12 isilonda duodenal: ukwakheka kwazo, imisebenzi weni nasekwelapheni tifo kungenzeka. Peptic isilonda isifo 12 isilonda duodenal: izimpawu

Umzimba womuntu echayeke ezifweni ezihlukahlukene. Izifo kungathinta kabi noma isiphi isitho yangaphakathi. Iyathinteka kuya 12-duodenum. Isenzakalo esidume kunazo zonke lesi sifo wokugaya ukudla - a isilonda peptic. Kubantu abaningi, ihlobene esiswini, kodwa eqinisweni it is hhayi kuphela exhunywe naye. Inqubo sokugembula ngokuvamile abathintekayo duodenum. Kuyini lokhu sifo? Yini nezinye izifo bangalindela kuthinte duodenum? Ngaphambi ukufuna izimpendulo zale mibuzo, kubalulekile ukuba sicabangele isakhiwo uMnyango wathi wokugaya ukudla.

Isakhiwo duodenum

Isimiso somuntu sokujikeleza kokudla nzima ukuthola. Omunye izingxenye zalo - a-duodenum 12. Kuthathwa esigabeni sokuqala emathunjini amancane. Duodenum evela pyloric kanye imikhawulo duodenal-jejunal goba, okuyinto eya olandelayo emathunjini amancane (ku jejunum).

Esikhathini duodenum secrete izakhi ambalwa abamelwe:

• i ingxenye engenhla kokuba ubude 5 kuya ku-6 cm;
• ukwehla ingxenye akha 7-12 cm ubude;
• ingxenye ovundlile okungukuthi zilingana 6.8 cm;
• sinyuka ingxenye, ilingana nobude 4-5 cm.

umsebenzi duodenum

imisebenzi ebalulekile eziningana kuyenziwa 12 isilonda duodenal:

1. It iqala inqubo ukugaya. Njengoba bevela ukudla esiswini ilapha ukuze ane-alikhali pH, akusho obungamcasula omunye izigaba emathunjini.
2. Duodenum ulawula ukukhiqizwa Bile futhi pancreatic enzyme, kuye ngokuthi ukwakheka kwamakhemikhali kanye asidi we esiswini uthola ukudla.
3. Kokuqala emathunjini amancane wenza esinye umsebenzi basishiye. Kulo chyme, langena kusukela esiswini uya kwezinye izingxenye emathunjini.

Ezinye izifo ukuthi zingahlanganiswa 12 isilonda duodenal

Esinye sezifo ezenzeka duodenum - duodenitis ke. Leli gama luchazwa izinguquko ukuvuvukala futhi esiwohlozayo le mucosa. Kuphakama emiphumeleni elimazayo emzimbeni yezinto: ukudla okunobuthi, ezinobuthi okubangela ubuthi by kokungenisa wokugaya ukudla, ukudla acute, utshwala, imizimba angaphandle. Lapho duodenitis wezwa ubuhlungu epigastric, isicanucanu, ukuhlanza, ubuthakathaka, kukhuphuke izinga lokushisa komzimba.

Izifo 12 isilonda duodenal futhi zihlanganisa ezingamahlalakhona isimiso duodenal. Lena inqubo eholela ukuphazamiseka ukudlula yi duodenum, t. E. Ephukile evacuator motor umsebenzi kule ngxenye isimiso sokugaya ukudla bungene. Lesi sifo kwenzeka kusukela izimbangela eziningi ezahlukene (isib, khona izimila kanye nezinye anomalies azalwa naso.). Izimpawu zincike izimbangela ezingamahlalakhona isimiso duodenal, esigabeni lesi sifo futhi kanjani kudala wamshaya 12 isilonda duodenal. Izimpawu abantu abagulayo ukugubha ekhaya, ezifana ukungakhululeki kanye ukusinda e-epigastrium, isilungulela, isifiso ukulahlekelwa, ukuqunjelwa, gurgling futhi ukumpontshelwa emathunjini.

