UtyandoJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 7 min

Ingaba uyahlanza ngenxa yentlungu eqatha esifubeni? Masifunde ngale meko iyingozi (iBoerhaave's Syndrome)!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:42:48.000Z

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

Namhlanje siza kuthetha ngento enzulu ngakumbi, nento ekufuneka uyiqaphele ngokukhawuleza. Khawucinge ukuba ubutye wasela kakhulu, waza ngequbuliso wahlanza ngamandla waza waziva intlungu ebukhali esifubeni sakho? Oku kusenokungabi yinto eqhelekileyo. Le meko siza kuthetha ngayo, ebizwa ngokuba yi-`(Boerhaave's Syndrome)`, inokuba yenye yeemeko ezingxamisekileyo ezinjalo.

Yintoni le (iBoerhaave's Syndrome)?

Ngamafutshane, le `(Boerhaave's Syndrome)` yimeko apho udonga lombhobho wethu wokutya, oko kukuthi, `(umphimbo),` luqhuma ngequbuliso. Oku kwenzeka xa kukho uxinzelelo olungenakucingelwa, oko kukuthi, ukutyhala, kumbhobho wokutya. Ukuchaneka, oku kunokwenzeka kakhulu xa uhlanza ngamandla okanye uzibhokoxa nangayiphi na indlela. Oogqirha bakwabiza oku ngokuthi `(ukuqhuma komgudu)` okanye `(ukuqhuma okuzenzekelayo)`, kuba oku akuyonto eyenzeka ngqo kumbhobho wokutya. Le meko ayiqhelekanga kakhulu, oko kukuthi, ichaphazela malunga ne-0.0003% yabemi. Nangona kunjalo, i-15% yazo zonke iingozi zembhobho yokutya zibangelwa yile `(Boerhaave's Syndrome)`.

Yintoni umahluko phakathi kwe (Boerhaave's Syndrome) kunye ne (Mallory Weiss Syndrome)?

Ngoku usenokuba ucinga, 'Ngaba yile nto ndiyivileyo xa ndisiva ngengxolo emphinjeni?' Kukho umahluko omncinci phakathi kwezi zimbini. Ingxolo yeMallory Weiss yingxolo eyenzeka xa uhlanza ngamandla okanye xa uzikhama. Yingxolo emphinjeni. Zombini ziqhelekile kubantu abasela utywala obuninzi . Umntu onengxolo yeMallory Weiss unokuhlanza igazi. Nangona kunjalo, ingxolo yemphinjeni ayiqhekeki ngokupheleleyo. Nangona kunjalo, iBoerhaave's Syndrome imbi ngakumbi. Le yingxolo edlula kuyo yonke ingqimba yodonga lwe-esophagus. Oogqirha bakwayibiza ngokuba yingxolo ye-transmural. Xa iqhekeka ngokupheleleyo, kufuneka ilungiswe ngotyando olungxamisekileyo . Inokuba yimeko yobomi okanye yokufa.

Kwenzeka ntoni xa ityhubhu yokutya iqhuma?

Khawucinge ngento eyenzekayo xa umphimbo wethu uqhuma. Le yingxamiseko yokwenyani, kwaye ukuba ayinyangwa ngokukhawuleza , inokuba yingozi ebomini . Uyazi ukuba kutheni? Umphimbo wethu uyinxalenye yenkqubo yethu yokugaya ukutya (indlela yokugaya ukutya). Ngoko ke, xa umphimbo uqhuma, amasuntswana okutya, iibhaktheriya, kunye neekhemikhali zokugaya ukutya zinokuvuza kwisifuba okanye kwisisu. Ukuba oko kuyenzeka, iintsholongwane ezinkulu zinokwenzeka.

Ukuba olu sulelo lungena egazini lomzimba wethu wonke, iimeko ezibizwa ngokuba yi-"septicemia" kunye ne-"sepsis" zinokwenzeka. Olu "sepsis" luyimpendulo esongela ubomi. Ingakhokelela "ekothukeni", ukungasebenzi kakuhle kwamalungu amaninzi, kwaye ekugqibeleni ukufa.

Ngubani ochaphazela kakhulu oku?

Nabani na angayihlakulela le `(iBoerhaave's Syndrome). Nangona kunjalo,Ixhaphake kakhulu kumadoda nakubantu abangaphezu kweminyaka engama-50 ubudala. Malunga nama-80% abo bachaphazelekileyo ngamadoda akwiminyaka ephakathi. Ixhaphake nakubantu abasela utywala kakhulu .
Zithini iimpawu zeBoerhaave's Syndrome?
Kulungile, ngoku masibone ukuba zeziphi iimpawu ze-`(Boerhaave's Syndrome)`. Kubaluleke kakhulu ukuzazi ezi.
Intlungu yesifuba eqatha ngequbuliso. Olu luphawu oluphambili.
Isicaphucaphu nokuhlanza . Ngamanye amaxesha kunokubakho igazi emhlanzweni.
Kulungile ukuva iintlungu xa uginya okanye ukhwehlela.
Ukuphefumla kuba mfutshane kwaye kukhawuleza.
Izicubu ezisesifubeni zizaliswa ngumoya okanye lulwelo, nto leyo ebangela ukudumba.
Isisu sam sivakala siqinile, njengelitye.
Iimpawu zosulelo ezifana nomkhuhlane nokubila .
Ukuba enye okanye ezingaphezulu kwezi mpawu zibonakala ngequbuliso, ingakumbi emva kokuhlanza kakhulu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko .
Injani intlungu?
Inzima kangakanani intlungu ye-`(Boerhaave's Syndrome)`? Abanye abantu bathi yintlungu enganyamezelekiyo . Intlungu ivakala kanye apho kwenzeke khona ukuqhekeka. Uninzi lwexesha, oku kuqhekeka kwenzeka kwisithathu esisezantsi somqala wethu. Oko kukuthi, phakathi komngxuma osezantsi wesifuba kunye nomngxuma ongaphezulu wesisu. Nangona kunjalo, inokuba phezulu kunoko. Le ntlungu inokusasazeka nasemqolo okanye emagxeni .
Ziziphi iingxaki ezinokubakho?
Kukho iziphumo ebezingalindelekanga ezininzi ezinokwenzeka ukuba le meko ayilawulwa kakuhle:
Ukudumba nokudumba esifubeni sakho.
Ukuqokelelwa kobofu esifubeni (empyema)
Umoya uvaleleke esifubeni okanye kwizicubu eziphantsi kolusu.
Ukuphuma kolwelo kwi-Pleural ( ukuqokelelana kolwelo kwingqiniba yesifuba)
Isifo Soxinzelelo Olubukhali Lokuphefumla ( ARDS )
I-Septicemia, i-sepsis, kunye ne-shock. Ezi zinokuba yingozi ebomini.
Zithini izizathu zeBoerhaave's Syndrome?
Kutheni iBoerhaave's Syndrome isenzeka? Zimbini izizathu eziphambili zoku. Esinye kukuba uxinzelelo ngaphakathi kwi-esophagus luyanda ngenxa yokuxinana okanye ukuxinana okungaqhelekanga . Esinye kukuba xa umsipha we-cricopharyngeus (i-upper esophageal sphincter) phezulu emqaleni wethu ungaphumli ngenxa yolu xinzelelo, uxinzelelo olubi luvela ngaphandle kwe-esophagus.. Isizathu esiphambili sale `(Boerhaave's Syndrome)` kukuhlanza okukhulu okanye okuqhubekayo . Ukongeza, ukuzala, ukuxhuzula, ukuphakamisa okunzima, kunye nokuginya izinto ezibangela umhlaza okanye ezirhabaxa nazo zinokubangela oku. Ngokwesiqhelo, kwiimeko ezinjalo, imiqondiso yemithambo-luvo kufuneka ikhulule `(imisipha ye-cricopharyngeus)` kwaye ikhulule uxinzelelo ngaphakathi. Nangona kunjalo, kwi `(Boerhaave's Syndrome)`, ngesizathu esithile olu lungelelwaniso lwe-neuromuscular `(ulungelelwaniso lwe-neuromuscular)` alusebenzi kakuhle.
Ngaba ukusetyenziswa kotywala kuyayichaphazela?
Ngaba ukusela utywala kunokubangela ukuqhekeka komqala? Ukusela utywala kakhulu kunokubangela umngcipheko . Uhlobo oluqhelekileyo lweBoerhaave's Syndrome kukuhlanza emva kokutya okuninzi okanye emva kokusela utywala. Ingxaki yokusebenzisa utywala, ukutya kakhulu, kunye ne-bulimia zizinto ezibangela umngcipheko. Ezinye izinto ezibangela umngcipheko ziquka iimeko zonyango ezisisiseko kumqala, ezifana ne-esophagitis kunye ne-eosinophilic esophagitis, i-Barrett's esophagus, kunye nesifo sesilonda se-peptic. Nangona kunjalo, uninzi lwabantu abaneBoerhaave's Syndrome bane-esophagus eqhelekileyo.
Ifunyaniswa njani iBoerhaave's Syndrome?
Isifo sikaBoerhaave sinokuba nzima ukusifumanisa , kodwa kubalulekile ukuyifumana kwangoko . Kulula ukusifumanisa xa uneempawu ezintathu, ezaziwa ngokuba yiMackler triad. Ezi zezi: 1. Ukuhlanza kakhulu okanye okuphindaphindiweyo. 2. Ukuqala ngequbuliso kwentlungu yesifuba. 3. I-subcutaneous emphysema. Olu phawu lokugqibela lubonisa ngokukodwa ukuqhekeka komqala. Nangona kunjalo, ayinguye wonke umntu oza kuba nezi mpawu zakudala. Ukuba ukuqhekeka kwenzeka kwindawo engaqhelekanga, unokufumana iintlungu kwindawo engaqhelekanga, njengentamo okanye amathambo e-collarbone. Kusenokubangelwa yinto engeyiyo ukuhlanza, okanye kunokuhamba nemiphumo emibi engaqhelekanga. I-X-ray yesifuba elula inokunika ingcaciso, kodwa kufuneka uvavanyo lomfanekiso olunobunono ngakumbi ukuze kufunyanwe imeko.
Uvavanyo lwe-X-ray olusetyenziselwa ukuxilongwa
Zeziphi iimvavanyo ze-radiological ezisetyenziswayo ukufumanisa i-"Boerhaave's Syndrome"?
`(I-Esophagram)` (I-Esophagram)
Xa ugqirha ekrokrela ukuba uneBoerhaave's Syndrome, into yokuqala abadla ngokuyenza kukuthatha i-X-ray. Basebenzisa idayi yokwahlulahlula. Oku kukwabizwa ngokuba yi-esophagram. Olu luvavanyo olukhawulezayo, olungangenisi ntsholongwane oluchanekileyo kakhulu. Kolu vavanyo, usela isisombululo esinedayi yokwahlulahlula enyibilikayo emanzini. Oku kwenza ingaphakathi lombhobho wakho wokutya libonakale kwi-X-ray. Ukuba kukho ukukrazuka, banokubona apho idayi yokwahlulahlula ivuza khona.
(Iskeni ye-CT)
Ukuba awukwazi ukwenza i-esophagogram, okanye ukuba ugqirha wakho ufuna ulwazi oluthe kratya malunga namalungu angqongileyo, i-CT scan inokwenziwa. Nangona ingenakukwazi ukubonisa indawo echanekileyo yokukrazuka, inokubona ubungakanani obuncinci bedayi okanye umoya oye wavuza kwizicwili ezingqongileyo ukusuka kumqala. Ingasetyenziselwa ukufumana ukwakheka kolwelo esifubeni okanye esiswini olufuna ukukhutshelwa amanzi.
Inyangwa njani iBoerhaave's Syndrome?
Kulungile, ngoku makhe sibone indlela yokunyanga `(iBoerhaave's Syndrome)`. Nazi iindlela ekufuneka zilandelwe:
Ukunika ulwelo olufakwa kwimithambo yegazi (ii-IV fluids): Abantu abaninzi baphelelwa ngamanzi emzimbeni, ngoko ke ulwelo olufakwa kwi-IV kufuneka lunikwe ngokukhawuleza.
Ii-antibiotics : Ii-antibiotics ze-broad-spectrum zinikwa ngemithambo ukuze kulawulwe usulelo.
Ukubonisana ngotyando: Kubantu abaninzi, utyando lolona nyango luqhelekileyo. Abanye abantu abaneethumba ezincinci, ezikufutshane banokunyangwa ngaphandle kotyando, ngokuhlolwa kunye nonyango lwe-IV antibiotics okanye i-endoscopy. Nangona kunjalo, nakwiimeko ezinjalo, oogqirha baya kuhlala benesicwangciso sonyango olunokwenzeka xa besenza utyando.
Ukulungiswa ngotyando: Kungcono ukulungisa uqhekeko zingadlulanga iiyure ezingama-24 emva koqhekeko. Ngokuxhomekeke kwimeko yakho, ugqirha wakho angasebenzisa utyando olungenabungozi kangako. Umzekelo, utyando lwe-thoracoscopic oluncediswa yividiyo (i-VATS). Kwezinye iimeko ezingxamisekileyo, i-thoracotomy evulekileyo inokufuneka ukuze kufikelelwe ngokukhawuleza nangokupheleleyo kwindawo yesifuba.
