Mallory-Weiss syndrome

Ọtụtụ ndị na ndụ ha, ọ bụghị ilekọta banyere onwe gị. Ma, anyị niile maara na iji bie ndụ n'obi ụtọ mgbe mgbe, i kwesịrị na-elekọta ahụ ike gị. Ndị a ọzọ, ememe, na mmanya osimiri, a mgbe nile ọnwụnwa na-eri ihe na-atọ ụtọ, ma ukwu-emerụ, na-eme irreparable imerụ ahụ mmadụ. Ọ bụ na-enwechaghị ahụmahụ-mmanya Ọtụtụ e nwere nnukwu nsogbu na ahụ ike. Otu n'ime ha - Mallory-Weiss syndrome. N'ọnọdụ ka ukwuu, a na ọrịa emee na ndị ikom dị afọ 45-60 afọ. Ọ e ji, n'elu ihe nile, na-agbọ na ọbara.

Mallory Weiss syndrome - a mucosal discontinuity na ebe n'etiti afo na nkọlọ. O nwere ndị na-esonụ mgbaàmà:

• gastro-esophageal ọbara ọgbụgba ;
• esophageal ozize;
• persistent vomiting;
• ufiop abdominal mgbu;
• agba ọbara na nta omentum;
• acha akpụkpọ mmadụ;
• lethargy;
• tachycardia;
• ekwe omume nke na-akpata.

Gịnị bụ ihe mere nwere ike ịbụ mmalite nke ọrịa:

- Alcoholism.

- Pregnancy.

- Bulimia.

- ụkwara.

- hiccups.

- Diaphragmatic hainia.

- masịrị abdominal trauma (n'okporo ụzọ na mberede, a ọdịda si a elu, ọrịa strok).

- cardiopulmonary iji tụtee mmadụ.

- vomiting kpatara oké mmanya ojiji, pancreatitis, iribiga nri ókè, ala ala igbu egbu, cholecystitis.

- emebi ihe na nkọlọ.

Mallory-Weiss syndrome chọpụtara naanị. Na-enyocha ọbara ọnụ ọgụgụ nke erythrocytes na platelet ụba achọpụtara.

The kasị baa uru bụ endoscopic nyochaa. Ọ na-enye ohere na-ele a longitudinal ọdịiche esophageal mucosa. Nke a na-enye ohere maka ihe ezi nchoputa na-amalite usoro ọgwụgwọ.

Dị ka a na-achị, Mallory-Weiss syndrome-egosi nnọọ "yi". Ná mmalite, na ezumike mucosa, ọbara nwere ike ịbụ ugbu a na emesis. Ma, ọ dịghị ewe oge, na mgbe nile ga-a obere ka e mesịrị. Plus - mgbu ke afo, nke ga-mgbe niile na-achụso ndidi. Karịsịa, ma ọ bụrụ na ọrịa na-adịghị na-emeso, na-anọgide na-anwa akara aka, na-aṅụ mmanya, na-arapara n'ahụ a na-ezighị ezi ụzọ ndụ.

nnọọ ike iji kwụsị Mallory-Weiss syndrome. Ọgwụgwọ kwesịrị-ebe n'etiti ọkachamara. The isi ihe bụ iji wuchaa mweghachi nke ọbara olu ke idem. Ọ na-eji a dịgasị iche iche nke crystalloid, colloid ngwọta. Bụrụ na nke elu ọbara ọnwụ, mmịnye ọbara na-ndinọ. Ọ nwere ike oyi kpọnwụrụ plasma na juru n'ọnụ mkpụrụ ndụ ọbara uhie.

A nnukwu nsogbu na ọgwụgwọ nke ọrịa a bụ a mgbe nile ọbara ọgbụgba. Ọ na-kwụsịrị site octreotide ma ọ bụ aminocaproic acid. Ihe niile na-mgbagwoju anya site Ugboro oké nke vomiting. N'ihi nke a, ọ na-aghọ-agaghị ekwe omume iji ọgwụ ụfọdụ. Vomiting dị otú ahụ a ọgwụ nwere ike kwụsịrị dị ka "metoclopramide" (ma ọ bụ n'ụzọ "Reglan").

Ọbara ọgbụgba ahụ kwụsịrị ma mechanically site Blackmore nyocha. Hemostatic mmetụta a na-enweta n'ihi na mkpakọ nke na-agba ọbara arịa na nkọlọ.

E nwere nnọọ mgbagwoju anya mgbe nke ọrịa, nke, n'agbanyeghị nke n'elu ụzọ, ọbara na-agba ya akwụsịghị. N'ihi ya iji endoscopic ụzọ nke ya ụgbọ: argon-plasma coagulation, electrocoagulation, ligation, clipping arịa obkalyvanie ebe epinephrine agba ọbara, nakwa dị ka n'ịgwa nke ụzọ dị iche iche.

Na karịsịa ike mgbe, ndị a jikoro nwere ike ịbụ irè, na-achọ ịwa ahụ. Ọtụtụ mgbe na-atụ aro suturing nke na-agba ọbara arịa na gastrotomy.

Always uru na-echeta na ọrịa bụ mfe iji gbochie karịa iji gwọọ. -Elekọta onwe gị, na-adịghị na-na-emefu oge na ego na ndị dọkịta na ọgwụ.