Uhlobo lwe-pancreatitis lwe-pancreatitis yisifo esiyingozi sama-pancreas, esihambisana nokuvuvukala kwalo kanye nokwakheka kwe-foci yokuqongelela ubomvu. Ngokwezibalo, lesi sifo singesesithathu esivame kakhulu kubantu, ngemuva kwe-appendicitis eyingozi ne-cholecystitis.
Lesi sifo sitholakala ngokwesilinganiso kubantu abangama-500 kwezigidi. Kaningi i-pancreatitis evame ukwenzeka kakhulu kubantu besilisa, futhi ngeshwa, umphumela obulalayo uvame ukutholakala.
Lesi sifo siqala ngemuva kwesizinda se-pancreatitis esibuhlungu. Ngokulashwa okungafanele, umphumela obulalayo kungenzeka, njengoba sesibhale ngenhla. Kaningi lokhu kugula kuhlotshaniswa nenqwaba yama-concomitant, ngokwesibonelo, ukwephula ubuqotho bezicubu ze-pancreatic.
Izimbangela zokwenzeka
Uhlobo lwe-pancreatitis lwe-pancreatitis lungenzeka ngezizathu eziningi. Phakathi kodokotela abaphambili bahlukanisa ama-pathologies we-cancreas we-pancreas kanye nezinqubo zokuvuvukala ezithweni zokugaya.
Futhi, izici ezilandelayo zingaba imbangela yokuthuthukiswa kwe-pancreatitis ye-purulent:
- ukuphuza utshwala isikhathi eside, utshwala;
- ukudakwa okujwayelekile komzimba;
- ukutheleleka ngegciwane;
- isifo se-gallder;
- izifo zomgudu wesibeletho kanye nesibindi;
- imisebenzi ehlukahlukene kumanyikwe;
- ukusetshenziswa kwezidakamizwa isikhathi eside;
- ukuvuvukala kwe-appendicitis.
Ukuthuthukiswa kwe-pancreatitis ye-purulent ngaphansi kwesenzo sama-enzyme
Ngokusho kwezifundo zobudokotela, uhlobo lwe-pancreatitis lwe-purulent lukhula ngokusemuva kwesenzo se-enzyme kumanyikwe.
Iqiniso ukuthi umzimba ukhiqiza ama-enzyme adingekayo ukugaya ukudla. Bangena emgudwini wokugaya ukudla futhi bayasebenza lapho. Kuze kube leli phuzu, kumele bangasebenzi.
Kodwa-ke, ngenxa yokuphazamiseka kumanyikwe, ama-enzyme asebenza ngqo emzimbeni owakhiqizayo. Lokhu kusho ukuthi amaseli aqala ukuzicwilisa. Njengomphumela walokhu, kukhona ukuvuvukala kwezicubu zesitho, ukuvuvukala kanye nokwephulwa kokwethembeka kwabo, kanye nokuvela kwezimpawu zokuhlanza, futhi umphumela obulalayo awujwayelekile ngokuthuthuka okunjalo.
Isenzo sokutheleleka kumanyikwe
Lapho i-pancreatitis ye-purulent yenzeka ngokumelene nesizinda sezifo ezithathelwanayo noma ezibangelwa amagciwane, ama-pathogen abo angena kumanyikwe emibeleni, lapho abangela ukuvuvukala.
Ngaphansi kwethonya lokutheleleka, i-purulent foci ingavela ebusweni besitho, esanda futhi siqhuma ngokuhamba kwesikhathi. Ngakho-ke, ukopha nokutheleleka kungena kwezinye izitho zomzimba, okubangela ukudakwa komzimba okujwayelekile, esimweni lapho imiphumela ebulalayo nayo ingaba khona kakhulu.
Lokhu kungaba ukuqala kwenqubo engenakuphikwa ekusebenzeni okujwayelekile kwezitho ezibalulekile, ukwephula ukunikezwa kwegazi labo. Uma lesi sifo singaziwa ngesikhathi futhi ukwelashwa okusebenzayo kungabekiwe, umphumela uyoba umphumela obulalayo wesiguli.
Izimpawu ze-purulent pancreatitis
Lesi sifo singabonakala ngezimpawu eziningi, ngokwesibonelo, isicanucanu esiqhubekayo, ukulahleka kokudla, ukuqhakaza.
Ngesifo se-purulent pancreatitis, umuntu uqala ukwehla ngokweqile.
Isizathu salokhu ukwephula umsebenzi womsebenzi hhayi we-pancreas kuphela, kepha nezitho ezithile zokugaya ukudla. Futhi, lesi sifo sihambisana nokuhlanza njalo.
Izimpawu ze-pancreatitis ye-purulent ifaka phakathi:
- ukuhlaselwa kobuhlungu kumanyikwe;
- ukwanda kwesilinganiso senhliziyo;
- amakhaza;
- ukudakwa komzimba kubangela ukwanda kokushisa komzimba;
- ubunzima bokuphefumula
- ukuncishiswa kwengcindezi;
- isifo sohudo noma ukuqunjelwa;
- ukwehla okujwayelekile kwesiguli.
Isiguli sihlala sikhononda ngempilo engeyinhle, noma ngabe kungekho buhlungu. Lesi sifo siphela amandla umuntu. Noma yikuphi ukunyakaza noma ukukhwehlela kungaholela ebuhlungwini obukhulu kumanyikwe.
Ngokwokubonwa kochwepheshe, kusukela ekuqaleni kwalesi sifo kuya ekubonakalisweni kwezimpawu ezisobala zalesi sifo, kungathatha isikhathi ukusuka ezinsukwini eziningana kuya emasontweni ambalwa. Izimpawu zokuqala ze-purulent pancreatitis zibuhlungu obukhulu esiswini, ezinganika ihlombe lehlombe. Kungaba namandla kangangokuba kwesinye isikhathi umuntu alahlekelwe ukwazi, umphumela onjalo wokuthuthumela kobuhlungu uvame ukutholakala.
Futhi, lesi sifo sihambisana nokuhlanza njalo. Akusinciphisi isimo sesiguli futhi singenzeka nangemva kokuphuza kwamanzi. Le nto yenzeka ngenxa yokuthi lapho usuhlanza, ingcindezi esiswini iyanda, ngaleyo ndlela kubangele ukuphuma kweziphuzo ze-pancreatic emiphungeni. Lokhu kuphakamisa ukuhlanza okunye.
Ngenxa yalokhu kugula, kuvela amachashaza amnyama noma ama-burgundy esikhunjeni sesiguli. Zenzeka ikakhulu esiswini, enkabeni. Ngokuvamile, ziyabonakala ngasohlangothini lwesisu.
Ngokulashwa okungafanele kwe-pancreatitis ye-purulent, ipus ingangena emgodini wesisu futhi ibangele ukukhula kwe-peritonitis, futhi lokhu kuzonyusa ingozi yokufa.
Ukuxilongwa kwalesi sifo
Uhlobo lwe-purulent lwe-pancreatitis lutholakala ngemuva kochungechunge lwezifundo zomtholampilo. Ukuxilongwa kwalesi sifo kususelwa ekuhlolweni kwegazi, okuvamile nokuthuthukile, i-urinalysis kanye ne-x-ray yesibeletho sesisu.
Ukwanda kwama-leukocytes noma ama-enzyme e-pancreatic, kanye nokuphambuka kusuka emazingeni kashukela ajwayelekile, kukhombisa ubukhona be-pancreatitis ye-purulent. I-x-ray esiswini isiza ukuqinisekisa lokhu kutholwa. Esithombeni sesiguli, i-pancreatitis ye-purulent izoba nezici ezimbalwa, okuyilezi: izimpawu zokuvinjezelwa kwamathumbu, isimo sezulu sekoloni, isikhundla esiphakeme sedaphragm.
Kwesinye isikhathi, izifundo ezengeziwe zingadingeka ukuthola isifo. Ngemuva kwalokho udokotela unquma i-ultrasound yamanyikwe. Kwi-ultrasound, ukuvuvukala kwesitho, indawo yesilonda nge-purulent abscess noma ukubonakala kwama-cysts kubonakala kahle.
