Abincin da bai daidaita ba, yawan amfani da kayan giya, shan sigari da shan magani tare da magunguna daban-daban ba zasu iya haifar da sakamako mai mutuwa nan da nan ba.
Suna aiki a hankali, suna haifar da kumburi, ciwon sukari, kuma a wasu yanayi har ma suna haifar da bayyanar ciwace-ciwacen ƙwayar cuta a cikin farji. Binciken lokaci na kwayoyin yana magance rikice-rikice kuma yana hana yiwuwar bayyanar cututtuka.
Yaushe ya zama dole a bincika?
Duk wani tsarin aikin da ke gudana a cikin farji yana rushe aikinsa kuma yana hana aiki. A sakamakon haka, yanayin sashin jiki yana taɓarɓarewa, kuma mutum na iya fuskantar fuskoki daban-daban mara dadi a cikin ciki.
Irin waɗannan bayyanar cututtuka ba koyaushe suna faruwa ba zato ba tsammani, don haka a wasu yanayi, yakamata ku binciko cututtukan farji a cikin yanayin da aka tsara, ba tare da jiran fitowar cutar ba.
Alamomin bukatar gudanar da binciken jikin mutum:
- Bots na tashin zuciya. Wata alama mai kama da wannan tana ƙaruwa bayan shan giya, cin abinci da soyayyen abinci da mai. A wasu halaye, tashin zuciya yana haifar da amai, bayan wannan yanayin mai haƙuri har yanzu bai inganta ba.
- Ciwo. Ana jinsa a ƙarƙashin haƙarƙarinsa, amma kuma ana iya ba shi zuwa wasu sassan jikin (a ƙarƙashin scapula ko a bayan yankin kirji).
- Rashin lafiyar kujera. Cutar alama tana bayyana kanta kamar maƙarƙashiya ko zawo. A bayyane alamar cuta shine kasancewa a cikin ɗakin abinci na barbashi na abinci, wanda bai kamata ya zama al'ada ba.
- Flatulence, belching. Kwayar cutar tana nuna matakan ferment, kazalika da tara yawan gas.
- Jaundice. Bayyanuwarsa na iya zama saboda ƙarancin ƙwayar cuta da matsin lamba a cikin ƙwayar ƙwayar cuta.
- Zazzabi ya tashi. Haɓakawarsa yana nuna alamun ci gaba da tafiyar matakai masu kumburi.
Tare da abin da ya faru a lokaci ɗaya na duk waɗannan alamun, dole ne a kira likita nan da nan ko kuma a tuntuɓi asibitin da kaina. Dalilin da ya sa ake haifar da irin wannan rashin jin daɗin cutar sune cututtukan cututtukan ƙwayar cuta, don haka dole ne a bincika aikin jiki a farkon bayyanar.
Binciko ka'idodi
Binciken yakamata ya zama cikakke, sabili da haka, lokacin gudanar da shi, wajibi ne don samun bayanai game da tsari da ayyukan da jikin yayi.
Cutar fitsari tana taka muhimmiyar rawa a cikin ayyukan kamar:
- narkewa
- samar da enzymes da aka yi amfani da su lokacin rushewar abinci;
- kira insulin da sauran kwayoyin.
Yana mamaye sararin samaniya a bayan peritoneum, a gaban sa akwai ciki, lokacin farin ciki mai kauri da duodenum, kuma kodan suna cikin bangarorin. A cikin hanjin, hanjin yana dauke da ruwan 'pancreatic juice tare da enzymes daga sel wanda ya samar dashi.
Idan wani bangare na jikin ya lalace, sauran nama zai fara yin ayyukanshi, don haka alamun cutar na dogon lokaci bazai bayyana ba. Kumburi ko mutuwar ƙananan wurare na gland shine yake ba zai shafi tsarinta ba, amma ya cutar da ayyukanta.
Saboda haka, gwaje-gwajen da aka ba da shawarar ga marasa lafiya ya kamata su bayyana duk yiwuwar keta hakki wanda ke aiki a matsayin dalilin haɓakar ƙarancin cututtukan ƙwayoyin cuta a cikin ƙwayar narkewa.
Binciken dakin gwaje-gwaje
Bincike yana ba ka damar tantance yanayi da aikin jiki. M raunuka tare da ƙara yawan enzymes.
Wasu daga cikinsu sun fi dacewa da jini, kuma matattara ko gwajin fitsari sun fi dacewa don tantance wasu. Ana tantance tsananin cutar glandon ne ta hanyar bincike akan hanta da koda koda.
