Itshe le-pancreatic yi-calcine, eyakhiwa kumashubhu e-pancreatic kanye ne-pancreatic parenchyma, okwaholela ekuphazamiseni imisebenzi ye-exocrine kanye ne-intrasecretory yesitho sangaphakathi. Lesi sifo sibizwa nge- pancreolithiasis.
Ukuqongelela usawoti we-calcium kubhekwa kakhulu nge-pancreatitis, ngakho-ke, lezi zindlela ezimbili zemvelo zivame ukubonakaliswa ngokubonakaliswa okufana nokwelashwa - izinhlungu ezinzima zebhande, i-steatorrhea (amafutha aphezulu endawana), nesifo sikashukela i-mellitus.
I-Diagnostics ayigcwele nobunzima. Ukuqinisekisa ukutholwa okuhlongozwayo, kuthathwa i-scanning scanning, i-radiography, i-compact tomography yezitho zangaphakathi zesibeletho, kanye ne-RCH.
Ukwelapha kuyasebenza, kepha kumele kuhlanganiswe nemithi ukunciphisa ubukhulu bokuvuvukala nokulimala. Ake sibheke kabanzi ukuthi yini eyakha itshe lamanyikwe nokuthi singaselapha kanjani lesi sifo?
I-Etiology kanye nezimpawu ze-pancreatolithiasis
I-Pancreolithiasis yisifo esingajwayelekile, kepha lokhu akusikhiphi ngobuhlakani baso. Isimpawu esibonakalayo Ubuhlungu esiswini. Phakathi kwe-pathogenesis ehamba phambili, ukwehluleka ezinqubweni ze-metabolic kanye nenkambo engapheli ye-pancreatitis ihlukaniswa.
Amatshe angaphansi kwethonya lezinto ezicasulayo avela hhayi kumanyikwe kuphela, kodwa futhi angakheka gallbladder, okuholela ekuxhumeni kwemigqa ebhekene nokuphuma kwe-bile. Kutholwe nge-cholecystitis engabaleki.
Amatshe asho okukhanyayo, ukwakheka kwawo kubangelwa ukukhalela izakhi ze-bile. Izinhlayi ziyahlukahlukahluka kusuka kumantumba esihlabathi acashile kuya kumathumbu amakhulu.
I-sand in pancreas ibucayi futhi iyingozi, ukwelashwa ngokushesha kuyadingeka emnyangweni wokuhlinzwa, ngaphandle kwalokho isimo sisongela ngemiphumela emibi, kufaka phakathi engaphenduki.
Izimbangela zesifo:
- Ushintsho ekwakhekeni kwamakhemikhali secretion ye-pancreatic ngenxa yokusebenzisa kabi utshwala, ukubhema.
- Ukungalingani kwe-Hormonal emzimbeni (izici ezahlukahlukene kungumthombo oyinhloko).
- Ukwephulwa kwezinqubo ze-metabolic.
- Ukuvuvukala kwezitho zangaphakathi ku-peritoneum, i-cyst yangempela noma i-pseudocyst, i-tumor neoplasms.
- Ukuvuvukala kwe-duodenum 12, i-gallder, njll.
Lezi zizathu zinomthelela ekuqineni kwesiphuzo se-pancreatic, esidonsela phansi usawoti we-calcium nokwakhiwa okwalandela kwe-calculi emgodini we-pancreatic parenchyma kanye / noma ducts.
Ukuboniswa okuyinhloko kliniki:
- Ubuhlungu besimo sokusika esifundeni se-epigastric, budlulela emuva. Ubuhlungu bubonwa ngezikhathi ezithile.
- Ukuqhephuka, isicanucanu esiphikelelayo.
- Isikhathi sokuhlaselwa kobuhlungu siyahluka kusuka kumizuzu emi-5 kuya emahoreni ambalwa.
I-pain syndrome isuselwa ekukhuphukeni kwengcindezi kuma-pancreatic ducts ngokumelene nesizinda sokuqhuma kwabo kanye nokwanda kwenqubo yokuvuvukala.
Ukuxilongwa nokwelashwa
I-Pancreolithiasis isho izifo zohlelo lokugaya ukudla, ikhodi ye-ICD yi-K00-K93. Imisakazo yezitho zesisu. Ikuvumela ukuba ubone ngeso lengqondo amatshe avela njengesithunzi esincane esiyindilinga. Kukhona ezingashadile futhi eziningi. Amasu anembile wokuxilonga afaka i-CT ne-MRI.
Isiguli kufanele sibonane nodokotela we-gastroenterologist. Ukwelashwa njalo kuqala ngemithi. Kuhloswe ukuthi kumiswe izinqubo zokuvuvukala, kuklanyelwe ukwengeza i-metabolism ye-calcium ne-phosphorus emzimbeni, ukunciphisa ukuvuvukala kwamanyikwe ne-duct main. Kunqunywe amaphilisi okulwa nokuvuvukala kanye ne-analgesic.
