Injeke Ukwanda emntwaneni: Oonobangela, diagnosis, Treatment

omzimba womntwana kukuba zithandwa zizifo ezahlukahlukeneyo. Emva kokuzalwa kosana amalungu ziqala ukukhula ngokukhawuleza, kukho someleza yamajoni omzimba. Kodwa ngamanye amaxesha umzimba unika ukungaphumeleli - kwenzeka utshintsho zophendlo lwezifo kwiindawo ezininzi, kuquka injeke. Ukuba luyanda ngaphezu komndilili - oku kudala inkxalabo.

Ubume zepancreas

Le umzimba ibandakanya le ilandelayo:

• intloko - ethetha kancinane ngenxa yokuba esiswini zagutyungelwa yi yomtya akhiwa duodenum;
• umzimba - isebe elikhulu, nto leyo esemva isisu, kodwa Akunakuba engxoweni phakathi kwabo;
• Umsila - inxalenye umva lomzimba, leyo hlaza udakada.

Ubume bale uqabe isithinzi prostate enikwe secret eziqulathwe kuyo. Phakathi kwazo kukho ezi kwalapho kunye imithambo yegazi. Kuyo yonke ubude umzimba runs duct, esetyenziswa nghena netuwa yokwetyisa. ndlala ebalulekileyo secretion yejusi esiswini kunye nokulawulwa amaqondo eswekile yegazi.

Ukuba abakwazi ukumelana nale, kukho ukungaphatheki ethile: nokuqunjelwa, ukungacoleki kokutya, ukuqumba kunye nezinye iingxaki. Ezi mpawu zibonisa uphuhliso kwezifo ukuba ngaphandle unyango ngokukhawuleza kungakhokelela kubunzima.

Imilinganiselo endlaleni

ubukhulu nepancreas eqhelekileyo umntwana kuxhomekeke kakhulu ngeminyaka yabo. A ubude umzimba usana-5 cm okanye ngaphezulu kancinci. Kwiinyanga zokuqala ezintandathu yobomi, uyandiswa kuphela 1 cm ngaphambi kokuba ikhula ngonyaka nge-1 cm. Ngoko ke, umntwana yentsimbi oneminyaka--ubudala ayafika ubude 7 cm, kwaye sangqa intloko ilingana isentimitha nye.

Ngexesha ubomi intsimbi ngokwenyusa kancinane ubukhulu. Kangangeminyaka eli-10, ukukhula kwayo kade kakhulu, ukwanda ngeli xesha ngu 2 umphinda-. Ukwanda nepancreas , umntwana zingenzeka ngexesha lokufikisa, xa kunyusa nge-8 cm ukuya kwiminyaka eli-18 kulo mzimba idla ufikelela ubungakanani eqhelekileyo, lafikelela ubude-23 cm, ububanzi -.. 3 cm achazwe apha lalo 7 cm.

Ukuhlola umntwana, ugqirha usebenzisa itafile ekhethekileyo ukufumanisa ukuba umhlaza na ukutenxa kumgaqo. Ukuze wenze oku, ukuthathela ingqalelo imiba efana ubunzima, ukuphakama, isini kunye nobudala. Kuxhomekeka oku, imigangatho ubukhulu injeke le nkwenkwe iya kuba yile ilandelayo:

• umzimba - 1-1.3 cm;
• Intloko - 1.5-2.1 mm;
• umsila - 1,7-2,4 mm.

zobukhulu nomzimba kunye nenkangeleko wayo asenokubonisa iintlobo zezifo.

Kutheni kuyimfuneko ukuhlola abantwana?

imiba zabantwana, enxulumene indyebo umzimba ngeendlela ezininzi ezifanayo nezo ezachaphazela abadala. Bonke abantwana kufuneka kuvavanywa ngononophelo ukuze babone ngexesha ukungaqheleki ezinjalo. Isizathu kukuba yentsimbi akhule ngokuphindwe eziliqela, kodwa azisoloko kuyinciphise.

Lidla yenzeka ukuba ukukhula umzimba ayisoloko athobele imilinganiselo, kodwa ngokunxulumene kwamanye amalungu ukuba bakulindele. Kulo mzekelo, oko ebuntwaneni okokuqala kwafunyaniswa malformation naso zepancreas kunye indyebo yalo.

Izizathu eziphambili ezibangela umhlaza ukwanda

Le injeke kungaba ukwanda iyonke nabeengingqi. Kwimeko yokuqala, inkqubo umlinganiselo, kunye yesibini - kwenzeka ukususela isahlulo ilungu sisilonda. Umzekelo, utshintsha ubungakanani umsila abe, intloko nomzimba zikwimeko entle.

Izizathu eziphambili yona injeke nga zandiswe abantwana:

• umothuko besisu esekhusini;
• isilonda le isifo;
• isiphumo ubuthi;
• Uphuhliso okungaqhelekanga zomhlaza;
• iinkqubo komzimba emzimbeni;
• nezilonda etsolo okanye engapheliyo;
• abanesigulo esinganyangekiyo;
• isifo isilonda duodenal.

ukwanda omkhulu kwi injeke umntwana waphawula kwezi meko zilandelayo:

• yamathumba ingozi okanye amabi;
• ukutshintshwa amanye amacandelo izihlunu glandular nokuqina esikhundleni;
• ukwakheka cysts;
• suppuration ithumba ndlala nenkangeleko.

iimpawu

Kwenzeka ntoni xa kwafunyaniswa ukuba injeke ezandisiweyo ebantwaneni? Iimpawu zokugula zinokuba nomahluko. Zombini ngokukhawuleza kwaye ezingabonakaliyo ngokupheleleyo. Kulo mzekelo, enze iimvavanyo ezongezelelweyo.

Xa ukudumba ndlala lwenzeka kuynda ngokucacileyo iimpawu. Nangezilonda, cysts baqala ukuzibonakalisa ngokusebenzisa ixesha elide. Zonke ezi meko zihamba kunye mpawu zilandelayo:

• zifutha okanye baking intlungu ngegalelo lazo, asakhulayo ngaphezulu esiswini kunye uqhebeke ingalo okanye back;
• isicaphucaphu, ukugabha, incasa ekrakra emlonyeni, belching, ukungabi namdla;
• sorhudo;
• lobushushu ezibukhali iyaxhuma.

Ukwanda nepancreas kubantwana - necacileyo anobungozi, kungakhathaliseki ukuba izizathu ezabangela oku. Around kuyo ibekwe amanye amalungu, oko kubangele ucinezelo. Ngokomzekelo, ukwanda koxinzelelo intloko kwi amadlala 12 luqala duodenum. iimeko apho ilungu zophendlo lwezifo negalelo isithintelo kwamathumbu nalo iphawulwe.

Types of izifo pancreatic

Lidla isifo zophuhliso umzimba ngenxa ukwakheka kwalo, nto leyo ibe ngokohlobo umsesane. Le nto anomaly ngexesha weenceke zakhe ndlala kwiqonga osandul. Nayiphi ngokuzila umntwana akusebenzi kwaye ikhutshwe yi-operation lula.

Kukho iimeko apho? ngaphandle komgomo ezinjalo? iingxaki kunye namanye amalungu zangaphakathi. Oku kudityaniswa kunokubangela iingxaki kakhulu ekhokelela ekufeni. Ukuba ephula umntwana uncedo ngexesha sanikwayo, ethubeni ubudala nangaphezulu 12 isilonda duodenal iqala ukwehla, kukho isithintelo etsolo isisu, kukho ucinezelo we bile duct.

Pancreatitis - ukudumba pancreas. Usana ukuchonga le ngezifo rhoqo ngokwaneleyo. Isifo kunye ukwehla kobunzima, sinciphise ukutya, iintlungu eziqatha, njalo njalo. D. Xa abantwana, ukuba uyakwazi bazimilise izifo ezifana dysbiosis kunye gastritis, kuloo umahluko wayo abalulekile pancreatitis abadala.

Ukongeza, kukho ezinye izigulo zepancreas ebantwaneni:

• cyst;
• lipomatosis;
• amatye;
• umzimba kunye nomhlaza nomsila.

ekuxilongweni

Kwafunyaniswa sifo ngokusekelwe imbali yezonyango kunye neempawu zonyango, uvavanyo lomsebenzi nobubovu yonyango kunye neziphumo izifundo zomculo.

Okokuqala ugqirha ubuza umguli umntwana ukuba kukho ukuphazamiseka ezahlukeneyo. Kwimeko izikhalazo iintlungu bubonwa ngemvelo layo kunye nendawo. Kwakhona kubalulekile uqhutywe ilifa, xa umntu iintsapho onesifo seswekile kunye nezinye izifo metabolic.

Ngosuku loviwo, ugqirha utsalela ingqalelo imbonakalo isigulane, ibala. Ngokucofa umzimba lwenziwa xa isigulane ukwimo lisalele. Xa umntu limi, intsimbi phantse awubonakali ngenxa yemeko enzulu isisu kunye namathumbu.

