Ezenzweni zokuhlinzwa, ukuvuvukala kwamanyikwe kuhlukaniswe ama-pancreas acute and chronic, cysts wamanga nama-pancreatic neoplasms (benign and malignant) nawo ahlukaniswa.
Ngaphandle kokuhlinzwa, kungenzeka ukuthi welapha kuphela i-pancreatitis eqeda amandla. Lolu hlobo lubandakanya ukwelashwa, kepha ukuvuvukala kwesitho esingamahlalakhona, njenge-cyst yamanga noma umdlavuza, kudinga ukuhlinzwa.
Ukuhlinzwa kuyadingeka ukwelapha isiguli ngokuphelele noma ukuthuthukisa impilo yakhe kakhulu kanye nokwenza impilo ibe ngcono.
I-pancreatitis ye-acute
Ukwelashwa kwayo, okokuqala, kusetshenziswa izindlela zokubambisa, okungukuthi hhayi ukuhlinzwa. Kulokhu, isiguli kufanele senqabe ekudleni, ukuze singacasuli ukwakheka kukajusi wesisu.
- Kuyadingeka ukusebenzisa inani elikhulu loketshezi ukusekela izinqubo zokugaya. Njengoba i-necrosis yezicubu ingenzeka futhi ngenxa yalokho, ukutheleleka kuyavela.
- Kwesinye isikhathi iziguli zibekelwa izidakamizwa ze-antibacterial. Ukwelashwa kokuhlinzwa kwendlala kuyadingeka uma ukutheleleka kwezicubu ezifile noma ukwakheka kwe-cyst yamanga kuqinisekisiwe.
- Kubaluleke kakhulu ukukhomba izimbangela zangempela zokuvuvukala ukuze uziqede. Isibonelo, uma imbangela kuyisifo se-gallstone, khona-ke amatshe kufanele asuswe, futhi kwezinye izimo i-blallder yesinye kufanele isuswe.
I-pancreatic cyst
I-cyst yamanga ukuvela kwesibindi kwesitho esingakhula ngisho neminyaka eminingana ngemuva kokuvuvukala okubi kakhulu.
Ukwakheka okunjalo kungamanga ngoba udonga lwayo lwangaphakathi alunalo ulwelwesi lwama-mucous.
Le cyst ayinayo inani lomtholampilo futhi ingelashwa kuphela uma isiguli sinezikhalazo zokucanuzelelwa kwenhliziyo, izinhlungu, usizi esiswini, njll.
Umdlavuza We-pancreatic - Cancreas Cancer
Uhlobo oluvame kakhulu lwesimila yi-ductal adenocarcinoma of pancreas.
Umdlavuza walesi sitho unolaka kakhulu, izimila zikhula ngokushesha futhi zikhula ngokushesha futhi zingakhula zibe izicubu eziseduze, ziphazamise ukusebenza kwazo.
Lapho i-neoplasm itholakala emsileni we-gland noma ingxenye yayo ephakathi, iziguli zivame ukuzwa ubuhlungu emuva kanye nasendaweni ephezulu yangaphakathi yesisu. Lokhu kungenxa yokucasulwa kwezikhungo zezinzwa ezikhona ngemuva kwama-pancreas.
Ukuthuthukiswa kwesifo sikashukela nakho kungaba ubufakazi bomdlavuza we-pancreatic. Ukuphela kwendlela isiguli esingasusa ngayo lesi sifo ukuhlinzwa.
Izindlela Zokuhlinzwa Kwe-pancreatic
Inqubo yokuvuvukala e-gland ibangela ukufa kwamaseli e-organ futhi izicubu ezinjalo ezifile kufanele zisuswe ngokuhlinzwa. Indawo ezungeze indlala igezwa ngemisele, ekuvumela ukuthi ukhawulele ukugxila kokuvuvukala.
Uma inqubo yokuvuvukala idalwa yitshe ku-bile duct, evimbe ukuphuma kwe-pancreatic duct e-duodenum nasemlonyeni we-duct evamile ye-bile, khona-ke odokotela bazozama ukususa leli tshe ngokuhlinzwa kwe-endoscopic (nge-ERCP).
Lapho i-pancreatitis eyingozi ilashwa, kwezinye izimo baphendukela ekususweni kwayo yonke inyongo.
I-pancreatitis engapheli
Ngalesi sifo, kufanele wenqabe ukuphuza utshwala, uphathe izinhlungu uphuze nemithi equkethe ama-enzyme wokugaya ukudla.
Udinga futhi ukuphazamisa umbuthano onesihluku, oqukethe ukuphuma kanzima kwejusi yokugaya nenqubo yokuvuvukala ebangelwa ukuqina kwale mfihlo kumanyikwe. Lokhu kungenziwa kuphela lapho kusetshenzelwa i-gland, lapho izicubu zesikhumba zisuswa ikakhulu endaweni yekhanda lesitho.
Kulesi simo, ukwelashwa okufaneleke kakhulu yi-pylorus-ukulondolozwa kwe-pancreatoduodenal resection (noma i-duodenum-presiding head resection).
