Kev mob pancreatitis yog tshwm sim los ntawm kev mob ntawm tus txiav thiab ua rau pancreatic tsis ua haujlwm tom qab. Nws feem ntau nthuav tawm zoo ib yam rau lwm yam mob nrog cov tsos mob tsis meej xws li mob plab tam sim, feem ntau nrog xeev siab thiab/lossis ntuav. Mob pancreatitis tuaj yeem sib txawv los ntawm lwm yam mob los ntawm kev ua tib zoo ntsuas cov cim thiab tsos mob zoo li los ntawm kev xaj xaj tshuaj ntsuam xyuas. Yog tias koj muaj tus kab mob pancreatitis mob hnyav, nws yog ib qho tseem ceeb uas yuav tau kho sai.
Cov kauj ruam
Ntu 1 ntawm 3: Ntsuam Xyuas Cov Cim thiab Cov tsos mob
Kauj Ruam 1. Piav qhia qhov zoo ntawm kev mob plab rau koj tus kws kho mob
Cov kab mob pancreatitis raug nthuav tawm nrog mob hnyav thiab mob tam sim ntawd; txawm li cas los xij, nws tuaj yeem sib txawv ntawm lwm qhov xwm txheej zoo sib xws hauv ib feem los ntawm kev piav qhia qhov tshwj xeeb ntawm koj qhov mob. Kev tsim nyog ntawm koj qhov mob uas taw rau tus kab mob pancreatitis vim qhov ua rau muaj feem ntau suav nrog:
- Qhov mob uas nthuav tawm mus rau koj nraub qaum - Qhov no yog tus lej tus tsos mob ntawm tus kab mob pancreatic
- Qhov mob uas nyob rau sab qaum nruab nrab ntawm koj lub plab
- Mob uas mob heev tom qab noj mov
Kauj Ruam 2. Xav txog qhov pib mob plab
Mob pancreatitis, raws li lub npe qhia, tuaj sai sai. Nws yog qhov mob uas tshwm sim tas li, thiab feem ntau zoo li qhov ua rau lub cev tsis zoo tom qab noj mov. Yog tias koj qhov mob maj mam maj mam, lossis tau tshwm sim ntev, nws yuav yog los ntawm lwm qhov laj thawj.
Lub sijhawm 'mob pancreatitis mob hnyav' yog siv los piav qhia thawj ob peb ntu ntawm tus mob pancreatitis uas koj yuav muaj. Yog tias qhov teeb meem txuas ntxiv mus, nws tau txiav txim siab 'mob pancreatitis ntev.'
Kauj Ruam 3. Qhia koj tus kws kho mob txog kev xeev siab thiab/lossis ntuav
Nws yog ib qho tshwm sim heev rau mob pancreatitis nrog rau xeev siab thiab ntuav, thiab qhov no tuaj yeem siv los sib txawv nws los ntawm lwm qhov ua rau mob plab; txawm li cas los xij, xeev siab thiab/lossis ntuav tsis yog txhais tau hais tias mob pancreatitis. Nws tuaj yeem txhais tau lwm yam xws li mob plab lossis zaub mov lom.
Koj kuj tseem yuav mob plab, tshwj xeeb yog tom qab koj noj qee yam rog. Qhov tshwm sim vim tias yog tias koj muaj kab mob pancreatitis, koj cov txiav txiav yuav tsis tuaj yeem pab koj lub cev ua cov rog
Kauj Ruam 4. Qhib rau koj tus kws kho mob txog koj kev haus cawv
Kev haus cawv ntau dhau yog tus naj npawb ib qho muaj feem cuam tshuam rau kev txhim kho kab mob pancreatitis; yog li ntawd, nws yog qhov tseem ceeb kom ua siab ncaj thiab ua ntej nrog koj tus kws kho mob txog qhov koj haus cawv ntau npaum cas thiab nquag npaum li cas.
- Lwm qhov kev pheej hmoo loj rau mob pancreatitis yog keeb kwm ntawm cov pob zeb hauv pob zeb.
