ESophageal / Inopricage bambance-bambancen bambance bambance bambance-bambance ne sakamakon dabi'a sakamako na hauhawar hanyar hauhawar jini kuma kusan kashi 95% ne ya haifar da cirrhosis ta hanyar dalilai daban-daban. Varicose jiji da jini sau da yawa ya ƙunshi yawan zub da jini da na babban mace-mace, da marasa lafiya da ke fama da jini ga tiyata.
Tare da ci gaba da aikace-aikace na maganin maganin ƙwayar cuta na narkewar narkewa, ya zama ɗayan mahimman hanyoyin don bi da jini na ESPhageal / zubar jini. Yana da yafi dacewa da sclerothicpyence (EVs), karbar bambance na Endoscopic (Evl) da kuma samar da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (EVHT).
Sclerothopic sclerotherapy (Evs)
Kashi na 1
1) Ka'idojin Sclerothepicpy (Evs):
Tsarin intanetcular: Wakilin Sclerosing yana haifar da kumburi a kusa da jijiyoyin, yana da wuyar tasoshin jini kuma toshe gudana jini;
Yin allura na parascular: haifar da wani bakararre mai kumburi a cikin jijiyoyin don sa therombosis.
2) Alagewa na EVS:
(1) m ev rupture da zub da jini;
(2) Tarihin EV Rupture da zub da jini;
(3) Marasa lafiya da ke dubawa na Eli bayan tiyata;
(4) Waɗanda ba su dace da maganin tiyata ba.
3) Contraindications na EVs:
(1) iri ɗaya contraindications kamar yadda gastroscopy;
(2) Ecencepathy mataki 2 ko sama;
(3) Marasa lafiya tare da hanta mai rauni da hanji, da yawa na askites, da kuma mummunan jaundice.
4) Karatun Kariya
A China, zaku iya zaɓar LauromoCol (amfaniallura sclerotheotherapy). Don manyan tasoshin jini, zaɓi allurar haɗin gwiwa. Yarar allurar rigakafi gaba daya 10 zuwa 15 ml. Domin karancin tasoshin jini, zaka iya zaɓar allurar parfular. Yi ƙoƙarin guje wa allurar da yawa abubuwa da yawa akan jirgin sama daban-daban (ulcers na iya faruwa wanda ke haifar da ciwon Esophageal). Idan fashe numfashi ya shafa yayin aikin, za'a iya ƙara ganyen gida a cikin gurssru. A cikin ƙasashen waje, ana yawan ƙara balloon a cikin gurssropope. Ya dace da koyo daga.
5) magani na ESH
(1) Kada ku ci ko sha tsawon awanni 8 bayan tiyata, sannu a hankali ci gaba da abincin ruwa;
(2) Yi amfani da abubuwan rigakafi da suka dace don hana kamuwa da cuta;
(3) Yi amfani da kwayoyi zuwa ƙananan matsin lamba na ƙwararru kamar yadda ya dace.
6) Evs lura
Ana buƙatar scleriothala da yawa har sai veinsicose veins bace ko ɓacewa, tare da tazara na kimanin mako 1 tsakanin kowane magani; Za a sake nazarin gastroscoy 1 Watan, watanni 3, watanni 6, kuma shekara 1 bayan ƙarshen karatun.
7) Abubuwan da ke tattare da EVs
(1) rikice-rikice na yau da kullun: raunin Esophageal, da sauransu, kuma yana da sauƙi a haifar da zubar jini ko jishing daga rami mai ɗumi lokacin cire allura.
(2) Cikakkewar gida: Ulceers, zub da jini, fata, Stenosis, m motsi dysfunction, ododnophagia, yayances. Haƙiƙa yanki sun haɗa da kafirci, turare, prouralpalpathy, da kuma hanyar haɗewar mai amfani da jini.
(3) Cutar cututtukan tsarin: SEPSIs, hypemia, hypoxia, cututtukan ƙwayar cuta na cututtukan cututtukan fata, tashar jirgin ruwa na jijiya.
Endoscopic Charoscopic Varicose Vigging (Evl)
Kashi na 2
1) Alamomi don Evl: daidai yake da EVS.
2) Contraindications na Evl:
(1) iri ɗaya contraindications kamar yadda gastroscopy;
(2) EV tare da bayyane GV;
(3) Marasa lafiya tare da hanta mai rauni da hanji, da yawa na ascites, jaundice, jijiyoyin-da yawa na jijiyoyi na kwanan nan.
3) Yadda ake aiki
Ciki har da lig na gashi guda, sakin gashi da yawa, da kuma allon jan igiya.
