Sindrom Mallory Weiss

 

_nmdral Lgeeary Xjnss

G. Djc Djcjmn mnssn

_nmdral _nmd ral Lgeeary-Xjns Lgeeary-Xjnsss dntgmdgn dntgmdgn djmhgm djmhgm gdgmyg gdgmyg pjrdgrgbgm pjrdgrgbgm pgdg sgeurgm sgeurgm ojrmg `ghngm gtgs gin`gt ra`jigm pgdg dnmdnmh luiasg supjrcnsnge. Pa`jigm nmn `ngsg tjrkgd tjr kgdnn pgdg pgdg pjr`gt pjr`gtgsgm gsgm hgstra hgstrajsa jsacgh cghjge jge dgm dgpgt dgpgt ljeugs ljeugs ij praisn praisnlge lge jsacgh jsacghus us  `ghngm `gwgb bnmhhg ij pjrtjmhgbgm dgm tjrigdgmh tjrigdgmh ljeugs ij dnstge `ghngm praisnlge egl`umh. Ljsinpum Ge`jrs pjrtglg igen ljegparigm uesjrgsn jsacghus `ghngm `gwgb  pgdg tgbum 72??, Ijmmjtb Lgeeary dgm _alg Xjnss pgdg tgbum 7>0>, ej`nb giurgt ljmhhgl`grigm iamdnsn nmn sj`ghgn egsjrgsn jsacghus `ghngm `gwgb (`uigm uesjrgsn) ygmh tjrkgdn pgdg pgsnjm djmhgm lumtgb dgm lumtgb `jruegmh ygmh pgrgb sjtjegb ljmhamsulsn geiabae ygmh `jrej`nbgm. Pgtg-rgtg pgmkgmh ra`jigm sjintgr 0-4 ol dgm ij ij`g `gmy mygi gigm gm pg pgsnj snjm m bg bgmy mygg ljln ljlneni eninn sg sgtu tu ra ra`j `jig igm m tj tjpg pgtt dn `g `gwg wgb b pj pjr` r`gt gtgsg gsgm m hgstrajsacghjge pgdg ijejmhiumhgm ygmh ej`nb rjmdgb.

@. Jtna tnaeah eahn

 

Bge nmn tjrkgdn tjrkgdn pgdg pgsnjm ygmh ljmhamsuls ljmhamsulsnn geiabae geiabae sjogrg `jrej`nbgm `jrej`nbgm dgm ljmyj`g`igm pjmdjrntg ljmhgegln ijeubgm sjpjrtn lumtgb dgrgb `jruegmh dgm `ugmh gnr `j `jsgr sgr `j `jrd rdgr grgb gb.. Cgit Cgitar ar rn rnsni snia a egnm egnm tj tjrl rlgsu gsui i `u `uen enln lngg mj mjrv rvas asg, g, bn bnpj pjrj rjlj ljsn snss hrgvndgrul, dgm pjmygint rjceuis hgstrajsacghjge (HJPD). Iamdnsn nmn dnpnou aejb tnmdgigm tnmdgi gm `jruegmh `jruegmh dgrn pjmnmhigtg pjmnmhigtgm m tjigmgm tjigmgm nmtrgg`dal nmtrgg`dalnmge nmge ygmh tn`g-tn`g sjpjrtn lumtgb, ljmhjkgm, `gtui, rjsusntgsn kgmtumh pgru (PKV), gtgu trgulg tulpue g`daljm. _jlug iamdnsn nmn ljen`gtigm rjhurhntgsn nsn egl`umh ij ijramhiamhgm dgm dgpgt sjl`ub djmhgm sjmdnrn dgegl wgitu 8-74 bgrn. O. Jpnd Jpndjl jlna naea eahn hn

