Isifo esiswini: izimpawu, ukwelashwa, ukudla. Ukuxilongwa kanye nokuvinjelwa kwezifo isisu

Esiswini kuyinto eziyize isitho kwemisipha ukuthi wenza umsebenzi obalulekile emzimbeni ezihlobene ukugaya. Inqubo ukugaya kuyinto ngempela eziyinkimbinkimbi, ngakho yisiphi isifo isisu kanye duodenum kungathikameza kabi ekusebenzeni kwawo wonke umzimba futhi anikeze ukwehluleka sína nezinye izinhlelo. Esikhathini uchungechunge ukugaya umzimba uthatha indawo yesibili, ngesikhathi esifanayo, ibalula enzyme ethize kanye acid.

Izimbangela zezifo isisu ophambene imiphumela zangaphandle emzimbeni. Lezi zihlanganisa:

- nezimo ezicindezelayo ezithinta ukuncipha kumiswa juice esiswini;

- ukuphazamiseka kwemizwa, okungase kubangele ukuwohloka ukudla ngisho sokuzincisha;

- ukudla ezimbi, ukudla nokuhlukumeza;

- ubuthi by ezinobuthi.

Zikhona nezinye izimbangela zokugula esiswini. Izimpawu kanye nokwelashwa kuxhomeke kulokho zinhlobo fanele isifo. Ngokuvamile, izikhalazo lesiguli kuthiwa cramping, izikhathi zokudakwa kaningi isicanucanu, isilungulela ohangulayo ukuzwa emphinjeni kubangelwa amazinga aphakeme asidi esiswini.

Izifo eyinhloko esiswini

Izifo esiswini futhi duodenum cishe wonke umuntu. Sinenkosi ntshashintshe yentuthuko nobukhali. Ochwepheshe-dieticians zithi impilo esiswini kuthinta isithombe ukuphila komuntu, okuthandwa yakhe futhi imikhuba. Ezinye izifo zikhula kancane, kuyilapho abanye kwenzeka ngokuphazima kweso, ngokuphazima kweso futhi ngokushesha. Ngezinye izikhathi izimpawu zokugula esiswini ayakhula ngokushesha ukuze isiguli udinga esibhedlela ngokushesha.

Izimpawu ezinkulu zezifo esiswini zihlanganisa ubuhlungu waya engxenyeni engenhla ohlangothini lwesokudla, okuyinto kwaqina ngesikhathi sakusihlwa, noma, Ngakolunye uhlangothi, uma isiguli elambile. Ukuze uthole olunye amafomu eziyinkimbinkimbi, ubuhlungu iba ngiyaqaqanjelwa njalo ngokwemvelo nge paroxysmal Ukuvutha. Self eshubisa kuphela ukuvuvukala kunomthelela ukuthuthukiswa ezinhlobo ezinkulu nakakhulu izifo esiswini. Izimpawu, ukwelashwa uhlobo isifo ngasinye anezici yabo. Ngokwesibonelo, lapho isilonda isici sici nokubhamuka nge nephunga esidi, isikhathi kolwelwesi ngaphezulu ukubukeka nobuntu isilungulela. Ngezinye izikhathi uma kukhona isifo ukopha esiswini, futhi ukudla kungenziwa ephelezelwa kuqala ngokuzumayo ukuhlanza. Ukwelashwa kwezifo of the isisu incike kobukhulu isimo lesiguli, ubunjalo balesi sifo futhi zako emtholampilo.

kolwelwesi

Kolwelwesi ngokuthi ukuvuvukala mucosa esiswini, okuyinto kubangelwa ukuchayeka amagciwane, ukuntuleka kokudla okunomsoco, ukuba umlutha wotshwala, nokuhlukumeza nendlala indlela yokudla ehambisana nempilo (ikakhulukazi sandwich Ungadla kanye ukudla oku izabelo ezomile), izinongo kanye ukudla okubabayo. Okuvame kakhulu kule isifo izimpawu isisu (izimpawu kolwelwesi nokwelashwa zincike izimbangela ke) abe ezingeni eliphakeme asidi, isilungulela, ubuhlungu emphinjeni lapho uvuleka. Ngaphezu izimpawu kolwelwesi futhi ahlobene wamathumbu nkinga: ukuqunjelwa noma, Ngakolunye uhlangothi, isifo sohudo. Uma imbangela kolwelwesi amabhaktheriya esifo, iqhubeka ngokushesha ngempela, imakwe ukuguguleka nokubhujiswa ezindongeni imisipha esiswini.

