I-Cholecystopancreatitis inzima kakhulu ukuthola isifo. Lokhu kungenxa yokuthi odokotela abasasazi isizathu esiyingqayizivele sokwakhiwa kwe-pathology enjalo.
Esimweni sokuqala, kukholelwa ukuthi lesi sifo sihlanganisa uhlobo lokugula olungapheli, olunamandla futhi olungelona olwe-gallbladder. Ngokomunye umbono, i-cholecystopancreatitis ibangelwe i-biliary pancreatitis, ebonakala lapho iphazamisi le-biliary liphazamiseka.
Kuzona zozimbili lezi zimo, lesi simo sihlotshaniswa nenqubo yokuvuvukala kuyi-pancreas and blallder, yingakho udokotela ehlonza i-pancreatitis kanye ne-cholecystitis ngasikhathi sinye.
Kuyini i-cholecystopancreatitis?
I-Pathology ifakwe kuhlu lwamazwe omhlaba kwezifo i-ICD-10 ngaphansi kwekhodi K87.0. Lesi sifo sivuvukala ngokwemvelo, sithinta izitho ezimbili ezibalulekile zangaphakathi kubantu abadala ngasikhathi sinye. Imvamisa, kutholakala uhlobo lwesifo esibi, olufana kakhulu nezimpawu nakwezinye ukuphazamiseka kwendlela yesisu.
Njengomthetho, ukubukeka kwezibonakaliso kungenxa yokuthi umuntu udla ngokungafanele futhi ngokungafanele, ungena ezimweni ezicindezelayo, uhamba kancane futhi kuyaqabukela, futhi uphakathi kwezinto ezingathandeki. Ngokwezibalo, abesifazane bavame ukugula ngenxa yezimpawu zabo ezingokomzwelo.
Uhlobo olungamahlalakhona lwe-pancreatitis luvama ukusebenza njengegciwane le-cholecystitis, ngakho-ke zombili lezi zifo zihambisana. Ipheshana emathunjini lakheke ngendlela yokuthi lapho kulimala isitho esisodwa, inqubo yokuvuvukala isakazekela kwabanye. Futhi, imbangela yawo wonke ama-pathologies ahambisana nokudla okungajwayelekile, ukusetshenziswa kabi kotshwala, nokungalingani kokudla.
Izici eziyinhloko zokuthuthukiswa kwe-pancreatitis ne-cholecystitis zifaka lezi zinto ezilandelayo:
- Ukudla okungenamsoco
- Ukuhlukumezeka kwamafutha kanye nama-carbohydrate agaya ukudla;
- Ukuphuza ngokweqile utshwala;
- Ukucindezelwa okungapheli
- Ukuba khona kwezifo ezihambelanayo ze-emathunjini emathunjini.
Izimpawu ze-pancreatitis ne-cholecystitis
I-pancreatitis ingabonakala ngobuhlungu obukhulu bebhande esiswini, ikakhulukazi ngemuva kokudla. Ubuhlungu buhlala bukhona, obubangela ukungajabuli okukhulu esigulini.
Umuthi obulala izinzwa kuleli cala awulethi ukukhululeka okusobala. Ukugwema izinhlungu, umuntu uqala ukwenqaba ukudla, ngoba ngenxa yalokho ukwehliswa kwesisindo esinamandla kungabhekwa.
Uma isiguli siphambuka ekudleni futhi sidle ukudla okunamafutha, ngemuva kokudla izicanucanu ezinzima kungenzeka, okuvame ukuholela ekuhlanzeni.
- Ngenxa yokuntuleka kwama-enzymes e-pancreatic, ukudla okutholakele akukwazi ukugaywa ngokuphelele, okuphumela ebuhlungwini besisu be-spasmolytic kanye nokuqhakaza.
- Umuntu unesifo sokuphelelwa ngamandla igesi njalo, ukuqunjelwa noma isifo sohudo. Inqubo yokuvutshelwa emathunjini iholela kwisisu se-fetid sokuvumelana kwamafutha. Ngesikhathi sokutadishwa kwamakhemikhali, kutholakala imicu yokugaya ukudla egaywe kahle. Ngaphambi kokukhipha, ama-crump amathumbu angaphazamiseka.
- Nge-dyspeptic syndrome, umoya noma ukudla okudliwayo okwenziwa ngamabhuleki, isifiso sokudla siyancipha, kuthi lapho kuvela ukudla okunamafutha nokuthosiwe.
Uma lesi sifo sikhulu, amaseli we-Langerhans abhekene nokukhiqizwa kwe-hormone insulin egazini angabamba iqhaza ku-pathology. Kulokhu, kunengozi yokuba nesifo sikashukela.
Isiguli sizizwa sibuthakathaka jikelele, kuyabonakala ukuthi sehlisa isisindo, amandla ayo okusebenza ancishisiwe. Lokhu kungenxa yokuntuleka kwama-enzymes abalulekile we-pancreatic. Njengomphumela we-pathology, ukudla okutholakele akuqhekeki ngokuphelele futhi izinto ezizuzisayo azingeni emzimbeni, lokhu kuholela ekuxineni kwegazi.
