Zosintha kwachiwiri kwapancreatic

Matenda a pancreatitis (CP) amatha kukhala ndi vuto ngati munthu:

sichigwirizana ndi zoyambira zamakhalidwe oyenera kudya,
kumwa mowa kwambiri
amasuta
imagwira ntchito popanga zinthu zovulaza zomwe zimagwiritsidwa ntchito poizoni.
kwa nthawi yayitali amatenga mitundu ina ya mankhwalawa - maantibayotiki, ma immunosuppressants, natriuretics, mahomoni a mankhwala, etc.

Makamaka zinthu zopatsa thanzi zomwe zatchulidwa koyambirira kwa mndandandandawo zimagwira ntchito yamavuto: anthu ambiri amabweretsa dongosolo logaya chakudya, lotengekanso ndi mafuta amafuta ndi zonunkhira.

Tikuwonjezeranso kuti asayansi ena amaphatikizanso cholowa pakati pa zomwe zimayambitsa CP.

Amayambitsa Concomitant Pancreatitis

Mapangidwe a kutupa kwachiwiri kwa kapamba (chiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala) mwina kumbuyo:

diverticulitis, papillitis ndi kusintha kwina kwa duodenal papilla,
matenda amisala (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) (chikhalidwe ichi (lingaliro lokhazikika losonyeza makulidwe azinthu zosunthika za chinthu) la thupi, lomwe likuwonetsedwa pophwanya kayendedwe kabwinobwino, nthawi yamoyo, komanso kuthekera kosunga homeostasis),
cholecystitis
Helicobacter pylori gastritis,
enterocolitis
zilonda zam'mimba
matenda ashuga
matenda oopsa, makamaka omwe amayamba chifukwa cha mavairasi ndi hepatitis,
Hyperlipidemia,
hyperparathyroidism.

Nthawi zina chikhalidwe cha matendawa chimasakanikirana - ndiko kuti, chimayamba chifukwa zingapo nthawi imodzi (mwachitsanzo, diverticulitis ndi uchidakwa wopita nthawi yomweyo.

Gawoli lomwe limavomerezedwa kwambiri pancreatitis kukhala pulayimale ndi sekondale silimangokhala lingaliro lokha, komanso gawo lothandiza. Zimathandizira adotolo kuti aziganizira mwachangu zochizira matendawa (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake), yomwe ndiyo maziko oyamba a mavuto a wodwalayo.

Njira yachitukuko cha CP

Kwa owerenga ophunzitsidwa bwino, zidziwitso za pathogenesis ya pancreatitis (gulu la matenda (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) ndi syndromes momwe mumakhala kutupa kwa kapamba), yomwe imasindikizidwa pansipa.

Mu buku la gastroenterology pansi pa kukonzanso kwa akatswiri a RAMS F.I. Komarov ndi membala wofanana nawo wa RAMS A.L. Grebёneva akuwonetsa:

Mu pathogenesis ya pancreatitis yosatha, imodzi mwazomwe zimatsogolera ndikugwira ntchito kwa ma pancreatic enzymes, makamaka trypsin, ndi "kudzimbidwa" kwa minyewa ya pancreatic.

Mwatsatanetsatane vutoli lawululidwa ndi O.N. Minushkin mu nkhani "Chronic pancreatitis (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa): zina mwazomwezo za pathogenesis, kuzindikira ndi chithandizo (njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezedwa kwina kwa moyo,) ”(Na. 1 Consilium-Medicum ya 2002, Voliyumu 4).

Mwa kuchuluka kwakukulu kwa odwala, chomwe chikuwatsogolera ndikuwonjezereka kwa kukakamiza mu duct system, kumayambitsa kuwonongeka kwa minofu ndikuyamba kuyambitsa kuzungulira komwe kumayambitsa kutseguka kwa ma enzymes mu kapamba.

Makina achiwiri, malinga ndi O.N. Minushkina, ndi mawonekedwe a mapuloteni omwe amapezeka m'mizere yaying'ono ya kapamba.

Pomaliza, njira yachitatu yakukula kwa CP yomwe adazindikira ndi njira ya dystrophic yachilengedwe, yovuta chifukwa cha kuthamanga kwa apoptosis.

Mavuto a chifuwa chachikulu komanso zotsatira zake

Chimbudzi ndi gawo lofunikira lomwe limapangidwa pakupanga mahomoni, omwe ali ndi vuto lopanga ma enzymes ofunikira kuti chimbudzi chikhale. Zakudya zopanda pake, kugwiritsa ntchito mafuta ochulukirapo, kumwa mowa kwambiri kumayambitsa zotupa pa ziwalo za pancreatic, zotchedwa pancreatitis mu mankhwala. Nthawi zambiri matenda (chikhalidwe ichi (lingaliro lokhazikika losonyeza makulidwe azinthu zosunthika za chinthu) la thupi, lomwe likuwonetsedwa pophwanya kayendedwe kabwinobwino, nthawi yamoyo, komanso kuthekera kosunga homeostasis) limachitika motsutsana ndi mantha, m'malo opsinjika mosalekeza komanso popanda kupumula koyenera. Kukula kwa matenda amizere kumakhala ndi chiwopsezo chachikulu cha zovuta zowopsa m'moyo.

Mitundu yamatenda

M'mabuku azachipatala pali zosankha zingapo zamatenda azofotokozedwera. Ganizirani momwe wotchuka kwambiri amaonekera.

Matenda a pancreatitis amagawidwa potsatira magwero ake:

Ngati matendawa amakula kapamba, amatengedwa ngati woyamba.
Pancreatitis yachiwiri imachitika motsutsana ndi maziko a zina za pathologies, mwachitsanzo, ndi zilonda zam'mimba, enterocolitis, cholecystitis.
Post-traumatic pancreatitis ndi chifukwa cha kuvulala kwamkati kapena pancreatic open, kapena opaleshoni.

Matenda a kapamba mu mankhwala nthawi zambiri amagawika ma subspecies, omwe amasiyana chifukwa cha zomwe zimayambitsa, Zizindikiro, matendawa:

zopatsirana
kubwereza (kubwereza)
chidakwa (choopsa).

Pancreatitis yopatsirana amatsatira hepatitis, mumps, ndi typhus.

Matenda obwereza kapamba amadziwika ndi zovuta m'matumbo a kapamba. Kusiyana kwa mtundu wa matendawa posinthanitsa pafupipafupi ndi kuchotsedwa, kuphatikizana ndi kupweteka kwambiri. Kumwekanso kumayamba chifukwa chosagwirizana ndi zakudya zomwe mumamwa, kumwa mowa, kapena kumwa mankhwala. Dziwani kuti kupweteka kwamatumbo komwe kumachitika nthawi zambiri kumawonedwa m'moyo wonse wa wodwala.

Anthu omwe amakonda kumwa mowa mosalekeza amakhala ndi chizolowezi cha poizoni. Mowa wa Ethyl womwe umakhala ndi mowa umabweretsa zotsatira zoyipa kwambiri ku kapamba (gulu la gulu lachisanu ndi chitatu (malinga ndi gulu lakale - gulu laling'ono la eyiti) la nthawi yachinayi yazinthu zamomwe zimakhala za D. I. Mendeleev zokhala ndi atomiki 26) kumabweretsa kutupa. Mothandizidwa ndi chinthucho, matendawa nthawi zambiri amakhala ndi hypertriglyceridemia, kuchuluka kwa triglycerides kumapezeka mwa odwala m'magazi.

Zina za chifuwa chachikulu cha ana

Tsoka ilo, chifuwa chachikulu chimapezeka mwa ana, chimachitika ndi mawonekedwe. Matendawa amakula chifukwa cha kuvulala, kusinthika kwina kwina, kupatuka pantchito ya ziwalo zina zam'mimba, kuperewera kwa zakudya m'thupi, komanso mankhwala. Vuto lalikulu ndikuti mwana wamng'ono sangathe kuwonetsa chizindikiro chosokoneza. Matendawa amatuluka popanda chizindikiro chowoneka bwino, mu nthawi yovuta kwambiri kusanza, nseru, kupweteka kwam'mimba, kudzimbidwa.

Zoyambitsa zazikulu za kapamba nthawi zambiri zimakhala:

zizolowezi zoipa
kuperewera kwa zakudya m'thupi
kupsinjika
kuchuluka kwa matenda (cholecystitis, zilonda zam'mimba, ndi zina),
kuvulala
chikhodzodzo msambo.

Madokotala amakhulupirira kuti nthawi zambiri, matenda a kapamba amayamba chifukwa cha matenda a cholecystitis.

Zizindikiro za Chronic Pancreatitis

Malinga ndi chithunzi cha matenda, chifuwa chachikulu chimagawika m'magulu: latent, polysymptomatic, ululu, pseudotumor, dyspeptic. Fomu lopweteka limadziwika ndi kupweteka kwambiri kosalekeza.

Nthawi zina, kapamba wopanda ululu amapezeka m'magawo oyamba a matendawa, nthawi imatha zaka zingapo. Ndi kuchulukitsa, zizindikiro zimawonedwa:

kupweteka pansi pa nthiti kumanzere,
chopondapo chopindika
kuwonda mwadzidzidzi
kupweteka pambuyo podya zakudya zamafuta,
kuchuluka kwa masokono
kamwa yowuma, malamba, mseru, ulemu
kusowa kwa chakudya.

Kuphwanya (Kulakwira, kuchita kapena kusowa kosemphana ndi zofunikira za malamulo komanso kuchitidwa ndi munthu wovutitsidwa, "Kuphwanya", imodzi mwa nkhani zoyambirira za Sergey Lukyanenko) mu ntchito ya kapamba imakhudza mkhalidwe wamunthu, kumabweretsa kusapeza bwino. Pakakhala chimbudzi chachilendo, kuperewera kwenikweni kwa zinthu zofunika m'thupi kumachitika.

Mwachitsanzo, kuyabwa nthawi zambiri kumachitika ndi kapamba. Izi zimachitika chifukwa cha edema ya pancreatic, zomwe zimabweretsa kukakamiza kwa ziwalo zina zomwe zimayambitsidwa ndi ziwopsezo zamankhwala.

Njira yamatendawa imayendera limodzi ndi kuchepa kwa tsitsi, kutsekeka ndi kupindika kwa misomali. Ngati sagwiridwe ntchito, kumaduka kwamutu kumatheka.

Mavuto ndi zotsatira za chifuwa chachikulu

Matenda ofotokozedwawa ndiwothandiza chifukwa zizindikiritso zimachepa pakukhululuka, wodwalayo panthawi yomwe akuwunikiridwa zikuwoneka kuti matendawa amachiritsidwa, ndipo amabwerera kunthawi yake. Mavuto a chifuwa chachikulu chikukula pang'onopang'ono, mndandandawo umaphatikizapo matenda owopsa (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake).

Nthawi zambiri, odwala amakhala ndi zovuta:

jaundice wovuta (umayamba chifukwa cha kuphwanya kutuluka kwa ndulu ku ndulu),
magazi amkati chifukwa cha kuwonongeka kwa ziwalo ndi zilonda zam'mimba,
kukula kwa matenda ndi zotupa,
kapangidwe ka ma cysts ndi fistulas,
kukula kwa matenda ashuga
khansa.

Nthawi zambiri, mayesowo akuwonetsa cysts, kukhala wovuta chifukwa cha matenda kapamba. Zapulogalamu zodzazidwa ndi madzi zimapezeka mukamayesedwa wa ultrasound. Pankhaniyi, opaleshoni ndiyosapeweka. Kuchotsa kumachitika pogwiritsa ntchito opaleshoni ya laparoscopic.

Ngati m'mbuyomu matendawa adachitika mwa anthu achikulire, masiku ano kusintha kwa kapamba kumachitika mwa achinyamata. Zizolowezi zolakwika zosadya zimapangitsa kuti kapamba livutike ndikulephera kugwira ntchito. Matenda ofala amayamba, pomwe ma pancreatic madzi, amafunika kugaya chimbudzi, amasiya kuponyedwa mu duodenum. Vutoli limayambitsa pancreatitis ndi exocrine insuffuffing, chiopsezo chotenga matenda a shuga.

Popanda chithandizo, matendawa amawonjezeredwa ndi zovuta zina, ma pathologies ena amakula. Mwachitsanzo, chifukwa cha kupunduka kwa kapamba, atrophic pancreatitis amachitika: kuchuluka kwa kutalika kumachepa, ndipo kupanga katulutsidwe kumakulirakulira. Nthawi zambiri matendawa amakhala gawo lomaliza la poizoni wa kapamba. Zimatengera chikhalidwe chowopsa: atrophy of pancreatic cell live (chiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala), chiwalo chimataya ntchito, chakudya chimasiya kugayidwa komanso thupi (amoyo okhala ndi zinthu zomwe zimawasiyanitsa ndi zinthu zopanda moyo, kuphatikizapo kagayidwe kachakudya, kudzisamalira kapangidwe kake ndi bungwe, kuthekera kwodzaberekanso) (amoyo okhala ndi zinthu zomwe zimawasiyanitsa ndi zinthu zopanda moyo, kuphatikizapo kagayidwe kachakudya, kudzisamalira kapangidwe kake ndi bungwe, kuthekera kwodzaberekanso) amayamba kudwala chifukwa cha kuchepa kwa mavitamini komanso michere.

