Kodi Hematemesis ndi chiyani, zoyambitsa zazikulu ndi zoyenera kuchita

Zamkati

• Zoyambitsa zazikulu
• 1. Kumeza magazi
• 2. Zilonda zam'mimba
• 3. Zotsatira zoyipa za mankhwala
• 4. Matenda a m'mimba
• 5. Matenda a chiwindi
• 6. Khansa yotupa ndi khosi

Mawu akuti hematemesis nthawi zambiri amawonetsa kusintha kwa m'mimba ndipo amafanana ndi mawu asayansi osanza ndi magazi, omwe amatha kuchitika chifukwa cha zinthu zazing'ono monga kutuluka magazi m'mphuno kapena kupsa mtima. Komabe, ngati kusanza kwa magazi sikuchoka kapena kumalumikizidwa ndi zizindikilo zina, zitha kukhala zowonetsa zovuta zina, monga khansa ya m'mimba kapena khansa yotupa.

Pachifukwa ichi, ngati munthuyo akusanza ndi magazi pafupipafupi, ndikofunikira kukaonana ndi dokotala kuti mayesero athe kuchitidwa kuti adziwe chomwe chimayambitsa, motero, chithandizo choyenera kwambiri chitha kuwonetsedwa, chomwe chimasiyanasiyana malinga ndi chifukwa.

Zoyambitsa zazikulu

Zomwe zimayambitsa hematemesis ndi izi:

1. Kumeza magazi

Kumeza magazi ndichimodzi mwazomwe zimayambitsa hematemesis ndipo kumatha kuchitika magazi akatuluka m'mphuno kapena pakakhala kukhumudwa m'mero. Zikatero, ndizotheka kuti magazi amezeredwe mwangozi ndipo munthuyo amatulutsa magazi osagayidwa kudzera pakusanza.

Zoyenera kuchita: Popeza sikugwirizana ndi vuto lalikulu, sikoyenera kuti munthuyo apite kuchipatala kukakonza kutuluka kwa magazi ndikuchiza zomwe zimayambitsa kusanza, pokhapokha ngati magazi aphulika kwambiri, amapezeka pafupipafupi kapena amafunikira Mwachitsanzo, pakaphulika, pakufunika kukaonana ndi dokotala kuti achitepo kanthu moyenera.

2. Zilonda zam'mimba

Kupezeka kwa zilonda zam'mimba kumatha kuyambitsanso hematemesis. Izi ndichifukwa choti acidity ya m'mimba imatha, mucosa yam'mimba imayamba kukwiya, zomwe zimadzetsa zilonda. Zilondazi zikakwiyitsidwa ndi asidi wam'mimba, magazi amatuluka, zomwe zimayambitsa hematemesis.

Kuphatikiza pa hematemesis, ndizotheka kulingalira kuti pali zilonda zam'mimba pakawonekera zisonyezo zina, monga kumva m'mimba, kupweteka mkamwa, m'mdima wakuda komanso wonunkha komanso kupweteka m'mimba. Umu ndi momwe mungazindikire zilonda zam'mimba.

Zoyenera kuchita:Pamaso pazizindikiro za hematemesis, tikulimbikitsidwa kuti mupite kwa asing'anga kapena gastroenterologist kuti mukayesedwe ndipo chithandizo chitha kuyambika, chomwe chimagwiritsidwa ntchito pogwiritsa ntchito mankhwala omwe amateteza mucosa wa m'mimba ku asidi wopangidwa mu m'mimba, kuphatikiza pakusintha kwa zakudya.

3. Zotsatira zoyipa za mankhwala

Mankhwala ena atha kukhala ndi vuto lakutuluka magazi m'mimba, komwe kumatha kuzindikirika kudzera mu hematemesis, komabe mbali iyi sikumveka kwa aliyense. Ena mwa mankhwala omwe amatha kukhala ndi hematemesis ngati mbali ina ndi Aspirin ndi Ibuprofen, omwe amatsutsa-kutupa, komabe hematemesis nthawi zambiri imangochitika munthu akamasintha kale m'mimba kapena akamagwiritsa ntchito mankhwalawa mochuluka komanso popanda malangizo azachipatala.

Zoyenera kuchita: Zikapezeka kuti hematemesis itha kukhala yokhudzana ndi kugwiritsa ntchito mankhwala enaake, ndikofunikira kukaonana ndi dokotala yemwe wapereka malangizowo kuti mankhwalawo athe kuyimitsidwa kapena kusinthidwa mosamala.

4. Matenda a m'mimba

Gastritis amathanso kuyambitsa hematemesis chifukwa imakhudzana kwambiri ndi kuti m'mimba mucosa nthawi zambiri imakwiya ndi asidi wopangidwa ndi m'mimba. Chifukwa chake, chifukwa cha kuchuluka kwa acidity komanso kukwiya kwanuko, zizindikilo zina zitha kuwoneka, monga kusanza ndi magazi, kusapeza m'mimba, kutentha pamimba ndi nseru. Nthawi zambiri, hematemesis imakhudzana ndi matenda am'mimba osachiritsika, omwe ndi omwe kutupa kwam'mimba kumatenga miyezi yopitilira 3 ndipo chithandizo chake sichinayambike kapena sichinachitike molondola.

Zoyenera kuchita: Kuchiza kwa gastritis kuyenera kuchitidwa molingana ndi malangizo a gastroenterologist, pogwiritsa ntchito mankhwala oteteza m'mimba, monga Omeprazole ndi Pantoprazole, mwachitsanzo, chifukwa amatenga chotchinga m'mimba chomwe chimalepheretsa asidi wopangidwa m'mimba kuti asabwerere. Zimakwiyitsa m'mimba, kuthana ndi kupewa zizindikilo za m'mimba. Kuphatikiza apo, kusintha kwamadyedwe ndikofunikira, ndipo tikulimbikitsidwa kupewa zakudya zokometsera, mafuta, zakumwa zoledzeretsa ndi zakudya zokazinga, chifukwa zimakwiyitsanso m'mimba.

Onani mu kanema pansipa zomwe mungadye mu gastritis:

5. Matenda a chiwindi

Mu chiwindi cha chiwindi ndikothekanso kuwona kusanza ndi magazi ngati chimodzi mwazizindikiro ndipo izi zitha kuchitika chifukwa cha kusintha kwa chiwindi komwe kumadzetsa kutsekeka kwa mtsempha wama portal, womwe ndi mtsempha womwe ulipo m'chiwindi komanso womwe umayambitsa dongosolo la portal, dongosolo lomwe limayang'anira kukhetsa magazi kuchokera kumimba. Chifukwa cha kulephera kwa chiwindi ndi dongosolo la zipata, kuwonjezeka kwa kupanikizika m'mitsempha yam'matumbo, komwe kumatulutsa magazi.

Chifukwa chake, ngati munthu ali ndi vuto la matenda enaake, kuwonjezera pa hematemesis, ndizotheka kuwona kutupa m'mimba, kusowa chilakolako, khungu lachikaso ndi maso, nseru, kufooka, kutopa kwambiri ndipo, nthawi yayitali, kusowa kwa zakudya m'thupi.

Zoyenera kuchita: Ndikofunikira kuti chithandizo chovomerezeka ndi a hepatologist chitsatidwe moyenera kuti tipewe zovuta ndikukweza moyo wamunthu. Ndikofunikanso kuti kuyezetsa kumachitika kuti adziwe chomwe chimayambitsa matenda a chiwindi, chifukwa zimatha kuyambitsidwa ndi zakumwa zoledzeretsa kapena kugwiritsa ntchito mankhwala ena, mwachitsanzo. Ngakhale zili choncho, ndikofunikira kuti munthu azidya zakudya zopatsa thanzi ndikuwonjezera mavitamini kuti kuperewera kwa zakudya sikutsimikiziridwa. Onani momwe angachitire chithandizo cha matenda enaake.

6. Khansa yotupa ndi khosi

Khansa ya Esophageal ndi chifukwa china chachikulu cha hematemesis ndipo ndizofala kwambiri kuti kutuluka magazi kumeneku kumachitika m'magawo apamwamba kwambiri a khansa. Kuphatikiza pa kusanza kwamagazi, ngati munthu ali ndi khansa ya kholingo, zizindikiro zina zimawoneka, monga kuvutika ndi kupweteka kumeza, kusowa chilakolako, kuchepa thupi, kusapeza m'mimba, kupezeka kwa mitsempha kuzungulira mchombo ndi malo amdima komanso onunkhira.

Zoyenera kuchita: Ndikofunika kuti kuyezetsa kuchitike kuti mudziwe khansara ndi gawo lomwe ilimo, chifukwa ndizotheka kuti gastroenterologist kapena oncologist awonetse chithandizo choyenera kwambiri chochepetsera zizindikilo ndikutalikitsa moyo wamunthu. Nthawi zambiri, mankhwala omwe akuwonetsedwa ndi opareshoni yochotsa gawo linalake lomwe likukhudzidwa ndi chotupacho, ndikutsatiridwa ndi wailesi komanso chemotherapy kuti athetse ma cell a khansa omwe angakhale akadalipo. Dziwani zambiri za khansa ya m'mimba.