Kuvhiya2026 Chikunguru 15🔄 Updated: 2026 Chg 15⏱ 8 min

Uri kurutsa nekurwadziwa kwakanyanya pachipfuva here? Ngatidzidzei nezvechirwere ichi chine njodzi (Boerhaave's Syndrome)!

Creator: Dr. Priya Sammani
Published: 2026-07-15T18:52:22.000Z

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

Nhasi tichataura nezvechimwe chinhu chakakomba zvishoma, uye chimwe chinhu chaunofanira kuziva nekukasika. Fungidzira kudai wakadya nekunwa zvakanyanya, wobva wangoerekana warutsa zvine simba wonzwa kurwadziwa kwakanyanya muchipfuva chako? Izvi zvingasava zvakajairika. Dambudziko iri ratichataura nezvaro, rinonzi `(Boerhaave's Syndrome)`, rinogona kuva rimwe rematambudziko akadaro.

Chii ichi (Boerhaave's Syndrome)?

Zvichitaurwa zviri nyore, iyi `(Boerhaave's Syndrome)` inyaya iyo madziro epombi yedu yechikafu, kureva `(esophagus),` anongoerekana aputika. Izvi zvinoitika kana paine kumanikidzwa kusingafungidzike, ndiko kuti, kusundirwa, mupombi yechikafu. Kutaura chokwadi, izvi zvinowanzoitika kana ukarutsa nesimba kana kushanda nesimba neimwe nzira. Vanachiremba vanodanawo izvi kuti `(effort rupture)` kana `(spontaneous rupture)`, nekuti ichi hachisi chinhu chinoitika zvakananga kupombi yechikafu. Chirwere ichi hachiwanzoitiki, ndiko kuti, chinokanganisa vanhu vanosvika 0.0003%. Zvisinei, 15% yetsaona dzese dzepombi yechikafu dzinokonzerwa neiyi `(Boerhaave's Syndrome)`.

Chii chiri musiyano uripo pakati pe (Boerhaave's Syndrome) ne (Mallory Weiss Syndrome)?

Zvino ungave uchifunga kuti, 'Ndizvo here zvandakanzwa pandinonzwa nezvekubvaruka mugurokuro?' Pane musiyano mudiki pakati pezviviri izvi. Kubvaruka kweMallory Weiss kubvaruka kunoitika kana uchirutsa nesimba kana paunomanikidza. Kubvaruka muchikamu chegurokuro. Zvese izvi zvinowanzoitika kuvanhu vanonwa doro rakawanda . Munhu ane kubvaruka kweMallory Weiss anogona kurutsa ropa. Zvisinei, gurokuro hariputike zvachose. Zvisinei, Boerhaave's Syndrome yakakomba zvikuru. Uku kubvaruka kunopfuura nekukora kwemadziro egurokuro. Vanachiremba vanokudanawo kuti kubvaruka kwetransmural. Kana kukaputika zvachose, kunofanira kugadziriswa nekuvhiyiwa kwekukurumidzira . Kunogona kuva mamiriro ezvinhu ehupenyu kana rufu.

Chii chinoitika kana chubhu yechikafu ikaputika?

Fungidzira zvinoitika kana gumbo redu raputika. Iyi idambudziko guru, uye kana rikasarapwa nekukasika , rinogona kuisa upenyu panjodzi . Unoziva here kuti sei? Gumbo redu chikamu chegadziriro yedu yekugaya chikafu (nzira yekugaya chikafu). Saka, kana gumbo raputika, zvidimbu zvekudya, mabhakitiriya, uye makemikari ekugaya chikafu zvinogona kubuda muchipfuva chedu kana mudumbu. Kana izvozvo zvikaitika, hutachiona hwakakomba hwebhakitiriya hunogona kuitika.

Kana hutachiona uhu hukapinda muropa remuviri wedu wese, zvirwere zvinonzi "septicemia" uye "sepsis" zvinogona kuitika. "Sepsis" iyi inyaya inotyisidzira hupenyu. Inogona kutungamira ku "shock", kutadza kushanda kwenhengo dzakawanda, uye pakupedzisira rufu.

Izvi zvinonyanya kukanganisa ani?

Munhu wese anogona kuwana chirwere ichi (Boerhaave's Syndrome). Zvisinei,Inonyanya kuwanikwa muvarume nevanhu vane makore anopfuura makumi mashanu. Vanhu vanosvika 80% vanobatwa nechirwere ichi varume vane makore epakati nepakati. Inowanikwawo muvanhu vanonwa doro zvakanyanya .
