Lub hauv paus rau phau ntawv
Cov tsos mob tshwm sim ntawm cov kev tshwm sim tseem ceeb yog cov ntshav hauv cov quav, qhov mob caj dab, poob thiab khaus, uas cuam tshuam rau qhov zoo ntawm lub neej. Thaum muaj mob hnyav, nws tuaj yeem ua rau tib neeg raug mob hemorroby thiab mob siab phem los ntawm cov quav. Tam sim no, kev saib xyuas kev kho mob yog feem ntau yog raws li tshuaj, thiab kev phais mob yuav tsum muaj nyob rau hauv cov neeg mob hnyav.
Kev Kho Mob Endoscopic yog kev tsim kho tshiab tshiab nyob rau hauv xyoo tsis ntev los no, uas yog qhov haum rau nyom cov tsev kho mob. Niaj hnub no, peb yuav nthuav tawm thiab txheeb tawm.
1. Kev kuaj mob, kev kho mob anatomy thiab yav dhau los ntawm cov hemorrhoids
Kev kuaj mob ntawm cov hemorrhoids
Kev kuaj mob ntawm cov hemorrhoids feem ntau yog raws li keeb kwm, tshuaj xyuas, cov ntsuas kev ntsuas kev ntsuas thiab kev ua yeeb yam. Hais txog keeb kwm kev kho mob, nws yog qhov yuav tsum muaj kev mob siab, ntshav tawm, txawm tias muaj qhov quav ntawm portal o, thiab lwm yam digital Kev tshuaj ntsuam yuav tsum to taub qhov nruj ntawm lub qhov quav thiab seb puas muaj kev ntseeg. Txoj hnyuv yuav tsum paub txog lwm yam kab mob xws li qog, mob paug, thiab lwm yam uas ua rau los ntshav. Kev faib tawm thiab cov qhab nia ntawm cov hemorrhoids
Muaj peb hom hemorrhoids: sab hauv cov hemorrhoids, sab nraud hemorrhoids sab nraud, thiab cov hemorrhoids sab nraud.
Hemorrhoids: sab hauv, sab nraud, thiab sib xyaw cov hemorrhoids
Hemorrhoids tuaj yeem faib rau qib I, II, III, thiab IV. Nws yog muab qhab nia raws li kev sib deev, hemorrhoid tawm thiab rov qab los.
Qhov ntsuas pom rau kev kho mob endoscopic yog qib I, II, thiab III sab hauv hemorrhoids, thaum cov nyom ntawm cov hemorrhoids, thiab sib xyaw cov hemorrhoids sab nraud, thiab kev sib xyaw rau kev kho mob rau endoscopic. Qhov faib tawm ntawm kev kho endoscopic yog kab hniav.
Anatomy ntawm hemorrhoids
Anal kab, cov ntaub pua hniav, thiab cov hemorrhoids, thiab cov hemorrhoids uas endoscopists yuav tsum muaj kev paub. Endoscopic kev txheeb xyuas kom muaj qee qhov kev paub dhau los. Daim txhuam hniav yog qhov kev sib tshuam ntawm cov anal squamous epithelium thiab cov kab kev hloov pauv ntawm txoj kab kev sib tw thiab cov kab hniav hloov pauv los ntawm cov kab ntawv txuas ntxiv tab sis tsis yog innervated los ntawm lub cev. Yog li ntawd, kev kho endoscopic yog nyob ntawm daim hniav kab. Kev kho Endoscopic tuaj yeem ua nyob rau hauv cov hniav kab, thiab kev kho mob endoscopic tsis tuaj yeem ua sab nraum daim hniav kab.
