Endoscopic sclerotherapy (evs) gawo 1

1) Mfundo ya Endoscopic Sclerotherapy (EVP):

Intravascular jakisoni: Sclerosing wothandizira amayambitsa kutupa mozungulira mitsempha, imalimba mitsempha yamagazi ndipo imatulutsa magazi.

Javascular jakisoni: Amayambitsa kutupa komwe kumachitika m'mitsempha kuti ayambitse thrombosis.

2) Zizindikiro za Evs:

(1) Chotupa chowala kwambiri komanso kutaya magazi;

(2) Anthu omwe ali ndi mbiri yakutuwa yokhululuka ndi magazi; (3) Anthu mobwerezabwereza omwe achitika pambuyo pa opareshoni; (4) Anthu omwe sioyenera kulandira mankhwala opatsirana.

3) Contraindication of Evs:

(1) chimodzimodzi ngati gastroscopy;

(2) Hepatic Encephalopathy Gawo 2 ndi pamwamba;

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4) Makina Ogwira Ntchito

Ku China, mutha kusankha kuluka. Ma mitsempha akuluakulu amagazi, sankhani jakisoni wa intravascular. Volile voliyumu nthawi zambiri imakhala 10 ~ 15ml. Mitsempha yaying'ono yamagazi, mutha kusankha jakisoni wa paravelcular. Yesani kupewa kuyika mbozi zingapo pa ndege yomweyo (mwina zilonda zitha kuchitika ku ESOPHAREL RED). Ngati kupuma kumakhudzidwa mukamapaleshoni, chipewa chowonekera chimatha kuwonjezeredwa kwa gastroscope. M'mayiko akunja, baluni nthawi zambiri amawonjezeredwa ku gastroscope. Ndikofunika kuphunzira.

5) Kuwongolera kwa Postpolative Evs

(1) Osadya kapena kumwa kwa maola 8 atachitidwa opaleshoni ndikuyambiranso chakudya chamadzi;

(2) Gwiritsani ntchito maantibayotiki oyenera kupewa matenda; (3) Gwiritsani ntchito mankhwala osokoneza bongo omwe amachepetsa portal ngati koyenera.

6) Njira Zothandizira

Zambiri sclerotherapy zimafunikira mpaka mitsempha ya varicose itha kapena itha, ndi gawo limodzi sabata limodzi pakati pa chithandizo chilichonse; Gastroscopy adzawunikiridwa 1 mwezi, miyezi 3, miyezi isanu ndi umodzi, ndipo chaka chimodzi chitatha kumapeto kwa chithandizo.

 7) Mavuto a Evs

(1) Mavuto wamba: ectopic embolism, esophageal zilonda, etc., ndi

Ndikosavuta kuyambitsa magazi kapena magazi kuchokera ku bolo la singano pomwe singano yatulutsidwa.

. Mavuto azigawo amaphatikizapo zokambirana, zonunkhira, zokhumudwitsa, komanso zoopsa za porperpothy ndi chiopsezo chowonjezereka chakukhetsa magazi.

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Endoscopic varicose vein lile (evl)

1) Zizindikiro za Evl:Monga momwe zimakhalira.

2) Contraindication of Evl:

(1) Zotsutsana chimodzimodzi monga gastroscopy;

(2) Evo inayenda ndi GV yodziwikiratu;

(3) Kuphatikizidwa ndi chiwindi chachikulu ndi impso kusowa, kuchuluka kwa Ascice, jaundice

GAMERRE NDI CHITSANZO CHATSOPANO SCLERErarapy kapena mitsempha yaying'ono ya varicose

Kutenga mzera wa Han Haofi kumatanthauza kuti anthu a Hua amatha kuyenda momasuka, kapena magwerowo ndi ma mapiri.

Ndi.

3) Momwe Mungagwiritsire Ntchito

Kuphatikiza tchuthi cha tsitsi limodzi, ligawi kachulukidwe ka tsitsi, ndipo namsongole chingwe.

Mfundo: Tsitsani magazi a mitsempha ya varicose ndikupereka henustasis → mizite ya necrosis → mitsempha ya vaticoro →

(2) Chenjezo

Pazitsulo zokulirapo ku Esophageal Vorices, mtsempha uliwonse wa varicose umakhala wokhazikika pamtunda wozungulira kuchokera pansi mpaka pamwamba. Ligator iyenera kukhala pafupi kwambiri ndi njira yolumikizira mtsempha wa varicose, kuti mfundo iliyonse imakhala yoluma kwathunthu komanso yokhazikika. Yesani kuphimba mitsempha iliyonse ya varicose pa mfundo zopitilira 3.