Ndezvipi zviratidzo zveBoerhaave's Syndrome?
Zvakanaka, ngationei zviratidzo zve `(Boerhaave's Syndrome)`. Zvakakosha kuziva izvi.
Kurwadziwa kwechipfuva kwakakomba kamwe kamwe. Ichi ndicho chiratidzo chikuru.
Kusvotwa nekurutsa . Dzimwe nguva panogona kunge paine ropa mukurutsa.
Hazvina kuipa kunzwa kurwadziwa kana uchimedza kana kukosora.
Kufema kunova kupfupi uye kunokurumidza.
Nyama dziri muchipfuva dzinozara nemhepo kana mvura, zvichikonzera kuzvimba.
Dumbu rangu rinonzwa rakamanikana, sedombo.
Zviratidzo zvehutachiona zvakaita sefivha nekudikitira .
Kana chimwe chezviratidzo izvi chikaonekwa kamwe kamwe, kunyanya mushure mekurutsa zvakanyanya, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika .
Marwadzo acho akaita sei?
Kurwadziwa kwe`(Boerhaave's Syndrome)` kwakakomba zvakadini? Vamwe vanhu vanoti kurwadziwa kusingatsungiririki . Kurwadziwa uku kunonzwa panzvimbo chaiyo pakaputika. Kazhinji, kuputika uku kunoitika muchikamu chechitatu chezasi chegurokuro redu. Kureva kuti, pakati pechipfuva chepazasi nedumbu repamusoro. Zvisinei, kunogonawo kuva kwakakwirira kupfuura ipapo. Kurwadziwa uku kunogonawo kupararira kumusana kana pamafudzi .
Ndezvipi zvinetso zvinogona kuitika?
Kune mimwe migumisiro yakaipa inogona kuitika kana chirwere ichi chikasatarisirwa zvakanaka:
Kuzvimba nekuzvimba muchipfuva chako.
Kuunganidzwa kwehurwa muchipfuva (empyema)
Mhepo yakavharirwa muchipfuva kana munyama dziri pasi peganda.
Kubuda kwemvura muchipfuva (Pleural effusion)
Chirwere cheAcute Respiratory Distress Syndrome ( ARDS )
Septicemia, sepsis, uye shock. Izvi zvinogona kuisa hupenyu panjodzi.
Ndezvipi zvikonzero zveBoerhaave's Syndrome?
Sei Boerhaave's Syndrome ichiitika? Pane zvikonzero zviviri zvikuru zveizvi. Chimwe ndechekuti kumanikidzwa kuri mukati meguropu kunowedzera nekuda kwekumanikidzwa kana kumanikidzwa kusingawanzoitiki . Chimwe ndechekuti kana tsandanyama yecricopharyngeus (upper esophageal sphincter) iri pamusoro pehuro yedu isingazorori nekuda kwekumanikidzwa uku, kumanikidzwa kunobva kunze kweguropu.. Chikonzero chikuru chechirwere ichi `(Boerhaave's Syndrome)` kurutsa kwakanyanya kana kuti kunoramba kuchiitika . Pamusoro pezvo, kubereka mwana, kugwinha, kusimudza zvinhu zvinorema, uye kumedza zvinhu zvinokonzera kana zvinoparadza zvinogonawo kukonzera. Kazhinji, mumamiriro ezvinhu akadaro, zviratidzo zvetsinga zvinofanira kusunungura `(cricopharyngeus muscle)` uye kusunungura kumanikidzwa mukati. Zvisinei, mu`(Boerhaave's Syndrome)`, nekuda kwechimwe chikonzero kubatana uku kwetsinga dzemuviri `(neuromuscular coordination)` hakushande nemazvo.
Kushandiswa kwedoro kunokanganisa here?
Kunwa doro kunogona kukonzera kuputika kwegurokuro here? Kunwa doro zvakanyanya chinhu chinogona kukonzera njodzi . Rudzi rwakajairika rweBoerhaave's Syndrome kurutsa mushure mekudya kwakawanda kana mushure mekunwa doro. Dambudziko rekushandisa doro zvakanyanya, kudya zvakanyanya, uye bulimia zvinhu zvinokonzera njodzi. Zvimwe zvinokonzera njodzi zvinosanganisira zvirwere zviri mugurokuro, zvakaita se esophagitis ne eosinophilic esophagitis, Barrett's esophagus, uye peptic ulcer disease. Zvisinei, vanhu vazhinji vane Boerhaave's Syndrome vane gurokuro yakajairika.
