Tangoganizirani kuti mukudwala kwambiri ndipo nthawi zonse mukusanza. Kodi zingakhale zoopsa bwanji ngati mwadzidzidzi mutasanza magazi? Ndi chinthu chomwe chimadetsa nkhawa anthu ambiri. Koma chimodzi mwa zifukwa zazikulu zomwe zimayambitsa kusanza magazi ngati ichi ndi matenda otchedwa Mallory Weiss Tear. Musadandaule, lero tikambirana za izi m'njira yosavuta komanso yomveka bwino.
Mwachidule, kodi misozi ya Mallory Weiss iyi ndi chiyani?
Pali chubu chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba, chomwe ndi m'mimba mwathu, chomwe madokotala amati ndi m'mero . Mu vuto lotchedwa Mallory Weiss Tear, khoma lamkati la chubu ichi cha m'mero, makamaka komwe limalumikizana ndi m'mimba, limang'ambika pang'ono. Lili ngati chubu cha rabara chomwe chimatuluka mkati. Kung'ambika kumeneku kumapangitsa kuti magazi atuluke m'mitsempha yaying'ono yamagazi kumeneko. Ndi magazi omwe amatuluka tikamasanza.
Matendawa adachokera ku madokotala Kenneth Mallory ndi Soma Weiss, omwe adawafotokoza koyamba mu 1929. Adazindikira kuti anthu omwe amamwa mowa wambiri komanso kusanza kwambiri amatha kuvulala m'mero.
Chabwino kwambiri n'chakuti nthawi zambiri misozi imeneyi imadzichiritsa yokha popanda chithandizo chapadera . Komabe, nthawi zina, chithandizo chingakhale chofunikira.
N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti zomwe zimayambitsa izi?
Chifukwa chachikulu cha izi ndi chakuti kupanikizika mkati mwa mimba yathu kumawonjezeka mwadzidzidzi komanso mwachangu kwambiri. Tangoganizirani, kupanikizika mkati mwa mimba kukakwera, zomwe zili m'mimba zimakankhidwira mmwamba, kutanthauza kuti, ku m'mero. Kupanikizika kwakukulu kumeneku ndiko kumang'amba khoma la m'mero.
Pali zochitika zingapo pomwe kuthamanga kwa magazi m'mimba kungakwere.
| Chifukwa cha kuwonjezeka kwa kuthamanga kwa magazi | Kufotokozera kosavuta |
|---|---|
| Kusanza kwambiri | Ichi ndi chifukwa chofala kwambiri. Mukasanza mosalekeza komanso pafupipafupi, mphamvu zambiri zimachokera m'mimba kupita kukhosi. |
| Kukweza kapena kufinya | Zinthu monga kunyamula chinthu cholemera kwambiri kapena kulimbikira mukupita kuchimbudzi zingawonjezere kupanikizika pamimba. |
| Chifuwa chosalekeza | Chifuwa chachikulu chomwe chakhala chikuchitika kwa milungu ingapo chimayambitsanso kupanikizika kosalekeza m'mimba. |
| Kupereka CPR | Vutoli likhoza kuchitikanso chifukwa cha kupsinjika pachifuwa panthawi ya CPR, chithandizo chadzidzidzi chomwe chimaperekedwa kwa munthu amene wagwidwa ndi vuto la mtima. |
| Kuvulala pachifuwa kapena m'mimba | Kuvulala pachifuwa kapena pamimba chifukwa cha ngozi kungayambitsenso kupanikizika kwambiri. |
Matenda ena omwe amawonjezera chiopsezo
Kuphatikiza apo, matenda ena ndi zizolowezi zina zimawonjezera chiopsezo chotenga Mallory Weiss Tear.
- Kugwiritsa ntchito mowa mopitirira muyeso: Ichi ndiye chinthu chachikulu chomwe chimayambitsa vutoli . Kugwiritsa ntchito mowa kumakhudza anthu pakati pa 50% ndi 70% omwe ali ndi vutoli.
- Bulimia: Ili ndi vuto la kudya lomwe anthu amadya mopitirira muyeso kenako n’kusanza mwamphamvu. Kusanza kosalekeza kumeneku kumawonjezera chiopsezo cha mavuto.
