Khawuthelekelele ugula kakhulu kwaye uhlala uhlanza. Bekuya kuba yinto eyoyikisayo kangakanani ukuba ngequbuliso uhlanza igazi? Yinto ebakhathaza kakhulu abantu abaninzi. Kodwa enye yezona zinto ziphambili zokuhlanza igazi ngolu hlobo yimeko ebizwa ngokuba yiMallory Weiss Tear. Ungakhathazeki, namhlanje siza kuthetha ngale nto ngendlela elula necacileyo.
Kalula nje, yintoni le Mallory Weiss Tear?
Kukho ityhubhu ethwala ukutya ukusuka emqaleni ukuya esiswini, oko kukuthi, isisu sethu, esibizwa ngokuba yi-esophagus ngokwezonyango. Kwimeko ebizwa ngokuba yiMallory Weiss Tear, udonga lwangaphakathi lwale tyhubhu ye-esophagus, ingakumbi apho idibana khona nesisu, luqhekeka kancinci. Kufana netyhubhu yerabha eqhuma ngaphakathi. Le ngqumbo ibangela ukuba igazi liphume kwimithambo yegazi emincinci apho. Lilo elo igazi eliphumayo xa sihlanza.
Le meko ifumene igama layo elingaqhelekanga koogqirha uKenneth Mallory noSoma Weiss, abaqala ukuyichaza ngo-1929. Baqaphela ukuba abantu abasela utywala kakhulu baze bahlanze kakhulu babeya kukhula ezi inyembezi emqaleni wabo.
Eyona nto ingcono kukuba uninzi lwexesha ezi nyembezi ziyaphola ngokwazo ngaphandle konyango olukhethekileyo . Nangona kunjalo, kwezinye iimeko, unyango lunokufuneka.
Kutheni oku kusenzeka? Zithini izizathu kunye nezinto ezibangela oku?
Isizathu esiphambili soku kukuba uxinzelelo olungaphakathi esiswini sethu luyanda ngequbuliso nangokukhawuleza. Khawuthelekelele, xa uxinzelelo olungaphakathi esiswini lusanda, okungaphakathi esiswini kutyhalelwa phezulu, oko kukuthi, ukuya kumqala. Olu xinzelelo lunamandla lulo olukrazula udonga lomqala.
Kukho iimeko ezininzi apho uxinzelelo lwangaphakathi esiswini lunokunyuka khona.
| Isizathu sokonyuka koxinzelelo | Ingcaciso elula |
|---|---|
| Ukuhlanza okukhulu | Esi sesona sizathu sixhaphakileyo. Xa uhlanza rhoqo kwaye rhoqo, uxinzelelo oluninzi luvela ngaphakathi esiswini ukuya emqaleni. |
| Ukuphakamisa okanye ukutsala nzima | Izinto ezifana nokuphakamisa into enzima kakhulu okanye ukutsala nzima xa usiya kwindlu yangasese nazo zinokunyusa uxinzelelo esiswini. |
| Ukukhwehlela okungapheliyo | Ukukhohlela okukhulu okuqhubeke kangangeeveki kukwabangela uxinzelelo oluqhubekayo esiswini. |
| Ukubonelela nge-CPR | Le meko inokubakho ngenxa yokucinezelwa kwesifuba ngexesha le-CPR, unyango olungxamisekileyo olunikwa umntu oye wabanjwa yintliziyo. |
| Ukulimala esifubeni okanye esiswini | Ukulimala esifubeni okanye esiswini ngenxa yengozi nako kunokubangela uxinzelelo oluphezulu. |
Ezinye iimeko ezandisa umngcipheko
Ukongeza, ezinye iimeko zempilo kunye nemikhwa yonyango iyandisa umngcipheko wokuba neMallory Weiss Tear.
- Ukusetyenziswa kotywala ngokugqithisileyo: Le yeyona nto iphambili ebangela umngcipheko . Ukusetyenziswa kotywala kuphakathi kwama-50% nama-70% abantu abafumana le meko.
- I-Bulimia: Le yingxaki yokutya apho abantu batya kakhulu baze bahlanze ngenkani. Oku kuhlanza okungapheliyo kwandisa umngcipheko weengxaki.
- I-Cyclic Vomiting Syndrome (CVS): Le yimeko apho ukuhlanza kwenzeka iintsuku ezininzi ngaphandle kwesizathu esibonakalayo.
