Ezinye izifo zamanyikwe zibangela ukuncipha kwemisuka yawo kanye nokuqina kwemfihlo. Inqubo yokulimala okungamahlalakhona eyenzeka kuleli cala nayo ingaholela ekuphazamisweni kwe-metabolic. Konke lokhu kungaholela ekwakhekeni kwamatshe. Imvamisa ivimbela imicengezi yepancreatic. Lokhu kubangela ubuhlungu obukhulu kanye nokugayeka. Le ndlela yokusebenza kufanele iphathwe ngokushesha ukuze kungabikho zinkinga ezinkulu.
Isimilo esivamile
Ama-pancreas akhiqiza ujusi we-pancreatic, ocebile ngama-enzyme nama-enzyme. Udabula ukungena kwayo okuyinhloko kwi-duodenum futhi ubandakanyeka ekugayweni. Isesimweni esihle, le duct inendawo ebushelelezi. Kepha ngokuvuvukala noma ukuphazamiseka kwe-metabolic, inganciphisa, ishintshe ukwakheka. Ngenxa yalokhu, ama-pancreatic juice ama-stagnates, kwesinye isikhathi okuholela ekwakhekeni kwamatshe kumanyikwe.
Lokhu kudalwa kwe-pathology kuyaqabukela, akufani nokufakwa ezinso nasezinhlathini. Futhi kutholakala njalo, ngoba akuhlali kuboniswa yizimpawu ezisobala. Ngakho-ke, akuyena wonke umuntu owaziyo ukuthi amatshe angakheka kumanyikwe. Eqinisweni, avela lapho ngendlela efanayo nakwezinye izitho zomzimba.
Ngama-pathologies ahlukahlukene ejusi ye-pancreatic, ukugcwala kwama-enzymes nama-enzyme kuyanda, kungakhula. Izinhlanganisela zamaphrotheni ezingabandakanyi kancane kancane zakhiwa. Inqubo yokuvuvukala nokuphazamiseka kwe-metabolic, ikakhulukazi ye-phosphorus-calcium metabolism, kuholela ekushintsheni ekubunjweni kwejusi ye-pancreatic. Izakhi zamaphrotheni ziboshwe ngosawoti we-calcium. Ngenxa yalokhu, izingcezu zefomu eliqinile. Amatshe akule ndawo ajwayele ukuba mancane, ngesanti. Kepha, kancane kancane, usawoti we-calcium ufakwa kubo ngisho nangokwengeziwe, futhi bayakhula. Ngaphandle kokwelashwa okufika ngesikhathi, i-calculi enjalo ingaholela ekwephulweni okuphelele kwemisebenzi yalo mzimba.
Imvamisa, amatshe akha emiseleni enkulu ye-gland, etholakala ekhanda layo. Lokhu futhi kungenxa yokuthi amatshe avela gallbladder avame ukungena ngaphakathi komgodi. Bangakwazi ukubambelela kulo, okuholele emiphumeleni emibi. Kepha amatshe kwesinye isikhathi akhiwa ku-organ parenchyma. Lokhu kuholela ekuqineni ngisho ijusi, ukwakheka kwe-foci of tis necrosis. Kamuva, nazo zingathola ukubalwa. Konke lokhu kuholela hhayi ekugangeni kuphela, kodwa futhi nakokwehla komkhiqizo we-insulin.
Imvamisa, amatshe akha emiseleni yamanyikwe
Izizathu
Ukucwaninga kwanamuhla kusize ekuboneni ukuthi imvamisa ukubonakala kwamatshe emanyeni kuhlotshaniswa nesimo sofuzo. Bakha cishe isigamu samacala esidalwa njenge-pancreatitis eyindlalifa. Isigameko esifanayo se-pathology sibonwa nge-pancreatitis yotshwala. Ngaphezu kwalokho, noma iyiphi i-pathology ebangela ukuqina kwayo iholele ekuqandeni ijusi le-pancreatic. Kungaba yizimila noma izinqubo zokuvuvukala.
