Ngemuva kwenqubo ende yokuvuvukala ethinta i-pancreas, odokotela baxilonga izinkinga zepancreatitis e-acute. Izinguquko aziguquki, okuholela ekwakhiweni kwe-necrotic phenomena.
Izinkinga zangaphambi kwesikhathi zibangelwa imbangela: kukhona ukuphuma kwezinto ezinobuthi ezakhiwa ngenxa yokuqhekeka kwezicubu ezithambile zesitho sangaphakathi. Esontweni lesibili, uma kungekho kwelashwa okufanele, kuvela imiphumela emibi sekwephuzile. Zihambisana nokusabalala kwezifo zesibili.
Ngendlela engapheli yenkambo yesifo, isibindi ne-bile ducts ziyahlupheka. Ukubhujiswa kwe-pancreatic kuvusa ukwakheka kwama-cysts, i-fibrosis, futhi kungaholela kumdlavuza. Izinguquko ekungavikelekeni kwendawo zifaka isandla ekuqaleni kwenqubo yokuvuvukala.
Ngohlobo lwesidakwa sesifo, ngokumelene nesizinda semiphumela enobuthi, i-pancreatic necrosis iba khona manjalo. Uma ukwelashwa okufika ngesikhathi kungaqaliwe, lesi sifo siyoholela ekukhubazekeni noma ekufeni.
Izinhlobo zezinkinga
Kunezinkinga eziningi ezibangelwa ukuhlaselwa yi-pancreatitis. Ukuze kwenziwe lula kwezokwelapha, ukwahlukaniswa kwehlukanisa izinhlobo ezimbili eziyinhloko: imiphumela yangemuva kwesikhathi neyokuqala ebangelwa yilesi sifo.
I-post-necrotic syndrome, izinkinga zokuhlanza i-pancreatitis esibuhlungu, imiphumela ye-pleuro-pulmonary imbi kakhulu.
Izimo zangemva kwe-necrotic zokuhlasela okusebenzayo zihlukaniswe ngesimo sokushaqeka kanye nokwehluleka kwezinso nokuqina kwesibindi.
Ukukhishwa okukhulu kwama-enzymes okweqile nezinto ezinobuthi egazini kuholela ekwakhiweni kwezinkinga zokuqala:
- Ukwehluleka kwenhliziyo.
- Izinguquko ezingaphenduki emaphashini.
- Ukopha emathunjini, esiswini.
- I-Peritonitis
- Jaundice
- Ukuphazamiseka kwengqondo
- Umthambo wegazi we-thrombosis.
- Ukuvuvukala kolwelwesi lwe-serous.
Ngokuhluleka kwe-hepatic-renal, isibindi sanda kakhulu, akukho ukuchama (kukhona ukuqunjelwa), noma, ngakolunye uhlangothi, kukhona ukwanda kwamandla adonsa umchamo ngosuku. Amapharamitha we-arterial ayakhula, isikhumba nolwelwesi lwama-mucous lube loma.
Ku-50% yeziguli, imiphumela yokuhlaselwa okuqhamukayo kwenzeka ngendlela ye-peritonitis yefomu le-serous noma le-purulent.
Ukuhlasela kwe-pancreatitis e-acute kanye nemiphumela
Ekuhlaselweni okukhulu, i-peritonitis iyavela, okuyinto aseptic emvelweni. Lokhu kuyinkinga enkulu, ehambisana nomphumela onamandla wokuqina esibelethweni sesisu.
Ngenxa yokudakwa, umsebenzi wezinso nesibindi ukhubazekile. Izinkinga ezinkulu ngokusebenza kwamapheshana emathunjini, ukuthuthukiswa kwezinso ezinobuthi, kanye ne-pulmonary edema kungenzeka.
Izinkinga ezifika ngemuva kwesikhathi ziba khona ngemuva kwesikhathi sokuzinza kwesiguli. Imvamisa ngemuva kwezinsuku ezingama-20-25 ukusuka ekuqaleni kwe-pathology. Ngokuvamile, kutholakala imiphumela ehlanzekile. Okubi kunabo ubuthi begazi.
Izinkinga zasemuva kwesikhathi:
- I-Absout esiswini.
- I-Parapancreatic syndrome.
- I-Hyperhidrosis.
- I-pancreatic necrosis.
- I-Pilephlebitis (inqubo yokuvuvukala yomthambo we-portal).
- Ama-pseudocysts noma ama-cysts.
Imiphumela emibi ifaka phakathi i-tumor neoplasms, i-lymphadenitis (kwenzeka ngenxa yokudakwa komzimba), ukuhlaselwa kokwethuka (ngenxa yemiphumela emibi yezinto ezinobuthi), ukuhluleka kwezitho eziningi zangaphakathi.
Uma izicubu ze-pancreatic izicucu, ngenkathi ama-cysts akha, lo mkhuba ubalwa njengesimo esisongela impilo. Ukwelashwa kokuhlinzwa kuyadingeka. I-prognosis iyathandeka kuphela ngokwelashwa okufika ngesikhathi.
Ukopha okuvubuzayo kuvame ukwenzeka - isimo se-pathological esidalwa ukuqhekeka komthambo wegazi ekugxiliseni kokuvuvukala.
Imiphumela yokugula okungalapheki
Imiphumela yesifo esingelapheki ifaka phakathi ukuphazamiseka kwezitho zangaphakathi, ezihambisana nokusebenza kwamanyikwe. Imvamisa, isibindi ne-bile ducts kuyathinteka.
Isiguli sitholakala ngohlobo olusebenzayo lwe-hepatitis, cholestasis, cholecystitis - isifo esidambisayo se-bile ducts, i-purulent cholangitis.
