Endoscopic scletherapy (Evs) chikamu 1

1) Nheyo yeEndoscopic Sclerapy (Evs):

IntravasCular jekiseni: Sclerosing Mumiririri anokonzera kuzvimba kutenderedza misiyano, inoomesa mitsipa yeropa uye inovhara kuyerera kweropa;

Paravascular jekiseni: Inokonzera kusasvibisa kusimbisa maitiro mumitsetse kuti ukonzerese thrombosis.

2) Zviratidzo zveEvs:

(1) Ev bcture uye kubuda ropa;

(2) Vanhu nenhoroondo yeEv musupu uye kubuda ropa; (3) Vanhu vane kudzokorora kwavo kwevhiringidzi; (4) Vanhu vasina kukodzera kurapwa kwekuvhiya.

3) kukanganisa kweEvs:

(1) zvakafanana neGastoscopy;

(2) hepatic ecephalopathy stage 2 uye pamusoro;

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4) Kuvhiringidza Zvinotarisirwa

MuChina, unogona kusarudza laumach. Yemidziyo mikuru yeropa, sarudza intravascular jekiseni. Iyo jekiseni vhoriyamu kazhinji 10 ~ 15ml. Yemidziyo midiki yeropa, unogona kusarudza marapasi jekiseni. Edza kudzivisa kupinza pamapepa akati wandei akasiyana pane imwe ndege (pamwe ulcer inogona kuitika kutungamira kune esphageal stricture). Kana kufema kunokanganiswa panguva yekushanda, cap inoonekera inogona kuwedzerwa kune iyo gastoroscope. Munyika dzekunze, mhanza inowanzowedzerwa kune gastoroscope. Izvo zvakakodzera kudzidza kubva.

5) Postopating manejimendi eEvs

(1) Usadye kana kunwa kwemaawa masere mushure mekuvhiyiwa uye zvishoma nezvishoma tangazve chikafu chemvura;

(2) Shandisa huwandu hwakakodzera hwemishonga inorwisa mabhakitiriya kudzivirira kutapukirwa; (3) Shandisa zvinodhaka kuti kudzvanywa kweporosi sezvakakodzera.

6) Evs kurapwa kosi

Multiple scletherapy inodikanwa kusvika iyo Vilose veins ichinyangarika kana kunyangarika, nekupindana kweanenge vhiki imwe pakati pekurapwa kwega kwega; Gastroscopy ichaongororwa mwedzi 1, mwedzi mitatu, mwedzi mitanhatu, uye 1 gore mushure mekupera kwekurapwa.

 7) Zvinetso zveEvs

(1) Zvinotarisirwa zviyero: Ectopic embolism, Esophageal ulcer, etc., uye

Zviri nyore kukonzeresa ropa kupandukira kana kubhururuka ropa kubva kugomba reStle kana tsono yaburitswa kunze.

. Matambudziko edunhu anosanganisira presentinitis, kutsanangurwa, kuguma, uye portal hypertgenivathy ine njodzi yakawedzera yekubuda ropa.

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Endoscopic varicose vein ligation (EML)

1) Zviratidzo zveEvl:Zvakafanana neEvs.

2) kukanganisa kweEVL:

(1) kupokana kumwechete segastroscopy;

(2) EV inoperekedzwa neiyo pachena GV;

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Gangrene uye ichangopfuura yakawanda sclerrapy kurapwa kana zvidiki zviratidzo zvemukati

Kutora dzimba dzeHan sedare reAnde-duofu rinoreva kuti vanhu veHua vachakwanisa kufamba vakasununguka, kana ma tendon uye pulses ichatambanudzwa kumadokero.

Na.

3) Maitiro ekushanda

Kusanganisira kusava nebvudzi risina bvudzi, ligile bvudzi rekuchema, uye nylon tambo yekucheka.

Nheyo: Vhara kuyerera kweropa kweVarticose veins

(2) Kuchera

Zvekuremerwa zvine mwero kune zvakashata zvisikwa zvakashata, mumwe nemumwe akasiyana vein yakanyorwa mune yakakwira kumusoro kumusoro kubva pasi kusvika kumusoro. Iyo ligator inofanira kunge iri padyo sezvinobvira kune iyo chinangwa chekutarisa nzvimbo yeiyo Victicose vein, kuitira kuti imwe neimwe pfungwa yakanyatso kushandurwa uye yakanatswa. Edza kuvhara akasiyana-siyana vein pane anopfuura matatu mapoinzi.