Ukukhupha amanzi/ukukhupha amanzi: Ukongeza ekulungiseni ukukrazuka, naluphi na ulwelo olusulelekileyo oluqokelelene emngxunyeni kufuneka lukhutshwe amanzi kwaye lubulawe iintsholongwane. Nasiphi na isicwili esisulelekileyo okanye esifileyo (esifileyo) kufuneka sisuswe. Kwezinye iimeko ezinzima, inxalenye yomqala wakho inokufuneka isuswe.
Ulawulo oluPhezulu: Ukuba utyando alunakwenzeka kwiiyure ezingama-24 emva kokuqhekeka, ukulungiswa ngokuthe ngqo kusenokungaphumeleli. Imiphetho yenxeba isenokuba iqalile ukuqina okanye ukuwohloka. Ukuba oku kuyenzeka, ugqirha wakho unokufuna ukususa inxalenye okanye yonke i-esophagus yakho (esophagectomy). Ukuba ufuna i-esophagus entsha, oku kungenziwa emva kweeveki ezintandathu.
Iindlela zokutyisa ezinye: Ude umbhobho wakho wokutya uphole, awuyi kukwazi ukuginya ukutya ngawo, ngoko ke kuya kufuneka ufumane isondlo ngenye indlela. Oku kusenokuba ngetyhubhu okanye ngemithambo yegazi.
Liyintoni ithemba lokuchacha?
Yintoni elindelekileyo kumntu one-"Boerhaave's Syndrome"? Ukuxilongwa kwangoko kunye nonyango zezona zinto zibalulekileyo onokuzenza ukuthintela iingxaki, kuquka ukufa, ngenxa yosulelo.. Abo bafumana unyango kwiiyure ezingama-24 banokulindela ukuchacha okuhle, kunye nethuba elingama-75% lokusinda. Emva kweeyure ezingama-24, amathuba okufa angaphezu kwama-50%, kwaye emva kweeyure ezingama-48 angama-90%. Lilonke, izinga lokufa limalunga nama-35%. Abo bafumana unyango olufike ngexesha kwaye luphumelele banokuchacha ngokupheleleyo, kodwa kungathatha iinyanga ezininzi. `(Boerhaave's Syndrome)` yimeko engaqhelekanga kodwa engaqhelekanga kakhulu eshiya okuninzi okufuneka kucingwe ngayo . Ingavela ngequbuliso, ngaphandle kweempawu zesilumkiso - kodwa ukusela kakhulu okungapheliyo luphawu lwesilumkiso esicacileyo esinokuluthintela. Asazi yonke into malunga ne-`(Boerhaave's Syndrome)`. Asazi ukuba kutheni i-esophagus ingaphumeleli ukuzikhusela ekonakaleni kwezi meko. Kodwa siyazi ukuba inokubulala ukuba ayiqatshelwa kwaye inyangwe kwangethuba.
Izinto ezibaluleke kakhulu ekufuneka uzikhumbule
Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, ``Boerhaave's Syndrome.'' Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:
Isifo sikaBoerhaave sisifo esingxamisekileyo sezonyango esibangelwa kukuqhekeka komqala.
Oku kwenzeka rhoqo emva kokuhlanza ngamandla .
Iimpawu eziphambili ziintlungu zesifuba ezikhawulezileyo neziqatha, ukuhlanza, kunye nobunzima bokuginya .
Abantu abasela kakhulu basengozini enkulu.
Ukuba ufumana iimpawu , funa ingcebiso kagqirha ngoko nangoko . Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okuphila ngcono.
Utyando ludla ngokufuneka njengonyango.
Kubalulekile ukuqaphela le meko. Ukuba wena okanye umntu omaziyo ufumana naziphi na kwezi mpawu, musa ukuzityeshela. Bonana nogqirha ngoko nangoko.
Isifo seBorrego, ukuqhekeka komqala, iintlungu zesifuba, ukuhlanza, utywala, ukuqhekeka komqala, iMeckler triad, i-sepsis, utyando lomqala

⚠️ 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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UtyandoJulayi 16, 2026
Ingaba uyahlanza ngenxa yentlungu eqatha esifubeni? Masifunde ngale meko iyingozi (iBoerhaave's Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 7 min read
