I-pancreatitis yotshwala ibonakala iyindlela eyinkimbinkimbi yenqubo yokuvuvukala kumanyikwe, ikhula njengomphumela wokuncika kakhulu kotshwala noma ukusetshenziswa kotshwala noma iziphuzo kanye nokudla okunamafutha.
Ukubonakaliswa komtholampilo okujwayelekile: i-herpes zoster esiswini engenhla, isicanucanu, ukuhlanza okuphindaphindiwe, ukuphazamiseka komgudu wokugaya ukudla, uhudo, ukwanda kokushisa komzimba.
Ukuxilongwa kwenziwa ngesisekelo sokuhlolwa kwesiguli. Qinisekisa ukucacisa ukuqoqwa kwama-enzymes e-pancreatic, iskena se-ultrasound, i-compact tomography noma i-MRI.
Ukwelashwa kwe-pancreatitis yotshwala kuyinqubo eyinkimbinkimbi futhi ende. Isici esiyisihluthulelo somphumela omuhle ukungabandakanywa ngokuphelele kweziphuzo ezidakayo ekudleni.
Umshini wokuthuthukisa i-pancreatitis yotshwala
I-International Classization of Diseases (ICD) ikhomba lolu hlobo lwalesi sifo njenge-ubiquitous. I-Etiopathogenesis isuselwe ekulimaleni okunobuthi kumaseli we-pancreatic.
I-pancreatitis yemvelaphi yotshwala ibhekwa njengesifo esivame ukuqubuka kotshwala obungamahlalakhona. I-Ethanol nokuphuma kwayo kuthinta kabi izicubu zesitho sangaphakathi, okuholela ekusebenzeni okhubazekile.
Ukuthuthukiswa kwalesi sifo kwenzeka ngokuya ngalesi simo:
- Emfihlo yezitho zangaphakathi ngaphansi kwethonya lezinto ezinobuthi, amaprotheni aqala ukukhiqizwa ngenkuthalo.
- Esigodini esiswini, i-hydrochloric acid iyanda.
- Esibindi, ukukhiqizwa kwe-bile kuyanda, ngokulandelana, ukuqina kwayo kuyanda.
- Kwi-duodenum, ngenxa yokuqukethwe kwe-asidi ephezulu esiswini, ukukhiqizwa ngokweqile kwama-hormone afana ne-cholecystokine ne-pancreasim kuyabonakala. Izinga labo likhuphuka okuphindwe kayishumi.
- Ngenxa yokuqukethwe okuphezulu kwezakhi zamaprotheni, ukuhlangana kwabo ngezindlela ezinkulu kwembulwa, njengomphumela, amaprotheni agcinwa ngaphezulu kwangaphakathi kwamapayipini e-pancreatic, okuholela ekwakhekeni kwamaprotheni amaprotheni.
- Leli cimbi lidala ukwephulwa kokuphuma kwezinkampani ezifihliwe ku-pancreas.
- Ngenxa yamaprotheni ama-protein, kuphakama ingcindezi ye-intraductal, okuholela ekungeneni kwezinto ze-enzyme emiphungeni.
Izakhi ze-enzyme ezikhiqizwa ngumzimba zikwisimo esisebusweni. Kepha inqubo yokugaya ejwayelekile yokudla, "bavuka", basize ukudiliza amaprotheni, amafutha kanye ne-carbohydrate.
Lapho kunokwephulwa kokuphuma kwe-enzyme, ayenziwa kuqhutshekwe emigqonyeni, kodwa ngaphakathi kwesitho uqobo, okuholela ekungeneni kwamandla, izicubu ze-pancreatic ziyagaywa.
Ngaphakathi kwesitho, izinqubo ze-necrotic ziyabhekwa, izindinyana ezinemithambo zinciphile, ukuvuvukala kuyavela.
Izinhlobo nezimpawu
I-pancreatitis e-alcoholic eyingozi kakhulu uhlobo lwesifo eseluphuza ngenxa yokuphuza utshwala isikhathi esisodwa. Ikakhulu uma isithombe siqhubeka ngemuva kwesizinda sokusetshenziswa kwamafutha okunesikhathi esisodwa nokubhema.
Lolu hlobo lokugula luyingozi hhayi empilweni yabantu kuphela, kepha nasempilweni yakhe, futhi lungaholela ekufeni uma kungekho usizo olwanele. Ngokuvamile kutholakala emadodeni esemncane.
I-pancreatitis engadakwa engalapheki iba njengesifo esizimele noma ngenxa yenqubo enkulu enganakwa. Ukugula kubangelwa ukusetshenziswa njalo kotshwala, ngamanye amazwi, ukudakwa. Akukhathalekile ukuthi bungakanani utshwala obungena emzimbeni.
Izimpawu ze-pancreatitis emadodeni anotshwala zanda kancane kancane, ngenkathi kunezinqubo zokuvaleka kweziqubu zezindlala ze-gland. Isibonakaliso esiyinhloko senqubo ye-pathological Ubuhlungu. Itholakala esifundeni esimaphakathi sesisu. Isikhathi sobuhlungu siyehluka kusuka emahoreni ambalwa kuya kwezinsuku ezimbalwa. Uma umlutha wotshwala enesimo esibi sesi sifo, khona-ke ngemuva kokudla isibonakaliso sikhula kaningi.
Lapho sesibubonile ubuthi besifo, kanye nomthelela wotshwala esiswini, sibheka izimpawu zesifo:
- Ukuqhakaza, ukulahlekelwa yinhliziyo, isicanucanu, ukuhlanza, okuvama ukuqina ngemuva kokudla ukudla noma utshwala.
