Zikondwererozo zimapezeka m'mimba mwa m'mimba mwa amuna ndi akazi. Thupi ili limakhala ndi mutu, thupi ndi mchira. Ndikosatheka kuwerengera kufunika kwa kapamba wazinthu zonse.
Mu minofu yake, zinthu ndi ma enzyme amapangidwa omwe amatenga gawo limodzi pakulimbitsa mapuloteni, chakudya chamafuta ndi mafuta. Choyamba, amalowa m'matumbo apakhungu, ndipo atatha amapatsidwa matumbo a duodenal (duodenal), pano pamakhala chakudya.
Kuphatikiza apo, mu kapamba mumakhala akatswiri, amapanga insulin, maselo. Kamodzi m'magazi, insulini imayang'anira kuchuluka kwa shuga mthupi. Ngati timadzi timeneti timapangidwa mosakwanira, ndiye kuti munthu akhoza kuyamba kudwala matenda ashuga, Zizindikiro zomwe aliyense ayenera kudziwa.
Zizindikiro zodziwika bwino za vuto
Mitundu yonse yamatenda a matenda apancreatic ndi ofanana ndipo ali ndi zizindikiro zofananira:
- mavuto a dyspeptic
- kupweteka ndi kuwonetsa kwina kwachilengedwe,
- Zowawa zimawonekera m'chigawo cham'mimba cham'mimba,
- zitha kukhala zopindika,
- nyamuka hypochondrium wamanzere,
- pereka kumbuyo kapena pansi kwa tsamba lamanzere,
- Mtundu wa ululu umatha kukhala paroxysmal komanso osatha.
- Pambuyo kudya kwambiri, kudya yokazinga, zokometsera, zakudya zamafuta ndi mowa, ululu umakulirakulira.
- Zimathandizira kuwonjezeka kwa ululu ndi kutentha, koma kuzizira kumachepetsa pang'ono.
Nthawi zina maimidwe ena okakamizidwa a thupi amathandizira kupulumuka zowawa: mawonekedwe ofananira ndi mawondo okokedwa pachifuwa, atakhala, akuwerama kutsogolo. M'tsogolomu, kudya kumakhala kofunikira kuti musayambenso .Pamkamwa pamimba mu hypochondrium yamanzere, kumva kupweteka. Mavuto Otupa Amakhala ndi:
- kutsegula m'mimba
- nseru
- kusanza
Matenda a kapamba amadziwika ndi kuchepa thupi kosakwiya komanso kuchepa kwa chakudya, izi zimagwira kwa amuna ndi akazi.
Njira zamakono zowunikira thupi laumunthu (ultrasound, computer tomography, maphunziro ena apadera a x-ray) zimakupatsani mwayi wopeza chithunzi chapamwamba kwambiri cha chiwalochi polojekiti ndikufanizira zizindikiro, ndikupeza chithunzi chomveka bwino cha zomwe zikuchitika.
Pachimake kapamba
Matendawa nthawi zambiri amayamba kwambiri. Pancreatitis pachimake imatha kupangitsa kuti mafuta azikhala ndi zakudya komanso zonunkhira, kudya kwambiri komanso kumwa mowa. Zizindikiro zazikulu za pancreatitis pachimake ndizopweteka. Kupweteka kumeneku kumachitika mu hypochondrium yamanja komanso kumanzere, m'chigawo cha epigastric, ikhoza kukhala herpes zoster. Zowawa zimaperekedwa pakati theka la chifuwa, kumbuyo, m'munsi komanso pambuyo pake pamimba.
Ndikotheka kuchepetsa ululu ndi zovuta kwambiri, popeza ndizolimba kwambiri, lakuthwa komanso yotopetsa, chithandizo chimaphatikizapo mtendere ndi ma painkiller, chakudya chimafunika. Mukawerama mtsogolo, mutakhala pansi, ululu umachepa. Nthawi zambiri mnzanu waululu amapweteka mseru komanso kusanza mobwerezabwereza, komwe sikubweretsa mpumulo. Mkhalidwe wamba wodwalayo amakhalanso wosakhutira, zimachitika zimafulumira, kuthamanga kwa magazi kumatsika. Mosakayikira, apa muyenera kudziwa zomwe mungadye ndi kapamba.
Matenda kapamba
Matenda a pancreatic poyambira koyambirira amadziwika ndi kusintha kwa nthawi zina, panthawi yopumira. Ndipo apa, zizindikiro za aspen ndizopweteka. Amapezeka mu hypochondrium wamanzere, epigastric dera, kumbuyo, tsamba lamanzere ndipo amatha kukhala herpes zoster. Wodwala ayenera kupatsidwa zakudya.
Ululu umapitilira kapena paroxysmal. Monga momwe zimapwetekera kwambiri kapamba, kugwiritsa ntchito zakudya zamafuta ndi zonunkhira, kudya kwambiri ndi kumwa mowa kumatha kuyambitsa vuto. Zimathandizira kuwonjezeka kwa ululu ndi kutentha, koma kuzizira kumachepetsa pang'ono. Kupweteka kotere ndikovuta kwambiri kuchiza ndi mankhwala.
Pamene chithokomiro chikucheperachepera, zizindikiro zazikulu zimayamba chifukwa cha kuchepa kwa katemera wa kapamba. Njira yonyamula komanso chimbudzi cha chakudya imasokonekera. Odwala amadandaula kutulutsa ndi kugundana mkati mwake, nthawi zambiri pamakhala kutsegula m'mimba kapena kudzimbidwa. Zizindikiro zoyipa ndi mseru komanso kusanza. Kulakalaka kutayika, kulemera kumachepetsedwa.
Ngati kuchuluka kwa maselo opangidwa ndi insulin m'matumbo a minyewa kumachepa, ndiye kuti shuga. Wodwalayo amadandaula za ludzu komanso kuchuluka kwa mkodzo watsiku ndi tsiku.
Kuzindikira ndi kuchiza pancreatitis yayitali kumakhala kovuta kwambiri chifukwa chakuti zizindikiritso zamitundu mitundu ndizofanana kwambiri. Kuti muwongolere ntchitoyi, njira zophunzitsira zothandiza kwambiri zimagwiritsidwa ntchito kwambiri monga mankhwala masiku ano, monga ultrasound, maphunziro a X-ray ndi compact tomography ya ma pancreatic ducts. Zakudya zimafunikanso.
Zotupa zam'mimba
Pali mitundu iwiri ya chotupa cha pancreatic. Ichi ndi khansa ya England, zotupa ndi zotupa zama cell zomwe zimapangika kuchokera ku maselo apadera ndi mahomoni achinsinsi ambiri.
Zizindikiro za khansa ya pancreatic ndizosiyanasiyana. Nthawi zina, zimatengera malo omwe chotupa chija chili. Khansa yam'mutu nthawi zambiri imayambitsa jaundice wotsatira. Ndipo khansa ya thupi ndi mchira imayambitsa kukulira kwa matenda a shuga komanso kuchitira mankhwala kumakhala kovuta kwambiri.
Njira yodziwika kwambiri ndi njira yokhwima yomwe imagwira pancreatitis yayikulu. Mwa zina zonsezi, zizindikiro zotsatirazi zimachitika:
- kupweteka kwambiri
- kusowa kwa chakudya
- kuwonda.
Chifukwa cha njira zamakono zofufuzira, zomwe zimaphatikizapo kugwiritsa ntchito zida za ultrasound, khansa ya kapamba imatha kuwoneka koyambirira ngakhale mawonekedwe ake atasowa kwathunthu, zomwe zimatipatsa chiyembekezo chachipatala chokhala ndi zotsatira zabwino.
Insulinoma
Maselo a chotupachi pakuchulukirachulukira amatsekerezera insulini ya mahomoni. Zizindikiro za chotupa - nthawi zina zinthu zomwe zimachitika chifukwa cha kuchepa msanga kwa magazi mwa wodwala. Pewani izi zimathandiza kudya mokwanira komanso kudya shuga panthawi yake.
