ʻO nāʻano o Esoprigal / Gastric i hopena i ka hopena o nā hopena o ka paeʻana o ka paeʻana o ke kikowaena a me nā mea he 95% ma muli o nā cirrhosis o nāʻano likeʻole. Hoʻokomo pinepineʻiaʻo Varicose Byin i nā nui he nui o ke koko a me ke aloha nui, a me nā maʻi me ke koko liʻiliʻi.
Me ka hoʻomaikaʻi a me ka noiʻana o kaʻenehana hoʻomehana hoʻomehana hoʻomehana hoʻomehana o kaʻenehana ʻO ia ka mea nui e pili ana i ka sclerotherappopppitherapopic (evs), exposcopic vartical ligation
EXSOSCOPIC SCLEROPICE SCLEROLTHESRAPY (EVS)
0
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;
Paravascular injection: e hoʻokau ana i ka hopena sterlammatory i nā pale i nā veins e loaʻa ai ka thrombosis.
2) hōʻailona o nā evs:
(1) E hōʻoluʻolu i ka wikiwiki a me ke kāwiliʻana;
(2)ʻO ka mōʻaukala mua o Ev remure me ka mola'ā;
(3) nā maʻi maʻi me ka hoʻoikaikaʻana i ka eve ma hope o ka hanaʻana;
(4)ʻO ka poʻe i kūponoʻole no ka mālamaʻana i ka hana.
3) nā hoʻohālikelike o nā evs:
(1) nā hoʻohālikelike like like me ka gastroscopy;
(2) Hepatic encephatalty Stage 2 a i luna paha;
)
4) Mālama i ka hana
Ma Kina, hiki iāʻoe ke koho i ka laurucol (hoʻohanamanuahi kikoka sclerotherapy). No nā moku koko nui, koho i ka hoʻopili intravascular. ʻO ka nui o ka injection he 10 a 15 ml. No nā kīʻaha koko liʻiliʻi, hiki iāʻoe ke koho i ka nānāʻana i ka paravascular. E ho'āʻo e pale i ka hoʻohālikelikeʻana i nāʻano likeʻole ma nā wahi likeʻole ma nā mokulele likeʻole 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 mālamaʻana i ka mālamaʻana o Evs
(1) Maiʻai a inu paha no 8 mau hola ma hope o ka hanaʻana, a hoʻomau lohi 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 i ka haʻahaʻa haʻahaʻa haʻahaʻa e like me ka 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 maʻalahi ke kumu i ke koko mai ka lua o ka lua
( ʻO nā hoʻopiʻiʻikepili i pili i ka lehulehu, mumū, ka cortural
(3) nā hoʻopiʻi'ōnaehana'ōnaehana:ʻO ka sopsis,ʻo Aspiration
Endoscopic Varicose VAINUND CORICTION (EVL)
0
1) E kuhikuhi 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) Pehea e hana ai
E komo pū me ka leʻa lauoho hoʻokahi, he lauoho lauoho he nui, a me ka lylon roope lgation.
(1) Principle: Hoʻopili i ke kahe koko o nā Vicicose Vicusis ma kaʻaoʻao o ka Ligation → Cromrosis Vigation → Crbrosis Vigation
(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.
Pono ia ma kahi o 1 a 2 mau pule no ka necrosis e hāʻule ma hope o ka hāʻuleʻana o ka necrosis Necrosis. Hoʻokahi pule ma hope o ka hana, hiki i nā mea ulia kūloko ke kumu i ke koko nui, ua hāʻule kaʻili o kaʻili Hiki iā Evl ke hoʻopau i nā Vicicose Viains Roains a loaʻa i nā'āpana he nui, akā he mau mea kūʻai akuʻo Vainsed Veins. Aia keʻano ma kaʻaoʻao kiʻekiʻe;
Hiki i ka Evl ke pani i nā collaternal colleting o ka hema hema,ʻo Esophageal Vein, a me Vava Cava. Eia naʻe, ma hope o ka holoʻana o ka koko koko o Esophage ma ke anianiʻo ka kaiaulu, ka nui o ka Hale Hōʻikeʻike o ka Hale Paʻa, a me ka nui o ke koko. No laila, ua maʻamau pinepineʻia ka lula band ligation e hoʻololi i ka mālamaʻana i ka mālamaʻana. ʻO keʻano o ka'āpana o keʻanoʻo Varicose Vanition e emi iho ma lalo o 1.5 cm.
