Ngaba nawe uvakalelwa kukuba unesisu esitshisayo okanye esibuhlungu? Isenokuba yiDuodenitis! Singathetha ngale nto?

Kuqhelekile ukuba uninzi lwethu luve ukungakhululeki, ukutsha, okanye into engaqhelekanga esiswini sethu ngamanye amaxesha. Ngamanye amaxesha kwenzeka xa sisitya kakhulu okanye singatyi ngexesha. Kodwa ukuba ezi zinto ziyaqhubeka, okanye ukuba zivakala zibukhali kancinci, ayilocebo lilungileyo ukuzityeshela. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yiDuodenitis, enokubangela ukungakhululeki okunjalo, kodwa abantu abaninzi abazi ngayo.

Yintoni iDuodenitis? Masiyiqonde ngokulula.

Ngamafutshane, iDuodenitis kukudumba kwenxalenye yokuqala yamathumbu ethu amancinci, inxalenye ekufutshane nesisu (ekwabizwa ngokuba yi-duodenum) . Cinga ngayo le duodenum ifana nendawo yokujonga ebalulekileyo esiswini sethu. Ine-lining ekhethekileyo yokukhusela. Yiyo le nto ithintela iintsholongwane (iibhaktheriya, iintsholongwane, njl.njl.) ukuba zingangeni kwaye ithintela ijusi yokugaya ukutya ukuba ingonakalisi le nxalenye yamathumbu.

Ngoko ke, ukuba esi sithintelo sokukhusela sisongelwa okanye sonakaliswe ngandlela ithile, umzekelo, sisifo okanye i-asidi yesisu, inkqubo yomzimba wethu yokuzikhusela iyavuka. "Kukho ingxaki apha!" Idala ukudumba. Kufana nemfazwe. Oku kudumba kubangelwa ukulwa neentsholongwane nokuphilisa iindawo ezonakeleyo.

Oku kufana ne-gastritis, oku kukudumba kwengaphakathi lesisu. Kodwa i-gastritis kukudumba kwesisu. I-Duodenitis kukudumba kwenxalenye yokuqala yamathumbu amancinci. Ngokubanzi, ukuba amathumbu amancinci onke ayadumba, sibiza ngokuba yi-enteritis.

Ingaba le duodenitis iyingozi?

Uninzi lwexesha, i-duodenitis iba yesikhashana kwaye ayibi yingozi. Ukuvuvukala kuya kuphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba iimpawu ziyaqhubeka, oko kuthetha ukuba une-duodenitis engapheliyo, oku kukuvuvukala kwexesha elide. Ukuba oku kuyenzeka, ngokuqinisekileyo kufuneka ubone ugqirha kwaye ufumane unyango. Ngokwesiqhelo, kuya kusetyenziswa iyeza elinye okanye ngaphezulu. Ngonyango olufanelekileyo, oku kukuvuvukala kunokuncitshiswa kwaye iingxaki ezifana nokonakala kodonga lwe-duodenum zinokuthintelwa.

Ziziphi iimpawu ze-duodenitis?

Le yeyona nto ibalulekileyo. Asinguye wonke umntu obonisa iimpawu. Abanye basenokungaziboni kwaphela. Nokuba ziyabonakala, iimpawu zinokuhluka kumntu nomntu. Kwabanye abantu, iimpawu ziyafika zihambe, kwabanye, zihlala zihleli kwaye azimbi kangako. Kodwa kwabanye, iimpawu zinokuvela ngequbuliso kwaye zibe nzima kangangokuba bazive ngathi, "Ndifuna ukubona ugqirha ngoku."

Ezi zezona mpawu zixhaphakileyo:

• Intlungu yesisu esingaphezulu:Oku kunokuvakala ngathi kukho into ekuhlabayo esiswini, okanye ngathi kukho into etshisayo. Abanye abantu bafumanisa ukuba intlungu iyaphela kancinci xa besitya.
• Ukudumba: Isisu sinokuvakala sigcwele, siqinile, kwaye ngamanye amaxesha sibuhlungu.
• Isicaphucaphu nokuhlanza.
• Urhudo.
• Ukudinwa.
• Igesi esiswini.
• Ukulahlekelwa yintliziyo.