Ukwelashwa kwe-enzyme kunqunyelwe, kunakwa ngokukhethekile ezondlweni zokudla, futhi kunikezwa inombolo yokudla yesihlanu. Uma amatshe emincane, khona-ke amaphilisi angasiza ekuthuthukiseni isimo sesiguli, amatshe amancane azongena mathumbu ngokwawo.
Phambi kwamatshe amakhulu, ukuthatha izidakamizwa zokuhlakazwa kwazo akunangqondo. Ukuhlinzwa kuyadingeka ngoba kukhona ingozi empilweni nokuphila. Kwezokwelapha, izindlela ezihlaselayo ezibucayi zenziwe zaba zanamuhla kakhulu. Isibonelo, ukususwa kwe-endoscopic kwamatshe amakhulu we-duct kuvame ukusetshenziswa. Yenza ukubhoboza, susa amatshe ngokusebenzisa i-endoscope.
Izinzuzo zendlela ye-endoscopic:
- Ukuntuleka kokuvuselelwa kwesikhathi eside.
- Izinkinga ezimbalwa ngemuva kokungenelela.
Okucashunwe ukuthi inkohliso ingeke isuse wonke ama-neoplasms kumanyikwe. Uma kunamatshe amaningi amakhulu afakiwe emzimbeni nomsila, khona-ke kungcono ukusebenzisa indlela ye-laparotomy.
Ukwelashwa okuhlinzwa ngokuchotshozwa kungenziwa. Ukuhlinzwa kusho umphumela wamatshe owesabisayo, obavumela ukuba bachobozwe esihlabathini esincane kakhulu. Kamuva, zishiya umzimba lapho amathumbu angenalutho.
Indlela yesimanje ukususwa kwamatshe nge-laser. Amatshe abonwa ngekhamera yevidiyo, isibonisi sidluliselwa kumqaphi. Ngokulandelayo, ukwephula okuhlosiwe kwenziwa esifundeni sesihlabathi. Ukubuyekezwa kodokotela kuqaphela ukuthi ukuvezwa kwe-laser kunezinzuzo eziningi. Izinga eliphakeme lokuchotshozwa, ukuhlasela okungatheni, isikhathi esifushane sokululama, ukungabikho kwezibazi kuyahlukaniswa.
Yini izindleko zokususwa kwe-laser? Intengo inqunywa yinqubomgomo yamanani yesikhungo sezokwelapha, izimfanelo zobudokotela nezinye izici. Ekhuluma ngokwesilinganiso, intengo yokuqala ivela kuma-ruble ayi-15,000.
Ukusebenza kwanoma yikuphi ukungenelela kuncike kuziqu zobudokotela. Izinkinga zifaka izinhlungu, i-hematoma endaweni yokusebenza, hhayi ukususwa ngokuphelele kwamatshe.
Isimo sezulu nokuvikela
I-prognosis yokuba khona kwamatshe noma isihlabathi kuma-pancreas kuyinto enhle impela. Kepha kubangelwa izinkinga kanye nezifo ezikhona. Ukungenelela kokuhlinzwa kuhlinzeka ngomphumela owenelisayo kuma-85% ezimo zokwelapha.
Izibalo futhi zinaka izinga lokushona kwabantu, lingaphansi kuka-2%. Ukuxilongwa kwangaphambili kwamatshe emanyikwe, kuyathandeka kakhulu ukwanda kwesifo.
Azikho izindlela ezithile zokuthintela ezakhiwe. Odokotela bayavuma ukuthi i-pancreatitis engapheli kufanele ilashwe ukuvikela lesi sifo. Thatha umuthi obekwe udokotela. Kuvunyelwe ukusebenzisa amakhambi esintu asiza ukubuyisa ukusebenza kwamanyikwe.
Ngezimpawu zobuntu - izinhlungu e-hypochondrium, kunconywa ukubonana nodokotela ngokushesha. Amakhambi ama-pancreas kuleli cala ngeke asize. Izitshalo ngeke zisize ukuqeda amatshe. Ukuphathwa ngokungafanele kuzokwandisa isimo.
Ukuvimbela kusho indlela yokuphila enempilo - ukuhambisana nokudla okuninganisizi okungekho umthwalo kumanyikwe, ukwenqaba ukuphuza utshwala, ukubhema. Ukuqapha kokuvikela isimo se-phosphorus-calcium metabolism nakho kuyadingeka.
Ukwelashwa okufika ngesikhathi kokuvuvukala okuvilaphayo ku-duodenum 12, ipheshana lesibindi, amanyikwe nakho kuzosiza ukuvimbela ukwakheka kwe-calculi emsebeni.
Izimpawu zokuphila zesifo se-pancreatic kuxoxwa ngazo kule vidiyo kule ndatshana.
