Iziguli ze-arthritis kufanele ziqaphele izimpawu zokuxwayisa
Iziguli ze-arthritis zithatha imithi eminingana eyandisa ingozi yokugaya amathunjini. Uma uthathe enye yale mithi isikhathi eside, ungase uhlehliselwe umqondo wokuphepha wamanga ukuthi konke kuhle. Kubalulekile ukuthi wazi izibonakaliso zokugaya kwamathumbu - ngoba kungenzeka nganoma isiphi isikhathi futhi kungashesha kube yisimo esiphuthumayo.
Kuyini ukuchithwa kwamathumbu?
Ukusuka kwamathumbu kubhekisela kunoma yikuphi ukuphuma kwegazi okwenzeka emaphethelweni emathunjini, okuphuma emlonyeni wakho kuya ku-anus yakho. Ngokuqondile, i-tract of the stomach is divided into the upper tract of tract and the tract infestinal tract. Ipheshana eliphezulu lamanzi liyingxenye emkhatsini womlomo nesisu sokuphuma kwesisu. Ipheshana eliphansi lemathunjini yisigaba esivela ekuphumeni kwesisu kuya ku-anus, kufaka phakathi isilwane esincane nesibindi.
Ukuphuma kwegazi kunesisindo semali encane kakhulu yegazi ukuphuma kwegazi. Inani lokuphuma kwegazi kanye nendawo yokuphuma kwegazi kunquma ukuthi yini okudingeka yenziwe ukuze imise ukuphuma kwegazi. Kunezimo eziningi ezingabangela ukuphuma kwamathumbu emathunjini. Ngenxa yokuthi kukhona umphumela ongathà sina owaziwayo wezokwelapha ezithile ezithathwe i-arthritis - ama-NSAID (izidakamizwa ezingavumeli ukuvuvukala) kanye nama- corticosteroids - iziguli ezithatha lezo zidakamizwa akufanele zizinake noma yiliphi uphawu lokuphapha.
Izimpawu Ezihambisana Nokukhipha Izisu
Okokuqala, kubalulekile ukuqaphela ukuthi njengoba ukuphuma kwamathumbu kuphakathi kwangaphakathi, akusiyo ubuhlungu obukhulu ukukhonza njengenkomba yobunzima benkinga.
Izimpawu zokuphuma kwegazi esiswini eliphezulu zihlanganisa:
- Ukushaya igazi elibomvu elikhanyayo (i-hematemesis)
- Ukushaya ama-clots amnyama, noma izinto ezifakwe emhlabathini
- Kudlula isithunzi esimnyama, se-tar-like (melena)
Izimpawu zokugaya kwamathumbu amancane zihlanganisa:
- Kudlula igazi elihlanzekile (i-hematochezia) noma igazi elixutshwe esitokisini
- I-red ebomvu noma i-maroon igazi esitokisini
I-Hematemesis ikhona kuma-50% wezinkinga ezingenhla zokuphuza kwamathumbu. I-Hematochezia ibonakala ngamaphesenti angu-80 azo zonke ukuphuma kwamathumbu emathunjini. I-Melena ikhona ku-70% wegazi eliphezulu lokuphuma kwamathumbu kanye no-33% wegazi elingaphansi kwegazi. Ukwakha ama-black, tarry (melena), kufanele kube ngu-150-200 cc wegazi futhi igazi kufanele libe emaphethelweni emathunjini amahora angu-8 ukuvula umnyama. Ngakho-ke, ngenkathi ubona izitshalo ezimnyama, sekuvele kube nokuphuma okuphawulekayo.
Kungani Kubalulekile Ukungaziboni Izimpawu Zokukhipha?
Umuntu ophuma emathweni abo emathunjini angase aqale ukukhombisa izimpawu zokwethuka noma i-hypovolemia (wehla emthameni wegazi ojikelezayo). Ezinye izinkomba zesimo esiphuthumayo ezihlobene nokuphuma kwamathumbu kuzoba:
- I-Tachycardia (ukushaya kwenhliziyo okusheshayo)
- I-Tachypnea (ukuphefumula okusheshayo)
- I-Hypotension (umfutho wegazi ophansi)
- I-Syncope (yehlulekile)
- I-Pallor (i-paleness)
- I-Diaphoresis (ukujuluka)
- U-Oliguria (wehla ukukhiqizwa komchamo)
- Ukudideka
Khumbula, uma unezibonakaliso noma izimpawu kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha.
Uma ukuphuma kwegazi kuqakathekile, kubalulekile ukuthola amanzi okugcoba, ukuphathwa kwezindiza, nokumpontshelwa igazi ukuze kuqiniswe - ngisho nangesikhathi sokuhlolwa kokuqala ukucacisa umthombo othize wegazi.
Amaphuzu Okumele Awakhumbule
Kucatshangwa ukuthi abantu abangaphezu kuka-100 000 baseMelika bayiswa esibhedlela kanti phakathi kuka-15 000 no-20 000 bayafa ngonyaka ngamunye kusukela ezilonda kanye nokuphuma kwegazi ngokuphathelene nokusetshenziswa kwe-NSAID. Ekhuluma kuphela ngesifo samathambo, iziguli eziyizigidi eziyi-14 zithatha ama-NSAID njalo - kuze kufike ku-60% azoba nemiphumela emibi yemiphumela yesisu njengomphumela.
Ngoba kukhona ingozi eyaziwayo yezilonda nokugaya kwamathumbu ngama-NSAID kanye ne-corticosteroids, abantu abathwala lezo zidakamizwa kumele baqaphe ngokuqapha.
Amalungu omndeni abo abahlala nabo kumele afundiswe mayelana nezimpawu zokuxwayisa zokuphuma kwamathumbu. Nakuba kungakaze kube mnandi ukuya ekamelweni eliphuthumayo noma kube esibhedlela, ukuphuma kwamathumbu emathunjini kungabi kakhulu. Yenza into efanele - ungayinaki izimpawu zakho. Ukuphila kwakho kuncike kulo.
Imithombo:
> Ukuqonda i-GI yokukhipha. I-American College of Gastroenterology.
http://patients.gi.org/gi-health-and-disease/
> Ukwehla kwamathumbu. UScott Moses, MD. 6/1/2008.
http://www.fpnotebook.com/GI/Sx/GstrntstnlBldng.htm