Isifo isisu: iimpawu, unyango, ukutya. Uxilongo kunye nokuthintelwa kwezifo esiswini

Isisu sisisigxina esingasisigxina esenza umsebenzi obalulekileyo emzimbeni, ehambelana nokugaya. Inkqubo yokungcola kokutya kunzima kakhulu, ngoko ke naziphi na izifo zesisu kunye ne-duodenum ezinokuchaphazela kakubi umsebenzi wendalo yonke kwaye zinike ukusilela okukhulu kwezinye iinkqubo. Kwiqhekeza lokutya, eli lilungu linomlinganiselo wesibini, ngelixa i-enzyme ezikhethekileyo kunye ne-acids zikhutshwa kuyo.

Izimbangela zezifo zesisu ziyimiphumo engaphandle yangaphandle emzimbeni. Ezi ziquka:

Iimeko ezixinzelelekileyo ezichaphazela ukunciphisa ukubunjwa kwesantya sesisu;

- Ukuphazamiseka kwemizwa, engabangela ukutshabalaliswa kwesondlo kunye ne-anorexia;

Ukutya okusemgangathweni, ukusetyenziswa kakubi kwezidlo;

Ukutyhefuza ngezinto ezinobuthi.

Kukho ezinye izifo zesisu esiswini. Iimpawu kunye nonyango kuxhomekeke kwimeko yesifo. Izibheno eziqhelekileyo zezigulane zixinzezela ubuhlungu, ukuhlaselwa rhoqo kwesisulu sokubamba isantya, ukuguquka kwentliziyo kunye nokuvutha komsindo emqaleni, kubangelwa izinga lokunyuka kwe-asidi esiswini.

Izifo eziphambili zesisu

Izifo zesisu kunye ne-duodenum ziqhelekileyo kuwo wonke umntu. Zinamazinga ahlukeneyo okuphuhliswa nobunzima. Iingcali, izondlo zithi impilo yesisu ibonisa indlela yokuphila yomntu, ukuthanda kwakhe kunye nemikhwa. Ezinye izifo zikhula ngokukhawuleza, ngelixa ezinye zikhula ngokukhawuleza, ngokukhawuleza nangokukhawuleza. Ngamanye amaxesha iimpawu zesifo sesisu sezikhula ngokugqithiseleyo kangangokuba isigulane sidinga ukuhlala esibhedlele esiphuthumayo.

Iimpawu eziphambili zezifo zesisu ziquka intlungu kwi-hypochondrium kwicala lasekunene, ekhuphuka ngokutya okanye, ngokuchaseneyo, xa isiguli esilambile. Kwiintlobo eziyinkimbinkimbi, intlungu ifumana isimbolo esichukumisayo esineengqungquthela. Ukuzinyango kuphela kuphucula inkqubo yokuvuvukala kwaye kukhuthaza ukuphuhliswa kweentlobo ezibi kakhulu zesifo sesisu. Iimpawu, unyango lwelolu hlobo lwesifo lunempawu zabo. Ngokomzekelo, ngezilonda, uphawu oluphawulekayo luphambano olunevumba elimuncu, kunye ne-gastritis ukubonakala kwintlungu eqhelekileyo. Ngamanye amaxesha, ngezifo, ukuphuma kwegastric kwenzeka , kwaye ukutya kunokuhamba kunye nokuhlaselwa ngokukhawuleza kokuhlanza. Ukunyangwa kwezifo zesisu kuxhomekeke kwisibandezelo semeko yesigulane, uhlobo lwesifo kunye nemibonakalo yayo yeklinikhi.

Gastritis

I-Gastritis ibhekisela ekuvukeleni kwe-gastric mucosa, ephuma kwimiphumo yebhaktheriya, ukungondleki, ukutywala utywala, kunye nokusetyenziswa kakubi kwezilwanyana kunye nendlala (ngokukodwa kukutya ukutya kweesanti kunye nokutya okomileyo), iziqholo kunye nokutya okucolileyo. Iimpawu eziqhelekileyo zezi zifo zesisu (unyango kunye nempawu ze-gastritis kuxhomekeke kwizizathu ezibangela ukuba) zibonakaliswe ngezinga eliphezulu le-acidity, i-heartburn, isifo somqala xa uginya. Ukongezelela, iimpawu zesifo se-gastritis zibandakanya kunye nokuphazamiseka kwamathumbu: ukutyunjwa okanye, ngokuchaseneyo, urhudo. Ukuba imbangela ye-gastritis i-bacterium ye-pathogenic, iqhubela phambili ngokukhawuleza, ukuguguleka nokutshabalalisa iindonga zesisu segastric kubonakala.