Ngaphezu kwalokho, imbangela kungase kube acute inqubo sokuhlasela kwamasosha omzimba, lapho umzimba ubona isisu ayo njengoba into alien. Amasosha Omzimba ezivezwa umzimba, qala ukuhlasela futhi adle nezindonga zayo nolwelwesi lwamafinyila. Phakathi ekwelapheni lesi sifo kubalulekile ukuthatha imithi kuphela ngemva kokudla, lapho zibe juice esiswini. Kulokhu, isiguli ngempela Ukudla esiwabelwe isilonda esiswini, okwenza kungabi ngokuphelele ukuphuza utshwala, okubabayo, ukudla okubabayo nokudla okunamafutha. Ukuxilonga Kwenziwa esebenzisa Endoscopy.

Esiswini: izimpawu, ukwelashwa

Ukubhujiswa odongeni esiswini kuholela peptic isilonda isifo, esibonakala by kakhudlwana isizukulwane lemali futhi Bile acid. Izilonda kungenzeka eyodwa noma amaningi. Izimbangela zesifo kukhona izici ezilandelayo:

- ukudla okungalungile (Ungadla ukudla abandayo, ukungabi ekudleni kwabo izifundo lokuqala);

- utshwala, ukubhema;

- imithi ethile;

- ukucindezeleka, izinkinga ezingokomzwelo,

- ukuhlukumeza yomsebenzi kanye nokuphumula.

Uphawu oyinhloko webhayisikobho ethile isilonda peptic isisu kuyinto burping elinobudlova nephunga isici omuncu. Ezinye izimpawu zihlanganisa ukucanuzela kwenhliziyo, ubuhlungu e waya engxenyeni engenhla, ukungakuthandi ukudla ezinqala kwesisindo. Izinkinga of isilonda esiswini basengozini ngoba ukopha esiswini, perforation noma Ukungena esiswini, kanye nokuthuthukiswa stenosis pyloric. Ukwelashelwa peptic isilonda isifo kanye nezinkinga zayo ngokuyinhloko eyenziwa surgically.

Izinkinga of peptic isilonda isifo

ukwelashwa kwesikhathi noma ukungadli izilonda kungaholela abanye yezinkinga yalesi sifo. Isifanekiso esivame kakhulu eshiwo ngenhla - perforation, Ukungena, ukopha futhi stenosis pyloric.

Isilonda ukopha libhekene ukuhlanza olunegazi futhi igazi kuso. Uma isilonda itholakala ngenhla Treitz umsipha, isiguli ngokuvamile ukuhlanza zenzeka uma ephansi, emnyama (olunegazi) indle. Kulokhu, i-hemoglobin lesiguli ngokushesha kuncipha. Usizo lokuqala ekhaya kuhilela lavage esiswini ngamanzi abandayo kanye okunamathiselwe ku-imeyili iphakethe isisu nge ice. ukwelashwa izidakamizwa kuhlanganisa nokusetshenziswa H2-blocker, izidakamizwa "Novocaine" futhi 'crank "fibrinogen ketshezi, kusho" Secretin "neminye imithi. ukuhlinzwa wenziwa ezimweni ezinzima.

Perforation of isilonda isisu kuyinto isimo esibucayi. Izimpawu zihlanganisa ezinzima ubuhlungu "angababulali" uhlamvu, imisipha ukungezwani anterior udonga besisu, bradycardia, epigastric, isikhumba ugodo, a syndrome omuhle Shchetkina-Blumberg. amahora 5-8 emva isifo perforation esiswini ungathola uhlobo oluthile yezinkinga - peritonitis (ukuvuvukala peritoneum). Izimfanelo isimo lesiguli zihlanganisa thready ishayela ngokushesha, hypotension, ileus ashukumisayo, imfiva, futhi leukocytosis. izimpawu kwesikhathi ungeze ukubuyisa, nokugcinwa umchamo, sezinyawo, ngezikhathi ezithile uhlanze. indlela laparoscopy ingasetshenziswa for ekwelapheni isilonda perforated.

