Ukuhlanza kuyinto engathandeki futhi enzima kunoma ubani. Kodwa cabanga, ukuhlanza okuhlanzayo akuvamile, kodwa kubukeka kunsundu noma kumnyama, njengokusanhlamvu kwekhofi. Noma ubani angasaba kakhulu uma ebona into efana nale. Ingabe lokhu kuyinto okufanele uyesabe ngempela? Yebo. Lesi yisimo esibi kakhulu okungafanele sithathwe kalula . Namuhla sikhuluma ngalesi simo esibizwa ngokuthi ' i-coffee ground emesis ' noma lokho esikubiza ngokuthi ngokwezokwelapha.
Kuyini lokhu kuhlanza okufana nekhofi?
Kalula nje, leli yigazi eliphuma ekuhlanzeni kwakho. Kodwa leli gazi alilisha, ligazi elibomvu. Leli yigazi elidala. Lokhu kwenzeka lapho igazi livela endaweni ethile engxenyeni engenhla yesistimu yakho yokugaya ukudla, okungukuthi, emhubheni, esiswini, noma engxenyeni yokuqala yamathumbu amancane (i-duodenum), futhi lelo gazi selihlale esiswini isikhathi esithile.
Cabanga nje, lapho leli gazi lihlangana nama-asidi aqinile esiswini, i-hemoglobin egazini iyashintsha, ibe nsundu noma ibe mnyama. Yingakho ibukeka njenge-coffee grounds. Lokho kusho ukuthi uhlanze isikhashana ngemva kokuphuma kwegazi. Kwezokwelapha, sibiza noma yisiphi isimo lapho igazi lihlanzwa khona ngokuthi i-hematemesis . Lokhu kuhlanza kwe-coffee grounds kuwuhlobo lwe-hematemesis.
Kungani ukuhlanza okunje kwenzeka? Yiziphi izimbangela eziyinhloko?
Ukuhlanza njengekhofi elicwengekile kuyisibonakaliso esinamandla sokopha kwamathumbu okuphezulu. Kungaba nezimbangela eziningana zalokhu.
| Imbangela | Kuchazwe kalula |
|---|---|
| Izilonda Zesisu (Izilonda Zesisu noma Zamathumbu Amancane) | Lena imbangela evame kakhulu. Ukopha kungavela emanxebeni odongeni lwesisu noma engxenyeni yokuqala yamathumbu amancane. |
| Ukuvuvukala kwesisu noma umphimbo (i-Gastritis/Esophagitis) | Ukuvuvukala nokubomvu kwezindonga zesisu noma zomqala kungabangela ukopha okuncane. |
| Ama-Varice e-Esophageal | Ikakhulukazi kubantu abanesifo sesibindi, imithambo esemqaleni ingavuvukala, iqhume, futhi yophe igazi. Lesi yisimo esiyingozi kakhulu. |
| Ukudabuka komphimbo ngenxa yokuhlanza okukhulu | Ukuhlanza njalo noma ngokweqile kungadabula udonga lomphimbo futhi kubangele ukopha. |
| Umdlavuza | Umdlavuza wesisu, umphimbo, noma i-pancreas ungabangela ukuphuma kwegazi. |
Abanye abantu bacabanga ukuthi lokhu kubangelwa ukuvaleka kwamathumbu. Kodwa lokho akulona iqiniso. Uma kukhona ukopha engxenyeni engezansi yamathumbu, igazi lizophuma kanye nendle (emnyama ngombala), hhayi ngokuhlanza.
Ubani osengozini enkulu yalesi simo?
Nakuba noma ubani engaba nalesi simo, abanye abantu basengozini enkulu.
| Isici Sengozi | Incazelo |
|---|---|
| Ukusetshenziswa kotshwala ngokweqile | Utshwala kwandisa ingozi yesifo sofuba kanye nesifo sesibindi. |
| Ukuthatha ama-painkillers ohlobo lwe-NSAID | Ukusetshenziswa okuqhubekayo kwemithi yokubulala izinhlungu njenge-Ibuprofen ne-Diclofenac kungabangela izilonda esiswini. |
| Isifo sesibindi esisesigabeni sokugcina | Ingozi yokopha iphezulu uma isibindi singasebenzi kahle. |
| Izinkinga zokujiya kwegazi | Ngenxa yokuthi igazi alijiki kahle, ngisho nokulimala okuncane kungabangela ukopha okukhulu. |
| Uneminyaka engaphezu kwengu-60 ubudala | Ingozi iyanda njengoba ukuguga kwenzeka ngenxa yobuthakathaka besisu kanye nokuba khona kwezinye izifo. |
Udokotela wenzani ngalokhu?
Uma uya esibhedlela ngoba uhlanze ikhofi, odokotela baqala ngokuzama ukuqinisa isimo sakho futhi bathole imbangela eqondile yokopha.
1. Ukubuza imininingwane
Udokotela uzokubuza ngomlando wakho wezokwelapha, imithi oyiphuzayo (ikakhulukazi imithi yokubulala izinhlungu), nokuthi uyaphuza yini utshwala. Bazokubuza nangezinye izimpawu, njengobuhlungu besisu, ubuhlungu besifuba, kanye nendle emnyama (melena).
2. Ukwenza izivivinyo ezidingekayo
Kungenziwa izivivinyo eziningana ukuqinisekisa imbangela.
- Ukuhlolwa kwegazi: Hlola ukuthi inani lakho legazi liphansi kangakanani (izinga le-hemoglobin), nokuthi isibindi sakho nezinso zisebenza kanjani.
- I-Upper Endoscopy (ukuhlolwa kwe-EGD): Lolu ukuhlolwa okubaluleke kakhulu. Uzolaliswa bese kufakwa ithubhu elincane lekhamera ngomlomo wakho ukuze kuhlolwe umphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane. Lokhu kuzokusiza ukuthi ubone kahle ukuthi ukuphuma kwegazi kuvela kuphi.
3. Ukwelashwa
Into engcono kakhulu ukuthi ezimweni eziningi, ukwelashwa kungenziwa ngesikhathi esifanayo ne-endoscopy.
- Uma ubona indawo yokopha, ungasebenzisa amathuluzi amancane adluliswa ngepayipi ukuze uvale noma ushise umthambo okopha ukuze umise ukopha .
- Uma ulahlekelwe igazi eliningi futhi uphelelwe amanzi emzimbeni, kungadingeka ukuthi uthole uketshezi lwe-IV noma ukumpontshelwa igazi ukuze uqinise isimo sakho.
- Uma ukopha sekuphelile, imbangela eyinhloko iyalashwa. Isibonelo, uma kuyisilonda esiswini, kunikezwa imithi.
Kufanele ngimbone nini udokotela?
Uma kwenzeka uhlanza ikhofi elicwengekile, okusho ukuthi ukuhlanza kumnyama noma kunsundu, funa usizo lwezokwelapha ngokushesha. Lokhu akuyona into ongayilapha ekhaya. Ungalibali.
Ikakhulukazi, uma uhlanza ikhofi elicwengekile kanye nezimpawu ezilandelayo, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha nomuntu.Yiya eYunithi Yokwelapha Eziphuthumayo (i-ETU).
| Yiya Esibhedlela Ngokushesha! | |
|---|---|
| 🚨 | Uma uzizwa unesiyezi esikhulu noma ikhanda elibuthakathaka |
| 🚨 | Uma uzizwa unesizungu noma ulahlekelwa ingqondo |
| 🚨 | Ukudideka noma ukulahlekelwa ukwazi |
| 🚨 | Uma amhlophe amehlo ephenduka aphuzi (i-Jaundice) |
| 🚨 | Ubuhlungu besisu obungabekezeleleki, obukhulu |
| 🚨 | Ubuhlungu obukhulu besifuba |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlanza okufana nekhofi elicwengekile kuwuphawu lokopha okudala esiswini noma emgudwini wokugaya ukudla ongaphezulu.
- Lesi yisimo esibucayi futhi kufanele ubonane nodokotela ngokushesha. Ungalibali nganoma yisiphi isizathu.
- Lokhu kungabangelwa yizimo ezifana nezilonda zesisu, ukusebenzisa utshwala ngokweqile, imithi ethile yokudambisa izinhlungu (ama-NSAID), kanye nesifo sesibindi.
- Uma unezinye izimpawu ezifana nokuzungeza, ubuhlungu obukhulu, noma ukulahlekelwa ukwazi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Ungakhathazeki, lesi simo singalapheka ngokuphelele ngokuthola imbangela efanele nokuyelapha ngokushesha. Landela imiyalelo kadokotela wakho ngqo.
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