Anụ a na-amata ahụ bụ nke digestive system, a na-edo onwe ya n'okpuru ibu okpukpu abụọ. Ahụ mmadụ na - emepụta enzymes ndị na - enyere aka ịkụda carbohydrates, abụba na protein, ma ọ bụ ha nwere ịhazi njigide nri.
N'aka nke ọzọ, anyịnya na-amịpụta insulin hormone na glucagon, nke na-ejikọkwa glucose, carbohydrate, abụba na protein metabolism n'ime ahụ.
Mgbanwe ọ bụla na gland na-eduga n'ịrụ ọrụ nke akụkụ ndị ọzọ. Ọtụtụ mgbe, ọ na-ata ahụhụ site na mbibi na usoro mkpali, yabụ a na-ezo aka na mgbaàmà nke oge dị njọ nke ọrịa pancreatitis na mgbaàmà ndị a na-ahụkarị.
A na - ahokari oria ogwu ndi ozo nke n’egosiputa oria a di iche. Naanị dọkịta nwere ike inye ha ọdịiche dị iche iche site n'enyemaka nke nchọpụta akụrụngwa na nyocha ụlọ nyocha.
Mgbu dịka ihe mgbaàmà nke nsogbu gland
Nnukwu akara nke nsogbu a na –eme ka ihe mgbu bụ ihe mgbu. A na-ahụ ya mgbe niile na nnukwu akụkụ nke ọrịa pancreatitis ma ọ bụ iwe ọkụ nke ọrịa na-adịghị ala ala. Ọdịdị nke ihe mgbu na-egbu mgbu dị iche - site na ndọta na mgbu na -eme ka mmetụ dị nkọ ma belata.
A na-eme ụlọ ọgwụ nke ọrịa mgbu site na olu nke na-elekwasị anya na mbufụt, ọdịdị ya - necrosis ma ọ bụ ọzịza, yana ntinye nke mpempe akwụkwọ peritoneal (peritonitis) na usoro pathological. N'ọnọdụ nke abụọ, a na-ahụ ihe ịrịba ama nke iwe nke mpaghara apịtị, ihe mgbu na-aga n'ihu n'oge palpation.
Site na ịza aza, ihe mgbu na-apụta n'ihi ịgbatịkwu akwara dị n'ime ahụ, a na-ekpughe mkpakọ nke mgbọrọgwụ akwara, ihe jupụtara n'ime mmiri ahụ na ngwaahịa nzuzo.
Ọnọdụ ihe mgbu ahụ dabere na ọnọdụ nke mgbado mgbu ahụ. Onye ọrịa ahụ nwere ike daa ọrịa n’aka nri, aka ekpe ma ọ bụ n’etiti etiti akụkụ nke epigastrium. Enwere ike idobe ọnya ahụ n'ahụ, ọdụ ma ọ bụ isi nke anụ ahụ.
Ihe nrịba ama n’ọtụtụ ihe esereghị ejikọ ya na oriri, ọ fọrọ nke nta ka ọ ghara ịda mbà n’onwe ya, na-agbasikwa ike ka ọrịa ahụ na-aga n’ihu. Na 90% nke ikpe, ọ na-egbukepụ azụ. Agbanyeghị, mgbe ụfọdụ enwere "nloghachi" mpaghara mpaghara obi. Ya mere, ọ dị ezigbo mkpa iche ọdịiche nke pancreatitis na nkụchi obi, angina pectoris.
Ọ na - eso pancreatic necrosis na - eso mgbu, nke nwere ike ibute mkpọtụ mgbu, site na nke onye ọrịa ahụ nwere ike ịnwụ.
Ihe nrịba ama dyspeptik dysfunction
Ihe na-akpata nsogbu a na-eme ka ọ bụrụ nke puru iche. Agbanyeghị, n'ọtụtụ oge, etiology sitere na erighị ihe na-edozi ahụ, ị alcoholụbiga mmanya ókè, oke ibu, usoro nje, wdg Ọtụtụ mgbe, ọrịa ahụ na-egosipụta onwe ya n'ihi nsogbu ndị ọzọ nke eriri afọ.
Ihe ịrịba ama nke nsogbu pịkụl na-ebelata agụụ, ọgbụgbọ na ọgbụgbọ nke nri na - enweghị nri, yana nri nri nri. Ọgbụgbọ na ọgbụgbọ bụ n'ihi iwe nke akwara. A na-emegharị ihe ugboro ugboro, ọ naghị eweta ahụ efe.
Olu nke vomiting dị mkpa, nke na - eduga n'ibe mmiri nke anụ ahụ mgbe niile na ọnwụ nke electrolytes na mmiri. N'ime usoro ahụike, a na-amata ọtụtụ usoro mmiri akpịrị ịkpọ nkụ:
- Agba mbu. Ndị ọrịa na-eme mkpesa maka akpịrị ịkpọ nkụ mgbe niile. N'otu oge ahụ enwere ume iku ume, o siri ike iku ume.
- N’agba nke abụọ, a na-ekpughe agụụ siri ike ị drinkụ mmiri, akpọnwụ akpọnwụ nke mucous akpụkpọ ahụ, ịkpụcha akpụkpọ ahụ, palpit obi na ọnụego obi belata, ikelata oke mmamịrị na-ebelata.
- Na ọkwa nke atọ, a na-egbochi ndị ọrịa, nwee nnukwu ụra, na-ebelata ọbara mgbali elu, na-emetụta obi obi. N'okwu dị oke njọ, a na-agbagha okwu ọnụ, onye ọrịa na-efunahụ mmụọ.
A na - achọpụta nsogbu nke ọrịa pancreatic mgbe niile site na nri digestive - afọ ọsịsa na - afọ ntachi. Ndị ọrịa na-eme mkpesa banyere ịba ụba gas. Nke a bụ n'ihi eziokwu ahụ bụ na enzymes diges na bile acid, nke na-enye nsonaazụ anụ, anaghị abanye eriri afọ na ọnụego kwesịrị ekwesị.
Ihe ịrịba ama ndị dị na mpụta bụ pale na icteric skin n'ihi ịpịpụta ọnya ọnya ọnya na mgbali nke pancreas.
A na-ahụ mkpịsị aka na-acha anụnụ anụnụ na nasolabial triangle mgbe ụfọdụ.
Ihe mgbaàmà nke ọrịa pancreatic
N'ezie, ọ bụ ihe ezi uche dị na ya ịmata nrịba ama nke nsogbu akwara onwe ya. Agbanyeghị, naanị dọkịta nwere ike ịghọta ụdị ọrịa onye ọrịa nwere. Ikwesiri ịkpọtụrụ onye na-ahụ maka eriri afọ, nyochaa ule, nyochaa ule. N'oge afọ ime, ihe ịrịba ama nke nsogbu akwara na-achọ ụlọ ọgwụ ozugbo.
Ido onwe onye ogwu, amaghi ichoputa oria a bu ezigbo nsogbu. Naanị dọkịta, na-eburu n'uche nchọpụta ahụ, nwere ike iche ọdịiche dị n'otu ọrịa na ọrịa ọzọ.
Mgbu na mgbaàmà nke dyspeptik nwere ike igosipụta mmepe nke ọrịa akwara ma ọ bụ nke na-adịghị ala ala, kansa akwara, akpụ ahụ, cystic fibrosis, ọrịa shuga mellitus, pancreatic necrosis.
Clinic dabere na ọrịa ahụ:
- Ọrịa mgbu anaghị egosipụta ụdị ọrịa akwara na-adịghị ala ala na mgbaghara. N'oge nsogbu, a na-achọpụta ihe mgbu dị ukwuu site na ntụgharị ya na azụ ala, ma ọ bụ ọrịa mgbu. Ọnọdụ ụbụrụ na - apụta - afọ ọsịsa ma ọ bụ afọ ntachi. Ọ bụrụ na esoghị ihe oriri, ọgbụgbọ, vomiting nri ma ọ bụ ihe ọ biụ biụ bile tolite.
- Dabere na ọkwa nke ọrịa akwara na mpaghara ọnya ahụ, ihe mgbu ahụ na-egbu mgbu, na-apụta mgbe niile, ma ọ bụ otu ihe ahụ na nnukwu ọrịa akwara. Na usoro mmalite nke pathology, onye ọrịa nwere nsogbu digestive, oche tọgbọrọ chakoo, nri na-ebelata, ibu belata, ịba ụba gas. Na usoro nke ikpe-azụ, vomiting mgbe niile na akwa tọgbọ ala.
- Ọrịa mgbu anaghị egosipụta mmụọ. N'ime ndị ọrịa nwere ụdị nke mbụ, a na-ebelata oke ahụ. Ihe mgbaàmà ụfọdụ gụnyere akpịrị ịkpọ nkụ, mmụba mmamịrị na mmụba anụ ahụ.
- Cystic fibrosis na-esokwa stool, nke enwere ọtụtụ abụba ma olu ya karịrị ego nkịtị. Ndị ọrịa na-eme mkpesa maka agụụ, oke belata, ọnụ na -akwụ.
- Ọrịa akwara a na-akpọ pancreatic necrosis na-esokwa ike ikuku, afọ ntachi, mgbu ma ọ bụ ujo na-egbu egbu.
- Site na otutu na pancreas, flatulence dị. Site na usoro purulent, usoro ikpo ọkụ nke anụ ahụ na-abawanye.
Iji chọpụta mbibi ma ọ bụ mbuze nke pancreas, a ga-enyocha mmamịrị na ọbara.
Dabere na nsonaazụ nyocha ndị a, dọkịta ga-edepụta ọgwụgwọ kwesịrị ekwesị.
Laboratory ihe ịrịba ama nke ọrịa.
Ọkachamara onye mkpesa nke mkpesa nke onye ọrịa nwere ike ikpebi dysfunction nke gland, na agbanyeghị, iji wee chọpụta nyocha ziri ezi, a ga-anwale onye ọrịa ahụ. Achọrọ ile ule ọbara.
A na-egosi mmerụ ahụ site na mmụba nke ọnụego mbelata erythrocyte (ihe karịrị 10 mm na nkeji 60 na ụmụ nwoke na ihe karịrị 20 mm na ụmụ nwanyị), mmụba dị na ọnụ ọgụgụ nke leukocytes na ahụ. N’ime ụmụ nwanyị na ụmụ nwoke, a na-achọpụta mmiri ịkpa afọ. Ọnụ ọgụgụ sel ọbara ọbara na-abawanye.
Ọ bụrụ na onye ọrịa ahụ nwere ọnya ọbara ọbara hemorrhagic, mgbe ahụ nyocha ndị ahụ na-egosi anaemia (mkpokọta sel ọbara ọbara na haemoglobin na-agbada). Nyocha ọbara na 90% nke ikpe na-egosi glucose karịa 5.5 nkeji.
Ihe omumu banyere mmiri na - enye ndu:
- Amylase ọdịnaya kariri otu nkeji 125.
- Na necrosis anụ ahụ dị nro, ọkwa amylase na-ebelata.
- Theta mkpo nke lipase, trypsin na-abawanye.
Egosiputa ihe adighi aru oru n’ahu mmadu, site na mgbanwe nke oke itughari. Ọzọkwa, protein protein na-apụta na ya. Urine diastasis karịrị 100 PIECES, mgbe ọkwa dị elu nke ụkpụrụ adịghị karịa 64 PIECES. N'ime mmamịrị ahụ, a na-ahụkarị glucose na ahụ ketone - nke a na-egosi nbibi nke usoro metabolic.
Na nnukwu mbufụt, a na-eme ọgwụgwọ n'ụlọ ọgwụ. Iji belata ihe mgbu, a na-enye ọgwụ ọgwụ. Ibu ọnụ na pancreatitis ga-enyekwa aka. Mgbe a tụchara ya ka ọ were usoro enzyme, nri (tebụl No. 5). N'oge mgbake, ị nwere ike iji ọgwụgwọ ndị mmadụ nyere aka melite ọrụ nke pancreas.
Usoro ọgwụgwọ maka ọrịa pancreatic na-adabere na ọrịa a kapịrị ọnụ. N'ime ụdị shuga 1, a na-eme ọgwụ insulin, n’ụdị nke 2, a chọrọ nri na mgbanwe ndụ. Na-emegide usoro nchọpụta nke ngwo, ọgwụgwọ nwere ike ịchekwa ma ọ bụ ịwa ahụ.
A kọwara ihe iriba ama na-egosi oria akwara na vidiyo na edemede a.
