Imvamisa, uhlobo olubi lwe-bancary-pancreatitis exhomeke ngotshwala, ukungondleki okungajwayelekile, ukukhetha ukudla okungalungile, isifo se-gallstone singena isifo esingalapheki. Lesi simo siholela ekuphazanyisweni okuhlukahlukene kwezitho zangaphakathi futhi, ikakhulukazi, amanyikwe.
Ngokuphikisana nalesi sizinda, i-parenchymal pancreatitis engapheli iba. Futhi, imbangela ingaba ukuntuleka kwamavithamini namaprotheni ekudleni, ukungena kwezilonda esiswini, izilonda ze-atherosselotic zemikhumbi ye-pancreatic, noma yisiphi isifo esithathelwanayo, i-helminthiasis, ukudakwa okungapheli ngezinto ezinobungozi.
I-pathology efanayo ivame kakhulu, njengoba ihlala iqhubeka ngaphandle kwezimpawu. Uma lesi sifo singalashwa ngesikhathi, singadala imiphumela efana nesifo sikashukela i-mellitus, umdlavuza we-pancreatic, nezinye izinkinga eziningi ezenza impilo kube nzima ukusiphila.
Kungani lesi sifo sikhula?
I-pancreatic parenchyma iyavutha ngenxa yokuthi ama-enzyme e-pancreatic athunyelwa futhi asebenze. I-Trypsin ne-lipase kuholela ekuzibonakaliseni kwezitho zezitho zangaphakathi, ukwanda kwezicubu ezithintekayo, nokulimala. Ngenxa yalokhu, i-gland sclerosis kanye nokuphazamiseka kokujikeleza kwegazi okungamahlalakhona kuyakhula.
I-pancreatitis nayo ingatheleleka. Amagciwane angena egazini elinegciwane, ama-bile ducts noma i-duodenum.
I-parenchymal pancreatitis engapheli enobuthaka obunganele icasulwa ukuvuvukala kwesisu, imithambo, ukuphazamiseka kwe-sphincter yase-Oddi, isimila sengono yeVater.
Phakathi kwezimbangela eziphambili zokuqala kwalesi sifo, izici ezilandelayo zingahlukaniswa:
- Ukusetshenziswa kotshwala isikhathi eside nokujwayelekile;
- Ukuntuleka kokulashwa okufanele kwe-pancreatitis e-pute;
- Ukuba khona kwe-tonsillitis, typhoid, paratyphoid, umkhuhlane, umkhuhlane obomvu kanye nezinye izifo;
- Endabeni ye-cholecystitis, inqubo yokuvuvukala isakazeka isuka gallbladder iye kumanyikwe;
- Izinduna zeParathyroid zithola umsebenzi okhuphuka we-pathological;
- Nge-systemic atherosclerosis, izimpawu zesifo zingaba khona.
Ngakho-ke, lesi sifo singaba nezimbangela eziningi ezizimele ngaphandle komunye nomunye.
Izimpawu zesifo
Njengazo zonke izifo ezingamahlalakhona, inkambo ye-parenchymal pancreatitis yenzeka isiyingi esiyindilinga. Ukukhuphuka kufakwa esikhundleni sokukhishwa, ngemuva kwalokho isimo somuntu sithuthuka isikhashana, bese kuthi okuphambene nalokho.
Ngesikhathi sokuxolelwa, isiguli empeleni asikhonondi nganoma yini futhi sizizwa njengomuntu ophilile, kuyilapho izimpawu zingahambi. Kepha kungekudala, i-pathology iya iba mbi.
Ngenxa yalokhu, izinhlungu zokubuthakathaka ezibuthakathaka ziqala ukuvela, ezizungeza indawo yangakwesobunxele ngaphansi kwezimbambo. Imbangela yalesi simo imvamisa yokudla ngokweqile, ukungondleki kahle, lapho umuntu esebenzisa kabi ukudla okunosawoti, okunoshukela nokudla ngokweqile, kanye nokuncika kotshwala.
