Zizindikiro ndi chithandizo cha kutupa kwa kapamba mwa ana
Pancreatitis ana nthawi zambiri imachitika mosiyana ndi akuluakulu. Pathology ikhoza kukhala cholowa, maphunzirowa nthawi zambiri amakhala asymptomatic. Chovuta chizindikiritso ndikuti pancreatitis ndi yovuta kusiyanitsa ndi ma pathologies ena a ziwalo zam'mimba.
Zomwe zimayambitsa kutupa
Zikondamoyo kapena kapamba zimakhala ndi gawo lalitali ndipo zimaphatikizapo mutu, thupi ndi mchira. Parenchyma imakhala ndi minyewa komanso zonyansa.
Kuchulukitsa kwa England kumatha kuchitika pazifukwa zingapo:
- Kusunthika, limodzi ndi kuphwanya magazi.
- Madzi a m'magazi amalowa mu maselo a minyewa, omwe amachititsa edema.
- Kulakwika kwa kutuluka kwa pancreatic madzi mu lumen wa duodenum 12.
- Kukula kwa neoplasms ya pathological.
Pancreatitis ndimatenda omwe amatha kukhudzidwa ndi zinthu zambiri. Nthawi zambiri, zimachitika chifukwa cha matenda achilengedwe, chakudya chopanda thanzi - kuchuluka kwa mafuta m'zakudya.
Monga tanena kale, ndi kapamba, kapamba amavutika. Ili pafupi ndi m'mimba, ntchito zake zimaphatikizapo kupanga magulu osiyanasiyana a ma enzyme kuti athandizire kugaya ndi kuyamwa kwa zinthu zochuluka zofunika kwa thupi.
Pancreatitis imayambitsa kutukusira kwa minofu ya kapamba, yomwe imayambitsa vuto mu kupanga michere. Izi zimakhudza ntchito yopukusa, ndikuwononga kwambiri thanzi la mwana.
Pancreatitis Gulu
Mu ana, matendawa amawagawa m'mitundu - pachimake komanso chovuta. Pancreatitis imawonedwa ngati yopanda tanthauzo, yomwe yakhala ikuchitika kwa miyezi yoposa isanu ndi umodzi. The pachimake mawonekedwe amakwiya edema ndi catarrhal kutupa kwa tiziwalo timene timatulutsa. Zoopsa kwambiri, pakatuluka zotupa zomwe zimayambitsa matenda amisempha.
Masinthidwe a tiziwalo timene timatulutsa timadzi tozungulira:
- pachimake edema
- hemorrhagic (ndi hemorrhage),
- purulent
- mafuta pancreatic necrosis.
Nthawi zambiri, mavuto azakudya ndizomwe zimayambitsa pancreatitis mwa ana. Pokhala atasungidwa nthawi zonse, ziwalo zotayika zimataya katundu wawo, zimayamba kuwonongeka, ndikuchepetsa ntchito yawo.
Mwa ana opitilira zaka 7, matenda a kapamba a chiberekero chambiri kapena chowonekera pafupipafupi amapezeka. Mawonekedwe owopsa mwa ana samakhala wamba.
Kutengera ndi chiyambi, kapamba akhoza:
- choyambirira
- zotakasika, zikuchitika motsutsana ndi maziko azotupa a ziwalo zina,
- cholowa.
Yogwira pancreatitis ana
Pankhani ya yogwira pancreatitis, njirayi imasinthidwanso, ndikofunikira kuzindikira ndikuyamba kuchiza matenda omwe amayambitsa panthawi. Ngati sanachiritsidwe, matendawa amakhala oona pancreatitis. Mavuto oterewa amafala kwambiri mwa ana azaka za 10 mpaka 14.
The etiology ya yogwira pancreatitis chagona komwe kulipo kwa matenda ziwalo zina zomwe zimasokoneza kugwira ntchito kwa kapamba. Kuphatikiza pa matenda omwe ali ndi matenda opatsirana, mawonekedwe omwe angayambike chifukwa cha kumwa maantibayotiki ndi mankhwala ena amphamvu.