Lumka! Ezi zinto zinokuba ziimpawu ze-duodenitis enzima:

Ngamanye amaxesha, kwiimeko ezinzima zeDuodenitis, kunokubakho ukopha ngaphakathi kwenkqubo yethu yokugaya ukutya. Kwimeko ezinjalo, khangela iimpawu ezifana nezi:

* Ukuhlanza igazi: Oku kunokubonakala ngathi kukutya ikofu.

* Ukopha ngendle: Indle inokuba mnyama mnyama, ijongeka njengetha.

Ukuba ubona uphawu olufana nolu, kusenokwenzeka ukuba lubangelwa yi-duodenitis okanye esinye isifo esibi senkqubo yokugaya ukutya. Ngoko ke bonana nogqirha ngokukhawuleza.

Yintoni ebangela i-Duodenitis?

Njengoko besitshilo ngaphambili, oku kuvutha kwenzeka xa ulwelo olukhuselayo lwe-duodenum lusengozini. Inkqubo yethu yokuzikhusela komzimba itshintshela kwi-"protection mode" kwaye ibangele ukudumba.

Eyona nto iphambili neyona ixhaphakileyo yoku yintsholongwane yebhaktiriya ebizwa ngokuba yi-H. pylori. Okumangalisayo kukuba, phakathi kwama-50% kunye nama-75% abemi behlabathi banale ntsholongwane emizimbeni yabo. Ihlala ifumaneka esiswini, kodwa inokuhamba iye kwi-duodenum. Kubantu abaninzi, oku akubangeli ngxaki. Nangona kunjalo, ukuba le ntsholongwane ye-H. pylori ikhula kakhulu ngaphandle kokulawulwa, iba yintsholongwane kwaye iqala ukutya ulwelo olukhuselayo lwe-duodenum.

Kukho nezinye izizathu:

• Ezinye iibhaktheriya: Nangona i-H. pylori iyeyona nto ibangela oku, ezinye iibhaktheriya nazo zinokubangela i-duodenitis. Umzekelo, ukukhula kakhulu kwebhaktheriya yamathumbu amancinci (SIBO) kunye nosulelo olubangelwa yi-parasitic I-Giardiasis nayo inokubangela i-duodenitis.
• Ukusetyenziswa kakhulu kwee-NSAID: Sidla ngokusebenzisa amayeza angengo-steroidal anti-inflammatory ( NSAIDs) afana ne-aspirin, i-ibuprofen, kunye ne-naproxen sodium. Nangona kunjalo, ukuba ezi zisetyenziswa ngokugqithisileyo nangokuqhubekayo, zingonakalisa ulwelo olukhuselayo lwe-duodenum (okanye isisu) kwaye zibangele ukudumba.
• Ukwanda kwe-asidi yesisu: I-asidi eqatha esiswini inokuvuza iye kwi-duodenum ize yonakalise ulwelo olulapho. Lo monakalo ubangela ukudumba.
• Izifo ezizikhuselayo emzimbeni: Umzekelo, isifo seCeliac sinokubangela i-duodenitis. Xa umntu onesifo seCeliac esitya into equlethe i-gluten, umzimba wakhe ufumana impendulo yomzimba. Isifo sikaCrohn sikwasisifo sokudumba esichaphazela amathumbu amancinci namakhulu.
• I-GERD (Isifo se-Gastroesophageal Reflux): Le yinto esiyibiza ngokuba yi-"heartburn" okanye "i-gastritis ebuyayo." Le meko inokubangela ukudumba kuyo yonke indlela yokugaya ukutya, kuquka ne-duodenum.
• Ukutya ukutya okuvuselela amathumbu: Ukunganyamezelani nokutya, umzekelo, ukuba novakalelo kubisi nakwisoya, kunokubangela ukudumba. Kwakhona, iziselo ezine-caffeine, ezifana nekofu neti, zinokuvuselela amathumbu kwaye zibangele i-duodenitis.
• Ukutshaya kunye nokusetyenziswa kotywala ngokugqithisileyo: Iikhemikhali ezikwicuba azilunganga emathunjini. Ukusela utywala ngokugqithisileyo nako kubangela iingxaki.
• Unyango lomhlaza: Unyango ngemitha kunye ne-chemotherapy, ezilunyango olusetyenziselwa ukutshabalalisa iiseli zomhlaza, zinokubangela ukudumba kwinkqubo yokugaya ukutya, kuquka ne-duodenum.

