Ederede sayensị nke mbụ gbasara ọrịa nke pancreas (pancreas), karịchaa - na mbufụt, pụtara n'etiti narị afọ nke XIX. A kọwara ikpe gbasara ọnọdụ, e nyere data nnwale, yana ihe ọmụmụ nke akwara ahụ na nyocha ọrụ ya. Na ngwụsị nke otu narị afọ ahụ, ịwa ahụ na-aga nke ọma na gland malitere, na-enye ohere iwepu nsonaazụ nke usoro mkpali (wepụ fosị nke necrosis na purulent abscesses) ma nye ndị ọrịa ọtụtụ afọ ndụ.
Ọrịa pancreatic, ihe mgbaàmà na ọgwụgwọ nke ọrịa a, ma ọ bụ nke a na-akpọ pancreatitis, ka bụ isiokwu dị mkpa n'oge anyị. Mgbasa nke ikike ịchọpụta, ma e jiri ya tụnyere narị afọ gara aga, enwere ike ịkpọ ya isi ihe kpatara na ihe kpatara ọrịa pancreatitis na-aga n'ihu. Mana usoro a na-emetụtakwa n'ụzọ ndụ ndị mmadụ, ọkachasị ihe oriri na-edozi ahụ na ọrụ ndị ọkachamara, mkpa, n'ụfọdụ, ibu ọgwụ mgbe niile. Mgbe ọ dị afọ iri anọ, nnukwu oria na-apụtakarị na ụmụ nwoke, mana na ụmụ nwanyị niile na-arịa ọrịa oria karịa oge.
Na usoro gbasara ahụike na usoro prognostic, a na-ahụta ụdị ọrịa mbufụt nke pancreatic dịka ọrịa dị oke egwu. Dabere na ọ dị mkpa maka ịwa ahụ mberede, nnukwu ọrịa pancreatitis dị na ọnọdụ nke atọ, mgbe ọrịa appendicitis na cholecystitis na-arịa ya. Ọ bụrụ na inyeghị nlekọta ahụike n’oge, o nwere ike ime ka e guzobe ahụ mmadụ n’ọbara, “na-agbaze” na necrosis, nke nwere ike igbu ndụ onye ọrịa ahụ ozugbo. Formsdị ọnya na-egbu egbu, nke na-agbadata ike nke arụ ọrụ, dịkwa njọ ma bụrụ nke na-adịghị mma, nke na-eduga n'ọtụtụ ọrịa concomitant.
Mgbe ha dị obere, ọrịa nwoke na-ebutekarị mmadụ
Isi ihe kpatara mbufụt
Usoro mbufụt na-etolite n'ime anụ ahụ ma na-emetụta akụkụ ya niile nwere ike belata arụmọrụ nke pancreas n'ụzọ dị egwu, na-ata ahụhụ nke ukwuu maka akụkụ ahụ niile. Enwere ike ịkpọ ya polyetiological, ya bụ, ịzụlite n'ihi ikpughe ọtụtụ ihe.
Enwere ike ịnọchite anya ihe niile na-akpata mbufụt nke pancreatic dịka ndị a:
- ọnya afọ (mechiri emechi ma ọ bụ meghee);
- ihe ogwugwo n’ahu n’elu aru;
- nnukwu mmebi nke ọbara a na-enye na pancreas n'ihi ihiwe mkpụkọ ọbara ma ọ bụ embolism na akwara akwara, akwara ahụ n'oge arụ ọrụ ma ọ bụ ịmị;
- ọrịa nke akụkụ ahụ dị n'akụkụ akwara (dịka ọmụmaatụ, ya na ọrịa pathologies nke biliary tract, enwere ike ịtụfu bile site na duodenum n'ime nnukwu ọnya ahụ, n'ihi na nke ọ nwere ike ịmịkọrọ.
