Thisen i chhuak tawh em? A nih loh leh thil dum, coffee ground ang chi i luak chhuak tawh em? Hetiang hmutu hian hlauhna leh hlauhna nasa tak a neih hi thil pangngai tak a ni. A chhan chu thisen kan hmuh hian kan hlau vek a ni. Mahse kan hlauh hmain he natna, thisen chhuak (damdawi lamah chuan Hematemesis kan ti) hi eng nge a nih tak tak a, engvangin nge a lo awm tih hi i hrethiam ang u.
Thisen chhuak hi natna khirh tak a ni tak tak em?
A awlsam zawngin, a ni . Thisen chhuah hi kan ngaihthah ngai lo tur a ni. Hei hi chhan tam tak a awm thei. A chhan ṭhenkhat chu chutiang chuan a pawi lo mai thei a, mahse ṭhenkhat chu nun tichhe thei dinhmun pawi tak a ni thei.
Doctor-te pawhin an endik loh chuan a pawi em tih an hre thei lo. Chuvangin, doctor kan nih angin, a chhan dik tak kan hriat theih hma loh chuan , luak chhuak chhunga thisen awm apiang chu emergency angin kan enkawl fo thin. Chutiang bawka ngaihtuah chu i tan a him ber.
Thisen tlem a awm chuan a pawi em?
No. Thisen chhuah hi thil pangngai a ni ngai lo . A châng chuan, i luak nasat chuan i kawr a hrual ang maiin i inhria thei a, thisen tla khat emaw pahnih emaw a chhuak thei bawk. Mahse hei hi a ni tih hi kan chhui chhuak thei lo. A chhan chu thisen tlemte pawh hi thisen chhuahna nasa tak bul tanna a ni thei a ni. Chuvangin thisen i chhuah chuan eng ang pawhin tlem mahse doctor hnenah hriattir a pawimawh hle .
I luak chhuak chhunga thisen awm zat hi ngaihthah suh, a tlem emaw, a tam emaw pawh nise. I taksa chhunga harsatna awm chhinchhiahna pawimawh tak a ni thei.
Engvangin nge ka luak ah thisen a awm? Hei hian eng nge a awmzia?
A tam zâwk chuan, i rilṭâm zînga thisen chu i chaw ei kawng chung lam hmun aṭanga lo chhuak a ni a, chu chu i chaw kawng, i pum, a nih loh leh i chaw kawng (duodenum) ang chi a ni. A châng chuan, i hnar aṭangin thisen a chhuak a, i ei laiin i luak chhuah rualin a chhuak bawk. Mahse chutiang a nih loh chuan thisen chu i pum chhung atangin a lo chhuak a ni.
He thisen rawng atang hian clues thenkhat kan hmu thei ang:
- Thisen sen eng: Hei hian thisen thar a awm tihna a ni. Tunah hian thisen chhuah a awm mai thei tihna a ni . Hei hi a rang deuh thei a, ngaihven nghal a ngai bawk.
- Brown/black blood, coffee grounds ang mai: Hei hi thisen hlui a ni. He thisen hi pum chhungah hun engemaw chen a awm tawh a, pum acid nena an inrem hnuah he rawng hi a lo inthlak ta a ni. Chumi awmzia chu thisen chhuah chu a rit deuh mai thei a, a nih loh leh thisen chhuah chu a reh tawh mai thei tihna a ni.
A tlangpuiin, luak chhuak tur chuan taksa chhungah thisen tam tak a bo a ngai thin.
Vomit-a thisen awm chhan ber
Vomit-ah hian thisen awm chhan tlangpui leh pawi tak tak engemaw zat a awm a. Tlemte han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Peptic ulcers (ril emaw, rilru natna emaw) . | Hengte hi pum chhunga ulcer lo awm thin an ni. Bacteria infection thenkhat emaw aspirin leh painkiller dang (NSAIDs) hman chhunzawm zel vangin an lo piang thei a, thisen an chhuak thei bawk. |
| Pum emaw chaw kawng emaw a natna (Gastritis/Esophagitis) . | Zu in tam lutuk te, natna tihdamna damdawi thenkhat hman te, acid reflux te hian pum chhung emaw chaw kawng chhung lam bang a ti hring a, a hnuaia thisen kalna kawng atang hian thisen a chhuak thei a ni. |
| Thisen kalna kawng a hring (Oesophageal Varices) . | Cirrhosis of the liver ang chi natna hian chaw kawng leh pum chhunga thisen kalna kawngte chu a ti hring thei a, a ti hring hle bawk. Chungte chu awlsam takin a puak darh thei a, thisen chhuahna nasa tak a thlen thei bawk. Hei hi dinhmun pawi tak a ni. |
| Mallory-Weiss natna a ni | Luak tam lutuk leh na tak a nih chuan chaw kawng bang a tear thei a ni. Hei hi Mallory-Weiss syndrome an ti a. Hetiang dinhmun hi zu in tam lutuk hnuah hmuh tur a awm fo. |
| Lumps emaw tumor emaw a awm thei | Thisen chhuah hi cancer emaw cancer ni lo emaw tumor vang a ni thei. Pum, chaw kawng emaw, pancreas emaw cancer a awm leh awm loh enfiah a pawimawh. |
| Traumatic Injury a ni | Pum emaw, rilru emawa vuak na tak chuan chhungril thisen a chhuak thei a ni. |
Hei hi Doctor hian engtin nge a enkawl?
