Zizindikiro za pancreatic matenda mwa akazi

Mphepoyi ndi gawo lochita kupukusa lomwe limapanga ma enzymes ndi mahomoni. Imakhala ndi mawonekedwe osavuta a anatomical ndipo imakhala ndi minyewa komanso michere yomwe pancreatic madzi amapita mpaka duodenum.

Zowona kuti kapamba siyabwino, anthu samadziwa mwachangu. Chifukwa cha malo ake ozama mkati mwa thupi, ndizovuta kwambiri kuwona zolakwika zilizonse komanso malingaliro osasamala ngakhale ndikuwunika mozama.

Zifukwa

Zomwe zimayambitsa matenda a pancreatic mwa azimayi ndi kudya kwambiri, kudya kwambiri, kusachita masewera olimbitsa thupi komanso matenda am'mimba. Kuphatikiza apo, kupsinjika ndi nkhawa zimakhudza kwambiri thanzi la chiwalo, chomwe ndi mawonekedwe a theka lofooka la anthu.

Palibe zidziwitso zodziwika bwino za yemwe amatenga pancreatitis ndi zina pancreatic pathologies. Komabe, machitidwe akuwonetsa kuti ndi amayi omwe ali pachiwopsezo chachikulu. Zinthu monga kumwa kwa nthawi yayitali komanso osagwiritsa ntchito mankhwalawa, kuledzera, matenda opatsirana ndi tizilombo komanso zovuta zam'magazi zimatha kuyambitsa kutupa.

Kutsimikizira kapena kukana kukayikira kwamavuto ndi kapamba kungathandize ultrasound

Matenda a pancreatic amatsogolera ku kuwoneka kwa matenda osiyanasiyana, omwe ndi:

• matenda a shuga;
• pacreatitis;
• pancreatic necrosis;
• chidziwitso chowawa;
• cystic fibrosis.

Zizindikiro zoyambira

Mu magawo oyamba, zizindikiro za matenda a kapamba mu azimayi sizifotokozedwa bwino ndipo mwina sangakhalepo. Choyambitsa mantha chimakhala kupweteka pamimba yakumanzere yam'mimba, yomwe imakonda kupezeka itatha kudya kapena pafupi ndi usiku. Ululu umatha kukhala wopindika ndikupereka pansi pa phewa.

Matendawa akamakula, zizindikiro zina zimawonekera.

• kunachepa chilakolako chakufa mpaka kutha kwathunthu;
• dyspeptic phenomena - kudzimbidwa, kutsegula m'mimba, kumatulutsa, komanso nthawi zina, kutsekeka kwamatumbo kumadziwika;
• kuyanika ndi kutulutsa khungu
• chikasu cham'maso;
• kusanza, kusanza
• kufooka ndi kuchepa thupi.

Ndizofunikira kudziwa kuti zizindikiro za matenda a kapamba mu azimayi nthawi zambiri zimakhala zofanana ndi mawonetseredwe a matenda opatsirana. Ichi ndiye chifukwa china chomwe amayi amapita kwa gastroenterologist mochedwa.

Kuyesa kosavuta kumathandiza kuthana ndi kukayikira ndikuzindikira zomwe zimayipa kwenikweni. Mu matenda a kapamba, ululu wammbuyo umakulitsidwa mukagona kumbuyo. Vutoli limatsitsidwanso pambuyo pake ndi miyendo yokhotakhota ndi pilo pamimba.

Pachimake kapamba

Pancreatitis ndimatenda otupa a kapamba, limodzi ndi kuphwanya kwa ntchito zakunja ndi zotupa. Zomwe zimayambitsa ndikutchinga kwa ma ducts ndi ma neoplasms kapena miyala kuchokera ndulu.

Kuukira kwa chifuwa chachikulu cha pancreatitis kumatha kuchitika mwadzidzidzi mukatha kudya chakudya chopatsa thanzi limodzi ndi mowa. Kuchuluka kwa zovuta zotere kumapangitsa mowa.

Zakudya zoziziritsa kukhosi - ozizira, katswiri, bowa wowotchera ndi ndiwo zamasamba zimathandizira kukula kwa ntchito yotupa. Odwala atatu mwa khumi panthawi yomwe akuyamba kuukira, ali ndi matenda omwe amayamba ndi matenda a biliary thirakiti. Pafupifupi 10% ya milandu, chifuwa chachikulu cha pancreatitis chimakhudza azimayi omwe adachitidwa opaleshoni, kuvulala m'mimba thirakiti, kachilombo kavairasi kapena poyizoni.

Chizindikiro chachikulu cha matendawa ndi kupweteka kwambiri kwa epigastric, komwe kumayendetsedwa ndi nseru, kumayambitsa kusanza. Pafupifupi odwala onse ali ndi magazi, minyewa m'mimba, ndikuwonetsa kupweteka kumbuyo.

