Kuzvimba 12 duodenal urikanwi: Zvinokonzera neMarapirwo

Pakati dumbu uye ura vane zvenguva nokupesana, izvo zvinogona kakawanda kufukurirwa kuti chirwere. Somugumisiro dzichiri chirwere ichi sezvo duodenitis. chirwere ichi hakuwanzowaniki sezvo yakazvimirira zvokurwara vakawanda zvaitika tikafunga pfungwa nomuviri zvemwana asati, cholecystitis, colitis, gastritis nezvimwe zvirwere.

tsananguro

Zvakawanda zvive akamboona ose vanhu gumi uye ari kuzvimba mucosa ari duodenum 12. Haina kurambidzwa zera, asi zvisinganyanyi kuitika mune vana. Kunyange zvazvo gastroenterologists akacherechedza kuti duodenitis kazhinji kutambura varume.

Rairira chirwere unogona chete kuva vanokwanisa mukoti, pashure iri zvinoberekwa vanoverengeka kwomurabhoritari uye richishanda kuferefeta. Treatment kunoenderana weboka chirwere, asi zvatinofarira rakapiwa kuchinja nzira, iyo inosanganisira zvaidiwa kukudzivirirai zvokudya uye negashiro gadziriro dzokurapa. Kuvhiya kupindira kunodiwa chete wakakura zvikuru kacho.

zvikonzero

Kakawanda, kuzvimba duodenum 12 kunoitika somunhu concomitant chirwere. Kazhinji rinowanikwa pakanyorwa dzimwe intestinal zvirwere, zvakadai:

- dyspepsia - dumbu kusagadzikana pashure kudya zvokudya;
- cholecystitis - kuzvimba gallbladder;
- chenjera nehepatitis B utachiona hweHIV necheseri;
- peptic urikanwi - lesion Kamudzira of ura duku uye dumbu;
- Zollinger-Ellison chirwere - gastrinomas;
- manyoka - chisingaperi zvirwere;
- gastritis - kuzvimba mucous membrane.

Wandei kushushikana, izvo zviri kukonzerwa ne- chirwere chakakomba kana pokuvhiyiwa, kunoitawo kuti chimiro duodenitis. Kazhinji zvinodhaka Non-steroidal kungakonzera kuzvimba 12 duodenal urikanwi.

mhando

Patsanura chirwere maererano akawanda zvinodiwa:

1. Upenyu chirwere:

• chenjera - kunoitika zvisingatarisirwi uye pfupi nguva, muchiitiko ichi zvose zviratidzo achapfuura kwazvo nehasha;
• chisingaperi - kutyorwa kunoenderera kwenguva yakareba, kazhinji haaratidzi marwadzo syndromes vanogona dzimwe nguva kuti pachavo akanzwa kusingafadzi, dzamira nezvekufadza.

2. dhigirii rokuparadzwa;

• Erosive - pahwaro ari dumbu kuoneka anozoumbiridzwazve nemaronda;
• pamusoro - chete kuzvimba aripo.

3. Nzvimbo dzidzo:

• bulbar - iri pedyo nepakati duodenal girobhu racho;
• Postbulbarnye - yogara zvakadzama.

zviratidzo

Kuti murume oga akakwanisa rokuongorora zvaanoda duodenitis, unofanira kuteerera zvimwe zviratidzo:

• achirwadza uye kurwadziwa kwenguva yakareba munyika yokumusoro zvikamu mudumbu, izvo kuitika kazhinji usina chawadya;
• abdominal distension uye bowel;
• regurgitation zvokudya, kazhinji pakarepo pashure kudya;
• svoto uye dzimwe nguva kurutsa bile;
• kushaya havi;
• chirungurira.

Kana paine chirwere kuzvimba duodenum 12, vakawanda zviratidzo vanotanga kuonekwa mushure anoshungurudza ezvinhu panguva chakasimba uye zvikanganiso zviri zvokudya.

Diagnostics

Kana chiremba prescribes ari mamirire zvinhu:

• Maekisirei mudumbu uye ura;
• fecal;
• kwakakwana ropa count;
• nemakemikari miedzo.

With wemishonga nzira dzakadaro kunogona vazive mamiriro mudumbu, chiropa, rwatata, kuziva kutapuriranwa mumiririri, imwe anogumbura mhinduro, uye tarisa kufamba mikana yacho zvomudumbu hurongwa.

paku zvidzidzo

Chakavimbika kupfuura nzira nechirwere ndiyo duodenitis endoscopy. Kana paine kwokubatira kuzvimba duodenum 12, ari kuratidza kuchaitika vanoiswa edematous mucosa. Saka, zvinobvira kuti kudoma rakapinza hyperemia muchimiro munhu makwapa akasvibirika. nzvimbo idzi kuonekwa zvishoma pamusoro pavamwe pemvura.

