Ọrịa biliary pancreatitis bụ ọrịa na-egbu mgbu nke pancreas. Ihe kpatara mmepe nke ọrịa ahụ bụ mmeri ahụ, yana nsị nke eriri afọ na akwara.
Enwere ike ịkọwa ihe nhụjuanya n'oge mbido site na biliary colic, ọrịa dyspeptik, ọrịa jaundice, ọrịa shuga mellitus na oke ibu. Iji chọpụta ọrịa, dọkịta na-edepụta usoro nyocha nke ultrasound nke sistemụ ịba ọcha n'anya, gbakọrọ ma ọ bụ ihe ndọghachi azụ nke mpaghara mpaghara.
Nlekọta anya bụ site na ịhazi ọgwụ mgbochi mkpali na ọgwụ analgesic, ịzụ ọgwụ enzymes, na ịme ka glucose ọbara dị ka ọ dị mma. Onye ọrịa ahụ ghagidere na nri siri ike yana ijụrụ mmanya zuru oke. Ọ bụrụ na achọpụtara calculi n'ime akpịrị, a na-edenye ịwa ahụ.
Kedu ihe kpatara biliary pancreatitis si amalite?
N'oge na-adịbeghị anya, ọnụ ọgụgụ nke biliary pancreatitis amụbawo nke ukwuu. Na Russia, ndị a gosipụtara n'etiti ndị okenye amụbaala okpukpu atọ, ụmụaka na-arịa ọrịa ugboro anọ karịa. A gụnyere usoro ọmụmụ a na nhazi ọkwa nke International nke ntụgharị nke iri, koodu ICD-10 bụ K85.
Ọtụtụ mgbe, etiology na-ejikọta ya na ọnụnọ nke cholelithiasis, n'ọnọdụ a enwere nnukwu ihe ize ndụ nke ịmalite ọrịa. Ọrịa ahụ na-eme ka ọrịa ahụ si na mwepu ọzọ na-aga n'ihu.
Ọnọdụ a dị ize ndụ, yabụ, etinyere ọgwụgwọ ngwa ngwa. Ọ bụrụ na a jụrụ ịwa ahụ, usoro ahụ na - akpata ọrịa nwere ike ibute ọrịa siri ike, nke ga-achọ ọgwụgwọ ka njọ. Ka ọ ghara ịmalite nnukwu ọrịa biliary pancreatitis, ọ dị mkpa ịchọpụta ihe mebiri emebi nke dule dule n'ụzọ kwesịrị ekwesị ma gwọọ ọrịa ahụ ozugbo.
Pathogenesis nke ọrịa nwere ike ịga n'ihu dị ka ndị a:
- Ọrịa ahụ na-abanye pancreas site na ọnya biliary site na ngwara.
- Onye ọrịa ahụ na-ekpughe okwute n’ime ụmụ irighiri ihe na-apụtakarị ihe, nke na-eduga n'ịbawanye ọbara mgbali na ọria.
- Ọkpụkpụ akwara ndị dị na ahụ na - emebi emebi n'ihi mmụpụta nke bile n'ime ebe akwara, na - ebute ọnya. Ọnọdụ ahụ jọkarịrị njọ ma ọ bụrụ na mmadụ nwere ọrịa imeju ọzọ na-akpata, nke na-eduga na mmepe nke nnukwu radicals n'efu.
Ọzọkwa, a na-ahụta usoro mbufụt n'oge e guzobere nsị nke biliary. Cholecystitis na ọnya ụbụrụ na-esote mmịpụta na-eduga na mmebi nke steeti physicochemical nke bile. N'ihi ọdịda na mkpokọta nke ihe ụfọdụ, a na-emepụta obere okwute, nke a na-akpọ biliary sludge.
Mgbe ụyọkọ batara n'ime pale na-emebi emebi, akpụkpọ ahụ mucous na-emerụ ahụ, n'ihi nke a na-ebelata dupe na papillae papillae. N'ihi ya, ihe ọleụ na -agagidesi ike na akwara, enweghị ike ịbanye na oghere nke duodenum, ọ naghị abanye kwa mgbe.
Site na ndọrọndọrọ, a na-eme ka enzymes pancreatic na-arụ ọrụ abụghị n'ime eriri afọ, kama na eriri ọkpọ. Nke a na-emebi ihe mgbochi nchebe nke pancreas na nfe dị mfe nke ibute ọrịa na anụ ahụ.
N'ihi nnukwu okwute dị, a na-ejikarị sọlfị na-efe efe ma ọ bụ Odide sphincter, nke na-edugakwa na ndagide na ndagwurugwu nke bile.
N’aka ozo, mmepe nke oria puru ịmalite n’ihi:
- Ọrịa ọnya afọ;
- Ọdịdị nke bile na pancreatic duct;
- Ọrịa cholecystitis na-adịghị ala ala;
- Cirrhosis nke imeju;
- Gallbladder dyskinesia;
- Nmebi nke motilile nke aru biliary;
- Ọkpụkpụ Pathology Vater.
Ọgwụ ọjọọ nwere ike ibute ọrịa ahụ ma ọ bụ belata ngwa ngwa.
Isi ihe ịrịba ama nke ọrịa
Na ngosipụta ya, akara nke oria a yiri nnọọ oria nke ọrịa eriri afọ dị ka ịba ọcha n'anya, akpụ afọ, eriri afọ na ọnya afọ, ọrịa akwara, ọrịa cholecystitis na-adịghị ala ala. Ya mere, ọ dị mkpa iji nyochaa nyocha zuru oke ma wezuga ọnụnọ nke ụdị mmebi a.
