Ukukhipha igazi kulesisifo kunezimbangela eziningana. Njengoba okunye ukuphuma kwegazi kungaba mkhulu futhi kubulalayo, kubaluleke kakhulu ukuthi uhlolwe udokotela nganoma yisiphi isisu sokugaya emathunjini (GI). Futhi uma unesinye sezibonakaliso zokugaya i-GI enzima , kufanele ufune ukwelashwa okuphuthumayo ngokushesha. Kubalulekile futhi ukwazi izimpawu zokugaya okungapheli kwe-GI nokubona udokotela wakho uma uhlangabezana nabo.
Izimpawu
Ukuphuma kweGI okungapheli , okusho ukuthi ukuphuma kwegazi kuphuza, ukuphikelela noma ukuqhubeka okuphindaphindiwe, kuvame ukuba nezimpawu ezingacacile, ngoba zingase ziphume ngokuhlanza noma ngesitorethi ezinanini ezincane. Kodwa-ke, ukuphuma kwegazi okungapheli kungaholela ekudleni kwegazi , okungukuthi uma unamaseli abomvu egazi amancane kunakufanele. Izimpawu ze- anemia zihlanganisa:
- Ukukhathala
- Ukuphelelwa umoya
- Ukungabi namandla
- Isikhumba esiphezulu
- Ukuzwa izinwele ezikhanyayo noma ukudilika
- Ubuhlungu besifuba
- Izinsizwa
- Izandla nezinyawo ezibandayo
- I-palpitations yenhliziyo
- Ukubunzima ukugxila
Uma ubona igazi emhlanzweni noma esitokisini sakho, qaphela amnyama, ama-tarry, noma uhlanza lokho okubukeka njengezizathu zekhofi, kufanele ubone udokotela wakho ngokushesha.
Ukuphuma kwe-GI okunamandla kunzima futhi mhlawumbe kungazelelwe. Uma unezi zimpawu, udinga ukufuna ukunakekelwa kwezokwelapha eziphuthumayo:
- Ukuphelelwa umoya
- Ukungabi namandla
- Igazi esitokisini sakho
- Igazi emanzini akho
- Vomit ukuthi kubukeka njengezizathu zekhofi
- Ukukhathala
- Ukuzwa izinwele ezikhanyayo noma ukudilika
- Ukudideka
- Ukukhathazeka
- Uhudo
- Ukulala
Ukusuka okunamandla kungakwethusa. Izimpawu zokwethuka zifaka:
- Ukushayela okusheshayo
- Ukucindezelwa kwegazi kwehla
- Ukungaboni
- Ungagudli kaningi noma nhlobo
Izimbangela
Kunezimbangela ezihlukahlukene zokuphuma kwegazi kulesisindo , kuye ngokuthi ngabe ukuphuma kwegazi kunesifo esingapheli noma esiyingozi.
Izimbangela zegazi elingapheli zihlanganisa:
- Ukuvuvukala (i- esophagitis ) : I- asidi yesisu ehlehlisela emkhathini wakho ingabangela ukuvuvukala, futhi lokhu ukuvuvukala kungaholela ekusenikeni. Uma kushiywe kungalashwa noma kuqhubeka isikhathi eside, ungahlanza igazi noma into ebonakala njengezizathu zekhofi, okuyinto isimo esiphuthumayo.
- Umdlavuza we-Esophageal: Kunezinhlobo ezimbili zomdlavuza we- esophageal . Iningi lobude bendawo ligcwele amangqamuzana angama-squamous, ngakho-ke uma i-tumor ebulalayo ikhula lapha, ibizwa ngokuthi umdlavuza wesigamane se-squamous. Izindawo ezisezantsi kwesigcawu, futhi lapho i-esophagus ijoyina isisu, ihlanganiswe namaseli e-columnar. Uma i-tumor ebulalayo ikhula lapha, ibizwa ngokuthi i-adenocarcinomas.
- Izilonda: Isilonda singase sibe nesifo sakho esiswini uma i-asidi yesisu ikhuphuka noma ungqimba olunamaqabunga olugqoka uketshezi lwesigamu sakho sokugaya luyancipha. Izimbangela zezilonda ezisindayo zihlanganisa h. ama-pylori amabhaktheriya kanye nokusetshenziswa kwezidakamizwa eziphikisana nezidakamizwa (ama-NSAID) njenge-aspirin, i-Motrin (ibuprofen), ne-Aleve (naproxen).
Izimbangela zokuphuma kwamanzi zihlanganisa:
- Ama-Varice: Lezi zivunguvungu ezingavamile ezingezansi ekupheleni kwesigcawu. Ama- varic esophageal ajwayelekile kakhulu futhi avame ukwenzeka kuphela kwiziguli ezinezifo ezinzima zesibindi ezifana ne-cirrhosis noma ezinye izimo ezithinta ukugeleza kwegazi kwesibindi.
- Izinyembezi: Izinyembezi emgqeni wesifo esivame ukubangelwa ukuhlanza okwesikhashana, kodwa futhi kungabangelwa ukukhwehlela isikhathi eside noma ukugxila. Lokhu kuvame ukubizwa ngokuthi i-Mallory-Weiss syndrome, okuyiyona ingxube yesiphetho esingaphansi kwesimiso esibangelwa ukuhlolisisa okujulile nokuhlanza futhi kubonakala ngokuchotshozwa okuhlobene nokuphuma kwegazi.
> Imithombo:
> Abasebenzi beMayo Clinic. Ama-Esophageal Varices. Ibuyekezwe ngoJanuwari 6, 2018.
> Abasebenzi beMayo Clinic. I-Esophagitis. I-Mayo Clinic. Kubuyekezwe ngo-Okthoba 14, 2017.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Izimpawu Nezimbangela Zokuphuza I-GI. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kubuyekezwe ngo-July 2016.