Pancreatic atrophy

A na-echere pancreas n'azụ peritoneum na ọkwa nke I-II vertebral nke lumbar. Mkpụrụ ndụ a na - etinye aka na usoro kachasị mkpa na ahụ. Ọzọ, anyị ga-achọpụta ihe ọrụ ya bụ, olee ụdị mmebi iwu ọ nwere ike ịbụ n'ihe ọ na-eme. Karịsịa, anyị na-atụle otú e si egosipụta nnukwu ọrịa ụjọ necrosis.

Ọrụ ahụ

Ihe nzuzo pancreatic nzuzo dị mkpa maka duodenum - mmiri mmiri pancreatic na-ezo n'ime ya. O nwere enzymes: amylase, lactase, maltase, lipase, trypsin na ndị ọzọ. N'ihi ihe ọ juiceụ pancụ pancreatic, a na-ewepụ acidic gastric ọdịnaya yana nri gbarie. Na mbu, a na-emeputa enzymes n'ụdị adịghị arụ ọrụ, emesịa na-arụ ọrụ na duodenum 12. Emebere ihe ha bụ nbibi nke carbohydrates, abụba, protein n'ime ihe ndị bụ isi. Enzyme activation na-aputa n’okpuru nduzi nke enterokinase, bile. Ihe nzuzo n’ime bụ imepụta ihe dị mkpa. Ndị a gụnyere, ọkachasị, lipocaine, glucagon na insulin. Abụọ ikpeazụ bụ ndị na-emegide onwe ha. Ha na-etinye aka na nhazi nke ịbara ọbara, metabolism metabolism. N'ihi lipocaine, a na-eme phospholipids n'ime imeju. Nke a, n'aka nke ya, nwere mmetụta bara uru na oxidation nke ọdụdụ abụba. Site na ụkọ nri lipocaine, o nwere ike bụrụ na imeju abụba na-egbu ya.

N'ime gland na-agafe ọwa na-emepe n'ime duodenum. Ihe na-ejikarị emegharị ahụ na paịlị na-ejikarị ampoule. N'ihi ya, ha na-emeghe na nnukwu ara nke duodenum. N'ime usoro ntụrụndụ, akwara kwesịrị ịdị elu karịa ka ọ na-ejikọ. Nke a bụ n'ihi mkpa ọ dị igbochi mwepụta nke ihe ndị dị na eriri afọ na eriri afọ.

Ozi izugbe

Atrophy nke pancreas bụ ọnọdụ eji mbelata nke oke anụ ahụ, nchịkọta nke ihe ya na enweghị ọrụ. Usoro a ga - ebilite n'ihi mgbanwe ọrịa afọ, yana ọrịa ndị jikọtara parenchyma, mkpakọ, inye ọbara ọgbụgba, yana ọrịa na-egbu ogologo oge. N'okwu a, ịdị arọ nke gland, nke a na-ezikarị ihe dịka 80-90 g, na-agbadata ruo 30-40 na n'okpuru.

Atrophy nke pancreas nwere ike ịbụ ihe gbasara ahụike, na-etolite n'ihi usoro ebumpụta ụwa nke ịka nká. Ọ na-eso ọrịa ndị siri ike na-agwụ ike (ụdị cachectic). Atrophy bụ nsonaazụ nke ụdị ọrịa akwara na-adịghị ala ala, ebe akụkụ ụkwara ahụ dochie anya akụkụ ahụ stroma, nke na - esochi endocrine na ezughi oke nke exocrine.

Otu ụdị atrophy bụ lipomatosis, nke eji akụkụ anụ ahụ dochie ihe ka ukwuu parenchyma akụkụ ahụ. Pancreas atrophy na ọrịa shuga mellitus nwere ebe pụrụ iche. Ọnọdụ ndị ọrịa na-efe efe na gastroenterology gụnyere atrophy of gland with cirrhosis of imeju, systemic scleroderma, tumor tumor, and blockage of the excretory ducts by calculi.

Patanatomi

Usoro ogwu a na-esokwa nha dị ukwuu gland - ruo 20-18 g, a kwụsiri ike, akụkụ ahụ ya na-eme ọfụma, a na-ekpukwa okpu ahụ na anụ ahụ gbara gburugburu, yana akụkụ ndị agbata obi gbara ya gburugburu. Ọdịdị nke pancreas na-agbanwe, oke nke akwara njikọ, nke nwere ike ịmụba na lobules (perilobular sclerosis) ma ọ bụ mgbasa (intralobular sclerosis), bụ ihe e ji mara ya. Na ọkwa microscopic, ọnya ahụ na-egosipụta mgbasa mgbasa nke akwara anụ ahụ (intraacinous sclerosis), ọnwụ nke mkpụrụ ndụ glandular parenchyma.

Na lipomatosis, n'agbanyeghị eziokwu na ọnọdụ a bụ ihe eji edobe ya ma ọ bụ nwee mmụba na akụkụ ahụ (pseudohypertrophy), ihe ka ukwuu dochie anya anụ ahụ adipose, nke enwere saịtị glandular dị iche iche. Dika nleba anya nke ndi okacha amara nke ubi na akwara ogwu di iche-iche na endocrinology, na otutu ihe ya na oria a na-echekwa akwara isio na ọrụ endocrine.

Ọrịa Atrophy

A na-ekpebi ihe onyonyo a na-ahụ maka ọrịa pancreatic atrophy site na ihe kpatara mmepe ya (ọrịa shuga mellitus, pancreatitis na-adịghị ala ala na ndị ọzọ). Agbanyeghị, n'ọnọdụ ọ bụla, njirimara njirimara bụ enweghị ụjọ na enweghị oke nke endocrine. A na - amata enweghị ume nke mmiri ọgwụ na - egbu mmiri (exocrine) bụ ihe na - eme ka mmiri ọgwụ ndị na - egbu nri belata, yana bicarbonates na electrolytes ndị ọzọ na - egbochi ihe dị n'ime afọ, na - enye gburugburu ebe dị mma maka enzymes pancreatic. Mgbaàmà ndị a na-ahụkarị bụ oche tọgbọrọ chakoo, agụụ adịghị mma, yana oke ibu.

Ihe mgbaàmà mmalite nke ezughi oke nke ọrụ exocrine bụ steatorrhea (ịba ụba nke abụba na feces). Ihe mgbaàmà a na-etolite n'ibe nchekwa na 10% nke ụkpụrụ. Ibu ibu na ebidata n'ihi ngabiga nri, nri ndi ozo n’ime eriri afọ, agụụ iri. Site n'ọrịa na-adịte aka, ihe ịrịba ama nke ụkọ vitamin.

A na - egosipụta enweghi oke nke endocrine (intrasecretory) site na nsogbu nke metabolism metabolism, na - aga n'ihu dị ka ọrịa hyperglycemic. Agbanyeghị, ọrịa shuga na-ebilite na ọkara nke ndị ọrịa. Nke a bụ n'ihi eziokwu ahụ bụ na mkpụrụ ndụ na - emepụta insulin nwere ikike ka echekwaa ya nke ọma na ọrịa ọrịa na iji ya tụnyere ndị acinar. Enweghị insulin, glucagon na-amalite. Ọrịa nwere ike imekpa onye ọrịa ahụ nsogbu, ike ọgwụgwụ, akpịrị ịkpọ nkụ.

