Chophimba chakuda sikuli nthawi zonse chifukwa cha vuto lalikulu. Pali zifukwa zambiri zowonjezera zowoneka ngati zakuda, komanso zowonjezera zitsulo kapena Oreos angakhale ndi mlandu. Izi ndi zowona makamaka kwa anthu omwe ali ndi opaleshoni ya ostomy kapena colectomy , chifukwa chakudya sichikumbidwa mokwanira monga momwe ziliri ndi anthu omwe sanachite opaleshoni ya m'mimba. Komabe, ngati mudakhala ndi m'mimba m'mbuyomu, mumakhala kununkhira, kapena vuto limapitirira kwa masiku angapo, chifukwa chake mukuwona dokotala wanu.
Mfundo Zachidule: Zimene Mukuyenera Kudziwa Zokhudza Mdima Wofiira
- Nthawi zambiri zimakhala zakuda zakuda ndi zakudya zakuda kapena zowonjezera zitsulo.
- Chinthu chofala kwambiri chomwe chimayambitsa zida zakuda ndi zilonda zamagazi.
- Zitsulo zakuda zomwe zimayambitsidwa ndi magazi zimasonyeza vuto m'magazi apamwamba.
- Magazi mu chopondapo amatha kudziwika kupyolera pamayeso.
- Chophimba chakuda pamodzi ndi kupweteka, kusanza, kapena kutsekula m'mimba ndi chifukwa chowonera dokotala nthawi yomweyo.
- Ngati mukuganiza kuti magazi ali m'thumba, muyenera kuonana ndi dokotala mwamsanga.
Zozizira Zofiira Zimayambitsa Chakudya Kapena Zakudya Zoonjezera
Chophimba chakuda chikhoza kuyambitsidwa ndi chakudya, mankhwala owonjezera, mankhwala, kapena mchere. Iron imathandizira, yotengedwa yokha kapena ngati gawo la multivitamin chifukwa cha kuchepa kwa magazi m'thupi , zingayambitse zitsamba zakuda kapena zofiira . Zakudya zomwe zili mdima wandiweyani, zakuda, kapena zobiriwira zingayambitsenso zida zakuda. Zinthu zomwe zimapezeka kuti zimayambitsa zida zakuda zikuphatikizapo:
- Black licorice
- Blueberries
- Iron imathandizira
- Yotsogolera
- Bismuth (Pepto-bismol)
Ngati mukuwona zida zakuda ndipo mukhoza kuzibwezera ku chakudya chomwe mudya, ndizo zabwino. Komabe, dokotala ayenera kufunsidwa mwamsanga ngati zida zakuda sizingatheke ku chakudya, chitsulo chowonjezera, kapena Pepto-bismol.
Ngati palibe chifukwa chodziwikiramo chovala chakuda (monga chakudya, supplement, kapena mankhwala monga Pepto-bismol), ikhoza kukhala nthaŵi yofuna magazi mu chopondapo.
Zifukwa zosiyanasiyana zachipatala zingayambitse zidole zakuda zomwe zimakhalanso ndi fungo loipa.
Zithunzi Zofiira Zimayambitsidwa Ndi Magazi: Melena
Magazi omwe amachokera kumtunda wapamwamba, monga mimba kapena m'mimba, akhoza kutembenukira kuchithunzi chakuda, chomwe chimatchedwa "melena." Pamene magazi amadutsa kupyolera mu thupi ndikugwirana ntchito ndi michere mu njira yogaya chakudya, magazi amasintha kuchokera ku ofiira mpaka akuda. Izi zimapangitsa kuti zikhale zovuta kuwona mkati kapena pamsana kuposa ngati pali magazi ofiira. Magazi ofiira kapena otetezeka, omwe amatchedwa hematochezia , "amachokera m'munsi mwa m'mimba , monga rectum kapena colon. Magazi ochokera m'mimba m'mimba adzawonetsedwa pang'ono ndi momwe angapangidwire chakudya mtundu.
Ngati thumba lakuda likuphatikizidwa ndi zizindikiro zina monga kukhumudwa kapena kutaya, chizungulire, kupweteka, kapena kusanza, makamaka ngati pali magazi mmenemo kapena zikuwoneka ngati malo a khofi, kuonana ndi dokotala nthawi yomweyo n'kofunika, chifukwa zingakhale zachipatala zovuta. Kwa anthu ena, pangakhale kale chidziwitso chomwe chimayambitsa kuika magazi m'magazi. Lankhulani ndi dokotala zokhudzana ndi kuthekera kwa magazi ndi magazi mu mpando ngati zina mwazifukwa zomwe zingathe kuikapo pangozi zilipo:
- Matenda a chiwindi
- Khansa
- Chotupa cha Dieulafoy (chosavuta cha m'mimba)
- Zokwanira zotupa m'mimba (kutupa m'mimba)
- Gastritis (yotupa m'mimba)
- Matenda a m'mimba amachimake (magazi amkati amatha)
- Zilonda zapeptic
- Kulira m'mimba (Mallory-Weiss misozi)
- Mankhwala (zovuta zazikulu zamitsempha) m'mimba kapena m'mimba
Kusanthula Magazi M'thumba
Mtundu wakuda wokha sukwanira kudziwa kuti kwenikweni ndi magazi omwe akulowetsedwa mu mpando. Choncho, adokotala adzafunika kutsimikiza ngati pali magazi omwe ali pamsana. Izi zikhoza kuchitidwa ku ofesi ya dokotala kupyolera mu kufufuza koyerekeza.
