Ukuxilongwa umehluko pancreatitis. pancreatitis Okungalapheki: Sifo Nokuselapha

ukuvuvukala kwamanyikwe ngokuthi pancreatitis. Kodwa ukuze thembeke ukusungula uphethwe, umehluko ukuxilongwa okufanele kwenziwe. Pancreatitis kungaba oyingozi noma ezingamahlalakhona. Kubalulekile ukwazi izici zayo isici ukuze lihlukaniswe nezinye izifo emathunjini.

izifo ezihlobene

Ukuze ukhethe ukwelashwa isu ezifanele kakhulu kungaba, uma ukwazi ncamashi sitholakale. Ngenxa yalesi futhi kwenziwe umehluko ukuxilongwa pancreatitis. Kubalulekile ukukwazi ukuhlukanisa lesi sifo kusukela eziningi nezinye, afana izimpawu. Izifo ezihlala zihlanganisa:

- umdlavuza pancreatic;

- peptic isilonda isifo (isilonda perforated);

- cholecystitis;

- ileus;

- appendicitis acute;

- isilethikusebenza.

Nquma ukuthi iyiphi uhlobo izinkinga zibangelwa kwalokho noma ezinye izimpawu can ngokuvamile kuphela esibhedlela. Odokotela kufanele bazazi zonke izici izifo ukuze umiswe ngokunembile isifo sakhe.

ukuxilongwa umehluko

Thola isimila e-85% amacala kungenzeka esebenzisa ikhompyutha tomography. Kodwa okuhle nakakhulu umehluko komdlavuza kanye pancreatitis kwenziwe ngosizo ERCP - endoscopic retrograde cholangiopancreatography.

Nesizotha nga a perforated isilonda pancreatitis kungaba ekuziphatheni lesiguli. Esimweni sokuqala uyozama ukuthatha isikhundla esisodwa hhayi ukuhambisa. iziguli Eyaluzayo nge pancreatitis. Ngaphezu ubuhlungu, ahlanze.

Bayaqonda ukuthi ukhathazekile umuntu kungaba ngosizo ultrasound. Lolu cwaningo kunikeza ithuba ukuxilonga cholecystitis. Kulesi isifo, iziguli esekhala ubuhlungu ngakwesokudla, okuyinto ibe ehlombe okuhambisanayo. On US cholecystitis ukuvuvukala ebonakalayo.

isimiso emathunjini kuboniswa kanye pancreatitis. Ukuhlukanisa lezi zifo zingase zibe ngu ukuhlolwa igazi. Ngenxa yalesi futhi kwenziwe sitholakele pancreatitis. Kuhlatiya show diastase namazinga angcono chloride e ukuvuvukala kwamanyikwe.

Ukwahlukaniswa pancreatitis

Ukuze sibone ukuthi ukuze abonise ukuthi ukuvuvukala kwamanyikwe, omunye kumelwe siqonde ukuthi kungaba oyingozi noma ezingamahlalakhona. Esimweni sokuqala, wamemezela izimpawu, udokotela kulula ukuqonda ukuthi isiguli pancreatitis oyingozi. Inkinga itholakala lapho saziso, futhi kuphela ngemva kokuba kadokotela ezicatshangwayo (usebenzisa ultrasound kanye cwaningo) ezibekiwe.

pancreatitis Okungalapheki libhekene kushintshana izinkathi okuncane ngcono / ukuwohloka. Kulokhu, ukuvuvukala kuyinto evilaphayo. Kodwa-ke kuholela yoma ka izigaxa ebeleni.

Izimpawu ukuvuvukala acute

Laboratory sitholakele pancreatitis kuyadingeka ukunquma degree of kobukhulu isifo. Acute ukuvuvukala uqhubeke ngendlela elula ngendlela. Kulesi simo kwezitho izinhlelo iyathinteka kancane. Sikuveze isifo edema ku wendlala. Lokhu kalula enikeziwe ukwelashwa pancreatitis, iziguli alulame ngokushesha.

Ngo ezinzima ukuvuvukala acute kwaphawuleka kule amanyikwe uzwakalise iziyaluyalu kwezitho zomzimba ahlukahlukene nezicubu. Ngaphezu kwalokho, ifomu ezinzima kungase kuhambisane yezinkinga:

• Ithumba pancreatic (e kwamanyikwe noma izicubu ezizungezile aqoqana ubomvu);
• pseudocyst acute - kwenzeka ngemva kwamasonto 4 noma ngaphezulu ngemva ukuhlasela pancreatitis, libhekene i ekuqongeleleni juice pancreatic ;
• pancreatic necrosis (mhlawumbe nazo elinegciwane kwezicubu);
• acute uketshezi sokuzuza okolopankreaticheskom isikhala kungaba wendlala.

Kufanele kubhekwe uma ibanjiwe ukuhlola. Pancreatitis, olwaqala lapho izicubu necrosis, lingakubulala. Lokhu kwenzeka ngokuvamile amafomu ukuthuthukiswa ubovu lesi sifo.

Ukuhluka amafomu ezingamahlalakhona ukuvuvukala

Ochwepheshe ukukhomba ezimbili subtypes ka pancreatitis ezingamahlalakhona. Kungaba samabanga aphansi noma. Esimweni sokuqala ngqo amanyikwe abavusa. Secondary pancreatitis ezingamahlalakhona eba ngokumelene zasemuva zezinye izifo wokugaya ukudla. He is kwetintfo.

Kulesi isifo, yisishiso zingancishiswa ke ekuqaleni kuze akhulise kabusha. Kodwa akulona ingozi njengoba kungase kubonakale efika kuqala. okuyikona ka pancreatitis ezingamahlalakhona kuyadingeka, ngoba lapho kungase kuqale izicubu yoma, amanyikwe ekugcineni calcined kwezicubu sayo esivamile kufakwe sesibazi.

Izimpawu ze-pancreatitis acute

Qonda lapho ukuba afune usizo lwezokwelapha, kungenzeka, uma wazi izibonakaliso ekuqaleni inqubo esebenzayo ukuvuvukala. Lezi zihlanganisa ezinzima ubuhlungu uphawu. Iningi leziguli abonisa epigastric (ngakwesokunxele hypochondrium). Ubuhlungu ibhande, inganikelwa endaweni ye scapula ngakwesokunxele. Esikhathini isikhundla lisalele emuva ke NGOBHOJWANA kuphela. Ukuwohloka isimo waphawula ngemva ukusetshenziswa kotshwala, okunamafutha, okuthosiwe noma ukudla okubabayo.

Ngaphezu ubuhlungu, zikhona ezinye izimpawu ebonisa ukuthi kuqale acute pancreatitis. Ukuxilongwa kanye nokwelashwa kufanele sigcwaliswe ngendlela inpatient esibhedlela. Lokhu kuzovumela ukusazi ngokunembile isifo esikuphethe kakhulu futhi ukunciphisa isikhathi esidingekayo ukuze ukubuyiselwa impilo. Izimpawu zalesi sifo yilezi:

- umkhuhlane;

- ukuhlanza, okungadingi abalethele impumuzo (kungenzeka okungenakudanjiswa);

- omnene jaundice we sclera kwezinye iziguli, isikhumba angabukeka aphuzi;

- ukopha endaweni ye inkaba, bluish izindawo emzimbeni;

- isilungulela;

- ukuvuvukala, ukubuyisa.

Futhi ngalesi sifo kubonisa ukuhlukumeza kwesitulo, ukubukeka ukukhathala ngokweqile, ingcindezi encishisiwe, paleness kwesikhumba, kanye ukujuluka anda. Iziguli ngokuvamile esekhala nomlomo owomile, kubonakala nezimagqabhagqabha ebonakalayo ezimhlophe olimini.

Izimpawu ukuvuvukala okungamahlalakhona

Qonda ukuthi unezinkinga kwamanyikwe, kungenzeka, ngokungagcini nje ngokubashumayeza ongalawuleki ukuhlanza futhi ezinzima ubuhlungu. Abanye abantu bangase bahlupheke iminyaka futhi akabonanga ukuthi banayo pancreatitis ezingamahlalakhona. Ukuxilongwa kanye nokwelashwa okungukuthi ephelele, uma isiguli waya kulesi sibhedlela ngesikhathi esifanele ngendlela.

On ukuthuthukiswa pancreatitis ezingamahlalakhona kusikisela:

- ubuhlungu yansukuzonke, isebenze kwesokunxele quadrant engenhla, ngokuvamile abayinika ngemuva;

- ukucanuzelelwa inhliziyo ngakanye;

- uhudo, lapho iphunga isici livela;

- okungazelelwe kwesisindo;

- Ukuwohloka impilo sebephuze izingilazi okunamafutha, okuthosiwe, ukudla ngabhema.