Ihe mgbaàmà nke atrophy pancreatic

Mgbaàmà ndị metụtara ọrịa a ga-adabere n'ụzọ dị ukwuu ihe kpatara kpalitere mmepe ya. Agbanyeghị, n'agbanyeghị usoro ọmụmụ bụ isi, a ga-egosipụta ihe nlele ahụike site na akara ndị na-egosi endocrine na ezughi oke nke exocrine.

N ’ime ihe banyere eziokwu ahụ bụ na nri nri na-amalite ime nri n’ime obere obere, ihe mgbaàmà na-ebilite na-egosi imebi nri. Nke mbụ, ha gụnyere oke ibu. Obu n’ihi na obughi ihe ndi ozo di nkpa kwusi iwepu ha, kama o bukwara na-ebelata udiri ihe. N’adighi ada, a na-emezi ihe onyonyo a site na utiongbanye ụkwụ oche. N'ihe banyere na mmepụta nke enzymes ji ihe dị ka pasent iri belata, ọ ga-achọpụta ụba ụba abụba na feces.

Site na usoro ogologo oge a, a na-agbakwunye akara nke na-egosi ịba ụba hypovitaminosis. Ndị a gụnyere akpụkpọ akpọnwụ, mbọ aka, ntutu isi, adịghị ike n'ozuzu ya na ọrịa. N'ihe banyere oke ụkọ vitamin, ọrịa dị iche iche nwere ike ịmalite.

Ihe mgbochi nke ọrụ endocrine ka a ga-eji mara ihe mgbaàmà na-egosi nsogbu nke metabolism metabolism. Site na nyocha ụlọ nyocha, nke a ga-egosipụta nke a site na mmụba nke ọkwa glucose. Onye na-arịa ọrịa na-amalite ime mkpesa maka mmamịrị ngwa ngwa, akpịrị ịkpọ nkụ na akpịrị ịkpọ nkụ, ịba na-egbu oge, ọgbụgbọ na ihe ndị ọzọ. Ọ dị mma ịmara na ngosipụta ahụike a dị n’elu bụ naanị pasent iri ise nke ndị ọrịa.

Nchoputa na ọgwụgwọ oria

Nchoputa mbu nke oria a bu ihe nyocha ọbara nke biochemical na coprogram. Site na iji nyocha ọbara sitere na biochemical, a ga-achọpụta mbelata nke ogo enzymes pancreatic. Inyocha ọnọdụ nhazi nke ahụ, a na-enyocha onyunyo ultrasound, onyonyo ndọta, endoscopic retrograde cholangiopancreatography. Ọ dị oke mkpa iji duzie usoro ọmụmụ ihe nyocha ya.

Ọgwụgwọ maka atrophy nke pancreas na-amalite site na nhọrọ nke iri nri. Ọ dị mkpa ịhapụ omume ọjọọ ma mejupụta ụkọ nke vitamin. A na-eji ndị enzyme eme ihe iji dozie ezughi oke nke exocrine. N'ọnọdụ na enwere akara ndị na-egosi erughi insulin, a na-egosipụta ọgwụgwọ insulin.

Pathogenesis nke mgbanwe atrophic na pancreas

Mgbanwe atrophic na pancreas bụ physioloji mgbe ha tolitere n’ihi usoro ebumpụta ụwa nke ịka nká. Ha na-arịa ọrịa ọjọọ na-agwụ ike.

Na mgbakwunye, atrophy bụ nsonaazụ nke ụdị ọ bụla nke pancreatitis na-adịghị ala ala, yana akụkụ dị ukwuu nke stroma A na-edochi ya na anụ ahụ fibrous, nke na-eduga n'ịbawanye ụba nke endocrine na ụkọ nri nke exocrine.

Dị ka ọ na-adịkarị, ịdị arọ nke anụ ahụ dị iche site na 80 ruo 90 g. Ọ bụrụ na a hụrụ mgbanwe ndị na-adịghị mma na ya, mgbe ahụ ọ ga-agbada ruo 30-40 g na n'okpuru. Enwere mgbanwe n’usoro nke anụ ahụ n’onwe ya. Maka ọrịa ahụ, ọdịdị nke oke akwara njikọ bụ ihe e ji mara ya.

Pancreatic atrophy pụtara n'ihi ihe ndị a:

• Ihe omume na - emebi emebi abuba nke akụkụ ahụ.
• Mgbagha nke ọrịa shuga.
• Abụbiga mmanya ókè, ise anwụrụ.
• Ọrịa Duodenal, afọ.
• Oriri na-adighi nma.
• Ọrịa akụrụngwa na-emetụta oghere dị n'ime afọ.
• RV yiri.

Atrophic pancreatitis megide ọrịa shuga mellitus nwere ebe pụrụ iche. Ihe oria a bu ihe eji aru ya aru rue ihe ruru 20 g, nguzo ya na-abawanye, elu ya na –eme ka akpukpo ahu akpukpo ahu akpukpo aru na aru aru di nso.

Lipomatosis na-egosikwa dị ka ụdị atrophic nke ọrịa pancreatic. N’agbanyeghi na oria a ka eji aru aru ya aru ma obu mmụba ya, mana ihe ka ukwuu dochie ya site na anụ adi adi, n’ime ya ka a na-achọpụta ngalaba glandular mmadụ. N'ime pasent 80% nke ụdị ọrịa a, a na-echekwa ngwa ọrụ islet na ọrụ endocrine.

Ndị otu ahụ gụnyere ọrịa nwere ọrịa mkpụrụ ndụ, ị alcoholụbiga mmanya ókè, mmerụ ime, ọrịa na-efe efe nke akụkụ ahụ dị n'ime, na -akpọ cholecystitis.

Clinical ngosipụta nke atrophy

Mgbe anyị nyochachara nchọpụta nke atrophy nke pancreatic, gịnị ka ọ bụ, na gịnị nwere ike igbu anụ ahụ, anyị ga-achọpụta ihe mgbaàmà na-egosi pathology. A na - ebute ọrịa site na etiology nke mmepe nke usoro a na - ahụ maka ya na ahụ (na - emeju glucose uptake, ụdị ọrịa pancreatitis na - adịghị ala ala, wdg).

N'agbanyeghị ihe kpatara ya na ihe na-akpata, ndị ọrịa niile nwere endocrine na ụkọ ọdịdị. Enweghi ike inweta ihe nzuzo dị na mwepụ na mmepụta nri nke enzymes, electrolytes, nke na-enyere aka wepu ihe ndị dị n’ime afọ, na-enyere aka ịnye gburugburu ebe obibi maka enzymes pancreatic.