Ngaba i-Duodenitis iyosulela?

Ukudumba akusuleli. Nangona kunjalo, unobangela oyintloko wokudumba, intsholongwane ye-H. pylori, inokosulela. Le ntsholongwane inokusasazeka ukusuka komnye umntu ukuya komnye ngamathe, indle, nokutya okungcolileyo kunye neziselo. Umzekelo, i-H. pylori inokosulela ngokuqabulana. Kwakhona, ukuba umntu osulelekileyo uya kwigumbi lokuhlambela aze alungiselele ukutya ngaphandle kokuhlamba izandla zakhe ngokufanelekileyo, abantu abatya loo nto banokukosulela.

Kuza kwenzeka ntoni ukuba ayinyangwa? Okanye zithini iingxaki ezibangelwa yiyo?

Ukuba i-duodenitis ayinyangwa kakuhle, ingaba mandundu kwaye ibangele iingxaki ezifana nezi:

• I-Peptic duodenitis: Ukudumba okungapheliyo nokuqatha kwe-duodenum okubangelwa yi-asidi egqithisileyo esiswini. Usulelo lwe-H. pylori, ukusetyenziswa kakhulu kwamayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs), kunye nokutshaya zizinto ezibangela oku.
• Izilonda zeDuodenal: Ekuhambeni kwexesha, umonakalo kulwelo lwe-duodenum unokukhokelela kwizilonda ezibuhlungu nezivulekileyo (izilonda). Ezi zifana nezilonda zesisu esiswini. Ezi zilonda ngamanye amaxesha zinokopha. Ukuba unegazi kwindle yakho okanye uhlanza igazi, isenokuba sisilonda se-duodenal.

Kwakhona, ukuphelelwa ngamanzi emzimbeni ngenxa yokuhlanza kunye norhudo olubangelwa yi-duodenitis, oko kuthetha ukuba amanqanaba amanzi emzimbeni anokwehla. Ukuphelelwa ngamanzi emzimbeni yimeko eyingozi kakhulu, ingakumbi kubantwana abancinci nakubantu abaneminyaka engaphezu kwama-65 ubudala.

Enye into kukuba oku kuvutha kunokuphazamisana nomnye wemisebenzi ebalulekileyo ye-duodenum, oku kukufunxwa kwezondlo (umzekelo, i-iron) ekutyeni. I-Duodenitis inokuthintela umzimba ekufunxeni i-iron eyaneleyo. I-iron ibalulekile ekwenzeni iiseli ezibomvu zegazi emizimbeni yethu. Oku kunokukhokelela kwi -anemia yokunqongophala kwe-iron .

Oogqirha bafumanisa njani isifo se-duodenitis?

Xa ubona ugqirha, uza kukubuza ngembali yakho yezonyango kunye neempawu zakho. Ukuba kukho i-duodenitis erhanelekayo, kunokwenziwa iimvavanyo ezininzi ukuze kufunyaniswe ukuba yintoni ebangela ukudumba. Ezi mvavanyo ziquka:

• Uvavanyo lwegazi: Isampuli yegazi ingathathwa ukujonga usulelo olunebhaktheriya, efana ne-H. pylori. Uvavanyo lwegazi lunokujonga nee-antibodies kwi-gluten (njengakwisifo se-celiac). Ii-antibodies ziiproteni ezenziwa yinkqubo yethu yokuzikhusela ukulwa neentsholongwane.
• Uvavanyo lwesitulo: Isampulu yendle yakho ingasetyenziselwa ukujonga usulelo lwe-H. pylori.
• Uvavanyo lokuphefumla: Ungajonga nosulelo lwe-H. pylori ngokujonga umoya wakho. Olu vavanyo lulinganisa inqanaba le-carbon dioxide ekuphefumleni kwakho ukuze kubonwe ukuba unayo na intsholongwane.
• I-Upper endoscopy: Oku kuquka ukufaka ityhubhu encinci efakwe ikhamera (i-scope) ngomlomo wakho ukuze ijonge ngaphakathi kwindlela yakho yokugaya engaphezulu - i-esophagus, isisu, kunye ne-duodenum. Le tyhubhu ikwanazo nezixhobo ezinokuthatha iisampuli zezicubu, ezinokuhlolwa kwilebhu.
• Uthotho lwe-Upper GI: Olu luhlu lweemvavanyo ze-X-ray. Olu luhlu luthatha imifanekiso yenkqubo yokugaya engasentla, lujonga indlela ezi zitho ezisebenzisana ngayo, kwaye lunceda ugqirha ukuba aqonde ngcono into ebangela ukudumba kwi-duodenum.

Ziziphi iindlela zonyango lwe-duodenitis?

Iindaba ezimnandi zezokuba i-duodenitis idla ngokuba ngcono ngokwayo ngokuhamba kwexesha. Ukuba ayibi njalo, unyango luxhomekeke kwisizathu. Ungadinga amayeza okubulala intsholongwane ye-H. pylori, okanye ungadinga amayeza okunciphisa isixa se-asidi yesisu esonakalisa ulwelo lwe-duodenum. Ungadinga nokwenza utshintsho kwindlela ophila ngayo ukuze ukhusele amathumbu akho ekurhawuzeleni nasekuvuvukeni.

Oku kulandelayo kungenziwa njengonyango:

• Ii-antibiotics: La mayeza abulala intsholongwane ye-H. pylori.
• Izinto zokunciphisa i-asidi yesisu: Ezi zinokubandakanya amayeza afana nee-antacids kunye nee-proton pump inhibitors (PPIs).
• Utshintsho kwindlela yokuphila: Ukuba i-duodenitis ibangelwa kukusetyenziswa kakhulu kwe-NSAIDs, kunokufuneka uyeke ukuzisebenzisa. Ukuba unesifo se-celiac, kunokufuneka uyeke ukutya okune-gluten. Ukutshintsha indlela otya ngayo, ukuyeka ukutshaya, kunye nokunciphisa utywala nako kunokunceda.

Kunqabile kakhulu, ukuba i-duodenum yonakele kakhulu, kunokufuneka utyando ukuze kulungiswe izicubu. Nangona kunjalo, oku kunqabile kakhulu.

Kuthatha ixesha elingakanani ukuba i-duodenitis iphole?

Oku kuxhomekeke kwinto ebangele ukudumba kunye nokuba kukhulu kangakanani. Ukuba une-H. pylori, kuya kufuneka uthathe amayeza okubulala iintsholongwane kangangeeveki ezimbini ukuze ucoceke. Nokuba iimpawu zakho ziyaphucuka, kubalulekile ukuthatha onke amayeza njengoko ugqirha wakho ewanike wona yonke imihla.

Singayiphepha njani le meko ye-duodenitis?

Ungawunciphisa lo mngcipheko ngokuzigcina ucocekile ukuze uphephe izifo. Kwakhona, zama ukuphila ubomi obulula emathunjini akho.

