Chithandizo cha endoscopic cha esophageal / castric magazi magazi

Kusintha kwa Esophageal / gestric kumachitika chifukwa chopitirira malire a matenda oopsa ndipo pafupifupi 95% amayambitsidwa ndi cirrhosis a zifukwa zosiyanasiyana zomwe zimayambitsa. Varicose mu vein magazi nthawi zambiri imaphatikizapo magazi ambiri omwe amatulutsa magazi ambiri komanso kufa kwa zinthu zambiri, ndipo odwala magazi amakhala ndi magazi osalolera opaleshoni.

Ndi kusintha kwa ukadaulo wa zithandizo za endoscopic, mankhwalawa akhala amodzi mwa njira zazikulu zochitira esophageal / magazi kusiyanasiyana magazi. Zimaphatikizaponso endoscopic sclerotherapy (evs), endoscopic rices (evl) ndi endoscopic gerser jakisoni mankhwala (EVHT).

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: kupangitsa kutumphuka kosasangalatsa kwa mitsempha kuti ayambitse thrombosis.
2) Zizindikiro za Evs:
(1) Chotupa chowala kwambiri komanso kutaya magazi;
(2) Mbiri yamkumphuka imamveka komanso magazi;
(3) Odwala omwe akubwerezanso opareshoni apa;
(4) Iwo omwe sioyenera kulandira mankhwala opatsirana.
3) Contraindication of Evs:
(1) Zotsutsana chimodzimodzi monga gastroscopy;
(2) Hepatic Encephalopathy Stage 2 kapena kupitilira apo;
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4) Makina Ogwira Ntchito
Ku China, mutha kusankha Lauromacrol (gwiritsani ntchitoSclerotherapy singano). Ma mitsempha akuluakulu amagazi, sankhani jakisoni wa intravascular. Voliyukidwe nthawi zambiri amakhala 10 mpaka 15 ml. Mitsempha yaying'ono yamagazi, mutha kusankha jakisoni wa paravelcular. Yesani kupewa kuyika mbozi zingapo pa ndege zomwezo (zilonda zimatha kutsogolera 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) Kuthandizira kwa Evs
(1) Osadya kapena kumwa kwa maola 8 atachitidwa opaleshoni, ndipo pang'onopang'ono kuyambiranso chakudya chamadzi;
(2) Gwiritsani ntchito maantibayotiki oyenera kupewa matenda;
(3) Gwiritsani ntchito mankhwala osokoneza bongo kuti muchepetse zovuta zina.
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
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. Mavuto azigawo amaphatikizapo zokambirana, zonunkhira, zokhumudwitsa, komanso zoopsa za porperpothy ndi chiopsezo chowonjezereka chakukhetsa magazi.
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Endoscopic varicose vein lile (evl)

Gawo 2

1) Zizindikiro za Evl: Zofanana ndi EVS.
2) Contraindication of Evl:
(1) Zotsutsana chimodzimodzi monga gastroscopy;
(2) Evo inayenda ndi GV yodziwikiratu;
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3) Momwe Mungagwiritsire Ntchito
Kuphatikiza tchuthi cha tsitsi limodzi, ligawi kachulukidwe ka tsitsi, ndipo namsongole chingwe.
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(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.
Zimatenga pafupifupi masabata 1 mpaka 2 kuti necrosis igwere pambuyo pa bandeji necrosis. Sabata imodzi pambuyo pa opareshoni, zilonda zam'deralo zimatha kuyambitsa magazi ambiri, gulu la khungu limagwera, komanso kudula kwamakina kwa mitsempha ya varicose ikutuluka. Evl imatha kuchotsa mitsempha ya varicose mwachangu ndipo ili ndi zovuta zingapo, koma mitsempha ya varicose imayambiranso. Gawoli lili mbali yayikulu;
Evl imatha kuletsa magazi am'mimba am'mimba, esophageal mtsempha, ndi vena cava. Komabe, pambuyo pa kutuluka kwa magazi kwa Esophogel kutsekedwa, mitsempha ya chapamimba ndi pentistric vennaus tenxus adzakulitsa, kuwonda kwamagazi kudzakulira, ndipo kubwezeretsanso kubwereza kumawonjezeka kwa nthawi. Chifukwa chake, nthawi zambiri ligawani mobwerezabwereza limafunikira kuti mugwiritse ntchito mankhwalawa. Dongosolo la varicose msempha misika ayenera kukhala ochepera 1.5 cm.
4) Mavuto a Evl
(1) Kutulutsa magazi kwakukulu chifukwa cha zilonda zakomweko pafupifupi sabata limodzi atachitidwa opaleshoni;
(2) Kutulutsa magazi, kutayika kwa gulu la chikopa, ndi magazi chifukwa choyambitsidwa ndi mitsempha ya varicose;
(3) matenda.
5) Kubwereza kwa EVR
M'chaka choyamba pambuyo pa opaleshoni ya opaleshoni, chiwindi ndi impso, ma ultrasound, ma ultrasound, njira zamagazi, ntchito yolumikizira, etc. Endoscopy iyenera kuwunikiridwa miyezi itatu, kenako iliyonse miyezi 0 mpaka 12.
6) Evol VS EVRL
Poyerekeza ndi sclerotherapy ndi lamulo, palibe kusiyana kwakukulu muimfa komanso vomerezani pakati pa awiriwa. Kwa odwala omwe amafunikira chithandizo mobwerezabwereza, limisoni imalimbikitsa kwambiri. Nthawi zina ligawani ndi sclerotherapy limaphatikizidwa, chomwe chingathandize kulandira chithandizo. Zotsatira. M'mayiko akunja, zitsulo zachitsulo zophimbidwa zimagwiritsidwanso ntchito poleka magazi.

Endoscopic gen jakisoni mankhwala (EVHT)

Gawo 3

Njirayi ndiyoyenera kusiyanasiyana kwa chapamimba ndi esophageal kutulutsa magazi m'mavuto.
1) Mavuto a Evht: makamaka ma vertery artery ndi portal vein embolism, koma zovuta zimakhala zochepa kwambiri.
2) Ubwino wa Valht: Mitsempha ya varicose imatha msanga, kuchuluka kwa magazi kumakhala kochepa, zovuta zimakhala zochepa, zisonyezo ndizosavuta ndipo ukadaulo ndiwosavuta kwa anzeru.
3) Zinthu Zoyenera Kuzindikira:
Ku Endoscopic gerden mankhwalawa mankhwala, kuchuluka kwa jakisoni kuyenera kukhala kokwanira. Endoscopic ultrasound imachita gawo labwino pochiza mitsempha ya varicose ndipo imatha kuchepetsa chiopsezo chokhetsa magazi.
Pali malipoti m'mabuku ena omwe mankhwala am'mimba amasintha kapena cyanoacrylate motsogozedwa ndi endoscopic ultrasound ndi yothandiza kwambiri yam'mimba yam'mimba. Poyerekeza ndi jakisoni wa cyanoacryte, endoscopic ultrasound-wolongosola amafunika jakisoni ochepa ndipo amaphatikizidwa ndi zochitika zoyipa zochepa.

IEAMNXI Zhuouria Chachipatala co., Ltd.Zowongolera za biopsy, hemoclip, Msampha wa Polyp, Sclerotherapy singano, Spray Catheter, Nkhondo za Cytology, gongo, Mtanga Wobwezeretsa Mlandu, Minda ya NASAAL BRARARDetc. zomwe zimagwiritsidwa ntchito kwambiriEmr, Ezd, Ercp. Zogulitsa zathu ndi CE kutsimikizika, ndipo mbewu zathu ndiotsimikizika. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza kasitomala wodziwika kuti avomereze ndi matamando!