ʻO Mallory-Weiss Syndrome

Anter

• Nā Kumu
• Nā ʻōuli
• Pehea e hōʻoia ʻia ai
• Lapaʻau
• Laulima endoscopic
• Nā ʻoki ʻoki a me nā koho ʻē aʻe
• Laau Lapaʻau
• Ka pale ʻana i ka maʻi maʻi Mallory-Weiss

He aha ka maʻi maʻi Mallory-Weiss?

ʻO ka luaʻi lōʻihi a hoʻolōʻihi hiki ke hopena i ka waimaka i ka uhi ʻana o ka esophagus. ʻO ka esophagus ka paipu e hoʻopili i kou puʻu i kou ʻōpū. ʻO Mallory-Weiss Syndrome (MWS) kahi kūlana i kahakaha ʻia e ka waimaka i ka membrane mucous, a i ʻole ka pale o loko, kahi e hui ai ka esophagus me ka ʻōpū. Hoola ka hapanui o nā waimaka ma waena o 7 a 10 mau lā me ka ʻole o ka lapaʻau, akā hiki i nā waimaka ʻo Mallory-Weiss ke kumu i kahe nui o ke kahe. Kaukaʻi ʻia i ke koʻikoʻi o ka waimaka, pono paha ke kaha ʻana e hoʻoponopono i nā mea i hōʻino ʻia.

Nā Kumu

ʻO ke kumu maʻamau o MWS ka luaʻi kaumaha a hoʻolōʻihi ʻia paha. ʻOiai ʻo kēia ʻano luaʻi e hiki ke hana me ka maʻi ʻōpū, pinepine pinepine ia ma muli o ka hōʻino ʻana i ka waiʻona a bulimia paha.

Hiki i nā kūlana ʻē aʻe ke hopena i ka waimaka o ka esophagus, pū kekahi. Pākuʻi ʻia kēia mau mea:

• trauma i ka umauma a i ʻole ka ʻōpū
• hiccups koʻikoʻi a hoʻolōʻihi paha
• batukū ikaika
• hāpai hāpai kaumaha a koʻikoʻi paha
• gastritis, ʻo ia ka lī o ka pale o ka ʻōpū
• hernia hiatal, kahi hanana i ka wā o kou ʻōpū e pahu ai ma o ka ʻāpana o kāu diaphragm
• haʻalulu

Loaʻa i ka resuscitation cardiopulmonary (CPR) hiki ke alakaʻi i ka waimaka o ka esophagus.

ʻOi aku ka maʻamau o ka MWS i nā kāne ma mua o ka wahine. Kū pinepine ia i ka poʻe me ka waiʻona. Wahi a ka National Organization for Rare Disorder, ʻo ka poʻe ma waena o 40 a 60 mau makahiki e hoʻomohala i kēia ʻano. Eia nō naʻe, aia kekahi mau hihia o Mallory-Weiss waimaka i nā keiki a me nā ʻōpio makua.

Nā ʻōuli

ʻAʻole hana mau ka MWS i nā ʻōuli. ʻOi aku ka maʻamau o kēia i nā hihia maʻalahi ke hana wale nā ​​waimaka o ka esophagus i kahi kahe liʻiliʻi o ke kahe ʻana o ke koko a hoʻōla wikiwiki me ka ʻole o ka lapaʻau.

I ka hapanui o nā hihia, e ulu ana nā ʻōuli. Pākuʻi ʻia kēia mau mea:

• abdominal eha
• ka luaʻi ʻana i ke koko, i kapa ʻia hematemesis
• hoʻoiho hou ʻole ʻana
• noho koko a ʻeleʻele paha

ʻO ke koko i ka luaʻi eʻeleʻele a paʻa ʻia a ʻano like paha me ka papa kope. ʻO kekahi manawa hiki ke ʻulaʻula, e hōʻike he mea hou. Eʻeleʻele ke koko i kū mai i ka stool a e like me ke tar, ke ʻole ʻoe he koko nui, a ʻulaʻula ia. Inā loaʻa kēia mau hōʻailona iā ʻoe, e ʻimi koke i ka mālama ulia pōpilikia. I kekahi mau hihia, hiki i ke kahe o ke koko mai ka MWS ke lilo i mea nui a hoʻoweliweli i ke ola.

Aia kekahi mau pilikia olakino ʻē aʻe e hana paha i nā ʻōuli like. Hiki paha nā ʻōuli e pili pū me ka MWS me nā ʻano maʻi penei:

• ʻO Zollinger-Ellison Syndrome, kahi maʻi laha ʻole kahi e hana ai nā tumors liʻiliʻi i nā waikawa ʻōpū nui e alakaʻi aku ai i nā maʻi maʻi maʻi mau
• gastritis erosive mau, ʻo ia ka mumū o ka pale o ka ʻōpū e hiki ai i nā lehelehe ulcer-like
• perforation o ka esophagus
• peptic ulcer
• ʻO Boerhaave's Syndrome, kahi haki o ka esophagus ma muli o ka luaʻi

Hiki wale i kāu kauka ke hoʻoholo inā he MWS kāu.

