Zomwe zimapangitsa kuti miyala ipangike ndi momwe angachotsere

Zomwe zimapangitsa miyala kupangika mu zikondamoyo zimakhalabe vuto kuti mankhwala sangapereke yankho lenileni. Muzochitika zomwezi, ma ducts amatha kukhudzidwa ndi ma amana a patological, amatha kukhala omasuka kutuluka kwachilendo kwa madzimadzi a pancreatic.

Pafupifupi mawu

Nthenga kapena chamba chachikulu, chomwe ndi gawo lofunikira kwambiri la endocrine, lili kumtunda kwa m'mimba, lili ndi mawonekedwe a peyala. Pakati pa ntchito zake, malo ofunikira amatulutsidwa ndi chimbudzi cha ma enzymes, cholowetsa m'mimba chomwe chimathandizira kugumuka kwa zinthu, kugwiritsidwa ntchito kofunikira komanso kofunikira m'thupi. Ma gallstones ndi omwe amachitika chifukwa cha kuchepa kwa mafuta a cholesterol ndi ma bilirubin pamaso pa matenda mu ma ducts. Nthawi zambiri chomwe chimapangitsa kuti zikhalepo ndi kapamba, mpaka 60% ya odwala omwe ali ndi matendawa amakhala ndi miyala mu kapamba.

Etiology ya matenda

Ndi pancreatitis kapena matenda ena opatsirana, mawonekedwe omwe amakhala osalala mkati mwakapangidwira amakhala opunduka. Izi zimadzetsa kusuntha kwa ma enzyme ena omwe amapanga nyamayo, kenako kutsata kwake kukhala mwala. Zotsatira zake, timadziti tam'mimba sitimadutsa kwathunthu ndikupanga china chowonjezera chomwe chimawononga mawonekedwe a minofu ya chiwalo. Kuopsa kwa kupsinjika kotereku kumachuluka kwambiri ndi:

kubadwa kwamtsogolo
moyo wongokhala komanso wonenepa kwambiri,
kudya, ndi kuchepa kwamphamvu thupi,
matenda a chiwindi ndi matenda ashuga,
matenda a magazi
kuchuluka kwa bilirubin, cholesterol mu madzi a bile,
mpaka kukalamba mwa amuna,
onyamula mwana wosabadwayo
kumwa mankhwala, monga njira yakulera kapena anticholesterol.

Kupewa matendawa, ndikokwanira kumvetsera thupi lanu, mukakumana ndi vuto, funsani dokotala nthawi yomweyo.

Momwe mungadziwire matenda awa?

Ngati pali chizindikiro cha kupweteka m'mimba kapena kumbuyo, muyenera kupita kwa dokotala, yemwe nayenso ayenera kupanga radiology.

Ndi chithandizo chake, mutha kulingalira miyala monga zowerengera, zimakhazikitsidwa pancreas.

Kuti mupeze vuto loyenera komanso lodalirika, kuyang'ana pa ultrasound ndikofunikira.

M'masiku amakono, ali ndi maukadaulo angapo - kuti awone miyala ndikofunikira kugwiritsa ntchito endoscopic, chifukwa chake ndikofunikira kuyambitsa kafukufuku m'mimba ndi sensor.

Kuphatikiza pa njira yomwe ili pamwambapa, kafukufukuyu amagwiritsidwanso ntchito pobwezeretsa cholangiopancreatography, chifukwa ndikofunikira kutenga wothandizira, imabayidwa kudzera mu waya wa wirsung.

Ndi chithandizo chake, ndulu ndi ma pancreatic amadzazidwa, ndipo zitatha izi ndizotheka kujambula.

Katswiri, powona momwe ma densi amadzazidwira, amatha kuyankhula za nthawi yayitali kapena yachilendo, komanso komwe kukakamira kumachitika kapena komwe mwala ungatseke.