Ihe mgbaàmà nke isi gụnyere mmepe nke ihe mgbu. Onye ọrịa ahụ na-enwe oke ihe mgbu na afọ, azụ, hypochondria, ubu aka nri. N’ezie, ụdị mgbaàmà a na-adị ka elekere abụọ ruo atọ mgbe mmadụ gachara. Ọzọkwa, mmebi ahụ na-eme onwe ya mmetụta n'abalị.
Na mgbakwunye, enwere ụfọdụ ihe ịrịba ama nke pathology nke pancreatic-biliary system. Enwere ike ị nweta ihe mgbu site na iji ihe ọ carbonụ carbonụ carbonated, abụba abụba, nri e ghere eghe na oseose.
N'otu oge ahụ, onye ọrịa ahụ nwere ahụ ọkụ, ọgbụgbọ na ilu na ọnya ọnya. Ọ bụrụ n ’ihi n’elu okwute ahụ a na-apịpụsị apịachi apịaji ahụ, a ga-achọpụta ọnụnọ nke oke jaundice n’ụdị ịiningụ nke mucosa na anụ ahụ.
- Usoro mbufụt ke pancreas na-eduga na imebi ọrụ endocrine. Onye ọrịa ahụ na-arịa ọrịa metabolic, n’oge ọdịdọ, ọkwa shuga dị n’ọbara bilitere ma ọ bụ daa nke ukwuu.
- N'ihi nkwarụ exocrine, enzymatic pancreatic insufficiency na-amalite, ana-ahụbe usoro nri nri.
- Mmadu gha enwe ventricle na ngwo iwe, ebe oria na-aputa ot ut u ugboro n ’ubochi. Ogwu nwere ihe na-egosi mmanu, isi awọ na isi nwa.
- Ọzọkwa, ihe mgbaàmà na-esonye n'inwe nchaba, mkpọtụ na afọ, na-egbu mgbu, obi mgbawa, na-ebelata agụụ.
- Na-emegide ihe gbasara afọ ọsịsa, oke abụba na-abawanye, mgbaze na-agbagha, na -ebelata ogo ahụ. Mmad ụ na-enweta ụkọ vitamin na mineral.
Ọ bụrụ na agwọghị ọrịa ahụ n’oge, ọrịa pancreatitis na-ala ala nke na-ala ala, nke na-esokwa ụdị nsogbu dị iche iche n'ụdị ujo, oke imeju ma ọ bụ okuku ume, encephalopathy, eriri afọ, eriri afọ, eriri afọ, pancreatic necrosis, ọrịa mamịrị, jaundice.
Ihe a na-eleghara anya na-eduga na nsonye pesudocysts, ascites, fistulas, warara eriri afọ.
Ọrịa
Iji chọpụta ọrịa ahụ ma nye nkọwa ziri ezi, dọkịta ahụ nyere iwu maka nyocha ọbara na nyocha nke ọbara. Ọ bụrụ na ọrịa ahụ nọ n'ọnọdụ ọjọọ nke mgbaghara, bilirubin na-ebili n'ihi mgbanwe mkpali.
Cholesterol na-abawanye, oke nke protein bụ isi na-agbada ma na-esogbu ya, yabụ ọ dị mkpa ịme nyocha nke abụọ iji nweta
ezi nsonaazụ. Nyocha banyere ọbara na mmamịrị na-egosi ọ̀tụ̀tụ̀ amylase.
Site n'enyemaka nke endoscopic ma ọ bụ ultrasound intracleal, dọkịta nwere ike ịchọpụta okwute, a na-ewere usoro a ka ọ kachasị dị irè. A na-eji ntụgharị uche na-agbakọ iji nweta ozi zuru ezu.
- Ọ bụrụ na dọkịta achọpụta nnukwu ọrịa biliary pancreatitis, a na-achọkarị ịwa ahụ maka nlekọta mberede. Ọ bụrụ na ọ dị mkpa, iwepu okwute ma ọ bụ meziwanye ọnọdụ nke onuara Vater, n'ihi na a na-eji usoro endoscopic eme ihe.
- Mgbe ọrịa ahụ na-akawanye njọ, dọkịta na-ewepụ ọrịa mgbu na analgesics na antispasmodics. N'okwu a, arụ ọrụ mpụga na nke ime nke pancreas na-agbazi. Maka nzube mgbochi, ekwesịrị ị shouldụ ọgwụ mgbochi iji gbochie mmepe nke ọrịa.
- Na iwe iwe, ụbọchị atọ mbụ na-egosi agụụ na-egbu agụụ. Kama nke nri, drinkụọ mmiri ịnweta alkaline na-enweghị carbon. Mgbe obubuchara ọnụ, ọ dị mkpa iri nri ga-enye gị nri. Onye ọrịa ahụ ekwesịghị ị abuseụ ihe oriri nwere ike ịmịcha, oke oriri na - egbochi carbohydrate. Needkwesiri iri nri mgbe ụfọdụ, mana n'obere akụkụ.
Iji kwụsị mmetụta mbibi nke enzymes, somatostatin, proton pump inhibitors, ndị na-egbochi nchebe nchebe. Enzymatic pancreatic dysfunction na-eweghachi site na enzymes microspherical.
Site n'ịbawanye glucose dị n'ọbara, onye ọrịa na-a drugụ ọgwụ hypoglycemic pụrụ iche. Mellitus na-arịa insulin na-adabere na nyocha chọrọ ndụ na nri.
Iji kwado ọnọdụ ahụ niile ma mee ka usoro ahụ ji alụso ọrịa ọgụ dị, a na-atụ aro ọgwụgwọ ọzọ na mkpịsị ahịhịa. Maka ọgwụgwọ, ị ga-ahọrọ nyocha pụtara ma ọ bụ nyocha dị mma.
A kọwara ụdị ọrịa a na-akpọ pancreatitis na vidiyo ahụ n'isiokwu a.
