Pancreatitis tsis tshwm sim dheev. Raws li ib txoj cai - qhov no yog qhov tsim nyog ntawm ntau cov kev tawm tsam ntawm cov kab mob ntawm tus kab mob pancreatic. Nws yog yooj yim heev los cim tau tus kab mob rov qab los yog ntev: Yog tias txij thaum lub sij hawm muaj tus kab mob tsawg dua 6 lub hlis dhau los, qhov no yog ib tus kab mob rov muaj dua, thiab yog hais tias tus kab mob tshwm sim tom qab 6 lub hlis, ces tus kab mob pancreatitis tau dhau mus rau ib daim ntawv ntev.
Cov tsos mob ntawm tus kab mob pancreatitis
Feem ntau, mob pancreatitis tuaj yeem tsim nyob rau hauv keeb kwm ntawm lwm yam kab mob: cholelithiasis, cholecystitis, alcoholism. Cov cim tseem ceeb ntawm mob pancreatitis:
- tsis tu ncua los yog tshwm sim thaum lub cev nqaij daim tawv mob nyob rau hauv hypochondrium los yog nyob rau hauv "spoon";
- ntse poob poob;
- quav tsis haum (oily plab nyob rau hauv daim ntawv ntawm cov zaub mov uas tsis raug);
- kev xav tsis zoo rau cov khoom noj rog rog;
- tsis qab los noj mov.
Cov tsos mob ntawm pancreatitis yuav qhia tau rau lwm cov kab mob, tab sis feem ntau tshwm sim hauv daim ntawv ntawm tus kab mob ntev li no, thiab cov cim qhia ntawm ib qho kev ua rau pancreatitis:
- mob hauv plawv, xws li angina pectoris;
- mob hauv nraub qaum;
- yellowing ntawm daim tawv nqaij (mechanical jaundice);
- Kev loj hlob ntawm cov ntshav qab zib mellitus nrog mob siab tshaj plaws ntawm tus kab mob.
Cov tsos mob ntawm tus kab mob pancreatitis
Paub txog kab mob pancreatitis yog qhov yooj yim heev. Nrog rau daim ntawv no ntawm tus kab mob, qhov tseem ceeb qhov tseem ceeb yog qhov mob, xeev siab thiab zawv plab. Cov tsos mob mas feem ntau yog khaus. Ntuav tsis tuaj yeem pab kom tsis txhob muaj kab mob, yog li kab mob pancreatitis tsis tuaj yeem tsis meej pem nrog zaubmov lom lossis gastritis. Kev hnov mob ntawm lub cev muaj zog heev, uas tuaj yeem ua rau lub xeev poob siab nrog rau qhov poob ntawm cov ntshav siab. Feem ntau qhov mob ua rau mob tachycardia.
Cov cim tseem ceeb ntawm mob pancreatitis:
- mob hnyav nyob rau hauv hypochondrium lossis cia li siab tshaj tus ntaws;
- ntuav;
- zawv plab;
- nce hauv kub;
- tachycardia.
Cov tsos mob xws li qhia tias yuav tsum tau kho mob sai sai. Thaum mob hnyav, yuav tsum tau phais. Cov tsos mob ntawm tus kab mob pancreatitis muaj ntsis zoo ib yam rau ntau yam rau qhov kev mob ntawm tus kab mob pancreatitis. Nyob rau hauv txhua rooj plaub, pom cov tsos mob xws li, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd.
Txawm hais tias nws yog ntev los yog mob pancreatitis, nws tsim nyog ua tib zoo saib rau tej yam tshwm sim tsis zoo thiab cov tsos mob uas ua teeb meem rau qhov ua txhaum cai ntawm tus txiav. Tej zaum qhov no yog thawj cov cim qhia ntawm pancreatitis:
- xeev siab tom qab noj mov;
- hnyav heev hauv plab thiab hnyuv;
- quav (nquag hloov ntawm cem quav mus rau kev mob plab);
- nquag meteorisms thiab eructations.
Cov tsos mob ntawm tus kab mob pancreatitis
Reactive pancreatitis tshwm sim dheev. Nws tuaj yeem tsim txawm tias yav dhau los ntawm kev noj qab haus huv tom qab ib qho kev noj qab haus huv ntawm cov rog thiab roj ntses lossis ntau yam dej cawv. Cov tsos mob thiab cov tsos mob ntawm tus kabmob pancreatitis yog cov kev mob tshwm sim uas tshwm sim nrog mob pancreatitis. Hauv cov mob hnyav tshwj xeeb tshaj plaws, cov kab mob reactive pancreatitis tuaj yeem tuag taus.
Sab nraud cov cim pancreatitis
Tsis tas li ntawd xwb, tus neeg mob uas muaj tus kab mob pancreatitis yuav siv tus cwj pwm ntawm lub cev, khoov ntawm pob tw mus rau hauv lub hauv caug, muaj ob peb yam pom kev ntawm pancreatitis. Yog li ntawd, mus rau txiav txim siab pancreatitis nyob rau hauv tsos nyuaj. Yellowing ntawm daim tawv nqaij yog, tej zaum, qhov pom tseeb tshaj plaws. Tab sis nws tsis pom muaj nyob rau hauv tag nrho cov mob. Qee lub sij hawm necrosis ntawm subcutaneous adipose cov ntaub so ntswg thiab cyanosis ntawm daim tawv nqaij nyob ib ncig ntawm lub puj ntaws yuav ua tau pom. Tab sis cov no yog cov mob hnyav tshwj xeeb tshaj plaws, uas tsis tas yuav kuaj mob los ntawm cov paib sab nraud.
Rau kev paub tseeb tseeb, ua ultrasound. Cov cim qhia ntawm pancreatitis los ntawm kev tshawb fawb xws li - hloov pauv thiab roughness ntawm tus cwj mem ntawm lub caj pas, muaj cov hlwv cov hlab ntaws - muab ib daim duab ntau dua thiab tseeb ntawm mob hnyav.