I. Shirye-shiryen marasa lafiya
1. Fahimci wurin, yanayi, girma da kuma hudawar abubuwan waje
A yi gwajin X-ray ko CT scan na wuya, ƙirji, gaban gaba da gefen ido, ko ciki kamar yadda ake buƙata don fahimtar wurin, yanayi, siffa, girma, da kuma kasancewar ramin da ya huda jikin da ba a sani ba, amma kada a yi gwajin hadiya ta barium.
2. Lokacin azumi da ruwa
A al'ada, marasa lafiya suna azumi na tsawon awanni 6 zuwa 8 don zubar da abin da ke cikin ciki, kuma lokacin azumi da ruwa za a iya sassauta shi yadda ya kamata don gwajin gaggawa na gastroscopy.
3. Taimakon maganin sa barci
Ya kamata a yi wa yara, waɗanda ke da matsalar tabin hankali, waɗanda ba sa ba da haɗin kai, ko waɗanda ke da gawarwakin ƙasashen waje da aka tsare, manyan gawarwakin ƙasashen waje, gawarwakin ƙasashen waje da yawa, gawarwakin ƙasashen waje masu kaifi, ko tiyatar endoscopic da ke da wahala ko kuma take ɗaukar lokaci mai tsawo, a yi musu tiyatar a ƙarƙashin maganin sa barci ko kuma intubation na endotracheal tare da taimakon likitan sa barci. Cire abubuwan ƙasashen waje.
II. Shirye-shiryen kayan aiki
1. Zaɓin Endoscope
Ana samun dukkan nau'ikan gastroscopy na gani gaba. Idan an kiyasta cewa yana da wahala a cire jikin waje ko kuma jikin waje ya yi girma, ana amfani da gastroscopy na tiyata mai tashar jiragen ruwa biyu. Ana iya amfani da endoscopes masu ƙaramin diamita na waje ga jarirai da yara ƙanana.
2. Zaɓin forceps
Ya danganta da girman da siffar jikin da ba a sani ba. Kayan aikin da aka fi amfani da su sun haɗa da forceps na biopsy, tarko, forceps masu muƙamuƙi uku, flat forceps, forceps na jikin waje (forceps na haƙoran bera, forceps na bakin muƙamuƙi), kwandon cire dutse, jakar raga ta cire dutse, da sauransu.
Za a iya tantance zaɓin kayan aiki bisa ga girman, siffar, nau'in, da sauransu na jikin waje. A cewar rahotannin wallafe-wallafe, forceps na haƙoran beraye sune aka fi amfani da su. Yawan amfani da forceps na haƙoran beraye shine kashi 24.0% ~ 46.6% na duk kayan aikin da aka yi amfani da su, kuma tarko ya kai kashi 4.0% ~ 23.6%. Gabaɗaya ana kyautata zaton tarko ya fi kyau ga dogayen jikin waje masu siffar sanda. Kamar na'urorin auna zafi, buroshin hakori, sandunan yanka na bamboo, alkalami, cokali, da sauransu, kuma matsayin ƙarshen da tarkon ya rufe bai kamata ya wuce 1cm ba, in ba haka ba zai yi wuya a fita daga zuciya.
2.1 Jikunan waje masu siffar sanda da kuma jikunan waje masu siffar zagaye
Ga abubuwan waje masu siffar sandar da ke da santsi da kuma siririn diamita na waje kamar su tsinken haƙori, ya fi dacewa a zaɓi tsinken haƙori mai muƙamuƙi uku, tsinken haƙori na bera, tsinken lebur, da sauransu; ga abubuwan waje masu siffar zagaye (kamar ƙwallo, ƙwallon gilashi, batura maɓalli, da sauransu), yi amfani da kwandon cire dutse ko jakar raga ta cire dutse don cire su. Yana da wahalar zamewa.
