Ingabe nawe uzizwa sengathi unesisu esishisayo noma esibuhlungu? Kungaba yi-Duodenitis! Singaxoxa ngalokhu?

Kuvamile ukuthi iningi lethu lizizwe lingakhululekile, lishise, noma kube nento engajwayelekile esiswini ngezikhathi ezithile. Ngezinye izikhathi kwenzeka uma sidla kakhulu noma singadli ngesikhathi. Kodwa uma lezi zinto ziqhubeka, noma uma zizwakala zibukhali kancane, akuwona umqondo omuhle ukuzishaya indiva. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Duodenitis, esingadala ukungakhululeki okunjalo, kodwa abantu abaningi abazi ngaso.

Kuyini i-Duodenitis? Ake sikuqonde kalula.

Kalula nje, i-Duodenitis ukuvuvukala kwengxenye yokuqala yamathumbu ethu amancane, ingxenye eseduze nesisu (ebizwa nangokuthi i-duodenum) . Cabanga ngakho le duodenum ifana nendawo yokuhlola ebalulekile esiswini sethu. Inendwangu ekhethekile yokuvikela. Yilokhu okuvimbela amagciwane (amagciwane, amagciwane, njll.) ukuthi angangeni futhi kuvimbele ujusi wokugaya ukudla ukuthi ungonakalisi le ngxenye yamathumbu.

Ngakho-ke, uma lesi sivikelo sokuvikela sisongelwa noma sonakaliswa ngandlela thile, isibonelo, ukutheleleka noma i-asidi yesisu, amasosha omzimba wethu ayavuka. "Kunenkinga lapha!" Kudala ukuvuvukala. Kufana nempi. Lokhu kuvuvukala kubangelwa ukulwa namagciwane nokuphulukisa izindawo ezonakele.

Lokhu kufana kancane ne-gastritis, okuwukuvuvukala kolwelwesi lwesisu. Kodwa i-gastritis ukuvuvukala kwesisu. I-Duodenitis ukuvuvukala kwengxenye yokuqala yamathumbu amancane. Ngokuvamile, uma wonke amathumbu amancane evuvukala, sikubiza ngokuthi i-enteritis.

Ingabe lokhu kubangelwa yi-duodenitis kuyingozi?

Esikhathini esiningi, i-duodenitis iba yesikhashana futhi ayibi yingozi. Ukuvuvukala kuzophela ngokwako ezinsukwini ezimbalwa. Kodwa-ke, uma izimpawu ziqhubeka, kungasho ukuthi une-duodenitis engapheli, okuyisifo sokuvuvukala isikhathi eside. Uma lokhu kwenzeka, kufanele nakanjani ubone udokotela futhi uthole ukwelashwa. Ngokuvamile, kuzosetshenziswa umuthi owodwa noma ngaphezulu. Ngokwelashwa okufanele, lokhu kuvuvukala kungancishiswa futhi izinkinga ezifana nokulimala kwezindonga ze-duodenum zingavinjelwa.

Ziyini izimpawu ze-duodenitis?

Lokhu kuyinto ebaluleke kakhulu. Akuwona wonke umuntu obonisa izimpawu. Abanye bangase bangaboni lutho. Ngisho noma bezibona, izimpawu zingahluka kumuntu nomuntu. Kwabanye abantu, izimpawu ziyafika zidlule, kwabanye, zihlala njalo futhi azimbi kangako. Kodwa kwabanye, izimpawu zingavela ngokuzumayo futhi zibe zimbi kakhulu kangangokuthi bazizwe sengathi, "Ngidinga ukubona udokotela manje."

Lezi yizimpawu ezivame kakhulu:

• Ubuhlungu besisu esingaphezulu:Lokhu kungazwakala sengathi kukhona okukuhlabayo esiswini, noma njengokusha. Abanye abantu bathola ukuthi ubuhlungu buyaphela kancane ngemva kokudla.
• Ukuqunjelwa: Isisu singase sizizwe sigcwele, siqinile, futhi ngezinye izikhathi sibuhlungu.
• Isicanucanu nokuhlanza.
• Uhudo.
• Ukukhathala.
• Igesi esiswini.
• Ukulahlekelwa yisifiso sokudla.

