Chii chinonzi pancreatitis uye ndeipi ngozi dzechirwere ichi chinonyangadza? Gore roga roga, kusvika kumasereti 800 kuvanhu vose vari kuJEHOVHA vakanyoreswa munyika. Kudya zvakashata, kunwa doro zvisina kufanira, kukwirira kwepfungwa - zvose izvi zvinokuvadza pane pancreas.
Chii chinonzi pancreatitis uye ingozi ipi?
Pancreatitis iboka rezvirwere zvine rimwe zviratidzo zvemasikirwo uye zviratidzo zve syndromes. Mukushandura kubva kudhi-greek πάγκρεας - pancreas + lat. -kuita-kuputika kwepakreta. Kune marudzi mazhinji ehutachiona, uye umwe neumwe anotakura zvinogona kutyisidzira upenyu hwehupenyu. Kuti unzwisise kuti pancreatitis ndechei, uye kana iine ngozi, zvinokosha kufunga kuti chii chinoshandiswa mutoro pancreas inotakura.
Mabasa emuviri:
- Exocrine kana kuti kunze kwevhangeri. Kugadzirwa kwemakemikari emuviri: trypsin, chemotripsin, amylase uye pancreatic lipase. Masikirusi anokonzera acidic gastric juice uye anodikanwa pakutsvaira kwezvokudya, mapuroteni, mafuta uye makhahydrates anouya nechikafu.
- Basa rehupfumi. Mutemo wehuwandu hwepencreatic juice muwandu umo inonyanya kuwedzerwa kwezvinhu zvinoitika.
- Endocrine basa. Zvitsuwa zveLangerhans, zvinowanikwa mune dzakawanda inclusions pakati pepancreas lobules, zvinokonzera vanopikisa mahomoni: glucagon uye insulin, iyo inotarisa makhabhohydrate metabolism. Glucagon inokonzera kuwedzera kweglucose muropa, insulin - kuderera.
Zvakanyanya pancreatitis - chii ichocho?
Pashure pemitambo yakawanda panguva dzezororo uye kushandiswa kwezvinwiwa zvinodhaka, zvokudya zvinorema, nhamba yakawanda yevanhu ichadzidza kuti chii chinonzi pancreatitis isiri kunzwa. Chirwere chacho chiri panzvimbo yechitatu pakati pemamwe zvirwere zvemuviri wepamu, kupa chikwande kune cholecystitis uye appendicitis. Varume vanowanzoita kuputika kakawanda kupfuura vakadzi. Nokuti pancreatitis yakajeka inoratidzirwa nehuwandu hwekufa - kusvika 15% yezviitiko zvose.
Etiology yepaccreatitis yakaoma:
- kushandiswa kwakanyanyisa doro;
- zvokudya zvinokuvadza zvinokonzera (salty, mafuta, zvinonhuhwirira, zvinotapira);
- zvimwe zvirwere zvejini (cystic fibrosis);
- kushandiswa kwenguva refu kwemishonga inokonzera tsvina pane pancreas (hormones, thiazide diuretics);
- kuvhiringidza zvirongwa zvekugadzira muviri;
- utachiona uye hwepabhakitiriya (parotitis, mycoplasma ).
Munguva yekuvandudzwa kwemaitiro akaoma, zvinyorwa zvinokosha zveglandu zvinoputsika: ma enzymes nemahomoni, ayo aiwanzobudiswa maitiro asina kushandiswa (kushanda kwakaitika mumugwagwa wezvokudya), kamwe-kamwe unotanga kushandura zvakananga pane pancreatic pachako, zvichiita kuti chirongwa chekugadzikana kwemasikirwe emuchena. Wedzera kuzvimba uye kuputika.
Chii chisingagumi pancreatitis?
Kugara pancreatitis isiri kuputika kwepancreas. Izvo zvinosanganisira kusakwana kwekuvhara ma enzymes, kuchinja kusingagadziriswi mu parenchyma yechirongwa, kurwisana uye kupararira kwezvigunwe zvine uturu. Kuwedzera kwekugara kwenguva refu kunopesana nechekupedzisira kwezvinonetsa, nekutambudzika kwekutya.
Zvinokonzera chirwere ichi:
- Matenda emimba;
- hepatitis B naC, typhoid fever , parotitis;
- atherosclerosis ;
- helminthic invasions;
- kudhakwa nezvinhu zvinokuvadza, zvokudya zvisina kunaka;
- kudhakwa .
Kupera kwepascreatitis - chii ichocho?
Muzvinyorwa zvinokonzera kuti parenchyma (pancreatic tishu) kuvharwa kwehomoni uye ma enzyme inowanzoitika, naizvozvo kana mubvunzo unomuka: chii chinonzi pancreatitis parenchymal - inogona kupindurwa kuti ichi ndicho chinowanzojairika chine pancreatic chirwere. Izvo zvinowanzoitika muparkymatous pancreatitis:
- kukanganisa kwehutano hwemahara, nemhaka yedema;
- kuderedza insulin synthesis;
- pathological changes mu digestive system;
- apo parenchyma inobatwa ne80% - kukura kwechirwere cheshuga mellitus .
