Yintoni i-pancreatitis ye-biliary? Iimpawu kunye nokukhusela

Kubantu abaninzi, umsebenzi we-pancreas uqala ukungaphumeleli, ukuvuvukala kwawo kwenzeka ngenxa yokuphulwa kwemveliso ye-bile. I-panicreatitis yeBiliary ikhula, edlalwa kakhulu ngabantu abadala. Esi sifo sonyango, kodwa ngokufumaneka ngexesha logqirha kunye nokuthotyelwa kwayo yonke imimiselo ebalulekileyo. Ndiyabulela unyango olusebenzayo lwepascreas, isigulane sibuyela ngokukhawuleza endleleni yokuphila.

Izifo zesifo

I-panicreatitis yeBiliary ivela nge-cholelithiasis. Ikhula ngenxa yokuphonsa umthamo emanzini e-pancreas, ebangela ukuvuvukala kwayo. Le nkqubo ibonisa ukungasebenzi kwi gallbladder.

Ngomntu onempilo, uxinzelelo kumaconsi alo lungu luphantsi kakhulu kunqanaba lexinzelelo kwimida yepakreta. Ukunyuka kwalo kubonisa ukuba kwenzeka kwesithintelo esingavumeli ukuba i-bile ibe yinto eqhelekileyo isebenzise ngoku. Oku kunokubangelwa ukukhutshwa kwamadada, amaninzi amaninzi. Konke oku kuholele ekuphosweni kwamanzi kwi-pancreas.

Izizathu zesifo

Le ntsholongwane iyakwenzeka ngezizathu ezahlukahlukeneyo. Cinga ngundoqo.

Ukuba umntu unesifo se-cholelithiasis, ngokuqhelekileyo esi sifo siqala ukunqumla ijusi yokugaya ngenxa yokugubha amatye ngamatye. Konke oku kukhokelela ekunyuseni kweengcinezelo ngale ndlela, ukufaka isandla ekuphoseni amanzi kumaphakethi.

Nge-cholecystitis kumphezulu we-gallbladder, inqubo yokuvuvukala eyenzekayo evimbela ijusi ukuba ingahambi ngokuqhelekileyo.

Ikhuthaza ukuphuhliswa kwe-pancreatitis ye-biliary kunye ne-cholangitis, okuyi-infracmistic inflammation yamadaka, okuvela kukuphulwa kwephepha lebhaliary kunye nokusuleleka kwemfihlelo.

Izifo ezikhankanywe ngasentla zihlangene ne-pancreatitis yebhiliyari zidala ezi zilandelayo ziguquka kwi-pancreas:

• Ukuvuvukala kunye nokutshabalalisa;
• Ukwanda kweeseli ezixhumeneyo;
• Ulwaphulo lomsebenzi.

Kodwa akubakho kuphela oku kubangelwa ukuqala kwesi sifo. Iintlanzi zihlala zenzeka kwiintando zokutya okumnandi. Ukutya okunjalo kunokusebenza njengento enokubangela i-gallbladder kwaye ikhuthaze i-edema yeepascreas. Ukongezelela, i-pancreatitis ivela ngenxa yokutya ngokutya, ukusetyenziswa kokutya okubiweyo okanye okubi.

Isi sifo siphumelela njani?

I-panicreatitis yeBiliary ingaba nefomu elingasigxina kunye nesiganeko. Ezi zilandelayo zivela ekusebenziseni ukutya okunjalo, ezikhuthaza zonke iinkqubo zokugaya. Inokuthi i-pie eyosiweyo yenyama, i-sodas, i-snack-mouthing, i-meat fried.

Ukutya okunjalo akuzange kuthathwa njengempilo, njengoko kukhuthaza ukunyuka kwamatye angagcina amathanga kwi-gallbladder. Izigulane ezinezifo ezingapheliyo zezifo, ukujonga ukumodareyitha ekudleni kwazo, kunokuthintela ukuvela kwe-pancreatitis ye-biliary.

Ikhosi ye-biliary pathology incike kwizenzo zamatye kwi-buct buct. Ukuba zincinci kwaye ziya kudlula kwi-duodenum, imeko yesigulane iphucula ngokukhawuleza. Ukuba ukunyuka kwamatye kunye neendlela kunzima, ngoko ke kunokwenzeka ukwesaba ubomi bomguli.

Iimpawu ze-biliary pancreatitis

Imiqondiso yesi sifo, ngokubhekiselele kwimvelaphi yokuxhamla kwe-bile, iyahluke kakhulu, ngoko le nto ilukhuni ukuyixilonga.

Ngaloo ndlela, ukuba isigulane sine-pancreatitis ye-biliary, iimpawu zakhe zinokuba ngale ndlela:

• Ukuqala kweentlungu ezibuhlungu kunye nesisu esisentla, esinokukunika emva okanye kwindawo ye-hypochondrium. Ngokuqhelekileyo, intlungu ibonakala emva kokutya okunamafutha, okuthosiweyo okanye ukutya okutsha. Ukuphucula kwakhe kwenzeka ebusuku okanye kwiiyure ezimbini emva kokutya.
• Ingqumbo enamandla enomlomo.
• Isihlunu, ukuhlanza.
• I-diarrhea, ukuzitywa okanye ukuguquka.
• Ubushushu bomzimba bunokunyuka.

I-pancreatitis ye-biliary echanekileyo ibonakalisa iintlungu ezibukhali kwi-hypochondrium, ephuma kwiindawo ezinobungqingili obushushu obuqhekeza ilitye, kunye nesifo esibuhlungu esingapheliyo, esihlala ixesha elide.

Ukongezelela, ngesimo esingapheliyo sesifo, iimpawu ze-jaundice zenzeka , ekubeni i-bile ducts ayinakunyuka kwaye ijusi yokugaya ingena kwinkqubo yokujikeleza. Ngelo xesha, abamhlophe bamehlo kunye nesikhumba badibanisa ubume. Kule meko, unyango kufuneka luqale ngokukhawuleza, kuba yonke into ingagqiba kakhulu.

Ukuxilongwa kwesi sifo

Isigulane kufuneka sidlule i-klinikhi kunye nokuhlolwa kwegazi. Kwi-pancreatitis engapheliyo ye-biliary, i-bilirubin, i-alkaline phosphatase kunye namazinga e-cholesterol aphakanyisiwe, kwaye umlinganiselo weeprotheni ezinkulu, ngokuchaseneyo, uyancipha. Umchamo kunye negazi ngeeyure ezingama-3-6 kwinqanaba le-amylase landa.

Kufuneka ukuba kuqhutywe i-ultrasound ye-pancreas kunye ne-ultrasound ye- hepatobiliary system, evumela ukucacisa ubukho bamatye emideni, kwaye iphinde ihlole imeko jikelele yepascreas.

Ukuchonga amatye, iindlela ezinokusetyenziswa njenge-intraprothal okanye i-endoscopic ultrasound zichazwe.

Indlela eyona ndlela yokufundisa i-CT ye- bile ducts, ingakumbi ukuba i-ejenti eyahlukileyo ifakwe. I-MRPHG ne-ERCP zisetyenziselwa ukuxilonga izifo ze-pancreatic kunye ne-bile.

Unyango lwe pathology

Utyando lwe-pancreatitis yebhiliyali lwenziwa phantsi kolawulo lwe-gastroenterologist, endoscopist kunye nodokotela ogqirha. Ukuthintela eso sifo ukuba siphume phambili, kunye nokukhusela ukukhubazeka, isifo esibalulekileyo siphathwa.

Ukuba i-pathology engapheliyo idlulele kwi-pancreatitis ye-biliary acute, unyango kufuneka lwenziwe kuphela esibhedlele. Ifom ye-acute iphathwa ngendlela enzima, kunye nokusetyenziswa kweyeza zonyango kunye nesondlo sokutya.

I-panicreatitis yeBiliary kwisigaba esichukumisayo iqhubeka nesifo sosizi esinamandla, esisuswe ngoncedo lwe-analgesics kunye ne-antispasmodics. Ukulungiswa komsebenzi wangasese wangaphakathi kunye wangaphandle wepascreas, ukuxilongwa, kunye nokuthintelwa kweengxaki ezithintekayo zenziwa ngoncedo lwee-antibiotics.