- Matenda Osanza Ozungulira (CVS): Uwu ndi mkhalidwe umene kusanza kumachitika kwa masiku ambiri popanda chifukwa chilichonse chodziwika.
- Hyperemesis Gravidarum (kusanza kwambiri panthawi ya mimba): Vutoli likhoza kuchitikanso chifukwa cha kusanza kwambiri komwe amayi ena apakati amakumana nako.
- Matenda a Gastroesophageal Reflux (GERD): Apa ndi pamene asidi m'mimba amakwera pakhosi. Izi zingapangitse kuti m'mero mukhale wofooka kwamuyaya.
Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?
Chizindikiro chachikulu komanso chodziwika bwino cha vutoli ndi kusanza magazi . Aliyense amene akuona izi amachita mantha. Magaziwa amatha kuwoneka m'njira zosiyanasiyana:
- Ofiira owala: Izi zikutanthauza magazi atsopano, kutanthauza kuti magazi akutuluka m'chilonda nthawi yomweyo.
- Wakuda bulauni, ngati khofi wophikidwa: Umu ndi momwe magazi omwe alowa m'mimba amaonekera akakhala ndi asidi m'mimba kwa kanthawi kenako n'kutuluka.
Kuwonjezera pa kusanza magazi, zizindikiro zina zingapo zingaonekere.
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Chimbudzi chakuda chakuda, chomata | Zili ngati phula. Izi zimachitika chifukwa magazi ochokera m'mimba ya pamwamba amadutsa m'matumbo, amagayidwa, kenako amatuluka ndi ndowe. Izi ndi zomwe zimatchedwa kutuluka magazi. |
| Chizungulire ndi kukomoka | Magazi akamatuluka m'thupi, kuchuluka kwa magazi m'thupi kumachepa ndipo kuthamanga kwa magazi kumatha kutsika. Izi zimapangitsa kuti munthu azizunguzika mutu komanso kukomoka. |
Kodi izi zingakhale zovuta kwambiri? Kodi mavuto ake ndi otani?
Nthawi zambiri, vutoli silikhala lalikulu. Komabe, ngati silichiritsidwa, kutaya magazi mobwerezabwereza kungayambitse kuchepa kwa magazi m'thupi , zomwe zingayambitse zizindikiro monga kutopa kosalekeza komanso kupuma movutikira.
Komabe, nthawi zina, ngati mng'alu wa m'mero uli waukulu ndipo magazi ambiri atayika mwadzidzidzi, thupi likhoza kugwedezeka . Uwu ndi matenda oopsa omwe amafunika chithandizo chadzidzidzi.
Ngati mukumva kusakhazikika kwambiri, muli ndi pakamwa pouma, mukumva nseru, mukumva kuzizira komanso kutuwa, mukumva kugunda kwa mtima mwachangu kwambiri, mukupuma pang'ono komanso mwachangu, komanso muli ofooka kwambiri, izi zitha kukhala zizindikiro za kugwedezeka. Ngati zili choncho, muyenera kupita kuchipatala nthawi yomweyo.
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi zizindikiro monga kusanza magazi, dokotala wanu adzakufunsani kaye mafunso angapo, makamaka okhudza zinthu monga kusanza, kutsokomola, ndi kumwa mowa. Kenako, angakuyezeni thupi ndikuyesa magazi, makamaka kuchuluka kwa magazi (CBC) . Izi zitha kuwona ngati muli ndi magazi ochepa.
Koma mayeso akuluakulu otsimikizira vutoli ndi endoscopy .
Kodi mayeso a endoscopy ndi chiyani?
Musachite mantha ndi dzinali. Izi zikuphatikizapo kuyika chubu chopyapyala komanso chosinthasintha (endoscope) chokhala ndi kamera yolumikizidwa pakhosi panu kuti muwone mkati mwa mmero ndi m'mimba mwanu. Mudzapatsidwa mankhwala oletsa ululu ngati mukufuna kupewa kusasangalala panthawiyi. Kamera iyi imalola dokotala kuwona komwe kung'ambikako kuli, kukula kwake, komanso ngati kukutuluka magazi.
Kodi chimachiritsidwa bwanji? Kodi opaleshoni ndiyofunikira?
