The mbụ ihe ịrịba ama nke mbufụt nke pancreas

Ọtụtụ ndị na-eme mkpesa nke ntighari abdominal erughị ala. Mgbe ụfọdụ, a na-enwe na-esonyere ọgbụgbọ na vomiting. Dị otú ahụ imebi mere fọrọ nke nta ka onye ọ bụla. Otú ọ dị, mgbe ụfọdụ, ndị a mgbaàmà ime ugboro ugboro. Karịsịa mgbe ndị mmadụ eriwo kegriiz, siri ike digestible oriri. N'ụzọ dị mwute, ọ bụghị ihe niile na-aga na nke dọkịta ma ọ bụrụ na ị na-enwe dị otú ahụ ihe mgbaàmà. Ọtụtụ ndị kweere na ndị mebiri nke ihe àmà nke nsi ma na-agafe na ha onwe ha. Ndị dị otú ahụ echiche na-ezighị ezi, n'ihi na ndị a ihe mgbaàmà na--ejikọta ya na-adịghị ala ala mbufụt nke pancreas (pancreatitis). Nke a na ahụ dị mkpa maka kwesịrị ịrụ ọrụ nke digestive usoro. Na ndị ahụ siri ike, ndị pancreas-arụpụta a ọnụ ọgụgụ buru ibu nke enzymes abuana ke mgbaze nke abụba, na-edozi na carbohydrates. Ke adianade do, e nwere synthesized homonụ, gụnyere insulin, glucagon, somatostatin. Ịrịba ama nke mbufụt nke pancreas na-egosi na arụ ọrụ ahụ agbaji. Iji weghachi ya ọrụ, na mkpa nke ọgwụgwọ na achọghị. Ma ọ bụghị ya ịzụlite-adịghị ala ala mbufụt. Na nke a, ihe mgbaàmà ga lọghachiri oge ọ bụla, dị ka anya dị ka onye ọrịa na-eri ihe ọdụdụ ma ọ bụ e ghere eghe.

Mbufụt nke pancreas: akpata

Ka enyo enyo pancreatitis, mkpa ịmata ihe ịrịba ama nke pancreatic mbufụt e. Nke mbụ bụ abdominal mgbu na ọgbụgbọ. Yiri imebi aputagh na mberede, ọ na-mgbe kpọkwasịwo njehie na ihe oriri. Dabere na nke a, anyị nwere ike ịmata ihe dị iche nke mbụ ihe ịrịba ama nke mbufụt nke pancreas. Ndị a gụnyere:

1. Ekweghị ibe nọrọ na-aba n'anya. Dị ka a maara, Ugboro mmanya oriri ọjọọ n'ihi na ike. Iji a ukwuu a na-emetụta na imeju na-pancreas. Ya mere, mmịn n'ikuku na-ezo aka otu n'ime ndị isi na-akpatara ndị pancreatitis development.
2. Ọgbụgbọ mgbe eri a arọ nri. N'ihi na ike gbara oriri na-agụnye ụmụ anụmanụ na abụba, e ghere eghe, gabiga ókè nnu na oseose nri. Ọzọkwa, ahụ erughị ala nwere ike ime mgbe e dinara ntụ ọka na ngwaahịa.

Nsogbu na n'ikuku mmanya bụ isi na-akpatara ndị pancreatitis. N'okpuru nduzi nke ndị a ihe mkpali pancreas. Ịrịba ama nke mbufụt adịghị egosi ozugbo. Ọtụtụ mgbe, ihe ndị a na-eduga ala ala pancreatitis. The mbụ ihe ịrịba ama nke nnukwu mbufụt dị iche iche. Ha yiri ihe mgbaàmà nke nsị na nri. Ihe dị iche a na-egosipụta ihe mgbu na-agbasa bụghị nanị n'elu afo, ma na-inyịme na azụ.

Usoro nke pancreatic mbufụt ịrịba ama

Akpata na mgbaàmà nke mbufụt nke pancreas na-anya yiri. Mgbe mgbaàmà na-egosi na mgbe n'ebe a akpali iche ihe na-akpata (mmanya, abụba oriri). Ọ bụ uru na ya maara na nnukwu na-adịghị ala ala pancreatitis dị nnọọ iche n'etiti onwe ha. Ke akpa idaha, na usoro nke daa ọrịa bụ autodigestion nke pancreas. Na ndị ahụ siri ike, pancreatic enzymes na-secreted na-adịghị ejekwa ozi ala. Kụtuonụ edozi, abụba na carbohydrates ha na-amalite, na-eru afo. E nwere onye na ebighị nke pancreatic enzymes. Na nnukwu pancreatitis, nke a na-amalite ya na mbụ, ntụgharị na gland onwe ya. N'okpuru nduzi nke enzymes, akpan akpan lipases, ngwa anụ ahụ na-amalite imebi ala. The na-egbu egbu mmetụta na-eduga ná mbufụt na edema nke pancreas. Ọ bụrụ na oge na-adịghị aka, pancreatic necrosis amalite - mbibi zuru ezu nke ahu anụ ahụ. Ndị dị otú ahụ a ọnọdụ na-eme ọnwụ.

The usoro nke-adịghị ala ala pancreatitis bụ nwayọọ nwayọọ nnọchi nke nkịtị pancreatic mkpụrụ ndụ site connective anụ ahụ. Nke a usoro a na-akpọ hardening nke ahu. N'ihi ya, ndị bụ isi na ọrụ na-akwusila pancreas - nhọrọ enzyme mgbaze. N'ihi ya, ọtụtụ ndị na ngwaahịa na-adịghị kpamkpam gbarie, n'ihi na mmebi nke oche na onye ọrịa ahụ n'ozuzu ala nke arịa ọrịa.

Pancreas: ịrịba ama nke ngwa mbufụt

N'ime ihe ndị mbụ ihe ịrịba ama nke mbufụt nke pancreas bụ, dị ka ekwuola, abdominal mgbu na ọgbụgbọ ntaramahụhụ. Ọtụtụ mgbe, ndị ọrịa na-aga na nke dọkịta mgbe mgbaàmà nke pancreatitis na-ugboro ugboro ruo oge ụfọdụ. Na-emekarị ndị na-ahụ ihe ịrịba ama nke mbufụt nke pancreas ime mgbe ingestion nke ihe oriri ụfọdụ ma ọ bụ na-aba n'anya. Ọ bụ na nkọwa nke ihe niile mkpesa na ọgwụ na akụkọ ihe mere eme na-amalite nchoputa nke-adịghị ala ala pancreatitis. Ndị na-esonụ mgbaàmà gbasa ihe ịrịba ama nke mbufụt:

1. Mgbu na elu afo. Nyere eziokwu na pancreas enyene n'ókè dị ukwuu, na-erughị ala nwere ike ime na ma ekpe na nri. Ọzọkwa, ihe mgbu nwere ike metụtara nanị akụkụ ụfọdụ na na epigastric region, mimicking mgbu. Mgbe ụfọdụ, dum pancreas na-mkpali. Na nke a, ihe mgbu na-gbara agwa.
2. Ọgbụgbọ. Ọ nwere ike ime mgbe njehie na nri ma ọ bụ ugbu a mgbe niile.
3. Ugboro ugboro vomiting. N'adịghị ka gastric ọnyá afọ, nke a mgbaàmà anaghị belata ọnọdụ.
4. The na-agbanwe agbanwe ọdịdị nke oche. Na nsị nwere ike wepụtara na nnukwu quantities, nwere a foamy anọgidesi na undigested nri ahụ. Mgbe ụfọdụ, e nwere oké afọ ọsịsa, adịkarịghị - afọ ntachi.
5. Mụbara ahu okpomọkụ. Nke a mgbaàmà na-bụghị mgbe niile kwuru na, ka ndabere adịkarịghị ntị ka ọ dyspepsia. High fever e ji mara nke nnukwu pancreatitis.
6. Mụbara peristalsis, a mmetụta nke "na njuputa" n'ime afọ.

Mgbe ogologo ugbu a mkpali usoro nwere ike ime mkpakọ nke biliary ducts. Na nke a, ihe mgbaàmà bụ otu. Ke adianade do, ya enyekwara itching na jaundice syndrome.