Boerhaave's Syndrome inoongororwa sei?
Boerhaave's Syndrome inogona kuoma kuiongorora , asi zvakakosha kuiwana nekukasika . Zviri nyore kuiongorora kana uine zviratidzo zvitatu, zvinozivikanwa seMackler triad. Izvi ndeizvi: 1. Kurutsa kwakanyanya kana kudzokorora. 2. Kurwadziwa kwechipfuva kamwe kamwe. 3. Subcutaneous emphysema. Ichi chiratidzo chekupedzisira chinonyanya kuratidza gumbo rakaputika. Zvisinei, havasi vese vachava nezviratidzo izvi zvekare. Kana kuputika kukaitika munzvimbo isina kujairika, unogona kunzwa kurwadziwa munzvimbo isina kujairika, senge mutsipa kana makumbo emutsipa. Kunogona kukonzerwa nechimwe chinhu chisiri kurutsa, kana kuti kunogona kuperekedzwa nemigumisiro isingajairika. X-ray yechipfuva inogona kupa ruzivo, asi bvunzo yekufungidzira inonyanya kunzwisisika inodiwa kuti uone chirwere chacho.
Kuongororwa kweX-ray kunoshandiswa pakuongorora chirwere
Ndezvipi zviedzo zve radiological zvinoshandiswa kuongorora ``Boerhaave's Syndrome''?
`(Esophagram)` (Esophagram)
Kana chiremba akafungidzira kuti ane chirwere cheBoerhaave's Syndrome, chinhu chekutanga chavanowanzoita kutora X-ray. Vanoshandisa dhayi rekuenzanisa. Izvi zvinonziwo esophagram. Iyi bvunzo inokurumidza, isingapindi mumuviri uye yakarurama kwazvo. Pabvunzo iyi, unonwa mushonga une dhayi rekuenzanisa rinonyungudika mumvura. Izvi zvinoita kuti mukati mepombi yako yechikafu muonekwe paX-ray. Kana pakabvaruka, vanogona kuona kuti dhayi rekuenzanisa riri kubuda riini.
(CT scan)
Kana musingakwanise kuongororwa esophagogram, kana kuti kana chiremba wenyu achida rumwe ruzivo nezve nhengo dzakakomberedza, CT scan inogona kuitwa. Kunyangwe isingakwanise kuratidza nzvimbo chaiyo yekubvaruka, inogona kuona dhayi diki kana mhepo yakadonhera munyama dzakapoteredza kubva pagurokuro. Inogona zvakare kushandiswa kuwana mvura yakaungana muchipfuva kana mudumbu inoda kubudiswa.
Boerhaave's Syndrome inorapwa sei?
Zvakanaka, ngationei kuti tingarapa sei `(Boerhaave's Syndrome)`. Heano matanho ekutevera:
Kupa mvura inoyerera netsinga (IV fluids): Vanhu vazhinji vanoshaya mvura mumuviri, saka mvura inoyerera netsinga inofanira kupiwa nekukurumidza.
Mishonga inorwisa mabhakitiriya : Mishonga inorwisa mabhakitiriya inopinzwa netsinga kuti idzivirire hutachiona.
Kubvunzana nezvevanovhiya: Kune vanhu vazhinji, kuvhiya ndiyo nzira yakajairika yekurapa. Vamwe vanhu vane maronda madiki, ari munzvimbo imwe chete vanogona kurapwa vasina kuvhiyiwa, nekuongororwa uye nekushandisa mishonga inorwisa mabhakitiriya kana endoscopy. Zvisinei, kunyangwe muzviitiko izvi, vanachiremba vanogara vaine hurongwa hwekugadzirisa matambudziko ekuvhiya.
Kugadziriswa kwekuvhiyiwa: Zvakanaka kugadzirisa kuputika mukati memaawa makumi maviri nemana mushure mekuputika. Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kushandisa kuvhiyiwa kusingapindi zvakanyanya. Semuenzaniso, kuvhiyiwa kwethoracoscopic nevhidhiyo (VATS). Mune dzimwe nguva dzenjodzi, kuvhiyiwa kwethoracotomy kwakavhurika kunogona kudiwa kuti uwane mukana wekupinda muchipfuva nekukurumidza uye zvakakwana.