_nmdral _nmdr al Lgeeary-Xjnss Lgeeary-Xjnss ljmyul`gmh ljmyul`gmh 7-7:% dgrn pjmyj`g` pjmyj`g` pjrdgrgbgm pjrdgrgbgm HN gtgs pgdg argmh djwgsg dgm iurgmh dgrn :% pgdg gmgi-gmgi dn Gljrnig _jrnigt. Zsng tjrtnmh tjrt nmhhn hn gdgegb gdgegb gmtgrg gmtgrg 46 dgm 36 tgbum. tgbum. Egin-eg Egin-egin in 0-4 igen igen ej`nb ej`nb lumhin lumhinm m umtui  umtui  ljmdjr ljm djrntg ntg snmdra snmdral l Lgeear Lgeeary-X y-Xjnss jnss dgrnpg dgrnpgdg dg wgmntg wgmntg dgm tndgi tndgi dnijtgb dnijtgbun un gegsgm gegsgm  pgstnmyg. Bnpjrjljsns ljmkgdn jtnaeahn ygmh sjrnmh umtui snmdral Lgeeary-Xjnss  pgdg wgmntg ludg, tjs ijbglnegm kuhg bgrus dnpjrtnl`gmhigm dnpjrtnl`gmhigm pgdg pgsnjm tjrsj`ut. D. Vgta Vgtacn cnsn snae aeah ahnn

Ljig Lj igm mns nsl lj

pgs gstn tn

tjrk tjrkgd gdnm nmy yg

sn snm mdr dral al

Lgee Lgeear ary y-Xjn -Xjnss ss

lgsn lgsnb b

`je jeul ul

dnijtgb dni jtgbun. un. Vjmyj` Vjmyj`g` g` ululm ululmyg yg tjrkgdn tjrkgdn ijtnig ijtnig tjigmg tjigmgm m nmtrgg` nmtrgg`dal dalnmg nmgee tn`g-tn tn`g-tn`g `g ljmnmhigt (sjpjrtn dgegl igsus lumtgb dgm lumtgb ygmh iugt), nsn egl`umh ljmhgenr  ij praisnlge dn `gwgb tjigmgm ij ijramhiamhgm. Tjigmgm `jrej`nb dgrn nsn egl`umh nmn ljmyj`g`igm ra`jigm luiasg eamhntudnmge ygmh dgpgt ljmogpgn kgub ij dgegl grtjr grt jrnn dg dgm m vj vjmg mg su su`l `lui uias asg, g, ljmh ljmhgi gin` n`gt gtig igm m pj pjrd rdgrg grgbg bgm m sgeur sgeurgm gm oj ojrm rmgg `g `ghn hngm gm gtgs. Pa`jigm nmn ojmdjrumh ljlgmkgmh, dgm tndgi ljenmhigr, lumhinm dnigrjmgigm  `jmtui snenmdrns dgrn jsacghus dgm egl`umh. J. Hjkg Hjkgeg eg Ien Ienmn mnss

Pa`jigm Lgeeary-Xjnss tndgi tndgi ljmumkuiigm ljmumkuiigm hjkgeg ygmh spjsncni. Hgl`grgm ienmns yg ygmh mh dg dgpg pgtt dntj dntjlu luig igm m

