12 mmatumbo chilonda: kapangidwe, ntchito, matenda ndi mankhwala zotheka. Chironda chachikulu matenda 12 mmatumbo chilonda: zizindikiro

Thupi la munthu wadwala matenda osiyanasiyana. Matenda zingakhudze chiwalo chilichonse mkati. Yotero kuti 12 duodenum. Wotchuka wa matenda a dongosolo m'mimba - chironda chachikulu. Chifukwa anthu ambiri, amagwirizana ndi mimba, koma kwenikweni sikuti olumikizidwa ndi iye. The ndondomeko pathological zambiri kutengela duodenum. Kodi matenda? matenda zina ziti zimene zimakhudza duodenum? Pamaso kufufuza mayankho a mafunso amenewa, m'pofunika kuganizira dongosolo la dipatimenti anati kwa dongosolo m'mimba.

Kapangidwe ka duodenum ndi

The anthu m'mimba dongosolo n'kovuta kupeza. Chimodzi mwa zigawo zake - 12 duodenum. Amaona chigawo koyamba za m'mimba yaing'ono. Duodenum limachokera ku pyloric ndi mmatumbo-jejunal malekezero unakhota, amene amapita ku lotsatira za m'mimba yaing'ono (mu jejunum a).

Mu duodenum ndi secrete ochepa zinthu constituent:

• gawo chapamwamba ndi kutalika 5 masentimita 6;
• ukutsika gawo apanga 7-12 masentimita m'litali;
• ndi yopingasa gawo kuti ndi zofanana kutalika kwa 6.8 masentimita;
• akukwera gawo, wolingana ndi kutalika kwa 4-5 cm.

ntchito duodenum

ntchito zingapo zofunika zimagwiridwa 12 mmatumbo chilonda:

1. Iwo imayamba chimbudzi. Akubwera kuchokera chakudya m'mimba ali pano kuti pH zamchere, alibe limakhumudwitsa zigawo zina za intestine ndi.
2. Duodenum nthawi yopanga ya ndulu ndi pancreatic michere, malingana mipweya ndi acidity m'mimba wapeza chakudya.
3. Koyamba yaing'ono intestine amachita wina ntchito kuthawa. Kwa izo chyme, analowa kuchokera m'mimba akupita mu zigawo zina za intestine ndi.

Matenda ena amene akhoza kugwirizana ndi 12 mmatumbo chilonda

Amodzi mwa matenda zimene zimachitika mu duodenum ndi - duodenitis izo. Mawu amenewa amaimira kusintha yotupa ndi osachiritsika a mucosa lapansi. Iwo chichokera mavuto pa thupi la zinthu: chakudya poizoni, poizoni kuchititsa poyizoni ndi ingestion dongosolo m'mimba, pachimake chakudya, mowa, matupi yachilendo. Pamene duodenitis anamva ululu epigastric, nseru, kusanza, kufooka, kuchuluka kutentha thupi.

Disease 12 mmatumbo chilonda mulinso aakulu kutsekeka mmatumbo. Ichi ndi ndondomeko yomwe imatsogolera ku kusokoneza ndimeyi ndi duodenum ndi, T. E. wosweka ndi evacuator ntchito galimoto mu gawo ili la dongosolo m'mimba. Matendawa amapezeka pa zifukwa zosiyanasiyana (mwachitsanzo, pamaso pa zotupa ndi anomalies ena kobadwa nako.). Zizindikiro zimadalira zimayambitsa aakulu kutsekeka mmatumbo, siteji ya matenda ndi yaitali bwanji zapitazo anakantha 12 mmatumbo chilonda. Zizindikiro za anthu odwala chikondwerero kunyumba, monga ululu komanso kulemera mu epigastrium ndi, kutentha, imfa kudya, kudzimbidwa, gurgling ndi kuika mu matumbo.