Ndị ọrịa na-eme mkpesa maka mmebi nke usoro nri, nke a na-egosipụtakarị:

1. Ọrịa afọ ọsịsa.
2. Agụụ agụụ.
3. Ibu ibu.

Ihe mgbaàmà izipu nke ike aocụ mmiri na-abawanye bụ abụba abụba yana nri anụ ahụ. Achọpụtara ihe mgbaàmà a site na nzụlite mbelata nke nrụpụta site na 10% nke uru nkịtị.

Onye ọrịa na-amalite ifelata ngwa ngwa. Nke a bụ n'ihi eziokwu ahụ bụ na usoro nke ịgbari nri, ịmịkọrọ ihe na-edozi ahụ n'ime eriri afọ bụ ihe na-enye nsogbu, na agụụ na-ebelata. Ọ bụrụ na mmadụ nwere ajọ ọrịa pancroitis na-adịghị ala ala, mgbe ahụ nyocha ụlọ nyocha gosipụtara ụkọ vitamin na mineral.

A na - achọpụta ezughi oke nke endocrine site na nsogbu metabolism metabolism nke na - eme dị ka hyperglycemic syndrome.

Agbanyeghị, naanị ọkara ndị ọrịa na-eme mkpesa maka mgbaàmà ọrịa shuga (urination ngwa ngwa, ọnụ akọrọ, iji ụlọ mposi ugboro ugboro, wdg).

Oria di iche

Mgbe ị na-enyocha onye ọrịa na 90% nke ihe osise ụlọ ọgwụ, a na-achọpụta ụkọ ibu. Akpụkpọ ahụ na-adị gịrịgịrị, kpọọ nkụ nke ukwuu. Otutu mgbe enwere ihe ndi nwere oria. N'otu oge ahụ, mmịpụta ahụ anaghị ekwe ka “nwee mmetụta” mbelata nke anụ ahụ.

Mgbe pathogenesis dabere na ihe na-eme pancreatitis, mgbe ahụ n’elu palpation onye ọrịa ahụ na-eme mkpesa banyere ihe mgbu na-egbu mgbu ma ọ bụ ahụ erughị ala. Nsonaazụ nke nnwale ọbara sitere na mmiri na-egosi na arụmọrụ nke enzymes diges.

Coprogram na-enyere aka ịchọpụta abụba na feces (steatorrhea). Dịka iwu, a na-ahụ ihe karịrị 10% nke oriri kwa ụbọchị na feces. Onu ogugu akwara nke di na elu na abawanye karie ka nkea bu ihe ewezuga onwe ya.

N'ọtụtụ oge, ọmụmụ banyere mkpokọta glucose na-egosi mmụba dị ukwuu, nke chọrọ nleta ndị ọzọ na dọkịta dị ka endocrinologist ma ọ bụ diabetologist.

Otherzọ ndị ọzọ maka ịchọpụta ọrịa a:

• Na-eme nyocha ultrasound nke pancreas na-egosi mbelata ọrịa na akwara dị n'ime ahụ. Ihe owuwu a buru ibu, ihe akwara diwanye elu, ihe ana akaghizi agbanwe.
• A na-atụ aro MRI n'ọnọdụ ebe ultrasound anaghị enye ozi zuru ezu yana achọrọ nkọwa ndị ọzọ iji chọpụta usoro ọgwụgwọ kachasị mma.
• Edere RCP iji chọpụta ọnọdụ nke akwara mmiri, iji chọta mgbanwe ndị na-esokarị pancreatitis na-adịghị ala ala. Site na njikwa ọgwụgwọ dị otú a, ọ ga-ekwe omume ịchọpụta mbelata nke akwara azụ, ịkpa aka na enweghị nhịahụ nke mgbidi ahụ.
• Angiography di nkpa n ’ebe onye okacha mara dibia na-enyo oria tum tum. Usoro ahụ ga - enyere gị aka ịgbagha ma ọ bụ gosi na echiche ahụ.

Ọkpụkpụ nke bioreas bụ iwu. N'ime nyocha ụlọ nyocha nke ihe nlele ahụ weere, ogo nke fibrosis na mbibi nke parenchyma, a na-enyocha ọnọdụ nke ihe ndị glandular na mpaghara ndị na-emepụta insulin.

Diagnozọ nchọpụta a na - enyere gị aka ikwupụta ọrịa a.

Ọgwụ maka atrophy pancreatic

Na ihe ịrịba ama mbụ nke mgbanwe atrophic na pancreas, a na-atụ aro iri nri. Onye ọrịa ahụ kwesịrị ibelata iri nri nwere abụba anụmanụ.

Ọ dị mkpa ị attentiona ntị na enweghi protein ihe dị n'ime ahụ, ụkọ ume, yana idozi ụkọ vitamin na mineral. Ebe ọ bụ na nicotine so akpata ọgba aghara na mmepụta nke bicarbonates n'ime ahụ, a ga-atụfu sịga.

Ntụgharị uche kachasị nke ọgwụgwọ nchekwa na-abụ na ọgwụgwọ nnọchi maka ọrụ nke exocrine na nzuzo intracecretory. A na-atụ aro ọgwụ enzyme iji kwụọ ụgwọ maka usoro ndị a.

Iji nweta nsonaazụ ọgwụgwọ achọrọ, ekwesịrị ka amata ọgwụ dị iche iche na ọrụ lipase, ekwesighi ibibi n'okpuru ihe ọ juiceụ juiceụ afọ. N'otu oge, mbadamba nkume kwesịrị itinye aka na ntinye ngwa ngwa nke enzyme ihe n'ime obere eriri afọ, iji na-akwalite usoro nri.

Microbeads na-emezu ihe niile akọwapụtara.Ebe ọ bụ lipase na ngwa ngwa na - efukarị ọrụ, yabụ, a na - eme mgbazi n’iburu n'uche ọdịnaya ya na ọgwụ yana ike steatorrhea (oke abụba).

A na-ekpebi ịdị irè nke usoro ọgwụgwọ a tụrụ aro site na: ogo mbelata steatorrhea na ịta nke elastase na feces. Ndokwa Enzyme na - enyere aka ị nweta nsonaazụ ọgwụgwọ ndị a:

1. Belata gelụ nke abụọ.
2. Normalize microflora na eriri afọ.
3. Nye aka na mmezi nke metabolism metabolism.

Iji belata ogo ihe mgbu, debe ọgwụ ndị metụtara analgesics na antispasmodics. A na-ekpebi usoro ọgwụgwọ n'otu n'otu, dabere na ike nke ihe mgbu ahụ. A na-atụ aro inje nke Papaverine, No-shpu, Analgin na ọgwụ ndị ọzọ.

Iji dozie ezughi oke nke endocrine, iwebata insulin dị mkpa. Site na mgbanwe atrophic, a naghị achọpụta ọnwụ islet cell, ya mere, a na-emepụta homonụ ahụ, mana na ntinye uche dị ala. Odi na ugboro ole eji insulin agwọ ọrịa dabere n’oge ọrịa, etiology nke ọrịa ahụ, nsonaazụ nke ọmụmụ ọmụmụ kwa ụbọchị nke glucose na ahụ.

