Ogwu puru iche na nke ogugu: gini bu ya?

Ọrịa na-adịghị ala ala bụ ọrịa a na-ahụkarị, nke a na-egosipụta site na mgbu na-adịgide adịgide ma ọ bụ nke na-egosi iru ala na akara nke igbu ume na endocrine. Ejiri mara ya na mgbanwe mgbanwe a na - ahụ maka akwara na - apụ apụ, na ụfọdụ ebe acini, protinerative fibrosis, yana oke nkwụcha, etolite akwara na ya ma ọ bụ na anụ ahụ. O nwere ike ime na ngosipụta pere mpe nke obere ọrịa ma ọ bụ n'ọrịa ndị ọzọ nke akụkụ akụkụ ahụ (cholecystitis, biliary dyskinesia, ọnya afọ nke afọ na duodenum, herat hernia). N'ihi nke a, ọ gaghị ekwe omume ịhazi etu ọrịa a dị.

Etiology

• Mmiri ọgwụ mgbu na metabolic na-adịghị ala ala
• Idiopathic pancreatitis na-adịghị ala ala
• Ahụ Ike Ọrịa Na-akpata Ahụhụ
• Autoimmune pancreatitis na-adịghị ala ala
• Ntighari na-adịghị ala ala
• Ọrịa pancreatitis na-adịghị ala ala
• Primarydị bụ isi nke ọrịa pancreatitis na-adịghị ala ala
• Dị nke abụọ nke pancreatitis na-adịghị ala ala

Nkewa nke pancreatitis na-adịghị ala ala dịka M.I. Cousin

• Mmanya
• N'ihi erighị ihe na-edozi ahụ
• Ọrịa Pancreatitis
• Dabere na nsogbu nke metabolic
• Etiology ezughi oke

• N'ihi meghere mmerụ ahụ
• N'ihi mmerụ ahụ na-enweghị isi
• Mgbe mmebi intraoperative
• Dabere na ERCP

• Cholangiogenic, tinyere:
• lymphogenous cholecystopancreatitis, n'ihi choledocholithiasis, na papillostenosis.
• Na ọrịa nke eriri afọ, gụnyere: na isi na nke abụọ duodenostasis, na duodenal diverticula, na peptic ọnya, na-adịghị ala ala colitis
• Na ichupu nke alaka nke abdominal aorta
• Na endocrinopathies
• Na ndabere nke ihe ndi ozo etioloji

Nkewa ohuru nke anakpo anakpo pancreatitis bu M-ANNHEIM (2007), nke ndi okacha amara ndi German mere. Nkewa a na-eburu n'uche ọtụtụ ihe dị ize ndụ maka ọrịa pancreatitis na-adịghị ala ala ma na-enye gị ohere ikewa ndị ọrịa n'ime usoro dịka usoro etiology, ọkwa ụlọ na ogo nke ọrịa pancreatitis na-adịghị ala ala. Nkewa di iche-iche a ka nkewa di iche-iche site na sistemu akọwapụtaghị isi mmalite 2282 ụbọchị

Idezi etiology |Ozi izugbe

Ọrịa ala na-adịghị ala ala bụ ọrịa na-egbu mgbu nke akwara nwere ogologo oge na-aga n'ihu, nke mgbanwe mgbanwe nwayọọ nwayọọ na-emetụta n'ụdị akwara ya na mmepe nke enweghi ike. Na gastroenterology, ọrịa pancreatitis na-adịghị ala ala na-akpata 5-10% nke ọrịa niile nke usoro nri. N'oge na-adịbeghị anya, na mba ndị mepere emepe, ọrịa pancreatitis na-adịghị ala ala "na-eto obere", ma ọ bụrụ na mbụ ọ bụ ụdị maka ndị nọ n'afọ 45-55, ugbu a ọnụ ọgụgụ kasị elu nke ụmụ nwanyị dara mgbe afọ 35.

Menmụ nwoke na-arịa ọrịa na-adịghị ala ala karịa mgbe ọ bụla karịa ụmụ nwanyị, n'afọ ndị na-adịbeghị anya, oke nke pancreatitis n'ihi ị alcoholụbiga mmanya ókè amụbawo site na pasent 40 ruo 75 n'ime ihe ndị metụtara mmepe nke ọrịa a. Egosi-abawanye na ihe ọjọọ nke neoplasms na pancreas megide ndabere nke ọrịa pancreatitis na-adịghị ala ala. Na-arịwanye elu, enwere mmekọrịta dị n'etiti pancreatitis na-adịghị ala ala na mmụba nke ọrịa shuga.

Dị ka ọ dị n'ihe banyere nnukwu pancreatitis, isi ihe na-akpata mmepe nke mbufụt na-adịghị ala ala nke pancreas bụ ị abuseụbiga mmanya na cholelithiasis.

Mmanya na-egbu egbu na-egbu egbu na parenchyma nke gland. Na cholelithiasis, mbufụt bụ nsonaazụ nke ọrịa site na ihe ọnya ọnya mmiri na-agabigakwa site na arịa nke sistem, mmepe nke ọbara mgbali biliary, ma ọ bụ ntopute nke ihe bile n'ime pancreas.

Ihe ndi ozo na atụnye ụtụ na mmepe nke ọrịa ala ala ala:

• na-aga n'ihu na-abawanye na ọdịnaya nke calcium ion n'ime ọbara,
• cystic fibrosis,
• hypertriglycerinemia,
• iji ọgwụ eme ihe (corticosteroids, estrogens, thiazide diuretics, azathioprine),
• ogologo oge nke oghere nzuzo (mgbochi nke sphincter nke Oddi n'ihi mgbanwe ọnya na duodenal papilla),
• autoimmune pancreatitis,
• ọrịa sitere na mkpụrụ ndụ ihe nketa,
• idiopathic pancreatitis (etutology edoghị anya).

Nkewa

Nkekọ Ọrịa Alakụba

• site na mbido: isi (ihe ọ ,ụ ,ụ, egbu egbu, wdg) na nke abụọ (biliary, wdg),
• dị ka ngosipụta nke ụlọ ọgwụ: mgbu (oge na-aga n'ihu), pseudotumor (cholestatic, na oke ọbara ọgbụgba, yana akụkụ mgbochi duodenal), latent (ụlọ ọgwụ na-adịghị ahụkebe) yana ijikọtara (ọtụtụ ihe mgbapụta na-egosi),
• dabere na foto ochie ahụ (calcifying, mgbochi, mkpali (infiltrative-fibrous), inductive (fibro-sclerotic),
• dị ka onyonyo ọrụ si dị (hyperenzymatic, hypoenzymatic), site na ọdịdị nke nsogbu arụ ọrụ nwere ike ịmata ọdịiche hyperecretory, hyposecretory, mgbochi, ductular (ezughi oke na nzuzo), hyperinsulinism, hypoinsulinism (ọrịa shuga),

A na-ahụta ọrịa akwara na-anaghị ala ala site na ịdị njọ nke usoro na nsogbu nhazi (siri ike, agafeghị oke ma dị nro). N'oge ọrịa ahụ, a na-amata ọkwa nke ọnọdụ iwe, mgbaghara na enweghị mgbagha.

