Amanyikwe anda ingane: Izimbangela, Ihlahlubo, Ukwelashwa

umzimba wengane kuyinto zithandwa izifo ezihlukahlukene. Emva kokuzalwa kwengane yakho izitho bacale kutfutfukisa ngokushesha, kukhona oluqinisayo kwesimiso somzimba sokuzivikela ezifweni. Kodwa ngezinye izikhathi emzimbeni unika ukuhluleka - zenzeka izinguquko sokugembula kwezitho zomzimba ezihlukahlukene, kuhlanganise kwamanyikwe. Uma luyanda kusilinganiso - kuba isizathu sokukhathazeka.

Isakhiwo kwamanyikwe

Lokhu umzimba siqukethe iminyango elandelayo:

• ikhanda - ekhuluma kancane ngoba isisu imbozwe iluphu ezakhiwe duodenum;
• umzimba - uMnyango ngobukhulu, esemgwaqweni ngemva kwesisu, kodwa ukugxusha isikhwama phakathi kwawo;
• umsila - ingxenye emuva komzimba, okuyinto abuts ubende.

Isakhiwo iyizingxenye wendlala unikezwe imfihlo ezikuyo. Phakathi kwabo kukhona eziyimpumelelo nerve futhi imithambo yegazi. Kuyo yonke ubude umzimba imbobo iphelela, esetshenziselwa ngokufaka uketshezi wokugaya ukudla. indlala Okubalulekile iyona uketshezi of juice esiswini nekulawulwa amazinga kashukela egazini.

Uma yena akakwazi ukubhekana nalokhu, kukhona ukungakhululeki ezithile: ukuvuvukala, ukuqunjelwa, ukuvuvukala nezinye izinkathazo. Lezi izimpawu zibonisa ukuthuthukiswa izifo ezingathi sína ngaphandle kokwelashwa ngokushesha kungaholela ukuxakeka.

Ubukhulu we wendlala

Jwayelekile usayizi amanyikwe wengane kuxhomeke kakhulu ubudala babo. Usana umzimba ubude 5 cm noma ngaphezudlwana. Phakathi nezinyanga zokuqala eziyisithupha wokuphila, kwandile kuphela 1 cm ngaphambi likhula unyaka 1 cm. Ngakho, ingane eneminyaka engu-yensimbi ubudala ifinyelela ubude 7 cm, futhi ububanzi ikhanda lingana kuze fike isentimitha.

Phakathi nokuphila insimbi kancane kancane ngosayizi. Iminyaka engu-10, ekukhuleni kwayo uyephuza kakhulu, okwandisa phakathi nalesi sikhathi by izikhathi 2. Ukwandiswa amanyikwe , ingane kungenzeka phakathi nenkathi yokuthomba, uma kakhulu ezanda 8 cm iminyaka engu-18 kule umzimba ngokuvamile ifinyelela usayizi standard, lafinyelela ubude 23 cm, ububanzi -.. 3 cm I obungazungeza kuba 7 cm.

Ukuhlola ingane, udokotela isebenzisa itafula ekhethekile ukuze sithole ukuthi umdlavuza has ukuphambuka kusuka kuyinsakavukela. Ukuze wenze lokhu, acabangele izici ezifana isisindo, ubude, ubulili nobudala. Kuye lokhu, amazinga usayizi amanyikwe wengane kuyakuba lokhu okulandelayo:

• umzimba - 1-1.3 cm;
• Shona - 1.5-2.1 mm;
• umsila - 1,7-2,4 mm.

umzimba Ubukhulu futhi ukubonakala kwawo kungase kubonise ezihlukahlukene nezifo.

Kuqakatheke ngani ukuba bahlole izingane?

nezindaba Wezingane, ezihlobene nokwanda kokungabi umzimba ngezindlela eziningi ezifanayo nalezo abathintekayo abadala. Zonke izingane kumele ahlolisisa ukuze ngesikhathi esifanele ukuthola kwezinso ezinjalo. Isizathu siwukuthi yensimbi ongathuthuka kuzo by izikhathi eziningana, kodwa ngaso sonke isikhathi ngokulingana.

Kaningi kuyenzeka ukuthi ukukhula komzimba akusho ngaso sonke isikhathi nezindinganiso, kodwa maqondana nezinye izitho kuba ngokulingana. Kulokhu, kubalulekile ebuntwaneni okokuqala kwatholakala ukuthi nginesifo malformation azalwa naso kwamanyikwe futhi izithelo zalo.

Izizathu eziyinhloko ngenxa yomdlavuza kukhuphuke

Kwamanyikwe kungenzeka ukwanda inani lendawo. Esimweni sokuqala, inqubo ezilinganiselwe, futhi okwesibili - kwenzeka kusukela ingxenye isitho lesion. Ngokwesibonelo, ushintshe usayizi umsila kungase kudingeke, futhi ekhanda nasemzimbeni zisesimweni esifanele.

