Zizindikiro za kuukira kwa kapamba: chochita kunyumba

Matendawa ndi oopsa kwambiri, amatha kupha anthu ndipo amafunikira chithandizo kuchipatala. Chifukwa chake, munthu yemwe ali ndi mbiri ya kutupa kosatha kwa kapamba amafunikira kudziwa zizindikiro zakuchulukirapo kuti adziwe matenda omwe ali munthawi yake ndikuyitanitsa dokotala.

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Pancreatitis imatchedwa kutupa kwa kapamba, ndipo matendawa amatha kukhala owopsa kapena osachiritsika. Chomwe chimapangidwira mapangidwe a matenda ndi kuphwanya kwa kutuluka kwa gland ya chakudya cham'mimba chokhala ndi michere. Chifukwa cha kusayenda, minofu ya kapamba imayamba kuyatsidwa ndikuwonongeka, komanso mitsempha yamagazi ndi ziwalo zina zomwe zimakhala pafupi ndi chiwalocho.

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Zomwe zimapangitsa kuti magazi azigaya asasokonezedwe ndi zosokoneza ndi izi:

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Matenda a gallbladder.
Matenda am'mimba.
Intoxication.
Zakudya zoyipa.
Matenda
Ziwengo
Kumwa mankhwala.
Zovulala zamagulu.
Maonekedwe a chotupa neoplasms.
Ndipo ngakhale kutenga pakati.

Ngati kutupa kwa kapamba kumachitika mwa mawonekedwe osachiritsika, munthu sangazindikire kuti akudwala mpaka nthawi yakukwaniritsidwa kwa kapamba. Anthu ambiri amasokoneza vutoli ndi poyizoni ndipo amayesetsa kuthana ndi vutoli popanda kupempha thandizo la kuchipatala.

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Zizindikiro zoyambira

Kuukira kwa kapamba kumakhala ndi zizindikiro zowopsa ndipo nthawi zambiri kumayamba ndi ululuzomwe zikupezeka paziwalo zotsatirazi:

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Pamimba pamimba.
Kumbuyo.
Mapewa.
Mano.

Matenda a ululu akudula, kuzimiririka kapena kudzimangira m'chilengedwe ndipo kungayambitsenso kudandaula, kukomoka. Wodwala sangathe kunama, mpumulo umangokhala pokhazikika pomwe miyendo imakanikizidwa kumimba.

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Kenako munthuyo amayamba kusanza, chakudya ndi bile zimatuluka m'mimba. Kulibe kudya, m'mimba mumatupa. Palinso zizindikiro za kudzimbidwa - kutsekula m'mimba kapena kudzimbidwa. Nthawi yomweyo, stool ndi fetid, ngati "wonenepa" komanso samatsukidwa bwino. Mmenemo, mumalowa zakudya zosaphatikizika.

Kuchulukitsa kwa kapamba kumayendera limodzi ndi zizindikilo zina zowonjezera:

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Kuphulika pafupipafupi, kutsatiridwa ndi hiccups. Pakamwa pakamwa kumamveka, kumeza movuta kumachitika, lilime limakutidwa ndi kuyera kwoyera.
Kutentha kwa thupi ndi kocheperako kapena thupi (makamaka usiku), koma wodwalayo amanjenjemera.
Kupumira pang'ono, kuchepa kapena kuwonjezereka kwa kuthamanga kwa magazi.

Ngati chithandizo sichinayambike nthawi yoyamba isanayambike zizindikiro zoyambirira, pakatha masiku 1-2 khungu limasanduka imvi kapena chikasu, kusakhazikika kwake kumachepa. Wodwalayo amayamba kuchepa thupi, amakhala ndi vuto lotha kuchepa thupi komanso hypovitaminosis.

Zoyambitsa

Kuukira kwa kapamba, monga lamulo, kumachitika mwadzidzidzi, ndipo pali zifukwa zingapo:

zolakwika m'zakudya,
kupsinjika
kumwa mowa (ngakhale pang'ono),
kusuta
kutupa kwa ndulu,
matenda opatsirana
matenda a chiwindi
matenda a mtima
kusinthika kwatsopano kwa kapamba, etc.

Ndipo ngakhale pali zambiri zomwe zimayambitsa matenda a kapamba, chifukwa chachikulu chakupezeka kwawo ndi kuperewera kwa zakudya m'thupi. Kupatula apo, kapamba ndiye chiwalo chachikulu cha kuphatikiza kwa michere ya m'mimba. Ndipo ngati munthu amadya pafupipafupi chakudya chazikulu zam'mimba, chitsulo chimadzaza, ntchito yake imalephera, yomwe imakhudza kuwonekera kwa ma pancreatic immune process parenchyma.

Izi, zimayambitsa kuwoneka kwa edema, chifukwa chomwe chiwalo chimakula kukula ndipo kuchepa kwa kuwunikira kwa ma ducts. Zinthu zoterezi zimadzetsa msuzi wa kapamba mkati mwa tiziwalo, popeza kutulutsidwa kwake mu duodenum 12 sikungathe kuchitika m'mphepete mwake. Ndipo ilinso ndi ma enzymes am'mimba, omwe ntchito yawo imayendetsedwa atapangidwa. Ndipo poganiza kuti amakhalabe mkati mwa chiwalocho, amayamba kugaya maselo ake, zomwe zimapangitsa kuti pakhale kupweteka.

Zonse Zokhudza Mitundu ya Pancreatitis

Pancreatitis - Njira yotupa yomwe minofu ya kapamba imakhudzidwa, imagwira ntchito zamkati ndi kunja. Cholinga chachikulu cha thupili ndikupanga madzi a pancreatic okhala ndi ma enzyme ndi ma bicarbonates omwe amathandizira kugaya. Chakudya chikalowa m'mimba, ma enzyme limodzi ndi madzi a pancreatic amayamba kutulutsira kuchokera ku zikondamoyo kudzera pakulowetsira zolumikizira mu duodenum 12, komwe michere ya michere imachitikira. Ma enzymes omwe amapangidwa ndi kapamba amakhudzidwa ndi kagayidwe, amalimbikitsa kuyamwa kwa michere kudzera m'makoma a matumbo ang'onoang'ono. Pancreatic fluid imasokoneza acidic wa m'mimba kuchokera m'matumbo, momwe ma enzymes am'mimba amathandizira ndikuyamba kugwira ntchito zawo zogawa ndikusintha zinthu.