2.2 Dogayen gaɓoɓin waje masu kaifi, tarin abinci, da manyan duwatsu a cikin ciki
Ga dogayen jikin waje masu kaifi, dogon axis na jikin waje ya kamata ya kasance daidai da axis na tsawon lumen, tare da ƙarshen kaifi ko ƙarshen buɗewa yana fuskantar ƙasa, kuma yana janyewa yayin allurar iska. Ga jikin waje masu siffar zobe ko jikin waje masu ramuka, ya fi aminci a yi amfani da hanyar zare don cire su;
Ga tarin abinci da manyan duwatsu a cikin ciki, ana iya amfani da forceps na cizo don murƙushe su sannan a cire su da forceps mai muƙamuƙi uku ko tarko.
3. Kayan kariya
Yi amfani da na'urorin kariya gwargwadon iyawa ga abubuwan waje waɗanda ke da wahalar cirewa kuma suna da haɗari. A halin yanzu, na'urorin kariya da aka fi amfani da su sun haɗa da murabba'ai masu haske, bututun waje, da murfin kariya.
3.1 Murfi mai haske
A lokacin aikin cire jikin waje, ya kamata a yi amfani da murfi mai haske a ƙarshen ruwan tabarau na endoscopic gwargwadon iyawa don hana mucosa daga jikin waje ya karce, da kuma faɗaɗa esophagus don rage juriyar da ake fuskanta lokacin da aka cire jikin waje. Hakanan yana iya taimakawa wajen matsewa da cire jikin waje, wanda ke da amfani ga cire jikin waje. cire.
Ga wasu gaɓoɓin da ke da siffar tsiri a cikin mucosa a ƙarshen makogwaro biyu, ana iya amfani da murfi mai haske don tura mucosa na makogwaro a hankali a kusa da ƙarshen jikin da ke waje ta yadda ƙarshen jikin da ke waje zai fita daga bangon mucosa na makogwaro don guje wa huda makogwaro sakamakon cirewa kai tsaye.
Murfin mai haske zai iya samar da isasshen sarari don aikin kayan aikin, wanda ya dace don gano da cire wasu sassan waje a cikin kunkuntar wuyan esophagus.
A lokaci guda, murfin mai haske zai iya amfani da tsotsar matsi mara kyau don taimakawa wajen shanye tarin abinci da kuma sauƙaƙe sarrafawa daga baya.
3.2 Akwatin waje
Yayin da yake kare esophagus da kuma mucosa na haɗin esophagus-gastric, bututun waje yana sauƙaƙa cire dogayen gaɓoɓin waje da yawa da kuma cire tarin abinci, wanda hakan ke rage yawan rikice-rikice yayin cirewar gaɓoɓin waje daga cikin hanji. Ƙara aminci da ingancin magani.
Ba a cika amfani da bututun da ke wucewa ga yara ba saboda haɗarin lalata makogwaro yayin sakawa.
3.3 Murfin kariya
Sanya murfin kariya a juye a ƙarshen gaban na'urar endoscope. Bayan manne abin da ke cikin baƙon, juya murfin kariya a naɗe abin da ke cikin baƙon lokacin da kake cire na'urar endoscope don guje wa abubuwan da ke cikin baƙon.
Yana shiga cikin hulɗa da mucous membrane na tsarin narkewar abinci kuma yana taka rawa ta kariya.
4. Hanyoyin magance nau'ikan jikin da ba na waje ba a cikin babban hanji
4.1 Yawan abinci a cikin esophagus
Rahotanni sun nuna cewa yawancin ƙananan abincin da ke cikin esophagus ana iya tura su a hankali cikin ciki a bar su su fita ta halitta, wanda hakan abu ne mai sauƙi, mai sauƙi kuma ba zai iya haifar da matsaloli ba. A lokacin aikin ci gaba da aikin gastroscopy, ana iya shigar da hauhawar farashin da ya dace cikin lumen na esophagus, amma wasu marasa lafiya na iya samun ciwon daji na esophagus ko kuma stenosis na anastomotic bayan esophageal (Hoto na 1). Idan akwai juriya kuma kuka matsa da ƙarfi, sanya matsin lamba da yawa zai ƙara haɗarin hudawa. Ana ba da shawarar amfani da kwandon cire dutse ko jakar cire dutse don cire jikin waje kai tsaye. Idan bolus ɗin abinci ya yi girma, za ku iya amfani da forceps na jiki na waje, tarko, da sauransu don niƙa shi kafin a raba shi. Cire shi.
