Kodi N'chiyani Chimayambitsa Nthenda Yamagazi?

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10 Zifukwa za Zofupa Zamagazi

Mu mankhwala, pa mtengo wamtengo wapatali, chizindikiro chimodzi chofanana ndi chitsime chamagazi chimatha kukhala chokhudzidwa ndi zikhalidwe zingapo. Magazi mu mpandowo amapereka ngati magazi ofiira kapena maroonish ndipo amaimira magazi penapake mu kapepala ka GI kuchokera pakamwa kupita ku anus. (Ngati magazi akubwera kuchokera kumtunda wapamwamba wa GI ndipo akugwedezeka, akhoza kutenga mawonekedwe ofiira, omwe amawoneka ngati phula. Sindikuphimba melena m'ndandanda uwu.)

Pogwiritsira ntchito mbiri kuchokera mu mbiri yanu, kuyeza thupi, mayesero opatsirana ndi zina zotero, madokotala amatha kudziwa zomwe zizindikiro zimayambitsa matendawa komanso chifukwa cha zizindikiro zomwe zimayambitsa matenda osiyanasiyana. Mu mzimu wa matenda osiyana, ndikukupatsani inu zifukwa 10 zomwe zimayambitsa magazi. Chonde dziwani kuti ndakhala ndikusiya zovuta zowopsa monga e.coli. (Musati mudandaule, ine ndikuphimba kutsegula m'magazi mu nkhani yapadera.)

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Sitolo Yamagazi Chifukwa # 1: Kumwamba GI Bleed

Monga momwe dokotala wina aliyense opaleshoni amavomerezera, chifukwa chachikulu cha GI ya m'munsi mwazi ndikumveka kwa GI pamwamba . Pamene mumatulutsa magazi kuchokera ku chipangizo cha anatemical chomwe chimaphatikizidwa ndi ligament ya Treitz, mitsempha yomwe imaimitsa distal duodenum, magazi amatha kuwoneka kuti alibe gawo muchitetezo chanu.

Kuti muwone ngati muli ndi chapamwamba chotchedwa GI bleed, gastroenterologist idzapanga endoscopy. Potsatira njira zotsitsimula monga kuima kwa mphepo kapena kuika magazi, odwala omwe ali ndi matenda aakulu a m'magazi a GI amafunika opaleshoni.

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Sitolo Yamagazi Chifukwa # 2: Anal Fissure

Ngakhale zifanizo za anal zimapezeka ndi akuluakulu, izi zimayambitsa matenda amagazi m'mimba. Nsomba zoterozo zimayambitsidwa ndi kudzimbidwa kapena kudutsa malo aakulu, olimba. Zilonda zamatenda zimakhala zowonongeka khungu limene limawonekera mukatha kutambasula khungu la anus. (Pepani chi French changa, koma anal fissures akhoza kuwonetsedwa pakhomo lanu.) Mwamwayi, anal fissures nthawi zambiri amachiritsa okha koma kuchepetsa kuchepetsa ndikugwiritsa ntchito mafuta odzola kapena zonona zina kumathandiza kupweteka ndi kusokonezeka.

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Mwazi Wamagazi Chifukwa # 3: Ma Polyps

Dzina losavomerezeka la mapuloteni limatanthauza chiwonetsero chilichonse cha m'mimba. Pali mitundu yambiri ya polyps yomwe imasiyanasiyana malinga ndi kafukufuku wake. Mavitamini a adenomatous amavomerezeka - amachititsa pafupifupi 25 peresenti ya akuluakulu a zaka 50 kapena kuposerapo.

Matenda ambiri a khansara yowonongeka kuchokera ku mazira a adenomatous, ndi khansa yoyera ndi yachiwiri yomwe imayambitsa matenda a khansa ku United States. Komabe, kupititsa patsogolo mankhwala, mankhwala osagwiritsidwa ntchito mopitirira malire omwe amatha kutsekemera amatha kubwezeretsedwa kapena kuchotsedwa ndi opaleshoni, ndipo chemotherpy angaperekedwe kuti athetse kufalikira kulikonse. Khansara yeniyeni imatha kuchiritsidwa ngati yagwidwa mofulumira. Chifukwa chake anthu onse oposa 50 ayenera kuwonetsera nthawi zonse ndi colonoscopy, sigmoidoscopy ndi zina zotero.

