Hanyoyi na asibiti
Akwai ciwon ciki, busawa, kuma wani lokacin tashin hankali na ƙananan ciki. Yawancin marasa lafiya suna damuwa game da tashin hankali da zubar da ciki; wasu - kawai buƙatar zubar. Akwai ƙananan launin yanki na yankin kusa da cibiya (Cullen's symptom) ko cyanosis (launin shuɗi) na fata a kan layi na tsakiya na ciki (alama ce ta Gray-Turner). Wannan na iya nuna jigilar jini a ciki a cikin rami na ciki. Alamar Cullen ta tabbatar da kasancewar zub da jini na ciki, inda yatsun da ke kewaye da cibiya suna cike da jini. Rawanin jini na karkashin kasa yana haifar da cin zarafin jini na hanyar yin musayar jini saboda sakamakon karfin enzymes na pancreatic. Ƙunƙashin ƙwayar da yake ciki a baya na ciki a bayan ƙananan ƙananan ciki. Kan kawunsa yana kwance a kan lanƙwasa duodenum.
A pancreas samar:
- insulin da glucagon - hormones da aka saki kai tsaye cikin jini da kuma kula da matakan jini;
- ruwan 'ya'yan itace - wanda ya rushe sunadaran (trypsin, chymotrypsin), da fats (lipase) da sitaci (amylase). Ƙananan ƙananan ƙwayoyin katako na kwance a cikin ƙwayar baitul na yau da kullum kafin ya bar duodenum.
Abincin Pancreatic, tare da bile, an haxa shi da abinci mai cin nama a cikin ciki, an kunna kuma ya kammala matakai na rashin lafiya.
Mafi yawan abubuwan da ke tattare da mummunan pancreatitis sune:
- ƙwayar cuta ta bile (45%); Alal misali, ƙwanƙwasa gallstones a cikin bile ducts kafin ya shiga duodenum;
- shan giya na kullum (35%).
Wasu dalilai sune:
- m ko shiga ciki na ciki, alal misali, a sakamakon tiyata;
- urin ƙwaƙwalwar ƙwayar ƙwayar duodenum;
- rashin lafiya na rayuwa, irin su hypercalcemia (saboda maganin yanayin parathyroid da kuma ci da kwayoyin sunadarai); hypertriglyceridemia (matakin da aka ƙera a cikin jini). koda gazawar;
- amsawa ga abubuwa masu magunguna, alal misali, sun haɗa da wasu ƙwayar magunguna;
- Cututtuka na cututtuka, irin su parotitis, hepatitis, HIV;
- cututtuka na kwayoyin halitta, irin su ciwon daji na pancreatic;
- abubuwan ƙyama (na asali ba a sani ba). Amma ba a bayyana ma'anar aikin wadannan abubuwan ba, duk da haka, bisa ga ɗaya daga cikin magunguna, ya ƙunshi "narkewa da kanta" na gland shine lokacin da aka kunna enzymes ya faru a cikin kyallensa. Ta hanyar lalata glanden, sun, bi da bi, kunna sauran enzymes, kamar su elastase (watsar da ƙwayoyin jini) da phospholipase.
Hanyar cutar
Hanyoyin enzymes masu aikin pancreatic iya aiki zasu iya halaka sel da lalata kyallen takalma, haddasa jini, edema da necrosis na pancreas. Tare da ciwon jini mai zurfi, wasu sassan da ke kusa suna iya lalacewa, wanda zai kara hadarin damuwa da sauran matsalolin. Tare da ƙasa mai tsanani mumcreatitis, ƙonewa yana iyakance kawai ga gland kanta kanta. Ana iya lura da irin wadannan cututtuka a wasu cututtuka na ciki (cututtuka ko ɓoyewa na hanji, ƙananan ƙumburi na gallbladder), kazalika da kirji (ciwon zuciya na zuciya).
Gwajin jini
Lambobi na ƙididdigar jini ba don wanzuwa ba, amma gwajin jini yana taimakawa wajen kara hoto. A mafi yawancin lokuta, yawan ƙwayoyin enzymes na pancreatic (amylase da lipase) a cikin jini. Wadannan alamomi suna da muhimmancin ganewa a farkon lokacin cutar, tun cikin mako guda sun dawo cikin al'ada. Babban matakin acid mai kyauta wanda aka kafa ta hanyar lipase yana haifar da saponification enzymatic da ragewa a cikin maida hankali akan allura a cikin jini. Matsayin leukocytes a cikin jini a cikin marasa lafiya tare da pancreatitis yawanci karuwa (leukocytosis), kuma a sakamakon asarar ruwa, hematocrit (rabo daga ƙarar erythrocytes zuwa ƙananan plasma) yana ƙaruwa.
Hanyar da aka gani
Sakamakon ƙarshe na babban pancreatitis ya dogara kawai ne akan sakamakon da aka samu tare da taimakon hanyoyi masu nuni: duban dan tayi da lissafin rubutu. Dole ne a yi amfani da kwaikwayon da aka lissafa a cikin mummunan ƙwayar cuta kuma a cikin yanayin rikitarwa. Tare da taimakon wadannan hanyoyi akwai wasu lokuta yana yiwuwa a gano dalilin pancreatitis. Bayyana mawuyacin cutar ya bada izinin aiwatar da matakan kiwon lafiyar da ake nufi da kawar da shi, wanda a nan gaba zai taimaka wajen kauce wa hare-haren pancreatitis.
• Tsarin gine-gine na jajaye a kan wani hoto na jariri da aka yi tare da microscope na lantarki su ne lymphocytes (irin leukocytes). Matsayin leukocytes a cikin jini a cikin babban pancreatitis yawanci karuwa. An gano nauyin binciken a kan ma'auni guda goma sha ɗaya bisa ka'idodin binciken, wanda ya haɗa da:
- yana da shekaru 55 a lokacin yin rajista;
- gwaje-gwaje na gwaje-gwaje (hudu a kan shigarwa da shida bayan sa'o'i 48). Idan akwai maki uku ko fiye a lokacin shigarwa, yiwuwar sakamako na mutuwa shine 1: 5; Idan akwai maki bakwai ko fiye, ya tashi.
A cikin 'yan kwanakin farko, mutuwar yakan faru ne saboda nauyin kwayar halitta. A mafi yawancin lokuta (80%) marasa lafiya sun mutu bayan mako daya, yawanci saboda ci gaba da kamuwa da cuta (abscessing) ko kuma samin fashewar karya. Ci gaba da kamuwa da cuta a bayan bayanan necrosis na pancreas ya kamata a yi la'akari da shi idan ba tare da sakamakon magani ba ko rashin ci gaba. Buri na abinda ke ciki na ɓangaren ciki a ƙarƙashin ikon sarrafa lissafi zai iya taimakawa a ganewar asali. Idan buri na abin da ya kamu da cutar ba ya faruwa a lokaci, mutuwar mutum ya kai 100%. Wani nau'i na ƙwayar katako wanda zai iya wucewa. An ba marasa lafiya jigilar infusions, mai cin abinci da kayan taya an cire shi. Don kawar da tashin hankali da kumbura tare da bututun nasogastric, ciki ya ɓace. Wannan yana taimakawa hana girgiza, ƙayyade asarar ruwa. Ana amfani da bincike don gudanar da wani abu mai cututtuka, wani lokacin amfani da na'ura mai sarrafawa. Wannan yana ba wa marasa lafiya damar samun damar yin amfani da maganin miyagun kwayoyi, dangane da tsananin zafi. Don kauce wa overdose, akwai na'urar musamman da aka tsara don amfani da iyakokin iyakoki na tsawon lokaci.
Gwada jarrabawa
A cikin mummunan ƙwayoyin cuta, an yi asibiti a cikin ɗakin kulawa mai kulawa na musamman wanda aka bincika mai hankali da kuma bayyanar cututtuka da ke nuna alamar mutuwa. Ana amfani da magani don hana maganin cutar.