Ọnọdụ dị mkpa bụ mgbazi nke ọrụ digestive, karịchaa, nhazi nke microflora eriri afọ. Ya mere, a na-eji probiotics na prebiotics.

Ọzọkwa, a na-atụ aro maka ọgwụ nwere vitamin. Ọ dịkwa mkpa iji mejupụta adịghị ike nke ihe ndị a na - eme ịnweta:

Enwere ike ịkọwa ihe ndị ọzọ na-arụ ọrụ ihe ndị dị na biologically n'ụdị ọtụtụ ọgwụ, ma ọ bụ otu ọgwụ, n'otu oge ahụ gụnyere ihe ndị dị mkpa na ihe mejupụtara ya.

A na-eme ọgwụgwọ ịwa ahụ na ụlọ ọgwụ pụrụ iche. Usoro a na –emegharị na ntughari nke agwaetiti nke Langerhans, usoro nke pancreas na ọgwụgwọ enzyme na-esochi ya.

Ebe ọ bụ na mgbanwe atrophic na pancreas bụ nsonaazụ nke ajọ ọrịa na nsogbu siri ike nke ọnọdụ izugbe nke onye ọrịa, a na-edenyekarị ọgwụgwọ maka ịwa ahụ.

Amụma na Mgbochi Ya

Prognosis nke nsonaazụ nke ọrịa ahụ dabere na ogo mbibi nke ọrụ exocrine na intracretory. Ebe ọ bụ na a na-echekwa obere akụkụ sel dị iche iche, ya mere, enwere ihe mkpopụta insulin. Ya mere, a naghị achọpụta ọnọdụ ketoacidotic, mana mbelata nke ọbara shuga na-amalitekarị.

Chọpụta ihe banyere usoro pathogenesis, iwepu “isi mmalite” - ọrịa bụ isi, nnabata oge a ga - eme ya - isi ihe ndị a niile ga - enyere gị aka ị nweta nsonaazụ ọgwụgwọ dị mma yana ịkọ ọdịmma ga - adị mma.

Dịka prophylaxis, nyocha ndị ọrịa na-atụ aro iji ụzọ ọgwụ ọdịnala. Ha na-enyere aka melite ọrụ nke pancreas, na-enyere aka melite nri, ma na-egbochi nnukwu nsogbu na ahụ.

Maka usoro ọgwụgwọ, a na-eji osisi ọgwụ - hawthorn, dill, pepemint, chamomile ahịa, wdg Ntụziaka na-eso enyere aka ịkwado ahụ: jikọta atọ nke mkpụrụ dill na otu mint, tinye 2 tablespoons nke hawthorn, otu tablespoon nke ụlọ ahịa ọgwụ chamomile. Yet esi mmiri. Inyocha. Were 100 ml ugboro anọ n'ụbọchị. Usoro ọgwụgwọ ya bụ izu abụọ.

Dịka mgbochi, a na-atụ aro ịgbaso ndụmọdụ ndị a:

1. Kwụsị ise siga, mmanya.
2. Treatmentgba oge n'oge nke ọrịa na-adịghị ala ala.
3. Ezigbo nri na-edozi ahụ.
4. Intanọgide na-achọ ọkwa enzymatic chọrọ.
5. Nọgide na-ebi ndụ dị gara gara. Mmega ahụ na-eme ihe na-adịghị mma na pancreatitis, karịsịa yoga na ije, ga-aba uru nke ukwuu.

Atrophy nke pancreas bụ ọrịa siri ike, yabụ, mgbe enwere mmetụta nhụsianya na mpaghara epigastric, e kwesịrị ileta ụlọ ọrụ ahụike. Ngwa ngwa ngwa ọgwụgwọ ga-ebido, ihe ga-akacha mma ka amụma ahụ.

A kọwara ọrụ na pathologies nke pancreas na vidiyo n'isiokwu a.

Ọgba aghara nke anụ ahụ

Na mgbanwe na nrụgide dị na akwara, ọbara mgbali elu na-apụta. E jikọtara ya na mmụba nke ihe ọ pancụ pancụ na-egbochi nsogbu, mwepụta nke ọdịnaya nke gallbladder ma ọ bụ eriri afọ. N’izogide nrụgide dị ukwuu, mkpụrụ ndụ nke pancreas na-amalite imebi. A na-ewepụta ogige enzyme ma rụọ ọrụ site na ha. Ha na-abanye na parenchyma, adipose na anụ ahụ na-ejikọta ọnụ. N’ihi nke a, mmeghachi ụdọ emee. Site na otu enzyme, a na-ahapụ onye ọzọ. Nke a na-akpalite usoro mkpali, na-eduga n'ọbara mgbasa, na-esochi - ịwụ ọbara. Nke a na - enyere aka na thrombosis na gland. N'ihi nsogbu mgbasa, akwara na-eme, ọ na - akpatakarị ịrịa akwara nke akwara.

Ihe kpatara ọgba aghara

Ọnọdụ pathological, dịka iwu, na - aputa ihe site na otu ma obu ugboro ugboro. Acdị nnukwu ahụ metụtara ọrịa gallstone. Ọkpụkpụ (afọ ma ọ bụ duodenum), cirrhosis, ịba ọcha n'anya, na ahoụrụma bụ ihe na-akpata ya.

Ozi Dị Mkpa

Dịka m kwuru n’elu, otu n’ime ọrụ gland bụ nzuzo nke mmepụta homonụ. Agwaetiti Langerhans na-ekere òkè na ọrụ a. N'ihe banyere mmeri ha na ndabere nke ọrịa, gụnyere pancreatitis n'ọrịa na-adịghị ala ala, imebi abụba na imeju na ọrịa shuga na-eto. Nri a nwere ike imeghari onwe anyi ụdị nri. Ọ niile dabere na nri ị na-eri. Mgbe ị na-ewere oke carbohydrates, enzyme ndị ọzọ na-akụda ha na-arụ ọrụ. Ọ bụrụ na nri nwere abụba na-adịkarị, a ga-amịpụtakarị lipase karị, ma ọ bụrụ na protein - trypsin. Agbanyeghị, ekwesighi imebi atụmatụ ndị a. Nke bụ eziokwu bụ na akwara adịkarịghị enye mgbaàmà nke ihe nwere ike ibu oke. Dịka iwu, mmeghachi omume ihe ike na-egosipụta onwe ya, nke na-egosighi mmalite mmalite nke ọrịa ahụ, mana okooko osisi ya zuru oke.

Nsonaazụ nke ọrịa eleghaara anya

Ileghara anya banyere ọnọdụ pancreas nwere ike ịkpalite nsogbu dị iche iche. Ihe ize ndụ ahụ bụ nke bụ eziokwu bụ na n'akụkụ ya bụ akụkụ ahụ ndị ọzọ na-adịchaghị mkpa maka ahụ. Nke a, ọkachasị, akwara, imeju, afọ. Obi anaghị apụ apụ. Site na imebi na pancreas, akụkụ a na-enwekwa nrụgide. Mgbanwe na sistemụ arụmọrụ na-eme ngwa ngwa. Maka pancreas, mgbe ụfọdụ ọtụtụ awa ezuola.