Thisen i chhuah a, damdawi ina i kal chuan medical team chuan hei hi emergency angin an enkawl thin.
1. I tih hmasak ber chu stabilize che (Resuscitation): I taksa atanga thisen tam tak i hloh tawh a, chu chu i luak chhuak, i sen, etc. tihna a nih chuan i dinhmun stabilize hmasa ber tur a ni. Hei hian IV fluid pek che te, a tul chuan thisen pek te, oxygen pek te a huam a ni.
2. A chhan zawn chhuah: I dinhmun a nghet tawh chuan i doctor chuan thisen chhuahna chhan a zawng tan ang. Zawhna an zawt ang che - eng chen nge thisen chhuah hi a awm tawh? Thisen hi eng rawng nge ni? Hetiang hi a lo thleng tawh em? I damdawi ei tur chungchang an zawt ngei ang, a bik takin painkiller (NSAID) aspirin leh ibuprofen ang chi te chu an zawt ngei ang.
3. Endoscopy: Hei hi thisen chhuahna hmun dik tak hriatna atana test ber a ni. Hei hian mild sedative pek che a, i hmuiah camera hmanga tube te tak te dahin i esophagus, i pum leh i small intestine part hmasa ber enfiah a huam a ni.
- A tha ber chu he test hi thisen chhuak enkawlna atan pawh hman theih a ni. Doctor chuan thisen chhuahna hmun a hmuh veleh chu tube kaltlangin hmanraw te te a pass thei a, chu chuan thisen chhuahna chu a titawp thei a (e.g., clip emaw cauterize emaw).
4. Biopsy: Enfiah lai hian rinhlelhna hmun a awm chuan chuta tang chuan tissue te tak te la chhuakin laboratory-ah an thawn thin.
A tam zawkah chuan heng natnate hi damdawi hmanga enkawl theih a ni a, mahse a nasat danah chuan operation neih a ngai mai thei.
Engtikah nge doctor ka hmuh nghal ang?
Hei hi chhanna pakhat chauh a awm. Thisen i chhuak tih i hriat veleh. Tikhawtlai suh. A bik takin a hnuaia symptoms te nen hian thisen i luak a nih chuan damdawi in Emergency Department (ETU) ah a rang thei ang bera kal tur a ni. A tul chuan ambulance ko rawh.
- Luak chhuak nasa tak emaw, muhil emaw i tih chuan.
- I buai emaw, i lightheaded emaw i tih chuan.
- Pum natna nasa tak i neih chuan.
- I rilru natna nasa tak i neih chuan.
Thisen chhuah hi i taksa chhungah thil pawi tak a thleng thei tih hriattirna a ni a, chuvangin ngaihthah ngai suh.
Take-Home Thuchah a ni
- Thisen hmanga luak chhuak hi thil pangngai a ni ngai lo . Damdawi lam pan ngai emergency a ni fo thin.
- Thisen rawng (bright red emaw coffee grounds emaw) hian clue engemaw zat pe thei mah se, a chhan dik tak chu doctor chauhvin a hre thei.
- Thisen i luak chuan, a bik takin symptom dang i neih chuan luak chhuak leh natna nasa tak i neih chuan damdawi in emergency department (ETU) pan nghal tur a ni.
- I damdawi ei zawng zawng, a bik takin natna tidamtu (NSAID) aspirin leh ibuprofen te chu doctor hnenah hrilh rawh.
- Lungngai suh. A hun taka enkawl chuan thisen chhuahna chu i titawp thei fo va, a chhan bulpui ber pawh i enkawl thei bawk.
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