Ukongezelela, imbangela ingaba yinkqubo ehamba phambili yokuzimela, xa umzimba ubona isisu sakhe njengento engafani. Ama-antibodies aveliswa ngumzimba aqala ukuhlasela kwaye adibanise iindonga kunye neembumba. Ngexesha lokunyangwa kwesifo kubalulekile ukuthatha imithi kuphela emva kokutya, xa kuveliswa ijusi yesisu. Kule meko, isigulane kufuneka imiselwe ukutya kwimeko yesifo esiswini, esingafaki ngokupheleleyo ukusetyenziswa kotywala, iziqholo, iziqholo kunye nezokutya. Ukuxilongwa kwenziwa nge-endoscopy.

Isisu sesisu: iimpawu, unyango

Ukutshatyalaliswa kweendonga zesisu kuholela kwisilonda se-peptic, esichazwa ngumlinganiselo okhulayo we-acid kunye ne-bile. Izilonda zinokuthi zibe nye okanye zininzi. Izizathu zesifo zilandelayo:

Ukungondleki okungafanelekanga (ukutya okutyiwayo kwomileyo, ukungabi naso kwezifundo zokuqala ekudleni);

- Utywala, ukutshaya;

Ukuthatha amayeza athile;

Uxinzelelo, ukuphazamiseka;

- ukuphulwa kolawulo lomsebenzi nokuphumla.

Isibonakaliso esibalulekileyo sesilonda se-peptic sisiphumo esixakekayo esinommiselo ococekileyo. Ezinye iimpawu ziquka ukuncwina, intlungu kwi-hypochondrium, ukulahleka kwesidlo nokunciphisa ubukhulu obukhulu. Iingxaki zesilonda esiswini sinomngcipheko wokugaya isisu, ukuguqulwa okanye ukungena kwesisu, kwakunye nokuphuhliswa kwe-stenosis ye-pylorus. Unyango lwezilonda zombini kunye neengxaki zayo ziqhutyelwa ngokugqithiseleyo.

Iingxaki zezilonda zesilonda

Ukunyanga ngokungenasiphelo okanye ukungonelanga kwezilonda kungabangela ezinye iingxaki zesifo. Eziqhelekileyo zibandakanya ukugqithiswa ngentla, ukungena, ukuphuma kwegazi kunye ne-stenosis ye-pylorus.

Ukuphuma kwilungu kubonakalisa ukuhlanza kwamanzi kunye nokuba khona kwegazi kwinyama. Ukuba isilonda singasentla endaweni yeTreetz ligament, isigulane sinokuthi sihlanza, ukuba sincinci, ke isitulo esimnyama (igazi). Kule meko, isigulane sinciphisa ngokukhawuleza i-hemoglobin. Uncedo lokuqala ekhaya luquka ukuhlamba isisu ngamanzi abandayo kwaye usebenzise ipakethi yeqhwa kwisisu. Ukunyango kweziyobisi kuquka ukusetyenziswa kwe-H2-blockers, i-Novocaine kunye ne-Adrenaline, i-fibrinogen, i-secretin nezinye iyeza. Kwiimeko ezilukhuni, ukungenelela kwongxamnye kwenziwa.

Ukugqithiswa kwesilonda esiswini kuyinkxalabo enzulu. Iimpawu zibandakanya intlungu ephawulekayo yendalo "yobundlobongela", ukuxhatshazwa kwemisipha yodonga lwangaphakathi lwesisu, i-bradycardia, i-epigastrium, i-epallorum yesikhumba, i-Syndrome esebenzayo i-Shtetkina-Blumberg. Emva kweeyure ezingama-5-8 emva kokuphazamiseka, isilonda sesisu sinokufumana uhlobo oluthile lweengxaki - i-peritonitis (ukuvuvukala kwe-peritoneum). Iimpawu zolu gulane wesigulane ziquka ukufana okufana nomtya, i-hypotension, isithintelo samathumbu emathumbu, umkhuhlane kunye neukocytosis. Kamva, iimpawu zongezwa kwi-flatulence, ukugcinwa kwamanzi emzimbeni, izihlalo, kwiimeko ezinqabileyo, ukuhlanza kwenzeka. Ukuze unyango lwezilonda eziphazamisayo, i-laparoscopic indlela ingasetyenziswa.

