Endoscopic Sclerotherapy Karolo ea 1

1) Molao-motheo oa Endoscopic Sclerotherapy (Evs):

Ente ea intravascular: Moemeli oa sclerosing o baka ho ruruha ho potoloha methapo, ho thata hore mali a phalle, ebe a thibela phallo ea mali;

Ente ea paravascular ea paravascular: e baka karabelo e bohloko ea mafubetsing ho baka thrombosis.

2) Matšoao a EVS:

(1) ho phatloha ho ho matla ho ho mamella le ho tsoa mali;

(2) Batho ba nang le nalane ea ho phatloha ha batho le ho tsoa mali; (3) Batho ba nang le phetisetso ea Eva ka mor'a ho buuoa; (4) batho ba sa lokelang kalafo ea ho buoa.

3) Contraindications ea Evs:

(1) e ts'oanang le gastroscopy;

(2) hepatic encephalopathy Mothali 2 le ka holimo;

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4) Ts'ebetso ea Ts'ebetso

Chaena, o ka khetha lauromacrol. Bakeng sa methapo e meholo ea mali, khetha ente ea intravascular. Bophahamo ba molumo hangata ke 10 ~ 15ml. Bakeng sa likepe tse nyane tsa mali, u ka khetha ente ea Paraviscular. Leka ho qoba ho chechisa lintlha tse 'maloa tse fapaneng ka sefofaneng se le seng (mohlomong likhukhu li ka hlaha li lebisang thata tikolohong ea esophage). Haeba phefumoloho e ameha nakong ea ts'ebetso, ho ka eketsoa cap ea pepeneneng e ka eketsoa gastroscope. Linaheng tse ling, balune hangata ba eketsoa ke lehong. Ho bohlokoa ho ithuta ho.

5) management management avs

(1) Se ke oa ja kapa u noe lihora tse 8 kamora ho buoa ebe butle-butle lijo tsa metsi;

(2) Sebelisa lithibela-mafu tse ngata ho thibela tšoaetso; (3) Sebelisa lithethefatsi tse tlase tsa khatello ea portal joalo ka ha ho loketse.

6) Thupelo ea kalafo ea kalafo

Ho hlokahala sclerothetherapy e hlokahalang ho fihlela methapo e fapaneng e nyamela kapa e nyamela, ka nako ea beke e le 'ngoe lipakeng tsa kalafo e ngoe le e ngoe; Pastroscopy e tla hlahlojoa hape khoeli e le 'ngoe, likhoeli tse 3, likhoeli tse 6, likhoeli tse 1, likhoeli tse 1 kamora ho fela ha tsela ea kalafo.

 7) mathata a evs

(1) Likhopiso tse tloaelehileng: ECliplic empicm ea EClipsic, esophagaal ulcer, joalo-joalo

Ho bonolo ho etsa hore mali a bulule kapa a benyang mali ho tsoa ho lesoba la nale ha nale e huloa.

. Liphello tsa Setereke li kenyelletsa Moddlinotis, e sa feteng e sa feteng Medicfor

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Endscopic Vaicy Vin Ligungation (Evl)

1) Matšoao a EVL:E tšoanang le ka livs.

2) Contraindications of Evl:

(1) likontiishene tse tšoanang e le gastroscopy;

(2) EV E tsamaeang le GV;

(3) e tsamaeang le li-dystation tse matla tsa liphio, li-ascites tsa sopho

Gangrene le sebaka sa morao-rao sa sclerotherapy kapa methapo e nyane ea varicose e nyane

Ho nka Hane e le borena ha e ne e le marena a haufi le hore batho ba Hua ba tla khona ho tsamaea ka bolokolohi, kapa tendon le lipula ba tlatlolloa bophirima.

Ka.

3) Mokhoa oa ho sebetsa

Ho kenyelletsa le ligation e le 'ngoe ea moriri, litheolelo tse ngata tsa moriri le lihape tsa nylon tsa nylon.

Molao-motheo oa mali oa varicose methapo ea kutlo ea khale le ho fana ka lisele tsa ka tsa moea → Tibrosis → Figros

(2) Litlhokomelo

Bakeng sa ho leka-lekana ho mefuta e matla ea esophage, veiin e 'ngoe le e' ngoe e koahetsoe ka mokhoa o phahameng ea spiral ho tloha tlase ho tloha holimo. Sengator e lokela ho atamela haufi kamoo ho ka khonehang ho fihla sehlohlolong sa vain, e le hore ntlha e ngoe le e ngoe e lumetse ebile e lumetse ka botlalo. Leka ho koahela mofuta o mong le o mong oa vain ho feta lintlha tse fetang 3.