Izimpawu zokuqala ukuvuvukala kwamanyikwe

Abantu abaningi esekhala yansukuzonke ukungakhululeki besisu. Ngezinye izikhathi, lokhu uphawu kuhambisana isicanucanu nokuhlanza. ukwephulwa komthetho okwenzeke khona cishe wonke umuntu. Nokho, kwezinye izimo, lezi zimpawu zenzeka njalo. Ikakhulukazi ngemva abantu badlile okunamafutha, nzima ukudla digestible. Ngeshwa, akuyona yonke ukuya kudokotela uma uba nezimpawu ezifana. Abantu abaningi bakholelwa ukuthi ukwephulwa kobufakazi ubuthi futhi sidlule bebodwa. umbono okunjalo akulungile, ngoba ngokuvamile lezi zimpawu ezihlobene yisihlungu ezingamahlalakhona kwamanyikwe (pancreatitis). Lokhu umzimba kubalulekile ukuze ukusebenza evamile isimiso sokugaya ukudla bungene. Ngo abantu abayimiqemane, amanyikwe ukhiqiza inqwaba enzyme ehilelekile ukugayeka kwamafutha, amaprotheni kanye carbohydrate. Ngaphezu kwalokho, kukhona ama-hormone kwemiqondo, kuhlanganise insulini, glucagon, somatostatin. Izimpawu ukuvuvukala kwamanyikwe kusikisela ukuthi umzimba usebenza ngobugebengu. Ukubuyisela umsebenzi walo, abadinga imishanguzo nokulandela isimiso esinzima sokudla. Kungenjalo ukuthuthukisa ukuvuvukala ezingamahlalakhona. Kulokhu, izimpawu Sizokwenzeka njalo, njengoba nje isiguli udla into okunamafutha noma ethosiwe.

Ukuvuvukala amanyikwe: izimbangela

Ukuze esolwa pancreatitis, kudingeka wazi ukuthi iyini izibonakaliso ukuvuvukala pancreatic khona. Eyokuqala ubuhlungu besisu nesicanucanu. ukwephulwa Okufanayo akwenzeki ngokuphazima kweso, kube njalo kwandulelwe nephutha ekudleni. Ngokusekelwe lokhu, singakwazi ukuhlukanisa izimpawu zokuqala ukuvuvukala kwamanyikwe. Lezi zihlanganisa:

1. Ukungabekezelelani ukuba izinhlobo zophuzo oludakayo. Njengoba yaziwa, njalo utshwala kuyinto embi empilweni. Ngokwezinga elikhulu lokhu kuthinta pancreas. Ngakho-ke, iziphuzo ezidakayo reception libhekisela yezimbangela eziyinhloko yentuthuko pancreatitis.
2. Isicanucanu ngemva kokudla isidlo esindayo. Ukuze kanzima ukugaya ukudla zihlanganisa ezilwane, okuthosiwe, okunosawoti ngokweqile nokudla okunongwe kakhulu. Futhi, ukuqaleka kungenzeka uma imikhiqizo ufulawa ukuhlukunyezwa.

Ukungondleki reception utshwala kukhona kwezimbangela eziyinhloko pancreatitis. Ngaphansi kwethonya lezi zici abavusa amanyikwe. Izimpawu ukuvuvukala awaveli ngokushesha. Ngokuvamile, lezi zici kuholele pancreatitis ezingamahlalakhona. Izimpawu zokuqala ukuvuvukala acute zihlukile. Ziyafana izimpawu ukudla okunobuthi. Umehluko sivezwe ubuhlungu esakaza hhayi kuphela phezu esiswini, kodwa futhi asinikeze ngemuva.

Mshini pancreatic izimpawu ukuvuvukala

Izimbangela zesifo ukuvuvukala kwamanyikwe ezihambelana eduze. Ngemva izimpawu zibonakala kuphela ngemva kokungenwa isici ingqondo (utshwala, ukudla okunamafutha). Kuwufanele nazi ukuthi zona lezo pancreatitis oyingozi futhi ezingalapheki zihluke kakhulu phakathi kwabo. Esimweni sokuqala, indlela leli zokugula iwukuba autodigestion kwamanyikwe. Ngo abantu abayimiqemane, ama-enzyme pancreatic kuthiwa ethakwa esimweni sokungasebenzi. Dilizani amaphrotheni, amafutha kanye carbohydrate beqala, kuphela ukufinyelela esiswini. Kukhona ukusebenza enzyme pancreatic. Ngo pancreatitis acute, le nqubo iqale ekuqaleni, okungukuthi e indlala ngokwawo. Ngaphansi kwethonya enzyme, e lipases ethile, isitho izicubu iqala sokudiliza. Umthelela anobuthi kuholela ukuvuvukala edema kwamanyikwe. Uma isikhathi kungasizi, necrosis pancreatic eba - futhi ukubhujiswa okuphelele kwalelizwe izicubu zomzimba. isimo esinjalo Imvama ukufa.

