Ngenxa yokungondleki, umuthi ongalawulwa, ukusetshenziswa kabi kotshwala kuma-pancreas, kuvela inqubo yokuvuvukala. Kulokhu, udokotela uvame kakhulu ukuthola isifo se-pancreatitis.
Ukuvimbela izinkinga ezinzima, kubalulekile ukukhomba nokwelapha isifo esiyingozi ngesikhathi esifanele. Kulokhu, zonke izinhlobo zezindlela zaselebhu kanye nezinsizakalo zokuhlola ama-pancreas ziyasetshenziswa.
Ngesikhathi sokuhlolwa kokuqala, udokotela uthola ukuthi isiguli sikhononda ngani nokuthi yiziphi izimpawu ze-pathology eziqashelwayo. I-Palpation ikuvumela ukuba ukhombe imizwa ebuhlungu, kepha njengoba isitho sangaphakathi sijulile, ukuze kuhlolwe okugcwele kuyadingeka ukusebenzisa izindlela ezikhethekile zanamuhla zokuxilonga.
Ukuhlolwa kwelebhu kwamanyikwe
Ngemuva kokuphasa ukuhlolwa, isiguli sithunyelwa ukuyohlolwa igazi okwelashwa nokwelashwa, i-urinalysis kanye ne-stool Coproscopy. Kuyadingeka futhi ukuthi kuhlaziywe ukuhlolwa okusebenzayo ukuze kutholakale ukushoda kwama-enzymes wokugaya ukudla.
Uma kunenqubo yokuvuvukala, i-hemogram ithola ukuba khona kwe-leukocytosis, isheshise isilinganiso se-erythrocyte sedimentation. Lapho igciwane le-purulent lijoyina, ifomula ye-leukocyte iyashintsha ngokubonakalayo. Ukwehla kwezinga lamangqamuzana egazi abomvu, i-hemoglobin namaplateletelethi kuyabonakala esimweni somdlavuza.
Ukuhlola ukuhlolwa kwegazi kwe-biochemical kukuvumela ukuthi uhlole amapharamitha we-amylase. Uma kukhona i-pathology ye-pancreas, izinga lama-enzyme landa ngaphezu kwezikhathi eziyi-10.
- Futhi, inani elandayo le-elastase ne-lipase egazini libika ukwephulwa.
- Ngenqubo yokuvuvukala, isilinganiso sezingxenyana zamaprotheni zephulwa, kuvela iprotheni eyi-C-esebenzayo.
- Uma lesi sifo sikhula futhi ngenxa yokwephulwa kwezinhlelo ze-biliary and hepatolienal, i-bilirubin, i-transaminases, i-alkaline phosphatase, ukwanda kweGamma-GTP.
- Lapho kukhona umdlavuza noma isimila, izinguquko ezithile egazini azitholakali, kepha zonke lezi zimpawu ezingenhla ziyabonakala.
Ucwaningo lwesibindi namanyikwe aluphelele ngaphandle kokuhlolwa komchamo kwe-diastasis. Le ndlela ibalulekile uma umuntu eba nokwanda kwe-pancreatitis eqeda ukuqina futhi engalapheki. Isibonakaliso esithile sesi sifo ukutholwa kokuqukethwe okuphezulu kwe-alpha-amylase kumchamo.
Ukubona ukushoda kwama-enzymes wokugaya ukudla, kwenziwa i-stool microscopy. Uma i-lipids engafakwanga, amafutha, izicubu zemisipha zitholwa, lokhu kungakhombisa ukuba khona kwenqubo yokuvuvukala ngisho nomdlavuza we-pancreatic. Kubandakanya ukufundwa kwezindunduma kukuvumela ukuthi ukhombe amazinga aphezulu e-pancreatic elastase ne-lipase, futhi okubonisa lesi sifo.
Indlela efundisayo ukwedlula ukuhlolwa okusebenzayo, lokhu kukuvumela ukuthi ubone ukushoda kwe-enzyme. Kepha namuhla bavame ukusebenzisa izindlela zokuthola usizo eziphumelelayo.
- Ngesikhathi sokuhlolwa kweLund, isiguli sidla isidlo sasekuseni, ngemuva kwalokho kuhlolwe i-duodenum, okuqukethwe kuyalangazwa futhi kuhlolwe biochemical.
- Kusetshenziswa ukuhlola kwe-radioisotope, ukuba khona kwe-steatorrhea kuyatholakala.
- Uma kukhona izinsolo zokuncipha kokukhiqizwa kwe-hormone insulin ne-mellitus yesifo sikashukela, kwenziwa isivivinyo sokubekezelela ushukela.
Ngemuva kokuphasa ukuhlolwa, udokotela wehlisa imiphumela yokuhlolwa, aqhathanise nezimpawu ezikhona bese enza ukuxilongwa okuyikho.
