A na - eme ka aru apịtị a bụ akụkụ nke nwere nzuzo na - arụ ọrụ na nri digestive na endocrine. Ọ nọ na oghere nke retroperitoneal. Iron nwere akuku ato: isi, aru na ọdụ.
Akụkụ bụ isi nke pancreas bụ maka nrụpụta enzymes dị mkpa maka mgbaze kwesịrị ekwesị. Ndị a gụnyere trypsin na amylase, nke na-akụda protin, lipase, bụ ihe na-etinye na mgbaze abụba, na lactase, nke bụ maka nnabata nke lactose, i.e. mmiri ara ehi shuga.
Mmepụta enzymes bụ nke a na-akpọ ọrụ exocrine. N'agbata lobules nke gland bụ akụkụ nke endocrine - agwaetiti nke Langerhans. Ha na - ezochi ọtụtụ ụdị homonụ - insulin, glucagon, somatostatin na polypeptide pancreatic.
Ihe kachasị mkpa n'ime ndị a bụ insulin na glucagon, n'ihi na ha na-edozi metabolism metabolism kpamkpam. Mmebi nke mepụta insulin na-eduga na nnukwu ọrịa dị ka ọrịa shuga.
Ihe na-akpata Pancreatitis
A na-akpọ mbufụt nke pancreas.
Dabere na ebumnuche ndị dugara na usoro mkpali, a na-ekewa ya na isi na nke abụọ.
Nke bụ isi sitere na mmetụta dị njọ na-emebi ihe na gland, na nke abụọ n'ihi ọrịa nke akụkụ dị nso.
Ihe na - akpata ọrịa pancreatitis bụ isi:
- ị abuseụbiga mmanya ókè na-achịkwa achịkwa;
- ịba ụba nke abụba, eghe na anụ na-aokedụ ke nri;
- ise siga
- ịba ụba nke mmetụta uche ugboro ugboro, nrụgide;
- Ihe ịwa ahụ na akụkụ ahụ ọ bụla nke apịtị apịtị n'ihi ohere nke mgbasa ọrịa;
- nsị nri;
- ihe helminthic infestations;
- mkpụrụ ndụ ihe nketa;
- mmetụta ọgwụ ọjọọ nke ọgwụ ụfọdụ - diuretics (furosemide), ọgwụ nje, estrogens;
- nsogbu nke ọgbụgba ndụ na ụdị nke ihe dị n’ime;
- ọrịa ịba ọcha n'anya, akpan akpan B na C;
- mumps (aha a ma ama maka ọrịa ahụ bụ mumps);
- ndakpọ nke sphincter nke Oddi akwara, nke na-achịkwa usoro nke ngwaahịa pịrịkụkụ na-esi abanye duodenum.
Ihe na-akpata ọrịa a na-akpata nke abụọ gụnyere:
- Ọrịa nke imeju na ọnya biliary - cholelithiasis, cholecystitis, cirrhosis;
- Usoro Allergic na autoimmune na ahụ;
- A na - ebute ọrịa nzuzo nke ihe nzuzo ahụ glands niile - cystic fibrosis;
- Ọrịa Crohn;
- Ọnya afọ na / ma ọ bụ ọnya duodenal.
Ọrịa pancreatitis nwere ike bụrụ nnukwu ọrịa na-adịghị ala ala dabere na ụlọ ọgwụ na ogo nke mgbaàmà ya. Nnukwu pancreatitis, n'aka nke ya, kewara ụzọ atọ
Edematous, ma ọ bụ intrstitial - na - apụta ma ọ bụrụ na mkpụrụ ndụ otu nwụrụ, mana ọmụmụ nke necrosis amaliteghị.
Sterile pancreatic necrosis (na-enweghị ọrịa), nwere ike ịnwe oke, ebe niile, abụba, ọbara ọgbụgba na agwakọta.
Ọrịa necrosis na-efe efe - a chọpụtara ya ihe dị ka otu izu mgbe mmalite nke usoro mkpali ahụ, mgbe ọrịa pathogenic na-amalite ịrụ ọrụ.
Mgbaàmà na ọgwụgwọ nke mbufụt pancreatic
Ọrịa pancreatitis na-adịghị ala ala dị mma ma nwee akara mgbaàmà na-adịghị ala ala karịa nnukwu.
Na obere pasent nke ikpe, ọ nwere ike ịbụ asymptomatic, mana ọtụtụ mgbe ọ na-esonyere mgbaàmà njirimara.
A na-egosiputa ọrịa akwara nke ala na-esote:
- mmadụ na-asọ oyi n’anya nke nri mara abụba;
- n'oge mgbatị anụ ahụ, mgbu na-adịghị mma na-apụta n'okpuru ọgịrịga aka ekpe;
- iwe nri na-adịgide adịgide n'ihi enweghị enzymes pancreatic;
- ndị ọrịa na-eri agụụ;
- ndị ọrịa na-efe efe ngwa ngwa ma ghara ibu ibu;
- enwere oke mmanụ gas na eriri afọ;
- ugboro ugboro ili, obi mgbawa.
Site na mwepụ nke usoro mbufụt, ị kwesịrị ị paya ntị ozugbo maka ọdịdị nke mgbaàmà ndị a:
- Mgbu azụ, ọ na - abụkarị ndị na - ebilite na mpaghara epigastric, mana emesia ịkpa agwa. Mgbu nwere ike radiate n'aka ekpe. Mgbu nwere ike ịdị n'ụdị ọdịdọ. A na - akpọkarị ha mgbe ha risịrị nri mara abụba na nke e ghere eghe, mmanya.
- Ọgbụgbọ siri ike.
- Vom nke isi iyi, ọ fọrọ nke nta enweghị enyemaka.
- Afọ ahụ na-aghọ “planky” n'ihi nrụgide akwara dị na mgbidi nke eriri afọ.
- Ọsụsọ mụbara.
- Onye ọrịa na-achazi ọcha, na-enwe ike ọgwụgwụ.
- Ọbara.
- Ọ bụrụ na mmadụ nwere ike ịga ụlọ mposi, mgbe ahụ ị ga - ahụ akwa mmiri na - enweghị mmiri jupụtara na mmiri na - agbaze abụba.
- Mmụba nke obi (tachycardia).
Ọrịa pancreatitis nwere ike ịka njọ, nke kachasị n'ihi mmebi nke nri.
Kedu otu esi enyere mmadụ aka n'oge ọgụ? Ekwesịrị ịkpọ ịkpọ ụgbọ ihe mberede ka ndị dọkịta kpọga onye ọrịa n'ụlọ ọgwụ, n'ihi na a gaghị agwọ ndị ọrịa dị n'ụlọ.
Ndokwa maka nlekọta ahụike siri ike na-egbu egbu.
Forzọ maka nchọpụta nke pancreatitis
N'ime nyocha nke ọrịa pancreatitis, a na-eji usoro nyocha na ụzọ eji eme nnyocha.
Nnyocha ọbara maka biochemistry. Can nwere ike lelee mmụba na ọnụ ọgụgụ enzymes pancreatic - trypsin, amylase, maltase. Okwa nke bilirubin na ihe nlere nke imeju - AST (aspartate aminotransferase) na ALT (alanine aminotransferase) nwekwara ike idi elu. Na ngwụcha dysfunction, a ga - enwe hyperglycemia n'ihi mbelata nke mmepụta insulin.
Nnyocha nyocha, nke amylase ga-ekpebi (ọ na-anọkarị ya).
Methodszọ abụọ a metụtara ụzọ ụlọ nyocha.
Nkuzi oru gunyere:
- nyocha nke ultrasound;
- fibrogastroduodenoscopy;
- x-ray obi;
- ịmụ banyere arịa nke pancreas;
- laparoscopy abdominal;
Na mgbakwunye, ụzọ eji eme ihe gụnyere igwe onyonyo agbakọ na ndọta.
Ihe enyemaka mbụ na ọgwụgwọ ọgwụ nke pancreatitis
Dịka e kwuru n’elu, ekwesịrị iburu onye ọrịa nwere ọrịa pịrịọkụ n’ụlọ ọgwụ ozugbo enwere ike. Na mwakpo kpụ ọkụ n’ọnụ, ị ga-ebu ụzọ dewe onye ọrịa ahụ ọgwụ. Ọgwụ mgbochi ọrịa anti-inflammatory Nonsteroidal, dịka ọmụmaatụ, mbadamba Ibuprofen abụọ, dabara adaba maka nke a. Mana ha na-arụ ọrụ ọfụma naanị maka nnwere onwe mgbu dị nro ma ọ bụ agafeghị oke.
Ọtụtụ mgbe, ihe mgbu na-enweghị ike ịnagide ya nke na ọ ga-abụrịrị iji belata ọgwụ mkparị (Morphine, Promedol). Iji belata spasm nke akwara afọ, a na-eji antispasmodics (Drotaverin, No-Shpa, Spazmolgon, Papaverin for intramuscular injection).
Edere ọgwụ ndị a na-egbochi mmepụta nke enzymes pancreatic ma, si otú a belata mbibi ya. Ihe di nkpa diri ha (aha ndi ozo - Gordoks, Trasilol). Ọzọkwa, onye ọrịa ahụ kwesịrị ị medicationsụ ọgwụ ndị na-ebelata ihe nzuzo nke ihe ọ gastụ gastụ afọ (omeprazole, ranitidine, famotidine).
Mgbe onye ọrịa ahụ nwere ike iri nri, a na-enye usoro enzyme (Pancreatin, Mezim-Forte, Creon, Pangrol) iji mee ka mgbaze kwụsị.
Akụkụ bụ isi na ọgwụgwọ nke ọrịa ọgwụ pancreatitis bụ usoro ọgwụgwọ nri. Ọ bụ ihe nwute, mgbe ha nwesịrị, ọtụtụ na-enweghị ndidi na ikike iji rie ihe nke ọma na n'enweghị nsogbu.
Ọrụ dọkịta dị na ọnọdụ a bụ ime ka onye ọrịa mara mkpa ọ dị ịgbaso nri, n'ihi na ọ bụrụ na ị mebie nri, mmebi nke usoro mkpali nwere ike ịdapụta ngwa ngwa, ma ọ bụrụ na enyereghị onye ahụ aka n'oge, ọ nwere ike ịnwụ. Ọ dị mkpa karịsịa ime menu nri dị mma maka ndị ọrịa ahụ, ndị, mgbe ha nwesịrị ọrịa pancreatitis, malitere ọrịa shuga.
Nke a bụ ndepụta nlele nke ngwaahịa amachibidoro:
- Mmanya na-acoụ mmanya.
- Sparkling na mmiri dị ụtọ.
- Anwụrụ asịrị, nnu, abụba na eghe.
- Mkpọ nri.
- Uslọ ahịa.
- Ọnụ ọgụgụ dị ukwuu nke ngwa nri na oge.
- Tọ
- Ihe ọ juụurụ gbara ụka.
- Oke nri ma ọ bụ oke nri nri.
A ga-asacha efere niile, ghee ya ma ọ bụ ghee ya. Buckwheat, poteto a na-eghe, ofe nri, osikapa steamed dị mma nke ukwuu.
Etu esi agwọ ọrịa pancreatic n'ụlọ?
Enwere ike iji ọgwụgwọ ọdịnala rụọ ụlọ n'ụlọ ọgwụ. Otutu Ezi ntụziaka ka amara ama nke ị ga-esi chọọ otis, poteto na mkpuru osisi.
Otis bara uru nke ukwuu na panacotitis. Ọ na - eji nwayọ na - ebelata ihe mgbu ma na - ebelata ohere nlọghachi ọzọ. Iji kwadebe ofe oat, ọ dị mkpa ịwụnye otu iko oatmeal ihe dịka otu mmiri mmiri, gbanye ọkụ ma sie nri maka minit 15. Mgbe ihe niile dị njikere, ekwesịrị ị beụ mmiri ahụ ma nye ya awa iri na abụọ. A kwesịrị ị takenụ mmiri a ugboro abụọ n'ụbọchị otu ọnwa iji mezi ọnọdụ ahụ.
Nduku bu ihe di nkpa maka ogwu akwara, n'ihi na, kariri, otutu mmadu nwere ya na ulo. Iji jiri ya dị ka ọgwụ, ị ga-akụrịrị poteto a chọrọ, belata ha nke ọma na grater. A na-etinye slurry na-esi na ya pụta na cheesecloth ma kpoo nke ọma iji nweta mmiri ọ .ụ .ụ ahụ. A na-ewere ihe ọ juiceụ Potụ nduku 100 otu ugboro n'ụbọchị awa abụọ tupu nri. Iji mee ka mmetụta ahụ pụta, mgbe ihe dị ka ọkara otu awa ị nwere ike ị drinkụ kefir obere abụba.
N'etiti mkpuru ahihia, nkpuru osisi bluuberi, sage, wormwood, yarrow, valerian root, St John's wort, immortelle, bilitere hip, pepemint na stigmas nke ọka nwere ihe na-agwọ.
Ka anyị lerukwuo ụfọdụ usoro nri.
A ga-awụsa otu teaspoon nke akwụkwọ pọịlị na obere iko mmiri esi wee hapụ ya maka nkeji iri anọ na ise. Mgbe nke a gasịrị, ịkwesịrị ịpịchaa akwụkwọ steamed ọma. Ihe mmiri a na-akpata na-a drunkụ mmanya dị gram 100 otu ugboro n’ụbọchị obere obere mmiri otu ọnwa.
Na ọnụnọ nke ọrịa shuga 1, ọ na-atụ aro iji sage decoction. Iji mee nke a, were otu teaspoon nke sage, wụsa otu iko mmiri, na-agbanye obere okpomọkụ maka ọkara otu elekere. Efere a nwere mmetụta dị mma na mmepụta insulin. Decoctions nke iris na ahihia na - enyere aka nke ọma ma ọ bụrụ na ị themụọ ha ihe dị ka nkeji iri tupu iri nri.
Immortelle infusion dị mfe ịkwadebe. Ga-achọ ihe dị gram ise nke ifuru ya, nke ị ga-eji iko abụọ nke mmiri oyi wee jupụta n’abali. N'ụtụtụ, a na-agbanwe mmiri ahụ wee were otu iko otu ụbọchị maka onwa.
Ejikọtarakwa nha anya nhatanha bụ mkpụrụ osisi nke anise, ahịhịa nke nnụnụ ugwu ugwu na celandine, mkpọrọgwụ dandelion, ọka ọka na violin nke violet. Mpekere atọ nke ahịhịa ndị a dị mkpa iji wunye ya ọkara ọkara esi mmiri, gbanye ọkụ ma sie ya ọtụtụ minit, wee kpọnwụrụ ntakịrị, nje ma were 100 ml ugboro atọ n'ụbọchị maka izu abụọ, ha ga - enyere gị aka ịgwọ mbufụt.
Njirimara nke nsogbu nke pancreatitis
Site n'enyemaka ahụike ọfụma ọfụma, enwere ike ịme ọtụtụ nsogbu nke usoro mkpali.
Enwere nsogbu dị iche iche na-esite na nro nke pancreatitis.
Ihe mere otu nsogbu na-esite na ogo, ogo na ogo ọrịa ahụ.
Ihe isi ike nke nnukwu pancreatitis gụnyere:
- necrosis pancreatic;
- njikọta ọrịa;
- echichi ekemee.
Na usoro ọrịa na-adịghị ala ala, ịnwere ike inweta:
- Nnukwu oke mmiri na - emegharị ahu.
- Ọkpụkpụ akwara ọbara na-eweta.
- Oge mgbu.
- Mpekere nke biliary tract na obere eriri afọ.
- Ọrịa cancer akpa ume.
- Ọrịa akwara na-egbu mgbu na lipomatosis.
Iji gbochie mmepe nke pancreatitis ga-ekwe omume, ịkwesịrị iri nri nri. N'oge oriri na ezumike, ịkwesighi ikpokọta nnukwu mmanya na nri mara abụba, n'ihi na nke a na-abawanye ibu na pancreas, ka oge na-aga, ọ na-akwụsị ịkwụsị ịrụ ọrụ ya n'ụzọ zuru ezu.
Belata ihe eji esi anwụrụ anwụ, ngwa nri, oseose, eghe, mkpọ. Dị ka ha na-ekwu, ihe niile kwere omume, naanị na imeru ihe n'ókè. Ọ dị mma ịkwụsị ị smokingụ sịga. Ọ bụrụ na enwerelarị ọrịa dịka cholelithiasis, cholecystitis, mgbe ahụ ọ dị ha mkpa ịgwọ ha n'oge. Ọ bụrụ na onye ọrịa na-efe efe ọ na-arịa ihe karịrị otu ugboro, mgbe ahụ ndụmọdụ kachasị mma bụ ịrapara na nri ma were ọgwụ niile dọkịta gị nyere gị nyere gị iwu.
A na-atụle mgbaàmà na ọgwụgwọ maka ọrịa a na-ekwu na vidiyo n'isiokwu a.