Physical nnyocha na ịchọputa ihe ịrịba ama nke mbufụt nke pancreas

Gịnị bụ ihe ịrịba ama nke mbufụt nke pancreas n'oge nnyocha? N'ụzọ bụ isi dọkịta na-ege ntị na-arịa ọrịa nke izugbe ọnọdụ nke onye ọrịa. Onye ọrịa na-enwe obi ụtọ, kpuchie na ajirija, icha mmirimmiri. Na nnukwu pancreatitis nwere ike a dobe na ọbara mgbali, oké tachycardia, mkpụmkpụ nke ume. Ọ bụrụ na ị na-enyo na mbufụt nke pancreas emefu abdominal palpation. Iji mezuo nke a, onye ọrịa na-etinye na ya azụ ma jụọ bịada gị na ikpere. Ọbụna a aka na abdominal mgbidi pụrụ ime ka ahụ erughị ala. Palpable ịrịba ama nke mbufụt nke pancreas okenye mata ọzọ mfe. Mgbe niile, onye ọrịa nwere ike na-ezo aka a kpọmkwem ọnọdụ nke ihe mgbu. Erughị ala akara na isi nke ntule nke pancreas. A na-agụnye ebe Chauffard na Gubergrits - Skulsky. Nke mbụ bụ a triangle bounded site atọ e. Otu n'ime ha na-ebu si otubo-nri na elu na n'akuku nke 45 degrees. Nke abụọ - a etiti akara nke ahu. Nke atọ ejikọ abụọ gara aga ihe, na ọ na-rụrụ na 6 cm n'elu alọ mgbanaka. Gubergrits mpaghara - Skulsky Chauffard kwekọrọ ekwekọ triangle, ma ọ na-emi odude na n'aka ekpe nke afo.

Ka ịwụnye otụk ebe nke na pancreas secrete 3 ihe. Nke a na-ekpebi ihe akụkụ nke ahụ metụtara nanị akụkụ ụfọdụ mbufụt. N'etiti ha:

1. Point Mayo - Robson. Ọ nwere ike na-ekpebisi ike site na-eduzi a akara si otubo-ekpe costal njiko. Ọ bụrụ na anyị na-na-eke a nke n'ime 3 akụkụ, n'ókè Mayo - Robson emi odude na ókè-ala nke etiti na elu uzo ato. Nke a ntule nke pancreas ọdụ.
2. Desjardins ebe. Kpebisiri ike site n'aka a akara ejikọta otube na nri axilla. Point emi odude ke nkeji 5-7 cm. Lee isi nke pancreas.
3. Kacha ebe. Ọ na-emi odude na 4-7 cm n'elu otube na mpụta onu nke ekpe rectus abdominis muscle. Soreness n'ebe a pụtara na mbufụt na-metụtara nanị akụkụ ụfọdụ n'etiti pancreatic ọdụ na ahu.

Ke adianade ịrịba ama nke pancreatitis agụnye mgbanwe elu nke ire. Ọ na-kpuchie na a na-acha ọcha ma ọ bụ acha tinge, nwere ike ubé dryish.

Laboratory ịrịba ama nke pancreatitis

Laboratory ịrịba ama nke mbufụt nke pancreas na-enye ohere nchoputa "pancreatitis". A na-agụnye mgbanwe Biochemical analysis ọbara, coprogram, KLA. Ọnụnọ nke mbufụt gosiri site na-eto eto larịị nke diastase - enzyme, nke a kpebisiri ike na mmamịrị. The n'ọkwa bụ 16-64 nkeji. The KLA akara leukocytosis na osooso nke erythrocyte sedimentation ọnụego (ESR). Na Biochemical ọbara ọmụmụ hụrụ ubara larịị nke ọrụ nke pancreatic enzymes. A na-agụnye amylase na lipase. Nke dị oké mkpa bụ ịmụ na nsị. The oche eguzo na a ọnụ ọgụgụ buru ibu (polifekaliya) nwere fọdụrụ afọdụ nri nwere ike ịbụ kegriiz na-enwu. Nsị na-akpọ scatoscopy. Nke a na-amụ na-ekpughe dị otú ahụ laabu Nchoputa, dị ka:

1. Steatorrhea. Nke a na-egosi na-abawanye na ọdụdụ asịd na na nsị.
2. Kreatoreya - admixture nke muscle ozi ndị dị na nsị.

Ndị a ihe ịrịba ama nke mbufụt nke pancreas na-ekpughe a mebiri nke mgbaze. Ha na-mgbe hụrụ na-adịghị ala ala pancreatitis.

Anyị na-ekpebi ihe ịrịba ama nke mbufụt nke pancreas site instrumental

Iji mata ihe mgbu usoro nke pancreas, a ọnụ ọgụgụ nke instrumental ule. Isi na-achọpụta ọrịa usoro a na-ewere ultrasound nke afo. N'isiokwu a hụrụ na-abawanye na pancreas size na-agbanwe ya na nkuzi mgbamejije njupụta. Ọdịdị nke anụ ahụ nwere ike heterogeneous. Mgbidi ahụ na-thickened ruru ka edema - otu n'ime ihe mgbaàmà nke mbufụt.

