ʻO ke koa liʻiliʻi o ko mākou kino: E aʻo kākou i nā mea āpau e pili ana i ka duodenum!

Ua noʻonoʻo paha ʻoe pehea e hāʻawi ai ka meaʻai a mākou e ʻai ai i ka ikehu a me ka hānai i ko mākou kino? He huakaʻi paʻakikī a kupaianaha kēia e hana ʻia ana i loko o ko mākou kino. No laila, aia kahi ʻāpana liʻiliʻi akā ikaika loa e pāʻani ana i kahi kuleana koʻikoʻi loa i kēia huakaʻi, akā ʻaʻole mākou e kamaʻilio nui e pili ana i kekahi manawa. ʻO ia ka duodenum . I ka ʻōlelo maʻalahi, ʻo ia ka ʻāpana mua o ko mākou ʻōpū liʻiliʻi. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia mea hana leo ʻole o kā mākou ʻōnaehana hoʻoheheʻe.

He aha ka hana nui o ka duodenum?

E noʻonoʻo i ka duodenum ma ke ʻano he hui nui a koʻikoʻi hoʻi ma ke kaulahao meaʻai. ʻO ia kahi mua e hui ai ka meaʻai mai ka ʻōpū. ʻEkolu mau hana nui e hana ʻia ma ʻaneʻi:

1. Hoʻemi i ka ʻakika o ka meaʻai e puka mai ana mai ka ʻōpū:

Ke komo ka meaʻai a kākou e ʻai ai i loko o ka ʻōpū, hui pū ia me nā wai ʻakika ma laila, wāwahi iā ia, a lilo i porridge wai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'chyme' . He ʻakika loa kēia 'chyme'. No laila, inā hele pololei ia i ke koena o ka ʻōpū liʻiliʻi, hiki ke hōʻino ʻia. Hoʻokuʻu ka duodenum i kahi hormone i kapa ʻia ʻo 'secretin' . Hele kēia hormone a hōʻailona i kā mākou pancreas e hoʻokuʻu i kahi enzyme i kapa ʻia ʻo 'bicarbonate' . E like me ka hoʻoheheʻe ʻana i kahi mea ʻakika me ka wai, hele mai kēia bicarbonate a hoʻemi i ka ʻakika o kēlā 'chyme' ʻakika loa i kahi pae hiki ke ʻae ʻia. ʻAʻole kēia e pale wale i ko mākou ʻōpū liʻiliʻi, akā kōkua pū kekahi iā ia e omo pono i nā meaʻai.

2. ʻO ka hoʻololi ʻana o ka 'chyme' i nā meaʻai e hiki ke omo ʻia e ke kino:

Hoʻokuʻu ka duodenum i kahi hormone koʻikoʻi ʻē aʻe, ʻo cholecystokinin (CCK) . Hoʻoulu kēia hormone i ko mākou ake, gallbladder, a me ka pancreas e hoʻouna i ko lākou wai hoʻoheheʻe i loko o ka duodenum.

• ʻO ka Bile, ka mea e puka mai ana mai ke akepaʻa a me ka gallbladder, kōkua i ka wāwahi ʻana i nā momona.
• Hoʻopau pū ka enzyme 'lipase' mai ka pancreas i nā momona. Hoʻopau ka enzyme 'amylase' i nā kalapona, a hoʻopau ka enzyme 'protease' i nā protein.

ʻO nā meaola i wili maikaʻi ʻia ma kēia ʻano e komo i loko o ko kākou koko.

3. Ke hoʻokuke nei i ka meaʻai i ʻeli ʻia i mua:

Hoʻokuke ʻia nā ʻāpana meaʻai a me nā ʻōpala i omo ʻole ʻia mai ka duodenum i loko o ka ʻāpana aʻe o ka ʻōpū liʻiliʻi, ʻo ia hoʻi ka jejunum. Hana ʻia kēia no ka mea e ʻaelike a hoʻomaha nā ʻiʻo i loko o nā paia o ka duodenum. ʻO kēia kaʻina hana e like me ka nalu e hoʻoneʻe ai i ka meaʻai i mua ua kapa ʻia ʻo peristalsis .

Pehea ka nui o ka duodenum? A ma hea ia e kū nei?

ʻO ka duodenum ka ʻāpana pōkole loa o nā ʻāpana ʻekolu o ko kākou ʻōpū liʻiliʻi (duodenum, jejunum, ileum). He ʻaneʻane 10 ʻīniha ka lōʻihi.– He emi iki kēlā ma mua o ka wāwae ma luna o ka lula. ʻO ka mea hoihoi, ʻo ka huaʻōlelo Latina "duodenum" ʻo ia hoʻi "12 mau manamana lima." ʻO ia hoʻi, i ka wā ma mua, ua ana ʻia kona lōʻihi ma ka manaʻo ʻana ua like ia me ka laulā o 12 mau manamana lima i kau ʻia ma ka ʻaoʻao.

