Pancreatitis: Zizindikiro ndi zoyambitsa matenda a kapamba

The yogwira mawonekedwe a kapamba ndi mawonekedwe pachimake kutupa kwa kapamba, amene amakwiya ndi matenda a ziwalo zina zomwe zimakhudzana ndi chimbudzi.

Mtundu wa kapamba nthawi zonse umakhala wachiwiri. Zovuta zamatumbo, biliary tra, chiwindi, duodenum, ndi m'mimba nthawi zambiri zimakhala zoyambira.

Rease pancreatitis kwambiri sakhala wodwala, matendawa amakula kwambiri ndi zodziwikiratu. Chithandizo cha pancreatitis, choyambirira, chimachitika ndikuchotsa matenda oyambitsidwa omwe adayambitsa matenda a ziwalo.

Kugwira ntchito kwa gland iyi kumapangidwa pakupanga chakudya chamadzimadzi (juwisi), chomwe ndi chinthu chachikulu pakupanga chakudya. Kuti muchepetse asidi wam'mimba, kupanga ma enzyme osiyanasiyana ndi ma bicarbonate kumayamba.

Mu kapamba palokha, zinthu zonse zimakhala mgulu losagwira ntchito, ngati lingayike, chiwalochi chimangosungunuka. Kuti ma enzyme azitha kugwira ntchito, ayenera kulumikizana ndi zomwe matumbo ali. Mwa munthu wathanzi, njirayi imayamba pamene kulumikizana ndi zomwe zimachitika zitachitika kuti madzi am'mimba atuluka kuchokera ku kapamba.

Koma pankhani yamatenda amtundu uliwonse, zomwe zimatulutsidwa zimatulutsidwa m'mazenera omwe madziwo amatuluka, ma enzyme amalowa mu ntchito asanakwane ndipo amangowongoletsa chofufumitsa. Njira yopweteka yotupa imayamba, maselo am'mimba amayamba kusweka, ndikupangitsa kukulitsa mphamvu yopanga ma enzyme opukusa. Ndipo chiwonongeko cha chiwalo chimayamba mokulira. Chifukwa chake, pazizindikiro zoyambirira za matenda, muyenera kufunsa dokotala wa gastroenterologist ndikupeza chithandizo choyenera.

Zifukwa za kukhazikika kwa pancreatitis

Rease pancreatitis makamaka ndimatenda aanthu achikulire, ndi amuna achimuna omwe "amachimwa" chokoma, koma zakudya zopanda thanzi, ndikuledzera ndikuledzera.

Akatswiri azindikira zomwe zimayambitsa matendawa:

• zakumwa zoledzeretsa, pakadali pano provocateur wamkulu wa yogwira mawonekedwe ndi mowa, kumwa kwake kwambiri kumadzetsa kuwonekera kwa matendawa.
• matenda osiyanasiyana (gastritis, cholecystitis, matenda a duodenum, biliary thirakiti, etc.),
• kudya kwambiri
• kukonda zakudya zamafuta ndi zonunkhira, zakudya zopanda pake,
• mankhwala osayenera, kugwiritsa ntchito mankhwala mosasamala.
• kusuta fodya kapena mankhwala osokoneza bongo
• nkhawa zochulukirapo komanso zochitika zopsinja,
• kuvulala kwam'mimba, zomwe zimapangitsa kuti ziwalo zamkati ziwonongeke.

Zizindikiro za pancreatitis yogwira

Zizindikiro za mawonekedwe omwe amagwiranso ntchito ndi ofanana ndi zizindikiro za chifuwa chachikulu cha kapamba. Mu gawo loyambirira la zotupa, kumva kosasangalatsa kumatha kufotokozedwa, kotero, odwala amakhala ndi chithandizo chokha kunyumba, zomwe zimakulitsa chithunzi cha matenda.

Ndikofunikira pazizindikiro zoyambirira za matendawo kukaonana ndi katswiri, komanso kuti musadziyese nokha.

Zizindikiro zoyambirira za kapangidwe ka kapamba zimaphatikizapo:

1. kuchuluka kwa mpweya,
2. kutentha kwapakati kosalekeza
3. kubwatula
4. nseru
5. kumverera kolemetsa m'mimba.

Zizindikiro zoonekeratu za matendawa:

• kusanza kosalekeza
• kulawa kowawa mkamwa
• kuphwanya tiziwalo tating'ono (pakamwa lowuma).

Kuphatikiza apo, poyerekeza ndi kuledzera kwa thupi, zizindikilo zina zimalumikizidwa, mwachitsanzo, kulumpha kwakanthawi.Chithunzicho chonse chimakulitsidwa ndi zizindikiro za matenda oyamba, mwachitsanzo, ndi matenda a ndulu, kupweteka kwambiri pansi pa nthiti yakumanja kumamveka.

Kukula kwa kupweteka kumasiyananso ndi kuwopsa kwa matendawa, kupweteka kumachepetsa pakukhala pomwe thupi lipendekeka. Ululu ukhoza kukulira, umatha kuchepa.

Kutupa kumatenga nthawi yayitali, ndiye kuti matendawa ali bwino. Mu gawo la pachimake, palpation, pamimba pamakhala zovuta, ndipo mabala amawoneka mu hypochondrium.

Kumbukirani kuti sizingatheke kuchotsa kupweteka kwapachangu pancreatitis yogwira ntchito kunyumba, opaleshoni imeneyi sadzagwira ntchito, wodwalayo adalandira chithandizo chamankhwala.

Zakudya, mankhwala osokoneza bongo a yogwira pancreatitis

Chimodzi mwamaudindo akuluakulu pothandizira matenda amatendawa chimaseweredwa ndikutsatira kwambiri zakudya. The yogwira pancreatitis nthawi zambiri amapezeka mwa anthu omwe amakonda mankhwala osokoneza bongo ndi mowa. Chifukwa chake, muyenera kusiyira zosokoneza bongo ndikupanga zakudya.

Ndi matendawa omwe ali ndi matendawa, ndizoletsedwa kugwiritsa ntchito:

1. zakumwa zoledzeretsa, kuphatikizapo mowa wotsika,
2. chakudya chamafuta ambiri amanyama
3. kuchepetsa chakudya
4. wokondedwa
5. timadziti tangofika kumene (tiyenera kuchepetsedwa ndi madzi).

• tchizi tchizi chokhala ndi mafuta ochepa,
• nkhuku yophika, nyama ya kalulu,
• msuzi wachiwiri
• masamba osenda
• nsomba zowonda
• Pasitala wopangidwa kokha kuchokera ku tirigu wa durum.

Kumayambiriro kwa chithandizo, kusala kudya kumalimbikitsidwa mpaka Zizindikiro zopweteka zimachotsedwa, ndiye kuti chakudya chochepa chimayambitsidwa muzakudya, kuchuluka kwa chakudya kumawonjezeka masiku angapo. Zakudya zopatsa mphamvu zimayikidwa m'magawo ocheperako kuti muchepetse katundu ku zikondamoyo zoyipitsidwa.

The yogwira pancreatitis amafuna zovuta mankhwala. Choyamba, matenda oyamba amachotsedwa. Kenako, mankhwalawa akutsatiridwa:

1. enzymatic mankhwala (Pangrol, Microzyme),
2. kuthetsa kapangidwe ka gasi (Espumisan),
3. antispasmodics (drotaverinum),
4. ma antibayotiki (Ampiok),
5. mankhwala omwe amachepetsa kuvulala kwam'mimba (Ibuprofen).

Ndikofunika kukumbukira kuti nthawi zonse muyenera kutsatira zakudya zopatsa mphamvu, ngati wodwalayo wavulala pancreatitis imodzi, ndiye kuti kuukiridwanso kumawonjezereka kangapo. Kupatuka kulikonse kuchokera pachakudya kumabweretsa matenda atsopano.

Kodi kapamba ndi chiyani?

Pancreatitis ndi njira yotupa yomwe minyewa ya pancreatic, yomwe ndi gawo la intracranial ndi exocrine function imakhudzidwira. Zikondwerero zomwezi zimapezeka kumbuyo kwa m'mimba, m'chigawo chobwezeretsera, moyandikana ndi duodenum. Dzina "pancreas" linapezeka chifukwa cha malo omwe ali pafupi ndi kumbuyo, chifukwa chake, mukamayang'ana kugona pansi, amapezeka "pansi pamimba."
Cholinga chachikulu cha thupili ndikupanga madzi a pancreatic okhala ndi ma enzymes ndi ma bicarbonates omwe amathandizira kugaya thupi. Tikudikirira chakudya ndikulowa m'mimba, ma enzyme ndi timadziti timayamba kutumizidwa kuchokera ku zikondamoyo kudzera pakulumikiza komwe kumalowetsa m'matumbo ang'onoang'ono, ndikupereka njira yogwirira ntchito ya enzymatic pokonza zakudya, kuchita nawo kagayidwe kake, komanso kulimbikitsa kuyamwa kwa michere kudzera m'makoma a matumbo ang'ono. Pancreatic fluid imasokoneza acidic wa m'mimba kuchokera m'matumbo, momwe ma enzymes am'mimba amathandizira ndikuyamba kugwira ntchito zawo zogawa ndikusintha zinthu.
Ma enzymes apakudya opangidwa ndi kapamba ndi awa:

• amylase yomwe imathandizira kukonza kwa wowuma kukhala shuga,
• lipase, enzyme yopanda mafuta,
• trypsin, chymotrypsin - ma enzymes omwe amathandizira pakuwonongeka kwa mapuloteni,
• insulin, polypeptide, glucagon ndi ena.

Zomwe zimayambitsa kapamba ndizosemphana ndi kutuluka kwa pancreatic (m'mimba) madzi kuchokera ku kapamba kupita kudera la duodenum. Kuchekera mkatikati mwa tinthu tating'onoting'ono kapena kumatulutsa konsekonse, komanso ngati zomwe zili m'matumbo zimaponyedwa mkatikati mwa ma ducts, ma enzyme amawotchera nthawi isanayambike ndikuyamba kupukusa, kupukusa, ziwalo zozungulira. Kuchedwa kwa madzi ndi ma enzyme omwe amayamba chifukwa cha kutupa kwa kapamba kumakhudza kwambiri minyewa ya kapamba pamalo oyamba, komabe, kukhudzana kwa nthawi yayitali, zotsatira zoyipa zodziunjikira michere ya pancreatic ndi madzi a pancreatic zimafaliranso kumisempha yapafupi, ziwalo, ndi mitsempha yamagazi. Maselo owonongeka amathandizira ntchito zamagetsi zama enzayimu, zomwe zimaphatikizira gawo lochulukirapo muzochitikazo. Woopsa milandu, limodzi ndi pancreatic necrosis, kapamba amatha kupha.
Kuchuluka kwa chakudya chamafuta ndi ma enzyme ofunikira pokonza chakudya chamafuta. Kugwiritsa ntchito kwambiri mafuta zamafuta, makamaka odzaza ndi zonunkhira, komanso kumwa mowa mwauchidakwa kumathandizira kuti kuchepa kwa michere mu zikondamoyo. Zina zimatha kukhala chifukwa chachedwetsa kugaya michere ndi timadziti.

Kukula kwa kapamba mu akuluakulu

Ziwerengero zakuchulukirachulukira kwa matendawa kwa anthu akuluakulu zimasiyana kwambiri malinga ndi nyengo, zizolowezi zamagulu omwe amadya m'mayiko osiyanasiyana, ndi miyambo ya zakumwa zoledzera. Palinso kusiyana kwakukulu pakumachitika kwa azimayi ndi abambo, onse potengera kapangidwe ka matendawa ndi zifukwa zomwe zimayambitsa.
Gulu lalikulu lomwe likuyika chiopsezo cha kapamba limakhala ndi anthu achikulire, omwe amachitika chifukwa cha kuchuluka kwa mowa, kudya kosasamala komanso kuwonjezeranso matenda ophatikizana.

Zomwe zimayambitsa matendawa amuna

"Njira yoyambitsa" mwa odwala amuna omwe ali ndi pancreatitis yayikulu yokhala ndi pafupipafupi ndiyo kumwa mowa (wotchedwa alcoholic pancreatitis) komanso kuchuluka kwa zakudya zamafuta ndi zakudya zakonzedwe. Komanso, gawo lodziwika bwino la kapamba mwa amuna ndi mawonekedwe osakhazikika, kunyalanyaza mawonekedwe awowo ndi kufalikira, "kunyalanyazidwa" kapamba chifukwa chakuchezera kofika kwa gastroenterologist.

Etiology ya kapamba mwa azimayi

Mwa amayi, zifukwa zotsatirazi za kapamba zimadziwika kwambiri:

• cholelithiasis, kuchititsa chitukuko cha kapamba ndi cholecystitis,
• kusinthasintha kwa mahomoni ndi zovuta zomwe zimayambitsa kupatsirana kwa kapamba: kutenga pakati, kusamba, kumwa mankhwala oletsa kubereka,
• njala, kutsatira zakudya zomwe sizimagwirizana ndi chakudya, zovulaza thanzi.

Zimayambitsa yotupa mawonekedwe a matenda akuluakulu

Pancreatitis yachiwiri kapena yotakataka imayamba motsutsana ndi matenda omwe adalipo kale komanso zotsatira za kuvulala kwam'mimba, opaleshoni, zina zotere zomwe zimapangitsa kuti pakhale yogwira pancreatitis ndi matenda am'mimba, monga:

• hepatitis yopatsirana,
• matenda a ndulu
• gastritis
• matenda a chiwindi
• biliary dyskinesia,
• matenda am'mimba.

Zimayambitsa kapamba mu ana

Chithunzi: narikan / Shutterstock.com

Katswiriyu - a gastroenterologist wa ana amathandizira kudziwa zomwe zimayambitsa khansa ya kapamba mu mwana. Chifukwa cha ubwana, etiology ya chotupa mu kapamba imasiyana ndi njira zazikulu za matenda.
Nthawi zambiri, kapamba wa ana amakhala zotsatira za kuvulala, opaleshoni, zomwe zimapangitsa kuwonongeka kwa kapamba ndi / kapena minofu yake. Cholowa cham'tsogolo chofuna kupangira chakudya cham'mimba, cystic fibrosis (matumbo, m'mapapo, mawonekedwe osakanikirana), komanso chifuwa cha chakudya, njira yotupa yopatsirana mthupi, zotsatira za mumps ndi matenda ena komanso kusokonekera kwa zakudya ndi zina zantchito zimayambitsa kupweteka kwa ana ndi achinyamata.