Futhi, ekuxilongeni i-pancreatitis ye-purulent, i-laparoscopy ye-pancreas iyasetshenziswa. Lolu hlobo lokuxilonga lukuvumela ukuthi unqume ukuthi lesi sifo sisoxakile kanye nohlobo lwaso ngaphandle kokuguqukela ekuhlinzeni.
Kwezinye izimo, kunzima kakhulu ukuthola uhlobo lwe-pancreatitis lwe-purulent. Isizathu salokhu sivame ukukhalaza sekwephuzile kwesiguli ukuthola usizo lodokotela. Esigabeni sokuqala salesi sifo, kungenzeka ukuthi uxilongwe esibhedlela.
Ezimweni ezimbi kakhulu, lesi sifo sitholakala esigulini esivele sikhona emnyangweni we-gastroenterology noma ekunakekelweni okunamandla, lokhu kuqeda imiphumela ebulalayo.
Ukwelashwa kwe-pancreatitis ye-purulent
Ukwelashwa kwe-pancreatitis ye-purulent kufanele kwenziwe kuphela ezimweni zokuma, ngaphansi kokuqashwa okuqinile kwabasebenzi bezokwelapha. Lapho welapha lesi sifo, odokotela baqondiswa umgomo wokuthi "indlala, ukubanda nokuthula kuzosiza ukubhekana nokuvuvukala."
Ukwelashwa kwesiguli nge-pancreatitis ye-purulent kuqukethe ekuqinisekiseni ukuphumula kwakhe ngokuphelele, ukugeza isisu, ngesiphenyi esikhethekile, ngamanzi abandayo.
Futhi, kwesinye isikhathi isiguli sincoma ukufaka ama-ice kumanyikwe, lokhu kusiza ukunciphisa ukuvuvukala futhi kunciphise ezinye zezimpawu zesifo. Isiguli sinconywa ukuthatha isiphuzo se-alkaline esiningi ngangokunokwenzeka bese ulandela ukudla okuqinile.
Esimweni esifushane salesi sifo, isiguli sinqunywa ukuthi kwehliswe umjovo ngama-painkillers nama-diuretics ukunciphisa ukuvuvukala. Ukusetshenziswa ngempumelelo kwe-novocaine, i-heparin, ukudambisa izinhlungu, ukunciphisa imfihlo yamanyikwe - i-almagel, trasilol ne-rinisan.
Ngezindlela ezinzima ze-pancreatitis ye-purulent, ama-hemorrhages kanye nokwakhiwa kwe-foci eminingi yokuvuvukala kwe-purulent, ukungenelela okuphuthumayo kuyadingeka. Umgomo oyinhloko wokuhlinzwa ukuvimbela ukwanda kobuthi emzimbeni wonke, ukuvimba ukusatshalaliswa kwawo, ukuvimbela ukubhujiswa kwamanyikwe nokuphelelwa ngumzimba emzimbeni.
Ukuqedwa kokuhlinzwa kungahle kube yisimo esibi kakhulu sesiguli kanye nengozi enkulu yokufa ngesikhathi sokuhlinzwa.
Kuze kube manje, indlela efanelekile yokungenelela kokuhlinzwa ihlatshwa njenge-laparotomy. Le ndlela ivumela ngaphandle kokuvula umgodi wasesiswini, kodwa kuphela ngokusebenzisa izimbobo ezincane kuyo ukuze ifinyelele ekugxileni kokuvuvukala futhi ibasuse ngokucophelela. Ngesikhathi sokuhlinzwa, kuqashwa njalo intuthuko yayo ngedivaysi ekhethekile futhi amanyikwe askenwa.
Ingozi ye-purulent pancreatitis
I-pancreatitis ye-purulent yisifo esibi kakhulu. Izinkinga ezivelayo phakathi nesikhathi sesifo kwesinye isikhathi zingaholela ekufeni komuntu. Ngakho-ke, kubalulekile kakhulu ukuyikhomba ngisemncane futhi kungafakwa ukuthuthukiswa kwezinkinga.