Monga ndanenera kale, kwa anthu ambiri, misozi iyi imadzichiritsa yokha m'masiku ochepa popanda chithandizo chapadera. Komabe, dokotala wanu angakupatseni mankhwala ochepetsa asidi m'mimba kuti akuthandizeni kuchira mpaka bala litachira.
- Zoletsa za H2-receptor
- Zoletsa pampu ya proton (PPIs)
Mankhwalawa amachepetsa kupanga asidi m'mimba. Chifukwa asidi akachepa, bala losweka limatha kuchira mwachangu.
Kodi mungachite chiyani ngati magazi sakusiya kutuluka?
Kawirikawiri, ngati kutuluka magazi sikusiya kokha, kumatha kuchiritsidwa nthawi yomweyo ndi endoscopy. Izi si opaleshoni yayikulu.
- Kulandira jakisoni wa endoscopic: Mankhwala monga epinephrine amalowetsedwa m'bala kudzera mu endoscope. Izi zimatsekereza mitsempha yamagazi ndikuletsa kutuluka magazi nthawi yomweyo.
- Kutsekeka kwa Endoscopic electrocoagulation: Izi zimachitika pogwiritsa ntchito magetsi kuti atseke mtsempha wotuluka magazi, zomwe zimafanana ndi kusungunula.
- Endoscopic hemoclip: Kachitsulo kakang'ono kamayikidwa kuti katseke kung'ambikako.
- Kumangirira kwa bandeji ya Endoscopic: Chipangizo chofanana ndi bandeji ya rabara chimayikidwa pamalo osweka kuti magazi asiye kutuluka.
Nthawi zina, pamene palibe chilichonse mwa izi chomwe chapambana, ndi pamene timagwiritsa ntchito njira yotchedwa angiotherapy kapena laparoscopic. Chifukwa chake, palibe chifukwa choopa kwambiri kuchitidwa opaleshoni.
Kodi izi zingalepheretsedwe kuti zisachitikenso?
Inde, n'zotheka ndithu. Chofunika kwambiri ndikuwongolera zinthu zazikulu zomwe zimayambitsa izi.
1. Chepetsani kumwa mowa: Ngati ndinu munthu womwa mowa kwambiri, mutha kuchepetsa kwambiri chiopsezochi mwa kuchepetsa kapena kusiya kwathunthu. Ngati mukufuna thandizo pa izi , lankhulani momasuka ndi dokotala wanu . Iye adzatha kukupatsani malangizo omwe mukufuna.
2. Pezani chithandizo cha matenda ena: Ngati muli ndi vuto monga GERD , kapena kusanza kosalekeza, ndikofunikira kwambiri kuti mulandire chithandizo choyenera.
Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?
Ichi ndi gawo lofunika kwambiri. Ngati muli ndi zizindikiro zotsatirazi, musakhale panyumba.Pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
- Ngati pali magazi m'kusanza (ngakhale atakhala ofiira kapena mtundu wa khofi).
- Ngati ndowe yanu ili yakuda ngati phula .
Kumbukirani, zizindikiro izi zitha kukhala zizindikiro osati za Mallory Weiss Tear yokha, komanso matenda ena akuluakulu monga zilonda zam'mimba ndi khansa. Choncho musanyalanyaze zizindikirozi mpaka mutadziwa chomwe chimayambitsa. Kufunafuna upangiri wa dokotala msanga kungapulumutse moyo wanu.
Uthenga Wopita Nawo Kunyumba
- Kung'ambika kwa Mallory Weiss ndi kung'ambika kwa khoma lamkati la m'mero (chubu chomwe chimayenda kuchokera pakhosi kupita m'mimba) komwe kumachitika chifukwa cha kusanza kwambiri kapena kutsegula m'mimba.
- Zizindikiro zazikulu ndi kusanza magazi ndi kutuluka ndowe zakuda, zochedwa.
- Kumwa mowa mopitirira muyeso ndi chinthu chachikulu chomwe chimayambitsa vutoli.
- Kawirikawiri misozi imeneyi imadzichiritsa yokha popanda chithandizo chilichonse, koma musanyalanyaze zizindikiro zake.
- Ngati mukusanza magazi kapena kuchita ndowe zakuda, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala mwamsanga ndipo mukaone dokotala wanu.
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