Yuav kho cov neeg mob ntshav qab zib li cas ntshav qab zib thiab yuav rov qab kho li cas?

Ib qho ntawm cov laj thawj rau kev loj hlob ntawm cov ntshav qab zib yog txoj kev hloov hauv txoj hlab ntsws. Tias yog vim li cas rau lo lus nug ntawm nws txoj kev kho mob thiab nyiaj mob ntawm tus kab mob tseem muaj feem xyuam. Yuav ua li cas kho tus txiav ua kab mob ntshav qab zib, dab tsi yog cov tsos mob tseem ceeb ntawm tus kab mob thiab lwm yam ntxwv - txhua qhov no tau pom zoo kom tham nrog tus kws kho mob tshwj xeeb.

Kev txiav phais ua ntshav qab zib

Mob ntshav qab zib mellitus yog ib qho mob uas tshwm sim los ntawm kev cuam tshuam ntawm endocrine kev ua haujlwm ntawm lub qog. Nws muaj cov qauv ua ntau, thiab tsuas yog 2% ntawm nws thaj chaw tau faib rau cov islets ntawm Langerhans (cov hlwb no tsim cov tshuaj hormones tsim nyog rau kev ua haujlwm ntawm kev pom kev ua haujlwm). Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov tseeb tias:

• cell kev puas tsuaj cuam tshuam rau kev txhim kho ntawm cov tshuaj insulin, uas yog lub luag haujlwm rau kev ua kua qab zib,
• kev tivthaiv ntau dhau los ua rau lub xeev tsis tuaj yeem nce siab, thiab qhov tsis txaus yog nce ntshav qab zib,
• Kev puas tsuaj rau lub hlwb ntev ntev cuam tshuam lawv tag nrho cov kev puas tsuaj thiab, yog li ntawd, kev tsim kho cov ntshav qab zib.

Yog vim li cas rau kev puas tsuaj ntawm kev ua haujlwm zoo tshaj plaws yuav yog qhov muaj mob (piv txwv li, muaj ntshav qab zib hom 1), kev raug mob, autoimmune cov txheej txheem thiab cov kab mob xws li pancreatitis. Muab cov mob hnyav, nws raug nquahu kom mob siab rau kev txiav thiab mob ntshav qab zib mellitus, nrog rau cov tsos mob ntawm tus mob.

Cov tsos mob ntawm cov kab mob hauv lub cev

Cov tsos mob ntawm tus mob pancreatitis thiab pancreatic feem ntau yog yam mob. Sib tham txog qhov no, lawv tau them sai sai rau qee qhov mob (qee qhov, txawm tias tsis tshua muaj kev hais tawm) mob hauv qab plab. Feem ntau, qhov mob ntawd tau muab rau sab nraub qaum thiab nrog tus neeg mob ntuav, ntuav, tsis qab los noj mov, zoo li tsam plab ntawm lub peritoneum. Hauv qhov no, ntuav tsis coj yam tsis zoo kiag li, thiab qhov mob tom qab ntuav nws tsis poob. Ua kom nruj tag nrho kev ua kom tsis muaj zog, palpitations, thiab kub taub hau tuaj yeem txheeb xyuas.

Cov yam ntxwv ntawm tus mob huam sai yuav tsum paub tias yog mob hnyav los ntawm lub plab mog, nthuav rau sab nraub qaum. Tsis tas li, kab mob ntshav qab zib muaj ntshav qab zib yuav tau qhia los ntawm:

• pheej xeev siab, nrog rau qhov tsis muaj qab los noj mov,
• ib txwm nyiam kom cov roj tawm ntxiv hauv cov peritoneum,
• tsis muaj zog thiab txawm tias kub cev.

Txhawm rau kom paub meej lossis tsis lees paub cov tsos mob, kom pom qhov sib txuas nrog cov kab mob ntawm cov kab mob ntawm cov txiav, nws raug nquahu kom mus koom kev kuaj mob kom raws sijhawm.

Kev kuaj mob

Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>

Ua ntej tshaj, kev tsis txaus siab thiab keeb kwm kev kho mob yog sau. Tom ntej no, cov kws tshwj xeeb ua qhov kev soj ntsuam kom pom tseeb, them rau tib neeg txoj cai, cov xim ntawm daim tawv nqaij. Tom ntej no, palpation yog ua tiav, thaum lub sij hawm cov hlwv thiab cov leeg yuav tuaj yeem kuaj mob, yog tias lawv ncav cuag ntau qhov ntau thiab tsawg.

