Di ɔpreshɔn dɛn we dɛn kin duMay 31, 2025🔄 Updated: Jul 14, 2026⏱ 12 min

Yu de vɔmit wit bad bad pen na yu chɛst? Lɛ wi lan bɔt dis denja sik (Boerhaave’s Syndrome)!

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

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

Tide wi go tɔk bɔt sɔntin we siriɔs smɔl, ɛn sɔntin we yu nid fɔ no wantɛm wantɛm. Imajin if yu bin dɔn it ɛn drink bɔku, ɛn wantɛm wantɛm yu vɔmit bad bad wan ɛn fil shap pen na yu chɛst? Dis nɔ kin bi nɔmal tin. Dis kɔndishɔn we wi go tɔk bɔt, we dɛn kɔl `(Boerhaave's Syndrome)`, kin bi wan pan dɛn kayn imejensi ya.

Wetin na dis (Boerhaave’s Syndrome)?

Fɔ tɔk am simpul wan, dis `(Boerhaave's Syndrome)` na kɔndishɔn we di wɔl na wi it paip, dat na di `(ɛsophagus),` de bɔs wantɛm wantɛm. Dis kin apin we prɛshɔn de we pɔsin nɔ go ebul fɔ imajin, dat na, we pɔsin kin trɔs, na di it paip. Fɔ tɔk di kɔrɛkt tin, dis kin apin mɔ we yu vɔmit wit pawa ɔ yu de tray tranga wan fɔ du ɛni ɔda we. Dɔktɔ dɛn kin kɔl dis bak `(effort rupture)` ɔ `(spontaneous rupture)`, bikɔs dis nɔto sɔntin we kin apin dairekt to di it paip. Dis kכndyushכn na rili rεs, dat na, i de afekt bכt 0.0003% pan di pipul dεm. כltu, 15% pan כl di fכd paip aksidεnt dεm na dis `(Boerhaave's Syndrome)`.

Wetin na di difrɛns bitwin (Boerhaave’s Syndrome) ɛn (Mallory Weiss Syndrome)?

Naw yu go de tink se, ‘Na dis a dɔn yɛri we a yɛri se wata de kɔmɔt na di ɛsophagus?’ Fɔ tru, smɔl difrɛns de bitwin dɛn tu. Mallory Weiss tear na wata we kin apin we yu vomit fos ɔ we yu strɛs. Na wata we de kɔmɔt na di layn we de na di εsophagus. Dɛn tu tin ya kin apin to pipul dɛn we de drink bɔku rɔm . Pɔsin we gɛt Mallory Weiss tear kin vɔmit blɔd. Bɔt di εsophagus nɔ kin brok ɔl. Bɔt, di sik we dɛn kɔl Boerhaave’s Syndrome kin rili siriɔs . dis na wata we de kכmכt tru di wan ol tik we di εsophagus wכl de tik. Dɔktɔ dɛn kin kɔl am bak transmural tear. We i brok ɔl, dɛn fɔ mek am bak wit ɔpreshɔn we dɛn nid fɔ du am kwik kwik wan . I kin bi tin we kin apin we pɔsin day ɔ day.

Wetin kin apin we wan fud tiub bɔm?

Imajin wetin kin apin we wi εsophagus bɔs. Dis na rial imejensi, ɛn if dɛn nɔ trit am kwik , i kin mek pɔsin in layf de pan denja . Yu no wetin mek? di εsophagus na pat pan wi dijestiv sistεm (gastrointestinal tract). So, we di εsophagus bכs, di fכd pat dεm, baktri dεm, εn di kεmεkal dεm we de mek wi digεst kin lik insay wi chεst kεviti כ bεlε. If dat apin, siriɔs baktriyal infɛkshɔn kin apin.

if dis infεkshכ n go insay di bכdi na wi כl bכdi, kכndishכn dεm we dεn kכl ``septicemia'' εn ``sepsis'' kin apin. dis ``sepsis'' na riakshכn we de mek yu layf de pan denja. i kin mek yu ``shכk'', mכltipכl כgan dεm de fεil, εn te go day.

Udat dis kin afɛkt mɔ?

Enibodi kin divεlכp dis `(Boerhaave's Syndrome). Bɔt,I kin mɔs pan man ɛn pipul dɛm wae dɔn pas 50. Na lɛk 80% pan di wan dɛm wae gɛt dis sik na man dɛm wae gɛt midul ej. I kin apin bak pan pipul dɛn we de drink rɔm pasmak .
Wetin na di sayn dɛm fɔ Boerhaave’s Syndrome?
