Impumelelo yokwelashwa kwe-pancreatitis incike ekuxilongeni okufika ngesikhathi, ekuxilongeni kanye nasekuthobeleni yonke imiyalo kadokotela oya kuyo. Udokotela uthembele kwimininingwane yaselabhoratri, izimpawu zesifo.
Ungayinquma kanjani i-pancreatitis? Izimpawu ze-pancreatitis ubuhlungu obukhulu besikhashana esiswini, ukugcotshwa njalo kwenhliziyo, ukuhlanza, ubuthakathaka obungenakwenzeka, ukwehla ngokushesha komfutho wegazi, ushintsho ekushiseni komzimba, ukujuluka ngokweqile, isikhumba ngokweqile sesikhumba.
Ngenxa yokumiswa kwe-bile kuphenyi, kuphuzi kwesikhumba, ukuphazamiseka kwenqubo yokugaya ukudla kuyabonakala, ukuthuthukiswa kohlobo lwe-2 yesifo sikashukela, i-hyperglycemia, akunqunyelwe.
Ukubonakaliswa okubonakalayo kwenqubo yokuvuvukala kumanyikwe yile:
- ukugoba okumhlophe olimini;
- ukungaphatheki kahle ngesikhathi sokukhubazeka kwesitho;
- Ubuhlungu lapho kuhlangana khona ikholomu yomgogodla ngezimbambo.
Izimpawu zokuqala kuzoba ukuqunjelwa okuhanjwa njalo, kuhambisana nokuqhakaza, ukusinda ngemuva kokudla, isicanucanu kanye nokungakhululeki esiswini esingenhla. Ezinye iziguli zikhononda ngobuhlungu ngakwesobunxele, ezinye ngakwesokunene, kanti kwezinye kuyahlukumezeka maphakathi nethambo lesisu.
Ukwenziwa kwasendaweni kobuhlungu kuncike ekutheni iyiphi ingxenye yamakhanda akhanyisiwe. Lapho ikhanda lesitho lilimele, lishayisa ngakwesokunene, ngokuvuvukala komzimba wonke wesibeletho, izinhlungu zizwakale ziphakathi, kuthi lapho ukulimala kuthinte umsila, kube nobuhlungu ngakwesobunxele. Umuntu ofanayo uhlukumeza yonke indawo ngezikhathi ezithile.
Odokotela bazi izindlela zokuthola i-pancreatitis, ezisiza ekuxilongeni ekuqaleni kwesifo. Uma indlala isishisiwe, isiguli asizizwa sidonsa kanzima eduze kwesisu, futhi lapho siklama isitho esiswini sesisu, amabala aluhlaza okwesibhakabhaka ayabonakala. Lesi sibonakaliso sihambisana nemiphumela eyingozi yemikhiqizo yokubola kwizicubu zemisipha nezitho zangaphakathi.
Ukwehla kwesisindo okwenzeka ngokushesha, ukumunca okungenamsoco kwezakhi zomzimba, isifo sohudo esivame ukuvela esinephunga elibi le-fetid kuzosiza ukubona lesi sifo. Ngenkambo ende yesifo, isiguli sinobuthakathaka obukhulu, ukwehluleka ukuphefumula, ukukhubazeka kwenkumbulo, kanye nokuhluleka ukugxilisa ingqondo. Ukunakwa ikakhulukazi kuzodingeka kunikezwe iziguli ngesikhathi sokukhulelwa, izimpawu zazo ziphinyiselwa ngokwengeziwe.
Ucwaningo lwelebhu
Ukuhlolwa kwegazi okune-biochemical kusiza ukuthola ukuvuvukala kumanyikwe, lolu ucwaningo lokuqala oluyalelwa udokotela. Ukuhlaziywa kulula, kuyafundisa, kusiza ukuqonda uhlobo lwesifo.
Uma kukhona i-pancreatitis, igazi lizokhombisa inani elandayo le-alpha-amylase, lipase, ukwehla kwamazinga e-insulin (ngokumelene nalesi sisekelo, amazinga kashukela, isimo se-prediabetes), amaprotheni egazi (i-albhamuin), ukukhula kwe-urea kanye nomsebenzi weproteyini osebenzayo.
I-alpha amylase ikhiqizwa ama-pancreas ukudiliza isitashi, futhi amazinga aphakeme ento asiza ukwenza ukuxilongwa okunembile. Ukunyuka kokuhlushwa kwe-urea kubuye kukhombisa ukwephulwa kwezinso.
