Osachepera kamodzi m'moyo wathu tonse takhala tikukumana ndi vutoli. Tiyeni tiyese kumvetsetsa kuti mitundu ya masanzi ndi chiyani komanso tanthauzo lake likufotokozedwa mwatsatanetsatane

Masanzi amtundu wobiriwira

Kusanza komwe kuli ndi mtundu wobiriwira kumatchedwa 'biliary vomiting' ndipo kumachitika ndi kutuluka kwa bile komwe kumakhala ndi mtundu wakuda wachikasu wobiriwira.

Mtundu wa ndulu yomwe ili m'masanzi imatha kusiyana kuchokera kuchikasu kupita kumdima wobiriwira kutengera nthawi yomwe ndulu yakhala ikuyimilira m'mimba.

Ngati kusanza ndi biliary, kungayambitsidwe ndi chimfine, kupha chakudya kapena kutsekeka kwa matumbo.

Mtundu wobiriwira nthawi zina umayambanso chifukwa cha chakudya chomwe munthu wadya posachedwapa.

Kusanza kwamtundu wachikasu

Kusanza kwamtundu wachikasu, monga tanenera kale, nthawi zambiri kumachitika chifukwa cha kutuluka kwa bile.

Nthawi zambiri zimatha chifukwa cha matenda otchedwa 'stenosis', omwe ndi kung'ung'udza kwa orifice, njira, mtsempha wamagazi kapena chiwalo chomwe chili ndi dzenje, kotero kuti kupita kwabwino kwa zinthu zina kumatsekeka kapena kupewedwa.

Masanzi a bulauni ndi fungo la ndowe

Ngati masanziwo ndi oderapo kapena abulauni ndipo ali ndi fungo lofanana ndi ndowe, chifukwa chake chikhoza kukhala 'kutsekeka kwa m'matumbo', mwachitsanzo, kuyimitsidwa kwa ndowe chifukwa cha kudzimbidwa kosatha, ndulu m'matumbo, polyposis, zotupa zazikulu zamatumbo, kutsamwitsa. chifukwa chophukacho, ziwalo za colic khoma kapena zina obstructive zifukwa.

Pankhani ya kutsekeka kwa matumbo, ndowe yochuluka kapena yocheperako, yosapeza njira yopita ku anus, imakwera kwina: pamene kusanza kumatchedwa 'faecaloid vomiting'.

Nthawi zambiri, 'zamadzimadzi' komanso bulawuni wopepuka masanzi a faecaloid, m'pamenenso amatsekeka kwambiri m'matumbo am'mimba, pomwe mdima ndi 'wovuta', m'pamenenso kutsekeka kumawonekera pa ' otsika' (pafupi ndi anus).

Kusanza kwamtundu wa caffeine

Ngati mtundu wa bulauni uli wofanana ndi wa khofi, umatchedwa 'masnzi a khofi' ndipo ukhoza kuyambitsidwa ndi kutuluka magazi m'kati ndi magazi omwe akhala ndi nthawi kuti atseke kapena 'kugayidwa'.

Pamenepa, mosiyana ndi kusanza kwa faecaloid, fungo lofanana ndi ndowe kulibe.

Kusanza ndi magazi omwe agayidwa/otsekeka ndi njira yofanana ndi kutuluka kwa magazi m'kati mwa "m'munsi" wa m'mimba.

Zimakhalanso zosavuta kuziwona pamene magazi akutuluka m'mphuno ndipo wina agona pansi: magazi adzagayidwa ndipo izi zingayambitse kubwereza mobwerezabwereza.

Kusanza ndi mtundu wofiira kwambiri

Kusanza ndi magazi ofiira owala (otchedwa 'heematemesis') nthawi zambiri kumachitika chifukwa chotaya magazi mkati ndi magazi omwe sanakhalepo ndi nthawi youndana kapena 'kugayidwa'.

Izi ndizotheka, mwachitsanzo, ngati chilonda chotseguka m'mimba kapena kum'mero.

Hematemesis nthawi zambiri imachitika pakaduka 'esophageal varices', vuto lalikulu la pathological lomwe limadziwika ndi mapangidwe ndi kuphulika kwa mitsempha yamtsempha ya sub-mucosal plexus ya mmero, yokhudzana ndi matenda oopsa a portal, omwe amayamba ndi matenda aakulu a chiwindi, monga matenda enaake a chiwindi, omwe ndi vuto loopsya.

Kutaya magazi kwa chigawo choyamba cha m'mimba nthawi zambiri kumabweretsa mane (kutulutsa chimbudzi chakuda) kuphatikiza ndi haematemesis.

Kusanza kwamtundu woyera

Kusanza kwa mtundu woyera kumayamba chifukwa cha asidi am'mimba. Nthawi zambiri imatsagana ndi ma viscous kapena mucous mucus.

Pamene ili 'mucousy' nthawi zambiri sikhala acidic.

Nthawi zambiri imakhala madzi am'mimba, imatha kukhala acidic.

Masanzi oyera amathanso kuchitika pamene munthu wangodya kumene zinthu zoyera, monga mkaka.

Kusanza kwamitundu yosiyanasiyana

Mtundu uwu nthawi zambiri ndi kusanza kwa 'mimba' komwe kumakhala chakudya chosagayidwa kapena tinthu tating'ono ta chakudya chomwe sichinadutse m'mimba.

Kusiyanitsa mitundu

Kuphatikiza pa mtunduwo, mtunduwo ungakhalenso wothandiza kwa dokotala pakumvetsetsa chomwe chimayambitsa:

• kusanza kwa chakudya: ngati chakudya chikukanidwa ngakhale mutadya;
• masanzi amadzi: ngati ali acidic, ali ndi mucin pang'ono, ndi madzi am'mimba amapezeka;
• masanzi a mucous: ngati ali ndi acidic, ali ndi mucin wambiri, komanso madzi am'mimba amakhalapo;
• kusanza kwa biliary: ngati ndulu yatuluka ndipo ili ndi mtundu wobiriwira wobiriwira;
• masanzi a faecaloid: ngati ali ndi mtundu woderapo komanso kununkhira kwa ndowe, chifukwa cha kusakhazikika kwanthawi yayitali m'matumbo (mwachitsanzo, kutsekeka kwa m'mimba), komwe zomera za bakiteriya zimachulukana kosatha;
• kusanza kwa haemorrhagic kapena haematemesis, ngati pali magazi ofiira owala;
• Kusanza kwa khofi, ngati magazi ogayidwa okhala ndi mtundu wakuda ('malo a khofi') alipo.

Kuti athandizire kuzindikira, dokotala angagwiritse ntchito zida zosiyanasiyana, kuphatikizapo:

• anamnesis (kusonkhanitsa deta ya wodwalayo ndi zizindikiro zomwe akukumana nazo);
• kufufuza koyenera (kufufuza 'koyenera' ndi zizindikiro);
• mayeso a labotale (mwachitsanzo, kuyezetsa magazi, kuyezetsa magazi, kuyesa kuwunika chiwindi ndi kapamba);
• kuyezetsa zida monga X-ray pamimba ndi kapena popanda sing'anga yosiyanitsa, CT scan, ultrasound, esophagogastroduodenoscopy, colonoscopy.

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Source:

Medicina pa intaneti