Yuav ua li cas yog biliary pancreatitis? Cov tsos mob thiab kev tiv thaiv kev

Rau ntau tus neeg, tus txiav pib tsis, nws tshwm sim rau hauv lub mob uas tshwm sim vim muaj ib tug ua txhaum ntawm cov kua tsib tso zis. Tsim biliary pancreatitis, uas feem ntau cov feem ntau muaj feem xyuam rau cov neeg laus. Tus kab mob no yog kho tau, tab sis yuav raug raws sij hawm kev kho mob rau cov kws kho mob, thiab ua raws li nrog tag nrho cov tsim nyog cov kev cai. Vim lub zoo kev kho mob ntawm pancreatic cov neeg mob sai sai rov qab mus rau lub neej zoo.

Nta ntawm tus kab mob no

Biliary pancreatitis tshwm sim nyob rau hauv cholelithiasis. Nws muaj raws li ib tug tshwm sim ntawm casting cov kua rau hauv lub ducts ntawm lub pancreas, ua dermatitis. Qhov no txoj kev qhia ib tug malfunction ntawm lub gallbladder.

Nyob rau hauv ib tug neeg noj qab nyob rau hauv lub siab nyob rau hauv lub ducts ntawm lub cev yog tsawg tshaj li lub siab theem nyob rau hauv lub ducts ntawm lub pancreas. Nws nce ntawd hais tias ib qho chaw khuam uas txwv tsis pub cov kua tsib kom mus nqa tawm nws tam sim no. Qhov no tej zaum yuav yog vim muaj cov txhaws ntawm lub ducts, feem ntau nrog pob zeb. Tag nrho cov no ua rau yus lub kua ces muab pov tseg rau hauv lub pancreas.

Cov ua rau tus kab mob

Qhov no pathology yuav tshwm sim rau ntau yam yog vim li cas. Xav txog cov yooj yim tshaj plaws.

Yog hais tias ib tug neeg suffers los ntawm gallstone tus kab mob, nws yog feem ntau thaum tus kab mob no pib stagnate lub digestive kua txiv ntawm kev sib khi ciav pob zeb. Tag nrho cov no ua rau yus muaj zog siab nyob rau hauv cov kev, nrog rau muaj ces muab pov tseg cov kua nyob rau hauv lub pancreas.

Cholecystitis gallbladder rau ntawm qhov chaw muaj ib tug inflammatory txheej txheem, tsis muab lub kua txiv ntws feem ntau.

Txhawb nqa cholangitis thiab biliary pancreatitis, uas yog uncharacteristic ducts o tsob vim cov patency ntawm lub biliary ib ntsuj av tau thiab secretion ntawm kab mob.

Qhov saum toj no hais cov kab mob nyob rau hauv ua ke nrog nrog biliary pancreatitis ua raws li nram no cov kev hloov nyob rau hauv lub pancreas:

• o thiab degeneration;
• loj hlob ntawm connective cov ntaub so ntswg hlwb;
• kev ua txhaum nyob rau hauv nws cov hauj lwm.

Tab sis tsis tsuas yog tej yam tseem ceeb pab txhawb kom muaj cov tshwm sim ntawm cov kab mob. Qaug dab peg tshwm sim feem ntau heev nrog lovers ntawm cov zaub mov zoo. Tej zaub mov yuav pab raws li ib tug provocateur chua gallbladder thiab pancreatic edema yuav pab. Nyob rau hauv tas li ntawd, pancreatitis muaj vim overeating, noj mov huv los yog zibntab zaub mov.

Yuav ua li cas yog muaj tus kab mob?

Biliary pancreatitis tej zaum yuav mob thiab mob daim ntawv. Cov yav tas tshwm sim los ntawm kev siv ntawm tej khoom noj khoom haus, uas nkoos tag nrho cov digestive dab. Nws yuav kib nqaij pies, dej qab zib, savory khoom noj txom ncauj, grilled nqaij.

Qhov no zaub mov muaj yeej tsis tau xam tau tias yog noj qab nyob zoo, raws li nws txhawb nqa lub zog ntawm lub pob zeb, uas yuav kaw qhov ciav nyob rau hauv lub gallbladder. Cov neeg mob uas mob tus kab mob mas, tsom kwm cawv nyob rau hauv cov khoom noj yuav tiv thaiv tau qhov tshwm sim ntawm biliary pancreatitis.

