Ukuphuma kwegastric - yintoni ingozi yesimo esiyingozi?

Igama elithi "isisu sokugaya isisu" siqhelwe ngokuqhelekileyo njengento yokwehlukaniswa kwegazi kwiinqanawa ezisemgangathweni wesisu ngenxa yomonakalo. Lo mzekelo ubhekisela kwiingxaki zezifo zale nkonzo. Makhe siqwalasele ngokubanzi, kuchaza izizathu, ukubonakaliswa, iindlela zonyango kunye neenkcukacha zokubonelela unyango lokuqala.

Ukunyuka kwe-Gastric - Izizathu

Umthamo wegazi elilahlekileyo kunye nale fomu yokwephulwa kungafikelela kuma-2-3 ilitha. Ngenxa yoko, le meko idinga ukunakekelwa ngongxamiseko kunye nokulaliswa esibhedlele. Ukuze ufumanise, unokwazi ukubona eso sifo ngezizathu ezininzi. Njalo xa uhlola isigulane nge ultrasound, oogqirha bafumana igazi kwisisu, izizathu zazo zilandelayo:

1. Izifo kunye nezilonda zesondlo sesisu. Igazi liyakhululwa kwisiguli esiswini ngesifo sesilonda, izicubu, i-hernias, i-hemorrhoids, kunye nakubuso be-helminths.
2. Ubukho bexinzelelo lwegazi. Le meko ibonwa nge-cirrhosis, i-hepatitis.
3. Ukulimala kwimithambo yegazi. Ukujongwa ngemilenze ye-varicose ye-esophagus.
4. Izifo zegazi - i-hemophilia, i-anemia aplastic, i-leukemia, i-thrombocytopenia.

Ukuphuma kwegastric - iimpawu

Ngenxa yokuba imeko ifuna ukunakekelwa kwangoko unyango, wonke umntu kufuneka awazi iimpawu zophuhliso lolophulo. Ukulahleka kwegazi okukhulu kunobungozi obubi. Ngenxa yoko, kuyimfuneko ukuba ukwazi ukukhawuleza ukuchithwa kwegazi, iimpawu zazo zilandelayo:

• ukubonakala kwintlungu yobuthathaka;
• ukungcola;
• isikhumba esibomvu kunye neminwe;
• ukuthunga okubandayo;
• ukuhlanza;
• utshintsho lwesitulo;
• ukujikeleza ngokukhawuleza.

Uphawu olucacileyo lwelophulwaphulo, njengokuphuma kwegastric, ubukho begazi emanzini kunye nokuhlanza. Kwimihlaba yokuhlanza, inokubakho kokubili kwifomu engatshintshiyo (ukuba ikhutshwe kwiinqwelo ze-esophagus) kwaye ishintshile, - isisu sesilonda. Ngesi sifo, oogqirha basebenzisa igama elithi "indawo yekhofi yokuhlanza". Lo mthunzi wobunzima uzuzwa ngenxa yokuchasana negazi le-hydrochloric acid, ekhoyo kwijusi yesisu, umbala obomvu obomvu ubonisa ukuphuma kwegazi.

Ukuba umthamo wegazi elilahlekileyo awugqithisi i-100 ml, ngoko kuya kuba kwisitulo kwisitulo. Kuyenzeka xa iingxenye ezantsi zendlela yokugaya, isilonda sesisu, zichaphazelekayo. Utshintsho kumbala lubonisa ukuba ukuphuma kwegazi kuphawulwe iiyure ezingama-4 ukuya kulu-10. Usihlalo ufumana uhlobo lwe-tar, kuba ngumnyama. Kwizinto ezincinci zokulahleka kwegazi, ukuguqulwa kombala kuma-fecal masses akunakuqatshelwa. Ukunikezelwa kwezi ngcaciso, kulula ukwenza iingqiqo malunga nomthombo wokulahleka kwegazi.

Ukunyamekela ngokukhawulezileyo ukuphuma kwegastric

Kukho kancinci ukukrokrelwa kwelophulwaphulo kubalulekile ukubiza i-ambulensi. Isigulane simele singabi nasisigxina ngokupheleleyo, sithunyelwe kwiziko lezonyango kwibala. Ukuzinyamezela ukuphula umthetho akuyi kuphumelela, kodwa uyakwazi ukuyeka ukuphuma kwegazi, uncedo olungxamisekileyo, i-algorithm yile ndlela ilandelayo:

1. Beka umva wakho, kunye nemilenze ephakamisiwe, ukuqinisekisa uxolo.
2. Musa ukusela nokutya.
3. Faka isicelo sokubandayo, iqhwa elomileyo kwisisu. Ngelo xesha, kuyimfuneko ukuyigcina imizuzu eyi-15-30 yokwenza ikhefu zesikhashana imizuzu 2-3.
4. Ngaphambi kwamachiza, ungathatha iipilisi ezi-2 zeDicinone, ngaphambi kokuba zibe ngumgubo.
5. Ukuba ulahlekelwa ingqondo, landela ukutshiza, ukuphefumla.

