Ndi mayeso ati omwe akuyenera kuchitika kuti muwone kapamba

Matenda a kapamba, amodzi mwa ziwalo zofunika kwambiri komanso zotetezeka kwambiri m'mimba mwa munthu, ndi chodabwitsa.

Mapaipi, ntchito yayikulu yomwe ndikupanga madzi a pancreatic, insulin ndi glucagon, imatsimikiza ntchito ya ziwalo zina osati kugaya chakudya chokha.

Ndiye chifukwa chake kuli kofunikira kuonetsetsa kuti kapamba amagwira ntchito mosasunthika, natulutsa madzi a kapamba mu kuchuluka kokwanira kugaya chakudya chomwe chikubwera komanso kutsata kwathunthu.

Ngakhale mutakhala kuti simunakumanepo ndi vuto lililonse mutatha kudya, kumva kuwawa kapena kupweteka kumbali yanu yakumanzere, kuyang'ana kanyumba kanu sikungakutetezeni kuphunzira za momwe muliri.

Kodi muyenera kuyesa liti ndipo chifukwa chiyani?

Ndi liti ndipo chifukwa chiyani amayesedwa kuti ayang'ane kapamba?

Kuyesera komwe kumakupatsani mwayi kuti mufufuze momwe ziphuphu zimakhalira, gwiritsani ntchito kwambiri pakuwonetsa matenda osiyanasiyana. Kuyesa kuyezetsa kapamba, komwe kamapanga mahomoni ndikuchita chimbudzi, limodzi ndi mitundu ina yoyeserera yachipatichi, kumakupatsani mwayi wofufuza momwe uliri komanso momwe ukugwirira ntchito, kutsimikizira kupezeka kwawoko kapena kutsutsa zomwe zikupezeka.

Kafukufuku wofufuza ntchito za kapamba amaperekedwa, komanso kufufuza kwathunthu kwa thupili kumachitika monga momwe adanenera dokotala:

- pa kudandaula kwa odwala kupweteka kwam'mimba kumanzere kwaacacac,

- ngati akukayikira mitundu yonse ya kapamba (pachimake, matenda osatha, otakataka), kapamba ka necosis,

matenda a ndulu ndi matenda ena a kapamba.

Kuphatikiza pa mayeso a kapamba, omwe amalembedwa ndi dokotala ngati nthenda ikukayikiridwa, kuwunika kwa kapamba kumayikidwa kuti aziwonetsetsa momwe mayendedwe ake amathandizira ndikuwongolera kwake kwa odwala omwe ali ndi matenda komanso matenda akulu a chiwalochi.

Ndi mayeso ati omwe amafunikira kudutsidwa?

Kuyesedwa kwa kapamba kumatengedwera mu labotale ya chipatala "Medical Practice".

Mndandanda wazoyeserera zomwe zimayenera kuchitika kuti muwone zikondwererozi zimaphatikizapo mitundu yotsatirayi ya maphunziro omwe cholinga chake ndi kudziwa ma pancreatic pathologies:

- mayeso a biochemical magazi kuti adziwe kuchuluka ndi ntchito za ma enzyme,

zopangidwa ndi kapamba,

Muyenera kuchita! - Kuyesedwa kwa ma pancreas kuti athe kudziwa kukula kwake ndi kupyapyala, kudziwa miyala ndi pseudocysts.

Zomwe zimapangidwira pakuwunika kwa michere ya pancreatic enzymes ndikuwona metabolid metabolism ndimagazi a venous amachokera kwa wodwala pamimba yopanda kanthu.

Pancreas ndi udindo wake.

Mapaipi ndi ochepa kukula, koma ndi omwe ali ndi ntchito yayikulu yophwanya chakudya, kuchigaya mwachangu ndikuwonjezera zakudya zomwe zimafunikira (mapuloteni, mafuta ndi chakudya), komanso kuwongolera kuchuluka kwa shuga wamagazi kudzera pakupanga glucagon ndi insulin.

