Ukuphuma kwegazi kusenesikhathi kuphuza, futhi kuvame ukuqhubeka isikhathi eside noma uqale futhi ume esikhathini esifushane.
Izimpawu zokugwinya okungapheli kwe-GI zixhomeke ekutheni indawo yokugaya ihamba kanjani lapho kuphuma igazi. Ukusuka okungapheli kwipheshana le-GI kungase kungabonakali kalula njengegazi elimangalisayo le-GI ukuphuma ngenxa yokuthi izimpawu zalo azibonakali kancane.
Kubalulekile ukuthi ufune ukunakekelwa kwezokwelapha noma ngabe ubona izimpawu zokugaya i-GI, noma ubonise izimpawu ze-GI ephuma ngegazi.
Ukuphuma kwegazi okungapheli kungabangela i-anemia esigulini. Ngakho-ke kubalulekile ukwazi izimpawu ze-anemia. Lezo zimpawu zihlanganisa:
- Ukukhathala, ukulahlekelwa amandla
- Ukungabi namandla
- Ukuzivocavoca noma ubukhulu obunzima
- Isikhumba esiphezulu
- Ukuphefumula, ikakhulu uma kuvivinya umzimba
- Ukubunzima ukugxila
- Ukuphambuka (ukuzwa kwenhliziyo ukushaya ngokungavamile)
- Ubuhlungu besifuba
- Izandla nezinyawo ezibandayo
- Izinwele
Udokotela wakho angalawula ukuhlolwa kwelebhu ye-anemia. Izinyathelo ezilandelayo kuzoba ukuhlela ikholonoscopy kanye ne-esophagogroduodenoscopy ukuthola umthombo wokuphuma kwegazi.
Ukukhipha isisu emgodleni wokugaya akuyona isifo, kodwa kunesifo sesifo. Isizathu sokugaya singase sihlobene nesimo esingalashwa, noma kungenzeka sibe uphawu lwesimo esibi kakhulu.
Isizathu sokuphuma kwegazi sincike kunoma iyiphi indawo yegciwane lokugaya egazini ivela.
Izimbangela ezivamile
Ku- Esophagus :
- Ukuvuvukala ( isophagitis ): I-asidi yesisu ebuyela emuva ku-esophagus ingabangela ukuvuvukala, futhi lokhu ukuvuvukala kungaholela ekusenikeni.
- Ama-Varice : Lezi zivunguvungu ezingavamile ezingezansi ekupheleni kwesigcawu.
- Izinyembezi : Izinyembezi emgqeni wesifo esivame ukubangelwa ukuhlanza okwesikhashana, kodwa futhi kungabangelwa ukukhwehlela isikhathi eside noma ukugxila. Lokhu ngezinye izikhathi kubizwa ngokuthi i-Mallory-Weiss syndrome, okuyinto isifo sokuphela kwesiguli esivela ekuhloliseni okujulile nokuhlanza futhi kubonakala ngokuchotshozwa okuhlobene nokuphuma kwegazi.
- Izilonda
- I-Cancer
Esikhathini:
- Izilonda : I-Ulcers ingase ikhulise futhi iphume ngegazi, ikhiphe igazi.
- I-Gastritis
- I-Cancer
- I-Duodenal ulcer
- Isifo sesifuba sokuvuvukala : Ukuvuvukala kungenzeka, okungabangela ukuphuma kwegazi.
- I-Cancer
Emathunjini Omkhulu Ne-Rectum:
- Ama-hemorrhoids : Lena yimbangela evame kakhulu yegazi ebonakalayo emgqeni we-digestive ophansi, futhi ngokuvamile ubomvu obomvu. Ziyi-veins ekhulisiwe endaweni yangasese engakwazi ukuphuka nokuphuma.
- I-colitis yokulonda : Ukuvuvukala nezilonda ezincane kungabangela ukuphuma kwegazi.
- Isifo sikaCrohn : Lesi simo esingapheli esingabangela ukuvuvukala okungase kubangele ukuphuma kwegazi .
- Umdlavuza we-Colorectal : Lesi yisimo esibangelwa ukuphuma ngaphandle kwodonga lwamakoloni.
Ukwelapha
Ukwelashwa kokuphuma kwegazi emkhakheni wokugaya ukudla kuncike ekubambeni kokuphuma kwegazi, nokuthi ngabe ukuphuma kwegazi kuyingozi noma kungapheli. Isibonelo, uma i-aspirin inomthwalo wokwelapha, isiguli siyama ukuthatha aspirin futhi ukwelapha kuphethwe. Uma umdlavuza imbangela yokuphuma kwegazi, inkambo evamile yokwelapha isusa isisu. Uma isilonda se-peptic imbangela yokuphuma, udokotela angase anikeze imithi yokwelapha uHlpylori , batusa ushintsho ekudleni, mhlawumbe ushintsho endleleni yokuphila.
Isinyathelo sokuqala ekwelapheni kwe-GI ukukhipha igazi ukuyeka ukuphuma kwegazi. Lokhu kuvame ukuwenziwa ngokujova amakhemikhali ngqo endaweni yokuphuma kwamanzi, noma ngokususa indawo yokuphuma kwegazi nge-probe ye-heater edlule i-endoscope.
Isinyathelo esilandelayo ukuphatha isimo esibangela ukuphuma. Lokhu kuhlanganisa imithi esetshenziselwa ukwelapha izilonda, i-esophagitis, H. pylori , nezinye izifo. Lokhu kufaka phakathi i- proton pump inhibitors (i-PPIs), i- H2 blockers , nama-antibiotic. Ukungenelela kokuhlinzwa kungase kudingeke futhi, ikakhulukazi uma imbangela yokugaya kuyi-tumor noma i-polyps, noma uma ukwelashwa nge-endoscope kuphumelelanga.
Imithombo:
"I- Ulcers nokukhupha kwamathumbu: Ukuvikela Impilo Yakho. " I-American College of Gastroenterology.
"Ukukhipha igazi ku-Tract Digestive Tract." Ukushicilelwa kwe-NIH No. 07-1133 November 2004. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC).