Kev kho mob ntawm cov leeg nqaij tus mob ល nyias muaj nyias

Mob pob txha caj qaum yog mob ua paug nrog rau daim tawv nqaij ua rau txiav.

Nws yog tus cwj pwm los ntawm o ntawm lub cev, qhov qhaj ntawv los yog ib foci ntawm necrosis, muaj ib qho me me ntawm exudate hauv peritoneum.

Raws li txoj cai, txoj kev pathological tshwm sim vim yog o ntawm duodenum 12 lossis mob plab zom mov. Nrog kev kuaj mob kom raws sij hawm thiab kev kho kom tsim nyog, cov kws kho mob muab txoj kev xav tau zoo.

Ua rau muaj tus kabmob

Pancreatitis yog to taub hais tias muaj kev nyuaj ntawm syndromes thiab pathological cov txheej txheem nyob rau hauv uas enzymes digestive (lipases, amylases, proteases) yog qhib rau hauv cov txiav ua qab nws tus kheej. Hauv lub cev ntawm tus neeg muaj kev noj qab haus huv, cov enzymes yog thaum xub thawj hauv qhov kev ua haujlwm tsis muaj zog thiab raug qhib thaum lawv nkag mus rau duodenum.

Qhov txiav yuav tuaj yeem o tuaj vim kev hnoos qeev uas ua rau nws qhov kev ywj pheej tawg. Nws yog nrog lub sijhawm ntev ua kom pom tseeb uas cov enzymes nkag mus rau hauv plab hnyuv cev thiab ua rau nws qhov kev puas tsuaj zuj zus.

Daim ntawv noj ua paug ntawm pancreatitis muaj kev txhim kho vim yog kev noj zaub mov tsis sib xyaw thiab haus dej haus cawv ntau dhau. Raws li cov khoom noj ceev tau dhau los ua neeg nyiam hauv ntau xyoo lawm, qhov tshwm sim ntawm kev mob plab hnyuv plab tau nce ntau.

Kuj, edematous pancreatitis tshwm sim nyob hauv tus ntawm yam:

• qhov tseem ceeb ntawm cov rog thiab kib hauv cov zaub mov tsis haum;
• rog noj tom qab cov roj ntshiv ntev;
• kev siv qee yam tshuaj rau lub sijhawm ntev;
• txoj kev hloov ntse rau kev noj zaub mov zoo tom qab ua raws li kev noj zaub mov nruj;
• kev sim hauv kev tos txais ntawm cov zaub mov txawv, piv txwv li, Indian;
• ntau dhau kev noj mov tom qab lub caij nyoog yoo mov;
• kev lom nrog tshuaj lom neeg lom - vinegar essence, methyl cawv lossis alkali.

Cov txheej txheem ntawm "kev zom zaub mov" rau lub sijhawm ntau dhau los ua rau muaj kev hloov pauv hauv cov txiav ua leeg. Qhov no cuam tshuam rau sab nraud thiab sab hauv lub cev. Qhov tshwm sim ntawm kev saib xyuas tsis zoo rau koj txoj kev noj qab haus huv tuaj yeem hloov mus rau kev mob caj dab ntev, nrog rau kev tsim kho cov kab mob ntawm txoj hnyuv txuas ntxiv.

Cov tsos mob thiab kuaj mob ntawm pathology

Thaum tus neeg mob taub hau o tuaj, tus neeg mob yuav hnov ​​cov tsos mob.

Yog li, cov cim qhia ntawm tus kab mob yog lub cim rau kev mus ntsib kws kho mob, uas, yog tias xav tias tsam mob edematous pancreatitis, yuav tshaj tawm kev kuaj mob.

Cov tsos mob tseem ceeb ntawm kev ua paug ntawm tus po ua paug tsis tuaj yeem yog ua txhaum ntawm cov quav. Nws tseem hu ua pancreatic raws plab. Tib neeg cov quav muaj qhov tsw tsis hnov ​​tsw, admixture ntawm cov rog thiab qee yam ntawm cov zaub mov tsis muaj kev tiv thaiv. Zawv plab tshwm sim tom qab noj mov, qee zaum nws yog xwm txheej.

Cov tsos mob ntxiv ntawm cov txheej txheem inflammatory yuav yog:

1. Mob me me los sis mob hnyav rau sab laug hypochondrium, qee zaum ncig.
2. Tsis muaj zog, tsis muaj peev xwm ua haujlwm, mob taub hau.
3. Lwm cov tsos mob ntawm dyspepsia yog ntuav, xeev siab, pom.

Kev hloov pauv ntawm lub txiav tuaj thaum lub sij hawm ua rau kev noj cov enzymes thiab lwj cov khoom uas lom lub cev. Qhov no yog pov thawj los ntawm lub pallor ntawm daim tawv nqaij, nce tawm hws, kub taub hau thiab o ntawm txhais ceg nrog pancreatitis.

Ntawm qhov chaw tos txais, tus kws tshaj lij mloog cov lus tsis txaus siab ntawm tus neeg mob thiab ua qhov kev soj ntsuam kom pom, pom lub plab hauv plab thiab ua tib zoo saib xyuas qhov mob ntawm daim tawv nqaij thiab nqaj qis. Yog tias koj xav tias yog mob ua mob txha cajqaum, thiab nws hais tias:

1. Jab. Kev voos ntawm cov khoom nruab nrog yog qhia los ntawm qhov nce qib ntawm ESR thiab cov qe ntshav dawb.
2. UA TSAUG. Kev nce zuj zus ntawm cov concentration ntawm trypsin, amylase thiab lipase qhia tias muaj kab mob.
3. Kev tsom xam cov zis. Nrog cov kab mob pathology no, qhov nce ntawm amylase cov ntsiab lus tau pom.
4. Coprogram. Tus kabmob yog qhia los ntawm kev nce qib ntawm cov rog nruab nrab thiab cov rog rog hauv cov quav.
5. Tsom tshuaj ntsuam. Txiav txim siab elastase concentration.
6. Ultrasound Nrog rau cov kab mob pancreatitis, nws yog ib qho tseem ceeb los txiav txim siab qhov loj ntawm lub txiav, cov qauv ntawm nws cov parenchyma, nrog rau muaj cov chaw echogenic.
7. Tshuaj ntsuam ntawm duodenum 12. Txiav txim siab txog qib ntawm cov enzymes ua ntej thiab tom qab kev txhawb nqa.
8. CT thiab MRI ntawm lub txiav. Cov tswv yim no pab ua tib zoo saib xyuas cov ducts thiab cov khoom nruab nrog nws tus kheej.

FGDS tseem siv tau. Kev txheeb xyuas qhov mob ntawm qhov nqaij ntuag ntawm duodenum thiab lub plab, suav nrog thaj tsam ntawm Vater papilla.

Cov hauv paus ntsiab lus ntawm kev siv tshuaj

Kev kho kab mob pancreatitis ntawm edematous yog nqa tawm txhag cia. Yog tias tus neeg mob tuaj rau hauv tsev kho mob tom qab raug mob hnyav, nws lub plab tau ntxuav. Cov theem tom ntej ntawm kev kho yog kho sai thiab siv tshuaj kho. Nws raug tso cai kom haus dej sov so alkaline. Hauv qhov no, lwm txoj kev kho tsis tuaj yeem tsim cov tshuaj kom zoo.

Qhov nruab nrab, cov chav kawm ntawm kev kho mob los ntawm 2 mus rau 3 lub lis piam, thiab kev mob siab tshwm sim twb tau nyob rau 3-4 hnub. Nyob rau lub sijhawm no, tus neeg tshem tawm qhov mob thiab tawm tsam tsis ntuav. Cov pawg tseem ceeb ntawm cov tshuaj siv hauv kev kho mob ntawm pancreatitis tau nthuav tawm hauv lub rooj.

Nyob rau hauv tsis muaj ib qho yuav tsum ib tug koom nrog tus kheej tshuaj. Kev siv cov tshuaj yog kwv hauv tsev kho mob los ntawm kev tswj hwm nruj ntawm cov kws kho mob tau koom. Txoj kev no koj tuaj yeem zam:

• hem sab hauv;
• fistula tsim nyob rau hauv hloov khoom nruab nrog;
• qhov tshwm sim ntawm jaundice;
• kev txhim kho ntawm cov qog thiab txhaws ntswg;
• o ncig lub caj pas.

Edematous pancreatitis yog thawj theem ntawm kev hloov khoom nruab nrog.

Kev tu ncua lub sij hawm ntawm pathology tiv thaiv kev loj hlob ntawm pancreatic necrosis, hauv kev phais yog ua rau qee yam lossis tshem tawm lub qog.

Kev noj haus rau mob ncauj plab ua paug kab mob pancreatitis

Kev kho mob ntawm tus kab mob kuj suav nrog txoj cai tswj hwm kev noj haus.

Tom qab ob peb hnub ua kev yoo mov, koj tuaj yeem pib noj cov zaub mov uas raug tso cai nrog kev noj haus No. 5.

Lub ntsiab ntawm cov khoom noj tshwj xeeb tsuas yog muaj kev txwv ntawm cov protein thiab cov rog thiab cov khoom noj ua kom ntau.

Kev noj tshuaj kho mob muaj cov tais diav teeb uas tsis tab kaum cov txheej txheem kev zom zaub mov thiab tsis ua rau tsim cov roj tsim ntxiv.

Cov kev cai tseem ceeb ntawm kev noj qab haus huv rau kev mob ntsws qhuav sai sai yog:

1. Ua raws li cov khoom noj muaj fractional, muaj 5-6 tus lej pub rau ib hnub.
2. Muab cub, ci, cub lossis ua kom siav.
3. Kev txo qis hauv cov khoom noj ntawm cov zaub mov nyoos: ua ntej siv, lawv yuav tsum tau zom los yog hau.
4. Ua raws li cov txheej txheem kub tshwj xeeb ntawm cov khoom noj: nws yuav tsum tsis txhob txias dhau lossis kub.

Cov npe ntawm cov khoom uas tso cai thiab txwv tsis pub tua kab mob rau daim tawv nqaij ua paug tuaj yeem nthuav qhia hauv qab no.

Raws li txoj cai, edematous pancreatitis yog qhov muaj kev cuam tshuam ntawm kev noj zaub mov tsis zoo thiab haus cawv ntau dhau. Nrog lub caij nyoog yoo mov nruab hnub, ntau tus neeg noj mov thaum yuav mus pw, uas cuam tshuam rau lub plab zom mov. Yog hais tias mob dyspeptic tshwm sim thawj zaug, tom qab ntawd mob rau ntawm lub plab thiab duodenum, mob ntawm tus txiav, thiab lwm yam ntxiv. Yog li ntawd, txhua tus neeg yuav tsum ua raws li kev noj haus uas yuav tiv thaiv tus mob thiab o ntawm ob txhais ceg.

Mob caj pas yog tau piav qhia hauv daim video hauv kab lus no.