Chifukwa chake, kapambayu amayang'anira thanzi lathunthu, ndipo kugwira ntchito yake molakwika kumabweretsa zotsatirapo zomvetsa chisoni kwambiri.

Zikondamoyo ndizida zodetsa nkhawa, zotupa zake zimatha kukhala ndi chakudya chopanda thanzi, kudya kwambiri, kugwiritsa ntchito mafuta, zakudya yokazinga, chakudya mwachangu, komanso chidwi cha zokometsera mopitirira muyeso.

Kudya zakudya zolakwika, kumasokoneza ntchito ya kapamba, kumakulitsa katundu, komwe, pamapeto pake, kumayambitsa kupezeka kwa zotupa mkati mwake.

Momwe mungakonzekerere kusanthula?

Kafukufuku wokhudzana ndi matenda a kapamba amafunika kukonzekera asanachitike ndi wodwala.

Choyamba, kuyezetsa magazi a biochemical kuti adziwe momwe matendawa amayenera kuchitikira pamimba yopanda kanthu. Chakudya chotsiriza chimayenera kumalizidwa maola asanu ndi atatu isanafike nthawi yopereka mayeso.

Kachiwiri, tsiku lotsatira mayeso a kapamba, ndikofunikira kupewa kumwa mankhwalawa, kudya zakudya zokhala ndi mafuta ambiri, zakudya yokazinga ndi zakumwa zoledzeretsa (mowa) komanso kuyesetsa kwambiri kuchita masewera olimbitsa thupi.

Izi ndizofunikira kuti zotsatira zowunikira zikhale zodalirika momwe zingathere ndikuwonetsa chithunzi cha dziko la kapamba, osaponderezedwa ndi kudya kwambiri kapena mowa.

Acute, aakulu, yogwira pancreatitis, cholelithiasis ndi matenda ena a kapamba ndimatenda oopsa omwe amafunikira chithandizo ndi kuwunikira mosalekeza ndi madokotala oyenera.

Ndipo kuti mankhwalawo alembedwe molondola, ndikofunikira kuti ayang'anitsidwe ndi ziphuphu pogwiritsa ntchito zida zamakono zofufuzira, zomwe zili ndi Medical Center "Medical Practice" ku Novosibirsk.

Zizindikiro zofala za pathologies

Chithunzi cha matenda chimaphatikizapo - kupweteka, kusinthika kwa khungu, kusokonezeka kwa vuto layspeptic. Ululu umatha kukhala wakuthwa, wosasalala, wokoka kapena wosapilira (munjira yovuta). Imasanjidwa m'dera la epigastric, ikuwonekera kumanzere, hypochondrium kumanja, kumbuyo, scapula. Ndi ululu waukulu, munthu amakhala wokakamizika - atagona mbali yake ndi miyendo yake yobweretsedwa m'mimba mwake.

Matenda a dyspeptic amawonetsedwa ndi mseru, kusanza, kutsekula m'mimba kapena kudzimbidwa, kuchepa kwa chilakolako cha thupi ndi kunenepa kwambiri. Pa njira zoyambira zotupa, mapangidwe a gasi amakwera, m'mimba mumatupa, ndipo chopondapo chimachedwetsedwa. Izi ndichifukwa chakuphwanya kapangidwe ka michere, ma asidi a bile ndi kulowa kwawo m'mimba. Pambuyo pamasiku awiri, kudzimbidwa kumalowedwa ndi kutsekula m'mimba, pakamwa youma kumawoneka, ludzu lakuya, kutentha kwa nthawi ndi nthawi.