tjrhg tjrhgmt mtum umh h

dg dgrn rn tnmh tnmhig igtg tgm m

gtgud gtgudjr jrgkg gkgtt

pj pjrd rdgrg grgbg bgm m

hgstranmtjstnmge. Hgl`grgm iegsni tjrlgsui jpnsadjbjlgtjljsns sjtjegb luge gtgu lumtgb, lumt gb, ljsinpum ljsinpum hgl`grgm hgl`grgm nmn `nsg tndgisj`gmygi tndgisj`gmygi ygmh dnduhg sj`jeulmyg sj`jeulmyg.. Hrgbgl Hrg bgl dgm _obwgr _obwgrtz tz ljmjlu ljmjluigm igmrnw rnwgyg gygtt sjlgogl sjlgogl nmn dndgpg dndgpgtt bgmyg bgmyg pgdg pgdg sjintg sji ntgrr ?6% pgsnjm pgsnjm.. Vgdgpj Vgdgpjmje mjentn ntngm gm ygmh ygmh dnegiu dnegiuigm igm aejb aejb Bgrrns Bgrrns dgm DnVgel DnVgelg, g, bjlgtjljsns bjlgtjl jsns pgdgl pgdglumt umtgb gb pjrtglg pjrtglg dnegp dnegpari arigm gm pgdg pgdg :6% pgsnjm pgsnjm.. H j k g e g i e n m n s e g n m m yg y g y g m h k g r g m h d n t j l ui u i g m t j t g p n d g p g t t j r k g d n p g d g sy symdralj

 

Lgeeary-Xjnss Lgeea ry-Xjnss gdgegb ljejmg, ljejmg, tginigrdn, tginigrdn, bnpatjmsn, bnpatjmsn, bjlgtaobjzn bjlgtaobjzng,snmi g,snmiap, ap, myjrn g`daljm `nsg kuhg tjrkgdn syai.

C. Dng Dnghmas hmasns ns

_jlug _jl ug pgsnjm pgsnjm djmhgm djmhgm bjlgtjl bjlgtjljsn jsnss bgrus bgrus sjhjrg sjhjrg ljmdgp ljmdgpgt gt pjrbgt pjrbgtngm ngm dgm  pjrgwgtgm ygmh sjsugn. _jtjegb ljmdgpgtigm rnwgygt dgm ljegiuigm pjljrnisggm cnsni, ljrjig bgrus dnprnarntgsigm `jrdgsgrigm tnmhigt ijpgrgbgm pjrdgrgbgm ljegeun  `j`jrgpg tjs eg`argtarnul. Tjs eg`argtarnul ljenputn bntumh dgrgb ejmhigp (O@O), bjlahea`nm bjlah ea`nm dgm bjlgtairnt bjlgtairnt,, pracne iaghuegsn (wgitu (wgitu pjrdgrgbgm, pjrdgrgbgm, wgitu pratral`nm pratral`nm,, wgit wg itu u

tral tral`a `ape pegs gstn tnm m

pgrs pgrsng nge, e,

dgm dgm

kule kulegb gb

tral tral`a `asn snt) t).. Geia Geiaba baen ensl sljj

ir iram amns ns

ljmhbgsneigm kulegb tral`asnt ygmh rjmdgb. Tjs eg`argtarnul kuhg bgrus ljmogiup cumhsn hnmkge umtui ljmhjmgen gdgmyg hghge hnmkge djmhgm ljmhuiur mntrahjm urjg dgrgb (@ZM) dgm irjgtnmnm.

Jmdasiapn HN `ghngm gtgs gdgegb ljrupgigm pjljrnisggm stgmdgr jlgs ( haed  ( haed   stgmdgrd ) umtui ljmdnghmasns ra`jigm Lgeeary Xjnss sjogrg djcnmntnc, dgm ljmgmhgmn  pjrdgrgbgm jsacghus js acghus gitnc sjdjrbgmg. Vjljrnisggm nmn ljmumkuiigm pjrdgrgbgm gitnc, hulpgegm, gtgu ijrgi cn`rnm dn gtgs ra`jigm. Dgegl ij`gmygigm igsus, ra`jigm enmnjr  tumhhge ygmh dntjluigm dn `ghngm praisnlge iurvgturg lnmar egl`umh tjpgt dn `gwgb igrdng,, ljmjhgsigm igrdng ljmjhgsigm dnghmasns. dnghmasns. Jmdasiapn Jmdasiapn sgeurgm ojrmg `ghngm `ghngm gtgs kuhg `jrhumg `jrhumg umtui ljmjluigm pjmyj`g` egnm dgrn pjrdgrgbgm tjrlgsui vgrnsjs jsacghus, tuigi  egl`umh egl`u mh gtgu duadjmul. duadjmul. Ij`gmygigm Ij`gmygigm  Lgeeary-Xjnss Tjgrs  Tjgrs  `jruiurgm sjintgr sgtu nmon pgmkgmhmyg.

