Ama-pancreas angenye yezinhlelo ezinkulu zokugaya ukudla. Ngobukhulu, kungokwesibili kuphela esibindini. Isitho siqukethe umsila, umzimba nekhanda okugxiliswe ngaphakathi komunye nomunye. I-Iron ikhiqiza ama-enzymes akhethekile abamba iqhaza ekugayweni kokudla, futhi ifaka ne-insulin, i-hormone ebangela okuqukethwe ushukela ekuhambeni kwegazi.
Isisu simboza ingxenye yama-pancreas, sixhumene nohlelo lwebhiliary nesibindi. Ngakho-ke, izinqubo ze-pathological ezivela kuyo ziyindlela yokusabela ekuqubukeni kwezifo ezithile ezingalapheki emgodini wesisu.
Futhi, ushintsho olusebenzayo kumanyikwe lungabangela ushintsho olukhulu lomzimba, lube nomthelela ekuqhubekeni kwenqwaba yezifo.
Izitho zokugaya
Ama-pancreas kumele enze imisebenzi emibili ebalulekile:
- i-intrasecretory (iqukethe ekukhiqizweni kwe-insulin yi-islanger yeLangerhans, ekhuthaza ukumuncwa kweglucose);
- i-exocrine (iqukethe ekukhiqizeni uketshezi lwe-pancreatic, olubandakanyeka ngenqubo yokugaya).
Ujusi wokugaya okhiqizwa yi-parenchyma, oxhumeka ne-bile duct, obuye ukhishwe gallbladder, uqoqwa emgodini futhi uvuleke endaweni ye-duodenum.
Ngenxa yobudlelwano obusondelene obunjalo besifo sepheshana lesibindi kanye nesibindi, bavusa ukusabela nezinguquko ekusebenzeni okugcwele kwalo lonke uhlelo.
Iyini imiphumela yezinguquko ezisebenzayo?
Umqondo "wezinguquko ezisebenzayo" ubangela ukwesaba okuthile phakathi kwenqwaba yeziguli. Kepha empeleni, lokhu kusho ukuthi lesi sitho siphendula ushintsho olwenzeka kwesinye sezitho eziseduze nolwesikhumba; izizathu azinangozi kangako.
Lezi zinguquko ezisebenzayo zingadala ubuhlungu, ukushintshashintsha koshukela wegazi nokuntuleka kokusebenza okufanele kwesistimu yokugaya ukudla.
Lapho ama-pancreas esebenza futhi, i-parenchyma yayo ikhiqiza inani elinganele lama-hormone abhekene ne-lipid-carbon metabolism, kanye nenani elincane lejusi le-pancreatic, equkethe ama-enzyme adingekayo wokugaya kahle.
Ukuvuvukala kwamanyikwe, okuvela ngenxa yethonya elinamandla lesibindi nezitho zezindlela ezisusa i-bile, kungukuhlasela kwe-pancreatitis esebenzayo, ebonakala ngo:
- ushintsho olusebenzayo ku-parenchyma;
- ukuvuvukala kwesitho, ngenxa yalokho sikhuphuka ngosayizi.
Ukuqhubekela phambili kwe-pancreatitis esebenzayo enganeni nakomdala kungaba yindlela yokusabela kwezifo ezithweni ezahlukahlukene zesisu. Lokhu kubandakanya izifo ezilandelayo:
- isifo esophageal;
- i-hepatitis eyingozi futhi engalapheki;
- i-ulcerative colitis;
- cholecystitis engapheli;
- isilonda se-duodenal.
Izifo zesibindi ne-bile duct
Ngokuyisisekelo, lapho i-bile stagnates ku-ducts ye-bile kanye ne-gallder, khona-ke izinguquko ezisebenzayo eziba nemvelo yokuqhekeka zenzeka kwi-parenchyma. Kodwa-ke, lokhu kungatholakala kuphela ngosizo lwe-ultrasound nakwezinye izingxenye ze-parenchyma.
Izinqubo ezifanayo zenzeka ezifweni zesibindi, kuyilapho imisebenzi yazo ebhekele ukukhiqizwa kwe-bile iphazamiseka.
Izimpawu ezikhona nalolo shintsho olusebenzayo ezinganeni nakomdala:
- isicanucanu
- Ubuhlungu esiswini esingenhla;
- ethukile.
Kepha, uma kucatshangelwa ukuthi ukuqala kwe-Symbomatology efanayo kuyisimo sezinye izifo zomgudu wesisu nesibindi, kwesinye isikhathi cishe akunakwenzeka ukuzihlukanisa nezimpawu ezifanayo zezinguquko ezisebenzayo ku-gland, izizathu lapha zizofiphala.
