I.Tsarin haƙuri
1. Fahimtar wuri, yanayi, girma da huɗar abubuwa na waje
Ɗauki filayen X-ray ko CT na wuyansa, ƙirji, hangen nesa na gaba da na gefe, ko ciki kamar yadda ake buƙata don fahimtar wurin, yanayi, siffar, girma, da kasancewar huda na jikin waje, amma kada ku yi barium ya hadiye. jarrabawa.
2. Azumi da lokacin azumin ruwa
Kullum, marasa lafiya suna yin azumi na sa'o'i 6 zuwa 8 don zubar da abinda ke cikin ciki, kuma azumi da lokacin azumi na ruwa na iya zama annashuwa da kyau don gastroscopy na gaggawa.
3. Taimakon anesthesia
Yara, waɗanda ke da tabin hankali, waɗanda ba su da haɗin kai, ko waɗanda ke da gawarwaki na waje, manyan jikin waje, jikkunan kasashen waje da yawa, jikunan waje masu kaifi, ko ayyukan endoscopic waɗanda ke da wahala ko ɗaukar lokaci mai tsawo yakamata a yi su a ƙarƙashin maganin sa barci na gabaɗaya ko endotracheal. intubation tare da taimakon likitan maganin sa barci.Cire abubuwan waje.
II.Shirye-shiryen kayan aiki
1. Zaɓin Endoscope
Akwai nau'ikan gastroscopy na gaba-gaba.Idan an yi kiyasin cewa yana da wuya a cire jikin waje ko jikin na waje yana da girma, ana amfani da gastroscopy na tashar jiragen ruwa biyu.Ana iya amfani da endoscopes tare da ƙaramin diamita na waje don jarirai da yara ƙanana.
2. Zaɓin tilastawa
Yafi dogara da girman da siffar jikin waje.Kayayyakin da aka saba amfani da su sun haɗa da ƙarfi na biopsy, tarko, ƙarfin muƙamuƙi uku, ƙarfin ƙarfi, ƙarfin jiki na waje (ƙarfin bera, ƙarfin jaw-baki), kwandon cire dutse, jakar cirar dutse, da sauransu.
Za'a iya ƙayyade zaɓi na kayan aiki bisa ga girman, siffar, nau'in, da dai sauransu na jikin waje.A cewar rahotannin wallafe-wallafen, an fi amfani da damƙar haƙoran bera.Adadin amfani da bera-haƙori mai ƙarfi shine 24.0% ~ 46.6% na duk kayan aikin da aka yi amfani da su, kuma tarko suna lissafin 4.0% ~ 23.6%.An yi imani da cewa tarko sun fi kyau ga jikin waje na dogon lokaci mai siffar sanda.Irin su ma'aunin zafi da sanyio, buroshin hakori, tsinken bamboo, alƙalami, cokali, da sauransu, kuma matsayin ƙarshen da tarko ya rufe bai kamata ya wuce 1cm ba, in ba haka ba zai yi wuya a fita daga cikin zuciya.
2.1 Jikunan waje masu siffar sanda da jikin waje mai siffar zobe
Don abubuwa na waje masu siffar sanda tare da santsi mai santsi da diamita na waje irin su ƙwararrun haƙori, ya fi dacewa don zaɓar maƙallan muƙamuƙi guda uku, na'urar haƙori na bera, lebur, da dai sauransu;don abubuwa na waje (kamar cores, ƙwallan gilashi, baturan maɓalli, da sauransu), yi amfani da kwandon cire dutse ko jakar cirar dutse don cire su Wurin da wuya a cire.
2.2 Dogayen jikin waje masu kaifi, cunkoson abinci, da manyan duwatsu a ciki
Don doguwar gaɓoɓin baƙo mai kaifi, tsayin tsayin jikin baƙon ya kamata ya kasance daidai da madaidaiciyar axis na lumen, tare da kaifi mai kaifi ko buɗaɗɗen ƙarshen yana fuskantar ƙasa, da janyewa yayin allurar iska.Ga jikin waje mai siffar zobe ko na waje masu ramuka, yana da aminci don amfani da hanyar zaren don cire su;
Don cunkoson abinci da manyan duwatsu a cikin ciki, ana iya amfani da karfin cizo don murkushe su sannan a cire su da karfin baki uku ko kuma tarko.
3. Kayan kariya
Yi amfani da na'urorin kariya gwargwadon yuwuwa ga abubuwan waje waɗanda ke da wahalar cirewa kuma suna da haɗari.A halin yanzu, na'urorin kariya da aka saba amfani da su sun haɗa da iyakoki, bututu na waje, da murfin kariya.