Mawonetseredwe osafunikira azachipatala samasinthika chifukwa cha mawonekedwe amtunduwu, koma mtundu wobwereza matendawa umakhala ndi mafunde - kukokomeza m'malo mwake kumachotsa kuchotsedwa. Kuchulukitsa kwamatenda obwera chifukwa cha kapamba, amatha kukhala wofatsa, wofatsa kapena wowopsa.
Zimayambitsa kukulitsidwa kwa ziwalo kwa ana
Kutupa kwa pancreatic mwa mwana kumatha kuyambitsidwa ndi zochitika zingapo za matenda:
- Watseka m'mimbazophatikizidwa ndi kugwa kapena kuwonongeka kwina, motsutsana ndi maziko awa, kukulitsa kwa ndulu nthawi zambiri kumawonedwa.
- Mavuto a Autoimmune - zolakwika za chitetezo cha mthupi, pomwe thupi limayamba kupanga ma antibodies tiziwalo take, kuphatikiza zikondamoyo.
- Poizoni wamankhwalazomwe zimapangitsa kuti chimbale chisamatayike. Potengera maziko awa, kuwonjezeka kwa chiwindi kumawonedwa nthawi zambiri.
- Njira zopatsira ziwalo zina.
- Matenda a kapamba zitha kuchitika chifukwa chosagwiritsa ntchito molakwika matendawa.
- Kukula kwa zotupa mu zimakhala za chiwalo, abscess, cyst, benign kapena chotupa cha khansa. Kutupa kwa chiwalo kumatha kutulutsidwa m'chilengedwe - mwachitsanzo, mchira wa gland okhawo umakula.
- Zilonda zam'mimbamomwe kukhulupirika kwa kapangidwe ka mucous membrane am'mimba kapena duodenum kumaphwanyidwa. Izi popita nthawi zimabweretsa kuphwanya ntchito za kapamba ndi kuwonjezeka kwa kukula kwake.
- Duodenitis - kutupa kwa duodenum, komwe kumalepheretsa kutuluka kwa pancreatic madzi.
- Cystic fibrosis - njira yachilengedwe yokhudzana ndi kubadwa kwatsopano, yomwe imapweteketsa ziwalo zosiyanasiyana, kuphatikizapo kapamba.
Zizindikiro, zizindikiro za kutupa
Pancreatic kutupa kwa ana nthawi zambiri kumakhala kofatsa. Mwana akadali ocheperako, amamuwonetsa pang'ono matendawa.
Mawonekedwe owopsa a matendawa amawonetsedwa ndi zowawa za ma paroxysmal (amatha kuchotsedwa), nthawi zambiri za mkhalidwe wamchiberekero, womwe umawala mu hypochondrium ndi msana. Kuphatikiza apo, kapamba amadziwika ndi kusowa kudya, nseru, kupangika kwa mpweya, kusanza komanso kusanza.
Kutentha kosaneneka, kufinya khungu, pakamwa pouma, zolembera pamalilime zimawonedwa. Ndi minofu necrosis, kutentha kumakwera kwambiri, pali zizindikiro zomveka za kuledzera, matumbo paresis. Mwina chitukuko cha dziko lofooka.
Kanema wothandiza
Kanema wokhudza zisonyezo (komwe zimapweteketsa, chifukwa chake pamakhala kusweka):
Zizindikiro za mawonekedwe osakhazikika zimatengera nthawi yomwe chitukuko cha matenda, gawo ndi mawonekedwe a matendawa, kuchuluka kwa kuwonongeka kwa kapamba ndi ziwalo zina zam'mimba. Mwanayo amasokonezedwa ndi kupweteka kwapafupipafupi komwe kumachitika mu hypochondrium yoyenera, yomwe imakulitsidwa ndi zovuta pakudya, atatha kulimbitsa thupi kapena kupsinjika.
