Matenda a Mallory-Weiss

Zamkati

• Zoyambitsa
• Zizindikiro
• Momwe amadziwika
• Chithandizo
• Mankhwala a Endoscopic
• Opaleshoni ndi zina zomwe mungachite
• Mankhwala
• Kupewa matenda a Mallory-Weiss

Kodi Mallory-Weiss syndrome ndi chiyani?

Kusanza koopsa komanso kwakanthawi kumatha kubweretsa misozi pakhungu. M'mero ​​ndi chubu chomwe chimalumikiza khosi lanu kumimba kwanu. Matenda a Mallory-Weiss (MWS) ndi omwe amadziwika ndi misozi m'mimbamo, kapena mkatikati, pomwe pamimba pamakumana. Misozi yambiri imachiritsa pasanathe masiku 7 mpaka 10 osalandira chithandizo, koma misonzi ya Mallory-Weiss imatha kuyambitsa magazi ambiri. Kutengera ndi kulira kwa misozi, kuchitidwa opaleshoni kungakhale kofunikira kukonzanso zomwe zawonongeka.

Zoyambitsa

Zomwe zimayambitsa MWS ndizosanza kwambiri kapena kwakanthawi. Ngakhale kusanza kwamtunduwu kumatha kuchitika ndikudwala m'mimba, kumachitika kawirikawiri chifukwa chomwa mowa mwauchidakwa kapena bulimia.

Zina zimatha kubalanso misozi. Izi zikuphatikiza:

• zoopsa pachifuwa kapena pamimba
• ma hiccups owopsa kapena ataliatali
• kutsokomola kwambiri
• kukweza kwambiri kapena kupsinjika
• gastritis, komwe ndikutupa kwa akalowa m'mimba
• hernia woberekera, womwe umachitika gawo lina m'mimba mwako litadutsa gawo lina la chifundamtima wako
• kusokonezeka

Kulandiranso mtima (CPR) kumathanso kutulutsa misozi.

MWS imafala kwambiri mwa amuna kuposa akazi. Zimachitika kawirikawiri mwa anthu omwe ali chidakwa. Malinga ndi National Organisation for Rare Disways, anthu azaka zapakati pa 40 ndi 60 atha kukhala ndi vuto ili. Komabe, pali milandu ya misozi ya Mallory-Weiss mwa ana ndi achikulire.

Zizindikiro

MWS sikuti nthawi zonse imatulutsa zizindikilo. Izi ndizofala kwambiri pofatsa pomwe misozi ya kholingo imatulutsa magazi ochepa komanso amachira mwachangu popanda chithandizo.

Nthawi zambiri, zizindikilo zimayamba. Izi zingaphatikizepo:

• kupweteka m'mimba
• kusanza magazi, omwe amatchedwa hematemesis
• kukonzanso mwangozi
• chimbudzi chamagazi kapena chakuda

Magazi m'masanzi nthawi zambiri amakhala amdima ndikuundana ndipo amawoneka ngati malo a khofi. Nthawi zina imatha kukhala yofiira, yomwe imawonetsa kuti ndiyatsopano. Magazi omwe amapezeka mchipindacho amakhala amdima ndikuwoneka ngati phula, pokhapokha mutakhala ndi magazi ambiri, pamenepo amakhala ofiira. Ngati muli ndi izi, pitani kuchipatala msanga. Nthawi zina, kutaya magazi kuchokera ku MWS kumatha kukhala kwakukulu komanso koopsa.

Palinso mavuto ena azaumoyo omwe atha kubweretsa zofananira. Zizindikiro zomwe zimakhudzana ndi MWS zitha kukhalanso ndi mavuto otsatirawa:

• Matenda a Zollinger-Ellison, omwe ndi matenda osowa omwe zotupa zing'onozing'ono zimayambitsa zidulo zam'mimba zomwe zimayambitsa zilonda
• Matenda otupa m'mimba, omwe ndi kutupa kwam'mimba komwe kumayambitsa zotupa ngati zilonda
• Kuwonongeka kwa kummero
• zilonda zam'mimba
• Matenda a Boerhaave, omwe amatuluka pammero chifukwa chosanza

Ndi dokotala wanu yekha amene angadziwe ngati muli ndi MWS.

