MaopaleshoniMay 31, 2025🔄 Updated: Jul 15, 2026⏱ 8 min

Kodi mukusanza ndi ululu waukulu pachifuwa? Tiyeni tiphunzire za vuto loopsa ili (Boerhaave's Syndrome)!

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

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

Lero tikambirana za chinthu china choopsa pang'ono, komanso chinthu chomwe muyenera kudziwa nthawi yomweyo. Tangoganizani ngati mutadya ndi kumwa kwambiri, kenako mwadzidzidzi n’kusanza kwambiri ndikumva kupweteka kwambiri pachifuwa panu? Izi sizingakhale zachilendo. Vutoli lomwe tikambirana, lotchedwa `(Boerhaave's Syndrome)`, likhoza kukhala vuto lina ladzidzidzi.

Kodi ichi ndi chiyani (Boerhaave's Syndrome)?

Mwachidule, `(Boerhaave's Syndrome)` iyi ndi vuto lomwe khoma la chitoliro chathu cha chakudya, kutanthauza `(m'mero),` limaphulika mwadzidzidzi. Izi zimachitika pamene pali kupanikizika kosayerekezeka, kutanthauza kukankhidwa, mu chitoliro cha chakudya. Kunena zoona, izi zimachitika kwambiri mukasanza mwamphamvu kapena kuchita khama mwanjira ina iliyonse. Madokotala amatchanso `(kuphulika kwa khama)` kapena `(kuphulika kwadzidzidzi)`, chifukwa izi sizimachitika mwachindunji pa chitoliro cha chakudya. Vutoli ndi losowa kwambiri, kutanthauza kuti, limakhudza pafupifupi 0.0003% ya anthu. Komabe, 15% ya ngozi zonse za chitoliro cha chakudya zimayambitsidwa ndi `(Boerhaave's Syndrome)` iyi.

Kodi kusiyana pakati pa (Boerhaave's Syndrome) ndi (Mallory Weiss Syndrome) ndi kotani?

Tsopano mwina mukuganiza kuti, 'Kodi izi ndi zomwe ndamva nditamva za kung'ambika kwa m'mero?' Pali kusiyana pang'ono pakati pa ziwirizi. Kung'ambika kwa Mallory Weiss ndi kung'ambika komwe kumachitika mukasanza mwamphamvu kapena mukapanikizika. Ndi kung'ambika kwa m'mero. Zonsezi ndizofala kwa anthu omwe amamwa mowa wambiri . Munthu amene ali ndi kung'ambika kwa Mallory Weiss amatha kusanza magazi. Komabe, m'mero simumaphulika kwathunthu. Komabe, Boerhaave's Syndrome ndi yoopsa kwambiri. Uku ndi kung'ambika komwe kumadutsa mu khoma lonse la m'mero. Madokotala amatchanso kuti kung'ambika kwa transmural. Kukang'ambika kwathunthu, kuyenera kukonzedwa ndi opaleshoni yadzidzidzi . Kungakhale vuto la moyo kapena imfa.

Kodi chimachitika n’chiyani ngati chubu cha chakudya chaphulika?

Tangoganizirani zomwe zimachitika m'mero wathu ukaphulika. Izi ndi zadzidzidzi, ndipo ngati sizikuthandizidwa mwachangu , zitha kukhala zoopsa pa moyo . Kodi mukudziwa chifukwa chake? Mmero wathu ndi gawo la dongosolo lathu logaya chakudya (m'mimba). Chifukwa chake, mmero ukaphulika, tinthu ta chakudya, mabakiteriya, ndi mankhwala ogaya chakudya amatha kutuluka m'chifuwa kapena m'mimba. Ngati zimenezo zitachitika, matenda akuluakulu a bakiteriya angachitike.

Ngati matendawa alowa m'magazi mwa thupi lathu lonse, matenda otchedwa ``septicemia'' ndi ``sepsis'' amatha kuchitika. ``sepsis'' iyi ndi njira yowopsa kwambiri. Ikhoza kubweretsa ''shock'', kulephera kwa ziwalo zambiri, komanso imfa.

Kodi izi zimakhudza kwambiri ndani?

Aliyense akhoza kukhala ndi vutoli (Boerhaave's Syndrome). Komabe,Matendawa amapezeka kwambiri mwa amuna komanso anthu azaka zopitirira 50. Pafupifupi 80% ya omwe akhudzidwa ndi matendawa ndi amuna azaka zapakati. Matendawa amapezekanso mwa anthu omwe amamwa mowa mopitirira muyeso .
