Kuhlanza igazi

Igazi lokuhlanza, noma i-hematemesis, yisimo lapho umuntu ehlanza igazi elingase libonakale njengemicu ebomvu exutshwe nokudla noma okunye. uketshezi lwesisu. Kungase kube nezizathu eziningi zokuhlanza igazi, futhi ngezinye izikhathi kungase kubeke ngisho nokuphila engozini.

Iyini i-Hematemesis (igazi lokuhlanza)?

I-Hematemesis ibhekisela esenzweni sokukhipha igazi ngokuhlanza. Leli gazi lingaxutshwa nokuqukethwe kwesisu noma libe khona ngokwalo, libonise ukuhluka kombala kusuka kokusha nokubomvu okukhanyayo ukuya kwakudala nokumnyama, okufana nesisekelo sekhofi elijiyile. I-Hematemesis isebenza njengenkomba ecacile yokopha kwangaphakathi okuvela engxenyeni engenhla ye- uhlelo lokugaya ukudla, okuhlanganisa umminzo, isisu, kanye nengxenye yokuqala yamathumbu amancane, eyaziwa ngokuthi i-duodenum. Uma uhlanza igazi, kubalulekile ukuthi usheshe ufune usizo lwezokwelapha ngenxa yobucayi balo kanye nezimbangela ezidinga ukuhlolwa nokwelashwa.

Ingabe ukuhlanza igazi kuyisimo esibucayi?

Ukuhlanza igazi kungase kungabonisi ngaso sonke isikhathi inkinga engathi sína. Kwezinye izimo, kungase kube nenani elincane legazi emhlanzweni ngenxa yokugwinya igazi eliphuma ekhaleni. Ezimweni ezinjalo, akunakwenzeka ukuthi kube khona ukulimala kwesikhathi eside. Ngezinye izikhathi ukuhlanza igazi kungase kube uphawu lwenkinga yezempilo ecashile, njengokuphuka kwesitho noma ukopha ngaphakathi. Uma ubona igazi emhlanzweni, thintana nodokotela bethu ku CARE Izibhedlela namuhla. 

Izimbangela zokuhlanza igazi

Ziningi izimbangela zokuhlanza igazi, ezinye zazo ezingaba zimbi noma zingabi zimbi. Lezi zimbangela zingabandakanya ukulimala kwangaphakathi, imithi ethile, noma ngisho nezifo.

Ezinye zezimbangela ezivamile zokuhlanza igazi zihlanganisa:

• kolwelwesi
• Isifo esibi kakhulu se-reflux ye-gastroesophageal
• Izilonda zokopha
• Ukugwinya igazi eliphuma ekhaleni
• Ukukhwehlela noma ukuhlanza kakhulu kubangela ukudabuka komminzo

Kungase kube nezinye izimbangela zokuhlanza igazi ezingabonisa inkinga enkulu yezokwelapha. Lokhu kungafaka:

• Ama-varopha we-Esophageal
• I-Hepatitis ngenxa yokusebenzisa kabi utshwala
• I-anemia
• Isifo sesibindi esinamafutha
• I-cirrhosis
• Ukusetshenziswa isikhathi eside kwezidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• IHemophilia
• Umdlavuza we-Esophageal noma wesisu
• Izimpawu Zokuphalaza Igazi

Umbala wegazi elihlanziwe ungahluka kuye ngokuthi livelaphi. Ingavela kanje:

• Igazi elibomvu elikhanyayo
• Ukudla okuxutshwe negazi
• Igazi elinsundu elifana nesisekelo sekhofi

Igazi elibomvu eligqamile elihlanzayo lingase libonise isimo esibi sokopha kumphimbo noma esiswini. Lo mbala ngokuvamile uphakamisa umthombo wokopha ngokushesha ngaphakathi kwepheshana lamathumbu.

Umbala wegazi onsundu ungase ubonise ukuphuma kwegazi kancane, okungase kuxubane nokudla futhi kuphinde kungene kamuva.

Ukuxilongwa kwegazi lokuhlanza

Ukuxilongwa kwegazi elihlanzayo kuqala lapho udokotela ebuza ngomlando wezokwelapha wesiguli kanye nomlando wakamuva wokulimala okungenzeka kubangele ukuhlukumezeka kwangaphakathi. Udokotela angase enze i-endoscopy ukuze ahlole umgudu wamathumbu.

