Mwala wa pancreatic ndi calcine, yomwe idapangidwa m'matumbo a pancreatic ndi pancreatic parenchyma, yomwe idayambitsa kusokoneza kwa exocrine ndi intrasecretory ntchito mkati. Matendawa amatchedwa pancreolithiasis.
Kudzikundikira kwa mchere wa calcium kumawonedwa kwambiri ndi kapamba, chifukwa chake ma pathologies awiriwa nthawi zambiri amawonetsedwa ndi mawonetsedwe ofanana azachipatala - kupweteka kwambiri kwa lamba, steatorrhea (mafuta okwera ndende), ndi shuga.
Kuzindikira sikodzaza ndi zovuta. Kutsimikizira matenda omwe afunsidwawo, kuyesa kwa ultrasound, radiology, compact tomography yamkati yam'mimba, ndipo RCH imayikidwa.
Mankhwalawa ndi othandizira, koma ayenera kuphatikizidwa ndi mankhwala kuti achepetse kukula kwa kutupa ndi kutupa. Tiyeni tikambirane mwatsatanetsatane chomwe chimakhala mwala wa kapamba ndi momwe angachiritsire matendawa?
Etiology ndi zizindikiro za pancreatolithiasis
Pancreolithiasis ndimatenda osowa kwambiri, koma izi sizichotsa pakunyengerera kwake. Chizindikiro chodziwika ndi kupweteka pamimba. Pakati pa pathogenesis otsogola, kulephera mu kagayidwe kachakudya ndi njira yeniyeni ya kapamba ndizodziwika.
Miyala yomwe imayambitsa kukhumudwitsa imawoneka osati pancreas, komanso ikhoza kupanga mu ndulu, zomwe zimabweretsa kutsekeka kwa ndere zomwe zimayambitsa ndulu ya ndulu. Dziwa ndi cholecystitis wowerengeka.
Miyala imatanthawuza zolimba, mapangidwe ake ndi chifukwa cha crystallization ya zigawo za bile. Zingwe zimasiyana kwambiri kuchokera kumchenga wocheperako mpaka zotupa zazikulu.
Mchenga mu kapamba ndiwowopsa komanso wowopsa, chithandizo chamanthawi yomweyo chimafunikira mu dipatimenti yopanga opaleshoni, apo ayi vutolo limawopseza ndi zotsatira zoyipa, kuphatikizapo zosasinthika.
Zomwe zimayambitsa matendawa:
- Zosintha pakupanga kwamapangidwe amkati mwa pancreatic chifukwa cha uchidakwa, kusuta.
- Kuchepa kwa mahomoni m'thupi (zinthu zingapo ndizomwe zimayambira).
- Kuphwanya kagayidwe kachakudya njira.
- Kutupa kwamkati mwa peritoneum, cyst yeniyeni kapena pseudocyst, chotupa neoplasms.
- Kutupa kwa duodenum 12, ndulu ya ndulu, etc. matenda.
Izi zimathandizira kukulira kwa pancreatic madzi, omwe amakhumudwitsa kuchuluka kwa mchere wamchere ndi mapangidwe apambuyo a calculi mu pancreatic parenchyma ndi / kapena ma ducts.
Mawonetsero akulu azachipatala:
- Ululu wa kudula kwachilengedwe m'chigawo cha epigastric, mpaka kumbuyo. Ululu umawonedwa nthawi ndi nthawi.
- Kusungunuka, kupuma mseru.
- Kutalika kwa vuto lopweteka kumasiyana kuyambira mphindi 5 mpaka maola angapo.
Kupweteka kwapakati kumachitika chifukwa cha kuwonjezeka kwa kupanikizika kwa ma pancreatic kuzungulira kumbuyo kwa kufalikira kwawo ndi kukula kwa njira yotupa.
Kuzindikira ndi chithandizo
Pancreolithiasis amatanthauza matenda am'mimba, ICD code ndi K00-K93. Zojambula zam'mimba. Zimakupatsani mwayi kuwona m'maso miyala yomwe imawoneka ngati mthunzi wozungulira wozungulira. Pali osakwatiwa komanso angapo. Njira zolondola kwambiri zodziwitsira matenda zimaphatikizapo CT ndi MRI.
Wodwalayo ayenera kufunsa dokotala wa gastroenterologist. Kuchiza nthawi zonse kumayamba ndi mankhwala. Cholinga cha kuyimitsa njira zotupa, adapangidwa kuti azisintha kagayidwe kake ka calcium ndi phosphorous m'thupi, kuti muchepetse kutupa kwa kapamba ndi kulowerera kwakukulu. Anti-yotupa ndi mapiritsi a analgesic ndi omwe amapatsidwa.
