Ukuhlanza yinto engathandekiyo nenzima kuye nabani na. Kodwa khawucinge nje, ukuhlanza okuhlanzayo akuvamile, kodwa kubonakala kumdaka okanye kumnyama, njengokugaywa kwekofu. Nabani na angayoyika kakhulu xa ebona into efana nale. Ngaba le yinto yokoyika ngokwenene? Ewe. Le yimeko embi kakhulu engafanele ithathwe lula . Namhlanje sithetha ngale meko ibizwa ngokuba yi- 'coffee ground emesis ' okanye into esiyibiza ngokuba yiyo ngokwezonyango.
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Yintoni le hlanzo ifana nekofu?
Ngamafutshane, eli ligazi eliphuma emhlanzweni wakho. Kodwa eli gazi alitsha, ligazi elibomvu. Eli ligazi elidala. Oku kwenzeka xa igazi livela kwindawo engasentla kwenkqubo yakho yokugaya ukutya, oko kukuthi, umqala, isisu, okanye inxalenye yokuqala yamathumbu amancinci (i-duodenum), kwaye elo gazi belihleli esiswini okwethutyana.
Khawucinge nje, xa eli gazi lidibana nee-asidi ezinamandla esiswini, i-hemoglobin egazini iyatshintsha, ibe mdaka okanye ibe mnyama. Yiyo loo nto ibonakala ngathi yi-coffee grounds. Oko kuthetha ukuba uhlanze ixeshana emva kokopha. Kwizonyango, sibiza nayiphi na imeko apho igazi lihlanzwa khona ngokuba yi-hematemesis . Oku kuhlanza kwe-coffee grounds luhlobo lwe-hematemesis.
Kutheni kusenzeka ukuhlanza okunje? Zithini izizathu eziphambili?
Ukugabha okufana nekofu kubonisa ukopha okungaphezulu kwesisu. Kunokubakho izizathu ezininzi zoku.
| Unobangela | Icacisiwe ngokulula |
|---|---|
| Izilonda zePeptic (Izilonda zesisu okanye zamathumbu amancinci) | Le yeyona nto ixhaphakileyo. Ukopha kungabangelwa ngamanxeba aseludongeni lwesisu okanye inxalenye yokuqala yamathumbu amancinci. |
| Ukudumba kwesisu okanye umphimbo (Gastritis/Esophagitis) | Ukudumba kunye nokubomvu kweendonga zesisu okanye umphimbo kunokubangela ukopha okuncinci. |
| IiVarices ze-Esophageal | Ingakumbi kubantu abanesifo sesibindi, imithambo ekwi-esophagus ingadumba, iqhume, ize yophe igazi. Le yimeko eyingozi kakhulu. |
| Ukukrazuka komqala ngenxa yokuhlanza kakhulu | Ukuhlanza rhoqo okanye ngokugqithisileyo kunokukrazula udonga lomqala kwaye kubangele ukopha. |
| Umhlaza | Umhlaza wesisu, umphimbo, okanye ipancreas unokubangela ukopha. |
Abanye abantu bacinga ukuba oku kubangelwa kukuvaleka kwamathumbu. Kodwa oko akuyonyani. Ukuba kukho ukopha emazantsi amathumbu, igazi liya kuphuma kunye nendle (emnyama ngombala), hayi ngokuhlanza.
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| Into Engumngcipheko | Inkcazo |
|---|---|
| Ukusetyenziswa kotywala ngokugqithisileyo | Utywala buyandisa umngcipheko we-gastritis kunye nesifo sesibindi. |
| Ukuthatha iintlungu zobuhlungu zohlobo lwe-NSAID | Ukusetyenziswa rhoqo kwezithomalalisi zentlungu ezifana ne-Ibuprofen kunye ne-Diclofenac kunokubangela izilonda zesisu. |
| Isifo sesibindi esikwinqanaba lokugqibela | Umngcipheko wokopha uphezulu xa isibindi singasebenzi kakuhle. |
| Iingxaki zokuqunjelwa kwegazi | Ngenxa yokuba igazi alijiki kakuhle, nokuba yingozi encinci inokubangela ukopha okukhulu. |
| Ngaphezulu kweminyaka engama-60 ubudala | Umngcipheko uyanda ngokukhula ngenxa yokuba buthathaka komaleko okhuselayo wesisu kunye nokubakho kwezinye izifo. |
Ugqirha wenza ntoni ngale nto?
