Esophageal / Gastric Viles ndeye mhedzisiro yekupfuurira mhedzisiro yePortal Hypertension uye inenge 95% yakakonzerwa nedenderedzwa kwezvikamu zvakasiyana. Varicose vein kubuda ropa kazhinji kunosanganisira huwandu hukuru hwekubuda uye kufa kwakakura, uye varwere nekubuda ropa vane kushivirira kushoma kwekuvhiyiwa.
Nekuvandudzwa uye kushandiswa kwegagestive yekugaya eDegoscopic kurapa tekinoroji, Endoscopic kurapwa kwave imwe yenzira huru dzekurapa Esophageal / gastric vicealing kubuda ropa. Izvo zvinonyanya kusanganisira endoscopic sclerapy (Evs), endoscopic vilial ligation (EML) uye endoscopic tissue glue kurapwa (Evt).
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: Kukonzera kusagadzikana kwekusimbisa kuita mumitsipa kuti ukonzerese thrombosis.
2) Zviratidzo zveEvs:
(1) Ev bcture uye kubuda ropa;
(2) Nhoroondo dzakapfuura dzeEv kusaputa nekubuda ropa;
(3) Varwere vane kudzikama kweEv mushure mekuvhiyiwa;
(4) avo vasina kukodzera kurapwa kwekuvhiya.
3) kukanganisa kweEvs:
(1) kupokana kumwechete segastroscopy;
(2) hepatic eceplopathy stage 2 kana pamusoro;
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4) Kuvhiringidza Zvinotarisirwa
KuChina, iwe unogona kusarudza laumacher (shandisaSclerotherapy tsono). Yemidziyo mikuru yeropa, sarudza intravascular jekiseni. Iyo jekiseni vhoriyamu kazhinji inowanzo gumi kusvika ku15 ml. Yemidziyo midiki yeropa, unogona kusarudza marapasi jekiseni. Edza kudzivisa kuiswa pamapepa akati wandei akasiyana pane imwe ndege (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) kurapwa kwekutamba kweEvs
(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 kudzikisa kudzvinyirira portal 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
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. Matambudziko edunhu anosanganisira presentinitis, kutsanangurwa, kuguma, uye portal hypertgenivathy ine njodzi yakawedzera yekubuda ropa.
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Endoscopic varicose vein ligation (EML)
Chikamu 2
1) Zviratidzo zveEvl: zvakafanana neEvs.
2) kukanganisa kweEVL:
(1) kupokana kumwechete segastroscopy;
(2) EV inoperekedzwa neiyo pachena GV;
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3) Maitiro ekushanda
Kusanganisira kusava nebvudzi risina bvudzi, ligile bvudzi rekuchema, uye nylon tambo yekucheka.
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(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.
Zvinotora anenge 1 kusvika kumavhiki maviri kune iyo necrosis yekuwira mushure meBandeji necrosis. Vhiki imwe chete mushure mekuvhiya, mararamiro emunharaunda anogona kukonzera kubuda ropa kukuru, bhendi reganda rinowira pasi, uye kucheka kwemuchina wekutsvaka zvisiri zvemukati. EvL inogona kutsausa zvisiri izvo zvemukati nekukurumidza uye ine zvidiki zvidiki, asi zvisirizvo veins repur. Chikamu chiri parutivi rwakakwirira;
EvL inogona kuvhara mabhureki ebudelats eiyo kuruboshwe gastric vein, Esophageal vein, uye vena cava. Nekudaro, mushure mekunge Esophageal Venus Ropa kuyerera, iyo Gastric Coronary Vein uye Perigastric Venous Pelindo ichawedzera, kuyerera kweropa kuchawedzera, uye huwandu hwekudzokorora huchawedzera nguva. Naizvozvo, zvinowanzo kudzokororwa bhendi ligation inodiwa kuti usimbise kurapwa. Iyo DIAMETER yeVICICOSE Vein Ligation inofanirwa kunge iri pasi pe1.5 cm.
4) Zvinetso zveEVL
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(3) utachiona.
5) Ongororo yekutumira yeEVL
Mugore rekutanga mushure mekuvhiyiwa kweEvl, chiropa uye neitsvo, legressound, reropa rekuita, etccing. Endoscopy inofanira kuongororwa mwedzi wega wega, uyezve yega yega 0 kusvika gumi nemaviri mwedzi.
6) Evs vs evl
Kuenzaniswa neSclerotherapy uye Kucheka, hapana musiyano wakakosha mukufa uye unodzikisira mitengo pakati pezviviri. Kune varwere vanoda kudzokorora kurapwa, mazano anowanzo kukurudzirwa. Dzimwe nguva kubvarura uye sclerrapy inobatanidzwawo, iyo inogona kuvandudza kurapwa. Maitiro. Munyika dzekunze, dzakafukidzwa zvizere stents dzinoshandiswawo kurega kubuda ropa.
Endoscopic tissue glue jekiseni kurapa (evt)
Chikamu 3
Iyi nzira yakakodzera kune gastric vhidhiyo uye Esophageal viicalal kubuda ropa mumamiriro ekukurumidzira.
1) Zvinetso zveEvt: kunyanya pulmonary artery uye portal vein embolism, asi chiitiko chakanyanya kuderera.
2) Zvakanakira zveEvt: Varicose veins vanonyangarika nekukurumidza, kukova chiyero chakaderera, matambudziko mashoma, zviratidzo zvakapusa uye tekinoroji iri nyore kuna tenzi.
3) Zvinhu zvekucherekedza:
Mune endoscopic tishu glue jekiseni kurapwa, huwandu hwe jekiseni rinofanira kunge rakaringana. Endoscopic ultrasound inoitira basa rakanaka mukurapa kweiyo Varicose Midzi uye inogona kuderedza njodzi yekubvisirwa kubuda ropa.
Pane mishumo yemabhuku ekunze ayo kurapwa kwearastric yegakabhi nemakonzo kana cyanoacrylate pasi pekutungamirirwa kweEndoscopic Ultrasound inoshanda kune yemuno gastric. Kuenzaniswa neCyanoaccrylate majekiseni, endoscopic Ultrasound-inotungamirwa coil inoda mashoma emukati majekiseni uye inosanganiswa nezviitiko zvishoma zvakaipa.
Isu, JiangXi Zhuiihua chiremba Medication yeCory CO., LTDBiopsy Forceps, hemoclip, polyp musungo, Sclerotherapy tsono, Spray Catheter, cytology brushes, Kutungamira, Dombo Rekutengesa Dombo, Nasal Biliary Drainage Catheteretc. iyo inoshandiswa zvakanyanya mukatiEMR, Esd, Ercp. Zvigadzirwa zvedu zvinonzi CE Certified, uye zvidyarwa zvedu hazvipe zvakasimbiswa. Zvinhu zvedu zvatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye chinowana mutengi wokuzivikanwa uye kurumbidzwa!
Kutumira Nguva: Aug-15-2024