Te Whakaora Sclerotherapy Endoscopic (EVS) wāhanga 1

1) Te mātāpono o te endoscopic sclerotherapy (EVS):

Werohanga ā-roto: ka puta te mumura huri noa i ngā uaua mā te kaihoko whakapūkara, ka whakapakeke i ngā oko toto, ka aukati hoki i te rere o te toto;

Werohanga paravascular: ka puta he tauhohenga mumura koretake i roto i ngā uaua ka puta ai te thrombosis.

2) Ngā tohu mō te EVS:

(1) Te pakaru tere o te EV me te toto;

(2) Ngā tāngata kua pāngia e te pakaru me te toto o te EV i roto i ngā hītori; (3) Ngā tāngata kua pāngia anō e te EV i muri i te pokanga; (4) Ngā tāngata kāore e tika ana kia rongoatia ki te pokanga.

3) Ngā ārai mō te whakamahi i te EVS:

(1) He rite tonu ki te gastroscopy;

(2) Te mate pukupuku ate wāhanga 2 me runga ake;

(3) Ngā tūroro e pāngia ana e te ngoikore nui o te ate me te whatukuhu, te nui o te ascites, me te jaundice kino.

4) Ngā whakatūpato whakahaere

I Haina, ka taea e koe te whiriwhiri i te lauromacrol. Mō ngā oko toto nui ake, whiriwhiria te werohanga ā-roto. Ko te nui o te werohanga he 10~15mL te nuinga. Mō ngā oko toto iti ake, ka taea e koe te whiriwhiri i te werohanga paravascular. Kaua e werohanga i ngā wāhi rerekē i runga i te papa kotahi (tērā pea ka puta he mate pukupuku ka arahi ki te whakawhāiti i te esophagus). Mena ka pāngia te manawa i te wā o te pokanga, ka taea te tāpiri i tētahi taupoki mārama ki te gastroscope. I ngā whenua ke, he maha ngā wā ka tāpirihia he poihau ki te gastroscope. He mea tika kia akohia.

5) Te whakahaere i ngā EVS i muri i te pokanga

(1) Kaua e kai, kaua e inu mō ngā hāora e 8 i muri i te pokanga, ā, me tīmata mārire te kai wai;

(2) Whakamahia ngā rahinga paturopi e tika ana hei ārai i te mate; (3) Whakamahia ngā rongoā e whakaiti ana i te pēhanga o te tomokanga i ngā wā e tika ana.

6) Akoranga maimoatanga EVS

Me whakahaere te maha o ngā sclerotherapy kia ngaro ra ano ngā uaua varicose, kia ngaro rawa rānei, me te wā okiokinga mō te 1 wiki i waenga i ia maimoatanga; ka arotakehia te gastroscopy i muri i te 1 marama, 3 marama, 6 marama, me te 1 tau i muri i te mutunga o te maimoatanga.

 7) Ngā raruraru o te EVS

(1) Ngā raruraru noa: te embolism ectopic, te mate pukupuku esophageal, me ētahi atu, me

He māmā noa te pupuhi, te maringi rānei o te toto i te kōhao o te ngira ina unuhia te ngira.

(2) Ngā raruraru ā-rohe: ngā mate pukupuku, te toto, te stenosis, te ngoikore o te nekehanga o te korokoro, te odynophagia, ngā motumotu. Ko ngā raruraru ā-rohe ko te mediastinitis, te perforation, te pleural effusion, me te portal hypertensive gastropathy me te mōrearea nui ake o te toto.

(3) Ngā raruraru pūnaha: te sepsis, te niumōnia manawa, te hypoxia, te peritonitis huakita ohorere, me te thrombosis uaua portal.

Te herenga uaua varicose endoscopic (EVL)

1) Ngā tohu mō te EVL:He rite tonu ki te EVS.

2) Ngā ārai mō te EVL:

(1) He rite tonu ngā ārai ki te gastroscopy;

(2) EV e haere tahi ana me te GV mārama;

(3) ka haere tahi me te ngoikore nui o te ate me te whatukuhu, te nui o te ascites, te jaundice

Te gangrene me ngā maimoatanga sclerotherapy maha tata nei, ngā uaua varicose iti rānei

Mā te whakaaro ko te Whare Ariki o Han he tata-duofu, ko te tikanga ka taea e te iwi Hua te nekeneke noa, ki te kore ka totoro ngā uaua me ngā pā o te tinana ki te hauauru.

Nā.

3) Me pēhea te whakahaere

Tae atu ki te herenga makawe kotahi, te herenga makawe maha, me te herenga taura nairona.

Mātāpono: Āraia te rere o te toto o ngā uaua varicose, ā, whakaratohia he hemostasis ohorere → te totohu o te uaua i te wāhi herea → te pirau o te kiko → te fibrosis → te ngaronga o ngā uaua varicose.

(2) Ngā Whakatūpato

Mō ngā varicose esophageal ngawari ki te kino, ka herea ia uaua varicose ki runga i te ara porowhita mai i raro ki runga. Me tata te here ki te pūwāhi herenga o te uaua varicose, kia tino herea ia pūwāhi, kia kikī hoki. Ngāna kia taupokina ia uaua varicose i ngā pūwāhi neke atu i te 3.