Ms.Huang(igama elingaphambili)inomlando we-cirrhosis yesibindi iminyaka eminingifuthiusengene kabili i-Endoscopic Variceal Ligation(EVL) ngenxa yokopha kwe-variceal esophageal(EVB).Ngemva kokukhishwa, uNksz.Huang akazange anake ngokwanele isimo sakhe futhi akazange abuyekeze ngokushesha i-gastroscopy yakhe.
Muva nje, uNksz. Huang uvame ukuba nesiyezi, ubuhlungu besisu, umlomo owomile nomunyu, ukungakuthandi ukudla, nokungalali kahle ebusuku. Izimpawu zakhe ziphikelela futhi zingasalawuleki, zithinte kakhulu izinga lakhe lokuphila. Ngakho-ke, weza eMnyangweni Wokugaya ukudla. ye-Jiangxi University of Traditional Chinese Medicine Affiliated Hospital ukuze zelashelwe iziguli. Ngemva kokungeniswa, ukuhlolwa okufanelekile nokuhlolwa kwenziwa ngcono, okuhlanganisai-gastroscopy engenabuhlungu,okuqinisekisileukutholakala kwemithambo ye-varicose ku-esophagus kanye ne-gastric fundus.
Imishini yezokwelapha yokuhlolwa kwe-gastroscopy
Izithombe ezethulwa ngaphansi kwe-gastroscopy
Ngemva kokwenzai-gastroscopy engenabuhlungukanye nokukhipha izinto ezingahambisani nokuhlinzwa ngokusekelwe esimweni sikaNksz. Huang kanye nezimpawu zomtholampilo, u-Xie Mingjun, iPhini Lomqondisi woMnyango Wokugaya ukudla we-Jiangxi University of Traditional Chinese Medicine Affiliated Hospital, waxhumana ngokugcwele nesiguli kanye namalungu omndeni waso futhi wahlola ubungozi. amalungu omndeni avuma ukudlulai-esophageal variceal ligation(EVL).
U-Xie Mingjun wasebenzisa i-COOK six link ligation device yokwelapha ukuxhunywa, enesamba sezibopho, futhi inqubo yokuhlinzwa yayishelela. Ngemva kokuhlinzwa, buyisela isiguli ewodini futhi usifundise.ukuzila ukudla amahora angama-24-48,bese udla ukudla okuwuketshezi noma okuwuketshezi,kancane kancane ishintshela ekudleni okuthambile,futhi uqaphe ngokucophelela ukuthi isimo sesiguli siyashintsha.
I-Esophageal variceal ligation(EVL)
I-Esophageal variceal ligation(EVL)ibhekisela ekusetshenzisweni kwendandatho yerabha enwebekayo ukuze ihlanganise impande ye-varicose vein ngaphansi kokuqondisai-endoscope, okubangela i-ischemia, i-necrosis, kanye ne-detachment, okuholela ekuvaleni kwe-varicose vein, ukulawula ukopha okusebenzayo kwe-variceal, futhi kuqede ngokushesha imithambo ye-varicose.I-Esophageal variceal ligation(EVL)inezinzuzo zeukuhlukumezeka okuncane,ukululama okusheshayo kokuhlinzwa,futhiukuphepha okuphezulu.Inomthelela obalulekile ekwelashweni okuphuthumayo noma okukhethwa kukho kweziguli ezinomminzo futhi iyindlela ephumelelayo yokuvimbela ukopha kwe-variceal yommizo.
Kubikwa ukuthiesophagogastric varicose emithanjenizingomunye weukubonakaliswa okuyinhloko of i-portal hypertension,futhi u-95% we-portal hypertension ubangelwa izimbangela ezihlukahlukene ze-cirrhosis.Okuningiinkinga enkuluimithambo ye-varicose esophagogastricukudabuka nokopha.Lapho isiguli sopha ngenxa yomgudu womphimbo nowesisu, ukopha kungase kwenzeke ngokushesha futhi kube ngamanani amakhulu.Kulesi sikhathi, isiguliingase ibonise i-hypotension enzima noma ukushaqeka kwe-hypovelemic,okungenzekangisho nokuphila kwabo.Ngakho-ke, uma iziguli ezine-cirrhosis yesibindi zibonisaindle emnyamafuthiukuhlanza igazi, kufanele bafune usizo lwezokwelapha ngokushesha.
Isikhathi sokuthumela: May-10-2024