Kev phais mobMay 31, 2025🔄 Updated: Jul 14, 2026⏱ 14 min

Koj puas ntuav thiab mob hauv siab heev? Cia peb kawm txog tus mob txaus ntshai no (Boerhaave's Syndrome)!

Creator: Dr. Priya Sammani
Published: 2025-05-31T12:11:31.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Niaj hnub no peb yuav tham txog ib yam dab tsi loj dua me ntsis, thiab ib yam dab tsi uas koj yuav tsum paub tam sim ntawd. Xav txog yog tias koj tau noj thiab haus ntau heev, thiab tam sim ntawd ntuav heev thiab mob hauv siab? Qhov no yuav tsis yog ib txwm muaj. Tus mob no uas peb yuav tham txog, hu ua '(Boerhaave's Syndrome)', yuav yog ib qho xwm txheej ceev.

Qhov no yog dab tsi (Boerhaave's Syndrome)?

Hais yooj yim xwb, qhov "Boerhaave's Syndrome" no yog ib qho mob uas phab ntsa ntawm peb cov kav dej zaub mov, uas yog, "esophagus", "tawg tam sim ntawd." Qhov no tshwm sim thaum muaj qhov siab ntau heev, uas yog, kev thawb, hauv cov kav dej zaub mov. Yog hais kom meej, qhov no feem ntau yuav tshwm sim thaum koj ntuav hnyav lossis siv zog ua lwm yam. Cov kws kho mob kuj hu qhov no tias "(kev siv zog tawg)" lossis "(kev tawg tam sim ntawd", vim tias qhov no tsis yog ib yam dab tsi uas tshwm sim ncaj qha rau cov kav dej zaub mov. Qhov mob no tsis tshua muaj, uas yog, nws cuam tshuam txog li 0.0003% ntawm cov pej xeem. Txawm li cas los xij, 15% ntawm txhua qhov xwm txheej ntawm cov kav dej zaub mov yog tshwm sim los ntawm qhov "Boerhaave's Syndrome" no.

Qhov txawv ntawm (Boerhaave's Syndrome) thiab (Mallory Weiss Syndrome) yog dab tsi?

Tam sim no tej zaum koj yuav xav tias, 'Qhov no puas yog qhov kuv tau hnov txog thaum kuv hnov txog kev tsim kua muag hauv txoj hlab pas?' Muaj qhov sib txawv me ntsis ntawm ob qho no. Kev tsim kua muag Mallory Weiss yog kev tsim kua muag uas tshwm sim thaum koj ntuav nrog zog lossis thaum koj siv zog. Nws yog kev tsim kua muag hauv daim ntaub ntawm txoj hlab pas. Ob qho tib si yog qhov tshwm sim rau cov neeg uas haus cawv ntau . Ib tug neeg uas muaj kev tsim kua muag Mallory Weiss yuav ntuav ntshav. Txawm li cas los xij, txoj hlab pas tsis tawg tag nrho. Txawm li cas los xij, Boerhaave's Syndrome yog qhov hnyav dua. Qhov no yog kev tsim kua muag uas nthuav dav thoob plaws tag nrho ntawm phab ntsa txoj hlab pas. Cov kws kho mob kuj hu nws ua kev tsim kua muag transmural. Thaum nws tawg tag nrho, nws yuav tsum tau kho nrog kev phais mob ceev . Nws tuaj yeem yog qhov xwm txheej tuag taus.

Yuav ua li cas thaum lub raj xa khoom noj tawg?

Xav txog seb yuav muaj li cas thaum peb lub caj pas tawg. Qhov no yog ib qho xwm txheej ceev tiag tiag, thiab yog tias tsis kho sai sai , nws tuaj yeem ua rau tuag taus . Koj puas paub vim li cas? Peb lub caj pas yog ib feem ntawm peb lub cev zom zaub mov (txoj hnyuv). Yog li, thaum lub caj pas tawg, cov khoom noj me me, cov kab mob, thiab cov tshuaj lom neeg zom zaub mov tuaj yeem nkag mus rau hauv peb lub hauv siab lossis lub plab. Yog tias qhov ntawd tshwm sim, cov kab mob loj heev tuaj yeem tshwm sim.

Yog tias tus kab mob no nkag mus rau hauv cov ntshav ntawm peb lub cev tag nrho, cov mob hu ua "septicemia" thiab "sepsis" tuaj yeem tshwm sim. Qhov "sepsis" no yog ib qho kev ua xua uas txaus ntshai rau lub neej. Nws tuaj yeem ua rau "poob siab", ua rau ntau lub cev tsis ua haujlwm, thiab thaum kawg tuag.

Qhov no cuam tshuam rau leej twg tshaj plaws?

