Kodi ndingayang'ane bwanji kapamba ndi kuyesa kumayenera kuchitika?

Chakudya chopanda malire, kumwa kwambiri mankhwala osokoneza bongo, kusuta fodya komanso kudzichitira nokha mankhwala osiyanasiyana sikungayambitse vuto lakelo.

Amachita pang'onopang'ono, zimayambitsa kutupa, matenda a shuga, ndipo nthawi zina amabweretsa ngakhale zotupa mu kapamba. Kuunikira pa nthawi yake chiwalocho kumapewetsa zovuta ndipo kumalepheretsa kuchitika kwa zizindikiro zoopsa.

Kodi ndi liti pamene ziyenera kuwunikira?

Njira iliyonse ya pathological yomwe ikuchitika mu kapamba imasokoneza ntchito yake ndikulepheretsa magwiridwe antchito. Zotsatira zake, momwe thupilo limakulirakulira, ndipo munthu amatha kukumana ndi zovuta zosiyanasiyana pamimba.

Zizindikiro zotere sizimachitika mwadzidzidzi, choncho nthawi zina, muyenera kuwunika ziphuphu m'njira yomwe sanakonzekere, osadikirira kuti matendawo achulukane.

Zizindikiro zakufunika koyeserera thupi:

1. Mbale wamiseru. Chizindikiro chofananacho chimakulitsidwa mukamamwa mowa, kudya zakudya yokazinga ndi mafuta. Nthawi zina, nseru imayambitsa kusanza, pambuyo pake mkhalidwe wa wodwalayo sukusintha.
2. Ululu. Imamveka pansi pa nthiti, koma imaperekedwanso kumadera ena a thupi (pansi pa scapula kapena kumbuyo kwa chifuwa).
3. Kusokonezeka kwa mipando. Zizindikiro zimawonekera ngati kudzimbidwa kapena kutsegula m'mimba. Chizindikiro chodziwika bwino cha matenda ndi kukhalapo kwa chimbudzi cha chakudya, zomwe siziyenera kukhala zabwinobwino.
4. Muchipata, belching. Zizindikiro zimawonetsa njira zamavuto, komanso kuchuluka kwa mpweya.
5. Jaundice. Maonekedwe ake atha kukhala chifukwa cha edema ya organ ndi kukakamiza pa ndulu.
6. Kutentha kwamphamvu. Kuchulukitsa kwake kukusonyeza kukula kwa njira zotupa.

Ndi zimodzi munthawi yomweyo mwazizindikiro zonsezi, muyenera kuyimbira foni dokotala kapena kulumikizanani nokha kuchipatala. Chochititsa chomwe chimakhala chosangalatsa m'maganizo athu ndimatenda osiyanasiyana a matenda amisempha, motero ntchito ya thupi iyenera kuwunikidwa poyambirira.

Mfundo za kafukufuku

Kuzindikira kuyenera kukhala kokwanira, chifukwa chake, pochita, ndikofunikira kudziwa zambiri za kapangidwe kazomwe thupi limagwira.

Zikondazo zimachita mbali yofunika kwambiri monga:

• chimbudzi
• kupanga ma enzyme omwe amagwiritsidwa ntchito pakuwonongeka kwa chakudya;
• kaphatikizidwe ka insulin ndi mahomoni ena.

Imakhala m'malo kumbuyo kwa peritoneum, kutsogolo kwake kuli chifuwa, khosi lopindika komanso duodenum, ndipo impso zimakhala m'mphepete. Mkatikati mwa kapamba, ma ducts amapita atanyamula madzi a kapamba ndi ma enzymes omwe amapanga m'maselo omwe amapanga.

Ngati gawo lililonse la chiwalo lawonongeka, minofu yotsalayo imayamba kugwira ntchito zake, choncho, matendawa amatenga matendawa kwa nthawi yayitali. Kutupa kapena kufa kwa madera ochepa a gland sikukhudza kapangidwe kake, koma zimawononga ntchito zake.

Chifukwa chake, kuyesedwa komwe kumayesedwa kwa odwala kuyenera kuwulula zonse zoyipa zomwe zimagwira monga chifukwa chogwirira matenda am'mimba.

Laborator diagnostics

Kufufuza kumakuthandizani kuti mufufuze momwe thupi limagwirira ntchito ndi momwe limagwirira ntchito. Zilonda pachimake limodzi ndi kuchuluka kwa michere.

Zina mwazo zimapezeka mosavuta ndi magazi, ndipo kuyesa kwamiyendo kapena mkodzo kumakhala koyenera kudziwa ena. Kukula kwa chotupa cha chotupa kumayesedwa potengera kuwunika kwa chiwindi ndi impso.