Kapena, zingatheke pakhomo ndi chida chomwe chimagwiritsidwa ntchito kusonkhanitsa kalasi yaing'ono , yomwe imatumizidwa ku labu kuti iwonetsere.
Magazi m'mphepete mwa mdima angayambidwe ndi zikhalidwe zosiyanasiyana, kuphatikizapo zilonda zamagazi , gastritis , masewera olimbitsa thupi, kapena misozi yomwe imachokera kumasanza achiwawa (Mallory-Weiss misozi). Kuwonekera kwachitetezo chachitetezocho kumachokera ku mwazi wokhala ndi mavitamini a thupi.
Melena akapezeka, dokotala akhoza kulamula mayesero ena owona kuti adziwe chifukwa chake ndikutuluka magazi. Chiyeso chomwe chingakhale chofunikira kwambiri pakuzindikira chomwe chimayambitsa magazi chidzakhala esophagogastroduodenoscopy (EGD) . Mayesero ena omwe angachitidwe angaphatikizepo x-rays , kuyesa magazi , colonoscopy , chikhalidwe chachitetezo , ndi maphunziro a barium .
Zowonjezera Zambiri za Melena
Ulonda. Chilonda ndi mtundu wa zilonda pazitsulo za m'mimba zomwe zingayambitse magazi ndipo zimayambitsa melena. Mosiyana ndi zomwe anthu ambiri amakhulupirira, zilonda za m'mimba sizimayambitsa matenda kapena zokometsera (ngakhale izi zingapangitse chilonda chomwe chili kale). Ndipotu, amayamba chifukwa cha matenda a bacteria wotchedwa Helicobacter pylori ( H. pylori ). Maantibayotiki amalembedwa kuti athetse matendawa, ndipo nthawi zina amachepetsa.
Chinthu china cha zilonda zam'mimba ndizogwiritsa ntchito mankhwala opweteka omwe amatchedwa NSAIDs (antisteroidal anti-inflammatory drugs). NSAID zingakwiyitse mimba mwa kufooketsa luso lakumanga kukana asidi opangidwa mmimba. Pa chifukwa chomwechi, NSAIDs zimakhudza matenda a Crohn ndi ulcerative colitis. NSAID zimaphatikizapo mankhwala omwe amagwiritsidwa ntchito kwambiri monga ibuprofen, naproxen sodium, ndi aspirin. NSAID zina zimaperekedwa ndi madokotala. Zilonda zam'mimba zimayambitsidwa ndi NSAID nthawi zambiri amachiza pambuyo poti mankhwalawa akutsutsa.
Gastritis. Gastritis ndi kutupa kwa m'mimba. Kutupa uku kungayambidwe ndi mowa kapena chakudya chochuluka, kudya zakudya zonunkhira, kusuta, matenda opatsirana ndi mabakiteriya, kapena kugwiritsa ntchito kwa nthawi yaitali NSAID. Gastritis amatha kukhalanso atatha opaleshoni kapena kupwetekedwa mtima, kapena akhoza kugwirizana ndi matenda omwe alipo kale.
Esophageal Varices. Mitsempha yotchedwa Esophageal ndi mitsempha yowonjezera m'mphepete mwa m'mimba kapena m'mimba. Pamene mitsempha imeneyi ikutha, imayambitsa magazi, zomwe zingachititse kuti magazi aoneke muchitetezo kapena mu masanzi. Magulu a Esophageal ndi vuto lalikulu lomwe limabwera chifukwa cha kuthamanga kwa magazi ( kuthamanga kwa magazi ) komwe kumabwera ndi chiwindi cha chiwindi .
Mallory-Weiss Misozi. Imeneyi ndi misozi ya mucous memphane yomwe imayanjana ndi mimba ndi m'mimba. Ngati misozi imatuluka, imatha kukhala melena. Matendawa ndi osavuta (omwe amapezeka pa anthu anayi okhawo 100,000) ndipo amayamba chifukwa cha kusanza kwaukali, kukokera, kapena matenda a khunyu.
Mawu Ochokera
Nthaŵi zambiri, thumba lakuda limachokera ku zakudya ndipo sikuti ndilofunika kulidera nkhawa. Ngati muli ndi zidole zakuda zomwe simungathe kuzipatsa chakudya kapena zowonjezereka, onani dokotala mwamsanga. Chidole chakuda kamodzi kanthawi kamene kamakhalapo kaye kaye kudya chakudya chomwe chili chakuda sichikudetsa nkhaŵa. Ngati mtundu wakuda uli ndi zizindikiro zina monga kusanza, kutsegula m'mimba, kapena kupweteka kwambiri, funsani kuchipatala mwamsanga.
Zotsatira:
> Laine L, Jensen DM. "Kusamalira odwala omwe ali ndi zilonda zamagazi." Am J Gastroenterol . 2012; 107; 345-360.
> Lanza FL, Chan FK, Quigley EM; Gwiritsani ntchito Parameters Komiti ya American College of Gastroenterology. "Malangizo othandizira kupewa matenda a zilonda zamtundu wa NSAID." Am J Gastroenterol . 2009 Mar; 104: 728-738.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. "Kutsegula m'magazi a Digestive". 2017.