Nksz.Huang(igama elingaphambili)unembali yokuqina kwesibindi iminyaka emininzikwayeuye wagqitha kabini kwi-Endoscopic Variceal Ligation (EVL) ngenxa yokopha kwe-esophageal variceal(EVB).Emva kokukhutshwa, uNksz Huang akazange ahlawule ngokwaneleyo ukunyamekela imeko yakhe kwaye akazange ahlolisise i-gastroscopy yakhe ngokukhawuleza.
Kutshanje, uNksz.Huang udla ngokuba nesiyezi, iintlungu zesisu, umlomo owomileyo nokrakra, ukungakucaceli ukutya, nokungalali kakuhle ebusuku. Iimpawu zakhe bezizingisa kwaye azikwazi kubuyiselwa, zichaphazela umgangatho wobomi bakhe. Ngoko ke, weza kwiSebe Lokutya yeYunivesithi yaseJiangxi yeSibhedlele seSintu saseTshayina esiManyano neSibhedlele soNyango lwezigulana. Emva kokwamkelwa, kwaphuculwa iimvavanyo ezifanelekileyo kunye neemviwo, kubandakanywai-gastroscopy engenabuhlungu,eqinisekisiweyoubukho bemithambo ye-varicose kwi-esophagus kunye ne-gastric fundus.
Izixhobo zonyango zokuhlolwa kwe-gastroscopy
Imifanekiso evezwa phantsi kwe-gastroscopy
Emva kokwenzai-gastroscopy engenabuhlungukunye nokuphelisa izithintelo zotyando ezisekelwe kwimeko kaNks. Huang kunye neempawu zeklinikhi, u-Xie Mingjun, uSekela Mlawuli weSebe leDigestive leDyunivesithi yaseJiangxi yeSibhedlele esiNxibeleneyo neSibhedlele saseTshayina, unxibelelane ngokupheleleyo nesigulana kunye namalungu osapho lwaso kwaye baqhuba uvavanyo lomngcipheko. amalungu entsapho avuma ukudlulaummizo we-variceal ligation (EVL).
U-Xie Mingjun wasebenzisa i-COOK i-6 yesixhobo sokudibanisa ikhonkco kunyango lwe-ligation, kunye netotali ye-ligations, kwaye inkqubo yotyando yayigudileyo.ukuzila ukutya iiyure ezingama-24-48,emva koko utye ukutya okungamanzi okanye okungamanzi,ngokuthe ngcembe utshintshela kukutya okuthambileyo,kwaye iliso elibukhali imeko yesigulana iyatshintsha.
I-Esophageal variceal ligation (EVL)
I-Esophageal variceal ligation (EVL)ibhekisa kusetyenziso lweringi yerabha elastiki ukuhlanganisa ingcambu yemithambo yevaricose phantsi kolwalathiso lwei-endoscopeI-ischemia, i-necrosis, kunye ne-detachment, ebangela ukuvaleka kwe-varicose vein occlusion, ukulawula ukopha okusebenzayo kwe-variceal, kunye nokuphelisa ngokukhawuleza i-varicose veins.I-Esophageal variceal ligation (EVL)ineenzuzo zeumonzakalo omncinci,ukuchacha ngokukhawuleza kotyando, kwayeukhuseleko oluphezulu.Unempembelelo ebalulekileyo kwingozi okanye unyango olukhethiweyo lwezigulane ezine-esophageal varices kwaye yindlela esebenzayo yokuthintela ukopha kwe-esophageal variceal.
Kuxelwe ukubaesophagogastric varicose emithanjenizezinye zeizibonakaliso eziphambili of i-portal hypertension,kunye ne-95% ye-portal hypertension ibangelwa izizathu ezahlukeneyo ze-cirrhosis.Eyona ntoingxaki enkulukwimithambo varicose esophagogastric yiukugqabhuka nokopha.Xa isigulane sifumana ukopha kwi-esophageal kunye ne-gastric varices, ukopha kuyenzeka ngokukhawuleza kwaye kuninzi.Ngeli xesha, isigulaneinokubonisa i-hypotension enzima okanye ukothuka kwe-hypovelemic,enokuthikwanokuchaphazela ubomi babo.Ngoko ke, ukuba izigulane ezine-cirrhosis yesibindi zibonisailindle elimnyamakwayeukuhlanza igazi, bafanele bafune unyango ngokukhawuleza.
Ixesha lokuposa: May-10-2024