Ukwahlula kwe-pancreatitis engapheliyo kunye nefom yayo

I-pancreatitis engapheliyo isifo esinobungozi nesigxina esihamba kunye neenkqubo zokuvuvukala kwepakreas, kunye nomonakalo kwiiseli kunye nezicubu. Eli nqaku liza kuchaza ukuhlelwa kwe-pancreatitis engapheliyo, kunye nezixhobo eziphambili zesi sifo.

Yiyiphi le ngozi?

I-pancreatitis engapheliyo idla ngokuphindaphindiweyo kwabasetyhini abasebekhulile, kwaye kaninzi baneminyaka ephakathi. Isizathu esibalulekileyo salolu phuhliso lokukhubazeka ukungondleki komntu.

Ngokuqhelekileyo, iingxaki zepakreta zivela ngokuchanekileyo xa umntu eqala ukutya ukutya okuninzi okuthosiweyo. Nangona kunjalo, oku akukona nje kuphela. Kwakhona, esi sifo sinokuhlasela abafazi abagcina ukutya okuqinileyo kwaye baziphika iimveliso zokutya ezifanelekileyo. Ukuba umzimba womntu ufumana amanqatha amaninzi kunye neeprotheni, i-pancreas iyeka ukusebenza ngokufanelekileyo. Ngaphandle koko, ukuba umntu uphinde asebenzise kakubi utywala, ngoko unokuqiniseka ukuba, i-pancreatitis engapheliyo iya kuziva.

Kuze kube yimini, kukho nje inani elikhulu lokwahlula kwesifo, elowo lubandakanya izinto ezithile. Makhe sihlolisise ngamnye ngalunye iinkcukacha.

I-Marseilles-Roman i-classification ye-pancreatitis engapheliyo

Olu luhlu ludume kakhulu kwaye lusetyenziswa kakhulu kwihlabathi lonke. Ngokutsho kwayo, kukho iindidi ezine zesifo:

• Ukuthintela. Le fomu ibonakaliswa nobukho beenkqubo ezivuzayo kwipakreta. Kule meko, kukho ukucinywa kweedoksi eziphambili ngamathambo, ukubambelela okanye inkambo yokuphendula okuvuthayo ngokwabo.

• I-calcific pancreatitis yinto eqhelekileyo ukuza kuthiwa. Kule meko, izicubu zichithwa i-foci, zenzeke kulo mzekelo ngamatye okuhamba. Ezi zininzi zezifo zidla ngokufumaneka kubantu abasebenzisa inani elininzi lotywala.
• Ifom ye-indurative ayinqabile kakhulu, kuba ibonakaliswe yi-atrophy yezicubu.
• Imfundo yama-cyst kunye ne-pneumocyst.

Umsebenzi oyintloko wepascreas

Ukuze kuqondwe umbandela onjalo njengoluhlu lwe-pancreatitis engapheliyo, kuyimfuneko ukuqonda ukuba yintoni umsebenzi owenziwa yilungu njengepakreas. Kufanelekile ukwazi ukuba uvelisa i-enzyme ezahlukahlukeneyo ezithatha inxaxheba ngqo kwinkqubo yokutya ukutya. Ii-enzyme ze-pancreas zinokugaya ukutya okungenayo kwimeko enjalo ukuba ingafunyanwa. Ngomhla, lo mzimba unako ukuvelisa malunga neyure enye yemfihlo, kubaluleke kakhulu ukutya okufanelekileyo kokutya.

Iimpawu zentsholongwane

Ukuze kuqondwe kangcono ukuhlelwa kwe-pancreatitis engapheliyo, kuyimfuneko ukuqonda ukuba zeziphi iimpawu ezi zinto. Kwaye ke, yiyiphi impawu efunekayo ukuba uyibeke ingqalelo:

• Ubuhlungu besisu;
• Ukungcola okungalunganga, okuya kubakho iimpawu ezinjalo njengamafutha amaninzi, ukubhubhisa, ukulahleka okukhulu, ukunyamezela kokutya kunye nobuthathaka bomzimba wonke;
• Kwezinye iimeko, kwizigaba eziphambili zesifo se-pancreatitis esingapheliyo yesifo sikashukela sinokuqala ukuphuhlisa;
• Kwi-ducts ye-bile, uxinzelelo lukhuphuka kunye nesisu se-dyspepsia syndrome sithathwa.