Inkinga enkulu ukudakwa. Ukuxineka nobuhlungu obukhulu kungaholela ekushayweni okukhulu esigulini, bese kuya ekufeni. Lapho likhuphuka inani lezinto ezinobuthi ezikhishwe ngamanyikwe, kungaba yingozi enkulu yezifo ezibangelwa yingozi empilweni yabantu.
Ukudla kwe-pancreatitis ye-purulent
Umphumela wokwelashwa kwe-pancreatitis ye-pancreitis ye-pancreas ubungeke uqedele ngaphandle kokulandela ukudla okuqinile. Into yokuqala okufanele isiguli sikhumbule ukukhipha utshwala ngokuphelele. Kubalulekile futhi ukuthi ekudleni kuphansi-ikhalori nokulinganisela. Ukudla okunjalo kungasetshenziselwa i-pancreatic necrosis, enye inkinga enkulu yokulimala kwe-pancreatic.
Esikhathini sokwanda kwesifo, indlela engcono kakhulu yokunciphisa ukuvuvukala nokusiza ukuthi ama-pancreas abuyele kokujwayelekile ukwenqaba ukudla ngokuphelele. Uma kungekho ukukhuphula, kufanele udle ukudla okunamaphrotheni okuphekwe ngaphandle kwamafutha noma okubilisiwe. Izinsizakalo kufanele zibe zincane. Ukudla kufanele kuhlukaniswe ngama-reception ama-5-6.
Ungakhohlwa ngokulingana kwamanzi. Isiguli kufanele siphuze okungenani amalitha ayi-1.5 amanzi ngosuku. Kungaba amanzi amaminerali ngaphandle kwamagesi. Ukunciphisa ukuvuvukala, ungasebenzisa i-rosehip decoction noma itiye eluhlaza.
Indawo ekhethekile ekudleni kufanele uthathe imifino. Zinezinto eziningi ezilusizo isiguli esidinga ukululama. Imifino ingadliwa iluhlaza noma iboshiwe noma ibhakiwe.
Kuyadingeka ngokuphelele ukwenqaba ukudla okunamafutha, okubhemayo kanye nokufraki. Ukuze uvimbele ukukhula kwesifo sikashukela, ochwepheshe batusa ukunciphisa ukusetshenziswa koshukela namaswidi, nawo wonke ufulawa.
Ukuvikelwa kwezifo
Odokotela bahlukanisa phakathi kokuvimbela kokuqala nokwesibili.
Ukuvimbela okuyisisekelo kuqukethe ekwelapheni i-puranc pancreatitis esikhungweni sezokwelapha ngaphansi kokuqashwa kochwepheshe. Kubalulekile ukuqhubeka nokwelashwa noma ngabe izimpawu zesifo sehle kakhulu.
Ukudambisa ukuvuvukala kwe-pancreatic kunzima kakhulu kunokuqeda izimpawu. Ungahle ungezwa buhlungu, kepha isifo esingalashwa ngokuphelele singaba uhlobo olunamandla kakhudlwana.
Ukuvinjwa kwesibili kufaka izindlela ezimbalwa okuhloswe ngazo ukwenza umsebenzi we-pancreas kusebenze. Lokhu kufaka phakathi:
- ukwenqaba utshwala, abaxhunyiwe, futhi notshwala nge-pancreatitis bulimaza kuphela;
- ukunamathela ekudleni okuqinile kokuphila;
- uma kungenzeka, ukwenqaba ukuthatha imishanguzo ethinta kabi isimo se-pancreas;
- ukwelashwa okufika ngesikhathi kwezifo ezithathelwanayo kanye nezifo.
Uhlobo lwe-pancreatitis lwesifo se-pancreatitis yisifo esinamandla kakhulu, kepha ungalwa naso uma usikhomba ngesikhathi. Lokhu kungonga impilo yomuntu, uma kungenjalo kungabulala.
