Gịnị bụ biliary pancreatitis? Mgbaàmà na Mgbochi

N'ihi na ọtụtụ ndị mmadụ, pancreas amalite-ada, ọ na-eme mbufụt na emee ya ruru ka a mebiri nke bile mmepụta. Emepe emepe biliary pancreatitis, nke na-akacha na-emetụta ndị okenye. Ọrịa a bụ ngwọta, kama n'okpuru adọ ọgwụgwọ na nke dọkịta, na-soro niile dị mkpa ụkpụrụ. N'ihi na irè ọgwụgwọ nke pancreatic ọrịa ngwa ngwa laghachi kwesịrị ndụ.

Atụmatụ nke ọrịa

Biliary pancreatitis n'akparamagwa cholelithiasis. Ọ na-amalite dị ka a n'ihi nke nēfe mmiri mmiri n'ime ducts nke pancreas, na-eme dermatitis. Usoro a na-egosi a malfunction nke gallbladder.

Na onye ahụ gbasiri ike na nsogbu na ducts nke ahụ bụ nnọọ ala karịa nsogbu larịị ke ducts nke pancreas. Ọmume-ya na-egosi na ihe na-egbochi na-egbochi ndị bile kwesịrị ekwesị na-ebu ya ugbu a. Nke a nwere ike ịbụ n'ihi na ndị mkpọchi nke na ducts, mgbe mgbe na nkume. All a na-eduga ná mmiri mmiri ẹsịn pancreas.

Na-akpata ọrịa

Nke a daa ọrịa nwere ike ime ihe dị iche iche mere. Tụlee ihe ndị kasị mkpa.

Ọ bụrụ na mmadụ na-ata ahụhụ site na gallstone ọrịa, ọ bụ mgbe mgbe ọrịa amalite stagnate ndị digestive ihe ọṅụṅụ nke oru duct nkume. All a na-eduga ná ịmanye n'ụzọ ndị a, inye onyinye ọ ẹsịn ọmụmụ na pancreas.

Cholecystitis gallbladder n'elu, e nwere ihe mgbu usoro, ọ naghị enye ihe ọṅụṅụ ndiwet kwesịrị.

Akwalite cholangitis na biliary pancreatitis, nke bụ uncharacteristic ducts mbufụt ịda ruru ka patency nke biliary tract na secretion nke ibute ọrịa.

The n'elu kwuru banyere ọrịa na Nchikota na biliary pancreatitis ime ka ndị na-esonụ mgbanwe ke pancreas:

• mbufụt na mbelata;
• proliferation nke connective anụ ahụ na mkpụrụ ndụ;
• imebi ya ọrụ.

Ma, ọ bụghị naanị ihe ndị a na-eme ka ntoputa nke ọrịa. Ọdịdọ ime ọtụtụ ugboro ugboro n'etiti ndị hụrụ ezigbo nri. Nri dị otú ahụ nwere ike na-eje ozi dị ka a provocateur apịajighị apịaji gallbladder na pancreatic edema eme. Ke adianade do, pancreatitis amalite n'ihi iribiga nri ókè, na-eri stale ma ọ bụ na emebiwo nri.

Olee otú bụ ọrịa?

Biliary pancreatitis nwere ike-adịghị ala ala na nnukwu ụdị. Nke ikpeazụ na-ebilite si ojiji nke nri dị otú ahụ, nke na-akpali niile digestive Filiks. Ọ nwere ike na e ghere eghe anụ achịcha, mmanya ọtọ bịrịbịrị, savory snacks, grilled anụ.

Nri a ka mgbe a na-atụle ike, dị ka ọ na-akwalite ije nke nkume, nke nwere ike imechi duct na gallbladder. Ọrịa na-adịghị ala ala ọrịa N'ezie, na-edebe ihe ruo n'ókè kwesịrị ekwesị na ihe oriri nwere ike igbochi omume nke biliary pancreatitis.

