Stonesme okwute n’agha

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Onye ọ bụla ma na okwute nwere ike itolite n’ime akụrụ ma ọ bụ nnukwu akpa. Ọ bụghị onye ọ bụla nwere ike ịza ajụjụ a - enwere okwute dị na pancreas?

A na-achọpụta ọrịa Pancreolithiasis nke na ọ dịkarịsịrị njọ nke na ọbụlagodi mgbe ị kpọtụrụ dọkịta, ọkachamara na-amalite iche na ọrịa a enweghị ntakịrị.

Ikwesiri ịgwọ ọrịa ogwu na-egbu oge, okwute ndị dị na pancreas na-eso nnukwu mgbu ma nwee ike ibute necrosis nke gland na mmepe nke ọrịa shuga.

Ihe Na-akpata Usoro Nkume

Idebe okwute nwere ike ịdị na ahụ, ọdụ ma ọ bụ n'isi gland, mana ọtụtụ mgbe na-etolite na mmiri ahụ. Ọria Pancreatolithiasis na - ebute nsogbu megide ọrịa pancreatitis site na nchikota nke ọtụtụ ihe na - adịghị mma.

Ihe na-ebute mmepe nke pathology gụnyere:

  • mmebi nke metabolism nke-calcium;
  • guzobe cysts na akpụ na-egbochi mpụta ihe ọ juiceụ pancụ nke pancreatic ma na-eduga n'ọnọdụ ya;
  • ọrịa na-efe efe na mbufụt nke ọnya nri;
  • dysfunction nke gril parathyroid;
  • oke ibu na oke mmega ahụ;
  • nicotine na mmanya riri ahụ.

Ekwenyere na otu n'ime ihe na-akpata pancreolithiasis bụ ihe mgbochi sitere na ya.

Etuputara okwute jiri nwayọ.

E nwere usoro ato, nkebi:

  1. N’agba nke mbụ, ihe mejupụtara mkpụrụ ndụ akwara na-agbanwe agbanwe, ihe ọ theụ theụ ahụ na-ebuwanye ibu ma na-etolite protein dị n'ime akwara.
  2. N'ime ọkwa nke abụọ, mmiri nzuzo nke kalsal a na-ekpuchi ekpuchi nke siri ike.
  3. Na ọkwa nke atọ, a na-edobe itinye ego ahụ, nke na-eme ka ọrịa na-efe efe na ọrịa na-efe efe na-eme ka ọ dị mfe nke gland, bile ducts ma ọ bụ duodenum. N'oge a, a na-ahụkarị ihe ịrịba ama nke ọrịa pathology.

Ogo okwute dịgasị n’etiti ájá toro na nnukwu calcine. Nnukwu okwute emere ka ọyọkọ akwara ma gbochie mgbasa ozi.

Ihe ọ Theụ beginsụ ahụ na-amalite ịchịkọtara ma gbatịa mgbidi nke akwara ndị ahụ, nke na-akpata mbufụt nke akụkụ nke gland, ma na-esochizi ha.

N’etinyeghị ọgwụgwọ n’oge, anụ ahụ na-aba ụba karịa, nke na-ebute nsonaazụ dị egwu. Nmepụta insulin na-ebelata ma ọrịa shuga amalite.

Mgbaàmà nke ọrịa

Ọrịa Sympoomatology nke pancreolithiasis yiri akara nke ọrịa ndị ọzọ. Ihe ngosi nke oria a nwere ike ghagharia site na oria duodenal ma obu ya na ibuso nke biliary colic. Nke a gbagwojuru ọrịa anya ma na-eme na ha malitere ịgwọ ọrịa kpamkpam dị iche.

Ndị ọrịa na-eme mkpesa banyere mgbaàmà ndị a:

  1. Painkpọsa mgbu mgbu. Paroxysmal dull ma ọ bụ igbu mgbu na-amalite na mpaghara nke afọ ma na-egosipụta na ala azụ, n'akụkụ aka ekpe nke oghere afọ ma ọ bụ mpaghara mpaghara ubu.
  2. Ugboro nke ihe mgbu. Mmegide nke ihe mgbu na-enye oge na-adịghị mgbu. Colic nwere ike ịkpalite oke ụjọ, ị oveụbiga mmanya oke ma ọ bụ ị drinkingụ mmanya. Na nmalite ọrịa ahụ, ọdụdọ na-adịkarị ezughị ezu ma gafere ngwa ngwa. N'ọdịnihu, ihe mgbu na-egosipụta onwe ya karịa oge na oge colic dịgasị site na elekere ruo ọtụtụ ụbọchị.
  3. Sisiko kpụ ọkụ n'ọnụ.
  4. Mmegide nke ọgbụgbọ, na-agbanwe ka ọ na-agbọ agbọ.
  5. Mgbu. Ọkpụkpụ na-esochi afọ ọsịsa.
  6. Ọdịdị dị na feces nke abụba abụba na iberibe nkume.
  7. Yellowness nke anụ ahụ. Ọ na - ebilite n'ihi oke okwute igbochi ọria akwara.
  8. Nnyocha ọbara na-egosi ọkwa shuga dị elu. N’ọdịnihu, ndị ọrịa hụrụ ibu belata, ịba ụba adịghị ike na ihe ịrịba ama ndị ọzọ nke ọrịa shuga.

Na nzụlite nke ọrịa ọrịa pancreatolithiasis, mmepe nke ọrịa pancreatitis na-adịghị ala ala, cystic formations ma ọ bụ ọgịga na gland ga-ekwe omume, enwere ike ị nwere ọbara ọgbụgba.

Nchọpụta ọrịa Pathology

Iji wepu njehie na nchoputa, mgbe nyochachara ihe merenesis na mkpesa onye ọrịa, enyere iwu banyere nchọpụta nchọpụta:

  • nnwale ọbara ka inyocha ESR, glucose na sel ọbara;
  • X-ray nke oghere afọ n’ime ọtụtụ nyocha ga-enye gị ohere ịchọpụta obere ego na nnukwu ego;
  • endoscopic na ultrasound nwere ike ikpebi ọnụnọ na ịkọwapụta nke okwute nke nha ọ bụla;
  • CT ma ọ bụ MRI.

Iji chọpụta ebe nkwụnye ego wee chọpụta ọnọdụ nke akwara ndị ahụ, a na-eme retrograde cholangiopancreatography.

Ọgwụ Pancreatolithiasis

Dabere na ọnọdụ onye ọrịa na oke nke okwute etolite, ọgwụgwọ nke ọrịa ahụ nwere ike ịbụ ịwa ahụ ma ọ bụ nchedo.

Edebere ọgwụgwọ Conservative maka obere nkwụnye ego, ya na mwakpo mgbu mgbu na nke dị ala.

Ọgwụ ndị a na-abụghị ịwa ahụ gụnyere:

  • nri nri;
  • na-a drugsụ ọgwụ mgbochi ọrịa;
  • ndị na-egbu mgbu na ọgwụ;
  • enzymes;
  • nkwadebe weghachi metabolism nke-calcium;
  • Ihe enyemaka ogwugwo (Ursodiol).

Principleskpụrụ nke idozi nri na-adabere na mkpa ịkwado ọrụ nke pancreas na eriri afọ ma belata imeju:

  • rie obere nri na obere oge;
  • zere iriju nri na agụụ;
  • mgbe nri ikpeazụ gachara, tupu ị lakpuo ụra, ọ dịkarịa ala awa abụọ kwesịrị ịgafe;
  • jụ efere kwadebere site na ighe mmanụ;
  • nri kwesịrị stewed ma ọ bụ steamed;
  • juo nri na efere nke nwere nnukwu nnu, abụba na ngwa nri dị ụtọ;
  • amachibido iji shuga, ihe ọetsụ coffeeụ na kọfị siri ike;
  • wepuga onwe ya na ahihia anwuru na nkpuru ọka wheat;
  • na nri ekwesịghị ịbụ ngwaahịa ndị na-eme ka gbaa ụka na ịmịcha;
  • iji ngwaahịa mmiri ara ehi skim na akwụkwọ nri bara ụba na fiber ga-enye gị ohere idozi motility eriri afọ;
  • nyere ohere iri ọka ọka na nri akụkụ nri, pasili, azụ nwere obere anụ na ngwaahịa anụ;
  • ihe ndabere nke nri kwesịrị ịbụ nke ndu, stewed na sie akwụkwọ nri na mkpụrụ osisi na beel;
  • ị nwere ike iri ntakịrị nke àkwá, achịcha a mịrị amị site na rye ma ọ bụ ntụ ọka dum;
  • dị njikere ị drinkụ mmiri dị ọcha kwa ụbọchị, ọbụlagodi 1.5 lita;
  • jụrụ nicotine, mmanya na ihe ọ drinksụ drinksụ nwere gas;
  • Ọ dị mkpa iji nwekwuo ahụ ike ma mekwa ahụ kwa ụbọchị ma ọ bụ mee ogologo ije.