Kodi zizindikiro za Boerhaave's Syndrome ndi ziti?
Chabwino, tsopano tiyeni tiwone zizindikiro za `(Boerhaave's Syndrome)`. Ndikofunikira kwambiri kudziwa izi.
Kupweteka pachifuwa mwadzidzidzi komanso koopsa. Ichi ndiye chizindikiro chachikulu.
Kusanza ndi kusanza . Nthawi zina pangakhale magazi m'kusanza.
Palibe vuto kumva ululu mukamameza kapena kutsokomola.
Kupuma kumakhala kochepa komanso kofulumira.
Ziwalo zomwe zili m'chifuwa zimadzaza ndi mpweya kapena madzi, zomwe zimapangitsa kutupa.
Mimba yanga imamva ngati yolimba, ngati mwala.
Zizindikiro za matenda monga kutentha thupi ndi thukuta .
Ngati chimodzi mwa zizindikirozi chikuwonekera mwadzidzidzi, makamaka mutasanza kwambiri, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo .
Kodi ululu wake ndi wotani?
Kodi ululu wa `(Boerhaave's Syndrome)` ndi woopsa bwanji? Anthu ena amati ndi wosapiririka kwenikweni. Ululuwu umamveka pomwe kuphulikako kunachitikira. Nthawi zambiri, kuphulikaku kumachitika m'chigawo chachitatu cha m'mero. Ndiko kuti, pakati pa chifuwa cham'munsi ndi m'mimba chapamwamba. Komabe, kumathanso kukhala kokwera kuposa pamenepo. Ululuwu ukhoza kufalikiranso kumbuyo kapena mapewa .
Kodi mavuto omwe angakhalepo ndi ati?
Pali zotsatirapo zingapo zomwe zingachitike ngati vutoli silikuthandizidwa bwino:
Kutupa ndi kutupa m'chifuwa mwanu.
Kusonkhanitsa mafinya m'chifuwa (empyema)
Mpweya wotsekedwa m'chifuwa kapena m'maselo omwe ali pansi pa khungu.
Kutuluka kwa madzi m'chifuwa (Pleural effusion)
Matenda Ovuta Kwambiri Okhudza Kupuma ( ARDS )
Matenda a septicemia, sepsis, ndi shock. Izi zitha kukhala zoopsa pa moyo.
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Boerhaave?
Chifukwa chiyani Boerhaave's Syndrome imachitika? Pali zifukwa ziwiri zazikulu zomwe zimapangitsa izi. Choyamba ndi chakuti kupanikizika mkati mwa m'mero kumawonjezeka chifukwa cha kupsinjika kosazolowereka kapena kupsinjika . China ndi chakuti pamene minofu ya cricopharyngeus pamwamba pa mmero (sphincter yapamwamba ya m'mero) siimamasuka chifukwa cha kupsinjika kumeneku, kupanikizika koipa kumachitika kunja kwa m'mero .. Chifukwa chachikulu cha `(Boerhaave's Syndrome)` ichi ndi kusanza kokweza kapena kosalekeza . Kuphatikiza apo, kubereka mwana, kugwedezeka, kunyamula zinthu zolemera, ndi kumeza zinthu zowononga kapena zowononga zingayambitsenso vutoli. Nthawi zambiri, m'mikhalidwe yotere, zizindikiro za mitsempha ziyenera kumasula `(minofu ya cricopharyngeus)` ndikutulutsa kupanikizika mkati. Komabe, mu `(Boerhaave's Syndrome)`, pazifukwa zina mgwirizanowu wa mitsempha `(kugwirizana kwa mitsempha)` sugwira ntchito bwino.
Kodi kugwiritsa ntchito mowa kumakhudza chiyani?
Kodi kumwa mowa kungayambitse kuphulika kwa m'mero? Kumwa mowa mopitirira muyeso ndi chinthu chomwe chimayambitsa chiopsezo . Mtundu wofala kwambiri wa Boerhaave's Syndrome ndi kusanza mutadya chakudya chambiri kapena mutamwa mowa. Matenda obwera chifukwa cha kumwa mowa, kudya mopitirira muyeso, ndi bulimia ndi zinthu zomwe zimayambitsa chiopsezo. Zinthu zina zomwe zimayambitsa chiopsezo ndi matenda omwe amapezeka m'mero, monga esophagitis ndi eosinophilic esophagitis, Barrett's esophagus, ndi matenda a zilonda zam'mimba. Komabe, anthu ambiri omwe ali ndi Boerhaave's Syndrome ali ndi m'mero wabwinobwino.
Kodi Boerhaave's Syndrome imazindikiridwa bwanji?
