Te toa iti o tō tātou tinana: Me ako tātou i ngā mea katoa mō te duodenum!

Kua whakaaro koe me pēhea te kai e kainga ana e tātou e whakarato ana i te kaha me te oranga ki ō tātou tinana? He haerenga uaua, he haerenga whakamiharo tēnei e puta ana i roto i ō tātou tinana. Nō reira, he wāhanga iti engari he tino kaha e whai wāhi nui ana ki tēnei haerenga, engari kāore tātou e kōrero nui mōna i ētahi wā. Ko te duodenum tēnā. He kupu ngāwari, koinei te wāhanga tuatahi o tō tātou whekau iti. I roto i tēnei tuhinga, ka kōrerohia e tātou tēnei kaimahi puku o tō tātou pūnaha nakunaku.

He aha te mahi matua o te duodenum?

Whakaarohia te duodenum hei hononga tino pukumahi, tino nui hoki i roto i te mekameka kai. Koinei te wāhi tuatahi e tūtaki ai te kai mai i te puku. E toru ngā mahi matua e mahia ana i konei:

1. Te whakaiti i te waikawa o te kai e puta mai ana i te puku:

Ina uru te kai e kainga ana e tātou ki roto i te puku, ka konatunatua ki ngā wai waikawa o reira, ka pakaru, ka huri hei poro wai. I roto i te rongoā, ka kiia tēnei he 'chyme' . He tino waikawa tēnei 'chyme'. Nō reira, ki te haere tika atu ki te toenga o te whekau iti, ka taea te pakaru. Ka tukuna e te duodenum he homoni e kiia nei ko te 'secretin' . Ka haere tēnei homoni ka tohu i tō tātou repeure kia tukuna he whākōkī e kiia nei ko te 'bicarbonate' . Pērā i te whakaranu i tētahi mea waikawa ki te wai, ka uru mai tēnei bicarbonate ka whakaiti i te waikawa o taua 'chyme' tino waikawa ki tētahi taumata e taea ana. Ehara i te mea ka tiaki noa i tō tātou whekau iti, engari ka āwhina hoki i a ia ki te mimiti tika i ngā matūkai.

2. Te hurihanga o te 'chyme' hei matūkai ka taea te mimiti e te tinana:

Ka tukuna e te duodenum tētahi atu homoni nui, ko te cholecystokinin (CCK) . Ka whakaohokia e tēnei homoni tō tātou ate, tō tātou pūkahukahu, me te repeure kia tukuna ō rātou wai nakunaku ki roto i te duodenum.

• Ko te au, e ahu mai ana i te ate me te pūkahukahu, ka āwhina i te wawahi i ngā ngako.
• Ka wawahia hoki ngā ngako e te whākōkī 'lipase' o te repeure. Ka wawahia ngā warowaihā e te whākōkī 'amylase' , ā, ka wawahia ngā pūmua e te whākōkī 'protease' .

Ka mimitia ngā matūkai e hurihia ana kia mātotoru pēnei ki roto i ō tātou toto.

3. Te pana i te kai kua nakunaku ki mua:

Ka panaia ngā matūriki kai me ngā para kāore i mimitia mai i te duodenum ki te wāhanga e whai ake nei o te whekau iti, te jejunum. Ka puta tēnei nā te mea ka kōpeke, ka wātea hoki ngā uaua i roto i ngā pakitara o te duodenum. Ko tēnei tukanga rite ki te ngaru e neke whakamua ana te kai ka kiia ko te peristalsis .

He aha te rahi o te duodenum? Ā, kei hea tōna wāhi?

Ko te duodenum te wāhanga poto rawa o ngā wāhanga e toru o te whekau iti (duodenum, jejunum, ileum). E 10 inihi te roa.– He iti iho tēnā i te waewae kotahi i runga i te rūrū. He mea whakamīharo, ko te tikanga o te kupu Latina "duodenum" ko "12 ngā maihao." Ara, i ngā wā o mua, i inehia tōna roa mā te whakaaro he rite ki te whānui o ngā maihao 12 e whakatakotoria ana ki te taha.