3.1 Madaidaicin hula
A lokacin aikin cirewar jiki na waje, yakamata a yi amfani da hular haske a ƙarshen ruwan tabarau na endoscopic kamar yadda zai yiwu don hana ƙwayar mucosa daga jikin waje, da kuma fadada esophagus don rage juriya da aka fuskanta lokacin da jikin waje. an cire.Hakanan zai iya taimakawa wajen matsawa da fitar da jikin waje, wanda ke da fa'ida ga cire jikin baƙon.fitar.
Ga jikin baƙo mai siffar tsiri da ke cikin mucosa a ƙarshen maƙarƙashiya, za a iya amfani da hula mai haske don tura magudanar hanji a hankali a kusa da ƙarshen jikin baƙon ta yadda wani ƙarshen jikin baƙon ya fita daga bangon mucosal na esophageal zuwa bangon mucosal na esophageal. guje wa huɗar ciki wanda ke haifar da cirewar kai tsaye.
Har ila yau, madaidaicin madauri na iya samar da isasshen sarari don aiki na kayan aiki, wanda ya dace don ganowa da kuma cire jikin waje a cikin kunkuntar wuyan wuyansa na esophageal.
A lokaci guda, madaidaicin hula na iya amfani da tsotsawar matsa lamba mara kyau don taimakawa shawo kan kuncin abinci da sauƙaƙe sarrafawa na gaba.
3.2 Cajin waje
Yayin da ake kare esophagus da mucosa na esophageal-gastric junction mucosa, bututu na waje yana sauƙaƙe cirewar endoscopic na dogon lokaci, kaifi, da yawa na kasashen waje da kuma kawar da kullun abinci, don haka rage abubuwan da ke haifar da rikitarwa a lokacin cirewar jiki na gastrointestinal na sama.Ƙara aminci da tasiri na jiyya.
Ba a saba amfani da tubs na sama a cikin yara ba saboda haɗarin lalata ƙwayar esophagus yayin sakawa.
3.3 murfin kariya
Sanya murfin kariya a juye zuwa ƙarshen ƙarshen ƙarshen ƙarshen.Bayan danne bakon abu, juye murfin kariyar kuma kunsa bakon abu lokacin da za a cire endoscope don guje wa abubuwan waje.
Yana shiga cikin hulɗa tare da mucous membrane na fili na narkewa kuma yana taka rawar kariya.
4. Hanyoyin jiyya ga nau'ikan nau'ikan jikin waje a cikin sashin gastrointestinal na sama
4.1 Yawan abinci a cikin esophagus
Rahotanni sun nuna cewa mafi yawan ƙananan abinci a cikin esophagus za a iya tura su a hankali a cikin ciki kuma a bar su a sake su ta hanyar dabi'a, wanda yake da sauƙi, dacewa kuma ba zai iya haifar da rikitarwa ba.A lokacin tsarin ci gaba na gastroscopy, za'a iya gabatar da kumbura mai dacewa a cikin lumen na esophageal, amma wasu marasa lafiya na iya kasancewa tare da ciwon ƙwayar cuta na ƙwayar cuta ko kuma bayan-esophageal anastomotic stenosis (Figure 1).Idan akwai juriya kuma kuna turawa da ƙarfi, yin matsi da yawa zai ƙara haɗarin ɓarna.Ana ba da shawarar yin amfani da kwandon net ɗin cire dutse ko jakar ragamar cire dutse don cire jikin waje kai tsaye.Idan bolus din abincin yana da girma, zaku iya amfani da karfin jiki na waje, tarko, da sauransu don murza shi kafin a raba shi.Fitar da shi.
Hoto 1 Bayan tiyata don ciwon daji na esophageal, mai haƙuri yana tare da ƙwanƙwasa ƙwanƙwasa da kuma riƙewar abinci.
4.2 Gajerun abubuwa na waje
Ana iya cire mafi yawan gajarta da gaɓoɓin gaɓoɓin baƙon ta hanyar ƙarfin jiki na waje, tarko, kwanduna cire dutse, jakunkuna na cire net, da sauransu (Hoto na 2).Idan jikin bakon da ke cikin esophagus yana da wahalar cirewa kai tsaye, ana iya tura shi cikin ciki don daidaita matsayinsa sannan a gwada cire shi.Gajerun gawawwakin baƙon da ke da diamita na> 2.5 cm a cikin ciki sun fi wahalar wucewa ta cikin pylorus, kuma ya kamata a aiwatar da aikin endoscopic da wuri-wuri;idan kasashen waje da ke da ƙananan diamita a cikin ciki ko duodenum ba su nuna lalacewar gastrointestinal ba, za su iya jira fitar da su na halitta.Idan ya kasance fiye da makonni 3-4 kuma har yanzu ba za a iya cire shi ba, dole ne a cire shi ta hanyar endoscopy.
