Isilonda bulb duodenal: inkcazelo, ebangela, iimpawu kunye neempawu unyango

Isilonda bulb duodenal (ICD10: K26) - sifo eliqhelekileyo, sele olufunyanwa sesihambe. Oku kwenzeka ngenxa yokuba abantu owoyamaniswe kuyo waziva esiswini ukuba athi ukutya lixesha okanye ukutya ukungathobeli. Man ubuhlungu ukuhlupheka ugqiba amayeza zakhe, kodwa esi sifo iqhubeka. Kugqirha isigulane ufumana xa ayetyeshela umzimba wakho nodandatheko.

lwezifo

bulb isilonda Duodenal kudla lesibini ukuya izilonda esiswini mucosal. Ngoko ke, uxilongo idla ebhalwe "isilonda esiswini kunye isilonda duodenal", ngaphandle ecacisa indawo.

Malunga ne-5% yabo bonke abantu ehlabathini le ngezifo. Ngabantu, livela izihlandlo 4 kaninzi ngaphezu abafazi. A lulwahlulo baloo dolophu balana malunga-2 ukuya 1. Oku kungenzeka ngenxa umgangatho weemveliso, imikhwa yokutya kunye nokuqeshwa kubahlali kwiindawo zasedolophini.

izizathu

Duodenal isilonda bulb kwenzeka ngenxa yokuba isenzo bako of zehydrochloric acid (eliyinxalenye yencindi yokwetyisa) ukuya isifo ye emathunjini amancinci. izinto ezininzi Ukuba muncu zezi:

• secretion ngokugqithisileyo gastrin (a hormone olawula ukugaywa);

• umdlalo nezinongo, kukrakra, ezinetyuwa, ezimuncu, eqhotsiweyo uyadinga ukudla;

• ekudleni olunganelanga emini kukuzingxala ngokuhlwa;

• iziyobisi okuqhubekayo hormone okanye anti-ukudumba;

• sesichengeni rhoqo kuxinezeleko;

• ukutshaya kunye notywala ukusetyenziswa, ingakumbi ungatyanga.

Kwiimeko ezinqabe kakhulu imbonakalo erosions kunye nezilonda duodenum esinxulunyaniswa ne kwenqanaba icalcium emzimbeni, ukuncitshiswa wesibindi, nezintso, esinganyangekiyo obstructive isifo miphungeni.

Pathogenesis

bulb isilonda Duodenal livela ikhondo lihlangana kunye ifildi uxolelo kunye exacerbation. Ngokuqhelekileyo, kukho amanyathelo amathathu:

• Acute phezu (iimpawu zomlomo wakhe, izilonda mucosal kunye erosions kufuneka);

• inkqubo eziphango (akukho zikhalazo, isilonda amabala);

• uxolelo (akukho iimpawu, iimpawu epiteliziruyutsya).

Indima enkulu inkangeleko izilonda udlala ukuphazamiseka eseleyo acid-ialakalin kwi isifo emathunjini. Ukuba zehydrochloric acid luqokelelane enkulu ngaphezu kwealkali, noko bangabi ngokupheleleyo kunye nomonakalo inyama ezingqongileyo. Iiseli zitshatyalalisiwe, ukukhululwa enzyme kwandisa umonakalo. Kule sayithi kwakhiwa ukudumba uxakaxa, nto leyo eyandisa kunye isabelo esitsha ngasinye chyme. Ngaphezu koko, motility eyonyukileyo kunye nokwanda kwenani iiseli secretory esiswini cell acid ivumela ngaphandle izidlo.

iimpawu

ukubonakalisa njani ngokwayo duodenal kwebhalbhu isilonda? Iimpawu kunye nonyango ezihlobene ngokusondeleyo, ngoko kubalulekile ukuqonda ukuba yintoni siyema syndrome. izenzakalo lwezonyango kukhulu kakhulu zibangele elininzi ukungakhululeki isigulane.

Uphawu lokuqala kunye engundoqo intlungu kummandla yosana. Kunokuba ibe zombini etsolo kwaye ekhathazayo, konke oko kuxhomekeke kubungakanani kunye nomgangatho nokutya. Ukongeza, ekuqaleni kulula ukuba balahle asidi yokusela. Maxa wambi intlungu kubuya ebusuku yaye ikhuphe ukuya ngasemva.

finger lady ngamnye uyazi ukuba balahle isicaphucaphu, regurgitation, iintlungu okanye nje okulula. Kucetyiswa ukuba into efana jeli. Kodwa le sixhobo ayikho jikelele, kuba ukugabha unako ukubuya emva kwesidlo, "okubangela 'nabo njenge" ibhonasi "heartburn kunye elikhulu ubunzima. Ngamaxesha athile, aba bantu baphathwa ukuphazamiseka kwesitulo ngohlobo ukuqhina kunye ukuqunjelwa.

ukungaphili

Acute bulb isilonda duodenal sisifo ezisongela ubomi kunye nempilo. Kwiimeko kakhulu ukopha kakhulu, perforation kodonga kwamathumbu kunye septicemia Ukwakheka.

Le isilonda akufuneki kuphela kunokususa eludongeni organ basemgongxweni, kodwa osalayo kungena ezikufutshane. Ngokomzekelo, ukususela ibhalbhu duodenal inkqubo zophendlo lwezifo uya injeke ukwenza fistulas kunye amathumba.

