Umuthi uthathwa njengesifo esibi kakhulu esingaqhamuka kubantu abake baba noma bahlushwa i-pancreatic pathology. Empeleni, ithumba elisongela impilo, elingajwayelekile ukuthi lisebenzele ekwelashweni kwama-antibiotic kokuqala.
Ochwepheshe bathi imvamisa kakhulu i-abscess ivela kubantu abanesifo sokuphuza i-gland nganoma yiluphi uhlobo. Ukuphela kwendlela yokusindisa isiguli kuleli cala ukuhlinzwa okuphuthumayo.
Ngaphandle kwaso, umphumela obulalayo walesi sifo ucishe uqinisekiswe, ikakhulukazi uma i-patity ene-pus itholakala emsileni we-pancreas futhi igcwele kabi. Ngakho-ke, kufanele wazi izimpawu zokuqala zokuqala kwalesi sifo futhi ngokushesha ufune usizo kudokotela.
Izimpawu ze-pancreatic abscess
Izimpawu zokuphuma kwe-pancreatic zifaka:
- Umkhuhlane;
- Ubuhlungu obukhali phezu kwenkaba;
- Ukuvela kwenhlamvu efana nesimila esiswini;
- Ubuthakathaka obujwayelekile, ukucwazimula kwesikhumba;
- I-Tachycardia;
- Ukwanda kokujuluka;
- Isicanucanu
- Yehlise iphango.
Isilonda asenzeki ngokushesha ngemuva kokuhlaselwa yilesi sifo, kodwa sakha ngaphakathi kweviki elilodwa noma amabili. Ngokuvamile kuyinkimbinkimbi ukutheleleka kwezitho ezisondelene ne-gland futhi nokuhlinzwa kungazelelwe kuqhume esiswini, ipheshana lesisu. I-pus ingena esikhaleni ngaphansi kwe-diaphragm, esifundeni se-pleural, ibhubhisa ukwakheka kwezicubu, ibangele ukugcwala kwe-pururisy, isisu samathumbu, ukuphuma kwefistula. Kuvame ukopha kakhulu ngaphakathi, okuyingozi enkulu empilweni yomuntu.
Ukuze uqalise ukuthola lesi sifo, udinga ukwenza uhlolo lwegazi olujwayelekile nolwe-biochemical, i-ultrasound ne-tumbo esiswini. Bazokuvumela ukuthi usibone kahle isithombe somtholampilo walesi sifo futhi uthole izindlela ezisebenzayo zokwelapha.
Njengomthetho, lokhu kungukusebenza ngokuqokwa kwenkambo yokwelashwa kwe-antibacterial emva kwayo.
Kungani kuvela amathumba ngokuvuvukala kwamanyikwe
Izizathu ezenza ukuthi imithambo egcwaliswe ngamaphaphu ku-pancreas zingakaqondakali ngokuphelele. Ochwepheshe bakholelwa ukuthi okusemqoka ekwakheni ithumba kungaba:
- Ukutheleleka kwethulwa kusuka ngaphandle;
- Ukwembiwa okungenzi inzuzo kwe-pseudocysts ekhanda;
- Ukubonakala kwe-fistula etholakala phakathi kwe-cyst namathumbu;
- Ukwelashwa okungalungile kwama-pancreas noma ukuqedwa kwawo kusesekuqaleni kakhulu.
Ngokwezibalo, engxenyeni enkulu yamacala lapho imbewu yokuhlanza ingenalutho, kutholakala amagciwane namagciwane abangela isifo samathumbu. Uma iziguli zine-pancreatic necrosis, kungenzeka okukhulu kokutheleleka kwesibili okucasulayo ukuthuthukiswa kwe-patity ne-pus. Basengozini futhi bahlolwa ngokucophelela ikakhulukazi.
Ngokuqondene nendlela yokwakhiwa kwendawo enjalo, kucacile. Ngemuva kokuhlaselwa kakhulu, izicubu ze-pancreatic ziba ukubola okuyingxenye.
Ama-enzyme angancishisiwe athinta ingaphakathi lesikhumba nezitho eziseduze, akuqothule. Lokhu kuholela ekukhuleni kwama-pseudocysts noma ekukhuleni kwe-pancreatic necrosis, okuyisisekelo sokuthuthukiswa kwezinsimbi ze-purulent. Uma ukutheleleka kungena ngaphakathi kubo, kungasiza ekuthuthukiseni i-purulent fusion enkulu, noma kucasule ukuvela kwento engekhoyo. I-Phlegmon ngokohlelo lokuhlukaniswa kwe-ICD ibhekisa kwizifo ezinkulu kakhulu ezine-prognosis engemihle, kodwa-ke, icishe ifane nesigaxa, esivezwe emgodini owodwa. Ngakho-ke, iziguli ezinama-abscesses asolwayo, odokotela kufanele bahlolisise ngokucophelela ngangokunokwenzeka ukuze bangafaki ubukhona be-phlegmon kubo.