Hoto 2 Filastik abubuwa na waje da hanyoyin cirewa
4.3 Kasashen waje
Abubuwan waje masu tsayin ≥6 cm (kamar ma'aunin zafi da sanyio, buroshin hakori, ƙwanƙolin bamboo, alƙalami, cokali, da sauransu) ba su da sauƙi a fitar da su ta hanyar halitta, don haka galibi ana tattara su da kwandon tarko ko dutse.
Ana iya amfani da tarko don rufe ƙarshen ɗaya (ba fiye da 1 cm ba daga ƙarshen), kuma a sanya shi a cikin madaidaicin hula don fitar da shi.Hakanan za'a iya amfani da na'urar cannula ta waje don kame jikin baƙon sannan a koma cikin kwanciyar hankali a cikin cannula na waje don guje wa lalata mucosa.
4.4 Kafafan abubuwa na waje
Ya kamata a ba da isassun abubuwan da ke da kaifi kamar ƙasusuwan kifi, ƙasusuwan kaji, haƙoran haƙora, ramukan dabino, kayan haƙori, shirye-shiryen takarda, ɓangarorin reza, da kwalin kwalin kwalin kwaya (Hoto na 3) ya kamata a ba da kulawa sosai.Ya kamata a kula da abubuwa masu kaifi masu kaifi waɗanda za su iya lalata ƙwayoyin mucous da tasoshin jini cikin sauƙi kuma su haifar da rikice-rikice kamar huɗa.Gudanar da endoscopic gaggawa.
Hoto 3 Daban-daban nau'ikan abubuwa masu kaifi na waje
Lokacin cire kaifi jikin waje a ƙarƙashin ƙarshenoscope, yana da sauƙi a karce mucosa na fili na narkewa.Ana ba da shawarar yin amfani da madaidaicin hular, wanda zai iya cika cikakkiyar fallasa lumen kuma ya guje wa lalata bango.Yi ƙoƙarin kawo ƙarshen jikin baƙon kusa kusa da ƙarshen ruwan tabarau na endoscopic don a sanya ƙarshen jikin waje ɗaya Saka shi a cikin hular zahiri, yi amfani da ƙarfin jikin waje ko tarko don kama jikin baƙon, sannan yi ƙoƙarin kiyaye tsayin daka na jikin baƙon daidai da maƙarƙashiya kafin janyewa daga iyakar.Za'a iya cire jikin waje da ke cikin gefe ɗaya na esophagus ta hanyar sanya hular haske a gaban ƙarshen ƙarshen endoscope kuma a hankali shiga cikin mashigar esophageal.Ga jikin baƙon da ke cikin rami na esophageal a ƙarshen duka biyun, ƙarshen ƙarshen ya kamata a fara buɗewa da farko, yawanci A gefen kusanci, cire ɗayan ƙarshen, daidaita alkiblar abin baƙon don a haɗa ƙarshen kai a cikin m. hula, kuma fitar da shi.Ko kuma bayan amfani da wuka na Laser don yanke jikin waje a tsakiya, ƙwarewarmu ita ce fara sassauta baka ko gefen zuciya da farko, sannan a cire shi a matakai.
a.Hakori: Lokacin cin abinci, tari, ko maganag, marasa lafiya na iya faɗuwa da gangan daga haƙoran haƙora, sannan su shiga sashin gastrointestinal na sama tare da motsin haɗiye.Ƙaƙƙarfan haƙoran haƙora tare da haɗin ƙarfe a ƙarshen biyu yana da sauƙi don sanyawa a cikin ganuwar hanyar narkewa, yana da wuya cirewa.Ga marasa lafiya waɗanda suka kasa maganin endoscopic na al'ada, ana iya amfani da kayan aikin ɗamara da yawa don ƙoƙarin cirewa ƙarƙashin endoscopy na tashoshi biyu.
b.Ramin kwanan wata: Ramin kwanan kwanan wata da ke cikin esophagus yawanci suna da kaifi a iyakar biyu, wanda zai iya haifar da rikitarwa kamar lalacewar mucosal.e, zub da jini, kamuwa da cuta na gida da kuma perforation a cikin ɗan gajeren lokaci, kuma ya kamata a bi da shi tare da maganin endoscopic na gaggawa (Figure 4).Idan babu raunin ciki, yawancin duwatsun dabino a ciki ko duodenum za a iya fitar da su cikin sa'o'i 48.Wadanda ba za a iya fitar da su ta dabi'a ba ya kamata a cire su da wuri-wuri.
