Qhov txiav ua pa yog ib qho koom nrog kev sib xyaw ua ke uas ua haujlwm ntawm cov hnyuv thiab endocrine ua haujlwm. Nws nyob hauv qhov chaw retroperitoneal. Cov hlau muaj peb ntu: lub taub hau, lub cev thiab tw.
Lub cev tseem ceeb ntawm cov txiav ua tus lav cov khoom tsim cov enzymes uas tsim nyog rau kev zom zaub mov kom tsim nyog. Cov no suav nrog trypsin thiab amylase, uas zom cov protein, lipase, uas koom nrog kev zom cov rog, thiab lactase, uas yog lub luag haujlwm rau kev nqus ntawm lactose, i.e. mis nyuj qab zib.
Kev tsim tawm ntawm cov enzymes yog cov thiaj li hu ua exocrine kev hloov khoom nruab nrog. Nruab nrab ntawm tus neeg lobules ntawm lub caj pas yog nws qhov endocrine - islets ntawm Langerhans. Lawv tau zais ntau hom tshuaj hormones - insulin, glucagon, somatostatin thiab pancreatic polypeptide.
Qhov tseem ceeb tshaj plaws ntawm cov no yog cov tshuaj insulin thiab glucagon, vim tias lawv kiag tswj cov metabolism hauv kev noj haus. Kev ua txhaum ntawm kev tsim cov tshuaj insulin ua rau muaj kev mob hnyav xws li mob ntshav qab zib.
Ua rau mob Pancreatitis
Kev ua mob ntawm tus txiav yog hu ua pancreatitis.
Raws li cov laj thawj uas tau coj mus rau cov txheej txheem ua mob, nws muab faib ua hom thawj thiab theem nrab.
Thawj qhov tshwm sim los ntawm qhov cuam tshuam ncaj qha ntawm kev ua kom puas rau ntawm lub qog, thiab qhov thib ib yog los ntawm cov kab mob ntawm cov kabmob nyob ze.
Cov laj thawj tseem ceeb ua rau ntawm pancreatitis:
- kev haus cawv tsis quav cawv;
- cov nplua nuj ntawm cov rog, kib thiab cov khoom noj uas tsis haum rau cov khoom noj;
- haus luam yeeb
- kev xav ntau dhau, kev ntxhov siab;
- kev phais mob rau ib qho plab hnyuv siab hauv lub plab vim muaj peev xwm kis tau tus mob ntxiv;
- lom zaub mov;
- helminthic cov kev sib kis;
- kev tshuaj ntsuam genetic predisposition;
- muaj cov tshuaj lom rau hauv qee cov tshuaj - diuretics (furosemide), tshuaj tua kab mob, estrogens;
- kev mob plab yug me nyuam hauv cov qauv hauv nruab nrog cev;
- kab mob siab kis, tshwj xeeb B thiab C;
- mob qog (lub npe nrov rau tus kabmob yog mob qog);
- kev cuam tshuam ntawm lub sphincter ntawm Oddi cov leeg, uas tswj cov dej ntws ntawm cov khoom pancreatic rau hauv duodenum.
Cov ua rau ntawm pancreatitis ntxiv yog:
- Cov kab mob ntawm daim siab thiab kab mob biliary - cholelithiasis, cholecystitis, mob ntsws;
- Kev ua xua thiab autoimmune hauv lub cev;
- Cov kab mob muaj txoj sia ntawm cov lus ua haujlwm zais cia ntawm txhua cov qog - cystic fibrosis;
- Crohn's mob;
- Pais plab thiab / los yog duodenal rwj.
Pancreatitis tuaj yeem mob siab thiab mob hnyav raws li cov chaw kuaj mob thiab mob hnyav ntawm cov tsos mob. Mob caj dab, thiab rov qab faib ua 3 pawg
Edematous, lossis interstitial - tshwm sim yog tias tsuas yog cov neeg hlwb tuag, tab sis foci ntawm necrosis tsis ua.
Sterile pancreatic necrosis (tsis muaj tus kab mob), tej zaum yuav tsawg, kis, rog, hemorrhagic thiab sib xyaw.
Kab mob pancreatic necrosis - nws kuaj tau txog li ib lim tiam tom qab pib mob, thaum kab mob tshwm sim pib ua haujlwm.
Cov tsos mob thiab kev kho mob ntawm tus kab mob pancreatic
Tus mob ncua ntev ntawm tus mob ntxiv ua tus kab mob pancreatitis yog qhov muaj txiaj ntsig zoo dua thiab muaj tsawg tus mob tshwm sim tsawg dua li mob huam.
