Ukuvuvukala 12 duodenal isilonda: Izimbangela Nezingozi Ukwelashwa

Phakathi esiswini namathumbu babe division Lesisemkhatsini, okungase njalo obala ngegciwane. Ngenxa yalokho asathuthuka lesi sifo njengoba duodenitis. Lesisifo ezingavamile njengenhlangano zokugula ezimele, iningi kuthatha indawo ngokumelene isizinda pancreatitis, cholecystitis, nesifo, kolwelwesi nezinye izifo.

definition

Umkhuhlane oke wabona bonke abantu abayishumi kanye yisishiso le mucosa we duodenum 12. It has no imikhawulo yobudala, kodwa ngempela ezingavamile izingane. Nakuba gastroenterologists kuqashelwe ukuthi duodenitis okungenzeka kakhulu ukuba ahlupheke kukhona abesilisa.

okuyikona kungenziwa kuphela kube uchwepheshe ofanelekayo, ngemva kokuba kuveza eziningi laboratory kanye nophenyo wezinsimbi. Ukwelashwa incike Yiqiniso lesi sifo, kodwa kubonelelwa kakhulu izindlela olandelanayo, okuhlanganisa ukuhambisana engashiyi ukudla kanye yokwamukela amalungiselelo wezokwelapha. kokungenela Steel liyadingeka kuphela ezimweni ezinzima ngendlela exakile.

izizathu

Ngokuvamile, ukuvuvukala duodenum 12 kwenzeka njengoba isifo concomitant. Kujwayele ivela zasemuva zezinye izinhlelo iziyaluyalu emathunjini, ezifana:

- dyspepsia - isisu ukungakhululeki emva kokudla ukudla;
- cholecystitis - ukuvuvukala gallbladder;
- acute ukusha kwesibindi kohlobo B virus ukutheleleka ngemuva;
- peptic isilonda - lesion ulwelwesi emathunjini amancane kanye esiswini;
- Zollinger-Ellison syndrome - gastrinomas;
- sohudo - okungamahlalakhona nokuphazamiseka kwempilo;
- kolwelwesi - ukuvuvukala ulwelwesi lwamafinyila.

kakhulukazi, okuyinto ibangelwa igciwane sina noma ukuhlinzwa, nakho kunomthelela ukubukeka duodenitis. izidakamizwa Non-steroidal kungaba ngokuvamile avuse ukuvuvukala isilonda duodenal 12.

izinhlobo

Faka kusigaba isifo ngokuvumelana nezimfuno eziningi:

1. Yebo lesi sifo:

• acute - kwenzeka kungalindelekile futhi isikhathi esifushane, kuleli cala zonke izimpawu kuzodlula ngokucijile kakhulu;
• ezingamahlalakhona - ukuhlukumeza iqhubeka isikhathi eside, ngokuvamile alibonisi ubuhlungu syndromes kwesinye isikhathi sokuzenza wazizwa ezingemnandi, emizweni ungakhululekile.

2. Izinga sokubhujiswa:

• Erosive - ngesisekelo esiswini avele ukuguguleka komhlabathi kanye amanxeba;
• indawo - ukuvuvukala kuphela ikhona.

3. Indawo imfundo:

• bulbar - etholakala eduze maphakathi isibani duodenal;
• Postbulbarnye - luhlala ukujula.

izimpawu

Leyo ndoda kuphela owakwazi ukuxilonga lokho duodenitis, kumelwe unake izimpawu ezithile:

• ngiyaqaqanjelwa nobuhlungu isikhathi eside ezingxenyeni engenhla esiswini, lapho zivame kakhulu esiswini esingenalutho;
• distension besisu futhi wamathumbu;
• regurgitation ukudla, ngokuvamile ngokushesha ngemva kokudla;
• isicanucanu futhi ngezinye izikhathi ukuhlanza Bile;
• yokuntuleka esesuthi;
• isilungulela.

