Cabanga ukuthi ugula kakhulu futhi uhlanza njalo. Kungaba yinto esabekayo kangakanani uma ungahlanza igazi ngokuzumayo? Kuyinto ekhathaza abantu abaningi ngempela. Kodwa enye yezimbangela eziyinhloko zokuhlanza igazi njengalesi yisimo esibizwa ngokuthi iMallory Weiss Tear. Ungakhathazeki, namuhla sizokhuluma ngalokhu ngendlela elula necacile.
Kalula nje, iyini le Mallory Weiss Tear?
Kukhona ipayipi elithwala ukudla kusuka emphinjeni wethu liye esiswini sethu, okungukuthi, isisu sethu, esilibiza ngokwezokwelapha ngokuthi i-esophagus . Esimweni esibizwa ngokuthi i-Mallory Weiss Tear, udonga lwangaphakathi lwale payipi ye-esophagus, ikakhulukazi lapho ixhumeka khona nesisu, luqhekeka kancane. Kufana nepayipi yerabha eqhuma ngaphakathi. Lokhu kudabuka kubangela ukuthi igazi liphume emithanjeni yegazi emincane lapho. Yilelo igazi eliphumayo lapho sihlanza.
Lesi simo sithola igama laso elingavamile kodokotela uKenneth Mallory noSoma Weiss, abasichaza okokuqala ngo-1929. Baphawula ukuthi abantu abaphuza utshwala obuningi futhi abahlanza ngokweqile babezokhaliswa yilezi inyembezi emqaleni wabo.
Ingxenye engcono kakhulu ukuthi isikhathi esiningi lezi zinyembezi ziyaziphola zodwa ngaphandle kokwelashwa okukhethekile . Kodwa-ke, kwezinye izimo, ukwelashwa kungadingeka.
Kungani lokhu kwenzeka? Yiziphi izimbangela kanye nezici eziyingozi zalokhu?
Isizathu esiyinhloko salokhu ukuthi ingcindezi engaphakathi kwesisu sethu iyanda ngokuzumayo nangokushesha kakhulu. Cabanga nje, lapho ingcindezi engaphakathi kwesisu ikhula, okuqukethwe yisisu kuyabuyiselwa phezulu, okungukuthi, kuya emhubheni. Lokhu kucindezela okukhulu yikona okudabula udonga lomhubhe.
Kunezimo eziningana lapho ingcindezi yangaphakathi kwesisu inganda khona.
| Isizathu sokwanda kwengcindezi | Incazelo elula |
|---|---|
| Ukuhlanza okukhulu | Lesi yisona sizathu esivame kakhulu. Uma uhlanza njalo futhi kaningi, ingcindezi enkulu ivela ngaphakathi esiswini iye emphinjeni. |
| Ukuphakamisa noma ukucindezela | Izinto ezifana nokuphakamisa into esindayo kakhulu noma ukuzikhandla ngenkathi uya endlini yangasese nazo zingandisa ingcindezi esiswini. |
| Ukukhwehlela okuqhubekayo | Ukukhwehlela okukhulu obekuqhubeka amasonto nakho kubangela ukucindezeleka okuqhubekayo esiswini. |
| Ukuhlinzeka nge-CPR | Lesi simo singase senzeke ngenxa yokucindezelwa kwesifuba ngesikhathi se-CPR, ukwelashwa okuphuthumayo okunikezwa umuntu oye waba nokuma kwenhliziyo. |
| Ukulimala esifubeni noma esiswini | Ukulimala esifubeni noma esiswini ngenxa yengozi nakho kungabangela ukucindezeleka okukhulu. |
Ezinye izimo ezandisa ingozi
Ngaphezu kwalokho, izimo ezithile zezokwelapha kanye nemikhuba kwandisa ingozi yokuba ne-Mallory Weiss Tear.
- Ukusebenzisa utshwala ngokweqile: Lesi yisici esiyinhloko esiyingozi . Ukusetshenziswa kotshwala kuhilelekile kubantu abaphakathi kuka-50% no-70% abathola lesi simo.
- I-Bulimia: Lesi yisifo sokudla lapho abantu bedla khona ngokweqile bese behlanza ngenkani. Lokhu kuhlanza okuqhubekayo kwandisa ingozi yezinkinga.
