Ziziphi Iingxaki Zegazi Elimnyama?

by Naveed Saleh, MD, MS; Uhlolwe nguEmmy Ludwig, MD

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Iingxaki ze-Bloody Stool

Kwiyeza, ngobunzima bomntu, uphawu olulodwa nje njengesigxina esinokugawula igazi lungadla ngokubakho kwiimeko ezininzi. Igazi kwisitulo libonisa nje ngegazi elibomvu okanye i-maroonish kwaye limela igazi kwindawo ethile kwi-GI ipheshana ukusuka emlonyeni ukuya kwi-anus. (Ukuba igazi livela kwi-GI phetshana eliphezulu kwaye lugqitywa, lingaqala ukuthatha ukubukeka okumnyama, okufana ne-tar, okubizwa ngokuba yi- melena . Andiyi kuguqa i-melena kulo mboniso weslayidi.)

Ukusebenzisa iinkcukacha ezisuka kwimbali yakho, uvavanyo lomzimba, iimvavanyo zokuxilonga, njengawo, oogqirha banako ukuqonda i-etiology okanye imbangela yezibonakaliso kunye nokulawula izifo ezahlukeneyo zokuxilonga. Ngomoya wokuxilonga ngokuhlukileyo, ndikubonela izizathu ezili-10 ezikhoyo zegazi eligazini. Nceda uqaphele ukuba ngokugqithiseleyo ndishiye izizathu ezithintekayo ezifana ne-e.coli. (Musa ukukhathazeka, ndiza kugubungula ihudo lokugawula igazi kwinqaku elihlukile.)

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I-Bloody Stool Isizathu # # 1: I-GI Bleed High

Njengoko nawuphi na ugqirha onogqirha unokufakazela, imbangela eqhelekileyo ye-GI ephantsi iphuma ngegazi eliphezulu . Xa uphepha ngegazi ngokukodwa kwisakhiwo se-anatomiki esixhomekeke kwi-ligament kaTeritz, i-ligament ephazamisa i-distal duodenum, igazi lingabonakala lingagqithwanga kwi-stool yakho (ukuhamba ngokukhawuleza).

Ukuze ufumane ukuba unayo i-GI ephezulu, i-gastroenterologist iya kwenza i-endoscopy. Ukulandela amanyathelo okuhlaziywa okufana nokuzinza kwe-airway okanye ukumpontshelwa igazi, izigulane ezinegazi eziphezulu kakhulu ze-GI zifuna ukuhlinzwa.

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I-Blood Stool Isizathu # 2: Ukuhlambalaza

Nangona ama-fissures e-anal ayenzeka nakwabantu abadala, ezi zikhuni ziyimbangela eqhelekileyo yokugaya igazi kwiintsana. Ezi zikhuni zibangelwa kukuqhawuka okanye ukudlula isitulo esikhulu esikhulu. Ama-fissures ahlaziwayo aphezu kwesikhumba eboniswe emva kokulula ulusu lwe-anus. (Mxolela isiFrentshi yam, kodwa i-anal fissures ingabonakaliswa kwi-butthole yakho.) Ngethamsanqa, i-anal fissures ihlala iphilisa ngokwabo kodwa isenzo sokunciphisa kunye nokusetyenziswa kwe-petroleum jelly okanye ezinye i-cream ziyakunceda ngeentlungu kunye nokuphazamiseka.

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I-Blood Stool Isizathu # # 3: Iipolisi

I-polyphonic yegama elingabonakaliyo libhekisela kunoma yimuphi umboniso ukusuka kumathambo emathumbu. Kukho iintlobo ezininzi zeepolisi ezihluka ngokuxhomekeka kwi-histology yazo kunye neentetho. Iipolisi ezinama-adenomat are eziqhelekileyo-ezichaphazela malunga nama-25 ekhulwini kubantu abadala abaneminyaka engama-50 nangaphezulu.

Uninzi lweziganeko zesifo somhlaza esivela kwi-polyps ezinama-adenomatous, kunye nomhlaza ongqambileyo ngowesihlandlo sesibini esibangela ukufa kwabantu abanomdlavuza e-United States. Nangona kunjalo, ngentuthuko yezokwelapha, iipolps ezingenayo i-nonmetastatic polyps ezinokudityaniswa ziyakunqandwa okanye zisuswe ngokuhlinzwa, kwaye i-chemotherpy inokunikwa ukukhawulela nasiphi na isasazekayo. Umhlaza ogqithisileyo uphathwe xa uthe wabanjwa kwangaphambili okokuba kutheni bonke abantu abangaphezu kwama-50 kufuneka baqhelise ukuhlola rhoqo nge-colonoscopy, sigmoidoscopy njalonjalo.