• Hlamba izandla zakho kakuhle: Iindlela ezifanelekileyo zokuhlamba izandla, ngamaxesha afanelekileyo, zinokunceda ekuthinteleni izifo. Hlamba izandla zakho ngaphambi nasemva kokulungisa ukutya. Hlamba izandla zakho emva kokusebenzisa indlu yangasese.
• Musa ukutshaya: Ukuba uyatshaya, thetha nogqirha wakho malunga nokwenza icebo lokuyeka.
• Musa ukusela utywala kakhulu: IZiko loLawulo lweZifo (i-CDC) licebisa ukuba amadoda angasebenzisi iziselo ezingaphezu kwezimbini ngosuku kwaye abafazi bangasebenzisi iziselo ezingaphezulu kwesinye ngosuku.
• Musa ukusebenzisa kakhulu izithomalalisi zentlungu (ii-NSAID): Musa ukuthatha i-NSAID kangangeentsuku ezingaphezu kwezintathu xa kukho umkhuhlane, okanye iintsuku ezingaphezu kweshumi xa kukho intlungu, ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo.
• Kuphephe ukutya okucaphukisa amathumbu akho: Oku kuquka ukutya okuqulethe i-gluten ukuba unesifo se-celiac, kunye nokutya okubangela ukuba ungabi namdla.

Zeziphi izinto ekufuneka zityiwe kwaye zingafanele zityiwe xa une-duodenitis?

Ungenza ezi zinto:

• Ziphephe ukutya okunokucaphukisa amathumbu. Oku kuquka ukutya okuneziqholo, kunye nokutya okune-asidi eninzi njengelamuni neetumato.
• Ziphephe iziselo ezinokukucaphukisa amathumbu. Oku kuquka iziselo ezine-caffeine, ezifana nekofu, iti, kunye nesoda.
• Yeka ukusela utywala, okanye unciphise.

Zama ukutshintshela ekutyeni okungeyondlwan’ iyanetha, okungenaziqholo de iimpawu zakho zibe ngcono.Kungumbono olungileyo ukuzama ukutya kweBRAT. Oko kuthetha iibhanana, irayisi, isosi yama-apple, kunye netoast. Kancinci kancinci, ungongeza ukutya okunesondlo, okufana nesuphu yenkukhu okanye umhluzi. Endaweni yokutya ukutya okukhulu ngaxeshanye, yitya ukutya okuncinci okumbalwa imini yonke. Oku kuya kunceda inkqubo yakho yokugaya ukutya ihlale ikwimeko efanelekileyo.

Nokuba utya ntoni na, ungatyi nto iiyure ezintathu ngaphambi kokuba ulale. Nika inkqubo yakho yokugaya ukutya ixesha elaneleyo lokuphumla, ukuze ukwazi ukulala lula.

Ufanele uye nini kugqirha?

Bona ugqirha ukuba iimpawu zakho aziphucuki emva kweentsuku ezintathu ukuya kwezine, okanye ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba uqhubeka nokuhlanza iintsuku ezimbini.
• Ukuba ubungenakukwazi ukugcina nantoni na engamanzi phantsi iiyure ezingama-24.
• Ukuba isisu besingenanto kangangeeyure ezingaphezu kwama-24.
• Ukuba kukho iimpawu zokuphelelwa ngamanzi emzimbeni.

Funa uncedo lwezonyango ngokukhawuleza ukuba kukho nakuphi na kwezi zilandelayo:

• Ukuba umkhuhlane ungaphezulu kwe-102 degrees Fahrenheit (39 degrees Celsius).
• Ukuba kukho igazi emhlanzweni okanye esitulweni.
• Ukuba ngequbuliso uva iintlungu eziqatha zesisu okanye ukudumba.

Umyalezo Wokugqibela Wokuya Ekhaya

I-Duodenitis idla ngokuba yeyomzuzwana kwaye idla ngokuziphelela. Nangona kunjalo, ukuba uneempawu ezifana nokuhlanza, urhudo, okanye iintlungu zesisu ezihlala zikho okanye zibe mandundu, kubalulekile ukubona ugqirha ukuze akunike ingcebiso. Ungadinga amayeza okunyanga usulelo okanye ukunciphisa i-asidi yesisu. Kubalulekile ukunyanga le meko ngokukhawuleza ukuze uthintele iingxaki ezinzima ezifana ne-peptic duodenitis okanye izilonda, ezinokubangelwa kukudumba okukhulu. Nyamekela impilo yakho!

I- Duodenitis, ukudumba kwesisu, inkqubo yokugaya ukutya, i-H. pylori, ii-NSAID, izilonda zesisu, i-gastritis