Pancreatitis yog dab tsi thiab dab tsi yog cov kev piam sij ntawm kab mob kev nkeeg no? Txhua xyoo, txog li 800 tus neeg muaj 1000000 leej tau sau npe nyob rau hauv lub ntiaj teb. Kev noj zaub mov tsis zoo, kev quav dej caw, kev kub ntxhov - tag nrho qhov no tau ua teebmeem rau tus txiav.
Pancreatitis yog dab tsi thiab kev phom sij yog dabtsi?
Pancreatitis yog ib pawg ntawm cov kab mob uas muaj ib qho symptomatology thiab yam ntxwv syndromes. Nyob rau hauv translation los ntawm dr.-greek πάγκρεας - pancreas + lat. mob-mob - o ntawm pancreas. Muaj ntau hom kab mob ntawm tus kab mob no, thiab txhua yam yog ib qho kev tsim kev puas tsuaj rau tib neeg lub neej. Yuav kom nkag siab tias qhov kab mob pancreatitis yog li cas, thiab seb nws yog txaus ntshai, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas seb qhov kev ua haujlwm muaj qhov hnyuv.
Kev khiav dej num ntawm lub cev:
- Exocrine los yog lwm txoj kev xav tawm. Lub zom zaws ntawm digestive enzymes: trypsin, chemotripsin, amylase thiab pancreatic lipase. Enzymes neutralize acidic pais plab kua txiv thiab yuav tsum muaj kev sib cais ntawm cov zaub mov, proteins, cov rog thiab carbohydrates uas tuaj nrog zaub mov noj.
- Humoral muaj nuj nqi. Kev tswj ntawm qhov ntim ntawm cov kua txiv pancreatic glandular nyob rau hauv qhov ntau npaum li cas nqus ntawm cov tshuaj noj chaw.
- Endocrine muaj nuj nqi. Lub islets ntawm Langerhans, nyob rau hauv ntau cov inclusions ntawm cov pob kws pancreas, tsim cov tshuaj hormones antagonists: glucagon thiab insulin, regulating carbohydrate metabolism. Glucagon provokes nce nyob rau hauv cov ntshav qab zib, insulin - ib tug txo.
Mob pancreatitis - nws yog dab tsi?
Tom qab cov hnub so thiab cov kev tsim txom ntawm cawv, hnyav zaub mov, ntau tus neeg yuav kawm seb qhov kab mob pancreatitis yog tsis hnov lus. Tus kab mob no yog nyob rau ntawm peb qhov chaw ntawm lwm yam kab mob ntawm lub plab kab noj hniav, muab lub xibtes mus rau cholessstitis thiab appendicitis. Tus txiv neej yog nquag oj dua ntau dua cov poj niam. Rau cov kab mob pancreatitis yog cov neeg tuag siab - txog li 15% ntawm tag nrho cov mob.
Etiology ntawm mob pancreatitis:
- kev siv cawv;
- teeb meem kev quav yeeb quav tshuaj (salty, fatty, ntsim, qab zib);
- qee yam caj ces kab mob (cystic fibrosis);
- kev siv lub sij hawm ntev ntawm cov tshuaj uas muaj cov nyhuv toxic ntawm cov txiav (hormones, thiazide diuretics);
- inflammatory cov txheej txheem ntawm lub plab;
- kis kab mob thiab kis kab mob (kab mob parotidosis, mycoplasma ).
Thaum lub sij hawm txhim kho txoj kev mob nyhav, txoj kev ua haujlwm ntawm lub caj pas raug ua txhaum: cov roj ntsha thiab cov tshuaj hormones, uas ua rau cov neeg tsis muaj zog (ua kom muaj chaw hauv plab zom mov), mam li pib ua haujlwm ncaj qha rau lub plab pancreatic xwb, ua rau txoj kev zom cov nqaij ntawm caj pas. Ua o thiab o.
Mob pancreatitis ntev li cas?
