Maonekedwe a kuphipha m'mimba mwa kapamba: Zizindikiro ndi njira zochizira
Chamba ndi chachiwiri chachikulu kwambiri m'thupi la munthu. Ili pamwamba pamimba, mwachindunji pamimba. Imakhala ndi mawonekedwe owuma ndipo pafupifupi kutalika kwake ndi kochepera masentimita 24.
Chiwalochi chimakhala ndi kukhudzika kwakukulu, chifukwa chake, chimagwira onse osakwiya. Pafupifupi njira iliyonse yotupa mu kapamba amatchedwa pancreatitis mu terminology yachipatala. Chizindikiro cha pancreatic chimatha kudziwonetsa mosiyanasiyana. Zomwe zimayambitsa matendawa zimasiyanasiyana.
Pali zizindikiro zodziwika bwino za kapamba zomwe zimafunikira chisamaliro chamankhwala mwachangu, popeza pali matenda omwe amapezeka kumbuyo kwa kutupa kwapancreatic, omwe pakakhala kuti sanalandire chithandizo chanthawi yake kumabweretsa zotsatirapo zovuta kwa thanzi la wodwalayo.
Zizindikiro za kutupa kwapancreatic
Poyamba, ziyenera kunenedwa kuti zizindikiro za matendawa zimatha kuonekera kwambiri komanso sizikuwonekera. Chizindikiro chodziwika bwino cha matendawa ndi kupindika kwa kapamba, komwe kumabweretsa kuwoneka ngati ululu. Chifukwa chake, kukwezedwa kwa ma enzymes koyenera kwa chimbudzi cha zinthu zofunikira kutsata kumatsekedwa ndipo kusayenda kumachitika. Zotsatira zakezi, minyewa imayamba kugwira wina ndi mnzake, ndipo zilonda zimawonekera pamaso pawo.
Pafupifupi njira iliyonse yotupa mu kapamba imayambitsa mawonekedwe a fibrosis kapena minofu yolimba. Matendawa, amathandizanso kuwonongeka pamtundu wa echogenicity panthawi ya ultrasound komanso kuthekera kwa kukhala ndi insulinoma kapena chotupa chokhala ndi mahomoni. Fibrosis, komanso kapamba, imatha kukhala yacymptomatic, yomwe imapangitsa kuti matendawa azindikire nthawi yake komanso molondola.
Nthawi zambiri, odwala amazindikira ngati matendawa ali ngati lamba, maonekedwe a m'mimba ndi kumatulutsa. Kulakalaka kumachepa, pomwe wodwala amachepetsa. Popeza zonsezi zimabweretsa mavuto ndi kugaya kwam'mimba, zizindikiro monga mseru, kusanza, ndi kudzimbidwa zimawonedwa. Kuphatikiza apo, matenda a pancreatic amatsogolera ku kuwoneka kwa doko louma kapena zolengeza, komanso mawonekedwe a kapezi pakhungu.
Kusokonezeka kwa chakudya chamagaya nthawi zambiri kumayambitsa kuchepa kwa madzimadzi ambiri pamimba, pomwe kukomoka kumawonedwa.
Zomwe zimayambitsa Kutupa Kwa Pancreatic
Kutupa kwa pancreatic kumachitika makamaka pokhudzana ndi moyo wosayenera.
Pazonse, madokotala ali ndi zifukwa zoposa zana zopititsa patsogolo matenda a kapamba.
Zina mwa izo, zomwe ndizodziwika kwambiri ndikumwa mowa kwambiri komanso kusiya zizolowezi zoipa, monga kusuta fodya.
Kuphatikiza apo, zinthu zotsatirazi zomwe zimayambitsa kutupa m'mapamba ndizofalikira:
- matenda a ndulu
- kumwa mankhwala ena
- matenda opatsirana
- kagayidwe kachakudya
- kupezeka kwa mphutsi,
- kuvulala kwam'mimba zosiyanasiyana, etc.
Mu pancreatitis pachimake, kupweteka kwa lamba kumawoneka mwadzidzidzi. Mavuto owawa amatha kukhala kwa maola ambiri kapena masiku angapo. Pankhaniyi, ndikofunikira kuchipatala mwachangu ndikuwongolera kuchipatala moyang'aniridwa ndi dokotala.
Matenda a kapamba sakhala aukali kwambiri. Komabe, imakhala ndi mphamvu zina zosasintha mthupi la munthu. Monga lamulo, pakufa kwa maselo ogwira ntchito a chiwalo, minofu yolumikizirana imapangidwa yomwe imatulutsa mahomoni ndi ma enzyme. Zotsatira zake, munthu amatha kukhala ndi matenda a matumbo komanso matenda ashuga.
Nthawi zina, khansa ya kapamba imachitika.
Msuzi wa Chithandizo cha Pancreatitis
Aliyense akhoza kupeza kapamba, koma, monga lamulo, awa ndi akulu. Ngakhale pali kuchuluka kwa mankhwalawa, ambiri akuyesera kuchiritsa matendawa mothandizidwa ndi mankhwala achikhalidwe.
Komabe, ndikofunikira kukumbukira kuti pachimake pancreatitis imafunikira chisamaliro chachipatala ndikuchipatala. Choyamba, muyenera kudziwa momwe mungabwezeretsere kuphipha kwa pancreatic. Ku chipatala, mankhwala omwe ali ndi saline ndi glucose amagwiritsidwa ntchito pazinthu izi.
Amathetsa kuledzera ndikuchepetsa mphamvu ya madzi m'thupi, pomwe kudziletsa kudya ndi kumwa zamadzi zambiri kumalimbikitsa. Nthawi zina, mankhwala owonjezera mankhwala amafunikira.
Mu matenda omwe akudwala, dokotala amatipatsa mankhwala omwe amachepetsa ululu, komanso ma enzyme owonjezera kuti athandizire kupanga ma enzyme. Nthawi zina, insulin imalimbikitsidwa kuti izikhala ndi shuga.
Njira yayikulu yothandizira mankhwala apakhungu ya kapamba ndizotsatira kwambiri zakudya, pomwe ntchito zotsatirazi zikulimbikitsidwa:
- Zowaka mkaka wowonda.
- zakudya zama protein ndi zakudya zopanda mafuta.
- Nsomba.
- Mbale.
- Masamba ophika ndi owiritsa.
- Zipatso zatsopano ndi zipatso.
Zosafunika kudya:
- mtedza
- bowa
- nyemba
- zakudya zamafuta ndi zonunkhira
- soseji ndi nyama zotsekemera,
- kuchuluka kwa zinthu zophika mkate,
- zakumwa zoledzeretsa ndi zakumwa zoledzeretsa, etc.
Iyenera kuchepetsa kwambiri kumwa kwa mchere wa patebulo.
Pancreatic colic - momwe mungachotsere?
Pancreatic spasms ikhoza kukhala yosiyana. Ngati mukuyenera kuchotsa zowongoka zowoneka bwino kunyumba, ndikofunikira kukhazikitsa wodwalayo pang'ono pang'onopang'ono, kugona kumbuyo kwake ndikutsutsana kwathunthu, popeza izi zimangowonjezera zomverera zowawa. Ma compress ofunda amakhalanso otsutsana. Bola kugwiritsa ntchito kuzizira.
Pakupita maola 24, zakudya zimapangidwa kwathunthu kuti muchepetse nkhawa pa kapamba. Ma flake oatmeal m'magawo ang'onoang'ono ndikofunikira kuyamba kukhala ndi thanzi mukatha kudya kwambiri. Kuphatikiza pa zakudya zoyenera, colic yokhala ndi pancreatitis imathandizanso kuchepetsa kumwa kwambiri, ngakhale ndibwino kumwa pafupipafupi komanso pang'ono. Mutha kumwa madzi wamba, mchere, koma wopanda mpweya, tiyi wazitsamba ndi mankhwala.
Mutha kuthana ndi kuphipha kunyumba ndi ma pinkiller (mwachitsanzo, paracetamol). Muthanso kugwiritsa ntchito mankhwala a antispasmodic, kupweteka kwapancreatic, pomwe kuchepetsedwa kwambiri. Ngati ululu wambiri wathera kale, gwiritsani ntchito kukonzekera ndi ma enzymes omwe adzathandizire ntchito ya gland.
Mwambiri, mankhwalawa a pancreatitis osakhala pachimake amtunduwu amagwiritsidwa ntchito maphikidwe osiyanasiyana wowerengeka. Tiyenera kukumbukira kuti kugwiritsa ntchito zithandizo zilizonse za anthu, komanso mankhwala ochokera ku mankhwala, kumafunika upangiri wamankhwala. Iyi ndi njira yokhayo yotsimikizira kuti kuvulaza kwambiri sikumachitika mthupi m'malo mothandizidwa.
Pancreatitis yachilengedwe imakhala ndi malo ku ICD kapena ku gulu lapadziko lonse la matenda. Matendawa amafunika kuti azindikirane komanso kulandira chithandizo nthawi yake, chifukwa zimachitika pancreas nthawi zambiri zimadzetsa zovuta zambiri za thanzi. Ndikwabwino kuchiza ma pancreatic ducts moyang'aniridwa ndi dokotala. Komabe, nthawi zambiri kusankha kwa wodwala kumagwera kunyumba, ndikugwiritsa ntchito:
- Mankhwala apadera omwe amathandizira kuyendetsa kapamba.
- Kuzizira kumachepetsa kuchepetsa ululu
- Madzi amchere, omwe amayenera kumwa kwambiri, onse kupewa ndi kuchitira mankhwala.
- Zakudya zapadera.
Matenda a kapamba, monga matenda ena aliwonse, amafunika kuti azindikire komanso kulandira chithandizo nthawi yake. Ngati wodwalayo ali ndi zizindikiro monga kusanza komanso kusanza, kuponderezana ndi chidwi chokhala ndi kutentha, kumva kupweteka kwa mtima, kukoka ndi kupindika kupweteka pansi pa nthiti kumbali yakumanja, muyenera kuwona dokotala. Kunyalanyaza izi kungayambitse zovuta zomwe zimafuna chithandizo chowonjezera.
Kuzindikira mwadzidzidzi, komanso chithandizo chamankhwala, kumatha kuyambitsa zovuta zingapo zathanzi. Ndiye chifukwa chake, ngati pali kukayikira kochepa kwambiri kwa matenda ena, funsani adotolo mwachindunji, omwe akupatseni mayeso ofunikira, ngati kuli kofunikira, upangiri wa akatswiri ndi chithandizo choyambirira. Chifukwa chake, mudzakhala otsimikiza ngati ndi vuto la "manjenje", kapena ndi matenda omwe amafunikira kuwunika koyambirira komanso kulandira chithandizo chotsatira.
Momwe mungachiritsire kapamba amauza katswiri muvidiyoyi.
Lingaliro la pancreatic spasm
Mukamachitika kuphipha, kupanikizika kwa kapamba kapena milomo yake kumakwera kwambiri. Pankhaniyi, kuponyera kwatsopano kwa madzi a kapamba ndi ma enzymes mu kapamba kumachitika. Zotsatira zake, kukula kwa njira yotupa kumawonedwa m'thupi lonse, kapena gawo laling'ono.
Perekani ma spasms, colic ndikukhazikitsa njira yotupa ndikosavuta. Nthawi zambiri, izi zimachitika motsutsana ndi maziko a matenda omwe alipo, mwachitsanzo, kapamba amtundu uliwonse (pachimake kapena chovuta). Koma oyimbira ndi:
- kumwa mowa mwauchidakwa,
- Zakudya zoperewera chifukwa chakudya zamafuta ambiri, zonunkhira, komanso zonunkhira zambiri,
- madzi ozizira kapena ayisikilimu nyengo yotentha,
- Zakudya zabwino kwambiri zomwe zimakhala ndizambiri zamankhwala osakhala zachilengedwe (zotsekemera, ma flavorings, zina, ndi zina).
- kusuta
Komanso kukokana kumatha kuyambitsa matenda ophatikizika:
- Maonekedwe amiyala yamiyala.
- Kugwiritsa ntchito maantibayotiki nthawi yayitali.
- Matenda opatsirana ndi ma virus.
- Helminths.
- Kuchepa kwa kagayidwe m'thupi.
- Zowawa m'mimba.
- Pancreatitis
Ndikofunikira. Chifukwa cha zoyambitsa zosiyanasiyana, cramping ikhoza kutchulidwa kapena kuchepera. Koma nthawi zambiri amafunikira kuchipatala mwachangu.
Nthawi zambiri, mawonetseredwe ena azachipatala amatha kulankhula za matenda osiyanasiyana. Ndipo munthuyo sathamangira kukaonana ndi dokotala, ndipo padakali pano, matendawa akupita patsogolo, ndipo munthuyo amaphunzira za matenda osiyanasiyana, atakhala kale pabedi la chipatala. Ngati munthu wadandaula ndi kuphipha kwa kapamba, Zizindikiro zake ndi izi:
- kupindika kupweteka kumtunda kwam'mimba,
- kusanza ndi kusanza
- kuphwanya chopondapo, callas imapeza mawonekedwe amadzimadzi,
- kutsegula m'mimba
- kuchuluka kwambiri kwa kutentha kwa thupi.
Kupumula nthawi zambiri kumawonjezeka ndi kuwonjezeka kwamlingo wopweteka. Akakhala apamwamba kwambiri, ndiye kuti kusanza kumachitika kawirikawiri. Zizindikiro zimayamba kuchulukana kwambiri pakamayenda munthu ndikudikirira pang'ono pamene iye ali ndi nkhawa.
Momwe mungatithandizire kupuma ma pancreatic spasms
Ngati munthu akumva kupindika kosatha ndi kupweteka kwambiri, muyenera kuyimbira foni ambulansi kuti mugonekere kuchipatala. Koma nthawi zambiri izi zimachitika modzidzimutsa, mwachitsanzo, kunja kwa mzinda kapena m'mudzi wawung'ono, komwe ambulansi ingatenge nthawi yayitali. Poterepa, ndikofunikira kudziwa momwe mungachepetse mkhalidwe wa wodwala. Kuti muchite izi, muyenera:
- Kanani kumwa mankhwala a antispasmodic monga mapiritsi (No-Shpa, Spazmalgon ndi ena). Sangothandiza, nthawi zambiri amakhala ndi zotsutsana, kusambitsa kusanza.
- Munthu ayenera kuyikidwa pamalo opanda phokoso komanso abata, mawonekedwe a "mluza" ndiabwino. Apa ndi pomwe munthu wagona pambali pake, ndikukoka mawondo ake pachifuwa.
- Kenako, munthu ayenera kusiyiratu kudya kwa tsiku limodzi. Kumwa mchere wamchere wamchere amaloledwa ngakhale kuloledwa. Madzi oterowo amakhudza bwino m'mimba, amachititsa kuti m'mimba musakhale zovuta zina.
- Compress yozizira iyenera kuyikidwa komwe amapezeka.
- Intramuscularly kulowa mankhwala antispasmodic, monga Papaverine, Maxigan, kapena No-Shpa.
Nthawi zambiri, zinthu zosayenera kuti zithandizire kupuma kwapanja zimayambitsa kuwonongeka kwakukuru m'munthu. Ndipo polingalira za chiwopsezo chonse cha matendawa, ndikuyambitsa ma spasms, zotsatira zakupha zimachitika. Sitikulimbikitsidwa kuti muchepetse kuchezera kwa dokotala, kupilira zowawa, ndipo mutatha mpumulo, iwalani zavutoli. Popeza malingaliro awa amachititsa kuti thupi lizolowera ululu ndipo limapangitsa kuti azindikire matenda okha, komanso chithandizo chonse.
Momwe mungadziwire pancreatic colic
Kuphatikiza pa ma spasms, munthu amatha kusokonezedwa ndi pancreatic colic. Ndiosavuta kusokoneza ndi kukokana ndi matumbo colic, koma potengera kuchuluka kwa mawonekedwe, amatchulidwa. Ndipo zimatha kudutsanso komanso kufa. Colic amakula pamaziko a pancreatitis pachimake. Poterepa, munthu amadandaula kuti zikuwoneka mu hypochondrium yamanzere kapena pansi pa supuni. Kuchuluka kwa chiwonetsero cha colic kumatengera mphamvu ya kutupa.
Mukapangidwa ndi colic a kapamba, amapangira madzi amamba kapamba, chifukwa chomwe munthu akumana nacho:
- kutentha kwa mtima
- wowawasa burp
- kutsegula m'mimba
- nseru ndi kugwedezeka
- Zowawa.
Zomwe zimapangitsa izi:
- Kudya chakudya chochuluka usiku.
- Kukhalapo kwa zakudya zamafuta m'zakudya.
- Kudya zakudya zonunkhira.
- Mowa wambiri.
Ndikofunikira. Ngati matendawa sanalandiridwe, posakhalitsa, makhoma a kapamba amayamba kugwa.
Njira zazikulu zamankhwala
Pochiza ma spasms ndi colic, ndikofunikira kuyandikira kwambiri, chifukwa sikoyenera kuchitira zizindikiro. Chithandizo chiyenera kuthana ndi zomwe zimayambitsa matendawa. Popeza pancreatitis ndiye chotsogolera kumayambiriro kwa spasms, chithandizo chimatengera mawonekedwe ake. Mu pancreatitis pachimake, chisamaliro chamankhwala chofunikira chimafunika, popeza pali chiopsezo cha kufa. Kupitilira apo, dongosolo la mankhwalawa ndi ili:
- Choyamba, adokotala amathandizira kupweteka komanso kupsinjika. Pazifukwa izi, wodwalayo amapaka jekeseni kudzera m'mitsempha yokhala ndi shuga komanso shuga. Amathandizira pang'onopang'ono kuthana ndi spasms komanso kupewa kuchepa kwa madzi m'thupi. Ngati ma spasms ali ndi mawonekedwe okwanira, ndiye kuti antispasmodics ndi omwe amapatsidwa. Pambuyo poletsa kuphipha, wodwalayo amayenera kuyesedwa (magazi, mkodzo, callas).
- Ngati zotsatira zoyeserera zikukayikira, ndiye kuti wodwalayo amatumizidwira wina wa ultrasound, CT kapena MRI.