4) nā hoʻopiʻi o Evl
(1)ʻO ke koko nui ma muli o nā ulcers kūloko ma kahi o 1 mau pule ma hope o ka hanaʻana;
(2)ʻO ka maloʻo intertraperative, pohō o ka hui pūʻana, a me ke kaheʻana i kumuʻia e nā veins varicose;
(3) ka maʻi maʻi.
5)ʻO ka loiloi postoperative o Evl
I ka makahiki mua ma hope o ka hanaʻana o Evl Surgery, Livery Friend, B-ultrasound E nānāʻia ka hopena i kēlā me kēia mau mahina 3, a laila i kēlā me kēia 0 a 12 mau mahina.
6) evs vs Evl
Ua hoʻohālikelikeʻia me ka sclerotherapy a me ka ligation,ʻaʻoheʻano koʻikoʻi nui i ka make a me nā uku koʻikoʻi ma waena o nāʻelua. No nā mea maʻi e pono ai i nā hoʻomaʻamaʻa pinepineʻana,ʻoi aku ka loli o ka ligation. ʻO kekahi manawa ua hui pūʻia ka liika a me ke kīwī, i hiki ke hoʻomaikaʻi i ka mālamaʻana. Hopena. Ma nā'āina haole, ua uhiʻia nā wahi kīwī i uhiʻia e paleʻia e hoʻopau i ke koko.
Hoʻopau i ka Tissuscopic Tissue Glue i ka Therapy (Evht)
Māhele 3
He kūpono kēiaʻano no ka gastric i nāʻano likeʻole o ka chaticeal varticeal belling i nā kūlana pilikia.
1) nā hoʻopiʻi o ka Evht:ʻo ka mea nui o ka pulmonary a me ka marnit vian embolism, akā he haʻahaʻa loa ka hanana.
2) Pono e nalo koke aku nā Vidlelo Evht:ʻO nā Varicose Vefosa wikiwiki,ʻoi aku ka nui o nā helu, nā hoʻopiʻi he nui a he nui nā hōʻike e hakuʻia.
3) nā mea e pono ai:
I ka hoʻopauʻana i ka Tissuecpopic Tissue Glue Injection Therapy, pono e lawa ka nui o ka injection. E pāʻani anaʻo Exsoscopic Ultrasopic i kahi hana maikaʻi loa i ka mālamaʻana i nā veins varicose a hiki ke hōʻemi i ka hopena o ka hana houʻana.
Aia nā hōʻike ma nā palapala haole e hoʻomaʻamaʻa i nāʻano gastric me nā coisce a iʻole ka cyinoacrylate i lalo o ke alakaʻiʻana i nāʻano o ka rasoscopic Hoʻohālikelike me nā kiʻina Cyanacrylate,ʻo Exooscopic Ultrasound-alakaʻi i ke kālā e koi i nā mea hou aku a me nā hanana hou aʻe.
ʻO mākou,ʻo Jiangxi Zhuoruihua nā mea lapaʻau lapaʻau C., Ltd., He mea hana ma Kina ka hana a China. E like meNā Kūlana Biopsy, hecoclip, Polyp snare, manuahi kikoka sclerotherapy, sweter catheter, cytology crushs, He alakaʻi i ka alakaʻi, ʻO ka hīnaʻi retritraval, Nasal Biliry Briinary Catheteretc. i ka mea i hoʻohana nuiʻia i lokoM, Esd, Ercp. ^. Pau kā mākou huahana CEC i hōʻoiaʻia, a ua hōʻoiaʻia kā mākou mau mea kanu. Ua laweʻia kā mākou huahana iā Europe,ʻAmelika Hui PūʻIa, Minub East a me'āpana o Asia, a loaʻa i ka nui o ka mea kūʻai aku o ka meaʻike a me ka hoʻomaikaʻiʻana i ka mea kūʻai aku o kaʻike a me ka hoʻomaikaʻiʻana i ka mea kūʻai aku o ka meaʻike a me ka hoʻomaikaʻiʻana i ka mea kūʻai aku o kaʻike
Post Time: Aug-15-2024