Intangiriro
Ibimenyetso nyamukuru bya hemorrhoide ni amaraso mu ntebe, ububabare bwa anal, kugwa no kwikinisha, nibindi, bigira ingaruka ku mibereho. Mu bihe bikomeye, birashobora gutera kuva amaraso gushikamo hamwe na anemia idakira iterwa n'amaraso mu ntebe. Kugeza ubu, ubuvuzi bushingiye cyane bushingiye ahanini ku biyobyabwenge, kandi ubuvuzi bwo kubaga burasabwa mu manza zikomeye.
Ubuvuzi bwa Endoscopic nuburyo bushya bwo kuvura buteye imbere mumyaka yashize, bikwiranye nibitaro byumurazi. Uyu munsi, tuzavuga muri make kandi dutongane.
1. Gusuzuma amavuriro, anatomy no kuvura ubuvuzi bwa hemorrhoide
Gusuzuma Hemorrhoide
Gusuzuma hemorrhoide bishingiye ahanini ku mateka, kugenzura, gusuzuma neza kw'ikizamirwa na colonoscopi. Ku bijyanye n'amateka y'ubuvuzi, birakenewe kumva ububabare bwa anal, amaraso mu ntebe, gusohora hemorhoid no kugarura anal, haba mu bubasha bwo gukuraho umuriro, n'ibindi. Colonoscous igomba kumenya izindi ndwara nk'ibibyimba, ibisebe bisa, nibindi bitera kuva amaraso. Kwitondera no gutanga hemorrhoide
Hariho ubwoko butatu bwa hemorrhoide: hemorroide yimbere, hemorroide yo hanze, na hemorroide zivanze.
Hemorrhoide: Imbere, hanze, na Kuvanga hemorrhoide
Hemorrhoide irashobora gushyirwa mu manota I, II, III, na IV. Ifite amanota akurikije ubwinshi, kurambura kuva amaraso no kugaruka.
Ibimenyetso byo kuvura Endoscopic nicyiciro I, II, na III hemorroide yimbere, mugihe icyiciro cya IV Hemorroide yimbere, hemorroide yo hanze, na hemorroide yo hanze, kandi hemorroide zivanze zitumvamo ubuvuzi bwa endoscopic. Umurongo ugabanya umurongo wa endoscopic nu murongo wa pontate.
Anatomy ya hemorrhoide
Umurongo wa Anal, umurongo wa pontate, anal padi, na hemorrhoide ni ibitekerezo bya endoscopiste bigomba kumenyera. Indangamuntu ya Endoscopic isaba uburambe. Umurongo wa brontate ni ihuriro ryibitabo bya anal na copithelium, hamwe na zone yinzibacyuho hagati yumurongo wa anal hamwe numurongo winanga utwikiriwe ninkiko Kubwibyo, ubuvuzi bwa endoscopic bushingiye kumurongo winanga. Ubuvuzi bwa endoscopic burashobora gukorwa mumurongo wa brontate, kandi ubuvuzi bwa endoscopic ntibushobora gukorerwa hanze yumurongo wamenetse.
Ishusho 1.Imbere yimbere yumurongo winanga munsi ya endoscope. Umwambi wumuhondo ugaragaza umurongo wa Stolar ansular ansular, umwambi wera yerekana inkingi ya anal hamwe numuyoboro wa ari muremure, kandi umwambi utukura ugana kuri valve ya anal
1a:ishusho yera;1b:Umucyo woroheje
Igishushanyo 2Kwitegereza ikinahuri (umwambi utukura) hamwe nimpera yo hepfo yinkingi ya anal (umwambi wera) kuruhande rwa microscope
Igishushanyo 3Kwitegereza pagilla ya anal kuri microscope (umwambi wumuhondo)
Ishusho ya 4.Umurongo wa anal na stontate wagaragaye ukoresheje endoscopy. Umwambi wumuhondo ugaragaza umurongo wa amenyo, kandi umwambi wumukara ugaragaza umurongo unal.
Ibitekerezo bya Anal Papilla na Anal inkingi bikoreshwa cyane mugusa no kubaga neza kandi ntibazasubirwamo hano.
Kuvura kera hemorrhoide:Hariho cyane cyane kuvura no kwivuza. Ubuvuzi bukubiyemo ibiyobyabwenge burimo gusaba ibiyobyabwenge na Sitz, nuburyo bwo kubaga ahanini birimo hemorrhoidectoctotototocy na spled ishimangiye (pph). Kuberako ubuvuzi bwo kubaga bukomeye, ingaruka zirahagaze neza, kandi ibyago ni bito, umurwayi agomba kuba atambirwa mu bitaro iminsi 3-5.
