Izwi rokuti "gastric bleeding" rinowanzonzwisiswa sekuti kusarudzwa kweropa kubva mumidziyo iri mumatumbo emagumbu nekuda kwekukuvara kwavo. Izvi zvinoreva kunetseka kwezvirwere zvechirongwa chechirongwa. Ngationgororei zvakajeka, tichitsanangura zvinokonzera, zviratidzo, nzira dzehutachiona uye nezvimwe zvekupa rubatsiro rwekutanga rwechiremba.
Gastric Bleeding - Zvinokonzera
Izwi ropa rakarasika nemhando iyi yekuputsa rinogona kusvika 2-3 litita. Zvichipa izvi, mamiriro ezvinhu anoda kutarisirwa kwekukurumidzira uye kuparidzirwa. Kuti uwane, iwe unogona kuziva chirwere chezvikonzero zvinoverengeka. Nguva dzose painoongorora murwere ane ultrasound, vanachiremba vanoona ropa mumudumbu, zvikonzero zvaro zvinotevera:
- Zvirwere uye zvipembenene zvemuviri wepamuviri. Ropa rinogona kusunungurwa mumudumbu wepamuviri nehutachiona chirwere, matumire, hernias, hemorrhoids, uye kunyange pamberi pe helminths.
- Kuvapo kwehutachiona hwehutachiona. Ichi chiitiko chinowanikwa ne-cirrhosis, hepatitis.
- Kukuvadza kwemidziyo yeropa. Inocherechedzwa nemaronda emaronda emheyo.
- Zvirwere zveropa - hemophilia, anemia aplastic, leukemia, thrombocytopenia.
Gastric bleeding - zviratidzo
Nokuda kwekuti mamiriro acho ezvinhu anoda nguva pfupi yekurapa, munhu wose anofanira kuziva zviratidzo zvekusimudzirwa kwekuputsa kwakadaro. Kurasikirwa kweropa kwakawanda kunokonzerwa nemigumisiro inouraya. Zvichipa izvi, zvakakosha kukwanisa kukurumidzira kuziva gastric bleeding, zviratidzo zvaro ndezvizvi:
- kuonekwa kwekunzwa kweutera;
- chizoro;
- ganda rebhuruu uye zvigunwe;
- cold sweat;
- kurutsa;
- kuchinja kwechigaro;
- kukurumidza kupisa.
Chiratidzo chakajeka chekuputsa kwakadaro, sechirwere chekubuda ropa, ndiko kuvapo kweropa mumasumbu uye nekurutsa. Mumarutsi masasa, inogona kuvapo zvose musina kuchinjwa (kana yakanyanyiswa kubva mumidziyo yeeophagus) uye yakashandurwa, - mudumbu ulcer. Nechirwere chakadai, vanachiremba vanoshandisa izwi rokuti "nzvimbo yekofi kurutsira". Uyu mumvuri weuzhinji unowanikwa semugumisiro weropa re hydrochloric acid, iro riripo mumuchero wegastric, ruvara rutsvuku rwuri kuratidza kubuda kweropa.
Kana izwi rerasi rakarasika risingapfuuri mamita 100, zvino richava mune chigaro muchitsiko. Izvo zvinoitika apo chikamu chepasi chegumbo chekudya, chironda chemudumbu, chinokanganisa. Kuchinja kwemuvara kunoratidza kuti kubuda ropa kwakaonekwa maawa 4-10 apfuura. Chigaro chinowana chimiro cheti, inenge yava madema. Pachinyorwa chekurasikirwa kweropa, mavara anochinja mumafecal masses angave asingazivikanwi. Zvichipa izvi, zviri nyore kuita mafungiro pamusoro penzvimbo yekurasikirwa kweropa.
Emergency care for gastric bleeding
Pachinhu chiduku chiduku kune kukanganisa kwakadaro kunoda kudana ambulensi. Murwere anofanira kunge asina kukwana zvachose, achiendeswa kunzvimbo yezvokurapa pavanotengesa. Kuzviriritira nekuputsa hakuzobudiriri, asi kunokwanisa kumisa gastric bleeding, rubatsiro rwekutsvaga, iyo sargorithm iyo inotevera:
- Isa pamusana wako, nemakumbo akasimudza, kuti uone rugare.
- Usapa kupa nokunwa.
- Isai chando, chando chakaoma kumimba. Panguva imwecheteyo, zvakakosha kuichengetedza kwemaminitsi gumi nemaminetsi makumi mapfumbamwe nemashanu zvichiita mapfupa emangwana kwema 2-3 maminitsi.
- Mukuvapo kwemishonga, unogona kutora mahwendefa maviri Dicinone, vasati vapera pasi.
