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

Ingabe uhlanza ngenxa yobuhlungu obukhulu esifubeni? Ake sifunde ngalesi simo esiyingozi (i-Boerhaave's Syndrome)!

Creator: Dr. Priya Sammani
Published: 2026-07-16T13:39:37.000Z

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

Namuhla sizokhuluma ngento engathi sína, nento okudingeka uyiqaphele ngokushesha. Cabanga nje ukube ubudle futhi uphuze kakhulu, bese uhlanza ngamandla ngokuzumayo futhi uzwe ubuhlungu obukhulu esifubeni sakho? Lokhu kungase kungabi yinto evamile. Lesi simo esizokhuluma ngaso, esibizwa ngokuthi `(Boerhaave's Syndrome)`, singaba yisimo esiphuthumayo esinjalo.

Kuyini lokhu (i-Boerhaave's Syndrome)?

Kalula nje, lesi `(Boerhaave's Syndrome)` yisimo lapho udonga lombhobho wethu wokudla, okungukuthi, `(umphimbo),` luqhuma ngokuzumayo. Lokhu kwenzeka lapho kukhona ingcindezi engacabangeki, okungukuthi, ukusunduza, empayipini wokudla. Ukuze kube sobala, lokhu kungenzeka kakhulu uma uhlanza ngamandla noma uzikhandla nganoma iyiphi enye indlela. Odokotela babiza lokhu ngokuthi `(ukuqhuma komzamo)` noma `(ukuqhuma okuzenzakalelayo)`, ngoba lokhu akuyona into eyenzeka ngqo empayipini wokudla. Lesi simo empeleni asivamile kakhulu, okungukuthi, sithinta cishe u-0.0003% wabantu. Kodwa-ke, u-15% wazo zonke izingozi zamapayipi okudla zibangelwa yilesi `(Boerhaave's Syndrome)`.

Uyini umehluko phakathi kwe-(Boerhaave's Syndrome) kanye ne-(Mallory Weiss Syndrome)?

Manje ungase ucabange, 'Ingabe yilokhu engikuzwile lapho ngizwa ukudabuka emhubheni?' Empeleni kunomehluko omncane phakathi kwalokhu okubili. Ukudabuka kwe-Mallory Weiss ukudabuka okwenzeka uma uhlanza ngamandla noma uma uzikhandla. Kuwukudabuka olwelwesini lomhubhe. Kokubili kuvamile kubantu abaphuza utshwala obuningi . Umuntu one-Mallory Weiss ukudabuka angase ahlanze igazi. Kodwa-ke, umhubhe awudabuka ngokuphelele. Kodwa-ke, i-Boerhaave's Syndrome iyingozi kakhulu. Lokhu ukudabuka okudlulela kulo lonke ugqinsi lodonga lomhubhe. Odokotela bakubiza nangokuthi ukudabuka kwe-transmural. Uma kudabuka ngokuphelele, kumele kulungiswe ngokuhlinzwa okuphuthumayo . Kungaba isimo sokuphila noma ukufa.

Kwenzekani uma ipayipi lokudla liqhuma?

Cabanga ngalokho okwenzekayo lapho umphimbo wethu uqhuma. Lesi yisimo esiphuthumayo sangempela, futhi uma singelashwa ngokushesha , singasongela ukuphila . Uyazi ukuthi kungani? Umphimbo wethu uyingxenye yesimiso sethu sokugaya ukudla (umgudu wokugaya ukudla). Ngakho-ke, lapho umphimbo uqhuma, izinhlayiya zokudla, amabhaktheriya, namakhemikhali okugaya ukudla kungavuza esifubeni noma esiswini. Uma lokho kwenzeka, ukutheleleka okukhulu kwamagciwane kungavela.

Uma lokhu kutheleleka kungena egazini lomzimba wethu wonke, izimo ezibizwa ngokuthi "i-septicemia" kanye "ne-sepsis" zingavela. Lokhu "kushaqeka" kuyisenzo esisongela ukuphila. Kungaholela "ekushaqekeni", ukwehluleka kwezitho eziningi, futhi ekugcineni ukufa.

Lokhu kuthinta bani kakhulu?

Noma ubani angathuthukisa lesi sifo (i-Boerhaave's Syndrome). Kodwa-ke,Kuvame kakhulu kwabesilisa nakubantu abangaphezu kweminyaka engu-50. Cishe u-80% walabo abathintekayo ngamadoda aseminyakeni ephakathi. Kuvamile nakubantu abaphuza utshwala ngokweqile .
