Whewhe umanga duodenal: whakaahuatanga, ai, tohu me ngā āhuatanga maimoatanga

Whewhe umanga duodenal (ICD10: K26) - mate tika noa, pāngia kē i roto i ngā wāhanga arā atu. Tenei tupu no te mea kei te waia iwi ki tetahi hūhi i roto i te kopu ki te huanga kai Matiu kai takahi ranei. te paremo noa te tangata te mamae mamae i roto i ona rongoā, a ano kauneke te mate. Ki te tākuta whiwhi te manawanui ka tukunoa'i riro fuu tou tinana.

mātai tahumaero

Ko te nuinga o te wā tuarua ki pāpaka mucosal pekitīlia umanga whewhe Duodenal. Na reira, ko te tātaritanga te tikanga i tuhituhia "whewhe pekitīlia me whewhe duodenal", i waho e tautuhi ana i te tauwāhi.

Mō 5% o te iwi katoa i roto i te ao nei i tenei māuiuitanga. I roto i nga tangata, puta reira 4 wa atu pinepine atu i te wahine. He ōwehenga o te pa, me käinga e pā ana ki te 2 ki te 1. Ko te tino pea tenei e tika ana ki te kounga o ngā hua, peu kai me te mahi o noho o ngā wāhi täone.

take

puta Duodenal whewhe umanga tika ki te mahi ha'iriiri o te waikawa pūmāota (i te wāhanga o te wai kūnatu) ki te mucosa o te whēkau iti. e rave rahi take o acidification he:

• secretion nui o gastrin (te taiaki e regulates nakunaku);

• arearea raukikini, kawa, tote, kawa, parai me te fatty kai;

• horomanga kai takarepa i roto i te ra, me te opue i te ahiahi;

• raau taero hormonal ranei anti-inflammatory auroa;

• te rongo te wā ki te ahotea;

• paowa, me te waipiro kohi, rawa i runga i te puku kau.

I roto i te wā onge kia whai pānga te ahua o erosions me mariao i roto i te duodenum ki te nui ake te taumata o te konupūmā i roto i te tinana, whakaiti o te ate, me whatukuhu, ma'i mate pūkahukahu taunutia.

pathogenesis

puta umanga whewhe Duodenal akoranga tāwakawaka ki tauutuutu murunga me te exacerbation. Conventionally, i reira e toru nga kaupae:

• koi runga (tohu korerotia, mariao mucosal me erosions i);

• tukanga attenuation (reira he kahore amuamu, whewhe nawe);

• murunga (kahore tohu, i pokapoka epiteliziruyutsya).

He wāhi nui i roto i te ahua o tuwhenua nui ngangau o toenga waikawa-kawakore i roto i te mucosa intestinal. Ki te hanga e waikawa pūhaumāota te nui atu i te alkali, e kore te tino whāpāharehia reira me kino a tawhio noa kiko. E ngaro Pūtau, whākōkī tuku, me te whakapiki ake i te kino. I runga i tenei pae i hanga mumura mucous, e faarahi ki ia wahi hou o te chyme. I tua atu, ka nui haere motility me te hua i roto i te maha o ngā pūtau secretory i roto i te kopu ki te te huna waikawa taea noa kahore kai.

tohu

Pehea e taea whakaatu ano duodenal umanga whewhe? Tohu me te maimoatanga o ona hāngai ana tata, na ko te mea nui ki te mahino rite te mea kaha syndrome. He tino kaha ari haumanu, me te meinga te rota o te hūhi ki te manawanui.

Ko te tohu tuatahi, me te matua ko mamae i roto i te rohe pito. E nehenehe te reira e rua piwa, me te pukukino, te reira i katoa tei runga i te nui me te kounga o te kai. I tua atu, i te timatanga o reira he ngāwari ki te pehea e o waikawa inu. I te tahi taime e taea te mamae hoki mai i te po, me te anaana ki te hoki.

mohio maihao o ia wahine e ki te pehea e whakapairuaki, regurgitation, mamae noa he paramanawa ranei. He mea tika ki te tahi mea, ano he tiēre. Ko e kore ko tenei taputapu ao, no te mea e taea e ruaki hoki i muri i te kai haere mai, "hua i roto i" ki a ratou ka rite ki te "bonus" tokopā me te mana'o o te pouri. Wā, mamae enei iwi i disorders o te heamana i roto i te puka o te kōroke me te bloating.

pōauautanga

Whakapeka umanga whewhe duodenal ko te mate te ora-whakawehi me te hauora. I roto i ngā take kino pakaruhanga toto, perforation o te taiepa whēkau me te septicaemia hanganga.

E kore ai te whewhe haamou anake te taiepa o te okana tuwhera, engari ki te taime ki te pātata. Hei tauira, i te umanga duodenal haere tukanga pathological ki te repe taiaki ki te hanga i fistulas me abscesses.