Okay, naw lɛ wi si wetin na di sayn dɛm fɔ `(Boerhaave's Syndrome)`. I rili impɔtant fɔ no dɛn tin ya.
Wantɛm wantɛm, bad bad pen na in chɛst. Dis na di men sayn we de sho se yu gɛt dis sik.
Nɔs ɛn vɔmit . Sɔntɛnde, blɔd kin de na di vɔmit.
I nɔ bad fɔ fil pen we yu de swɛla ɔ fɔ kɔf.
Di briz kin shɔt ɛn fast.
di tisu dεm na di chεst kεviti de fulכp wit briz כ wata, we de mek i swel.
Mi bɛlɛ de fil tayt, lɛk rɔk.
Sayn dɛm fɔ infekshɔn lɛk fiva ɛn swet .
If wan ɔ mɔ pan dɛn sik ya apin wantɛm wantɛm, mɔ afta yu dɔn vɔmit bad bad wan, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .
Aw di pen tan lɛk?
Aw di pen wae de kam pan `(Boerhaave's Syndrome)` kin tranga? Sɔm pipul dɛn kin se na rili pen we pɔsin nɔ go ebul fɔ bia . Dɛn kin fil di pen rayt usay di rupchɔ bin apin. bכku tεm, dis rכp kin apin na di lכw pat pan wi εsophagus. dat min se, bitwin di lכw chεst kεviti εn di כp bεlε kכva. Bɔt, i kin ay pas dat bak. Dis pen kin spre bak to di bak ɔr sholda .
Wetin na di prɔblɛm dɛn we kin apin?
Bɔku sayd ɛfɛkt dɛn de we kin apin if dɛn nɔr de mɛn dis sik fayn fayn wan:
Inflammation ɛn swelling na yu chɛst cavity.
Kɔlɛkshɔn fɔ di pus na di chɛst kaviti (empyema) .
di briz we de trכp na di chεst kεviti כ insay di tisu dεm we de כnda di skin.
Pleural effusion ( fכd we de kכmכt na di layn na di chεst kεviti) .
Akyu Respiratɔri Distres Sindrom ( ARDS ) .
Septicemia, sepsis, ɛn shɔk. Dɛn tin ya kin mek pɔsin in layf de pan denja.
Wetin na de tin wae kin mek pɔrsin gɛt Boerhaave’s Syndrome?
Wetin mek di sik we dɛn kɔl Boerhaave’s Syndrome kin apin? Tu men rizin dɛn de fɔ dis. wan na dat di prεshכn insay di εsophagus de inkrεs biכs fכ abnכmal strεn כ strεn . di כda wan na we di krikofarin mכsul (כpa εsophageal sphincter) we de na di tכp pat pan wi trot nכ rilaks fכ ansa dis prεshכn, nεgεtiv prεshכn de divεlכp ausayd di εsophagus.. di men tin we kin mek dis `(Boerhaave's Syndrome)` de vכmit lawd כ kכntinyu fכ vכmit . Apat frɔm dat, we pɔsin de bɔn pikin, we i de swɛla, we i de es ebi ebi tin, ɛn we i de swɛla tin dɛn we de mek pɔsin kol ɔ we de rɔtin kin mek i apin bak. nכmal wan, insay dεn kayn kes dεm ya, di nεv signal dεm fכ rilaks di `(cricopharyngeus muscle)` εn rilis di prεshכn insay. כltu, insay `(Boerhaave's Syndrome)`, fכ sכm rizin dis nyuromכskular kכdכnayshכn `(nyuromכskular kכdכnayshכn)` nכ de wok fayn fayn wan.
Yu tink se fɔ drink rɔm kin afɛkt?
Yu tink se we pɔsin drink rɔm, dat kin mek di εsophagus brok? If pɔsin drink pasmak , dat kin mek i gɛt prɔblɛm . De kayn wae wae kin pasmak pan Boerhaave’s Syndrome na wae yu de vɔmit afta yu dɔn it big it ɔr afta yu dɔn drink rɔm. Disɔda fɔ drink rɔm, fɔ it pasmak, ɛn bulimia na tin dɛn we kin mek pɔsin gɛt dis sik. Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na di ɔndalayn mɛdikal kɔndishɔn dɛn na di εsophagus, lɛk εsophagitis ɛn eosinophilic esophagitis, Barrett’s esophagus, ɛn peptic ulcer disease. Bɔt bɔrku pipul dɛm wae gɛt Boerhaave’s Syndrome gɛt nɔrmal ɛsophagus.
Aw dɛn kin no bɔt di sik we dɛn kɔl Boerhaave’s Syndrome?