Lo mshini pancreatitis okungalapheki esikhundleni kancane kancane amangqamuzana avamile pancreatic ngu ezicutshini. Le nqubo ibizwa ngokuthi ukuqina komzimba. Ngenxa yalokho, umsebenzi oyisisekelo iphazamisekile amanyikwe - Ukukhetha enzyme ukugaya. Ngenxa yalokho, iningi imikhiqizo akuyona kugaywe ngokuphelele, okuholela ukuwohloka kwesitulo nesimo sogulayo ukuwohloka.

Amanyikwe: izimpawu isitho ukuvuvukala

Phakathi izimpawu zokuqala ukuvuvukala kwamanyikwe, njengoba sekushiwo, ubuhlungu besisu nesicanucanu zaba namandla kakhulu. Ngokuvamile, iziguli ukuya kudokotela uma izimpawu of pancreatitis aphindaphindwe isikhathi esithile. Ngokuvamile abantu baqaphela ukuthi izimpawu ukuvuvukala kwamanyikwe okuyokwenzeka ngemva ukungenisa ukudla okuthile noma uphuzo oludakayo. Kuyinto nokuhlukanisa ngeengaba zonke izikhalazo yakhe nemlandvo wetekwelashwa kwakhe kuqala sitholakele pancreatitis ezingamahlalakhona. Izimpawu ezilandelayo ezihlobene izimpawu ukuvuvukala:

1. Ubuhlungu esiswini engenhla. Sikhishwe yokuthi kwamanyikwe ithatha Ngokwezinga elikhulu, ukuqaleka kungenzeka womabili kwesokunxele nakwesokudla. Futhi, ubuhlungu kungenziwa isebenze esifundeni epigastric, kokulingisa kolwelwesi. Kwezinye izimo, wonke amanyikwe is abavusa. Kulokhu, ubuhlungu is ozungeza uhlamvu.
2. Isicanucanu. Kungaba khona ngemva amaphutha yokudla noma samanje njalo.
3. ukuhlanza ephindiwe. Ngokungafani isilonda esiswini, lokhu uphawu akusho ukudambisa isimo.
4. Ukuguquguquka okukhona kwesitulo. Indle kungenziwa ikhishwe izinto eziningi ezinkulu, babe ukungaguquguquki foamy futhi undigested izinhlayiyana zokudla. Ngezinye izikhathi kukhona uhudo olubi akuvamile - ukuqunjelwa.
5. Ukwandiswa nezinga lokushisa komzimba. Lokhu uphawu is hhayi njalo uzwakalise, ngakho ngemuva akuvamile ziwulalelisise dyspepsia. High imfiva nobuntu pancreatitis oyingozi.
6. peristalsis yanda, umuzwa "ukugcwala" esiswini.

Lapho eside ukuvuvukala zamanje kungenzeka kokucindezelwa we Amapayipi biliary. Kulokhu, izimpawu ziyafana. Ngaphezu kwalokho, ijoyina ukulunywa futhi jaundice syndrome.

