Maganin Ciwon Sclerotherapy na Endoscopic (EVS) sashe na 1

1) Ka'idar maganin endoscopic sclerotherapy (EVS):

Allurar da ke cikin jijiyoyin jini: sinadarin sclerosing yana haifar da kumburi a kusa da jijiyoyin jini, yana taurare jijiyoyin jini kuma yana toshe kwararar jini;

Allurar Paravascular: tana haifar da kumburi mara kyau a cikin jijiyoyin jini wanda ke haifar da thrombosis.

2) Alamomin EVS:

(1) Karyewar EV mai tsanani da zubar jini;

(2) Mutanen da ke da tarihin fashewa da zubar jini a cikin jini; (3) Mutanen da suka sake kamuwa da cutar EV bayan tiyata; (4) Mutanen da ba su dace da maganin tiyata ba.

3) Abubuwan da ba su dace ba game da EVS:

(1) Kamar na gastroscopy;

(2) Ciwon hanta na mataki na 2 zuwa sama;

(3) Marasa lafiya masu fama da matsalar hanta da koda mai tsanani, yawan ascites, da kuma ciwon jaundice mai tsanani.

4) Gargaɗin aiki

A ƙasar Sin, za ku iya zaɓar lauromacrol. Ga manyan jijiyoyin jini, zaɓi allurar da ke cikin jijiyoyin jini. Yawan allurar yawanci shine 10-15ml. Ga ƙananan jijiyoyin jini, za ku iya zaɓar allurar paravascular. Yi ƙoƙarin guje wa allurar a wurare daban-daban a kan hanya ɗaya (mai yiwuwa gyambo na iya faruwa wanda zai haifar da tauri a cikin esophagus). Idan numfashi ya shafi yayin aikin tiyata, za a iya ƙara murfi mai haske a cikin gastroscope. A ƙasashen waje, sau da yawa ana ƙara balan-balan a cikin gastroscope. Ya cancanci a koya daga gare shi.

5) Gudanar da EVS bayan tiyata

(1) Kada a ci ko a sha na tsawon awanni 8 bayan tiyata sannan a hankali a ci gaba da cin abinci mai ruwa;

(2) Yi amfani da adadin maganin rigakafi masu dacewa don hana kamuwa da cuta; (3) Yi amfani da magunguna waɗanda ke rage matsin lamba a ƙofar kamar yadda ya dace.

6) Kwas ɗin magani na EVS

Ana buƙatar yin amfani da maganin sclerotherapy sau da yawa har sai jijiyoyin varicose sun ɓace ko kuma sun ɓace, tare da tazara ta kimanin mako 1 tsakanin kowace magani; za a sake duba gastroscopy na wata 1, watanni 3, watanni 6, da shekara 1 bayan ƙarshen aikin magani.

 7) Matsalolin EVS

(1) Matsalolin da ake yawan samu: embolism na ƙashin ƙugu, gyambon makogwaro, da sauransu, da kuma

Yana da sauƙi a haifar da zubar jini ko kuma zubar jini daga ramin allurar idan aka cire allurar.

(2) Matsalolin da ke faruwa a yankin: gyambo, zubar jini, toshewar jijiyoyin jini, matsalar motsi a cikin esophagus, odynophagia, lacerations. Matsalolin da ke faruwa a yankuna sun haɗa da mediastinitis, rami, fitar da ruwa daga fata, da kuma ciwon gastropatitis mai hawan jini wanda ke ƙara haɗarin zubar jini.

(3) Matsalolin tsarin jiki: sepsis, ciwon huhu na numfashi, hypoxia, spontaneous bacterial peritonitis, da kuma thrombosis na jijiyar portal.

Lakabin jijiyoyin varicose na endoscopic (EVL)

1) Alamomi ga EVL:Kamar yadda EVS.

2) Abubuwan da ba su dace ba na EVL:

(1) Abubuwa iri ɗaya da suka saba wa gastroscopy;

(2) EV tare da GV a bayyane;

(3) tare da matsanancin aikin hanta da koda, yawan ascites, jaundice

Maganin gangrene da kuma maganin sclerotherapy da yawa ko ƙananan jijiyoyin varicose na baya-bayan nan

Daukar Daular Han a matsayin wani abu da ke kusa da duofu yana nufin cewa mutanen Hua za su iya yin motsi cikin 'yanci, ko kuma a miƙa jijiyoyin da bugun jini zuwa yamma.

Ta hanyar.

3) Yadda ake aiki

Ya haɗa da haɗa gashi ɗaya, haɗa gashi da yawa, da kuma haɗa igiyar nailan.

Ka'ida: Toshe kwararar jini daga jijiyoyin varicose kuma samar da gaggawar zubar jini → venous thrombosis a wurin da aka haɗa → tissue necrosis → fibrosis → ɓacewar jijiyoyin varicose.

(2) Gargaɗi

Ga masu fama da matsalar ƙashin ƙugu zuwa mai tsanani, kowace jijiyar ƙashin ƙugu tana ɗaurewa ta hanyar karkace daga ƙasa zuwa sama. Ya kamata ligator ɗin ya kasance kusa da wurin da aka nufa na jijiyar ƙashin ƙugu, ta yadda kowane wuri zai kasance cikakke kuma ya yi kauri. Yi ƙoƙarin rufe kowace jijiyar ƙashin ƙugu a sama da maki 3.