Ziyini izimpawu ze-Boerhaave's Syndrome?
Kulungile, manje ake sibone ukuthi yiziphi izimpawu ze-`(Boerhaave's Syndrome)`. Kubaluleke kakhulu ukuzazi lezi.
Ubuhlungu besifuba obungazelelwe, obukhulu. Lolu uphawu oluyinhloko.
Isicanucanu nokuhlanza . Ngezinye izikhathi kungase kube negazi ekuhlanzeni.
Kulungile ukuzwa ubuhlungu uma ugwinya noma ukhwehlela.
Ukuphefumula kuba kufushane futhi kusheshe.
Izicubu ezisesifubeni zigcwala umoya noma uketshezi, okubangela ukuvuvukala.
Isisu sami sizwakala siqinile, njengetshe.
Izimpawu zokutheleleka njengomkhuhlane nokujuluka .
Uma kuvela esinye noma ngaphezulu salezi zimpawu ngokuzumayo, ikakhulukazi ngemva kokuhlanza okukhulu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .
Bunjani ubuhlungu?
Bubi kangakanani ubuhlungu be-`(Boerhaave's Syndrome)`? Abanye abantu bathi abubekezeleleki ngempela. Ubuhlungu buzwakala lapho kwenzeka khona ukuqhekeka. Isikhathi esiningi, lokhu kuqhekeka kwenzeka engxenyeni yesithathu engezansi yomhubhe wethu. Okusho ukuthi, phakathi komgodi wesifuba ongezansi nomgodi wesisu ongaphezulu. Kodwa-ke, kungaba phezulu kunalokho. Lobuhlungu bungasakazekela nasemhlane noma emahlombe .
Yiziphi izinkinga ezingaba khona?
Kunemiphumela eminingana emibi engenzeka uma lesi simo singaphathwa kahle:
Ukuvuvukala nokuvuvukala esifubeni sakho.
Ukuqoqwa kobomvu esifubeni (i-empyema)
Umoya uvaleleke esifubeni noma ezicutshini ezingaphansi kwesikhumba.
Ukuphuma koketshezi emzimbeni ( ukunqwabelana koketshezi olwelwesini lwesifuba)
I-Acute Respiratory Distress Syndrome ( ARDS )
I-Septicemia, i-sepsis, kanye nokushaqeka. Lokhu kungaba yingozi empilweni.
Yiziphi izimbangela ze-Boerhaave's Syndrome?
Kungani kwenzeka i-Boerhaave's Syndrome? Kunezizathu ezimbili eziyinhloko zalokhu. Esinye ukuthi ingcindezi ngaphakathi komphimbo iyanda ngenxa yokucindezela noma ukucindezela okungavamile . Esinye ukuthi lapho umsipha we-cricopharyngeus ongaphezulu komphimbo wethu (i-sphincter ephezulu yomphimbo) ungaphumuli ngenxa yalokhu kucindezela, kuvela ingcindezi engemihle ngaphandle komphimbo .. Imbangela eyinhloko yalesi `(Boerhaave's Syndrome)` ukuhlanza okukhulu noma okuqhubekayo . Ngaphezu kwalokho, ukubeletha, ukuxhuzula, ukuphakamisa okunzima, nokugwinya izinto ezibangela ukuvuvukala noma ezibhubhisayo nakho kungabangela lokhu. Ngokuvamile, ezimweni ezinjalo, izimpawu zemizwa kufanele zikhulule `(imisipha ye-cricopharyngeus)` futhi zikhulule ingcindezi ngaphakathi. Kodwa-ke, ku-`(Boerhaave's Syndrome)`, ngesizathu esithile lokhu kuhlanganiswa kwemisipha ye-neuromuscular `(ukuhlanganiswa kwemisipha ye-neuromuscular)` akusebenzi kahle.
Ingabe ukusetshenziswa kotshwala kuyathinta?
Ingabe ukuphuza utshwala kungabangela ukuqhekeka komphimbo? Ukuphuza utshwala ngokweqile kuyisici esiyingozi . Uhlobo oluvame kakhulu lwe-Boerhaave's Syndrome ukuhlanza ngemva kokudla okukhulu noma ngemva kokuphuza utshwala. Inkinga yokusebenzisa utshwala, ukudla ngokweqile, kanye ne-bulimia yizinto eziyingozi. Ezinye izici eziyingozi zifaka phakathi izimo zezokwelapha eziyisisekelo kumphimbo, njenge-esophagitis kanye ne-eosinophilic esophagitis, i-Barrett's esophagus, kanye nesifo sesilonda se-peptic. Kodwa-ke, abantu abaningi abane-Boerhaave's Syndrome bane-esophagus evamile.