Ngohudo oluqhubekayo lwe-pancreatogenic, ibhalansi ye-electrolyte yegazi iyaphazamiseka bese i-hypovitaminosis iba. Ngenxa yobuhlungu ngemuva kokudla, umuntu uzama ukudla okuncane ngangokunokwenzeka futhi wenqaba ukudla.
Ngithola i-cholecystitis ngezimpawu ezengeziwe ezilandelayo:
- Isigamu sehora ngemuva kokudla, imizwa ebuhlungu ivela kuyi-hypochondrium efanele, kwesinye isikhathi izinhlungu zinikezwa emuva, i-clavicle yangakwesokudla, kanye nesikaphu sokudla kwesokudla.
- Lapho ukuphuma kwe-gallbladder kuphazamiseka, izimpande zesikhumba ziyacunulwa yi-bile acid, okuholela ekunquleni okungachazwanga esikhunjeni.
- Isiguli singathola ne-nausea, i-belching, ukufutheka emlonyeni ngemuva kokudla, isifo sohudo, kubandakanya nokuncipha kokudla. Uma lesi sifo sesiqaliwe, ukugabha kuvusa ukukhishwa kokungcola kwe-bile. Lesi simo singabangelwa ukudla okunamafutha notshwala.
Ngokuvamile, izinkomba ze-cholecystitis ne-pancreatitis ziyefana kakhulu, ngakho-ke kubalulekile ukubonana nodokotela ozokwenza ukuhlolwa okuphelele ukuthola ukuthi yisiphi isifo okusitholakele, ngokwesisekelo sokuhlolwa ukuthola lesi sifo, enze i-prognosis yokutakula futhi anikeze ukwelashwa ngemithi.
Izimpawu ze-cholesterstitis ye-pancreatic zihlanganisa zonke lezi zimpawu ezingenhla, lesi sifo sihambisana ne-dyspeptic, pain kanye ne-psycho-psych syndrome.
Ngakho-ke, ukwelashwa kufanele kube okuphelele, kucatshangelwa izici zomzimba ngamunye.
Ukuxilongwa nokwelashwa kwe-cholecystitis pancreatitis
Ukuhlonza lesi sifo, isiguli kufanele sihlolwe ngokujwayelekile futhi sinamakhemikhali egazi, sinikeze umchamo. Kuhlolwa ukuhlolwa kwe-ultrasound kwe-tumbo esiswini, i-esophagogastroduodenoscopy, ukukhala kwe-duodenal, kanye nokuhlaziywa kwe-patrological.
Uma kusolwa isifo sikashukela sohlobo 1, kukalwa ushukela wegazi. Amasu wokuxilonga akhethwa ngokuya ngesimo esivamile sesiguli kanye nobunzima besifo.
Uma kukhona i-pathology ngesikhathi sokuhlolwa, udokotela uthola izimpawu ezithile. Ngesikhathi se-palpation, isiguli sizwa izinhlungu esiswini naku-hypochondrium yangakwesokudla. Kulesi simo, isibindi esandisiwe siyaboshwa, esivele ngaphansi kwemiphetho yemigoqo ebizayo. Izimpawu ezinobuntu zibandakanya ukuba khona kophawu lukaMussi-Georgiaievsky no-Ortner.
Inkambo yalesi sifo ingahluka. Emkhankasweni wesifo oshuqayo, kutholakala ifomu le-purulent-ulcerative form, kanti okungamahlalakhona, ukuvila okuvulekile. Uma okungenani kutholakala izimpawu ezimbalwa, kufanele ufune usizo lodokotela ukuze uqale ukwelashwa okudingeka ngesikhathi futhi uvikele izinkinga.
- Esigabeni esibi sesifo, isiguli sibekwa ekwelashweni esibhedlela, lapho kwenziwa khona zonke izifundo bese kukhethwa indlela yokwelashwa.
- Uma kutholakala ukuthi kukhona ukutheleleka okulimazayo kwe-puritis ye-esiswini kanye ne-peritonitis, kuthathwa umsebenzi ophuthumayo. Futhi, ukungenelela kokuhlinzwa kwenziwa ngokwanda kwefomu lesifo elingelapheki, ukukhonjwa kwamatshe kuqhubu lwenyongo.
- Ngemuva kwalokho, ukwelashwa okulutha kwezidakamizwa kwenziwa ukuvimba inqubo yokuvuvukala nokubuyisa umsebenzi wamanyikwe.
- Ngendlela engapheli yesifo, ukuhlinzwa kungabekwa futhi, kepha kwenziwa ngokohlelo.
Lapho ukuhlinzwa kwe-pancreatic kungadingeki, kusetshenziswa imishanguzo yokwelapha ngokulondolozayo. Ukuze wenze lokhu, sebenzisa umuthi olwa nokuvuvukala we-antibacterial, antispasmodic ne-choleretic, ama-enzyme athuthukisa ukugaya nokungenisa ukudla.
Futhi, indlela yesintu efakazelwe ingahle ilungele, okuhloswe ngayo ukubuyisa umzimba - isiraphu syps, ukuxosha i-bile. Lapho umuntu eqala ukwelashwa ngokushesha, maningi amathuba okugwema ukwanda kwezinkinga ezinzima futhi alulame kulesi sifo.
Mayelana nezifo ze-pancreatitis nezifo ezihlangene kuchazwe kule vidiyo kule ndatshana.