Kuphatikiza apo, munthu amaletsedwa kudya kwathunthu kwa maola 24. Komanso kumwa kwambiri ndi mankhwala alkali okwanira. Pambuyo pake wodwalayo amapatsidwa zakudya zapadera kuti athetsere kuchuluka kwa katundu m'matumbo ndi kapamba. Kuphatikiza apo, ma enzyme nthawi zambiri amalembedwa kuti azithandiza kugaya.
Ngati kapamba amadwala, ndiye kuti minyewa ya pancreatic imawonongeka kwambiri. Kuti muchepetse mkhalidwewo ndikuimitsa kuphipha, ma spasmolytics amaperekedwa kwa munthuyo. Pambuyo pake, wodwalayo amapatsidwa mayendedwe omupatsa mayeso:
- kuyezetsa magazi ndikutsimikizira kuchuluka kwa leukocytes, ndi leukocytes omwe akuwonetsa kuchuluka kwa njira yotupa,
- kuyezetsa magazi osiyanasiyana kuti mudziwe kuchuluka kwa michere yopangidwa ndi thupi,
- mayesero a mkodzo ndi calla,
- Ultrasound yamimba yam'mimba (nthawi zambiri x-ray, CT, MRI, endoscopy),
- Pambuyo pa shuga ndi mankhwala othandizira, kuyesedwa mobwerezabwereza kwa kugwira ntchito kwa kapamba kumayikidwa.
Ndikofunikira. Nthawi zambiri, kuti achepetse kuchuluka kwa njira yotupa, wodwalayo amapatsidwa mankhwala osokoneza bongo ngati amamwa maantibayotiki.
Ndi pancreatitis, kuthetsa ma pancreatic spasms ndi chimodzi mwazinthu zazikulu zoyambirira, popeza kuchuluka kwa mawonekedwe awo kumatha kudzetsa chidwi cha anaphylactic komanso kuvuta kwa thanzi la munthu.
Zakudya zimawerengedwa kuti ndi imodzi mwamagawo a zovuta kuchiza matenda a kapamba. Popeza ndi zakudya zosayenera zomwe nthawi zambiri zimayambitsa kuphwanya kwam'mimba. Chifukwa chake, zakudya panthawi imodzimodziyo zimakhala ndi malangizo:
- Pambuyo pakuwonekera kwa ma pancreatic spasms, wodwalayo amaloledwa kudya kwa masiku awiri a 2 ndi pambuyo posiya kupweteka.
- Idyani chakudya chophika, chopanda zonunkhira, osati chotentha kwambiri komanso chosangalatsa.
- ndikofunikira kudya pang'ono. Ndi bwino kumadya zakudya zisanu tsiku lililonse.
Zovomerezeka ndi zotsimikizika zamatenda a kapamba:
- Nyama ndi yotsamira.
- Zowaka mkaka wowonda.
- Mbale, makamaka oatmeal.
- Palibe zipatso wowawasa ndi masamba.
- Tiyi ya zitsamba.
Ngati mumatsatira malingaliro onse a dokotala, ndiye kuti zotsatira zake sizitali. Ndipo posakhalitsa dongosolo lonse logaya chakudya lidzachira, ndipo zizindikiro zosasangalatsa zidzatha popanda kufufuza. Kupewa matendawa ndi chizindikiro chake ndikosavuta kuposa kuchiritsa.
Zizindikiro zopweteka
Kuchulukitsa kwa kapamba kumatha kukhala koopsa komanso kosatha.
Pankhani ya wakale, kupezedwa kwa kupweteka kwa kapamba kuli m'deralo pang'ono pansi pamimba, ndipo zotuluka ndizowopsa.
Tikafalikira mozama, timawona kupweteka, kupweteka, kupindika, komanso zimbudzi zoyendetsedwa ndi zinthu zina. Izi zimadziwonetsera pambuyo poti sizimagwirizana ndi zakudya ndikutsatira chakudya chilichonse. Ululu ndi wolekerera, koma kunyalanyaza kwawo kumabweretsa vuto m'thupi.
Chachikulu ndikuyimitsa kukonzekera mu nthawi, kenako ndikuyamba zochitika wamba. Osati chithandizo cha kukokomeza kumayambitsa kukula kwa ululu ngakhale magawo owonjezereka a matendawa.
Zoyenera kuchita ndikumva kuwawa kwa pachimake kapamba?
Mutha kuchotsa ululu wammbuyo ndi kapamba kunyumba, komabe, madokotala samalimbikitsa kuti muchite izi nokha popanda kuyang'aniridwa ndi akatswiri. Koma zimachitika kuti zimakhala zovuta kudikirira chithandizo chamankhwala, ndiye kuti muyenera kusiya kupweteketsa, kenako ndikumutumiza kuchipatala.
Gawo lodziwika bwino la vuto lodana ndi kupweteka ndi kuwonjezeka kwa ululu panthawi yakukhala, kukweza thupi kutsogolo.
Njira zothandizira pankhaniyi zikuphatikiza:
- kuwonetsetsa kupuma kwathunthu kwamthupi la wodwalayo, choletsa kuyendayenda kwadzidzidzi komanso kogwira ntchito,
- kupatula kudya,
- Kuletsa kukhazikitsidwa kwa Panzinorm, Creon ndi kukonzekera kwina komwe kumakhala ndi ma enzymes, chifukwa izi zikuwonjezera zomwe zikuchitika,
- kutenga 0,8 mg ya Noshpa kapena Drotaverinum kwa odwala,
- kutsatira kudera la kuthengo kuyambira kumbuyo kwa phukusi lotenthetsera kapena pachipale chotentha,
- Wodwala amakhala pampando wokhala ndi thupi loyenda chamtsogolo.
Jekeseni wam'mimba wa 2 ml ya Papaverine amathandizira kupweteka m'mimba pancreatic pancreatitis, koma yankho la Noshpa limagwiranso ntchito. Kumbukirani kuti ndikofunikira kuwunika momwe wodwala akupumira - ziyenera kukhala zapamwamba. Chabwino ndikuyesera kupuma mpaka ululu utachepa, ndiye kuti matendawa amadutsa pang'ono pang'ono.
Ndikusanza, muyenera kuyeretsa m'mimba ndi zala ziwiri ndikuzikakanikiza pamizu ya lilime. Kwambiri, kusanza kumachepetsa ululu, koma sikumapatsa mpumulo kwanthawi yayitali.
Ngati wodwala samadwala gallbladder dysfunction, ndiye kuti mapiritsi a Alohol amatha kuchepetsa ululu ndi kapamba. Chifukwa cha kudzipatula kwakanthawi kwa bile, ziphuphu zotayirira zimawonekera ndipo ntchito ya kapamba imakhala yofanana. Kulandila kwa mankhwala a choleretic kuyenera kuchitika limodzi ndi Noshpa, Drotaverin, Papaverine ndi antispasmodics ena.
Mukamaliza kuukira, simuyenera kudya ngakhale ndi chilimbikitso champhamvu. Chokhacho chomwe chitha kuchitidwa popanda zovuta zina ndikumamwa tiyi wokoma pang'ono kapena kumwa madzi owiritsa.
Kenako, wodwalayo amayenera kutumizidwa kuchipatala, komwe akapezeke njira zoyenera zothetsera ululu. Nthawi zambiri, wodwalayo amapatsidwa mankhwala ochepetsa mphamvu ya ubongo omwe amabwezeretsa madzi am'mimba komanso kutuluka kwake. Kontrikal ndiyotchuka, kubwezeretsa makoma a kapamba, ndikuthana ndi ululu, kuledzera.
Kenako, wodwalayo amamulembera antibacterial mankhwala kuti apitirize kufalikira.
Pambuyo pakupweteka kwathunthu, wodwalayo ayenera kutsatira malamulo ndi malingaliro:
- Kuti mukhale ndi njala masiku atatu: mungathe kumwa tiyi kapena madzi pang'ono,
- Pambuyo masiku atatu, mutha kuyamba kudya zakudya zamadzimadzi,
- Lekani kudya (izi zikugwira ntchito chaka choyamba pambuyo povulaza) mafuta, okazinga, osuta, ufa ndi zakudya zam'chitini, chifukwa chakudya chotere chimayambitsa kupweteka.
Nthawi zambiri, odwala amapatsidwa mankhwala omwe amathandizira m'mimba, monga Almagel, komanso mankhwala omwe amalimbikitsa chimbudzi: Pancreatin, Mazim. Musaiwale za Linex, Lactone, Lacidophile, yomwe imabwezeretsa matumbo.
Mlingo wa kutulutsa ululu kunyumba
Za momwe mungachepetse kupweteka ndi kapamba, mutha kudziwa nokha kuchokera kwa dokotala, kapena lingalirani upangiri wa akatswiri.
- Mankhwala a Spasmolytic monga Noshpa, Atropine, Papaverine, Platifilin amathandizira kuchepetsa ululu waukulu.
- Pambuyo pakupwetekedwa kwambiri, zopweteka zomwe zimakhala ndi enzyme zimakhala zothandiza ndikulimbikitsidwa. Kulandila kwa Pancumen, Creon, Panzinorm, Pancreatin, Festal, Mezim ndikoyenera. Amathandizanso kupindika chopondera pansi komanso kuthetsa dyspepsia. Kuchulukana kumatenga milungu isanu, ndipo chithandizo cha ululu wovuta nthawi zina chimatha mpaka chaka.
