MadamuHuang (preudonym)ifite amateka yumwijima cirrhose kumyaka myinshinayakorewe inshuro ebyiri Endoscopic Variceal Ligation (EVL) kubera kuva amaraso ya Esophageal variceal (EVB).Nyuma yo gusezererwa, MadamuHuang ntiyitaye cyane ku kwita ku buzima bwe kandi ntabwo yahise asuzuma gastroscopie.
Vuba aha, MadamuHuang yakunze kugira umutwe, kubabara mu nda, umunwa wumye kandi usharira, ubushake buke, no gusinzira nabi nijoro.Ibimenyetso bye byarakomeje kandi ntibishobora kubaho, bigira ingaruka zikomeye ku mibereho ye. Kubera iyo mpamvu, yaje mu ishami rishinzwe ibiryo. ya kaminuza ya Jiangxi yubuvuzi gakondo bwubushinwa bushinzwe ubuvuzi bw’abarwayi.Nyuma yo kwinjira, ibizamini n’ibizamini bijyanye byatejwe imbere, harimogastroscopy, byemejwekuba hari imitsi ya varicose muri esofagus na gastric fundus.
Ibikoresho byubuvuzi byo gupima gastroscopy
Amashusho yatanzwe munsi ya gastroscopy
Nyuma yo gukorerwagastroscopyno kwamagana imiti igabanya ubukana ishingiye ku miterere ya MadamuHuang n'ibimenyetso by'amavuriro, Xie Mingjun, Umuyobozi wungirije w'ishami rishinzwe igogora rya kaminuza ya Jiangxi y’ibitaro gakondo by’ubuvuzi bw’Abashinwa, yavuganye byimazeyo n’umurwayi n’umuryango wabo maze akora isuzuma ry’ingaruka. abagize umuryango bemeye kunyuramoEsophageal variceal ligation (EVL).
Xie Mingjun yakoresheje ibikoresho bitandatu byo guhuza COOK kugirango avurwe, hamwe na ligations zose, kandi inzira yo kubaga yari yoroshye.Nyuma yo kubagwa, subiza umurwayi mubitaro hanyuma ubigishe.kwiyiriza amasaha 24-48,hanyuma urye ibiryo byamazi cyangwa igice cyamazi,buhoro buhoro kwimukira mubiryo byoroshye, kandi ukurikiranire hafi impinduka zumurwayi.
Esophageal variceal ligation (EVL)
Esophageal variceal ligation (EVL)bivuga gukoresha impeta ya reberi ya elastike kugirango ihuze umuzi wamaraso ya varicose iyobowe naendoscope.Esophageal variceal ligation (EVL)ifite ibyiza byaihahamuka rito,gukira vuba, naumutekano muke.Bifite ingaruka zikomeye kubuvuzi bwihutirwa cyangwa bwatoranijwe bwo kuvura abarwayi bafite varise esophageal kandi nuburyo bwiza bwo gukumira amaraso ya Esophageal.
Biravugwa koesophagogastric varicoseni imwe murikwigaragaza of portal hypertension, na 95% ya portal hypertension iterwa nimpamvu zitandukanye zitera cirrhose. Byinshiingorane zikomeyeya esophagogastric varicose imitsi niguturika no kuva amaraso.Iyo umurwayi ahuye n'amaraso ava muri esophageal na gastric varices, kuva amaraso birashobora kubaho vuba kandi kubwinshi.Muri iki gihe, umurwayiirashobora kwerekana hypotension ikabije cyangwa hypovelemic ihungabana, ishoborandetse bigira ingaruka ku mibereho yabo.Nuko rero, niba abarwayi bafite umwijima cirrhose bagaragazaintebe z'umukaranakuruka amaraso, bagomba kwihutira kwivuza.
Igihe cyo kohereza: Gicurasi-10-2024