Yintoni i-pancreatitis kunye yintoni na ingozi yesi sifo esiyingozi? Unyaka wonke, ukuya kuma-800 amaqela abantu aba-1 abhalisiwe kwihlabathi. Ukungondleki kakubi, ukusetyenziswa kakubi kotywala, amanqanaba aphezulu okuxinezeleka - konke oku kunemiphumo emibi kwi-pancreas.
Yintoni i-pancreatitis kwaye yingozi kangakanani?
I-Pancreatitis yiqela lezifo ezinezibonakaliso ezithile kunye neempawu zesifo se-syndromes. Ekuguquleleni ukusuka kwi-dr.-isiGreek isiqendu -planc + lat. -i-intlanzi - ukuvuvukala kwepascreas. Kukho iintlobo ezininzi zesifo, kwaye ngasinye sinomngcipheko wobomi bomntu. Ukuqonda ukuba yintoni i-pancreatitis, kwaye nokuba ingaba yingozi, kubalulekile ukuqwalasela umthwalo osebenzayo i-pancreas ithwala.
Imisebenzi yomzimba:
- Umsebenzi we-Exocrine okanye wangaphandle. Imveliso ye-enzymes yokutya: i-trypsin, i-chemotripsin, i-amylase ne-pancreatic lipase. Ii-enzyme zinciphisa i-juice yogast yogisi kwaye ziyadingeka ukuze kulungiswe ukutya, iiprotheni, amafutha kunye ne-carbohydrate ezayo yokutya.
- Umsebenzi weHuman. Ummiselo womthamo wejisi ye-pancreatic glandular kwisixa ekubanjwe ngayo ukugqithiswa kwezinto eziphezulu.
- Umsebenzi we-Endocrine. Iziqithi zeLangerhans, ezifumaneka kwiindawo ezininzi ezikhoyo phakathi kwee-pancreas lobules, zivelisa abathinteli be-hormones: i-glucagon kunye ne-insulin, elawula i-carbohydrates metabolism. I-Glucagon ivuselela ukwanda kwe-glucose egazini, i-insulin - ukwehla.
I-pancreatitis enobuchule - yintoni na?
Emva kwemikhosi eninzi ngexesha leeholide kunye nokusetyenziswa kakubi kotywala, ukutya okunzima, inani elikhulu labantu baya kufunda ukuba yintoni i-pancreatitis enzima ayiyonto. Esi sifo sisendaweni yesithathu phakathi kwezinye izifo zesisu esiswini, sinika isundu kwi-cholecystitis kunye ne-appendicitis. Amadoda athambekele ekuvukeleni kaninzi kunabesifazane. Kuba i-pancreatitis ephawulekayo ibonakaliswa ngokufa kwabantu abaphezulu-ukuya kwi-15% yazo zonke iimeko.
I-Etiology ye-pancreatitis enobuchule:
- ukusetyenziswa kotywala ngokufanelekileyo;
- umonakalo wokutya okunobungozi (usawoti, amanqatha, i-spicy, sweet);
- ezinye izifo zofuzo (i-cystic fibrosis);
- Ukusetyenziswa kwexesha elide kweziyobisi ezinesifo esiyingozi kwi-pancreas (i-hormone, i-thiazide diuretics);
- iinkqubo ezivuthayo zenkqubo yokutya;
- ukusuleleka kwintsholongwane kunye neebhaktheriya (parotitis, mycoplasma ).
Ngethuba lophuhliso lwenkqubo eqaqambileyo, imisebenzi eyintloko yegland iyaphula: i-enzyme kunye ne-hormone, ezavame ukuveliswa ifomu engasebenzi (ukuqhutyelwa kwindlela yokutya), ngokukhawuleza kuqale ukusebenza ngokuthe ngqo kwi-pancreatic ngokwayo, kubangela inkqubo yokugaya i-tissue tissue. Ukukhulisa ukuvuvukala nokuvuvukala.
Iyintoni i-pancreatitis engapheliyo?
I-pancreatitis engapheliyo i-pancreas yokuqhubela phambili. Le nkqubo ihambelana nokugcinwa kwemfihlo ye-enzymes, ukuguquka okungenakuguquka kwi-parenchyma yelungu, ukuguqa kunye nokwanda kweethambo ezinobumba. Ukugqithisa kwe-pancreatitis engapheliyo kwenzeka ngokusuka kwimvelaphi yoxinzelelo, ngoxinzelelo lwentlungu.
Izizathu zesifo:
- Izifo zesisu;
- i-hepatitis B no-C, umkhuhlane we-typhoid , i-parotitis;
- i-atherosclerosis ;
- i-helminthic invasions;
- ukuxila kunye nezinto ezinobungozi, ukutya okusemgangathweni;
- utywala .
I-Parenchymal pancreatitis - yintoni na?
