Vim kev noj zaub mov tsis zoo, kev tswj tsis tau tshuaj, kev haus cawv hauv cov neeg ua haujlwm kom yuag, cov txheej txheem mob tshwm sim. Hauv qhov no, tus kws kho mob feem ntau kuaj tus kab mob pancreatitis.
Txhawm rau tiv thaiv cov mob hnyav, nws yog ib qho tseem ceeb kom paub thiab kho tus kab mob txaus ntshai kom ncav sijhawm. Rau qhov no, txhua yam kev sim thiab kev ntsuas ntawm kev tshuaj xyuas qhov ua tiav tau siv.
Thaum lub sijhawm kuaj mob thawj zaug, tus kws kho mob pom tias tus neeg mob yws yws txog dab tsi thiab cov tsos mob ntawm tus kab mob pathology puas pom. Palpation tso cai rau koj los txheeb xyuas cov kev hnov mob, tab sis txij li cov khoom nruab nrog sab hauv yog sib sib zog nqus, rau kev soj ntsuam tag nrho nws yog qhov yuav tsum tau siv cov qauv kev tshwj xeeb niaj hnub no.
Kev kuaj mob ntawm lub txiav
Tom qab dhau qhov kev kuaj mob, tus neeg mob xa mus kuaj mob thiab kuaj ntshav, kuaj zis ntawm lub cev, thiab tso quav cov quav. Nws kuj yog qhov tseem ceeb rau kev soj ntsuam rau kev soj ntsuam kev ua haujlwm txhawm rau txhawm rau txheeb xyuas lub cev tsis txaus ntawm cov enzymes digestive.
Yog tias muaj cov txheej txheem o, hemogram kuaj pom muaj cov leukocytosis, ua kom sai rau erythrocyte sedimentation tus nqi. Thaum cov kab mob purulent sib txuam, cov leukocyte mis ceeb toom hloov chaw. Kev poob qis hauv cov qe ntshav liab, hemoglobin thiab platelets raug pom muaj thaum mob qog noj ntshav.
Dhau cov roj ntsha biochemical kuaj tau tso cai koj los soj ntsuam amylase tsis tau. Yog tias muaj kab mob pathology ntawm tus txiav, theem ntawm cov enzymes nce ntau dua 10 zaug.
- Tsis tas li, ntau ntxiv ntawm elastase thiab lipase hauv cov ntshav qhia tias tau ua txhaum.
- Hauv cov txheej txheem ua mob, qhov sib piv ntawm cov protein tsawg yog ua txhaum, C-reactive protein tshwm.
- Yog hais tias tus kab mob rov pib dua vim kev ua txhaum ntawm biliary thiab hepatolienal systems, bilirubin, transaminases, alkaline phosphatase, Gamma-GTP nce.
- Thaum muaj mob qog nqaij hlav lossis mob qog, tsis tuaj yeem hloov cov ntshav, tab sis tag nrho cov tsos mob saum toj no tuaj yeem pom.
Kev tshawb fawb ntawm daim siab thiab tus txiav ua tiav tsis tiav yog tsis muaj qhov kuaj zis rau ntawm diastasis. Cov txheej txheem no yog qhov yooj yim thaum ib tus neeg muaj qhov ua tsis zoo ntawm kev mob caj dab thiab mob ntev. Cov paib tshwj xeeb ntawm tus kabmob yog kuaj pom cov ntsiab lus ntawm alpha-amylase hauv kev tso zis.
Txhawm rau kev kuaj mob tsis muaj cov enzymes zom, quav tsom tawm yog ua. Yog tias tsis pom qhov lipids, cov rog, cov leeg nqaij tau raug kuaj pom, qhov no yuav qhia tau tias muaj cov txheej txheem ua mob thiab txawm tias mob cancer rau pancreatic. Xws li kev kawm txog quav yuav tso cai rau koj txheeb xyuas qhov nce qib ntawm pancreatic elastase thiab lipase, uas tseem qhia tau tias yog mob.
Ib cov txheej txheem qhia ntau dua yog kev sim ua haujlwm ntawm kev kuaj mob, qhov no tso cai rau koj txheeb xyuas qhov tsis txaus enzyme. Tab sis niaj hnub no lawv feem ntau siv txoj kev kuaj mob uas muaj txiaj ntsig zoo dua.
- Thaum lub sijhawm xeem Lund, tus neeg mob tau noj tshais, tom qab uas duodenum raug txheeb xyuas, cov ntsiab lus xav thiab raug tshawb rau biochemical.
- Siv hluav taws xob xoo hluav taws xob, kuaj pom muaj cov steatorrhea.
- Yog tias muaj kev ua xyem xyav txog qhov txo qis hauv kev tsim cov tshuaj hormone insulin thiab ntshav qab zib, kev kuaj ntshav qabzib tau ua.
Tom qab dhau qhov kev kuaj mob, tus kws kho mob txiav txim siab txog cov txiaj ntsig ntawm kev xeem, piv cov tsos mob uas twb muaj lawm thiab ua kev kuaj mob kom raug.
