Ukuqala ukwelashwa - kuyadingeka ukwenza ukuxilongwa. Kunezifo eziningi ezinezimpawu ezinciphile futhi akunakwenzeka ukuzazi ukuzazi. Izifo ezinjalo zifaka i-pancreatitis.
Izindlela Zokuhlonza Pancreatitis
Impumelelo yokwelashwa kwalesi sifo ngokuqondile kuncike ekuhlolweni okufika ngesikhathi nasekuxilongweni okuyikho. Lapho wenza ukuxilongwa, uchwepheshe akathembeli kuphela ocwaningweni, kepha nasezimpawu ezihambisana nalesi sifo. Lokhu kufaka phakathi:
- Ubuhlungu obukhulu esiswini sebhande;
- umuzwa ongapheli we-nausea nokuhlanza, okungalethi impumuzo;
- ubuthakathaka obujwayelekile;
- ukwehla okukhulu kwengcindezi;
- ukukhuphuka kokujuluka nokuqina kwesikhumba;
- igxuma ekushiseni komzimba;
- ukuphazamiseka kwesitulo;
- umlomo owomile, ukubonakala kwenjazi emhlophe olimini.
Ezenzweni zokwelashwa, kunezindlela eziningana zokunquma i-pancreatitis ngaphandle kokusebenzisa ukuhlolwa kwensimbi, okusekelwe kuphela ezimeni zezimpawu. Lokhu kwenza sikwazi ukubona ukuthi umuntu omdala usemncane kangakanani. Lezi zimpawu zihlanganisa:
- lapho kukhona i-pancreatitis, isiguli asizizwa sidonsa esiswini.
- ukubonakala kwamabala aluhlaza okwesibhakabhaka odongeni lwesisu ngesikhathi sokuklanywa kwama-pancreas.
- amabala aluhlaza okwesibhakabhaka esifundeni sombilical. Ukubonakaliswa kwabo kuhlotshaniswa nesenzo semikhiqizo ebolile yamanyikwe kwezicubu zezitho zomzimba nezicubu.
- Ubuhlungu endaweni yamanyikwe.
- ukuvela kobuhlungu ngesikhathi sokukhipha izitho zomzimba yisiza esikhethekile ngakwesobunxele se-sternum, lapho kuhlangana khona izimbambo ngomgogodla.
- Ubuhlungu lapho uthepha amanyikwe. Ukuvela kobuhlungu kuhlotshaniswa nenqubo yokuvuvukala yesitho.
- ubuhlungu obukhulu lapho isundu lifakwe ngokujulile odongeni lwesisu, oluhambisana nokucasulwa kwe-peritoneum.
Izimpawu nokuxilongwa kwe-pancreatitis engapheli
Ukuze unqume i-pancreatitis engapheli, udokotela kufanele anake izimpawu ezikhona esigulini. Kulesi sifo, izimpawu ezilandelayo zimpawu:
- nobuhlungu besikhathi esithile ngaphansi kwezimbambo ohlangothini lwesobunxele lomgogodla;
- ukusakazeka kobuhlungu obuvela kumanyikwe emuva;
- ukwenzeka kobuhlungu ngemuva kokudla okubhemile, okuthosiwe noma okunamafutha, kanye nokuphuza utshwala;
- umuzwa ongapheli we-nausea;
- isifo sohudo esinephunga elinezimpawu;
- ukuncipha okubukhali okuhambisana nokufakelwa izithako emzimbeni ngenxa yokudla.
Ukwelapha i-pancreatitis engapheli kungathatha isikhathi eside. Ngesikhathi sokulashwa, ukwanda kwaso noma ukuxolelwa kwalesi sifo kungenzeka, ngakho-ke kubaluleke kakhulu ukusithola ngokunembile ... Kulesi sifo esikhona isikhathi eside, izimpawu ezilandelayo zimpawu:
- ubuthakathaka, isiyezi, ukuphefumula, ukukhubazeka kwememori;
- ushukela okhuphukile, uhlobo 2 sikashukela;
- ukungasebenzi kahle kohlelo lokugaya ukudla, isifo sohudo noma ukuqunjelwa, isicanucanu nokuhlanza;
- ukukhuphuka kwamanyikwe okubangela ukuqothuka komgogodla we-splenic;
- ukuqina kwe-bile emzimbeni kanye nokuvela kwe-jaundice.
