Isigqoko esimnyama akuyona ngaso sonke isikhathi ngenxa yenkinga enkulu. Kunezizathu eziningi zezitshalo ezingabonakala zingabonakala zibe zimnyama, nezindleko zensimbi noma ngisho no-Oreos angase abe icala. Lokhu kuyiqiniso ikakhulu kubantu abaye bahlinzwa ngokuhlinzwa noma i- colectomy , ngoba ukudla akugciniwe ngokugcwele njengoba kunabantu abangenalo ukuhlinzwa kwesisu. Kodwa-ke, uma usuphethe ukugaya kwamathumbu esikhathini esidlule, kukhona iphunga elimnandi, noma inkinga iqhubeka isikhathi eside kunezinsuku ezimbalwa, kungesizathu sokubona udokotela wakho.
Amaqiniso Okusheshayo: Okudingeka Ukwazi Ngezimpahla Ezimnyama
- Amacala amaningi ezitshalo ezimnyama aphuma ekudleni ukudla okumnyama noma okunye okune-iron.
- Isimo esivame kakhulu esibangela izitulo ezimnyama yisilonda esisukayo.
- Izitshalo ezimnyama ezibangelwa igazi kubonisa inkinga engxenyeni engenhla yokugaya.
- Igazi elisesitokisini lingatholakala ngesilingo sesitokisi.
- Isigqoko esimnyama kanye nobuhlungu, ukuhlanza noma isifo sohudo kubangelwa ukubona udokotela ngokushesha.
- Uma igazi lisolwa, kufanele uxhumane nodokotela wakho ngokushesha.
Ama-Black Stools abangelwa ukudla noma izithako
Isitokisi esimnyama singabangelwa ukudla, izithako, imithi noma amaminerali. Izithako ze-Iron, ezithathwe yedwa noma njengengxenye ye-multivitamin ye-iron-deficiency anemia , ingabangela izitshalo ezimnyama noma izitshalo eziluhlaza . Ukudla okuluhlaza okwesibhakabhaka omnyama, omnyama, noma obuluhlaza nakho kungabangela izitshalo ezimnyama. Izinto ezivame ukutholakala ezibangela amatshe amnyama zihlanganisa:
- I-licorice emnyama
- Ama-blueberries
- Izithako ze-Iron
- Phatha
- I-Bismuth (i-Pepto-bismol)
Uma ubona izitshalo ezimnyama futhi ungayilandela emuva kokudla okudlile, kulungile. Kodwa-ke, udokotela kufanele abonisane ngokushesha uma izitshalo ezimnyama zingenakulandelwa emuva kokudla, i-iron supplement, noma i-Pepto-bismol.
Uma kungekho isizathu esicacile sesitokisi esimnyama (njengokudla, isithasiselo, noma imithi efana ne-Pepto-bismol), kungaba isikhathi sokubheka igazi esitokisini.
Izizathu ezihlukahlukene zezokwelapha zingabangela izitshalo ezimnyama ezihlala futhi ziphunga elimnandi.
Ama-Black Stools abangelwa yigazi: Melena
Igazi elivela ekukhuphukeni emgodleni wokugaya, njengesifo noma isisu, lingase libe isithunzi somnyama, okuthiwa "melena." Njengoba igazi lidlula emzimbeni futhi lixhumana ne-enzyme kwinqubo yokugaya, igazi liyashintsha kusuka ebomvu kuya kumnyama. Lokhu kwenza kube nzima nakakhulu ukubona ngaphakathi noma esitokisini kunokuba kukhona igazi elibomvu. Igazi elibomvu noma esitokisini, okuthiwa i- hematochezia , "ngokuvamile livela emkhakheni we- digestive , efana ne-rectum noma ikolon. Igazi elivela ngaphansi kwesimiso somzimba lizokwehliswa ngaphansi kwenqubo yokugaya futhi lingagcina libomvu umbala.
Uma isibhakabhaka esimnyama sihambisana nezinye izimpawu ezifana nokudangala noma ukuphelelwa amandla, isizungu, ubuhlungu, noma ukuhlanza, ikakhulukazi uma kukhona igazi kuwo noma kubonakala sengathi kunezizathu zekhofi, ukuxhumana nodokotela ngokushesha kubalulekile, ngoba kungaba yidokotela eziphuthumayo. Kwabanye abantu, kungenzeka ukuthi kakade sekukhona ingozi eyaziwa yengozi yokuphuma kwegazi emkhakheni wokugaya. Khuluma nodokotela mayelana nokukwazi ukuphuma kwegazi kanye negazi esitokisini uma kukhona noma yikuphi kwalezi zingozi ezingase zibe khona:
- Isifo sesibindi
- I-Cancer
- I-Dieulafoy lesion (isimo esingavamile sesisu)
- Ukwehla kwesisu (ukuvuvukala kwesifo)
- I-gastritis eyingozi (ukuvuvukala esiswini)
- Ischemia yezinambuzane (ukunikezelwa kwegazi emathunjini kuyaqedwa)
- Izilonda ze-Peptic
- Ukulila kulesisindo (Mallory-Weiss izinyembezi)
- Ama-Varice (imifudlana emikhulu ngokungavamile) esiteshini noma esiswini
Ukuthola igazi eSitokolini
Umbala omnyama wedwa akwanele ukunquma ukuthi empeleni igazi lidluliselwa esitokisini. Ngakho-ke, udokotela uzodinga ukuqinisekisa ukuthi kukhona ngempela igazi esitokisini. Lokhu kungenziwa ehhovisi likadokotela ngokusebenzisa ukuhlolwa kwe-rectal.
