Ọrịa na-adịghị ala ala bụ otu ọrịa nke metụtara arụ ọrụ nkịtị nke akwara.
Maka oria a tinyere n’ime otu a, ọnụnọ nke mgbu na nke negirosisi n’arụ ahụ, nke akụkụ ụbụrụ na-esonyere ya, na-eduga n’ọkpụkpụ gland n’ime ogo ogo ogo.
Ọrịa pancreatitis na-adịghị ala ala na-eduga na mmalite na mmepe nke atrophy nke anụ ahụ gland. Na mgbakwunye, fibrosis na-aga n'ihu, mkpụrụ ndụ anụ ahụ na - ejikọta mkpụrụ ndụ glandular nke parenchyma.
Isi ihe kpatara ọrịa ahụ
Ejiri ọrịa a na-egbu oge na mkpochapu enzymes pancreatic yana ịgbanye intraorgan ha.
Nke mbu, trypsin na lipase na-aru oru n’ime onodu a. Enzymes ndị a na-akpata autolysis nke parenchyma nke gland, proliferation nke anụ ahụ na-ejikọta ya na nguzobe nke ịchafụ. Ha niile na-akpalite sclerosis nke gland, nke na-eduga n'inweta ọgba aghara na mmejuputa mgbasa ọbara dị ka akwara.
Ihe di ezigbo mkpa na mmepe nke oria bu autoaggression.
Isi ihe kpatara ya bụ ị abuseụbiga mmanya ókè.
Na mgbakwunye, nri protein na-eri ogologo oge na iji ụtaba nwere ike ime ka ọnọdụ ahụ sie ike.
Ọzọkwa, ihe ndị na-akpata usoro mkpali na pancreas, nke nwere ike ibute ọrịa pathology, nwere ike ịbụ:
- ọrịa ndị metụtara ọrụ nke ọnya biliary na duodenum;
- ọrịa ọnya;
- pathology na arụ ọrụ ma ọ bụ anatomi nke sphincter nke Oddi;
- duodenitis;
- ọnya duodenal.
Na ọnụnọ nke cholelithiasis na choledocholithiasis, ọ na-apụtakarị ụmụ nwanyị gbara afọ 50-60.
Ọtụtụ mgbe, mmalite nke mgbaàmà ọrịa na-esonyere na mmụba nke metabolic syndrome, isi ihe ịrịba ama nke ndị a bụ:
- Ibu ibu
- Hyperlipidemia.
- Dị ka ọnya ọbara.
- Ọrịa ọrịa obi Ischemic.
- Imebi ohere nke carbohydrates.
- Hyperuricemia
Ihe egosiputara bu ihe mbu bu na oria.
N’oge na-adịghị anya, mana ọ nwekwara ike bute ọrịa:
- fibrosis cystic;
- ọrịa metụtara ọnụnọ nke ihe nketa;
- ụdị idiopathic;
- ihe kpatara mbufụt autoimmune;
- onye ọrịa ahụ nwere ọrịa sistem na vasculitis;
- mmebi ahụ na ụfọdụ nje na nje nje na-efe efe;
- mmepe nke ọrịa shuga n’ahụ;
- ischemic iche;
- ọrịa na anatomi nke pancreas;
- na-arịa ọrịa mmerụ ahụ na mpaghara akụkụ ahụ yana ihe ọjọọ na-egbu egbu.
Usoro mmerụ ahụ nwere ike ibesa ma ọ bụ nwee oke naanị mmebi ahụ na isi ma ọ bụ ọdụ.
Ndị dọkịta na-achọpụta ọdịiche dị iche iche nke ọrịa - edematous, parenchymal, sclerotic na iṣiro na fibrocystic.
Zọ nhazi ọkwa
Chr. Ọria pancreatitis bụ ọrịa na-eji nwayọ nwayọ na-enwe ọdịdị ahụ.
Nchịkọta yana necrosis na-eso.
