Mallory-Trappers urwere

Vanhu vazhinji vanorarama hupenyu hwavo, kwete hanya pachako. Asi isu tese kuti kuitira kuti vararame vachifara nokusingaperi, unofanira kutarisira utano hwako. mapato aya, kupemberera, doro rwizi, muedzo achitsungirira kudya chinhu inonaka, asi zvinokuvadza chaizvo, zvichiita irreparable zvakaipa muviri womunhu. Yakanga iri amateurs doro kazhinji pane matambudziko makuru pamwe utano. Mumwe wavo - Mallory-Trappers syndrome. Kazhinji, chirwere ichi chinoitika nevanhu makore makore 45-60. It inozivikanwa, kupfuura zvose, kurutsa neropa.

Mallory Trappers chirwere - a mucosal discontinuity munharaunda pakati mudumbu uye yegurokuro. Ane zvinotevera zviratidzo:

• gastro-esophageal ropa ;
• esophageal kukurwa kwevhu;
• Kuramba kurutsa;
• zvikuru abdominal kurwadziwa;
• ropa ari mudiki omentum;
• rakachenuruka ganda munhu;
• lethargy;
• tachycardia;
• mukana nehana.

Ndezvipi zvikonzero zvinogona pakutanga chirwere:

- Alcoholism.

- Pregnancy.

- Bulimia.

- chikosoro.

- Hiccups.

- Diaphragmatic heniya.

- gomara abdominal kunotevera (mugwagwa tsaona, kuwa kubva kumusoro, kurohwa).

- nokungovafemera.

- kurutsa anokonzerwa kunwisa doro, pfungwa nomuviri zvemwana asati, nokudyisa, chisingaperi kudhaka, cholecystitis.

- Kukanganiswa yegurokuro.

Mallory-Trappers chirwere chirwere nyore. In ongorora ropa kwakaderedza nhamba erythrocytes uye maplatelet kwakawedzera iri dzakaonekwa.

The chinokosha ndiko kuongorora endoscopic. Rinopa mukana kuona munhu longitudinal pakakoromoka esophageal mucosa. Izvi rinobvumira neyakarurama chirwere uye kutanga kurapwa.

Kazhinji, Mallory-Trappers chirwere anooneka zvikuru "mavara". Pakutanga, panguva yokuzorora mucosa, ropa angasava aripo emesis. Asi hazvina kutora nguva, uye nguva dzose uchava gare gare. Plus - kurwadziwa mudumbu, izvo zvichaita kuramba kudzingirira murwere. Zvikurukuru kana hosha haina zvakaipa, uye vanoramba vaangaedza mugumo, kunwa doro, uye kuomerera zvakaipa mararamiro.

zvakaoma kumisa Mallory-Trappers syndrome. Treatment vanofanira kutora nzvimbo pakati unyanzvi. The chinangwa chikuru ndechokuti kupedzisa kudzorerwa bhuku ropa mumuviri. It anoshandisa siyana crystalloid, colloid zvingaitwa. Kana chisipo mukuru ropa, ropa chinotarisirwa. Inogona chando yeplasma uye ndokurongedza masero matsvuku eropa.

Dambudziko guru pakurapa chirwere ichi chinhu dzose kubuda ropa. Zvinonzi amira pachishandiswa octreotide kana aminocaproic acid. Zvose rakaoma nokuda kakawanda tichibatwa kurutsa. Nokuda kwaizvozvi, zvinovawo hazviiti kushandisa zvimwe zvinodhaka. Kurutsa mushonga akadaro anogona kumiswa se "metoclopramide" (kana zvimwe "Reglan").

Ropa akamira uye mechanically achishandisa Blackmore vachiongorora. Hemostatic zvazviri kunokwanisika nokuda compression kuti ropa midziyo iri yegurokuro.

Pane kudaro kunzwisisa zviitiko chirwere, iyo, pasinei pamusoro nzira, kubuda kweropa hakugumiri. Saka kushandisa endoscopic nzira nhepfenyuro yacho: argon-yeplasma coagulation, electrocoagulation, ligation, clipping midziyo obkalyvanie nzvimbo epinephrine ropa, uyewo mubatanidzwa nzira dzakasiyana.

In kwakandiomera Muzviitiko, nezviyero izvi zvingasava runziro, achitsive kuvhiya. Most kazhinji varumbidzwa suturing kuti ropa midziyo uye gastrotomy.

Nguva dzose kwakakodzera kuyeuka kuti hosha iri nyore kudzivirira pane kurapa. Zvichengetedze, uye regai kupedza nguva uye mari pamusoro vanachiremba uye mishonga.