Cov ntshav ntuav yog tsawg heev. Txawm hais tias cov tsos mob no tuaj yeem txuas rau qhov ua rau me me, nws feem ntau cuam tshuam nrog cov kab mob hnyav. Nov yog kev kho mob xwm txheej ceev uas xav tau kev sab laj kho mob.

Cov ntshav ntuav yog qhov rov ua dua ntawm cov plab sib xyaw nrog cov ntshav lossis ntshav ib leeg. Nws cov xim tuaj yeem ua xim liab, tsaus nti lossis txawm tias xim av (nws yog cov qub zom cov ntshav). Cov ntshav txhaws kuj tuaj yeem yog ib feem ntawm cov ntsiab lus rov ua dua.

Kev ntuav ntshav yog ib qho xwm txheej kho mob tshwj xeeb, tshwj xeeb yog cov tsos mob no cuam tshuam nrog

• kiv taub hau;
• tawm hws;
• pallor;
• ua pa nyuaj;
• mob plab heev;
• lossis yog tias qhov ntuav ntawm cov ntshav yog qhov tseem ceeb.

Hauv cov xwm txheej no, nws yog qhov yuav tsum tau mus rau chav kho mob xwm txheej ceev lossis hu rau cov kev pabcuam thaum muaj xwm ceev. Nco ntsoov tias ntuav ntshav ntawm keeb kwm zom zaub mov yog hu ua hematemesis.

Kev ntuav ntshav tuaj yeem yog ib qho cim ntawm kev mob me me, xws li:

• nqos cov ntshav;
• kua muag hauv txoj hlab pas, nws tus kheej ua rau hnoos ntev;
• ntswg tawm;
• los yog khaus ntawm txoj hlab pas.

Tab sis ntau zaus, ntuav ntshav yog cov tsos mob ntawm tus mob hnyav dua. Cov no suav nrog:

• mob plab (mob plab);
• mob plab (gastritis);
• kev mob ntawm tus txiav (pancreatitis);
• kab mob siab cawv, piv txwv li ua rau lub siab ua rau mob siab rau cawv cawv ntev;
• cirrhosis ntawm daim siab;
• mob plab;
• lom cawv lom;
• rupture ntawm txoj hlab pas varices;
• ntshav khov tsis zoo;
• qhov tsis xws luag lossis tawg hauv cov hlab ntsha ntawm txoj hlab pas;
• lossis qog nqaij hlav ntawm lub qhov ncauj, caj pas, txoj hlab pas lossis lub plab.

Yog tsis kho sai, ntuav ntshav tuaj yeem ua rau muaj teeb meem. Cia peb hais lus piv txwv:

• ua tsis taus pa;
• anemia, piv txwv li tsis muaj cov qe ntshav liab;
• ua pa nyuaj;
• txias ntawm lub cev;
• kiv taub hau;
• kev cuam tshuam nrog kev pom;
• kua muag hauv cov hlab ntshav me me hauv caj pas;
• lossis poob ntshav siab, lossis txawm tias tsis nco qab.

Txhawm rau tsim nws qhov kev kuaj mob, tus kws kho mob tuaj yeem ua qhov kev ntsuas duab kom pom lub cev sab hauv, ua qhov kawg (qhia txog lub tshuab raj) eso-gastro-duodenal txhawm rau qhia qhov chaw ntawm cov ntshav.

Kev kho kom raug sau tseg kom kov yeej ntuav ntshav nyob ntawm qhov ua rau:

• noj tshuaj tshwj xeeb (antiulcer, antihistamines, proton pump inhibitors, thiab lwm yam) txhawm rau txo qhov mob plab;
• kev tso lub zais pa thaum lub sijhawm tsom iav, txhawm rau tswj ntshav los ntawm cov khoom thaum muaj cov hlab ntsha tawg hauv txoj hnyuv;
• los yog noj tshuaj anticoagulants.