Kev Taw Qhia
Cov tsos mob tseem ceeb ntawm cov hemorrhoids yog ntshav hauv cov quav, mob qhov quav, poob thiab khaus, thiab lwm yam, uas cuam tshuam rau lub neej zoo. Hauv cov xwm txheej hnyav, nws tuaj yeem ua rau cov hemorrhoids raug kaw thiab mob ntshav tsis txaus vim yog ntshav hauv cov quav. Tam sim no, kev kho mob kom zoo feem ntau yog siv tshuaj, thiab kev phais mob yog qhov yuav tsum tau ua rau cov xwm txheej hnyav.
Kev kho mob Endoscopic yog ib txoj kev kho mob tshiab uas tau tsim nyob rau xyoo tas los no, uas yog qhov tsim nyog dua rau cov tsev kho mob hauv paus. Hnub no, peb yuav sau luv luv thiab txheeb xyuas.
1. Kev kuaj mob, qauv cev thiab kev kho mob hemorrhoids yav dhau los
Kev kuaj mob ntawm Hemorrhoids
Kev kuaj mob ntawm cov hemorrhoids feem ntau yog raws li keeb kwm, kev tshuaj xyuas, kev kuaj xyuas qhov quav digital thiab kev kuaj mob plab hnyuv. Hais txog keeb kwm kho mob, nws yog ib qho tsim nyog los nkag siab txog qhov mob qhov quav, ntshav hauv cov quav, cov ntshav tawm thiab rov qab los, thiab lwm yam. Kev tshuaj xyuas feem ntau nkag siab txog qhov tsos ntawm cov hemorrhoids, seb puas muaj qhov quav fistula ntawm perianal o, thiab lwm yam, thiab kev kuaj mob plab hnyuv digital yuav tsum nkag siab txog qhov nruj ntawm qhov quav thiab seb puas muaj induration. Colonoscopy yuav tsum paub txog lwm yam kab mob xws li qog, ulcerative colitis, thiab lwm yam uas ua rau los ntshav. Kev faib tawm thiab qib ntawm cov hemorrhoids
Muaj peb hom hemorrhoids: hemorrhoids sab hauv, hemorrhoids sab nraud, thiab hemorrhoids sib xyaw.
Hemorrhoids: Sab Hauv, Sab Nraud, thiab Mixed Hemorrhoids
Cov kab mob hemorrhoids muaj peev xwm muab faib ua qib I, II, III, thiab IV. Nws raug faib ua qib raws li kev txhaws, kev ntws tawm ntawm cov kab mob hemorrhoids thiab kev rov qab los.
Cov cim qhia rau kev kho mob endoscopic yog qib I, II, thiab III cov hemorrhoids sab hauv, thaum qib IV cov hemorrhoids sab hauv, cov hemorrhoids sab nraud, thiab cov hemorrhoids sib xyaw yog cov kev tsis pom zoo rau kev kho mob endoscopic. Txoj kab faib ntawm kev kho mob endoscopic yog txoj kab dentate.
Kev kuaj mob ntawm cov ntshav txhaws
Kab qhov quav, kab hniav, daim ntaub qhov quav, thiab cov mob hemorrhoids yog cov tswv yim uas cov kws kho mob endoscopist yuav tsum paub txog. Kev txheeb xyuas Endoscopic xav tau qee qhov kev paub dhau los. Kab hniav yog qhov sib txuas ntawm cov epithelium squamous anal thiab cov epithelium columnar, thiab thaj chaw hloov pauv ntawm kab qhov quav thiab kab hniav yog npog los ntawm cov epithelium columnar tab sis tsis tau innervated los ntawm lub cev. Yog li ntawd, kev kho mob endoscopic yog raws li kab hniav. Kev kho mob Endoscopic tuaj yeem ua tau hauv kab hniav, thiab kev kho mob endoscopic tsis tuaj yeem ua tau sab nraum kab hniav.
Daim Duab 1.Lub zeem muag pem hauv ntej ntawm txoj kab hniav hauv qab lub endoscope. Tus xub daj taw tes rau txoj kab hniav annular serrated, tus xub dawb taw tes rau txoj kab anal thiab nws cov hlab ntsha longitudinal, thiab tus xub liab taw tes rau lub qhov quav valve.
1A:duab teeb dawb;1B:Kev Thaij Duab Teeb Narrowband
Daim Duab 2Kev soj ntsuam ntawm daim tawv nqaij ntawm qhov quav (xub liab) thiab qhov kawg ntawm txoj kab qhov quav (xub dawb) raws li lub tshuab microscope
Daim Duab 3Kev soj ntsuam ntawm lub qhov quav papilla raws li lub tshuab microscope (xub daj)
Daim Duab 4.Tau pom txoj kab qhov quav thiab txoj kab hniav los ntawm kev siv lub koob yees duab rov qab. Tus xub daj taw rau txoj kab hniav, thiab tus xub dub taw rau txoj kab qhov quav.
Cov tswv yim ntawm anal papilla thiab anal column yog siv dav hauv kev phais anorectal thiab yuav tsis rov ua dua ntawm no.
Kev kho mob ntawm cov hemorrhoids classic:Feem ntau muaj kev kho mob txuag thiab kev phais. Kev kho mob txuag suav nrog kev siv tshuaj perianal thiab kev zaum hauv dej, thiab cov txheej txheem phais feem ntau suav nrog kev kho mob hemorrhoidectomy thiab kev txiav cov stapled excision (PPH). Vim tias kev phais yog qhov qub dua, qhov cuam tshuam ruaj khov, thiab qhov kev pheej hmoo me me, tus neeg mob yuav tsum tau pw hauv tsev kho mob li 3-5 hnub.
2. Kev kho mob endoscopic ntawm cov hemorrhoids sab hauv
Qhov sib txawv ntawm kev kho mob endoscopic ntawm cov hemorrhoids sab hauv thiab kev kho mob EGV:
Lub hom phiaj ntawm kev kho mob endoscopic ntawm cov hlab ntsha esophagogastric yog cov hlab ntsha varicose, thiab lub hom phiaj ntawm kev kho mob hemorrhoid sab hauv tsis yog cov hlab ntsha yooj yim, tab sis hemorrhoids ua los ntawm cov hlab ntsha thiab cov ntaub so ntswg sib txuas. Kev kho mob hemorrhoids yog kom txo cov tsos mob, tsa lub qhov quav uas txav mus rau hauv qab, thiab zam kev mob xws li qhov quav stenosis los ntawm kev ploj ntawm hemorrhoids (lub hauv paus ntsiab lus ntawm "tua txhua yam tawm" yog qhov ua rau qhov quav stenosis).
Lub hom phiaj ntawm kev kho mob endoscopic: Txhawm rau kom txo lossis tshem tawm cov tsos mob, tsis yog tshem tawm cov hemorrhoids.
Kev kho mob endoscopic suav nrogkev kho mob sclerotherapythiabkev khi hlua khi.
Rau kev kuaj mob thiab kho cov mob hemorrhoids sab hauv, kev siv colonoscopy los kuaj mob, thiab kev siv gastroscope los kho mob kuj pom zoo. Tsis tas li ntawd xwb, raws li qhov xwm txheej tiag tiag ntawm txhua lub tsev kho mob, koj tuaj yeem xaiv kev kho mob sab nraud lossis kev kho mob hauv tsev kho mob.
①Sclerotherapy (pab los ntawm lub hau pob tshab)
Tus neeg sawv cev sclerosing yog lauryl cawv txhaj tshuaj, thiab ua npuas ncauj lauryl cawv txhaj tshuaj kuj tseem siv tau. Nws tseem yog qhov tsim nyog los siv kev txhaj tshuaj methylene xiav submucosal ua tus neeg sawv cev uas ploj lawm kom nkag siab txog kev ntws thiab kev npog ntawm tus neeg sawv cev sclerosing.
Lub hom phiaj ntawm lub hau pob tshab yog kom nthuav qhov pom kev. Cov koob txhaj tshuaj tuaj yeem xaiv los ntawm cov koob txhaj tshuaj mucosal ib txwm muaj. Feem ntau, qhov ntev ntawm cov koob yog 6 hli. Cov kws kho mob uas tsis muaj kev paub ntau yuav tsum sim tsis txhob siv cov koob txhaj tshuaj ntev, vim tias cov koob txhaj tshuaj ntev yuav ua rau muaj kev txhaj tshuaj ectopic thiab kev txhaj tshuaj. Kev pheej hmoo tob thiab ua rau muaj mob perianal abscesses thiab o.