- Ngati edema ikupezeka, gwiritsani ntchito mankhwala a antienzyme ndi Gordoks kapena Kontrikal. Mwina kugwiritsa ntchito mtsempha wa magazi.
- Kumayambiriro kwa kutupa njira, wodwalayo amamuika cefpsan, cefobid.
Nthawi zina pancreatitis amathandizidwa ndi mankhwala achikhalidwe pogwiritsa ntchito dzira la nkhuku ndi mandimu.
Zoyenera kuchita ndi mawonekedwe a kapamba?
Mpumulo wa ululu wambiri pancreatitis uyenera kuyamba ndi njala yokwanira ndikupititsa kuchipatala wodwalayo. Njala iyenera kukhala masiku angapo. Mukatha kudya, iyenera kukhala yocheperako kuti pang'onopang'ono "muphatikizire" kapamba pantchito.
Kuyambitsidwa pang'onopang'ono kwa masamba owiritsa kapena atsopano, zipatso zomwe sizimakhala zokoma kapena zowawa ndizoyenera. Ndikofunika kuti musalole kutentha kumafuta.
Gawo lanjala litatha, kupumula kwa zowawa ndi kapamba kumachitika malinga ndi dongosolo lotsatirali:
- Zakudya zopatukana zimaperekedwa kuti muchepetse kuchuluka kwa mafuta omwe mumamwa,
- Kugwiritsa ntchito ma enzymes ndi ma inhibitors omwe amachepetsa kubisika kwa ma hydrochloric acid,
- Ma non-narcotic anti-kutupa ndi antipyretic analgesics ndi mankhwala,
- Ndizotheka kugwiritsa ntchito Okteroid, yomwe imalepheretsa mahomoni a neuroendocrine am'mimba m'mimba - mankhwalawa ndi oyenera pokhapokha ngati akumva ululu kwambiri komanso mukupweteka kwambiri.
- Ma analgesics a narcotic,
- The solar plexus imatsekedwa kuti ululuwo uzimiririka.
- Njira yaposachedwa kwambiri ikhoza kukhala kuchitapo kanthu kwa dokotala, yemwe ndi chithandizo chachikulu kwambiri.
Anesthesia ya pancreatic pancreatitis ndi njira yovuta komanso yopangidwira, yomwe iyenera kuchitidwa kunyumba mosamala komanso molondola. Kupatuka kulikonse pa malangizowo kumatha kubweretsa kukulira kwa vutoli ndikupweteketsa mtima kwambiri.
Kubwezeretsa nthawi pambuyo pakuchulukitsidwa
Choyamba muyenera kukumbukira kuti, mukakhala ndi vuto la kapamba, muyenera kusiyiratu chakudya chosafunikira komanso kukonda zakudya zoyenera zomwe sizingakhale ndi kukoma. Zakudya zonse ziyenera kukhala zatsopano ndi kuphika ndi chithandizo chochepa kwambiri cha kutentha.
Malingaliro oterowo sangakupulumutseni kwathunthu ku mawonekedwe a ululu, komanso othandizira thupi pang'onopang'ono kubwerera munthawi yokhazikika komanso yolimbikitsa. Kuphwanya zakudya kumatha kuyambiranso.
Nthawi zambiri, mankhwala akuchulukitsa umatenga masiku 10, ndipo ululu umachepa. Komabe, ngakhale izi zitatha, wodwalayo ayenera kumwa mankhwala othandizirana monga Creon. Zimathandizira kubwezeretsa pancreatic ntchito. Kulandilidwa kwa Linex ndikoyenera kuti aletse chidwi chofuna kunyoza.
Dokotala adzakuuzani momwe mungasungire bwino thupi mutasiya kupweteka.
Malangizo ena pambuyo pakutha kwa ululu ndi monga:
- kumwa madzi ambiri, tiyi wazitsamba,
- Buckwheat porridge amakonda kuposa ena
- kugwiritsa ntchito mafuta ochepa, zakudya zamasamba, buledi wowoneka bwino, masamba ophika,
- Kuchepetsa zochitika zolimbitsa thupi: Kupuma pabedi ndi kupuma thupi lonse.
Kuti ma syndromes azopweteka asathenso kuzolowera moyo wanu, muyenera kuwunika osadyetsa thanzi lokha, komanso moyo wamba. Zimangotengera inu kuti kapamba wanu azigwira ntchito bwanji osalephera.
Tsopano mukudziwa momwe mungachepetse kupweteka kwa kapamba, komanso momwe mungakhalire wovuta - musalole kuti thanzi lanu lithe!
- Kugwiritsa ntchito ndalama ya amonke pochizira kapamba
Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...
Kodi kuzindikira kwa pancreatitis yowonongeka kumatanthauza chiyani?
Matenda aliwonse am'mimba sangathe kupulumutsa zovuta zambiri, komanso amachepetsa kwathunthu thanzi la munthu, kuphatikizapo imfa.
Chithunzi cha matenda a hemorrhagic pancreatitis ndi kuperewera kwina
Hemorrhagic pancreatitis ndi amodzi mwa matenda omwe samayambitsa kuwonongeka mu chikhalidwe chonse, komanso amadziwika ndi chiwonongeko cha kapamba.
Zizindikiro ndi mfundo zochizira pancreatitis yowerengeka
Matenda a kapamba amakhudza anthu azaka zonse, komabe, pancreatitis yowerengeka ndi gulu la matenda omwe amakhudza anthu azaka zapakati komanso okalamba.
Zizindikiro ndi njira zochizira zotupa za kapamba
Nthawi zambiri kukula kwa matendawa kumatha kubisa njira zake kuyambira masiku angapo mpaka sabata. Nthawi zina zimachitika kuti kutupa kumatha kuchitika mobisa ndikuwonetsa zizindikiro zake pakangotha milungu ingapo.
Mungamve bwanji kuti mphaka akumva ululu wam'mimba?
Zizindikiro za ululu wam'mimba sizitha kuwonekeranso nthawi zonse - amphaka amatha kusaka maonekedwe; titha kuwonanso tikakhudza pamimba pakusokoneza amphaka.
Zizindikiro zina zimatha kutengera kutengera chomwe chimayambitsa, mwachitsanzo, mphaka wokhala ndi giardia amadwala matenda otsegula m'mimba, mphaka wokhala ndi miyala ya impso amatha kuvuta kukodza.
Matenda a virus, bacteria and parasitic (mwachitsanzo, lamblia) nthawi zambiri amayambitsa kusanza komanso kutsekula m'mimba. Giardia imatha kutulutsa fungo losasangalatsa, ndowe.
Zizindikiro za poyizoni zimatengera mtundu. Mphaka wanu amawoneka wosokonezeka, pali thovu pakamwa, kusanza, kukokana - izi ndi poizoni.
Zizindikiro za khansa zimatha kukhala zosamveka, koma zingaphatikizepo kuchepa kwa magazi, magazi pampando, kusintha kwa zizolowezi, ndikupita kuchimbudzi - kudzimbidwa, kutsegula m'mimba.
Kodi chimayambitsa kupweteka kwam'mimba ndimphaka ndi chiyani?
- Ascites ndikudzikundikira kwamadzi m'mimba.
- Campylobacteriosis ndimatenda opatsirana omwe amatha kufalikira kuchokera ku amphaka kupita kwa anthu.
- Khansa ndi kuchuluka kwa khansa yomwe imakhudza m'mimba, ndikupweteka.
- Kudzimbidwa - kuvuta podutsa chopondapo.
- Matenda a peritonitis amphaka ndi kachilombo koyambitsa matenda oyambitsidwa ndi coronavirus.
- Pancreatitis ndi kutupa kwa kapamba.
- Kusalolera chakudya - tsankho kungayambitse kuchuluka kwa mpweya m'mimba, zomwe zimapangitsa kupweteka komanso kuphimba.
- Kulepheretsa kwamkati - chifukwa cha chakudya (izi sizachilendo mu amphaka kuposa agalu), khansa, tsitsi.
- Miyala ya impso ndi mawonekedwe a impso.
- Giardia ndi tiziromboti tambiri tomwe timayang'ana matumbo ang'onoang'ono.
- Poizoni - Ziwopsezo zambiri zimatha kupweteketsa m'mimba m'mphaka. Zomwe zimayambitsa poizoni: antifreeze, rat sumu, zomera zakupha, aspirin, chokoleti.
- Peritonitis ndi kutukusira kwa peritoneum, komwe ndiko minofu wochepa thupi wolocha m'mimba.
- Pyometra ndimatenda oyambitsidwa ndi chiberekero.
- Kutupa kwa chikhodzodzo - nthawi zambiri kumachitika chifukwa chakuphulika ndi chinthu chakhungu kapena kufinya kwamkodzo.
- Salmonellosis ndi kachilombo ka bacteria komwe kamayambitsa kutupa kwamatumbo.
- Mtsempha wodwala.
Momwe mungadziwire kupweteka kwam'mimba?
Wowonongerapo ziweto amayesa kupimidwa ndi mphaka wanu ndipo adzakufunsani za momwe mphakayo aliri. Afuna kudziwa kuti nthawi yayitali mphaka wanu wamva kupweteka m'mimba, kodi mwazindikira zina, Kodi ndi chiyani?
