Yini i-Hematemesis, izimbangela eziyinhloko nokuthi yini okufanele uyenze

-Delile

• Izimbangela eziyinhloko
• 1. Gwinya igazi
• 2. Izilonda esiswini
• 3. Imiphumela emibi yemithi
• 4. Isisu
• 5. Isibindi sokuqina kwesibindi
• 6. Umdlavuza we-Esophageal

Igama elithi hematemesis livame ukukhombisa izinguquko emathunjini futhi lihambisana negama lesayensi lokuhlanza ngegazi, okungenzeka ngenxa yezimo ezincane njengokuphuma ekhaleni noma ukucasuka kwesisu. Kodwa-ke, uma ukuhlanza kwegazi kungapheli noma kuhlotshaniswa nezinye izimpawu, kungakhombisa izinkinga ezinkulu kakhulu, njenge-cirrhosis noma umdlavuza we-esophageal, ngokwesibonelo.

Ngalesi sizathu, uma umuntu eza ngokuhlanza ngegazi elijwayelekile, kubalulekile ukubonisana nodokotela ojwayelekile ukuze kwenziwe ukuhlolwa ukuthola imbangela, ngakho-ke, kungakhonjiswa ukwelashwa okufanele kakhulu, okuvame ukuhluka kuye imbangela.

Izimbangela eziyinhloko

Izimbangela eziyinhloko ze-hematemesis yilezi:

1. Gwinya igazi

Ukugwinya kwegazi kungenye yezimbangela ezinkulu ze-hematemesis futhi kungenzeka uma kunegazi elikhala noma lapho kukhona ukucasuka emqaleni. Ezimweni ezinjalo, kungenzeka ukuthi igazi ligwinywe ngokungathí sina bese umuntu ekhipha igazi elingadliwe ngokuhlanza.

Okufanele ngikwenze: Njengoba ingahambisani nesimo esibi, akudingekile ukuthi lowo muntu aye esibhedlela ayoxazulula ukopha futhi alaphe imbangela yokuhlanza, kuphela esimweni lapho ukuphuma kwegazi kukhulu kakhulu, kuvamile noma kufanele ngokwesiphuka, ngokwesibonelo, lapho kudingeka ukuthi ubonane nodokotela ukuze kuthathwe izinyathelo ezifanele.

2. Izilonda esiswini

Ukuba khona kwezilonda esiswini nakho kungaholela ku-hematemesis. Lokhu kungenxa yokuthi ngenxa ye-asidi eyeqile esiswini, i-mucosa yesisu iqala ukucasuka, okuholela ekwakhekeni kwezilonda. Njengoba lezi zilonda zicasulwa yi-asidi yesisu, ukuphuma kwegazi kuyenzeka, okuholela ku-hematemesis.

Ngaphezu kwe-hematemesis, kungenzeka ukuthi ubheke ukuthi kukhona izilonda esiswini lapho kuvela ezinye izimpawu, njengokuzwa kwesisu, ubuhlungu emlonyeni wesisu, indle emnyama nephunga kanye nobuhlungu besisu. Nakhu ukuthi ungasibona kanjani isilonda esiswini.

Okufanele ngikwenze:Lapho kukhona izimpawu ezikhombisa i-hematemesis, kunconywa ukuthi uye kudokotela ojwayelekile noma i-gastroenterologist kwenziwe izivivinyo futhi kungaqalwa ukwelashwa, okuvame ukwenziwa ngokusetshenziswa kwezidakamizwa ezivikela i-mucosa yesisu kwi-asidi ekhiqizwe isisu, ngaphezu kokushintsha imikhuba yokudla.

3. Imiphumela emibi yemithi

Eminye imishanguzo ingaba nomphumela wegazi ukopha kwamathumbu amancane, okungabonakala nge-hematemesis, kepha lo mphumela wecala awuzwi yiwo wonke umuntu. Eminye yemithi engaba ne-hematemesis njengomphumela wecala yi-Aspirin ne-Ibuprofen, ephikisana nokuvuvukala, kepha i-hematemesis ivame ukwenzeka kuphela lapho umuntu esenalo ushintsho oluthile kulwelwesi lwesisu noma lapho esebenzisa le mithi ngobuningi nangaphandle iseluleko sezokwelapha.

Okufanele ngikwenze: Uma kwenzeka kutholakala ukuthi i-hematemesis ingahle ihlobene nokusetshenziswa komuthi othile, kubalulekile ukubonisana nodokotela owenza isincomo ukuze umuthi umiswe ngokuphepha noma ushintshwe.