Kwimigulane yegranular ye-parenchyma (i-pancreatic tissue) i-hormone kunye ne-enzyme eyenzekayo, ngoko ke ukuba kukho umbuzo: yintoni i-parenchymal pancreatitis-ingaphendulwa ukuba le yintlupheko yesifo esingenamdla. Iinkqubo ezenzeka kwi-parenchymatous pancreatitis:
- ukuphulwa kobuchule bemidaka, ngenxa ye-edema;
- kuncipha i-insulin synthesis;
- utshintsho lwezifo kwi-system digestive;
- xa i-parenchyma ichaphazeleka ngama-80% -ukuphuhliswa kwesifo sikashukela .
I-pancreatitis esebenzayo - yintoni na?
Ngethuba lokuqala ejongene nesi sifo, umntu unemibuzo emininzi: yintoni i-pancreatitis ephuculayo, ingozi yokugula kunye nendlela yokuyiphilisa? I-pancreatitis esebenzayo yimeko enzima. Phakathi kweengcali zibhekwa njengeyona ndlela elula, ifanelekile ukulungiswa. Ininzi idla ngokuphambene nemvelaphi yezifo zesisu, isibindi kunye ne-gallbladder, amathumbu. Into ebalulekileyo eyenza ukuvela kwe-pancreatitis esebenzayo kudla ngokutya kunye nokutya ukutya okunamafutha.
Psevdotumorozny pancreatitis - yintoni na?
Olu hlobo lentsholongwane yoluntu lubizwa ngokuba yi-pseudo-tumor process, kuba iinkqubo ezenzeka kwi-gland zifana ne-oncology. I-Psevdotumorozny pancreatitis ye-pancreas ngokwezibalo zifunyenwe kwimeko nganye ye-10, phakathi kwabachaphazelekayo nge-pancreatitis, ngokuphindaphindiweyo kumadoda. Isizathu esibalulekileyo saso sifo sotywala ixesha elide.
Yintoni i-pancreatitis ye-biliary?
I-Pancreas - ukuvuvukala kwayo nge-pancreatitis ye-biliary, ivela ngokusondelelene nezifo zesibindi kunye ne-gallbladder. Izifundo zezi gulane ziye zabonisa ukuba kwi-60% yeziganeko ze-cholelithiasis, isifo esithintekayo sisifo esingapheliyo se-pancreatitis. Izizathu zesifo:
- ukusuleleka kwiphepha lebhiliyari kunye neendlela zelymphatic ezazisasazeka kwiipascreas;
- Ukutshintshwa kwe-bile kwiindawo zamapakreti kubangela umonakalo kwizicubu kunye nemidonsi ye-gland.
Nantsi i-pancreatitis ye-biliary inempawu:
- intlungu efana ne-colic;
- icteric sclera;
- isithweba segrey.
Iingxaki ezivela kwisifo:
- ukuhluleka kwesibindi;
- tshutshiswa;
- ukuphuma kwamanzi;
- necrosis necrosis.
I-Calculous pancreatitis - yintoni na?
I-calcous pancreatitis yinye uhlobo lwesifo apho i-pancreas iyavutha. I-Pancreatitis ivela ngokubanzi emva kweminyaka engama-50 kwimvelaphi yenguqu ekubunjweni kwejusi yengqungquthela, i-calcium usawoti iqala ukuqokelela kuyo, iquke kwi-calculi encinci yesayizi encane. Iimpawu zesifo:
- ukuqothulwa;
- intlungu kwi-hypochondrium okanye i-shingles;
- freyty feces;
- ukujuluka okukhulu;
- ukwanda kwe-asidi yesisu;
- ukulahleka kwesisindo.
I-Necrosis ye-pancreas - yintoni na?
Ukugqithisa kwe-pancreatitis kunokugqibeleni kukukhokelela kwinkqubo enkulu ye-pancreatic necrosis, apho ingqungquthela ibhubha ngokufa kwesisu. Kwi-70% yamatyala, ifunyanwe kwizigulana ezisebenzise kakubi utywala, ezinye izizathu zifanayo ezibangelwa i-pancreatitis enobuhlungu kunye nengunaphakade. Iimpawu ze-pancreatic necrosis:
- intlungu enamandla;
- ukuhlanza umthombo ongenakuzisa;
- ii-cyanotic mabala emacaleni (uphawu lweGrey-Turner);
- intlungu ngethuba.
Ukuvuvukala kwepascreas - iimpawu
I-Symptomatics kunye nemiqondiso ye-pancreatic inflammation kwisigaba esiqatha kuxhomekeke kwinqanaba lobunzima:
- Ifowuni yokukhanya. Ukutshatyalaliswa kwepascreas kunye nomgudu wokugaya ukutya akunakunceda. Ngexesha lokuxilongwa, i-edema ye-interstitial iyakubonwa. Izimpawu ze-Dyspeptic (ukubhubhisa, ukucheka komlilo). I-syndrome syndrome iyalungelelanisa: ifumaneka kwi-epigastrium, kwi-hypochondrium ekhohlo. Ubume bentlungu buxakile, kunye ne-irradiation kwimva. Jaundice sclera.
- Ifom enkulu. Iimpawu ze-pancreatitis: ubuhlungu obukhulu, bubi nakwimeko yesigulane ngasemva. Isihlunu, ukuhlanza kwe-bile. U bushushu obuphezulu.