📋Table of Contents
1. Yintoni le (iBoerhaave's Syndrome)?
2. Yintoni umahluko phakathi kwe (Boerhaave's Syndrome) kunye ne (Mallory Weiss Syndrome)?
3. Kwenzeka ntoni xa ityhubhu yokutya iqhuma?
4. Ngubani ochaphazela kakhulu oku?
5. Zithini iimpawu zeBoerhaave's Syndrome?
6. Injani intlungu?
7. Ziziphi iingxaki ezinokubakho?
8. Zithini izizathu zeBoerhaave's Syndrome?
9. Ngaba ukusetyenziswa kotywala kuyayichaphazela?
10. Ifunyaniswa njani iBoerhaave's Syndrome?
11. Uvavanyo lwe-X-ray olusetyenziselwa ukuxilongwa
12. Inyangwa njani iBoerhaave's Syndrome?
13. Liyintoni ithemba lokuchacha?
14. Izinto ezibaluleke kakhulu ekufuneka uzikhumbule
Namhlanje siza kuthetha ngento enzulu ngakumbi, nento ekufuneka uyiqaphele ngokukhawuleza. Khawucinge ukuba ubutye wasela kakhulu, waza ngequbuliso wahlanza ngamandla waza waziva intlungu ebukhali esifubeni sakho? Oku kusenokungabi yinto eqhelekileyo. Le meko siza kuthetha ngayo, ebizwa ngokuba yi-`(Boerhaave's Syndrome)`, inokuba yenye yeemeko ezingxamisekileyo ezinjalo.
Yintoni le (iBoerhaave's Syndrome)?
Ngamafutshane, le `(Boerhaave's Syndrome)` yimeko apho udonga lombhobho wethu wokutya, oko kukuthi, `(umphimbo),` luqhuma ngequbuliso. Oku kwenzeka xa kukho uxinzelelo olungenakucingelwa, oko kukuthi, ukutyhala, kumbhobho wokutya. Ukuchaneka, oku kunokwenzeka kakhulu xa uhlanza ngamandla okanye uzibhokoxa nangayiphi na indlela. Oogqirha bakwabiza oku ngokuthi `(ukuqhuma komgudu)` okanye `(ukuqhuma okuzenzekelayo)`, kuba oku akuyonto eyenzeka ngqo kumbhobho wokutya. Le meko ayiqhelekanga kakhulu, oko kukuthi, ichaphazela malunga ne-0.0003% yabemi. Nangona kunjalo, i-15% yazo zonke iingozi zembhobho yokutya zibangelwa yile `(Boerhaave's Syndrome)`.
Yintoni umahluko phakathi kwe (Boerhaave's Syndrome) kunye ne (Mallory Weiss Syndrome)?
Ngoku usenokuba ucinga, 'Ngaba yile nto ndiyivileyo xa ndisiva ngengxolo emphinjeni?' Kukho umahluko omncinci phakathi kwezi zimbini. Ingxolo yeMallory Weiss yingxolo eyenzeka xa uhlanza ngamandla okanye xa uzikhama. Yingxolo emphinjeni. Zombini ziqhelekile kubantu abasela utywala obuninzi . Umntu onengxolo yeMallory Weiss unokuhlanza igazi. Nangona kunjalo, ingxolo yemphinjeni ayiqhekeki ngokupheleleyo. Nangona kunjalo, iBoerhaave's Syndrome imbi ngakumbi. Le yingxolo edlula kuyo yonke ingqimba yodonga lwe-esophagus. Oogqirha bakwayibiza ngokuba yingxolo ye-transmural. Xa iqhekeka ngokupheleleyo, kufuneka ilungiswe ngotyando olungxamisekileyo . Inokuba yimeko yobomi okanye yokufa.
Kwenzeka ntoni xa ityhubhu yokutya iqhuma?
Khawucinge ngento eyenzekayo xa umphimbo wethu uqhuma. Le yingxamiseko yokwenyani, kwaye ukuba ayinyangwa ngokukhawuleza , inokuba yingozi ebomini . Uyazi ukuba kutheni? Umphimbo wethu uyinxalenye yenkqubo yethu yokugaya ukutya (indlela yokugaya ukutya). Ngoko ke, xa umphimbo uqhuma, amasuntswana okutya, iibhaktheriya, kunye neekhemikhali zokugaya ukutya zinokuvuza kwisifuba okanye kwisisu. Ukuba oko kuyenzeka, iintsholongwane ezinkulu zinokwenzeka.
Ukuba olu sulelo lungena egazini lomzimba wethu wonke, iimeko ezibizwa ngokuba yi-"septicemia" kunye ne-"sepsis" zinokwenzeka. Olu "sepsis" luyimpendulo esongela ubomi. Ingakhokelela "ekothukeni", ukungasebenzi kakuhle kwamalungu amaninzi, kwaye ekugqibeleni ukufa.
