Wakambozvibvunza here kuti chii chinoitika kune chikafu chatinodya kana chapinda mudumbu medu? Chikafu ichocho chinoenda kupi mushure medumbu? Nhasi tichataura nezvenzvimbo inokosha parwendo irworwo. Uyu igamba diki rinoita basa guru chinyararire mudumbu medu. Ngatimuzivei zvakadzama.
Zvichitaurwa zviri nyore, chii chinonzi duodenum ?
Duodenum ndiyo chikamu chekutanga cheura hwako hudiki . Kunyangwe ichinzi "ura hudiki," ndiyo chikamu chakarebesa chegadziriro yedu yekugaya chikafu. Apa ndipo panogadzirwa zvinovaka muviri (mapuroteni, mafuta, mavhitamini , nezvimwewo) mukudya kwatinodya kuita mvura inogona kunwiwa nemuviri.
Ura hudiki hwakaita sechubhu diki yakaita sebhii 'C'. Chikafu chinobva mudumbu chinotanga kupinda muura hudiki uhwu. Zvikamu zviviri zvinotevera zveura hudiki ijejunum neileum.
Ndeapi mabasa makuru epasi?
Basa guru redumbu nderekuenderera mberi nekugaya chikafu kunotanga mumuromo nemudumbu uye kutanga kupinza zvinovaka muviri muropa. Fungidzira kuti chikafu chisati chasvika mudumbu, chinenge chasanganiswa nemate nemaacid emudumbu kuti chigadzire mvura yakakora, kana kuti ngatitii "porridge yechikafu" ('chyme'). Porridge yechikafu iyoyo inoshandurwa kuita zvinovaka muviri zvinogona kushandiswa nemuviri mukati medumbu.
Heano zvinhu zvikuru zvinoitika pasi rose:
| Basa | Maitiro acho ari nyore. |
|---|---|
| Kuderedza acidity muzvikafu | Chikafu (chyme) chinobva mudumbu chine acid yakawanda. Hormone (secretin) inogadzirwa nepancreas inoburitsa enzyme inonzi bicarbonate, iyo inoderedza acidity iyi. Izvi zvinoita kuti zvive nyore kupinza zvinovaka muviri uye kudzivirira kukuvara kweura hudiki kunokonzerwa ne acid yakawandisa. |
| Kushandura chikafu kuita zvinovaka muviri | Rwatata rinogadzira imwe hormone (cholecystokinin). Izvi zvinoratidza kuti rwatata, nduru, nechiropa chako zvinotumira zvinhu zvaunoda kuti ugaye chikafu. Nyoro, inobva munduru nechiropa, inonyungudutsa mafuta. Ma enzyme anobva murwatata anopwanya mafuta, makabhohaidhiretsi, nemapuroteni. Zvinovaka muviri izvi zvinobva zvapinda muropa. |
| Kusundira chikafu mberi | Zvidimbu zvechikafu zvisina kunyudzwa zvinosundirwa muchikamu chinotevera cheura hudiki (jejunum). Izvi zvinoitwa nekufamba kwemutinhimira (peristalsis) umo madziro ejejunum anogumira uye anokura. |
Ukuru uye nzvimbo yepasi ndeyei?
Duodenum ndiyo chikamu chipfupi cheura hudiki. Yakareba masendimita gumi. Inenge 1.5. Izwi rechiLatin rekuti "duodenum" rinoreva "minwe gumi nemiviri." Izvi zvinoreva kuti yakareba minwe gumi nemiviri yakaiswa padivi nepadivi.
Fungidzira, ura hwako hwese hurefu hwemamita angangoita 22. Ndihwo hurefu hwenzvimbo yekutamba tenesi. Asi muchikamu chidiki chidiki chemainji 10 chete ndipo panotorwa zvese izvi zvinovaka muviri.
Guroko riri pasi pedumbu. Rinokombama rakaita se 'C' kurudyi nekumashure, pasi, uye kuruboshwe. Chikamu chakakura kwazvo chepancreas yako chiri mukati meguroko iri rakaita se 'C'.
Zvikamu zvina zvepasi
Nyika inogona kukamurwa kuita zvikamu zvikuru zvina, zvichitumidzwa mazita zvichienderana nenzvimbo yazvo uye chimiro chazvo.
1. Chikamu chepamusoro: Ichi chikamu chepamusoro chinobatanidza nedumbu. Chakareba masendimita maviri. Nekuti chinonyanya kubatwa neacid mudumbu, maronda muura hudiki anowanzo kuumba muchikamu ichi.
2. Chikamu chinodzika: Sezvinoratidzwa nezita racho, ichi chikamu chakaita se 'C' chinodzika. Chakareba masendimita 1.5. Mapaipi anobva mupancreas , gallbladder , nechiropa zvinobatana nechikamu ichi. Nyoro nema enzymes anobva munhengo idzi zvinobatana kuti zviparadze mafuta , mapuroteni, nema carbohydrate.
3. Chikamu chakarara:Iyi zvakare yakareba masendimita 1. Inomhanya kubva kurudyi kuenda kuruboshwe, uye iri pamusoro petsinga dzakawanda dzeropa mumuviri wedu.
4. Chikamu chinokwira: Ichi chikamu chidiki cheura diki. Chine hurefu husingasviki inchi imwe chete. Chinotambanukira kumusoro uye chinobatana nechikamu chinotevera cheura diki (jejunum).
Rusvingo rwepasi rwunogadzirwa sei?
Madziro echibereko ane zvikamu zvina zvikuru.
- Mucosa: Iri ndiro jira remukati. Rine maburi madiki akafanana neminwe (microvilli). Izvi zvinowedzera nzvimbo yedumbu, zvichiita kuti zvinovaka muviri zvinyorwe zvakanyanya.
