Variesdị Essophageal / gastric bụ nsonaazụ nke mmetụta na-adịgide adịgide nke Portal ọbara mgbali elu ma ọ dị ihe dị ka 95% nke cirrhosis kpatara nke ihe ndị dị iche iche. Mkpụrụ vaịn dịgasị iche iche na-abụkarị nnukwu ọbara ọgbụgba na oke ọnwụ, na ndị ọrịa nwere ọbara ọgbụgba maka ịwa ahụ.
Site na nkwalite na ntinye nke teknụzụ Mongwụ Monsureve Endoscopic, Ọgwụ Endoscopic abụrụla otu ụzọ na-esi gwọọ esphageal / gastric. Ọ kachasị gụnyere endorotherapy sclerotherapy (Ess), nsọscopic vartic varticon gluu na endoscopic anụ ahụ na-ahụ maka ụyọkọ ọnya afọ (evht).
Endoscopic Sclelerotherapy (Evs)
Nkebi nke 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;
Ntụtụ ahụ pavastration: Na-akpata mmeghachi omume na-akpali akpali na veins iji mee ka ihe ike.
2) Ngosiputa nke Evs:
(1) nnukwu ev ndakpọ na ọbara ọgbụgba;
(2) Akụkọ gara aga nke Ev Rindament na ọbara ọgbụgba;
(3) Ndị ọrịa nwere ndị ọrịa na nlọghachi nke Ev mgbe ọwasịrị ahụ;
(4) Ndị na-adịghị mma maka ọgwụgwọ ahụ.
3) contraindications nke evs:
(1) otu contraindications dị ka gastroscopy;
(2) heopatic oncefalopathy ogbo 2 ma ọ bụ karịa;
(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 (ijiScleleropapaPy agịga). Maka arịa ọbara buru ibu, họrọ ntụtụ in intraves. Olu ogwu a na-abụkarị 10 ruo 15 ml. Maka obere arịa ọbara, ị nwere ike ịhọrọ ọgwụ nje. Gbalịa izere ịgbanye ya n'ọtụtụ isi ụgbọ elu (ọnya nwere ike ime ka ọ 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) Usoro ọgwụgwọ nke evs
(1) erila ma ọ bụ ị drinkụ mmanya maka awa 8 mgbe ọwachara ya, ma jiri nwayọ gbanwee nri mmiri;
(2) jiri oke ọgwụ nje dabara adaba iji gbochie ọrịa;
(3) Jiri ọgwụ na-agbadata mgbali elu 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: ectoplics embolis, wdg.
(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 na-ahụ maka usoro: Sepsis, agụụ ike na-atụ ọgwụ, hypocia, nje bacteria nke peritonitis, Portal Vindbosis.
Endoscopic vanicose veun (EVL)
Nkebi nke 2
1) Ngosipụta maka Evl: Otu dị iche iche.
2) contraindications nke Evl:
(1) otu contraindications dị ka gastroscopy;
(2) Ev na GV doro anya;
(3) Ndị ọrịa nwere nnukwu afọ na akụrụ na-eme, ọtụtụ ndị ASCIC, Jaundice, ọtụtụ ọgwụgwọ sclerotherapy ma ọ bụ obere veins dị egwu.
3) Otu esi arụ ọrụ
Gụnyere otu ntutu isi, gụnyere ọtụtụ ntutu isi, na nylon eriri ụgbọ.
(1) Ihe: Gbochie usoro ọbara dị iche iche ma na-enye hemicoses na-enye ọbara ihe mgbochi → na saịtị a → FIBROST ọrịa 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.
