Odwala nyamakazi ayenera kudziwa zizindikiro zowonetsera
Odwala nyamakazi amatenga mankhwala angapo omwe amachititsa kuti m'mimba muzizidwe magazi. Ngati mwatenga mankhwalawa kwa nthawi yayitali, mutha kukhala osungika kuti zonse ziri bwino. Ndikofunika kwambiri kuti mudziwe zizindikiro za m'mimba mwazi - chifukwa zikhoza kuchitika nthawi iliyonse ndipo zikhoza kukhala mwamsanga.
Kodi Kusamba kwa Mimba N'kutani?
Kutuluka kwa m'mimba kumatanthawuza kuti magazi aliwonse amapezeka m'matumbo a m'mimba, omwe amachokera pakamwa panu kupita ku anus. Makamaka, m'mimba timagawidwa m'mwamba m'matumbo ndi m'munsi m'matumbo. Chigawo chapamwamba cha m'mimba ndi chigawo pakati pa pakamwa ndi m'mimba. Matenda a m'mimba a m'mimba ndi gawo lochokera m'mimba mpaka ku anus, kuphatikizapo matumbo aang'ono ndi aakulu.
Kutuluka kwa m'mimba kumatuluka kuchokera ku magazi ochulukirapo kwambiri mpaka kutuluka magazi. Kuchuluka kwake kwa magazi ndi malo omwe amagazi ndi zomwe zimayenera kuchitidwa kuti asiye kutuluka magazi. Pali zinthu zambiri zomwe zingayambitse m'mimba magazi. Chifukwa chakuti mankhwala ena amachititsa kuti magazi asamayende bwino - mankhwala osokoneza bongo (antisteroidal anti-inflammatory drugs) ndi corticosteroids - odwala omwe amamwa mankhwalawa sayenera kunyalanyaza chizindikiro chilichonse chochotsa magazi.
Zizindikiro Zogwirizana ndi Kutsekemera kwa Mimba
Choyamba, nkofunika kuzindikira kuti kuyambira m'mimba mwazi mumkati, sikukhala zowawa nthawizonse kuti zikhale chizindikiro chokhudzidwa ndi vutoli.
Zizindikiro za m'mimba m'mimba kumaphatikizapo:
- Kuwombera magazi ofiira owala (hematemesis)
- Kuwombera mdima wamdima, kapena khofi monga zinthu
- Kupita wakuda, phula ngati phula (melena)
Zizindikiro za kuchepa m'mimba m'mimba zimaphatikizapo:
- Kudutsa magazi oyera (hematochezia) kapena magazi osakanizika mu sitolo
- Mkaka wofiira kapena maroon mu mpando
Hematemesis alipo 50% mwazikulu zakumimba m'mimba. Hematochezia amapezeka m'magazi 80% amagazi onse. Melena ali ndi 70 peresenti ya m'mimba m'mimba m'magazi ndipo 33% ya m'mimba m'mimba amachotsa magazi. Kupanga wakuda, tarry stools (melena), payenera kukhala 150-200cc ya magazi ndipo magazi ayenera kukhala m'matumbo a m'mimba kwa maola 8 kuti atembenuke wakuda. Choncho, panthawi yomwe mumawona zida zakuda, pamakhala kale magazi ochuluka.
Nchifukwa Chiyani Ndikofunika Kusanyalanyaza Zizindikiro Zosamba?
Munthu amene akutuluka m'magazi awo amatha kuyamba kusonyeza zizindikiro za mantha kapena hypovolemia (kuchepa kwa kuchulukitsa kwa magazi). Zizindikiro zina za vuto lachidzidzidzi zokhudzana ndi kutuluka kwa m'mimba zidzakhala:
- Tachycardia (kugunda kwa mtima mwamsanga)
- Tachypnea (kupuma mofulumira)
- Kusamvana (kutsika kwa magazi)
- Syncope (yafooka)
- Pallor (paleness)
- Diaphoresis (thukuta)
- Oliguria (kuchepa kwa mkodzo)
- Kusokonezeka
Kumbukirani, ngati muli ndi zizindikiro izi muyenera kufufuza chithandizo chamankhwala mwamsanga.
Ngati kutaya magazi kuli kofunika, ndikofunika kulandira madzi otsekemera, kuyendetsa ndege, ndi kuika magazi kuti zikhazikike - ngakhale panthawi yoyesedwa kuti mudziwe chomwe chimachokera mwazi.
Mfundo Zokumbukira
Akuti anthu oposa 100,000 a ku America amamangidwa kuchipatala ndipo pakati pa 15,000 ndi 20,000 amafa chaka chilichonse kuchokera ku zilonda za m'mimba komanso m'mimba mwazi okhudzana ndi ntchito ya NSAID. Pogwiritsa ntchito nyamakazi yokha, odwala 14 miliyoni amatenga NSAID nthawi zonse - mpaka 60% mwa iwo omwe adzakumane ndi zotsatira za m'mimba monga zotsatira.
Chifukwa pali chidziwitso cha zilonda zam'mimba ndi m'mimba mwazi ndi ma NSAID ndi corticosteroids, anthu omwe amamwa mankhwalawa ayenera kukhala odikira kwambiri.
Amuna awo omwe amakhala nawo amafunikanso kuphunzitsidwa za zizindikiro zowononga magazi. Ngakhale sikusangalatsa kupita ku chipinda chodzidzimutsa kapena kukhala kuchipatala, kutuluka m'mimba kumakhala koopsa. Chitani chinthu choyenera - musanyalanyaze zizindikiro zanu. Moyo wanu ukhoza kudalira pa izo.
Zotsatira:
> Kumvetsetsa GI Kupuma. American College of Gastroenterology.
http://patients.gi.org/gi-health-and-disease/
> Kutsegula m'mimba. Scott Mose, MD. 6/1/2008.
http://www.fpnotebook.com/GI/Sx/GstrntstnlBldng.htm