Mbufụt nke 12 duodenal ọnyá afọ: akpatara na Ọgwụgwọ

N'agbata afo na eriri afọ nwere n'etiti nkewa, nke nwere ike ugboro ugboro-gụrụ ọrịa. Dị ka a N'ihi nke na-emepe emepe a na ọrịa dị ka duodenitis. Nke a na ọrịa bụ obere ka otu nọọrọ onwe ha daa ọrịa, ọtụtụ n'ime ya na-ewe ebe megide ndabere nke pancreatitis, cholecystitis, afọ, mgbu na ndị ọzọ ọrịa.

definition

Malaise rụtụrụla na iri ọ bụla ndị mmadụ na bụ apa nke mucosa nke duodenum 12. Ọ dịghị ihe mgbochi afọ, ma ọ bụ nnọọ obere na ụmụ. Ọ bụ ezie na gastroenterologists kwuru na duodenitis yikarịrị na-ata ahụhụ bụ ụmụ nwoke.

Correct nchoputa nwere ike ịbụ naanị na a ruru eru ọkachamara, mgbe ọ na-emepụta site a ọnụ ọgụgụ nke laabu na instrumental nnyocha. Ọgwụgwọ na-adabere na N'ezie nke ọrịa, ma mmasị e nyere mgbanwe ụzọ, nke na-agụnye nlere ìgwè ewu na nri na n'ikuku nke ọgwụ preparations. Ịwa aka a chọrọ naanị na ndị kasị oké ikpe.

ihe

Ọtụtụ mgbe, mbufụt nke duodenum 12 emee ka a concomitant ọrịa. Ọ na-emekarị na-egosi na ndabere nke ọzọ nsia ọrịa, dị ka:

- dyspepsia - afo erughị ala mgbe eri nri;
- cholecystitis - mbufụt nke gallbladder;
- nnukwu ịba ọcha n'anya B nje ọrịa na ndabere;
- peptic ọnyá afọ - lesion akpụkpọ ahụ nke obere eriri afọ na afọ;
- Zollinger-Ellison syndrome - gastrinomas;
- afọ ọsịsa - adịghị ala ala ọrịa;
- mgbu - mbufụt nke mucous akpụkpọ ahụ.

Agachoputa ihe nchegbu, nke e mere site a oké njọ ọrịa ma ọ bụ ịwa ahụ, na-eme ka ọdịdị nke duodenitis. Non-steroidal ọgwụ ọjọọ nwere ike na-akpasu mbufụt nke 12 duodenal ọnyá afọ.

ụdị

Were ọrịa dị ka ọtụtụ ibiere:

1. The N'ezie nke ọrịa:

• nnukwu - emee na-atụghị anya na obere oge, na nke a niile ihe mgbaàmà ga-nnọọ sharply;
• adịghị ala ala - a mebiri adịgide ruo ogologo oge, mgbe mgbe na-adịghị egosi mgbu ọrịamkpokọta ike mgbe ụfọdụ ime onwe ha obi wetara, iru ala sensations.

2. The ogo mbibi:

• Erosive - na ndabere nke gootu apụta ozize na ọnyá;
• n'elu - na mbufụt bụ ugbu.

3. Ebe agụmakwụkwọ:

• bulbar - odude nso center nke duodenal bọlbụ;
• Postbulbarnye - emen ke omimi.

mgbaàmà

Nwoke ahụ naanị ike ịchọpụta ihe ọ duodenitis, ị ga-aṅa ntị n'ihe ụfọdụ ịrịba ama:

• igbu mgbu na ruo ogologo oge mgbu na elu akụkụ nke afo, nke ime Ọtụtụ na ihe efu afo;
• abdominal distension na bowel;
• regurgitation nri, na-emekarị ozugbo nri;
• ọgbụgbọ na mgbe ụfọdụ vomiting bile;
• enweghị agụụ;
• nrekasi obi.