Zambiri

Reactive pancreatitis ndi mtundu wa zomwe zimachitika ndi kapamba pamatenda am'mimba, chakudya cholakwika, poyizoni, chifuwa, etc. Mu 30-50% ya milandu, zomwe zimapangitsa kuti chikhodzodzo chichitike ndi cholelithiasis, yomwe nthawi zambiri imakhudza azimayi - ndichifukwa chake gawo lalikulu la akazi limakhala ndi pancreatitis yotakataka. kuchuluka. Kuphatikiza apo, ma pathologies osiyanasiyana a chiwindi, m'mimba, matumbo, matenda a poizoni, poyizoni ndi kuledzera zingayambitse kuwonongeka kwachiwiri kwa kapamba. Nthawi zambiri, kuchuluka kwa pancreatic reacization kumawonedwa mwa ana omwe ali ndi gastroduodenitis. Mbali yodziwika bwino yamtunduwu wa kapamba ndimayendedwe ofulumira pambuyo podziwikiridwa ndi chinthu chopweteketsa mtima komanso kuyambiranso kwawo mwachangu pambuyo poyambira chithandizo ndi zakudya.

Zomwe zimayambitsa kupanikizika kwa kapamba kumatha kukhala kosiyanasiyana: matenda am'mimba (virpatitis hepatitis, gallstone) , matenda achilengedwe komanso opatsirana, poyizoni wa chimbudzi ndi mafakitale, bowa, etc. Vuto lalikulu kwa madokotala othandizira opaleshoni ndikupanga iatrogenic re wapamwamba kapamba pambuyo zikunena endoscopic pa ya ndulu ritsa (ERCP).

Tizilombo toyambitsa matenda tizilombo toyambitsa matenda tikhazikitsidwa ndi kukhazikika kwa ma pancreatic enzymes ndikuwonongeka kwake parenchyma. Choyambitsa chachikulu chomwe chimayambitsa kukokoloka kwa madzi a pancreatic mu pancreatic duct yayikulu ndi cholelithiasis. Mu matenda a gallstone, miyala yaying'ono (yochepera 4 mm), yomwe imagwera wamba duct ndi duodenal papilla, imayambitsa mkwiyo ndi kuphipha. Popita nthawi, kupanikizika kosalekeza kwa duct ya bile yokhala ndi kupindika kwa Oddi kumabweretsa chitukuko cha strictures ndi stenosis yachilendo bile. Izi zitha kubweretsa kusokonezedwa kwa nyumbazi ndi ma gallstones akuluakulu komanso kupezeka kwa timadziti ta pancreatic mu pancreatic duct yodziwika bwino. Zovuta zam'mimba mu ma pancreatic ducts posachedwa zimayambitsa kuwonongeka kwa acini yake, maselo acinar amakhala pachiwopsezo cha proteinolytic zotsatira za ma enzymes awo.

Ngati wodwala akudwala gastroduodenitis motsutsana ndi maziko a cholelithiasis, zilonda zam'mimba ndi chilonda cha duodenal, chiopsezo chokhala ndi pancreatitis yogwira kumawonjezeka nthawi zambiri. Matenda obwera chifukwa cha chotupa cha duodenum amatha kubweretsa papillitis ndikuyambiranso Reflux yamatumbo am'mimba mu ma pancreatic ducts. Zotsatira zake, kukonzekera kwanyengo kwa ma pancreatic michere mu minofu yake kumakhala kotheka. Ma Enzymine a pancreatic amayamba kuwononga parenchyma ya gland, njira zotsatsira-biochemical zimayatsidwa, ndipo zinthu zowola kwambiri zimalowa m'magazi, zomwe zimapangitsa kuti pakhale vuto lalikulu la pancreatic.

Zizindikiro za pancreatitis yogwira

Chithunzi cha chipatala cha yogwira pancreatitis nthawi zambiri chimayamba kupezeka patangopita maola ochepa atatha kufotokozera za chinthu choyambitsa matenda.Zizindikiro za chotupa cham'mimba chikugwirizana ndi zomwe zimayambitsa matenda. Wodwalayo amakhala ndi nkhawa chifukwa cha ululu wolimba wam'matumbo (pamimba pamatumbo ndi hypochondria, akuwonekera kumbuyo ndi kumapeto kwa mapewa), kukulira ndikatha kudya. Ululu mu pancreatitis yogwira sukutchulidwa monga momwe mitundu ina ya zilonda zamkati zimapwetekera. Madandaulo aulemu, kutentha kwadzuwa, kupindika kumadziwika. The ululu syndrome limodzi ndi dyspeptic zizindikiro: nseru, kusanza ndi kusanza ndi ntchofu ndi bile. Popeza kusanza kumayambitsa kuwonjezeka kwa kubisalira kwamkati ndi m'mimba, kupweteka kwam'mimba pambuyo kusanza kumatha kuchuluka.

Ngati wodwalayo sanayang'ane ndi gastroenterologist pa nthawi yake ndipo sanayambire chithandizo poyambira pancreatitis yogwira, matendawo amatha kwambiri chifukwa cha kuchuluka kwa ma protein a enzymes m'magazi: kuledzera kwa zochitika kumawonjezera, kutentha kumakwera mpaka ziwonetsero, khungu limakhala lotuwa komanso lozizira, tachycardia ndi ochepa hypotension. Odwala omwe ali ndi vuto lalikulu la kapamba amafunikira kuchipatala mu dipatimenti ya gastroenterology.

Zizindikiro

Pamene zizindikiro zoyambirira za yogwira pancreatitis zikuwonekera, kuyezetsa kachipatala ndi zamankhwala amuzolengedwa kumachitika: kuwunika kambiri magazi ndi mkodzo, coagulogram, mulingo wa ma pancreatic enzymes m'mwazi ndi mkodzo, elastase yamagazi, mapuloteni onse ndi calcium. Nthawi zambiri pamakhala kuchuluka kwa amylase ndi trypsin inhibitor m'magazi ndi mkodzo pamlingo wokhazikika wa lipase ndi trypsin. Mwinanso kuchuluka kwa magazi m'masiku ochepa a matendawa.

Kukula kwa yogwira pancreatitis akuwonetseredwa ndi kuchuluka kwa matenda a kugaya chakudya mundawo mbiri, kukhalapo kwa zina zotithandiza odwala. Panthawi yoyeserera thupi, tachycardia, ochepa hypotension, pallor pakhungu ndi mucous nembanemba ndizofunikira. Palpation pamimba ndi zopweteka kumtunda, chizindikiro chabwino cha Mayo-Robson chatsimikiza (kupweteka pakona yakumanzere yamtengo wamanzere). Mimba imakonda kugonja, koma kufatsa, Zizindikiro za kupsinjika kwa peritoneal zimakhala zoipa.

Ultrasound ya ziwalo zam'mimba, makamaka kuwunika kwa kapamba ndi ndulu zamkati, ndiyo njira yotetezedwa kwambiri yophunzirira matenda a pancreatitis. Njira iyi imakuthandizani kuzindikira calculi mu duct wamba wa bile, edema ndi kukulitsa kwa kapamba. Kuti mumvetse bwino za matendawa ndikuwunika kwatsatanetsatane, zingakhale zofunikira kuwunikira mwachidule za ziwalo zam'mimba, zowerengera za m'maganizo (muyezo wa golide wodziwitsa pancreatitis) ndi MSCT yam'mimba. Endoscopic RCP ndi choledochoscopy yogwira pancreatitis iyenera kuchitidwa pokhapokha kuwonetsa mwamphamvu (kutsimikizika kwa kutsekeka kwa dambo la ndulu ndi Calculator); kulingalira kwamphamvu kwa maginito ndi kapepala ka biliary kukhoza kusintha m'malo mwa maphunziro awa, omwe angalole kuwona mawonekedwe, ndikuwonetsetsa kukula kwawo.

Kuwona kwa thunthu la celiac ndi yogwira pancreatitis kumawonetsa kukhathamira kwa minofu ya kapamba. Esophagogastroduodenoscopy mu pachimake nthawi yogwira pancreatitis akuwonetsedwa kwa odwala onse, chifukwa zimangoletsa kudziwa zamatsenga, komanso, ngati kuli kotheka, kuyambitsa kubwezeretsa kwa endoscopic kwa patency ya duodenal papilla. Laparoscopy imangofunika pancreatitis yovuta kwambiri, yovuta kudziwa matenda.

Reactive Pancreatitis Chithandizo

Chithandizo cha yogwira pancreatitis cholinga chake kuyimitsa edema ndi kutupa kwa kapamba, kuthetsa kuledzera, ndi kubwezeretsanso njira yabwinobwino yamadzimadzi a kapamba.Kuchita bwino kwa pancreatitis yotakataka sikungatheke popanda kuthetseratu chifuwa, chidwi chachikulu chimaperekedwa pochiza matenda omwe amayambitsa.

Mu pachimake nthawi yogwira pancreatitis, achire kudya kwathunthu akusonyezedwa kwa masiku awiri. Munthawi imeneyi, madzi okha ndi ma infusions a zitsamba zotsutsa amatupa amaloledwa. Ndi njira yofatsa yogwiritsira ntchito pancreatitis, kufa ndi njala sikofunikira, pakadali pano, zakudya zopatsa thanzi zimalembedwa, zoletsa mapuloteni komanso mafuta. Cholinga cha kadyedwe ndikupanga kupuma kwa kapamba, kuchepetsa kupanga kwa michere ya kapamba. Kuti muchite izi, muyenera kudya pang'ono, chakudya chiziphwanyidwa, kulowa m'mimba m'magawo ang'onoang'ono. Pofuna kukonzanso thupi, ndikulimbikitsidwa kumwa madzi ambiri.

Mwa mankhwalawa, ma pancreatic enzymes (pancreatin) ndi omwe amapatsidwa, ma pinkreaters (omwe ali ndi mawonekedwe ofewa othandizira kapamba ndi mankhwala osokoneza bongo, ndipo ovuta amaphatikizidwa ndi narcotic analgesics), antispasmodics (drotaverine, platifillin), amatanthauza kuchepetsa kufera. Kuchepetsa ululu pancreatitis yogwira, morphine sangathe kugwiritsidwa ntchito, chifukwa imadzetsa phokoso lalikulu la duodenal papilla komanso imathandizira matenda oopsa a ductal.

Ngati kukula kwa yogwira pancreatitis kumachitika chifukwa cha cholelithiasis kapena matenda a sphincter a Oddi, ndizotheka kugwiritsa ntchito njira zakuthana ndi mankhwalawa kuti athetse: endoscopic kuchotsa kwa calculi yayikulu pancreatic duct ndi wamba duct pa ERCP, papillotomy.

Zotsogola ndi kupewa

Matenda obwera chifukwa cha zovuta kuphatikizira pancreatitis ndi abwino, nthawi zambiri pambuyo poyambira chithandizo, zizindikiro zonse zimabwezeranso mwachangu. Kupewa kwa matenda amtunduwu kumakhala kuzindikira kwakanthawi komanso chithandizo cha matenda omwe angayambitse kukula kwa kapamba, komanso pakuwona mfundo za zakudya zabwino, kusiya zizolowezi zoipa (kusuta, kumwa mowa mwauchidakwa).

Kodi matenda ndi chiyani?

Matenda otupa a kapamba (chotupa cha ziwalo zogaya chakudya) amachitika msanga. Kukula kwakukulu, kumadziwonekera mwa ana, popeza chitetezo cha mthupi sichikukonzekera kwathunthu kuteteza kumatenda. The anapanga m'mimba thirakiti mu thupi la achikulire sakhala zambiri mavuto a zotakasika kuukira kwa kapamba.

Pancreatitis yogwira - ndi chiyani? Njira yotupa yotupa yomwe imachitika m'mapapo, chifukwa chakuchulukana kwa matenda a ziwalo zina zogwirizana ndi chimbudzi cha anthu, amatchedwa reanc pancreatitis. Chifukwa chachikulu cha kupezeka kwake matenda oyipa a chiwindi, impso, kutupa m'matumbo, matenda am'mimba komanso mavuto ndi matenda ammimba.

Amadzuka, akuwoneka kwambiri ngati chisonyezo cha pancreatitis ya pachimake, samalowa mu mawonekedwe osakhazikika. Pochiza matenda amtundu wamtunduwu, choyambirira, amachotsa matenda "oyamba", omwe adayambitsa chifukwa cha matenda. Reactive pancreatitis ndi yankho la kugaya chakudya m'mimba, kuperewera kwa zakudya m'thupi, poyizoni, kuyamwa kwa kapamba.

Matenda amtundu uliwonse ali ndi zizindikiro zake za matenda omwe akupezekanso, omwe amagwiranso ntchito ndi pancreatitis yogwira ntchito. Chithunzi chachipatala cha chitukuko cha matendawa chimakhala ndi chizindikiro cha matendawa ndipo chimakula mkati mwa maola awiri atatu kuyambira nthawi yomwe zimayambitsanso chidwi.

Rease pancreatitis ndi chizindikiro chake cha matendawa - zizindikiro:

• kupweteka kwambiri m'munsi kumbuyo, koipa nditatha kudya,
• mawonetseredwe amphamvu
• kutentha kwamtima kumakhala ndi kukoma wowawasa
• kubwatula
• maonekedwe akusanza, kusanza ndi mabisili
• kuwonjezeka kwapang'onopang'ono kwa kupweteka pambuyo polimbitsa thupi,
• kutentha kukwera mpaka milingo yovuta,
• kuledzera thupi
• kusintha kwa khungu la munthu kukhala mtundu wotumbululuka kapena wachikasu,
• tachycardia nthawi zambiri kumachitika.

Popeza achire amalowerera magawo oyamba a matenda a kapamba, mkhalidwewo umakulirakulira, popeza ma enzyme obisalira, timadziti, amalowa m'mitsempha yamagazi ndipo amatengedwa mthupi lonse.

Kodi msuzi wa kapamba womwe umapangitsa kuti zikondwerero zikhale bwanji ndi momwe zimagwirira ntchito pancreatitis yogwira ntchito? Madzi a pancreatic omwe amaperekedwa ndi kapamba amafunikira kuwonongeka kwa zakudya zomwe zatha. Imalowa mu duodenum kudzera pa Wirsung duct ndi nippleal yayikulu ya duoden. Kuphatikizidwa kwa chakudya cham'mimba kumathandizira kuti chimbudzi chikhale chakudya (wowuma, shuga, mafuta, chakudya). Mothandizidwa ndi zinthu zopukutira bwino, zimatulutsidwa mu duodenum, momwe mwa masiku onse ndi malita 1-2.