Matenda a Boerhaave's Syndrome angakhale ovuta kuwazindikira , koma ndikofunikira kuwapeza nthawi yomweyo . N'kosavuta kuwazindikira mukakhala ndi zizindikiro zitatu, zomwe zimadziwika kuti Mackler triad. Izi ndi izi: 1. Kusanza kwambiri kapena kobwerezabwereza. 2. Kupweteka pachifuwa mwadzidzidzi. 3. Kutupa kwa subcutaneous emphysema. Chizindikiro chomalizachi chimasonyeza makamaka kuphulika kwa m'mero. Komabe, si aliyense amene adzakhala ndi zizindikiro izi. Ngati kuphulikako kukuchitika pamalo osazolowereka, mutha kumva kupweteka pamalo osazolowereka, monga khosi kapena mafupa a m'khosi. Kungayambitsidwe ndi china chake osati kusanza, kapena kungaphatikizepo zotsatirapo zosazolowereka. X-ray yosavuta pachifuwa ingapereke chidziwitso, koma mayeso owunikira kwambiri amafunika kuti mudziwe vutoli.
Mayeso a X-ray omwe amagwiritsidwa ntchito pozindikira matenda
Ndi mayeso ati a radiological omwe amagwiritsidwa ntchito pozindikira ``Boerhaave's Syndrome''?
`(Esophagram)` (Esophagram)
Dokotala akamakayikira kuti ali ndi Boerhaave's Syndrome, chinthu choyamba chomwe amachita nthawi zambiri ndikutenga X-ray. Amagwiritsa ntchito utoto wosiyanitsa. Izi zimatchedwanso esophagram. Iyi ndi mayeso achangu, osavulaza omwe ndi olondola kwambiri. Pa mayeso awa, mumamwa yankho lomwe lili ndi utoto wosiyanitsa womwe umasungunuka m'madzi. Izi zimapangitsa kuti mkati mwa chitoliro chanu cha chakudya muwonekere pa X-ray. Ngati pali kung'ambika, amatha kuwona komwe utoto wosiyanitsa ukutuluka.
(CT scan)
Ngati simungathe kuchitidwa opaleshoni ya esophagogram, kapena ngati dokotala wanu akufuna kudziwa zambiri zokhudza ziwalo zozungulira, CT scan ikhoza kuchitidwa. Ngakhale kuti singasonyeze komwe kwang'ambika, imatha kuzindikira utoto wosiyana pang'ono kapena mpweya womwe watuluka m'minofu yozungulira kuchokera ku mmero. Ingagwiritsidwenso ntchito kupeza madzi omwe ali pachifuwa kapena m'mimba omwe amafunika kuchotsedwa madzi.
Kodi matenda a Boerhaave amachiritsidwa bwanji?
Chabwino, tsopano tiyeni tiwone momwe tingachiritsire `(Boerhaave's Syndrome)`. Nazi njira zotsatirira:
Kupereka madzi m'mitsempha (madzi a m'mitsempha): Anthu ambiri amakhala opanda madzi m'thupi, choncho madzi a m'mitsempha ayenera kuperekedwa mwachangu.
Mankhwala Opha Majeremusi : Mankhwala opha majeremusi opangidwa ndi majeremusi ambiri amaperekedwa kudzera m'mitsempha kuti athetse matenda.
Kufunsira kwa opaleshoni: Kwa anthu ambiri, opaleshoni ndiyo njira yodziwika bwino yothandizira. Anthu ena omwe ali ndi zilonda zazing'ono, zomwe zimapezeka m'malo osiyanasiyana amatha kuchiritsidwa popanda opaleshoni, ndi maantibayotiki opangidwa ndi ma antibiotic kapena endoscopy. Komabe, ngakhale pazochitika izi, madokotala nthawi zonse amakhala ndi dongosolo lothandizira opaleshoni.
Kukonza opaleshoni: Ndi bwino kukonza kuphulikako mkati mwa maola 24 kuchokera pamene kuphulikako kunayamba. Kutengera ndi vuto lanu, dokotala wanu angagwiritse ntchito opaleshoni yochepetsera kufalikira kwa khansa. Mwachitsanzo, opaleshoni ya thoracoscopic yothandizidwa ndi kanema (VATS). Pazifukwa zina zadzidzidzi, opaleshoni yotseguka ya thoracotomy ingafunike kuti mupeze mwayi wolowera mwachangu komanso mokwanira m'chifuwa.