Boerhaave’s Syndrome kin tranga fɔ no , bɔt i impɔtant fɔ gɛt am wantɛm wantɛm . E kin izi fɔ no wae yu gɛt tri sik, wae dɛn kɔl di Mackler triad. Dɛn tin ya na: 1. We yu de vɔmit bad bad wan ɔ we yu de vɔmit bak. 2. Wantɛm we pɔsin kin gɛt pen na in chɛst. 3. Ɛmfisema we de ɔnda di bɔdi. Dis las simptom de sho mɔ se di εsophagus dɔn brok. Bɔt nɔto ɔlman go gɛt dɛn klas sik ya. If di rupchɔ apin na say we nɔ kɔmɔn, yu kin fil pen na say we nɔ kɔmɔn, lɛk na yu nɛk ɔ yu kɔlabɔn. I kin kam wit ɔda tin pas fɔ vɔmit, ɔr kin kam wit sɔm kayn bad bad tin dɛn we nɔ kin apin to pɔsin. Wan simpul chɛst ɛkstrem kin gi yu tin fɔ no, bɔt dɛn nid fɔ du mɔ sɛnsitiv imej tɛst fɔ no di sik.
Radiɔlɔjik tɛst dɛn we dɛn kin yuz fɔ no if pɔsin gɛt di sik
Us raydiolojikal tɛst dɛn kin yuz fɔ no if yu gɛt ``Boerhaave's Syndrome''?
`(Ɛsofagram)` (Ɛsofagram) .
We dɔktɔ sɔprayz se dɛn gɛt Boerhaave’s Syndrome, di fɔs tin we dɛn kin du na fɔ tek ɛkstrem rayt. Dɛn kin yuz wan kɔntrast day. Dɛn kin kɔl dis bak ɛsophagram. Dis na kwik, nɔ-invasive tɛst we rili kɔrɛkt. Fɔ dis tɛst, yu kin drink sɔl we gɛt kɔntrast day we kin sɔlv na wata. Dis kin mek yu si di insay pat pan yu it paip pan di ɛkstrem rayt. If kray wata de, dɛn kin si usay di kɔntrast day de lik.
(CT skan) .
If yu nɔ ebul fɔ du ɛsophagogram, ɔ if yu dɔktɔ want fɔ no mɔ bɔt di ɔgan dɛn we de rawnd yu, dɛn kin du CT skan. pan ɔl we i nɔ kin sho di rayt say we di kray wata de, i kin no smɔl smɔl kɔntrast day ɔ briz we dɔn lik insay di tisu dɛn we de rawnd am frɔm di εsophagus. Dɛn kin yuz am bak fɔ fɛn wata we dɔn gɛda na di chɛst ɔ bɛlɛ we nid fɔ pul wata.
Aw dɛn kin trit di sik we dɛn kɔl Boerhaave’s Syndrome?
Okay, naw lɛ wi si aw fɔ trit `(Boerhaave's Syndrome)`. Na di tin dɛn we yu fɔ du:
Fɔ gi wata insay di bɛlɛ (IV fluid): Bɔku pipul dɛn nɔ gɛt wata na dɛn bɔdi, so dɛn nid fɔ gi IV wata kwik kwik wan.
Antibayɔtik : Dɛn kin gi brayt spɛktrum antibayɔtik insay di bɛlɛ fɔ kɔntrol di infɛkshɔn.
Ɔpreshɔn kɔnsultɛshɔn: Fɔ bɔku pipul dɛn, ɔpreshɔn na di standad tritmɛnt. Sɔm pipul dɛm we gɛt smɔl, lokal absɛs kin gɛt tritmɛnt we dɛn nɔ gɛt ɔpreshɔn, wit ɔbshɔbishɔn ɛn IV antibayɔtik ɔ ɛndoskopi. Bɔt ivin pan dɛn kayn tin ya, dɔktɔ dɛn go gɛt wan plan ɔltɛm fɔ mek dɛn du di ɔpreshɔn.
Ɔpreshɔn ripa: I bɛtɛ fɔ mek di rɔp insay 24 awa afta di rɔp. Dipen pan yu kɔndishɔn, yu dɔktɔ kin yuz ɔpreshɔn we nɔ go tek bɔku mɔni. Fɔ ɛgzampul, vidio-asist thoracoscopic surgery (VATS). insay sɔm imejensi, i kin nid fɔ mek dɛn pul di opin tɔrɔkotomi fɔ mek i go ebul fɔ go na di chɛst kεviti kwik ɛn kɔmplit wan.