Ọrịa ọgbụgba na-adịghị ala ala

Ọtụtụ mgbe, mgbanwe mgbanwe mbụ na akwara nke gland na mmepe nke pancreatitis na-adịghị ala ala na-eme n'enweghị ihe mgbaàmà. Ma ọ bụ ihe mgbaàmà ahụ dị nro ma enweghị nkọwa. Mgbe nkwupụta mbụ ahụ e gosipụtara pụtara, nsogbu ọrịa na - adịworị nnukwu ihe.

Mkpesa kachasị na iwe nke ọrịa pancreatitis na-adịghị ala ala bụ ihe na-abụkarị ihe mgbu na mpaghara elu, na hypochondrium ekpe, nke nwere ike ịghọ shingles. A na-akpọ ihe mgbu ahụ mgbe niile, ma ọ bụ paroxysmal na okike. Mgbu nwere ike ime ka ikewapụ obi. Mgbu nwere ike ibute dyspepsia (ọgbụgbọ, vomiting, obi mgbawa, bloating, flatulence). Vomiting n'oge iwe nke ọrịa pancreatitis na-adịghị ala ala nwere ike ịbụ ugboro ugboro, na-agwụ ike, na enweghi mgbu. Oche nwere ike ejighi ya ike, afọ ọsịsa ọnya afọ. Agụụ afọ ojuju na nkụda mmụọ na-eme ka ị ghara ibu ibu.

Site na mmepe nke ọrịa ahụ, ugboro ugboro nke iwe, dịka iwu, na-abawanye. Ọrịa na-adịghị ala ala nke pancreas nwere ike ibute imebi ma gland n'onwe ya na anụ ahụ dị n'akụkụ ya. Agbanyeghị, ọ ga-ewe ọtụtụ afọ tupu ekpughe ngosipụta nke ọrịa ahụ (mgbaàmà).

Na nyocha nke mpụga na ndị ọrịa nwere ọrịa pancreatitis na-adịghị ala ala, a na-ahụkarị ụzụ nke sclera na ọnya akpụkpọ ahụ. Ngwurugwu nke jaundice bụ brownish (mgbochi jaundice). Akpukpọ anụ ahụ na akpụkpọ anụ akọrọ. Na obi na afọ, ọ na-acha ọbara ọbara (“ọbara ọbara ọbara”) nke na-anaghị ala ala mgbe enwere ike ịchọpụta nrụgide.

Afọ n’oge palpation na-aza aza nke ukwuu n’ime epigastrium, a ga-ahụta atrophy nke abụba dị n’ mpaghara nke pịrị apị. Palpation nke afọ - ihe mgbu na ọkara nke elu, gburugburu otube, na hypochondrium ekpe, na akụkụ ọnụ - vertebral dị ọnụ. Mgbe ụfọdụ enwere ike ịrịa ọrịa mgbu na-eso ya ịba ọcha n'anya yana amamịghe.

Mkpakọ

Nsogbu mbu bu nkpagbu jaundice n’ihi ntiwapụ nke ọbara, ọbara ọgbụgba, ọbara ọgbụgba n’ime ọnya afọ n’ihi ọnya afọ, ọrịa na nje na-efe efe (etuto, parapancreatitis, cellulite retroperitoneal, mbufụt nke biliary tract).

Ihe mejuputara nke omuma atu: otutu ihe banyere aru, enweghi oru nke aru na usoro (akwara gbasara, akwara, hepatic), encephalopathy, DIC. Site na mmepe nke ọrịa, ọbara ọgbụgba nke arịa, oke ibu, ọrịa shuga, neoplasms ọjọọ nke pancreas nwere ike ime.

Diagnostics

Iji mee ka nchoputa ya pụta, dibia a na-ahụ maka eriri afọ na-ede nyocha nyocha nke ọbara, oke, ụzọ nke nchọpụta ọrụ.

Nnyocha ọbara n'ozuzu n'oge ihe mgbawa, dịka iwu, na-egosi foto nke mbufụt enweghị isi. Maka nyocha dị iche, a na-ewere sambal maka ọrụ nke enzymes pancreatic n'ime ọbara (amylase, lipase). Ihe nyocha nke Radioimmune na-ekpughe mmụba na ọrụ nke elastase na trypsin. Coprogram na-ekpughe oke abụba, na-enye echiche erughi enzyme nke pancreas.

Enwere ike ịtụle nha na nhazi nke parenchyma (yana anụ ahụ gbara ya gburugburu) site na iji ultrasound nke akụkụ ime ahụ, CT ma ọ bụ MRI nke pancreas. Njikọ nke usoro ultrasound na endoscopy - endoscopic ultrasonography (EUS) na-enye gị ohere inyocha n'ụzọ zuru ezu anụ ahụ gland na mgbidi nke eriri afọ site n'ime.

Na ọrịa pancreatitis, a na-eji endoscopic retrograde pancreatocholangiography - a na-etinye ọgwụ radiopaque na endoscounts n'ime paodenal paodilla.

Ọ bụrụ na ọ dị mkpa, iji mee ka ikike nke gland wee nwee ike imepụta ụfọdụ enzymes, a na-edobe nnwale na-arụ ọrụ na ụfọdụ ihe mkpalite nke njigide nzuzo nke ụfọdụ enzymes.

Usoro ọgwụgwọ

• Usoro ọgwụgwọ. A na-atụ aro ka ndị ọrịa nwere ọrịa pensụl na-arịa ala n'oge oke iwelata nri na-eri nri, na mgbe ha nwụrụ, enyere ha ọgwụ Nke 5B. Na pancreatitis na-adịghị ala ala, a machibidoro ị alcoholụ mmanya na-egbu egbu ókè, na-egbu egbu, abụba, nri acidic, a na-ewepụ ihe ọlesụ fromụ nri. Site na pancreatitis gbagwojuru anya site na ọrịa shuga mellitus, ịchịkwa ngwaahịa nwere shuga.
• A na-agwọ ọrịa nke pancreatitis na-adịghị ala ala n'otu ụzọ ahụ dị ka ọrịa pancreatitis oke (usoro ọgwụgwọ ọrịa, analgesia, mwepụ, iwepu mbufụt, mweghachi nke ọrụ digestive).
• Maka pancreatitis nke ihe ọ originụholicụ na-egbu egbu, ịjụ ojiji nke ngwaahịa nwere mmanya bụ isi ihe dị na ọgwụgwọ ahụ, n'ọnọdụ dị nro na-eduga na ahụike nke mgbaàmà.

Ọrịa ụfụ (ọnụnọ na phlegmon), ihe mgbochi nke akwara na ọnya akwara, mgbanwe nke akwara nke Oddi, mgbanwe siri ike na akwara nke ọnya (sclerosis, calcifications), cysts and pseudocysts nke pancreas, N'ezie siri ike, ọgwụgwọ na-ekwesịghị ekwesị nwere ike ịbụ ihe ngosipụta maka ọgwụgwọ ịwa ahụ na-adịghị ala ala pancreatitis. .

Gerywa ahụ nke ọrịa pancreatitis na-adịghị ala ala:

• ihe mgbochi sphincter nke Oddi,
• mwepu nke okwute n'ime oghere nke akwara afọ iji gbochie mgbochi ọkpụrụkpụ,
• imeghe na ịdị ọcha nke purulent foci (ọnụnọ, phlegmon, cysts),
• Pancrectomy (zuru ezu ma ọ bụ akụkụ ya),
• vasectomy, splanhectomy (mwepu nke akwara ndị na - edozi ihe nzuzo ahụ gland), obere akụkụ ahụ (afọ),
• mwepụ nke gallbladder n'oge nsogbu nke nnukwu bile duct na gallbladder,
• usoro iji mepụta ihe na -eme ka ọ dị nro iji belata nchekasị site na mkpụrụ ndụ akwara (wirsungoduodenostomy, wdg).

