I-Hematochezia: 5 Izinkinga Zimbangela Yegazi Ezingxenyeni Zakho
Ukuba nesitobomvu obomvu kungasabisa, futhi ngokushesha kukhona ukwesaba ukuthi kungaba igazi, kodwa kunezizathu ezimbalwa ukuthi isitokisi singabomvu okungesiyo ngenxa yegazi. Uma kukhona ithuba elibomvu elibonwe ku-poop lingaba igazi, udokotela kufanele axoxisane ngokushesha. Kodwa-ke, uma isizathu sesitembu esibomvu singacacile, zama ukukhumbula ukudla okwakamuva okudliwe, ikakhulukazi noma yikuphi okubomvu noma i-orange.
Isikhathi sezokwelapha segazi elibonakalayo esitokisini yi- hematochezia . Umbala ocacile wegazi ubonisa ukuthi kungenzeka ukuthi uvela emthonjeni osezingeni eliphansi lezinsikazi (njengekoloni, noma emathunjini amakhulu), kunokuthi kunesisindo esiphakeme sesisu (njengesisu, isisu noma intombazane encane ) . Udokotela kufanele ahlale ecwaninga igazi esiteshini ukuze abuse izimo ezingase zibe nzima. Uma uphepha okuningi futhi uzizwa ukhululekile noma unezinye izimpawu ezifana nobuhlungu obukhulu besisu, shayela u-911 futhi uthole usizo ngokushesha.
Lapho i-Red Stool engeyona igazi empeleni
Izinhlobo eziningana zokudla ezinemibala yemvelo noma yokufakelwa zingabangela obomvu esitokisini, okubukeka njengegazi, kodwa akunjalo. Hlola amalebuli wokudla ngoba ukudla kungase kungabonakali kubomvu kepha kungase kube nombala wokubomvu wokudla kuwo. Ezinye zokudla ezingabangela izitshalo ezibomvu zihlanganisa:
- I-gelatin ebomvu, i-popsicles, i-Gatorade, noma i-Kool-Aid
- Utamatisi ujusi noma isobho
- Izimali ezinkulu zezinyosi
- Noma yini enemibala ebomvu yokudla (obomvu # 40)
Uma kungenakho ukudla okubomvu noma ezinye izinto ezigqamile ezidliwayo maduze kodwa nokho kukhona izitshalo ezibomvu, xhumana nodokotela ngokushesha ukuze uhlolwe. Lokhu kuyiqiniso ikakhulu lapho sekube nesitokisi esingaphezu kwesinye esisodwa futhi okwamanje akukho okubomvu ekudleni.
Ukuthola i-Hematochezia yeqiniso
Igazi elibomvu esitokisini lingabangelwa izimo eziningana ezehlukene ezihlanganisa ama-hemorrhoids, ama-fissures e-anal, ama-polyp polyps, ukuphuma kwe-diverticular, noma isifo sofuba (IBD).
Indawo yokuphuma kwegazi kumele inqunywe ngaphambi kokuba kutholakale ukuxilongwa futhi ukwelashwa okubekiwe. Ukuze uqale ukuthola imbangela yokuphuma kwegazi, umlando wesiguli uzothathwa, okufaka imibuzo mayelana nezinguquko emikhondweni yemilenze (njengokuqothulwa noma isifo sohudo) nendawo yimuphi ubuhlungu. Udokotela angase acele ukuhlolwa kwegazi lomzimba we- fecal (FOBT) ukuqinisekisa ukuthi yigazi esitokisini. I-FOBT isilingo esilula ngesiguli-sidinga kuphela ukuthi isampula esitokisini iqoqwe ekhaya futhi ilahlekelwe ehhovisi legqirha noma i-laboratory.
Udokotela angalaya ezinye izivivinyo zokuxilonga ukuze anqume imbangela nendawo ngqo yokuphuma kwegazi. Lokhu kungafaka i-x-ray, ukuhlolwa kwegazi , i- colonoscopy , i-gastroscopy, isiko se-stool, nezifundo ze-barium. Udokotela angaphinda enze ukuhlolwa okusheshayo kwama- rectal , okuyilapho umunwe ogqwetshiwe, ogcotshwe khona ufakwa khona kwi-anus (sekuphelile futhi akumele ulimele).
Izimbangela zeHematochezia
AmaHemorrhoids . Ama-hemorrhoids ayimbangela evamile yegazi elibomvu elikhanyayo esitokisini noma ephepheni lezindlu zangasese.
