I-pancreatitis esebenzayo iyindlela ehlasela ngayo ngokushesha i-pancreatitis, okuvela kuyo esekelwe ezifweni zohlelo lokugaya ukudla. Lokhu kufaka phakathi isibindi, i-duodenum, isikhumba senyongo kanye nesisu.
Ngamanye amagama, ifomu elisebenzayo liyindida yesinye isifo somgudu wokugaya wesimo esingamahlalakhona, ovame ukuba nenkambo efihlekile, akukho ukubonakaliswa komtholampilo okushiwo.
Umzuzu oyisisekelo wokwelashwa ukuhlonza umthombo wale nkinga, owasebenza njengomfutho ekwakhiweni kwezimpawu ezingezinhle. Ezinganeni, izimpawu zanda ngaso leso sikhathi, okubangelwa izitho zomzimba ezingafakwanga kahle.
Ezigulini ezindala, izimpawu azishiwongo kahle, ngoba kwakhiwa ipheshana esiswini, ngokulandelana, kuthambekele ekuhlaseleni. Izizathu eziphambili - ukusetshenziswa kotshwala, ukungahambisani nokudla.
Izici zesifo
I-pancreatitis esebenzayo, kuyini? Lokhu kusabela okukhethekile kwama-pancreas (ama-pancreas), aphendule ezifweni zokugaya ukudla, ubuthi, ukungahambi kahle, amaphutha okudla, njll. Izici.
Lokhu akuyona i-pathology ezimele, kepha kuwuphawu kuphela. Ngamanye amagama, umzimba ukhombisa ukwephulwa okukhulu. Ebusheni nasebudaleni, lesi sifo ezimweni eziningi sibangelwa amaphutha okunomsoco.
Ukuhlukumezeka kokudla okunosawoti, okubabayo nokunamafutha kunomthelela ekucasheni kwezindonga ezondile zesisu namathumbu. Lapho kunokuphulwa komgudu wokugaya ukudla, isisu siyeka ukusebenza, i-atony iyabukwa.
Ukudla okungafanele kuholele kuma-pathologies anjalo: isifo sikashukela, ukuhluleka kwezinso, i-dystrophy, i-bulimia, i-anorexia. Lezi zifo ngesikhathi sezifundo zazo zithinta ama-pancreas.
I-pancreatitis ye-Iatrogenic esebenzayo ivame ukuvela ngemuva kokuhlinzwa kwe-endoscopic ephepheni le-biliary.
Ezinye izizathu:
- Imikhuba emibi ukubhema nokuphuza utshwala. I-Nicotine iqukethe inani elikhulu lezinto zamakhemikhali ezingena emgudwini wesisu, neqhaza ekubhujisweni kolwelwesi lwama-mucous.
- I-pathology yesisu. Isimo esisebenzayo sesi sifo senzeka ngenxa ye-cholecystitis engapheli, izifo ezithathelanayo, ngemuva kwesizinda sobuthi yizakhi zamakhemikhali, kanye naku-cholelithiasis, i-gastritis, ulcer esiswini, i-pancreatic atherossteosis.
- Ukusetshenziswa kwemithi. Ukusetshenziswa okungenangqondo kwezidakamizwa ezahlukahlukene kusithinta kabi isimo se-mucosa yamathumbu nesisu. Amavithamini, ama-antibiotic, imishanguzo enama-painkillers kanye nemiphumela yokulwa nokuvuvukala kufanele isetshenziswe kuphela ngokuya ngemiyalo.
- Izifo zesibeleko sesisu. I-pancreatitis esebenzayo ivela ngenxa yokulimala okuholela ekuqhekekeni kwezicubu ezithambile. Ezinye izimbangela cirrhosis, hepatitis, njll.
Izici ezicasulayo zokulimala kwe-pancreatic zifaka ukukhathala ngokweqile, ukungezwani kwemizwa, ukucindezelwa, ukukhuluphala ngokweqile, kanye nokuzitika ngokweqile.
Ukubonakaliswa kwemitholampilo
Umtholampilo wenqubo ye-pathological ukhula kungakapheli amahora amabili ngemuva kokuchayeka kwinto ethile engaqondakali. Ukubonakaliswa kwemitholampilo kunezela kuzimpawu ezibangela isifo esingaphansi nezimpawu zokulimala kwe-pancreatic.
Isiguli sikhononda ngobuhlungu obukhulu. Indawo yendawo yendawo yisisu esingaphezulu ne-hypochondrium. Ubuhlungu bunikezwa emuva namahlombe ehlombe, kubi kakhulu ngemuva kokudla. Ubuhlungu obhekene nokuthathwa kokuthamba abuqedi njengokweqile kwe-prostatitis engamahlalakhona.
Uma izinkomba zokuthi i-pancreatitis esebenzayo ibonwa, ukwelashwa kufanele kuqalwe ngokushesha. Ukuntuleka kokwelashwa okufika ngesikhathi kuholela ezinkingeni ezahlukahlukene.
Izimpawu:
- Ukuqhakaza.
- Burging.
- Ukushaya kwenhliziyo
- Isicanucanu, ukuhlanza nge-mucus ne-bile.
Ngenxa yokuthi ukuphinda okuphindaphindiwe kukhulisa ingcindezi ngaphakathi kwe-peritoneum ne-ducts, izinhlungu ngemuva kokuqina.
Uma ungasizi ekuqaleni kokuqala kokusebenza kwe-pathology, isimo sesiguli siba sibi kakhulu ngenxa yokuqina kwama-enzyme ohlelweni lokujikeleza kwegazi. Ukufakwa emzimbeni kuyabonakala, umbuso wokushisa womzimba uyenyuka. Ukuqina kwesikhumba, ukujuluka okuthe xaxa, i-tachycardia, kanye nokwehla komfutho wegazi kuyaphawulwa.
Iziguli ezinenkinga enzima yalesi sifo zidinga ukulashwa ngokuphuthumayo emnyangweni we-gastroenterology.
Ukuxilongwa kwe-pancreatitis esebenzayo
Izimpawu nokwelashwa kubantu abadala zixhunyiwe ngokuqinile, ngakho-ke ukuxilongwa okufanele kufanele kwenziwe kuqala. Kulokhu, kwenziwa izifundo ze-biochemical and clinical: ukuhlolwa kwegazi okujwayelekile, umchamo, ukuzimisela kokuqina kwegazi.
Qiniseka ukuthi unquma izinga lama-enzyme e-pancreatic kuketshezi lwezinto eziphilayo - umchamo negazi. Hlola amaprotheni ephelele. Njengomthetho, isiguli sinokuhlushwa okuningi kwe-amylase, trypsin inhibitors ngokumelene nesizinda samazinga we-lipase ajwayelekile kanye ne-trypsin.
Ukuthuthukiswa kokuhlaselwa okusheshayo kukhonjiswa ngumlando wezifo ezingamahlalakhona ezivama ukwanda. Ngenqubo yokuhlolwa ngokomzimba, isibonakaliso esingaqondile yisihlakalo se-tachycardia, ukwehla kwengcindezi, i-pallor ye-mucous membranes nesikhumba.
Ekwempwabeni, isiguli sizwa izinhlungu esiswini esiphezulu. Kukhona izinhlungu ekhoneni le-vertebral ekhoneni kwesobunxele. Isisu siyachaphazeleka, kepha sithambile. Izimpawu zokucasuka kwe-peritoneal zinhle.
Ukuxilongwa kwe-pancreatic pathologies kususelwa ekwandeni noma ekuncipheni kwe-echo yezimpawu. I-Echogenicity inyuka ngokunyuka kwesibalo se-pancreatic noma ngokufakwa esikhundleni kwezicubu ezinempilo noma ze-adipose. Lapho isakhiwo se-echo sishintsha, bakhuluma ngokubhebhetheka kwe-pancreatitis.
