Ukusuka kwamathumbu (ukugoma kwamathumbu) ukuphuma kwegazi kungukuphuma kwangaphakathi kusuka odongeni lwesisu noma udonga lwamathumbu. Ngokuvamile kuvame ukubhekwa kwezifo ezifana ne-peptic ulcer, i-gastritis engavamile, i-duodenitis engapheli, i-portal hypertension, umdlavuza wesisu kanye ne-colon, izifo ezibuhlungu, i-diverticula, isifo sofuba esiswini, isifo sofuba esiyingozi, njll. Lesi yisimo esibucayi esidinga ukwelapha ngokushesha futhi esibhedlela esibhedlela. Ngakho-ke, kubalulekile ukwazi ngezimpawu zokugaya kusukela emathangeni emathunjini.
Izimpawu zokuphuma kwegastric
Izimpawu zokugwinya kwamathumbu akuzona ezifanayo futhi zixhomeke emthamo nasesikhathini sokugaya igazi. Isimo sesiguli sinamandla nakakhulu, ukukhululeka kwegazi. Isibonakaliso esiyinhloko kanye nesinhlobonhlobo sokuphuma kwegastric kuyinto ukuhlanza igazi nokuhlanganiswa kwegazi elingenayo i-undigested. Imvelo yehlanza ingase ihluke: igazi elibomvu, ama-blossom omnyama, okuyi-gastric umbala we "izizathu zekhofi". Ukuvota, okuphindaphindiwe ngezikhathi ezincane, kubonisa ukuphuma okuqhubekayo. Uma ukuhlanza igazi kuphawulwa ngokuphindaphindiwe ngesikhathi eside, khona-ke lokhu kubonisa ukuqala kabusha kwegazi.
Ezinye izibonakaliso zokuqeda kwamathumbu emathunjini yizi:
- ukudayiswa okumnyama kwamanzi;
- ama-tarry;
- ubuthakathaka okungazelelwe, pallor;
- isiyezi;
- i-tachycardia;
- i-hypotension;
- ukuphelelwa amandla ;
- ukujula okubandayo;
- ubumnyama emehlweni;
- ukubukeka komunwe wensimbi emlonyeni .
Ingozi yokuphuma kwamathumbu emathunjini
Ukulahleka kwegazi ekuguleni kwamathumbu, njengokunye kwamagciwane okuphuma kwegazi, kuhambisana nokuthuthukiswa kokungafani phakathi komthamo wokunciphisa igazi kanye nomthamo wombhede wamasongo. Lokhu kuholela ekwehleni kokumelana komzimba jikelele, ukwehla kwenani lokushaqeka kwenhliziyo, ukwehla komfutho wegazi. Ngakho-ke, i-hemodynamics ephakathi iyaphazanyiswa (ukuhamba kwegazi ngemithambo yegazi).
Imiphumela yilezi zinqubo ishintsho ekushintshaneni kwe-transcapillary - umthamo wesimiso odongeni lwama-capillary phakathi kwegazi nezicubu zomzimba. Lokhu kuthinta amaprotheni kanye nemisebenzi ye-antitoxic yesibindi, kwandisa umsebenzi we-fibrinolytic wegazi, kuphazamisa ukukhiqizwa kwezinto ze-hemostatic. Lokhu, okuholela ekuphuleni kwamaphaphu, izinso, ubuchopho.
Usizo lokuqala ngezibonakaliso zokugaya esiswini
Ukuthola izimpawu zokuqala zokugaya esiswini kudinga ukunakekelwa okuphuthumayo, t. Isimo sesiguli sisheshe siphume. Ngaphambi kokubeletha kwesiguli esibhedlela, labo abaseduze kufanele bamsize:
- Okokuqala, isiguli kumele sinikeze ukuthula okuphelele - udinga ukulala phansi futhi uhambe kancane ngangokunokwenzeka.
- Ukuze unciphise inani lokulahleka kwegazi, kudingeka ufake i-bubble ngeqhwa noma enye into ebandayo (imikhiqizo evela efrijini, isikhwama seqhwa, njll) kwisisu sesiguli.
- Futhi, uma kunokwenzeka, isiguli sitshelwe ukuphuza amanzi abandayo noma ukugwinya izingcezu zeqhwa. Kule nkathi, uphuze kancane kancane futhi uphuze kancane, tk. ukungena komthamo omkhulu we-fluid esiswini kungenza ngcono isimo.
- Uma kungenzeka ukuthi uthathe noma iyiphi i-hemostatic, lokhu kufanele futhi kwenziwe ngokushesha ngangokunokwenzeka.
Ukuthuthwa kwesiguli ngezibonakaliso zokugaya esiswini sokusiza kuqala kuvunyelwe kuphela esimweni esivamile.