Hoto na 1 Bayan tiyatar cutar kansar makogwaro, majinyacin ya sami rauni a makogwaro da kuma riƙe abinci mai ƙarfi.
4.2 Gajerun abubuwa na ƙasashen waje masu laushi da kuma marasa tsari
Ana iya cire yawancin gaɓoɓin waje masu gajarta da marasa gajarta ta hanyar amfani da sandar jiki ta waje, tarko, kwandunan cire dutse, jakunkunan cire dutse, da sauransu. (Hoto na 2). Idan jikin waje a cikin makogwaro yana da wahalar cirewa kai tsaye, ana iya tura shi cikin ciki don daidaita matsayinsa sannan a yi ƙoƙarin cire shi. Gaɓoɓin waje masu gajarta da diamita fiye da 2.5 cm a cikin ciki suna da wahalar wucewa ta cikin pylorus, kuma ya kamata a yi aikin endoscopic da wuri-wuri; idan gaɓoɓin waje masu ƙananan diamita a cikin ciki ko duodenum ba su nuna lalacewar hanji ba, za su iya jira fitar da su ta halitta. Idan ya kasance fiye da makonni 3-4 kuma har yanzu ba za a iya fitar da shi ba, dole ne a cire shi ta hanyar endoscopic.
Hoto na 2 Abubuwan waje na filastik da hanyoyin cirewa
4.3 Ƙungiyoyin ƙasashen waje
Ba a cika samun abubuwa na ƙasashen waje waɗanda tsawonsu bai wuce santimita 6 ba (kamar na'urorin auna zafi, buroshin haƙora, sandunan yanka na bamboo, alkalami, cokali, da sauransu) ba su da sauƙin fitar da su ta halitta, don haka sau da yawa ana tattara su da tarko ko kwandon dutse.
Ana iya amfani da tarko don rufe ƙarshen ɗaya (ba fiye da santimita 1 daga ƙarshen ba), sannan a sanya shi a cikin murfi mai haske don cire shi. Hakanan ana iya amfani da na'urar cannula ta waje don kama jikin da ba a gani ba sannan a koma cikin cannula ta waje cikin sauƙi don guje wa lalata mucosa.
4.4 Kaifi abubuwa na ƙasashen waje
Ya kamata a ba da isasshen kulawa ga abubuwa masu kaifi na ƙasashen waje kamar ƙasusuwan kifi, ƙasusuwan kaji, haƙoran haƙora, ramin dabino, tsinken haƙora, maƙullan takarda, ruwan reza, da naɗe akwatin kwaya (Hoto na 3). Ya kamata a yi wa abubuwa masu kaifi na ƙasashen waje waɗanda za su iya lalata ƙwayoyin mucous da jijiyoyin jini cikin sauƙi kuma su haifar da matsaloli kamar hudawa. Kula da endoscopic na gaggawa.
