I-pancreatitis engasebenzi njalo

Nge-pancreatitis kuhloswe ngenqubo ephuthumayo noma ehlala njalo (engapheliyo) yokuvuvukala kwamaphakethe. Isifo singavela ngokuyinhloko. Kanti futhi i-pancreatitis esebenzayo yodwa ehlukile, eqhubekela phambili ngokwemvelo yesikhathi eside, izifo ezingapheli zesistimu yokugaya ukudla. Ukuvuvukala okunjalo kwakha phambi kwe- cholecystitis engapheli, ngamatshe esithombeni, ngamaphutha avamile ekudleni nokuphuza ngokweqile, enezilonda zesilonda esiswini noma i-duodenum. I-pancreatitis esebenzayo ingenzeka ngezifo ezithathelwanayo, izilonda ze-helminthic, izilonda ze-atherosclerotic ze-pancreatic vessels, ukudakwa okungapheli ekukhiqizeni okulimazayo.

Izinqubo ezithinta izifo ezitholakala emanzini okuphazamiseka

Ukwandisa ukushaywa kwe-pancreatitis kubangela i-edema yomzimba nokuphulwa kokuphuma kwejusi eyimfihlo. Ngesikhathi esifanayo, izicubu ze-gland zibhujiswa (ukuzithengisa) kanye nokwakhiwa kwesakhiwo se-glandular ngezinhlayiya ezibomvu.

Uma imbangela yokuvuvukala kuyisifo esithathelwanayo, ingena kuma-pancreas ngokusebenzisa amadokodo ayo noma ngegazi.

Ukuvutha kungathuthuka ngesisu se-duodenal nipple. Kulesi simo, kukhona ukwephulwa kwamanje evamile wejusi le- pancreatic futhi ngenxa yalokho - ukuthuthukiswa kwesibindi.

Inqubo ye-pathological ingathatha ingxenye yomzimba kuphela noma isakaze kulo lonke igundane (ukusabalalisa i-pancreatitis).

Ezokwelapha, izinhlobo ezilandelayo zokuphefumula okusebenzayo zihlukile: i-edematous, i-parenchymal, i-calculose ne-sclerosing.

Izimpawu zokuphefumula

Ukukhushulwa kwalesi sifo kubonakala ngokubukeka kwesifo endaweni yesimo sesisu, hypochondrium engakwesobunxele. Ubuhlungu bunganikezwa ngemuva, isandla bese ugqoka nxazonke. Ngezinye izikhathi ubuhlungu obunjalo bungathathwa ngokuhlasela kwe-angina pectoris. Kukhona i-malaise ejwayelekile, i-dyspepsia (isiyaluyalu, ukuhlanza), isitulo. Isiguli singase sikhononde ukushisa nokushisa okuncane. Ukwandisa ukuphefumula kungase kube nokuthembela okucacile ekudleni kokudla nakwezinye izifo zendlela yokugaya ukudla. Ubuhlungu abuyinto engapheli noma i-paroxysmal. Ngokuvamile, isibonakaliso seMayo-Robson (ubuhlungu emgqeni nendawo ye-vertebral ngakwesobunxele) buhle.

Ukususwa kwe-pancreatitis okusebenzayo kubangela ukulahlekelwa okuqhubekayo kokufisa ukudla nokungaziphathi kahle. Iziguli ezinjalo zivame ukuphela. Inqubo yokuvuvukala yesikhathi eside ingabangela isifo sikashukela. Ukuphazanyiswa kokumuncwa kubangela ukuphazamiseka kwesitokisi, kuba yi-undigested ne-fetid (i-pancreatic diarrhea), i-hypovitaminosis ivela.

Izifo

I-pancreatitis esebenzayo ibonakala ngokuba khona kwanoma yisiphi isifo esithinta isisu se-digestive system, isb. Kukhona isixhumanisi esicacile nokukhushulwa kwesifo.

Egazini kukhona i-anemia elinganisiwe, ukwanda kwama-leukocyte kanye ne-ESR, ukwephula ukubunjwa kwamaprotheni wegazi.

Uma i-pancreatitis esebenzayo idala ukuvela kwesifo sikashukela, khona-ke ushukela egazini landa futhi kukhona ukwanda okukhudlwana emcinini. Kukhona ukwephulwa kwe-metabolism ye-electrolytes. Kukhona ukwanda ngokweqile kuma-enzyme e-pancreatic egazini.

Ekuhlolweni kwe-ultrasound, ama-pancreas angakhuliswa ngenxa ye-edema, i-echogenicity yayo yanda futhi, ama-contours awafani. Ngezigaba ezithuthukile kanye nenkambo ende, ubukhulu bungancishiswa, ngokuphambene nalokho, futhi izicubu ezinamahloni zifakwa esikhundleni sesisindo esibomvu. Isithombe esinembile nakwezinye izindawo zenqubo yokuvuvukala kunganikezwa nge-tomography ehlanganisiwe.

Ukwelapha

Ngokucindezeleka kokuphefumula, ukwelashwa kungcono kakhulu esibhedlela. Kubalulekile ukuqeda imbangela yokuqala yalesi sifo. Isiguli kufanele silandele ukudla okuqinile nokudla okwanele kwamaprotheni. Ukudla kukhishwe ekudleni nokuphuza utshwala. Ama-anti-enzyme amalungiselelo anqunywe. Ngokweziqondiso, ukwelashwa kwe-antibacterial isetshenziswa. Kwethula ama-antispasmodics kanye nemithi yokwelashwa. Ezimweni ezimbi kakhulu, kungadingeka ukwelashwa okuhlinzekwayo.