Kuchotsa/kuchotsa madzi m'thupi: Kuwonjezera pa kukonza kung'ambikako, madzi aliwonse omwe ali ndi kachilombo omwe asonkhana m'bowomo ayenera kuchotsedwa ndi kutsukidwa ndi mankhwala ophera tizilombo toyambitsa matenda. Minofu iliyonse yomwe ili ndi kachilombo kapena yakufa (yotupa) iyeneranso kuchotsedwa. Nthawi zina, gawo la mmero wanu lingafunike kuchotsedwa.
Kasamalidwe kapamwamba: Ngati opaleshoni sikutheka mkati mwa maola 24 kuchokera pamene bala laphulika, kukonza mwachindunji sikungapambane. M'mbali mwa bala mwina mwayamba kuuma kapena kuwonongeka. Ngati izi zitachitika, dokotala wanu angafunike kuchotsa gawo kapena gawo lonse la m'mero wanu (esophagectomy). Ngati mukufuna m'malo mwa m'mero, izi zitha kuchitika patatha milungu isanu ndi umodzi.
Njira zina zodyetsera: Mpaka chitoliro chanu cha chakudya chitachira, simudzatha kumeza chakudya kudzera mmenemo, choncho muyenera kulandira zakudya mwanjira ina. Izi zitha kukhala kudzera mu chubu kapena kudzera mu mtsempha.
Kodi chiyembekezo cha kuchira n'chiyani?
Kodi munthu amene ali ndi matenda a "Boerhaave's Syndrome" ayenera kutani? Kuzindikira msanga ndi kulandira chithandizo ndi zinthu zofunika kwambiri zomwe mungachite kuti mupewe mavuto, kuphatikizapo imfa, chifukwa cha matenda.. Omwe amalandira chithandizo mkati mwa maola 24 akhoza kuyembekezera kuchira bwino, ndi mwayi wa 75% wopulumuka. Pambuyo pa maola 24, mwayi wa imfa ndi woposa 50%, ndipo pambuyo pa maola 48 ndi 90%. Ponseponse, chiwerengero cha imfa ndi pafupifupi 35%. Omwe amalandira chithandizo cha panthawi yake komanso chopambana amatha kuchira mokwanira, koma zingatenge miyezi ingapo. `(Boerhaave's Syndrome)` ndi vuto losowa koma lachilendo kwambiri lomwe limasiya zambiri zoganizira . Lingabwere mwadzidzidzi, popanda zizindikiro zilizonse zochenjeza - koma kumwa mowa kwambiri nthawi zonse ndi chizindikiro chodziwikiratu chomwe tingapewe. Sitikudziwa chilichonse chokhudza `(Boerhaave's Syndrome)`. Sitikudziwa chifukwa chake mmero umalephera kudziteteza ku kuwonongeka pazochitikazi. Koma tikudziwa kuti ukhoza kupha ngati sunazindikirike ndikuchiritsidwa msanga.
Zinthu zofunika kwambiri zomwe muyenera kukumbukira
Chabwino, tsopano mwamvetsetsa bwino zomwe takhala tikulankhula, ``Boerhaave's Syndrome.'' Nazi zina mwa zinthu zofunika kwambiri kukumbukira:
Matenda a Boerhaave ndi vuto lachipatala lomwe limayamba chifukwa cha kuphulika kwa m'mero.
Izi zimachitika nthawi zambiri munthu akasanza mwamphamvu .
Zizindikiro zazikulu ndi kupweteka kwadzidzidzi komanso koopsa pachifuwa, kusanza, komanso kuvutika kumeza .
Anthu omwe amamwa mowa kwambiri ali pachiwopsezo chachikulu.
Ngati mukumva zizindikiro , funsani upangiri wa dokotala nthawi yomweyo . Mukayamba chithandizo mwachangu, mwayi wanu wochira umakhala wabwino.
Opaleshoni nthawi zambiri imafunika ngati chithandizo.
Ndikofunikira kudziwa za vutoli. Ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro izi, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
Matenda a Borrego , kuphulika kwa m'mero, kupweteka pachifuwa, kusanza, mowa, kuphulika kwa m'mero, Meckler triad, sepsis, opaleshoni ya m'mero

⚠️ 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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MaopaleshoniMay 31, 2025
Kodi mukusanza ndi ululu waukulu pachifuwa? Tiyeni tiphunzire za vuto loopsa ili (Boerhaave's Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 8 min read
📋Table of Contents
1. Kodi ichi ndi chiyani (Boerhaave's Syndrome)?
2. Kodi kusiyana pakati pa (Boerhaave's Syndrome) ndi (Mallory Weiss Syndrome) ndi kotani?
3. Kodi chimachitika n’chiyani ngati chubu cha chakudya chaphulika?
4. Kodi izi zimakhudza kwambiri ndani?
5. Kodi zizindikiro za Boerhaave's Syndrome ndi ziti?
6. Kodi ululu wake ndi wotani?
7. Kodi mavuto omwe angakhalepo ndi ati?
8. Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Boerhaave?
