Tus txiav txiav yog ib yam kabmob parenchymal nyob rau sab laug hypochondrium ntawm qib ntawm thawj lumbar vertebrae. Nws muaj lub taub hau, lub cev thiab tus Tsov tus tw. Nyob rau hauv pem hauv ntej ntawm lub caj pas yog lub plab, tom qab - lub aorta, inferior vena cava thiab portal leeg, nyob rau sab laug - lub raum sab laug. Lub excretory duct, txuas nrog rau cov kab mob sib xws, ntws mus rau hauv duodenum. Tseem muaj ib qho ntxiv uas ntws mus rau hauv lub plab ntawm nws tus kheej.
Lub txiav yog ib txoj hauv kev tsim cov qog thiab muaj cov hlwb tshwj xeeb - cov islets ntawm Langerhans uas tso cov tshuaj insulin.
Tus txiav ua haujlwm tseem ceeb hauv lub cev. Ib qho ntawm lawv yog kev tsim cov tshuaj insulin, uas tswj cov metabolism hauv carbohydrate. Hauv particular, lub luag haujlwm loj yog ua los ntawm kev tswj hwm cov ntshav qabzib thiab nws cov tsub zuj zuj hauv daim ntawv ntawm glycogen hauv daim siab. Lub luag haujlwm tseem ceeb thib ob yog kev txhim kho cov tshuaj tiv thaiv alkaline ntawm cov kua txiv hmab txiv ntoo uas muaj trypsin, lipase, amylase. Tag nrho cov enzymes no ncaj qha koom nrog hauv kev zom zaub mov, rhuav tshem cov proteins rau hauv cov amino acids,Cov rog rau glycerol thiab fatty acids, carbohydrates rau m altose. Yuav ua li cas txheeb xyuas tus txiav txiav thiab nws cov haujlwm ua haujlwm, koj tuaj yeem kawm paub ntau ntxiv hauv cov txheej txheem kuaj mob.
Cov txheej txheem pathological hauv lub caj pas, xws li mob lossis o (mob qog noj ntshav), necrosis, nrog rau kev cuam tshuam ntawm cov kav dej, tuaj yeem ua rau lub qog ua haujlwm tsis zoo. Qhov no feem ntau cuam tshuam rau kev zom cov rog uas tsis nqus hauv lub cev. Yog hais tias cov islets ntawm Largenhans puas lawm, hom 1 mob ntshav qab zib yuav tshwm sim. pancreas kuaj tau li cas?
Yuav kom kuaj tau tus mob, tus kws kho mob yuav tsum paub tus neeg mob cov lus tsis txaus siab. Qhov tseem ceeb yog qhov mob, uas yog nyob rau hauv cheeb tsam epigastric. Nws tuaj yeem yog paroxysmal, tshwm sim nws tus kheej ntau zaus tom qab noj mov thiab tawm mus rau sab laug hypochondrium, lub xub pwg hniav. Cov tsos mob no yog yam ntxwv ntawm necrosis, mob pancreatitis, mob qog noj ntshav thiab o ntawm lub qog. Qhov mob ntawm qhov mob txo qis hauv qhov chaw zaum nrog lub cev qaij rau pem hauv ntej.
Hloov raws plab thiab cem quav kuj yog ib qho ntawm cov tsos mob ntawm cov kab mob pancreatic. Cov quav muaj ntxhiab tsw thiab muaj roj ntau.
Ib qho piv txwv pom tseeb ntawm cov tsos mob ntawm tus kab mob pancreatic yog jaundice. Nyob ntawm cov kab mob tshwj xeeb, cov xim ntawm daim tawv nqaij thiab sclera tuaj yeem sib txawv ntawm lub teeb daj mus rau daj nrog lub ntiaj teb tint.
Hauv ntshav qab zib, thawj cov tsos mob yuav nqhis dej heev, tshaib plab thiab polyuria. Yuav kuaj mob pancreas li cas thiab nws cov yam ntxwv
Palpation tseem ceeb tsuas yog thaum kuaj pom cov qog lossis cyst ntawm qhov loj me. Ntawm cov txheej txheem kuaj mob, lawv siv qhov kev txiav txim siab ntawm cov enzymes secreted los ntawm lub caj pas, kev kawm ntawm quav thiab zis, biochemical thiab kev kuaj ntshav dav dav, ultrasound ntawm lub qog.
Yog xav tias mob pancreatitis, kev soj ntsuam xyuas ntawm cov enzymes tau ua tiav. Cov ntsiab lus txo qis ntawm cov enzymes yuav qhia tau tias muaj qee yam kev cuam tshuam ntawm kev ua haujlwm rau lawv tso rau hauv duodenum. Qhov kev cuam tshuam zoo li no tuaj yeem yog pob zeb nyob rau hauv cov kua tsib los yog kab mob pancreatic.
Kev kuaj mob pancreas li cas thaum kuaj quav thiab zis? Urinalysis yog ua kom pom amylase. Nws lub xub ntiag qhia tau hais tias qhov mob hnyav ntawm cov txheej txheem. Kev tshuaj xyuas Fecal qhia txog qib ntawm cov zaub mov tsis zoo thiab cov roj fatty acids, uas yuav qhia tau tias tsis txaus ntawm pancreatic enzymes.
Cov ntshav suav tag nrho yuav pom yog tias muaj cov txheej txheem mob hauv lub caj pas. Kev tshuaj xyuas biochemical yuav qhia koj txog qib ntawm cov enzyme amylase, cov roj (cholesterol) (uas yog ib qho qhia tsis ncaj ntawm qhov muaj ntshav qab zib), qabzib (qhia txog lub xeev ntawm carbohydrate metabolism) thiab globulin.
Ultrasound ntawm pancreas yuav tso cai rau koj pom nws cov qauv thiab muaj lossis tsis muaj hlwv, qog. Feem ntau, echogenicity ntawm tus txiav yuav tsum zoo ib yam li echogenicity ntawm cov nqaij nruab nrog cev (pob txha, siab). Nrog ultrasound ntawm pancreas, koj tuaj yeem pom qhov ntev ntawm cov khoom tseem ceeb: feem ntau rau tus Tsov tus tw - 35 hli, rau lub taub hau - 32 hli, rau lub cev - 21 hli. Lub contours ntawm lub caj pas yuav tsumkom meej, txawm, thiab parenchyma yuav tsum tsis txhob muaj kev hloov.
Sib nqus resonance imaging yuav pab tau kom meej meej hais txog qhov nce ntawm cov phab ntsa los yog parenchyma, muaj los yog tsis muaj hlwv, qog, txij li thaum nrog kev pab los ntawm tshwj xeeb pab kiag li lawm muaj peev xwm kom tau ib tug txheej txheej. Rau hom kev kawm no, tus neeg sawv cev sib txawv yuav tsum tau txhaj tshuaj ua ntej pib txheej txheem. Kev suav cov magnetic resonance imaging tso cai rau pom cov kev hloov pauv hauv 97% ntawm cov neeg mob thiab yog txoj kev tshawb fawb tseeb tshaj plaws.
X-ray sib piv txoj kev tshawb fawb yuav txiav txim siab qhov nqaim lossis nthuav dav ntawm pancreatic excretory duct.
Yog tias pom muaj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd txhawm rau txhawm rau kuaj thiab kho tus kab mob tsim.
