Kuyini biliary pancreatitis? Izimpawu kanye Prevention

Kubantu abaningi, amanyikwe iqala ukuba afiphale, kwenzeka yisishiso ukuthi kwenzeka ngenxa yokwephula Bile okukhiphayo. Ukuthuthukisa pancreatitis biliary, okuvame kakhulu kuthinta abadala. Lesisifo asilapheki, kodwa kuncike ukwelashwa esifike ngesikhathi kudokotela, futhi ukuhambisana nayo yonke imithetho ezidingekayo. Ngenxa ngempumelelo ekwelapheni pancreatic iziguli ngokushesha ukubuyela ekuphileni okuvamile.

Izici lesi sifo

pancreatitis Biliary kwenzeka cholelithiasis. Kutfutfukisa ngenxa ukubumba ngokuncibilikisa uketshezi Amapayipi kwamanyikwe, okubangela dermatitis. Le nqubo kubonisa a ukungasebenzi gallbladder.

Kumuntu ophile kahle ingcindezi ku Amapayipi somzimba ephansi kakhulu kunalokho ezingeni ukugandeleleka Amapayipi kwamanyikwe. ukwanda Isimo sayo sibonisa ukuthi isithiyo oluvimbela Bile kahle lokufeza wamanje yayo. Lokhu kungaba ngenxa ukuvaleka Amapayipi, ngokuvamile ngamatshe. Konke lokhu kuholela ketshezi iphonswe amanyikwe.

Izimbangela zesifo

Lokhu zokugula singenzeka ngenxa yezizathu ezihlukahlukene. Cabanga eyisisekelo kunazo.

Uma umuntu unesifo gallstone, ngokuvamile lapho isifo uqala stagnate ijusi wokugaya ukudla of uphawu imbobo amatshe. Konke lokhu kuholela yokucindezeleka okwandayo ngalezi zindlela, sandla kokuba aphonswe oketshezini amanyikwe.

Cholecystitis gallbladder phezu kukhona ukuvuvukala, hhayi enikeza juice umongozima evamile.

Uthuthukisa cholangitis futhi pancreatitis biliary, okuyinto uncharacteristic Amapayipi ukuvuvukala ezivukayo ngenxa patency ipheshana biliary futhi uketshezi ukutheleleka.

Izifo eshiwo ngenhla lihambisana pancreatitis biliary kubangele izinguquko ezilandelayo e kwamanyikwe:

• ukuvuvukala ukonakala;
• ekwandeni zezinzwa izicubu amaseli;
• ukwephulwa ngomsebenzi wayo.

Kodwa lezi zici hhayi kuphela neqhaza ukuvela kwalesi sifo. Ukuquleka kwenzeka kaningi kakhulu phakathi abathandi ukudla okuhle. ukudla okunjalo angase bayisibonelo provocateur zibe gallbladder futhi edema pancreatic kunomthelela. Ngaphezu kwalokho, pancreatitis eba ngenxa isiminzi, adle ukudla ukudla endala noma acekelwe phansi.

iyona isifo kanjani?

pancreatitis Biliary kungenzeka ifomu chronic oyingozi. kuphakama Lesi sakamuva kusukela ukusetshenziswa ukudla okunjalo, ekhuthaza zonke izinqubo wokugaya ukudla. Singasho ethosiwe inyama ophaya, iziphuzo ezibandayo, Ungadla elungisiwe, inyama eyosiwe.

Lokhu ukudla akukaze kubhekwe enempilo, njengoba uthuthukisa ukunyakaza kwamatshe, okungaba ukuvala imbobo kule gallbladder. Iziguli isifo Yiqiniso, abagcina ukulinganisela ekudleni kungavimbela okuvela pancreatitis biliary.