Matenda a kapamba amathandizanso pakugwiritsa ntchito kayendedwe kazinthu zathupi. Kupsinjika kwa kapamba kumadalira mawonekedwe ndi gawo la matendawa. Mtundu wovuta umadziwika ndi kuchepa mwadongosolo kwa kupanikizika. Kuwonjezeka nthawi zambiri kumawonetsa kudandaula kwamatenda mu matenda.

Ngati pancreatitis ndi yachiwiri, vutolo limakhala lovuta chifukwa munthu amadwala matenda angapo omwe amalumikizana ndikuwonetsa zofanana. Pankhaniyi, kutsimikiza kwa zomwe zimayambitsa kukula kwa matenda ndi zovuta. Mwachitsanzo, nthawi zambiri cholecystitis ndi kapamba zimachitika palimodzi, pomwe mlandu woyamba ndi kutupa kwa ndulu, ndipo wachiwiri ndi kapamba. Zizindikiro ndizofanana. Pancreatitis, complicating cholecystitis, imawonetsedwa ndi herpes zoster.

Pancreatitis yoyambilira imatha kulowa mu mawonekedwe owopsa, momwe moyo wa munthu umakhala pachiwopsezo. Monga lamulo, njirayi imayendetsedwa ndi zovuta zingapo - cysts, abscesses, magazi mkati.

Matenda oopsa a pancreatitis mu theka amapha, chifukwa amachititsa kuvulala kwamankhwala ofunikira (Organ - gulu la mitundu yosiyanasiyana yamaselo ndi minyewa yomwe imagwira ntchito yina mkati mwa chamoyo) Odwala omwe ali ndi mawonekedwe oopsa (zitha kutanthauza: Fomu (zitha kutanthauza: Maonekedwe a mutuwo - malire a malire a malire (mahedwe) a mutu, chinthu, komanso malo abale a mizere) mutu - malire a malire a mizere (mizere) ya mutu, chinthu, komanso udindo wa mfundo za mzere) kupuma nthawi zambiri kumakhala kovuta, ultrasound imazindikira misonzi ya ziwalo zamkati, ndipo electrocardiogram imawonetsa kulowerera kwa myocardial.

Kuzindikira ndi chithandizo

Ndikosatheka komanso koopsa kudzizindikira nokha pamilandu iyi, chifukwa matenda ambiri amawonetsa zofananira ndi kupweteka kwapakhomo (mwachitsanzo, gastritis ndi kapamba). Kuti muchite izi, ndikofunikira kufunsa dokotala. Kuzindikira matendawa munthawi yake kumapewetsa zovuta komanso zovuta zake. Ambiri amatembenukira kwa gastroenterologist pokhapokha ngati matendawa sanathe, koma izi ziyenera kuchitidwa pachiwonetsero choyamba chophwanya m'mimba. Kupempha thandizo kwa dokotala ndikofunikira. Mukamayenda mofulumira mukamayesedwa, ndiye kuti matendawo amayambiranso.

Pochita koyamba, gastroenterologist amvera madandaulo, kuyesa khungu, lilime, ndi kutulutsa pakamwa. Kuti mumvetse bwino za matendawa, mayeso owonjezera ndi njira zina zimayikidwa.

Kusintha kwa masinthidwe am'mimba mu kapamba amapezeka pogwiritsa ntchito kafukufuku: urinalysis, ambiri ndi zamankhwala amuzolengedwa zamagazi, ma ultrasound am'mimba, CTG. Pakuganiza kwa dokotala, maphunziro owonjezera amachitidwa, mwachitsanzo, kuyesa kwa kupuma, MRI, X-ray, etc.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Chomwe chimawonetsera kwambiri ndi kusanthula kwa mkodzo wa diastase, zotsatira zake zomwe zikuwonetsa kuchuluka kwa puloteni ya pancreatic yomwe imapereka kuwonongeka kwa chakudya. Kukwera kwamkodzo kwamkodzo, kumalimbitsa mphamvu yotupa. Chowonekera ndicho magawo a 64, ali ndi matenda, manambala amawonjezeka mazana.

Panthawi yowonjezera, odwala amawona zizindikiro zomwe zingasonyeze kulowetsedwa kwa myocardial, ECG ya pancreatitis imachitidwa kuti ichotse pambali (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa).

Kutengera ndi zigawo zingapo zomwe zimapezeka, adokotala amasankha poika mankhwala othandiza, omwe amasankhidwa payekhapayekha. Dokotala aliyense amalingalira kaye za chithandizo chamankhwala chosasinthika (njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezedwa kwina kwa moyo,) ndipo pokhapokha pazowonjezera zomwe amakhala wokonzeka kuchitapo kanthu opaleshoni. Komabe, kusankha njira mwachindunji kumatengera momwe wodwalayo adapempha thandizo.

Ganizirani mfundo zazikulu zamankhwalanjira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezedwa kwina kwa moyo,) chifuwa chachikulu (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa):

Choyamba, ndikofunikira kumvetsetsa chifukwa chake matendawa adayamba, komanso kupatula zinthu izi, chifukwa zimakulitsa mkhalidwe wa wodwalayo. Nthawi zambiri zomwe zimayambitsa zimakhala kusuta, mowa, zakudya zamafuta.
Panthawi yowonjezera, ndikofunikira kusunga kugona pabedi, mu gawo la chikhululukiro chololedwa ndikuloledwa kubwerera kumoyo wanthawi zonse.
Dokotala amakupatsani mankhwala, omwe amaphatikizapo analgesia, mankhwala a enzyme, kumwa maantibayotiki, antioxidants, ndi zina zambiri.njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezedwa kwina kwa moyo,) Pancreatitis imagwiritsidwa ntchito "Methyluracil", yomwe imakhala ndi mphamvu yotsutsa-yotupa ndipo imathandizanso kukonzanso maselo owonongeka (maselo owonongeka)kapangidwe kake koyambira ndi kapangidwe kake ka zinthu zonse (kupatula ma virus ndi ma viroid - mawonekedwe amoyo omwe alibe ma cell)) Mankhwala a antisecretory amaonedwa kuti ndi othandiza pochiza matenda a kapamba, omwe amathandiza kuti muchepetse ululu ndikuchepetsa secretion ya madzi.
Chisamaliro chapadera chiyenera kulipiridwa ku pancreatitis (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa), zomwe ndizofunikira kuti munthu achire. Mwanthawi yayitali, onetsetsani kuti zakudya zatha. Nthawi yomweyo, zakudya zochepa zamafuta ndi zinthu zomwe zimapangitsa secretion ndizololedwa pamenyu. Gome lamankhwala limakambirana mwatsatanetsatane ndi adotolo. Ndikofunika kumvetsetsa kuti chikhululukiro sichithandizo chachikulu, choncho pitilizani kuyang'anira kudya kwanu ngakhale masiku ano.
Kusungabe chitetezo m'thupi posachedwa, madokotala nthawi zambiri amalimbikitsa chida monga ASD 2. Mankhwalawa, chifukwa cha mphamvu zake zogwiritsira ntchito immunomodulating, amagwiritsidwa ntchito pochiza matenda ambiri, kuphatikiza, amawerengedwa ngati antiseptic yamphamvu. Chida chidapangidwa mu 50s ya zaka zapitazi ndikuphatikizidwa kwa A.S. A Dorogova, chifukwa chake, oyambitsa asayansi amatengedwa ngati dzina. Gawo lachiwiri la mankhwalawa limagwiritsidwa ntchito kwambiri pancreatitis, popeza ili ndi mphamvu yoletsa kutupa, komanso imagwiranso ntchito m'mimba.

