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Chay mau duong tieu hoa: Trieu chung va cach dieu tri

Chay mau duong tieu hoa co the do nhieu nguyen nhan.
 

Chao bac sy ! Gan day toi co hien tuong di phan den, mem, hay chong mat, thinh thoang co cam giac chan tay run len va dau bung o phai duoi. Xin bac si cho toi biet day co phai hien tuong cua benh chay mau da day khong hay mot benh khac? Xin tran thanh cam on! (Nguyen Phuong Khanh)


Tra loi:


Ban bi dau bung, di ngoai phan den, co the ban dang bi xuat huyet tieu hoa. Chay mau duong tieu hoa co the bieu hien duoi dang cap tinh, non ra mau, dai tien ra mau hoac man tinh, an duoi dang thieu mau nhuoc sac keo dai. Khi chua tim ra nguyen nhan, ban can co cach xu tri dung de tranh tinh trang suy kiet vi mat mau nang cung nhung bien chung dang tiec co the xay ra. Chay mau duong tieu hoa co the bieu hien duoi dang cap tinh, non ra mau, dai tien ra mau hoac man tinh, an duoi dang thieu mau nhuoc sac keo dai. Benh co the o muc do nang, vua hoac nhe, dang chay mau hay da ngung, ngung han hay ngung tam thoi roi chay mau lai. No co the xuat phat tu nhung ton thuong o duong tieu hoa tren hay duong tieu hoa duoi.



Trieu chung


- Non ra mau: do chay mau o doan cao cua ong tieu hoa, chat non co the co mau do tuoi neu mau chay nhieu, co the mau den neu chay it va u dong lau trong da day.


- Phan den: phan nhu ba ca phe, mui dac biet do mau da duoc tieu hoa mot phan, cung co the co mau man, mau do do chay mau doan tren ong tieu hoa.


- Di ngoai ra mau tuoi hoac sam: thuong la trieu chung cua chay mau doan duoi ong tieu hoa nhu tri, benh khu vuc hau mon - truc trang...


- Tinh trang toan than: tuy theo muc do chay mau, neu chay mau nang thuong thay huyet ap tut, mach nhanh nho kho bat, co the lim, ngat, roi loan y thuc hoac co soc chay mau. The vua thuong thay da xanh, tim dap nhanh, tieu it, chan tay lanh. The nhe thi cac trieu chung kin dao hon: met moi, hoa mat, chong mat, xay xam mat may, gai ret...


Xu tri


Ve nguyen tac, chay mau duong tieu hoa la mot tinh trang can duoc xu tri cap cuu, du chay it hay nhieu deu can duoc dua den benh vien de theo doi dieu tri va tim nguyen nhan. Trong truong hop chua the den benh vien ngay, benh nhan can duoc so cuu tai cho (dac biet la khi non ra mau voi so luong lon).


- So cuu tai cho: Giu benh nhan nam yen tren giuong o tu the dau thap chan cao, sinh hoat ngay tai giuong. Neu can, u am cho benh nhan dong thoi khan truong tim cach dua di benh vien cap cuu.


Truong hop di ngoai ra mau hoac phan den thi nguoi benh phai luu y ket hop voi cac trieu chung toan than nhu mo ta o tren (vi khi an tiet canh va uong mot so loai thuoc cung co the di ngoai phan den nhung khong co cac trieu chung nhu da mo ta) de tu theo doi phat hien va toi benh vien de duoc kham va theo doi xu ly som.


Dieu tri


De biet ro muc do ton thuong (viem, loet), vi tri ton thuong (da day hay ta trang) va de chan doan phan biet voi cac benh gay xuat huyet tieu hoa khac, co so chuyen khoa se giup ban:


- Noi soi da day, ta trang.


- Xet nghiem tim vi khuan H. Pylori o da day.


- Sieu am gan mat.


- Xet nghiem chuc nang gan.


Neu xuat huyet tieu hoa la do viem loet da day - ta trang, ban can duoc theo doi va dieu tri tich cuc bang thuoc ket hop voi duy tri che do an uong, sinh hoat hop ly.


Ban co the duoc chi dinh thuoc dieu tri:


+ Thuoc uc che tiet axit o da day nhu Famotidin (biet duoc la Quamatel), Omeprazol (biet duoc la Losec).


+ Co the ket hop voi mot loai Sucrafate hay Bismuth.


+ Khang sinh (neu co vi khuan Pylori): Amoxicilline, Metronidazole, Clarithromycine…


Cung voi cac bien phap can thiep y te, benh nhan bi chay mau duong tieu hoa can duy tri che do sinh hoat, an uong va nghi ngoi hop ly. Tranh dung gia vi cay chua, kieng bia ruou, thuoc la, khong dung cac thuoc corticoid va thuoc chong viem khong steroid. Het dot dieu tri tu 4-6 tuan, can soi lai da day, ta trang de danh gia tien trien cua o loet. Neu o loet thu nho lai thi tiep tuc dieu tri noi khoa. Con neu o loet van nhu cu thi phai xem xet kha nang phau thuat.


Ban nen di kham chuyen khoa Tieu hoa de tim ra nguyen nhan va co chi dinh dieu tri tu bac si chuyen khoa.


(Thong tin tu van sau day chi mang tinh tham khao - khong tu y chua benh theo thong tin nay)


Chuc ban suc khoe!


“Tu dien Y Duoc truc tuyen”
http://www.thuocbietduoc.com.vn

D.H.T