Nnukwu akwara na-egbu egbu

Isiokwu bara uru? Kekọrịta njikọ ahụ

Usoro a bụ ọnwụ nke anụ ahụ. Ihe dị iche iche na-akpata nsogbu na-emetụta mmepe ya. Na obi ha bu mbufụt nke ahu. Ọrịa pancreatic necrosis na-etolite n'ihe banyere nyocha na ọgwụgwọ ogologo oge. N'ime usoro a, enzyme nke aka ha na-arụ ọrụ ha. N'okpuru omume ha, a na-agbari. Site na mbido enzyme interstitial, usoro mkpali na-aga n'ihu. N'ihi ya, a na-ehiwe amịkọ nke necrosis.

Nkọwa usoro

N'ihi nkwụsị nke abụba abụba, mgbanwe pH pụtara. N'okwu a, intracellular trypsogen na-arụ ọrụ. Na-esote, ọ na-agbanwe gaa na trypsin. Ihe a na - arụ ọrụ, n'aka nke ya, na - eme ka protin na - eme ụfọdụ nchekwa protein. Enzymes na-amalite imebi mgbidi ahụ na akwara. Usoro ibibi ihe a na-ahụkarị. Nweghachi nke akụkụ ahụ na nke a bụrụ ihe agaghị ekwe omume. Site na ngosiputa nke ihe iriba ama doro anya, ihe na-egbu egbu nwere ike ibute ya.

Ihe na-akpata iwe

Ọrịa akwara ikpa, bụ ihe mgbaàmà nke a ga-atụle n'okpuru, bụ ihe na - ebutekarị ị consumptionụbiga mmanya ókè, ịreatụbiga mmanya ókè, dyskinesia na akụkụ biliary, ọgba aghara na mmebi enzymes megide ndabere nke cholangitis, cholecystitis na-enweghị atụ. Ọgwụ na-ezighi ezi, ịnwe ọgwụ na usoro onunu ogwu nwere ike ibute ọrịa. Ọrịa akwara na-akpata oké ụjọ pụrụ ịbụ ọrịa ọrịa na-efe efe na-akpata ugboro ugboro.

Ọrịa ọmụmụ

Dabere na mpaghara nkesa, akwara na-akpata akwara puru iche nwere ike buru ibu ma nwee nnukwu nlezianya. Usoro ahụ nwere ike ịga n'ihu ngwa ngwa ma ọ bụ gaba n'ihu nwayọ. Dabere n'ụdị usoro ọmụmụ, a na - ekewa necrosis pancreatic n'ime mbibi, arụ ọrụ, hemostatic, hemorrhagic na edematous. A na-ele nke ikpeazụ anya n'ụdị dị nro. N'ihi ọzịza, akwara na-abawanye ụba, nke na-akpalite mmụba nke nrụgide na pancreatocytes na nsogbu nke microcirculation. Ọgwụgwọ edematous ogbo na-enwekarị ihe ịga nke ọma. Site na ịrịọ onye ọkachamara n’etinyeghị aka na ya, pathology na-ewere ụdị nlele karịa. Karịsịa, usoro necrotic na-emebi mpụ nke enzymes diges na pancreas. N’ihi ya, mgbaze nke anụ ahụ n’ime si amalite. Mgbe usoro a na-aga, nkuro na-abanye n'ime oghere akpa nwa. N'ihi ya, nnukwu nsogbu peritonitis na-amalite. N'okwu a, ịwa ahụ adịghị atụ anya. Ma ọ bụghị ya, sepsis ga-amalite, nke ga-eduga n'ọnwụ.

Foto nyocha

Kedụ ka esi egosipụta ọrịa akịrịkọ? Ihe mgbaàmà nke pathology bụ oke ike. N'aka ekpe hypochondrium amalite soals nke herpes zoster. Ọ na-agbasa n'ime ahụ niile n'okpuru ọgịrịga ya. Mgbu na - enye aka n’ubu na ubu, dị ka nkụchi obi. Usoro ndị a na-esonye na ọgbụgbọ na-enweghị isi, ụfụfụ. Ọnọdụ okpomọkụ nke onye ọrịa ahụ na-eto, akpụkpọ ahụ na-acha ma ọ bụ ọbara ọbara. Isi ihe banyere ọrịa a na-arịa bụ ihe mgbaàmà nke Grey-Turner. Ọ na-egosipụta onwe ya n'ụdị nke ahịhịa dị n'akụkụ n'akụkụ nke oghere dị n'ime oghere. N'elu mgbidi mgbidi ahụ, a na-ahụta ihe mgbu na esemokwu. Nchoputa sitere na nyocha a na-ahụ anya, mkpesa ndị ọrịa, yana nsonaazụ nke ihe ọmụmụ na nyocha ụlọ nyocha. Edere otu ultrasound ka ọ mata nyocha nke izizi parenchyma. CT na MRI, angiography na laparoscopy nwere ike igosipụta mmalite ọrịa ahụ.

Usoro ọgwụgwọ

Ọgwụgwọ nke necrosis ga-abụ ma ịwa ahụ na enweghị nchekwa. Nhọrọ ga-adabere na mgbanwe ọrịa na akwara. Edepụtara ọgwụ ọjọọ n’otu n’otu. N'ime ọgwụ ndị akwadoro maka iji ọgwụ eme ihe bụ ọgwụ antispasmodics (No-Shpa, dịka ọmụmaatụ), ọgwụ mgbochi na cytotoxic na-emetụta njikọta enzyme. N'ime usoro ịwa ahụ, a na-eji laparotomy na laparoscopy eme ihe. Agbanyeghị, n'oge ịwa ahụ, ọ naghị ekwe omume iwepụ pathology kpamkpam. Na mkpokọta, a na-agwọ ndị ọrịa n'ọrịa ụlọ ọgwụ.

Ọrịa a na-akpọ pancreatic necrosis so na mmepe nke enzyme alastase, ọ na-eduga n'ịbelata na steeti arịa ọbara, anụ ahụ na okpu pancreatic. Ya mere, ka oge na-aga, necrosis na-agbasa ọbụlagodi n'akụkụ akụkụ ahụ ya. Mkpụrụ ndụ ndị ahụ mebiri emebi agaghị enwe ike weghachite onwe ha.

Ihe na-akpata necrosis

Tupu ịmalite ọgwụgwọ dịka otu ma ọ bụ atụmatụ ọzọ, ọ dị mkpa iji gosi ihe kpatara ọrịa a. E kwuwerị, ọ bụrụ na ọ bụrụ na ọ bụrụ na ọ bụrụ na ọ bụ naanị ihe ga-akpata nsonaazụ ahụ, ọ bụrụ na ewepụghị ihe kpatara ya, ọrịa ahụ ga-amaliteghachi ọzọ.

Ọrịa ụfọdụ na-eduga na necrosis. Dịka ọmụmaatụ, cholecystitis, DZHVP ma ọ bụ cholangitis, gosipụtara na-emebi mmebi nke enzymes, na-abụkarị ihe dị otú ahụ. Ọrịa ndị na-efe efe na-eduga mgbanwe na akwara anụ ahụ.

Ihe na - ebutekarị ọrịa dị otú ahụ bụ ị alcoholụbiga mmanya ókè, nri dabere na nri adịghị mma.

Nsogbu na pancreas na-ebukwa mgbe ndi mmadu jiri aka ha na-eme onwe ha ogwu ma na-a drugsụ ogwu n'ekwuputaghi ya. Naanị ọkachamara nwere ike ịma etu ahụ ga-esi akpa agwa mgbe ọ na-a certainụ ọgwụ ụfọdụ. E kwuwerị, nsonaazụ nke mmiri ọgwụ na ahụ bụ usoro dị mgbagwoju anya. Nchegbu, oke mmetụta uche na-eduga na azụ anụ ahụ necrosis.

Ofdị necrosis

Necrosis nwere ike igosipụta onwe ya n'ọtụtụ ụzọ. Ọ dị ezigbo mkpa ịmata njirimara niile nke ọnya a, n'ihi na ihe dị iche iche ya na-emetụta ebumnuche ọgwụgwọ. Ofdị mmepe nke ọrịa bụ ihe dị mkpa n'ịdị njọ nke mgbaàmà. Yabụ, inyocha mmepe nke ọrịa ahụ ga - ekwe omume naanị mgbe a maara ụdị ya.

Enwere ike ikewa ọrịa a dị ka usoro dịgasị iche iche. Dịka ọmụmaatụ, dịka mpaghara usoro mbibi ahụ si dị, a na-amata ụdị anụ ndị a:

Site n'ọdịdị nke ọrịa ahụ, ọ bụ omenala bụ ịmata ọdịiche dị iche abụọ:

Ultrasound maka pancreatic necrosis

Site na ụdị usoro necrotic, a na-ahụ ụdị ụdị dị ka:

1. ọbara ọgbụgba
2. hemostatic
3. fụrụ akpụ,
4. na-emebi ihe
5. arụ ọrụ.

Ọ dị mkpa iji nyochaa ọnọdụ gị, egbula oge ọgwụgwọ. Dịka ọmụmaatụ, edematous necrosis nwere ike ịgwọ ngwa ngwa. Mana nke a ga - ekwe omume ma ọ bụrụ na a na - amalite ọgwụgwọ n'oge n'oge. Ọ dabere na oge mmalite nke ọgwụgwọ ma dọkịta nwere ike inye aka zuru ezu ma ọ bụ na ọ gaghị enyere ya. E kwuwerị, necrosis adabaghị. Mpaghara a metụtara agbasawanye, na-eme ka usoro ahụ ka njọ.

Ọ bụrụ na ọrịa ahụ akwụsịghị, mgbe ahụ pancreas amalitere gwuo onwe ya. E kwuwerị, enzymes diges, na-achọtaghị ụzọ ọ ga-esi pụọ, na-agbakọ n'ime ahụ ma nwee mmetụta na ya. N'ihe banyere ọrịa na-efe efe, pusi, sacrum nwere ike banye n’ime ọnya afọ. Na-esote, peritonitis na-etolite, nke nwere ike inwe nsonaazụ kachasị egwu.

Ogo nke nsonaazụ ya ga-esite n'inwe enyo nke pancreatic necrosis iji duzie ọtụtụ nnwale. Ọ bụrụ na ọ dị mkpa, rụọ ọrụ. N'ezie, ọ bụrụ na enweghị ọrụ, enwere ike ibute ọnọdụ ahụ na sepsis na ọnwụ.

Ọrịa Necrosis

Ọrịa akwara dị na akwara

Na necrosis, a na-enwe mmetụta mgbu dị na elu quadrant nke dị na aka ekpe. Mgbe ụfọdụ ndị ọrịa na-enwe ihe mgbu n'akụkụ akụkụ ihu niile nke afọ n'okpuru ọgịrịga ya. Ihe mgbu dị n'ọtụtụ ụzọ dị ka nkụchi obi, yabụ oge ụfọdụ ndị ọrịa anaghị arụ ọrụ, na-ekwenye na ha na-eche banyere ihe mgbu obi.

Iji mata ọdịiche ha, ịkwesịrị ịnọdụ ala ma sere ụkwụ gị na afọ gị. Ọ bụrụ na ihe mgbu na-ebelata, mgbe ahụ nke a bụ pancreatic necrosis. Ihe mgbaàmà nke ọrịa a gụnyere ọgbụgbọ siri ike. Vomiting, nke na-apụta mgbe nkea gasịrị, bụ ihe eji arụ ọrụ, mana ọ na-akawanye mma mgbe ọ nwesịrị, enyemaka adịghị.

Ọ nwere akwara mmiri na-akụ afọ n'ala. Na-achụpụ uche nke ịmegharị ihe, ọkụ na-apụta. Na mgbakwunye na mgbaàmà ndị a na-ahụkarị, enwere ihe ngosipụta nke e ji mara nanị maka ụfọdụ ụdị necrosis.

N'ọnọdụ ọ bụla, n'oge nyocha nke mpụga, ndị ọrịa na-aghọta palpation nke akụkụ ihu nke ime. Mgbe necrosis na-etolite n’enweghi ọgwụgwọ zuru oke, mmiri na-agbakọta n’ogo agụụ ma ọ bụ n’akpa ụkọ.

Ọrịa nyocha, ọgwụgwọ nke necrosis

Ọ bụrụ na-enyo enyo necrosis, a na-eme ọtụtụ nchọpụta nyocha. O nwere ebumnuche abụọ: iji kwado nchoputa nke necrosis ma ọ bụ imegwara ya, ịchọpụta ihe ndị nwere ike ịkpasu ọnọdụ dị otú ahụ. Iji mee nyocha ziri ezi, a na-eme nyocha nke ultrasound, laparoscopy, na MRI.

A na - ahọrọ usoro iji gwọọ akwara nke pancreatic n’otu n’otu.

Akụkụ dị mkpa na nke a bụ ọnọdụ onye ọrịa, na-eburu n'uche otú ọrịa si na-aga n'ihu. Dabere na ihe ndị a, enyere ụfọdụ ọgwụ ọgwụ. Ọnọdụ maka ọnọdụ niile bụ nri siri ike, ịjụ ngwaahịa niile amachibidoro. Ọtụtụ mgbe, na-ebu ọnụ maka ebumnuche ọgwụgwọ. Ọ bụrụ na ikpe ahụ siri ike, mgbe ahụ, a na-awa ahụ. O di nwute, enwere ike nsogbu site na mgbe a wasịrị ya ahụ.

Banyere ụfọdụ ihe ịrịba ama nke pathology nke pancreas ga-agwa vidiyo ahụ:

Diagnostics

Mgbe ị na-enyocha onye ọrịa nwere ọgwụ na-egbu egbu, a na-ekpebi erughị ibu nke anụ ahụ. Akpọnkpọ ahụ akpọọla nkụ, gbaa. Site na mbelata nke ogo gland, ọ gaghị ekwe omume palpate ya. Ọ bụrụ na ihe kpatara ọnọdụ ahụ bụ ọrịa akwara ọfụma, enwere ike ịta ụfụ mgbe palpating. Usoro nchọpụta ọrịa a gụnyere:

• Nyocha. Mgbe ị na-eme nyocha ọbara nke mmiri ọgwụ nje, a na-ekpebi mbelata nke ọrụ enzymes pancreatic. A na-ahụ ihe mgbaàmà njiri mara steatorrhea n'oge coprogram (a na-achọpụta ihe karịrị 9% nke abụba sitere na oriri kwa ụbọchị na feces) na creatorrhea (ọdịnaya dị elu nke eriri akwara na feces). A na-achọpụta mgbe mgbe dị ka mmụba nke glucose ọbara, nke bụ ihe kpatara ya na ịgakwuru onye endocrinologist ma ọ bụ diabetologist.
• Usoro eji ahụ ụzọ. Site na ultrasound nke pancreas, mbelata nha ya, njupụta nke ihe owuwu ahụ, ịba ụba echogenicity, unevenness nke contours kpebisiri ike. Maka ilele akụkụ ahụ anya nke ọma, iji chọpụta ihe kpatara atrophy, a na-eme MRI nke pancreas. Iji chọpụta ọnọdụ nke ductal sistemụ, mgbanwe nke nke bụ njirimara nke pancreatitis na-adịghị ala ala, egosipụtara RCP - endoscopic retrograde cholangiopancreatography (nyocha nke nyocha x-ray). Site n'enyemaka ya, ị nwere ike ịchọpụta ụzọ dị warara nke isi ebe a na-eme mkpọtụ, ike nke mgbidi ahụ, banyeosity. Iji wepu neoplasms nke pancreas, a na-eme angiography.
• Ọgwụ. Diagnozọ nchọpụta dị mkpa bụ ọgwụ nje a na-eme. Mgbe ị na-enyocha biopsy, a na-enyocha ogo nke fibrosis na mbibi nke parenchyma, ogo nke mmebi ahụ glandular, agwaetiti nke Langerhans (mpaghara zụpụtara insulin). N'ihe banyere lipomatosis, a na-achọpụta oke abụba nke anụ ahụ. Mkpụrụ ndu nwere ike inyocha prognosis nke ọrịa.

Ihe omume

Site na atrophy nke pancreas, usoro ọgwụgwọ nri bụ iwu. Nri kwesiri inwe abuba abuba. Ekwesịrị ị attentiona ntị nke ọma maka ụkọ ume-protein, mmezi nke hypovitaminosis. Ihe mmetuta obula bu ikwusi anwuru anwu, nihi na nikotin na - egbochi nsogbu nke bicarbonates site na pancreas, site na nke acidity nke ihe nke duodenum na - abawanye di uku.

Isi nduzi nke ọgwụgwọ maka ọrịa a bụ nnọchi nke exocrine na endocrine pancreatic secretion. Iji mezie usoro ndị na-enye nsogbu nke mgbari afọ, gastroenterologist na-edobe enzyme. Iji mepụta nsonaazụ, ọgwụgwọ ahụ ga-enwerịrị nnukwu lipase, na-eguzogide ihe ọ juiceụ gastụ gastric, hụ na mwepụta ngwa ngwa nke enzymes na obere eriri afọ, ma na-akwalite nnukwu mgbaze. Enzymes n'ụdị microgranules kwekọrọ n'ihe ndị a.

Ebe ọ bụ na ọ bụ lipase sitere na enzymes ọgwụ niile na-efukarị ngwa ngwa, a na-eme mgbazi na-eburu n'uche itinye uche ya na ọgwụ yana ogo steatorrhea. A na-enyocha ịdị irè nke ọgwụgwọ site na ọdịnaya nke elastase na feces na ogo mbelata steatorrhea. A na-ezubekwa ihe omume enzyme iji kpochapụ ọrịa mgbu, belata ọrịa shuga, imepụta ọnọdụ maka microbiocenosis eriri afọ, yana imezi metabolism metabolism.

A na - eme insulin nke ezughi oke endocrine site na ọgwụgwọ insulin. Site na atrophy nke pancreas, a na-echekwa obere agwaetiti nke Langerhans, ya mere, a na-emepụta insulin n'ime ahụ, mana n'obere obere. A na-ekpebi oke na usoro insulin nke insulin iche iche dabere na usoro nke pathology, etiological ihe, na data na nlekota nke glucose ọbara kwa ụbọchị. Nhọpụta nke nhazi enzyme na-eme ka ọrụ pancreatic rụọ ọrụ nke ọma na metabolism metabolism kwa. Ya mere, a na-ekpebi usoro ọgwụgwọ insulin na-adabere na usoro onunu ogwu yana arụmọrụ nnọchi ọgwụ enzyme.

Ọnọdụ dị mkpa maka nrụzi ọrụ nke ọrụ digestive bụ normalization nke microbiocenosis eriri afọ, ebe ọ bụ na ojiji nke enzymes na-emepụta ọnọdụ dị mma maka colonization nke pathogenic flora. A na-eji ọgwụ nje, ọgwụ nje preb. Edere ọgwụ mgbochi vitamin maka ọgwụ mgbochi, yana magnesium, zinc, na nhazi ọla.

Ọgwụ ịwa ahụ

A na-eme usoro ịwa ahụ nke ọrịa a na ogige dị iche iche. A na-atụgharị agwaetiti Langerhans, na-esochi mwepụ nke gland na enzyme ọgwụgwọ nnọchi. Agbanyeghị, ebe ọ bụ na atrophy na - abụkarị nsonaazụ nke ọrịa dị egwu yana nkwuputa nke ọnọdụ metụtara onye ọrịa, a naghị arụkarị ụdị ọgwụgwọ ahụ.

Kedu mgbe atrophy na-etolite?

Atrophic pancreatitis dochie usoro na-adịghị ala ala. N'ihi nnukwu ọrịa nke mkpụrụ ndụ, mkpụrụ ndụ na-anwụ. N'oge mgbaghara, a na-edochi ya site na anụ ahụ na-eme fibrous, nke na-anaghị arụ ọrụ egwu, kama ọ bụ na-eme ka oghere ndị edobere. Ọgwụ anaghị eweghachi acini nwụrụ anwụ. Ọzọkwa, usoro atrophic nwere ike ịmalite, n'ihi nsonaazụ shuga, oke abụba. N'ọnọdụ ụfọdụ, mbelata nke arụ ọrụ anụ ahụ na-eme n'ihi ịka nká nke ahụ.

Ọkpụkpụ anụ Pancreatic bụ nnọchi anụ ahụ na abụba. N'ihi nke a, ọrụ mpụga na nke ime na-apụ n'anya.