Cov kauj ruam ntxiv uas yuav tsum tau ua yav dhau los yog kev tshawb fawb: kev tshawb fawb ntawm cov ntsiab lus duodenal (txiav txim siab qhov sib piv ntawm cov enzymes), tshuaj ntsuam cov quav, tso zis thiab ntshav. Qhov mob uas tsis tseem ceeb rau kev kuaj mob yuav tsum tau txiav txim siab ua qhov ntsuas ntawm tus txiav ntshav qab zib mellitus thiab lwm yam kab mob kev nkeeg.

Kev thaij duab (CT scan) tseem ua tau (suav tomography), uas yog cov ntaub ntawv muaj kev paub ntau thiab tso cai rau koj txheeb xyuas cov kab mob uas ua rau lwm qhov kev kuaj mob tsis dhau. Muaj qee kis, yuav tsum tau kuaj cov cholangiopancreatography, ib yam li kev kuaj ib ce. Feem ntau, siv koob hno koob xav siv nyob rau hauv kev saib xyuas ntawm ultrasound lossis CT scan. Cov txheej txheem koom nrog sau los ntawm ib daim ntawm pancreatic ntaub so ntswg nrog kev kuaj keeb kwm yav dhau los ntxiv. Tom qab xws li kev kuaj mob tag nrho, peb tuaj yeem tham txog kev ua haujlwm ntawm kev ua kom rov qab los.

Yuav kho tus kabmob txiav ntshav qab zib li cas ntshav qab zib?

Lo lus teb rau lo lus nug ntawm yuav ua li cas rov qab rau tus kab mob ntshav qab zib hauv ntshav qab zib mellitus yog kev siv tshuaj kho mob, zaub mov noj zaub mov. Peb tseem tuaj yeem hais txog kev kho mob phais mob (hauv qhov xwm txheej nyuaj tshaj plaws). Txhawm rau kom txoj kev kho kom zoo, nws raug nquahu kom sab laj nrog tus kws kho mob endocrinologist.

Tshuaj kho mob nkeeg

Raws li cov tshuaj kho mob, tiv thaiv cov kab mob enzyme, cov enzymes, thiab cov npe antisecretory siv. Cov kws tshwj xeeb tau mob siab rau qhov tseeb tias:

• antienzyme tebchaw yog siv nyob rau hauv mob mob theem ntawm cov mob ntawm cov nqaij mos ntawm cov kabmob, uas tso cai rau kom txwv nws txoj haujlwm,
• lub ntsiab lus ntawm kev txiav txim yog kev puas tsuaj ntawm cov protein molecules uas ua rau cov enzymes uas ua los ntawm cov txiav,
• cov npe tshaj plaws yog Kontrikal thiab Gordoks. Lawv txo qhov degree ntawm cov enzyme kev ua si, txo lawv cov khoom lag luam,
• kev siv cov tshuaj antienzyme yog kev tso cai tsis yog nyob rau hauv cov ntshav qab zib mellitus, tab sis kuj muaj nyob rau lwm qhov teeb meem, piv txwv li, hauv kev mob nrawm lossis mob nrawm.

Cov enzymes uas tau siv nyob rau theem ntawm kev zam txim (hauv qhov tsis muaj mob ntawm cov ntaub so ntswg cov qauv) tuaj yeem txhim kho kev ua haujlwm ntawm ntshav qab zib. Lawv siv yuav pab kom tsis txhob muaj teeb meem, piv txwv li, cov tsos mob dyspeptic (mob plab zom mov). Cov tshuaj nquag muaj xws li Creon, Enzistal, Festal, Pancreatin. Pawg nyiaj no hais txog cov npe nyuaj uas zom cov protein, cov rog thiab cov roj uas txhawm rau.