Izimpawu nazo zingabonakala ngesimo se:
- Ukuphazamiseka kwengqondo kwe-dyspeptic. Nge-pancreatitis, ipancreas ayikwazi ukwakha ama-enzyme wokugaya, yingakho ukudla okutholakele kungenakugaywa ngokuphelele. Lokhu kuholela ku-nausea, ukuhlanza, ukuqunjelwa, noma isifo sohudo. Amandunami athola ukuvumelana okunamafutha lapho kutholakala khona ukudla okungaphanjwanga.
- Ukwehla kwesisindo. Njengoba ukudla kungagaywanga, izakhamzimba azithakwa, okuholela ekubulambeni komzimba. Futhi, umzimba ulahlekelwa isisindo ngenxa yokulahlekelwa isifiso sokudla lapho izinhlungu ziqina ngemuva kokudla.
- Isifo sikashukela mellitus. Umsebenzi obalulekile wamanyikwe ukukhiqizwa kwe-insulin, esiza i-glucose ukuthi ingenwe kuwo wonke amaseli omzimba. Lapho i-hormone inganele, ukusebenza kwe-intrasecretory kanye ne-incretory kungasebenzi ngamandla aphelele, amaseli aqala ukubulawa yindlala, kuthi emva kwalokho kukhuphuke izinga likashukela wegazi.
Uma inqubo yokuvuvukala yenziwa endaweni yesifunda se-pancreas, ukuqaqamba kuzwakala esifundeni sesisu noma i-hypochondrium yangakwesokudla. Lapho kuthinteka umzimba wesitho sangaphakathi noma umsila, izinhlungu zivela ngakwesobunxele.
Kulokhu, izinhlungu zikhulu, zinikezwa umhlane, inhliziyo, noma ibhande. Zombili zihlala zisebenza njalo futhi ziyi-paroxysmal, zivela ngemuva kwesikhathi esithile, ikakhulukazi ngemuva kokudla ukudla okunamafutha noma okunezipayisi.
Izimpawu zokuphila kwalesi sifo zibandakanya:
- Ukuba khona kwesibonakaliso se-Mayo-Robson, lapho kubuhlungu khona kuzwakala esifundeni se-engela yesibeletho sobunxele.
- Ukukhonjwa kwesibonakaliso sikaKach, esihambisana ne-hypnothesia yesikhumba endaweni yokuhlanganiswa kwezinzwa zezingxenye eziyisishiyagalombili ze-thoracic kusuka ohlangothini lwesobunxele.
- Ama-hypertrophies angama-subcutaneous fatty izicubu.
Kwi-pancreatitis engapheli yesifo se-parenchymal-biliary-system, uhlelo lokugaya luhlala luphazamiseka. Ngenxa yalesi sizathu, i-anorexia ephelele ihlala ikhula, isiguli sizwa ukuzonda ukudla okunamafutha. Abantu abatholakala benesifo sikashukela bangathola indlala enkulu nokoma.
Ngezikhathi ezithile, i-salivation iyanda, i-belching, isicanucanu, ukuhlanza, ukubhuqa, ukububula esiswini kuyavela. Ngenxa yokuvuvukala, isihlalo somzimba siba singazinzile, isisu siqubisane nokuqunjelwa.
Ngohudo lwe-pancreatic, i-mushy, isisu se-fetid sokuvumelana kwamafutha siyabonakala. Ngokuvamile, isifo esinjalo sinokungafani kokulibala uma ukwelashwa okudingekayo kungaqalwa ngesikhathi.
Ukuxilongwa kwalesi sifo
Uma udokotela angathola mayelana nokuba khona kwe-pilireat pancreatitis engapheli yizimpawu ezikhona nemizwa yesiguli, khona-ke kuyadingeka ukuhlolwa kwe-ultrasound ukubona ifomu le-parenchymal. I-Ultrasound ikhombisa ama-pancreas ahlanganisiwe, hhayi awandisiwe, lapho imisele esemqoka ihlala ingashintshiwe.
Ngaphezu kwalokho, isiguli sithatha ukuhlolwa kwegazi, indle kanye nomchamo. Ku-pathology, ukuhlaziywa kwe-biochemical kwegazi nomchamo kukhombisa inani elikhulayo lama-amylase, lipase, ne-trypsin.
Kukhona nokwanda ushukela wegazi.