Reactive pancreatitis - chii ichocho?
Kwenguva yokutanga inotarisana nechirwere ichi, munhu ane mibvunzo yakawanda: chii chinokonzera kugadzikana pancreatitis, ihwo hutachiwana hwehupenyu hwehupenyu uye kuti hurapa sei? Kuita zvepabonde pancreatitis kune mamiriro akaoma. Pakati pevanyori inofungidzirwa kuti ndiyo inyoresa, yakagadzirirwa kururamiswa. Kazhinji kazhinji inowanzopikisana nehutachiona hwezvirwere zvemuviri, chiropa uye gallbladder, matumbo. Chimwe chinhu chinokosha chinoita kuti kubuda kwepachikapakiti yakagadzikana kuve kudya uye kudya kudya kwemafuta.
Psevdotumorozny pancreatitis - chii ichocho?
Urwu ruzhinji rwechirwere chechirwere chinowanzonzi chirwere-gumbo, sezvo zviitiko zvinowanikwa muglandana zvakafanana neoncology. Psevdotumorozny pancreatitis ye pancreas maererano nehuwandu inowanika mumatambudziko ose gumi, pakati peavo vane utachiona hwepancreatitis, kazhinji mune varume. Chikonzero chinonyanya kukonzera chirwere ndechokugara kwenguva refu kudhakwa.
Chii chinonzi pancreatitis biliary?
Pancreas - kuvhiringidzika kwaro nekuputika kwepaburiyari, kunoitika pedyo nehutachiona hwechiropa uye gallbladder. Zvidzidzo zvevarwere vakadai zvakaratidza kuti mumakumi matanhatu emakumi maviri ematambudziko echolelithiasis, chirwere chinokonzera chirwere chinogara chisina kuitika pancreatitis. Zvinokonzera chirwere ichi:
- zvipembenene zvebhuku rebhaariary pamwe nemakirini emakirini akapararira kune pancreas;
- kushandiswa kwebhati mupancreatic duc kunokonzera kukuvadza kwemasukisi nemakumbo emucheka.
Hezvino izvo zvinonzi biliary pancreatitis zviratidzo:
- kurwadziwa kukuru kwakafanana necholic;
- icteric sclera;
- liquid gray stool.
Matambudziko anokonzerwa nechirwere ichi:
- acute chiver failure;
- shock;
- utachipa kubuda ropa;
- pancreatic necrosis.
Calculous pancreatitis - chii ichocho?
Chirwere chepancreatitis ndechimwe chirwere chinoputika pancreas. Pancreatitis inowanikwa mushure memakore makumi mashanu nemasere ekuchinja kwehutano hwejeni jisi, calcium salt inotanga kuwedzera mukati mayo, ichiumba mudiki duku porous calculi. Zviratidzo zvechirwere ichi:
- kuzvidzora;
- marwadzo mu right hypochondrium kana shingles;
- furo furu;
- kutuka kukuru;
- kuwedzera acidity yemudumbu;
- kukurumidza kuora kurasikirwa.
Necrosis yepancreas - chii ichocho?
Kuwedzera kwepakitiriri kunogona kuendesa kune chirwere chakakomba chinokonzera pancreatic necrosis, umo gland rinoputika nerufu rwunotevera. Muna 70% yezviitiko, zvinowanikwa mune varwere vakashandisa doro zvisina kufanira, zvimwe zvikonzero zvinokonzera kukanganisa uye kusingaperi kwepancreatitis. Zviratidzo zvepancreatic necrosis:
- kusimba, kusingashungurudzi;
- kurutsa tsime risingazorodzisi;
- cyanotic mavara mumakona (Grey-Turner chiratidzo);
- kurwadziwa panguva yekurwadziwa.
Kuvhiringidza kwepancreas - zviratidzo
Symptomatics uye zviratidzo zvekuputika kwepaccase muchikamu chakaoma chinoenderana nehuwandu hwekuoma:
- Chimiro chechiedza. Kukundwa kwepancreas uye digestive tract hazvibatsiri. Panguva yekuongorora, interstitial edema inoonekwa. Dyspeptic zviratidzo (kubvisa, kuora mwoyo). Utachiona hwepfungwa hunononoka: hunowanika munzvimbo epigastrium, kuruboshwe hypochondrium. Mamiriro ekurwadziwa akazara, ane irradiation kumashure. Jaundice sclera.
- Heavy form. Zviratidzo zvekuputika: kurwadziwa kwakakomba, zvakanyanya muchinzvimbo chemu murwere kumashure. Nausea, kurutsa kwe bile. High kutonhora.
