Izigulane ze-arthritis kufuneka ziqaphele iimpawu zokulumkisa
Izigulane ze-arthritis zithatha amayeza amaninzi anyusela umngcipheko wokuphuma kwamanzi. Ukuba uthathe elinye lala mayeza ngexesha elide, unokuthi uhlelwe yintliziyo yengqiqo yokhuseleko ukuba konke kulungile. Kubaluleke kakhulu ukuba uyazi iimpawu zokuphuma kwamanzi - kuba kuya kwenzeka nanini na kwaye unokukhawuleza ube yimeko engxamisekileyo.
Iyintoni ukuhluthwa kwesisu?
Ukuphuma kwintsholongwane kubhekisela kuyo nayiphi na ukuphuma kwegazi okwenzeka kwipatheni yesisu, ephuma emlonyeni wakho kwi-anus yakho. Ngokukodwa, isondlo sesisu sisahlulo esiphakamileyo somzimba kunye nesondlo sesisu esincinane. Inxalenye yesisu esisemgangathweni yicandelo phakathi komlomo kunye nomzila ophumayo wesisu. I-tract infinestinal tract isigaba esivela kwisigaba sokuphuma kwesisu ukuya kwi-anus, kubandakanywa nesilwanyana esincinci kunye esikhulu.
Ukuphuma kwegazi kumanqanaba ukusuka kumanani amancinci egazi ukuphuma kwegazi. Isixa sokuphuma kwegazi kunye nendawo yokuphuma kwegazi kukubona ukuba kufuneka kwenziwe ntoni ukuyeka ukuphuma kwegazi. Kukho imeko ezininzi ezinokubangela ukuphuma kwegazi. Ngenxa yokuba yinto eyaziwayo yecandelo elithile elichaphazelekayo elichaphazelekayo kwi-arthritis - ii-NSAID (izidakamizwa ezingavumelani nezidakamizwa) kunye ne- corticosteroids - izigulana ezithatha loo mayeza kufuneka zingayinaki nayiphi na uphawu lokuphuma.
Iimpawu ezinxulumene nokuhlanjululwa kwesisu
Okokuqala, kubalulekile ukuba uqaphele ukuba ekubeni ukuphuma kwegazi kumaphakathi kungaphakathi, akukho nto ibuhlungu ukuba isebenze njengesalathisi sobunzima beengxaki.
Iimpawu zokuphuma kwamanzi esisisu ziquka:
- Ukutshatyalaliswa kwegazi elibomvu elikhanyayo (hematemesis)
- Ukutshabalalisa iifutha ezimnyama, okanye izinto ezifana nomhlaba
- Ukudlula umnyama, i-tar-like stool (melena)
Iimpawu zegazi eliphantsi kwesisu ziquka:
- Ukugqithisa igazi elimsulwa (hematochezia) okanye igazi elixutywe kwisitulo
- Igazi elibomvu okanye elibomvu kwisihlalo
I-Hematemesis ikhona kwi-50% yeziganeko eziphezulu zokuphuma kwamagxathu. I-Hematochezia ibonakala kwi-80% yazo yonke inkunkuma yegazi. UMelena ukhona kwi-70% yesisu esiphakamkileyo sokuphuma kwamanzi kunye ne-33% yegazi eliphantsi kwegazi. Ukwenza i-black, i-tarry stools (melena), kufuneka kube ngu-150-200 cc yegazi kunye negazi kufuneka libe kwinqanaba lezondlo kwiiyure eziyi-8 ukujika umnyama. Ngoko, ngeli xesha ubona izitshixo ezimnyama, sele sele sele iphuma igazi.
Kutheni Kubalulekile Ukuba Ungayinaki Impawu Zokwehla?
Umntu ophuma egazini lakhe lomzimba unokuqala ukubonisa iimpawu zokuphazamiseka okanye i-hypovolemia (ukunciphisa umthamo wegazi elijikelezayo). Ezinye izibonakaliso zemeko engxamisekileyo ehambelana nokuphuma kwamanzi kuya kuba:
- Tachycardia (intliziyo ekhawulezayo)
- I-Tachypnea (ukuphefumula okukhawulezayo)
- I-Hypotension (uxinzelelo lwegazi oluphantsi)
- I-Syncope (iphosakele)
- Pallor (ubukhulu)
- Diaphoresis (ukukhupha)
- U-Oliguria (ukunciphisa umchamo we-urine)
- Ukudideka
Khumbula, ukuba unayo impawu okanye iimpawu kufuneka ufune unyango lwezonyango ngokukhawuleza.
Ukuba ukuphuma kwegazi kubalulekile, kubalulekile ukufumana amanzi amanzi, ukuphathwa kwamanzi, kunye nokumpontshelwa igazi okuzinzileyo-nangona ngexesha lokuvavanya kokuqala ukufumanisa umthombo othile wokukhupha.
Amaphuzu Okukhumbula
Kuqikelelwa ukuba abangaphezu kwe-100,000 baseMerika bahlala esibhedlele kwaye phakathi kwe-15 000 no-20,000 bayafa ngonyaka ngamnye ngenxa yezilonda kunye nokuphuma kwegazi ngokuphathelele ukusetyenziswa kwe-NSAID. Ukuthetha kuphela nge-arthritis, izigulane ezili-14 zezigulane zithatha ii-NSAID rhoqo - ukuya kwi-60% yazo eza kuba nemiphumo yesisu esiswini ngenxa yoko.
Ngenxa yokuba kukho ingozi eyaziwayo yezilonda kunye nokuphuma kwamanzi kunye ne-NSAID kunye ne-corticosteroids, abantu abathabatha loo mayeza kufuneka baqaphele ngakumbi.
Amalungu abo entsapho ahlala nabo kufuneka afundiswe malunga neempawu zokulumkisa ukuphuma kwegazi. Nangona kungekaze kumnandi ukuya eklasini yongxamiseko okanye ukuba kwisibhedlele, ukuphuma kwamathambo kunokuba lukhulu. Yenza into elungileyo - ungayinaki impawu zakho. Ubomi bakho buxhomekeka kuyo.
Imithombo:
> Ukuqonda i-GI Bleeding. I-American College yeGastroenterology.
http://patients.gi.org/gi-health-and-disease/
> Ukuhluthwa kwemizimba. UScott Moses, MD. 6/1/2008.
http://www.fpnotebook.com/GI/Sx/GstrntstnlBldng.htm