Txhua tus neeg tuaj yeem muaj tus kab mob no (Boerhaave's Syndrome). Txawm li cas los xij,Nws feem ntau tshwm sim rau cov txiv neej thiab cov neeg hnub nyoog tshaj 50 xyoo. Kwv yees li 80% ntawm cov neeg uas raug kev txom nyem yog cov txiv neej hnub nyoog nruab nrab. Nws kuj tseem tshwm sim rau cov neeg uas haus cawv ntau dhau .
Cov tsos mob ntawm Boerhaave's Syndrome yog dab tsi?
Zoo, tam sim no cia peb saib seb cov tsos mob ntawm '(Boerhaave's Syndrome)' yog dab tsi. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no.
Mob hauv siab sai sai thiab hnyav heev. Qhov no yog cov tsos mob tseem ceeb.
Xeev siab thiab ntuav . Qee zaum yuav muaj ntshav nyob rau hauv cov ntuav.
Tsis ua li cas yog tias koj mob thaum nqos los yog hnoos.
Ua pa luv dua thiab sai dua.
Cov nqaij hauv lub hauv siab puv nrog cua lossis kua dej, ua rau o.
Kuv lub plab nruj nreem, zoo li pob zeb.
Cov cim qhia txog kev kis kab mob xws li kub taub hau thiab hws .
Yog tias muaj ib lossis ntau yam ntawm cov tsos mob no tshwm sim sai sai, tshwj xeeb tshaj yog tom qab ntuav hnyav, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd .
Qhov mob zoo li cas?
Qhov mob ntawm '(Boerhaave's Syndrome)' hnyav npaum li cas? Ib txhia neeg hais tias nws yog qhov mob uas tsis tuaj yeem ua tau. Qhov mob hnov yog qhov chaw uas qhov tawg tshwm sim. Feem ntau, qhov tawg no tshwm sim hauv peb lub plab hnyuv qis. Ntawd yog, ntawm qhov hauv siab qis thiab lub plab sab saud. Txawm li cas los xij, nws kuj tuaj yeem siab dua li ntawd. Qhov mob no kuj tuaj yeem kis mus rau nraub qaum lossis xub pwg nyom .
Tej yam teeb meem uas yuav tshwm sim yog dab tsi?
Muaj ntau yam kev mob tshwm sim uas tuaj yeem tshwm sim yog tias tus mob no tsis raug tswj hwm kom zoo:
Mob thiab o ntawm koj lub hauv siab.
Kev sib sau ua ke ntawm cov kua qaub hauv lub hauv siab (empyema)
Cua daig hauv lub hauv siab lossis hauv cov nqaij hauv qab daim tawv nqaij.
Pleural effusion ( kua dej sib sau ua ke hauv daim ntaub ntawm lub hauv siab)
Kab Mob Ua Pa Nyuaj Siab ( ARDS )
Kab mob Septicemia, sepsis, thiab shock. Tej no yuav ua rau tuag taus.
Dab tsi yog cov ua rau muaj tus kab mob Boerhaave's Syndrome?
Vim li cas thiaj muaj tus kab mob Boerhaave? Muaj ob qho laj thawj tseem ceeb rau qhov no. Ib qho yog tias qhov siab hauv txoj hlab pas nce ntxiv vim yog kev zawm lossis kev zawm tsis zoo . Qhov thib ob yog tias thaum cov leeg nqaij cricopharyngeus (sphincter sab saud ntawm txoj hlab pas) ntawm sab saum toj ntawm peb lub caj pas tsis so kom teb rau qhov siab no, qhov siab tsis zoo tshwm sim sab nraud ntawm txoj hlab pas.Qhov ua rau muaj tus mob "Boerhaave's Syndrome" no yog ntuav nrov nrov los yog ntuav tas li . Tsis tas li ntawd, thaum yug menyuam, qaug dab peg, nqa khoom hnyav, thiab nqos cov tshuaj lom los yog cov tshuaj corrosive kuj ua rau muaj tus mob no. Feem ntau, thaum zoo li no, cov hlab ntsha yuav tsum so cov leeg nqaij "cricopharyngeus" thiab tso cov kev nyuaj siab tawm hauv. Txawm li cas los xij, thaum "Boerhaave's Syndrome" no, vim qee qhov laj thawj, qhov kev sib koom tes ntawm cov leeg nqaij thiab cov leeg nqaij "(neuromuscular coordination)" no tsis ua haujlwm zoo.
Kev siv cawv puas cuam tshuam?
