Mdima wakuda kapena wochedwa

Malo akuda kapena odikira okhala ndi fungo loipa ndi chizindikiro cha vuto kumtunda kwam'mimba. Nthawi zambiri zimawonetsa kuti m'mimba muli magazi, m'matumbo ang'ono, kapena mbali yakumanja ya kholalo.

Mawu oti melena amagwiritsidwa ntchito kufotokoza izi.

Kudya licorice wakuda, mabulosi abulu, soseji yamagazi kapena kumwa mapiritsi azitsulo, makala oyatsidwa, kapena mankhwala omwe ali ndi bismuth (monga Pepto-Bismol), amathanso kuyambitsa mipando yakuda. Njuchi ndi zakudya zokhala ndi utoto wofiyira nthawi zina zimatha kupanga chimbudzi ngati chofiira. Pazochitika zonsezi, dokotala wanu amatha kuyesa chopondapo ndi mankhwala kuti athetse kupezeka kwa magazi.

Kutuluka magazi mummero kapena m'mimba (monga matenda am'mimba) kumathandizanso kusanza magazi.

Mtundu wa magazi omwe ali pamalopo amatha kuwonetsa komwe kumachokera magazi.

• Malo akuda kapena odikira atha kukhala chifukwa chakutuluka magazi kumtunda kwa gawo la GI (m'mimba), monga khosi, m'mimba, kapena gawo loyamba la m'mimba. Poterepa, magazi ndi amdima chifukwa amapukusidwa panjira yake ya GI.
• Magazi ofiira kapena atsopano m'matope (magazi am'magazi), ndi chisonyezo chakutaya magazi kuchokera kutsinde la GI (rectum ndi anus).

Zilonda zam'mimba ndizomwe zimayambitsa magazi otupa kwambiri a GI. Zinyumba zakuda ndi zocheperanso zitha kuchitika chifukwa cha:

• Mitsempha yamagazi yachilendo
• Misozi m'mimba mwa kusanza kwankhanza (Mallory-Weiss misozi)
• Magazi akudulidwa gawo lina la matumbo
• Kutupa kwa m'mimba (gastritis)
• Zovuta kapena thupi lachilendo
• Mitsempha yotambalala, yotupa kwambiri (yotchedwa varices) m'mimba ndi m'mimba, yomwe imayambitsidwa ndi chiwindi cha chiwindi
• Khansa ya kum'mero, mmimba, kapena duodenum kapena ampulla

Lumikizanani ndi omwe akukuthandizani nthawi yomweyo ngati:

• Mumazindikira magazi kapena kusintha kwa mpando wanu
• Mumasanza magazi
• Mumamva chizungulire kapena mutu wopepuka

Kwa ana, magazi ochepa pachitetezo nthawi zambiri samakhala ovuta. Chifukwa chofala kwambiri ndikudzimbidwa. Muyenerabe kuwauza omwe amakupatsani mwana wanu mukawona vutoli.

Wothandizira anu atenga mbiri yakuchipatala ndikuyesa thupi. Mayesowa adzayang'ana pamimba panu.

Mutha kufunsidwa mafunso otsatirawa:

• Kodi mumamwa mankhwala ochepetsa magazi, monga aspirin, warfarin, Eliquis, Pradaxa, Xarelto, kapena clopidogrel, kapena mankhwala ofanana nawo? Kodi mukutenga NSAID, monga ibuprofen kapena naproxen?
• Kodi mudachitapo zoopsa kapena mwameza chinthu chachilendo mwangozi?
• Kodi mudadya licorice yakuda, lead, Pepto-Bismol, kapena blueberries?
• Kodi mudakhala ndi gawo lopitilira magazi m'mipando yanu? Kodi mipando yonse ili motere?
• Kodi mwachepetsa thupi posachedwa?
• Kodi pali magazi papepala lachimbudzi lokha?
• Chopondapo ndi chotani?
• Vutoli lidayamba liti?
• Ndi zisonyezo zina ziti zomwe zilipo (kupweteka m'mimba, kusanza magazi, kuphulika, mpweya wochuluka, kutsegula m'mimba, kapena malungo)?

Mungafunike kukhala ndi mayeso amodzi kapena angapo kuti mufufuze chifukwa chake:

• Zithunzi
• Kujambula magazi (mankhwala a nyukiliya)
• Maphunziro a magazi, kuphatikiza kuwerengera kwathunthu kwa magazi (CBC) ndi masiyanidwe, ma seramu chemistries, maphunziro a clotting
• Zojambulajambula
• Esophagogastroduodenoscopy kapena EGD
• Chopondapo chikhalidwe
• Kuyesa kupezeka kwa Helicobacter pylori matenda
• Capsule endoscopy (piritsi yokhala ndi kamera yomwe imatenga kanema wamatumbo ang'ono)
• Balloon enteroscopy iwiri (gawo lomwe limatha kufikira mbali zamatumbo ang'onoang'ono zomwe sizingafikiridwe ndi EGD kapena colonoscopy)

Milandu yambiri yotaya magazi yomwe imayambitsa kutaya magazi kwambiri komanso kutsika kwa magazi kumafunikira kuchitidwa opaleshoni kapena kuchipatala.

Chimbudzi - wamagazi; Melena; Chimbudzi - chakuda kapena chochedwa; Kutuluka m'mimba m'mimba; Zojambula za Melenic

• Diverticulitis ndi diverticulosis - kumaliseche
• Diverticulitis - zomwe mungafunse dokotala wanu
• Anam`peza matenda am`matumbo - kumaliseche

Chaptini L, Peikin S. Kutuluka m'mimba. Mu: Parrillo JE, Dellinger RP, olemba. Zovuta Zosamalira Mankhwala: Mfundo Zazidziwitso ndi Kuwongolera Kwa Akuluakulu. 5th ed. Philadelphia, PA: Elsevier; 2019: chap 72.

Kovacs TO, Jensen DM. Kutaya magazi m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 126.

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 matenda a m'mimba ndi chiwindi a Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 20.