Laparoscopy

Ngati, pogwiritsa ntchito diagnostics wamba, sizinali zotheka kudziwa mawonekedwe a matenda, kapena matenda monga pancreatic necrosis kapena cystic pancreatitis, dokotala asankha kuchita laparoscopy. Opaleshoni imachitidwa kuchipatala, pambuyo pake imayenera kuonedwa ndi dokotala kwa nthawi yayitali.

Njirayi imawonedwa kuti ndi yotetezeka, yopanda ululu, palibe zipsera zomwe zatsalira pambuyo pa kulowererapo. Nthawi yomweyo, laparoscopy imalekeredwa mosavuta ndi odwala ndipo sifunikira kukonzanso kwa nthawi yayitali.

Zithandizo za anthu

Mwogwirizana ndi adotolo, ndizovomerezeka kuchiza kapamba pogwiritsa ntchito mankhwala achikhalidwe. Burdock, yomwe imadziwika kuti "burdock", imadziwika kwambiri pochiza matenda ngati amenewo.

Chomera ichi chimadziwika ngati udzu. Komabe, burdock, chifukwa cha tannin, antimicrobial, analgesic, choleretic ndi zinthu zina zambiri, ndi yofunika kwambiri pancreatitis. Burdock ndi antiseptic wachilengedwe.

Maphikidwe ambiri wowerengeka ali ndi mizu ya burdock, pomwe ma tinctures ndi decoctions amakonzedwa. Kuti muchite izi, tengani muzu, womwe umasonkhanitsidwa masamba asanawoneke, kuwaza, kuthira madzi otentha (500 ml pa supuni), sungani thermos usiku umodzi. Masana, mankhwalawo aledzera. Maphunziro a miyezi iwiri akulimbikitsidwa.

Sikuti muzu wokha ndiwopindulitsa. An antiseptic decoction amakonzedwanso kuchokera masamba. Kuti muchite izi, tengani amadyera, otsukidwa, osadulidwa bwino. Zowerengeka zingapo za kuzimata zotere zimathiridwa mu kapu yamadzi ndikubwera kwa chithupsa. Imwani ozizira katatu patsiku.

Malangizo ambiri a kapamba wambiri

Chithandizo cha matenda oopsa - kapamba - imafuna njira yochizira. Matendawa pawokha (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) sagwira ntchito. Ndi matenda amtundu uliwonse wa kapamba, ayenera kulandira chithandizo chamankhwala chofunikira.

Kuti mupewe kukula kwa matendawa komanso zovuta zina, ndikofunikira kutsatira malangizo a dotolo, idyani moyenera, khalani ndi moyo wathanzi, mverani thupi lanu ndikupempha chithandizo chanthawi.

Zikondamoyo zimawoneka zathanzi ngati kupendekeka kwache ndikofanana ndi chizindikiro ichi chodziwitsa ndulu ndi chiwindi. Dokotala amatha kuwona mutu, thupi ndi mchira wa zikondamoyo pazenera loyang'ana, magawo ake onse ndi akulu kwambiri.

Koma, mwatsoka, madokotala samakonda kuyang'ana chithunzi chowoneka ngati utawaleza pazomwe amayang'anira zida zawo zodziwonera, chifukwa anthu athanzi samabwera kuchipatala. Kwa otupa, kapena okhala ndi matenda osiyana, kapamba, zomwe zimatchedwa kuti zosokoneza minofu zimasintha.

Kodi kusakaniza ndi chiyani?

Kusintha kwachilengedwe mu minofu ya pancreatic ndi kwanuko (koyang'ana) kapena kusakaniza (kusakanikirana). Mawu akuti kusakanikirana amagwiritsidwa ntchito mu fizikiki ndi umagwirira. Ndipo kulingalira za liwoli kuchokera pakuwonera izi sayansi kungathandize kumvetsetsa bwino zomwe zimachitika mthupi lathu.

Mawu akuti kusakanizira amachokera ku liwu Lachilatini, ndipo amatanthauza kulumikizana, kufalikira. Mwanjira ina, ndikulowerera kwa mamolekyulu kapena ma atomu a chinthu chimodzi pakati pa mamolekyulu kapena ma atomu a chinthu china.

Chodabwitsa cha kuphatikizika chimatha kuwonedwa ngati inki ikathiridwa m'madzi. Mu thupi, kusinthanitsa kumatanthauza kuphatikiza ndi kusinthana kwa khungu limodzi ndi linzake. Ndi chochitika ichi chomwe chimawonedwa nthawi zambiri mu kapamba, pomwe maselo osinthika amakhala pafupi ndi maselo athanzi. Chifukwa chake, kusinthitsa kapangidwe ka kapamba kawirikawiri kumapezeka ndi ultrasound.

Kodi kusintha kosowetsa kapamba ndi chiyani?

Mwa anthu achikulire, makamaka omwe ali ndi matenda a mtima, magazi, komanso odwala matenda ashuga, zimakhala zopindika bwino nthawi zambiri zimafa pamikhalidwe ya pathogenic, komanso mawonekedwe a minofu yolumikizana kapena ya adipose m'malo mwake.

Vutoli silizindikirika ngati matenda, chifukwa chake samachiritsidwa. Koma kuwonetsa kwa ultrasound kumawonjezera kuchulukana ndi kukula kwa chizolowezi. Kusintha kotereku kumawonedwa ndi zotsatirazi:

magazi ku chiwalo chopanga enzyme
magwiridwe antchito a biliary
ntchito ya chiwindi
metabolic ndi endocrine njira.

Zizindikiro zofananira ndizodziwika ndi kapamba, dystrophic kusokonezeka kwa kagayidwe kachakudya. Ngati matenda a pancreatitis sapeza chitsimikizo, ndiye kuti DIPI sichizindikirika ngati matenda ndipo chithandizo sichinadziwike. Chomwe chimafalitsa kusintha, monga lamulo, chimakhala pancreatic parenchyma, ndiye kuti, minyewa yakumaso yomwe imagwira ntchito zoyambirira za chiwalo. Kusintha kwa minyewa ya pathogenic kumatha kukhala kwachilengedwe komanso kusadziwonetsa kwa nthawi yayitali.

Chifukwa chiyani ma MDIs amapezeka m'matumba a pancreatic?

Zotsatira zotsatirazi zimatsogolera ku DIPI:

kusowa chakudya m'thupi. Kukula kwa mafuta, ufa, mchere, zotsekemera komanso zonunkhira.
chibadwa
mavuto amanjenje
mowa ndi chikonga
matenda am'mimba thirakiti
kugwiritsa ntchito mankhwala osokoneza bongo.

Kukhazikika kwa insulin m'magazi ndi glucose mkodzo kumakwiyitsanso DIPH. Chochititsa chidwi ndi khunyu, yomwe imafuna chithandizo ndi chisamaliro kuchokera kwa wodwalayo kwa iyemwini.

Zizindikiro za DIP

Zizindikiro za DI mu minofu zimatengera mwachindunji matenda omwe akuwatsogolera (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) Zina mwazizindikiro zazikulu zimaphatikizira kumva kupsinjika m'mimba, kutsegula m'mimba pafupipafupi komanso kudzimbidwa. Acute pancreatitis imayendera limodzi ndi kuwonjezeka kwa kupanikizika kwa pancreatic duct, komwe kumapangitsa kupindika kwake.

Ma enzymes am'mimba amalowa m'maselo a pancreatic minofu, ndipo amatsogolera poizoni wa thupi (amoyo okhala ndi zinthu zomwe zimawasiyanitsa ndi zinthu zopanda moyo, kuphatikizapo kagayidwe kachakudya, kudzisamalira kapangidwe kake ndi bungwe, kuthekera kwodzaberekanso) Wodwalayo amamva kupweteka m'dera lamanzere pansi pa sternum, nseru, kusanza. Kupsinjika kwa magazi kumatsika, kugunda kwa mtima kumafulumira. Vutoli limafunikira chithandizo chamankhwala mwachangu.

Pa gawo loyambirira la kapamba, edema ndi zotupa zazing'ono zimatuluka m'matumbo a gland. Popita nthawi, kapamba amachepa kukula, minyewa yolumikizana imakula, ndikusintha minofu yowonongeka ya tinthu tating'onoting'ono. Zotsatira zake, kupanga ma enzyme okugaya kumasokonekera.

Ndi fibrosis, palinso kusamutsidwa kwa minofu yathanzi yathanzi ndikupanga minofu yolumikizana. Kupanga kwa mahomoni ndi ma enzymes kumachepetsedwa. Kumayambiriro kwa matendawa, Symbomatology siziwonetsedwa, kapena ikufanana ndi zizindikiro za kutupa kwapancreatic.

Ndi lipomatosis, minyewa yamtundu wabwinobwino imasinthidwa ndi minofu ya adipose. Thupi limayamba kuona kuperewera kwamahomoni ofunikira komanso michere yamagayidwe. Kukula kwa lipomatosis kumadalira kuchuluka kwa DIP. Ndi CI yaying'ono, matenda a m'matumbo samachitika. Koma pakukula kwa minofu ya lipoid, parenchyma imakakamizidwa, chifukwa chake, kugwira ntchito kwa kapamba kumasokonezeka ndipo kupweteka kumawonekera.

Kusintha kwamphamvu mu pancreatic parenchyma

Ziwalo zamunthu zamkati zimagawidwa m'mphaka ndi parenchymal. Mwachitsanzo, chiwindi, ndulu, kapamba ndi ziwalo zam'mimba.Organ (Organ - gulu la mitundu yosiyanasiyana yamaselo ndi minyewa yomwe imagwira ntchito yina mkati mwa chamoyo- - magulu osiyanasiyana amitundu ndi ma cell omwe amagwira ntchito yina mkati mwa chamoyo,, ndipo m'mimba, ndulu ndi chikhodzodzo sizabwino. Parenchyma amatchedwa glandular minofu (Zovala zopangidwa ndi ulusi wopangira ulusi wamtundu umodzi) kapamba, yemwe amatulutsa ma enzymes ndi mahomoni.

Kupezeka kwa MD wa gland parenchyma kumawonetsa kuti kulibe miyala, zotupa ndi ma cysts mu chiwalo, ndipo chomwe chimayambitsa kusinthaku chidatsimikiza. Zinthu zomwe zimatsogolera pakusintha parenchyma ndi:

aakulu kapamba kapamba
matenda ashuga.

Mukamachita ultrasound, kumawonjezera kufotokozeredwa kwamatumbo a parenchyma, komwe kumachitika motsutsana ndi maziko a chotupa ndi kuyambika kwa fibrosis - kutumphukira kwa minofu yolumikizidwa, chifukwa chake kupindika kwake kumawonjezeka. Izi anomaly zimachitika chifukwa cha kusowa kwa kagayidwe. Lipomatosis, kapena kulocha parenchyma ndi minofu yamafuta, kumapangitsanso kuwonjezeka kwa echogenicity.

Pancreatitis imapanga njira zofunikira zotupa zamkati, kupsinjika kwa parenchyma. Zotsatira zake, kuyankha kwachuma kwa minofu kumasintha (Zovala zopangidwa ndi ulusi wopangira ulusi wamtundu umodzi).

Zotsatira za kusintha kwamagwiritsidwe

Kodi kusinthika kwachangu pancreatic kumatanthauza chiyani? Mawuwa amadzutsa mafunso ambiri komanso amantha, koma zimangotanthauza kuti chiwalo chimayankha kusintha komwe kumachitika ziwalo zomwe zili pafupi. Sikoyenera kuti zomwe zimayambitsa vutoli ndizowopsa kuumoyo ndi moyo ambiri.

Kusintha kwina kumatha kupweteketsa kwambiri, kusintha kwa glycemia, kusintha kwam'mimba. Pakakhala masinthidwe otheka, parenchyma imatulutsa mahomoni ochepa omwe akukhudzidwa ndi mafuta ndi chakudya cha metabolism, pali kuchepa kwapadera kwa madzi a pancreatic ndi ma enzyme ofunikira kugaya chakudya. Chifukwa chake, pakadali pano, kudya mokwanira ndizofunikira kwambiri.

Kusintha kwina kwa kapamba chifukwa cha kupsa mtima kwa m'mimba ndi chiwindi kumatchedwa kuwukira kwa pancreatitis yotakasika, imadziwika ndi kusintha kwam'mimba, kutupa, ndi kuchuluka kwa ziwalo.

Mu akulu ndi ana, matendawa amakhala yankho la matenda am'mimba, omwe nthawi zambiri amapezeka ndi matenda:

pachimake ndi matenda a kutupa chiwindi,
zilonda zam'mimba
zilonda zam'mimba ndi zilonda zam'mimba,
aakulu maphunziro a cholecystitis.

Kusintha kwachiwiri kwa kapamba kumachitika chifukwa cha kuzimiririka kwa ndulu mu milomo ndi chikhodzodzo, kusintha kwakumaso komwe kumachitika kumadziwika. Ndizotheka kuzindikira kuphwanya kokha chifukwa cha ultrasound. Mavuto a ziwalo zotere nthawi zambiri amapezeka mwa makanda.

Njira zofananira zimachitika m'matenda a chiwindi, ntchito yake yokhudzana ndi chinsinsi cha bile imasinthanso.

Pancreatic ductal amasintha ndichani? Kuphwanya kukukhala vuto lalikulu, kuwonjezera pa zowawa zambiri, munthu amakhala ndi vuto lalikulu pantchito ya chiwalo, mpaka kumwalira kwa minofu. Ululuwu umamveka chifukwa cha kutsekeka mkati, kutsekeka kwa magazi, komanso kukwiya kwa ndulu ndi ma enzymes am'mimba.

Chodabwitsa chosasangalatsa chidzakhala kusintha kwachiwiri, chifukwa nthawi zambiri kumachitika popanda zizindikiro, samalabadiridwa, kuyembekezera matenda a ziwalo zamkati kwathunthu. Kutupa kwamphamvu kumachitika m'malo ena, kumayankhula za kupweteka kwapweteka.

Kumayambiriro kwa ndondomekoyi, kukula kwa cholowacho ndi koperewera, posakhalitsa amafalikira pamalo akulu, kutuluka kwa msuzi wa pancreatic kusokonezeka, kutchulidwa kwa matenda oopsa kukuchulukira mkati mwa ma ducts, omwe nthawi zambiri amasintha kukhala zovuta zazikulu.

Zimayambitsa kusintha kwa kapamba

Ndondomeko ya "kuvala" kwa thupi ndi yachilengedwe kwa ziwalo zonse ndi machitidwe. Kapamba ndiwonso. Ndi chinthu ichi chomwe ndi chimodzi mwazomwe chimapangitsa kusintha kwa ziwalo.

Kuphatikiza apo, palinso ena. Mwachitsanzo, monga zotupa zosiyanasiyana, matenda amtundu uliwonse am'mimba.Osachepera, chomwe chimayambitsa kusintha kwa kapamba ndi vuto lalikulu la metabolic. Fibrosis, komanso lipomatosis, imatha kuyambitsa vuto lofananalo.

Pancreatic stromal changes

Chimodzi mwazofala kwambiri pakusintha kwa kapamba ndi minyewa yamitsempha. Kupanda kutero, mumankhwala amatchedwa mesenchymal. Uwu ndi mtundu wa mawonekedwe akuwonekera kwa kusakhazikika kwa kagayidwe kazakudya mu minofu yolumikizana, yomwe imapangidwa mwachindunji mu stroma ya chiwalo ndi khoma la chotengera. Amapezeka m'dera linalake la oran, lomwe limapangidwa ndi microvasculature ndi zimakhala zowazungulira.

Kusintha kwamphamvu mu kapamba kumatha kuchitika chifukwa cha kuchuluka kwa zochita za metabolic m'magazi, mwina mwa kulowetsedwa kapena kuphatikizika kosayenera. Ma pathologies ofanana ndi amitundu itatu:

Zosintha zantchito

Osachepera, muzochitika zamankhwala, kusintha kwamachitidwe mu kapamba kumawonedwa. Ndi ntchito yathupi iyi, pali kuphwanya kwa mphamvu ya chiwalo, zomwe zimafotokozeredwa. Monga lamulo, njira zingapo za kutupa sizipezeka.

Kuzindikira matenda ndi zovuta. Ngakhale katswiri wa ultrasound samatchulapo nthawi zina chogwira ntchito, chifukwa nthawi zambiri, chiwalo chodwala sichimasiyana ndi chathanzi. Katswiri wodziwa bwino yekha ndi amene angawone kuwonjezeka pang'ono.

Itha kuthandizidwanso ndi zizindikiro monga kupweteka m'mbali kumanzere kwa nthiti, kusowa kudya, komanso chopondapo.

Zosintha zapancreatic

Zosintha ndizo kusintha zokhudzana ndi zaka. Kukalamba kumakhudza mitundu yonse ya endocrine komanso kugaya chakudya ndipo kumayambitsa kuphwanya mphamvu, magwiridwe antchito. Komanso, izi zimachitika osati pamlingo wa maselo okha, komanso pamlingo wa chamoyo chonse. Zikondwerero zimakonda kusinthika.

Imadziwulula yokha, choyambirira, ndi kuchepa kwamphamvu kwa ziwalo, makamaka, mwa kusakwanira kaphatikizidwe ka insulin. Kenako, izi zimabweretsa kuphwanya kwa chakudya chamafuta ndi mafuta.

Kusintha kwa Pancreatic

Koma zoyambitsa masinthidwe osokoneza bongo m'mapapo ndi odwala nawonso. Mwatsatanetsatane, kusiya kwawo zakumwa zoledzeretsa. Komanso, mtundu uliwonse wa zakumwa kapena kuchuluka kwa zakumwa sizikuwoneka mwanjira iyi. Ngakhale mutamwa kamodzi gawo lalikulu la chakumwa chakumwa, matenda osakhazikika am'thupi, komanso hypoxia yakwanuko, amakula. Ngati simutenga nthawi yachipatala panthawi yake, matenda a kapamba, necrosis, miyala m'miyeso, ngakhale edema ya matendawa imatha kukula.

Pancreatic discoloration

Matendawa amatanthauza kupukusira kwa kapamba. Chizindikiro chotchulidwa chimatha kupezeka pokhapokha pa ultrasound. Mu maphunziro awa, kusinthika kwofananira kwamapangidwe a chiwalo chonse kwakhazikitsidwa. Izi sizodziwikiratu, kuwunika kofunikira, koma njira yokhayo yomwe imadziwika ndi mtundu wina wamatenda opatsidwa.

Kukhalapo kwa mtundu wopotoza wa kapamba ndi chizindikiro cha kuchepa kwa chiwalo kapena kuphatikizika kwa kapangidwe kazomwe zimakhala. Chomwe chimapangitsa izi ndi kupezeka kwa chidwi chotupa, chifuwa. Kuphatikiza apo, kusocheretsa mitundu kumatha kuchitika chifukwa cha atrophy ya organ kapena opaleshoni.

Kusintha kwa morphological mu kapamba

Amadzuka pang'onopang'ono. Zomwe zimayambitsa izi ndizosiyanasiyana komanso zovuta kupukusira kwa kapamba.