Kev haus dej cawv puas ua rau lub caj pas tawg? Kev haus dej cawv ntau dhau yog ib qho ua rau muaj kev pheej hmoo . Hom kab mob Boerhaave's Syndrome feem ntau yog ntuav tom qab noj mov ntau lossis tom qab haus cawv. Kev siv dej cawv tsis zoo, noj ntau dhau, thiab bulimia yog cov yam ua rau muaj kev pheej hmoo. Lwm yam ua rau muaj kev pheej hmoo suav nrog cov mob hauv lub caj pas, xws li mob caj pas thiab mob caj pas eosinophilic, mob caj pas Barrett, thiab mob plab hnyuv. Txawm li cas los xij, feem ntau cov neeg uas muaj mob Boerhaave's Syndrome muaj lub caj pas ib txwm muaj.
Yuav kuaj li cas Boerhaave's Syndrome?
Kab mob Boerhaave's Syndrome nyuaj rau kuaj mob , tab sis nws yog ib qho tseem ceeb kom tau txais tam sim ntawd . Nws yooj yim dua rau kev kuaj mob thaum koj muaj peb yam tsos mob, hu ua Mackler triad. Cov no yog: 1. ntuav hnyav lossis rov tshwm sim. 2. Mob hauv siab tam sim ntawd. 3. Mob ntsws hauv qab daim tawv nqaij. Cov tsos mob kawg no yog qhov qhia tshwj xeeb ntawm txoj hlab pas tawg. Txawm li cas los xij, tsis yog txhua tus yuav muaj cov tsos mob no. Yog tias qhov tawg tshwm sim hauv qhov chaw txawv txawv, koj yuav hnov mob hauv qhov chaw txawv txawv, xws li caj dab lossis pob txha caj dab. Nws yuav yog vim muaj lwm yam tsis yog ntuav, lossis nws yuav muaj cov kev mob tshwm sim txawv txawv. Kev siv tshuaj X-ray hauv siab yooj yim yuav muab cov lus qhia, tab sis xav tau kev kuaj duab zoo dua los kuaj mob.
Kev kuaj mob siv rau kev kuaj mob
Cov kev kuaj mob radiological twg siv los kuaj mob "Boerhaave's Syndrome"?
`(Esophagram)` (Esophagram)
Thaum ib tug kws kho mob xav tias muaj Boerhaave's Syndrome, thawj qhov uas lawv feem ntau ua yog thaij duab X-ray. Lawv siv cov xim sib txawv. Qhov no kuj hu ua esophagram. Qhov no yog kev kuaj mob sai, tsis mob thiab raug heev. Rau qhov kev kuaj mob no, koj haus cov kua uas muaj cov xim sib txawv yaj hauv dej. Qhov no ua rau sab hauv ntawm koj cov yeeb nkab zaub mov pom ntawm X-ray. Yog tias muaj qhov kua muag, lawv tuaj yeem pom qhov twg cov xim sib txawv xau.
(Kev thaij duab CT)
Yog tias koj tsis tuaj yeem muaj daim duab esophagogram, lossis yog tias koj tus kws kho mob xav tau cov ntaub ntawv ntxiv txog cov kabmob ib puag ncig, CT scan yuav ua tau. Txawm hais tias nws tsis tuaj yeem qhia qhov chaw tseeb ntawm qhov kua muag, nws tuaj yeem ntes tau me me ntawm cov xim sib piv lossis cua uas tau xau rau hauv cov nqaij ib puag ncig los ntawm txoj hlab pas. Nws kuj tseem siv tau los nrhiav cov kua dej hauv lub hauv siab lossis lub plab uas xav tau kev tso dej tawm.
Yuav kho tus kab mob Boerhaave li cas?
Zoo, tam sim no cia peb saib seb yuav kho tus kab mob "Boerhaave's Syndrome" li cas. Nov yog cov kauj ruam uas yuav tsum ua raws li:
Muab cov kua dej rau hauv cov hlab ntsha (cov kua dej IV): Muaj coob tus neeg qhuav dej, yog li cov kua dej IV yuav tsum tau muab sai sai.
Tshuaj tua kab mob : Cov tshuaj tua kab mob dav dav raug muab rau hauv cov hlab ntsha kom tswj tau kev kis kab mob.
Kev sab laj txog kev phais: Rau cov neeg feem coob, kev phais yog kev kho mob ib txwm muaj. Qee tus neeg uas muaj cov qhov me me, nyob hauv thaj chaw yuav kho tau yam tsis tas phais, nrog kev soj ntsuam thiab tshuaj tua kab mob IV lossis kev siv lub tshuab endoscopy. Txawm li cas los xij, txawm tias nyob rau hauv cov xwm txheej no, cov kws kho mob yuav ib txwm muaj txoj kev npaj rau kev phais.
Kev kho phais: Zoo tshaj plaws yog kho qhov tawg hauv 24 teev tom qab tawg. Nyob ntawm koj tus mob, koj tus kws kho mob yuav siv kev phais mob me me. Piv txwv li, kev phais mob thoracoscopic pab los ntawm video (VATS). Hauv qee qhov xwm txheej ceev, yuav tsum tau qhib thoracotomy kom nkag mus rau hauv lub hauv siab sai thiab tiav.