H. Tgtg Tgtg egis egisgm gmg g

_nmdra _nm dral l Lgeear Lgeeary-X y-Xjnss jnss sj`ghn sj`ghngm gm `jsgr `jsgr sjl`ub sjl`ub sjmdnrn sjmdnrn dgm kgrgmh kgrgmh tjrkgdn tjrkgdn ijigl`ubgm, lgmgkjljm gwge `jrtukugm umtui ljmstg`neigm iamdnsn ulul pgsnjm, dgm pjmdjigtgm iamsjrvgtnc gigm sjsugn pgdg sj`ghngm `jsgr pgsnjm. 

Vjmha`gtgm Cgrlgiaeahns

Nmbn Nmbn`n `nta tarr palp palpgg pr prat atam am (V (VVN VN)) dgm dgm pj pjmh mhbg bgl` l`gt gt B0 dn dn`j `jrn rnig igm m um umtu tui  i  ljmurumigm ijgsglgm egl`umh igrjmg pjmnmhigtgm ijgsglgm ljmhbgl`gt  pjluenbgm luiasg egl`umh dgm jsacghus. VVN nmtrgvjmg dn`jrnigm pgdg gwge gw gemy mygg ij ijpg pgdg dg pg pgsn snjm jm yg ygmh mh dnbg dnbgrg rgpi pigm gm um umtu tui i ljmk ljmkge gegm gmnn pj pjlj ljrn rnis isggm ggm

 

jmdasiapn jmda siapn.. Gmtnjljtni Gmtnjljtni sjpjrtn praljtgznm praljtgznm dgm amdgmsjtram amdgmsjtram dn`jrnigm dn`jrnigm umtui  ljmhamtrae luge dgm lumtgb. 

Vjrgwgtgm Jmdasiapn

Jsacghahgstrasiapn gdgegb pjljrnisggm pnenbgm pgdg sjlug igsus pjrdgrgbgm sgeurgm sgeu rgm ojrmg ojrmg gtgs. gtgs. Knig Knig pjrdgr pjrdgrgbg gbgm m sudgb sudgb `jrbjm `jrbjmtn tn pgdg pgdg sggt sggt jmdasi jmdasiapn apn,,  `ngsgmyg tndgi dnpjreuigm nmtjrvjmsn ej`nb egmkut. Dgegl sntugsn djmhgm  pjrdgrgbgm gitnc gtgu `jruegmh ygmh sjdgmh `jregmhsumh, gdg ladgentgs  pjmha`gtgm jmdasiapn ygmh `jr`jdg. Nmkjisn eaige jpnmjcrnm (7;76.666 bnmhhg 7;06.666

pjmhjmojrgm)

ljmhbjmtnigm

pjmdgrgbgm

ljegeun

vgsaiamstrnisn. Jejitraiaghuegsn luetnpaegr (LVJO), nm nmkjisn kjisn ghjm siejrasgm, iaghuegsn pegslg Grham (GVO), gtgu enhgsn pntg jmdasiapni gdgegb pnenbgm egnm dgegl sntugsn sjpjrtn ntu. 

Gmhnatjrgpn

Gmhn Gm hnah ahrgc rgcnn dj djmh mhgm gm nm nmkj kjis isnn gh ghjm jm vg vgsa saia iams mstrn trnis isnn sj sjpj pjrt rtnn vgsa vgsapr prjsn jsnm m gtgu gtgu jl`aensgsn trgmsigtjtjr djmhgm `usg hje umtui ljejmygpigm egl`umh inrn gtgu grtjrn ljsjmtjrnig supjrnar dnpjrtnl`gmhigm ijtnig jmdasiapn tndgi tjrsjdng gtgu hghge.

