I-Duodenitis , i-gastritis nezinye izifo zesimiso sokugaya ukudla, ukutheleleka nge-bacterium Helicobacter pylori, ukungondleki kanye nendlela yokuphila kubangela ukuvuvukala kwamangqamuzana amancane nokubonakala kweziphene ezijulile kuzo. Ngenxa yalokho, kukhona isilonda se-duodenum - izimpawu ze-pathology zicacile, ngakho-ke ukuxilongwa akubangeli ubunzima futhi kuvumela ukwelashwa okufike ngesikhathi.
Ziyini izimpawu nezibonakaliso zesilonda se-duodenal?
Isifo esichazweyo sinenkambo ye-wavy, lapho izinkathi zokukhishwa zishintshwa khona yizimo eziphuthumayo.
Esikhathini sokuqala, ukubonakaliswa kwemitholampilo kuvame ukungabikho, ikakhulukazi uma umuntu ehambisana nokudla kanye nezincomo ze-gastroenterologist.
Uma i-ulcer ibuya, lezi zimpawu zilandelayo:
- isicasuli;
- i-heartburn ;
- ukubethelela ngomuncu omuncu;
- flatulence;
- ukulala;
- umuzwa olambile wendlala, ngokoqobo emva kwamahora amabili emva kokudla;
- ukulahlekelwa kwesisindo;
- izihlalo eziningi;
- ukuqotshwa, ukushintshaniswa nesifo sohudo;
- ukumboza okuphuzi ngolimi;
- ukucasula;
- Isikhathi sokweqile (entwasahlobo, ekwindla);
- ukukhathazeka nokubuthakathaka.
Isibonakaliso esikhethekile sesilonda se-duodenal ulcer yisifo sobuhlungu. Imvelo nobude bayo kufanele kubhekwe ngokwahlukana.
Ubuhlungu njengesimpawu esithile sesilonda se-duodenum
Lapho kutholakala ukukhubazeka, ukubonakaliswa komtholampilo okuchazwe kunikezwa ukunakwa okukhethekile. Izici zesimo se-syndrome yobuhlungu - ukubonakala kwawo ebusuku, cishe amahora amabili, nasesimweni sokulamba, emahoreni angu-2-4 ngisho nangemva kokudla okunamandla (ubuhlungu "obusuku" no "bulambile").
Izinzwa ezingathandeki zigxile kwinkaba, indawo ye-epigastric noma esifundeni sokunene, i-hypochondrium. Ubuhlungu bungangena emlonyeni wesokudla, emuva, okhalweni. Le syndrome nayo ibonakala ngokungahambi kahle ngemuva kwe-sternum, phakathi kwama-shoulder blade, esifundeni senhliziyo.
Kufanele kuqaphele ukuthi ubuhlungu buyathuthukiswa kakhulu emva kokuphuza utshwala, ukungalungi ekudleni, ngokuphumula okunganele kanye nokuphazamiseka kokulala.
Izimpawu zokwehla okukhulu kwesilonda se-duodenal
Uma kungekho izinyathelo zokwelapha ezithathwe ezibonisweni zokuqala zesifo esibuzwayo, amaphutha embukheni we-duodenum azojuliswa. Lokhu kungabangela ukuwohloka kwesimo esijwayelekile, kanye ne-perforation ye-ulcer, lapho udonga lombutho lonakalisiwe futhi luyingozi. Lesi simo sihambisana nokuhlanza okuqinile futhi okunamandla, okwenza kube nokujwayelekile kokuphila kahle.
Phakathi kwezimpawu zesilonda esisongelayo se-duodenum, okuyingozi kakhulu ukuphuma. Izimpawu zalo:
- ukungcola kwegazi emasimini ama-fecal (ngokuvamile - oketshezi);
- ukwehla ngokushesha kwegazi;
- ukuhlanza ngegazi elikhulu;
- ukulahlekelwa kokuqonda;
- ukwanda okusheshayo ekushiseni komzimba, okubonisa ukuqhubeka kwenqubo yokuvuvukala.
Uma ungahlinzeki usizo lwezokwelapha phakathi nalesi sikhathi, umphumela ungadabukisa kakhulu.
Okunye ukubonakaliswa kwemitholampilo okuphindaphindiwe kwe-ulcer peptic kuyi-constriction ye-pylorus kanye nokungena okulandelayo. Kulesi simo, isici segciwane sijulile kangangokuthi lilimaza futhi hhayi ngezingqimba zomzimba we-duodenum kuphela, kodwa futhi lihluma ezingxenyeni nasezingxenyeni ezingomakhelwane. Izimpawu zalesi simo:
- Ukugxuma esithombeni esiswini, ngokuvamile kungenakulinganiswa;
- ukuhlanza okuphindaphindiwe, emva kwalokho kungabi lula;
- ukuqaphela okungenangqondo, ukungabi nalutho kungenzeka;
- ubuthakathaka obuqinile bemisipha;
- ukuhlaselwa njalo kwesifo sohudo nokukhululwa kwegazi.
Ezimweni ezinjalo usizo lwezokwelapha oluphuthumayo kanye nokungenelela okuhlinzekwayo kuyadingeka, ngoba kungenzeka ukuthi umphumela obulalayo wokukhushulwa kwezilonda zesilonda.