Whakaarohia kei te tino mate koe, ā, e ruaki tonu ana. Kātahi te mataku mēnā ka ruaki toto koe i te wā ohorere? He mea tēnei e tino āwangawanga ana te tini tāngata. Engari ko tētahi o ngā tino take o te ruaki toto pēnei ko te mate e kiia nei ko te Mallory Weiss Tear. Kaua e manukanuka, i tēnei rā ka kōrerohia tēnei mea i roto i te huarahi māmā, mārama hoki.
He kupu ngāwari noa iho, he aha tēnei roimata Mallory Weiss?
He ngongo kei reira e kawe ana i te kai mai i tō tātou korokoro ki tō tātou puku, arā, tō tātou puku, e kiia nei e tātou ko te esophagus . I roto i tētahi āhuatanga e kiia nei ko te Mallory Weiss Tear, ka paku pakaru te pakitara o roto o tēnei ngongo esophagus, inā koa te wāhi e hono ana ki te puku. He rite ki te ngongo rapa e pakū mai ana i roto. Nā tēnei pakaru ka turuturu te toto mai i ngā oko toto iti o reira. Koinei te toto e puta mai ana ina ruaki tātou.
I ahu mai te ingoa tauhou o tēnei mate i ngā tākuta a Kenneth Mallory rāua ko Soma Weiss, nā rāua i whakaahua tuatahi i tēnei mate i te tau 1929. I kite rāua ko te hunga e inu nui ana i te waipiro, e ruaki nui ana hoki, ka puta ēnei roimata i roto i ō rātou korokoro.
Ko te mea pai rawa atu, i te nuinga o te wā ka ora noa iho ēnei roimata, kāore he maimoatanga motuhake . Heoi, i ētahi wā, me whai maimoatanga pea.
He aha tēnei ka puta? He aha ngā take me ngā tūponotanga mō tēnei?
Ko te take matua mō tēnei, he tere rawa te piki haere o te pēhanga i roto i tō tātou puku. Whakaarohia, ina piki te pēhanga i roto i te puku, ka panaia ngā mea o roto o te puku ki runga, arā, ki te korokoro. Ko tēnei pēhanga kaha te mea e haehae ana i te pakitara o te korokoro.
He maha ngā āhuatanga ka piki ake ai te pehanga o roto i te puku.
| Te take mō te pikinga o te pēhanga | He whakamārama māmā |
|---|---|
| Ruaki nui | Koinei te take tino noa. Ina ruaki tonu koe, ā, he maha tonu, ka puta he pēhanga nui mai i roto i te puku ki te korokoro. |
| Te hiki, te whakauaua rānei | Mā ngā mahi pēnei i te hiki i tētahi mea taumaha rawa, te whakauaua rānei i te wā e haere ana ki te wharepaku ka piki ake te pēhanga ki te puku. |
| Te maremare tonu | Kei te pēhia tonutia te puku e te maremare nui kua roa nei e mau ana. |
| Te whakarato CPR | Ka puta anō hoki tēnei āhuatanga nā te pēhanga o te uma i te wā o te CPR, he maimoatanga ohorere e hoatu ana ki te tangata kua pāngia e te hopukanga o te ngakau. |
| Ngā whara o te uma, o te puku rānei | Ka taea hoki e te whara o te uma, o te puku rānei i tētahi aituā te whakanui ake i te pēhanga. |
Ētahi atu āhuatanga e whakanui ana i te mōrearea
Hei tāpiri, ko ētahi āhuatanga hauora me ngā tikanga ka whakanui ake i te mōrearea o te whakawhanake i te roimata Mallory Weiss.
- Te nui rawa o te inu waipiro: Koinei te tino take mōrearea . E 50% ki te 70% o te hunga ka pāngia e tēnei mate ka pāngia e te inu waipiro.
- Bulimia: He mate kai tēnei e kai nui ai te tangata, kātahi ka ruaki kaha. Mā tēnei ruaki tonu ka nui ake te tūponotanga o ngā raruraru.