9. Kodi kugwiritsa ntchito mowa kumakhudza chiyani?
10. Kodi Boerhaave's Syndrome imazindikiridwa bwanji?
11. Mayeso a X-ray omwe amagwiritsidwa ntchito pozindikira matenda
12. Kodi matenda a Boerhaave amachiritsidwa bwanji?
13. Kodi chiyembekezo cha kuchira n'chiyani?
14. Zinthu zofunika kwambiri zomwe muyenera kukumbukira
Lero tikambirana za chinthu china choopsa pang'ono, komanso chinthu chomwe muyenera kudziwa nthawi yomweyo. Tangoganizani ngati mutadya ndi kumwa kwambiri, kenako mwadzidzidzi n’kusanza kwambiri ndikumva kupweteka kwambiri pachifuwa panu? Izi sizingakhale zachilendo. Vutoli lomwe tikambirana, lotchedwa `(Boerhaave's Syndrome)`, likhoza kukhala vuto lina ladzidzidzi.
Kodi ichi ndi chiyani (Boerhaave's Syndrome)?
Mwachidule, `(Boerhaave's Syndrome)` iyi ndi vuto lomwe khoma la chitoliro chathu cha chakudya, kutanthauza `(m'mero),` limaphulika mwadzidzidzi. Izi zimachitika pamene pali kupanikizika kosayerekezeka, kutanthauza kukankhidwa, mu chitoliro cha chakudya. Kunena zoona, izi zimachitika kwambiri mukasanza mwamphamvu kapena kuchita khama mwanjira ina iliyonse. Madokotala amatchanso `(kuphulika kwa khama)` kapena `(kuphulika kwadzidzidzi)`, chifukwa izi sizimachitika mwachindunji pa chitoliro cha chakudya. Vutoli ndi losowa kwambiri, kutanthauza kuti, limakhudza pafupifupi 0.0003% ya anthu. Komabe, 15% ya ngozi zonse za chitoliro cha chakudya zimayambitsidwa ndi `(Boerhaave's Syndrome)` iyi.
Kodi kusiyana pakati pa (Boerhaave's Syndrome) ndi (Mallory Weiss Syndrome) ndi kotani?
Tsopano mwina mukuganiza kuti, 'Kodi izi ndi zomwe ndamva nditamva za kung'ambika kwa m'mero?' Pali kusiyana pang'ono pakati pa ziwirizi. Kung'ambika kwa Mallory Weiss ndi kung'ambika komwe kumachitika mukasanza mwamphamvu kapena mukapanikizika. Ndi kung'ambika kwa m'mero. Zonsezi ndizofala kwa anthu omwe amamwa mowa wambiri . Munthu amene ali ndi kung'ambika kwa Mallory Weiss amatha kusanza magazi. Komabe, m'mero simumaphulika kwathunthu. Komabe, Boerhaave's Syndrome ndi yoopsa kwambiri. Uku ndi kung'ambika komwe kumadutsa mu khoma lonse la m'mero. Madokotala amatchanso kuti kung'ambika kwa transmural. Kukang'ambika kwathunthu, kuyenera kukonzedwa ndi opaleshoni yadzidzidzi . Kungakhale vuto la moyo kapena imfa.
Kodi chimachitika n’chiyani ngati chubu cha chakudya chaphulika?
Tangoganizirani zomwe zimachitika m'mero wathu ukaphulika. Izi ndi zadzidzidzi, ndipo ngati sizikuthandizidwa mwachangu , zitha kukhala zoopsa pa moyo . Kodi mukudziwa chifukwa chake? Mmero wathu ndi gawo la dongosolo lathu logaya chakudya (m'mimba). Chifukwa chake, mmero ukaphulika, tinthu ta chakudya, mabakiteriya, ndi mankhwala ogaya chakudya amatha kutuluka m'chifuwa kapena m'mimba. Ngati zimenezo zitachitika, matenda akuluakulu a bakiteriya angachitike.
Ngati matendawa alowa m'magazi mwa thupi lathu lonse, matenda otchedwa ``septicemia'' ndi ``sepsis'' amatha kuchitika. ``sepsis'' iyi ndi njira yowopsa kwambiri. Ikhoza kubweretsa ''shock'', kulephera kwa ziwalo zambiri, komanso imfa.
Kodi izi zimakhudza kwambiri ndani?
Aliyense akhoza kukhala ndi vutoli (Boerhaave's Syndrome). Komabe,Matendawa amapezeka kwambiri mwa amuna komanso anthu azaka zopitirira 50. Pafupifupi 80% ya omwe akhudzidwa ndi matendawa ndi amuna azaka zapakati. Matendawa amapezekanso mwa anthu omwe amamwa mowa mopitirira muyeso .
Kodi zizindikiro za Boerhaave's Syndrome ndi ziti?
Chabwino, tsopano tiyeni tiwone zizindikiro za `(Boerhaave's Syndrome)`. Ndikofunikira kwambiri kudziwa izi.
Kupweteka pachifuwa mwadzidzidzi komanso koopsa. Ichi ndiye chizindikiro chachikulu.
Kusanza ndi kusanza . Nthawi zina pangakhale magazi m'kusanza.
Palibe vuto kumva ululu mukamameza kapena kutsokomola.
Kupuma kumakhala kochepa komanso kofulumira.
Ziwalo zomwe zili m'chifuwa zimadzaza ndi mpweya kapena madzi, zomwe zimapangitsa kutupa.
Mimba yanga imamva ngati yolimba, ngati mwala.
Zizindikiro za matenda monga kutentha thupi ndi thukuta .
Ngati chimodzi mwa zizindikirozi chikuwonekera mwadzidzidzi, makamaka mutasanza kwambiri, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo .
Kodi ululu wake ndi wotani?
Kodi ululu wa `(Boerhaave's Syndrome)` ndi woopsa bwanji? Anthu ena amati ndi wosapiririka kwenikweni. Ululuwu umamveka pomwe kuphulikako kunachitikira. Nthawi zambiri, kuphulikaku kumachitika m'chigawo chachitatu cha m'mero. Ndiko kuti, pakati pa chifuwa cham'munsi ndi m'mimba chapamwamba. Komabe, kumathanso kukhala kokwera kuposa pamenepo. Ululuwu ukhoza kufalikiranso kumbuyo kapena mapewa .
Kodi mavuto omwe angakhalepo ndi ati?
Pali zotsatirapo zingapo zomwe zingachitike ngati vutoli silikuthandizidwa bwino:
Kutupa ndi kutupa m'chifuwa mwanu.
Kusonkhanitsa mafinya m'chifuwa (empyema)
Mpweya wotsekedwa m'chifuwa kapena m'maselo omwe ali pansi pa khungu.
Kutuluka kwa madzi m'chifuwa (Pleural effusion)
Matenda Ovuta Kwambiri Okhudza Kupuma ( ARDS )
Matenda a septicemia, sepsis, ndi shock. Izi zitha kukhala zoopsa pa moyo.
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Boerhaave?
Chifukwa chiyani Boerhaave's Syndrome imachitika? Pali zifukwa ziwiri zazikulu zomwe zimapangitsa izi. Choyamba ndi chakuti kupanikizika mkati mwa m'mero kumawonjezeka chifukwa cha kupsinjika kosazolowereka kapena kupsinjika . China ndi chakuti pamene minofu ya cricopharyngeus pamwamba pa mmero (sphincter yapamwamba ya m'mero) siimamasuka chifukwa cha kupsinjika kumeneku, kupanikizika koipa kumachitika kunja kwa m'mero .. Chifukwa chachikulu cha `(Boerhaave's Syndrome)` ichi ndi kusanza kokweza kapena kosalekeza . Kuphatikiza apo, kubereka mwana, kugwedezeka, kunyamula zinthu zolemera, ndi kumeza zinthu zowononga kapena zowononga zingayambitsenso vutoli. Nthawi zambiri, m'mikhalidwe yotere, zizindikiro za mitsempha ziyenera kumasula `(minofu ya cricopharyngeus)` ndikutulutsa kupanikizika mkati. Komabe, mu `(Boerhaave's Syndrome)`, pazifukwa zina mgwirizanowu wa mitsempha `(kugwirizana kwa mitsempha)` sugwira ntchito bwino.
Kodi kugwiritsa ntchito mowa kumakhudza chiyani?
