Ingabe unemigqa efana ne-watermelon esiswini sakho? Ake sixoxe ngaleso 'Sisu se-Watermelon' (esinikezwe) !

Ingabe ngezinye izikhathi uzizwa ukhathele kakhulu ngaphandle kwesizathu? Noma uvame ukuba nokuphazamiseka kwesisu noma ukuphelelwa yisifiso sokudla? Mhlawumbe uqaphela ngisho negazi elincane uma ukhipha indle. Nakuba ngezinye izikhathi singazinaki kakhulu lezi zinto, kungase kube nezimo zezokwelapha ezingacabangi ngazo. Namuhla, sizokhuluma ngesifo esingavamile, kodwa kubaluleke kakhulu ukuthi wonke umuntu asiqaphele. Lokhu kubizwa ngokuthi 'Isisu sekhabe'.

Iyini le 'Isisu se-Watermelon'?

Kalula nje, 'isisu sekhabe' yilapho imithambo yegazi esiswini sakho, okungukuthi, ingaphakathi lesisu sakho, iba buthakathaka bese iqala ukuphuma igazi. Lapho lokhu kuphuma kwegazi kwenzeka, udonga lwangaphakathi lwesisu sakho luba nemivimbo emide, njengempundu yekhabe. Cabanga ngayo njengemivimbo eluhlaza okwesibhakabhaka nokukhanya okuluhlaza okotshani okhabeni. Kungenxa yale mivimbo ukuthi ibizwa ngokuthi 'isisu sekhabe'.

Odokotela babona le migqa ngesikhathi sokuhlolwa kwe-endoscopy . Lokhu kuhilela ukufaka ipayipi elincane elinekhamera encane ngomlomo wakho bese ubheka ngaphakathi esiswini sakho. Igama lezokwelapha lalesi simo yi -Gastric Antral Vascular Ectasis (GAVE) . Lelo igama elide, akunjalo? Yingakho abantu abaningi beyibiza ngokuthi i-GAVE, noma 'isisu sekhabe.'

Sivame kangakanani lesi simo? Ubani okungenzeka kakhulu ukuthi sibe naso?

Eqinisweni, lesi simo esibizwa ngokuthi 'isisu sekhabe' asivamile kakhulu. Ngokuvamile, uma kukhona ukopha esiswini, kubangelwa ezinye izimo ezifana nezilonda zesisu noma imithambo yegazi ekhuphukile (ama-varice).

Nakuba lokhu kungenzeka kunoma ubani, kuvame kakhulu kwabesifazane abaneminyaka engaphezu kuka-70. Kodwa-ke, ubudala akuyona yodwa imbangela, kungase kube nezinye izizathu.

Ziyini izimpawu zesisu 'sekhabe' (GAVE)?

Umuntu onalesi simo angaba nezimpawu ezahlukahlukene. Ezinye zincane kakhulu, kanti ezinye zimbi kakhulu. Bona ukuthi lezi zimpawu zizwakala zijwayelekile yini kuwe:

• Ubuhlungu besisu: Ungase uzwe ubuhlungu besisu ngokushesha nje ngemva kokudla noma ngokushesha ngemva kokudla.
• Igazi esitulweni: Ngezinye izikhathi isitulo singaba mnyama, noma ungase ubone igazi elibomvu.
• Ukuzizwa ukhathele ngaso sonke isikhathi: Ungase uzizwe ukhathele futhi ungenampilo ngisho noma ungenzi lutho.
• Ukopha ngaphakathi: Nakuba lokhu kungase kungabonakali ngaphandle, kungaba ukopha ngaphakathi.
• I-anemia yokuntuleka kwensimbi: Ukopha okuqhubekayo kubangela ukwehla kwensimbi emzimbeni, okuholela ekuntulekeni kwegazi.
• Isicanucanu: Ukuzizwa sengathi uzohlanza.
• Ukuhlanza igazi: Lokhu kuyimpawu engathi sína.

Kodwa-ke, abanye abantu bangaba 'nesisu sekhabe' ngaphandle kwalezi zimpawu. Yileyo inkinga ngalokhu.

Kungani lesi 'sisu sekhabe' sikhula? Iyini imbangela ngempela?

Ososayensi abakakazi kahle ukuthi kungani abanye abantu beba nalesi simo kanti abanye bengenaso. Kodwa ngokusekelwe ebufakazini bamanje, kunezinto eziningana okucatshangwa ukuthi zinegalelo kuso:

• I-Hypergastrinemia: Lokhu kwenzeka lapho umzimba wakho une-hormone i-gastrin eningi kakhulu (i-hormone esiza ekugayeni ukudla).
• I-Achlorhydria: Isimo lapho isisu sakho singakhiqizi i-hydrochloric acid (ephinde isize ekugayeni ukudla).
• Amazinga e-'Pepsinogen' anciphile: Lokhu futhi kuyi-enzyme ebalulekile ekugayeni ukudla.
• Ukwehluleka kwesibindi: Uma ukusebenza kwesibindi kuphazamiseka, imithambo yegazi ingavuleka.

Lena imibono eyinhloko ekhona njengamanje. Mhlawumbe eyodwa noma ngaphezulu kwalokhu, noma inhlanganisela yakhona, inegalelo kulesi simo.

Ubani osengozini enkulu yokuthola lesi 'sisu sekhabe'?

Abantu abanezimo ezithile zempilo banamathuba amaningi okuthola lesi 'sisu sekhabe'. Lezi zimo zifaka:

• Izifo ezizenzakalelayo: Lezi yizifo lapho amasosha omzimba wakho ehlasela khona amangqamuzana akho.
• I-Atrophic gastritis: Isimo sokuvuvukala kwesisu okungapheli.
• Isifo sikashukela
• Isifo senhliziyo
• Ukwehluleka kwezinso
• I-cirrhosis yesibindi
• I-Metabolic syndrome

Uma unezinye izimo zezokwelapha ezinjengalezi, kuwumqondo omuhle ukuqaphela kancane 'ngesisu sekhabe'.

Uyithola kanjani ngokunembile lesi sifo?

Uma unezimpawu ezishiwo ngenhla, into yokuqala okufanele uyenze ukubona udokotela. Uzokubuza ngezimpawu zakho, futhi uma kudingeka, akuthumele kudokotela wezifo zamathumbu . Uzokwenza ezinye izivivinyo.

Ukuhlolwa okuyinhloko okwenziwe kulokhu yile:

• I-endoscopy ephezulu: Lesi yisilingo esibaluleke kakhulu. Babheka ngaphakathi esiswini ukuze babone ukuthi kukhona yini iphethini efana ne-watermelon.
• I-Biopsy: Ngesikhathi se-endoscopy, kuthathwa ingxenye encane yezicubu odongeni lwesisu bese ihlolwa ngaphansi kwe-microscope. Lokhu kunganikeza ulwazi olwengeziwe.
• Ukuhlolwa kwegazi: Lokhu kungahlola ukuthi une -anemia , ukuntuleka kwegazi.

Khumbula, lezi zivivinyo zingase zibonakale ziyinkimbinkimbi kancane, kodwa zibaluleke kakhulu ekuxilongeni lesi sifo ngokunembile.

Yiziphi izindlela zokwelapha 'isisu sekhabe' (GAVE)?

Kunezindlela eziningana zokwelapha lokhu. Udokotela wakho uzokukhetha ukwelashwa okufanele ngokusekelwe ekutheni izimpawu zakho zimbi kangakanani nokuthi unezinye izimo zezokwelapha. Ngezinye izikhathi, uma ulahlekelwe igazi eliningi, kungadingeka ukuthi umpontshelwe igazi ngokuphuthumayo .