Seev kawm txog pancreatic muaj nuj nqi
Yog tias tsis muaj cov khoom siv kuaj mob, nws nyuaj rau kev paub tseeb tias kev kuaj mob. Txog qhov kawg no, cov tshuaj niaj hnub niaj hnub no siv hluav taws xob X-ray, ultrasound thiab fiber ntau ntawm kev tshawb fawb.
Ultrasound qhov kev ntsuas yog suav tias yog qhov feem ntau nkag mus thiab siv tau cov kev kuaj mob, uas muaj peev xwm tshawb pom ib qho kev ua txhaum thaum pib ntawm tus kab mob. Tus kws kho mob muaj lub sijhawm los tshuaj xyuas cov kab txiav txiav hauv ntau qhov kev ntsuas.
Siv ultrasound, koj tuaj yeem taug qab qhov hloov pauv ntawm qhov kev hloov pauv thiab saib xyuas qhov kev cuam tshuam ntawm cov kabmob sab hauv uas muaj mob. Tau muab tus neeg mob xa mus rau txoj kev kawm nrog:
- Mob plab pheej los yog sij hawm;
- Ib qho kev hloov pauv ntawm cov duab ntawm duodenum kuaj tau los ntawm kev xoos;
- Cov mos mos palpation ntawm lub plab, nrog rau kev tshawb pom ntawm ib qho neoplasms;
- Mob ntsws ntev ua kom tsis txhob rov mob;
- Xav tias hematoma, hlwv, lossis mob khees xaws;
- Ib qho kev hloov pauv ntawm cov duab ntawm daim tawv plab pom thaum lub sij hawm gastroscopy.
Ua ntej yuav tsum tau kuaj mob ultrasound, yuav tsum muaj kev qhia tshwj xeeb. Ob hnub ua ntej ntawm txoj kev, koj yuav tsum tso tseg txhua yam khoom uas tsim kev cuam tshuam ntawm cov roj cua. Rau ib hnub, nws raug nquahu kom noj cov pa hluav taws ib zaug peb zaug hauv ib hnub ntawm kev ntsuas ntawm ib ntsiav tshuaj hauv 10 kg ntawm tus neeg mob qhov hnyav, ntxuav cov tshuaj nrog dej rhaub. Koj kuj tseem tuaj yeem siv laxative suppositories lossis ntsiav tshuaj.
- Kev siv duab xoo hluav taws xob hauv plab yog siv los soj ntsuam cov tsos mob hauv plab. Cov paib tseem ceeb ntawm cov kab mob pathology suav nrog cov pob zeb thiab cov ntsaws ruaj ruaj hauv lub zais zis lossis kua tsib lub plab.
- Tus neeg ntawm cov pob txha mos ua muaj mob nyoos ob vim muaj stagnation hauv cheeb tsam bile duct, endoscopic retrograde cholangiopancreatography yog ua. Tib txoj kev yog siv nyob rau hauv muaj cov pob zeb nyob rau hauv lub gallbladder, cicatricial nqaim nyob rau hauv excretory ducts.
- Hauv kev txiav txim siab nyuaj, yog thaum muaj mob hnoos qhuav, pseudocyst, calcification, mob ntsws thiab necrosis, lawv siv tomography suav. Hom no muaj peculiarity ntawm nrhiav volumetric neoplasms - mob qog nqaij hlav, mob cancer, mob cancer metastasis, uas tau dhau los ntawm cov khoom nruab nrog nyob ze. Hauv daim duab, cov hlau yog qhov txawv txav los ntawm kev tsis sib luag, nthuav dav.
MRI tso cai rau kev ua kom pom tseeb ntawm cov ntaub so ntswg ntawm cov hloov khoom nruab nrog.
Ib txoj kev tshawb nrhiav zoo sib xws yog tsim rau cov qog ntshav me, kab mob siab pathology, kab mob pancreatitis, ua ntej kev phais mob thiab txhawm rau tswj hwm kev kho mob.
Kev kuaj mob hauv tsev
Txheeb xyuas cov pathology ntawm koj tus kheej yog qhov yooj yim heev. Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them sai sai rau lub xeev ntawm lub cev thiab txheeb xyuas cov xeeb ceem ntawm cov kab mob pancreatitis. Yog tias muaj kab mob, tus neeg mob hnov mob thiab hnyav hauv sab laug hypochondrium, tshwj xeeb tshaj yog tom qab noj mov lossis ua ib qho chaw noj mov zoo.
Tsis tas li, tus neeg mob feem ntau ua rau mob plab, cem quav, ib tus neeg muaj kev tshaib plab. Nrog tus mob ntshav qab zib hom 1, nqhis dej heev tshwm sim, txawm tias yuav haus dej ntau npaum li cas. Tom qab noj mov, ntuav feem ntau tshwm sim.Qhov mob ua rau nws tsaug zog ntawm lub plab, qhov mob yuav nrawm thaum txav thiab tom qab yoo mov ntev.
Yog tias muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum tau txais kev kho mob tam sim ntawd los ntawm kws kho mob thiab yauv mus ua txhua qhov kev tshawb fawb uas tsim nyog. Qhov no yuav tiv thaiv qhov kev loj hlob ntawm ib qho mob hnyav raws sijhawm.
Yuav kuaj thiab kho kab mob pancreatitis li cas tau piav nyob hauv cov yeeb yaj kiab hauv tsab xov xwm no.
