12 duodenal urikanwi: mamiriro, basa, chirwere uye pazvinobvira kurapwa. Peptic urikanwi chirwere 12 duodenal urikanwi: Zviratidzo

The muviri womunhu ari vachibatwa nezvirwere zvakasiyana-siyana. Zvirwere kunogona chero zvemukati nenyere. Hapana kunze kune 12-duodenum. The kupfuura nomukurumbira pakati chirwere of zvomudumbu ezvinhu - a peptic urikanwi. Nokuti vanhu vazhinji, inobatanidzwa mudumbu, asi chaizvoizvo hazvina chete chokuita naye. The pathological kwacho kazhinji kwaisanganisirawo duodenum. Chii chinonzi chirwere ichi? Ndezvipi zvimwe zvirwere zvinogona kubata duodenum? Tisati kutsvaka mhinduro dzemibvunzo iyi, zvakakodzera kufunga nemamiriro akati dhipatimendi zvomudumbu hurongwa.

The nemamiriro duodenum

The zvomudumbu kwevanhu kwava nyore kuwana. Mumwe yenhengo dzayo - 12-duodenum. Zvinonzi vaiona chikamu kutanga pamusoro ura duku. Duodenum rinobva kubva pyloric uye duodenal-jejunal migumo Vanokotama, izvo anoenda chinotevera ura diki (ari jejunum).

Muna duodenum secrete vashoma constituent zvinhu:

• repamusoro mugove ane kureba 5 kusvika 6 cm;
• uchiburuka chikamu vanoumba 7-12 masendimita pakureba;
• mumwe chinjikira mugove kuti akaenzana pakureba kusvika 6.8 cm;
• akwira chikamu, akaenzana pakureba 4-5 cm.

duodenum basa

Rinokosha anoitwa anoteererwa 12 duodenal urikanwi:

1. Rinotanga pfungwa kugaya. Kubva padumbu zvokudya pano alkaline ph, asingadi kutsamwisa vamwe zvikamu ura.
2. Duodenum anoita kugadzirwa bile uye pancreatic makemikari, zvichienderana makemikari anoumba uye acidity mudumbu unowana zvokudya.
3. Initial duku ura anoita chimwe kubvisa chaitika. Pairi chyme, akapinda kubva mudumbu anoenda mune dzimwe zvikamu ura.

Vamwe zvirwere zvinogona nechokuita 12 duodenal urikanwi

Mumwe zvirwere kuti dzinoitika duodenum - duodenitis izvozvo. Izwi runotaurwa anogumbura uye chinopedza kuchinja kubva mucosa. Ivo muka kubva pakukuvadza kunoita pamuviri zvinhu: chikafu chepfu, zvine chepfu kukonzera chepfu kubudikidza ingestion zvomudumbu ezvinhu, rikwanise zvokudya, doro, mitumbi dzavatorwa. Kana duodenitis akanzwa epigastric kurwadziwa, kuda kurutsa, kurutsa, utera, vakawedzera tembiricha muviri.

Chirwere 12 duodenal urikanwi zvinosanganisirawo chirwere duodenal mhingaidzo. Ndicho muitiro inotungamirira nokuvhiringidzirwa ndima parutivi duodenum, t. E. Wakaputsika evacuator injini basa muchikamu ichi zvomudumbu hurongwa. The chirwere kunoitika akasiyana zvinokonzera zhinji (semuenzaniso, kuvapo namamota uye zvimwe vachiberekwa anomalies.). Zviratidzo kuvimba zvinokonzera chirwere duodenal mhingaidzo, padariro chirwere uye yakareba sei kare akauraya 12 duodenal urikanwi. Zviratidzo vanhu vanorwara vanopemberera pamba, zvakadai kusagadzikana uye Kutambudzika epigastrium, chirungurira, kudya kurasikirwa, kupatira, gurgling uye ropa ari muura.