Ngenxa yesiphumo sokuhlala sisifo esingapheliyo

Enyanisweni, esi sifo singaqala ukuphuhlisa izizathu ezininzi, kunye nokudibanisa kwazo. Qaphela izizathu, ezithi, ngokutsho koogqirha, ngokuqhelekileyo zibangelwa yi-pathology:

• Ukusetyenziswa kakubi kotywala;
• Ukusetyenziswa kwamanye amayeza;
• Umxholo ophezulu we-calcium egazini;

• I-fatabolism engalunganga;
• Ukuphuhliswa kwesi sifo kunokwenzeka kwaye ngenxa yesondlo esibi;
• Kwakhona, esi sifo sinokuziva xa kukho ukungenakwanela kokutya okunomsoco.

I-pancreatitis engapheliyo: Udidi lwe-ICD 10

Olu luhlu lwanamhlanje kwaye lusetyenziswa kakhulu namhlanje. Ngokwale nkcazo, i-World Health Organisation inikezela izifo ezitsha rhoqo kwiminyaka eyi-10, iquka ukunyameka kwe-pancreatitis. Uluhlu lwesimanje lunikeza isifo ngasinye sisisigxina, ngoko ke ukuba ugqirha akaqondi ulwimi lwangaphandle esebenzisa le nto, uya kukwazi ukuqonda ukuba yeyiphi isifo.

Ngoko, ngokweloluhlu, i-pancreatitis engapheli ineendlela ezimbini:

• Uhlobo lotywala;
• Ezinye iifom zezifo.

Udidi lweCambridge

Udidi lweCambridge lwe-pancreatitis engapheli luyathandwa kakhulu ngamayeza aseNtshona. Isekelwe kwi-gradation yeenguqu kwiipancreas kwizigaba ezahlukeneyo zesifo. Ngokoluhlu, izigaba ezilandelayo zesifo ziyaziwa:

• I-pancreas yiseburhulumenteni. Kule meko, ilungu linesakhiwo esifanelekileyo kunye nemisebenzi ngokufanelekileyo.
• Utshintsho oluthile lwezifo ezingapheliyo. Kule meko, iinguqu ezincinane kwiipascreas ziyabonwa.

• Utshintsho olunzulu lwezonyango lubonakaliswe ngenguqu kwiingcingo zomda.
• Utshintsho oluthile lobungakanani bemvelo. Kule meko sele sele kunokwenzeka ukuphawula utshintsho kungekhona kuphela kumathanga asetsheni, kodwa nakwiindawo eziphambili. Ngokuqhelekileyo kweli nqanaba, ama-cysts amancinci kunye nama-necrotic tisses akha.
• Utshintsho oluphawulekayo lwezifo. Kule meko, ukongeza kuzo zonke iinguqu ezichazwe ngasentla, ii-cysts kunye namatye amakhulu angakhiwa.

I-pancreatitis exhaswa yiBiliary

I-pancreatitis exhomekeke kwi-biliary-Chronicle isifo esinexesha elide elinomdla oqhubekela phambili kwiimeko ezidlulayo ezikhoyo emzimbeni nangona ngexesha lokuzalwa komntwana. Enyanisweni, eso sifo siqhelekileyo kwaye sibonakaliswe yimpawu:

• Ubuhlungu kuzo zonke iindawo zesisu, ezivela ikakhulu ebusuku. Iimvakalelo ezibuhlungu zingaphinde zande kumqolo, emagxeni okanye entanyeni. Kule nkqubela impawu ezibuhlungu zesi sifo zidideka kunye neziqu ze-biliary colic.

• I-pancreatitis exhaswa yiBiliary ibonakala ngendlela yokuqhaqha, isicathulo, ukukhupha, ukuhlanza okanye ukugubungela esiswini.
• Ngethuba le sifo, iingxaki ngeesitofu ziyabonakala. Izigulane ezininzi zikhalaza ngesifo sohudo, esasigcinwa amaxesha angamahlanu ngosuku. Ngelo xesha, i-stool yayinjenge-porridge-kwaye ihlambulukanga kakhulu kwiindonga zeseyile yangasese.
• Ukwandisa izinga legazi le-bile pigment. Ngenxa yoko, ulusu, kunye nabamhlophe bamehlo, bafumana i-tinge ephuzi.
• Izigulane ezininzi zifumene ukulahleka okunzima.
• Ukuphuhliswa kwesifo sikashukela.

Isifo esinjalo sivame ukuphathwa ngokufanelekileyo, kodwa kwiimeko ezinqabileyo kakhulu kunokungenwa ngongenelelo olwenziweyo.

I-pancreatitis ephindaphindiweyo

I-pancreatitis engapheliyo (ukuphindaphinda ukusetyenziswa kusetyenziswa ngokugqithiseleyo kakhulu) kubonakala ngokukhawuleza kweentlungu. Akunakutsholwa ukuba iintlungu ezinjalo zibuhlungu kakhulu, kodwa ngokunyanga okungafanelekanga, imeko yesigulane ingahlahloka kakhulu.

Nangona kunjalo, ukuba ngexesha elifanayo kunye nale ntshoyo isigulane sinesinye isifo seenkqubo zokutya, ngoko intlungu ingaba yinto engavumiyo. Ngokuqhelekileyo, intlungu yesifo ivela kwiiyure ezimbalwa ukuya kwiintsuku eziliqela. Ukuze kupheliswe iimpawu zesi sifo, kufuneka usebenzise iindlela zokunyango olulondolozayo, kunye nokulungelelanisa ukutya okunomsoco.

Unyango

I-pancreatitis engapheliyo, i-etiology enokuhlukahluka, kubaluleke kakhulu ukuqala unyango ngexesha, ngaphandle koko le ntsholongwane inokukhokelela ekudalweni kwezinye izifo. Ngokuqhelekileyo, uhlobo olungapheliyo lwe-pathology lukhuni kakhulu ukunyanga ngeendlela ezizisebenzisayo, ngoko ke iingcali zicebisa ukuba zisebenzise ukungenelela kokusebenza. Musa ukwenza izigqibo ngokukhawuleza, tyelela oogqirha abaninzi, kwaye sele ususelwe kwiziphakamiso eziqhelekileyo ezifunyenweyo, misela isicwangciso sokwenza unyango olungaphezulu.

Ungakulibali ukuba inkqubo yonyango kufuneka ijoliswe ekupheliseni intlungu, ukususa iinkqubo zokuvuvukala, kwakunye nokususa i-bile emzimbeni.

Iifom zesifo

Kubaluleke kakhulu ukubona ukuba luphi uhlobo lwe-pancreatitis kwimeko nganye. Ifom yesifo ishomekeke kwiimeko ezininzi. Makhe siqwalasele ngokubanzi iinkcukacha zeziphi iinzululwazi zinikeza:

• I-edema ye-pancreatitis engapheli ifana kakhulu neyodwa. Kule meko, lesi sifo sithe gqolo kakhulu, ngaphezu kweenyanga ezintandathu. Ngokuqhelekileyo, ngaphezu kweso sifo sesifo, isicaphulelo kunye nokuhlanza zikhoyo.
• Ifom ye-parenchymal ibonakaliswe ngokukhawuleza kwezinto ezinzima. Njengomthetho, olo xinzelelo lwenzeka kaninzi ngonyaka. Xa kuqhutywe unyango lwe-ultrasound, kunye nezinye iindlela zokwenza iimviwo, kuyaqaphela ukuba i-pancreas ibonakala ngenguqu.
• Ifom ye-indurative ivame ukubonakalisa iintlungu ezinzulu. Ukongeza, inani le-amylase liqala ukwandisa egazini. Nangona kunjalo, i-ultrasound ayibonakali ukuba iqela laqala ukwandisa ngobukhulu. Kwezinye iimeko, ngokuchaseneyo, kuba yincinci.
• Ngefomu le-cystic kwi-pancreas i-cysts encinci iqala ukwenza. Kule meko, ilungu ngokwalo liqala ukwandisa, kwaye i-contours yalo iyahlukana.
• Ifom ye-Psevdotumoroznaya idla ngokubhekisele kwi-syndrome eyona ntlungu. Kule meko, ilungu liyakwandisa kakhulu ubukhulu kwaye litshintsha indlela yalo. Oku kuya kubonakala nangona uncedo lwesalathiso esiqhelekileyo.

Kakade, esi sifo sinzima kakhulu, ngoko oogqirha bacebisa ukuba uzinyame kwaye udle kakuhle izigulane zakho. I-pancreatitis engapheliyo inokunyangwa ngonyango olulondolozayo, kodwa oku kunokwenziwa kuphela ukuba eso sifo sinokuqala. Kwimigangatho enzima kakhulu, ngokuqhelekileyo akunakwenzeka ngaphandle kokungenelela ngophengululo.

Yidla ngokufanelekileyo, ungene kwimidlalo, ube nokunye ukuphumla kunye nexesha lokubamba ugqirha, kwaye ke kuwe nasiphi na isifo akuyi kuba yinto embi. Yimpilo kwaye unakekele.