Ms.Huang(preudonym)ali ndi mbiri ya matenda a chiwindi kwa zaka zambirindiwadutsapo kawiri Endoscopic Variceal Ligation (EVL) chifukwa cha kutuluka kwa esophageal variceal (EVB).Atatulutsidwa, Ms. Huang sanasamalire bwino za matenda ake ndipo sanamuwunikenso mwachangu gastroscopy yake.
Posachedwapa, Ms. Huang nthawi zambiri ankakhala ndi chizungulire, kupweteka m'mimba, kuuma ndi kuwawa pakamwa, kusafuna kudya, komanso kugona usiku. a Jiangxi University of Traditional Chinese Medicine Affiliated Hospital kuti alandire chithandizo cha odwala.gastroscopy yopanda ululu,zomwe zidatsimikizirakupezeka kwa mitsempha ya varicose mu esophagus ndi chapamimba fundus.
Zida zamankhwala zowunikira gastroscopy
Zithunzi zoperekedwa pansi pa gastroscopy
Pambuyo pochitikagastroscopy yopanda ululundi kutsutsa zotsutsana ndi maopaleshoni malinga ndi momwe Ms. Huang alili komanso zizindikiro zachipatala, Xie Mingjun, Wachiwiri kwa Mtsogoleri wa Digestive Department ya Jiangxi University of Traditional Chinese Medicine Affiliated Hospital, analankhulana mozama ndi wodwalayo ndi achibale awo ndikuyesa kuopsa kwake. achibale anavomera kukumanaesophageal variceal ligation (EVL).
Xie Mingjun adagwiritsa ntchito COOK 6 link ligation chipangizo chochizira, chokhala ndi zingwe zonse, ndipo opaleshoniyo inali yabwino.kusala kudya kwa maola 24-48,kenako idyani chakudya chamadzimadzi kapena chamadzimadzi,pang'onopang'ono kusintha kwa chakudya chofewa,ndi kuwunika mosamala momwe wodwalayo akusintha.
Esophageal variceal ligation (EVL)
Esophageal variceal ligation (EVL)amatanthauza kugwiritsa ntchito mphete zotanuka mphira kulumikiza muzu wa varicose mitsempha motsogozedwa ndindi endoscope, zomwe zimayambitsa ischemia, necrosis, ndi kutayika, zomwe zimapangitsa kuti mitsempha ya varicose itseke, kulamulira magazi a mitsempha ya varicose, ndikuchotsa mwamsanga mitsempha ya varicose.Esophageal variceal ligation (EVL)ali ndi ubwino wakuvulala kochepa,kuchira mwamsanga opaleshoni,ndichitetezo chapamwamba.Zimakhudza kwambiri chithandizo chadzidzidzi kapena chosankhidwa cha odwala omwe ali ndi mitsempha ya m'mitsempha ndipo ndi njira yabwino yopewera kutuluka kwa magazi a esophageal variceal.
Zanenedwa kutiesophagogastric varicose mitsemphandi ena mwaziwonetsero zazikulu of portal hypertension,ndipo 95% ya portal hypertension imayamba chifukwa cha zifukwa zosiyanasiyana za cirrhosisvuto lalikulundi esophagogastric varicose mitsemphakuphulika ndi magazi.Wodwala akamatuluka magazi m’mitsempha yakum’mero ndi m’mimba, magazi amatuluka mofulumira ndiponso mochuluka.akhoza kuwonetsa hypotension kwambiri kapena hypovelemic shock, zomwe zikhozangakhale zimakhudza moyo wawo.Chifukwa chake, ngati odwala omwe ali ndi matenda a chiwindi akuwonetsachimbudzi chakudandikusanza magazi, ayenera kupita kuchipatala mwamsanga.
Nthawi yotumiza: May-10-2024