Intshayelelo
Iimpawu eziphambili ze-hemorrhoids yigazi kwisitulo, iintlungu ze-anal, ukuwa nokuwa, njl njl. Kwiimeko ezinzima, kunokubangela i-hemorrhoid evalelwe ihemperhoids kunye neflatiya engapheliyo ebangelwe ligazi kwisitulo. Okwangoku, unyango lolondolozo lusekwe ikakhulu kumachiza, kwaye unyango lonyango luyafuneka kwiimeko ezinzima.
Unyango lwe-Endoscopic luhlobo olutsha lonyango olutsha kule minyaka idlulileyo, elungele ngakumbi izibhedlele zengca. Namhlanje, siya kushwankathela kwaye sihlule ngaphandle.
I-1. Uxilongo lweklinikhi, i-anatomy kunye nonyango lwangaphambili lweehemorrhoids
Ukufumanisa i-hemorrhoids
Ukufumanisa i-hemorrrhoids isekwe ikakhulu kwimbali, uhlolo, uvavanyo lwedijithali kunye ne-colonoscopy. Ngokwembali yezonyango, kuyimfuneko ukuze uqonde intlungu e-ANAL, igazi kwisitulo, i-hemorrhod ikhuphe i-hemol kunye nokuvavanywa kwe-anal. I-Colonoscopy kufuneka yazi ezinye izifo ezinje ngamathumba, i-ulcerative colitis, njl njl. Ukuhlelwa kunye nokuhlelwa kwe-hemorrhoids
Zintathu iintlobo ze-hemorrhoids: ihemorrhoids yangaphakathi, ihemorrhoids zangaphandle, kwaye ixube ihemperrhoids.
I-Hemorrhoids: I-Homorrhoids: ngaphakathi, yangaphandle, yangaphandle kunye ne-himorrhoids
I-Hemorrhoids inokuhlelwa kumabakala i, II, i-III, kunye ne-IV. Kumgangatho ngokwengqungquthela, i-hemorrrhoid ikhuphe kwaye ibuye.
Izalathiso zonyango lwe-endoscopic libanga le-I, II, kunye ne-III I-HEMOROPIDS yangaphakathi, ngelixa iBakala IV IVORNOIDS, I-HEMOROIDS APMROIDS, I-HEMOROIDS APMROIDS, I-HEMORNIIDS APTROIDS, kwaye iququzelelele ihemorrhoids ye-endoscopic. Umgca wokwahlula phakathi konyango lwe-endoscopic ngumgca we-Dentant.
I-anatomy ye-hemorrhoids
Umgca we-ANAL, umgca we-dentalte, i-anal pad, kunye nehemorrrhoids ziyinkangeleko efuna ukuba uqhelene. Ukuchongwa kwe-endoscopic kufuna amava othile. Umgca we-Dentatene yi-cunnium ye-apitisul squallium kunye ne-Epilimudium ye-Epilimu, kunye nendawo yenguqu phakathi komgca we-anal kunye nomgca we-Dental ugutyungelwe ngu-Epilium ye-ECOLDAR kodwa engazange ibonwe ngumzimba. Ke ngoko, unyango lwe-endoscopic lusekwe kumgca we-Dentant. Unyango lwe-endoscopic lunokwenziwa ngaphakathi komgca we-Dentate, kwaye unyango lwe-endoscopic alunakwenziwa ngaphandle komgca we-Dentatete.
Umzobo 1.Imbono yangaphambili yomgca we-dentate phantsi kwe-endoscope. Utolo olutyhonga lomgca we-Dentandate, utolo olumhlophe lukhomba kwikholamu ye-ANAL kunye nenethiwekhi ye-vascular yayo, kunye nombala obomvu wakhomba kwivalve ye-anal
1a:umfanekiso weShigh ukukhanya;1b:Ukukhanya kwe-narcalbal ukukhanya
Umzobo 2Ukujongwa kwe-Anal Flep (utolo olubomvu) kunye nesiphelo esisezantsi sekholamu ye-ANAL (utolo olumhlophe) ecaleni kwemicroscope
Umzobo 3Ukujonga kwe-Anal Papilla ecaleni kwemicroscope (utolo lwe-tyhel)
Umzobo 4.Umgca we-anal kunye nomgca we-dentate waqwalaselwa ngokutshintsha umva. Utolo olutyholo luphawula umgca we-Dentatete, kunye notolo olumnyama lukhomba kumgca we-anal.
Iikhonsepthi zePapilla ye-ANAL kunye nekholamu ye-ANAL zisetyenziswa ngokubanzi ngotyando olungathandekiyo kwaye aziyi kuphinda iphindwe apha.
Unyango lwe-classic lwe-hemorrhoids:Kukho ubukhulu becala unyango kunye nonyango lonyango. Unyango lolondolozo lubandakanya ukusetyenziswa kweziyobisi kunye ne-stinati ye-tiating, kunye neenkqubo zotyando ikakhulu zibandakanya i-hemorrrridectomy kunye ne-stapled incokoction (PPH). Ngenxa yokuba unyango loqhaqho luseklikhini, isiphumo sizinzile, kwaye umngcipheko mncinci, isigulana kufuneka sibhalwe esibhedlele kangangeentsuku ezingama-3-5.
