Etu ị ga-esi mara maka ahụ ike nke pancreas

Oriri na-adịghị mma, ị withụbiga mmanya ókè na ise anwụrụ, ọgwụ a na-achịkwaghị achịkwa anaghị ebute ọnwụ ozugbo. Ha na-akpata ọrịa na-egbu mgbu ma ọ bụ nke na-adịghị ala ala, na mgbe ụfọdụ tumor, usoro na pancreas, na-akpata ọrịa shuga. Naanị ndị, na-enweghị echere ọdịdị nke mgbaàmà ọ bụla dị ize ndụ, maara otú e si achọpụta pancreas ga-eme usoro n'oge na-ezere nnukwu nsogbu nke ọrịa akwara. Ka anyi mepee mkpuchi nke nzuzo.

Prinkpụrụ Nnyocha Pancreatic

Nchọpụta nke pancreas kwesịrị ịbụ nke zuru oke: ịkwesịrị inweta ozi ọ bụghị naanị banyere nhazi nke akụkụ ahụ, kamakwa banyere ọrụ ya. Ka anyị kọwaa ihe kpatara ya.

Aria aria di otutu ma nwekwa oru ya na oru di iche. Ọ bụ ya bụ onye na-arụ ọrụ dị mkpa na mbido mgbaze, na-emepụta enzymes ndị dị mkpa maka nbibi nke protein na abụba n'ime ihe ndị, n'otu oge n'ọbara, ga-edozi mkpụrụ ndụ. A na - eme insulin n'ime gland a, nke na - enyere aka ike mkpụrụ - glucose - iji nye ike na sel. A na-akpụkọta homonụ ndị ọzọ na ya.

Ọkpụkpụ ahụ dị n'ime oghere retroperitoneal, n'ihu ya bụ afọ, eriri afọ transverse na duodenum, na akụrụ n'akụkụ abụọ. N'ime anụ ahụ, ducts na-achịkọta ihe ọreatụ pancụ pancreatic bara ụba na enzymes site na sel glandular. Ha na-abanye n'otu nnukwu duct, nke ga-emepe na duodenum.

Ọ bụrụ na ụfọdụ olu gland na-emebi, anụ ahụ ọzọ na-edochi ọrụ ya, enweghị mgbaàmà ọria ọ bụla nwere ike pụta. N'otu oge, ọnọdụ nwere ike ibilite ma ọ bụrụ na mpaghara pere mpe nwụrụ ma ọ bụ nwute ọkụ, nke a anaghị ahụwa anya na nhazi nke gland niile, mana mgbanwe a na-akpọ ahụ na arụ ọrụ ya. Ọ bụ ya mere nyocha nke pancreas kwesịrị iji bụrụ ihe zuru oke, ma kpuchie ma akụkụ nke akụkụ ahụ na ọrụ ya.

Nyocha ụlọ nyocha

Nyocha maka nyochaa akwara na-ekpebi steeti nke arụ ọrụ. Na nnukwu ọnya nke pancreas, a na-achọpụta mmụba nke ọrụ enzyme ọ na-emepụta. Offọdụ n’ime ha nwere ihe ọmụma maka ikpebi ọbara, ndị ọzọ na mmamịrị, ụfọdụ na feces. Iji chọpụta ogo ọnya ahụ, a na-enyocha ihe ngosipụta nke ọrụ nke akwara metụtara pancreas - imeju.

Nchoputa nke pancreas gụnyere ule ndi a:

1. Nnwale ọbara n'ozuzu ya: n'ime ya, enwere nnukwu ma ọ bụ na-aka njọ nke usoro na-adịghị ala ala, mmụba nke ọkwa nke leukocytes, stab na seconseil neutrophils, ESR kwuru.
2. Nyocha biochemical banyere ọbara: mmụba n'ogo nke izugbe na bilirubin kpọmkwem - na ụdị ọrịa ọrịa pancreatitis (ebe ALT dị ntakịrị), mmụba nke ọkwa gamma globulins, seromucoid, sialic acid.
3. Nnyocha ọbara nke ọrịa na akpo nke ọma
   • alfa-amylase ọbara (ụkpụrụ ya bụ 16-30 g / l kwa elekere),
   • mkpebi nke trypsin (ihe ọ ga-eme gafere 60 μg / l),
   • lipase ọbara (a ga-amụba karịa ihe karịrị 190 / l),
   • ọbara glucose - ga-aba ụba (karịa 6 mmol / l) mgbe ị na-ekere òkè na mkpali ma ọ bụ na-emebi usoro akụkụ endocrine (islet) nke pancreas.

Ingdọ aka na ntị! Norms nke enzymatic nwere ike ịdị iche iche na nyocha dị iche iche.

Na mbu, nyocha nke ejiri mee ihe na-achọpụta ọrịa nke ọria a na-egbu bụ pancreatic amylase, enzyme nke ahụ mepụtara. Na nnukwu iwe na-arịa ọrịa mgbu nke gland, mmụba na arụ ọrụ nke enzyme a bụ n'ọbara - dị elu karịa 30 g / l kwa elekere na mmamịrị (ebe ahụ ka a na-akpọ ya "mmamịrị diastasis") - dị elu karịa 64 nkeji / l kwa awa. Site na onwu nke pancreas - pancreatic necrosis, sclerosing pancreatitis - mbelata nke ihe amylase n'ime ọbara (n'okpuru 16 g / l kwa elekere) yana mmamịrị (n'okpuru 10 U / l).

Ruo ugbu a, isi nyocha ihe nyocha ụlọ nyocha maka mmebi nke pancreas bụ enzyme elastase, nke ekpebisiri ike na feces. N'ihe banyere ezughi oke ọrụ gland, ọrụ nke plọkụl nwere ihe na-erughi 200 μg / g, ma ọ bụrụ na mmebi akụkụ ahụ siri ike - erughị 100 μg / g.

Ingdọ aka na ntị! A na-eme nyocha ọbara niile na afọ efu, mana ụfọdụ ule maka ọrịa na-achọ nkwadebe ụfọdụ. Ekwesịrị ịkọwapụta isi okwu a ma ọ bụrụ na ọ bụghị site na dọkịta, mgbe ahụ site n'aka ndị ọrụ ụlọ nyocha ebe ị na-eme atụmatụ iji nyochaa nchọpụta.

Nnwale nnwale ụlọ nyocha

N'ọnọdụ ụfọdụ, ọ dị mkpa ịme ụfọdụ nyocha ọ bụghị naanị na afọ efu, kamakwa mgbe iwebata ụfọdụ ihe n'ime ahụ - nnwale.

Enwere ule dị otú a:

1. Nnwale nke Glycoamylasemic. A na-ekpebi itinye amylase ọbara nke mbụ, mgbe nke ahụ gasịrị, onye ahụ ga-a drinkụ glucose 50 g, mgbe awa 3 gachara nyocha ugboro ugboro maka amylase. Site na usoro ogwu, mgbe awa 3 gasịrị, mmụba nke enzyme a karịa karịa 25% site na ọkwa mbụ.
2. Nnwale nke Proserin. A na-ekpebi ịba uru akpa mmamịrị, emesịa ewepụta ọgwụ "Proserin". Mgbe ahụ, kwa ọkara elekere maka awa 2, a na-atụle ọkwa diastase: ọ na-agbadata ọ dịghị ihe karịrị ugboro 2, ma laghachi na nkịtị. Site na ụdị ọrịa palọ dị iche iche, ekpebiri ihe dị iche iche.
3. Nnwale Iodolipol. N'iteta n'ụra, onye ọrịa ahụ urin, wee were ọgwụ “Iodolipol” n’ime. Mgbe ahụ n'ime elekere, otu na ọkara, awa abụọ urinary ayodiin ọkwa kpebisiri. Nchoputa nke oria a na aru aru sitere na oru nke enzyme lipase nke aru a mebere. Dị ka ọ na-adịkarị, mgbe naanị otu elekere gasịrị, ayodiin amalite ịchọpụta na mmamịrị ahụ, ogo ahụ dị na ya karịrị akarị - na akụkụ mmamịrị anakọtara mgbe awa 2.5 gachara.
4. Nnyocha nzuzo-pancreosimine. Ọ dabere na mgbanwe n'ụdị kemịkal nke ihe dị n'ime duodenum mgbe iwebata usoro nzuzo dị ka homonụ (ọ na-eme ka ụba mmiri mmiri pịrịkụl bara ụba nke bicarbonates na enzymes banye na eriri afọ).
5. Nnwale nnabata glucose dị mkpa maka ịchọpụta mmebi nke endocrine. N'okwu a, a na-ekpebi ọkwa glucose ọbara na-ebu ọnụ, otu elekere na abụọ mgbe edozichara glucose dị n'ime. Nke a nyocha bụ naanị onye endocrinologist dere, ọ tụgharịrị ya, ebe enwere ihe ọghọm nke nsogbu metụtara mmụba nke ọkwa ọbara nke carbohydrate dị mfe.

Nyocha ihe omimi

Ọmụmụ ihe a na - achọpụta na ngwa anụ ahụ: anaghị ahụ ya anya n'oge nyocha nke x-ray, mana enwere ike ịtụle ebumnuche nke gland, na-ewepụta ọdịiche na ha. A na-enweta ígwè dị ka ngwa ngwa maka nyocha nke ultrasound, dopplerography na-ekpebi ọbara ọbara dị na arịa ya. Ntụgharị uche tomography na-ahụ anya maka ihe owuwu ya, ma magnetik magnetik ya dị mma maka ikpebi obere akụkụ nke akụkụ ahụ. Ka anyị tụlee ihe niile n'usoro.

Methodszọ X-ray

1. Nchọpụta nyochara foto na-enye gị ohere iji anya nke uche gị hụ naanị nha anụ ahụ dị, na okirikiri dị ya abụọ.
2. Endoscopic retrograde cholangiopancreatography - iwebata ihe X-ray ọdịiche na-abanye na ngụkọta nke gland site na duodenum site na iji ngwa anya nke emere fibrogastroscopy.
3. Nhọrọ angiography bụ nyocha X-ray nke arịa gland mgbe njikwa nke ihe dị iche.
4. Ntụgharị uche nke tomography na-enye aka na nchọpụta nke akpụ na usoro mkpali na gland.

Zọ nyocha ọ bụla chọrọ ịkwadebe onye ọrịa.

Nnyocha nke ultrasound

Uzo a ezighi ezi dika ihe omumu ihe omimi, ma n'ihi odi mfe na nchekwa, odi nkpa maka nchoputa mbu banyere oria. Ultrasound na-enye gị ohere iji anya nke uche na-ahụ nnukwu mbufụt, ọnya afọ, ọnụnọ, cysts, Doppler ultrasound dị oke mkpa maka nyocha mbụ nke usoro ọbara anụ ahụ. Usoro a chọrọ nkwadebe tupu oge eruo. Banyere otu esi eduzi ya nke mere na omumu ihe omumu a bu ihe anyi kwesiri ntukwasi obi, anyi kowara ya n’akwukwo a: Nkwadebe maka ultrasound na oria nke pancreas.

Ihe ngosipụta ndọta

NMR eserese bụ usoro na-enye ihe ọmụma maka nyochaa gland nke ọma, nke na-elepụ anya n'ụzọ anụ ahụ nke ọma n'usoro. Mgbe ị na-ejikọta MRI na ntinye nke ọdịiche n'ime ducts (cholangipancreatography) ma ọ bụ akwara ọbara (angiography), a na-enweta ntụkwasị obi kachasị nke ọmụmụ banyere ahụ.

Ihe ngosi maka MRI pancreatic MRI bu ndi a:

• etuto ahụ dị obere,
• ọrịa imeju
• ọria aru
• nkwadebe maka ịwa ahụ ígwè,
• dị ka njikwa ngwa.