Nhanganyaya
Zviratidzo zvikuru zveHemorrhoids iRopa muhomwe, anal kurwadziwa, kudonha uye kuuraya, etc., izvo zvinokanganisa zvakanyanya hupenyu hwehupenyu. Mune zviitiko zvakakomba, zvinogona kukonzera kusakonzera Hemorrhoids neAnguvahoni Anemia yakakonzerwa neropa muzvisikwa. Parizvino, kurapa kwekuchengetedza kunonyanya kuvhapo pane zvinodhaka, uye kurapa kwekuvhiya kunodiwa mumatare akanyanya.
Kurapa kweEndoscopic inzira ichangobva kugadzirwa yekurapa mumakore apfuura, iyo yakakodzera kwazvo kuti uswa huswa - hunodzika zvipatara. Nhasi, tichapfupisa uye tironge.
1. Clinical diagnosis, anatomy uye yapfuura kurapwa kwehemedrhoids
Kuongororwa kwehemorrhoids
Kuongororwa kweHemorrhoid inonyanya kubva munhoroondo, kuongorora, digital rectal yekuongorora uye colonoscopy. Panyaya yenhoroondo yekurapa, inodikanwa kuti unzwisise kurwadziwa anal, ropa muzvisikwa, etcection, kana paine anal fistula Colonoscopy inoda kuziva zvimwe zvezvirwere zvakadai samamota, ulcerative colitis, etc. izvo zvinokonzera kubuda ropa. Kugadziriswa uye kuronga kweHemorrhoids
Kune matatu marudzi emombe dzeHemorrhoids: Yemukati Hemorrhoids, Outnarly Hemorrhoids, uye yakasanganiswa Hemorrhoids.
Hemorrhoids: Yemukati, Kunze, uye Yakasanganiswa Hemorrhoids
Hemorrhoids anogona kuiswa mumakiresi ini, II, III, uye IV. Iyo yakavezwa maererano nekudyidzana, hemorrhoid yekubuda uye kudzoka.
Zviratidzo zveEndoscopic kurapwa igiredhi iI, II, uye III YEMukati Hemorrhoids, nepo Giredhi IV yemukati Hemorrhoids, Omorrhoids, uye yakasanganiswa Hemorrhoids ndeyekupesana nekupokana kwekurapa kweEndoscopic. Mutsetse wekuparadzanisa pakati peEndoscopic kurapwa ndiyo denderedzwa mutsara.
Anatomy yeHemorrhoids
Anal mutsara, dentate mutsara, anal pad, uye hemorrhoids ipfungwa dzinoda kuti dzizivikanwe. Endoscopic kuzivikanwa kunoda zvimwe zvakaitika. Mutsara wemazamu ndiwo mutsara weiyo anal squamous epithelium uye iyo Columnar Epithelium, uye iyo nzvimbo inoshandurwa pakati pemutsara anal uye mutsara wezeneti wakafukidzwa necolumnar epithelium asi kwete mumuviri nemuviri. Naizvozvo, kurapwa kweDegoscopic kunoenderana nerondedzero yemazino. Endoscopic kurapwa kunogona kuitwa mukati meiyo dentate mutsara, uye endoscopic kurapwa hakugone kuitwa kunze kweiyo dentate mutsara.
Mufananidzo 1.Iyo yekumberi maonero emutsara wemazino pasi peEndoscope. Iyo yero museve inonongedzera kune iyo Servular Honular Fentate mutsara, machena museve anokatyamadza kune anal column uye yayo refuitudinal vascular network, uye matsvuku arrow anoti kune anal valve
1a:chena chena chifananidzo;1b:Narrowband Light kufungidzira
Mufananidzo 2Kuongorora kweiyo anal flap (tsvuku arrow) uye yekupedzisira magumo eAnal column (chena museve) pamwe nemicroscope
Mufananidzo 3Kuongorora kweiyo anal papilla pamwe nemicroscope (yero museve)
Mufananidzo 4.Iyo anal mutsara uye dentate mutsara wakaonekwa na reverse endoscopy. Iyo yero museve inonongedzera kumutsara wemazino, uye museve mutema unonongedzera kumutsara anal.
Pfungwa dzeAnal Papilla neAnal Column inoshandiswa zvakanyanya mukuvhiyiwa kweKoakarina uye hakuzodzokorore pano.
Kurapa kwechinyakare kweHemorrhoids:Iko kune kunyanya kuchengetedza kurapwa uye kurapwa kwekuvhiya. Kuchengetedza kurapwa kunosanganisira zvinodhaka mudhaka application uye sitz batige, uye maitiro ekuvhiya anonyanya kusanganisira hemorrhoidectomy uye stapled serption (pph). Nekuti kurapwa kwekuvhiya kwakanyanya, mhedzisiro yacho yakagadzikana, uye njodzi idiki, murwere anofanirwa kuve akatapwa kwemazuva 3-5.