Ezinye izivivinyo zokuxilonga:
- Ukuhlolwa kwe-Ultrasound kwezitho zesisu kuyindlela yokufundisa yokuxilonga. Isiza ukususa amatshe ku-bile duct, ukuvuvukala kanye nokwanda kwamanyikwe.
- I-CT, i-radiography isiza ukucacisa imininingwane yokuhlolwa, ukubona ngamehlo okugxila kwe-pathological.
- I-Endoscopic RCHP yenziwa kuphela ngokuya ngezinkomba eziqinile. Isibonelo, ukuthikamezwa kwe-bile duct ejwayelekile nge-calculus kufakazelwe. Ngaphandle kwalokho, i-MRI ngenye indlela. Ukukhwabanisa kunomthelela ekubonweni kwe-calculi, kukuvumela ukuthi unqume indawo yabo nosayizi.
Isilinganiso sokuxilonga okwedlulele i-laparoscopy. Kwenziwa ngeziqephu ezinzima ezisebenzayo, lapho kunobunzima bokuxilonga.
Ukwelashwa ngezidakamizwa
I-International Classization of Diseases (ICD) ichaza i-pancreatitis engapheli ngaphansi kwekhodi eyishumi. Imikhakha emibili ingatholakala kuyo: K86.0 - i-pathogenesis yotshwala yokuqalwa kwalesi sifo, ikhodi K86.1 izosho ezinye izizathu.
Kwabesifazane nabesilisa, lokhu kuhlaselwa kuqala ngokushesha okukhulu. Abantu bayesaba futhi balimele, ngakho-ke awudingi ukuyeka izinhlungu ngokwakho, kunconywa ukubiza iqembu lodokotela.
Inhloso yokwelapha ukuyeka ukuvuvukala futhi kwehlise ukuqina kwezinqubo zokuvuvukala zesitho sangaphakathi. Kuyadingeka ukususa ukudakwa, ubuyisele ukucashile okujwayelekile ujusi we-pancreatic. I-pancreatitis esebenzayo ayikwazi ukwelashwa uma isifo esisisekelo singasuswa, ngakho-ke sinakwa ngokukhethekile.
Esikhathini esibi se-pathology, ukuzila ukudla kuyadingeka, okuthatha izinsuku ezingama-1-2. Ngalesi sikhathi, kuvunyelwe ukuphuza kuphela amanzi ajwayelekile. Ungasebenzisa amakhambi abantu, ikakhulukazi, ama-decoctions kanye ne-infusions okusekelwe kumakhambi alwa nokuvuvukala.
Uma inkambo ilula, bangahle bangancomi ukubulawa yindlala ngenxa yenyanza. Njengomthetho, ukudla okunotha i-carbohydrate kuyabekwa, kepha kukhawulela ukungena kwamafutha namaprotheni amaningi. Inhloso yokudla ukunciphisa umthwalo kumanyikwe.
Kwezinye izithombe zomtholampilo, kuyahlinzwa. Isibonelo, uma inqubo yokuvuvukala iholele ekwakhekeni kwe-cyst yamanga.
Yabela ukuthatha izidakamizwa:
- Ama-Enzymes wokugaya - iPanzinorm.
- Imithi yeCarminative - i-Espumisan.
- Ama-antispasmodics - Cha-shpa.
- Ama-anesthetics - i-Diclofenac.
Ukwelashwa kwe-antibacterial kwenziwa ezimweni ezinzima zesifo. Imithi elwa namagciwane isebenza ngempumelelo ifaka i-Ampiox, Gentamicin.
Ngokuphikisana nesizinda senkambo engenakuphikiswa ye-pancreatitis, i-prognosis iyathandeka. Ngokuya ngokwelashwa okufika ngesikhathi, zonke izimpawu zisheshe ziphume. Ukuvimbela kuqukethe ukwelashwa kwezifo ezikhona, ekuboneni imigomo yokudla okunempilo, ukuyeka utshwala nokubhema.
Izimbangela, amafomu kanye nokwelashwa kwe-pancreatitis kuchazwe kuvidiyo kule ndatshana.