Kev Nqus Dej/Kev Tshem Tawm Cov Khoom Noj: Ntxiv rau kev kho qhov tawg, cov kua dej uas muaj kab mob uas tau sau rau hauv qhov yuav tsum tau nqus dej thiab tua kab mob. Cov nqaij uas muaj kab mob lossis tuag (necrotic) kuj yuav tsum tau tshem tawm. Hauv qee kis mob hnyav, ib feem ntawm koj txoj hlab pas yuav tsum tau tshem tawm.
Kev tswj xyuas theem siab: Yog tias phais tsis tau hauv 24 teev tom qab tawg, kev kho ncaj qha yuav tsis ua tiav. Cov npoo ntawm qhov txhab yuav pib tawv lossis lwj. Yog tias qhov no tshwm sim, koj tus kws kho mob yuav tsum tau tshem tawm ib feem lossis tag nrho koj lub caj pas (esophagectomy). Yog tias koj xav tau hloov caj pas, qhov no tuaj yeem ua tiav tom qab rau lub lis piam.
Lwm txoj kev pub mis: Txog thaum koj cov kav dej zaub mov zoo, koj yuav tsis tuaj yeem nqos zaub mov los ntawm nws, yog li koj yuav tsum tau txais kev noj haus los ntawm lwm txoj kev. Qhov no yuav yog los ntawm ib lub raj lossis los ntawm cov leeg ntshav.
Lub zeem muag ntawm kev rov zoo yog dab tsi?
Yuav ua li cas thiaj paub tias tus neeg uas muaj tus kab mob "Boerhaave's Syndrome" yuav zoo li cas? Kev kuaj mob thaum ntxov thiab kev kho mob yog qhov tseem ceeb tshaj plaws uas koj ua tau los tiv thaiv cov teeb meem, suav nrog kev tuag, los ntawm kev kis kab mob.Cov neeg uas tau txais kev kho mob hauv 24 teev tuaj yeem cia siab tias yuav rov zoo, nrog rau 75% feem pua ntawm kev ciaj sia. Tom qab 24 teev, qhov feem pua ntawm kev tuag yog ntau dua 50%, thiab tom qab 48 teev nws yog 90%. Tag nrho, tus nqi tuag yog li 35%. Cov neeg uas tau txais kev kho mob raws sijhawm thiab ua tiav tuaj yeem rov zoo tag nrho, tab sis nws tuaj yeem siv sijhawm ntau lub hlis. '(Boerhaave's Syndrome)' yog ib qho mob tsis tshua muaj tab sis txawv txawv uas tawm ntau yam los xav txog . Nws tuaj yeem tshwm sim sai sai, tsis muaj cov cim ceeb toom - tab sis kev haus dej cawv ntau dhau yog ib qho cim ceeb toom meej uas peb tuaj yeem tiv thaiv tau. Peb tsis paub txhua yam txog '(Boerhaave's Syndrome)'. Peb tsis paub vim li cas lub caj pas tsis tiv thaiv nws tus kheej ntawm kev puas tsuaj hauv cov rooj plaub no. Tab sis peb paub tias nws tuaj yeem ua rau tuag taus yog tias tsis paub thiab kho thaum ntxov.
Cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov
Zoo, yog li tam sim no koj nkag siab zoo dua txog qhov peb tau tham txog, "Boerhaave's Syndrome." Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:
Boerhaave's Syndrome yog ib qho xwm txheej ceev kho mob uas tshwm sim los ntawm txoj hlab pas tawg.
Qhov no feem ntau tshwm sim tom qab ntuav heev .
Cov tsos mob tseem ceeb yog mob hauv siab sai sai, ntuav, thiab nqos nyuaj .
Cov neeg haus dej cawv ntau muaj kev pheej hmoo ntau dua.
Yog koj muaj cov tsos mob , nrhiav kev pab kho mob tam sim ntawd . Thaum koj pib kho mob sai npaum li cas, koj yuav muaj feem zoo dua.
Feem ntau yuav tsum tau phais mob ua kev kho mob.
Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov mob no. Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no, tsis txhob tsis quav ntsej lawv. Mus ntsib kws kho mob tam sim ntawd.