Drenage/debridement: Apat frɔm we dɛn de mek di wata we dɔn rɔtin, ɛni wata we gɛt di sik we dɔn gɛda na di kaviti nid fɔ dreyn ɛn disinfɛkt am. Ɛni tisu we gɛt di sik ɔ we dɔn day (nɛkrɔtik) dɛn fɔ pul am bak. Sɔntɛnde, i kin nid fɔ pul wan pat pan yu εsophagus.
Advans manejmɛnt: If ɔpreshɔn nɔ pɔsibul insay 24 awa afta di rupchɔ, i nɔ go fayn fɔ mek dɛn ripɛnt am dairekt wan. Sɔntɛm di ed dɛn na di wund go dɔn bigin fɔ at ɔ pwɛl. If dis apin, yu dɔktɔ go nid fɔ pul wan pat ɔ ɔl yu εsophagus (esophagectomy). If yu nid fɔ chenj di εsophagus, yu kin du dis afta siks wik.
Ɔda we fɔ it: Te yu it paip wɛl, yu nɔ go ebul fɔ swɛla it tru am, so yu go nid fɔ gɛt nyutrishɔn ɔda we. Dis kin bi tru wan tiub ɔ tru wan vein.
Wetin na di op fɔ mek i wɛl?
Wetin na di prɔgnosis fɔ pɔrsin wae gɛt ``Boerhaave's Syndrome''? Fɔ no di sik kwik kwik wan ɛn fɔ trit yu na di impɔtant tin dɛn we yu kin du fɔ mek yu nɔ gɛt prɔblɛm dɛn, lɛk fɔ day, frɔm di infekshɔn.. Dɛn wan wae gɛt tritmɛnt insay 24 awa kin ɛkspɛkt fɔ wɛl, wit 75% chans fɔ liv. Afta 24 awa, di prɔbabiliti fɔ day pas 50%, ɛn afta 48 awa i kin pas 90%. Ɔl togɛda, di nɔmba fɔ pipul dɛn we de day na lɛk 35%. Di wan dɛn we kin gɛt tritmɛnt di rayt tɛm ɛn we kin wok fayn kin wɛl, bɔt i kin tek sɔm mɔnt. `(Boerhaave's Syndrome)` na wan sik wae nɔr kin bɔrku bɔt wae nɔr kin no bɔt wae kin lɛf bɔrku tin fɔ tink bɔt . I kin kam wantɛm wantɛm, witout ɛni wɔnin sayn – bɔt fɔ drink pasmak na klia wɔnin sayn we wi kin avɔyd. Wi nɔr no ɔltin bɔt `(Boerhaave's Syndrome)`. Wi nɔ no wetin mek di εsophagus nɔ de protɛkt insɛf frɔm damej pan dɛn kayn tin ya. Bɔt wi no se i kin kil pɔsin if dɛn nɔ no am ɛn trit am kwik.
Di tin dɛn we impɔtant pas ɔl we yu nid fɔ mɛmba
Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, ``Boerhaave's Syndrome.'' Na sɔm pan di impɔtant tin dɛm fɔ mɛmba:
Boerhaave’s Syndrome na wan mεdikal imejensi we kin kam bikɔs ɔf di εsophagus we brok.
Bɔku tɛm dis kin apin afta yu dɔn vɔmit wit pawa .
Di men sayn dɛm na we yu de fil pen wantɛm wantɛm, we yu de vɔmit bad bad wan, we yu de vɔmit, ɛn we i nɔ izi fɔ swɛla .
Pipul wae de drink pasmak kin gɛt bɔrku risk.
If yu gɛt sɔm sayn dɛn , go to dɔktɔ wantɛm wantɛm . Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ wɛl.
Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn as tritmɛnt.
E fayn fɔ no bɔt dis sik. If yu ɔr pɔrsin wae yu sabi gɛt ɛni wan pan dɛn kayn sik ya, nɔr ignore dɛm. Si dɔktɔ wantɛm wantɛm.
` Borrego syndrome, εsophageal rupture, chεst pen, vכmit, alcohol, εsophageal rupture, Meckler triad, sepsis, εsophageal כpεrayshכn

⚠️ 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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Di ɔpreshɔn dɛn we dɛn kin duMay 31, 2025
Yu de vɔmit wit bad bad pen na yu chɛst? Lɛ wi lan bɔt dis denja sik (Boerhaave’s Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 12 min read