Ukwenza isifo, aqhube isifundo isitulo, nto leyo xa kwimeko ukungasebenzi zepancreas kuya kuba inani iimpawu: umbala ukukhanya ivumba elinukayo. Ngexesha lophando umchamo bangabhaqa enzymes somhlaza. Kwakhona, uvavanyo yegazi iyathathwa.

Ultrasound iimviwo zepancreas

Isakhiwo yokwakheka umzimba akulunganga kakhulu ukuba survey, njengokuba kubhaliwe esemva isisu esiswini eliphezulu. Kungcono ukwenza ultrasound baby, kule meko ke kunokwenzeka ukuqikelela ubungakanani umzimba ulibuke kwiinkalo ezahlukeneyo.

Ukuze silungiselele isifundo, umntwana kufuneka banike ukutya du uyadinga, imifuno, iziqhamo, ubisi. ukutya reception lokugqibela kufuneka kwiiyure ezili-12 phambi kokuba le nkqubo.

Baby ultrasound lwenziwa kwindawo lisalele, ngasemva. Ukuba ufuna ukuhlola naliphi na ilungu lomzimba, umntwana akuvumelekanga ukuba kwicala layo okanye eme phezu isisu sakhe ukusebenzisa gel, apho isilayidi woluvo ibe lula kakhulu.

Kubalulekile ukuba banikele ingqalelo isithunzela ze endlaleni, kufuneka icace. zobukhulu umzimba ngamazinga kunye data evela kwitafile ekhethekileyo. Echogenicity yobuntwana akunakuze kubonakaliswa. Ukuba le liyehla, kukho amathuba eliphezulu yokuba iindlela zale pancreatitis, nokwandisa ubungqina kwekhosi ezingapheliyo kwesi sifo okanye ubukho ithumba.

Unyango womhlaza pancreatic ebantwaneni

Body Unyango kungenzeka ibe 'endala kunye nokusebenza, njengoko kuxhomekeke kuhlobo sifo. Imigaqo ngokubanzi yonyango zimi ngolu hlobo lulandelayo:

• kunyanzelekile ukuba sigcine ukutya ingqongqo, ngokupheleleyo ukuphelisa okuneziqholo, okunamafutha okanye ukutya eqhotsiweyo;
• ukususa ukudumba nobubovu, kucetyiswa ukuba isicelo ebandayo ukuya warmers umzimba;
• ukuze kuncitshiswe umsebenzi secretory welungu usebenzisa ezizodwa Proton inhibitors impompo, iihomoni okanye blocker histamine receptor ethile;
• ukulungisa ukusebenza nobubovu Ukongezelela zaziswa enzayim ukutya eyenziweyo;
• lisuswe okanye amanxeba yokukrala nyama.

amayeza

nepancreas Ukwanda kwi umntwana kufuna amayeza, nto leyo equka ukusebenzisa amachiza zilandelayo:

• "Octreotide" equlethe izinto kwamadlala - somatostatin, apho eyeka secretion ngokugqithisileyo juice pancreatic.
• "Pirenzepine" - kunciphisa ukukhululwa enqanda nobubovu, iiseli zomzimba nokubuyisela.
• "Somkhosi", "Pancreatin", "Mezim" - ukuba wawumanya umzimba enqanda, ukunceda ukuba ukugaya ukutya ukuphelisa intlungu.
• "Duspatalin" - kunciphisa ukudumba emzimbeni, kuyanceda ukuvuselela enzymes wendlala.

Unyango elwa kwakhona injeke, corticosteroids kunye iziyobisi isantya enzymes ukuphuma ndlala.

yokudla

Ukongezelela amayeza, unyango kucingwa indlela ephumelelayo ukudla emiselwe yi igqirha kuthathelwa ingqalelo ubudala yomguli kunye nobungozi besi sifo. Okokuqala, kucetyiswa ukuba usebenzise ukutya lweso ze usele kakhulu. Ngoko ke kuyimfuneko ukuba afake ekutyeni zemifuno (iitapile, beet, iikherothi) iimveliso eziqulathe protein (omelet, nonfat itshizi, ukutya inkuku okanye umvundla), oli yemifuno.

Kwakhona, unyango pancreatic ukutya kubandakanya ukutya irayisi, buckwheat, oatmeal, kodwa isuphu imuncu kunye borscht contraindicated ngokupheleleyo.

isiphelo

Ngoko ke, ukuba lufumanekile ukunyusa pancreatic umntwana, kuyimfuneko zombini ukuba ukuqala unyango lwesi sifo ngokukhawuleza kangangoko kunokwenzeka. Kuphela kule meko ke isiqinisekiso ayaphumelela ngaphandle kuqala iingxaki ezinkulu kakhulu.