Na roto i te pōauautanga ma'i ngā stenosis (whāiti) wahi intestinal. e aukati ana tenei i te wahi o te kai, e whakaoho ana tona stagnation me te pirau i roto i te kopu. I roto i te tangata, he reira mana'o kitea o pouri, ngoikore, koma, te rohirohi, te kore o te hiahia. I roto i ētahi wā kia reira ruaki mongamonga o kai pukupuku kainga he torutoru ra i mua.

tātaringa

Duodenal whewhe topuku pāngia tino ngāwari, hoatu e tūroro rapu tohutohu hauora rite wawe rite te teitei atamira o te mate, ka ārai ratou te ta'efiemālie ki te ora te tikanga.

Tuatahi, kohikohi te tākuta te hītori me titiro. O te akoranga, e kore e hoatu palpation o te puku ihirangi mōhiohio tiketike, engari whakapae, ki te tūponotanga tiketike, ka taea ulcerative tukanga. Kei te ka te manawanui tonoa whakamātautau toto, tohu matüora, fecal toto wananga, me te whakatau i te taumata o te mahi o te gastrin me Helicobacter pylori.

Ko te tukanga tātaritanga tino noa esophagogastroduodenoscopy, ranei, atu noa, endoscopy. āhei te reira ki a koutou titiro i te ararewa o te ngongo kūnatu, cauterize tuwhenua tāutuhia katoa, tangohia te kiko, me te inu mo te whakamātautau. Ko reira kōrero, me te Radiography. Ko te pikitia ki te rerekē ka kia mārama kitea wahi whiu me te āhua o te membrane mucous o te puku, me te duodenum.

Maimoatanga o te pūrama duodenal

Tuatahi o te katoa e hiahia ana koe ki te faaineine ia outou no te te meka e ko te reira he tukanga roa, me te teimaha, arā, o te kai, maimoatanga tinana me te rongoā. Kaua e mataku, kia tenei katoa e meatia, nui atu i te wā kotahi i runga i te pai whakawhanakehia mahere, me te korero ki tō tākuta.

Hei tīmata i tētahi gastroenterologist whakatau te take i meinga te whiu, me te arata'i nei te ope katoa i ki te maka o te reira. Hoki tenei whakaaro i reira he therapy tarukino. Tenei patu waikawa me prokinetics me inhibitors iraoho papu, a maha atu whakamiharo pharmacological. I tua atu, i roto i te whawhai ki tuwhenua ahotea taea te āwhina sedatives marama, me te moe pire, engari kia kia whakamahia ratou ki te tūpato. E maitai ki Helicobacter pylori paturopi rongoā paturopi me macrolides.

I te wā o ope ora o te tinana ki te mau tonu i te manawanui whakaatu balneotherapy, electrophoresis procaine me rewarming.

rongoā iwi

Maimoatanga o duodenal rongoā iwi whewhe umanga wehe ki hopearaa kino mō te hauora. Na reira, i mua i te tīmata tenei ahua o ngā ki whakatupato i te rata haere. Ka waiho ia mauruuru ki a koutou mo reira.

I te Internet, me te to tatou kuia i te rota o tohutao mo te maimoatanga o keha. I roto i te tikanga ki te whakaiti i kawatanga me te whakapiki ake i te ātete mucosal, inu iwi wai potato hou, he ranunga o te honi, o te pata honi tika ranei rewa i roto i te wai mahana, ka inu i mua i te kai. He hoki tohutao atu tāwāhi, pērā i te whakamahinga o te hinu uri Buckthorn moana i runga i te tīpune te aroaro o ia kai.

Ka taea e te katoa o enei tikanga tango i te āhuatanga fiemālie, etahi ara whakatairanga whakaora o tuwhenua, engari te mea tonu utu hoatu hiahia ki maimoatanga tuku iho.

Diet whewhe umanga duodenal

I roto i te wā o exacerbations o te mate, me piri tūroro ki te nui kai tino ki te āwhina i te whakaiti i te kaha o te mamae, me te whakaora tere. He tohutohu torutoru mo te kai taua:

1. kai Ritua katoa 3 haora i roto i wahi iti.

2. He he ki te āta, he hiahia, āta ngaungau kai.

3. kia mahana kai, kia rite kore ki mukākā te paru kua tairongo.

4. kore me hua tīpakohia whakaongaonga hanga atu o te waikawa pūhaumāota, na kahore parai, raukikini, tote, î me whakaranu.

Mai i te tahi mau reka me te salinity kia whai ki te hoatu ki runga i runga i te ora. Ko taea te kai waiu, puree hua me te tiēre, koromamao huawhenua me hua i roto i rahinga mutunga.