Ukungena kusasazeka kwesilonda kwiimfucu ezijikelezileyo. Kule meko, amanyathelo athile kule nkcenkceshela yezilonda zesilonda ahlukeneyo:

- necrosis kuzo zonke izalathisi zelungu elingenanto kunye ne-duodenum;

I-fusion fusion kunye nezitho eziseduze nesisu okanye i-duodenum;

Ukungena kwesilonda kwiifom zecandelo elikufutshane.

Ukuxilongwa kuqhutyelwa usebenzisa i-X-ray okanye i-endoscope, ebonakalayo nayiphi na isifo sesisu. Iimpawu kunye nonyango zihlobene. Umfanekiso wekliniki ubangelwa intlungu ebuhlungu yendalo, isisongulu kunye nokuhlanza, okuvame ukwanda. Iimpawu zenkqubo yokuvuvukala ziyabonakala: izinga eliphezulu le-ESR, i-leukocytosis, iqondo lokushisa elincinci. Unyango, njengomthetho, osebenzayo.

Ngaphantsi kwe-stenosis yomgcini-masango uyaqondwa ukuba indawo yesilonda kwi-duodenum ne-pyalic canal. Ukuchithwa kwe-patency kuqhutywe kukuvutha kwe-pyloric kunye ne-spasm. Le nkcenkcesha yenye yeendlela ezinzima zesifo sesisu. Iimpawu, unyango lwolu hlobo lwesilonda se-peptic luxhomekeke ekubeni ingaba le nkqubo iphindaphinda. Xa uhlaziya, isigulane siba nesimo esinobundlobongela kwingingqi ye-epigastric, i-nausea, ukuhlaselwa kohlanza kunye nokunciphisa ubukhulu obukhulu. Unyango kulolu hlobo luhlala luphethwe kuphela.

I-Adenocarcinoma yesisu okanye isifo somhlaza

I-Adenocarcinoma kwindlela yokwelapha iyaqhelekileyo. Njengomthetho, i-tumor isendaweni kwiindawo eziphambene ne-antral okanye i-pyloric zesisu. Isizathu esona siqhelo sesifo sisetyenziswa ngokugqithiseleyo kokutya kunye nomxholo ophezulu we-nitrites.

Ekuqaleni kwenkqubo ye-adenocarcinoma ibonakaliswa yisicupunu, ubunzima esiswini, ukungabikho kwesondlo nokulahleka kwegazi, intlungu yomzimba. Ngokukhawuleza emva kokuthatha inani elincinci lokutya, isigulane sinesidima sokubandezeleka endaweni ye-plexus yelanga, ebonisa ukuba khona kwe-tumor intra-wall. Nge-oncology yesebe lekhadiyali, kukho ukungabikho kokutya kwi-duodenum, ehamba kunye nokuhlanza. Iziganeko zomhlaza zomhlaza zihamba kunye neentlungu kwisiguwu se-epigastric, kunye nokuchithwa kwe-tumor kukho ukuphuma kwamanzi kwangaphandle, okufunyanwa ngokuba khona kwegazi kwisigxina, ukuhlanza igazi. Unyango lwezifo zesisu zesimo semvelo senziwa ngokugqithisileyo (isisombululo sesisu sonke) kunye ne-subtotal (ukutyunjwa kwendawo yayo).

Isisu esiswini

Intlungu esiswini isoloko ithetha ukuba khona kwayo nayiphi na intsholongwane. Ukuvakalelwa, ukugubha intlungu, isisulu sokubamba isisu kubonwa njengempawu ze-gastritis. Ngokuqhelekileyo isigulane sithatha imithi yodwa, e "gubungela" iimpawu, kodwa ayiphatha lesi sifo ngokwazo. Ukutshatyalaliswa kwe-gastritis kusasazeka kwi-duodenum kwaye kuthiwa yi-bulbit.