- I-Cyclic Vomiting Syndrome (CVS): Lesi yisimo lapho ukuhlanza kwenzeka khona izinsuku eziningi ngaphandle kwesizathu esibonakalayo.
- I-Hyperemesis Gravidarum (ukuhlanza ngokweqile ngesikhathi sokukhulelwa): Lesi simo singase senzeke nangenxa yokuhlanza ngokweqile okwenziwa abanye omama abakhulelwe.
- Isifo Sokuphindeka Kwesisu Esibangelwa Yi-Gastroesophageal Reflux (GERD): Lokhu kwenzeka lapho i-asidi yesisu ikhuphukela emphinjeni. Lokhu kungabangela ukuthi umphimbo ube buthakathaka unomphela.
Ziyini izimpawu zalokhu? Ukubona kanjani?
Uphawu oluyinhloko noluvame kakhulu lwalesi simo ukuhlanza igazi . Noma ubani okubonayo lokhu uyesaba. Leli gazi lingavela ngezindlela ezahlukene:
- Okubomvu okukhanyayo: Lokhu kusho igazi elisha, okusho ukuthi igazi lizophuma esigaxeni ngokushesha.
- Insundu emnyama, njengekhofi eligayiwe: Yile ndlela igazi elingene esiswini elibukeka ngayo ngemva kokuba selivezwe ku-asidi yesisu isikhashana bese liphuma.
Ngaphezu kokuhlanza igazi, kungase kubonakale nezinye izimpawu eziningana.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Indle emnyama, enamathelayo | Kufana ne-tar. Lokhu kungenxa yokuthi igazi elivela emgudwini wokugaya ukudla ongaphezulu lihamba emathunjini, ligaywe, bese liphuma nendle. Lokhu yilokho okubizwa ngokuthi ukopha. |
| Isiyezi kanye nokuquleka | Njengoba igazi liphuma emzimbeni, inani legazi emzimbeni liyancipha futhi umfutho wegazi ungehla. Lokhu kuholela ekubeni nesiyezi kanye nokuquleka. |
Ingabe lokhu kungaba yinto engathi sína? Yiziphi izinkinga?
Esikhathini esiningi, lesi akusona isimo esibucayi. Kodwa-ke, uma singelashwa, ukulahlekelwa igazi okuqhubekayo kungaholela ekulahlekelweni kwegazi , okungabangela izimpawu ezifana nokukhathala okuqhubekayo kanye nokuphelelwa umoya.
Kodwa-ke, ezimweni ezingavamile, uma ukudabuka komphimbo kukhulu futhi igazi eliningi lilahleka ngokuzumayo, umzimba ungashaqeka . Lesi yisimo esibi esidinga ukwelashwa okuphuthumayo.
Uma uzizwa ungaphumuli kakhulu, unomlomo owomile, uzizwa unesicanucanu, uzizwa ubanda futhi uphaphathekile, ushaya inhliziyo ngokushesha, uphefumula kancane futhi ngokushesha, futhi ubuthakathaka kakhulu, lokhu kungaba izimpawu zokushaqeka. Uma kunjalo, kufanele uye esibhedlela ngokushesha.
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezifana nokuhlanza igazi, udokotela wakho uzoqala ngokukubuza imibuzo embalwa, ikakhulukazi ngezinto ezifana nokuhlanza, ukukhwehlela, kanye nokusebenzisa utshwala. Ngemuva kwalokho, bangase benze ukuhlolwa ngokomzimba futhi benze ukuhlolwa kwegazi, ikakhulukazi ukubalwa kwegazi okuphelele (i-CBC) . Lokhu kungahlola i-anemia.
Kodwa isivivinyo esiyinhloko sokuqinisekisa lesi simo yi -endoscopy .
Kuyini ukuhlolwa kwe-endoscopy?
Ungesabi igama. Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo (i-endoscope) elinekhamera exhunywe emphinjeni wakho ukuze uhlole ingaphakathi lomphimbo wakho nesisu. Uzonikezwa i-anesthesia uma ufuna ukuzwa ukungakhululeki phakathi nale nqubo. Le khamera ivumela udokotela ukuthi abone kahle ukuthi ukudabuka kukuphi, kungakanani, nokuthi kusaphuma igazi yini.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Njengoba ngishilo ngaphambili, kubantu abaningi, lezi zinyembezi ziyaphola zodwa ezinsukwini ezimbalwa ngaphandle kokwelashwa okukhethekile. Kodwa-ke, udokotela wakho angase akunike imithi yokunciphisa i-asidi yesisu ukuze ikusize uphole kuze kube yilapho inxeba liphola.