Ukubona ukuhlukumezeka emzimbeni kuzosiza ukuhlolwa kwegazi okunamanzi nokwe-electrolytic. Kuyaziwa ukuthi ukungasebenzi kahle ekusebenzeni kwamanyikwe kuholela ezinkingeni ezinjalo:
- ushintsho ekwakhekeni kwegazi;
- uketshezi olwandayo egazini;
- ukuvalwa kwemithambo yegazi;
- ukushayeka kwegazi.
Lesi sifo sibangela ukuncishiswa kwamaminerali egazini, sikhuluma ngamaminerali: i-calcium, i-sodium, i-potassium. Njengomphumela, ukuphazamiseka ekusebenzeni kwezitho zesistimu yenhliziyo nakanjani kwenzeka.
Odokotela bayayazi indlela yokuthola i-pancreatitis ngokuhlolwa kwegazi okujwayelekile, ngokunembile, ngenani lamangqamuzana egazi abomvu namaseli amhlophe egazi. Ukwanda kwesibalo se-leukocyte kusitshela ngenqubo yokuvuvukala okunamandla, nokwehla kwesilinganiso soketshezi embhedeni we-vascular, kukhuphuka inani le-erythrocyte sedimentation rate.
Ukuhlaziywa okujwayelekile komchamo kuzosiza ekutholeni i-pathology, kuzobonisa ukuphambuka okukhulu kwe-alpha-amylase.
Uma isigaba se-pancreatitis sesephuze, umsizi welebhu uzobona amaseli abomvu egazi, amaseli amhlophe egazi nezinye izakhi zomchamo wesiguli okungafanele ukuba lapho.
Izindlela zokuhlonza izinsimbi
Ingxenye ebalulekile yokuxilongwa kwe-pancreatic pancreatitis izindlela zokucwaninga. Ngesikhathi sokuhlolwa, kungenzeka ukubona ngamehlo i-pancreas, ukusungula imiphumela engaba khona yesifo, umthelela kwezinye izitho zangaphakathi.
Ungayihlola kanjani i-pancreatitis? Okokuqala, ukuhlolwa kwe-ultrasound kunqunyelwe (i-ultrasound), le ndlela isebenza kakhulu ukuthola izinguquko ze-pathological esitho, ukuba khona kwenqubo yokuvuvukala nesigaba sayo.
I-Ultrasound ye-pancreas yenza ukuba sikwazi ukubona ukuba khona kwamatshe emigudwini ye-bile, i-purapy abscess, uketshezi. Kufanele kuvezwe ukuthi ukuze athole isithombe esinembile, isiguli kufanele sisilungiselele kahle isifundo.
Ukucacisa ubukhona be-cholecystitis ne-pancreatitis, kuqokwa i-X-ray yamanyikwe, kutholakala izimpawu zesifo ngalesi sithombe, ngokwesibonelo, izinkalo zamathumbu ezandisiwe. Ungayibona kanjani i-pancreatitis ngezinye izindlela? Lokhu kungenziwa sibonga i-compact tomography, ngosizo lwayo udokotela angathola ukuthi:
- usayizi wesitho;
- ukuba khona kokuvuvukala;
- inani lezicubu ezifile.
Kodwa i-tomography ayenziwa kakhulu, ngoba inqubo ibiza kakhulu, ama-tomographs atholakala emitholampilo enkulu yangasese nasezikhungweni zezempilo kuphela.
Kwenzeka ukuthi awukwazi ukwenza ngaphandle kwe-laparoscopy, le ndlela yokucwaninga ukwelashwa nokuxilonga ngasikhathi sinye. Kwenziwa emagumbini okusebenza noma amakamelo akhethekile, afakwe ngokulandelana.
Ngosizo lwe-laparoscopy, i-pancreatic pathologies iyatholakala ngesikhathi sangempela, ungathembela ekunciphiseni umthelela omubi emzimbeni womuntu ogulayo. Indlela inesizathu ezimweni ezinzima kakhulu ze-pancreatitis.
Enye indlela yokuhlonza ukuvuvukala yi-endoscopic, kwenza sikwazi ukuthola lonke ushintsho olutholakalayo ku:
- pancreas;
- i-duodenum;
- isisu.
Ukuze wenze isifundo, kufakwa i-endoscope ku-esophagus ngekhamera encane ekugcineni.
Ukutadisha isimo semithambo yegazi yama-pancreas, angiography noma i-angiography ye-CT kuzodingeka. Ukunquma ukwephulwa ku-ducts enkulu ye-bile, i-Virsungov duct, isifundo se-pancreatocholangioscopy sinqunyelwe. Ezimweni ezinzima ikakhulukazi, i-biopsy ethile ebekiwe yenziwa futhi.
