Kutupa 12 mmatumbo chilonda: Zoyambitsa ndi Chithandizo

Pakati pa m'mimba ndipo matumbo ndi wapakatikati magawano, zomwe mwina pafupipafupi poyera kuti matenda. Chifukwa cha kudwala matenda ichi monga duodenitis. Matenda ali osowa monga kudwala palokha, ambiri a iwo amatenga malo ndi maziko a kapamba, cholecystitis, matenda a m'matumbo, gastritis ndi matenda ena.

tanthauzo

Malaise anayamba wawonapo uliwonse anthu khumi ndi kutukusira kwa mucosa wa duodenum 12. Ilibe zofunikila pa zaka, koma kawirikawiri kwambiri ana. Ngakhale gastroenterologists ananena kuti duodenitis ambiri amavutika ndi amuna.

matenda zolondola zitha kukhala katswiri oyenerera, pambuyo amapangidwa angapo a zasayansi ndi zofufuza malangizo. Chithandizo kumatengera njira ya matenda, koma mmalo zapatsidwa kwa njira ndiwofatsa, monga kugwilizana ndi yosalekerera zakudya ndi phwando kukonzekera mankhwala. Opaleshoni alowererepo chofunika chokha mu Zikavuta kwambiri.

zifukwa

Nthawi zambiri kutupa kwa duodenum 12 amapezeka ndi matenda a concomitant. Nthawi zambiri amapezeka mu maziko a matenda ena matumbo, monga:

- dyspepsia - m'mimba kusapeza atatha kudya chakudya;
- cholecystitis - kutupa ndulu ya;
- pachimake chiwindi B HIV matenda chapansipansi;
- chironda chachikulu - chotupa Kakhungu za m'mimba ang'ono ndi m'mimba;
- Zollinger-Ellison syndrome - gastrinomas;
- m'mimba - aakulu matenda;
- gastritis - kutupa nembanemba mucous.

Ndithu nkhawa, amene amayamba ndi matenda aakulu kapena opaleshoni kumathandiza kuti maonekedwe a duodenitis. mankhwala Non-steroidal zambiri zoyambitsa kutupa 12 mmatumbo chilonda.

mitundu

M'kagulu matenda monga muyezo zingapo:

1. Njira ya matenda:

• pachimake - kumachitika mosayembekezeka ndi waufupi nthawi, mu nkhani iyi zizindikiro zonse ndidzadutsa zikuchepa kwambiri;
• aakulu - kuphwanya amalimbikira kwa nthawi yaitali, kawirikawiri sakhala kusonyeza ululu syndromes zina okha anamva zosasangalatsa, zomverera wovuta.

2. digiri chiwonongeko:

• Erosive - pamaziko a m'matumbo kuoneka kukokoloka ndi mabala;
• pamwamba - kutupa yekha alipo.

3. Place ya maphunziro:

• bulbar - lili pakati pa babu mmatumbo;
• Postbulbarnye - zikukhazikitsa mwakuya.

zizindikiro

munthu yekha anatha oterewa zimene duodenitis, muyenera tcheru ndi zizindikiro zina:

• kupweteka ndi ululu yaitali m'madera chapamwamba m'mimba, zimachitika nthawi zambiri pa chopanda kanthu m'mimba;
• distension m'mimba ndipo matumbo;
• regurgitation chakudya, kawirikawiri yomweyo pambuyo chakudya;
• kunyansidwa ndi kusanza ya ndulu;
• kusafuna kudya;
• kutentha.

Ngati pali kutupa kwa duodenum 12 aakulu kwambiri zizindikiro anayamba kuonekera patatha mavuto pa pachimake ndi zolakwa zakudya.

diagnostics

Pamene dokotala n'kukulemberani mbali khalidwe:

• X-ray ya m'mimba ndipo matumbo;
• fecal;
• wathunthu magazi;
• amuzolengedwa mayesero.

Ndi kuphatikiza njira zimenezi akhoza kudziwa udindo wa m'mimba, chiwindi, kapamba, kudziwa wothandizila opatsirana, ndi yotupa Poyankha, ndipo onani mwayi kayendedwe ka dongosolo m'mimba.

maphunziro zoimbidwa

The njira yodalirika ya matenda ndi duodenitis endoscopy. Ngati pali chabe kutupa kwa duodenum 12, anasonyeza kudzachitika omangidwa edematous mucosa. Choncho n'zotheka asankhe hyperemia lakuthwa mu mawonekedwe a yamawangamawanga payekha. m'madera enawa pang'ono pa anthu onse padziko.

Pamene asonyeza duodenitis mucous amalandira diffusely-Edematous view. m'madera mabanga a hyperemia kutali zambiri likugwirizana m'munda mpaka masentimita 2 awiri. M'madera omwe imapezekanso melkotochechnye kukha magazi. The mucosa amakhala woonda-khungu, angathe kuonedwa mu lumen wa wotumbululuka chikasu opalescent madzimadzi ndi yambiri ntchofu.

