Isibonakaliso sikaVoskresensky ku-pancreatitis kanye nezinye izinkomba zomtholampilo ziyizimpawu ezibaluleke kakhulu zalesi sifo. I-pancreatitis yisifo sokuvuvukala kanye ne-dystrophic yezicubu ze-pancreatic.
I-Pathology ibonakala ngenkambo engapheli futhi ethuthuka ngokushesha. Ukuntuleka kokwelashwa okudingekayo kwezidakamizwa kuholela ekungasebenzi kahle kwe-pancreatic, okungukuthi, isitho siyayeka ukusebenza.
Kunezimbangela eziningi ze-pathology. Lokhu kufaka phakathi ukusetshenziswa kabi kotshwala iminyaka emi-3 ukuya kwengama-10, ezinye izifo zohlelo lwe-biliary (imvamisa kubantu besifazane), ukungondleki ngokuqukethwe okuphansi kwezinto ezinamaphrotheni namafutha, ukuzalwa kwengozi.
Imvamisa iziguli zikhononda ngemizwa ebuhlungu yokuthola kwasendaweni okuhlukahlukene. Ngokuphikisana nesizinda sokuqhakaza, i-pain syndrome ikhulu, ayinikezi isiguli ukuphumula, yenziwa endaweni esiswini engenhla, ibenyezela emuva. Inkambo engapheli, ubuhlungu abukhulunywa.
Izimpawu zeVoskresensky
Isimpawu somlobi weVoskresensky sinelinye igama - ukubonakaliswa komtholampilo kokuqina kwamanga. I-etiology yentuthuko yayo ibangelwa ukuvuvukala kokuphazanyiswa kwesikhala sasemuva kwe-retroperitoneal.
Eselangeni, uchwepheshe azizwa edonsela phansi kwesisu i-aorta endaweni yokunqamula yaleli gazi nge-pancreas. Imvamisa, ama-pulsation kufanele abonwe amasentimitha amahlanu ngaphezulu kwenkaba namasentimitha amane ngakwesobunxele lwe-axis yawo.
Lesi sithombe somtholampilo sisuselwa ekutheni i-edema yangaphakathi yesitho yanda kakhulu ngosayizi, ngaleyo ndlela ivimba umkhumbi omkhulu.
Ungazizwa ukhubazeka ngokwakho. Ukuze wenze lokhu, isiguli silala emhlane wakhe, sivuse iminwe yakhe, njengoba kuchaziwe ngenhla. Uma yonke into ihlelekile, khona-ke uzizwa edonsa, enefomu elinamandla le-pancreatitis alikho.
Akunakwenzeka ukuthembela ngokuphelele kulesi sibonakaliso somtholampilo. Kwezinye izimo, lesi sibonakaliso sikhombisa ezinye izimo ze-pathological:
- Ama-tumor tumors ama-pancreas.
- Ukwanda ngosayizi wama-lymph node.
- Ukwakheka kaphethiloli.
Izimpawu ngokusho kwababhali, ikakhulukazi, ngokusho kweVoskresensky, zingahle zinganikeli umbono wesithombe somtholampilo ezigulini ezikhuluphele. Ukuxilongwa okuyikho kwenziwa ngemuva kokuhlolwa kwezihlinzeko nokwenziwa elebhu, ukuhlolwa ngokomzimba akwanele.
Uma i-appendicitis eyingozi isolwa, lolu phawu lubonakala kakhulu. Noma kunjalo, ukuqinisekiswa kwenzeka kusetshenziswa enye indlela. Ezenzweni zokwelapha, isibonakaliso sinegama elihlukile - uphawu lwehembe. Esiphundweni, ihembe lesiguli, elisesemuva, lehliselwa phansi bese lidonswa emzimbeni, futhi ngokunyakaza okulele kwezimbambo zezandla kuthwalwa kanye nesisu kusiyilo kusuka phezulu kuya phansi. Lesi senzo siphindwa kusuka ezinhlangothini ezimbili. Ngo-apendicitis oyingozi, isiguli sinobuhlungu esifundeni esifanele i-iliac.
Lokhu kuvezwa kubangelwa ukucasuka kwe-peritoneum, okuvela ngenxa yezinqubo zokuvuvukala ku-appendix.
Izimpawu Zombhali
Ngokwekhodi ye-ICD-10, i-pancreatitis iyathathelana futhi i-acute, inezinkinga ze-purother, subacute, hemorrhagic. I-K86.0 isho isifo esingalapheki se-etiology yotshwala, K86.1 - ezinye izinhlobo zezifo zefomu elingamahlalakhona.
Kunezimpawu ezintathu kuphela zakudala zokulwa nokugula okuqisayo - lezi zinhlungu
imizwa, ukwanda kwegesi, ukuhlanza. Lona ngunxantathu weMondor ku-pancreatitis.
