Pancreatitis Chronic izidubuli

Phantsi pancreatitis etsolo ukuthini ukudideka okanye ixesha elide (chronic) elibaleka inkqubo yokukrala kwi pancreas. Isifo angavela ekuqaleni. Kwakhona ngokwahlukileyo ihlaba pancreatitis lovukelo ukuvela sizoku lwisana kokuqhubeka elide, izifo ezingapheliyo kwinkqubo yokwetyisa. Le ukudumba senziwa phambi kwe cholecystitis ezingapheliyo, amatye esinyini, kunye iimpazamo rhoqo ukutya kunye butywala ezingapheliyo, izilonda sisilonda esiswini okanye duodenum. pancreatitis lovukelo angenzeka izifo ezosulelayo, zintwala olwaye lwamfimfitha, izilonda atherosclerotic nemithambo zepancreas, ukunxila engapheliyo kwiindawo ezinobungozi.

iinkqubo yezifo esivulekayo injeke kwi pancreatitis

Ukuqhubela phambili pancreatitis ebangela ukudumba lomzimba nokuhluthwa nencindi eyabelwe incindi. Ngenxa yoko kukho yintshabalalo wendlala zomzimba (autolysis) kunye ngokufakelwa kwala glandular isakhiwo cicatricial kwizicwili.

Ukuba ityala komtshiso - arhente ezosulelayo, iwela zepancreas ngokusebenzisa imibhobho okanye igazi.

Ukudumba kunokwenzeka nangezilonda of papilla duodenal. Kule meko kukho nokuhluthwa eqhelekileyo yangoku juice pancreatic kwaye ngenxa yoko - kuphuhliso komtshiso oko.

inkqubo yezifo kungaba thatha kuphela ilungu lomzimba okanye kudlulela zonke nobubovu (pancreatitis kwentamo).

Xa amayeza, ezi ndidi zilandelayo pancreatitis lovukelo: Edematous, parenchymal, calculous kunye sclerosing.

Iimpawu pancreatitis

Exacerbation kwesi sifo luphawulwa imbonakalo intlungu ezayo esiswini, ekhohlo ikota yesangqa eliphezulu. Ntlungu kunikelwa ngasemva, ingalo, akuse herpes umlinganiswa. Ngamanye amaxesha neentlungu ngokuphosakeleyo angina. Kuyabonakala oluthile, ukungacoleki (isicaphucaphu, ukugabha), esitulweni kakuhle. Isiguli ezikhala Ukugodola kunye kubushushu obuphantsi-grade. Ukuqhubela phambili pancreatitis kunokuba ukuxhomekeka ocacileyo ekudleni kwaye ukusuka ukuqhubela phambili nezinye izifo lokugaya. Intlungu oluqhubekayo kunye paroxysmal kwindalo. Amaxesha amaninzi kungcono ninikane uphawu entle Mayo-Robson (iintlungu kwikona ubambo-vertebral ekhohlo).

pancreatitis lovukelo ke gqolo ilahleko ngumdla wokutya kunye ukungacoleki kokutya. izigulana ezo badla sona. Umtshiso ixesha elide kunokukhokelela seswekile. ukuphazamiseka nokufunxwa ukuba ukunyhashwa esitulweni, kuba undigested kwaye uyanuka (sorhudo pancreatic), kusekho vitamin kwenzeka.

ekuxilongweni

pancreatitis lovukelo luphawulwa bubukho naziphi na izifo ezihamba kwinkqubo yokwetyisa, ie kukho unxibelelwano olucacileyo kunye ukuqhubela phambili kwesifo.

Xa igazi waphawula anemia ngcathu, ukwanda iiseli zegazi ezimhlophe kunye ESR, nokuhluthwa kwiproteni nokwakheka igazi.

Ukuba oonobangela pancreatitis yovukelo seswekile sinwenwa, iswekile yegazi kuyenyuka kwaye wakubona ukwanda zinomgutyulo womchamo. Kuyinto lunyhasho electrolyte ukutya. Uphawula ukwanda ngokugqithiseleyo enqanda pancreatic egazini.

On ultrasound injeke ukuze kwandiswe ubungakanani ngenxa ukudumba, oko nayo yonyuswa echogenicity, imisele rough. Xa sesihambe kunye ixesha elide zobukhulu abe, phezu koko, sinciphile izicwili glandular kufakwa amabala. A umfanekiso zichanile yaye zalapha yenkqubo yokukrala Singakufumanela Itomography computer.

unyango

Ngexesha exacerbation of unyango pancreatitis kwenziwa ngcono esibhedlele. Kubalulekile ukuphelisa unobangela iphambili sifo. Isigulana kufuneka balandele ukutya ngqongqo protein otyiwa eyaneleyo. Ukusuka ukutya ngaphandle ukutya ndlongondlongo kunye notywala. Abamiselweyo ziziyobisi antifermental. Ngokutsho ubungqina kusetyenziswa antibiotics. Faka antispasmodics kunye analgesics. Kwiimeko kakhulu zingafuna unyango ngotyando.