Kab mob Borrego, txoj hlab pas tawg, mob hauv siab, ntuav, cawv, txoj hlab pas tawg, Meckler triad, sepsis, phais txoj hlab pas

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Kev phais mobMay 31, 2025
Koj puas ntuav thiab mob hauv siab heev? Cia peb kawm txog tus mob txaus ntshai no (Boerhaave's Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 14 min read
📋Table of Contents
1. Qhov no yog dab tsi (Boerhaave's Syndrome)?
2. Qhov txawv ntawm (Boerhaave's Syndrome) thiab (Mallory Weiss Syndrome) yog dab tsi?
3. Yuav ua li cas thaum lub raj xa khoom noj tawg?
4. Qhov no cuam tshuam rau leej twg tshaj plaws?
5. Cov tsos mob ntawm Boerhaave's Syndrome yog dab tsi?
6. Qhov mob zoo li cas?
7. Tej yam teeb meem uas yuav tshwm sim yog dab tsi?
8. Dab tsi yog cov ua rau muaj tus kab mob Boerhaave's Syndrome?
9. Kev siv cawv puas cuam tshuam?
10. Yuav kuaj li cas Boerhaave's Syndrome?
11. Kev kuaj mob siv rau kev kuaj mob
12. Yuav kho tus kab mob Boerhaave li cas?
13. Lub zeem muag ntawm kev rov zoo yog dab tsi?
14. Cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov
Niaj hnub no peb yuav tham txog ib yam dab tsi loj dua me ntsis, thiab ib yam dab tsi uas koj yuav tsum paub tam sim ntawd. Xav txog yog tias koj tau noj thiab haus ntau heev, thiab tam sim ntawd ntuav heev thiab mob hauv siab? Qhov no yuav tsis yog ib txwm muaj. Tus mob no uas peb yuav tham txog, hu ua '(Boerhaave's Syndrome)', yuav yog ib qho xwm txheej ceev.
Qhov no yog dab tsi (Boerhaave's Syndrome)?
Hais yooj yim xwb, qhov "Boerhaave's Syndrome" no yog ib qho mob uas phab ntsa ntawm peb cov kav dej zaub mov, uas yog, "esophagus", "tawg tam sim ntawd." Qhov no tshwm sim thaum muaj qhov siab ntau heev, uas yog, kev thawb, hauv cov kav dej zaub mov. Yog hais kom meej, qhov no feem ntau yuav tshwm sim thaum koj ntuav hnyav lossis siv zog ua lwm yam. Cov kws kho mob kuj hu qhov no tias "(kev siv zog tawg)" lossis "(kev tawg tam sim ntawd", vim tias qhov no tsis yog ib yam dab tsi uas tshwm sim ncaj qha rau cov kav dej zaub mov. Qhov mob no tsis tshua muaj, uas yog, nws cuam tshuam txog li 0.0003% ntawm cov pej xeem. Txawm li cas los xij, 15% ntawm txhua qhov xwm txheej ntawm cov kav dej zaub mov yog tshwm sim los ntawm qhov "Boerhaave's Syndrome" no.
Qhov txawv ntawm (Boerhaave's Syndrome) thiab (Mallory Weiss Syndrome) yog dab tsi?
Tam sim no tej zaum koj yuav xav tias, 'Qhov no puas yog qhov kuv tau hnov txog thaum kuv hnov txog kev tsim kua muag hauv txoj hlab pas?' Muaj qhov sib txawv me ntsis ntawm ob qho no. Kev tsim kua muag Mallory Weiss yog kev tsim kua muag uas tshwm sim thaum koj ntuav nrog zog lossis thaum koj siv zog. Nws yog kev tsim kua muag hauv daim ntaub ntawm txoj hlab pas. Ob qho tib si yog qhov tshwm sim rau cov neeg uas haus cawv ntau . Ib tug neeg uas muaj kev tsim kua muag Mallory Weiss yuav ntuav ntshav. Txawm li cas los xij, txoj hlab pas tsis tawg tag nrho. Txawm li cas los xij, Boerhaave's Syndrome yog qhov hnyav dua. Qhov no yog kev tsim kua muag uas nthuav dav thoob plaws tag nrho ntawm phab ntsa txoj hlab pas. Cov kws kho mob kuj hu nws ua kev tsim kua muag transmural. Thaum nws tawg tag nrho, nws yuav tsum tau kho nrog kev phais mob ceev . Nws tuaj yeem yog qhov xwm txheej tuag taus.
Yuav ua li cas thaum lub raj xa khoom noj tawg?
Xav txog seb yuav muaj li cas thaum peb lub caj pas tawg. Qhov no yog ib qho xwm txheej ceev tiag tiag, thiab yog tias tsis kho sai sai , nws tuaj yeem ua rau tuag taus . Koj puas paub vim li cas? Peb lub caj pas yog ib feem ntawm peb lub cev zom zaub mov (txoj hnyuv). Yog li, thaum lub caj pas tawg, cov khoom noj me me, cov kab mob, thiab cov tshuaj lom neeg zom zaub mov tuaj yeem nkag mus rau hauv peb lub hauv siab lossis lub plab. Yog tias qhov ntawd tshwm sim, cov kab mob loj heev tuaj yeem tshwm sim.
