Kakhansa ndi chimodzi mwazinthu zazikulu kwambiri zamkati mwakudya, ndipo kukula kwake ndi kachiwiri kokha kwa chiwindi. Kutikisaku kumakhala ndi mutu, mchira ndi thupi, kusinthana wina ndi mnzake.
Thupi limatulutsa michere yapadera yomwe imakhudzidwa mwachindunji pakukola chakudya, pomwe kapamba amatulutsanso timadzi tating'onoting'ono tokhala m'magazi, omwe amayang'anira kuchuluka kwa shuga m'magazi.
Tizilombo timakutidwa ndi m'mimba, milomo imalumikizidwa ndi chiwindi komanso chimbudzi. Ngati matenda amtundu wina aliyense wayamba kulowetsamo, amathanso kukhala momwe thupi limapwetekera matenda am'mimba. Kusintha kwadzidzidzi kumachitika, zovuta zingapo zakuthupi zimawonedwa zomwe zimathandizira kukulira kuchuluka kwa matenda.
Zikondazo zimapatsidwa ntchito ziwiri zofunika:
- intrasecretory;
- exocrine.
Poyambirira, amalankhula za kupanga kwa insulin ya mahomoni, chachiwiri - za kutulutsidwa kwa madzi a pancreatic, popanda omwe njira yodziwika bwino yam'mimba ndikosatheka. Pakusintha kwa pathological mu chiwalo, chamoyo chonsecho sichingagwire ntchito mokwanira.
Zotsatira za kusintha kosinthika
Kodi kusintha kwamphamvu kwa pancreatic kumatanthauza chiyani? Mawuwo amadzutsa mafunso ambiri komanso amantha, koma zimangotanthauza kuti chiwalo chimayankha kusintha komwe kumachitika ziwalo zomwe zili pafupi. Sikoyenera kuti zomwe zimayambitsa vutoli ndizowopsa thanzi komanso moyo ambiri.
Kusintha kwina kumatha kupweteketsa kwambiri, kugwa m'matumbo a glycemia, kusintha kwam'mimba. Pakakhala masinthidwe otheka, parenchyma imatulutsa mahomoni ochepa omwe amakhudzidwa ndi mafuta ndi chakudya cha metabolism, pali kuchepa kwapadera kwa madzi a pancreatic ndi ma enzyme ofunikira kugaya chakudya. Chifukwa chake, pakadali pano, kudya mokwanira ndizofunikira kwambiri.
Kusintha kwina kwa kapamba komwe kumachitika chifukwa cha kupsa mtima kwa chiwindi ndi chiwindi kumatchedwa kuwukira kwa pancreatitis yotakasika, imadziwika ndi kusintha kwam'mimba, kutupa, ndi kuchuluka kwa ziwalo.
Mu akulu ndi ana, matendawa amakhala yankho la matenda am'mimba, omwe nthawi zambiri amapezeka ndi matenda:
- pachimake ndi matenda a chiwindi;
- zilonda zam'mimba;
- zilonda zam'mimba ndi mmatumbo;
- aakulu maphunziro a cholecystitis.
Kusintha kwachiwiri kwa kapamba kumachitika chifukwa cha kuzimiririka kwa ndulu mu milomo ndi chikhodzodzo. Ndizotheka kuzindikira kuphwanya kokha chifukwa cha ultrasound. Mavuto a ziwalo zotere nthawi zambiri amapezeka mwa makanda.
Njira zofananira zimachitika m'matenda a chiwindi, ntchito yake yokhudzana ndi chinsinsi cha bile imasinthanso.
Pancreatic ductal amasintha ndichani? Kuphwanya kumakhala vuto lalikulu, kuwonjezera pa zowawa zambiri, munthu amakhala ndi vuto lalikulu pantchito ya chiwalo, mpaka kufa kwa minofu. Ululuwu umamveka chifukwa cha kutsekeka mkati, kutsekeka kwa magazi, komanso kukwiya kwa ndulu ndi ma enzymes am'mimba.
Chodabwitsa chosasangalatsa ndikusintha kwachiwiri, chifukwa nthawi zambiri kumachitika popanda zizindikiro, samalabadiridwa, akuyembekeza matenda am'thupi lathunthu. Kutupa kwamphamvu kumachitika m'malo ena, kumayankhula za kupweteka kwapweteka.
Kumayambiriro kwa ndondomekoyi, kukula kwa cholowacho ndi koperewera, posakhalitsa amafalikira pamtunda waukulu, kutuluka kwa msuzi wa pancreatic kusokonezeka, kutanthauzira kuti magazi amapezeka mumzere, omwe nthawi zambiri amasintha kukhala zovuta zazikulu.
Zizindikiro, njira zodziwira matenda
Zizindikiro zakusintha kwachangu zidzakhala nseru, kukhumudwa chopweteka, kupweteka pamimba. Nthawi zina, zimakhala zovuta kusiyanitsa njira ya matenda, chifukwa nthenda zina zimapereka zofanana.
Matenda amtunduwu amapita patsogolo ndi matenda am'mimba, nthawi zambiri duodenum. Pafupipafupi, kapamba amadziwika kuti ali ndi matenda am'matumbo akulu, esophagus, Reflux gastritis. Ndikukwiya mwadongosolo kwam'mero ndi malo ac acid, zilonda zimachitika, matendawa amakhala ndi zotsutsana ndi thupi.
Kusintha kwina komwe kumachitika mkati mwa kapamba, komwe kumachitika chifukwa cha matenda am'mimba, kumachitika mwa akulu ndi ana omwe ali ndi ziwonetsero zazing'ono komanso alibe zizindikiro konse.
Mutha kuyambitsa zovuta mu chiwalo pogwiritsa ntchito ma ultrasound, pomwe ziwalo zonse zam'mimba zimayesedwa. Ngati chiwalo chili chathanzi, kuphatikizira kwa kapamba kumawonetsa:
- homogeneous parenchyma;
- kukula wamba;
- kusowa kwa mayendedwe osokoneza.
Kusintha kovuta sikuti kukuzindikiritsa, ndi mkhalidwe wapano wa kapamba, zosintha zotere zimagawidwa mthupi lonse. Ndi cholinga chendondomekoyo, tikulankhula za miyala kapena zotupa.
Pali zochitika zina za kusintha kosinthika mu chiwindi ndi kapamba. Mwa iwo, kutsika kwa kupsinjika kwa ma parenchyma (pomwe magawo a chithayo achuluka, izi zikutsimikizira kuukira kwa kapamba), kuwononga kusintha kwawonjezeka ndi kufalikira kwa maziko a kuwonjezeka kwapang'onopang'ono kwa ziwalo kapena kukula kwake.
Mwachilengedwe, mutha kuwona kuchepa kwa kupsinjika kwa parenchyma, momwe mulibe kuchuluka kwa thupilo, izi zimadziwika ndi chifuwa chachikulu cha pancreatitis. Echogenicity imatha kuwonjezeka ndi lipomatosis, matenda omwe amalowa m'malo mwa parenchyma ndi mafuta.
Popeza ultrasound yokha sikokwanira kupanga chidziwitso cholondola, njira zowonjezereka zimasonyezedwa:
- duodenal endoscopy;
- biochemical ndi ambiri magazi mayeso;
- kusanthula kwa mkodzo pazinthu za enzyme.
Zotsatira zomwe zapezedwa ndikuwunika ndi dokotala wa gastroenterologist, atalengeza chigamulochi, amapereka mankhwala oyenera.
Tiyenera kudziwa kuti kusintha kosasinthika mu gland sikupereka chithandizo chapadera, mutatha kuchotsa pazomwe zimayambitsa matenda, palibe zomwe zimachitika.
Tsoka ilo, ngati kusintha kwapakati komanso kwachiwiri sikungalephereke panthawi yake, vutoli likhoza kuwongoleredwa ndi chithandizo chokwanira.
Ngati kuphwanya koyenera kumawonetsa kufunika kwazofunikira, ndiye kuti anthu okalamba azikambirana zakukhazikika kwa gulu lonse la matenda. Izi zimagwirizanitsidwa ndi kukalamba kwa ziwalo, kuchepa kwa insulin, komanso kutsika kwa kulekerera kwa chakudya. Pachifukwa ichi, ziwerengero zamatenda a kapamba ndi mtundu 2 wa shuga zikukula.
About pancreatitis ndi zovuta zake zomwe zafotokozedwa muvidiyoyi.
