Izimpawu zesifo se-pancreatic kwabesifazane

I-pancreas iyisitho esisebenzayo sokugaya esisungula ama-enzymes namahomoni. Inesakhiwo se-anatomical esilula futhi sakhiwe ngezicubu zemisipha kanye namacembe lapho ujusi we-pancreatic uthuthukela kwi-duodenum.

Iqiniso lokuthi i-pancreas alilungile, abantu abazi ngokushesha. Ngenxa yendawo yayo ejulile ngaphakathi emzimbeni, kunzima kakhulu ukubona noma iziphi iziphambeko nokungalingani ngisho nokuhlolwa okuphelele.

Izizathu

Izimbangela eziphambili zesifo se-pancreatic kubantu besifazane wukudla ngokweqile, ukudla okuqinile, ukungasebenzi ngokomzimba kanye ne-pathology yepheji le-biliary. Ngaphezu kwalokho, ukucindezela nokukhathazeka kuyithinta ngokuqinile impilo yesitho, okuyingxenye yengxenye yabantu engenamandla.

Ayikho imininingwane esemthethweni yokuthi ngubani otholakala kalula ekuthuthukiseni i-pancreatitis namanye ama-pancreatic pathologies. Kodwa-ke, ukuzijwayeza kukhombisa ukuthi ngabesifazane abasengozini enkulu. Izici ezinjengomuthi oqhubeka isikhathi eside futhi ongalawulwa, ukudakwa, izifo ezithathelwanayo ngamagciwane kanye nokuhlaselwa yisinambuzane nakho kungavusa ukuvuvukala.

Ukuqinisekisa noma ukuphika izinsolo zezinkinga ngama-pancreas kuzosiza i-ultrasound

Ukuphazamiseka komsebenzi we-pancreatic kuholela ekubonakala kwezifo ezahlukahlukene, ezithi:

• isifo sikashukela mellitus;
• i-pacreatitis;
• i-pancreatic necrosis;
• i-benign ne-neoplasms enobungozi;
• i-cystic fibrosis.

Izimpawu zokuqala

Esikhathini sokuqala, izimpawu zesifo se-pancreatic kwabesifazane azivezwanga kahle futhi kungenzeka zingabikho ngokuphelele. Imbangela ye-alamu ingaba usizi esiswini sangaphezulu kwesobunxele, esivame ukwenzeka ngemuva kokudla noma eduze nobusuku. Ubuhlungu bungaba buthuntu futhi bunikeze ngaphansi kwehlombe lehlombe.

Lapho lesi sifo sikhula, kuvela ezinye izimpawu zomuntu:

• wehlise isifiso sokudla waze wanyamalala ngokuphelele;
• I-dyspeptic phenomena - ukuqunjelwa, isifo sohudo, ukuqhakaza kanye ne-flatulence, ezimweni ezingavamile, ukuphazamiseka kwamathumbu kuyaphawulwa;
• ukoma kanye nezwi eliphaphathekile lesikhumba;
• kuphuzi kwe-sclera yamehlo;
• isicanucanu, ukuhlanza
• ubuthakathaka kanye nokunciphisa umzimba.

Kuyaqapheleka ukuthi izimpawu zesifo se-pancreatic kwabesifazane zivame ukufana nezibonakaliso zezifo ze-gynecological. Lesi esinye isizathu esenza ukuthi abesifazane baye ku-gastroenterologist sekwephuze kakhulu.

Ukuhlolwa okulula kuzosiza ukuqeda ukungabaza nokuthola ukuthi yini ngempela elimazayo. Ezigulini zamanyikwe, i-pain syndrome iyanda lapho ilele emhlane. Isimo siyadedelwa esimweni esinezimilenze ezigogekile nangesiqalo esiswini.

I-pancreatitis ye-acute

I-pancreatitis yisifo esidala ukuvuvukala kwama-pancreas, okuhambisana nokuphulwa kwemisebenzi yangaphandle ne-intrasecretory. Imbangela yayo ngokushesha ukuvinjwa kweziqubu ngama-neoplasms noma ngamatshe avela gallbladder.

Ukuhlasela kwe-pancreatitis ebukhali kungenzeka ngokuzumayo ngemuva kwesidlo esijabulisayo esihlanganiswa notshwala. Iningi lokuhlaselwa okunjalo kubhebhethekisa ukusetshenziswa kotshwala.

Ukudla okubandayo - ama-aspic, ama-aspic, amakhowe aqotshwe kanye nemifino kungasheshisa ukukhula kwenqubo yokuvuvukala. Iziguli ezi-3 kwezingu-10 ngesikhathi sokuqala kokuhlaselwa sezivele zinokuxilongwa okuhambisana ne-pathologies yepheji le-biliary. Cishe i-10% yamacala, i-pancreatitis eshubile ithinta abesifazane abahlinzwa ngaphandle kokulimala, ukulimala kwamathumbu emathunjini, ukutheleleka ngegciwane noma ubuthi.

Isibonakaliso esiholayo salesi sifo sibuhlungu obukhulu be-epigastric, obuhambisana nokucanuzelelwa kwenhliziyo, okuholela ekuhlanzeni. Cishe zonke iziguli zinokuqhakaza, ukuqina kwemisipha esiswini, futhi kubonise ubuhlungu emuva.

Uma ukuhlaselwa kwesibili kwenzeka kungakapheli izinyanga eziyisithupha ngemuva kokuqala, khona-ke singakhuluma nge-pancreatitis eyingozi kakhulu.

Kubalulekile ukwazi ukuthi uma usola i-pancreatitis, akufanele ucindezele izinhlungu ngamaphilisi noma ngokuzilambisa, ngoba izimpawu zesifo se-pancreatic zingahlanganiswa kalula ngokuhlaselwa kwe-appendicitis noma i-cholecystitis.

I-pancreatitis engapheli

Izimpawu zokuqala zesifo sikashukela

I-pancreatitis ebukhali ekugcineni ingaphenduka ifomu elingamahlalakhona, elibonakaliswa ngokwakhiwa kwe-pseudocysts okuthiwa yi-pseudocysts kanye nokubhujiswa okungaphendukiyo kwamaseli wesitho. Ukubonakala kobuhlungu ku-hypochondrium yesobunxele kuqhutshwa inqubo yokuvuvukala, ushintsho ekwakhekeni kolwelwesi nokuqhekeka kweziqubu.

Ukwakheka kwezimila nezibazi kuxaka ukuphuma kwejusi le-pancreatic, ngenxa yalokho ingcindezi emihubeni inyuka futhi nokugeleza kwegazi kwendawo kuyaphazamiseka. Ngenxa yokuvuvukala, izinzwa ziyanda futhi ziyavuvukala, okubangela ubuhlungu nokungaphatheki kahle. Ubuhlungu bungenzeka imizuzu engama-30 ukuya kwengamashumi amane ngemuva kokudla noma ukuphazamisa umuntu njalo. Uhlobo lobuhlungu ikakhulukazi bu-paroxysmal, ukuqaqamba.

I-cyst ne-pseudocyst

I-pancreatic cyst ukwakheka okune-ketshezi ngaphakathi equkethe ujusi we-pancreatic, amaseli we-parenchyma afile, igazi noma ubomvu. AmaCysts angazalwa kabusha noma atholakale, ukuthuthukiswa kwawo kuqalwa ngokumelene nesizinda se-pancreatitis esivele kuviki le-3-4.

I-pancreatitis engapheli ilukhuni ukwakheka kwama-cystic ezimweni ezingaba ngu-15 kweziyikhulu ngenxa yokusebenzisa kabi utshwala, kanye nokulimala komzimba. AmaCysts angavela ngokuqhamuka ngemuva kwe-cholelithiasis kanye nama-tumors.

Izimpawu zesifo se-pancreatic lapho kukhona ama-cysts yile ndlela elandelayo:

• ichithe izinhlungu engxenyeni yesithathu engenhla yesisu ngakwesobunxele;
• umuzwa wobunzima esiswini;
• isicanucanu, ukuhlanza, izihlalo ezingazinzile;
• ukunciphisa umzimba.

Ukwelashwa kokuhlinzwa kwama-cysts, ukukhethwa kwendlela kuncike ngosayizi kanye nezimbangela zokwakheka, isimo semidumba kanye nezinga lomonakalo esitho.

Ama-Cysts angabukeka futhi abe malignant, osayizi bawo ahluka kusuka ku-20 mm kuye ku-10 cm ubukhulu

I-pancreatic necrosis

I-pancreatic necrosis ingenye yezinkinga ze-pancreatitis futhi ibonakala ngoshintsho olonakalisayo kuma-pancreas. Lesi sifo siqala kungazelelwe ngezinhlungu ezibunji futhi ezibukhali zebhande eziphuma ohlangothini lwesobunxele, ehlombe naphansi emuva. Iziguli ezi-7 kwezingu-10 zingeniswe esibhedlela zisesimweni sokudakwa ngokweqile, okukhombisa ukuthuthuka okusheshayo.

Amahora ambalwa ngemuva kokuqala kobuhlungu, ukugabha okungenakuphikiswa kwenzeka, okungahlotshaniswa nokudla kokudla. I-Vomit ingaqukatha i-bile noma igazi, umzimba uphelelwe ngamanzi, futhi umsebenzi we-urine uyancipha.

Nge-pancreatic necrosis, ukuqhakaza kuyabonakala, amabala abomvu aluhlaza okwesibhakabhaka avela emathanjeni ezithweni ezithambile avele esikhunjeni lapho kumenyezelwa khona amanyikwe. Isikhumba sithatha umbala ophuzi ophuzi noma owomhlaba futhi sibande lapho ungathintwa.

Lesi sifo sihambisana nokukhubazeka kwenhliziyo, kwehle umfutho wegazi. Isiguli sivame ukuphefumula kakhulu, okubonisa ukudakwa okungathi sína komzimba. Ngenxa yokungezwani ubuthi kanye nokwanda ushukela wegazi, i-encephalopathy iba. Ukulimala ebuchosheni kubonakaliswa ngokudideka, ukweqile, ukulahleka kokuma. Ezimweni ezingama-30%, kuthola ukoma.

I-cystic fibrosis

I-cystic fibrosis, noma i-cystic fibrosis, iyisifo sofuzo futhi ibonakala ngokulimala kwezindlala ze-endocrine nezitho zokuphefumula. Ukushintshwa kwe-patological kuthinta hhayi kuphela ama-pancreas, kepha nesibindi, amathumbu, ukujuluka nezindlala ze-salivary.

Imbangela ye-cystic fibrosis ukuguqulwa kwezakhi zofuzo ze-CFTR ezise-chromosome yesi-7

Izingane ezindala zikhononda ngokugawulwa kwesisu, izihlalo ezingekho emthethweni, umuzwa wokungezwani ngaphansi kwezimbambo, kanye nenausea. Ezigulini ezincane kakhulu, i-cystic fibrosis ibonakaliswa yizimpawu ezilandelayo:

• lag ekukhuleni nasekuzuzeni isisindo;
• ukukhwehlela owomile ngokuxhumaxha kanye nokuphefumula komoya;
• ukujuluka nokufutheka okunosawoti ngokweqile ngenxa yokukhuphuka kukasawoti;
• izitulo ezihlala njalo ezinephunga elibi elingahlanzwa kahle futhi eligeziwe.

I-Neoplasms

Ama-Tumor formations angakha ezindaweni ze-endocrine noma ze-exocrine zamanyikwe. Kodwa-ke, ezimweni eziningi, i-adenocarcinoma ye-pancreatic i-tumen enobungozi. Izimpawu zalo zivame ukungacaciswanga futhi empeleni aziveli, okuholela ekutholakaleni sekwedlule isikhathi.

Ama-pancreatic malignancies ayizindlela ezinolaka zomdlavuza futhi zibiquitous.

Izimpawu zobuhlungu nezimpawu - ukulahleka kwesifiso, ukunciphisa isisindo kanye nobuthakathaka obujwayelekile - kwenzeka kuphela nge-metastasis, lapho imisebenzi eminingi yezitho zokugaya iphazamiseka.

Ama-tumor we-Benign akavamile futhi akhiwa ngokuyinhloko kusuka kumaseli ahlanganisa ama-enzymes wokugaya ukudla. Ama-Neoplasms akhula esifundeni se-endocrine se-pancreas angaphakathi futhi asebenza ngokwezinga le-hormonal. Lezi zamuva zinesithombe somtholampilo esikhanya kakhulu, ngoba zakha inani elikhulu lezinto eziphila ngokusebenza. Lokhu kubangela "ukuqhuma kwehomoni" yangempela emzimbeni.

Ucwaningo lwakamuva selukhombisile ukuthi zombili izimila ezibangelwa yizisu kanye nezinsimbi zikhula kwabesifazane kaningi njengakwabesilisa. Njengomthetho, zitholakala ziseminyakeni engu-35 kuye kwengama-50.

I-insulinoma iyakhiwa, njengomthetho, isuka kumaseli wezinqola zamaLangerans futhi ifake i-insulin i-insulin ngokungalawuleki ingene egazini

Isimila singabonakala kunoma iyiphi ingxenye yamanyikwe - ekhanda, emzimbeni noma emsileni. Kwesinye isikhathi akwenzeki ukusungula ukwakheka kwendawo okucacile kwe-neoplasm. Inqwaba yamathumba ayizivezi iminyaka eminingi. Imvelo yabo ebabazekayo ingabonakala ngokukhula kancane, ukungabi bikho kwezimpawu ezikhulunyiwe namacala omdlavuza we-pancreatic ezihlotsheni.

Ama-tumors anjenge-cystadenocarcinoma ne-cystadenoma abangela izimpawu zezimpawu lapho ubukhulu obukhulu bufinyelelwa kanye nokuxinana kwezitho zomakhelwane - amathumbu, izinzwa zemithambo yegazi nemithambo yegazi.

Nge-insulinoma, izinga le-insulin egazini lihlala likhuphuka, okuholela ku-hypoglycemia. Ukuthuthukiswa kwe-gastrinoma kuhambisana nokukhuthaza ukukhishwa kwe-hydrochloric acid kanye nokuvela kwezilonda zesisu nezilonda ze-duodenal.

I-Vipoma isimila esingajwayelekile kakhulu, uphawu lwaso main wukuphamba komzimba nokuqhubeka kwesikhathi eside, okuvela ngisho nalapho kungekho kudla esiswini.

I-pancreatic carcinoid, noma i-carcinoid syndrome, ibonakala ngokukhazimula njenge-climacteric, pain sp esis esiswini kanye nokuhlukunyezwa kwenhliziyo.

Izibalo zikhombisa ukuthi cishe amaphesenti angama-40 amacala pancreatitis acute aphela kakhulu. Njengoba ukuvuvukala okukhulu kwamanyikwe kuvame ukwandulelwa yizimpawu zomuntu, azinakwa. Ngokufaka isicelo sokwelashwa ngesikhathi, ungakugwema ukwelashwa isikhathi eside kanye nezinkinga ezinkulu. Yiba nempilo!