Munthawi zovuta kapena zosamveka, kuyerekezera kwa makina kapena maginito amatsenga kumachitika, njirazi ndizofunikira kuti tichite kafukufuku wophatikizana komanso kuti muwone momwe dilesi ya parenchyma ilili.

Zizindikiro zamiyala yapancreatic

Miyala mu kapamba, Zizindikiro za matendawa ndizosasangalatsa komanso zimakhudza moyo wa wodwalayo.

Kumva chizindikiro chakumva kupweteka komwe kumakhala chakumtunda kwa peritoneum kapena kumbali yakumanja, ngati kupweteka kumapitilira ndipo sikuchepera kwa nthawi yayitali, pitani kwa dokotala mwachangu, ichi ndi chimodzi mwazizindikiro zoyambirira zopangira miyala mu gland.

Nthawi zina chizindikiro cha ululu chimatha kukhala kwa maola angapo ndikuwonekera mbali yakumanja, mwachitsanzo, paphewa ndi pakati pa phewa.

Wodwala nthawi zambiri amatha kumva kuti ali ndi vuto ndipo amatha kukulitsa thukuta. Komanso, chifukwa cha kukhalapo kwa miyala, mtundu wovuta wa kupangika kwa thupi umayamba.

Kuphatikiza pazizindikiro zomwe zili pamwambapa, momwe matendawa alinso ndi ena, tiziwona mwatsatanetsatane kuti ngati kuli kotheka muzindikire kupezeka kwawo mwa inu nokha:

Kukhalapo kwa chizindikiro chopweteka, nthawi zambiri kumadziwonekera kwa nthawi yayitali, pamimba ndipo imatha kuwonekera kumbuyo.
Mafuta okuta ndowe okhala ndi mtundu wofiirira.
Nthawi zonse kumverera kwa maluwa.
Mukamaliza kudya, mumayamba kudwala m'mimba.
Nthawi zambiri mumayendera limodzi ndikumverera kuti mwatsala pang'ono kumva kuti mukudwala.
Munthu amadwala pafupipafupi.
Kukhudza m'mimba mwa wodwalayo, amakhala kuti akumva kuwawa.

Ngati miyala yaying'ono yakhazikika m'gululi, ndiye kuti ma enzyme ochita kugaya amatsekedwa, chifukwa cha ichi pali kuthekera kwakukulu koti kupangika kumachitika.

Anthu ena amadziwa, ndipo ena sadziwa, kuti kapambayu ndiye amachititsa kuti mahomoni azikhala, ndipo nawonso, amathandizira kuwongolera kuchuluka kwa gluu m'madzi a m'magazi.

Chifukwa cha kukhalapo kwa calculi, kupangika kwa mahomoni kumatha kuchepa kwambiri, izi zikuwopseza kuti shuga idzayamba. Pazifukwa izi, wodwalayo amayenera kuyesedwa pa matenda awa.

Ngati, kwa nthawi yayitali, kutsekereza kwa duct kumapitilizabe, ndiye kuti pali mwayi kuti kutupa kumawonekera, ndipo izi zikuwoneka ngati mawonekedwe apadera a kapamba.

Mawonekedwe owopsa a matendawo amawonetsedwa ndi zizindikiro monga:

Pali kuwonjezeka kwa kutentha kwa thupi.
Ndipo kapamba wayamba kuchuluka
Kwa nthawi yayitali, chizindikiro cha ululu sichitha.

Kupezeka kwa zowawa, nthawi zambiri kumawonetsa kuti palibe kuthekera kwa kudutsa kwamadzi.

Kupezeka kwa zizindikirozi kukusonyeza kuti panthawi yomwe calculi imapangidwa mu bile duct, spill ya bile.

Izi zikuwonetsedwa ndi zizindikiro zotere:

Zomverera zowawa.
Kutentha kwambiri kwa thupi.
Kamvekedwe ka khungu.

Pamaso pazizindikiro zotere, munthuyu amafunika kugonekedwa kuchipatala msanga. Pambuyo pofufuza wodwalayo, adokotala amatiuza kumwa mankhwalawa monga maantibayotiki ndi ma pinkiller.

Za kukhalapo kwa calculi mu kapamba

Mwakutero, kupezeka kwa calculi mu kapamba ndimawu osowa kwambiri, koma m'zaka zingapo, chiwerengero cha anthu omwe akudwala matendawa chakhala chachikulu.

Cholinga cha izi ndi kutupa kosalekeza mthupi la munthu.

Chimodzi mwazifukwa zimatha kuzindikirika kagayidwe, kumawonekera chifukwa chakuti pakakhala kuchuluka kwa calcium, iyo imatseka ma enzymes a chimbudzi.

Mwalawo umatha kukhala ndi misinkhu yosiyanasiyana, itha kukhala yayikulu komanso yaying'ono.

Akatswiri sangayankhe funsoli molondola: chifukwa chiyani anthu ena amapanga iwo, pomwe ena satero.

Koma amapereka mndandanda wazinthu zomwe zimathandizira kuti ma calculi awonekere mwa anthu, azilingalire mwatsatanetsatane kuti awasiyanitse ndi moyo wanu ngati zingatheke:

Kukhalapo kwa kunenepa kwambiri mwa munthu.
Nthawi zambiri, matendawa amapezeka theka la anthu - azimayi.
Ngati bile limatuluka bilirubin kapena cholesterol.
Ngati moyo wanu ndi wopanda ntchito.
Komanso chifukwa chake ndikudziwikiratu kwa urolithiasis.
Nthawi zambiri, miyala imapangika mwa anthu achikulire.
Komanso, chofunikira pakupanga calculi ndi matenda a shuga kapena mavuto ndi chiwindi.

Mapangidwe a calculi kuchokera ku cholesterol kapena bilirubin amapezeka m'magulu a anthu awa:

Anthu adapezeka ndi matenda oopsa a endocrine gland.
Komanso pachiwopsezo chake anthu akumamwa mankhwala kuti achepetse cholesterol.
Komanso omwe ali pachiwopsezo ndi anthu omwe ali ndi mavuto ndi njira yamagazi.
Muyika pachiwopsezo chotenga mankhwala a mahomoni ndi mankhwala.
Komabe omwe ali pachiwopsezo ndi amayi omwe ali m'malo komanso azimayi omwe adutsa malire azaka makumi awiri.
Anthu omwe ali ndi thupi lalikulu amathanso kuvutika.
Anthu omwe ali ndi vuto la kuchepa thupi komanso osachita kunenepa kwambiri amakhala pachiwopsezo.

Njira zopewera

Ndikuganiza kuti palibe amene anganene kuti matenda aliwonse ndiwabwino kupewa kuposa kuwachiritsa, ndipo kukhalapo kwa miyala mu kapamba ndizosiyana.

Tiyeni tikambirane mwatsatanetsatane zomwe zitha kuchitidwa kuti matenda amtunduwu asakhudze thupi lanu. Gawo loyamba komanso lofunikira poletsa mapangidwe a calculi ndiloyenera, zakudya zopatsa thanzi.

Komanso magawo sayenera kukhala akulu, koma makamaka zakudya ziyenera kukhala zazing'ono, koma ngati mwakumana ndi izi mwadzidzidzi, muyenera kudya pafupipafupi.

Ndikofunika kuti musamadye zakudya zomwe zimawononga thupi, mukuyeneranso kusiya zakumwa zoledzeretsa ndi malonda a fodya, ndikofunikira kuti musiye kugwirira ntchito pakudya.

Pamaso pazomverera zosasangalatsa, mankhwala wowerengeka azitha kugwiritsidwa ntchito, mitundu ingapo ya zakumwa za tiyi ndi mitundu ingapangitse kuti ntchito ya gland ikhale yabwinoko.