I-bulbite i-catarrhal kwaye ikhula kwaye isifo sesisu sesisu. Iimpawu, unyango lwezifo ezinjalo zichazwe ezininzi kwiincwadi ezizodwa. Esi sifo sihamba kunye nesicefe, ukuhlanza, intlungu enzima, umvakalelo onomsindo emlonyeni. Imizwa yeentlungu zifana nokuhlaselwa kwe-pancreatitis.

Ukususa intlungu yesifo kuya kunceda izidakamizwa-ezinjenge-"Gastal", "i-Almagel A". Bayakwazi ukunciphisa umonakalo owonakalisayo we-bile kunye ne-asidi, kwaye indlela eyona nto yokonyango yindlela yokutya ngesifo sesisu. Ngethuba lokuxhatshazwa kwesi sifo mayeke ukukhawuleza ukuthatha onke amayeza, ukuyeka ukutshaya, ikhofi, utywala. Ukuthintela ngokwempahla indlala, ukusetyenziswa kakubi kokutya kokulahlekelwa kwesisindo, kunye nokuthatha izongezelelo zokutya.

Ukuguguleka kwesisu

Ukusebenza kakuhle komzimba, imo yesantya ibaluleke kakhulu. Kodwa ngohlobo lwalo kunye nokwakheka kwamakhemikhali, lugqubutha, kunye nokungasebenzi kakubi emzimbeni, kubangela umonakalo omkhulu kwimpilo yabantu. Umsebenzi oyintloko wejusi esiswini kukugonywa nokutya kokutya, umgangatho apho, ngelishwa, ngokuqhelekileyo kushiya kakhulu ukufunwa. Ngenxa yokunxibelelana okunjalo, ukucaphukisa i-mucosa yesisu kudla ngokuphindaphindiweyo kwaye iimeko ezinobangela okanye izilonda ziyavela.

Ezi zinto ezimbi zilandelayo zibangelwa zizizathu zokukhukhula komhlaba:

Nesondlo esingenasidlo;

Izifo ezingapheliyo zesisu;

- Iziphazamiso zesifo, uxinzelelo kunye nokunye.

Ezi ntsholongwane zihlukaniswe ngamaqela amathathu:

- ukuguguleka kokuqala;

Ukukhushulwa kwesibini;

- Oncology.

Kule meko, ngokwelo hlobo lwesifo, lingaba lukhuni okanye lungapheliyo. I-symptomatology yokukhukhula yinto efana nayo zonke izifo zesisu, kodwa umngcipheko wokutshintshwa kweso sesilonda kakhulu. Unyango lwezinto ezimbi zihamba ixesha elide kwaye kuxhomekeka kwiimeko ezininzi ezahlukeneyo. Cinga ngohlobo lwesifo, ingcinezelo yesifo nokunye. Ulwaphulo lwe-antibiotics alusebenzi ekukhuliseni kwesisu kwaye lisetyenziselwa kuphela ukuba eso sifo sibangelwa isifo. Ukusetyenziswa kweziyobisi kuqiniswa ngokutya okuthe ngqo, ngakumbi xa isisu sisona. Izifo, iimpawu zazo ezibonakaliswe ngongcongconi kunye nokuhlanza, azikhuthazwa ukuba zinyangwe ngamachiza, kuba abanye babo banako ukutshabalalisa iindonga zomzimba ezivuthayo.

Isisu secaroma

I-gastric carcinoma yinto echaphazelekayo eyenzekayo ngenxa yezinto ezininzi ezichukumisayo. Iqela elijongene nobungozi ngokuqhelekileyo liquka izigulane zendoda ezineminyaka engama-40 ubudala abanembali yeengqungquthela esiswini, isilonda sezilonda kunye nesifo esingasasigxina. Ukuqumbisa isifo kunokusetyenziswa kakubi kweemveliso kunye ne-carcinogens, kunye notywala kunye nokutshaya. Ukusetyenziswa ngokweqile kwetyuwa kunobangela ukuvuvukala kwamathambo omzimba. Okubalulekayo yinto efa.