Kodi kumwa mowa kungayambitse kuphulika kwa m'mero? Kumwa mowa mopitirira muyeso ndi chinthu chomwe chimayambitsa chiopsezo . Mtundu wofala kwambiri wa Boerhaave's Syndrome ndi kusanza mutadya chakudya chambiri kapena mutamwa mowa. Matenda obwera chifukwa cha kumwa mowa, kudya mopitirira muyeso, ndi bulimia ndi zinthu zomwe zimayambitsa chiopsezo. Zinthu zina zomwe zimayambitsa chiopsezo ndi matenda omwe amapezeka m'mero, monga esophagitis ndi eosinophilic esophagitis, Barrett's esophagus, ndi matenda a zilonda zam'mimba. Komabe, anthu ambiri omwe ali ndi Boerhaave's Syndrome ali ndi m'mero wabwinobwino.
Kodi Boerhaave's Syndrome imazindikiridwa bwanji?
Matenda a Boerhaave's Syndrome angakhale ovuta kuwazindikira , koma ndikofunikira kuwapeza nthawi yomweyo . N'kosavuta kuwazindikira mukakhala ndi zizindikiro zitatu, zomwe zimadziwika kuti Mackler triad. Izi ndi izi: 1. Kusanza kwambiri kapena kobwerezabwereza. 2. Kupweteka pachifuwa mwadzidzidzi. 3. Kutupa kwa subcutaneous emphysema. Chizindikiro chomalizachi chimasonyeza makamaka kuphulika kwa m'mero. Komabe, si aliyense amene adzakhala ndi zizindikiro izi. Ngati kuphulikako kukuchitika pamalo osazolowereka, mutha kumva kupweteka pamalo osazolowereka, monga khosi kapena mafupa a m'khosi. Kungayambitsidwe ndi china chake osati kusanza, kapena kungaphatikizepo zotsatirapo zosazolowereka. X-ray yosavuta pachifuwa ingapereke chidziwitso, koma mayeso owunikira kwambiri amafunika kuti mudziwe vutoli.
Mayeso a X-ray omwe amagwiritsidwa ntchito pozindikira matenda
Ndi mayeso ati a radiological omwe amagwiritsidwa ntchito pozindikira ``Boerhaave's Syndrome''?
`(Esophagram)` (Esophagram)
Dokotala akamakayikira kuti ali ndi Boerhaave's Syndrome, chinthu choyamba chomwe amachita nthawi zambiri ndikutenga X-ray. Amagwiritsa ntchito utoto wosiyanitsa. Izi zimatchedwanso esophagram. Iyi ndi mayeso achangu, osavulaza omwe ndi olondola kwambiri. Pa mayeso awa, mumamwa yankho lomwe lili ndi utoto wosiyanitsa womwe umasungunuka m'madzi. Izi zimapangitsa kuti mkati mwa chitoliro chanu cha chakudya muwonekere pa X-ray. Ngati pali kung'ambika, amatha kuwona komwe utoto wosiyanitsa ukutuluka.
(CT scan)
Ngati simungathe kuchitidwa opaleshoni ya esophagogram, kapena ngati dokotala wanu akufuna kudziwa zambiri zokhudza ziwalo zozungulira, CT scan ikhoza kuchitidwa. Ngakhale kuti singasonyeze komwe kwang'ambika, imatha kuzindikira utoto wosiyana pang'ono kapena mpweya womwe watuluka m'minofu yozungulira kuchokera ku mmero. Ingagwiritsidwenso ntchito kupeza madzi omwe ali pachifuwa kapena m'mimba omwe amafunika kuchotsedwa madzi.
Kodi matenda a Boerhaave amachiritsidwa bwanji?
Chabwino, tsopano tiyeni tiwone momwe tingachiritsire `(Boerhaave's Syndrome)`. Nazi njira zotsatirira:
Kupereka madzi m'mitsempha (madzi a m'mitsempha): Anthu ambiri amakhala opanda madzi m'thupi, choncho madzi a m'mitsempha ayenera kuperekedwa mwachangu.
Mankhwala Opha Majeremusi : Mankhwala opha majeremusi opangidwa ndi majeremusi ambiri amaperekedwa kudzera m'mitsempha kuti athetse matenda.
Kufunsira kwa opaleshoni: Kwa anthu ambiri, opaleshoni ndiyo njira yodziwika bwino yothandizira. Anthu ena omwe ali ndi zilonda zazing'ono, zomwe zimapezeka m'malo osiyanasiyana amatha kuchiritsidwa popanda opaleshoni, ndi maantibayotiki opangidwa ndi ma antibiotic kapena endoscopy. Komabe, ngakhale pazochitika izi, madokotala nthawi zonse amakhala ndi dongosolo lothandizira opaleshoni.
