Cancreatitis yowerengeka ndi matenda otupa a kapamba, omwe amaphatikizidwa ndi kuphatikizika kwa calcium m'minyewa yofewa ya thupi. Zomwe zimayambitsa ndi matenda ena komanso kuphwanya kapangidwe kazinthu zopanga katemera wa kapamba.
Izi zimakwiyitsa mapangidwe amiyala m'dera la chimbudzi. Zojambula zambiri, neoplasms imakhala ndi kaboni dayokisi kapena phosphate laimu. Makulu awo ndi ang'ono, mawonekedwe ake amafanana ndi mchenga wa imvi kapena yoyera, amakhala ndi mawonekedwe a porous komanso owuma pang'ono.
Anthu amati za matenda otere "miyala mu kapamba." Nthawi zambiri, matendawa amapezeka mwa mayi wamkulu kuposa zaka 50. Pathology imadziwika kuti ndi njira zomwe zimakhala nthawi zambiri.
Kuzindikira matendawa ndi kuwunika kwa ultrasound. Wodwala ayenera kutenga x-ray, kuyezetsa, kumayeserera pancreatography ya endoscopic. Kutengera ndi zomwe zapezedwa, chithandizo chotsatira chimasankhidwa - chosasinthika kapena opaleshoni.
Mitundu ya pancreatitis yowerengeka komanso zomwe zimayambitsa chitukuko
Pancreatitis yosatha malinga ndi ICD code 10 ndi yamitundu yosiyanasiyana. Mtundu wowerengeka wa matendawa amagawika pancreatitis yovuta komanso yosatha. Maonekedwe owopsa amaphatikizidwa ndi mawonetsedwe azowopsa am'kati.
Odwala amadandaula za kupweteka kwambiri, zomwe zimachitika chifukwa chakutha kwa miyala mu chiwalo. Nthawi zambiri pamakhala mseru komanso kusanza. Nthawi zina kutentha kwa thupi kumachuluka, dziko lamatenda limawonedwa. Izi ziyenera kuyimitsidwa pomwepo, chifukwa zimakhala ndi chilema kapena kufa chifukwa chosowa thandizo.
Mtundu wodwala wamatenda amadziwika ndi mawonekedwe owonetsa pang'ono. Mu nthawi "yopanda", zizindikiro za matenda sizipezeka konse. Kukhazikitsidwa kwa mchere wamchere ndi kochepa, chifukwa chake sikuwopseza moyo. Komabe, amatha kudziunjikira. Popewa zovuta, chithandizo chikuchitika, kupewa kumachitika.
Zolakwika zilizonse za m'mimba sizimangokhala zokha. Kukula kwawo kumakwiyitsa zifukwa zingapo zomwe zimayambitsa matendawa pang'onopang'ono.
Pathogenesis ya kuwerengetsa kapamba:
- Matenda a chiwindi (hepatitis C kapena B).
- Cholecystitis (gallbladder matenda).
- Ngati mbiri yamatenda ili ndi zilonda zam'mimba kapena zilonda zam'mimba.
- Kusokonezeka kwa minofu yolumikizana, mitsempha yamagazi.
- Zizolowezi zoyipa kudya.
- Zoyipa zachilengedwe.
- Kugwiritsa ntchito mankhwala amphamvu.
- Mowa, kusuta, etc.
Kuchulukitsa kwa pancreatitis yowerengeka kumawonedwa chifukwa chosagwirizana ndi zakudya, kumwa mowa komanso kugwiritsa ntchito mankhwala ena. Chomwe chimapangitsa kuti munthu abwererenso ndi nkhawa, kumverera - zimawonjezera ntchito ya m'mimba.
Kukhalapo kwa ma pathologies ena a hepatobiliary kapena dongosolo la m'mimba kwambiri kumawonjezera mwayi wokhala ndi kutupa kwa kapamba.
Zizindikiro za kutupa kwapancreatic
Mawonetsedwe azachipatala a pancreatitis owerengeka amayamba chifukwa cha mawonekedwe achilendo mthupi. Monga tanena kale, ndi lakuthwa komanso ulesi. Kuphatikiza apo, malo omwe miyala imakhudza chipatalachi.
Pamodzi ndi kapamba, cholecystitis yosawerengeka imadziwika kawirikawiri - njira yotupa mu ndulu yomwe simayende limodzi ndi mapangidwe amiyala. Dzina lina ndi cholecystitis yopanda miyala. Chifukwa chake, chithunzicho chimatha kuthandizidwa ndi zizindikiro za matenda ena.