Iimpawu ze-carcinoma ziquka ukunyameka kwesigulane, ukunganakwa, ukungabikho kokutya kunye nokuchasana nemveliso ethile. Umntu ukhula ngokukhawuleza, obuthakathaka, uhlala ehlushwa yintlungu esiswini, kukho ukuhlanza ngokukhawuleza. Uvavanyo lwegazi lubonisa i-leukocytosis eyandisiweyo, umxholo we-myelocytes kunye ne-myeloblasts. Ukuxilongwa, sebenzisa i-X-ray, i-ultrasound, i-tomography kunye ne- biopsy yesisu. Unyango luyonyango kwaye lugqirha. Iyeza lonyango libonisa ukusetyenziswa kwe-analgesics kunye ne-antiemetics, iivithamini kunye ne-antitumor agents.

Ukuthintela isilonda se-peptic solu hlobo lwesisu kuhambelana nokutya, kugweme uxinzelelo kunye nokuphazamiseka, ukukhanyela iimveliso zotywala, ukutshaya kunye neminye imikhwa emibi.

Ukuxhomekeka kohlobo lwezilwanyana zezifo zesilonda

Abantu abaninzi banokwesaba iindlela zokugonywa xa besesisu. Izifo, iimpawu zazo eziqwalaselwe ngasentla, zinokuphathwa ngeendlela zonyango. Ezinye iindlela zokwelapha ezongezelelweyo, ezikhethwe ngokubambisana kunye noogqirha, uya kunika isigulane ngokukhululeka kweempawu kunye nokunciphisa ukuvuvukala kwe-mucosa. Ngelishwa, ngoncedo lwonyango olungapheliyo, asikho zonke izifo zesisu ezinganqotshwa. Izibonakaliso kunye unyango lwezilwanyana zomntu zaso nasiphi na isifo kufuneka zixoxwe nodokotela, kuba ngamanye amaxesha uncedo olunjalo alukwazi nje ukungahambi kakuhle, kodwa lunokulimaza kakhulu isigulane. Ngokomzekelo, izifo ze-oncological, kunye ne-perforation, i-peritonitis, i-perforation kunye nezinye iifom ezinzima zidinga ukungenelela kwangangoko. Naluphi na ukuhlehliswa kotyando olusongela isigulane ngesiphumo esibulalayo.

Ezinye iintlobo zesilonda esiswini, iimpawu, unyango lwezonyango zomntu ezixoxwa kunye nogqirha, lunokuphelisa ngokusetyenziswa kweemveliso ezahlukeneyo zezityalo zemithi. Isilungiso esihle yintambo ye-aconite, i-celandine, i-potato kunye ne-calendula iintyatyambo. Ukunqunyulwa kwee-strawberries, ara, i-corn stigmas kunceda ekunciphiseni ukuvutha. Isigulane ngasinye siphathwa ngamanyathelo omntu ngamnye.

Ukuthintela isifo sesilonda sezilonda

Ukuthintela izifo zesisu yinxalenye ebalulekileyo kwinkqubo yokonyango. Isigulane sidinga ukutya ngokufanelekileyo, siphephe i-salty, i-spicy, i-spices, ulahle ngokupheleleyo ikhofi, utywala, utshaya. Ukulawula iimpawu zezifo, nokukhusela ukubonakala kwazo, kufuneka umntu adle rhoqo, kwiincinci ezincinci. Ukutya okudlulayo kunqweneleka kakhulu, kodwa ukutya ngokutya kusongela iinkqubo zokuvuvukala. Musa ukugwinya ukutya ngokubanzi, ukuhlaziywa kakubi.

Unyango lwezifo zesisu luyinkimbinkimbi kwaye kusemngciphekweni wokuphuhlisa iingxaki ezahlukeneyo. Yingakho kungcono ukunyamekela impilo yakho kwaye ugweme iingxaki ezinjalo. Ukuthintela isilonda se-peptic sesisu kubandakanya amanyathelo alula. Sifanele sizame ukuphepha iingxaki ezahlukeneyo, iindlela zokuzikhusela, ukucamngca, ukujonga ulawulo lomsebenzi nokuphumla. Uqeqesho olubonakalayo lubalulekile. Ukuzivocavoca umzimba okunzima kunceda ukugcina izihlunu zithinte.