Ukwelashwa nokuvikelwa duodenitis chronic isimiso duodenal

Ukwelashwa kwezifo kufanele udokotela. Ukuze 12 ne duodenitis duodenum ngasibuyisela imisebenzi salo singase sidinge izenzo ezilandelayo:

• Indlala i-1 noma 2 izinsuku;
• lavage esiswini;
• injongo olukhethekile lokudla (№ 1, 1a, 1b);
• aphoyintimenti binders, esigubuzele, antacid, antispasmodic, anticholinergic, ganglioblokiruyuschih, amavithamini;
• kwezinye izimo edingekayo kokungenela kuhlinzwa nokwelulekwa ama-antibiotic.

Ngo ezingamahlalakhona duodenal ukwelashwa isimiso 12 isilonda duodenal kudinga indlela ngamunye. Uma lesi sifo sokucasuka isimiso mechanical, wabe eseqhuba ukuhlinzwa. Kwezinye izimo, kungase iqondiswa prokinetic. Le mithi nethonya emnandi ku imisipha pheshana emathunjini, kwandisa umsebenzi contractile, ithoni isisu duodenum, ukwenza okwengeziwe ukuthuthwa kwabantu ngenxa yengozi okusheshayo lokuqukethwe esiswini.

Asho isilonda isisu?

Uma ucabangela yezifo duodenum, ukunakekelwa okukhethekile kufanele kukhokhelwe peptic isilonda isifo. Le nkulumo ibhekisela isifo esiyingozi kakhulu kwenzeka ifomu ezingamahlalakhona kushintshana izinkathi ukuthethelelwa futhi exacerbation. Etiology yalesi sifo wafunda kahle. Ngaphambili kwakubhekwa ukuthi peptic isilonda isifo ingqondo izinto ezifana pepsin futhi hydrochloric acid, akhiqizwa isimiso sokugaya ukudla bungene. Nokho, ucwaningo luye lwabonisa ukuthi indima ebalulekile eyadlalwa Helicobacter pylori amagciwane.

Izibalo zibonisa ukuthi izigameko isilonda duodenal ivela 6 kuya ku-15%. Asinakusho ukuthi umelele ubulili ogulayo kancane kaningi noma kaningi. Amadoda nabesifazane ngokulinganayo ukungenwa nalesi sifo.

Izici izilonda duodenal

Izilonda zilimele duodenum. Bona ingafaniswa erosions. Nokho, kulezi zinhlobo ezimbili izilonda babe umehluko omkhulu. Ukuguguleka kwenhlabathi kuthinta kuphela ulwelwesi lwamafinyila ukuthi olayini duodenum. Isilonda lingena submucosal futhi imisipha izingqimba.

Ucwaningo lubonisa ukuthi ezimweni eziningi, izilonda ziphezulu. Basuke etholakala eduze pylorus. I ububanzi we umonakalo lihlukile. Isilonda ezivamile, okuyiwona lolu ipharamitha lingaphansi kuka 1 cm. Kwezinye izimo, wembula izilonda ezinkulu. Odokotela practice wakhe wahlangana izilonda duodenal ukuthi ukufinyelela ububanzi 3-6 cm.

I ukubonakaliswa basemtholampilo isilonda peptic

Kwezinye abantu ukugula angaliboni, ngenkathi ezinye izimpawu asolisayo manifest isilonda 12 isilonda duodenal. Izimpawu zivame kakhulu yilena elandelayo:

• ubuhlungu yansukuzonke isebenze esiswini engenhla;
• iziyaluyalu wokugaya ukudla;
• Oqala ukungezwa aze agcine isiguli womuntu ukudla kanye nesisindo nokwehlisa;
• izigqiki hlala;
• ukopha ukuthi kwenzeka ngenxa ukugqwala of juice esiswini kwezindonga isitsha igazi;
• ubuhlungu emuva (okuyinto kuphakama ngenxa izilonda amila ku kwamanyikwe);
• okukhulu ubuhlungu besisu (basuke ebonwe isilonda perforation, ukuthuthukiswa peritonitis).

