Cutar Mallory-Weiss

Wadatacce

• Dalilin
• Kwayar cututtuka
• Yadda ake tantance shi
• Jiyya
• Endoscopic far
• M da sauran zaɓuɓɓuka
• Magani
• Tsayar da cutar Mallory-Weiss

Menene cutar Mallory-Weiss?

Tsanani da tsawan lokaci amai na iya haifar da hawaye a cikin murfin esophagus. Hango ita ce bututun da ke haɗa makogwaronka zuwa cikinka. Cutar Mallory-Weiss (MWS) wani yanayi ne da aka nuna da hawaye a cikin membrane na mucous, ko kuma rufin ciki, inda maƙogwaron ya sadu da ciki. Yawancin hawaye suna warkewa tsakanin kwanaki 7 zuwa 10 ba tare da magani ba, amma hawayen Mallory-Weiss na iya haifar da jini mai mahimmanci. Dogaro da tsananin hawaye, aikin tiyata na iya zama dole don gyara ɓarnar.

Dalilin

Mafi yawan abin da ke haifar da MWS shine tsananin amai ko tsawan lokaci. Duk da yake wannan nau'in amai na iya faruwa tare da ciwon ciki, shi ma yakan faru ne saboda yawan shan giya ko bulimia.

Sauran yanayi na iya haifar da fashewar jijiya, kazalika. Wadannan sun hada da:

• rauni ga kirji ko ciki
• shaƙuwa mai tsanani ko tsawan lokaci
• tari mai tsanani
• dagawa ko wahala
• gastritis, wanda shine kumburi na rufin ciki
• hiatal hernia, wanda ke faruwa yayin da wani ɓangaren cikinku ya motsa ta ɓangaren diaphragm ɗinku
• rawar jiki

Karɓar farfadowa na zuciya (CPR) na iya haifar da hawaye na esophagus.

MWS ya fi yawa ga maza fiye da mata. Yana faruwa sau da yawa a cikin mutane masu shan barasa. A cewar Nationalungiyar forasa ta Rare cuta, mutanen da ke tsakanin shekaru 40 zuwa 60 suna iya kamuwa da wannan yanayin. Koyaya, akwai shari'ar Mallory-Weiss da hawaye a cikin yara da matasa.

Kwayar cututtuka

MWS ba koyaushe ke haifar da bayyanar cututtuka ba. Wannan ya fi zama ruwan dare a cikin yanayi mai sauƙi yayin da hawaye na esophagus ke samar da ƙaramin jini kawai kuma ya warke da sauri ba tare da magani ba.

A mafi yawan lokuta, duk da haka, bayyanar cututtuka za su ci gaba. Waɗannan na iya haɗawa da:

• ciwon ciki
• amai jini, wanda ake kira hematemesis
• sake dawowa ciki
• kujerun jini ko baki

Jini a cikin amai yawanci zai zama duhu kuma ya kasance mai daskarewa kuma yana iya zama kamar filayen kofi. Lokaci-lokaci yana iya zama ja, wanda ke nuna sabo ne. Jinin da ya bayyana a cikin tabon zai yi duhu kuma yayi kama da kwalta, sai dai idan kuna da babban jini, a wannan yanayi zai zama ja. Idan kana da waɗannan alamun, nemi gaggawa gaggawa. A wasu lokuta, zubar jini daga MWS na iya zama mai haɗari da barazanar rai.

Akwai wasu matsalolin kiwon lafiya waɗanda zasu iya haifar da alamun bayyanar. Kwayar cututtukan da ke hade da MWS na iya faruwa tare da rikice-rikice masu zuwa:

• Ciwon Zollinger-Ellison, wanda cuta ce mai saurin gaske wacce ƙananan ƙwayoyi ke haifar da haɓakar ciki mai yawa wanda ke haifar da ulcers na yau da kullun
• na kullum erosive gastritis, wanda shine kumburi na rufin ciki wanda ke haifar da rauni kamar ulcer
• perforation na esophagus
• peptic miki
• Ciwon Boerhaave, wanda shine ɓarkewar ɓarkewar jijiya saboda amai

Kwararrun likitan ku kawai zasu iya ƙayyade idan kuna da MWS.

Yadda ake tantance shi

Likitanku zai tambaye ku game da kowane batun kiwon lafiya, gami da yawan shan giya kowace rana da cututtukan kwanan nan, don gano ainihin dalilin alamunku.

Idan alamun ku sun nuna zub da jini a cikin esophagus, likitanku na iya yin abin da ake kira esophagogastroduodenoscopy (EGD). Kuna buƙatar ɗauka mai kwantar da hankali da mai kashe ciwo don hana rashin jin daɗi yayin wannan aikin.Likitanka zai saka ƙaramin bututu mai sassauƙa tare da kyamara a haɗe da shi, wanda ake kira endoscope, zuwa cikin makogwaronka zuwa cikin ciki. Wannan na iya taimakawa likitanka ganin esophagus dinka da gano wurin da zubar hawaye yake.

Kila likitanku zai iya yin odar cikakken ƙidayar jini (CBC) don tabbatar da adadin jajayen ƙwayoyin jini. Cellididdigar ƙwayar jinin ku na iya zama ƙasa idan kuna jinni a cikin esophagus. Likitanku zai iya ƙayyade idan kuna da MWS bisa ga binciken daga waɗannan gwaje-gwajen.

Jiyya

A cewar Nationalungiyar forasa ta Rare cuta, zub da jini da ke faruwa sakamakon hawaye a cikin esophagus zai dakatar da kansa a cikin kusan kashi 80 zuwa 90 na cututtukan MWS. Waraka yawanci yana faruwa a cikin fewan kwanaki kuma baya buƙatar magani. Amma idan zub da jini bai tsaya ba, kuna iya buƙatar ɗayan jiyya masu zuwa.

Endoscopic far

Kuna iya buƙatar maganin endoscopic idan zub da jini bai tsaya da kansa ba. Likitan da ke yin EGD na iya yin wannan maganin. Zaɓuɓɓukan Endoscopic sun haɗa da:

• maganin allura, ko sclerotherapy, wanda ke ba da magani ga hawaye don rufe magudanar jini da dakatar da zub da jini
• maganin coagulation, wanda ke ba da zafi don rufe bakin jirgin ruwan da ya fashe

Yawan zubar jini na iya buƙatar yin amfani da ƙarin jini don maye gurbin jinin da ya ɓace.

M da sauran zaɓuɓɓuka

Wani lokaci, maganin endoscopic bai isa ya dakatar da zub da jini ba, don haka dole ne a yi amfani da wasu hanyoyin dakatar da zub da jini, kamar aikin tiyata na laparoscopic don dinka hawaye a rufe. Idan ba za ku iya yin tiyata ba, likitanku na iya amfani da zane-zane don gano jigon jini da toshe shi don dakatar da zub da jini.

Magani

Magunguna don rage haɓakar acid na ciki, kamar su famotidine (Pepcid) ko lansoprazole (Prevacid), na iya zama dole. Koyaya, tasirin waɗannan magunguna har yanzu yana cikin muhawara.

Tsayar da cutar Mallory-Weiss

Don hana MWS, yana da mahimmanci don magance yanayin da ke haifar da dogon lokaci na tsananin amai.

Yin amfani da giya mai yawa da kuma cirrhosis na iya haifar da aukuwa na MWS. Idan kana da MWS, ka guji shaye-shaye kuma ka yi magana da likitanka game da hanyoyin da za ka iya sarrafa yanayinka don hana abubuwan da ke faruwa nan gaba.