Hematochezia: 5 Zowonjezera Zimayambitsa Magazi Mumtima Wanu
Kukhala ndi chofiira chofiira kungakhale chododometsa, ndipo nthawi yomweyo pali mantha omwe angakhale magazi, koma pali zifukwa zingapo kuti chophimba chingakhale chofiira chomwe sichiti chifukwa cha magazi. Ngati pali mwayi wofiira womwe umapezeka mu poop ungakhale magazi, dokotala ayenera kufunsidwa mwamsanga. Komabe, ngati chifukwa cha sitolo yofiira sichimveka bwino, yesetsani kukumbukira zakudya zomwe zachitika posachedwapa, makamaka zomwe ziri zofiira kapena lalanje.
Mawu azachipatala a magazi owoneka m'munsiyi ndi hematochezia . Mtundu wowala wa magazi umasonyeza kuti umachokera ku gwero la m'mimba m'mimba (monga colon, kapena matumbo akulu), osati m'matumbo apamwamba (monga mimba , m'mimba, kapena m'mimba ) . Dokotala ayenera nthawi zonse kufufuza magazi mu chitseko kuti athetse zinthu zomwe zingakhale zovuta kwambiri. Ngati mukumwa magazi kwambiri ndipo mumataya mtima kapena muli ndi zizindikiro zina monga kupweteka kwa m'mimba, funsani 911 ndi kupeza thandizo mwamsanga.
Pamene Chotupa Chofiira Sichimakhala Magazi
Mitundu yosiyanasiyana ya chakudya ndi mitundu yachilengedwe kapena yojambula ingapangitse wofiira mu mpando, womwe umawoneka ngati magazi, koma si choncho. Fufuzani malemba a zakudya chifukwa chakudya sichingakhoze kuoneka chofiira koma chikhonza kukhala ndi mtundu wofiira wa chakudya. Zina mwa zakudya zomwe zingayambitse zofiira ndizo:
- Red gelatin, popsicles, Gatorade, kapena Kool-Aid
- Msuzi wa phwetekere kapena supu
- Zambiri za beets
- Chilichonse chojambulidwa ndi mtundu wofiira wa chakudya (wofiira # 40)
Ngati palibe zakudya zofiira kapena zakudya zina zamitundu yosiyanasiyana zomwe amadya posachedwapa koma pali zofiira, funsani dokotala nthawi yomweyo kuti muzitulutse. Izi ndizoona makamaka ngati pakhala pali sitima imodzi yofiira koma palibe chofiira mu zakudya.
Kuzindikira Hematochezia Yeniyeni
Magazi ofiira m'mphepete mwake amatha kusokonekera ndi zizindikiro zosiyanasiyana monga mafinya, mafinya am'nthiti, mapuloteni amtundu wa magazi, kutuluka kwa magazi, kapena matenda opatsirana (IBD).
Malo otuluka magazi ayenera kutsimikiziridwa asanatuluke kuti atha kugwiritsidwa ntchito ndi mankhwala omwe atchulidwa. Poyamba kudziwa zomwe zimayambitsa magazi, mbiriyakale ya odwala idzatengedwa, yomwe imaphatikizapo mafunso okhudza kusintha kwa matumbo (monga kudzimbidwa kapena kutsekula m'mimba) komanso malo amamva ululu uliwonse. Dokotala akhoza kulamula kuyesa magazi amatsenga (FOBT) kuti awonetsetse kuti ndi magazi mu mpando. FOBT ndi kuyesa kosavuta kwa wodwala-kumangotanthauza kuti sampulo yonyamulira imasonkhanitsidwa kunyumba ndipo imasiyidwa pa ofesi ya dokotala kapena labotale.
Dokotala akhoza kulamula zoyezetsa zina kuti azindikire chifukwa chomwe amachotsera magazi. Izi zikhoza kuphatikizapo x-ray, kuyesa magazi , colonoscopy , gastroscopy, chikhalidwe chachitetezo, ndi maphunziro a barium. Dokotala akhoza kuyesa kufufuza mofulumira, komwe kumakhala kosalala, konyezimira kamene kakalowetsedwa mu anus (kuthamanga msanga ndipo sayenera kuvulaza).
Zifukwa za Hematochezia
Mafupa . Mafupa amachititsa kuti magazi azikhala ofiira kwambiri m'thumba kapena pamapepala a chimbudzi.
