Mphunoyi ndi phukusi la minofu yosalala yomwe imapangitsa chakudya kumbuyo kwa mmero (pharynx) mpaka m'mimba. Mphuno ya perforated ndi mphukira yomwe yaphulika kapena yang'ambika ndipo tsopano ili ndi dzenje mmenemo. Izi zimapangitsa kuti munthu azidya zakudya komanso nthawi zina zimakhala ndi matenda enaake m'thupi mwake, ndipo zingayambitse matenda aakulu. Mankhwala opangidwa ndi perforated angakhale ofala kwambiri mwa amuna kusiyana ndi akazi ndipo kawirikawiri amapezeka atadya kudya.
Amakhalanso anthu wamba omwe ali ndi matenda oopsa omwe ali ndi matendawa, kuphatikizapo GERD kapena nthendayi . Zifukwa za mtundu wa perforated umaphatikizapo:
- Ndondomeko monga endoscopy (EGD) - makamaka pamene kuchepa kwa mitsempha kapena zozizwitsa zimakhudzidwa, pa sclerotherapy, kapena variceal ligation. Njira zina kuphatikizapo kukhazikitsidwa kwa endotracheal chubu, nasogastric tube kapena Blakemore chubu (kawirikawiri). Anthu omwe ali ndi zaka zoposa 65 ali ndi chiopsezo chowonjezeka.
- Kusakaniza kwa mankhwala owopsa monga puriers kapena mabatire a disc.
- Kusakaniza kwa chinthu china chachilendo (mapiritsi ndi ndalama ndizochizoloŵezi chofala).
- Zovulala monga mfuti kapena mabala a mbola - mpaka 10 peresenti ya milandu.
- Matenda a Boerhaave - chinthu chosowa kwambiri chomwe chimatuluka nthawi zonse nthawi zonse monga zotsatira za kusanza kwaukali kapena kubwezeretsa. Ambiri mwa anthu omwe ali ndi zaka 40 mpaka 60. Malipoti a pafupifupi 15 peresenti ya milandu.
- Matenda osokoneza bongo omwe amachititsa kuti thupi likhale lochepa kwambiri.
- Chovuta cha opaleshoni kuphatikizapo opaleshoni ya cardiothoracic kapena ndalama zoperekera ndalama (zosavuta).
- zotupa
Njira zopangira opaleshoni zomwe zimakhala zovuta kwambiri chifukwa cha kuwonongeka kwa matenda osokoneza bongo koma kuyambira poyambitsa zida zogwiritsira ntchito zosinthasintha, chiopsezo chachepa.
Zizindikilo za mayendedwe opangidwa ndi perforated ndi awa:
- Zovuta kumeza .
- Kuwombera kapena kubwezeretsanso kutsatiridwa ndi kupweteka kwa chifuwa chachikulu.
- Kuvuta kupuma.
- Kuvuta kulankhula.
- Kupweteka kwa misasa, kupweteka kwa ululu, kumtunda kapena kupweteka kwa m'mbuyo. Kukhumudwa kumawonjezeka pamene wagona pansi.
- Kupuma mofulumira ndi kuthamanga kwa mtima.
- malungo
- Matanzi amagazi (kawirikawi).
- Mankhwala osokoneza bongo (mpweya kapena mpweya pansi pa khungu) makamaka m'khosi ndi pachifuwa.
Mukusowa chithandizo chamankhwala mwamsanga ngati mukuganiza kuti mungakhale ndi poopedusopopus.
Kuwonongeka kwa mimba sikunali kozolowereka koma kungakhale koopsa, ngakhale kupha. Kuchiza mwamsanga kumapereka zotsatira zabwino koma mwatsoka, mankhwala amachedwa kuchedwa chifukwa cha matenda osokoneza bongo. Mankhwala a perforated nthawi zambiri amasokonezeka ndi zinthu zina monga matenda a mtima, zilonda zam'mimba kapena chifuwa chachikulu.
Mavuto a pulogalamuyi amatha kukhala ndi chibayo, mediastinitis, sepsis, empyema, ndi akuluakulu odwala kupuma matenda (ARDS) . Matendawa amafunika opaleshoni ndi maantibayotiki. Mankhwalawa amatha kupiritsa popanda opaleshoni, koma odwala amauzidwa kuti asadye kapena kumwa, ndipo amafunika kudya zakudya kuchokera ku tizilombo toyambitsa matenda kapena IV mpaka atachiritsidwa.
Nthaŵi zina, njira yokhayokha yoperekera poika malo ochepa kapena zojambulidwa zingagwiritsidwe ntchito pazinthu izi.
> Chitsime:
> Medline Plus. Kuthamanga kwa Esophageal.
> Kupititsa patsogolo. Matenda a Boerhaave.
> Kupititsa patsogolo. Zomwe Zimatulutsa Misozi ndi Misozi M'madera Odzidzidzimutsa.
> University of Maryland Medical Center. Kuthamanga kwa Esophageal.