Izifo zesisu
I-pancreatitis esebenzayo ingathuthukela kwizifo zesisu enganeni nakomdala. Imvamisa, isilonda esidabukisayo siyimbangela.
Ngaphezu kwalokho, ushintsho olusebenzayo kuma-pancreas lungasiza ekuveleni kwe:
- isicanucanu
- izihlalo ezikhululekile;
- Ubuhlungu esiswini esingenhla;
- ukuthopha.
Ngesinye isikhathi, i-pancreatitis esebenzayo ivela ezifweni zamathumbu amakhulu kanye nesophagus. Isibonelo, lesi simo singadala i-reflux gastritis. Lesi sifo ukuvuvukala kwe-esophagus eyenzeka lapho ujusi wesisu ugelezela esitho.
Ukucasulwa okuhleliwe yindawo ene-acid kudala ukuvuvukala kwe-esophagus, kuthi emva kwalokho - kuvela izilonda ezindongeni zayo.
Isilonda ukugula okungathi sína okunomthelela ongemuhle esimweni esijwayelekile sohlelo lokugaya ukudla kanye namanyikwe.
Izinguquko eziguqukayo ze-pathological ezenzeka emsebeni, ezakheka ngaphansi kwezimo zezifo zesisu, zingavela enganeni nakubantu abadala abanezimpawu eziphansi noma abangenazo nhlobo izimpawu.
Ukuxilongwa
Ushintsho olusebenzayo olwenzeka kumanyikwe lungaxilongwa kusetshenziswa i-ultrasound, lapho kuhlolwa zonke izitho ezingaba imbangela yokuhlaselwa.
I-Ultrasound ye-pancreas parenchyma enempilo ayilungile. Ubukhulu bayo abukhuphuki futhi abuncishisiwe, ngaphandle kwezinguquko ezigxilwe kakhulu noma zokuphikisa.
Ushintsho olunzima akusona isifo, kodwa isimo samanyikwe. Kulokhu, izinguquko zisatshalaliswa ngokulinganayo kuwo wonke izicubu zezitho. Lapho ushintsho selugxile emvelweni, khona-ke isiguli kungenzeka ukuthi sinamaqhubu noma amatshe ku-gland.
Ngaphezu kwalokho, ohlelweni lokuhlolwa kwe-Ultra emzimbeni wesifo esinamagciwane, kungavezwa uhlobo oluhlukile lokushintshwa kwezinguquko, ngenxa yokuthi kusungulwe eyodwa noma enye isifo:
- ukwehla kokwehla kobuningi be-echogenicity ne-parenchyma (uma izinhlaka zesitho sezikhuphukile, khona-ke lokhu kuwubufakazi bokuhlaselwa kwe-pancreatitis ebukhali;
- faka ushintsho kumanyikwe ngokukhuphuka kwe-echogenicity nobuningi besisindo esinciphile noma esivamile se-gland (ejwayelekile phambi kwe-fibrosis);
- ukwehla kokwehla kokuqina kwezimpawu zokuncipha kanye nokwehla kobukhulu be-parenchyma, lapho isitho singakhuphuki (isimilo sesimo sezinguquko ezisebenzayo nezingamahlalakhona);
- ukwanda kwesimo sokuqina kwezimpawu zemvelo zendlala ye-gland kungakhombisa i-limpomatosis (ukumiselela ingxenye ethile yamafutha parenchyma kuwuphawu lwalesi sifo;
Ngenxa yokuthi, kususelwa kuphela ku-ultrasound, ukuthola ukutholakala kwesifo okunembile kunzima impela, kuyadingeka ukwenza izifundo ezengeziwe zokuxilonga, ezibandakanya:
- i-endoscopy ye-duodenum (eyenziwa ukuhlola i-mucosa endaweni lapho i-duct igeleza khona);
- ukuhlaziywa kwegazi nokujwayelekile kwe-biochemical (kwenziwa ukuthola ukwephulwa kokusebenza komzimba kanye nokuxilonga noma ukubekela eceleni ubukhona bokuvuvukala);
- ukuhlaziywa komchamo wokugaya ama-enzyme.
Ngemuva, imiphumela yako konke ukuhlaziya ihlolwe ngokucophelela yi-gastroenterologist. Ngemuva kwalokho umemezela lesi sifo ngqo futhi anikeze ukwelashwa okulwa nokugula okuthile.
Kumele kuqashelwe ukuthi ushintsho olusebenzayo aludingi ukwelashwa okukhethekile, ngakho-ke, lapho ukugula kwezifo okuphezulu kwezitho zomzimba noma kwesibindi kuphulukiswa, ngeke kushiye umkhondo.