Chithandizo cha duodenitis aakulu ndi kutsekeka mmatumbo

Chithandizo cha matenda ayenera zotchulidwa dokotala. 12 ndi duodenitis duodenum anapezanso ntchito zake kungafune achite zinthu zotsatirazi:

• Hunger masiku 1 kapena 2;
• muzituluka lavage;
• cholinga chapadera zakudya (№ 1, 1a, 1b);
• Kusankhidwa binders, enveloping, mankhwala ochotsa asidi, antispasmodic, anticholinergic, ganglioblokiruyuschih, mavitamini;
• zina chofunika alowererepo opaleshoni ndi mankhwala opha tizilombo.

Mu aakulu mmatumbo kutsekeka chithandizo 12 mmatumbo chilonda amafuna munthu njira. Ngati nthendayo chikwiyire kutsekeka makina, kuchititsa opaleshoni. Nthawi zina, akhoza kutumikiridwa prokinetic. Mankhwalawa ndi zotsatira popatsana pa minofu ya thirakiti m'mimba, kumaonjezera contractile ntchito, kamvekedwe ka mimba ndi duodenum, kupanga zambiri mofulumira achoke ya nkhani muzituluka.

Kodi zikutanthauzanji ndi chilonda m'mimba?

Poganizira matenda a duodenum ndi, mwapadera ziperekedwe kwa matenda chironda chachikulu. Mawu amenewa amanena za matenda aakulu omwe amapezeka mu mawonekedwe aakulu ndi alternating nthawi chikhululukiro ndi exacerbation. The etiology matenda si bwino kuphunzira. Poyamba ankaona kuti chironda chachikulu matenda ochititsa zinthu monga pepsin ndi hydrochloric acid, amapangidwa mu dongosolo m'mimba. Komabe, kafukufuku wasonyeza kuti yofunika ankaimba ndi Helicobacter pylori mabakiteriya.

Kafukufuku amasonyeza kuti zochitika za mmatumbo chilonda ndi pa 6 ndi 15%. Sitingathe kunena kuti nthumwi ya kugonana odwala zochepa zambiri kapena zambiri. Amuna ndi akazi Amachitanso timadwala izi.

Features zilonda mmatumbo

Zilonda kuonongeka duodenum. Iwo angayerekezedwe ndi erosions. Komabe, izi mitundu iwiri ya zotupa asemphana kwambiri. Kukokoloka amakhudza yekha nembanemba mucous kuti mizere duodenum. Chilonda likulowerera submucosal ndi minofu zigawo.

Kafukufuku amasonyeza kuti nthawi zambiri, zilonda ali pamwamba. Iwo zili pafupi pylorus lapansi. The awiri kuwonongeka ndi osiyana. Chilondacho ambiri, amene chizindikiro ichi ndi zosakwana 1 cm. Nthawi zina, kuwululidwa zilonda zazikulu. Madokotala amachita ake adakomana zotupa mmatumbo kuti akafike awiri a 3-6 cm.

Mawonetseredwe matenda a chironda chachikulu

Mu anthu ena matendawo amaona, pamene ena zizindikiro Muzisamala kuwonetseredwa chilonda 12 mmatumbo chilonda. Zizindikiro zambiri mumaziona ali motere:

• ululu kobwereza isanafalikire pamimba chapamwamba;
• matenda m'mimba;
• kuwonongeka wodwalayo anthu kudya ndi kuchepetsa kulemera;
• dikira chimbudzi;
• magazi kuti kumachitika chifukwa dzimbiri madzi chapamimba la mpanda wa magazi chotengera;
• kupweteka kwa msana (zomwe uka chifukwa zilonda kumera mu kapamba);
• ululu m'mimba (iwo anati mu chilonda perforation, chitukuko peritonitis).

