O ntawm lub 12 duodenal rwj: Ua thiab Kev Kho Mob

Nruab nrab ntawm lub plab thiab cov hnyuv muaj intermediate division, uas tej zaum yuav nquag yuav tsum tau raug mus kab mob. Raws li ib tug tshwm sim ntawm cov kab mob no li duodenitis. Tus kab mob no tsis tshua muaj raws li ywj siab pathology, feem ntau ntawm nws yuav siv sij hawm qhov chaw tiv thaiv lub keeb kwm ntawm pancreatitis, cholecystitis, mob plab, gastritis thiab lwm yam mob.

txhais

Xis tau puas tau pom nyob rau hauv txhua txhua kaum tus neeg thiab yog ib tus mob o ntawm lub mucosa ntawm lub duodenum 12. Nws muaj tsis muaj kev txwv nyob rau hauv lub hnub nyoog, tab sis kuj tsis tshua muaj kev nyob rau hauv cov me nyuam. Txawm tias gastroenterologists sau hais tias duodenitis feem ntau yuav raug kev txom nyem cov caug.

Yog mob yuav tsuas yuav ib tug tsim nyog ti teg taw, tom qab nws yog ua los ntawm ib tug xov tooj ntawm laboratory thiab instrumental soj ntsuam. Kev kho mob nyob rau hauv chav kawm ntawm tus kab mob, tab sis nyiam yog muab rau conservative txoj kev, uas muaj xws li raws li tau cawm noj cov zaub mov thiab txais tos ntawm kev kho mob npaj. Phais pab yog yuav tsum tau xwb nyob rau hauv lub feem ntau loj heev zaum.

yog vim li cas

Feem ntau cov feem ntau, o ntawm lub duodenum 12 tshwm sim raws li ib tug concomitant kab mob. Nws feem ntau yog tshwm nyob rau hauv lub keeb kwm yav dhau ntawm lwm yam plab hnyuv mob, xws li:

- dyspepsia - plab tsis xis nyob tom qab noj cov khoom noj khoom haus;
- cholecystitis - o ntawm lub gallbladder;
- mob kab mob siab B kab mob nyob rau hauv lub keeb kwm yav dhau;
- peptic rwj - lesion membrane ntawm cov hnyuv thiab lub plab;
- Zollinger-Ellison syndrome - gastrinomas;
- raws plab - mob mob;
- gastritis - o ntawm lub qog ua kua membrane.

Txiav txim siab kev nyuaj siab, uas yog tshwm sim los ntawm ib tug kab mob los yog kev phais, tseem muaj txhawb mus rau lub tsos ntawm duodenitis. Tsis-tshuaj tshuaj yuav feem ntau ntxias o ntawm lub 12 duodenal rwj.

hom

Cais tus kab mob raws li ob peb no:

1. Cov chav kawm ntawm tus kab mob:

• mob - tshwm sim poob nthav thiab luv luv ntev, nyob rau hauv cov ntaub ntawv no rau tag nrho cov tsos mob yuav kis tau zoo heev sharply;
• mob - ib tug ua txhaum tsawv rau ib ntev lub sij hawm, feem ntau tsis qhia mob syndromes tau tej zaum kuj ua rau lawv tus kheej muaj tsis kaj siab, seeb ncus.

2. Lub degree ntawm kev puas tsuaj:

• Erosive - nyob rau hauv lub hauv paus ntawm lub plab tshwm yaig thiab qhov txhab;
• nto - tsuas o yog tam sim no.

3. qhov chaw ntawm kev kawm ntawv:

• bulbar - nyob ze qhov chaw ntawm lub duodenal noob;
• Postbulbarnye - settles nyob rau hauv qhov tob.

cov tsos mob

Hais tias tus txiv neej nyob ib leeg muaj peev xwm mus kuaj li cas nws duodenitis, koj yuav tsum them rau tej yam tshwm sim:

• mob tej thiab lub caij nyoog mob rau hauv lub Upper qhov chaw ntawm lub plab, uas tshwm sim feem ntau nyob rau hauv ib qho kev npliag plab;
• mob plab distension thiab plob tsis so tswj;
• regurgitation ntawm cov zaub mov, feem ntau tam sim ntawd tom qab noj mov;
• xeev siab thiab tej zaum ntuav cov kua tsib;
• tsis muaj qab los noj mov;
• kub siab.

Yog hais tias muaj yog ib tug mob mob ntawm lub duodenum 12, feem ntau ntawm cov tsos mob pib tshwm sim tom qab stressful lub sijhawm thaum lub sij hawm mob thiab tsis nyob rau hauv cov khoom noj.

diagnostics

Thaum ib tug kws kho mob prescribes tus yam ntxwv nta:

• X-rays ntawm lub plab thiab cov hnyuv;
• quav;
• tiav cov ntshav count;
• biochemical kev ntsuam xyuas.

Nrog ua ke nrog ntawm tej txoj kev yuav ascertain tus txheej xwm ntawm lub plab, siab, pancreas, qhia hais tias yuav kis neeg sawv cev, ib tug inflammatory teb, thiab tshawb xyuas lub zog possibilities ntawm lub digestive system.

instrumental cov kev tshawb fawb

Qhov tseem txhim khu kev qha txoj kev mob yog duodenitis endoscopy. Yog hais tias muaj yog ib tug dag o ntawm lub duodenum 12, cov zaub yuav tshwm sim unevenly edematous mucosa. Yog li, nws tseem tau mus qhia ib tug ntse hyperemia nyob rau hauv daim ntawv ntawm ib tug neeg thaj ua rau thaj. Cov chaw no yuav tshwm sim me ntsis saum toj no tus so ntawm qhov chaw.

Thaum qhia duodenitis txheej tau txais diffusely-Edematous saib. Spotted qhov chaw ntawm hyperemia deb tshaj feem ntau lawv yog koom nyob rau hauv lub teb mus txog 2 cm inch. Nyob rau hauv xws chaw yog tseem tam sim no melkotochechnye hemorrhage. Lub mucosa yuav nyias-skinned, yuav yuav ntes tau nyob rau hauv lub lumen ntawm ib tug daj ntseg daj opalescent kua thiab loj nyiaj ntawm cov hnoos qeev.

Yog hais tias muaj yog ib tug qhia o ntawm lub duodenum 12, lub endoscopic daim duab yog txawm brighter. Nyob rau hauv xws li ib tug kab mob cim tshwm sim semolina. Ultrasound yuav ua rau lub zos mob nyob rau hauv siab rhiab sensor nyob rau hauv lub antral cheeb tsam uas yuav pab tau qha tsis kaj siab syndromes tshwm sim los kab mob.

txoj kev kho

Chiv, tus neeg mob yuav tsum tau hais tias ib tug nruj kev noj haus. Yuav ua li cas kom tshem tawm o 12 duodenal rwj? Tshuaj kho mob yog nqa tawm raws li nyob rau hauv lub qhov pib ua ntawm tus kab mob.

1. Rau cov hom phiaj ntawm tshuaj loog siv analgesics thiab enveloping txhais tau tias.
2. Yog hais tias muaj yog ib tug mob uas yuav tsum muaj ib chav kawm ntawm tshuaj tua kab mob.
3. Yuav kom txo tau cov acidity ntawm pais plab kua txiv yuav tsum tau tshwj xeeb cov tshuaj.
4. defeat lub enzyme deficiency, xav tau ntau hwj chim kho.
5. Xyuas kom tseeb tias yuav tsum tau sau tawm restorative tshuaj, antispasmodics, thiab vitamins.

Tej zaum kev kho mob yuav tsum siv cov immunomodulators thiab sedatives. Zoo heev ua rau kom muaj physiotherapy hom kev kawm, namely, magnetic txoj kev kho, electrophoresis thiab mineral ciab, raws li lawv yog zoo ntxuav o 12 duodenal rwj. Cov tsos mob thiab kev kho mob ntawm tus kab mob no tej zaum yuav sib txawv, li ntawd, tus neeg mob pom zoo kom ib tug tej yam theem:

• nyob ruaj ruaj;
• polyclinic;
• sanatarno-resort.

Tom qab ntawd peb yuav paub raws nraim li cas mus siv txhua lub sij hawm rau tshwj kom txhob muaj tus kab mob.

cev xeeb tub

Thaum lub sij hawm no lub sij hawm, qhov kev kho mob ntawm duodenitis yuav tsum tau txawv, kev thiab kev thiab los ntawm tej yam hauv paus ntsiab lus: tshuaj kho yog nqa tawm tsuas yog nyob rau lub sij hawm ntawm aggravation thiab tsis muaj kev ntxim rau cov ua raws li kev noj haus, kev noj haus thiab antacids.

