Mallory-Weiss syndrome

N'ọnọdụ ka ukwuu, mmepe nke syndrome-egosipụta onwe ya na ndị ikom na tọrọ afọ 45 nke ịṅụbiga mmanya ókè. Mallory-Weiss syndrome-amalite mgbe mberede mgbali na-abawanye na elu eriri afọ tract. Vomiting-abụkarị mgbe iribiga nri ókè, pancreatitis, afọ ime, cholecystitis, wdg Ndị ọzọ na-akpata na-agụnye oké ụkwara, hiccups, diaphragmatic hainia, masịrị abdominal trauma, dara site na elu. clinically syndrome
Melora-Weiss egosipụta site ọnụnọ nke ọbara na igbo, nke n'oge
mbụ ọgụ ọbara adịghị. Ke adianade vomiting ọbara dị na ọrịa
na a syndrome ugbu abdominal mgbu na stool nwa.

Mallory-Weiss syndrome chọpụtara site endoscopy na-enye ohere na-akọwa longitudinal gaps esophageal mucosa.
ọsọ mgbaàmà nke ọbara ọgbụgba na-hụrụ: oyi clammy ajirija, na acha agba nke anụ ahụ, tachycardia, lethargy na hypotension. Mgbe ụfọdụ, Mallory-Weiss syndrome nwere ike ime ka mmepe nke na-akpata. Na analysis of ọbara nwere ike achọpụtara ọnụ erythrocyte ọnụ, na-ebelata ọtụtụ hemoglobin, ịba ụba ọnụ ọgụgụ nke ndị platelet.

Iji weghachi ọbara olu mee mgbanwe ọgwụ, mwute Mallory-Weiss syndrome. Ọgwụgwọ na nke a bụ
kristaloidnyh na ndinọ colloidal ngwọta. Mgbe oké ọbara ọgbụgba
ọbara mee na metoclopramide. Iji kwụsị ọbara na-agba
iji nyocha Blackmore. Site n'ibu mkpakọ nke ọbara arịa hụrụ
hemostatic mmetụta. Ọzọkwa nwere ike ịkwụsị na-agba ọbara na iji
etamzilata sodium, aminocaproic acid, calcium chloride na oktreatida.

Mallory-Weiss syndrome Akwụsịkwara endoscopically. N'ihi nke a na saịtị nke na-agba ọbara adrenaline bee efep, si otú ọbọ a vasoconstrictive mmetụta. The kasị oru oma usoro bụ
argon plasma coagulation, nke na-eme ka o kwe omume iji nweta a kwụsiri
hemostasis. Okwu Mmalite nke adrenaline jikọtara na electrocoagulation. Na iwebata
sclerosants (polidocanol) kwukwara a ọma hemostatic mmetụta. Na mmepe nke syndrome bụ mgbe eji vaskụla ligation, site nnukwu na arịa ligatures. Nke a na usoro bụ karịsịa ziri ezi maka varicose ọbara arịa na nkọlọ na portal ọbara mgbali. A yiri usoro a etinyere agba ọbara arịa site na clip applicator.

Ịwa ahụ ọgwụgwọ na-enweghị mmetụta na endoscopic
ụzọ mgbanwe ọgwụgwọ. Na nke a, na-arụ ọrụ na-rụrụ Beye:
suturing mebiri emebi ọbara arịa. N'ọnọdụ ka ukwuu, ndị prognosis maka ndụ na syndrome development dị mma. ọbara ọgbụgba
kwụsịrị mgbanwe, ma ọ bụ endoscopic ọgwụgwọ
ịwa ahụ aka ma ọ bụ onwe ha.

Prophylaxis nke ọrịa ndị dị ka Melora-Weiss syndrome bụ adọ mgbochi retching na vomiting. The kacha akpata ihe syndrome na-aghọ oké mmanya oriri na ụdi igbu egbu. Ya mere, isi ọtụtụ nke mgbochi na-aghọ a na-alụ na Oké mmanya. Ọ dịghị dị mkpa na-ekwu bụ
ezigbo na-adọ ọgwụgwọ nke nnukwu na-adịghị ala ala eriri afọ ọrịa, nke
esonyere vomiting.

Diet na syndrome kwesịrị ịgụnye ojiji nke sie ihe oriri na steamed. Kpomkwem contraindicated ojiji nke mmanya. Anyị adịghị ike ikwu na ojiji nke lemons ndị ọzọ citrus mkpụrụ osisi, dị ka nke ọma dị ka ngwaahịa na ike imerụ ndị esophageal mucosa. Site na ihe oriri ga-ewepu marinades, meats na ngwa nri. Good omenala na nkà mmụta ọgwụ site cracks nke na nkọlọ bụ na-ebu ọnụ otu tablespoon nke ugu mmanụ kwa ụbọchị ruo otu ọnwa.