Qaphela! Lezi zinto zingaba izimpawu ze-duodenitis enzima:

Ngezinye izikhathi, ezimweni ezimbi kakhulu ze-Duodenitis, kungase kube nokopha ngaphakathi komgudu wokugaya ukudla. Ezimweni ezinjalo, bheka izimpawu ezifana nalezi:

* Ukuhlanza igazi: Lokhu kungase kubukeke njengekhofi elicwengekileyo.

* Ukopha ngendle: Indle ingaba mnyama okwesibhakabhaka, ibukeke njengethayela.

Uma ubona uphawu olufana nalolu, kungenzeka ukuthi lubangelwa yi-duodenitis noma esinye isifo esibi kakhulu sesistimu yokugaya ukudla. Ngakho-ke bonana nodokotela ngokushesha.

Yini ebangela i-Duodenitis?

Njengoba sixoxile ngaphambili, lokhu kuvuvukala kwenzeka lapho ulwelwesi oluvikelayo lwe-duodenum lusengozini. Amasosha ethu omzimba ashintshela "emodini yokuvikela" futhi abangele ukuvuvukala.

Imbangela eyinhloko nevame kakhulu yalokhu ukutheleleka kwebhaktheriya okubizwa ngokuthi i-H. pylori. Ngokumangazayo, phakathi kuka-50% no-75% wabantu bomhlaba banaleli bhaktheriya emizimbeni yabo. Livame ukutholakala esiswini, kodwa lingahamba liye e-duodenum. Kubantu abaningi, lokhu akubangeli izinkinga. Kodwa-ke, uma leli bhaktheriya le-H. pylori likhula kakhulu ngaphandle kokulawulwa, liba yigciwane futhi liqale ukudla ulwelwesi oluvikelayo lwe-duodenum.

Kunezinye izizathu futhi:

• Amanye amagciwane: Nakuba i-H. pylori iyimbangela eyinhloko, amanye amagciwane nawo angabangela i-duodenitis. Isibonelo, ukukhula ngokweqile kwamagciwane emathunjini amancane (i-SIBO) kanye nokutheleleka okubangelwa yi-parasitic I-Giardiasis nayo ingabangela i-duodenitis.
• Ukusetshenziswa ngokweqile kwama-NSAID: Sivame ukusebenzisa izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala ( ama-NSAID) njenge-aspirin, i-ibuprofen, kanye ne-naproxen sodium. Kodwa-ke, uma lezi zisetshenziswa ngokweqile nangokuqhubekayo, zingalimaza ulwelwesi oluvikelayo lwe-duodenum (noma isisu) futhi zibangele ukuvuvukala.
• Ukwanda kwe-asidi yesisu: I-asidi enzima esiswini ingavuza ingene e-duodenum futhi yonakalise ulwelwesi olulapho. Lo monakalo ubangela ukuvuvukala.
• Izifo ezihlasela umzimba: Isibonelo, isifo se-Celiac singabangela i-duodenitis. Uma umuntu onesifo se-Celiac edla okuthile okuqukethe i-gluten, umzimba wakhe uthola impendulo yokuzivikela komzimba. Isifo sikaCrohn siphinde sibe yisifo sokuvuvukala esithinta amathumbu amancane namakhulu.
• I-GERD (Isifo Sokuqaqamba Kwesisu Esisuka Esophageal): Yilokhu esivame ukukubiza ngokuthi “isilungulela” noma “i-gastritis ebuyayo.” Lesi simo singabangela ukuvuvukala kuyo yonke indlela yokugaya ukudla, okuhlanganisa ne-duodenum.
• Ukudla ukudla okuvuselela amathumbu: Ukungezwani nokudla, isibonelo, ukuzwela ubisi kanye nesoya, kungabangela ukuvuvukala. Futhi, iziphuzo eziqukethe i-caffeine, njengekhofi netiye, zingavuselela amathumbu futhi zibangele i-duodenitis.
• Ukubhema nokuphuza utshwala ngokweqile: Amakhemikhali akugwayi awalungile emathunjini. Ukuphuza utshwala ngokweqile nakho kubangela izinkinga.
• Ukwelashwa komdlavuza: Ukwelashwa ngemisebe kanye ne-chemotherapy, okuyizindlela zokwelapha ezisetshenziselwa ukubhubhisa amangqamuzana omdlavuza, kungabangela nokuvuvukala ohlelweni lokugaya ukudla, okuhlanganisa ne-duodenum.