Itholakala kanjani i-Boerhaave's Syndrome?
I-Boerhaave's Syndrome ingaba nzima ukuyixilonga , kodwa kubalulekile ukuyixilonga ngokushesha . Kulula ukuyixilonga uma unezimpawu ezintathu, ezaziwa ngokuthi i-Mackler triad. Lezi yizi: 1. Ukuhlanza okukhulu noma okuphindaphindiwe. 2. Ukuqala kobuhlungu besifuba ngokuzumayo. 3. I-subcutaneous emphysema. Lesi sibonakaliso sokugcina sibonisa kakhulu ukuqhekeka komhubhe. Kodwa-ke, akuwona wonke umuntu ozoba nalezi zimpawu zakudala. Uma ukuqhekeka kwenzeka endaweni engavamile, ungase uzwe ubuhlungu endaweni engavamile, njengentamo noma amathambo e-collarbone. Kungase kubangelwe okunye ngaphandle kokuhlanza, noma kungase kuhambisane nemiphumela emibi engavamile. I-X-ray elula yesifuba ingakunikeza inkomba, kodwa kudingeka ukuhlolwa kwesithombe okubucayi ukuze kuhlolwe lesi simo.
Ukuhlolwa kwe-X-ray okusetshenziselwa ukuxilongwa
Yiziphi izivivinyo ze-X-ray ezisetshenziswa ukuxilonga i-"Boerhaave's Syndrome"?
`(I-Esophagram)` (I-Esophagram)
Uma udokotela esola ukuthi une-Boerhaave's Syndrome, into yokuqala abavame ukuyenza ukuthatha i-X-ray. Basebenzisa idayi yokuhlukanisa. Lokhu kubizwa nangokuthi i-esophagram. Lokhu ukuhlolwa okusheshayo, okungangenisi umswakama okunembe kakhulu. Kulokhu kuhlolwa, uphuza isisombululo esiqukethe idayi yokuhlukanisa encibilika emanzini. Lokhu kwenza ingaphakathi lombhobho wakho wokudla libonakale ku-X-ray. Uma kukhona ukudabuka, bangabona lapho idayi yokuhlukanisa ivuza khona.
(I-CT scan)
Uma ungenakukwazi ukwenza i-esophagogram, noma uma udokotela wakho efuna ulwazi olwengeziwe ngezitho ezizungezile, kungenziwa i-CT scan. Nakuba ingakwazi ukukhombisa indawo eqondile yokudabuka, ingathola inani elincane lodayi noma umoya ohlukile ovuvuzele ezicutshini ezizungezile usuka emhubheni. Ingasetshenziswa futhi ukuthola uketshezi olunqwabelene esifubeni noma esiswini oludinga ukukhishwa amanzi.
Iphathwa kanjani i-Boerhaave's Syndrome?
Kulungile, manje ake sibone ukuthi singayelapha kanjani i-`(Boerhaave's Syndrome)`. Nazi izinyathelo okufanele uzilandele:
Ukunikeza uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Abantu abaningi baphelelwa amanzi emzimbeni, ngakho-ke uketshezi lwe-IV ludinga ukunikezwa ngokushesha.
Ama-antibiotic : Ama-antibiotic e-broad-spectrum anikezwa ngemithambo yegazi ukulawula ukutheleleka.
Ukubonisana ngokuhlinzwa: Kwabaningi abantu, ukuhlinzwa kuyindlela ejwayelekile yokwelapha. Abanye abantu abanamathumba amancane, asendaweni bangase baphathwe ngaphandle kokuhlinzwa, ngokuhlolwa kanye nama-antibiotic e-IV noma i-endoscopy. Kodwa-ke, ngisho nakulezi zimo, odokotela bazohlala benecebo lokuhlinzwa.
Ukulungiswa ngokuhlinzwa: Kungcono ukulungisa ukuqhekeka kungakapheli amahora angama-24 kusukela kuqhekeke. Kuye ngesimo sakho, udokotela wakho angase asebenzise ukuhlinzwa okuncane kakhulu. Isibonelo, ukuhlinzwa kwe-thoracoscopic okusizwa ngevidiyo (i-VATS). Kwezinye izimo eziphuthumayo, i-thoracotomy evulekile ingadingeka ukuze kufinyelelwe ngokushesha nangokuphelele esifubeni.
