Exacerbation ka pancreatitis okungamahlalakhona

pancreatitis Okungalapheki - a ukuvuvukala eside ekhona amanyikwe. Lesi sifo kungavuka ngokuzimela, ngenxa pancreatitis acute (pancreatitis okuyinhloko), noma avele lapho exacerbation ezinye izifo of ngokweqile, izitho zokugaya (pancreatitis zesibili). Lesi sifo inamagquma. Ngaphansi kwethonya izici etiological kwenzeka exacerbation of pancreatitis ezingamahlalakhona. Ngokwelashwa okufanele, exacerbation indawo ukuthethelelwa (ukuthethelelwa ukuvuvukala).

causation yesifo

Exacerbation ka pancreatitis ezingamahlalakhona ngokuvamile eba ukungondleki, intshiseko oyingozi noma ukudla okunamafutha kakhulu, ukusebenzisa kabi utshwala. Ukwengezwa zangaphandle causative izici, exacerbation of pancreatitis okungamahlalakhona, kungase kubangele isifo wokugaya ukudla ipheshana izitho (cholecystitis, isifo sokusha kwesibindi, isifo esidalwa yizilonda emathunjini sibe) kanye nezifo ezithathelwanayo noma ukudakwa nokunwetshiwe ezisansimbi ezinamandla ezindaweni eziyingozi.

Exacerbation ka pancreatitis ezingamahlalakhona wazibona ukuthuthukiswa webele izicubu edema, kwegazi emzimbeni futhi outflow enzyme pancreatic. Umphumela lena ukusebenza enzyme phakathi nomzimba, futhi izinqubo ekuthuthukiseni autoaggression pancreatic izicubu autolysis. ukuvuvukala isikhathi eside futhi "self-ukugaya" kuholele sclerosis zomzimba.

Yisishiso ungasakazekela umzimba wonke, noma ibamba ingxenye yakhe, ezihilela ikhanda noma umsila. pancreatitis Okungalapheki libhekwa ku izinhlobo eziningana: interstitial, calculous, parenchymal futhi sclerosing.

izifo umtholampilo

Endabeni ka okubi kakhulu, ubuhlungu oqinile esiswini kanye kwesokunxele margin costal, okungase inikezwe endaweni emuva zenhliziyo. Ukucanuzela kwenhliziyo, ukuhlanza njalo, izigqiki normal (uhudo). Long esilazayo inqubo ukwephulwa izinqubo wokugaya ukudla esiswini kuholela isisindo ukulahlekelwa. Dyspepsia zikhona ngaso sonke isikhathi, iziguli ukuya ukudla okunamafutha. pancreatitis Okungalapheki libhekene isifo sohudo. isitulo A ketshezi nge ucwebezela ngendlela ekhangayo isici okunamafutha ezivukayo ngenxa yokwephulwa ukugayeka kwamafutha.

ukuhlola

Sifo adalule ngesisekelo izikhalazo isici ukuhlola isiguli. I ukuhlolwa kwegazi wabonisa anda ESR, leukocytosis ngokulinganisela, Ukungadli wamaprotheni amafraktjhini, hypoproteinemia, kukhuphuke enzyme pancreatic, ushukela egazini.

On ultrasound luhlolo kungabonwa lakhulisiwe, amanyikwe edematous. Kuye uhlobo lesi sifo kungatholakala izinhlumba noma concrements. Ngo nobunzima zokuxilonga angafeza yocwaningo scan CT.

Inkinga lesi sifo kungaba: ithumba, simila ekwakhekeni, ukuthuthukiswa sikashukela, nabanye olugcwele imbobo.

ukwelashwa

Kubalulekile ukukhomba isici causative ezibangele exacerbation of pancreatitis ezingamahlalakhona. Ukwelashwa kuzomele sifake isethi yezenzo okuhloswe ngazo ukunciphisa ukuvuvukala, okusithiyayo of umsebenzi enzyme pancreatic, ukubuyiselwa outflow evamile juice pancreatic. Lapho uzwakalise ubuhlungu syndrome usebenzisa amaphilisi ezinhlungu, antispasmodic. Ngo ukwakheka ithumba noma exacerbation ezinzima antibiotic.

Ukudla ngesikhathi exacerbation of pancreatitis ezingamahlalakhona kuhilela ukudla mnene izingxenyana ezincane. Ukudla kuyinto efiselekayo ukuba steamed. Ukudla kufanele kube ocebile amaprotheni namafutha lilinganiselwe. Futhi ngo-acute umkhawulo carbohydrate.

Ngaphandle exacerbation ukwelashwa efiselekayo esibhedlela, ukuphuza amanzi amaminerali kanye nokubhekela yokudla efanele.