Treatment echirwere duodenitis uye duodenal mhingaidzo

Mishonga yezvirwere vanofanira kupiwa nachiremba. To 12 duodenitis duodenum akatangazve mabasa ayo kungada zvinotevera zviito:

• Nzara 1 kana 2 mazuva;
• gastric lavage;
• chinangwa chinokosha kudya (№ 1, 1a, 1b);
• Kugadzwa binders, rakafukidza, antacid, antispasmodic, anticholinergic, ganglioblokiruyuschih, mavhitaminzi;
• mune zvimwe zviitiko zvaida kuvhiya kupindira uye asingaurayiwi kurapa.

In chisingaperi duodenal mhingaidzo kurapwa 12 duodenal urikanwi kunoda munhu kusvika. Kana chirwere atsamwiswa zvokuimba mhingaidzo, ipapo yaiitisa kuvhiya. Mune zvimwe zviitiko, vangave kupiwa prokinetic. zvinodhaka izvi muviri zvainoita tsandanyama ari nemudumbu, inowedzera contractile basa, mataurire mudumbu uye duodenum, kuti zvimwe kukurumidza kubvisa pamusoro gastric mukati.

Chii chinorehwa ne dumbu urikanwi?

Uchifunga zvirwere duodenum, vainyatsotarisirwa inofanira kubhadharwa kune peptic urikanwi chirwere. Iri izwi rinoreva chirwere chakakomba kuti anowanika mune chirwere fomu rakatumbuka nguva kanganwiro uye exacerbation. The etiology chirwere ichi haina zvakanaka kudzidza. Kare zvaionekwa kuti peptic urikanwi chirwere afunge zvinhu zvakadai pepsin uye hydrochloric acid, anobudiswa mune zvomudumbu ino. Zvisinei, ongororo dzakaratidza kuti anokosha basa reDare Helicobacter pylori utachiona.

Nhamba dzinoratidza kuti kuitika duodenal urikanwi kubva 6 kusvika 15%. Hatigoni kutaura kuti mumiriri weimwe bonde kurwara zvishoma kazhinji kana kakawanda. Varume nevakadzi zvakafanana kubatwa nechirwere ichi.

Zvinoumba duodenal maronda

Nemaronda wakaremara duodenum. Vanogona kuenzaniswa erosions. Zvisinei, marudzi awa maviri maronda kunokosha kusiyana. Kukurwa kwevhu inobata chete mucous Kamudzira kuti mitsetse yacho duodenum. Urikanwi kupinda munharaunda yacho submucosal uye tsandanyama akaturikidzana.

Ongororo dzinoratidza kuti kazhinji, nemaronda vari kumusoro. Vari chiri pedyo pylorus. The dhayamita dzakakonzerwa akasiyana. The inonyanya urikanwi, nokuti icho parameter ichi idukusa 1 cm. Mune zvimwe zviitiko, akaratidza maronda makuru. Vanachiremba yake tsika akasangana duodenal maronda kuti tinosvika dhayamita pamusoro 3-6 cm.

The zvekuchipatara kuratidzwa peptic urikanwi

Mune dzimwe vanhu pachirwere anoenda kucherechedzwa, apo dzimwe kufungira zviratidzo pachena urikanwi 12 duodenal urikanwi. Zviratidzo kuitika kazhinji ndeinotevera:

• idzokororo marwadzo vemunyika chokumusoro mudumbu;
• nomudumbu;
• kudzikira mune murwere kuti kudya uye uremu rutapudzo kwevanhu;
• Ugare zvituru;
• ropa kuti kunoitika nokuda ngura kuti gastric muto kwemasvingo ngarava ropa;
• marwadzo kumashure (izvo inomuka nokuda nemaronda pokumera kupinda rwatata);
• zvikuru abdominal marwadzo (vari kuchengetwa urikanwi perforation, peritonitis kukura).