Ngati pali kutchulidwa kutupa kwa duodenum 12, chithunzi endoscopic ngakhale m'tsogolo. Chonchi matenda amalembedwa chodabwitsa semolina. Ultrasound kumapweteketsa m'dera opanikizika tcheru kachipangizo m'dera antral kumathandiza kusiyanitsa syndromes zosasangalatsa zimayambitsa matendawo.

mankhwala

Poyamba, wodwalayo amafuna kuti zakudya kwambiri. Kodi kuchotsa kutupa 12 mmatumbo chilonda? mankhwala ikuchitika zochokera chimachititsa matendawa.

1. Chifukwa cha analgesics ochititsa dzanzi ntchito ndi njira enveloping.
2. Ngati pali matenda Pakufunika njira ya mankhwala opha tizilombo.
3. Kuti achepetse acidity wa chapamimba madzi zofunika mankhwala apadera.
4. Kuti agonjetse akusowa enzyme, muyenera mphamvu zambiri uphungu.
5. Kuwonetsetsa kuti sizinatchulidwe mankhwala zobwezeretsa, MANKHWALA OLETSA VUTOLI, ndi mavitamini.

Nthawi zina mankhwala amafuna kugwiritsa ntchito immunomodulators ndi mankhwala. zotsatira kwambiri kuti njira physiotherapy, ndicho maginito mankhwala electrophoresis ndi mchere sera, ngati iwo ali bwino kutsukidwa kutupa 12 mmatumbo chilonda. Zizindikiro ndi mankhwala a matenda angakhale osiyana, kotero wodwala amalangiza magawo ena:

• n'kupuma;
• polyclinic;
• sanatarno-achisangalalo.

Ndiye tikhoza kudziwa pikhafuna ntchito mpata uliwonse kulimbana ndi matendawa.

pregnancy

Nthawi imeneyi, mankhwalawa duodenitis ayenera kusiyanitsidwa, Integrated ndi payekha ndi mfundo zina: mankhwala ikuchitika yekha pa nthawi ya aggravation ndi kusowa mphamvu pa kugwilizana ndi zakudya, zakudya ndi Mankhwalawa ayenera kumwedwa.

Ngati anaulula kutupa kwa m'mimba ndi duodenum 12, mu njira ya mankhwala ntchito mankhwala nonabsorbable. Kusankha mankhwala ayenera kukusalani anthu amene kapangidwe ndi sodium wochuluka (kupewa chitukuko cha alkalosis kagayidwe kachakudya, ndi posungira madzimadzi ngati kamwana ndi amake), ndi kuika patsogolo mankhwala ndi mkulu neutralizing mphamvu ndi zabwino moyenera zikuchokera mankhwala ofewetsa tuvi tolimba ndiponso kukonza wothandizira. Zikuphatikizapo "Maalox", amene anatumizidwa ku gawo 1 ufa mawola ochepa atatha kudya (nthawi 3-5 pa tsiku). More ntchito "Fosfalyugel", "Almagell" "kaolin wa", ndipo hydroxide zotayidwa.

Nthawi zambiri ntchito binders ndi mankhwala overlying (zoyenera masamba magwero - decoction wa St. John wa liziwawa, chamomile ndi maluwa yarrow).

Choyamba zigawo zonse asankha njira zotsatirazi:

• odana ndi yotupa (thundu, plantain);
• spasmolytics (liquorice, fennel, timbewu tonunkhira, chamomile);
• antiseptic (hypericum, calendula);
• Mankhwalawa (mbewu yamasamba, zhoster, buckthorn).

Kwa wothandizila odana ndi secretory mwina zina sanali kusankha M-anticholinergics. "Atropine" amachepetsa kamvekedwe ka minofu yosalala kholingo, kumabwezera mmbuyo ntchito secretory m'mimba, koma pa nthawi yomweyo kumathandiza kuti Kuwulura khomo pachibelekeropo, kusiya pali kuthekera kwa padera mu trimester, komanso imayendetsa ndi tachycardia yoopsa. Choncho, ngati mkazi ali ndi kutupa aakulu wa duodenum 12, ndi bwino kugwiritsa ntchito "Metacin" kapena "Platifillin" kukhudza si choncho mwamakani pa mwana wosabadwayo ndi mayi. Komanso, mankhwala ndi zotsatira ulesi pa chiberekero, zikhoza kugwiritsidwa ntchito kwa akazi anapezeka ndi padera kuopsezedwa. Pankhani ya duodenitis sekondale atadwala amabweretsera mankhwala matenda.

mankhwala wowerengeka

Ngakhale mfundo yakuti panopa madokotala ambiri kudziwa mmene tiyenera kuchitira kutupa kwa duodenum njira 12 miyambo, odwala Khulupirira zatsimikiziridwa kwa zaka mankhwala maofesi. izi zosavuta kukonza mankhwala zambiri ntchito:

1. anathira otentha madzi 1 ora. L. linseed, Potero onse analoledwa kuima Mphindi 20. The chakumwa wosanganiza ntchito sips kakang'ono pa chopanda kanthu m'mimba. Iye amatenga mankhwala kwa mwezi umodzi mosalekeza.
2. Mu wofanana mbali mix chamomile, ndimu mankhwala, licorice ndi marshmallow muzu, buckthorn makungwa, lavender, chikwama m'busa. Komanso 1 h. L. osakaniza okonzeka madzi otentha ndipo anatumizidwa ku madzi osamba. Kupsyinjika ndi kumwa kwa mphindi 30 asanayambe kudya.
Mapaundi 3. 0.5 makilogalamu buckthorn nyanja ndi kuwonjezera malita 0.5 mafuta mpendadzuwa. Mapangidwe awa kundipatsa mlungu bwato chatsekedwa, yekha. Komanso, misa ndi malo ndipo analandira ngati pali kutupa mababu 12 mmatumbo chilonda mu 1 tbsp. L. tsiku lililonse kwa mwezi wathunthu.
4. therere Hypericum zakonzedwa amadzimadzi njira ndi munthawi ya exacerbation anatengedwa tsiku lililonse kwa sips ochepa.
5. madzi cholizira masamba ndi zimayambira wa plantain lalikulu, ndiye pali anawonjezera uchi pang'ono. The osakaniza chifukwa anali ankadya 1 ora. L. asanadye chakudya.
6. woyera ndi kutentha madzi ankawaviika nthambi mbewu yamasamba, ndiye iwo chagwiritsidwa monga mphindi compress mu kutupa m'dera m'mimba.

zosokonezeka

Anthu ambiri n'komwe kuti iwo ndi kutupa kwa duodenum 12. Zizindikiro za matenda Sizotheka matenda, pachifukwa ichi, duodenitis zambiri kuthamanga mochedwa ndi kuyamba kuchiritsa, motero n'zothandiza zikamera wa mavuto amenewa:

• kutupa kwa serous Kakhungu thupi;
• matumbo kutsekeka;
• magazi yaikulu;
• kudzakuwumitsani ndi kuchepetsa wa pylorus ya;
• purulent kutupa zimakhala ndi;
• insufficiency mahomoni mmatumbo.

Koma ngakhale Mwina mkulu matendawo, kuti madokotala ananena zawo za duodenitis yabwino. Ngati muli ndi kamtima matenda langoyamba, n'zotheka kukwaniritsa kuchira bwino.

kupewa Specific ngati kulibe. Ife basi ayenera kumamatira moyo wathanzi, komanso nthawi pofuna kuchiza matenda pa mundawo m'mimba, ndi kutsatira malangizo chakudya. Kangapo chaka kubwera kwa njira cheke akuluakulu kuti gastroenterologist a.

Zakudya panthawi kutupa 12 mmatumbo chilonda

Odwala matenda duodenitis, muyenera kutsatira kudya bwino kuti idzalimbikitsa machiritso. Choyamba m'pofunika kusiya roughage, amene ukuwawa ndi zowonongeka mucosa. Ntchito analimbikitsa yophika, kukulumbutsuk, stewed ndi steamed mbale.

Muyenera kusiya kudya mchere, zokometsera, wowawasa ndipo yokazinga, ndi zosavomerezeka marinades ndi kusuta. Zimafunika m'malo atsopano mikate wophikidwa ndi crackers. Kwathunthu contraindicated chokoleti otentha, mowa, zakumwa zoziziritsa kukhosi ndiponso khofi.

The zakudya ayenera kukhala ndi ulamuliro enveloping ndi wofatsa mankhwala, akhoza anaphika puddings, phala, puree, odzola, meatballs, meatballs, masamba ndi zakudya zachimanga soups. kwambiri kugwiritsa ntchito otsika-mafuta mkaka. M'pofunikanso kusunga lamulo la kugawikana ndi zakudya zonse. Madzi zakudya si otsiriza: tsiku lina muyenera kumwa malita osachepera 1.5 madzimadzi.

kupewa

Matenda 12 mmatumbo chilonda salinso kutanganidwa mavuto ndi exacerbations, muyenera kuchita malangizo awa:

• kuchotsa makhalidwe oipa (fodya, mankhwala, mowa);
• mosamalitsa kusunga zofooka mu zakudya matenda;
• streamlined ndandanda ya ntchito ndi mpumulo;
• kuthetsa nkhawa akatundu;
• nthawi kuchitira co-morbidities;
• nawo maphunziro mankhwala otetezera.