Ukopha kakhulu esiswini - esongela lwesifo isilonda Peptic

Ukopha - i ingxaki eziqheleke kakhulu yingozi wesifo isilonda Peptic. Amaninzi, ukopha esiswini senzeka kwethumba etsolo Peptic, kodwa ezinye izigulane inokuba exacerbation uphawu lokuqala. igazi ubugqi usoloko sikhatshwe uphuhliso ahlekise isilonda esiswini. Ngokuqhelekileyo, uphawu enjalo esi sifo uhlala ababanjwa kwaye akujongwa kama.

Ukuxilongwa zingaqala omkhulu,-kuthiwa ukopha lweenkcukacha esiswini kunye hematemesis kunye melena (nizilazile ilindle), ezithi zivele phantse ngexesha elinye. Ezi mpawu zenza kube lula ukucinga ukopha elingeneyo amacala asentla le lokugaya. Xa ukugabha igazi rhoqo umthombo ukopha esiswini rarely eludongeni duodenal, duodenal kodwa ngaphezu esibayeni. Emhlanzweni kulo mzekelo zifana ngezizathu zekofu. Noko ke, ukopha evela nezilonda duodenal kunye nesisu akusoloko sikhatshwe uphuhliso ukugabha wamagazi. Kudla uchonge melena kuphela. Malunga ne-90% ye isilonda ezophayo, yenzelwe ukuba i duodenum, kwenzeka melena kuphela, lo gama isilonda esiswini ngokuqhelekileyo wabona hematemesis.

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Ukuba ekuphuhliseni ukopha esiswini, iimpawu zimiselwa ngobunzulu nomthamo ukopha. umthamo onobulali ayidluli 300-400 ml. Kulo mzekelo, ezi mpawu luluvo akufunekanga kuphela okanye ukuba lula, ngokukhawuleza angaphinde isicaphucaphu, ndanda umlomo owomileyo, ubuthathaka jikelele. Isigulana kwiimeko ezininzi, ukuze nkqu ingqalelo inkangeleko ezi mpawu xa zihamba ukubuyisa igazi. zesifo isigxina - siyanibongoza ukuba bayikhuphe, noyibulala emnyama ungalibali. ukopha kakhulu esiswini, ongadluli-10% ye igazi, umzimba uhamba lula. Oku kungenxa umsebenzi iindlela zembuyekezo kunye ukuzeyisa.

Xa ilahleko enkulu yegazi okanye kwakhona ukopha-, kukho iimpawu ahlekise anemia post-ukopha. Kubonisa buthathaka kakhulu, isicaphucaphu, ukuduma, iyangongoza, isiyezi, ukuphazamiseka ebonwayo ngendlela ezibengezelayo 'iinkwenkwezi' okanye njengonombombiya phambi kwamehlo. Le isiguli ngequbuliso pallor, isikhumba alekwe umbilo yengqele, ukubetha kwentliziyo ubadlisa ubomi kunye noxinzelelo iSystolic igazi lifinyele. Kufuneka kukhunjulwe ukuba ezi mpawu ukuze babonakale ngaphambi ukuphuhlisa hematemesis kunye melena. imeko yomguli uxhomekeke kakhulu kungekuphela umthamo ukopha, kodwa kwisantya yophuhliso lwayo. Phantsi yempembelelo iindlela zembuyekezo phakathi kwiiyure ezimbalwa elijikeleza umthamo wegazi kugciniwe, kodwa iphuhlisa anaemia, ebonisa ubukhali legazi. Ekubeni igazi ukopha enye libizwa kakhulu ekupheleni kosuku lokuqala. Ukunqongophala nemiba kakuhle imeko yomguli phezu iintsuku ezimbini-emithathu elandelayo ibonisa ukopha okanye phindo yayo.

ukopha kakhulu esiswini - indlela ukumisa

Xa ukopha kuyimfuneko ukunika ukhathalelo olungxamisekileyo. Iindlela ukopha zinokuba nomahluko. isigulane Prehospital eyabelwe indawo ngqo tyaba, hlala phezu esiswini, ulawulo parenteral amachiza hemostatic. iziyobisi ezesifuba vasoconstrictor ukuba contraindicated. Isigulane wamkelwa esibhedlele ngotyando, apho kuqhubeka ukubamba uthomalaliso hemostatic nokubuyisela umthamo wegazi. Kwiimeko kakhulu, lo kwawo yonyango eboniswe uqhaqho. Isibaluli ingqalelo unyango angasebenzi zonyango waqhubeka ukopha emva ukutofelwa iilitha ezi-2 igazi okanye wokuhlaziywa kwayo emva ikhefu elifutshane.