A farko alamun kumburi da pancreas

Mutane da yawa koka maimaita ciki rashin jin daɗi. Wani lokaci, wannan alama yana tare da tashin zuciya da kuma amai. Irin wannan take hakki ya faru kusan kowa da kowa. Duk da haka, a wasu lokuta, waɗannan cututtuka faruwa akai-akai. Musamman ma bayan mutane sun ci abinci m, da wuya ya digestible abinci. Abin baƙin ciki, ba duka je likita idan ka fuskanci irin wannan bayyanar cututtuka. Mutane da yawa sun gaskata cewa da take hakkin shaida daga cikin guba da kuma wuce a kan nasu. Irin wannan ra'ayi ba daidai ba ne, domin wadannan cututtuka sukan hade tare da kullum kumburi da pancreas (pancreatitis). Wannan jiki ne wajibi ne ga al'ada aiki na narkewa kamar tsarin. A lafiya mutane, da pancreas samar da wani babban yawan enzymes da hannu a cikin narkewa na fats, sunadaran da carbohydrates. Bugu da kari, akwai hada hormones, ciki har da insulin, glucagon, somatostatin. Ãyõyin kumburi da pancreas ya nuna cewa aiki jiki karya. Don mayar da aikin, bukatar magani da kuma dieting. In ba haka ba ci gaba na kullum kumburi. A wannan yanayin, da cututtuka za su sake aukuwa kowane lokaci, da zaran haƙuri ci wani abu m ko soyayyen.

Kumburi da pancreas: haddasawa

Don za a zarga pancreatitis, bukatar mu san abin da ãyõyin pancreatic kumburi a can. Na farko shi ne na ciki zafi da tashin zuciya. Similar keta ba faruwa ba zato ba tsammani, shi ne ko da yaushe wadda ta gabãta daga wani kuskure a cikin abinci. Bisa ga wannan, za mu iya rarrabe farko alamun kumburi da pancreas. Wadannan sun hada da:

1. Rashin ha} uri ga giya. Kamar yadda aka sani, m barasa amfani ne mafi sharri a gare kiwon lafiya. Mai girma da wannan rinjayar da hanta da kuma pancreas. Saboda haka, giya drinks liyafar yana nufin daya daga cikin manyan Sanadin pancreatitis ci gaba.
2. Tashin zuciya bayan cin abinci mai nauyi ci abinci. Domin da wuya a nike abinci sun hada da dabba fats, soyayyen, overly m da kuma abinci mai kayan yaji. Har ila yau, rashin jin daɗi na iya faruwa a lokacin da zagi gari kayayyakin.

Tamowa da liyafar barasa ne babban Sanadin pancreatitis. Ƙarƙashin rinjayar da wadannan dalilai inflamed pancreas. Ãyõyin kumburi ba bayyana nan da nan. Sau da yawa, wadannan dalilai kai ga na kullum pancreatitis. A farko alamun m kumburi ne daban-daban. Sun yi kama da bayyanar cututtuka na ci abinci mai guba. Bambanci da aka bayyana zafi yada ba kawai a farfajiya na ciki, amma kuma har ya zuwa baya.

Hanyar pancreatic kumburi ãyõyi

Sanadin da kuma cututtuka na kumburi da pancreas ne a hankali related. Bayan bayyanar cututtuka bayyana ne kawai bayan daukan hotuna zuwa wani sa factor (barasa, m abinci). Yana da daraja da sanin cewa m kuma na kullum pancreatitis ne sosai daban-daban a tsakãninsu. A farkon yanayin, inji na Pathology ne zuwa autodigestion na pancreas. A lafiya mutane, pancreatic enzymes ake secreted a wani m jihar. Karya saukar da sunadarai, fats da kuma carbohydrates suka fara, kawai kai ciki. Akwai wani kunnawa da pancreatic enzymes. A m pancreatitis, wannan tsari yana farawa a baya, watau a cikin gland shine yake kanta. Ƙarƙashin rinjayar enzymes, musamman lipases, sashin jiki nama fara rushe. The mai guba sakamako take kaiwa zuwa kumburi da kuma edema na pancreas. Idan lokaci ba ya taimaka, pancreatic necrosis tasowa - da cikakken halakar jiki nama. Irin wannan yanayin sau da yawa results a cikin mutuwa.

The inji na kullum pancreatitis ne a hankali a hankali maye al'ada pancreatic Kwayoyin ta connective nama. Wannan tsari shine ake kira hardening na jiki. A sakamakon haka, da ainihin aikin ne disrupted pancreas - selection enzyme narkewa. Sanadiyar haka ne, mafi yawan kayayyakin da aka ba gaba daya narkewar, sakamakon da rashin lafiya na kujera da haƙuri da janar jihar deterioration.