I-2. Ukunyangwa kwe-endoscopic yehemorrhoids yangaphakathi
Umahluko phakathi konyango lwe-endoscopic lwehemorrhoids yangaphakathi kunye nonyango lwe-Egv:
Ithagethi ye-endoscopic ye-Esophagopic quices farkice virfikis ze-themorshoose i-themorshoid ye-hemorshoid ayisiyiyo imithambo yegazi engaphakathi, kodwa ihemorrhoids equlunqwe ngemithambo yegazi kunye nezicubu zokudibanisa. Unyango lwehemorrhoids kukunciphisa iimpawu, phakamisa i-anal pad yehla, kwaye uphephe iingxaki ezinje nge-anal stenosis ezibangelwa kukunyamalala kwe-hemorrhoids (ukubulala yonke into ngaphandle ".
Unyango lwe-endoscopic: Ukuphelisa okanye ukuphelisa iimpawu, ungayiphelisi ihemurrhoids.
Unyango lwe-endoscopic lubandakanyai-sclerotherapykwayeI-Band Ite
Ukuze ufumane isifo kunye nokunyangwa kweehemmorthoids zangaphakathi, iColonoscopy isetyenziselwa uviwo, kwaye i-gestroscope iyacetyiswa kunyango. Ukongeza, ngokweyona meko yesibhedlele ngasinye, unokukhetha unyango lwe-Outpatiest okanye olungathandekiyo.
I-①sclerotherapy (incediswa yi-cap ebonakalayo)
Iarhente ye-scleroung yinaliti yotywala, kwaye i-foam lauryl inaliti ikwanokusetyenziswa. Kukwayimfuneko ukusebenzisa inaliti ye-suthlocosm eluhlaza okwesibhakabhaka njengearhente elahlekileyo yokuqonda indlela yokuhamba kunye nokugubungela iarhente yesclerouse.
Injongo ye-cap ebonakalayo kukwandisa intsimi yombono. Inaliti yenaliti inokukhethwa kwiinaliti eziqhelekileyo zenaliti. Ngokubanzi, ubude benaliti yi-6mm. Oogqirha abangafumani ntweni kufanelekile ukuba bakwazi ukunqanda ukusebenzisa inaliti ende, kuba inaliti ende ithathe inaliti ye-ectopic kunye nenaliti. Umngcipheko onzulu kwaye ukhokele kwi-abscess ye-perian kunye nokuvuvukala.
Inqaku le-ination likhethwe ngaphezulu kwecala lomlomo lomgca we-Dentatete, kwaye inaliti ye-Inaliti ibekwe kwisiseko se-hemorshoid ye-hemorshoid. Inaliti ifakwe kwi-30 ° I-40 000 ° lombono ochazayo (ngaphambili okanye ngasemva) ye-endoscope, kwaye inaliti ifakwe nzulu kwisiseko se-hemorshoid. Yenza imfumba ebisiseko kwi-hemorrhoid, irhoxise inaliti ngelixa ithengisa, malunga ne-0.5 ~ 2ml, kwaye iyeke i-themorshoid inkulu kwaye imhlophe. Emva kokuba inaliti igqithile, qaphela ukuba iyopha kangakanani kwindawo yenaliti.
I-Endoscopic Sclerotherapy ibandakanya inaliti yangaphambili yenaliti kunye nenaliti ye-inversi yesipili. Ngokubanzi, inaliti yesipili e-inversi yesipili yeyona ndlela iphambili.
Unyango lwe-bandebege
Ngokubanzi, isixhobo se-idi-pile ye-ipriedition isetyenziswa, akukho ngaphezulu kwamakhonkco asixhenxe uninzi. Idilesi yenziwa kwi-1 ukuya kwi-3 cm ngaphezulu komgca we-Dentate, kwaye i-GATE idla ngokuqala kufutshane nomgca we-Anal. Inokuba yi-vascular okanye i-mucosal yesakhiwo okanye i-idilesi edibeneyo. I-Inverity irhasi ye-inversir yeyona ndlela iphambili, ihlala i-1-2 izihlandlo, enethuba elingangeenyanga ezi-1.
Unyango oluphezulu: Ukuzila ukutya akudingeki emva kokusebenza, gcina isitulo esigudileyo, kwaye uphephe ukuhlala ixesha elide kunye nokusebenza nzima komzimba. Ukusetyenziswa kwesiqhelo kwe-antibiotics akudingeki.
3. Imeko yangoku kunye neengxaki ezikhoyo zezibhedlele zengca
Kwixa elidlulileyo, eyona ndawo iphambili kunyango lwe-hemorrhoids yayikwisebe elingenasiko. Unyango lwenkqubo kwisebe elinezinga luquka amayeza alondolozwayo, inaliti ye-Sclerotherapy, kunye nonyango.
I-gestrointestinal tooscopists ayinamava kakhulu ekuchongeni i-anatomy ye-piatomy phantsi kwe-endosiscopy, kwaye iimpawu ze-endoscopic zinqongophele (kuphela ihemorrhoids zangaphakathi zinokunyangwa). Utyando kufuneka kwakhona wenze impilo epheleleyo, ebiyindawo enzima kuphuhliso lweprojekthi.
Kwithiyori, unyango lwe-endoscopic lwehemorrhoids lwangaphakathi lulungele ngokukhethekileyo kwizibhedlele zeprayimari, kodwa ngokusebenza, ayicingi kangangoko kucingelwa.
Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjl.EMR, e-Esd, ERCP. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!
IXESHA LOKUQALA: UJUL-11-2022