Ucwaningo lwezinsimbi zomsebenzi we-pancreatic
Ngaphandle kokuxilongwa kwensimbi, kunzima kakhulu ukuqinisekisa ukuthi kutholakele yini. Kuze kube manje, umuthi wanamuhla usebenzisa i-X-ray, i-ultrasound kanye ne-fiber optic indlela yokucwaninga.
Ukuhlolwa kwe-Ultrasound kubhekwa njengeyona ndlela efinyeleleka kakhulu futhi efundisayo yokuxilonga, ekwazi ukubona noma yikuphi ukwephulwa ekuqaleni kwezifo. Udokotela unethuba lokuhlola ama-pancreas emibonweni ehlukahlukene.
Usebenzisa i-ultrasound, ungalandela amandla ezinguquko futhi ubheke isimo sezitho zangaphakathi ezithintekile zesiguli. Isiguli sinikezwa ukudluliselwa ocwaningweni nge:
- Ubuhlungu obuqhubekayo noma besikhashana besisu;
- Ushintsho ekwakhekeni kwe-duodenum etholwe yi-x-ray;
- I-palpation yetender yesisu, kanye nokutholwa kwanoma iyiphi i-neoplasms;
- I-pancreatitis engapheli ukuvimba ukubuyela emuva;
- I-hematoma esolisayo, i-cysts, noma umdlavuza we-pancreatic;
- Ushintsho ekwakhekeni kwezindonga zesisu ezitholakala ngesikhathi se-gastroscopy.
Ngaphambi kokuthola i-ultrasound, kudingeka ukuqeqeshwa okukhethekile. Ezinsukwini ezimbili ngaphambi kwenqubo, kufanele ushiye ngokuphelele noma yimiphi imikhiqizo evusa ukwakheka kwamagesi. Usuku, kunconywa ukuthatha amalahle ocushiwe kathathu ngosuku ngesilinganiso sethebhulethi elilodwa nge-10 kg yesisindo sesineke, ugeza umuthi ngamanzi abilisiwe. Ungasebenzisa futhi ama-suppositories a-laxative noma amaphilisi.
- I-x-ray yesisu isetshenziselwa ukuhlonza isifo sobuhlungu besisu. Izimpawu eziqondile zephutha zihlanganisa ukuba khona kwamatshe kanye nezimpawu ezindongeni ze-gallbladder noma bile ducts.
- Esimweni se-pancreatitis yesibili esekelwe emanyangeni ngenxa yokuqina esifundeni se-bile duct, i-endoscopic retrograde cholangiopancreatography yenziwa. Kusetshenziswa le ndlela efanayo lapho kukhona amatshe emgodini we-gallbladder, cicatricial hanging in the ducts.
- Kwi-pancreatitis eyinkimbinkimbi, lapho kune-cyc picreatic cyst, pseudocyst, calcification, atrophy necrosis, basebenzisa i-compact tomography. Le ndlela inobuhlakani bokuthola i-volumetric neoplasms - isimangalo se-benign pancreatic, umdlavuza, i-metastasis yomdlavuza, esidlulile esitho sangomakhelwane. Esithombeni, insimbi ihlukaniswa ngemigqumo engalingani, ubukhulu obandisiwe.
I-MRI ivumela ukubonwa kahle kwezicubu zesitho esithintekile.
Indlela efanayo yocwaningo ibekelwa izimila ezincane, i-sebete pathology, i-pancreatitis, ngaphambi kokuhlinzwa futhi ukuze kulawulwe ukwelashwa.
Ukuxilongwa ekhaya
Ukuhlonza i-pathology ngokwakho kulula kakhulu. Okokuqala, kuyadingeka ukuthi unake isimo somzimba futhi ukhombe nezimpawu zomdlavuza we-pancreatitis. Uma kunesifo, isiguli sizwa izinhlungu nosizi ku-hypochondrium yangakwesobunxele, ikakhulukazi ngemuva kokudla ngokweqile noma idili lomkhosi.
Futhi, isiguli sivame ukuba nesisu esidabukisayo, ukuqunjelwa, umuntu uthola indlala. Ngohlobo 1 sikashukela, ukoma okunobudlova kuyavela, yize inani lamanzi lidakiwe. Ngemuva kokudla, ukuhlanza kuvame ukwenzeka. Lesi sifo senza kube nzima ukulala esiswini, izinhlungu ziyaqina ngesikhathi sokunyakaza nangemva kokuzila isikhathi eside.
Uma kunezimpawu zalezi, kubalulekile ukuthi ufune usizo lodokotela ngokushesha futhi wenze zonke izifundo ezidingekayo. Lokhu kuzovikela ukukhula kwesifo esibi ngesikhathi.
Ungayithola kanjani futhi uyiqede i-pancreatitis echazwe kuvidiyo kule ndatshana.