Noma, kungenziwa ekhaya ngekithi elisetshenziselwa ukuqoqa isampula esincane , esithunyelwe ebhodini lokuhlola.
Igazi elisesitokisini elimnyama lingabangelwa izimo eziningana ezihlukene, kuhlanganise nesilonda esiphuzayo , i- gastritis , i-esophageal varices, noma inyembezi ekuhlanjuleni okubudlova (iMallory-Weiss izinyembezi). Ukubukeka kwe-stool kubonakala kuvela egazini elixhumene namajusi omzimba wokugaya.
Ngemuva kokuthi i-melena itholakale, udokotela angalaya ezinye izivivinyo zokuxilonga ukuze abone imbangela nendawo ngqo yokuphuma kwegazi. Ukuhlolwa okuzobe kunesidingo esikhulu ekunqumeni imbangela yokugaya kuyoba isophagogastroduodenoscopy (EGD) . Ezinye izivivinyo ezingase zenziwe zingabandakanya i- x-ray , ukuhlolwa kwegazi , i- colonoscopy , isiko lesitokisi, nezifundo ze-barium .
Izizathu Ezengeziwe Ezivamile ZikaMelena
Ulcer. Isilonda siwuhlobo lwesifo esibuyeni besisu esingabangela ukuphuma futhi sibangele i-melena. Ngokuphambene nenkolelo evamile, izilonda zesisu azivame ukubangelwa ukucindezeleka noma ukudla okubabayo (nakuba lezi zingenza isilonda sesivele sisekhona kakade). Empeleni, zibangelwa ukutheleleka nge-bacterium ebizwa ngokuthi i- Helicobacter pylori ( H. pylori ). Ama-antibiotic avame ukuba anqunywe ukuqeda ukutheleleka, futhi ngezinye izikhathi i-acid reducer.
Esinye imbangela yezilonda zesisu yisisetshenziswa sesikhathi eside semithi yobuhlungu eyaziwa ngokuthi i- NSAID (izidakamizwa ezingavimba ukuvuvukala). Ama-NSAID angacasula isisu ngokunciphisa ikhono lokubamba iqhaza lokumelana ne-acid eyenziwe esiswini. Ngenxa yalesi sizathu, ama-NSAID anomthelela omubi kwisifo sikaCrohn kanye nesifo sofuba esiswini. Ama-NSAID afaka izidakamizwa ezivamile ezingaphezu kwezinto ezifana ne-ibuprofen, i-naproxen sodium, ne-aspirin. Amanye ama-NSAID anqunywe odokotela. Izilonda zesisu ezibangelwa ama-NSAID zivame ukuphulukisa ngemuva kokuba umuthi okhubazayo uphelelwe.
I-Gastritis. I-Gastritis ukuvuvukala kwesisu esiswini. Lokhu ukuvuvukala kungabangelwa utshwala noma ukudla okuningi, ukudla ukudla okumnandi, ukubhema, ukutheleleka ngamagciwane, noma ukusetshenziswa kwesikhathi eside kwama-NSAID. I-Gastritis ingathuthuka futhi ngemva kokuhlinzwa noma ukulimala, noma ingase ihlotshaniswe nezimo zezokwelapha sezivele zikhona.
Ama-Esophageal Varices. Ama-varic esophageal ahlanjululwa emithanjeni emdongeni wesisu esingaphansi noma esiswini sangaphezulu. Uma lezi zindlala ziphuka, zingabangela ukuphuma kwegazi, okungabangela igazi ukuba livele esitokisini noma ekuhlanzeni. Ama-varic esophageal yi-complication eyinkimbinkimbi ebangelwa isifo somfutho wegazi ( ingcindezi ephezulu yegazi ) eyenziwa yi- cirrhosis yesibindi .
I-Mallory-Weiss Izinyembezi. Leli yizinyembezi embranini emangcwabeni ejoyina isisu nesisu. Uma lokhu kuphuma kwegazi, kungabangela i-melena. Lesi simo asivamile (senzeke kuphela kubantu abane abayizinkulungwane ezingu-100) futhi kungabangelwa ukuhlanza okunonya, ukukhwehlela, noma ukuqubuka kwesibindi.
Izwi elivela
Ezimweni eziningi, isitokisi esimnyama sisuka ekudleni futhi akusona into okufanele sikhathazeke ngayo. Uma unezihlalo ezimnyama ongakwazi ukuzifaka ekudleni noma ekufakeni izithako zensimbi, bheka udokotela wakho ngokushesha. Isitokisi esimnyama esisodwa okwesikhashana esivela njalo emva kokudla ukudla okubumnyama okwembala ngokuvamile akusikho into okufanele ukhathazeke ngayo. Uma umbala omnyama uhambisana nezinye izimpawu ezifana nokuhlanza, uhudo noma ubuhlungu obukhulu, funa ukunakekelwa ngokushesha.
Imithombo:
> Laine L, Jensen DM. "Ukuphathwa kweziguli ezinegazi lesilonda." Am J Gastroenterol . 2012; 107; 345-360.
> Lanza FL, Chan FK, Quigley EM; Ikomiti Yokuzijwayeza I-Parameters ye-American College of Gastroenterology. "Iziqondiso zokuvimbela izinkinga zesilonda ezihlobene ne-NSAID." Am J Gastroenterol . 2009 Mar; 104: 728-738.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "Ukukhipha igazi ku-Tract Digestive Tract." I-National Digestive Information Clearinghouse. 2017.