Na ciki na jini - barazana wahala na peptic miki cutar

Zub da jini - ya fi na kowa, kuma m wahala na peptic miki cutar. Mafi sau da yawa, ciki zub da jini tasowa a cikin m peptic miki, amma a wasu marasa lafiya yana iya zama na farko alama exacerbation. Occult jini ne ko da yaushe tare da ci gaban m ciki miki. Yawanci, irin wannan alama da cutar rage undetected kuma ba a dauke mai wahala.

Bincikar lafiya kagaggun kawai m, da ake kira profuse ciki na jini da hematemesis da melena (dakata stools), wanda ke faruwa kusan lokaci guda. Wadannan cututtuka sa shi yiwuwa a zaton babba zub da jini daga cikin manya sassa na narkewa kamar fili. Lokacin da na jini amai sau da yawa da tushen zub da jini a ciki da kuma da wuya a duodenal bango, duodenal amma sama da Musulunci. Aman a cikin wannan harka kama kofi filaye. Duk da haka, zubar da jini daga duodenal ulcers kuma ko da ciki ba a ko da yaushe tare da ci gaban da jini amai. Sau da yawa gano kawai melena. Game da 90% na zub da jini miki, sarrafa a cikin duodenum, na faruwa ne kawai melena, yayin da na ciki da miki da aka akai-akai lura hematemesis.

asibiti hoto

Idan tasowa ciki na jini, da bayyanar cututtuka suna ƙaddara da tsanani da kuma girma na jini hasãra. M girma bai wuce 300-400 ml. A wannan yanayin, da kayadadden cututtuka iya ba za a iyakance ko su ne sauƙi, da sauri acewa tashin zuciya, kuma Ya ƙãra bushe baki, janar rauni. A haƙuri a mafi yawan lokuta, ba ma kula da bayyanar da wadannan cututtuka, idan sun ba tare da amai na jini. More m bayyanar cututtuka - tura zuwa komai da baki da kuma zauna stools. Na ciki na jini, wanda ba ya wuce 10% na zagawa da jini, jiki motsa sauƙi. Wannan shi ne saboda da aikin da compensatory sunadaran da kai-tsari.

Lokacin da wani babban asarar jini ko sake-zub da jini, akwai alamun m post-hemorrhagic anemia. Yana bayyana tsananin rauni, tashin zuciya, tinnitus, palpitations, juwa ko jiri, na gani disturbances a cikin wani nau'i na walƙiya "taurari" ko raga a gaban idanun. A haƙuri tasowa kwatsam pallor, fata ta rufe sanyi gumi, bugun jini rãyar da jini systolic matsa lamba da aka rage. Yana dole ne a tuna da cewa wadannan cututtuka zai iya bayyana a baya fiye da ci gaba hematemesis da melena. A haƙuri da yanayin ne sun fi mayar dogara ba kawai a kan girma na jini hasara, amma kuma a kan gudun ta ci gaba. Ƙarƙashin rinjayar compensatory sunadaran a cikin 'yan sa'o'i na zagawa da jini girma da aka mayar, amma tasowa anemia, wanda kayyade tsanani daga hemorrhage. Tare da guda zub da jini anemia ne mafi furta a karshen rana ta farko. A rashin kyau kuzarin kawo cikas a haƙuri da yanayin kan gaba biyu-kwana uku ya nuna shafe tsawon zub da jini ko ta maimaitawa.

Na ciki na jini - yadda za a daina

Lokacin da zub da jini ne dole don samar da kulawa ta gaggawa. Hanyar da zub da jini na iya zama daban-daban. Prehospital haƙuri sanya tsananin kwance matsayi, sanyi a ciki, parenteral gwamnati hemostatic kwayoyi. Cardiac da vasoconstrictor kwayoyi suna contraindicated. A haƙuri aka shigar da shi cikin m asibiti, inda suka ci gaba da rike da hemostatic far da mayar da jini girma. A tsanani lokuta, da ineffectiveness na magani nuna tiyata. Da littattafai dauke m warkewa magani ci gaba zub da jini bayan transfussion na 2 lita na jini ko ta sabuntawa bayan wani gajeren hutu.