Ingabe i-Duodenitis iyathelelana?

Ukuvuvukala akuthelelani. Kodwa-ke, imbangela eyinhloko yalokhu kuvuvukala, igciwane le-H. pylori, lingathelelana. Leli gciwane lingasakazeka lisuka komunye umuntu liye komunye ngamathe, indle, kanye nokudla neziphuzo ezingcolisiwe. Isibonelo, i-H. pylori ingadluliselwa ngokuqabulana. Futhi, uma umuntu onegciwane eya endlini yokugezela futhi elungisa ukudla ngaphandle kokugeza izandla zakhe kahle, abantu abadla lokho kudla nabo bangatheleleka.

Kwenzekani uma ingelashwa? Noma yiziphi izinkinga?

Uma i-duodenitis ingelashwa kahle, ingaba yimbi kakhulu futhi ibangele izinkinga ezifana nalezi:

• I-Peptic duodenitis: Ukuvuvukala kwe-duodenum isikhathi eside futhi okunamandla okubangelwa yi-asidi yesisu eningi. Ukutheleleka kwe-H. pylori, ukusetshenziswa ngokweqile kwemithi yokulwa nokuvuvukala engeyona i-steroidal (ama-NSAID), kanye nokubhema kuyizinto eziyingozi kulokhu.
• Izilonda ze-duodenal: Ngokuhamba kwesikhathi, ukulimala kolwelwesi lwe-duodenum kungaholela ezilondeni ezibuhlungu nezivulekile (izilonda). Lezi zifana nezilonda ze-peptic esiswini. Lezi zilonda ngezinye izikhathi zingopha igazi. Uma unegazi endle yakho noma uhlanza igazi, kungaba isilonda se-duodenal.

Futhi, ukuphelelwa amanzi emzimbeni ngenxa yokuhlanza kanye nesifo sohudo esibangelwa yi-duodenitis, okusho ukuthi izinga lamanzi emzimbeni lingancipha. Ukuphelelwa amanzi emzimbeni kuyisimo esiyingozi kakhulu, ikakhulukazi ezinganeni ezincane nakubantu abaneminyaka engaphezu kwengu-65 ubudala.

Enye into ukuthi lokhu kuvuvukala kungaphazamisa omunye wemisebenzi ebaluleke kakhulu ye-duodenum, okuwukumuncwa kwezakhamzimba (isibonelo, insimbi) ekudleni. I-Duodenitis ingavimbela umzimba ekumuncweni kwensimbi eyanele. Insimbi ibalulekile ekwenzeni amangqamuzana abomvu egazi emizimbeni yethu. Lokhu kungaholela ekuntulekeni kwe-anemia yokuntuleka kwensimbi .

Odokotela bangayixilonga kanjani i-duodenitis?

Uma ubona udokotela, uzobuza ngomlando wakho wezokwelapha kanye nezimpawu. Uma kusolwa ukuthi i-duodenitis ibangelwa yisifo sofuba, kungase kwenziwe izivivinyo eziningana ukuze kutholakale ukuthi yini ebangela ukuvuvukala. Lezi zivivinyo zifaka:

• Ukuhlolwa kwegazi: Kungathathwa isampula yegazi ukuze kuhlolwe ukutheleleka ngamagciwane, njenge-H. pylori. Ukuhlolwa kwegazi kungahlola nama-antibodies e-gluten (njengasesifweni se-celiac). Ama-antibodies ngamaprotheni akhiqizwa amasosha omzimba wethu ukulwa namagciwane.
• Ukuhlolwa kwendle: Isampula yendle yakho ingasetshenziswa ukuhlola ukutheleleka kwe-H. pylori.
• Ukuhlolwa kokuphefumula: Ungahlola futhi ukutheleleka kwe-H. pylori ngokubheka umoya wakho. Lokhu kuhlolwa kulinganisa izinga le-carbon dioxide emoyeni wakho ukuze kutholakale ukuthi unesifo yini.
• I-endoscopy Ephezulu: Lokhu kuhilela ukufaka ithubhu elincane elifakwe ikhamera (i-scope) ngomlomo wakho ukuze libheke ngaphakathi kwendlela yakho yokugaya ukudla engaphezulu - umphimbo, isisu, kanye ne-duodenum. Leli thubhu linamathuluzi angathatha amasampula ezicubu, angahlolwa elebhu.
• Uchungechunge lwe-Upper GI: Lolu uchungechunge lokuhlolwa kwe-X-ray. Lokhu kuthatha izithombe zesistimu yokugaya ukudla engaphezulu, kubheka ukuthi lezi zitho zisebenza kanjani ndawonye, ​​futhi kusiza udokotela ukuthi aqonde kangcono ukuthi yini ebangela ukuvuvukala e-duodenum.

Yiziphi izindlela zokwelapha i-duodenitis?

Izindaba ezinhle ukuthi i-duodenitis ivame ukuba ngcono ngokwayo ngokuhamba kwesikhathi. Uma kungenjalo, ukwelashwa kuncike embangela. Ungadinga imithi yokubulala amagciwane e-H. pylori, noma ungadinga imithi yokunciphisa inani le-asidi yesisu elimaza ulwelwesi lwe-duodenum. Ungadinga futhi ukwenza izinguquko ezithile endleleni yokuphila ukuze uvikele amathumbu akho ekucasukeni nasekuvuvukeni.

Lokhu okulandelayo kungenziwa njengokwelashwa:

• Ama-antibiotic: Le mithi ibulala amagciwane e-H. pylori.
• Izinto zokunciphisa i-asidi yesisu: Lokhu kungafaka imithi efana nemithi yokunciphisa i-asidi kanye nemithi yokuvimbela i-proton pump (PPIs).
• Izinguquko zendlela yokuphila: Uma i-duodenitis ibangelwa ukusetshenziswa ngokweqile kwama-NSAID, kungadingeka uyeke ukuwathatha. Uma unesifo se-celiac, kungadingeka uyeke ukudla okuqukethe i-gluten. Ukushintsha indlela odla ngayo, ukuyeka ukubhema, nokunciphisa utshwala nakho kungasiza.

Akuvamile kakhulu, uma i-duodenum yonakele kakhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe izicubu. Kodwa-ke, lokhu akuvamile kakhulu.

Kuthatha isikhathi esingakanani ukuthi i-Duodenitis iphole?

Lokhu kuncike ekutheni yini ebangele ukuvuvukala nokuthi kukhulu kangakanani. Uma unegciwane le-H. pylori, kuzodingeka uthathe ama-antibiotic cishe amasonto amabili ukuze uqede. Ngisho noma izimpawu zakho ziba ngcono, kubalulekile ukuthatha yonke imithi njengoba kunqunywe udokotela wakho kuze kube yilapho uthatha yonke imithi.

Singakugwema kanjani lesi simo se-duodenitis?

Unganciphisa le ngozi ngokwenza inhlanzeko enhle ukuze ugweme izifo. Futhi, zama ukuphila ngendlela elula emathunjini akho.

