I-Boerhaave syndrome

-Delile

• Izimpawu ze-Boerhaave syndrome
• Ukwelashwa kwe-Boerhaave syndrome
• Ukuxilongwa kwe-Boerhaave syndrome

I-Boerhaave syndrome yinkinga engajwayelekile equkethe ukubonakala kokuvele kokuvele kokuqhuma kwesisu okubangela izimpawu ezifana nobuhlungu besifuba obunzima nokuphefumula okuncane, ngokwesibonelo.

Ngokuvamile, i-Boerhaave syndrome ibangelwa ukudla ngokweqile noma ukuphuza utshwala okubangela ukuhlanza okunzima, okwenyusa ingcindezi yesisu kanye namandla amakhulu emisipha yokucinana egcina idabukile.

I-Boerhaave syndrome iyisimo esiphuthumayo kwezokwelapha, ngakho-ke, kubalulekile ukuya esibhedlela ngokushesha uma uhlangabezana nobuhlungu besifuba obunzima noma ukuphefumula okuncane ukuqala ukwelashwa ngaphakathi kwamahora ayi-12 okuqala futhi ugweme izinkinga ezinkulu, ezifana nokuboshwa ngokuphefumula.

Izimpawu ze-Boerhaave syndrome

Izimpawu eziyinhloko ze-Boerhaave syndrome zifaka:

• Ubuhlungu obukhulu besifuba obuba nzima lapho ugwinya;
• Ukuzwa ukuphefumula okuncane;
• Ukuvuvukala kobuso noma umphimbo;
• Ushintsho lwezwi.

Imvamisa, lezi zimpawu zivele ngemuva kokuhlanza, kepha kwezinye izimo, zingavela futhi ngemuva kwesikhathi lapho udla noma uphuza amanzi, ngokwesibonelo.

Ngaphezu kwalokho, izimpawu ziyahlukahluka esimweni ngasinye, futhi zingakhombisa ezinye izimpawu ezihluke ngokuphelele njengesifiso esiningi sokuphuza amanzi, umkhuhlane noma ukuhlanza njalo. Ngakho-ke, ukuxilongwa kuvame ukubambezeleka njengoba i-syndrome ingadideka nezinye izinkinga zenhliziyo noma zamathumbu.

Ukwelashwa kwe-Boerhaave syndrome

Ukwelashwa kwe-Boerhaave syndrome kufanele kwenziwe esibhedlela ngokuhlinzwa okuphuthumayo ukulungisa ukuqhuma kwesimuncu nokwelapha ukutheleleka okuvame ukukhula esifubeni ngenxa yokuqoqwa kwama-acid esiswini kanye nama-bacterium ekudleni.

Okufanelekile, ukwelashwa kufanele kuqalwe ngaphakathi kwamahora okuqala ayi-12 ngemuva kokuqhekeka komphimbo ukuvimbela ukukhula kokutheleleka okujwayelekile okuthi, ngemuva kwaleso sikhathi, kunciphise isikhathi sokuphila sesiguli.

Ukuxilongwa kwe-Boerhaave syndrome

Ukuxilongwa kwe-Boerhaave syndrome kungenziwa ngokusebenzisa i-X-ray yesifuba kanye ne-computed tomography, kepha-ke, kubalulekile ukufinyelela emlandweni wesiguli ukukhipha ezinye izifo ezinezimpawu ezifanayo, njengokugcotshwa kwesilonda esiswini, i-infarction noma i-acute pancreatitis, zivame kakhulu futhi zingasibekela lesi sifo.

Ngakho-ke, kunconywa ukuthi isiguli sihambisane njalo, lapho kunokwenzeka, yilungu lomndeni noma umuntu osondelene owazi umlando wesiguli noma ongachaza umzuzu wokuqala kwezimpawu, ngokwesibonelo.