Mgbochi

Ihe mgbochi mbu:

• mmachi ị consumptionụ mmanya, ezigbo nri, ezigbo nri, na -eme ka nri juju afọ gị, ịmachi nri ndị nwere abụba, nri ndị nwere carbohydrate,
• ịkwụsị ise siga
• na-a waterụ mmiri zuru ezu (ọbụlagodi otu lita na ọkara kwa ụbọchị),
• izu oke nke vitamin na mineral n’ime nri,
• Inweta ezigbo oge nke dọkịta gbasara mmebi nke digestive tract, ọgwụgwọ zuru oke na ọgwụgwọ nke ọrịa nke usoro nri nri.

Maka mgbochi nke nkụchi nke ọrịa pancreatitis na-adịghị ala ala, ọ dị mkpa ịgbaso ndụmọdụ ndị dọkịta na-ekwu banyere nri na ụzọ ndụ, mgbe niile (ọbụlagodi ugboro 2 n'afọ) na-aga nyocha. Ọrụ dị mkpa n'ịgbatị mgbatị na iwelite ịdị mma nke ndụ ndị ọrịa na-arịa ọrịa pancreatitis na-adịghị ala ala bụ ọgwụgwọ spa.

Mgbe ị na-agbaso ndụmọdụ maka mgbochi nke iwe, ọrịa pancreatitis na-adịghị ala ala dị mfe ma nwee atụmanya dị mma maka nlanarị. Site na imebi nri, ị alcoholụ mmanya, ị tobaccoụ sịga na ọgwụgwọ ezughị ezu, usoro dystrophic na ọganihu anụ ahụ na nsogbu siri ike na-etolite, ọtụtụ n'ime ha chọrọ ịwa ahụ ma nwee ike igbu egbu.

Dabere na njirimara ụlọ ọgwụ

a) na nnukwu ihe mgbu,

b) na mgbu na-adịgide adịgide (oke).

2. Pseudotumor CP:

a) na subhepatic cholestasis na jaundice,

b) ya na mgbochi nke abụọ duodenal mgbochi (CDI).

3. CP enweghị mgbu (ya na exocrine na / ma ọ bụ ezughi oke okuko nke endocrine).

Dabere na njirimara morphological

Infiltrative-fibrous (interstitial-edematous) CP.

4. Inductive (fibro-sclerotic) CP.

Site na njirimara arụmọrụ

Site na imebi arụmọrụ exocrine:

a) hyperecretory (hyperenzyme) ụdị,

ụdị hypocretory (hypoenzymatic) (akwụ ụgwọ,

c) ụdị mgbochi,

d) ụdị ductular nke nzuzo.

3. N'ezie siri ike.

a) cholestasis na akara nke subhepatic jaundice,

b) subhepatic n'ụdị Portal ọbara mgbali,

c) Ọbara afọ,

d) njigide na post-necrotic cysts na pseudocysts.

a) duodenal stenosis na mgbochi siri ike nke duodenal,

b) A na-aatorụ ọgwụ mgbochi anụ na creatorrhea,

c) Ọria ime obodo (ọrịa ọnya afọ, parapancreatitis, aka ekpe)

nti pleural na pneumonitis, paranephritis),

d) arteriopathy nke nsọtụ ala,

Ihe atụ nke nchọpụta:

1. Ọrịa mgbu na-adịghị ala ala, na-enwe obere mgbu, na-egbochi, na arụmọrụ exocrine na-arụ ọrụ, ogo na-adịghị ala.

2. Pseudotumor na-adịghị ala ala na subhepatic cholestasis na jaundice, na-egbochi, na-agafeghị oke.

3. Ọrịa pancreatitis na-ekweghị ala, latent, yana ọrụ exocrine na-emetụta ya, ogo dị nfe.

Ọrịa akwara na-arịa ọrịa okenye

Abuse Theụbiga mmanya ókè nwere otu ihe bụ isi ihe na-akpata ọgba aghara n’usoro nri nri, na-emetụta ọria. Ebe ọ bụ na ndị okenye na-etinyekarị ahụike ahụike ha site na ị drinkingụ mmanya, ha nọ na ndị otu kachasị n'ihe ize ndụ maka ịmalite ọrịa akwara. Ihe ndekọ ọnụ ọgụgụ afọ ole ndị ọrịa n’ala dị iche iche dị iche. A kọwara nke a site na ngosipụta nke ugboro ole mmanya na - aba n'anya ndị obodo. Ọzọkwa, enwere ike ịmalite ibute ọrịa dabere na njiri nri nri na ọtụtụ ihe ndị ọzọ, gụnyere okike.

Ọrịa ngba na ụmụ nwoke

Menmụ nwoke, ma e jiri ya tụnyere ụmụ nwanyị, na-enwekarị nsogbu ibute ọrịa akwara na-akpata. N'ihi oghere dị iche iche ha si ele ndụ anya, ọtụtụ ndị otu nwoke na nwanyị nwere ike na-agbakarịkwuru ndị dọkịta mgbe obere ihe mgbu na-eme ma na-eme nke a n'ọnọdụ dị oke njọ mgbe ọrịa 'malitere'. Menmụ nwoke na-enwekarị nsogbu ị alcoholụbiga mmanya ókè, nke bụ isi ihe kpatara mmepe nke pancreatitis.

Ọrịa ụmụ nwanyị na-efe efe

N'ime ụmụ nwanyị, ọrịa gallstone bụ ihe a na-ahụkarị karịa ụmụ nwoke, nke bụ ihe bụ isi kpatara mmepe nke ọ bụghị naanị pancreatitis, kamakwa cholecystitis. Na mgbakwunye, ahụ nke mmekọahụ dị mma na-enwekarị mmetụta na mgbanwe nke homonụ, nke nwekwara ike ịkpalite mmepe nke pancreatitis. Yabụ, mmepe nke usoro mkpali na akwara nke pancreas na-akwalite site na menopause, ịtụrụ ime na ịmụ nwa, iji ọgwụ ogologo nke ụfọdụ nwere ọgwụ ogologo.

Ọrịa nje na-efe efe na ụmụaka

Chọpụta ihe kpatara mmepe nke ọrịa pancreatitis na ụmụaka bụ ihe siri ike. Mana ọtụtụ oge, ihe ndị na-akpata mbido ọrịa ahụ bụ mmerụ ahụ na-esite n'ịwa ahụ ma ọ bụ mmerụ ahụ, na ịkọwa mkpụrụ ndụ ihe nketa. A na-ahụkarị pancreatitis na ụmụaka nwere eriri afọ, akụkụ akwara umeji, ma ọ bụ n'ụdị cystic fibrosis. Ihe nfụkasị nri, ọrịa na-adịghị ala ala, ihe isi ike na mpụta nke ihe ọesụ digụ nri, mumps ọrịa - ihe a niile na ọtụtụ ndị ọzọ nwere ike ibute malfunctions nke pancreas na ụmụaka. Dọkịta na akụkụ nke ule nyochare n’aka ya ga-enyere aka ikpebi ihe kpatara mmepe nke ọrịa pịrịọkụ.

Nkewa pancreatitis maka ebumnuche nke ọrịa

Anụ a na-apịpụta, mgbe nri batara n’ahụ, na-ewepụta mmiri ara ehi. O nwere enzymes nke kpatara mmebi nke carbohydrates, abụba na protein. N'ime oghere nke glandular akụkụ, enzymes ndị a anaghị arụ ọrụ. Ma na-ahapụ ihe ọ juiceụ pancụ na-egbu egbu site na nsị ahụ n'ime duodenum, ha na-amalite ime ihe. Y’oburu n’enwe ihe ana - emeputa ya, ihe enzymes na - aru ​​n’ime akwara n’onwe ya wee malite igbari akwara ya. N'okwu a, usoro mkpali na-etolite na anụ ahụ mebiri emebi, nke na-eduga na pancreatitis. Ihe kpatara mmebi iwu dị otú a nwere ike ịdị ọtụtụ.

Ọrịa pancreatitis nke mbụ

Nnukwu ọrịa a na-eme n'ahụ mmadụ na-amalite megide mmebi nke akwara nke pancreas n'onwe ya. N'ime ihe ndị na - akpata usoro mbibi ọ bụ ihe kwesịrị ịrịba ama:

• ị abuseụbiga mmanya ókè na ise siga,
• mmebi nke pancreas n'ihi mmerụ ahụ nke ime, ihe ịwa ahụ na ụfọdụ usoro nchọpụta, dịka ọmụmaatụ, endoscopy (retrograde pancreatocholangiography na paosilicspancterotomy endoscopic),
• ogologo oge eji ọgwụ ọjọọ eme ihe na-emetụta pancreas,
• ọrịa sitere na maka ọrịa nke eriri afọ na akwara gbasara mmepe nke akwara,
• nri na-adịghị mma nke nwere nnukwu abụba na nri oriri na-ekpo ọkụ, karịchaa, dịka ha na-ekwu, na afọ efu.

Ọrịa pancreatitis nke mbụ nwere ike ịmalite n'oge ọ bụla. Oge ịmalite ọgwụgwọ ya n'oge ga-enyere aka kwụsịtụ ma ọ bụ jiri nwayọ nwayọ na mkpụrụ ndụ akwara, weghachi ọrụ ndị furu efu ma zere nsogbu.

Secondary pancreatitis

Secondary pancreatitis bụ ọrịa na-egbu mgbu nke pancreas, nke mepụtara megidere ọrịa nke akụkụ ahụ dị n'akụkụ nke sistem nri nri. Isi ihe kpatara mmepe ya bụ:

• Ọrịa gallstone, nke bụ otu n'ime isi ihe na-enye aka na mmepe nke pancreatitis,
• ọrịa na-efe efe, ịba ọcha n'anya,
• Ọrịa akụrụngwa, dịka ọmụmaatụ, cystic fibrosis ma ọ bụ ọrịa Crohn,
• helminthic wakporo na biliary tract.

Ọ ga-ekwe omume mgbe niile ịchọpụta ihe kpatara mmepe nke ọrịa pancreatitis. Ma ihe ịga nke ọma nke ọgwụgwọ dabere na mkpochapu ihe ndị na-esonye mmalite nke ọrịa ahụ.

Ofdị pancreatitis n'ụdị na njiri mara nke ọrịa ahụ

Usoro mbufụt ke pancreas na-eduga na nhụjuanya ma ọ bụ izu oke site na ahụ ọrụ ya niile. Ọnwụ nke akwara glandular na-eyi egwu na usoro enweghị ike ịgbanwe agbanwe. Onweghi ahu ndi ozo nke puru ime oru. Ọrịa na-adịghị ala ala na-apụ iche iche na-adabere n'otu ọrụ nke ọrịa ahụ. Formsdị ọrịa abụọ a dị iche na ibe ha na mgbaàmà, ụzọ ọgwụgwọ yana nsonaazụ ahụ.

Ọrịa pancreatitis

Nnukwu ọrịa a na - eme ka ọ bụrụ nke na - egbu egbu nke na - efegharị ngwa ngwa ma na - eyi egwu mmepe nke mgbanwe mgbanwe a na - agbanwe agbanwe na akụkụ ahụ, na - emebi usoro ahụ ndị ọzọ yana ọbụna ọnwụ nke onye ọrịa. Na nnukwu ọrịa pancreatitis, mmiri ọgwụ a na-egbu mmiri nke nwere enzymes diges maka ihe ụfọdụ enweghị ike ịgafe duct ahụ na duodenum. Enzymes ndị a na-eme na pancreas n'onwe ya na-amalite ịwakpo sel ya, na-ebibi ya. Site n'ụdị ọrịa a, mkpụrụ ndụ nke glandular akụkụ mebiri emebi yana akụkụ ya amalite.

Ndị otu dị ize ndụ maka mmepe nke nnukwu ọrịa ogbu egbu bụ ndị okenye, afọ 30 ruo 60. Agbanyeghị, oke iwu ndị ahụ dị oke aka ike. Ọrịa pancreatitis nwekwara ike ịmalite n'ime ụmụaka n'ihi:

• enweghi nri kwesiri ekwesi,
• nri nke abụba na nri na-atọ ụtọ, nri ngwa ngwa na nri,
• ọnya afọ
• helminthic wakporo na usoro nri,
• ihe ana - aru ​​aru nke ihe ogugu na akwara na aru, duodenum, yana oria akwara.
• ụfọdụ ọrịa na-efe efe na efe efe, wdg.

N'oge nwata, ọrịa akwara na-apụta, dịka iwu, n'ụdị dị nwayọọ. Mgbaàmà ya, nchọpụta ya na ụzọ ọgwụgwọ si dị iche na njirimara nke mmepe nke nnukwu ọrịa ọrịa pancreatitis n'ime ndị okenye.

Mgbasa nke pancreatitis na-adịghị ala ala

Mmepe nke pancreatitis na-adịghị ala ala na-ekekarị nkebi abụọ. Ejiri ngosipụta mbụ dị n ’akara ngosipụta ya wee nwee ike ịdịru afọ ole ma ole ma ọ bụ iri afọ, dabere na ụzọ onye ọrịa si ebi ya na ọnọdụ ahụike. Mgbe usoro izizi ahụ gasịrị, a na - esochi oge mgbe nsogbu na akwara bịara kwupụta ma kpagharịa onye ọrịa ahụ ihe niile.

A na-ebute nsogbu dịkarịsịrị ala na-egbu egbu site na iji nri eji egbu egbu, abụba ma ọ bụ nke e ghere eghe, ihe ọ carbonụ carbonụ carbonated na mmanya. Ọ na-esiri pancreas ike ịnagide protein, carbohydrates na abụba ndị na-abịa na nri. Ọpụpụ site na nri, ịingụbiga ihe ọ andụ andụ na ị alcoholụ mmanya na-egbu egbu n'ime afọ efu bụ nnukwu ihe ọjọọ.

Ọrịa na nsogbu nke pancreatitis

Ọrịa dị iche iche na ọrịa pancreatitis na-adịghị ala ala dị iche iche, yana atụmatụ nke ụzọ ya na nsogbu enwere ike. A na-ehichapụ ọrịa nke pancreatitis na-adịghị ala ala. A na-ekwupụta ihe ịrịba ama nke ọrịa ọjọọ oge niile, mana ọ dị mkpa ọ bụghị naanị ịkpọ dọkịta ngwa ngwa, kamakwa iwepụ mmepe nke ọrịa ndị ọzọ dịkwa ize ndụ, dịka ọmụmaatụ, nnukwu cholecystitis ma ọ bụ appendicitis.

Mgbaàmà nke Ọrịa Pancreatitis

Arụ ọrụ na pancreas n'onwe ya, enzymes na ihe ọesụ theụ nri na-emetụta akwara ya. N'ihi ya, ihe a na-eme iji mee ka abụba ghara ịdị ụtọ, na-eduga ná nbilata nke sel. Trypsin, protein na-agbari agbari, na-eme ka mmeghachi omume kemịkalụ dị iche iche, na-eduga na iweji akwara nke mkpụrụ ndụ akwara na-egbu egbu (necrosis (ọnwụ) nke mkpụrụ ndụ ya. Na mbu, necrosis bu osichie di, nke bu oria nke emechara eme ka omimi nke purulent foci sonye na ya. Mgbaàmà ndị a na-ahụkarị nnukwu ọrịa pancreatitis gụnyere:

• Mgbu, mgbe mgbe na-agba gburugburu, na aka nri ma ọ bụ aka ekpe hypochondrium. Mmetụta ahụ na-egbu mgbu dị oke egwu ma enweghị ike iwepụ ya site na enyemaka nke ọgwụ ọbụlagodi na mmalite ọgwụgwọ n'oge ụbọchị ya. Patientsfọdụ ndị ọrịa nwere ike ịmalite ujo mgbu n'ihi mwakpo nke nnukwu ọrịa ụjọ.
• Agụụ nri, ọgbụgbọ na ọgbụgba na-enweghị isi, nke na-adịghị ewetara onye ọrịa ahụ efe. Vomit, dịka iwu, mejupụtara ọdịnaya nke afọ na bile.
• Bawanye na ahụ ọkụ (ihe kariri 38 Celsius C), ọnụ ọgụgụ obi mụbara (ihe kariri 90 beats / min.) Yana iku ume, belata ọbara mgbali elu (erughị 90 mm / hg).
• Esemokwu nke mgbidi akụkụ nke afọ nke mpaghara ahụ n’okpuru ọnụ ọnụ na ekpe.
• Bloating, nwere mmetụta nke ọma na elu afọ. Ọdịdị nke ụdị ihe mgbaàmà a bụ n'ihi mmebi nke sistemụ digestive.

Na mgbakwunye, ụcha akpụkpọ ahụ na-acha odo odo ma ọ bụ mmepe nke jaundice na-egbochi bụ ihe e ji mara nnukwu ọrịa oji ọwụwa ma ọ bụrụ na ọrịa gallstone bụ ihe kpatara ọrịa ahụ.

Cholecystitis na pancreatitis

Cholecystitis, pancreatitis bụ ọrịa na-efe efe nke eriri afọ. Site na cholecystitis, ọnya ọnya na-amalite usoro mkpali, yana ọrịa akwara na-eme ka ọ bụrụ akịrịkọ. Usoro abụọ ahụ nwere ike ịga n'ihu n'otu n'otu ma ọ bụ jikọtara ọnụ. Enwere otu okwu maka ọrịa abụọ ahụ na-eme na ogige ahụ - cholecystopancreatitis.

Cholecystitis, pancreatitis na-akpata mgbu n'ime oke olu nke onye ọrịa. Mana isi ihe dị iche bụ na ọ nwere ọnya ọnya afọ, mgbu ahụ na-adị na hypochondrium ziri ezi, yana ọrịa ọnya bụ ọ bụ herpes zoster.

Site na pancreatitis, onye ọrịa ahụ na-arịa oke ume na afọ, na-aka njọ mgbe nri, na-ahụ ihe na-emegharị ahụ na ọnya. O siri ezigbo ike ịmata cholecystitis na ọrịa pancreatitis site na akara ngosi. Nchọpụta ọrịa ga-ekwe omume naanị mgbe nchọpụta ọdịiche dị.

Nnyocha ụlọ nyocha

N'ihe banyere mmerụ ahụ nke ọgụ na-adịghị ala ala ma ọ bụ nnukwu ọrịa pancreatitis, ọ bụ ihe dị mkpa maka ndị ọrịa ga-anwale nnwale ọbara n'oche na biochemical, yana urinalysis na feces. Site na nnwale ọbara sitere na biochemical site na akwara, ndị dọkịta nwere ike ikpebi ọkwa nke pancreatic amylase enzyme. Otito ihe amylase na-abawanye, ogo nke amalite itolite n’awa abụọ ka mmalite nke oke iwe ga-akwado nchoputa a wee choputa ogo usoro mkpali. Ọ bụrụ na ụba nke amylase na-abawanye n’anụ ahụ nke ọma, nyocha nke mmamịrị ga-enyekwa aka ikpebi nke a, ebe ọ bụ na a na-ewepụ ya enzyme ya na ya.

Ọkwa lipase na-abawanye n’ụbọchị 2-4 mgbe mmalite nke ọnọdụ dị njọ, yabụ, nyocha dị etu ahụ enweghị nkọwa maka nchọpụta mmalite nke ọrịa ahụ. Eterchọpụta ọdịnaya nke enzyme nke trypsin na-enye ohere igosipụta mmeri nke usoro mkpali nke anụ ahụ. Na mgbakwunye, enwere ike ịnwale ule site na onye ọrịa iji chọpụta ọkwa shuga dị n'ọbara na ọnụọgụ nke bilirubin, nke nwere ike ịbawanye elu site na iwe nke pancreatitis.

Nnyocha ụlọ nyocha nke anụ ahụ nwere ike ịchọpụta abụba, protein na carbohydrates nkewa. Nke a ga - akwado enweghị ngosipụta nke arụ ọrụ. Nnyocha ọbara n'ozuzu ya ga-egosi ọnụọgụ nke leukocytes na ọnụego mbelata erythrocyte, nke ndị na-egosi ntụpọ.

Nchọpụta akụrụngwa

Diagnozọ nyocha dị iche iche na-arụkwa ọrụ dị mkpa na ikpebi pancreatitis na mmalite ọgwụgwọ ya n'oge. Ndị a gụnyere:

• Nyocha nke Ultrasound nke akụkụ nke afọ.

Site n’enyemaka ya, onye ọkachamara ga-enwe ike ikpebi etu akụkụre ya na otu akwa ya. Na mgbakwunye, ultrasound na-enye gị ohere ịchọpụta ihe ndị na - adịghị mma dị na contour nke anụ ahụ na ọnụnọ nke akpụ n'ime ya. Magide omume nke ọmụmụ a na-egbochi afọ nke elu, njiri mara nke iwe na-asọ oyi.

• Gbakọrọ ma ọ bụ ịma ndọta ihe ndọta.

Edere ọmụmụ ihe dị otú ahụ nye ndị ọrịa, ọ bụrụ na ọ dị mkpa, iji chọpụta olu anụ ahụ nke necrosis metụtara, ọnụnọ nke neoplasms na ntinye nke anụ ahụ na akụkụ dị nso na usoro mkpali.

Enwere ike ịpụta x-ray nke akụkụ afọ ahụ nye ndị ọrịa nwere ụbụrụ eriri afọ. Ọzọkwa, enwere ike iji ọmụmụ ihe a chọpụta ọnọdụ nke dule na dupe nke pancreas.

Mgbe ị na-eme usoro nchọpụta dị otú a, a na-apịa mgbidi dị n'ime nwa ahụ site na iji ngwaọrụ pụrụ iche nke trocar, nke na-enye ohere iji ngwa elele na-eji ngwa nyocha eme ya ọmụmụ ahụ. Mmezu ya dị mkpa na nnukwu necrosis anụ ahụ iji chọpụta ike mmepe nke usoro yana nchọpụta nke nsogbu.

Site na necrosis na-adọsi ike, a pụrụ inye onye ọrịa ọgwụ mkpagide. Usoro a ga - enyere gị aka inweta ihe ọmụmụ ihe maka ọmụmụ nje na - esote ọrịa. Nchọpụta a mere nke ọma na-enyere gị aka ikpebi ọrịa ahụ na nsogbu ya na oge, wee bido ọgwụgwọ ọfụma.

Na-akpata nke abụọ pancreatitis

Redị mmeghachi omume nke usoro mbufụt na gland bụ mmeghachi omume nke anụ ahụ na -akasị iwe nke ọwara mmiri. N'ọtụtụ foto ihe onyonyo a, ihe na - akpata ihe kpatara bụ bụ nkedo nke eriri afọ, ọnụnọ nke akwara dị na eriri akpa, na - akwalite akwara nke nwere ihe acidic nke afọ.

Secondary pancreatitis na-agbadata n'ọnọdụ ụfọdụ na-etolite n'ihi akpụ neoplasms n'ahụ mmadụ. Ọnọdụ nsonye bụ usoro nri nri.

Mgbe ụfọdụ ihe kpatara mmepe nke ọrịa bụ ihe jikọtara ọnụ na ọtụtụ ihe na-akpasu iwe bụ ndị dugara na mkpakọ nke ọwa site na mpụga. Dịka ọmụmaatụ, n’ihi ọria akwara ma ọ bụ akpụ akpụ, nke na-abawanye ma bido ịpị anụ ahụ dị nso. Nke a nwere ike bụrụ ọrịa kansa nke duodenum 12, dule ducts, ma ọ bụ imeghari ọgwụ pancreatitis nke oncology kpatara.

Ihe na-akpata ọrịa a na-eme nke abụọ:

• Nrụgide na duodenum 12 (ihe kpatara ya bụ ọnya afọ na afọ ma ọ bụ duodenum),
• Filiks na-efe efe na ahụ, ọrịa nje, ụfọdụ nje nje na-eduga na usoro mkpali, n'ihi nke a na-emepụta pancreatitis,
• Mmechi nke ọwa mmiri dị na calculi (ihe bụ isi bụ usoro ịkpa oke nke cholecystitis),
• Reflux nke oria bile (cholangitis - nnukwu mbufụt ke bile ducts),
• Site na imebi imeju na akwara bile, biliary (biliary dabere) pancreatitis bidoro,
• Imebi nke ihe dika ihe ojoo dika cholelithiasis (cholelithiasis).

Ọ bụrụ na onye ọrịa ahụ nwere ọrịa a na-akpọ pancreatosis, koodu ICD-10 bụ K86.1, mgbe ahụ akara ngosi nke ọrịa ahụ agbakọta. Site na mmachi nke ọgịrịga ebele, ọrịa ahụ na-egosipụta onwe ya ọtụtụ ụbọchị mgbe mmalite nke ọrịa na-apụtachaghị ìhè.

A na-ekwupụta ihe na-egbu mgbu ma na-egbuke egbuke, yiri nnukwu ọgụ nke pancreatitis. Site na usoro nje na ahụ, ọnya na-efe efe nwere ike ime n'ụdị elekere, na-akawanye njọ mgbe izu 2-4 gachara.

Gini bu nkpu ogwu na gini kpatara o ji di egwu? Nkọwa nke ọrịa, mgbaàmà, vidiyo

Gini bu nkpu ogwu na gini kpatara o ji di egwu? Kedu ka esi gosiputa ihe otite? Kedu ka esi achọpụta ọrịa a? Ajụjụ ndị dị otú a nwere ike ibilite na ndị nụla gbasara nchọpụta a.

Ọrịa pancreatitis bụ otu n'ime ọrịa dị mgbagwoju anya na nke nwere ike ibute ọnwụ na-enweghị ọgwụgwọ. Ya mere, ọ dị ezigbo mkpa igbochi ọrịa a n'oge, ịchọpụta ihe ịrịba ama na mbido mbụ iji kwụsị usoro ọrịa, ma ọ bụ ịmalite ọgwụgwọ ziri ezi n'ịdị elu nke ọrịa ahụ.

Iji ghọta ihe ọria mamịrị bụ na ihe kpatara ọrịa a ji apụta, ịkwesịrị ịma ntakịrị ihe gbasara pancreas.

Nri aria ahu di n’ime aru mmadu, bu ihe dika gram 85. A na-eme ka akwara arua oria, yiri nke mpe mgwakota agwa di nro.

Ọ dị n'azụ afọ ma jiri oghere na-emeghe n'ime oghere nke duodenum.Nri a n’eme abu abuo, ma odi nkpa ọrụ dị mkpa:

1. Ọ na - emepụta enzymes maka ndakasị na nnabata nke protein, carbohydrates, abụba. Enweghị enzyme ya, nri na vitamin nke nri anaghị agbari ma ọ bụ banye. A na-emepụta enzymes n'ime ya na ọnọdụ adịghị arụ ọrụ. Mgbe ha risịrị nri, pancreas na-eziga mgbama site na ụbụrụ na afọ na enzymes dị mkpa iji gbarie ma gbarie nri. Na nzaghachi na nke a, ọ na-emepụta chymotrypsinogen, lipase, amylase na trypsinogen na ọnọdụ adịghị arụ ọrụ maka nbibi, mgbaze na oriri nke protein, carbohydrates, abụba. Enzymes ndị a dị na mgbidi eriri afọ na-arụ ọrụ ma bido ọrụ ha.
2. Ọ na - eme ka homonụ nke na - achịkwa metabolism nke carbohydrates: insulin - lowers glucose, glucagon - na - abawanye glucose ọbara.

N'ihi ihe dị iche iche na-emetụta pancreas, a naghị arụ ọrụ ndị a, n'ihi ọtụtụ akụkụ dị mkpa na-ata ahụhụ: obi, umeji, akụrụ, akpa ume, akwara ọbara.

Yabụ kedu ihe ọ bụla? Ọria oria ojoo bu oria akwara. Ihe kpatara mbufụt na 80% nke ikpe bụ iji ihe ọ beụholicụ na-egbu egbu ma ọ bụ okwute na gallbladder na duct.

Ihe ndị ọzọ kpatara ọrịa ahụ: ọnya afọ, ihe na-egbu egbu, ọgwụ (ọgwụ mgbochi ụbụrụ, sulfonamides, nitrofurans, tetracycline, diuretics, azothioprine), ọnya duodenal, ọrịa nje metabolic. Na 25% nke ndị ọrịa, ihe kpatara ọrịa ahụ ka amabeghị.

Enwere ọrịa pancreatitis nke abụọ na nke mbụ. Ọrịa pancreatitis nke mbụ bụ mgbe ihe na - akpata ọrịa na - emetụta pancreas: mmanya, ọgwụ, toxins. Secondary pancreatitis bụ nsonaazụ nke ọrịa nke sistemu na akụkụ ndị ọzọ: ọrịa nke duodenum, afọ, sistem biliary, metabolism.

