Nnukwu edematous pancreatitis bụ ụdị nwayọ nke ọrịa pancreas.
Ihe akparamagwa ya bu ihe aru aru nke aru, ma obu na enweghi otu ihe banyere akwara di iche iche, ọnụnọ nke ntakịrị ihe dị na peritoneum.
Dịka iwu, usoro pathological na-aputa n'ihi mbufụt nke duodenum 12 ma ọ bụ gastritis. N'iburu nchoputa nke oge na ọgwụgwọ zuru oke, ndị dọkịta nyere nkọwa ga-adị mma.
Ihe kpatara oria a
A na-aghọrọ pancreatitis dị ka ihe mgbagwoju anya nke syndromes na usoro nke usoro enzymes (diges lipases, amylases, protein) na-arụ ọrụ n'ime onwe ya. N'ime ahụ mmadụ nwere ahụike, enzymes ndị dị otu a na - ebido n’ụdị arụ ọrụ, a na-arụkwa ọrụ naanị mgbe ha banyere duodenum.
Anụ ahụ nwere ike iza site na nsogbu nke na-akpalite mkpakọ ya. Ọ bụ na mkpakọ ogologo oge ka enzymes banye n'ime parenchyma ma na-eduga mbibi ya nwayọ.
Ededị edematous nke pancreatitis na-amalitekarị n'ihi nri na-adịghị edozi ahụ yana ị andụbiga ihe ọ alcoụholicụ na-aba n'anya ókè. Dika nri ngwa ngwa buru ibu karie ewu ewu n’iri n’aho ohuru a, onodu akwara ji abawanye uru.
Ọzọkwa, edematous pancreatitis na-adị n'okpuru nduzi nke ihe:
- oke abụba na nri n’ọkụ n’arụ nri;
- abụba na-eri nri mgbe ogologo nri dabere;
- iji ọgwụ ụfọdụ eme ihe ogologo oge;
- ntụgharị dị nkọ na nri nkịtị mgbe ị gbasasịrị usoro oriri siri ike;
- nnwale na nnabata nke nri osisi, dịka ọmụmaatụ, Indian;
- iri oke nri mgbe ibuchara ogologo oge;
- nsi ahihia na - egbu egbu - mmanya gbara ụka, mmanya methyl ma ọ bụ alkali.
Usoro nke “igwu onwe ya” n’oge na-eduga na mgbanwe na-emebi emebi na pancreas. Nke a na - emetụta ihe dị na mpụga na nke ime ahụ. Nsonaazụ nke akpachapụghị anya na ahụike gị nwere ike ịbụ ntụgharị na ọrịa edematous pancreatitis na-adịghị ala ala, yana mmepe nke ọrịa na - ebilite na ngọngọ nri.
Ọrịa na nchoputa nke pathology
Mgbe ọnya afere, onye ọrịa ahụ na-enwe njiri mara.
Ya mere, ihe ịrịba ama nke ọrịa ahụ bụ ihe nnọchianya nke ịga na dọkịta, onye, ọ bụrụ na a na-enyo enyo na edematous pancreatitis, ga-edepụta nchọpụta ahụ.
Isi ihe mgbaàmà nke edematous pancreatitis bụ imebi oche. A na-akpọkwa ya shuga. Ahụ mmadụ na-enwe isi na-adịghị mma, ụtọ nke abụba na nri nri na-enweghị isi. Ọrịa shuga na-apụta mgbe erichara nri, mgbe ụfọdụ ọ bụ na mberede.
Ihe mgbaàmà ndị ọzọ nke usoro mkpali nwere ike ịbụ:
- Ahụhụ na-erughị ala ma ọ bụ nnukwu njọ na hypochondrium ekpe, mgbe ụfọdụ na-agbagha.
- Adịghị ike, mbelata ikike ịrụ ọrụ, isi ọwụwa.
- Ihe mgbaàmà ndị ọzọ nke dyspepsia bụ ọgbụgbọ, ọgbụgbọ, flatulence.
Okpo ure nke oge na-eduga na nbata nke enzymes na ngwaahịa ndị ire ere na-emebi ahụ. Egosiputara nke a site na pallor nke anụ ahụ, ịsụsọ ịrị elu, ọnya dị elu na ọzịza nke ụkwụ nwere ọrịa akwara.
N’ebe a na-eme nnabata, ọkachamara ahụ na-ege ntị na mkpesa onye ọrịa na-eme ma na-enyocha ahụ anya, na-eme ka mpaghara apịtị na-elebara ọnọdụ akpụkpọ ahụ na aka ya anya. Ọ bụrụ na-enyo enyo n'ụdị ụdị edematous nke ọrịa pancreatitis, ọ na-ekenye ebe ahụ:
- Jeb. Ahụhụ nke anụ ahụ na-egosi ọkwa dị elu nke ESR na mkpụrụ ndụ ọbara ọcha.
- EGO. Mmụba na ịta trypsin, amylase na lipase na-egosi ọrịa.
- Nnyocha nyocha. Site na usoro ọmụmụ a, a na-achọpụta mmụba nke ọdịnaya amylase.
- Coprogram. Ihe oria a gosiputara site na ọkwa nke abụba na-anọpụ iche na nke ọdụdụ na feces.
- Nnyocha nyocha. Na-ekpebi itinye uche nke elastase.
- Ultrasound Site na pancreatitis, ọ dị mkpa ikpebi nha nke pancreas, nhazi nke parenchyma ya, yana ọnụnọ nke saịtị echogenic.
- Nyocha nke duodenum 12. Kpebie ogo nke enzymes tupu mkpalite na mgbe emesịrị ya.
- CT na MRI nke pancreas. Usoro ndị a na - enyere aka iji nlezianya nyochaa ducts na akụkụ ahụ n'onwe ya.
A na-ejikwa FGDS. Na-enyocha ọnọdụ nke akpụkpọ ahụ mucous nke duodenum na afọ, gụnyere mpaghara nke papilla Vater.
Basickpụrụ dị mkpa nke ọgwụgwọ ọgwụ
A na-eme ọgwụgwọ nke edematous pancreatitis. Ọ bụrụ na a nabata onye ọrịa n'ụlọ ọgwụ mgbe nnukwu ọgụ gachara, afọ ya na-asa. Nzọụkwụ ọzọ nke usoro ọgwụgwọ bụ ibu ọnụ ọgwụgwọ na ị takingụ ọgwụ. A na-ahapụ ya ka ọ drinkụọ mmiri alkaline dị ọkụ. N'okwu a, usoro ọgwụgwọ ọzọ enweghị ike iwepụta mmetụta ọgwụgwọ kwesịrị ekwesị.
Ná nkezi, usoro ọgwụgwọ sitere na izu abụọ ruo izu atọ, izu ike ebidolarị maka ụbọchị 3-4. N’oge a, mmadụ na-ewepụ ụfụ na ọgụ mgbe niile. E gosipụtara ìgwè ndị ọgwụ dị mkpa iji gwọ ọrịa ọgwụ na tebụl.
Ndị Ọgwụ Ọgwụ | Aha ha |
Droppers na mgbakwunye nke antispasmodics | No-spa, Rabal, Spazmol, Dropaverin, Papaverin, Buscopan |
Ọgwụ nzuzo nke pancreatic | Cotrical, Gordox, Somatostatin, Trasilol |
Antacids na-egbochi hydrochloric acid n'ime afọ | Gaviscon, Relzer, Rutotsid, Topalkan, Alyumag, Maaloks, Gastratsid |
Ndị na-egbochi H2-histamine na-egbochi ihe mgbochi | Atzilok, Blockacid, Kvamatel, Aksid |
Ọgwụ ọgwụ mgbu (na obere okwu) | Tramadol, Moradol |
Ọgwụ infusion iji kpochapụ egbu egbu | Trisol, Quartasol, saline, Ringer-Locke |
N'ọnọdụ ọ bụla mmadụ ekwesịghị itinye aka n'ịgwọ onwe ya. A na-eji ọgwụ eme ihe n'ụlọ ọgwụ n'okpuru ezigbo dọkịta. N'ụzọ dị otú a, ị ga - ezere:
- ọbara ọgbụgba n'ime;
- nguzobe fistula n’ime nkpuru ahu;
- ihe omume nke jaundice;
- mmepe nke ọgịrịga na ngba mgbu.
- mbufụt gburugburu gland.
Edematous pancreatitis bụ ọkwa mbụ nke mbufụt anụ ahụ.
Treatmentgwọ ọrịa oge niile na - egbochi mmepe nke necrosis, nke a na - awa ahụ ahọpụtara akụkụ ma ọ bụ wepu gland kpamkpam.
Nri maka nnukwu edematous pancreatitis
Usoro ọgwụgwọ nke ọrịa a na-agụnye ịgbasochi usoro ọgwụgwọ ọgwụgwọ.
Mgbe obubuchara otutu onwa, ibido iri nri nke akwadoro na nri Nke 5.
Ihe dị n’ime nri pụrụ iche bụ obere protein na abụba na ụba oriri na-aba ụba.
Usoro ọgwụgwọ nri nwere nri dị ụtọ nke anaghị ebutere usoro nri nri ma ghara akpasu iweze gas.
Iwu kachasị nke nri dị mma maka ọrịa edematous nke anụrị bụ:
- Nrube isi na nri mejupụtara afọ, nke mejupụtara ugboro 5-6 kwa ụbọchị.
- Steam, butere, stewed ma ọ bụ sie.
- Mbelata na nri nri nke ndu: tupu ojiji, ọ dị ha mkpa ịka nri ma ọ bụ ghee ya.
- Nrube isi na usoro okpomoku pụrụ iche nke nri: o kwesịghị oke oke ma ọ bụ kpo oku.
Edepụtara aha ngwaahịa amachibidoro iwu ma amachibido maka edematous pancreatitis na tebụl dị n'okpuru.
Hapụrụ | Amachibidoro |
|
|
Dịka iwu, edematous pancreatitis bụ nsonaazụ nke erighị ihe na-edozi ahụ na ị alcoholụbiga mmanya ókè. N’iburu ọnụ ruo ogologo oge n’ehihie, ọtụtụ na-eri nri n’oge ụra, nke na-emetụta sistem nri nri. Ọ bụrụ na ọrịa dyspeptik buru ụzọ mee, mgbe ahụ a na-ahụ ọnya afọ na duodenum, ọnya nke pancreas, wdg .. Ya mere, mmadụ ọ bụla ga-agbasosi nri nke ga - echebe oke na mbuze ụkwụ.
Akọwara nnukwu ọrịa a kọwara na vidiyo n'isiokwu a.