UMallory-Weiss syndrome

Abantu abaninzi baphila ubomi babo, ayengawenzi ngawe. Kodwa sonke siyazi ukuba ukuze aphile ngolonwabo emva, kufuneka uthathe unonophelo impilo yakho. Ezi amaqela, imibhiyozo, emlanjeni utywala, nesilingo rhoqo ukutya into emnandi, kodwa yingozi kakhulu, ebangela umonakalo noqhekeko umzimba womntu. Kwakunjalo amateurs utywala kakhulu amaninzi kukho iingxaki ezinkulu zempilo. Omnye wabo - UMallory-Weiss syndrome. Kwiimeko ezininzi, esi sifo kwenzeka kumadoda abaminyaka yobudala eyi-45-60. Lubonakala, ngaphezu kwabo bonke, ukugabha kunye negazi.

UMallory Weiss syndrome - a discontinuity mucosal kule ndawo phakathi esiswini kunye kuvuleke iminxunya. Uye ezi mpawu zilandelayo:

• gastro-esophageal ukopha ;
• ukhukuliseko esophageal;
• ukuhlanza;
• walunywa obukhulu;
• ukopha omentum engaphantsi;
• isikhumba sakuba umntu;
• silale;
• tachycardia;
• amathuba yokothuka.

Zeziphi izizathu isenokuba ekuqaleni sifo:

- Alcoholism.

- Ukukhulelwa.

- ngokudla.

- ukukhohlela.

- hiccups.

- Ithemba Diaphragmatic.

- blunt trauma esiswini (kwingozi yemoto, bawe kubude, icala).

- bazamile.

- Ukuphalaza okubangelwa ukusetyenziswa ngokugqithiseleyo utywala, i-pancreatitis, kukuzingxala ngokutya, ukunxila ezinganyangekiyo, cholecystitis.

- Umonakalo emphinjeni.

UMallory-Weiss syndrome waxilongwa nje. Xa kuhlalutywa igazi kwanciphisa inani erythrocytes neeplatelets anda ibanjiwe.

Ezibaluleke kakhulu uviwo endoscopic. Inika ithuba ukukujonga longitudinal abana esophageal isifo. Oku kukuvumela ukuba kuyokufunyaniswa isifo kwaye uqale unyango yechaneke ngaphezulu.

Njengomgaqo, UMallory-Weiss syndrome ubonakala kakhulu 'bala'. Ekuqaleni, xa isifo lekhefu, ukuze abe emesis egazini. Kodwa ke oko akuthethi kuthatha ixesha elide, yaye uza kuba kancinane emva koko. Plus - iintlungu esiswini, nto leyo iya kusoloko balandele umguli. Ngokukodwa, ukuba esi sifo sithi singanyangwa, uze uqhubeke nokulinga nxi, ukusela utywala, nokunamathela kwindlela ephosakeleyo yobomi.

kakhulu kunzima ukumisa i UMallory-Weiss syndrome. Unyango kufuneka kwenzeke phakathi ziingcali. Eyona njongo iphambili kukuba ukugqiba ukubuyiselwa umthamo wegazi emzimbeni. Isebenzisa iintlobo crystalloid, izisombululo colloid. Kwimeko ukopha ophezulu, igazi ilawulwa. Kokuba emkhenkceni plasma kunye wapakisha iiseli ezibomvu.

Ingxaki enkulu ukunyanga esi sifo ezophayo rhoqo. Oku wayeka ngokusebenzisa octreotide okanye aminocaproic acid. Yonke into nzima nokuthandwa egabha. Ngenxa yoko, kuba nzima ukusebenzisa iziyobisi ezithile. Uyagabha ichiza enjalo wayeka njenge "metoclopramide" (okanye ngenye "Reglan").

Ukopha wayeka noomatshini esebenzisa Blackmore probe. ukusebenza Hemostatic ifunyanwa ngenxa ucinezelo of ukopha imithambo kuvuleke iminxunya.

Kukho iimeko enzima kakhulu zesi sifo, leyo, phezu kwezi ndlela, ukopha akayeki. Ngoko sebenzisa iindlela endoscopic lwezitishi yayo: argon-plasma coagulation, electrocoagulation, tubal, clip izitya obkalyvanie indawo epinephrine ukopha, kwakunye nendibaniselwano iindlela ezahlukeneyo.

Kwiimeko ezinzima, la manyathelo ngempumelelo, kwaye zifuna utyando. Amaninzi ekucetyiswa suturing of ukopha kwiinqanawa gastrotomy.

Soloko Kuhle ukukhumbula ukuba sifo kulula ukunqanda kunokuba ukunyangeka. Thatha nokuzikhathalela wena, kwaye musa ukuba bachithe ixesha kunye nemali kwi oogqirha kunye namayeza.