Uma pancreatitis is hhayi ziphathwe, isiguli kukhona ubuthakathaka, isiyezi. Abanye bangase ukuthuthukisa ngisho sikashukela sohlobo 2, kuba lubonakale ukukhohlwa, zikhona izinkinga zokuphefumula.

Izindlela ukuhlola laboratory

On yokuvuma iziguli ezine esolwa pancreatitis wabelwe esibanzi luhlolo. Ngokuyinhloko kuyinto ukuhlaziywa kwamakhemikhali kwegazi. It ikuvumela ukuba ukunquma uhlobo lesi sifo, ngenxa yalokhu ukuhlolwa okwengeziwe uphethwe kwenziwe ngokunembile ka pancreatitis. Kuhlatiya ukunikeza ithuba lokwethula isithombe esicacile lesi sifo.

Lapho ukuvuvukala kwamanyikwe okhushuliwe amazinga alpha-Amylase, lipase, kakhulu inyuka umsebenzi C-esisheshayo amaprotheni. Uma lesi sifo kuhambisana ukwehluleka kwezinso ku kokuhlinzwa, kukhuphuke urea ezingeni egazini. Ngesikhathi esifanayo ungabona nokuncipha kwenani amaprotheni, kuhlanganise-albumin. insulini futhi kwehle kakhulu, ngenxa ngalo kuqala ukukhula ezingeni glucose.

Amanzi futhi electrolyte ukuhlaziywa ukuze sithole ukuthi igazi sashintsha. Encishisiwe uketshezi ezingeni kungabangela amahlule ukuvaleka imithambo encane yegazi. Futhi, lesi ukuhlaziywa kusivumela ukucacisa lokuhlushwa namaminerali: potassium, i-sodium, i-calcium. Bazi ukuthi banesibophezelo ukusebenza evamile izitsha inhliziyo negazi.

Qedela segazi likhomba ubunjalo isifo. Nakani ezingeni kwamangqamuzana egazi amhlophe bese amangqamuzana abomvu egazi. Ngaphandle lolu hlolo ayikwazi eyenziwa ukuxilongwa egcwele.

Pancreatitis isethwe nokuhlaziya umchamo. Kulesi isifo kakhulu kuphambuka ezingeni evamile ye-alpha-Amylase. Kodwa siyenzeka kuphela izigaba sokuqala lesi sifo. Nge ukuqhubeka pancreatitis e umchamo kungathola erythrocyte, leukocyte nezinye izingxenye.

ukuhlola

Izindlela ukuxilongwa pancreatitis ngempela ahlukahlukene. Ngaphezu ekutadisheni uketshezi begazi udokotela kudingeka sibone ukuthi kushintshile kwamanyikwe. Kuyadingeka ukusungula ngabe singafaneleki ukuvuvukala kwezicubu ezizungezile eziyishumi nemitshingo.

The ningi ngesikhathi futhi ngempumelelo uphethwe ultrasound. It ikuvumela ukuba ngeso lengqondo lo wendlala yabesilisa, ukuze ubone ukuthi ikhona yini ukuvuvukala, ukuthi lokhu umzimba izicubu izmelilis. Ukuxilongwa ezingamahlalakhona pancreatitis may futhi kwenziwe ngosizo ultrasound. Lesi sifo kungaba azimisele ngisho esikhathini asymptomatic. SPL futhi ikuvumela ukuba sihlole Amapayipi Bile, ukunquma ukuqala ubovu abscesses ubone ketshezi.

Laparoscopy ivumela kokubili ukuhlola futhi aphathe pancreatitis. Kwezinye izimo ngalesi mini-ukuhlinzwa kungenzeka ukunciphisa umthelela ongemuhle ukuvuvukala kwamanye emizimbeni. Kodwa laparoscopy isetshenziswa kuphela ezimweni ezimbi kakhulu.

Ukusebenzisa ngekhompyutha tomography kungase futhi kwenziwe ukuhlola. Pancreatitis kungenziwa esibekwe izici isici: lakhulisiwe usayizi amanyikwe, khona ukuvuvukala izicubu efile.

Endoscopy ikuvumela ukuba ubone yonke izinguquko kwamanyikwe kanye duodenum. Ngenxa yalesi endoscope ngekhamera kwalo ukukhwezwa ufakwa emphinjeni.