Chiyambi
Zizindikiro zazikulu za hemorrhoids ndi magazi mu chopondapo, kupweteka kwa anal, kugwa komanso kuyabwa, etc., yomwe imakhudza kwambiri moyo. Povuta kwambiri, imatha kuyambitsa hemorrhoids ounitsidwa ndi magazi oyambitsidwa ndi magazi mu chopondapo. Pakadali pano, mankhwala osokoneza bongo amagwiritsidwa ntchito makamaka pamankhwala osokoneza bongo, ndipo opaleshoni imafunikira m'milandu yambiri.
Chithandizo cha endoscopic ndi njira yatsopano yotukuka posachedwa m'zaka zaposachedwa, zomwe ndizoyenera kuzipatala zamiyala. Masiku ano, tidzafotokozera mwachidule ndi kusintha.
1. Matenda azachipatala, anatomy komanso chithandizo cham'mbuyomu cha hemorrhoids
Dziwani za hemorrhoids
Dziwani za hemorrhoids makamaka malinga ndi mbiriyakale, kuyang'ana, digito rectany mayeso ndi colonoscopy. Potengera mbiri yakale, ndikofunikira kumvetsetsa zowawa za anal, magazi mu chopondapo, hemorrhoid chotupa ndi kubwezeretsanso kuwoneka ngati zotupa za peryal, ndi zina. Colonoscopy amafunika kudziwa matenda ena monga zotupa, zilonda zam'mimba, etc. Izi zimayambitsa magazi. Kugawika ndi Kugulitsa Hemorrhoids
Pali mitundu itatu ya hemorrhoids: hemorrhoids wamkati, hemorrhoids wakunja, ndi zotupa zotupa.
Zotupa: mkati, zakunja, komanso zophatikizika
Ma hemorrhoids amatha kulembedwa m'makalasi ine, II, II, ndi IV. Imakonzedwa molingana ndi kupsinjika, zotulutsa zama hemorrhoid ndikubwerera.
Zizindikiro za matenda a endoscopic ndi kalasi i, ii, ndi iii mkati mwa hemorrhoids, pomwe hermorhoids wakunja, ndi zotupa zotupa za mankhwala a endoscopic. Mzere wogawanitsa pakati pa matenda a endoscopic ndiye mzere wamano.
Thupi la hemorrhoids
Mzere wa Anal, mzere wamano, ayal pad, ndi zotupa zam'magazi ndi malingaliro omwe endoscopists amafunika kudziwa. Kuzindikiritsa endoscopic kumafuna zochitika zina. Mzere wa mano ndi gawo la anal squelium epithelium ndi epithelium epithelium, ndi malo osinthira pakati pa mzere wa andal ndipo mzere wa mano umakutidwa ndi thupi. Chifukwa chake, chithandizo cha endoscopic chimachokera pa mzere wamano. Chithandizo cha endoscopic chitha kuchitidwa mkati mwa mzere wamano, ndi mankhwala othandizira sangathe kuchitidwa kunja kwa ma deno.
Chithunzi 1.Maganizo akutsogolo pa mzere wamano pansi pa endoscope. Mbewu yachikaso yachikasu pamzere wodekha denti, mivi yoyera imaloza chipilala cha andal ndipo ma network ndi network yofiyira, ndi mivi yofiyira ku valavu ya anal
1a:chithunzi choyera choyera;1b:Kupendekeka Kwa Kuwala
Chithunzi 2Kuyang'ana kwa a Anal Flap (muvi wofiyira) ndi kumapeto kwa mzati (muvi woyera) pa microscope
Chithunzi 3Kuyang'ana papilla wa anal papillakopu (muvi wachikasu)
Chithunzi 4.Mzere wa Anal ndi mzere wamano unawonedwa ndi Extroscopy. Mbeta wachikaso wachikasu pamzere wamano, ndipo mivi yakuda imaloza pamzere wa anal.
Malingaliro a andal Papilla ndi mzati watha amagwiritsidwa ntchito kwambiri opaleshoni ndipo sadzabwerezedwa pano.
Chithandizo chapamwamba cha hemorrhoids:Pali mankhwala osokoneza bongo komanso opaleshoni mankhwala. Chithandizo cha osokoneza bongo chimaphatikizapo kusamba kogwiritsa ntchito mankhwala a Perianal a Perianal Chifukwa mankhwala opaleshoni ndi ochulukirapo, zotsatira zake zimakhala zokhazikika, ndipo chiopsezo ndichochepa, wodwalayo amafunikira kutsegulidwa kuchipatala kwa masiku 3-5.