Livela zokugula biliary umuntfu kweyeme etinyatselweni letitsatfwa kwamatshe ezisesandleni imbobo Bile. Uma kunjalo yayincane futhi sibalelwa duodenum, isimo lesiguli liyathuthuka ngokushesha. Uma ukuhamba ematsheni canal kunzima, kuyinto okumelwe yesatshwe ngenxa yokuphila isiguli kuleli cala.

Izimpawu ze-pancreatitis biliary

Izimpawu zalesi sifo, ikakhulukazi ngokumelene yokujama tsi of Bile, ahlukahlukene ngempela, ngakho-ke lokhu zokugula kunzima ngempela ukuxilonga.

Ngakho, uma pancreatitis lesiguli biliary, izimpawu phakathi okulandelayo:

• Ukuvela ezidabukile ubuhlungu wonke engxenyeni engenhla esiswini, okungase ezinikezwe emuva noma endaweni hypochondria. Ngokuvamile kukhona ubuhlungu sebephuze izingilazi okunamafutha, ukudla okuthosiwe noma ngabhema. okhulisa wayo senzeka ebusuku, noma amahora amabili ngemuva kokudla.
• ukunambitheka Resistant ababayo emlonyeni.
• Ukucanuzela kwenhliziyo, ukuhlanza.
• Uhudo, ukuqunjelwa noma ukuvuvukala.
• Kwangathi kancane yenyuka nezinga lokushisa komzimba.

Acute pancreatitis biliary libhekene izinhlungu ecijile hypochondria, okuzovela ngenxa zibe of imisipha abushelelezi ukuthi kuphakamisa itshe, futhi ezingalapheki - ezidabukile ubuhlungu ukuthi ihlala isikhathi eside.

Ngaphezu kwalokho, e ifomu njalo lesi sifo kungavuka izimpawu jaundice, kusukela biliary ipheshana isimiso futhi juice wokugaya ukudla ingena isimiso sokujikeleza kwegazi. Ngakho abamhlophe ophuzi samehlo isikhumba. Kulokhu, ukwelashwa kufanele iqalwe ngokushesha, ngoba angagcina udabuka kakhulu.

sitholakele isifo

Isiguli kufanele kudlule emitholampilo kwamakhemikhali kwegazi. Ngo pancreatitis okungamahlalakhona, biliary ezinophawu ukwanda okuhle kumazinga bilirubin, phosphatase ane-alikhali, cholesterol, kanye isilinganiso amaprotheni ezinkulu kunalokho, encishisiwe. Ngo umchamo futhi igazi izikhathi 3-6 anda amazinga Amylase.

Qiniseka ukuba afeze ultrasound kwamanyikwe ultrasound kohlelo hepatobiliary, ukuvumela ukukhomba khona amatshe e-Amapayipi, kanye nesimo jikelele kwamanyikwe.

Ukukhomba amatshe ukhombe izindlela ezifana ngempumelelo, ezifana intraductal noma ultrasound endoscopic.

Indlela kakhulu ulwazi kubhekwa CT ipheshana biliary, ikakhulukazi uma iqondiswa-ejenti ukuze kuvele umehluko. MRPHG futhi ERCP ibuye isetshenziswe sitholakele Amapayipi pancreatic futhi biliary.

ukuphathwa isifo

Ukwelashwa nokuvikelwa pancreatitis biliary uqhutshwa ngaphansi kokuqondisa gastroenterologist, endoscopist futhi udokotela ohlinzayo. Ukuze lesi sifo iye yathuthuka eminye, kanye nokuvinjelwa exacerbations, bonisani ekwelapheni lesi sifo ecashile.

Uma zokugula okungalapheki ophasiswe acute pancreatitis biliary, ukwelapha kufanele kwenziwe kuphela esibhedlela. Waphatha ifomu acute eyinkimbinkimbi, nokusetshenziswa imithi nokudla.

pancreatitis Biliary esigabeni acute kwenzeka nge ubuhlungu syndrome eqinile, okuyinto kususwe esebenzisa analgesics futhi spasmolytics. Ukulungiswa nayo eyenziwa zangaphakathi nezangaphandle secretory umsebenzi kwamanyikwe, ngokukhishwa kobuthi egazini, ngemithi elwa namagciwane wenziwa zokuvimbela izinkinga ezithathelwanayo.

Emhlanganweni exacerbation ezinsukwini zokuqala ezintathu lokuzila ukudla, lokukhala kubalulekile ukusetshenziswa non-carbonated lamanzi esiphethu ane-alikhali. Uma amandla kabusha qiniseka nomkhawulo ekudleni kwamafutha, ama-carbohydrate kufanele futhi zingalawulwa.

Ukuze wehlise isenzo ebhubhisayo isebenze enzyme pancreatic somatostatin iqondiswa, protease inhibitor, i-proton futha inhibitor. Udokotela wakho angase futhi linqume enzyme microspherical ezisiza ukubuyisela ukungasebenzi enzymatic kwamanyikwe. Ukuze kashukela wabuyela esimweni esivamile, ebekiwe ejenti hypoglycemic.

Ngokushesha njengokuhlaselwa-acute isuswe, udokotela angase asikisele ukuhlinzwa ukhishwe amatshe. It wenziwa ngezindlela ezimbili: ukusika engenhla udonga besisu (laparotomy) noma ukwenza wokubhoboza ezimbili encane odongeni kwamathumbu (laparoscopy).

yezinkinga kungenzeka

Uma pancreatitis biliary aphathwe ngendlela efanele, isiguli ngeke ngokushesha ukubuyela ekuphileni okuvamile. Uma izifo dengwane Ungahambisa amatshe e-Amapayipi biliary. Uma lesi sifo ake izinto ezitjhelelako wenze lutho, lokho kuyoholela ziwohloke yokusetshenziswa pheshana emathunjini. Isikhathi ngasinye, ubuhlungu kuzokhulisa kuphela, ikakhulu ngemva kokuthatha ukudla okungenamsoco.

Ngaphezu kwalokho, lesi sifo eziphambili ungaya ku parenchymal pancreatitis. Lokhu zingayisongela isiguli ngendlela elandelayo:

• ukwelashwa isikhathi eside esimweni esibhedlela;
• ukuhlinzwa okukhulu;
• isikhathi yokwelapha kokuvuselela ngokwemvelo kwezindawo;
• Ukudla okuqinile cishe konke ukuphila kwakhe.

Ukuvimbela pancreatitis biliary kuyadingeka ukuze bagcine indlela yokuphila enempilo, ukudla ngendlela efanele futhi unike ngokuphelele utshwala.

ukudla

Uma kwakuba khona biliary pancreatitis, ukudla kufanele okunengqondo. Emini, isiguli kufanele fed izikhathi 4-5 ngevolumu libe linye kufanele kube yini engaphezu kuka-250 ml. It is nhlobo, ngibhema, okuthosiwe nokudla okunamafutha ukudla.

Phakathi ukudla amaprotheni kumele kunyuke ngo-25%. Ngakho, isiguli ngosuku ukudla 120 imikhiqizo g amaprotheni. Kodwa inani amafutha, kunalokho, kufanele yehliswe ngama-20%, bese kuthi ngesikhathi usuku engayitholi akufanele idlule '80 carbohydrate eyanele futhi kufanele encishisiwe, futhi kufanele kube 350 amagremu ngosuku. Inani ushukela Kunconywa ukunciphisa by izikhathi 2 namazinga adingekayo.

isiphetho

Okungalapheki pancreatitis biliary (ikakhulukazi uhlobo acute) - isifo esiyingozi kakhulu. Kubalulekile kahle ekutholweni kwale zokugula futhi ukuyelapha ngokushesha, kusukela ukuhlaselwa uzoqhubeka abe njalo, ngokuletha okuningi ukuhlupheka. Phakade ukuhlinzwa Asigcini ukuqeda pancreatitis biliary.