Izinkinga zepancreas zingavela kungazelelwe. Okuholela emibuzweni enemibuzo impela, yimuphi udokotela ophatha ama-pancreas, ubani okufanele ngixhumane naye uma ngigula kakhulu?
Umuntu ongakaze ahlangane ne-pancreatic pathologies akazi ukuthi yimuphi uchwepheshe ophatha lesi sifo. Ukwelashwa kwezifo zesitho sangaphakathi kungumsebenzi omkhulu odinga indlela ehlanganisiwe; ngenxa yalokho, ukubamba iqhaza kodokotela abambalwa beprofayili kuyabonakala.
Ngokuphikisana nesizinda se-pancreatitis esibuhlungu, lapho kunesifo esinamandla sobuhlungu, kunezimpawu ezibonakalayo zokuthi ubuthi bomzimba, udokotela ohlinzayo unquma ukwelashwa. Ngaphezu kwalokho, kukhonjiswa ukuvakashela odokotela abanjengochwepheshe bezokwelapha, i-endocrinologist kanye ne-gastroenterologist.
Akunakwenzeka ukuphendula ngokungathandeki embuzweni wokuthi yimuphi udokotela ophatha isibindi namanyikwe. Njengoba, kuye ngezimpawu zomtholampilo zesifo, usizo lodokotela abaningana lungadingeka.
Yimuphi udokotela ozosiza ukwelapha i-pancreatitis?
Ngezimpawu zomtholampilo zesifo se-pancreatic, kunconywa ukuthi uqale uthintane ne-GP yakho yangakini. Lesi seluleko asisebenzi kulabo uma umuntu ehlaselwa isifo. Endabeni yokugcina, ukulashwa esibhedlela okuphuthumayo kweziguli nokwelashwa kuyadingeka.
Udokotela oqeqeshiwe ofanele ngesikhathi sokuhlolwa kokuqala kuzosiza ukuthola ukuthi ngabe i-pain syndrome ibangelwa ukwephulwa kokusebenza kwamanyikwe, noma izizathu zilele kwamanye ama-pathologies.
Uma isifo sisolwa, udokotela utusa izindlela ezithile zokuxilonga ukuze uqinisekise noma uphike umphumela oyinhloko. Uma ukungasebenzi kahle kwe-pancreatic gland kusolwa kosanda kuzalwa, impendulo yombuzo ukuthi yimuphi udokotela okufanele abonwe nge-pancreatitis uzoba udokotela wezingane. Ngemuva kwalokho uzobe edlulisela kwabanye odokotela.
Ukubona uhlobo lwenqubo ye-pathological kuma-pancreas, kufanele kwenziwe ukuhlolwa kwe-Ultra, okusiza ukuthola okulandelayo:
- Ukuthi ama-pancreas akhulisiwe noma cha;
- Izinga le-echogenicity, elibonakala libonakaliswa njengophawu lwesifo;
- Ukuba khona kwe-tumor neoplasms, cysts;
- Ukunqunywa kobunzulu nendawo yesifo.
Ngemuva kokuxilongwa okufushane, udokotela unikeza umuntu odluliselwa kudokotela wezitho zangasese. Lo dokotela ngudokotela onguchwepheshe ophatha ama-pancreas. Uzoxoxa nesiguli ngezikhalazo, enze ukuhlolwa ngokomzimba. Ngokusekelwe ku-ultrasound ne-palpation, uzophetha ngokuthi iyiphi ingxenye yesitho esonakalisiwe.
Ngaphezu kwalokho, kunikezwe ucwaningo olunquma izinga lama-enzymes wokugaya egazini. Inqubo yokuvuvukala ikhonjiswa yi-leukocytosis ekhulayo.
Ukuze uthole ikhambi eliphumelelayo, kunconywa ukuthi wenze i-X-ray, i-MRI, i-CT, nezinye izifundo.
Ludingeka nini usizo lwe-endocrinologist ne-oncologist?
Yimuphi udokotela ophatha i-pancreatitis kubantu abadala? Okokuqala udinga ukuxhumana nomelaphi wendawo lapho uhlala khona. Uma kungenzeka, kungcono ukuya ku-gastroenterologist khona lapho. Njengomthetho, ukuvakasha "okuqondile" kuvunyelwe emitholampilo yangasese. Ngesikhathi sokukhulelwa, ungakhalaza ku-gynecologist yakho. Udokotela uzonikeza umuntu odlulayo ukuze avakashele abanye odokotela.
Usidinga nini isikhalazo kudokotela oyi-endocrinologist emtholampilo? Amaseli atholakala endaweni yokuqina kwesitho sangaphakathi, okunomthelela ekukhiqizweni kwama-hormone - i-insulin, i-glucagon ne-somatostatin. Lapho zingena egazini, zisiza ukulawula ukugcwala kwe-glucose emzimbeni. Ngokuvuvukala kwe-pancreatic, i-necrosis yale maseli ibonwa, ngenxa yalokho, isifo sikashukela siyaqhubeka. Imvamisa lesi sithombe sibonwa kwi-pancreatitis engamahlalakhona.