Ngubani ochaphazela kakhulu oku?
Nabani na angayihlakulela le `(iBoerhaave's Syndrome). Nangona kunjalo,Ixhaphake kakhulu kumadoda nakubantu abangaphezu kweminyaka engama-50 ubudala. Malunga nama-80% abo bachaphazelekileyo ngamadoda akwiminyaka ephakathi. Ixhaphake nakubantu abasela utywala kakhulu .
Zithini iimpawu zeBoerhaave's Syndrome?
Kulungile, ngoku masibone ukuba zeziphi iimpawu ze-`(Boerhaave's Syndrome)`. Kubaluleke kakhulu ukuzazi ezi.
Intlungu yesifuba eqatha ngequbuliso. Olu luphawu oluphambili.
Isicaphucaphu nokuhlanza . Ngamanye amaxesha kunokubakho igazi emhlanzweni.
Kulungile ukuva iintlungu xa uginya okanye ukhwehlela.
Ukuphefumla kuba mfutshane kwaye kukhawuleza.
Izicubu ezisesifubeni zizaliswa ngumoya okanye lulwelo, nto leyo ebangela ukudumba.
Isisu sam sivakala siqinile, njengelitye.
Iimpawu zosulelo ezifana nomkhuhlane nokubila .
Ukuba enye okanye ezingaphezulu kwezi mpawu zibonakala ngequbuliso, ingakumbi emva kokuhlanza kakhulu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko .
Injani intlungu?
Inzima kangakanani intlungu ye-`(Boerhaave's Syndrome)`? Abanye abantu bathi yintlungu enganyamezelekiyo . Intlungu ivakala kanye apho kwenzeke khona ukuqhekeka. Uninzi lwexesha, oku kuqhekeka kwenzeka kwisithathu esisezantsi somqala wethu. Oko kukuthi, phakathi komngxuma osezantsi wesifuba kunye nomngxuma ongaphezulu wesisu. Nangona kunjalo, inokuba phezulu kunoko. Le ntlungu inokusasazeka nasemqolo okanye emagxeni .
Ziziphi iingxaki ezinokubakho?
Kukho iziphumo ebezingalindelekanga ezininzi ezinokwenzeka ukuba le meko ayilawulwa kakuhle:
Ukudumba nokudumba esifubeni sakho.
Ukuqokelelwa kobofu esifubeni (empyema)
Umoya uvaleleke esifubeni okanye kwizicubu eziphantsi kolusu.
Ukuphuma kolwelo kwi-Pleural ( ukuqokelelana kolwelo kwingqiniba yesifuba)
Isifo Soxinzelelo Olubukhali Lokuphefumla ( ARDS )
I-Septicemia, i-sepsis, kunye ne-shock. Ezi zinokuba yingozi ebomini.
Zithini izizathu zeBoerhaave's Syndrome?
Kutheni iBoerhaave's Syndrome isenzeka? Zimbini izizathu eziphambili zoku. Esinye kukuba uxinzelelo ngaphakathi kwi-esophagus luyanda ngenxa yokuxinana okanye ukuxinana okungaqhelekanga . Esinye kukuba xa umsipha we-cricopharyngeus (i-upper esophageal sphincter) phezulu emqaleni wethu ungaphumli ngenxa yolu xinzelelo, uxinzelelo olubi luvela ngaphandle kwe-esophagus.. Isizathu esiphambili sale `(Boerhaave's Syndrome)` kukuhlanza okukhulu okanye okuqhubekayo . Ukongeza, ukuzala, ukuxhuzula, ukuphakamisa okunzima, kunye nokuginya izinto ezibangela umhlaza okanye ezirhabaxa nazo zinokubangela oku. Ngokwesiqhelo, kwiimeko ezinjalo, imiqondiso yemithambo-luvo kufuneka ikhulule `(imisipha ye-cricopharyngeus)` kwaye ikhulule uxinzelelo ngaphakathi. Nangona kunjalo, kwi `(Boerhaave's Syndrome)`, ngesizathu esithile olu lungelelwaniso lwe-neuromuscular `(ulungelelwaniso lwe-neuromuscular)` alusebenzi kakuhle.
Ngaba ukusetyenziswa kotywala kuyayichaphazela?
