Ukopha kakhulu esiswini - inkinga esongela peptic isilonda isifo

Ukopha - izinkinga ezivamile noyingozi peptic isilonda isifo. Ngokuvamile, ukopha kakhulu esiswini ikhulela acute isilonda peptic, kodwa kwezinye iziguli kungenzeka owokuqala uphawu exacerbation. igazi Nemimoya ngaso sonke isikhathi sihambisana ukuthuthukiswa acute isilonda esiswini. Ngokuvamile, uphawu ezifana lesi sifo uhlala ababanjwa futhi ayibhekwa njengeyingozi kwetintfo.

Uma sisheshe satholakala ikakhulukazi kuphela omkhulu, okuthiwa kakhulu ukopha kakhulu esiswini nge hematemesis futhi melena (hlala indle), okuyinto zenzeka cishe kanyekanye. Lezi zimpawu enze kube nokwenzeka ukuba singaphethi ukopha enkulu ezingxenyeni engenhla ipheshana wokugaya ukudla. Lapho ukuhlanza olunegazi ngokuvamile umthombo ukopha esiswini futhi akuvamile kuleli duodenal odongeni, duodenal kodwa ngenhla nesibaya. Ebuhlanzweni kulokhu zifane ngezizathu ikhofi. Nokho, ngopha izilonda duodenal ngisho esiswini akuyona ngaso sonke isikhathi sihambisana ekuthuthukiseni a ukuhlanza igazi. Ngokuvamile Kutholwe melena kuphela. Mayelana 90% isilonda ukopha zendawo duodenum, kwenzeka melena kuphela, kuyilapho isilonda esiswini ngokuvamile baphawula hematemesis.

emitholampilo isithombe

Uma uthuthukisa ukopha kakhulu esiswini, izimpawu kunqunywa umfutho kanye ivolumu ukopha. ivolumu Ezintsha ingeqi 300-400 ml. Kulokhu, lo izimpawu ezikhathazayo angeke kungagcini noma zingabantu kalula, ngokushesha nokunyamalala isicanucanu, anda nomlomo owomile, ubuthakathaka jikelele. Isiguli ezimweni eziningi, ungase ungaluboni ngisho nalapho banake ukubukeka lezi zimpawu uma kungukuthi ephelezelwa nokuhlanza kwegazi. Izimpawu eziningi unomphela - nesifiso sokufuna kukhucululwe indle emnyama futhi hlala. ukopha kakhulu esiswini, okuyinto ingeqi 10% igazi afundwa, umzimba ihamba kalula. Lokhu kungenxa umsebenzi izindlela compensatory futhi ukuzithiba.

Lapho ukulahlekelwa emikhulu yegazi noma kabusha ukopha, zikhona izimpawu acute anaemia post-oluhambisana. Kubonisa ubuthakathaka ezinzima, isicanucanu, tinnitus, palpitations, isiyezi, ukuphazamiseka visual ngesimo a agqoke "izinkanyezi" noma Mesh phambi kwamehlo. Isiguli eba okungazelelwe pallor, isikhumba embozwe obondayo, ishayela ophilisayo futhi igazi systolic ingcindezi sinciphile. Kumele kukhunjulwe ukuthi lezi zimpawu zingavela ekuqaleni kuka ukuthuthukisa hematemesis futhi melena. isimo wesiguli kuncike hhayi kuphela ngevolumu ukulahlekelwa igazi, kodwa futhi ijubane ukuthuthukiswa yayo. Ngaphansi kwethonya izindlela compensatory kungakapheli amahora ambalwa afundwa umthamo wegazi kubuyiselwa, kodwa eba anaemia, ebheka kobukhulu ukopha. With a single ukopha isifo sokulahlekelwa igazi kakhulu liphinyiselwe ekupheleni kosuku lokuqala. Ukuswelakala kokusebenza ngokuhlanganyela Dynamics omuhle zisesimweni lesiguli phezu Ezinsukwini ezimbili ezilandelayo-amathathu kubonisa ukopha okungapheli noma ukuphindaphinda yayo.

ukopha kakhulu esiswini - indlela ukumisa

kuyinto Lapho ukopha kudingekile ukunikeza usizo oluphuthumayo. Izindlela ukopha zingase zihluke. nesineke Prehospital eyabelwe isikhundla ngokuqinile ovundlile, hlala ku esiswini, parenteral ekuphathweni hemostatic izidakamizwa. izidakamizwa senhliziyo futhi vasoconstrictor kuthiwa contraindicated. Isiguli is esibhedlela kuhlinzwa, lapho beqhubeka khona ukubamba yokwelapha hemostatic futhi ubuyisele umthamo wegazi. Ezimweni ezimbi kakhulu, ukwehluleka ukwelashwa eboniswe ukuhlinzwa. Umbandela kubhekwe ayizwakali yokwelapha baqhubeka ukopha ngemuva ukumpompela 2 amalitha igazi noma sokuvuselela yayo emva sekhefu elifushane.