Ukuthola ukuphazamiseka, kufaka phakathi isigaba sokuqala sesifo sikashukela, kwenziwa ukuhlola kweglucose. Izinga legazi le-insulin ne-glucagon liyancishiswa.
- Ezimweni ezingavamile, udokotela angakunquma ukuthi kudlule indlela ebizayo ye-angiography. Ukubona imithambo yegazi ku-x-ray, kufakwa i-ejenti ekhethekile yokuhlukanisa phakathi kwayo. Endaweni yenqubo yokuvuvukala, kwenzeka i-vasodilation, futhi endaweni ye-fibrosis kutholakala ukuthi kukhubazekile futhi kuncishisiwe.
- Kuma-X-ray, kwembulwa isibambo se-duodenal esikhubazekile, ikhanda likanesi likhulu, elicindezela izicubu eziseduze.
- Ngosizo lokuthwebula i-ultrasound, ubukhulu bama pancreas bunqunywe.
Ukuxilongwa okuhlukile kuyenziwa uma kunesimila se-pancreatic, cholecystitis esibalo, isilonda se-duodenal kanye nesilonda esiswini, i-enteritis engamahlalakhona kanye nokunye ukuphazamiseka kohlelo lokugaya ukudla.
Ukwelashwa kwe-pathology
Inqubo yokwelashwa ihlose ukusiza ukhulula isiguli ebuhlungwini, yokwelula ukuxolelwa kanye nokuvikela ukwanda okungenzeka. Lokhu kusizwa wukudla okwelaphayo. Uma lesi sifo sanda, isiguli sifakwa esibhedlela.
Ukuze i-pancreas kanye ne-duct system isebenze ngokujwayelekile, kuyadingeka ukuthola ukuthi izinkinga zikhona kanjani ngesikhathi. Esimweni esinzima, ukuhlinzwa kungenzeka.
Uhlobo lwesifo olungamahlalakhona alulapheki ngokuphelele. Ngokuqhuma ngakunye, izicubu ze-pancreatic zichithwa. Ngakho-ke, ukwelashwa kungenziwa kuphela ngesisekelo sezincomo zezokwelapha ezihlanganiswe ngesisekelo somlando wezokwelapha.
- Uma kwenzeka isifo sihlaselwa, isiguli sinikezwa ukuzila kwezinsuku ezimbili. Amanzi amaminerali adakwa kunoma yisiphi isamba. Okusuka ekudleni, kuvunyelwe kuphela ipapa ebilisiwe ngokucophelela enezelwe okungenani usawoti noshukela okuvunyelwe.
- Okwe-analgesia, bavame ukusebenzisa i-analgin noma i-Baralgin. Uma umuthi ungasizi, kubekwa uNovocaine. Lesi sidakamizwa sinomphumela wokubulala izinzwa wendawo futhi siba nomthelela ekuvinjelweni kokuqothuka kwepancreatic.
- I-Panzinorm, i-Pancreatin, i-Festal, i-Creon nezinye izindlela eziqukethe ama-enzymes we-gland asetshenziswa njengokwelashwa okubuyisela esikhundleni.
- Ukudla okwengeziwe komzimba, isisombululo se-amino acid, i-glucose noma i-emulsion yamafutha siphathwa ngaphakathi. Ukuphathwa okunjalo kunqunywa uma isisindo somzimba sesiguli sincishiswa kakhulu.
- Ngamalungiselelo okuvimbela, i-Contrikal, Trasilol, Gordoks kubekiwe.
- Izindlela ezihlukile zingaqinisa umzimba futhi zidambise izinhlungu.
Ukubuyisela i-parenchyma ye-gland, sebenzisa iMethyluracil, i-Orotate potassium, i-Cobamamide neminye imithi. Lapho kukhona isifo sikashukela, isiguli kufanele siphuze imishanguzo eyehlisa ushukela wegazi.
Uma kunikezwa ukuhlinzwa, ingxenye ekhanyisiwe yesitho sangaphakathi iyasuswa. Izinyathelo ezinjalo zithathwa kuphela uma izindlela ezingenhla zingaphumeleli kanye nokwanda kwesifo kungalungile.
Imininingwane nge-pancreatitis engapheli inikezwe kuvidiyo kule ndatshana.