Xa iingxaki chronic ziquka stenosis (exineneyo) isabelo emathunjini. Oku kukwaqhwalelisa esi sicatshulwa ukutya, kudale ngxi kunye nokubola esiswini. Xa abantu, kuba imvakalelo kuyabonakala edandatheka, ubuthathaka, isiyezi, ukudinwa, ukungabi namdla. Kwezinye iimeko mhlawumbi ukugabha etheza ukutya undigested zodliwa iintsuku ezimbalwa ezidlulileyo.

ekuxilongweni

Iibhalbhu Duodenal isilonda kwafunyaniswa kakhulu ngokulula, unikwe ukuba izigulane bafune iingcebiso kwangethuba kangangoko isigaba ukuphakama esi sifo, xa ukungaphatheki kuthintela ukuba baphile ngokuqhelekileyo.

Okokuqala, ugqirha uqokelela imbali ihlola. Kakade ke, Ngokucofa esiswini engaphenduli isiqulatho ulwazi eziphakamileyo, kodwa ukrokrela, kunye amathuba ephakamileyo, inkqubo wenze kunokwenzeka. Isigulane ke ngoko wathumela iimvavanyo zegazi, abamakishi kwemichiza, igazi ilindle ubugqi, kwakunye ukuqinisekisa inqanaba lomsebenzi le gastrin kunye Helicobacter pylori.

Inkqubo iqhelekileyo diagnostic na esophagogastroduodenoscopy, okanye, ngendlela elula, endoscopy. It ikuvumela ukuba uhlole ingaphakathi ityhubhu wokudla, cauterize zonke nezilonda ezichongiweyo, thatha izicwili kunye zizizwe iimviwo. Kuyinto ulwazi kunye ray. Imifanekiso umahluko kuya kuba ibonakale ngokucacileyo iindawo izibetho kunye imeko inwebu kwiinwebu esiswini kunye duodenum.

Unyango lwe zebhalbhu duodenal

Okokuqala kufuneka uzilungiselele ngenxa yokuba yinkqubo ende kwaye onzima, ebandakanya ukutya, unyango ngokwasemzimbeni kunye namayeza. Musa ukuba uyoyika, konke oku kufuneka kwenziwe, kunokuba kwangaxeshanye aphuhliswe kakuhle isicwangciso kwaye uthetha nogqirha wakho.

Ukuze uqalise gastroenterologist umisela unobangela ezibangele ukuba isibetho kwaye yonke imikhosi ukuba bahlukane kuyo. Ukulungiselela le njongo kukho unyango ngamachiza. Le asidi kunye prokinetics kunye nempompo Proton inhibitors, kunye nezinye izimanga ezininzi imithi. Ukongeza, ekulweni nezilonda xi nga kunceda nadlamkisayo ukukhanya ipilisi zokulala, kodwa kufuneka isetyenziswe ngobulumko. Against Helicobacter pylori ngokuphelele antibiotics penicillin kunye macrolides.

Xa nqanaba imikhosi kwakhona umzimba ukugcina isigulane ubonisa balneotherapy, electrophoresis procaine kunye rewarming.

amayeza abantu

Unyango isilonda bulb intsomi amayeza duodenal naxa ingumbandela ozaliswe ziziphumo emibi ngenxa yempilo. Ngoko ke, ngaphambi kokuba lo hlobo imifuniselo ukulumkisa ugqirha khona. Uya kuba nombulelo kuwe ngayo.

Kwi-Internet, kwakunye oomakhulu zethu ezininzi zokupheka for unyango izilonda. Ukwenzela ukunciphisa asidi kwandisa luvukelo mucosal, abantu basele incindi iitapile entsha, umxube yobusi nebhotolo okanye ubusi nje unyityilikiswa emanzini ashushu ze usele phambi kwesidlo. Kukho kwakhona iiresiphi bumane, ezifana nokusetyenziswa yeoli imbewu sihlahla kwi itispuni phambi kwesidlo ngasinye.

Zonke ezi ndlela uyakwazi ukususa isenzeko zingemnandanga, abanye ukukhuthaza ukuphiliswa izilonda, kodwa usafuna na ukuyithenga kuqalwa zonyango bemveli.

Ukutya isilonda bulb duodenal

Kwisithuba exacerbations zesi sifo, izigulane kufuneka esitya ukutya ngokwaneleyo ngokungqongqo ukunceda ukuthomalalisa iintlungu, kunye recovery isantya. A tips ezimbalwa ukuba ukudla okunjalo:

1. Yahlula izidlo qho kwiiyure 3 iinxalenye ezincinane.

2. Kukho imfuneko yokuba kancinci, ukuhlafuna kakuhle ukutya.

3. Ukutya kufuneka kube kufudumele, ukuze ukubacaphukisa amathumbu sele ethe.

4. Iimveliso Ezikhethiweyo kufuneka ukukhuthaza imveliso olongezelelweyo zehydrochloric acid, ngoko nto eqhotsiweyo, okuneziqholo, ezinetyuwa, zifakwa kunye eqholiweyo.

Ukususela ezinye izibiliboco etyuwa kusenokufuneka ukuba ningayekeleli ebomini. Kodwa ubisi, okubizwa iziqhamo kunye ijeli, iyabiliswa imifuno kunye namaqanda edliwayo yale mda.