Vutoli limatha kukhala maola angapo mpaka masiku angapo. Ana omwe akudwala matendawa amadwala, nthawi zina amakhala ndi vuto la mtima, nseru, komanso kusanza. Kudzimbidwa kumaloŵa m'mimba. Kuchepetsa thupi kumawonedwa.
Kuzindikira matendawa
Kukula kwa chithandizo mwachindunji kumatengera nthawi yodziwika bwino komanso kulondola kwa matenda. Pambuyo pakuwunika ndi mbiri yakale, adotolo amafotokozera mayeso angapo kuti atsimikizire kuti ali ndi matendawa.
Mwanayo ayesedwe magazi, mkodzo ndi ndowe. Kafukufukuyu akuwonetsa ngati pali kutukusira mthupi ndikutsimikizira mosalephera kukula kwa kapamba mwa mwana. Chithunzithunzi chowoneka bwino chikuwonetsa kuyesa kwa zam'mimba ndi ziwalo za m'mimba ndi fibrogastroscopy. Maphunzirowa athandiza katswiriyo kuti athe kuwona bwino momwe wodwalayo alili komanso kupereka njira zothandizira achire. Ngati ndi kotheka, chithandizo, mwana amatha kuchipatala.
Kodi adzapita kwa dokotala uti akapweteka?
Mwana akamadandaula za kupweteka kwam'mimba, funsani dokotala wa ana posachedwa. Ngati pancreatitis ikukayikiridwa, mwana amapititsidwa kukayezetsa mwatsatanetsatane, zomwe zimachitika kawirikawiri kuchipatala. Mankhwalawa amalembedwa ndi gastroenterologist komanso wathanzi. Lingalirani za malingaliro a dokotala.
Njira ndi malamulo othandizira matenda, matenda
Chithandizo chilichonse chimayamba ndi kupeza zomwe zimayambitsa matendawa. Nthawi zina ndikokwanira kuthetsa zomwe zimayambitsa matenda ndipo kapamba amachepa. Payokha, ndikofunikira kukhudza zosabereka zatsopano - kuwunika kwa mwana kwazaka zambiri ndikofunikira pano.
Chimodzi mwazifukwa zazikulu zakukula kwa njira yotupa mu kapamba mu achinyamata ndi vuto la kuperewera kwa zakudya - kusukulu kapamba. Chinthu chachikulu pa chithandizo cha matenda oterewa chimakhala chakudya chokhwima.
Thanzi la kapamba mu ana
Zakudya ndi gawo lofunikira la mankhwala. Muyenera kudziwa zomwe mudye komanso zomwe mugule. Ithandizira kuthetsa mavuto mu ziwalo zonse zam'mimba ndi kapamba, kuphatikizapo.
Malamulo oyipa azakudya:
- chakudya chamagulu - kangapo patsiku kagawo kakang'ono,
- Kukana zakudya zopanda zakudya: chakudya chofulumira, mafuta onenepa, okhathamira, amchere, onunkhira, osungidwa
- Zakudya zopatsa thanzi, zomwe zimaphatikizapo mbewu monga chimanga, pasitala, mkaka, nyama yopanda mafuta ndi nsomba, masamba ndi zipatso,
- kuchuluka kwa chakudya chophika ndi chofukiza,
- osadya otentha, koma chakudya chotentha chokha,
- Chakudya chatsopano chophika.
Mankhwala
Zakudya zimathandizira kuchepetsa katundu pazakudya zam'mimba. Kuphatikiza apo, adotolo amafotokozera kukonzekera kwa enzyme komwe kumapangitsa kuti chimbudzi chikhale:
Ndalamazi zimatengedwa ndi chakudya. Ana amathanso kupatsidwa mankhwala okhala ndi bifidobacteria, monga Bifacil.
