Uma umuntu ezwa ukungakhululeki esiswini sakhe, khona-ke kufanele abonane nodokotela ohlinzayo. Lo ngudokotela wokuqala okufanele kuboniswane naye ngezinkinga ngepheshana lesisu. Kodwa-ke, uma lokhu kungukuthi ama-pancreas, manje uluhlobo luni lodokotela oluzoqapha, alaphe, alaphe?
Ake sibheke esihlokweni lokho udokotela akwenzayo ngezinkinga ze-pancreatic, nokuthi wenzani kuqala.
- Udokotela uzoqoqa yonke imininingwane ngembangela yesifo.
- Uzohlola isiguli, asihlole kahle isisu sakhe nge-palpation.
- Kuzocacisa ukwakheka kwendawo kanye nohlobo lobuhlungu.
Ukuhlolwa kokuqala
Ukuhlolwa kokuqala kungakhombisa ukuthi izinhlungu namanyikwe zihlobene yini, noma uma zisuselwa kwezinye izinqubo ezithile. Ukuxilongwa okulungile kweelebhu kuzosiza ukuhlolwa kwelabhoratri, okuzoqondisa isiguli.
Futhi lapho kuzobe sekwambulwa ukuthi lokhu yi-pancreatitis noma esinye isifo udokotela othile asiphatha.
Okubaluleke kakhulu ekunqumeni izinqubo ze-pathological gland yi-ultrasound, ikakhulukazi uma kusanda kuba nokuhlaselwa kwe-pancreatitis, lapho udokotela angaqaphela khona:
- kukhulu ukukhuliswa,
- i-heterogeneity ye-echogenicity, okuzoba yisibonakaliso senqubo yokuvuvukala, ukukhula kwe-pancreatitis,
- ngaphezu kwalokho, kuzokwazi ukubona ama-neoplasms ahlukahlukene (amasende noma amathumbu),
- nquma indawo kanye nezinga lomonakalo e-gland.
Uma ukuhlolwa kwe-ultrasound kukhombisa ukuba khona kwezinqubo ze-tumor kuma-pancreas, lapho-ke ukwelashwa okuqhubekayo isiguli siya ku-oncologist. Nguye owenza isinqumo ukuthi ngabe kungukuhlinza yini ukuhlinzwa noma ngabe kufanele kunikezwe i-chemotherapy futhi aphathe i-oncology.
Ukuvuvukala kwe-pancreatic (pancreatitis) ngasikhathi sinye kudinga ukwelashwa okuvela kochwepheshe abaningana.
Ekuhlaselweni okukhulu, isiguli sithunyelwa ngokuphuthumayo emnyangweni wokuhlinzwa, lapho sihlolwa ngokucophelela udokotela ohlinzayo noma ohlinza ngokuhlinzwa kabusha (lokhu kuya ngesimo umuntu ayoba ngaso lapho elaliswe esibhedlela).
Ukwelapha bese ulandela
Ngemuva kokuqeda ukubonakaliswa okuyinhloko kwe-pancreatitis, isiguli siguqukela ekwelashweni kwe-gastroenterologist. Njengoba i-pancreas ibamba iqhaza ekugayweni kokudla, imfanelo ye-gastroenterologist kanye nesikhathi sokwelashwa esichazwe nguye kubalulekile ukuze umsebenzi owengeziwe womzimba kanye nokwenza imisebenzi yawo.
Ngaphezu kwalokho, udokotela uzonikeza isiguli izeluleko ezidingekayo enhlanganweni yokudla okwelapha, ngoba ukunamathela ekudleni okukhethekile kunomthelela omkhulu ekwelapheni i-pancreatitis, futhi lokhu kungaba yindlela elula yokudla kobuhlungu kumanyikwe noma ekudleni okukhethiwe.
Uma i-gastroenterologist ichaza kahle ukwelashwa, lokhu kuzovumela isiguli ukuthi sikhohlwe ngesifo esinjenge-pancreatitis, ngokwesibonelo. Uma imicimbi ingenzeki kahle, khona-ke umuntu uyohlushwa ngezikhathi ezithile ngezikhathi ezithile.
Kudingeka nini i-endocrinologist
Kaningi, ama-pancreas angahle adinge ukubonisana nodokotela onguchwepheshe njenge-endocrinologist. Ezimweni eziningi, kuya ngezenzo zalo eziqondile, ukuthi i-pancreatitis izoqhubeka kanjani ngokuzayo, nokuthi ngabe lesi sifo sizoholela ekuxinekeni kwesifo sikashukela.
Uma ukwephulwa kokuhlanganiswa kwe-insulin kutholakala emzimbeni womuntu, udokotela kufanele akhethe umthamo ofanele we-hormone enqunyelwe. Imisebenzi ye-endocrinologist ifaka ukubhaliswa kwesiguli esinesifo sikashukela kanye nokuqapha isimo sayo sempilo, empeleni uphatha isiguli bese embheka ngokuqhubekayo.
Ngemuva kokuba isiguli sithola ukwelashwa okungapheli kanye nokukhishwa emzimbeni, kufanele sibhaliswe endaweni yokuhlala nomelaphi. Nguye lo dokotela ozophinde ahlole ama-pancreas esiguli futhi amdlulisele kochwepheshe abakhethekile ukuthi bahlolwe.
Akaphathi kangako, kulo mongo, njengoba enza ukubhekwa futhi esiza ekuvimbeleni. Lokhu, noma kunjalo, kwanele ukuvimbela i-pancreatitis, noma ezinye izifo.
Udokotela kufanele aqinisekise isiguli sakhe ukuthi silandele zonke izincomo zabodokotela, ngoba ukufakwa kwabo kanye nokuhlolwa okufika ngesikhathi kuzokwenza ukuthi kuvikeleke izinkinga ezahlukahlukene ezingathandeki zesifo.
Eqinisweni, indima enkulu ngokulingana ekwelashweni kwezifo ezithinta ukuqina kwamanyikwe idlalwa ukuhlolwa okulungile kwesimo kweziguli. Isiguli kufanele siqaphele ukuthi isimo sayo sempilo sibaluleke kakhulu futhi siqaphele yonke inqubo emibi emzimbeni wayo ngesikhathi.
