Zomwe Muyenera Kudziwa Zokhudza Kupha Magazi

Zamkati

• Kodi zizindikiro za chilonda ndi ziti?
• Kodi chimayambitsa zilonda zam'mimba ndi chiyani?
• Helicobacter pylori (H. pylori)
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Zowonjezera zoopsa
• Kodi mankhwala a zilonda zam'mimba ndi ati?
• Kuchira pachilonda
• Kodi ndizovuta ziti zomwe zingachitike?
• Chiwonetsero
• Zikhulupiriro zabodza zam'mimba

Zilonda zotuluka magazi

Zilonda zam'mimba ndizilonda zotseguka m'mimba mwanu. Akakhala mkati mwa mimba yanu, amatchedwanso zilonda zam'mimba. Akapezeka kumtunda kwa m'mimba mwanu, amatchedwa zilonda zam'mimba.

Anthu ena sakudziwa ngakhale kuti ali ndi chilonda. Ena ali ndi zizindikiro monga kutentha pa chifuwa ndi kupweteka m'mimba. Zilonda zimatha kukhala zowopsa ngati ziwononga m'matumbo kapena kutuluka magazi kwambiri (amatchedwanso hemorrhage).

Pitilizani kuwerenga kuti mudziwe zambiri zamatenda ndi chithandizo cha zilonda, komanso kuti mupeze zikhulupiriro zochepa za zilonda.

Kodi zizindikiro za chilonda ndi ziti?

Zilonda sizimayambitsa matenda nthawi zonse. M'malo mwake, pafupifupi kotala limodzi mwa anthu omwe ali ndi zilonda zam'mimba amamva zisonyezo. Zina mwa zizindikirozi ndi monga:

• kupweteka m'mimba
• Kutupa kapena kumverera kokwanira
• kugwedeza
• kutentha pa chifuwa
• nseru
• kusanza

Zizindikiro zitha kukhala zosiyana pang'ono ndi munthu aliyense. Nthawi zina, kudya chakudya kumachepetsa ululu. Kwa ena, kudya kumangowonjezera zinthu.

Chilonda chimatha kutuluka mwazi pang'onopang'ono mwakuti iwe sukuzindikira. Zizindikiro zoyambirira za zilonda zotuluka magazi ndizizindikiro za kuchepa kwa magazi, zomwe zimaphatikizapo:

• wotumbululuka khungu
• kupuma movutikira ndi zolimbitsa thupi
• kusowa mphamvu
• kutopa
• mutu wopepuka

Zilonda zomwe zimatuluka magazi kwambiri zimatha kuyambitsa:

• chopondapo chakuda komanso chomata
• magazi ofiira ofiira kapena amaroni pamipando yanu
• kusanza kwamagazi ndi kusasinthasintha kwa malo a khofi

Kutuluka magazi mwachangu pachilonda ndiwowopsa. Ngati muli ndi zizindikirozi, pitani kuchipatala mwachangu.

Kodi chimayambitsa zilonda zam'mimba ndi chiyani?

Pali ntchofu m'matumbo mwanu yomwe imathandiza kuteteza matumbo. Mukakhala ndi asidi wochuluka kapena ntchofu zosakwanira, asidiwo amawononga pamwamba pamimba kapena m'mimba mwanu. Zotsatira zake ndi zilonda zotseguka zomwe zimatha kutuluka magazi.

Chifukwa chomwe izi zimachitika sizingadziwike nthawi zonse. Zomwe zimayambitsa kwambiri ndi izi Helicobacter pylori ndi mankhwala osakanikirana ndi kutupa.

Helicobacter pylori (H. pylori)

H. pylori ndi bakiteriya yomwe imakhala mkati mwa ntchofu m'matumbo. Nthawi zina zimatha kuyambitsa kutupa m'mimba, komwe kumadzetsa zilonda. Chiwopsezo chikhoza kukhala chachikulu ngati muli ndi kachilomboka H. pylori ndipo inunso mumasuta.

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)

Mankhwalawa amalepheretsa m'mimba mwanu ndi m'matumbo ang'onoang'ono kuti mudziteteze ku zidulo zam'mimba. Ma NSAID amachepetsanso magazi anu kutsekemera, zomwe zingapangitse zilonda zam'magazi kukhala zowopsa kwambiri.

Mankhwala omwe ali mgululi ndi awa:

• aspirin (Bayer Aspirin, Bufferin)
• ibuprofen (Advil, Motrin)
• ketorolac (Acular, Acuvail)
• naproxen (Aleve)
• Kutchina (Daypro)

Acetaminophen (Tylenol) si NSAID.

NSAIDS imaphatikizidwanso m'mankhwala ena osakanikirana omwe amagwiritsidwa ntchito pochiza m'mimba kapena chimfine. Ngati mukugwiritsa ntchito mankhwala angapo, pali mwayi wambiri kuti mutenge ma NSAID ambiri kuposa momwe mukuganizira.

Chiwopsezo chokhala ndi zilonda zoyambitsidwa ndi ma NSAID ndichachikulu ngati:

• kutenga mlingo wapamwamba kuposa wabwinobwino
• tengani pafupipafupi
• kumwa mowa
• ndi okalamba
• gwiritsani ntchito corticosteroids
• anali ndi zilonda m'mbuyomu

Zowonjezera zoopsa

Matenda a Zollinger-Ellison ndi vuto lina lomwe lingayambitse zilonda. Zimayambitsa gastrinomas, kapena zotupa zama cell opangira acid m'mimba mwanu, zomwe zimayambitsa asidi wambiri.

Mtundu wina wa zilonda zosowa umatchedwa ulcer wa Cameron. Zilondazi zimachitika ngati munthu ali ndi nthenda yayikulu yobadwa nayo ndipo nthawi zambiri imayambitsa magazi a GI.

Kodi mankhwala a zilonda zam'mimba ndi ati?

Ngati muli ndi zilonda zam'mimba, onani dokotala wanu. Chithandizo chofulumira chimatha kupewa magazi ochulukirapo komanso zovuta zina.

Zilonda zimapezeka pambuyo pa GI endoscopy (EGD kapena esophagogastroduodenoscopy). Endoscope ndi chubu lalitali losinthika lokhala ndi kuwala ndi kamera kumapeto. Chubu chimalowetsedwa kukhosi kwanu, kenako kum'mero, m'mimba, ndi kumtunda kwa m'mimba. Phunzirani momwe mungakonzekerere endoscopy apa.

Kawirikawiri amachitidwa ngati njira yothandizira odwala, amalola adotolo kuti azindikire mavuto m'mimba ndi m'matumbo.

Zilonda zamagazi zimayenera kuthandizidwa mwachangu, ndipo mankhwala amatha kuyamba kumapeto kwa endoscopy yoyamba. Ngati kutuluka magazi kuchokera kuzilonda kumapezeka nthawi ya endoscopy, adokotala akhoza:

• jekeseni mankhwala mwachindunji
• cauterize chilonda kuti magazi asiye kutuluka
• batitsa chotaya magazi

Ngati muli ndi chilonda, mudzayesedwa H. pylori. Izi zitha kuchitika pogwiritsa ntchito mtundu wa minofu yomwe idatengedwa nthawi ya endoscopy. Zitha kuchitikanso ndi mayeso osawoneka bwino monga kuyesa chopondapo kapena kuyesa kupuma.

Ngati muli ndi matendawa, maantibayotiki ndi mankhwala ena amatha kuthana ndi mabakiteriya ndikuchepetsa zizindikilo. Kuti mutsimikizire kuti mukuchotsa, muyenera kumaliza kumwa mankhwalawo monga momwe adanenera, ngakhale zizindikiro zanu zitasiya.

Zilonda zimathandizidwa ndi mankhwala oletsa asidi otchedwa proton pump inhibitors (PPIs) kapena H2 blockers. Amatha kumwedwa pakamwa, koma ngati muli ndi zilonda zamagazi, amathanso kumwa mankhwala kudzera m'mitsempha. Zilonda za Cameron nthawi zambiri zimachiritsidwa ndi ma PPI, koma kukonzanso nthenda yobereka.

Ngati zilonda zanu chifukwa chotenga ma NSAID ochulukirapo, gwirani ntchito ndi dokotala kuti mupeze mankhwala ena oti muzitha kupweteka.

Maantacids omwe amapezeka pakompyuta nthawi zina amachepetsa zizindikilo. Funsani dokotala ngati zili bwino kumwa mankhwalawa.

Kuchira pachilonda

Muyenera kumwa mankhwala kwa milungu ingapo. Muyeneranso kupewa kutenga ma NSAID kupita patsogolo.

Ngati muli ndi zilonda zotuluka magazi, dokotala wanu angafune kupanga endoscopy ina mtsogolo kuti atsimikizire kuti mwachiritsidwa kwathunthu komanso kuti mulibe zilonda zambiri.

Kodi ndizovuta ziti zomwe zingachitike?

Zilonda zosachiritsidwa zomwe zimafufuma kapena zipsera zimatha kulepheretsa kugaya kwanu. Ikhozanso kuthyola m'mimba mwako kapena m'matumbo ang'onoang'ono, ndikupatsira m'mimba mwako. Izi zimayambitsa matenda otchedwa peritonitis.

Zilonda zamagazi zimatha kubweretsa kuchepa kwa magazi m'thupi, masanzi amwazi, kapena mipando yamagazi. Zilonda zam'magazi zimatulutsa kuchipatala. Kutuluka magazi kwambiri kumawopseza moyo. Kutulutsa kapena kutaya magazi kwambiri kumafunikira kuchitidwa opaleshoni.

Chiwonetsero

Zilonda zimatha kuchiritsidwa, ndipo anthu ambiri amachira bwino. Mukachiritsidwa ndi maantibayotiki ndi mankhwala ena, kupambana kwake kumakhala 80 mpaka 90 peresenti.

Chithandizo chingakhale chothandiza ngati mutamwa mankhwala anu onse monga mwalembedwera. Kusuta ndikugwiritsabe ntchito ma NSAID kumalepheretsa kuchira. Komanso, mitundu ina ya H. pylori ndi mankhwala opha maantibayotiki, omwe amakupangitsani kukhala ndi nkhawa kwakanthawi.

Ngati mwalowa mchipatala chifukwa cha chilonda chotuluka magazi, kuchuluka kwa anthu akufa masiku 30 kuli pafupi. Ukalamba, kutuluka magazi mobwerezabwereza, ndi comorbidity ndizo zina mwa izi. Zomwe zimaneneratu zakufa kwakanthawi ndizo:

• ukalamba
• comorbidity
• kuchepa kwa magazi m'thupi
• kusuta fodya
• kukhala wamwamuna

Zikhulupiriro zabodza zam'mimba

Pali zambiri zabodza zokhudza zilonda, kuphatikizapo zomwe zimayambitsa. Kwa nthawi yayitali, zimaganiziridwa kuti zilonda zam'mimba zimachitika chifukwa cha:

• nkhawa
• kudandaula
• nkhawa
• chakudya cholemera
• zokometsera kapena acidic zakudya

Anthu omwe ali ndi zilonda adalangizidwa kuti asinthe moyo wawo monga kuchepetsa kupsinjika ndi kudya zakudya zopanda pake.

Izi zidasintha liti H. Pylori anapezeka mu 1982. Madokotala tsopano akumvetsa kuti ngakhale zakudya ndi moyo wawo ukhoza kukwiyitsa zilonda zomwe zilipo mwa anthu ena, nthawi zambiri sizimayambitsa zilonda. Ngakhale kupsinjika kumatha kuwonjezera asidi m'mimba yemwe amakwiyitsanso mucosa wam'mimba, kupsinjika mtima sikomwe kumayambitsa zilonda zam'mimba. Kupatulapo kuli kwa anthu omwe akudwala kwambiri, monga omwe ali mchipatala.

Nthano ina yayitali ndikuti kumwa mkaka ndibwino kwa zilonda. Izi zili choncho chifukwa mkaka umaphimba m'mimba mwanu ndikuchepetsa zilonda zam'mimba, kwakanthawi kochepa. Tsoka ilo, mkaka umalimbikitsa kupanga acid ndi timadziti tamagaya, zomwe zimapangitsa zilonda kukulira.