Kenako, kusanza komwe kumayenderana ndi kuledzera kumawonjezeredwa. Choyamba, imakhala ndi zomwe zimapezeka m'mimba, pambuyo pake m'masanzi zimatuluka bile. Chifukwa cha kusanza pafupipafupi, kuchepa kwamadzi kumachitika, kuthamanga kwa magazi kumachepa, ndipo kugunda kwa mtima kumasokonekera. Poona izi, izi zitha kuchitika modabwitsa. Khungu limakhala lofiirira kapena loyenda. Jaundice imachitika ndikusakanikirana kwa ma ducts a bile ndipo kuwonjezereka kwa bilirubin m'magazi. Chifukwa cha kuledzera, kusowa kwam'madzi komanso kupuma ntchito, kupindika kwa mbali ya nasolabial kumachitika.

Ndi kapamba, kusanza sikubweretsa mpumulo, yomwe ndi yofunika kwambiri pakuzindikira.

Zomwe zimayambitsa matenda

Nthawi zambiri, kukokoloka kumachitika motsutsana ndi maziko a zolakwa mu chakudya - kudya mafuta ambiri, okazinga, zakudya zonunkhira. Zoyambitsa zina:

matenda a chiwindi
zilonda zam'mimba ndi zam'mimba,
kuvulala kwam'mimba
maliseche obadwa nawo
nkhawa yayikulu,
machitidwe a nyama, poizoni,
matenda opatsirana
kuphwanya kutulutsa kwa zotulutsa,
matenda a biliary thirakiti.

Zizindikiro za pathology zimakonda kumachitika mukamwa mowa, ngakhale nthawi zina ngakhale motsutsana ndi maziko a uchidakwa, kusintha kwa kapamba sikupezeka. Komanso pakukula kwa matenda, jenda, zaka, zoopsa pantchito, moyo ndi matenda ena okhudzana nawo amatenga nawo mbali.

Nthawi zina, ma pathologies a kapamba amatha kuchitika nthawi yapakati.

Matenda a kapamba ndi zizindikiro zawo

Maumboni amasiyana, chifukwa chake amagawidwa m'magulu osiyanasiyana kutengera mawonekedwe a causative ndi mawonetsedwe:

Ntchito zowonongeka.
Matenda a shuga.
Matenda a mtima.
Zilonda zapadera pa chifuwa chachikulu ndi syphilis.
Cysts, miyala.
Kuphwanya zinthu komwe kumakhudzana ndi ngozi zantchito.
Pancreatitis
Zilonda zopweteka komanso zotupa.
Kuphwanya chifukwa cha matenda a parasitic.
Kugwiritsa ntchito mankhwala mopitilira muyeso ndi nthawi malinga ndi malangizo.

Matenda a pancreatic omwe amapezeka kwambiri ndi kapamba kapamba, kapamba, matenda a shuga, zotupa, ma cystic form ndi miyala.

Pachimake kapamba

Kutupa kwa kapamba, komwe nthawi zambiri kumachitika pakumeza zakudya zamafuta ndi mowa kapena motsutsana ndi matenda a ndulu. Pali ululu wokhazikika, wosapiririka, womwe umatha kutulutsidwa mu epigastrium, kumanzere, hypochondrium kapena ukhoza kukhala wofanana ndi ma radiation kupita kumanzere kumanzere. Matenda akumva kupweteka amakhala atagona kumbuyo kwanu.

Kuphatikiza pa kupweteka, nseru ndi kusanza kumachitika (mwina kukhala zosavomerezeka) ndi bile, kutulutsa. Pambuyo pakusanza, matendawa samayenda bwino (chofunikira pakuzindikira). Chifukwa cha kusanza ndi kuledzera, kuchuluka kwa ma electrolyte kumasokonekera. Kumanzere chakumanzere kwa mawanga am'mimba kumatha kuwoneka ngati cyanotic kapena chikasu (Chizindikiro cha Grey Turner) kapena mawanga mu navel (Cullen chiratidzo).

Matenda a kapamba

Kutupa ndi kuchepa kwa michere ya pancreatic. Zomwe zimayambitsa chitukuko: matenda a ndulu, kugwiritsa ntchito chakudya choyipa, poyizoni, nthawi yotsatila, kusuta, kupsinjika, kupsinjika kwa mitsempha komanso kuchuluka kwa magazi (zimayambitsa kuphipha kwamitsempha yamagazi, minofu yam'mimba.

