Dub lossis tarry quav

Cov quav dub lossis tarry uas muaj qhov tsis hnov ​​tsw yog qhov qhia ntawm teeb meem hauv txoj hnyuv sab saud. Nws feem ntau qhia tau hais tias muaj ntshav hauv plab, plab hnyuv, lossis sab xis ntawm txoj hnyuv.

Lub sij hawm melena yog siv los piav txog qhov kev nrhiav pom no.

Kev noj cov ntawv tso cai dub, blueberries, ntshav hnyuv ntxwm lossis noj tshuaj hlau, ua kom hluav ncaig cig, lossis cov tshuaj uas muaj cov bismuth (xws li Pepto-Bismol), tuaj yeem ua rau cov quav dub. Beets thiab cov zaub mov nrog cov xim liab liab qee zaum tuaj yeem ua rau cov quav ua pa liab. Hauv txhua qhov xwm txheej no, koj tus kws kho mob tuaj yeem kuaj cov quav nrog lub tshuaj kom thiaj li tsis muaj ntshav tawm.

Kev los ntshav hauv txoj hlab pas lossis lub plab (xws li nrog mob rwj ua paug) tuaj yeem ua rau koj ntuav ntshav.

Cov xim ntawm cov ntshav hauv cov quav yuav qhia tau qhov ntawm los ntshav.

• Cov quav tawv dub los sis tarry yuav yog vim los ntshav hauv qhov qaum GI (lub plab zom mov), xws li txoj hlab pas, plab, lossis thawj qhov hnyuv. Hauv qhov no, ntshav yuav tsaus dua vim tias nws tau zom rau nws txoj hauv kev los ntawm GI cov kab mob.
• Liab lossis ntshav tshiab hauv kev tso quav (lub qhov quav tawm los), yog qhov cim ntawm los ntshav los ntawm qhov qis GI cov lus tawm (qhov quav thiab lub qhov quav).

Peptic kiav txhab yog qhov tshwm sim uas tshwm sim los ntawm cov qis dua GI los ntshav. Cov quav tawv dub thiab tarry yuav tshwm sim vim:

• Mob ntshav tsis zoo
• Lub kua muag hauv txoj hlab pas los ntawm ntuav hnyav (Mallory-Weiss tsim kua muag)
• Cov ntshav tau raug txiav tawm rau qee qhov ntawm cov hnyuv
• Kev mob ntawm lub plab daim ntaub (gastritis)
• Kev poob plig lossis lub cev txawv teb chaws
• Qhov dav, hla ntshav (hu ua varices) hauv txoj hlab pas thiab lub plab, feem ntau tshwm sim los ntawm daim siab ua paug
• Mob kheesxaws ntawm txoj hlab pas, plab, lossis duodenum lossis ampulla

Hu rau koj tus kws kho mob sai li sai tau yog tias:

• Koj pom ntshav lossis hloov pauv hauv koj qhov tso quav xim
• Koj ntuav ntshav
• Koj mloog tau tias kiv taub hau lossis taubhau me ntsis

Hauv cov menyuam yaus, ntshav me me hauv cov quav feem ntau tsis yog teeb meem loj. Feem ntau ua rau cem quav. Koj tseem yuav tau qhia koj tus menyuam tus kws zov menyuam yog tias koj pom qhov teeb meem no.

Koj tus kws khomob yuav kuaj mob yav dhau los thiab kuaj mob lub cev. Qhov kuaj yuav tsom rau koj lub plab.

Koj yuav raug nug txog cov lus nug hauv qab no:

• Puas yog koj noj ntshav tsis thooj, xws li tshuaj aspirin, warfarin, Eliquis, Pradaxa, Xarelto, lossis clopidogrel, lossis lwm yam tshuaj zoo sib xws? Puas yog koj noj NSAID, xws li ibuprofen lossis naproxen?
• Koj puas tau muaj kev raug mob lossis nqos khoom txawv teb chaws tsis zoo?
• Koj puas tau noj dub licorice, lead, Pepto-Bismol, lossis blueberries?
• Koj puas tau muaj ntau dua ib ntu cov ntshav hauv koj cov quav? Txhua qhov quav puas yog txoj kev no?
• Koj puas tau poob ib qho hnyav dua tsis ntev los no?
• Puas muaj ntshav rau ntawm daim ntaub hoob nab?
• Cov quav yog dab tsi?
• Teebmeem tshwm sim thaum twg?
• Lwm tus mob dab tsi tshwm sim (mob plab, ntuav ntshav, tsam plab, muaj roj ntau dhau, raws plab, lossis kub cev)?

Koj yuav tsum muaj ib lossis ntau qhov kev ntsuam xyuas txhawm rau txhawm rau tshawb xyuas qhov ua rau:

• Ntawv Dab Tsi
• Los Ntshav Ntshav (Cov tshuaj nuclear)
• Kev tshawb nrhiav ntshav, suav nrog kev ua tiav cov ntshav (CBC) thiab qhov txawv txav, ntshiab tshuaj lom neeg, kev tshawb pom ntshav
• Kev kuaj mob hnyuv
• Esophagogastroduodenoscopy lossis EGD
• Lub cev quav
• Kev ntsuam xyuas rau qhov muaj Helicobacter pylori kis tau tus mob
• Capsule endoscopy (ib qho ntsiav tshuaj nrog lub hauv lub koob yees duab coj los yees duab ntawm txoj hnyuv me)
• Ob chav zais zais nkag mus (ib qho uas tuaj yeem ncav cuag cov feem ntawm txoj hnyuv uas tsis tuaj yeem ncav cuag nrog EGD lossis txoj hnyuv laus)

Kev los ntshav ntau heev uas ua rau muaj ntshav ntau dhau thiab qhov ntshav siab poob qis uas yuav tsum tau phais lossis mus pw hauv tsev kho mob.

Lub cev quav - ntshav; Melena; Cov quav - dub lossis tarry; Qaum plab hnyuv siab tuaj ntshav; Melenic quav

• Diverticulitis thiab diverticulosis - kev tso tawm
• Diverticulitis - dab tsi yuav nug koj tus kws kho mob
• Ulcerative mob plab - paug

Chaptini L, Peikin S. Plab hlwv txha ntshav tawm los. Hauv: Parrillo JE, Dellinger RP, eds. Tshuaj Kho Mob Nkaus: Cov hauv paus ntsiab lus ntawm kev kuaj mob thiab kev tswj hwm hauv Cov Neeg LojCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 72.

Kovacs TO, Jensen DM. Lub plab zom mov hemorrhage. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 126.

Meguerdichian DA, Goralnick E. Gastrointestinal los ntshav. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 27.

Savides TJ, Jensen DM. Lub plab zom mov txhaws ntshav. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Stus kws kho mob thiab Fordtran lub plab zom mov thiab daim siabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 20.