I-pousreatitis pancreatitis yisifo esidala ukuqina kwamanyikwe, esihambisana nokufakwa kukasawoti we-calcium ezicutshini ezithambile zomzimba. Imbangela yazo ezinye izifo kanye nokwephula ukwakheka kwamakhemikhali kwe-pancreatic secretion.
Lokhu kuthuthukisa ukwakheka kwamatshe endaweni yomugqa wesitho. Kwimidwebo eminingi, ama-neoplasms aqukethe i-carbon dioxide noma i-phosphate lime. Ubukhulu bawo bincane, ngokubukeka kufana nesihlabathi se-grey noma esimhlophe se-hue, abonakala ngesakhiwo se-porous nobuncane obuphansi.
Abantu basho ngesifo esinjalo "amatshe kumanyikwe." Ngokuvamile, lesi sifo sitholakala kowesifazane oneminyaka engaphezu kwengama-50 ubudala. I-Pathology kuthiwa yizinqubo ezingapheli.
Ukuxilongwa kwalesi sifo kuyisihenqo se-ultrasound. Isiguli kudingeka sithathe i-x-ray, sivivinye, sibhekane ne-poscreatic pancreatography ye-endoscopic. Ngokusekelwe kudatha etholakele, kuyalandelwa ukwelashwa okulandelayo - okulondoloziwe noma okuhlinzayo.
Izinhlobo ze-pancreatitis ezibalwayo kanye nezimbangela zentuthuko
I-pancreatitis engapheli ngokuya nge-ICD code 10 ingezindlela ezahlukahlukene. Indlela yokubala yalesi sifo ihlukaniswe nge-pancreatitis eqinile futhi engalapheki. Ukubukeka okubi kakhulu kuhambisana nokubonakaliswa okunzima futhi okukhulu kwezempilo.
Iziguli zikhononda ngobuhlungu obukhulu, okukhona ngenxa yokudukelwa phansi kwamatshe esitho. Imvamisa kuba khona isicanucanu nokuhlanza. Kwesinye isikhathi umbuso wezinga lokushisa womzimba uyakhuphuka, isimo esibuthakathaka siyabonakala. Lesi simo kumele simiswe ngokushesha, njengoba kugcwele ukukhubazeka noma ukufa ngenxa yokushoda kosizo.
Uhlobo lwesifo olungamahlalakhona lubonakaliswa ukubonakaliswa okuncane kwezimpawu. Ngesikhathi esithi "lull", izimpawu ze-pathology azitholakali. Ukuvezwa kukasawoti we-calcium kuncane, ngakho-ke akubeki usongo olukhulu empilweni. Noma kunjalo, bayakwazi buthelela. Ukuvimbela ubunzima, ukwelashwa kuyenziwa, ukuvimbela kuyenziwa.
Noma yikuphi ukwephulwa kwepheshana lesisu akuqali ngokuzenzekelayo. Ukuthuthuka kwabo kuvusa izinto eziningi ezingezinhle eziholela kancane kancane kulesi sifo.
I-Pathogenesis ye-pancreatitis ebalwa:
- Isifo sesibindi (i-hepatitis C noma B).
- I-Cholecystitis (isifo se-gallbladder).
- Uma umlando walesi sifo unesilonda esiswini noma isilonda se-duodenal.
- Ukuphazamiseka kwezicubu ezithintekayo, imithambo yegazi.
- Imikhuba emibi yokudla.
- Izimo ezimbi zemvelo.
- Ukusetshenziswa kwemithi eqinile.
- Utshwala, ukubhema, njll.
Ukwanda kwe-pancreatitis ebalwa kubhekwa ngokungahambisani nokudla, ukusetshenziswa kotshwala nokusetshenziswa kwezidakamizwa ezithile (ama-antibhiteli). Umfutho wokuphinda ubuye nengcindezi, imizwa - yandisa umsebenzi wepheshana lesisu.
Ukuba khona kwamanye ama-pathologies wesimiso se-hepatobiliary noma sokugaya ukudla kukhulisa kakhulu amathuba okuthuthuka kokuwohloka kumanyikwe.
Izimpawu zokuvuvukala kwe-pancreatic
Ukubonakaliswa komtholampilo kwe-pancreatitis ebalwa kungenxa yesimo senqubo engafanele emzimbeni. Njengoba sekuphawuliwe, ubukhali futhi uyavilapha. Ngaphezu kwalokho indawo okukhona kuyo amatshe kuthinta umtholampilo.
Kanye ne-pancreatitis, i-cholecystitis engabaleki ivame ukutholakala - inqubo yokuvuvukala emgodini engahambelani nokwakhiwa kwamatshe. Elinye igama yi-cholecystitis engamatshe. Ngakho-ke, isithombe singezwa ngezimpawu zezinye izifo.
Uma i-calculi itholwa endaweni ekhanda le-pancreas, isiguli sikhononda ngobuhlungu obuphakathi kwesisu, lapho sisemzimbeni - esifundeni sokudla, kuthi lapho sisendaweni yomsila, kutholakale isifo sobuhlungu kuyi-hypochondrium yangakwesobunxele. Lapho amatshe ekhona ekhanda, emzimbeni nasemsileni ngasikhathi sinye, isifo sezinhlungu sinje.
Ukuthuthukiswa kwe-pancreatitis yokubala kungasolwa yizimpawu ezilandelayo:
- Ukuqunjelwa isikhathi eside, kuyilapho indle inesakhiwo sewuketshezi, izinsalela zokudla ezingapholi zigcinwa kuzo. Isihlalo sinephunga elingathandeki ngokweqile.
- Ukucanuzelelwa okuqhubekayo. Kwesinye isikhathi ukuhlanza kuba khona nge-pancreatitis.
- Ukwehla kwesisindo.
- Ukwanda kwenhliziyo.
- Kukhulisa umjuluko.
Uma amatshe etholakala kuwo wonke ama-pancreas, khona-ke isiguli sakha ukwephulwa kwe-digestibility kashukela emzimbeni - isifo sikashukela. Kulesi sithombe, i-pain syndrome imnene noma ayikho ngokuphelele.
Ukuqagela kokululama kweziguli kunqunywa ubulukhuni kanye nefomu lalesi sifo, isikhathi saso sokwelashwa.
Ukuxilongwa nokwelashwa kwe-pancreatitis ebalwa
Ukuze uthole ukuxilongwa okufanele, uchwepheshe wezokwelapha uncoma uchungechunge lokuhlolwa kokuxilongwa. Ukuhlolwa kwelabhoratri kwegazi nomchamo ngokuqukethwe okuphezulu kwama-amylase kuqinisekisa ukulimala kumanyikwe.
I-X-ray ikuvumela ukuba ubone amatshe emzimbeni, ukuthola inani lawo.
Ukuhlolwa kwe-Ultrasound kunquma ububanzi be-ducts ye-gland, ukuba khona kwamatshe kuyo. Lezi zivivinyo zenziwa kuphela ngemuva kwesizinda sokuxolelwa, ngoba ngokuhlasela okuphezulu ukubala kuyaqhubeka imizuzu.
Ukwelashwa kwe-pancreatitis ebala okungapheli kuqukethe izinkomba eziningi. Ngenkambiso ye-pathology elinganiselayo, kusetshenziswa izindlela ezilandelayo:
- Imithi enqunyelwe. Zisiza ukunciphisa izimpawu zokukhathazeka, zenze i-stool kanye nenqubo yokugaya ibe yjwayelekile. Imithi yenza izinqubo zokulimala zingasebenzi, zinomthelela ekuwohlokeni kokufakwa kwezidalwa eziphila emzimbeni.
- Izindlela zokuzivocavoca umzimba zivame ukufakwa enkambweni yokwelashwa. Zigxile ekubuyiselweni komsebenzi wezitho zangaphakathi, zisize ukusheshisa ukuvuselelwa kwezicubu, zelaphe izifo ezihlangene.
- Ukwelashwa kweSanatorium. Udokotela utusa ukugeza, ukudla kwamanzi amaminerali, uzwakalise ukudla okungavikeleki.
- Ngaphezu kwalokho, amakhambi asetshenziselwa ukwelapha isibindi nama-pancreas. Eziqongweni zezindlela zokwelapha ezingejwayelekile, le "mithi" enjalo inokubukeza okuhle - umhluzi we-chamomile, i-tincture esuselwa ku-wort yaseSt.
Lapho isiguli sinesimo esibi kakhulu, amatshe awavumeli ama-pancreas ukuthi asebenze ngokujwayelekile noma izinqubo ze-necrotic zikhula kuwo, kuyadingeka ukuguqukela ekuhlinzeni. Ngokubalwa kwe-pancreatitis, ukusebenza kugxile ekubuyiseleni ukuphuma kwe-secretion ye-pancreatic.
Ngesikhathi sokuhlinzwa, udokotela uphatha amanzi akhipha izimbumbulu, asuse nosawoti we-calcium obekiwe. Uma kunezinkinga ngesimo sokufa kwezicubu noma ukulimala okukhulu kwezingxenye ze-pancreatic, zisuswa ngomshini.
Ukugwema ukuvela kokuhlaselwa okuphindaphindiwe, ukuvimbela kuyadingeka. Uhlu lwezindlela zokuthibela lufaka izincomo: ukunciphisa umkhawulo ukusetshenziswa kotshwala, imenyu olinganiselayo, ukuyeka ukubhema. Kuyadingeka futhi ukuthi ugweme ukucindezela, yenza kube lula ukubusa kosuku. Ukugcizelela ekwelashweni nasekuvimbeleni kungukudla kwezempilo. Isisekelo sithathwa ngokudla kwe-pancreatic yenombolo 5 kanye nokususelwa kuyo.
I-etiology kanye nezindlela ze-pancreatitis zichazwe kuvidiyo kule ndatshana.
