I-Endoscopic Sclerotherapy (EVS) inxalenye yoku-1

1) Umgaqo we-endoscopic sclerotherapy (EVS):

Isitofu se-Intravascular: i-agent ye-sclerosing ibangela ukuvuvukala kwi-veins, iqinisa imithwalo yegazi kunye nokuthintela ukuhamba kwegazi;

Inaliti yeParavascular: ibangela ukudumba okungenantsholongwane emithanjeni ukuze kubangele i-thrombosis.

2) Iimpawu ze-EVS:

(1) Ukuqhambuka kwe-EV ngokukhawuleza kunye nokopha;

(2) Abantu abanembali yokuqhuma kwe-EV kunye nokuphuma kwegazi;(3) Abantu abanokuphindaphinda kwe-EV emva kokuhlinzwa;(4) Abantu abangalufanelanga unyango lotyando.

3) Ukuchasana kwe-EVS:

(1) Ngokufanayo ne-gastroscopy;

(2) I-Hepatic encephalopathy isigaba 2 nangaphezulu;

(3) Izigulane ezinesibindi esinzima kunye nokungasebenzi kakuhle kwezintso, ubuninzi be-ascites, kunye ne-jaundice enzima.

4) Izilumkiso zokusebenza

E-China, unokukhetha i-lauromacrol.Kwimithambo yegazi emikhulu, khetha inaliti ye-intravascular.Umthamo wesitofu ngokuqhelekileyo yi-10 ~ 15mL.Kwimithambo yegazi emincinci, ungakhetha inaliti ye-paravascular.Zama ukunqanda ukutofa kwiindawo ezininzi ezahlukeneyo kwinqwelomoya enye (mhlawumbi Izilonda zisenokwenzeka ezikhokelela kukuqina kommizo).Ukuba ukuphefumla kuchaphazeleka ngexesha lokusebenza, i-cap ecacileyo inokongezwa kwi-gastroscope.Kwamazwe angaphandle, ibhaluni idla ngokufakwa kwi-gastroscope.Kufanelekile ukufunda kuyo.

5) Ulawulo lwasemva kokusebenza kwe-EVS

(1) Ungatyi okanye usele iiyure ezisi-8 emva kotyando kwaye ngokuthe ngcembe uqalise ukutya okungamanzi;

(2) Sebenzisa umlinganiselo ofanelekileyo wamayeza okubulala iintsholongwane ukuze uthintele usulelo;(3) Sebenzisa iziyobisi ezinciphisa uxinzelelo lwe-portal ngokufanelekileyo.

6) Ikhosi yonyango ye-EVS

I-Multiple sclerotherapy iyadingeka de i-varicose veins inyamalale okanye iphele ngokusisiseko, kunye nekhefu malunga neveki ye-1 phakathi kwonyango ngalunye;I-gastroscopy iya kuhlaziywa inyanga eyi-1, iinyanga ezi-3, iinyanga ezi-6, kunye no-1 unyaka emva kokuphela kwekhosi yonyango.

 7) Iingxaki ze-EVS

(1) Iingxaki eziqhelekileyo: i-ectopic embolism, i-esophageal ulcer, njl., kunye

Kulula ukubangela ukuba igazi ligxameze okanye ligxaze igazi kumngxuma yenaliti xa inaliti itsalwa.

(2) Iingxaki zasekuhlaleni: izilonda, ukopha, i-stenosis, ukungasebenzi kakuhle kommizo, i-odynophagia, i-lacerations.Iingxaki zengingqi ziquka i-mediastinitis, i-perforation, i-pleural effusion, kunye ne-portal hypertension gastropathy kunye nomngcipheko wokopha.

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

I-Endoscopic varicose vein ligation (EVL)

1) Iimpawu ze-EVL:Ngokufanayo njenge-EVS.

2) Ukuchasana kwe-EVL:

(1) Ukuchasana okufanayo njenge-gastroscopy;

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

(3) ehamba kunye nesibindi esibi kunye nokungasebenzi kakuhle kwezintso, ubuninzi be-ascites, i-jaundice

I-Gangrene kunye nonyango lwamva nje lwe-sclerotherapy okanye i-varicose veins ezincinci

Ukuthatha i-Han Dynasty njenge-duofu esondeleyo kuthetha ukuba abantu base-Hua baya kukwazi ukuhamba ngokukhululekileyo, okanye i-tendon kunye ne-pulses ziya kwandiswa ngasentshona.

Ngu.

3)Isebenza njani

Kubandakanya ukudibanisa iinwele enye, ukudibanisa iinwele ezininzi, kunye nentambo yenylon.

Umgaqo: Vimba ukuhamba kwegazi kwi-varicose veins kwaye unikeze i-hemostasis engxamisekileyo → i-thrombosis ye-venous kwindawo yokudibanisa → i-tissue necrosis → i-fibrosis → ukunyamalala kwe-varicose veins.

(2) Izilumkiso

Kwimibhobho yommizo ephakathi ukuya kobukhali, umthambo ngamnye we-varicose ubotshelelwe ngendlela ejikelezayo ukuya phezulu ukusuka ezantsi ukuya phezulu.I-ligator kufuneka isondele ngokusemandleni kwindawo ekujoliswe kuyo kwi-varicose vein, ukwenzela ukuba inqaku ngalinye lihlanganiswe ngokupheleleyo kwaye lidibene.Zama ukugubungela umthambo we-varicose ngamanqaku angaphezu kwama-3.