- Kana iwe uchirasikirwa nehana, tevera kutora, kufema.
Chii chaunofanira kuita negastric bleeding?
Kutya kushanyira kliniki, varwere vane zvirwere zvisingagumi zvepachifu vafunge nezvekugadzirisa gastric kubuda ropa kumba. Zvakakosha kutaura kuti zvinonetsa uye zvakaoma kuita. Zvichipa izvi, kana uchifungidzira kubuda ropa, unoda:
- kudana ambulensi;
- kupa bhezoro zororo;
- kusanganisa kudya kwekudya, mvura, mishonga;
- kuwedzera kubuda kwe okisijeni;
- ivai nechando pamudumbu mako.
Gastric bleeding - kurapa
Apo kuongororwa, mushure mokuona ropa mumudumbu, vanachiremba vanotora matanho kuti vabvise zvinyorwa. Rubatsiro rwekutanga kunopa ropa rinofanira kupiwa panzvimbo, kunyange vasati vaparidzirwa. Muchiitiko ichi, kurapa kunoitwa nekuchengetedza uye kuongororwa. Yokutanga ine 3 mazano:
- hemostasis;
- kuregererwa kweropa rekurasikirwa;
- Kuporesa remishonga kuti udzorere huwandu hwemhepo inopararira ropa.
Kuvhara uku kukanganisa, zvinodhaka zvinoshandiswa, pakati peizvi:
- Etamsylate;
- Aminocaproic acid;
- Thrombin;
- Vikasol .
Kuvandudza microcirculation, kuzadza ivhu rekurasikirwa kweropa kushandisa:
- Reopoliglyukin;
- Hemodez;
- Albumin.
Vapinde vachidonha, vachiwedzera sodium yeklorini uye glucose. Simba rinokonzera kubuda kwemuviri rinoda kuiswa kwema plasma-kushandura mhinduro, kuwedzerwa ropa rezvipi zveboka rimwechete uye Rh factor. Nhamba yacho inotarwa zvichienderana nehutatu hwomuviri, - 40 meri pa kg yehutatu hwemuviri.
Perforated ulcers inokonzera gastric ropa uye inoda kurapwa. Kushanda kwekukurumidzira kunosanganisira kugadzirisa zvikamu zve perforated zvegumbo masvingo. Kutanga kwekutanga kwekuvhiya kunobatsira kufungidzira kwakanaka uye kukurumidza kugadzirisa zvakare. Muchiitiko ichi, varwere nguva nenguva vanopedza miongorori yekudzivirira, zviongorori zvehurongware kuti vasatorazve kudzoka.
Zvokudya zvinovaka muviri nechingwe kubuda ropa
Kuti adye, varwere vanodzoka mushure memazuva maviri kubva panguva yekuregererwa kweropa rekugovera uye chete pamvumo yechiremba. Zvokudya zvose zvinofanira kunge zvakasvibiswa kana semiti-mvura. Tanga nemasikati akasungirirwa, zviyo, yogurt. Mucheka wemukaka wemishonga yegastric bleeding inonyanya kubatsira. Saka mune yekutanga apo inobvumirwa kunzwisisa chikafu, murwere anopiwa 2-3 magirasi ekikamu nemukaka. Ichi chigadzirwa chinokurudzira kugadzirwa kwe fibrin clot.
Kudya nechingwe chekubuda ropa
Zvokudya mushure mekubuda ropa kunofanira kuva nenhamba zhinji yemafuta emhuka, izvo zvisingabatanidzi kukura kwezvinetso. Nechinangwa chimwe chete, wedzera zvakakosha zvezvokudya zvine vitamine C uye P (zvinomera zvemiti uye michero, decoction kubva kumucheka muhudyu), vitamini K, kirimu yakasvi, bata. Izvi zvigadzirwa zvinobatsira nhengo yegasi inopa ropa, inokurumidza kugadzirisa nzira. Murwere anofanira kunyatsoteerera zvinorayirwa uye mirayiridzo yechiremba anoenda.
Kudya mushure mekudya kwegastric ropa
Chikafu mushure mekudya kwegastric inofanira kuva yakaenzana. Vanachiremba vanomanikidza kuregererwa kwakakwana kwezvokudya zvinonaka, izvo zvakaoma kugora, kunowedzera mumukati peristalsis, kuwedzera mutoro pamagwatiro emimba. Kunyanya kunofanira kupiwa nyama soufflé, nyama yakaderera-mafuta, mishonga yakakisi-mukaka. Murwere mumwe nomumwe anogamuchira humwe humwe huri kurumbidzwa nekugadzwa mushure mekubuda. Kuchengeta kwavo ndicho chinhu chinoita kuti munhu awanezve nekukurumidzira muviri.