Pathological tej yam kev mob ntawm tus txiav ua tsis zoo cuam tshuam rau ntau yam haujlwm ntawm lub cev thiab tuaj yeem pom lawv tus kheej raws li ntau yam kab mob dyspeptic thiab mob hnyav. Lub caj pas no, txawm tias nws qhov me me thiab qhov hnyav, ua lub luag haujlwm tseem ceeb, vim nws koom ncaj qha rau hauv cov txheej txheem ntawm kev zom zaub mov thiab ua lub luag haujlwm rau kev tsim cov enzymes tsim nyog, nrog rau insulin.
Txhua yam kev ua haujlwm tsis ua haujlwm hauv lub cev ua haujlwm ntawm lub cev tuaj yeem ua rau muaj kev phom sij heev, yog li koj yuav tsum tau nrhiav kev pab kho mob thawj zaug ntawm tus kab mob qog.
Lub luag haujlwm ntawm lub cev
Cov kab mob pancreas nyob tob hauv lub plab kab noj hniav thiab haum snugly tiv thaiv phab ntsa ntawm lub plab. Hauv cov neeg laus, hlau yog ib yam khoom hnyav li ntawm 70-80 g, thiab nws qhov ntev yog li 25 cm. Nws ua ob lub luag haujlwm tseem ceeb:
- Exocrine muaj nuj nqi,uas characterizes pancreas nyob rau hauv uas nws yog lub luag hauj lwm rau zus tau tej cov kua txiv pancreatic, tsim nyog rau tag nrho cov txheej txheem ntawm digestion. Nws yog nyob rau hauv cov kua txiv pancreatic uas muaj cov enzymes tseem ceeb tshaj plaws uas ua rau kev tawg ntawm cov khoom tseem ceeb uas nkag mus rau hauv lub cev. Ntxiv nrog rau cov enzymes, cov kua no muaj cov khoom tshwj xeeb uas tuaj yeem ua rau cov kua qaub ib puag ncig ntawm cov kua txiv hmab txiv ntoo tsim los ntawm lub plab thiab tiv thaiv nws cov mucosa los ntawm ntau yam kev puas tsuaj.
- Endocrine muaj nuj nqi, uas yog tsim cov tshuaj hormone glucagon insulin. Cov tshuaj no ua lub luag haujlwm ncaj qha hauv cov metabolism hauv carbohydrate thiab tswj cov ntshav qab zib. Thaum ib tus neeg muaj cov tshuaj insulin tsis txaus, nws tsim muaj kab mob txaus ntshai xws li ntshav qab zib mellitus.
Qhov laj thawj tseem ceeb ntawm pathologies
Lub ntsiab tseem ceeb rau kev loj hlob ntawm ntau yam kab mob ntawm tus txiav yog:
- Txhua yam pathologies ntawm duodenum lossis biliary tract.
- Impaired outflow ntawm secretion, uas yog qhov tshwm sim ntawm cov txheej txheem qog.
- Mechanical raug mob ntawm tus txiav.
- Congenital anomalies (genetic factor).
- kev haus dej haus cawv.
- Qee kab mob sib kis.
- Kev cuam tshuam ntawm carcinogens thiab ntau yam tshuaj lom.
- khoom noj tsis raug lossis tsis zoo.
- Psychosomatic yam cuam tshuam nrog muaj kev ntxhov siab hnyav.
Cov nyhuv cawv ntawm lub txiav yog qhov tsis meej heev. Qee qhov xwm txheej, cov neeg mob uas raug kev quav dej quav cawv tsis tu ncua feem ntau zam cov txheej txheem inflammatory, thaum haus cawv txawm tias me me rau cov neeg noj qab haus huv uas tsis haus dej haus cawv tuaj yeem ua rau muaj kev phom sij, uas yuav yog qhov tshwm sim ntawm kev puas tsuaj ntawm cov txiav.
Nws feem ntau tshwm sim tias kev puas tsuaj ntawm lub cev yog cuam tshuam ncaj qha rau qhov tsis xws luag hauv cov qauv anatomical (kinks, txawv txav ntawm cov ducts, hypoplasia, thiab lwm yam), kev kis mob hnyav ntawm tus menyuam hauv plab thiab niam thaum cev xeeb tub. Tsis tas li ntawd, lub hnub nyoog thiab poj niam txiv neej ntawm tus neeg mob, qhov xwm txheej ib puag ncig, nws txoj kev ua neej, kev tsim khoom tsis zoo, nrog rau muaj qee yam kab mob sib kis (mob ntshav qab zib, cholecystitis, kab mob siab, thiab lwm yam) tuaj yeem ua lub luag haujlwm hauv kev txhim kho. ntawm kab mob ntawm lub caj pas.
Ua ntej xav txog kev kho mob pancreatic, cia peb piav qhia cov tsos mob.