Kana akaratidza duodenitis mucous anogamuchira diffusely-Edematous maonero. nzvimbo makwapa pakati hyperemia kure kakawanda anoitwa vakabatana mumunda kusvikira 2 cm mu dhayamita. Munzvimbo yakadaro varipowo melkotochechnye ropa. The mucosa anova mutete-ganda, dzinogona kuonekwa mune lumen munhu rakachenuruka yero opalescent Urume uye yakawanda madzihwa.

Kana paine raidudzwa kuzvimba duodenum 12, endoscopic mufananidzo iri kunyange yakajeka. Zvakadaro chirwere akacherekedza chinoshamisa semolina. Ultrassom anogona kukonzera yomunharaunda marwadzo pasi kufurirwa vasanonoka Switch ari antral munzvimbo kuti zvinobatsira kusiyanisa zvisingafadzi syndromes zvakakonzera chirwere.

kurapa

Pakutanga, murwere kunoda kuti munhu wakaoma kudya. How kubvisa kuzvimba 12 duodenal urikanwi? Drug kurapwa rinoitwa kwakavakirwa chiri kukonzera chirwere.

1. Nokuti chinangwa yokutindivadza vakashandisa analgesics uye rakafukidza nzira.
2. Kana pane chirwere zvinoda mararamiro asingaurayiwi mishonga.
3. Kuti kuderedza acidity gastric muto inodiwa mishonga kushandiswa.
4. Kuti kukunda enzayemu kushaikwa, vanoda zvakawanda simba kururamiswa.
5. Ivai nechokwadi kuti chinyatsotsanangurwa zvinodhaka rokudzorera, antispasmodics, uye mavhitaminzi.

Dzimwe nguva marapirwo zvinoda kushandiswa immunomodulators uye sedatives. Excellent anzwe kuti physiotherapy unyanzvi, kureva, rinobva kurapa, electrophoresis uye chicherwa wakisi, sezvo vari zvakanaka ivo vakachenesa kuzvimba 12 duodenal urikanwi. Zviratidzo uye kurapwa chirwere ichi angava akasiyana, saka murwere dzinokurudzira mumwe nzendo:

• mira;
• polyclinic;
• sanatarno-dzisina.

Ipapo tinogona kuziva chaizvoizvo chii kushandisa mukana wose kurwisa chirwere.

pamuviri

Panguva iyi, kurapa duodenitis hunofanira kusiyana, Integrated uye pamunhu mumwe uye kunobva mamwe mazano: zvinodhaka kurapa rinoitwa chete panguva kusembura uye kushaya maturo pamusoro zvaidiwa zvokudya, kudya uye antacids.

Kana akaratidza kuzvimba mudumbu uye duodenum 12, mukufamba kurapwa aishandisa zvinodhaka nonabsorbable. In kusarudzwa zvinodhaka vanofanira haabatanidzi avo umo Dendere iri yavaibvisa (kudzivisa pave metabolic alkalosis, uye Urume chengetedzo ari mudumbu uye amai), uye kuti Unoisa zvinodhaka kuva mukuru neutralizing kukwanisa uye zvakanaka akanaka sezvamunoita laxative uye kugadzira nevamiririri. Izvi zvinosanganisira "Maalox", riri basa 1 chikamu upfu ose maawa mashomanana pashure kudya (3-5 kanomwe pazuva). More akashandisa "Fosfalyugel", "Almagell" "kaolin", uye aruminiyamu hydroxide.

Kakawanda kushandisa binders uye overlying zvinodhaka (varumbidzwa miriwo mavambo - decoction pamusoro sana St. vaJohani, chamomil uye yarrow nemaruva).

Chekutanga yasarudzwa zvinoumba zvinotevera zviito:

• Anti-anogumbura (pomuouki, plantain);
• spasmolytics (liquorice, fennel, mindi, chamomil);
• akambozvishandisa kuuraya utachiona (Hypericum, calendula);
• laxatives (rhubarb, zhoster, buckthorn).

To Anti-secretory yomuchipatara zvingasanganisira vamwe vasiri zvokusarudza M-anticholinergics. "Atropine" kunoderedza mataurire anotsvedzerera tsandanyama ose yegurokuro, kunoita kuti kurwadziwa kuve secretory kushanda mudumbu, asi panguva imwe chete hunoita kuti Kuziviswa ari cervix, vachisiya pane mukana nokupfupfudzika rokutanga trimester, uyewo zvaanopa simba iri fetus tachycardia. Naizvozvo, kana mumwe mukadzi vane chirwere kuzvimba duodenum 12, zviri nani kushandisa "Metacin" kana "Platifillin" havana kudaro hasha zvainoita azvarwa uye amai. Uyezve, zvinodhaka izvi zvine chinozorodza zvainoita dumbu, rinogona kushandiswa nevakadzi nechirwere kunzarwo kubva kwepamuviri. Kana duodenitis yechipiri zano nokuda kurapa chirwere zvinokonzera.