Cov tshuaj Antisecretory kuj tseem tuaj yeem pab txiav tus txiav. Lawv raug siv txhawm rau txhawm rau nce acidity ntawm pais plab kua txiv, uas cuam tshuam ntau dua hnav ntawm lub cev. Omeprazole, Rabeprazole, Ranitidine thiab lwm tus tau muab qeb raws li cov khoom no. Lawv feem ntau siv ib mus rau ob zaug thaum nruab hnub nyob rau hauv ib qho nyiaj ntawm 20 txog 40 grams. Kev saib xyuas tshwj xeeb yog them rau kev saib xyuas ntawm kev noj haus, uas tsis muaj qhov tsis tas yuav pom zoo kom koom tes nrog koj tus kws kho mob.

Rov ua kom zoo dua txoj kev ua haujlwm pancreatic siv sijhawm ntev heev. Nws raug nquahu kom ua raws li txoj cai tseem ceeb ntawm kev noj zaub mov kom zoo, ua tib zoo saib tus nqi thiab kev sib npaug ntawm kev noj zaub mov muaj protein, rog thiab carbohydrates. Nws yuav yog qhov sib npaug tseem ceeb kom tau txais ib lub tswv yim tias glycemic index yog li cas thiab yuav siv cov lus tshwj xeeb li cas kom raug. Ua tib zoo saib xyuas qhov tseeb uas:

• ib hnub nws raug tso cai kom haus tsawg kawg 350 gr. carbohydrates, 100 gr. protein thiab 60 gr. rog
• koj yuav tsum tau noj zaub mov ntau, feem me me thiab tsawg kawg yog tsib txog rau zaus nyob rau ib hnub,
• Cov khoom lag luam rau cov neeg mob ntshav qab zib tau pom zoo kom npaj siv lub thawv dej ob npaug,
• Nws raug nquahu kom txhua qhov kev siv cov khoom kib. Txoj cai ci thiab ci ci yog tso cai tsuas yog thaum muaj kev zam txim.

Koj kuj yuav tsum tsis txhob tais diav lub caij nrog ntau cov txuj lom thiab cov khoom xyaw xws li qej, vinegar. Feem ntau, nws tsis tuaj yeem siv tag nrho cov khoom uas tuaj yeem ua rau mob voos ntawm plab hnyuv. Nrog rau kev ua phem ntawm cov kab mob pathological thiab thaum kho cov mob tseem ceeb, rog, qab ntsev, ntsim, ntsim haus thiab txawm tias cov zaub mov nplua nuj yuav tsum tsis txhob siv.

Kev phais mob

Feem ntau hom kev cuam tshuam yuav tsum tau txiav txim siab distal pancreatic resection, subtotal resection, raws li zoo li necrsecestrectomy.

Thawj qhov txheej txheem yog rho tus Tsov tus tw thiab lub cev ntawm lub cev. Cov rov qab kho qhov muag yog txhawm rau tshwj xeeb yog tias qhov chaw mob raug txwv thiab tsis tua tag nrho cov khoom hauv lub cev.

Subtotal resection raws li kev kho mob rau txiav ua kab mob ntshav qab zib hom 2 yog kev tshem tawm ntawm tus Tsov tus tw. Lub cev thiab feem ntau ntawm lub taub hau ntawm cov kabmob no tau muab tshem tawm. Tsuas yog cov seem uas nyob ib sab ntawm duodenum yog tshwj tseg. Cov kev cuam tshuam nthuav dav yog kev tso cai nkaus xwb nrog rau tag nrho kev puas tsuaj rau lub caj pas. Muab hais tias qhov khoom nruab nrog cev yog qhov tsis tau ua haujlwm, tsuas yog hloov kho lub paj hlwb tuaj yeem rov qab nws txoj haujlwm tom qab kev ua haujlwm 100%.

Necrosecvestrectomy tau ua hauv kev saib xyuas ntawm ultrasound thiab fluoroscopy. Cov kua dej ua kom pom tseeb hauv cov txiav ua paug thiab cov ntsiab lus uas twb muaj lawm tshem tawm siv cov kua dej tshwj xeeb. Tom qab ntawd, qhov dej ntws loj dua yog nkag rau hauv cov kab noj kom tau, uas tso cai rau kev ntxuav thiab nqus nqus. Ntawm theem kawg ntawm kev rov qab kawm, cov qhov loj-caliber tso dej raug hloov los ntawm cov me-caliber. Nws yog qhov no uas tso cai rau kev kho kom zoo ntawm cov kab noj hniav thiab mob tom qab kev phais, muab tau tias cov dej ntws tawm ntawm nws yog tswj.