Kedu ihe bụ pancreatitis na ihe ndị dị ize ndụ nke ajọ ọrịa a? Kwa afọ, ruo otu narị mmadụ asatọ na narị ise ka edere aha na ụwa. Nri oriri na-adịghị mma, ịṅụbiga mmanya ókè, nnukwu nsogbu nke nrụgide - ihe niile a nwere mmetụta nbibi na pancreas.
Kedu ihe bụ pancreatitis na ọ dị ize ndụ?
Pancreatitis bụ otu ọrịa ndị nwere ụfọdụ symptomatology na ụbụrụ na-egosi. Na nsụgharị site na nne na nna-Grik -ka - pancreas + lat. -itis - mbufụt nke pancreas. E nwere ụdị ọrịa dịgasị iche iche, nke ọ bụla na-eburu ndụ mmadụ egwu. Iji ghọta ihe pancreatitis bụ, na ma ọ dị ize ndụ, ọ dị mkpa ịtụle ihe arụ ọrụ nke pancreas na-eburu.
Ọrụ nke ahụ:
- Exocrine ma ọ bụ ọrụ nzuzo nzuzo. Mmepụta nke enzymes digestive: trypsin, chemotripsin, amylase na pancreatic lipase. Enzymes na - eme ka ihe ọṅụṅụ mmiri gastric acidic ghara ịdị na - eme ka ọ dị mkpa ma dị mkpa maka nchịkọta nri, protein, abụba na carbohydrates ndị na - enweta nri.
- Okpukpe Humoral. Iwu nke nnukwu iko pancreatic nke na-egbuke egbuke na ego nke kachasị etinye ihe ndị na-eme.
- Ọrụ endocrine. Obodo nta nke Langerhans, nke dị n'ọtụtụ ebe dị iche iche n'etiti ụlọnga pancreas, na-emepụta hormones antagonists: glucagon na insulin, na-achịkwa carbohydrate metabolism. Glucagon na-eme ka mmụba dị na glucose na ọbara, insulin - ọnụ.
Nnukwu pancreatitis - gini ka ọ bụ?
Mgbe ememe dị ukwuu n'oge ezumike na ịṅụbiga mmanya ókè, nri dị arọ, ọnụ ọgụgụ dị ukwuu nke ndị mmadụ ga-amụta ihe nnukwu pancreatitis abụghị okwu. Ọrịa ahụ bụ ebe nke atọ n'etiti ọrịa ndị ọzọ nke oghere abdominal, na-enye nkwụ na cholecystitis na appendicitis. Ụmụ nwoke na-enwekarị mmetụ karịa ụmụ nwanyị. Maka nnukwu pancreatitis bụ ọnye elu - nke ruru pasent 15 nke ikpe niile.
Etiology nke nnukwu pancreatitis:
- eji usoro mmanya eme ihe;
- nri riri ahụ na-emerụ ahụ (nnu, abụba, oseose, ụtọ);
- ụfọdụ mkpụrụ ndụ ihe nketa (cystic fibrosis);
- eji ọgwụ ọjọọ eme ihe na-adị ogologo oge nke nwere mmetụta ọjọọ na pancreas (hormones, diuretics thiazide);
- usoro mkpali nke usoro nchịkwa;
- nje virus na nje bacteria (parotitis, mycoplasma ).
N'oge mmepe nke nnukwu usoro, a na-emebi ọrụ ndị dị na gland: enzymes na hormones, bụ nke a na-emepụta na-adịghị arụ ọrụ (mmalite a na-eme n'ime tractestive tract), na mberede na-amalite ịrụ ọrụ na pancreatic onwe ya, na-ebute usoro mgbaze nke anụ ahụ gland. Zụlite ọzịza na mbufụt.
Gịnị bụ ala pancreatitis?
Ahụhụ pancreatitis bụ ọrịa na-aga n'ihu na pancreas. Usoro na-esonyere na ezughị ezu nke enzymes, mgbanwe ndị a na-apụghị ịgbanwe agbanwe na parenchyma nke ngwa ahụ, mmụba na mmụba anụ ahụ. Ahụhụ nke pancreatitis na-adịghị ala ala na-eme megide ndabere nke nrụgide, na nhụjuanya ụjọ.
Ihe kpatara ọrịa ahụ:
- Ọrịa afọ;
- ọrịa ịba ọcha n'anya B na C, ọrịa ịba ọcha na ọrịa cancer;
- atherosclerosis ;
- mmegide helminthic;
- ịṅụbiga mmanya ókè na ihe ndị na-emerụ ahụ, nri na-adịghị mma;
- aṅụrụma .
Parenchymal pancreatitis - gini bu ya?
Na glandular lobules nke parenchyma (pancreatic anụ ahụ) secretion nke homonụ na enzymes etịbe, ya mere ọ bụrụ na ajụjụ edemede: ihe parenchymal pancreatitis - ọ nwere ike zara na nke a bụ ọrịa nkịtị pancreatic nkịtị. Usoro na-eme na pancreatitis parenchymatous:
- imebi iwu nke ndi ndu, n'ihi edema;
- ntinye aha insulin;
- mgbanwe nchịkwa nke usoro nchịkwa;
- mgbe 80% na-emetụta parenchyma - mmepe nke ọrịa shuga .
Ihe na-emetụ n'ahụ - gịnị ka ọ bụ?
Maka oge mbụ a na-arịa ọrịa a, mmadụ nwere ọtụtụ ajụjụ: gịnị bụ ọrịa pancreatitis, bụ ọrịa dị ize ndụ maka ndụ na otu esi agwọ ya? Mmeghari pancreatitis bụ nnukwu ọnọdụ. N'etiti ndị ọkachamara, a na-ewere ya dị ka ụdị kachasị dị mfe, na-enwe ike ịdọ aka ná ntị. Ọ na-emekarị ka ọ ghara ịdabere na ọrịa nke afọ, imeju na gallbladder, eriri afọ. Otu ihe dị mkpa nke na - akpali mmalite nke pancreatitis na - arụ ọrụ bụ iri nri na iri nri ndị nwere abụba.
Psevdotumorozny pancreatitis - gini bu ya?
A na-akpọkarị ụdị usoro ọgwụgwọ a usoro ọgwụgwọ, ebe ọ bụ na usoro ahụ na-eme na gland yiri ụdị oncology. Psevdotumorozny pancreatitis nke pancreas dị ka ọnụọgụgụ dị na 10 ọ bụla, n'etiti ndị nwere ọrịa pancreatitis, ọtụtụ mgbe na ụmụ nwoke. Isi ihe kpatara ọrịa ahụ bụ ịṅụ mmanya na-aba n'anya ruo ogologo oge.
Kedu ihe biliary pancreatitis?
Pancreas - mbufụt ya na biliary pancreatitis, na-eme na njikọ chiri anya na ọrịa nke imeju na gallbladder. Nnyocha nke ndị ọrịa dị otú ahụ egosila na n'ime pasent 60 nke ikpe nke cholelithiasis, ọrịa na-agakọ ọrịa bụ ọrịa pancreatitis na-adịghị ala ala. Ihe kpatara ọrịa ahụ:
- ọrịa nke biliary tract na ụzọ lymphatic na-agbasa na pancreas;
- ịnyefe bile n'ime eriri pancreatic na-ebute anụ ahụ na eriri nke gland.
Nke a bụ ihe biliary pancreatitis bụ ihe mgbaàmà:
- oké ihe mgbu dị ka colic;
- sclera;
- nchekwa mmiri mmiri.
Nsogbu ndị na - akpata ọrịa ahụ:
- nnukwu imeju imeju;
- ujo;
- ọnyá afọ iri na ụma;
- pancreatic necrosis.
Ndị ọrụ ebube nke ọrụ ebube - gịnị ka ọ bụ?
Ihe ndị ọrịa na-arịa ọrịa bụ ụdị ọrịa ọzọ a na-ahụ pancreas. Pancreatitis na-emekarị mgbe afọ 50 gasịrị na mgbanwe dị na ngwakọ nke mmiri gland, calcium salts na-amalite ịbakota na ya, na-etolite na obere obere porous calculate. Mgbaàmà nke ọrịa ahụ:
- njigide;
- ihe ngbu na hypochondrium kwesịrị ekwesị ma ọ bụ shingle;
- ǹdò;
- oké iwe ọkụ;
- mụbara acidity nke afo;
- ụda ihe nkwụsị.
Necrosis nke pancreas - gini bu ya?
Mgbanwe nke pancreatitis nwere ike mecha mee ka usoro nchịkota nke pancreatic necrosis, bụ nke ntụpọ glands na ọnwụ nke anụ ahụ na-esote. N'ime pasent 70 nke ikpe, a chọpụtara na ndị ọrịa na-aṅụbiga mmanya ókè, ihe ndị ọzọ kpatara ya bụ otu ihe kpatara nnukwu pancreatitis. Mgbaàmà nke pancreatic necrosis:
- siri ike, enweghi ihe mgbu;
- na-agbọ agbọ mmiri nke na-adịghị eweta enyemaka;
- saịtị cyanotic n'akụkụ (n'akụkụ akara Grey-Turner);
- ihe mgbu n'oge palpation.
Mbufụt nke pancreas - mgbaàmà
Mgbaàmà na ihe ịrịba ama nke pancreatic mbufụt na nnukwu na-adabere na ogo nke oke:
- Ụdị ọkụ. Ndagha nke pancreas na tract digestive bụ ihe na-adịghị mma. N'oge nchoputa, a na-ahụ interstitial edema. Ihe mgbaàmà dyspeptic (bloating, nrekasi obi). Ọrịa na-egbu mgbu na-agafe agafe: a na-ahụ ya na epigastrium, na akuku aka ekpe nke hypochondrium. Ụdị ihe mgbu na-agbanye, na ikuku na azụ. Jaundice sclera.
- Ụdị egwu. Ihe ịrịba ama nke pancreatitis: ihe mgbu dị njọ, njọ na ọnọdụ onye ọrịa na azụ. Nausea, vomiting bile. Elu okpomọkụ.
