EndoscoPic sclerotherapy (evs) igice cya 1

1) Ihame rya Stoscoppic Sclerotherapy (Evs):

Gutera inshinge: Umukozi uhindagurika itera gutwika imitsi, arumirwa inzabya y'amaraso kandi ihagarika amaraso;

Gutera paravaclar: bitera imbaraga zikatiba mbi mumitsi kugirango utere trombose.

2) ibimenyetso bya eves:

(1) Ikimenyetso gikomeye cyo guturika no kuva amaraso;

(2) Abantu bafite amateka yiyerekana no kuva amaraso; (3) Abantu bafite ibisubizo byo gusubiramo ev nyuma yo kubagwa; (4) Abantu badakwiriye kwivuza.

3) Kumenyekanisha ibibi:

(1) kimwe na gastroscopy;

(2) Ibishishwa bya Hepatike Icyiciro cya 2 no hejuru;

(3) Abarwayi bafite umwijima n'impyiko gakabije, Ascite nyinshi, na jaundice ikabije.

4) Gukoresha ingamba

Mubushinwa, urashobora guhitamo lauromal. Kubintu byinshi byamaraso, hitamo inshinge zidasanzwe. Ibyishimo byinshi ni 10 ~ 15ML. Kubintu bito byamaraso, urashobora guhitamo inshinge za paravascular. Gerageza kwirinda gutera inshinge kubintu byinshi bitandukanye ku ndege imwe (birashoboka ko ibisebe bishobora kubaho biganisha kuri esophageal. Niba guhumeka bigira ingaruka mugihe cyo gukora, umupira wamaguru ushobora kongerwa ku giciro cya GASTORSROSTOCECONCE. Mu bihugu by'amahanga, ballon akenshi yongewe ku giciro cya GASTRORROSTOCECOPE. Birakwiye ko twigira.

5) Ubuyobozi bwa nyuma bwa EVS

(1) Ntukarye cyangwa ngo unywe amasaha 8 nyuma yo kubagwa hanyuma ugakomeza ibiryo byamazi;

(2) Koresha antibiyotike ya antibiyotike zikwiye kugirango wirinde kwandura; (3) Koresha ibiyobyabwenge byimodoka yo hepfo nkuko bikwiye.

6) Amasomo yo kuvura

Ibice byinshi bya sclerotherapy bisabwa kugeza imitsi itandukanye irazimira cyangwa ahanini ishira, hamwe nintera igera kuri 1 hagati ya buri buvuzi; Gastrostopy izasuzumwa ukwezi 1, amezi 3, amezi 6, numwaka 1 nyuma yo kurangiza inzira yo kwivuza.

 7) Ingorane za EV

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Biroroshye gutera amaraso cyangwa gutera amaraso mu mwobo iyo urushinge rukururwa.

. Ingorane zakarere zirimo Madiastinitis, itobora, kuzenguruka cyane, na softal hyperatiethy hamwe nibyago byiyongera ko kuva amaraso.

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Endoscopic VICOSE VIGITATION (EVL)

1) ibimenyetso kuri EVL:Kimwe na evs.

2) Kumenyesha EVL:

(1) Kutumvana kimwe nk'ibisambo;

(2) ev iherekejwe na gv;

(3) biherekejwe n'umwijima n'impyiko gakomeye, Ascites nyinshi, Jaundice

Gangrene na vuba uburyo bwo kuvura sclerotherapy cyangwa imitsi mito itandukanye

Gufata ingoma ya Han nka DE hafi-DuofU isobanura ko abantu bo huabo bazashobora kugenda mu bwisanzure, cyangwa imitekerereze na pasiporo bazaramburwa iburengerazuba.

Na.

3) Uburyo bwo gukora

Harimo ligition imwe yometseho umusatsi, ligametion nyinshi, na Nylon yumugozi.

Ihame: Guhagarika amaraso yimitsi ya variame hanyuma utange ibyihutirwa hessasis → uburozi bwa tronosise yo kumeneka → Ibura → Fibrosis → kubura imitsi ya varistose.

(2) kwirinda

Ku buryo buciriritse kubishushanyo mbonera bikabije, buri gice gitandukanijwe muburyo bwuzuye hejuru kuva hasi kugeza hejuru. Ligator igomba kuba hafi ishoboka kumwanya wo kumeneka yimyobo ya VILECOSE, kugirango buri ngingo imenetse kandi itoboye cyane. Gerageza gutwikira buri murongo wa VICOSE kumanota arenze 3.