N'ọnọdụ dị a doaa ka ị na-eche ihu atrophy nke pristalic?

• Ọ bụrụ na ịta ahụhụ ugboro ugboro n'ihi ọrịa akwara, izobe oke mpaghara necrosis,
• na-a alcoholụ mmanya mgbe niile
• arịa ọrịa shuga
• nri kwa ubochi nke riri nne,
• nwee ọrịa akpịrị na-emetụta pancreas,
• agabigala ụdị ahụ ma ọ bụ na-arịa ọrịa cancer akpa ume.

Enwere ike ịnọchi anya foto nke ọrịa ahụ site na cysts, foci nke necrosis na infiltration.

Mgbanwe atrophic na gland bụbu ihe e ji mara ndị agadi. Agbanyeghị, ugbu a n'etiti oke ibu zuru ụwa ọnụ yana mgbasa nke ọrịa akwara na-adịghị ala ala, ọrịa ahụ na-ebukwa n’etiti ndị ọrụ afọ.

Kedu ihe mgbaàmà na-egosi ọrịa a?

Foto onyonyo nke atrophy na - amalite nwayọ nwayọ. Dịka iwu, enwere ike ịchọpụta ihe ịrịba ama nke ọrịa ahụ mgbe afọ 10-15 gasịrị site na mbido mbụ nke ọrịa ahụ. Ndị nwere ụdị ọrịa a nwere njiri mara ha: akpụkpọ ahụ dị ọcha, na-acha ọcha, ma kpọọ nkụ na-emetụ aka. Ọrịa dị ala, ma enwere ndị oke oke na mmalite ọrịa ahụ.

Mkpesa kachasị nke onye ọrịa bụ afọ mgbu: agụụ na-adịghị mma, ọgbụgbọ, vomiting, bloating mgbe eri, afọ ọsịsa na steatorrhea.

Steatorrhea bụ ihe nwere ụba abụba na feces. Oche ahụ nwere ọdịdị nke mmiri mmiri, agbanwe agbanwe mmanụ, na-asachapụ ụlọ mposi ahụ.

Ọzọkwa, ndị ọrịa nwere oge mgbu na hypochondrium ekpe. Ma usoro nke atrophy na-ebelata ihe mgbu. Ya mere, mgbe mmepe nke fibrotic nnọchi nke gland, mgbu ahụ na-aghọ dull ma ọ bụ kpamkpam kpamkpam. Achọghị ọgwụgwọ ọ bụla. Ire onye ọrịa tụgharịa ma ọ bụ rasịl. Mgbe ụfọdụ eserese ala na-apụta.

Mgbe emetụta ọdụ gland, ndị ọrịa na-ebute mgbaàmà nke ọrịa shuga. Ihe bụ eziokwu bụ na mkpụrụ ndụ akwara emepụtara insulin na glucagon. Homonụ ndị a na-edozi metabolism nke carbohydrate. Ihe mgbaàmà nke ọrịa shuga na-amalite nwayọọ nwayọọ. N'okwu a, akpịrị na-enwe mmetụta akpịrị ịkpọ nkụ, itching nke anụ ahụ, oke nke mmamịrị.

Ntọala Ahụike

Ọgwụgwọ ga-ebido site na nri. Site na pancreatitis, ọ dị mkpa iwepụ anụ nwere abụba. Nyebe oke bekee, tolotolo na ọkụkọ. Ọ ka mma isi nri ha karie ma ọ bụ stewed. O nwere ike ịkwado achịcha anụ. Nri protin kwesiri inwe mmeri n’ime nri. You nwere ike iji protein protein (soy, agwa, lentil). A ga-belata ego maka ịme achịcha, ntụ ọka na chocolate. Site na ihe mgbaàmà nke ọrịa shuga, ọgwụgwọ kpamkpam na-ewepụ ojiji nke Grafica. Ikwesiri belata ogo nke carbohydrates.

Ọzọkwa, usoro ọgwụgwọ na-agbanwe na-eri nri. Onye ọrịa ahụ kwesịrị ị oveụbiga mmanya ókè na oriri hiri nne. A na-ewere nri na obere mpaghara. Ikwesiri iri nri ugboro 5-6 n’ụbọchị. Eatingri ụdị nri ahụ ugboro ugboro na-enyere aka ịmịkọta gland. Obere enzymes ga-ezuru iji mee nri.

Ọgwụgwọ gụnyere mmachibido ị alcoholụ mmanya na ise anwụrụ. Mmanya na-egbu egbu nwere mmetụta na-egbu egbu na gland ahụ mebiri emebi. Smokingụ sịga na-emekwa ka mmadụ ghara inwe nri. Nke a na-emetụta mucosa nke eriri afọ.

Ebumnuche dị mkpa maka ọgwụgwọ bụ ọgwụ nnọchi enzyme. Iji mee nke a, jiri ọgwụ ndị Creon, Pancreatin, Mezim, Hermitage. Edere ha mgbe ha risịrị nri ma etinye ha n'ọrụ mgbe niile.

Enwere ike ịgbakwunye ọgwụgwọ na ọgwụ antispasmodic. Drotaverin, No-shpa, Odeston ka ewere ihe mgbu. Ha na-emekwa ka akwara dị nwayọ nke sphincters dị mma, na-eme ka arụ ọrụ ndị dị na gland digestive nke ọma.

Mgbochi

Pancreatic atrophy bụ nsogbu na-egbu ndụ. Karịa ịgwọ ọrịa a guzobere, ọ ga-aka mma igbochi ihe ọ bụla. Maka nke a, ọ dị mkpa ịme usoro nke oge iji gwọọ ọrịa ndị bu ya ụzọ. Ndụ ike ọrụ bụ ọgwụgwọ kachasị mma maka ọrịa niile, enweghị atụ. Ihe oriri kwesịrị ekwesị na-arụkwa ọrụ dị mkpa. Ọbụlagodi onye ahụike chọrọ ezigbo protein nke abụba, abụba na carbohydrates nke ọma. Nke ụtọ, nye mmasị maka mkpụrụ osisi, mkpụrụ osisi na akwụkwọ nri, n'ihi na ha nwere nnukwu ọdịnaya nke mineral, ihe metụtara amino acid, nke ahụ mmadụ chọrọ.

Na ichikota. Pancreatic atrophy bụ mbelata akụkụ ahụ. Nke a na-emetụta sistemụ nri ma na-enye onye ahụ ihe mgbu na ahụ erughị ala. Iji zere imepụta usoro atrophic, ị kwesịrị ịgbaso ụzọ ndụ dị mma (anaghị a smokeụ sịga, a notụla mmanya na-aba n'anya mgbe niile na nnukwu oke). Nri ubochi kwesiri ibu edo, n’egbochi oke. Ọ bụrụ n’ịchọpụta ọrịa shuga mellitus, ị ga-amachi onwe gị n’iji ihe ụtọ, maka na nke a nwere ike ịbụ ihe kpatara nsogbu a.