Ukuvakala kweDuoden isifundo esivumela ukuhlalutya iziqulatho ze-lumen ye-duodenum, kubandakanywa ne-bile, i-fluids eveliswa yi-pancreas kunye nesisu, kunye nesantya esithile sejusi esiswini. Le ndlela iye yasetyenziswa kumayeza ixesha elide, kodwa kwiminyaka yamuva iguquliwe kwaye iphuculwe.
Iimpawu zokuvakala kwe-duodenal
Olu phofu lunokucwangciswa:
- izifo zesibindi (i-hepatitis, hepatosis, njl);
- i-pathologies ye gallbladder (cholecystitis, cholelithiasis);
- izifo zephepha lebhiliyari (i-dyskinesia, i-cholangitis)
- isifo se duodenum (gastroduodenitis);
- isifo se-pancreas (pancreatitis).
Izikhalazo, phambi kokuba izigulane zinconywa ukubetha kwe-duodenal, zi:
- intlungu kwi-hypochondrium efanelekileyo;
- iziphazamiso zesitolongo (ukudityaniswa, isifo sohudo, utshintsho kumbala wezilwanyana);
- ukuqhuma;
- ukuguquka;
- inambitheka emlonyeni ;
- isisulu somsindo;
- ukuguquka.
Le ndlela isetyenziselwa ukuxilonga nokulawula ukusebenza kwe-lambliosis kunye nezinye i-helminthiases. Ukongezelela, ngenjongo yokwelapha, ukubetha kwe-duodenal kwenziwa ukuba kukhishwe i-bile kwi-gallbladder ngexesha le-stasis, ukuzisa izidakamizwa kumathambo ngezifo ezihlaselayo.
Ukulungiselela ukuvakala kwe-duodenal
Ngaphambi kokuvakala kwe-duodenal, izigulane zihlolisiswa ngokucokisekileyo ukuba zingabandakanyi ukuchasene nenkqubo. Kwakhona, izigulane ziyafuneka ukuba ziqhube uqeqesho olulula, olubonelela:
- ukupheliswa kwamalungiselelo okwelapha iintsuku ezingama-5 ngaphambi kokufundwa (inzyme, choleretic, laxatives, spasmolytic, njl);
- ukuthotyelwa kokutya kweentsuku ezingama-2-3 ngaphambi kokuba inkqubo ngaphandle kweemveliso zerhasi (i-confectionery, i-legumes, isonka esimnyama, ubisi, njl.
- ukwala ukutya iiyure ezili-12 ngaphambi kokufunda (ukutya okulula okucetyiswayo ubusuku bonke);
- ukuhlanjululwa kwamathumbu ngokuhlwa kwenkqubo.
I-Technique yokwenza isandi sokukhwabanisa
Indlela yokubethela i-duodenal iquka ukusetyenziswa kweprojekthi yerobhi encinci, ekupheleni kwaloo nto iplastiki okanye umnquma wensimbi kunye nemigodi yesampula.
Emva kwonyango olukhethekileyo lweprojekthi kunye nokuhlambulula umlomo ngesisombululo se-antiseptic, isigulane sitshintshela ngokukhawuleza ipererelo kwindawo yokuhlala kude kube sekupheleni umgama othile.
Emva koko isigulane sifakwa kwisitya sokulala ngakwesokudla, i-roller efudumele ifakwe ngaphantsi kwayo, kwaye iyaqhubeka igxininisa iphandle de ukuphela kwayo ifinyelele kwi-duodenum.
Emva koko, iincwadi zokuhlalutya kwe-syringe ukusuka kwiprogram iyaqala, enokuthi iqhutywe kwizigaba ezintathu okanye ezintlanu ukufumana iziqulatho ezahlukeneyo.
Ukuqalisa ukuphambana kwe-gallbladder kwaye ukhulule i-sphincter ye-bile duct, ukulungiselela amalungiselelo avuselelayo (i-atropine, i-histamine, isisombululo se-magnesium sulfate, njl. Njl.) Zisetyenziselwa.
Iingxenye zezinto ezikhethiweyo ze-duodenal zixhomekeke kwi-microscopic kunye ne-bacteriological examination, nangona ngexesha leprogram yexabiso kunye nezinga lokukhutshwa kwalo liqikelelwa. Izibonakaliso zempilo:
- Sitshintsha kwimali yemfihlo kunye nokukhanya kwayo;
- ukufunyanwa kwenani elikhulu lama-leukocyte, i-mucus, iiseli ze-epithelial, i-cholesterol crystals, njl.
Ukungqinelana kwee-duodenal sounding:
- imilenze ye-varicose ye-esophagus;
- ukuphuma kwamathumbu, isisu nesilonda;
- i-cholecystitis kunye ne-cholelithiasis kwinqanaba elibi;
- i-oncology yesisu okanye isisu;
- angina pectoris;
- aneorysm;
- i-myocardial infarction, njl