Amanyikwe atholakala emgodini wesisu ongaphezulu kwabesilisa nabesifazane. Lo mzimba uqukethe inhloko, umzimba nomsila. Akunakwenzeka ukweqa ukubaluleka kwamanyikwe kuwo wonke umzimba womzimba uwonke.
Ezicubu zayo, kukhiqizwa izinto nama-enzyme athatha ingxenye enkulu ekugayweni kwamaprotheni, ama-carbohydrate namafutha. Okokuqala, bangena ukugeleza okujwayelekile kwamanyikwe, bese kuthi emuva kwalokho baphinde baqondiselwe kabusha emathunjini e-duodenal (duodenal), lapha kutholakala umphumela wokudla kokudla.
Ngaphezu kwalokho, kuma-pancreas kukhona akhethekile, akhiqiza i-insulin, amaseli. Lapho esegazini, i-insulin ilawula izinga likashukela emzimbeni. Uma le-hormone ikhiqizwa ngamanani anganele, khona-ke umuntu angathuthukisa isifo sikashukela, izimpawu okumele wonke umuntu azazi.
Izimpawu ezijwayelekile zenkinga
Zonke izinhlobo zezimpawu zesifo se-pancreatic ziyefana futhi zinezimpawu ezifanayo:
- ukuphazamiseka kwengqondo
- Ubuhlungu nezinye izibonakaliso zesimo esijwayelekile,
- Ubuhlungu buvela esifundeni se-epigastric sesisu,
- kungenzeka kube ama-shingles,
- vuka ku-hypochondrium yesobunxele,
- nikeza emuva noma ngaphansi kwekhwapha langaphandle kwesokunxele,
- Uhlobo lobuhlungu bungaba yi-paroxysmal futhi luhlala njalo.
- Ngemuva kokudla ngokweqile, ukudla othosiwe, izinongo, ukudla okunamafutha notshwala, izinhlungu ziyanda.
- Kuyasiza ekwandeni kobuhlungu nemfudumalo, kepha ukubanda kuyayinciphisa kancane.
Kwesinye isikhathi eminye imithambo yemizimba ephoqelelwe isiza ukusinda ebuhlungwini: ukuma okuhambisana namadolo adonsele esifubeni, kuhleli, kuguqe phambili. Esikhathini esizayo, ukudla kuzodingeka ukugwema ukuphinda ubuye. Lapho i-palpation yesisu ku-hypochondrium yesobunxele, kuzwakala ubuhlungu. Ukuphazamiseka Kwezinkinga Zokudla kufaka phakathi:
- isifo sohudo
- isicanucanu
- ukuhlanza
Isifo se-pancreatic sibonisa ukuncipha okubukhali okungacolisiseki kanye nesifiso esinciphile, lokhu kusebenza kwabesilisa nabesifazane.
Izindlela zanamuhla zokuhlola umzimba womuntu (i-ultrasound, i-computer tomography, ezinye izifundo ezikhethekile ze-x-ray) zikuvumela ukuthi uthole isithombe sekhwalithi ephezulu yalesi sitho esibonelweni bese uqhathanisa nezimpawu, uthola isithombe esicacile ngokwenzekayo.
I-pancreatitis ye-acute
Lesi sifo sivame ukuqala kakhulu. I-pancreatitis e-acute ingavusa ukusetshenziswa kwamafutha nokudla okunezipayisi, ukudla ngokweqile nokuphuza utshwala. Izimpawu eziphambili ze-pancreatitis eyingozi zinhlungu. Lokhu kubuhlungu kwenzeka e-hypochondrium yangakwesobunxele, esifundeni se-epigastric, kungaba yi-herpes zoster. Ubuhlungu buhlinzeka engxenyeni yesobunxele yesifuba, emuva, ezingxenyeni ezingezansi nangemuva kwesisu,
Kungenzeka ukudambisa izinhlungu ngobunzima obukhulu, ngoba uqinile kakhulu, ubukhali futhi unesicefe, ukwelashwa kufaka ukuthula kanye nama-painkillers, kudingeka ukudla. Lapho uncika phambili, esimweni sokuhlala, izinhlungu ziyancipha. Imvamisa umlingani wobuhlungu ukugcwala kwenhliziyo kanye nokuhlanza okuphindaphindayo, okungalethi mpumuzo. Isimo esivamile sesiguli naso asigculisi, ukushaya kwenhliziyo kuyashesha, umfutho wegazi wehla. Ngaphandle kokungabaza, lapha udinga ukwazi ukuthi yini ongayidla nge-pancreatitis.
I-pancreatitis engapheli
Isifo se-pancreatic esiteji sokuqala sibonisa izinguquko ezikhathini zokwanda, ngezikhathi zokuzola okuhlobene. Futhi lapha, izimpawu ze-aspen zibuhlungu. Zenzeka kwi-hypochondrium yangakwesobunxele, esifundeni se-epigastric, ngemuva, endaweni engakwesobunxele futhi kungaba yi-herpes zoster. Isiguli kufanele sinqunyelwe ukudla.
Ubuhlungu buyaphikelela noma i-paroxysmal. Njengoba kunjalo nge-pancreatitis eyingozi, ukusetshenziswa kwamafutha kanye nokudla okunezipayisi, ukudla ngokweqile nokuphuza utshwala kungavusa ukuhlaselwa. Kuyasiza ekwandeni kobuhlungu nemfudumalo, kepha ukubanda kuyayinciphisa kancane. Ubuhlungu obunjalo bunzima kakhulu ukwelapha ngemithi.
Njengoba i-gland incipha ngosayizi, izimpawu eziyinhloko zibangelwa ukwehla kwesikhumba se-pancreatic. Inqubo yokumuncwa nokugaya ukudla iyaphazamiseka. Iziguli zikhononda ngokuqhakaza nokugungquza kuyo, imvamisa kuba nesifo sohudo noma ukuqunjelwa. Izimpawu ezihambisana nakho kuwenausea nokuhlanza. Ukudla kuyalahleka, isisindo siyancipha.
Uma inani lamaseli akhiqizwa yi-insulin ezicutshini ze-gland lincipha, khona-ke amathuba esifo sikashukela. Isiguli sikhononda ngokoma nokwanda kwenani lomchamo wansuku zonke.
Ukuxilongwa nokwelashwa kwe-pancreatitis engapheli kuyinkimbinkimbi kakhulu yokuthi izimpawu zezindlela ezihlukile zesifo ziyafana kakhulu komunye nomunye. Ukwenza lula lo msebenzi, izindlela eziwusizo kakhulu zokuhlola zisetshenziswa kabanzi kwezokwelapha namuhla, njenge-ultrasound, izifundo ze-X-ray kanye ne-compact tomography ye-pancreatic ducts. Ukudla kuyadingeka futhi.
Ama-pancreatic tumors
Kunezinhlobo ezimbili zesimila se-pancreatic. Lokhu ngumdlavuza we-gland, okuvame kakhulu futhi kube ngama-tumors asebenzayo ama-hormone aqhamuka kumaseli akhethekile nama-secrete ama-hormone ngamanani amakhulu.
Izimpawu zomdlavuza we-pancreatic zihlukahlukene kakhulu. Kwezinye izimo, kuya ngendawo yesibungu esiswini. Umdlavuza wekhanda uvame ukuba yimbangela ye-jaundice elandelayo. Futhi umdlavuza womzimba nomsila kuholela ekuthuthukisweni okusheshayo kwesifo sikashukela kanye nokwelashwa kuba nzima ngokwengeziwe.
Inketho evame kakhulu yinkambo enzima eqhubekayo ye-pancreatitis engamahlalakhona. Kunoma yikuphi kwalawa macala, kuvela lezi zimpawu ezilandelayo:
- nobuhlungu obukhulu
- ukulahleka kwesifiso
- ukunciphisa umzimba.
Ngenxa yezindlela zokucwaninga zesimanje, ezibandakanya ukusetshenziswa kwemishini ye-ultrasound, umdlavuza we-pancreatic ungabonakala esigabeni sokuqala noma ngabe ukubonakaliswa kwawo ungekho ngokuphelele, okusivumela ukuba nethemba lokwelashwa okunomphumela omuhle.
I-Insulinoma
Amangqamuzana aleli thumbu ngesilinganiso esikhudlwana afihla i-insulin ye-hormone. Izimpawu zesimila - izimo eziba khona ngezikhathi ezithile ezibangelwa ukuncipha okusheshayo koshukela wegazi esigulini. Ukugwema lokhu kusiza ekudleni okulinganiselayo nokudla ushukela okufika ngesikhathi.