Ọ bụrụ na e a-adịghị ala ala mbufụt nke duodenum 12, ọtụtụ n'ime ihe mgbaàmà na-amalite na-egosi mgbe na-akpata nrụgide n'oge nnukwu na njehie na nri.

nchọpụta nsogbu

Mgbe a dọkịta na-edepụta ihe e ji mara atụmatụ:

• X-ụzarị nke afo na eriri afọ;
• Nsị na;
• zuru ọbara ọnụ;
• Biochemical ule.

Na Nchikota dị otú ahụ ụzọ pụrụ chọpụta ọnọdụ nke afo, imeju, pancreas, mata nje gị n'ụlọnga, ihe mgbu nzaghachi, na-elele na ije, ohere nke digestive usoro.

instrumental ọmụmụ

Ndị kasị pụrụ ịdabere na usoro nke nchoputa bụ duodenitis endoscopy. Ọ bụrụ na e a elu elu mbufụt nke duodenum 12, ngosipụta ga-eme n'ụzọ na-ekwekọghị edematous mucosa. N'ihi ya, ọ bụ ekwe omume ịmata a nkọ hyperemia n'ụdị onye patches. Ebe ndị a na-egosi ubé n'elu nke fọdụrụ n'elu.

Mgbe kwuru duodenitis mucous enweta diffusely-Edematous ele. Ahụrụ ebe nke hyperemia anya ọzọ mgbe ha na-esokwa ha na-ubi ruo 2 cm n'obosara. N'ebe ndị dị otú na-na-ugbu melkotochechnye hemorrhage. The mucosa na-aghọ mkpa-gbaa ha akpụkpọ, nwere ike achọpụtara na lumen nke a acha odo opalescent ọmụmụ na nnukwu ichekwa imi.

Ọ bụrụ na e a akpọ mbufụt nke duodenum 12, endoscopic picture bụ ọbụna ayama. N'ọnọdụ dị otú a ọrịa akara onu semolina. Ultrasound nwere ike ime ka obodo mgbu nrụgide mwute ihe mmetụta na antral region na-enyere aka ọdịiche dị wetara ọrịamkpokọta mere ọrịa.

ọgwụ

Ná mmalite, onye ọrịa na-achọ na a siri nri. Olee otú iji wepu mbufụt 12 duodenal ọnyá afọ? Drug ọgwụgwọ a rụrụ dabeere na-akpata ọrịa.

1. N'ihi nzube nke ná Nkụnwụ eji analgesics na kpuchiri n'aka.
2. Ọ bụrụ na e nwere onye na ọrịa ga-achọ a N'ezie nke ọgwụ nje ọgwụ.
3. Iji belata acidity nke gastric ihe ọṅụṅụ mkpa pụrụ iche ọgwụ.
4. Iji merie enzyme erughi, mkpa ọzọ ike mgbazi.
5. Jide n'aka na-depụtara ume ọhụrụ ọgwụ ọjọọ, antispasmodics, na vitamin.

Mgbe ụfọdụ, ọgwụgwọ na-achọ na ojiji nke immunomodulators na sedatives. Magburu onwe mmetụta nwere physiotherapy usoro, ya bụ, magnetik ọgwụ, electrophoresis ma ịnweta wax, dị ka ha na-ọma kpochara mbufụt 12 duodenal ọnyá afọ. Mgbaàmà na ọgwụgwọ nke ọrịa a nwere ike dị iche iche, ya mere, onye ọrịa nwere ike ikwu na a na-nkebi:

• anyịnya;
• polyclinic;
• sanatarno-eme.

Mgbe ahụ, anyị nwere ike ịmata kpọmkwem ihe iji ohere ọ bụla mbuso oria.

ime

N'oge a, ọgwụgwọ nke duodenitis kwesịrị ime ka ọdịiche dị, integrated na ndị mmadụ na dabeere na ụfọdụ ụkpụrụ: aṅụ ọgwụ a rụrụ naanị na oge nke nkpasu-iwe na enweghị mmetụta na nnabata ya na nri, nri na antacids.