Hoto na 3 Nau'o'in abubuwa daban-daban na ƙasashen waje masu kaifi
Lokacin cire gawawwakin waje masu kaifi a ƙarshenNa'urar hangen nesa, yana da sauƙi a goge mucosa na hanyar narkewar abinci. Ana ba da shawarar a yi amfani da murfi mai haske, wanda zai iya fallasa lumen gaba ɗaya kuma ya guji goge bango. Yi ƙoƙarin kawo ƙarshen jikin baƙon kusa da ƙarshen ruwan tabarau na endoscopic don a sanya ƙarshen jikin baƙon a sanya shi a cikin murfi mai haske, yi amfani da forceps na jikin baƙon ko tarko don kama jikin baƙon, sannan a yi ƙoƙarin kiyaye tsayin daka na jikin baƙon a layi ɗaya da esophagus kafin a janye daga scapula. Ana iya cire jikin baƙon da aka saka a gefe ɗaya na esophagus ta hanyar sanya murfi mai haske a ƙarshen gaba na endoscope sannan a hankali a shiga cikin mashigar esophagus. Ga jikin baƙon da aka saka a cikin ramin esophagus a ƙarshen biyu, ya kamata a fara sassauta ƙarshen da ya fi zurfi, yawanci A gefen kusanci, a cire ɗayan ƙarshen, a daidaita alkiblar abin baƙon don a haɗa ƙarshen kai a cikin murfin mai haske, sannan a cire shi. Ko kuma bayan amfani da wuka ta laser don yanke jikin baƙon a tsakiya, ƙwarewarmu ita ce a sassauta baka na aortic ko gefen zuciya da farko, sannan a cire shi a matakai.
a. Hakora: Lokacin cin abinci, tari, ko maganag, marasa lafiya na iya faɗuwa daga haƙoran haƙoransu ba da gangan ba, sannan su shiga cikin babban hanji da motsi na haɗiye. Haƙoran haƙoran masu kaifi tare da maƙullan ƙarfe a ƙarshen biyu suna da sauƙin shiga cikin bangon hanyar narkewar abinci, wanda hakan ke sa cirewa ya yi wahala. Ga marasa lafiya da suka kasa yin maganin endoscopic na gargajiya, ana iya amfani da kayan aiki da yawa don yunƙurin cirewa ta hanyar amfani da endoscopy na tashar dual-channel.
b. Ramin dabino: Ramin dabino da ke cikin makogwaro yawanci suna da kaifi a ƙarshen biyu, wanda zai iya haifar da matsaloli kamar lalacewar mucosa.e, zubar jini, kamuwa da cutar hanji da kuma toshewar ciki cikin ɗan gajeren lokaci, kuma ya kamata a yi masa magani da gaggawa ta hanyar amfani da maganin endoscopic (Hoto na 4). Idan babu raunin hanji, yawancin duwatsun dabino a cikin ciki ko duodenum za a iya fitar da su cikin awanni 48. Waɗanda ba za a iya fitar da su ta halitta ba ya kamata a cire su da wuri-wuri.
Hoto na 4 Jujube core
Bayan kwana huɗu, an gano cewa majiyyacin yana da wani baƙon gawa a wani asibiti. CT ya nuna wani baƙon gawa a cikin makogwaro tare da rami. An cire ƙwanƙolin jujube masu kaifi a ƙarshen biyu ta hanyar amfani da endoscopy kuma an sake yin gastroscopy. An gano cewa an yi fistula a bangon makogwaro.
4.5 Manyan abubuwa na ƙasashen waje masu dogon gefuna da gefuna masu kaifi (Hoto na 5)
a. Sanya bututun waje a ƙarƙashin endoscope: Saka gastroscope daga tsakiyar bututun waje, ta yadda gefen ƙasan bututun waje ya kusa da gefen sama na ɓangaren lanƙwasa na gastroscope. A saka gastroscope a kai a kai kusa da jikin waje. Saka kayan aiki masu dacewa ta cikin bututun biopsy, kamar tarko, forceps na jikin waje, da sauransu. Bayan kama abin da ke cikin baƙon, a saka shi a cikin bututun waje, kuma dukkan na'urar za ta fita tare da madubin.
b. Murfin kariya daga membrane na mucous na gida: Yi amfani da murfin babban yatsa na safar hannu na roba don yin murfin kariya na gaba na endoscope na gida. Yanke shi tare da gefen tushen babban yatsa na safar hannu zuwa siffar ƙaho. Yanke ƙaramin rami a kan yatsa, sannan ya wuce ƙarshen gaban jikin madubi ta cikin ƙaramin ramin. Yi amfani da ƙaramin zobe na roba don gyara shi nesa da 1.0cm daga ƙarshen gaban gastroscope, mayar da shi zuwa ƙarshen sama na gastroscope, sannan a aika shi tare da gastroscope zuwa ga jikin waje. Kama jikin waje sannan a cire shi tare da gastroscope. Hannun kariya zai motsa zuwa ga jikin waje saboda juriya. Idan aka juya alkiblar, za a naɗe shi a kusa da abubuwan waje don kariya.