M'magawo oyamba, kusintha kwa ma morcological mu kapamba mwina sikuchitika konse. Matendawa amadzimva pokhapokha akafika pachimake pa chitukuko chake. Nthawi zambiri, amadziwika ndi njira zothandizira ndi zasayansi. Nthawi zambiri, vutoli limadziwika chifukwa cha kusintha kwa magazi ndi mkodzo. Nthawi zina, odwala amatenga madzi a m'mimba kuti amupime.

Izi sizingasiyidwe popanda chidwi. Kupanda kutero, ikhoza kupha.

Kusintha kwa kapangidwe kake kapamba.

Kapangidwe kakapangidwe kosalala kamene kamapangika bwino kwambiri kumadziwika kuti kamakhala koyenera. Kuchulukitsa kwa tirigu ndilimodzi mwazomwe mungachite pazomwe zikuchitika. Kuphatikizika kwa granularity ndi kuphatikizika kwa makoma a ndulu ndi ma hepatic ducts kumawonetsa kutukuka ndi kusintha kwa dystrophic komwe kumachitika mu gland ndipo kumayambitsidwa ndi vuto losayenera la zakudya.

Zoyenera, kapamba (gulu la gulu lachisanu ndi chitatu (malinga ndi gulu lakale - gulu laling'ono la eyiti) la nthawi yachinayi yazinthu zamomwe zimakhala za D. I. Mendeleev zokhala ndi atomiki 26) (gulu la gulu lachisanu ndi chitatu (malinga ndi gulu lakale - gulu laling'ono la eyiti) la nthawi yachinayi yazinthu zamomwe zimakhala za D. I. Mendeleev zokhala ndi atomiki 26) ikhale ndi mawonekedwe osalala owoneka bwino monga chiwindi. Pamene munthu akukula, echogenicity imatha kuchuluka. Koma kuchuluka kwa kuchuluka kwa matendawa kumatha kuwonetsa lipomatosis, yomwe imadziwika ndi matenda ashuga.

Yogwira DIP

Mwa kusintha kwina kwa kapamba, kusintha kwake kwachiwiri, i.e. zimachitika bwanjichiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala) kwa matenda amodzi kapena amzake mu ziwalo zogaya, zomwe gland imagwirizana kwambiri. Nthawi zambiri, matenda a DI amapezeka mchikakamizo cha matenda amchiwindi, kapena mavuto am'mimba, chifukwa ndi ziwalozi komwe kapamba amalumikizana makamaka. Mu ultrasound, ma MD otha kugwira ntchito ali ofanana ndi kapamba am'mimba, chifukwa amatha kuchitika, chifukwa cha yachiwiri kapamba.

Fibrous DIPJ

Mwa fibrous DI amatanthauza kuchepa kwa minyewa yolumikizana mu minyewa yomwe imafalikira kudzera m'maselo a minyewa. Zotsatirazi zikuyambitsa izi:

kagayidwe kachakudya
poyizoni wokhazikika
yotupa njira
kuwonongeka kwa ma virus.

Vuto lotsiriza limangokhudza osati kapamba, koma dongosolo lonse la hepatobiliary. Kusintha kwa Ultrasound fibrotic kumadziwika ndi kuchuluka kwa echogenicity ndi minofu kachulukidwe (Zovala zopangidwa ndi ulusi wopangira ulusi wamtundu umodzi) Kusintha kovuta kwa fibrotic kumatha kuwonetsa kukhalapo kwa chotupa chinyezi cha minyewa ya minyewa - fibroma, yomwe imakanikiza kapamba ndizofunikira zazikulu, imatha kupweteketsa.

Ngati fibroma yapezeka kumutu kwa kapamba, ndulu ya pini yokhazikika imayambitsa chizindikiro cha jaundice. Kupsinjika ndi chotupa cha duodenum kumayambitsa mseru, kusanza, ndi zizindikiro zina zofanana ndi kutsekeka m'matumbo.

Dystrophic DIPJ

Diffuse pancreatic dystrophy (chiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala) Ndi kulowereranso kwa maselo athanzi a minofu ya glandular yokhala ndi maselo amafuta omwe sangathe kugwira ntchito yayikulu ya kapamba, yomwe imatsogolera ku hypofunction ya gland. Pancreatic lipodystrophy imakhala m'dera laling'ono la kapamba, kugwiritsanso ntchito mankhwala osokoneza bongo pogwiritsa ntchito chakudya. Chifukwa cha kuwonongeka kwa theka la chiwalo, gland ikasokonekera, amayamba kuchitapo kanthu opaleshoni.

Pancreatic mchira DI

Chinsinsi ichi chimagawika magawo atatu: mutu, thupi, ndi mchira wowoneka ngati peyala (zitha kutanthauza: Maonekedwe a mutuwo - malire a malire a malire (mahedwe) a mutu, chinthu, komanso malo abale a mizere) moyandikana ndi ndulu. Kutalika kwake kwabwinobwino ndi 2-3cm. Apa duct yowerengeka imayamba, kukhala ndi kutalika pafupifupi 15 cm, ndi kudutsa ndulu yonse. Kudula kwamitsempha ya hepatic nthawi zambiri kumakhala chifukwa cha TI ya mchira, ndipo zosinthazi zimawonetsedwa ndi kuphatikizika kapena kufalikira kwa gawo ili.

Gawo la kuphatikiza mchira umasinthira kotala ya ma pathologies onse a kapamba. Ndi zotupa zazing'ono za mchira, chithandizo (njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kuphwanya kwina (Kulakwira, kuchita kapena kusowa kosemphana ndi zofunikira za malamulo komanso kuchitidwa ndi munthu wovutitsidwa, "Kuphwanya", imodzi mwa nkhani zoyambirira za Sergey Lukyanenko) moyo) wodekha. Zilonda zakuya, opaleshoni imagwiritsidwa ntchito - mchirawo umachotsedwa, ndipo mitsempha yamagazi imatsekedwa.

Pazakusintha kwa katemera mu kapamba amawuza kanemayo:

Dziwani kusintha kwasintha

DIPI atsimikiza kugwiritsa ntchito chipangizo cha ultrasound. Ultrasound ikuwonetsa kuwonjezeka kapena kuchepa kwa minofu kachulukidwe, kusintha kwamapangidwe, cholinga cha kutupa. Koma izi sizokwanira. Chifukwa chake, kutsimikizira kupezeka kwa DI, kuyezetsa kwamwazi wamagazi, mapangidwe am'mimba a magenechiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala) Osati gawo lomaliza lazidziwitso limaseweredwa ndi anamnesis, ndiko kuti, kafukufuku wodwala wokhudzana ndi kukhalapo kwa madandaulo, kufufuza kwazomwe zimachitika komanso kuyimba. Kuphatikiza apo, kuwunika kambiri magazi, mkodzo wa ndowe, komanso ammimba am'mimba amachitika. Cholinga cha kafukufukuyu ndi:

kuchuluka kwa ma pancreatic ndi michere yama glucose m'magazi
Chiwerengero cha inhibitor kwa trypsin.