zvavo mishonga

Pasinei chokwadi kuti pari vanachiremba vakawanda vanoziva sei kurapa kuzvimba duodenum 12 nemakwenzi, varwere achiri kuvimba nekusimba kwemazana emakore mishonga zvivako. izvi nyore kugadzira mishonga anowanzodanwa kushandiswa:

1. akadurura kufashaira mvura 1 awa. L. linseed, ndipo zvose akabvumira kumira maminitsi 20. The yakavhenganiswa zvokunwa rinoshandiswa sips duku usina chawadya. Anotora mishonga kuti mwedzi usingamudimburiri.
2. yakaenzana mativi kunovhengana chamomil, ndimu nebharisami, licorice uye marshmallow mudzi, buckthorn omuti, lavender, romufudzi chikwama. Uyezve 1 h. L. akagadzirira muvhenganiswa hunovira mvura uye akatuma kuti kugeza nemvura. Kugozha nekunwa zvose kwemaminitsi 30 vasati vadya.
Pound 3. 0.5 makirogiramu mugungwa buckthorn uye kuwedzera 0.5 litres mafuta sunflower. sezvamunoita izvozvi izere vhiki muigwa rakavharwa, oga. Uyezve, mukanyiwa ivhu uye unogamuchirwa kana pane kuzvimba Mabumba 12 duodenal urikanwi muna 1 tbsp. l. ose pazuva kwemwedzi.
4. miriwo Hypericum rinogadzirirwa aqueous mhinduro uye nguva exacerbation kutorwa ose zuva kwenguva sips shoma.
5. The muto kusvinwa kubva mashizha madzinde pamusoro plantain guru, ipapo ari awedzera uchi hushomanana. The zvichiguma muvhenganiswa rwaparadzwa nokuda 1 awa. L. vasati kudya zvokudya.
6. yakachena uye kwoushamwari mvura zvakakangwa manyoro rhubarb, ipapo vari aishanda ari tsonyera ndipo kuzvimba ari nomudumbu.

yematambudziko

Vanhu vazhinji havazivi kunyange kuti vane kuzvimba duodenum 12. Zviratidzo chirwere ichi hachisi nguva dzose zvinoita rokuongorora, nokuda kwechikonzero ichi, duodenitis aiwanzoyerera kunonoka uye kutanga nokuporesa, nokudaro vakamutsa shungu chidzoke yematambudziko akadaro:

• kuzvimba serous Kamudzira muviri;
• bowel mhingaidzo;
• nyanya ropa;
• ngura uye aienda pamusoro pylorus;
• purulent kuzvimba munyama;
• insufficiency pamusoro duodenal mahormone.

Asi pasinei mukuru mukana yematambudziko, ari fungidziro pamusoro duodenitis zvakanaka. Kana ukaona kuti chirwere chichiri kutanga, zvinokwanisika kuti vabudirire zvizere kupora.

Chaiyo kudzivirira sezvo vakadaro haako. Tinofanira chete tinoda kuramba mararamiro utano, uyewo nguva kubata zvirwere zviri nemudumbu, uye kutevedza kurumbidza kuti kudya. kakawanda pagore kusvika chokudzivirira kunoonekwa nachiremba kuti gastroenterologist.

Diet panguva kuzvimba 12 duodenal urikanwi

Varwere vanenge duodenitis, unofanira kuomerera Zvokudya zvakakodzera kuti achasimudzira kuporeswa. Chekutanga zvose zvakafanira kusiya roughage, iyo kunokuvadza uye saka hunenge mucosa. Kushandisa yakabikwa, yasvika, ine muto uye steamed ndiro inokurudzirwa.

Unofanira kumisa kudya wakawanda, Spicy, yakashapa uye zvakakangwa, uyewo zvisingagamuchirwi marinades uye vaiputa. It anofanira kutsiva itsva zvakabikwa zvingwa uye tika. Zvakakwana contraindicated inopisa chocolate, doro, zvinwiwa uye kofi.

Zvokudya zvinofanira kuva kuvamumwe rakafukidza uye munyoro chigadzirwa, rinogona kubikwa puddings, Porridge, puree, mondo, meatballs, meatballs, miriwo uye nechipo soups. Very kubatsira kushandisa yakaderera-mafuta dheri zvigadzirwa. Zvinokoshawo kuti vachengete nokutonga kusabatana uye kugara kudya. Water Kudya hakusi kwokupedzisira: mumwe unofanira kunwa kanenge 1.5 litres kuti mvura mvura zuva.

dziviriro

To chirwere 12 duodenal urikanwi hachisisiri nokushushikana matambudziko uye exacerbations, unofanira kuita zvinotevera audzwa:

• kurasa tsika dzakaipa (kusvuta, kushandisa zvinodhaka, doro);
• mukanyatsochengeta murayiro kuitwa mu zvekuchipatara kudya;
• streamlined purogiramu basa uye zororo;
• kubvisa kunetseka mitoro;
• nguva kubata co-morbidities;
• kupinda kosi chokudzivirira kurapwa.