Kepha ukuvela kwamatshe kumanyikwe nakho kubangelwa ezinye izizathu:
- ukubhema nokusebenzisa kabi utshwala, obangela ushintsho ekwakhekeni kwejusi le-pancreatic;
- ukuphazamiseka kwe-hormonal emzimbeni;
- ukuphazamiseka okukhulu kwe-metabolic, njengokukhuluphala;
- izifo zokugaya, ikakhulukazi ukungasebenzi kahle kwesibindi;
- impilo yokuhlala;
- izifo ezithathelwanayo.
Kuze kube manje, abacwaningi abakwazanga ukuthola ukuthi kungani abanye abantu akha amatshe kumanyikwe, kanti abanye abane-pathologies efanayo abenzi. Kepha kuyabonakala ukuthi abantu abaneminyaka engaphezu kwengu-45 ubudala bekhula ngesisindo somzimba nezifo zesibindi, ukusebenzisa kabi utshwala noma umlutha wokubhema bathambekele kakhulu kule nqubo.
Izimpawu
Ezigabeni zokuqala, izimpawu zamatshe e-pancreatic azishiwongo. Zifana nokubonakala kwamanye ama-pathologies alesi sitho. Iziguli zingaphawula ukuba khona kwale mizwa:
Ngenxa yalokho i-pancreas kubuhlungu- isicanucanu, ukugabha kuxutshaniswe ne-bile;
- izinhlungu zeparoxysmal, zivame ukuzungeza, kwesinye isikhathi zize zifinyelele ekhweni;
- ukuba khona kwamafutha ezinduneni;
- ukuzithoba, ukuqhakaza;
- ukwanda kwesisulu;
- Ubuhlungu ku-palpation;
- ukujuluka ngokweqile.
Ekuqaleni, izinhlungu zivela kuphela njengokuphendula kokudla ngokweqile noma ukuphuza utshwala. Lapho-ke ziba namandla futhi zinde. Lokhu kuhlasela kungaqhubeka amahora amaningi noma izinsuku. Ngaphezu kwalokho, izinhlungu zinzima kakhulu ukuthi azikwazi ukususwa ngama-painkillers ajwayelekile. Lesi simo singakhombisa ukuqothuka kwemicu yendlala ngetshe. Ukuhlaselwa okunjalo kwesinye isikhathi kuyivelakancane impela, kanye njalo emavikini ambalwa noma eminyakeni. Kepha ngokuqhubeka kwe-pathology, baba kaningi.
Ngaphezu kwalokho, ukwephulwa isikhathi eside kokuphuma kwejusi le-pancreatic kungaholela ekuvuvukeni. I-pancreatitis eyingozi iba. Kulokhu, izinga lokushisa liyenyuka, izinhlungu ziba namandla kakhulu, ukutheleleka kungenzeka. Futhi uma itshe ligwedle i-duct ye-bile, lizobonakala ngokuphuzi kwesikhumba nokulunywa kanzima.
Ukuxazululwa njalo kwamatshe e-pancreatic yisifo sikashukela
Izinkinga
Amatshe kufanele alahlwe ngokushesha okukhulu. Kancane kancane, baholela ekusithekeni kwemfihlo e-gland, ekwelongeni izindonga zayo. Lokhu kudala ukukhula kwe-cell necrosis, ukubalwa kwabo. Kulokhu, amandla endlala yokukhiqiza ama-enzyme nama-hormone ayaphazamiseka. Izimpawu zokuwohloka kokugaya ziyavela - ukuncipha kwesisindo, ubuthakathaka, ukuntuleka kwamavithamini namaminerali.
Ngaphezu kwalokho, ukwehla kwamazinga we-insulin ne-glucagon kungaholela ekwakhiweni kokubekezelelwa kwe-glucose. Ngenxa yalokhu, iziguli eziningi zitholakala ukuthi zinesifo sikashukela. Ngakho-ke, uma kutholakala amatshe, kuyadingeka ukuthi kuhlolwe udokotela oyi-endocrinologist.
Ukuba khona isikhathi eside kwamatshe ku-gland kungaholela ekonakalisweni kwezicubu. Ngenxa yalokhu, kuvela ama-cysts noma ama-tumor abuhlungu. Ngakho-ke, ukwelashwa kwe-pathology akufanele kubambezeleke, ikakhulukazi ngoba ngesikhathi sokuqala amatshe angaqedwa ngosizo lwe-Conservative therapy.
Ukuxilonga
Ngaphambi kokwelashwa, kufanele kutholakale ukuxilongwa okunembile. Ngemuva kwakho konke, iningi lezimpawu zobukhona kwamatshe ziyefana nangezinye izindlela ezithile: ukunqotshwa kwamathumbu, i-pancreatitis eyingozi, isilonda se-duodenal, isifo se-gallstone.
Kwesinye isikhathi amatshe e-pancreatic atholakala ngesikhathi kuhlolwa ezinye izitho zesistimu yokugaya ukudla. Kulokhu, amabala amnyama ayabonakala ku-x-ray. Ukucacisa lesi sifo, udinga ukuthatha izithombe eziningana emcabangweni ohlukile. Kodwa i-radiography ingasungula kuphela ubukhona bamatshe. Ubungako babo, ubungako kanye nokwenza okwakhona kungabonakala ngesikhathi se-ultrasonography, i-ultrasound, i-CT noma i-MRI. Ukubuyiselwa kwe-cholangiopancreography kukuvumela ukuthi uhlole ubuningi bamacenge e-pancreatic.
Kuyadingeka ukuthi uhlale uhlolwa nodokotela ukuthola ukutholakala kwamatshe ekuqaleni, lapho kulula ukuwasusa
Izici zokwelapha
Iziguli eziningi ezithole amatshe kuma-pancreas zinentshisekelo yokuthi zingahoxiswa yini izindlela zokulondolozwa, ukuthi ngabe ukuhlinzwa kuyadingeka yini. Kuya ngezimpawu zomzimba ngamunye, ubukhulu nendawo amatshe akhona. Imvamisa, ukukhetha indlela yokwelashwa kunqunywa udokotela ngemuva kokuhlolwa okuphelele.
Ngaphezu kokuqeda amatshe ngokwawo besebenzisa ukwelashwa kokuhlinzwa noma okubandayo, kuyadingeka futhi ukwelapha lesi sifo esiyimbangela esidala ukuba sibumbe, kanye nokudla okukhethekile ukuvimbela ukubuyela emuva. Indlela ehlanganisiwe kuphela evimba izinkinga futhi imise ukuthuthukiswa kwe-pathology. Umsebenzi wokususa amatshe awabelwe njalo.
Izinkomba zokusetshenziswa kwawo zingaba yizimpawu ezilandelayo:
- ukukhiqizwa kwe-enzyme okwehlile, okuthinta ukugaya nokungenisa ushukela;
- ukuhlaselwa isikhathi eside futhi kubuhlungu;
- ubuhlungu obukhulu obungasuswa ngemithi ejwayelekile;
- ukuba khona kwenqubo yokuvuvukala;
- ukukhathala okukhulu kwesiguli.
Ngokuvamile, amatshe angasuswa kuphela ngokuhlinzwa.
Uma kungenzeka, kuphela amatshe asuswa ngesikhathi sokuhlinzwa. Kepha kwesinye isikhathi ukusika ingxenye ye-gland kuyadingeka. Lokhu kuyadingeka phambi kwezinqubo zokubala izindonga zayo. Ukuvimbela ukwephulwa kwemisebenzi yayo, bavame ukuqondisa kabusha i-duct ye-gland ngendlela ehlukile, bedlula endaweni evalekile. Ezimweni ezinzima kakhulu, i-pancreatectomy ephelele iyadingeka. Ngemuva kwayo, isiguli kuzodingeka siphuze njalo amalungiselelo e-enzyme futhi siphuze i-insulin.
Enye indlela ukushaya amatshe kusetshenziswa i-kutali shock wave lithotripsy. Amatshe amatshe aqhekeka acishe afinyelela esihlabathini, bese asuswa esebenzisa i-endoscope. Izindlela ezinjalo zisebenza kuphela lapho kukhona ukwakhiwa okuningana okuncane okukhona esifundeni sekhanda.
Ukwelashwa okuqondayo
Uma unetshe elilodwa elincane, ungakwenza ngaphandle kokuhlinzwa. Lokhu kungenzeka uma kungekho zimpawu zokuvuvukala, izinhlungu ezinzima, kanye nezinkinga zesifo sikashukela. Kunemithi ekhethekile engahlakaza ukwakheka okunjalo. Le yi-Ursodiol noma iHenodiol. Kepha angakwazi ukuphatha amatshe amancane nje.
Ukwelashwa kokuqapha kufanele futhi kwenziwe umsebenzi wokuvikela ukwakheka kwamatshe amasha. Kulokhu, kusetshenziswa ama-ejenti enza ukuthi inqubo izinqubo ze-metabolic zenziwe ngokwejwayelekile, avimbele ukujwabuzwa k ujusi wepancreatic, futhi anciphise ukuvuvukala Kuyadingeka ukususa ukuvuvukala kwendlala, lokhu kungathuthukisa amandla emibele. Ukwelashwa kokufaka i-enzyme kanye nokudla okukhethekile kudambisa ukucindezelwa kwama-pancreas. Ngenxa yalokhu, amatshe amatshe amancane angaphuma ngokuzimela emathunjini.
Ngokungeziwe ekwelashweni okuyinhloko, amakhambi esintu angasetshenziswa. Zizosiza ekudambiseni isimo esijwayelekile, bathuthukise ukugaya futhi banciphise ukucindezelwa kumanyikwe. Ngokuvamile, ama-decoctions wezitshalo zokwelapha asetshenziselwa lezi zinhloso: i-nettle, dandelion, izimpande ze-magazus, i-wort yaseSt. Itiye eliwusizo kusuka emahlangeni ama-rose, ama-blueberries noma ama-lingonberry.
Umsoco
Uma kukhona amatshe kuma-pancreas, kufanele ulandele indlela yokudla. Esikhathini sokuqala kwe-pathology, lapho ukwakheka kusekuncane futhi kungabi kuningi, ukondliwa okukhethekile kungaba nomthelela ekuqhekekeni kwabo. Ngaphezu kwalokho, lokhu kudla kuvimbela ukukhula kwamatshe nokuvela okusha.
Kepha lokhu udinga ukukugcina njalo. Into ebaluleke kakhulu ukungadli ngokweqile. Kungcono ukudla kaningi, kepha ngezingxenye ezincane, ukunciphisa umthwalo kumanyikwe.
Imikhiqizo elandelayo ikhishwe ngokuphelele ekudleni:
- inyama enamafutha nenhlanzi;
- ukudla okuthosiwe;
- ibhotela;
- izinongo;
- ukudla okusemathinini;
- iziphuzo zekhabhoni;
- utshwala
- ikofi, itiye elinamandla, ushokoledi;
- wabhema inyama.
Ukudla kwesiguli kufanele kube nenyama ebilisiwe ebilisiwe, imifino ethosiwe, imikhiqizo yobisi. Isinkwa esimhlophe esimisiwe, okusanhlamvu, izithelo ezi-stewed nejelly kusuka amajikijolo, kuvunyelwe i-pasta.
Ngokulashwa okufika ngesikhathi, i-prognosis ebikhona ematsheni kumanyikwe iyathandeka. Ukusebenza kuphumelele ngaphezu kwe-80%. Futhi uma ulandela izincomo zikadokotela nokudla okukhethekile, ungavimbela ukuphinda kwabo.
