IMallory-Weiss Syndrome

-Delile

• Izimbangela
• Izimpawu
• Kutholakala kanjani
• Ukwelashwa
• Ukwelashwa kwe-Endoscopic
• Izinketho zokuhlinzwa nezinye
• Imithi
• Ukuvimbela iMallory-Weiss syndrome

Iyini iMallory-Weiss syndrome?

Ukuhlanza okukhulu nokuhlala isikhathi eside kungaholela ekukhaleni kolwelwesi lwesigaxa. I-esophagus yishubhu elihlanganisa umphimbo wakho nesisu sakho. IMallory-Weiss syndrome (MWS) yisimo esiboniswe ukudabuka kulwelwesi lwamafinyila, noma ulwelwesi lwangaphakathi, lapho i-esophagus ihlangana khona nesisu. Izinyembezi eziningi ziyelapheka kungakapheli izinsuku eziyi-7 kuya kwezingu-10 ngaphandle kokwelashwa, kepha izinyembezi zikaMallory-Weiss zingadala ukopha okukhulu. Ngokuya ngobukhulu besililo, kungadingeka ukuhlinzwa ukuze kulungiswe umonakalo.

Izimbangela

Isizathu esivame kakhulu se-MWS ukuhlanza okunzima noma okude. Ngenkathi lolu hlobo lokuhlanza lungenzeka ngokugula kwesisu, luye luvele kaningi ngenxa yokuphuza ngokweqile noma i-bulimia.

Ezinye izimo zingabangela ukukhala kwesifo, futhi. Lokhu kufaka phakathi:

• ukuhlukumezeka esifubeni noma esiswini
• ama-hiccups anzima noma ahlala isikhathi eside
• ukukhwehlela okukhulu
• ukuphakamisa okunzima noma ukuhlunga
• i-gastritis, okuwukuvuvukala kolwelwesi lwesisu
• i-hernia yokubeletha, eyenzeka lapho ingxenye yesisu sakho idlulela engxenyeni yesikhala sakho
• ukudlikizela

Ukuthola ukuvuselelwa kwe-cardiopulmonary (CPR) nakho kungaholela ekukhaleni kwesisu.

I-MWS ivame kakhulu kwabesilisa kunabesifazane. Kwenzeka kaningi kubantu abanotshwala. Ngokusho kweNational Organisation for Rare Disorders, abantu abaneminyaka ephakathi kuka-40 no-60 maningi amathuba okuthi babe nalesi simo. Kodwa-ke, kukhona amacala okukhala kukaMallory-Weiss ezinganeni nasebancane.

Izimpawu

I-MWS ayihlali ikhiqiza izimpawu. Lokhu kuvame kakhulu ezimweni ezimnene lapho izinyembezi zomzimba ziveza ukopha okuncane kuphela futhi ziphola ngokushesha ngaphandle kokwelashwa.

Ezimweni eziningi, noma kunjalo, izimpawu zizokhula. Lokhu kungafaka:

• ubuhlungu besisu
• uhlanza igazi, elibizwa ngokuthi i-hematemesis
• ukuphinda uthinte ngokuzithandela
• indle enegazi noma emnyama

Igazi emhlanzweni livame ukuba mnyama futhi lijiye futhi lingabukeka njengezindawo zekhofi. Ngezikhathi ezithile ingaba bomvu, okukhombisa ukuthi isha. Igazi elivela esitokisini lizoba mnyama futhi libukeke njengetiyela, ngaphandle kwalapho wopha kakhulu, lapho-ke lizobomvu. Uma unalezi zimpawu, funa usizo oluphuthumayo ngokushesha. Kwezinye izimo, ukulahleka kwegazi kusuka ku-MWS kungaba yinto enkulu futhi kusongele impilo.

Kunezinye izinkinga zempilo ezingakhipha izimpawu ezifanayo. Izimpawu ezihambisana ne-MWS nazo zingavela ngezifo ezilandelayo:

• I-Zollinger-Ellison syndrome, okuyisifo esingajwayelekile lapho izicubu ezincane zakha khona ama-acid esiswini ngokweqile aholela ezilondeni ezingalapheki.
• i-gastritis engapheli, okuwukuvuvukala kolwelwesi esiswini oludala izilonda ezifana nezilonda
• ukugcotshwa komphimbo
• isilonda peptic
• I-Boerhaave's syndrome, okuwukuqhekeka komphimbo ngenxa yokuhlanza

Udokotela wakho kuphela onganquma ukuthi unayo yini i-MWS.