E noʻonoʻo, inā e hohola mākou i ko mākou ʻōpū liʻiliʻi holoʻokoʻa, he 22 kapuaʻi ka lōʻihi! ʻO ia ka lōʻihi o kahi kahua tennis. Eia naʻe, ʻo ka duodenum, kahi ʻāpana liʻiliʻi o kēia lōʻihi holoʻokoʻa, ma kahi o 10 ʻīniha, kahi e loaʻa ai ka omo nui ʻana o nā meaʻai.

Aia ka duodenum ma lalo o ko kākou ʻōpū. Piʻo ia ma ke ʻano o ka leka Pelekane 'C', a i ʻole ka lio holo lio, i ka ʻākau, hope, lalo, a laila i ka hema. Aia ke poʻo o ka pancreas ma loko pono o kēia piʻo ʻano 'C'.

He aha nā ʻāpana nui o ka duodenum?

ʻEhā mau ʻāpana nui o ka duodenum, i kapa ʻia no ko lākou wahi a me ke ʻano.

1. ʻĀpana kiʻekiʻe: ʻO kēia ka ʻāpana ma luna e pili ana i ka ʻōpū. He ʻelua ʻīniha ka lōʻihi. ʻO ka wahi e pili pono ana i ka pylorus, ka valve e hoʻokuʻu ai i ka meaʻai mai loko mai o ka ʻōpū, ua kapa ʻia hoʻi ʻo ka duodenal bulb. ʻO kēia kahi e hana pinepine ai nā ʻōpū ma ka ʻōpū liʻiliʻi, no ka mea, ʻo ka waikawa o ka ʻōpū ka mea e paʻi pinepine ai iā ia.

2. ʻĀpana iho: E like me ka inoa e hōʻike nei, ʻo kēia ka ʻāpana 'C' e iho ana i lalo. He ʻehā ʻīniha ka lōʻihi. Hoʻopili ʻia kēia ʻāpana i ka pancreas, ka gallbladder, a me ke akepaʻa ma o nā ducts e lawe ana i ko lākou wai.

3. ʻĀpana pālahalaha (lalo): He ʻāpana 4 ʻīniha ka lōʻihi o kēia. Hoʻolōʻihi ia mai ka ʻākau a i ka hema. Hele kēia ʻāpana ma luna o ka aorta a me ka vena cava lalo, ʻo ia nā kīʻaha koko nui i loko o ko mākou kino.

4. ʻĀpana piʻi: ʻO kēia ka ʻāpana liʻiliʻi loa o ka duodenum, ʻoi aku ka liʻiliʻi ma mua o hoʻokahi ʻīniha ka lōʻihi. Piʻi iki ia i luna a pili i ka jejunum.

He aha nā ʻano papa o nā ʻiʻo i hana ʻia o ka duodenum?

E like me ke koena o ko kākou ʻōnaehana hoʻoheheʻe (GI tract), ua hana ʻia ka duodenum me ʻehā papa nui o nā ʻiʻo. Mai ka papa o loko a i ka papa o waho, penei:

1. Mucosa: ʻO kēia ka papa o loko loa. Loaʻa iā ia nā glands a me nā ʻōpuʻu liʻiliʻi e like me ka manamana lima i kapa ʻia ʻo 'microvilli' . Hoʻonui nui kēia mau microvilli i ka ʻili o ka duodenum, e ʻae ana iā ia e omo i nā meaʻai hou aʻe ma mua o ka pālahalaha.

2. Submucosa: Aia i loko o kēia papa nā kīʻaha koko a me nā ʻiʻo hoʻohui. ʻOi aku ka nui, loaʻa nā kelepa Brunner ma kēia papa. Hoʻopuka kēia mau kelepa i kahi mea huna e hōʻemi ana i ka waikawa o ka chyme.

3. Nā ʻiʻo:ʻO ka hapa nui o ia mea he ʻiʻo laumania. ʻO kāna hana nui ka hoʻohuihui a hoʻoneʻe i ka meaʻai i mua. Ke ʻūmiʻi kēia mau ʻiʻo, ua hui pū ʻia ka 'chyme' me nā enzymes a me ka bile.

4. Serosa: ʻO kēia ka uhi pale waho loa o ka duodenum. Hana ʻia ia me nā cell epithelial squamous.

He aha nā pilikia e hiki ke kū mai ma ka duodenum?