- Te Mate Ruaki Hurihuri (CVS): He āhuatanga tēnei e ruaki ana mō ngā rā maha, kāore he take e kitea ana.
- Hyperemesis Gravidarum (te ruaki nui i te wā e hapu ana): Ka puta anō hoki tēnei āhuatanga nā te nui o te ruaki e pā ana ki ētahi whaea hāpu.
- Mate Reflux Gastroesophageal (GERD): Koinei te wā ka piki ake te waikawa o te puku ki roto i te korokoro. Ka taea e tēnei te ngoikore tonu te korokoro.
He aha ngā tohu o tēnei? Me pēhea e mōhio ai koe ki tēnei?
Ko te tohu matua, ko te tohu tino kitea o tēnei mate ko te ruaki toto . Ka mataku te tangata e kite ana i tēnei. Ka puta mai tēnei toto i roto i ngā momo āhua:
- Whero kanapa: Ko te tikanga he toto hou, arā, kei te puta tonu mai te toto i te motu.
- He parauri pouri, pērā i te paura kawhe: Koinei te āhua o te toto kua uru ki te puku i muri i te pāngia e te waikawa o te puku mō tētahi wā, kātahi ka puta mai.
Haunga te ruaki toto, tera pea ka kitea etahi atu tohu.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| He tūtae pango pouri, he tūtae piri | He rite ki te tā. Nā te mea ka haere te toto mai i te ara nakunaku o runga mā roto i ngā whekau, ka nakunaku, ka puta mai me te paru. Koinei te mea e kiia nei ko te toto. |
| Pōuri me te ngoikore | I te ngaromanga o te toto i te tinana, ka heke te nui o te toto i roto i te tinana, ā, ka heke pea te toto toto. Ka hua ake tēnei i te whanoke me te hemo o te ngākau. |
He kino rawa pea tēnei? He aha ngā raruraru?
I te nuinga o te wā, ehara tēnei i te mate kino. Heoi, ki te kore e rongoatia, ka arahi pea te ngaronga toto tonu ki te anemia , ka puta ai ngā tohu pēnei i te ngenge tonu me te poto o te manawa.
Heoi, i ētahi wā onge, ki te nui te haehae o te korokoro, ā, he nui te toto e ngaro ohorere ana, ka pāngia te tinana e te ohorere . He mate kino tēnei e hiahia ana kia rongoatia wawetia.
Ki te tino pōuri koe, he maroke tō waha, he whakapairuaki, he mātao, he kiri mā, he tere rawa te manawa, he papaku, he tere hoki te manawa, ā, he ngoikore rawa, he tohu pea ēnei o te ohorere. Mēnā koinā, me haere tonu koe ki te hōhipera.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ngā tohu pēnei i te ruaki toto, ka pātai tuatahi tō tākuta ki a koe i ētahi pātai, inā koa mō ngā mea pēnei i te ruaki, te maremare, me te inu waipiro. Kātahi ka tirotirohia pea e rātou te tinana me te toto, inā koa he tatau toto katoa (CBC) . Mā tēnei ka taea te tirotiro mō te anemia.
Engari ko te whakamātautau matua hei whakaū i tēnei mate he endoscopy .
He aha te whakamātautau endoscopy?
Kaua e mataku i te ingoa. Ko te tikanga o tēnei ko te whakauru i tētahi ngongo angiangi, ngāwari (endoscope) me tētahi kāmera e piri ana ki raro i tō korokoro hei tirotiro i te roto o tō korokoro me tō puku. Ka hoatu he rongoā whakamoe ki a koe mēnā kei te hiahia koe ki te rongo i tētahi mamae i roto i tēnei tikanga. Mā tēnei kāmera ka taea e te tākuta te kite tika i te wāhi o te haehae, tōna rahi, me te mea kei te toto tonu.
Me pēhea te rongoā? Me mahi pokanga?
