Nwada Huang(aha aha ya bu)nwere akụkọ ihe mere eme nke imeju cirrhosis ruo ọtụtụ afọnaEmeela Endoscopic Variceal Ligation (EVL) ugboro abụọ n'ihi ọbara ọgbụgba nke esophageal variceal (EVB)Mgbe a gbasachara ya, Ms.Huang etinyeghị uche zuru oke iji lekọta ọnọdụ ya ma ọ naghị enyocha gastroscopy ya ozugbo.
N'oge na-adịbeghị anya, Ms.Huang na-enwekarị isi ọwụwa, mgbu afọ, ọnụ akọrọ na obi ilu, agụụ na-adịghị mma, na ụra na-adịghị mma n'abalị. Ihe mgbaàmà ya nọgidere na-enwe ma ọ nweghị ike ime ka ọ dịghachi ndụ, na-emetụta ụdị ndụ ya nke ọma. N'ihi ya, ọ bịara na Ngalaba Digestive. nke Mahadum Jiangxi of Traditional Chinese Medicine Affiliated Hospital maka ọgwụgwọ inpatient. Mgbe nnabata, emelitere ule na ule dị mkpa, gụnyeregastroscopy na-enweghị mgbu,nke kwadoroọnụnọ nke varicose veins na esophagus na gastric fundus.
Ngwa ahụike maka nyocha gastroscopy
Foto ndị e gosipụtara n'okpuru gastroscopy
Mgbe emechara yagastroscopy na-enweghị mgbuna-achịpụ ịwa ahụ contraindications dabeere na Ms.Huang si ọnọdụ na-adakarị mgbaàmà, Xie Mingjun, osote Director nke Digestive Department of Jiangxi University of Traditional Chinese Medicine Mgbakwunye Hospital, n'ụzọ zuru ezu agwa onye ọrịa na ndị òtù ezinụlọ ha na-eduzi a ize ndụ ntule. ndị òtù ezinụlọ kwetara ime yaOsophageal variceal ligation (EVL).
Xie Mingjun jiri COOK isii njikọ njikọ ligation ngwaọrụ maka ọgwụgwọ ligation, na ngụkọta nke ligations, na usoro ịwa ahụ dị mma.ibu ọnụ maka awa 24-48,wee rie mmiri mmiri ma ọ bụ ọkara mmiri mmiri,jiri nwayọọ nwayọọ na-atụgharị gaa na nri dị nro,ma na-eleba anya nke ọma na ọnọdụ onye ọrịa na-agbanwe.
Esophageal variceal ligation (EVL)
Esophageal variceal ligation (EVL)na-ezo aka na iji mgbanaka rọba na-agbanwe agbanwe iji mee ka mgbọrọgwụ nke vein varicose dị n'okpuru nduzi nkeihe endoscopyna-akpata ischemia, necrosis, na mwepu, na-ebute oghere varicose vein, na-achịkwa ọbara ọgbụgba variceal na-arụ ọrụ, na-ewepụ ngwa ngwa varicose veins.Esophageal variceal ligation (EVL)nwere uru nkeobere trauma,ngwa ngwa ịwa ahụ mgbake,nanchekwa dị elu.Ọ nwere mmetụta dị ịrịba ama na ọgwụgwọ mberede ma ọ bụ nhọrọ nke ndị ọrịa nwere ọrịa esophageal na-eme ka ọ bụrụ usoro dị irè maka igbochi ọbara ọgbụgba nke esophageal variceal.
A kọrọ naesophagogastric varicose veinsbụ otu n'ime ndịisi ngosipụta of ọbara mgbali elu portal,na 95% nke ọbara mgbali elu na-ebute site na ihe dị iche iche na-ebute cirrhosis. Nke kachasịnnukwu mgbagwoju anyanke esophagogastric varicose veins bụmgbawa na ọbara ọgbụgbaỌ bụrụ na onye ọrịa ahụ na-agba ọbara site na esophageal na gastric varices, ọbara ọgbụgba ahụ nwere ike ime ngwa ngwa na n'ọtụtụ buru ibu. N'oge a, onye ọrịa ahụ.nwere ike igosi hypotension siri ike ma ọ bụ ujo hypovelemic,nke nwere ikeọbụna na-emetụta ndụ ha.Ya mere, ọ bụrụ na ndị ọrịa nwere imeju imeju na-egosipụtanwa stoolnavomiting ọbara,ha kwesịrị ịchọ nlekọta ahụike ozugbo.
Oge nzipu: Mee-10-2024