Haehae Mallory-Weiss

Aia kahi waimaka Mallory-Weiss i ka membrane mucus o ka ʻaoʻao haʻahaʻa o ka esophagus a i ʻole ka ʻaoʻao luna o ka ʻōpū, kokoke i kahi e hui ai lākou. Hele ka waimaka paha.

Hoʻokumu pinepine ʻia nā waimaka ʻo Mallory-Weiss e ka luaʻi ikaika a lōʻihi paha a i ʻole ke kūkae ʻana. Hoʻokumu pū ʻia paha lākou e nā haunaele epileptic.

ʻO kēlā me kēia ʻano i alakaʻi ʻia i ka huhū a lōʻihi paha o ka ʻeha a i ʻole ka luaʻi hiki ke hana i kēia mau waimaka.

Pākuʻi ʻia paha nā ʻōuli:

• Nā noho koko
• ʻO ka luaʻi koko (ʻulaʻula ʻulaʻula)

E komo pū paha nā hoʻāʻo:

• CBC, e hōʻike ana paha i ka hematocrit haʻahaʻa
• ʻO Esophagogastroduodenoscopy (EGD), e hana hou ʻia ke loaʻa ke kahe koko

Hoola ka waimaka i kekahi mau lā me ka mālama ʻole ʻia. Hoʻopaʻa pū ʻia paha ka waimaka e nā pakalōlō i hoʻokomo ʻia i ka wā o ka EGD. ʻAʻole makemake iki ʻia ke ʻoki. Nā lāʻau e kāpae i ka waikawa ʻōpū (nā mea pale lāʻau proton pump a i ʻole H₂ hiki ke hāʻawi ʻia, akā ʻaʻole maopopo inā kōkua lākou.

Inā ua nui ke kahe o ke koko, pono paha ke transfusions i ke koko. I ka hapanui o nā hihia, kū ke kahe koko me ka ʻole o ka lapaʻau ʻana i loko o kekahi mau hola.

ʻAʻole ʻike pinepine ke kahe pinepine ʻana a maikaʻi loa ka hopena. ʻO ka Cirrhosis o ke ake a me nā pilikia me ke kāpili ʻana o ke koko e hana i nā hanana kahe o ka wā e hiki mai ana.

Hemorrhage (lilo o ke koko)

Kāhea i kāu mea mālama ola inā hoʻomaka ʻoe i ka luaʻi o ke koko a i ʻole inā hele ʻoe i nā noho koko.

ʻO nā hana e hōʻoluʻolu i ka luaʻi a me ke kaʻe ʻana e hōʻemi paha i ka makaʻi. Hōʻalo i ka hoʻohana nui ʻana i ka waiʻona.

Nā lacerations Mucosal - hui ʻo gastroesophageal

• ʻŌnaehana Digestive
• Haehae Mallory-Weiss
• ʻŌpū a me ka ʻōpū o ka ʻōpū

Katzka DA. Nā maʻi esophageal i hoʻokumu ʻia e nā lāʻau, trauma, a me ka maʻi. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 46.

ʻO Kovacs TO, ʻo Jensen DM. Hemorrhage Gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 135.