Ukukhuculula/ukukhipha amanzi: Ngaphezu kokulungisa ukudabuka, noma yiluphi uketshezi oluthelelekile oluqoqene emgodini ludinga ukukhishwa amanzi futhi luhlanzwe ngamagciwane. Noma yiziphi izicubu ezithelelekile noma ezifile (ezifile) kumele zisuswe. Kwezinye izimo ezimbi kakhulu, ingxenye yomqala wakho ingadinga ukususwa.
Ukuphathwa Okuthuthukisiwe: Uma ukuhlinzwa kungenzeki zingakapheli amahora angama-24 kusukela kuqhume, ukulungiswa okuqondile kungase kungaphumeleli. Amaphethelo esilonda kungenzeka ukuthi aseqalile ukuqina noma ukuwohloka. Uma lokhu kwenzeka, udokotela wakho kungase kudingeke asuse ingxenye noma yonke i-esophagus yakho (esophagectomy). Uma udinga i-esophagus entsha, lokhu kungenziwa ngemva kwamasonto ayisithupha.
Izindlela Zokudla Ezihlukile: Kuze kube yilapho ipayipi lakho lokudla selipholile, ngeke ukwazi ukugwinya ukudla ngalo, ngakho kuzodingeka uthole ukudla okunomsoco ngenye indlela. Lokhu kungaba ngepayipi noma ngemithambo yegazi.
Iyini ithemba lokululama?
Kuyini ukubikezela komuntu one-"Boerhaave's Syndrome"? Ukuxilongwa kusenesikhathi kanye nokwelashwa yizinto ezibaluleke kakhulu ongazenza ukuvimbela izinkinga, okuhlanganisa nokufa, ngenxa yokutheleleka.. Labo abathola ukwelashwa zingakapheli amahora angama-24 bangalindela ukululama okuhle, kanye nethuba elingu-75% lokusinda. Ngemva kwamahora angama-24, amathuba okufa angaphezu kwama-50%, kanti ngemva kwamahora angama-48 angama-90%. Sekukonke, izinga lokufa licishe libe ngu-35%. Labo abathola ukwelashwa ngesikhathi esifanele futhi okuphumelelayo bangalulama ngokugcwele, kodwa kungathatha izinyanga eziningana. `(Boerhaave's Syndrome)` yisimo esingavamile kodwa esingavamile kakhulu esishiya okuningi okufanele kucatshangelwe ngaso . Singavela ngokuzumayo, ngaphandle kwezimpawu zokuxwayisa - kodwa ukuphuza kakhulu okungapheli kuyisibonakaliso esicacile sesixwayiso esingasivimbela. Asazi konke mayelana `(Boerhaave's Syndrome)`. Asazi ukuthi kungani umphimbo wehluleka ukuzivikela ekulimaleni kulezi zimo. Kodwa siyazi ukuthi kungaba yingozi uma ungaqashelwa futhi welashwe kusenesikhathi.
Izinto ezibaluleke kakhulu okudingeka uzikhumbule
Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho, "i-Boerhaave's Syndrome." Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:
I-Boerhaave's Syndrome iyisimo esiphuthumayo sezokwelapha esibangelwa ukuqhekeka komphimbo.
Lokhu kuvame ukwenzeka ngemva kokuhlanza ngamandla .
Izimpawu eziyinhloko ubuhlungu besifuba obungazelelwe, obukhulu, ukuhlanza, kanye nobunzima bokugwinya .
Abantu abaphuza kakhulu basengozini enkulu.
Uma uhlangabezana nezimpawu , funa iseluleko sezokwelapha ngokushesha . Uma uqala ukwelashwa ngokushesha, amathuba akho okululama ayanda.
Ukuhlinzwa kuvame ukudingeka njengokwelashwa.
Kubalulekile ukuqaphela lesi simo. Uma wena noma othile omaziyo eba nanoma yiziphi zalezi zimpawu, ungazinaki. Bonana nodokotela ngokushesha.
I- Borrego syndrome, ukuqhekeka komphimbo, ubuhlungu besifuba, ukuhlanza, utshwala, ukuqhekeka komphimbo, i-Meckler triad, i-sepsis, ukuhlinzwa komphimbo

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UkuhlinzwaJulayi 16, 2026
Ingabe uhlanza ngenxa yobuhlungu obukhulu esifubeni? Ake sifunde ngalesi simo esiyingozi (i-Boerhaave's Syndrome)!