Kubvisa/kubvisa tsvina: Pamusoro pekugadzirisa kubvaruka, chero mvura ine utachiona yakaungana mugomba inofanira kubudiswa uye kucheneswa mushonga wekuuraya utachiona. Chero nyama ine utachiona kana yakafa inofanirawo kubviswa. Mune zvimwe zviitiko zvakakomba, chikamu chegurokuro yako chingada kubviswa.
Kutarisirwa kwepamusoro: Kana kuvhiyiwa kusingagoneke mukati memaawa makumi maviri nemana kubva pakatsemuka, kugadziriswa zvakananga kungasabudirira. Micheto yeronda inogona kunge yatanga kuoma kana kuipa. Kana izvi zvikaitika, chiremba wako angangoda kubvisa chikamu chegurokuro rako rose (esophagectomy). Kana uchida gurokuro rekutsiva, izvi zvinogona kuitwa mushure memavhiki matanhatu.
Dzimwe nzira dzekudyisa: Kusvikira pombi yako yechikafu yapora, hauzokwanisi kumedza chikafu kuburikidza nayo, saka uchafanira kuwana chikafu neimwe nzira. Izvi zvinogona kunge zviri kuburikidza nechubhu kana kuburikidza netsinga.
Ndeipi tariro yekupora?
Chii chingave chiri fungidziro yemunhu ane "Boerhaave's Syndrome"? Kuongororwa nekukurumidza uye kurapwa ndizvo zvinhu zvakakosha zvaunogona kuita kudzivirira matambudziko, kusanganisira rufu, kubva kuhutachiona.. Avo vanorapwa mukati memaawa makumi maviri nemana vanogona kutarisira kupora zvakanaka, vaine mukana we75% wekupona. Mushure memaawa makumi maviri nemana, mukana wekufa unopfuura 50%, uye mushure memaawa makumi mana nemasere unosvika 90%. Kazhinji, huwandu hwerufu hunosvika 35%. Avo vanorapwa panguva yakakodzera uye zvinobudirira vanogona kupora zvizere, asi zvinogona kutora mwedzi yakati wandei. `(Boerhaave's Syndrome)` chirwere chisingawanzoitiki asi chisingawanzoitiki chinosiya zvakawanda zvekufunga nezvacho . Chinogona kuitika kamwe kamwe, pasina zviratidzo zvekunyevera - asi kunwa doro zvakanyanya kwenguva refu chiratidzo chekunyevera chakajeka chatinogona kudzivirira. Hatizivi zvese nezve `(Boerhaave's Syndrome)`. Hatizivi kuti nei gumbo richitadza kuzvidzivirira kubva mukukuvadzwa mune izvi zviitiko. Asi tinoziva kuti rinogona kuuraya kana rikasazivikanwa uye rakarapwa nekukurumidza.
Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka
Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatanga tichitaura nezvazvo, ``Boerhaave's Syndrome.'' Heano mamwe emashoko akakosha ekurangarira:
Boerhaave's Syndrome chirwere chinokonzerwa nekuputika kwegurokuro.
Izvi zvinowanzoitika mushure mekurutsa zvine simba .
Zviratidzo zvikuru kurwadziwa kwechipfuva kamwe kamwe, kurutsa, uye kuoma kumedza .
Vanhu vanonwa doro zvakanyanya vari panjodzi huru.
Kana ukaona zviratidzo , tsvaga rubatsiro rwechiremba nekukasika . Kana ukakurumidza kutanga kurapwa, mikana yako yekupora inowedzera.
Kuvhiyiwa kunowanzo diwa sekurapa.
Zvakakosha kuziva nezvechirwere ichi. Kana iwe kana mumwe munhu waunoziva akasangana nezviratidzo izvi, usazviregeredza. Enda kuna chiremba nekukasika.