Daim duab 1.Lub frontal saib ntawm daim hniav kab hauv qab endoscope. Cov xub daj txuas rau cov kab lus tseem ceeb xyoo, cov xub thawj dawb taw qhia rau lub anal kem thiab nws longitudinal network, thiab tus liab xub taw rau lub qhov quav
1a:Dawb lub teeb duab;1B:Varrowband lub teeb tsom
Daim Duab 2Kev soj ntsuam ntawm lub qhov quav uas nrov plig plawg (cov xub liab) thiab qis kawg ntawm lub anal kem (cov xub thawj (tus xub liab) raws lub tshuab tsom
Daim duab 3Soj ntsuam ntawm Anal Papilla raws lub tshuab tsom (tus xub daj)
Daim duab 4.Tus kab quav thiab kab hniav tau pom los ntawm kev thim rov qab endoscopy. Tus xub daj taw rau daim hniav kab, thiab cov xub dub taw rau txoj kab caj pas.
Cov ntsiab lus ntawm qhov quav papilla thiab ncej hluav taws xob tau siv dav hauv kev phais mob hauv lub cev thiab yuav tsis rov qab ua dua ntawm no.
Lub classic kev kho mob ntawm cov hemorrhoids:Muaj ntau yeej muaj kev saib xyuas thiab phais mob. Kev kho tshuaj lom neeg suav nrog cov tshuaj hauv Perianal thiab sitz da dej, thiab cov txheej txheem phais tshuaj no tsuas yog suav hemorrhoidectomy thiab stapled excision (pph). Vim tias kev phais mob phais tau ntau dua, cov nyhuv yog qhov ruaj khov, thiab qhov kev pheej hmoo me, tus neeg mob yuav tsum tau pw hauv tsev kho mob rau 3-5 hnub.
2. Endoscopic kho mob ntawm sab hauv hemorrhoids
Qhov sib txawv ntawm cov kev kho mob endoscopic ntawm sab hauv hemorrhoids thiab EGV kev kho mob:
Lub hom phiaj ntawm kev kho mob endoscopic ntawm esophagogastric kev kho mob yog varicose cov hlab ntshav sab hauv, tab sis hemorrhoids tau los ntawm cov hlab ntshav thiab cov hlab ntaws cov ntaub so ntswg. Kev kho mob ntawm cov hemorrhoids yog txo cov tsos mob, nqa lub anal ncoo uas txav mus los ntawm "tua txhua yam tawm" yog nquag mus rau anal stenosis).
Lub hom phiaj ntawm kev kho endoscopic: txhawm rau txhawm rau lossis tshem tawm cov tsos mob, tsis txhob tshem tawm cov kev hemorrhoids.
Kev Kho Mob Endoscopic suav nrogsclerotherapythiabband ligation.
Txog kev kuaj mob thiab kev kho mob ntawm sab hauv cov hemorrhoids, txoj hnyuv yuav siv rau kev soj ntsuam, thiab gastroscope kom kho. Ib qho ntxiv, raws li qhov teeb meem tiag tiag ntawm txhua lub tsev kho mob, koj tuaj yeem xaiv kho mob lossis kho mob hauv nroog.
①SClerOpy (pab los ntawm pob tshab cap)
Tus neeg sawv cev sclerosing yog LauryL Cawv Kev Txhaj Tshuaj, thiab Ua Npuas Ncauj LauryL Kev Txhaj Tshuaj Cab Cawv kuj yuav siv tau. Nws tseem tsim nyog siv cov ntawv sau xiav ntawm Methylene Xiav xiav raws li tus neeg sawv cev uas ploj lawm kom nkag siab txog kev coj ua thiab kev pov hwm ntawm tus neeg sawv cev sclerosing.
Lub hom phiaj ntawm lub pob tshab cap yog kom nthuav dav teb ntawm lub zeem muag. Kev txhaj koob txhaj tshuaj tuaj yeem xaiv los ntawm kev txhaj tshuaj tiv thaiv kev txhaj tshuaj. Feem ntau, qhov ntev ntawm rab koob yog 6 hli. Cov kws kho mob uas tsis tau paub dhau los yuav tsum sim ua kom tsis txhob siv rab koob txhaj ntev, vim tias txoj kev txhaj koob hno ntev, vim ntev txhaj tshuaj ectopic thiab txhaj tshuaj. Kev pheej hmoo tob thiab ua rau ib qho kev ua pa rau hauv lub nroog thiab mob.
