Kev kuaj ntshav rau pancreatitis

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Kev kho ntxiv thiab qhov mob ntawm lub cev yog nyob ntawm qhov kev txiav txim siab ncaj ncees ntawm daim ntawv thiab theem ntawm cov txheej txheem mob ntawm tus txiav. Kev soj ntsuam kev ua haujlwm txuas nrog biomaterial xav tau kev txhais lus uas muaj peev xwm. Cov qauv tseem ceeb rau cov txheej txheem sau tseg rau kev kuaj mob yog lawv cov ntsiab lus kho mob. Qhov ntsuas dab tsi los ntawm kev kuaj ntshav dav dav koj yuav tsum them sai sai rau kev mob pancreatitis? Yuav siv txoj hauv kev twg ntxiv los qhia ntxiv kev kuaj mob?

Daim ntawv uas mob voos nyom lossis mob hawb pob nrog tus mob cholecystitis feem ntau yuav tshwm sim tom qab theej, cov zaub mov rog, tsim txom cov cawv nyuaj. Cov yam ntxwv ntawm tus yam ntxwv rau kev pom zoo ua ntej kev kuaj mob yog qhov mob tsis muaj txiaj ntsig. Nws tuaj yeem yog hauv zos, tuaj hauv thaj av ntawm lub sab saud sab sauv. Mus rau tawg ntho - los ntawm qhov, girdle - los ntawm qhov chaw nyob.

Qhov mob ua rau tus neeg mob txoj haujlwm tshwj xeeb: dag lossis zaum, nrog ob txhais ceg nias rau lub cev. Cov paib ntxiv tom ntej ntawm tus kab mob no yog ntuav indomitable. Kev tshem ntawm cov zaub mov noj hauv cov plab hnyuv sab sauv ntawm lub plab zom mov, raws li txoj cai, tsis nqa kev tshem tawm ntawm qhov mob. Qhov kub nce siab, lub plawv ntog thiab ntshav siab hauv tus neeg mob txo. Hauv kev mob taub hau tiag, yuav tsum tau mus pw hauv tsev kho mob sai. Cov kev kuaj mob txuas ntxiv yog nqa tawm tshwj xeeb hauv chav phais mob ntawm tsev kho mob.

Nyob rau hauv ntev mob ntawm lub txiav, uas feem ntau loj hlob tom qab mob kis, mob yog ntawm ib tug sib txawv. Npub thiab mob caj dab, lawv sib zog ua ke tom qab noj mov. Lawv qhov nquag tau xav kom koj nrog kws kho mob (kws phais mob, kws kho mob, kws kho mob plab zom mov) rau tshuaj xyuas.

Hauv qhov no, ntuav tsis tshwm sim. Ntawm cov tsos mob dyspeptic pom: xeev siab, duav, bloating. Tom qab tso quav, cov neeg mob ceeb toom cov heterogeneity ntawm cov quav, lawv sib xyaw nrog cov rog. Kev nqus tawm ntawm cov rog tebchaw ua rau cov neeg tsis muaj peev xwm ntsev cov vitamins, A (D, E, K). Qhov tshwj xeeb tshaj yog mob hnyav yog qhov tsis muaj cov ntsev calcium thiab magnesium nyob hauv cov neeg muaj hnub nyoog txog. Lawv ib txhij muaj cov txha caj qaum.

Thaum nyuam qhuav pib mob, muaj teeb meem nyob rau hauv daim ntawv ntawm necrosis ntawm cov nqaij hauv lub cev (pancreatic necrosis), mob qog ntshav (kis ntawm cov hlab ntsha) thoob plaws hauv lub plab yog qhov txaus ntshai. Qhov yuav tshwm sim thaum ntxov ntawm kev txiav txim ntawm tus kab mob hu ua cyc, pancreatic fistulas, mob qog nqaij hlav, thiab ntshav qab zib insulin-tiv thaiv kab mob ntshav qab zib.

Muaj qee zaum thaum kev mob voos ntev yog asymptomatic, nrog cov tsos mob me. Kev soj ntsuam cov khoom ntawm biomaterial ntawm qhov raug iab liam tus neeg mob yog qhov tseem ceeb xav tau.

Kev kuaj ntsuas hauv tus neeg mob

Thaum lub sijhawm tus kws kho mob tau teem tseg lossis thaum tus neeg mob nkag mus rau tsev kho mob, kev tshuaj xyuas feem ntau yuav tsum tau ua thawj zaug, cov ntaub ntawv ntawm nws txoj kev ua neej nyob rau Hmo ua ntej ntawm kev tawm tsam yuav sau. Tom qab ntawv kuaj ultrasound ntawm tus neeg mob yog qhov tsim nyog. Nws siv cov khoom siv roj ntsha rau kev tshuaj xyuas.

Qee cov kab mob muaj cov duab zoo sib xws (mob, mob dyspepsia). Kev siv tshuaj endoscopic ntawm lub plab, duodenum, laparoscopy kuj tseem siv. Qee zaum ntxiv cov hau kev kho ntxiv tau siv los txhawm rau txheeb xyuas qhov mob (radiography ntawm cov leeg ntawm cov kua tsib thiab leeg, mob plab, thiab lub hauv siab).

Peb cov ntshav suav uas pom meej txo nrog kev mob pancreatitis:

  • cov ntshav liab;
  • hemoglobin;
  • muaj protein ntau.

Kev kuaj ntshav biochemical rau kev txiav tus mob pancreatitis nqa cov ntaub ntawv tseem ceeb txog kev mob ntawm tus neeg mob lub cev

Cov ntaub ntawv ntawm cov lej ntawm cov qe ntshav liab thiab hemoglobin tau los ntawm kev kuaj ntshav dav dav, protein - biochemical. Qhov ntsuas rau txiv neej thiab poj niam yog qhov txawv. Hauv pawg kawg ntawm cov neeg mob, cov nqi yuav tsawg dua.