Borrego syndrome, kuputika kwegurokuro, kurwadziwa kwechipfuva, kurutsa, doro, kuputika kwegurokuro, Meckler triad, sepsis, kuvhiyiwa kwegurokuro

⚠️ 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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Kuvhiya2026 Chikunguru 15
Uri kurutsa nekurwadziwa kwakanyanya pachipfuva here? Ngatidzidzei nezvechirwere ichi chine njodzi (Boerhaave's Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 8 min read
📋Table of Contents
1. Chii ichi (Boerhaave's Syndrome)?
2. Chii chiri musiyano uripo pakati pe (Boerhaave's Syndrome) ne (Mallory Weiss Syndrome)?
3. Chii chinoitika kana chubhu yechikafu ikaputika?
4. Izvi zvinonyanya kukanganisa ani?
5. Ndezvipi zviratidzo zveBoerhaave's Syndrome?
6. Marwadzo acho akaita sei?
7. Ndezvipi zvinetso zvinogona kuitika?
8. Ndezvipi zvikonzero zveBoerhaave's Syndrome?
9. Kushandiswa kwedoro kunokanganisa here?
10. Boerhaave's Syndrome inoongororwa sei?
11. Kuongororwa kweX-ray kunoshandiswa pakuongorora chirwere
12. Boerhaave's Syndrome inorapwa sei?
13. Ndeipi tariro yekupora?
14. Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka
Nhasi tichataura nezvechimwe chinhu chakakomba zvishoma, uye chimwe chinhu chaunofanira kuziva nekukasika. Fungidzira kudai wakadya nekunwa zvakanyanya, wobva wangoerekana warutsa zvine simba wonzwa kurwadziwa kwakanyanya muchipfuva chako? Izvi zvingasava zvakajairika. Dambudziko iri ratichataura nezvaro, rinonzi `(Boerhaave's Syndrome)`, rinogona kuva rimwe rematambudziko akadaro.
Chii ichi (Boerhaave's Syndrome)?
Zvichitaurwa zviri nyore, iyi `(Boerhaave's Syndrome)` inyaya iyo madziro epombi yedu yechikafu, kureva `(esophagus),` anongoerekana aputika. Izvi zvinoitika kana paine kumanikidzwa kusingafungidzike, ndiko kuti, kusundirwa, mupombi yechikafu. Kutaura chokwadi, izvi zvinowanzoitika kana ukarutsa nesimba kana kushanda nesimba neimwe nzira. Vanachiremba vanodanawo izvi kuti `(effort rupture)` kana `(spontaneous rupture)`, nekuti ichi hachisi chinhu chinoitika zvakananga kupombi yechikafu. Chirwere ichi hachiwanzoitiki, ndiko kuti, chinokanganisa vanhu vanosvika 0.0003%. Zvisinei, 15% yetsaona dzese dzepombi yechikafu dzinokonzerwa neiyi `(Boerhaave's Syndrome)`.
Chii chiri musiyano uripo pakati pe (Boerhaave's Syndrome) ne (Mallory Weiss Syndrome)?
Zvino ungave uchifunga kuti, 'Ndizvo here zvandakanzwa pandinonzwa nezvekubvaruka mugurokuro?' Pane musiyano mudiki pakati pezviviri izvi. Kubvaruka kweMallory Weiss kubvaruka kunoitika kana uchirutsa nesimba kana paunomanikidza. Kubvaruka muchikamu chegurokuro. Zvese izvi zvinowanzoitika kuvanhu vanonwa doro rakawanda . Munhu ane kubvaruka kweMallory Weiss anogona kurutsa ropa. Zvisinei, gurokuro hariputike zvachose. Zvisinei, Boerhaave's Syndrome yakakomba zvikuru. Uku kubvaruka kunopfuura nekukora kwemadziro egurokuro. Vanachiremba vanokudanawo kuti kubvaruka kwetransmural. Kana kukaputika zvachose, kunofanira kugadziriswa nekuvhiyiwa kwekukurumidzira . Kunogona kuva mamiriro ezvinhu ehupenyu kana rufu.
Chii chinoitika kana chubhu yechikafu ikaputika?
Fungidzira zvinoitika kana gumbo redu raputika. Iyi idambudziko guru, uye kana rikasarapwa nekukasika , rinogona kuisa upenyu panjodzi . Unoziva here kuti sei? Gumbo redu chikamu chegadziriro yedu yekugaya chikafu (nzira yekugaya chikafu). Saka, kana gumbo raputika, zvidimbu zvekudya, mabhakitiriya, uye makemikari ekugaya chikafu zvinogona kubuda muchipfuva chedu kana mudumbu. Kana izvozvo zvikaitika, hutachiona hwakakomba hwebhakitiriya hunogona kuitika.
Kana hutachiona uhu hukapinda muropa remuviri wedu wese, zvirwere zvinonzi "septicemia" uye "sepsis" zvinogona kuitika. "Sepsis" iyi inyaya inotyisidzira hupenyu. Inogona kutungamira ku "shock", kutadza kushanda kwenhengo dzakawanda, uye pakupedzisira rufu.