📋Table of Contents
1. Wetin na dis (Boerhaave’s Syndrome)?
2. Wetin na di difrɛns bitwin (Boerhaave’s Syndrome) ɛn (Mallory Weiss Syndrome)?
3. Wetin kin apin we wan fud tiub bɔm?
4. Udat dis kin afɛkt mɔ?
5. Wetin na di sayn dɛm fɔ Boerhaave’s Syndrome?
6. Aw di pen tan lɛk?
7. Wetin na di prɔblɛm dɛn we kin apin?
8. Wetin na de tin wae kin mek pɔrsin gɛt Boerhaave’s Syndrome?
9. Yu tink se fɔ drink rɔm kin afɛkt?
10. Aw dɛn kin no bɔt di sik we dɛn kɔl Boerhaave’s Syndrome?
11. Radiɔlɔjik tɛst dɛn we dɛn kin yuz fɔ no if pɔsin gɛt di sik
12. Aw dɛn kin trit di sik we dɛn kɔl Boerhaave’s Syndrome?
13. Wetin na di op fɔ mek i wɛl?
14. Di tin dɛn we impɔtant pas ɔl we yu nid fɔ mɛmba
Tide wi go tɔk bɔt sɔntin we siriɔs smɔl, ɛn sɔntin we yu nid fɔ no wantɛm wantɛm. Imajin if yu bin dɔn it ɛn drink bɔku, ɛn wantɛm wantɛm yu vɔmit bad bad wan ɛn fil shap pen na yu chɛst? Dis nɔ kin bi nɔmal tin. Dis kɔndishɔn we wi go tɔk bɔt, we dɛn kɔl `(Boerhaave's Syndrome)`, kin bi wan pan dɛn kayn imejensi ya.
Wetin na dis (Boerhaave’s Syndrome)?
Fɔ tɔk am simpul wan, dis `(Boerhaave's Syndrome)` na kɔndishɔn we di wɔl na wi it paip, dat na di `(ɛsophagus),` de bɔs wantɛm wantɛm. Dis kin apin we prɛshɔn de we pɔsin nɔ go ebul fɔ imajin, dat na, we pɔsin kin trɔs, na di it paip. Fɔ tɔk di kɔrɛkt tin, dis kin apin mɔ we yu vɔmit wit pawa ɔ yu de tray tranga wan fɔ du ɛni ɔda we. Dɔktɔ dɛn kin kɔl dis bak `(effort rupture)` ɔ `(spontaneous rupture)`, bikɔs dis nɔto sɔntin we kin apin dairekt to di it paip. Dis kכndyushכn na rili rεs, dat na, i de afekt bכt 0.0003% pan di pipul dεm. כltu, 15% pan כl di fכd paip aksidεnt dεm na dis `(Boerhaave's Syndrome)`.
Wetin na di difrɛns bitwin (Boerhaave’s Syndrome) ɛn (Mallory Weiss Syndrome)?
Naw yu go de tink se, ‘Na dis a dɔn yɛri we a yɛri se wata de kɔmɔt na di ɛsophagus?’ Fɔ tru, smɔl difrɛns de bitwin dɛn tu. Mallory Weiss tear na wata we kin apin we yu vomit fos ɔ we yu strɛs. Na wata we de kɔmɔt na di layn we de na di εsophagus. Dɛn tu tin ya kin apin to pipul dɛn we de drink bɔku rɔm . Pɔsin we gɛt Mallory Weiss tear kin vɔmit blɔd. Bɔt di εsophagus nɔ kin brok ɔl. Bɔt, di sik we dɛn kɔl Boerhaave’s Syndrome kin rili siriɔs . dis na wata we de kכmכt tru di wan ol tik we di εsophagus wכl de tik. Dɔktɔ dɛn kin kɔl am bak transmural tear. We i brok ɔl, dɛn fɔ mek am bak wit ɔpreshɔn we dɛn nid fɔ du am kwik kwik wan . I kin bi tin we kin apin we pɔsin day ɔ day.
Wetin kin apin we wan fud tiub bɔm?
Imajin wetin kin apin we wi εsophagus bɔs. Dis na rial imejensi, ɛn if dɛn nɔ trit am kwik , i kin mek pɔsin in layf de pan denja . Yu no wetin mek? di εsophagus na pat pan wi dijestiv sistεm (gastrointestinal tract). So, we di εsophagus bכs, di fכd pat dεm, baktri dεm, εn di kεmεkal dεm we de mek wi digεst kin lik insay wi chεst kεviti כ bεlε. If dat apin, siriɔs baktriyal infɛkshɔn kin apin.
if dis infεkshכ n go insay di bכdi na wi כl bכdi, kכndishכn dεm we dεn kכl ``septicemia'' εn ``sepsis'' kin apin. dis ``sepsis'' na riakshכn we de mek yu layf de pan denja. i kin mek yu ``shכk'', mכltipכl כgan dεm de fεil, εn te go day.
