Kusanza magazi

Kusanza magazi ndikubwezeretsanso (kutaya) zomwe zili m'mimba momwe muli magazi.

Magazi osanza akhoza kuwoneka ofiira ofiira, ofiira mdima, kapena kuwoneka ngati malo a khofi. Zovutazo zimatha kusakanizidwa ndi chakudya kapena mwazi wokha.

Kungakhale kovuta kusiyanitsa pakati pa kusanza magazi ndi kutsokomola magazi (kuchokera m'mapapu) kapena kutulutsa magazi m'mphuno.

Zinthu zomwe zimayambitsa kusanza magazi zimathanso kuyambitsa magazi mu chopondapo.

Gawo lapamwamba la GI (m'mimba) limaphatikizapo pakamwa, pakhosi, pakhosi (kumeza chubu), m'mimba ndi duodenum (gawo loyamba la m'mimba). Magazi omwe amasanza atha kubwera kuchokera m'malo aliwonsewa.

Kusanza komwe kumakhala kwamphamvu kwambiri kapena kupitilira kwa nthawi yayitali kumatha kubweretsa misozi m'mitsempha yaying'ono yapakhosi. Izi zitha kutulutsa magazi m'magaziwo.

Mitsempha yotupa m'makoma am'munsi mwa kum'mero, ndipo nthawi zina m'mimba, imatha kutuluka magazi. Mitsempha iyi (yotchedwa varices) imapezeka mwa anthu omwe ali ndi vuto lalikulu la chiwindi.

Kusanza mobwerezabwereza kumayambitsanso magazi ndi kuwonongeka kwa minyewa ya m'munsi yotchedwa Mallory Weiss misozi.

Zina mwazinthu zitha kuphatikiza:

• Kutuluka magazi mmimba, gawo loyamba la m'mimba, kapena kummero
• Matenda osokoneza magazi
• Zofooka m'mitsempha yamagazi ya thirakiti la GI
• Kutupa, kukwiya, kapena kutupa kwa mtsempha (esophagitis) kapena m'mimba (gastritis)
• Kumeza magazi (mwachitsanzo, atatuluka m'mphuno)
• Zotupa za pakamwa, pakhosi, m'mimba kapena pammero

Pitani kuchipatala nthawi yomweyo. Kusanza magazi kumachitika chifukwa cha vuto lalikulu lachipatala.

Itanani omwe akukuthandizani kapena pitani kuchipinda chadzidzidzi ngati kusanza kwa magazi kumachitika. Muyenera kuyesedwa nthawi yomweyo.

Wothandizira adzakufunsani ndikufunsani mafunso monga:

• Kusanza kunayamba liti?
• Kodi mudasanzapo magazi kale?
• Ndi magazi angati omwe anali m'masanzi ake?
• Magazi ake anali otani? (Wofiira kapena wofiira kapena ngati khofi?)
• Kodi mwakhalapo ndi magazi apakamwa posachedwapa, maopaleshoni, ntchito yamano, kusanza, vuto la m'mimba, kapena kutsokomola kwambiri?
• Ndi zisonyezo zina ziti zomwe muli nazo?
• Kodi muli ndi matenda ati?
• Mumamwa mankhwala ati?
• Kodi mumamwa mowa kapena mumasuta?

Mayeso omwe angachitike ndi awa:

• Ntchito yamagazi, monga kuchuluka kwathunthu kwa magazi (CBC), zama chemistry, kuyesa magazi, komanso kuyesa kwa chiwindi
• Esophagogastroduodenoscopy (EGD) (kuyika chubu choyaka mkamwa kupita kum'mero, m'mimba ndi duodenum)
• Kupenda kwamphamvu
• Chubu kupyola mphuno m'mimba kenako ndikugwiritsa ntchito kuyamwa kuti muwone magazi m'mimba
• X-ray

Ngati mwasanza magazi ambiri, mungafunike kulandira chithandizo mwadzidzidzi. Izi zingaphatikizepo:

• Kuyang'anira mpweya
• Kuikidwa magazi
• EGD pogwiritsa ntchito laser kapena njira zina zoletsa magazi
• Madzi kudzera mumtsempha
• Mankhwala ochepetsa asidi m'mimba
• Kuchita opaleshoni ngati magazi sasiya

Hematemesis; Magazi m'masanziwo

Kovacs TO, Jensen DM. Kutaya magazi m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 135.

Meguerdichian DA, Goralnick E. Kutuluka m'mimba. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 27.

Amasunga TJ, Jensen DM. Kutuluka m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 20.