Pozindikira za labotale, odwala amafunika kuyesedwa. Mndandanda wa mayeso olimbikitsidwa uyenera kuyikidwa kokha ndi dokotala. Nthawi zambiri, kuti azindikire zodetsa nkhawa pogwira ntchito ya thupi, magazi, mkodzo, ndi ndowe zimayendera. Kutengera ndi zotsatira zomwe zapezeka, zovuta zothandizira pancreatic zitha kutsimikiziridwa kapena kutsutsidwanso.

Mndandanda Wakafukufuku:

1. Kuwerengera magazi kwathunthu. Zimawonetsa kukhalapo kwa ndondomeko yovuta kapena yodwala. Zosintha mu chiwalo zimasonyezedwa ndi kuchuluka kwa leukocytes, gawo lokwera la ESR, neutrophils (stab ndi segmented), komanso magazi akuchuluka.
2. Ubongo. Ndi kafukufuku wotere, antchito ogwira ntchito amawunika mulingo wa bilirubin, yonse komanso mwachindunji, amawunika magawo a seromucoid ndi asalic acid.
3. Mwazi wamagazi. Chizindikiro cha chizindikiro ichi ndi 3.3-5.5 mmol / l. Kupatuka kuzinthu izi kumawonetsera kuphwanya kowonekera m'thupi.
4. Urinalysis. Kafukufukuyu akuwonetsa milingo ya amylase, mapuloteni, ndi amino acid. Zowonongeka zamtundu zitha kuweruzidwa ndi kuwonjezeka kwa izi.
5. Cop program. Kusantikako kumatithandiza kudziwa kuchepa kwa ma enzymes potengera kuphunzira kwa zomwe zili mumafuta, CHIKWANGWANI (chosawonongeka kwathunthu), wowuma, elastase ndi minofu.

Kuyesanso kowonjezera magazi komwe kumayikidwa mwachindunji kuti muunike magwiridwe antchito:

• Alpha-amylase - mfundo zabwinobwino zimayambira pa 16 mpaka 30 g / l pa ola limodzi (kukweza kumawonetsa kutupa, ndipo dontho likuwonetsa necrosis ya minofu ya limba);
• Trypsin - owonjezera 60 mcg / l amawonedwa ngati chizindikiro cha kupatuka;
• Lipase - mtengo wake suyenera kupitilira 190 u / l.

Makhalidwe ovomerezeka a enzymatic, labotale iliyonse imasankha payekha, kutengera njira zomwe amasanthula. Maphunziro ambiri amatha kuchitidwa pamimba yopanda kanthu, koma ena ayenera kukonzekera pasadakhale kuti ayambitse.

Ndikofunika kumvetsetsa kuti zotsatira za mayeso zikuyenera kuwonetsedwa kwa adotolo, chifukwa kuwunika kwawoko kungokhala chida chothandizira kuzindikira, koma sangathe kutsimikizira kapena kukana.

Ziyeso zambiri

Odwala ena amayenera kuyesedwa osati pamimba yopanda kanthu, komanso atatenga zinthu zina kuti adziwe. Mayeso oterewa amatchedwa mayeso opsinjika.

Mitundu yayikulu:

1. Mayeso a Glycoamylasemic. Kukhazikitsa kwake kumakhala ndi kuyeza mtengo wa kusala kwa amylase, kenako maola atatu mutatha kulowetsa 50 g shuga. Kuchulukirapo kwa chizindikiro choyambirira mwa 25% chokhala ndi kubwereza kokhazikika kumawonetsa kukula kwa matenda.
2. Kuyesa kwa Proserin. Amawonetsa kuchuluka kwa mkodzo diastase poyerekeza gawo loyambirira ndi mkodzo motsutsana ndi maziko a makonzedwe a Prozerin. Ma paramenti azizindikiro amalembedwa theka lililonse la ola. Kuchulukitsa-kawiri mu mtengo wa diastase ndikuloledwa pokhapokha ndikubwerera kwazonse.
3. Mayeso a Iodolipol. Amakhala mukuwerenga mkodzo womwe unasonkhanitsidwa pamimba yopanda kanthu, ndipo mutatha kumwa mankhwala "Iodolipol". Mlingo wa ayodini ukukhazikika kanayi (pambuyo pa 60, 90, 120, 150 mphindi). Zotsatira zake zimawonedwa ngati zabwinobwino ngati chizindikirocho chatsimikiziridwa kale poyesedwa koyamba, kufikira pazofika mayeso omaliza.
4. Kuyesedwa kwa Secretin-pancreosimine. Kusanthula kumaphatikizira kuyambitsa kwa secrein zomwe zili mu duodenum, zomwe zimapangitsa kuti asinthe momwe amapangidwira. Ma enzyme omwe amapezeka m'matumbo amayesedwa.
5. TTG (kuyesa kwa glucose). Zimakhala ndi kudziwa kuchuluka kwa shuga osala kudya komanso kuyeza chizindikirocho katatu wodwala atatenga shuga ndi madzi osungunuka.

Chiwerengero cha mayeso omwe wodwala amachita chimatsimikiziridwa ndi adokotala.

Kafukufuku wamabungwe

Pancreatic minofu imatha kuyesedwa m'njira zingapo:

• njira zama radiology;
• Ultrasound (ultrasound);
• kugwiritsa ntchito computer tomography (CT);
• punction pansi pa ultrasound control - biopsy;
• laparoscopy

Mitundu ya njira zama radiology:

1. Kuwona. Zimakupatsani mwayi woganizira zinthu zazikuluzikulu.
2. Endoscopic retrograde cholangiopancreatography. Imapangidwa pakubweretsa wothandizira kusiyanitsa mu ma ducts pogwiritsa ntchito zida zomwe zimagwiritsidwa ntchito mu fibrogastroscopy. Muyenera kukonzekera mayeso pasadakhale.
3. Kusankha angiography. Njira yake imakhala kupenda chiwalo kudzera pa x-ray pambuyo pa kuperekedwa kwa wothandizira.
4. Zolemba pamakompyuta. Phunziroli limathandizira kuzindikira zotupa, komanso njira yotupa yomwe ikupita patsogolo.

Ultrasound imawerengedwa kuti ndiyo njira yopweteka kwambiri komanso yosavuta yofufuzira ziwalo zamkati.

Njira yake si yolondola ngati CT, koma imathandizira kuwunika kayendedwe ka magazi m'thupi kudzera mu Doppler ultrasound, komanso kudziwa ma pathologies ambiri:

• kutupa mu pachimake ndi matenda mawonekedwe;
• neoplasms;
• cysts;
• zotupa.

Kukonzekera kwa pancreatic ultrasound ndikutsatira zakudya zapadera, komanso kumwa mankhwala apadera.

Zisonyezo za CT:

• neoplasms yokhala ndi kakulidwe kakang'ono;
• matenda a chiwindi;
• kukonzekera ntchito;
• kapamba
• ulamuliro wa mankhwalawa.

Kuphatikizika kwa tomography kumapangitsa kuwona kwa minofu ya tinyezi. Ndi kuyambitsa komweko pakusiyanitsa pazinthu zina kapena zotengera, zotsatira za phunzirolo zimakhala zodalirika kwambiri.

Laparoscopy, ngakhale imawerengedwa ngati mtundu wa kuchitapo kanthu kwa opaleshoni, koma imapereka zambiri pazambiri za matendawa.

Nthawi zambiri, njirayi imachitika nthawi yowonjezera ya pathological process. Kuphatikiza pa kuwunika matendawa, laparoscopy imapangitsa kuti ichotse minofu yakufa ndikuzindikira ma neoplasms koyambirira.

Ku biopsy nthawi zambiri kumachitika kuti apeze matenda oopsa, komanso kudziwa metastases. Ndondomeko amathandizira kudziwa gawo la matenda. Kuchita biopsy kumachitika molumikizana ndi njira zina zoyeserera, koma mosiyana ndi iwo, zimathandizira kumveketsa chithunzicho ndikuwonetsa matenda mwachangu mwachangu.

Kukonzekera Kafukufuku

Mayeso ena amafunika kukonzekera koyambirira, komwe sikumaphatikizapo zinthu zomwe zimakhudza chidziwitso cha kuzindikira.

Zoyenera kuchita:

• kutsatira zakudya sabata imodzi mayeso;
• kupatula pa zakudya zamkaka, zipatso ndi masamba;
• kudya pang'ono;
• idyani zakudya m'magawo ang'onoang'ono kuti musadzaze m'mimba;
• kukana kumwa mankhwala ena a nthawi yomwe dokotala adalimbikitsa;
• kupatula mowa ndipo osasuta;
• kukana khofi wamphamvu, zakumwa zoziziritsa kukhosi.

Kunyalanyaza malangizo omwe ali pamwambapa kukhoza kusokoneza zotsatira za kusanthula.

Ntchito kapamba:

Ndikofunikira kumvetsetsa kuti kusankha kwa njira yofufuzira magwiridwe amkati, kuphatikizapo kapamba, kuyenera kuchitidwa ndi dokotala wokha. Kuphatikiza apo, njira zambiri sizigwira ntchito pazokakamiza inshuwaransi popanda kulandira dokotala pazomwezi. Mtengo wa pancreatic ultrasound, kutengera ntchito zomwe katswiri anakhazikitsa, amatha kufikira ma ruble 1,500-2,000, kutengera dera.