Endoscopic Kuvura Amaraso ya Esophageal / Gastric kuva amaraso

Ibishushanyo bya Esophageal / Gastric nibisubizo byingaruka zikomeje kwimiterere yinyamanswa kandi hafi 95% biterwa na chrhose yimpamvu zitandukanye. Varicose VodedIng Akenshi ikubiyemo kuva amaraso menshi no gupfa cyane, kandi abarwayi bava amaraso bafite ubutwari ntibushobora kubagwa.

Hamwe no kunoza no gushyira mu bikorwa Ikoranabuhanga rya Endoscopic, ubuvuzi bwa endoscopic bwabaye bumwe mu buryo bw'ingenzi bwo kuvura amaraso ya esophageal / gastric. Harimo ahanini na etoscoppic sclerotherapy (evs), endoscopic lication valication varlical (evl) na endoscopic tissue yo kuvuza inshinge (evht).

EndoscoPotherapy (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 ibintu nkibintu byoroshye mumitsi kugirango bibe trombose.
2) ibimenyetso bya eves:
(1) Ikimenyetso gikomeye cyo guturika no kuva amaraso;
(2) amateka yabanjirije iki cyo gutondekwa no kuva amaraso;
(3) abarwayi bafite reveruvencence ya ev nyuma yo kubagwa;
(4) Abadakwiriye kwivuza.
3) Kumenyekanisha ibibi:
(1) Kutumvana kimwe nk'ibisambo;
(2) ibishishwa byerekana amashusho ya hepatic
(3) Abarwayi bafite umwijima n'impyiko gakabije, Ascite nyinshi, na jaundice ikabije.
4) Gukoresha ingamba
Mubushinwa, urashobora guhitamo lauromal (gukoreshaUruhu rwa sclerothethe). Kubintu byinshi byamaraso, hitamo inshinge zidasanzwe. Ubunini bwa inshinge ni 10 kugeza kuri ml. Kubintu bito byamaraso, urashobora guhitamo inshinge za paravascular. Gerageza kwirinda gutera inshinge kubintu byinshi bitandukanye ku ndege imwe (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) kuvura nyuma yo kuvura 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 kugirango ubone igitutu cyo hasi 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
.
. Ingorane zakarere zirimo Madiastinitis, itobora, kuzenguruka cyane, na softal hyperatiethy hamwe nibyago byiyongera ko kuva amaraso.
.

Endoscopic VICOSE VIGITATION (EVL)

Igice cya 2

1) ibimenyetso kuri EVL: kimwe na evs.
2) Kumenyesha EVL:
(1) Kutumvana kimwe nk'ibisambo;
(2) ev iherekejwe na gv;
.)
3) Uburyo bwo gukora
Harimo ligition imwe yometseho umusatsi, ligametion nyinshi, na Nylon yumugozi.
.
(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.
Bifata ibyumweru 1 kugeza 2 kugirango necrosis igwe inyuma ya bandage necrosis. Icyumweru kimwe nyuma yibikorwa, ibisebe byaho birashobora gutera amaraso menshi, itsinda ryuruhu rirazimye, hamwe no gukata imashini ya varinose variats. EVL irashobora kurandura imitsi itandukanye kandi ifite ibibazo bike, ariko imitsi ya variame relur. Igipimo kiri kuruhande;
Evl irashobora guhagarika ingwate zo kuva amaraso yibumoso, imitsi ya esophageal, na Vena Cava. Ariko rero, nyuma y'amaraso yabayeho amaraso arahagaritswe, umurima wa gastric coruso na plexus ya pelexus bazaguka, imipaka yamaraso iziyongera, kandi igipimo cyo kwiyongera, kandi igipimo cyo kwiyongera kizongera igihe. Kubwibyo, akenshi bisubirwamo bisubirwamo bisabwa guhuriza hamwe kuvurwa. Diameter ya Varicose ihindagurika igomba kuba munsi ya cm 1.5.
4) Ingorane ya EVL
(1) kuva amaraso menshi kubera ibisebe byaho hafi icyumweru 1 nyuma yo kubagwa;
.
(3) kwandura.
5) gusubiramo nyuma ya EVL
Mu mwaka wa mbere nyuma yo kubaga Evl kubaga, imikorere y'umwijima n'impyiko, b-ultrasound, imikorere isanzwe, imikorere yo guturana, nibindi bigomba gusubirwamo buri mezi 3 kugeza kuri 6. Endoscopi igomba gusubirwamo buri mezi 3, hanyuma buri mezi 0 kugeza 12.
6) evs vs evl
Ugereranije na sclerotherapy no kumeneka, nta tandukaniro rikomeye ryurupfu no kubyutsa ibiciro biri hagati yabiri. Ku barwayi bakeneye kuvura inshuro nyinshi, ligametion irasabwa cyane. Rimwe na rimwe, kumeneka na sclerotherapie nabyo bihujwe, bishobora kunoza kwivuza. Ingaruka. Mu bihugu by'amahanga, abategarugori byuzuye byuma na bo bakoreshwa mu guhagarika kuva amaraso.

Endoscopic Tissue Kuvuka Kumubatsi (Evht)

Igice cya 3

Ubu buryo bukwiranye nibisobanuro bya gastric hamwe nubuvanze bwa esophageal kuva amaraso mu bihe byihutirwa.
1) Ingorabahizi ya Evht: Ahanini amihati hamwe na pornal Velism, ariko ibyangiritse biri hasi cyane.
2) Ibyiza bya Evht: Imitsi itandukanye irashira, ongera uva amaraso ni hasi, ingorane ni nkeya, ibimenyetso birakabije kandi ikoranabuhanga riroroshye kumenya.
3) Ibintu kugirango umenye:
Muri Endoscopic Tissue Kuvura inshinge, umubare wo gutera inshinge ugomba kuba bihagije. Endoscopic ultrasound igira uruhare rwiza cyane mugufata imitsi ya varicose kandi irashobora kugabanya ibyago byo kongera kuva amaraso.
Hariho raporo mubitabo by'amahanga byerekana ko kuvura ibishushanyo mbonera hamwe na coil cyangwa cyanoacrylage iyobowe na endoscopic ultrasopic ultrasopic ultrasopic ultrasopic agira akamaro kubisobanuro byaho. Ugereranije na cyanoacrylate, Endoscopic ultrasopic ultrasound-iyobowe na endossound isaba inshinge nkeya kandi ihujwe nibintu bike bibi.

Twe, Jiagxi ZhuoluHhua Igikoresho cy'ubuvuzi Co, Ltd., ni uruganda mu Bushinwa rwihariye muri endoscopic ikoresha ibikoresha muri Endoscopic, nkaIngabo za biopsy, hemoclip, umutego wa polyp, Uruhu rwa sclerothethe, spray catheter, cytology brushes, kuyobora, Igitebo cya rene, Amashanyarazi ya Izurunibindi bikoreshwa cyane muriEmr, Esd, Ercp. Ibicuruzwa byacu ni byemewe, kandi ibimera byacu ni ISO yemewe. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo hagati n'igice cya Aziya, kandi ibona cyane umukiriya kumenyekana no guhimbaza!