Hoto na 5: An cire ƙasusuwan kifi masu kaifi ta hanyar amfani da endoscopic, tare da ƙazantar mucous membrane.
4.6 Ƙarfe na ƙasashen waje
Baya ga forceps na gargajiya, ana iya cire gawawwakin baƙin ƙarfe ta hanyar tsotsawa da ƙarfin maganadisu na waje. Jikkunan baƙin ƙarfe waɗanda suka fi haɗari ko wahalar cirewa za a iya yi musu magani ta hanyar amfani da na'urar duba hasken X-ray. Ana ba da shawarar a yi amfani da kwandon cire dutse ko jakar raga ta cire dutse.
Tsabar kuɗi ta fi yawa a tsakanin gaɓoɓin waje a cikin tsarin narkewar abinci na yara (Hoto na 6). Duk da cewa yawancin tsabar kuɗi a cikin esophagus ana iya wucewa ta halitta, ana ba da shawarar yin amfani da maganin endoscopic na zaɓi. Saboda yara ba sa haɗin kai sosai, cire gaɓoɓin waje a cikin yara ya fi kyau a yi shi a ƙarƙashin maganin sa barci na gaba ɗaya. Idan tsabar kuɗin yana da wahalar cirewa, ana iya tura shi cikin ciki sannan a fitar da shi. Idan babu alamun cutar a cikin ciki, za ku iya jira a fitar da shi ta halitta. Idan tsabar kuɗin ta kasance fiye da makonni 3-4 kuma ba a fitar da shi ba, dole ne a yi masa magani ta hanyar endoscopic.
Hoto na 6 tsabar ƙarfe ta waje
4.7 Abubuwan da ke lalata ƙasa
Jikin da ke da laka a waje na iya haifar da lalacewa cikin sauƙi ga hanyar narkewar abinci ko ma ƙwayoyin cuta. Ana buƙatar maganin endoscopic na gaggawa bayan an gano cutar. Batirin shine mafi yawan ƙwayoyin cuta a waje kuma galibi yana faruwa ne ga yara 'yan ƙasa da shekara 5 (Hoto na 7). Bayan lalata esophagus, suna iya haifar da stenosis na esophagus. Dole ne a sake duba Endoscopy cikin 'yan makonni. Idan an sami tauri, ya kamata a faɗaɗa esophagus da wuri-wuri.
Hoto na 7 Baƙon abu a cikin batirin, kibiya ja tana nuna wurin da baƙon abu yake
4.8 Maganin waje na maganadisu
Idan akwai wasu gaɓoɓin waje na maganadisu ko kuma gaɓoɓin waje na maganadisu da aka haɗa su da ƙarfe a cikin babban hanyar narkewar abinci, abubuwan suna jawo juna kuma suna matse bangon hanyar narkewar abinci cikin sauƙi, wanda zai iya haifar da necrosis na ischemic, samuwar fistula, hudawa, toshewa, peritonitis da sauran manyan raunuka na ciki, waɗanda ke buƙatar magani na gaggawa na endoscopic. Ya kamata a cire abubuwa na waje na maganadisu guda ɗaya da wuri-wuri. Baya ga forceps na gargajiya, ana iya cire gaɓoɓin waje na maganadisu ta hanyar tsotsa su da forceps na jiki na maganadisu.