Matenda apathengo amasonyezedwa ndi kuperewera kwa michere, komwe kumayambitsa chimbudzi. Zizindikiro za mawonekedwe osatha: ludzu losatha komanso kumva kuti muli ndi njala, kuchepa thupi, kupweteka kwakanthawi kumanzere, hypochondrium, nseru, m'mimba ndi ndowe zowala zomwe zimakhala ndi fungo labwino.

Malamulo onse pokonzekera kusanthula

Musanayesere kuyesa kwa kapamba, muyenera kudziwa momwe mungachitire bwino. Madokotala nthawi zambiri amalimbikitsa odwala, chifukwa zolakwitsa posonkhanitsa zinthu zakuthupi zingapangitse kuti padutse zotsatira.

Malangizo ambiri amatsata mfundo zingapo:

Kafukufuku amachitika pamimba yopanda kanthu m'mawa. Masiku angapo mayeso asanachitike, muyenera kukana zakudya zovulaza (zokazinga, zokometsera, mafuta, mchere, zakudya zam'chitini, khofi, mowa, zakumwa zoziziritsa kukhosi). Sitikulimbikitsidwanso kugwiritsa ntchito ma legamu omwe angayambitse kupanga mpweya,
Musanayambe kumwa magazi, muyenera kupewa kusuta osachepera maola awiri,
Pa zovuta monga kudzimbidwa, chisamaliro chikuyenera kuthandizidwa kuti poizoni amene amakhalabe m'matumbo asakhudze zotsatira za mayeso.
Zotengera zonse ziyenera kukhala zosayera ndi manja otsukidwa ndi sopo,
Pokola mkodzo, azimayi amayenera kukhala aukhondo, kenako ndibwino kugwiritsa ntchito swab kuti mutsimikizire ukhondo wa zomwe zatengedwa,
Kuti muphunzire kuchuluka kwa mkodzo, ndikofunikira kutenga gawo limodzi.

Malingaliro osavuta awa athandizira kupititsa mayeso bwino komanso kupewa zotsatira zabodza zomwe zingachitike. Komabe, ndikofunikira kukumbukira kuti nthawi zina ma laboratori amakhalanso olakwika, chifukwa chake, pokayikira pang'ono, muyenera kupitanso kukayesanso.

Laborator diagnostics

Matenda ogwirizana ndi kutupa kwa kapamba, ntchito yayikulu ndikuwona momwe mulili. Ma epicode oyipa amaphatikizidwa ndi kuwonjezereka kwa ma enzyme, omwe, kutengera mtundu wawo, amatha kupezeka m'magazi, mkodzo ndi ndowe. Kuwerenga za chiwindi kumakhalanso kothandiza, chifukwa ntchito yake imagwirizana kwambiri ndi kapamba. Kuyesedwa kwakukulu, pamaziko omwe adotolo anganene molimba mtima za matendawa, nthawi zambiri ndi awa:

kusanthula kwa magazi ndi mkodzo,
kuyezetsa magazi kophatikizidwa, kuphatikiza cheke ma enzyme ndi diylase,
pulogalamu (yothandiza kwambiri ndi kapamba),
Ultrasound, yomwe mutha kuwona madzimadzi pamimba, muwone momwe zimakhala ndipo muwone ma neoplasms, kuphatikizapo khansa
MRI ndi endoscopy. Njira zamakono zamtunduwu zitha kufotokozera bwino za kutukusira kwa chiwalo choyesedwa.

Kuyesedwa kwa magazi

Munthu aliyense yemwe akudwala kapamba, amadabwa kuti ndi mayeso ati omwe amafunikira kuti adziwe kuti ali ndi matendawa. Nthawi zambiri, dokotala amalembera angapo nthawi imodzi.