2. Gufata Endoscopic yo hemorroide yimbere
Itandukaniro riri hagati yo kuvura Endoscopic ya hemorroide yimbere no kuvurwa egv:
Intego ya Endoscopic Ibishushanyo bya esosphagoGastric ni inzabya zamaraso ya varicose, kandi intego yo kuvura ubushyuhe bwimbere ntabwo ari inzabya zoroshye Kuvura hemorrhoide ni ugukuraho ibimenyetso, kuzamura pad ya anal bimuka, kandi birinda ingorane nkimisoro ya anal iterwa no kubura hemorrodies (ihame ryo "kwiyahura byose" bikunze kwiyahura ".
Intego yo kuvura Endoscopic: Gukuraho cyangwa gukuraho ibimenyetso, ntabwo kugirango ukureho Hemorrhoide.
Ubuvuzi bwa Endoscopic burimosclerotherapynaindobo.
Kubijyanye no kuvura hemorroide yimbere, colonoscopy ikoreshwa mugusuzuma, kandi isafubu irasabwa kwivuza. Byongeye kandi, ukurikije uko ibintu bimeze bya buri bitaro, urashobora guhitamo kwivuza cyangwa kwishyurwa.
①sclerotherapy (afashijwe numucyo wa capparent)
Umukozi uhindagurika ni laurysl inzitizi, kandi inshinge za foam lauryle irashobora kandi gukoreshwa. Birakenewe kandi gukoresha inkingi ya methylene ubururu nkumuntu wabuze kugirango wumve icyerekezo cyurugendo no gukwirakwiza umukozi wa sclerosing.
Intego yumutwe wukuri ni ugugura urwego rwiyerekwa. Urushinge rwatewe inshinge rushobora gutoranywa mubushitsi busanzwe bwo gutera inshinge. Mubisanzwe, uburebure bwurushinge ni 6mm. Abaganga batagira inararibonye bagomba kugerageza kwirinda inshinge ndende, kuko inshinge zishaje zikunda gutera inshinge no gutera inshinge. Ibyago byimbitse kandi biganisha ku gucika intege no gutwika.
Ingingo yatewe no guhitamo hejuru yumurongo wumurongo wa pontate, kandi imyanya ihuriweho iherereye munsi yintego. Urushinge rwinjijwe kuri 30 ° ~ 40 ° mubyerekezo bitaziguye (imbere cyangwa gusubira inyuma) bya endoscope, kandi urushinge rwinjijwe cyane mu rufatiro rwa hemorroyide. Shiraho ikirundo gikomeye munsi ya Hemoruck, ikuramo urushinge mugihe cyo gutera inshinge, hafi 0.5 ~ 2ml, kandi uhagarike inshinge kugeza igihe ubushyuhe buba kinini kandi bwera. Nyuma yo gutera inshinge birangiye, witege niba hari amaraso kubashishikarijwe.
Stoscoppics sclerotherapie ikubiyemo inshinge yimbere kandi ibangamira inshinge. Mubisanzwe, guhangayikishwa nindorerwamo nuburyo nyamukuru.
Kuvura bande
Mubisanzwe, igikoresho cyo kumeneka-impeta kikoreshwa, kitarenze impeta zirindwi. Ligametion ikorwa kuri cm 1 kugeza kuri 3 hejuru yumurongo winanga, kandi ligametion isanzwe itangira hafi yumurongo wa anal. Birashobora kuba ligametion yometse cyangwa igiteranyo cyangwa ligation ihujwe. Kumenyekanisha indorerwamo nuburyo bwingenzi, mubisanzwe, hamwe nigihe cyukwezi kumwe.
Gutunganya ubuvuzi: Kwiyiriza ubusa ntabwo bisabwa nyuma yo gukora, kubungabunga intebe nziza, kandi wirinde kwicara igihe kirekire kandi imirimo iremereye. Gukoresha bisanzwe bya antibiyotike ntibisabwa.
3. Imiterere iriho hamwe nibibazo biriho byibitaro byumurazi
Mubihe byashize, umwanya nyamukuru wo kuvura hemorrchoids wari mu ishami rishya. Ubuvuzi bwa sisitemu mu ishami rishya ririmo imiti iharanira inyungu, inshinge za sclerotherapy, no kubaga.
Gastrointestinal Endoscopiste ntabwo iboneye cyane mu kumenya Anatomy ya persoscopy, kandi ibimenyetso byo kuvura Endoscopic ni bike (gusa hemorroide yimbere kugirango bivurwe). Kubaga nabyo birasabwa kugirango ukire byuzuye, bimaze kuba ingingo itoroshye mugutezimbere umushinga.
Mu nyito, endoscopic yo kuvura hemorroide yimbere ibereye cyane cyane ibitaro byabanjirije, ariko mubikorwa, ntabwo bitekerezwaga.
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 muriESD, ESD, ESD, ESCP. 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!
Igihe cya nyuma: Jul-11-2022