Ngalesi sithombe, ukubamba iqhaza kwe-endocrinologist kuyadingeka. Udokotela uqopha isiguli, aqaphe isimo sakhe, aqoke ukuthi ahlolwe, ukhetha umthamo odingekayo we-insulin noma ezinye izidakamizwa ezinconyelwe ukwelashwa okungenziwa. Ukwelashwa kwe-inpatient kwesinye isikhathi kuyadingeka esibhedlela emnyangweni we-endocrinology.
Izifo zohlelo lwe-biliary ziyi-pathologies ejwayelekile - i-urolithiasis, i-cholecystitis, njll. Ngokuvamile, izizathu zilele ekwakhekeni kwesimila. Yimuphi udokotela okufanele abonwe nge-pancreatic pancreatitis, uma imbangela yalesi sifo isimila? Kulokhu, usizo lwe-oncologist luyadingeka.
Ezicubu zamanyikwe kungatholakala ukuthi:
- Cysts
- Ama-Pseudocists.
- Amathumba amakhulu.
- I-Benign neoplasms.
Ngokuya ekuxilongeni okuthile, udokotela unquma ukwelashwa. Kwezinye izimo, ukwelashwa okulondolozekayo ngemithi nangamakhambi ama-pancreas kwanele. Kwesinye isikhathi ukungenelela okuhlinza kuyadingeka ukususa i-neoplasm.
Lapho kukhona isimila sesimo esidabukisayo, kunikezwe i-chemotherapy.
Ngubani okufanele ngixhumane naye ngokuhlaselwa okunamandla?
Ukuvela kobuhlungu obukhulu esiswini engenhla kukhombisa ukuvuvukala okukhanyayo kwama-pancreas. Ngeke kwenzeke ukuthi kunciphise izinhlungu ekhaya, azikho ezinye izindlela ezingamelana nomsebenzi.
Ukuphela kwendlela yokuphuma ukubiza iqembu lezokwelapha. Udokotela ofike uzohlola isiguli, athathe izinyathelo eziphuthumayo zokuqinisa isiguli, amlalise esibhedlela lowo muntu ukuze athole ukuxilongwa nokwelashwa okwengeziwe.
Ekuhlaselweni okukhulu, isiguli sizokwelashwa endaweni yokunakekela abagulayo, lapho siyohlolwa khona ngudokotela ohlinzayo nodokotela ohlinzayo. Uma lokhu kungenzeki, ngokwesibonelo, umtholampilo onophiko lokunakekelwa okukude utholakala kude kakhulu, uthunyelwa ku-gastroenterology noma ukuhlinzwa.
Ngemuva kokuthi umuntu angenile esibhedlela, kuyadingeka ukuhlola isimo saso. Ukuxilongwa okusheshayo kwe-pathology kwenziwa, kwehluka kwezinye izifo. Bangabheka okulandelayo:
- Ukuhlolwa kwegazi okwenziwe ngezeKlinikhi nangama-biochemical.
- Ukuhlaziywa komchamo kuvamile, futhi nakuma-amylase.
- I-Ultrasound, ECG, MRI.
Amasu wokulashwa okwalandela ahlala engawodwana, ngenxa yemiphumela etholakala ngesikhathi sokuxilongwa. Ngokusekelwe olwazini oluqoqwe, udokotela uqinisekisa noma uphika ukutholakala kokuqala kwe-pancreatitis eyingozi.
Ngokuphikisana nesizinda senqubo yokulimala okukhulu kwamanyikwe, kuthathwa izinyathelo zokuqedela ukuhlinzekwa kwezimo eziphuthumayo, udokotela ohlinzayo unquma ukwelashwa. Uma kunesidingo, ukwelashwa kungalungiswa.
Ukubuyisela ukusebenza kwesitho, odokotela baqondiswa yizimo ezintathu - indlala, ukubanda nokuthula. Isiguli sidinga ukuphumula kombhede, ngaphandle kwemisebenzi yezimoto. Ukudambisa izinhlungu, kufakwa ipayipi lokushisa elibandayo kumanyikwe. Ukulamba i-pancreatitis kusho ukwenqatshwa okuphelele kokudla ngaphansi kokuqashwa kwezokwelapha izinsuku eziningana.
Ngemuva kokuzinza, isiguli sidluliselwa eMnyangweni we-gastroenterology noma ukuhlinzwa. Lapho esekhipha, isiguli sinikezwa izincomo eziningilizayo ngokuqondene nokudla - ukungafaki izitsha ezinosawoti, ezinamafutha kanye nezinongo, kunqatshelwe ngokuphelele ukuphuza utshwala, njll. Njengomthetho, zimnika imemo lapho ukudla okuvunyelwe nokwenqatshelwe kudwetshwayo. Ekhaya, ungaphuza ama-decoctions amakhambi - i-dieelle, ukulandelana, i-meadowsweet, njll, isiza ukusheshisa inqubo yokuphulukisa.
Ungayiphatha kanjani i-pathology ye-pancreas izotshela uchwepheshe kuvidiyo ekulesi sihloko.
