Mallory-Weiss syndrome

ora tokomaha te iwi to ratou oraraa, e kore te tiaki e pā ana ki koe. Otiia e matau ana tatou katoa e i roto i te tikanga ki te ora oaoa ea muri noa'tu, e hiahia ana koe ki te tango i te tiaki o te hauora koutou. Ēnei rōpū, ngā whakanuitanga, awa waipiro, ki te faahemaraa tamau kai te tahi mea reka, engari rawa kino, meinga kino tūnguru ki te tinana tangata. Ko roto i te amateurs o waipiro tino maha i reira e raruraru nui ki te hauora. Ko tētahi o ratou - Mallory-Weiss syndrome. I roto i te nuinga o te wā, puta tenei mate i roto i nga tangata 45-60 tau te pakeke. Kei te āhuatanga i te reira, i runga katoa, ruaki ki te toto.

Mallory Weiss syndrome - he te whakamutu mucosal i roto i te rohe i waenganui i te puku me te pū kai. Kei a ia te tohu e whai ake nei:

• Gastro-esophageal toto ;
• horo esophageal;
• ruaki tamau;
• mamae puku kaha;
• toto i roto i te omentum iti;
• kiri koma tangata;
• lethargy;
• tachycardia;
• te taea o te ru.

He aha e taea e te take e te timatanga o te mate:

- Alcoholism.

- Pregnancy.

- pukuruaki.

- Cough.

- hiccups.

- whaturama Diaphragmatic.

- puhuki whētuki puku (aituā ara, he hinga i te teitei, whiu).

- whakaora manawa.

- ruaki meinga e whakamahi nui waipiro, pancreatitis, opue, haurangi ma'i, cholecystitis.

- tūkino ki te pū kai.

pāngia Mallory-Weiss syndrome noa. I roto i te tātari i te toto heke te maha o erythrocytes ka nui haere platelets te kitea.

Ko te tino tino ko te whakamātautau endoscopic. homai te reira i te rave'a no te tiro i te mucosa āputa esophageal roa. Tenei taea hoki tika atu tātaritanga, me te timata maimoatanga.

Ka rite ki te tikanga, puta Mallory-Weiss syndrome rawa "karakara". I roto i te timatanga, i whati mucosa, e kore ai e te toto reira i roto i te emesis. Otiia e kore e tangohia e roa te reira, a nga wa katoa ka waiho he iti i muri mai. Plus - mamae i roto i te puku, e ka whai tonu te manawanui. I roto i ngā, ki te kahore te te mate tukinotia, ka haere tonu ki te e whakamatautau whakarau, inu waipiro, ka piri ki te ara he o te ora.

rawa uaua ki te aukati i te syndrome Mallory-Weiss. kia tango Treatment wahi i roto i tohunga. Ko te whäinga tuatahi, ko te ki te whakaoti i toe fakafoki o rōrahi toto i roto i te tinana. whakamahi te reira i te momo o crystalloid, rongoā colloid. I roto i te take o te mate toto tiketike, whakahaere huhu te. Ka taea te whakatotoka ana te reira i wē me Kikī pūtau toto whero.

He raruraru nui i roto i te maimoatanga o tenei mate ko te pakaruhanga toto. Kei te mutu te reira e te tikanga o te octreotide ranei waikawa aminocaproic. uaua katoa e pāngia auau o te ruaki. No te mea o tenei, riro te reira taea ki te whakamahi i etahi taero. Ruaki i te tarukino taua taea te mutu rite "metoclopramide" (te kore ranei "Reglan").

Toto mutu a-mihini i te tikanga o Blackmore uiuia. tutuki pānga Hemostatic te tika ki te kōpeketanga o toto oko i te pū kai.

He take kia uaua o te mate, i, i roto i te noa'tu o te tikanga i runga ake, e kore e te toto mutu. Ko te kupu te whakamahi tikanga endoscopic o ona teihana: hauhauhā-wē coagulation, electrocoagulation, ligation, Topenga oko obkalyvanie toto wahi epinephrine, me te ngā o tikanga rerekē.

I roto i te wā tino uaua, e kore ai enei mehua kia whai hua, a ka rapu utu pokanga. Nuinga o ngā wā suturing o toto oko, me te gastrotomy tūtohu.

Ngā wā katoa te haamana'oraa utu e he māmā ake ki te ārai atu i ki te whakaora i te mate. Tangohia tiaki o koe, a e kore e whai ki te whakapau wā, me te moni i runga i ngā tākuta, me ngā rongoā.