Iimpawu zokuqala ukudumba pancreas

Abantu abaninzi akhalaze kabi nezolo esiswini. Ngamanye amaxesha, le uphawu sikhatshwa isicaphucaphu nokugabha. komgomo ezinjalo kwenzeka phantse wonke umntu. Noko ke, kwezinye iimeko, ezi mpawu kwenzeka rhoqo. Ingakumbi emva kokuba abantu badle kutyetyiswa, kunzima ukutya ukutya. Ngelishwa, asingabo bonke uye kugqirha ukuba wehlelwa iimpawu ezinjalo. Abantu abaninzi bakholelwa ukuba nokuhluthwa ubungqina ityiwe udlule ngokwabo. uluvo olunjalo kuphosakele, kuba ezi mpawu basoloko ezinxulumene nangokurhala ezingapheliyo zepancreas (pancreatitis). Le umzimba kuyimfuneko eqhelekileyo yokusebenza kwinkqubo yokwetyisa. Kubantu abasempilweni, lo injeke uvelisa inani elikhulu enqanda ababandakanyeka ukwetyisa kwamafutha, iiprothini kunye carbohydrate. Ukongeza, kukho iihomoni kuhlanganiswa, kuquka insulin, glucagon, somatostatin. Iimpawu ze ukudumba nepancreas lucebisa ukuba umzimba ukusebenza ezaphukileyo. Ukuze ukubuyisela umsebenzi wayo, abadinga unyango kunye itye. Kungenjalo ukuphuhlisa ukudumba ezigulo ezondeleyo. Kulo mzekelo, iimpawu ziya ziphinde lonke ixesha, kamsinya nje isigulane wayidla into okunamafutha okanye eqhotsiweyo.

Ukudumba pancreas: izinto

Ukuze ingakrokreleka pancreatitis, kufuneka ukuba uyazi ukuba yintoni na iimpawu ukudumba pancreatic apho. Eyokuqala yintlungu esiswini kunye isicaphucaphu. ephule efanayo azenzeki ngesiquphe, usoloko landulelwa impazamo ekutyeni. Ngokusekelwe kulo, ukuze sikwazi ukubona imiqondiso yokuqala ukudumba pancreas. Ezi ziquka:

1. Ukunganyamezelani ukuya iziselo ezinxilisayo. Njengoko yaziwa, ukuselwa kotywala rhoqo akuyilugelanga impilo. Ngezinga elikhulu oku kuchaphazela isibindi nepancreas. Ngoko ke, iziselo ezinxilisayo ulwamkelo libhekisela omnye unobangela zophuhliso pancreatitis.
2. Isicaphucaphu emva kokutya kakhulu. Kuba nzima ukugaya ukutya ziquka amafutha ezilwanyana, okroqiweyo, ngokugqithiseleyo ezinetyuwa kunye nokutya okubabayo. Kwakhona, kuyaphela zingenzeka xa imveliso kakubi umgubo.

Ukungondleki kunye reception utywala ke unobangela pancreatitis. Phantsi yempembelelo ezi zinto kunokutshiseka pancreas. Iimpawu ze ukudumba musa kubonakala kwangoko. Amaxesha amaninzi, ezi zinto akhokelela pancreatitis ezigulo ezondeleyo. Iimpawu zokuqala ukudumba etsolo ezahlukileyo. Ziyafana iimpawu ityiwe ukutya. Umahluko wavakalisa iintlungu onabileyo, hayi nje kuphela phezu esiswini, kodwa uqhebeke umva.

Indlela kweempawu inflammation pancreatic

Oonobangela kunye iimpawu ukudumba injeke zihlobene. Emva kokuba iimpawu zivele kuphela emva kokuba sesichengeni ngumba ingqondo (utywala, ukutya okunamafutha). Kubalulekile ukwazi ukuba pancreatitis etsolo kwaye esingapheliyo zahlukile kakhulu phakathi kwabo. Kwimeko yokuqala, indlela leli ngezifo kukuba autodigestion zepancreas. Kubantu abasempilweni, enzayim pancreatic ukuba secreted kwimeko opholileyo. Yaphula iiprothini, amafutha kunye carbohydrate ukuba baqalise, lwathi kuphela isisu. Kukho ukusebenza enqanda pancreatic. Xa pancreatitis etsolo, le nkqubo iqala ngaphambili, okt kwi le ndlala ngokwayo. Phantsi yempembelelo enqanda, xa lipases ezithile, umbutho izicwili uqalisa ukubola. Isiphumo ityhefu ikhokelela komtshiso kunye nokudumba zepancreas. Ukuba akukho xesha, necrosis pancreatic iphuhlise - ukutshatyalaliswa ngokupheleleyo umcu womzimba. Loo imeko kudla ngokuphumela ekufeni.

Indlela ye-pancreatitis ezingapheliyo kukutshintsha yokupasa iiseli eziqhelekileyo pancreatic yi kwizicwili. Le nkqubo ibizwa ngokuba lukhuni umzimba. Ngenxa yoko, umsebenzi esisiseko iphazamisekile injeke - Ukukhethwa enzyme ekugayeni. Ngenxa yoko, inkoliso imveliso leyo ukudla ngokupheleleyo, nto leyo yokuwa esitulweni imeko yomguli jikelele imandundu.

Injeke: Iimpawu yelungu ukudumba

Phakathi Iimpawu zokuqala ukudumba zepancreas, njengoko sele kuchaziwe, iintlungu esiswini kunye isicaphucaphu ubukhulu. Amaxesha amaninzi, izigulane ukuya kwagqirha xa iimpawu ze-pancreatitis ziphindwa kangangexesha elithile. Ngokuqhelekileyo abantu uqaphela ukuba iimpawu ukudumba injeke lwenzeka emva kokungenisa ukutya okuthile okanye iziselo ezinxilisayo. Oku kunye nangcaciso zonke izikhalazo kunye imbali yezonyango iqala une pancreatitis ezigulo ezondeleyo. Ezi mpawu alandelayo abhekisele iimpawu komtshiso:

1. Ubuhlungu kumazantsi esisu eliphezulu. Ngenxa yokuba le injeke ithatha ubukhulu becala, kuyaphela esinokubakho zombini ekhohlo nasekunene. Kwakhona, iintlungu nga eyendayo kummandla epigastric, kokulingisa gastritis. Kwezinye iimeko, yonke injeke leyo kunokutshiseka. Kulo mzekelo, le ntlungu zilurhangqile umlinganiswa.
2. Isicaphucaphu. Oko kunokuthi kwenzeke emva iimpazamo kwizidlo okanye langoku rhoqo.
3. Ukuphalaza phindo. Ngokungafaniyo isilonda esiswini, le uphawu akuthethi ukunciphisa le meko.
4. Ukutshintsha uhlobo kwesitulo. Endleni nga kukhululwa kukuninzi, abe guquki foamy kunye amasuntswana ukutya undigested. Ngamanye amaxesha kukho urhudo kakhulu, akufane - ukuqhina.
5. iqondo lobushushu emzimbeni Ukwandiswa. Le uphawu akusoloko ngendlela, ngoko ke imvelaphi ukuziyela ingqalelo kuyo ukuqunjelwa. umkhuhlane omkhulu uphawu pancreatitis ahlekise.
6. peristalsis Ukwanda, yimvakalelo 'ukuphelela' esiswini.

Xa inkqubo ende yangoku ukudumba esinokubakho ucinezelo kwezi yobisi biliary. Kulo mzekelo, iimpawu ezifanayo. Ukongeza, ukuba ajoyine ukurhawuzelela kunye senyongo syndrome.

iimviwo Physical xa uzingela iimpawu ukudumba pancreas

Ziziphi iimpawu ukudumba injeke ngexesha lokuhlolwa? Ubukhulu becala ugqirha uhlawula ingqalelo ukuvuthuluka imeko jikelele yesigulana. Isigulane badla babenemincili, Bathiwe wambu umbilo, kuba luthuthu. Xa pancreatitis etsolo inokuba ukuhla uxinzelelo lwegazi, tachycardia kakhulu, bamba umphefumlo. Ukuba ukrokrela ukuba ukudumba injeke bachitha Ngokucofa esiswini. Ukuza kuthi ga ngoku, isigulana ibekwe emqolo waza wacela ukuba agobe amadolo akho. Nditsho touch nodonga esiswini kungabangela uqeqeshwa. Iimpawu uvalo of ukudumba injeke abadala ukuchonga lula ngakumbi. Ngapha koko, umguli walatha kwindawo ethile intlungu. Kuyaphela ephawulwe kwindawo ezayo zepancreas. Ezi zibandakanya ummandla Chauffard kunye Gubergrits - Skulsky. Eyokuqala unxantathu lingqongwe imigca emithathu. Omnye wabo lwenziwa ukusuka inkaba ukuya ekunene ukuya kwi-engile degrees 45. Okwesibini - a median umgca umzimba. Okwesithathu idibanisa iingongoma ezimbini ezidlulileyo, kuliwa 6 cm ngentla khonkcweni yosana. zone Gubergrits - Skulsky Chauffard ehambelana unxantathu, kodwa ukwakweli kwicala lasekhohlo lwe esiswini.

Ukuze ufake indawo uchaphazelekayo womGaqo zepancreas cell amanqaku 3. Oku kugqiba ukuba yinxalenye yomzimba yenzelwe komtshiso oko. Phakathi kwabo:

1. Point Mayo - Robson. Oko kumiselwa ngokuqhuba umgca ukusuka inkaba ukuya arch costal ngasekhohlo. Xa sisahlula ingxenye lezabelo 3, ingongoma Mayo - Robson ukwakweli kumda ophakathi kunye eliphezulu kwezintathu. Le ezayo umsila pancreas.
2. Desjardins ingongoma. Ikhethwa ngokusebenzisa umgca osuka inkaba kunye axilla ekunene. Point ukwakweli lekhefu 5-7 cm. Nantsi intloko zepancreas.
3. Kacha ingongoma. Kubhaliwe ibekwe kwi 4-7 cm ngaphezu inkaba esesiphelweni olungaphandle ekhohlo rectus abdominis kwezihlunu. Kwindawo efakwe kuyo le ngongoma kuthetha ukuba ukudumba yenzelwe phakathi umsila pancreatic nomzimba.

Ukongeza iimpawu pancreatitis ziquka utshintsho kumphezulu ulwimi. Igqumeke kunye namona emhlophe okanye tyheli, inokuba dryish kancinane.

Iimpawu Laboratory pancreatitis

Iimpawu Laboratory ukudumba nepancreas ivumela uxilongo "pancreatitis". Ezi ziquka utshintsho kuhlalutyo zengqo- igazi, coprogram, pat. Ubukho ukudumba kubonisiwe kwinqanaba nokukhula diastase - enzyme, nto leyo kumiselwa yokuchama. Inqanaba yinto iiyunithi 16-64. I kla kumakishwa leukocytosis kunye ukukhawulezisa ireyithi erythrocyte neentlenge (ESR). Kolu phando igazi zengqo- wafumana kwenqanaba lomsebenzi enqanda pancreatic. Ezi ziquka amylase kunye lipase. Okubaluleke kakhulu ukufunda endleni. Noyibulala lubalasele inani elikhulu (polifekaliya) siqulathe ukutya okuseleyo kunokuba bukhanye kutyetyiswa. ngokuba scatoscopy gciwane. Olu phando lubonisa iziphumo kwilebhu, ezifana:

1. Steatorrhea. Oku kubonisa ukwanda fatty endleni.
2. Kreatoreya - admixture Imisonto kwezihlunu endleni.

Le miqondiso ukudumba injeke ibonisa kukwaphula ukwetyisa. Amathuba amaninzi kubonakala pancreatitis ezigulo ezondeleyo.

Siza kuqinisekisa imiqondiso ukudumba pancreas ngu nendima

Ukuchonga inkqubo yokukrala zepancreas, iqela iimviwo instrumental. Le nkqubo ephambili diagnostic igqalwa ultrasound esiswini. Kwesi sifundo wafumana ukwanda ubukhulu nepancreas kwaye utshintshe mninzi yayo echo. Ubume inwebu inokuba owahlukeneyo. Iindonga omzimba anquma ngenxa nokudumba - enye iimpawu komtshiso oko.

Ngaphandle ultrasonography esiswini, wenza EGD. Olu phando kuyimfuneko ukuze kuthintelwe izifo esiswini kunye duodenum. Kwezinye iimeko, wenziwe Itomography computer. Eko pancreatitis etsolo kufuneka enze ukususwa ECG. Ngapha koko, isifo umahluko iposi engabalulekanga. Ngamanye amaxesha ubonisa laparoscopy extra diagnostic.

Ukuba aba iimpawu ukudumba pancreatic kwabasetyhini, kuyimfuneko ukwenza uthotho uphando ngakumbi. Kwezinye iimeko, umfanekiso bezonyango belo pancreatitis etsolo ukuze sifane iimpawu peritonitis. Ibangela ukudumba kwi abafazi peritoneum zezi kwezimilo etsolo yamanina (ukukhulelwa ethunjini, komsipha ovarian, torsion imilenze nangezilonda). Ngoko ke kufuneka ukuba aqhube ultrasound zangasese.

Indibaniso Iimpawu cholecystitis ne-pancreatitis

Iimpawu senyongo kunye nokudumba pancreatic amaninzi zidityaniswa omnye komnye. Oku kwenzeka ngenxa yokuba ezi imizimba abakubudlelwane rhoqo. Kwangaxeshanye oko kwabenza uxilongo "holestopankreatit". Iimpawu ze ukudumba zange kwahluka iimpawu izilonda pancreatic. Ke zona zongezelelela ukubonakaliswa onyango. Phakathi kwabo:

1. Ubuhlungu ikota yesangqa ephezulu ngasekunene.
2. incasa nobukrakra emlonyeni kunye belching.
3. Ukugabha we bile.

On ukuxilongwa ngokwasemzimbeni, ububele kwi xi nga ezayo senyongo (Kera uphawu). Kwakhona ihambisana mizwa ekhathazayo effleurage kwi arch ekunene costal. Ngaloo uqinisekise uphawu Ortner - Grekov. Omnye umqondiso ukudumba senyongo - buhlungu xa ucinizela umsipha Imicu sterno-mastoid.

Indlela ukuqaphela pancreatitis ebantwaneni?

Iimpawu ze ukudumba injeke ebantwaneni musa kwezabantu abadala. Kunjalo nokuxilonga pancreatitis esemncinane kuba nzima ngakumbi. Ngaphandle kokuba ezi mpawu, umntwana uba eguquguqukayo, ayinambango isidlo. Xa abantwana abaselula bangalali, ubushushu bomzimba lube sentla degrees 38, laziwa ngokuba ukurhuda. Ukuxilonga nangokurhala, enze ultrasound esiswini, iimvavanyo elebhu. Ngokucofa abantwana abaselula musa ukuchitha.

Ukudumba injeke: iimpawu kunye nonyango lwesifo

Unyango lwe-pancreatitis etsolo kudla yangempela uqhaqho. Xa ukudumba esingapheliyo kwanonyango yezonyango. Ku yabelwa ngokungqinelana iimpawu ekhoyo pancreatitis. ongakhetha Treatment ziquka:

1. Ukubulawa. Wasebenzisa iziyobisi "Ketonal", "Analgin". Xa abonisa intlungu syndrome - iziyobisi "Promedol".
2. Ukwenziwa kwezilungiso amalungiselelo therapy enzyme. Kunyulwa ukuqinisekisa ukugaywa eqhelekileyo ukutya. Faka amayeza "Pancreatin", "Creon", "zemikhosi".

Ukudla iimpawu ukudumba pancreas

Ukuze siphephe exacerbations ngokuphindaphindiweyo, kuyimfuneko ukulandela izondlo. Ngemihla kwangethuba pancreatitis etsolo kuboniswa yindlala. iintsuku 3-5 wamisela ngokutya izinto ezikhethekileyo - inani itafile 5. Ukuba ukudumba singapheli, kufuneka ngaphandle ekutyeni, utywala, okroqiweyo, kunye nokutya okuneziqholo, amafutha ezilwanyana. Ukutya kufuneka okuphekiweyo ukuba isibini, kwi-oveni okanye iphekiwe. Itye yinxalenye ebalulekileyo unyango lwe-pancreatitis.