Ms.Huang(inoa mua)he moʻolelo o ka ate cirrhosis no nā makahiki he nuiaua loaʻa ʻelua mau manawa ʻo Endoscopic Variceal Ligation (EVL) ma muli o ke kahe koko o ka esophageal (EVB).Ma hope o ka hoʻokuʻu ʻia ʻana, ʻaʻole i mālama pono ʻo Ms.Huang i ka mālama ʻana i kona kūlana a ʻaʻole i nānā koke i kāna gastroscopy.
I kēia mau lā, ua ʻike pinepine ʻo Ms. Huang i ka noʻonoʻo, ka ʻeha ʻōpū, ka waha maloʻo a ʻawaʻawa, ka ʻai ʻole, a me ka hiamoe maikaʻi ʻole i ka pō. Ua hoʻomau ʻia kāna mau hōʻailona a ʻaʻole hiki ke hoʻihoʻi ʻia, pili nui i kona ʻano o ke ola. No laila, hele mai ʻo ia i ke Keʻena Digestive o Jiangxi University of Traditional Chinese Medicine Affiliated Hospital no ka mālama ʻana i ka maʻi maʻi.gastroscopy ʻeha ʻole, ka mea i hooiaioka loaʻa ʻana o nā veins varicose i loko o ka esophagus a me ka gastric fundus.
Lapaʻau lapaʻau no ka hoʻokolokolo gastroscopy
Hōʻike ʻia nā kiʻi ma lalo o ka gastroscopy
Ma hope o ke kau ʻanagastroscopy ʻeha ʻolea me ka hoʻoholo ʻana i nā contraindications surgical e pili ana i ke kūlana o Ms.Huang a me nā hōʻailona lapaʻau, Xie Mingjun, Hope Luna Hoʻokele o ka Digestive Department o Jiangxi University of Traditional Chinese Medicine Affiliated Hospital, kamaʻilio piha me ka mea maʻi a me nā lālā o ko lākou ʻohana a alakaʻi i kahi loiloi pilikia. ua ʻae nā lālā o ka ʻohana e hanaʻO ka ligation variceal esophageal (EVL).
Ua hoʻohana ʻo Xie Mingjun i ka COOK ʻeono link ligation device no ka mālama ligation, me ka nui o nā ligations, a maʻalahi ke kaʻina hana.e hoʻokēʻai no nā hola 24-48,a laila e ʻai i ka meaʻai wai a i ʻole semi-wai,e hoʻololi mālie ana i ka meaʻai palupalu,a nānā pono i nā loli o ka maʻi.
ʻO ka ligation variceal esophageal (EVL)
ʻO ka ligation variceal esophageal (EVL)e pili ana i ka hoʻohana ʻana i ke apo lāʻau elastic e hoʻopaʻa i ke kumu o kahi vein varicose ma lalo o ke alakaʻi ʻana ahe endoscope, e hoʻoulu ai i ka ischemia, ka necrosis, a me ka wehe ʻana, ka hopena i ka occlusion vein varicose, ka mālama ʻana i ke koko variceal ikaika, a me ka hoʻopau koke ʻana i nā veins varicose.ʻO ka ligation variceal esophageal (EVL)loaʻa nā pono ohōʻeha liʻiliʻi,hoʻōla ʻoki wikiwiki,apalekana kiʻekiʻe.He hopena koʻikoʻi ia i ka lāʻau ulia pōpilikia a koho paha i nā maʻi me nā varices esophageal a he ala kūpono ia no ka pale ʻana i ke koko variceal esophageal.
Ua hōʻike ʻianā veins varicose esophagogastrickekahi o nanā hōʻike nui of puka hypertension, a ʻo 95% o ka hypertension portal ma muli o nā kumu like ʻole o ka cirrhosis. ʻO ka hapa nuipilikia nuiʻO nā veins varicose esophagogastricnaha a me ke koko.Ke ʻike ka mea maʻi i ke kahe ʻana o ke koko mai nā varices esophageal a me ka ʻōpū, hiki i ke koko ke hiki koke a me ka nui nui. I kēia manawa, ka mea maʻihiki ke hōʻike i ka hypotension koʻikoʻi a i ʻole ka haʻalulu hypovelemic, ka mea hikipili i ko lakou ola.No laila, inā hōʻike nā maʻi me ka cirrhosis ateʻeleʻele stoolsaluaʻi koko, pono lākou e ʻimi koke i ka lāʻau lapaʻau.
Ka manawa hoʻouna: Mei-10-2024