Cov tsos mob ntawm cov kab mob zoo sib xws
Cov cim tseem ceeb ntawm cov kab mob ntawm lub cev no yog mob nruab nrab lossis mob hnyav, hloov pauv ntawm daim tawv nqaij, ntau yam kab mob dyspeptic.
Pain Syndrome
Mob thaum muaj kab mob ntawm lub caj pas tuaj yeem ua npub thiab rub, lossis ntse thiab khaus (hauv cov txheej txheem mob hnyav). Lawv tau pom nyob rau hauv cheeb tsam epigastric thiab haunt tus neeg mob tas li, lawv tuaj yeem ua rau qaug dab peg thiab tshwm sim lawv tus kheej nrog kev hloov pauv hauv kev noj zaub mov ib txwm muaj.(piv txwv li, tom qab noj cov zaub mov rog lossis ntsim, haus dej cawv, noj ntau dhau), thiab tom qab muaj kev ntxhov siab. Mob, raws li txoj cai, radiates mus rau sab laug hypochondrium, nraub qaum thiab lub xub pwg hniav, los yog yog ib tug ntawm cov kab mob ntawm tus txiav. Cov paib tsis xaus rau ntawd.
Mob syndrome yuav txo qis thaum noj ib qho kev taw qhia, piv txwv li, pw ntawm sab laug nrog ob txhais ceg khoov ntawm lub hauv caug. Nws yog ib qho ua tau kom txo tau tus neeg mob qhov kev txom nyem nrog kev pab los ntawm txias compresses, thaum siv cov cua sov ua rau muaj kev mob hnyav ntxiv thiab kev txhim kho ntxiv ntawm cov txheej txheem inflammatory. Nrog rau tus mob pancreatic necrosis, cov tsos mob zoo li no tau tshaj tawm tias qee zaum nws tuaj yeem ua rau mob hnyav rau tus neeg, uas (xws li kab mob hauv qab) ua rau muaj kev hem thawj rau lub neej.
Cov kab mob dyspeptic feem ntau yog nrog tsis qab los noj mov, ntuav, xeev siab, raws plab lossis cem quav. Nyob rau hauv thawj theem, tej zaum yuav muaj tsam plab, quav quav, flatulence, uas yog ncaj qha cuam tshuam rau enzyme deficiency thiab tsis muaj cov kua tsib acid ntau lawm. Ob peb hnub tom qab cem quav, cov quav nquag tuaj yeem tshwm sim. Nyob rau tib lub sijhawm, tus neeg mob raug haunted los ntawm kev nqhis dej, tsis muaj zog, qhov ncauj qhuav, thiab kub thiab hws kuj tuaj yeem nce.
Dab tsi ua rau mob pancreas?
Vim
Cov tshuaj tiv thaiv ntawm lub cev no yog vim nws qhov kev qaug cawv thiab, raws li txoj cai, tsis tuaj yeem ua rau muaj kev ntxhov siab. Thaum xub thawj, cov ntsiab lus ntawm lub plab yuav tshwm sim hauv ntuav, thiab tom qab ntawd tsuas yog cov kua tsib tawm. NquagCov ntuav ntuav tuaj yeem ua rau poob ntawm electrolytes thiab kua dej, ua rau lub cev qhuav dej.
Hauv qee kis tshwj xeeb, tus mob no tuaj yeem ua rau muaj qhov txo qis hauv cov ntshav siab, ua rau lub plawv dhia tsis zoo. Yog tias acidosis tshwm sim, tus neeg mob yuav tsis nco qab, uas feem ntau yog qhov tshwm sim ntawm hypovolemic shock.
daim tawv nqaij ua icteric. Qhov tshwm sim no yog vim lub fact tias lub caj pas edematous pib compress cov kua tsib ducts. Tsis tas li ntawd, vim muaj kev lom zem heev ntawm lub cev thiab tshwm sim ntawm cov kab mob ua pa, qee qhov cyanosis tshwm nyob rau hauv cheeb tsam ntawm nasolabial daim duab peb sab, nrog rau hauv lub plab.
Ntxiv rau, qee cov tsos mob tshwj xeeb yuav raug pom thaum lub plab palpation, uas tsuas yog txiav txim siab thiab ntsuas los ntawm tus kws kho mob tshwj xeeb. Kev sim kuaj, ntsuas cov txheej txheem rau kev kuaj mob pancreatic pathologies, nrog rau kev txiav txim siab hormonal imbalances kuj tseem pab tsim kom muaj kev kuaj mob.
Kab mob
Cov kab mob uas muaj ntau tshaj plaws ntawm lub cev no yog:
- Pancreatitis ntawm ntau yam etiologies (mob, reactive, chronic).
