Kupatsanura echirwere pfungwa nomuviri zvemwana asati yayo nezvimiro

Chirwere pfungwa nomuviri zvemwana asati chirwere ngozi zvikuru uye kwenguva refu-refu kuti pamwe kuzvimba rwatata, uyewo kukuvara muzvitokisi ayo uye munyama. Munyaya ino isu tichava kurondedzerwa kupatsanura echirwere pfungwa nomuviri zvemwana asati, uyewo chikuru zviri chirwere.

Chii zvokurwara ichi

Chirwere pfungwa nomuviri zvemwana asati rinowanzoberekera iri naka hafu vanhu vakwegura, uye zvishoma kakawanda pakati zera. The chikuru chinokonzera chirwere ichi ndiyo yakaoma kwevanhu kudya kunovaka.

Kakawanda, nezvinetso rwatata inomuka nenguva apo munhu anotanga upise kunyanyisa mari fried uye mafuta zvokudya. Zvisinei, ichi hachisi chete zvakanyanyisa. Uyewo, chirwere anogona varwise nevakadzi vanochengeta zvakanyanyisa zvachose kudya uye vanobva vatanga zvokudya utano. Kana muviri womunhu paanosvika zviduku mafuta uye mapuroteni, rwatata anongoti hunoguma ishande zvakanaka. Uye kunze, kana munhu achiri kudhakwa, haugoni kupokana, chisingaperi pfungwa nomuviri zvemwana asati kuchabatsira.

Nhasi, pane akawandisa classifications nehosha, chimwe nechimwe inorangarira zvimwe zvinhu. Ngatikurukurei chimwe nechimwe chazvo.

Marseille-Roman kupatsanura echirwere pfungwa nomuviri zvemwana asati

kupatsanura Izvi nevakawanda zvikuru uye zvikuru kushandiswa pose. Maererano naye, pane mhando ina chirwere:

• Obstructive. chimiro ichi kunoratidzwa kuzvimba rwatata. Muchiitiko ichi pane blockage huru mutsinga dzinofamba nemukaka namamota, panowanikwa yakatesvera panyanga dzacho kana anogumbura siyana pachavo.

• Calcific pfungwa nomuviri zvemwana asati ndicho nhasi. Panyaya iyi, ainyanya kukoshesa munyama vanoparadzwa, zvichiumba matombo intraductal. mhando iyi chirwere Inonyanya kubata vanhu vanoshandisa guru uwandu doro.
• Induratum chimiro hariwanikwi chaizvo, saka kunoratidzwa atrophy pakati munyama.
• Chikofu inotungamirwa uye pnevmokist.

The chikuru kushanda rwatata

Kuti tinzwisise nyaya iyi, sezvo kupatsanura echirwere pfungwa nomuviri zvemwana asati, zvinokosha kunzwisisa mashandiro rinoitwa nedare yakadai rwatata. It zviripo vachiziva kuti pave zvakasiyana siyana makemikari kuti dzinoshanda nedanho kugaya. Pancreatic makemikari vanokwanisa kugaya zvokudya kuuya zvokuti zvinogona nyura. Masikati muviri kubereka anenge mumwe fő chakavanzika, saka zvakakosha kuti zvakakodzera kugaya zvokudya.

Zviratidzo zvokurwara

Kuti tinzwisise zviri nani chii kupatsanura echirwere pfungwa nomuviri zvemwana asati, unofanira kunzwisisa chii vari zviratidzo rakapihwa zvokurwara. Uye saka, chii zviratidzo munofanira kuteerera:

• marwadzo mudumbu;
• kugaya kunaka, izvo achava zviratidzo zvakadai yakawanda nuna chetsoka, bloating, chinokosha zvinoderedza uremu, kusashivirira kuti zvokudya, uye utera muviri wose;
• Mune zvimwe zviitiko, yepamusoro nzendo chisingaperi pfungwa nomuviri zvemwana asati, chirwere angatanga kuva chirwere cheshuga;
• muna bile ducts uye anowedzera kumanikidza dzakaonekwa ne gastric dyspepsia syndrome.