Yog hais tias qhia o ntawm lub plab thiab duodenum 12, nyob rau hauv lub chav kawm ntawm kev kho siv nonabsorbable tshuaj. Nyob rau hauv lub xaiv ntawm cov tshuaj yuav tsum cais cov neeg nyob rau hauv uas cov qauv yog sodium (yuav tsum tsis txhob loj hlob ntawm metabolic alkalosis, thiab dej tuav raws li ib tug me nyuam hauv plab thiab rau cov niam), thiab muab feem rau cov tshuaj muaj ib tug siab neutralizing muaj peev xwm thiab zoo kuas muaj pes tsawg leeg laxative thiab kho cov neeg ua hauj. Cov no muaj xws "Maalox", uas yog muab tso rau 1 feem ntawm hmoov txhua txhua ob peb teev tom qab noj mov (3-5 lub sij hawm ib hnub twg). Ntau siv "Fosfalyugel", "Almagell" "kaolin", thiab txhuas hydroxide.

Heev feem ntau thov binders thiab overlying tshuaj (pom zoo zaub keeb kwm - decoction ntawm St John lub wort, chamomile thiab yarrow paj).

Ua ntej ntawm tag nrho cov xaiv Cheebtsam ntawm lub yam nram no:

• anti-inflammatory (ntoo qhib, plantain);
• spasmolytics (liquorice, fennel, mint, chamomile);
• antiseptic (hypericum, Calendula);
• cov tshuaj ntaus cev (rhubarb, zhoster, buckthorn).

Rau cov anti-secretory cov neeg ua hauj tej zaum yuav muaj xws li ib co uas tsis yog-xim M-anticholinergics. "Atropine" thiaj li muaj cov suab nrov ntawm tus nqaij ntawm cov hlab pas, cheeb qhov uas cov secretory kev ua ntawm lub plab, tab sis nyob rau tib lub sij hawm muaj txhawb rau kev qhia tawm ntawm lub ncauj tsev menyuam, tawm hauv muaj ib tug tau ntawm nchuav menyuam nyob rau hauv thawj peb lub hlis, raws li zoo raws li activates lub me nyuam hauv plab tachycardia. Yog li ntawd, yog tias ib tug poj niam nyob rau hauv ib txoj hauj lwm ntawm mob mob ntawm lub duodenum 12, yog preferable siv "Metacin" los yog "Platifillin" muaj tsis yog li ntawd txhoj puab heev ntxim rau cov me nyuam hauv plab thiab rau cov niam. Nyob rau hauv tas li ntawd, cov tshuaj muaj ib tug relaxing ntxim rau cov menyuam, nws yuav siv tau rau cov poj niam thiaj paub hais tias nrog threatened nchuav menyuam. Nyob rau hauv cov ntaub ntawv ntawm theem nrab duodenitis qhia los ntawm lwm tus kab mob kho.

pej xeem kev

Txawm tias muaj tseeb hais tias tam sim no feem ntau cov kws kho mob paub yuav ua li cas los kho mob ntawm lub duodenum 12 kev cai, cov neeg mob tseem tso siab rau cov pov thawj rau centuries herbal ceg. cov yooj yim los npaj cov tshuaj feem ntau siv:

1. nchuav boiling dej rau 1 teev. L. linseed, whereupon tag nrho pub rau sawv 20 feeb. Lub mixed haus yog siv nyob rau hauv me me sips rau ib qho kev npliag plab. Nws yuav siv sij hawm noj tshuaj rau ib lub hlis tsis muaj kev cuam tshuam.
2. Nyob rau hauv sib npaug zos qhov chaw mix chamomile, txiv qaub tshuaj, licorice thiab marshmallow paus, buckthorn tawv, lavender, tus tswv yug yaj lub hnab. Ntxiv 1 h. L. npaj sib tov hau dej thiab xa mus rau ib tug dej da dej. Lim thiab haus dej haus tag nrho rau 30 feeb ua ntej noj mov.
Phaus 3. 0.5 kg ntawm hiav txwv buckthorn thiab ntxiv 0.5 liv ntawm sunflower roj. Qhov no muaj pes tsawg leeg yog infused lub lim tiam nyob rau hauv ib tug kaw nkoj, nyob ib leeg. Ntxiv mus, qhov loj yog av thiab yog txais yog hais tias muaj yog o ntawm qhov muag teev 12 duodenal rwj nyob rau hauv 1 tbsp. l. txhua txhua hnub rau ib lub hli.
4. tshuaj ntsuab Hypericum yog npaj aqueous tov thiab nyob rau hauv lub sij hawm ntawm exacerbation coj txhua txhua hnub rau ib tug ob peb sips.
5. Cov kua txiv squeezed los ntawm cov nplooj thiab stems ntawm plantain loj, ces muaj yog ntxiv ib me ntsis niam. Cov uas ua sib tov twb noj rau 1 teev. L. ua ntej noj mov cov zaub mov.
6. Lub huv si thiab dej sov soaked twigs rhubarb, ces lawv ua ntawv thov raws li ib tug Hlob lub sij hawm nyob rau hauv o nyob rau hauv lub plab cheeb tsam.

