Yintoni iHematemesis, oyena nobangela kunye nokwenza

Umxholo

• Izizathu eziphambili
• 1. Ginya igazi
• 2. Izilonda esiswini
• 3. Iziphumo ebezingalindelekanga zamayeza
• 4. Isisu
• 5. Isibindi sokuqina kwesibindi
• 6. Isifo somhlaza

Igama elithi hematemesis lihlala libonisa utshintsho lwesisu kwaye lihambelana nexesha lezenzululwazi lokugabha ngegazi, elinokwenzeka ngenxa yeemeko ezincinci ezinje ngokuphuma kwempumlo okanye ukucaphuka komqala. Nangona kunjalo, ukuba ukugabha kwegazi akupheli okanye kunxulunyaniswa nezinye iimpawu, kunokuba sisibonakaliso seengxaki ezinzulu, ezinje ngesifo sokuqina kwesibindi okanye umhlaza wokuqina, umzekelo.

Ngesi sizathu, ukuba umntu uza nokugabha ngegazi eliqhelekileyo, kubalulekile ukuba ubonane nogqirha jikelele ukuze kwenziwe uvavanyo lokuchonga unobangela kwaye, yiyo loo nto, olona nyango lufanelekileyo lunokuboniswa, oluhlala luyehluka ngokuhambelana unobangela.

Izizathu eziphambili

Izizathu eziphambili ze-hematemesis zi:

1. Ginya igazi

Ukuginya igazi sesinye sezizathu eziphambili ze-hematemesis kwaye kunokwenzeka xa kukho ukuphuma kweempumlo okanye xa kukho ukucaphuka kwi-esophagus. Kwiimeko ezinjalo, kunokwenzeka ukuba igazi liginywe ngokungazikhetheli kwaye umntu akhuphe igazi elingagaywanga ngokugabha.

Kwenziwe ntoni: Njengoko ingahambelani nemeko enzima, akukho mfuneko yokuba umntu aye esibhedlele ayokusombulula ukopha kwaye anyange unobangela wokugabha, kuphela kwimeko apho impumlo yeempumlo inamandla kakhulu, iqhelekile okanye ifanelekile ukwaphuka, umzekelo, kwimeko apho kufuneka ubonane nogqirha ukuze kuthathwe amanyathelo afanelekileyo.

2. Izilonda esiswini

Ubukho bezilonda esiswini nako kunokukhokelela kwi-hematemesis. Kungenxa yokuba ngenxa yobumuncu obugqithisileyo besisu, isifo esiswini esiswini siqala ukucaphuka, sikhokelele ekubunjweni kwezilonda. Njengoko ezi zilonda zicatshukiswa sisisu esiswini, ukopha kwenzeka, kukhokelela kwihematemesis.

Ukongeza kwi-hematemesis, kunokwenzeka ukuba uqaphele ukuba kukho izilonda esiswini xa kuvela ezinye iimpawu, ezinje ngesisu, iintlungu emlonyeni wesisu, isitulo esimnyama nesinukayo kunye neentlungu esiswini. Nantsi indlela yokuqonda isilonda esiswini.

Kwenziwe ntoni:Phambi kweempawu ezibonisa i-hematemesis, kuyacetyiswa ukuba uye kugqirha oqhelekileyo okanye kugqirha wesisu ukuba kwenziwe uvavanyo kwaye unyango lunokuqaliswa, oluqhele ukwenziwa ngokusetyenziswa kwamachiza akhusela isisu esiswini kwiasidi eveliswe isisu, ukongeza ekutshintsheni imikhwa yokutya.

3. Iziphumo ebezingalindelekanga zamayeza

Amanye amayeza anokuba nesiphumo secala segazi elincinci lesisu, elinokuthi libonwe ngehemmatemesis, nangona kunjalo eli cala alivakali ngumntu wonke. Amanye amachiza anokuba ne-hematemesis njengempembelelo yecala yi-Aspirin kunye ne-Ibuprofen, ezichasene nokuvuvukala, nangona kunjalo ihemmatemesis ihlala isenzeka kuphela xa umntu sele enalo utshintsho esiswini okanye xa usebenzisa la mayeza ngobuninzi nangaphandle Ingcebiso yezonyango.

Kwenziwe ntoni: Kwimeko apho kufunyaniswe ukuba ihemmatemesis inokuthi ihambelane nokusetyenziswa kweyeza elithile, kubalulekile ukudibana nogqirha owenze isincomo ukwenzela ukuba amayeza anqunyanyiswe ngokukhuselekileyo okanye atshintshwe.