Mayeso ozindikira amatengera zomwe mukufuna, koma zingaphatikizepo:
- An ultrasound pamimba ndi / kapena X-ray kuti ayang'ane ziwalo ngati zotupa, miyala ya impso, hernias, ndi kutupa.
- Kuyesedwa kwa magazi kwachipatala, kuyezetsa magazi a biochemical, ndi urinalysis kuti ayang'ane ntchito ya chiwalo ngati pali matenda ndi / kapena kutupa.
- Kuyesa kwa Stool kwa majeremusi.
Kodi kuchitira kupweteka kwam'mimba mu mphaka?
Chithandizo chimatengera zomwe zidapangitsa kupweteka m'mimba ndipo zimaphatikizapo:
- Maantibayotiki pochiza matenda a bacteria.
- Sterilization ndi mankhwala othandizira ma piritsi.
- Opaleshoni yochotsa khansa kapena zotupa zilizonse.
- Mankhwala othandizira monga madzi am'madzi, zowawa, mankhwala ochepetsa mseru.
- Maantibiotic kapena anti-parasitic mankhwala a giardia.
- Kuchotsa madzimadzi pamimba ndi m'mimba kuchitira ascites, komanso kuthana ndi zomwe zimayambitsa.
Chithandizo cha poyizoni chimatengera poizoni m'thupi, koma akhoza kuphatikizira kuchotsa kwa m'mimba (mukadakhala chakudya chaposachedwa), makala othandizira, mankhwala othandizira kugwirira, vitamini A omwe amaphatikizidwa ndi poyizoni wazotupa, ndi ethanol kuti athetse zovuta.
Matenda a ma virus, monga FIP, amawaganiziridwa kwambiri, akumapereka chithandizo chothandizira, mwatsoka, chiwerengero cha anthu omwe amafa ndi matendawa ndi chachikulu kwambiri.
Werengani za mtundu wamtundu wa Devon Rex pano.
Nkhaniyo imagwiritsa ntchito:
Momwe mungasinthire zinthu kunyumba
Zomwe zimayambitsa kupweteka m'mimba zimatha kukhala zambiri, ambulansi isanabwere, simungagwiritse ntchito pepala lotenthetsera, kuyika enema kapena kumwa mankhwala osokoneza bongo. Ngati dokotala akutsimikizira colic yosavuta, mutha kuchita izi:
- imwani mapiritsi awiri a No-Shpa, kumwa ndi msuzi,
- ikani mafuta otenthetsera pofunda kuti mupumulitse minofu ndikuchepetsa kuphipha,
- pangani kuyeretsa kwina ndi timbewu tonunkhira kapena ndimu,
- ngati kupsinjika ndi komwe kukuyambitsa, mutha kuyeserera,
- imwani decoction wa amoele, chamomile,
- gwiritsani ntchito rectal suppository yomwe ili ndi belladone kapena mutenge piritsi ya Bekarbon, Besalon.
Pambuyo pazinthu zotere, muyenera kusiya chakudya kwa maola khumi ndi awiri. Amaloledwa kumwa tiyi wofunda ndi oyambitsa kuchokera mikate yoyera. Pambuyo pa izi, tikulimbikitsidwa kutsatira zakudya, kupatula zinthu zamagulu azakudya zomwe zimatha kupangitsa mpweya wambiri.
Kuti muchepetse kupweteka m'mimba, muyenera kusintha zakudya. Kuti muchite izi, ndikofunikira kugwiritsa ntchito mankhwala omwe ali ndi zopatsa thanzi komanso zopatsa thanzi. Ndikofunikira kudya kangapo kasanu ndi kamodzi patsiku m'magawo ang'onoang'ono kuti musalemerere m'mimba yovulazidwa. Ndikulimbikitsidwa kugwiritsa ntchito mbewu monga chimanga, msuzi wopepuka, mbatata yosenda, mavitamini, masamba owiritsa, zipatso zosenda.
Zopindulitsa kwambiri ndizopanga mkaka. Ndikofunika kuwonjezera chakumwa monga mkaka ku khofi ndi tiyi. Ndikofunikira kuti mafuta onse amkaka akhale ndi mafuta ochepa. Simungathe kudya zopitilira zopitilira 3,000 patsiku. Yambitsani mafuta azitona muzakudya, popeza zimathandiza. Othandizira azakudya amalangizidwa mwamphamvu kuti amwe madzi amchere popanda mpweya, tiyi wazitsamba ndi mankhwala.
- Chakudya chomaliza maola awiri asanagone
- osati kuti afe ndi njala, komanso kuti musagwiritse ntchito bwino chakudya,
- kutafuna chakudya pang'onopang'ono
- idyani m'magawo ang'onoang'ono
- Chakudyacho chizikhala chotentha, koma osatentha,
- Sizoletsedwa kudya yokazinga, zokometsera, zokometsera, mchere, zakudya zouma.
Kuphatikiza apo, pansi pa chiletso pali: zakumwa zozizilitsa kukhosi, nyemba, bowa, maswiti, zinthu zatsopano zophika, zakudya zamzitini, masoseji ndi masoseji.
Ngati m'mimba timatulutsa, ndiye kuti maantibayotiki amayikidwa kuti apatsidwe chithandizo, amatengedwa malinga ndi malangizo okhwima kuti asavulaze thupi. Njira yochepetsetsa ya chithandizo ndi masiku khumi ndi anayi. Kenako dotolo atha kukulemberani mankhwala achiwiri, kupatsa mapiritsi, jakisoni, kadyedwe ndi masewera olimbitsa thupi oyenera. Mukamapereka mankhwala, muyenera kuganizira za zomwe wodwalayo ali nazo, kuzindikira matendawo, kulabadira zosintha zokhudzana ndi zaka.
Kupweteka kwam'mimba m'mimba kumatha kukhala chifukwa cha kuperewera kwa zakudya, kupsinjika ndi mantha, ndipo mwina akuwonetsa matenda oopsa omwe amafunikira chithandizo chamanthawi. Ngati mukusamala ndi zosasangalatsa komanso zomata, komanso zizindikiro zina, ndibwino kukaonana ndi dokotala.
Onse mwana ndi wamkuluyo adamva kupweteka kwam'mimba. Kwa ena, kuphipha kwambiri kwakanthawi, kwa ena kudwala. Kodi mungafotokozere izi? Ndipo chikuyenera kuchitidwa ndi matumbo colic? Zomwe zimayambitsa kukokana kwam'mimba komanso mayendedwe azakudya adzaphunziridwa pambuyo pake.
Koti mupite:
Monga chiwalo, chimagwira gawo lalikulu m'moyo wa thupi. Pamodzi ndi mtima, imatha kutchedwa mtundu wa injini - kukonza chakudya, imapereka mphamvu yothandizira chiwalo chonse, ndikupatsanso mphamvu kuti igwire ntchito.
Koma, monga chiwalo chilichonse, m'mimba mumatha kutengeka ndi matenda osiyanasiyana kapena kungosokoneza kwakanthawi. Vuto limodzi mwanjira imeneyi ndi colic.
Gastric colic imachitika chifukwa cha kusokonezeka kwa m'mimba.
Osati matenda motero. Amangowonetsa kuphwanya kwa magwiridwe amtundu wa m'mimba kapena m'mimba mwake.
Colic imatha kuzindikirika osati ngati chizindikiro chosiyana, koma monga zovuta za zinthu zomwe zimatha kuchitika zokha komanso mosiyanasiyana.
Colic yokha ndi spasmodic. Amayimira kufupika kwamkati mwa minofu yam'mimba, yomwe imayendera limodzi ndi kufooka kwamphamvu.
Nthawi zina mseru ndi kusanza zimawonjezeredwa ndi zizindikirozi. Kupwetekaku kumakhala kovutirapo kotero kuti munthu mwadala amaganiza za "mluza", ndikukoka mawondo ake mpaka m'mimba mwake ndikukulunga mikono yake m'mimba.
Gastric colic imatha kukhala nthawi yosiyana. Nthawi imodzi, kukokana kumatheka patadutsa mphindi zochepa, kwinaku, izi sizingachitike kwa maola angapo. Ululu pamenepa ukhoza kukhala wamitundu yosiyanasiyana:
- pafupipafupi (paroxysmal) - pakati pa nthawi yomwe ululu umayamba kupweteka pali zigawo za kupumula,
- cramping
- kudula
Mlingo wa zowawa ungakhale wosiyana:
- kupweteka pang'ono
- zolimbitsa
- wotchulidwa kwambiri.
Nthawi zambiri, m'mimba mwa m'mimba mumakhala ndi ululu wosokoneza. Potere, mwina, pali mtundu wina wogwira ntchito. Ngati ululu ulibe kufooka, kupweteka, m'malo mwake, kumatha kuwonetsa kuvulaza kwambiri chiwalo chimodzi kapena zingapo.
Ndi colic m'mimba, ululu umatha kumva osati m'malo ake okha. Imatha kuwalira ziwalo zina ndi ziwalo za thupi, ndiye kuti, zitha kuwoneka kuti m'mimba sizivulala, koma mwachitsanzo, kumbuyo kwakumbuyo. Kusintha kwamadzimadzi ndikothekanso.