(1) Ka'idar: toshe kwararar jini na vishicose veins kuma samar da herombosis na gaggawa → Venous → bacewar bace → ficrosis → bace
(2) tsayawar
Don matsakaici zuwa matsanancin sigari, kowane varicose jijiya shine ligated a karkace hanya zuwa ƙasa zuwa saman. Ligator ya kamata ya zama kusa da yiwuwar yin zangon mai manufa na vein na Ba'anar, don haka kowane ɗayan ya cika ligated da dens ligated. Yi ƙoƙarin rufe kowane irin jijiya ta fiye da maki 3.
Yana ɗaukar kimanin makonni 1 zuwa 2 don necrosis don faduwa bayan bandeji. Sati daya bayan aikin, Kwarewar cututtukan fata na iya haifar da zubar da jini, ƙungiyar fata ya faɗi, da kuma yankan kayan kwalliyar Charicose sun yi jini. Evl na iya kawar da variose veinin da sauri kuma yana da karancin rikitarwa, amma jijiyoyin Bharicose rechur. Yawan rabo yana zuwa ga babban gefen;
Evl na iya toshe jikokin zub da jini na jijiyoyin hagu na ciki, Esophageal jijiya, da vena cava. Koyaya, bayan esophageal venous rudani kwayoyi an katange shi, jijiyoyin ciki na ciki na ciki zai ƙaru, kuma saurin jini zai karu akan lokaci. Sabili da haka, ana buƙatar sakandare sau da yawa don inganta magani. Diamita na vigaro jijiya ya zama ƙasa da 1.5 cm.
4) rikice-rikice na EVL
(1) Rikicewar jini saboda ciwon gida kusan mako 1 bayan tiyata;
(2) Zubahin ciki, asarar fata na fata, da zub da jini da aka haifar da jijiyoyin charicose.
(3) kamuwa da cuta.
5) Binciken postopative na Evl
A cikin shekarar farko bayan tiyata, hanta da kuma aikin koda, B-duban dan tayi, aikin jijiyoyi, da sauransu. Ya kamata a sake nazarin Endoscopy kowane watanni 3, sannan kowane 0 zuwa 12 watanni.
6) Evs vs Evl
Idan aka kwatanta da sclerotherapy da sceroterapy da lign. Don marasa lafiya waɗanda suke buƙatar maimaita jiyya, priggen an ba da shawarar mafi yawanci. Wani lokaci sangare da scleriotherapy scerothera sclerothera sclerothera sclerothera sclerothera ne, wanda zai inganta magani. Sakamako. A cikin ƙasashen waje, ana amfani da cikakken tayar da karfe a rufe don hana zub da jini.
Endoscopic manne kayan kwalliya (eveht)
Kashi na 3
Wannan hanyar ta dace da bambance-bambancen na ciki da kuma bambance bambancen musayar cututtukan fata a cikin yanayin gaggawa.
1) Abubuwan da ke rikitarwa na EVHT: Yawancin abin hawa na fata da tashar jirgin ruwa na jita-jita, amma abin da ya faru ƙasa ne sosai.
2) Abbacewar Evht: varicose jijiyoyin jini sun ɓace da sauri, rikice-rikice suna da faɗi kaɗan, fasaha tana da sauƙi kuma fasaha ce mai sauƙi ga Master.
3) Abubuwa Don lura:
A cikin endoscopic nama ma'abota tunani, yawan alloli dole ne ya isa. Oldoscopic Duban dan tayi yana taka rawa sosai a cikin jiyya na veins na veins kuma na iya rage haɗarin sake zubar jini.
Akwai rahotanni a cikin littattafan kasashen waje cewa lura da na na ciki yana da bambance-bambancen kofin duban dan tayi. Idan aka kwatanta da allurar cyanoacrylate, duban dan endoscopic duban dan endoscopic duban dan endoscopic yana buƙatar ƙarancin injections kuma yana da alaƙa da karancin abubuwan da ke faruwa.
Mu, Jiangxi Zhoruihua Aikin Media Co., Ltd., Mai kerawa ne a cikin kasar Sin ta ƙware a cikin abubuwan da suka dace a ƙarshen ƙarshen, kamarBiopsy karfi, batoclip, polyp snare, allura sclerotheotherapy, fesa catheter, Rage cytology goge, mashaya, kwando mai hankali, hanci na hancida dai sauransu wanda aka yi amfani dashi sosaiUmr, Esds, ERCP. Kayan samfuranmu suna da tabbacin CED, kuma tsire-tsire na dabbobi sune baicin. An fitar da kayanmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani ɓangare na Asiya, kuma yakai abokin ciniki na girmamawa da yabo!
Lokaci: Aug-15-2024