Stonesme okwute n’azu > Ọrịa mamịrị

Nri a bu ihe di nkpa, aru oru nke aru nile di otua. Isi ụzọ nke ọrụ ya bụ mmepe nke enzymes nke na-enye aka na ndakpọ nke ngwaahịa nri na echiche ha zuru oke.

N'ihi usoro mkpali na pancreas ma ọ bụ ihe ọreatụ ofụ nke pancreatic na-akpata, nkume na-etolite na parenchyma nke gland ma ọ bụ nsị ya.

Nkume na pancreas - oria di obere, mana odi oke egwu ma nwee ike iduga nnukwu nsogbu. N ’ọgwụ, a maara ya dị ka“ pancreolithiasis ”.

Ozi ọrịa

Ọnọdụ ọrịa ahụ, na ijikọ okwute n'ime akwara Wirsung (ihe bụ isi na gland), na-akpasu mmụọ dị oke egwu, na-enye mpaghara mpaghara lumbar.

Isi mmiri nke mmiri na-asọpụta n'ime afọ bụ na ọnọdụ dị mma ọfụma. N'ihi nsonso nke akwara na-esochi ya, tinyere ịchafụ, udi ya na-agbanwe, na-ebelata.

Nke a na - eme ka ikpochapu mmiri ọgwụ a na - ezughi ezu, n'ihi ya, ịmalite ihie okwute. Usoro nke ịtọlite ya nwere njikọ na itinye ụrọ carbonic ma ọ bụ phosphate nke calcium. A machibidoro ọnụnọ nke aluminom na ogige magnesium n'ime ha.

Ihe a na-anọchi anya ihe egwu ahụ site na klọọkụ ndị ahụ na-etolite na mpaghara gland na ndị na-etolite. Site na ndagwurugwu abụọ, okwute dabara na ebe Wirsung ma nwee ike igbochi ya. N'ihi ya, ihe ọ pancụ pancụ pancreatic na-amalite n'ọrụ na gland n'onwe ya, na-akpata mbufụt ma na-eso akpata mbibi nke anụ ya.

Na mgbakwunye na nguzo nke akwara dị na ducts, enwere ụdị ọzọ nke ọrịa ahụ - ọnọdụ ha na-agbasa kpọmkwem na paịlị pad. Agaghị eme mmepe nke okwute, nke edobere na ebere na gland n'onwe ya.

Okwute okwute

Ọtụtụ ndị ọrịa nwere ọrịa pịrịkụl nwere mmasị na ha nwere okwute na ya na etu ha siri akpụ. Ekwesịrị ịba ama na usoro nke ịkpụ akpụ siri ike dị ogologo.

Ọ bụ ọdịnala ịmata ọdịiche dị n'etiti usoro atọ:

Agba nke mbụ, nke ọ na - akpata site na ndọtị nke enzymes pancreatic, bụ nke ha na - egosipụta site na ndagide ha na itinye uche ha. Ozugbo n’ime dupe n’ụdị a, ha na-enweta ala nke protein na-enweghị ike ị nweta. Nke a na-akpalite mgbasawanye nke eriri wirsung.
A na-eji ọkwa nke abụọ na-etinye ihe ndozi nke sọlfọm n'ime ihe ọ pancụ pancụ pancreatic gbanwere. Nke a na - eme ka o nwekwuo nkụ.
Na ogbo nke ikpeazụ, n'ihi mgbakwunye nke usoro mkpali na ibute ọrịa, ọkwa ikpeazụ nke ịmepụta okwute na-eme, na-eduga na pancreolithiasis.

Nkume ndị a na-esite na ya nwere nha dịgasị iche iche. Dabere na nke a, a na-eme mkpebi gbasara ekwe omume iwepu ha site na usoro dị iche iche.

Ihe nwere ike ime na ihe ndị metụtara ya

Anabataghị ihe kpatara ịtọ okwute n’ime ahụ. Ọ gaghị ekwe omume ịza ajụjụ kpatara ụfọdụ ji rụọ ọrụ a, ebe ndị ọzọ na-agabiga ya.

