ruo n'elu. Njikọta kwesịrị ịdị nso n'ebe a na-etinye eriri afọ nke varicose ahụ, ka isi ihe ọ bụla wee jikọta nke ọma ma jikọta nke ọma. Gbalịa ikpuchi akwara eriri afọ nke ọ bụla ihe karịrị isi atọ.