Cov ntshav liab hauv cov txiv neej, ib txwm, yuav tsum muaj 150-450 ng / ml (kuaj ib txwm). Cov txiaj ntsig nyob rau hauv SI system: 340-1020 nmol / l, kev hloov pauv coefficient, feem, 2.27. Hemoglobin 132-164 g / l, tag nrho cov protein - 55-80 g / l.

Kev kuaj ntshav rau tus kab mob pancreatitis qhia tau hais tias lub cev ua tsis taus pa, muaj zog, thiab ua rau mob tuaj. Cov ntsuas hauv qab no ntawm ib puag ncig sab hauv lub cev, ntawm qhov tsis sib xws, nce siab:

Dab tsi qhia tau hais tias pancreatic MRI
  • ESR;
  • cov qe ntshav dawb;
  • hematocrit;
  • piam thaj.

Qhov erythrocyte sedimentation tus nqi (ESR) rau cov poj niam, qhov tsis sib thooj, yog siab dua me ntsis. Feem ntau, cov txiv neej muaj li 0 txog 10 hli / teev. Tus naj npawb ntawm cov leukocytes thiab cov kua nplaum tsis yog cim los ntawm tus tub los ntxhais, lawv qhov siv tau yog 3.8-9,8 n / l. Hematocrit, feem ntau 0.41-0.50 - hauv txiv neej (lossis 41-50%), 0.36-0.44 (36-44%) - hauv cov poj niam.

Glucose tau txiav txim siab hauv kev kho ntshav sai, hom phiaj 3.58-6.1 mmol / L. Ciam teb tseem ceeb tshaj qhov yuav tsum tau muaj kev sim kawm ntxiv (tsom xam txog kev ua pa tsis txaus siab, glycated hemoglobin, C-peptide test). Tshaj tawm kev txhawj xeeb txog kev txhim kho mob ntshav qab zib mellitus pub sijhawm pib kho mob rau cov kab mob endocrinological.


Kev puas tsuaj rau cov ntaub so ntswg ntawm lub cev ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm txhua lub hlwb, suav nrog cov neeg ua kua dej

Amylase kev ua yeeb yam tshaj tawm thiab ntxiv dag zog

Qhov taw qhia tseem ceeb tshaj plaws rau kab mob pancreatitis yog cov enzymes hauv cov ntshav. Amylase tswj cov tshuaj tiv thaiv hydrolysis hauv lub cev. Nws pom tsis tsuas yog nyob hauv tib neeg cov ntshav, tab sis kuj nyob hauv cov qaub ncaug, cov kua txiv ntawm txoj hnyuv me. Organic teeb meem pab tig ua cov carbohydrates nyuaj rau hauv cov khoom sib txig sib luag.

Nrog kev o ntawm cov txiav, tus naj npawb ntawm cov enzymes (trypsin, lipase, amylase, suav nrog lwm tus) nce. Kev tsom xam tau ua ob peb zaug nrog rau ib lub sijhawm, nyob ntawm kev saib xyuas ntawm tus kws kho mob. Kev kawm txog amylase cov haujlwm yog txiav txim siab hauv cov ntshav dej. Hauv cov tsoos tsoos, qhov tseem ceeb yog: 60-180 IU / L. Hauv qhov system SI: 1-3 mmol / l, qhov hloov ua lwm yam yog 0.01667.

Urinalysis rau mob pancreatitis yog tsis muaj ntaub ntawv. Hauv ib qho xwm txheej, tias lub chaw kuaj kabmob muaj peev xwm txiav txim siab muaj cov kabmob trypsinogen nyob hauv nws. Trypsin nyob rau hauv cov ntshav cov ntshav ntawm tus neeg noj qab nyob zoo hauv lub sijhawm 10-60 μg / L. Enzymatic pathology tseem tuaj yeem raug txiav txim los ntawm kev hloov xim thiab xwm yeem ntawm cov quav.

Lub cev xim av ntxoov ntxoo hloov pauv mus rau lwm qhov (lub teeb kom dawb, tsaus rau xim dub). Tsawg tsawg tus (lossis ib leeg) lub hlwb ntawm kev cog paj fiber ntau, cov ntshav dawb tau tso cai. Cov ntshav, cov rog, cov hmoov txhuv nplej siab yuav tsum tsis txhob muaj nyob hauv cov tsom me me.

Txhawm rau kom ua tiav daim duab ntawm kev hloov pauv hauv lub cev nrog kev mob pancreatitis, kev muaj peev xwm ntawm kev sim, kev kawm txog biomaterial, tshwj xeeb tshaj yog qhov dav dav thiab biochemical tsom xam cov ntshav, yog qhov tseem ceeb. Cov kev kho mob yog ua raws li kev sib ntaus sib tua tawm tsam thiab tshem tawm ntawm edema los ntawm tus txiav.

Ua tiav kev yoo mov rau ob peb hnub nrog kev ua haujlwm nrawm nrawm ntawm kev daws teeb meem ntawm cov khoom noj khoom haus. Ntawm cov tshuaj tau sau cov tshuaj tua kab mob, antispasmodics, immunomodulators. Thaum pib ntawm cov mob huam kab mob, nws yog ib qho tsim nyog yuav tsum tau txiav tawm kev zais ntawm cov enzymes los ntawm cov qog, hauv mob ntev - lawv nquag siv. Thoob plaws hauv kev kho mob, rau kev tiv thaiv thiab saib ntxiv ntawm qhov kev hloov pauv, kev kuaj ntshav tau ua ntawm ntau zaus.

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