Izvi zvinonyanya kukanganisa ani?
Munhu wese anogona kuwana chirwere ichi (Boerhaave's Syndrome). Zvisinei,Inonyanya kuwanikwa muvarume nevanhu vane makore anopfuura makumi mashanu. Vanhu vanosvika 80% vanobatwa nechirwere ichi varume vane makore epakati nepakati. Inowanikwawo muvanhu vanonwa doro zvakanyanya .
Ndezvipi zviratidzo zveBoerhaave's Syndrome?
Zvakanaka, ngationei zviratidzo zve `(Boerhaave's Syndrome)`. Zvakakosha kuziva izvi.
Kurwadziwa kwechipfuva kwakakomba kamwe kamwe. Ichi ndicho chiratidzo chikuru.
Kusvotwa nekurutsa . Dzimwe nguva panogona kunge paine ropa mukurutsa.
Hazvina kuipa kunzwa kurwadziwa kana uchimedza kana kukosora.
Kufema kunova kupfupi uye kunokurumidza.
Nyama dziri muchipfuva dzinozara nemhepo kana mvura, zvichikonzera kuzvimba.
Dumbu rangu rinonzwa rakamanikana, sedombo.
Zviratidzo zvehutachiona zvakaita sefivha nekudikitira .
Kana chimwe chezviratidzo izvi chikaonekwa kamwe kamwe, kunyanya mushure mekurutsa zvakanyanya, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika .
Marwadzo acho akaita sei?
Kurwadziwa kwe`(Boerhaave's Syndrome)` kwakakomba zvakadini? Vamwe vanhu vanoti kurwadziwa kusingatsungiririki . Kurwadziwa uku kunonzwa panzvimbo chaiyo pakaputika. Kazhinji, kuputika uku kunoitika muchikamu chechitatu chezasi chegurokuro redu. Kureva kuti, pakati pechipfuva chepazasi nedumbu repamusoro. Zvisinei, kunogonawo kuva kwakakwirira kupfuura ipapo. Kurwadziwa uku kunogonawo kupararira kumusana kana pamafudzi .
Ndezvipi zvinetso zvinogona kuitika?
Kune mimwe migumisiro yakaipa inogona kuitika kana chirwere ichi chikasatarisirwa zvakanaka:
Kuzvimba nekuzvimba muchipfuva chako.
Kuunganidzwa kwehurwa muchipfuva (empyema)
Mhepo yakavharirwa muchipfuva kana munyama dziri pasi peganda.
Kubuda kwemvura muchipfuva (Pleural effusion)
Chirwere cheAcute Respiratory Distress Syndrome ( ARDS )
Septicemia, sepsis, uye shock. Izvi zvinogona kuisa hupenyu panjodzi.
Ndezvipi zvikonzero zveBoerhaave's Syndrome?
Sei Boerhaave's Syndrome ichiitika? Pane zvikonzero zviviri zvikuru zveizvi. Chimwe ndechekuti kumanikidzwa kuri mukati meguropu kunowedzera nekuda kwekumanikidzwa kana kumanikidzwa kusingawanzoitiki . Chimwe ndechekuti kana tsandanyama yecricopharyngeus (upper esophageal sphincter) iri pamusoro pehuro yedu isingazorori nekuda kwekumanikidzwa uku, kumanikidzwa kunobva kunze kweguropu.. Chikonzero chikuru chechirwere ichi `(Boerhaave's Syndrome)` kurutsa kwakanyanya kana kuti kunoramba kuchiitika . Pamusoro pezvo, kubereka mwana, kugwinha, kusimudza zvinhu zvinorema, uye kumedza zvinhu zvinokonzera kana zvinoparadza zvinogonawo kukonzera. Kazhinji, mumamiriro ezvinhu akadaro, zviratidzo zvetsinga zvinofanira kusunungura `(cricopharyngeus muscle)` uye kusunungura kumanikidzwa mukati. Zvisinei, mu`(Boerhaave's Syndrome)`, nekuda kwechimwe chikonzero kubatana uku kwetsinga dzemuviri `(neuromuscular coordination)` hakushande nemazvo.
Kushandiswa kwedoro kunokanganisa here?