Nlebara anya nke ulo ogwu

Pancreatosis n'oge usoro mkpali dị nwayọ, agafeghị oke ma sie ike. N’agba nke mbu nke oria, achoputaghi akara nke oria a na acho acho.

Ọrịa Pancreatitis nke ọkwa nke abụọ amalitelarị na mgbaàmà nke nsogbu ndị a.

Emeghere ime mmụọ nke Grade 3 bụ ọrịa ụkwara ume ọkụ na ogologo oge, a na-ahụ ike ọgwụgwụ nke mmadụ, ule ụlọ nyocha gosipụtara ụkọ vitamin na ihe ndị bara uru bara uru.

Dịka anyị kwuworo, ụlọ ọgwụ na-adabere na ọrịa a kapịrị ọnụ, n'otu n'otu, ọ bụ n'akụkụ ahụ emetụtara ka ihe mgbaàmà ahụ ga-aka.

Syndromes nke sekọndrị nke abụọ:

1. Na-egbu mgbu. A na-ahụta ihe mgbu na mpaghara akụkụ nke apigastric, nwere ike ime na mpaghara ọgịrịga aka nri. Mgbe mgbu ahụ "na-agagharị" n'okpuru hypochondrium ekpe, nke e ji mara herpes zoster. Ọtụtụ mgbe ihe mgbu na-abawanye mgbe ị ofụ mmanya na-aba n'anya, nri - na-amalite mgbe awa ole na ole gasịrị.
2. A na-ejikọ nri digestive na mmebi nke ọrụ nke usoro nri nri. Ndị ọrịa na-eme mkpesa nke ọgbụgbọ mgbe niile, vomiting ugboro ugboro, ụtọ nke ilu na ọnụ. Ọ na-abụkarị ihe na-eme ka ikuku buru ibu, Nsogbu bịara ka njọ mgbe o rijuru nri ndị mara abụba na ndị na-ekpo ekpo.
3. Ọrịa intoxication na-eso adịghị ike, ike ọgwụgwụ na ụra, enweghị mmasị. Site na ngosipụta adịghị ike, ikike ọrụ onye ọrịa na-ebelata, ọ na-eme mkpesa banyere ike ọgwụgwụ oge niile.
4. Ọrịa ọgbụgba. Ọ bụrụ na onye ọrịa ahụ nwere ọrịa na-efe efe nke ọrịa ihe na-egbu egbu n'ihi cholangitis, cholecystitis na ọrịa ndị ọzọ, mgbe ahụ ọnọdụ febrile pụtara. Ala subfebrile dị n'ọbara nke neoplasms, nje ịba ọcha n'anya (ịkpọtụrụ onye ọrịa ahụ na ọkwa ụfọdụ nke ọrịa a na-efe efe).

Site na mgbaàmà ndị dị otú ahụ, a na-achọpụta onye ọrịa ahụ mgbe niile na dysbiosis - ọnọdụ microflora nke eriri afọ, ebe a na-achọpụta ọnụ ọgụgụ nje virus bara uru na ịba ụba nke microorganisms pathogenic. E gosipụtara Dysbacteriosis n'ihi mbelata nke ọrụ enzymes. N'oge oke ọria nke pancreas, ha na-abanye n'ọbara ọbara ma ghara ịrụ ọrụ ha, otu aka ahụ, nri na-agbadaghị agbari, ahụ adịghị enwe ihe ndị na-edozi ahụ. N ’ebe anụ dị nwere akwara osisi, ọtụtụ abụba.

Cliniclọọgwụ nke pancreatitis nwere ike ịbụ ihe anya na-ahụghị maka nzụlite ogo ọrịa ọgbụgba na-akpata.

N'ọnọdụ dị otú ahụ, achọrọ ya itinye usoro nchọpụta maka inyeaka - nyocha ụlọ nyocha na nyocha ngwa ọrụ.

Njirimara ọgwụgwọ nke nnukwu ọrịa na-adịghị ala ala

Treatmentzọ ọgwụgwọ maka ọrịa pancreatitis na-adịghị ala ala na nke na-adịghị ala ala dị iche. Nhọrọ ha dabere na ogo ọrịa ahụ, ọnụnọ nke ọrịa na-efe efe, ọnọdụ ahụike nke onye ọrịa na afọ ya. Ọ bụ naanị ụlọ ọgwụ ka a ga-ebu ọgwụgwọ maka ọrịa pancreatitis. Agbanyeghị, nkwanye bụ isi bụ ibu ọnụ maka ụbọchị ole na ole mbụ. Ọzọkwa, a na-enye onye ọrịa ọgwụ ịgwọ ọrịa yana, n'ụdị dị oke njọ nke ọrịa ahụ, usoro ịwa ahụ iji wee wepu mpaghara anụ ahụ mebiri emebi nke necrosis, ma ọ bụ iji wụnye nsị mmiri.

Na pancreatitis na-adịghị ala ala n'oge mgbaghara, a na-egosi onye ọrịa nri nri na-enweghị ike ị ofụ ihe ọ alcoholụ alcoholụ mmanya na-egbu egbu, oke abụba, nri na-egbu egbu na nke e ghere eghe. Site na mgbakasị ahụ, a na-atụ aro ibu ọnụ otu ụbọchị abụọ. Ma n'oge mgbaghara na n'oge iwe, a na-enye ndị ọrịa ọgwụ ọgwụ.

Ọrịa Pancreatitis

Ọria oria ojoo bu oria a puru iche. Ọnọdụ nke pancreatitis na-eto: ebe ọ bụ na ihe dị ka 1980, ọnụ ọgụgụ ndị na-arịa ọrịa a n'ụwa amụbaala okpukpu abụọ.

A na - ahụta ọrịa akwara na-arịa ọrịa na - adịghị ala ala n’ụwa niile yana ọrịa ikpe 8.2 - 10 n’ime 100,000 mmadụ.

Okwesiri iburu n’uche na oria nke oria n’akpukpo aru na Russia kariri nke ukwuu: n’ime umuaka, onodu a bu 9 - 25 n’otu nari puku mmadu, n ’okenye 27 - 50 n’otu nari 100,000.

N'ime afọ iri gara aga, na mba anyị enweela ebumnuche ịbawanye ndị ọrịa nwere ọrịa na-adịghị ala ala: n'ime ndị okenye, ọnụ ọgụgụ nke omume amụbawo ugboro atọ, na ndị nọ n'afọ iri na ụma - ugboro anọ.

Highdị ọnọdụ ahụ dị areataa nke pancreatitis nwere njikọ buru ibu yana nnukwu ihe nke ihe ize ndụ maka ọrịa pancreatitis.

A na-enwekarị pancreatitis nke ndị na-a oveụbiga mmanya ókè, na-eri abụba, nri e ghere eghe na nri nwere nnukwu abụba na carbohydrates, na-averaụ ihe ọholicụ alcoụ na-aba n'anya, na-a smokeụ sịga, na-eri nri monotonous ma na-enweghị mmasị iri akwụkwọ nri na mkpụrụ osisi, n'ime ndị buru oke ibu ma na-ebi ndụ enweghị ike. .

