Nthawi zambiri m'mimba mwazi mumatuluka magazi si oopsa monga momwe zimakhalira m'mimba. Komabe, zina zimatuluka, makamaka zomwe zimachitika pamtunda wapamwamba wa GI, zikhoza kukhala zazikulu komanso zakupha. Choncho, ndikofunika kuti tiyesedwe ndi dokotala wa magazi omwe ali ndi magazi, ndipo ngati wina ali ndi zizindikiro za magazi amodzi, ayenera kupeza chithandizo mwamsanga nthawi yomweyo.
Kutaya magazi m'magazi si matenda, koma ndi chizindikiro cha matenda. Chifukwa cha kutuluka kwa magazi chikhoza kugwirizana ndi matenda omwe angachiritsidwe, kapena akhoza kukhala chizindikiro cha vuto lalikulu.
Tsamba la m'mimba, lomwe limatchedwanso tsamba la m'mimba kapena kapepala ka GI, lili ndi ziwalo zingapo. Izi zimaphatikizapo mimba, m'mimba, matumbo aang'ono, matumbo akuluakulu (omwe amatchedwanso kolon), rectum, ndi anus. Chotsatira cha kutaya mwazi chimadalira kuti ndi chigawo chiti cha magazi omwe amapezeka m'magazi.
Zomwe zimayambitsa matenda m'mimba ndizo:
- Kutupa ( esophagitis ): Matenda a m'mimba omwe amabwerera m'mimba angayambitse kutupa, ndipo kutukuka kumeneku kungayambitse magazi.
- Malangizo : Awa ndi mitsempha yowonjezereka yomwe ili pamapeto a mimba.
- Misozi : Misozi imayambira m'magazi omwe amayamba chifukwa cha kusanza kwa nthawi yaitali, koma amakhalanso ndi chifuwa chokhazikika. Izi nthawi zina zimatchedwa matenda a Mallory-Weiss, omwe ndi matenda a m'munsi mwa chiwopsezo chomwe chimayambitsidwa ndi kutaya kwambiri ndi kusanza ndipo amadziwika ndi kutaya magazi komwe kumakhudzana ndi magazi.
- Zilonda
- Khansa
- Zilonda : Zilonda zimatha kukulitsa ndi kupyolera m'magazi, zomwe zimayambitsa magazi.
- Gastritis
- Khansa
- Duodenal chilonda
- Matenda opweteka a m'magazi : Kutupa kumachitika, zomwe zingayambitse magazi.
- Khansa
M'mimba Amtumbo Ambiri ndi Matenda :
- Matenda a m'mitsempha : Izi ndizo zimachititsa kuti magazi aziwoneka m'magazi apansi, ndipo nthawi zambiri amakhala ofiira. Iwo ali ndi mitsempha yotambasula mu malo a anal omwe akhoza kutha ndi kutuluka magazi.
- Ulcerative colitis : Kutupa ndi zilonda zazing'ono zingayambitse magazi.
- Matenda a Crohn : Ichi ndi matenda aakulu omwe angachititse kutupa komwe kungayambitse magazi .
- Khansara yapamwamba: Ichi ndi chikhalidwe chomwe chimayambitsa kuchoka kunja kwa khoma la koloni.
Zizindikiro za m'mimba zimatuluka magazi
Kodi ndi zizindikiro ziti zomwe mumakhala nazo poyeretsa magazi zimadalira malo omwe magazi amachokera m'magazi, komanso ngati ndi ovuta (mwachidule ndi oopsa) kapena aakulu (kutalika kwa nthawi yaitali) kutuluka magazi.