Zalezi zimpawu evamise ihlangabezane iyona ubuhlungu. Ngokwemvelo yayo, kuhlukile - i-acute, evutha, bezwe izinhlungu, engaqinisekile, libe buthuntu. Ubuhlungu zivamise ukwenzeka esiswini esingenalutho (ekuseni emva uvuka). Bangaphinde ukuvela ngemuva ukudla amahora mayelana 1.5-3. Ukungakhululeki ukunqampunwa antacids, ukudla ngisho ingilazi yobisi noma amanzi afudumele. Iqiniso ukuthi ukudla neziphuzo lapho udle kancane neutralized nge hydrochloric acid ukuchayeka. Nokho, ngemva kwesikhashana ubuhlungu iqala futhi.

izinqubo sokuxilonga ukuze isilonda peptic

Sitholakele "isilonda 12 isilonda duodenal," kunzima ukufaka kuphela omunye izimpawu futhi kuhlolwe ngamehlo lomuntu ogulayo, njengoba kushiwo ngenhla amatshwayo nobuntu anhlobonhlobo izifo. Ngenxa yalezi zimpawu zingase zinyamalale hhayi isilonda kuphela duodenal, kodwa cholelithiasis, umdlavuza esiswini pancreatitis, izimila kungavamile ukuba ingozi, nokunye. D.

indlela Kufanele futhi esinokwethenjelwa sitholakele peptic isilonda isifo - a fibrogastroduodenoscopy. Kulesi sifundo, ngomlomo zingene esiswini ukuzohlola nolwelwesi lwamafinyila wokugaya ukudla wethula ithuluzi ekhethekile nge umthombo wokukhanya kanye nekhamera. Kumiswa isithombe phezu qapha. Odokotela ukuhlola isisu duodenum 12. Izifo ngomshini eqaphela izinguquko sokugembula. Uma kudingekile, uchwepheshe uthatha isampula le mucosa sesifundo somuntu khona ezincane, ingqondo ukubukeka isilonda peptic.

imithi ye isilonda duodenal

isilonda peptic ingelashwa nge imithi noma ukuhlinzwa. Ngo indlela yokuqala, iziguli womuntu odokotela linqume izidakamizwa ukuthi iwukudambisa hydrochloric acid. Ziyakwazi ngokuthi antacids. Okunye okuwusizo ukukhetha isikhathi e imithi isifo ezicindezela ukukhiqizwa hydrochloric acid emzimbeni womuntu. Ngokwesibonelo, singasetshenziswa eyabelwe "Omeprazole".

Uma ngesikhathi sitholakele Helicobacter amagciwane pylori kutholwa ke kungenzeka ukuthi anikeze ukwelashwa okuphindwe kathathu. "Omeprazole" noma "Ranitidine" abelwa ngokuhlanganyela ngezilapha magciwane ( "amoxycillin" futhi "clarithromycin").

kokungenela Steel ngoba isilonda peptic

Lapho sekwephuzile ukuthi nginesifo "isilonda 12 isilonda duodenal," ukuphathwa kuhlinzwa lenikiwe. It wenziwa khona ngaphansi izinkomba ezithile:

• lapho perforating izilonda noma ukopha kakhulu;
• exacerbations njalo lesi sifo okwenzeka naphezu ukwelashwa kwempilo;
• ukuvaleka ekhishwa isisu, esiqubukile ngenxa isibanda ukusonteka we duodenum;
• ukuvuvukala okungamahlalakhona, okungakwazi kwenziwe by yokwelapha wezokwelapha.

Ingqikithi ukwelashwa kuhlinzwa ukususa ingxenye esiswini. Lapho msebenzi excised ingxenye isitho yangaphakathi, okuyinto obangela uketshezi of gastrin emzimbeni. Le into ezizokhuthaza ukukhiqizwa kwamangqamuzana hydrochloric acid.

Ekuphetheni, kuyafaneleka ukuthi uma kwenzeka izimpawu asolisayo nobuntu duodenal isilonda isifo, kufanele afune usizo umtholampilo onguchwepheshe. Ukuzelapha ababephethwe izifo okungalungile ngenxa okungalungile yokwelapha izidakamizwa, ukungezwakali kwawo noma ezingadingekile amakhambi abantu ungase udale umonakalo omkhulu emzimbeni wakho, zikhubaze impilo yakho.