Amasiko - izicubu duodenal

Isiko lesicubu se-duodenal ukuhlolwa kwelebhu ukuhlola ucezu lwethishu engxenyeni yokuqala yamathumbu amancane (i-duodenum). Isivivinyo ukubheka izinto ezidala ukutheleleka.

Ucezu lwethishu oluvela engxenyeni yokuqala yamathumbu amancane luthathwa ngesikhathi se-endoscopy ephezulu (esophagogastroduodenoscopy).

Isampula bese lithunyelwa elebhu. Lapho ibekwa esitsheni esikhethekile (imidiya yezamasiko) evumela ukuthi amagciwane noma amagciwane akhule. Isampuli ibhekwa ngaphansi kwesibonakhulu njalo ukubona ukuthi ngabe kukhona izinto eziphilayo ezikhulayo.

Izinto eziphilayo ezikhula kusiko ziyabonakala.

Lokhu ukuhlolwa okwenziwa ebhodini. Isampula liqoqwa ngesikhathi senqubo ephezulu ye-endoscopy ne-biopsy (esophagogastroduodenoscopy). Buza umhlinzeki wakho wezempilo ukuthi angayilungiselela kanjani le nqubo.

Isiko lezicubu ze-duodenal lenziwa ukuhlola amabhaktheriya noma amagciwane angaholela ezifweni nasezimweni ezithile.

Awekho amagciwane ayingozi noma amagciwane atholakalayo.

Ukutholwa okungavamile kusho ukuthi amabhaktheriya ayingozi noma igciwane litholakele kusampula lezicubu. Amagciwane angafaka:

• I-Campylobacter
• I-Helicobacter pylori (H pylori)
• Salmonella

Ezinye izivivinyo zivame ukwenziwa ukubheka izinto ezibangela ukutheleleka ezicutshini ze-duodenal. Lezi zivivinyo zifaka phakathi ukuhlolwa kwe-urease (ngokwesibonelo, ukuhlolwa kwe-CLO) kanye ne-histology (ukubheka izicubu ngaphansi kwesibonakhulu).

Isiko elijwayelekile le- H pylori ayinconywa okwamanje.

Isiko lesicubu se-duodenal

• Isiko lesicubu se-duodenal

UFritsche TR, uPritt BS. I-parasitology yezokwelapha. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2017: isahluko 63.

I-Lauwers GY, iMino-Kenudson M, Kradin RL. Izifo zomgudu wamathumbu. Ku: Kradin RL, ed. I-Pathology Yokuxilonga Yezifo Ezithathelwanayo. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 10.

McQuaid KR. Sondela esigulini ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 123.

USiddiqi HA, uSalwen MJ, uShaikh MF, uBowne WB. Ukuxilongwa kwelabhoratri kokuphazamiseka kwamathumbu kanye ne-pancreatic Ku: McPherson RA, Pincus MR, eds. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.