Xa usiya esibhedlele kuba uhlanze ikofu, oogqirha baqala bazama ukuzinzisa imeko yakho baze bafumane unobangela wokopha.
1. Ukubuza iinkcukacha
Ugqirha uza kukubuza ngembali yakho yezonyango, amayeza owasebenzisayo (ingakumbi amayeza okudambisa iintlungu), kunye nokuba uyasela na utywala. Baza kukubuza nangezinye iimpawu, ezifana neentlungu zesisu, iintlungu zesifuba, kunye nendle emnyama (melena).
2. Ukuqhuba iimvavanyo eziyimfuneko
Kunokwenziwa uvavanyo oluninzi ukuqinisekisa unobangela.
- Uvavanyo lwegazi: Jonga ukuba inani legazi lakho liphantsi kangakanani (inqanaba le-hemoglobin), kunye nendlela esebenza ngayo isibindi sakho kunye nezintso.
- I-Upper Endoscopy (uvavanyo lwe-EGD): Olu lolona vavanyo lubalulekileyo. Uza kulaliswa kwaye kuza kufakwa ityhubhu encinci yekhamera ngomlomo wakho ukuze kuhlolwe umphimbo wakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci. Oku kuya kukunceda ubone ngqo apho ukuphuma kwegazi kuvela khona.
3. Unyango
Eyona nto ingcono kukuba kwiimeko ezininzi, unyango lunokwenziwa ngaxeshanye ne-endoscopy.
- Ukuba ubona indawo ephuma igazi, ungasebenzisa izixhobo ezincinci ezidluliselwa kwityhubhu ukunqumla okanye ukutshiza umthambo ophuma igazi ukuze uyeke ukopha .
- Ukuba ulahlekelwe ligazi elininzi kwaye uphelelwe ngamanzi emzimbeni, kunokufuneka ufumane ulwelo lwe-IV okanye utofelo-gazi ukuze uzinzise imeko yakho.
- Xa ukopha kuphelile, unobangela uyanyangwa. Umzekelo, ukuba sisilonda esiswini, kunikwa amayeza.
Ndifanele ndimbone nini ugqirha?
Ukuba ukhe wahlanza ikofu egayiweyo, oko kuthetha ukuba ukuhlanza kumnyama okanye kumdaka, funa uncedo lwezonyango ngoko nangoko. Le asinto unokuyinyanga ekhaya. Musa ukulibazisa.
Ngokukodwa, ukuba uhlanza ikofu egayiweyo kunye neempawu ezilandelayo, yingxaki enkulu. Yiya esibhedlele ngokukhawuleza nomntu.Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU).
| Yiya eSibhedlele ngoko nangoko! | |
|---|---|
| 🚨 | Ukuba uziva unesiyezi okanye unesizungu |
| 🚨 | Ukuba uziva unesizungu okanye ulahlekelwa zingqondo |
| 🚨 | Ukudideka okanye ukulahlekelwa zingqondo |
| 🚨 | Ukuba amhlophe emehlweni ajika abe tyheli (i-Jaundice) |
| 🚨 | Intlungu yesisu enganyamezelekiyo, eqatha |
| 🚨 | Intlungu ebuhlungu esifubeni |
Umyalezo Wokuya Ekhaya
- Ukuhlanza okufana nekofu egayiweyo luphawu lokopha okudala esiswini okanye kwindlela ephezulu yokugaya ukutya.
- Le yimeko enzulu kwaye kufuneka ubone ugqirha ngokukhawuleza. Musa ukulibazisa nangasiphi na isizathu.
- Oku kunokubangelwa zizifo ezifana nezilonda zesisu, ukusetyenziswa kotywala ngokugqithisileyo, ezinye ii-painkillers (NSAIDs), kunye nesifo sesibindi.
- Ukuba unezinye iimpawu ezifana nesiyezi, iintlungu eziqatha, okanye ukulahlekelwa zingqondo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ungakhathazeki, le meko inokunyangeka ngokupheleleyo ngokufumana unobangela ochanekileyo nokuwunyanga ngokukhawuleza. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
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