teeb meem

Muaj coob tus neeg tsis txawm paub hais tias lawv muaj mob ntawm lub duodenum 12. Cov tsos mob ntawm tus kab mob no yog tsis ib txwm tau mus kuaj, qhov no yog vim li cas, duodenitis feem ntau khiav lig thiab pib kho, yog li provoking lub rov tshwm sim ntawm tej yam mob:

• o ntawm lub serous membrane lub cev;
• plob tsis so tswj rhuav txhua;
• uas nws kim heev los ntshav;
• canker thiab narrowing ntawm lub pylorus;
• purulent o ntawm cov ntaub so ntswg;
• insufficiency ntawm duodenal cov tshuaj hormones.

Tab sis txawm lub siab yuav mob, cov raug ntawm duodenitis paaj. Yog hais tias koj ntes tus mob nyob rau hauv nws thaum ntxov ua sawv, nws yog tau mus cuag ib tug tag nrho rov qab.

Cov kev tiv thaiv raws li xws li tsis muaj nyob. Peb cia li yuav tsum tau lo rau ib tug noj qab nyob zoo txoj kev ua neej, raws li zoo raws li lub sij hawm los kho mob ntawm tus mob huam, thiab ua raws li cov tswv yim pom zoo rau cov zaub mov. Ob peb zaug ib xyoos tuaj rau tiv thaiv daim tshev-ups mus rau ib tug gastroenterologist.

Noj cov zaub mov thaum lub sij hawm o 12 duodenal rwj

Cov neeg mob kev txom nyem los ntawm duodenitis, koj yuav tsum tau ua raws li kom noj cov zaub mov uas yuav txhawb kev kho neeg mob. Ua ntej ntawm tag nrho cov nws yog tsim nyog los tso tseg lub roughage, uas mob thiab thiaj li puas mucosa. Yuav kom siv pom zoo boiled, frayed, stewed thiab steamed tais diav.

Koj yuav tsum tsis txhob noj qab ntsev, ntsim, qaub thiab kib, yog tseem tsis tsim nyog marinades thiab smoked. Nws yuav tsum tau hloov lub tshiab ci ncuav thiab crackers. Kiag txhob kub chocolate, dej cawv, dej qab zib thiab kas fes.

Cov khoom noj yuav tsum tau muaj primacy enveloping thiab maj khoom, nws yuav tsum ci puddings, porridge, puree, jelly, meatballs, meatballs, zaub thiab cereal kua zaub. Heev tseem ceeb rau tus siv uas tsis muaj khoom noj muaj roj khoom. Nws tseem yog tsim nyog los soj ntsuam cov cai ntawm fragmentation thiab tsis tu ncua zaub mov noj. Dej noj cov zaub mov yog tsis kawg: muaj ib hnub koj yuav tsum haus dej haus tsawg kawg yog 1.5 liv cov kua.

kev tiv thaiv

Yuav kom tus kab mob 12 duodenal rwj yog tsis disturbed teeb meem thiab exacerbations, koj yuav tsum tau ua raws li nram no tswv yim pom zoo:

• tau tshem ntawm phem cwj pwm tsis zoo (haus luam yeeb, tshuaj, dej cawv);
• nruj me ntsis soj ntsuam rau cov kev txwv nyob rau hauv cov kev soj ntsuam kev noj haus;
• streamlined lub sij hawm ntawm kev ua hauj lwm thiab so;
• tshem tawm kev nyuaj siab loads;
• lub sij hawm los kho co-morbidities;
• koom kev kawm tiv thaiv kev kho mob.