behlolwa uzingela izimpawu ukuvuvukala kwamanyikwe

Yiziphi izimpawu ukuvuvukala kwamanyikwe ngesikhathi sokuhlolwa? Ngokuyinhloko udokotela uyazinaka Ukuwohloka isimo jikelele isiguli. Isiguli ngokuvamile ejabule, embozwe umjuluko, ukuphaphatheka. Ngo pancreatitis okucindezelayo kungase kube iconsi wegazi, tachycardia ezinzima, iphika. Uma usola ukuthi ukuvuvukala kwamanyikwe ukuchitha palpation besisu. Kuze kube yimanje, isiguli ibekwe emhlane wakhe wambuza ukuguqa yakho. Ngisho touch odongeni kwamathumbu kungabangela kabi. izimpawu palpable ukuvuvukala kwamanyikwe e abadala bakhombe. Phela, isiguli kungase kubonise indawo eqondile yobuhlungu. Ukungakhululeki imakwe at amaphuzu kwelivi kwamanyikwe. Lezi zihlanganisa endaweni Chauffard futhi Gubergrits - Skulsky. Esokuqala unxantathu iphahlwe imigqa ezintathu. Omunye wabo wenziwa kusukela inkaba kwesokunene nezinhlanu up i-engela 45 degrees. Esesibili - umugqa imidiyeni umzimba. Okwesithathu uxhuma amaphuzu amabili owedlule, it wenziwa 6 cm ngenhla indandatho enkabeni. Gubergrits zone - Skulsky Chauffard elihambisana unxantathu, kodwa itholakala ohlangothini lwesobunxele esiswini.

Ukufaka Endaweni ethintekile kwamanyikwe secrete 3 amaphuzu. Lokhu kunquma ukuthi ingxenye yomzimba itholakala ukuvuvukala. Phakathi kwabo:

1. Point Mayo - Robson. Kungaba izonqunywa kokuqhuba umugca kusuka inkaba ngakwesobunxele lwaleli costal. Uma thina yahlukanisa leli ingxenye ibe izingxenye 3, iphuzu Mayo - Robson itholakala emngceleni phakathi futhi kwezintathu engenhla. Lokhu kwelivi nomsila amanyikwe.
2. Desjardins iphuzu. Ekufinyelelwa kuso ngokubheka umugqa ohlanganisa inkaba kanye axilla kwesokudla. Point isendaweni isikhawu 5-7 cm. Nanti ikhanda kwamanyikwe.
3. Kacha iphuzu. Itholakala at 4-7 cm ngenhla inkaba ku emaphethelweni elingaphandle kwesokunxele rectus abdominis kwemisipha. Soreness okwamanje kusho ukuthi ukuvuvukala itholakala phakathi umsila pancreatic nomzimba.

Ngaphezu izimpawu pancreatitis zihlanganisa izinguquko ebusweni ulimi. It ihlanganiswa ne tinge omhlophe noma aphuzi, kungase kube kancane dryish.

izimpawu Laboratory of pancreatitis

izimpawu Laboratory ukuvuvukala kwamanyikwe ivumela ukuxilongwa "pancreatitis". Lezi zihlanganisa izinguquko ukuhlaziywa kwamakhemikhali kwegazi, coprogram, Kla. Ukuba khona ukuvuvukala kuboniswa ezingeni elikhulayo diastase - enzyme, okuyinto kunqunywa umchamo. Izinga ovamile amayunithi 16-64. I Kla ephawulwe leukocytosis ngesivinini esingaka erythrocyte sedimentation isilinganiso (ESR). Esifundweni igazi kwamakhemikhali wathola lizinga lelitfutfukile umsebenzi enzyme pancreatic. Lezi zihlanganisa i-Amylase futhi lipase. Lokubaluleke kakhulu isifundo esiphathelene indle. I indle wehluke inani elikhulu (polifekaliya) aqukethe ukudla okusalile kungaba kukhanye okunamafutha. Fecal ngokuthi scatoscopy. Lokhu ukuhlola okuthile kwembula okutholakele laboratory ezinjalo, njenge:

1. Steatorrhea. Lokhu kubonisa ukwanda fatty acid endleni yabantu abanaleli.
2. Kreatoreya - admixture we imisipha zesivikelo indle.

Lezizibonakaliso ukuvuvukala kwamanyikwe kwembule ukuhlukumeza of kokudla esiswini. Basuke ngokuvamile kubonakala pancreatitis ezingamahlalakhona.

Sinquma izibonakaliso ukuvuvukala kwamanyikwe ngu wezinsimbi

Ukuze uhlonze ukuvuvukala kwamanyikwe, eziningi Luhlolo wezinsimbi. The main nenqubo ethile yokuthola isifo kubhekwa ultrasound esiswini. Kulolu cwaningo kutholakala ukwanda usayizi amanyikwe futhi ushintshe kwabantu bayo echo. Isakhiwo izicubu kungenzeka heterogeneous. Izindonga umzimba abizwa uqweqwe ngenxa edema - omunye izimpawu ukuvuvukala.

