Wake wesaba ukufa uma ubona igazi esitulweni sakho uma uya endlini yangasese? Noma wake waphawula ukuthi indle yakho imnyama ngendlela exakile njengethayela? Kuvamile ukuzizwa wesaba uma ubona into efana nale. Kodwa isikhathi esiningi, lokhu akulona uphawu lokugula okukhulu. Ngakho-ke namuhla, ake sixoxe ngalokhu kuphuma kwegazi okwenzeka ngaphakathi kwendlela yethu yokugaya ukudla, okungukuthi, Ukopha Kwamathumbu (i-GI Bleeding), ngendlela elula necacile.
Kuyini lokhu kuphuma kwegazi endleleni yokugaya ukudla?
Kalula nje, ukopha kwamathumbu akusona isifo, kuyisibonakaliso. Kuyinto ebangelwa enye inkinga emzimbeni. Cabanga ngakho, umgudu wethu wokugaya ukudla uyisistimu ende efana nepayipi egijima isuka emlonyeni iye endunu. Lokhu kufaka phakathi zonke izingxenye zomgudu wokugaya ukudla, njenge-esophagus, isisu, amathumbu amancane, amathumbu amakhulu, kanye ne-rectum . Ngakho-ke uma ukopha kuqala noma kuphi kulesi simiso, sikubiza ngokuthi ukopha kwamathumbu.
Lokhu kuphuma kwegazi kungase kube endaweni encane, njengesilonda esiswini, noma kungase kube endaweni ebanzi kakhulu, njengokuvuvukala emathunjini amakhulu.
Kodwa into exakile ukuthi, ngezinye izikhathi asikuboni ngisho nokuphuma kwegazi. Odokotela bakubiza lokhu ngokuthi 'ukuvuza kwegazi okungabonakali' . Kodwa ungakhathazeki, ngisho nalolu hlobo lwegazi elifihliwe lungatholakala kalula ngokuhlolwa okulula kwendle.
Kungani kukhona ukopha okungaka? Ake sibheke ezinye zezizathu.
Izizathu zalokhu ziyahlukahluka kumuntu ngamunye kuye ngokuthi igazi liya kuphi. Ake sibheke ithebula elingezansi ukuze sikuqonde kahle lokhu.
| Iphuzu lokopha | Izimbangela eziyinhloko ezingaba khona |
|---|---|
| Umphimbo |
|
| Isisu | |
| Indlela yokugaya engezansi (amathumbu, i-rectum) |
Yiziphi izimpawu esizibonayo?
Lezi zimpawu zingase zihluke kuye ngokuthi ukopha kukuphi nokuthi kwenzeka ngokushesha kangakanani.
Indaba ilandiswa ngegazi.
Ungathola umbono oqondile wokuthi igazi livelaphi izimpawu ozibonayo.
- Igazi elibomvu elikhanyayo esitulweni: Lokhu kungenzeka kakhulu ukuthi kuvela e-rectum noma engxenyeni engezansi ye-colon. Lokhu kuvamile ezimweni ezifana nama-hemorrhoids.
- Igazi elibomvu/elimnyama elixubene nendle: Igazi lingase livele engxenyeni engenhla yamathumbu amakhulu noma engxenyeni yokugcina yamathumbu amancane.
- Indle emnyama, enamathelayo, enephunga elibi: Lolu uphawu olubaluleke kakhulu. Lokhu kusho ukuthi igazi livela engxenyeni engenhla yomgudu wokugaya ukudla, njengesisu kanye nomphimbo. Igazi elivela lapho liyagaywa njengoba lidlula ohlelweni lokugaya ukudla, oluba mnyama.
- Igazi elibomvu elikhanyayo elinokuhlanza: Lokhu kubonisa ukuphuma kwegazi okusha okuvela emhubheni noma esiswini.
- Ukuhlanza okufana "nekhofi": Lokhu kuvela lapho igazi lihlala esiswini isikhashana futhi lixubana nama-asidi esiswini.
Kodwa khumbula into eyodwa. Eminye imithi, isibonelo amaphilisi e-iron, kanye nokudla okuthile, ikakhulukazi i-beetroot, kungabangela ukuthi indle yakho ibe bomvu noma ibe mnyama. Ngakho-ke ungesabi uma ubona ushintsho kumbala, kodwa kungcono ukutshela udokotela wakho.
