I-pancreatitis iba ezinganeni ngenxa yezinqubo zokuvuvukala ezicutshini nasezihlangwini zamanyikwe ngenxa yomsebenzi owandayo wama-enzyme. Lesi sifo sihambisana nobuhlungu obukhulu esiswini, umkhuhlane enganeni, isicanucanu nokuhlanza. Esimweni esingamahlalakhona, kunokwehla okukhulu kwesifiso sokudla, ukuncipha kwesisindo, izihlalo ezikhululekile kanye nokuphazamiseka kohlelo lwezinzwa oluzimele.
Ukuhlonza lesi sifo, udokotela unquma ingane ukuthi ihlolwe igazi nomchamo ngekhwalithi yama-enzyme, i-ultrasound, i-x-ray ne-compact tomography.
Lapho kutholwa i-pancreatitis ezinganeni, kunqunywa ukudla okuyisipesheli, izidakamizwa ezilwa namagciwane nezidakamizwa ezinikezwe yi-enzyme. Ngefomu lesifo esithuthukile, ukungenelela kokuhlinzwa kuyadingeka.
Izinhlobo zezifo
Ngokuya ngezinga lesifo, i-pancreatitis engapheli futhi eyingozi ezinganeni ihlukaniswe. Ngefomu lesifo esibi, i-pancreas iyavuvukala futhi inqubo yokuvuvukala kungenzeka. Kwisimo esinzima, kuthululwa igazi, i-pancreatic izicubu ze-necrosis kanye nobuthi ngamakhaza womzimba.
I-pancreatitis engapheli ihlala yakheka kakhulu ngenxa yokuqalwa kwe-sclerosis, i-fibrosis, i-pancreatic atrophy, okuholela ekwephulweni kwemisebenzi eyisisekelo yokusebenza komzimba. Ezinganeni nasebusheni, ifomu lesifo esingalapheki futhi elincane kakhulu elinamandla likhona kakhulu.
Ezinganeni, i-pancreatitis ibuye ihlukaniswe yi-purother, acute edematous, okunamafutha kanye ne-hemorrhagic, kuya ngezinguquko zomtholampilo ezigulini. I-pancreatitis engalapheki ingaba ekuqaleni futhi kwesibili imvelaphi, iphindaphindeke futhi ihambise phambili ekukhuleni, imnene, ilinganise futhi ibe nobucayi besifo.
I-pancreatitis ejwayelekile ingakhula, idambise futhi iphinde ikhule ngemuva kokululama okubonakalayo. I-Latent pancreatitis ayinazimpawu ezicacile zomtholampilo.
I-pancreatitis esebenzayo yenziwa ngendlela yokusabela komzimba ezinqubweni zokuvuvukala ngenxa yezifo ezahlukahlukene. Uma uthatha izinyathelo ngesikhathi bese uqala ukwelapha ukuvuvukala, ungamisa ukwakheka kwe-pancreatitis. Endabeni yesifo esigijimayo, i-pancreatitis esebenzayo ingakhula ibe yisifo esinezifo ezigcwele, ibenze nzima umsebenzi wamanyikwe.
I-pancreatitis nayo yabiwe, etholakala njengefa ngengane.
Izimpawu ze-pancreatitis ezinganeni
Ngokuya ngokuthi hlobo luni lwe-pancreatitis olutholakalayo, olungamahlalakhona noma olusebenzayo, izimpawu zokubonakaliswa kwalesi sifo ezinganeni zihlukaniswa.
I-pancreatitis eyingozi ingaba yingozi kakhulu empilweni yengane, ukukhula ngokushesha futhi ishiye nezinkinga ezinkulu ngemuva. Ngendlela ebabazekayo yalesi sifo, ingane izwa ubuhlungu obukhulu esiswini esiphezulu. Ngokuvuvukala kwawo wonke ama-pancreas, amabhande ezinhlungu abese enikezwa endaweni yokhohlo lwehlombe lesokunxele, emuva noma i-sternum.