Matambudziko muhutano hwakaoma hwekushaya kuputika, kuwedzera kuuraya:
- pancreatic necrosis nehutachiona hwe peripancreatic gland tissues;
- pancreatic abscess (pus inounganidza mune pancreas uye nhengo dziri pedyo).
Zvirwere zvinopera zvinowanikwa mumapancreas, zvakasiyana nezvakaoma - zvinowanzoitika zvisingasviki uye zvisingatauriki kusvikira pane imwe nguva, nepo kuchinja kwemukati kwakanyanya kwakanyanya, kunogona kukonzera kutanga kwechirwere cheshuga. Mazuva ano pancreatitis zviratidzo munguva yekuwedzera, iyo inokosha kubhadhara:
- marwadzo eparoxysmal bhandi yehutano hwakasiyana kubva pakusava nesimba kusimba;
- reflux esophagitis - nemhaka yekuderera kwephincter yakaderera yeeophagus, gastric contents inodzokera kune sophagus, iyo inofambidzana nebenching, kuora mwoyo;
- kazhinji kubuda uye ne fetid kunhu;
- unopinza kuora kwekurema;
- kuitika kweangiomas paganda.
Kuvhiringidza kwepascreas - kurapwa
Mushure mekunyatsorariswa uye kusimbiswa kwekuongororwa, chirongwa chekutanga chechiremba ndechekutaurira murwere: chii chinonzi pancreatitis, chii chinokonzerwa nezvinetso zvechirwere chinogona kuva. Mushonga unosarudzwa uchifunga nezvehutano hwemunhu uye wezera hwomurwere. Nzira yekurapa hupombwe, kunobva pane zvimwe zvikonzero:
- acute kana chisingarudzo;
- kuvapo kwezvirwere zvinokonzera;
- munhu mumwe nomumwe kuvhiringidzwa kwemishonga.
Nzira yekuderedza pancreatic kuvimba?
Ndiani akambonzwa kurwadziwa nekuputika kwepascreas, kuziva kuti pancreatitis chii. Kurwisa kwepancreatitis kunorwadza uye kunopedza murwere. Hazvibvumirwi kubvisa kuvhunika pachako, asi pane zviitiko apo kurapwa kwekurapa hakuwaniki, uye zvinokosha kuita chimwe chinhu kuderedza mamiriro acho ezvinhu. Kubatsira kwekutanga kune kuputika:
- zororo uye kwete nekufamba kamwe kamwe, kutora embryo kumira;
- ice pamusoro pe hypochondrium;
- nzara;
- kudya mvura muzvikamu zvidiki kwehafu yenguva (kana uchinwa mishonga, 2-3 zvikamu zvepuni inodhakwa);
- Tora piritsi yeDottaverine hydrochloride, sechisarudzo chekuita jekiseni reNo-shpy 0.8 mg.
Kurapa kwechirwere chisingaperi
Kurapa kwepancreatic kuvimba mumba kunogona kutungamirira kumigumisiro isingagoneki. Munguva yekuwedzerwa kwechirwere chepachirwere chepancreatitis chiri kuitwa muchipatara. Imwe yemamiriro ezvinhu anokosha ekuvandudza mamiriro ezvinhu emuurwere ndeyekudya kwakanyanyisa mune pancreatitis. Kurapa kwechiitiko chisingaperi kunosanganisira dambudziko remishonga:
- ma antibiotic (Ampicillin, Gentamicin) ane zvirwere zvinokonzera;
- antihistamine (Dimedrol, Suprastin) - kunyorovedza uye kunyengedzera;
- antispasmodics (No-sppa, Papaverina hydrochloride) - kurega uye kuderedza kusvitsa mumatope emuchero;
- antiferment preparations (Gordoks, Katrikal) - kudzvinyirira basa re enzyme ye trypsin, chemotripsin uye amylase;
- analgesics (Analgin, Baralgin );
- cytostatics (cyclophosphamide) ine pseudotumorous pancreatitis.
Chii chaunogona kudya nekutapukisa?
Kudya mu pancreatic pancreatitis ndicho chinhu chinoita kuti mishonga ibudirire uye kuregererwa kwezvokuvhiringidza mukati memavhiki maviri. Menyu yekutengesa kunobva pakubatsira uye kuvhara, chiedza uye pasi. Zvokudya zvinokurudzirwa uye ndiro yekutengesa:
- casseroles pasina mafuta;
- kubika nyama yakagadzirwa nemafuta echingwa uye hove;
- akachera miriwo pamusoro pemvura;
- mbatata yakasvibiswa;
- peji (rice, oats, buckwheat);
- low fat fat kefir;
- compotes yemichero yakaomeswa;
- jellied berries;
- apulo zvakabikwa;
- stale gorosi chingwa.