Isisu (esisisu) ukuphuma kwamanzi kuphuma ngaphakathi kwindonga yesisu okanye udonga lwamathumbu. Ngokuqhelekileyo kubonakala kwimizimba enjenge-peptic ulcer, i-gastritis engapheliyo, i-duodenitis engapheliyo, i-portal hypertension, isifo sesisu nesifo se-colon, izifo zesifo, i-diverticula, izifo zesibindi sokuvuvukala, i-infyoction ye-myocardial, njl. kunye nesibhedlele esibhedlele. Ngako oko, kubalulekile ukwazi malunga neempawu zokuphuma kumgudu wesisu.
Iimpawu zokuphuma kwegastric
Iimpawu zokuphuma kwamanzi asisifanele kwaye zixhomekeke kumthamo kunye nobude bokuqhaqha. Isigulane sesigulane sisona siphezulu kakhulu, ngokugqithiseleyo ukulahlekelwa kwegazi. Uphawu oluphambili nolona luphawu lwegazi lokuhlanza isisu luhlanza igazi kunye nokuxutywa kwegazi elingenakunyulwa. Ubume bohlanza buyahlukahluka: igazi elibomvu, ii-blob-cherry blobs, okuqukethwe kwentlungu yombala we "khofi". Ukuvutha, okuphindaphindiweyo ngexesha elifutshane, kubonisa ukuphuma kwegazi. Ukuba ukuhlanza kwegazi kuphawulwa ngokuphindaphindiweyo ngexesha elide elide, oko kubonisa ukuqala kokuphuma kwegazi.
Okunye ukubonakaliswa kwesisu somzimba esisiswini:
- ukutshatyalaliswa kwamnyama kwamanzi;
- izitulo zokuhlala;
- buthathaka ngokukhawuleza;
- ukungcola;
- tachycardia;
- hypotension;
- kutyhafa ;
- ukuthunga okubandayo;
- mnyama emehlweni;
- ukubonakala kwintyatyambo yentsimbi emlonyeni .
Ingozi yokuphuma kwamanzi esisisu
Ukulahleka kwegazi ekuphumeni kwegazi, njengokuba kukho nezinye iintlobo zokuphuma kwegazi, kuhamba kunye nokuphuhliswa kokungafani phakathi kwegazi lokunciphisa igazi kunye nomthamo webhedi ye-vascular. Oku kukukhokelela ekuhlakaleni kokumelana nendawo, ukuhla kwexabiso lentliziyo, ukuhla kwegazi. Ngaloo ndlela, i-central hemodynamics iphazamiseka (ukuhamba kwegazi ngeemithwalo yegazi).
Isiphumo sale nkqubo siyishintsho kwi-transcapillary exchange - i-metabolism ngodonga lwama-capillary phakathi kwegazi kunye ne-tissue fluid. Oku kuchaphazela iiprotheyini kunye nemisebenzi ye-antitoxic yesibindi, kwandisa umsebenzi we-fibrinolytic wegazi, kuphazamise umveliso wezinto ze-hemostatic. Oku, kukhokelela ekuphuleni kwemiphunga, izintso, ingqondo.
Uncedo lokuqala ngeempawu zokugaya isisu
Ukufunyanwa kweempawu zokuqala zokukhupha isisu kufuna ukunakekelwa ngongxamiseko, t. Isigulane sesigulane siphumelela ngokukhawuleza. Ngaphambi kokuthunyelwa kwesigulane kwiziko lonyango, abo basondeleyo kufuneka bamncede:
- Okokuqala, isiguli kufuneka sinike uxolo olupheleleyo - kufuneka alale phantsi aze ahambe kangangoko kunokwenzeka.
- Ukunciphisa inani lokulahleka kwegazi, kufuneka ubeke umbhobho ngeqhwa okanye nayiphi enye into ebandayo (iimveliso ezivela efrijini, isikhwama seqhwa, njl.) Kwisisu somguli.
- Kwakhona, ukuba kunokwenzeka, isigulane sicetyiswa ukuba siphuze amanzi abandayo okanye sitshise iinqayi zeqhwa. Kule meko, sisela encinci kunye ne-sips encinane, tk. ukungena komthamo omkhulu wamanzi kwisisu kunokunyusa imeko.
- Ukuba kunokwenzeka ukuthatha nayiphi na i-hemostatic, oku kufuneka kwenziwe kwangoko kunokwenzeka.
Ukuthuthwa kwesigulane ngeempawu zokugaya isisu sokuncedisa okokuqala kuvumelekile kuphela kwisimo esifanelekileyo.