Qhov kev txhaj tshuaj pom yog xaiv saum toj ntawm daim txhuam hniav, thiab txhaj koob hno txoj haujlwm nyob ntawm lub hauv paus ntawm lub hom phiaj hemorrhoid. Lub rab koob tau ntxig rau ntawm 30 ° ~ 40 ° poob qis kev pom (hauv ntej lossis rov qab tau tob tob rau hauv lub hauv paus ntawm cov hemorrhoid. Ua ib pawg tawv tawv ntawm lub hauv paus ntawm cov kev hemorrhoid, rho tawm rab koob thaum txhaj, txog 0.5 ~ 2ml, thiab tsum tsis txhob txhaj tshuaj Tom qab txhaj tau dhau, saib seb puas muaj los ntshav ntawm qhov chaw txhaj tshuaj.
Endoscopic sclerotherapy suav nrog lub iav tsom iav txhaj tshuaj thiab inverted daim iav txhaj. Feem ntau, inverted daim iav txhaj yog lub ntsiab.
Bling bling kev kho
Feem ntau, ntau lub nplhaib cov khoom siv luj siv yog siv, tsis muaj ntau tshaj xya lub nplhaib ntawm feem ntau. Cov kev ua si yog ua ntawm 1 txog 3 cm saum toj no kab hniav, thiab cov kev ua lase feem ntau tau pib nyob ze ntawm cov kab caj ces. Nws tuaj yeem yog cov kua txob ua pauj lossis kev ua haujlwm ua kom muaj kev sib xyaw ua ke lossis sib xyaw ua ke. Cov paib Inverted Lige yog txoj kev tseem ceeb, feem ntau 1-2 zaug, nrog ib ntu ntawm li 1 lub hlis.
Kev kho mob periperative: Kev yoo mov tsis tas yuav tsum tau tom qab ua haujlwm, tswj cov quav du, thiab tsis txhob muaj lub zog zaum thiab kev ua haujlwm hnyav. Kev siv cov tshuaj tua kab mob tsis tas yuav.
3. Cov teeb meem tam sim no thiab cov teeb meem uas twb muaj lawm ntawm cov nyom tsev kho mob
Yav dhau los, txoj haujlwm tseem ceeb rau kev kho mob ntawm cov hemorrhoids nyob hauv lub chaw haujlwm hauv lub tuam tsev. Kev kho lub cev hauv lub tuam txhab muaj xws li kev txhaj tshuaj, txhaj tshuaj rau kev phais mob, thiab kev phais mob.
Cov plab zom mov kawg yog qhov paub dhau los ntawm kev txheeb xyuas ntawm Peratomy nyob rau Endoscopy nyob rau Endoscopic muaj kev txwv (tsuas yog kev hemorrhoids muaj peev xwm kho). Kev phais mob kuj yuav tsum tau ua kom tag nrho cov kev rov qab, uas tau dhau los ua qhov nyuaj hauv txoj haujlwm ntawm txoj haujlwm.
Hauv kev tshawb xav, endoscopic kho mob ntawm sab hauv hemorrhoids yog tsim nyog rau cov tsev kho mob thawj, tab sis hauv kev coj ua, nws tsis yog ntau npaum li xav.
Peb, jiangxi zhuoruihua ntsuas ntsuas Co., Ltd.Biopsy Forceps, hemoclip, Poly Snare, sclerotherapy koob, Txau catheter, Cytology txhuam, tus taw, Pob zeb rov qab pob tawb, nasal biliary catheterlwm yam uas tau siv dav hauvEMR, ESD, ERCPCov. Peb cov khoom muaj cov ntawv pov thawj CE, thiab peb cov nroj tsuag yog hoo muaj ntawv pov thawj. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab dav tau txais cov neeg siv khoom ntawm kev lees paub thiab qhuas!
Lub Sijhawm Post: Jul-11-2022