Okwesiri iburu n’uche na odi uzo ihe di n’iru na-abawanye ike ikpu ume. Themfọdụ n’ime ha bụ:

usoro mbufụt ke nri diges, gall eriri afo, imeju (duodenitis, cholelithiasis, cholecystitis),
ụdị 1 na ụdị ọrịa shuga 2
neoplasms na eriri afọ (tumor), na - eme ka enweghi ike ịbanye na enzymes n'oge,
amabeghị ihe n'etiti radara na phosphorus nke ọrịa metabolic kpatara,
nsogbu nke homonụ,
bufee ọrịa na-efe efe nke nwere ike ịgbanwe akụrụngwa nke enzyme nke gland,
mkpụrụ ndụ ihe nketa.

Ihe ojoo Egwu ojoo.

Ihe ndị dị mkpa bụkwa:

njirimara metụtara afọ, ndị mmadụ karịrị afọ iri 50 na-ebutekarị ọrịa ahụ.
ibu oke ibu
enweghị mmega ahụ dị mma.

A na-enwe mmetụta na-adịghị mma na steeti pancreas site na iji ọgwụ mgbochi ọgwụ na ọgwụ na-agbada cholesterol ruo ogologo oge. Nri siri ike na-eme ka mmadụ nwee ike ịkpasu mmadụ iwe, site na enyemaka nke ha na-anwa ifelata ngwa ngwa.

Nlebara anya nke ulo ogwu

Mgbaàmà nke usoro mmalite nke okwute na pancreas, ihe dị iche adịghị iche na njirimara ndị na-egosipụta ọrịa na-adịghị ala ala. Ndị kacha gosipụta ihe ịrịba ama ndị a bụ:

mgbu mgbu, dị ogologo ma ọ bụ nke dị mkpụmkpụ, n'ọnọdụ ụfọdụ yana colic,
na -eme ka iru ala na -eme ka ọ banye n'ọnọdụ dị n'okpuru olulu bụ mgbe ị risịrị nri, oke ume afọ,
A na-ahụkwa ihe mgbu na mpaghara lumbar na n'okpuru ubu,
bloating, flatulence,
afọ ọsịsa
ụkpa anụ ahụ,
igba oke onu.

Ekwesiri iburu n'uche na ngosiputa nke ihe mgbu na-agbanwe iche. Ọ bụla na-esote ọgụ na-enwe ihe mgbu.

Mmetụta Symptomatic

Mwakpo ogologo oge kpatara mgbochi Wirsung nwere ike ịkpalite mbufụt na ọrịa nke pancreas.

Na usoro ịbawanye ụba, okwute na-egbochi mpụta nke ihe ọ pancụ pancụ pancreatic, nke na-eduga na mmụba nke mgbu, gland dysfunction, na mmegha nke usoro nri. Bụrụ na mbibi nke "ọdụ" nke gland, mmụba nke shuga ọbara ga-ekwe omume.

Na mgbakwunye, ụdị n'ụdị a nwere ike ibute arịa nke anụ ahụ ma si otú ahụ na-akpata ọbara ọgbụgba, ma na-akpalite nguzobe anụ ahụ n'ụbụrụ.

Zọ nyocha

Oria siri ike nke pancreolithiasis siri ike ịmata ihe dị iche na njiri mara ọrịa nke eriri afọ na akụkụ afọ ndị ọzọ. Ya mere, na mgbakwunye na nyocha nke onye ọrịa na nyocha nke mkpesa ya, ihe omume ndị a bụ iwu:

X-ray, nke na-enye ohere ịchọpụta ọnụnọ nke calcinite, na-ekpebi ọnụọgụ, nha na mpaghara,
Ultrasound na-eji nyocha na ihe mmetụta,
CT na MRI, nke na-enyere aka nyochaa ọnọdụ nke gland n'onwe ya.

Nnyocha ọbara na mmamịrị, fele maka abụba na calculi n'ụdị nnu nke calcium bụkwa ihe iwu.

Nhọrọ ọgwụgwọ

Zọ ọgwụgwọ mgbochi mkpachapụ nke pancreatolithiasis ga - ekwe omume naanị mmalite nke ọrịa ahụ na mgbe achọpụtara obere okwute.

Otu n’ime ụzọ eji agwọ ọrịa bụ iji ọgwụ eme ihe na Henodiol na Ursdiol. A na-enweta ọgwụ ndị a n'ụdị mbadamba.