Kunwa doro kunogona kukonzera kuputika kwegurokuro here? Kunwa doro zvakanyanya chinhu chinogona kukonzera njodzi . Rudzi rwakajairika rweBoerhaave's Syndrome kurutsa mushure mekudya kwakawanda kana mushure mekunwa doro. Dambudziko rekushandisa doro zvakanyanya, kudya zvakanyanya, uye bulimia zvinhu zvinokonzera njodzi. Zvimwe zvinokonzera njodzi zvinosanganisira zvirwere zviri mugurokuro, zvakaita se esophagitis ne eosinophilic esophagitis, Barrett's esophagus, uye peptic ulcer disease. Zvisinei, vanhu vazhinji vane Boerhaave's Syndrome vane gurokuro yakajairika.
Boerhaave's Syndrome inoongororwa sei?
Boerhaave's Syndrome inogona kuoma kuiongorora , asi zvakakosha kuiwana nekukasika . Zviri nyore kuiongorora kana uine zviratidzo zvitatu, zvinozivikanwa seMackler triad. Izvi ndeizvi: 1. Kurutsa kwakanyanya kana kudzokorora. 2. Kurwadziwa kwechipfuva kamwe kamwe. 3. Subcutaneous emphysema. Ichi chiratidzo chekupedzisira chinonyanya kuratidza gumbo rakaputika. Zvisinei, havasi vese vachava nezviratidzo izvi zvekare. Kana kuputika kukaitika munzvimbo isina kujairika, unogona kunzwa kurwadziwa munzvimbo isina kujairika, senge mutsipa kana makumbo emutsipa. Kunogona kukonzerwa nechimwe chinhu chisiri kurutsa, kana kuti kunogona kuperekedzwa nemigumisiro isingajairika. X-ray yechipfuva inogona kupa ruzivo, asi bvunzo yekufungidzira inonyanya kunzwisisika inodiwa kuti uone chirwere chacho.
Kuongororwa kweX-ray kunoshandiswa pakuongorora chirwere
Ndezvipi zviedzo zve radiological zvinoshandiswa kuongorora ``Boerhaave's Syndrome''?
`(Esophagram)` (Esophagram)
Kana chiremba akafungidzira kuti ane chirwere cheBoerhaave's Syndrome, chinhu chekutanga chavanowanzoita kutora X-ray. Vanoshandisa dhayi rekuenzanisa. Izvi zvinonziwo esophagram. Iyi bvunzo inokurumidza, isingapindi mumuviri uye yakarurama kwazvo. Pabvunzo iyi, unonwa mushonga une dhayi rekuenzanisa rinonyungudika mumvura. Izvi zvinoita kuti mukati mepombi yako yechikafu muonekwe paX-ray. Kana pakabvaruka, vanogona kuona kuti dhayi rekuenzanisa riri kubuda riini.
(CT scan)
Kana musingakwanise kuongororwa esophagogram, kana kuti kana chiremba wenyu achida rumwe ruzivo nezve nhengo dzakakomberedza, CT scan inogona kuitwa. Kunyangwe isingakwanise kuratidza nzvimbo chaiyo yekubvaruka, inogona kuona dhayi diki kana mhepo yakadonhera munyama dzakapoteredza kubva pagurokuro. Inogona zvakare kushandiswa kuwana mvura yakaungana muchipfuva kana mudumbu inoda kubudiswa.
Boerhaave's Syndrome inorapwa sei?
Zvakanaka, ngationei kuti tingarapa sei `(Boerhaave's Syndrome)`. Heano matanho ekutevera:
Kupa mvura inoyerera netsinga (IV fluids): Vanhu vazhinji vanoshaya mvura mumuviri, saka mvura inoyerera netsinga inofanira kupiwa nekukurumidza.
Mishonga inorwisa mabhakitiriya : Mishonga inorwisa mabhakitiriya inopinzwa netsinga kuti idzivirire hutachiona.
Kubvunzana nezvevanovhiya: Kune vanhu vazhinji, kuvhiya ndiyo nzira yakajairika yekurapa. Vamwe vanhu vane maronda madiki, ari munzvimbo imwe chete vanogona kurapwa vasina kuvhiyiwa, nekuongororwa uye nekushandisa mishonga inorwisa mabhakitiriya kana endoscopy. Zvisinei, kunyangwe muzviitiko izvi, vanachiremba vanogara vaine hurongwa hwekugadzirisa matambudziko ekuvhiya.
