Dheodenal kurira ndeye chidzidzo chinobvumira kuongorora zviri mukati me lumen ye duodenum, kusanganisira bile, mvura inoshandiswa ne pancreas uye mumukumbo, pamwe nechimwe chimwe chemuviri wejusi. Iyi nzira yakashandiswa mukurapa kwenguva yakareba, asi mumakore achangopfuura yakashandurwa uye yakagadziridzwa.
Zviratidzo zvekumhanya kwemaviri
Ichi chidzidzo chinogona kugadzirirwa:
- zvirwere zveropa (hepatitis, hepatosis, etc.);
- pathologies ye gallbladder (cholecystitis, cholelithiasis);
- zvirwere zvebazi rebiliary (dyskinesia, cholangitis)
- chirwere che duodenum (gastroduodenitis);
- zvirwere zvepancreas (pancreatitis).
Kukumhan'arira, pamberi pevatachiri vanorayirwa kuti vanyore kurira, nde:
- kurwadziwa mukati mekunaka hypochondrium;
- kushungurudzika kwechigaro (kuvimbiswa, kurarisa, kuchinja muvara wemhuka);
- eructation;
- kuchema;
- kunyavira mumuromo ;
- frequency nausea;
- flatulence.
Nzira yacho inoshandiswawo kuongorora nekutarisa kushanda kwe lambliosis uye dzimwe helminthiases. Mukuwedzera, nechinangwa chekurapa, kubhururuka kweduodenal kunoitwa kubvisa bile kubva mu gallbladder munguva ye stasis, kuisa madhiragi mumatumbo nezvirwere zvinouraya.
Kugadzirira kwe duodenal sounding
Vasati vashandura kurira, varwere vanonyatsoongororwa kuti vasabatanidze zvinopesana nezvinoitwa. Uyewo, varwere pachavo vanofanirwa kuitisa kurovedza kwakadzika, iyo inotipa:
- kubviswa kwemishonga yekugadzirwa kwemishonga kwemazuva mashanu kusati kwadzidza (enzyme, choleretic, laxatives, spasmolytic, nezvimwe);
- kutevedza nekudya kwemazuva maviri isati yatanga kushandiswa kunze kwekugadzira-gesi-zvinokonzera (confectionery, maguru, chingwa chine misi, mukaka, nezvimwewo), pamwe chete namafuta, zvakabikwa uye zvinonhuwira;
- kuramba kudya maawa gumi nemaviri vasati vadzidza (kudya kwemanheru kunorumbidzwa usiku hwose);
- kunatswa kwemukati mushure mekufamba kwemuitiro.
Nzira yekuita kudhevedzera kwechipiri
Nzira yekutinhira kwemaodenal inosanganisira kushandiswa kwepurogiramu yakaderera yerabha, pamagumo ayo pane plastiki kana sirivha yemidziyo ine masango ekuenzanisa.
Mushure mekunyatsorapwa kwepurogiramu uye kushambidza muromo nemushonga wepiriseptic, murwere anononoka achibvumira probe muhugaro hwakagara kusvikira kuguma kusvika kune imwe nzvimbo.
Zvadaro murwere anoiswa pamubhedha uri kurudyi, mupfurikisi nemhepo inodziya anoiswa pasi pake, uye anoenderera mberi kumedza purojekiti kusvikira mugumo wake unosvika ku duodenum.
Zvadaro, zvinyorwa zvekushongedzwa kwemishonga kubva purogiramu inotanga, iyo inogona kuitwa muzvikamu zvitatu kana zvashanu kuti iwane zvinyorwa zvakasiyana.
Kuita kuti zvipfeko zvegorobladder zviitike uye zorora sphincter ye bile duct, zvakasiyana-siyana zvinogadzirisa zvinokonzera (atropine, histamine, magnesium sulfate solution, nezvimwewo) zvinoshandiswa.
Zvimwe zvezvinhu zvakasarudzwa zveododal zvinowanikwa kune microscopic uye kuongorora mabhakitiriya, uyewo panguva yekuita kwehuwandu hwezvinhu uye chiyero chekubuda kwayo inofungidzirwa. Zviratidzo zvepathological ndezvi:
- Kuchinja muhuwandu hwechakavanzika uye huri pachena;
- kuonekwa nenhamba yakawanda yeukoukocyte, mucus, epithelial cells, cholesterol makristasi, nezvimwewo.
Contraindications for duodenal sounding:
- varicose veins eopopasi;
- kubuda kwemakumbo, mimba uye zveodenal ulcers;
- cholecystitis uye cholelithiasis mumutambo wakaoma;
- oncology yemudumbu kana sophagus;
- angina pectoris;
- aortic aneurysm;
- myocardial infarction, nezvimwe.