- Ubuhlungu be-herpes zoster. Ngemuva kokudla, kuqala ukulimala ngaphezulu; ubuhlungu bungasuswa kuphela ngezidakamizwa eziqinile. Ngokuxolelwa okungapheli, lolu phawu luyamangala. Ukuhlaselwa okwandisayo kuvame ukwenzeka kanye ezinyangeni ezi-6 kuya kwezi-12.
- Ukwehla okusheshayo kwesisindo somzimba, ngokusekelwe ekuphazamisweni kwephephabhuku lesisu, ukunciphisa ukungena kokudla.
- Ukuguqulwa kwesitulo. Iziguli zivame ukuvakashela indlu yangasese, indle iba uketshezi, kukhona i-sheen enamafutha.
- Kwezinye izimo, isithombe sihambisana nobuthakathaka, ubomvu besikhumba.
Ngokusetshenziselwa ukubonakaliswa kwemitholampilo, udokotela wenza ukuxilongwa kokuqala, anqume ukwelashwa kwalesi sifo.
Uma kungekho ukwelashwa okwanele, izinqubo zokuvuvukala zihamba ziye kwezicubu ezizungeze amanyikwe.
Ukwelashwa kokuvuvukala kwe-pancreatic
Uhlobo olubi lwe-pancreatitis oludakayo ludinga ukwenqatshwa kokudla kungakapheli izinsuku ezingama-1-4. Ukuphumula nokungavimbi ekudleni kuvumela umzimba othintekayo, othathe ukushaywa kobuthi obuningi, uphumule.
Njengoba i-pathogenesis yalesi sifo ingenxa yokuchayeka ezintweni ezinobuthi, kwenqatshelwe ngokuphelele ukusebenzisa iziphuzo ezidakayo ngesikhathi sokwelashwa. Akunconywa ukubhema ngesikhathi sokwelashwa.
Incazelo yemigomo yokwelashwa okwelaphayo:
- Ukungathathi hlangothi kanye nokuqedwa kwezakhi ezinobuthi emzimbeni ezivela ngenxa yokudakwa kotshwala.
- Ukubuyisela ukusebenza kwesitho sangaphakathi (ukususa i-edema, ukukala inqubo yokuvuvukala, ixazulula ubukhulu be-ducts, kwenziwe ngcono ukuphuma kwe-pancreatic secretion, njll).
- Ukubuyisela ukusebenza kwezinye izitho zokugaya eziye zahlupheka ngenxa yemiphumela emibi yezinto ezinobuthi.
- Ukunciphisa usizi lobuhlungu.
Kunconywa ukudla okuyisipesheli, okusho ukusetshenziswa kokudla okuvunyelwe ngokuhambisana nokudla kwe-5 pancreatic. Iziguli zabantu abadala zinqunywa yimithi ye-enzyme njengomuthi wokulashwa okubuyiselwa endaweni; ama-antiemetic kanye nama-painkiller. Ngesikhathi sokwelashwa, udinga ukulawula ukugcwala kwe-glucose emzimbeni, uma kunesidingo, shintsha usebenzisa izidakamizwa.
Iziguli zibekelwe ukuthatha i-pancreatin, umuthi okhuthaza ukwenziwa kwejusi le-pancreatic. Inama-enzyme - i-lipase, i-proteinase, i-amylase, ephula ukudla.
Ukwelashwa okuhlukile ekhaya ngeke kusize ngokuhlaselwa okwanda. Emaforamu anezingqikithi, odokotela baphawula ukuthi ukuzelapha kungaholela ezinkingeni ezinkulu kuze kube sekufeni. Ukuphela kwento ongayenza ekhaya ukusebenzisa ibanda lokushisa elibandayo esiswini sakho ukudambisa izinhlungu.
Ukuhlinzwa kugxile ukuvula i-abscess kanye ne-cyst, ukususa ingxenye yesitho sangaphakathi, kanye nokuvala i-fistulous ndima.
Ukuhlinzwa kushiwo futhi ezimweni lapho kukhona khona izinkinga zepancreatitis.
Izinkinga kanye nokuqagela, ukuvikela
Imiphumela emibi ejwayelekile ye-pancreatitis yotshwala ibandakanya ukuvela kwe-jaundice ethambisayo, ukwakheka kwezindinyana ezinamaphutha, kanye nokwenziwa kwama-cysts. Ngokuphikisana nesizinda se-jaundice, ubuthi obunzima bomzimba nge-bile buqaphelekile, okuholela ekushintsheni kombala wesikhumba - baphenduka ophuzi.
Umphumela oyingozi ngokulinganayo ukuqala kwesifo sikashukela, isifo esingamahlalakhona esihambisana neglucose ephezulu yegazi. Lesi sifo sibuye siholele kwezinye, izinkinga ezingeqi kangako.
Ukuqashelwa yisifo esingalapheki akukuhle. Ekuhlaselweni okukhulu, i-prognosis ixhomeke ekujuleni kwenkambo ye-pathology, ukubonakaliswa komtholampilo, kanye nesikhathi sokunakekelwa kwezokwelashwa. Ngokuvamile kutholakala ukuthi kune-pancreatic necrosis, okuholela ekufeni kwesiguli.
Izincomo zokuvimbela:
- Ukwenqaba utshwala, ukubhema.
- Ukudla okufanele nokulinganiselayo.
- Ukuvakasha kwe-prophylactic ku-gastroenterologist.
Ukusetshenziswa kotshwala ngokuzayo kuholela eqinisweni lokuthi esikhathini esizayo esiseduze izifo ezinjengamathumbu amlimazayo, i-cirrhosis yesibindi, i-cholecystitis, i-gastroduodenitis ivela ekhadini lomlando wezokwelapha lesiguli. Ngakho-ke, ukuhambelana kotshwala ne-pancreatitis kuyinto zero.
Imiphumela yotshwala kuma-pancreas ichazwe kuvidiyo kule ndatshana.