Ngoxinzelelo kwiintsuku ezintathu zokuqala, indlala yonyango kunye nokusetyenziswa kwamanzi amaminerari angabonakaliyo nge-alkaline ayimfuneko. Emva kokuba ukutya kuhlaziywe, kuyimfuneko ukunciphisa amanqatha ekudleni, i-carbohydrates kufuneka iphinde ilawulwe.

Ukunciphisa umonakalo owonakalisayo wee-enzyme eziphambili ze-pancreatic, i-somatostatin, i-protease inhibitors, i-proton pump inhibitors inqunywe. Ugqirha unokukwazi ukumisela i-enzymes microspherical enceda ukubuyisela ukungasebenzi kwe-enzymatic ye-pancreas. Iswekile egazini libuyele kwizinto eziqhelekileyo, misela iidakamizwa ze-hypoglycemic.

Xa ukuhlaselwa ngokukhawuleza kususwe, ugqirha oya kwinqanaba unokunika inqubo yokucoca ukutsala amatye. Yenziwe ngeendlela ezimbini: nquma udonga oluphezulu lwesisu (laparotomy) okanye wenze iiplctures ezimbini ezincinci kwisanduli esiswini (laparoscopy).

Iingxaki ezinokwenzeka

Ukuba i-pancreatitis ye-biliary iphathwa ngokuchanekileyo, ngoko isigulane siza kubuyela kwindlela yokuphila ngokukhawuleza. Ngezifo eziphambili, amatye angatyelela kumadada e-bile. Ukuba eso sifo sinyanzelwanga kwaye akukho nto yenziwe, kuya kubangela ukuba kube nzima ukuqhubeka nomsebenzi wegciwane lesisu. Njalo ixesha intlungu iya kwanda, ingakumbi emva kokuthatha ukutya okuyingozi.

Ukongezelela, isifo esingahoywa singadlulela kwi-pancerymal pancreatitis. Ingasongela isigulane ngala alandelayo:

• Ukunyangwa kwexesha elide kwizilungiselelo zesibhedlele;
• Ukungenelela okubanzi;
• Ubude bonyango lokubuyisela;
• Ukutya okuqinileyo ngokubhekiselele kukho konke ubomi.

Ukukhusela ukuvela kwe-pancreatitis ye-biliary, kufuneka ugcine indlela yokuphila enempilo, udle ngokufanelekileyo kwaye uphelele ngokupheleleyo utshwala.

Ukutya

Ukuba i- pancreatitis ye- biliary yenzeke , ukutya kufuneka kube lula. Ngethuba lemini, isigulane kufuneka sondliwe ngamaxesha angama-4-5, kwaye umthamo womsebenzi omnye akufanele ube ngaphezu kwama-250 ml. Ukutya, ukutyikizwa kunye nokutya okunamafutha kunqatshelwe.

Ngexesha lokutya, inani leeprotheni kufuneka linyuswe ngama-25%. Ngaloo ndlela, ngomhla isigulane kufuneka sidle i-120 g yeeprotheni iimveliso. Kodwa inani leenqatha, ngokuchaseneyo, kufuneka linciphise ngama-20%, kwaye ngexesha lokusetyenziswa kwabo akufanele lidlule kuma-80 g. Ukunyuswa kwama-carbohydrates kufuneka kuncishiswe, kwaye kufuneka kube ngu-350 g ngosuku. Ubungakanani beshukela bunconywa ukuba lunqunywe ngamaxesha amabini ukusuka kwisiqhelo esifanelekileyo.

Isiphelo

I-pancreatitis ye-biliary engapheliyo (ngokukodwa ifom ye-acute) isifo esibi kakhulu. Kubalulekile ukuxilonga ngokuchanekileyo le pathology kwaye uqale unyango ngexesha, njengoko ukuhlaselwa kuya kuqhubeka ukwandisa, kubangele ubunzima obukhulu. Yinto yokuhlinzwa kuphela eyenza ukulahla i-pancreatitis yebhiliyari ngonaphakade.