2. Chithandizo cha endoscopic cha hemorrhoids
Kusiyana pakati pa chithandizo cha endoscopic cha bororrhoids a mkati ndi chithandizo cha egv:
Cholinga cha endoscopic cha esophagastric chimasiyana m'mitsempha yamagazi, ndipo chandamale cha hemorrhoid sichinthu chophweka, koma hemorrhoids opangidwa ndi mitsempha yamagazi ndi minofu yolumikizira. Chithandizo cha hemorrhoids ndikuchepetsa zizindikiro, kwezani pad ya ankul yomwe imasunthira pansi, ndikupewa zovuta monga kuwonongeka kwa hemorrhoids (popha nyama zonse ")
Cholinga cha mankhwala a endoscopic: Kuchepetsa kapena kuthetsa zizindikiro, osataya zotupa.
Chithandizo cha endoscopic chimaphatikizaposclerotherapyndilikulu la band.
Kuti mupeze matenda ndi chithandizo cha hemorrhoids mkati, colonoscopy imagwiritsidwa ntchito pofufuza, ndipo gastrosrocope imalimbikitsidwa kulandira chithandizo. Kuphatikiza apo, malinga ndi momwe chipatala chilichonse, mungasankhe chithandizo chokwanira kapena chosagwira ntchito.
①scletherapy (wothandizidwa ndi chipewa)
Wothandizira sclerosing ndi laurll dradnid, ndi foam lairyl mowa kwambiri amathanso kugwiritsidwa ntchito. Ndikofunikiranso kugwiritsa ntchito jakisoni wa submucas a methylene buluu ngati wothandizila kuti amvetsetse mayendedwe ndikupeza kwa wogwirizira.
Cholinga cha chipewa chowonekera ndikukulitsa gawo la masomphenya. Mlefeleyo amatha kusankhidwa kuchokera ku sing'anga wamba. Nthawi zambiri, kutalika kwa singano ndi 6mm. Madokotala omwe sakudziwa zambiri ayenera kuyesa kugwiritsa ntchito jakisoni wautali singano, chifukwa jakisoni wautali amakonda jakisoni ndi jakisoni. Chiopsezo chachikulu ndikuyambitsa matenda a sekondale komanso kutupa.
Malo a jekeseni amasankhidwa pamwamba pa mlomo wa mzere wamano, ndipo malo opangira sikisikilo amapezeka m'munsi mwa zotulukapo zopondera. Singanoyi imayikidwa pa 30 ° ~ 40 ° pansi pa chithunzithunzi (kutsogolo kapena kusintha) kwa endoscope, ndipo singano imayikidwanso m'munsi mwa hemorrhod. Pangani mulu wowuma pansi pa hemorrrhoid, kuchotsa singanoyo mukamayikapo, pafupifupi 0,5 ~ 2ml, ndikuimitsa jakisoniyo mpaka hemorrhoid mpaka oyera. Pambuyo pa jekeseni watha, yang'anani ngati pakakhala magazi pamalo a jakisoni.
Endoscopic sclerotherapy imaphatikizapo jakisoni wa mawongoleredwe apamwamba komanso jakisoni wagalasi. Nthawi zambiri, jakisoni wopotoka ndi njira yayikulu.
Chithandizo cha Bandeji
Nthawi zambiri, chida cha mphete cha mphete zambiri chimagwiritsidwa ntchito, osapitilira mphete zisanu ndi ziwiri. Chingwecho chimachitidwa pa 1 mpaka 3 cm pamwamba pa mzere mzere wamano, ndipo likulu nthawi zambiri imayamba pafupi ndi mzere wa anal. Itha kukhala huscular ndolo kapena miyambo ya mucosal kapena ligami. Mpikisano wagawika kambiri ndiye njira yayikulu, nthawi zambiri nthawi zambiri, ndi pafupifupi mwezi umodzi.
Chithandizo cha Perioperative: Kusala kudya sikofunikira atatha kugwira ntchito, amakhalabe cholunjika, ndikupewa kukhala nthawi yayitali komanso kugwira ntchito kwambiri. Kugwiritsa ntchito maantibayotiki sikofunikira.
3. Vutoli ndi mavuto omwe alipo kale zipatala za udzu
M'mbuyomu, udindo waukulu wochiza hemorrhoids unali mu Dipatimenti Yachilendo. Chithandizo cha dongosolo mu dipatimenti ya Anorectal chimaphatikizapo jakisoni wachisamaliro, sclerotherapy, komanso mankhwala opaleshoni.
Matenda am'mimba amakumana nawo pakuzindikira peryaal anatomy pansi pa endoscopy, ndipo zisonyezo kwa mankhwala othandizira ndi ochepa. Opaleshoni imafunikiranso kuchira kwathunthu, yomwe yakhala yovuta pakukula.
Mu lingaliro, chithandizo cha endoscopic cha bororrhoids mkati chimakhala choyenera kuchipatala chachikulu, koma machitidwe, sichofanana.
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, ESD, 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!
Post Nthawi: Jul-11-2022