Lezi zimo zingabangelwa ukuzikhandla ngokweqile komzimba kanye nekhefu elide phakathi kokudla. Izimpawu zesimila:
Ubuhlungu enhliziyweni,
tachycardia
umuzwa onamandla wendlala
- ukujuluka ngokweqile
- umfutho wegazi ophakeme
- ukukhathazeka
- injabulo
- ezimweni eziphambili, ukudideka.
Zonke lezi zimpawu zibonakala ngokushesha ngemuva kokuthatha uswidi, itiye elimnandi noma ukujova isisombululo se-glucose emithanjeni; zonke lezi zindlela ziyindlela yokuqala yokwelashwa ekuvumela ukuthi wehlise ijubane ukukhiqizwa kwe-insulin. Njengokulindelekile, ukudla kunconyelwa iziguli.
Gastrinoma
Lesi isimila sibonisa i-gastrin yamahomoni, yona, evusa ukukhululwa kwe-hydrochloric acid esiswini. Isilonda esiswini noma isilonda se-duodenal, uhudo - lezi yizimpawu eziyinhloko ze-gastrinoma, ukwelashwa kungaba ukubamba noma ukuhlinzwa.
Izilonda ngokuvamile azihlali zodwa, zihambisana nobuhlungu obukhulu esiswini. Ngemuva kokwelashwa, kunconywa ukudla
Isigaxa se-Carcinoid
Ikhula kusuka kumaseli afaka izinto ezibuthakathaka kokuphila, okuthi emva kwalokho zisebenze emithanjeni yezingxenye ezahlukahlukene zomzimba. Izimpawu eziphambili zesimila se-carcinoid ukuhlaselwa yisisu nohudo. Ngaphezu kwalokho, ngezikhathi ezithile, kuvela ubomvu bezindawo ezinkulu zesikhumba, butholakala ebusweni ebusweni, entanyeni, ebusweni bangaphambili bomzimba.
Ububomvu bungabonakala kalula, kepha bungashiwo. Ukuze abonakale esigulini, kwanele ukuphuza i-25-50 ml ye-vodka. Ukwelashwa kwesimila kungasebenza, njengoba kwezinye izimo, isiguli sinqunyelwe ukudla. Futhi nokho, izimpawu zomdlavuza we-pancreatic kwabesifazane ziyefana nakwabesilisa, ngakho-ke ngeke kube nzima ukukudida.
I-cystic fibrosis
Lesi sifo sihambisana nobuhlungu bokukhubazeka amathumbu, ukuqubuka kaningi komzimba, ukuthokomala, kanye nokwehla kwesifiso sokudla. Amakristalu kasawoti, ubuthakathaka bemisipha nomlomo owomile kuyabonakala esikhunjeni.
I-pancreatic cyst
Lesi sifo sibonakaliswa yizinhlungu ezibuthakathaka, nezesikhashana. Ayaqina uma ukwakheka kunobukhulu obuhlaba umxhwele, ngenxa yalokho imiphunga yemigqa yezinzwa icindezelwa noma i-capsule ye-gland idonswe.
Uma inqubo ivela ekhanda, ingxenye efanele ye-epigastrium iphuthuma, uma umsila uthintekile, ngakwesobunxele. I-cyst enkulu ingazwakala ngodonga lwangaphakathi lwesisu. Uma i-supplement ivela ku-cyst, izinga lokushisa lesiguli liyenyuka futhi nobuhlungu besisu bubonakala. Ukwelashwa kuvame ukuhlinzwa, kepha kungaba khona ukwelashwa ngaphandle kokuhlinzwa uma i-cyst ingamiswa ekukhuleni. Kodwa-ke, noma yikuphi ukudla noma izidakamizwa akunikezi isiqinisekiso esiphelele sokukhululwa, ngakho-ke ukwelashwa kuvame ukukhethwa futhi kusheshe.
I-pancreatic necrosis
Kubonakaliswa ngeminjunju ebukhali ebukhali ngemuva kwe-sternum noma epigastrium. Lezinhlungu zinganikezwa emuva noma i-collarbone. Ngokuphefumula kanzima, isiguli singaba nesimo sokushaqeka, sihambisane nokuqwasha. Okubi kakhulu ukuthi i-pancreatic pancreatic necrosis ingabulala.