I-Endoscopic Sclerotherapy (EVS) inxalenye 1

1) Umgaqo we-endoscopic sclerotherapy (EVS):

Inaliti yemithambo yegazi: i-sclerosing agent ibangela ukudumba okujikeleze imithambo yegazi, iqinisa imithambo yegazi kwaye ivale ukuhamba kwegazi;

Inaliti ye-paravascular: ibangela ukusabela okungengomchamo kwimithambo yegazi okubangela i-thrombosis.

2) Iimpawu ze-EVS:

(1) Ukuqhambuka kwe-EV okukhawulezileyo nokopha;

(2) Abantu abanembali yokuqhekeka kwe-EV nokopha; (3) Abantu abaphinda bahlaselwe yi-EV emva kotyando; (4) Abantu abangafanelekanga kunyango lotyando.

3) Izithintelo ze-EVS:

(1) Kufana ne-gastroscopy;

(2) I-Hepatic encephalopathy inqanaba lesi-2 nangaphezulu;

(3) Izigulane ezinengxaki enkulu yesibindi nezintso, ii-ascites ezininzi, kunye ne-jaundice enzima.

4) Amanyathelo okusebenza

ETshayina, ungakhetha i-lauromacrol. Kwimithambo yegazi emikhulu, khetha inaliti efakwa ngaphakathi kwemithambo yegazi. Umthamo wenaliti ngokubanzi yi-10 ~ 15mL. Kwimithambo yegazi emincinci, ungakhetha inaliti efakwa kwimithambo yegazi. Zama ukuphepha ukujova kwiindawo ezahlukeneyo kwindawo enye (mhlawumbi izilonda zinokubakho ezikhokelela ekuqineni komlomo). Ukuba ukuphefumla kuyachaphazeleka ngexesha lotyando, isiciko esicacileyo sinokongezwa kwi-gastroscope. Kumazwe angaphandle, ibhaluni idla ngokufakwa kwi-gastroscope. Kubalulekile ukufunda kuyo.

5) Ulawulo lwe-EVS emva kotyando

(1) Musa ukutya okanye ukusela kangangeeyure ezi-8 emva kotyando kwaye kancinci kancinci uqalise ukutya okumanzi;

(2) Sebenzisa izixa ezifanelekileyo zee-antibiotics ukuthintela usulelo; (3) Sebenzisa amayeza anciphisa uxinzelelo lwesango njengoko kufanelekile.

6) Ikhosi yonyango lwe-EVS

Kufuneka unyango lwe-sclerotherapy olune-multiple de imithambo ye-varicose inyamalale okanye inyamalale, kunye nesithuba seveki e-1 phakathi konyango ngalunye; i-gastoscopy iya kuhlolwa inyanga e-1, iinyanga ezi-3, iinyanga ezi-6, kunye nonyaka o-1 emva kokuphela konyango.

 7) Iingxaki ze-EVS

(1) Iingxaki eziqhelekileyo: i-ectopic embolism, isilonda somqala, njl.njl., kunye

Kulula ukubangela ukutsalwa kwegazi okanye ukutsalwa kwegazi kumngxuma wenaliti xa inaliti ikhutshwa.

(2) Iingxaki zasekuhlaleni: izilonda, ukopha, i-stenosis, ukungasebenzi kakuhle kokuhamba komphimbo, i-odynophagia, ukukrazuka. Iingxaki zasekuhlaleni ziquka i-mediastinitis, ukugqobhoka, i-pleural effusion, kunye ne-portal hypertension gastropathy enomngcipheko ophezulu wokopha.

(3) Iingxaki zenkqubo yomzimba: i-sepsis, i-aspiration pneumonia, i-hypoxia, i-spontaneous bacterial peritonitis, kunye ne-portal vein thrombosis.

Ukubopha imivimbo ye-varicose nge-Endoscopic (EVL)

1) Iimpawu ze-EVL:Kufana ne-EVS.

2) Izithintelo ze-EVL:

(1) Izithintelo ezifanayo nezokwenziwa kwe-gastroscopy;

(2) I-EV ehamba ne-GV ecacileyo;

(3) ehamba nokungasebenzi kakuhle kwesibindi nezintso, inani elikhulu le-ascites, i-jaundice

I-Gangrene kunye nonyango lwakutshanje lwe-multiple sclerotherapy okanye imithambo emincinci ye-varicose

Ukuthatha uBukhosi bukaHan njengobufana nobo-duofu kuthetha ukuba abantu baseHua baya kukwazi ukuhamba ngokukhululekileyo, okanye imisipha kunye neempumlo ziya kolulelwa entshona.

Ngu.

3) Indlela yokusebenza

Kubandakanya ukubotshwa kweenwele ezinde, ukubotshwa kweenwele ezininzi, kunye nokubotshwa kwentambo ye-nylon.

Umgaqo: Vimba ukuhamba kwegazi kwimithambo yegazi eneentlungu kwaye unikeze i-hemostasis engxamisekileyo → i-venous thrombosis kwindawo yokubopha → i-tissue necrosis → i-fibrosis → ukunyamalala kwemithambo yegazi eneentlungu.

(2) Amanyathelo okhuseleko

Kwimithambo yegazi ephakathi ukuya kwenzima, umthambo ngamnye we-varicose ubotshelelwa ngendlela ejikelezayo ukusuka ezantsi ukuya phezulu. Umthambo kufuneka ube kufutshane kangangoko kunokwenzeka nendawo ekujoliswe kuyo yomthambo we-varicose, ukuze indawo nganye ibotshelelwe ngokupheleleyo kwaye ibotshelelwe kakhulu. Zama ukugubungela umthambo ngamnye we-varicose ngaphezulu kwamanqaku amathathu.