Isifo seMallory-Weiss

Umxholo

• Oonobangela
• Iimpawu
• Kufunyaniswa njani
• Unyango
• Unyango lwe-Endoscopic
• Utyando kunye nezinye iindlela
• Amayeza
• Ukuthintela isifo seMallory-Weiss

Yintoni iMallory-Weiss syndrome?

Ukugabha okungathethekiyo kunye nokuhlala ixesha elide kunokubangela iinyembezi kumngxunya womqala. I-esophagus yityhubhu edibanisa umqala wakho nesisu sakho. I-Mallory-Weiss syndrome (i-MWS) yimeko ephawulwe kukulila kwi-mucous membrane, okanye ngaphakathi ngaphakathi, apho umqala udibana nesisu. Uninzi lweenyembezi luyaphola kwiintsuku ezisi-7 ukuya kwezi-10 ngaphandle konyango, kodwa iinyembezi zikaMallory-Weiss zinokubangela ukopha okukhulu. Kuxhomekeke kubukhali benyembezi, utyando lunokuba yimfuneko ukulungisa umonakalo.

Oonobangela

Esona sizathu siqhelekileyo se-MWS kukugabha kakhulu okanye ixesha elide. Ngelixa olu hlobo lokugabha lunokwenzeka ngokugula kwesisu, ikwenzeka rhoqo ngenxa yokusetyenziswa gwenxa kotywala okanye i-bulimia.

Ezinye iimeko zinokubangela iinyembezi zomqala, ngokunjalo. Oku kubandakanya:

• ukwenzakala esifubeni okanye esiswini
• iihiccups ezinzima okanye ezinde
• ukukhohlela kakhulu
• ukuphakamisa okunzima okanye ukuxina
• Isifo sokudumba (gastritis), kukudumba komphetho wesisu
• i-hernia yokuzalwa, eyenzeka xa inxenye yesisu sakho ityhala kwinxalenye yesithintelo sakho
• ukuxhuzula

Ukufumana ukuvuselelwa kwe-cardiopulmonary (CPR) kunokukhokelela ekukrazuleni i-esophagus.

I-MWS ixhaphake kakhulu emadodeni kunabasetyhini. Kwenzeka rhoqo kubantu abanxila. Ngokwe-National Organisation for Rare Disorders, abantu abaphakathi kweminyaka engama-40 nama-60 kunokwenzeka ukuba bakhule kule meko. Nangona kunjalo, kukho iimeko zeMallory-Weiss iinyembezi ebantwaneni nakubantu abadala abancinci.

Iimpawu

I-MWS ayisoloko ivelisa iimpawu. Oku kuxhaphake kakhulu kwiimeko ezinobulali xa iinyembezi zomqala zivelisa inani elincinci lokopha kwaye ziphilisa ngokukhawuleza ngaphandle konyango.

Kwiimeko ezininzi, nangona kunjalo, iimpawu ziya kukhula. Oku kunokubandakanya:

• intlungu zesisu
• Igazi ligabha, elibizwa ngokuba yihemmatemesis
• ukuphinda uzibambe ngokuzithandela
• ilindle eligazi okanye elimnyama

Igazi emhlanzweni liya kuhlala limnyama kwaye lijiyile kwaye linokubonakala ngathi yindawo yekhofi. Ngamaxesha athile inokuba bomvu, nto leyo ebonisa ukuba intsha. Igazi elivelayo esitofini liya kuba mnyama kwaye lijongeka njenge tar, ngaphandle kokuba wopha kakhulu, kwimeko leyo liya kubomvu. Ukuba unale mpawu, khangela uncedo lwangxamisekileyo kwangoko. Ngamanye amaxesha, ukulahleka kwegazi kwi-MWS kunokuba yinto enkulu kwaye kusongela ubomi.