Pakadutsa pancreatitis, magawo amatsekedwa, ndipo timadziti tam'mimba timayamba kugwira ntchito, tisanafike pamatumbo. Pankhaniyi, amayamba kupukuta ziwiya ndi zotulutsa tiziwalo tokha. Zizindikiro zimawonekera ndipo njirayi imakwiyitsa minyewa ya necrosis, yomwe imawonjezera matenda a matenda ndipo imayambitsa peritonitis, kuwonongeka kwa ziwalo zoyandikana, ziwalo zolumikizana ndi thupi.

Rease pancreatitis ilinso ndi dzina lina - yogwira pancreatopathy. Zomwe zimayambitsa kupezeka mu chithunzi chawo chachipatala ndizofanana ndi kapamba am'mimba ndipo zimawoneka pamene ma ducts atsekedwa m'matumbo. Chifukwa chachikulu chimatengedwa kuti ndikupanga matenda a ziwalo zam'mimba zina, monga:

• jaundice (hepatitis),
• pachimake cholecystitis
• gastritis
• aakulu biliary dyskinesia,
• kupezeka kwa kuvulala kwam'mimba
• matumbo matenda
• matenda a chiwindi osachiritsika
• gallstone matenda.

Palinso zinthu zina zomwe zimakhudza maonekedwe a pancreatitis yotakataka:

• kusuta ndudu, ndudu,
• kumwa kwambiri
• kuchuluka kwa thupi ndi mafuta,
• chakudya sichigwirizana ndi zakudya zopatsa thanzi,
• poyizoni mankhwala osokoneza bongo.

Rease pancreatitis sikuti kumabweretsa zotsatira zoyipa ndi chithandizo chanthawi yake. Ndi mawonekedwe apamwamba a matendawa, zimapangitsa kuti pakhale matenda oyamba a m'mimba. Zomwe zimayambitsa matenda othandizira:

• uchidakwa wambiri,
• kuphwanya kwambiri dongosolo
• aakulu cholecystitis
• matenda opatsirana
• kugwiritsa ntchito mankhwala osalamulirika,
• kudya kwambiri
• zizolowezi zoopsa (kusuta, mafuta, mafuta osuta),
• Chakudya chili ndi utoto wochita kupanga (poizoni wa thupi ndi zinthu zovulaza),
• kugwiritsa ntchito kwambiri mankhwala osungira,
• kupsinjika kwakanthawi
• kuwonongeka kwamakina (kuvulala).

Chithandizo cha kugwirikwanso kwa matenda a kapamba kumatheka ndi chithandizo cha mankhwala azikhalidwe, koma mothandizidwa ndi zizindikiro za nthendayo ndi kufunsa madokotala.

Zizindikiro zoyambirira za pancreatitis yogwira ndimatenda a hiccups, kusanza kwakanthawi, kusanza, kupweteka pansi pa nthiti. Matenda opweteka pawokha amatha kutha, kapena mosinthanitsa kuti achulukane, koma izi sizitanthauza kuti chilichonse chitha kusiidwa monga ziliri. Malo opweteka omwe amachokera m'malo amathandizanso m'malo mwa dislocation, yomwe imalumikizidwa ndi chikhodzodzo ndulu ndi malo ake a zotupa.

Gawo lowuma la chikhodzodzo limapangitsa kupweteka kumbali yakumanja ya hypochondrium, pomwe lingaliro lalikulu limatupa kwa ndulu, kupweteka kwamankhwala kumamveka pansi pa gawo limodzi lakutali la thupi, kupweteka kwakumanzere, kupweteka mbali yakumanzere kwa hypochondrium. Chifukwa cha palpation, akatswiri amadziwa malo a lesion ndikupereka njira zina zochizira.

Zizindikiro za mawonekedwe a pancreatitis yogwira:

• kutaya kwathunthu kapena pang'ono pang'ono,
• mwina chiwonetsero chathunthu chotsutsana ndi chakudya,
• ndi mitundu yapamwamba, kupendekera kwapadera kumachitika,
• kutuluka kwa kapamba, m'mimba, matumbo, limodzi ndi kugwirira koopsa, kupweteka,
• kusanza, kusanza ndi ndulu katulutsidwe.

Muubwana, kutsekula m'mimba, kuwonjezeka kwa kutentha kwa 39 * C, kuchepa kwa chikhumbo kumawonjezeredwa pamwambapa.

Ureactive pancreatitis ili ndi mawonekedwe ake komanso zizindikiritso zake ndipo imafunikira kuwunika mosamalitsa matenda omwe adakhalapo.

Reactive pancreatitis ali ndi zofananira ndi pachimake kapamba ndi kuyamba mankhwala a matenda atazindikira kwathunthu kwa thupi.

Kuchiza ndi wowerengeka azitsamba

Kuyambitsa chithandizo ndi wowerengeka azitsamba pakuyambiranso kwa chifuwa cham'mimba, njira zodziwonera zikutengedwa, zomwe zingapangitse kusankha bwino mankhwala.

Pokhapokha pokhudzana ndi zakudya komanso kugwiritsa ntchito njira zina, zizindikiro za matendawa zimachotsedwa ndipo ziwalo zowonongeka zimabwezeretseka. Koma kumbukirani kuti kugwiritsa ntchito njira zamankhwala izi sikungasokonezedwe, chifukwa sichingabweretse zotsatira zomwe mukufuna. Kuti muchiritse msanga, ndikulimbikitsidwa kusintha maphikidwe a mankhwala mwezi uliwonse.

Momwe mungachitire pancreatitis yogwira - njira zina zochizira:

1. Timatenga muzu wa burdock ndi elecampane, chowawa, chifuwa, maluwa a chamomile ndi calendula. Mu 0,5 l lamadzi (madzi otentha) otentha 3 tbsp. mabwato osonkhanitsa ambiri, amalimbikira mu thermos kwa maola 2, otsimikizika. Imwani 125 ml musanadye katatu pa tsiku.
2. Mwatsopano Finyani madzi kuchokera mbatata, kaloti, ndi kuwonjezera kwa 1 ola. supuni ya mafuta. Gwiritsani ntchito katatu patsiku pamimba yopanda tiyi.
3. Udzu wa celandine, trifoli, peppermint ndi dandelion umasakanizidwa, 350 ml ya madzi otentha amathiridwa ndikuwotcha mobwerezabwereza. Zabwino. Imwani 125 ml katatu patsiku musanadye.

Pali njira zambiri zochizira, zomwe zimapangitsa kusankha kutengera dera lomwe akukhalamo. Musanayambe chithandizo chamankhwala azikhalidwe, ndikofunikira kuti mufunsane ndi dokotala.

Kugawa ndi zoyambitsa pancreatitis

Zizindikiro za kapamba, kapangidwe ka chitukuko cha matendawa, njira zodziwira matenda ndi chithandizo chamankhwala akhala nkhani yomwe akatswiri akhala akuphunzira kwazaka zambiri. Pokonza njira zodziwitsira, kuthekera ndi kudziwa, mitundu ingapo ya kapangidwe ka kapamba idatsimikiziridwa, kutengera mawonekedwe a zizindikiro zamankhwala, chikhalidwe cha kuwonongeka kwa minofu, zomwe zimayambitsa kuyambitsidwa, ndi zina zambiri.
Pakadali pano, pali mitundu ya kapamba malinga ndi matenda ake, mawonekedwe ndi machitidwe a matendawa.

Gulu la matendawa chifukwa

Pazifukwa zokhudzana ndi chitukuko cha matendawa, chachikulu ndi sekondale, chifuwa chachikulu chogwira ntchito chimakhala chokha.
Mtundu woyambirira wa matendawo umayamba ndikuwonekeranso kuwonongeka kwa tiziwalo ta kapamba palokha. Zina mwazomwe zimayambitsa njira zowonongeka ndi izi:

• uchidakwa wa zakumwa zoledzeretsa (kuyambira 40 mpaka 70% ya milandu kutengera dera), kusuta fodya,
• kuwonongeka kwa kapamba chifukwa cha kuvulala kwam'mimba, njira zopangira opaleshoni ndi njira zina zodziwira, makamaka, zoterezi zimatheka ndi endoscopy (retrograde pancreatocholangiography and endoscopic papillosphincterotomy),
• kudya kwa nthawi yayitali, makamaka kosalamulirika kwamankhwala omwe amakhudza kwambiri kapamba (magulu ena a maantibayotiki (ma tetracyclines), mankhwala okhala ndi estrogen, glucocorticosteroids, acetylsalicylic acid (Aspirin), mankhwala a sulfanilamide, ma diuretics, ndi ena otero.
• poyizoni ndi chakudya, mankhwala,
• kugwiritsa ntchito zakudya zambiri zopangidwa ndi mankhwala ophera tizilombo ndi mankhwala ena,
• chibadwa matenda a m'mimba dongosolo, kobadwa nako matenda a kapamba,
• chakudya chopanda malire ndi mafuta ochulukirapo komanso onunkhira, makamaka ndimapuma atali pakati pa chakudya.

Mtundu woyambirira wa matendawa umatha kukhala nthawi iliyonse. Kuzindikira koyenera ndi chithandiziro kumakuthandizani kuti muyimitse kapena muchepetse njira zowonongeka m'matumba a kapamba, kubwezeretsa ziwalo zomwe zatayika ndikupewanso zovuta.
Sekondale, yogwira pancreatitis imanenedwa kuti pomwe matenda a etiology amatha kupezeka ndi chifukwa chachikulu cha matenda am'magazi ena am'mimba komanso dongosolo logaya chakudya lonse (cholelithiasis imawerengedwa kuti ndi chifukwa chachikulu cha matenda opatsirana pang'onopang'ono (pafupipafupi) okwana - tizilombo chiwindi, komanso kamwazi, sepsis, matenda oyamba a kutupa, mwachitsanzo, ndi matillillitis, matenda a shuga, matenda opatsirana, makamaka ty, cystic fibrosis kapena matenda a Crohn, matenda amitsempha yama mtima, chiwopsezo cha helminthic m'mitsempha ya biliary, ndi zina zambiri. Kuzindikira chomwe chimayambitsa pancreatitis kumakhala kovuta. Komabe, kupambana kwamankhwala makamaka kumatengera kuchotsedwa kwa zinthu zomwe zimayambitsa kuyambika kwa matendawa komanso kupewa kutalika.

Gulu la kapamba malinga ndi mawonekedwe ndi mawonekedwe a matendawa

Njira yotupa imayambitsa kutaya pang'ono kapena kwathunthu kwa ntchito zoyambirira za kapamba. Kuwonongeka kwa maselo a glandular chiwalochi kukuwopseza ndi njira zosasinthika. Mu thupi la munthu mulibe chiwalo chokaikira chomwe chitha kusintha kapamba.
Pancreatitis yovuta komanso yosatha imasiyanitsidwa kutengera zizindikiro ndi njira ya matendawa. Mitundu yamatendawa imasiyanitsidwa ndi chithunzi cha matenda, njira zamankhwala ndi zotsatira zaumoyo.
Acute pancreatitis ndimatenda opatsika msanga omwe amatuluka, limodzi ndi kuwopsa kwa kusintha kosasintha mu minyewa kapangidwe kake kapamba, chiwonongeko, pang'ono kapena kwathunthu, ziwalo zina, ngakhale kufa. Mwanjira yovuta kwambiri, madzi a pancreatic, osayenda mu gland, amayambitsa ndi kuwononga maselo ake.
Ndi matenda awa, kuwonongeka kwakukulu kwa maselo a chiwalo kumawonedwa, limodzi ndi edema. Gulu lomwe likuyika pachiwopsezo chachikulu ndi achikulire omwe ali ndi zaka 30-60, ngakhale kuti mapapo am'mimba amatha kupezeka mwa ana chifukwa cha zinthu zoyipa monga:

• kusowa kwa regimen,
• kuchuluka kwa zakudya zamafuta ndi zonunkhira, zakudya zosavuta, chakudya mwachangu,
• kuvulala kwam'mimba
• helminthic kulowerera kwam'mimba,
• Kubadwa kwatsopano kwa ndulu, ndulu zake, ma duodenum, zonyansa zapanchipala,
• zizolowezi zobadwa nazo ndi zovuta, matenda opatsirana, etc.

Muubwana, mawonekedwe owopsa a kapamba, monga lamulo, amakhala ndi zizindikiro zochepa. Chithunzi chachipatala cha matendawa, njira zodziwira matenda ndi mfundo zamankhwala amasiyana ndi pancreatitis yowopsa yomwe ilipo mwa odwala akuluakulu.

Zomwe zimachitika chifukwa cha kutupa kwa kapamba

Matenda a pancreatitis amanenedwa kuti nthenda ikakhala ndi nthawi yochulukirapo komanso kuchotsedwa. Pamene pang'onopang'ono pakumka, kuperewera kwa kapamba kumayamba: minyewa ya m'mimba ya chiwalo imasintha ndipo imasinthidwa ndi minye yolumikizana, yomwe singathe kupanga michere yam'mimba ndi pancreatic madzi. Kuperewera kwa ma enzymes kumayambitsa kusokoneza kwa magwiridwe antchito.
Njira yamatendawa imawonedwa mwa odwala azaka zosiyanasiyana. Posachedwa, akatswiri adazindikira kuti zikuwonjezereka pakuwonetsa pancreatitis ya pafupipafupi, yomwe imakhala yolimba, yomwe imakwiya chifukwa cha kutchuka komanso kupezeka kwa zakudya zosavuta, zakudya zopanda zakudya, zakudya zopanda pake, ndi uchidakwa wa anthu.
Pali magawo awiri a matenda osachiritsika. Gawo loyamba limafotokozedwa ndi zizindikiro zazing'ono ndipo zimatha kukhala zaka zingapo, kutengera ndi moyo komanso thanzi la munthu. Gawo loyambilira limatsatiridwa ndi nthawi yomwe kupatuka ndikugwira ntchito kwa kapamba kumayamba kutchuka komanso kuda nkhawa pafupipafupi. Kuchulukitsa kwa mawonekedwe osakhwima kumayambitsa kugwiritsa ntchito zonunkhira, mafuta kapena zakudya, zakumwa zoledzeretsa ndi zakumwa zoledzeretsa, makamaka pamimba yopanda kanthu.