Ọ bụrụ na kpughere mbufụt nke afo na duodenum 12, na N'ezie nke ọgwụ na-eji nonabsorbable ọgwụ ọjọọ. Na nhọrọ nke ọgwụ ọjọọ ga ewepu ndị na nke Ọdịdị bụ sodium (zere mmepe nke metabolic alkalosis, na ọmụmụ njigide dị ka a nwa ebu n'afọ na nne), na-enye mkpa ọgwụ ọjọọ na-enwe a elu neutralizing ike na ezi ezi mejupụtara laxative na gwara mmadụ. A na-agụnye "Maalox", nke a na-kenyere 1 òkè nke powder ọ bụla awa ole na ole mgbe eri (3-5 ugboro n'ụbọchị). More-eji "Fosfalyugel", "Almagell" "kaolin", na aluminum hydroxide.

Ọtụtụ mgbe itinye binders na overlying ọgwụ (na-atụ aro na akwukwo nri si - decoction nke St. Jọn wort, chamomile na yarrow okooko osisi).

Mbụ niile họrọ components nke na-esonụ omume:

• mgbochi mkpali (oak, plantain);
• spasmolytics (liquorice, fennel, Mint, chamomile);
• antiseptik (Hypericum, Calendula);
• laxatives (rhubarb, zhoster, buckthorn).

Iji mgbochi secretory elekọta mmadụ nwere ike na-agụnye ụfọdụ ndị na-abụghị nhọrọ M-anticholinergics. "Atropine" ebelata ụda ezigbo uru nke na nkọlọ, egbochi secretory ọrụ nke afo, ma n'otu oge na-eme ka ngosi nke cervix, na-ahapụ na e nwere a-ekwe omume nke ime ọpụpụ na mbụ trimester, nakwa dị ka activates nwa ebu n'afọ na tachycardia. Ya mere, ọ bụrụ na a nwaanyị na a ọnọdụ nke adịghị ala ala mbufụt nke duodenum 12, mma iji "Metacin" ma ọ bụ "Platifillin" nwere bụghị otú ike ike utịp ke nwa ebu n'afọ na nne. Ke adianade do, ndị a ọgwụ ọjọọ nwere a izuike utịp ke akpanwa, ọ ga-eji n'ihi na ndị inyom chọpụtara na egwu ime ọpụpụ. N'ihe banyere nke abụọ duodenitis gwara site isi ọrịa ọgwụ.

ndiife ịgba akwụkwọ

N'agbanyeghị eziokwu na ugbu ọtụtụ n'ime ndị dọkịta maara otú na-emeso mbufụt nke duodenum 12 omenala ụzọ, ọrịa ka tụkwasịrị obi pụtara ọtụtụ narị afọ herbal okụre. ndị a dị mfe iji kwadebe ọgwụ ọjọọ akacha eji:

1. wụsara esi mmiri maka 1 hour. L. linseed, whereupon niile na-ekwe ka iguzo 20 nkeji. The mbuaha ọṅụṅụ na-eji na obere sips na ihe efu afo. Ọ na-aṅụ ọgwụ maka a ọnwa na-enweghị nkwụsị.
2. Na hà akụkụ mix chamomile, lemon balm, licorice na marshmallow mgbọrọgwụ, buckthorn ogbugbo, lavender, ọzụzụ atụrụ obere akpa. Ọzọkwa 1 h. L. njikere ngwakọta sie mmiri na zigara a mmiri saa. Nje na-aṅụ ihe niile maka 30 nkeji tupu a nri.
Pound 3. 0,5 n'arọ nke oké osimiri buckthorn na tinye 0,5 lita sunflower mmanụ. Nke a mejupụtara a nye izu na a mechiri emechi ụgbọ mmiri, naanị. Ọzọkwa, uka bụ n'ala na a na-anabata ma ọ bụrụ na e nwere mbufụt nke bulbs 12 duodenal ọnyá afọ na 1 tbsp. l. ụbọchị ọ bụla maka a ọnwa.
4. ogwu Hypericum na-akwadebe okenye ihe ngwọta na na oge nke exacerbation ẹka kwa ụbọchị n'ihi na a ole na ole sips.
5. The ihe ọṅụṅụ squeezed si epupụta na ị ga nke plantain nnukwu, mgbe ahụ, e kwukwara a obere mmanụ aṅụ. Ihe ngwakọta gwusiri 1 hour. L. n'ihu na-eri nri.
6. The dị ọcha na mmiri ọkụ tinye Alaka rhubarb, mgbe ahụ, ha na-etinyere ka a mpikota onu oge na mbufụt ke afo ebe.