Penetration - isici ukubhebhetheka izilonda esiswini enyameni ezungezile. Kulokhu, kukhona izigaba eziningana lokhu inkinga ka isilonda esiswini:

- necrosis ngokusebenzisa zonke zamatshe umzimba nomgodi izilonda duodenal;

- Fusion fibrous nge eseduze esiswini noma imigwamanda duodenum;

- Ukungena izilonda emisipheni izitho ezizungezile.

Imiphumela yaloku kuhlola okungenhla Kwenziwa-X-ray noma endoscope, okuyinto ejwayelekile nganoma yisiphi isifo esiswini. Izimpawu kanye nokwelashwa kuhlobene. Isithombe emitholampilo okubangelwa ubuhlungu obukhulu unomphela nemvelo, isicanucanu nokuhlanza, bathambekele uqinise. Izimpawu ukuvuvukala futhi ebonakalayo: izinga eliphezulu ESR, leukocytosis, ongaphakeme-ebangeni imfiva. Ukwelashwa ngokuvamile kuhlinzwa.

Ngaphansi stenosis pyloric ekubonile kwasendaweni ulcer duodenum futhi umsele pyloric. Ukwephulwa sezwe sahlanganisa ukuvuvukala spasm we pylorus. inkinga enjalo iyisifo okunzima esiswini. Izimpawu, ukwelapha lolu hlobo izifo isilonda kuzoya ngokuthi nqubo yansukuzonke. Ngezinye lokubuya kwesifo isiguli has a umuzwa okuncane kule epigastric esifundeni, isicanucanu, ukuhlanza, ukuquleka, ezinqala kwesisindo. Ukwelashwa kulokhu njalo ukuhlinzwa wedwa.

adenocarcinoma esiswini, noma umdlavuza yezindlala

Adenocarcinoma zokwelapha kuvamile. Ngokuvamile, isimila itholakala ku antrum noma isisu pyloric. Imbangela ezivame kakhulu lesi sifo ukusetshenziswa ngokweqile ukudla nge wokuqukethwe lelisetulu nitrite.

Early ngesikhathi adenocarcinoma Yiqiniso wabonakaliswa isicanucanu, ukusinda esiswini, ukungabi ukudla okusheshayo kwesisindo, wamathumbu sifo. Ngokushesha ngemva kokuthatha esincane ukudla isiguli has a umuzwa okuncane esikhundleni plexus elanga, okhombisa khona izimila intramural. Lapho umnyango Oncology kukhona ukwehluleka eliyisisekelo alandele ukudla duodenum, okuyinto kuhambisana ukuhlanza. omdlavuza kungelashwa ephelezelwa ubuhlungu esifundeni epigastric, isimila kwamazinyo ukopha zangaphakathi kwenzeka, okuyinto Kutsho khona igazi e sezinyawo, ngiphalaza igazi. Ukwelashwa nokuvikelwa oncological izifo esiswini imvelo wenziwa surgically ngokuphelele (resection esiswini Imininingwane) kanye subtotal (resection noma ingxenye yalo).

bulbit isisu

ubuhlungu esiswini njalo ibonisa iyiphi egunjini lokuhlolwa kwezifo. Ukuzizwa wento enesisindo, isilungulela, isicanucanu kubhekwe izimpawu kolwelwesi. Ngokuvamile, isiguli kuthatha nemithi yakhe siqu, okuyinto "kuyidambise" izimpawu kodwa awayilaphi kwesifo ngokwaso. Okubi kakhulu of kolwelwesi sifinyelele duodenum, futhi ubizwa ngokuthi bulbit.

