Ms.Huang(preudonym)ane nhoroondo yechiropa cirrhosis kwemakore akawandauyeyakaitwa kaviri Endoscopic Variceal Ligation (EVL) nekuda kwe esophageal variceal kubuda ropa (EVB).Mushure mekubuda, Ms. Huang havana kutarisisa zvakakwana nezvehutano hwavo uye havana kukurumidza kuongorora gastroscopy yavo.
Munguva ichangopfuura, Mai Huang vaiwanzonzwa dzungu, kurwadziwa mudumbu, muromo wakaoma uye kuvava, kusanzwa kudya, uye kurara kusina kunaka usiku. yeJiangxi University of Traditional Chinese Medicine Affiliated Hospital yekurapwa kwevarwere. Mushure mekubvumidzwa, bvunzo dzakakodzera uye bvunzo dzakavandudzwa, kusanganisiragastroscopy isingarwadzi,izvo zvakasimbisakuvapo kwevaricose veins mune esophagus uye gastric fundus.
Michina yekurapa yekuongorora gastroscopy
Mifananidzo yakaratidzwa pasi pegastroscopy
Mushure mekuitagastroscopy isingarwadziuye nekubvisa kusavhiyiwa kunoenderana nemamiriro aMs. Huang uye zviratidzo zvekiriniki, Xie Mingjun, Mutevedzeri weMukuru weDhipatimendi reDigestive reJiangxi University of Traditional Chinese Medicine Affiliated Hospital, vakataurirana zvizere nemurwere nemhuri yavo uye vakaita ongororo yenjodzi. nhengo dzemhuri dzakabvumirana kuti dziiteesophageal variceal ligation (EVL).
Xie Mingjun akashandisa COOK nhanhatu yekubatanidza ligation mudziyo wekurapa ligation, iine huwandu hwezvisungo, uye kuvhiya kwacho kwaive kwakapfava. Mushure mekuvhiyiwa, dzosa murwere muwadhi uye umurayiridze.kutsanya kwemaawa 24-48,wozodya chikafu chemvura kana semi liquid food,zvishoma nezvishoma kuchinja kune zvokudya zvinyoro,uye kunyatsoongorora mamiriro emurwere anochinja.
Esophageal variceal ligation (EVL)
Esophageal variceal ligation (EVL)zvinoreva kushandiswa kwemhete yerabha yerabha kuti isungirire mudzi wevaricose tsinga pasi pekutungamirwa kwe.endoscope, zvichikonzera ischemia, necrosis, uye kuungana, zvichiita kuti varicose vein occlusion, kudzora kushanda kwevariceal kubuda ropa, uye nokukurumidza kubvisa varicose veins.Esophageal variceal ligation (EVL)ine zvakanakiraminimal trauma,kukurumidza kuvhiya kupora,uyekuchengetedzwa kwepamusoro.Ine simba guru pakurapa kwekukurumidzira kana kusarudzwa kwevarwere vane esophageal varices uye inzira inobatsira yekudzivirira kubuda kwegumbo.
Zvinonziesophagogastric varicose tsingavari imwe yemain manifestations of portal hypertension,uye 95% ye portal hypertension inokonzerwa nezvikonzero zvakasiyana-siyana zve cirrhosis.Chikuruserious complicationye esophagogastric varicose tsinga ndizvokuputika uye kubuda ropa.Kana murwere achibuda ropa kubva pagurokuro uye mudumbu, kubuda ropa kunogona kuitika nekukurumidza uye kwakawanda.Panguva iyi, murwereinogona kuratidza yakanyanya hypotension kana hypovelemic shock, zvingadarokunyange kuchinja upenyu hwavo.Naizvozvo, kana varwere vane chiropa cirrhosis vachiratidzazvituru zvitemauyekurutsa ropa,vanofanira kutsvaga kurapwa nekukurumidza.
Nguva yekutumira: May-10-2024