Vjrgwgtgm @jdgb

Vjl`jdgbgm kgrgmh dnpjreuigm dgm dngmhhgp pjreu sjtjegb ijhghgegm prasjdur  jmdasiapn gtgu gmhnatjrgpn umtui ljmhbjmtnigm pjmdgrgbgm. Kgbntgm `jrej`nb egpgra egp grasia siapn pn pgdg pgdg ra`jig ra`jigm m dn `gwgb `gwgb `nl`nm `nl`nmhgm hgm jmdasi jmdasiapn apn tjegb tjegb dnegiu dnegiuigm igm djmhgm bgsne ygmh sgmhgt `gni. Ialprj Ialp rjsn sn tg`u tg`umh mh _jmh _jmhst stgi gijm jm-@ -@eg egij ijla larj rj gd gdge gegb gb pn pnen enbg bgm m tj tjrgi rgibn bnrr dg dgeg egl l  pjmha`gtgm ra`jigm Lgeeary-Xjnss ygmh `jrdgrgb pgdg pgsnjm ygmh ejlgb. ejl gb. Nmn gdgegb gdgegb pnenbg pnenbgm m ygmh ygmh pgenmh pgenmh tndgi tndgi dnsuig dnsuignn igrjmg igrjmg sj`ghn sj`ghngm gm `jsgr  `jsgr   pjrdgrgbgm gdgegb grtjrn dgm tjigmgm dgegl `geam tndgi ouiup umtui ljmhgtgsn tjigmgm pgdg grtjrn ygmh `jrdgrgb.

B. Ijsn Ijsnlp lpue uegm gm

 

Ljsinpu Ljsi npum m iamdns iamdnsnmy nmygg tndgi tndgi tjregeu tjregeu ulul, ulul, pgsnjm pgsnjm bgrus bgrus wgspgd wgspgdgg tjrbgdg tjrbgdgp p  `gbgyg lnmul geiabae `jrej`nbgm, tjrlgsui _nmdral Lgeeary Xjnss. Vjmtnmh umtui  ljl`jrn pjmyueubgm ijpgdg pgsnjm djmhgm pjmdjrntg bjlgtjljsns sj`jeulmyg umtui  ljmhbnmdgrn cgitar pjlnou ygmh ljmyj`g`igm ra`jigm jsacghus ljsinpum kgrgmh tjrkgdn ijigl`ubgm.

 

Dgctgr Vustgig

7. Ogrr KO. _nmdra _nmdral l Lgeeary-Xjn Lgeeary-Xjnss. ss. Ienmni Ienmni Pgdnae. Pgdnae. 7>8? 7>8? Kgmugrn9 Kgmugrn9 04 (7);768 (7);768-70. -70. 0. _uhg _uhgwg wg,, O. gm gmd d Lgsu Lgsuyg yglg lg,, B. (7 (7>2 >23) 3) Lgee Lgeear aryy-Xj Xjnss nss _ymd _ymdra ralj lj—G —G Obgm Obgmhn hnmh mh Oenmnoge Vnoturj ac ?76 Vgtnjmts. Kgpgmjsj Kaurmge ac Hgstrajmtjraeahy, 2?, 37>-304. ?. Oarrg Oarrgee KJ KJ,, Ijnb Ijnbgm gmng ngm m T, Irómj Irómjrr VT, VT, Dguj Dgujrr P, Euijm Euijmss CK, CK, _uss _usslg lgm m DG. DG. Lgeea Lgeeary ry Xjnss Xj nss symd symdra ralj lj ns ma matt gssao gssaongt ngtjd jd wn wntb tb bn bngt gtge ge bj bjrm rmng ng;; g lgto lgtobj bjd d og ogsjsj-oa oamt mtra raee study. _ogmd K Hgstrajmtjrae. 0678 Gpr9:0(4);430-434. 4. Lamt Lamtgev geva a PD, PD, Ejj Ejj L. Pjtr Pjtras aspj pjot otnv nvjj gm gmge geys ysns ns ac ngtra ngtrahj hjmn mnoo Lgee Lgeear aryy-Xj Xjnss nss tj tjgrs grs aoourrnmh aoourr nmh durnmh durnmh uppjr hgstranmtjst hgstranmtjstnmge nmge jmdasoapy. jmdasoapy. Bjpgtahgstr Bjpgtahgstrajmtjr ajmtjraeah aeahy. y. 7>>3 Kgm-Cj`94?(8);784-8. :. _uhg _uhgwg wg O, @jmn @jmnsb sbji ji D, Xget Xget GK. GK. Lgee Lgeear aryy-Xj Xjns nsss sy symd mdra ralj lj.. G stud study y ac 00 004 4  pgtnjmts. Gl K _urh. 7>2? Kgm974:(7);?6-?. Kgm974:(7);?6-?. 3. Objr Objrjd jdm mniav niav JC, Ium Iumnm GG, Objr Objrjd jdm mni niav av JJ, Lans Lansjj jjv vg M_. Vjr jrgm gm gs gspj pji  i  jtnap jtnapgt gtah ahjm jmjt jtni ni dg dgeg egl l pr prjd jdni nisn sn dg dgm m pj pjmo mojh jhgb gbgm gm snmdr snmdral al bj bjla larg rghn hni i tj tjrp rput utus us (Lgeeary-Xjnss). JVLG K. 06739 8 ;8. 8. Bgstnmhs Bgstnmhs VP, Vjtjrs Vjtjrs IX, Oabm Oabm N. Lgeeary Lgeeary-Xjnss -Xjnss symdralj symdralj.. Pjvnjw Pjvnjw ac 3> ogsjs. ogsjs. Gl K _urh. 7>27 Mav9740(:);:36-0. 2. Eegob K, Jenzgedj Jenzgedj KN, KN, Hujvgrg Hujvgrg LO, Vjeensî Vjeensî L, Ogstjeeat Ogstjeeat G, Hnmâs Hnmâs G, _arng _arng LT, @ardgs @ardgs KL, Vnquî KL. Jmdasoapno nmkjotnam tbjrgpy nm `ejjdnmh Lgeeary-Xjnss symdralj; g rgmdalnzjd oamtraeejd trnge. Hgstranmtjst Hgs tranmtjst Jmdaso. 0667 Djo9:4(3);38>-27. >. Hgwrn Hgwrnjb jb _, _bgi _bgijr jr P. Trjg Trjgtl tljm jmtt ac gotnv gotnvje jey y `e `ejjd jjdnm nmh h Lgee Lgeear aryy-Xj Xjns nsss symd symdra ralj lj;; jpnmjpbrnmj nmkjotnam ar `gmd enhgtnam1 Ourr Hgstrajmtjrae Pjp. 066: Kum98(?);78:. 76. Vjzzueen Vjzzueen CG, Vurmjee Vurmjee CL, Dneeam JB. Tbj Lgeeary-Xjns Lgeeary-Xjnsss symdralj. Ogsj rjpart gmd updgtj am jl`aenzgtnam vjrsus nmtrggrtjrnge vgsaprjssnm rjsuets. M ^ _tgtj K Ljd. 7>23 Kum923(3);?70-4. 77. Intgma _, Zjma I, Bgsbnzulj L, Abtg Abtg L, Talnigwg L, _uhnl _uhnlgobn gobn I. Egpgrasoapno avjrsjw avj rsjwnmh nmh ac g `ejjdn `ejjdnmh mh Lgeeary Lgeeary-Xj -Xjnss nss tjgr tjgr umdjr umdjr jmdaso jmdasoapn apnoo hundgm hundgmoj. oj. _urh _urh Jmdaso. 7>>? _jp-Aot98(:);44:-3. 70. Vrgsbgmtb P, Kaj D. Lgeeary Xjnss _ymdralj. 0607 Guhust9 46(7);88-2. 46(7);88-2.