Njira zabwino zochizira kuchuluka kwa kapamba: zinsinsi zamankhwala

Zikondamoyo zolemera kwambiri (pafupifupi 60-80 g) zimagwira ntchito zofunika kwambiri mthupi. Imapangira zinthu za m'mimba zama enzyme, komanso insulin, glucagon - oyang'anira kagayidwe kazakudya. Ngati chithokomiro chikuvutika ndi zovuta zina, ndiye njira zomwe chiwalocho chimayang'anira zimasokonekera.

Vuto lodziwika kwambiri la kapamba ndi kutupa kosatha (kapamba). Amadziwika ndi kusintha kwasinthasintha kwakanthaŵi magawo obwereranso ndi kukhululuka. Mothandizidwa ndi zinthu zabwino, kuchulukitsa kwa njira ya pathological kumachitika, komwe kumayendetsedwa ndi zizindikiro zosasangalatsa. Kuti awongolere ndikukwaniritsa chikhululukiro chofunikira, ndikofunikira kuyamba chithandizo mwachangu. Kuwongolera mkhalidwe kuyenera kukhala lokwanira. Pakadali izi pokhapokha zinthu zabwino zomwe zingachitike.

Zimayambitsa kukhathamiritsa kwa matenda a chiwalo

Matenda a pathological omwe ali mu chiwalochi amatha kukulirakulira chifukwa cha zinthu zosiyanasiyana:

• matenda am'mimba thirakiti (zilonda, kukokoloka kwa chapamimba, cholecystitis),
• kudya kosayenera (kudya kwambiri, kusowa kwa zakudya m'zakudya, kuchuluka kwamafuta chamafuta ndi chakudya chamafuta),
• uchidakwa
• kumwa mankhwala ena omwe amasokoneza kapamba (mwachitsanzo, tetracycline),
• kupezeka kwa matenda mthupi, ndi matenda a virus,
• kugwedeza kwamanjenje kwambiri.

Matenda am'mimba, cholelithiasis, atha kukhala chifukwa cha pancreatitis yopanda pathupi. Pambuyo pake, amayambitsanso kukokota. Koma nthawi zambiri, chiwalocho chimakula kwambiri pakakhala kuphwanya zakudya komanso chifukwa chomwa mowa.

Momwe mungachepetse progesterone mwa amayi omwe ali ndi mitengo yokwera? Werengani mfundo zothandiza.

Mndandanda wazakudya zomwe zili ndi ayodini komanso zothandiza pakhungu la chithokomiro titha kuziona m'nkhaniyi.

Chithunzi cha kuchipatala

Monga ulamuliro, munthawi ya chikhululukiro cha odwala palibe kusapeza bwino komanso kuwonetsa matendawa.

Kwa dziko lomwe likukulitsa, zizindikiro zina zimakhala ndi:

• kupweteka mu hypochondrium, mawonekedwe a ululu amatha kukhala owonda, ozizira, opweteka,
• Kupweteka pansi pamapewa ndi kumbuyo kumatha,
• kuwawa mkamwa
• zokutira yoyera palirime,
• kusanza ndi kusanza
• kusowa kwa chakudya
• kutsegula m'mimba, kupezeka kwa mafuta a sheen mu ndowe ndi zotsalira za chakudya chosagwiritsidwa ntchito,
• kuwonda msanga
• kugona
• hypotension.

Zizindikiro zonsezi zakuchulukirana zimatha kuphatikizika kapena mosiyana. Kupweteka kwakuthwa m'mapapo kumatha kuchitika motsutsana ndi maziko a matenda a dyspeptic, kuwonongeka kwakukulu.

Nthawi zina kuchulukitsa kumachitika popanda zizindikiro zotchulidwa. Wodwalayo amatha kudandaula za kuwawa kosakhazikika, kupuma msana, kulephera kudya, kudzimbidwa, kapena kutsegula m'mimba. Vutoli limatha kukhala mpaka miyezi 1-2.

Ngati chilakolako champhamvu chikuwoneka, izi zitha kuwonetsa kukula kwa matenda ashuga.