Pehea e hōʻoia ʻia ai

E nīnau aku kāu kauka iā ʻoe e pili ana i nā pilikia olakino, e like me ka lawe ʻana i ka waiʻona i kēlā me kēia lā a me nā maʻi hou, e ʻike ai i ke kumu o kāu mau ʻōuli.

Inā hōʻike kāu mau ʻōuli i ke kahe ʻana i ka esophagus, hiki i kāu kauka ke hana i ka mea i kapa ʻia he esophagogastroduodenoscopy (EGD). Pono ʻoe e lawe i kahi mea hoʻohiamoe a me kahi painkiller e pale ai i ka hōʻoluʻolu i kēia kaʻina hana.E hoʻokomo kāu kauka i kahi puʻupuʻu liʻiliʻi a maʻalahi me kahi kāmela i hoʻopili ʻia iā ia, i kapa ʻia he endoscope, i lalo i kou esophagus a i loko o ka ʻōpū. Hiki i kēia ke kōkua i kāu kauka e ʻike i kāu esophagus a hoʻomaopopo i kahi o ka waimaka.

E kauoha paha kāu kauka i ka helu piha o ke koko (CBC) e hōʻoia i ka helu o nā hunaola ʻulaʻula. E haʻahaʻa paha kāu helu ʻulaʻula koko inā he kahe kou i ka esophagus. Hiki i kāu kauka ke hoʻoholo inā loaʻa iā ʻoe ka MWS e pili ana i nā mea i loaʻa mai kēia mau hoʻāʻo.

Lapaʻau

Wahi a ka National Organisation for Rare Disorder, ke kahe ʻana o ke kahe ʻana o ka waimaka i ka esophagus ma kahi o 80 a 90 paha ka pākēneka o nā hihia MWS. Hana pinepine ka hoʻōla i kekahi mau lā a ʻaʻole koi ka lapaʻau. Akā inā ʻaʻole e kū ke kahe, pono paha ʻoe i kekahi o nā ʻano ma hope.

Laulima endoscopic

Pono paha ʻoe i ka endoscopic therapy inā ʻaʻole kū ke kahe ma kāna iho. Hiki i ke kauka ke hana nei i ka EGD ke hana i kēia therapy. ʻO nā koho Endoscopic kahi:

• ka hoʻowalewale therapy, a i ʻole sclerotherapy, i hāʻawi i ka lāʻau i ka waimaka e hoʻopau ai i ke kīʻaha koko a hoʻōki i ke kahe ʻana o ke kahe
• coagulation therapy, nāna e hāʻawi i ka wela e sila i ka moku i haehae ʻia

Hiki i ke kahe o ke koko nui ke koi i ka hoʻohana ʻana o nā transfusions e pani i ke koko i nalo.

Nā ʻoki ʻoki a me nā koho ʻē aʻe

I kekahi manawa, ʻaʻole lawa ka endoscopic therapy e hōʻoki ai i ke kahe ʻana o ke kahe, no laila pono e hoʻohana i nā ala ʻē aʻe o ka hoʻōki ʻana i ke kahe ʻana, e like me ka hana laparoscopic e humuhumu ai ka waimaka. Inā ʻaʻole hiki iā ʻoe ke hana i ke kaha, hiki i kāu kauka ke hoʻohana i ka arteriography e ʻike ai i ka moku kahe o ke kahe a hoʻopili iā ia e hoʻokū i ke kahe.

Laau Lapaʻau

ʻO nā lāʻau e hōʻemi ai i ka hana ʻana o ka ʻōpū o ka ʻōpū, e like me famotidine (Pepcid) a i ʻole lansoprazole (Prevacid), pono pū kekahi. Eia nō naʻe, ke hoʻopaʻapaʻa ʻia nei ka maikaʻi o kēia mau lāʻau.

Ka pale ʻana i ka maʻi maʻi Mallory-Weiss

I mea e pale aku ai iā MWS, he mea nui ka mālama ʻana i nā kūlana i kumu i nā wā lōʻihi o ka luaʻi koʻikoʻi.

Hiki i ka hoʻohana nui ʻana i ka waiʻona a me ka cirrhosis ke hoʻoulu i nā hanana hou o ka MWS. Inā loaʻa iā ʻoe ka MWS, e hōʻalo i ka wai ʻona a kamaʻilio pū me kāu kauka e pili ana i nā ala e mālama ai i kāu ʻano e pale ai i nā hanana e hiki mai ana.