Uhlobo lwe-pancreatitis lwe-biliary lufakiwe eqenjini lezifo zamanyikwe, lwenziwa ngenxa yokusebenza okungaphazamiseki kwepheji le-biliary. Lolu hlobo lwe-pancreatitis luthinta, njengomthetho, abantu abadala. I-pilireat pancreatitis yisifo eselaphekayo, kepha kuncike ekwelashweni okufika ngesikhathi ngokuhambisana nazo zonke izincomo.
Ukwelashwa okufanele kwama-pancreas anepancreatitis enjalo kuvumela umuntu ukuthi abuyele empilweni yakhe ejwayelekile ngesikhathi esifushane.
Izimpawu ze-pancreatitis ye-biliary acishe afane nokuboniswa kwe-pancreatitis e-acute.
Njengomthetho, i-pancreatitis ye-biliary ikhula ngenxa yezici ezilandelayo:
I-cholecystitis engamahlalakhona noma eyingozi. Lesi sifo ukuvuvukala inyongo. I-Cholecystitis iyinkimbinkimbi kakhulu ukuphuma kwe-bile;
- Isifo se-Gallstone - imigqa yesinye ivinjwe yi-gallstones, lokhu akuvumeli i-bile ukwenza ukuphuma kwemvelo. Izinguquko ziholela ekujikijelweni kwe-bile kuma-pancreas;
- I-Cholangitis inqubo yokuvuvukala eyenzeka emiseleni ye-bile, eyephula ubuhlakani bayo.
Izifo ezingenhla zidinga ukunakwa okwandayo komuntu. Ukwelashwa kuyadingeka noma ngabe kunesifo esisodwa noma ezimbalwa. Lezi zifo ezisesimweni esithuthukile, futhi lokhu kuyimeko engapheli, zingakha i-pancreatitis ye-biliary.
Odokotela bahlukanisa izinhlobo eziphambili ze-biliary pancreatitis:
- Ukuhlasela okuyisidina komzimba;
- Isifo se-pancreatitis esingamahlalakhona esihlala njalo.
Ingozi yalesi sifo ukuthi izinguquko kumanyikwe zingalungiswa. Ukuqala kwalesi sifo kubonakaliswa inqubo yokuvuvukala ku-gland.
Ukuvuvukala kubangela ukungasebenzi kahle kwamanyikwe. Lapho-ke imishini yokusebenza kweglandular ikhubazekile, lokhu kuphetha ngokwanda kwamaseli anezifo kumanyikwe, futhi konke lokhu kuguquka kancane kancane kube yindaba engalapheki.
Ukubonakaliswa kliniki kwe-bancary pancreatitis
Izimpawu ze-pancreatic pancreatic pancreatitis zenza ukuthi udokotela onolwazi enze isifo ngaphandle kokubandakanya izindlela eziyinkimbinkimbi zokuxilonga:
- Esikhathini sokuqala kwesifo, umuntu ukhathazeka ngeminjunju ebuhlungu ejwayelekile esiswini. Ubuhlungu bungabopha ibhande, futhi unikeze emuva engezansi noma kwi-hypochondrium yangakwesobunxele. Imvamisa ukungaphatheki kahle kuvela ngenxa yokudla ngokweqile kwamafutha, okuthosiwe, ukudla okunezipayisi noma ukuphuza utshwala;
- Enye yezimpawu zokuphila kwalesi sifo ukunambitheka okumunyu okuqhubekayo emlonyeni;
- Ukuhlanza ebusuku;
- Shintsha ekushiseni komzimba phezulu;
- Isikhuxungu, isifo sohudo, noma ukuqunjelwa kuyizimpawu ezengeziwe ze-biliary pancreatitis.
Isigaba esibuhlungu se-bancary pancreatitis singazibonakalisa ebuhlungwini obukhulu e-hypochondrium.
Ngesikhathi sokuvakashela uchwepheshe, kufanele ubhale zonke izinkomba eziphazamisayo ukuze udokotela enze ukuthi ahlonzwe ngokufanele kakhulu.
Ukuxilonga
Ukubonakaliswa okukhanyayo kwe-biliary pancreatitis kutholakala kuphela esibhedlela ngokusekelwe ekuhlolweni komchamo kanye nasegazini, kanye nokuskena kwe-ultrasound.
Ngokushesha nje lapho isiguli sifika esibhedlela sinezikhalazo ezinesimo, udokotela unikeza ukuhlolwa kwegazi okujwayelekile. Uma kutholwa ukwanda okukhulu kwamangqamuzana amhlophe egazi, singaphetha ngokuthi uhlobo lwe-pilireatitis lwe-pancreatitis lwaqala ukukhula, okusho ukuthi ukwelashwa kufanele kuqale ngokushesha.
Esigabeni esilandelayo sokuxilongwa, kwenziwa ukuhlolwa kwegazi kwe-biochemical. Uma i-pancreatitis isesigabeni se-acute, kuzotholwa izinga le-transaminase.
Ukuxilongwa okunembile, udokotela wezifo zesisu angancoma i-cholangiopancreatography ngokungenisa okuhlukile kokuqhathaniswa kokucabanga kwama-magnetic resonance.