Kutholakala kanjani

Udokotela wakho uzokubuza nganoma yiziphi izingqinamba zezokwelapha, kufaka phakathi ukuphuza utshwala nsuku zonke nezifo zakamuva, ukuthola imbangela yezimpawu zakho.

Uma izimpawu zakho zibonisa ukuphuma kwegazi okusebenzayo ku-esophagus, udokotela wakho angenza lokho okubizwa ngokuthi i-esophagogastroduodenoscopy (EGD). Uzodinga ukuthatha isidambisa-zinhlungu nesinhlungu ukuvimbela ukungakhululeki phakathi nale nqubo. Udokotela wakho uzofaka ishubhu encane, eguquguqukayo nekhamera enamathiselwe kuyo, ebizwa nge-endoscope, ezansi kwesisu sakho nasesiswini. Lokhu kungasiza udokotela wakho ukuthi abone isisu sakho futhi abone indawo yezinyembezi.

Udokotela wakho uzophinde a-oda ukubalwa kwegazi okuphelele (i-CBC) ukuqinisekisa inani lamaseli abomvu egazi. Ukubalwa kwamaseli akho abomvu egazi kungaba phansi uma wopha emzimbeni. Udokotela wakho uzokwazi ukunquma ukuthi unayo yini i-MWS ngokuya ngokutholwe kulezi zivivinyo.

Ukwelashwa

Ngokusho kweNational Organisation for Rare Disorders, ukopha okuvela ngenxa yezinyembezi emqaleni kuzomisa ngokwako cishe kumaphesenti angama-80 kuya kwangama-90 amacala eMWS. Ukuphulukisa ngokuvamile kwenzeka ezinsukwini ezimbalwa futhi akudingi ukwelashwa. Kodwa uma ukuphuma kwegazi kungapheli, ungadinga olunye lwezindlela zokwelapha ezilandelayo.

Ukwelashwa kwe-Endoscopic

Ungadinga ukwelashwa kwe-endoscopic uma ukopha kungagcini ngokwakho. Udokotela owenza i-EGD angenza lokhu kwelashwa. Izinketho ze-Endoscopic zifaka:

• i-injection therapy, noma i-sclerotherapy, eletha umuthi ekhala izinyembezi ukuvala umthambo wegazi nokumisa ukopha
• ukwelashwa kwe-coagulation, okuletha ukushisa ukuvala umkhumbi odabukile

Ukwehla kwegazi okukhulu kungadinga ukusetshenziswa kokumpontshelwa esikhundleni segazi elilahlekile.

Izinketho zokuhlinzwa nezinye

Kwesinye isikhathi, ukwelashwa kwe-endoscopic akwenele ukumisa ukopha, ngakho-ke kufanele kusetshenziswe ezinye izindlela zokuvimba ukuphuma kwegazi, njengokuhlinzwa kwe-laparoscopic ukuthunga izinyembezi zivaliwe. Uma ungeke uhlinzwe, udokotela wakho angasebenzisa i-arteriography ukukhomba umkhumbi opha futhi ayixhume ukunqanda ukopha.

Imithi

Imithi yokwehlisa ukukhiqizwa kwe-asidi esiswini, efana ne-famotidine (Pepcid) noma i-lansoprazole (Prevacid), nayo ingadingeka. Kodwa-ke, ukusebenza kwale mithi kusengxoxweni.

Ukuvimbela iMallory-Weiss syndrome

Ukuvimbela i-MWS, kubalulekile ukwelapha izimo ezidala iziqephu ezinde zokuhlanza okunzima.

Ukusetshenziswa ngokweqile kotshwala ne-cirrhosis kungadala iziqephu eziphindaphindekayo ze-MWS. Uma une-MWS, gwema utshwala bese ukhuluma nodokotela wakho ngezindlela zokuphatha isimo sakho ukuvikela iziqephu ezizayo.