No ka mea, aia ka duodenum ma kahi kokoke i ka ʻōpū, ʻoi aku ka nui o ka hōʻino ʻia inā piʻi ka nui o ka waikawa o ka ʻōpū. Hiki i kēia waikawa ke hana i nā ʻeha, i ʻike ʻia hoʻi he 'peptic ulcers' , ma ka duodenum, a ma ka ʻōpū hoʻi. ʻElua mau kumu nui no kēia:

• ʻO ka maʻi me kahi bacteria i kapa ʻia ʻo H. pylori . E noʻonoʻo iā ia e like me kahi bacteria liʻiliʻi a maikaʻi ʻole i loko o kou ʻōpū. Hiki iā ia ke hōʻino i ka uhi pale o ko mākou ʻōpū a me ka duodenum a hoʻoulu i nā ʻeha.
• ʻO ka hoʻohana nui ʻana i nā lāʻau ʻeha i kapa ʻia ʻo 'NSAIDs' (nā lāʻau anti-inflammatory nonsteroidal) . ʻO ia hoʻi nā lāʻau e like me ka aspirin a me ka ibuprofen. I kekahi manawa lawe mākou i kēia mau mea no nā ʻeha kino a me nā poʻo. Akā inā lawe nui mākou iā lākou a hoʻomau, hiki ke ulu kēia ʻano ʻeha.

He mea nui: Inā haki kahi ʻeha i mālama ʻole ʻia ma o ka uhi pale o ka duodenum a hōʻino i ke kīʻaha koko ma hope ona, i kapa ʻia ʻo ke aʻa gastroduodenal, hiki iā ia ke hoʻoulu i ke kahe koko nui. He kūlana kēia e pono ai ka mālama koke ʻana.

Eia kekahi, he nui nā maʻi e hoʻopilikia pinepine ana i ka ʻōpū liʻiliʻi hiki ke hoʻopilikia i ka duodenum. ʻO kekahi mau laʻana:

• ʻO nā adenomas gland Brunner: He mau ʻōpū ʻaʻole kanesa (benign) kēia.
• ʻO ka maʻi o Crohn: He maʻi kēia e hoʻoulu ai i ka mumū a me ka pehu ʻana o nā ʻōpū.
• Maʻi Celiac: ʻO kahi kūlana e hoʻoulu ai i nā pilikia o ka ʻōpū i ka wā e ʻai ana i nā meaʻai i loaʻa ka gluten.
• Duodenal atresia: ʻO ke ʻano i pani piha ʻia ai ka duodenum i ka wā hānau.
• ʻO ka stenosis Duodenal: ʻO ke ʻano kahi i haiki ai ka duodenum (akā ʻaʻole i pani piha ʻia) i ka wā hānau.
• Ka maʻi ʻaʻai Duodenal: Ka maʻi ʻaʻai e hoʻomaka ana ma ka duodenum.
• ʻO ka diverticulum Duodenal: He ʻeke liʻiliʻi e like me ka puka ʻana mai ka paia o ka duodenum. ʻAʻole kēia mau mea e hoʻopilikia a pono paha e mālama ʻia ke ʻole lākou e maʻi a mumū (diverticulitis).
• Duodenitis: Ka mumū o ka duodenum.
• Ka ālai ʻana o ka ʻōpū liʻiliʻi: He pilikia olakino kēia. Ua ālai ʻia kahi ʻāpana o ka ʻōpū liʻiliʻi, me ka duodenum, a ua ālai ʻia paha.

He aha nā hōʻailona o ka pilikia me ka duodenum?

Aia nā hōʻailona i ke ʻano o ke kūlana āu e loaʻa nei. Akā ma ke ʻano laulā, ua like nā hōʻailona o kahi pilikia ma ka duodenum me nā hōʻailona o nā pilikia ʻē aʻe i loko o kā mākou ʻōnaehana hoʻoheheʻe (`(GI tract)`). Hiki iā lākou ke komo pū me:

• ʻEha ʻōpū
• Ka pehu a me ke kinoea
• Ka paʻa ʻana o ka ʻōpū
• Ka maʻi pākī
• Ka luaʻi a me ka luaʻi
• ʻAʻai ʻole ma hope o ka ʻai ʻana
• Ka luaʻi ʻana i ke koko a i ʻole ke kahe ʻana o ke koko i loko o ka ʻōpala (hiki i kēia ke hōʻailona o ke kahe ʻana mai kahi ʻeha)

He aha nā hoʻokolohua maʻamau i hana ʻia e nānā i ke olakino o ka duodenum?

Inā manaʻo ke kauka he pilikia kou me kou duodenum, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia:

• Hoʻāʻo hanu e nānā no ka maʻi H. pylori.
• Nā kaʻina hana kiʻi e nānā ai i nā puʻupuʻu a me ka mumū i loko o ka duodenum - no ka laʻana, ultrasound, X-ray, CT scan, a me MRI.
• Nā hoʻāʻo e pili ana i ke komo ʻana i kahi ʻōmole me kahi kāmela (kahi `scope`) i loko o ka duodenum e nānā i loko - e like me ka ``enteroscopy`` a me ka ``upper endoscopy``.
• Hana ʻia nā hoʻokolohua biopsy (e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a me ka nānā ʻana iā ia) e nānā i nā ulu ʻano ʻē, e like me ke kanesa.