- Yog tias koj tau muaj pob zeb nyob rau ib zaug (lossis ntau zaus) yav dhau los, nws muaj feem ntau rau lawv rov qab los, thiab lawv tuaj yeem ua rau mob rov qab ua rau mob pancreatitis.
Ntu 2 ntawm 3: Tshawb Nrhiav Ntxiv
Kauj Ruam 1. Tau txais kev kuaj ntshav
Yog tias koj nthuav qhia rau Chav Kho Mob Xwm Ceev (lossis mus rau koj tus kws kho mob) nrog mob plab heev, ib txoj hauv kev nrawm tshaj plaws los txheeb xyuas qhov ua rau mob qog noj ntshav yog ntsuas koj lub txiav ua haujlwm ntawm kev kuaj ntshav. Yog tias koj tau nce qib ntawm cov enzymes pancreatic hauv koj cov ntshav, qhov no txhais tau tias koj cov txiav txiav muaj kev ntxhov siab. Nws qhia rau koj tus kws kho mob tias koj tuaj yeem raug kev txom nyem los ntawm tus kab mob pancreatitis zoo ib yam li lwm yam mob.
- Kev nce qib ntshav amylase thiab lipase hauv koj cov ntshav taw mus rau kab mob pancreatitis yog qhov ua rau. Nov yog tus lej ntawm cov tsos mob rau cov teeb meem pancreatic. Amylase thiab lipase yog cov kab mob pancreatic enzymes uas tawm mus rau hauv cov ntshav ntawm tus txiav thaum nws ua rau mob. Kev nce qib amylase tuaj yeem pom hauv lwm yam teeb meem nrog lub plab thiab daim siab, tab sis lipase yog qhov tshwj xeeb rau cov txiav txiav.
- Lwm qhov txiaj ntsig uas tseem ceeb thaum kuaj mob rau tus mob pancreatitis suav nrog nce hauv C reactive protein thiab interleukins.
Kauj Ruam 2. Xaiv qhov endoscopic ultrasound
Ib qho endoscopic ultrasound (EUS) yog txheej txheem uas kuaj kab mob ultrasound nrog lub koob yees duab tau tso rau hauv koj txoj hlab pas, hla koj lub plab, thiab nqis thawj feem ntawm koj txoj hnyuv me mus rau tus txiav. Nws muab cov ncauj lus ntxaws ntxaws ntxaws ntxaws ntawm tus txiav, thiab nws tuaj yeem muab koj tus kws kho mob nrog cov ntaub ntawv muaj txiaj ntsig raws li cov hauv paus ntsiab lus ua rau koj mob pancreatitis.
- Ib qho EUS tseem tshuaj xyuas cov kab mob GI sab saud (txoj hlab pas, lub plab, thiab ib sab ntawm txoj hnyuv me) ntawm txoj kev mus rau lub txiav txiav.
- Yog li, EUS tuaj yeem pab suav nrog lossis txiav tawm lwm qhov GI siab ua rau uas tuaj yeem yog vim li cas koj mob plab.
Kauj Ruam 3. Tau kuaj CT
Yog tias koj mob plab heev, koj tus kws kho mob yuav xaj CT scan. CT scan muab cov duab ntxaws ntawm lub cev lub cev tso cai rau cov kws kho mob kom paub txog ntau yam kev mob sib txawv. Koj yuav tau pw thaum lub tshuab ntaus ib puag ncig koj (muaj qhov chaw txaus yog li nws tsis yog claustrophobic), thiab cov txheej txheem tsuas yog siv ob peb feeb.
- Cov kab mob pancreatitis tuaj yeem tshwm sim nrog cov pob zeb hauv lub CT scan (vim qhov no yog qhov ua rau muaj tus kab mob pancreatitis).
- Kev kuaj CT yuav zoo li tseem qhia pom qhov ua rau mob qog noj ntshav.
