Koj puas tau ntuav ntshav dua li? Los yog koj puas tau ntuav ib yam dab tsi xim av, xws li cov av kas fes? Nws yog ib qho ib txwm rau txhua tus neeg uas pom qhov no yuav ntshai thiab ntshai heev. Vim tias peb txhua tus ntshai thaum peb pom ntshav. Tab sis ua ntej peb ntshai, cia peb nkag siab tias qhov mob no, uas yog ntuav ntshav (hauv kev kho mob peb hu ua Hematemesis), yog dab tsi thiab vim li cas nws thiaj tshwm sim.
Puas yog ntuav ntshav tiag tiag yog ib qho mob hnyav?
Hais yooj yim xwb, yog lawm . Ntshe ntshav yog ib yam uas peb yuav tsum tsis txhob xav tias yooj yim. Muaj ntau yam ua rau qhov no. Qee yam ua rau tej zaum yuav tsis loj heev, tab sis qee yam ua rau mob hnyav uas cuam tshuam rau lub neej.
Txawm tias cov kws kho mob los yeej tsis paub tias qhov no loj los tsis loj yog tias koj tsis tau kuaj koj tus kheej. Yog vim li ntawd, ua cov kws kho mob, peb ib txwm kho txhua yam uas muaj ntshav hauv cov ntuav ua qhov xwm txheej ceev kom txog thaum peb paub qhov ua rau muaj qhov no. Nws yog qhov zoo tshaj plaws rau koj los xav tib yam.
Puas zoo yog tias muaj me ntsis ntshav?
Tsis yog. Ntws ntshav yeej tsis yog ib txwm muaj . Qee zaum, thaum koj ntuav hnyav, koj yuav xav tias koj muaj qhov khawb hauv koj lub caj pas thiab ib lossis ob tee ntshav yuav tawm los. Tab sis peb tsis tuaj yeem xaus lus tias qhov no yog qhov tseeb. Vim tias txawm tias ib tee ntshav me me tuaj yeem yog qhov pib ntawm kev los ntshav hnyav. Yog li ntawd, yog tias koj ntuav ntshav, txawm tias me npaum li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau kws kho mob txog nws .
Tsis txhob tsis quav ntsej txog qhov ntshav ntau npaum li cas hauv koj cov ntuav, txawm tias nws yog me me lossis ntau npaum li cas los xij. Nws yuav yog ib qho cim tseem ceeb ntawm teeb meem hauv koj lub cev.
Ua cas kuv cov ntuav thiaj muaj ntshav? Qhov no txhais li cas?
Feem ntau, cov ntshav hauv koj cov ntuav yog los ntawm qhov chaw sab saud ntawm koj lub cev zom zaub mov, zoo li koj txoj hlab pas, plab, lossis duodenum . Qee zaum, cov ntshav tawm ntawm koj lub qhov ntswg thiab tawm nrog koj cov ntuav thaum koj nqos nws. Tab sis lwm yam, cov ntshav yog los ntawm sab hauv koj lub plab.
Peb tuaj yeem tau qee cov lus qhia los ntawm cov xim ntawm cov ntshav no:
- Ntshav liab ci: Qhov no txhais tau tias muaj ntshav tshiab. Nws txhais tau tias yuav muaj ntshav los tam sim no . Qhov no yuav ua sai dua me ntsis thiab yuav tsum tau saib xyuas tam sim ntawd.
- Cov ntshav xim av/dub, zoo li cov av kas fes: Qhov no yog cov ntshav qub. Cov ntshav no tau nyob hauv plab tau ib ntus thiab tau hloov xim no tom qab ua rau cov kua qaub hauv plab. Qhov no txhais tau tias qhov kev los ntshav yuav hnyav dua me ntsis, lossis qhov kev los ntshav yuav tsis muaj lawm.
Feem ntau, yuav tsum muaj ntshav ntau heev poob rau hauv lub cev kom ua rau ntuav.
Cov laj thawj tseem ceeb ntawm ntshav hauv ntuav
Muaj ntau yam ua rau ntshav hauv cov ntuav uas tshwm sim ntau thiab loj heev. Cia peb saib ob peb yam ntawm lawv.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Mob plab hnyuv (mob plab los yog mob plab hnyuv me) | Cov no yog cov qhov txhab uas tsim nyob rau hauv lub plab. Lawv tuaj yeem loj hlob thiab los ntshav vim yog qee yam kab mob bacterial lossis kev siv tshuaj aspirin thiab lwm yam tshuaj tua kab mob (NSAIDs) tas li. |
| Kev mob plab los yog txoj hlab pas (Gastritis/Esophagitis) | Haus dej cawv ntau dhau, siv qee cov tshuaj tua kab mob, thiab kua qaub ncaug rov qab los tuaj yeem ua rau cov phab ntsa sab hauv ntawm lub plab lossis txoj hlab pas o thiab los ntshav ntawm cov hlab ntsha hauv qab. |
| Cov hlab ntsha o (Oesophageal Varices) | Cov mob xws li mob cirrhosis ntawm lub siab tuaj yeem ua rau cov hlab ntsha hauv txoj hlab pas thiab lub plab o thiab nyias heev. Cov no tuaj yeem tawg yooj yim thiab ua rau los ntshav hnyav. Qhov no yog ib qho mob hnyav heev. |
| Mob Mallory-Weiss | Thaum ntuav ntau dhau thiab hnyav heev, yuav muaj kev tawg ntawm phab ntsa ntawm txoj hlab pas. Qhov no hu ua Mallory-Weiss syndrome. Feem ntau pom muaj tus mob no tom qab haus cawv ntau dhau. |
| Cov qog los yog cov qog nqaij hlav | Kev los ntshav tuaj yeem yog los ntawm cov qog nqaij hlav lossis cov qog nqaij hlav uas tsis yog qog nqaij hlav. Nws yog ib qho tseem ceeb uas yuav tsum kuaj xyuas seb puas muaj qog nqaij hlav ntawm lub plab, txoj hlab pas, lossis lub txiav. |
| Kev Raug Mob Hnyav | Kev raug ntaus hnyav rau lub plab lossis hauv siab tuaj yeem ua rau los ntshav sab hauv. |
Tus kws kho mob kho qhov no li cas?
