Iron amanyikwe, izimpawu isifo

umdlavuza pancreatic - uhlobo isifo, inani labantu ababulawa ukhula emhlabeni wonke.

Livela kanye komdlavuza kwamanyikwe neqhaza ukubhema (non-ababhemayo lolu hlobo lomdlavuza itholakala esingaphansi ababhemayo kathathu), ukukhuluphala nokukhuluphala ngokweqile, ngifundise ngesifo sikashukela (ematfuba umdlavuza luyanda kabili), yansukuzonke pancreatitis okungamahlalakhona, ukusebenzisa kabi utshwala, izinhlumba e kwamanyikwe, umdlavuza wendlala adenoma, ufuzo.

Thola isimila pancreatic kunzima kakhulu. Kwamanyikwe sijule kakhulu esiswini futhi ubukhulu kahle esikhulu (mayelana 15 cm), ukuze isimila ezincane kwi-hard ukuba athole. Ngaphezu kwalokho, lesi sifo ngokuvamile "simaskwe" ngumuntu isilonda isisu isifo gallbladder.

umdlavuza pancreatic kuyingozi kakhulu ngokunembile ngoba lolu hlobo lomdlavuza kusaqalwa futhi cishe akusho ukuzibonakalisa kwetinhlavu izimila kwamanyikwe akazivezi izimpawu. Kodwa zikhona eziningi izimpawu, okuyinto kudingeka wesabe nokuthi kufanele batshele.

izimpawu umdlavuza pancreatic ngale ndlela kuvamile futhi labo encike iyiphi ingxenye yesimila webele itholakala. Ngo-75% isimila Itholakala ikhanda kwamanyikwe. Okuningi umdlavuza kancane kuthinta umzimba kanye nomsila kwamanyikwe.

izimpawu ezivamile (zenzeka-90% eziguli) zihlanganisa angafuni kudla, ukuncipha emzibeni, isicanucanu, imfiva, ubuthakathaka jikelele, zibuthuntu ubuhlungu elinjengezinyo ngapha ingxenye ephezulu yesisu, wamathumbu sifo. Ngokuvamile, "wenhlabamkhosi" yokuqala ukubonakaliswa ubuhlungu ngaphandle jaundice kanye lokushisa eliphakeme.

Ukubonakaliswa umdlavuza ebulalayo izimpawu ikhanda isimila zingahlukaniswa zibe nezikhathi ezimbili. Ngesikhathi besanda kuqala ukuthuthukiswa zezimpawu umdlavuza pancreatic acishe never sibonisa. Uphawu lokuqala ekubeni ibhande ubuhlungu, okuyinto baba bukhulu kusihlwa futhi ebusuku. Bese kuba khona izimpawu ezivamile nokugasela okuhle sekuqalile emva kokudla e esifundeni epigastric. In esigabeni sesibili e-ukuqhubeka kwesifo iqala jaundice, okuyinto likhula ngesivinini, kukhona ukulunywa kwesikhumba, indle ezishintshe umbala. Kubangela umonakalo kwamanyikwe futhi izimpawu: nokubhamuka, ukungakuthandi ukudla, isifo sohudo, ukuhlanza. Konke lokhu izimpawu zibonakala, ngoba isimila siqala ukungena imbobo Bile ngaphezulu. Ngesizathu esifanayo, abantu abanale umdlavuza ikhanda pancreatic, libhekene kweNdikimba gallbladder futhi isibindi. Uma isimila izohluma esiswini noma duodenum, kungenzeka stenosis noma ukopha.

isimila esibulalayo esikhula kwamanyikwe, elise emzimbeni noma umsila we ndlala lingandile kangako. Ukuthola umdlavuza enjalo kungaba kuphela esikhathini ngasekupheleni, njengoba i-jaundice kwenzeka% 10 kuphela eziguli. Ngo-20% amacala kulindeleke ukuthi ukubhujiswa amaseli ukukhiqiza insulini, isifo sikashukela kwenzeka. Izimila umsila nomzimba kwamanyikwe ngokuvamile ziqhume ku imithambo yegazi eseduze (umthambo portal, mesenteric nezitsha splenic ...). Lapho isimila kule ndlala uphawu main ubuhlungu.

Ngokuvamile amanyikwe abathintekayo iqala ukubonisa izimpawu phezu nesigaba lesi sifo, lapho amanye ama-ejensi kakade metastases sikhungathekile. Okokuqala nokusemqoka, kuthinta isibindi, adrenal nezindlala, amaphaphu namathambo, pleura.

Isikhathi kahle ukuxilonga umdlavuza pancreatic kunzima kakhulu futhi ngoba isifo akuyona ejwayelekile isithombe emitholampilo (ikakhulukazi izimila emzimbeni futhi umsila we ndlala) ngaso sonke isikhathi.

I ukuthola umdlavuza pancreatic amasu kubalulekile yesimanje ucwaningo: ultrasound kanye tomography ngekhompyutha, endoscopic pancreato retrograde futhi angiography.