Kuchepetsa vuto la wodwala
- Pirenzepine, Famotidine.
- Pancreatin
- No-spa, Mebeverin, Paracetamol ya ana.
Mochulukirapo, maantibayotiki, ma antihistamines, mankhwala omwe amasintha magazi m'magazi, ndi ma proteinase inhibitors.
Zoyenera kuchita ndi ana aang'ono kwambiri
Ngati matendawa adapezeka mwa wodwala ochepa, malamulo a zopatsa thanzi akhale motere:
- kuchuluka kwa zakudya zama protein,
- kuphika mbewu iliyonse m'madzi,
- masamba ndi zipatso ayenera kutentha.
Nthawi zina kuchitira opaleshoni ndikofunikira, mwachitsanzo, pakakhala zovuta zina zokhudzana ndi kubereka. Lingaliro la opaleshoni limachitika pambuyo poti aunike mozama komanso pokhapokha patakhala zotsatirapo zochizira.
Chithandizo cha kapamba mu ana nthawi zambiri amachitidwa kuchipatala. Apa pokhapokha madokotala sangathe kuchiritsa mwana, komanso kuwongolera kadyedwe kake, ndikuwona mphamvu zamankhwala.
Njira zina zochizira
Njira imodzi yothanirana ndi kapamba kuyambira pakukonzekera imatengedwa kuti ndi madzi a mbatata. Ndikofunikira kupera mbatata 2-3 kudzera mu grater palimodzi ndi peel ndikufinya msuzi. Njira ntchito - 50 ml 2 pa tsiku. Njira ya mankhwala ndi milungu iwiri. Ndiye kupuma kwa sabata limodzi ndi maphunziro obwereza. Kuphatikiza kwabwino kwa kefir ndi kefir yopanda mafuta, yomwe imagwiritsidwa ntchito mphindi 5 mpaka 10 mutalandira chithandizo chachikulu.
Ndikofunikira kutenga zofanana zofanana ndi St. John wa wort, mayi, inflorescence wosafa. 2 tbsp sonkhanitsani chithupsa kwa mphindi 10-15 mu madzi okwanira 1 litre, lolani msuzi kwa maola 2, kupsyinjika. Njira yovomerezeka ndi masiku 50, musanadye theka lagalasi.
Kutoletsa kosavuta koma kogwira mtima kwambiri. Iyenera kutengedwa chimodzimodzi muzu wouma wa burdock, khungwa la mtengo, kutsekera, masamba amtundu wa bulosi, katsabola ndi flaxseed. Onjezani muzu wa dandelion, knotweed ndi tchire. Njira yophikira ndi yofanana ndi chida cham'mbuyomu - 1 lita imodzi yamadzi 2 tbsp. kusonkhanitsa, wiritsani kwa mphindi 10-15. Njira ya makonzedwe ndi masiku 14-20, theka kapu itatha chakudya.
Kupewa
Monga njira yothanirana ndi kutupa kwa kapamba, tikulimbikitsidwa:
- Zakudya zoyenera zomwe zimaphatikizapo zinthu zonse zazikulu ndi zazikulu,
- kukana zakudya zopanda pake,
- kudziwika kwa nthawi yake komanso chithandizo cha matenda am'mimba,
- kuzindikira ndikuchotsa matenda a helminthic mthupi panthawi,
- mukamapereka mankhwala amphamvu, onani zonse zomwe zimachitika mwana,
- gwiritsani ntchito zinthu zokhazokha zapamwamba komanso zatsopano.
- Osamadya kwambiri, kuti achulukitse kapamba.
Ngati muli ndi vuto lililonse la kapamba, muyenera kufunsa dokotala nthawi yomweyo. Izi zithandiza kupewa mavuto ambiri komanso kupewa kubwereranso ana. Kudzichitira nokha mankhwala kumatha kubweretsa zovuta, zomwe pambuyo pake zimafunikira chithandizo chowonjezera.