The omume nke biliary daa ọrịa na-adabere na omume nke na nkume ndị na bile duct. Ọ bụrụ na ha bụ obere na-aba na na-ọma n'ime duodenum, ọrịa na-arịa na-emeziwanye ngwa ngwa. Ọ bụrụ na ije nke nkume nke Ọwa Mmiri siri ike, ọ bụ ga-atụ egwu, n'ihi ndu nke onye ọrịa na nke a.

Mgbaàmà nke biliary pancreatitis

Mgbaàmà nke ọrịa a, karịsịa megide ọnọdụ na-achọghị nke bile, nnọọ iche iche, ya mere, nke a daa ọrịa bụ nnọọ isi ike nchọpụta.

N'ihi ya, ọ bụrụ na onye ọrịa ahụ biliary pancreatitis, mgbaàmà pụrụ ịgụnye ndị na-esonụ:

• Ntoputa nke igbu mgbu mgbu nile elu akụkụ nke afo, nke nwere ike e nyere na azụ ma ọ bụ na ebe nke hypochondria. Ọtụtụ mgbe e nwere ihe mgbu mgbe ewe ọdụdụ, e ghere eghe ma ọ bụ na-ese siga oriri. Ya amplification-ewe ebe n'abalị, ma ọ bụ awa abụọ mgbe a nri.
• Eguzogide ilu uto ke inua.
• Ọgbụgbọ, vomiting.
• Afọ ọsịsa, afọ ntachi ma ọ bụ bloating.
• Ka ubé ebili n'oge ahu okpomọkụ.

Nnukwu biliary pancreatitis e ji nkọ mgbu na hypochondria, ịda n'ihi mgbu nke ezigbo muscle na-akpalite nkume, na-adịghị ala ala - igbu mgbu mgbu na dịruru a ogologo oge.

Ọzọkwa, na-adịghị ala ala ụdị ọrịa nwere ike ime jaundice mgbaàmà, ebe ọ bụ na biliary tract mgbochi na digestive ihe ọṅụṅụ abatakwa ọbara usoro. N'ihi ya odo ọcha nke anya na akpụkpọ. Na nke a, ọgwụgwọ a ga-malitere ozugbo, n'ihi na ọ pụrụ imesị nnọọ mwute.

nchoputa nke ọrịa

Onye ọrịa ga-agabiga na-adakarị na Biochemical ọbara ule. Na-adịghị ala ala pancreatitis, biliary akara na-abawanye na-etoju nke bilirubin, alkaline phosphatase, cholesterol, na ruru nke isi na-edozi na Kama nke ahụ, belata. Na mmamịrị na ọbara 3-6 ugboro ụba etoju nke amylase.

Jide n'aka na-ebu ultrasound nke pancreas, na ultrasound nke hepatobiliary usoro, ikwe ka a mata ọnụnọ nke nkume na ducts, nakwa dị ka n'ozuzu ọnọdụ nke pancreas.

Iji mata nkume inye ndị dị otú ahụ ụzọ dị irè, dị ka intraductal ma ọ bụ endoscopic ultrasound.

The kasị ihe ọmụma usoro atụle CT biliary tract, karịsịa ma ọ bụrụ na ọ na-ndinọ a iche n'ụlọnga. MRPHG na ERCP na-eji nchoputa nke pancreatic na biliary ducts.

ọrịa ọgwụgwọ

Ọgwụgwọ nke biliary pancreatitis Ẹnịm n'okpuru nlekọta nke gastroenterologist, endoscopist na a na-awa. Na ọrịa na-enwe ọganihu ọzọ, nakwa dị ka ihe mgbochi nke exacerbations, egosipụta ọgwụgwọ nke kpatara ọrịa.

Ọ bụrụ na-adịghị ala ala daa ọrịa gafere na nnukwu biliary pancreatitis, ọgwụgwọ ga-rụrụ naanị na a ọgwụ. Mesoo nnukwu ụdị nke mgbagwoju, na ojiji nke ọgwụ na nri.

Biliary pancreatitis na nnukwu ogbo emee na a siri ike mgbu syndrome, nke a na-ewepụ site analgesics na spasmolytics. Mgbazi a na-rụrụ esịtidem na mpụga secretory ọrụ nke pancreas, detoxification, na ọgwụ nje na rụrụ mgbochi nke na-efe efe nsogbu.

N'oge exacerbation na atọ ndị mbụ ụbọchị nke na-ebu ọnụ, na ọ dị mkpa na-eji nke na-abụghị carbonated alkaline ịnweta mmiri. Ozugbo ike maliteghachiri, jide n'aka na-amachi na ihe oriri nke na abụba, carbohydrates kwesịkwara na-achịkwa.

Iji belata-ebibi ihe nke ọrụ pancreatic enzymes ndinọ somatostatin, protease inhibitors, proton mgbapụta inhibitors. Dọkịta gị nwekwara ike idepụta microspherical enzymes na enyere iji weghachi enzymatic dysfunction nke pancreas. Iji ọbara sugar laghachi nkịtị, kenyere hypoglycemic mmadụ.

Ka anya dị ka nnukwu agha a na-ewepụ, dọkịta nwere ike na-atụ aro ịwa ahụ iji wepụ nkume. Ọ rụrụ na ụzọ abụọ: bee elu abdominal mgbidi (laparotomy) ma ọ bụ abụọ obere mgbapu na abdominal mgbidi (laparoscopy).

kwere omume nsogbu

Ọ bụrụ na biliary pancreatitis ọma, onye ọrịa ga-ngwa ngwa laghachi kwesịrị ndụ. Ọ bụrụ na-eleghara anya ọrịa nwere ike ime nkume na biliary ducts. Ọ bụrụ na ọrịa ahụ ka ihe slide ma na-eme ihe ọ bụla, ọ ga-eduga a na-arịa ọrịa nke eriri afọ tract. Oge ọ bụla, ihe mgbu ga-nanị na-amụba, karịsịa mgbe na-ewere nri ratụ ratụ.

Ke adianade do, elu ọrịa nwere ike na-aga n'ime parenchymal pancreatitis. Nke a nwere ike na-eyi egwu onye ọrịa dị ka ndị a:

• ruo ogologo oge ọgwụgwọ n'ụlọ ọgwụ ọnọdụ;
• isi ịwa ahụ;
• oge nke ghara ịgbanwe ọgwụ;
• siri nri fọrọ nke nta niile ndụ ya.

Iji gbochie biliary pancreatitis dị mkpa iji na-edebe ihe a ike ndụ, rie nri kpam nye mmanya.

nri

Ọ bụrụ na e nwere biliary pancreatitis, a na-eri ga-abụ ò. N'oge ehihie, onye ọrịa a ga-nri 4-5 ugboro olu nke onye òkè kwesịrị karịa 250 ml. Ọ na-machibidoro, na-ese siga, e ghere eghe na ọdụdụ nri.

N'oge a na-eri nke na-edozi ga-amụba site 25%. N'ihi ya, onye ọrịa kwa ụbọchị na-eri 120 g protein ngwaahịa. Ma ego nke abụba, na Kama nke ahụ, a ga-belata 20%, na n'ụbọchị nke oriri ekwesịghị gafere '80 carbohydrate oriri kwesịkwara-ebelata, na ọ ga-350 grams kwa ụbọchị. The ego nke sugar na-atụ aro iji belata site 2 ugboro achọrọ ụkpụrụ.

ọgwụgwụ

Adịghị ala ala biliary pancreatitis (karịsịa nnukwu ụdị) - a nnọọ oké ọrịa. Ọ dị mkpa n'ụzọ ziri ezi na ịchọpụta nke a daa ọrịa na n'oge ọgwụgwọ, ebe ọ bụ na ọgụ ga-anọgide na-abụ ndị ọzọ Ugboro, na-eweta ọtụtụ ahụhụ. Ruo mgbe ebighị ebi na ịwa ahụ na-enyere tufuo biliary pancreatitis.