Ngati vuto lachiwiri lisachitike pasanathe miyezi isanu ndi umodzi kuchokera koyamba, ndiye kuti titha kulankhula za pancreatitis yachilendo.

Ndikofunikira kudziwa kuti ngati mukukayikira pancreatitis, simuyenera kupondereza ululu ndi mapiritsi kapena kudzilimbitsa nokha, chifukwa zizindikiro za matenda apamba zimatha kusokonezeka mosavuta ndikuwopsa kwa appendicitis kapena cholecystitis.

Matenda kapamba

Zizindikiro zoyambirira za matenda ashuga

Pancreatitis yachilendo imatha kukhala mawonekedwe osakhazikika, omwe amadziwika ndi mapangidwe otchedwa pseudocysts ndi chiwonongeko chosasintha cha maselo a ziwalo. Kuwoneka kwa kupweteka kwa hypochondrium kumanzere kumayendetsedwa ndi njira yotupa, kusintha kwa kapangidwe ka michere ndi kufalikira kwa ma ducts.

Kapangidwe ka zotupa ndi zipsera zimasokoneza kutuluka kwa pancreatic madzi, chifukwa chomwe kupanikizika kwa ma ducts kumawonjezereka komanso kufalikira kwa magazi kwanthawi kumasokonezedwa. Chifukwa cha kutupa, mitsempha imatha ndipo imatupa, ndikupangitsa kupweteka komanso kusasangalala. Ululu umatha kudutsa mphindi 30 mpaka 40 mutatha kudya kapena kusokoneza munthu pafupipafupi. Momwe ululu ululu umakhala paroxysmal, kupweteka.

Cyst ndi pseudocyst

Pancreatic cyst ndimapangidwe amadzimadzi mkati mwake omwe amakhala ndi madzi a pancreatic, maselo akufa a parenchyma, magazi kapena mafinya. Cysts ikhoza kubereka kapena kutenga, kukula komwe kumayambira motsutsana ndi maziko a kapamba kale mu sabata la 3-4.

Pancreatitis yovuta imakhala yovuta chifukwa cha ma cystic omwe amapezeka mwa anthu pafupifupi 15 mwa zana chifukwa cha chidakwa, komanso kuvulala kwa ziwalo. Cysts amatha kuwoneka motsutsana ndi maziko a cholelithiasis ndi zotupa.

Zizindikiro za pancreatic matenda pamaso pa cysts ndi awa:

• anakhetsa ululu kumtunda kwachitatu kwam'mimba kumanzere;
• kumverera kolemetsa m'mimba;
• kusanza, kusanza, chimbudzi chosakhazikika;
• kuwonda.

Chithandizo cha opaleshoni ya cysts, kusankha njira kumadalira kukula kwake ndi zomwe zimayambitsa mapangidwewo, mkhalidwe wa ma ducts komanso kuchuluka kwa kuwonongeka kwa chiwalo.

Cysts imatha kukhala yocheperako komanso yolakwika, kukula kwake kumasiyana 20mm mpaka 10 cm

Pancreatic necrosis

Pancreatic necrosis ndi imodzi mwazovuta za kapamba ndipo amadziwika ndi kusintha kowononga kwa kapamba. Matendawa amayamba modzidzimutsa ndi ululu wokhazikika komanso wolimba wamanjenje womwe umatulutsa mbali yakumanzere, phewa ndi kutsikira kumbuyo. Odwala 7 mwa 10 aliwonse amavomerezedwa kuchipatala ali ndi vuto loledzera kwambiri, zomwe zikuwonetsa kupita patsogolo mwachangu.

Maola ochepa pambuyo poyambira kupweteka, kusanza kosagwirizana kumachitika, komwe sikugwirizana ndi kudya. Vomit imatha kukhala ndi bile kapena magazi, thupi limasowa madzi, ndipo ntchito ya kwamikodzo imachepa.

Ndi pancreatic necrosis, kumatulutsa kumawonedwa, mawanga ofiira amtundu wotupa kuchokera mu zotupa zofowoka zimawonekera pakhungu pakuwonekera kwa kapamba. Khungu limakhala ngati chikasu chofiirira kapena chofiyira ndipo limazizira kukhudza.

Matendawa limodzi ndi mtima palpitations, utachepa magazi. Wodwala nthawi zambiri amapumira kwambiri, zomwe zimawonetsa kuledzera kwambiri kwa thupi. Chifukwa cha kuchuluka kwa poizoni komanso kuchuluka kwa shuga m'magazi, encephalopathy imayamba. Zowonongeka ku ubongo zimawonetsedwa ndi chisokonezo, kuchuluka kwambiri, kutayika kwa kuyang'ana. Mu 30% ya milandu, chikomokere chimachitika.

Cystic fibrosis

Cystic fibrosis, kapena cystic fibrosis, ndimatenda amtundu ndipo amadziwika chifukwa cha kuwonongeka kwa zotupa za endocrine komanso ziwalo zopumira. Kusintha kwathanzi kumakhudza osati zikondamoyo zokha, komanso chiwindi, matumbo, thukuta ndi tiziwuka timene timagwira.

Zomwe zimayambitsa cystic fibrosis ndikusintha kwa mtundu wa CFTR womwe uli pa 7 chromosome

Ana okalamba amadandaula za kukokana kwam'mimba, mapando osakhazikika, kusokonezeka pansi pa nthiti, komanso nseru. Mwa odwala kwambiri, cystic fibrosis imawonetsedwa ndi zizindikiro zotsatirazi:

• lg mu kukulira ndi kuwonda;
• chifuwa chowuma ndi kupumira komanso kufupika;
• kutupa ndi thukuta lamchere kwambiri chifukwa cha kuchuluka kwa mchere;
• zimbudzi zambiri zomwe zimakhala ndi fungo losasangalatsa lomwe silitsukidwa bwino.

Neoplasms

Mitundu ya tumor imatha kukhala mu endocrine kapena zigawo zina za ma pancreas. Komabe, nthawi zambiri, pancreatic duct adenocarcinoma ndi chotupa choyipa. Zizindikiro zake nthawi zambiri sizimakhala zachindunji komanso sizimawonekera, zomwe zimapangitsa kuti azindikire mochedwa.

Ma pancreatic malignancies ndi mitundu yamtundu wa khansa ndipo ndiyambiri.

Zizindikiro zopweteka ndi mawonekedwe - kutaya chidwi, kuchepa thupi komanso kufooka kwapafupipafupi - kumachitika kokha ndi metastasis, pamene ntchito zambiri zam'mimba zimasokonekera.

Zotupa za Benign ndizosowa ndipo zimapangidwa makamaka kuchokera ku maselo omwe amapanga michere ya m'mimba. Ma neoplasms omwe amapezeka ku endocrine zone ya kapamba amakhala osakhazikika komanso okhudzana ndi mahomoni. Omaliza ali ndi chithunzi chowoneka bwino m'chipatala, chifukwa amapanga zinthu zambiri zogwira ntchito mwachilengedwe. Izi zimayambitsa "kuphulika kwa mahomoni" m'thupi.

Kafukufuku waposachedwa awonetsa kuti zotupa zonse zoyipa ndi zoyipa zimayamba mwa akazi nthawi zambiri kuposa amuna. Monga lamulo, amapezeka ali ndi zaka 35 mpaka 50.

Insulinoma imapangidwa, monga lamulo, kuchokera ku maselo a masheya a Langerans ndikuchotsa insulin mosalekeza kulowa m'magazi

Chotupa chimatha kuoneka mbali iliyonse ya kapamba - mumutu, m'thupi kapena mchira. Nthawi zina zimakhala zosatheka kukhazikitsa bwino lomwe neoplasm. Zotupa zambiri sizimadziwonetsa kwa zaka zambiri. Mkhalidwe wawo wocheperako ungaganizidwe ndi kukula kwapang'onopang'ono, kusowa kwa zizindikiro zotchulidwa ndi milandu ya khansa ya kapamba mu abale.

Zotupa monga cystadenocarcinoma ndi cystadenoma zimayambitsa zizindikiritso zazikuluzikulu zikamafika ndikuwapanikizika kwa ziwalo zoyandikana - matumbo, mitsempha ya mitsempha komanso mitsempha yamagazi.

Ndi insulinoma, mulingo wa insulin m'mwazi umachulukirachulukira, zomwe zimatsogolera ku hypoglycemia. Kukula kwa gastrinoma kumayendera limodzi ndi kukondoweza kwa kutulutsa kwa hydrochloric acid ndi mawonekedwe a zilonda zam'mimba ndi zilonda zam'mimba.

Vipoma ndi chotupa chosowa kwambiri, chizindikiro chake chachikulu ndi kupindika m'mimba kwa nthawi yayitali, komwe kumachitika ngakhale pakalibe chakudya m'mimba.

Pancreatic carcinoid, kapena carcinoid syndrome, amadziwika ndi kutuluka ngati chiwongola, kupweteka kwam'mimba komanso kupweteka kwa mtima.

Kafukufuku akuwonetsa kuti pafupifupi 40% ya anthu omwe amadwala kwambiri kapamba amatha kufa kwambiri. Popeza kutupika kwakapweteka kwa kapamba nthawi zambiri kumayambitsidwa ndi chizindikiro chamunthu, sangathe kunyalanyazidwa. Mukamafunsira chithandizo pa nthawi yake, mutha kupewa chithandizo chamanthawi yayitali komanso zovuta zazikulu. Khalani athanzi!