Nthawi zambiri, kapangidwe ka parenchyma kayenera kukhala yolumikizana ndi zomveka bwino. Kapangidwe kabwino ka kapamba kumawonedwa pa kupimidwa kwa ultrasound, komwe kungatanthauze kukula kwa kapamba, stenosis, cysts, benign ndi nonign benors.
Chithandizo cha masinthidwe osokoneza thupi ziyenera kukhala zokwanira, kuphatikiza mankhwala osokoneza bongo ndi zakudya zapadera. Chifukwa chake, ndizotheka kupewa imfa ya pancreatic parenchyma.
Zomwe zimachitika parenchyma ya limba
Mphepoyi ndi chiwalo chofunikira chomwe chimagwira ntchito zakunja (zomanga ma enzymes) ndi amkati (kupanga insulin ndi glucagon).
Chiwalocho chili ndi mawonekedwe osokoneza ndipo chimakhala ndi ma nyemba za alveolar. Gawo lotsogolera limayimiridwa ndi gulu lalikulu la ma ducts lomwe limayendetsa ma enzymes (amylase, proteinase, lipase) kulowa mu duodenum. Gawo la endocrine la chiwalocho ndi zisumbu za Langerhans, zomwe zimatulutsa insulin, glucagon, somatostatin, ghrelin ndi pancreatic polypeptide.
Kapangidwe ka macroscopic ka chiwalo kamakhala ndi mutu, thupi ndi mchira. Muli gawo la mchira momwe timadontho tambiri ta pancreatic timene timakhala.
Kapangidwe ka kapamba amatha kukhala wabwinobwino, wa atrophic, wakomweko kapena wosakanikira. Kapangidwe ka heterogeneous kamapezeka mu kapamba kapamba kapenanso chifukwa cha mawonekedwe ake.
Kusintha kwamitundu yayikulu-kapangidwe ka kapamba kumachitika mukakumana ndi zinthu izi:
- Ntchito zoyendetsedwa m'mimba. Zisindikizo ndi kusintha kwina kwa parenchyma kumachitika ngati pakuchitika njira zopanda pake zosinthira kapena zovuta pambuyo pakuchita opaleshoni.
- Kukula kwa kapamba. Pathology imachitika ndi kutsegula kwa michere yam'mimba mu kapamba palokha. Zotsatira zake, amawongolera parenchyma, ndipo m'malo otupa, minofu yolumikizana (kukula) imakula.
- Matenda a shuga. Matendawa adadziwika kuti ndi mliri wazaka zam'ma 2000. Ndi kuchepa kwa insulin, kapamba wamadzi amatha nthawi, zomwe zimapangitsa kuti masinthidwe am'thupi apangidwe.
- Zakudya zopanda thanzi, kumwa kwambiri mowa komanso kupsinjika nthawi zonse.
Zinthu zomwe zalembedwazi zimadziwika kwa munthu aliyense wamakono, zomwe zimawonjezera mwayi wopanga matenda a kapamba.
Matenda oyambitsa masinthidwe amachitidwe
Ndi chitukuko cha matenda ena, kuchuluka kwa kapangidwe ka kapamba kumatha kusintha. Ganizirani ma pathologies akuluakulu omwe amasintha kapangidwe ka parenchyma.
Matenda kapamba Chithunzi cha matenda matendawa sichinafotokozedwe, chifukwa chake, popanda kuzindikira, kusintha kwa kapangidwe kazinthu sikungatheke kuzindikira. Mukudutsa kwa ultrasound, heterogeneity yamapangidwewo imawonedwa, malire a chiwalocho ndi opusa komanso osamveka. Pakukhululuka, kusintha kwa chiwindi kumachitika.
Subacute kapamba. Gawo la matendawo limayamba ndi zizindikiro zotchulidwa kwa milungu iwiri kapena itatu kapena itatu. Muzovuta, ma ultrasound amawonetsa echogenicity ndikuwonetsa kusintha. Ngati kapangidwe ka chiwalo sikasintha kwambiri, ndiye kuti dokotala amakupatsani mankhwala.
Mapangidwe a cysts. An ultrasound imawunika mapangidwe apamwamba a kapamba ndi ma cyst. Nthawi zambiri mthupi, ma cysts amapangidwa, amadzaza ndimadzi, omwe amatha kusintha malo.
Kukula kwa zotupa zoyipa ndi zoyipa zoyambira. Ma neoplasms amasintha kapangidwe ka chiwalo, chifukwa chomwe ntchito yake yamkati ndi yakunja imaphwanyidwa.
