Exacerbation tsa pancreatitis foleng

Foleng pancreatitis - ya ho ruruha telele-o teng ya manyeme. Lefu lena le ka etsahala nosi, ka lebaka la a hlobaetsang le pancreatitis (pancreatitis mathomo), kapa a hlaha nakong exacerbation ea mafu a mang a sa makala tshilong ya dijo (mahareng pancreatitis). Lefu lena le ke maqhubu. Tlas'a tšusumetso ea lintlha etiological le hlaha exacerbation ea pancreatitis foleng. Le kalafo e nepahetseng, exacerbation nkeloa sebaka kokobetse (kokobetse ea ho hlabang).

causation ea lefu

Exacerbation tsa pancreatitis foleng hangata develops ka khaello ea phepo, a hlobaetsang le cheseho kapa lijo haholo tse mafura, sebelisa joala hampe. Tlaleletsa ka lintlha Link causative, exacerbation ea pancreatitis sa foleng, ho ka etsa hore lefu ka tshilong ya dijo makala pampitšana (cholecystitis, lefu la sebete, ulcerative lefu) hammoho le mafu a tšoaetsanoang kapa nako e telele botahoa le tšepe boima libakeng kotsi.

Exacerbation tsa pancreatitis foleng bone tsoelo-pele ea letsoele dinama tse nyenyane tse edema, ajoa mali 'meleng le outflow ea enzyme pancreatic. The lebaka la sena ke Tshebediso ya ya enzyme ka hare ho 'mele,' me ntshetsa pele e hlophisitsweng, autoaggression pancreatic dinama tse nyenyane tse autolysis. Ka nako e telele ho ruruha le "ba ikhopolang ho tshilo ya dijo" lebisa sclerosis ea 'mele.

The ho ruruha ka namela 'mele kaofela, kapa phamola karolo ea hae, tse amanang le hlooho kapa mohatla. Foleng pancreatitis e classified ka mefuta e 'maloa: interstitial, calculous, parenchymal le sclerosing.

mafu Tleliniki

Tabeng ea aggravation, le lehlaba le matla ka mpeng le setse costal thōko, e leng e ka fanoa ka sebaka morao ba pelo. Ho nyekoa ke pelo, khafetsa ho hlatsa, e sa tloaelehang litulo (letšollo). Long phallang thulaganyou e tlōla tshilong ya dijo dithulaganyo ka e ntse likahare ka le ho etsa hore boima ba 'mele ke tahlehelo. Dyspepsia ba teng ka hoo e ka bang tsohle nako eo, bakuli ba na le hloile ho dijo tse mafura. Foleng pancreatitis e tšoauoa ka letšollo. A mokelikeli setulo ka bath greasy benya hlahang ka lebaka la ho tlōla ha tshilo ya dijo ea mafura.

tlhathoba

Tepelletse maikutlong pepesa motheong oa bath ditletlebo hlahloba mokuli. liteko mali bontša e ile ea eketseha ESR, leukocytosis itekanetseng, e imbalance ya dikotwana protheine, hypoproteinemia, e ile ea eketseha enzyme pancreatic, mali tsoekere.

Ka ultrasound maemong tlhlahlobo ka bonoa e atolositsoeng, edematous manyeme. Ho itšetlehile ka sebōpeho sa lefu lena ka lemoha cysts kapa concrements. Ka mathata tekotshupo ka phetha ka ho ithuta ka CT scan.

Complication lefu lena ka 'na ba e reng: e abscess, cyst sebopeho, ntshetsopele ya lefu la tsoekere,' me batho ba bang narrowing difapho.

kalafo

Ho bohlokoa ho tseba hore na ke ntlha e causative e bakileng le exacerbation ea pancreatitis foleng. Kalafo lokela ho kenyeletsa sete ya liketso tsa ikemiseditse ho fokotsa ho ruruha, thibelo ea mosebetsi oa enzyme pancreatic, ho tsosolosoa ha outflow tlwaelehileng ya lero pancreatic. Ha a bontša hore bohloko ba lefu sebelisa dipilisi antispasmodic. Ka sebopeho sa e abscess kapa exacerbation haholo ho laela lithibela-mafu.

Lijo nakong exacerbation ea pancreatitis foleng akarelletsa lijo bonolo likarolo tse nyenyane. Lijo ke tse lakatsehang ho ka setimi. Lijo e lokela ho ba ruileng protheine le mafura e lekanyelitsoe. Hape ka lik'habohaedreite a hlobaetsang le moedi.

Ntle le exacerbation kalafo e lakatsehang ho etsoa sepetleleng sa, ho noa metsi matsoai le moketeng oa lijo tse nepahetseng.