Dr. Priya SammaniMedical Verification
⏱ 7 min read
📋Table of Contents
1. Kuyini lokhu (i-Boerhaave's Syndrome)?
2. Uyini umehluko phakathi kwe-(Boerhaave's Syndrome) kanye ne-(Mallory Weiss Syndrome)?
3. Kwenzekani uma ipayipi lokudla liqhuma?
4. Lokhu kuthinta bani kakhulu?
5. Ziyini izimpawu ze-Boerhaave's Syndrome?
6. Bunjani ubuhlungu?
7. Yiziphi izinkinga ezingaba khona?
8. Yiziphi izimbangela ze-Boerhaave's Syndrome?
9. Ingabe ukusetshenziswa kotshwala kuyathinta?
10. Itholakala kanjani i-Boerhaave's Syndrome?
11. Ukuhlolwa kwe-X-ray okusetshenziselwa ukuxilongwa
12. Iphathwa kanjani i-Boerhaave's Syndrome?
13. Iyini ithemba lokululama?
14. Izinto ezibaluleke kakhulu okudingeka uzikhumbule
Namuhla sizokhuluma ngento engathi sína, nento okudingeka uyiqaphele ngokushesha. Cabanga nje ukube ubudle futhi uphuze kakhulu, bese uhlanza ngamandla ngokuzumayo futhi uzwe ubuhlungu obukhulu esifubeni sakho? Lokhu kungase kungabi yinto evamile. Lesi simo esizokhuluma ngaso, esibizwa ngokuthi `(Boerhaave's Syndrome)`, singaba yisimo esiphuthumayo esinjalo.
Kuyini lokhu (i-Boerhaave's Syndrome)?
Kalula nje, lesi `(Boerhaave's Syndrome)` yisimo lapho udonga lombhobho wethu wokudla, okungukuthi, `(umphimbo),` luqhuma ngokuzumayo. Lokhu kwenzeka lapho kukhona ingcindezi engacabangeki, okungukuthi, ukusunduza, empayipini wokudla. Ukuze kube sobala, lokhu kungenzeka kakhulu uma uhlanza ngamandla noma uzikhandla nganoma iyiphi enye indlela. Odokotela babiza lokhu ngokuthi `(ukuqhuma komzamo)` noma `(ukuqhuma okuzenzakalelayo)`, ngoba lokhu akuyona into eyenzeka ngqo empayipini wokudla. Lesi simo empeleni asivamile kakhulu, okungukuthi, sithinta cishe u-0.0003% wabantu. Kodwa-ke, u-15% wazo zonke izingozi zamapayipi okudla zibangelwa yilesi `(Boerhaave's Syndrome)`.
Uyini umehluko phakathi kwe-(Boerhaave's Syndrome) kanye ne-(Mallory Weiss Syndrome)?
Manje ungase ucabange, 'Ingabe yilokhu engikuzwile lapho ngizwa ukudabuka emhubheni?' Empeleni kunomehluko omncane phakathi kwalokhu okubili. Ukudabuka kwe-Mallory Weiss ukudabuka okwenzeka uma uhlanza ngamandla noma uma uzikhandla. Kuwukudabuka olwelwesini lomhubhe. Kokubili kuvamile kubantu abaphuza utshwala obuningi . Umuntu one-Mallory Weiss ukudabuka angase ahlanze igazi. Kodwa-ke, umhubhe awudabuka ngokuphelele. Kodwa-ke, i-Boerhaave's Syndrome iyingozi kakhulu. Lokhu ukudabuka okudlulela kulo lonke ugqinsi lodonga lomhubhe. Odokotela bakubiza nangokuthi ukudabuka kwe-transmural. Uma kudabuka ngokuphelele, kumele kulungiswe ngokuhlinzwa okuphuthumayo . Kungaba isimo sokuphila noma ukufa.
Kwenzekani uma ipayipi lokudla liqhuma?
Cabanga ngalokho okwenzekayo lapho umphimbo wethu uqhuma. Lesi yisimo esiphuthumayo sangempela, futhi uma singelashwa ngokushesha , singasongela ukuphila . Uyazi ukuthi kungani? Umphimbo wethu uyingxenye yesimiso sethu sokugaya ukudla (umgudu wokugaya ukudla). Ngakho-ke, lapho umphimbo uqhuma, izinhlayiya zokudla, amabhaktheriya, namakhemikhali okugaya ukudla kungavuza esifubeni noma esiswini. Uma lokho kwenzeka, ukutheleleka okukhulu kwamagciwane kungavela.
Uma lokhu kutheleleka kungena egazini lomzimba wethu wonke, izimo ezibizwa ngokuthi "i-septicemia" kanye "ne-sepsis" zingavela. Lokhu "kushaqeka" kuyisenzo esisongela ukuphila. Kungaholela "ekushaqekeni", ukwehluleka kwezitho eziningi, futhi ekugcineni ukufa.