Chifukwa cha izi, kudziwa zomwe zimayambitsa colic ndizovuta kwambiri. Kuphatikiza apo, ndimavuto amtundu wam'mimba, palibe kusintha kwa thupi kapena kuwonongeka kwa minofu ndi ziwalo zamagetsi zomwe zimachitika, zomwe zimakulitsanso zovuta kudziwa zomwe zimayambitsa ma spasms.
Chifukwa chiyani colic imachitika m'mimba
Zakudya zopanda pake zimatha kuyambitsa m'mimba.
Zomwe zimayambitsa kukokana m'mimba zitha kugawidwa m'magulu awiri akulu kutengera mtundu wa colic.
Ntchito kukokana chifukwa cha kusokonezeka kwa kagayidwe kachakudya njira ndi ntchito yamanjenje. Chifukwa chake, pazinthu zomwe zimayambitsa kupezeka kwa colic, titha kusiyanitsa:
- Zakudya zopanda pake (chakudya chopanda thanzi, kudya kwamafuta osakwanira, zizolowezi zodya - kuyankhula mukamadya, kudya pang'onopang'ono popita, kudumpha chakudya chokakamiza, kudya kwambiri),
- pafupipafupi zovuta
- zizolowezi zoipa: kumwa, mowa ndi mankhwala osokoneza bongo, kusuta,
- kumwa mankhwala ena
- kuledzera kwamankhwala (ntchito m'makampani owopsa, kusokoneza chilengedwe),
- poyizoni wa zosiyanasiyana etiology (chakudya, mowa),
- makina amakhudzidwa (zotsatira za magwiridwe am'mimba),
- Zotsatira za matenda akale,
- Kusintha kwanyengo ndi kudya zakudya zapamwamba,
- hypothermia.
Gastric colic of organic organism imakwiyitsidwa ndi kuwonongeka kwa ziwalo zam'mimba thirakiti:
- kukokoloka njira
- zilonda zam'mimba.
Kutengera ndi zomwe zimachokera ku colic, pulogalamu ya chithandizo yomwe imasankhidwa ndi katswiri imadalira.
Kuyeza magazi kumathandiza kudziwa chomwe chimayambitsa m'mimba.
Pakulandila wodwala ndi madandaulo a colic, dokotala woyamba wa matenda am'mimba amatenga ndikuwunika mbiri yachipatala ya matenda ndi moyo wa munthu amene wafunsirayo, komanso mbiri yachipatala ya banja lake. Kuti muchite izi, adotolo angadziwe mafunso otsatirawa:
- Kutalika ndi chikhalidwe cha ululu.
- Kukhalapo kwa mavuto ndi matumbo a matumbo (kudzimbidwa, magazi).
- Kupezeka kwa kusanza ndi kutentha thupi.
- Zowona kuti amamwa mankhwala opweteka ndi kupezeka kwa zabwino kuchokera ku oyang'anira.
- Mkhalidwe wodwala, machitidwe ake akudya.
- The kukhalapo m'mbuyomu komanso masiku ano matenda am`mimba thirakiti wodwala ndi banja lake.
- Kupitilira apo, ngati uku ndi koyamba, dokotalayo amawunika wodwalayo, amawona matendawa, makamaka, dera la epigastric (dera lakhomo lamkati lanyumba lolingana ndi kuchuluka kwa m'mimba pakhomalo).
Kenako wodwalayo amatumizidwa kukayesedwa wa labotale. Mungafunike:
- okwanira ndi mkodzo
- kuyesa kwamwazi wamagazi,
- zamatsenga magazi ndowe kusanthula,
- chizolowezi ndi pulogalamu.
Pofuna kumveketsa bwino lomwe matendawo, wodwalayo amathandizanso pakuzindikira:
- amakupatsani mwayi wowunika bwino ziwalo.
- Kuunika kwa X-ray sikumapereka lingaliro lolondola lazomwe zimakhala ndi ziwalo zam'mimba, koma zimakupatsani mwayi kuti muwone kupezeka ndi kufalitsa kwa mpweya ndi zakumwa m'chithunzichi. Kutengera ndi chidziwitso ichi, malingaliro ena akhoza kufotokozedwa za ma pathologies omwe amapezeka m'dera lophunziridwa la thupi la wodwalayo.
- - njira yolondola kwambiri komanso yophunzitsira yazidziwitso zothandizira. Pa komputa ya pakompyuta, chithunzi cha ziwalozi chimawoneka m'mafanizo atatu. Zithunzi za ziwalo zamunthu sizigundana, mosiyana ndi x-ray. Chiwalo chilichonse chikuwoneka mu gawo, mutha kuwunika mawonekedwe, kukula, mawonekedwe a minofu yake. Kuphatikizidwa kwa tomography kumakuthandizani kudziwa kukhalapo kwa matupi achilendo mu gawo lophunziridwa la thupi, kusintha kwa maselo ndi ziwalo za ziwalo.
Kutengera ndi zomwe adapeza pakuyang'ana wodwalayo, adokotala ake amapita pulogalamu yachipatala. Kumbukirani kuti njira zochiritsira (kuphatikizapo chithandizo chothandizira) zimatha kukhala nthawi yayitali.
Pankhaniyi, muyenera kuyendera katswiri wanu wowachiritsira kuti athe kuwunika momwe mankhwalawo amathandizira komanso ngati pakufunika kutero, sinthani mankhwalawo.
Pancreatic spasms: momwe ndi momwe mungathandizire kupweteka
Kukula kwa kusanza mwachindunji kumatengera kulimba kwa kupweteka kwa ululu. Mankhwala a Antispasmodic ndi osagwira ntchito. Kuti muchepetse ma spasms, ndikofunikira kuti musankhe bwino, ndipo pakadali pano, pemphani thandizo mwadzidzidzi.
Acute pancreatitis ali ndi chiopsezo cha kufa. Chifukwa chake, ngati mukuwona kuti pali njira yotupa mu kapamba, pitani kuchipatala msanga.
Pothandiza mavuto a ululu ndi kupsinjika kwa kutupa, malinga ndi mfundo ya "Kuzizira, njala ndi mtendere":
- Wodwala amakhala ndi njala ya tsiku ndi tsiku. Kwa maola 24 ndizoletsedwa kudya zakudya zilizonse.
- Lembani zakumwa zambiri, motsogozedwa ndi mchere wamchere.
- Compress yozizira imayikidwa m'dera lam'matumbo momwe kapamba amapezeka.
- Onani momwe wodwalayo alili m'chipatala moyang'aniridwa ndi ogwira ntchito kuchipatala.
Kuchotsa spasms ku pancreatitis kunyumba ndi kowopsa, chifukwa kulephera kuchita kungapangitse thanzi labwino komanso kutaya nthawi yamtengo wapatali.
Ku chipatala, wodwalayo amayeza mayeso athunthu, kuphatikizapo kuperekera magazi, ndowe ndi mayesero amkodzo, kufufuza kwa ma ultrasound, kufufuza kwa x-ray. Ngati ndi kotheka, kulingalira ndi / kapena kulingalira kwamatsenga kwa m'mimba kudzachitidwa. Ndipo koposa zonse, pamavuto, opaleshoni imachitidwa nthawi yomweyo.
Pa kuchira, chithandizo chokwanira cha kapamba chimasonyezedwa. Wodwala ayenera kumwa mankhwala oletsa kupweteka, enzyme ndi enunomodulating. Zochita zolimbitsa thupi ndizochepa. Masewera omwe ndi ovuta kwa kapamba samachotsedwa (kuthamanga, kudumpha, ndi zina). Chofunikira ndi masewera olimbitsa thupi.
Kutsatira kwambiri zakudya za kapamba kwa chaka chimodzi ndiyo njira yobwezeretsanso thanzi. M'tsogolomu, zakudya zimakulitsidwa, ndikumangoletsa zakumwa zoledzeretsa, zamafuta ndi zakudya zabwino zambiri.
Pancreatitis ululu mpumulo: chochita, mankhwala ndi zakudya
Aliyense amene wakumanapo ndi kupweteka m'mimba kapamba nthawi zingapo amadziwa momwe zingakhalire zosasangalatsa komanso zopweteka. Ma syndromes oterewa alibe mphamvu zopirira, ndipo ambulansi imachedwa, monga kale, chidziwitso cha momwe mungachepetsere kupweteka ndi kapamba kunyumba ndizothandiza.
Sikovuta kusinthitsa matendawa ndikumva ululu wam'tsogolo: kudya mafuta kapena zakudya zonunkhira, kumwa mowa kwambiri kapena kukhalapo kwa magawo apamwamba a gastritis ndi zina pathologies ndikokwanira. Masiku ano, munthu aliyense wachitatu kamodzi anakumanapo ndi kapamba.
Katswiri wamkulu wa gastroenterologist wa Russian Federation: "Kuti muchotse kapamba ndi kubwezeretsa thanzi loyambirira la kapamba, gwiritsani ntchito njira yotsimikiziridwa: kumwa theka lagalasi kwa masiku 7 motsatana ...
Mungamvetse bwanji kuti zowawa zomwe zimakuvutitsani zimachokera ku kapamba, komanso kuti zimapweteka ndi kapamba?
