Indlela yokuthuthuka kwezinqubo zokuvuvukala yethulwa ngaphansi kwethonya lezinto ezishukumisayo. Lokhu ngotshwala, okunamafutha, okunosawoti nokudla okubhemayo. Ngokusetshenziswa kwemikhiqizo enjalo, ukukhiqizwa okunamandla kwama-enzymes wokugaya ukudla kuyaqala.
Ama-ducts awakwazi ukubhekana nokukhishwa kwejusi, okuholela kokuvela kokuqina. Bese-ke inqubo eyingozi yokuhlukumezeka iqala - umzimba uzigaye ngokwayo, okuholela kokuvuvukala kakhulu. Ngakho-ke i-edema ye-pancreatic iyakhula.
Ukuvuvukala kuholela ekunciphiseni imicengezi, zihlanganiswe nangaphezulu. Lapho uhlolwa, kuqubuka indlala evuvukala, kube sengathi kufakwe uketshezi kuyo. Isitho sikhuphuka kakhulu ngosayizi.
U-Edema ucasula izinkinga ezahlukahlukene. Imvamisa, kuholela ekubonakaleni kwama-absrenches we-parenchyma, ngoba izindunduma zigcwele ama-secretion, lapho kunokugcwala okukhulu kwama-leukocytes namaseli we-epithelial.
I-pathogenis kanye nezimpawu zokuvuvukala kwamanyikwe
I-Edema yesitho sangaphakathi iyakhula ngenxa yokukhiqizwa okulimazekile kwama-enzyme. Le nqubo engajwayelekile ibangelwa izizathu ezahlukahlukene. Lokhu kufaka phakathi ukusetshenziswa kabi kotshwala, ukungondleki, i-cholelithiasis.
I-acute edematous pancreatitis ikhula ngenxa yesifo sikashukela esithuthuka ngokushesha, ukuhlupheka esifundeni sesisu noma ngemuva kokuhlinzwa endaweni yesistimu yokugaya ukudla. Ezinye izimbangela zezifo ezithathelanayo, ukuqhekeka kwama-pancreatic ducts, kanye nokuvela kwesimila esibi noma i-benign tumor.
I-Edema yenzeka ngenxa yokuzicwilisa kwendlala nenqubo yokuvuvukala okuvela kuyo. Ama-ducts awakwazi ukubhekana nokususwa kwejusi ngevolumu "entsha", okuholela ekuxhumeni nasekunciphiseni kwayo. Ngenxa yalokhu, kukhona uketshezi kumanyikwe.
Ukuvuvukala kwesitho sangaphakathi kuhambisana nezimpawu ezinzima:
- Isibonakaliso esivelele esikhombisa ukuthi ukukhula kwesifo se-pancreatic kubuhlungu. Ubuhlungu be-Tinea buqhakaza kwi-hypochondrium. Lolu phawu lususelwa ekulimazeni kwekhanda nasekuvinjelweni kweziqubu. Imvamisa, ama-painkiller awasizi ukudambisa izinhlungu. Ukunciphisa usizi lobuhlungu kusiza ukuhambisa umzimba phambili.
- Ezinye izinkomba zendabuko zifaka i-lethargy, hyperhidrosis, ukubanda, umkhuhlane. Qaphela ukuthi lokhu kuboniswa kwe-Symbomatology kuyinto engagcini ngokulimala kwe-pancreatic, kodwa futhi ne-cholelithiasis. Lapho izinto ezinobuthi zingena ohlelweni lokujikeleza kwegazi, ukudakwa kuyatholakala. Ukushisa komzimba wesiguli kuyakhuphuka, isikhumba siphuphutheke.
- Ukuqunjelwa kwesinye isikhathi kwenzeka njalo kanye nenausea, ukugabha. Ukusikhulula kunikeza impumuzo yesikhashana, emva kwemizuzu engama-20 kuya kwengama 30 isiguli siqala ukugula futhi. Lesi sikhathi somtholampilo sehlukanisa i-pancreatitis nakwezinye izifo zesisu.
Uma isifo sikashukela i-mellitus iba imbangela yokuvuvukala kwesitho, khona-ke izimpawu yilezi: uhlala womile, ukugqwala okujwayelekile, ukusikeka kwesikhumba, ukwanda kokudla, ukozela, ukukhuphuka kwamandla athile okuchama ngosuku, umlomo owomile.