Hoto na 4 Jujube core
Bayan kwanaki hudu, an gano majinyacin yana da jikin waje a wani asibiti.CT ya nuna jikin waje a cikin esophagus tare da perforation.An cire muryoyin jujube masu kaifi a ƙarshen biyu a ƙarƙashin endoscopy kuma an sake yin gastroscopy.An gano cewa an samu yoyon fitsari a bangon magudanar ruwa.
4.5 Manyan abubuwa na waje masu dogayen gefuna da kaifi (Hoto na 5)
a.Shigar da bututu na waje a ƙarƙashin endoscope: Saka gastroscope daga tsakiyar bututun waje, ta yadda ƙananan gefen bututun waje ya kasance kusa da gefen babba na ɓangaren mai lanƙwasa na gastroscope.Saka gastroscope akai-akai kusa da jikin waje.Saka kayan da suka dace ta cikin bututun biopsy, kamar tarko, karfin jiki na waje, da dai sauransu. Bayan kama wani abu na waje, sanya shi cikin bututun waje, kuma gaba ɗaya na'urar za ta fita tare da madubi.
b.Murfin kariya na mucous membrane na gida: Yi amfani da murfin babban yatsan safofin hannu na roba don yin murfin kariya na gaba-karshen endoscope na gida.Yanke shi tare da bevel na tushen babban yatsan safar hannu zuwa siffar ƙaho.Yanke ƙaramin rami a bakin yatsa, kuma ku wuce ƙarshen gaban madubi ta cikin ƙaramin rami.Yi amfani da ƙaramin zobe na roba don gyara shi 1.0cm nesa da ƙarshen gastroscope, mayar da shi zuwa saman ƙarshen gastroscope, kuma aika shi tare da gastroscope zuwa jikin waje.Ɗauki jikin waje sannan ka janye shi tare da gastroscope.Hannun kariya ta dabi'a za ta motsa zuwa jikin waje saboda juriya.Idan aka juya alkiblar, za a nade ta da wasu abubuwa na waje domin kariya.
Hoto na 5: An cire kasusuwan kifi masu kaifi a endoscopically, tare da karce na mucosal
4.6 Karfe al'amarin waje
Bugu da ƙari na ƙarfi na al'ada, ana iya cire jikin baƙin ƙarfe na ƙarfe ta hanyar tsotsa tare da ƙarfin jiki na waje na maganadisu.Ƙarfe na baƙin ƙarfe waɗanda suka fi haɗari ko wahalar cirewa za a iya bi da su ta endoscopically a karkashin X-ray fluoroscopy.Ana ba da shawarar yin amfani da kwandon cire dutse ko jakar ragamar cire dutse.
Tsabar kudi sun fi zama ruwan dare a tsakanin jikin kasashen waje a cikin magudanar abinci na yara (Hoto na 6).Kodayake yawancin tsabar kudi a cikin esophagus za a iya wuce su ta hanyar dabi'a, ana ba da shawarar zaɓin maganin endoscopic.Saboda yara ba su da haɗin kai, endoscopic cire jikin waje a cikin yara yana da kyau a yi a karkashin maganin sa barci.Idan tsabar cirewa ke da wuya, ana iya tura shi cikin ciki sannan a fitar da shi.Idan babu alamun cutar a cikin ciki, zaku iya jira don fitar da shi ta dabi'a.Idan tsabar kudin ya kasance fiye da makonni 3-4 kuma ba a fitar da shi ba, dole ne a bi da shi ta hanyar endoscopically.
Hoto 6 Ƙarfe tsabar kudin waje
4.7 Lalacewar al'amuran waje
Jikunan waje masu lalacewa suna iya haifar da lalacewa cikin sauƙi ga tsarin narkewa ko ma necrosis.Ana buƙatar maganin endoscopic gaggawa bayan ganewar asali.Batura sune mafi yawan lalata jikin waje kuma galibi suna faruwa a cikin yara masu ƙasa da shekaru 5 (Hoto na 7).Bayan lalata esophagus, za su iya haifar da stenosis na esophageal.Dole ne a sake duba endoscopy a cikin 'yan makonni.Idan an yi tauri, ya kamata a faɗaɗa esophagus da wuri-wuri.
