Pancreatic fibrosis

Pamene matenda a pancreatic fibrosis akumveka, ndi anthu ochepa okha omwe amadziwa tanthauzo lake. Fibrosis si matenda opatukana. Chochitika chopweteka ichi chikuwonetsa kupangika kwa masinthidwe osintha mu kapangidwe ka chiwalo, kamene kamayamba chifukwa cha kupita patsogolo kwa mawonekedwe a kapamba. Kwenikweni, mapangidwe a lipofibrosis amadziwika ndi ultrasound. Nthawi zambiri, matenda a pancreatic samadziwonetsa yekha ndipo amadziwika mukamayeserera pafupipafupi.

Zizindikiro za Fibrosis

Zoyambitsa zazikulu za fibrosis ndi mtundu komanso kupweteka kwa kapamba. Mukamachititsa maphunziro, zidapezeka kuti zigawo zapafupi za minofu yolumikizidwa zimawonekera nthawi yowonjezera, ndipo malo omwe amayikidwako amatsimikizika kutalika kwa nthawi ya matenda. Kuphatikiza apo, chitukuko cha pancreatic fibrosis chidzayambitsidwa ndi zifukwa zingapo izi:

1. Kumwa osalamulirika.
2. Kusuta.
3. Kuonjezera thupi.
4. Kuvulala kwamalungu
5. Matenda a ndulu ndi ndulu.
6. Zotsatira za poizoni wa mitundu mitundu.
7. Khalidweli.
8. Kulowerera m'thupi.
9. Zakudya zoperewera.
10. Kutupa kwa duodenum 12.
11. Kukhazikika kosalamulirika kwamagulu ena a mankhwala.

Pangozi ndi anthu omwe amagwira ntchito m'makampani owopsa, komanso omwe ali ndi zaka zoposa 55.

Pankhani ya kupezeka pafupipafupi kwa zifukwa zoyipa zapakhansa, kufa kwa maselo kumachitika. Popeza nembanemba ya mucous imalephera kuchoka kwathunthu m'thupi, pamakhala masinthidwe okhawo am'malo akufawo ndi matupi opanda kanthu. Madera opangika acicatricial ndi mafuta samachita chilichonse, chifukwa chake, metabolism imasokonekera. Pakati pang'onopang'ono, fibrosis imatsogolera ku kusagwira kwathunthu kwa kapamba.

Pancreatic fibrosis ikakula, Zizindikiro zimaphatikizana ndi matenda oyambitsidwa. Pa nthawi ya mapangidwe a zamatenda, palibe zomwe zimawoneka bwino.

Chifukwa cha kupindika kwakukulu kwa kapamba, wodwalayo ali ndi mawonekedwe awa:

• imapweteka pansi pa nthiti mbali ya kumanzere,
• kupweteka m'chiuno komwe kumakhala ndi paroxysmal kapena kupweteka nthawi zonse,
• odwala, makamaka mutadya zakudya zamafuta,
• mpando pafupipafupi
• Pali chakudya chosasamba mu ndowe.

Ndi kupanga mtundu wokhazikika wa kapamba, zizindikiro zotsatirazi zimachitika:

• kudzimbidwa, wodziwika ndi kuchepa kwa chakudya, kumva kupsinjika pamimba, ma episodic adventures mu bafa,
• kumverera kwawawa kumanzere pansi pa nthiti, kuwonetsa kwakanthawi,
• ukufalikira
• kusowa kofunitsitsa kudya.

Pancreatic lipofibrosis ikadutsa kovuta, wozunzidwayo amakumana:

• Ndikumva ululu wosasunthika mdera la epigastric komanso pansi pa nthiti kumanzere kwa njira yodulidwayo, ndipo imawonekera kwambiri mukatha kudya,
• kupweteka pamimba
• kumverera kwamuyaya kumatulutsa, mtolo m'mimba mutatha kudya chakudya,
• nseru
• kutamandika
• osafuna kudya,
• zimbudzi zotayirira
• kupezeka kwa chakudya chosasankhidwa mu zakudyazo,
• kukomoka.

Ngati pali mawonekedwe owoneka bwino a fibrosis, ndiye kuti zizindikirazo zidzakhala chifukwa cha kukula kwa chotupa cha pancreatic. Pakapangika minofu yolumikizana yokha yomwe imakhala ndi kukula kwakukulu, kumakungika ziwalo zomwe zili pafupi, chifukwa chomwe wozunzidwayo amakhala ndi chikhumbo chosatha cha kusanza, jaundice idzachitika.

Nthawi zina, kusintha kwa mayamwidwe a zinthu zina ndi mavitamini osungunuka a mafuta, kufooka kwa minofu ndi khungu usiku.

Fibrosis ikakhudza maselo a zida zapachilumbachi, ntchito ya endocrine ya gland imayamba. Zotsatira zake, wodwalayo amakhala ndi nthenda ya matenda ashuga.

1. Kukodza pafupipafupi.
2. W ludzu.
3. Khungu lowuma komanso zimagwira pakhungu.
4. Dziko la kugona.
5. Kusenda khungu.
6. Zizindikiro zakulephera kugona.

Popeza chiwonetsero chachikulu cha matendawa chimawonedwa chifukwa cha kuchulukitsa kwa matendawa, kuyezetsa kuchipatala kwapachaka kuyenera kuchitika chaka chilichonse.

Zizindikiro

Kusintha kwamphamvu kwa kapamba samawerengedwa ngati matenda. Chofananacho ndi chizindikiro choopsa cha kukhalapo kwa matenda olumikizana, omwe amafunikira kupitiliza kwa njira zodziwira matenda opatsirana, kuphatikizapo ziwalo zomwe zili pafupi.

Pambuyo pazaka 65, pamene kapamba amasinthidwa ndi epithelium yolumikizana, imawerengedwa ngati yokhazikika ndipo sioyimira kukhalapo kwa matenda ena akale.

Kuzindikira matenda, pali njira zingapo zodziwira matenda.

1. Kusanthula kwa chithunzi cha chipatala pogwiritsa ntchito kufufuza ndikutsimikiza madandaulo a odwala.
2. Kukwaniritsidwa kwa maphunziro a labotale ndi ogwirira ntchito.
3. Ma Ultrasound diagnostics.
4. Njira zopangira zida.

Atayang'ana wodwalayo, adokotala azindikiritsa zingapo zomwe zikuwonetsa kukula kwa matendawa.

1. Kusintha kwa Dystrophic.
2. Lilime lokhazikika komanso khungu.
3. Kukhalapo kwa cyanosis, redness kumaso.
4. Imfa ya fiber pansi pakhungu pakhungu lamapapo.

Mothandizidwa ndi mayeso a labotale, protein yochepetsedwa ya m'magazi, wothandizidwa ndi albumin-globulin wapezeka.

Ngati ntchito ya ma enzymes yachepa, izi zikuwonetsa kuwonongeka kwa chida champhamvu, mpaka theka kapena kukhazikika kwa pancreatic parenchyma ndi epithelium yolumikizira.

Ultrasound imatanthauzira njira yodziwika bwino yogwiritsira ntchito matenda a gastroenterology. Njira iyi imapangitsa kupenda ndi kusanthula ziphuphu zoyipazi.

1. Kukhazikitsidwa kwa peritoneum.
2. Kukula, mawonekedwe.
3. Kapangidwe kake ndi homogeneity mgawo wa zikondamoyo.

Kwenikweni, kuwunika kumakhazikitsidwa pazomwe zasintha ndikuwunika kwa ziwalo. Ndi kuwonjezeka kwa kuchuluka kwa echogenicity, kuphatikizika kwa mucosa kumawonedwa. Izi zimabweretsa kutupa, komwe kumapangidwa chifukwa cha kuwonongeka kapena kufalikira kwa minofu yaing'onoting'ono. Pankhaniyi, fibrosis imawonedwa ngati yochepa.

Chifukwa chakusokonezeka kwakukulu, kulumikizidwa kwamphamvu ndi maselo amafuta am'malo amodzi a ziwalo zomwe zachitika pang'onopang'ono kamapangidwa. Kuzindikiritsa mawonekedwe amitsempha yamagalasi akuluakulu kumawonetsa mapangidwe a chotupa cha maphunziro oyipa. Wopezedwa amapezeka ndi fibroma kapena lipoma.

Kodi kusintha kwa fibrotic kumakhudza bwanji magwiridwe antchito a mucous, owululidwa mwa kuwunika kwa ndowe. Ngati ma heterocaryons osaphatikizidwa, ma insulin amafuta, zinthu zowuma zimapezeka, ndiye kuti kapangidwe kake ka ma pancreatic amakayikira.

Komanso matenda atizilombo amapezeka ndi:

• kudziwa kuchuluka kwa ma enzymes pachinsinsi chimbudzi,
• zitsanzo za Lasus.

Kutsimikizira kusokonekera kwa ziwalo za fibrotic, CT imachitidwa. Zambiri sizipezeka, kukonzekera biopsy ndikotheka. Chifukwa cha njirayi, zotsatira zosasinthika zimaperekedwa, ndipo chithunzi cholondola chazovuta za morphological chikuwonekera.

Chithandizo cha Fibrosis

Ozunzidwa ambiri atazindikira kuti ali ndi chidwi ndi pancreatic lipofibromatosis, ndi chiyani? Lipofibromatosis ndi kuchulukana kwamafuta m'mimba, momwe mumagawanikana matendawa mosiyanasiyana m'maselo a mafuta. Nthawi zambiri amakhala okalamba, yemwe amakhala ndi matenda a shuga kwa nthawi yayitali.

Mankhwala sanaperekebe mankhwala omwe amasintha epithelium yolumikizira kukhala minofu yogwira ntchito. Njira zonse zamankhwala zimatumizidwa kuti ziyimitse zizindikiro ndikuchepetsa mkhalidwe wa wodwalayo.

Poyamba, wozunzidwayo amatchulidwa kuti adye zakudya. Kuchita kotereku kumapangitsa kuti kuyimitsa kutupa komanso kupumitsanso chiwalo. Simungadye zakudya zamafuta, ndikuchotsanso zakudya:

Zakudya zomwe sizimaphatikizidwa muzakudya ndizomwe zimathandizira kupanga mandimu:

Wodwala ayenera kudya pang'ono, kumwa madzi ambiri. Kumwa zakumwa zoledzeretsa ndi fibrosis koletsedwa. Kuphika kumachitika ndi nthunzi kapena kuwiritsa, zipatso zimaphikidwa mu uvuni.

Menyu yayikulu ya wodwalayo imaphatikizapo:

Mwa zakumwa, tiyi wobiriwira ndi wakuda, compote wopanda shuga, zakumwa za zipatso, mabulosi ndi masamba amaloledwa. Mankhwala osokoneza bongo amasankhidwa, poganizira tsankho lanu komanso kuopsa kwa matenda akuluakulu.

Kutengera zifukwa zomwe zinapangitsa kuti m'malo mwa minofu yolumikizika wathanzi, mankhwala a etiotropic amasankhidwa.

Chofunikira pakuthandizira kwa matenda a pathology ndikuwongolera kwa ma enzyme index. Komanso adotolo adzalembera chithandizo ndi magulu a mankhwalawa, kutengera zomwe zimapangitsa kuti kutupa kukhale.

1. Antispasmodics - Drotaverinum.
2. Glucocorticosteroids.
3. Masinthidwe.
4. Maantibayotiki.
5. Analgesics.
6. Antiemetic - Metoclopramide.
7. Kukonzekera kwa enzyme monga Creon, Pangrol.

Ndi chithandizo choyenera chazovuta zam'mimba za kapamba, njira ya m'mimba ya wodwalayo imachepa ndipo kulemera kwake kumachepa. Komabe, pali zochitika zina pamene opaleshoni kapena chithandizo cha endoscopic chikufunika mu gastroenterology.

1. Kupweteka kosatha m'mapazi omwe sangathetsedwenso ndi ma analgesics.
2. Chimbudzi chomata chimapanikizika.
3. Matani amasinthidwa kuti akhale mapangidwe.
4. M'matumbo, kukula kwa post-necrotic cysts kumapangidwa.
5. Chikaso cha khungu chimawonedwa.

Zotsogola ndi kupewa

Pankhani ya matenda, matendawo amawululidwa ndi kukula kwa minofu yothandizira, kutsatira njira yochizira. Ngati mumachotsa mowa ndi zopweteka zilizonse pazakudya, gwiritsani ntchito moyenera othandizira, matendawa kwa nthawi yayitali mwina sangadzikumbutseni. Pankhaniyi, ndizosatheka kuchotsa matenda a kapamba. Popeza kusintha kwasintha mu kapamba sikungathe kuchiritsidwa, ndikulimbikitsidwa kuti muzitsatira njira zodzitetezera.

1. Pewani mowa, ndudu.
2. Osamadya kwambiri, makamaka zakudya zamafuta.

Ndikofunikira kuti pakhale kusintha kwa fuluwenza m'matumbo a cancreas kuti adye mothandizidwa, kusintha mtundu wa mbale zam'madzi ndikumwa madzi okwanira. Ndikofunikira kutsatira njira zoyenera za odwala komanso kupewa kupsinjika.

Zizindikiro za pancreatic fibrosis

Poyamba mu chithunzi cha chipatala ndi njira yodutsira m'matumbo, zizindikiro zimawoneka zomwe zikusonyeza kuti kutanthauza kusakwanira. M'maphunziro, zidapezeka kuti kuchuluka kwa ma enzymes omwe amapangidwa mu matendawa amatha kuchepetsedwa ndi magawo makumi asanu ndi atatu kapena owonjezera. Choyamba, pamkhalidwewu, kugaya chakudya kumasokonekera, zomwe zimapangitsa kuti thupi lichepe kwambiri.

Chizindikiro china chowonekera ndicho kukhumudwa. Wodwala amadandaula chifukwa cha matenda otsegula m'mimba, omwe amafika mpaka kasanu ndi atatu patsiku. Mukamawerengera ndowe, mafuta ndi milomo yambiri yosaphatikizika imapezeka mwa iwo. Matenda ena a dyspeptic amakhalaponso, monga kutulutsa magazi, kuyereketsa magazi pafupipafupi, ndi zina zotero. Pambuyo podya zakudya zamafuta, kupuma ndi kusanza nthawi zambiri kumawonedwa. Chikhalidwe china chodziwika ndi kupweteka, komwe kumatha kukhala kwachilendo ndipo kumawonekanso mukatha kudya.

Ndizofunikira kudziwa kuti anthu ambiri omwe ali ndi vutoli ali ndi zizindikiro zosonyeza zovuta za carbohydrate metabolism. Pafupifupi makumi atatu peresenti a iwo patapita nthawi amalowa mawonetseredwe azachipatala omwe amakhala ndi matenda ashuga.

Zambiri

Pancreatic fibrosis ndi mtundu wa matenda komanso morphological wa matenda osakhazikika a kapamba, zomwe zimachitika, gawo lomaliza la matenda oyambitsidwa. Matenda a pancreatic fibrosis akuchulukirachulukira chifukwa cha kuchuluka kwa mafinya komanso chifuwa chachikulu cha khansa, matenda amtunduwu amapezeka mwaoposa 40% ya odwala omwe ali ndi matenda a kapamba. Pankhani yauchidakwa, kusinthanitsa kwathunthu ndi pancreatic parenchyma ndi minyewa ya fibrous kumakula mkati mwa zaka 15 - 20, komwe kumabweretsa kulumala ndi kufa. Kuwonjezeka kwa izi kumalimbikitsidwa ndi chithandizo chosagwira ntchito cha matenda akulu, odwala omwe samatsata malangizowo, nthawi zambiri - amapitilira uchidakwa. Pancreatic fibrosis imathandizidwa ndi akatswiri pantchito ya gastroenterology, mankhwala othandizira, komanso opaleshoni.

Zimayambitsa Pancreatic Fibrosis

Choyambitsa chachikulu cha pancreatic fibrosis ndi chifuwa chachikulu cha kapamba. Akatswiri atsimikizira kuti cholinga chobwezeretsera zinthu zogwira ntchito ndi minofu yolumikizika chimapangidwa munthawi yowonjezera kutupa, ndipo kuchuluka kwake kumatengera kutalika kwa matendawa. Kubwerezedwanso kwa matenda othandizira komanso kudukiza kwa kapamba ka pancreatic nthawi zambiri kumachitika chifukwa cha kumwa mowa, koma zinthu monga kuchuluka kwa zakudya zamafuta, kusowa kwa mavitamini ndi antioxidants, kufufuza zinthu kumathandizanso. Udindo wofunikira pakukula kwa fibrosis umaseweredwa ndi kusuta fodya, komwe kumasokoneza chinsinsi cha ma bicarbonates ndi ziphuphu ndikuwonetsa kukula kwa minofu yolumikizika.

Pancreatic fibrosis imatha kupangidwanso m'matenda omwe amaphatikizidwa ndi kukakamira kwa dongosolo la kapamba (ndi matenda am'mimba komanso chikhodzodzo): matenda oopsa a pancreatic amachititsa kukhulupirika kwa duct, kuwonongeka kwa parenchyma, ndi kutupa. Zowopsa zomwe zimayambitsa pancreatic fibrosis zimaphatikizapo hyperlipidemia, cystic fibrosis, kukhudzana ndi zinthu zoopsa (kuphatikizapo mankhwala: hypothiazide, acetylsalicylic acid ndi ena), zoopsa.

Mosasamala kanthu za zomwe zimapangitsa, pancreatic fibrosis ndi chifukwa cha autolysis ya parenchyma yake pa activation ya michere ya proteinoly, edema, necrosis komanso kulowetsedwa. Pathogenesis yamatenda omwe amathandizidwa ndi mowa imakhala ndi zinthu: chifukwa cha kuwonongeka kwa mowa, zomwe zili mu bicarbonates mu madzi a pancreatic amachepetsa ndipo mapuloteni amawonjezeka, chifukwa chomwe mapuloteni amayamba chifukwa cha mapulagi amachepetsa ma ducts ang'onoang'ono, ndikupanga mawonekedwe a mapangidwe a pancreatic fibrosis.

Zomwe zimachitika

Panthawi yakukhudzidwa kwazomwe zimachitika pazinthu zopanga ziwalo, kapamba amayamba kugwa pang'onopang'ono. Popeza kutha kwathunthu kwa mucosa m'thupi ndikosatheka, kubwezeretsa pang'onopang'ono kwa maselo akufa ndi minofu yopanda kanthu kapena mafuta. Maselo omwe apangidwa kumene sangathe kugwira ntchito zofunika, zomwe zimayambitsa kuphwanya kwa metabolic. Kusintha kotereku m'mapazi kumatha kudzetsa kusakwanira kapena kochepa thupi.

Choopsa chachikulu ndi kusintha kwa fibrotic ndikuti ndizosatheka kubwezeretsa minofu yowonongeka. Ndikosatheka kusintha njira yosinthira maselo athanzi ndi minyewa ya adipose ngakhale pogwiritsa ntchito mankhwala komanso kugwiritsa ntchito opaleshoni. Ngati minyewa yasintha mu ndulu siinayime munthawi yake, mapangidwe otupa ndi otheka.

Mwambiri, kukula kwa minofu ya fodya kumachitika chifukwa cha kutupa komwe kumachitika mthupi. Izi zitha kuchitika ndi mawonekedwe osokonekera a pancreatic ntchito.

Zambiri zomwe zingayambitse kukula kwa fibrosis ndi monga:

• kunenepa kwambiri
• uchidakwa
• kusuta
• poyizoni ndi mankhwala osiyanasiyana a mitundu,
• kuphwanya dongosolo biliary (kutupa kwa ndulu, cholelithiasis),
• zotupa mu duodenum,
• kuperewera kwa zakudya m'thupi
• matenda opatsirana
• kugwiritsa ntchito mankhwala kwakanthawi
• pafupipafupi zovuta
• chibadwire
• kuchuluka kwa chithokomiro.

Ndi kukula kwa kapangidwe kake ka kapamba, necrosis imatha kuoneka, yomwe imakhudza gawo lalikulu la chiwalo. Motere, minofu ya fibrous adipose imayamba kukula mwachangu. Pankhani ya chifuwa chachikulu, njira yotupa simalimbitsa thupi mwachangu ndipo sikhala ndi zizindikiro zopweteka. Chifukwa chake, nthawi zambiri munthu samakayikira ngakhale pang'ono kuti kusintha kwa matenda kumachitika mthupi lake. Zizindikiro zake za matendawa zimawonekera pokhapokha ngati matenda akayamba.

Zizindikiro

Ndi chitukuko cha pancreatic fibrosis, Zizindikiro zimayenderana ndi matenda oyambitsidwa. Pa gawo loyamba la matendawa, palibe zizindikiro zotchulidwa zomwe zimayang'aniridwa. Ndi chidwi chachikulu cha kapamba, zizindikiro zotsatirazi zitha kuoneka:

• kupweteka pansi pa nthiti kumanzere,
• lamba lambiri la paroxysmal kapena kupweteka kwakanthawi,
• nseru (makamaka mutatha kudya mafuta komanso kusuta zakudya),
• pafupipafupi matumbo
• kukhalapo kwa chakudya chosasankhidwa mu ndowe.

Pankhani ya mtundu wokhazikika wa kapamba, zizindikiro zotsatirazi zingachitike:

• matenda ammimba (kusowa kwa chakudya, kumva kupsinjika m'mimba, malo osakhazikika),
• kupweteka kumanzere kwa hypochondrium, komwe ndi kwachilengedwe,
• kutulutsa, chisangalalo,
• kukomoka.

Ngati matenda a m'matumbo ndi oopsa, zizindikiro zotsatirazi zimawonekera:

• kupweteka kwambiri kwa kudula kwamtundu wa epigastric komanso hypochondrium kumanzere (makamaka mutatha kudya),
• lunda ululu pamimba,
• kumva kuphuka komanso kulemera m'mimba mutatha kudya,
• kutukwana,
• nseru
• kusowa kwa chakudya
• chisangalalo
• kutsegula m'mimba
• kukhalapo kwa zakudya zopanda pake mu ndowe,
• kukomoka.

Ndi fibrosis ya focal etiology, zizindikiritso za matendawa zimatengera makamaka kukula kwake. Ngati chiwalo chochuluka chasintha, ndiye kuti ziwalo zoyandikana zimakomedwa ndi chithaphwi, chifukwa chomwe wodwalayo amakhala nako kufuna kusanza. Nthawi zambiri matenda ngati amenewa amabweretsa chitukuko cha jaundice.

Njira zochizira

Mpaka pano, njira zenizeni zochizira matenda a chifrotic a kapamba sizilipo. Cholinga chachikulu cha njira zochiritsira ndikuthandizira kugaya ntchito kwa gawo lomwe lakhudzidwalo, kuthetsa ululu ndi zizindikiro zina zosasangalatsa.

Pa chikhululukiro cha matenda a kapamba, wodwalayo amamulembera zakudya zomwe zimagwiritsidwa ntchito pazakudya zambiri zomanga thupi, kuchuluka kwa mafuta ndi chakudya kuyenera kuchepetsedwa. Zakudya ziyenera kumwedwa m'magawo ang'onoang'ono kasanu pa tsiku. Kuchuluka kwa mchere sikuyenera kupitirira 6 g patsiku. Kumwa mowa, ngakhale pang'ono, sikuletsedwa.

Ndi chitukuko cha pancreatic fibrosis, chithandizo chiyenera kukhazikitsidwa makamaka pakukhazikitsa kuchuluka kwa michere. Kutengera mtundu wa zotupa m'mimba, dokotala atha kukulemberani mankhwala otsatirawa:

• mankhwala antispasmodic
• chapamimba katulutsidwe othandizira
• mankhwala osapweteka a antiidal
• mankhwala a analgesic ndi analgesic,
• antienzyme ndi antiemetic mankhwala
• glucocorticosteroids,
• Kukonzekera kwa interferon
• njira zothetsera mavuto
• shuga wamagazi amachepetsa mankhwala
• maantibayotiki.

Choyimira chachikulu, chomwe chikuwonetsa kuti fibrosis yotsogola imathandizidwa m'njira yoyenera, ndikuletsa kuchepa kwa thupi ndikusintha chimbudzi.

Endoscopic ndi opaleshoni kuchitapo kanthu angathe kuperekedwa pamaso pa zinthu zotsatirazi:

• kupweteka kosalekeza komwe kumatha atamwa mankhwala,
• makina jaundice
• mapangidwe a cy-post-necrotic cyst mu kapamba,
• kufinya kwa pancreatic duct kapena duodenal papilla yayikulu,
• mapangidwe a zotupa zachilengedwe.

Kukula kwa matenda amtunduwu kumatengera kukula kwa magwiridwe antchito ndikutsatira kwa wodwala kutsatira malangizo onse a dokotala. Mukapanda kunyalanyaza chithandizo chamankhwala ndikusiya zakudya zopanda pake ndi mowa, mankhwalawo sangathe kuyenda kwanthawi yayitali. Komabe, ndizosatheka kuchiritsa matendawa kwathunthu.

Kupewa matenda

Ndikulimbikitsidwa kuti muyambe kuchita zodziteteza munthawi yake. Ngakhale matendawa amakhumudwitsa matendawa, ndizotheka kusintha kwambiri moyo ndikuyimitsa kupitilira kwa matenda. Choyambirira, malamulo otsatirawa akuyenera kusamalidwa:

• kusiya kusuta
• pewani kudya kwambiri (makamaka zakudya zamafuta),
• lekani kumwa mowa.

Kuphatikiza apo, ndikofunikira kuti muzikhala ndi zakudya zoyenera. Kuti muchite izi, muyenera kusintha zakudya zomwe zimagwiritsidwa ntchito ndikumwa madzi ambiri. Muyeneranso kukhala ndi moyo wathanzi komanso kupewa mavuto.

Pamaso pa matenda osiyanasiyana osachiritsika, ndikofunikira kuti muchepetse kuwukira kwawo pa nthawi. Makamaka amalimbikitsidwa kuti apatsidwe kuchotsedwa kwa matenda achamba, thupi likafika poyatsidwa ndi zinthu zina zakunja.

Ndikofunikira kwambiri kuchitira nthawi yake matenda omwe angayambitse kusintha kwa mapangidwe a gland. Kuti muchite izi, muyenera kupita kwa dokotala pafupipafupi ndikupita kukayezetsa.

Ngakhale kuti pali zifukwa zambiri zomwe zimathandizira kuti ma fibrosis awoneke, omwe sangathe kusinthidwa, ndikofunikira kuti mukhale ndi moyo wathanzi. Izi zikuthandizira kuchepetsa chiopsezo chotenga matenda ambiri a ziwalo zamkati.

Fibrosis ndimatenda oopsa kwambiri, chifukwa chake, mankhwala omwe amadziletsa okha ndi oletsedwa. Pokhapokha ngati mungalumikizane ndi katswiri wazomwe angakuyesetseni ndikupereka chithandizo choyenera, mutha kupewa kupitilira kwa matenda a zamatenda komanso kukula kwa zovuta zazikulu.

Zolemba za matendawa

Omwe adapezeka ndi izi amafunika kudziwa kuti - pancreatic fibrosis - ndi momwe amadziwonekera. Chiwalochi chimakhala ndi timisempha tosiyanasiyana, monga stroma ndi parenchyma. Chingwe ndi mtundu wamtundu womwe umagwira ntchito yothandizira. Parenchyma ndi gulu la maselo omwe amatulutsa mahomoni ndi madzi a pancreatic. Kuwonetsedwa pazinthu zovuta kumabweretsa kutupa ndi kufa kwa maselo.

Malo okufa amasinthidwa ndi minofu yolumikizira. Ngati minyewa yachilengedwe ikupezeka m'malo mwa minyewa ya glandular, ndiye kuti izi zikuwonetsa kupezeka kwa fibrosis. Vuto ndilakuti thupi silingathenso kupanga ma enzyme ndi mahomoni, omwe amachepetsa kwambiri magwiridwe ake. Izi sizinthu zosasinthika, chifukwa ndizosatheka kubwezeretsa minofu yakufa ya glandular. Nthawi zina, zimakhala zovuta kuzilamulira, zomwe zimapangitsa chotupacho.

Gulu lalikulu

Ndikofunikira kuti mudziwe chomwe chimakhala - kapamba, komanso zomwe matendawa ali nazo. Itha kukhala:

Kugawidwa makamaka kumadalira makamaka matendawa, momwe amasinthira, kuchuluka kwasiyanasiyana. Ma cystic fibrosis a kapamba amadziwika kuti ma cyst amapezeka mu ma ducts a chiwalo. Pa gawo loyamba, matendawa ali asymptomatic kwathunthu. Zizindikiro zoyambirira zimawonekera pokhapokha patatha patokha patakula.

Chiwalo chomwe chakhudzidwa chimayamba kupanga chinsinsi cha pancreatic chokhala ndi ma enzymes ambiri. Chifukwa cha kukhalapo kwa cyst, silimalowa mu duodenum, yomwe imasokoneza chimbudzi chokwanira.

Diffuse pancreatic fibrosis amadziwika ndi kusintha pang'onopang'ono komanso moyenera mbali yathanzi la chiwalo chokhala ndi minofu yolumikizika. Ngati njira ya pathological singayime munthawi yake, ndiye kuti imasinthidwa kwathunthu. Pali kuchepa pakupanga ma enzyme. Matenda amtunduwu adanenapo zizindikiro ndipo ndizovuta kwambiri.

Pa gawo loyambirira la chitukuko chake, fibrosis imadziwika ndi zolimbitsa, chifukwa ilibe zizindikiro zowopsa. Pali kusintha pang'ono pokha pa ziwalo za chiwalo, zomwe zimakupatsani mwayi wokhala ndi moyo komanso sizimayambitsa zovuta zilizonse.

Fion ya fibrotic chotupa imangowonekera pokhapokha pancreas. Kuphatikiza apo, njira ya pathological siikukwaniratu minofu yonse. Zizindikiro zimadalira pa kukula kwa chinthu chachikulu.

Zizindikiro zazikulu

Kusintha kwa kapamba mwa mtundu wa fibrosis sikuwonekera mwachangu. Madandaulo oyamba amawonekera pokhapokha ngati pali kuphwanya kwakukulu mawonekedwe a thupili. Zambiri zimatengera kuopsa kwa njira yachipatala. Mwa zina mwazizindikiro zazikulu zomwe muyenera kuziwonetsa monga:

• kupweteka kumanzere kwa hypochondrium kapena pamimba yapamwamba,
• kubwatula
• kumva kuwawa mutatha kudya,
• kutsegula m'mimba
• ukufalikira
• kusowa kwa chakudya
• nseru
• kuwonda
• kukhalapo kwa chakudya chosasamalidwa chotsalira mu ndowe.

Ngati kuchuluka kwa minofu yolumikizidwa kumayang'ana m'chilengedwe, ndiye kuti pakapita nthawi imayamba kupanga foda. Kukhalapo kwa zodandaula pamenepa kumadalira kukula kwa chotupacho. Chotupa chachikulu chimaphwanya ziwalo zoyandikana ndipo, kuphatikiza pa ululu, chimatha kuyambitsa nseru kapena ngakhale jaundice.

Zizindikiro

Musanayambe kuchiza pancreatic fibrosis, muyenera kufufuza mozama. Kusintha kwathanzi kumatha kupezeka pogwiritsa ntchito njira zosiyanasiyana zofufuzira. Kuti adziwe matenda, dokotala amagwiritsa ntchito:

• zambiri zamankhwala
• mayeso a labotale
• mayeso ogwira ntchito
• ma diagnostics a ultrasound
• zida zothandiza.

Ndizovuta kudziwa kusintha kwa kapamba ndi ma fibrosis m'magawo oyamba, nthawi zambiri matendawa amapezeka mwangozi. Pankhaniyi, mayeso amalembedwa kuti athandizire kuchepa kwa michere.

Njira yodziwikitsa kwambiri yodziwitsa matenda ake ndi ultrasound. Chimodzi mwazinthu zofunikira zofufuzira pankhaniyi ndi kusinthasintha kwa gland.

Zochizira

Palibe njira zachindunji zochizira pancreatic fibrosis, chifukwa ndizosatheka kuchiritsa matendawa kwathunthu. Cholinga chachikulu cha mankhwalawa ndikuchotsa zizindikiro zomwe zimasintha pang'ono. Chithandizo:

• mankhwala
• kudya
• kuchititsa opareshoni.

Ndi fibrosis, muyenera kupita kudya zakudya zosasinthika ndikusintha zakudya zanu. Izi zimapangitsa kuti zitheke kupuma ziwalo zomwe zakhudzidwazo, potero kuchepetsa zovuta zosasangalatsa. Mchere, wokazinga, wosuta, zakudya zotsekemera ziyenera kuchotsedwa muzakudya. Sitikulimbikitsidwa kugwiritsa ntchito zinthu zomwe zimathandizira kupanga msuzi wa m'mimba. Ndi fibrosis, kumwa kwambiri ndi zakudya zazing'ono zimasonyezedwa.

Zochizira, mankhwala a osiyanasiyana sipekitiramu zochita. Makamaka, antispasmodics, mankhwala othana ndi kusanza, mankhwala omwe ali ndi michere yokumba.

Opaleshoniyo imangotchulidwa ngati njira yomaliza, mwachitsanzo, popanga zotupa zazikulu kwambiri zomwe zimakanikizira ziwalo zapafupi. Pofuna kupewa kukula kwa neoplasms, odwala omwe ali ndi fibrosis amalimbikitsidwa kuti azitsatira zakudya okhazikika, kupumula kwa kama, komanso kuchotsedwa kwazinthu zina zoyambitsa.

Mankhwala

Mankhwala osokoneza bongo a pancreatic fibrosis amasankhidwa poganizira zovuta za matendawa komanso kulolerana kwa mankhwalawo. Etiotropic mankhwala makamaka zotchulidwa.

Ndi zizindikiro zazikulu za dyspeptic, kukonzekera kwa enzyme kumayendetsedwa kuti athe kuyendetsa chakudya. Kuphatikiza apo, mankhwala a antispasmodic, antiemetic, anti-kutupa amatha kukhazikitsidwa.

Zithandizo za anthu

Zochizira kapamba, njira za wowerengeka zimagwiritsidwa ntchito ngati chithandizo chokha. Nayi maphikidwe.

• Tengani 1 tbsp. l njere zouma ndikuwathira ndi 300 ml ya madzi otentha. Ikani bwino brew ndi fyuluta. Ikani mankhwala omalizidwa nthawi zonse.

• Tengani 1 tsp. timbewu totulutsa 1 tbsp. madzi otentha. Siyani mphindi 40, kenako zosefera ndi kumwa musanadye. Mankhwalawa amathandizira kuchotsa nseru.
• Tengani 1 tbsp. oats, nadzatsuka bwino ndi kutsanulira 1 lita imodzi ya madzi otentha. Muzimutsuka kwa ola limodzi. Msuzi utazirala, zosefera kudzera mu cheesecloth. Chochita chotsirizidwa chimathandizira kuthetsa kuwonongeka kwa fibrous kwa kapamba.

Kudya

Pa mankhwala, tikulimbikitsidwa kutsatira zakudya zapadera. Zakudya zophika, zamafuta ndi zokwiyitsa siziyenera kuperekedwa kuchakudya. Zimakwiyitsa kupanga kwa ma pancreatic enzyme, zomwe zimawonjezera katundu pa chiwalocho. Maphikidwewo ayenera kupangidwa kuti pakhale zakudya zosachepera zisanu patsiku.

Zakudya zonse zimafunika kuwotchera, kuphika zipatso mu uvuni, ndi masamba ophika. Chakudya chachikulu chimakhala ndi mbewu monga chimanga Zakudya zotsekemera sizimaloledwa kupitiliza nthawi imodzi patsiku, ndipo zimafunikira kudyedwa pang'ono. Monga zakumwa, muyenera kusankha zakumwa za zipatso, tiyi wakuda ndi wobiriwira, decoctions a zipatso ndi ndiwo zamasamba, ma compotes.

Zovuta zotheka

Ndi njira yosavuta yamatenda monga fibrosis, kapamba sasintha kwambiri. Kuphatikiza apo, pathological process silipereka chiwopsezo chathanzi, chifukwa zimangowonetsa kufunikira kwa chithandizo.

Mitundu yambiri yosokoneza imawopseza wodwalayo zovuta zake zowopsa. Ichi ndichifukwa chake muyenera kukonzekera nthawi zonse, komanso kukalandira chithandizo m'madipatimenti a gastroenterology. Chowonadi ndi chakuti njira yothandizira kwambiri yamankhwala kulibe. Izi zikutanthauza kuti kapamba sadzagwiranso ntchito mwachizolowezi.

Zowopsa zake ndizowonjezereka zamafuta kapena kuwonongedwa kwa cystic motsutsana ndi maziko a matenda oyambitsidwa. Zotsatira zake, pakhoza kukhala necrosis ya pancreatic parenchyma. Vutoli limasokoneza moyo wa munthu.

Ndi kapamba wa pancreatic, matendawa amatengera zinthu zingapo, makamaka:

• mawonekedwe a magwiridwe antchito,
• kuchuluka kwa kufalikira kwa matendawa,
• moyo wopirira.

Ngati munthu amatsatira malamulo onse a dotolo ndikuyenda m'moyo wabwino, ndiye kuti ali ndi mwayi wokhala ndi moyo wautali komanso wachimwemwe. Komabe, kuti muchite izi, muyenera kukonzekera nthawi zonse, kusiya mowa ndi fodya.

Prophylaxis

Popeza fibrosis sangathe kuchiritsidwa kwathunthu, prophylaxis imalimbikitsidwa munthawi yake. Choyamba, muyenera kuchotsa zipsinjo zomwe zimayambitsa matenda. Izi ndi monga:

• kusuta
• uchidakwa
• kudya kwambiri mafuta.

Ndikofunika kuti muchepetse zolakwika za kadyedwe, kamwani madzi ambiri momwe mungathere, osadzilimbitsa kwambiri pakuchita masewera olimbitsa thupi, komanso kupewa nkhawa. Pamaso pa matenda osachiritsika, ndikofunikira kuti muchepetse kuukira panthawi yake. Kuyang'aniridwa kwakukulu kuyenera kulipidwa mpaka nthawi yachikhululukiro cha kutupa kwa kapamba, pomwe zikondamoyo zimatha kuyatsidwa motsogozedwa ndi zinthu zoyambitsa.

Odwala omwe ali ndi fibrosis amayenera kuyesedwa moyenera kuchipatala ndipo amatumizidwa kuchipatala. Odwala amalembetsedwera kuti ayesedwe pafupipafupi komanso kuti amvetse bwino chithunzi chonse ndikuphunzira masinthidwe amomwe amapezeka.

Zambiri pa Pancreatic Fibrosis

Kasitomala ndi gawo la chimbudzi cha anthu ndipo ali ndi udindo wopanga ma enzymes apadera omwe amathandizira kukonza zakudya. Chiwalochi chimakhala ndi mitundu iwiri ya minyewa yotchedwa stroma ndi parenchyma.

Chingwe ndi mtundu wolumikiza womwe umagwira ntchito yothandizira.

Maselo omwe amapanga parenchyma ndi omwe amachititsa kuti thupi lizigwira ntchito: amapatula madzi a kapamba, amatulutsa michere ndi mitundu ina ya mahomoni.

Mwa pancreatic fibrosis, timamvetsetsa momwe nthawi yomwe chiwonongeko cha ziwalo zimachitika.

Maselo abwinobwino, achilengedwe mwapangidwe ake, amasandulika kukhala minofu yolumikizika, osatha kupanga zinthu zofunika.

Nkhani yothandiza? Gawani ulalo

Cancreas yaumunthu imatha kudwala onse a fibrosis, pomwe minyewa ya m'mimba yake imalowetsedwa ndi minyewa, ndipo kuchokera ku lipomatosis, njira yomwe imadziwika ndi kusintha kwa minyewa ya m'mimba ndi minofu yamafuta.

Muzochitika zapamwamba, njira zoterezi zimatha kuphatikiza, kutengera mawonekedwe a fibrolipomatosis.

Matendawa amawonetsedwa kawirikawiri mwa anthu omwe ali ndi vuto la metabolic (makamaka matenda a shuga mellitus).

Tsoka ilo, onse a fibrosis ndi lipomatosis, ndi mawonekedwe awo ophatikizika - fibrolipomatosis - ndi matenda osasinthika.

Komabe, mothandizidwa ndi chithandizo choyenera, komanso chofunikira kwambiri, munthawi yake, njira zoterezi zitha kutulutsidwa ndikupewa kuchepa kwa maselo omwe akuwonongeka.

Ngati mumanyalanyaza maphunzirowa ndipo simumayesa kusintha njira iliyonse, mutha kuyambitsa zotupa, monga fibromas kapena lipomas.

Zomwe zimayambitsa pancreatic fibrosis:

• zotupa zotukuka zotulutsidwa m'thupi lathu,
• uchidakwa komanso kusuta,
• kuledzera kwambiri ndi zakumwa zoledzeretsa kapena mankhwala ena aliwonse,
• matenda osiyanasiyana opatsirana
• yotupa matenda a ndulu ndi biliary thirakiti,
• Chakudya chopanda mafuta chokhala ndi mafuta ambiri ndi zakudya zokazinga,
• kunenepa
• kugwiritsa ntchito mankhwala kwa nthawi yayitali popanda kuyang'anira dokotala,
• chithokomiro hyperacaction ndi cholowa cystic fibrosis.

Mfundo zachakudya zoyenera za pancreatic fibrosis

Zizindikiro zomwe zimadziwika ndi matendawa zimatha kuchepetsedwa ndi zakudya zoyenera komanso zopatsa thanzi.

Monga lamulo, anthu omwe ali ndi matenda amtunduwu ayenera kutsatira zakudya zopatsa thanzi zomwe zimalimbikitsidwa ndi chithandizo chamankhwala No. 5, chopangidwa ndi M. I. Pevzner, yemwe anayambitsa matenda azakudya ku USSR.

Pevzner iyenera kudyetsedwa pang'ono, idyani kangapo patsiku. M'pofunika kuchepetsa chikumbumtima chanu chakudya chochuluka kuti muchepetse vuto la kugaya chakudya komanso kuti muchepetse njira zake.

Zakudya zomwe zimapangidwira anthu omwe ali ndi zizindikiro za pancreatic fibrosis ayenera kukhala otentha, osatentha kapena ozizira.

Zakudya zonse zothetsera kutentha ziyenera kuwotchera kapena kuwiritsa kapena kuwotcha popanda kuwonjezera mafuta kapena nyama.

Kuphatikiza apo, tikulimbikitsidwa kusiya kugwiritsa ntchito mchere kapena kuchepetsa kwambiri kuchuluka kwake m'mbale.

Muyeneranso kuchepetsa kugwiritsa ntchito shuga, othandizira ena amakomedwe, zonunkhira ndi zonunkhira. Ndi ziletso, zakudya monga uchi, mtedza, ndi bowa ziyenera kudyanso.

Zinthu zomwe ziyenera kupewedwa pamaso pa pancreatic fibrosis:

• nyama zamafuta, nsomba ndi nkhuku, komanso msuzi wophika chifukwa chawo,
• chiwindi, impso ndi zina.
• nyama zotsekemera ndi mchere
• Zakudya zamzitini ndi zakudya zopatsa mphamvu zowonjezera kukoma komanso zopatsa thanzi zingapo,
• mafuta a nyama ndi ndiwo zamasamba (izi zitha kuwonongedwa, koma zoletsa),
• mafuta amkaka amkaka, tchizi zolimba,
• mowa wamtundu uliwonse
• buledi woyera, makeke,
• maswiti (makamaka chokoleti, ayisikilimu, ndi zina),
• misuzi ya zokometsera, mayonesi, etc.

Pancreatic fibrosis ndi matenda oopsa omwe amafunika chithandizo cha panthawi yake.

Zakudya zapadera zimathandiza kuchepetsa kuchepa kwa minofu ya glandular kukhala cicatricial, tanthauzo lake ndikukana kwathunthu kwa zakudya zopanda pake.

Matenda a m'tsogolo kwa anthu omwe anayambitsa matenda koyambirira kwa mawonekedwe ake amakhala abwino.

Ultrasound ya kapamba amawonetsa kukula kwake, maonekedwe ake ndi mawonekedwe a chiwalo. Kuphatikiza apo, kupezeka kwa mitundu iliyonse ndi kufanana kwa parenchyma kumatsimikizika. Koma kuti muzindikire bwino - ichi ndi chotupa, ma cyst, miyala kapena china chilichonse chithandizira zowunikira zina. Ultrasound ndi njira yovomerezeka, koma pankhaniyi sikokwanira. Izi zimachitika chifukwa chakuti mpweya wokhazikika m'matumbo umapangitsa kutanthauzira kolondola kwa zotsatira zake.

• Kusintha kovuta pancreatic sikuti kumayambitsa nkhawa
• Pancreatic Dysfunction
• Kuperewera kwa zakudya m'thupi ndikuthanso kusintha kwa kapamba

Kusintha kovuta pancreatic sikuti kumayambitsa nkhawa

Ndizofunikira kudziwa kuti kuphatikiza kusintha kwa kapamba sikuli m'gulu la matenda ndipo sikuti ndi matenda. Amayamba chifukwa cha kupatuka kuzolowera kwazitsulo. Popeza talandira zotsatira za mayeso a ultrasound, zamankhwala komanso zamankhwala am'mimba, kutengera madandaulo a wodwala, dotolo amapanga kuwunika koyenera (mwachitsanzo, chifuwa chachikulu) ndikuwonetsa chithandizo, amapereka malingaliro pa moyo ndi zakudya (zakudya za kapamba).

Kusintha kovuta m'matumba sikutanthauza kukhalapo kwa miyala, zotupa kapena cysts.

Mapeto a ultrasound amangosonyeza kusintha komwe kumagawidwanso mu ziwalo. Zambiri pa izi mwatsatanetsatane ...

Kuperewera kwa zakudya m'thupi ndikuthanso kusintha kwa kapamba

Zikondwererozo nthawi zambiri zimavutika ndi zokonda za mwini wake. Mafuta, mchere, zakudya zonunkhira, mowa. Zonsezi zimabweretsa mtolo wowonjezera pa kapamba, komanso chikhodzodzo cha ndulu ndi chiwindi. Zotsatira zake zonsezi, kugwira ntchito kwa ziwalo zogaya chakudya kumasokonekera ndipo kusinthika kwa ziwalo kumapezeka. Kuti muthane ndi mavuto osasangalatsa, mumangofunika kusintha zakudya zanu ndikudya chakudya chopatsa thanzi. Kupanda kutero, kapamba (kutupa kwa kapamba) kumatha kuchitika.

Pancreatitis

Kusintha kovuta kumachitika chifukwa cha matenda osiyanasiyana, zomwe zikutanthauza kuti amadzionetsa mosiyanasiyana. Mwachitsanzo, kupukusa kwa kapamba, wodwala amene ali ndi vuto lalikulu la kapamba, angawonetse kukula kwake, kuyambitsa kusintha kwa kuchepa kwa thupi (kuthekera kwa kuwonetsa phokoso m'misempha ndikomveka) ndikuchepa kachulukidwe.

Matenda a kapamba samayambitsa kukula kwa chiwalo, koma pali kusintha kwakumchepa kwa echogenicity ndi kachulukidwe.

Kuzindikira kwa pancreatitis sikungofunika kokha kufufuza kwa ultrasound, komanso kuwunika wodwalayo. Gastroenterologist amatenga nawo mankhwalawo. Mu mawonekedwe osakhazikika, maziko a mankhwalawa ndi zakudya, kapamba ya pachimake amathandizidwa kwathunthu.

Lipomatosis ndi kapamba wa kapamba

Lipomatosis ndi kugawanika m'malo mwa pancreatic minofu. Nthawi zambiri, lipomatosis imapezeka mwa odwala matenda a shuga komanso achikulire. Ponena za kusintha kwa mayeso, kumakhala kuchulukana, pomwe kukula kwa ziwalo kumakhalabe kwabwinobwino.
Fibrosis ndi kuletsa kusakanikirana kwa minofu yolumikizana (kumanga). Monga lamulo, limawonekera pambuyo pa njira yotupa komanso chifukwa cha zovuta za metabolic. Zambiri za Ultrasound za fibrosis ndizotsatirazi: kuchepa kwa kukula kwa kapamba, kuchuluka kwa kupsinjika, komanso kuchuluka kwa echogenicity.
Pomaliza, ndikofunikira kudziwa kuti ndi dokotala yekha yemwe amazindikira za matenda atazindikira mozama zonse. Kusintha kovuta m'matumba ndi zina mwa zotsatira za mthupi zomwe zimafunikira kufotokozedwa. Koma nthawi yomweyo, ndizowonetsera kuti zosokoneza zina zachitika pogwira ntchito ya chiwalo chofunikira chotere (kapena, ndendende, zofunikira), zomwe zimapangitsa kuti zitsimikizike mosakayikira kuti zithetsenso zomwe zimayambitsa matenda.
https://youtube.com/watch?v=wNm0jCWT3Wg

Echogenicity ya wathanzi kapamba parenchyma pa ultrasound ali ofanana echogenicity chiwindi ndi ndulu. Mu kapangidwe kake, chitsulo chimakhala ndi mutu, thupi ndi mchira wokwanira bwino. Tsoka ilo, akatswiri omwe ali ndi mavuto atembenukira kale kwa akatswiri, ndipo pa owunikira zida zofufuzira nthawi zambiri amawona zizindikiro zosintha kusintha kwa kapamba chifukwa cha kutupa kapena kufalitsa kwina.

Kodi kusintha kosiyanasiyana kwa pancreatic parenchyma ndi chiyani?

Kusintha kwa pathogenic mu minofu ya glandular nthawi zambiri kumakhala kosachiritsika, chifukwa chake palibe umboni. Koma ultrasound yokhala ndi kukula kwamagulu mu gland echogenicity imachulukitsidwa. Odwala okalamba omwe ali ndi matenda amtima, matenda a shuga, maselo athanzi amayamba kufa, m'malo mwake amasinthidwa ndi minofu yolumikizika kapena ya adipose.

Komanso, kusinthika kotereku kumawonedwa ndikuphwanya magazi kwa chinthu chofunikira kwambiri, chiwindi, ndikuphwanya magwiridwe antchito am'thupi, kuphwanya endocrine ndi njira za metabolic. Ndi ziti zina zomwe zimapangitsa kusintha kwa chiwindi ndi kapamba kumachitika?

Zizindikiro zofananazo zimawonedwa ndi kapamba kapena dystrophic kusokoneza kwa kagayidwe kachakudya. Kuzindikira kwa pancreatitis sikungakhale kotsimikizika, kenako chithandizo sichikulamulidwa, ndipo wodwala sazindikira DIP. Nthawi zambiri, kufalitsa kusintha kumachitika m'minyewa. Mu matenda oyamba, kusintha kwa minyewa ya pathogenic kumakhala pafupifupi asymptomatic. Izi ndizosintha pang'ono pancreatic.

Zizindikiro zazikulu za kupukusa zimasinthira kapamba

Nthawi zambiri, zizindikiro za CI zimayenderana ndi matenda oyambitsidwa. Nthawi zambiri, odwala amadandaula kuti amamva kulemera m'mimba, amadwala m'mimba pafupipafupi kapena, m'malo mwake, kudzimbidwa. Mu pancreatitis pachimake, kupanikizika kwa kapamba wa pancreatic kumachulukirachulukira, komwe kungayambitse kuwonongeka kwake. Chifukwa cha kusokonezeka kwa enzymatic ntchito, gawo lina la michere yogaya chakudya limatha kudutsa ma cell a pancreatic parenchyma ndikupangitsa poizoni m'thupi. Pankhaniyi, wodwalayo amamva kupweteka kumanzere pansi pa sternum, nseru, nthawi zambiri limodzi ndi kusanza. Kugunda mwachangu komanso kuthamanga kwa magazi kumawonedwa. Izi, monga lamulo, zimafuna kuchipatala.

