Umhlaza duodenum: eyokuqala iimpawu, uxilongo, unyango, abantu abane

Umxholo nqaku a umhlaza duodenum kunye iimpawu zokuqala zesi sifo. Ngezantsi, esi sihloko kuya kuxoxwa ngazo ngokweenkcukacha. Siza kufunda impawu, uxilongo, unyango kunye baxakwa ukuba ndikunike iingcali. Into ekufuneka uyazi lo mhlaza, funda inqaku.

Yintoni?

Umhlaza Duodenal - sisifo okwenzeka amadoda nabafazi kunye rhoqo alinganayo. Ichaphazela ikakhulu abantu abangaphezu kweminyaka engama-55. Abantu abatsha ithambekele ezimbi 12 emathunjini uwe, kodwa ke ezi meko zinqabile.

izizathu

Kuba isiqalo kubalulekile ukukhumbula ukuba uhlobo ezibangela umhlaza koogqirha nangoku ingaziwa. Oku kuthetha ukuba amagqirha ukwakha okucingelwayo ethile, kunjalo, ngelithi ukuba kukho into ethile ebangela Oncology, akunakwenzeka. I-primary, okt izizathu eziphambili engaziwa nkqu kwinzululwazi, kodwa kusenokwenzeka ukubacacisela oonobangela zasesekondari umhlaza, oko kukuthi ukuthetha ubungozi. Banokuzinikela ukuvela somhlaza duodenum-12.

ubungozi

Kukholelwa ukuba umhlaza kunokwenzeka ngenxa yezizathu eziliqela. Umhlaza 12 duodenum inokuba negalelo yezi zizathu zilandelayo:

• kakubi icuba likhoboka lotywala;
• pancreatitis, iswekile, okanye amatye kwinkqubo enzala;
• ukusetyenziswa rhoqo kakhulu yokutya zezilwanyana;
• Genet.

Eminye imiba nawo imeko eziphilayo kokusingqongileyo, kunye nefuthe sesichengeni imichiza ukuze carcinogens. Inkangeleko yamathumba kwaye negalelo ekusetyenzisweni amafutha ezilwanyana, ngenxa yale kwenqanaba cholecystokinin, nto leyo inokukhokelela hyperplasia kwesigubungelo eliphezulu lokugaya.

Kutsha nje, abaphengululi baye bafumanisa ukuba ezinye iinxalenye ikofu, kakhulu, ukuba nesandla somhlaza. Ngoko ke, izinto kunokwenzeka kufuneka zongezwe ngokusetyenziswa ngokugqithisileyo kulo othululwayo.

Pathogenesis

Development of Oncology ukwahlula nomhlaza ngenxa papilla duodenal, kwakunye nomhlaza we bile duct. Ithumba ichaphazela kwamathumbu ayikho ngokupheleleyo, kodwa iziza ezimbalwa kuphela. Amaninzi kuba sisahlulo tye eliphezulu nolusezantsi, kunye nesebe top-phantsi. Ikhondo kwezonyango sifo kuxhomekeke kakhulu lizwe lethu somhlaza.

kwasendaweni

Umhlaza ukwehla yingxenye 12 isilonda iwile eqhelekileyo kakhulu, malunga nama-75% amatyala. Ukuphuhlisa ukusuka epithelium le isifo iyonke. Ukuseka indawo ngqo ebesoloko nzima, ingakumbi ukuba phando kwi zigaba kamva. Umhlaza duodenum, iimpawu zokuqala ongayi kwaoko andibhekisanga tsibela emehlweni, kuyingozi, ngokuba unyango kunzima ngokwayo, kodwa linqanaba lokugqibela elingunozala wale ithuba elincinane umntu.

Inxalenye engasentla enqamlezileyo yethumbu umhlaza kwasendaweni kuphela ngo-12-15% yamatyala. Yamathumba kwinxenye esezantsi tye nayo ngokuba nomhlaza infrapapilyarnym. esasidla yalo ukuya kwi-10%.

iimpawu

Siwubona umhlaza duodenum? Iimpawu zokuqala ziyafana kakhulu kwabo bantu amava Oncology esiswini. Ukuze ukubona umhlaza ekuhambeni kwexesha, oncologists bazisa amaqela amathathu yeempawu kunokwenzeka.

Iqela lokuqala kuxhomekeke kwizinto ezenzeka kunxilwe. Luphawulwa iintlungu esiswini, ukungabi namdla, silale kunye umzimba. Kuyaqapheleka nabantu kwihlabathi elibangqongileyo.

