Qee lub sij hawm tus kws kho mob gastroenterologist siv lo lus pancreatic dysfunction. Tab sis qhov no txhais li cas thiab yog qhov kev kuaj mob ntsig txog tus mob pancreatitis? Kev ua haujlwm tsis zoo cuam tshuam txog kev ua haujlwm ntawm lub cev. Hauv kev cuam tshuam nrog pancreas, qhov no yuav yog qhov nce hauv nws txoj haujlwm lossis, qhov sib txawv, tsis txaus. Feem ntau lub tswv yim ntawm kev ua haujlwm tsis zoo yog siv ua ke nrog kev kuaj mob ntawm "mob pancreatitis". Tus mob no tsis ua raws li tus kab mob ywj pheej, nws yog hais txog cov tsos mob uas qhia tias tus txiav ua haujlwm tsis zoo.
Cov tsos mob ntawm pathology
Ua ntej ntawm tag nrho cov, cov neeg mob uas muaj kab mob pancreatic tsis ua haujlwm tsis txaus ntseeg, uas tuaj yeem nrog xeev siab, qee zaum ntuav, belching, heartburn, thiab rumbling hauv plab. Lub rooj zaum tib lub sij hawm ob peb zaug hauv ib hnub tuaj yeem pom muaj zog. Nws ua taumuaj cov khoom noj uas tsis tau digested. Ntawm lwm yam, cov quav tuaj yeem nrog cov ntxhiab tsw tsw qab. Feem ntau xws li lub rooj zaum tawm greasy cim rau ntawm chav dej. Tsis tas li ntawd, cov neeg mob uas muaj tus kab mob no tej zaum yuav muaj lwm yam cem quav thiab raws plab.
Mob hauv qhov mob no
Lwm cov tsos mob ntawm pancreatic dysfunction yog mob nyob rau hauv cheeb tsam tom kawg - nyob rau sab laug hypochondrium. Qhov mob feem ntau kis mus rau sab nraub qaum. Kev hnov mob tuaj yeem muaj kev sib raug zoo nrog kev noj zaub mov tsis raug. Feem ntau qhov mob hnyav dua tom qab noj cov khoom noj rog, kib, ntsim, haus luam yeeb thiab pickled. Tsis tas li ntawd, ntau tus neeg mob tau ntsib qhov mob ntxiv ntawm keeb kwm ntawm kev puas siab puas ntsws-kev ntxhov siab. Lwm cov tsos mob ntawm tus kab mob no yog poob phaus, uas tshwm sim nrog lub sij hawm malabsorption thiab digestion ntawm as-ham.
Cov tsos mob thiab kev kho mob ntawm pancreatic dysfunction yog sib cuam tshuam.
Cov tsos mob ntawm tus kab mob
Cov tsos mob tshwm sim uas cuam tshuam nrog kev mob ntev thiab cov metabolism tsis ua haujlwm suav nrog kev qaug zog nrog rau kev ua haujlwm tsis zoo, kev tsis muaj zog, cov tsos mob ntawm cov protein thiab vitamin tsis muaj peev xwm, txo qis kev tiv thaiv, plaub hau poob, nkig rau tes, ntau yam tawv nqaij ua pob, thiab Yog li ntxiv. Ntawm lwm yam, nrog kev ua haujlwm tsis zoo ntawm lub cev, tib neeg muaj kev tsis txaus ntseeg hauv plab hnyuv microflora vim kev zom zaub mov tsis zoo.
Yog vim li casPathology
Qhov feem ntau ua rau mob pancreatic dysfunction yog ib tus neeg mob uas muaj tus kab mob pancreatitis qeeb qeeb uas tsim los ua tus kab mob ywj pheej. Kev ua haujlwm tsis zoo ntawm lub cev no tseem tuaj yeem ua rau cov lus teb ncaj qha rau cov hauv qab no:
- noj tsis tu ncua nrog cov khoom noj muaj rog, kib thiab ntsim.
- Kev noj haus vitamin thiab protein deficiency.
