I-pancreas ngesinye sezitho ezibaluleke kakhulu emzimbeni womuntu obhekene nokuqhekeka kwama-enzyme wokugaya ukudla.
Ngokuvuvukala kwayo (i-pancreatitis), inqubo yokuqhekeka okunjalo iyaphazamiseka, okuholela ekukhululweni kwama-enzymes esiswini nasendleleni yamathumbu.
Zisebenza kakhulu futhi zidala umonakalo emithanjeni ye-gland kanye namathumbu, zingene egazini, zilimaze nezicubu zezitho. Ngenxa yalokhu, uketshezi lunganqwabelana ku-peritoneum yeziguli, ngezinye izikhathi ezinenani elikhulu. Le pathology ibizwa ngokuthi i-acute pancreatogenic ascites.
Kumele kuqashelwe ukuthi indlela enzima yesifo ayivelakancane futhi idinga ukulaliswa esibhedlela ngokushesha. Eqinisweni, lokhu kuyisitha sangaphakathi sosayizi abahlukahlukene, ukwelashwa kwako kunzima, kanti nokuxilongwa kwesinye isikhathi kunzima.
Uma lincane, uketshezi luqongelela kancane, futhi abantu bazizwe bengakhululekile, beluka, kepha banganamatheli kakhulu kulokhu. Futhi bafuna usizo oluphuthumayo kuphela lapho kuvela izinhlungu ezingabekezeleleki, isisu siba sikhulu kakhulu, bese isimo siphenduka esibi. Kungcono ukungakuvumeli lokhu futhi ubhekele ngokucophelela ukuthi zikhona yini izimpawu zalesi sifo.
Izimpawu ze-ascites ku-pancreatitis zivezwa ezimeni ezinjengokuthi:
- Ukuqhakaza;
- Ukuphefumula
- Ukwehla kwesisindo;
- Ukucwaswa kwesikhumba;
- Ukubopha kwegazi;
- Isifo sikashukela
- Ubuhlungu besisu.
Iziguli zikhonjiswa ukuhlinzwa, kepha uma zingakwazi ukubekezelela ukuhlinzwa, odokotela banquma indlela yokwelashwa okulondolozayo. Kubandakanya ukuqokwa kwezidakamizwa ezivimbela umsebenzi oyimfihlo wamanyikwe futhi zibuyisela ibhalansi kasawoti wamanzi, kanye nendlela yobungcweti noma yokufaka yokwazisa izakhi zomzimba. Uma ukwehluleka kokuphefumula okuvela kakhulu kuvela, kwenziwa i-endoscopy.
Kuyini i-ascites in pancreatitis engapheli
Ngokuvamile, ngama-ascites, i-exudate idlula emiseleni iye emgodini we-retroperitoneal bese iqongelela kuyo ngamanani amancane. Kulokhu, imvamisa ixazululwa ngokushesha ngokwanele ngemuva kokuvuvukala kokudlula kwamanyikwe, futhi iba sengozini enkulu.
Ngokuqhubeka kwesifo isikhathi eside, uketshezi luqongelela futhi luhlale emgodini isikhathi eside. Lokhu kungadala i-necrosis yezicubu futhi kuholele ekwephuleni ubuqotho bama-ducts.
Uketshezi luqoqwa njalo, kepha inqubo ivame ukuphela ngokwakhiwa kwe-phlegmon noma i-pseudocysts.
Uma kubantu abaphethwe yi-pancreatogenic ascites, inani elikhulayo lama-amylase libonakala egazini, ukugqabhuka kweziqubu kuyaqabukela futhi kungatholakala kuphela ngokungenelela kokuhlinzwa.
Ngokuqondene ne-pancreatitis evilaphayo, ngayo, i-amylase incishiswa kakhulu, uketshezi luqongelela bese lususwa ukuphinda kuphindwe kwesibeletho.
Ukuqagela ngemuva kwayo ezimeni eziningi kuhle, futhi esikhathini esizayo akuveli.
Ukuxilonga ama-ascites
Ukuba khona kwama-pancreatogenic ascites ezigulini kunqunywa yinani lezifundo. Lokhu kufaka phakathi:
- Ukuqoqwa kwama-anamnesis, kususelwa kwizikhalazo zesiguli nokuba khona kwanoma yiziphi izifo;
- I-X-ray ne-ultrasound yamanyikwe;
- Ukuhlolwa kwesiguli.
Ukuhlolwa kusiza ekunqumeni inani loketshezi olunqwabelanayo futhi kuthola imbangela yalesi simo. Futhi, nge-anesthesia yendawo, i-laparocentesis iyenziwa.