Mthemphamadzi kwenikweni ndi mawonekedwe a mitsempha ya varicose. Mitsempha mkati ndi kuzungulira rectum ndi anus imakhala kutupa. Zizindikiro za m'mimba zimaphatikizapo kuyabwa kwa ana, kutuluka m'magazi pamatumbo, kupweteka, kusungunuka panthawi ya matumbo, ndi mitsempha yodutsa pafupi ndi anus.
Pofuna kudziŵa kuti magazi amatha kutentha, dokotala adzafunika kufufuza chifuwa cha anus ndi rectum ndipo mwinamwake azidzayezetsa kachilomboka. Izi zingakhale zochititsa manyazi kwa miniti koma madokotala amagwiritsidwa ntchito kupereka mayeso awa.
Zilonda zamatenda . Kusokonezeka ndi misozi kapena zilonda m'makina a kanjini. Mtsinje wa anal ndi gawo lomaliza la rectum pamaso pa anus.
Mafinya akhoza kuchitika kwa wina aliyense, koma ali ofala m'zaka za pakati kapena achinyamata. Kuwopsya kungakhale kovuta kuchiritsa pamene kumayambitsa kupopera kwa anal sphincter ndipo kumadzipangitsa palokha.
Zizindikiro za nkhanza zimaphatikizapo mtanda wamagazi, magazi ofiira m'mbale ya chimbudzi kapena pa pepala la chimbuzi, zowawa zamagazi, ndi chikopa cha khungu. Zowonongeka zimapezeka kuti zimakhala ndi maonekedwe kapena mawonekedwe. Nsomba zingayambidwe chifukwa cha kudzimbidwa kapena kukakamiza kuthamanga kwa matumbo kudzera mu anus, panthawi yobereka, kapena zilonda za m'mimba.
Kutuluka mwazidzidzidzi . A diverticulum ndi thumba laling'ono m'matumbo omwe amachokera ku malo osafooka mu khoma la koloni. Mkhalidwe wokhala ndi mitundu yosiyanasiyana mu colon umatchedwa diverticulosis ndipo umakhudza pafupifupi 10 peresenti ya anthu a ku America oposa zaka 40. Ngakhale kuti sizoloŵera, njira yowonjezera ikhoza kuyambitsa magazi omwe amawoneka pansi kapena chimbudzi. Kutuluka uku sikungapange chithandizo pokhapokha ngati chiri chopitirira kapena choopsa.
Matenda opweteka . Matenda a zilonda zam'mimba ndi matenda a Crohn ndi matenda osachiritsika a m'mimba omwe amatchedwa IBD. Kusiyana kwa matenda opatsirana, kapena 'flares', ndi nthawi za kukhululukidwa zimasonyeza IBD. IBD ikhoza kuyambitsa magazi m'magazi omwe amapezeka mu chitseko kapena chimbudzi. Kafukufuku wochuluka kawirikawiri amatsirizidwa ndi kuphunzira ndi katswiri wamagetsi asanadziwe kuti IBD yapangidwa.
Colon mapepala . Chifukwa chachikulu cha magazi mu choponderetsa ndi mapulotoni. Pulopeni ndi kukula pa khoma la colon kapena rectum. Matenda ena a khansa akhoza kuyamba kuchokera ku mapepalawa. Kuzindikira mapepala oyambirira kupyolera mu sigmoidoscopy kapena colonoscopy ndi kuwachotsa kungathandize kupewa khansa yamtundu. Panthawi yomwe mapuloteni amachititsa kuti magazi aziwoneka, kansa imapezeka kale.
Mawu Ochokera
Magazi muchitetezo sichizolowezi, komabe si nthawi zonse zoopsa kapena chizindikiro cha khansa. Chofunika kwambiri ndi kuwona dokotala mwamsanga kuti awonedwe. Ngati pali ululu waukulu, kutuluka magazi ambiri, kapena kusanza pamodzi ndi magazi, pitani kuchipatala nthawi yomweyo. Dokotala akhoza kuthandiza kuika kwa magazi kukhala koyang'ana ndikuzindikira ngati ziyeso zina ndizofunika.
> Zotsatira:
> American Gastroenterological Association. "Matenda Opatsirana Opunduka." Gastro.org Jul 2016.
> May Clinic Ogwira Ntchito. "Mafupa: Zizindikiro ndi Zimayambitsa." Chipatala cha Mayo. 2017.
> Wilkins T, Baird C, Pearson AN, Schade RR. "Kupopera Kwambiri Kwambiri." Am Phys Physician . 2009 Nov 1; 80 (9): 977-983.