Uma kukhona ukuvuvukala ezingamahlalakhona we duodenum 12, iningi izimpawu ziqala ukuvela ngemva nezimo ezicindezelayo phakathi acute namaphutha ekudleni.

ukuhlola

Lapho udokotela ekunika izici isici:

• X-ray isisu namathumbu;
• fecal;
• ephelele kakhulu segazi;
• ukuhlolwa kwamakhemikhali.

Nge inhlanganisela yezindlela enjalo kungaba ukuqinisekisa isimo esiswini, isibindi, amanyikwe, ukukhomba ejenti ezithathelwanayo, impendulo ukuvuvukala, bese uhlole ukunyakaza amathuba wokugaya ukudla.

izifundo wezinsimbi

Indlela onokwethenjelwa kunayo yonke uphethwe duodenitis Endoscopy. Uma kukhona ukuvuvukala olukha phezulu le duodenum 12, isibonisi kuzokwenzeka mucosa Ukuboshelwa edematous. Ngakho, kungenzeka ukukhomba hyperemia abukhali ngendlela nezimagqabhagqabha ngabanye. Lezi zindawo avele kancane ngenhla lonke ebusweni.

Lapho uzwakalise duodenitis lwamafinyila uthola umbono diffusely-Edematous. izindawo Spotted ka hyperemia kaningi sihlanganyela nabo emkhakheni up 2 cm ububanzi. Ezindaweni ezinjalo Zikhona melkotochechnye ukopha. I mucosa iba mncane elinsundu, kungatholakala e mafutha anciphisa isikhala esingaphakathi we ugodo ephuzi opalescent uketshezi esiningi isikhwehlela.

Uma kukhona ukuvuvukala evelele we duodenum 12, isithombe endoscopic kuyinto ngisho licace. Ngo isifo imakwe mkhuba semolina ezinjalo. Ultrasound kungabangela ubuhlungu zendawo ngaphansi kwengcindezi inzwa ebucayi esifundeni antral esisiza ukuhlukanisa syndromes ezingemnandi okubangelwa isifo.

Ukwelapha

Ekuqaleni, isiguli sidinga ukuthi ukudla okuqinile. Indlela ukususa ukuvuvukala 12 isilonda duodenal? imithi Kwenziwa okusekelwe imbangela ecashile lesi sifo.

1. Ngenjongo izinzwa esetshenziswa analgesics futhi izindlela esigubuzele.
2. Uma kukhona isifo azodinga Yiqiniso yokwelapha ngemithi elwa namagciwane.
3. Ukuze banciphise asidi of juice esiswini nemithi edingekayo ezikhethekile.
4. Ukuze anqobe ukuntula enzyme, badinga isikhathi esithe xaxa amandla ukulungiswa.
5. Qiniseka ukuba lelipelwe izidakamizwa okubuyisela, antispasmodics, namavithamini.

Ngezinye izikhathi ukwelashwa kudinga ukusetshenziswa immunomodulators futhi sedatives. umphumela Excellent ukuba amasu Physiotherapy, okungukuthi, ukwelashwa kazibuthe, electrophoresis nokumbiwa wax, njengoba bahlanza kahle ukuvuvukala 12 isilonda duodenal. Izimpawu kanye nokwelashwa yalesi sifo zingase zihluke, ngakho isiguli batusa izigaba ezithile:

• umile;
• polyclinic;
• sanatarno-resort.

Khona-ke singasinda bazi kahle ukuthi yini ukusebenzisa wonke amathuba ukuze kuliwe nesifo.

sokukhulelwa

Phakathi nale nkathi, ukwelapha duodenitis kufanele ingafani, edidiyelwe kanye abathile futhi isekelwe ezimisweni ezithile: ukwelashwa wenziwa ngesikhathi okubi kakhulu kanye nokuntuleka nomthelela ukuhambisana Ukudla, ekudleni kanye antacids kuphela.