Yog tias tus kab mob no nkag mus rau hauv cov ntshav ntawm peb lub cev tag nrho, cov mob hu ua "septicemia" thiab "sepsis" tuaj yeem tshwm sim. Qhov "sepsis" no yog ib qho kev ua xua uas txaus ntshai rau lub neej. Nws tuaj yeem ua rau "poob siab", ua rau ntau lub cev tsis ua haujlwm, thiab thaum kawg tuag.
Qhov no cuam tshuam rau leej twg tshaj plaws?
Txhua tus neeg tuaj yeem muaj tus kab mob no (Boerhaave's Syndrome). Txawm li cas los xij,Nws feem ntau tshwm sim rau cov txiv neej thiab cov neeg hnub nyoog tshaj 50 xyoo. Kwv yees li 80% ntawm cov neeg uas raug kev txom nyem yog cov txiv neej hnub nyoog nruab nrab. Nws kuj tseem tshwm sim rau cov neeg uas haus cawv ntau dhau .
Cov tsos mob ntawm Boerhaave's Syndrome yog dab tsi?
Zoo, tam sim no cia peb saib seb cov tsos mob ntawm '(Boerhaave's Syndrome)' yog dab tsi. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no.
Mob hauv siab sai sai thiab hnyav heev. Qhov no yog cov tsos mob tseem ceeb.
Xeev siab thiab ntuav . Qee zaum yuav muaj ntshav nyob rau hauv cov ntuav.
Tsis ua li cas yog tias koj mob thaum nqos los yog hnoos.
Ua pa luv dua thiab sai dua.
Cov nqaij hauv lub hauv siab puv nrog cua lossis kua dej, ua rau o.
Kuv lub plab nruj nreem, zoo li pob zeb.
Cov cim qhia txog kev kis kab mob xws li kub taub hau thiab hws .
Yog tias muaj ib lossis ntau yam ntawm cov tsos mob no tshwm sim sai sai, tshwj xeeb tshaj yog tom qab ntuav hnyav, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd .
Qhov mob zoo li cas?
Qhov mob ntawm '(Boerhaave's Syndrome)' hnyav npaum li cas? Ib txhia neeg hais tias nws yog qhov mob uas tsis tuaj yeem ua tau. Qhov mob hnov yog qhov chaw uas qhov tawg tshwm sim. Feem ntau, qhov tawg no tshwm sim hauv peb lub plab hnyuv qis. Ntawd yog, ntawm qhov hauv siab qis thiab lub plab sab saud. Txawm li cas los xij, nws kuj tuaj yeem siab dua li ntawd. Qhov mob no kuj tuaj yeem kis mus rau nraub qaum lossis xub pwg nyom .
Tej yam teeb meem uas yuav tshwm sim yog dab tsi?
Muaj ntau yam kev mob tshwm sim uas tuaj yeem tshwm sim yog tias tus mob no tsis raug tswj hwm kom zoo:
Mob thiab o ntawm koj lub hauv siab.
Kev sib sau ua ke ntawm cov kua qaub hauv lub hauv siab (empyema)
Cua daig hauv lub hauv siab lossis hauv cov nqaij hauv qab daim tawv nqaij.
Pleural effusion ( kua dej sib sau ua ke hauv daim ntaub ntawm lub hauv siab)
Kab Mob Ua Pa Nyuaj Siab ( ARDS )
Kab mob Septicemia, sepsis, thiab shock. Tej no yuav ua rau tuag taus.
Dab tsi yog cov ua rau muaj tus kab mob Boerhaave's Syndrome?
Vim li cas thiaj muaj tus kab mob Boerhaave? Muaj ob qho laj thawj tseem ceeb rau qhov no. Ib qho yog tias qhov siab hauv txoj hlab pas nce ntxiv vim yog kev zawm lossis kev zawm tsis zoo . Qhov thib ob yog tias thaum cov leeg nqaij cricopharyngeus (sphincter sab saud ntawm txoj hlab pas) ntawm sab saum toj ntawm peb lub caj pas tsis so kom teb rau qhov siab no, qhov siab tsis zoo tshwm sim sab nraud ntawm txoj hlab pas.Qhov ua rau muaj tus mob "Boerhaave's Syndrome" no yog ntuav nrov nrov los yog ntuav tas li . Tsis tas li ntawd, thaum yug menyuam, qaug dab peg, nqa khoom hnyav, thiab nqos cov tshuaj lom los yog cov tshuaj corrosive kuj ua rau muaj tus mob no. Feem ntau, thaum zoo li no, cov hlab ntsha yuav tsum so cov leeg nqaij "cricopharyngeus" thiab tso cov kev nyuaj siab tawm hauv. Txawm li cas los xij, thaum "Boerhaave's Syndrome" no, vim qee qhov laj thawj, qhov kev sib koom tes ntawm cov leeg nqaij thiab cov leeg nqaij "(neuromuscular coordination)" no tsis ua haujlwm zoo.
Kev siv cawv puas cuam tshuam?