Whakaarohia, mēnā ka totorohia katoatia tō tātou whekau iti, e 22 putu te roa! He rite tonu ki te roa o tētahi papa tēnehi. Heoi, ko te duodenum, he wāhanga iti noa iho o tēnei roa katoa, tata ki te 10 inihi, te wāhi e mimiti ai ngā matūkai.

Kei raro i te puku te duodenum. Ka piko ki te taha matau, ki muri, ki raro, kātahi ki maui, pērā i te reta Ingarihi 'C' .

He aha ngā wāhanga matua o te duodenum?

E whā ngā wāhanga matua o te duodenum, e tapaina ana i runga i tō rātou wāhi me te āhua.

1. Wāhanga Matua: Koinei te wāhanga kei runga e hono ana ki te puku. E 2 inihi te roa. Ko te wāhi e hono tika ana ki te pylorus, te takirere e tuku ana i te kai ki waho o te puku, e kiia ana ko te duodenal bulb. Koinei te wāhi e puta pinepine ai ngā mate pukupuku i roto i te whekau iti, nā te mea ko te waikawa o te puku te mea pea ka pā ki reira.

2. Wāhanga e heke iho ana: E ai ki te ingoa, koinei te wāhanga āhua 'C' e heke iho ana. E 4 inihi te roa. E hono ana tēnei wāhanga ki te repeure, te pūhā, me te ate mā roto i ngā awa e kawe ana i ō rātou wai.

3. Wāhanga whakapae (o raro): E 4 inihi te roa o tēnei. Ka toro atu i te taha matau ki te taha maui. Ka whiti tēnei wāhanga i te aorta me te vena cava o raro, arā, ngā uaua toto matua o roto i tō tātou tinana.

4. Wāhanga piki: Koinei te wāhanga iti rawa o te duodenum, he iti iho i te inihi te roa. Ka piki ake, ka hono atu ki te jejunum.

He aha ngā momo paparanga kiko e hangaia ai te duodenum?

Pērā i te toenga o tō tātou ara nakunaku (ara GI), e whā ngā paparanga matua o te kiko o te duodenum. Mai i te paparanga o roto ki te paparanga o waho, ko ēnei:

1. Mucosa: Koinei te paparanga o roto rawa. Kei roto ngā repe me ngā kōpuku iti rite ki ngā maihao e kiia nei ko ngā 'microvilli' . Mā ēnei microvilli ka nui ake te horahanga o te mata o te duodenum, ka taea ai e ia te mimiti i ngā matūkai nui atu i te mea he papatahi.

2. Mukuroto: Kei roto i tēnei paparanga ngā uaua toto me ngā kiko honohono. Ina koa, kei roto i tēnei paparanga ngā repe a Brunner . Ka whakaputahia e ēnei repe he mea huna e whakaiti ana i te waikawa o te chyme.

3. Ngā Uaua:He uaua maeneene te nuinga o te wā. Ko tana mahi matua he whakaranu me te akiaki i te kai ki mua. Ina kuiti ēnei uaua, ka pai te whakaranu o te 'chyme' ki ngā whākōkī me te au.

4. Serosa: Koinei te uhi tiaki o waho rawa o te duodenum. He mea hanga mai i ngā pūtau epithelial squamous.

He aha ngā raruraru ka puta i roto i te duodenum?