4.9 Jikin waje a cikin ciki
Yawancinsu fitilu ne, wayoyin ƙarfe, ƙusoshi, da sauransu waɗanda fursunoni ke haɗiye da gangan. Yawancin jikin ƙasashen waje suna da tsayi da girma, suna da wahalar wucewa ta cikin zuciya, kuma suna iya ƙuraje cikin sauƙi. Ana ba da shawarar amfani da robar roba tare da robar roba don cire gawawwakin ƙasashen waje yayin gwajin endoscopic. Da farko, saka robar roba a cikin ƙarshen gaban endoscope ta hanyar ramin biopsy na endoscopic. Yi amfani da robar roba don manne zoben roba a ƙasan robar roba. Sannan, ja robar roba zuwa ramin biopsy don tsawon robar robar ya bayyana a wajen ramin biopsy. Rage shi gwargwadon iyawa ba tare da shafar filin gani ba, sannan a saka shi cikin ramin ciki tare da endoscope. Bayan gano jikin ƙasashen waje, sanya robar roba a cikin robar roba. Idan yana da wahala a cire shi, sanya robar roba a cikin ramin ciki, kuma yi amfani da robar roba don manne jikin ƙasashen waje sannan a saka shi a ciki. A cikin robar roba, yi amfani da robar roba don manne robar robar sannan a cire ta tare da madubi.
4.10 Duwatsun ciki
An raba gastroliths zuwa gastroliths na kayan lambu, gastroliths na dabbobi, gastroliths da miyagun ƙwayoyi ke haifarwa da gastroliths. Gastroliths na kayan lambu sune mafi yawan gaske, galibi suna faruwa ne ta hanyar cin persimmons mai yawa, hawthorns, dabino na hunturu, peaches, seleri, kelp, da kwakwa a cikin komai a ciki. Abubuwan da suka haifar da gastroliths na tsire-tsire kamar persimmons, hawthorns, da jujubes suna ɗauke da tannic acid, pectin, da gum. A ƙarƙashin aikin acid na ciki, ana samar da furotin tannic acid wanda ba ya narkewa a ruwa, wanda ke ɗaure da pectin, danko, zare na shuka, barewa, da kuma tsakiya. Duwatsun ciki.
Duwatsun ciki suna sanya matsin lamba a bangon ciki kuma suna haifar da ƙaruwar fitar da sinadarin acid na ciki, wanda zai iya haifar da zaizayar mucosa na ciki, gyambo har ma da hudawa. Ana iya narkar da ƙananan duwatsun ciki masu laushi da sodium bicarbonate da sauran magunguna sannan a bar su su fita ta halitta.
Ga marasa lafiya da suka kasa yin magani, cire duwatsun endoscopic shine zaɓi na farko (Hoto na 8). Ga duwatsun ciki waɗanda ke da wahalar cirewa kai tsaye a ƙarƙashin endoscopy saboda girmansu, ana iya amfani da forceps na jikin waje, tarko, kwandunan cire duwatsu, da sauransu don murƙushe duwatsun kai tsaye sannan a cire su; ga waɗanda ke da tauri waɗanda ba za a iya murƙushe su ba, ana iya la'akari da yanke duwatsun endoscopic, Laser lithotripsy ko maganin lithotripsy na lantarki mai yawan mita, lokacin da dutsen ciki ya ƙasa da 2cm bayan ya karye, yi amfani da forceps mai kaifi uku ko forceps na jikin waje don cire shi gwargwadon iko. Ya kamata a yi taka tsantsan don hana fitar da duwatsun da suka fi 2cm zuwa cikin ramin hanji ta cikin ciki da haifar da toshewar hanji.
Hoto na 8 Duwatsu a cikin ciki
4.11 Jakar Magani
Fashewar jakar maganin zai iya haifar da mummunan haɗari kuma hakan yana hana yin amfani da maganin endoscopic. Marasa lafiya waɗanda ba za su iya fitar da maniyyi ba ko kuma waɗanda ake zargin sun fashe a jakar magani ya kamata a yi musu tiyata.
III. Matsaloli da magani
Matsalolin da ke tattare da jikin da ba ya nan yana da alaƙa da yanayi, siffarsa, lokacin zama da kuma matakin aikin likita. Manyan matsalolin sun haɗa da raunin mucous membrane na makogwaro, zubar jini, da kuma kamuwa da cuta daga rami.
