Mallory-Weiss syndrome

Abantu abaningi abaphila ngayo, hhayi ukunakekela ngawe. Kodwa sonke siyazi ukuthi ukuze siphile ngenjabulo unomphela, kudingeka sinakekele impilo yakho. Lezi zinkampani, imikhosi, utshwala emfuleni, isilingo njalo ukudla okuthile okumnandi, kodwa ilimaze kakhulu, enza umonakalo ongalungiseki umzimba womuntu. Ngaziphebeza nayizimfundamakhwela utshwala avame zikhona izinkinga ezinkulu ngempilo. Omunye wabo - Mallory-Weiss syndrome. Ezimweni eziningi, lesi sifo kwenzeka amadoda abaneminyaka engu 45-60. Lubonakala, ngaphezu kwakho konke, ukuhlanza ngegazi.

Mallory Weiss syndrome - a discontinuity mucosal endaweni phakathi isisu emphinjeni. Anakho zimpawu ezilandelayo:

• gastro-ngomphimbo ukopha ;
• ukuguguleka ngomphimbo;
• ukuhlanza eziphikelelayo;
• okukhulu ubuhlungu besisu;
• ukopha omentum amancane;
• okhanyayo isikhumba umuntu;
• ukucobeka;
• tachycardia;
• kungenzeka ukushaqeka.

Yiziphi izizathu kungaba isiqalo isifo:

- Alcoholism.

- Ukukhulelwa.

- bulimia.

- Khwehlela.

- hiccups.

- hernia Diaphragmatic.

- blunt ukuhlukumezeka besisu (abalimale ezingozini zomgwaqo, i-bokuwa besuka endaweni ephakeme, ayiphulule).

- yokusiza umuntu ukuba aphefumule cardiopulmonary.

- ukuhlanza kubangelwa ngokweqile ukusetshenziswa, pancreatitis, isiminzi, adle ukudakwa okungamahlalakhona, cholecystitis.

- Ukulimala emphinjeni.

Mallory-Weiss syndrome kutholakala ukuthi uphethwe yini nje. Ekuhlaziyeni igazi inciphise inani erythrocyte nama-platelet anda kutholwa.

I eyigugu kakhulu iyona luhlolo endoscopic. Inikeza ithuba ukubuka longitudinal igebe ngomphimbo mucosa. Lokhu kuvumela esinembile Ihlahlubo aqale ukwelashwa.

Njengomthetho, Mallory-Weiss syndrome livela ngempela "amahle". Ekuqaleni, ngesikhathi sekhefu mucosa, igazi kungase kungabi ekhona emesis. Kodwa akuthathi isikhathi eside, futhi ngaso sonke isikhathi kuyoba ngemva kwesikhashana. Plus - ubuhlungu esiswini, okuzokwenza njalo ukuphishekela nesineke. Ikakhulukazi, uma lesi sifo singelashwa, bese uqhubeke lapho elinga ukhanda, ukuphuza utshwala, futhi sinamathela ngendlela engalungile zokuphila.

nzima ukuyeka Mallory-Weiss syndrome. Ukwelashwa okufanele kwenzeke phakathi ochwepheshe. Injongo eyinhloko ukuqedela nokubuyiselwa umthamo wegazi emzimbeni. Isebenzisa ezihlukahlukene crystalloid, izixazululo Colloid. Uma ukopha okusezingeni eliphezulu, ukumpompela. Singasho simisiwe plasma futhi igcwele amangqamuzana abomvu egazi.

Inkinga enkulu ekwelapheni lesi sifo singumbulali ukopha njalo. It is wayeka esebenzisa octreotide noma aminocaproic acid. Konke nzima izikhathi njalo ukuhlanza. Ngenxa yalokhu, kusuka kube nzima ukusebenzisa imithi ethile. Ukuhlanza umuthi onjalo kungenziwa wayeka ngokuthi "metoclopramide" (noma ngenye indlela "Reglan").

Ukopha wayeka bese athutha esebenzisa Blackmore uphenyo. umphumela Hemostatic kufinyelelwa ngenxa yokucinana ezophayo zinto, emphinjeni.

Kukhona amacala eziyinkimbinkimbi kangaka lesi sifo, okuyinto, naphezu Kulezi zindlela ezingenhla, ukopha akumvimbi. zisebenzisa Ngakho izindlela endoscopic iziteshi yayo: argon-plasma coagulation, electrocoagulation, Ligation, ukuwagwinya izitsha obkalyvanie indawo epinephrine ukopha, kanye inhlanganisela yezindlela ezahlukene.

Ezimweni ezinzima ngokukhethekile, lezi zinyathelo kungase kungabi ngempumelelo, futhi kudingeka uhlinzwe. Ngokuvamile Kunconywa suturing imithambo ukopha futhi gastrotomy.

Njalo Kuhle ukukhumbula ukuthi lesi sifo kulula ukuze kuvinjelwe kuka ukwelapha. Zinakekele, futhi akudingeki ukuba uchithe isikhathi nemali odokotela kanye nemithi.