Uma wembula ukuvuvukala esiswini futhi duodenum 12, ngokuhamba yokwelapha esetshenziswa izidakamizwa nonabsorbable. Lapho ukhetha izidakamizwa kufanele ukubeka eceleni labo lapho isakhiwo sodium (ukugwema ukuthuthukiswa alkalosis umzimba, kanye nokugcinwa uketshezi njengoba nje umbungu futhi unina), futhi epha kambaphambili kuze izidakamizwa kokuba okusezingeni eliphezulu zokuyithena amandla futhi ezinhle olinganiselayo Ukwakheka laxative nokulungisa ejenti. Lezi zihlanganisa "Maalox", okuyinto wabelwe 1 ingxenye powder ngemva njalo ngemva kwamahora ambalwa ukudla (izikhathi 3-5 ngosuku). Okuningi wasebenzisa "Fosfalyugel", "Almagell" "kaolin", kanye ne-aluminium hydroxide.

Isikhathi esining impela isicelo binders nezidakamizwa overlying (imvelaphi yemifino Kunconywa - decoction of wort iSt John sika, chamomile futhi Yarrow izimbali).

Okokuqala izingxenye akhethiwe izenzo kulezi ezilandelayo:

• anti-inflammatory (oki, ukhova);
• spasmolytics (iliquorice, fennel, Mint, chamomile);
• isinqandakuvunda (hypericum, calendula);
• laxatives (rhubarb, zhoster, ijikijolo lingase).

Ukuze ejenti anti-secretory zingafaka non-abakhethayo M-anticholinergics. "Atropine" kunciphisa ithoni imisipha abushelelezi emphinjeni, kuvimbela umsebenzi secretory isisu, kodwa ngesikhathi esifanayo kunomthelela ukudalulwa wesibeletho, kusale kukhona kungenzeka kwesisu e senyanga yokuqala, kanye oyenza isebenze tachycardia fetus. Ngakho-ke, uma owesifazane abakulelo ukuvuvukala ezingamahlalakhona we duodenum 12, kungcono ukusebenzisa "Metacin" noma "Platifillin" nethonya hhayi ngakho nolaka embungwini kanye nonina. Ngaphezu kwalokho, le mithi nethonya okuphumuzayo ku kwesibeletho, ingasetshenziswa i-abesifazane ukuthi nginesifo kwesisu usongelwa. Endabeni duodenitis yesibili weluleka ngu eyisisekelo ukwelashwa isifo.

amakhambi abantu

Naphezu kweqiniso lokuthi okwamanje odokotela abaningi bazi indlela yokuphatha ukuvuvukala duodenum izindlela zesintu 12, iziguli Trust efakazelwe amakhulu eminyaka izakhiwo ngezindleko zemithi engamakhambi. lezi kulula ukulungiselela izidakamizwa ngokuvamile ezisetshenziswa:

1. wathululwa amanzi abilayo 1 ihora. L. linseed whereupon zonke avunyelwe ukuma imizuzu 20. Isiphuzo okuxubile isetshenziswa sips ezincane esiswini esingenalutho. Uthatha imithi ngenyanga ngaphandle kokuphazamiseka.
2. letilinganako ukuxubana chamomile, lemon namafutha, licorice kanye lwebhece impande, ijikijolo lingase amagxolo, lavender, esikhwameni sikamalusi. Ngaphezu kwalokho 1 h. L. ingxube lelungiselelwe abilisiwe amanzi ethunyelwe a okugeza amanzi. Uhlobo aphuze zonke imizuzu engu-30 ngaphambi kokudla.
Pound 3. 0.5 kg ulwandle lalesi sihlahla bese wengeza 0.5 amalitha kawoyela sunflower. Lokhu Ukwakheka ligcwele ngesonto emkhunjini evaliwe, yedwa. Ngaphezu kwalokho, abantu abaningi kuyo ingumhlabathi futhi samukelwa uma kukhona ukuvuvukala ama 12 isilonda duodenal e 1 tbsp. l. nsuku zonke ngenyanga.
4. imbiza Hypericum ibhalwe isixazululo aqueous futhi zikhathi exacerbation athathwe nsuku sips ambalwa.
5. I juice isibambo kusuka amaqabunga neziqu ukhova esikhulu, bese kuba khona izinhlayiya sengezwe uju oluncane. Ingxube wafakwa kudliwe ihora elingu-1. L. ngaphambi kokudla.
6. ehlanzekile efudumele amanzi ofakwe Amahlumela rhubarb ke kusetshenziswe njengendlela zikhathi cindezela e ukuvuvukala endaweni esiswini.