Thaum koj ntuav ntshav thiab mus rau tsev kho mob, pab pawg kho mob yuav tswj qhov no ua xwm txheej ceev.
1. Thawj yam uas yuav tsum ua yog ua kom koj lub cev ruaj khov (Resuscitation): Yog tias koj tau poob ntshav ntau ntawm koj lub cev, uas txhais tau tias koj kiv taub hau, ntsej muag daj ntseg, thiab lwm yam, thawj yam uas yuav tsum ua yog ua kom koj lub cev ruaj khov. Qhov no suav nrog kev muab cov kua dej rau koj, kev hloov ntshav yog tias tsim nyog, thiab oxygen.
2. Nrhiav qhov ua rau: Thaum koj tus mob ruaj khov lawm, koj tus kws kho mob yuav pib nrhiav qhov ua rau koj los ntshav. Lawv yuav nug koj cov lus nug - koj los ntshav tau ntev npaum li cas lawm? Cov ntshav muaj xim dab tsi? Qhov no puas tau tshwm sim ua ntej lawm? Lawv yuav nug txog cov tshuaj uas koj noj, tshwj xeeb yog cov tshuaj tua kab mob (NSAIDs) xws li aspirin thiab ibuprofen .
3. Kev kuaj mob hauv qhov ncauj (Endoscopy): Qhov no yog qhov kev kuaj tseem ceeb kom paub qhov chaw tseeb ntawm qhov los ntshav. Qhov no suav nrog kev muab tshuaj loog me me rau koj thiab ntxig ib lub raj nyias nyias nrog lub koob yees duab los ntawm koj lub qhov ncauj los kuaj koj txoj hlab pas, plab, thiab thawj feem ntawm koj txoj hnyuv me.
- Qhov zoo tshaj plaws yog tias qhov kev kuaj no kuj siv tau los kho qhov los ntshav. Thaum tus kws kho mob pom qhov chaw los ntshav, nws tuaj yeem muab cov cuab yeej me me hla lub raj ntawd kom tiv thaiv qhov los ntshav (piv txwv li, txiav lossis cauterize nws).
4. Kev kuaj mob: Yog tias muaj ib qho chaw uas muaj kev txawv txav thaum lub sijhawm kuaj mob, yuav muab ib daim nqaij me me ntawm qhov ntawd thiab xa mus rau chav kuaj mob.
Feem ntau, cov mob no tuaj yeem kho tau nrog tshuaj, tab sis qee zaum mob hnyav, yuav tsum tau phais.
Thaum twg kuv yuav tsum mus ntsib kws kho mob tam sim ntawd?
Tsuas muaj ib lo lus teb rau qhov no xwb. Thaum koj pom tias koj ntuav ntshav. Tsis txhob ncua sijhawm. Tshwj xeeb tshaj yog tias koj ntuav ntshav nrog rau cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) sai li sai tau. Hu rau lub tsheb thauj neeg mob yog tias tsim nyog.
- Yog koj kiv taub hau hnyav lossis tsaus muag.
- Yog koj xav tias koj tsis meej pem los yog qaug zog.
- Yog koj mob plab heev.
- Yog koj mob hauv siab heev.
Ntws ntshav yog ib qho cim ceeb toom tias tej zaum yuav muaj qee yam loj tshwm sim hauv koj lub cev, yog li ntawd tsis txhob tsis quav ntsej nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ntws ntshav yeej tsis yog ib qho xwm txheej ceev uas yuav tsum tau kho mob.
- Txawm hais tias cov xim ntawm cov ntshav (liab ci lossis kas fes av) yuav muab qee cov lus qhia, tsuas yog tus kws kho mob thiaj li txiav txim tau qhov ua rau tseeb.
- Yog koj ntuav ntshav, tshwj xeeb yog tias koj muaj lwm yam tsos mob xws li kiv taub hau thiab mob hnyav, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tshwj xeeb yog cov tshuaj loog mob (NSAIDs) xws li aspirin thiab ibuprofen.
- Tsis txhob txhawj. Yog koj kho mob raws sijhawm, koj feem ntau yuav tiv thaiv tau qhov ntshav thiab kho qhov mob uas ua rau nws los.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus