Urikanwi duodenal girobhu racho: tsananguro, hunokonzera, zviratidzo uye kurapwa mamiriro

Urikanwi duodenal girobhu racho (ICD10: K26) - zvakajairika chirwere, atova nechirwere mu chamber nezvishoma. Izvi zvinoitika nokuti vanhu vakajaira chero kusagadzikana mudumbu kuti kupona stale zvokudya kana kudya kukanganisa. Man marwadzo nokutambura drowns kunze mishonga yake, asi chirwere mberi. Kwachiremba murwere anowana kana akasateerera muviri wako anova sabvumika.

epidemiology

Duodenal urikanwi girobhu racho kazhinji yechipiri kuna gastric mucosal maronda. Naizvozvo, nechirwere rinowanzoshandurwa zvakanyorwa "gastric urikanwi uye duodenal urikanwi", pasina chaiyo nzvimbo.

About 5% yevanhu vose vari munyika zvokurwara ichi. Varume, richiwanika 4 nguva kakawanda kupfuura vakadzi. A reshiyo of vomuguta uye vomumusha vanenge 2 1. Iri kazhinji nokuda risanyatsobuda, Mishonga tsika uye Kushandiswa vagari urbanized nzvimbo.

zvikonzero

Duodenal urikanwi girobhu racho kunoitika nokuda kungatikanganisa zviito hydrochloric asidhi (ndiro chikamu zvomudumbu muto) kusvika mucosa yacho ura duku. zvinokonzera wandei acidification vari:

• kunyanya secretion kuti gastrin (hormone kuti inodzora kugaya);

• chitandadzo Spicy, shungu, vava, yakashapa, zvakakangwa uye mafuta zvokudya;

• rwakakwana chikafu yaunodya masikati uye nokudyisa madekwana;

• refu hormone kana Anti-anogumbura zvinodhaka;

• Kugaroona kushushikana;

• kusvuta uye doro, kunyanya usina chawadya.

Mune zvisingawanzoitiki zviitiko chitarisiko erosions uye maronda ari duodenum anogona vawadzane rakawedzera pamwero calcium mumuviri, zvinoderedza chiropa uye itsvo, chisingaperi obstructive pulmonary chirwere.

pathogenesis

Duodenal urikanwi girobhu racho anooneka undulating nzira chete rakatumbuka kanganwiro uye exacerbation. Conventionally, pane matanho matatu:

• chenjera pamusoro (iziviswe zviratidzo, mucosal maronda uye erosions vane);

• attenuation muitiro (hapana kunyunyuta, urikanwi vanga);

• kuregererwa (hapana zviratidzo, mavanga epiteliziruyutsya).

A basa guru chimiro nemaronda anoridza kuvhiringidza asidhi-alkaline mwero iri intestinal mucosa. Kana hydrochloric asidhi aumbwa yakakura kupfuura alkali, haisi neutralized zvachose uye kukuvadza dzakapoteredza tishu. Masero akaparadzwa, kusunungurwa makemikari uye kuwedzera kukuvadza. On nzvimbo iyi kuumbwa mucous kuzvimba, iyo kunowedzera nerimwe mugove mutsva chyme. Uyezve, vakawedzera motility uye nokuwedzera kwenhamba masero secretory mudumbu kuti secrete asidhi kunoita kunyange pasina zvokudya.

zviratidzo

Sei kungazviratidza duodenal urikanwi girobhu racho? Zviratidzo uye mabatiro ayo kufanana, saka zvakakosha kunzwisisa chaizvo chii rikunde syndrome. Clinical mananara vari kwazvo uye kukonzera yakawanda kusagadzikana kumurwere.

Wekutanga chikuru chiratidzo ndiyo kurwadziwa achiine rukuvhute nharaunda. Zvinogona kuva chakasimba uye anokakavara, zvose kunobva uwandu uye unhu kudya. Mukuwedzera, pakutanga zviri nyore kubvisa kunwa antacids. Dzimwe nguva marwadzo anogona kudzoka usiku uye tichiratidza kuti musana.

munwe mudzimai mumwe nomumwe anoziva kuti kubvisa kuda kurutsa, regurgitation, kurwadziwa kana anongodzokera tudyo. Hazvina here chinhu chakafanana mondo. Asi chokushandisa ichi hachisi nokudenga, nokuti kurutsa unogona kudzoka mushure kudya, "zvichiita" navo se "bhonasi" chirungurira uye manzwiro waziya. Nguva nenguva, vanhu ava vanotambura zvinetso rwecheya muchimiro kupatirwa uye bloating.

yematambudziko

Chenjera duodenal urikanwi girobhu racho chirwere zvinouraya uye utano. In kwazvo zviitiko zvikuru ropa, perforation pamusoro bowel rusvingo uye septicemia inotungamirwa.

The urikanwi murege chete kunoshayisa rusvingo negomba nhengo, asi kuti seep kupinda pedyo. Somuenzaniso, kubva duodenal girobhu racho pathological muitiro anoenda rwatata yokuumba fistulas uye abscesses.

