Ulcer duodenal u kukui: ano, ke kumu, symptoms a me ka hana hiʻona

Ulcer duodenal u kukui (ICD10: K26) - 'ano, he pono ole ia maʻi, ua diagnosed ma holomua kahua o ka hoʻonaʻauao. Keia hana no ka poʻe i maʻa i kekahi discomfort i loko o ka'ōpū, e kaila staleʻai a me kaʻai 'aʻe'. Man hoomanawanuiʻeha mokuhia mai kona lapaʻauʻia, a aole nae i ka maʻi progresses. I ke kauka i ka hoʻomanawanui loaʻa kou kino i unbearable ka wā ignoring.

epidemiology

Duodenal ulcer u kukui mea IeAUPIIe, IAa IO kiʻekiʻe i gastric mucosal lesions. No laila, i kaʻike, ua ana i kākau "gastric ulcer a me duodenal ulcer", me ka hoike ole i ka wahi.

About 5% o nā kanaka i loko o ke ao nei i keia pathology. I na kanaka, ia ia lŘlŘ 4 mau manawa hou ma mua o nā wāhine pinepine. A lākiō o ka townspeople, a mau kama'āina e pili ana i 2 i 1. kēia mea loa ia paha ma muli o ka pono o nā huahana, dietaryʻano a me ka hoohana ana o nā kupa o urbanized kulekele.

kumu

Duodenal Ulcer u kukui ia lŘlŘ aie i ka corrosive hana o hydrochloricʻakika (i ka hapa o ka digestive wai) a hiki i ka mucosa o ka uuku liʻiliʻi. kekahi mau kumu o ka acidification mea:

• excessive secretion o gastrin (ka hōmona i regulates digestion);

• Hobby spicy,ʻawaʻawa, palemo iho, huawaina, palai a me ka momomaʻai;

• lawa ponoʻole meaʻaiʻai ana i ka lā a me ka overeating i loko o ke ahiahi;

• hooloihi ae i hormonal a Anati-hoʻoʻino ai ';

• Mau waiū e stress;

• pūnuku puhi a me ka waiʻona hokii, o ka oi aku ma luna o ka nele'ōpū.

Ma pohihihi keia hihia i keʻano o nā erosions a me ulcers ma ka duodenum i ke pili me ka loa kiʻekiʻe o ke kalipuna i loko o ke kino, ka ho'ēmiʻana o ke ake, a puupaa, maʻi obstructive pulmonary maʻi.

pathogenesis

Duodenal ulcer u kukui i Konakele. Undulating papa me ka alternating kala a me ka exacerbation. Conventionally, eia ekolu anuu:

• huʻi ma (haʻi symptoms, mucosal ulcers a me erosions i);

• attenuation kaʻina (loaʻa nā ole hoopii, ulcer me ka makaʻu no);

• ke kala ana (i symptoms, scars epiteliziruyutsya).

A nui kūlana ma ke ano o ulcers Radio ka pioloke o kaʻakika-kona'ākilikai koena i loko o ka intestinal mucosa. Inā hydrochloricʻakika ua hana nui ma mua o ka mekala 'åkilikai, ka mea, ua ole loa neutralized a me ka poho puni'aʻaʻa. e luku keena, hoʻokuʻu nā'ūhū, a hoʻonui i ka poino. Ma kēia paena hana mucous li nui, a maoli he me kēlā hou hapa o ke chyme. Eia kekahi, mahuahua motility a me ka ulu i loko o ka helu ana o secretory aeee i loko o ka'ōpū, e peeʻakika e leie aku a hiki oleʻai.

symptoms

Pehea e hoike mai ai ia ia iho, duodenal ulcer u kukui? Symptoms a me ka lapaʻau o kona pili loa, no laila ia mea nui e maopopo pono i ka i lanakila maʻi pale. Lapaʻauʻike manaʻo, ua nui loa, pili, a i ka hailona o discomfort i ka hoʻomanawanui.

Ka mea mua a me ka papa kuhikuhiE symptom meaʻeha ma ka umbilical māhele 'āina. Ua hiki e nā huʻi a me ka nagging, ia a pau hilinaʻi nui ma luna o ka nui a me ka pono o ka meaʻai. Eia hou, i ka hoʻomaka o ka mea, he mama i pakele o ka inu antacids. I kekahi manawa, i kaʻeha hiki mai hoʻi i ka po, a pāhawewe hou i ke kua.

Kēlā me kēia wahine i ka manamana lima ike ia e pakele o ka nausea, regurgitation, ka eha, a me wale i ka meaʻai māmā. He pono i kekahi mea e like jelly. Akā, i kēia mea paahana mea i paʻa, no ka mea, ka luaʻi hiki ke hoʻi hou mai ma hope o kaʻai, "kūpono ma" me ia e like me ka "bonus" heartburn, a me ka manao o ke kaumaha. Kekahi manawa, i kēia mau kanaka e ae, mai kāna hana o ka noho i loko o ka palapala o ka constipation a me ka bloating.

complications

Huʻi duodenal ulcer u kukui o ke ola-hooweliweli maʻi, a ola. I loa hoopii loa kahe ana ke koko, perforation o ka naʻau i paia a me ka septicemia ho okumu.

Ke ulcer hiki ole erode wale i ka pa o ka puha hui, kēia, akā, e seep i loko o ka pili. No ka laʻana, mai ka duodenal u kukui pathological kaʻina hele ai i na pancreas e hana fistulas a me abscesses.

