Izimpawu: isilonda se-duodenal

Ukusabalala kwezifo zendlela yokugaya ukudla kuphezulu kakhulu kulezi zinsuku, futhi kusekhona izinkinga eziningi ngokuvimbela kanye nokwelashwa kwazo. Ukuvama kwesibindi se-peptic ulcer kusezingeni lesibili phakathi kwazo zonke izifo ze-digestive system. Futhi, nakuba kubantu bazo zonke ubudala izimpawu ezinjalo zingaba izici, isilonda se-duodenal sivame ukutholakala ngeziguli ezineminyaka engama-35 kuya ku-50. Ngokwezibalo, ikakhulukazi amadoda ayagula.

Isilonda esiswini sisifo sesimiso sokugaya umzimba, esinenkinga engapheli ephumela ekuphuleni komthetho wokuvikela, ukufelwa kwefa, ukuphazamiseka kwendawo ngaphakathi kwe-trophism ye-mucosa yamathumbu, nokuncipha emisebenzini yokuzivikela yomzimba. Ngenxa yalezi zinqubo, i-defect (i-ulcer) yenziwa embukheni wamathumbu. Indima ebalulekile ekwakheni izilonda idlalwa ukwehluleka komthethonqubo wezinzwa nokuhlambalaza, okuqinisekisa ukuhlinzekwa kwegazi okuvamile embranini yesikhumba.

Izimbangela zesifo
Izinto ezifaka isandla ekuthuthukiseni izilonda zifaka phakathi: ukucindezeleka ngokweqile ngokomzwelo, izimo ezicindezelayo ezivamile, izifo ezithinta izifo zangaphakathi, izifo ezingelapheki, utshwala, ukungalungi kokudla okunempilo, ukwehluleka kwe-hormonal. Ukuhlukunyezwa kwe-pituitary gland, ukungalingani ekukhiqizeni ama-hormone ngokocansi nokugaya (i-gastrin, i-cholecystokinin, i-secretin) iholela ekukhuleni okubukhali ezingeni le-asidi.

Ukubonakala kwezilonda kwenzeka ngenxa yokuphulwa kokuhlala njalo nokulinganisela kwezinto "ezivikelayo" kanye "nezidlova". Izici zokuzivikela ziyi-mucus emathunjini, ukujikeleza kwegazi okujwayelekile kanye nezinqubo zokuxuba emanzini emathunjini emathunjini, isenzo sokuzivikela se-hormone yokugaya. Izici ezinobungozi: i- hydrochloric acid, ukwanda kwe-acid factor, ukulimala kwe-mucosal, kwehla umqondo we-intestinal. Ukuhlukumeza ibhalansi ngokuqondene nalezi zinsuku kubangela izimpawu zesici. I-Duodenal ulcer, ngaphezu kwalokho, ivame ukucaciswa ngezakhi zofuzo. Isici esiyingxenye yefa sitholakala kuma-50-60% weziguli.

Izimpawu: isilonda se-duodenal
Abaningi bajwayele imitholampilo yesifo kanye nezimpawu zayo. I-Duodenal ulcer ibonakala njengebuhlungu ku-epigastrium, eyenzeka esiswini esingenalutho. Ngemuva kokudla, ubuhlungu buvame ukungena emthonjeni we-hydrochloric acid. Izinzwa zobuhlungu ziphinda ziqaliswe ngemuva kwesikhathi esithile ngemuva kokudla, futhi ebusuku. Isiguli singase sikhathazeke ubunzima besisu, isicashu. Ukuqokwa kuyisici salesi sifo.

Ukuxilongwa kwesifo
Ukuxilongwa kubalulekile izimpawu. I-ulcer ye -duodenum ibonakala, njengombuso, ngezikhalazo ezingenhla. Ukubuza okulungile nokuhlolwa kwesiguli nakho kubalulekile. Ukunqunywa kwesibindi engxenyeni engenhla yesisu, mhlawumbe ukungezwani kwemisipha yomzimba. Indlela yokwazisa kakhulu yokuhlola i-gastroduodenoscopy, evumela ukuthi ingaboni nje kuphela isilonda nendawo yayo, kodwa futhi ukwenza i-biopsy ehlosiwe yodonga lwamanzi kanye nemiphetho yesici se-ulcerative. I-biopsy yenziwa ngenhloso yokuxilongwa ngokuhlukile kwezinye izifo (umdlavuza, isifo sofuba nesilonda, amyloidosis, njll). Ngenhloso yokwethula ukuphuma kwegazi, ukuhlolwa kobuciko kwenziwa.

Inkambo yesifo
Isilonda esilonda i-duodenum sibonakala inkambo ende, ngezinye izikhathi zokwehlisa ukuthula (ukubuyiswa) kanye nokukhuphuka. Ukukhushulwa kwesilonda esisodwa se-duodenal kwenzeka ngokuvamile ekwindla nasentwasahlobo, lapho kuvezwa izici ezimbi.

Ukwelashwa kunqunywe udokotela kuphela. Ngesikhathi siphuthumayo, ukwelapha kwenziwa endaweni yokumisa. Amalungiselelo okugcoba amabismuth, izidakamizwa ezivimbela ukukhiqizwa kwe-hydrochloric acid, i-blockers yepopton pump, antibiotics, ukuze kuqedwe i-Helicobacter pylori.

Ukuvimbela izilonda ze-duodenal kunciphisa ukunamathela ekudleni okulungile, ukukhipha imikhuba emibi, ukwelashwa kokuvimbela entwasahlobo nasekwindla.