Malo akuda: zomwe zimayambitsa chizindikirochi

Chimbudzi, kapena ndowe, zimalola thupi kusunthira zinyalala zolimba kuchokera kukugaya ndi njira zina zamagetsi. Chopondapo chimakhala ndimadzi pafupifupi 75-85% komanso 20% youma.

Kawirikawiri mitundu yawo imakhala yofiirira, chifukwa cha kupezeka kwa mitundu ya bulauni ya ndulu yotchedwa stercobilin ndi urobilin.

Nthawi zina mtundu wampando umatha kusintha. Kusintha kwachilendo kwazinyalalazi kuyenera kuchititsa kukaonana ndi dokotala.

Malo akuda mwa makanda

Dziwani kuti mwa ana akhanda, malo oyamba kutulutsidwa atabadwa ndi akuda, ndipo kusasinthasintha kwawo kumafanana ndi mafuta. Izi ndizabwinobwino: ndi meconium.

Kutulutsa kwa chimbudzi chakuda, ngakhale kusasinthasintha kwake (madzi kapena ayi), kungakhale chizindikiro cha kutuluka magazi (kapena kukha mwazi) komwe kumachitika kumtunda, makamaka m'mimba.

Timalankhula za melena kapena melaena. Akuyerekeza kuti pafupifupi 80% yamatenda am'mimba amapezeka pambuyo pa melena.

M'magazi azamatsenga, zimbudzi zili zakuda ngati malasha komanso zonunkhira kwambiri. Mtunduwo umayambitsidwa chifukwa chakupezeka kwa magazi.

Pali zifukwa zambiri zomwe zimayambitsa magazi m'mimba. Izi zikuphatikiza:

• chilonda;
• zoopsa kapena mantha;
• misozi m'mimba;
• mitsempha ya varicose yam'mero ​​kapena m'mimba;
• kapena gastritis.

Komabe, zakudya ndi mankhwala ena amatha kudetsa mtundu wamipando ndikuwapangitsa kuwoneka ofiira kapena akuda. Chifukwa chake, ngati palibe zisonyezo zina zomwe zilipo, mabowo akuda amatha kungokhala chifukwa chakumwa kwawo.

Izi zikuphatikizapo, mwa zina:

• zowonjezera zitsulo;
• mankhwala a bismuth;
• makala oyatsidwa;
• beetroot (mtundu wofiirira wakuda);
• cuttlefish (ndi inki yake);
• pudding wakuda;
• sipinachi (zobiriwira zakuda);
• kapenanso ma buluu abulu.

Pamene fungo silachilendo, nthawi zambiri sipakhala chifukwa chodera nkhawa. Ngati mukukaikira, funsani dokotala wanu.

Ngati utoto wakuda umakhudzana ndikumwa mankhwala osokoneza bongo kapena kudya, palibe chomwe chingachitike. Chilichonse chidzakhala mu dongosolo mwachangu.

Kumbali inayi, kupezeka kwa magazi osungidwa mu chopondapo ndi chizindikiro chomwe chimayenera kuyambitsa kufunsa mwadzidzidzi.

Tikulimbikitsidwa kuti mupite kuchipatala chadzidzidzi ngati melena, kuti mukayese mayeso azachipatala omwe amafunikira. Pakakhala magazi m'mimba, kuchitidwa opaleshoni kumafunika.

Zomwe zimayambitsa magazi zidzatsimikiziridwa ndi gulu lazachipatala, makamaka ndi a gastroenterologist.

The thupi ndi mankhwala makhalidwe a ndowe angauze zambiri za thanzi la munthu, makamaka za ntchito yake m`mimba thirakiti. Ndi moyo wosasangalatsa komanso zakudya zopatsa thanzi, chopondapo chimakhala chokhazikika, chimakhala ndi mtundu wofanana, womwe mthunzi wake umasintha pang'ono. Kusintha kwakukulu kwamtundu kumafuna chidwi, chifukwa kumatha kuwonetsa zovuta zazikulu m'thupi. Muyenera kusamala makamaka ngati chopondapo chasintha mtundu kukhala wakuda. Nthawi zina, mtundu uwu amagwirizana ndi aakulu pathologies m`mimba thirakiti. Kuchedwerako chithandizo kungawononge moyo wa munthu.

Kodi ndowe za munthu wathanzi ziyenera kukhala zotani?

Unyinji wa ndowe umapangidwa kuchokera ku chyme (chotupa cha chakudya) chifukwa cha ma enzymatic processing. Ubwino wa kusinthika ndi kuyamwa kwa chakudya kumadalira momwe chimbudzi chimagwirira ntchito, chomwe chimaphatikizapo zinthu zambiri (ntchito ya katulutsidwe ka m'mimba, motility, kapangidwe ka zakudya). Mapangidwe a chopondapo anamaliza m`matumbo. Pambuyo pokonza kwathunthu, ndowe zimachoka m'thupi ngati zinthu zokongoletsedwa zamitundu yosiyanasiyana ya bulauni (kuchokera pachikasu mpaka bulauni). Nthawi zambiri, mpando uyenera kukhala wokhazikika komanso tsiku lililonse (kuyambira 2 pa tsiku mpaka 1 nthawi masiku awiri).

Ndi kusintha kwa zakudya ndi zakudya, kuchuluka kwamagulu ena azinthu, kugwiritsa ntchito zakudya zachilendo, magawo a ndowe amasintha. N'zotheka kusintha mtundu, maonekedwe, fungo, maonekedwe a tinthu tating'ono tambirimbiri tambirimbiri tambirimbiri tambirimbiri tating'onoting'ono, zomwe zimaonedwa kuti ndizofala. Zochitika izi ndi chifukwa peculiarities wa chimbudzi cha munthu mankhwala.

Kusintha kwakukulu kwa mtundu ndi kusasinthasintha kungasonyeze kuwonongeka kwa m'mimba, kusakwanira kwa madzi am'mimba (hydrochloric acid, pancreatic juice, bile), kusalinganika kwa microflora yamatumbo. Kufufuza kolembedwa ndi gastroenterologist kumathandiza kukhazikitsa zifukwa, choyamba, coprogram (kusanthula mwatsatanetsatane ndowe) imapereka zambiri.

Chimbudzi chakuda kwambiri ndikupatuka kuchokera ku chikhalidwe cha thupi. Chizindikirocho chimafuna kusamala kwambiri komanso kufufuza mwatsatanetsatane funso la chifukwa chake ndowe ndi zakuda. Ndikofunikira kusiya zomwe zingawononge moyo posachedwa.

Zomwe zimayambitsa chimbudzi chakuda?

Zomwe zimayambitsa kusinthika kwa ndowe ndi izi:

• kugwiritsa ntchito mankhwala enieni;
• kumwa mankhwala;
• zotsatira za mankhwala ena;
• chitukuko cha matenda a m`mimba thirakiti.

M'munsimu timaganizira za maonekedwe a chizindikiro pazifukwa zilizonse zomwe zatchulidwa.

Momwe chakudya chimasinthira mtundu wa chopondapo

Chinthu choyamba ndikuganizira momwe mtundu wakuda wa ndowe si chizindikiro chowopsa. Kudetsa kwa ndowe nthawi zambiri kumalumikizidwa ndi kudya kwamitundu yapadera yazakudya, zomwe zimadetsa chopondapo kapena kusintha katundu wawo panthawi ya chimbudzi. Chimbudzi chikhoza kukhala mdima modabwitsa mutadya zakudya zotsatirazi:

• tebulo beets;
• zipatso zakuda (mabulosi akuda, currants, blueberries);
• prunes;
• mphesa;
• khofi wolimba ndi tiyi;
• makangaza;
• tomato;
• nyama yowotcha pang'ono ndi yapakati;
• chiwindi.

Poyerekeza ndi kugwiritsa ntchito mankhwalawa, mdima wa chopondapo umawonedwa pambuyo pa masiku 1-2. Chizindikirocho chimapitilira masiku 1-3. Pambuyo pa kuchotsedwa kwa mankhwala, ndowe zimakhala ndi mtundu wabwinobwino.

Monga lamulo, mdima wandiweyani suli limodzi ndi kusintha kwakukulu kwa kugwirizana kwa chopondapo, chimbudzicho chimakhalabe chopangidwa. Ndi kugwiritsa ntchito kwambiri zinthu zokopa, zotsatira zotsekemera kapena kudzimbidwa zimatha kuchitika. Ngati mtundu wakuda wa chopondapo umagwirizanitsidwa ndi kukhalapo kwa zakudya zenizeni kapena mbale pazakudya, chikhalidwe cha wodwalayo sichimasintha ndipo palibe zodandaula zina.

Ndi mankhwala ati omwe angasinthe mtundu wa chopondapo

Mankhwala ena amatha kuyambitsa kusintha kwa mtundu wa chopondapo, mpaka kukhala wakuda kwathunthu. Chowonadi ndi chakuti poyenda m'mimba, mankhwala amakumana ndi timadziti ta m'mimba. Izi zingakhudze katundu wa pharmacologically yogwira zinthu. Kudetsa kwa chopondapo kumawonedwa mukamamwa mankhwala amagulu awa:

• antianemic (mankhwala opangidwa ndi chitsulo);
• enveloping (bismuth kukonzekera, mwachitsanzo De-Nol);
• mavitamini ndi mineral complexes (omwe ali ndi chitsulo).

Ngati chizindikirocho chikuyambitsidwa ndi mankhwala, palibe chodetsa nkhawa. Atangosiya mankhwala, ndowe kukhala mwachizolowezi mtundu. Ndibwino kuti muwerenge malangizowo ndikuwonetsetsa kuti mankhwalawa amatha kusintha mtundu wa chimbudzi. Tiyenera kukumbukira kuti sipayenera kukhala mawonetseredwe aliwonse (kupatulapo zizindikiro za matenda oyamba).

Makala ogwiritsidwa ntchito ndi kukonzekera zochokera pa izo amatha kupatsa ndowe mtundu wakuda. Kudetsa kumachitika chifukwa cha kutuluka kwa chinthucho mosasinthika kuchokera m'thupi. Monga lamulo, tsiku limodzi mutasiya mankhwala, mtundu wa ndowe umakhala wabwinobwino.

Zotsatira za mankhwala

Chifukwa Kugawilidwa kwanthaka kwa nyansi zakuda kungakhale kumwa mankhwala omwe angayambitse magazi mkati. Izi zikuphatikizapo:

• non-steroidal odana ndi yotupa mankhwala;
• antiplatelet wothandizira zochokera acetylsalicylic acid;
• maantibayotiki ena.

Pachifukwa ichi, zizindikiro zina za thupi la chopondapo (kusasinthasintha, mafupipafupi), komanso moyo wabwino wa wodwalayo, zikhoza kusintha. Zizindikiro za kutaya magazi mkati ndi kufooka, kugona, pallor pakhungu, nseru, kusanza, kusowa kwa njala, etc.

Ngati posachedwapa munthu wamwa mankhwala ku magulu otchulidwa, ndi chopondapo mwadzidzidzi mdima, m`pofunika kukaonana ndi dokotala mwamsanga. Pofuna kudziwa kutuluka kwa magazi mkati, kufufuza kwina kudzaperekedwa, chifukwa. Izi zimafuna thandizo lachangu.

Ndi matenda ati omwe amayambitsa ndowe zakuda

Njira yoopsa kwambiri ndi ndowe zakuda, monga chizindikiro cha matenda omwe akukula. Zimasonyeza magazi m'kati pa mlingo wa mmero, m'mimba, kapena zigawo zoyambirira za matumbo aakulu. Nthawi zambiri, magazi amalowa m'mimba mu matenda a ziwalo za ENT ndi kupuma. Chipatalachi ndi chifukwa cha kutembenuka kwa hemoglobini yamagazi kukhala hemin pansi pa chapamimba hydrochloric acid. Ndowe zakuda mwa munthu zikuwonetsa kutaya magazi kwakukulu (kuposa 60 ml), kotero kupita kwa dokotala ndikofunikira.

Chopondapo pa magazi chimasintha osati mtundu wokha, komanso kusasinthasintha. Chimbudzi chimakhala chosasinthika, chowoneka bwino komanso chomata, chofanana ndi phula. Chizindikirocho chikhoza kutsagana ndi ma pathologies awa:

• pachimake erosive esophagitis;
• nodular periarteritis;
• kuphulika kwa aortic aneurysm mu lumen ya intestine yaing'ono;
• gastritis;
• zilonda zam'mimba m'mimba ndi duodenum;
• Matenda a Mallory-Weiss;
• zotupa zam'mimba;
• hemorrhagic fever;
• malungo a typhoid;
• matenda a dengue;
• hemophilia;
• thrombocytopenia;
• nyongolotsi;
• histoplasmosis;
• matenda a chiwindi;
• pachimake lymphoblastic leukemia, etc.

Mitundu yoopsa ya magazi m'kati imayendera limodzi ndi nseru ndi kusanza (ndi zofiira kapena zamtundu wa khofi), kufooka kwathunthu, kuchepa kwa magazi, ndi kugunda kwa mtima. Kutaya magazi mkati mwa matenda opatsirana kumayendera limodzi ndi malungo, thukuta, kuzizira.

Ngati muli ndi imodzi mwa matenda omwe atchulidwa kapena kuphatikiza kwa chimbudzi chakuda ndi kuwonongeka kwakukulu kwa chikhalidwe chanu, muyenera kupempha thandizo ku chipatala mwamsanga.

Kodi ndowe zakuda mwa mwana ndizabwinobwino kapena za pathological?

Matenda omwe amayambitsa magazi m'kati sapezeka kawirikawiri mwa ana. Mavuto aakulu azaumoyo amasonyezedwanso ndi kukhalapo kwa zizindikiro zina (kutentha thupi, kupweteka m'mimba, kufooka, kusanza, etc.). Zikatero, chithandizo chamankhwala chiyenera kufunidwa mwamsanga.

Nthawi zambiri, mdima wa ndowe za ana ndi chifukwa cha zizolowezi za zakudya kapena kugwiritsa ntchito mankhwala. Chifukwa cha kuchepa kwa ma enzymes, chimbudzi chosakwanira cha zinthu zamtundu uliwonse komanso kusintha kwamtundu wawo chifukwa cholumikizana ndi timadziti ta m'mimba ndizotheka. Chitsanzo chingakhale nkhaŵa ya makolo ponena za timinofu ting’onoting’ono takuda pachopondapo, zomwe nthawi zambiri zimaganiziridwa molakwika ndi tizilombo toyambitsa matenda. Izi kwenikweni ndi tinthu ta nthochi zomwe sizinagayidwe mokwanira.

Wakuda, wokhala ndi tinge wobiriwira, chopondapo mwa ana obadwa kumene ndichofala. Izi ndi meconium kapena zomwe zili m'matumbo, zomwe zidapangidwa panthawi ya chitukuko cha fetal. Ndikuyamba kugwiritsa ntchito mkaka wa mayi kapena mkaka wakhanda, ndowe zimakhala ndi mtundu wa makanda (mpiru, bulauni kapena chikasu).

Palibe chifukwa chodera nkhawa za mtundu wa chopondapo pamene mwana akutenga multivitamin complex kapena chitsulo zowonjezera. Kusintha kwa mtundu wa ndowe muzochitika izi ndizochitikanso.

Black chopondapo pa mimba

Mdima wamdima mwa mayi wapakati ukhoza kuchitika panthawi ya chithandizo cha kuchepa kwa magazi m'thupi ndi kukonzekera kwachitsulo kapena kusintha kwa menyu. Izi ndizabwinobwino ndipo sizikhala pachiwopsezo ku thanzi la mayi kapena mwana.

Pamene ndowe zakuda zikuwoneka, muyenera kusamala ngati mtsikanayo ali ndi mbiri ya matenda a m'mimba, chiwindi kapena magazi. Mimba nthawi kumawonjezera katundu pa thupi la mkazi, zomwe zingachititse kuti exacerbation aakulu pathologies. Ndikuda kwadzidzidzi kwa ndowe, kuphatikizapo thanzi losasangalatsa, m'pofunika kukaonana ndi obstetrician-gynecologist yemwe amayang'anira njira ya gestational.

Zoyenera kuchita ngati ndowe zakuda?

Ndowe zakuda zokongoletsedwa mwa munthu wamkulu kapena mwana siziyenera kukhala chifukwa cha mantha. Chodabwitsa ichi chitha kuthetsedwa paokha m'magawo angapo:

1. Ndikofunikira kusanthula mkhalidwe wa munthu panthawiyo. Ngati pali zizindikiro zoopsa, itanani ambulansi kapena kuwatengera kuchipatala okha.
2. Ngati wodwalayo amakhala kunyumba, muyenera kumufunsa kapena kukumbukira nokha momwe mwakhala mukumva m'masabata angapo apitawa (ngati pali zizindikiro, kaya matenda adapezeka, kaya mankhwala adachitidwa). Ngati yankho ndi inde, muyenera kulumikizana ndi chipatala. Ngati munthuyo akumva bwino ndipo akumva bwino, mutha kupita ku sitepe yotsatira.
3. Fotokozani mankhwala omwe wodwala akumwa pafupipafupi kapena posachedwapa. Mukamagwiritsa ntchito mankhwala omwe angayambitse magazi mkati, muyenera kufunsa dokotala. Ngati munthuyo sanamwe mankhwala, mukhoza kupita ku sitepe yotsatira.
4. Unikani zakudya za wodwalayo kwa masiku otsiriza 2-3 (panali kusintha kulikonse muzakudya, zinali zachilendo mbale, zonunkhira, zakumwa zomwe zinayambitsa, zinali zakudya zochokera pamndandanda womwe umagwiritsidwa ntchito). Ngati kugwirizana ndi zakudya kutsimikiziridwa, m'pofunika kusiya mankhwala osokoneza bongo ndikuyembekezera kukhazikika kwa chopondapo mkati mwa masiku 1-3.

Ndi liti pamene muyenera kukaonana ndi dokotala mwachangu?

Polimbana ndi chimbudzi chakuda, zizindikiro zotsatirazi siziyenera kunyalanyazidwa:

• chifuwa chachikulu;
• mphuno;
• kupweteka pachifuwa m'dera;
• kuwawa kwam'mimba;
• kuchepetsa kuthamanga;
• kugunda kwa mtima pang'onopang'ono;
• kunyoza, kusanza;
• kutaya chidziwitso;
• kufooka;
• kutopa mwachangu pochita ntchito zachizoloŵezi;
• kuwonjezeka kwa kutentha kwa thupi;
• thukuta;
• chifuwa cha khungu.

Pamaso pa chizindikiro chimodzi kapena zingapo zomwe zatchulidwazi, sikuloledwa kuchedwetsa kukaonana ndi dokotala.

Ndi mayeso otani omwe ayenera kuchitidwa ndi chopondapo chakuda?

Ndi vuto la mtundu wachilendo wa ndowe, muyenera kulumikizana ndi gastroenterologist. Pazovuta kwambiri, chithandizo cha dokotala chimafunika. Ngati akuganiziridwa kuti akutuluka magazi mkati, kufufuza kumaphatikizapo njira zotsatirazi:

• kuyezetsa magazi (nthawi zambiri kachipatala, komanso kuyesa kwa coagulation kumayikidwa);
• kusanthula ndowe (kuyesa magazi amatsenga, coprogram, komanso kusanthula kwa bacteriological);
• endoscopy (esophagogastroduodenoscopy ndi colonoscopy amalola osati kudziwa malo magazi, komanso kuimitsa, kutenga zidutswa za minofu kusanthula histological);
• X-ray / MRI yokhala ndi kuwongolera kosiyana (imakupatsani mwayi wozindikira komwe kuli vuto lotaya magazi).

Payekha, mndandanda wa njira zodziwira matenda ukhoza kuwonjezeredwa.

Kodi mungapite kuti chopondapo chakuda?

Ngati simukumva bwino, muyenera kuyimbira ambulansi 112. Ngati ndowe zakuda sizikutsatizana ndi thanzi labwino, ndiye kuti nthawi zonse mumatha kupeza chithandizo ku MedProsvet multidisciplinary medical center. Dokotala wa gastroenterologist amatenga anamnesis, kuwunika ndikuwunika, ndikupanga njira yodziwira kuti asaphatikizepo njira zamatenda.