Don binciken gwaje-gwaje na dakin gwaje-gwaje, marasa lafiya suna buƙatar yin gwaje-gwaje. Lissafin shawarar gwaje-gwajen da ya kamata ya kamata likita ne ya tsara shi. Mafi yawan lokuta, don gano mahaukaci a cikin aikin jiki, ana tantance ma'aunin jini, fitsari, da feces. Dangane da sakamakon da aka samu, ana iya tabbatar da ko warware matsalar matsalolin aikin ta hanyar motsa jiki.
Jerin Bincike:
- Cikakken ƙidaya jini. Yana nuna kasancewar wani mummunan cuta ko marassa lafiyar tsari. Canje-canje a cikin gabobin ana nuna su ta yawan adadin leukocytes, babban matakin ESR, neutrophils (matsage da yanki), da kuma coagulation jini.
- Kwayar halittu. Tare da irin wannan binciken, ma'aikatan dakin gwaje-gwaje suna tantance matakin bilirubin, duka biyu kuma kai tsaye, suna kimanta sigogin seromucoid da sialic acid.
- Jinin jini. Matsakaicin wannan alamar shine 3.3-5.5 mmol / l. Ragewa daga waɗannan dabi'un yana nuna ɓoye bayyananne a cikin lafiyar jikin mutum.
- Nazarin Urinal. Wannan binciken yana nuna matakan amylase, furotin, da amino acid. Ana iya yin hukunci da lalacewar kwayoyin ta hanyar karuwa a cikin waɗannan alamun.
- Coprogram. Binciken ya ba mu damar sanin ƙarancin enzymes dangane da binciken bayanai kan abubuwan da ke cikin kitse, fiber (ba a narke gaba ɗaya ba), sitaci, elastase da tsokoki.
Testsarin gwaje-gwajen jini waɗanda aka wajabta musamman don kimanta aikin glandon:
- Alpha-amylase - dabi'u na yau da kullun ya kai daga 16 zuwa 30 g / l a awa daya (karuwa yana nuna kumburi, ɗigon yana nuna alamar ƙashin kansa);
- Trypsin - ana ɗaukar fiye da mcg / l 60 na alama alama ce ta karkacewa;
- Lipase - darajar sa kada ta wuce 190 u / l.
Dace halayen enzymatic na aiki, kowane dakin gwaje-gwaje ya zabi kansa, ya danganta da irin hanyoyin da ake amfani da su. Yawancin karatu za a iya yin su a kan komai a ciki, amma ya kamata a shirya wasu kafin lokacin bayarwa.
Yana da mahimmanci a fahimci cewa sakamakon gwaje-gwajen dole ne a nuna wa likita, tun da binciken dakin gwaje-gwaje kayan aiki ne kawai don yin gwaji, amma ba zai iya tabbatar ko musanta shi ba.
Gwajin gwaji
Wasu masu haƙuri dole ne suyi gwaje-gwaje ba wai kawai a kan komai a ciki ba, har ma bayan ɗaukar wasu abubuwa don yin bincike. Irin waɗannan gwaje-gwaje ana kiransu gwaje gwaje na wahala.
Babban nau'ikan:
- Glycoamylasemic gwajin. Tsarin aiwatarwarsa ya ƙunshi kimanta darajar amylase na azumi, sannan sa'o'i 3 bayan fitowar glucose 50 g. Excessarin abin da ya nuna na farko da 25% tare da maimaitawa yana nuna ci gaban Pathology.
- Gwajin Proserin. Hakan yana nuna matakin fitsari na fitsari ta hanyar fara fitar da kashi na farko tare da fitsari a bango na aikin maganin Prozerin. Ana yin sigogi na mai nuna alama kowane rabin sa'a. An yarda da haɓaka 2 na ƙimar diastase ta yadda in daga baya ya koma al'ada.
- Gwajin Iodolipol. Ya ƙunshi a cikin nazarin fitsari da aka tattara akan komai a ciki, kuma bayan shan magungunan "Iodolipol". An daidaita matakin aidin sau 4 (bayan minti 60, 90, 120, 150). Sakamakon yana da kyau a matsayin wanda aka ƙaddara an riga an ƙaddara shi a gwajin farko, wanda ya kai iyakar ƙarfinsa ta ƙarshe gwajin.
- Gwajin sirrin-pancreosimine. Binciken ya ƙunshi gabatarwar ɓoye cikin abubuwan da ke cikin duodenum, wanda ke haifar da canji a cikin ƙirar sunadarai. Sannan ana tantance enzymes din a cikin ruwan da aka sanya cikin hanjin.