Nokudaro kuva chisingaperi pfungwa nomuviri zvemwana asati

Kutaura zvazviri, chirwere angatanga kuva nezvikonzero zvinoverengeka, uyewo avo yose. Nyatsoteerera zvikonzero izvo, maererano chiremba ungangotarisa chinokonzera chirwere ichi:

• kunyanya kunwa doro zvisina kufanira;
• Kushandisa dzimwe gadziriro vezvokurapa;
• yakakwirira kugutsikana calcium muropa;

• kukodzera mafuta muviri;
• zvinokwanisika kukura chirwere uye somugumisiro imwe nhodzera yakaipa;
• sezvo chirwere unogona kudzoka kutambudza pamwe kukwana yaunodya nezvinovaka muviri.

Chirwere pfungwa nomuviri zvemwana asati: kupatsanura ICD-10

kupatsanura Ndiwo ano uye kushandiswa nevakawanda nhasi. Maererano kupatsanura ichi, World Health Organization gumi ose anounza itsva mazita zvirwere zvakare zvaisanganisira pano, uye chisingaperi pfungwa nomuviri zvemwana asati. Kupatsanura pakati kupa ano mumwe chirwere chacho Cipher, saka kunyange kana chiremba asinganzwisisi mutauro wokumwe vachishandisa Cipher ichi, anogona kunzwisisa chii chaizvo chirwere mubvunzo.

Saka, maererano kupatsanura ichi echirwere pfungwa nomuviri zvemwana asati ane mhando mbiri:

• chimiro chidhakwa mavambo;
• nezvimwe chirwere.

Cambridge kupatsanura

Cambridge kupatsanura echirwere pfungwa nomuviri zvemwana asati kwakakurumbira chaizvo pakati n'anga Western. Zvinonzi kwakavakirwa grading pakati pancreatic kuchinja panguva dzakasiyana nzendo chirwere. Maererano ichi kupatsanura nhano ari oga zvirwere zvakadai:

• Rwatata ari chakaipa mamiriro. Panyaya iyi, muviri une kwomuzvarirwo marongerwo uye kushanda zvakanaka.
• Kumwe kuchinja kunotanga echirwere hunhu. Muchiitiko chino, pane kuchinja chete navaduku rwatata.

• Soft Kumwe kuchinja kunotanga dzinoratidzwa nokuchinja kurutivi ducts.
• Kumwe kuchinja kunotanga mwero. Muchiitiko chino, unogona kare kuona kuchinja kwete chete parutivi ducts, asiwo huru. Kazhinji panguva ino vakaumba cysts diki uye necrotic tishu.
• Chinokosha Kumwe kuchinja kunotanga. Muchiitiko chino, kuwedzera pamusoro zvose kuchinja ari, kunogonawo kuumba cysts makuru uye nematombo.

Biliary pfungwa nomuviri zvemwana asati

Chirwere Biliary pfungwa nomuviri zvemwana asati - refu inoyerera pancreatic chirwere kuti anova pamusoro colour pamusoro pathologies dziri mumuviri paakazvarwa mwana. Kutaura zvazviri, chirwere ichi zvakajairika chaizvo uye kunoratidzwa zviratidzo zvakadai:

• Marwadzo mumativi ose mudumbu, yomuka achinyanya usiku. Pain anogona tsaukai kuti musana, mutsipa, kana pamafudzi mashizha. Zviri kakawanda zvinorwadza zviratidzo chirwere ichi chinogona kuvhiringidzwa yokurwiswa biliary colic.

• Biliary pfungwa nomuviri zvemwana asati kunoratidzwa muchimiro bloating, kuda kurutsa, regurgitation, kurutsa kana abdominal kutinhira.
• Panguva chirwere chinogona kuonekwa nezvinetso chair. Very varwere vakawanda chema manyoka yaiitwa kusvika kashanu pazuva. Panguva iyo cheya akanga pasty hunhu uye zvikuru kugeza ndiro parusvingo.
• Vakawedzera nhanho ropa bile pigments. Somugumisiro, ganda nevachena nameso, munhu yellowish tint.
• Varwere vakawanda noruzivo chinokosha uremu.
• Kugadzira cheshuga.

chirwere ichi Kazhinji kurapwa conservatively, asi kuvhiya kungadiwa mune mashoma chaizvo nyaya.

idzokororo pfungwa nomuviri zvemwana asati

Chirwere pfungwa nomuviri zvemwana asati (nokuti dzokororo kupatsanura rinoshandiswa chaizvo Kashoma) dzinoratidzwa chakajairika panowanikwa marwadzo. Hatigoni kutaura kuti marwadzo aya yakapinza chaizvo, asi murwere anogona yekudyidzana kuderera kana kwete zvakanaka kurapwa.

Zvisinei, kana panguva iyoyo pamwe chirwere ichi murwere ane zvimwe zvirwere zviri zvomudumbu ezvinhu, ipapo marwadzo inogona nyore saregerereka. Kazhinji kurwadziwa chipo kubva akawanda maawa mazuva akawanda. Kuti kubvisa zviratidzo chirwere ichi, zvinokosha kushandisa nzira kuchinja kurapwa, uyewo normalize simba.

mabatiro

Chirwere pfungwa nomuviri zvemwana asati, izvo etiology chinogona dzaisiyana, zvinokosha chaizvo kutanga kuporesa nenguva, zvimwe zvokurwara ichi kunogona kuita kuti vamwe zvirwere. Kazhinji, chirwere kwakaoma chaizvo kuporesa pamwe kuchinja nzira, saka nyanzvi dzinoti kushandisa kuvhiyiwa. Regai kugumisa, tapota shanyirai vanachiremba vanoverengeka, uye kare maererano mukuru nhungamiro kurondedzerwa pamwe zano mamwe kurapwa.

Usakanganwa kuti vanachiremba muitiro zvinofanira zvainanga kuchaitwa marwadzo, kubviswa anogumbura urongwa, uyewo pamusoro nedanho excretion kuti bile.

marudzi chirwere

Zvakakosha kuziva rudzii zvakafanana mune imwe nyaya ine pfungwa nomuviri zvemwana asati. Chimiro chirwere anoenderana zvinhu zvakawanda. Ngatikurukurei kuti chimiro mhando kusiyanisa masayendisiti:

• Edematous chimiro echirwere pfungwa nomuviri zvemwana asati zvikuru zvakafanana chitsuwa. Panyaya iyi, chirwere mberi nguva refu kwazvo, kupfuura mwedzi mitanhatu. Kakawanda, mukuwedzera kune marwadzo, uye svoto uye kurutsa varipo.
• Parenchymal chimiro ari dzinoratidzwa chakajairika panowanikwa exacerbations. Kazhinji, exacerbations izvi zvichiitika kakawanda pagore. Pakuitisa ultrasonic kurapa uye dzimwe nzira ongororo, tinogona kuona kuti rwatata kunoratidzwa nedzimwe kuchinja.
• Induratum chimiro Kazhinji dzinoratidzwa kurwadziwa simba kwazvo. Mukuwedzera, ropa anotanga kuwedzera uwandu amylase. Zvisinei, Ultrasound haaratidzi kuti muviri akatanga kukura kukura. Mune zvimwe zviitiko, zviri nekusiyana, zvinova zvishoma.
• Kana muchimiro cystic rwatata dzinotanga kuumbika cysts diki. Panyaya iyi, iyo nhengo pachayo anotanga kukura, uye contours ayo hauna kujeka.
• Pseudotumor chimiro kakawanda dzinoratidzwa kupfuura kurwadziwa. Panguva iyoyowo muviri kwazvo pakukura uye achinje chimiro chayo. Izvi zvinogona kuonekwa kunyange nokubatsira zvavo palpation.

Chokwadi, chirwere ichi zvikuru kwazvo, saka vanachiremba vari zano kuti zvichengetedze uye kudya zvakanaka varwere vavo. Chirwere pfungwa nomuviri zvemwana asati inogona kurapika uchibatsirwa kuchinja kurapwa, asi zvinogona kuitwa chete kana, kana hosha ane chete vachiri Danho. On chinonetsa ndechokuti kazhinji zvisingaiti kuita pasina kuvhiyiwa.

Idya zvakanaka, Kurovedza muviri nguva dzose, vachiwana zororo uye nguva kuenda kwachiremba, uye ipapo iwe haungaiswi kutya chero chirwere. Utano zvichengetedze.