Amakhemikhali egazi
Lokhu kungukuhlaziywa kokuqala okwabelwe iziguli ekunqumeni isifo se-pancreatic. Ilula futhi inolwazi. Ngokwemiphumela yayo, uhlobo lwesifo sesitho luyanqunywa. Nge-pancreatitis, ukuhlolwa kwegazi okune-biochemical kungakhombisa ukuphambuka okulandelayo kusuka kokujwayelekile:
- amazinga akhuphuka we-alpha-amylase. Lesi yi-enzyme ekhiqizwa ama-pancreas futhi ikhuthaza ukuwohloka kwesitashi emzimbeni. Izinga layo eliphakeme libonisa isifo sesitho. Kodwa-ke, ngokusekelwe kuphela kule nkomba, akunakwenzeka ukusungula ngokunembile isifo;
- ukukhuphuka kwezinga le-lipase, i-enzyme edingekayo yokuqhekeka kwamafutha ekudleni;
- ukwehla kwe-insulin futhi, ngenxa yalokho, ukwanda kwe-glucose
- ukwehla kwamazinga egazi amaprotheni, ikakhulukazi amaprotheni e-albin;
- ukwanda okukhulu komsebenzi wamaprotheni a-c-reactive;
- ukukhuphuka kwe-urea kwegazi uma kungasebenzi kahle izinso.
Ukuhlaziywa kwe-electrolytic kanye negazi
Ukwephulwa kokwepancreas kufaka ushintsho ekwakhekeni kwegazi, kanye nenani loketshezi olukhona egazini. Lokhu kungaholela ekuqhekekeni kwemithambo yegazi kanye nokuqhekeka kwegazi.
I-pancreatitis iholela ekunciphiseni kwamazinga wegazi amaminerali anjenge-potassium, calcium ne-sodium. Okuqukethwe ngamaminerali kuthinta ukusebenza okujwayelekile kohlelo lwezinhliziyo.
Isibalo segazi esiphelele
Ngokwemiphumela yalokhu kuhlaziywa, okungukuthi inani leukocytes namaseli abomvu egazi, singaphetha ngokuthi kunesifo. Ukwanda kwamangqamuzana amhlophe egazi kubonisa inqubo yokuvuvukala emzimbeni. I-sedimentation cell ebomvu ibonwa ngokuncipha koketshezi embhedeni we-vascular.
I-Urinalysis
Esigulini esine-pancreatitis, ukuphambuka okubalulekile kokujwayelekile kokuqukethwe kwe-alpha-amylase kuyabonakala. Lesi yisici sesigaba sokuqala senkathi yalesi sifo. Emazingeni akamuva, kutholakala amaseli amhlophe egazi, amaseli abomvu egazi, nezinye izitho zomchamo.
Izindlela zokuhlonza izinsimbi
Izindlela zensimbi zocwaningo ngezifo ze-pancreatic ziyingxenye ebalulekile yokuxilongwa. Lapho kwenziwa ucwaningo lwezinsizakalo, kungenzeka ukubona ngeso lengqondo indlala, kanye nokuthola imiphumela ye-pancreatitis kanye nomphumela wayo kwezinye izitho zomzimba.
Izindlela ezijwayelekile kakhulu zokucwaninga yilezi ezilandelayo:
Ukuxilongwa kwe-Ultrasound
Le yindlela ephumelela kunazo zonke yokuthola isifo se-pancreatic, kanye nokuthola izinguquko kwezicubu zezitho, ubukhona bokuvuvukala. I-Ultrasound inethuba lokubona isimo se-ducts ye-bile, ukuba khona kwama-purreates ne-fluid.
Kubalulekile futhi ukuqaphela ukuthi isiguli kumele sazi ukuthi ukulungiswa kwe-pancreatic ultrasound kuhamba kanjani, ukuze isifundo sinolwazi ngangokunokwenzeka.
I-pancreas x-ray
Lolu hlobo lokuxilonga lukuvumela ukuthi unqume ukuba khona kwamatshe emigudwini ye-bile, futhi uqinisekise ngokungaqondile ukuba khona kwe-pancreatitis esigulini. Ezithombeni zesiguli esinalesi sifo, izinsimbi ezandisiwe zamathumbu nezinye izimpawu ezizobonakala.
I-Tomography
Indlela efundisayo yokuxilonga isifo se-pancreatic. Ngosizo lwayo, unganquma ubukhulu besitho, ukuba khona kwezicubu ezifile nokuvuvukala. Kodwa-ke, le ndlela ayisetshenziswa kakhulu ngenxa yezindleko zayo eziphakeme kanye nokuba khona kwama-tomographs emitholampilo emikhulu.