Ithuluzi elikhethekile lusetshenziselwa ukubhoboza udonga lwesisu sesiguli futhi lubambe uketshezi. Uthunyelwa elabhorethri lapho kutholakala khona amaphesenti ama-leukocytes, neutrophils, izinga leprotein, glucose nama-enzyme athile. Ngaphezu kwalokho, uketshezi luhlolwe ukuthi kukhona ama-microorganisms, amaseli we-tumor, i-tubillcle bacillus.
I-Laparocentesis yenziwa ngokushesha futhi isiza kakhulu isimo sabantu abahlushwa i-ascites.
Izizathu eziphambili zokuthi kungani i-pancreatic ascites yenzeka
Izimbangela ezivame kakhulu ze-pancreatic ascites yilezi:
- Ukuba khona kwe-pancreatic cyst;
- Ukuvimbela ama-lymph node akhiwe endaweni ye-retroperitoneal cavity;
- Umfutho wegazi we-thoracic lymphatic ducts;
- Ukushoda kwamaprotheni.
Kumele kushiwo ukuthi i-pathogenis ephelele yama-ascites okwamanje ayiqondakali ngokuphelele. Ngokuqondene nenkambo yomtholampilo yalesi sifo, ingahlukaniswa ngezinhlobo ezimbili. Esimweni sokuqala, i-rhinestone izwa izinhlungu ezinzima, uketshezi lungena masinyane emgodini wesisu bese lunqwabelana kuwo. I-pancreatic necrosis iyakhula, ithinte ingxenye yemisele yamanyikwe, kwakhiwa i-pseudo-cyst, ifinyelela esikhaleni se-retroperitoneal.
Ngohlobo lwesibili, umtholampilo awukhulunywa kanjalo. Uketshezi luqoqana kancane kancane futhi lwakha ngokumelene nesizinda sezinqubo ezonakalisayo ezenzeka endaweni encane ye-cyst. Lesi sifo sitholakala ngesikhathi kuhlolwa i-x-ray nangemva kokuxoshwa kwe-laparocentesis.
Umthamo we-exudate ophuma ungene esikhungweni sesisu ngama-ascites ungafinyelela amalitha ayishumi. ILaparocentesis kuleli cala isiza ukususa uketshezi, kepha ayinamphumela ohlala njalo. Ngemuva kwesikhashana, iyaqongelela futhi, futhi i-laparocentesis ngayinye elandelayo iholela ekulahlekelweni okukhulu kwamaprotheni. Ngakho-ke, odokotela banikeza ukukhethwa kokungenelela kokuhlinzwa okuvela ngemuva kwamasonto amabili wokwelashwa kwe-chemacological. Ukwelapha ama-ascites kubandakanya ukudla usawoti osezingeni eliphansi.
Odokotela banquma ama-diuretics, ama-antibiotics, izidakamizwa ezinciphisa ingcindezi emthanjeni we-portal (uma iphakanyisiwe).
Izinkinga ze-ascites nokuvinjelwa kwawo
Izinkinga ze-ascites zihlukahlukene. Kungadala ukukhula kwe-peritonitis, ukwehluleka ukuphefumula, ukuphazamiseka kwezitho zangaphakathi nezinye izifo ezibangelwa ukwanda kwethamo lamanzi e-peritoneum kanye nokuxinaniswa kwephawu, isibindi nesisu. Nge-laparocentesis ejwayelekile, ukunamathela kuvame ukuvela okuphazamisa ukusebenza okugcwele kohlelo lokujikeleza.
Konke lokhu kuyimbangela yokwelashwa okungafanele noma okungalungile. I-Ascites idinga izindlela eziphuthumayo zokwelashwa, ngaphandle kwalokho izothuthuka futhi iholele emiphumeleni engathandeki. Ngakho-ke, ngokusola kokuqala kokuvela kwalesi sifo, kufanele ngokushesha ufune usizo kochwepheshe.
Ukuze ungasifaki lesi sifo, kubalulekile ukuthi uhlolwe njalo futhi uqhubeke ngesikhathi nokwelashwa kokuvuvukala kwepancreatic. Ukusuka ekudleni, kuyadingeka ukuthi ungafaki ukudla okuthosiwe, okunosawoti, okunamafutha, ukukhawulela ukusetshenziswa kwekofi, iziphuzo ezinoshukela ezinekhabhoni, itiye elinamandla. Kufanele uyiyeke ngokuphelele imikhuba emibi, uchithe isikhathi esiningi ngangokunokwenzeka emoyeni omusha futhi ungazami ukuba novalo nganoma yisiphi isizathu. Ngama-pancreatitis nama-ascites, ukusebenza ngokweqile komzimba kuyaphulwa, ngakho-ke labo ababandakanyeka kwezemidlalo kuzodingeka banelise ukuzivocavoca okukhanyayo.
I-ascites ichazwe nini kule vidiyo kule ndatshana.
