Isitulo esimnyama asikho rhoqo ngenxa yengxaki enkulu. Kukho izizathu ezininzi ezibonakalayo ezinokubonakala zibe zimnyama, kunye ne-iron supplements okanye nokuba u-Oreos unokubekwa ityala. Oku kuyinyani ngokukhethekileyo kubantu abane-ostomy ukuhlinzwa okanye i- colectomy , kuba ukutya akungagcini ngokugcwele njengoko kubantu abangenakho ukuhlinzwa kwesisu. Nangona kunjalo, ukuba unako ukuphuma kwamanzi ngexesha elidlulileyo, kukho inkohlakalo engcolileyo, okanye ingxaki iqhubeka ixesha elide kuneentsuku ezimbalwa, isizathu sokuba ubone ugqirha wakho.
Iimpawu Eziqinileyo: Yintoni Okufuneka Uyazi Ngama-Black Stools
- Uninzi lweziganeko zamagumbi amnyama zivela ekutya ukutya okumnyama okanye ukuxhaswa kwesebe.
- Isimo esona siqhelekileyo esibangela izitulo ezimnyama zilonda.
- Izitulo ezimnyama ezibangelwa igazi zibonisa ingxaki kwisigxina esiphezulu sokutya.
- Igazi kwi-stool inokufunyanwa ngokuhlolwa kwe-stool.
- Isitulo esimnyama kunye nentlungu, ukuhlanza, okanye urhudo kubangelwa ukubona ugqirha ngokukhawuleza.
- Ukuba igazi likwi-stool likhankanywa, kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza.
Ama-Black Stools abangela Ukutya okanye iziNcediso
Isitulo esimnyama singabangelwa kukutya, isongezelelo, amayeza, okanye amaminerali. I-Iron supplement, ithathwe yedwa okanye njengenxalenye ye-multivitamin ngenxa ye- anemia ye -iron-deficiency, ingabangela izitulo ezimnyama okanye izitshixo eziluhlaza . Ukutya okubumnyama okwesibhakabhaka, omnyama, okanye okuluhlaza kungabangela izihlalo zamnyama. Iziganeko ezifumaneka rhoqo ekubangela izitulo ezimnyama zibandakanya:
- Black licorice
- Blueberries
- Iitrato zongeza
- Khokela
- Bismuth (i-Pepto-bismol)
Ukuba ubona izitulo ezimnyama kwaye unokuzibuyisela kwisidlo osidlile, kulungile. Nangona kunjalo, ugqirha kufuneka uqhagamshelane ngokukhawuleza ukuba izitya ezimnyama azikwazi ukulandelwa emva kokutya, isongezelelo sesinyithi okanye iPepto-bismol.
Ukuba asikho isizathu esicacileyo sesigxina esimnyama (njengokutya, isongezelelo, okanye imithi efana nePepto-bismol), kunokuba ixesha lokukhangela igazi kwisitonsi.
Izizathu ezahlukeneyo zezonyango zingabangela izitulo ezimnyama eziye zithe ngephunga elimnandi.
Ama-Black Stools abangelwa yiGazi: uMelena
Igazi elivela phezulu phezulu kwindlela yokugaya, njenge-esophagus okanye isisu, ingaba ngumnyama omnyama, othiwa "melena." Njengoko igazi lidlula emzimbeni kwaye lidibanisa ne-enzymes kwinkqubo yokutya, igazi liguquka ukusuka ebomvu ukuya kumnyama. Oku kwenza kube nzima ngakumbi ukubona okanye kwisigxina kunokuba kukho igazi elibomvu. Igazi elibomvu okanye kwi-stool, ebizwa ngokuba yi- hematochezia , "ngokuqhelekileyo isuka kwinqanaba lokugaya , njenge-rectum okanye i-colon. Igazi ukusuka kumzantsi kwisisisu somzimba kuya kubonakala kwindlela encinci yokutya kunye nokugcina ibomvu umbala.
Ukuba isibonda esimnyama sihamba kunye nezinye iimpawu ezinjengeenkxalabo okanye ukuphelelwa yintlungu, utywala, intlungu, okanye ukuhlanza, ngakumbi xa kukho igazi kuyo okanye kubonakala ngathi indawo yekhofi, ukudibana nodokotela ngokukhawuleza kubalulekile, kuba kungaba yonyango ngxakeko. Kwabanye abantu, kusenokuba sele ikhona ingozi eyaziwayo yokuphaphaza kwindlela yokugaya. Thetha ugqirha malunga nokukwazi ukuphuma kwegazi kunye negazi kwi-stool ukuba kukho naziphi na ezi zinto zikhoyo zingozi:
- Isifo sesibindi
- Cancer
- Isilonda se-Dieulafoy (imeko engaqhelekanga yesisu)
- I-esophagitis enobungozi (ukuvuvukala kwi-esophagus)
- I-gastritis eyingozi (ukuvutha esiswini)
- Intestinal ischemia (ukunikezelwa kwegazi kumathumbu kunqunyulwa)
- Izilonda zamapeptic
- Ukulila kwi-esophagus (iMallory-Weiss izinyembezi)
- IiVilisi (iimvumba eziqhelekileyo) kwisisu okanye esiswini
Ukuchonga iGazi kwiStool
Umbala omnyama wodwa awunelanga ukucacisa ukuba empeleni igazi elidluliselwa kwisitulo. Ngoko ke, ugqirha uya kufuna ukuba aqinisekise ukuba kukho ngokwenene igazi kwi-stool. Oku kunokwenziwa kwiofisi yegqirha ngokusebenzisa uvavanyo lwama-rectal.