- I-Hyperemesis Gravidarum (ukuhlanza okugqithisileyo ngexesha lokukhulelwa): Le meko inokubakho ngenxa yokuhlanza okugqithisileyo okwenziwa ngabanye oomama abakhulelweyo.
- Isifo seGastroesophageal Reflux (GERD): Oku kulapho i-asidi yesisu inyuka iye emqaleni. Oku kunokubangela ukuba i-esophagus ibe buthathaka ngokusisigxina.
Zithini iimpawu zoku? Uzibona njani?
Uphawu oluphambili noluqhelekileyo lwale meko kukuhlanza igazi . Nabani na okubonayo uyoyika. Eli gazi linokuvela ngeendlela ezahlukeneyo:
- Ubomvu obuqaqambileyo: Oku kuthetha igazi elitsha, oko kuthetha ukuba igazi liphuma enxebeni ngoko nangoko.
- Umdaka omnyama, ofana nekofu egayiweyo: Le yindlela igazi elingene esiswini elibonakala ngayo emva kokuba livezwe yi-asidi yesisu okwethutyana lize liphume.
Ukongeza ekuhlanzeni igazi, ezinye iimpawu ezininzi zinokubonakala.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Isihlalo esimnyama esimnyama, esinamathelayo | Kufana netar. Oku kungenxa yokuba igazi elivela kwindlela ephezulu yokugaya ukutya lihamba ngamathumbu, ligaywe, lize liphume kunye nendle. Oku kubizwa ngokuba kukopha. |
| Ukudinwa kunye nokuquleka | Njengoko igazi liphuma emzimbeni, inani legazi emzimbeni liyancipha kwaye uxinzelelo lwegazi lunokwehla. Oku kuphumela ekubeni umntu abe nesiyezi aze afe. |
Ngaba oku kungaba yinto enzulu? Zithini iingxaki?
Ixesha elininzi, le ayisiyongxaki imbi kakhulu. Nangona kunjalo, ukuba ayinyangwa, ukulahleka kwegazi okuqhubekayo kunokukhokelela kwi- anemia , enokubangela iimpawu ezifana nokudinwa rhoqo kunye nokuphelelwa ngumphefumlo.
Nangona kunjalo, kwiimeko ezingaqhelekanga, ukuba ukukrazuka kumqala kukhulu kwaye igazi elininzi lilahleka ngequbuliso, umzimba unokuba nengxaki enkulu . Le yimeko enzima efuna unyango olungxamisekileyo.
Ukuba uziva ungaphumli kakhulu, unomlomo owomileyo, uziva unesicaphucaphu, uziva ubanda kwaye uphaphathekile, ubetha ngentliziyo ngokukhawuleza, uphefumla kancinci nangokukhawuleza, kwaye ubuthathaka kakhulu, ezi zinokuba ziimpawu zokothuka. Kwimeko enjalo, kuya kufuneka uye esibhedlele ngoko nangoko.
Uyifumana njani le nto, Gqirha?
Ukuba uneempawu ezifana nokuhlanza igazi, ugqirha wakho uza kuqala akubuze imibuzo embalwa, ingakumbi ngezinto ezifana nokuhlanza, ukukhwehlela, kunye nokusebenzisa utywala. Emva koko, banokwenza uvavanyo lomzimba baze benze uvavanyo lwegazi, ingakumbi ukubala igazi ngokupheleleyo (CBC) . Oku kunokujonga ukuba akukho anemia na.
Kodwa uvavanyo oluphambili lokuqinisekisa le meko yi -endoscopy .
Yintoni uvavanyo lwe-endoscopy?
Musa ukoyika igama. Oku kuquka ukufaka ityhubhu encinci neguquguqukayo (i-endoscope) enekhamera enamathele emqaleni wakho ukuze uhlole ingaphakathi lomqala wakho nesisu sakho. Uza kunikwa i-anesthesia ukuba ufuna ukuziva ungakhululekanga ngeli xesha lenkqubo. Le khamera ivumela ugqirha ukuba abone ngqo apho ukukrazuka kukhoyo, ukuba kukhulu kangakanani, kwaye nokuba kusaphuma igazi na.
Inyangwa njani? Ngaba utyando luyimfuneko?