- Submucosa: Rutivi urwu rune mitsipa yeropa nenyama dzinobatana. Runewo magland aBrunner, ayo anogadzira chinhu chinoderedza acidity yechikafu chinobva mudumbu.
- Muscularis: Iyi yakagadzirwa netsandanyama dzakapfava. Basa rayo guru nderekusanganisa nekufambisa chikafu mberi.
- Serosa: Ichi ndicho chifukidziro chekunze chinodzivirira.
Zvichitaurwa zviri nyore, grahini yakafanana nemuchina wepamusoro-soro weblender uye filter. Inodzora acidity yechikafu, inowedzera maenzyme anodiwa, inoparadzanisa zvinovaka muviri, uye inotumira zvasara padanho rinotevera.
Zvirwere nematambudziko zvinogona kuitika zvine chekuita nepasi
Nekuti iri pedyo nedumbu, gumbo rinogona kukuvara kana acidity yemudumbu ikawedzera. Asidhi iyi inogona kukonzera maronda emudumbu neegumbo. Zvikonzero zvikuru zviviri zveizvi hutachiona hwebhakitiriya hunonzi `H. pylori` uye kushandisa zvakanyanya mishonga inoderedza marwadzo inonzi `NSAIDs` (mishonga isingarwisi kuzvimba) (semuenzaniso aspirin, ibuprofen) .
Kana ronda risina kurapwa rikakuvadza madziro echibereko zvakanyanya uye rikakuvadza tsinga yeropa iri shure kwaro, rinogona kukonzera kubuda ropa kwakanyanya. Ichi chirwere chinoda kurapwa nekukurumidza.
Zvirwere zvakawanda zvinokanganisa ura hudiki zvinogonawo kukanganisa pancreas.
- Chirwere cheCrohn: Chirwere chinokonzera kuzvimba nekuzvimba kweura hudiki.
- Chirwere cheCeliac: Chirwere chinokonzera matambudziko ekugaya chikafu kana chikafu chine gluten chikadyiwa.
- Kenza yeDuodenal: Kenza inotanga mumasero eDuodenum.
- Duodenitis: Kuzvimba kwe duodenum.
- Kuvharika kweura hudiki: Kuvharika kweura hudiki zvachose kana kuti zvishoma, kusanganisira rectum. Izvi zvakare idambudziko rehutano.
Zviratidzo zvinowanzoonekwa zvinoratidza dambudziko
Kana paine dambudziko, zviratidzo zvinogona kusiyana zvichienderana nechirwere chacho. Zvisinei, hezvino zviratidzo zvinowanzoonekwa mumatambudziko ekugaya chikafu.
- Marwadzo emudumbu
- Dumbu rinozvimba uye rinoita flatulence
- Kuzvimba
- Manyoka
- Kusvotwa nekurutsa
- Kusagadzikana kwemudumbu mushure mekudya (Indigestion)
- Kurutsa ropa kana kubuda ropa mutsvina (izvi zvinogona kuva chiratidzo chekubuda ropa kubva paronda)
Kana zviratidzo izvi zvikaramba zviripo, iva nechokwadi chekuona chiremba wako kuti akupe mazano .
Nzira dzekuongorora hutano hwechibereko
Chiremba wako achakuraira bvunzo dzinodiwa zvichienderana nezviratidzo zvako. Zvimwe zvacho zvinosanganisira:
- Kuongororwa kwekufema kwehutachiona hweH. pylori.
- Kuongororwa: Kuongororwa kwakadai se `Ultrasound`, `X-rays`, `CT scan` kana `MRI` kuti vaone mapundu nekuzvimba mukati mechibereko.
- Endoscopy: Chubhu diki ine kamera inopinzwa nemuromo kuti iongorore mukati megurokuro.
- Kuongororwa kwemuviri: Kana paine bundu risingawanzoitiki, chidimbu chidiki chenyama chinotorwa kubva mariri choongororwa masero ekenza.
Mishonga inowanzo shandiswa yekurapa zvirwere zvechibereko
Kurapwa kunoenderana nemamiriro acho ezvinhu.
- Mishonga inorwisa mabhakitiriya: Kune hutachiona hwemabhakitiriya hwakaita seH. pylori.
- Mishonga yeSteroid (Corticosteroids): Kuderedza kuzvimba kwakanyanya.
- Mishonga inoderedza acid yemudumbu: Mishonga yakaita se `Proton pump inhibitors (PPIs)`, `H2 blockers` uye `antacids`.
- Kuvhiyiwa: Kuvhiyiwa kunogona kudiwa kana paine kenza kana mamwe matambudziko emuviri.
Mharidzo Yekuenda Nayo Kumba
- Duodenum ndiyo chikamu chekutanga cheura hwako hudiki, chakaita seC. Kunyangwe chiri chidiki, chinoita basa rakakosha mukugaya chikafu uye kupinza zvinovaka muviri.
- Apa ndipo panodzikira acidity yezvikafu zvine acid yakawanda zvinobva mudumbu, zvoshandurwa kuita zvinovaka muviri, uye zvinotanga kunyudzwa muropa.
- Kushandisa mishonga inoderedza marwadzo zvakanyanya (NSAIDs) uye hutachiona hweH. pylori zvinogona kukonzera maronda mudumbu.
- Kana zviratidzo zvakaita sekurwadziwa mudumbu, kuzvimba, uye kurutsa zvikaramba zviripo, usazviregeredza woona chiremba wako.
- Kudya chikafu chine faibha yakawanda, miriwo, uye kunwa mvura yakakwana, pamwe nekudzivisa kusvuta uye kunwa doro zvakanyanya, zvinobatsira zvikuru kudumbu rako rese uye chibereko chako.
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