Iqela lesibini iphathelene mba kwimiqobo kuye. bonke Iqala xa nethumba iqala ukutyhalela phambili namanye amalungu. Ngeli xesha, iqala lwegazi biliary, kwandisa kubungakanani ophezu kwesibindi, endleni iba nto enemibala. Senyongo kungenzeka. Oogqirha uqaphele nezitenxo ukungaphumeleli sentliziyo inkqubo, izintso kunye nesibindi kwenzeka baphazamise iinkqubo metabolic.

Le mba we ucinezelo lwenzeka kwi zigaba kade sifo xa umntu lusiva intlungu evela oomatshini ithumba kwi-luvo zepancreas.

Umngeni igunya ngokwemiqathango kumagqirha nguye duodenum. Apho kwaye kubuhlungu ngayo, musa ukuba bonke abantu. Kuyinto kwesisu ngezantsi nje isisu kwicala lasekunene, ngaphezu inkaba. ubuhlungu Umhlaza kuba ezahlukeneyo, kakhulu ixhomekeke ibakala sifo yaye duodenal kwasendaweni isifo isilonda. Phi kwaye kubuhlungu ngayo, ungacela kugqirha wakho ukuba kukho urhano malunga Oncology.

Ukumisela sifo ngokwabo ayikho lula. Iimpawu womhlaza duodenal kusekwangoko ayikwazi ukubonwa, ekubeni isifo nazimpawu. Kodwa emva komzuzwana abantu baqala ukuba ukhathazeke malunga impilo yakhe ngenxa yokungcungcutheka kwakhe aqala intlungu rhoqo esiswini. wenza njani umhlaza duodenum ngokuhamba kwexesha? Iimpawu eziphambili zibandakanya kakhulu esiswini, ngesiquphe ukwehla kobunzima, nenyongo, ifiva, ukurhawuzelela kunye nelahleko namdla.

Umhlaza kwi zigaba ezithile

sigaba Cancer isilonda duodenal ngu 4. Unyango ezintathu zokuqala nako ukunceda isigulane, kodwa kwinqanaba lokugqibela akusoloko ukunceda, ngenxa yokuba asiyiyo yonke into ixhomekeke unyango. Noko ke, iimeko ezinjalo.

Akubuzwa malunga iimpawu umhlaza kwi zigaba kamva kuba ngeli xesha yena kungabangela iingxaki kwamanye amalungu. Xa sifo eqhelekileyo ubonisa iimpawu ukunxila. Okunye okukhoyo kubonakaliswa;

• ubushushu;
• kome ngenwebu yangaphakathi;
• ukungathandi ukutya ukutya;
• ukugabha, urhudo, ukuqhina, isicaphucaphu;
• yellowing kwesikhumba;
• ubuthathaka jikelele umzimba;
• iingxaki zengqondo.

Nokuba ubani abasoloko iimpawu yaye akafuni ukubona ugqirha, qho mandatory kufuneka sinikele ingqalelo le miqondiso sifo:

• ukugabha emva kokutya, emva koko nangoku kubonakala ukuba isisu sigcwele;
• igazi kule isitulo;
• senyongo.

Kufuneka kuqatshelwe ukuba iimpawu zomhlaza duodenal ebantwini ziyafana kakhulu kwabasetyhini.

ekuxilongweni

Ukunyanga esi sifo, kubalulekile ukuba ukuqala unyango kwangethuba, kwaye oku kuyimfuneko ukubona umhlaza. Ukuza kuthi ga ngoku, uphethwe yi elebhu kunye neendlela zomculo. Uhlalutyo abamakishi ithumba lomhlaza esiswini kunye duodenum kuya kunceda ukuchonga iiseli umhlaza ekuhambeni kwexesha. Kubalulekile ukuphawula ukuba abamakishi thumba - izinto ezithi zibe negalelo kuphuhliso iiseli zomhlaza. Uxilongo iqulathe izigaba ezithathu:

1. Ukuqalisa uhlalutyo ezimbi kunye imbali yezonyango. Ugqirha ehlola isigulane uchitha Ngokucofa esiswini. Thathela ingqalelo izikhalazo lwezonyango ebantwini ezifana ukugabha, iintlungu esiswini, ukungabi namdla.
2. Yesibini ibakala, isifundo kwilebhu isigulane, kuqulethe yegazi jikelele, umchamo kunye isitulo uhlalutyo, uhlalutyo igazi kwemichiza kwethumba isiphawuli.
3. Isigaba sesithathu mviwo instrumental.

Inyathelo lokugqibela yeyona ibalulekileyo lokufunyaniswa umhlaza duodenal. Iimpawu zokuqala inokuba iphutha okanye ubungqina zezinye izifo, kodwa isixhobo uphando likuvumela ukuba wenze ukuxilongwa. Doctor ibamba esophagogastroduodenoscopy apho wabancina kuvuleke iminxunya, isisu, ibile duct, yaye-12 Palaia emathunjini. Ngexesha uhlalutyo yethishyu esithathwe uhlalutyo ezinto eziphilayo.