Cov tshwm sim ntawm biliary pathology nyob rau cov kev ua ntawm lub pob zeb uas yog nyob rau hauv cov kua tsib ciav. Yog hais tias lawv yog me me nyob rau hauv loj thiab yog zoo rau hauv lub duodenum, tus neeg mob tus mob yog kev txhim kho sai heev. Yog hais tias lub zog ntawm lub pob zeb ntawm tus kwj dej yog ib qhov nyuaj, nws yog yuav tsum tau ntshai tsam rau lub neej ntawm tus neeg mob nyob rau hauv cov ntaub ntawv no.

Cov tsos mob ntawm biliary pancreatitis

Cov tsos mob ntawm tus kab mob no, tshwj xeeb tshaj yog tiv thaiv cov stagnation ntawm cov kua tsib, heev ntau haiv neeg, yog li no pathology yog heev yooj yim mus kuaj.

Yog li, yog hais tias tus neeg mob tus biliary pancreatitis, cov tsos mob tej zaum yuav muaj xws li cov nram qab no:

• Lub rov tshwm sim ntawm aching mob thoob plaws lub sab qaum kev ib ntawm lub plab, uas yuav tsum tau muab nyob rau hauv lub rov qab los yog nyob rau hauv lub cheeb tsam ntawm hypochondria. Feem ntau cov feem ntau muaj mob tom qab haus fatty, kib los yog smoked zaub mov. Nws amplification yuav siv sij hawm qhov chaw nyob rau hmo ntuj, los yog ob teev tom qab ib tug noj mov.
• Resistant ntsim saj nyob rau hauv lub qhov ncauj.
• Xeev siab, ntuav.
• Zawv plab, quav los yog tsam plab.
• Zaum yuav ib nyuag sawv nyob rau hauv lub cev kub.

Mob biliary pancreatitis yog yus muaj los ntawm ntse pains nyob rau hauv lub hypochondria, nej sawv vim chua ntawm tus nqaij uas provokes lub pob zeb, thiab mob - mob tej kev mob uas kav ib lub sij hawm ntev.

Tsis tas li ntawd, nyob rau hauv lub mob hauv daim ntawv ntawm tus kab mob no yuav tshwm sim tau daj ntseg cov tsos mob, txij li thaum biliary ib ntsuj av tau rhuav txhua thiab digestive kua txiv nkag mus rau hauv lub plawv system. Yog li daj dawb ntawm lub qhov muag thiab tawv nqaij. Nyob rau hauv cov ntaub ntawv no, kev kho mob yuav tsum tau pib tam sim ntawd, vim hais tias nws yuav mus tu siab heev.

mob ntawm tus kab mob no

Tus neeg mob yuav tsum xeem dhau tus soj ntsuam thiab biochemical kev kuaj ntshav. Nyob rau hauv ntev pancreatitis, biliary cim nce nyob rau hauv ntau ntawm bilirubin, alkaline phosphatase, cholesterol, thiab tus piv ntawm loj cov nqaijrog on qhov tsis tooj, txo. Nyob rau hauv cov zis thiab ntshav 3-6 lub sij hawm ntau zog theem ntawm amylase.

Nco ntsoov nqa tawm ultrasound ntawm lub pancreas, thiab ultrasound ntawm lub hepatobiliary system, uas qhia hais tias yuav muaj cov pob zeb nyob rau hauv lub ducts, raws li zoo raws li cov kev mob ntawm lub pancreas.

Yuav kom qhia tau tias lub pob zeb taw xws zoo txoj kev, xws li intraductal los yog endoscopic ultrasound.

Qhov tseem tuav txoj kev xam tau tias yog i biliary ib ntsuj av tau, tshwj xeeb tshaj yog yog hais tias nws yog xeem ib tug zoo ib tus neeg saib xyuas. MRPHG thiab ERCP kuj yog siv rau mob ntawm pancreatic thiab biliary ducts.

kab mob kev kho mob

Kev kho mob ntawm biliary pancreatitis yog ua raws kev tswj ntawm lub gastroenterologist, endoscopist thiab ib tug kws phais neeg. Yuav kom tus kab mob loj ntxiv, raws li zoo raws li rau kev tiv thaiv ntawm exacerbations, ib ce muaj zog kev kho mob ntawm lub qhov pib kab mob.

Yog hais tias mob pathology dhau nyob rau hauv mob biliary pancreatitis, cov kev kho mob yuav tsum tau ua xwb nyob rau hauv lub tsev kho mob. Kho mob hauv daim ntawv ntawm cov complex, uas siv cov tshuaj thiab kev noj haus.

Biliary pancreatitis nyob rau hauv lub mob nyob ntev muaj tshwm sim nrog ib tug muaj zog mob syndrome, uas yog muab tshem tawm los ntawm txoj kev analgesics thiab spasmolytics. Kho yog tseem nqa tawm sab hauv thiab sab nraud secretory kev ua ntawm lub pancreas, detoxification, nrog tshuaj tua kab mob yog ua kev tiv thaiv ntawm cov kab mob.

Nyob hauv ib lub exacerbation nyob rau hauv thawj peb hnub ntawm kev yoo mov, thiab nws yog tsim nyog rau kev siv uas tsis yog-si alkaline pob zeb hauv av dej. Thaum lub hwj chim yog resumed, nco ntsoov kom tsis txhob nyob rau hauv cov khoom noj ntawm cov nqaijrog, carbohydrates yuav tsum tau tshuaj.

Yuav kom txo tau cov tug kev txiav txim ntawm lub tshuab txais pancreatic enzymes muab somatostatin, protease inhibitors, proton twj tso kua mis inhibitors. Koj tus kws kho mob tej zaum yuav kuj muab microspherical enzymes uas pab rau restore lub enzymatic kawg ntawm lub pancreas. Rau cov ntshav qab zib rov qab mus rau qub, tshuaj hypoglycemic agents.

Sai li sai tau raws li ib tug mob nres yog muab tshem tawm, tus kws kho mob tej zaum yuav muab phais kom tshem tawm cov pob zeb. Nws yog nqa tawm nyob rau hauv ob txoj kev: txiav sab sauv mob plab phab ntsa (laparotomy) los yog ua rau ob tug me me tej nyob rau hauv lub plab phab ntsa (laparoscopy).

tau teeb meem

Yog hais tias biliary pancreatitis kho kom zoo, tus neeg mob yuav sai sai rov qab mus rau lub neej zoo. Yog hais tias tsis saib tsis xyuas cov kab mob yuav tsiv mus nyob lub pob zeb nyob rau hauv lub biliary ducts. Yog hais tias tus kab mob no cia tej yam swb thiab ua ib yam dabtsi, nws yuav coj mus rau ib tug deterioration ntawm tus mob huam. Txhua lub sij hawm, qhov mob yuav tsuas ua rau kom, tshwj xeeb tshaj yog tom qab noj lub qua ntxi zaub mov noj.

Nyob rau hauv tas li ntawd, cov advanced kab mob no yuav mus rau hauv parenchymal pancreatitis. Qhov no yuav tso hem thawj rau tus neeg mob raws li nram no:

• heev kev kho mob nyob rau hauv lub tsev kho mob qhov chaw;
• phais loj;
• lub caij ntawm kev ncaj ncees txoj kev kho;
• nruj noj cov zaub mov yuav luag tag nrho nws lub neej.

Yuav kom tiv thaiv biliary pancreatitis yog tsim nyog los soj ntsuam ib tug noj qab nyob zoo txoj kev ua neej, noj txoj cai thiab tag muab cawv.

noj cov zaub mov

Yog hais tias muaj yog biliary pancreatitis, noj cov zaub mov yuav tsum tau meej pem. Thaum lub sij hawm hnub, tus neeg mob yuav tsum tau noj 4-5 lub sij hawm qhov ntim ntawm ib feem yuav tsum tsis ntau tshaj li 250 ml. Nws yog nruj me ntsis txwv tsis pub, smoked, kib thiab fatty noj mov.

Thaum lub sij hawm noj cov zaub mov ntawm cov nqaijrog yuav tsum tau nce los ntawm 25%. Yog li, tus neeg mob ib hnub twg noj 120 g protein cov khoom. Tab sis cov nqi ntawm cov roj, on qhov tsis tooj, yuav tsum raug txo los ntawm 20%, thiab thaum lub sij hawm hnub ntawm kom tsawg yuav tsum tsis txhob ntau tshaj 80 g carbohydrate tsawg yuav tsum tau txo, thiab nws yuav tsum tau 350 grams tauj ib hnub. Tus nqi ntawm cov qab zib yog pom zoo kom txo los ntawm 2 lub sij hawm yuav tsum tau cov qauv.

xaus

Mob biliary pancreatitis (tshwj xeeb tshaj yog cov mob daim ntawv no) - ib tug heev loj kab mob. Nws yog ib qho tseem ceeb kom raug kuaj no pathology thiab kho thaum ntxov, txij thaum cov kev tawm tsam tseem yuav ua ntau heev, nws coj ib tug ntau ntawm kev txom nyem. Mus ib txhis xwb phais yuav pab kom cov rhuav tshem ntawm biliary pancreatitis.