Kujambula kwa Duodenal ndi phunziro lomwe limalola kuti tifotokoze zomwe zili mu lumen ya duodenum, kuphatikizapo bile, madzi omwe amapangidwa ndi makoswe ndi matumbo, komanso madzi ena amkati. Njirayi yakhala ikugwiritsidwa ntchito pa mankhwala kwa nthawi yaitali, koma m'zaka zaposachedwapa yayisinthidwa ndi yowonjezereka.
Zisonyezo za kuwomba kwadodenal
Phunziroli lingakonzedwenso:
- Matenda a chiwindi (hepatitis, hepatosis, etc.);
- Matenda a gallbladder (cholecystitis, cholelithiasis);
- Matenda a tsamba la biliary (dyskinesia, cholangitis)
- Matenda a duodenum (gastroduodenitis);
- Matenda a kapangidwe (pancreatitis).
Kwa madandaulo, pamaso pa odwala omwe akulimbikitsidwa kuyimba nyimbo, ndi:
- ululu mu hypochondrium yolondola;
- kusokonezeka kwa chitukuko (kudzimbidwa, kutsegula m'mimba, kusintha kwa mtundu wa ntchentche);
- mphunzitsi;
- kupweteka;
- kulawa kowawa pakamwa ;
- chisokonezo chafupipafupi;
- flatulence.
Njirayi imagwiritsidwanso ntchito kuti azindikire ndi kuyang'anira mphamvu ya lambliosis ndi helminthiases. Kuonjezera apo, ndi cholinga chochizira, kumveka kawiri kawiri kuti muchotse bile kuchokera mu ndulu pa stasis, kuti mulowetse mankhwala mumatumbo ndi matenda a parasitic.
Kukonzekera kumveka kwa duodenal
Asanamveka phokoso, odwala amayang'anitsitsa mosamala kuti asagwiritsenso ntchito njirayi. Komanso, odwala okhawo ayenera kuchita maphunziro ophweka, omwe amapereka:
- kuthetsa mankhwala okonzekera kwa masiku asanu musanaphunzire (enzyme, choleretic, laxatives, spasmolytic, etc.);
- kutsata chakudya kwa masiku 2-3 musanapange njirayi kupatulapo mankhwala opangira mpweya (confectionery, nyemba, mkate wakuda, mkaka, etc.), komanso mafuta, zokazinga ndi zokometsera mbale;
- kukana kudya maola 12 musanaphunzire (chakudya chamadzulo chilimbikitsidwa usiku wonse);
- kuyeretsa matumbo kumapeto kwa ndondomekoyi.
Njira yothetsera kuwomba kwachiwiri
Njira yowomba kawiri kawiri imaphatikizapo kugwiritsa ntchito kafukufuku wocheka wa mphira, kumapeto kwake komwe kuli pulasitiki kapena azitona zamtengo wapatali ndi mabowo a sampuli.
Pambuyo pochita kafukufuku wapadera ndi kuthira pakamwa pakamwa ndi mankhwala oletsa tizilombo toyambitsa matenda, wodwalayo amawombera pang'onopang'ono pulogalamuyo mpaka pomwe mapeto amafika patali.
Kenaka wodwalayo amaikidwa pamgedi kumanja, akugudubuza pansi, ndipo akupitiriza kuyesa kafukufuku mpaka mapeto ake atha kufika pa duodenum.
Kenaka, mfundo zowonongeka kwa syringe kuchokera pa kafukufukuyo zimayambira, zomwe zikhoza kuchitika mu magawo atatu kapena asanu kuti zipeze zolemba zosiyana.
Pofuna kuyambitsa zitsulo za ndulu ndikutsitsimutsa sphincter ya ndondomeko ya bile, mitundu yambiri yokonzekera (atropine, histamine, magnesium sulphate solution, etc.) imagwiritsidwa ntchito.
Zigawo zazomwe zimasankhidwa zimakhala zosawerengeka kwambiri komanso zowonongeka kwa mabakiteriya, komanso poyerekeza ndi kuchuluka kwa zinthu zomwe zimakhalapo komanso kuchuluka kwake. Zizindikiro za pathological ndi:
- Sinthani kuchuluka kwa chinsinsi ndi kuwonetsera kwake;
- kudziwika kwa ma leukocyte ambiri, maselo, maselo a epithelial, makristoloni, ndi zina zotero.
Zotsutsana za kuwomba kwa duodenal:
- mitsempha ya varicose ya mimba;
- Matenda a m'mimba, zilonda zam'mimba ndi zam'mimba;
- cholecystitis ndi cholelithiasis panthawi yoyenera;
- oncology m'mimba kapena m'mimba;
- angina pectoris;
- aortic aneurysm;
- myocardial infarction, ndi zina zotero.