I-duodenum iyisitho sohlelo lokugaya ukudla, okuyinto engxenyeni yokuqala yamathumbu amancane, lapho kutholakala khona amagatsha wesibindi nesibindi segatsha. Ihlanganisa ijusi lwamathumbu emathunjini, ehlanganisa ama-enzyme namahomoni ahilelekile ekugayeni, ihlinzekela ukuqhubeka kokudla okungenayo ukuze kuqhutshwe izingxenye zamathumbu.
Kungani i-duodenal ulcer ikhula?
I-Duodenal ulcer yisifo esingelapheki lapho izilonda ezinokukhubazeka ezijulile zakhiwa ezindongeni zomzimba, ezingathinti izicubu zomzimba kuphela, kodwa futhi ezijulile (imisipha, iserosi). Izimbangela eziyinhloko zokwehla kwesilonda yizi:
- Umphumela we-hydrochloric acid we-juice esiswini nge-acidity eyandayo, okwenza izinqubo zokuvuvukala (ezingabangelwa ukungondleki, imikhuba eyingozi, ukucindezeleka, ukuguquka kwezakhi zofuzo).
- Ukutheleleka nge-bacterium Helicobacter pylori, ngenxa yalokho izindonga zamathumbu zonakaliswe.
- Ukusetshenziswa okungalawulwa kwemithi ethile.
Izimpawu zesilonda se-duodenal kubantu abadala
Ngaphambi kokucubungula ukuthi yiziphi izimpawu zezilonda ze-duodenal ezivela ezigulini eziningi, kufanele kuqaphele ukuthi lesi sifo sibonakala inkambo ephindaphindiwe. Yebo. ngesikhathi sesifo, ungahlukanisa izinkathi zokukhuphula nokukhululwa ("ukuxolelwa"). Futhi kaningi, ukucindezeleka kwenzeka ekwindla noma entwasahlobo, futhi ngemva kwenkathi yokubonakaliswa okumangalisayo, ukukhwehlela okuzenzekelayo kungenzeka. Izimpawu zokuqala zesilonda se-duodenal angeke zivelele, ngakho-ke lesi sifo sivame ukutholakala ngezigaba kamuva.
Izimpawu eziyinhloko nezibonakaliso zezilonda ze-duodenal yizi:
1. Ubuhlungu - ngokuvamile bunomlingiswa wokubhoboza, wokusika. Ubuhlungu bendawo ngaphakathi kwesifunda se-epigastric, kodwa banganikeza ngemuva, ku-hypochondrium ngakwesokudla. Ziyabonakala ngemuva kwamahora angu-1-2 emva kokudla futhi zihlotshaniswa nokuchayeka kwindonga zamathumbu ezivuthayo zokuqukethwe kwesisu esishubile. Ngokuvamile kunezinhlungu ebusuku, ezichazwa ukukhiqizwa kwe-hydrochloric acid emva kokudla. Futhi, ubuhlungu buyakwazi ukuphawula ngenkathi kulambile, futhi kuyanyamalala ngisho nangemva kokudla okulula.
Ukuphazamiseka kwe-Dyspeptic - kuhlotshaniswa nokwanda kwe-asidi nokuphazanyiswa kwezinqubo zokugaya ukudla. Lokhu kufaka:
- i-heartburn;
- ukuqhutshwa;
- ukuvula;
- ukudumaza esiswini ;
- isicasuli;
- ukuhlanza;
- flatulence ;
- ukuqotshwa noma isifo sohudo.
Ukuhlanza kwegazi, ukubukeka kwesitembu esimnyama - lezi zimpawu zibonisa izilonda eziphaphayo, ezihambisana nokubhujiswa kwezindonga zegazi. Izimpawu ezinjalo zimbi kakhulu futhi zidinga ukwelashwa okuphuthumayo.
4. Kulamba njalo, ukugcwalisa okuphelele.
5. Uphukile, ukhathele, ucasulwa.
6. Ukungabi nesidlo - kubonakala ubuhlungu obude obude.
7. Pallor, ukulahlekelwa isisindo.
Izimpawu ze-perforation yesilonda se-duodenal
I-perforation ye-duodenal ulcer iyinkimbinkimbi eyingozi kunazo zonke zesifo esihlala isikhathi eside. Kulokhu, umgodi ovulekayo ungena emgodini wesisu lapho okuqukethwe ngaphakathi kwesisu nangamathumbu kungena khona, okubangela izinqubo zokuvuvukala ku-peritoneum. Ngesikhathi esifanayo, ukuphuma kwangaphakathi kungenzeka. Thola ukuthi ukuphikisana kwezibonakaliso ezinjalo:
- ukubonakala kwesibindi esibukhali, esibuhlungu esiswini;
- i-blanching yesikhumba;
- ukuvuthwa komkhuhlane, ukujuluka okunamathela;
- ukunciphisa ukucindezelwa kwegazi;
- ukuphefumula okungajulile.