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I-Blood Stool Isizathu # # 4: iiHemorrhoids

Ama-hemorrhoids ayavuvukala emitanjeni yegazi enokungena kwi-anus; bajonge njengama-cushions. Ama-hemorrhoids awanakulungeleki ... i-blood, ebunzima, kunye negazi elibomvu elibomvu kwi-circulation circular circulatory feeding anus and rectum. Izinto ezinobungozi zininzi kwaye zibandakanya urhudo, ukuzithemba, ukuphakamisa okunzima, ukuhlala ixesha elide kunye nokukhulelwa. Kwabaninzi abantu abaneemvumba, unyango luyinto engabonakaliyo kwaye luquka ukunyuka kwamafiber ekudleni kwakho nokusebenzisa i-salve efana nokulungiselelwa H. Ngokuxhomekeka kwindawo (yangaphakathi nangaphandle), ubunzima beempawu kunye nokunye, ukhetho lokuphinda luyafumaneka ukuze unyango lweemvumba .

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I-Blood Stool Isizathu # # 5: I-Angiodysplasia

Xa imbangela yesigxina segazi ifihlakele, mhlawumbi ixhomekeke kwi-angiodysplasia okanye i-vascular malformation ye-gut. I-Angiodysplasia ivame ukudibaniswa nesifo sokuqhaqha kwesigxina, isifo se-von WIllebrand kunye nokungaphumeleli kwe-renal.

Ngokuxhomekeka kwindawo, i-angiodysplasia inokuphathwa nge-endoscopic obliteration. Ezinye iindlela zonyango zibandakanya unyango lwe-hormone, ukuxilongwa kwegazi kunye neenkxaso zesebe. Ngethamsanqa, kubantu abaninzi, i-angiodysplasia iyayeka yodwa.

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Isigulana segazi Esibangela isisombululo # 6: Izifo ezithintekayo zezifo (IBD)

Isifo sesibindi sokuvuvukala (IBD) lixesha eliqhelekileyo kwisifo sokuzimela esisodwa esibangela ukuvuvukala kwamathumbu. Iintlobo ezimbini eziqhelekileyo ze-IBD ziyisifo sikaCrohn kunye nesifo se-ulcerative colitis. Ekuqaleni, unyango lwe-IBD lunyango oluquka ama-steroid kunye nama-agent-modifying agents. Nangona kunjalo, uninzi lwabantu abane-IBD ekugqibeleni badinga ukuhlinzwa.

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I-Blood Stool Cause # 7: I-Cancer

Ngo-2010, umhlaza we-colorectal wafunyaniswa kubantu abayi-142,570, kwaye abantu abangama-51,370 bafa ngesifo. Ngenxa yokufumana kwangaphambili kunye nonyango, inani lokufa elibangelwa zizifo ezinqabileyo liye lancipha ngama-25 ekhulwini. Nangona kunjalo, umdlavuza omnyama usabhubhile kakhulu.

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Igalelo legazi elimnyama # 8: Izifo ezichazayo

Kukho iintlobo ezimbini zezifo eziphambeneyo: i-diverticulosis kunye ne-diverticulitis. Bobabini bangabonakalisa ngendlela ebuhlungu kunye negazi kwi-stool.

I-Diverticulosis iyenzeka xa iifenki okanye i- diverticula (inye ye- diverticulum ) ifom ekholoni. Ezi ngxube zikhula ngenxa yobuthakathaka eludongeni lwekoloni kwaye ngamanye amaxesha zikhula zibe ngamithamitha amade ubude. Nangona i-classically ibangelwa kukutya okuphantsi kwe-fiber, isizathu esicacileyo se-diverticula asiyazi. Ukuhlamba okuvela kwi-diverticula kunokumiswa ngexesha lokuphela kwe-endoscopy okanye ukuhlinzwa kwesisu.

Xa i-diverticula isulelekile, imeko ye-diverticulitis iziphumo. I-Diverticulitis iyaphathwa kwisilathiso sokugula esisebenzisa iziza-antibiotics. Ukuba ukuhlinzwa kuyadingeka, oogqirha bahlala balinda de emva kokusuleleka ukusuleleka.

