The old man guards against _'s prevention and health care of bleeding of digestive tract
The reason causing the elderly's upper digestive tract to bleed is as follows,
1,Peptic ulcer: The first place ' Account for 50% Left and right sides) . Act as overtired nervous, diet and takes and damages the mucomembranous medicine of stomach ' Such as aspirin) ,etc. if you can't cause by peptic ulcer, move about and last bleeding. In the bleeding interest person of digestive tract on the old age, gastric ulcer exceeds duodenal ulcer, regard bleeding as and first publish symptom;
2,Oesophageal pathological change: If liver cirrhosis or patient, liver cirrhosis of snail fever, can take place esophagus to be variceal to break, bleed behind the hepatitis, backflow and corroding function of the gastric acid. The pressure increases, can become the inducement bleeding in damage and abdominal cavity of the coarse hard food, nearly about 30% of variceal patients of esophagus present the digestive tract to bleed, it is not the intravenous break-up of the song one. But cause because of ulcer that is amalgamated at the same time or mucomembranous pathological change of the stomach. In addition, the elderly's oesophageal ulcer, oesophageal tumour result in bleeding;
3,Bleeding gastritis: The elderly employ stimulating medicines such as hormone,etc. and damage the mucous membrane of stomach and cause and bleed for a long time;
4,Malignant pathological change of the stomach: For instance gastric carcinoma, stomach sarcoma,etc., with the years, the elderly's gastric carcinoma causes the incidence bleeding to increase, causing rotten or ulcer to corrode the blood vessel because of organizing ischemic necrosis in cancer mainly causes and bleeds;
5,Other: Serious illness such as for instance serious lung worry, apoplexy; Poison, traumatism bleed etc. when the irritable ulcer that causes.
It belongs to acute disease that the upper digestive tract bleeds, answer and arrange with and treat while checking:
1,To a large amount of acute bleeding person, should absolutely stay in bed, keep quiet; Adopt, lie location while being flat, two knee bend or raise lower extremities, should avoid, influence the breathing function and inlet the blood into the trachea bow in the location, and help to maintain the blood volume of effective circulation; The persons who only have melena needn't be prohibited to eat. Spitting blood after stopping, can enter warm cool thin rice gruel, soya-bean milk or milk; The esophagus is variceal to break the bleeding patient, should prohibit to eat. After bleeding, need to deal with in the inspection promptly while, including infusing immediately. Transfuse blood if necessary or wash stomach and essential hemorrhage for the cold salt in the stomach. Can also spray medicines,etc. through the endoscope part. Such new technologies as the high-frequency electricity that has adopted in the past few years is congealed and the laser is styptic are efficient are up to 94- 95%. This law is suitable for the unsuitable to do the urgent surgery ones, it is variceal while breaking, bleeding to present the oesophageal fundus of stomach to liver cirrhosis. Can also inject and harden pharmaceuticals under the endoscope and arrest blood.
2,Should treat and have illness coming on originally actively under the guidance of doctor, such as peptic ulcer and liver cirrhosis pharmaceutical arrest blood.
3,It should be regular to live. The diet wants festival definitely occasionally, must guard against eating and drinking immoderately, give up alcohol and quit smoking and don't drink strong tea and coffee.
4,Pay attention to the use of the medicine. Should try hard, lack with needn't have amazing medicine on stomach, if must use, should add and use keeping the mucomembranous medicine of stomach.
5,Want the fixed physical examination, in the hope of finding early pathological change, treat in time, when presenting anaemia symptoms such as giddy,etc., should check in the hospital in the morning to the limit.
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