Yini ehlukanisa uphawu duodenal isilonda uphawu izilonda esiswini?

Ingabe kukhona isici uphawu izilonda, izilonda duodenal, ngesisekelo lapho udokotela ekutholweni kwale ulceration ethile wokugaya ukudla? It kuvela khona! Kuyinto ubuhlungu imbuthuma kwesobunxele ehlombe blade endaweni noma engxenyeni engenhla. Kungenzeka yini ukuba usola ngaphandle kolwazi ekhethekile wezokwelapha ukuthi ubuhlungu ongakaphathelani yomgogodla?

umsebenzi duodenum

Akhiwe duodenum pylorus esiswini kanye libhekisela ezithweni emathunjini amancane. Lokho-ke inike emathunjini juice enzayimu edingekayo ukuze kokudla esiswini. Ngenxa contractile yayo umthamo - motor amakhono - kukhona imikhiqizo exutshwe le juice, futhi okuqukethwe ushukumiseleka ukuba izigaba eduze emathunjini.

Ehlanganisiwe emathunjini igobolondo kathathu ukuthi siqukethe:

• ingxenye serous, futhi usibekela esiswini;
• kwemisipha ukuhlinzeka contractility;
• mucosa, enikezwe villi emathunjini.

villi ngasinye ekupheleni, kukhona izitho semithambo kanye lymph, zikwazi ukuthola izakhi, futhi indlala ngasesinqeni ehilelekile isimiso sokugaya ukudla bungene. Uma okungenani eyodwa bristle lilimele, iba isibani isilonda we duodenum, izimpawu zazo kungabonwa izinguquko ezingemnandi esimweni yabo. Musa sinake ubuhlungu abasafufusa engenakwenzeka. Nakuba kungebona bonke kungenziwa ngokuzimela elihlobene ne-pathology wokugaya ukudla.

Izinsolo yenqubo isilonda

Ngu izimpawu, okhombisa isilonda ku duodenum, yilezi:

• dyspepsia ;
• ubuhlungu ekuseni, ngokuvamile avela ngakwesokudla ngaphansi izimbambo;
• ubuhlungu ngokungabi bikho kokudla;
• nokubhamuka;
• ukubuyisa ngokweqile;
• ukuhlanza;
• uphawu oyinhloko isilonda duodenal, okuyinto ingekho lapho esiswini - ubuhlungu ngaphansi kwesokunxele isiphanga.

Futhi, khona izilonda emathunjini isiguli bangezwa kwesisindo.

Uma ukuvuvukala ama izenze wazizwa kuphela uphawu isilonda duodenal, onikeza ubuhlungu kuveziwe embikweni okhuthaza ehlombe langakwesokunxele, odokotela isikhathi eside angeke ukuxilonga inqubo esidalwa yizilonda emathunjini sibe. Isiguli elashelwa i-osteoarthritis, okwenza emathunjini mucosal ulceration ukusetshenziswa kwezidakamizwa ezingekho steroidal. Futhi kuphela lapho kukhona ezinye izenzo peptic isilonda isifo, umiswa ukuphathwa ngendlela ekhethekile.

Kodwa udokotela akufanele sisole ukungazi nobudedengu mancane kakhulu. Ngokuvamile, isiguli "benecala" ngokwalo. Yena ayihambelanisi ubuhlungu nge inqubo yokudla, nakuba ukubonakaliswa yabo kwenzeka ngezikhathi ezithile. ubuhlungu olunamandla ngokuvamile kwenzeka amahora ambalwa ngemva kokudla akusho abohle ngisho ne amaphilisi ezinhlungu.

Izimbangela isilonda kanye nokwelashwa kwayo

Ingabe ngaso sonke isikhathi ukunikeza uphethwe - isilonda duodenal - izimpawu. Photo noma radiograph fibrogastroscopy - kuphela asisekelo uphethwe. Okwamanje, indlela enezithombe kuyaqabukela esetshenziswa, kudinga ukulungiselela kusengaphambili nokuthandaza: bangaphambi kosuku lwesivivinyo udinga ukuthi uphuze ejenti Ngokuphambene, okwakusho ukuthi iziguli eziningi kuyinto allergen. FGS - endoscopic luhlolo duodenum ngokwethula inzwa emzimbeni wesiguli - ikunika ukuhlolwa ngempumelelo egobolondweni.

Izimbangela izilonda duodenal kucatshangwa hyperacidity, Ukudla disorder, ukucindezeleka, ohlangothini Umthelela wokusetshenziswa kwezidakamizwa kanye ukutheleleka nge-bacterium Helicobacter pylori. Ngakho-ke, ngaphambi enquma ukwelashwa kudingeka umphumela kwenye ukuhlaziywa - ngokuba khona H. pylori egazini. Ngenxa yalesi esinalo esisazokwenzeka igazi emthanjeni. Uma ukuhlaziywa yabonisa khona ama-bacterium, ngaphandle esigubuzele izidakamizwa, ama-ejenti okuyinto ukunciphisa ukuvuvukala kube sezingeni elifanayo nasekunciphiseni asidi of uketshezi antibiotic.

Okwamanje, uma Helicobacter is ayitholiwe, ukwelapha izilonda isicelo "Omez" izidakamizwa, "kusho uDe-nol", "Almagel" nokunye okunjalo. inhlanganisela yabo, umthamo kanye nobude reception kunqunywa udokotela ukuba khona. Iningi efanelekayo ukubhujiswa amabhaktheriya Helicobacter pylori ezibhekwa-antibiotic macrolide.

Uma kukhona okungenani eyodwa uphawu isilonda duodenal ke xhumana nodokotela wakho iyadingeka ngempela. isilonda kungelashwa, kungaba ukunikeza inkinga ebangela ukopha esiswini, bese ngaphandle kokuhlinzwa, phakathi kwesikhathi lapho uzobe excised uMnyango ethintekile, kuyoba engenakwenzeka ukwenza.