He mangu tō paru? Me kōrero tāua mō Melena!

Ina haere koe ki te wharepaku, ā, ka kite koe he rerekē te tae o tō tūtae, he pango kē atu i te tae noa, ka mataku te katoa, tika? He maha ngā mea ka puta ake ki te hinengaro. "He mea morearea tēnei? He aha tēnei e pā ana ki ahau?" He mea noa te whakaaro. He tohu tēnei kāore e tika kia warewarehia, ā, he mea tino nui pea. Nō reira, i tēnei rā ka kōrero tātou mō tēnei tūtae pango, e kiia nei e tātou ko Melena i roto i te rongoā.

He aha a Melena?

He māmā noa iho, ko te melena he tūtae mangu, he paru parauri e puta mai ana i te toto i te taha whakarunga o tō pūnaha nakunaku, arā , i te puku, i te taha whakarunga rānei o te whekau iti .

Whakaarohia, ahakoa he whero te toto, i a ia e haere ana mai i te puku ki ngā whekau, ka tauhohe ki ngā matū nakunaku i roto i tō tātou tinana. Pērā i te waikura o te rino ina pāngia e te rā, i a ia e haere ana i roto i te ara nakunaku mō te wā roa, ka huri tōna tae, ka mangu, ka piri, ka maroke. Koinei te mea e kiia nei e tātou he melena.

He aha te rerekētanga i waenga i te melena me te tūtae pango noa?

Ko te mea nui kia mārama koe i konei, ehara i te mea ko te mangu o tō tūtae i ngā wā katoa, engari nā te toto. Ka taea hoki e ētahi kai me ētahi rongoā te whakamangu i tō tūtae. Mā te tākuta anake e tirotiro tō tūtae, ā, mā te whakaū kei roto he toto, ka kiia ai he melena.

Kia mārama tātou te wehewehe i tēnei rerekētanga.

He aha mēnā he toto e puta mai ana i te taha o raro?

Tērā pea koe e whakaaro he aha kāore e mangu katoa ngā toto. Ko te take ko te pūtake mai o te toto. Mena nō tetahi wāhi o raro o te ara kai te toto, pērā i te whekau nui, kāore e roa ka puta te toto. Koia te take ka puta mai i roto i te tūtae he whero kanapa te tae .

He aha ngā tino take o Melena?

He maha ngā take pea o te toto o te puku o runga, ko ētahi o ēnei he tino kino.

• Mate puku peptic: Koinei te tino take. Ka puta ēnei mate puku ina kaha rawa te mate e mōhiotia ana ko te gastritis.
• Te mumura nui o te puku, o te esophagus rānei (gastritis, esophagitis rānei): Ka pupuhi, ka mumura te pakitara o te puku, te esophagus rānei (te paipa kai).
• Te mate puku erosive hemorrhagic acute: Ko ētahi rongoā, pērā i ngā rongoā whakamamae mamae, te nui rawa rānei o te inu waipiro, ka pakaru te pakitara o te puku, ka toto hoki.
• Te poka o te puku: He poka o te ara kai nā tetahi aituā, nā tetahi atu take rānei.
• Ngā uaua varicose i roto i te esophagus, i te puku rānei: Ka pupuhi, ka pakaru ngā uaua varicose i roto i te esophagus me te puku, inā koa i roto i te hunga whai mate ate, ka puta he toto nui.
• Te haehae o te korokoro nā te ruaki nui: Ina ruaki tonu, me te kaha rawa hoki, ka haehae te korokoro, ka toto hoki.
• Ngā āhuatanga matepukupuku: Ka taea hoki e ngā āhuatanga matepukupuku i roto i te puku, te korokoro, te repe taiaki rānei te whakaputa toto.
• Ngā kirika huaketo pēnei i te Ebola: Ahakoa kāore i te kitea whānuitia i Sri Lanka, ka taea hoki e ētahi mate huaketo kino te whakaputa toto o roto.

Ētahi atu take e mangu ai te tūtae, engari kāore e toto

I mua i tō mataku, whakaarohia mēnā ko ēnei mea anō hoki te take e mangu ai tō tūtae.

• Papa rino: He mea noa te pango o ngā tūtae i te wā e tango ana i ngā papa rino mō te mate toto kore. He mea noa tēnei, kāore he mea hei manukanuka.
• Ētahi rongoā: Ko ētahi rongoā kei roto ko te bismuth subsalicylate, e whakamahia ana hei rongoā i ngā raruraru puku, ka taea hoki te whakaputa i ngā tūtae mangu.
• Waro whakahohe:Ka mangu anō hoki te tūtae i te wā e horomia ana te paitini e tēnei rongoā.
• Ngā kai pouri: Mā te kai nui i ngā kai pouri, pērā i te hōtiti toto, te purūpere, me te karepe papura, ka taea hoki te huri i te tae o tō tūtae.

He aha koe me toro atu ai ki te tākuta, ā, he aha ngā whakamātautau ka mahia?

Ki te mea he iti noa iho tō whakapae kei a koe a Melena, ko te mea pai ko te toro atu ki te tākuta, kaua e whakaaro noa i te kāinga. Ka pātai atu te tākuta ki a koe, ka whakahaere i ngā whakamātautau e tika ana, ā, ka kimi i te pūtake.

I mua i te tīmatanga o te maimoatanga, he mea nui kia mōhiotia te tino pūtake o te toto. Ka taea tēnei mā te whakahaere i ngā whakamātautau pēnei i:

• Whakamātautau Toto Ngaro mō te Tūtae: Mā tēnei ka kitea mēnā he iti noa te toto kei roto i te tūtae kāore e kitea e te kanohi.
• Ngā whakamātautau toto: Ka taea e rātou te whakaatu i te nui o te toto kua ngaro i roto i tō tinana me te take o te toto.
• Ngā Matawai: Mā ngā whakamātautau pēnei i te matawai CT, te angiogram CT rānei ka āwhina i te kimi i te wāhi e toto ana.
• Te tirotiro i te pito o runga (whakamātautau EGD): Koinei te whakamātautau tino nui, ā, ko te whakamātautau tino noa. Ka whakauruhia he ngongo angiangi, ngāwari me te kāmera e piri ana mā te waha, ā, ka tirohia te korokoro, te puku, me te tīmatanga o te whekau iti. Ka āwhina tēnei ki te kite tika i te wāhi e toto ana, i ētahi wā ka rongoā tonutia, ā, ka tangohia he wahi kiko iti hei tirotiro (he 'biopsy').

Ngā tohu mōrearea e hiahia ana kia tere te whakauru ki te hōhipera

Ki te puta mai ēnei tohu me te tūtae mangu, haere tonu ki te wāhanga whawhati tata o te hōhipera (ETU), he tohu pea ēnei o te toto nui.

• Te ruaki toto (he whero hou, he parauri rānei, he rite ki te paura kawhe).
• Te whanoke nui, te māhunga māmā, me te ngoikore.
• Te tere o te manawa me te uaua ki te manawa.
• He tūtae pango mō ngā rā maha karapīpiti.