Ọgwụ ọgwụ

Na nnukwu ọrịa pancreatitis, na mgbakwunye na agụụ zuru ezu, izu ike na ọgwụgwọ n'ụlọ ọgwụ, a na-enye ndị ọrịa ọgwụ ụfọdụ, ihe omume nke ebumnuche:

• Na-egbochi usoro mkpali. Maka nke a, a na-enye ndị ọrịa iwebata cytostatics, usoro ọgwụgwọ nke gbakọọ iche iche.
• Ahụhụ A na-enye ọgwụ maka ọgwụ mgbu siri ike e ji mara nnukwu ọrịa pancreatitis. Site na oke mgbu, enwere ike ịde ọgwụ ọgwụ ọjọọ, yana mgbu nke ọdịdị spasmodic - antispasmodics.
• Mbelata enzyme emepụtara. Ọgwụ ndị na-egbochi mmepụta enzymes a na-eme ka ọ bụrụ ihe dị mkpa iji belata ohere nke nsogbu na necrosis nke mkpụrụ ndụ.
• Ọgụ megide mmerụ ahụ nke ahụ sitere na nri ndị na - eme nri n’ime. Nkpughebata nke ihe ngwọta pụrụ iche na nke a ka a na-ebu n'amaghị ama.

Na ọrịa akwara na-adịghị ala ala, a na-egosi ndị ọrịa nri riri oke ma na-a drugsụ ọgwụ ike nke nwere enzymes nke emepụtaghị n'ọtụtụ zuru ezu n'ihi ọnya ọnya nke pancreas. Naanị dọkịta nwere ike ikpebi ọgwụ na ọgwụ ọ ga-a ,ụ, na-elele nsonaazụ ọbara ule, mmamịrị na feces. Na mgbakwunye, ọgwụ nwere ike ịkọ onye ọrụ ya na ebumnuche ịme ka usoro nri nri diges.

Kedu otu esi ekpebi na o nwere ọrịa ogbu na nkwonkwo?

Enwere ọrịa pancreatitis na-adịghị ala ala na nke na-adịghị ala ala, nke mbụ na nke abụọ.

Na nnukwu pancreatitis, enzymes mepụtara maka mgbaze na mwepu oghere enweghị ike ịbanye na oghere nke obere eriri afọ, pancreas parenchyma na-agbaze onwe ya na otu enzymes.

Usoro nke iwepu onwe ya na - amalite mgbe ọ gachara nri choleretic na sokogenny - abụba mara abụba, eghe, nke na - egbu egbu, anụ na - egbu egbu, na - egbu egbu, cucumbers, na - a aụ nnukwu mmanya, na - a smokingụ sịga, achịcha.

Otutu ndi mmadu nwere oria odi ala, anaghi aga ulo ogwu. Dabere na ọnụ ọgụgụ, ụmụ nwoke na-akwụsị ihe mgbu ahụ site na ị takingụ mmanya na ndị na-egbu mgbu, yana ụmụ nwanyị na-ebu ọnụ.

Kedu ka esi egosiputa oria ojoo? Nnukwu ihe ịrịba ama nke nnukwu ọrịa pancreatitis bụ ihe mgbu na-enweghị atụ, nke na-esonyere ya na ọgbụgbọ na mmerụ ahụ.

Ihe mgbu a na emetụta njikọ akwara n'oge ịhapụ onwe ya.

A na-akwụsị ọrịa mgbu site na ndị na-egbu mgbu, nsonaazụ nke ọgwụ antispasmodic dị obere. A na-eme nri na-egbu mgbu site na iri nri. Mgbe ụfọdụ, enwere ọrịa nke sistemụ biliary, nnukwu ọrịa ụjọ nwere ike igosipụta ya dịka jaundice.

Ekwesịrị ka ebunye ndị ọrịa niile na-arịa ọrịa ogbu ọsị nke ọrịa pancreatitis na ngalaba ịwa ahụ n'ụlọ ọgwụ.

N'ụlọ ọgwụ, ndị dọkịta ga-ele ule pụrụ iche, na-eme nyocha, nyochaa, dezie nri na ọgwụgwọ. Dọkịta ga-enyocha ndị ọrịa.

Ọrịa pancreatitis na-efe efe dị ize ndụ na nke ahụ ma ọ bụrụ na ịga n'ụlọ ọgwụ na enweghị ọgwụgwọ, ọnwụ nwere ike ibute.

Nri a bu ihe aru di otutu “onye puru iche”, yabụ, igha ime ya kwesiri ikwesiri itule. Ma ọ bụghị ya, usoro ịwa ahụ na-enweghị uche na enweghị isi na akụkụ a na 25 - 40% nke ikpe na-akpata ọnwụ.

Ihe enyemaka mbu maka mbuso agha nke oria akwara

Ọdịdị nke ihe mgbaàmà mbụ nke nnukwu ọrịa ọrịa pancreatitis bụ oge maka ịkpọ ụgbọ ihe mberede mberede. Tupu ọbịbịa nke ndị ọkachamara, a ga-ahụ ọkwa ụfọdụ:

• N’ọnọdụ ọ bụla ị ga-eri ma ọ bụ drinkụọ mmiri ọ bụla, n’ihi na nke a nwere ike ịkpasu mmezu enzyme ndị ọzọ nke mkpụrụ ndụ nke pancreas ma bute nnukwu mmebi ahụ,
• Ọ dị mkpa iji ọnọdụ kwụ ọtọ ma nwaa ime ka uru ahụ dị jụụ (ma ọ bụrụ na mwakpo ahụ bụ obere ọgbụgbọ na-enweghị isi, ọ ka mma ịdina n'akụkụ gị),
• Ekwesịrị itinye oyi n'ime afọ site na iji paịlị kpo oku ma ọ bụ karama mmiri jụrụ oyi kechiri na akwa nhicha ọkụ (nke a ga-akwụsịlata mmepe nke usoro mkpali kpụ ọkụ n'ọnụ).

Site na mwakpo nke nnukwu ọrịa pancreatitis, ọtụtụ ndị, enweghị ike iguzogide ihe mgbu ahụ, na-anwale iwepu ya site na enyemaka nke mbadamba ọgwụ na ọgwụ ndị a na-egbu egbu. Ma usoro ndị a adịghị arụ ọrụ ma nwee ike imebi nkọwa nyocha nke ọrịa ahụ, ihe ọmụma nye dọkịta ga-eduzi nyocha ahụ. Ya mere, ntọala nke enyemaka mbụ maka ndị ọrịa nwere mwakpo nke nnukwu ọrịa ọrịa pancreatitis bụ ịgbaso iwu atọ: oyi, agụụ na izu ike zuru ezu. Ekwesịrị ịgwọ ọrịa nke ọrịa pancreatitis naanị n'ụlọ ọgwụ n'okpuru nlekọta dọkịta.

Kedu ihe achọrọ na gịnị ka a na-agaghị eme n'ụlọ ma ọ bụrụ na a na-enyo enyo nke nnukwu ọrịa pancreatitis?

1. Kpọọ ụgbọ ihe mberede.
2. Ejila ọgwụ ọ bụla: ọgwụ mgbu na ọgwụ mgbochi tupu ọbịbịa ụgbọ ihe mberede. Nke a nwere ike ihichapu ụlọ ọgwụ nke ọrịa ahụ ma mee nchọpụta ahụ ga-egbu oge, nke na-achọghị oke mma.

Erila nri ọ bụla. N’ụbọchị abụọ mbụ, ndị dọkịta depụtara usoro nri - agụụ iji mepụta izu ike maka ọrịa na-arịa ọrịa.