Muzituluka magazi - pachiswe Vuto la matenda chironda chachikulu

Magazi - ambiri ndi owopsa Vuto la matenda chironda chachikulu. Nthawi zambiri, magazi chapamimba akufotokozera mu pachimake chironda chachikulu, koma odwala ena kungakhale woyamba chizindikiro exacerbation. magazi zamatsenga nthaŵi zonse ndi chitukuko cha pachimake chapamimba chilonda. Childs, ngati chizindikiro cha matenda akhala layamba ndipo si vuto.

Matenda makamaka chokha chachikulu, otchedwa profuse muzituluka magazi ndi hematemesis ndi melena (dikira chimbudzi), zimachitika pafupifupi imodzi. Zizindikiro zimenezi n'zotheka kuti amaganiza magazi ndithu kuchokera kumadera chapamwamba thirakiti m'mimba. Pamene kusanza wamagazi zambiri gwero la magazi m'mimba ndipo kawirikawiri mu mmatumbo khoma, mmatumbo koma pamwamba khola. Masanzi Pankhaniyi amafanana malo khofi. Komabe, magazi kuchokera zilonda mmatumbo ndipo ngakhale m'mimba si nthawi zonse limodzi ndi chitukuko cha kusanza wamagazi. Nthawi zambiri wapezeka yekha melena. 90% ya magazi chilonda, isanafalikire mu duodenum ndi, amapezeka kokha melena, pamene chapamimba chilonda kaŵirikaŵiri anati hematemesis.

chithunzi matenda

Ngati osauka magazi chapamimba, zizindikiro ofunitsitsa ndi mphamvu ndi buku la kutaya magazi. Wofatsa buku si upambana 300-400 ml. Mu nkhani iyi, matenda a m'maganizo mwina okha kapena ali mosavuta, mwamsanga zikutha nseru, ndi kuchuluka pakamwa youma, kufooka ambiri. Wodwala nthawi zambiri, mwina kulabadira maonekedwe zizindikiro izi ngati iwo limodzi ndi kusanza magazi. More zizindikiro okhazikika - chilakolako kulowa wakuda ndipo dikira chimbudzi. Muzituluka magazi, zomwe si upambana 10% ya magazi kufalitsidwa, thupi likupita mosavuta. Ichi ndi chifukwa ntchito njira compensatory ndi kudzikonda lamulo.

Pamene imfa lalikulu magazi kapena kukonzanso magazi, pali zizindikiro za pachimake positi-hemorrhagic magazi m'thupi. Kumaonetsa kufooka kwambiri, nseru, tinnitus, palpitations, chizungulire, zipolowe zooneka mawonekedwe a zikuthwanima "nyenyezi" kapena thumba kutsogolo kwa maso. Wodwala akufotokozera mwadzidzidzi pallor, khungu yokutidwa ndi thukuta ozizira, zimachitika amafulumizitsa ndi magazi systolic kuthamanga yafupika. Kumbukirani kuti zizindikiro izi zingaoneke kale kuposa kukhala hematemesis ndi melena. alili zimadalira yozungulira osati pa buku la kutaya magazi, komanso pa liwiro la chitukuko. Mothandizidwa ndi asilikali compensatory mkati maola ochepa a kufalitsidwa magazi mphamvu obwezeretsedwa, koma akufotokozera magazi m'thupi, zomwe alinga zovuta kukha magazi. Limodzi magazi magazi ambiri kutchulidwa kumapeto kwa tsiku loyamba. Kusowa kwa mphamvu abwino alili pa masiku awiri atatu limasonyeza magazi yaitali kapena kubwereza ake.

Muzituluka magazi - mmene kusiya

Pamene magazi m'pofunika kuwasamalira mwadzidzidzi. Njira magazi angakhale osiyana. Prehospital mtima anatumizidwa malo mosamalitsa yopingasa, tsembwe pa m'mimba, parenteral makonzedwe hemostatic mankhwala. mankhwala mtima ndi vasoconstrictor ali contraindicated. The wodwala anavomereza kuchipatala opaleshoni, kumene kusunga hemostatic mankhwala ndi kubwezeretsa magazi buku. Zikavuta, kupanda mankhwala zasonyezedwa opaleshoni. Muyeso ankaona osamveka achire mankhwala anapitiriza magazi pambuyo kuikidwa malita 2 magazi kapena watsopano pambuyo kupuma pang'ono.