Zizindikiro za Pancreatitis

Chithunzi: Image Point Fr / Shutterstock.com

Zizindikiro za kapangidwe kake kapamba komanso kapamba kake kamasiyana, komanso mawonekedwe amomwe matendawa amatha komanso matendawo. The Symbomatology ya pancreatitis aakulu nthawi zambiri amakhala ofatsa, koma zizindikiro za matendawa mu mawonekedwe owopsa ndizowala. Pachithunzi cha chipatala cha mawonekedwe owopsa, ndikofunikira kufunsa dokotala kuti asangopeza chithandizo, komanso kuti azindikire kuti ali ndi vuto la cholecystitis, appendicitis, yomwe ingayambitse zofanana.

Zizindikiro za siteji yovuta

Mu chifuwa chachikulu cha pancreatitis, kuyambitsa mwachindunji kapamba, ma enzymes am'mimba am'mimba amakhudza maselo ake. Chifukwa chake, zochita za lipase-break lipase enzyme zimapangitsa kuti adipose tisinthe. Trypsin, yomwe imalimbikitsa chimbudzi cha mapuloteni, imayambitsa masinthidwe osiyanasiyana amthupi, kupangitsa kutulutsa kwa minofu ya kapamba ndi necrosis (kufa) kwamaselo.
Pa gawo loyamba la chiwonongeko, necrosis ndi aseptic, yakomweko, koma popanda chithandizo chofunikira, chimakwirira ziwalo zapafupi, kulumikizana ndi matenda kumayambitsa kupangika kwatsopano kwa zotupa, zovuta za purulent.
Zizindikiro zodziwika pancreatitis yachuma imaphatikizira:

• kupweteka kwa herpes zoster, ndi kufalikira m'dera la kumanja kapena kumanzere kwa hypochondrium. Zizindikiro zopweteka ndizachikulu ndipo sizingathetsedwe ndimankhwala ngakhale ndikuyambira koyenera panthawi yoyamba. Matenda a ululu amatchulidwa kotero kuti amatha kupweteketsa kupweteketsa mtima, kuiwala, komanso kupha. Kutalika kwa nthawi yowukira kungakhale kwa ola limodzi mpaka masiku angapo,
• kusowa kudya kwathunthu, nseru, kusanza, osathandiza. M'masanzi, zomwe zimapezeka m'mimba ndi inclusions ya bile zimawonedwa,
• hyperthermia (kupitirira 38 ° C), kuthamanga kwa mtima (kupitirira 90 kumenyedwa / mphindi.), kupuma, kutsitsa magazi (zosakwana 90 mm / zebele),
• kutentha kwa mtima, hiccups, belching, pakamwa kowuma,
• mawonekedwe a oyera kapena achikasu pamalirime,
• mavuto a khoma lam'mimba,
• kufalikira kumtunda kwa peritoneum, komwe kumayambitsidwa ndi matumbo oyenda m'mimba,
• kuukira kwa matenda otsegula m'mimba, kudzimbidwa, kuphatikizidwa ndowe mumalo mwa zotsalira za chakudya,
• Kusintha kwa khungu: pallor, cyanosis, khungu lachikaso ndi sclera chifukwa chakukula kwa zovuta za jaundice mu pachimake olimba pancreatitis ya mawonekedwe onyoza, omwe adatsitsidwa ndi nthenda ya ndulu kapena chifukwa cha kukokoloka kwa kapamba,
• kusintha kwa kuthamanga kwa magazi - kuchuluka kapena kuchepa kwa zizindikiro zake,
• kuwonongeka kwakukulu pakukhalitsa, kuwonda msanga, kunenepa kwambiri.

Zizindikiro zakukulira kwamtundu wamatenda

Zowawa ndi zowonjezera za chifuwa chachikulu cha kapamba zimapangidwira chimodzimodzi monga pancreatitis yovuta, ndipo, kutengera mawonekedwe a matendawa, zimamveka m'dera la hypochondrium lamanja kapena lamanzere, ululu umawonekera kumbuyo, ndi lamba, ukhoza kufalikira kudera la scapula, sternum, kutengera kuchokera kumalo otupa ndi gawo la matendawa. Kuchulukana kwamphamvu kwa matenda kapamba kumatha kumwa mowa, kugwiritsa ntchito mafuta, zakudya zonunkhira.
Ululu womwe umachulukitsa kwa matendawa umachitika motsutsana ndi maziko a kukula kwa njira yotupa yomwe imakhudza mathero a mitsempha, komanso edema ndi kukulitsa kwa ziwalo zomwe zimakhudza mathero amitsempha. Kuvulala kumatha kuchitika pambuyo povulala pakudya, kuyambira mphindi zingapo mpaka masiku angapo. Kutsika kwa ululu kumawonedwa ndi kuwerama, kuwodzera.
Kuphatikiza pa kupweteka kwambiri, kuchuluka kwa kapamba am'mimba kumayendera limodzi ndi zizindikiro zotsatirazi:

• kutulutsa, kuluka, kutsegula m'mimba, kusanza, kusanza chifukwa cha kusokonezeka kwa dongosolo logaya chakudya chifukwa cha kuchepa kwa enzyme,
• kuwonda, kuwonongeka m'moyo wonse. Khungu lowuma, kusayenda kwa msomali, kuperewera kwa magazi, kuchepa kwa mavitamini, kuchuluka kwa kutopa, ndi zina zotere, chifukwa cha kusokonezeka kwa metabolic, mapuloteni, mafuta, komanso kuledzera kwakuthupi kwamthupi chifukwa cha zakudya zomwe sizinawonongeke.
• kuchuluka kwa kapangidwe ka gasi, vuto la chopondapo, kutsekula m'mimba nthawi yayitali, kudzimbidwa nthawi yayitali chifukwa chosakwanira kugaya chakudya, kutsegulira komanso kubereka mabakiteriya omwe amasokoneza matumbo a microflora.

Chithunzi cha chipatala cha kufalikira kwamphamvu kwa chifuwa chachikulu chimafanana ndi mawonekedwe owopsa. Ndi kuchulukana mwadzidzidzi kwa matendawa, minyewa yapachifupa imatha kuyambika, kuyambitsa kupweteketsa mtima komanso kupempha kolowera kuchipatala mwachangu komanso kuchipatala.

Mavuto a kapamba

Pafupifupi mtundu uliwonse wa kapamba, mankhwalawa omwe adayambika munthawi yake, amatha, ngati sachiritsidwa kwathunthu, ndiye kuti amachepetsa zovuta zomwe zimachitika ndikuchepetsa njira zowonongera chimodzi mwazinthu zofunika kwambiri zam'mimba zothandizira kugaya chakudya.
Mavuto a pachimake kapamba kapena kufalikira kwa mawonekedwe osakhazikika amatha kukhala ndi timadziti tofinikizika kwambiri ndikuwononga kwambiri thanzi mpaka imfa.
Pankhaniyi, pancreatitis yosachiritsika, ngakhale mu mawonekedwe omwe adasungunuka ndi chithunzi chachipatala chosavutikanso, ndizowopsa. Pamene maselo akuwonongeka, minyewa ya m'mimba ya pancreas yolumikizidwa imasinthidwa, pang'ono ndi pang'ono imatha kutaya ntchito.
Zovuta zazikulu za chifuwa chachikulu chimakhala ndi:

• shuga mellitus, yomwe imayamba chifukwa cha kuperewera kwa kapamba, kuchepa kwa kupanga kwa insulin,
• kutopa kwambiri, kuledzera kwamthupi kwakanthawi,
• chikopa
• mapapu
• chitukuko cha pancreatogenic ascites,
• matenda ndi kukanika kwa ziwalo zina zam'mimba thirakiti (cholecystitis, chironda chachikulu cha duodenum),
• mawonekedwe a cystic mu minyewa ya glandular organ,
• chotchinga chotupa chifukwa choponderezana ndi ma ducts a bile,
• zotsatira zakupha.

Ndi kuchulukitsa kwa kutupa, njira zopatsirana zimatha kukhazikika, zonse mu minyewa ya kapamba, komanso mkati ndi ziwalo zoyandikana. Kudziwitsa zikondwerero pafupi ndi lalikulu la aorta kumathandizira kufalikira kwamatenda, kulumikizana ndi matenda, kuledzera kwapadera chifukwa cha kuwola kwa zinthu za necrotic. Pakufunika kwa mankhwalawa, kutsatira kwambiri malamulo apakhungu a kapamba, matuza angayambike ndipo magazi amatha kuyamba.

Zoyambirira komanso mochedwa zovuta za pancreatitis pachimake

Ndi chifuwa chachikulu cha pancreatitis, zovuta zimatha kuchitika nthawi yomweyo kapena zimakhala ndi zotsatira zazitali. Mavuto oyambilira omwe amayamba atatsala pang'ono kuukira amaphatikizapo:

• Hypovolemic mantha, zomwe zimayambitsa kuperewera kwa oxygen m'matumbo a ziwalo zonse zam'mimba.
• hepatic, aimpso kulephera chifukwa cha poizoni zotsatira zam'mimba michere,
• peritonitis, aseptic kapena purulent, kukulira motsutsana ndi maziko olowa ndi kutupa komwe kumatenga matenda,
• zamtima, kupuma kulephera ndi zovuta zina.

Kukula mochedwa zovuta mu pachimake kapamba wa maphunziro kumachitika makamaka motsutsana maziko matenda. Mavuto apakhungu omwe amachitika pancreatitis mochulukirapo kwambiri amaphatikizapo sepsis, m'mimba, kupangika kwa fistulas m'mimba, kutupa kwamkati, mapangidwe a ziwonetsero za kapamba, magazi amkati, ndi zina zambiri. 90%, makamaka chifukwa cha kuledzera, imawonetsa kufunika kwa kuchira kwakanthawi ndi njira zopewera kupewa matendawa.

Njira zodziwira pancreatitis

Kafukufuku wodziwitsa panthawi yake, kukhazikitsa zomwe zimayambitsa kapamba, chiyambi cha chithandizo chimathandizira kupewa kukulitsa zotsatira zoyipa komanso zingapo. Mafomu owonjezera komanso kufalikira kwa matenda osachiritsika amafunika kulumikizana ndi katswiri nthawi yomweyo. Komabe, ndi zizindikiro zoyambirira za matendawa: kusapeza bwino pakudya kapena pakudya, kutulutsa thukuta, matenda am'mimba, dokotala amayambikiranso asanayambike zizindikiro za kapamba.
Njira zakuzindikira zimaphatikizapo kuyesa kunja kwa khungu, kuyeza kuuma, kutanuka, kusintha kwa malirime, lilime la wodwalayo (ndi kapamba, chinsalu choyeretsa komanso kupweteka kwa masamba a zipatso amadziwika padziko lapansi). Palpation yokhazikika komanso yakuya kwa dera la epigastric ndi hypochondrium yamanzere imapangitsa kudziwa kupezeka kwa ululu panthawi ya kukakamiza, komwe kumakhalanso chizindikiro cha kapamba.
Pambuyo pakuwunika ndi kutenga mbiriyakale, njira za labotale ndi zothandizira kudziwa pancreatitis zitha kukhazikitsidwa. Izi zikuphatikiza kuphatikiza kwachulukidwe ka magazi, mapangidwe amkodzo ndi mkodzo.
Kuzindikira koyambirira kwa labotale kumakupatsani mwayi wowonjezera kuchuluka kwa amylase m'magazi ndi mkodzo, womwe umadziwonekera pakokha maola ochulukirapo a matendawa. Kuchuluka kwa lipase kumachulukitsa pakapita masiku atatu kuchokera pachiwonetsero cha kutulutsa, ndipo kuchuluka kwake kukuwonetsa kuchuluka kwa nthawi yayitali. Enysme ya trypsin, yotsimikizika m'magazi a wodwalayo, ikuwonetsa kuyambika kwa kuwonongeka kwa ziwalo.
Ndi kuchulukitsa, phindu lowonjezereka la bilirubin ndi shuga limadziwikanso, ndipo kupezeka kwa mafuta osweka pang'ono, mafuta osapatsika, mapuloteni, chakudya mu ndulu zimayambitsa kuperewera kwa pancreatic.
Kuyesedwa kwa magazi sikothandiza kwambiri, komabe, osawonetsa ma enzymes ndi zotsatira za kuperewera, kumawonetsa kuchuluka kwa leukocytes komanso kuchuluka kwa erythrocyte sedimentation. Zizindikiro zonsezi zimachulukana ndi kapamba.

Njira zodziwitsa ena za zida

Chida chofufuzira chimakupatsani mwayi kuti muwone kukula kwa chiwalo chomwe chakhudzidwa, kupezeka kwa inclusions, mawonekedwe a cystic mmenemo, kapangidwe ka minofu, glandular, yolumikizika kapena ndi zizindikiro za necrosis, kutenga nawo mbali pakulimbikitsa ziwalo zozungulira, momwe zilili.
Njira zakuzindikira zothandizira pancreatitis zimaphatikizapo kuyesa kwa ultrasound (ultrasound) kwam'mimba, kuwunika kwa X-ray, esophagogastroduodenoscopy (EGD), endoscopic retrograde cholangiopancreatography (ERCP), yowerengera, kulingalira kwa maginito. Kusankha kwa njira kumadalira kuuma kwa zizindikiro ndi chithunzi chonse cha matenda.
Ngati kukhalapo kwa minofu yayikulu ya necrosis yakhazikitsidwa, amatha kutengera njira yopangira ma percutaneous kuchotsera zotsalira za biopsy kuti adziwe mawonekedwe a bakiteriya, kudziwa mawonekedwe a necrosis, kuzindikira kwa matenda omwe amapatsirana m'magulu amankhwala.