nsogbu

Ọtụtụ ndị na-adịghị ọbụna mara na ọ nwere mbufụt nke duodenum 12. Mgbaàmà nke ọrịa a abụghị mgbe niile kwere omume ịchọpụta, n'ihi nke a, duodenitis mgbe na-agba ọsọ mbubreyo na-amalite na-agwọ, si otú akpali iche ntoputa nke ndị dị otú ahụ nsogbu:

• mbufụt nke serous akpụkpọ ahụ;
• bowel mgbochi;
• ọtụtụ ọbara ọgbụgba;
• canker na ibelata nke pylorus;
• purulent mbufụt nke anụ ahụ;
• insufficiency nke duodenal homonụ.

Ma, n'agbanyeghị na elu gbasara nke puru omume nsogbu, ndị prognosis nke duodenitis mma. Ọ bụrụ na ị chọpụta na ọrịa na-amalite amalite, ọ bụ ike iji nweta a zuru mgbake.

Specific mgbochi dị ka ndị dị otú ahụ adịghị adị. Anyị dị nnọọ mkpa na-arapara a ike ndụ, nakwa dị ka oge na-emeso ọrịa nke eriri afọ tract, na ime nwere ikwu maka nri. Ọtụtụ ugboro n'afọ na-abịa ka mgbochi ego-acha ọkụ a gastroenterologist.

Diet n'oge mbufụt 12 duodenal ọnyá afọ

Ọrịa na-arịa duodenitis, ị ga-esoro na nri kwesịrị ekwesị na a ga-akwalite na-agwọ ọrịa. Mbụ niile na ọ dị mkpa ịhapụ roughage, nke na-ewute ya mere mebiri emebi mucosa. Iji na-atụ aro sie, frayed, stewed na steamed efere.

Mkpa ka ị kwụsị iri nnu, na-atọkwa ụtọ, utoojoo na e ghere eghe, na-adịghị anakwere marinades na-ese siga. Ọ chọrọ iji dochie ọhụrụ butere achịcha crackers. Kpamkpam contraindicated na-ekpo ọkụ chocolate, mmịn, mmanya ọtọ bịrịbịrị na kọfị.

Ihe oriri kwesịrị n'ọkwá kpuchiri na nwayọọ ngwaahịa, ọ nwere ike butere puddings, porridge, puree, jelii, meatballs, meatballs, akwukwo nri na cereal ofe. Nnọọ uru iji ala-abụba mmiri ara ehi na ngwaahịa. Ọ dịkwa mkpa na-edebe iwu nke fragmentation na mgbe nile na-eri. Water nri bụghị ikpeazụ: otu ụbọchị ị ga na-aṅụ dịkarịa ala 1.5 lita nke ọmụmụ.

mgbochi

Ọrịa 12 duodenal ọnyá afọ bụ agaghịkwa esogbu nsogbu na exacerbations, ị ga-arụrụ ndị na-esonụ na-atụ aro:

• tufuo àgwà ọjọọ (ise siga, ịṅụ ọgwụ ọjọọ, ịṅụbiga mmanya);
• edebezuo na-agaghị emeli na-adakarị oriri na-edozi;
• streamlined oge ọrụ na ọzọ;
• kpochapụ nchegbu ibu;
• oge na-emeso co-morbidities;
• ịga ọmụmụ ọgwụ mgbochi.