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Mwazi Wamagazi Chifukwa # 4: Mahomoni

Matenda a m'mimba ndi otupa mitsempha ya mitsempha yomwe imatha kuchoka ku anus; iwo amawoneka ngati zonyamulira. Mafupa amadzimadzi amakhala osasangalatsa ... mwazi wofiira, wowawa, komanso wophedwa kuchokera ku mitsempha yambiri yomwe imadyetsa anus ndi rectum. Zowopsa ndizochuluka ndipo zimatulutsa m'mimba, kudzimbidwa, kukweza katundu, kukhala ndi nthawi yaitali komanso kutenga mimba. Kwa anthu ambiri omwe ali ndi ziwalo zamadzimadzi, mankhwala ndi operewera ndipo amaphatikizapo kuchuluka kwa mitsempha mu zakudya zanu ndi kugwiritsa ntchito salve monga Kukonzekera H. Malinga ndi malo (mkati ndi kunja), kuuma kwa zizindikiro ndi zina zotero, opaleshoni amatha kupezako mankhwala opatsirana .

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Mwazi Wamagazi Chifukwa # 5: Angiodysplasia

Pamene chifuwa cha magazi chimakhala chobisika, zimakhala zovuta chifukwa cha angiodysplasia kapena kupweteka kwa mimba. Angiodysplasia kawirikawiri imagwirizanitsidwa ndi matenda otchedwa renal disease, von WIllebrand matenda ndi kutha kwa sitepe renal kulephera.

Malinga ndi malo, angiodysplasia amatha kuchiritsidwa ndi kutha kwaposcopic. Mankhwala ena amaphatikizapo mankhwala opangira mahomoni, kuika magazi nthaŵi ndi nthawi ndi zowonjezera zitsulo. Mwamwayi, anthu ambiri, angiodysplasia amasiya yekha.

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Nthenda Yamagazi Chifukwa # 6: Matenda Opatsirana Opatsirana (IBD)

Matenda opweteka a m'magazi (IBD) ndi nthawi yeniyeni ya matenda omwe amachititsa kutupa kwa matumbo. Mitundu iwiri ya IBD ndi Crohn's disease ndi ulcerative colitis. Poyamba, mankhwala a IBD ndi mankhwala kuphatikizapo steroids ndi othandizira kuteteza thupi. Komabe, anthu ambiri omwe ali ndi IBD amafunika opaleshoni.

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Mwazi Wamagazi Chifukwa # #: Khansa

Mu 2010, khansara yofiira inapezeka mu anthu 142,570, ndipo anthu 51,370 anafa ndi matendawa. Chifukwa cha kufotokoza ndi kuchipatala koyambirira, chiwerengero cha anthu omwe amafa chifukwa cha matenda olakwikawa adachepera ndi 25 peresenti. Komabe, khansara yosalala imakabe kwambiri.

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Mwazi Wamagazi Chifukwa # # 8: Matenda Osadziwika

Pali mitundu iwiri ya matenda osiyanasiyana: diverticulosis ndi diverticulitis. Zonsezi zingathe kuwonetsa zopweteka komanso magazi m'magulu.

Diverticulosis imachitika pamene nkhumba kapena diverticula (imodzi yokha diverticulum ) mawonekedwe mu colon. Zojambula izi zimakula kuchokera ku zofooka mu khoma lamakono ndipo nthawi zina zimakula mpaka masentimita angapo yaitali. Ngakhale kuti chiwerengerochi chimatchedwa kuti zakudya zochepa kwambiri, chifukwa chenicheni cha zinthu zoterezi sichidziwika. Kuchetsa kuchokera ku diverticula kungakhoze kuimitsidwa pa opaleshoni kapena m'mimba opaleshoni.

Pamene diverticula imatenga kachilombo, chikhalidwe cha diverticulitis chimayambitsa. Diverticulitis imachiritsidwa mu malo opatsirana pogwiritsa ntchito mankhwala opha tizilombo. Ngati opaleshoni imafunika, madokotala amatha kuyembekezera mpaka atatha kuchipatala.

