Dema kana yekumhara zvituru

Dema kana yekumhara zvituru zvine hwema hwakaipa chiratidzo chechinetso munzvimbo yepamusoro yekugaya. Iyo inowanzo kuratidza kuti kune kubuda ropa mudumbu, mudumbu ura, kana kurudyi kwekoloni.

Izwi rekuti melena rinoshandiswa kutsanangura kuwanikwa uku.

Kudya nhema licorice, bhuruu, soseji yeropa kana kutora mapiritsi esimbi, marasha akaomeswa, kana mishonga ine bismuth (yakadai sePepto-Bismol), inogona kukonzera zvituru zvitema. Beet uye chikafu chine ruvara rutsvuku dzimwe nguva chinoita kuti zvituru zviite sezvitsvuku. Muzviitiko zvese izvi, chiremba wako anogona kuyedza chigaro nemakemikari kutonga kunze kwekuvapo kweropa.

Kubuda ropa mudumbu kana mudumbu (senge nechironda chirwere) kunogona kukonzera kuti urutse ropa.

Ruvara rweropa muzvigaro rinogona kuratidza panobuda ropa.

• Dema kana yekumhara zvituru zvinogona kunge zvichikonzerwa nekubuda ropa muchikamu chepamusoro cheGI (gastrointestinal) turakiti, senge esophagus, mudumbu, kana chikamu chekutanga chemukati mudumbu Mune ino kesi, ropa rakasviba nekuti rinogayikwa munzira yaro kuburikidza neiyo GI turakiti.
• Ropa dzvuku kana nyowani muzvituru (kubuda ropa chaiko), chiratidzo chekubuda ropa kubva pazasi reGI turakiti (rectum uye anus).

Peptic ulcers ndiyo inonyanya kukonzera kukwirira kwepamusoro kweGI kubuda ropa. Nhema uye tarry zvituru zvinogona zvakare kuitika nekuda kwe:

• Mitsipa yeropa isina kujairika
• Kubvarura musophagus kubva pakurutsa zvine chisimba (Mallory-Weiss kuchema)
• Ropa rinogurwa kuchikamu cheuura
• Kuzvimba kwedumbu rinomira (gastritis)
• Kushungurudzika kana muviri wekunze
• Wins, yakawedzera mitsipa (inonzi varices) mudumbu uye mudumbu, inowanzo kukonzerwa nechiropa cirrhosis
• Kenza yegurokuro, mudumbu, kana duodenum kana ampulla

Bata wako mupi wezvehutano ipapo kana:

• Unocherekedza ropa kana shanduko muvara rechituru chako
• Unorutsa ropa
• Unonzwa dzungu kana musoro usina musoro

Muvana, shoma reropa muzvigaro kazhinji harisi rakakomba. Chikonzero chakajairika kubatira. Iwe unofanirwa kuudza mupi wemwana wako kana ukaona dambudziko iri.

Wako mupi achatora nhoroondo yezvokurapa uye oongorora bvunzo. Bvunzo rinotarisa padumbu rako.

Unogona kubvunzwa mibvunzo inotevera:

• Uri kutora ropa rinoonda, senge aspirin, warfarin, Eliquis, Pradaxa, Xarelto, kana clopidogrel, kana mimwe mishonga yakafanana? Uri kutora NSAID, senge ibuprofen kana naproxen?
• Wakambove nekushungurudzika here kana kumedza chinhu chekune imwe nyika netsaona?
• Wakambodya licorice nhema, lead, Pepto-Bismol, kana blueberries?
• Wakave uine inopfuura imwechete episode yeropa muduru rako? Ndezvipi zvituru nenzira iyi?
• Wakamborasikirwa chero huremu munguva pfupi yapfuura?
• Pane ropa here pabepa repachimbuzi chete?
• Chituru chii?
• Dambudziko rakatanga riini?
• Ndezvipi zvimwe zviratidzo zviripo (kurwadziwa mudumbu, kurutsa ropa, kuzvimba, gasi rakawandisa, manyoka, kana fivha)?

Ungangoda kuve neyese kana imwe bvunzo kuti utarise chikonzero chacho:

• Angiography
• Kubuda ropa scan (mishonga yenyukireya)
• Zvidzidzo zveropa, zvinosanganisira yakazara ropa kuverenga (CBC) uye musiyano, serum chemistries, kudzikamisa zvidzidzo
• Colonoscopy
• Esophagogastroduodenoscopy kana EGD
• Chituru tsika
• Miedzo yekuvapo kwe Helicobacter pylori hutachiona
• Capsule endoscopy (piritsi ine yakavakwa mukamera inotora vhidhiyo yemukati mudumbu)
• Double balloon enteroscopy (chiyero chinokwanisa kusvika muzvikamu zvemuura mudiki izvo zvisingakwanise kusvikwa neEGD kana colonoscopy)

Zviitiko zvakakomba zvekubuda ropa zvinokonzeresa kurasikirwa neropa zvakanyanya uye kudonha kweropa kunogona kuda kuvhiyiwa kana kurapwa.

Tsvina - ropa; Melena; Zvituru - dema kana kunonoka; Kubuda kwepamusoro mudumbu; Melenic zvituru

• Diverticulitis uye diverticulosis - kubuda
• Diverticulitis - chii chekubvunza chiremba wako
• Ulcerative colitis - kubuda

Chaptini L, Peikin S. Kubuda mudumbu kubuda ropa. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chap 72.

Kovacs TO, Jensen DM. Kubuda ropa mudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 126.

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 Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 20.