Ukungafani kwe-anatomical kubantu bobulili obuhlukile ekwakhiweni kwesitho sokugaya ngemisebenzi ye-endocrinological akukho. Sekutholwe ukuthi ezingxenyeni ezingaphezu kwesigamu zamacala okuxilonga i-pancreatitis eyingozi futhi engalapheki, imbangela ukuhlukunyezwa kotshwala. Esigabeni sobudala esingaphansi kweminyaka engama-40, leli phesenti liphezulu kakhulu. Ukuboniswa kwezifo ze-pancreatic kungacacisa, kufihlwe, kube nesisindo ngamanye ama-pathologies akhona emzimbeni. Ungasibona kanjani isifo se-pancreatic futhi uqale ukwelashwa ngesikhathi?
Izimpawu ezihlukanisayo
Ukuthuthukiswa kwe-pathologies emadodeni amancane angenazimpawu zokuzalwa komzimba wephephisi elisetshenzisiwe kufanele kuholele i-gastroenterologist okokuqala ukucabanga ngembangela yotshwala okungenzeka. Iziphuzo eziqukethe utshwala zinomphumela onobuthi ezicutshini zezakhi zepancreas.
Ukulawulwa kwezinzwa kwesitho kuyaphazamiseka, ukukhiqizwa kanye nokuqina kweputuru yokugaya kukhubazekile. Imfihlo yotshwala iwugqinsi. Ngenxa yokuvuvukala kolwelwesi lwe-mucous lwe-duodenum, okuqukethwe kwalo kuphonswa emuva ku-pancreatic duct. Ukwanda kwesimilo sokuqina kokudakwa kudlala indima. Izinto ezinobungozi zingena egazini futhi zithwalwa emzimbeni wonke.
Kwi-pancreatitis eyingozi, ukuhlaselwa kobuhlungu obukhali esifundeni se-epigastric kujwayelekile. Isibonakaliso salesi sifo sikhulu kangangokuba, yize edakiwe futhi ehla nokuzwela kobuhlungu, umuntu uyakhala, abubule, futhi azame ukushintsha isimo somzimba wakhe. Ubuhlungu buba nge-zoster, ehambisana nokuhlanza okuphindaphindiwe. Emahoreni okuqala kokuhlaselwa, isisu sihlala sithambile. Kodwa-ke, ngokuzayo, i-palpation yakhe (i-palpation enengcindezi encane) ibuhlungu kakhulu.
Izifundo zaselaborathic zingakwazi ukubona umsebenzi ophakeme we-enzyme amylase (noma i-diastase) kumchamo. Kepha emahoreni okuqala kokuhlaselwa, ukuhlaziya akukwenzi izinto. Ngakho-ke, kubalulekile ukugxila ngokucacile kwizimpawu zesiguli.
I-Dyspepsia ibuye ijoyine isithombe esibonakaliso sesifo se-pancreatic emadodeni wefomu elingamahlalakhona. I-Stool disorder ingavezwa ngamazinga ahlukahlukene. Ukuhlolwa kwe-microscopic kwezindwangu kwembula inani elikhulu lemicu yemisipha engafakwanga nama-molecule wamafutha. Ama-enzyme akhiqizwa insimbi akwanele, futhi ukudla kuhlala kungalashwa.
I-Dyspepsia ihlobene ngqo nomsebenzi we-pancreatic okhubazekile
Imvelo eguqukayo yobuhlungu nokuthambekela ekwakhekeni kwamatshe
Ngokwezibalo, ifomu elibi kakhulu livame ukutholakala emadodeni amancane, angamahlalakhona - kwabesifazane asebekhulile. Isikhalazo esiyinhloko sesiguli esine-pancreatitis engapheli yezinhlungu asikho kuphela endaweni ye-epigastric, kodwa futhi ku-umbilical. I-gland itholakala emgodini wesisu: ukusuka ku-hypochondrium, phansi kuya ku-navel. Ngokwemvelo, izinhlungu ziyaqaqamba futhi ziyaqaqamba. Isiguli sizwa ukungakhululeki kanye nokugcwala esiswini esingaphezulu.
Njalo lapho izinhlungu ziqala ngemuva:
Izimpawu zokwanda kwamanyikwe- amaphutha ekudleni;
- ukuphuza utshwala;
- ukudla ukudla okunamafutha;
- ukudla ngokweqile.
Ngokuphikisana nesizinda sesimpawu sobuhlungu obufiphele, ukuvela kuvela. Bese kubuhlungu kakhulu esifundeni se-epigastric kuthatha i-zoster. Ekujuleni kwenhliziyo, akufani nalokho okubonwa ku-pancreatitis oyingozi. Ezinye iziguli zithatha izinhlungu emuva njengokuhlasela kwe-angina pectoris. Phakathi kokukhwabanisa kokuqala nesiguli, ochwepheshe bayadingeka ukwenza i-electrocardiogram yenhliziyo.
Ama-spasms ahlanganiswa nobuhlungu palpation esifundeni sesisu (isifunda sesisu). Umuntu ukhathazekile ngokwehla kwesifiso sokudla futhi, ngenxa yalokho, ukwehla kwesisindo okubukhali. Isicanucanu emacaleni ayisishiyagalombili kweziyishumi kuholela ekuhlanzeni. Isibonakaliso kungenzeka ukuthi asihlotshaniswa nokudla kokudla noma okubangelwa ukudla okufana namakhowe, utamatisi, uju.