Hauv feem pua me me ntawm tus neeg mob, nws yuav yog asymptomatic, tab sis feem ntau nws yog nrog cov yam ntxwv tshwm sim.
Tus mob pancreatitis yog mob hauv qab no:
- ib tug neeg tau qias neeg ntawm qhov pom ntawm cov khoom noj rog;
- thaum kev tawm dag zog lub cev, qhov tsis zoo siab tshwm sim nyob rau hauv qab sab laug;
- mob plab zom mov tsis tu ncua vim qhov ua tsis muaj pancreatic enzymes;
- cov neeg mob poob lawv qab los noj mov;
- cov neeg mob poob ceeb thawj sai thiab tsis tuaj yeem nce phaus;
- muaj kev txuam nrog ntau dhau ntawm cov roj cua hauv cov hnyuv;
- nquag tawg, kub siab.
Nrog kev ua kom zoo ntxiv ntawm cov txheej txheem inflammatory, koj yuav tsum them sai sai rau cov tsos ntawm cov tsos mob hauv qab no:
- Ntse mob, feem ntau tshwm sim hauv cov uas tshwm sim hauv cheeb tsam epigastric, tab sis tom qab ntawd coj tus cwj pwm tsawv. Qhov mob tawm tau rau hauv sab tes laug. Qhov mob tuaj yeem yog qhov chua leeg. Lawv tau qhia tshwj xeeb tshaj yog tom qab noj cov zaub mov muaj roj thiab kib, cawv.
- Kev xeev siab heev.
- Ntuav ntawm cov ciav dej, yuav luag tsis muaj kev pab.
- Lub plab yuav "planky" vim yog cov leeg mob hauv plab phab ntsa.
- Muaj hws ntau.
- Tus neeg mob yog daj ntseg, hnov zoo tsis muaj zog.
- Hyperthermia.
- Yog tias ib tus neeg tuaj yeem mus siv chav dej, tom qab ntawd koj tuaj yeem pom ib qho ua kua tsis muaj pa sib xyaw nrog cov muaj roj.
- Lub plawv dhia ntxiv (tachycardia).
Kev mob caj dab tuaj yeem tuaj yeem ua rau tsis zoo, feem ntau yog los ntawm kev ua txhaum ntawm kev noj haus.
Yuav ua li cas pab tib neeg thaum muaj kev tawm tsam? Lub tsheb thauj neeg mob yuav tsum raug hu kom cov kws kho mob coj tus neeg mob mus rau hauv tsev kho mob, vim tias cov neeg mob ntawd tsis tuaj yeem kho hauv tsev.
Cov kev muab kho mob tsis raug cai siv tau tuag taus.
Cov hau kev rau kev kuaj mob ntawm tus mob pancreatitis
Hauv kev txheeb xyuas ntawm kev txiav tawm ntawm lub cev, kev sim thiab kev sim ntawm txoj kev tshawb fawb tau siv.
Kuaj ntshav rau biochemistry. Koj tuaj yeem soj ntsuam qhov nce ntawm cov kabmob ntawm pancreatic enzymes - trypsin, amylase, maltase. Qib ntawm bilirubin thiab daim siab kuaj - AST (aspartate aminotransferase) thiab ALT (alanine aminotransferase) tseem tuaj yeem nce ntxiv. Nrog rau tag nrho kev ua tsis tiav, yuav muaj hyperglycemia vim tias txo qis ntawm cov kua dej ntau lawm.
Urinalysis, nyob rau hauv uas amylase yuav raug txiav txim (feem ntau nws tsis tuaj kawm).
Ob txoj hauv kev no muaj feem xyuam nrog kev ntsuas kev ntsuas.
Cov kev tshawb fawb seev suav:
- kuaj mob ultrasound;
- fibrogastroduodenoscopy;
- xoo hauv siab;
- kev kawm txog cov hlab ntsha ntawm lub txiav;
- lub plab laparoscopy;
Ntxiv rau, cov hau kev suav nrog kev suav thiab sib nqus resonance imaging.
Kev pabcuam thawj zaug thiab kev kho tshuaj ntawm pancreatitis
Raws li tau hais los saud, tus neeg mob ua mob pancreatitis yuav tsum tau coj mus tom tsev kho mob sai li sai tau. Hauv kev mob hnyav, koj yuav tsum xub pleev tshuaj pleev tus neeg mob. Nonsteroidal anti-inflammatory tshuaj, piv txwv li, ob ntsiav tshuaj Ibuprofen, tau zoo rau qhov no. Tab sis lawv siv tau tsuas yog rau kev daws qhov mob me me lossis mob nyhav.
Feem ntau, qhov kev mob siab yog qhov tsis tuaj yeem yog qhov mob sib chwv sib tov (Morphine, Promedol) yuav tsum tau siv los daws lawv. Txhawm rau txo qis spasm ntawm cov leeg mob hauv plab, tshuaj antispasmodics yog siv (Drotaverin, No-Shpa, Spazmolgon, Papaverin rau kev txhaj tshuaj intramuscular).
Cov hauv qab no yog cov tshuaj uas tiv thaiv kev lag luam ntawm pancreatic enzymes thiab yog li, txo nws cov kev puas tsuaj. Contrical belongs rau lawv (lwm cov npe - Gordoks, Trasilol). Tsis tas li, tus neeg mob yuav tsum siv tshuaj uas txo qis lub cev tsis ua kua plab (Omeprazole, Ranitidine, Famotidine).
Tom qab tus neeg mob tuaj yeem nqa zaub mov, enzyme npaj (Pancreatin, Mezim-Forte, Creon, Pangrol) yog cov tshuaj kho lub plab kom lub plab zom mov.
Lub ntsiab lus tseem ceeb ntawm kev kho mob ntawm txiav txiav yog kev kho noj haus. Hmoov tsis zoo, tom qab rov qab, ntau tus neeg tsis muaj lub siab ntev thiab lub zog yuav noj kom raug thiab nyab xeeb.
Tus kws kho mob lub luag haujlwm hauv qhov xwm txheej no yog qhia rau tus neeg mob tias nws tseem ceeb npaum li cas kom ua raws li kev noj zaub mov noj, vim tias kev ua txhaum ntawm kev noj zaub mov noj, kev ua tsis zoo ntawm cov txheej txheem mob tuaj yeem yooj yim tshwm sim, thiab yog tias tus neeg tsis tau pab lub sijhawm, nws yuav tuag. Nws yog ib qho tseem ceeb uas yuav tsum ua daim ntawv qhia noj zaub mov zoo rau cov neeg mob uas, tom qab kev mob pancreatitis, tsim muaj ntshav qab zib.
Nov yog piv txwv cov npe khoom lag luam uas tau txwv:
- Quav dej cawv.
- Txim txim thiab cov dej qab zib.
- Haus luam yeeb, salted, rog thiab kib zaub mov.
- Cov khoom noj kaus poom.
- Nqaij tawv.
- Coob tus ntawm cov txuj lom thiab seasonings.
- Qab zib
- Qaub kua txiv.
- Khoom noj khoom haus kub dhau lossis txias heev.
Txhua lub lauj kaub tais diav yuav tsum tau ci, ci lossis ci. Buckwheat, ci qos yaj ywm, npaj kua zaub, mov ci ua tau zoo.
Yuav kho tus mob pancreatic pancreatitis tom tsev li cas?
Kev kho ntawm kab mob pancreatitis tom tsev tuaj yeem nqa tawm los ntawm kev siv tshuaj ntsuab. Ob peb cov zaub mov txawv tau paub txog uas koj yuav xav tau oats, qos yaj ywm thiab qee yam tshuaj ntsuab.
Oats yog qhov tseem ceeb heev nyob rau hauv exacerbating pancreatitis. Nws maj mam muab qhov mob thiab txo qhov uas yuav muaj cov mob rov huam tuaj. Txhawm rau npaj pob zeb oat, nws yog ib qhov tsim nyog los hliv ib khob ntawm oatmeal nrog li ib liv dej, muab tso rau hluav taws thiab ua noj rau 15 feeb. Thaum txhua yam npaj txhij, cov kua zaub yuav tsum tau nqus dej thiab nqus dej rau 12 teev. Cov kua no yuav tsum noj ob zaug ib hnub rau ib hlis txhawm rau txhim kho qhov mob.
Qos yog yam tsis tseem ceeb rau tus mob pancreatitis, vim tias, feem ntau yuav luag, yuav luag txhua tus neeg muaj nws nyob hauv tsev. Txhawm rau siv nws los ua tshuaj, koj yuav tsum tev cov khoom ntawm cov qos yaj ywm, ntxig lawv kom zoo rau ntawm grater. Lub slurry tshwm sim yog muab tso rau hauv cheesecloth thiab nyem kom zoo zoo kom tau txais cov kua txiv. Cov qos yaj ywm kua txiv tau noj 100 grams ib zaug ib hnub ob teev ua ntej noj mov. Txhawm rau txhim kho cov nyhuv, tom qab kwv yees li ib nrab ib teev koj tuaj yeem haus dej muaj roj tsawg kefir.
Ntawm cov tshuaj ntsuab, cov blueberries, sage, wormwood, yarrow, valerian hauv paus, St. John lub wort, immortelle, sawv duav, peppermint thiab stigmas ntawm cov pob kws muaj cov txiaj ntsig kho kom zoo.
Cia wb mus saib ze ntawm qee cov zaub mov txawv.
Ib me nyuam diav ntawm blueberry nplooj yuav tsum tau nchuav nrog ib khob me me ntawm dej rhaub thiab tawm li 45 feeb. Tom qab no, koj yuav tsum tau nyem tawm ntawm cov nplooj tsuav kom zoo. Cov kua txiv cawv yuav haus 100 grams ib hnub ib zaug hauv me me rau ib hlis.
Qhov muaj mob ntshav qab zib hom 1, nws raug nquahu kom siv sage decoction. Txhawm rau ua qhov no, noj ib me nyuam diav ntawm sage thiab ncuav ib khob dej, npau npau dhau li cua sov rau ib nrab ib teev. Cov cawv no muaj qhov zoo ntawm kev tsim tawm hauv insulin. Kev ua kom zoo nkauj ntawm iris thiab wormwood kuj tseem pab zoo yog tias koj haus lawv li 10 feeb ua ntej noj mov.
Immortelle Txoj kev lis ntshav yog yooj yim heev los npaj. Koj yuav xav tau li tsib gram ntawm nws cov paj qhuav, uas koj xav tau sau nrog ob khob dej txias thiab tawm ib hmos. Thaum sawv ntxov, cov kua yog lim thiab tau noj ib khob ib hnub rau ib lub crescent.
Kuj sib xyaw ua ke hauv cov sib npaug sib npaug yog cov txiv hmab txiv ntoo ntawm anise, nyom ntawm cov toj roob hauv pes noog thiab celandine, keeb kwm ntawm dandelion, pob kws stigmas thiab violet tricolor. Peb dia ntawm tag nrho cov tshuaj ntsuab no yuav tsum tau nchuav nrog ib nrab ib liv dej rhaub, muab tso rau hluav taws thiab ua noj rau ob peb feeb, tom qab ntawd txias me ntsis, mob thiab muab 100 ml peb zaug ib hnub rau ob lub lim tiam, thiab lawv yuav pab koj kho qhov mob.
Nta ntawm kev cuam tshuam ntawm pancreatitis
Nrog rau kev siv tsis tau ntawm kev kho mob kom tsim nyog, cov teeb meem ntawm cov txheej txheem inflammatory tuaj yeem tshwm sim.
Muaj tag nrho cov txiaj ntsig ntawm qhov tshwm sim los ntawm qhov muaj mob ntawm kev mob pancreatitis.
Qhov tshwm sim ntawm qhov kev tsis txaus ntseeg tshwj xeeb yog nyob ntawm qhov degree, theem thiab qhov mob hnyav.
Lwm yam mob lwm yam mob ntawm tus mob pancreatitis:
- pancreatic necrosis;
- kev mob kis;
- pancreatic cyst tsim.
Hauv qhov mob ntev ntev ntawm tus kab mob, koj yuav ntsib kev:
- Kev txuam nrog cov kua dej ntau ntxiv nyob ib ncig ntawm lub txiav.
- Kev txhaws ntawm cov hlab ntsha mus rau lub qog.
- Tus mob tas li.
- Qhov nqaim ntawm biliary plab thiab txoj hnyuv me.
- Pancreatic mob cancer.
- Pancreatic fibrosis thiab pancreatic lipomatosis.
Txhawm rau tiv thaiv qhov tshwm sim tuaj yeem muaj tus kab mob pancreatitis, koj yuav tsum noj kom raug. Nyob ntawm rooj noj mov thiab hnub so, koj tsis tas yuav sib xyaw ntau ntawm cov cawv thiab cov khoom noj muaj roj, vim tias qhov no yuav ua rau lub nra hnyav ntxiv, thiab dhau sijhawm nws tsuas tsis ua tiav nws txoj haujlwm.
Txwv kev siv cov nqaij, cov txuj lom, ntsim, kib, kib. Raws li lawv hais, txhua yam ua tau, tsuas yog hauv hauj sim. Nws raug nquahu kom txiav luam yeeb. Yog tias twb muaj cov kab mob xws li cholelithiasis, cholecystitis, tom qab ntawd lawv yuav tsum tau kho kom ncav sijhawm. Yog tias tus neeg mob ua rau pancreatitis tau muaj kev tawm tsam ntau dua ib zaug, ces cov lus qhia zoo tshaj plaws yog lo rau cov zaub mov noj thiab noj txhua yam tshuaj uas koj tus kws kho mob sau.
Cov tsos mob thiab kev kho mob rau tus txiav ua ntej tau tham hauv video hauv tsab xov xwm no.