Izithasiselo Zensimbi

Uma lesi sifo sitholakala kusenesikhathi, kungenzeka ukuthi silawulwe ngamaphilisi ensimbi (izithasiselo) zodwa. Kodwa lokhu akusebenzi kuwo wonke umuntu. Ngisho nangamaphilisi ensimbi, kunezikhathi lapho kungadingeka khona ukumpontshelwa igazi elilodwa noma ngaphezulu ukuze kulawulwe ukopha.

Imithi

Udokotela wakho angase futhi akunikeze imithi ethile ukusiza ekunciphiseni ukopha esiswini sakho. Nakuba ukuphepha kwesikhathi eside kwale mithi kungakaqondakali ngokugcwele, isebenza kahle esikhathini esifushane.

• Ama-Corticosteroids
• I-Octreotide
• 'Ukwelashwa ngama-hormone'

Ukwelashwa Nge-Endoscopic

Ukwelashwa okuvame kakhulu 'kwesisu sekhabe' ukuhlinzwa kwe-endoscopic. Lokhu kuhilela ukuvala noma ukubhubhisa imithambo yegazi ebangela ukopha.

• Ukujiya kwe-Argon plasma (APC): Lena yindlela evame ukusetshenziswa kakhulu. Kulokhu, kusetshenziswa igesi ebizwa ngokuthi Argon'' ukuvala imithambo yegazi.
• Ukubopha i-band ye-Endoscopic (EBL): Lokhu kuhilela ukubeka i-band encane nxazonke kwemithambo yegazi ngayinye bese uyibopha. Lokhu ngezinye izikhathi kwenziwa kanye ne-APC.
• Ukususwa kwamaza omsakazo (RFA): Lokhu kusebenzisa ukushisa okuvela kumaza omsakazo ukubhubhisa imithambo yegazi.
• Ukwelapha nge-cryotherapy: Le ndlela isebenzisa igesi ebizwa ngokuthi i-nitrous oxide ukuze iqandise imithambo yegazi.

Ngokuvamile, lokhu kwelashwa nge-endoscopic akuqedwa ngesikhathi esisodwa. Kudingeka ukwelashwa okuningana ukuze kufezwe imiphumela oyifunayo .

Ukumpontshelwa Igazi

Uma wopha kakhulu, ungadinga ukumpontshelwa igazi okukodwa noma ngaphezulu . Kodwa-ke, ngokuhamba kwesikhathi, izinto ezifana namaphilisi ensimbi, imithi, kanye ne-endoscopy kungasiza ekunciphiseni inani lezikhathi odinga ngazo ukumpontshelwa igazi. Kungadingeka ukuthi umpontshelwe igazi ngezikhathi ezithile ukuze kufakwe igazi elilahlekile kuze kube yilapho udokotela wakho ekwazi ukulawula ukopha ngokwanele.

Ukuhlinzwa

Kulabo abangaphenduli kumaphilisi ensimbi, imithi, noma i-endoscopy, kwenziwa ukuhlinzwa okubizwa ngokuthi i-partial gastrectomy . Lokhu kuhilela ukusika ingxenye yesisu sakho egulayo. Ngokuvamile, ngeke kudingeke uphinde unikeze igazi ngemva kwalokhu kuhlinzwa.

Nakuba lokhu kuhlinzwa kuhileleke kakhulu kunokwelashwa nge-endoscopic njenge-'APC', kuyindlela kuphela yokwelapha ngokuphelele isimo 'sesisu sekhabe'.

Sinjani isimo ngemva kokwelashwa?

Kuye ngokuthi izimpawu zakho zimbi kangakanani. Nakuba umgomo wokwelashwa uwukumisa ukuphuma kwegazi, abanye abantu bangase babe nezinkinga futhi ngemva kokwelashwa. Uma lokho kwenzeka, kungase kudingeke uqhubeke nokuthola ukumpontshelwa igazi. Kodwa-ke, abantu abaningi bayalulama ngemva kokwelashwa kokuqala. Udokotela wakho uzokutshela ukuthi yini ongayilindela ngokusekelwe esimweni sakho.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Njengoba imbangela eqondile ingakaziwa, akukho ongakwenza ukuvimbela 'isisu sekhabe'. Into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha nje lapho ubona noma yiziphi izimpawu ezintsha noma ezingavamile. Uma uqala ukwelashwa kusenesikhathi, ungamisa ukopha ngaphambi kokuba kube kubi kakhulu.

Ingabe umuntu onesisu 'sekhabe' kufanele aqaphele ukuthi udlani?

Akukho uhlu lokudla oluhleliwe okufanele abantu abanalesi simo bakudle futhi abangafanele bakudle. Kodwa-ke, kungcono ukugwema ukudla okuthile ngemva kokuhlolwa kwe-endoscopy ephezulu:

• Ukudla okunongiwe
• Ukudla okune-asidi (njengolamula, amawolintshi, uphayinaphu)
• Iziphuzo ezine-caffeine njengekhofi netiye
• Utshwala

Kuze kube yilapho ukwelashwa sekuphelile, kungcono ukudla ukudla okulula nokulula esiswini, njengamaqanda , i-tofu, amasobho, ama-smoothie, kanye nenyama engenamafutha . Kungcono ukubuza udokotela wakho ukuthi yikuphi ukudla okuhle kuwe.

Ngingayibona nini udokotela?

Uma uthola izimpawu ezintsha, njengesicanucanu noma ukukhathala, kufanele utshele udokotela wakho njalo. Uma unomuzwa wokuthi kukhona okungahambi kahle, ungalindi. Uma ubona lesi sifo futhi uqala ukwelashwa kusenesikhathi, unganciphisa isidingo sokuhlinzwa okukhulu.

Uma unezimpawu ezinzima, njengokuhlanza igazi, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Into ebaluleke kakhulu ukuthola imbangela nokuyeka ukopha ngokushesha okukhulu.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uthola ukuthi unesisu 'sekhabe', kuwumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Isimo sami sibi kangakanani?
• Hlobo luni lokwelashwa engiludingayo?
• Zingaki izindlela zokwelapha ezizodingeka?
• Ingabe kuzodingeka nginikele ngegazi? Uma kunjalo, kangaki?

Ukuhlanza igazi noma ukubona igazi esitulweni sakho kungaba yinto eyesabekayo. Nakuba lokhu kungaba izimpawu zokuthi unenkinga yesisu, izimpawu azibonakali njalo. Mhlawumbe ubulokhu uzizwa ukhathele izinyanga eziningi. Noma mhlawumbe usanda kuqala ukuba nezinhlungu zesisu ezintsha ekuseni. 'Isisu sekhabe' yisimo esingavamile, futhi izimpawu zaso zifana nezinye izifo zesisu. Ngakho-ke, kungathatha isikhathi ukuthola ukuxilongwa okufanele. Okwamanje, ungase uzizwe ucindezelekile ngenxa yokungaqiniseki okuzwayo. Ngakho-ke, kungakhathaliseki ukuthi unaziphi izimpawu, khuluma nodokotela wakho ngazo. Angathola imbangela futhi akuncomele ukwelashwa okufanele.

Ngakho-ke, izinto ezimbalwa zokugcina okufanele uzikhumbule:

Nakuba igama elithi 'isisu sekhabe' liyigama elithusayo, kubalulekile ukuliqaphela. Khumbula:

• Izimpawu zingahluka kumuntu nomuntu, futhi abanye abantu bangase bangabi nazo nhlobo izimpawu.
• Ungazinaki izinto ezifana nokukhathala njalo, ukucasuka kwesisu, kanye negazi esitulweni.
• Ngokufuna iseluleko sezokwelapha ngokushesha, ungalawula lesi sifo ngaphambi kokuba sibe sibi kakhulu.
• Kunezindlela eziningana zokwelapha, futhi udokotela wakho uzonquma ukuthi yikuphi okungcono kakhulu kuwe.

Sithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

isisu sekhabe, i-GAVE, i-gastric antral vascular ectasis, isisu sekhabe, ukopha kwesisu, i-endoscopy, ubuhlungu besisu