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Sopo Yamagazi Chifukwa # 9: Ischemic Colitis

Zaka makumi asanu ndi anayi pa makumi asanu ndi atatu pazochitika zonse za ischemic colitis zimakhudza okalamba ndipo zingakhale zovuta kapena zosapitirira. Kuvulala kwaschemic kumayambitsa pamene m'mimba mwazi umathamangira ku khola sikukwanira (kuganiza za magazi kapena atherosclerosis). Kuphatikizana ndi magazi mu chitseko, ischemic colitis ingathenso kupereka ngati kutsegula m'mimba, kufunika kofulumira kuteteza, kupweteka m'mimba ndi kusanza.

Nthawi zambiri matendawa amatha kupitilira nthawi yambiri ndikukhazikitsa okha. Ndi milandu yowopsya, anthu ali m'chipatala, amavala kupuma kwa matumbo ndipo amapatsidwa madzi amadzimadzi ndi ma antibayotiki. Pafupifupi anthu 20 peresenti ya anthu amene amayamba kupwetekedwa ndi matenda enaake, amafunikira opaleshoni. Kugonjera kwa omwe akuchipatala ndi ovuta kwambiri ndi 60 peresenti ya anthu omwe amafa.

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Mwazi wamagazi Chifukwa # #: Alamu yonyenga

Nthaŵi zina, timitundu ndi mabala kuchokera ku chakudya chomwe timadya monga Kool-Aid, Punch ya ku Hawaii, gelatin yofiira komanso beets, ikhoza kutembenuzira mpweya wanu. Ngati munayamba mwakhalapo ndi mwana wanu kupita ku tawuni pamapazi ofiira, mwinamwake mwakhala mukuwona zochitika zowononga koma zosokoneza.

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Mwazi Wamagazi: Maganizo Opita

Monga momwe mungathere tsopano, chitsime chamagazi chingayambidwe ndi zinthu zambiri. Zina mwa zifukwazi zimakhala zokhumudwitsa koma zopweteka kwambiri monga ziwalo za mitsempha kapena ziboliboli; Zina zimayambitsa zambiri monga khansa.

Ngati inu kapena wokondedwa akudandaula za magazi mu mpando, muyenera kuwona dokotala. Ndikudziwa kuti ndizowopsya kuyang'ana pansi ndikuwona magazi pa minofu kapena mu mbale, ndipo zingakhale zokopa kusanyalanyaza ndikuyembekeza kuti zikupita. Komabe, ndi khansa yoyipa yomwe imayambitsa matenda padziko lonse lapansi, simuyenera kunyalanyaza magazi mu malo anu.

Zosankha Zosankhidwa

Stephan M, Carter C, Ashfaq S. Chaputala 50. Mavuto Achipatala. Mu: Stone C, Humphries RL. eds. Kufufuza Kachilendo ndi Kuchiza Mankhwala Odzidzimutsa, 7e . New York, NY: Hill ya McGraw; 2011. Kufikira pa April 3, 2015.

Bullard Dunn KM, Rothenberger DA. Colon, Rectum, ndi Anus. Mu: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Mfundo za Schwartz za Opaleshoni, 10e . New York, NY: Hill ya McGraw; 2014. Kupezeka pa April 3, 2015.

Gomella LG, Haist SA. Mutu 3. Kusiyanitsa kwa mitundu: Zizindikiro, Zizindikiro, ndi Machitidwe. Mu: Gomella LG, Haist SA. eds. Mphunzitsi wa Pocket Reference: The Scut Monkey, 11e . New York, NY: Hill ya McGraw; 2007. Idapezeka pa April 3, 2015.

Mayer RJ. Chaputala 91. Zotsatira za khansa ya m'mimba. Mu: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Mfundo za Harrison za Internal Medicine, 18e . New York, NY: Hill ya McGraw; 2012. Idapezeka pa April 3, 2015.

Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. Chaputala 66. Mafupa. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Atlas of Family Medicine, 2e . New York, NY: Hill ya McGraw; 2013. Kupezeka pa April 3, 2015.