I-hemorrhoid empeleni isimo se-varicose vein. I-veins emaceleni nasezindaweni ezizungeze i-rectum ne-anus iyavuvukala. Izimpawu ze-hemorrhoids zihlanganisa ukunambitheka kwesilwane, ukuphuma kwegazi ngesikhathi sokuhamba kwesisu, ubuhlungu, ukuqhuma ngesikhathi sokuhamba kwesisu, kanye nezimbambo ezibucayi ezungeze i-anus.
Ukuze uhlolisise ama-hemorrhoids, udokotela uzodinga ukuhlola i-anus ne-rectum futhi mhlawumbe enze ukuhlolwa kwe-rectal. Lokhu kungase kube namahloni okwesikhashana kodwa odokotela basebenzisa ukunikeza lezi zinhlobo zezivivinyo.
Ama-fissures ama-anal . I-fissure iyinyembezi noma isilonda emgqeni womsele wamanzi. Umsele wamanzi ingxenye yokugcina ye-rectum ngaphambi kwe-anus.
Ama-fissures angabonakala kunoma ubani, kodwa ajwayelekile kuneminyaka yobudala noma abantu abadala. I-fissure ingaba nzima ukuphulukisa njengoba ibangela ukuphahlazeka kwe-sphincter yesilwane futhi ikhuphule ngokwayo.
Izimpawu ze-fissure zihlanganisa i-lump anal, igazi elibomvu elikhanyayo endlini yendlu yangasese noma ephepheni lezindlu zangasese, ukunyakaza kwesisu, nesigwegwe esikhumba. I-fissure ngokuvamile ihlolwe ngokuhlolwa okubukwayo noma okuyi-rectal. Ama-fissures angabangelwa ukuqothulwa noma ngokuphoqelela ukunyakaza okunamandla phakathi kwe-anus, ngesikhathi sokubeletha, noma isilonda samathumbu.
Ukuphuma kwegazi . I-diverticulum iyisigxobo esincane emakoloni ama-bulges avela endaweni ebuthakathaka edongeni lekoloni. Isimo sokuba ne-diverticula ekolon ibizwa nge-diverticulosis futhi sithinta amaphesenti angu-10 aseMelika angaphezu kweminyaka engama-40. Nakuba kungavamile, i-diverticula ingabangela ukuphuma kwegazi okuvela esitokisini noma endlini yangasese. Lokhu kuphuma kungase kungadingi ukwelashwa ngaphandle uma kuqhubeka noma kunzima.
Isifo sofuba esiswini . I-colitis ye-ulcerative kanye ne-Crohn's disease yizifo ezingapheli ezingapheli ezingxenyeni zamathumbu ezibizwa ngokuthi IBD. Izikhathi zezifo ezisebenzayo, noma 'ama-flares', nezikhathi zokuxolelwa zibonisa i-IBD. I-IBD ingabangela ukuphuma kwegazi emgqumeni wokugaya ovela esitokisini noma endlini yangasese. Izivivinyo eziningana zokuxilonga ngokuvamile ziqediwe futhi zifundwe ngumchwepheshe wokugaya ukudla ngaphambi kokuba kuhlolwe i-IBD.
Ama-polyps ama-polyps . Umbangela omkhulu wegazi esitokisini i-polon polyp. I-polyp ukukhula emdongeni wekolon noma i-rectum. Amanye amakhemikhali ekoloni angathuthuka kusuka kulezi polyps. Ukuthola ama-polyps ekuqaleni kwe-sigmoidoscopy noma i-colonoscopy futhi ukuyisusa kwabo kungasiza ekuvimbeleni umdlavuza we-colon. Ngesikhathi i-polyp polyp ebangela ukuphuma kwegazi elibonakalayo, ngokuvamile umdlavuza usuvele ukhona.
Izwi elivela
Igazi esitokisini akukaze livamile, kodwa futhi akuyona into ephuthumayo njalo noma uphawu lomdlavuza. Into ebalulekile ukubona udokotela ngokushesha ukuze kuhlolwe. Uma kukhona ubuhlungu obukhulu, ukuphuma kwamanzi amaningi, noma ukuhlanza kanye negazi, thola ukwelashwa ngokushesha. Udokotela angasiza ukufaka ukuphuma kwegazi kube ngumbono futhi kunqume ukuthi ngabe yikuphi ukuhlolwa okudingekayo.
> Imithombo:
> I-American Gastroenterological Association. "Izifo Zezifo Ezivuthayo." I-Gastro.org Jul 2016.
> I-May Clinic Abasebenzi. "AmaHemorrhoids: Izimpawu Nezimbangela." I-Mayo Clinic. 2017.
> Wilkins T, Baird C, Pearson AN, Schade RR. "Ukuphahlaza Okungajwayelekile." Am Fam Physician . 2009 Nov 1; 80 (9): 977-983.