Zida za mankhwalawa pachimake komanso matenda a kapamba

Chithunzi: wavebreakmedia / Shutterstock.com

Alt = Njira zamankhwala zochizira khansa
Njira zochizira pancreatitis yayikulu komanso yayitali yosiyanasiyana malinga ndi matenda ake, kuopsa kwa kapamba, etiology, kupezeka kwa matenda opatsirana, thanzi la wodwalayo ndi msinkhu wake.
Chithandizo cha pachimake kapamba imachitika kokha mu chipatala. Kumaonana koyamba kwa kapamba wam'mimba kwambiri ndi njala masiku angapo, kupatula. Kukhala m'chipatala cha opaleshoni sikuti kumangoyendetsa zakudya ndikumupatsa mankhwala oyenera, komanso, ngati kuli kofunikira, mwachangu kapena m'njira yoyenera kugwiritsa ntchito njira zopangira opaleshoni chifukwa cha kudwala kwambiri ndikuwopseza moyo wa wodwalayo.
Njira zochizira pancreatitis zimaphatikizapo kuchotsedwa kwa madera a necrotic minofu, kukhazikitsa dongosolo la drainage.

Mankhwala ogwiritsidwa ntchito pachimake cha matenda

Mankhwala ochizira pachimake mawonekedwe a matendawa amaphatikizapo maphunziro a omwe akulimbana ndi mankhwalawa. Izi zikuphatikiza magulu a mankhwala otsatirawa:

• cytostatics kutseka njira zotupa,
• painkiller, antispasmodic mankhwala, anticholinergics, omwe ali ndi vuto lopweteka kwambiri, mankhwala a gulu la mankhwala angagwiritsidwe ntchito,
• mankhwala antisecretory, pancreatic enzyme blocking agents amagwiritsidwa ntchito kuchepetsa zovuta, minofu necrotization,
• ndi kufalikira kwa kutukusira, kuphatikizidwa kwa matenda, kakulidwe ka puritive foci, maantibayotiki ndi mankhwala,
• kumayambiriro kwa zothetsera mankhwala umalimbana kuchepetsa kuchuluka kwa kuledzera kwa thupi, kukwiya chifukwa cha kufalikira kwa michere ya m'magazi, zakudya za makolo, kuyambitsa njira zamagetsi zamagetsi, ma amino acid osasinthika.

Mankhwala othandizira matenda osiyanasiyana

Pankhani ya matenda obwera chifukwa cha kukokomeza kwapakati panthawi yachikhululukiro, makonzedwe a ma pancreatic enema amapatsidwa kuti asagwire bwino ntchito yawo. Kusankhidwa kwa zomwe madokotala amapereka kwa wodwala kapamba komanso muyezo womwe umadalira zotsatira za mayeso a labotale a magazi, mkodzo ndi ndowe. Njira ya mankhwala okonzekera ndi enzyme kukonzekera amathandizidwa ndi mankhwala kuti matenda kagayidwe, kusintha matumbo, ndi kubwezeretsa acid-base bwino. Mankhwala othandizira a Vitamini amagwiritsidwa ntchito: mankhwala ndi mankhwala okhala ndi mavitamini A, C, D, K, E ndi gulu B, mankhwala a lipoic acid, cocarboxylase ndi zina zambiri malinga ndi zikuwonetsa.
Gawo lofunika la chithandizo chamankhwala ndi zakudya zopanda mafuta, zakudya zonunkhira, mowa ndi oletsedwa. Ndikukhathamira kwa mawonekedwe, matendawa athunthu mkati mwa tsiku limodzi mpaka awiri amalimbikitsidwa. Kuchotsa zizindikiro za kapamba sikukutanthauza kuchiritsa kokwanira ndipo sikuti ndi chifukwa chokwanira kuphatikiza zakudya zoletsedwa.

Choyamba thandizo la pachimake kapamba

Kutuluka kwa zisonyezo zoyambirira za matenda owopsa ndi chifukwa choyimbira mwachangu gulu la akatswiri a ambulansi. Asanawonekere, malamulo otsatirawa ayenera kuwonedwa:

• m'magulu kuti simungadye kapena kumwa chilichonse, chifukwa izi zimakwiyitsa kapangidwe ka kapamba ndipo zimatha kukulitsa vutolo ndikuwonjezera malo omwe akuwonongeka chifukwa cha kapamba, kuphatikizira ziwalo zina pakatupa.
• khalani malo owoneka bwino (okhala ndi kusanza - kugona pambali yanu), mutha kukanikiza mawondo anu m'mimba mwanu, ngati izi zimachepetsa ululu.
• yesani kumasula minofu yam'mimba, pamimba,
• ikani chinthu chozizira m'mimba mwanu: ayezi m'thumba ndi thaulo, botolo la pulasitiki, thukuta lotenthetsera, ndi zina zotere, zomwe zingachepetse kutupa.

Simalimbikitsidwa kwambiri kugwiritsa ntchito mankhwalawa kuti muchepetse ululu, choyambirira, kumayambiriro kwa kuukira sikugwira ntchito, ndipo chachiwiri, mankhwalawa amatha kuchepetsa zidziwitso za chipatala ndikupangitsa kuti matenda azikhala ovuta. Ngati pakufunika kutchulidwa, mankhwala a antispasmodic angagwiritsidwe ntchito kuchepetsa mphamvu ya kuphipha: drotaverin (Drotaverin, No-Shpa), Spazmalgon. Ndikofunikira kudziwitsa akatswiri za kumwa mankhwala.
Ndi kuchulukitsa kwa matenda a kapamba, lamulo latsiku loyamba limafotokozedwa m'mawu atatu: kuzizira, njala ndi kupuma. Izi zimathandiza kuchepetsa kukula kwa kutupa, kubwerera mkhalidwe wachikhululukiro. Komabe, mu pancreatitis yovuta kwambiri, chithandizo chimayenera kuchitika pokhapokha chipatala chikuyang'aniridwa ndi akatswiri.

Thanzi la Pancreatitis

Chithunzi: Dani Vincek / Shutterstock.com

Kuthana ndi zakudya zomwe zaperekedwa pancreatitis ndiye maziko azithandizo. Ndikosatheka kuchiritsa pancreatitis ndikuchepetsa kukula kwake osatsatira malamulo a zakudya.
Mothandizidwa ndi kadyedwe, ndikotheka kukonza machitidwe a kapamba kwambiri, ndikuwongolera momwe matendawa amayambira. Zakudya zimayikidwa pa gawo la chikhululukiro, kumapeto kwa nthawi yowonjezera pancreatitis. Njira yayitali ya kapamba imafunika kutsatira moyo wonse pakulandila zakudya.
Kuukira kwa kapamba, malinga ndi kuopsa kwa maphunzirowa, kumafunikira kusala kudya kwamasiku awiri mpaka asanu. Kuyambira tsiku lachiwiri mutha kuyamba kumwa madzi ofunda amchere, omwe amachepetsa acidity, ofooka decoction wa rose m'chiuno, madzi oyera. Ngati pali kusintha kwa masiku 3-6, mutha kuyamba kugwiritsa ntchito mapala amadzimadzi amadzimadzi popanda kuwonjezera mkaka, shuga, batala ndi zina zowonjezera.
Patsiku la chisanu ndi chimodzi kuyambira pachiwopsezo chamasamba, chakudyacho chitha kupitilizidwa kuphatikiza msuzi wamafuta ochepa, supu zamasamba zam'madzi, nsomba zonda, tiyi wopanda mphamvu ndi zinthu zina monga momwe dokotala wavomerezera. Kenako, zakudya zomwe zimaperekedwa chifukwa cha kapamba zimadalira potengera matendawa.
Chifukwa chake, pakakhala pancreatitis yosatha mu chikhululukiro, chakudyacho chimasinthidwa malinga ndi kusanthula kwa dongosolo la m'mimba lomwe limagwira ntchito mwa zikhalidwe za enzyme.

Zakudya pa chikhululukiro

Malamulo onse azakudya zopatsirana ndi kapamba pakukhululuka kumaphatikizapo izi:

• chakudya chokwanira chomwe chimadyedwa patsiku chimagawika m'magulu ang'onoang'ono a 5-6 kuti magawo a chakudya azigwira ntchito,
• Kutentha kwa chakudya kuyenera kufanana ndi kutentha kwa thupi ndipo osaposa 60 ° C, kugwiritsa ntchito mbale zotentha ndi zozizira sikumayikidwa
• kuletsa kwakukulu kwa kuchuluka kwamafuta, zonunkhira, zakudya zokazinga, soseji, nyama zosuta, zakudya zam'chitini, zopangidwa ndi zomalizidwa, zokometsera komanso zonunkhira zomwe zimatha kuyambitsa matenda, kuphatikizidwa kwa zakudya zomwe zili ndi CHIKWANGWANI chokulirapo (kabichi yoyera, nyemba, etc.), zakumwa za khofi komanso kaboni. mowa, chokoleti, maswiti okhala ndi mafuta, mafuta ophikira ndi zina zotero,
• kusintha zakudya zamafuta ndi zofewa: masamba ophika kapena zipatso zophika, msuzi wosenda, etc.
• kutsatira mafuta omwe amadya tsiku ndi tsiku (osapitirira 60 g kwathunthu), mapuloteni (60-120 g kutengera kulemera kwa thupi, zaka, masewera olimbitsa thupi, gawo ndi machitidwe a kapamba), chakudya (300-400 g).

Zakudya zotsatirazi ziyenera kuphatikizidwa muzakudya za kapamba:

• mkate wowuma pang'ono wopangidwa ndi ufa wa giredi yoyamba kapena yachiwiri (makeke abwino sawerengedwa),
• Msuzi wosenda wowuma,
• mbewu zophika, mbewu: mpunga, msuzi, phala yaying'ono, oats,
• mitundu yamafuta ochepa a nyama, nsomba, nkhuku, nkhuku, yophika ndi wowiritsa kapena wofunda,
• maeleeleki kapena anaphika,
• masamba ophika, ophika (mbatata, dzungu, beets, kaloti, zukini, squashi),
• zopangidwa zatsopano zachilengedwe zamkaka zokhala ndi mafuta ochepa osakhala ndi utoto komanso mankhwala osungira, okhala ndi acidity yochepa (tchizi chokoleti, yogati, kefir), mafuta ochepa komanso osaphika, mkaka wokhala ndi mafuta ochepa (ochepa, amangowonjezeredwa ndi mbale kapena tiyi),
• kuchuluka kwa batala ndi mafuta a mpendadzuwa,
• zipatso ndi zipatso zokhala ndi acidity yochepa, zipatso za shuga, makamaka maapulo omwe si acidic,
• uchi, kupanikizana, kupanikizana, zipatso ndi mabulosi odzola, mousses ndi zina zotero.

Monga chakumwa cha kapamba, tikulimbikitsidwa kugwiritsa ntchito madzi oyera, tiyi ofooka, mchere wamchere wopanda mchere, msuzi wa rosehip, masamba, zipatso zamadzimadzi, ma compotes, zakumwa zosapatsa acid, zotupa za mankhwala azitsamba ndi infusions paupangiri wa akatswiri.

Mfundo Zoletsedwa Pazakudya ndi Chakudya

Zinthu monga nkhumba, mwanawankhosa, tsekwe nyama, abakha, bowa, adyo, sorelo, pickles ndi marinade mwanjira iliyonse, radish, nyemba, kabichi yatsopano, mphesa ndi msuzi wa mphesa, margarine, khofi sizikulimbikitsidwa kwa odwala pa gawo lililonse la kapamba. , koko, sinamoni, nthochi, ayisikilimu ndi matsenga. Ndi mtundu uliwonse wa kapamba, zakumwa zoledzeretsa ziyenera kuyiwalika.
Njira zolondola zakukonzekera ndi kusankha kwa zinthu zimathandizira kukhululukidwa kwa mitundu yonse yamatenda a kapamba ndipo amachepetsa mwayi wofalikira komanso kubwereranso m'matumbo a pancreatitis kapena mbiri yakale ya matendawa. Kusankha maphikidwe ambiri kumakupatsani mwayi wodya zakudya zosiyanasiyana, osakumana ndi zomwe zimapangitsa kuti malamulo azakudya azipetsedwa, pewani kuwonongeka.
Ndi kuchulukana kwa mitundu yosiyanasiyana ya kapamba, kusala kudya kumayikidwa pa tsiku loyamba, ndikuwonjezera kuchepa kwa Zizindikiro pogwiritsa ntchito madzi amkati maola awiri aliwonse waukulu.
Pambuyo pakuchulukitsa kwa kapamba, amabwerera ku chakudya chosakhalitsa, kuyambira ndi mbatata zamadzimadzi zotsekemera, masamba owonda, ndi nsomba zamafuta ochepa.
Ndi pancreatitis, osavomerezeka kusakaniza mitundu yambiri ya mapuloteni nthawi imodzi pachakudya chimodzi, mwachitsanzo, idyani nsomba ndi tchizi, ng'ombe ndi nkhuku, etc.
Njira yophikira yomwe amakonda, ngati kuli kotheka, chithandizo cha kutentha ndikupera mankhwala, ndikutsatira kuphika, kuphika kapena kuwotcha. Pazofunikira, pogaya, kupukuta kumachitika kawiri, musanaphike ndi pambuyo.

Kupewa kwa Pancreatitis

Pancreatitis ndi matenda omwe ndi osavuta kupewa kuposa kuchiritsa. Kupewa matenda opatsirana a kapamba kumaphatikizapo zakudya zoyenera ndi kudya, kuchepetsa kapena kuchotsa zinthu zomwe zimayambitsa kusokonezeka kwa chakudya chamagulu, machitidwe ena ndi ziwalo, kupewa matenda opatsirana, moyo wathanzi, komanso chisamaliro chamankhwala panthawi yake ngati zingakhale zovuta kapena zopweteka.
Kupewa kupewa kufalikira kwa pancreatitis aakulu mu chikhululukiro sikungotengera kumwa mankhwala ndi kudya, komanso sanatorium-resort, komanso kuyesedwa ndi gastroenterologist kawiri pachaka.

Chithunzi cha matenda

Kuti mumvetsetse zomwe zachitika, tangoganizirani ntchito ya kondani. Ntchito yayikulu ya thupi ndikupanga madzi a pancreatic, omwe cholinga chake ndi kupukusa chakudya. Madziwo amakhala ndi ma enzymes ndi ma bicarbonate, zinthu zimapanga malo amchere omwe amatha kupatutsira madzi a m'mimba a acid. Madzi opangidwa "amayenda" m'matumbo kudzera m'misewu yapadera ndipo, pofika komwe akupita, amalumikizana ndi zinthu zomwe zimakhalapo.

Kuchita ndi zinthu zomwe zimathera mwangozi m'matumba a pancreatic, msuzi umayamba kusokoneza kapamba. Chiwalo chimayamba kudzimbidwa, kutupa kumayamba. Ma enzyme receptors, osazindikira michere yam'mimba, amayamba kupanga opatsirana, monga momwe thupi limanenera: palibe ma enzymes okwanira.

