Ukuhlanza ngegazi: yini ongayenza nokuthi wenzeni
-Delile
- 1. Ama-varices we-Esophageal
- 2. Isisu
- 3. Isisu
- 4. Izilonda zesisu
- 5. Ukopha emakhaleni
- 6. Umdlavuza
- Ukuhlanza ngegazi enganeni
Ukuhlanza ngegazi, ngokwesayensi okubizwa ngokuthi i-hematemesis, ukuphuma kwegazi elingagaywanga ngomlomo futhi kungenzeka ngenxa yanoma yiluphi ushintsho olubandakanya izitho zomgudu wamathumbu, njengesisu, umphimbo nomphimbo, isibonelo.
Igazi lingaba khona ngamanani amancane noma amakhulu futhi kufanele lidluliselwe njalo kudokotela, ngoba lingakhombisa izimo ezinzima ezidinga ukwelashwa. Ukuxilongwa kwe-hematemesis kwenziwa nge-endoscopy, lapho kuvivinywa khona ubuqotho bepheshana lamathumbu futhi ukwelashwa kuboniswa ngudokotela wamathumbu noma udokotela ojwayelekile futhi kuhlose ukuxazulula imbangela yokuhlanza ngegazi, kwehluke ecaleni ngalinye.
Ukuhlanza kwegazi kungaba umphumela wezimo eziningana, ngokwesibonelo:
1. Ama-varices we-Esophageal
Ama-esophageal varices ahlanjululwe yimithambo yegazi endaweni lapho kungavela khona ngenxa yokuvinjelwa kokujikeleza kohlelo lwe-portal hepatic, oluhambelana nohlelo olubhekele ukukhipha igazi ezithweni zesisu. Ngakho-ke, lapho kukhona ukuvinjelwa kulolu hlelo, kukhona ukwanda kwengcindezi emithanjeni yokuqunjelwa, okuholela ekuphumeni kwegazi okungabonakala ngokuhlanza ngegazi, indle emnyama nephunga kakhulu, ebizwa nge-melena, pallor kanye nesiyezi.
Okufanele ngikwenze: uma kusolwa imithambo ye-varicose futhi umuntu ehlanza igazi kubaluleke kakhulu ukuya egumbini labezimo eziphuthumayo ukumisa ukopha. Lapho umuntu esevele etholakale enemithambo ye-varicose, okunconyelwa kakhulu ukulandela i-gastroenterologist, ukuze kuqale ukwelashwa ukuze kuthuthukiswe imbangela yemithambo ye-varicose futhi kuvimbele ukopha. Ngenxa yalokhu, kuvame ukunconywa ukusebenzisa izidakamizwa ezivimbela i-beta, ngaphezu kokwenza ukuhlinzwa. Qonda ukuthi ukwelashwa kwama-varices esophageal kufanele kube kanjani.
2. Isisu
I-Gastritis ifana nokuvuvukala kwesisu, okungaholela ekubhujisweni kwe-mucosa yesisu lapho ingaziwa noma yelashwa kahle. Ngakho-ke, njengoba i-mucosa ibhujiswa, kungavela izilonda, ezingopha ngokuhamba kwesikhathi futhi ziholele ekuhlanzeni ngegazi nangaphansi kwendle. Ngaphezu kwalokho, kungenzeka ukuthi lowo muntu angathola ezinye izimpawu zokuqaqamba kwamathumbu, njengokuphazamiseka esiswini, umuzwa oshisayo esiswini kanye nesicanucanu.
Okufanele ngikwenze: Into enhle ongayenza ukuya kudokotela wesisu ukuze kwenziwe izivivinyo ukukhomba izinga lokuvuvukala kwesisu futhi, ngaleyo ndlela, ukwelashwa kungenziwa kahle. Imvamisa kukhonjiswa ukusebenzisa imishanguzo yokuvikela isisu ukuvimbela ukuqhubekela phambili kokuvuvukala, njengoba le mithi idala isithiyo esivimbela isenzo se-gastric acid odongeni lwesisu, sithanda ukuvuselelwa kwezicubu kanye nezimpawu zokudambisa.
Ngaphezu kwalokho, kubalulekile ukuthi kube noshintsho ezindleleni zokudla ngomzamo wokunciphisa nokuvuvukala kwesisu, futhi kunconywa ukuthi kugwenywe ukusetshenziswa kokudla okubabayo, amasoso, amafutha, iziphuzo ezidakayo namasoseji, isibonelo.
3. Isisu
I-Esophagitis ukuvuvukala komphimbo, okuyisakhiwo esixhumanisa umlomo nesisu, futhi kuvame ukubangelwa ukutheleleka, i-gastritis ne-reflux. Ngakho-ke, ngenxa ye-asidi eyeqile emqaleni, kwenzeka ukuvuvukala, okuholela ekubonakaleni kwezimpawu ezithile ezifana nesilungulela, ukunambitheka okumunyu emlonyeni, ubuhlungu bomphimbo nokuhlanza ngegazi.
