Kusvipa ropa

Kurutsa ropa kuri kudzoreredza (kukanda kumusoro) zviri mudumbu rine ropa.

Ropa rakasvinurwa rinogona kuoneka rakatsvuka, rakatsvuka, kana kuita senzvimbo yekofi. Chinhu chakarutsirwa chinogona kusanganiswa nechikafu kana iro rinogona kunge riri ropa chete.

Zvinogona kunge zvakaoma kuudza musiyano uripo pakati pekurutsa ropa nekukosora ropa (kubva mumapapu) kana kubuda ropa mumhino.

Mamiriro ezvinhu anokonzeresa kurutsa ropa anogona zvakare kukonzera ropa muchigaro.

Iyo yepamusoro GI (gastrointestinal) turakiti inosanganisira muromo, huro, esophagus (yekumedza chubhu), mudumbu uye duodenum (chikamu chekutanga chemukati mudumbu). Ropa rinorutsirwa rinogona kubva kune chero nzvimbo idzi.

Kurutsa kunesimba kwazvo kana kuenderera kwenguva refu kunogona kukonzera kuchema mumidziyo midiki yeropa yehuro. Izvi zvinogona kuburitsa mitsara yeropa mumarutsi.

Tsinga dzakazvimba mumadziro echikamu chezasi chegurokuro, uye dzimwe nguva dumbu, rinogona kutanga kubuda ropa. Aya matsinga (anonzi varices) aripo muvanhu vane kukuvara kwakanyanya kwechiropa.

Kudzokorodza nekudzokorora kunogona kukonzera kubuda ropa nekukuvara kwenzara yepasi inonzi Mallory Weiss misodzi.

Zvimwe zvikonzero zvinogona kusanganisira:

• Bleeding ulcer mudumbu, chikamu chekutanga chemukati mudumbu, kana yegurokuro
• Dambudziko rekuvhara ropa
• Kukanganisa mumidziyo yeropa yeturakiti reGI
• Kuzvimba, kutsamwa, kana kuzvimba kweiyo esophagus lining (esophagitis) kana dumbu rinomira (gastritis)
• Kumedza ropa (semuenzaniso, mushure mekubuda ropa mumhino)
• Tumota dzemumuromo, pahuro, mudumbu kana mudumbu

Wana kurapwa pakarepo. Kurutsa ropa kunogona kunge kuri nekuda kwedambudziko rakakomba rekurapa.

Fonera wako mupi wezvehutano kana kuenda kukamuri ye emergency kana kurutsa kweropa kukaitika. Iwe unozofanirwa kuongororwa ipapo ipapo.

Iye mupi anozokuongorora obvunza mibvunzo yakaita seiyi:

• Kurutsa kwakatanga riini?
• Wakamborutsa ropa kare here?
• Ropa rakawanda zvakadii mumarutsi acho?
• Ropa raive rakaita sei? (Yakajeka kana yerima tsvuku kana senzvimbo dzekofi?)
• Wakambove nekukweva kubuda ropa kwemhino, kuvhiya, basa remazino, kurutsa, matambudziko emudumbu, kana kukosora kwakanyanya?
• Ndezvipi zvimwe zviratidzo zvaunazvo?
• Ndeapi mamiriro ekurapa aunayo?
• Unotora mishonga ipi?
• Unonwa here doro kana kuputa fodya?

Miedzo inogona kuitwa inosanganisira:

• Ropa rinoshanda, senge yakazara ropa kuverenga (CBC), ropa kemisitiri, kuongororwa kweropa, uye chiropa mashandiro ebasa
• Esophagogastroduodenoscopy (EGD) (kuisa yakavhenekera chubhu kuburikidza nemuromo kupinda mudumbu, mudumbu uye duodenum)
• Kuongorora chaiko
• Tube kuburikidza nemhino mudumbu uye wozoshandisa kukweva kutarisa ropa mudumbu
• X-ray

Kana warutsa ropa rakawanda, ungangoda kurapwa nechimbichimbi. Izvi zvinogona kusanganisira:

• Kutungamirirwa kweokisijeni
• Kuisirwa ropa
• EGD nekushandisa laser kana imwe nzira yekumisa kubuda kweropa
• Fluid kuburikidza nemutsinga
• Mishonga yekudzikisa mudumbu acid
• Zvinogona kuvhiyiwa kana kubuda ropa kukasamira

Hematemesis; Ropa mumarutsi

Kovacs TO, Jensen DM. Kubuda ropa mudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 135.

Meguerdichian DA, Goralnick E. Utumbo kubuda ropa. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 27.

Inochengetedza TJ, Jensen DM. Kubuda ropa mudumbu. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 20.