- Tsis kho cov kab mob ntawm cov kab mob hepatobiliary. Piv txwv li, nws tuaj yeem ua rau mob cholecystitis nrog rau cholelithiasis, biliary dyskinesia thiab choledochopancreatic reflux, uas cov kua tsib tau pov rau hauv cov kab mob pancreatic loj.
- Kev quav cawv ntau dhau.
- Muaj kab mob gastritis, duodenitis, peptic ulcer ntawm lub plab thiab txoj hnyuv hauv tus neeg.
Yog tias tus neeg mob muaj cov kab mob ntawm lub plab zom mov, lub siab ua haujlwm tsis zoo ntawm lub siab thiab txiav txiav yuav tshwm sim tiag tiag, yog li ntawd, cov neeg mob no yuav tsum tau ceev faj txog kev noj zaub mov zoo, ua tib zoo kho cov kev xaiv. ntawm lawv cov zaub mov. Nws yog ib qho tseem ceeb heev uas yuav tsum tau xyuam xim rau txhua qhov indigestion raws sij hawm thiab tsis poob, nws yuav tsum tau nrhiav kom paub qhov ua rau. Nrog rau kev ceev faj heev, koj yuav tsum tau kho kev siv cawv, vim rau lub txiav txiav qhov no yog qhov tseem ceeb tshaj plaws kev puas tsuaj.
Kev kuaj mob ntawm no pathology
Ua ntej kho qhov tsis zoopancreas, nws yog ib qho tsim nyog los tsim kom muaj kev kuaj mob kom raug. Rau lub hom phiaj no, cov kev tshawb fawb hauv qab no yog siv:
- Kev tshuaj xyuas tus neeg mob keeb kwm thiab kev tsis txaus siab.
- Ua ib qho kev kuaj xyuas thaum tus kws kho mob txheeb xyuas cov tsos mob tshwj xeeb rau kev ua haujlwm ntawm tus txiav, txiav txim siab tus neeg mob.
- Kev kuaj ntshav biochemical.
- Urine kuaj rau alpha-amylase.
- kuaj ultrasound ntawm pancreas. Nws yog qhov kev tshawb fawb no uas nthuav tawm cov duab ntawm kev hloov pauv ntawm cov qog nqaij hlav.
Kev kho mob
Thawj kauj ruam hauv kev kho mob rau cov cim qhia ntawm pancreatic dysfunction yog kho yoo mov. Yog li, nyob rau hauv tus txheej txheem ntawm kev kho mob nrog rau tag nrho cov txhais tau tias, nws yuav tsum tau muab lub caj pas kom so.
Los ntawm kev npaj kho mob, cov tshuaj tau sau tseg uas txo qis hauv plab, piv txwv li, thaum kho, cov neeg mob tau muab tshuaj Omez nrog rau Pantoprazole, Ranitidine thiab Kvamatel. Kev siv ib qho ntawm cov tshuaj no yog qhov tseem ceeb hauv tus kab mob no, txij li cov kua txiv hmab txiv ntoo yog ib qho ntawm cov stimulants tseem ceeb ntawm pancreatic secretion.
Nyob rau hauv lub xub ntiag ntawm ib tug pronounced mob syndrome, cov neeg mob tau muab tshuaj antispasmodics nyob rau hauv daim ntawv ntawm "No-shpa", "Platiphyllin", "Papaverine" thiab "Duspatalin". Nyob rau hauv cov xwm txheej uas muaj concomitant pathologies ntawm lub gallbladder los yog cov kua tsib ducts, ces Urolesan tuaj yeem muaj txiaj ntsig zoo. Hauv qhov no, yim mus rau kaum tsib tee yog siv.tshuaj ua ntej noj mov. Qhov kev npaj tshuaj ntsuab no zoo kawg nkaus relaxes lub gallbladder thiab sphincter uas tau dhau mus spasms. Nrog rau qhov tsis txaus ntawm digestive enzymes, nws raug nquahu kom noj pancreatin npaj nrog txhua pluas noj. Piv txwv li, cov tshuaj Mezim haum rau qhov no, nrog rau Creon thiab Panzinorm.