Lokhu kuthinta bani kakhulu?
Noma ubani angathuthukisa lesi sifo (i-Boerhaave's Syndrome). Kodwa-ke,Kuvame kakhulu kwabesilisa nakubantu abangaphezu kweminyaka engu-50. Cishe u-80% walabo abathintekayo ngamadoda aseminyakeni ephakathi. Kuvamile nakubantu abaphuza utshwala ngokweqile .
Ziyini izimpawu ze-Boerhaave's Syndrome?
Kulungile, manje ake sibone ukuthi yiziphi izimpawu ze-`(Boerhaave's Syndrome)`. Kubaluleke kakhulu ukuzazi lezi.
Ubuhlungu besifuba obungazelelwe, obukhulu. Lolu uphawu oluyinhloko.
Isicanucanu nokuhlanza . Ngezinye izikhathi kungase kube negazi ekuhlanzeni.
Kulungile ukuzwa ubuhlungu uma ugwinya noma ukhwehlela.
Ukuphefumula kuba kufushane futhi kusheshe.
Izicubu ezisesifubeni zigcwala umoya noma uketshezi, okubangela ukuvuvukala.
Isisu sami sizwakala siqinile, njengetshe.
Izimpawu zokutheleleka njengomkhuhlane nokujuluka .
Uma kuvela esinye noma ngaphezulu salezi zimpawu ngokuzumayo, ikakhulukazi ngemva kokuhlanza okukhulu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .
Bunjani ubuhlungu?
Bubi kangakanani ubuhlungu be-`(Boerhaave's Syndrome)`? Abanye abantu bathi abubekezeleleki ngempela. Ubuhlungu buzwakala lapho kwenzeka khona ukuqhekeka. Isikhathi esiningi, lokhu kuqhekeka kwenzeka engxenyeni yesithathu engezansi yomhubhe wethu. Okusho ukuthi, phakathi komgodi wesifuba ongezansi nomgodi wesisu ongaphezulu. Kodwa-ke, kungaba phezulu kunalokho. Lobuhlungu bungasakazekela nasemhlane noma emahlombe .
Yiziphi izinkinga ezingaba khona?
Kunemiphumela eminingana emibi engenzeka uma lesi simo singaphathwa kahle:
Ukuvuvukala nokuvuvukala esifubeni sakho.
Ukuqoqwa kobomvu esifubeni (i-empyema)
Umoya uvaleleke esifubeni noma ezicutshini ezingaphansi kwesikhumba.
Ukuphuma koketshezi emzimbeni ( ukunqwabelana koketshezi olwelwesini lwesifuba)
I-Acute Respiratory Distress Syndrome ( ARDS )
I-Septicemia, i-sepsis, kanye nokushaqeka. Lokhu kungaba yingozi empilweni.
Yiziphi izimbangela ze-Boerhaave's Syndrome?
Kungani kwenzeka i-Boerhaave's Syndrome? Kunezizathu ezimbili eziyinhloko zalokhu. Esinye ukuthi ingcindezi ngaphakathi komphimbo iyanda ngenxa yokucindezela noma ukucindezela okungavamile . Esinye ukuthi lapho umsipha we-cricopharyngeus ongaphezulu komphimbo wethu (i-sphincter ephezulu yomphimbo) ungaphumuli ngenxa yalokhu kucindezela, kuvela ingcindezi engemihle ngaphandle komphimbo .. Imbangela eyinhloko yalesi `(Boerhaave's Syndrome)` ukuhlanza okukhulu noma okuqhubekayo . Ngaphezu kwalokho, ukubeletha, ukuxhuzula, ukuphakamisa okunzima, nokugwinya izinto ezibangela ukuvuvukala noma ezibhubhisayo nakho kungabangela lokhu. Ngokuvamile, ezimweni ezinjalo, izimpawu zemizwa kufanele zikhulule `(imisipha ye-cricopharyngeus)` futhi zikhulule ingcindezi ngaphakathi. Kodwa-ke, ku-`(Boerhaave's Syndrome)`, ngesizathu esithile lokhu kuhlanganiswa kwemisipha ye-neuromuscular `(ukuhlanganiswa kwemisipha ye-neuromuscular)` akusebenzi kahle.
Ingabe ukusetshenziswa kotshwala kuyathinta?