Kugadziriswa kwekuvhiyiwa: Zvakanaka kugadzirisa kuputika mukati memaawa makumi maviri nemana mushure mekuputika. Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kushandisa kuvhiyiwa kusingapindi zvakanyanya. Semuenzaniso, kuvhiyiwa kwethoracoscopic nevhidhiyo (VATS). Mune dzimwe nguva dzenjodzi, kuvhiyiwa kwethoracotomy kwakavhurika kunogona kudiwa kuti uwane mukana wekupinda muchipfuva nekukurumidza uye zvakakwana.
Kubvisa/kubvisa tsvina: Pamusoro pekugadzirisa kubvaruka, chero mvura ine utachiona yakaungana mugomba inofanira kubudiswa uye kucheneswa mushonga wekuuraya utachiona. Chero nyama ine utachiona kana yakafa inofanirawo kubviswa. Mune zvimwe zviitiko zvakakomba, chikamu chegurokuro yako chingada kubviswa.
Kutarisirwa kwepamusoro: Kana kuvhiyiwa kusingagoneke mukati memaawa makumi maviri nemana kubva pakatsemuka, kugadziriswa zvakananga kungasabudirira. Micheto yeronda inogona kunge yatanga kuoma kana kuipa. Kana izvi zvikaitika, chiremba wako angangoda kubvisa chikamu chegurokuro rako rose (esophagectomy). Kana uchida gurokuro rekutsiva, izvi zvinogona kuitwa mushure memavhiki matanhatu.
Dzimwe nzira dzekudyisa: Kusvikira pombi yako yechikafu yapora, hauzokwanisi kumedza chikafu kuburikidza nayo, saka uchafanira kuwana chikafu neimwe nzira. Izvi zvinogona kunge zviri kuburikidza nechubhu kana kuburikidza netsinga.
Ndeipi tariro yekupora?
Chii chingave chiri fungidziro yemunhu ane "Boerhaave's Syndrome"? Kuongororwa nekukurumidza uye kurapwa ndizvo zvinhu zvakakosha zvaunogona kuita kudzivirira matambudziko, kusanganisira rufu, kubva kuhutachiona.. Avo vanorapwa mukati memaawa makumi maviri nemana vanogona kutarisira kupora zvakanaka, vaine mukana we75% wekupona. Mushure memaawa makumi maviri nemana, mukana wekufa unopfuura 50%, uye mushure memaawa makumi mana nemasere unosvika 90%. Kazhinji, huwandu hwerufu hunosvika 35%. Avo vanorapwa panguva yakakodzera uye zvinobudirira vanogona kupora zvizere, asi zvinogona kutora mwedzi yakati wandei. `(Boerhaave's Syndrome)` chirwere chisingawanzoitiki asi chisingawanzoitiki chinosiya zvakawanda zvekufunga nezvacho . Chinogona kuitika kamwe kamwe, pasina zviratidzo zvekunyevera - asi kunwa doro zvakanyanya kwenguva refu chiratidzo chekunyevera chakajeka chatinogona kudzivirira. Hatizivi zvese nezve `(Boerhaave's Syndrome)`. Hatizivi kuti nei gumbo richitadza kuzvidzivirira kubva mukukuvadzwa mune izvi zviitiko. Asi tinoziva kuti rinogona kuuraya kana rikasazivikanwa uye rakarapwa nekukurumidza.
Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka
Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatanga tichitaura nezvazvo, ``Boerhaave's Syndrome.'' Heano mamwe emashoko akakosha ekurangarira:
Boerhaave's Syndrome chirwere chinokonzerwa nekuputika kwegurokuro.
Izvi zvinowanzoitika mushure mekurutsa zvine simba .
Zviratidzo zvikuru kurwadziwa kwechipfuva kamwe kamwe, kurutsa, uye kuoma kumedza .
Vanhu vanonwa doro zvakanyanya vari panjodzi huru.
Kana ukaona zviratidzo , tsvaga rubatsiro rwechiremba nekukasika . Kana ukakurumidza kutanga kurapwa, mikana yako yekupora inowedzera.
Kuvhiyiwa kunowanzo diwa sekurapa.
Zvakakosha kuziva nezvechirwere ichi. Kana iwe kana mumwe munhu waunoziva akasangana nezviratidzo izvi, usazviregeredza. Enda kuna chiremba nekukasika.
Borrego syndrome, kuputika kwegurokuro, kurwadziwa kwechipfuva, kurutsa, doro, kuputika kwegurokuro, Meckler triad, sepsis, kuvhiyiwa kwegurokuro
⚠️ 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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