Kutupa kwa pancreatic kumatha kuchitika pachimake kapena mawonekedwe osakhazikika. Mu pachimake kapamba, pancreatic yachilendo imagwiranso ntchito chifukwa chovuta kuchiza komanso kudya kwapadera, komanso kuperewera, nthawi zina zopweteka zimapezekanso ndi chikhululukiro, koma pakapita nthawi, kuchepa kwa pancreatic ntchito kumachitika.

Matenda a kapamba amachitika nthawi yayitali komanso kutuluka. Pamene pang'onopang'ono pakumka, kuperewera kwa kapamba kumayamba: minyewa ya m'mimba ya chiwalo imasintha ndipo imasinthidwa ndi minye yolumikizika yomwe singathe kupanga michere yachilengedwe ndi pancreatic madzi. Kuperewera kwa ma enzymes kumayambitsa kusokoneza kwa magwiridwe antchito.

Matenda a kapamba amatha kupezeka mwa odwala amisinkhu yosiyanasiyana. Moyo wamasiku ano, womwe umaphatikizapo zakudya zopanda pake, kugwiritsa ntchito zakudya mwachangu, kupsinjika mosalekeza ndi kukhumudwa, ndizomwe zikuwonjezera kuchuluka kwa odwala omwe ali ndi pancreatitis yobwerezabwereza.

Magawo awiri a pancreatitis aakulu amadziwika. Gawo loyambirira limadziwika ndi zizindikiro zazikulu ndipo zimatha kuchitika kwa zaka zingapo, kutengera mtundu wathanzi. Pakadali pano, pakhoza kukhala nthawi pomwe zopatuka ndi zosokoneza pakugwira ntchito kwa kapamba zimayamba kutchulidwa ndikusokoneza pafupipafupi. Kuchulukitsa kwa mawonekedwe osakhazikika kumapangidwira makamaka chifukwa cha kugwiritsa ntchito zonunkhira, mafuta kapena zakudya zokazinga, zakumwa zoziziritsa kukhosi ndi zakumwa zoledzeretsa, makamaka pamimba yopanda kanthu.

Pancreatitis imathanso kuoneka ngati yolimbana ndi maziko a matenda omwe alipo kale ndi zotsatira za kuwonongeka kwa ziwalo zam'mimba, opaleshoni yolowerera. Zinthu zikuluzikulu zomwe zikuthandizira kukulitsa kwa pancreatitis yotakataka ndi matenda am'mimba, makamaka matenda osapatsirana a chiwindi, matenda a ndulu, gastritis, matenda a chiwindi, dyskinesia, ndi matenda am'mimba.

Mfundo zazikulu

Pancreatitis ndimatupa omwe chotupa chimakwirira minofu ya kapamba, zomwe zimapangitsa kuti alephere kupanga chimbudzi cha ma pancreatic ndi ma enzyme omwe amachititsa kuti m'mimba pakhale chakudya. Chakudya chikalowa m'mimba, michere ndi madzi am'mimba zimayamba kunyamula kuchoka ku kapamba kupita ku duodenum. Mochulukitsa chakudya ndi kapangidwe kake, amatenga nawo mbali m'thupi. Ma Enzulo ofunikira omwe kapamba amapanga:

amylase (wokhudzidwa ndi kuphulika kwa zinthu za shuga),
lipase (amaphwanya gawo la mafuta),
trypsin, chymotrypsin (kuthyola pakati mapuloteni),
insulin
glucagon.

Kuukira kwa kapamba ndi kuphwanya kayendedwe ka madzi kuchokera ku kapamba kupita ku duodenum. Kuphatikizika kwa msuzi chifukwa chotseka ma ducts, kudziunjikira, kumayamba kukhudza minofu yoyandikira ndi mitsempha yamagazi. Ndi chiwonongeko cha maselo owazungulira madzi am'mimba, mawonekedwe a pancreatic minofu necrosis ndi otheka, omwe amatsogolera kuimfa.

Kodi tingatani ngati kuukira kwa pachimake kapamba kumachitika? Choyamba muyenera kudziwa bwino chomwe chimayambitsa kupweteka komanso kutsimikizira kukhalapo kwa zizindikiro:

kupweteka mu hypochondrium, wokhala ndi mawonekedwe ozungulira,
pambuyo pakusanza palibe mpumulo
kutulutsa (phokoso),
kutentha kwa thupi kumawonjezeka pang'onopang'ono kutengera kukula kwa kutupa,
mwanjira yonyalanyaza kumabweretsa tachycardia, necrosis, kupuma movutikira.

Pazizindikiro zoyambirira za matendawa, ndikofunikira kuyang'aniridwa ndikuyamba kulandira matenda.

Zizindikiro zazikulu za matendawa

Zizindikiro za kupweteka kwapancreatic zimayamba mwadzidzidzi. Chowonetsera chachikulu ndikupweteka kwambiri kudula komwe kumachitika koyamba kumanja kwa chifuwa ndipo pang'onopang'ono kufalikira mpaka theka lakumanzere. Ichi ndichifukwa chakukwiyitsa mathero amitsempha, omwe amapezeka kwambiri mu endocrine gland. Chifukwa cha edema ya chiwalocho komanso kufooka kutuluka, chimbudzi chimadziunjikira kapamba, zomwe zimapangitsa kuti chimbudzi chake chisiye, chifukwa amamva kupweteka kwambiri. Zomverera zosasangalatsa nthawi zambiri zimaperekedwa pansi pa tsamba kapena kumbuyo. Zizindikiro izi zimatha kubweretsa vuto pakuzindikira, chifukwa chomwe amafunikira kuti apange matenda mosiyanitsa ndi infarction ya myocardial, yomwe imawonetsanso chimodzimodzi. Mukakhala ndi gawo la kutupa kwa peritoneum, zizindikiro zatsopano zimawonekera. Izi zimaphatikizira ululu wowonjezereka ndikamenya pamimba. Komanso, mukalimbikira, zinthu zitha kusintha kwakanthawi kochepa.

Chizindikiro chofunikira ndikulephera kwam'mimba. Kupweteka kwambiri kumayendera limodzi ndi kusanza, komwe sikumapereka mpumulo ndipo kukufooketsa. Pakapita kanthawi, bile limayamba kusanza, ndipo ngati m'mimba mulibe kanthu, zilimbikitso zamphamvu ndi nseru zokha zimatsalira.

Vuto la Stool limayamba ngati m'mimba. Chifukwa cha kuthamanga kwa matumbo, mphamvu zotsalira za chakudya chosagwiritsidwa ntchito zimapezekanso mu ndowe. Komabe, kudzimbidwa kumatha masiku ochepa. Flatulence zimawonedwa, zomwe zimatsogolera kutulutsa kumatulutsa. Chovala choyera chimaoneka pamilomo.

Pazowonjezera, pali kuwonjezeka kwakukulu kwa kutentha kwa thupi. Munthu amakhala wopanda mphamvu, osatha kuyimirira ndi mapazi ake. Kuyenda kulikonse kumayendetsedwa ndi zowawa, kotero wodwalayo amayesa kupeza malo abwino omwe amabweretsa mpumulo pang'ono.

Pakati pazizindikiro zina za pancreatitis pachimake, kulumpha m'magazi kumawonedwa, komwe kumatha kuwonjezeka kapena kuchepa kwambiri. Kukoka kumakhala kofooka komanso kufulumizitsidwa. Chifukwa cha kusanza kwakukuru, hypovolemia imayamba, zizindikilo zake zomwe zimakhala mkamwa youma komanso kusintha kwa khungu kukhala tint yosasangalatsa.

Kupezeka kwa matendawa kumawonetsa kuphwanya kwambiri thanzi la wodwalayo, makamaka ngati kwa masiku angapo munthu adayesetsa kuthana ndi vutoli ndipo sanapemphe thandizo kuchipatala.

Kutanthauzira kwake kwamatenda

Kuukira kwa kapamba kumakhala ndi matenda oopsa kwambiri pakukula kwa matendawa. Ma enzyme otulutsa ndi poizoni nthawi zambiri amalowa m'magazi a munthu, zomwe zimabweretsa kufalikira kwachangu kwazomwe zimayambitsa kutupa. Poyerekeza ndi kufalikira kochulukira kwa zinthu zovulaza, nthenda zamasiku ano zomwe zimayamba kudwala zimayamba kupita patsogolo, ndikuwonetsa zina, zomwe zimabweretsa zovuta pakuzindikira koyenera.

Pancreatitis ndi amodzi mwa matenda akulu kwambiri padziko lonse lapansi ndipo ali ndi zosankha ziwiri pakukula kwake, pomwe iliyonse imabweretsa mawonekedwe owoneka bwino. Pa matenda amtundu uliwonse wamatenda omwe amapezeka, pali njira zothandizira matendawa. Momwe mungachepetsere zizindikiro mutakhala ndi vuto la pancreatitis:

Kuchepetsa zizindikiro, tikulimbikitsidwa kugwiritsa ntchito mankhwala Pancreatin, Mezim. Chuma cha mankhwalawa ndikuti zimakhala ndi zinthu zofunika kuzithandiza kugwetsa zakudya zamafuta ndi zowotcha, zomwe zimachotsa kutupa ndi kupsinjika kwa kapamba. Mankhwalawa amakhalanso ndi ma painkiller, omwe amachepetsa ululu. Ndikulimbikitsidwanso kumwa mankhwalawa No-shpa, omwe amachepetsa kuphipha kwamitsempha yamagazi, kutsekeka komwe kumayambitsa duodenum, komanso kapamba palokha.
Pali njira yamankhwala achikhalidwe. Mphindi 30 musanadye imwani 1 lomweli. calendula tinctures, m'chiyerekezo cha 1 tsp. pa 200 ml ya madzi.
Njira imodzi yothandiza kwambiri - kukana kwathunthu mkati mwa masiku awiri. Zomwe zimaloledwa ndikugwiritsa ntchito madzi amchere popanda mpweya. Kupuma pogona, popanda kuchita masewera olimbitsa thupi.
Gwiritsani ntchito pesi yotenthetsera ndi madzi ozizira, kuyiyika pamalo owawa. Ndi njirayi, kugwiritsa ntchito mankhwala sikulimbikitsidwa, chifukwa zimapangitsa kuti pakhale zovuta kuchita mayeso.

Kodi kuukira kwa kapamba kumatenga nthawi yayitali bwanji? Zotsatira zake ndizazitali. M'mitundu yambiri, imatha kupitilira masiku 3-5. Zonse zimatengera kukula kwa kutupa ndi kuwonongeka kwa kapamba.

Kodi tiyenera kuchita chiyani pancreatitis ikayamba? Munthawi zonse zomwe tafotokozazi, itanani chithandizo chamankhwala chodzidzimutsa, khalani pakama, chepetsani kugwiritsa ntchito chakudya, zolimbitsa thupi.