Hoto 7 Abu na waje a cikin baturi, jan kibiya tana nuna wurin da bakon abu yake
4.8 Magnetic al'amuran waje
Lokacin da yawa Magnetic jikin kasashen waje ko Magnetic jikin waje hade da karfe suna samuwa a cikin babba gastrointestinal fili, abubuwa suna jan hankalin juna da kuma matsa bango na narkewa kamar fili, wanda zai iya haifar da ischemic necrosis sauƙi, fistula samuwar, perforation, toshewa, peritonitis. wasu munanan raunuka na ciki., buƙatar gaggawar maganin endoscopic.Hakanan ya kamata a cire abubuwa na waje guda ɗaya na maganadisu da wuri-wuri.Bugu da ƙari ga ƙarfin ƙarfi na al'ada, ana iya cire jikin waje na maganadisu a ƙarƙashin tsotsa tare da ƙarfin maganadisu na waje.
4.9 Jiki a ciki
Yawancinsu fitulun wuta ne, wayoyi na ƙarfe, ƙusoshi da sauransu waɗanda fursunoni ke hadiye su da gangan.Yawancin jikin waje suna da tsayi da girma, suna da wuyar wucewa ta cikin zuciya, kuma suna iya tayar da mucous membrane cikin sauƙi.Ana ba da shawarar yin amfani da kwaroron roba haɗe tare da ƙarfin haƙorin bera don cire jikin waje a ƙarƙashin gwajin endoscopic.Da farko, saka ƙarfin bera-haƙori a cikin ƙarshen ƙarshen endoscope ta cikin rami na endoscopic biopsy.Yi amfani da ƙarfin haƙorin bera don manne zoben roba a ƙasan kwaroron roba.Sa'an nan, ja da ƙarfin bera-haƙori zuwa ramin biopsy domin tsawon kwaroron roba ya fallasa a waje da ramin biopsy.Rage shi kamar yadda zai yiwu ba tare da rinjayar filin kallo ba, sa'an nan kuma saka shi a cikin rami na ciki tare da endoscope.Bayan gano jikin baƙon, sanya jikin baƙon cikin kwaroron roba.Idan yana da wuya a cire, sanya robar a cikin rami na ciki, sannan a yi amfani da karfin haƙoran bera don matse jikin baƙon a saka a ciki. madubi.
4.10 Duwatsun ciki
Gastroliths an raba su zuwa gastroliths kayan lambu, gastroliths na dabba, gastroliths da aka haifar da kwayoyi da gastroliths masu gauraye.Gastroliths na ganyayyaki sune suka fi yawa, galibi suna haifar da cin abinci mai yawa na persimmons, hawthorns, kwanakin hunturu, peaches, seleri, kelp, da kwakwa akan komai a ciki.Da sauransu. Gastroliths na tushen tsire-tsire irin su persimmons, hawthorns, da jujubes sun ƙunshi tannic acid, pectin, da danko.Karkashin aikin acid na ciki, an samar da furotin tannic acid mai ruwa wanda ba zai iya narkewa ba, wanda ke ɗaure da pectin, danko, fiber na shuka, kwasfa, da ainihin.Duwatsun ciki.
Duwatsun ciki na yin matsin lamba akan bangon ciki da kuma kara kuzarin fitar da acid na ciki, wanda zai iya haifar da yashwar ciki cikin sauki cikin sauki, ulcer har ma da huda.Ana iya narkar da ƙananan duwatsu masu laushi masu laushi tare da sodium bicarbonate da sauran kwayoyi sannan a bar su a fitar da su ta hanyar halitta.
Ga marasa lafiya waɗanda suka kasa maganin likita, cirewar dutsen endoscopic shine zaɓi na farko (Hoto 8).Ga duwatsun ciki waɗanda ke da wahalar cirewa kai tsaye a ƙarƙashin endoscopy saboda girman girmansu, ana iya amfani da ƙarfin ƙarfin jiki na waje, tarko, kwandunan cire dutse da sauransu don murkushe duwatsun kai tsaye sannan a cire su;ga wadanda ke da nau'i mai wuyar gaske wanda ba za a iya murkushe su ba, ana iya yin la'akari da yankan endoscopic na duwatsu , Laser lithotripsy ko babban maganin lithotripsy na lantarki, lokacin da dutsen ciki ya kasance kasa da 2cm bayan an karya, yi amfani da karfi mai kauri uku ko karfin jiki na waje. don cire shi kamar yadda zai yiwu.Ya kamata a kula don hana fitar da duwatsun da suka fi 2cm girma zuwa cikin kogon hanji ta ciki da haifar da toshewar hanji.