Okanye, unokwenziwa ekhaya ngekiti esetyenziselwa ukuqokelela isampula esincinane, esethunyelwa ebhokisini yokuvavanya.
Igazi kwisigxina esimnyama singabangelwa yimimandla eyahlukileyo eyahlukeneyo, kubandakanywa nesilonda esisukayo , isifo se-gastritis , i-varophygeal varices, okanye iinyembezi kwindawo yokuhlanza ubudlova (iMallory-Weiss izinyembezi). Ukubonakala kwexesha lokuhlala kwe-stool kuphuma egazini edibeneyo kunye neentshisi zokugaya umzimba.
Emva kokuba i-melena ifunyenwe, ugqirha unokuyalela ezinye iimvavanyo zokuxilonga ukucacisa isizathu kunye nendawo echanekileyo yokuphuma kwegazi. Uvavanyo oluya kuba luncedo kakhulu ekunqumeni imbangela yokuphuma kwamanzi luya kuba yi- esophagogroduodenoscopy (EGD) . Ezinye iimvavanyo ezinokuthi zenziwe zingabandakanya i- x-ray , iimvavanyo zegazi , i- colonoscopy , i- stool culture , kunye ne- barium izifundo .
Ezinye izizathu eziqhelekileyo zeMelena
Ulcer. Isilonda sinohlobo lwesifo esibubini besisu esisenokubangela ukuphaphaza kwaye kubangele i-melena. Ngokuchasene neenkolelo ezithandwayo, izilonda zesisu aziqhelekanga kubangelwa uxinzelelo okanye ukutya okunesonka (nangona ezi zinokunyusa isilonda esele sekhona). Enyanisweni, zibangelwa usulelo lwebhaktiriya ebizwa ngokuba yiHelicobacter pylori ( H. pylori ). I-antibiotics imiselwe ukuba isuswe, kwaye ngamanye amaxesha i-acid reduction.
Esinye isizathu sezilonda zesisu sisisigxina sexesha lokusetyenziswa kweentlungu ezibizwa ngokuba yi- NSAID (izidakamizwa ezichasene nezidakamizwa). Ii-NSAID ziyakucasula isisu ngokunciphisa amandla okumbamba ukumelana ne-acid eyenziwe kwisisu. Ngenxa yezizathu ezifanayo, ii-NSAID zinefuthe elibi kwisifo sikaCrohn kunye ne-ulcerative colitis. I-NSAID zibandakanya izidakamizwa eziqhelekileyo eziqhelekileyo ezifana ne-ibuprofen, i-naproxen sodium kunye ne-aspirin. Amanye ama-NSAID anqunywe ngamagqirha. Izilonda zesisu ezibangelwa yi-NSAID zidlalisa emva kokuba isicatshulwa esiphukileyo siphelile.
Gastritis. I-Gastritis kukuvuvukala kwesisu esiswini. Olu kuvuthayo lunokubangelwa utywala kakhulu okanye ukutya, ukutya ukutya okunesonka, ukutshaya, ukusuleleka kwiibhaktheriya, okanye ngokusetyenziswa kwexesha leNSAID ixesha elide. I-Gastritis inokuphuhliswa emva kokuhlinzwa okanye ukuxhatshazwa, okanye inokudityaniswa neemeko zonyango ezikhoyo.
Esophageal Varices. Ii-varophageal varices zixubile imithanjeni eludongeni lwesisu esingaphantsi okanye esiswini esiswini. Xa ezi zivilini ziphuka, zingabangela ukuphuma kwegazi, okubangela ukuba igazi livele kwi-stool okanye kuhlanza. Iindlululo ze-Esophageal ziyinkxalabo enzulu ephuma kwi-portal hypertension ( ukunyuswa kwengcinezelo yegazi ) eyenziwa yi- cirrhosis yesibindi .
I-Mallory-Weiss Tear. Le ntsizi ekhunjulwe kwi-membrane edibeneyo ejoyina isisu kunye nesisu. Ukuba le ntlungu iphuma, inokubangela ukuba i-melena. Le meko ayinqabile (ayifumaneka kuphela kubantu abane-100,000) kwaye ingabangelwa ukuhlanza obunobundlobongela, ukukhwehlela, okanye ukuxhamla.
ILizwi
Kwiimeko ezininzi, isitulo esimnyama sisuka ekudleni kwaye akusinto into ekufuneka ixhalabele ngayo. Ukuba unezihlalo ezimnyama ongenakukwazi ukuzibonisa ukutya okanye ukunyusa izitya, jonga ugqirha wakho ngokukhawuleza. Isitomnyama esimnyama kanye ngexesha elithile elihlala livela emva kokutya ukutya okubumnyama kumbala ngokuqhelekileyo akunakukhathazeka. Ukuba umbala omnyama uhamba kunye nezinye iimpawu ezifana nokuhlanza, isifo sohudo, okanye intlungu ebuhlungu, funa unyango ngokukhawuleza.
Imithombo:
> Laine L, Jensen DM. "Ukuphathwa kwezigulane ezinegazi lesisu." Am J Gastroenterol . 2012; 107; 345-360.
> Lanza FL, Chan FK, Quigley EM; I-Practice Parameters Ikomiti ye-American College ye-Gastroenterology. "Izikhokelo zokuthintela iingxaki zezilonda ezinxulumene ne-NSAID." Am J Gastroenterol . 2009 Mar; 104: 728-738.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. "Ukuhlamba kwiTekethi yeSigestive." I-National Digestive Diseases Information Clearinghouse. 2017.