Bulba kuyinto catarrhal futhi erosive futhi ezihlukahlukene Izifo ukuvuvukala isisu. Izimpawu, ukwelapha lesi sifo ngokuphindaphindiwe echazwe izincwadi. Lesi sifo kuhambisana isicanucanu, ukuhlanza, ubuhlungu obukhulu, umuzwa umunyu umlomo. Ubuhlungu amanga zifane iziqephu pancreatitis.

Susa usizo ubuhlungu imithi, antacids ezifana "Gastal", "Almagel A". Ziyakwazi zokuyithena umphumela ebhubhisayo acid ukhiphe futhi Bile, futhi indlela eyinhloko kwelashwa yokudla isilonda esiswini. Ngesikhathi exacerbation lesi sifo kufanele ngokushesha ayeke ukuthatha zonke izidakamizwa, ukuyeka ukubhema, ikhofi kanye notshwala. Ukuzila akuvunyelwe nakancane, ukuhlukumeza ukudla kwesisindo futhi edonsa Izithako zokudla.

ukuguguleka esiswini

Ekusebenzeni kahle umzimba imvelo esiswini kubaluleke kakhulu. Kodwa yiso kanye nemvelo futhi amakhemikhali ukwakheka kwalo kuyinto uvuka indlobane ngesikhathi ukwehluleka kancane emzimbeni, libanga umonakalo zempilo. Umsebenzi oyinhloko we-juice esiswini kuyinto wokuqhekeka kanye ukugaya ukudla, izinga, ngeshwa, ngokuvamile ishiya okuningi ukuba wayefisa. Ngenxa ukuxhumana okunjalo ngokuvamile kwenzeka ukucasuka we mucosa esiswini kanye avele erosions eyodwa noma amaningi noma izilonda.

Izizathu ukuvela ukuguguleka zihlanganisa izici ezilandelayo ezimbi:

- ukudla ezimbi okungajwayelekile;

- izifo ze-isisu;

- iziyaluyalu sezinzwa, ukucindezeleka nokunye.

Izifo ezihlala zihlukaniswe amaqembu amathathu:

- ukuguguleka Primary;

- ukuguguleka Secondary;

- Oncology.

Ngakho-ke kungaba kokubili ifomu oyingozi futhi ezingalapheki lesi sifo. Symptomatology of ukuguguleka esivamile zonke izifo ze-isisu, kodwa ingozi ephezulu kakhulu isilonda peptic iyaguquka wakhe. Ukwelashwa nokuvikelwa izenzakalo erosive kuthatha isikhathi futhi kuxhomeke ezicini eziningi ezahlukene. Ikhumbula lesi sifo, imbangela eyinhloko isifo nokunye. Ukwelapha umuntu ngemithi elwa namagciwane kuyinto ayizwakali lapho ukuguguleka esiswini kanye sisetshenziswa kuphela uma sifo sibangelwa ukutheleleka. yokwelapha izidakamizwa is ngempela isekelwa Ukudla okuqinile, ikakhulukazi lapho esiswini libuhlungu. Izifo, izimpawu izimpawu isicanucanu nokuhlanza is hhayi Kunconywa ukuba aphathwe ngemithi, njengoba abanye babo okudiliza ngisho avuvukele ngaphezulu isitho udonga.

carcinoma esiswini

carcinoma esiswini kuyinto umdlavuza ephakama kusukela izici eziningi ingqondo. Engozini iziguli besilisa ngokuvamile kuhlanganisa iminyaka engu-40 nge umlando polyp esiswini, isilonda peptic no kolwelwesi ezingamahlalakhona. Avuse sifo abahlukumeza imikhiqizo carcinogens, kanye utshwala nokubhema. Ngokweqile usawoti ukusetshenziswa futhi abangele ukuvuvukala zokucabanga okubangelwa isifo nolwelwesi lwamafinyila. Lokunye lokubaluleke ngalokulinganako iyisici sitholwa njengefa.