He aha nā lāʻau lapaʻau maʻamau no nā maʻi duodenal?

Aia nō hoʻi ka lāʻau lapaʻau i ke kūlana. ʻO nā lāʻau lapaʻau maʻamau:

• Hāʻawi ʻia nā lāʻau antibiotic no nā maʻi e like me H. pylori.
• Hāʻawi ʻia nā Corticosteroids e hōʻemi i ka mumū nui.
• Nā lāʻau lapaʻau e hōʻemi ana i ka nui o ka waikawa i loko o ka ʻōpū a i ʻole e hōʻemi ana i ka acidity o ka ʻōpū - no ka laʻana , nā mea hoʻopaʻa proton pump (PPIs) , nā mea pale histamine receptor (H2 blockers) , a me nā antacids .
• Nā ʻoki kino e hoʻoponopono i nā pilikia kūkulu a mālama paha i ka maʻi kanesa - ʻo kahi laʻana ke kaʻina hana Whipple .

He aha kaʻu e hana ai e mālama i ke olakino o koʻu duodenum? (Leka Lawe-Home)

ʻO ka duodenum kekahi ʻāpana o kā mākou ʻōnaehana hoʻoheheʻe holoʻokoʻa. No laila, ʻo nā hana maikaʻi e mālama ai i ke olakino o ka ʻōnaehana holoʻokoʻa he mea maikaʻi nō hoʻi ia no ka duodenum. Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana:

• E koho i kahi meaʻai e kōkua ai i kāu ʻōnaehana hoʻoheheʻe e hana maikaʻi.
• E ʻai i nā meaʻai waiwai i ka fiber (nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha).
• E inu i ka wai he nui. E kōkua kēia mau mea ʻelua i ka hoʻoponopono ʻana i kou neʻe ʻana o ka ʻōpū a pale i nā ālai ʻana i loko o kou ʻōpū liʻiliʻi.
• ʻO ka ʻai ʻana i nā meaʻai a me nā mea kanu ʻaʻole acidic e hiki ke kōkua i ka mālama ʻana i kahi pae acidity olakino i loko o ka ʻōpū.
• E pale i nā mea e hōʻino ai i kou ʻōpū.
• ʻO ka puhipaka a me ka inu nui ʻana i ka waiʻona hiki ke hōʻino i nā ʻōkana o kā mākou ʻōnaehana hoʻoheheʻe, me ka duodenum.
• ʻO ka lawe pinepine ʻana i nā lāʻau ʻeha e like me NSAIDs hiki ke hoʻoulu i nā ʻeha ʻeha.
• Inā loaʻa iā ʻoe nā pilikia o ka ʻōnaehana digestive, mai hoʻowahāwahā i nā hōʻailona.
• ʻO nā mea e like me ka loli ʻana o kou ʻano ʻōpū, ka ʻeha o ka ʻōpū, a i ʻole ka ʻai ʻole ʻana e hoʻomaikaʻi paha i loko o kekahi mau lā. Eia nō naʻe, i kekahi manawa he hōʻailona ia e pono ai ʻoe e hoʻololi i kou nohona a i ʻole e ʻike i ke kauka.
• Inā loaʻa iā ʻoe nā pilikia hoʻoheheʻe mau ʻaʻole e hoʻomaikaʻi, mai hoʻokaʻulua e ʻimi i ke kōkua.

I ka hopena: ʻO kā mākou ʻōnaehana hoʻoheheʻe ka mea e kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai, e omo i nā meaolaola, a hoʻopau i nā huahana ʻōpala i koe mai ko mākou kino. ʻOiai he ʻāpana liʻiliʻi ka duodenum o kēia ʻōnaehana, he kuleana nui ia i ʻelua o kēlā mau hana nui - ka hoʻoheheʻe ʻana a me ka omo ʻana i nā meaolaola . No laila, e mālama i kāu duodenum. ʻO ke ala maikaʻi loa e hana ai i kēlā, ʻo ia ka mālama ʻana i kou olakino holoʻokoʻa. E hānai i kou kino i ka meaʻai momona. A laila hiki i ka duodenum ke hoʻoheheʻe i kēlā meaʻai, omo iā ia, a kōkua i kou kino e loaʻa ka ikehu.

ʻO ka duodenum, ka ʻōpū liʻiliʻi, ka ʻai ʻana, ka omo ʻana i nā meaʻai, ka ʻōpū, ka duodenum, nā maʻi o ka duodenum