Ukuhlanza igazi akuvamile. Yize lesi sibonakaliso singaxhunyaniswa nezimbangela ezincane, sivame ukuhlotshaniswa nezifo ezimbi. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukubonisana nabezokwelapha.

Ukuhlanza igazi ukuphindaphinda kokuqukethwe yisisu okuxubeke ngegazi noma ngegazi lodwa. Umbala wayo ungaba bomvu ngokukhanyayo, ukugedla okumnyama noma kube nsundu ngokombala (yigazi elidala eligayekile). Amahlule nawo angaba yingxenye yokuqukethwe okwenziwe kabusha.

Ukuhlanza igazi kuyisimo esiphuthumayo sezokwelapha, ikakhulukazi uma lesi sibonakaliso sihlotshaniswa naso

• isiyezi;
• izithukuthuku ezibandayo;
• i-pallor;
• ukuphefumula kanzima;
• ubuhlungu obukhulu besisu;
• noma uma inani legazi elihlanziwe libalulekile.

Kulezi zimo, kuyadingeka ukuthi uye egumbini lezimo eziphuthumayo noma ushayele abezimo eziphuthumayo. Qaphela ukuthi ukuhlanza igazi lomsuka wokugaya ukudla kubizwa nge-hematemesis.

Ukuhlanza igazi kungaba luphawu lwesimo sezempilo esincane, njenge:

• ukugwinya igazi;
• ukudabula imiphimbo, uqobo olubangelwa ukukhwehlela okungapheli;
• amakhala;
• noma ukucasuka komphimbo.

Kepha ezimweni eziningi, ukuhlanza igazi kuyisimo sesimo esibuhlungu kakhulu. Lokhu kufaka phakathi:

• isilonda esiswini (isilonda esiswini);
• ukuvuvukala kwesisu (gastritis);
• ukuvuvukala kwamanyikwe (pancreatitis);
• i-hepatitis yotshwala, okungukuthi ukulimala kwesibindi okuthe xaxa nobuthi obungapheli botshwala;
• ukuqina kwesibindi;
• i-gastroenteritis;
• ukuphuza ngokweqile utshwala;
• ukuqhekeka kwama-varices esophageal;
• ukuphazamiseka kwegazi;
• ukukhubazeka noma ukuqhekeka emithanjeni yegazi yomgudu wamathumbu;
• noma isimila somlomo, somphimbo, sesomlomo noma sesisu.

Uma kunganakekelwa ngokushesha, ukuhlanza igazi kungadala izinkinga. Ake sicaphune ngokwesibonelo:

• ukuminca;
• i-anemia, okungukuthi ukushoda kwamaseli abomvu egazi;
• ubunzima bokuphefumula;
• ukupholisa komzimba;
• isiyezi;
• ukuphazamiseka okubukwayo;
• ukudabuka emithanjeni yegazi emphinjeni;
• noma ukwehla komfutho wegazi, noma ikhoma.

Ukuze kutholakale ukuxilongwa kwakhe, udokotela angenza ukuhlolwa kwe-imaging ukubona ngeso lengqondo ingaphakathi lomzimba, enze i-endoscopy (ukwethulwa kwe-endoscope) eso-gastro-duodenal ukucacisa indawo yokopha.

Ukwelashwa okufanele kunqotshwe ukunqoba ukuhlanza kwegazi kuncike embangela:

• ukuthatha izidakamizwa ezithile (i-antiulcer, i-antihistamine, i-proton pump inhibitors, njll) ukunciphisa isilonda esiswini;
• ukubekwa kwamabhaluni ngesikhathi se-endoscopy, ukulawula ukopha ngemishini lapho kwenzeka imithambo yegazi eqhekekile emgodini wamathumbu;
• noma ukuthatha ama-anticoagulants.