Ngaba ukusela utywala kunokubangela ukuqhekeka komqala? Ukusela utywala kakhulu kunokubangela umngcipheko . Uhlobo oluqhelekileyo lweBoerhaave's Syndrome kukuhlanza emva kokutya okuninzi okanye emva kokusela utywala. Ingxaki yokusebenzisa utywala, ukutya kakhulu, kunye ne-bulimia zizinto ezibangela umngcipheko. Ezinye izinto ezibangela umngcipheko ziquka iimeko zonyango ezisisiseko kumqala, ezifana ne-esophagitis kunye ne-eosinophilic esophagitis, i-Barrett's esophagus, kunye nesifo sesilonda se-peptic. Nangona kunjalo, uninzi lwabantu abaneBoerhaave's Syndrome bane-esophagus eqhelekileyo.
Ifunyaniswa njani iBoerhaave's Syndrome?
Isifo sikaBoerhaave sinokuba nzima ukusifumanisa , kodwa kubalulekile ukuyifumana kwangoko . Kulula ukusifumanisa xa uneempawu ezintathu, ezaziwa ngokuba yiMackler triad. Ezi zezi: 1. Ukuhlanza kakhulu okanye okuphindaphindiweyo. 2. Ukuqala ngequbuliso kwentlungu yesifuba. 3. I-subcutaneous emphysema. Olu phawu lokugqibela lubonisa ngokukodwa ukuqhekeka komqala. Nangona kunjalo, ayinguye wonke umntu oza kuba nezi mpawu zakudala. Ukuba ukuqhekeka kwenzeka kwindawo engaqhelekanga, unokufumana iintlungu kwindawo engaqhelekanga, njengentamo okanye amathambo e-collarbone. Kusenokubangelwa yinto engeyiyo ukuhlanza, okanye kunokuhamba nemiphumo emibi engaqhelekanga. I-X-ray yesifuba elula inokunika ingcaciso, kodwa kufuneka uvavanyo lomfanekiso olunobunono ngakumbi ukuze kufunyanwe imeko.
Uvavanyo lwe-X-ray olusetyenziselwa ukuxilongwa
Zeziphi iimvavanyo ze-radiological ezisetyenziswayo ukufumanisa i-"Boerhaave's Syndrome"?
`(I-Esophagram)` (I-Esophagram)
Xa ugqirha ekrokrela ukuba uneBoerhaave's Syndrome, into yokuqala abadla ngokuyenza kukuthatha i-X-ray. Basebenzisa idayi yokwahlulahlula. Oku kukwabizwa ngokuba yi-esophagram. Olu luvavanyo olukhawulezayo, olungangenisi ntsholongwane oluchanekileyo kakhulu. Kolu vavanyo, usela isisombululo esinedayi yokwahlulahlula enyibilikayo emanzini. Oku kwenza ingaphakathi lombhobho wakho wokutya libonakale kwi-X-ray. Ukuba kukho ukukrazuka, banokubona apho idayi yokwahlulahlula ivuza khona.
(Iskeni ye-CT)
Ukuba awukwazi ukwenza i-esophagogram, okanye ukuba ugqirha wakho ufuna ulwazi oluthe kratya malunga namalungu angqongileyo, i-CT scan inokwenziwa. Nangona ingenakukwazi ukubonisa indawo echanekileyo yokukrazuka, inokubona ubungakanani obuncinci bedayi okanye umoya oye wavuza kwizicwili ezingqongileyo ukusuka kumqala. Ingasetyenziselwa ukufumana ukwakheka kolwelo esifubeni okanye esiswini olufuna ukukhutshelwa amanzi.
Inyangwa njani iBoerhaave's Syndrome?
Kulungile, ngoku makhe sibone indlela yokunyanga `(iBoerhaave's Syndrome)`. Nazi iindlela ekufuneka zilandelwe:
Ukunika ulwelo olufakwa kwimithambo yegazi (ii-IV fluids): Abantu abaninzi baphelelwa ngamanzi emzimbeni, ngoko ke ulwelo olufakwa kwi-IV kufuneka lunikwe ngokukhawuleza.
Ii-antibiotics : Ii-antibiotics ze-broad-spectrum zinikwa ngemithambo ukuze kulawulwe usulelo.
Ukubonisana ngotyando: Kubantu abaninzi, utyando lolona nyango luqhelekileyo. Abanye abantu abaneethumba ezincinci, ezikufutshane banokunyangwa ngaphandle kotyando, ngokuhlolwa kunye nonyango lwe-IV antibiotics okanye i-endoscopy. Nangona kunjalo, nakwiimeko ezinjalo, oogqirha baya kuhlala benesicwangciso sonyango olunokwenzeka xa besenza utyando.