Iqiniso le-pancreatic edema nokubonakaliswa okuningana kwemitholampilo akwanele ukwenza ukuxilongwa okulungile. Ukuqinisekisa i-pathology, ukuhlolwa kwelabhoratri kuyadingeka.
Izindlela zokuxilonga
Lapho sesithole ukuthi kungani ukuvuvukala kwesitho kukhula, sifunda ukuthi lesi sifo sitholakala kanjani. Ngenxa yalokhu kutholwa, ungathola ubulukhuni benkambiso engejwayelekile, ukunquma indawo okugxilwe kuyo - ikhanda, umzimba noma umsila.
Ukubala okugcwele kwegazi kusiza ekuqinisekiseni ukuba khona kwenqubo yokuvuvukala okunamandla. Ngokutadisha okwenziwe ngamakhemikhali ngamakhemikhali, kulinganiselwa ukuqoqwa kwama-enzymes wokugaya ukudla. Zingahle zibe ngokweqile noma zitholakele.
Ucwaningo lomchamo libonisa okuqukethwe yi-amylase. Ngaphezu kwalokho, ukuhlaziya ushukela emzimbeni. Izindlela Zokuxilonga:
- Esophagogastroduodenoscopy. Ukukhwabanisa kusiza ukuhlola isimo se-esophagus yesiguli, i-duodenum nesisu ngokuzwakala.
- I-Ultrasound yesistimu yokugaya isungula i-edema ye-pancreatic edema. Ekuhlolweni, ukwanda kwesitho ngobukhulu, i-echogenicity ephansi, isilinganiso esincane sokubonakaliswa kwesiginali siyabonakala. Yonke le mininingwane ikhombisa ukuthuthuka kwenqubo yokuvuvukala okunamandla.
Uma lezi zifundo zinganele ukuthola ukuxilongwa futhi uchwepheshe enokungabaza, isiguli sithola ukudluliselwa ekuhlolweni kwe-magnetic resonance, okuvumela ukuthi unikeze imininingwane ngezikhathi ezingabazisayo.
Njengoba kunikezwe imiphumela yokuhlolwa kwelebhu kanye nezinqubo zokuxilonga, udokotela uyaqhubeka nokwakha irejimeni yokwelashwa.
Ukwelashwa kwe-pancreatic edema
Ungayisusa kanjani i-pancreatic edema ekhaya? Lo mbuzo uvame ukuthakazelisa iziguli ezinomlando we-pancreatitis engamahlalakhona. Ukwelapha ekhaya kuvunyelwe ezimweni lapho inqubo ye-lazvil ibonwa khona, ukuhlaselwa kunqabile.
Ukuze wehlise ukuzwela, kufanele kuhlangatshezwane nemibandela ethile. Owokuqala ukuzila ukudla, owesibili uwukuphumula kombhede okuqinile. Izinyathelo ezinjalo zizosiza ukunciphisa ukukhiqizwa kwama-enzymes wokugaya ukudla, ukunciphisa umthwalo esitho sangaphakathi, okuvumela ukuthuthukisa ukusebenza kwawo.
Uma inqubo yokuvuvukala isesigabeni esikhulu, khona-ke usizo lodokotela luyadingeka. Ukwelashwa kwenziwa kuphela ezimeni zokuma. Kudinga ukudla nemithi.
Ukwelashwa kwezidakamizwa kubeka imigomo:
- Yehlisa ukukhiqizwa kwe-hydrochloric acid. Ngakho-ke, ukwelashwa kwe-antisecretory kwenziwa. Kusebenza kakhulu ezinsukwini zokuqala ngemuva kokugcwala.
- Susa usizi ngobuhlungu, ukuvuvukala, unciphise ukuphazamiseka kwe-microcirculatory, cindezela ukukhiqizwa kwezinto ze-enzyme. Ukuze wenze lo msebenzi, ukwelashwa kwe-antienzyme kwenziwa.
- Ukuze imikhiqizo yokubola nezinto ezinobuthi zingakwazi ukuqongelela emzimbeni, kuchazwa ukwelashwa kwe-detoxification.
- Ukuvimbela i-platelet fusion - ukwelashwa okusebenzayo kwe-rheological.
- Ukusetshenziswa kwama-antibiotic, abonakala ngethonya elibanzi, kusiza ukuvikela imiphumela emibi njenge-abscess nezinye izinkinga.
- Buyisela ibhalansi yamanzi ne-electrolyte, yenzela ukuntuleka kwezakhi zamaprotheni.