Kev haus dej cawv puas ua rau lub caj pas tawg? Kev haus dej cawv ntau dhau yog ib qho ua rau muaj kev pheej hmoo . Hom kab mob Boerhaave's Syndrome feem ntau yog ntuav tom qab noj mov ntau lossis tom qab haus cawv. Kev siv dej cawv tsis zoo, noj ntau dhau, thiab bulimia yog cov yam ua rau muaj kev pheej hmoo. Lwm yam ua rau muaj kev pheej hmoo suav nrog cov mob hauv lub caj pas, xws li mob caj pas thiab mob caj pas eosinophilic, mob caj pas Barrett, thiab mob plab hnyuv. Txawm li cas los xij, feem ntau cov neeg uas muaj mob Boerhaave's Syndrome muaj lub caj pas ib txwm muaj.
Yuav kuaj li cas Boerhaave's Syndrome?
Kab mob Boerhaave's Syndrome nyuaj rau kuaj mob , tab sis nws yog ib qho tseem ceeb kom tau txais tam sim ntawd . Nws yooj yim dua rau kev kuaj mob thaum koj muaj peb yam tsos mob, hu ua Mackler triad. Cov no yog: 1. ntuav hnyav lossis rov tshwm sim. 2. Mob hauv siab tam sim ntawd. 3. Mob ntsws hauv qab daim tawv nqaij. Cov tsos mob kawg no yog qhov qhia tshwj xeeb ntawm txoj hlab pas tawg. Txawm li cas los xij, tsis yog txhua tus yuav muaj cov tsos mob no. Yog tias qhov tawg tshwm sim hauv qhov chaw txawv txawv, koj yuav hnov mob hauv qhov chaw txawv txawv, xws li caj dab lossis pob txha caj dab. Nws yuav yog vim muaj lwm yam tsis yog ntuav, lossis nws yuav muaj cov kev mob tshwm sim txawv txawv. Kev siv tshuaj X-ray hauv siab yooj yim yuav muab cov lus qhia, tab sis xav tau kev kuaj duab zoo dua los kuaj mob.
Kev kuaj mob siv rau kev kuaj mob
Cov kev kuaj mob radiological twg siv los kuaj mob "Boerhaave's Syndrome"?
`(Esophagram)` (Esophagram)
Thaum ib tug kws kho mob xav tias muaj Boerhaave's Syndrome, thawj qhov uas lawv feem ntau ua yog thaij duab X-ray. Lawv siv cov xim sib txawv. Qhov no kuj hu ua esophagram. Qhov no yog kev kuaj mob sai, tsis mob thiab raug heev. Rau qhov kev kuaj mob no, koj haus cov kua uas muaj cov xim sib txawv yaj hauv dej. Qhov no ua rau sab hauv ntawm koj cov yeeb nkab zaub mov pom ntawm X-ray. Yog tias muaj qhov kua muag, lawv tuaj yeem pom qhov twg cov xim sib txawv xau.
(Kev thaij duab CT)
Yog tias koj tsis tuaj yeem muaj daim duab esophagogram, lossis yog tias koj tus kws kho mob xav tau cov ntaub ntawv ntxiv txog cov kabmob ib puag ncig, CT scan yuav ua tau. Txawm hais tias nws tsis tuaj yeem qhia qhov chaw tseeb ntawm qhov kua muag, nws tuaj yeem ntes tau me me ntawm cov xim sib piv lossis cua uas tau xau rau hauv cov nqaij ib puag ncig los ntawm txoj hlab pas. Nws kuj tseem siv tau los nrhiav cov kua dej hauv lub hauv siab lossis lub plab uas xav tau kev tso dej tawm.
Yuav kho tus kab mob Boerhaave li cas?
Zoo, tam sim no cia peb saib seb yuav kho tus kab mob "Boerhaave's Syndrome" li cas. Nov yog cov kauj ruam uas yuav tsum ua raws li:
Muab cov kua dej rau hauv cov hlab ntsha (cov kua dej IV): Muaj coob tus neeg qhuav dej, yog li cov kua dej IV yuav tsum tau muab sai sai.
Tshuaj tua kab mob : Cov tshuaj tua kab mob dav dav raug muab rau hauv cov hlab ntsha kom tswj tau kev kis kab mob.
Kev sab laj txog kev phais: Rau cov neeg feem coob, kev phais yog kev kho mob ib txwm muaj. Qee tus neeg uas muaj cov qhov me me, nyob hauv thaj chaw yuav kho tau yam tsis tas phais, nrog kev soj ntsuam thiab tshuaj tua kab mob IV lossis kev siv lub tshuab endoscopy. Txawm li cas los xij, txawm tias nyob rau hauv cov xwm txheej no, cov kws kho mob yuav ib txwm muaj txoj kev npaj rau kev phais.
