Ukudumba 12 duodenal kwethumba: Oonobangela and Treatment

Phakathi esiswini namathumbu babe kwicandelo eliphakathi, nto leyo rhoqo ukuba lungakhuseleki kwi-HIV. Ngenxa yokuphuhlisa esi sifo ngokuthi duodenitis. Esi sifo kunqabile njenge ngezifo ezimeleyo, uninzi kuthatha indawo ngokuchasene nentsukaphi pancreatitis, cholecystitis, ukudumba, gastritis kunye nezinye izifo.

definition

Umkhuhlane sele owakha wambona bonke abantu abalishumi kwaye kukukrala isifo le duodenum 12. It has miqobo ubudala, kodwa kakhulu ezinqabileyo ebantwaneni. Nangona gastroenterologists waphawula ukuba duodenitis kakhulu ukuba kudodobala into eyindoda.

Uxilongo Lungisa inokuba Technician abaqeqeshiweyo kuphela, emva kokuba lukhutshwe inani elebhu kunye nophando zomculo. Unyango kuxhomekeke khosi yesi sifo, kodwa kukhethwa iindlela 'endala, eziquka ukuthobela ngokusindisa idayethi ulwamkelo amalungiselelo zonyango. ungenelelo Surgical iyafuneka kuphela kwiimeko ezininzi kakhulu.

izizathu

Amaninzi, ukudumba duodenum 12 kwenzeka njengoko isifo ezihamba. Lidla livela imvelaphi nezinye izifo isisu, ezifana:

- ukuqunjelwa - isisu kabi emva abadla ukudla;
- cholecystitis - ukudumba senyongo;
- etsolo hepatitis B virus losuleleko kwisiqalo;
- Peptic isilonda - sisilonda esidumbileyoesingaphakathi inwebu ye emathunjini amancinci kunye nesisu;
- Zollinger-Ellison syndrome - gastrinomas;
- sorhudo - ezingapheliyo ukuphazamiseka;
- gastritis - ukudumba inwebu yangaphakathi.

kakhulukazi, nto leyo ibangelwa usuleleko kakhulu okanye uqhaqho, nayo inegalelo imbonakalo duodenitis. amachiza Non-steroidal basoloko nimqumbise ukudumba kwethumba duodenal 12.

iintlobo

Bazihlela isifo ngokwemimiselo ezininzi:

1. Le khosi ye sifo:

• etsolo - kwenzeka ngokungalindelekanga kwaye ixesha elifutshane, kulo mzekelo zonke iimpawu ziya kudlula kakhulu kunene;
• ezingapheliyo - ephula sithatha ixesha elide, kaninzi alubonisi syndromes iintlungu maxa wambi bazenze waziva mnandi, ukushukumisa engonwabanga.

2. Ubungakanani intshabalalo;

• Ilunga - ngokwesiseko ethunjini kuvela ukhukuliseko amanxeba;
• indawo - ukudumba kuphela ekhoyo.

3. Indawo wemfundo:

• bulbar - ibekwe kufuphi nombindi ebhalbhu duodenal;
• Postbulbarnye - elihlala ngokunzulu.

iimpawu

Loo ndoda kuphela uyakwazi ukubona oko duodenitis, kufuneka unikele ingqalelo iimpawu ezithile:

• zifutha neentlungu elide kwi amacala asentla esiswini, ezithi zivele kaninzi ungatyanga;
• distension esiswini namathumbu;
• regurgitation ukutya, ngokuqhelekileyo ngoko nangoko emva kwako;
• ube nesicefucefu yaye ngamanye amaxesha ukugabha enyongweni;
• ukungabi namdla;
• heartburn.

Ukuba kukho umtshiso okondeleyo duodenum-12, uninzi iimpawu kuqala ukuvela emva kwiimeko uxinzelelo ngexesha oyingozi neempazamo kwizidlo.

ekuxilongweni

Xa ugqirha imisela yeempawu:

• -X-reyi esiswini namathumbu;
• indle;
• epheleleyo wegazi;
• iimvavanyo nemvelo.

Ngenxa ukuhlanganiswa iindlela ezinjalo nokutshekisha ubume isisu, isibindi, injeke, ukuchonga arhente ezosulelayo, impendulo kwiintetho ezikralayo, uze ukhangele amathuba intshukumo kwinkqubo yokwetyisa.

izifundo instrumental

Indlela inokuthenjwa of uphethwe duodenitis endoscopy. Ukuba kukho umtshiso befunda le duodenum 12, isiboniso kuya kwenzeka isifo edyokhweni edematous. Ngaloo ndlela, kuyenzeka ukuba afumane hyperemia elibukhali ngokohlobo namabala ngamnye. Ezi ndawo zibonakala ngentla kancinci ezinye komhlaba.

Xa wavakalisa duodenitis yangaphakathi ifumana umbono diffusely-Edematous. iindawo ezingcitha of hyperemia kaninzi banamathele endle ukuya kwi-2 cm ubukhulu. Kwiindawo ezinjalo sikhona melkotochechnye legazi. Le isifo liba zibhityile ngebala, kungabonwa kule mithambo of a baluthuthu emthubi ulwelo opalescent kunye izixa ezikhulu yencindi yomlomo.