- nsị site na ọla dị arọ, alkalis;
- usoro nfụkasị ma ọ bụ usoro autoimmune;
- ị excessiveụbiga mmanya ókè;
- njehie na oriri na-edozi (ihe riri ahụ, abụba aokedụ n’ọkụ, eghe, anụ oriri na-ekpo ekpo)
- pathology nke gland endocrine ndị ọzọ (genital, parathyroid);
- nje na-efe efe (mumps, ịba ọcha n'anya);
- parasitic infestations (toxoplasmosis);
- nsogbu nke metabolic nke abụba;
- oke ọgwụ, ọkachasị ọgwụ homonụ;
- ihe ojoo site na pantias;
- mkpụrụ ndụ ihe nketa.
Acdị oke mbufụt na-achọkarị ịmalitegharị.
Nkpugheputa nke oria
Oge mbu nke usoro mbufụt ahụ bụ ihe ejiri mara ya nke ọma na ọrịa pancreas n'ụdị mgbaàmà nke nnukwu mbufụt, yana nkwanye ugwu na ọnọdụ nke onye ọrịa ahụ maka mmepe nke mmụmkpụ ọnya na-arụ ọrụ na metabolism metabolism. Nkpughe putara ihe nile, nke putara ihe yiri ya ma ekpughere ya ma obu iwe ya n’iru n’iru. N'ọnọdụ nke abụọ, ka osiri ike, enwere ike belata ike ụfọdụ mgbaàmà.
Na mkpokọta, ihe ịrịba ama niile nke ọrịa mgbu n’akwara okenye gbakwunye na onyonyo na - esote:
- nnukwu ihe mgbu na ịkọwa ya na mpaghara elu, nke a nwekwara ike inwe mmetụta na aka ekpe na hypochondrium (site n'ụdị agbụ), n'ime obi, n'azụ azụ. Site na mbufụt nke isi akwara, ihe mgbu na-esikwu ike n’okpuru afọ na hypochondrium dị mma, yana mmerụ nke ọdụdụ, ọ na-akawanye njọ n’akụkụ hypochondrium nke aka ekpe. Ka mbibi akwara dị njọ na ụda olu nke obere akwara dị, na-eme ka ọnya mgbu sikwuo ike. Ma na mmalite nke necrosis, ihe mgbu na-ebelata ugboro ugboro na ọ gaghịzakọrịta kwekọrọ na ọrịa ahụ.
- Iji belata ihe mgbu, ndị ọrịa na-agba mbọ ịgbanwe ọnọdụ ha oge niile, mana enweghị isi;
- ọgbụgbọ na ọgbụgba na-egbu mgbu ugboro ugboro, ya nwere imi, bile, mgbe ụfọdụ ọbara;
- akpụkpọ ahụ dị ọcha, na-egbu mara mma, dị mmiri, nke ejikọtara ya na mbelata ọbara mgbali. Ọ bụrụ na ihe mgbochi nke bile ya na nkume jikọtara mbufụt nke pancreas (ya na oria gallstone), mgbe ahu enwere nkpu icteric nke akpukpọ ahu na mucous nke ahụ.
- ọkụ, ọnya obi na-abawanye, adịghị ike siri ike bụ ihe mgbaàmà nke syndrome. Okpomoku di elu (ihe kariri 39), adighi aza ogwu ogwu, mgbe obula nke puru ime ka oria ojoo di ndu;
- a na-ahụta flatulence (bloating) mgbe ụfọdụ;
- n'ọnọdụ ndị siri ike, mgbe ọrịa pancreas na-eto ngwa ngwa nke mbibi ma ọ bụ na-emegide usoro ọrịa ndị ọzọ, usoro mmeghachi omume nke anụ ahụ (akụkụ iku ume, akwara, imeju, ọdịda akwara) sonyere.
Usoro mbufụt bidoro na nguzobe nke akwara nke autolysis na necrosis
Ọ bụrụ na akwara na-acha ọkụ, mgbe ahụ, a chọrọ ụlọ ọgwụ ngwa ngwa nke onye ọrịa ahụ, ma ọ bụghị ya, enwere nnukwu ike ịpụta nsonaazụ na-eyi ndụ egwu. Peritonitis, phlegmon na nkwonkwo nke oghere nke afọ, necrosis nke akụkụ ndị agbata obi nwere ike isonyere nnukwu ọrịa pancreatitis, nke na-eme ka o nwekwuo ike ịdaba na ya pụta.
Na ọrịa akwara na-adịghị ala ala, usoro ndị na-adịghị mma na pancreas anaghị akwụsị ọbụna n'oge mgbaghara. Nke nta nke nta, saịtị nke autolysis, necrosis na mbibi na-edochi site na anụ ahụ njikọ, nke na-arụ naanị ọrụ nhazi, mana anaghị emepụta enzyme ma ọ bụ homonụ. Ya mere, ọnọdụ onye ọrịa ahụ na-akawanye njọ, gụnyere maka mmepe nke ọtụtụ nsogbu. Ndị a gụnyere ịmalite ọrịa shuga mellitus, ọrịa jaundice, na ọdịda ịba ọcha n'anya.
Iji chọpụta ọrịa ọ na-akpata, a chọrọ inyocha ọbara.
Yabụ, ọ bụrụ na ọnya na-acha ọkụ nke mbụ ma ọ bụ nwee ọnya na-adịghị ala ala, onye ọrịa chọrọ nlekọta ahụike pụrụ iche ngwa ngwa. Ikwesighi iwe ihe ọ bụla na-akwadoghị na ọgwụgwọ nke ihe mgbu, ma ọ bụghị na ị nwere ike ibute nnukwu nsogbu. Ọ dị mkpa ịkpọtụrụ onye ọkachamara n'ụlọ ọgwụ ngwa ngwa ebe enwere ike nchọpụta nchọpụta dị iche nke ọrịa.
Diagnostics
Nzọụkwụ nchọpụta mbụ bụ ịnakọta mkpesa ndị ọrịa. Ihe fọrọ nke nta ka ọ bụrụ n'otu oge, a na-eme nnyocha, n'oge a na-achọpụta ihe mgbaàmà nke mbufụt nke akwara.
Nzọụkwụ ọzọ bụ nyocha ụlọ nyocha, gụnyere nyocha ọbara na mmamịrị. N'ime ụzọ dị iche iche, ihe foto, MRI, CT, bekee. Mgbe ụfọdụ, a chọrọ laparoscopy na gastroduodenoscopy.
Ihe omuma a enwetara na-enyere aka mee ka nchoputa nke mbufụt nke akwara na wezuga ọrịa ndị dị ka nnukwu appendicitis, cholecystitis, ọnya afọ na-egbu mgbu, ọnya afọ, infarction myocardial, mgbochi nke eriri afọ.
Nkwadebe kwesịrị ekwesị nke efere bụ ụzọ dị mkpa maka ọgwụgwọ maka mbufụt nke pancreas
Andzọ na ebumnuche ọgwụgwọ
Ọgwụ nke mbufụt nke pancreas, na-aga n'ihu n'ụdị nnukwu, ka a na-eme na ngalaba ịwa ahụ n'ụlọ ọgwụ ma ọ bụ na nlekọta ahụike. Usoro ọgwụgwọ nwere ike ịdị iche na ibe ha, n'ihi ụdị ọrịa pancreatitis nke morphological, ogo ya, na ọnụnọ nke oke mmenaanya. N'ọnọdụ ọ bụla, otu esi ewelata mbufụt nke pancreatic na otu esi agwọ ọrịa ahụ n'ọdịnihu, na-ekpebi n'otu n'otu, yana enwere ike ịnọchite anya ebumnuche ọgwụgwọ ahụ dị ka ndị a:
Ndị na-eme ihe na-egbu mgbu maka pancreatitis- iji mepụta ihe ga-eme ka ihe mgbu kwụsị, kwụsị ọgbụgbọ na ọgbụgbọ;
- belata mmepụta nke enzymes nri site na ígwè, hụ na izobe ihe n'oge;
- nkịtị ọbara mgbali elu;
- emegharia microcirculation n'ime ahụ;
- igbochi nsogbu purulent;
- mejuputa aru, ya bu, sachapụ aru nke ihe toxins na ihe ire ure.
Maka nke a, a na-enye ọgwụ mgbochi ọgwụ niile, mana ihe bụ isi - ịgwọ nnukwu mbufụt nke pancreas kwesịrị imegide ntopute nri zuru oke site n’ọnụ n’ime ụbọchị 3-5, a na-enyefe nri niile n’ahụ. Maka nke a, agwakọta ngwakọta pụrụ iche nke nwere electrolytes na amino acid (Aminosol, Alvezin, calcium na potassium salts), nke a na-ahụ site na mbupudo.
Enwere ike kee ọgwụ niile n’otu n’otu:
- ndị na-egbu mgbu;
- ọgwụ mgbochi;
- antienzyme;
- n'ihi na nkwụsị;
- dabere n'ihe gosiri, iwebata enzymes nri.
Ebe ọ bụ na nnukwu akụkụ nke akwara, spasmodic exretory ducts nke anụ ahụ bụ otu n'ime isi mmalite ihe mgbu, ọ dị mkpa idozi ụda ha, nke na-edugakwa na mweghachi nke arụ ọrụ mmiri. Ya mere, a chọrọ ọgwụ mgbochi antispasmodics, dịka No-Shpa, Drotaverin, Papaverin, Spazmalgon, Duspatalin, bụ nke ọtụtụ mgbe ana-achịkwa intravenously na mberede ọnọdụ mberede. Ọ bụrụ na arụmọrụ ha dị ala, aga-eji mgbochi Novocaine ma ọ bụ Lidocaine rụọ nke mpaghara okirikiri ma ọ bụ anụ ahụ na-emetụta, dabere na akụkụ akụkụ ahụ na-emetụta mbufụt, isi ma ọ bụ ọdụ nke pancreas.
Ihe ntinye ozo nke ihe nfụkasị ahu, tumadi antihistamines, pụtara mgbochi nke mmepe nke mmetụta nfụkasị ọ bụla. Iji mee nke a, ịkwesịrị iji Cetirizine, Allegra, Loratadin, Xizal. Ọgwụ nke otu a nwekwara ike iwepu ihe ịtụnanya nke edema na gland, na -ebelata ike nke mgbidi vaskụla na ịkwụsị usoro ịpụpụ plasma ọbara n'ime oghere nke oghere.
Mmanya na-egbu egbu nwere ike ibute nnukwu ọrịa pancreatitis, nke na-etinye ndụ mmadụ n'ihe egwu
Ntụziaka kachasị mkpa n'ịgwọ oke mbufụt bụ ịkwụsị mmepụta nke enzymes diges site na gland, nke na-enyere aka ichekwa iguzosi ike n'ezi ihe nke anụ ahụ. Edere nkwadebe Antisecretory (antienzyme) dịka Trazilol, Kontrikal, Gordoks, Amidopyrine, Ribonuclease. Agbanyeghị, mgbaze ga-aga n'ihu megide nzụlite mbufụt, nke a na-ebu site na nnọchi enzymes (ọgwụ Festal, Pancreatin, Mezim, Creon). Ha dịkwa mkpa mgbe ha nwesịrị oke mmerụ ahụ, ma ọ bụrụ na enweghi arụ ọrụ nke pancreatic.
Iji mejuputa ọgbụgba n'oge mkpụrụ obi, a na-edobe ọbara ọgbụgba nke ndị nọchiri plasma ma, dịka ngosipụta si gosi, a na-arụ ndị nọchiri ọbara. Measuredị ahụ dị mkpa n'ọtụtụ ọnọdụ ụlọ ọgwụ, iji wepu ngwa ngwa nsị na nsị anụ ahụ n'ahụ. A na - enye ndị ọrịa ọrịa Reopoliglukin, Rondex, ma ọ bụ Polyglukin, nke na-abawanye oke ọbara, n'ihi oke mmụba nke ihe ndị na - emerụ ahụ na plasma. Na mgbakwunye, a na-enye ọgwụ (diuretics) iji wepu nsị na ngwaahịa na-emebi emebi site na akụrụ, si otú ahụ "na-asachapụ" ọbara.
Ọgwụ ị lastsụ ọgwụ ọjọọ na-adịgide ogologo oge mgbe ọ gbasasịrị ọnọdụ onye ọrịa ahụ, ebumnuche ya bụ iweghachi ọrụ nke gland, igbochi nsogbu na nsogbu, na-eme ka usoro ahụ ji alụso ọrịa ọgụ sie ike. Nhọrọ nke ọgwụ na-eme site n'aka dibịa na-aga, dabere n'ụdị na ogo pancreatitis.