Kev kho phais: Zoo tshaj plaws yog kho qhov tawg hauv 24 teev tom qab tawg. Nyob ntawm koj tus mob, koj tus kws kho mob yuav siv kev phais mob me me. Piv txwv li, kev phais mob thoracoscopic pab los ntawm video (VATS). Hauv qee qhov xwm txheej ceev, yuav tsum tau qhib thoracotomy kom nkag mus rau hauv lub hauv siab sai thiab tiav.
Kev Nqus Dej/Kev Tshem Tawm Cov Khoom Noj: Ntxiv rau kev kho qhov tawg, cov kua dej uas muaj kab mob uas tau sau rau hauv qhov yuav tsum tau nqus dej thiab tua kab mob. Cov nqaij uas muaj kab mob lossis tuag (necrotic) kuj yuav tsum tau tshem tawm. Hauv qee kis mob hnyav, ib feem ntawm koj txoj hlab pas yuav tsum tau tshem tawm.
Kev tswj xyuas theem siab: Yog tias phais tsis tau hauv 24 teev tom qab tawg, kev kho ncaj qha yuav tsis ua tiav. Cov npoo ntawm qhov txhab yuav pib tawv lossis lwj. Yog tias qhov no tshwm sim, koj tus kws kho mob yuav tsum tau tshem tawm ib feem lossis tag nrho koj lub caj pas (esophagectomy). Yog tias koj xav tau hloov caj pas, qhov no tuaj yeem ua tiav tom qab rau lub lis piam.
Lwm txoj kev pub mis: Txog thaum koj cov kav dej zaub mov zoo, koj yuav tsis tuaj yeem nqos zaub mov los ntawm nws, yog li koj yuav tsum tau txais kev noj haus los ntawm lwm txoj kev. Qhov no yuav yog los ntawm ib lub raj lossis los ntawm cov leeg ntshav.
Lub zeem muag ntawm kev rov zoo yog dab tsi?
Yuav ua li cas thiaj paub tias tus neeg uas muaj tus kab mob "Boerhaave's Syndrome" yuav zoo li cas? Kev kuaj mob thaum ntxov thiab kev kho mob yog qhov tseem ceeb tshaj plaws uas koj ua tau los tiv thaiv cov teeb meem, suav nrog kev tuag, los ntawm kev kis kab mob.Cov neeg uas tau txais kev kho mob hauv 24 teev tuaj yeem cia siab tias yuav rov zoo, nrog rau 75% feem pua ntawm kev ciaj sia. Tom qab 24 teev, qhov feem pua ntawm kev tuag yog ntau dua 50%, thiab tom qab 48 teev nws yog 90%. Tag nrho, tus nqi tuag yog li 35%. Cov neeg uas tau txais kev kho mob raws sijhawm thiab ua tiav tuaj yeem rov zoo tag nrho, tab sis nws tuaj yeem siv sijhawm ntau lub hlis. '(Boerhaave's Syndrome)' yog ib qho mob tsis tshua muaj tab sis txawv txawv uas tawm ntau yam los xav txog . Nws tuaj yeem tshwm sim sai sai, tsis muaj cov cim ceeb toom - tab sis kev haus dej cawv ntau dhau yog ib qho cim ceeb toom meej uas peb tuaj yeem tiv thaiv tau. Peb tsis paub txhua yam txog '(Boerhaave's Syndrome)'. Peb tsis paub vim li cas lub caj pas tsis tiv thaiv nws tus kheej ntawm kev puas tsuaj hauv cov rooj plaub no. Tab sis peb paub tias nws tuaj yeem ua rau tuag taus yog tias tsis paub thiab kho thaum ntxov.
Cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov
Zoo, yog li tam sim no koj nkag siab zoo dua txog qhov peb tau tham txog, "Boerhaave's Syndrome." Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:
Boerhaave's Syndrome yog ib qho xwm txheej ceev kho mob uas tshwm sim los ntawm txoj hlab pas tawg.
Qhov no feem ntau tshwm sim tom qab ntuav heev .
Cov tsos mob tseem ceeb yog mob hauv siab sai sai, ntuav, thiab nqos nyuaj .
Cov neeg haus dej cawv ntau muaj kev pheej hmoo ntau dua.
Yog koj muaj cov tsos mob , nrhiav kev pab kho mob tam sim ntawd . Thaum koj pib kho mob sai npaum li cas, koj yuav muaj feem zoo dua.
Feem ntau yuav tsum tau phais mob ua kev kho mob.
Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov mob no. Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no, tsis txhob tsis quav ntsej lawv. Mus ntsib kws kho mob tam sim ntawd.
Kab mob Borrego, txoj hlab pas tawg, mob hauv siab, ntuav, cawv, txoj hlab pas tawg, Meckler triad, sepsis, phais txoj hlab pas
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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