Njengoko benditshilo ngaphambili, kubantu abaninzi, ezi nyembezi ziyaphola ngokwazo kwiintsuku ezimbalwa ngaphandle konyango olukhethekileyo. Nangona kunjalo, ugqirha wakho unokukunika amayeza okunciphisa i-asidi yesisu ukukunceda uphole de inxeba liphole.
- Ii-H2-receptor blockers
- Izithinteli zempompo yeproton (ii-PPI)
La mayeza anciphisa ukuveliswa kwe-asidi esiswini. Kuba xa i-asidi inciphile, inxeba eliqhekekileyo linokuphola ngokukhawuleza.
Yintoni omawuyenze ukuba ukopha akupheli?
Amaxesha amaninzi, ukuba ukopha akupheli ngokwako, kunokunyangeka ngaxeshanye ne-endoscopy. Olu asilotyando olukhulu.
- Unyango ngenaliti ye-endoscopic: Iyeza elifana ne -epinephrine lifakwa enxebeni nge-endoscope. Oku kuxinanisa imithambo yegazi kwaye kumise ukopha ngoko nangoko.
- Ukwenziwa kwe-electrocoagulation nge-endoscopic: Oku kwenziwa kusetyenziswa umbane ukuvala umthambo ophuma igazi, okufana nokugalela.
- I-endoscopic hemoclip: Kufakwa ikliphu encinci yesinyithi ukuvala ukukrazuka.
- Ukubotshwa kwebhendi ye-Endoscopic: Isixhobo esifana nebhendi yerabha sibekwa phezu kwendawo ekrazukileyo ukuze kumiswe ngokupheleleyo ukopha.
Kuphela kwiimeko ezingaqhelekanga, xa kungekho nanye kwezi ephumelelayo, apho sikhetha indlela ebizwa ngokuba yi-angiotherapy okanye inkqubo ye-laparoscopic. Ngoko ke, akukho mfuneko yokoyika kakhulu ukwenziwa utyando.
Ngaba oku kungathintelwa ukuba kungenzeki kwakhona?
Ewe, ngokuqinisekileyo kunokwenzeka. Eyona nto iphambili ekufuneka yenziwe kukulawula izinto eziphambili ezibangela oku.
1. Lawula ukusela kwakho utywala: Ukuba usela kakhulu, ungayinciphisa kakhulu le ngozi ngokunciphisa okanye ukuyeka ngokupheleleyo. Ukuba ufuna uncedo ngale nto , thetha nogqirha wakho ngokukhululekileyo . Uya kukwazi ukukunika ulwalathiso olufunayo.
2. Fumana unyango lwezinye iimeko zempilo: Ukuba unesifo esifana ne -GERD , okanye ukuhlanza okungapheliyo, kubaluleke kakhulu ukuba unyangwe ngokufanelekileyo.
Ufanele uye nini kugqirha ngoko nangoko?
Le yeyona nxalenye ibalulekileyo. Ukuba unezinye zeempawu ezilandelayo, musa ukuhlala ekhaya.Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Ukuba kukho igazi emhlanzweni (nokuba libomvu okanye linombala wekofu).
- Ukuba isitulo sakho simnyama njengetha .
Khumbula, ezi mpawu zinokuba ziimpawu kungekuphela nje zeMallory Weiss Tear, kodwa nezinye izifo ezinzulu ezifana nezilonda zesisu kunye nomhlaza. Ngoko ke ungaze uzityeshele ezi mpawu de wazi ukuba yintoni kanye unobangela. Ukufuna ingcebiso kagqirha kwangethuba kunokusindisa ubomi bakho.
Umyalezo Wokuya Ekhaya
- I-Mallory Weiss Tear kukukrazuka okungaphakathi kodonga lwe-esophagus (ityhubhu ephuma emqaleni iye esiswini) okubangelwa kukuhlanza okanye ukurhawuzelela okugqithisileyo.
- Iimpawu eziphambili kukuhlanza igazi kunye nokuphuma kwendle emnyama, engapheliyo.
- Ukusela utywala kakhulu yeyona nto ibangela esi sifo.
- Ezi inyembezi zihlala ziphola ngokwazo ngaphandle konyango, kodwa ungaze uzityeshele iimpawu.
- Ukuba uhlanza igazi okanye ukhupha indle emnyama, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko uze ubone ugqirha wakho.
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