Ingabe ukuphuza utshwala kungabangela ukuqhekeka komphimbo? Ukuphuza utshwala ngokweqile kuyisici esiyingozi . Uhlobo oluvame kakhulu lwe-Boerhaave's Syndrome ukuhlanza ngemva kokudla okukhulu noma ngemva kokuphuza utshwala. Inkinga yokusebenzisa utshwala, ukudla ngokweqile, kanye ne-bulimia yizinto eziyingozi. Ezinye izici eziyingozi zifaka phakathi izimo zezokwelapha eziyisisekelo kumphimbo, njenge-esophagitis kanye ne-eosinophilic esophagitis, i-Barrett's esophagus, kanye nesifo sesilonda se-peptic. Kodwa-ke, abantu abaningi abane-Boerhaave's Syndrome bane-esophagus evamile.
Itholakala kanjani i-Boerhaave's Syndrome?
I-Boerhaave's Syndrome ingaba nzima ukuyixilonga , kodwa kubalulekile ukuyixilonga ngokushesha . Kulula ukuyixilonga uma unezimpawu ezintathu, ezaziwa ngokuthi i-Mackler triad. Lezi yizi: 1. Ukuhlanza okukhulu noma okuphindaphindiwe. 2. Ukuqala kobuhlungu besifuba ngokuzumayo. 3. I-subcutaneous emphysema. Lesi sibonakaliso sokugcina sibonisa kakhulu ukuqhekeka komhubhe. Kodwa-ke, akuwona wonke umuntu ozoba nalezi zimpawu zakudala. Uma ukuqhekeka kwenzeka endaweni engavamile, ungase uzwe ubuhlungu endaweni engavamile, njengentamo noma amathambo e-collarbone. Kungase kubangelwe okunye ngaphandle kokuhlanza, noma kungase kuhambisane nemiphumela emibi engavamile. I-X-ray elula yesifuba ingakunikeza inkomba, kodwa kudingeka ukuhlolwa kwesithombe okubucayi ukuze kuhlolwe lesi simo.
Ukuhlolwa kwe-X-ray okusetshenziselwa ukuxilongwa
Yiziphi izivivinyo ze-X-ray ezisetshenziswa ukuxilonga i-"Boerhaave's Syndrome"?
`(I-Esophagram)` (I-Esophagram)
Uma udokotela esola ukuthi une-Boerhaave's Syndrome, into yokuqala abavame ukuyenza ukuthatha i-X-ray. Basebenzisa idayi yokuhlukanisa. Lokhu kubizwa nangokuthi i-esophagram. Lokhu ukuhlolwa okusheshayo, okungangenisi umswakama okunembe kakhulu. Kulokhu kuhlolwa, uphuza isisombululo esiqukethe idayi yokuhlukanisa encibilika emanzini. Lokhu kwenza ingaphakathi lombhobho wakho wokudla libonakale ku-X-ray. Uma kukhona ukudabuka, bangabona lapho idayi yokuhlukanisa ivuza khona.
(I-CT scan)
Uma ungenakukwazi ukwenza i-esophagogram, noma uma udokotela wakho efuna ulwazi olwengeziwe ngezitho ezizungezile, kungenziwa i-CT scan. Nakuba ingakwazi ukukhombisa indawo eqondile yokudabuka, ingathola inani elincane lodayi noma umoya ohlukile ovuvuzele ezicutshini ezizungezile usuka emhubheni. Ingasetshenziswa futhi ukuthola uketshezi olunqwabelene esifubeni noma esiswini oludinga ukukhishwa amanzi.
Iphathwa kanjani i-Boerhaave's Syndrome?
Kulungile, manje ake sibone ukuthi singayelapha kanjani i-`(Boerhaave's Syndrome)`. Nazi izinyathelo okufanele uzilandele:
Ukunikeza uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Abantu abaningi baphelelwa amanzi emzimbeni, ngakho-ke uketshezi lwe-IV ludinga ukunikezwa ngokushesha.
Ama-antibiotic : Ama-antibiotic e-broad-spectrum anikezwa ngemithambo yegazi ukulawula ukutheleleka.
Ukubonisana ngokuhlinzwa: Kwabaningi abantu, ukuhlinzwa kuyindlela ejwayelekile yokwelapha. Abanye abantu abanamathumba amancane, asendaweni bangase baphathwe ngaphandle kokuhlinzwa, ngokuhlolwa kanye nama-antibiotic e-IV noma i-endoscopy. Kodwa-ke, ngisho nakulezi zimo, odokotela bazohlala benecebo lokuhlinzwa.
