Ọ bụrụ na anyị atụlee ọrịa nke pancreas, naanị usoro mkpali na pancreatitis nwere ike ibute oke mgbu, ụkwara ọgbụgbọ na ọnya, nke na-eme ka onye ọrịa chọọ enyemaka ahụike ozugbo.
Etu esi lelee onya? Maka nyocha, ndị dọkịta na-edepụta usoro nyocha nke onye ọrịa, nyocha ụlọ nyocha, ụzọ ịchọpụta ọgwụgwọ can nwere ike ịga n'ihu na nhọpụta ọgwụgwọ naanị mgbe ị nwetasịrị nsonaazụ ya.
Etu esi lelee gland na palpation, nyocha
Iji nọgide na-enwe ahụ ike, iji kpuchido onwe gị pụọ na mmebi ahụ, ị kwesịrị ịma etu esi enyocha pancreas. Ọ dị mkpa ị attentiona ntị n'ihe mgbu dịtere aka na otube, na nnukwu afọ nke dị na ekpe, enweghị agụụ, ngwa ngwa ibu, ụfụfụ na-egbu egbu nke nwere isi nwa.
Ihe omuma ndi ozo nke oria a gunyere: oche eji acho idi, nchapu, adighi ike n’ahu ahu, obi uto mgbe nile, umu aka ajuju, akpiri akpiri, akpukpo ahu akpukpo ahu na aru ya.
Ọrịa kwesịrị ịmara onye ọrịa ahụ na mberede rashes na akpụkpọ nke afọ, ihu na obi, ọ nwekwara ike ịkarị pallor ma ọ bụ ụzụ nke integument. N'ime ụfọdụ ndị ọrịa nwere ọrịa ogbu egbu, enwere:
- agba ntụ nke ihu;
- acha anụnụ anụnụ n'okpuru anya;
- cracks na akpụkpọ ahụ mucous nke egbugbere ọnụ.
Mgbe mgbe ngosipụta nke ọnya ọrịa bụ foliation ntu, ntutu ida.
Ugbo na njupụta nwere ike iputa n'aka ekpe n'okpuru ọgịrịga, nke ihe mgbu na-egosipụta mgbe ejiri mkpịsị aka pịa ya.
Nnyocha ụlọ nyocha
Mgbe onye ọrịa ahụ chọrọ enyemaka nke dọkịta, mgbe nyochachara nke ọhụhụ, ọ bụrụ na ọ dị mkpa, dọkịta ahụ nyere iwu ime nyocha nke akwara. Nke mbu, ikwesiri inyocha obara izugbe, n’ihu usoro mkpasu iwe, ihe omumu a gha egosiputa mmụba nke erythrocyte sedimentation (ESR), leukocytosis, na neutrophils dị elu.
Site na neoplasms benit na malignant, a na-ahụta anaemia, mmụba n'ọnụ ọgụgụ platelet. Na mgbakwunye, ị ga-enyocha hemostasis, na-eduzi coagulogram.
Ntụle ọzọ dị mkpa ga-abụ biochemistry ọbara, n'ihe banyere nsogbu ahụike, ọkwa protein C-reactive na-ebili, mbelata protein dum na-ahụ. Ọ bụrụ na ọrịa shuga ebido, ubara ọbara urea na-agbada, na creatinine, na Kama nke ahụ, na-abawanye. Mgbe aru nwere aru ojoo nke akwara, cholesterol zuru oke na-abawanye ngwa ngwa.
Nyocha a kapịrị ọnụ ga-abụ nyocha nke enzymes pancreatic na mmamịrị na ọbara:
- lipase;
- amylase;
- dịpụrụ adịpụ.
Na mgbakwunye, maka ebumnuche nchọpụta, egosipụtara inye ọbara n'ihe nrịbama oncological, profaịlụ nke homonụ (glucagon, insulin), ihe ngosi glycemia (nnwale shuga, nnwale nke glucose). Lelee glucagon dị mkpa na ọnọdụ ahụike siri ike nke onye ọrịa, gụnyere hypoglycemic coma na usoro mkpali.
Nnyocha ahụ metụtara nnyefe nke mmamịrị, mmebi na-ahụkarị anya. Yabụ, agba gbara ọchịchịrị nke mmamịrị na-egosi jaundice sistem nke na-akpata site na mkpakọ nke ihe na -adakarị azụ, isi ọwụwa. Na ọrịa pensụl, ogo mmamịrị na-ebelata, na-arịa ọrịa shuga, ahụ ketone na-apụta n'ihe ọmụmụ nke ihe ọmụmụ.
Kpebisie ike na nkwarụ na arụ ọrụ nke pancreas chọrọ nyocha nke feces, ịkwesịrị ịlele pasent nke akwara anụ ahụ na-enweghị ntụpọ, egbugbere ọnụ na-anọpụ iche.
Ratorylọ nyocha ahụ guzobere ọkwa nke enzyme E1, ihe chymotrypsin, wee tụọ ọrụ exocrine nke akụkụ ahụ.
Diagnozọ nchọpụta usoro
Dọkịta na-atụ aro ka onye ọrịa mee mkpokọta (CT), onyonyo ndọta (MRI), ultrasound nke pancreas - nke a dị mkpa iji chọpụta ọnụnọ nke mgbanwe nhazi na anụ ahụ nke gland na imeju. Rumzọ dị iche iche na-eme ka o kwe omume ịhụ neoplasms cystic na okwute n’ime ọwara, mepụta ogo ọdụ, isi na anụ ahụ, akwara na ọnya. Ultrasound na-egosi bends na arụ ọrụ n'ime gallbladder arụ ọrụ.
Achọrọ endoscopic retrograde cholangiopancreatography (ERCP), usoro ahụ na-enyere aka ikpebi ogo ihe mgbochi nke bile na pancreatic ducts. Ihe omumu ihe omuma banyere mmepe nke onodu ogwara ibu bu fibroesophagogastroduodenoscopy (FEGDS), uzo a na - enyere aka ichoputa mbufụt na aru nke afo, duodenum.
Iji chọpụta ọnụnọ nke metastases na neoplasms, nnukwu okwute n'ime dule dule, onye ahụ kwesịkwara ilee ọkụ X-ray.
Mgbe nke ahụ gasịrị, dọkịta ahụ ga-enwe ike ịchọpụta ọnọdụ nke pancreas, nye ọgwụ zuru oke.
Otu osi akwadebe maka nyocha
Ekwesịrị ilebara ọbara na mmamịrị ọ bụla n'ụtụtụ na afọ na-enweghị isi, tupu ọmụmụ ihe ahụ, dọkịta ahụ na-atụ aro ka ịhapụ ị ofụ mmanya, ise siga, mgbatị ahụ siri ike.
Tupu ịchịkọta mmamịrị, ọ dị mkpa iji mepụta mposi ọcha nke akụkụ ahụ dị na mpụga, a naghị ewere akụkụ mbụ nke mmamịrị ahụ, ọ dị mkpa iji were nlele n'etiti urination. A na-anakọta urine na arịa ndị na-adịghị mma, a na-ere ha na ahịa ọgwụ.
Tupu nchọpụta ahụ, ọ dị mkpa ịhapụ iji nri abụba, akwụkwọ nri na mkpụrụ osisi na-enwu gbaa, ebe ọ bụ na ha nwere ike ịgbanwe agba nke mmamịrị. Ndị dọkịta na-adụkwa ọdụ megide ị againstụ ọgwụ ma ọ bụ vitamin.
Ubọchi ato ka ha juru iri nkpuru nri nke puru ikpalite nnukwute ikuku:
- peas
- agwa;
- mmiri ara ehi.
Arụ ọkụ nwere ike belata izi ezi na ozi gbasara ultrasound; mkpokọta gas ga-eme ka ọria ahụ sie ike ịhụ. Odika ka ubochi abuo gasiri, agwara inabata oria, o nwere ike ibu carbon nkịtị, Lactulose ma obu Polysorb. Nkwanye nkwanye ugwu a dị ya mkpa karịchaa mgbe ọ dị afọ iri afọ ntachi.
Etu esi etinye mgbakwunye ọgwụgwọ na usoro ndị mmadụ
N'ụlọ, mgbe nyochachara ọrịa, ọ dịghị afụ ụfụ iji usoro ọgwụgwọ ọzọ anwalere oge. Mana ọ dị mkpa ịhazi dọkịta gị ụdị ọgwụgwọ a, ebe ụfọdụ ọgwụ ọgwụ ekwekọghị na ọgwụ, ọ nwere ike belata arụmọrụ ha.
Osisi na-enyere aka ịme ka ọrụ nzuzo nke pancreas: anise, knotweed, St John's wort, ọka stigmas, Mint, dandelion, violet nwere agba atọ, na-acha odo odo. Nwere ike tufuo nza nke mmiri ọgwụ ahụ site na enyemaka nke oregano, immortelle, motherwort, valerian, chamomile, pepemint.
Mgbe nnwale enyochala ụdị ọrịa shuga mellitus nke 1, dọkịta nwere ike ịgwa gị ka ị jiri kupena, linden, chicory, licorice na St John's wort perforated.
Enyere ozi banyere ọrịa pancreatitis na-adịghị ala ala na vidiyo dị n'isiokwu a.