Kutupa kumachitika chifukwa chakuti ma pancreatic ducts amangokhala opanda khomo la matumbo. Madzi samalowa m'matumbo, amakhala komwe adachokera, chiwalo chimadwala.

Pancreatitis yotere imapitilira mawonekedwe owopsa, sichikhala chovuta. Matenda a pancreatitis osachiritsika amadzuka yekha, popanda chidwi chakunja.

Nthawi zina kuwonjezeka kwa mchira wa ndulu kumatha - ntchito yolimbikitsidwa ndi kapamba imayambitsa maselo ogawanika, mwachangu kuti mudzaze malo ogwidwa. Pa wodwala, izi zimawakhudza mosavomerezeka.

Poyerekeza ndi pomwe pancreatitis imayamba

The yogwira pancreatitis mu akuluakulu amayamba ndi ziwalo zina zam'mimba dongosolo. Mlandu wa matenda:

Nthawi zambiri, wodwala akakhala m'chipatala, amapatsidwa mankhwala osiyanasiyana ndi njira zina, kuti pancreatitis yogwira isamayambike.

Matenda omwe amayambitsa kapamba ndi:

• chiwindi
• gastritis
• ma gallstones
• hepatic matenda enaake,
• cholecystitis
• dyskinesia wa bile ducts,
• kuvulala kwa ziwalo zomwe zili m'mimba,
• matenda am'mimba.

Njira yomwe imasokoneza matumbo imatha kuyambitsa kupanikizika kwa kapamba. Kenako kuzindikiritsa matendawa kumakhazikitsidwa ndipo chithandizo chimasankhidwa.

Zowopsa

Pali magulu odziwika aanthu omwe ali ndi kuthekera kwa kutupa kwa kapamba kawirikawiri kuposa ena. Izi zikuphatikiza:

• osuta
• zidakwa
• anthu omwe amakonda zakudya zamafuta muzakudya,
• anthu amene samasamala chakudya, amadya mosasamala,
• odwala kumwa mankhwala, ngakhale contraindication.

Ngati zikuwoneka kuti wodwalayo ali ndi vuto lotengera mtundu wamatenda, ndibwino kusiya zizolowezi zoyipa panthawi, musanachitike zochitika zosayenera.

Momwe mungazindikire yogwira pancreatitis

Nthawi zina mthupi la wodwala mumamveka zatsopano. Kuti mudziwe kuopsa kodwala, onani zomwe zimachitika chifukwa cha kugwira ntchito kwa kapamba:

• ukufalikira
• maonekedwe okopa miseche,
• kumva mseru
• kumverera kolemetsa m'mimba
• kutentha kwa mtima
• kupweteka m'matumbo.

Mndandandandawo ukutchula zomwe matendawa adayambira. Kuthana ndi zizindikirozi nokha, kunyumba, sizovuta. Professional chithandizo cha yogwira pancreatitis amayamba ndi isanayambike yachiwiri zizindikiro:

• amalira munthu
• kutentha kwa thupi kumakwera
• pali kuledzera momveka bwino kwa thupi.

Pali nthawi zina chifukwa, chifukwa cha kuwonongeka kwa kapamba, komanso zotakasika, matenda ena anapezeka - omwe adayamba kukhala oyambitsa. Matenda oyamba amawonetsedwa ndi zizindikiro zazikulu:

• kupweteka mu hypochondrium yoyenera amalankhula za miyala mu ndulu,
• malungo ndi kutsekula m'mimba ndizodziwitsa za matenda m'matumbo,
• Ngati chiwindi chinyamuka ndi kukula, tikulankhula za matenda a chiwindi.

Chifukwa chake, ndikofunikira kuyang'ana kupezeka kwa zowawa komanso mtundu wazizindikiro. Kuwona koteroko kumapangitsa dokotala kuchita ntchito yofunika kwambiri, ndipo wodwalayo adzapulumutsidwa matenda awiri nthawi imodzi.

Chithandizo cha yogwira pancreatitis sikuti ndikuwonetsa kutupa kwa kapamba, koma makamaka chifukwa cha matenda omwe adayambitsa matendawa. Mankhwala osiyanasiyana amathandiza kuthana ndi kapamba, makamaka popanga kuchepa kwa michere mthupi. Matenda oyamba amachoka, chifuwa chachikulu chimatha.

Ndi matenda odziwika a matendawa, chithandizo champhamvu chimayamba.

Chithandizo chamankhwala a kapamba: mfundo zazikulu

Zakudya zimatengedwa ngati gawo lofunika lamankhwala - ngati wodwala amatsata kale zakudya zomwe zimachitika chifukwa cha matumbo, matendawa amalimbikitsidwa. Kwa nthawi yayitali muyenera kupita kukamenya nkhondo ndikumwa madzi okha. Ngati matendawa akuwonetsa kuti alibe matendawa, ndizovomerezeka kungoletsa kugwiritsa ntchito zakudya zamafuta.

Kudya kumadalira magawo ang'onoang'ono. Mwachitsanzo, gawani mbalezo m'magawo angapo ndipo idyani kwathunthu masana. Kumbukirani kuti, katundu wocheperako pa kapamba, ndizosavuta kuti thupi lipirire chakudya chimbudzi. Muyenera kumwa madzi ambiri. Zoletsedwa: mowa, malonda okhala ndi kukoma kwamphamvu - wowawasa kapena owawa kwambiri.

Tanthauzo la chakudya limapangidwa payekhapayekha, izi zimasankhidwa ndi dokotala, kutengera mtundu wa wodwalayo. Zakudya zomwe zimalimbikitsidwa zimadziwika mosiyanasiyana ndi anthu. Mwachitsanzo, wodwala Nambala 1 amadya nthochi popanda mavuto, pomwe wodwalayo No. 2 amatulutsa kudzimbidwa kwa zipatso. Koma wodwalayo No. 2 ali ndi mwayi woti amwe mkaka wowerengeka ndi tiyi, ndipo wodwalayo No. 1 amalipiranso chakumwa china.

Ngati wodwala alibe mwayi wakudya, zakudya sizisonyezo. Wodwalayo amadya motere: Zinthu zofunikira zothandiza kuti thupi lizigwira bwino zimayambitsidwa kudzera mu mtsempha mu mawonekedwe osinthika amkati wam'mimba.

Mankhwala othandizira

Ngati chiwopsezo chachikulu cha kapamba chikukula mofulumira kwambiri kotero kuti chikuyamba kuyamwa mwachangu minofu yolumikizana, kutulutsa mafinya, simungathe kuchita opareshoni. Kuphatikiza pamapangidwe oyipa, ma cysts abodza amawonekera, kuchotsedwa kwa komwe kumakhala kofunikira.

Ndikosavuta kuthana ndi vuto la kupanikizika kwachangu, mukangouza dokotalayo chowonadi, osalola kuti matendawa asatengeke. Wodwalayo amapeŵa mawonekedwe osakhazikika pamene kudya kumakhala kovomerezeka kwa moyo wonse.

Reactive pancreatitis, yomwe ndi mitundu yosiyanasiyana yamatenda a kapamba, ndimatenda ake am'mimba, omwe amayamba chifukwa cha zina za pathologies a ziwalo zam'mimba. Reactive pancreatitis sikuti matenda odziyimira pawokha, ndi chifukwa cha ena, ofanana, a pathologies. Nthawi zambiri, chomwe chimapangitsa kuti pakhale pancreatitis yotakasika ndikuphwanya magwiridwe antchito monga ziwindi, m'mimba, matumbo, komanso ndulu ya bile. Njira ya matendawa nthawi zonse imakhala yovuta komanso mwadzidzidzi, koma sikuti imakhala yovuta. Ndi chithandizo cha panthawi yake, sichikuwopseza moyo ndi thanzi la wodwalayo. Zikhala zokwanira kuthetsa matenda oyambitsidwa, omwe anali olimbikitsira kukula kwake.

Amayambitsa yogwira pancreatitis

Chimodzi mwazochita za kapamba ndikupanga madzi am'madzi kuti azigaya bwino. Madzi awa amaphatikiza ma enzyme osiyanasiyana omwe amapanga malo amchere m'matumbo ndikuchepetsa acidity ya madzi a m'mimba.Ma Enzymes amathandizidwa ndikuyamba kukwaniritsa ntchito yawo pambuyo pazilowedwe za madzi a pancreatic kudzera m'mitsempha ya zikondamoyo m'matumbo. Pambuyo pokumana ndi zomwe zili m'matumbo, ma enzymes amayamba kupanga chakudya cholowa mthupi. Koma ngati matumbo amalowa m'mizere, ma enzymewo amayamba msanga, ndipo kapamba amayamba kudzipenda yekha. Zotsatira za njirayi ndikutupa kwakuthupi - minofu ya kapamba imawonongedwa.

Yogwira pancreatitis nthawi zambiri imayamba pakati pa akulu, popeza amakonda kupezerera zakudya zopanda pake ndi mowa. Chifukwa chake, matendawa amatengera thupi pakhungu linalake lomwe limadya. Kukula kwa matendawa kumayambitsidwa ndi kukhathamira kwa ndulu ndi duodenum, pamene kufalikira kwa madzi a m'mimba kumachitika. Zilonda zam'mimba, cirrhosis, hepatitis, bysary dyskinesia, gastritis ndi cholelithiasis nthawi zambiri zimayambitsa kukula kwa kutupa kwa kapamba. Nthawi zina, kuvuta kapamba kumadzetsa zotsatirapo zomwezo.

Mkhalidwe wopsinjika ungapangitse kuukira kwa pancreatitis yotakataka. Njira yamtunduwu wa kapamba imadziwika ndi akazi. Osati gawo laling'ono lodziwika bwino ku kapamba limayimbidwa ndi chibadwidwe. Kugwiritsa ntchito mankhwala kwamagulu ena kungayambitsenso kapamba. Awa ndi mankhwala a mahomoni, Paracetamol, Metronidazole. Nthawi yomweyo, matenda omwe amafunsidwa akhoza kudwala matenda ashuga. Izi ndichifukwa choti ndi kutupa kwapa pancreatic pali kuphwanya mapangidwe a insulin, ndipo izi zimapangitsa kutsika kwamagazi m'magazi.

Mitundu yowonetsera matenda

Zizindikiro za pancreatitis yogwira mtima ndi zomwe zili ndi izi:

1. Ululu wolimba komanso wosalekeza pamimba.
2. Mawonekedwe a zowawa kukulira mbali yakumanzere ya thupi.
3. Kuperewera kwa kutenga painkiller ndi antispasmodics.
4. Kusanza kopanda tanthauzo, pambuyo pake palibe mpumulo wa zodwala.
5. Chizungulire ndi kufooka.
6. Kuchulukitsa kwa mpweya.
7. Thupi.
8. Kuphwanya phiko.

Chizindikiro chachikulu komanso chodabwitsa kwambiri cha pancreatitis yogwira mtima ndi ululu. Chitukuko chake chimatengera gawo liti la chisa chomwe chimakhudzidwa ndi kutupa. Ngati kutupa kumaphimba thupi la chiwalo, ndiye kuti ululu umamveka mu epigastrium. Zovuta za ululu mu hypochondrium yoyenera zimachitika ndikutupa kwa mutu wa kapamba. Ngati mchira wa chiwalo chaphwanyidwa, ndiye kuti ululu umapezedwa mu hypochondrium yamanzere.

Wodwalayo amamva kupweteka thupi lonse. Kuphatikiza apo, akuwoneka wodana ndi chakudya. Zowawa zimachuluka kwambiri mutatha kudya chakudya chilichonse komanso kuchuluka kulikonse. Ngati musintha mawonekedwe a thupi - kuti mukhale pansi ndikusefa thupi, ndiye kuti ululuwo ungacheperachepera.

Ngati pali zofanana ndi zomwezi, ndipo palibe chithandizo, matendawa amatha kulowa m'malo owopsa kwambiri. Zizindikiro zoyambirira za pancreatitis yovomerezeka zikawoneka, ndikofunikira kufunafuna chithandizo chamankhwala, popeza chithandizo kunyumba chimangokulitsa mkhalidwe wa wodwalayo.

Njira zochizira

Kuti mupeze chithandizo choyenera cha zotupa za kapamba, ndikofunikira kukhazikitsa chomwe chinayambitsa. Njira zochizira zotsatira zotsatirazi:

1. Kuthetsa kufooka ndi kutupa kwa kapamba.
2. Kuchotsa kuledzera.
3. Kubwezeretsanso katemera wa pancreatic.
4. Chithandizo cha matenda oyambitsidwa.

Ngati kutupa kwachangu kwa kapamba kumakhala kofatsa, ndiye kuti kugwiritsa ntchito mankhwala osokoneza bongo ndikuchotsa zizindikiro za matenda oyamba kumakhala kokwanira mu chithandizo chake.

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kusankha mankhwala otsatirawa:

• michere yokumba (Panzinorm, Creon, Mezim),
• njira yothetsera kutupira ndi kupanga magesi,
• antispasmodic othandizira kukulitsa ma ducts (No-shpa),
• mankhwala a antigesic a antigesic (Diclofenac, Ibuprofen),
• maantibayotiki (Ampiox, Gentamicin).

Kuchitanso kutupira kwa kapamba mu siteji ya pachimake kumafuna kukanidwa kwathunthu kwa chakudya kwa masiku awiri. Munthawi imeneyi, madzi akumwa okha ndi mankhwala azitsamba amaloledwa. Kwa masiku 3-4, zakudya zamadzimadzi kapena zosenda zimaloledwa, zomwe zimayambitsidwa pang'onopang'ono komanso mosamala. Zakudya zazikulu zomwe zimaperekedwa ndi zakudya zimaloledwa kudya pakatha sabata.

Njala imakhala yofunikira kuti zikondamoyo zichepetse ndikupanga ma enzyme kuti asiye. Ngati matendawa alibe kwambiri, ndiye kuti mutha kuchita ndi zakudya zapadera, kuthetsa kumenyedwa kwanjala. Monga pambuyo pa maphunziro, komanso mukamaliza chithandizo, ndikofunikira kusiya kumwa mowa ndi kusuta fodya, muyenera kutsatira zakudya zoyenera, zopatsa thanzi.

Malamulo a zopatsa thanzi

Chimodzi mwazinthu zazikulu zothandizira bwino pancreatitis yotakataka ndi chakudya chamagulu. Kubwezeretsa magwiridwe antchito a kapamba ndizosatheka popanda iwo. Mukamasankha zakudya, ndikofunikira kuganizira za matenda omwe amayambitsa, omwe anali omwe amapangitsa kuti pakhale pancreatitis yogwira ntchito.

Mothandizidwa ndi chakudyacho, kupumula kwazinthu zopangidwira kumaperekedwa. Chakudyacho chimafuna malamulo otsatirawa:

1. Chakudya chokhazikika komanso chamkati, kangapo pa tsiku, katatu patsiku, kuti muchepetse katundu pamimba.
2. Kulandila kwa zakudya zotsukidwa kapena zamadzimadzi.
3. Zakudya ziyenera kukhala zonyowa kapena pamadzi.
4. Choletsa chotsimikizika pazakudya zokazinga ndi zamafuta.
5. Zokonda pazakudya zama protein, ndizoletsa kwambiri zamafuta ndi mafuta.
6. Kuchotsera chakudya chamagulu omwe amathandizira kupanga msuzi wa m'mimba.
7. Kukana zonunkhira.

Maziko a zakudya kwa odwala omwe ali ndi kapamba ayenera kukhala chakudya No. 5. Zakudya monga msuzi wokhala ndi masamba, chimanga kapena pasitala, chimanga, mafuta ochepa, nkhuku ndi nsomba, masamba ndi batala, masamba ophika, ma omeleette oyera a mazira saloledwa kudya. zipatso zosapsa ndi zipatso. Monga chakumwa, msuzi wa rosehip, tiyi wofooka, timadziti ndi ma compotes amaloledwa.

Mu zotupa zotakataka, zakudya zotsatirazi siziyenera kuperekedwa kuchakudya:

• makeke ndi mkate watsopano,
• zakumwa zoziziritsa kukhosi
• mowa
• khofi ndi koko
• soseji ndi nyama zotsekemera,
• chakudya zamzitini
• anyezi ndi adyo
• nyemba
• radish ndi radish,
• kabichi ndi bowa
• nyama yokazinga kapena nsomba,
• nyama ndi msuzi wa nsomba,
• mapira, barele la ngale, barele ndi phala yam chimanga,
• nthochi ndi nkhuyu
• mphesa
• ayisikilimu
• kupanikizana
• Chocolate

Kuthana ndi mayendedwe opatsa thanzi komanso kudya mokwanira kumathandizira kupewa kuchulukana kwa matendawa komanso kumathandizira kubwezeretsanso liwiro lowonongeka.

Zomwe zimayambitsa ndikuwonetsa bwanji matendawa?

Matenda odziwika bwino a m'mimba mwa ana ndi othandizira pancreatitis. Izi ndichifukwa choti pali zinthu zambiri zoyipa kwa ana zomwe zimakhala ndi zoteteza. Mosiyana ndi akuluakulu, mwa ana chidziwitsochi chimadziwoneka ngati njira yolakwika ndi zakudya. Akangokumana ndi chakudya cham'mimba chodwalitsa, chiwopsezo champhamvu cha kutupa kwa kapamba chimayamba. Imathanso kuonekera pambuyo pakudya kwa mwana wamafuta ambiri. Zakudya zosawerengeka kwa nthawi yayitali zimayambitsanso kutupa kwa ana. Izi zimachitika pang'onopang'ono pakati chakudya.

Ana osakwana zaka 1 akhoza kudwala matendawa. Amakulitsa chifukwa chakuyambitsa kolakwika kwa zakudya zowonjezera.Kugwiritsa ntchito zinthu zomwe sizikugwirizana ndi m'badwo wawo ndizovuta zomwe sizingatheke chifukwa cha ziwalo zomwe zimapangidwa m'mimba mwa mwana, makamaka, kapamba.

Ndi yogwira pancreatitis, mwana amayamba kupweteka m'chiuno, nseru ndi kusanza, ndi m'mimba. Vutoli likhoza kutsagana ndi kuwonjezeka kwa kutentha. Mukamayang'ana patsekeke la mkamwa, chophimba choyera pamalilime ndi nembanemba yowuma imadziwika. Khalidwe la mwana limasinthanso, amakhala wosakhazikika, wosakwiya, wololera. Ana samatha kupumula ndikumva kuwawa ndikulira kwambiri. Wamng'ono ngati mwana, amachepetsa kwambiri matendawa.

Maonekedwe amtunduwu amayenera kuwachenjeza makolo ndipo amafunikira chisamaliro chamankhwala. Ngati matendawa atsimikiziridwa, mwana wagonekedwa m'chipatala. Pankhaniyi, kupumula kwama bedi kumasonyezedwa. Chithandizo cha matendawa chimachitika molingana ndi mfundo zomwezo monga akulu - njala, kadyedwe ndi mankhwala othandizira. Kutsatira ndi malingaliro onse ndi malangizo a dokotala kuonetsetsa kuti mwana akuchira mwachangu.

Reaction pancreas kutupa ndi njira yomwe ndi mtundu wa kuyankha kosavomerezeka. Pali matenda ambiri omwe amatha kuyambitsa chisokonezo mu ntchito ya thupi. Zitsanzo zoterezi zimaphatikizira kutupa m'mimba, matumbo, mapangidwe amiyala mu chikhodzodzo, komanso chidwi chachikulu cha mowa.

Zosiyanasiyana zamatsenga

Akatswiri amasiyanitsa mitundu ili yamatenda:

1. Iatrogenic. Chimawonekera chifukwa cha kulowererapo kwa opaleshoni.
2. Zoopsa. Zimachitika kuti poizoni.
3. Zowopsa - matenda omwe amayamba chifukwa cha kuwonongeka kwa m'mimba.
4. Zamachitidwe Pancreatitis yotere imalumikizidwa ndi kusokonekera kwa magawo osiyanasiyana a thupi.
5. Njira yotupa ya mankhwala osokoneza bongo (imawoneka chifukwa cha zovuta za mankhwala).
6. Reactive pancreatitis, yomwe imayamba chifukwa cha matenda osiyanasiyana am'mimba, matumbo, chiwindi kapena chikhodzodzo.
7. Matenda obwera chifukwa cha zakudya zopanda thanzi.

Mkhalidwewu umagawidwanso m'mitundu yambiri, kutengera mtundu wa maphunzirowo. Izi ndiye, zoyambirira, kupukusira pachimake - K 85. Palinso mtundu wina wa matenda omwe amathandizira pancreatitis ICD - K 86.

Zinthu zomwe zimadzetsa matendawa

Kodi ndizomwe zimayambitsa matenda? Kutupa kwa kapamba kumachitika chifukwa cha zinthu zomwe zimasokoneza magwiridwe antchito a chiwalo. Zofunikira zazikulu zamtunduwu ndi monga izi:

1. Zakudya zopanda pake, kugwiritsa ntchito zakudya zoyipa: zakudya zamafuta ndi amchere, zonunkhira zambiri, marinade, chakudya chothamanga, maswiti. Zakudya zamtunduwu zimawongolera ziwalo za m'mimba, zomwe zimayambitsa zosokoneza.
2. Zinthu zoipa. Kapangidwe kazinthu zopangidwa ndi mowa ndi fodya zimaphatikizira mankhwala omwe amachititsa kuti pakhale zotakasika pancreatitis, zizindikiro za matenda.
3. Mankhwala Ngati munthu azigwiritsa ntchito zochuluka, popanda kuyang'aniridwa ndi dokotala, zimapweteka thanzi la kapamba. Makamaka mawu awa amagwira ntchito pazachuma chothandizira kuthana ndi ma virus oyipa, kutupa, zowonjezera mavitamini.
4. Makina kuwonongeka kwa peritoneum, kumabweretsa kuphwanya umphumphu wa zimakhala.
5. Kutengeka kwamphamvu kwamphamvu.
6. Matenda opatsirana amatenda omwe amaphatikizidwa ndi kukhudzana ndi majeremusi.

Gulu lopatula lazomwe zimayambitsa matenda osiyanasiyana am'mimba, mitsempha yamagazi, ma virus ma cell.

Rease pancreatitis ndi vuto lalikulu. Sizingatengedwe mopepuka. Pokhapokha patapezeka kuti pali matenda komanso chithandizo chanthawi yake, zotsatira zoyipa zimatha kuchitika.Zotsatira zakupha ndikupanga matenda a zam'mimba zimachitika pafupifupi makumi awiri mwa milandu.

Zizindikiro zamakhalidwe

Polankhula za pancreatitis yogwira, zizindikiritso ndi chithandizo cha vutoli, ziyenera kutsimikiziridwa kuti kumayambiriro kwa chitukuko chake samadziwonetsa bwino. Chifukwa cha izi, wodwalayo amayesa kuthetsa zovuta zake payekha, osafuna thandizo la akatswiri. Komabe, thanzi la munthu limasokonekera mofulumira mkati mwa maola ochepa. Amakhala ndi nkhawa ya mseru, kumva kuwawa komanso kupweteka pamimba, kutentha kwa mtima, kusefukira. Vomiting imatuluka, imakhala ndi tizigawo ta chakudya, ntchofu ndi bile, komanso matenda am'mimba. Kutentha kumakwera, komwe kumawonetsa kukula kwa kuledzera kwa thupi. Wodwalayo amataya chidwi chake, chifukwa m'mimba sitha kugaya ndi kukonza michere.

Zomverera zosasangalatsa ndizomanga. Amayamba kudya akatha kudya.

Rease pancreatitis imatha kubweretsa mitundu yosiyanasiyana yosasangalatsa. Odwala nthawi zambiri amadandaula ndikumverera koyaka kumtunda kwa peritoneum. Komabe, mtundu wa zowawa zimatengera gawo liti lomwe lachitika.

Ndi chitukuko cha matenda am'mitsempha kapena mutu, ndimakhumudwa ndi nthiti. Ngati pancreatitis yakhudza gawo lapakati, wodwalayo amakhala ndi vuto losasangalala pamimba.

Mukakhala pansi, ululuwo umafooka pang'ono. Kupumula sikungathandize munthu kukhala bwino. Ngati matenda amuyamba chifukwa cha kusagwira bwino ntchito kwa ziwalo zina, kumayendera limodzi ndi kuwonetsa matenda oyambitsidwa. Mwachitsanzo, ndi cirrhosis, edema imawonedwa, chiwindi chimakulanso kukula. Matenda am'matumbo amatenga ndi m'mimba ndi malungo, ndipo kusagwira ntchito kwa ndulu ndi kudula pansi pa nthiti yakumanja.

Tiyenera kukumbukira kuti yogwira pancreatitis mwa ana imatchulidwa kochepa kuposa akulu.

Zowopsa pamoyo wa wodwala

Kuperewera kwa zamankhwala, kusatsatira malamulo azakudya ndi mankhwala kungachititse kuti pakhale zovuta zowopsa. Chimodzi mwazovuta kwambiri ndi necrosis ya zimakhala, zomwe sizingasinthike. Ngati munthu ali ndi vuto la yogwira pancreatitis, zotsatirapo zake zingayambike kale patsiku loyamba la matendawa. Zina mwazomwe zimachitika ndi izi:

1. Kutupa kwa peritoneum.
2. Kutulutsa magazi m'magazi.
3. Gwedeza dziko.
4. Purulent zotupa za m'mimba danga.
5. Kupanga kwa njira pakati pa ziwalo.

Tiyenera kukumbukira kuti mankhwalawa olimbitsa pancreatitis ayenera kuchitika kuchipatala. Kungoyang'anira ndi kulandira chithandizo chamankhwala nthawi zonse komwe iye angateteze wodwala ku zotsatira zowopsa.

Zimayambitsa kukula kwa matenda a ana

Mu ana, matendawa amapezeka chifukwa chodziwikiratu pazinthu zosiyanasiyana. Izi zimaphatikizira matenda amtundu wa kupuma, kuledzera, kugwiritsa ntchito mankhwala omwe cholinga chake ndi kuthana ndi tizilombo. Komanso, matenda am'mimba amatha pambuyo pakuwonongeka kwa peritoneum kapena chifukwa cha kudya kosayenera (kudya kwambiri, maswiti ambiri, mafuta, zakudya zonunkhira, poyizoni ndi mbale zowonongeka, kudya chakudya). Nthawi zina yogwira pancreatitis mwa ana aang'ono imawoneka chifukwa cha chilema champhamvu chomwe chimakhalapo kuyambira pakubadwa.

Zizindikiro za matenda omwe ali ana

Njira yotupa yomwe ili m'gululi la odwala, komanso akuluakulu, imalumikizidwa ndi zodwala thupi komanso kupanga zinthu zofunika kugaya. Zizindikiro za matenda mu ana nthawi zambiri zimakhala zowonekera kuposa ana okulirapo.

Kumverera koyaka m'mimba ndichinthu chodabwitsa. Kufunika kofunsa kuti muthane ndi achipatala. Kupatula apo, makolo sangathe kuyambitsa matenda oti awadziwitse komanso kuchita bwino.

Ndi yogwira pancreatitis ana, zizindikiro zotsatirazi zimawonedwa:

1. Kupuma, pambuyo pake mkhalidwe wathanzi suyenda bwino.
2. Kamvekedwe ka chikaso chachikaso.
3. Choyera chowala, mkodzo wakuda.
4. Kutentha kwambiri.
5. Kusuntha kwamatumbo (nthawi zina).
6. Misozi, kulephera kudya m'makanda.

Kodi makolo amachita bwanji?

Choyamba, ngati zizindikiro za yogwira pancreatitis zikuwonekera, muyenera kuyimbira ambulansi. Dokotala asanafike, mwana amagona, khalani bata.

Ngati wodwalayo ali ndi vuto lalikulu, dokotala amamutumiza kuchipatala. Mu chipatala, madokotala amachita kafukufuku, kusanthula ndi kuwunika kuti afotokozere zomwe zimayambitsa matendawa.

Kuchita opaleshoni ya matenda awa sikuchitidwa. Chithandizocho chimaphatikizapo kumwa mankhwala othandizira kuti umve bwino. Awa ndimankhwala omwe amathandizira kuchotsa kusanza, kusapeza bwino, ndi zina zambiri.

