E noʻonoʻo ʻoe ua maʻi loa ʻoe a luaʻi mau. Pehea ka weliweli inā luaʻi koke ʻoe i ke koko? He mea ia e hopohopo nui ai ka poʻe he nui. Akā, ʻo kekahi o nā kumu nui o ka luaʻi ʻana i ke koko e like me kēia, he ʻano i kapa ʻia ʻo Mallory Weiss Tear. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo.
I ka ʻōlelo maʻalahi, he aha kēia Mallory Weiss Tear?
Aia kekahi ʻōmole e lawe ana i ka meaʻai mai ko kākou puʻu a i ko kākou ʻōpū, ʻo ia hoʻi, ko kākou ʻōpū, a mākou e kapa nei ma ke ʻano lapaʻau ʻo ka esophagus . Ma ke ʻano i kapa ʻia ʻo Mallory Weiss Tear, ʻo ka paia o loko o kēia ʻōmole esophagus, ʻoiai kahi e pili ai i ka ʻōpū, e haehae iki ʻia. Ua like ia me kahi ʻōmole laholio e pohā ana mai loko mai. ʻO kēia haehae ke kumu o ke kahe ʻana o ke koko mai nā kīʻaha koko liʻiliʻi ma laila. ʻO ia ke koko e puka mai ana i ka wā e luaʻi ai kākou.
Ua kapa ʻia kēia maʻi mai nā kauka ʻo Kenneth Mallory lāua ʻo Soma Weiss, nāna i wehewehe mua iā ia i ka makahiki 1929. Ua ʻike lāua ʻo ka poʻe i inu nui i ka waiʻona a luaʻi nui e loaʻa i kēia mau waimaka i loko o ko lākou esophagus.
ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa e ho'ōla kēia mau waimaka iā lākou iho me ka ʻole o kekahi lāʻau lapaʻau kūikawā . Eia nō naʻe, i kekahi mau hihia, pono paha ka lāʻau lapaʻau.
No ke aha e hana ʻia ai kēia? He aha nā kumu a me nā mea pilikia no kēia?
ʻO ke kumu nui o kēia, ʻo ia ka piʻi koke ʻana o ke kaomi i loko o ko kākou ʻōpū a wikiwiki loa. E noʻonoʻo, i ka wā e piʻi ai ke kaomi i loko o ka ʻōpū, e hoʻihoʻi ʻia nā mea o loko o ka ʻōpū i luna, ʻo ia hoʻi, i ka esophagus. ʻO kēia kaomi ikaika ka mea e haehae ai i ka paia o ka esophagus.
Aia kekahi mau kūlana kahi e hiki ai ke hoʻonui ʻia ke kaomi intra-abdominal.
| ʻO ke kumu no ka hoʻonui ʻia o ke kaomi | He wehewehe maʻalahi |
|---|---|
| Luaʻi nui | ʻO kēia ke kumu maʻamau. Ke luaʻi mau ʻoe a pinepine loa, nui ke kaomi e puka mai ana mai loko mai o ka ʻōpū i ka puʻu. |
| Ke hāpai ʻana a i ʻole ke kaumaha ʻana | ʻO nā mea e like me ka hāpai ʻana i kahi mea kaumaha loa a i ʻole ke kaumaha ʻana i ka wā e hele ana i ka lua hiki ke hoʻonui i ke kaomi ma ka ʻōpū. |
| ʻŪhū mau | ʻO ka ʻū ʻino i hana ʻia no nā pule he nui ke kumu o ke kaomi mau ʻana ma ka ʻōpū. |
| Ke hāʻawi nei i ka CPR | Hiki ke hana ʻia kēia ʻano ma muli o ke kaomi ʻana o ka umauma i ka wā o ka CPR, kahi lāʻau lapaʻau ulia pōpilikia i hāʻawi ʻia i kahi mea i loaʻa i ka hopu ʻia ʻana o ka puʻuwai. |
| Nā ʻeha o ka umauma a i ʻole ka ʻōpū | ʻO ka ʻeha ma ka umauma a i ʻole ka ʻōpū mai kahi ulia hiki ke hoʻonui i ke kaomi. |
Nā kūlana ʻē aʻe e hoʻonui ai i ka pilikia
Eia kekahi, ʻo kekahi mau kūlana olakino a me nā hana maʻamau e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi Mallory Weiss Tear.
- Ka hoʻohana nui ʻana i ka waiʻona: ʻO kēia ke kumu nui o ka pilikia . Pili ka hoʻohana ʻana i ka waiʻona ma waena o 50% a me 70% o ka poʻe e loaʻa ana i kēia maʻi.
- Bulimia: He maʻi ʻai kēia kahi e ʻai nui ai ka poʻe a laila luaʻi ikaika. Hoʻonui kēia luaʻi mau i ka pilikia o nā pilikia.
- ʻO ka Cyclic Vomiting Syndrome (CVS): He ʻano kēia e luaʻi ai no nā lā he nui me ke kumu ʻole.
- Hyperemesis Gravidarum (luaʻi nui ʻana i ka wā hāpai): Hiki ke loaʻa kēia ʻano ma muli o ka luaʻi nui ʻana i loaʻa i kekahi mau makuahine hāpai.
- ʻO ka maʻi Reflux Gastroesophageal (GERD): ʻO kēia ka wā e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu. Hiki i kēia ke hoʻonāwaliwali mau i ka esophagus.
He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui a maʻamau o kēia maʻi, ʻo ia ka luaʻi ʻana i ke koko . Makaʻu ka poʻe a pau e ʻike i kēia. Hiki ke ʻike ʻia kēia koko ma nā ʻano like ʻole:
- ʻUlaʻula ʻōlinolino: ʻO ke ʻano kēia o ke koko hou, ʻo ia hoʻi ke puka koke mai nei ke koko mai ka ʻoki.
- ʻEleʻele ʻeleʻele, e like me ka lepo kofe: ʻO kēia ke ʻano o ke koko i komo i loko o ka ʻōpū ma hope o ka hōʻike ʻia ʻana i ka waikawa o ka ʻōpū no kekahi manawa a laila puka mai i waho.
Ma waho aʻe o ka luaʻi ʻana i ke koko, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Nā noho ʻeleʻele ʻeleʻele, pipili | Ua like ia me ke kēpau. ʻO kēia no ka mea, hele ke koko mai ke ala ʻai luna ma o nā ʻōpū, hoʻoheheʻe ʻia, a puka mai me ka ʻōpala. ʻO kēia ka mea i kapa ʻia he kahe koko. |
| Pōʻino a me ka nawaliwali | I ka nalowale ʻana o ke koko mai ke kino aku, emi iho ka nui o ke koko i loko o ke kino a hiki ke emi ke koko. ʻO ka hopena kēia i ka poniuniu a me ka māʻule ʻana. |
Hiki paha kēia ke lilo i mea koʻikoʻi? He aha nā pilikia?
ʻO ka hapa nui o ka manawa, ʻaʻole kēia he maʻi koʻikoʻi. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka nalowale mau o ke koko ke alakaʻi i ka anemia , hiki ke hana i nā hōʻailona e like me ka luhi mau a me ka pōkole o ka hanu.
Eia nō naʻe, i nā hihia kakaikahi, inā nui ka haehae ma ka esophagus a nalowale koke ke koko he nui, hiki i ke kino ke komo i ka haʻalulu . He kūlana koʻikoʻi kēia e pono ai ka mālama olakino ulia pōpilikia.
Inā manaʻo ʻoe ua hoʻomaha loa ʻoe, maloʻo ka waha, luaʻi, anu a maeʻele, wikiwiki loa ka puʻuwai, pāpaʻu a wikiwiki ka hanu ʻana, a nāwaliwali loa, he mau hōʻailona paha kēia o ka haʻalulu. I kēlā hihia, pono ʻoe e hele koke i ka haukapila.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe nā hōʻailona e like me ka luaʻi ʻana i ke koko, e nīnau mua kāu kauka iā ʻoe i kekahi mau nīnau, ʻoiai e pili ana i nā mea e like me ka luaʻi ʻana, ka ʻū ʻana, a me ka hoʻohana ʻana i ka waiʻona. A laila, e hana paha lākou i kahi hoʻokolohua kino a hana i nā hoʻokolohua koko, ʻoiai ka helu koko piha (CBC) . Hiki i kēia ke nānā no ka anemia.
Akā ʻo ka hoʻāʻo nui e hōʻoia i kēia kūlana he endoscopy .
He aha ka hoʻāʻo endoscopy?
Mai makaʻu i ka inoa. Pili kēia i ke kau ʻana i kahi ʻōmole lahilahi a palupalu (endoscope) me kahi kāmela i hoʻopili ʻia i lalo o kou puʻu e nānā i loko o kou esophagus a me kou ʻōpū. E hāʻawi ʻia ʻoe i ka anesthesia inā makemake ʻoe e ʻike i kekahi ʻoluʻolu ʻole i kēia kaʻina hana. Hiki i kēia kāmela i ke kauka ke ʻike pololei i kahi o ka haehae, pehea kona nui, a inā e kahe ana ke koko.
Pehea e mālama ʻia ai? Pono anei ke ʻoki kino?
E like me kaʻu i ʻōlelo ai ma mua, no ka hapa nui o nā kānaka, ho'ōla kēia mau waimaka iā lākou iho i loko o kekahi mau lā me ka ʻole o kekahi lāʻau lapaʻau kūikawā. Eia nō naʻe, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka waikawa o ka ʻōpū e kōkua iā ʻoe e ho'ōla a hiki i ka ho'ōla ʻana o ka ʻeha.