Udat dis kin afɛkt mɔ?
Enibodi kin divεlכp dis `(Boerhaave's Syndrome). Bɔt,I kin mɔs pan man ɛn pipul dɛm wae dɔn pas 50. Na lɛk 80% pan di wan dɛm wae gɛt dis sik na man dɛm wae gɛt midul ej. I kin apin bak pan pipul dɛn we de drink rɔm pasmak .
Wetin na di sayn dɛm fɔ Boerhaave’s Syndrome?
Okay, naw lɛ wi si wetin na di sayn dɛm fɔ `(Boerhaave's Syndrome)`. I rili impɔtant fɔ no dɛn tin ya.
Wantɛm wantɛm, bad bad pen na in chɛst. Dis na di men sayn we de sho se yu gɛt dis sik.
Nɔs ɛn vɔmit . Sɔntɛnde, blɔd kin de na di vɔmit.
I nɔ bad fɔ fil pen we yu de swɛla ɔ fɔ kɔf.
Di briz kin shɔt ɛn fast.
di tisu dεm na di chεst kεviti de fulכp wit briz כ wata, we de mek i swel.
Mi bɛlɛ de fil tayt, lɛk rɔk.
Sayn dɛm fɔ infekshɔn lɛk fiva ɛn swet .
If wan ɔ mɔ pan dɛn sik ya apin wantɛm wantɛm, mɔ afta yu dɔn vɔmit bad bad wan, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .
Aw di pen tan lɛk?
Aw di pen wae de kam pan `(Boerhaave's Syndrome)` kin tranga? Sɔm pipul dɛn kin se na rili pen we pɔsin nɔ go ebul fɔ bia . Dɛn kin fil di pen rayt usay di rupchɔ bin apin. bכku tεm, dis rכp kin apin na di lכw pat pan wi εsophagus. dat min se, bitwin di lכw chεst kεviti εn di כp bεlε kכva. Bɔt, i kin ay pas dat bak. Dis pen kin spre bak to di bak ɔr sholda .
Wetin na di prɔblɛm dɛn we kin apin?
Bɔku sayd ɛfɛkt dɛn de we kin apin if dɛn nɔr de mɛn dis sik fayn fayn wan:
Inflammation ɛn swelling na yu chɛst cavity.
Kɔlɛkshɔn fɔ di pus na di chɛst kaviti (empyema) .
di briz we de trכp na di chεst kεviti כ insay di tisu dεm we de כnda di skin.
Pleural effusion ( fכd we de kכmכt na di layn na di chεst kεviti) .
Akyu Respiratɔri Distres Sindrom ( ARDS ) .
Septicemia, sepsis, ɛn shɔk. Dɛn tin ya kin mek pɔsin in layf de pan denja.
Wetin na de tin wae kin mek pɔrsin gɛt Boerhaave’s Syndrome?
Wetin mek di sik we dɛn kɔl Boerhaave’s Syndrome kin apin? Tu men rizin dɛn de fɔ dis. wan na dat di prεshכn insay di εsophagus de inkrεs biכs fכ abnכmal strεn כ strεn . di כda wan na we di krikofarin mכsul (כpa εsophageal sphincter) we de na di tכp pat pan wi trot nכ rilaks fכ ansa dis prεshכn, nεgεtiv prεshכn de divεlכp ausayd di εsophagus.. di men tin we kin mek dis `(Boerhaave's Syndrome)` de vכmit lawd כ kכntinyu fכ vכmit . Apat frɔm dat, we pɔsin de bɔn pikin, we i de swɛla, we i de es ebi ebi tin, ɛn we i de swɛla tin dɛn we de mek pɔsin kol ɔ we de rɔtin kin mek i apin bak. nכmal wan, insay dεn kayn kes dεm ya, di nεv signal dεm fכ rilaks di `(cricopharyngeus muscle)` εn rilis di prεshכn insay. כltu, insay `(Boerhaave's Syndrome)`, fכ sכm rizin dis nyuromכskular kכdכnayshכn `(nyuromכskular kכdכnayshכn)` nכ de wok fayn fayn wan.
Yu tink se fɔ drink rɔm kin afɛkt?
