I-Duodenitis , i-gastritis kunye nezinye izifo zesistim sokutya, ukusuleleka kwintsholongwane ye-bacterium Helicobacter pylori, ukungondleki kunye nendlela yokuphila igalelo ekuvukeleni kweembrane kunye nokubonakala kweziphene ezinzulu kuzo. Ngenxa yoko, kukho isilonda se-duodenum - iimpawu ze-pathology zichanekile, ngoko ukuxilongwa akubanga kubandezeleka kwaye kuvumela unyango olufanelekileyo ngexesha elifanelekileyo.
Ziziphi iimpawu kunye neempawu zesilonda se-duodenal?
Ukuchazwa kwesifo kunesifundo se-wavy, apho amaxesha okuxolelwa athatyathwa ngokugqithisa.
Kwimeko yokuqala, izibonakaliso zeklinikhi zivame ukuba zingekho, ngakumbi xa umntu ehambelana nokutya kunye neengcebiso ze-gastroenterologist.
Ukuba isilonda siphindayo, ezi zilandelayo zibonakaliswa:
- isicefe
- ukuguquka ;
- ukubethelela ngentswelo emuncu;
- ukuguquka;
- kulala;
- ivakalelo elambile yindlala, ngokoqobo emva kweeyure ezingama-2-3 emva kokutya;
- ukulahleka kwesisindo;
- izitulo eziqhelekileyo;
- ukuqhawulwa, ukutshintshana kunye nehudo;
- umbala ophuzi ngolwimi;
- ukucaphuka;
- ixesha elidlulileyo lokunyusa (entwasahlobo, ekwindla);
- ukuphazamiseka kunye nobuthathaka.
Uphawu olukhethekileyo lwesilonda sesilonda se-duodenal isifo sesifo. Ubume kunye nobude balo kufuneka buqwalaselwe ngokwahlukileyo.
Ubuhlungu njengempawu ezithile zesilonda se-duodenum
Xa ukuxilongwa kwe-pathology, ukuchazwa kweklinikhi echazwe kunikwe ingqalelo ekhethekileyo. Iimpawu zobunzima beentlungu - ukubonakala kwayo ebusuku, malunga neeyure ezingama-2, kwaye kwimeko yokulamba, kwiiyure ezingama-2-4 nangona emva kwesidlo esikhulu ("ubusuku" kunye "nobulambile" buhlungu).
Iimvakalelo ezingathandeki zijoliswe kwintonga, kwindawo ye-epigastric okanye kwingingqi yekunene, i-hypochondrium. Ubuhlungu buyakwazi ukugqithisa kwisandla sokunene, emuva, okhalweni. Le syndrome ibonakaliswa nokubonakala kabuhlungu emva kwe-sternum, phakathi kwamagxa ehlombe, kwingingqi yentliziyo.
Kubalulekile ukuba uqaphele ukuba intlungu iphuculwe kakhulu emva kokusela iziyobisi, ukungalungi kokutya, ukuphumula okungafanelekanga kunye nokuphazamiseka kokulala.
Iimpawu zokuqhaqhaqatha okukhulu kwesilonda se-duodenal
Ukuba akukho nyathelo zonyango ezithatyathwe kwiimpawu zokuqala zesifo esikulo mbuzo, iimpembelelo kwi-mucosa ye-duodenum ziya kunzulu. Oku kunokukhokelela ekubandezelweni kwemeko jikelele, kunye nokugqithiswa kwesilonda, xa udonga lombutho lonakaliswe kwaye luyingozi. Lo mzekelo uhambelana nokuhlanza okunamandla nokuqhekezayo, okubangela ukuba kubekho ukulungelelaniswa kweentlalo.
Phakathi kweempawu zesilonda esisisigxina se-duodenum, eyona yingozi kakhulu iyaphala. Imiqondiso yalo:
- ukungcola kwegazi kwimimandla yama-fecal (ngokuqhelekileyo - amanzi);
- kwehla ngokukhawuleza kwixinzelelo lwegazi;
- ukuhlanza ngegazi elikhulu;
- ukulahlekelwa kwengqondo;
- ukwanda ngokukhawuleza kumbushushu womzimba, obonisa ukuqhubela phambili kwenkqubo yokuvuvukala.
Ukuba awuboneleli ngoncedo lwezonyango ngeli xesha, umphumo ungaba buhlungu gqitha.
Ezinye izibonakaliso zeklinikhi zokubuya kwakhona kwesilonda se-peptic ziyi-constriction ye-pylorus kunye nokungena kwangaphambili. Kule meko, i-defect yelilungu inzulu kakhulu kangangokuthi ibonakalisa kwaye kungabikho nje iimbumba ze-duodenum, kodwa iphinda ihlume kwizitho ezingamakhelwane kunye nezicubu. Iimpawu zeli meko:
- Ukukhangela okubalulekileyo kwisisu, ngokuqhelekileyo ungazibekezeleleki;
- ngokuphindaphindiweyo ukuhlanza okunomzimba, emva koko kungabi lula;
- ukuqonda okungaqhelekanga;
- ubuthathaka obunamandla;
- Ukuhlaselwa rhoqo kwesifo sohudo kunye nokukhululwa kwegazi.
Kwiimeko ezinjalo uncedo lwezonyango oluphuthumayo kwaye uncedo olungxamisekileyo luncedo, kuba isiphumo esibulalayo sokuxhatshazwa kwesilonda se-peptic.