Ọrịa biliary na-efe efe, n'ụzọ dị iche na ọrịa mbufụt na-arịa ọria nke mbụ. Ka emechara, ọ na-amalite n'ihi ọrịa nke gallbladder, bile ducts na umeji. Nke a bụ usoro a na-akpọ biliary. Imebi ihe mmirichukwu, na iwe ma ọ bụ itinye ya na akwara na-ebute mmepe nke nnukwu ọnya. Ọrịa ụbụrụ jọrọ njọ n'etiti ndị okenye, ọ na - abụkarịkwa ụmụ nwanyị. Ihe dị ka ọkara nke ọrịa pancreatitis bụ nke a kpatara. Dabere n'ịdị njọ nke usoro ahụ, a na-amata ụdị nnukwu oria a na ọrịa pancreatitis na-adịghị ala ala. Ọ bụrụ na agwọghị ya ọrịa, nje na - ebute ọrịa nwere ike ibute nnukwu nsogbu na ọbụnadị ọnwụ.
Usoro ngosipụta
Normalrụ ọrụ nkịtị yana ọrịa ahụ ya na akụkụ ahụ na oke afọ nwere njikọ chiri anya. Ọnọdụ nke dule dule nwere mmetụta siri ike na ya. Ihe otite ahụ na-achikọta ma na-echekwa bile, nke nwere ihe ndị pụrụ iche maka mmụba nke abụba. N'oge arụ ọrụ gallbladder mgbe nri gachara, afọ gafere site na akwara ndị ahụ banye na duodenum, ebe ọ na-etinye aka na mgbaze. Ma ọ bụrụ na a na-emebi usoro a, ọtụtụ ndị ga-amụta banyere biliary pancreatitis.
A sị ka e kwuwe, nsogbu bụ na na mpụga mpe mpe mpe akwa na-agwakọta na wirsung dupe nke pancreas. N'ọnọdụ dị mma, anaghị akọpụtaghị ya, ebe ọ bụ na sphincter Oddi mechiri oghere akwara ahụ na nrụgide dị na ya dị elu karịa na ebe otu ebe. Ma mgbe ụfọdụ bile na-abanye pancreas. Nke a na - emebi emebi anụ ahụ ya site na bile acid. Mgbe ụfọdụ obere nsị na-agbaji n'otu oge, ihe ọ pancụ pancụ na-egbu egbu na ihe na -eme ka mmiri jupụta na palandyma niile nke gland N'otu oge, enzymes nwere ike ịgbalite site na bile acid, ma “mgbaze” nke anụ ahụ nke aka ha amalite. Nke a na - akpata usoro mkpali siri ike.
Ọtụtụ mgbe, ọrịa na-etolite n'ihu ọnụnọ nke nkume kele dule
Ihe kpatara
Egwu biliary na-ebute oria site na iwe iwe nke oria di iche iche nke gallbladder ma obu bile ducts. Ọtụtụ mgbe, ihe na-akpata mbufụt bụ site na injection nke bile n'ime pancreas n'ihi mkpọchi nke eriri abụọ ahụ nwere nkume. Mana ọ nwekwara ike kpalite mmekpa ahụ nje nke n’akwara ndị a n’ime.
Ihe kpatara ụdị ọrịa a bụ ọrịa na - esote:
- ọrịa ọnya;
- na-eme ka ihe buru ibu nke ezi uda di na ya;
- nhụjuanya na nhazi nke traktị biliary;
- iṣiro nke cholecystitis;
- gallbladder dyskinesia;
- cholangitis;
- cysts na neoplasms ndị ọzọ;
- ihe mgbochi duct;
- spasm nke sphincter nke Oddi;
- mmeghasị nke ọrụ nke Vater papilla, nke nke bili na-abanye na duodenum;
- ihe helminthic infestations;
- Usoro mbufụt ke duodenum;
- tum tum na ebe a;
- cirrhosis nke imeju.
Ọ bụghị naanị ihe mgbochi nke dule bile nwere ike kpalite nkedo nke bile na pancreas na iwe nke usoro mkpali dị na ya. Mmụba nke nrụgide nwere ike ime n'ihi ojiji nke nri na-eme ka usoro mgbaze niile dị. Ndị a bụ mmanya na-egbu egbu, e ghere eghe, oseose na abụba, ihe ọ carbonụ carbonụ carbonated. Ihe kpatara oke iwe nwekwara ike ịbụ ọgwụ ọgwụ choleretic.
Ọrịa
N'ihi mgbanwe nke bile ma ọ bụ nje na-abanye na pancreas, usoro mkpali na-amalite na ya. Acli acid na-arụ ọrụ na enzymes pancreatic na-akpata mmebi nke anụ ahụ gland, nke nta nke nta na-ebibi mkpụrụ ndụ ya. N’ihi nke a, arụ ọrụ nke ahụ a na-emebi emebi.
