Wake wahlanza igazi? Noma wake wahlanza into ensundu, njengekhofi eligayiwe? Kujwayelekile ukuthi noma ubani okubonayo lokhu azizwe esaba kakhulu futhi ethukile. Ngoba sonke siyesaba lapho sibona igazi. Kodwa ngaphambi kokuba sesabe, ake siqonde ukuthi lesi simo, esiwukuhlanza igazi (ngokwezokwelapha sikubiza ngokuthi i-Hematemesis), siyini kanye nokuthi kungani kwenzeka.
Ingabe ukuhlanza igazi kuyisimo esibi ngempela?
Kalula nje, yebo . Ukuhlanza igazi kuyinto okungafanele siyithathe kalula. Kungaba nezizathu eziningi zalokhu. Ezinye zezizathu zingase zingabi zimbi kangako, kodwa ezinye zazo zingaba yizimo ezingathi sína ezingathinta ngisho nokuphila.
Ngisho nodokotela abakwazi ukukutshela ukuthi kuyingozi noma cha ngaphandle kokukuhlola. Yingakho, njengodokotela, sihlala siphatha noma yiliphi icala legazi ekuhlanzeni njengesimo esiphuthumayo kuze kube yilapho sesikwazi ukuthola imbangela eqondile. Kuphephile ngawe ukucabanga ngendlela efanayo.
Kulungile yini uma kukhona igazi elincane?
Cha. Ukuhlanza igazi akukaze kube yinto evamile . Ngezinye izikhathi, uma uhlanza kakhulu, ungase uzizwe sengathi unomkrwelo emphinjeni wakho futhi kungaphuma ithonsi elilodwa noma amabili egazi. Kodwa asikwazi ukuphetha ngokuthi kunjalo. Ngoba ngisho nethonsi elincane legazi lingaba ukuqala kokuphuma kwegazi okukhulu. Ngakho-ke, uma uhlanza igazi, kungakhathaliseki ukuthi lincane kangakanani, kubaluleke kakhulu ukwazisa udokotela ngakho .
Ungalinaki inani legazi ekuhlanzeni kwakho, kungakhathaliseki ukuthi lincane noma likhulu. Kungaba uphawu olubalulekile lwenkinga emzimbeni wakho.
Kungani kukhona igazi ekuhlanzeni kwami? Kusho ukuthini lokhu?
Isikhathi esiningi, igazi ekuhlanzeni kwakho livela endaweni ethile engxenyeni engenhla yesistimu yakho yokugaya ukudla, njenge -esophagus, isisu, noma i-duodenum . Ngezinye izikhathi, igazi liphuma ekhaleni lakho bese liphuma nokuhlanza kwakho uma ukugwinya. Kodwa ngaphandle kwalokho, igazi liphuma ngaphakathi esiswini sakho.
Singathola izinkomba ezithile embala waleli gazi:
- Igazi elibomvu elikhanyayo: Lokhu kusho ukuthi kukhona igazi elisha. Kusho ukuthi kungenzeka ukuthi ukopha kwenzeka njengamanje . Lokhu kungaba ngokushesha futhi kudinga ukunakekelwa okusheshayo.
- Igazi elinsundu/elimnyama, njengekhofi eligayiwe: Leli yigazi elidala. Leli gazi selihlale esiswini isikhathi eside futhi selishintshe umbala ngemva kokusabela kuma-asidi esiswini. Lokhu kusho ukuthi ukopha kungase kube nzima kancane, noma ukopha kungase kume.
Ngokuvamile, igazi eliningi kumele lilahleke emzimbeni ukuze kubangele ukuhlanza.
Izimbangela eziyinhloko zegazi ekuhlanzeni
Kunezimbangela eziningana ezivamile nezingathi sína zegazi ekuhlanzeni. Ake sibheke ezimbalwa zazo.
| Isizathu | Incazelo elula |
|---|---|
| Izilonda zesisu (izilonda zesisu noma zamathumbu amancane) | Lezi yizilonda ezakheka esiswini. Zingakhula futhi zophe ngenxa yezifo ezithile zamagciwane noma ukusetshenziswa okuqhubekayo kwe-aspirin kanye neminye imithi yokubulala ubuhlungu (ama-NSAID). |
| Ukuvuvukala kwesisu noma umphimbo (i-Gastritis/Esophagitis) | Ukuphuza utshwala ngokweqile, ukusebenzisa imithi yokwelapha izinhlungu, kanye ne-acid reflux kungabangela ukuthi izindonga zangaphakathi zesisu noma umphimbo zivuvuke futhi zophe igazi emithanjeni yegazi engaphansi. |
| Imithambo yegazi evuvukele (i-Oesophageal Varices) | Izimo ezifana ne-cirrhosis yesibindi zingabangela ukuthi imithambo yegazi emgogodleni nasesiswini ivuvuke futhi ibe mncane kakhulu. Lokhu kungaqhuma kalula futhi kubangele ukopha okukhulu. Lesi yisimo esibi kakhulu. |
| Isifo seMallory-Weiss | Uma ukuhlanza kukhulu futhi kukhulu, kungadabuka udonga lomphimbo. Lokhu kubizwa ngokuthi i-Mallory-Weiss syndrome. Lesi simo sivame ukubonakala ngemva kokuphuza utshwala ngokweqile. |
| Amaqhubu noma izimila | Ukopha kungabangelwa izimila ezinomdlavuza noma ezingezona umdlavuza. Kubalulekile ukuhlola umdlavuza wesisu, umphimbo, noma i-pancreas. |
| Ukulimala Okubuhlungu | Ukushaywa okukhulu esiswini noma esifubeni kungabangela ukopha kwangaphakathi. |
Udokotela ukwelapha kanjani lokhu?
Uma uhlanza igazi bese uya esibhedlela, ithimba lezokwelapha libhekana nalokhu njengesimo esiphuthumayo.
1. Into yokuqala okufanele uyenze ukuzinzisa (Ukuvuselela): Uma ulahlekelwe igazi eliningi emzimbeni wakho, okusho ukuthi unesiyezi, uphaphathekile, njll., into yokuqala okufanele uyenze ukuzinzisa isimo sakho. Lokhu kuhlanganisa ukukunikeza uketshezi lwe-IV, ukumpontshelwa igazi uma kudingeka, kanye nomoya-mpilo.
2. Ukuthola imbangela: Uma isimo sakho sesizinzile, udokotela wakho uzoqala ukufuna imbangela yokopha. Bazokubuza imibuzo - sekuphele isikhathi esingakanani ukopha kuqhubeka? Igazi linombala onjani? Ingabe lokhu kuye kwenzeka ngaphambili? Bazokubuza nakanjani ngemithi oyiphuzayo, ikakhulukazi imithi yokudambisa izinhlungu (ama-NSAID) njenge-aspirin ne-ibuprofen .
3. I-Endoscopy: Lolu vivinyo oluyinhloko lokuthola indawo eqondile yokopha. Lokhu kuhilela ukukunikeza umuthi wokudambisa omnene nokufaka ipayipi elincane elinekhamera emlonyeni wakho ukuhlola umphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane.
- Ingxenye engcono kakhulu ukuthi lolu vivinyo lungasetshenziswa futhi ekwelapheni ukopha. Uma udokotela esethole indawo yokopha, angadlulisa amathuluzi amancane kulelo payipi ukuze amise ukopha (isib., ukulisika noma ukulifaka esitsheni sokushisa).
4. I-Biopsy: Uma kukhona indawo esolisayo ngesikhathi sokuhlolwa, kuthathwa ingcezu encane yezicubu lapho bese ithunyelwa elabhorethri.
Esikhathini esiningi, lezi zimo zingelashwa ngemithi, kodwa kwezinye izimo ezinzima, kungase kudingeke ukuhlinzwa.
Kufanele ngibone nini udokotela ngokushesha?
Kukhona impendulo eyodwa kuphela kulokhu. Uma nje ubona ukuthi uhlanza igazi. Ungalibali. Ikakhulukazi uma uhlanza igazi kanye nezimpawu ezilandelayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha okukhulu. Shayela i-ambulensi uma kudingeka.
- Uma uzizwa unesiyezi noma uphelelwa amandla.
- Uma uzizwa udidekile noma udidekile.
- Uma unezinhlungu zesisu ezinzima.
- Uma unezinhlungu zesifuba ezinzima.
Ukuhlanza igazi kuyisibonakaliso esiyisixwayiso sokuthi kungenzeka ukuthi kukhona into embi kakhulu eyenzekayo emzimbeni wakho, ngakho ungalokothi uyishaye indiva.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlanza ngegazi akukaze kube yinto evamile . Kuhlala kuyisimo esiphuthumayo esidinga usizo lwezokwelapha.
- Nakuba umbala wegazi (obomvu obukhanyayo noma ikhofi) ungase unikeze izinkomba ezithile, udokotela kuphela onganquma imbangela eqondile.
- Uma uhlanza igazi, ikakhulukazi uma unezinye izimpawu ezifana nokuzungeza nobuhlungu obukhulu, hamba uye emnyangweni wezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi yokunciphisa izinhlungu (ama-NSAID) njenge-aspirin ne-ibuprofen.
- Ungakhathazeki. Ngokwelashwa ngesikhathi esifanele, ungavame ukumisa ukopha futhi welaphe isimo esiyisisekelo esikubangele.
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