Zomwe zimayambitsa

Kukhazikika kapena kutseguka kwa njira yotupa mu kapamba kumatha kuchitika chifukwa cha zoyambitsa zazinthu zosiyanasiyana:

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Mankhwala osokoneza bongo kapena zakudya zopanda pake, mowa.
Matenda kapena kulowererapo kwa ziwalo zam'mimba, chikhodzodzo.
ERCP.
Kuvulala kapena kuvulala kwa kapamba, pamimba.
Matenda opatsirana kapena matenda opatsirana ndi mbozi.
Chithandizo cha maantibayotiki, ma estrogens.
Anapeza anatomical matenda a pancreatic duct kapena blockage ndi miyala.
Zokhudza mtima.
Zosintha mu mahomoni, kuphatikizapo mwana pakubala.
Kuphwanya kagayidwe kachakudya njira.
Oncology.

Ziwerengero zikuwonetsa kuti mu 30% ya odwala onse omwe amachulukitsa kapamba, sizingatheke kudziwa chomwe chimayambitsa matendawa.

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Thandizo lazadzidzidzi

Zizindikiro za vuto lodana ndi pancreatic zimadziwika ndi kulimba mtima kotero kuti nthawi zambiri munthu sangathe kupirira nawo payekha ndikupempha thandizo kuchipatala.

Momwe mungachepetsere kuukira ngati kulibe njira yoimbira foni mwadzidzidzi kapena munthu ali kutali ndi mzinda? Potere, thandizo loyamba limagwera abale kapena abwenzi.

Kuchepetsa matenda a kapamba, ndikofunikira kupatsa wodwalayo kupumula kwathunthu. Sayenera kuyenda mwadzidzidzi. Maimidwe oyenera - atakhala, atatsamira pang'ono pang'ono.

Chithandizo choyamba cha matenda a pancreatitis chimaphatikizapo kugwiritsa ntchito antispasmodics ndi analgesics. Izi zidzachotsa kuphipha kwa chimbudzi ndikuchotsa chinsinsi mgulowo kuti kapamba asayambe kudzimbira.Kuti muchite izi, mutha kugwiritsa ntchito mankhwala awa:

Choyamba, kuzizira kuyenera kuyikidwa m'malo opezeka pancreas, omwe amapezeka pakati pa navel ndi sternum, kuti achepetse ntchito ya kutupa. Pachifukwa ichi, mutha kugwiritsa ntchito phukusi lotenthetsera ndi madzi ozizira, masamba oundana ndi njira zina. Popewa khungu la chisanu pakhungu, ayezi ayenera kukulunga ndi nsalu zingapo.

Zoyenera kuchita ndi momwe mungathanirane ndi kuukiridwa? Lamulo loyamba la kuthetseratu kusamvana komanso kuchira kwa wodwalayo ndikuti ndizoletsedwa kudya panthawi yowonjezera matenda. Izi ndichifukwa choti chifukwa chobowola chakudya m'matumbo am'mimba, kupanga ma enzyme kumayambitsa. Komabe, popeza chifukwa cha kutupa sangathe kulowa m'matumbo, vuto la wodwalayo limakulirakulira, popeza chiwopsezo chakugaya chiwalo chikukula. Simungadye kokha mukachotsa kuukira, komanso kwa masiku 1-3 pambuyo pake, kotero kuti kutupa ndi kutupa kwa minofu kumatha. Madzi oyera okha, osakhala ndi kaboni amatha kumwa, chifukwa kusanza kwambiri kumapangitsa kuti madzi atheretu. Imwani mankhwalawo kangapo, koma kangapo. Izi zitha kupewa kuyambiranso kusanza.

Chithandizo chowonjezera

Kuchotsa mwachangu kuukira kuonetsetsa kuti palibe zovuta zaumoyo kwa wodwala. Chifukwa chake, sikofunikira kudikira kuti chilichonse chichitike paokha;

Ngati ambulansi isanachitike, sizotheka kuthana ndi vuto lomwe liziwoneka, adokotala amatha kuyambitsa antispasmodics ndi analgesics. Pakakhala zotsatirapo zabwino, ndikofunikira kuchotsa ziwopsezo ndikuchiza zipatala kuchipatala, pomwe pamakhala mwayi wofufuza bwino wodwalayo ndikuwonetsa kuchuluka kwa magwiridwe antchito.

Kuperekanso chithandizo cha pancreatitis pachimake kumapangidwa palokha kwa wodwala aliyense. Pankhaniyi, Zizindikiro za matendawa, zotsatira za mayeso ndikuwunika zimawerengedwa.

Pancreatitis mankhwala ayenera kukhala okwanira. Kuphatikiza pa kugwiritsa ntchito mankhwala a antispasmodic ndi analgesic, kusankhidwa kwa okodzetsa kumasonyezedwa. Ndi thandizo lawo, mutha kuchotsa kutupikako, komwe kuonetsetsa kuti kutulutsa kwachangu kapenanso kuchotsa chiopsezo chodzimbidwa. Kuphatikiza apo, okodzetsa amathandizira pakuchotsa kwakukulu kwa poizoni ndi michere kuchokera mthupi la munthu. Pachifukwa ichi, ndibwino kugwiritsa ntchito Furosemide kapena Lasix. Mukamapereka mankhwala a Diakarb, ndikofunikira kuti muphatikizire kukonzekera kwa potaziyamu mu njira zochizira, chifukwa okodzetsa amathandiza kutsuka chinthu chofunikira ichi.

Ndi kukula kwamavuto, makamaka, ndi mawonekedwe a bakiteriya, mankhwalawa amaphatikizapo kugwiritsa ntchito antimicrobials - fluoroquinolones kapena 3-4 m'badwo wa cephalosporins.

Ngati ziwopsezo za kapamba zimayambitsa kufooketsa kwambiri thupi, mavitamini amathandizanso kubwezeretsa mphamvu ndi nyonga. Choyamba, ndalama ziyenera kuperekedwa mwachidwi kuti zimayambiranenso mwachangu. Mtsogolomo, amaloledwa kusinthana ndi fomu ya piritsi.

Chithandizo cha pachimake kapamba sichimaphatikizapo kugwiritsa ntchito ma enzymes. Komanso, ndizoletsedwa. Kupatula apo, chinsinsi chimadziunjikira kapamba, chifukwa chake sayenera kuloledwa kulandira chake kuchokera kunja. Izi zitha kukulitsa vutolo ndikukulitsa thanzi la wodwalayo.