By chisingaperi yematambudziko zvinosanganisira stenosis (aienda) intestinal mugove. Izvi ichivhiringa ndima kwezvokudya, chinokurwadzai zvayo kurega kunotanga uye kuora mudumbu. Muvanhu, zviri pachena kunzwa waziya, simba, paleness, kuneta, kushaya kudya. Mune zvimwe zviitiko kungava kurutsa zvidimbu undigested zvokudya zvinodyiwa mazuva mashoma apfuura.

Diagnostics

Duodenal urikanwi Mabumba chirwere zvikuru nyore, vakapiwa kuti varwere kutsvaka zano wezvokurapa kare danho kukwirira chirwere, kana kusagadzikana kunodzivisa kuti vararame zvakanaka.

Chokutanga, chiremba anounganidza nhoroondo uye anoyera. Chokwadi, palpation ari mudumbu asingadi kupa mukuru ruzivo kugutsikana, asi chifungidziro, vaine mukana, maronda muitiro zvinobvira. The murwere akazotuma miedzo ropa, nokukanganisika zvezvinangwa, fecal zvemidzimu ropa, uyewo kuona padanho basa gastrin uye Helicobacter pylori.

Rakajairika chirwere nzira iri esophagogastroduodenoscopy, kana, kupfuura kungoti, endoscopy. Kunoitawo kuti kuongorora lining ari zvomudumbu chubhu, cauterize zvose rairatidza maronda, tora zvinyama uye mvura kuongororwa. It chinodzidzisa uye radiography. Mifananidzo kuti musiyano pachanyatsoonekwa kuonekwa nzvimbo matambudziko uye mamiriro ari mucous Kamudzira mudumbu uye duodenum.

Mabatirwo duodenal girobhu racho

Chekutanga unofanira kugadzirira pachako kuti chokwadi kuti yakareba uye painstaking muitiro, zvinosanganisira zvokudya, nomuviri kurapa nemishonga. Regai kutya, izvi zvose zvinofanira kuitwa, pane imwe chete iri dzakabudirira urongwa zvakanaka uye achitaura nachiremba wako.

Kutanga gastroenterologist anosarudza mhaka kuti akaita denda uye anotungamira ose ehondo panze ndeyokubvisa nayo. Nokuti chinangwa ichi pane zvinodhaka mishonga. Izvi antacids uye prokinetics uye hwepurotoni pombi FIs, uye vazhinji nevamwe pharmacological zvishamiso. Mukuwedzera, pakurwisa kunetseka nemaronda kunogona kubatsira chiedza sedatives uye kurara mapiritsi, asi vanofanira kushandiswa nokungwaririra. Against Helicobacter pylori vari zvakakwana mishonga kuti penicillin uye macrolides.

Panguva padariro nokupora ehondo muviri kuramba murwere zvinoratidza balneotherapy, procaine electrophoresis uye rewarming.

zvavo mishonga

Mabatirwo duodenal urikanwi girobhu racho acho mishonga hwakazara nemigumisiro kuti utano. Saka, asati atanga kuti kuedza mhando iyi kunyevera kupinda chiremba. Iye achava kuonga kwauri.

PaIndaneti, uyewo edu vanambuya zvakawanda Kubika kurapwa nemaronda. Kuitira kuderedza acidity uye kuwedzera mucosal nemishonga, vanhu vanwe matsva mbatatisi muto, musanganiswa nouchi namafuta kana chete uchi zvazvichanyungudutswa mvura inodziya nokunwa pamberi zvokudya. Kunewo mamwe zvekumwe Recipes, akadai kushandiswa gungwa buckthorn mbeu mafuta pamusoro yetea usati wadya.

Nzira dzose idzi anogona kubvisa kusagadzikana chakajairika, vamwe kunyange zvinosimudzira kuporesa nemaronda, asi achiri zviripo kupa kupfuura Marapiro.

Diet urikanwi duodenal girobhu racho

In yatinenge exacerbations nehosha, varwere vanofanira kuomerera vaitofanira kudya rokubatsira kuderedza marwadzo, uye nokukurumidza kupora. A Mazano shoma kuti kudya kwakadaro:

1. Split zvokudya 3 maawa ose migove duku.

2. Pane kudiwa zvishoma nezvishoma, kunyatsoongorora kutsenga zvokudya.

3. Food anofanira kudziya, kuitira kutsvinyira kare kugumbuka muura.

4. Vakasarudzwa zvigadzirwa havafaniri kukurudzira zvimwe kugadzirwa hydrochloric acid, saka hapana zvakakangwa, Spicy, wakawanda, pickled uye spiced.

From vamwe zvinonaka uye salinity angatofanira mapfumo pasi upenyu. Asi mukaka, muchero puree uye mondo, steamed muriwo uye mazai zvinogona kudya risingaperi akawanda.