By maʻi complications nā stenosis (hou) intestinal hapa. Kēia hampers ka hooholo ia ana o ka ai, hoʻonāukiukiʻana mai o kona stagnation a me ka palaho i loko o ka'ōpū. Ma kānaka, Ua akaka no aloha o ka naau, nawaliwali, mae, exhaustion, nele o kona'ōpū. Ma kekahi hihia ia paha e ka luaʻi apana o undigested ai ai i kekahi mau lā aku nei.

lapaʻau '

Duodenal Ulcer pu u kukui diagnosed loa wale, i haawiia e hoʻomanawanui iki mai imi 'inikua aʻo i kakahiaka nui me ke kahua kiekie o ka maʻi, i ka wa a ka discomfort ua ālai' ia e ola maʻamau.

Mua, ke kauka 'ohi i ka mōʻaukala a me ka hoʻokolokolo ai. O ke ala, palpation o ka abdomen, aole ia e haawi aku ike maʻiʻo kiʻekiʻe, akā, manaʻo ai, me ka kiʻekiʻe pahiki, ulcerative kaʻina hiki. Ke hoomanawanui Ua laila, hoouna aku la ke koko e ho'āʻo ai, biochemical hōʻailona, fecal occult koko, e like me ka hoʻoholo 'ana i ka nui o ka ha awina o ka gastrin a me Helicobacter pylori.

Ka loa, he pono ole PalekanaEND_LINK kaʻina hana ka esophagogastroduodenoscopy, a, oi wale, endoscopy. Ua apono 'oe, e nana i ka naʻau o ka digestive Tube, cauterize a pau hōʻike' ulcers, lawe i ka'aʻaʻa a me ka loli no ka ninaninau. He informative a me ka radiography. Nā kiʻi i ka Akä naÿe, e e akaka hiki wahi meaʻino a me ka moku'āina o ka mucousʻili lahilahi o ka opu a me ka duodenum.

Lapaʻau o duodenal u kukui

Mua o nā mea a pau e pono e hoomakaukau ia oe iho no ka mea e ia mea he lōʻihi, a painstaking kaʻina, oia hoi o kaʻai, physical ohe. A me ka lapaʻauʻia. Mai Mai e makaʻu, a pau keia e hanaia, aole i mua o ka poʻe ma luna pono ulu kumumanao, a kamailio me kou kauka.

E hoʻoili i ka gastroenterologist e hoʻoholo i ka mea e kena ae i ka maʻi, a e kuhikuhi ai i na koa mai, e kiʻi pohaku uinihepa, o ka mea. No keia mea, aia ka lāʻau Inc. Keia antacids a me prokinetics a me proton EII ni nā mea kūpale, a me na mea he nui 'ē aʻe pharmacological na mea kupanaha. Eia hou, ma ke kaua ana i ka stress ulcers ke kōkua malamalama kiaha dala a me ka hiamoe ana huaale, akā, ka mea e e hoʻohana me ka mālama nui. E ku e ia Helicobacter pylori mea e akakaʻi antibiotics penicillin a me macrolides.

Ma ke kahua o ke ola koa o ke kino, e malama i ke ahonui hōʻike balneotherapy, procaine electrophoresis a me ka rewarming.

hoolaʻi Kids

Lapaʻau o duodenal ulcer u kukui hoolaʻi Kids fraught me kaʻawaʻawa loa hopena no ka ola. No laila, ma mua e hoʻomaka i kēiaʻano o ka ho okolohua e ao aku ia oukou i ka hele kauka. He nō e koʻu mahalo ia oe no ka mea.

Ma ka Internet, e like me ko kakou kupunawahine i ka puu o ideas no ka iapaau ana o ulcers. I mea e ho'ēmi i kaʻakika, a hoonui i ka mucosal ia'ku, kanaka inu hou uala wai, he läÿau, o ka meli a me ka waiūpaʻa a me ka pono meli mea hoʻoheheʻe i ka mehana ka wai a me ka inu mua o ka meaʻai. Aia mau no hoi oi mea lahaʻole ideas, e like me ka hoʻohana 'ana o ke kai buckthorn hua kaʻaila ma luna o ka teaspoon mua kēlā me kēia palaoa.

A pau o kēia mau kiʻina hana ke wehe i ka ke koikoi kŰia, kekahi i paipai hoola ana o ulcers, akā, e ke nō ke kumukuai o ka haawi ana kāu mau koho i kuʻuna kūlana kanaka.

ʻai ulcer duodenal u kukui

I manawa o exacerbations o ka maʻi, nā mea maʻi e hoopili aku i ka ikaikaʻai lawa, e kōkua emi i ka nui o ka eha, a me ka māmā ke ola. A mau kōkua paha no ia i kaʻai:

1. Mahaeʻai kela 3 hola i loko o ka poe liilii,'āpana.

2. He mea e lohi i ka ilihune, ke akahele e kamaiʻilio ana i ka ai.

3. Food E e mehana, no laila, i ole e nāuki mai i ka ua ikepili koʻikoʻi liʻiliʻi.

4. Mai i nā huahana pono ole hoʻoulu hou? Iecaianoaaiiuo o hydrochloricʻakika, no laila, i kekahi mea palai, spicy, palemo iho, pickled a me ka wainaʻala.

Mai kekahi noho lealea ana a me ka'ōmiko hiki i, e haawi mai i ke ola. Akā, i ka waiū, i ka hua a me ka puree jelly, mahu ka lau a me ka hua hiki keʻai i loko o kona palena mea.