Kuyesedwa kwa magazi konse. Choyambirira chomwe chikuwonetsa zovuta ndi kapamba ndi kuchuluka kwambiri kwa leukocytes pakukwera kwachulukidwe ndi magawo a neutrophils, komanso kuchuluka kwa erythrocyte sedimentation rate (ESR). Muyenera kukumbukira kuti chiwindi chovulazidwa chimatha kuperekanso zotsatira zofananira, chifukwa chake muyenera kuyandikira mayeso mokwanira,
Kuyesa kwamwazi wamagazi. Chizindikiro chodziwikiratu kwambiri cha zovuta zazikulu za kapamba ndizokulira kwathunthu komanso mwachindunji, zomwe zidzawonetse kupezeka kwa icteric pancreatitis. Zizindikiro zowopsa ndi kukula kwa asalic acid, seromucoid ndi gamma globulins,
Kuyesa kwa magazi kwa alpha amylase. Pankhani yowonjezereka kwa chiwonetsero chake (chizolowezi ndi 16-30 g / l pa ola limodzi), dokotala ali ndi ufulu wokayikira kuti ali ndi matenda kapenanso pachimake cha pancreatitis, miyala mu gland ndi kufalikira kwa chimbudzi chake. Ngati zomwe zapezedwa zili pansipa, zomwe zikuwonetsa kuperewera kwa mapangidwe a enzymeyi, munthu angaganize kuti ndi pancreatic necrosis, matenda oopsa omwe amawonongeka ndikuwonongeka kwa chiwalo,
Enzone ya pancreatic: trypsin ndi lipase,
Kuyesedwa kwa magazi kwa shuga. Pamavuto akulu ndi kapamba, zotsatira zake zidzapitilira 6 mmol / l, koma izi zokha sizingasonyeze matenda omwe akukula.

Urinalysis

Ndi matenda a pancreatic mkodzo, komanso m'magazi, mulingo wa amylase umakwera. Matenda amtunduwu siokwera mtengo kwenikweni, chifukwa chake madokotala ali okondwa kuti akupatseni mankhwalawo. Kuphatikiza pakuwunika kwamkodzo, maphunziro awa agwiritsidwa ntchito:

Chitsanzo Lasus. Zotsatira za kuwunikaku zikuwonetsa kuchuluka kwa amylase ndi ntchito yake mumkodzo. Pa kusanthula kumeneku, adzatchedwa "diastasis",
Kuyesa kwa Proserin. Zomwe zimapangidwira zimafikira kuti pambuyo pobayidwa jakisoni aliyense wa theka la ola wodwala, kuchuluka kwa mkodzo kumayendera. Ngati wakula nthawi ziwiri ndipo mkati mwa maola awiri sanabwerere mwachizolowezi, dokotala amatha kudziwa kuti ali ndi kapamba. Panthawi yomwe thupi silikuyankha kukhazikitsidwa kwa prozerin, madokotala amalankhula za sclerosis ya pancreatic minofu ndi pancreatic necrosis.

Kuyesa kwa mahormone

Chikhansa ndi chiwalo chomwe chimapanga mahomoni, chifukwa chake, pazomwe zili m'thupi, mutha kuweruza thanzi lawo.

Insulin ndi mahomoni omwe amakhudzidwa ndi kuwonongeka kwa glucose, kapangidwe kazakudya zomanga thupi ndi mafuta. Kutsika kwa zomwe zili m'magazi kukuwonetsa kuphwanya.
C-peptide ndi timadzi timene timatulutsa limodzi ndi insulin.
Glucagon, ikuchita ntchito yomwe imasiyana mwachindunji ndi insulin.
Muzochitika zosiyanasiyana, magazi amawunikira zomwe zili mumahomoni monga gastrin ndi amylin.