Ukwelashwa okukhona
Uma ngokuvuvukala nokuvuvukala kwama-pancreas esiguli, i-gastroenterologist, i-Therapist, ephatha iziguli ngokuxhaswa kwayo, odokotela abahlinzayo nabasebenza nge-endoscopists sebevele bethembekile. Benza ukuthuthwa kwendle kwemithambo nokudonsa kwabo.
Kwezinye izimo, ukudonsa okuyingxenye kwesikhumba kwenziwa, noma kunjalo, kuyaphumelela futhi kuholela ekwelashweni okuphelele ezingxenyeni kuphela zamacala.
Ngaphezu kwalokho, indlela efanayo yokuhlanza i-patity kusuka ku-pus ayenzi ukuthi kutholakale i-phlegmon noma ukuba khona kwama-abscesses amaningi.
Ngakho-ke, i-excision yokuhlinza nge-drainage eyalandela ibhekwa njengeyona ndlela yokwelashwa engcono kakhulu. Ivumela odokotela ukuthi bahlolisise i-gland nezitho eziseduzane zama-phlegmon kanye nama-abscesses wesibili.
Ngemuva kokuhlinzwa, iziguli zinikezwa imithi elwa namagciwane, ama-painkillers, izidakamizwa ezisiza indlala ukuthi idilize ama-enzyme futhi inciphise nomsebenzi wayo.
Ukuze ukhiphe umzimba emzimbeni, isiguli sibhekana nenkambo yokwelashwa kokungenelela.
Izindlela zokuvimbela ukuvimbela ama-pancreatic abscesses
Njengoba izimbangela zangempela zokuvela kwama-pancreatic abscesses ngemuva kokuhlaselwa ngamandla kwe-pancreatitis noma ngenxa ye-pancreatic necrosis azikacaciswa ngokuphelele, alukho uhlu oluqondile nokuvinjwa kwazo. Odokotela batusa ukuthatha izinyathelo zokuvimbela ukuthuthukiswa kwalezi zifo, ngoba imithambo ye-purring ifaka kuphela ngokumelene nesizinda sabo. Ukuze wenze lokhu:
- Yenqaba imikhuba emibi;
- Ungadli ngokweqile, ngoba ukukhuluphala ngokweqile kwandisa ingozi yokuthola lesi sifo;
- Hlola njalo uma kunabantu emndenini abahlushwa yizifo zepancreas noma isifo se-gallstone.
Uma umuntu esevele wahlaselwa yilezifo, kufanele anamathele ekudleni okuqinile, aqede ngokuphelele utshwala, ama-sodas anoshukela, izitsha ezinamafutha nezinongo. Isikhathi saso sincike ebubini nasikhathi lesi sifo. Ngaso leso sikhathi, lokhu kudla kufanele kufake izitsha ezinokuqukethwe okunamaprotheni amaningi, imifino nezithelo ngamaphesenti amaningi e-carotene, uvithamini C. Awukwazi ukudla ukudla okuthosiwe, okubhemayo, nemikhiqizo kafulawa evela ku-wholemeal. Kuyadingeka ukugwema izitsha ezinenani elikhulu lefreyimu yezitshalo, ngoba kuvusa ukukhiqizwa kwama-hormone athinta kabi amanyikwe.
Ngokuqondene nokuqagela kwesifo esinjengesithofu, akunakuphikiswa - ngaphandle kokungenelela kokuhlinzwa, umphumela waso uzobe ubulala. Uma lwenziwe ngendlela yesikhathi nangendlela efanele, ukwelashwa okwalandela kwenziwa kahle nangokucophelela, amathuba okululama anda kakhulu. Kungaba okuphelele uma ungazinaki izincomo zodokotela, ubheke impilo yakho futhi ungadaluli umzimba emithwalweni eyeqile. Into esemqoka ukuthola ukwelashwa okuphelele ukufuna usizo ngokushesha okukhulu, ngaphandle kokulinda ukuwohloka kwenhlekelele.
Imininingwane mayelana nama-pancreas inikezwe kuvidiyo ekulesi sihloko.