Ntu 3 ntawm 3: Kho Tus Mob Pancreatitis
Kauj Ruam 1. Nyob hauv tsev kho mob kom txog thaum koj tus mob ruaj khov
Vim tias qhov mob ntawm tus kab mob pancreatitis tuaj yeem ua rau hnyav heev, thiab ua rau hnyav dua nrog kev noj thiab haus, koj tus kws kho mob yuav pom zoo kom mus pw hauv tsev kho mob thaum koj rov zoo. Ob peb hnub hauv tsev kho mob tej zaum yuav txaus, lossis nws yuav siv sijhawm ntev dua nyob ntawm seb koj tus mob pancreatitis hnyav li cas. Lub hauv paus tseem ceeb ntawm kev kho tus mob pancreatitis yog hloov dej thiab tswj qhov mob.
Kauj Ruam 2. Tsis txhob noj lossis haus dej thaum lub sijhawm mob pancreatitis
Thawj ob peb hnub hauv tsev kho mob, koj tus kws kho mob yuav qhia rau koj tias koj tsis txhob noj lossis haus dej raws li kev zam ntawm cov khoom no yuav ua rau koj cov txiav txiav "so" thiab tso cai rau nws rov zoo. Raws li koj tus txiav txiav rov qab los, koj tuaj yeem rov qab los noj thiab haus. Koj yuav ib txwm pib los ntawm kev haus cov kua ntshiab, tom qab ntawd ntxiv qee yam zaub mov tsis huv thiab, thaum koj tus mob feem ntau zoo dua, koj tuaj yeem rov pib noj zaub mov ib txwm muaj.
- Hauv cov mob hnyav ntawm tus kab mob pancreatitis, lub raj pub mis yuav tsim nyog kom tau txais cov khoom noj thiab cov calories uas koj xav tau thaum koj cov txiav txiav rov zoo.
- Koj ib txwm yuav tau txais cov kua IV kom nyob twj ywm thaum lub sijhawm mob pancreatitis, thiab cov calories (piam thaj) yooj yim tuaj yeem muab los ntawm kab IV thiab.
Kauj Ruam 3. Noj tshuaj kom yooj yim rau koj qhov mob
Lub zog ntawm cov tshuaj kho mob uas koj tus kws kho mob muab rau koj yuav nyob ntawm qhov hnyav ntawm koj qhov mob. Hauv qhov mob hnyav dua ntawm kev mob pancreatitis, koj yuav zoo li tau txais tshuaj opioid (tshuaj yeeb). Thaum koj raug tso tawm hauv tsev kho mob thiab koj qhov mob feem ntau tau daws, cov tshuaj yuav tom khw yuav txaus los tswj hwm qhov mob uas seem, yog tias koj qhov mob tseem tsis tau raug daws tag.
Kauj Ruam 4. Kho qhov ua rau koj mob pancreatitis
Thaum koj qhov mob tau tswj hwm thiab koj tus mob ruaj khov, koj tus kws kho mob yuav xav txheeb xyuas thiab tom qab ntawd kho qhov ua rau koj mob pancreatitis. Cov laj thawj thiab kev kho mob suav nrog:
- Gallstones - Cov no tuaj yeem raug tshem tawm phais, thiab koj lub zais zis kuj tseem yuav raug tshem tawm ib yam nkaus. Koj tus kws kho mob kuj tseem yuav sau tshuaj tua kab mob.
- Kev thaiv cov kua tsib - Koj yuav zoo li tau txais cov txheej txheem (hu ua ERCP) kom qhib lossis nthuav koj cov kua tsib, thiab kho qhov puas tsuaj uas pom. Cov ntaub so ntswg puas los yog tuag lawm kuj tseem yuav tsum tau muab tshem tawm, thiab qhov no yuav xav tau kev phais. Qhov no yuav ua tiav tom qab qhov mob o daws tau thiab koj zoo lawm.
- Kev quav cawv - Kev haus cawv ntau dhau yog tus lej muaj feem cuam tshuam rau kev txhim kho mob pancreatitis. Yog tias teeb meem cawv yog qhov teeb meem, nws yog qhov tseem ceeb kom tau txais kev kho rau qhov no. Tham nrog koj tus kws kho mob muaj chaw kho mob rov kho dua thiab 12 kauj ruam cov haujlwm uas muaj yog tias koj muaj teeb meem loj nrog kev haus cawv.