Kukho ezinye iingxaki zempilo ezinokuvelisa iimpawu ezifanayo. Iimpawu ezinxulumene ne-MWS zinokwenzeka nazo kwezi ngxaki zilandelayo:

• I-Zollinger-Ellison syndrome, esisifo esinqabileyo apho amathumba amancinci enza i-acid esiswini esingaphezulu esikhokelela kwizilonda ezingapheliyo.
• Isifo esingapheliyo sokudumba esiswini, kukudumba kwesisu esiswini okubangela izilonda ezifana nezilonda
• Ukugqitywa komqala
• isilonda esiswini
• Isifo i-Boerhaave's syndrome, esikukuqhekeka komqala ngenxa yokugabha

Ngugqirha wakho kuphela onokumisela ukuba unayo i-MWS.

Kufunyaniswa njani

Ugqirha wakho uya kukubuza malunga nayiphi na imiba yezonyango, kubandakanya utywala mihla le kunye nezifo zamva nje, ukuchonga oyena nobangela weempawu zakho.

Ukuba iimpawu zakho zibonisa ukuphuma kwegazi kwindawo esebenzayo, ugqirha wakho unokwenza into ebizwa ngokuba yi-esophagogastroduodenoscopy (EGD). Kuya kufuneka uthathe isidambisi kunye neentlungu zokuthintela ukungathandeki ngexesha lale nkqubo.Ugqirha wakho uya kufaka ityhubhu encinci, eguqukayo kunye nekhamera eqhotyoshelwe kuyo, ebizwa ngokuba yi-endoscope, ezantsi komqala kunye nesisu. Oku kunokunceda ugqirha wakho abone i-esophagus yakho kwaye achonge indawo yeenyembezi.

Ugqirha wakho uya kuthi ayalele inani elipheleleyo legazi (CBC) ukuqinisekisa inani leeseli ezibomvu zegazi. Inani elibomvu leeseli zegazi linokuba sezantsi ukuba wopha kwi-esophagus. Ugqirha wakho uya kuba nakho ukufumanisa ukuba unayo i-MWS esekwe kwiziphumo zophando.

Unyango

Ngokwe-National Organisation for Rare Disorders, ukopha okubangelwa ziinyembezi kwi-esophagus kuya kuyeka ngokwakho malunga ne-80 ukuya kwi-90 yepesenti yamatyala e-MWS. Ukuphilisa ngokwesiqhelo kwenzeka kwiintsuku ezimbalwa kwaye akufuneki nyango. Kodwa ukuba ukopha akuyeki, unokufuna olunye lonyango olulandelayo.

Unyango lwe-Endoscopic

Unokufuna unyango lwe-endoscopic ukuba ukopha akuyeki ngokwakho. Ugqirha owenza i-EGD angalwenza olu nyango. Izinketho ze-Endoscopic zibandakanya:

• unyango ngenaliti, okanye isclerotherapy, ehambisa amayeza kwiinyembezi ukuvala umthambo wegazi kunye nokumisa ukopha
• unyango lokujiya, olunikezela ubushushu ukutywina inqanawa eqhekekileyo

Ukopha kakhulu kunokufuna ukusetyenziswa kotofelo-gazi endaweni yegazi elilahlekileyo.

Utyando kunye nezinye iindlela

Ngamanye amaxesha, unyango lwe-endoscopic alwanelanga ukunqanda ukopha, ngoko ke ezinye iindlela zokumisa ukopha kufuneka zisetyenziswe, ezinje ngotyando lwe-laparoscopic ukuthunga iinyembezi zivaliwe. Ukuba awukwazi ukwenza utyando, ugqirha wakho unokusebenzisa i-arteriography ukuchonga isitya esophayo kunye nokuyixhoma ukunqanda ukopha.

Amayeza

Amayeza okunciphisa ukuveliswa kwesisu esiswini, njenge-famotidine (Pepcid) okanye i-lansoprazole (Prevacid), anokufuneka. Nangona kunjalo, ukusebenza kwala mayeza kusephantsi kwengxoxo.

Ukuthintela isifo seMallory-Weiss

Ukuthintela i-MWS, kubalulekile ukunyanga iimeko ezibangela iziqendu ezinde zokugabha kakhulu.

Ukusetyenziswa kakhulu kotywala kunye ne-cirrhosis kunokubangela iziqendu eziphindaphindayo ze-MWS. Ukuba unayo i-MWS, thintela utywala kwaye uthethe nogqirha wakho malunga neendlela zokulawula imeko yakho ukunqanda iziqendu ezizayo.