Mallory-Weiss maʻi pale

He nui nā kanaka e ola nei i ko lākou ola,ʻaʻole mālama ana oe ia oe iho. Akā, ua pau ike i ka mea e ola paha loa hope, e pono e mālama ana i kou ola. Mau aoao, hang, waiʻona muliwai, he ikaika ka hoowalewaleia mai eʻai i kekahi mea ono, akā, nui loa nā palapala, e kauoha ana irreparable 'ino i ke kanaka kino. Ua ua i loko o ka amateurs o ka waiʻona loa pinepine ka mea, he nui pilikia i ola. Kekahi o ia mau mea - Mallory-Weiss maʻi pale. Ma ka hapanui o hoopii, i kēia maʻi ia lŘlŘ i loko o na kanaka elemakule 45-60 makahiki. Ua Ua wehewehe aku, ma luna o nā mea a pau, ka luaʻi ana me ke koko.

Mallory Weiss maʻi pale - he mucosal discontinuity i loko o ka wahi ma waena o ka opu a me ka esophagus. He ua ka kēia symptoms:

• gastro-esophageal kahe ana ke koko ;
• esophageal ka'aʻaiawāʻana;
• paakiki ka luaʻi;
• , pili abdominal eha;
• kahe ana ke koko i loko o ka uuku omentum;
• haikea ili kanaka;
• lethargy;
• tachycardia;
• i ka manawa kūpono o ka hawewe.

He aha nō nā kumu hiki ia i ka hoʻomaka o ka maʻi.

- Alcoholism.

- hāpai keiki.

- Bulimia.

- Cough.

- Hiccups.

- Diaphragmatic hernia.

- kūmūmū abdominal trauma (alanui ulia, he haule mai ke kiekie, hahau ana).

- cardiopulmonary resuscitation.

- ka luaʻi, kena ae la ia e excessive waiʻona hoʻohana, pancreatitis, overeating, maʻi intoxication, cholecystitis.

- poino i ka esophagus.

Mallory-Weiss maʻi pale diagnosed wale. Ma ke kālailai i ke koko hoemi ia ka helu ana o erythrocytes a me platelets māhuahua ua 'akomi i.

Ka loa waiwai o ka endoscopic ninaninau. Ua haawi mai ka manawa kūpono e nānā i ka lonikū nahā i esophageal mucosa. Ua apono 'no ka hou pololeiʻike, a me ka hoʻomaka lapaau.

E like me ka rula, Mallory-Weiss maʻi pale akaka loa "lei". Ma ka hoʻomaka, ma ka wanaao ae mucosa, i ole e noho i loko o emesis i ke koko. Akā, ka mea, aole i lawe lōʻihi, a me ka manawa e ia heʻuʻuku hope. Hua hoʻohui -ʻeha ma nā abdomen, a e mau hahai i ka hoʻomanawanui. Ma kekahi, ina ua ole lapaau ana i ka maʻi, a hoomau i ka hoao hopena, inu waiʻona, a loʻohia ia i ka hewa ala o ke ola.

kokoke paʻakikī e hooki i ka Mallory-Weiss maʻi pale. Lapaʻau e lawe wahi i waena o hoʻomalu. Ke iniiaiie Pahuhopu mea e hoʻoholo 'hoihoi hou ia ana o ke koko ka leo i loko o ke kino. Ua hoʻohana Heʻano o crystalloid, colloid pāʻoihana. I Ina o ke kiʻekiʻe koko poino, transfusion ua lawelawe. Ua hiki ke paʻahau wai koko, a piha ula koko keena.

A nui pilikia i loko o ka iapaau ana o keia maʻi mea he ikaika kahe ana ke koko. Ua Ua papani ai hoi i na mea o ka octreotide a aminocaproicʻakika. A pau ua huikau ma pinepine bouts o ka luaʻi. No ka mea, o keia, e lilo ia i mea hiki ole e hoʻohana i kekahi mau ai '. Ka luaʻi ia i kekahi lāʻau hiki ke pani like "metoclopramide" (a ano e ae paha "Reglan").

Kahe ana ke koko pani a mechanically ma ka mea o Blackmoreʻimi. Hemostatic hopena ua loaʻa ma muli o ia ka mīkini'opihia o ke kahe ana ke koko na moku ma ka esophagus.

Aia mau no laila, huikau hihia o ka maʻi, a, ma naʻe o ka luna ki ina hana like, i ke kahe ana ke koko, aole ia e pau. argon-wai koko coagulation, electrocoagulation, ligation, Eʻokiʻoki moku obkalyvanie wahi epinephrine kahe ana ke koko, e like me ka pono me he huihui 'ana o kekahi mau ano: endoscopic ano o kona wahi Penei ke hoʻohana' ia.

Ma pakahi aku la ia paʻakikī hoopii, mau ana e ole e pono, a koiʻoki kino. Loa pinepine paipai suturing o kahe ana ke koko na moku a me ka gastrotomy.

Mau waiwai e hoomanao ana i ka maʻi ka hiki pono o ka pale ma mua o ka hoola. E malama ana oe ia oe iho, a me ka mai ole i ke kali manawa a me ke kālā ma luna o kauka a me na laau.