Pancreas: ãyõyin Gabar kumburi

Daga cikin na farko ãyõyin kumburi da pancreas ne, kamar yadda aka ambata riga, ciki zafi da tashin zuciya mai tsanani. Sau da yawa, marasa lafiya je likita a lokacin da bayyanar cututtuka na pancreatitis aka maimaita don wani lokaci. Yawancin lokaci mutane lura cewa ãyõyin kumburi da pancreas faruwa bayan ingestion na wani abinci ko shan giya. Shi ne tare da bayani daga dukan gunaguni da kuma likita tarihi fara ganewar asali na kullum pancreatitis. Wadannan cututtuka da lãbãri a gare ãyõyin kumburi:

1. Pain a cikin sama ciki. Ganin cewa a cikin pancreas bautarka babban har, da rashin jin daɗi na iya faruwa a duka biyu hagu da kuma dama. Har ila yau, da zafi za a iya sarrafa a cikin epigastric yankin, mimicking gastritis. A wasu lokuta, da dukan pancreas ne inflamed. A wannan yanayin, da zafi da aka encircling hali.
2. Tashin zuciya. Yana iya faruwa bayan kurakurai a rage cin abinci ko ba kullum.
3. Maimaita amai. Ba kamar na ciki miki, wannan alama ba ya rage yanayin.
4. A canza yanayin da kujera. Tumbi za a iya saki a cikin manyan yawa, da foamy daidaito da kuma undigested abinci barbashi. Wani lokaci akwai azãba mai tsanani zawo, da wuya - maƙarƙashiya.
5. Karuwan yanayin jiki. Wannan alama ba ko da yaushe bayyana, don haka da wuya bango kula da shi dyspepsia. High zazzabi halayyar m pancreatitis.
6. Karuwan hanginsu, a ji na "cikar" a cikin ciki.

Lokacin da dogon halin yanzu kumburi tsari na iya faruwa matsawa na biliary ducts. A wannan yanayin, cututtuka su ne guda. Bugu da kari, shi shiga itching da kuma jaundice ciwo.

Jiki jarrabawa a ganowa ãyõyin kumburi da pancreas

Mene ne alamun ciwon kumburi na pancreas a lokacin dubawa? Da farko likita yana biya da hankali ga tabarbarewar general yanayin haƙuri. A haƙuri sau da yawa m, an rufe tare da gumi, kodadde. A m pancreatitis iya zama wani digo a cikin jini, mai tsanani tachycardia, shortness na numfashi. Idan ka zargin cewa kumburi da pancreas ciyar ciki palpation. Don wannan karshen, da haƙuri da aka sanya a kan baya da kuma tambayi tanƙwara ka gwiwoyi. Ko a touch ga na ciki bango zai iya sa rashin jin daɗi. Palpable ãyõyin kumburi da pancreas a manya gane mafi sauƙi. Bayan duk, da mãsu haƙuri iya nuna wani takamaiman wuri na zafi. Unci alama a wuraren tsinkaya daga cikin pancreas. Wadannan sun hada da yankin Chauffard da Gubergrits - Skulsky. Na farko shi ne a alwatika a daure ta uku Lines. Daya daga cikin su ne da za'ayi daga cibiya zuwa dama, kuma har a wani kwana na 45 digiri. Na biyu - wata tsakãtsaki ce layi na jiki. Na uku ya haɗu biyu baya da maki, shi ne da za'ayi a cikin 6 cm sama da cibiyarki zobe. Gubergrits zone - Skulsky Chauffard m alwatika, amma shi ne located a gefen hagu na ciki.

Don shigar da shafa yankin na pancreas asirce maki 3. Wannan kayyade abin da sashi na jiki da aka sarrafa kumburi. Daga cikin su:

1. Point Mayo - Robson. Yana za a iya ƙaddara da gudanar da wani layin daga cibiya zuwa hagu costal baka. Idan muka raba wannan sashi a cikin 3 sassa, batu Mayo - Robson aka located a kan iyakar tsakiyar da kuma babba daga kashi uku ɗin. Wannan aikin na pancreas wutsiya.
2. Desjardins batu. M ta wajen wani layi a haɗa da cibiya da dama axilla. Point aka located a kan tazara 5-7 cm. A nan ne shugaban da pancreas.
3. Kacha batu. An located a 4-7 cm sama da cibiya a kan m gefen hagu rectus abdominis tsoka. Soreness a wannan lokaci yana nufin cewa kumburi da aka sarrafa tsakanin pancreatic wutsiya da jiki.

Bugu da kari ga alamun pancreatitis hada da canje-canje a cikin farfajiya na harshe. An rufe tare da wani farin ko yellowish tinge, yana iya zama dan kadan dryish.