Izimpawu aqukethe carcinoma endaweni ukukhathala nesineke, ukucobeka, ukuntula isifiso ukuya imikhiqizo ethile. Le ndoda ngokushesha ikhula nomzimba omncane, buthaka, it is njalo bahlushwe ukusinda esiswini, kukhona ukuhlanza indlu yaso ngokuzumayo. Igazi test imibukiso anda leukocytosis, okuqukethwe myeloblasts futhi myelocytes. Isetshenziselwa sitholakele x-ray, ultrasound scan biopsy isisu. Ukwelashwa Kwenziwa yezokwelapha futhi kuhlinzwa. imithi okulondoloza kuhilela ukusetshenziswa analgesics futhi antiemetics, amavithamini kanye anti-isimila ejenti.

Ukuvimbela isilonda peptic isisu yalolu hlobo okuyisihloko Ukudla, kugwenywe ukucindezeleka futhi ukushaqeka sezinzwa, bazilahla eliphansi imikhiqizo utshwala, ukubhema kanye nezinye imikhuba emibi.

I bakwazi yokuphathwa kazwelonke ka isilonda peptic

Abantu abaningi besaba izinqubo kuhlinzwa lapho banayo ukuqaqamba esiswini. Izifo, izimpawu okuxoxwe ngazo ngenhla, zingelashwa by izindlela imithi yolunye uhlobo. Engeziwe okwelapha, akhethiwe kanye udokotela ukuba khona, isiguli kungase kudambise isimo lingaze kanye nokuncipha ukuvuvukala ulwelwesi lwamafinyila. Ngeshwa, ngosizo okwelapha zingaba wahlulwa, akuzona zonke izifo ze-isisu. Izimpawu kanye nokwelashwa amakhambi Folk of yisiphi isifo kubalulekile ukuxoxa nodokotela wakho, ngoba ukwelashwa ngezinye izikhathi ezinjalo kungenzeka kuphela engenangqondo, kodwa futhi kungaba ngokuphawulekayo ukulimaza isiguli. Ngokwesibonelo, umdlavuza, kanye perforation, peritonitis, perforation nezinye izinhlobo sina ezidinga ukuthi kungenelelwe ngokushesha kuhlinzwa. Noma yimuphi operation ngokulibala okusongelayo Abashona nesineke.

Ezinye izinhlobo izilonda esiswini, izimpawu, ekwelapheni amakhambi abantu ukuxoxa nodokotela wakho, kungase ukuhoxisa isicelo kwamakhambi ezihlukahlukene amakhambi. Ithuluzi elihle iyona tincture Aconite impande, celandine, calendula izimbali kanye namazambane. Iziphungo strawberry, ezinoshukela, corn stigmas kusize ekunciphiseni ukuvuvukala. Isiguli ngasinye Welashwa nge amakhambi abantu akhethiwe ngamunye.

Ukuvimbela peptic isilonda isifo

Ukuvimbela isifo esiswini kuyingxenye ebalulekile yenqubo ukwelashwa. Isiguli kumele ukudla ngendlela efanele, ukugwema okunosawoti, okubabayo, namakha, ngokuphelele ukuyeka ikhofi, utshwala, ukubhema. Ukuze ulawule ngezimpawu zesifo, kanye ukuvimbela nesenzakalo yabo, kufanele udle njalo, izingxenye ezincane. Ukungadli ngezikhathi zokudla kuyinto engathandeki kakhulu, kodwa ukudla okusongelayo izinqubo ukuvuvukala. Awukwazi ukugwinya ukudla ezinkulu, nezixhobo kahle baba imilutha ye.

Ukwelashwa kwezifo of the isisu liyinkimbinkimbi futhi ingozi yezinkinga ezihlukahlukene. Ngakho-ke kungcono ukuba banakekele impilo yabo futhi igweme izinkinga ezinjalo. Ukuvimbela isilonda esiswini kuhlanganisa nezenzo elula. Kufanele uzame ukugwema ezihlukahlukene ezimweni ezicindezelayo, kutilolonga amasu ukuphumula, ukuzindla, bagcine umbuso yomsebenzi kanye nokuphumula. Okubalulekile kuyinto ukulolonga umzimba. umsebenzi Simple isiza ukugcina imisipha toned.