Iingxaki ezinzima kwi-pancreatitis ephazamisayo, ukwandisa ukubulala:
- i-pancreatic necrosis kunye nosulelo lwama-tishu e-peripancreatic gland;
- I-abscess ye-pancreatic (i-pus iqokelela kwi-pancreas kunye namalungu asondeleyo).
Iinkqubo ezingapheliyo ezivela kwi-pancreas, ngokungafani neenkqubo eziqhelekileyo-ngokuqhelekileyo zenzeke zihlambuluke kwaye zize zenzeke ngokukhawuleza kwanexesha elithile, ngelixa utshintsho lwangaphakathi lubi kakhulu, lunokubangela ukuqala kwesifo sikashukela. Iimpawu ze-pancreatitis ezingapheliyo ngexesha loxinzelelo, apho kubalulekile ukuthobela ingqalelo:
- intlungu yebhanki ye-paroxysmal ye-intanethi ehlukeneyo ukusuka ekubuthathaka kuya eqinile;
- i-reflux esophagitis - ngenxa yokuncipha kwe-sphincter esezantsi ye-esophagus, i-content contents ye-gastric iya ku-esophagus, ehambelana ne-belching, i-heartburn;
- idayarrha rhoqo nephunga le-fetid;
- ukulahleka kwesisindo;
- ukuvela kwee-angiomas elukhumbeni.
Ukuvuvukala kwepascreas - unyango
Emva kokuxilongwa ngokupheleleyo kunye nokuqinisekiswa kokuxilongwa, ugqirha wokuqala ngowokuxelela isigulane: yintoni i-pancreatitis, zeziphi iingxaki zesifo esiya kuba nazo. Unyango lukhethwe ngokuqwalasela iimpawu zomntu ngamnye kunye neminyaka yesigulane. Indlela yokuphatha i-pancreatitis, kuxhomekeke kwizinto eziliqela:
- inkqubo enzima okanye engapheliyo;
- ubukho bezifo ezithintekayo;
- ukunyamezela kwezidakamizwa.
Indlela yokunciphisa ukuvuvukala kwe-pancreatic?
Ngubani ubuncinane oye wafumana iintlungu ngokuvuvukala kwepascreas, yazi ukuba yi-pancreatitis. Uhlaselo lwe-pancreatitis luhlungu kakhulu kwaye lunomonde. Akukhuthazwa ukususa ukuvuvukala kwedwa, kodwa kukho iimeko xa unonophelo lwonyango alufumanekanga, kwaye kubalulekile ukwenza into ekunciphiseni imeko. Uncedo lokuqala lwe-pancreatitis:
- ukuphumla kwaye akukho ntshukumo ephazamisayo, thabatha i-embryo posture;
- iqhwa kwi-hypochondrium;
- indlala;
- ukungena kwamanzi kwiincinci ezincinci zonke ihafu yeeyure (xa uphuza umhlanza, ii-2-3 izingxenye zesipuni zidakiwe);
- Thatha ithebhulethi yeDottaverine hydrochloride, njengendlela yokukhetha injoza ye-No-shpy 0.8 mg.
Unyango lwe-pancreatitis engapheliyo
Ukunyanga kwe-pancreatic inflammation ekhaya kungakhokelela kwimiphumo engafanelekiyo. Ngethuba lokuxhatshazwa kwenyango engapheliyo ye-pancreatitis eyenziwa esibhedlele. Enye yeemeko ezibalulekileyo zokuphucula imeko yesigulane kukutya okunyamekayo kwi-pancreatitis. Unyango lwenkqubo engapheliyo iquka ubunzima beziyobisi:
- i-antibiotic ebanzi (i-Ampicillin, i-Gentamicin) kunye nezifo ezithintekayo;
- i-antihistamine (iDedrol, i-Suprastin) - umphumo onobubele kunye neempembelelo;
- i-antispasmodics (No-sppa, uPapaverina hydrochloride) - phumula kwaye unciphise uxinzelelo kwimida yamagqabi;
- amalungiselelo okukhusela (Gordoks, Katrikal) - thintela umsebenzi we-enzyme ye trypsin, i-chemotripsin kunye ne-amylase;
- ii-analgesics (Analgin, Baralgin );
- i-cytostatics (cyclophosphamide) ne-pseudotumor pancreatitis.
Yintoni ongayidla nge-pancreatitis?
Ukutya kwi-pancreatic pancreatitis kuyisitshixo ekuphumeleleni unyango kunye nokutshitshiswa kweenkqubo ezivuthayo phakathi kweveki ezimbini. Imenyu ye-pancreatitis isekelwe ekuncedeni nasekusebenzeni, ukutya okulula kunye nomhlaba. Ukutya okunconywe kunye nezitya ze-pancreatitis:
- casseroles ngaphandle kweoli;
- Iibhola ze-meat steam ezenziwe ngamafutha atyebile kunye nentlanzi;
- wongela imifuno emanzini;
- iifatata ezifihliweyo;
- ipereji (irayisi, i-oats, i-buckwheat);
- kefir ephantsi;
- iziqhamo zezityalo ezomileyo;
- jellied berries;
- kupheka iipulo;
- isonka seengqolowa.