4. Isisu

I-Gastritis nayo inokubangela i-hematemesis kuba inxulumene ngokuthe ngqo nenyaniso yokuba isifo esiswini esiswini sihlala sicatshukiswa yi-asidi eveliswa sisisu. Ngenxa yoko, ngenxa acidity eyandayo kunye noburhalarhume bendawo, ezinye iimpawu kunokubonakala, ezifana ukugabha ngegazi, ubuhlungu esiswini, imvakalelo esiswini kunye isicaphucaphu. Uninzi lwexesha, ihemmatemesis inxulumene nesisu esingapheliyo, esisifo apho ukudumba kwesisu kuhlala ngaphezulu kweenyanga ezintathu kwaye unyango lungaqalwa okanye lwenziwe ngokuchanekileyo.

Kwenziwe ntoni: Unyango lwe-gastritis kufuneka lwenziwe ngokwesikhokelo se-gastroenterologist, kusetyenziswa amayeza okukhusela esiswini, anje nge-Omeprazole kunye ne-Pantoprazole, umzekelo, njengoko esenza isithintelo esiswini esithintela i-asidi eveliswe esiswini ukuba ingabuyi. Ukucaphukisa isisu esiswini, ukukhulula kunye nokuthintela iimpawu zesisu. Ukongeza, utshintsho kwindlela otya ngayo luyacetyiswa, kwaye kuyacetyiswa ukuthintela ukutya okunezipayisi, amafutha, iziselo ezinxilisayo kunye nokutya okuthosiweyo, kuba ziyabacaphukisa nesisu.

Jonga kwividiyo engezantsi ukuba ungatya ntoni kwi-gastritis:

5. Isibindi sokuqina kwesibindi

Kwi-cirrhosis yesibindi kunokwenzeka ukuba kugcinwe ukugabha ngegazi njengenye yeempawu kwaye oku kunokwenzeka ngenxa yotshintsho esibindini olukhokelela kuthintelo lwe-portal vein, ongumthambo okhoyo esibindini kwaye unoxanduva Inkqubo yamasango, inkqubo enoxanduva lokutsala igazi kwizitho zesisu. Ngenxa yokusilela kwesibindi kunye nenkqubo ye-portal, kukho ukwanda koxinzelelo kwimithambo ye-esophageal, ekhokelela ekopha.

Ke, kwimeko ye-cirrhosis, ukongeza kwi-hematemesis, kunokwenzeka ukuba uqaphele ukudumba kwesisu, ukuphelelwa ngumdla, ulusu olumthubi namehlo, isicaphucaphu, ubuthathaka, ukudinwa okugqithisileyo kwaye, kwiimeko eziphambili kakhulu, ukungondleki.

Kwenziwe ntoni: Kubalulekile ukuba unyango olucetyiswe yi-hepatologist lulandelwe ngokuchanekileyo ukuthintela iingxaki kunye nokuphucula umgangatho wobomi bomntu. Kukwabalulekile ukuba kwenziwe uvavanyo lokuchonga unobangela wesibindi, njengoko kunokubangelwa ziziselo ezinxilisayo okanye ukusetyenziswa kwamayeza athile, umzekelo. Nokuba siyintoni na isizathu, kubalulekile ukuba umntu agcine ukutya okunezakha mzimba kunye nokongezwa kweevithamini ukuze ukungabikho kwesondlo kungaqinisekiswa. Jonga ukuba unyango lwe-cirrhosis kufuneka lwenziwe njani.

6. Isifo somhlaza

Umhlaza we-Esophageal ngomnye unobangela we-hematemesis kwaye kuqhelekile ukuba oku kuphuma kwegazi kwenzeke kumanqanaba aphezulu omhlaza. Ukongeza ekugabheni okunegazi, kwimeko yomhlaza wokudinwa kwemiqala, ezinye iimpawu ziyaqondakala, ezinje ngobunzima kunye nentlungu ekuginyeni, ukuphelelwa ngumdla, ukuncipha, isisu esibuhlungu, ubukho bamaqhuqhuva ajikeleze inkaba kunye nezihlalo ezimnyama nezinukayo.

Kwenziwe ntoni: Kubalulekile ukuba kwenziwe uvavanyo lokuchonga umhlaza kunye nenqanaba akulo, njengoko kunokwenzeka ukuba i-gastroenterologist okanye i-oncologist ibonise olona nyango lufanelekileyo ukunciphisa iimpawu kunye nokwandisa ubomi bomntu. Uninzi lwexesha, unyango oluchaziweyo lutyando lokususa inxenye yesifo esichaphazeleka sisisu, kulandele unomathotholo kunye nekhemotherapy ukuphelisa iiseli zomhlaza ezinokuthi zibekhona. Funda ngakumbi malunga nomhlaza wokuqaqamba.