Ukwakheka kwama-cysts kungenxa yobunzima ekuphumeni kwejusi le-pancreatic ngemicu ngaphakathi kwesitho. Kunezinhlobo eziningi ze-neoplasms - eziyiqiniso nezamanga. Cishe i-80% yezithombe zemitholampilo, kutholakala i-cyst yamanga.
Ucwaningo oluningi luye lwabonisa ukuthi i-pancreatitis ibhekisela ezifweni ezibangela umdlavuza. Ikakhulu, umdlavuza we-pancreatic.
Ezinye izinkinga zihlukaniswa:
- Thayipha isifo sikashukela sokuqala. Ubungozi bokuthuthuka bukhulu uma isiguli sine-pancreatitis yotshwala.
- I-Iron defence anemia.
- GERD.
Kwabesilisa nabesifazane abadala, lesi sifo singavusa umfutho wegazi we-portal, okuholela ekwakhekeni kwe-exudate emgodini wesisu. Ngaphezu kwalokho, imithambo ye-varicose yomgudu wokugaya ukudla iyakhiwa, okuvame ukubonakaliswa ukopha okukhulu.
Ukuze uqaphele izinkinga ngesikhathi, kubalulekile ukubheka izinga lokushisa lomzimba, ingcindezi, ukushaya ngamandla, ukuphefumula kweziguli.
Izindlela zokwelapha
Izinkinga ze-pancreatitis engapheli kanye nokwanda kwayo kuphathwa ngaphansi kwezimo zokuma. Ngokusekelwe ezindlekweni zokuxilonga kanye nokuhlolwa kwelebhu, udokotela uncoma uhlobo lokwelashwa oluphelele. Ihlala ihluke, njengoba kuya ngemiphumela ethile yesifo.
Nikeza ukwelashwa kokungena - indlela yokwelapha, efaka isingeniso se-melee yezisombululo ezivimbela ukulahleka komzimba emzimbeni. Qinisekisa ukunquma ukuzila ukudla, izidakamizwa ezilwa ne-antibacterial kanye nezinye izidakamizwa. Imvamisa, kusetshenziswa imfucuza ebanzi yezicubu ezinegciwane.
Ngemuva kwale nqubo yemishini, kuvela i-fistula eyenza ukwelashwa kube nzima. Ngokuyinhloko, okuthandwa kunikezwa emithini. I-Pharmacology iveza izinhlobo eziningi zemithi yokwelashwa.
Uma ekuqaleni kwesigaba sokuqala kukhona ukulahleka okukhulu kwejusi le-pancreatic, lokhu akusona isibonakaliso sokuhlinzwa. Ukuntuleka kwe-pancreatic, okubangelwa i-fistula, kungakhokhelwa ngamathebulethi. Ezimweni eziningi, i-fistula iziphilisa ngokwayo. Uma ixhumeka emthanjeni noma emihubeni, inqubo yokuvuselela incishiswa kakhulu.
I-Octreotide ingahle ibekelwe ukwelapha i-fistulas. Umthamo wansuku zonke: i-100 mcg ngokuzithoba kathathu ngosuku, isikhathi sokwelashwa siyizinsuku ezinhlanu. Umuthi ucindezela umsebenzi we-trypsin, unomphumela we-antispasmodic, futhi uvimbela ukudakwa okujwayelekile.
Ukuhlinzwa kukhonjiselwe izehlakalo ezinjengokuthi:
- Ukuba khona kokopha emgodini we-cyst.
- I-hemorrhagic noma ifomu le-purulent le-pleurisy.
- I-peritonitis echithekile.
- Ukwehla kwama-cysts emgodini wesisu.
- Ukugqabhuka nokuncenga.
Esikhathini se-postoperative, ukwelashwa ngama-antibiotic (ngokwesibonelo, iFurazolidone) kwenziwa, kudingeka ukudla okuyisipesheli. Nquma ama-painkillers, anikezwa kuze kube ka-5 ngosuku.
Ukuvimbela izinkinga zepancreatitis
Imigomo yokuvimbela ifaka ukukhishwa kweziphuzo ezidakayo ekudleni, ukuyeka ukubhema, ukudla okulinganiselayo kanye nendlela yokuphila enempilo. Kulimala kabi i-gland ngotshwala, ikakhulukazi ukusetshenziswa kaningi nemithamo emikhulu. Nge-pancreatitis, kuyenqatshelwe ngokuphelele ukuphuza. Uma lokhu kungenzeki, yehlisa ukusetshenziswa okuyi-1 ngenyanga.
Ukudla okunempilo kuyisihluthulelo sempilo ende. Iziguli kufanele zilandele ngokuqinile ekudleni, zingafaki umthwalo emzimbeni ngokudla okusindayo. Kuyadingeka ukulahla okunamafutha nosawoti, ungafaki zonke izitsha ezi-spicy. Kufanele ulahle imikhiqizo yokudla efaka ama-carcinogens - amagciwane, udayi, ukunambitheka, njll.
Uma kwenzeka isifo esingelapheki ngenhloso yokufaka esikhundleni, kunconyelwa ukuthatha umuthi iPancreatin. Umthamo wehluka kusuka kumayunithi angama-16,000 kuya kwangama-32,000 ngosuku (kuze kufike kumathebulethi ama-4) ngokudla. Umthamo omkhulu wansuku zonke ngamatafula ayi-18.
Ungamisa izinhlungu kumanyikwe usebenzisa izindlela ezingekho emthethweni. Iziguli eziningi zincoma ukuthatha i-decoction noma ukumnika ngokusekwe kwisitshalo eshonile (kuphela ngesivumelwano nodokotela).
Yiziphi izinkinga ezingenza ukuthi ochwepheshe be-pancreatitis basho kule vidiyo ekulesi sihloko.
