Gastric kahe ana ke koko - na olelo hooweliweli e complication o peptic ulcer maʻi

Kahe ana ke koko - ka loa, he pono ole, a weliweli complication o peptic ulcer maʻi. Loa pinepine, gastric kahe ana ke koko e hoʻomōhala ana i loko o ka huʻi peptic ulcer, akā, i loko o kekahi hoʻomanawanui iki mai ia i ia i ka mua symptom exacerbation. Occult koko ua mau pu ma o ka ulu ana o ka huʻi gastric ulcer. Nō kāu, e like me ka symptom o ka maʻi koe undetected, a ua i manaoia he complication.

Diagnosed ka hapanui nunui wale, no laila,-kapaia profuse gastric kahe ana ke koko me ka hematemesis a me melena (e noho paholoi), i hoʻomaka ai aneane ka poʻe. Mau symptoms e ka mea e hiki ai ke lawe nui kahe ana ke koko mai ka luna loa o ka digestive'āpana. A hiki i ke koko ka luaʻi pinepine i ke kumu o ke kahe ana ke koko i loko o ka'ōpū, a kākaʻikahi i loko o ka duodenal pā, duodenal akā, ma luna o ke pa. Luaʻi ma keia hihia e hoohalike ai kope kai. Eia naʻe, kahe ana ke koko mai duodenal ulcers a hiki opu ua i mau pu ma ka hooulu ana o ke koko ka luaʻi. Pinepine ia akulla wale melena. About 90% o kahe ana ke koko ulcer, IIeEeAIEUIeXAIIUE ma ka duodenum, ia lŘlŘ wale melena, oiai gastric ulcer ua pinepine malama hematemesis.

lapaʻau kiʻi

Inā ulu gastric kahe ana ke koko, e hooponoponoia ia mea, ma ka nui a me ka leo o ke koko poho na symptoms. Mehana ka leo, aole ia i oi aku mamua o 300-400 ml. Ma keia hihia, e ole e kaupalena 'ka pilikino symptoms paha ka mea, e hiki wawe ka, koke nalo koke nausea, a ua mahuahua maloo waha, mau nawaliwali. Ke hoomanawanui i ka loa hoopii, e ole hoi e lohe i keʻano o kēia mau symptoms ina ka mea, i ole pu ma ka luaʻi o ke koko. More paʻa symptoms - ke koi aku ia e ninini i kaʻeleʻele a me ka noho pā holoi. Gastric kahe ana ke koko, a 'aʻole i oi aku mamua o 10% o ka hoʻolahaʻia ke koko, i ke kino höʻike wale. O ke kumu ho i ka hana o ka uku 'maomeka a me ka hoʻoponopono-hooponopono.

I ka wa i lilo nui o ke koko a me ka hou-kahe ana ke koko, eia na hoailona o ka huʻi kia-hemorrhagic anaemia. Ua hoike mai ai ia kaumaha nawaliwali, nausea, tinnitus, palpitations, pōniuniu, pilikia makapō haunaele ma ke ano o ka huali, "hoku" a hei i ke alo o na maka. Ke hoomanawanui e hoʻomōhala ana i ulia pallor, kaʻili i uhiia me ke kaheʻana, ka lāʻau ikiʻai e hoola ae a ua hoemi koko systolic puʻe. Ua pono e hoʻomanaʻoʻia ia mau symptoms i hōʻike mua ma mua o hoʻomōhala hematemesis a me melena. Ke hoomanawanui i ka kulana mea pili kēia e kaukaʻi ole wale ma luna o ka buke o ke koko poino, akā, no hoi i ka mämä holo o kona ulu ana. Ma lalo o ka aoao o ka uku 'maomeka i loko o kekahi mau hola o ka hoʻolahaʻia ke koko ka leo ua hoihoiia mai, akā, e hoʻomōhala ana i anaemia, a hoʻoholo i ka oolea o ke hemorrhage. Me ka hookahi kahe ana ke koko anaemia ua loa ka hoʻopuka i ka pau ana o ka lā mua. I ka nele o ka maikaʻiʻano ma ka hoʻomanawanui ka ana ma luna o ka mea e hiki mai ana lāʻelua-ekolu Hōʻike hooloihi ae i kahe ana ke koko a me kona repetition.

Gastric kahe ana ke koko - pehea, e hooki aku i

I ka kahe ana ke koko mea pono i ka i pilikia mālama. Ki ina hana like o ke kahe ana ke koko i e okoa. Prehospital hoomanawanui ia pololei papamoe kulana, ole ma ka opu, parenteral hooponopono hemostatic ai '. Cardiac a me ka vasoconstrictor ai 'i contraindicated. Ke hoomanawanui Ua hoʻokomo i kaʻoki lāʻau lapaʻau haukapila, i kahi e hoʻomau e paʻa i ka hemostatic Inc, a hoʻihoʻi aku i ke koko ka leo. I loa hoopii, i ka ineffectiveness o ka iapaau ana i hoikeiaʻoki kino. Ke ana noonoo ineffective pākōlea lapaʻau hoomau kahe ana ke koko ma hope o transfusion o 2 nā lika o ke koko a me kona hou ma hope o ka pōkole wanaao ae.