Ukubona izinhlobo ezahlukene zokuhlanza ngokombala

By UCristiano Antonino On Jul 1, 2022

Okungenani kanye ezimpilweni zethu sonke siye sabhekana nale nkinga. Ake sizame ukuqonda ukuthi iyini imibala yomhlanzo nokuthi incazelo yawo ichazwa ngemininingwane elula

Ukuhlanza okunombala oluhlaza

Ukuhlanza okunombala oluhlaza kubizwa ngokuthi 'ukuhlanza kwebiliary' futhi kwenzeka ngokuphuma kwenyongo okunombala obumnyama ophuzi ngokuluhlaza okotshani.

Umbala wenyongo ekhona emhlanzweni ungase uhluke ukusuka kophuzi ukuya koluhlaza okumnyama kuye ngokuthi ibilebile isikhathi eside kangakanani esiswini.

Uma ukuhlanza kuyi-biliary, kungase kubangelwe i-hangover, ubuthi bokudla noma ukuvaleka kwamathumbu.

Umbala oluhlaza ngezinye izikhathi ungase ubangelwe ukudla umuntu asanda kukudla.

Ukuhlanza okunombala ophuzi

Ukuhlanza okunombala ophuzi, njengoba sekushiwo kakade, kuvame ukubangelwa ukukhishwa kwe-bile.

Ezimweni eziningi kungase kubangelwe isimo esibizwa ngokuthi 'i-stenosis', okuwukucinana kwembobo, umgudu, umthambo wegazi noma isitho esingenalutho, ngendlela yokuthi ukudlula okujwayelekile kwezinto ezithile kuvinjwe noma kuvinjwe.

Ukuhlanza okunsundu okunuka indle

Uma ukuhlanza kunsundu ngokumnyama/kunsundu ngombala futhi kunephunga elifana nendle, imbangela ingase ibe 'ukuvinjelwa kwamathumbu', okungukuthi ukumiswa kokukhishwa kwendle ngenxa yokuqunjelwa okungapheli, inyongo emathunjini, i-polyposis, izimila zamakholoni amakhulu, ukuklinywa. ngenxa ye-hernias, ukukhubazeka kodonga lwe-colic noma ezinye izizathu ezivimbelayo.

Esimeni sokuvaleka kwamathumbu, indle eyakheke kakhulu noma encane, engakwazi ukuthola indlela eya endunu, ikhuphukela kwelinye icala: kulokhu ukuhlanza kubizwa ngokuthi 'i-faecaloid vomiting'.

Ngokuvamile, uma 'uketshezi' futhi kuba nsundu ngokukhanyayo ukuhlanza kwe-faecaloid kuba yilapho ukuvinjelwa kuba khona ezingeni 'eliphezulu' lomgudu wokugaya ukudla, kuyilapho kuba mnyama futhi 'kuba nzima', yilapho kuba khona ukuvinjelwa okwengeziwe ' izinga eliphansi' (eduze kwendunu).

Ukuhlanza okunombala we-caffeine

Uma umbala onsundu ufana nowendawo yekhofi, ubizwa ngokuthi 'ukuhlanza kwe-caffeine' futhi kungase kubangelwe ukopha kwangaphakathi ngegazi elase linesikhathi sokujiya noma 'lokugaya'.

Kulesi simo, ngokungafani nokuhlanza kwe-faecaloid, iphunga elifana nendle alikho.

Ukuhlanza ngegazi eligayiwe/elijiyile kuyisimo sokopha kwangaphakathi okwenzeka engxenyeni 'engezansi' yomgudu wokugaya ukudla.

Kulula futhi ukuqaphela lapho igazi liphuma ekhaleni futhi umuntu elala phansi: igazi lizogaywa futhi lokhu kuzobangela ukuphindaphinda okuphikelelayo.

Ukuphalaza okunombala obomvu ogqamile

Ukuhlanza ngegazi elibomvu elikhanyayo (okuthiwa 'i-hematemesis') kuvame ukubangelwa ukopha kwangaphakathi ngegazi elingenaso isikhathi sokujiyisa noma 'lokugaya'.

Lokhu kungenzeka, isibonelo, esimweni sesilonda esivulekile esiswini noma esophagus.

I-Haematemesis ivame ukwenzeka esimweni sokuqhekeka 'kwe-esophageal varices', isimo esibucayi se-pathological esibonakala ngokwakheka nokuqhekeka kwemithambo emithanjeni ye-sub-mucosal plexus yomphimbo, okuhlobene nesimo se-portal hypertension engapheli, nayo kubangelwa isifo sesibindi esingamahlalakhona, esifana ne-cirrhosis yesibindi, okuyinkinga esabekayo.

Ukopha kwepheshana lokuqala lohlelo lokugaya ukudla ngokuvamile kubangela mane (ukukhishwa kwendle emnyama) ngaphezu kwe-hematemesis.

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Ukuphalaza okunombala omhlophe

Ukuhlanza okunombala omhlophe kubangelwa amajusi esisu ane-asidi. Kuvame ukuhambisana namafinyila noma amafinyila.

Uma 'inamafinyila' ngokuvamile ayinayo i-asidi.

Uma ngokuvamile kuyijusi yesisu, ingaba ne-asidi.

Ukuhlanza okumhlophe kungenzeka futhi lapho umuntu esanda kudla into emhlophe, njengobisi.

Ukuphalaza kwemibala eminingi eyahlukene

Lolu hlobo luvamise ukuphalaza 'kwesisu' okuqukethe ukudla okungagayeki noma izingcezwana zokudla okungabanga naso isikhathi sokudlula esiswini.

Ukuxilongwa okuhlukile

Ngaphezu kombala, uhlobo lungaba usizo kudokotela ekuqondeni imbangela yokwenzeka kwawo:

ukuhlanza kokudla: uma ukudla kwenqatshwa ngisho nangemva kokudla;
ukuhlanza okumanzi: uma kune-acidic, kune-mucin encane, namajusi wesisu akhona;
ukuhlanza kwe-mucous: uma kune-anacidic, kucebile ku-mucin, namajusi wesisu akhona;
ukuhlanza kwe-biliary: uma i-bile ikhishwa futhi inombala oluhlaza obumnyama;
Ukuphalaza kwe-faecaloid: uma inombala onsundu omnyama kanye nephunga elivamile lendle, ngenxa yokubanda isikhathi eside emathunjini (uma kwenzeka, isibonelo, ukuvaleka kwamathumbu), lapho isitshalo sebhaktheriya sikhula ngokungapheli;
ukuhlanza okopha noma ukopha, uma kukhona igazi elibomvu elikhanyayo;
ukuhlanza okune-caffeine, uma igazi eligaywe elinombala omnyama ojwayelekile ('izindawo zekhofi') likhona.

Ukusiza ekuxilongweni, udokotela angasebenzisa amathuluzi ahlukahlukene, okuhlanganisa:

i-anamnesis (ukuqoqwa kwedatha yesiguli kanye nezimpawu ahlangabezana nazo);
ukuhlolwa kwenhloso (ukuhlolwa 'okulungile' okuhlanganiswe nezimpawu);
izivivinyo zaselabhorethri (isb. ukuhlolwa kwegazi, ukuhlolwa kokungezwani komzimba, ukuhlolwa kokuhlola ukusebenza kwesibindi nokusebenza kwama-pancreas);
ukuhlolwa kwezinsimbi ezifana ne-X-reyi yesisu ene-medium noma ngaphandle kokuqhathanisa, i-CT scan, i-ultrasound, i-oesophagogastroduodenoscopy, i-colonoscopy.