Pancreatitis yog ib yam kab mob uas tsim tawm tsam keeb kwm ntawm kev ua haujlwm ntawm tus txiav. Yog vim li cas rau qhov no yog qhov nkag mus rau hauv lub cev ntawm cov kab mob los ntawm duodenum, ntshav, biliary ib ntsuj av, thiab kuj yog ib tug tshwm sim ntawm qhov tsis zoo ntawm provoking yam ntawm sab nraud. Ib qho ntawm feem ntau hom pathology yog parenchymal pancreatitis. Qhov no yog ib qho mob ntev ntawm tus kab mob, kev loj hlob uas tshwm sim los ntawm kev puas tsuaj rau lub parenchyma ntawm lub cev nrog cov yam tseem ceeb, uas, yog tias tsis kho, ua rau nws atrophy.
Parenchymal daim ntawv ntawm pancreatitis - yog dab tsi?
Daim ntawv ntawm tus kab mob no yog tus cwj pwm los ntawm cov txheej txheem inflammatory sluggish, uas yog ua txhaum ntawm kev sib txuas ntawm cov enzymes uas ua los ntawm cov txiav. Cov enzyme ntau dhau ua rau nws tus kheej zom zaub mov ntawm cov ntaub so ntswg parenchymal, ua raws li caws pliav thiab wrinkling.
BRaws li qhov tshwm sim ntawm qhov no, diffuse hloov pauv hauv lub cev tshwm sim. Qhov no yog qhia nyob rau hauv kev hloov maj mam hloov ntawm cov ntaub so ntswg cuam tshuam nrog kev sib txuas ntu, ua raws li kev poob ntawm pancreatic functionality. Yog li ntawd, cov synthesis ntawm digestive enzymes nyob rau hauv lub cev yog txo.
Hauv tshuaj, muaj ob hom kev mob ntawm parenchyma:
- diffuse (kwv yees) - cuam tshuam feem ntau;
- limited - lub taub hau lossis tus Tsov tus tw yog ib feem cuam tshuam.
Qhov phom sij ntawm parenchymal pancreatitis yog qhov nyuaj rau kev kuaj mob thaum pib ntawm txoj kev loj hlob. Qhov no yog vim qhov tseeb tias tus kab mob tsis muaj cov tsos mob tshwm sim thiab tsuas yog tshwm sim nws tus kheej qee zaum nrog lub sijhawm me me ntawm exacerbation. Raws li qhov tshwm sim, tus kab mob maj mam zuj zus thiab, yog tias tsis muaj kev kho mob txaus, tuaj yeem ua rau mob pancreas atrophy.
Basic shapes
Parenchymal pancreatitis tau muab faib ua peb hom loj. Txhua tus ntawm lawv yog tus yam ntxwv los ntawm qee yam kev kuaj mob thiab cov txheej txheem pathological:
- Edematous. Daim ntawv no tshwm sim vim muaj ntau dhau ntawm cov kua hauv cov ntaub so ntswg ntawm lub cev. Lub provoking yam yog kev noj haus tsis raug, uas yog aggravated los ntawm cawv. Nyob rau hauv tsawg zaus, daim ntawv edematous tsim raws li ib tug teeb meem ntawm pathologies ntawm lub digestive ib ntsuj av. Cov tsos mob tshwm sim tau tshwm sim vim yog qaug cawv heev. Kev kho mob tsis yog phais thiab muaj qhov pom zoo.
- Sclerosing. Nws tsim tawm tsam keeb kwm yav dhau los ntawm kev txhaws ntawm cov qog glandular, tsawg duaua rau concomitant kab mob ntawm digestive system. Daim ntawv no yog tus cwj pwm los ntawm kev tsim ntawm sclerotic hloov hauv lub cev, uas ua rau muaj kev nthuav dav ntawm nws cov ducts. Cov tsos mob ntawm qhov txhab: mob nyob rau sab laug hypochondrium, muaj cov piam thaj hauv cov zis, nquag tso zis, nqhis dej. 5% ntawm cov neeg mob tau kuaj pom muaj asymptomatically. Kev kho mob, cov kev kho mob ib txwm siv.
- suav. Nws yog tus cwj pwm los ntawm kev tso tawm ntawm cov ntsev tsis txaus calcium nyob rau hauv cov qog ua kua, uas tuaj yeem ua rau muaj kev cuam tshuam tag nrho ntawm lumen. Daim ntawv no nce zuj zus thiab tuaj yeem ua rau muaj cov qog nqaij hlav malignant.
Subspecies nrog exocrine insufficiency
Ntxiv rau cov ntawv morphological ntawm tus kab mob, cov kws tshaj lij paub qhov txawv ntawm ob hom kab mob. Txhua tus ntawm lawv yog tus yam ntxwv los ntawm qee qhov kev hloov pauv pathological uas ua rau ib feem lossis ua tiav ntawm kev ua haujlwm ntawm pancreatic.
Kev kuaj mob ntawm "parenchymal pancreatitis nrog exocrine insufficiency" yog tsim los nrog kev txo qis hauv kev sib txuas ntawm cov enzymes digestive. Raws li qhov tshwm sim ntawm kev puas tsuaj, lub cev tsis tuaj yeem tsim cov enzymes tsim nyog hauv qhov ntau txaus. Qhov no provokes lawv qhov tsis muaj peev xwm hauv lub cev, uas cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub plab zom mov.
Kev tshawb fawb hauv chav kuaj thiab kho vajtse, uas tau lees paub los ntawm tus neeg mob cov lus tsis txaus siab, pab txheeb xyuas cov subspecies ntawm pathology.
Tus kab mob parenchymal biliary pancreatitis - yog dab tsi?
Lwm hom subspecies -biliary-dependent, uas yuav tsum tau ua tib zoo saib xyuas. Nws suav txog 50% ntawm qhov kuaj pom tus mob pancreatitis. Kev loj hlob ntawm parenchymal biliary-dependent pancreatitis yog qhov tshwm sim ntawm cov kab mob siab hepatobiliary ntawm qhov sib txawv.
Tus kab mob no cuam tshuam nrog kev mob sluggish ntawm pancreas, uas tshwm sim tawm tsam keeb kwm ntawm congenital thiab kis pathologies ntawm lub cev.
Tus kab mob parenchymal biliary-dependent pancreatitis - yog dab tsi? Tus kab mob no yog tus yam ntxwv los ntawm ib feem lossis ua tiav qhov kev ua haujlwm ntawm lub caj pas rau kev tsim cov enzymes digestive thiab cov tshuaj hormones.
Hauv cov kab mob biliary-dependent pancreatitis, cov kua tsib tawm ntawm duodenum tshwm sim rov qab rau hauv cov kab mob pancreatic. Qhov no thaum kawg ua rau kev hloov pauv ntawm cov qauv ntawm cov ntaub so ntswg. Cov subspecies no yog tus cwj pwm los ntawm kev rov ua haujlwm tas li, uas ua rau muaj teeb meem kev noj qab haus huv loj. Cov yam ntxwv ntawm cov kab mob pathology yog qhov tsis tu ncua lossis nquag hnov qab qhov iab hauv qhov ncauj.
Cov teeb meem tshwm sim vim yog kev txhim kho ntawm parenchymal biliary-dependent pancreatitis:
- thaiv ntawm cov kua tsib;
- mob ntshav qab zib mellitus;
- txuas ntxiv ntawm cov txheej txheem inflammatory rau cov kabmob thiab cov ntaub so ntswg uas nyob ib sab;
- enzyme deficiency, uas ua rau tsis ua haujlwm ntawm txhua lub plab zom mov.
Nrog cov kab mob biliary-dependent pancreatitis, qhov tseem ceeb txo qis hauv kev ua haujlwm ntawm tus txiav txiav mus txog 70% yog ua tau.
Txoj kev mob tshwm sim
Pathological cimCov kab mob feem ntau nyuaj heev kom paub, vim lawv zoo ib yam li ntau yam kab mob ntawm lub plab zom mov. Nyob rau tib lub sijhawm, cov tsos mob tsis kaj, uas ntau tus neeg tsuas yog tsis quav ntsej.
Cov tsos mob ntawm parenchymal pancreatitis:
- Mob plab nyob rau sab laug hypochondrium tawg mus rau sab nraub qaum, feem ntau hnov qab noj ntsim thiab rog zaub mov, cawv thiab vim kev noj ntau dhau.
- Ntaus nrog ntuav ntuav.
- Kev cuam tshuam ntawm cov quav, nrog cem quav hloov nrog raws plab, cov quav uas muaj ntxhiab tsw, muaj cov nqaij mos thiab cov khoom noj tsis zoo.
- Ntau dhau flatulence.
- Nyob tsis tu ncua, tsis nco qab, ua rau nws tsis tuaj yeem ua haujlwm tsis zoo.
- Kev poob ceeb thawj uas tshwm sim los ntawm qhov tsis muaj cov enzymes digestive, ntau cov as-ham tsis tuaj yeem nqus los ntawm lub cev thiab hloov mus rau qhov tawm.
- Ua kom qhuav ntawm daim tawv nqaij, pob liab liab nyob rau hauv lub plab, vim hypertrophic hloov nyob rau hauv subcutaneous rog txheej.
Qhov tshwm sim ntawm ob lossis ntau qhov kab mob pathological yog vim li cas mus ntsib kws kho mob thiab kuaj xyuas. Koj yuav tsum tsis txhob xav txog kev kuaj mob rau koj tus kheej tam sim ntawd, vim tias cov tsos mob no yog yam ntxwv ntawm ntau yam pathologies. Thiab tsuas yog ib tus kws paub txog kev paub dhau los tuaj yeem txheeb xyuas qhov ua rau ntawm lawv qhov tsos.
Vim txoj kev loj hlob
Tus kab mob parenchymal pancreatitis tshwm sim los ntawm kev cuam tshuam ntawm qee yam ua rau muaj kev cuam tshuam.
Cov uas nquag tshaj plaws yog:
- cholecystitis, vim yog cov roj cholesterol ntau dhau ntawm cov phab ntsa, lub gallbladder ua rau mob thiab o, uas ua rau txo qis hauv cov kua qaub tawm thiab muab pov rau hauv cov ducts;
- Urolithiasis, ua rau ib nrab lossis ua tiav ntawm cov kua qaub tawm;
- tsim cov qog nqaij hlav benign thiab malignant;
- txo qis biliary motility;
- haus cawv ntau dhau, nrog rau cov khoom noj rog thiab qab ntsev;
- tsis txaus hauv kev noj zaub mov ntawm cov protein thiab cov vitamins;
- kev nyuaj siab;
- tsis ua haujlwm ntawm cov thyroid ua haujlwm;
- tshuaj tiv thaiv tsis tau;
- tsis tu ncua frostbite lossis heatstroke;
- kev raug mob;
- kab mob ntawm lub plab zom mov.
Qee zaum, parenchymal pancreatitis tshwm sim tom qab mob khaub thuas, kub taub hau, tonsillitis.
Diagnosis
txhawm rau txheeb xyuas cov kab mob, tus kws kho mob thawj zaug xam phaj tus neeg mob rau qhov muaj cov cim qhia. Tsis tas li ntawd, kev tshuaj xyuas nrog palpation thiab percussion yog siv, uas tso cai rau koj txheeb xyuas qhov mob ntawm thaj chaw sab laug hypochondrium.
Yuav kom paub meej qhov kev kuaj mob, hom kev sim thiab kev tshawb fawb hauv qab no raug sau tseg:
- kuaj ntshav txhawm rau txiav txim siab qib ntawm cov qe ntshav liab, cov qe ntshav dawb, cov enzyme ntau, nrog rau txiav txim siab qib calcium, sodium thiab potassium;
- tshuaj xyuas cov quav rau kev tuQee cov enzymes thiab cov khoom tawg ntawm cov khoom noj uas tsis tau digested;
- urinalysis txhawm rau kuaj xyuas microhematuria, proteinuria, cylindruria;
- Ultrasound yog txoj kev qhia tshaj plaws txhawm rau txheeb xyuas qhov hloov pauv hauv lub txiav;
- CT nrog cov xim sib txawv, tso cai rau koj los txiav txim siab pom muaj pob zeb hauv cov ducts.
Yuav kho li cas?
Kev kho mob ntawm tus mob pancreatitis ntev yog ua raws li theem ntawm pathology. Thaum pib, nws txaus los ua raws li cov txheej txheem ntawm kev kho tshuaj thiab tom qab ntawd ua raws li qee yam kev noj haus kom rov qab muaj kev noj qab haus huv.
Yog hais tias cov kab mob tau nce siab, uas tau ua rau muaj kev cuam tshuam tsis zoo rau cov txiav txiav, kev phais mob raug txiav txim siab txiav tawm qhov cuam tshuam rau thaj tsam txhawm rau tiv thaiv qhov xwm txheej tsis zoo ntxiv.
kev kho mob
Kev xaiv cov tshuaj tsim nyog yog ua los ntawm tus kws kho mob koom nrog raws li qhov hnyav ntawm cov kab mob uas pom tau. Lawv qhov ntau npaum li cas thiab kev tswj hwm tau raug sau rau hauv tus account tus yam ntxwv ntawm tus neeg mob.
Hom tshuaj tseem ceeb uas siv los kho tus mob pancreatitis parenchymal:
- tshuaj uas txo cov kua dej hauv plab ("Omeprazole", "Ezameprazole");
- antispasmodics rau qhov mob nyem ("No-Shpa", "Papaverine");
- prokinetics uas txhim kho txoj hnyuv motility thiab txhawb txoj kev sai ntawm cov zaub movpob ("Domperidone", "Metoclopravid");
- tshuaj hloov pauv uas them rau qhov ua rau tsis muaj enzymes.
Special Diet
Yuav ua li cas kho tus mob pancreatitis ntev nrog kev noj zaub mov? Nws yuav tsis tuaj yeem tshem tawm ntawm pathology yam tsis muaj kev hloov kho kom tsim nyog. Yog li, nws raug pom zoo kom ua raws li cov cai hauv qab no hauv kev noj haus:
- Tsis txhob haus cawv, haus luam yeeb, thiab rog, qab ntsev, haus luam yeeb, kib thiab ntsim zaub mov.
- Txo koj cov piam thaj thiab ntsev.
- Tag nrho cov zaub mov yuav tsum boil thiab steamed thiab hauv av kom ib tug puree sib xws.
- Thaum exacerbation, nws raug nquahu kom haus ntau kissels thiab compotes.
- porridge yuav tsum tau siav nrog dej.
- Khoom noj yuav tsum tsis txhob txias lossis kub.
- Txiv hmab txiv ntoo siv tau yuav luag txhua yam, tab sis yuav tsum tsis txhob qaub.
- Nws txwv tsis pub noj mov tshiab. Nws yog qhov zoo dua los hloov cov crackers, qhob cij, crackers.
- Nqaij thiab ntses yuav tsum tau lean. Lawv yuav tsum tau boiled.
- Cov khoom noj mis nyuj yuav tsum muaj roj tsawg dua 2%, kev siv cov curd loj nrog cov ntsiab lus siab ntawm cov suab thaj thiab cov roj xibtes tsis tso cai.
- Nws pom zoo kom ua raws li cov khoom noj feem ntau, noj me me 5-6 zaug hauv ib hnub.
- Cov zaub mov yuav tsum tau npaj los ntawm cov khoom xyaw me me.
Ua raws li kev noj zaub mov nruj rau parenchymal pancreatitis yuav tsum tsis pub dhau 1-2 lub hlis tom qab kawmtshuaj kho mob.
Kev kho mob tshuaj ntsuab
Phytotherapy kuj yog kev kho mob zoo rau tus kab mob no. Cov tshuaj ntsuab siv thaum lub sij hawm tshem tawm kom tsis txhob rov tshwm sim ntawm pathology. Nws tsis tuaj yeem kho cov kab mob pathology nrog cov nqi tshuaj dawb huv, vim lawv tsis tuaj yeem hloov kho qhov tseem ceeb.
Koj tuaj yeem yuav cov khoom sib xyaw ua ke ntawm cov tshuaj ntsuab ntawm lub tsev muag tshuaj. Tab sis kuj, yog tias tsim nyog, lawv tuaj yeem npaj tau ntawm nws tus kheej. Ua li no, koj yuav tsum sib tov cov khoom sib npaug.
Kev xaiv tus nqi tshuaj siv tau:
- wormwood, motherwort, St. John's wort, mint;
- sudnitsa, wormwood, St. John's wort, chamomile, yarrow;
- Ydill, mint, immortelle, hawthorn, chamomile;
- St. John's wort, wormwood, sage, elecampane, burdock cag, calendula, horsetail.
Y Txhawm rau npaj ib lub decoction, ncuav 30 g ntawm tshuaj ntsuab sib tov rau hauv 250 ml ntawm boiling dej. Tawm rau 40 feeb, tev. Haus dej haus txhua hnub hauv qhov sib npaug. Kawm tas nrho - 3 lub lis piam.
qoj ib ce raws li kev tiv thaiv exacerbations
Kev kho mob ib ce kuj pab tau ib tus neeg tsis nco qab txog cov kab mob thiab rov qab mus rau lawv txoj kev ua neej ib txwm muaj. Cov kev tawm dag zog zoo tshaj plaws yog muab los ntawm tus kws kho mob uas koom nrog raws li tus kheej tus yam ntxwv ntawm tus neeg mob.
Tab sis muaj ob peb cov lus qhia ua raws:
- Ntau lub cev ua si, yog li nws yog qhov zoo dua los muab kev nyiam rau kev taug kev, caij tsheb kauj vab, lub cev yooj yimexercise.
- Tsis txhob siv ua pa tuav: squats, ceg presses.
- Nws txwv tsis pub siv txoj hlua rub thaum kawm.
- Noj 60-90 feeb ua ntej kev tawm dag zog.
Zoo kawg
Parenchymal pancreatitis yog ib yam kab mob loj uas yuav tsum tau kho raws sijhawm thiab tsim nyog. Tsis quav ntsej tus kws kho mob cov tshuaj lossis tshuaj noj rau tus kheej yuav ua rau muaj teeb meem kev noj qab haus huv loj. Nws kuj tseem yuav tsum nkag siab tias cov tshuaj yuav tsis tuaj yeem daws qhov teeb meem yam tsis tau hloov kho cov khoom noj thiab muab cov cwj pwm phem. Tsuas yog txoj kev kho nyuaj tuaj yeem tiv thaiv kev rov qab los.