Pokonzekera ma decoctions kapena zakumwa za tiyi, mutha kugwiritsa ntchito ma dandelion (monga masamba), m'chiuno, rose kapena mabulosi.

Zochita zochizira

Mutapita kukaonana ndi katswiri yemwe mwaphunzira za kupezeka kwa calculi m'matumba anu, mumangodzifunsa funso losavuta, koma loyembekezeka: mungathe bwanji kuwachotsa, komanso ngati muli ndi miyala mu kapamba wanu, mumafunikira opaleshoni kapena ayi, kapena ndi chithandizo chiti chomwe chingagwiritsidwe ntchito.

Dokotala amasankha mankhwalawa aliyense payekhapayekha. Kuchiza sikuti kuchitapo kanthu pochita opareshoni, komanso pamankhwala amtundu wa mankhwala.

Sikuti anthu ambiri amadziwa kuti kulowererapo kwa opaleshoni pakati pa akatswiri kumatchedwa laparotomy kapena pancreatectomy, kulowerera koteroko kumadziwika ndi kuphwanya minofu ya chiwalo chosinthidwa kuti chithetse chimayambitsa.

Dokotalayo akuti akuyenera kuchitapo kanthu opaleshoni ngati chomaliza, pakukomoka, komwe kumatha mphamvu ya thupi.

Kwa opaleshoni, zinthu zotsatirazi ziyenera kukhalapo:

Ngati kutupa kumatenga kwambiri.
Ngati zizindikiro zikuwoneka ndi mphamvu yayikulu.
Ngati kuwonetsa kwa zizindikiro sikupita kwa nthawi yayitali.

Atafotokozera komwe miyala ili m'gululi, yomwe ingachitike mothandizidwa ndi zida zamakono zamankhwala, dokotala payekhapayekha aliyense payenera kupanga chiwembu chothandizidwa.

Ngati opaleshoniyo idachitidwa, wodwalayo afunika kutsatira zakudya zoyenera.

Ganizirani za zakudya zomwe zimaloledwa kudya:

Yophika masamba.
Msuzi wamasamba.
Zinthu zopangidwa mkaka ndi mkaka ndizovomerezeka.
Nsomba yamafuta ochepa.
Ndipo mutha kudya pasitala.

Pankhani yophika, ndikofunikira kuphika. Ganizirani zomwe zakudya zimayenera kuchotsedwa muzakudya, zinthu izi zimaphatikizidwa pamndandanda wotchedwa "STOP":

Chocolate ndi maswiti aliwonse ndizoletsedwa.
Ndikofunikira kuchotsa mazira, masamba kapena mafuta ophikira pazakudya.
Ndikoletsedwa kudya mafuta, zonunkhira komanso yokazinga.
Zakumwa zakumwa zakumwa za khofi, mowa ndi koloko siziyeneranso kuledzera.
Bowa ndi zakudya zosuta siziloledwa.

Ngati matendawa ali pachiyambiyambi, ndiye kuti miyala yopondera imatha kuthandizidwa.

Izi zitha kuchitika pogwiritsa ntchito kukonzekera kwa mankhwala, iwonso, amathandizira kuchepetsedwa kwa mapangidwe a bile ndipo amatha kuwononga mawonekedwe olimba.

Iyi si njira yokhayo yomwe imakulolani kuti muwononge miyala, njira ina imatchedwa - cholangiopancreatography.

Pogwiritsa ntchito njirayi, mutha kuchotsa chofufumitsa kuzinthu zachilendo, muchotse zizindikilo zomwe zikuipiraipira moyo wamunthu, ndi zonsezi popanda kuvulaza thupi.

Njira yachitatu ndi lithotripsy - imathandizanso kuthana ndi calculi, njirayi imadziwika ndi kugwiritsa ntchito funde la mantha, lomwe limawononga miyala.