Ngale nkulumo eyinkimbinkimbi kusho umsebenzi lapho kususwa khona ikhanda lekhanda lepancreatic. Kulokhu, i-duodenum (duodenum) iyagcinwa.
Kulokhu, odokotela benza imfucumfucu enomzimba ongu-V engxenyeni engaphambili yomzimba wesibeletho, ifinyelela ekugcineni komgodi wesitho. Isici esivelanayo silungiswa ochwepheshe ngokwakha iluphu lokufakelwa elisuka emathunjini amancane. Ngalesi loop, ujusi wokugaya udlulela emgudwini wesisu.
Ukusebenza okunjalo kuholela ekunciphiseni kobuhlungu cishe ezigulini ezingama-75 zeziguli, futhi kusiza ukunciphisa ijubane ukuthuthukiswa kwesifo sikashukela noma kuvimbela nokubonakala kwaso.
Uma i-pancreatitis engapheli ithinta kuphela umsila we-gland, khona-ke ingalashwa ngokususa le ngxenye yesitho. Le ndlela ibizwa ngokuthi "resection-pancreatic resection resection."
I-pancreatic cyst
Uma i-pancreatic cyst itholakala endaweni enhle lapho ingatholwa kalula khona, khona-ke ishubhu linamathele kuyo lapho okuqukethwe okuyi-cyst kugelezela ngaphakathi kwesisu.
Le nqubo ibizwa ngokuthi i-drainage futhi yenziwa nge-gastroscopy ngaphandle kokuvula isisu sesisu.
Amadaya kumele kwenziwe amasonto amane kuya kwayishumi nambili. Lesi sikhathi ngokuvamile sanele ukwelapha ngokuphelele i-cyst.
Uma ukwakheka kungasondele esiswini noma uketshezi olusuka kumthambo main we-gland ungena kuwo, khona-ke kufanele kukhishwe amanzi njalo, ngaphandle kwalokho imiphumela izoba yingozi enkulu.
Esimweni esinjalo, kwenziwa i-cystoejunostomy, okungukuthi, ishutheka emathunjini ingxenye yesisu esincane.
Umdlavuza wepancreatic
Uma kwenzeka izinqubo zezitho ezinobungozi, okuwukuphela kwendlela isiguli ukuthi silulame ukuhlinzwa kokuhlinzwa kumanyikwe. Ngakolunye uhlangothi, umdlavuza we-pancreatic osesigabeni sokugcina awunakulapheka.
Kodwa-ke, ukwelashwa okuphelele kungaba kuphela kulezo zimo lapho ama-metastases engakaveli kwezinye izitho, okungukuthi, ukudluliselwa kwamangqamuzana wesimila emgodini wegazi emzimbeni wonke awenzekanga.
Uma umdlavuza usekhanda lesitho, khona-ke le ndlela engenhla yokuphinda usebenzise i-pylreatoduodenal resection. Ngokuphikisana nokusebenza kwe-Whipple yakudala, kulokhu kungenzeka ukuthi kulondolozwe isisu engxenyeni etholakala ngemuva kwe-pylorus.
Lokhu kulithuthukisa kakhulu ikhwalithi yempilo yesiguli ngemuva kokuhlinzwa kwe-pancreatic, ngoba akudingeki ukuthi ibhekane nemiphumela yokuphinda isisu sonke (ngokwesibonelo, i-dumping syndrome), ngamanye amazwi, imiphumela incishiswa lapha.
Qaphela futhi:
- Lapho izimila zisemzimbeni noma emsileni wamanyikwe, zisuswa yindlela esele ikhishwe ngakwesobunxele ye-gland.
- Amandla okususa umdlavuza kulesisitho ngaphakathi kwemingcele yezicubu ezinempilo awanqunywa kuphela ngosayizi wesisu uqobo, kodwa futhi nangesilinganiso somonakalo we-neoplasm wezakhiwo ezisendaweni eseduze (amathumbu amakhulu noma isisu).
- Kwezinye izimo, kuyadingeka ukususa i-spleen, ngokwesibonelo, lapho amaseli e-tumor ekhula ezicutshini zayo.
- Ngaphandle kwe-spleen, umuntu uyaqhubeka nokuphila, kepha ukutheleleka ngamagciwane kungenzeka kakhulu, ngoba i-spleen emzimbeni womuntu yenza umsebenzi wokuzivikela womzimba.
- Futhi, ngemuva kokususwa kwayo, inani lamapuleti lingakhuphuka, ngakho-ke, kuyadingeka ukufeza i-prophylaxis yesidakamizwa esifike ngesikhathi ye-thrombosis ukuze ugweme izinkinga ezingadingekile.
Inqubo yokutakula
Njengoba ezinye izimila endaweni yekhanda lesitho zinendawo ekhethekile, kwesinye isikhathi kuyadingeka ukukhipha ingxenye ye-gland uqobo, kanye nengxenye ye-duodenum nesisu noma i-gallder.
Ngaso leso sikhathi, odokotela abahlinzayo bakha ama-anastomoses (amalunga wokufakelwa). Lezi zingaba izihibe ezivela emathunjini, kanye nemisipha yolusu lwesibeletho nge-bile duct, lapho kusekelwa khona izicucu zemithambo ngegaya yokugaya ukudla.