Izizathu eziyinhloko okuyiwona kwamanyikwe zingandiswa ezinganeni yilezi:

• avaliwe ukuhlukumezeka besisu;
• isilonda we mucosa;
• umphumela ubuthi;
• ukuthuthukiswa okungavamile umdlavuza;
• izinqubo sokuhlasela kwamasosha omzimba emzimbeni;
• oyingozi noma ezingamahlalakhona ukuvuvukala;
• cystic fibrosis;
• duodenal isilonda isifo.

ukwanda ongalingani e kwamanyikwe umntwana ebonwe kulezi zimo ezilandelayo:

• izimila ingozi noma abulalayo;
• esikhundleni ezinye izingxenye yezindlala ezicutshini esikhundleni;
• kumiswa izinhlumba;
• suppuration ithumba indlala futhi ukubukeka.

izimpawu

Kwenzekani lapho ethola ukuthi unesifo i amanyikwe lakhulisiwe ezinganeni? Izimpawu zokugula zingase zihluke. Bobabili evelele kanye ngokuphelele ezingabonakali. Kulokhu, afeze izivivinyo ezengeziwe.

Lapho ukuvuvukala indlala kwenzeka okwandisa ngokucacile izimpawu. Izimila kanye izinhlumba uqale ukuzibonakalisa ngokusebenzisa Adalberto isikhathi eside. Onke la macala ahambisana zimpawu ezilandelayo:

• ubuhlungu ngiyaqaqanjelwa noma baking okushiyashiyanayo ngamandla, abasafufusa phezulu esiswini futhi asinikeze ingalo noma emuva;
• isicanucanu, ukuhlanza, ukunambitheka ababayo emlonyeni, ukubhodla, ukungakuthandi ukudla;
• isifo sohudo,
• lokushisa abukhali ukweqa.

Ukwandiswa amanyikwe ezinganeni - into anobungozi, kungakhathaliseki izizathu ezaholela kulesi. Babalelwa ku-ke zitholakala kwezinye izitho, okungase kubangele kokucindezelwa. Ngokwesibonelo, kukhuphuke ikhanda ingcindezi nezindlala 12 siqala duodenum. Ezimweni lapho isitho sokugembula nomthelela ukuvimbela wamathumbu nayo kumakwe.

Izinhlobo izifo pancreatic

Kaningi, ukuphazamiseka zokuthuthuka umzimba ngenxa ezakheke, okungaba ngesimo indandatho. Lo anomaly ngesikhathi izintandokazi yakhe yegilo enkundleni sombungu. Noma yimuphi ukungakhululeki ingane lokho kungasebenzi futhi siqedwa ngu operation lula.

Kunezimo lapho? ngaphandle komgomo ezinjalo? izinkinga nezinye izitho zangaphakathi. Le nhlanganisela kungabangela yezinkinga ezinzima esokufa. Uma ukuhlukumeza wengane akusilo usizo ngesikhathi esifanele enikeziwe, ku amadala yobudala igebe 12 isilonda duodenal iqala ukushona, kukhona isimiso acute emathunjini, kukhona kokucindezelwa we imbobo Bile.

Pancreatitis - ukuvuvukala kwamanyikwe. Umntwana ukuthi ungubani lo zokugula ngokuvamile lokho kwanele. Izifo ephelezelwa kwesisindo, kwehle esesuthi, sebuhlungwini obunzima, nokunye. D. izingane, ikwazi ukubonakala njengamathuba izifo ezifana dysbiosis futhi kolwelwesi, ngalolo umehluko yayo ebalulekile evela pancreatitis kwabadala.

Ngaphezu kwalokho, kunezinye izifo kwamanyikwe ezinganeni:

• simila;
• lipomatosis;
• amatshe;
• umzimba kanye nomdlavuza umsila.

ukuhlola

Banalesi sifo ngesisekelo umlando wezokwelapha kanye izimpawu zokwelashwa, ukuhlolwa endocrine indlala umsebenzi futhi ngemiphumela yocwaningo wezinsimbi.

Okokuqala udokotela ucela isiguli ingane ukuthi kukhona kwempilo. Uma kwenzeka kwezikhalo eziphathelene ubuhlungu kunqunywa imvelo layo nendawo ekuyo. Okunye okubalulekile nakho kuyisici esibangela ngofuzo, lapho othile emndenini uhlushwa isifo sikashukela nezinye izifo umzimba.

On udokotela kuqhakambisa ukubukeka isiguli, ibala lesikhumba. palpation yomzimba yenziwa ngesikhathi isiguli usesimweni lisalele. Lapho umuntu umi, yensimbi cishe hhayi avelayo ngenxa isikhundla ezijulile esiswini namathumbu.

Lokwenza ukuxilongwa, azokuqhubela isifundo of sezinyawo, okuyinto uma ukungasebenzi kwamanyikwe kuyodingeka eziningi izici: umbala ukukhanya iphunga Putrid. Ngesikhathi kuqhubeka uphenyo umchamo kungathola enzyme umdlavuza. Futhi, ukuhlolwa igazi esithathwayo.

Ultrasound luhlolo kwamanyikwe

Isakhiwo yokwakheka komzimba akukuhle kakhulu inhlolovo, njengoba itholakala ngemva kwesisu esiswini engenhla. Kungcono ukuba bafeze ultrasound umntwana, kulesi simo kungenzeka ukulinganisa ubukhulu umzimba futhi ukuyibuka ngezindlela ezihlukahlukene.

Ukulungisa cwaningo, ingane kumele give up ukudla okuthosiwe nokudla okunamafutha, imifino, izithelo, ubisi. ukudla reception Kugcine kumele kube ngamahora angu-12 ngaphambi kokuba inqubo.

Baby ultrasound lwenziwa isikhundla lisalele, ngemuva. Uma ufuna ukuhlola noma iyiphi ingxenye yomzimba, ingane uvunyelwe ukuze ujike ezinsikeni zawo noma sukuma ngesisu sakhe ukusebenzisa ijeli, lapho slide inzwa lula kakhulu.

Kubalulekile ukuba banake wabuka we wendlala: kumele kucace bona. umzimba Ubukhulu kuhlobene nezinga idatha kusuka etafuleni ekhethekile. Echogenicity zasebuntwaneni bakhe ayikwazanga wazwakalisa. Uma lokhu isilinganiso kuyehla, kukhona awokuthi kokuba amafomu okukhulu pancreatitis, nokukhuphula ubufakazi inkambo ezingamahlalakhona lesi sifo noma khona kuwuphawu lwesimila.

Wokwelapha isifo somdlavuza pancreatic ezinganeni

Umzimba Ukwelashwa kungase kube olandelanayo nokusebenza, njengoba kuncike uhlobo lesi sifo. izimiso Jikelele yokwelashwa zimi kanje:

• kubalulekile ukugcina Ukudla eqinile, nhlobo okubabayo, okunamafutha noma ukudla okuthosiwe;
• ukususa ukuvuvukala indlala, kutuswa ukusebenzisa abandayo kuya warmers umzimba;
• ukuze unciphise umsebenzi secretory isitho usebenzisa ekhethekile proton futha inhibitor, ama-hormone noma ethize histamine yokwamukela blocker;
• ukulungisa ukusebenza indlala ngaphezu kwalokho kwethulwa yokufakelwa enzyme ukudla;
• lisuswe noma izilonda sokuvuvukala kwezicubu efile.

imithi

amanyikwe anda ingane idinga imithi, okubandakanya ukusetshenziswa kwezidakamizwa ezilandelayo:

• "Octreotide" aqukethe ikhemikhali hormone - somatostatin, lapho eyeka uketshezi ngokweqile juice pancreatic.
• "Pirenzepine" - kunciphisa ukukhululwa enzyme ndlala ekubuyiseleni emangqamuzaneni omzimba.
• "Zemikhosi" "Pancreatin", "elithi mezim" - akhiwa enzyme emzimbeni, wasisiza ekugayeni ukudla futhi uqede ubuhlungu.
• "Duspatalin" - kunciphisa ukuvuvukala emisipheni, kuyasiza ukuze sikhuthaze enzyme wendlala.

Ukwelashwa ngemithi elwa namagciwane futhi amanyikwe, corticosteroids namaphilisi ukusheshisa outflow ndlala enzyme.

ukudla

Ngaphezu imithi, ukwelashwa kubhekwa indlela ephumelelayo ukudla ebekwe udokotela kucatshangelwa nobudala lesiguli kanye ngobucayi isifo. Okokuqala, kutuswa ukuba usebenzise ukudla osugugile ubuye uphuze kakhulu. Khona-ke kubalulekile ukuba afake ekudleni imifino (amazambane, u-beetroot, carrot) imikhiqizo equkethe amaprotheni (omelet, nonfat ushizi, Ukudla inkukhu noma unogwaja), amafutha zemifino.

Futhi, ekwelapheni pancreatic ngokudla kuhilela ukudla irayisi, nokunye okufana nokolweni, oatmeal, kodwa isobho omuncu kanye borscht contraindicated ngokuphelele.

isiphetho

Ngakho, uma kutholakala ukwandisa pancreatic ingane, kubalulekile kokubili ukuqala ukwelashwa kwalesi sifo ngokushesha ngangokunokwenzeka. kulokhu kuphela it is okuqinisekisiwe umphumela omuhle ngaphandle ukuqala eziyingozi kakhulu.