yezinkinga

Abantu abaningi ngisho nokuwabona ukuthi banayo ukuvuvukala duodenum 12. Izimpawu zalesi sifo ngaso sonke isikhathi ukuthi ukuxilonga, ngenxa yalesi sizathu, duodenitis ngokuvamile ukusebenzisa ngasekupheleni futhi uqale okuphulukisa, ngaleyo ndlela ingqondo ukuvela izinkinga ezifana:

• ukuvuvukala serous ulwelwesi umzimba;
• wamathumbu isimiso;
• ukopha ebanzi;
• canker futhi ukuvaleka we pylorus;
• ubovu ukuvuvukala kwezicubu;
• esingamahlalakhona hormone duodenal.

Kodwa nakuba isikhona awokuthi yezinkinga, onalesi sifo ka duodenitis evumayo. Uma ukuthola yokugula ngo zisaqala, kungenzeka ukuba sifinyelele alulame ngokugcwele.

zokuvimbela Specific njengoba enjalo ayikho. Tsine lesifanele kukwenta nje unamathele ngendlela enempilo, kanye isikhathi aphathe iziyaluyalu pheshana emathunjini, futhi ukuze uhambisane izincomo ukudla. Izikhathi eziningi ngonyaka ukuza zokuvimbela bayohlolwa a gastroenterologist.

Ukudla ngesikhathi ukuvuvukala 12 isilonda duodenal

Iziguli duodenitis, kufanele ukuba ubambelele yokudla efanele ezokwenza abantu bakhuthaza ukuphulukiswa. Okokuqala kubalulekile ukuba ayiyeke le roughage, okuyinto libuhlungu futhi mucosa ezilimele kangaka. Ukusebenzisa Kunconywa abilisiwe, osugugile, izitsha iyisitshulu futhi steamed.

Udinga ukumisa ukudla okunosawoti, okubabayo, okumuncu ne ethosiwe, futhi marinades akwamukelekile ngabhema. Idinga esikhundleni fresh izinkwa nezitini nama-crackers. Ngokuphelele contraindicated chocolate hot, utshwala, iziphuzo ezibandayo futhi ikhofi.

Ukudla kufanele abe igunya esigubuzele futhi umkhiqizo mnene, kungashiwo wabhaka Uphudingi, iphalishi, puree, jelly, meatballs, meatballs, yemifino kanye wokudla isobho. ewusizo kakhulu ukusebenzisa ephansi fat imikhiqizo yobisi. Kuyadingeka ukuba bagcine kokubusa kwehlukana nokudla avamile. Ukudla Amanzi akuyona wokugcina: olulodwa kufanele uphuze okungenani 1.5 amalitha uketshezi.

zokuvimbela

Ukuze isifo 12 isilonda duodenal ayisekho yezinkinga okhathazekile futhi exacerbations, kumelwe enze izincomo ezilandelayo:

• ukuqeda imikhuba emibi (ukubhema, izidakamizwa, utshwala);
• ngokuqinile ukugcina ukulinganiselwa kokudla emitholampilo;
• Isheduli ovikelekile lomsebenzi futhi siphumule;
• ukuqeda ukucindezeleka imithwalo;
• isikhathi aphathe co-morbidities;
• khona izifundo ukwelashwa kokuvimbela.