Hoto 8 Duwatsu a ciki
4.11 Jakar Magunguna
Rushewar jakar miyagun ƙwayoyi zai haifar da haɗari mai haɗari kuma yana da ƙin yarda da maganin endoscopic.Marasa lafiya waɗanda ba za su iya fitarwa a zahiri ba ko waɗanda ake zargin suna da fashewar jakar magani yakamata a yi aikin tiyata sosai.
III.Matsaloli da magani
Abubuwan da ke tattare da jikin waje suna da alaƙa da yanayi, siffar, lokacin zama da matakin aikin likita.Babban rikice-rikice sun haɗa da rauni na mucosal na esophageal, zubar jini, da kamuwa da cuta.
Idan jikin baƙon yana ƙarami kuma babu wani lahani na mucosal lokacin fitar da shi, ba a buƙatar asibiti bayan tiyata, kuma ana iya bin abinci mai laushi bayan azumi na 6 hours.Ga marasa lafiya da raunin mucosal na esophageal, Glutamine granules, aluminum phosphate gel da sauran kayan kariya na mucosal za a iya ba da maganin bayyanar cututtuka.Idan ya cancanta, ana iya ba da azumi da abinci mai gina jiki.
Ga marasa lafiya da bayyanannun lalacewar mucosal da zubar jini, Ana iya yin magani a ƙarƙashin hangen nesa na endoscopic kai tsaye, kamar fesa maganin saline norepinephrine mai sanyi mai sanyi, ko shirye-shiryen titanium na endoscopic don rufe rauni.
Ga marasa lafiya waɗanda CT kafin fara aiki ya nuna cewa jikin waje ya shiga bangon esophageal bayan cirewar endoscopic., Idan jikin waje ya kasance na kasa da sa'o'i 24 kuma CT bai sami wani abu ba a waje da lumen esophageal, ana iya yin maganin endoscopic kai tsaye.Bayan an cire jikin waje ta hanyar endoscope, ana amfani da faifan titanium don danne bangon ciki na esophagus a wurin perforation, 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 kai tsaye na endoscope, kuma an kwantar da majiyyaci a asibiti don ci gaba da jiyya.Jiyya ya haɗa da alamun bayyanar cututtuka irin su azumi, lalata gastrointestinal, maganin rigakafi da abinci mai gina jiki.A lokaci guda kuma, dole ne a lura da alamun mahimmanci kamar zafin jiki a hankali, kuma dole ne a lura da abin da ya faru na rikitarwa irin su emphysema subcutaneous wuyansa ko mediastinal emphysema a rana ta uku bayan tiyata.Bayan angiography na ruwa na iodine ya nuna cewa babu yabo, ana iya barin ci da sha.
Idan jikin waje ya kasance yana riƙe da fiye da sa'o'i 24, idan bayyanar cututtuka irin su zazzabi, sanyi, da kuma yawan adadin fararen jinin jini sun faru, idan CT ya nuna samuwar ƙura a cikin esophagus, ko kuma idan akwai matsaloli masu tsanani sun faru. , ya kamata a canza marasa lafiya zuwa tiyata don magani a kan lokaci.
IV.Matakan kariya
(1) Yayin da jikin waje ya dade a cikin esophagus, aikin zai kasance da wahala kuma zai haifar da rikitarwa.Sabili da haka, shiga tsakani na gaggawa na endoscopic yana da mahimmanci musamman.
(2) Idan jikin bakon yana da girma, maras kyau ko kuma yana da karudu, musamman idan jikin bakon yana tsakiyar magudanar ruwa kuma yana kusa da baka, kuma yana da wahala a cire shi ta endoscopically, kar a ja shi da karfi. fita.Zai fi kyau a nemi shawarwari na multidisciplinary da shirye-shiryen tiyata.
(3) Yin amfani da hankali na na'urorin kariya na esophageal na iya rage faruwar rikice-rikice.
MuƘarfin da za a iya jurewaana amfani da shi tare da endoscopes masu laushi, yana shiga cikin ramin jikin mutum kamar su numfashi, esophagus, ciki, hanji da sauransu ta hanyar tashar endoscope, don fahimtar kyallen takarda, duwatsu da al'amuran waje tare da fitar da stent.
Lokacin aikawa: Janairu-26-2024