The yogwira pancreatitis ndi akuwukira yomweyo pancreatitis pachimake, zimachitika amene amatengera matenda a m'mimba dongosolo. Izi zimaphatikizapo chiwindi, duodenum, chikhodzodzo ndi m'mimba.
Mwanjira ina, mawonekedwe omwe amatengeka ndi kusinthasintha kwa matenda ena am'mimba omwe amakhala ndi matenda osachiritsika, omwe nthawi zambiri amakhala ndi zobisika, palibe mawonetseredwe azachipatala.
Mphindi yofunika kwambiri ya chithandizocho ndi kuzindikiritsa komwe kunayambitsa vutoli, komwe kunathandizira kukulitsa zizindikiro zoyipa. Mwa ana, Zizindikiro zimawonjezeka nthawi yomweyo, zomwe zimachitika chifukwa cha ziwalo zosapanganika.
Mwa odwala akuluakulu, Zizindikiro zimatchulidwa pang'ono, chifukwa m'mimba mumapangidwa, motero, simulimbana. Zifukwa zazikulu - kumwa zakumwa zoledzeretsa, zosagwirizana ndi zakudya.
Etiological zinthu za matenda
Rease kapamba, ndi chiyani? Izi ndizomwe zimachitika chifukwa cha kapamba (kapamba), zomwe zimachitika m'matumbo am'mimba matenda, poyizoni, chifuwa, zolakwika za zakudya, ndi zina.
Izi sizoyambira zokha, koma chizindikiro chabe. Mwanjira ina, thupi limayimira kuphwanya kwakukulu. Muubwana ndi ukalamba, matendawa nthawi zambiri amayamba chifukwa cholakwitsa zakudya zina.
Kugwiritsa ntchito molakwika zakumwa zamchere, zonunkhira komanso zamafuta zimathandizira kukwiya kwa makoma owonda m'mimba ndi matumbo. Pakakhala kuphwanya kwam'mimba, m'mimba amasiya kugwira ntchito, atony amayang'aniridwa.
Zakudya zopanda pake zimayambitsa matendawa: shuga mellitus, kulephera kwa impso, dystrophy, bulimia, anorexia. Matendawa pakapita nthawi yawo amakhudza kapamba.
Iatrogenic yogwira pancreatitis nthawi zambiri imayamba pambuyo pakuchita opaleshoni ya endoscopic pamtundu wa biliary.
Zifukwa zina:
- Zizolowezi zoyipa ndikusuta komanso kumwa mowa. Nicotine imakhala ndi mitundu yambiri ya mankhwala omwe amalowa m'matumbo am'mimba, amathandizira kuwonongeka kwa nembanemba ya mucous.
- Matumbo am'mimba. Matenda otakataka a matendawa amakula chifukwa cha cholecystitis, matenda opatsirana, kumbuyo kwa poyizoni ophatikizika ndi mankhwala, komanso cholelithiasis, gastritis, zilonda zam'mimbazi, chifuwa chachikulu cha chifuwa chachikulu.
- Kugwiritsa ntchito mankhwala. Kugwiritsa ntchito mosaganizira mitundu ingapo ya mankhwala osokoneza bongo kumakhudza mkhalidwe wamatumbo ndi m'mimba. Mavitamini, maantibayotiki, mankhwala omwe ali ndi ma pinkillers ndi anti-yotupa amayenera kugwiritsidwa ntchito mongotsatira malangizo.
- Matenda am'mimbamo. Reanc pancreatitis imachitika chifukwa cha kuvulala komwe kumayambitsa kupasuka kwa minofu yofewa. Zomwe zimayambitsa ndi matenda a cirrhosis, hepatitis, etc.
Zomwe zimayambitsa kupsinjika kwa kapamba zimaphatikizapo kugwira ntchito mopitirira muyeso, kusokonezeka kwamanjenje, kupsinjika, kunenepa kwambiri, komanso kudya kwambiri.
Mawonetseredwe azachipatala
Chipatala cha pathological process chimayamba patangodutsa maola awiri kuchokera pakubwera kwa chinthu chosamveka. Mawonetseredwe azachipatala amawonjezera pazizindikiro zomwe zimayambitsa matenda oyambira ndi zizindikiro za kuwonongeka kwa kapamba.
Wodwalayo amadandaula za kupweteka kwambiri. Malo amtunduwu ndi pamimba pamimba ndi hypochondrium. Ululu umaperekedwa kumbuyo ndi phewa masamba, zoyipa kwambiri mutatha kudya. Ululu wolimbana ndi kugwirira ntchito sikugwira ntchito kwambiri ngati kufooka kwa matenda a prostatitis.
Ngati zizindikiro za yogwira pancreatitis zimawonedwa, chithandizo chiyenera kuyambika nthawi yomweyo. Kuperewera kwa chithandizo chanthawi yake kumabweretsa zovuta zambiri.
Zizindikiro:
- Kufalikira.
- Kubwula.
- Kutentha kwa mtima
- Kusanza, kusanza ndi ntchofu ndi ndulu.
Chifukwa chakuti kusanza mobwerezabwereza kumawonjezera kupsinjika mkati mwa peritoneum ndi ducts, kupweteka pambuyo pakukula.
Ngati simukuthandizira kumayambiriro kwa matenda a matenda a m'matumbo, mkhalidwe wa wodwalayo umakulirakulirakusewera chifukwa cha kuchuluka kwa ma enzyme ochulukirapo m'thupi. Kukhathamiritsa thupi kumawonedwa, kutentha kwa thupi kumakwera. Khungu la pakhungu, thukuta, tachycardia, ndi kuchepa kwa magazi zimadziwika.
Odwala omwe ali ndi vuto lalikulu la matendawa amafunikira kuchipatala mwachangu mu dipatimenti ya gastroenterology.
Matenda a yogwira pancreatitis
Zizindikiro ndi kulandira chithandizo kwa achikulire kumalumikizidwa zolimba, kotero kuwunika koyenera kuyenera kupangidwa kaye. Pachifukwa ichi, kafukufuku wazokhudza zamankhwala ndi zamankhwala amachitika: kuyezetsa magazi konse, mkodzo, kutsimikiza kwa magazi m'magazi.
Onetsetsani kuti mwazindikira kuchuluka kwa michere ya pancreatic mu madzi amthupi la anthu - mkodzo ndi magazi. Unikani mapuloteni onse. Monga lamulo, wodwala amakhala ndi amylase yambiri, trypsin inhibitors motsutsana ndi maziko a lipase yokhazikika komanso misempha ya trypsin.
Kukhazikika kwa kuwukira kofulumira kukuwonetsedwa ndi mbiri yamatenda oyamba omwe amayamba kufalikira. Mukamayesedwa thupi, chizindikiro chosadziwika ndi zomwe zimachitika mu tachycardia, kutsitsa kuthamanga, kufooka kwa ziwalo zamkati ndi khungu.
Pa palpation, wodwalayo amamva kupweteka pamimba yapamwamba. Pali zowawa pakona yakumanzere- yakumanzere. Mimba imakhala yokhazikika, koma yofewa. Zizindikiro za kupsinjika kwa peritoneal ndizosavomerezeka.
Kuzindikira kwa pancreatic pathologies kumakhazikika pakuwonjezeka kapena kuchepa kwa echo ya zizindikiro. Echogenicity imawonjezeka ndi kuwonjezeka kwa kapamba kapangidwe ka minofu kapenanso kusintha kwa minyewa yolimba kapena ya adipose. Pomwe mawonekedwe a echo amasintha, amalankhula za kuchuluka kwa kapamba.
Zoyesa zowonjezera kuzindikira:
- Kufufuza kwamtundu wam'mimba ndi njira yodziwira matenda. Zimathandizira kuchotsa miyala mu duct ya bile, kutupa ndi kukulitsa kwa kapamba.
- CT, radiology imathandizira kumveketsa tsatanetsatane wa mayeso, onani momwe ma pathological amaganizira.
- Endoscopic RCHP imagwira ntchito molingana ndi mawonekedwe okhwima. Mwachitsanzo, kutsekeka kwa duct ya bile yodziwika ndi calculus kumatsimikiziridwa. Kupanda kutero, MRI ndi njira ina. Kubera kumathandizira kuti ma calculi awoneke, amakupatsani mwayi kudziwa malo ndi kukula kwawo.
Njira yodziwira kwambiri matenda a laparoscopy. Imachitika m'magawo olimbikira, pakakhala zovuta zokuzindikira.
Mankhwala
The International Classization of Diseases (ICD) imalongosola pancreatitis yayitali pansi pa code khumi. Magawo awiri angapezekemo: K86.0 - uchidakwa pathogenesis wa kuyambika kwa matendawa, code K86.1 itanthauza zifukwa zina.
Mwa amayi ndi abambo, kuukira kumakula mwachangu. Anthu amawopa ndikumva kuwawa, motero simukuyenera kusiya kupweteketsa nokha, ndikulimbikitsidwa kuyitanitsa gulu la madokotala.
Cholinga cha mankhwalawa ndikuletsa kutupa ndi kuchepetsa kuwonongeka kwa ziwalo zamkati. M'pofunika kuchotsa kuledzera, kubwezeretsa yachilendo secretion wa kapamba madzi. Rease pancreatitis sangathe kuchiritsidwa ngati matenda ake sanachiritsidwe, chifukwa chake chidwi chake chimaperekedwa kwa iwo.
Mu nthawi yovuta kwambiri ya matenda, kusala kwachiwonetsero ndikofunikira, komwe kumatenga masiku 1-2. Pakadali pano, ndizololeka kumwa madzi wamba wamba. Mutha kugwiritsa ntchito wowerengeka azitsamba, makamaka, decoctions ndi infusions motengera anti-yotupa zitsamba.
Ngati maphunzirowa ndi ofatsa, mwina sangalimbikitse kufa ndi kapamba. Monga lamulo, zakudya zamafuta ochulukirapo zimayikidwa, koma zimachepetsa kudya zamafuta ndi mapuloteni. Cholinga cha chakudyacho ndikuchepetsa katundu pa kapamba.
M'mazithunzi ena azachipatala, opaleshoni imachitidwa. Mwachitsanzo, ngati njira yotupa idayambitsa kupangidwa kwa cyst yabodza.
Gawani kumwa mankhwala:
- Digestive Enzymes - Panzinorm.
- Mankhwala aCarminative - Espumisan.
- Antispasmodics - Ayi-shpa.
- Opaleshoni - Diclofenac.
Mankhwala a antibacterial amachitika kwambiri matenda. Maantibayotiki othandiza akuphatikiza Ampiox, Gentamicin.
Poyerekeza ndi zovuta za kapamba, zovuta zake ndizabwino. Kutengera chithandizo chakanthawi, zisonyezo zonse zimakhazikika. Katetezedwe kamakhala pochiza matenda oyanjana, pakuwona mfundo za zakudya, kusiya mowa ndi kusuta.
Zomwe zimayambitsa, mitundu ndi chithandizo cha kapamba zimafotokozedwa mu kanema munkhaniyi.