Yu tink se we pɔsin drink rɔm, dat kin mek di εsophagus brok? If pɔsin drink pasmak , dat kin mek i gɛt prɔblɛm . De kayn wae wae kin pasmak pan Boerhaave’s Syndrome na wae yu de vɔmit afta yu dɔn it big it ɔr afta yu dɔn drink rɔm. Disɔda fɔ drink rɔm, fɔ it pasmak, ɛn bulimia na tin dɛn we kin mek pɔsin gɛt dis sik. Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na di ɔndalayn mɛdikal kɔndishɔn dɛn na di εsophagus, lɛk εsophagitis ɛn eosinophilic esophagitis, Barrett’s esophagus, ɛn peptic ulcer disease. Bɔt bɔrku pipul dɛm wae gɛt Boerhaave’s Syndrome gɛt nɔrmal ɛsophagus.
Aw dɛn kin no bɔt di sik we dɛn kɔl Boerhaave’s Syndrome?
Boerhaave’s Syndrome kin tranga fɔ no , bɔt i impɔtant fɔ gɛt am wantɛm wantɛm . E kin izi fɔ no wae yu gɛt tri sik, wae dɛn kɔl di Mackler triad. Dɛn tin ya na: 1. We yu de vɔmit bad bad wan ɔ we yu de vɔmit bak. 2. Wantɛm we pɔsin kin gɛt pen na in chɛst. 3. Ɛmfisema we de ɔnda di bɔdi. Dis las simptom de sho mɔ se di εsophagus dɔn brok. Bɔt nɔto ɔlman go gɛt dɛn klas sik ya. If di rupchɔ apin na say we nɔ kɔmɔn, yu kin fil pen na say we nɔ kɔmɔn, lɛk na yu nɛk ɔ yu kɔlabɔn. I kin kam wit ɔda tin pas fɔ vɔmit, ɔr kin kam wit sɔm kayn bad bad tin dɛn we nɔ kin apin to pɔsin. Wan simpul chɛst ɛkstrem kin gi yu tin fɔ no, bɔt dɛn nid fɔ du mɔ sɛnsitiv imej tɛst fɔ no di sik.
Radiɔlɔjik tɛst dɛn we dɛn kin yuz fɔ no if pɔsin gɛt di sik
Us raydiolojikal tɛst dɛn kin yuz fɔ no if yu gɛt ``Boerhaave's Syndrome''?
`(Ɛsofagram)` (Ɛsofagram) .
We dɔktɔ sɔprayz se dɛn gɛt Boerhaave’s Syndrome, di fɔs tin we dɛn kin du na fɔ tek ɛkstrem rayt. Dɛn kin yuz wan kɔntrast day. Dɛn kin kɔl dis bak ɛsophagram. Dis na kwik, nɔ-invasive tɛst we rili kɔrɛkt. Fɔ dis tɛst, yu kin drink sɔl we gɛt kɔntrast day we kin sɔlv na wata. Dis kin mek yu si di insay pat pan yu it paip pan di ɛkstrem rayt. If kray wata de, dɛn kin si usay di kɔntrast day de lik.
(CT skan) .
If yu nɔ ebul fɔ du ɛsophagogram, ɔ if yu dɔktɔ want fɔ no mɔ bɔt di ɔgan dɛn we de rawnd yu, dɛn kin du CT skan. pan ɔl we i nɔ kin sho di rayt say we di kray wata de, i kin no smɔl smɔl kɔntrast day ɔ briz we dɔn lik insay di tisu dɛn we de rawnd am frɔm di εsophagus. Dɛn kin yuz am bak fɔ fɛn wata we dɔn gɛda na di chɛst ɔ bɛlɛ we nid fɔ pul wata.
Aw dɛn kin trit di sik we dɛn kɔl Boerhaave’s Syndrome?
Okay, naw lɛ wi si aw fɔ trit `(Boerhaave's Syndrome)`. Na di tin dɛn we yu fɔ du:
Fɔ gi wata insay di bɛlɛ (IV fluid): Bɔku pipul dɛn nɔ gɛt wata na dɛn bɔdi, so dɛn nid fɔ gi IV wata kwik kwik wan.
Antibayɔtik : Dɛn kin gi brayt spɛktrum antibayɔtik insay di bɛlɛ fɔ kɔntrol di infɛkshɔn.
Ɔpreshɔn kɔnsultɛshɔn: Fɔ bɔku pipul dɛn, ɔpreshɔn na di standad tritmɛnt. Sɔm pipul dɛm we gɛt smɔl, lokal absɛs kin gɛt tritmɛnt we dɛn nɔ gɛt ɔpreshɔn, wit ɔbshɔbishɔn ɛn IV antibayɔtik ɔ ɛndoskopi. Bɔt ivin pan dɛn kayn tin ya, dɔktɔ dɛn go gɛt wan plan ɔltɛm fɔ mek dɛn du di ɔpreshɔn.