2. Endoscopic kurapwa kwemukati Hemorrhoids
Musiyano uripo pakati peEndoscopic kurapwa kwemukati Hemorrhoids uye kurapwa kweEgav:
Chinangwa cheEndoscopic kurapwa kweEsophagogastric mutsvairo eropa, uye chinangwa chemukati Hemorrhoid kurapwa haisi mitsipa yeropa, asi hemorrhoids yemidziyo yeropa uye mitsipa inoumbwa nemidziyo yeropa uye tishu hunosangana. Kurapa kweHemorrhoids ndiko kudzikisira zviratidzo, simudza iyo anal pad inofamba pasi, uye kudzivirira matambudziko akadai sekutsika kweiyo hemorrhoids
Chinangwa cheEndoscopic kurapwa: Kuti ubvise kana kubvisa zviratidzo, kwete kubvisa hemorrhoids.
Endoscopic kurapwa kunosanganisiraSclerotherapyuyeband ligation.
Kune kuongororwa uye kurapwa kwemukati Hemorrhoids, Colonoscopy inoshandiswa kuti uongororwe, uye gastroscope inokurudzirwa kurapwa. Mukuwedzera, maererano nemamiriro chaiwo echipatara chega chega, unogona kusarudza kurapwa kwekunze kana kusarongeka.
Žscrotherapy (yakabatsira neThe Widetparent Cap)
Mumiriri weSclerosing ari Layl Doro rinonwa jekiseni, uye foam lyl doro rekudhakwa rinogona kushandiswawo. Izvo zvinodikanwa kuti ushandise submucosal jekiseni ye methylene bhuruu seyemumiriri asipo kuti unzwisise kuyerera naiye muyekuvhara mumiririri.
Chinangwa cheiyo pachena cap ndeyekuwedzera munda wekuona. Iyo jekiseni ripi rinogona kusarudzwa kubva kune yakajairika mucosal jekiseni. Kazhinji, kureba kwesimbi ndeye 6mm. Vanachiremba vasina ruzivo vanofanirwa kuedza kudzivisa kushandisa majekiseni akareba, nekuti majee marefu emadhimoni anowanzo jekiseni uye jekiseni. Njodzi yakadzika uye tungamira kune fanian kusavapo uye kuzvimba.
Iyo jekiseni jekiseni rakasarudzwa pamusoro pesimba remuromo weiyo dentate mutsara, uye iyo jekiseni tsono chinzvimbo iri pazasi pechinangwa chenymrhoid. Iyo tsono yakaiswa pa30 ° ° ~ 40 ° ~ Gadzira murwi wakaomeswa pachigadziko cheiyo hemorrhoid, bvisa tsono uchipinza, anenge 0.5 ~ 2ml, uye isa jekiseni kusvikira hupfu hwave hukuru uye chena. Mushure mekunge jekiseni rapfuura, tarisa kana paine kubuda ropa kujekiseni rejekiti.
Endoscopic scletherapy inosanganisira kumberi girazi jekiseni uye yakatsanangurwa girazi jekiseni jekiseni. Kazhinji, yakanyorwa girazi jekirazi ndiyo nzira huru.
② Bandage kurapwa
Kazhinji, kizi yakawanda-mhete inoshandiswa kushandiswa, kwete zvinopfuura zvindori zvinomwe zvakanyanya. Iko kuongororwa kunoitwa pa1 kusvika ku3 cm pamusoro pemutsara wemazino, uye iyo ligation inowanzotanga padyo neiyo anal mutsara. Inogona kuve isina kusarudzika yekukweretesa kana mucosal ligation kana yakasanganiswa ligation. Yakavharidzirwa girazi ligation ndiyo nzira huru, kazhinji 1-2 nguva, nekupindirana kwemwedzi mumwe chete.
Kurapa Kweperieparation: Kutsanya hakudiwe mushure mekushanda, chengetedza chigaro chakatsetseka, uye dzivisa kwenguva refu kugara uye kuremerwa kwemuviri. Maitiro ekushandisa mishonga inorwisa mabhakitiriya haidiwe.
3. Iyo iripo mamiriro uye matambudziko aripo ehuswa-root zvipatara
Munguva yakapfuura, chinzvimbo chikuru chekurapa kweHemorrhoid yaive muDhipatimendi reKokodhi. Kurapa kwehurongwa muDhipatimendi reKoweriniland kunosanganisira mushonga wekuchengetedza, sclertherapy jekiseni, uye kurapwa kwekuvhiya.
Gastrointestinal endoscopist haina ruzivo rwekuzivikanwa kwePerian Anatomy pasi peEndoscopy, uye zviratidzo zvekurapa kweEndoscopic hazvina kugumira (chete emukati hemorrhoids inogona kurapwa). Kuvhiya kunodiwawo kuti uite kupora kuzere, iyo yave nzvimbo yakaoma mukuvandudzwa kweprojekiti.
Mufundisi, kurapwa kweTeoscopic kweHemorrhoid inonyanya kukodzera kuzvipatara kukuru, asi mukuita, hazvina kufungidzirwa.
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: Jul-11-2022