Ihe mgbaàmà dị n'ụdị dị ukwuu nke pancreatitis, ụbụrụ na-arịwanye elu:
- pancreatic necrosis na ọrịa nke nsị anụ ahụ;
- ihe na-akpata pancreatic (abuba na-achikota na pancreas na akụkụ dị n'akụkụ).
Usoro nhazi nke na - eme na pancreas, nke dị iche na usoro dị ukwuu - na - emekarị ụra ma na - emechi anya ruo mgbe ụfọdụ, ebe mgbanwe nke obodo dị oke njọ, nwere ike ịkpalite mmalite nke ọrịa shuga. Ahụhụ pancreatitis na-adịghị ala n'oge a na-emegharị ahụ, nke ọ dị mkpa ịṅa ntị:
- ihe mgbu nke mgbatị na-egbuke egbuke nke dịgasị iche iche site n'adịghị ike na ike;
- reflux esophagitis - n'ihi na mmebi nke obere sphincter nke esophagus, ihe na-abaghị uru nke na-alọghachi na esophagus, nke na-esonyere belching, nrekasi obi;
- ụfụ afọ ọsịsọ na ísì ísì ísì;
- ọnwụ dị arọ;
- omume nke angiomas na akpụkpọ ahụ.
Mbufụt nke pancreas - ọgwụgwọ
Mgbe nyochachara nke ọma na nkwenye nke nchọpụta ahụ, ọrụ dọkịta mbụ bụ ịgwa onye ọrịa ahụ: ihe pancreatitis, nsogbu ndị nwere ike ibute ọrịa ahụ. A na-ahọrọ ọgwụgwọ iji chebara onye ọ bụla na àgwà afọ ya anya. Otu esi emeso pancreatitis, dabere na otutu ihe:
- usoro ma ọ bụ nke na-adịghị ala ala;
- enwere ọrịa ndị nwere nsogbu;
- ịṅụ ọgwụ nke onye ọ bụla.
Kedu ka esi egbochi pancreatic mbufụt?
Onye ọ dịkarịa ala otu ihe mgbu na-enwe na mbufụt nke pancreas, mara ihe pancreatitis bụ. Mwakpo pancreatitis bụ ọrịa na-egbu mgbu ma na-agwụ ike. A gaghị atụ aro ka ị wepụ nsị n'onwe ya, mana enwere ikpe mgbe nlekọta ahụike adịghị, ọ dịkwa mkpa ime ihe iji belata ọnọdụ ahụ. Enyemaka mbụ maka pancreatitis:
- ezumike ma ọ bụghị mmegharị mberede, were ọnọdụ ịmbrayo;
- ice na hypochondrium;
- agụụ;
- nri mmiri na obere akụkụ ọ bụla ọkara oge (mgbe ịṅụ vomit, 2-3 akụkụ nke ngaji na-aṅụ mmanya);
- Were mbadamba nkume nke Drotaverine hydrochloride, dịka nhọrọ iji mee ka ọ ghara ịṅụ ọgwụ 0.8 mg.
Ọgwụgwọ nke ala pancreatitis
Ọgwụgwọ pancreatic mbufụt ke ufọk nwere ike iduga na-enweghị ihe ga-esi na ya pụta. Mgbe a na-eme ka ọgwụgwọ pancreatitis ala na-adịghị ala ala na-eme na ụlọ ọgwụ. Otu n'ime ọnọdụ ndị dị mkpa iji meziwanye ọnọdụ onye ọrịa ahụ bụ nri dị nro na pancreatitis. Ọgwụgwọ nke usoro na-adịghị ala ala na-agụnye mgbagwoju anya nke ọgwụ ọjọọ:
- ụdị ọgwụ nje na-ebute uzo (Ampicillin, Gentamicin) na-ebute ọrịa;
- antihistamine (Dimedrol, Suprastin) - ihe dị nro na-agwọ ọrịa na mmetụta hypnotic;
- antispasmodics (No-sppa, Papaverina hydrochloride) - zuru ike na belata nrụgide n'ime mmiri nke ahịhịa;
- Ngwá ọrụ mgbatị (Gordoks, Katrikal) - kwụsị ọrụ nke enzymes nke trypsin, chemotripsin na amylase;
- analgesics (Analgin, Baralgin );
- cytostatics (cyclophosphamide) na pseudotumorous pancreatitis.
Kedu ihe ị ga-eri na pancreatitis?
Nri na pancreatic pancreatitis bụ isi ihe na-agwọta ọgwụgwọ na nkwụsị nke usoro mkpesa n'ime izu abụọ. Nchịkọta maka pancreatitis dabeere na njirimara na nkwụsị, nri ọkụ na ala. Na-atụ aro oriri na efere maka pancreatitis:
- na-enweghị mmanụ;
- anụ a na-eri anụ na azụ na abụba;
- esi nri na mmiri;
- poteto a na-ekpo ọkụ;
- ala ọma jijiji (osikapa, oats, buckwheat);
- low-fat kefir;
- compotes nke mkpụrụ osisi mịrị amị;
- jellied tomato;
- apụl;
- stale achicha wheat.