Mellory Weiss Syndrome

Anthu ambiri amakhala moyo wawo wonse osasamala za iwo okha. Koma aliyense amadziwa kuti kuti tikhale ndi moyo wosangalala nthawi zonse, m'pofunika kusamalira thanzi lanu. Zikondwerero zopanda malire, maholide, mitsinje ya mowa, kuyesedwa kosalekeza kudya chinachake chokoma, koma chovulaza, kumayambitsa kuvulaza kosatha ku thupi la munthu. Ndi okonda mowa amene nthawi zambiri amakhala ndi matenda aakulu. Mmodzi mwa iwo ndi matenda a Mellory Weiss. Nthawi zambiri, matendawa amapezeka kwa amuna a zaka 45 mpaka 60. Zimadziwika, koposa zonse, ndi kusanza ndi kusakaniza magazi.

Matenda a Mellory Weiss amachokera mu mimba pakati pa mimba ndi mimba. Ali ndi zizindikiro zotsatirazi:

• Kutaya magazi kwapadera ;
• Kutaya kwa mimba;
• Kusanza kosalekeza;
• Kupweteka kwambiri pamimba;
• Kutaya magazi mu omentum yaing'ono;
• Chikopa cha khungu la nkhope;
• Mawu;
• Tachycardia;
• Kukhoza kwa chitukuko cha mantha.

Kodi zifukwa za matendawa ndi ziti?

- Kumwa mowa.

- Mimba.

- Bulimia.

- Cough.

- Hiccup.

- Chifuwa cha diaphragmatic.

Kuvulala kolakwika pamimba (ngozi za pamsewu, kugwera kuchokera kutalika, zotsatira).

- Kukhazikitsanso kanyama.

- Kuthamanga chifukwa chomwa mowa mopitirira muyeso, kupatsirana, kudya mopitirira muyeso, kumwa mowa kwambiri, cholecystitis.

- Kuwonongeka kwa mimba.

Matenda a Mellory Weiss amapezeka kuti ndi osavuta. Pofufuza magazi, kuchepa kwa maselo ofiira ochepa ndi mapulaneti owonjezera kudzapezeka.

Phindu lalikulu ndi kuphunzira kosatha. Amapereka mpata wowonera kupasuka kwa nthawi yaitali kwa mchere wa mucosa. Izi zimakuthandizani kuti mudziwe bwinobwino ndikuyamba mankhwala.

Monga lamulo, matenda a Mallory Weiss amadziwonetsera okha "okongola". Kumayambiriro kwace, kutuluka kwa mucous membrane, sipangakhale mwazi m'masanzi. Koma sikudzatenga nthawi yaitali kuyembekezera ndipo zidzawonekera posachedwa. Kuphatikizanso, pamakhala kupweteka m'mimba, komwe kudzazunza wodwala mosalekeza. Makamaka, ngati matendawa sachiritsidwe, koma pitirizani kuwonongeka, kumwa mowa ndi kutsatira njira yolakwika ya moyo.

Zili zovuta kuimitsa matenda a Mallory Weiss. Chithandizo chiyenera kuperekedwa ndi akatswiri. Cholinga chachikulu ndicho kubwezeretsedwa kwa magazi kwa thupi lonse. Pankhani iyi, amagwiritsidwa ntchito njira zosiyanasiyana. Ngati magazi ambiri atayika, kuikidwa magazi kumaperekedwa. Zitha kukhala madzi a pulasitiki atsopano kapena ma erythrocyte.

Vuto lalikulu pochiza matendawa ndikutuluka magazi nthawi zonse. Iyimidwa ndi octreotide kapena aminocaproic acid. Zonse zimakhala zovuta ndi kuzunzidwa kawirikawiri kwa kusanza. Chifukwa cha izi, zimakhala zosatheka kugwiritsa ntchito mankhwala ena. Kuwombera kumatha kuyimitsidwa ndi mankhwala monga "Metoclopramide" (kapena "Cerucal").

Kusuta kumayimitsidwa ndikugwiritsira ntchito pulogalamu ya Blackmore. Anapeza hemostatic effect chifukwa chofera mitsuko yotuluka m'magazi.

Pali zovuta zowopsya kwambiri za matenda omwe, ngakhale zili pamwambapa, kutuluka magazi sikuleka. Pachifukwa ichi, njira zowonongeka zimagwiritsidwa ntchito: argon-plasma coagulation, electrocoagulation, ligation, kugwedezeka kwa zotengera, kuthamanga kwa adrenaline, ndi njira zosiyanasiyana.

Pazifukwa zovuta kwambiri, izi zingakhale zopanda ntchito, ndipo opaleshoni yothandizira imayenera. Kawirikawiri zimalimbikitsa kusuntha zitsulo zamagazi ndi gastrotomy.

Nthawi zonse ndibwino kukumbukira kuti matendawa ndi ovuta kupewa kuposa kuchiza. Dziyang'anire nokha, ndipo musasowe kuti muzigwiritsa ntchito nthawi ndi ndalama kwa madokotala ndi mankhwala.