Ha na-enwe ike ịefụ mmiri dị egwu ma belata ihe ọ bụla na okwute. Site n'enyemaka ha, ọ ga-ekwe omume igbari ma wepu okwute nke obere obere na cholesterol, nke na-akọwa iji ụdị usoro a dị ụkọ.

A na-ewepụ usoro mgbu na usoro mkpali site na ọgwụ ndị na-abụghị steroidal (NSAIDs). Ndụ ọgwụ enzyme na-atụ aro, ịbanye na vitamin mmanye yana glucose.

Nke kachasị dị irè bụ ọgwụgwọ na-enweghị ịwa ahụ site na iji endoscopic retrograde cholangiopancreatography. A na-eme ya site na iwebata akwụkwọ nyocha nke nwere igwefoto ozugbo n'ime ma ọ bụ parenchyma nke pancreas. N'oge usoro a, enwere ike ịchọpụta ma wepụ okwute.

Ọ bụrụ na oge adịghị anya gara aga ọfụma mere ka o kwe omume iwepụ onye ọrịa, a na-eji lithotripsy aga-eme ihe ugbu a n'ụzọ gara nke ọma iji gbue ha. Usoro a ga - enyere gị aka ịkpụ ọka ndị buru ibu ka ọ ghọọ ntụ ntụ, a na - ewepụ ihe ndị a na - ewepụ mmiri ọ pancụ pancụ n'ime ha.

N'ọnọdụ ụfọdụ, a chọrọ usoro mmịpụta ọzọ site na iji usoro ERCP nke akọwapụtara.

Ọ bụrụ na ọ gaghị ekwe omume iji usoro dị nro, a na-arụ ọrụ ịwa ahụ iji wepụ akụkụ nke gland metụtara na okwute. Can nwere ike iji shunting iji mepụta ebe ị ga --eme ka ọ bụrụ gị ga - eme ka enzymes ọ na - eme ka ọ dị mma.

Ihe ngosi maka ogwugwo

Icszọ ọgwụgwọ na-esite n'ịtụgharị na ịdị ukwuu nke calculi, ọnọdụ izugbe nke onye ọrịa na ọrịa ọnya, nke na-achọkwa mkpochapụ ozugbo. Nke a bụ:

ọgụ ugboro ugboro
usoro mkpali tinyere ogwe nke akụkụ ahụ,
ike gwụ onye ọrịa
enweghi ike ịkwụsị mbuso agha.

Ihe kachasị njọ nke arụ ọrụ ahụ bụ ekwe omume nke ọrịa na ogologo oge mgbake. Iwu mmado bụ nhọpụta nke ọgwụ mgbochi, ọgwụ mgbu na enzymes.

Mgbe ogwachara ya, yana ọgwụgwọ nchedo, ihe kachasị na-elekwasị anya bụ:

nwayọ maka onye ọrịa,
ihe eji agwọ ọrịa ma obu ogwugwo ya.
gbasoo nri ogwu.

N'ime ihe ndị dị mkpa maka ọgwụgwọ nchekwa bụ mwepu nke ga-ekwe omume ịmaliteghachi usoro mkpali, yana iwepụ ọrịa ndị na-akpalite nguzo onwu.

Nyere ọgwụ ọdịnala

Ejiri usoro ọgwụgwọ nke ọrịa pancreolithiasis mee ka ụmụ mmadụ nwee nsogbu na-atụghị anya ya. Ọ bụrụ na ọgwụ ụlọ na-akpalite ọganihu nke nnukwu akwara dị ọcha, ọ nwere ike igbochi duct ahụ kpamkpam.

N'okwu a, a ga-achọ nlekọta ahụike ngwa ngwa, na-ejedebe n'ịwa ahụ edozighi.

Ntụziaka maka okwute na pancreas:

A ịchọ mma nke chicory mgbọrọgwụ. Kpechaa nnọọ okpukpu otu osisi, gbanye otu iko esi mmiri esi nri maka nkeji 10 n'elu obere okpomọkụ. Nje, dị jụụ. Na-a duringụ n'ụbọchị n'oge obere sips.
N'ụzọ yiri nke ahụ, a na-akwadebe ihe ndozi barberry ogbugbo (10 g nke akụrụngwa kwa 250 ml mmiri).
Nchịkọta ifuru nke wort St John's wort, chamomile, linden, violet ọhịa na Mint (1 teaspoon nke ihe ọ bụla) wụsa esi mmiri (300 ml). Ọnwụ ọkara awa, nje. Were 50 ml tupu nri abalị.

Ntụziaka niile nke ụlọ nwere ike ịnwe mmetụta inyeaka ma kwesiri iji ya na mgbakwunye na usoro ọgwụgwọ ndị ọkachamara n'ihe gbasara gastroenterologist. Ekwesịrị ka ekwenye na ojiji ha na dọkịta.

Usoro ọgwụgwọ

Compgbaso nkwenye nke onye okacha mara n’inye iwu ka esi esiri nri ekwesighi. Iri ezigbo nri ga-eme ka nkwalite ọgwụgwọ ahụ ka mma. Edebere ya:

nkewa
nrube isi na mmiri
iji ofe ma ọ bụ esi nri,
ewezuga abụba abụba, eghe, na oseose,
ọjụjụ nke marinade, anụ mịrị amị, nri mkpọ.

Ekwesịrị inye ngwaahịa mmiri ara ehi, oatmeal na buckwheat porridge, anụ ọkụkọ.

Ọrịa Pancreolithiasis bụ ọrịa dị oke njọ, ọ dị njọ ibido ya. Ọgwụgwọ ebidoro n'oge na-aghọ nkwa nke ezi amụma.

Iji wezuga ohere nke usoro nlegharị anya, ọ dị mkpa ịgbaso ndụmọdụ ndị dibịa na-ele anya maka usoro oriri na-edozi ahụ yana nyocha ọgwụ mgbochi mgbe niile.

Usoro ahụ, ihe kpatara mmepe nke pathology

Usoro nke ichota okwute n’ime akwara bu ihe di mgbagwoju anya. Iji wepụta ya, ịchọrọ nchikota nke ọtụtụ ihe na-akpasu iwe. Usoro eji emeputa okwute dikwa n’elu otite ihe nzuzo akuko, nke na –eme ka o tokota. Ngwakọta kemịkalụ nke ihe nzuzo ahụ na-agbanwe, ihe ngosi na-egosipụta ya na nnu nnu. Na-esote, a na -emepụta protein protein, usoro nke calcination ya na-eji nwayọ amalite. Nkume ndị a rụpụtara na-etinye nrụgide na akwara na parinhema, na-akpalite mgbanwe necrotic.

A ghọtaghị ihe ndị na-akpata pancreolithiasis. Mana enwere ihe ndi n’aru ihe puru ime ogwu.

ọrịa mkpali na nri diges (pancreatitis, duodenitis, cholestitis),
mbelata nke oghere akwara n'ihi ọnya ma ọ bụ akpụ,
ihe dị afọ - mmadụ karịrị afọ 40 na-arịa ọrịa ọria,
odida na usoro usoro metabolic (enwere ike ịnweta calcium, phosphorus),
systemic ọrịa na-efe efe (syphilis),
enweghị mmega ahụ
oke ibu
ezi ndụ - ị --ụ sịga, ị drinkingụ mmanya ugboro ugboro, nri ezighi ezi.
nsogbu mgbochi homonụ.

Foto nyocha

Ogo nke ihe mgbaàmà na-adabere na ọkwa mmepe na ịkọwapụta nke okwute - ha nwere ike ịbụ na ogwe ma ọ bụ ọkwa parinhematous nke gland. N'okwu niile, ihe ịrịba ama bụ isi nke ịmepụta okwute bụ ihe mgbu. Mgbu na pancreolithiasis nwere ike ịdị ogologo oge ruo ọtụtụ awa. Site na okike nke ihe mgbu, ọkụ, n'ụdị colic, ha na-ekpuchi afọ na ala azụ, enyere ha aka na scapula. Ọrịa nwere ike ịbụ ụbọchị kwa ụbọchị ma ọ bụ ihe adịkarịghị, ọtụtụ ugboro n'ọnwa, ma ọ bụ ọbụna otu afọ.

Ihe mgbaàmà ndi ozo nke izo okwute:

ụba mgbu n'oge nri na n'oge palpation,
mkpọchi nke ọgbụgbọ na ọgbụgba nke bile,
na-eme ka anụ na-egbu egbu na ọnụnọ nke abụba na - enweghị isi dị n'ime ha (steatorrhea - ọdụdụ mara abụba),
gosipụta salivation,
n'afọ na-adị mma n'anya
oria izugbe, sweating.

Site na usoro ọria nke ogologo oge nke pancreolithiasis megide mmalite nke mbelata ọrụ nzuzo nke akwara, imepụta insulin na-ebelata. Tinyere mgbaàmà ndị a na-ahụ anya, ọrịa shuga mellitus na-apụta - akpụkpọ akpọnwụ, akpịrị ịkpọ nkụ, polyuria, isi nke acetone si n'ọnụ ya. Mbugharị nke okwute site na pancreas banye n'ime maịlị na-ebute mmepe nke jaundice.

Ngwakọta nke pancreolithiasis dị ize ndụ. Ọ bụrụ na okwutechie ogologo oge ahụ, ọrịa akwara na-ebute oria nke anụ ahụ. Ọtụtụ mgbe, megide ndabere nke okwute, ọnụnọ ezumike na cysts na-eme. Na ọnụnọ nke nnukwu okwute, enwere nnukwu ọbara ọgbụgba n'ọbara ma ọ bụ ọnwụ nke akwara na - esote ya.

Usoro nyocha

Nchoputa nke pancreolithiasis esighi ike - uzo nyocha nke ugbua nwere ike ichoputa obere okwute. Enyere nhọrọ maka ụzọ ọrụ. A na-egosipụta nyocha ọbara n'ozuzu iji mata ọnọdụ izugbe na ọnụnọ nke usoro mkpali.

Nnyocha maka okwute ndị a na-enyo enyo gụnyere:

nyocha nyocha nke oghere dị n'ime afọ, nke a na-ahụ anya ya n’elu ugwu dịka otu ma ọ bụ ọtụtụ oval ma ọ bụ onyinyo gbara gburugburu,
ultrasonography iji chọpụta ọnọdụ gland, kpọmkwem nsonata okwute,
MRI na CT nyocha nke pancreas,
retrograde cholangiopancreatography iji chọpụta ihe mgbochi duct.

Ọrịa gastroenterologist na-ebu ọgwụgwọ nke ndị ọrịa nwere ọrịa na-eme ọria. Icszọ nke usoro ọgwụgwọ na-adabere na ọnụ ọgụgụ nke nkume, usoro ha na nha ha. N'agbanyeghị agbanyeghị ọnọdụ ahụ, usoro ọgwụgwọ na-amalite site na usoro nchekwa - na-ebelata mbufụt, na-akwụsị ibugharị akụkụ ahụ na akwara, na iguzobe usoro metabolic. Edebere enzymes (pancreatin) ndị ọrịa, dọkịta na-ahụ maka ịga na-ahọpụta ụbọchị kwa ụbọchị. Site na ịdị irè nke ọgwụgwọ nchekwa, ị nwere ike ịme na-enweghị ịwa ahụ - a na-ebibi mkpụrụ klọọkụ ma na-apụ apụ na mwepu onwe ya.

N'ihu otutu okwute volumetric na ogwugwo ọgwụ na-enweghi isi, a na-egosi ịwa ahụ.Ihe ngosi ndi ozo maka ogwugwo ogwu bu:

ọrịa ruo ogologo oge nke ọrịa na ọgụ ugboro ugboro,
ọnya na-aga n'ihu,
ihe mgbu nke a na-agaghị akwụsị akwụsị,
usoro mkpali ukwu
ọnọdụ dị njọ na ọnọdụ onye ọrịa, mmepe nke dystrophy.

N'ime usoro ịwa ahụ ọhụụ, mgbe ha na-ewepụ nkume, ha na-ejikarị:

endoscopic mwepụ nke usoro ọrịa site na iji endoscope na-agbanwe agbanwe,
laparotomy - mwepu nke akwara site na obere mbe na mgbidi abdominal ma ọ bụ mpaghara lumbar,
pancreatotomy - mmesa nke duct akpọchiri na mmịpụta nke okwute,
uzo uzo - ihe omuma nke ihe emere ka oria a na eweghari aru dika ihe na - adighi nma.
ngụkọta nke pancreatectomy - mwepu nke pancreas na akụkụ akụkụ nke duodenum, a na-eji usoro ahụ maka ịba ụba calcification anụ ahụ.

N'oge mmalite nke ọrịa ahụ, ha na-anwa iji ụzọ ndị na-abụghị nke ịwa ahụ dabere na ndagwurugwu na ntinye nke ntụ ntụ n'ụzọ anụ ahụ site na eriri afọ. Usoro ọgwụ ndị a gụnyere:

sistemụ mkpuma jijiji dịpụrụ adịpụ - usoro dabere na ịzọpịa okwute n'ime ntụ ntụ site na ebili mmiri na-ada ụda ugboro ugboro, usoro ahụ na-egbu mgbu ma na-achọ mgbatị oge niile, mgbe nke ahụ gasịrị, hematomas nwere ike ịnọrọ na afọ,
retrograde cholangiopancreatography - a na-eme ngbchapu site na iji endoscope na-agbanwe agbanwe, a na-ewepụ mbupụ nke calculi site na mbugharị sitere n'okike ma ọ bụ wepụta ya site na endoscope.

Ọnọdụ ike

Mgbe iwepuchara okwute, ọ dị mkpa ka ndị ọrịa soro usoro nri. Nri a chọrọ ka ọ bụrụ pịarịa anụ ahụ na igbochi mkpọchi ahụ n'ime akwara ndị ahụ. Ndụmọdụ ndị na-edozi ahụ:

Iribiga nri ókè anabataghị ya, nnukwu nri buru ibu na-ebute oke ibu na gland na mkpali nke zoro ezo.
ị alcoholụbiga mmanya ókè - ihe ọ alcoholụ alcoholụ na-aba n'anya n'ihe ọ bụla na-akpata ọrịrị nke gland ma nwee ike ibute nnukwu nsogbu nke parinhema,
nnabata na usoro dị iche iche oriri - oriri nke protein na carbohydrate nri iche iche ga-enyere aka ikwado usoro nke insimilation,
rube isi na usoro iwu nri siri ike - jụrụ oke abụba na ihe ọ drinksụaryụ ọ ,ụ ,ụ, ihe ọatedụ carbonụ carbonated na kọfị, ihe ndabere nke nri ndị ọrịa na-a pancụ ara bụ nri akwụkwọ nri, ọka, ofe dị ụtọ, anụ na-esighị ike.

Ibu amụma na mgbochi

Prognosis nke pancreolithiasis na-adabere n'ịdị ogo nke pathology na ọnụnọ nke nsogbu nke pathologies concomitant pathologies. N'ụzọ bụ isi, na iwepu okwute n'oge a na oge iji họpụta ọgwụgwọ nnọchi, prognosis ahụ dị mma. Na 80-85% nke ikpe nke ịwa ahụ, ọ ga-ekwe omume ịnweta ọganihu na-adịgide adịgide n'ọnọdụ ahụ. Naanị pasent 2% nke ịwa ahụ bụ nsonaazụ na-egbu egbu.

Enweghị usoro ọ bụla akọwapụtara iji gbochie mmepe nke ọrịa ahụ. O kwere omume belata ihe egwu nke imebe okwute n’ime akwara site n’isosi nri ike, kwusi ise anwuru na mmanya. Ndị nwere ọrịa mgbochi ọrịa na eriri afọ kwesịrị ịkpọtụrụ dọkịta na usoro oge maka ihe ọ bụla na-adịghị mma nke afo, duodenum, imeju na pancreas.

Chọta okwute na-achọ ka emee ngwa ngwa. Ọ bụrụ na agwọghị ọrịa ahụ, enwere ihe ize ndụ nke ịmalite ọrịa etuto ahụ na pancreas. Wa ahụ nwere ike iwepụ ọrịa na obere oge. Ka osi di, mgbe ewepuchara okwute ndia, odi nkpa igbaso ntuziaka ogwu ma dikwa ndu ohuru - ya mere nsogbu nke ilaghachi gha di obere.