Yintoni enokuyenza ngokukhipha isisu?

Ukwesaba ukutyelela kwikliniki, izigulane ezinezifo ezingasayi kuhlala zicinga malunga nendlela yokuyeka ukuphuma kwegastric ekhaya. Kubalulekile ukuthetha ukuba kuyinkinga kwaye kunzima ukwenza. Ngenxa yoko, ukuba uyakrokrela ukuphuma kwegazi, kufuneka:

• kubiza i-ambulensi;
• ukubonelela ngokulala;
• ukubandakanya ukungenisa ukutya, amanzi, amayeza;
• ukwandisa ukuhamba kweoksijini;
• ukubeka ubanda ebusweni sakho.

Ukuphuma kwegastric - unyango

Xa ufumanisa ukuba, emva kokufumana igazi esiswini, oogqirha bathatha isinyathelo sokuphelisa umthombo. Uncedo lokuqala lokukhupha isisu kufuneka lunikezwe kwisayithi, nangaphambi kokubhedleleka. Kule meko, unyango luqhutyelwa ngokuzimeleyo kwaye lugqirha. Eyokuqala inezikhokelo ezi-3:

• hemostasis;
• ukukhutshwa komthombo wokulahleka kwegazi;
• Ukunyangwa kwamachiza ukubuyisela umthamo oqhelekileyo wokujikeleza igazi.

Ukumisa oku kuphulwa, izidakamizwa zisetyenziswa, phakathi kwazo:

• Etamsylate;
• I-aminocaproic acid;
• Thrombin;
• Vikasol .

Ukuphucula i-microcirculation, ukuzalisa ixabiso lokulahleka kwegazi:

• Reopoliglyukin;
• Hemodez;
• Albumin.

Bangenisa, bongeza i-chlorine ye-sodium kunye ne-glucose. Ukuphuma kwegastric esiswini kufuna ukufakwa kwezisombululo, ukuxilongwa kwegazi lomnikelo weqela elinye kunye neR Rh. Umthamo ubalwa ngokusekelwe kwisisindo somzimba wesigulane, - 40 ml nganye ngekhilomitha yesisindo somzimba.

Izilonda zamapulisi zenza i-gastric bleeding and require care. Usebenziso olukhawulezileyo luqukumbela iindawo eziphambili zeendonga zesisu. Ukuqaliswa kokuqala kwenkqubo yokuhlinzwa kukhuthaza ukuhlaziya okulungileyo kunye nokuvuselela ngokukhawuleza. Kule meko, izigulane zihlala zihlolwa iimviwo, izixhobo ze-hardware ukuba zingabandakanyi ukubuya kwakhona.

Isondlo ngesisu sokugaya

Ukutya, izigulana zibuyela emva kweentsuku ezimbini ukusuka ngexesha lokuyeka ukunikezelwa kwegazi kwaye kuphela imvume yogqirha. Yonke ukutya kufuneka ibe yi-liquid okanye i-semi-liquid. Qala ngeesobho ezigciniweyo, okusanhlamvu, i-yogurt. Imveliso yobisi yesondlo yokuchithwa kwesisu isiluncedo ngakumbi. Ngoko okokuqala xa kuvunyelwe ukuqonda ukutya, isigulane sinikwa 2-3 iiglasi ze-ukhilimu nobisi. Le mveliso ikhuthaza ukubunjwa kwe-fibrin clot.

Ukutya kunye nokuphuma kwegastric

Ukutya emva kokuphuma kwegastric kufanele kube nenani elikhulu lezilwanyana zezilwanyana, ezingabandakanyi uphuhliso lweengxaki. Ngenjongo efanayo, ukwandisa umxholo wokutya oqukethe iivithamini C kunye neP (izityalo zemifuno kunye nezithelo, i-decoction ezivela emaqhweni ama-rose), i-vitamin K, ukhilimu omuncu, ibhotela. Ezi mveliso zinceda ngeesitho zomzimba eziphuma kumzimba, ukukhawulezisa inkqubo yokuvuselela. Isigulane kufuneka sihambelane ngokupheleleyo neengcebiso kunye nemiyalelo yokugqithisa ugqirha.

Ukutya emva kokuphuma kwegastric

Isondlo emva kokuphuma kwegastric kufanele kube nokulinganisela. Oogqirha bagxininisa ekugqibeleni ukuphela kokutya okunesonka, okunzima ukugaya, kwandisa intestinal peristalsis, kwandisa umthwalo kwisiginci sesisu. Ukukhethwa kufuneka kunikwe inyama ye-soufflé, inyama ephantsi ye-fat, i-milk-milk products. Isigulane ngasinye sifumana iingcebiso kunye nokuqeshwa emva kokukhutshwa. Ukugcinwa kwabo kukubalulekileyo ekuhlaleni ngokukhawuleza komzimba.