- Nā mea pale i ka mea loaʻa H2
- Nā mea pale o ka pamu proton (PPI)
Hoʻemi kēia mau lāʻau lapaʻau i ka hana ʻana o ka waikawa gastric i loko o ka ʻōpū. No ka mea, ke hoʻemi ʻia ka waikawa, hiki i ka ʻeha i haehae ʻia ke ola wikiwiki.
He aha ka mea e hana ai inā ʻaʻole e pau ke kahe ʻana o ke koko?
I kekahi manawa, inā ʻaʻole e pau ke kahe ʻana o ke koko ma kāna iho, hiki ke mālama ʻia i ka manawa like me ka endoscopy. ʻAʻole kēia he mau ʻoki kino nui.
- Lapaʻau inikini endoscopic: Hoʻokomo ʻia kahi lāʻau lapaʻau e like me ka epinephrine i loko o ka ʻeha ma o ka endoscope. Hoʻopaʻa kēia i nā kīʻaha koko a hoʻōki koke i ke kahe ʻana o ke koko.
- Endoscopic electrocoagulation: Hoʻohana kēia i kahi au uila e sila ai i ke aʻa koko, kahi mea like me ke kūʻai ʻana.
- Endoscopic hemoclip: Hoʻokomo ʻia kahi clip metala liʻiliʻi e pani i ka haehae.
- ʻO ka hoʻopaʻa ʻana o ke kāʻei Endoscopic: Hoʻokomo ʻia kahi mea like me ke kāʻei laholio ma luna o ka ʻāpana i haehae ʻia e hoʻōki loa i ke kahe ʻana o ke koko.
I nā hihia kakaikahi wale nō, i ka wā ʻaʻole i holomua kekahi o kēia mau mea, hoʻohana mākou i kahi ʻano hana i kapa ʻia ʻo angiotherapy a i ʻole ke kaʻina hana laparoscopic. No laila, ʻaʻohe pono e makaʻu nui i ka pono e hana ʻoki kino.
Hiki ke pale ʻia kēia mai ka hana hou ʻana?
ʻAe, hiki nō ia. ʻO ka mea nui e hana ai, ʻo ia ke kāohi i nā mea nui e hoʻokumu ai i kēia.
1. E kāohi i kāu inu ʻona: Inā he mea inu nui ʻoe, hiki iā ʻoe ke hōʻemi nui i kēia pilikia ma ka hōʻemi ʻana a i ʻole ka haʻalele loa ʻana. Inā makemake ʻoe i ke kōkua me kēia , e kamaʻilio ākea me kāu kauka . E hiki iā ia ke hāʻawi iā ʻoe i ke alakaʻi āu e pono ai.
2. E kiʻi i ka lāʻau lapaʻau no nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe kahi maʻi e like me GERD , a i ʻole ka luaʻi mau ʻana, he mea nui loa hoʻi e mālama pono ʻia.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai noho i ka home.E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā he koko i loko o ka luaʻi (ʻoiai inā he ʻulaʻula a i ʻole ke kala o ka lepo kope).
- Inā ʻeleʻele kou noho e like me ke kēpau .
E hoʻomanaʻo, hiki i kēia mau hōʻailona ke lilo i mau hōʻailona ʻaʻole wale no ka Mallory Weiss Tear, akā, ʻo nā maʻi koʻikoʻi ʻē aʻe e like me nā ʻōpū ʻōpū a me ke kanesa. No laila, mai hoʻowahāwahā i kēia mau hōʻailona a hiki i kou ʻike pono ʻana i ke kumu. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka wā mua e hiki ke hoʻopakele i kou ola.
Leka Lawe-Home
- ʻO ka waimaka ʻo Mallory Weiss kahi waimaka i loko o ka paia o loko o ka esophagus (ka ʻōmole e holo ana mai ka puʻu a i ka ʻōpū) i hana ʻia e ka luaʻi nui ʻana a i ʻole ka luaʻi ʻana.
- ʻO nā hōʻailona nui ka luaʻi ʻana i ke koko a me ka hele ʻana o nā ʻōpala ʻeleʻele a kala.
- ʻO ka inu nui ʻana i ka waiʻona kahi kumu nui o ka pilikia no kēia maʻi.
- I ka manawa pinepine, ho'ōla wale kēia mau waimaka iā lākou iho me ka ʻole o ka lāʻau lapaʻau, akā, mai hoʻowahāwahā i nā hōʻailona.
- Inā ʻoe e luaʻi ana i ke koko a i ʻole e kahe ana i nā ʻōpala ʻeleʻele, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila a ʻike i kāu kauka.
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