Ezinye izici ezivamile
Uma ukuphuma kwegazi kwenzeka njalo futhi isikhathi eside, ungase ube nezimpawu ezifana nalezi:
- Ukukhathala okungachazeki kanye nokukhathala
- Ubuthakathaka
- Ukubukeka okukhanyayo
- I-anemia isho ukwehla komthamo wegazi emzimbeni.
Uma uzwa ukopha okukhulu ngokuzumayo, ungase ube nezimpawu ezifana nokuzungeza, ubuthakathaka, ubunzima bokuphefumula, kanye nobuhlungu besisu . Lesi yisimo esiphuthumayo, ngakho-ke kubalulekile ukuya ekamelweni lezimo eziphuthumayo (ETU) ngokushesha.
Ukuthola kanjani lokhu, Dokotela?
Uma unesifo sokuphuma kwegazi esingavamile kanje, kufanele nakanjani ubone udokotela. Uzokuhlola futhi akubuze imibuzo embalwa. Izinto ezifana nendlela indle yakho edlula ngayo, umbala, nokuthi unazo yini izinhlungu zingakunikeza umbono ocacile wokuthi igazi livelaphi.
Ngemuva kwalokho, ungase ufune ukwenza ezinye izivivinyo ezinjengalezi:
1. Ukuhlolwa Kwendle: Hlola igazi elifihliwe endle.
2. Ukuhlolwa Kwegazi: Hlola ukuthi une-anemia yini nokuthi inani lakho legazi liphansi kangakanani.
3. I-Endoscopy: Lolu ukuhlolwa okubaluleke kakhulu nokunembile. Kulokhu, kufakwa ipayipi elincane, eliguquguqukayo elinekhamera enamathiselwe ngomlomo (i-endoscopy ephezulu ye-GI) noma i-rectum (i-colonoscopy) ukuze kubonakale kahle ukuthi ukuphuma kwegazi kuvela kuphi. Uma kudingeka, ucezu lwezicubu (i-biopsy) lungathathwa ukuze luhlolwe ngalesi sikhathi. Ungakhathazeki, lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu.
Kwezinye izimo, ezinye izivivinyo, njenge-X-ray kanye ne-angiography, ezisebenzisa isisombululo se-barium, nazo zingenziwa.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi amacala amaningi okopha esiswini angalawulwa futhi elashwe ngempumelelo. Ukwelashwa okutholayo kuzoncika embangeni yokopha.
Ezimweni eziningi , i-endoscopy engikhulume ngayo ekuqaleni ingenziwa ngesikhathi esifanayo nokwelashwa. Akumangalisi lokho? Nge-endoscope, udokotela angenza okulandelayo:
- Faka umuthi endaweni yokopha.
- Hlanza indawo ngokushisa okuncane ukuze umise ukuphuma kwegazi.
- Noma vala umthambo wegazi nge-clip encane.
Ukuhlinzwa kungadingeka kuphela uma lezi zindlela zingalawuli ukuphuma kwegazi. Uma ukuphuma kwegazi sekuphelile, uzonikezwa imithi yokuvimbela lesi simo ukuthi singaphinde sivele.
Umlayezo Wokuya Nawe Ekhaya
- Ukopha esiswini akusona isifo, kuwuphawu lwenye inkinga emzimbeni.
- Izimpawu eziyinhloko igazi elibomvu elikhanyayo esitulweni, indle emnyama ephuzi, noma igazi ekuhlanzeni. Ngezinye izikhathi, ukuphuma kwegazi ngaphakathi kungenzeka ngaphandle kwezimpawu.
- Lokhu kungabangelwa yinoma yini kusukela embangeni elula njenge-hemorrhoids kuya kokuthile okungathi sína njengezilonda zamathumbu noma umdlavuza.
- Uma unalezi zimpawu, ungaqageli noma ungesabi, kodwa bona udokotela wakho ngokushesha.
- Uma imbangela isheshe itholakale, kuba lula ukwelapha. Ngakho-ke ungalokothi ungazinaki lezi zimpawu.
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