E ai ki taku kōrero i mua, mō te nuinga o te tangata, ka ora noa iho ēnei roimata i roto i ētahi rā, kāore he maimoatanga motuhake. Heoi anō, ka tohua pea e tō tākuta he rongoā hei whakaiti i te waikawa o te puku hei āwhina i a koe ki te whakaora kia ora rā anō te patunga.
- Ngā aukati i te H2-receptor
- Ngā aukati papu pūmua (PPI)
Ka whakaitihia e ēnei rongoā te hanga waikawa puku i roto i te puku. Nā te mea ina whakaitihia te waikawa, ka tere ake te ora o te patunga pakaru.
Me aha mēnā kāore te toto e mutu?
He onge noa iho, ki te kore te toto e mutu i a ia anō, ka taea te rongoā i te wā kotahi me te endoscopy. Ehara ēnei i te pokanga nui.
- Werohanga endoscopic: Ka werohia he rongoā pēnei i te epinephrine ki roto i te patunga mā te endoscope. Ka whakawhāitihia ngā uaua toto, ā, ka mutu tonu te toto.
- Te whakapūngao hiko endoscopic: Ka mahia tēnei mā te whakamahi i te iahiko hei hiri i te uaua e toto ana, he rite ki te whakapiripiri.
- Hemoclip Endoscopic: Ka whakauruhia he topenga whakarewa iti hei kati i te roimata.
- Herenga here endoscopic: Ka whakatakotoria he taputapu rite ki te here rapa ki runga i te wāhi i pakaru hei whakamutu katoa i te toto.
I ngā wā onge anake, ina kore tetahi o ēnei e angitu, ka whakamahia he tikanga e kiia nei ko te angiotherapy , he tikanga laparoscopic rānei. Nō reira, kāore he take e mataku rawa ai koe ki te pokanga.
Ka taea te ārai i tēnei mea kei tupu anō?
Āe, e tino taea ana. Ko te mea nui ko te whakahaere i ngā take matua e puta ai tēnei.
1. Whakahaerehia tō inu waipiro: Mena he tangata inu nui koe, ka taea e koe te whakaiti i tēnei mōrearea mā te whakaiti, te whakamutu rānei i tēnei. Mena kei te hiahia āwhina koe mō tēnei , kōrero noa ki tō tākuta . Ka taea e ia te hoatu ki a koe te aratohu e hiahiatia ana e koe.
2. Rapua he maimoatanga mō ētahi atu mate hauora: Mena kei a koe tētahi mate pēnei i te GERD , te ruaki tonu rānei, he mea nui hoki kia tika te rongoā.
Āhea koe me toro atu ki te tākuta tonu?
Koinei te wāhanga tino nui. Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e noho ki te kāinga.Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Mena he toto kei roto i te ruaki (ahakoa he whero, he rite rānei ki te tae o te paura kawhe).
- Mena he mangu tō tūtae, pērā i te tā .
Kia maumahara, ehara i te mea he tohu noa iho ēnei tohu mō te Mallory Weiss Tear, engari mō ētahi atu mate kino anō hoki pērā i te mate puku me te mate pukupuku. Nō reira, kaua rawa e warewarehia ēnei tohu kia mōhio rā anō koe ki te pūtake. Mā te rapu tohutohu hauora i te wā wawe ka ora ai koe.
Karere Tangohia ki te Kāinga
- Ko te roimata Mallory Weiss he roimata i te pakitara o roto o te esophagus (te ngongo e rere ana mai i te korokoro ki te puku) e puta mai ana i te nui o te ruaki, te ruaki rānei.
- Ko ngā tohu matua ko te ruaki toto me te puta o ngā tūtae mangu, pōuriuri.
- Ko te nui rawa o te inu waipiro tētahi o ngā tino take mōrearea mō tēnei mate.
- He maha ngā wā ka ora noa iho ēnei roimata, kāore he maimoatanga, engari kaua e warewarehia ngā tohu.
- Ki te ruaki toto koe, ki te pāngia rānei koe e ngā tūtae mangu, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera ka toro atu ki tō tākuta.
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