Ɔpreshɔn ripa: I bɛtɛ fɔ mek di rɔp insay 24 awa afta di rɔp. Dipen pan yu kɔndishɔn, yu dɔktɔ kin yuz ɔpreshɔn we nɔ go tek bɔku mɔni. Fɔ ɛgzampul, vidio-asist thoracoscopic surgery (VATS). insay sɔm imejensi, i kin nid fɔ mek dɛn pul di opin tɔrɔkotomi fɔ mek i go ebul fɔ go na di chɛst kεviti kwik ɛn kɔmplit wan.
Drenage/debridement: Apat frɔm we dɛn de mek di wata we dɔn rɔtin, ɛni wata we gɛt di sik we dɔn gɛda na di kaviti nid fɔ dreyn ɛn disinfɛkt am. Ɛni tisu we gɛt di sik ɔ we dɔn day (nɛkrɔtik) dɛn fɔ pul am bak. Sɔntɛnde, i kin nid fɔ pul wan pat pan yu εsophagus.
Advans manejmɛnt: If ɔpreshɔn nɔ pɔsibul insay 24 awa afta di rupchɔ, i nɔ go fayn fɔ mek dɛn ripɛnt am dairekt wan. Sɔntɛm di ed dɛn na di wund go dɔn bigin fɔ at ɔ pwɛl. If dis apin, yu dɔktɔ go nid fɔ pul wan pat ɔ ɔl yu εsophagus (esophagectomy). If yu nid fɔ chenj di εsophagus, yu kin du dis afta siks wik.
Ɔda we fɔ it: Te yu it paip wɛl, yu nɔ go ebul fɔ swɛla it tru am, so yu go nid fɔ gɛt nyutrishɔn ɔda we. Dis kin bi tru wan tiub ɔ tru wan vein.
Wetin na di op fɔ mek i wɛl?
Wetin na di prɔgnosis fɔ pɔrsin wae gɛt ``Boerhaave's Syndrome''? Fɔ no di sik kwik kwik wan ɛn fɔ trit yu na di impɔtant tin dɛn we yu kin du fɔ mek yu nɔ gɛt prɔblɛm dɛn, lɛk fɔ day, frɔm di infekshɔn.. Dɛn wan wae gɛt tritmɛnt insay 24 awa kin ɛkspɛkt fɔ wɛl, wit 75% chans fɔ liv. Afta 24 awa, di prɔbabiliti fɔ day pas 50%, ɛn afta 48 awa i kin pas 90%. Ɔl togɛda, di nɔmba fɔ pipul dɛn we de day na lɛk 35%. Di wan dɛn we kin gɛt tritmɛnt di rayt tɛm ɛn we kin wok fayn kin wɛl, bɔt i kin tek sɔm mɔnt. `(Boerhaave's Syndrome)` na wan sik wae nɔr kin bɔrku bɔt wae nɔr kin no bɔt wae kin lɛf bɔrku tin fɔ tink bɔt . I kin kam wantɛm wantɛm, witout ɛni wɔnin sayn – bɔt fɔ drink pasmak na klia wɔnin sayn we wi kin avɔyd. Wi nɔr no ɔltin bɔt `(Boerhaave's Syndrome)`. Wi nɔ no wetin mek di εsophagus nɔ de protɛkt insɛf frɔm damej pan dɛn kayn tin ya. Bɔt wi no se i kin kil pɔsin if dɛn nɔ no am ɛn trit am kwik.
Di tin dɛn we impɔtant pas ɔl we yu nid fɔ mɛmba
Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, ``Boerhaave's Syndrome.'' Na sɔm pan di impɔtant tin dɛm fɔ mɛmba:
Boerhaave’s Syndrome na wan mεdikal imejensi we kin kam bikɔs ɔf di εsophagus we brok.
Bɔku tɛm dis kin apin afta yu dɔn vɔmit wit pawa .
Di men sayn dɛm na we yu de fil pen wantɛm wantɛm, we yu de vɔmit bad bad wan, we yu de vɔmit, ɛn we i nɔ izi fɔ swɛla .
Pipul wae de drink pasmak kin gɛt bɔrku risk.
If yu gɛt sɔm sayn dɛn , go to dɔktɔ wantɛm wantɛm . Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ wɛl.
Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn as tritmɛnt.
E fayn fɔ no bɔt dis sik. If yu ɔr pɔrsin wae yu sabi gɛt ɛni wan pan dɛn kayn sik ya, nɔr ignore dɛm. Si dɔktɔ wantɛm wantɛm.
` Borrego syndrome, εsophageal rupture, chεst pen, vכmit, alcohol, εsophageal rupture, Meckler triad, sepsis, εsophageal כpεrayshכn
⚠️ 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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