Pambuyo pachipatala kuchipatala, makolo ayenera kuyang'anitsitsa zakudya za mwana. Zakudya zoyenera zimagwira ntchito yofunika kwambiri, chifukwa ngati osagwirizana ndi malangizowo pali mwayi waukulu wokhala ndi matenda osachiritsika. Mwana wakhanda akakhala pa sukulu yaukapolo kapena sukulu, mayi ndi bambo ayenera kuuza aphunzitsi omwe angagwiritse ntchito komanso zoletsedwa.

Njira zoyesera

Ngati zizindikiro zokhala ndi pancreatitis yogwira mtima zimachitika, wodwalayo amatumizidwa kukayezetsa.

Mulinso:

1. Mitundu yosiyanasiyana ya kusanthula kwachilengedwe (magazi ndi mkodzo).
2. Kuyesa kwam'mimba kogwiritsa ntchito ultrasound.
3. Phunziro pogwiritsa ntchito tomograph.
4. Kukhazikitsidwa kwa laparascope kulowa m'mimba.
5. FGDS.
6. Kuyesedwa kwa ndulu ya duct pogwiritsa ntchito x-ray.

Polankhula za matenda monga yogwira pancreatitis, zizindikiro ndi chithandizo, ziyenera kutsimikiziridwa kuti chithandizo chamankhwala chimatengera zomwe zidayambitsa chisokonezo. Mwachitsanzo, ngati pali miyala mu ndulu, opaleshoni imachitidwa, ndipo pamaso pa kudalira mowa, wodwalayo amapulumutsidwa pazotsatira zakupha za ethanol.

Mwambiri, ndalama zimapangidwira kuthana ndi ma spasms, kusapeza bwino komanso kusokonezeka kwa gland. Wodwalayo amakhalanso mankhwala omwe amalimbikitsa kutulutsa kwamadzi ndi mankhwala oopsa. Nthawi zina amalimbikitsidwa kumwa mankhwala omwe amawononga tizilombo toyambitsa matenda.

Chithandizo cha yogwira pancreatitis ana ndi akulu amafuna kudya kwapadera. Wodwalayo akulangizidwa kuti azidya kasanu patsiku, chakudyacho chizikhala chopanda mafuta, chothinidwa, chosemedwa.

Zakudya zokhala ndi zonunkhira ndi mchere wambiri, koloko, zakumwa zoledzeretsa, khofi wamphamvu ndi chokoleti sizimayikidwa. Nyama ndi nsomba ndibwino kusankha mitundu yosalala. Masamba ndi zipatso zatsopano, komanso shuga ndi makeke (makeke, ma waffle, makeke) ziyenera kukhala zochepa kapena zosayikidwa. Zinthu zothandiza pa matendawa ndi monga:

1. Zakudya zoyamba za phala, monga mpunga.
2. Ng'ombe zodulidwa, nyama yotsamira ngati mbatata yosenda.
3. Maimoni ophika mu uvuni.
4. Yophika nsomba ndi nkhuku.
5. Zipamba, mabisiketi.
6. Yogurt yamafuta ochepa.
7. Masamba osenda.
8. Ma compotes, odzola, timadzi tosadzaza ndi mankhwala azitsamba, madzi amchere osakhala ndi mafuta.

Werengani pa:

Rease pancreatitis: wopatsa chidwi komanso wolosera

Kodi mungaletse bwanji chitukuko cha pancreatic pancreatic necrosis?

Pancreatic necrosis: Zizindikiro ndi kuzindikira

Amayambitsa, Zizindikiro ndi Chithandizo cha Acute Pancreatitis

Pachimake owononga pancreatitis

Pachimake hemorrhagic kapamba

Kodi yogwira pancreatitis ndi chiyani?

Nthengwa ndi chida chogwira ntchito. Ndipo ina mwa ntchito zake ndi kuphatikiza kwa mandimu. Ndi chithandizo chake, mulingo wa acidity m'mimba umakhazikika ndipo dongosolo la m'mimba limagwira ntchito moyenera.Zigawo zothandizidwazo zamadzimadzi zimakhala mu "kugona" mpaka zitalowa mgawo kudzera mu duodenum. Izi zimalepheretsa kudzimbidwa kwa kapamba payekha.

Mu kapamba, tchuthi chosakanizika cha ma bicarbonate ndi ma enzyme amayendetsedwa kudzera njira zapadera. Ngati matenda aliwonse adayambitsa kuphatikizika kwa zidutswa za chakudya m'mayendedwe awa, ndiye kuti msuzi umayambitsidwa kale. Enzymes amayamba kuwononga minyewa kapamba, kuchititsa yotupa - yogwira pancreatitis.

Chifukwa cha kuchuluka kwa ophunzira omwe amatengedwa m'maiko osiyanasiyana, pali mtundu umodzi wa ICD 10. Ndikofunikira kupangitsa kuti matenda azidziwikiridwa ndi chithandizo. Malinga ndi ICD 10 yogwira pancreatitis ili ndi gulu:

Mwa mitundu yovuta ya matendawa, chinyezi cham'mimba, purulent ndi hemorrhagic pancreatitis, matenda oopsa a necrosis amadziwika.

Zomwe zimayambitsa matendawa

Kukhazikika kwa zizindikiro za yogwira pancreatitis kumalumikizana ndi matenda ena akuluakulu, komanso zizolowezi zoipa. Ntchito yopanda pancreatic imatha kuyambitsidwa ndi:

• Hepatitis ndi matenda ena a chiwindi,
• Matenda am'mimba
• Matenda a Gallstone
• Kutupa kwa ndulu
• Makina kuvulala kwam'mimba.

Kusuta, kumwa mowa mwauchidakwa, komanso kunenepa kwambiri ndizothandiza kwambiri kukulitsa pancreatitis yogwira mtima. Ana amadwala matendawa pafupipafupi. Zomwe zimayambitsa matenda adakali aang'ono nthawi zambiri zimakhala zovuta zam'mimba thirakiti.

Momwe mungazindikire zizindikiro za yogwira pancreatitis panthawi?

Poyamba, matenda a pathology samapezeka kawirikawiri chifukwa chakuti zizindikiro za yogwira pancreatitis ndizachilengedwe ndipo nthawi zambiri zimasokonekera ndi malaise. Izi zikuphatikiza:

• Kulemera kwambiri
• Kuchulukitsa kwa mafuta,
• Shingles pamimba
• Kutentha kwa mtima
• Zosangalatsa pamtima.

Wadwala kwambiri, wodwala amatha kuyamba kutentha thupi, kusanza. Tisaiwale kuti pancreatitis nthawi zonse imakhala chifukwa cha matenda ena akulu. Chifukwa chake, Symbomatology imaphatikizapo zizindikiritso za matenda oyamba.

A nthawi yayitali pancreatitis yayitali imayambitsa kuwonongeka kwa minofu ya pancreatic, yomwe imakhudza kupanga kwa michere yam'mimba mwa iyo. Zotsatira zake, ululu ukhoza kuchepa, koma padzakhala kutopa kochulukirapo, pallor ndi khungu louma. Wodwalayo amayamba kuchepa thupi ngakhale atakhala ndi chidwi chofuna kudya. Mawonekedwe amtundu wamatendawa ndi chifukwa chabwino chofunsira thandizo la gastroenterologist.

Mankhwalawa yogwira pancreatitis koyambirira kumachitika kunyumba ndipo amayambitsa kukonzanso kwa zizindikiro. Milandu yomwe idakhazikitsidwa nthawi zambiri imafunikira kuchitira opareshoni zowawa.

Rease Pancreatitis Zakudya

Ndizosatheka kupanga menyu umodzi womwe umakwanira aliyense amene ali ndi matenda. Matendawa omwe amayambitsa kutupa amaphatikizidwanso mu akaunti. Koma pali mfundo zingapo zomwe zimatsatilidwa pokonzekera kudya kwakanthawi:

• Kuti mupewe kuchuluka kwa madzi a m'mimba, omwe angayambitse mkwiyo kwambiri, muyenera kudya pafupipafupi. Zakudya zisanu patsiku - ndandanda yoyenera.
• Mitengo yophika mwatsopano yophika m'madzi kapena nthunzi iyenera kukulira pazosankha. Musanagwiritse ntchito, ayenera kuwazidwa mbatata yosenda.
• Kuphatikiza kwa mapuloteni / mafuta / makatirijini kuyenera kusunthidwa m'malo mokomera zakudya za mapuloteni. Mafuta amachotsedwa bwino kwambiri palokha, ndipo zakudya zamafuta zimadyedwa pang'ono pang'ono. Ma Enzymes omwe ma protein omwe amaphatikiza amadzimadzi amapangidwa osati mu kapamba, komanso mu duodenum. Chifukwa chake, zakudya zomwe zimakhala ndi mapuloteni ambiri zimavuta kupakidwa thupi mosavuta, osavutikanso ndi chifuwa chachikulu.
• Zipatso ndi masamba omwe ali ndi zipatso zambiri zimakhudza acidity m'mimba, zomwe zimayambitsa kukwiya komanso kuukira kwambiri. Zakudya zotere siziyenera kuphatikizidwa muzakudya.

Kodi zingaphatikizidwe bwanji pamenyu?

Popanda zoletsa za chakudya, mankhwala othandizira pancreatitis sangathe. Kuchokera muzakudya muyenera kupatula kuphika kwatsopano, nyama zamafuta ndi nsomba, chimanga chofinya, komanso masamba omwe ali ndi CHIKWANGWANI, kukhudza mwamphamvu nembanemba ya mucous ndikuthandizira kuti pakhale mpweya wambiri mthupi. Shuga, monga wofalitsa wamkulu wamafuta, kwa odwala omwe ali ndi vuto la pancreatic amadziwikiranso. Mankhwalawa pancreatitis yogwira, malangizo a dokotala amayenera kuonedwa mosamalitsa. Kuchekacheka kocheperako kumakhudzanso matenda.

Zofunika! Amakhulupirira kuti chakudya chomwe chimatengedwa pakachira pamtima chimatengedwa bwino kuposa zomwe zimamwa moperewera. Thupi limaletsa kuyamwa kwa chakudya komanso kutuluka kwazomwe zimachitika pochiritsa.

Mankhwalawa ayenera kukhala ndi zakudya zofewa, zopukutira mosavuta. Masamba ophika, tirigu wowonda, nyama yopendekera ndi nsomba, mkate wopanda "dzulo", wowerengeka, msuzi wa nyama, komanso ma omeleette a protein osaneneka - izi zonse zitha kugwiritsidwa ntchito kuphatikiza zosiyanasiyana kupanga tsiku lililonse. Zakudya zoyenera za pancreatitis yogwira mtima ndi gawo lofunikira kwambiri polimbana ndi matendawa.

Kodi nthendayi ndiyowopsa bwanji? Ngati pakhale zovuta zina, madokotala nthawi zambiri amapangitsa matendawo kuyambika kwa matendawo. Kukonzanso kwa chizindikiro chazizwitsa kumachitika mukangoyamba kumene chithandizo. Nthawi yayitali matenda atha kukhala osanyalanyazidwa, omwe m'kupita kwa nthawi amadzawonongedwa. Popewa pake, ndikofunikira kuwunikira mosamala mayendedwe am'mimba. Kuzindikira kwakanthawi, komanso kukana zizolowezi zoyipa ndi zakudya zoyenera - izi ndi njira zabwino kwambiri zopewera kutulutsa pancreatitis yogwira ntchito mwa akulu ndi ana.

Chithunzi cha matenda

Kuti mumvetsetse zomwe zachitika, tangoganizirani ntchito ya kondani. Ntchito yayikulu ya thupi ndikupanga madzi a pancreatic, omwe cholinga chake ndi kupukusa chakudya. Madziwo amakhala ndi ma enzymes ndi ma bicarbonate, zinthu zimapanga malo amchere omwe amatha kupatutsira madzi a m'mimba a acid. Madzi opangidwa "amayenda" m'matumbo kudzera m'misewu yapadera ndipo, pofika komwe akupita, amalumikizana ndi zinthu zomwe zimakhalapo.

Kuchita ndi zinthu zomwe zimathera mwangozi m'matumba a pancreatic, msuzi umayamba kusokoneza kapamba. Chiwalo chimayamba kudzimbidwa, kutupa kumayamba. Ma enzyme receptors, osazindikira michere yam'mimba, amayamba kupanga opatsirana, monga momwe thupi limanenera: palibe ma enzymes okwanira.

Kutupa kumachitika chifukwa chakuti ma pancreatic ducts amangokhala opanda khomo la matumbo. Madzi samalowa m'matumbo, amakhala komwe adachokera, chiwalo chimadwala.

Pancreatitis yotere imapitilira mawonekedwe owopsa, sichikhala chovuta. Matenda a pancreatitis osachiritsika amadzuka yekha, popanda chidwi chakunja.

Nthawi zina kuwonjezeka kwa mchira wa ndulu kumatha - ntchito yolimbikitsidwa ndi kapamba imayambitsa maselo ogawanika, mwachangu kuti mudzaze malo ogwidwa. Pa wodwala, izi zimawakhudza mosavomerezeka.

Poyerekeza ndi pomwe pancreatitis imayamba

The yogwira pancreatitis mu akuluakulu amayamba ndi ziwalo zina zam'mimba dongosolo. Mlandu wa matenda:

Nthawi zambiri, wodwala akakhala m'chipatala, amapatsidwa mankhwala osiyanasiyana ndi njira zina, kuti pancreatitis yogwira isamayambike.

Matenda omwe amayambitsa kapamba ndi:

• chiwindi
• gastritis
• ma gallstones
• hepatic matenda enaake,
• cholecystitis
• dyskinesia wa bile ducts,
• kuvulala kwa ziwalo zomwe zili m'mimba,
• matenda am'mimba.

Njira yomwe imasokoneza matumbo imatha kuyambitsa kupanikizika kwa kapamba. Kenako kuzindikiritsa matendawa kumakhazikitsidwa ndipo chithandizo chimasankhidwa.

Pali magulu odziwika aanthu omwe ali ndi kuthekera kwa kutupa kwa kapamba kawirikawiri kuposa ena. Izi zikuphatikiza:

• osuta
• zidakwa
• anthu omwe amakonda zakudya zamafuta muzakudya,
• anthu amene samasamala chakudya, amadya mosasamala,
• odwala kumwa mankhwala, ngakhale contraindication.

Ngati zikuwoneka kuti wodwalayo ali ndi vuto lotengera mtundu wamatenda, ndibwino kusiya zizolowezi zoyipa panthawi, musanachitike zochitika zosayenera.