Gawo loyambirira la kapamba wamatumbo limatha chifukwa cha mawonekedwe a edema ndi zotupa m'matumbo a gland. Kenako atrophy imachitika, tiziwalo tatsika tating'onoting'ono, timene minyewa yolumikizana imachitika, ndipo ma cell omwe amapanga enzyme amasiya kupanga michere yokumba. Fibrosis imaperekedwanso limodzi ndi kusamutsidwa kwa maselo a pancreatic athanzi ndikusinthidwa ndi minofu yawo yolumikizika. Kupanga kwa mahomoni ndi ma enzymes kumatha. Pa gawo loyamba, zizindikiro zake ndizochepa ndipo nthawi zambiri zimakhala zofanana ndi zizindikiro za kutupa kwa kapamba. Kusintha kwamphamvu pamafinya kumawonekera.

Kusintha kwa kapangidwe

Kapangidwe ka parenchyma kamatha kukhala kopanda pake komanso kosalala. Kukula pang'ono pang'onopang'ono sikuti ndikupatuka kwakukulu. Kuphatikiza, kuchuluka kwa granularity kumawonetsa kusokonezeka ndi kusintha kwa dystrophic mu gland yokhudzana ndi kuperewera kwa zakudya.

A pancreatic parenchyma wathanzi amafanana ndi mawonekedwe a chiwindi, omwe ali ofanana komanso owoneka bwino. Zosintha zokhudzana ndi zaka mu mawonekedwe a gland zikuwonetsa kukhala ndi lipomatosis, yomwe nthawi zambiri imakhudzana ndi kuyambika kwa matenda ashuga. Zizindikiro zakusintha kwa kapamba zingakhale zothandiza kwambiri.

Fibrous DIPJ

Ma MD Fibrous akucheperachepera tinthu tambiri tomwe timafalikira m'maselo a minofuyo. Zomwe zimapangitsa izi zimachitika nthawi zambiri:

1) matenda a metabolic.

2) Mowa poyizoni.

3) Zilonda zamavuto.

4) Njira zotupa.

Kuphatikiza apo, zotupa zomwe zimayambitsidwa ndi ma virus zimakhudza dongosolo lonse la hepatobiliary, osati chikhodzani chimodzi chokha. Pa ultrasound, masinthidwe amasintha mu kapamba amakhala ndi kupindika kwakukulu komanso kachulukidwe. Kukhalapo kwa kusinthika kwa michere yotupa kungawonetse chotupa cha glandular minofu - kukula, komwe kumatha kupsinjitsa England komanso kupweteka.

Zizindikiro zosiyanasiyana zidzakhalapo kutengera ndi komwe mafupawo ali. Mwachitsanzo, ikakhala m'mutu wa kapamba, chimbudzi chimapanikizika, ndipo chizindikiro cha jaundice chimachitika. Ngati chotupa chikakamira pa duodenum, nseru, kusanza, ndi zizindikiro zina zimachitika zomwe zimafuna kusiyanitsidwa ndi matumbo. Ndi ziti zina zomwe zikuwonetsa kusintha kwa kapamba?

Kodi zingayambitse kapamba?

• kumwa mowa mwa kuchuluka kosagwirizana ndi matenda osiyanasiyana a ndulu yoyambitsidwa ndi ichi (choyambirira, tikulankhula za matenda a ndulu, komwe ndi chifukwa chachikulu cha kapamba mu 9 mwa milandu 10),
• kuyambika kwa njira yotupa mu kapamba imatha kuyambitsidwa ndi zifukwa zina, makamaka, kuvulala ndi kuvulala kwa makina, matenda opatsirana ndi kugwiritsidwa ntchito kwamagulu ena a mankhwala, matenda omwe akukhudza dongosolo lamitsempha yamagazi ndikukhazikika kwa magazi abwinobwino kwa ziwalo, kusachita bwino kwa mahomoni ena komanso ngakhale kagayidwe. .

Pancreatic fibrolipomatosis: timatanthauzira mawuwo

Fibrolipomatosis ndi amodzi mwa matenda omwe amaphatikizidwa ndi mawu akuti "pancreatitis." Komabe, ndizosatheka kunena kuti matendawa ndi osavomerezeka, ngakhale madokotala amalemba izi. Kodi zimachitika bwanji? Tiyeni tiyese kuzindikira izi popanda kupita ku matanthauzidwe azachipatala komanso kulankhula chilankhulo chomveka kwa omwe si ophunzira.

Kuzindikira kwa Ultrasound kumangoyang'ana ndi kuwunika magawo angapo a thupi:

• malo pamimba pamimba (ngati tikulankhula za mtundu wa ultrasound)
• mawonekedwe ndi kukula kwake
• kapangidwe ndi kukula kwa homogeneity wa zimakhala, ndiye kuti, zomwe zimadziwika kuti echogenicity.

Ngati maziko omaliza akutembenukira kumbali iliyonse, izi zimapatsa katswiri chifukwa chokambirana zosintha zina.Chifukwa chake, lingaliro loterolo silingatchulidwe ngati matenda, chifukwa ndi mtundu chabe wa malo othandiza kwa dokotala ndikumulola kuti azindikire kufanana kwa kusintha kwa matenda. Chifukwa chake, pancreatic fibrolipomatosis silingatchulidwe mwachindunji monga matenda omwewo, kapena ngati chizindikiro kapena chizindikiro cha matenda ena. Ntchito yake yayikulu ndikungowonetsa kukhalapo kwa kusintha kwa ziwalo zathupi, motero, mwa mawonekedwe achilengedwe.

Kutsiliza: ngati adotolo adalemba "fibrosis" pa khadi lanu, izi zikuwonetsa kuchepa kwa kuchuluka kwa kuchuluka kwa zinthu, zomwe zimaphatikizira kuwonjezeka kwa kupsinjika kwa gawo la ziwalozo. Ndipo lipofibrosis, mosiyana, amatanthauza kunenepa kwambiri kwa kapamba. Zotsirizira zake, zimatha kukhala chifukwa cha kusokonezeka kwa metabolic komwe kwatchulidwa kale kapena chifukwa cha kutalika kwa nthawi yayitali komwe kumachitika m'thupi lathu.

Amayambitsa komanso matenda a fibrolipomatosis

Fibrolipomatosis ndi mnzake wosagonjetseka wa kapamba, ndipo zimachitika pazifukwa zingapo. Tiyeni tiganizire za kudalirika uku. Kodi tanthauzo la pancreatitis yayitali ndimakhala chiyani, monga matenda ena aliwonse omwe amapezeka nthawi yayitali? Amayenda ndi munthu moyo wake wonse, nthawi zambiri popanda kusokoneza komanso kuwonetsedwa nthawi ndi nthawi. Chifukwa chake, mankhwalawa alinso episodic mwachilengedwe ndipo cholinga chake ndikuwachotsa kapena, makamaka, kupewa kuyambitsidwa. Chifukwa chake, kukula kwa matendawa kumatenga pang'onopang'ono, zomwe zimapangitsa kuti pakhale kusintha kwakukulu.

China chomwe chikuthandizira kwambiri pakugwira ntchito kwa chiwalochi ndi ntchito ya chithokomiro cha chithokomiro, chomwe chimayang'anira gawo lopanga mahomoni m'thupi. Ngati chithokomiro chikuvutika ndi matenda oopsa, izi zimakhudza gawo lonse lathunthu komanso kapamba makamaka, komwe sikungachitepo kanthu chifukwa cha kudumphadumpha kwa mahomoni.

Ponena za momwe matendawo aliri, kupezeka kwake kwakanthawi, ngakhale pazoyambira zamankhwala amakono, kumakhalabe kotheka. Chowonadi ndi chakuti kusintha koteroko sikumadzipangitsa kumva, ndipo munthu samangomva kuti chinachake chikusokonekera m'thupi lake ndipo, chifukwa chake, samapita kwa dokotala.