Mankhwala a enzyme adayikidwa, chisamaliro chapadera chimaperekedwa ku zakudya, ndipo chakudya chachiwiri chimayikidwa. Ngati miyala ndi yaying'ono, ndiye kuti mapiritsiwo atha kuthandiza kusintha kwa wodwalayo, miyala yaying'ono imadutsa matumbo okha.
Pamaso pa miyala ikuluikulu, kumwa mankhwala osokoneza bongo sikothandiza. Opaleshoni ndiyofunikira chifukwa pamakhala ngozi kuumoyo ndi moyo. Mankhwala, njira zowononga zachilengedwe zakonzedwa kwambiri. Mwachitsanzo, kuchotsera kwa miyala ikuluikulu ya duct kumagwiritsidwa ntchito nthawi zambiri. Pangani cholembera, chotsani miyala kudzera pa endoscope.
Ubwino wa njira ya endoscopic:
- Kuperewera kwakukhalitsa kwanthawi yayitali.
- Zovuta zochepa pambuyo pa kulowererapo.
Chokhacho ndichakuti kunyenga sikungachotse ma neoplasms onse mu kapamba. Ngati pali miyala yayikulu ikuluikulu yomwe imakhazikitsidwa m'thupi ndi mchira, ndiye kuti ndibwino kugwiritsa ntchito njira ya laparotomy.
Mankhwala opangira oponderezedwa amathanso kuchitika. Opaleshoniyo ikuwonetsa kugwedeza kwamphamvu pamiyayo, yomwe imalola kutiiphwanyidwe mpaka kumchenga wocheperako. Pambuyo pake, amasiya thupi pomwe matumbo mulibe.
Njira yamakono ndikuchotsa miyala ndi laser. Miyala amawonetsedwa pogwiritsa ntchito kamera ya kanema, chiwonetserochi chimaperekedwa kwa owunikira. Kenako, kuthyolako kumapangidwa kumchenga. Ndemanga za madotolo zimawona kuti kuwonetsa laser kuli ndi zabwino zambiri. Kugunda kwakukulu, kuwonongeka kochepa, nthawi yochepa yobwezeretsa, kusowa kwa zipsera kumasiyanitsidwa.
Kodi mtengo wamachiritso a laser ndi chiyani? Mtengo umatsimikiziridwa ndi ndondomeko yamitengo yachipatala, ziyeneretso za dokotala ndi zina. Kuyankhula pafupifupi, mtengo woyambira ukuchokera ku ruble 15,000.
Kuchita bwino kwa kulowererapo kumadalira ziyeneretso za dokotala. Mavuto akuphatikizira kupweteka, hematoma m'dera la opaleshoni, osachotsa kwathunthu miyala.
Zotsogola ndi kupewa
Kudziwika komwe kumakhalapo kwa miyala kapena mchenga m'matumba kumakhala kwabwino kwambiri. Koma zimachitika chifukwa cha zovuta komanso matenda opatsirana. Kuthandizira opaleshoni kumapereka zotsatira zogwira mtima mu 85% zamilandu yamankhwala.
Ziwerengero zimazindikiranso kuchuluka kwa anthu omwalira, ndizochepa kuposa 2%. Kufufuza koyambirira kwamiyala mu kapamba, kumasangalatsa kwa matendawo.
Palibe njira zodzitetezera zenizeni zomwe zachitika. Madokotala amavomereza kuti chikhansa chachikulu chamankhwala chiyenera kuthandizidwa kupewa matenda. Imwani mankhwala omwe adokotala adalandira. Ndizovomerezeka kugwiritsa ntchito mankhwala azikhalidwe omwe amathandizira kubwezeretsa magwiridwe antchito a kapamba.
Ndi zizindikiro zamakhalidwe - kupweteka mu hypochondrium, tikulimbikitsidwa kufunsa dokotala nthawi yomweyo. Zitsamba za kapamba pankhaniyi sizithandiza. Zomera sizithandiza kufufuta miyala. Kulandira chithandizo mosakonzekera kumangokulitsa vutolo.
Kupewa kumatanthauza kukhala ndi moyo wathanzi - kutsatira zakudya zosavomerezeka zomwe sizimalemetsa kapamba, kukana kumwa mowa, kusuta. Kuwunikira chitetezo cha boma la phosphorous-calcium metabolism ndikofunikira.
Kuchitira pa nthawi yake yotupa mu duodenum 12, biliary thirakiti, mathandizo angathandizenso kupewa mapangidwe a calculi mu gland.
Zizindikiro zodziwika bwino za matenda a kapamba zimakambidwa mu kanema munkhaniyi.