Ukulungiswa ngotyando: Kungcono ukulungisa uqhekeko zingadlulanga iiyure ezingama-24 emva koqhekeko. Ngokuxhomekeke kwimeko yakho, ugqirha wakho angasebenzisa utyando olungenabungozi kangako. Umzekelo, utyando lwe-thoracoscopic oluncediswa yividiyo (i-VATS). Kwezinye iimeko ezingxamisekileyo, i-thoracotomy evulekileyo inokufuneka ukuze kufikelelwe ngokukhawuleza nangokupheleleyo kwindawo yesifuba.
Ukukhupha amanzi/ukukhupha amanzi: Ukongeza ekulungiseni ukukrazuka, naluphi na ulwelo olusulelekileyo oluqokelelene emngxunyeni kufuneka lukhutshwe amanzi kwaye lubulawe iintsholongwane. Nasiphi na isicwili esisulelekileyo okanye esifileyo (esifileyo) kufuneka sisuswe. Kwezinye iimeko ezinzima, inxalenye yomqala wakho inokufuneka isuswe.
Ulawulo oluPhezulu: Ukuba utyando alunakwenzeka kwiiyure ezingama-24 emva kokuqhekeka, ukulungiswa ngokuthe ngqo kusenokungaphumeleli. Imiphetho yenxeba isenokuba iqalile ukuqina okanye ukuwohloka. Ukuba oku kuyenzeka, ugqirha wakho unokufuna ukususa inxalenye okanye yonke i-esophagus yakho (esophagectomy). Ukuba ufuna i-esophagus entsha, oku kungenziwa emva kweeveki ezintandathu.
Iindlela zokutyisa ezinye: Ude umbhobho wakho wokutya uphole, awuyi kukwazi ukuginya ukutya ngawo, ngoko ke kuya kufuneka ufumane isondlo ngenye indlela. Oku kusenokuba ngetyhubhu okanye ngemithambo yegazi.
Liyintoni ithemba lokuchacha?
Yintoni elindelekileyo kumntu one-"Boerhaave's Syndrome"? Ukuxilongwa kwangoko kunye nonyango zezona zinto zibalulekileyo onokuzenza ukuthintela iingxaki, kuquka ukufa, ngenxa yosulelo.. Abo bafumana unyango kwiiyure ezingama-24 banokulindela ukuchacha okuhle, kunye nethuba elingama-75% lokusinda. Emva kweeyure ezingama-24, amathuba okufa angaphezu kwama-50%, kwaye emva kweeyure ezingama-48 angama-90%. Lilonke, izinga lokufa limalunga nama-35%. Abo bafumana unyango olufike ngexesha kwaye luphumelele banokuchacha ngokupheleleyo, kodwa kungathatha iinyanga ezininzi. `(Boerhaave's Syndrome)` yimeko engaqhelekanga kodwa engaqhelekanga kakhulu eshiya okuninzi okufuneka kucingwe ngayo . Ingavela ngequbuliso, ngaphandle kweempawu zesilumkiso - kodwa ukusela kakhulu okungapheliyo luphawu lwesilumkiso esicacileyo esinokuluthintela. Asazi yonke into malunga ne-`(Boerhaave's Syndrome)`. Asazi ukuba kutheni i-esophagus ingaphumeleli ukuzikhusela ekonakaleni kwezi meko. Kodwa siyazi ukuba inokubulala ukuba ayiqatshelwa kwaye inyangwe kwangethuba.
Izinto ezibaluleke kakhulu ekufuneka uzikhumbule
Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, ``Boerhaave's Syndrome.'' Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:
Isifo sikaBoerhaave sisifo esingxamisekileyo sezonyango esibangelwa kukuqhekeka komqala.
Oku kwenzeka rhoqo emva kokuhlanza ngamandla .
Iimpawu eziphambili ziintlungu zesifuba ezikhawulezileyo neziqatha, ukuhlanza, kunye nobunzima bokuginya .
Abantu abasela kakhulu basengozini enkulu.
Ukuba ufumana iimpawu , funa ingcebiso kagqirha ngoko nangoko . Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okuphila ngcono.
Utyando ludla ngokufuneka njengonyango.
Kubalulekile ukuqaphela le meko. Ukuba wena okanye umntu omaziyo ufumana naziphi na kwezi mpawu, musa ukuzityeshela. Bonana nogqirha ngoko nangoko.
Isifo seBorrego, ukuqhekeka komqala, iintlungu zesifuba, ukuhlanza, utywala, ukuqhekeka komqala, iMeckler triad, i-sepsis, utyando lomqala
⚠️ 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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