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Igalelo legazi elimnyama # 9: I-Ischemic Colitis

Amaphesenti angama-90 kuwo onke amacala e-ischemic colitis achaphazela abantu asebekhulile kwaye ingaba nzima okanye ingapheliyo. Ukulimala kweSikemikhi kubangelwa xa igazi le-intestinal liphuma kwi-colon alinelanga (cinga i-blood clot okanye i-atherosclerosis). Ukongeza kwigazi kwi-stool, i-ischemic colitis ingakhombisa kwakhona njenge-diarrhea, isidingo esiphuthumayo sokuchasa, intlungu yesisu nokuhlanza.

Uninzi lweziganeko ze-ischemic colitis zihlala ixesha elifutshane kwaye zizenzele isombululo. Ngeemeko ezinzima kakhulu, abantu bahlala esibhedlele, bagqoke ukuphumla kwesilumko kwaye banikezwa ngamanzi kunye namagciwane. Phantse ama-20 ekhulwini labantu abahlakulela i-ischemic colitis, nangona kunjalo, kufuneka udinga ukuhlinzwa. Ukuxela abantu abafumana utyando kutyhafile ngeqondo lokufa kwabantu abangama-60.

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Igalelo legazi elimnyama # 10: I-Alarm yamanga

Ngamanye amaxesha, iingubo kunye nombala ukususela ekutya esikudlayo njenge-Kool-Aid, i-Punch yaseHawaii, i-gelatin ebomvu kunye ne-beet, ingajika isithunzi sakho sibomvu. Ukuba uke wabuyela kwidolophu yakho kwiidolophu ezibomvu, mhlawumbi uye wazibonela ezi zinto ziphazamisayo kodwa ziphazamisayo.

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I-Blood Stool: Ukupasa iingcinga

Njengoko unokuyiqonda ngoku, isitofu esinokugawula igazi singabangela izinto ezininzi. Ezinye zezi zizathu ziyakhathaza kodwa zingenakubungozi ezinjengeziqhumane okanye izifungo ze-anal; Ezinye izizathu zibaninzi malunga nomhlaza.

Ukuba wena okanye othandekayo ukhononda ngegazi kwisihlalo, kufuneka ubone ugqirha. Ndiyazi ukuba kukhwankqisayo ukujonga phantsi kwaye ubone igazi kwiisisisi okanye kwisitya, kwaye kunokuzama ukuyihoxisa kwaye ithemba ukuba iyahamba. Nangona kunjalo, ngomhlaza omninzi ungumphumo obangela ukufa emhlabeni wonke, akufanele ugule igazi kwi-stool yakho.

Imithombo ekhethiweyo

UStephan M, uCarter C, uAshfaq S. Isahluko 50. Utywala lwezonyango. Ku: I-Stone C, i-Humphries RL. eds. UKUHLAWULWA KWENKQUBO YOKUPHATHWA KUNYE NEZONYAKA ZEMPILO YEMPILO, 7e . New York, NY: McGraw-Hill; Ngo-2011. Ukufikeleleka ngo-Ephreli 03, 2015.

I-Bullard Dunn KM, i-Rothenberger DA. Colon, Rectum, kunye noAnus. Ku: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. I-Schwartz Iimigaqo zoPhando, 10e . New York, NY: McGraw-Hill; 2014. Kufumaneka ngo-Ephreli 03, 2015.

IGomella LG, Haist SA. Isahluko 3. Ukuchonga okuhlukeneyo: Iimpawu, iimpawu kunye neemeko. Ku: Gomella LG, Haist SA. eds. I-Pocket Reference Reference: I-Scut Monkey, 11e . New York, NY: McGraw-Hill; 2007. Kufumaneka ngo-Ephreli 03, 2015.

UMeyile RJ. Isahluko 91. I-Cancer Cancer Cancer. Ku: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Imigaqo yeHarrison ye-Medicine yangaphakathi, i-18e . New York, NY: McGraw-Hill; 2012. Kufumaneka ngo-Ephreli 03, 2015.

Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. Isahluko 66. Ama-hemorrhoids. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas we-Medicine Family, 2e . New York, NY: McGraw-Hill; 2013. Kufumaneka ngo-Ephreli 03, 2015.

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