ʻO Boerhaave maʻi
Anter
He pilikia pilikia ʻo Boerhaave Syndrome ʻo ia kahi hiʻohiʻona o ka haki i loko o ka esophagus e hana ai i nā ʻōuli e like me ka ʻeha o ka umauma nui a me ka hanu liʻiliʻi, no ka laʻana.
ʻO ka maʻamau, ʻo Boerhaave Syndrome ka mea i hoʻokumu ʻia e ka nui o ka meaʻai a i ʻole ka inu ʻana i ka waiʻona e kumu ai i ka luaʻi nui, hoʻonui i ke kaomi ʻana o ka ʻōpū a me ka nui o nā mākala esophageal i pau i ka haehae.
He pilikia olakino ʻo Boerhaave maʻi, a no laila, he mea nui e hele koke i ka haukapila inā ʻike ʻoe i ka ʻeha o ka umauma a i ʻole ka hanu liʻiliʻi e hoʻomaka ai i ka lāʻau lapaʻau ma loko o nā hola he 12 i hala a pale i nā pilikia koʻikoʻi, e like me ka hopu ʻana i ka hanu.
ʻO ka pūnaewele maʻamau no ka haki ʻana o ka esophagusX-ray umaumaNā ʻōuli o Boerhaave Syndrome
ʻO nā ʻōuli nui o Boerhaave maʻi:
- ʻEhaʻeha o ka umauma ʻoi aku ka maikaʻi i ka wā e ale ana;
- Manaʻo o ka pōkole o ka hanu;
- Ka pehu ʻana o ka maka a i ʻole ka puʻu;
- Hoʻololi leo.
ʻO ka maʻamau, ʻike ʻia kēia mau ʻōuli ma hope o ka luaʻi ʻana, akā i kekahi mau manawa, ʻike ʻia kekahi mau manawa ma hope ke ʻai a inu wai paha, no ka laʻana.
Eia hou, ʻokoʻa nā ʻōuli i kēlā me kēia hihia, a hōʻike paha i nā hōʻailona ʻokoʻa ʻē aʻe e like me ka makemake nui e inu i ka wai, ke kuni a i ʻole ka luaʻi mau. No laila, lohi ka hōʻoia ʻana i hiki i ka Syndrome ke huikau me nā pilikia puʻuwai a i ʻole gastrointestinal.
Hoʻomaʻamaʻa no ka maʻi Boerhaave
Pono e mālama ʻia ka maʻi no Boerhaave Syndrome ma ka haukapila me ke ʻoki pōpilikia e hoʻoponopono ai i ka haki ʻana o ka esophagus a mālama i ka maʻi i ulu mau i ka umauma ma muli o ka hōʻiliʻili ʻia o nā gastric acid a me nā bacteria mai ka meaʻai.
Ma ke kūpono, pono e hoʻomaka i ka mālama ʻana ma loko o nā hola he 12 ma hope o ka haki ʻana o ka esophagus e pale ai i ka hoʻomohala ʻia ʻana o kahi maʻi āpau, a ma hope o kēlā manawa, hapalua ka lōʻihi o ke ola o ka mea maʻi.
ʻIke o Boerhaave maʻi
ʻO ke kuhi o Boerhaave Syndrome hiki ke hana ʻia ma o ka X-ray umauma a me ka tomography i helu ʻia, akā naʻe, he mea nui e kiʻi i ka mōʻaukala o ka mea hoʻomanawanui e kāpae i nā maʻi ʻē aʻe me nā hōʻailona like, e like me ka perforation o ka gastric ulcer, infarction a i ʻole pancreatitis koʻikoʻi, kahi ʻoi aku ka maʻamau a hiki ke uhi i ka maʻi maʻi.
No laila, koi ʻia e hele mau ka mea maʻi me ka manawa hiki, e kahi lālā o ka ʻohana a i ʻole ke kanaka pili e ʻike i ka mōʻaukala olakino o ka mea maʻi a i ʻole hiki ke wehewehe i ka manawa o ka hoʻomaka ʻana o nā ʻōuli, no ka laʻana.