Zizindikiro zakuwukira

Kuukira kwa kapamba kumadziwika ndi zizindikiro zazikulu ndipo kumayamba makamaka ndi ululu. Ululu umawonekera m'mimba, kumtunda, masamba, ndikuwongolera kudera lumbar.

Ululu ndikudula, kuzimiririka kapena kudzimangira m'chilengedwe, zimatha kubweretsa kuwawa ndikukomoka. Zimakhala zovuta kuti wodwalayo akhale pamalo opingika, mpumulo umangokhala pamalo okhala miyendo itakankhidwa kumimba.

Pang'onopang'ono, kusanza kumawonjezeredwa ku ululu wa ululu, limodzi ndi masanzi, chakudya ndi bile zimatuluka. Kutupa, kutsegula m'mimba, kapena kudzimbidwa kumawonekera. Mpando umakhala ndi fungo la fetid, mamawu opaka mafuta ndipo satsukidwa bwino. Mu ndowe mumakhala zakudya zosasamalidwa, chakudya, kulibe.

Kuchulukitsa kwa kapamba ndi chiwopsezo cha kapamba kumayendetsedwanso ndi:

Kuphulika pafupipafupi, kutsatiridwa ndi ma hiccups,
Pakamwa pakamwa
Kumeza kovuta
Kupangidwe kachigawo choyera mu chilankhulo,
Thupi komanso kuzizira,
Kupumira pang'ono, kuchepa kapena kuwonjezereka kwa kuthamanga kwa magazi.

Kunyalanyaza matendawa komanso kusapezeka kwa chithandizo chamankhwala atangoyamba kumene kwa zizindikiro za kutulutsa mphamvu (mkati mwa maola 2) zimapangitsa kusintha kwa khungu, kuchepa kwawo. Wodwalayo amachepetsa kwambiri, hypovitaminosis ndi kuchepa kwa madzi m'thupi kumakula.

Zotheka ndi zovuta

Mavuto a pachimake kapamba kapena kufalikira kwa mawonekedwe osakhazikika amatha msanga kwambiri ndikuwononga kwambiri thanzi, ngakhale kupha kumene. Matenda a kapamba, ngakhale mu mawonekedwe omwe sanasinthidwe, amakhalanso oopsa, chifukwa amachititsa kuti ntchito za kapamba zizichitika.

Mavuto a pancreatitis aakulu ndi awa:

Matenda a shuga
Kuledzera kwamthupi kwambiri
Pancreatic abscess
Matendawa
Pathology komanso kukanika kwa chimbudzi,
Mapangidwe a cystic mu tiziwalo tamoyo,
Kuphatikizika kwa ma ducts a bile, omwe amapereka jaundice yamagetsi,
Zotsatira zoyipa.

Kuperewera kwa mankhwala oyenera komanso kulephera kutsatira zakudya zapadera za kapamba kumatha kupangitsa kuti pakhale ma vaccesses ndikukula kwa magazi.

Zoyenera kuchita ngati chiwopsezo cha kapamba - chisamaliro chodzidzimutsa

Pakakhala vuto la kapamba, limodzi ndi ululu wambiri, ndikofunikira kuyimba ambulansi, popeza pamakhala chiopsezo chodzidzimutsa, chowopseza moyo. Gulu la madokotala lisanafike, pamafunika kuthandiza wodwalayo, zomwe zimayenera kukhala zothandiza kuchepetsa ululu komanso kuchepetsa zovuta zomwe zingachitike.

Ma ambulansi isanafike, muyenera kupuma, kupatsa wodwalayo mpweya wabwino, osapanga mantha. Wodwalayo afunsidwa kuti akhale pansi ndikukhala moyandikira pang'ono, mutha kupereka madzi (osaposa galasi ¼). Saloledwa kupereka chakudya, ngakhale chiwukiricho chikuyamba kuchepa. Sikuloledwa kupereka ma painkillers, popeza kutenga ma analgesics kudzapangitsa njira yodziwitsira matenda ndikuwonjezera vutolo.

Momwe mungachepetsere kuukira kwa kapamba?

Kuukira kwa kapamba ka zovuta zilizonse komanso nthawi yayitali kumafunikira kuchipatala mwachangu. Kuti muchepetse kuwuma kwa zizindikiro ndikuchepetsa ululu, kukonzekera kwa No-shpa ndi Drotaverin hydrochloride kumagwiritsidwa ntchito. Ngati ndi kotheka, mankhwalawa amayenera kuperekedwa kudzera mu intramuscularly, yomwe imathandizira kwambiri, ndipo mpumulo umabwera nthawi yochepa.

Pambuyo pomuika wodwala kuchipatala, amamuika kuti apumule pakama ndi kusala kudya. Amaloledwa kumwa kokha decoction yamiyala yamtchire kapena mchere wam'madzi wopanda mpweya. Ma compress ozizira amaikidwa pamimba pamimba. Pambuyo pa kufufuza, adotolo adalemba mankhwala angapo omwe amachepetsa acidity ya madzi a m'mimba, kukonzekera kwa enzyme ndi antispasmodics, pomwe kuukira kumayima.

Pankhani ya pancreatic necrosis, wodwala amafunika kuchitidwa opaleshoni yofulumira. Momwe mungathetsere zowawa kunyumba

Ululu umachotsedwa ndikuchotsedwa mwachangu ndi compress ya ayezi, umatha kuyikika kumbuyo, kapena pakati pa msomali ndi chifuwa. Kupuma koyenera ndikofunikanso. Kuti muchepetse kupweteka, muyenera kupuma movutikira, osapuma mozama, ndipo ndikamalimbana mwamphamvu nthawi zambiri khazikikani mtima. Alangizidwa kuti azitsegula mawindo panthawi ya kuukira, popeza kupatsidwa kwa oxygen kumathandizira wodwalayo.