Ukwelashwa
Ukwelashwa kwe-pancreatitis ebaluleke kakhulu yenziwa kuphela esibhedlela ngaphansi kokuhlolwa kwe-gastroenterologist. Le ndlela ye-pancreatitis idinga ukwelashwa okuyinkimbinkimbi, okubandakanya ukwelashwa nokudla izidakamizwa.
Ukwelashwa ngezidakamizwa kwenzeka ngokuya ngohlelo olulandelayo:
- Ukususa ubuhlungu obukhulu, imithi inqunyelwe ama-antispasmodics kanye nama-analgesics. Esimweni esibi sesiguli, le mishanguzo ilawulwa ngokuhlinzwa.
- Esigabeni esilandelayo, umuthi kuhloswe ngawo ukwehlisa ukukhiqizwa kwama-enzymes wokugaya avusa amanyikwe. Amalungiselelo anamuhla enzymatic anqunyelwe.
- Ngemuva kwezinyathelo zokunciphisa ukuhlaselwa okuqinile kwe-pancreatitis ye-biliary, i-gastroenterologist inganquma ukwenza ukungenelela kokuhlinzwa. Le ndlela yokwelashwa kungenzeka uma i-pancreatitis ibangelwa ngokuqondile yi-cholelithiasis, izimpawu zazo ezivame ukubonakala ebusweni bomuntu.
Ukungenelela kokuhlinzwa kungenziwa ngezindlela ezimbili:
- Ukusikwa kwangaphandle kodonga olungaphezulu lwesisu - i-laparotomy;
- Ukubhobozwa okubili odongeni lwesisu - i-laparoscopy.
Indlela yokuqala ishibhile, kepha ayisiwona ubuhle obanele, kunemiphumela eseleyo ngesibalo.
Ukwelashwa kwe-pancreatitis ebaluleke kakhulu ayiphelele ngaphandle kwemvume kadokotela yokudla okuqinile. Kunemithetho eminingana isiguli okufanele ihambisane nayo:
- Kuyadingeka ukukhipha ngokuphelele kusuka ekudleni okuvamile kwesiguli, okuthosiwe, ukudla okunamafutha nanoma yikuphi ukuphuza utshwala. Yonke imikhiqizo ye-pancreatitis kufanele idliwe futhi ihanjiswe;
- Ukuba khona kwemikhiqizo ye-choleretic ekudleni, isibonelo, izikhupha zamaqanda, ibhotela noma ukhilimu omuncu, akuvunyelwe;
- Imvamisa yokudla okungenani amahlandla ayisihlanu ngosuku;
- Zonke izitsha kufanele zibe nokushisa kwama-40-50 degrees.
- Isitsha ngasinye sinikezwa etafuleni ngesimo se-mousse, amazambane abunjiwe noma e-pudding. Ngakho-ke, ukudla kungumhlabathi.
Ukuvimbela kanye nezinkinga ezingenzeka
Ukwelashwa okufanele kwe-biliary pancreatitis kuyisihluthulelo sokubuyela komuntu ngokushesha kwendlela yakhe ejwayelekile. Ngefomu lesifo elinzima futhi elinganakwa, kunobungozi bokuhambisa amatshe agxilile emiseleni ye-bile. Uma lokhu kwenzeka, khona-ke ukungenelela kokuhlinzwa kuyakhonjiswa.
Awukwazi ukungazinaki izimpawu ze-biliary pancreatitis, ukuvumela konke kuhamba wedwa. Uma kungekho ukwelashwa, zonke izitho zepheshana lesisu zizoshintsha futhi zingasebenzi.
Ukuhlaselwa kobuhlungu kuzokhula isikhathi ngasinye, ikakhulukazi ngemuva kokudla ukudla okusindayo, njengamakhekhe athosiwe, ushokoledi, i-okroshka, i-hodgepodge, amakhekhe neziphuzo zekhabhoni. Ngaphezu kwalokho, ukuvimbela, ungasebenzisa ukuqoqwa kwamakhambi ama-pancreas.
Ngesifo se-gallstone esithuthukile noma i-pancreatitis, kunengozi ye-parenchymal pancreatitis. Ukuvuvukala kwe-paancia yelense yomuntu kuhambisana ne:
- Isidingo sokwelashwa isikhathi eside esibhedlela;
- Ukuhlinzwa kakhulu;
- Isikhathi eside sezinqubo zokutakula;
- Ukuhambisana nokudla okuqine kakhulu kuyo yonke impilo.
Ukugwema ukwakheka kwe-pancreatitis ye-biliary kanye nokunye ukuphazamiseka komgudu wesisu, okungajika kube yisimo esingamahlalakhona, kubalulekile ukulandela indlela yokuphila enempilo: yidla kahle, uhlukane notshwala, futhi uvivinye umzimba njalo.
Ukulandela imithetho eyaziwayo nelula, ungayithuthukisa kakhulu impilo yakho, ukhuphule amandla futhi wandise isikhathi sokuphila.