Nā te mea kei te tata te duodenum ki te puku, he nui ake te tūponotanga ka pakaru mēnā ka piki ake te nui o te waikawa o te puku. Ka taea e tēnei waikawa te whakaputa i ngā mate puku, e mōhiotia ana ko ngā 'mate puku' , i roto i te duodenum, me te puku hoki. E rua ngā take matua mō tēnei:

• Te mate pāwera i te huakita e kiia nei ko H. pylori . Whakaarohia he huakita iti, kino i roto i tō puku. Ka taea e ia te kino i te arai tiaki o tō tātou puku me te duodenum, ā, ka puta he mate pukupuku.
• Te whakamahi nui rawa i ngā rongoā whakamamae mamae e kiia nei ko ngā 'NSAID' (ngā rongoā anti-inflammatory kore-steroidal) . Arā, ko ngā rongoā pēnei i te aspirin me te ibuprofen. I ētahi wā ka tangohia ēnei e tātou mō ngā mamae tinana me ngā ānini. Engari ki te nui rawa tā tātou tango, ā, ka roa tonu, ka puta ēnei momo whara.

He mea nui: Ki te pakaru te mate pukupuku kāore i rongoātia mā roto i te arai tiaki o te duodenum, ā, ka pakaru te oko toto i muri mai, e kiia nei ko te uaua gastroduodenal, ka puta he toto nui. He mate tēnei e hiahia ana kia rongoatia wawetia.

Hei tāpiritanga, he maha ngā mate e pā ana ki te whekau iti ka pā anō hoki ki te duodenum. Ko ētahi tauira ko:

• Ngā adenoma o te repe Brunner: He pukupuku kore-matepukupuku (pai) ēnei.
• Te mate a Crohn: He mate tēnei e puta ai te mumura me te pupuhi o ngā whekau.
• Mate Celiac: He mate e puta ai ngā raruraru nakunaku ina kai ana i ngā kai kei roto he gluten.
• Atresia Duodenal: He āhuatanga e kati katoa ai te duodenum i te whānautanga.
• Te stenosis o te duodenum: He āhuatanga e whaiti ana te duodenum (engari kāore i te kati katoa) i te whānautanga.
• Matepukupuku duodenum: He matepukupuku e tīmata ana i te duodenum.
• Te diverticulum duodenal: He putunga iti, he rite ki te putea, e puta mai ana i te pakitara o te duodenum. Kāore ēnei e raru, e hiahiatia rānei he rongoā mēnā kāore e pangia, e mumura rānei (diverticulitis).
• Duodenitis: Te mumura o te duodenum.
• Te aukati i te whekau iti: He āhuatanga ohorere hauora tēnei. Ka aukatia katoatia, ka aukatia rānei tetahi wāhanga o te whekau iti, tae atu ki te duodenum.

He aha ngā tohu o te raruraru o te duodenum?

Ko ngā tohu e whakawhirinaki ana ki te momo mate kei a koe. Engari i te nuinga o te wā, he rite ngā tohu o te raruraru i roto i te duodenum ki ngā tohu o ētahi atu raruraru i roto i tō tātou pūnaha nakunaku (`(GI tract)`). Ka uru atu pea ēnei ki:

• Mamae puku
• Te pupuhi me te hau
• Te kōroke
• Korere
• Whakapairuaki me te ruaki
• Te koretake o te kai i muri i te kai
• Te ruaki toto, te rere toto rānei i roto i te tūtae (he tohu pea tēnei o te toto mai i te patunga)

He aha ngā whakamātautau e whakamahia whānuitia ana hei tirotiro i te hauora o te duodenum?

Mena ka whakaaro te tākuta he raruraru tōu ki tō duodenum, ka whakahaerehia pea e rātou ēnei whakamātautau:

• Whakamātautau manawa hei tirotiro mō te mate H. pylori.
• Ngā tikanga whakaahua hei tirotiro i ngā puku me te mumura i roto i te duodenum – hei tauira, te ultrasound, te hihi-X, te matawai CT, me te MRI.
• Ko ngā whakamātautau e uru ana ki te whakauru i tētahi ngongo me te kāmera (he 'tirotiro') ki roto i te duodenum hei tirotiro i roto – pērā i te 'enteroscopy' me te 'endoscopy o runga'.
• Ka mahia ngā whakamātautau koiora (arā, ko te tango i tētahi wahi iti o te kiko me te tirotiro i taua mea) hei tirotiro mō ngā tipu rerekē, pērā i te mate pukupuku.

