Mallory-Weiss ciwo

Mutane da yawa rayuwa rayukansu, ba kula game da kanka. Amma mun san cewa, domin ya zauna da farin ciki har abada bayan, kana bukatar ka kula da lafiyar ka. Wadannan jam'iyyun, bikin, barasa kogin, akai jaraba ci wani abu mai dadi, amma sosai cutarwa, haddasa irreparable cutar da jikin mutum. Shi ne a cikin yan koyo barasa mafi sau da yawa akwai babban matsala da kiwon lafiya. Daya daga cikinsu - Mallory-Weiss ciwo. A mafi yawan lokuta, wannan cuta ta auku a cikin maza masu shekaru 45-60 shekaru. An halin, sama da dukan, amai da jini.

Mallory Weiss ciwo - a mucosal discontinuity a yankin tsakanin ciki da kuma esophagus. Ya na da wadannan cututtuka:

• gastro-esophageal zub da jini ;
• esophageal yashewa.
• m amai.
• m ciwon mara.
• zub da jini a cikin karami omentum.
• kodadde fata da mutum;
• lethargy.
• tachycardia.
• da yiwuwar tura.

Wadanne dalilai iya zama farkon da cutar:

- shan barasa.

- Pregnancy.

- Bulimia.

- tari.

- hiccups.

- Diaphragmatic hernia.

- m ciki rauni (hanya hatsari, a fall daga tsawo, shanyewar jiki).

- cardiopulmonary farfado.

- amai ya sa ta wuce kima barasa amfani, pancreatitis, overeating, na kullum maye, cholecystitis.

- Damage da esophagus.

Mallory-Weiss ciwo kamu kawai. A nazarin da jini rage yawan erythrocytes da platelets ya karu da aka gano.

A mafi muhimmanci ne endoscopic jarrabawa. Yana bada damar duba a tsaye rata esophageal mucosa. Wannan damar domin mafi m bincike da kuma fara magani.

Kamar yadda mai mulkin, Mallory-Weiss ciwo bayyana quite "m". A farkon, a hutu mucosa, da jini iya ba su kasance ba a emesis. Amma shi bai yi tsawo, da kuma ko da yaushe za su zama kadan daga baya. Plus - zafi a ciki, wadda za kullum bi da mãsu haƙuri. A musamman, idan cutar ba a bi, da kuma ci gaba da zuwa, ya fitine rabo, shan barasa, da kuma manne ga ba daidai ba hanyar rayuwa.

quite wuya a dakatar da Mallory-Weiss ciwo. Jiyya kamata faru tsakanin kwararru. Babban burin shi ne don kammala maido da jini girma a cikin jiki. Yana amfani da dama crystalloid, colloid mafita. A hali na high jini hasara, transfussion aka gudanar. Yana za a iya daskarewa jini da cushe ja jini Kwayoyin.

A babban matsalar da magani daga wannan cuta ne m zub da jini. An tsaya ta wajen octreotide ko aminocaproic acid. Duk abin da aka wuya da m bouts na amai. Saboda wannan, ya zama ba zai yiwu ba a yi amfani da wasu kwayoyi. Amai da irin wannan magani za a iya tsaya a matsayin "metoclopramide" (ko in ba haka ba "Reglan").

Zub da jini tsaya kuma mechanically ta wajen Blackmore bincike. Hemostatic sakamako aka samu saboda da matsawa na zub da jini tasoshin a cikin esophagus.

Akwai haka rikitarwa lokuta da cutar, wanda, a duk na sama hanyoyin, da zub da jini ba ya hana. Kamar wancan amfani endoscopic hanyoyin da ta tashoshin: argon-jini coagulation, electrocoagulation, ligation, clipping tasoshin obkalyvanie wuri epinephrine zub da jini, kazalika da haduwa da hanyoyi daban-daban.

A musamman wuya lokuta, waɗannan matakan bazai tasiri, da kuma bukatar tiyata. Mafi sau da yawa shawarar suturing na zub da jini da kuma tasoshin gastrotomy.

Ko da yaushe daraja ambaton cewa cutar ne sauki su hana fiye da warkewarta. Ki kula da kanki, da kuma ba da suke ciyarwa lokaci da kuma kudi a kan likitoci da magunguna.