Pancreatic spasm: Zizindikiro ndi chithandizo
Ngati kapamba sanakonzekere, ndiye kuti munthu amamva kupweteka, kupindika komanso ngakhale kupindika. Vutoli limatha kudwala tsiku lonse. Chifukwa chake, ndikofunikira kudziwa chomwe chimayambitsa matendawa, Zizindikiro, komanso njira zothandizira ndi chithandizo choyenera.
Momwe mungachepetse kuukira kwa kapamba kunyumba kwanu
Anthu omwe ali ndi kapamba amatha kumva ululu wammbuyo. Zoyenera kuchita pazochitika izi komanso momwe mungakwaniritsire kunyumba kuti muchepetse kuukira ngakhale chithandizo chachipatala sichikupezeka. Tiphunzilapo izi m'nkhaniyi.
Zizindikiro za pancreatitis pachimake
Chofunikira chamkati mwa thupi la munthu ndi kapamba, amene amathandiza kugaya chakudya. Imachititsanso kuti mahomoni ambiri ndi ma enzymer ofunikira kuti chimbudzi chikhale. Kutupa mu kapamba kumayambitsa matenda ngati kapamba.
Pali mitundu iwiri ya matendawa:
M'njira zonsezi, kutupa kwa kapamba kumayendera limodzi ndi kupweteka kwambiri. Ngati palibe chithandizo choyenera ndipo wodwala akaphwanya chakudyacho, pali zotupa za zotupa za necrotic, chifukwa chake, munthu akhoza kufa.
Mwanjira yovuta kwambiri ya kapamba, zizindikiro zotsatirazi nthawi zambiri zimachitika:
- kupweteka kwa hypochondrium kumanja,
- lamba ululu kumbuyo
- nseru ndi kugwedezeka
- ukufalikira,
- kusowa kwa chakudya
- kupsinjika kumatsika
- mutu
- Zizindikiro za tachycardia zimawonedwa.
Komanso, ululuwo ungafooketse pang'ono ngati wodwalayo atakhala pansi ndikupunthira mawondo ake. Ngakhale kuukiridwa kwadutsa, muyenera kufunsa thandizo kuchokera kwa dokotala kuti mupewe zovuta.
Nthawi zambiri pamabuka mafunso omwe ndi akatswiri omwe amafunsidwa kuti azindikire zizindikiro za kupweteka kwa kapamba.
Ngati zizindikirozi zikuchitika, muyenera kulumikizana ndi othandizira omwe, ataphunzira za momwe wodwalayo alili, apereka kwa a gastroenterologist.
Amachita kafukufuku ndikuwapatsa chithandizo chamankhwala omwe amamwa komanso kutsatira kwambiri zakudya. Ngati ndi kotheka, mudzafunika kuonana ndi dokotala komanso akatswiri ena.
Kodi chithandizo chofunikira ndi chiyani?
Pambuyo poti kuukira kwatha, simungadye chakudya, izi zimatha kuyambiranso. Komabe, simuyenera kumangokhala ndi kumwa. Akatswiri amalimbikitsa kumwa madzi owiritsa kapena tiyi wokometsera.
Momwe mungachepetsere kupweteka kwambiri ndi kapamba, odwala ambiri ali ndi chidwi. Wodwala akagonekedwa m'chipatala, opaleshoni amaikidwa.
Kuchipatala, amatsuka thupi, kuyika ma dontho ofunikira, kupereka mankhwala omwe amathandizira kubwezeretsa kapamba ndikutchiritsa kutupa.
Ma antidepressants amalembedwa limodzi ndi mankhwalawa, popeza mkhalidwe wamaganizidwe a wodwalawo umakulirakulira pochiritsa.
Komanso, ngati ndi kotheka, mankhwala othandizira, ma pancreatic enzyme inhibitors, kulowetsedwa kwa mapuloteni ndi mchere kumachitika.
Ngati palibe chithandizo choyenera, ndiye kuti kuukira kwatsiku ndi tsiku kumatha kubweretsa chiwonongeko cha chiwalo ndi kufa. Chifukwa chake, ngakhale ngati kunali kotheka kuchotsa ululu wammbuyo, muyenera kulumikizana ndi kuchipatala kuti mudziwe zomwe zimayambitsa.
Kupewa pambuyo potiukira
Mu chifuwa chachikulu cha khunyu, kukomoka kumatha kuchuluka, motero ndikofunikira kudziwa momwe mungachepetsere kutupa kwa kapamba kunyumba.
Mankhwala omwe ayenera kumwedwa nthawi zina amatha kutenga dokotala, ndikuwapatsanso mankhwala.
Thandizo loyambirira la pancreatitis kunyumba lithandiza kupewa zovuta ndipo lingapulumutse moyo wa munthu.
Zoyenera kuchita ndi kapamba kunyumba, ngati kuchulukitsa kumawonekera nthawi zonse. Ndikofunika kumwa mankhwala onse omwe dokotala mwalandira ndi kutsatira zakudya zapadera. Kupatula apo, kupweteka ndi kapamba nthawi zambiri kumachitika chifukwa chophwanya malamulo a zakudya.
Mwakutero, kudya zokometsera, mafuta ambiri kapena chakudya chokoma kwambiri. Zotsatira zake, kutuluka kwa msuzi wa pancreatic kumasokonekera, kapangidwe kake kamasintha, ndipo munthuyo amawonetsa zizindikiro monga mseru komanso kusanza.
Kutsatira zakudya kumayiwala za kuchuluka kwa matendawa.
Zoyenera kuchita ndi ziphuphu
Pancreatic attack - mkhalidwe womwe umafuna chithandizo chamankhwala mwadzidzidzi. Zizindikiro za matendawa zimawonekera bwino kwambiri kuti thanzi la wodwalayo likuipiraipira msanga.
Monga lamulo, kuchulukitsa kwa kapamba kumayamba chifukwa cha zolakwika zazikulu zopatsa thanzi, kuledzera, kuchita masewera olimbitsa thupi kapena zamaganizidwe, komanso machitidwe a zinthu zina zopsetsa mtima.
Zizindikiro zazikulu za matendawa
Zizindikiro za kupweteka kwapancreatic zimayamba mwadzidzidzi. Chowonetsera chachikulu ndikupweteka kwambiri kudula komwe kumachitika koyamba kumanja kwa chifuwa ndipo pang'onopang'ono kufalikira mpaka theka lakumanzere.
Ichi ndichifukwa chakukwiyitsa mathero amitsempha, omwe amapezeka kwambiri mu endocrine gland. Chifukwa cha edema ya chiwalo ndi kufooka kutuluka, chinsinsi chimadziunjikira kapamba, zomwe zimapangitsa kuti chimbudzi chake chikhale ndi zomwe zimapangitsa kuti kupweteka kwambiri kumachitika.
Zomverera zosasangalatsa nthawi zambiri zimaperekedwa pansi pa tsamba kapena kumbuyo. Zizindikiro izi zimatha kubweretsa vuto pakuzindikira, chifukwa chomwe amafunikira kuti apange matenda mosiyanitsa ndi infarction ya myocardial, yomwe imawonetsanso chimodzimodzi. Mukakhala ndi gawo la kutupa kwa peritoneum, zizindikiro zatsopano zimawonekera.
Izi zimaphatikizira ululu wowonjezereka ndikamenya pamimba. Komanso, mukalimbikira, zinthu zitha kusintha kwakanthawi kochepa.
Chizindikiro chofunikira ndikulephera kwam'mimba. Kupweteka kwambiri kumayendera limodzi ndi kusanza, komwe sikumapereka mpumulo ndipo kukufooketsa. Pakapita kanthawi, bile limayamba kusanza, ndipo ngati m'mimba mulibe kanthu, zilimbikitso zamphamvu ndi nseru zokha zimatsalira.
Stool matenda amakula mu mawonekedwe a m'mimba. Chifukwa cha kuthamanga kwa matumbo, mphamvu zotsalira za chakudya chosagwiritsidwa ntchito zimapezekanso mu ndowe. Komabe, kudzimbidwa kumatha masiku ochepa. Flatulence zimawonedwa, zomwe zimatsogolera kutulutsa kumatulutsa. Chovala choyera chimaoneka pamilomo.
Pazowonjezera, pali kuwonjezeka kwakukulu kwa kutentha kwa thupi. Munthu amakhala wopanda mphamvu, osatha kuyimirira ndi mapazi ake. Kuyenda kulikonse kumayendetsedwa ndi zowawa, kotero wodwalayo amayesa kupeza malo abwino omwe amabweretsa mpumulo pang'ono.
Pakati pazizindikiro zina za pancreatitis pachimake, kulumpha m'magazi kumawonedwa, komwe kumatha kuwonjezeka kapena kuchepa kwambiri. Kukoka kumakhala kofooka komanso kufulumizitsidwa. Chifukwa cha kusanza kwakukuru, hypovolemia imayamba, zizindikilo zake zomwe zimakhala mkamwa youma komanso kusintha kwa khungu kukhala tint yosasangalatsa.
Kupezeka kwa matendawa kumawonetsa kuphwanya kwambiri thanzi la wodwalayo, makamaka ngati kwa masiku angapo munthu adayesetsa kuthana ndi vutoli ndipo sanapemphe thandizo kuchipatala.
