I damlo nasa hle a, i luak chhuak reng ang tih han ngaihtuah teh. Thisen i luak thut a nih chuan engtiang chiahin nge a hlauhawm ang? Mi tam tak ngaihtuahawm tak a ni. Mahse hetiang thisen chhuak chhan ber pakhat chu Mallory Weiss Tear an tih hi a ni. Ngaihtuah buai suh, vawiinah hian he thu hi a awlsam leh chiang takin kan sawi dawn a ni.
A awlsam zawngin, he Mallory Weiss Tear hi eng nge ni?
Kan rilru atanga kan pum, chu chu kan pum thlenga chaw phurtu tube a awm a, chu chu damdawi lam chuan esophagus kan ti a ni. Mallory Weiss Tear an tih dinhmunah chuan he esophagus tube chhung lam, a bik takin pum nena a inzawmna hmunah hian a chhe deuh a ni. A chhung atanga rubber tube puak ang mai a ni. He mittui tla hian chuta thisen kalna kawng te tak te atang chuan thisen a chhuah tir thin. Chu chu kan luak chhuah huna thisen chhuak chu a ni.
He natna hi a hming mak tak mai hi doctor Kenneth Mallory leh Soma Weiss te hnen atanga lak a ni a, an sawi hmasak ber chu kum 1929 khan a ni a, zu in tam lutuk leh luak tam lutuk te chuan an chaw kawng ah heng mittui te hi an nei thin tih an hmuchhuak a ni.
A tha ber chu a tam zawkah chuan heng mittui te hi enkawlna bik nei lovin anmahni chauhin an dam thin . Mahse, a \henah chuan enkawl a ngai mai thei.
Engvangin nge hetiang hi a lo awm? Hei hi engte nge a chhan leh a hlauhawmna?
A chhan ber chu kan pum chhunga pressure hi a pung thut a, a rang hle bawk. Ngaihtuah teh, pum chhunga pressure a san chuan pum chhunga thil awmte chu a chungah, chu chu chaw kawng lam hawiin a nawr let leh a ni. Hetiang pressure nasa tak hian chaw kawng (esophagus wall) a tikehsawm a ni.
Intra-abdominal pressure a san theihna tur dinhmun engemaw zat a awm.
| Pressure a san chhan chu | A sawifiahna awlsam tak |
|---|---|
| Luak chhuak nasa tak | Hei hi a chhan tam ber a ni. I luak chhuak chhunzawm zel leh tam lutuk hian i pum chhung atang hian i rilru lam hawiin pressure nasa tak a lo chhuak thin. |
| Lifting emaw straining emaw a ni | Toilet kal laiin thil rit tak tak chawi emaw, straining emaw ang chi thilte pawh hian pum chungah pressure a tipung thei bawk. |
| Cough awm reng | Kar tam tak chhunga khuh na tak chuan pum chungah pressure a siam chhunzawm zel bawk. |
| CPR pek chhuah | Hetiang dinhmun hi CPR-a rilru natna (chest compression) vang pawh a ni thei a, hei hi cardiac arrest nei tawhte hnena emergency treatment pek thin a ni. |
| Chest emaw pum emaw a hliam | Accident avanga rilru emaw pum emaw a hliam pawhin pressure a tisang thei bawk. |
Risk tipung thei dinhmun dang
Chu bakah, damdawi lam dinhmun leh tih dan thenkhat chuan Mallory Weiss Tear vei theihna a tipung bawk.
- Zu in tam lutuk: Hei hi a hlauhawm ber a ni . Zu in hi he natna vei zinga 50% leh 70% inkarah a inrawlh a ni.
- Bulimia: Hei hi ei leh in lama harsatna a ni a, miten an ei nasa lutuk a, chutah chuan tharum hmangin an luak chhuak thin. Hetianga luak chhuak reng hian harsatna a thlen theihna a tipung a ni.
- Cyclic Vomiting Syndrome (CVS): Hei hi ni tam tak chhung chu a chhan hriat lohvin a awm thin.
- Hyperemesis Gravidarum (naupai laiin luak tam lutuk): Hetiang dinhmun hi nu naupai thenkhatin an luak tam lutuk vang pawh a ni thei.
- Gastroesophageal Reflux Disease (GERD): Hei hi pum chhunga acid a rawn chhoh lai a ni. Hei hian chaw kawng chu a tichak lo reng thei a ni.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
Hetiang natna lan chhuahna ber leh langsar ber chu thisen chhuak hi a ni . Hei hi hmutu apiang chu an hlauthawng thin. He thisen hi kawng hrang hrangin a lo lang thei a:
- Bright red: Hei hian thisen thar a kawk a, chu chu a cut atang hian thisen a chhuak nghal tihna a ni.
- Dark brown, coffee grounds ang mai: Hei hi thisen pum chhunga lut chu rei vak lo stomach acid a awm hnua a chhuah hnua a lan dan chu a ni.
Thisen chhuak bakah hian natna lan chhuahna dang engemaw zat hmuh tur a awm thei bawk.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Dark black, sticky stools a awm bawk | Tar ang mai a ni. Hei hi a chhan chu upper digestive tract atanga thisen chu intestine kaltlangin a kal a, a digested a, stool nen a chhuak a ni. Hei hi thisen chhuah an tih chu a ni. |
| Luak chhuak leh muhil | Taksa atanga thisen a bo ang zelin taksaa thisen awm zat a tlahniam a, thisen sang pawh a tlahniam thei a ni. Hei hian luak chhuak leh muhil a thlen thin. |
Hei hi thil pawi tak a ni thei ang em? Eng harsatna nge a awm?