Pancreatic MRI

Kwa kapamba, zizindikiro za matendawa nthawi zambiri zimakhala pokhapokha kuphwanya kwakukulu kwachitika kale. Ngati wodwalayo adatha kuzindikira kusintha kwake pamanthawi, ndiye kuti izi zatheka kale. Mankhwala amakono amalola kuunika bwino kwa omwe akukhudzidwa.Kuti muwone kapamba pogwiritsa ntchito njira yopangira mphamvu yamagetsi, zotsatirazi ndizofunikira:

kukula
mawonekedwe
kachulukidwe ka minofu
kukhalapo kwa mabungwe amtundu uliwonse,
mawonekedwe a intrapancreatic ducts. Payokha, amafufuza ngalande ya ndulu - kapamba, chifukwa thanzi la thupi limatengera momwe limakhalira,
mtima.

Kuyang'ana kwa kapamba kumaphatikizapo kugwiritsa ntchito kosiyanitsa kuti ayang'ane dera lirilonse ndikuwona zosintha zazing'ono kwambiri chithunzicho.

M'malo mwake ndikofunikira kupita ku MRI:

kudziwika pa kupezeka kwa ultrasound kwa kusintha kulikonse mu dera la epigastric,
kutupa
aakulu kapamba
intraductal matenda oopsa,
cysts
kupweteka kosalekeza m'mimba.

Chifukwa chake, ngati pali zodandaula za kapamba, musachedwe kupita kwa dokotala. Kuyesedwa panthawi yake ndi maphunziro omwe adachitika zithandizira kukhala wathanzi.

Pancreatic necrosis

Kusintha kowonongeka ndi kokhazikika kwa kapangidwe ka chiwalo komwe kapamba amasokonezedwa. Kupezeka kwake kumakwiyitsa cholecystitis, nkhanza kwa mafuta ndi chakudya, matenda opatsirana, zovuta zamagulu atatha kugwira ntchito. Zizindikiro za pancreatic necrosis: kupweteka kwambiri pamimba pamatumbo a herpes zoster, kusanza mobwerezabwereza, nseru, ziwalo zamkati zamkamwa, malo a cyanotic pamimba, kufupika kwa khungu la nkhope, komanso kufupika kwa mpweya, kuwukira kwa tachycardia, kufooka.

Njira za tumor

Ma neoplasms mu kapamba amawagawa khansa (kupweteka koyipa) ndi zotupa zomwe zimagwira m'magazi, zomwe zimatha kukhala zovulaza komanso zowopsa. Zizindikiro zimasiyana kutengera mtundu ndi chotupa. Kumayambiriro kwa maselo a khansa, kuchepa kwa chakudya, kuchepa thupi, kusanza mseru, kupweteka kwapafupipafupi pamimba, kutsekeka pafupipafupi (mafuta am'mimbamu). Ndi kupita patsogolo kwa njirayi, kusanza kwambiri ndi matenda otsekula m'mimba, kutsekemera kwa khungu kumalumikizana.

Mapangidwe a cystic ndi miyala mu kapamba

Cysts ndi zingwe zopota zolimba zotsekemera zotsekemera zamadzimadzi. Mkati mwa patsekelo, maselo a gland amafa ndipo m'malo mwake mumakhala tinthu tina tating'onoting'ono. Tsatirani maziko a zotupa zapakhungu kapena zovuta zokhudzana ndi kubereka. Amatha kukhala ovuta ndi magawo owoneka bwino, magazi, mafinya m'matumbo kapena osavuta. Chithunzi cha chipatala chimatengera m'mimba mwake wa cyst, zomwe zili mkati mwake komanso kukhalapo kwa zovuta (mafuta, kuperekera). Makulidwe amodzi mpaka 50mm m'mimba mwake samapondereza madontho, mitsempha yamitsempha ndipo samabweretsa zowawa. Ndi ma cysts angapo akulu-akulu, kupweteka kumakhalapo (osalephera, lakuthwa, kuwotcha) ndikutheka kwamadzimadzi kumbuyo ndi kutsika kumbuyo, komanso nseru, kusanza, matenda am'mimba, kusowa chilolezo, kutentha thupi.

Miyala mu gland ndiyosowa ndipo nthawi zambiri imapezeka mu kafukufuku wothandiza wokhudza matenda ena. Amapangidwa nthawi zambiri m'mutu wa kapamba, amapanga calcium calcium ndi phosphorous. Zomwe sizinaphunzitsidwe ndendende, koma asayansi akuwonetsa kuti zimayambitsa motsutsana ndi maziko a kulephera kwa phosphorous-calcium metabolism ndi kuphatikizika kwa chiwalo.

Zowonongeka kwa kapamba motsutsa shuga

Ndi chitukuko cha matenda osokoneza bongo a mtundu woyamba, momwe kuphatikizira kwa insulin kumatha, ululu suchitika. Zowonetsa zazikuluzikulu za matenda ashuga: thukuta kwambiri, ludzu kwambiri, khungu loyera, kuchuluka kwamkodzo, nseru, kuchepa thupi, kufooka. Ndi mavuto a hypoglycemic, kumatha kumva njala.

Malamulo okonzekera kuyesedwa

Kuti mupeze zotsatira zodalirika za njira zofufuzira zasayansi, muyenera kutsatira malamulowo:

Patsiku loyesedwa magazi, musasute fodya (kwa maola 2-3).
Amayesa magazi mokhazikika pamimba yopanda kanthu.
Kwa maola 48, musamadye zakudya zonunkhira, zamafuta, zamchere.
Ngati pali kudzimbidwa, yeretsani matumbo ndi enema, imwani ma enterosorbents (makala oyambitsa).
Kuti muthane ndi ndowe ndi mkodzo, gwiritsani ntchito zidebe zosagulitsa (zomwe zimagulitsidwa muma pharmacies).
Musanabadwe, pangani njira zaukhondo kuti muchepetse chiopsezo cha kuipitsidwa ndi zinthuzo.

Musanatenge ndowe, chikhodzodzo chimayenera kuthiridwa kuti magazi asamayesedwe mkodzo. Kuti muzisonkhanitsa zinthuzo, muli ndi supuni mumagulitsidwa. Kuwunikira sikungatengeredwe kuchimbudzi, koma kuchokera poto wopanda, chotengera, kapena thumba la pulasitiki.

Mimbulu imayenera kusungidwa m'mawa pamimba yopanda kanthu. Chidebe chosalimba chimadzaza ndi gawo lapakati, choyamba chimatsitsidwa.

Urinalysis

Mukamayang'ana mkodzo, mtundu, fungo ndi acidity yazinthu zachilengedwe zimatengedwa. Zosintha pazizindikirozi zimatha kukhala chizindikiro chosavomerezeka cha kapamba. Ndi pancreatitis mu mkodzo, komanso m'magazi, shuga ndi amylase zimachulukana. Zochita zake zimawonjezeka pambuyo pa maola 4-8 kuyambira pachiwonetsero cha kusintha kwa chiwalo ndipo zimatha mpaka masiku atatu. Komanso mu mkodzo ndi kudziwa mulingo wa leukocytes, mapuloteni, bilirubin. Nthawi zambiri, madokotala amatiuza kuwunika kwa Nechiporenko, momwe zinthu zimadutsidwa ndi centrifuge, ndipo zotsalazo zimayesedwa. Izi zimapereka chidziwitso cha matenda a impso, kwamikodzo dongosolo ndi chiwindi, kusintha komwe kumatha kutsagana ndi kapamba.

Mayeso a Fecal - Coprogram

Kusanthula kwa fecal ndikofunikira pofufuza matenda am'mimba komanso matenda am'mimba. Ndi kuchepa kwa michere ya gland, kugaya chakudya kumasokonekera, chifukwa chake, kapangidwe ka ndowe kamasintha. Makhalidwe a ndowe ndi kuchepa kwa michere ndi kapamba:

wonyezimira
mthunzi wowala
kulimbikira, fungo lamphamvu,
kukhalapo kwa mafuta, CHIKWANGWANI NDI CHIWEREWERE.

Anthu omwe ali ndi pancreatitis amakhala ndi chidwi chofuna kusiya. Pondapo ndi madzimadzi ndipo ndimatsuka bwino lomwe kukhoma la chimbudzi cha chimbudzi (chofunikira chodziwunika).

Kuyesa kwa kupsinjika

Njirazi zimagwirizanitsidwa ndi kugwiritsa ntchito zinthu zina zomwe munthu amalowetsa mkati atatha kuwunika koyamba. Mitundu ya mayeso opsinjika:

Mayeso a Glycoamylasemic. Kuchita ma servings awiri a magazi. Yoyamba imatengedwa pamimba yopanda kanthu ndipo mulingo wa amylase wotsimikiza. Pambuyo wodwala amatenga 50 g shuga. Pambuyo pa maola atatu, gawo lachiwiri la magazi limatengedwa ndipo index ya amylase imayerekezedwa ndikuwunika koyambirira. Ngati mulingo wa amylase wa gawo lachiwiri ndiwokwera kuposa woyamba, izi zikuwonetsa kuti ndikuphwanya kwa magwiridwe antchito a gland.
Kuyesa kwa Iodolipol - ndiko kudziwa ayodini mumkodzo. Choyamba, gawo loyambirira la mkodzo limawunikidwa, munthu atatenga Iodolipol ndikuyesa kwamikodzo mobwerezabwereza. Nthawi zambiri, pambuyo pa ola limodzi, Iodolipol iyenera kuyamba kuponyedwa m'thupi.
Kuyesa kwa Proserin. Ndizofanana ndi iodolipol, pokhapokha akamamwa Prozerin akumwa. Pambuyo kugwiritsa ntchito, mulingo wa kusiyanasiyana mkodzo amatsimikiza.
Kuyesedwa kwa Secretin-pancreosimine. Amakhala ndikusintha kuchuluka kwa zigawo za duodenum 12 kudzera pakubweretsa secretin. Potsutsana ndi izi, zizindikiro za ma pancreatic enzyme zimakula.

Kuyesedwa ndikofunikira ngati chidziwitso cha labotale sichikupereka chidziwitso chokwanira cha kapamba.

Zida za Hardware

Ngakhale kuti ma diagnostics a labotale amapereka zambiri zokhudzana ndi boma la kapamba, kafukufuku wothandizira amachitika kuti adziwe matenda omaliza. Njira

Pancreatic MRI. Imanenanso za kukula, kupyapyala, mawonekedwe a chiwalo, kupezeka kwa mawonekedwe ndi zikhomo, mawonekedwe ake komanso momwe ziliri, mitsempha yamagazi.
Endoscopic retrograde cholangiopancreatography - njira yowerengera ma pancreatic ducts.
Fibrogastroduodenoscopy - ndi chithandizo chake, mkhalidwe wam'mimba, duodenum ndi dancts pancreatic amayendera.
Ultrasound - ikuwonetsa kuphatikizika kwa ziwalo, ma contours ake, kukhalapo kwa madzimadzi m'matumbo.
Endo-ultrasonography ndikuphunzira za chikhalidwe cha ziwalo, ma ducts ake ndi ziwiya za m'mimba.

Pamaso pakupanga ndikukayikira kwa chotupa, minofu yowerengeka imachitidwa, yomwe imatengedwa ndi kupyoza kwa histological. Pafupifupi onse ma pancreatic pathologies amadziwika ndi kusokonekera kwa chimbudzi ndi michere ya thupi. Mutha kuyang'ana mkhalidwe wa kapamba molunjika kwa dokotala wa gastroenterologist kapena pawokha pachipatala chilichonse chawekha. Pazifukwa zodzitetezera, ndikokwanira kupereka magazi a shuga ndi michere ya michere miyezi isanu ndi umodzi iliyonse.