Tus kab mob pancreatitis yog ib qho kev mob ntawm tus txiav ua pancreas. Cov txheej txheem yog nrog los ntawm cov tsis txaus los ntawm kev tso kua mis, cov kev hloov ntawm cov kev hloov hauv lub cev, qhov muag ntsws thiab loj hlob ntawm cov ntaub so ntswg. Exacerbation ntawm mob pancreatitis tshwm sim tawm tsam cov keeb kwm ntawm kev ntxhov siab, nrog rau kev nruj nervous.
Ua rau tus kab mob:
- Kab mob sib kis;
- kab mob siab B thiab C, typhoid fever , parotitis;
- atherosclerosis ;
- helminthic invasions;
- kev qaug tshuaj nrog tsim kev puas tsuaj, zaub mov tsis zoo;
- kev quav dej caw .
Parenchymal pancreatitis - yog dab tsi?
Nyob rau hauv qhov chaw ua si ntawm lub plab hnyuv ntxwm ntawm lub cev (pancreatic daim tawv nqaij) tso tawm ntawm cov tshuaj hormones thiab cov enzymes tshwm sim, yog li yog ib lo lus nug tshwm sim: dab tsi yog parenchymal pancreatitis - nws tuaj yeem teb tias qhov no yog qhov kab mob pancreatic feem ntau. Cov txheej txheem tshwm sim hauv parenchymatous pancreatitis:
- ua txhaum ntawm qhov kev txwv ntawm ducts, vim yog kev mob nkeeg;
- tsis insulin synthesis;
- pathological hloov nyob rau hauv qhov system digestive;
- thaum lub parenchyma cuam tshuam los ntawm 80% - kev loj hlob ntawm cov ntshav qab zib mellitus .
Reaktive pancreatitis - dab tsi yog nws?
Thawj zaug tau ntsib nrog tus kab mob no, ib tus neeg muaj ntau cov lus nug: dab tsi yog qhov mob pancreatitis, nws puas muaj mob txaus ntshai rau lub neej thiab yuav kho nws li cas? Kab mob pancreatitis yog ib qho mob nyhav. Ntawm cov kws kho mob tshwj xeeb nws yog qhov zoo tshaj plaws, daim ntawv kho mob zoo. Feem ntau feem ntau tshwm sim tawm tsam tom qab ntawm cov kab mob ntawm lub plab, mob siab thiab gallbladder, hnyuv. Ib qho tseem ceeb tshaj plaws uas ua rau muaj kev cuam tshuam ntawm kabmob pancreatitis yog overeating thiab noj zaub mov rog.
Psevdotumorozny pancreatitis - yog dab tsi?
Hom kab mob hauv lub cev no feem ntau hu ua pseudo-tumor txheej txheem, vim cov txheej txheem tshwm sim nyob rau hauv caj pas zoo li oncology. Psevdotumorozny pancreatitis ntawm lub txiav raws li kev txheeb cais yog pom nyob rau hauv txhua txhua hnub 10, ntawm cov neeg muaj tus kab mob pancreatitis, ntau dua rau cov txiv neej. Lub ntsiab ua rau tus kab mob no yog kev haus cawv mus ntev ntev.
Dab tsi yog biliary pancreatitis?
Pancreas - o ntawm nws nrog biliary pancreatitis, tshwm sim nyob rau hauv zoo sib txuas nrog cov kab mob ntawm daim siab thiab gallbladder. Cov kev tshawb fawb ntawm cov neeg mob tau qhia tias 60% ntawm cov neeg mob cholelithiasis, cov kab mob sib kis yog cov kab mob siab biliary pancreatitis. Ua rau tus kab mob:
- cov kab mob ntawm cov kabmob ua ke nrog cov kab mob qog kis mus rau qhov txiav;
- qhov hloov ntawm bile hauv lub pancreatic ducts ua rau kev puas tsuaj rau cov ntaub so ntswg thiab ducts ntawm lub caj pas.
Nov yog qhov ua kom paub meej biliary pancreatitis hauv cov tsos mob:
- mob hnyav xws li colic;
- icteric sclera;
- kua cov quav ua kua.
Cov teeb meem tshwm sim los ntawm tus kab mob:
- mob siab tsis ua haujlwm;
- poob siab;
- txoj hnyuv tws ntshav;
- pancreatic necrosis.
Ntsuas pancreatitis - nws yog dab tsi?
Ntsuas cov kab mob pancreatitis yog lwm hom kab mob uas tus txiav ua rau cov hlab ntsws. Pancreatitis tshwm sim tom qab 50 xyoo rau tom qab ntawm kev hloov hauv cov kab mob hauv cov kua txiv hmab txiv ntoo, cov calcium uas ntsev tab tom pib zwm rau hauv nws, sib sau ua ib qho me me uas txuam yuaj. Cov tsos mob ntawm tus kab mob:
- cem quav;
- mob nyob hauv txoj kev hypochondrium los yog shingles;
- fais fab quav;
- mob hnyav heev;
- nce acidity ntawm lub plab;
- abrupt ceeb thawj.
Necrosis ntawm lub txiav - nws yog dab tsi?
Ib qho kev ua rau pancreatitis tuaj yeem ua rau ua rau tus kab mob pancreatic necrosis, uas ua rau lub caj pas deforms nrog cov nqaij mos tom hauv ntej. Hauv li ntawm 70% ntawm tus neeg mob, nws raug kuaj pom nyob hauv cov neeg mob uas tau haus dej cawv, lwm yam ua rau tib yam ua rau mob plab thiab mob pancreatitis. Cov tsos mob ntawm pancreatic necrosis:
- muaj zog, tsis mob heev;
- ntuav tus ciav hlau uas tsis tuaj yeem pab pov hwm;
- cyanotic cov pob nyob hauv ob sab (Grey-Turner tsos mob);
- mob thaum lub sij hawm palpation.
O ntawm tus txiav - cov tsos mob
Symptomatics thiab cov cim qhia ntawm tus kab mob pancreatic nyob rau hauv cov theem mob yog nyob ntawm seb qhov kev nyhav:
- Lub teeb daim ntawv. Lub swb ntawm lub txiav thiab digestive ib ntsuj av yog negligible. Thaum kuaj tau tus kabmob, qhov ua rau tus kabmob interstitial yog pom. Dyspeptic tsos mob (tsam plab, kub siab). Qhov mob ntawm lub cev mob me: mob nyob rau hauv epigastrium, nyob rau sab laug hypochondritis. Qhov mob ntawm qhov mob yog shrouded, nrog irradiation nyob rau nraum qab. Jaundice sclera.
- Heavy daim ntawv. Cov tsos mob ntawm tus kab mob pancreatitis: mob hnyav, zuj zus ntawm tus neeg mob nyob tom qab. Xeev, ntuav ntawm bile. Kub siab.
Cov teeb meem nyob rau hauv daim ntawv loj ntawm mob pancreatitis, nce lethality:
- pancreatic necrosis nrog tus kab mob ntawm cov leeg nqaij peripancreatic gland;
- pancreatic abscess (pus accumulates nyob rau hauv lub txiav thiab nyob ze thaj chaw).
Kev mob ntev tshwm sim nyob rau hauv cov txiav, hauv kev sib piv rau cov txheej txheem kho mob - feem ntau coj qhov chaw sluggishly thiab asymptomatically mus txog ib lub sij hawm, thaum kev hloov hauv cov txheej txheem loj heev, tuaj yeem ua qhov pib ntawm cov ntshav qab zib. Cov tsos mob ntawm tus kab mob pancreatitis thaum muaj kev sib zog, uas yog qhov tseem ceeb rau kev them nqi:
- qhov mob ntawm cov hlab ntaws los ntawm lub zog ntawm kev qaug zog kom muaj zog;
- Reflux esophagitis - vim yog lub zog qis dua ntawm txoj hlab pas ntawm qhov ncauj, cov khoom txheem gastricus rov qab rau ntawm txoj hlab pas, uas yog nrog kev qaug zog;
- nquag raws plab nrog tus ntxhiab tsw ntxhiab;
- ntse poob poob;
- tshwm sim ntawm angiomas ntawm daim tawv nqaij.
O ntawm pancreas - kev kho mob
Tom qab ib qho kev kuaj mob thiab kev pom zoo ntawm qhov kev kuaj mob, tus kws kho mob thawj txoj hauj lwm yog qhia rau tus neeg mob: qhov pancreatitis yog dab tsi, qhov teeb meem ntawm tus kab mob yuav ua tau li cas. Cov kev kho mob raug xaiv los ntawm kev suav tus kheej thiab lub hnub nyoog ntawm tus neeg mob. Yuav ua li cas kho kho pancreatitis, nyob ntawm seb ntau yam:
- mob ntev lossis mob ntev;
- muaj cov kab mob sib kis;
- tus neeg mob ua kam siv.
Yuav ua li cas txo cov pancreatic o tuaj?
Leej twg tsawg kawg ib zaug mob mob nrog o ntawm qhov txiav, paub qhov kab mob pancreatitis. Tus kab mob pancreatitis yog mob heev thiab mob siab rau tus neeg mob. Nws tsis pom zoo kom tshem tawm qhov mob ntawm nws tus kheej, tab sis muaj qee zaum muaj thaum tsis muaj kev kho mob, thiab nws yog ib qho tseem ceeb uas yuav tau ua ib yam dab tsi los kho qhov teeb meem. Kev pabcuam thawj rau pancreatitis:
- so thiab tsis muaj kev cia siab, muab lub embryo posture;
- ice rau ntawm qhov hypochondrium;
- kev tshaib kev nqhis;
- haus cov dej hauv me me ib nrab teev (thaum haus cov ntuav, 2-3 feem ntawm rab diav);
- Noj ib ntsiav tshuaj ntawm Drotaverine hydrochloride, raws li ib qho kev xaiv ua ib qhov kev txhaj tshuaj tsis-shpy 0.8 mg.
Kev kho mob ntawm cov mob pancreatitis
Kev kho ntawm pancreatic o tuaj rau hauv tsev tuaj yeem ua rau kom tsis raug txim. Thaum lub sijhawm kev ua rau kev kho mob pancreatitis ntev npaum li cas hauv lub tsev kho mob. Ib qho tseem ceeb rau kev txhim kho tus neeg mob tus mob yog ib txoj kev noj qab haus huv hauv pancreatitis. Kev kho mob ntawm cov txheej txheem ntev muaj xws li ib qho ntawm cov yeeb tshuaj:
- tshuaj tiv thaiv kab mob (broad-spectrum antibiotics (Ampicillin, Gentamicin) nrog cov kab mob sib kis;
- antihistamine (Dimedrol, Suprastin) - ib qho kev sib txuam me me thiab cov nyhuv hypnotic;
- antispasmodics (Tsis yog-Sppa, Papaverina hydrochloride) - so kom txaus thiab txo qhov siab ntawm cov ducts ntawm lub caj pas;
- antiferment preparations (Gordoks, Katrikal) - suppress qhov kev ua ntawm cov enzymes ntawm trypsin, chemotripsin thiab amylase;
- analgesics (Analgin, Baralgin );
- cytostatics (cyclophosphamide) nrog pseudotumorous pancreatitis.
Koj noj li cas nrog pancreatitis?
Kev noj zaub mov hauv pancreatic pancreatitis yog tus yuam sij rau txoj kev kho kom zoo thiab kev txhim kho kev mob hlab ntsws li ob lub lis piam. Cov ntawv qhia zaub mov hauv pancreatitis yog los ntawm kev pabcuam thiab kev sib tw, lub teeb thiab cov zaub mov hauv av. Cov khoom noj thiab cov tais diav rau pancreatitis:
- casseroles tsis muaj roj;
- steamed meatballs ua los ntawm cov rog tsawg thiab nqaij ntses;
- stewed zaub hauv dej;
- mashed qos yaj ywm;
- porridge (mov, oats, buckwheat);
- tsawg-rog kefir;
- compotes ntawm cov txiv hmab txiv ntoo qhuav;
- jellied berries;
- ci apples;
- stale nplej qhob cij.