Cov txheej txheem kev kho mob rau tus kab mob pancreatitis ntev, uas yog lub luag haujlwm tseem ceeb hauv kev ua haujlwm ntawm pancreatic dysfunction, yog lub sijhawm teem sijhawm ntawm kev sib xyaw ntawm "Pancreatin" thiab "Omeprazole" rau lub sijhawm ntev (txog cuaj caum hnub tsis tu ncua). Cov tshuaj "Omeprazole" yog noj ntawm ib koob ntawm 20 milligrams thaum sawv ntxov los yog yav tsaus ntuj, thiab cov tshuaj "Pancreatin" yog muab rau cov neeg mob ntawm 10 milligrams nrog txhua pluas noj. Qhov ntau npaum ntawm cov tshuaj no nyob ntawm qhov ntau ntawm cov enzyme deficiency.
Kev kho mob ntawm cov kab mob no nrog cov dej ntxhia
Lub sijhawm ntawm kev tso cai, cov neeg mob uas mob pancreatic dysfunction raug tshuaj kho ntawm cov chaw haus dej haus xws li Essentuki, Zheleznovodsk thiab Kislovodsk. Ntau tus kws kho mob, thaum thawj cov tsos mob ntawm kev tsis zoo hauv kev ua haujlwm ntawm cov txiav txiav, pom zoo kom noj cov dej ntxhia hauv daim ntawv rhuab (nws yog ib qho tseem ceeb uas cov dej tsis muaj roj). Essentuki, Borjomi thiab Narzan yog qhov zoo tagnrho rau qhov no. Thaum kho, koj yuav tsum noj txog li ib thiab ib nrab litres ib hnub.
Tiv thaiv kab mob
Txhawm rau zam kom tsis txhob muaj kab mob pancreatic, nws yuav tsum muaj sijhawm los kuaj xyuas thiabkho pathologies uas tshwm sim nyob rau hauv lub digestive system. Kev saib xyuas tshwj xeeb yuav tsum tau muab rau cov khoom noj muaj txiaj ntsig. Nws tseem ceeb heev kom tsis txhob noj ntau dhau, thiab ntxiv rau, tsis txhob muaj rog, kib thiab haus luam yeeb.
Kev noj zaub tshiab thiab txiv hmab txiv ntoo, nrog rau kev noj cov vitamin complexes, yeej yuav pab txhawb kom koj cov zaub mov muaj txiaj ntsig zoo. Thaum noj mov, koj tsis tuaj yeem maj, koj yuav tsum zom zaub mov kom zoo, saib xyuas kev noj haus. Nws yog qhov zoo tshaj plaws los noj ntau zaus thiab me me. Nws yog tsim nyog sau cia tias txoj cai no yuav pab kom tsis txhob muaj ntau yam kab mob ntawm lub plab zom mov. Cov zaub mov no yog qhov zoo tshaj plaws rau cov txiav txiav, uas ib txwm muaj kev pheej hmoo rau kev ua yuam kev me me hauv cov zaub mov.
Lub cev ua haujlwm rau tus kabmob no
Kev tawm dag zog lub cev nrog rau kev ua kis las lossis gymnastics pab tib neeg txo qis kev ntxhov siab, thaum tswj lub suab thiab normalizing metabolism. Pancreatic dysfunction yog ib yam kab mob uas yuav tsum tau ua kom muaj kev saib xyuas ntxiv rau lub xeev ntawm koj lub cev tag nrho. Txhua yam kev ua txhaum cai hauv lub plab zom mov yuav tsum muaj kev sab laj nrog kws kho mob thiab kuaj xyuas kom meej. Ua raws li kev noj haus nrog rau kev ua tiav qhov kev teem caij ntawm tus kws kho mob plab yuav tsis ua tsis tiav ua rau kev ua kom zoo ntawm cov xwm txheej.
Tshwj xeeb cov niam txiv yuav tsum ua tib zoo saib xyuas cov tsos mob ntawm pancreatic dysfunction ntawm tus menyuam. Ib tug tsis kho pathology ntawm xws li ib tug tseem ceeb lub cev muaj peev xwmua rau muaj teeb meem loj heev, thiab, ntxiv rau, ua rau muaj kev cuam tshuam loj hauv lub neej zoo ntawm tus menyuam.