Zizindikiro za Kubwezeretsa Kwambiri Kwa GI:
- Magazi ofiira owala, mazenera amdima, kapena khofi pansi-monga zinthu mu masanzi
- Mdima wakuda, ngati phula
Zizindikiro za Kuperekera kwa GI Kumunsi:
- Kupita magazi okhawisi ofiira okha, kapena kudutsa magazi osakanizika mu sitolo (kutembenukira pansi mpaka wakuda kapena tar-like)
- Magazi ofiira owala kwambiri kapena a maroon ali pamsasa
Zizindikiro za magazi oopsa
- Kufooka
- Kupuma pang'ono
- Chizungulire
- Kuthamanga mwamsanga
- Kuthamanga kwa mkodzo kuchepa
- Kupweteka m'mimba kwa Crampy
- Ozizira, manja ndi mapazi
- Kufooka
- Kutsekula m'mimba
- Kusokonezeka
- Kusokonezeka
- Kugona
- Magazi ofiira ofiira omwe amawaphimba
- Magazi amdima osakanikirana ndi chitsime
- Black kapena tarry stool
- Magazi ofiira ofunika mu masanzi
- Maonekedwe a khofi a masanzi
Zizindikiro za magazi aakulu
- Kufooka
- Kutopa
- Kupuma pang'ono
- Pallor
- Kupweteka pachifuwa
- Chizungulire
- Lethargy
- Kufooka
- Magazi ofiira ofiira omwe amawaphimba
- Magazi amdima osakanikirana ndi chitsime
- Black kapena tarry stool
- Magazi ofiira ofunika mu masanzi
- Maonekedwe a khofi a masanzi
Kuzindikira matenda a m'mimba mwazi
Dokotala kawirikawiri amayamba njira yothandizira polemba mbiri yachipatala, ndikufufuza bwinobwino. Panthawi ya kuyezetsa magazi, dokotala wanu angakufunseni za matumbo anu (kuyenda mobwerezabwereza kusiyana ndi kawirikawiri), choyimira choyera (chakuda kapena chofiira) ndi kusinthasintha (womasula kapena wolimba). Adzafunsanso ngati mukukumana ndi ululu kapena chifundo, ndi kumene kuli. Dokotalayo amatsatira zotsatira za kuyezetsa magazi ngati kuyezetsa kwake sikuwulule chifukwa cha kutuluka kwa magazi (monga kutaya magazi), kapena kudziwa ngati pali chifukwa chimodzi chokha chokhalira magazi.
Mayesero ozindikiritsa ndi awa:
- Kutsekemera kochepa kwambiri
- EGD (esophagogastroduodenoscopy)
- Colonoscopy
- Sigmoidoscopy
- Anoscopy
- Barium x-rays
- Zizindikiro
Kuthetsa magazi m'mimba
Kuchiza kwa magazi m'magazi kumadalira chifukwa cha magazi, komanso ngati kutuluka kwa magazi kumakhala kovuta kapena kosalekeza. Mwachitsanzo, ngati aspirin imayambitsa magazi, wodwala amasiya aspirin ndipo magazi amachiza. Ngati khansara ndiye chifukwa cha kutuluka kwa magazi, njira yamakono yochizira ndiyo kuchotsa chotupacho. Ngati chilonda chapachirombo chimayambitsa magazi, dokotala angapereke mankhwala ochizira mankhwala a H. pylori , amalimbikitsa kusintha kwa zakudya, mwinamwake kusintha kwa moyo.
Gawo loyamba pa chithandizo cha kuika magazi ndikumitsa magazi. Izi kawirikawiri zimachitidwa mwa kulumikiza mankhwala mwachindunji kumalo otuluka m'magazi, kapena poyambitsa malo otuluka m'magazi ndi kafukufuku wowonjezera wopyola mu endoscope .
Chinthu chotsatira ndichokuchiza matenda omwe amachititsa kuti magazi achoke. Izi zimaphatikizapo mankhwala omwe amachiza zilonda zam'mimba, matenda a shuga, H. pylori , ndi matenda ena. Izi zikuphatikizapo proton pump inhibitors (PPIs), H2 blockers , ndi maantibayotiki. Njira yothandizira opaleshoni imafunikanso, makamaka ngati chifukwa cha kutuluka magazi ndi chotupa kapena mapepala, kapena ngati chithandizo chokhala ndi endoscope sichingapambane.
Zotsatira:
"Kutsegula m'magazi a digestive." NIH Publication No. 07-1133 November 2004. Matenda a National Digestive Clevinghouse (NDDIC). 18 Oct 2007.