Thandizo loyamba la ululu wopweteka

Njira zomwe zimatengedwa posachedwa kuti muchepetse zizindikiro za kuchuluka, ndizosavuta kupewa zovuta.

Thandizo loyamba limaphatikizapo:

• Kukana kudya masiku oyamba atatu obwereza.
• Kuti muthane ndi kuchuluka kwa michere yam'mimba, imwani 50 ml ya madzi oyera popanda mpweya theka lililonse la ola.
• Penyani mpumulo wa pabedi ndi kupuma kotheratu.
• Chotsani zovala zolimba, makamaka kufinya pamimba.
• Kupumira koyenera: Inhale mosasunthika, gwiritsani ntchito kupuma kwanu nthawi ndi nthawi.
• Tengani piritsi la No-Shpa kapena jekeseni 2 ml ya mankhwala intramuscularly. Kuphatikiza apo, mutha kupanga jakisoni wa diphenhydramine kapena atropine.

Kunyumba, ndizoletsedwa:

• yikani ozizira kuti musakwiyitse vasospasm,
• kumwa akumwa ngati Spazmalgon kapena Analgin,
• kutenga michere
• tulutsani m'mimba (mutha kuyambitsa kusanza).

Mankhwala

Pambuyo pozindikiritsa mosiyanasiyana atachitika ndikuwonekeranso kuti kukokoloka kumachitika ndendende mu kapamba, adotolo amatha kukupatsirani mankhwala. Mankhwalawa amayenera kuchitika mu chipatala moyang'aniridwa ndi akatswiri. Kuchulukitsa kumayimitsidwa mothandizidwa ndi magulu angapo a mankhwala.

Kuchotsa kupweteka koyambira koyambirira kwa exacerbation ndikulimbikitsidwa mothandizidwa ndi antispasmodics ndi NSAIDs:

Ngati ndalama zomwe zili pamwambazi sizikugwira ntchito, ndikutupa kwa kapamba, ma narcotic analgesics (Tramadol), blockade ndi Lidocaine akhoza kukhazikitsidwa. Pambuyo pothandizidwa ndi ululu, mankhwala a ululu amathetsedwa kapena kuchepetsa kwake.

Pamene michere ya pancreatic ilowa m'magazi, kuledzera kwamphamvu kumayamba, chifukwa chakuti mankhwalawa amachitika. Colloidal ndi crystalloid njira zimayendetsedwa kudzera mwamitsempha. Kuphatikiza apo, diuretics amalembedwa (Furosemide, Torasemide). Popewa kugwidwa, calcium chloride imayendetsedwa.

Ngati pali chiwopsezo chotenga kachilombo ka chiwopsezo cha kapamba, maantibayotiki (cephalosporins, fluoroquinolones) ndi mankhwala. Ngakhale kukhalapo kwa mabakiteriya m'gululi sikumatsimikiziridwa, chithandizo cha antibacterial, monga lamulo, chimachitika kuyambira pachiyambi cha kukula kwachulukidwe. Kuyesedwa kwa Laborator kumatenga nthawi kuti mupeze kachilomboka, koma palibe nthawi yowonjezerera kapamba.

Dziwani zambiri za testosterone yaulere mwa amuna ndi zaka, komanso zifukwa zomwe zimasinthira kuchuluka kwa mahomoni.

Mayendedwe ambiri a njira zamankhwala othandizira komanso njira zabwino zochizira gynecomastia mwa amuna asonkhanitsidwa m'nkhaniyi.

Zochizira kapamba ndi mankhwala ndi kukakamiza kuchuluka katulutsidwe, proton gulu zoletsa zotchulidwa:

Kubwezeretsa ntchito ya enzymatic ya thupi, ma enzyme amatengedwa. Mankhwala othandiza kwambiri omwe ali ndi ma enzymes mu kapisozi kosagwira asidi. Samawola mothandizidwa ndi msuzi wam'mimba, sakanizani ndi chakudya, kuti athandizidwe kugayidwa.

Kukonzekera kwa enzyme otchuka pakuchiritsa kapamba:

Zakudya ndi Zakudya Zopatsa Thanzi

Kupanga zakudya zoyenera ndiye maziko olimbitsira mkhalidwe pakachulukitsa mavuto ndi kapamba. Pofuna kupatsa thupi mtendere wambiri, masiku awiri oyambiranso obwereza amafunika kutsimikizira kuti boma limamwa kwambiri (mpaka malita awiri patsiku), kukana chakudya.

Zizindikiro zoopsa zikayamba kuchepa, mutha kusintha pang'ono ndi pang'ono kuti mukhale zakudya zopatsa mphamvu. Muyenera kudya pang'ono, m'magawo ang'onoang'ono (yambani ndi supuni 2-3). Kupitilira masabata awiri, magawo amawonjezeredwa pang'onopang'ono mpaka 200-300 g. Zakudya zimayenera kupaka, kuzizira, mwanjira yotentha, yopanda shuga ndi mchere.

Chakudya Cha 5 chimayikidwa, chomwe chimalola kugwiritsa ntchito zakudya zina:

• oatmeal wopanda mafuta,
• apulosi odzola
• ma puddings oyenda
• zipatso zopanda acid
• masamba osenda
• mafuta amkaka ochepa,
• masamba owononga masamba
• steeled mapuloteni omelette
• zipatso zosawerengeka, msuzi wa duwa lakuthengo.

Pang'onopang'ono, zakudya zimatha kukulitsidwa. Pansi pa choletsedwacho ndi zakudya zowuma, mafuta, yokazinga, zonunkhira, ndi zinthu zosuta. Zakudya siziyenera kukwiyitsa chimbudzi.

Pambuyo poletsa kuchulukitsa kwa kapamba kunyumba, chakudya chamagulu chimayenera kutsatiridwa pafupipafupi. Kupanda kutero, kuyambiranso matendawa kuonekera posachedwa.

Njira zopewera

Zikondazo zimatha kukulira zifukwa zosiyanasiyana. Popewa kuyambiranso, muyenera kupatula zomwe zimayambitsa.

Malangizo:

• gwiritsitsani chakudya
• lekani mowa
• alinganize bwino boma la ntchito ndi kupuma,
• imwani mankhwala omwe dokotala amakupatsani nthawi zonse
• pewani kupsinjika ndi kuchita masewera olimbitsa thupi mopitirira malire,
• Nthawi zambiri amakayezedwa ndi dotolo wamatsenga ndi othandizira.

Dziwani zambiri zamawu am'matenda a matenda a kapamba, zomwe zimayambitsa kukhathamiritsa kwa ma pathologies ndi mawonekedwe a mankhwalawa mutatha kuwona vidiyo yotsatirayi:

Kuzindikira

Popeza vutoli lilipo kale, simungachedwe kupita kwa dotolo: popeza kugwidwa kumakhudza kwambiri dongosolo logaya, komanso poizoni umayambitsa thupi lonse.

Chithandizo chilichonse cha kufalikira kwamatenda kapamba amayamba ndi kutsimikizira matendawa, popeza zizindikiro zofananira zimawoneka ndi matenda ena.

Wodwalayo ayenera kudutsa:

• kuyezetsa magazi: zamankhwala am'mwazi, zokhuza shuga,
• kuwunikira
• urinalysis
• X-ray, ultrasound ya peritoneum,
• gastroscopy
• zopangidwa tomography.

Kafukufuku wowonjezera amachitika. Ndi chithandizo chake, dziwani kuti kuukira kungakhale kwakutali bwanji, zomwe zimayambitsa matenda.

Werengani zambiri za mayeso a kapamba ndi zina za pancreatic pathologies munkhaniyi ...

Chithandizo cha kapamba ndi kuchuluka kwa kapamba:

• kumwa mankhwala
• kudya
• kupewa kubwezeretsanso.

Mankhwala ndi zakudya zimayikidwa ndi adokotala pambuyo pa kupenda ndi kuganizira za matenda omwe akuphatikizana ndi wodwalayo. Ngati mankhwalawa apereka zotsatira za analgesic komanso zothana ndi kutupa, chotsani zosasangalatsa za matendawa, ndiye kuti chakudya chimapatsa tiziwalo tambiri kupuma.

Njira zochizira mankhwala achikhalidwe zimatha kumwa pokhapokha ngati zachuluka. Mu nthawi yayikulu, amatha kuvulaza.

Pambuyo pakuwonjezera kukondoweza kwa kapamba, zotsatirazi zingalimbikitsidwe kwa wodwala:

1. Kupewa m'mabungwe a sanatorium: Mineralnye Vody, Kislovodsk ndi Zheleznovodsk, Truskavets (Ukraine), Karlovy Vary (Czech Republic).
2. Chithandizo cha matenda omwe amakhudza mwachindunji mkhalidwe wa kapamba (cholecystitis, gastroduodenitis, matenda a ndulu).

Mankhwala

Wofatsa kuwonjezera kuchuluka angathe kuthandizidwa kunyumba, atatha mayeso ndikupita kwa dokotala. Odwala omwe ali ndi matenda oopsa ayenera kukhala m'chipatala.

Mankhwala ochizira exacerbation aakulu kapamba:

• analgesics and antispasmodics for ululu mpumulo (Duspatalin, No-spa, Buscopan),
• prokinetics for the normal the motor function of the m'mimba, kuthana ndi nseru ndi kusanza (domperidone, Tserukal, Ondansetron),
• mankhwala a antisecretory pofuna kuthandizira kupumulira kwa kapamba, kuchepetsa kuchuluka kwa madzi am'mimba (Omeprazole, Rabeprazole, Ranitidine, Almagel A, T),
• Maantibayotiki amagwiritsidwa ntchito pokhapokha pakukumana ndi mabakiteriya,
• proteinolysis inhibitors (Gordox) ndi somatostatin analogues (Octreotide) amagwira bwino kwambiri motsutsana ndi kapamba, amapatsidwa matenda oopsa.

Mankhwala aliwonse ayenera kuperekedwa ndi dokotala, chifukwa samalingalira za momwe wodwalayo alili, komanso matenda ena omwe ali nawo, ndi omwe angadziwe kutalika kwa mankhwalawa.

Ndikofunikira kudziwa kuti kupanga ma pancreatic Enzymes (Creon, Pancreatin, Mikrasim) amatsutsana mu pancreatitis pachimake komanso kuchulukitsa kwa nthawi yayitali.

Mphamvu yamphamvu

1. Kusala kudya kwa masiku atatu: kumachepetsa ntchito yopanga enzyme, kumachepetsa England. Zakumwa zokhazokha zomwe ziyenera kulowa m'mimba: madzi ofunda akadali madzi, tiyi ofooka, rosehip decoction, ndi michere amawonjezereka kudzera mu chubu cham'mimba. Amaloledwa 1.5-2 malita a kumwa patsiku - 50 ml pa ola limodzi kapena 200 ml 6 pa tsiku. Madzi amalola madzi amchere (Narzan, Essentuki-17, Borjomi) - sip imodzi kangapo patsiku. Madzi samayikidwa limodzi ndi kusanza, nseru.
2. Zakudya zopatsa thanzi - m'magawo ang'onoang'ono mpaka 7 okhathamira, zakudya zamadzimadzi zomwe zimakhala ndi chakudya, zomwe ndizofooka kwambiri zomwe zimapangitsa kapamba. Zowonetsedwa ndi msuzi wa mkaka wa oat ndi chimanga chopanda batala, shuga, msuzi wa mpunga, karoti, mbatata zosenda, mafuta osapatsa mkaka wopanda mafuta, zinthu zopanda mkaka zopanda mafuta. Kutumiza kukula kuyenera kukhala supuni 2-3.
3. Pamasiku 14 otsatira, kuperekera zakudya kumawonjezeka mpaka 200 mpaka 200 magalamu a chakudya. Chakudya chimaphikidwa popanda mchere, shuga, ndimadzimadzi, mawonekedwe osenda.
4. Wodwalayo amasamutsidwa ku chakudya No. 5p. Muli chakudya chophika, chophika, ndi chophika.