Ukuba kukho umtshiso ngokukhawuleza le duodenum 12, umfanekiso endoscopic ngisho eliqaqambileyo. Xa enjalo isifo ophawulwe simanga semolina. Ultrasound ezinokudala ubuhlungu wengingqi phantsi koxinzelelo isivamvo zibuthathaka kummandla antral enceda ukuba umahluko syndromes ezingathandekiyo kwabangela sifo.

therapy

Ekuqaleni, isigulana ifuna ukuba ukutya engqongqo. Indlela ukususa ukudumba 12 isilonda duodenal? unyango ngamachiza lwenziwa isekelwe phezu nobangela zesi sifo.

1. Ukulungiselela injongo zomzimba kusetyenziswa analgesics kunye neendlela inwenwa.
2. Ukuba kukho usulelo uya kufuna ikhondo unyango isibulala-zintsholongwane.
3. Ukunciphisa ubumuncu yejusi esiswini amayeza afunekayo ezikhethekileyo.
4. Ukuze soyisa ukuswela enzyme, kufuneka ukulungiswa amandla.
5. Qinisekisa ukuba mayicaciswe gca iziyobisi bembuyekezo, antispasmodics, kunye neevithamini.

Ngamanye amaxesha unyango ifuna ukusetyenziswa immunomodulators kunye nadlamkisayo. isiphumo Excellent ukuba ubuchule ukuyifundisa, oko kukuthi, unyango Imagnethi, electrophoresis nezimbiwa wax, njengoko zihlanjwe ukudumba 12 isilonda duodenal. Iimpawu kunye nonyango lwesi sifo zinokuba nomahluko, ukuze isigulane bancome zigaba ezithile:

• umile;
• polyclinic;
• sanatarno-iiholide.

Ngoko mayazi kakuhle ukuba ukusebenzisa naliphi na ithuba ukulwa esi sifo.

ukukhulelwa

Ngeli xesha, unyango duodenitis kufuneka ingafani, ehlanganisiweyo ngamnye kwaye zisekelwe kwimithetho-siseko ezithile: unyango ngamachiza lwenziwa kuphela ngexesha ukuqhubela kunye nokungabikho ukusebenza ngomhla ukuthotyelwa ukutya, ukutya kunye asidi.

Ukuba kutyhilwa ukudumba esiswini kunye duodenum 12, ngethuba unyango wasebenzisa iziyobisi nonabsorbable. Xa ukhetho amachiza kufuneka ngaphandle abo apho isakhiwo sodium (ukuthintela uphuhliso alkalosis metabolic, kwaye ukugcinwa ulwelo njengokuba imveku kunye nonina), yaye ukuba abeke kuqala iziyobisi ukuba umthamo lwaze eliphezulu kwaye okulungileyo elungeleleneyo Ukwakhiwa isisu kunye nokulungiswa arhente. Ezi ziquka "Maalox", oko kukuthi eyabelwe 1 inxalenye ngumgubo zonke iiyure ezimbalwa emva kokutya (amaxesha 3-5 ngosuku). More wasebenzisa "Fosfalyugel", "Almagell" "kaolin", aluminium hayidroksayidi.

Amaxesha amaninzi isicelo yokuhlanganisa kunye neziyobisi overlying (imvelaphi yemifuno kucetyiswa - decoction of St. kaYohane Wort, chamomile kunye neentyatyambo yarrow).

Okokuqala onke amacandelo ezikhethiweyo le manyathelo alandelayo:

• anti-ukudumba (oki, ngeplantain);
• spasmolytics (liquorice, fennel, zetyeleba chamomile);
• kubola (hypericum, calendula);
• laxatives (rhubarb, zhoster, sihlahla).

Ukuba le arhente anti-secretory inokuquka ezinye non-uyakhetha M-anticholinergics. "Atropine" kunciphisa nethoni yelo izihlunu agudileyo kuvuleke iminxunya, abangaphangeliyo umsebenzi secretory esiswini, kodwa kwangaxeshanye kunegalelo ukudizwa wesibeleko, eshiya kukho amathuba isisu kwithuba leenyanga ezintathu yokuqala, kwakunye iyazingenela tachycardia Palsy. Ngoko ke, ukuba umfazi kwisikhundla ukudumba okondeleyo duodenum 12, Kukhethwa ukuba usebenzise "Metacin" okanye "Platifillin" ukusebenza ungalwi njalo ekukhuleni kosana olungekazalwa kunye nonina. Ukongeza, la machiza kuba ukhululeke kwi isibeleko, inokusetyenziswa abafazi kwafunyaniswa kwesisu esengozini. Kwimeko duodenitis eziziisekondari acetyiswa nothomalaliso sifo ngxabano.

amayeza abantu

Nangona into yokuba ngoku oogqirha abaninzi bayakwazi ukunyanga njani ukudumba duodenum iindlela 12 zemveli, izigulane kusekho ithemba kubonakele kangangeenkulungwane nezakhiwo esintu. la lula ukulungisa amachiza asetyenziswa kakhulu ngokuqhelekileyo:

1. wawagalela amanzi abilayo ukuze iyure-1. L. linseed, emva koko yonke avunyelwe ukuba eme ngeenyawo imizuzu engama-20. Nomnikelo mixed lisetyenziswa SIP ezincinane ungatyanga. Ithatha amayeza inyanga ngaphandle kokuphazanyiswa.
2. Kwiindawo alinganayo umxube chamomile, lemon namafutha, licorice kunye marshmallow ingcambu, sihlahla amaxolo, lavender, isipaji umalusi yakhe. Eminye 1 h. L. umxube uzilungiselele abilayo amanzi kwaye zithunyelwe kuhlamba kwamanzi. Strain nisele yonke imizuzu engama-30 phambi kokuba isidlo.
Phawundi 3. 0.5 kg lesi kwaye udibanise iilitha 0.5 zeoli zikajongilanga. Le yokuqamba yandomeleza ngeveki ngesikhephe evaliweyo, yedwa. Ngaphezu koko, ubunzima emhlabeni kwaye yamkelwe xa kukho ukudumba kwezibane 12 isilonda duodenal 1 tbsp. l. yonke imihla inyanga.
4. imifuno Hypericum likulungele isisombululo zolwelo kunye amaxesha exacerbation ithathwe yonke imihla ngenxa SIPs ezimbalwa.
5. Incindi acudisiweyo ukusuka amagqabi lezikhinkci ngeplantain elikhulu, ngoko kukho idityaniswa yobusi. Lo mxube yahlaliswa kudliwe iyure-1. L. phambi kokuba utye ukutya.
6. Amanzi nkxu Amasetyana rhubarb ecocekileyo nobubele, ngoko ke isicelo njenge mathuba cutha kwi ukudumba kwindawo esuswini.

ukungaphili

ababona abantu abaninzi nokubona ukuba ukudumba duodenum 12. Iimpawu zesi sifo akusoloko kusenzeka ukuba ukuxilonga, ngenxa yesi sizathu, duodenitis iphelelwe emva kwexesha kwaye uqale ukuba uphilise, ngaloo ukumqumbisa ukuvela iingxaki ezinjalo:

• ukudumba umzimba ndizayo serous;
• wamathumbu kokuphazamiseka;
• ukopha omkhulu;
• ziinkumbi kunye licuthe le pylorus;
• ubovu ukudumba emzimbeni;
• insufficiency hormone duodenal.

Kodwa nangona amathuba eliphezulu iingxaki, i-ALS ye duodenitis intle. Ukuba lifumanisa yokugula isaqala, unako ukufikelela bachache ngokupheleleyo.

Uthintelo ezithile ezinjalo ayikho. Thina nje kufuneka ukuba unamathele yokuphila esempilweni, kwakunye nexesha ukunyanga ukuphazamiseka ze iphecana zesisu, kunye nokuthobela izindululo malunga nokutya. Amaxesha aliqela ngonyaka ukuza othintelo ngetshekhi-ups ukuya gastroenterologist.

Diet ngexesha ukudumba 12 isilonda duodenal

Izigulane abaphethwe duodenitis, kufuneka ubambelele ukuba yokudla eyiyo eziya kukhuthaza kuphiliswa. Okokuqala kuyimfuneko ukushiya isintlakantlakiso, nto leyo ibuhlungu kwaye isifo eyonakeleyo kangaka. Ukusebenzisa Kucetyiswa ebilisiweyo, lweso, yathamba kwaye iyabiliswa izitya.

Kufuneka uyeke ukutya ezinetyuwa, okuneziqholo, imuncu kunye eqhotsiweyo, naye marinades engamkelekanga kwaye ndatshaya. Kuyafuneka ukuba indawo izonka fresh womoji-crackers. Ngokupheleleyo contraindicated chocolate eshushu, iziselo ezinxilisayo, iziselo ezibandayo kunye nekofu.

Yokudla kufuneka abe igunya inwenwa kunye nemveliso nokuthantamisa, oko zosiwe puddings, isidudu, okubizwa, ijeli, meatballs, meatballs, imifuno kunye cereal isuphu. Iluncedo kakhulu ukuba ukusebenzisa ephantsi-fat neemveliso zobisi. Kuyimfuneko ukuba bagcine ulawulo lokwahlulwa yokutya rhoqo. Ukudla Amanzi na lokugqibela: ngenye imini kufuneka asele iilitha ubuncinane 1.5 kolwelo.

ukuvimbela

Ukuba isifo 12 isilonda duodenal akusekho iingxaki waphazamiseka exacerbations, kufuneka enze ezi zincomo zilandelayo:

• lahla imikhwa emibi (icuba, iziyobisi, utywala);
• elandela amazwi ngesondlo clinical;
• ishedyuli iimeko zomsebenzi kunye ukuphumla;
• kuphelisa imithwalo uxinzelelo;
• ixesha ukunyanga intsebenziswano-morbidities;
• ukuya kwizifundo unyango lothintelo.