Laboratory ãyõyin pancreatitis

Laboratory ãyõyin kumburi da pancreas damar da ganewar asali "pancreatitis". Wadannan sun hada da canje-canje a cikin biochemical bincike na jini, coprogram, KLA. A gaban kumburi nuna ta girma matakin na diastase - enzyme, wanda aka ƙaddara a cikin fitsari. A al'ada matakin ne 16-64 raka'a. A KLA aka alama leukocytosis da hanzari na erythrocyte sedimentation kudi (ESR). A biochemical jini nazari samu karin matakin na aiki na pancreatic enzymes. Wadannan sun hada da amylase da lipase. Na bayar da muhimmanci shi ne nazarin tumbi. The stools tsaya fitar a babban lamba (polifekaliya) dauke da ragaggen abinci na iya zama m haske. Fecal kira scatoscopy. Wannan binciken ya nuna irin dakin gwaje-gwaje sakamakon binciken, kamar:

1. Steatorrhea. Wannan ya nuna karuwa a m acid a cikin tumbi.
2. Kreatoreya - admixture tsoka zaruruwa a cikin tumbi.

Wadannan alamu na kumburi da pancreas bayyana wani take hakkin narkewa. Suna sau da yawa gani a kullum pancreatitis.

Mun ƙayyade da ãyõyin kumburi da pancreas da instrumental

Don gane da wani kumburi tsari na pancreas, a yawan instrumental Nazarin. Babban Hatsari hanya an dauki duban dan tayi na ciki. A cikin wannan binciken samu wani karuwa a pancreas size da kuma canza ta amsa kuwwa yawa. A tsarin da nama iya zama iri-irin. A ganuwar na jiki suna thickened saboda edema - daya daga cikin cututtuka na kumburi.

Bayan na ciki ultrasonography, yi EGD. Wannan binciken da zama dole domin kauce wa cututtuka na ciki da kuma duodenum. A wasu lokuta, da za'ayi kwamfuta tomography. Mayakan m pancreatitis bukatar sa kau na ECG. Bayan duk, cutar bambance tsokar zuciya infarction. Wani lokaci ya nuna karin bincike laparoscopy.

Idan ɓullo da ãyõyin pancreatic kumburi a mata, wajibi ne a yi wani jerin mafi bincike. A wasu lokuta, da na asibiti hoto na m pancreatitis iya kama peritonitis bayyanar cututtuka. Sa kumburi a peritoneum mata ne m gynecological Pathology (ectopic ciki, ovarian katsewa, torsion kafafu marurai). Saboda haka shi ake bukata don gudanar da wani pelvic duban dan tayi.

A hade da cholecystitis da pancreatitis cututtuka

Alamun gallbladder da pancreatic kumburi sau da yawa a hade da juna. Wannan ya faru saboda gaskiyar cewa wadannan jikin su ne a wani m dangantaka. A daidai wannan lokaci shi fallasa da ganewar asali "holestopankreatit". Ãyõyin kumburi bai bambanta daga cututtuka da pancreatic raunuka. Amma suka kara wasu na asibiti manifestations. Daga cikin su:

1. Pain a dama babba quadrant.
2. M dandano a cikin bakin da belching.
3. Amai da bile.

A zahirin jarrabawa, taushi a kan matsa lamba a cikin aikin shirya na gallbladder (Kera alama). Har ila yau, tare da m majiyai effleurage a dama costal baka. Kamar wancan tabbatar alama Ortner - Grekov. Wani ãyã daga kumburi da gallbladder - a zafi lokacin da matsi da zaruruwa sterno-mastoid tsoka.

Yadda za a gane pancreatitis a yara?

Ãyõyin kumburi da pancreas a yara ba ya bambanta da na manya. Duk da haka gane asali pancreatitis a wani wuri shekaru ne mafi wuya. Bayan da ciwon wadannan cututtuka, da yaro ya zama duhun, disclaims abinci. A matasa da yara gaji da damuwa da barci, yanayin jiki na iya zama sama 38 digiri, sau da yawa alama ta zawo. Don gane asali kumburi, yin wani na ciki duban dan tayi, dakin gwaje-gwaje gwaje-gwaje. Palpation na matasa da yara da ba su ciyar.

Kumburi da pancreas: cututtuka da kuma lura da cuta

Jiyya na m pancreatitis sau da yawa tafasa saukar zuwa tiyata. A kullum kumburi ne wani likita far. Yana da ake sa bisa ga samuwa ãyõyin pancreatitis. Jiyya zažužžukan sun hada da:

1. Maganin sa barci. Amfani da miyagun ƙwayoyi "Ketonal", "Analgin". Lokacin da ya bayyana zafi ciwo - miyagun ƙwayoyi "Promedol".
2. Canzawa far enzyme shirye-shirye. Nada don tabbatar da al'ada narkewa abinci. Aiwatar da magani "Pancreatin", "Creon", "Festal".

Rage cin abinci domin alamu na kumburi da pancreas

Don kauce wa maimaita exacerbations, shi wajibi ne su bi a rage cin abinci. A farkon zamanin for m pancreatitis aka nuna yunwa. 3-5 days nada musamman rage cin abinci - a tebur yawan 5. Idan kumburi ne na kullum, ya kamata a cire daga cikin abinci, barasa, soyayyen da yaji abinci, dabba fats. Abinci dole ne a dafa shi har kamar wata, a cikin tanda ko dafa shi. Dieting ne wani muhimmin bangare a cikin jiyya na pancreatitis.