Thandizo loyamba

Kuchulukitsa kwa njira yotupa mu kapamba sikutanthauza kulandira chithandizo kunyumba, wodwalayo ayenera kuyikidwa kuchipatala cha dipatimenti yochita opaleshoni. mabungwe. Wozunzika kwambiri, munthu amatumizidwa mwachindunji kukalandira chithandizo chachikulu.

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Matenda oyamba akangowonekera, muyenera kuyimbira ambulansi. Komabe, ngakhale chithandizo chachipatala sichiperekedwa, abale akewo ayenera kuyeseza kulumikizika kwawo pancreatitis kunyumba. Choyambirira kuchita ndikuwonetsetsa kuti wodwalayo satenga chakudya chilichonse kapena madzi, chifukwa izi zimatha kupangitsa kupanga michere yamagetsi ndikukulitsa mtundu wa anthu kwambiri.

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Kuchepetsa ululu, kuyimitsa zotupa ndikuchepetsa kutupa, mutha kuyika choziziritsa kukhosi, malo otenthetsera odzazidwa ndi madzi oundana pamimba yapamwamba (dera pakati pa navel ndi diaphragm), makamaka thumba la pulasitiki lopanda ayezi.

Chotsatira, muyenera kuchita zonse zotheka kuti mutsimikizire mtendere wodwala. Ndikofunikira kuti munthuyu asakhale wolephera kwathunthu. Izi zikuthandizira kuchepetsa kukangana, kuchuluka kwa magazi m'dera lomwe lakhudzidwa.

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Ngati ndi kotheka, tikulimbikitsidwa kuti mupatse wodwalayo wothandizidwa ndi analgesic kapena antispasmodic wothandizila kuchokera ku nduna yanyumba yamankhwala. Ikhoza kukhala No-shpa, Spazmolgon, Maxigan, Drotaverin. Mankhwalawa amathandizira kuchepetsa kuuma kapena kuthetsa ululu kwathunthu.

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Koma izi sizitanthauza kuti kuukira kwadutsa, ndipo chithandizo sichifunikanso. Kupatula apo, zonsezi zimachitika chifukwa cha thandizo loyamba, kuperekedwa ngati mawonetseredwe azachipatala adadzadzidzimuka mwadzidzidzi, osati etiotropic chithandizo, chofunikira kwa wodwala wambiri wa kapamba.

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Mtundu wa zakudya

Ndingadye chiyani nditadwala matenda a kapamba? Udindo wofunikira pakuchira wodwala kumasewera zakudya zapadera. Izi zimachepetsa katundu pa kapamba ndikupanga kukhazikika.

Pambuyo pakuchulukirachulukira kwa kapamba, simungamudye kuposa masiku atatu. Pankhaniyi, muyenera kuyamba pakudya chakudya chochepa. Chakudya chizikhala ndi grated osati kutentha. Muyenera kudya pafupipafupi - mpaka nthawi 5-6 patsiku.

Kuchiza ndi zakudya kumakhudzanso kugwiritsa ntchito mbale zophika, zophika kapena zophika. Palibe chifukwa choti muyenera kudya yokazinga, yosuta kapena yosemedwa. Kumwa mchere kwambiri, shuga, tsabola ndi zonunkhira zina zotentha pakuphika kuyenera kupewedwa. Zakumwa zoledzeretsa komanso zopatsa mphamvu, komanso zinthu zomwe zili m'gulu la chakudya chochepa-bwino kapena chofulumira, ndizoletsedwa. Amaphatikizapo mafuta ambiri a trans, omwe amatanthauzira molakwika pakugwira ntchito kwa kapamba.

Nyama yofiira, avocado, shuga, mikate yoyera, etc. amagwera pansi pa chiletso.

Zakudya pambuyo kuukira kwa kapamba amatha kupangitsa magwiridwe antchito a endocrine. Wodwala amatha kudya zotsalazo ndi zinthu zotsatirazi:

Mitundu yamafuta ochepa a nsomba - hake, pike, carp, cod, nsomba za pike, ndi zina zotere.
Zakudya za nyama - kalulu, nkhukundu, nyama yamwana wamkaka, bere la nkhuku, ndi zina. Muli mapuloteni ambiri, ma amino acid ndi zinthu zina zofunika mthupi la munthu. Nyamayo imatha kuwotchera, kuiwotcha kapena kuwonjezerera supu.
Masamba ophika kapena otentha. Amadziwika ndi mawonekedwe olemera - ali ndi mavitamini, mchere, antioxidants ndi zina. Njira yabwino ndi msuzi wa puree, womwe ndi wosavuta kugaya ndipo mulibe tizinthu tina tating'ono ta chakudya. Zakudya za pancreatitis zimapatula kugwiritsa ntchito masamba osaphika.
Mbale. Zogulitsa zomwe zimakhala ndi zovuta ma carbohydrate ziyenera kukondedwa. Izi zikuphatikizapo mpunga, buckwheat, mapira. Oatmeal imathandizira kwambiri mucosa wam'mimba, mankhwalawa omwe amawonetsedwa osati matenda am'mimba, komanso kapamba.
Zakudya zamafuta ochepa a lactic acid - yogati, tchizi chanyumba, tchizi, kefir. Thandizani kubwezeretsa kwa microflora yachilendo yam'mimba. Yavomerezedwa kuti isagwiritsidwe ntchito pasanathe milungu iwiri itatha.
Masamba ndi batala. Kugwiritsa ntchito kuwonjezera ndalama pang'ono pazomaliza.
Tiyi ya zitsamba ili ndi zabwino zake, zomwe sizingothandiza kubwezeretsa madzi komanso kuthetsa ludzu lanu, komanso kudzaza thupi la munthu ndi zinthu zofunikira.