Kukonza opaleshoni: Ndi bwino kukonza kuphulikako mkati mwa maola 24 kuchokera pamene kuphulikako kunayamba. Kutengera ndi vuto lanu, dokotala wanu angagwiritse ntchito opaleshoni yochepetsera kufalikira kwa khansa. Mwachitsanzo, opaleshoni ya thoracoscopic yothandizidwa ndi kanema (VATS). Pazifukwa zina zadzidzidzi, opaleshoni yotseguka ya thoracotomy ingafunike kuti mupeze mwayi wolowera mwachangu komanso mokwanira m'chifuwa.
Kuchotsa/kuchotsa madzi m'thupi: Kuwonjezera pa kukonza kung'ambikako, madzi aliwonse omwe ali ndi kachilombo omwe asonkhana m'bowomo ayenera kuchotsedwa ndi kutsukidwa ndi mankhwala ophera tizilombo toyambitsa matenda. Minofu iliyonse yomwe ili ndi kachilombo kapena yakufa (yotupa) iyeneranso kuchotsedwa. Nthawi zina, gawo la mmero wanu lingafunike kuchotsedwa.
Kasamalidwe kapamwamba: Ngati opaleshoni sikutheka mkati mwa maola 24 kuchokera pamene bala laphulika, kukonza mwachindunji sikungapambane. M'mbali mwa bala mwina mwayamba kuuma kapena kuwonongeka. Ngati izi zitachitika, dokotala wanu angafunike kuchotsa gawo kapena gawo lonse la m'mero wanu (esophagectomy). Ngati mukufuna m'malo mwa m'mero, izi zitha kuchitika patatha milungu isanu ndi umodzi.
Njira zina zodyetsera: Mpaka chitoliro chanu cha chakudya chitachira, simudzatha kumeza chakudya kudzera mmenemo, choncho muyenera kulandira zakudya mwanjira ina. Izi zitha kukhala kudzera mu chubu kapena kudzera mu mtsempha.
Kodi chiyembekezo cha kuchira n'chiyani?
Kodi munthu amene ali ndi matenda a "Boerhaave's Syndrome" ayenera kutani? Kuzindikira msanga ndi kulandira chithandizo ndi zinthu zofunika kwambiri zomwe mungachite kuti mupewe mavuto, kuphatikizapo imfa, chifukwa cha matenda.. Omwe amalandira chithandizo mkati mwa maola 24 akhoza kuyembekezera kuchira bwino, ndi mwayi wa 75% wopulumuka. Pambuyo pa maola 24, mwayi wa imfa ndi woposa 50%, ndipo pambuyo pa maola 48 ndi 90%. Ponseponse, chiwerengero cha imfa ndi pafupifupi 35%. Omwe amalandira chithandizo cha panthawi yake komanso chopambana amatha kuchira mokwanira, koma zingatenge miyezi ingapo. `(Boerhaave's Syndrome)` ndi vuto losowa koma lachilendo kwambiri lomwe limasiya zambiri zoganizira . Lingabwere mwadzidzidzi, popanda zizindikiro zilizonse zochenjeza - koma kumwa mowa kwambiri nthawi zonse ndi chizindikiro chodziwikiratu chomwe tingapewe. Sitikudziwa chilichonse chokhudza `(Boerhaave's Syndrome)`. Sitikudziwa chifukwa chake mmero umalephera kudziteteza ku kuwonongeka pazochitikazi. Koma tikudziwa kuti ukhoza kupha ngati sunazindikirike ndikuchiritsidwa msanga.
Zinthu zofunika kwambiri zomwe muyenera kukumbukira
Chabwino, tsopano mwamvetsetsa bwino zomwe takhala tikulankhula, ``Boerhaave's Syndrome.'' Nazi zina mwa zinthu zofunika kwambiri kukumbukira:
Matenda a Boerhaave ndi vuto lachipatala lomwe limayamba chifukwa cha kuphulika kwa m'mero.
Izi zimachitika nthawi zambiri munthu akasanza mwamphamvu .
Zizindikiro zazikulu ndi kupweteka kwadzidzidzi komanso koopsa pachifuwa, kusanza, komanso kuvutika kumeza .
Anthu omwe amamwa mowa kwambiri ali pachiwopsezo chachikulu.
Ngati mukumva zizindikiro , funsani upangiri wa dokotala nthawi yomweyo . Mukayamba chithandizo mwachangu, mwayi wanu wochira umakhala wabwino.
Opaleshoni nthawi zambiri imafunika ngati chithandizo.
Ndikofunikira kudziwa za vutoli. Ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro izi, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
Matenda a Borrego , kuphulika kwa m'mero, kupweteka pachifuwa, kusanza, mowa, kuphulika kwa m'mero, Meckler triad, sepsis, opaleshoni ya m'mero
⚠️ 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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