I-pancreatitis yohlobo olungapheli lomsuka wotshwala kwenzeka kakhulu kubantu abahlushwa umlutha isikhathi eside. Emadodeni, kuvame ukukhula emva kweminyaka eyi-10 yokuhlukumezeka okuhleliwe, kwabesifazane ngokushesha - ngemuva kweminyaka eyi-6-7. Izimpawu zomzimba wesifazane nowesilisa ziyafana.
Izici ezihlaselayo zesifo se-pancreatic zifaka ukwakheka kwamatshe. Lokhu kuchazwa kanjena: ku ijusi le-pancreatic, okuqukethwe kwamaprotheni kuyanda. Ngokwezibalo ezikhona zezokwelapha, isifo se-gallstone sivame kakhulu kubantu besifazane.
Amapulagi amaprotheni abanjiswa emigodini ye-bile. Bahlanganiswe ne-calcium element calcium. Ivumela ama-plugs, "usimende". Ukuvalwa kwendawo kwama-ducts kubangela ukulimala kwe-lobules ye-gland kuze kube necrosis (izicubu ze-necrosis). Kwenziwa amaseli amaningi we-polycystic amaseli ajwayelekile e-pancreatic.
Odokotela abanokuhlangenwe nakho bangabeka izilonda ezikhululekile kuma-pancreas. Kodwa isisekelo esifanele sobufakazi bokuthola ukuxilongwa okwanele sinikezwa ukuhlolwa kwe-ultrasound kwesitho. I-Ultrasound ikhombisa ngokusobala ukwakheka kwe-pathological, imvelo yabo ye-cystic. Amangqamuzana aguqukile angavusa umdlavuza wolwelwesi.
Izifo ze-gland zanda ngokutheleleka ngegciwane esiswini, ukopha kwangaphakathi kwezitho zomzimba. Ngaso leso sikhathi, izinga lokushisa eliphakeme, ukuncipha kwe-hemoglobin yegazi, ubuthakathaka bujoyina izimpawu.
Ukubonakaliswa okwesikhathi esisodwa kwesimo esibi se-pancreatitis kunikeza isisekelo sokubeka isiguli kumarekhodi ezokwelashwa ngokohlobo lwesifo "esingamahlalakhona"
Kunezimpawu ezinjalo zangaphandle:
- ukushintshwa kwezitulo ezikhululekile nokuqunjelwa;
- i-pallor noma i-yellowness yesikhumba;
- isisulu semininingwane
- i-tachycardia (ukushaya kwenhliziyo - ukushaywa okungaphezulu kuka-100 ngomzuzu).
Ama-pancreas akhiqiza ne-insulin yehomoni. Imvamisa, ukulimala kwezicubu zezitho kuholela ekungapheleni kwe-insulin. Ingozi ukuthi ifihliwe. Ukuxilongwa komzimba kusebenza njengobufakazi bokungalingani okuqhubekayo kwe-hormonal ku-carbohydrate kanye nama-metabolism wamafutha.
Kulokhu, ukuphuma komzimba:
- I-1st degree (ukomela okubuthakathaka, izinga lokuphefumula lenyuke kancane);
- I-2nd degree (ukomela okulinganiselwe, ulwelwesi olomile, umthamo womchamo uyancipha, iba mnyama ngombala);
- I-3rd degree (ukomela okunzima noma akukho nhlobo, ukubambezeleka kwemizwa, izinkulumo, ukwehlisa umfutho wegazi, i-ketoacidosis - ukubukeka kwemizimba ye-ketone emchameni).
Ukuhlonza ukutholakala kwezimpawu ezithambile zangaphandle zesifo sikashukela, kubalulekile ukwenza izivivinyo ngomthwalo we-carbohydrate (ushukela). Okunye ukwelashwa kwe-insulin yesiguli kungadingeka.
Bangabantu abanjani abaguli?
Lapho wenza ukuqokwa kwezokwelapha, ochwepheshe bezokwelapha bavame ukuqaphela umehluko phakathi kweziguli. Iziguli zabesifazane, njengomthetho, zilandela ngokucophelela izincomo zikadokotela. Ngenhlonipho uqonde endabeni yokudla. Isiguli siyadingeka okokuqala ukuze sisuse imbangela eholele umzimba kulesi sifo. Misa ngokuphelele ukuphuza utshwala, qala ukudla.
Ukudla kufanele kube okuphelele ekwakhiweni kwamaprotheni kanye namavithamini. Kuboniswa amavithamini eNicotinic acid nama-B. Imikhiqizo yamaphrotheni (ushizi we-cottage shizi, inkukhu, i-veal) igcwele ekudleni. Izitsha ezinesipayisi namafutha azihlanganisiwe, ngaphandle kokuthandwa okuthandwayo nokuthandwayo kwe-gastronomic.
Amanye amadoda alandisa ukungakwazi emsebenzini ukunikeza umsoco ojwayelekile (izikhathi ezi-5-6 ngosuku). Ngokwezinga elikhulu, lokhu kuyinkinga yengqondo - ukwahlukaniswa kwesiguli ekuxolelweni. Kuyadingeka futhi ukufaka esikhundleni sama-enzymes (i-pancreatin, i-pancytrate, i-creon, i-festa).
Iziguli ezingamaduna ziyenqena ukusebenzisa izindlela zokupheka zemithi yesintu njengama-adjuvants. Ukulungiselela ama-infusions, kudingeka isikhathi esithile kanye namakhono. Ukubhema kwenza kube nzima ukuthuthukiswa futhi kunciphise ukwelashwa kwezifo ze-pancreatic. Ngokwezibalo, iphesenti lababhemayo besilisa liphezulu.