Esibhedlela nasemtholampilo, izindlela zokuxilonga zingahluka kancane, kuya ngezici ezimbalwa: ubudisi benqubo ye-pathological, ukuba khona kwezinye izifo, izinkinga, ubudala, isisindo sesiguli.
Ngokwemvelo, konke kuya ngemishini yezobuchwepheshe yesikhungo sezokwelapha, imishini kanye nabasebenzi bezokwelapha.
Ukuxilongwa okuhlukile
Udokotela uzodinga ukuhlukanisa phakathi kwe-pancreatitis eyingozi futhi engamahlalakhona kwezinye izifo, ezibonakala ngobuhlungu obukhulu esibelethweni sesisu, ukubuyisela emuva, i-gagging kanye nesifo sohudo. Imiphumela yokuhlolwa ayihlali inomthelela ekuxilongeni kokugcina, lapho kudingeka khona ukuxilongwa okuhlukile.
Izimpawu ezifana nokubonakaliswa kwe-pancreatitis kwenzeka ngesilonda se-peptic esihlanganisiwe, isiguli kuzo zombili lezi zimo siphazamiseka ngobuhlungu obukhulu, ukuncipha kwenhliziyo, nobunzima obunamandla bezindonga zesisu.
Lapho uthola futhi unquma ukwelashwa, kufanele kunqunywe umehluko obalulekile ezilondeni ezihlotshisiwe kanye nepancreatitis. Esimweni sokuqala, isiguli singathola impumuzo efiselekayo ngemuva kokushintsha kwesimo somzimba, futhi ukugabha ngesilonda esigcotshisiwe akuvamile kakhulu.
Indoda ene-pancreatitis:
- aziphathe kabi;
- wehlulwa ngokuhlanza;
- ukutholakala kwegazi okuphathelene nokuphazamiseka kuyaphazamiseka.
I-pancreatitis ifana kakhulu ne-cholecystitis, futhi zombili lezi zifo zikhula ngasikhathi sinye. I-Cholecystitis inika izinhlungu ohlangothini lwesokunene lwesisu, inika ehlombe lokunene. Uma wenza i-ultrasound, kusiza ukuthola inqubo eshiwo yokuvuvukala.
Ungayibona kanjani i-pancreatitis futhi uyihlukanise nokuvinjwa kwamathumbu? Nge-pancreatitis, isithasiselo sokuqubuka kwamathumbu senzeka, izinhlungu zivame ukwenzeka, ngemuva kokuhlanza, ukubumbana nokuqunjelwa kuyabonakala.
Ukuhlolwa kwegazi kukuvumela ukuba uhlukanise ukugula, ngokuvinjwa kwamathumbu kunamazinga ancishisiwe ama-chloride, kube nenkomba ejwayelekile noma ephakeme yama-chloride esigulini, i-pancreatitis inqunywa.
Indlela yokuphila esebenzayo isiza ukuvikela ukukhula kwe-pancreatitis, ngisho nomsebenzi wokuhlala phansi, kufanele uzame ukuhamba, ukuhamba, ukwenza umdlalo wakho owuthandayo ngangokunokwenzeka. Kunconywa ukwenza izivivinyo nsuku zonke, njalo qapha indlela odla ngayo, ungafaki okunamafutha, izinongo, ukudla okuthosiwe okubhemayo ekudleni, ukunciphisa ukusetshenziswa kotshwala.
Izimbangela eziphambili zanoma yiziphi izinkinga zempilo umsebenzi ophansi womzimba, ukudla okungenampilo, izingcindezi ezihlala njalo, imibuso ecindezelayo kanye nokuhlukunyezwa komphakathi. Kubaluleke kakhulu ukuzama ukususa izinto ezingezinhle, ukugwema okuhlangenwe nakho kovalo.
Akulimazi ukulondolozwa kwesimo sokulala esifanele kanye nokuphumula, akulimazi ukusebenza kanzima kuphela, kepha futhi nokuphumula njalo, kufanele kube khona isilinganiso kukho konke. Lapho izimpawu zokuthi i-pancreatitis isivele isiqalile, udinga ukuxhumana nodokotela ngokushesha ukuze uxilongeke futhi unikeze ukwelashwa okwanele.
Imininingwane ngezimpawu ze-pancreatitis inikezwe kuvidiyo kule ndatshana.