Zizindikiro izi kaŵirikaŵiri anakumana ndi ululu. Ndi chikhalidwe chake, ndi osiyana - ndi pachimake, moto, kupweteka, chosadalirika, wosasamala. Ululu zambiri zimachitika pa chopanda kanthu m'mimba (m'mawa pambuyo kudzuka). Iwo akhoza kuoneka pambuyo chakudya za 1.5-3 maola. Kusapeza cropped Mankhwalawa ayenera kumwedwa, chakudya ndi ngakhale galasi la mkaka kapena madzi ofunda. chakuti zakudya ndi zakumwa pamene ingested pang'ono zopanda ndi kukhudzana hydrochloric acid. Komabe, patapita kanthawi ululu akuyamba kachiwiri.

Matenda ndondomeko chironda chachikulu

The matenda a "chilonda 12 mmatumbo chilonda," kosatheka kuika chimodzi chokha zizindikiro ndi kuyendera masomphenya a munthu odwala, ngati tatchulazi zizindikiro ndi khalidwe la osiyanasiyana matenda. Pakuti zizindikiro izi zikhoza kutha osati mmatumbo chilonda, koma cholelithiasis, khansa chapamimba, kapamba, chosaopsa zotupa, ndi zina zotero D..

Zabwino ndi odalirika njira matenda a matenda chironda chachikulu - ndi fibrogastroduodenoscopy. Mu phunziro limeneli, kudzera mu m'mimba kuyendera nembanemba mucous a dongosolo m'mimba anayambitsa chida chapadera ndi gwero kuwala ndi kamera. fano aumbike pa polojekiti ndi. Madokotala ngoziyo m'mimba ndi duodenum 12. Disease anapezeka ndi kuzindikira kusintha pathological. Ngati ndi kotheka, katswiri amatenga chitsanzo cha mucosa kuphunzira kukhalapo kwa tizilombo, n'zothandiza maonekedwe a chironda chachikulu.

mankhwala a mmatumbo chilonda

Chironda chachikulu angathe kuchizidwa ndi mankhwala kapena opaleshoni. Mu njira woyamba, odwala anthu madokotala mankhwala mankhwala n'chongoletsa acid amathiridwa. Iwo akutchedwa Mankhwalawa ayenera kumwedwa. Komanso zothandiza mankhwala matenda amene kubisa yopanga acid amathiridwa mu thupi la munthu. Mwachitsanzo, awerenge "Omeprazole".

Ngati pa matenda a Helicobacter mabakiteriya pylori ali wapezeka, ndiye n'zotheka perekani mankhwala patatu. "Omeprazole" kapena "Ranitidine" amapatsidwa molumikizana ndi mankhwala ( "amoxycillin" ndi "clarithromycin").

Opaleshoni alowererepo pa chironda chachikulu

Pamene mochedwa anapezeka ndi "chilonda 12 mmatumbo chilonda," chithandizo opaleshoni Kwalamulidwa. Iwo ikuchitika pansi zizindikiro zenizeni:

• pamene perforating zilonda kapena magazi ochuluka;
• exacerbations pafupipafupi matenda zinkachitika ngakhale mankhwala;
• kuchepetsa wa linanena bungwe la mmimba, zomwe zayamba chifukwa chilonda mapindikidwe wa duodenum ndi;
• kutupa aakulu, amene sakhoza ikuchitika ndi mankhwala kuchipatala.

Akamanena za chithandizo opaleshoni ndi kuchotsa mbali ya mmimba. Pamene ntchito ndi excised gawo la limba mkati, amene ali ndi udindo kwa katulutsidwe wa gastrin mu thupi. mankhwala kumapangitsa yopanga acid amathiridwa.

Pomaliza, ndi Dziwani kuti likhoza zizindikiro Muzisamala khalidwe la matenda mmatumbo chilonda, ayenera kupempha thandizo ku chipatala katswiri. Self-mankhwala ndi matenda zosayenera chifukwa cha mankhwala zosayenera mankhwala, sanamwe kapena mankhwala zosafunika wowerengeka zingachititse mavuto aakulu kwa thupi lanu, kusokoneza thanzi lanu.