- TTG (gwajin haƙuri na glucose). Ya ƙunshi ƙayyadadden matakin sukari na azumi da auna ma'aunin sau uku bayan mai haƙuri ya ɗauki glucose tare da ruwa mai narkewa.
Yawan gwaje-gwajen da mai haƙuri ke yin likita ya ƙayyade shi.
Binciken tsarin kwayoyin
Ana iya bincika ƙwayar cutar ta Pancreatic a cikin hanyoyi da yawa:
- hanyoyin rediyo;
- Duban dan tayi (duban dan tayi);
- ta amfani da lissafin adadi (CT);
- huda a ƙarƙashin kulawar duban dan tayi - biopsy;
- laparoscopy
Iri hanyoyin rediyo:
- Ganuwa. Yana ba ku damar la'akari da manyan abubuwa a cikin bututun.
- Endoscopic retrograde cholangiopancreatography. Ana yin shi ta hanyar gabatar da wakili a cikin bututun ta hanyar amfani da kayan aiki da ake amfani da su a cikin fibrogastroscopy. Kuna buƙatar shirya don jarrabawar a gaba.
- Zabi angiography. Hanyar ta ƙunshi bincika kwayoyin ta hanyar raa-ray bayan gudanar da wakili na bambanci.
- Labarin tomography. Binciken ya taimaka wajen gano ciwan ciki, da kuma hanyoyin ci gaba mai kumburi.
An kula da duban dan tayi a matsayin hanya mafi zafi da kuma dace don bincika gabobin ciki.
Hanyar ba daidai take da CT ba, amma tana taimakawa wajen kimanta kwararawar jini a cikin ƙwayar ta hanyar Doppler duban dan tayi, da kuma gano yawancin cututtukan:
- kumburi a cikin m da na kullum tsari;
- neoplasms;
- cysts;
- bazuwar.
Shirye-shiryen don maganin cututtukan ƙwayar ƙwayar cuta shine a bi wani abinci na musamman, da shan magunguna na musamman.
Alamu don CT:
- neoplasms suna da karamin girma;
- ilimin cutar hanta;
- shiri don aiki;
- maganin ciwon huhu
- kula da lura da gland shine yake.
Toididdigar wasan kwaikwayo yana ba da damar hangen nesa na ƙwayar cuta. Tare da gabatarwa lokaci guda a cikin tasoshin kwayoyin ko tasoshin, sakamakon binciken ya zama abin dogaro.
Laparoscopy, kodayake ana daukar shi wani nau'in aikin tiyata ne, amma yana samar da adadi da yawa game da cutar.
Mafi sau da yawa, ana yin wannan hanyar yayin ɓarna da hanya. Baya ga iyawar tantance cutar, laparoscopy yana sanya yiwuwar cire kwayar halittar jikin mutum da kuma gano alamun nemoplasms a farkon matakan.
Mafi yawan lokuta ana yin kwayoyin ne don gano cututtukan neoplasms, da kuma gano metastases. Hanyar tana taimakawa wajen sanin matakin cutar. Ana gudanar da jerin ƙwayar halittu tare da haɗin gwiwa tare da sauran hanyoyin gwaje-gwaje, amma ya bambanta da su, yana taimakawa wajen bayyana hoton kuma yin ingantaccen bincike cikin sauri.
Shirya Bincike
Wasu gwaje-gwaje suna buƙatar shiri na farko, wanda ya haɗa da abubuwan da ke shafar bayanan abubuwan da ke tattare da cutar.
Me za a yi:
- bi abinci har sati guda kafin gwaje-gwaje;
- ka ware daga kayayyakin kiwo, abinci da kayan marmari;
- ku ci kaɗan;
- ci abinci a cikin ƙananan rabo don kada ku cika zubar da ciki;
- ƙi yarda da shan wasu magunguna don lokacin da likita ya ba da shawarar;
- ware barasa kuma kar a sha taba;
- ƙi kofi mai ƙarfi, abubuwan sha mai sha.
Yin watsi da shawarwarin da aka bayar a sama na iya gurbata sakamakon nazarin.
Ayyukan Pancreas:
Yana da mahimmanci a fahimci cewa zaɓin hanyar don bincika aikin gabobin ciki, gami da huhun ciki, likita ne kawai yakamata ya yi. Bugu da kari, yawancin hanyoyin ba za su yi aiki ba a tsarin inshora na tilas ba tare da an turo da likita ba saboda wannan. Farashin duban dan tayi, gwargwadon ayyukan da kwararrun suka tsara, zasu iya kaiwa 1,500-2,000 rubles, gwargwadon yankin.