Isibalo segazi esiphelele singanconywa. Uma udokotela esola ezinye izimbangela zokuhlanza igazi, angase asikisele ukuhlolwa okwengeziwe, okungafaka:

• CT scan
• X-ray
• ultrasound
• Ukuskena kwe-MRI
• Iskena se-PET

Kwezinye izimo, i-biopsy ingase yenziwe endaweni ethile ukuze kuqinisekiswe imbangela nomthombo wegazi emhlanzweni.

Uyombona nini uDokotela?

Uma ukuhlanza okunegazi kwenzeka ngemva kokubhekana nokulimala noma ukulimala, ukunakekelwa kwezokwelapha okusheshayo kungase kudingeke. Noma kwenzeka kungazelelwe ngaphandle kokuphuma kwegazi ekhaleni, ukukhwehlela ngokweqile, noma ukuhlanza, ukufuna iseluleko sezokwelapha kungasiza ekuxazululeni inkinga. Kubalulekile ukuvakashela udokotela uma kunezimpawu ezihambisanayo kanye negazi lokuhlanza, njenge:

• isiyezi
• Ukudideka
• Ubuhlungu obukhulu besisu
• Ubuhlungu besifuba obukhulu

Izinkinga Zokuphalaza Igazi

Ukuhlanza igazi kungaholela ezinkingeni uma imbangela nomthombo wegazi kubucayi. Ukulahlekelwa igazi eliningi ngokuhlanza kungase kubangele i-anemia. Lokhu kungenzeka ngokuhamba kwesikhathi eside futhi kungase kuhlale kungabonakali isikhashana.

Ukwengeza, ukuhlanza igazi kungase kubangele ukushaqeka, okudinga ukwelashwa ngokushesha.

Ukwelashwa kokuhlanza igazi

Uma isiguli siye salahlekelwa igazi elikhulu ngenxa yokuhlanza, ukumpontshelwa igazi kungase kusetshenziswe njengokwelashwa kokuqala. Ngokuya ngembangela ye-hematemesis, udokotela angase anikeze imithi yokunciphisa ukuhlanza. Uma ukuhlanza igazi kubangelwa ukuqhekeka noma ukulimala endaweni engenhla yamathumbu, imithi ingase ituswe ukuze iphathe kahle inkinga. Ezimeni ezinzima zezinkinga zesisu, udokotela angase adlulisele isiguli ku-a i-gastroenterologist. Ukuhlinzwa kungase futhi kunconywe ekulimaleni okubi kakhulu kwangaphakathi noma ukubhobozwa.

Ingabe i-hematemesis ingelapheka?

Ezimweni zokopha okusebenzayo kwangaphakathi, ochwepheshe bezempilo babe nezindlela eziningi zokumisa ukopha, okuyinto ebaluleke kakhulu uma ubhekene ne-hematemesis. Kodwa-ke, uma ukopha kuxhumene nesimo sezempilo esiqhubekayo, ukukuxazulula kungaba inselele kakhulu. Izimo eziphindaphindiwe ze-hematemesis zingase zenzeke uma inkinga eyisisekelo ingabhekwanga kahle futhi ilashwe.

Isiphetho

Ukuhlanza igazi kungase kubangelwe isimo sezempilo esicashile noma ngezinye izikhathi kungase kungabi inkomba yenkinga enkulu. Ukuze ugweme ukudideka noma ukukhathazeka okungadingekile, kubalulekile ukubonisana nodokotela futhi uthole ukwelashwa okufanele kwe-hematemesis.

Imibuzo Evame Ukubuzwa

1. Ingabe igazi elincane emhlanzweni livamile? 

Inani elincane legazi emhlanzweni lingase libhekwe njengelivamile uma liwumphumela wokopha kwangaphambilini. Kodwa-ke, akufanele kuthathwe kalula uma ungekho umlando wokuphuma kwegazi ekhaleni.

2. Lisho ukuthini igazi emhlanzweni ngesikhathi sokukhulelwa? 

Ukuhlanza ngesikhathi sokukhulelwa kuyinto evamile, kodwa ukuhlanza igazi akunjalo. Uma uhlangabezana nokuhlanza okunegazi, thintana nodokotela ngokushesha. 

3. Yiziphi izindlela zokuvimbela ukuhlanza igazi? 

Ukuhlanza igazi kungase kungavikeleki uma kuwumphumela wokulimala kwangaphakathi. Kodwa-ke, kuhle ukugwema imisebenzi engase ibangele ukuhlukumezeka noma ukulimala emzimbeni, ikakhulukazi izitho zangaphakathi. Ukunciphisa ukuphuza utshwala kungase kusize ekuvimbeleni ukuhlanza igazi.

CARE Medical Team

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