Zvezviratidzo izvi inonyanyoshandiswa vasangana ndiyo marwadzo. By pezvawakaita, zvakasiyana - kusachengeteka kukuru, nokutsva, achirwadza, isingagari, mikukutu. Pain Kazhinji musiwa usina chawadya (mangwanani pashure uchimuka). Vanogonawo kuonekwa mushure zvokudya mumaawa anenge 1.5-3. Kusanzwa yakasvikawo antacids, zvokudya uye kunyange girazi mukaka kana mvura inodziya. Chokwadi chokuti zvokudya nokunwa kana anwa omei neutralized pamwe hydrochloric asidhi chokupfeka. Zvisinei, pashure penguva pfupi nguva marwadzo rinotanga zvakare.

Chirwere nzira nokuti peptic urikanwi

The chirwere kuti "urikanwi 12 duodenal urikanwi," hazviiti kuisa chete mumwe zviratidzo uye kutarisana vakaongorora munhu anorwara, sezvataurwa pamusoro apa zviratidzo yo-siyana zvirwere. For Zviratidzo izvi zvinogona kutsakatika kwete duodenal urikanwi chete, asi cholelithiasis, gastric kenza, pfungwa nomuviri zvemwana asati, benign namamota, uye zvichingodaro. D.

Dzakakodzera uye yakavimbika nzira nokuda nechirwere ose peptic urikanwi chirwere - munhu fibrogastroduodenoscopy. Muchidzidzo ichi, achishandisa muromo mudumbu kuti aongorore mucous membranes ari zvomudumbu ezvinhu akatanga rinokosha chishandiso nechiedza tsime uye kamera. The mufananidzo achiumbwa pasi Monitor. Doctors kuongorora dumbu uye duodenum 12. Chirwere chirwere ne vaicherechedza Kumwe kuchinja kunotanga. Kana zvakakodzera, nyanzvi anotora nzwisa chete mucosa chidzidzo kuvapo zvigare, Nokumukira zvakafanana peptic urikanwi.

Drug nokurapa duodenal urikanwi

Peptic urikanwi zvinogona kurapwa kana kuvhiyiwa. In nzira wokutanga, varwere dzevanhu vanachiremba varayire zvinodhaka kuti neutralize hydrochloric acid. Ndivo vakadanwa antacids. Uyewo kubatsira chirwere mishonga kuti vamise kugadzirwa hydrochloric asidhi mumuviri womunhu. Somuenzaniso, unogona kupiwa "Omeprazole".

Kana panguva nechirwere pamusoro Helicobacter pylori utachiona aonekwa, ipapo zvinokwanisika kuti ndipe kurapa katatu. "Omeprazole" kana "Ranitidine" tanzi pachiimbwa nemishonga ( "amoxycillin" uye "clarithromycin").

Kuvhiya Kupindira Nekuti peptic urikanwi

Kana yapera nechirwere "urikanwi 12 duodenal urikanwi," kuvhiya kurapwa iri ushandiswe. It rinoitwa pasi dzakananga zvairatidza:

• kana perforating nemaronda kana kubuda ropa;
• kakawanda exacerbations chirwere yokuvamba pasinei nokurapwa;
• aienda pamusoro goho mudumbu, iyo kwamuka nokuda vanga deformation of duodenum;
• chisingaperi kuzvimba, zvisingagone kuitwa zvokurapa kurapa.

Musimboti kuvhiya kurapwa ndiko kubvisa chikamu mudumbu. Kana oparesheni iri excised mugove womukati nhengo, ndiro basa secretion ose gastrin pamuviri. fuma iyi kunomutsa kugadzirwa hydrochloric acid.

In mhedziso, zvinokosha kuziva kuti chiitiko kunyumwa zviratidzo yo duodenal urikanwi chirwere, vanofanira kutsvaka rubatsiro kubva nyanzvi kiriniki. Self-mishonga pamwe zvirwere kukodzera pamusana kukodzera zvinodhaka kurapa, ayo kusavapo kana zvisingakoshi zvavo mishonga inogona kukuvadza kuti muviri wako, kanganisa utano hwako.