Idan jikin da ba a gani ba ƙarami ne kuma babu wata matsala a fatar jiki idan aka cire shi, ba a buƙatar a kwantar da shi a asibiti bayan an yi masa tiyata, kuma ana iya bin tsarin rage cin abinci bayan an yi azumi na tsawon awanni 6.Ga marasa lafiya da ke fama da raunin mucosa na esophagus, granules glutamine, aluminum phosphate gel da sauran magungunan kariya daga mucosa za a iya ba su maganin alamun. Idan ya cancanta, ana iya ba da abinci mai gina jiki na azumi da na gefe.
Ga marasa lafiya da ke da lalacewar mucosa da zubar jini a bayyaneAna iya yin maganin ta hanyar amfani da na'urar hangen nesa ta endoscopic kai tsaye, kamar fesa maganin norepinephrine mai sanyi da ruwan sanyi, ko kuma maƙallan titanium na endoscopic don rufe raunin.
Ga marasa lafiya waɗanda CT kafin tiyata ya nuna cewa jikin da ke wajen ya shiga bangon esophagus bayan cire endoscopic, idan jikin waje ya tsaya na ƙasa da awanni 24 kuma CT bai sami samuwar ƙuraje a wajen lumen na esophagus ba, ana iya yin maganin endoscopic kai tsaye. Bayan an cire jikin waje ta hanyar endoscope, ana amfani da maƙallin titanium don matse bangon ciki na esophagus a wurin da aka huda, wanda zai iya dakatar da zubar jini da rufe bangon ciki na esophagus a lokaci guda. Ana sanya bututun ciki da bututun ciyar da jejunal a ƙarƙashin hangen nesa na endoscope kai tsaye, kuma ana kwantar da majiyyaci a asibiti don ci gaba da magani. Jiyya ya haɗa da maganin alamun kamar azumi, rage matsi na ciki, maganin rigakafi da abinci mai gina jiki. A lokaci guda, dole ne a lura da alamun mahimmanci kamar zafin jiki na jiki sosai, kuma dole ne a lura da faruwar rikitarwa kamar emphysema na subcutaneous na wuya ko mediastinal emphysema a rana ta uku bayan tiyata. Bayan angiography na ruwa na iodine ya nuna cewa babu ɓuɓɓuga, ana iya barin ci da sha.
Idan an ajiye jikin da ba a gani ba na tsawon sama da awanni 24, idan alamun kamuwa da cuta kamar zazzabi, sanyi, da yawan ƙwayoyin jinin fari suka yi yawa, idan CT ya nuna samuwar ƙuraje a cikin makogwaro, ko kuma idan an sami matsaloli masu tsanani, ya kamata a mayar da marasa lafiya zuwa tiyata don magani cikin lokaci.
IV. Gargaɗi
(1) Tsawon lokacin da jikin da ke cikin esophagus ya daɗe, haka aikin tiyatar zai yi wahala kuma ƙarin matsaloli za su faru. Saboda haka, aikin endoscopic na gaggawa ya zama dole musamman.
(2) Idan jikin baƙon yana da girma, ba shi da tsari ko kuma yana da ƙaya, musamman idan jikin baƙon yana tsakiyar makogwaro kuma yana kusa da baka na aorta, kuma yana da wuya a cire shi ta hanyar endoscopic, kada a cire shi da ƙarfi. Ya fi kyau a nemi shawara da shirye-shirye daban-daban don tiyata.
(3) Amfani da na'urorin kariya daga makogwaro ta hanyar da ta dace zai iya rage faruwar matsaloli.
Namurungumar da za a iya yarwaAna amfani da shi tare da na'urorin endoscope masu laushi, suna shiga cikin ramin jikin ɗan adam kamar hanyar numfashi, esophagus, ciki, hanji da sauransu ta hanyar hanyar endoscope, don kama kyallen takarda, duwatsu da abubuwan da ba na waje ba da kuma cire stants.
Lokacin Saƙo: Janairu-26-2024