Mgbe enyemaka nke nnukwu mgbaàmà, ọgwụgwọ maka mbufụt nke pancreas anaghị akwụsị ma emetụta ọnọdụ nri. E kenyere onye ọrịa ọgwụ tebụl ọgwụgwọ 5p, ma ọ bụ nri pụrụ iche nke na-edobe nke ọma ihe ị ga-eri ma drinkụọ ya na ihe amachibidoro kpamkpam. Na mgbakwunye na ndepụta nke nri anabata na nke amachibidoro, akọwara usoro nke nkwadebe ha. N’iji choro eji aru aru, okpomoku na aru aru nke aru akwara, tinyere aru ndi ozo n’ime ngha, a gha eme ya, sie ya, ma obu mezie ya ma obu esi nri. N'ọnọdụ ọbụla ịkwesịrị ighe na mmanụ ma ọ bụ ghee.
Ọ dị ezigbo mkpa na nri onye ọrịa na-eme kwa ụbọchị anaghị enwe abụba, na-ese anwụrụ, na-egbu egbu, nri nnu, yana nri acidic na-eme ka ọrụ enzymatic nke pancreas ma na-akpalite mgbasa nke mgbakwunye nke mbufụt ke akwara.
Yabụ, ngwaahịa ndị a ka amachibidoro:
- achịcha ọhụrụ, achịcha;
- ụdị anụ, azụ, anụ ọkụkọ;
- sausages na ngwaahịa ndị na-ese anwụrụ;
- pịdụ, marinade;
- ngwaahịa mmiri ara ehi dị elu;
- nri fiber dị elu (mkpo, millet, ọka, ọka beli, kabeji, ahịhịa, radish, radish);
- anụ a chịkọtara na azụ ịba;
- nsen eghe;
- mkpụrụ osisi na mkpụrụ vaịn na-atọ ụtọ;
- kọfị, tii siri ike, mmiri na-egbu maramara;
- ihe ọholicụ alcoụ na-egbu egbu na ihe ọ alcoholụ alcoholụ mmanya ethyl.
A na-anabata ọgwụgwọ herbal maka ọrịa pancreatitis na-adịghị ala ala
Anabatara ngwaahịa ndị ọzọ niile, ọ dị mkpa ịgbaso iwu maka nkwadebe ha. Ọ gaghị ekwe omume ịgwọ ọrịa mgbu na-adịghị ala ala nke na-enweghị nri na-eri mgbe niile, ọbụlagodi ma ọ bụrụ na enweghị nkụda mmụọ ruo ọtụtụ afọ. Onye ọrịa agaghị echefula na ị nwere ike ma ghara iri nri, drinkụọ mmiri mmiri ga-ezuru ya, lita 2-2.5 kwa ụbọchị.
Mgbe ngosipụta oke nke ọnya belatara na n'ọrịa na-adịghị ala ala nke pancreatitis, usoro ọgwụgwọ ọzọ na-anabata nke ukwuu. Site n'ikike nke dọkịta, ị nwere ike iji ahịhịa dị ka chamomile, celandine, dandelion, violet, Mint, hawthorn. Ha na-eme ka nri digestion na peristalsis, ọgwụ anesthetize, “nye” vitamin, amino acid, ihe ndị a na-achọ achọ. A na-akwado ihe ndozi na ihe ndị ọzọ sitere n'aka ha, nke a ga-abụ ụzọ ọzọ maka ọgwụgwọ. Nke a bụ ọmụmaatụ maka uzommeputa ogwu maka mkpuru ahihia.
- gbanye mmiri sie sie mmiri nke 1 liter otu tablespoon nke Mint Mịrị amị;
- siri ọnwụ na 10-15;
- na-a 100ụ 100-150 ml tupu nri.
Ọtụtụ mgbe, usoro ọgwụgwọ, ụzọ nchedo ezuru. Mana, site na ijipụta purulent foci, ọnụnọ nke okwute n'ime akwara ma ọ bụ ịchọpụta akpụ, ọ chọrọ ịwa ahụ.