- Cov qog nqaij hlav ntawm ib qho benign lossis oncological xwm, pancreatic cysts.
- Pancreatic necrosis - necrosis ntawm lub cev nqaij daim tawv.
- YCystic fibrosis.
- Kev muaj pob zeb hauv lub txiav.
- Kev tuag ntawm lub cev, uas cuam tshuam nrog qhov tshwm sim ntawm ntshav qab zib.
mob pancreatitis
Tus kab mob no ntawm tus txiav yog ib qho tshwm sim sai sai, uas yog nrog los ntawm o thiab kev puas tsuaj rau lub cev. Qee zaum, qhov mob hnyav heev tshwm sim, piv txwv li, necrosis ntawm lub cev, nrog rau cov ntaub so ntswg thiab hemorrhage, uas feem ntau ua rau tuag txawm tias thaum muaj mob hnyav.
Qhov ua rau muaj tus mob hnyav tuaj yeem yog haus cawv, noj ntau dhau, noj qee yam tshuaj, cov kab mob sib kis ntawm lub gallbladder. Cov txheej txheem ntawm o yog tshwm sim los ntawm kev ua txhaum ntawm kev tso tawm ntawm pancreatic secretions, uas provokes ib tug nce nyob rau hauv lub siab nyob rau hauv lub ntsiab ducts. Active enzymes pib nkag mus rau hauv cov ntaub so ntswg ntawm lub cev thiab ua rau kev loj hlob ntawm edema, ua txhaum ntawm lub excretion ntawm digestive enzymes. Raws li qhov tshwm sim ntawm cov txheej txheem no (tshwj tsis yog zom zaub mov), cov enzymes pib zom cov qog hlwb.
Thaum muaj mob hnyav ntawm tus mob pancreatitis, tus neeg mob tau mob hnyav heev, uas tsis zoo los ntawm kev noj tshuaj. Cov mob no yog exacerbated los ntawm ntuav, xeev siab, txo cov ntshav siab, hloov hauv lub plawv dhia. Nrog rau kev txhim kho ntawm cov kab mob no, tus neeg mob xav tau kev saib xyuas xwm txheej ceev thiab mus pw hauv tsev kho mob.
Yuav ua li cas kho mob pancreas? Xav paub ntxiv.
mob pancreatitis
Cov kab mob no ntev ntev thiab feem ntau yog nrog los ntawm kev ua kom lub cev tsis zoo. Thaum lub sij hawm tshem tawm, qhov mob tsis tuaj, thiab thaum lub sij hawm exacerbation, shingles tshwm.mob syndrome ntawm txawv degrees ntawm kev siv.
Muaj qhov qab los noj mov thiab xeev siab, muaj ib qho ntuav ntawm cov kua tsib lossis zaub mov. Kuj tseem muaj plab hnyuv, quav quav, flatulence. Raws li txoj cai, tus kab mob exacerbation tshwm sim vim yog kev ua txhaum ntawm kev noj zaub mov, tom qab kev ntxhov siab, haus cawv, ua rau muaj kab mob ntawm lub gallbladder, thiab lwm yam. Dab tsi ntxiv tuaj yeem ua rau mob pancreas?
Tumor disease
Cov qog nqaij hlav nyob hauv cov tshuaj hormones thiab malignant neoplasms (mob qog noj ntshav) tuaj yeem tshwm sim hauv pancreas. Cov qog nqaij hlav ntawm qhov xwm txheej hormonal yog malignant thiab benign, tsim los ntawm ntau dhau ntawm cov tshuaj hormones tsim los ntawm cov txiav. Cov txheej txheem zoo li no feem ntau nrog los ntawm kev ua txhaum ntawm cov txheej txheem metabolic hauv lub cev.
mob qog noj ntshav yog qhov tshwm sim. Nyob rau hauv thawj theem, xeev siab, rog quav, tsis qab los noj mov, tsam plab, thiab poob phaus. Qhov mob yuav mob tas li. Nyob rau theem tom ntej, tus neeg mob tus mob yog qhov nyuaj los ntawm ntuav ntuav thiab raws plab, thiab daim tawv nqaij muaj xim icteric.
YPancreatic cysts
Nrog lub cyst me me, qhov mob hnyav heev, tab sis yog tias qhov neoplasm loj, nws pib ua rau cov hlab ntsha hauv lub caj pas, uas ua rau mob hnyav. Thaum lub taub hau ntawm lub cev no raug cuam tshuam, poob phaus, tsam plab, thiab quav ntau zaus.
Nyob rau hauv rooj plaub uas muaj cyst tsim nyob rau hauvxeev siab kuj tshwm sim nyob rau hauv lub cev los yog tus Tsov tus tw ntawm caj pas, tab sis cem quav thiab discolored quav yog cov yam ntxwv tsos mob. Ib lub cyst loj tuaj yeem hnov los ntawm phab ntsa ntawm peritoneum. Nrog suppuration ntawm neoplasm, tus neeg mob tus mob yog nyuaj los ntawm hyperthermia.
Nyob rau hauv cystic fibrosis, muaj mob hnyav nyob rau hauv txoj hnyuv, cov quav rog thiab cov quav xoob tshwm sim, qhov ntim ntau tshaj qhov qub. Cov tsos mob ntawm tus kab mob no yog qhov txo qis hauv qab los noj mov, qhov ncauj qhuav, flatulence, cov leeg tsis muaj zog, thiab cov ntsev me me tshwm rau ntawm daim tawv nqaij.
Mob ntshav qab zib mellitus cuam tshuam nrog kev txiav tawm ntawm cov tshuaj insulin los ntawm lub caj pas, raws li txoj cai, tsis yog nrog cov mob mob. Cov cim tseem ceeb ntawm tus kab mob no yog nqhis dej tas li, tso zis ntau ntxiv, khaus tawv nqaij, xav tias tshaib plab thaum muaj kev kub ntxhov, xeev siab, poob phaus, tawm hws.
YPancreatic necrosis
Cov kab mob pathological no nrog rau qhov mob hnyav thiab ntse tom qab lub sternum, thaum qhov mob tuaj yeem tawm mus rau sab nraub qaum, nraub qaum, thiab caj dab. Qee zaum qhov mob ntawm lub zog no ua rau lub xeev poob siab, nrog rau kev tsis nco qab.
Kev kho mob pancreas
Kev kho mob ntawm cov kab mob no nyob ntawm hom kab mob thiab tau ua tiav los ntawm kev coj mus rau hauv tus account qhov dav dav, cov tsos mob hnyav, muaj cov kab mob sib kis thiab contraindications. Lub hauv paus ntawm cov dej num no yog kev kho tshuaj thiab kev noj haus. Cov kab mob hnyav tau kho hauv tsev kho mob. Cov qog, pob zeb thiab cysts raug tshem tawm phais. Lwm yampathologies uas cuam tshuam nrog comorbidities (cystic fibrosis, ntshav qab zib, kab mob siab) xav tau kev kho tshwj xeeb.
Tshuaj kho mob pancreas yog ua raws li kev siv tshuaj uas txo cov kua dej hauv plab, thiab siv cov enzymes uas tsis muaj cov kua tsib. Tshem tawm xeev siab yuav pab tau cov tshuaj "Cerukal", "Motilium". Antispasmodics "No-shpa", "Mebeverine", "Papaverine" thiab lwm yam raug pom zoo rau qhov mob syndrome.
Nrog kev ua haujlwm tsis zoo ntawm lub caj pas, raws li txoj cai, kev kho mob nrog cov tshuaj uas muaj enzymes yog siv. Lawv txhim kho kev zom zaub mov zoo, nqus cov tshuaj los ntawm cov hnyuv, txo qis kev tsim roj ntau, ua kom peristalsis thiab txhawb kom tshem tawm cov khoom tsis tsim nyog los ntawm lub cev.
Ntxiv rau, hauv kev kho mob pancreas, cov tshuaj ib txwm siv raws li kev siv tshuaj ntsuab decoctions yog dav siv. Hauv qhov no, wormwood nyom, dandelion cag, parsley, St. John's wort, nrog rau qee cov txiv hmab txiv ntoo - qej, oats, flax noob, thiab lwm yam.
Rau cov kab mob pancreas, cov tshuaj yuav tsum tau noj tsuas yog raws li cov lus qhia.
Menu
Hauv daim ntawv mob pancreatitis, koj yuav tsum tsis kam noj, lub sijhawm no tsuas yog dej ntxhia thiab tshuaj yej ntsuab tau pom zoo. Hauv lwm cov kab mob pathological, thaum noj zaub mov raug tso cai, siv cov zaub mov tshwj xeeb uas kws kho mob tau sau tseg.
Rau lub txiav, cov ntawv qhia zaub mov yuav zoo li no.
Breakfast:
- Oatmeal, mov los yog buckwheat porridge.
- Nqaij patty steamed.
- Tea with milk.
tshais thib ob:
- Cov tsev cheese tsis muaj rog.
- Kissel lossis txiv hmab txiv ntoo qhuav compote.
Lunch:
- zaub zaub.
- qos yaj ywm.
- Nqaij zaub hauv daim ntawv soufflé.
- Kissel lossis txiv apple compote.
Khoom noj txom ncauj:
- Crackers los ntawm qhob cij dawb.
- Decoction of rosehips.
noj hmo:
- Steamed egg white omelette
- Semolina porridge.
- Kefir los yog tshuaj yej.
YKoj tuaj yeem haus tshuaj yej, dej ntxhia, compotes.
