Mallory-Weiss akung'amba

Misozi ya Mallory-Weiss imapezeka m'matumbo am'munsi mwa kum'mero ​​kapena kumtunda kwa m'mimba, pafupi ndi pomwe amalumikizana. Misozi ikhoza kutuluka magazi.

Mallory-Weiss misozi nthawi zambiri imayamba chifukwa cha kusanza mwamphamvu kapena kwanthawi yayitali kapena kutsokomola. Angakhalenso chifukwa cha khunyu.

Chikhalidwe chilichonse chomwe chimayambitsa kukwawa kapena kusanza kwa nthawi yayitali chikhoza kuyambitsa misozi.

Zizindikiro zimaphatikizapo:

• Zojambula zamagazi
• Kusanza magazi (ofiira owala)

Mayeso atha kuphatikiza:

• CBC, mwina kuwonetsa kuchepa kwa magazi
• Esophagogastroduodenoscopy (EGD), yomwe imayenera kuchitika ngati magazi akutuluka

Nthawi zambiri misozi imachira pakatha masiku ochepa osalandira chithandizo. Misozi imathanso kukonzedwa ndi tinthu tomwe timayikidwa mu EGD. Kuchita opaleshoni sikofunikira kwenikweni. Mankhwala omwe amaletsa m'mimba asidi (proton pump inhibitors kapena H₂ blockers) atha kupatsidwa, koma sizikudziwika ngati ali othandiza.

Ngati kutaya magazi kwakhala kwakukulu, kuthiridwa magazi kumafunika. Nthawi zambiri, magazi amatuluka popanda chithandizo mkati mwa maola ochepa.

Kutuluka magazi mobwerezabwereza sikwachilendo ndipo zotsatira zake nthawi zambiri zimakhala zabwino. Cirrhosis ya chiwindi komanso mavuto am'magazi oundana amachititsa kuti magawo amtsogolo amwazi atulukire.

Kutaya magazi (kutaya magazi)

Itanani foni kwa omwe akukuthandizani mukayamba kusanza magazi kapena mukadutsa ndowe zamagazi.

Mankhwala othandizira kusanza ndi kutsokomola atha kuchepetsa ngozi. Pewani kumwa mowa mopitirira muyeso.

Kuphulika kwa mucosal - mphambano yam'mimba

• Dongosolo m'mimba
• Mallory-Weiss akung'amba
• Kutsegula m'mimba ndi m'mimba

Katzka DA. Matenda a Esophageal omwe amayamba chifukwa cha mankhwala, zoopsa, komanso matenda. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 46.

Kovacs TO, Jensen DM. Kutaya magazi m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 135.