N'ihi usoro ọgwụgwọ ọgwụ mgbochi siri ike, ọnọdụ onye ọrịa ahụ bụ ọgwụ nkịtị, obere nkwụnye ego na-adị nro n'enweghị ịwa ahụ ma wepụ ya na eriri afọ.

E gosipụtara ịwa ahụ na ọnọdụ ndị a:

  • ugboro ugboro na ike nke mwakpo ihe mgbu na - enweghị enyemaka enyemaka;
  • imebi ọrụ nke pancreas;
  • nkwakọba nnukwu ego;
  • Usoro mkpali na gland.

N'ọnọdụ ndị dị otú ahụ, a na-atụ aro iwepụ okwute na-awa ahụ. A na-arụ ọrụ ahịrị n'okpuru mgbatị ụkwụ niile site na mwepu oghere ihu nke afọ ahụ, akụkụ nke ma ọ bụ akpụkpọ ahụ nke akụkụ ahụ na-esochi ma na-ewepụta olu.

N'ọnọdụ siri ike, a na-ewepụ akụkụ nke gland ma ọ bụ a na-eme pancreatectomy (wepụ ya kpamkpam). Pancreatectomy bụ usoro dị egwu, mgbe nke ahụ gasịrị onye ọrịa chọrọ ọgwụgwọ ma nara enzymatic na ọgwụ homonụ maka ndụ ya.

A na-eme usoro iji gwepịa nkwụnye ego site na iji sistemụ mgbatị ikuku dịpụrụ adịpụ. A na-egwepịa akụkụ ndị ahụ ka ọ bụrụ ájá ma jiri ọgwụ endoscope ma ọ bụ wepụta ya site na eriri afọ.

A na-arụ ọrụ ahụ na outpatient na n'okpuru anesthesia dum. Ọ na-ewe nkeji iri atọ ruo iri isii ma ewere ya na ọ bụ usoro enweghị nsogbu nke iwepu okwute na pancreas. Ọ bụ ezie na mgbe usoro ahụ gasịrị, ọdịdị nke hematomas na afọ na ime ihe mgbu ga-ekwe omume.

N'ọnọdụ ụfọdụ, a na-ewepụta olu afọ iji endoscopically site na iji retrograde cholangiopancreatography.

A na - ewepụ obere ego na - emerụ akpụkpọ ahụ, iji wepụsịa nnukwu okwute, wepụchaa dupe ahụ ma tinye klọọkụ ahụ n'ime duodenum iri na abụọ, site na ebe a na-ahụkarị ha.

Ihe ọghọm nke usoro a gụnyere enweghị ike iwepu okwute kpamkpam na enweghị ike iwepu ego dị na parenchyma nke pancreas.

Treatmentzọ kachasị dị mma maka ọrịa ọgwụ pancreatic lithiasis bụ njikọta nke ọgwụgwọ na ncheta na ịwapụ okwute site na gland. Ọzọkwa, a ga - ebupụ enyemaka nke ọrịa concomitant na ndị mepụtara megide mmalite nke nguzobe nkwụnye ego.

Amụma na Mgbochi Ya

Dịka usoro ọgwụgwọ na mgbochi, ndụmọdụ ụfọdụ ekwesịrị ịgbaso:

  • gbasoro ụkpụrụ nke nri;
  • na-eduga ndụ ndụ, igwu mmiri, ije, gwuo egwuregwu;
  • Kwa afọ na-eme nyocha ahụike yana ileba anya ndị na-egosi phosphorus, calcium na glucose n'ọbara;
  • oge ọria na-agwọ ọrịa nke biliary na sistem, mgbe ihe mgbaàmà mbụ pụtara, gaa na dọkịta;
  • kwụsị ị abuseụbiga mmanya ókè na ise siga.

Vidiyo si na Dr. Malysheva maka otu esi zere ọrịa na-efe efe:

Etechọpụta ọrịa ahụ n'oge mmalite nke mmepe na ike tozuru oke na-enye aka na ọgwụgwọ dị mfe na ngwa ngwa nke pancreolithiasis n'ụzọ nchekwa. Nwepu mbuba n’ego n’agha n’iru gi kariri 80%.

Ọ bụrụ na agwọghị ya, enwere ihe egwu ịbawanye na akwara na -akpata ọrịa shuga, ọrịa mellitus, etolite cysts na etuto ahụ. Enwere ike ịdaba na nsogbu nke okwute na ọbara ọgbụgba.

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