4. Isisu

I-Gastritis nayo ingadala i-hematemesis ngoba ihlobene ngqo neqiniso lokuthi i-mucosa yesisu ivame ukucasulwa yi-asidi ekhiqizwa yisisu. Ngakho-ke, ngenxa yokwanda kwe-asidi nokucasuka kwendawo, ezinye izimpawu zingavela, njengokuhlanza ngegazi, ukungakhululeki esiswini, ukuzwa okuvuthayo esiswini kanye nesicanucanu. Esikhathini esiningi, i-hematemesis ihlobene nesifo esingalapheki esiswini, okuwukuthi lapho ukuvuvukala kwesisu kuhlala isikhathi esingaphezu kwezinyanga ezintathu futhi ukwelashwa okungazange kuqalwe noma kungenziwa kahle.

Okufanele ngikwenze: Ukwelashwa kwe-gastritis kufanele kwenziwe ngokuyalelwa ngudokotela we-gastroenterologist, kusetshenziswa imishanguzo yokuvikela esiswini, efana ne-Omeprazole ne-Pantoprazole, ngokwesibonelo, njengoba kwakha umgoqo esiswini ovimbela i-asidi ekhiqizwa esiswini ukuthi ingabuyi. casula ulwelwesi lwesisu, ukukhulula kanye nokuvimbela izimpawu zesifo sokuqaqamba kwamalunga. Ngaphezu kwalokho, kunconywa ushintsho emikhubeni yokudla, futhi kunconywa ukuthi kugwenywe ukudla okubabayo, amafutha, iziphuzo ezidakayo nokudla okuthosiwe, njengoba nakho kucasula ulwelwesi lwesisu.

Bheka kuvidiyo engezansi ukuthi ungadlani ku-gastritis:

5. Isibindi sokuqina kwesibindi

Ku-cirrhosis yesibindi kungenzeka futhi ukubona ukuhlanza ngegazi njengesinye sezimpawu futhi lokhu kungenzeka ngenxa yezinguquko esibindini eziholela ekuvinjelweni komthambo we-portal, okuwumthambo okhona esibindi futhi obhekene uhlelo lwe-portal, uhlelo olubhekele ukukhipha igazi ezithweni zesisu. Njengomphumela wokwehluleka kwesibindi nohlelo lwe-portal, kukhona ukwanda kwengcindezi emithanjeni yokuqunjelwa, okuholela ekopha.

Ngakho-ke, uma kwenzeka i-cirrhosis, ngaphezu kwe-hematemesis, kungenzeka ukuqaphela ukuvuvukala kwesisu, ukulahlekelwa isifiso sokudla, isikhumba esiphuzi namehlo, isicanucanu, ubuthakathaka, ukukhathala ngokweqile futhi, ezimweni eziphambili kakhulu, ukungondleki.

Okufanele ngikwenze: Kubalulekile ukuthi ukwelashwa okunconywe yi-hepatologist kulandelwe kahle ukuze kugwenywe izinkinga futhi kuthuthukise izinga lempilo yomuntu. Kubalulekile futhi ukuthi kwenziwe ukuhlolwa ukuthola imbangela yesifo sokuqina kwesibindi, njengoba kungabangelwa yiziphuzo ezidakayo ngokweqile noma ukusetshenziswa kwemithi ethile, ngokwesibonelo. Kungakhathalekile ukuthi iyini imbangela, kubalulekile ukuthi umuntu agcine ukudla okunomsoco futhi enezelwa ngamavithamini ukuze ukungabi nokudla okunomsoco kungaqinisekiswa. Bona ukuthi ukwelashwa kwesifo sokuqina kwesibindi kufanele kwenziwe kanjani.

6. Umdlavuza we-Esophageal

Umdlavuza we-Esophageal ungenye imbangela ebucayi ye-hematemesis futhi kuvame kakhulu ukuthi lokhu kuphuma kwegazi kwenzeke ezigabeni zomdlavuza ezithuthuke kakhulu. Ngaphezu kokuhlanza okunegazi, esimweni somdlavuza wokuqopha, kubonakala ezinye izimpawu, njengobunzima nobuhlungu ekugwinyekeni, ukulahlekelwa isifiso sokudla, ukuncipha komzimba, ukungakhululeki esiswini, ukuba khona kwamaqhuqhuva azungeze inkaba nezihlalo ezimnyama nezinukayo.

Okufanele ngikwenze: Kubalulekile ukuthi kwenziwe ukuhlolwa ukuze kutholakale umdlavuza nesigaba okuso, njengoba kungenzeka ukuthi udokotela wamathumbu noma i-oncologist akhombise ukwelashwa okufanele kakhulu ukwehlisa izimpawu nokwelula impilo yomuntu. Isikhathi esiningi, ukwelashwa okukhonjisiwe ukuhlinzeka ukususa ingxenye yesifo esithinteka yilesi isimila, kulandele umsakazo kanye nokwelashwa ngamakhemikhali ukuqeda amangqamuzana omdlavuza okungenzeka asekhona. Funda kabanzi ngomdlavuza we-esophageal.