Momwe amadziwika

Dokotala wanu adzakufunsani za zovuta zilizonse zamankhwala, kuphatikiza kumwa mowa tsiku ndi tsiku komanso matenda aposachedwa, kuti mudziwe chomwe chimayambitsa matenda anu.

Ngati zizindikiro zanu zikuwonetsa kutuluka magazi m'mimba, dokotala akhoza kuchita zomwe zimatchedwa esophagogastroduodenoscopy (EGD). Muyenera kumwa mankhwala ochepetsa ululu komanso opha ululu kuti muchepetse kusokonezeka panthawiyi.Dokotala wanu amaika chubu chaching'ono, chosasunthika ndi kamera yolumikizidwa nayo, yotchedwa endoscope, kutsitsa khola lanu ndikulowa m'mimba. Izi zitha kuthandiza dokotala kuti awone m'mimba mwanu ndikuzindikira komwe misozi ili.

Dokotala wanu amathanso kuyitanitsa kuchuluka kwa magazi (CBC) kuti atsimikizire kuchuluka kwa maselo ofiira. Maselo anu ofiira ofiira amachepa ngati mungakhale mukuthira magazi m'mimba. Dokotala wanu athe kudziwa ngati muli ndi MWS kutengera zomwe mwapeza pamayesowa.

Chithandizo

Malinga ndi bungwe la National Organisation for Rare Disways, kutuluka magazi komwe kumadza chifukwa cha misozi kudzaima pakokha pafupifupi 80 mpaka 90% ya milandu ya MWS. Machiritso amapezeka masiku angapo ndipo safuna chithandizo. Koma ngati magazi sasiya, mungafunike imodzi mwa mankhwalawa.

Mankhwala a Endoscopic

Mungafunike mankhwala a endoscopic ngati magazi samayima paokha. Dokotala yemwe akuchita EGD amatha kuchita izi. Zosankha za endoscopic zikuphatikiza:

• mankhwala a jakisoni, kapena sclerotherapy, omwe amapereka mankhwala mpaka misozi kuti atseke mtsempha wamagazi ndikuletsa kutuluka kwa magazi
• coagulation therapy, yomwe imapereka kutentha kuti izitseke pachombocho

Kutaya magazi ochulukirapo kungafune kugwiritsa ntchito kuthiridwa magazi m'malo mwa magazi omwe atayika.

Opaleshoni ndi zina zomwe mungachite

Nthawi zina, mankhwala a endoscopic samakhala okwanira kuimitsa magazi, chifukwa chake njira zina zoletsa kutuluka kwa magazi ziyenera kugwiritsidwa ntchito, monga opaleshoni ya laparoscopic kusoka misozi kutsekedwa. Ngati simungathe kuchitidwa opareshoni, dokotala wanu atha kugwiritsa ntchito arteriography kuti azindikire chotengera chomwe chikutuluka magazi ndikuchikulunga kuti asiye magazi.

Mankhwala

Mankhwala ochepetsa acid m'mimba, monga famotidine (Pepcid) kapena lansoprazole (Prevacid), nawonso angafunike. Komabe, mphamvu ya mankhwalawa ikutsutsanabe.

Kupewa matenda a Mallory-Weiss

Pofuna kupewa MWS, ndikofunikira kuchiza mikhalidwe yomwe imayambitsa kusanzika koopsa.

Kugwiritsa ntchito mowa kwambiri komanso matenda enaake am'mimba kumatha kuyambitsa zigawo za MWS. Ngati muli ndi MWS, pewani zakumwa zoledzeretsa ndikulankhula ndi dokotala za njira zothanirana ndi vuto lanu kuti mupewe magawo amtsogolo.