Leodenum ndi chiwalo cha m'mimba, chomwe chiri chigawo choyamba cha m'matumbo aang'ono, momwe mazira a chiwindi ndi kapangidwe amagwiritsa ntchito. Amaphika m'mimba yamadzi, opangidwa ndi mavitamini ndi mahomoni omwe amagwira ntchito mu chimbudzi, amathandiza kuti chakudya cham'tsogolo chitulukire m'mimba.
Nchifukwa chiyani chilonda cha duodenal chikuyamba?
Duodenal chilonda ndi matenda aakulu omwe amataya zilonda zam'mimba mokwanira pamakoma a thupi, osakhudzidwa ndi matenda a mucous okha, komanso kwambiri (minofu, serosa). Zomwe zimayambitsa zilonda ndi:
- Zotsatira za hydrochloric acid ya chapamimba madzi ndi kuchuluka kwa acidity, zomwe zimachititsa kutupa njira (zomwe zingakhale chifukwa cha kusowa kwa zakudya m'thupi, zizoloŵezi zovulaza, kupanikizika, chibadwa).
- Kutenga ndi bakiteriya Helicobacter pylori, chifukwa cha matumbo makoma akuwonongeka.
- Kugwiritsa ntchito mankhwala osadziletsa.
Zizindikiro za zilonda zamphongo zachilendo pakati pa akuluakulu
Musanayambe kuganizira zomwe zizindikiro za zilonda za duodenal zikuwoneka mwa odwala ambiri, tiyenera kudziwa kuti matendawa amapezeka mobwerezabwereza. I. mu nthawi ya matendawa, mukhoza kusiyanitsa nthawi ya kuchulukitsana ndi kukhululukidwa ("chikhululuko"). Ndipo kaŵirikaŵiri, kuwonjezeka kumachitika mu kugwa kapena kumapeto, ndipo patapita nthawi zowonetsera zovuta, zimangowonjezereka. Zizindikiro zoyamba za chilonda cha duodenal sizingakhale zazikulu, kotero kuti nthawi zambiri matendawa amapezeka pamasitepe.
Zizindikiro zazikulu ndi zizindikiro za zilonda za duodenal ndi:
1. Kupweteka - nthawi zambiri kumakhala kupundula, kudzicheka. Kumva kupwetekedwa m'madera omwe ali m'dera la epigastric, koma akhoza kupereka kumbuyo, mu hypochondrium kumanja. Iwo amadziwika pambuyo pa maola 1-2 mutatha kudya ndipo akugwirizanitsidwa ndi kutsekemera kwa makoma a matumbo omwe amapezeka m'mimba. Kaŵirikaŵiri pamakhala ululu usiku, zomwe zimafotokozedwa ndi kuchulukitsidwa kwa kupanga hydrochloric acid pambuyo chakudya. Ndiponso, kupweteka kumatha kudziwika panthawi ya njala, ndipo zimatha ngakhale atakhala ndi chotupitsa.
2. Matenda opatsirana - amadziwika ndi kuchuluka kwa acidity ndi kusokonezeka kwa chakudya chakumbudzi. Izi zikuphatikizapo:
- kupweteka;
- mphunzitsi;
- kukhetsa;
- kudumpha m'mimba ;
- chisokonezo;
- kusanza;
- kukondwa ;
- kudzimbidwa kapena kutsekula m'mimba.
Kutha kusanza, mawonekedwe a choda chakuda - zizindikirozi zimasonyeza kupha magazi, zomwe zikugwirizana ndi kuwonongedwa kwa makoma a mitsempha. Zizindikiro zoterezi ndizofunikira kwambiri ndipo zimafuna chithandizo chamankhwala mwamsanga.
4. Njala yowonjezereka, kukhuta kosakwanira.
5. Wosweka, wotopa, wokwiya.
6. Kusowa kwa njala - kumawoneka ndi ululu waukulu wautali.
7. Pallor, kutaya thupi.
Zizindikiro za perforation ya duodenal chilonda
Kupweteka kwa chilonda cha duodenal ndi vuto loopsa kwambiri la matenda osatha. Pankhani imeneyi, chimbudzi chimatsegulira m'mimba momwe mkati mwake muli m'mimba ndi m'matumbo, zomwe zimayambitsa zotupa mu peritoneum. Pa nthawi yomweyi, kutuluka m'magazi kumatha. Dziwani zovuta za zizindikiro zotere:
- maonekedwe a chiwombankhanga chakuthwa mwadzidzidzi, m'mimba;
- blanching khungu;
- kusungunuka kwa kuzizira, thukuta lokhazikika;
- kuchepetsa kuthamanga kwa magazi;
- kupuma pang'ono.