• Geza izandla zakho kahle: Amasu afanele okugeza izandla, ngezikhathi ezifanele, angasiza ekuvimbeleni ukugula. Geza izandla zakho ngaphambi nangemva kokulungisa ukudla. Geza izandla zakho ngemva kokusebenzisa indlu yangasese.
• Ungabhemi: Uma ubhema, khuluma nodokotela wakho mayelana nokwenza uhlelo lokuyeka.
• Ungaphuzi utshwala obuningi: I-Centers for Disease Control (CDC) itusa ukuthi amadoda angaphuzi iziphuzo ezimbili ngosuku kanye nabesifazane bangaphuzi iziphuzo ezingaphezu kwesisodwa ngosuku.
• Ungasebenzisi ngokweqile imithi yokunciphisa ubuhlungu (ama-NSAID): Ungayisebenzisi i-NSAID izinsuku ezingaphezu kwezintathu ngenxa yomkhuhlane, noma izinsuku ezingaphezu kweshumi ngenxa yobuhlungu, ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
• Gwema ukudla okucasula amathumbu akho: Lokhu kufaka phakathi ukudla okuqukethe i-gluten uma unesifo se-celiac, kanye nokudla okunokungezwani komzimba nakho.

Yikuphi ukudla okufanele nokungafanele ukudliwe uma une-duodenitis?

Ungenza lezi zinto:

• Gwema ukudla okungacasula amathumbu. Lokhu kufaka phakathi ukudla okunongwe kakhulu, kanye nokudla okune-asidi ephezulu njengolamula notamatisi.
• Gwema iziphuzo ezingacasula amathumbu akho. Lokhu kufaka phakathi iziphuzo eziqukethe i-caffeine, njengekhofi, itiye, kanye ne-soda.
• Yeka ukuphuza utshwala, noma unciphise.

Zama ukushintshela ekudleni okuthambile, okungenazinongo kuze kube yilapho izimpawu zakho zithuthuka.Kungumqondo omuhle ukuzama ukudla kwe-BRAT. Lokho kusho ubhanana, ilayisi, isosi yama-apple, kanye nesinkwa esithosiwe. Kancane kancane, ungangeza ukudla okunomsoco okwengeziwe, njengesobho lenkukhu noma umhluzi. Esikhundleni sokudla ukudla okukhulu ngesikhathi esisodwa, yidla ukudla okuncane okuningana usuku lonke. Lokhu kuzosiza uhlelo lwakho lokugaya ukudla ukuthi luhlale lusesimweni esifanele.

Kungakhathaliseki ukuthi udlani, ungadli lutho emahoreni amathathu ngaphambi kokulala. Nikeza uhlelo lwakho lokugaya ukudla isikhathi esanele sokuphumula, ukuze ukwazi ukulala kalula.

Kufanele ubonane nini nodokotela?

Bonana nodokotela uma izimpawu zakho zingathuthuki ngemva kwezinsuku ezintathu kuya kwezine, noma uma unezinye zalezi ezilandelayo:

• Uma uqhubeka nokuhlanza izinsuku ezimbili.
• Uma ungakwazi ukugcina uketshezi amahora angama-24.
• Uma isisu singenalutho isikhathi esingaphezu kwamahora angama-24.
• Uma kunezimpawu zokuphelelwa ngamanzi emzimbeni.

Funa usizo lwezokwelapha ngokushesha uma kwenzeka noma yikuphi kwalokhu okulandelayo:

• Uma umkhuhlane ungaphezu kwama-degrees Celsius angu-39 (102 degrees Fahrenheit).
• Uma kukhona igazi emhlanzweni noma esitulweni.
• Uma uzwa ubuhlungu obukhulu esiswini noma ukuvuvukala ngokuzumayo.

Umyalezo Wokugcina Wokuya Nasekhaya

I-Duodenitis ivame ukuba yesikhashana futhi ivame ukuxazululeka yodwa. Kodwa-ke, uma unezimpawu ezifana nokuhlanza, uhudo, noma ubuhlungu besisu obuqhubekayo noma obuba bubi kakhulu, kubalulekile ukubona udokotela ukuze uthole iseluleko. Ungadinga imithi yokwelapha ukutheleleka noma ukunciphisa i-asidi yesisu. Kubalulekile ukwelapha lesi simo ngokushesha ukuze uvimbele izinkinga ezinkulu ezifana ne-peptic duodenitis noma izilonda, ezingabangelwa ukuvuvukala okukhulu. Nakekela impilo yakho!

I- Duodenitis, ukuvuvukala kwesisu, uhlelo lokugaya ukudla, i-H. pylori, ama-NSAID, izilonda zesisu, i-gastritis