Ayikho ukwelashwa kwezilonda ezenziwa ngaphandle kokuthola ukuhlolwa okuqondile, okungeke kwenzeke, ngaphandle kokwaziswa kwesiguli mayelana nemizwa yakhe nezibonakaliso ezibonakalayo zesifo.
Izimpawu zesilonda se-duodenal 12
Izimpawu ezivelele kakhulu zezilonda ze duodenal yizi:
- ubuhlungu engxenyeni engenhla kwesisu noma ngaphansi kombundu, enikeza ngesikhathi sokukhuphuka endaweni yengqimba yesobunxele;
- ukuqotshwa njalo;
- "Ubuhlungu" obunzima obwenzeka ngemva kokudla;
- isicasuli;
- ukuqhutshwa njalo.
Ngokuvamile ukubonakaliswa kwesilonda se-duodenum kuboniswa ukuhamba kwezimpawu zobuhlungu, okuqiniswa ekwindla nasezinkathi zentsuku zentwasahlobo. Kodwa kunezimo lapho isilonda se-peptic singenasifo. Isiguli siqala ukuzwa izibonakaliso zayo kuphela esiteji esibucayi. Lesi yisimo esiyingozi kunazo zonke zesifo, esongela ukuqhuma okungazelelwe kwe-membranes ye-duodenum.
Ulcer of duodenum - izimbangela
Izilonda ze-duodenum ziwumphumela wokusabalalisa kwegazi nokukhubazeka kwesisu. Izizathu zokwephulwa okunjalo yizi:
- izimo ezicindezelayo njalo;
- ukudla okungavamile;
- ukudla njalo kwezidakamizwa eziqukethe i-salicylic acid;
- ukuphuza utshwala;
- izifo zezingxenye zokugaya (conlelithiasis, cholecystitis, appendicitis engapheli);
- izifo ezithathelwanayo zesisu kanye ne duodenum (i-Helicobacter pylori bacterium).
Isilonda esinePerformated of duodenum
Ukuqhekeka kwamagobolondo e-duodenum angu-12 endaweni yesifo sesilonda kubonakala kaningi kunesimo sesilonda se-peptic. Phakathi kwezimpawu zokuqala zesilonda se-perforated se-duodenal ulcer, qaphela:
- ubuhlungu obunzima "obunzima" esifundeni se-hypochondrium engakwesobunxele, okwenzela i-collarbone nentamo;
- ukuhlanza okukodwa;
- ukuqina kwemisipha yesikhumba esiswini ("i-dorsco-like esiswini").
- ukujula okubandayo;
- i-cyanosis ye-membrane ebonakalayo emangcwabeni.
Esikhathini sesigaba sesibili senkinga yesifo, isikhathi sokucabanga kahle sitholakala. Ubuhlungu bukhulu kakhulu, noma buyanyamalala ngokuphelele. Ngesikhathi esifanayo, kunezibonakaliso zokungena kokuqukethwe esiswini nase-duodenum emgodini wesisu nangomoya ogcwala isikhala esiswini. Izisu zomzimba zisalokhu ziqinile, ukushaywa kwe-veapical vein akuthinti. Ngemuva kwamahora angu-8-10 kusukela ekuqaleni kokuhlaselwa, ubuhlungu bukhula futhi buya esiteji esikhulu kakhulu. Kukhona i-tachycardia, ukwanda komshini wokushisa komzimba kuya kuma-38.5 degrees, chills. Lezi zimpawu zibonisa i-peritonitis. Ukwelashwa kwesilonda se-perforated ye-duodenum kufanele kwenziwe kuphela emtholampilo ngosizo lokungenela okusheshayo.
Ukusebenza nge-duodenal ulcer 12
Ngaphezu kokuqeda izimbangela ze-peritonitis nge-ulcer perforated ye-intestine engu-12, ukuhlinzeka ngezigameko zesilonda se-peptic salesi sitho kuyinto engavamile kakhulu. Usizo lohlinzayo lungadingeka ezimweni ezilandelayo:
- i-ulcer yegazi 12 duodenum;
- i-polyposis enezilonda - ukubonakala kwama-polyps, ukwandisa ukwesulwa kwesisu;
- ukuwohloka kwesilonda esiswini esibi;
- hhayi ukunikezwa izidakamizwa zokwelapha isilonda.
Ngesilinganiso sokusebenza senza noma ukuhlaziywa kwendawo yesilonda, noma ukuthengiswa kwamathumbu ayisisekelo. Uhlobo lokugcina lwendlela yokuhlinzwa luyindlela ephumelela kakhulu yokwelashwa, okunikeza umphumela ozinzile, oqeda ukuphindwa kabusha kwezilonda.
Ukweqisa kwesilonda se-duodenal 12
Izimpawu zokukhushulwa kwalesi sifo zibuhlungu obukhulu kakhulu izinsuku ezingu-7-8. Ngokuvamile, ubuhlungu buba ngemva kwamahora amabili ngemuva kokudla noma ebusuku. Ukwelashwa kokucwiliswa kwezilonda ze-duodenum kwenziwa esibhedlela. Njengoba ezimweni eziningi ukuhlolwa nokuhlaziywa kwamanzi abizayo kubonisa ukuba khona kwe-bacterium ye-Helicobacter pylori, isiguli sibheka ukwelapha okulwa negciwane nemithi emibili ngesikhathi esisodwa. Futhi uncoma izidakamizwa ukunciphisa i-asidi yesisu futhi ukwakha ungqimba oluvikelayo ku-mucosa. Ngesikhathi ukwanda kwezilonda ze-duodenum, kunconywa ukudla okhethekile, okungabandakanyi amafutha, okubabayo, ukudla okunomsoco, utshwala.
Isilonda esingapheli se-duodenum
Indawo ekhethekile endleleni yokuphulukisa isilonda esingenasifo se-duodenum ingumsoco nendlela yokuphila. Kunezigaba eziningana zokwelashwa izilonda ezingapheli:
- Ukuhlolwa okuphela kwesikhathi, okuvumela ukulandela ukuthuthukiswa kwesifo.
- Ukwelashwa ngokwemithi, ukuqeda izimbangela zezilonda, ukuhlinzeka ngomphumela wokunciphisa ukwanda kwesisu esiswini.
- I-prophylaxis yonyaka yezilonda ze-duodenum,
kuhlanganise nokudla okuvamile nokungavumi, ukungabi nemithwalo yemvelo nengokomzwelo. - Ukudla okukhethekile okusekelwe ekudleni okuphindaphindiwe okuphindaphindiwe.
- Ukuvakashela ama-sanatoriums akhethekile ngezifundo ze-gastroenterological ukwelashwa kokuvimbela.
Kumele kuqashelwe ukuthi indlela efanele yokwelapha, ukuhambisana nazo zonke izincomo zezokwelapha, nokuphathwa ngokucophelela komzimba wakho kuzosiza ukunciphisa imiphumela yezilonda zesilonda se-duodenal, futhi ngaleyo ndlela unike ithuba lokubuyela ekuphileni okuvamile.