Emva koko, lo gqirha ukhokela umguli esifubeni X-reyi kwaye umahluko ray 12 isilonda duodenal emathunjini. Kwakhona, ugqirha wakho angamisela ultrasound, livakale Imagnethi yomhlaba kunye Itomography ngekhompyutha. Ngelo xesha linye isigulane uhlolwa zonke iingcali.

unyango

umhlaza ngamnye ngonyaka ngakumbi kwaye ezixhaphakileyo ngakumbi duodenum. Bangaphi abantu abaphila nesi sifo, akunakwenzeka ukuphendula, kuba oko kuxhomekeke nje kuphela kwinqanaba apho ekuqaleni konyango, kodwa urhulumente jikelele impilo emzimbeni, ukukwazi kwayo ukumelana nezifo.

Ngokuqhelekileyo, unyango ikhutshwa phandle kwesikim zoqobo. Okokuqala, Ithumba yasuswa intsumpa. Oku kusenokufuna Ukususwa kwenxenye ye-duodenum 12. Surgery kuyacetyiswa ukuba abantu ukuya kwiminyaka 75, kodwa kuphela phantsi komqathango ukuba akukho Ukudlulela.

Emva kokususa le chemotherapy Ithumba oko kuyimfuneko ukuze baphucule iziphumo. Kunyanzelekile, njengoko uqinisekisa ukutshatyalaliswa iiseli ezingaqhelekanga nonyebeleziso zabo.

therapy Imitha amaninzi luqhutywa nisaqala zesi sifo, xa kunokwenzeka ukuba aphilise isigulane ngaphandle uqhaqho.

Ekupheleni okanye ekuqaleni unyango unyango kunokufunwa, olujoliswe ukubatshabalalisa iimpawu umguli. Ekuqaleni kuyimfuneko ukunceda umntu ukuba baphathwe, yaye isiphelo umlinganiselo lokugqibela.

utyando

Unyango kusenokuba intsumpa 3 lwalo. Ukususwa yinxalenye colon kuyimfuneko kuzo zonke zontathu iimeko. Imeko yokuqala olunzima kakhulu, kwenzeka xa nethumba kudlulela ye bile excretory kunye doudenalny ingono. Kulo mzekelo, ugqirha ususa kuphela inxalenye 12 emathunjini uwe, kodwa ke duct kunye nentloko pancreatic. Ukuba resection encinane ithumba kuqhutywa setyhula, nto leyo ethetha ukususa kuphela site omzimba achaphazelekayo recovery kunokwenzeka. A ukhetho yesithathu nayo ngokuba setyhula resection, kodwa wabhenela xa emathunjini elidityaniswe ekupheleni ukuya ekupheleni, oko kukuthi, kuyenzeka.

Outlook

Ukuze liqikelele ikamva gqirha yomguli unakho kulo mzekelo, ukuba uyazi, waqalisa unyango nini. zibalulekile ezi zinto zilandelayo: nobudala mntu, ubukho Ukudlulela kunye neenkqubo ukudumba kwi amalungu phecana zesisu. Le meko sibi, ukuba metastases zifumaneka esiswini, inkqubo emithanjeni kunye imibhobho biliary. iingxaki ezinokwenzeka kunokukhokelela kubangelwa kwenkqubo genitourinary. Maxa wambi kukho stenosis of 12-of colon uwe, ukopha rhoqo. Kuthiwa kwinkangeleko yonke kwizigulane elingamncediyo, kodwa ithemba. Ingxaki kukuba ukubona umhlaza isaqala, xa unyango phantse nakanjani ukunceda, kuba nzima kakhulu.

Ukuze uzikhusele wena kwesi sifo eyoyikekayo umhlaza kunye nawaphi na amanye amaqumrhu, kufuneka anike imikhuba emibi kwaye kwakhona ekudleni kwakho. Enoba kubonakala iingcebiso ezilula, kodwa bona benze umsebenzi. ukutya okufanelekileyo kunye nokutshaya kumiwe kunye utywala ukukhusela ngokuchasene ezininzi izifo, yaye kuphela uhlobo oncological.

Siyazi ukuba umhlaza duodenum, ngokunjalo zonke kambe nonyango. Ngelishwa, akukho namnye unako ayiqinisekisi bazikhusele ngumhlaza. Sele sathetha ngayo ukubaluleka yokuphila esempilweni, kodwa akukho ebalulekileyo ngaphantsi ke ingqalelo wena kunye nemiqondiso umzimba wakho. Maxa wambi kuba bhetele kwakhona yiya kugqirha kwaye baye kuzihlola.