E nwere ọtụtụ nhazi ọkwa nke otu ọrịa ndị metụtara ụdị ọrịa akwara nke na-adịghị ala ala.
Dabere na ICD, a na-ahọpụta ụdị ọrịa oria ndị a:
- Mmiri nsi na metabolic.
- Idiopathic.
- Ihe eketa.
- Nchekwa onwe.
- Ntighari.
- Ihe mgbochi.
- Mpempe akwụkwọ mbụ.
- Akwụkwọ nke abụọ.
Dabere na nhazi ọkwa nke M.I. mepụtara. Usoro nke Kuzin kewara n'ụdị ndị a - isi, post-traumatic na nke abụọ.
A na - ekewa ụdị ọrịa izizi, n'aka nke ya:
- egbu egbu
- n'ihi imebi nri mara mma;
- ọgwụ;
- megide ndabere nke ọdịda na metabolism;
- etiology doro anya.
A na - ekewa ụdị ụdị ọrịa post-traumatic na iche iche:
- Post-traumatic, megide ndabere nke onye ọrịa na-enweta mmerụ ahụ na-emeghe.
- Post-traumatic, megide ndabere nke onye ọrịa na-enwe mmerụ ahụ na-enweghị isi.
- Megide ndabere nke mmebi intraoperative.
Thedị nke abụọ nke usoro mkpasu iwe n’akwara anụ ahụ nwere ike kewaa:
- cholangiogenic;
- lymphogenous cholecystopancreatitis, na-etolite megide ndabere nke choldocholithiasis;
- bụrụ na ọrịa eriri afọ, gụnyere isi na nke abụọ duodenostasis, duodenal diverticulum, na ọganihu nke ọnya afọ, na ọnụnọ nke ọnya;
- ọria nke na –eme ka ikewapu nwa n’azu ahihia;
- ọrịa na-arịa endocrinopathy;
- pathology, guzobere n'ihe banyere ikpughe ihe ndị ọzọ etiological.
Nke kachasị bụ nhazi ọkwa nke ndị dọkịta German mepụtara. Ọ na-ekewa ndị ọrịa na otu dị iche iche dabere na etiology, ogbo na ogo ọrịa ahụ.
Ihe mgbaàmà njiri mara ọrịa ahụ
Ihe mgbaàmà nke pancreatitis na-adịghị ala ala nwere ike ịdị iche na nke ọ bụla ma dabere na ogo mbibi anụ ahụ na mpaghara ya na-emetụta usoro mkpali.
Ọtụtụ mgbe, ọrịa na-esonyere oge mgbaghara na iwe.
N'oge iwe, onye ọrịa na - enwe ihe mgbu siri ike. Ihe mgbaàmà a bụ ihe kachasị ekwupụta.
Mgbu nwere ike ịbụ nke nzuzu ma ọ bụ ịkpụ. N'ụfọdụ, ọ bụrụ na ewereghị ihe kwesịrị ekwesị n'oge enyere, ihe mgbu nwere ike ịkpasu mmadụ iwe.
Oftinye ihe mgbu nwere ike ịbụ ma aka nri na hypochondrium aka ekpe. Ọ dabere na ọnọdụ nke mmebi ahụ. N'ihe banyere akụkụ ahụ dum site na usoro mkpali, ihe na-ebute herpes zoster.
Kacha mara njiri mara akara nke ọrịa bụ ndị a:
- ọdịdị ọnya afọ;
- mmepe nke ọrịa aghara aghara nke exocrine;
- ọrịa endocrine dysfunction syndrome;
- ọrịa dyspeptik.
Na mgbakwunye, a na-elekarị mbugharị nke biliary ọbara mgbali.
N'ọnọdụ ụfọdụ, enwere ike ịmalite ịmalite oria n'ụdị na-enweghị mgbu. Ọtụtụ mgbe, ụdị a na - ebute ihe mgbu, nwee ike ịnwe oge dị iche. Ọganiihu na-enweghị mgbu a na-ejikarị ya site na mmetụ ahụ erughị ala nke na-etolite na mpaghara epigastric.
N'ọnọdụ ndị dị otú ahụ, onye ọrịa na-enwekarị ọrịa na ọdịdị nke mgbu, ọchịchọ nke afọ ọsịsa na steatorrhea.
Enweghi nzuzo nke mpụga, ọbara mgbali biliary na nsogbu ndị endocrine
Ihe ngosi putara bu igwu.
Na mgbakwunye, ezughi oke nke exocrine bụ ihe eji mara ọrịa na usoro nke nnabata nri nri gbarie.
Maka usoro ogwu a, ọdịdị nke ọtụtụ ihe iriba ama na akara pụtara agwa.
Ihe mgbaàmà nke ezughi oke nke exocrine bu ndi a:
- afọ ọsịsa
- steatorrhea;
- okfu anụ ahụ;
- ọdịdị mmetụta nke ọgbụgbọ;
- vomiting mgbe niile
- nri riri.
Mgbe mmebi gland mere, a na-ahụ ka itolite nje na-arịwanye elu nke nje, nke na-akpasu iwe:
- Ire.
- Na-asụ ngọngọ eriri afọ.
- Ije ahiri na-adighi nma.
Ionga n'ihu nke ọrịa na - eduga n'ọdịdị nke akara njiri hypovitaminosis:
- anaemia
- adịghị ike;
- mkpụkpu nke anụ ahụ;
- ọgba aghara na usoro metabolic.
Ihe ndabere maka agam n’ihu nke iku ume nke exocrine bu mbibi nke acinar sel nke gland. N'ihi nke a, ọ na - emebi mmiri nke enzymes pancreatic n'ime eriri afọ.
Ejiri ọbara mgbali ala na-enwe ọrịa jaundice na cholangitis. N'ime ọtụtụ ndị ọrịa, e dekọrọ ọnụnọ nke hyperbilirubinemia nwa oge ma ọ bụ nke na-adịgide adịgide. Ihe kpatara ogwu a bu mmụba nke isi gland, nke na-akpalite mkpakọ nke choledochus na ọganiru choledocholithiasis na pathology nke nnukwu paodenal papilla.
Ọkpụkpụ endocrine na-ebute n'ihi mbibi anụ ahụ nke gland nke ngwa mgbakwunye islet, nke na-eduga na enweghi ike nke insulin na glucagon, nke na-akpalite ọrịa shuga mellitus.
Usoro nyocha
Nchoputa nke oria a na - ebute ufodu.
Usoro ahụ dum dabere na njirimara atọ - njirimara akụkọ. Ọnụnọ nke mpụga na intracecretory insufficiency na njirimara nke mgbanwe njiri mara ihe na akwara nke anụ ahụ.
Ọtụtụ mgbe, nchọpụta ahụ jikọtara ya na nyochaa ogologo oge nke onye ọrịa nwere okike ịkọwa ọrịa.
N'oge nyocha, a na-eji usoro ndị a:
- Nnyocha ụlọ nyocha.
- Nleta oru.
- Oria di iche.
Nnyocha ụlọ nyocha gụnyere ịnara ọbara maka nyocha nke ihe ọmụmụ, na-eme nnwale nnabata nke glucose, na-ekpebi ọnụnọ nke abụba na oke nke ogo ma ọ bụ nwee usoro, yana ịme ule arụ ọrụ.
Dika uzo eji eme nnwale, a na-etinye ultrasound na ERCP. Latterzọ nke ikpeazụ na-enye gị ohere ịchọpụta nkuzi nke gland na-abawanye ụba na mmepe nke usoro mkpali na ya.
Ihe mgbaàmà nke ngosipụta nke ọrịa yiri akara nke afọ ime. Ya mere, ọrịa a kwesịrị ịdị iche site na ọnya afọ zuru oke, cholecystitis nnukwu, mgbochi nke eriri afọ, ma ọ bụ thrombosis eriri afọ. Maka ebumnuche a, a na-eji nchọpụta ọdịiche. A na-eme nyocha niile n'ụlọ ọgwụ.
Mgbe nyochachara nke ọma, dọkịta ahụ kọwara nkọwa nke pathogenesis ma nye nkwubi okwu banyere ọnụnọ nke ọrịa pancreatitis na-adịghị ala ala na onye ọrịa, mgbe ahụ, a na-enye ọgwụgwọ kwesịrị ekwesị, na-atụ aro maka ịgbanwe nri.
Forzọ esi agwọ ọrịa ahụ
Enwere ike ọgwụgwọ ọgwụgwọ ọrịa na-enweghị nsogbu ọ bụla site na ọgwụgwọ outpatient n'okpuru nlekọta nke dibia gastroenterologist.
Ebumnuche ebumnuche ndị na-eme ọgwụgwọ ọgwụgwọ ahụike bụ ịkwụsịcha ma ọ bụ nkwụsịtụ nke ọrịa ahụ na ọgụ megide nsogbu, ọ gaghị ekwe omume ịgwọ ọrịa ahụ kpamkpam ma weghachi ike ọrụ nke akụkụ ahụ.
Na usoro ị drugụ ọgwụ ọjọọ nke ọrịa ahụ, a na-edozi ọtụtụ ọrụ.
Ebumnuche ebumnuche ọgwụgwọ bụ:
- mwepu nke ihe ndi n’enye obi uto;
- nnwere onwe nke ihe mgbu;
- mgbazi nke ezughi oke na gland;
- ọgwụgwọ nke concomitant nsogbu.
Ọrụ bụ isi nke onye ọrịa bụ ị fooda ntị na nri nri - amachibidoro ị vegetablesụ inine na-abawanye acidity nke eriri afọ, dịka ọmụmaatụ, tomato, ọ dịkwa oke mkpa ịkwụsị ị smokingụ sịga ma drinksụọ mmanya nwere mmanya. N'ọnọdụ ụfọdụ, a na-eji ibu ọnụ agwọ ọrịa maka pancreatitis.
N'oge ọgwụgwọ, a na-eji ọgwụ ndị metụtara otu dị iche iche nke ọgwụ ọgwụgwọ.
Iji belata ibu na eriri afọ n'ime ụbọchị 2-3 mbụ, a na-atụ aro ka ebu ọnụ na-agwọ ọrịa, nke mejuputara iri nri. N'ime oge a, ị nwere ike ị drinkụ obere mmiri ịnweta mineral na-enweghị gas.
Iji belata ibu dị na gland, a ga-a drugsụ ọgwụ ndị nwere enzymes diges.
Na mgbakwunye, ị kwesịrị ị tabletsụ mbadamba ihe na-enyere aka belata acidity nke ihe ndị dị na ya na igbochi mmepụta acid. Ọgwụ a nwere ike ịbụ pancreatin.
Ejiri ọgwụ nje iji gbochie usoro mkpali. Omenala ọdịnala na-atụ aro ka oge iwe ọkụ iji sepo pọks na mucous maka nri, nke na-atụnye ụtụ na ọria diges. You nwere ike iji otite mee ụdị ofe a.
Ọ bụrụ na achọpụtara ihe achọrọ maka ịwa ahụ ọfụma, a na-arụ ọrụ ịwa ahụ.
Nnọọ nke mgbake adịchaghị mma, dịka ọmụmaatụ, ọnụ ọgụgụ ndị nwụrụ na ọnụnọ ọrịa na afọ 20-25 bụ ihe dịka 50%. Ihe dị ka 20% nke ndị ọrịa na-anwụ site na nsogbu n'oge ọganihu ọrịa ahụ.
Gịnị bụ ọrịa na-adịghị ala ala ga-agwa ndị ọkachamara na vidiyo ahụ n'isiokwu a.