Pambuyo povulaza kapamba, zakudya zapadera ziyenera kutsatiridwa kwa moyo wonse. Pophwanya malangizo a dokotala komanso kugwiritsa ntchito zinthu zoletsedwa, kufalikira kwa kapamba sikukuikidwa kunja. Chifukwa chake, muyenera kukhala ndi moyo wathanzi kuti mupewe kuyambiranso.

Chithandizo cha Pancreatic Attack

Chithandizo cha pancreatic kuukira kumayamba ndi matenda osiyanasiyana. Kuti mutsimikizire matenda omalizirawo, maphunziro angapo a hardware ndi ma labotale ndi omwe amapatsidwa.

Ndalama:

CT, MRI ndi m'mimba ultrasound,
Gastroscopy
Pamimba x-ray,
Endoscopic retrograde cholangiopancreatography (ERCP).

Mayeso ofunika a labotale ndi awa:

Kuyesa kwamagazi ndi a biochemical,
Urinalysis

Kuukira kumayimitsidwa mothandizidwa ndi kusala kudya kwa masiku 4, ndikugwiritsanso ntchito mankhwala, omwe cholinga chake ndi:

Kuthetsa ululu. Kukwaniritsidwa kwamphamvu kwa chifuwa chachikulu, monga lamulo, kumayendetsedwa ndi zowawa, kupumula komwe kumachitika ndi No-shpa, Novocain, Papaverine.
Kuponderezedwa kwa katulutsidwe ka pancreatic. Proton pump inhibitors amagwiritsidwa ntchito, makamaka Omeprazole, Kontrikal.
Kutula kwa kapamba potenga ma enzymes lipase, amylase, proteinase, ndiye kuti, kapamba, (Festal, Mezim, Creon, Panzinorm, Digestal).
Kupewa kwamatenda opatsirana kapamba. Gwiritsani ntchito mankhwala ochepetsa mphamvu ngati Ampicillin.
Kubwezeretsa mphamvu yamagetsi yamagetsi m'malo mwa chithandizo chamankhwala pogwiritsa ntchito njira zamchere ndi zolimbitsa thupi.

Metoclopramide imagwiritsidwa ntchito kuletsa kusanza, ndipo mavitamini osiyanasiyana amagwiritsidwa ntchito kulimbitsa ndikuwonjezera chitetezo cha thupi. Njira zochizira pancreatitis yayikulu komanso yayitali imatha kusankhidwa payekhapayekha, kutengera matendawa, kuopsa kwa kapamba, etiology, kupezeka kwa matenda opatsirana, thanzi la wodwalayo komanso zaka zake.

Mankhwala othandizira

Chithandizo cha pachimake kapamba imachitika kokha kuchipatala mu inpatient. Koyamba kusankha pancreatitis pachimake ndi njala kwathunthu kwa masiku 4-5. Kukhala m'chipatala cha opaleshoni kumakuthandizani kuti muzitha kudya ndikuwapatsa wodwalayo mankhwala oyenera, komanso kufunika kogwiritsa ntchito mwachangu njira zopangira opaleshoni ngati mukudwala kwambiri ndikuwopseza moyo wake.

Zisonyezo za opaleshoni ndi:

Mtundu wovuta wa kapamba, limodzi ndi jaundice wovuta,
Ululu wammbuyo womwe sutha pakatha nthawi yayitali mankhwala othandizira,
Kupezeka kwa ma cysts.

Njira zochizira pancreatitis zimaphatikizapo kuchotsedwa kwa malo a minofu ya necrotic, kukhazikitsa kwa ngalande.

Ndingadye chiyani nditadwala matenda a kapamba?

Pambuyo kuukira kwa kapamba, kutsatira kusala kwachiwitso kumafunikira masiku 3-5. Wodwalayo amaloledwa kupatsa madzi am'madzi okha popanda mpweya kapena rosehip decoction nthawi imeneyi. Kuyambira tsiku la 4, amaloledwa kubweretsa chimanga chosenda m'madzi kuchokera ku chimanga chopanda mchere, shuga ndi mafuta muzakudya za wodwalayo.

Patsiku la 5-6, chakudyacho chimakulitsidwa ndikuwonjezera supu zamasamba, zipatso zamasamba, nyama yankhuku, nsomba zamafuta ochepa kuzakudya. Amaloledwa kumwa tiyi wopanda mphamvu, decoction wa chamomile, duwa lakuthengo.

Kuyambira sabata yachiwiri, amaloledwa kugwiritsa ntchito mbewu monga mkaka wothira madzi, ndikuphatikiza shuga, mchere ndi batala. Zakudya zonse ziyenera kukonzedwa mwachangu, kugwiritsa ntchito masamba atsopano ndi zipatso ndizoletsedwa.

Mu chifuwa chachikulu cha chikhululukiro, chakudyacho chimasinthidwa molingana ndi momwe wodwalayo alili, kugaya chakudya, komwe kumagwira ntchito mu vuto la enzyme.

Kupewa matenda

Kuchepetsa kuvuta kwa pancreatitis kutha kuchitika ngati malamulo azoteteza angachitike:

Kukana zizolowezi zoyipa, makamaka kuchokera ku mowa, kusuta,
Maphunziro akuthupi, kuyenda mu mpweya wabwino,
Kuchotsera zakudya zoyipa kuchokera kuzakudya, zakudya komanso zakudya zopatsa thanzi,
Kupereka thupi zolimbitsa thupi,
Kuyesedwa pafupipafupi ndi dokotala wa gastroenterologist, yemwe amayesa mkhalidwe wonse wamatumbo ndikuthandizira kufalikira kwa matendawa.

Kuukira kwa kapamba kumawonetsa kuti njira yotupa ikupita patsogolo mthupi. Kukhalabe ndi moyo wathanzi ndikutsatira malangizo a akatswiri kumathandizira kuti chikhululukiro chikhalepo kwa nthawi yayitali, kulola kuti gland yowonongeka ipume.