I-Laparoscopy
Le ndlela yokuxilonga nokwelashwa kwalesi sifo. Yenza lolu cwaningo emakamelweni afakwe ngokukhethekile noma amakamelo okusebenza.
I-Laparoscopy ingabona ama-organ pathologies ngesikhathi sangempela futhi kwezinye izimo athatha izinyathelo zokunciphisa imiphumela yawo emzimbeni. Le ndlela isetshenziswa ezimweni ezinzima kakhulu zesifo.
I-Endoscopy
Le ndlela yokucwaninga ikuvumela ukuthi ubone lonke ushintsho kumanyikwe kanye ne-duodenum. Ukuze wenze lokhu, i-endoscope enekhamera efakiwe ifakwa nge-esophagus bese kuhlolwa isitho.
Njengomphumela we-endoscopy, kungenzeka ukunquma izinga lokucasha kanye nomphumela walo kumanyikwe.
Ukuxilongwa okuhlukile kwe-pancreatitis
I-pancreatitis, izimpawu eziyimpawu ezihamba phambili kubuhlungu esiswini, okunikeza emuva, isisu nokugabha. Kodwa-ke, ezinye izifo ezithile zokugaya zinezimpawu ezifanayo.
Kwesinye isikhathi ngisho nemiphumela yokuhlolwa kungenzeka inganikeli isithombe esiphelele, ukuze uchwepheshe ahlonza ngokuzethemba. Kuyadingeka ukuhlukanisa i-pancreatitis kusuka kwezinye izifo.
Umehluko phakathi kwe-pancreatitis kanye ne-ulcer eyenziwe isilonda
Ngokuvamile, i-pancreatitis inezimpawu ezifanayo ezinezilonda ezigcotshwe kahle. Lezi zifo zibonakaliswa wubuhlungu obukhulu kanye nokushaqeka kobuhlungu obumphumela, ukwehla kwenhliziyo nokuxinana kwezindonga zesisu.
Kodwa-ke, kunomehluko omkhulu obalulekile okufanele uqaphele lapho wenza ukuxilongwa futhi unquma ukwelashwa. Isiguli esinesilonda esigcotshisiwe sizama ukuthatha isikhundla esisodwa lapho ubuhlungu bungezwa khona. Futhi, ngesifo esinjalo, ukugabha kwenzeka kakhulu.
Nge-pancreatitis, isiguli siziphatha kabi. Akasitholi isikhundla esisodwa sokulala. Futhi, lesi sifo sihambisana nokuhlanza njalo. Ngenxa yalokhu sifo, ukuhanjiswa kwegazi okuphathelene nokuthile kungaphazamiseka.
Umehluko phakathi kwe-pancreatitis ne-cholecystitis
Lezi zifo ezimbili zinezimpawu ezifanayo. Futhi imvamisa cholecystitis ingumphumela wesifo somuntu ne-pancreatitis. I-Cholecystitis ibonakala ngokuvela kobuhlungu ohlangothini lwesokudla sesisu nokushintshwa kobuhlungu ehlombe langakwesokudla. Kwi-ultrasound, inqubo yokuvuvukala ishiwo.
Ngaphezu kwalokho, umfundi uzothola imininingwane ewusizo yokuthi iyini i-cholecystitis nokuthi ungayelapha kanjani emakhasini esayithi lethu.
Umehluko phakathi kwe-pancreatitis kanye nokuvinjwa kwamathumbu okwenzeka kakhulu
I-pancreatitis ihambisana nokuphazamiseka kwamathumbu. Ubuhlungu emathunjini buvela kakhulu, ukugabha, ukuthopha, emva kwalokho ukuqunjelwa isikhashana - konke lokhu kuyizimpawu ze-pancreatitis.
Ungahlukanisa lesi sifo ekuvinjelweni kwamathumbu ngemiphumela yegazi. Uma izinga legazi lama-chloride liphansi, khona-ke lokhu kubonisa ukuvinjwa kwamathumbu. Izinga eliphakeme lama-chloride kanye nama-diastases akhombisa ukuba khona kwe-pancreatitis esigulini.
Umehluko phakathi kwe-pancreatitis kanye ne-myocardial infarction
Kulula ngokwanele ukwahlukanisa phakathi kwalezi zifo ezimbili. Ukuxilongwa kwe-myocardial infaration kwenziwa ngokwemiphumela ye-electrocardiogram, eyenzelwe isiguli ngasinye lapho singeniswa esibhedlela.