Mikhalidwe imeneyi imayamba chifukwa cholimbitsa thupi kwambiri komanso nthawi yayitali pakudya. Zizindikiro za chotupa:
kupweteka mumtima,
tachycardia
kumva kwamphamvu njala
- thukuta kwambiri
- kuthamanga kwa magazi
- nkhawa
- chisangalalo
- muzochitika zapamwamba, chisokonezo.
Mawonekedwe awa onse amawonongeka atatenga maswiti, tiyi wokoma kapena kulowetsa yankho mu shuga m'mitsempha; njira zonsezi ndi chithandizo choyambirira chomwe chimakupatsani mwayi kuti muchepetse kupanga insulin. Mwachilengedwe, zakudya zimalimbikitsa odwala.
Gastrinoma
Ichi ndi chotupa chobisa mahomoni gastrin, omwe, ndi othandizira kutulutsa kwa hydrochloric acid m'mimba. Zilonda zam'mimba kapena duodenum, kutsekula m'mimba - izi ndiye zizindikiro zazikulu za gastrinoma, chithandizo chitha kukhala chosasangalatsa kapena kuchitidwa opaleshoni.
Zilonda nthawi zambiri zimakhala zopanda limodzi, zimatsagana ndi kupweteka kwambiri m'mimba. Pambuyo mankhwala, bwino kudya.
Chotupa chamoto
Amayamba kupanga ma cell omwe amapanga zinthu zothandiza kuti pakhale zinthu zina, zomwe pambuyo pake zimagwira ntchito zosiyanasiyana zamthupi. Zizindikiro zazikuluzikulu za chotupa cha carcinoid ndi kutsekula m'mimba ndi matenda amphumo. Kuphatikiza apo, nthawi ndi nthawi, redness ya malo akulu pakhungu limawonekera, kutikika pankhope, khosi, patsogolo pa thupi.
Kuchepetsa thupi kumatha kuzindikira pang'ono, koma kungatchulidwe. Kuti awonekere kwa wodwala, ndikokwanira kumwa 25-50 ml ya mowa wamphamvu. Chithandizo cha chotupacho chitha kugwira ntchito, monga nthawi zina, wodwalayo amapatsidwa zakudya. Ndipo komabe, zizindikiro za khansa ya kapamba mwa akazi ndizofanana ndi amuna, motero sizingatheke kuzisokoneza.
Cystic fibrosis
Matendawa amaphatikizidwa ndi kupweteka kwam'matumbo, m'mimba pafupipafupi, kutsegula m'mimba, kuchepa kwa chakudya. Makristalo amchere, kufooka kwa minofu ndi pakamwa youma amadziwika pakhungu.
Pancreatic cyst
Matendawa amadziwika ndi ululu wosakhazikika, wopweteketsa. Amakulitsa ngati mapangidwewo ali ndi mawonekedwe osiririka, chifukwa cha zomwe zimapangidwa ndi mitengo ikuluikulu ya mitsempha imapanikizika kapena kapu ya gland ikokedwa.
Ngati njirayi ikupezeka m'mutu, gawo lamanja la epigastrium limapweteka, ngati mchira wakhudzidwa, kumanzere. Chingwe chachikulu chimatha kumveka kudzera khoma lakunja kwam'mimba. Ngati kusinthika kumachitika mu cyst, kutentha kwa wodwalayo kumakwera ndipo kupweteka kwam'mimba kumawonekera. Mankhwalawa nthawi zambiri amachitidwa opaleshoni, koma pakhoza kukhala chithandizo popanda opaleshoni ngati ma cyst atha kuyimitsidwa. Komabe, palibe zakudya kapena mankhwala omwe amapereka chitsimikizo chokwanira, chifukwa chake chithandizo chimasankhidwa nthawi yomweyo.
Pancreatic necrosis
Amawonetsedwa ndi zowawa zakuthwa kumbuyo kwa sternum kapena epigastrium. Izi zowawa zimatha kuperekedwa kumbuyo kapena kolala. Ndikumva kupweteka kwambiri, wodwalayo amatha kudwala, limodzi ndi kusazindikira. Choyipa chachikulu ndikuti pancreatic pancreatic necrosis imatha kupha.