- Ama-blocker e-H2-receptor
- Izithibi zephampu yeproton (PPI)
Le mithi inciphisa ukukhiqizwa kwe-asidi yesisu esiswini. Ngoba uma i-asidi incishisiwe, inxeba elidabukile lingaphola ngokushesha.
Yini okufanele uyenze uma ukopha kungayeki?
Akuvamile ukuthi, uma ukopha kungayeki ngokwakho, kungelashwa ngesikhathi esifanayo ne-endoscopy. Lokhu akusikho ukuhlinzwa okukhulu.
- Ukwelashwa ngomjovo we-endoscopic: Umuthi onjenge -epinephrine ufakwa enxebeni nge-endoscope. Lokhu kufinyeza imithambo yegazi futhi kumise ukopha ngokushesha.
- Ukuqina kwe-electroscopic: Lokhu kwenziwa kusetshenziswa ugesi ukuvala umthambo ophuma igazi, okufana nokugoqa.
- I-endoscopic hemoclip: Kufakwa i-clip encane yensimbi ukuze kuvalwe ukudabuka.
- Ukubopha i-band ye-Endoscopic: Idivayisi efana ne-raba ifakwa phezu kwendawo edabukile ukuze kumiswe ngokuphelele ukopha.
Kuphela ezimweni ezingavamile, lapho kungekho nakunye kwalokhu okuphumelela khona, lapho siphendukela endleleni ebizwa ngokuthi i-angiotherapy noma inqubo ye-laparoscopic. Ngakho-ke, asikho isidingo sokwesaba kakhulu ukuhlinzwa.
Ingabe lokhu kungavinjelwa ukuthi kungenzeki futhi?
Yebo, kungenzeka nakanjani. Into eyinhloko okufanele uyenze ukulawula izinto eziyinhloko ezibangela lokhu.
1. Lawula ukuphuza kwakho utshwala: Uma ungumuntu ophuza kakhulu utshwala, unganciphisa kakhulu le ngozi ngokunciphisa noma ukuyeka ngokuphelele. Uma udinga usizo ngalokhu , khuluma nodokotela wakho ngokukhululekile . Uzokwazi ukukunikeza isiqondiso osidingayo.
2. Thola ukwelashwa kwezinye izimo zezokwelapha: Uma unesifo esifana ne -GERD , noma ukuhlanza okuqhubekayo, kubaluleke kakhulu futhi ukuthi ulashwe ngendlela efanele.
Kufanele ubonane nodokotela ngokushesha nini?
Lena yingxenye ebaluleke kakhulu. Uma unezinye zezimpawu ezilandelayo, ungahlali ekhaya.Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Uma kukhona igazi ekuhlanzeni (noma ngabe libomvu noma umbala wekhofi).
- Uma indle yakho imnyama njengethayela .
Khumbula, lezi zimpawu zingaba yizimpawu hhayi nje ze-Mallory Weiss Tear, kodwa futhi nezinye izimo ezimbi njengezilonda zesisu nomdlavuza. Ngakho-ke ungalokothi uzishaye indiva lezi zimpawu uze wazi kahle ukuthi imbangela iyini. Ukufuna iseluleko sezokwelapha kusenesikhathi kungasindisa impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Mallory Weiss Tear ukudabuka odongeni lwangaphakathi lwe-esophagus (ipayipi eligeleza lisuka emphinjeni liye esiswini) okubangelwa ukuhlanza noma ukuhuda ngokweqile.
- Izimpawu eziyinhloko ukuhlanza igazi nokuphuma kwendle emnyama, ephuzile.
- Ukuphuza utshwala ngokweqile kuyimbangela enkulu yengozi yalesi simo.
- Ngokuvamile lezi zinyembezi ziyaphola zodwa ngaphandle kokwelashwa, kodwa ungalokothi uzishaye indiva izimpawu.
- Uma uhlanza igazi noma ukhipha indle emnyama, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha bese ubona udokotela wakho.
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