Ultrasound imakupatsani mwayi kuti muwone kukula kwa kutulutsa, mkhalidwe (lingaliro lokhazikika losonyeza makulidwe azinthu zosunthika za chinthu) duct, kukhalapo kwa zotupa ndi zisindikizo. Kuphatikiza apo, tomography yotsimikizika ndi ERCP imapangidwa kuti izindikire zomwe zimayambitsa masinthidwe a minyewa yopanga enzyme.

Kupewa

DI ipanga msanga kapamba, kapenanso chiwindi ndi ziwalo zina (Organ - gulu la mitundu yosiyanasiyana yamaselo ndi minyewa yomwe imagwira ntchito yina mkati mwa chamoyo), zimatengera wodwala. Njira yakufa kwa maselo a parenchymal imatha kuchepetsedwa, ngati mutsatira malamulo osavuta:

Musiyiretu mowa
Pangani zakudya zoyenera, idyani pafupipafupi komanso pang'ono,
Chepetsa kudya zamafuta ambiri,
Imwani mankhwala azitsamba zokhazokha komanso misuzi yazipatso
Kanani zakudya zamzitini zilizonse.

DIPJ si chiganizo panobe. Palibe chifukwa chochitira mantha. Nthawi zambiri, kupotoza kotereku kumawonetsa zinthu zomwe zimachitika mthupi. Koma ngati ma MD apezeka atayang'ana kumbuyo kwa ululu, ndiye kuti ndikofunikira kuti mumupimidwe kenanso kuti mudzimvetsetse nokha ndi thupi lanu.

Uzani anzanu! Gawani nkhaniyi ndi anzanu pa tsamba lanu lolimba pogwiritsa ntchito mabatani ochezera. Zikomo!

Ichi ndi chiyani

Kusintha kwina kwa kapamba, ngakhale muli ndi dzina lowopsa, sizichitika mwa iwo okha ndipo sikuwoneka ngati matendawo. Amayankhira gawo limodzi ndi matenda ena am'minyewa yam'mimba, komanso mavuto omwe thupi la ana limakumana nawo.

Kapamba payokha, wachiwiri kukula kwambiri pamimba pambuyo pa chiwindi, imapereka njira ziwiri zofunika - imatulutsa insulini yofunikira kuti shuga ichotseke komanso imatulutsa madzimadzi a pancreatic, popanda zomwe kugaya chakudya sikungakhale kwachilendo.

Kupyola mu ma ducts, madzi awa amatuluka mu duodenum. Mkhalidwe wa ma ducts awa ndikofunikira kwambiri kwa kapamba. Popeza ziwalo zonse zam'mimba zimayankhulirana kudzera pa ma ducts, matenda aliwonse amtunduwu nthawi yomweyo amakhudza kapamba, amasinthanso.

Chiwerengero cha ana omwe madokotala amapeza kusintha koteroko chikukula. Asayansi akukhulupirira kuti iyi ndi gawo laling'ono la zovuta zachilengedwe zomwe zikuwonongeka, zinthu zambiri zoteteza komanso utoto, ngakhale mu chakudya cha ana.

Zomwe zimachitika

Ma enzymes omwe kapamba amapanga amagwira ntchito pokhapokha ataphatikizidwa ndimatumbo am'mimba. Komabe, ndi matenda am'mimba, jakisoni wamadzi kuchokera ku duodenum ndikotheka.

Kulumikizana ndi iyo kumayambitsa ma enzyme pasadakhale, asanalowe m'matumbo. Njira yogaya yogwira imayamba osati pomwe ikufunika, ndipo zikondamoyo zimayamba kudzipukusa zokha. Izi zimatchedwa kuti mankhwala yogwira pancreatitis, ndipo kusintha koteroko kumawoneka ngati kofala kwambiri

Matenda osiyanasiyana, monga gastritis, hepatitis, mavuto ndi chikhodzodzo, gastroduodenitis. Zomwe zimapangitsa kuti pakhale kusintha kosinthika kwa kapamba kumatha kukhala vuto la kudya - mwana samadya mokwanira kapena, m'malo mwake, oreat, amaloledwa kugwiritsa ntchito mwachangu zakudya, tchipisi, zotupa ndi maswiti okayika omwe ali ndi utoto wambiri ndi zonunkhira zambiri.

Zikondazo zimatha kuchuluka, njira za m'magazi zimatha kuyambika poyambira matenda ena opatsirana ngati chikuku kapena malungo ofiira, poyizoni wokhala ndi poizoni, kumwa mankhwala. makamaka kwa nthawi yayitali kugwiritsa ntchito maantibayotiki. Nthawi zina "magawo" oyambira omwe amayambitsa masinthidwe otengera ndi njira za autoimmune mu thupi.

Muubwana ndi unyamata, chinthu chama psychogenic sichimayikidwa pambali - kapamba amatha kusokonezeka, monga amanenera, pamitsempha, atakumana ndi zovuta kwambiri.

Kusintha kwina kwa kapamba kumangowonetsa zowonadi za kukhalapo kwa matenda ena, koma iwo eni eni amatha kupereka zosasangalatsa. Ana amatha kukhala ndi vuto lotchulidwa kupweteka, kupukusa chakudya, komanso kuchuluka kwa shuga m'magazi kumatha kuchuluka.

Zikondamoyo, zomwe zimakonda kuchita zowononga zotere zimachulukana, zimatha kutupa. Mwanayo amatha kusanza, kutsegula m'mimba, kudzimbidwa, ndipo amatha kusokonezeka ndi kukoka kwa m'mimba. Komabe, nthawi zambiri, kusintha kosinthika kumachitika popanda chizindikiro konse ndipo kumakhala "kupezako" pakubwezeretsa m'mimba.

Zizindikiro zotsatirazi zikuwonetsa zovuta ndi kapamba:

Ululu wam'mimba, m'mimba, womwe umakhala pansi ngati mwana wakhazikika pansi pang'ono pang'ono pang'ono.

Pewani ndi chakudya chosasokoneza. Kusanza kotero sikumadzetsa mpumulo.

Kuwonjezeka kwa kutentha kwa thupi.

Matendawa pafupipafupi. Fecal mambo amakhala ndi madzi osasintha, fungo losasangalatsa. Ngati kusintha kwakhala kukuchitika kwa nthawi yayitali, ndiye kuti chopondapo cha mwanayo sichinakhazikika - kutsekula m'mimba kumachotsedwa kudzimbidwa komanso mosemphanitsa.

Pakamwa pakamwa, popenda mkamwa wamkamwa, kupezeka kwamkaka pamilomo.