Kusamalira mwadzidzidzi
Zizindikiro za vuto lodana ndi pancreatic zimadziwika ndi kulimba mtima kotero kuti nthawi zambiri munthu sangathe kupirira nawo payekha ndikupempha thandizo kuchipatala.
Momwe mungachepetsere kuukira ngati kulibe njira yoimbira foni mwadzidzidzi kapena munthu ali kutali ndi mzinda? Potere, thandizo loyamba limagwera abale kapena abwenzi.
Kuchepetsa matenda a kapamba, ndikofunikira kupatsa wodwalayo kupumula kwathunthu. Sayenera kuyenda mwadzidzidzi. Maimidwe oyenera - atakhala, atatsamira pang'ono pang'ono.
Chithandizo choyamba cha matenda a pancreatitis chimaphatikizapo kugwiritsa ntchito antispasmodics ndi analgesics. Izi zidzachotsa kuphipha kwa chimbudzi ndikuchotsa chinsinsi mgulowo kuti kapamba asayambe kudzimbira. Kuti muchite izi, mutha kugwiritsa ntchito mankhwala awa:
Choyamba, kuzizira kuyenera kuyikidwa m'malo opezeka pancreas, omwe amapezeka pakati pa navel ndi sternum, kuti achepetse ntchito ya kutupa. Pachifukwa ichi, mutha kugwiritsa ntchito phukusi lotenthetsera ndi madzi ozizira, masamba oundana ndi njira zina. Popewa khungu la chisanu pakhungu, ayezi ayenera kukulunga ndi nsalu zingapo.
Zoyenera kuchita ndi momwe mungathanirane ndi kuukiridwa? Lamulo loyamba la kuthetseratu kusamvana komanso kuchira kwa wodwalayo ndikuti ndizoletsedwa kudya panthawi yowonjezera matenda.
Izi ndichifukwa choti chifukwa chobowola chakudya m'matumbo am'mimba, kupanga ma enzyme kumayambitsa.
Komabe, popeza chifukwa cha kutupa sangathe kulowa m'matumbo, vuto la wodwalayo limakulirakulira, popeza chiwopsezo chakugaya chiwalo chikukula.
Simungadye kokha mukachotsa kuukira, komanso kwa masiku 1-3 pambuyo pake, kotero kuti kutupa ndi kutupa kwa minofu kumatha. Madzi oyera okha, osakhala ndi kaboni amatha kumwa, chifukwa kusanza kwambiri kumapangitsa kuti madzi atheretu. Imwani mankhwalawo kangapo, koma kangapo. Izi zitha kupewa kuyambiranso kusanza.
Chithandizo chowonjezera
Kuchotsa mwachangu kuukira kuonetsetsa kuti palibe zovuta zaumoyo kwa wodwala. Chifukwa chake, sikofunikira kudikira kuti chilichonse chichitike paokha;
Ngati ambulansi isanachitike, sizotheka kuthana ndi vuto lomwe liziwoneka, dokotala amatha kulowa ma antispasmodics ndi analgesics. Posakhala zotsatira zabwino, ndikofunikira kuchotsa zachiwopsezo ndikuchiza ziphuphu mchipatala, pomwe pamakhala mwayi wowunika bwino wodwalayo ndikuwona kuchuluka kwa magwiridwe antchito.
Kuperekanso chithandizo cha pancreatitis pachimake kumapangidwira payekhapayekha kwa wodwala aliyense. Pankhaniyi, Zizindikiro za matendawa, zotsatira za mayeso ndikuwunika zimawerengedwa.
Pancreatitis mankhwala ayenera kukhala okwanira. Kuphatikiza pa kugwiritsa ntchito mankhwala a antispasmodic ndi analgesic, kusankhidwa kwa okodzetsa kumasonyezedwa. Ndi thandizo lawo, mutha kuchotsa kutupikako, komwe kuonetsetsa kuti kutulutsa kwachangu kapenanso kuchotsa chiopsezo chodzimbidwa.
Kuphatikiza apo, okodzetsa amathandizira pakuchotsa kwakukulu kwa poizoni ndi michere kuchokera mthupi la munthu. Pachifukwa ichi, ndibwino kugwiritsa ntchito Furosemide kapena Lasix.
Mukamapereka mankhwala a Diakarb, ndikofunikira kuti muphatikizire kukonzekera kwa potaziyamu mu njira zochizira, chifukwa okodzetsa amathandiza kutsuka chinthu chofunikira ichi.
Ndi kukula kwamavuto, makamaka, ndi mawonekedwe a bakiteriya, mankhwalawa amaphatikizapo kugwiritsa ntchito antimicrobials - fluoroquinolones kapena 3-4 m'badwo wa cephalosporins.
Ngati ziwopsezo za kapamba zimayambitsa kufooketsa kwambiri thupi, mavitamini amathandizanso kubwezeretsa mphamvu ndi nyonga. Choyamba, ndalama ziyenera kuperekedwa mwachidwi kuti zimayambiranenso mwachangu. Mtsogolomo, amaloledwa kusinthana ndi fomu ya piritsi.
Chithandizo cha pachimake kapamba sichimaphatikizapo kugwiritsa ntchito ma enzymes. Komanso, ndizoletsedwa. Kupatula apo, chinsinsi chimadziunjikira kapamba, chifukwa chake sayenera kuloledwa kulandira chake kuchokera kunja. Izi zitha kukulitsa vutolo ndikukulitsa thanzi la wodwalayo.
Mtundu wa zakudya
Ndingadye chiyani nditadwala matenda a kapamba? Udindo wofunikira pakuchira wodwala kumasewera zakudya zapadera. Izi zimachepetsa katundu pa kapamba ndikupanga kukhazikika.
Pambuyo pakuchulukirachulukira kwa kapamba, simungamudye kuposa masiku atatu. Pankhaniyi, muyenera kuyamba pakudya chakudya chochepa. Chakudya chizikhala ndi grated osati kutentha. Muyenera kudya pafupipafupi - mpaka nthawi 5-6 patsiku.
Kuchiza ndi zakudya kumakhudzanso kugwiritsa ntchito mbale zophika, zophika kapena zophika. Palibe chifukwa choti muyenera kudya yokazinga, yosuta kapena yosemedwa.
Kumwa mchere kwambiri, shuga, tsabola ndi zonunkhira zina zotentha pakuphika kuyenera kupewedwa. Zakumwa zoledzeretsa komanso zopatsa mphamvu, komanso zinthu zomwe zili m'gulu la chakudya chochepa-bwino kapena chofulumira, ndizoletsedwa.
Amaphatikizapo mafuta ambiri a trans, omwe amatanthauzira molakwika pakugwira ntchito kwa kapamba.
Nyama yofiira, avocado, shuga, mikate yoyera, etc. amagwera pansi pa chiletso.
Zakudya pambuyo kuukira kwa kapamba amatha kupangitsa magwiridwe antchito a endocrine. Wodwala amatha kudya zotsalazo ndi zinthu zotsatirazi:
- Mitundu yamafuta ochepa a nsomba - hake, pike, carp, cod, nsomba za pike, ndi zina zotere. Ndikofunika kuphika malonda kuti tisunge zinthu zofunikira zonse.
- Zakudya za nyama - kalulu, nkhukundu, nyama yamwana wamkaka, bere la nkhuku, ndi zina. Muli mapuloteni ambiri, ma amino acid ndi zinthu zina zofunika mthupi la munthu. Nyamayo imatha kuwotchera, kuiwotcha kapena kuwonjezerera supu.
- Masamba ophika kapena otentha. Amadziwika ndi mawonekedwe olemera - ali ndi mavitamini, mchere, antioxidants ndi zina. Njira yabwino ndi msuzi wa puree, womwe ndi wosavuta kugaya ndipo mulibe tizinthu tina tating'ono ta chakudya. Zakudya za pancreatitis zimapatula kugwiritsa ntchito masamba osaphika.
- Mbale. Zogulitsa zomwe zimakhala ndi zovuta ma carbohydrate ziyenera kukondedwa. Izi zikuphatikizapo mpunga, buckwheat, mapira. Oatmeal imathandizira kwambiri mucosa wam'mimba, mankhwalawa omwe amawonetsedwa osati matenda am'mimba, komanso kapamba.
- Zakudya zamafuta ochepa a lactic acid - yogati, tchizi chanyumba, tchizi, kefir. Thandizani kubwezeretsa kwa microflora yachilendo yam'mimba. Yavomerezedwa kuti isagwiritsidwe ntchito pasanathe milungu iwiri itatha.
- Masamba ndi batala. Kugwiritsa ntchito kuwonjezera ndalama pang'ono pazomaliza.
- Tiyi ya zitsamba ili ndi zabwino zake, zomwe sizingothandiza kubwezeretsa madzi komanso kuthetsa ludzu lanu, komanso kudzaza thupi la munthu ndi zinthu zofunikira.
Pambuyo povulaza kapamba, zakudya zapadera ziyenera kutsatiridwa kwa moyo wonse. Pophwanya malangizo a dokotala komanso kugwiritsa ntchito zinthu zoletsedwa, kufalikira kwa kapamba sikukuikidwa kunja. Chifukwa chake, muyenera kukhala ndi moyo wathanzi kuti mupewe kuyambiranso.