A tam zawkah chuan hei hi natna khirh tak a ni lo. Mahse, enkawl loh chuan thisen hloh chhunzawm zel chuan thisen tlakchhamna (anemia ) a thlen thei a, chu chuan hah reng leh thawk hahna ang chi symptoms a thlen thei a ni.
Mahse, a tlem berah chuan chaw kawng chhunga mittui tla chu a lian a, thisen tam tak a bo nghal chuan taksa chu a shock thei a ni . Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni.
I rilru a hah lutuk a, i hmui a vawt a, i rilru a hah a, i vawt a, i vun a hring a, i thinlung a thawk rang hle a, thawk i thawk chhuak lo va, rang takin i thawk a, i chak lo hle a nih chuan hengte hi shock chhinchhiahna a ni thei. Chutiang a nih chuan damdawi inah i kal nghal tur a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Thisen chhuak ang chi symptom i neih chuan i doctor chuan zawhna tlemte a zawt hmasa ang che, a bik takin luak chhuak, khuh, zu in ang chi thilte chu a zawt hmasa ang che. Tichuan, taksa enfiahna an nei thei a, thisen test pawh an ti thei a, a bik takin thisen chhiar kimchang (CBC) . Hei hian thisen tlakchhamna (anemia) a enfiah thei.
Mahse he natna hi finfiah nan test ber chu endoscopy a ni .
Endoscopy test tih hi eng nge ni?
A hmingin hlau suh. Hei hian i chaw kawng chhung leh i pum chhung enfiah turin i rilru hnuai lama camera dahin tube (endoscope) te tak te, flexible tak tak dah a ni. Hetiang tih lai hian harsatna i neih loh nan anesthesia pek i ni ang. He camera hian doctor chuan mittui awmna hmun dik tak, a lian zia leh thisen a la chhuak em tih te a hmu thei a ni.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Ka sawi tawh ang khan mi tam zawk tan chuan heng mittui te hi a bik takin enkawl ngai lovin ni rei lo te chhungin a mah chauhin a dam leh thin. Mahse, i doctor chuan hliam a dam hma loh chuan i pum acid tihtlem nan damdawi a pe thei che a ni.
- H2-receptor blocker te pawh a awm bawk
- Proton pump inhibitor (PPI) te hi a tha hle.
Heng damdawi te hian pum chhunga gastric acid siamchhuahna a ti tlem a ni. A chhan chu acid a tlem chuan hliam hrual chu a dam chak thei a ni.
Thisen chhuah a reh loh chuan engtin nge tih ang?
A tlem berah chuan thisen chhuah chu a mah chauha a tawp loh chuan endoscopy nen a rualin enkawl theih a ni. Hengte hi surgery lian tham a ni lo.
- Endoscopic injection therapy: Damdawi epinephrine ang chi chu endoscope hmangin hliam chhungah an inject a. Hei hian thisen kalna kawng a tikhawlo a, thisen chhuah chu a titawp nghal bawk.
- Endoscopic electrocoagulation: Hei hi electric current hmanga thisen chhuak vein seal nan tih a ni a, hei hi soldering nen a inang hle.
- Endoscopic hemoclip: Mittui te khar nan thir clip te tak te an dah a.
- Endoscopic band ligation: Rubber band ang chi hmanrua chu a chhe lai chungah dahin thisen chhuah chu a titawp vek a ni.
A tlem berah chauh, heng zinga pakhat mah a hlawhtlin loh chuan angiotherapy emaw, laparoscopic procedure emaw tih dan kan hmang thin. Chuvangin, zai a ngai dawn tih hlau lutuk a ngai lo.
Hei hi a thlen leh tawh loh nan ven theih a ni em?
Ni e, a theih ngei ang. A bulpui ber chu he thil thlentu berte hi thunun hi a ni.
1. Zu in dan thunun: Zu in nasa tak i nih chuan, zu in tlem emaw, bânsan vek emaw hmangin he hlauhawmna hi nasa takin i tihziaawm thei a ni. Hemi kawngah hian tanpuina i mamawh a nih chuan i doctor nen zalen takin inbiakna nei rawh . I mamawh kaihhruaina a pe thei ang che.
2. Damdawi lam harsatna dang enkawl rawh: GERD , emaw, luak chhuak reng reng ang chi i neih chuan, uluk taka enkawl pawh a pawimawh hle.
Engtikah nge Doctor i hmuh nghal tur?
Hei hi a pawimawh ber a ni. A hnuaia symptoms te hi i neih chuan in lamah awm reng suh.Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Luak chhuak chhungah thisen a awm chuan (a sen emaw, coffee grounds rawng emaw pawh nise).
- I stool chu tar ang maia dum a nih chuan .
Heng symptoms te hi Mallory Weiss Tear chauh ni lovin, natna khirh tak tak dang, pum ulcer leh cancer te pawh a ni thei tih hre reng ang che. Chuvangin heng symptoms te hi a chhan dik tak i hriat hma chuan ngaihthah ngai suh. Damdawi lam thurawn lak hma chuan i nunna a chhanhim thei a ni.
Take-Home Thuchah a ni
- Mallory Weiss Tear chu chaw kawng chhung (ril atanga pum thlenga kal tube) chhungril bang, luak tam lutuk emaw, riltam lutuk emaw avanga tear a ni.
- A lan chhuah dan ber chu thisen chhuak leh ek dum, tarry tak tak kal tlang hi a ni.
- Zu in tam lutuk hi he natna thlentu lian ber a ni.
- Vawi tam tak chu heng mittui te hi enkawl ngai lovin a mah chauhin a dam a, mahse a natna lan chhuah dan chu ngaihthah ngai lo.
- Thisen i luak emaw, ek dum i paltlang emaw a nih chuan damdawi in Emergency Department (ETU)-ah kal nghal la, doctor rawn rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh