Indlela yokuthuthukisa nezindlela zokwelapha i-pseudotumor pancreatitis

Izinkinga ekusebenzeni kwamanyikwe zihlukahlukene kakhulu, enye yazo yi-pseudotumor pancreatitis.

Ungomunye wesilonda esiyingozi kakhulu se-pancreatic, ngenxa yokuthi isiguli singafa nokufa.

Ngakho-ke, udinga ukwazi ukuthi kuyini, ukuthi i-pathology ihluke kanjani ku-pancreatitis ejwayelekile nokuthi kungani ivela.

Indlela yokuthuthukisa

Ngokwe-ICD 10, lesi sifo sinekhodi ye-K86.1. Imvamisa iqhubeka ifomu elingamahlalakhona. Lesi sifo ukuvuvukala kwamanyikwe, ngenxa yokuthi kukhona i-fibrosis enengxenye, futhi izicubu zesitho sikhula. Ukudlondlobala kwenzeka ngokungalingani, kuthinta indawo ethile, ngenxa yokuthi i-pathology ifana nokuvela kwe-neoplasias.

Uhlobo lwe-pseudotumor lwe-pancreatitis engapheli luqala ukukhula ngokukhiqiza okukhulayo kwama-enzyme. Lokhu kubangela ukuvuvukala, futhi nokuzicwilisa kwezicubu ze-gland nakho kuyabonakala. Ngenxa yalokhu, amangqamuzana ayafa, bese kuvela i-necrosis yezitho ezithile zesitho.

Ukuvikela ukutheleleka komzimba ngemikhiqizo yokuqhekeka kwamangqamuzana, ukwakheka okusebenzayo kwezicubu ezixhumayo kuqala, okuvikela izindawo ezilimele. Ngenxa yalokho, kwakheka ama-pseudocysts. Inani labo liyanda njengoba lesi sifo siqhubeka, okuholela ekubukekeni kwe-edema.

Ngokuhamba kwesikhathi, ama-pseudocysts ambozwa nge-lime, okubangela ukuthi ama-pancreas akhule futhi andise okokudla kwe-pathological ngosayizi wawo. Lokhu kuvikela umzimba ekuthelelekeni, kepha ngasikhathi sinye, i-hypertrophied pancreas ibeka ingcindezi kwizitho zomakhelwane.

Ikakhulu kuthinteka:

• i-duodenum;
• ama-bile ducts;
• splenic, imithambo ye-portal.

Lezi zinguquko zithinta inhlala-kahle yomuntu ogulayo, okuholela ezinkingeni.

Njengoba i-pseudotumor pancreatitis engapheli iqala ngokuphazamiseka inqubo yokukhiqizwa kwama-enzyme, udinga ukuthola ukuthi yini eba imbangela yabo.

Lokhu kuphambuka kungadala okulandelayo:

• isifo se-gallbladder;
• ukusetshenziswa kabi kotshwala;
• ukwelashwa okungafanele kwe-pancreatitis engapheli noma ukuntuleka kokwelashwa;
• ukulimala kwepancreas;
• izifo ezithathelwanayo;
• ukuphazamiseka kwe-autoimmune.

Lezi zinkinga azikwazi nje ukuvusa ukuthuthuka kwalesi sifo, kodwa futhi zinomthelela ekuqhubekekeni kwayo okusebenzayo.

Izimpawu ze-pathology

Izimpawu eziphambili ze-pathology yilezi:

• ubuthakathaka
• ukukhathala;
• ukuqwasha
• ukungahambi kahle;
• Ubuhlungu obuhlala buhlala futhi buhlala isikhathi eside emvelweni;
• ukuphazamiseka emsebenzini wohlelo lwe-dyspeptic;
• isicanucanu
• ukuhlanza
• ukwehla kwesifiso sokudla;
• ukwehla okukhulu kwesisindo somzimba;
• pallor, yellowness kwesikhumba.

Ividiyo evela kuDkt Malysheva:

Le ndlela ye-pancreatitis ibonakala ngokukhula kancane. Kwesinye isikhathi inqubo ingathatha iminyaka engaphezu kwe-10. Ukuxilongwa okunembile kunzima, ngoba izinkomba zesifo ziyafana nokubonakala kwezinye izifo, futhi ushintsho olubonakalayo esakhiweni nasekubukeni kwamanyikwe awabonakali ngokushesha.

Yile ndlela yokusebenza komuntu engasolwa izinguquko ezinjengalezi:

• ukuba khona kokukhula okungalingani kwamanyikwe (okutholwe yi-palpation);
• ukuthuthukiswa kwekhanda lesitho;
• ukuphazamiseka emsebenzini we-exocrine pancreatic.

Akunakwenzeka ukubona lezi zici wedwa, ngoba lokhu kudinga ulwazi noma izinqubo ezikhethekile zokuxilonga.

Izindlela Zokuxilonga

Isifundo sinyathelo ngesinyathelo siyadingeka ukuqinisekisa ukutholakala kwale sifo.

Kufaka:

1. Ukuhlolwa kwegazi okujwayelekile, umchamo, indle. Nge-pseudotumor syndrome, izinga lama-leukocytes ne-ESR egazini likhuphuka. Umchamo uqukethe inani elikhulu le-bilirubin ne-alpha-amylase lapho kungekho i-urobilin. Ukuhlaziywa kwezindunduma kukuvumela ukuba ubone izinto ezingahambi kahle ohlelweni lokugaya ukudla.
2. I-Ultrasound I-Ultrasound yesisu esiswini ikhombisa ukwanda kwamanyikwe. Futhi, isifundo esinjalo sisiza ukutadisha isimo sama-pancreatic ducts.
3. Ukuhlolwa kwegazi kwe-biochemical. Ukuba khona kwefomu le-pseudotumor le-pancreatitis kuboniswa ngokuqukethwe okukhulayo kwe-trypsin, lipase, i-sialic acid, i-bilirubin egazini.
4. I-Roentgenography.
5. I-scan scan (MRI). Ngenxa yalezi zindlela, ungabheka isimo sesitho bese uthola amathuba okuthi ukhule ngokuba nama-carcinomas.
6. Ucwaningo lwe-pancreatic ducts lusebenzisa i-endoscopy.
7. Ukuhlolwa kwezomlando. Kuyadingeka ukuze kuhlukaniswe lolu hlobo lwe-pancreatitis nomdlavuza we-pancreatic.

Uma kunesidingo, udokotela angabeka izinqubo ezengeziwe: ukuhlaziywa kwe-enzyme kwegazi, ukuhlolwa kwe-cerulin, i-cholecystography.

I-echograph yokugula okungapheli kwe-pancreatitis: a) virsungolithiasis; b) i-dirs yaseVirsungianov enwetshiwe

Ukwelashwa kwezifo

Ukuqeda i-pseudotumor pancreatitis, umphumela oyinkimbinkimbi uyadingeka, ohlanganisa izindlela ezahlukahlukene:

1. Ukuvezwa kwezidakamizwa. Ukwelashwa okulimazayo akubhekwa njengokusebenza ngempumelelo kwe-pathology enjalo. Ukusetshenziswa kwezidakamizwa akunawo umphumela odingekayo, ikakhulukazi esigabeni esithuthukile salesi sifo. Kufanele isetshenziswe esigabeni sokuqala se-pseudotumor pancreatitis (uma lesi sifo satholakala kusenesikhathi). Futhi, ukwelashwa kwezidakamizwa kusiza ukunciphisa ukuhamba kwe-pathology. Isikhathi esiningi isetshenziselwa ukulungiselela ukuhlinzwa. Imithi yenza buthaka izimpawu, ithuthukise inhlala-kahle, yenze umzimba ube lula ukuhlinzwa. Ngalesi sifo, imithi kufanele inqunywe uchwepheshe ngokuya ngezimpawu zesithombe sasemtholampilo. Ama-painkiller asetshenziswa kaningi nezidakamizwa ezisiza ngokwejwayelekile umsebenzi wamanyikwe.
2. Ukuhlinzwa. Le ndlela ibalulekile ekwelashweni. Ngesikhathi sokuhlinzwa, izicubu ezondile ziyakhishwa, eziqinisekisa ukwehla kwengcindezi kwizitho eziseduze. Kubalulekile ukwenza uhlolo olusondele kakhulu lwalezi izicubu futhi, uma kutholakala amaseli womdlavuza, alungisa izindawo ezonakalisiwe zepancreas. Uma kungatholakali amangqamuzana omdlavuza, izinduna ezinkulu ze-cystic kufanele zisuswe kanye nekhanda le-pancreas. Lokhu kuzonciphisa ingcindezi kuma-pancreatic ducts. Ukuhlinzwa kuyindlela ephumelela kakhulu yokwelapha, ngoba ukuthuthuka kuza ngokushesha ngemuva kwayo. Kubaluleke kakhulu ukuzilungisa ngosizo lokwelashwa ngezidakamizwa namakhambi abantu.
3. Ukusetshenziswa kwamakhambi abantu. Izindlela zokwelapha ezingejwayelekile zivame ukusetshenziswa, noma kungenakwenzeka ukufeza imiphumela ngosizo lwabo kuphela. Kepha ngokuhlanganiswa nezinye izindlela zokwelapha, zilusizo olukhulu. Phakathi kwemithi ethandwa kakhulu yabantu kungabizwa ngama-decoctions wezitshalo zokwelapha. Basiza ukwenza imisebenzi ejwayelekile ye-pancreas, banciphise izinhlungu, bahlanzise umzimba futhi banciphise ukuvuvukala.
4. Ukwelashwa kokudla. Ukudla kukuvumela ukuthi wehlise ijubane lokukhula kwesifo. Ukukhipha imikhiqizo eyingozi ekudleni, kungenzeka ukunciphisa umthwalo ephepheni lokugaya ukudla. Futhi, ukudla okulinganiselayo kukuvumela ukuthi uphinde ukhiphe ukulethwa kwezinto ezidingekayo zomkhondo, uqinisa umzimba. Ngokuxhamazela kwe-pathology, ukubulawa indlala kwesinye isikhathi kuyakhonjiswa, okuhlanza ubuthi. Ngemuva kokuhlinzwa, ukwelashwa kokudla kusiza ukululama okusheshayo.

Lapho uhlela ukudla kweziguli ezinjalo, kuyadingeka ukukhipha imikhiqizo elandelayo:

• amaswidi;
• izithelo ezimuncu;
• izindle;
• okunamafutha;
• ukubhema;
• usawoti;
• iklabishi;
• Tea
• ikhofi
• namakhekhe;
• utshwala

Ukudla kufanele kwakhiwe kusuka enhlanzini nasezinhlanzini zezinhlobo ezinamafutha aphansi (ikakhulukazi ngesimo abilisiwe), okusanhlamvu, imikhiqizo yobisi oluncane. Imifino nezithelo ngaphambi kokusetshenziswa kudinga ukwelashwa okushisa. Iziphuzo zezithelo, iziphuzo zezithelo, iti yamakhambi kufanelekile njengesiphuzo.

Ividiyo evela kuchwepheshe wokudla kwe-pancreatitis:

Ukuvimbela nokwelashwa kwezifo

Ngokulashwa okuyikho futhi okufika ngesikhathi kwe-pseudotumor pancreatitis, i-prognosis iyathandeka. Isiguli singaphila impilo ejwayelekile, inqobo nje uma unaka ukunakekelwa.

Izindlela zokuvimbela:

1. Ukwenqaba imikhuba emibi (ukusebenzisa kabi utshwala, ukubhema).
2. Ukuthatha umuthi obekwe udokotela wakho.
3. Ukwelashwa okufika ngesikhathi kwezifo ezithathelwanayo, ukuphazamiseka ku-gallbladder.
4. Ukudla okufanele.

Ukuhambisana nalezi zincomo kuzosiza ekugwemeni ukubuyela emuva kwalesi sifo kanye nokwakhiwa kwezinkinga. Uma ungayinaki imithetho, lesi sifo singaphinde sibe sibi.

Ngaphezu kwalokho, ingajoyina:

• i-vein thrombosis;
• isifo sikashukela mellitus;
• i-peritonitis;
• jaundice
• ukwakhiwa kwama-cysts amasha;
• Ukonakala kwama-cysts abe isimila esidabukisayo.

I-pseudotumor pancreatitis iyisifo esiyingozi, igcwele ukusongela komdlavuza. Ngakho-ke, kubalulekile ukuyithola ngendlela futhi uthathe ukwelashwa.