Isimpawu sikaMayo Robson se-pancreatitis sinqunywa yimizwa ebuhlungu esakhiweni sokuqagela kwamanyikwe. Lolu uhlangothi lwesobunxele lwe-node ye-rib-vertebral node. Lolu phawu lubonwa ku-45% wezithombe zemitholampilo. Isibonakaliso sinqunywa ngokuchofoza kancane kuleli phuzu. Uma kunokwanda kobuhlungu, lokhu kukhombisa ukuvuvukala kwesitho sangaphakathi.
Izimpawu ze-pancreatitis eyingozi ngababhali:
- Isibonakaliso seKerth. Isibonakaliso esiyinhloko Ubuhlungu ngesikhathi se-palpation endaweni, ebekwe ngaphezu kwenkaba amasentimitha amahlanu ukusuka kulayini wesikhungo. Ngokuvamile kutholakala ku-65% wawo wonke amacala okuwohloka komzimba. Ngaphezu kwalokho, isibonakaliso salo mbhali sihle lapho sibona ukungezwani kwezicubu zemisipha endaweni ye-epigastric.
- Isibonakaliso sikaKach sichazwa njengobuhlungu obukhulu lapho bezama ukufaka indawo esizeni lapho kuqagela khona umsila wamanyikwe. Indawo yephoyinti yisifunda senqubo yokudlula kwe-vertebra yesi-8. Ezimweni eziningi, isibonakaliso sihle ngokuchasene nesizinda sesifundo sefomu lesifo esingamahlalakhona. Kweminye imidwebo, ibonwa ngendlela yokucwaswa okukhulu kwesikhumba kule ndawo.
- Isibonakaliso seRazdolsky sitholakala ngasesimweni esibi sesifo. Kubonakala ngobuhlungu obukhali, obukhula ngesikhathi sokuqina kwesikhumba endaweni yokuqagela kwesitho sangaphakathi. Kususelwa kwinqubo yokuvuvukala ku-peritoneum.
Izimpawu uChukhrienko zitholakele kuma-38% emidwebo. Kuqukethe phambi kobuhlungu ngesikhathi sokunyakaza okungaxinekile kodonga lwesisu ngebhulashi ekuqondeni kusuka phansi kuya phezulu.
Izimpawu ezengeziwe
Ngaphezu kwalokhu okungenhla, kungenzeka ukugqamisa ezinye izinkomba ezithile ezinamagama odokotela. Kutholakala uphawu lukaMondor enkambeni enkulu yalesi sifo. Kungenxa yokushintsha kwesikhumba sesiguli. Kuvela amabala emzimbeni wesiguli. I-etiology isuselwa ekungeneni kobuthi obukhiqizwa yindlala.
Isibonakaliso sikaGrott. Lesi sibonakaliso sivezwa wubuhlungu ezindaweni ezithile, ngasinye sinegama laso, kuvela ukuthi siqinisekisa ukuba khona kwenqubo yokuvuvukala engxenyeni ethile yesitho sangaphakathi.
Isibonakaliso se-Desjardins sidalwa yizinhlungu endaweni, ebekwe amasentimitha amane ngaphezulu kwenkaba eceleni komugqa oxhumeka ku-armpit ohlangothini lwesokunene. Ngendlela ebabazekayo yalesi sifo, kutholakala ukuthi angu-70% amacala.
Izimpawu zokubonisa ukuthi i-pancreatitis eyingozi ikhula kungazelelwe. Imvamisa, inqubo yokuvuvukala iyacasulwa ngenxa yokudla kwamafutha nokudla okusindayo, utshwala nokubhema. Ngaphansi kwethonya lalezo zinto, isiguli sinokuboniswa komtholampilo okulandelayo:
- Ubuhlungu obukhulu obukhulu esifundeni se-epigastric.
- Ukwanda kokushisa komzimba.
- Ukuqondisisa kwesikhumba (hhayi kuzo zonke izimo).
- Ukuhlaselwa isicanucanu, ukugabha.
- Isisu sikhuphuka ngevolumu.
- Indlela yokugaya iyaphazamiseka.
Imvamisa kunezimpawu zesimo sokushaqeka. Lokhu kufaka phakathi ukubulawa ngamandla, umfutho wegazi ophansi, i-tachycardia, i-bradycardia, ukuphefumula kanzima, ukufushane komoya, ukufiphala kwesikhumba, njll. Lezi zimpawu azivezi njalo ukuvuvukala kwamanyikwe, ngoba zingakhombisa ezinye izifo. Kodwa-ke, ukubukeka kwabo kuyithuba lokubiza iqembu lezokwelapha. Imvamisa, kanye ne-pancreatitis, i-cholecystitis iyatholakala.
Ukwelashwa, kusetshenziswa izidakamizwa, kudliwe isidlo esikhethekile. Kwezinye izimo, ukwelashwa okuhlinzwa kuyadingeka. Ukuhlinzwa kushiwo futhi lapho kukhona khona izinkinga zesifo, ukuqeda izinhlungu.
Yiluphi uphawu lweVoskresensky oluzotshela uchwepheshe kule vidiyo ekulesi sihloko.
