Endoscopic Sclerotherapy (EVS) qaybta 1

1) Mabda'a endoscopic sclerotherapy (EVS):

Cirbadeynta xididdada xididdada dhiigga: wakiilka sclerosing wuxuu keenaa barar ku wareegsan xididdada, wuxuu adkeeyaa xididdada dhiigga wuxuuna xannibaa socodka dhiigga;

Cirbadda xididdada dhiigga: waxay keentaa falcelin barar ah oo nadiif ah oo xididdada si ay u keento xinjirowga dhiigga.

2) Calaamadaha EVS:

(1) dillaac daran EV iyo dhiig-bax;

(2) Dadka leh taariikh dilaac iyo dhiigbax EV;(3) Dadka soo noqnoqda ee EV qalliinka ka dib;(4) Dadka aan ku habboonayn daaweynta qalliinka.

3) Caqabadaha EVS:

(1) La mid ah gastroscopy;

(2) Hepatic encephalopathy marxaladda 2 iyo wixii ka sareeya;

(3) Bukaanada qaba beerka iyo kelyaha oo aan shaqeynin, xaddi badan oo ascites ah, iyo cagaarshow daran.

4) Taxaddar hawleedka

Shiinaha, waxaad dooran kartaa lauromacrol.Xididdada dhiigga ee waaweyn, dooro cirbadeynta xididdada dhiigga.Mugga durida guud ahaan waa 10 ~ 15ml.Xididdada dhiigga ee yaryar, waxaad dooran kartaa cirbadeynta paravascular.Isku day in aad iska ilaaliso in lagu dudo dhowr meelood oo kala duwan isla diyaarada (laga yaabo in boogaha ay ku dhacaan hunguriga adag).Haddii neefsashada ay saameyso inta lagu jiro qaliinka, dabool hufan ayaa lagu dari karaa gastroscope.Wadamada shisheeye, buufin ayaa inta badan lagu daraa gastroscope.Waxaa mudan in wax laga barto.

5) Maareynta qaliinka kadib ee EVS

(1) Ha cunin, ha cabbin 8 saacadood qalliinka ka dib oo si tartiib tartiib ah u bilow cuntada dareeraha ah;

(2) Isticmaal xaddi ku habboon oo antibiyootik ah si aad uga hortagto caabuqa;(3) Isticmaal daawooyin hoos u dhigaya cadaadiska marinka sida ugu habboon.

6) Koorsada daaweynta EVS

Daaweynta sclerosis badan ayaa loo baahan yahay ilaa xididdada varicose ay ka baxaan ama asal ahaan ka baaba'aan, iyada oo u dhaxaysa 1 usbuuc u dhexeeya daaweyn kasta;gastroscopy-ga waxaa dib loo eegi doonaa 1 bil, 3 bilood, 6 bilood, iyo 1 sano kadib dhamaadka koorsada daawaynta.

 7) Dhibaatooyinka EVS

(1) Dhibaatooyinka caadiga ah: ectopic embolism, boogaha hunguriga, iwm, iyo

Way fududahay in la keeno dhiig qulqulaya ama dhiig ka soo burqanaya daloolka irbadda marka irbadda la soo saaro.

(2) Dhibaatooyinka maxalliga ah: boogaha, dhiigbaxa, stenosis, dhaqdhaqaaqa hunguriga hunguriga, odynophagia, dildilaaca.Dhibaatooyinka gobolka waxaa ka mid ah mediastinitis, dalool, dhiigbaxa pleural, iyo portal hypertensive gastropathy oo leh khatarta sii kordheysa ee dhiigbaxa.

(3) Dhibaatooyinka habdhiska: sepsis, sambabada oof-wareen, hypoxia, peritonitis bakteeriya iskeed ah, iyo xinjirowga xididka portal.

Xididdada xididdada Endoscopic varicose vein ligation (EVL)

1) Tilmaamaha EVL:La mid ah EVS.

2) Caqabadaha EVL:

(1) Isla liddi ku ah sida gastroscopy;

(2) EV oo ay la socoto GV cad;

(3) oo ay weheliso cillad daran oo beerka iyo kelyaha ah, xaddi badan oo ascites ah, cagaarshow

Gangrene iyo daawaynta sclerotherapy ee dhawaanahan ama xididdada varicose ee yaryar

Qaadashada Boqortooyada Han sida duofu dhow waxay la macno tahay in dadka Hua ay awood u yeelan doonaan inay si xor ah u dhaqaaqaan, ama seedaha iyo garaaca wadnaha ayaa loo fidiyaa galbeedka.

By.

3)Sida loo shaqeeyo

Oo ay ku jiraan isku-xidhka timaha keliya, timaha timaha badan, iyo xadhigga xadhigga naylon.

Mabda'a: Jooji socodka dhiigga xididdada varicose iyo bixinta hemostasis degdeg ah → venous thrombosis ee goobta ligation → nudaha necrosis → fibrosis → luminta xididdada varicose.

(2) taxaddar

Kala-duwanaanshaha hunguriga dhexdhexaadka ah iyo midka daran, xidid kasta oo varicose ah wuxuu ku xidhan yahay qaab wareegsan oo kor u socda hoos ilaa sare.Xididku waa inuu ahaado mid u dhow sida ugu macquulsan barta bartilmaameedka ee xididdada varicose, si ay dhibic kasta si buuxda u xirto oo cufan.Isku day inaad daboosho xidid kasta oo varicose ah in ka badan 3 dhibcood.