Okondedwa owerenga, lingaliro lanu ndilofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kukumbukira momwe zimakhalira pakuwukira pancreatic mu ndemanga, ndizothandizanso kwa ogwiritsa ntchito ena a tsambali.

Andrey

Pancreatitis adawoneka mwadzidzidzi pambuyo pa phwando. Matendawa adadziwonetsa ndi ululu waukulu, kutentha thupi, kutsekula m'mimba. Kufooka kwambiri kunandilepheretsa kuyimirira. Ambulansi inaitanidwa, kusamutsira kuchipatala. Anamuthandizira kuchipatala kopitilira sabata limodzi. Anayimitsa kupweteka, adapereka zakudya, zomwe ziyenera kusungidwa kwa miyezi isanu ndi umodzi.

Zara

Adadwala matenda a chifuwa chachikulu zaka zingapo zapitazo. Pakakhala zisonyezo zodziwikitsa kuti nthendayo yafalikira, ndinatenga No-shpa, ndipo m'mawa ndinatembenukira kwa dokotala. Zinali zosatheka kudziwa chomwe chimayambitsa kukokoloka; ndinali kudya, sindinadye kapena kumwa chilichonse chapadera. Dokotalayo adapereka mawonekedwe a ultrasound, adawunikiranso njira yapita yamankhwala. Kuthandizira pa nthawi yake kunapangitsa kuti matendawa athetse msanga komanso kuti magazi asadutse kwambiri.

Zakudya pambuyo pa kuukiridwa

Mukamachoka kuchipatala, muyenera kutsatira zakudya zapadera. Chakudya chizikhala pafupipafupi. Zikhala zabwino kwambiri kudya pafupipafupi 6-8 patsiku, kudya magawo ang'onoang'ono. Chakudyacho chizikhala chamadzi kapena chosenda, chothira kapena kuwiritsa.

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Ndikulimbikitsidwa kugwiritsa ntchito zotsatirazi mbale:

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Ng'ombe yophika, nyama zodutsa, pollock, flounder kapena cod.
Mitengo yaying'ono yamkaka (mafuta ochepa).
Porridge pamadzi kapena mbatata yosenda.
Masamba atsopano ndi zipatso, msuzi puree kuchokera kwa iwo.
Kuchokera zakumwa - decoction yamtchire kapena duwa lakuda.

Musachotse mu zakudya yokazinga, kusuta, mafuta, zamzitini, mchere ndi tsabola, kuzifutsa, ufa. Osatengeka ndi zakudya zotsekemera. Muyenera kudya zokhazokha zokhazokha, zakudya zatsopano, osawerengera zakudya zomwe zimathamanga. Mutha kudziwa zambiri za zakudya zapadera pofunsa za 5P zakudya.

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Momwe mungapewere kupitilira

Kuti mupewe kuchitika kwina kwa kapamba modabwitsa, muyenera kutsatira malamulo otsatirawa kupewa matenda:

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Pewani kuchita masewera olimbitsa thupi mopitirira malire. Perekani zokonda zolimbitsa thupi. Mutha kuchita maphunziro a kutikita minofu.
Lekani kumwa zakumwa zoledzeretsa komanso khofi wapapo, siyani kusuta.
Chotsani miyala yamiyala.
Kutsatira zakudya zoyenera, kudya kwambiri sikumayikidwa.

Ndikofunika kumvetsetsa kuti kuukira kwa kapamba sikuyambiranso, muyenera kupewa kutsatira njira zopewera, komanso kuthetseratu njira yotupa yolumikizira thupi. Pa izi, mungafunike kumwa mankhwala kapena mankhwala achikhalidwe.

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Elena Malysheva okhudza mankhwalawa a kapamba mu pulogalamu ya Live Healthy, onerani kanema pansipa.

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Zochita pakuwukira

Pambuyo pa tchuthi chazitali, kukweza thupi ndi zakudya zamafuta ambiri ndi mowa, kuukira kwa kapamba kumachitika. Muzochitika zoterezi, muyenera kudziwa zoyenera kuchita pancreatitis ndi kuukira kwake.

Momwe mungachotsere chiwopsezo cha pancreatitis, kukhala kunyumba: Choyamba muyenera kukhazika pansi ndikumvetsetsa zomwe zikuwonekera. Mukatsimikizira kukayikira kwa kapamba, muyenera kaye kusiya kudya. Imbani ambulansi, yesani kuletsa kupweteka. Kugwiritsa ntchito phukusi lotenthetsera ndi madzi ozizira, kugwedezeka kwam'mawa kumatha. Tengani Mezim, Pancreatin ndikutenga malo abwino, momwe ululu umachepa.

Kodi chingachitike ndi chiani pancreatitis kunyumba? Ngati vuto likachitika, wodwalayo amatha kungokhala ndi mchere wopanda madzi, popeza umachepetsa ululu pang'ono. Monga momwe zalembedwera pamwambapa, ikani chinthu chozizira kuti muchepetse zizindikiro za ululu, itanani chithandizo chamankhwala chodzidzimutsa.

Chithandizo choyamba chothandizira kuukira kwa kapamba munyumba ndi kupatsa wovulalayo mtendere, kupumula kwa ululu, itanani katswiri wazachipatala. Kuchiza kwa vuto la kapamba kumafunika thandizo la akatswiri pantchito, zomwe sizotheka kunyumba.

Ngati pali mawonekedwe ofatsa a kapamba, amathanso kuchotsedwa ndi wowerengeka azithandizo ndi mankhwala.

Zakudya za odwala

Chosavuta komanso chofala kwambiri dpambuyo povulaza pancreatitis, njira za pulofesa M.I. zimawerengedwa kuti ndizopatsa thanzi (zakudya) Pevzner. Kutengera ndi kuuma kwa kulanda, matebulo a zakudya No. 1, No. 5 amaperekedwa. Pachakudya ichi, chiwerengero cha zinthu zofunikira zomwe chikuwonjezera kuchuluka kwa matendawo chawerengedwa. Lamulo lofunikira la mankhwala opambana: