Ama-pancreas angawesistimu yokugaya, ifakwa umthwalo ophindwe kabili. Umzimba ukhiqiza ama-enzymes asiza ukwehlisa i-carbohydrate, amafutha kanye namaprotheni, futhi unesibopho sokulawula ukugaya ukudla.
Ngakolunye uhlangothi, i-pancreas ikhiqiza i-hormone insulin ne-glucagon, egcina ukugcwala okujwayelekile kwe-glucose, i-carbohydrate, amafutha ne-protein metabolism emzimbeni.
Noma iziphi izinguquko ezenzeka esidlekeni ziholela ekuphazamiseni umsebenzi wezinye izitho zomzimba. Imvamisa, uhlushwa izinqubo zokubhubhisa kanye nokuvuvukala, ngakho-ke izimpawu zesigaba esibi se-pancreatitis zibhekiswa kuzimpawu ezijwayelekile.
Amanye ama-pathologies we-pancreatic anezibonakaliso ezifanayo zomtholampilo nawo ahlukaniswa. Udokotela kuphela ongabahlukanisa ngosizo lokuhlonza izinsimbi kanye nelabhorethri.
Ubuhlungu njengophawu lwezinkinga nge-gland
Isibonakaliso esivelele senkinga ye-pancreatic Ubuhlungu. Ihlala ibonwa esigabeni esibi se-pancreatitis noma ukwanda kwesifo esingamahlalakhona. Uhlobo lwemizwa ebuhlungu luhlukile - kusuka ekudonseleni nasebuhlungwini obuqine buye emzwelweni obukhali nosika.
Umtholampilo we-pain syndrome ubangelwa umthamo wokugxila kokuvuvukala, ubunjalo bawo - i-necrosis noma ukuvuvukala, kanye nokufakwa kwamashidi we-peritoneal (peritonitis) kwinqubo ye-pathological. Esimweni sokugcina, kubonakaliswa izimpawu zokucasulwa kwesisu sesisu, Ubuhlungu buthuntubezwa ngesikhathi sokubeletha.
Ngokuvuvukala, izinhlungu zenzeka ngenxa yokwelulwa kwekhompiyutha yesitho sangaphakathi, ukucindezelwa kwezimpande zezinzwa, ukugcwala kwama-ducts ngemikhiqizo yokufihla kwe-pancreatic kwembulwa.
Indawo yobuhlungu incike endaweni okugxilwe kuyo kokuvuvukala. Isiguli singase sigule ngakwesokunene, ngakwesobunxele noma phakathi nendawo ye-epigastrium. Ukugxila kwe-lesion kungatholakala emzimbeni, umsila noma ekhanda lesitho.
Isibonakaliso kwimidwebo eminingi ayihlotshaniswa nokusetshenziswa kokudla, cishe akunakuzihlalela, futhi iyaqina njengoba i-pathology iqhubeka. Ezimweni ezingama-90%, ukhanya ubheke emuva. Noma kunjalo, kwesinye isikhathi kukhona "ukubuyela" esifundeni senhliziyo. Ngakho-ke, kubaluleke kakhulu ukuhlukanisa i-pancreatitis kusuka ekuhlaselweni yisifo senhliziyo, i-angina pectoris.
I-pancreatic necrosis ihambisana nobuhlungu obukhulu, obungaholela ekushayweni kobuhlungu, kusuka lapho isiguli singafa.
Izimpawu ze-dyspeptic dysfunction ye-pancreatic
Izimbangela zezinkinga ze-pancreatic ziphindaphindwe. Kodwa-ke, ezimweni eziningi, i-etiology isuselwa kokungondleki, ukusetshenziswa kabi kotshwala, ukukhuluphala, izinqubo ezithathelwanayo, njll. Kakhulu kaningi, lesi sifo siziveza ngenxa yokuphazamiseka okuthile kwepheshana lesisu.
Izimpawu zezinkinga ze-pancreatic ziyancipha isifiso sokudla, isicanucanu nokuhlanza kokudla okungaphanjwanga, kanye nokusebenza kahle kokugaya ukudla. Isicanucanu nokuhlanza kubangelwa ukucasuka kwethambo lobufazi. Ukuvota kuyaphindwa, akukulethi mpumuzo.
Umthamo wokuhlanza ubalulekile, ohlala uholela ekuphepheni komzimba ngokulahleka kwama-electrolyte noketshezi. Kwezokwelapha, izigaba eziningana zokuphelelwa ngamandla zihlukaniswa:
- Isigaba sokuqala. Iziguli zikhala ngokoma okungapheli. Ngesikhathi esifanayo ukuphefumula kuyabonakala, kunzima ukuphefumula.
- Esigabeni sesibili, kuvezwa isifiso esinamandla sokuphuza, ukoma ngokweqile kolwelwesi lwe-mucous, ukuqina kwesikhumba, ukushaya kwenhliziyo kanye nesilinganiso senhliziyo kuncishisiwe, amandla athile omchamo ancishisiwe.
- Esigabeni sesithathu, iziguli zivinjelwe, kutholakala ukuthi ukozela kakhulu, kwehlise umfutho wegazi, ukuphazamiseka kwenhliziyo. Esimweni esinzima, ukukhuluma kudidekile, isiguli siphelelwa amandla.
Izimpawu zesifo se-pancreatic zihlala zitholwa ukuphazamiseka kokugaya - ukuhanjiswa kwemizwa kubuye kuhambisane nokuqunjelwa. Iziguli zikhononda ngokwanda kwegesi. Lokhu kungenxa yokuthi ama-enzyme wokugaya ne-bile acid, anikeza umphumela we-laxative, ungangeni emathunjini ngenani elifanele.
Izimpawu zangaphandle zimnyama futhi zinobuchopho isikhumba ngenxa yokuncipha kwezidonsa ze-bile nokuvuvukala kwamanyikwe.
Iminwe eluhlaza okwesibhakabhaka noxantathu we-nasolabial kwesinye isikhathi kuyaphawulwa.
Izimpawu zesifo se-pancreatic
Kuyiqiniso, kunengqondo impela ukubona izimpawu zezinkinga ze-pancreatic zodwa. Kodwa-ke, udokotela kuphela ongaqonda ukuthi yisiphi isifo isiguli esinaso. Udinga ukuxhumana nodokotela we-gastroenterologist, uvivinye, uhlolwe. Ngesikhathi sokukhulelwa, izimpawu zezinkinga ze-pancreatic zidinga ukulaliswa esibhedlela ngokushesha.
Ukuzilapha, ungazi ukutholakala kweqiniso, kuyiphutha elibulalayo. Udokotela kuphela, ebheka ukutholakala kwezifo, ongahlukanisa isifo esisodwa kwesinye isifo.
Ubuhlungu nezimpawu ze-dyspeptic zingakhombisa ukukhula kwe-pancreatitis eyingozi noma engamahlalakhona, umdlavuza wepancreatic, isimila, i-cystic fibrosis, isifo sikashukela, i-pancreatic necrosis.
Umtholampilo kuya ngesifo:
- Uhlobo olungamahlalakhona lwe-pancreatitis ekuxolelweni aluboniswa ngobuhlungu. Ngesikhathi sokukhula, ubuhlungu obukhulu buqapheleka ngokunyakaza kwabo emuva emuva, noma i-girdle pain syndrome. Ukuqunjelwa kuyenzeka - isifo sohudo noma ukuqunjelwa. Uma ukudla kungalandelwa, isicanucanu, ukuhlanza ukudla noma ijusi ye-bile kukhula.
- Ngokuya esigabeni somdlavuza we-pancreatic kanye nendawo yesilonda, izinhlungu ziyaqaqamba, zivela ngasikhathi sinye, noma ziyefana nakwi-pancreatitis eyingozi. Emazingeni okuqala e-pathology, isiguli sinezinkinga zokugaya ukudla, izihlalo ezikhululekile, isifiso sokudla esinciphile, ukunciphisa isisindo, ukwanda kwegesi. Ezigabeni zokugcina, ukuhlanza okungapheli nezihlalo ezikhululekile.
- Isifo sikashukela i-mellitus asibonakaliswa yibuhlungu. Ezigulini zohlobo lokuqala, isisindo somzimba sehliswa kakhulu. Izimpawu ezithile zibandakanya ukoma, ukukhuphuka kwamandla athile womchamo, ukulunywa kwesikhumba.
- I-cystic fibrosis ihambisana nesitulo, lapho kunamafutha amaningi khona futhi umthamo wawo ungaphezulu kwenani elijwayelekile. Iziguli zikhononda ngokulahlekelwa kwesifiso sokudla, ukuncipha kwesisindo, umlomo owomile.
- I-pancreatic necrosis ihambisana nokwenyuka kwamagesi, ukuqunjelwa, izinhlungu noma ukushaqeka okunobuthi.
- Nge-cyst kuma-pancreas, i-flatulence ikhona. Ngenqubo yokuhlanza, umbuso wokushisa womzimba uyanda.
Ukubona ukubhujiswa noma ukuvuvukala kwamanyikwe, kufanele kuhlolwe umchamo negazi.
Ngokusekelwe kwimiphumela yokuhlolwa, udokotela uzonikeza ukwelashwa okufanele.
Izimpawu zaselabhoratri zesifo.
Uchwepheshe wokukhononda wesiguli anganquma ukungasebenzi kahle kwe-gland, noma kunjalo, ukuze kutholakale isifo esifanele, isiguli kufanele sihlolwe. Ukuhlolwa kwegazi komtholampilo kuyadingeka.
Ukuvuvukala kubonakaliswa ukwanda kwesilinganiso se-erythrocyte sedimentation (ngaphezu kwe-10 mm ngemizuzu engama-60 emadodeni nangaphezu kwama-20 mm kwabesifazane), ukwanda okuhlobene kwesibalo se-leukocytes emzimbeni. Kwabesifazane nabesilisa, ukuphuma komzimba kuyatholakala. Inani lamaseli abomvu egazi libuye landa.
Uma isiguli sine-hemorrhagic pancreatitis, khona-ke izivivinyo zibonisa i-anemia (ukuqoqwa kwamangqamuzana abomvu egazi kanye ne-hemoglobin kuyancipha). Ukuhlolwa kwegazi emaphesheni angama-90% kukhombisa i-glucose edlula amayunithi ayi-5.5.
I-biochemistry yegazi ihlinzeka ngemininingwane:
- Okuqukethwe kwe-Amylase okungaphezulu kwe-125 PIERES.
- Nge-necrosis ethambile, amazinga e-amylase ayancipha.
- I-lipase, i-trypsin iyanda.
Ukusebenza kahle emzimbeni womuntu kubonakaliswa ushintsho lobukhulu bomchamo. Futhi, kuvela amaprotheni kuyo. I-urine diastasis engaphezu kwe-100 PIERES, lapho izinga eliphakeme lejwayelekile lingaphezu kwama-64 PIECES. Emchameni, izidumbu ze-glucose ne-ketone zivame ukutholwa - lokhu kukhombisa ukuqubuka kwezinqubo ze-metabolic.
Ekulimazeni okukhulu, ukwelashwa kwenziwa esibhedlela. Ukudambisa izinhlungu, kunikezwa umuthi wobuhlungu. Ukuzila nge-pancreatitis nakho kuzosiza. Ngemuva kokunconywa ukuthatha amalungiselelo e-enzyme, ukudla (itafula No. 5). Esikhathini sokutakula, ungasebenzisa amakhambi abantu ukusiza ukuthuthukisa umsebenzi wamanyikwe.
Indlela yokwelashwa yezifo ze-pancreatic incike kusifo esithile. Kuhlobo lwesifo sikashukela sohlobo 1, ukwelashwa kwe-insulin kuyenziwa, ngohlobo 2, kudingeka ukudla kanye nokushintsha kwendlela yokuphila. Ngokuphikisana nesizinda sokutholwa kwe-cyst, ukwelashwa kungasusa amandla noma kuhlinzwe.
Yiziphi izimpawu ezibonisa ukuthi izifo ze-pancreatic zichazwe kuvidiyo kule ndatshana.