Ukulungiswa ngokuhlinzwa: Kungcono ukulungisa ukuqhekeka kungakapheli amahora angama-24 kusukela kuqhekeke. Kuye ngesimo sakho, udokotela wakho angase asebenzise ukuhlinzwa okuncane kakhulu. Isibonelo, ukuhlinzwa kwe-thoracoscopic okusizwa ngevidiyo (i-VATS). Kwezinye izimo eziphuthumayo, i-thoracotomy evulekile ingadingeka ukuze kufinyelelwe ngokushesha nangokuphelele esifubeni.
Ukukhuculula/ukukhipha amanzi: Ngaphezu kokulungisa ukudabuka, noma yiluphi uketshezi oluthelelekile oluqoqene emgodini ludinga ukukhishwa amanzi futhi luhlanzwe ngamagciwane. Noma yiziphi izicubu ezithelelekile noma ezifile (ezifile) kumele zisuswe. Kwezinye izimo ezimbi kakhulu, ingxenye yomqala wakho ingadinga ukususwa.
Ukuphathwa Okuthuthukisiwe: Uma ukuhlinzwa kungenzeki zingakapheli amahora angama-24 kusukela kuqhume, ukulungiswa okuqondile kungase kungaphumeleli. Amaphethelo esilonda kungenzeka ukuthi aseqalile ukuqina noma ukuwohloka. Uma lokhu kwenzeka, udokotela wakho kungase kudingeke asuse ingxenye noma yonke i-esophagus yakho (esophagectomy). Uma udinga i-esophagus entsha, lokhu kungenziwa ngemva kwamasonto ayisithupha.
Izindlela Zokudla Ezihlukile: Kuze kube yilapho ipayipi lakho lokudla selipholile, ngeke ukwazi ukugwinya ukudla ngalo, ngakho kuzodingeka uthole ukudla okunomsoco ngenye indlela. Lokhu kungaba ngepayipi noma ngemithambo yegazi.
Iyini ithemba lokululama?
Kuyini ukubikezela komuntu one-"Boerhaave's Syndrome"? Ukuxilongwa kusenesikhathi kanye nokwelashwa yizinto ezibaluleke kakhulu ongazenza ukuvimbela izinkinga, okuhlanganisa nokufa, ngenxa yokutheleleka.. Labo abathola ukwelashwa zingakapheli amahora angama-24 bangalindela ukululama okuhle, kanye nethuba elingu-75% lokusinda. Ngemva kwamahora angama-24, amathuba okufa angaphezu kwama-50%, kanti ngemva kwamahora angama-48 angama-90%. Sekukonke, izinga lokufa licishe libe ngu-35%. Labo abathola ukwelashwa ngesikhathi esifanele futhi okuphumelelayo bangalulama ngokugcwele, kodwa kungathatha izinyanga eziningana. `(Boerhaave's Syndrome)` yisimo esingavamile kodwa esingavamile kakhulu esishiya okuningi okufanele kucatshangelwe ngaso . Singavela ngokuzumayo, ngaphandle kwezimpawu zokuxwayisa - kodwa ukuphuza kakhulu okungapheli kuyisibonakaliso esicacile sesixwayiso esingasivimbela. Asazi konke mayelana `(Boerhaave's Syndrome)`. Asazi ukuthi kungani umphimbo wehluleka ukuzivikela ekulimaleni kulezi zimo. Kodwa siyazi ukuthi kungaba yingozi uma ungaqashelwa futhi welashwe kusenesikhathi.
Izinto ezibaluleke kakhulu okudingeka uzikhumbule
Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho, "i-Boerhaave's Syndrome." Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:
I-Boerhaave's Syndrome iyisimo esiphuthumayo sezokwelapha esibangelwa ukuqhekeka komphimbo.
Lokhu kuvame ukwenzeka ngemva kokuhlanza ngamandla .
Izimpawu eziyinhloko ubuhlungu besifuba obungazelelwe, obukhulu, ukuhlanza, kanye nobunzima bokugwinya .
Abantu abaphuza kakhulu basengozini enkulu.
Uma uhlangabezana nezimpawu , funa iseluleko sezokwelapha ngokushesha . Uma uqala ukwelashwa ngokushesha, amathuba akho okululama ayanda.
Ukuhlinzwa kuvame ukudingeka njengokwelashwa.
Kubalulekile ukuqaphela lesi simo. Uma wena noma othile omaziyo eba nanoma yiziphi zalezi zimpawu, ungazinaki. Bonana nodokotela ngokushesha.
I- Borrego syndrome, ukuqhekeka komphimbo, ubuhlungu besifuba, ukuhlanza, utshwala, ukuqhekeka komphimbo, i-Meckler triad, i-sepsis, ukuhlinzwa komphimbo
⚠️ 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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