Exacerbation ntawm tus kab mob pancreatitis

Mob pancreatitis - ib tug ntev-uas twb muaj lawm o ntawm lub txiav. Tus kab mob yuav tshwm sim ntawm nws tus kheej, raws li ib tug tshwm sim ntawm mob pancreatitis (thawj pancreatitis), los yog tshwm sim thaum lub sij hawm exacerbation ntawm lwm yam kab mob ntawm lub digestive kabmob (theem nrab pancreatitis). Tus kab mob yog undulating. Nyob rau hauv tus ntawm etiological yam tshwm sim exacerbation ntawm tus kab mob pancreatitis. Nrog zoo kho mob, exacerbation hloov zam txim (kev zam txim rau cov inflammatory txheej txheem).

causation ntawm tus kab mob

Exacerbation ntawm tus kab mob pancreatitis feem ntau muaj nyob rau hauv malnutrition, mob tej yam txaus siab los yog ib yam nkaus thiab fatty khoom noj, haus dej cawv kev tsim txom. Tsis tas li ntawd ntawm sab nraud causative yam, exacerbation ntawm tus kab mob pancreatitis, tej zaum yuav ua rau tus kab mob nyob rau hauv cov hnyuv kabmob (cholecystitis, kab mob siab, ulcerative kab mob) raws li tau zoo raws li kis kab mob los yog ntev intoxication nrog hnyav hlau nyob rau hauv tej kev kawm.

Exacerbation ntawm tus kab mob pancreatitis pom txoj kev loj hlob ntawm lub mis cov ntaub so ntswg edema, ntshav ncig nyob rau hauv lub cev thiab lub outflow ntawm pancreatic enzymes. Lub txim ntawm no yog qhov ua kom ntawm enzymes rau hauv lub cev, thiab tsim cov txheej txheem autoaggression pancreatic cov ntaub so ntswg autolysis. Heev o thiab "self-plab zom mov" ua rau sclerosis ntawm lub cev.

Lub o yuav kis tau mus rau lub tag nrho lub cev, los yog grabs nws ib feem, uas lub taub hau los yog tus Tsov tus tw. Mob pancreatitis yog txwv kom muab zais rau hauv ob peb hom: interstitial, calculous, parenchymal thiab sclerosing.

cov kab mob qhov chaw kho mob

Nyob rau hauv cov ntaub ntawv ntawm aggravation, ib tug muaj zog mob nyob rau hauv lub plab thiab rau sab laug costal paj tau paj, uas yuav tsum tau muab nyob rau hauv lub rov qab cheeb tsam ntawm lub plawv. Xeev siab, nquag ntuav, txawv txav quav (raws plab). Ntev ntws txheej txheem ua txhaum digestive dab nyob rau hauv lub gut ua rau nqa tsis tau. Dyspepsia yog tam sim no nyob rau hauv yuav luag tag nrho cov sij hawm, cov neeg mob muaj ib tug aversion rau zaub mov. Mob pancreatitis yog yus muaj los ntawm raws plab. Ib tug lub rooj zaum kua nrog ib tug yam ntxwv greasy ci tsob vim ua txhaum ntawm lub plab zom mov ntawm cov nqaijrog.

diagnostics

Mob las rau lub hauv paus ntawm cov yam ntxwv tsis txaus siab kev soj ntsuam ntawm tus neeg mob. Cov kev kuaj ntshav qhia tau tias cov muaj zog ESR, ntsis leukocytosis, ib tug tsis txaus ntawm cov protein fractions, hypoproteinemia, nce pancreatic enzymes, cov ntshav qab zib.

Nyob rau ultrasound xeem yuav pom enlarged, edematous txiav. Nyob rau hauv daim ntawv ntawm cov kab mob no yuav raug kuaj hlwv los yog concrements. Nyob rau hauv diagnostic teeb meem peev xwm nqa tawm ib txoj kev tshawb rau cov CT scan.

Mob tus kab mob no tej zaum yuav: ib tug rwj, cyst tsim, txoj kev loj hlob ntawm cov ntshav qab zib, thiab lwm leej lwm tus narrowing ciav.

kev kho mob

Nws yog ib qho tseem ceeb kom paub tias cov causative yam uas tshwm sim los ntawm exacerbation ntawm tus kab mob pancreatitis. Kev kho mob yuav tsum muaj xws li ib tug txheej ntawm kev ua aimed ntawm kev txo qhov inflammatory txheej txheem, inhibition ntawm cov kev ua ntawm pancreatic enzymes, cov kho tshiab ntawm lub qub outflow ntawm pancreatic kua txiv. Thaum qhia mob syndrome siv painkillers, antispasmodic. Nyob rau hauv lub tsim ntawm ib tug rwj los yog mob hnyav exacerbation muab tshuaj tua kab mob.

Noj cov zaub mov thaum lub sij hawm exacerbation ntawm tus kab mob pancreatitis yuav maj mam noj mov nyob rau hauv me me. Khoom noj khoom haus yog ntshaw kom yuav steamed. Khoom noj khoom haus yuav tsum nplua nuj nyob rau hauv protein thiab rog xwb. Tsis tas li ntawd nyob rau hauv mob txwv carbohydrates.

Tsis muaj exacerbation ntshaw kev kho mob nyob rau hauv ib tug sanatorium, haus ntxhia dej thiab ua kevcai nco txog khoom noj.