Uburyo bwo kuvura indwara ya Endoscopic Sclerotherapy (EVS) igice cya 1

1) Ihame ryo kuvura indwara ya sclerotherapy hakoreshejwe endoscopic (EVS):

Gutera imitsi mu mitsi: umuti utera ububabare ku mitsi, ugatuma imitsi y'amaraso ikomera kandi ugahagarika gutembera kw'amaraso;

Gutera imitsi yo mu mitsi: bitera indwara yo kubyimba mu mitsi igatera thrombosis.

2) Ibimenyetso bya EVS:

(1) Guturika cyane kwa EV no kuva amaraso;

(2) Abantu bafite amateka yo gucika kw'ingufu za EV no kuva amaraso; (3) Abantu basubiranye ingufu za EV nyuma yo kubagwa; (4) Abantu badakwiriye kubagwa.

3) Ibibujijwe na EVS:

(1) Kimwe no gupima indwara ya gastroscopy;

(2) Indwara y'umwijima yo mu cyiciro cya 2 no hejuru yayo;

(3) Abarwayi bafite ikibazo gikomeye cy'umwijima n'impyiko, ascites nyinshi, n'indwara ikomeye y'umuhondo.

4) Ingamba zo kwirinda imikorere

Mu Bushinwa, ushobora guhitamo lauromacrol. Ku mitsi minini y'amaraso, hitamo guterwa inshinge mu mitsi. Ubusanzwe ingano y'inshinge ni 10-15mL. Ku mitsi mito y'amaraso, ushobora guhitamo guterwa inshinge mu mitsi. Gerageza kwirinda guterwa inshinge ahantu hatandukanye mu buryo bumwe (bishoboka ko hashobora kubaho ibisebe bigatera guhagarara k'umuyoboro w'amaraso). Niba guhumeka bigaragaye mu gihe cyo kubagwa, umupfundikizo ugaragara ushobora kongerwa kuri gastroscope. Mu bihugu by'amahanga, agapira gakunze kongerwa kuri gastroscope. Birakwiye kwigiraho.

5) Gucunga EVS nyuma yo kubagwa

(1) Ntukarye cyangwa ngo unywe amasaha 8 nyuma yo kubagwa kandi buhoro buhoro wongere urye ibiryo by'amazi;

(2) Koresha imiti igabanya umuvuduko w'amaraso mu mubiri uko bikwiye kugira ngo wirinde kwandura; (3) Koresha imiti igabanya umuvuduko w'amaraso mu mubiri uko bikwiye.

6) Inzira yo kuvura indwara ya EVS

Gukoresha sclerotherapy nyinshi birakenewe kugeza igihe imitsi ya varicose igiye gucika cyangwa ikabura, hagakurikiraho icyumweru kimwe hagati ya buri buryo bwo kuvurwa; isuzuma rya gastroscopy rizakorwa nyuma y'ukwezi kumwe, amezi atatu, amezi atandatu, n'umwaka umwe nyuma y'uko uburyo bwo kuvurwa burangiye.

 7) Ingorane za EVS

(1) Ingorane zikunze kugaragara: gucika kw'amaraso mu ruhu, igisebe cyo mu muhogo, n'ibindi, hamwe

Biroroshye gutuma amaraso atemba cyangwa akava mu mwenge w'urushinge iyo urushinge rukuwemo.

(2) Ingorane zo mu gace: ibisebe, kuva amaraso, stenosis, kudakora neza k'umuyoboro w'amaraso, odynophagie, gucika kw'imitsi. Ingorane zo mu gace zirimo mediastinitis, gutobora, pleural effusion, na portal hypertension gastropathy hamwe n'ibyago byo kuva amaraso byiyongera.

(3) Ingorane z’umubiri: sepsis, umusonga wo mu gifu, kubura umwuka uhagije, peritonitisi ya bagiteri yibasira, na thrombosis y’imitsi yo mu muyoboro w’amaraso.

Gufunga imitsi yo mu bwonko hakoreshejwe endoscopic (EVL)

1) Ibipimo bya EVL:Kimwe na EVS.

2) Ibibujijwe na EVL:

(1) Ibinyuranye n'ibyo gupima indwara nk'uko byakozwe na gastroscopy;

(2) EV iherekejwe na GV igaragara;

(3) biherekejwe n'imikorere mibi y'umwijima n'impyiko, ascites nyinshi, jaundice

Indwara y'igisebe hamwe n'uburyo buherutse kuvurwa hakoreshejwe uburyo bwinshi bwo kuvura indwara ya sclerotherapy cyangwa imitsi mito iterwa n'imitsi

Gufata ingoma ya Han nk'aho ari hafi ya duofu bivuze ko abaturage ba Hua bazabasha kugenda neza, cyangwa imitsi n'amagufwa bizaramburirwa iburengerazuba.

Kugeza.

3) Uburyo bwo gukora

Harimo gufunga umusatsi umwe, gufunga umusatsi mwinshi, no gufunga umugozi wa nylon.

Ihame: Kubuza amaraso gutembera mu mitsi itera uburibwe no gutanga hemostasis yihutirwa → thrombosis y'imitsi aho ihambiriye → necrosis y'imitsi → fibrosis → ibura ry'imitsi itera uburibwe.

(2) Amabwiriza yo kwirinda

Ku ndwara zo mu muhogo zifata imitsi iri hagati kugeza ku ikomeye, buri mutsi ufata imitsi ugenda uzamuka uva hasi ugana hejuru. Umutsi ufata imitsi ugomba kuba wegereye cyane aho umutsi ufata imitsi, ku buryo buri ngingo iba yuzuye kandi ifatanye cyane. Gerageza gupfuka buri mutsi ufata imitsi ku manota arenga 3.