Ngaphandle ultrasonography besisu, wenziwa EGD. Lolu cwaningo kuyadingeka ukuze ugweme izifo ze-isisu kanye duodenum. Kwezinye izimo, eyenziwa ikhompyutha tomography. Okusolwayo pancreatitis acute kudingeka wenze kokususwa ECG. Phela, isifo ukuhlukanisa isilethikusebenza. Ngezinye izikhathi kubonisa extra laparoscopy zokuxilonga.

Uma athuthukile izimpawu ukuvuvukala pancreatic kwabesifazane, kubalulekile ukuba enze uchungechunge lwezinguquko ucwaningo olwengeziwe. Kwezinye izimo, isithombe basemtholampilo pancreatitis acute zingase zifane izimpawu peritonitis. Okubangela ukuvuvukala kwabesifazane peritoneum kukhona acute zokugula izifo zabesifazane (ukukhulelwa ethunjini, ukudabuka wesibeletho, torsion imilenze izimila). Ngakho-ke, kuyadingeka ukuba aqhube ultrasound okhalo.

Inhlanganisela cholecystitis kanye pancreatitis izimpawu

Izimpawu gallbladder nokuvuvukala pancreatic ngokuvamile kuhlanganiswe nomunye. Lokhu kwenzeka ngenxa yokuthi lezi zindikimba zisebuhlotsheni njalo. Ngesikhathi esifanayo yayisihlanganisa uphethwe "holestopankreatit". Izimpawu ukuvuvukala akazange zehluke izimpawu izilonda pancreatic. Kodwa wanezela kwezinye izimpawu, ukubona emtholampilo. Phakathi kwabo:

1. Ubuhlungu ilungelo quadrant engenhla.
2. ukunambitheka ababayo emlonyeni nokubhamuka.
3. Ukuhlanza of Bile.

On behlolwa, isisa ku kwengcindezi projection we gallbladder (Kera uphawu). Futhi ephelezelwa emizweni ezingemnandi effleurage ngakwesokudla lwaleli costal. eliqinisekisiwe Ngakho uphawu Ortner - Grekov. Enye uphawu ukuvuvukala gallbladder - a ubuhlungu lapho ngokucindezela imisipha Imicu yotshani sterno-mastoid.

Indlela ukuqaphela pancreatitis ezinganeni?

Izimpawu ukuvuvukala kwamanyikwe ezinganeni musa ihluke okwabantu abadala. Noma kunjalo ukuxilonga pancreatitis zisencane kunzima kakhulu. Ngaphandle kokuba lezi zimpawu, ingane iba Moody, uyawachitha ukudla. Ezinganeni siyabhubha ubuthongo, izinga lokushisa komzimba sibe phezu degrees 38, ngokuvamile buboniswa ngokuba nesifo sohudo. Ukuxilonga ukuvuvukala, ukwenza i-ultrasound besisu, ukuhlolwa laboratory. Palpation ezincane ungachithi.

Ukuvuvukala amanyikwe: izimpawu nokwelashwa kwezifo kungakephuzi

Ukwelashwa of pancreatitis acute ngokuvamile yangempela ukuhlinzwa. Ngo ukuvuvukala okungalapheki yokwelapha wezokwelapha. Kunikezelwe ngokusho izimpawu ekhona pancreatitis. ongakhetha Ukwelashwa zihlanganisa:

1. Anesthesia. Wasebenzisa isidakamizwa "Ketonal", "Analgin". Lapho uzwakalise ubuhlungu syndrome - izidakamizwa "Promedol".
2. Ukushintshwa yokwelapha enzyme amalungiselelo. Njengoba bemiswe ukuba ukuqinisekisa ukugaya evamile ukudla. Sebenzisa imithi "Pancreatin", "Creon", "zemikhosi".

Ukudla izimpawu ukuvuvukala kwamanyikwe

Ukuze ugweme exacerbations okuphindaphindiwe, kubalulekile ukulandela ukudla. Ezinsukwini zokuqala ngoba pancreatitis acute kuboniswa indlala. 3-5 izinsuku ezimisiwe olukhethekile lokudla - inombolo etafuleni 5. Uma ukuvuvukala ungongapheliyo, kufanele ngaphandle kusukela ekudleni, utshwala, okuthosiwe ukudla okunezinongo, ezilwane. Ukudla kufanele kuphekwe ambalwa, kuhhavini noma uphekwe. Ukuzincisha ukudla kuyingxenye ebalulekile ekwelapheni pancreatitis.