Kodi Mallory-Weiss Syndrome, zimayambitsa, zizindikiro ndi chithandizo
Zamkati
Matenda a Mallory-Weiss ndi matenda omwe amadziwika ndi kuwonjezeka kwadzidzidzi kwam'mero, komwe kumatha kuchitika chifukwa cha kusanza pafupipafupi, kutsokomola kwambiri, kulakalaka kapena kusokonekera kosalekeza, komwe kumabweretsa kupweteka m'mimba kapena pachifuwa ndikusanza ndi magazi.
Chithandizo cha matendawa chikuyenera kutsogozedwa ndi gastroenterologist kapena dokotala wamba malinga ndi zisonyezo zomwe munthuyo akuwonetsa komanso kuwopsa kwa magazi, ndipo nthawi zambiri kumakhala kofunikira kuti munthuyo alandiridwe kuchipatala kuti alandire zokwanira chisamaliro ndi zovuta zimapewa.
Zomwe zimayambitsa matenda a Mallory-Weiss
Matenda a Mallory-Weiss amatha kuchitika chifukwa cha vuto lililonse lomwe limakulitsa kupanikizika, chifukwa chachikulu chomwe chimayambitsa:
- Bulimia wamanjenje;
- Chifuwa chachikulu;
- Zovuta zonse;
- Kuledzera kosatha;
- Kugunda kwamphamvu pachifuwa kapena pamimba;
- Matenda am'mimba;
- Zotupa;
- Khama lalikulu;
- Reflux wam'mimba.
Kuphatikiza apo, matenda a Mallory-Weiss amathanso kulumikizana ndi hiatus hernia, yomwe imafanana ndi kachigawo kakang'ono kamene kamapangidwa pomwe gawo la m'mimba limadutsa pamalo ochepa, hiatus, komabe maphunziro ena akuyenera kuchitidwa kuti atsimikizire kuti hiatus hernia ndichimodzi mwazomwe zimayambitsa matenda a Mallory-Weiss. Dziwani zambiri za hiatus hernia.
Zizindikiro zazikulu
Zizindikiro zazikulu za matenda a Mallory-Weiss ndi:
- Kusanza ndi magazi;
- Mdima wakuda kwambiri komanso wonunkha;
- Kutopa kwambiri;
- Kupweteka m'mimba;
- Nsautso ndi chizungulire.
Zizindikirozi zitha kuwonetsanso mavuto ena am'mimba, monga zilonda zam'mimba kapena gastritis, mwachitsanzo, motero tikulimbikitsidwa kuti mupite kuchipinda chodzidzimutsa kuti mukakhale ndi endoscopy, kuti mupeze vuto ndikuyamba chithandizo choyenera.
Kodi chithandizo
Chithandizo cha matenda a Mallory-Weiss chiyenera kutsogozedwa ndi gastroenterologist kapena dokotala wamba ndipo nthawi zambiri amayamba kulowetsedwa kuchipatala kuti asiye kutuluka magazi ndikukhazikitsa thanzi la wodwalayo. Mukamagonekedwa mchipatala, pangafunike kulandira seramu mwachindunji mumthambo kapena kuthiridwa magazi kuti mulipirire kutaya magazi ndikuletsa wodwalayo kuti asachite mantha.
Chifukwa chake, atakhazikitsa vutoli, dokotalayo amapempha endoscopy kuti awone ngati chotupacho chikupitilizabe kutuluka magazi. Kutengera ndi zotsatira za endoscopy, chithandizo ndichofunikira motere:
- Kuvulala kwamagazi: dotolo amagwiritsa ntchito kachipangizo kakang'ono kamene kamagwera m'chiwiya chotchedwa endoscopy kuti atseke mitsempha yomwe yawonongeka ndikutaya magazi;
- Kuvulala kosatulutsa magazi: gastroenterologist imapereka mankhwala osakaniza, monga Omeprazole kapena Ranitidine, kuteteza malo ovulala ndikuwongolera machiritso.
Kuchita opaleshoni ya matenda a Mallory-Weiss kumangogwiritsidwa ntchito pamavuto ovuta kwambiri, pomwe dokotala sangathe kuimitsa kutuluka kwa magazi nthawi ya endoscopy, yomwe imafuna kuchitidwa opareshoni kuti akokere chotupacho. Mukalandira chithandizo, adokotala amathanso kusanja nthawi zingapo ndi mayeso ena endoscopy kuti awonetsetse kuti chotupacho chikuchira bwino.