Okufanele ngikwenze: Kubalulekile ukuthi kubonakale imbangela ye-esophagitis ukuze kuqale ukwelashwa okufanele kakhulu. Isikhathi esiningi, udokotela ojwayelekile noma i-gastroenterologist incoma ukusetshenziswa kwezidakamizwa ezinciphisa i-acidity yesisu, njenge-Omeprazole, ngaphezu kwezinguquko emikhubeni yokudla kuze kube yilapho i-esophagitis iselaphekile futhi ingasekho ingozi yokuvuvukala. Funda ukuthi ungabona kanjani i-esophagitis nokuthi kufanele ukwelashwa kanjani.
4. Izilonda zesisu
Ukuba khona kwezilonda esiswini, ezimweni eziningi, kungumphumela wesifo esingalapheki, ngoba lapho i-gastritis ingaziwa futhi yelashwa, i-mucosa yesisu ihlala icasulwa yi-asidi ekhiqizwa esiswini, ikhetha ukubonakala kwezilonda.
Izilonda zesisu zingabonakala ngobuhlungu besisu phakathi kokudla noma ebusuku, okungapheli ngisho nokusetshenziswa kwemithi yokwenza ukugayeka kokudla, ngaphezu kwesicanucanu nokuhlanza, okungahambisana negazi. Funda ukubona izimpawu nezimpawu zesilonda esiswini.
Okufanele ngikwenze: Njenge-gastritis kanye ne-esophagitis, kunconywa ukusetshenziswa kwemithi yokuvikela isisu, okufanele isetshenziswe njengoba kunconywe ngudokotela, ukuvimbela i-mucosa yesisu ekucasukeni kakhulu nokwenza lula ukwelashwa kwezilonda, ngaphezu kokushintsha imikhuba yokudla.
5. Ukopha emakhaleni
Lapho ukuphuma kwegazi kukhulu kakhulu, umuntu angavele agwinye igazi bese eliqeda ngokulihlanza, ebeka i-hematemesis. Isikhathi esiningi, ukuhlanza okunegazi ngenxa yokopha ngamakhala akunzima, kodwa-ke, kubalulekile ukuthi umuntu abone ukuthi ukopha kaningi kangakanani nenani legazi elikhishiwe, futhi kubalulekile ukuxhumana nodokotela uma kwenzeka kaningi.
Okufanele ngikwenze: Ukumisa ukopha emakhaleni futhi ngaleyo ndlela uvimbele ukuhlanza ngegazi, kunconywa ukuthi ikhala licindezelwe ngeduku noma lifakwe iqhwa kuleyo ndawo futhi ligcine ikhanda ligobele phambili. Nakhu ukuthi ungamisa kanjani ukuphuma kwegazi.
6. Umdlavuza
Ukuba khona kwezimila esiswini noma emqaleni kungadala ukuthi igazi liphume ngomlomo, noma kunjalo lesi sibonakaliso sivame kakhulu ezigabeni zomdlavuza ezithuthukile. Ngaphezu kokuhlanza ngegazi, isikhathi esiningi, ezinye izimpawu nezimpawu ezibonisa lesi sifo kungaqashelwa, njengokulahlekelwa isifiso sokudla nesisindo, ubunzima bokugwinya, indle emnyama nephunga elinamandla, ukuzwa kwesisu esigcwele , ukukhathala ngokweqile nokungaphatheki kahle esiswini. Yazi ukuthi ungazibona kanjani zonke izimpawu zomdlavuza wokuqopha.
Okufanele ngikwenze: Uma kucatshangelwa i-hypothesis yomdlavuza esiswini noma esiswini, kubalulekile ukuthi kwenziwe ukuhlolwa kokuxilongwa, okufana ne-endoscopy kanye ne-biopsy, ukuze kuthi, uma kuqinisekiswa, ukwelashwa kuqalwe ngokushesha, kuvimbele ukuqhubeka kwesifo nezinkinga .ngokomuntu.
Ukuhlanza ngegazi enganeni
Ingane nayo ingathola ukuhlanza ngegazi, futhi imbangela kufanele iphenywe ngudokotela wezingane. Imvamisa lapho ingane ihlanza igazi kungakhomba isifo esopha (ukungabikho kukavithamini K), isifo sesibindi, ukutheleleka okunzima noma, ukuze kungabi namandla, ukudla igazi ngesikhathi sokuncelisa ibele ngenxa yokuba khona kwemifantu noma imifantu engonweni kamama.
Endabeni yezingane, ukuhlanza ngegazi kungenzeka ngenxa yokulahlekelwa izinyo, ukuphuma kwegazi emakhaleni agijima emphinjeni, ukukhwehlela kanzima izinsuku eziningi noma ukuthatha imishanguzo, isibonelo.