Lipomatosis Pathology imayamba kukhala ndi anthu odwala matenda ashuga komanso anthu otsogolera njira yolakwika. Zikondwererozo zimazimiririka. Chiwalocho chimakula kukula chifukwa cha kuchuluka kwa minyewa ya adipose. Kuunika kwa Ultrasound kumawonetsa kakhalidwe kakang'ono, kokhazikika pakati-kakhalidwe kapena kooneka bwino.
Stenosis Ndi kutukusira kwa mutu wa chiwalo, khoma la matumbo a duodenal limakanikizidwa. Kuti mudziwe matendawa, ndikofunikira kuyesedwa ndi CT scan ndi LHC, kulola kuti mupeze neoplasms.
Kusintha kapangidwe ka parenchyma mwa ana poyerekeza ndi akulu kumakhala ndi zochitika zina. Nthawi zambiri, chida cha hyperechoic chimawonedwa muubwana chifukwa cha kuyambika kwa njira yotupa m'mimba.
Kusokoneza pakupanga lipase, proteinase ndi amylase ndiye chifukwa chachikulu cha kapamba mu ana. Kuperewera kwa kapangidwe ka madzi a pancreatic kumatha kukulitsa kupanga kwa chapamimba. Njira yotereyi imadzaza m'mimba.
Chithandizo cha kusinthika kwa kusintha kwa parenchyma muubwana ndi kosiyana chifukwa ndikoyenera koyamba kuthetseratu kapangidwe ka michere.
Heterogeneous kapangidwe ka mankhwala
Pofuna kupewa kusintha kapangidwe kake kapamba, nkoyenera kuchita maphunziro ofunikira ndikuyamba ntchito yothandiza. Zigawo zikuluzikulu za mankhwalawo ndizopatsa thanzi komanso zamankhwala.
Monga lamulo, zakudya No. 5 zimayikidwa, zomwe sizimaphatikizapo zakudya zomwe zimakulitsa kugaya chakudya. Chakudya chizikhala chosakanikirana: kuchuluka kwambiri kwa chakudya ndi nthawi 5-6. Zakudya ziyenera kuphikidwa mumphika wophika, wowiritsa kapena wowotchera. Zakudya siziyenera kuzizira kwambiri kapena kutentha.
Kuchokera muzakudya, muyenera kupatula zakudya zokazinga ndi zamafuta, zonunkhira ndi makatoni, chokoleti ndi maswiti ena, zophika ndi zinthu za ufa, mazira a nkhuku ndi mowa.
Pakuchulukirachulukira kwa kapamba, kusala kudya kwalamulidwa. Kutalika kwa chithandizo chotere ndi masiku 3-4. Munthawi imeneyi, mutha kumwa madzi ofunda a mchere wamchere, mwachitsanzo, Borjomi.
Pambuyo pa njala ndi kapamba, mutha kulowa zakudya zovomerezeka:
- nyama yokonda ndi nsomba (nkhuku, hake, pike perch);
- zipatso ndi masamba;
- chimanga chokhala ndi michere yambiri (oatmeal, buckwheat);
- zopangidwa mkaka ndi madzi ochepa;
- msuzi wa rosehip komanso timadziti tofinya kumene.
Pazakudya zonse, kugwiritsa ntchito mankhwala osokoneza bongo kumachitika. Dokotala amafotokozera wodwala zovuta zina zotsatirazi:
- ma enzymatic othandizira kuti asinthane ndi chimbudzi (Creon, Pancreatin, Festal, Mezim, Biozyme);
- mankhwala omwe amachotsa zotsatirazi - kutsokomola ndi kusanza (Cerucal);
- analgesics yothandizira kupweteka (Spazmalgon, Baralgetas).
Ndi chindapusa chachikulu cha kapamba, kapamba wa neancosis amatha, i.e. minofu necrosis. Pankhaniyi, kuchotsedwa kwina kapena kuchotsedwa kwathunthu kwachilichonse kumayikidwa. Ndi matenda anthawi yake ndi chithandizo, zoterezi zimapeweka.
Wodwalayo, atazindikira kupweteka kwapafupipafupi m'dera la epigastrium, nthawi zina womangika, komanso kusanza, kutsegula m'mimba ndi kuphatikizika kwa tinthu tating'onoting'ono ta chakudya ndi mafuta, kufinya khungu pakhungu, amafunika kufunafuna chithandizo chamankhwala. Zizindikiro zoterezi zimatha kukhala zopindika pakuwonekera kwa kusintha kwa pang'onopang'ono ndi kutulutsa kosasunthika kapangidwe ka chiwalo.
Zizindikiro za matenda a kapamba amafotokozedwa mu kanema munkhaniyi.