He aha ngā rongoā rongonui mō ngā mate duodenal?

Kei te āhua o te mate te tikanga maimoatanga. Ko ngā maimoatanga e tino kitea ana ko:

• Ka hoatu ngā paturopi mō ngā mate pāwera pēnei i a H. pylori.
• Ka hoatu ngā corticosteroids hei whakaiti i te mumura kino.
• Ngā rongoā e whakaiti ana i te nui o te waikawa i roto i te puku, e whakaiti ana rānei i te waikawa o te puku – hei tauira , ngā aukati papu proton (PPI) , ngā aukati i te kaiwhakawhiwhi histamine (ngā aukati H2) , me ngā antacids .
• Ngā pokanga hei whakatika i ngā raruraru hanganga, hei rongoā rānei i te mate pukupuku – hei tauira ko te tikanga Whipple .

He aha taku e taea ai hei pupuri i te hauora o taku duodenum? (Karere hei tango ki te kāinga)

Ko te duodenum tētahi wāhanga o tō tātou pūnaha nakunaku katoa. Nō reira, he pai hoki ngā tikanga pai e pupuri ana i te hauora o te pūnaha katoa mō te duodenum. Anei ētahi mea ngāwari ka taea e koe te mahi:

• Kōwhiria he kai hei āwhina i te mahi pai o tō pūnaha nakunaku.
• Kai atu i ngā kai he nui te muka (huawhenua, hua rākau, pīni, witi katoa).
• Inumia he nui te wai. Mā ēnei e rua ka āwhina i te whakatikatika i ō nekehanga puku, ā, ka ārai hoki i ngā aukati i roto i tō whekau iti.
• Mā te kai i ngā kai me ngā huawhenua kāore i te waikawa ka āwhina i te pupuri i te taumata waikawa hauora i roto i te puku.
• Āta karohia ngā mea e kino ana ki tō puku.
• Ka taea e te momi hikareti me te inu nui rawa i te waipiro te kino i ngā okana o te pūnaha nakunaku, tae atu ki te duodenum.
• Mā te tango pinepine me te nui rawa o ngā rongoā whakamamae mamae pēnei i te NSAID ka pā mai he mariao mamae.
• Mena he raruraru tō te pūnaha nakunaku, kaua e warewarehia ngā tohu.
• Tērā pea ka pai ake ngā āhuatanga pēnei i te panoni o ō tikanga puku, te mamae o te puku, te koretake rānei o te kai i roto i ētahi rā. Heoi, i ētahi wā he tohu whakatūpato pea tēnei me huri tō āhua noho, me toro atu rānei ki te tākuta.
• Mena he raru tonu tāu ki te nakunaku, ā, kāore e pai ake, kaua e whakaroa ki te rapu awhina.

Hei whakamutunga: Ko tā tātou pūnaha nakunaku te mea e āwhina ana i a tātou ki te nakunaku i te kai e kainga ana e tātou, ki te mimiti i ngā matūkai, me te tango i ngā para e toe ana i roto i ō tātou tinana. Ahakoa he wāhanga iti te duodenum o tēnei pūnaha, he mahi nui tāna i roto i ēnei mahi nui e rua – te nakunaku me te mimiti matūkai . Nō reira, tiakina tō duodenum. Ko te huarahi pai ki te mahi i tēnā ko te tiaki i tō hauora nakunaku whānui. Whāngaihia tō tinana ki ngā kai whai kiko. Kātahi ka taea e te duodenum te nakunaku i taua kai, te mimiti, me te āwhina i tō tinana ki te whiwhi pūngao.

` Duodenum, whekau iti, nakunaku, mimiti matūkai, puku, duodenum, ngā mate o te duodenum