Zizindikiro: chilonda cha duodenal

Kufala kwa matenda a chigawo cha m'mimba ndi kotsika kwambiri masiku ano, ndipo pali mavuto ambiri ndi kupewa ndi kuchiza kwawo. Nthaŵi zambiri zochitika za zilonda zam'mimba zimakhala zachiwiri pakati pa matenda onse a m'mimba. Ndipo, ngakhale kwa anthu a mibadwo yonse zizindikiro zoterezo zikhoza kukhala zizindikiro, chilonda cha duodenal chimapezeka kawirikawiri kwa odwala ali ndi zaka 35 mpaka 50. Malingana ndi chiwerengero, makamaka amuna akudwala.

Chilonda cha zilonda ndi matenda a chimbudzi, chomwe chimakhalapo chifukwa cha kuphwanya malamulo, kusokoneza cholowa, kusokonezeka kwapakati pa utumbo wa m'mimba mucosa, komanso kuchepetsa ntchito zoteteza thupi. Chifukwa cha izi, chilema chimapanga pamimba m'mimba. Chofunika kwambiri pakupanga ulonda chimasewera ndi kulephera kwa malamulo amanjenje ndi amatsenga, omwe amathandiza kuti magazi azikhala ochepa kwambiri mu membrane.

Zifukwa za matendawa
Zomwe zimapangitsa kuti ziphuphu zikule bwino zikuphatikizapo: Kutaya mtima kwa nthawi yaitali, nthawi zambiri zosautsa, matenda opatsirana a ziwalo zamkati, matenda opatsirana, zakumwa zoledzeretsa, mowa, zosavomerezeka pa zakudya, kuperewera kwa mahomoni. Kuphulika kwa mankhwala opatsirana, kusayenerera popanga mahomoni ogonana ndi kugonana (gastrin, cholecystokinin, secretin) kumabweretsa kuwonjezeka kwakukulu kwa msinkhu wa acidity.

Kuwoneka kwa zilonda kumachitika chifukwa cha kuphwanya kosalekeza ndi kuyerekezera kwa "zotetezera" ndi "zinthu zachiwawa". Zinthu zotetezera ndizo: m'mimba m'mimba, kugawidwa kwa magazi ndi kayendedwe ka magazi m'mimba m'mimba, kuteteza mahomoni operewera m'mimba. Zowopsya: hydrochloric acid, kuchuluka kwa asidi chifukwa, mucosal kuvulala, kunachepa m'mimba motility. Kuwononga chiwerengero chotsatira chiwombankhanga kumakwiyitsa zizindikiro za makhalidwe. Duodenal chilonda, kuphatikizapo, kawirikawiri zimatsimikiziridwa ndi majini. Cholowa chimapezeka pakati pa 50-60% odwala.

Zizindikiro: chilonda cha duodenal
Ambiri amadziwa zachipatalachi komanso zizindikiro zake. Duodenal zilonda zimapweteketsa kwambiri pa epigastrium, zomwe zimachitika m'mimba yopanda kanthu. Pambuyo kudya, ululu umadutsa chifukwa chosowa chakudya pa hydrochloric acid. Kumva ululu kumayambiranso patapita nthawi patatha kudya, komanso usiku. Wodwala angadandaule ndi kulemera kwa mimba, mseru. Kutenga ndi chizindikiro cha matendawa.

Kuzindikira matendawa
Matendawa ndi ofunika kwambiri. Ulonda wa duodenum ukuwonetseredwa, monga lamulo, ndi zodandaula zapamwambazi. Kufunsa koyenera ndi kufufuza kwa wodwalayo n'kofunikanso. Kuda nkhawa kwambiri kumtunda wachitatu wa mimba, mwinamwake kupweteka kwa mimba m'mimba. Njira yophunzirira kwambiri ndiyo gastroduodenoscopy, yomwe imalola kuti sizitha kuzindikira kuti chilonda ndi malo ake, koma kuti iwonetsetse chidziwitso cha matope a m'matumbo ndi m'mphepete mwa chifuwa cha ulcerative. Chiwopsezochi chikuchitidwa pofuna cholinga cha matenda osiyanasiyana (khansa, chifuwa chachikulu cha TB, amyloidosis, etc.). Kuti cholinga chake chiwulule kutuluka kwa magazi, kuyesedwa kwapadera kumachitika.

Chifukwa cha matendawa
Matenda a zilonda zam'mimba a duodenum amadziwika ndi nthawi yaitali, ndipo nthawi zina zimakhala bwino (kukhululukidwa) komanso zovuta. Kuwonjezera kwa chilonda cha duodenal kumachitika nthawi zambiri kugwa ndi kasupe, pamene pali zovuta.

Chithandizo chimaperekedwa kokha ndi dokotala. Powonjezereka, mankhwalawa amachitika pa malo osungira. Amapanga zokonzekera za bismuth, mankhwala omwe amalepheretsa kupanga hydrochloric acid, mavitamini a proton pump, antibiotics, pofuna kuthetsa Helicobacter pylori.

Kupewa zilonda za duodenal kumachepetsa kumamatira ku zakudya zoyenera, kupeŵa zizoloŵezi zoipa, chithandizo choteteza m'chaka ndi m'dzinja.