E wezụga abdominal ultrasonography, rụrụ EGD. Nke a na-amụ dị mkpa iji zere ọrịa nke afo na duodenum. Mgbe ụfọdụ, rụrụ kọmputa tomography. Enyo enyo na nnukwu pancreatitis mkpa ka mwepụ nke ECG. Mgbe niile, ọrịa ọdịiche dị myocardial infarction. Mgbe ụfọdụ na-egosi na amara na-achọpụta ọrịa laparoscopy.

Ọ bụrụ na mepụtara ihe ịrịba ama nke pancreatic mbufụt ke inyom, ọ dị mkpa ịrụ a usoro nke ọzọ nnyocha. Mgbe ụfọdụ, ndị na-adakarị picture nke nnukwu pancreatitis pụrụ iyi peritonitis mgbaàmà. Akpata mbufụt na peritoneum inyom na-nnukwu gynecological pathology (ectopic, ime ọkwà, ovarian agbawa, torsion ụkwụ etuto ahụ). Ya mere ọ na-achọrọ na-eduzi a pelvic ultrasound.

The Nchikota cholecystitis na pancreatitis mgbaàmà

Mgbaàmà gallbladder na pancreatic ọzịza na-achọkwa na onye ọ bụla ọzọ. Nke a na-eme n'ihi na eziokwu na ndị a na ozu bụ na a mgbe nile na mmekọrịta. N'otu oge ahụ o kpughere na nchoputa "holestopankreatit". Ịrịba ama nke mbufụt emeghị si dị iche na mgbaàmà nke pancreatic ọnya. Ma ha kwukwara ọzọ na-adakarị n'obiọma. N'etiti ha:

1. Mgbu na nri elu quadrant.
2. Ilu uto ke ọnụ na belching.
3. Vomiting nke bile.

A na-ahụ ule, ịdị nro na mgbali na ntule nke gallbladder (Kera mgbaàmà). Ọzọkwa esonyere wetara sensations effleurage na nri costal njiko. N'ihi ya kwupụtara mgbaàmà Ortner - Grekov. Ihe ịrịba ama ọzọ nke mbufụt nke gallbladder - a mgbu mgbe ịpị esiwọrọ sterno-mastoid muscle.

Esi amata pancreatitis na ụmụ?

Ịrịba ama nke mbufụt nke pancreas na ụmụaka adịghị si dị iche na ndị okenye. Otú o sina ịchọpụta pancreatitis na nwata bụ ihe siri ike. E wezụga na-enwe ndị a mgbaàmà, na nwa na-aghọ Moody, disclaims nri. Na-eto eto ụmụ nsogbu ụra, ahu okpomọkụ nwere ike n'elu 38 degrees, mgbe mgbe akara afọ ọsịsa. Iji ịchọpụta mbufụt, igosi ihe abdominal ultrasound, laabu ule. Palpation nke-eto eto ụmụ na-adịghị na-emefu.

Mbufụt nke pancreas: mgbaàmà na ọgwụgwọ nke ọrịa

Ọgwụgwọ nke nnukwu pancreatitis mgbe Juda ala ka ịwa ahụ. Na-adịghị ala ala mbufụt bụ a ọgwụ ọgwụ. Ọ na-kenyere dị ka dị ịrịba ama nke pancreatitis. Ọgwụgwọ nhọrọ na-agụnye:

1. Nkụnwụ. Eji ọgwụ "Ketonal", "Analgin". Mgbe kwuru mgbu syndrome - ọgwụ ọjọọ, "Promedol".
2. Nnọchi ọgwụ enzyme preparations. Kara Aka iji hụ na nkịtị mgbaze nri. Tee ọgwụ "Pancreatin", "Creon", "ememme".

Nri maka ihe ịrịba ama nke mbufụt nke pancreas

Iji zere ugboro ugboro exacerbations, ọ dị mkpa na-eso a na nri. N'oge mbụ maka nnukwu pancreatitis gosiri agụụ. 3-5 ụbọchị họpụtara a pụrụ iche nri - a table nọmba 5. Ọ bụrụ na mbufụt bụ ala ala, a ga-ekwe n'aka nri, na mmanya, e ghere eghe na oseose oriri, ụmụ anụmanụ na abụba. Food ga-esiri maka a di na nwunye, na oven ma ọ bụ esie. Achọghị bụ akụkụ dị mkpa na ọgwụgwọ nke pancreatitis.