Ihe mgbaàmà kachasị nke biliary pancreatitis bụ mgbu afọ, ọgbụgbọ, adịghị ike, na mgbe ụfọdụ ahụ ọkụ
Isi ihe a na-ahụ nke ọrịa pancreatitis biliary na-akpata bụ otu ihe na ụdị ndị ọzọ. Ndị a bụ ihe mgbu na-egbu mgbu n'ime akwa dị na elu, ọgbụgbọ, oke dị n'ime afọ mgbe ị risịrị nri, ọgbụgbọ, ọnya afọ, na mgbu. Ma ebe ọ bụ ya na mbufụt nke pancreas, ọnya na-arịa ọnya na-amalite, a na-ahụta ọrịa a kapịrị ọnụ nke ọrịa. Dabere na ha, dọkịta nwere ahụike nwere ike ime nchọpụta nke mbụ tupu nyocha.
Enwere ike ịbụ okwute na pancreasImebi ihe mmirichukwu nke mmiri na - eduga n'inwe ụdị mmechuihu na-adịgide adịgide. Na mgbakwunye, enwere ike idobe ihe mgbu ahụ abụghị na ekpe, dịka ọ na-adịkarị maka pancreatitis, mana n'aka nri, a ga-enye ya aka nri, ogwe aka ma ọ bụ azụ. Mgbe ụfọdụ enwere jaundice mgbochi. Ihe mgbaàmà a na-egosi mmachi nke dule dule ya na okwute. Kama ọrịa shuga na-emebu na pancreatitis, n'ụdị ya nke biliary na-eduga na ntachi obi, mgbe ụfọdụ na-akwụsị na mgbochi afọ. Okpomoku di omimi ma o buru n’elu, o di obere.
Ihe anakpo anakpo biliary pancreatitis site na ezughi oke nke ulo ya na mpụga ya. Nke a na - eduga na ịba uru dị iche iche na usoro nri. Mbelata ego nke enzymes na-akụghasị mgbaze nke protein, ndakpọ abụba na nnabata nke carbohydrates. Na mgbakwunye na ọgbụgbọ, obi mgbawa, flatulence na nsogbu mgbakasị, nke a na-eduga n'ịbelata agụụ, oke ibu na enweghị ezigbo ihe achọrọ. Ọ bụrụ na emebi mkpụrụ ndụ nke na-emepụta homonụ, a na-ahụ hypo- ma ọ bụ hyperglycemia. Nke a nwere ike ibute ọrịa shuga.
Diagnostics
N'agbanyeghị eziokwu ahụ bụ na a na-ahụkarị ọrịa biliary pancreatitis ọrịa ụfọdụ, ọ ka dị mkpa iji nyochaa nyocha zuru oke. Ọrịa ọ bụla nke gallbladder, akụkụ ya na mbufụt ya na pancreas n'onwe ya bụ ihe ultrasound na-ekpebikarị. Ọ bụrụ na enyo enyo na ọnụnọ nkume dị, CT ma ọ bụ MRI na-ahụ nha ha na ogo ha, mgbe ụfọdụ a na-emekwa cholangiopancreatography.
Na mgbakwunye, ọbara na mmamịrị bụ ihe iwu. Ogologo biliary pancreatitis ga-egosi site na mmụba na ọkwa nke leukocytes, transaminase, bilirubin na enzymes alkaline phosphatase. Ntinye ure nwere ike igosi onodu glucose di elu. Nnyocha dị otú ahụ zuru oke na-enyere aka ịmata ọdịiche dị na ọnya afọ nke afọ ma ọ bụ duodenum, neoplasms dị iche iche, ịba ọcha n'anya, cholecystitis na ọrịa ndị ọzọ.
Ọgwụgwọ
Mwakpo nke biliary pancreatitis gosipụtara nke ukwuu, nke biliary colic, vomiting na jaundice na-egbochi, chọrọ ọgwụ ịga ụlọ ọgwụ. Mgbe ejiri mmanụ gallion mee mkpọchi ahụ, akwara ịwa ahụ na-adịkarị mkpa, ma ọ bụrụ na ọ ga-ekwe omume mbibi anụ ahụ ọ bụla, nke a nwere ike ibute peritonitis, sepsis na ọnwụ.
A pụrụ ịgwọ ọrịa biliary pancreatitis na-adịghị ala ala, karịsịa n'ọnọdụ ndị dị nro, n'okpuru nlekọta ahụike n'ụlọ. Usoro ọgwụgwọ maka ọrịa a kwesịrị ịbụ nke zuru oke. Ọ bụ nke a gụnyere ị useụ ọgwụ pụrụ iche na nri nri. Oge ụfọdụ ịchọrọ ịwa ahụ nwere ike inye aka weghachite azụmaahịa nkịtị.
Site na biliary pancreatitis, a na-achọkarị ịwa ahụ.
Ekwesịrị ịgwọ ọgwụ ọgwụ maka ọgwụ biliary pancreatitis. Ọtụtụ mgbe, a na-eji ọtụtụ ọgwụ ọgwụ eme ihe maka nke a. Treatmentdị ọgwụgwọ ahụ siri ike na-enyere aka iweghachi ọrụ akwara ngwa ngwa ma melite ọnọdụ onye ọrịa.
Nke mbu, odi nkpa iji belata ihe mgbu. Antispasmodics bụ ihe dabara adaba maka nke a: No-Shpa, Papaverin, Drotaverin. Na udiri oria ogwu, a na-edozi ha ka ha buru ogwu ma obu intramuscularly. Enwere ike wepu obere ihe mgbu na nyocha: Baralgin ma ọ bụ Analgin.
Iji belata usoro mkpali, ọ dị mkpa iji belata ọrụ nke enzymes digestive. Maka nke a, a na-eji ọgwụ antisecretory eme ihe. Ọ nwere ike ịbụ omeprazole, somatostatin ma ọ bụ eriri afọ.
Na ọnụnọ nke ọrịa, iji ọgwụ nje mee ihe dị mkpa. Ọtụtụ mgbe, nke a bụ Ceftriaxone, Amoscicillin ma ọ bụ Abactal.
Na-emegide ọrụ exocrine nke pancreas, a na-enyekarị enzymes diges: Creon, Pancreatin, Panzinorm. Mgbe ụfọdụ, a chọrọ iji ọgwụ hypoglycemic.
Maka usoro ọgwụgwọ symptomatic, a na-eji ọgwụ dị iche iche eme ihe. Na ọnụnọ nke ọgbụgbọ na ọgbụgba - Motilium, Domperidone ma ọ bụ Tserukal. Iji mezie ihe mejupụtara na mmegharị nke bile - Hepatofalk ma ọ bụ Odeston. Ursofalk nwere ike igbari obere okwute.
Enweghị nri pụrụ iche, ọ nweghị ọgwụgwọ ga-adị irè.
Nri pụrụ iche dị ezigbo mkpa maka ọgwụgwọ ngwa ngwa. A sị ka e kwuwe, a na-akpatakarị mwakpo ọgụ site na iji nri nke nwere akụrụngwa ma ọ bụ kpalie ọrụ ihe ọ juiceụ pancụ pancreatic. A ga-atụfu ụdịrị ngwaahịa ndị ahụ ozugbo. Ihe ọ Theseụ drinksụ ndị a bụ ihe ọholicụholicụ na-aba n'anya na carbon, ihe oriri mara abụba, nri ndị na-ekpo ekpo na nri. Ngwa Cholagogue bụ ude gbara ụka, bọta, akwa nkochi ime akwa, elu, kabeeji, tomato, mkpụrụ osisi citrus, ọka dum, ahịhịa ndị siri ike. Ọ dịkwa mkpa ka ewezuga ha eri nri.
Nri onye ọrịa nwere mejupụtara nke esiri esi nri, nke gweriri nri ngwa ngwa. Ndị a bụ ọka, anụ ezi ma ọ bụ azụ, chiiz ụlọ nwere obere abụba, achịcha a mịrị amị, ofe mucous, ofe rosehip, mmiri ịnweta. Ghichaa ya na obere akụkụ, ugboro 5-6 kwa ụbọchị.
Nsochi
Ọ bụrụ na agwọ ọrịa ọrịa biliary pancreatitis amaliteghị n'oge, n'oge na-adịghị oke njọ ga-ekwe omume. Nke mbu, acid bile na ihe ọ pancụ pancụ pancreatic nke dakwasara na anụ ahụ gland nwere ike ibute ọrịa parenchymal pancreatitis, nke na - ebutekarị atrophy mucoal ma ọ bụ pancreatic necrosis. Na mgbakwunye, mmebi nke mkpụrụ ndụ gland nwere ike ibute ọbara ọgbụgba na eriri diges, mgbochi afọ, na ọrịa shuga mellitus. Ọtụtụ mgbe ọ na-enwe nnukwu imeju ọdịda, na-arịa ma ọ bụ etuto nwere ike ịmalite.
O siri ike ma ogologo oge ịgwọ biliary pancreatitis, mana a ga-egbochi mmepe ya. Iji mee nke a, ọ dị ezigbo mkpa ileba nri anya, hapụ omume ọjọọ na nri ngwa ngwa ma nyochaa ahụike nke akwara afọ. Inyocha dọkịta mgbe niile na ụzọ ndụ dị mma ga-enyere aka ịnọgide na-enwe ahụ ike.