Izingane, njengomthetho, zithola isimo esijwayelekile sokuphathwa kabi umkhuhlane, senqabe ukudla, sithola isicanucanu futhi kwesinye isikhathi sihlanza. Isisu ngesikhathi sokuthuthukisa lesi sifo sikhula kakhulu futhi sicutshaniswe. Futhi, i-jaundice ingahambisana nalesi sifo.
Ngendlela engapheli yesifo, zonke izimpawu ziyafana. Ngaphezu kwalokho, ingane iqala ukunciphisa umzimba ngokweqile ngaphandle kwesizathu esibonakalayo. Ngaphezu kwalokho, i-stool enomhluzi obomvana obunemichilo yamalongwe iyabonakala. Zonke lezi zimpawu ezingenhla zivela ngesikhathi lesi sifo sanda. Azikho izimpawu ezisobala ezizobonwa ngesikhathi sokuxolelwa.
I-pancreatitis esebenzayo ibonakaliswa ngendlela yokuhlaselwa yi-pancreatitis eyingozi. Lokhu kuhlaselwa kuhambisana nokwanda kwezifo zesibindi, i-gallder, isisu kanye ne-duodenum enganeni, i-pancreatitis esebenzayo eyingozi kakhulu.
Uma ungathathi noma yiziphi izinyathelo zokunikeza ukunakekelwa kwezokwelapha noma ukwelapha lesi sifo ngokungalungile, kungaba nezinkinga ezinkulu, kufaka phakathi i-pancreatic necrosis, ukwakheka kwe-cyst yamanga, ama-ascor pancreatogenic kanye nezinye izifo eziningi zempilo yezingane.
Ukuthuthukiswa kwe-pancreatitis eyingozi ezinganeni
I-pancreatitis ye-acute enganeni ivame ukuhambisana nesisu se-pancreatic. Ingane ingathola izinhlobo eziningana zobuhlungu esiswini:
- Ubuhlungu buzwakala endaweni yenkaba;
- Izinzwa zobuhlungu ziyavela futhi zinomphumela onamandla esithweni esithintekile;
- Umuzwa wesisindo uzwakala esiswini, ukugcwala nokubamba izindebe kuvame ukubonwa;
- Ubuhlungu bunikezwa ohlangothini lwesobunxele lwe-lumbar ne-hypochondria.
- Ngalesi sifo, izinga lokushisa lihlala livamile. Ukuhlanza njalo kungenzeka, futhi nokushintsha okulinganiselayo okuphathelene namanyikwe.
Ngenxa yokuhlolwa, udokotela angabona lezi zimpawu ezilandelayo enganeni:
- Isisu sivuvukala kancane;
- Lapho ezwa isisu, ingane izwa izinhlungu ezikhulayo;
- Kukhona ukushaya kwenhliziyo okusheshayo;
- Isikhumba ebusweni bengane sinomthunzi ophuzi noma, ngakolunye uhlangothi, ubomvu bubonwa;
Lapho ezwa isisu endaweni eyi-Shoffar, ingane izwa izinhlungu ezingapheli.
Ngemuva kokuhlolwa kwegazi elabhorethri, inani elikhulayo lama-leukocytes, ukwanda kwe-neutrophilic granulocytes egazini, ukwanda kwe-alanine aminotransferase, kanye nokwehla kweshukela egazini kutholakala. Nge-pancreatitis emaphakathi nendawo, inani elandisiwe le-lipase, i-amylase ne-trypsin lihleliwe.
Okwepancreatitis ebhubhisayo, izimpawu ezinjengokugabha okuphikelelayo, izinhlungu ezinzima eziphikelelayo ohlangothini lwesobunxele, ukwethuka, i-jaundice esikhumbeni kujwayelekile. Futhi, i-foci ye-necrosis yamafutha angaphansi angabonakala esiswini, emilenzeni, noma ebusweni. Lapho esexilongiwe, udokotela wembula ukushaya ngamandla okushodayo, ukuncipha kwengcindezi yegazi, isimo esishubile nesesichichithile esiswini.
Ukuba khona kwalesi sifo kuboniswa izinkomba ezinjalo zokuhlaziywa egazini njengokukhuphuka kwenani lama-neutrophils egazini, inani eliphansi lamaplatelet egazini, izinga elandayo lokuqunjelwa kwe-erythrocyte. Nge-pancreatitis, umsebenzi owengeziwe wama-enzyme athile uyabonakala futhi ukwelashwa kuyadingeka.
Izinkinga ze-pancreatitis ziyahlukahluka ngezinga lokuthuthuka kwalesi sifo. Izinkinga zakudala zihambisana nesimo sokushaqeka, ukwehluleka kwesibindi nezinso, isifo sikashukela, kanye nokopha kwezigaba ezahlukahlukene. Izinkinga zakamuva zifaka phakathi ukuthuthukiswa kwe-pancreatic pseudocysts, abscesses, phlegmon, fistula, ne-peritonitis.
Ifomu elingathi sina lesifo esibi ngenxa yokopha kakhulu, i-puritis peritonitis noma isimo sokushaqeka kungaholela ekufeni kwengane.
Ukuthuthukiswa kwe-pancreatitis esebenzayo
Le ndlela yalesi sifo yenzeka ezinganeni ngokungazelelwe njengokuphendula komzimba kunoma iyiphi inqubo. Ngesikhathi sokugula, ingane iba nomkhuhlane, isicanucanu, izinyawo ezingekho emthethweni, izinhlungu ezinzima esiswini, umlomo owomile, ukugoqa okumhlophe olimini, ukwelashwa kuyadingeka ngokushesha.
Njengomthetho, lesi sifo senzeka ezinganeni ngenxa yokwakheka kwesimila ngenxa yokusabela kokungezwani komkhiqizo noma izidakamizwa, ngakho-ke i-pancreatitis esebenzayo emzimbeni womntwana ilula kakhulu kunabantu abadala. Izimpawu zesifo kungenzeka zingabizwa kanjalo.
Ngalesi sizathu, ukunakwa okukhethekile kufanele kukhokhwe empilweni yengane uma ihlala ikhala ngobuhlungu besisu, futhi ibonane nodokotela ukuze acacisele ukutholakala kwalokhu kuthola ukuthi ukwelashwa kwenziwa. Uchwepheshe uzohlola ingane, anikeze ukudla okudingekayo futhi anikeze nemithi ekhethekile yokwelashwa.
Ngokuvamile i-pancreatitis esebenzayo ivame ukudala izinkinga ezinganeni. Lesi sifo sithinta isimo sepheshana lesisu kanye nokuqina kwamathumbu esiswini, okudala ukuqunjelwa, ukuguguleka, noma isilonda; ngemuva kokulashwa, kuzodingeka ukuthi ufunde inkomba yemikhiqizo ye-glycemic futhi unake ukudla kwezingane.
Ukwelashwa Kwe-pancreatitis
Uhlobo lokwelashwa luxhomeke ikakhulu kusilinganiso sokuthuthuka kwalesi sifo. Ukuze banciphise ukukhiqizwa kwejusi esiswini, odokotela banquma i-pirenzepine kanye neminye imishanguzo efana nayo ebambezela umsebenzi wamanyikwe.
Ukuze unciphise izinhlungu futhi uthuthukise uhlelo lokugaya ukudla, ukwelashwa kuphakamisa ukuthi kusetshenziswa iFestal nePancreatin. Phakathi kwama-antispasmodics kuma-painkiller kukhona uPlatifillin no-No-shpa.
Ukususa ukuvuvukala okwakhiwa ngenxa yokubhujiswa kwamaseli e-pancreatic, kusetshenziswa ama-antibacterial agents nama-enzyme.
Ukwelashwa kwe-pancreatitis ezinganeni kwenziwa ngokuqokwa kokuphumula okuqinile kombhede, ukwelashwa ngendlala, ukuphuza nokuqukethwe okuphezulu kwe-soda, ukucindezela okubandayo esiswini, ukugcwala kwesisu.