Qhov chaw txhaj tshuaj raug xaiv saum toj ntawm sab qhov ncauj ntawm txoj kab hniav, thiab qhov chaw ntawm rab koob txhaj tshuaj nyob ntawm lub hauv paus ntawm lub hom phiaj hemorrhoid. Lub koob raug ntxig rau ntawm 30 ° ~ 40 ° nyob rau hauv qhov pom ncaj qha (pem hauv ntej lossis rov qab) ntawm lub endoscope, thiab rab koob raug ntxig tob rau hauv lub hauv paus ntawm hemorrhoid. Ua ib pawg tawv ntawm lub hauv paus ntawm hemorrhoid, rub rab koob thaum txhaj tshuaj, kwv yees li 0.5 ~ 2 mL, thiab tsum txhaj tshuaj kom txog thaum hemorrhoid loj thiab dawb. Tom qab txhaj tshuaj tas, saib seb puas muaj ntshav ntawm qhov chaw txhaj tshuaj.
Kev kho mob sclerotherapy los ntawm kev siv lub koob yees duab endoscopic muaj xws li kev txhaj tshuaj rau ntawm daim iav pem hauv ntej thiab kev txhaj tshuaj rau ntawm daim iav tig rov qab. Feem ntau, kev txhaj tshuaj rau ntawm daim iav tig rov qab yog txoj kev tseem ceeb.
② kev kho mob nrog daim ntaub qhwv
Feem ntau, siv cov khoom siv khi ntau lub nplhaib, tsis pub tshaj xya lub nplhaib. Kev khi ua tiav ntawm 1 txog 3 cm saum txoj kab hniav, thiab kev khi feem ntau pib ze ntawm txoj kab qhov quav. Nws tuaj yeem yog kev khi hlab ntsha lossis kev khi cov hlab ntsha hauv lub qhov ncauj lossis kev khi ua ke. Kev khi daim iav tig rov qab yog txoj kev tseem ceeb, feem ntau yog 1-2 zaug, nrog lub sijhawm sib nrug li 1 lub hlis.
Kev kho mob ua ntej phais: tsis tas yuav yoo mov tom qab phais, ua kom cov quav du, thiab tsis txhob zaum ntev thiab ua haujlwm hnyav. Tsis tas yuav siv tshuaj tua kab mob tas li.
3. Qhov xwm txheej tam sim no thiab cov teeb meem uas twb muaj lawm ntawm cov tsev kho mob hauv paus
Yav tas los, txoj haujlwm tseem ceeb rau kev kho mob hemorrhoids yog nyob rau hauv chav anorectal. Kev kho mob thoob plaws hauv chav anorectal suav nrog kev siv tshuaj kho mob, kev txhaj tshuaj sclerotherapy, thiab kev phais.
Cov kws kho mob plab hnyuv tsis muaj kev paub ntau hauv kev txheeb xyuas qhov perianal anatomy hauv qab endoscopy, thiab cov cim qhia rau kev kho mob endoscopic yog tsawg (tsuas yog cov hemorrhoids sab hauv thiaj li kho tau). Kev phais kuj tseem yuav tsum tau ua kom rov zoo tag nrho, uas tau dhau los ua qhov nyuaj hauv kev tsim kho qhov project.
Hauv kev xav, kev kho mob endoscopic ntawm cov hemorrhoids sab hauv yog qhov tsim nyog rau cov tsev kho mob thawj zaug, tab sis hauv kev xyaum, nws tsis ntau npaum li xav.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip, polyp snare, koob txhaj tshuaj sclerotherapy, tshuaj tsuag catheter, cov txhuam cytology, txoj hlua qhia, pob zeb rov qab tau pob zeb, lub raj xa dej ntawm lub qhov ntswgthiab lwm yam uas siv dav hauvEMR, ESD, ERCPPeb cov khoom muaj daim ntawv pov thawj CE, thiab peb cov nroj tsuag muaj daim ntawv pov thawj ISO. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab tau txais kev lees paub thiab qhuas los ntawm cov neeg siv khoom!
Lub sijhawm tshaj tawm: Lub Xya Hli-11-2022