Ọ na-ewe ihe dị ka izu 1 ruo izu 2 maka necrosis iji daa mgbe bandeeji bandage. Otu izu mgbe ọrụ ahụ gasịrị, ọnya obodo nwere ike ibute oke ọbara ọbara, a na-adaba na-apụ apụ, ma na-ejikarị veins varicose veins. Evl nwere ike ihichapụ veins ngwa ngwa ma nwee nsogbu ole na ole, mana varcose veins na-alaghachi. Onu ogugu di elu;
Evl nwere ike igbochi ọkpụkpụ ọgbụgba nke gastric vein, ikuku essophageal, na Vena cava. Agbanyeghị, mgbe a na-egbochi ọbara na-asọ oyi, eriri akwara na-efe efe na plexus dị oke egwu ga-agbasa, ọbara na-asọba ga-abawanye, na nlọghachị ahụ ga-abawanye n'oge. Ya mere, a na-achọkarị ka mmagharị ugboro ugboro iji mee ka ọgwụgwọ ahụ mezie ọgwụgwọ. Dayameta nke veranicose vein ga-erughị 1.5 cm.
4) Nchịkọta nke Evl
(1) Oku oke na-agba ọbara n'ihi ọnya na-eme ihe dị ka izu 1 mgbe ịwa ahụ;
(2) ọbara ọbara na-egbu egbu, ọnwụ nke otu akpụkpọ anụ, na ọbara ọgbụgba nke akwara vaịn mere;
(3) Ọrịa.
5) Ntụle nyocha nke EVL
N'afọ mbụ mgbe evl starry, imeju na ọrụ akụrụ, B-Ultrasound, ọrụ ọbara, wdg ọ bụla 3 ruo ọnwa isii. Ekwesịrị ịtụle Endoscopy ọ bụla ọnwa 3, wee banye na ọ bụla 0 ruo ọnwa 12.
6) Esns vs evl
E jiri ya tụnyere Sclerotherapy na onye na-eme ihe nkiri, enweghị ọdịiche dị mkpa na ọnwụ na ọnwụ ọnụego n'etiti abụọ. Maka ndị ọrịa chọrọ ọgwụgwọ ugboro ugboro, a na-atụkarị aro. Mgbe ụfọdụ, ejikọkwa sclerotherapy, nke nwere ike iji melite ọgwụgwọ. Mmetụta. Na mba ọzọ, a na-ejikwa igwe metal nke ọma iji kwụsị ọbara ọgbụgba.
Endoscopic anụ ahụ na-ahụ maka ọgwụgwọ ọgwụ (EVHT)
Nkebi nke 3
Usoro a kwesịrị ekwesị maka iche iche gastric na esphageal vaịndị na-agba ọbara n'ọnọdụ ọnọdụ mberede.
1) Nkwụsị nke Evht: tumadi pulnonary na Portal vellism, ma ihe dị ala.
2) Uru nke Evht: veintose veins na-apụ ngwa ngwa, ọnụ ọgụgụ na-agba ọbara dị ala, nsogbu bụ obere, ihe ngosi dị obosara na teknụzụ dị mfe iji.
3) Ihe iji mara:
Na nsọtụ anụ ahụ endoscopic ọgwụgwọ gluu, ego nke ntụtụ ga-ezu. Ultrasound urisoscopic na-arụ ọrụ dị ezigbo mma na ọgwụgwọ varicose veins ma nwee ike belata ihe ize ndụ nke ọbara ọbara.
Enwere akụkọ na akwụkwọ ndị si mba ọzọ na ọgwụgwọ nke eriri gastric na cills ma ọ bụ cyanocrylate n'okpuru nduzi nke Endoscopic Ultrasonic ultrasonic na-arụ ọrụ. E jiri ya tụnyere inje cytracrylet, Endoscopic Coine na-eduzisi ike na-achọ injection injections ma jikọta ya na ihe ndị na-adịghị mma.
Anyị, Jiangxi Zhuoruihua Medical CO., LTD., Bụ onye nrụpụta na china pụrụ iche na a na-eri endoscopic consum, dị kaBiopsy, momoclip, plorey ọnyà, ScleleropapaPy agịga, spray catheter, brushes cytology, uzo ndu, nkata nchekwa, Nasal biliary catgetewdg nke a na-eji ọtụtụ ebe niileEchere, ESD, Ercp. Ngwaahịa anyị na-ezitere ya, na osisi anyị bụ ihe a na-ezitere anyị. A na-ebuga ngwongwo anyị na Europe, North America, Middle East na akụkụ nke Eshia, ma nweta ndị ahịa nke nnabata na otuto!
Oge Post: August-15-2024