Endoscopic sclerotherapoper (evs)'āpana 1

1) Ke Kūlana o ka Ondoscopic sclerotherappopppit (evs):

Intravascular injection:ʻO ka hoʻopiʻiʻana i nā mea hoʻokele e hoʻohālikelike ai i ka'ōpū a puni nā pale, hoʻopaʻa i ke kahe koko;

ʻO Paravascular injection: E kau i kahi hopena sterlammatory stilefmatory i nā veins e hoʻokau i ka thrombosis.

2) hōʻailona o nā evs:

(1) E hōʻoluʻolu i ka wikiwiki a me ke kāwiliʻana;

(2) mau poʻe me ka mōʻaukala o Evurire a me ke koko; (3) poʻe me ka hana houʻana o ka eve ma hope o ka hanaʻana; (4) nā poʻe i kūponoʻole no ka mālamaʻana i kaʻoihana.

3) nā hoʻohālikelike o nā evs:

(1) like me ka gastroscopy;

(2) Hepatic encephataly State 2 a i luna;

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4) Mālama i ka hana

Ma Kina, hiki iāʻoe ke koho iā Laporocrol. No nā moku koko nui, koho i ka hoʻopili intravascular. ʻO ka nui o ka injection he 10 ~ 15ml. No nā kīʻaha koko liʻiliʻi, hiki iāʻoe ke koho i ka nānāʻana i ka paravascular. E ho'āʻo e pale i ka hoʻopiliʻana i nā mea likeʻole ma nā wahi likeʻole ma ka mokulele (hiki paha i nā ulcers e hele i keʻano o ka esophagetal. Inā piliʻia ka hanu i ka wā o ka hana, hiki ke hoʻohuiʻia kahi pahu transparent i ka gastroscope. Ma nā'āina'ē, hoʻohui pinepineʻia kahi baluna i ka gastroscope. He pono ia e aʻo mai.

5)ʻO ka hoʻokele kālā o Evs

(1)ʻAʻole iʻai a inu paha no 8 mau hola ma hope o ka hanaʻana a me ka hoʻomauʻana i ka meaʻai wai;

(2) E hoʻohana i nā nui kūpono o nā antibiotics e pale ai i ka maʻi; (3) E hoʻohana i nā lāʻau lapaʻau e like me ka haʻahaʻa haʻahaʻa haʻahaʻa e like me kūpono.

6) E ho'āʻo i ka papa hana lapaʻau

Pono ka sclerotherapy nui a hiki i nā veins varicose e nalowale a nalowale paha, me kahi kikowaena o ka manawa ma waena o kēlā me kēia pule; E nānāʻiaʻo Gastroscopy 1 mahina, 3 mau mahina, 6 mau mahina, a me 1 makahiki ma hope o ka pauʻana o ka papa o ka mālamaʻana.

 7) nā hoʻopiʻi o nā evs

(1) nā hoʻopiʻi maʻamau: Ectopic embolism, esophigeal Ulcer, etc., a

He mea maʻalahi ke kumu i ke kaheʻana o ke koko a iʻole ke kokoʻana i ke koko mai ka lua o ka pale i ka wā e hukiʻia ai ka pono.

( ʻO nā hoʻopiʻiʻikepili i pili i ka lehulehu, mumū, ka cortural

(3) nā hoʻopiʻi'ōnaehana'ōnaehana:ʻo Sepsis,ʻo Aspiration Pneumanonia, hypoxia

Endoscopic Varicose VIICAtion VAIGAtion (evl)

1) hōʻike no Evl:Like me evs.

2) nā hōʻoia o Evl:

(1) nā hoʻohālikelike like like me ka gastroscopy;

(2) e hui pū me ka poʻe aloha gv;

(3) me nā manu momona weliweli a me ke keiki kāne i dysfulation, he nui o nā ascite, juundice

ʻO Gangrene a me nā mea i hanaʻia he nui a iʻole nā ​​mea i hanaʻia i nā mea kūʻai aku

Ke lawe nei i ka Han Dynasty e like me ka kokoke-Duuo e hiki ke neʻe aku i nā kānaka, e neʻe aku i ke komohana.

E.

3) Pehea e hana ai

E komo pū me ka leʻa lauoho hoʻokahi, he lauoho lauoho he nui, a me ka lylon roope lgation.

Principle: Hoʻopili i ke kahe koko o nā Viciss Vains a hāʻawi i ka umondsisis

(2) Precations

No keʻano maʻalahi i nāʻano esophagel esophagel Pono ka ligator e like me ka hiki ke hiki i ka neʻeʻana o ka ligation i kahi o nā vanication o ka vinin, no laila ua lohiʻia kēlā me kēia wahi. E ho'āʻo e uhi i kēlā me kēia viamose van ma mua o 3 mau wahi.