Izifo ze-pancreatic zivame ukubonakala ngezinkinga. Ukuqashelwa okuhle kuhambisana nokuxilongwa okufika ngesikhathi nokwelashwa okunqunyelwe. Ngakho-ke, iziguli kufanele zigcinele ngokuqinile zonke izincomo zikadokotela.
Esigabeni sokuxolelwa, ungaphendukela kumakhambi esintu ukuze uthole usizo. Iziguli zidla ama-linseed, i-olive, i-sea buckthorn kanye ne-oyela ye-caraway ngaphakathi. Kwamukelekile ukusebenzisa ama-decoctions kanye ne-infusions yamakhambi okwelapha ama-pancreas. Ukubuyekezwa kodokotela kuqaphela ukuthi ukwelashwa okunjalo kuvunyelwe kuphela ngaphandle kwesigaba sokwanda.
Uma izinkinga zivela, khona-ke kukhonjiswa ukuhlinzwa. Uhlobo lokungenelela kokuhlinzwa luhlonza ezimfanelweni zenqubo yokuvuvukala. Ngokuphikisana nesizinda sezicubu ze-pancreatic ezonakalisiwe, kwenziwa i-laparotomy - inqubo ekuvumela ukuthi ususe izingxenye ezonakalisiwe.
Ezimweni ezinzima kakhulu, udokotela ohlinzayo uwasusa ngokuphelele ama-pancreas kanye nesinye sezinyongo. Ukuqongelela uketshezi esiswini kuqedwa ngokuqhuma kwe-peritoneal.
Ukuvuvukala njengophawu lwesimila
Kwabesilisa nabesifazane, ukuvuvukala kwendlala kubangelwa ukuqina kokuqina kwenyama, isifo sikashukela kanye nezinye izifo ezithinta uhlelo lokugaya ukudla. Ukudambisa ukuvuvukala kuphela ngaphansi kokuqondisa udokotela.
Kwezinye izimo, ukuvuvukala kwendlala kusayina umdlavuza wesitho. Ngokwezibalo, i-pathology enjalo yinto eyivelakancane kakhulu. Ingozi ukuthi ekuqaleni kwesigaba akunakwenzeka ukwenza ukuxilongwa okulungile, okuholela ekwandeni kwenqubo ye-pathological.
Umsebenzi weseli ongafani namvelo kumanyikwe ngokuhamba kwesikhathi uholela ekukhuleni kwe-tumor neoplasms. Amaseli, ehlukana nokwakheka kwe-pathological, angena egazini nakuhlelo lwe-lymphatic, okuholela ekusakazweni kwe-metastases emzimbeni wonke.
Izigaba zomdlavuza we-pancreatic:
- Ukwakheka kwesimo esidabukisayo kuncane (akukukhulu kunesitho sangaphakathi).
- I-neoplasm ikhuphuka ibheke kuma-ducts we-bile kanye nama-lymph node.
- Imithambo yegazi emikhulu, izinzwa, isisu, amathumbu amakhulu nobubanzi kuyathinteka.
- Isimila "sidlula" kuma-lymph node, ama-foci wesibili wenqubo yokuvuvukala ayakhiwa - ama-metastases.
Imikhumbi ye-Lymphatic luhlobo lwesithiyo kusuka kumaseli aphelelwe ukusebenza kwawo. Kepha umdlavuza ungangena ngaphakathi kubo, amangqamuzana omdlavuza asakazeka ohlelweni lonke, azinze kuma-lymph node, avimbele imisebenzi yesithintelo ukuthi isebenze ngokugcwele.
Ezigabeni zakamuva zenqubo engejwayelekile, kugqamile ukugeleza kwengqimba ye-lymphatic, i-edema ikhona. Ngokuphikisana nalokhu ingemuva, kutholakala ukunqwabelana koketshezi lwamahhala esiswini sesisu - ama-ascites.
Ukwelapha umdlavuza kubandakanya i-chemotherapy, imisebe kanye nezindlela zokuhlinzwa. Mayelana nokululama okugcwele kungashiwo esigabeni sokuqala salesi sifo. Ngokuhamba kwesikhathi lesi sifo sitholakala, mancane amathuba okuthola umphumela omuhle. Ezigabeni zakamuva, azikhulumi ngokululama. Ukwelashwa kugxile ekwandiseni nasekuthuthukiseni ikhwalithi yempilo yeziguli.
Mayelana nezifo ze-pancreatic, odokotela bazotshela kule vidiyo ekulesi sihloko.