Ngati calculi yapezeka pamutu pa kapamba, wodwalayo amadandaula za ululu pakati pamimba, pamene ali m'thupi - m'dera lamanja, ndipo akapezeka mchira, ululu wammbuyo umapezeka mu hypochondrium yamanzere. Miyala ikakhala m'mutu, thupi ndi mchira nthawi yomweyo, ululu wammbuyo umakhala ngati.
Kukula kwa pancreatitis yowerengeka kumatha kukayikiridwa ndi zizindikiro zotsatirazi:
- Kudzimbidwa kwa nthawi yayitali, pomwe ndowe zimapangidwa ndi madzi, zotsalira za chakudya chosaphatikizika zimawonedwa. Mpando umakhala ndi fungo losasangalatsa kwambiri.
- Kulimbikira. Nthawi zina kusanza kumayamba ndi kapamba.
- Kuchepetsa thupi.
- Kuchuluka kwa mtima.
- Kuchulukitsa thukuta.
Ngati miyala ikupezeka pancreas yonse, ndiye kuti wodwalayo amayamba kuphwanya shuga m'mimba - shuga. Mu chithunzichi, ululu wammbuyo ndi wofatsa kapena kulibe.
Kukula kwa kudwala kwa wodwalayo kumatsimikiziridwa ndi kuuma ndi mawonekedwe a matendawa, nthawi yake ya chithandizo.
Kuzindikira ndi kuchiza pancreatitis yowerengeka
Kuti adziwe zoyenera, katswiri wa zamankhwala amalimbikitsa njira zingapo zoyesera. Kuyeserera kwa labotale magazi ndi mkodzo wokhala ndi mankhwala ambiri amylase kumatsimikizira kuwonongeka kwa kapamba.
X-ray imakupatsani mwayi kuti muwone miyala m'thupi, kuti mudziwe kuchuluka kwake.
Kuunika kwa Ultrasound kumatsimikizira kutalika kwa zonyansa za England, kukhalapo kwa miyala mwa iwo. Kulemba uku kumachitika kokha motsutsana ndi maziko akhululukidwe, popeza ndi kuukiridwa koopsa kuwerengera kumachitika kwa mphindi.
Chithandizo cha matenda owerengeka kapamba imakhala ndi mayendedwe angapo. Ndi maphunziro ochepa a pathology, njira zotsatirazi zimagwiritsidwa ntchito:
- Mankhwala amaperekedwa. Amathandizira kuchepetsa nkhawa, kutulutsa chimbudzi ndi kugaya chakudya. Mankhwala amaletsa kutukusira kwa machitidwe, amathandizira pakuwonongeka kwa ma pathological amana.
- Njira zochitira masewera olimbitsa thupi nthawi zambiri zimaphatikizidwa mu njira yochizira. Amayang'ana kubwezeretsa ntchito za ziwalo zamkati, kuthandizira kupititsa patsogolo minofu, kukonza machiritso.
- Sanatorium chithandizo. Dokotalayo amalimbikitsa kusamba, kudya mchere wambiri, kumapereka chakudya.
- Kuphatikiza apo, zitsamba zimagwiritsidwa ntchito pochiza chiwindi ndi kapamba. Pamabwalo azithandizo zina, "mankhwalawa" amakhala ndi malingaliro abwino - msuzi wa chamomile, tincture wozikidwa pa hypericum, msuzi wa karoti, msuzi wa yarrow.
Wodwala akakhala kuti ali ndi vuto lalikulu, miyala siyilola kuti kapamba kuti azigwira ntchito moyenera kapena machitidwe a necrotic amapezeka mkati mwake, ndikofunikira kuti ayambe opaleshoni. Ndi pancreatitis yowerengeka, opareshoniyo imayang'ana kubwezeretsa kutulutsa kwa pancreatic secretion.
Pakupanga opaleshoni, adokotala amatulutsa zitsime zamadzimadzi, ndikuchotsa mchere wa calcium. Ngati pali zovuta m'matumbo a kufa kwa minofu kapena kuwonongeka kwakukulu kwa zigawo zikuluzikulu, amachotsedwa pamakina.
Kupatula pakubwera mobwerezabwereza, kupewa ndikofunikira. Mndandanda wa njira zodzitetezera umaphatikizapo malingaliro: kuchepetsa kumwa mowa, menyu olimbitsa thupi, kusiya kusuta. M'pofunikanso kupewa kupsinjika, kusintha makonda amasiku. Chitsimikizo pakuchapa ndi kupewa chili pa chakudya chopatsa thanzi. Maziko amatengedwa pancreatic zakudya nambala 5 ndi zotumphukira zake.
The etiology ndi mitundu ya kapamba amadziwika mu kanema munkhaniyi.