Chithandizo cha chifuwa chachikulu cha pachimake chiyenera kutsagana ndi kupezeka kwa zinthu zomwe zimapangitsa kuti madzi am'mimba atulutsidwe: maapulo, marinade, zonunkhira, otentha, okazinga ndi mafuta komanso msuzi wamphamvu. Nkhumba, mwanawankhosa, tsekwe ndi bakha, mafuta onse, kupatula mafuta ophikira azamasamba - chimanga ndi maolivi sizimayikidwa.

Chithandizo cha anthu

Izi zitha kukhala zokongoletsa za mitengo ndi chindapusa, ma tinction a mowa, kuphatikizapo chomera, chowawa, chosafa, mahatchi, oats, wort wa St. John ndi zitsamba zina.

Ndikofunika kukumbukira kuti mankhwala azikhalidwe sizoyipa: zingathandize kukonza vutoli, koma osachiritsa. Kugwiritsa ntchito zitsamba kulikonse kuyenera kuvomerezana ndi adokotala ndikugwiritsidwa ntchito kokha ndi mankhwala ndi zakudya.

Kupewa

Mulinso:

• kudya komanso kukhala ndi thanzi labwino,
• kusiya zizolowezi zoipa: kusuta fodya komanso mowa,
• mankhwala okhazikika okhazikitsidwa ndi dokotala
• kuyendera spas ndi kuchiritsa madzi pa upangiri wa dokotala.

Izi zimathandizira kupewa kuchulukirachulukira.

Thandizo loyamba

Ngati pancreatitis ikuipiraipira, chithandizo choyambirira chothandizira chimachepetsa kukula ndikuchepetsa vutoli.

Thandizo ndi:

1. Kukana chakudya chilichonse. Theka lililonse la ola, muyenera kumwa 50 ml ya madzi osakhalitsa kuti muimitse kupanga michere.
   
2. Kuonetsetsa kupumula kwathunthu, makamaka malo oyimirira kapena kukhala, owongoka. Zovala zapafupi ziyeneranso kuchotsedwa, makamaka ngati zimayika nkhawa pamimba.
3. Kuwonetsetsa kupuma koyenera: kupumira kosachepera komwe kumapuma pang'ono.
4. Ngati mukufuna kusanza, itchuleni mwakathina pakukakamiza lilime.
5. Kutenga 0,8 mg a No-Shpa, Drotaverin kapena Papaverine, mutha kusunganso piritsi ya nitroglycerin pansi pa lilime. Ngati ndi kotheka, ndikofunikira kusintha magwiritsidwe a mapiritsi ndi jakisoni wamkati: 2 ml ya No-Shpa, yankho la peresenti ya Papaverine hydrochloride, kapena yankho la 0.2% ya Plifillin hydrotartrate. Kuphatikiza apo, mutha kulowetsamo 2 ml ya yankho la 1% la Diphenhydramine kapena 1 ml ya yankho la 0.1% ya Atropine Sulfate. Jekeseni ndizopindulitsa kwambiri: sizikhudza m'mimba, koma mwachangu lowani m'magazi.

Zoletsedwa kunyumba:

• Ikani ozizira, chifukwa izi zimatsogolera ku vasoconstriction ndi cramping.
• Kupereka mainkonipulini (mwachitsanzo, "Analgin", "Spazmalgon"), chifukwa zotsatira zawo zimadodometsa chizindikirochi.
• Apatseni ma enzyme (mwachitsanzo, Mezim, Festal), pongokulitsa zinthu.
• Tsuka m'mimba mwako. Zimangololedwa kusanza ngati wodwala akudwala kwambiri.

Kuchulukitsa kwa kapamba ndi vuto lowopsa lomwe limadziwika ndi ululu komanso poyizoni wa thupi poizoni. Zikatero, ndikofunikira kufunsa dokotala momwe mungathere ndikuyamba chithandizo, ndipo musanayambe kugwiritsa ntchito thandizo.

Mbali zamankhwala othandizira kukokoloka

Kubwezeretsanso kwa kapamba kumawerengedwa kuti ndi vuto lalikulu, koma kuchitidwa opareshoni sikofunikira. Komabe, kusiya matendawa popanda kulandira chithandizo kumaletsedwa kotheratu, chifukwa pamakhala vuto la kugaya chakudya m'mimba.

Momwe mungachiritsire matendawa, adotolo adzauza. Mwachizolowezi, chithandizo chamankhwala chimapangidwa kuti muchepetse katemera wa pancreatic, kupondereza ululu, kupewa zovuta, komanso kugwiritsa ntchito ma enzyme.

Kuchepetsa katemera wa pancreatic, zakudya zapadera zimasonyezedwa. Zimatanthawuza kuchepetsedwa kwa kudya mafuta, zakudya zonunkhira, zakumwa zoledzeretsa ndi zinthu zamkaka. Madokotala amakupatsanso mankhwala ena:

• kutanthauza kuchepetsa kubisika kwam'mimba,
• zinthu kuti tiletse enzymatic ntchito kapamba,
• mankhwala a antispasmodic kuti muchepetse kupanikizika.

Kubwezeretsanso kwa kapamba, ntchito yayikulu ndikuchepetsa kusokonezeka kwa njira yotupa ndi kukakamiza mkati mwa ducts. Kwa izi, kupumula kwachinsinsi kumawonetsedwa. Zimatheka kudzera mu zakudya. M'masiku awiri oyamba, kusala kumayikidwa, pambuyo pake wodwalayo amasintha kudya No. 5 malinga ndi Pevzner.

Pofuna kuthetsa ululu, ma analgesics, antispasmodics, michere, prokinetics amagwiritsidwa ntchito. Ndi steatorrhea, momwe mumakhala kuchepa kwamafuta oposa 15 g patsiku, kutsekula m'mimba ndi kuchepa thupi, ntchito yothandizira ziwalo zina.

Mankhwala

Pancreatitis yowonjezereka imafuna kugwiritsa ntchito mankhwala a antisecretory. Pachifukwa ichi, gwiritsani ntchito H2 histamine blockers, monga Famotidine ndi ranitidine, komanso proton pump inhibitors - rabeprazole, omeprazole.

Kuti muthane ndi matenda obwereza matenda, kugwiritsa ntchito ma antacid pafupipafupi komanso m'gulu la mankhwalawa amaphatikizidwa ndi mankhwala a pancreatic pancreatitis ndi exacerbation. Dokotala wanu atha kukulemberani maalox kapena alfogel. Nthawi zina, kupondera kwachinsinsi cha chiwalo kapena ntchito ya michere yake ndikofunikira. Kuti muchite izi, muyenera othandizira antienzyme - mwachitsanzo, gordoks kapena contrycal.

Kuti muthane ndi ululu, gwiritsani ntchito mitundu ili:

• anticholinergics - metacin, atropine,
• ma analgesics omwe si a narcotic - analgin, ketorolac,
• antispasmodics - palibe-shpa, papaverine,
• zinthu zophatikiza - baralgin,
• opioid analgesics - meperidine, tramadol.

Kuchepetsa zizindikiro za dyspeptic ndi kuchepa kwa chinsinsi, kukonzekera kwa enzyme kumagwiritsidwa ntchito - creon kapena cancitrate. Pofuna kuthana ndi kusokonezeka kwa mota, prokinetics - cisapride kapena motilium angagwiritsidwe ntchito.

Zolemba pa chakudya

Patsiku loyamba ndikuchulukitsa kwa njira yotupa, zakudya zamagulu ziyenera kusiyidwa kwathunthu kapena zochepa. Pambuyo poletsa ntchito pachimake, mbale zowononga kwambiri zimawonetsedwa. Zosankha zanu zimakhala ndi izi:

• masamba azakudya zamasamba ophika,
• mafuta amkaka ochepa,
• masamba osenda
• masamba ophika
• zipatso zopanda acid
• mousse, odzola, odzola,
• tiyi wopanda mphamvu
• msuzi wa rosehip.

Pambuyo pake, chakudyacho chimatha kufalikira pang'onopang'ono, komabe, zipatso, zokazinga ndi zokometsera, marinade, nyama zosuta ndizoletsedwa. Zakudya zonse ziyenera kukhala zofatsa momwe zingathere kuti musapweteketse zomwe zakhudzidwa.