Ndikofunika kukumbukira kuti chithandizo chilichonse chimayenera kuyamba ndi kukambirana ndi katswiri, atatha kudziwa bwino matenda ake. Kudzichitira nokha mankhwala kungawononge kwambiri moyo wanu.

Kanema wothandiza

Maonekedwe a miyala mu kapamba amadziwika kuti ndi njira yoopsa. Njirayi imatchedwa pancreolithiasis, matenda omwe amapanga miyala ikamakula m'matumbo a parenchyma kapena pancreatic ducts.

Nthawi zambiri, matendawa samangokhala pawokha, ndi chifukwa cha njira zam'mbuyomu zomwe zimayambitsa matenda a pancreato-hepatobiliary.

Momwe mungadziwire miyala mu kapamba? Kuti muzindikire panthawi yomwe pali vuto lomwe layamba mthupi, muyenera kudziwa momwe zizindikiro za matendawa zimayendera, komanso kudziwa zomwe zimapangitsa kuti izi zikuthandizireni.

Zomwe Zimayambitsa Mwala

Miyala mu kapamba - njira yowopsa ya pathological

Zikondamoyo zomwe zili m'thupi la munthu zimachita gawo lalikulu. Zimathandizira kupanga juwisi wa kapamba, womwe ndi wofunikira pakuwonongeka kwa zosakaniza za chakudya, chimbudzi chawo komanso kuyamwa bwino.

Munthawi yabwinobwino, duct yayikulu ya dongosololi ili ndi mawonekedwe osalala komanso osalala. Zikomo kwa iye, msuziwo mwadala umalowa m'matumbo. Ndi chitukuko cha matendawa, chiwalochi chimatha kusintha, zomwe zimayambitsa kuyimitsidwa kwa kayendedwe ka madzi amkati. Kuchepetsa njirayi mu duct kumapangitsa kuti miyala ipangidwe. Nthawi zoterezi zikadzatseka, wodwalayo amamva kupweteka kwambiri.

Nthawi zambiri, chomwe chimayambitsa matendawa ku kukula kwa kapamba ndi njira zotupa zomwe zimachitika mthupi la wodwalayo nthawi yayitali. Cholinga china chowonekera ndi miyala ndi metabolism, yomwe imawonedwa chifukwa cha kuchuluka kwa calcium m'thupi lamkati, zomwe zimalepheretsa ma enzymes kugaya ntchito kugwira ntchito ndikuletsa ma ducts.

Miyala kapena miyala ndi chinthu chokhazikika, chosasintha chowongolera. Amapangidwa mchikakamizo cha crystallization ya bile bile. Kukula kwa mapangidwe oterewa kumatha kusintha kuchokera kumchenga wowoneka bwino mpaka wamkulu.

Zomwe zimayambitsa kwambiri chifukwa choti ma neoplasms omwe amawonekera mumayendedwe a gland ndi awa:

Kusintha kwa kapangidwe kazomwe kapangidwe ka mankhwala amkati katemera ka kapamba chifukwa cha zosokoneza zakumwa zoledzeretsa kapena kudalira fodya.
Kulephera pakugwira ntchito kwa mahomoni, komwe kumakwiyitsidwa ndi zonse mkati ndi kunja.
Zosintha pakuyenda kwa kagayidwe kazinthu mkati.
Kukula kwa kutupa mu ziwalo zam'mimba, mawonekedwe a neoplasms osiyanasiyana etiologies kapena cysts.
Mapangidwe a pathological process mu ndulu, duodenum kapena kapamba.
Kukula kwa thupi kwa wodwala.
Moyo wopanda ntchito, pafupifupi wosayenda.
Matenda a chiwindi.
Maonekedwe m'thupi la endocrine matenda monga matenda ashuga.
Kudziwikiratu kudziwiratu mavuto a urolithic.
Kuwonjezeka kwa magwiridwe antchito pakuwunika mapangidwe a bile cholesterol kapena bilirubin.

Nthawi zambiri, mawonekedwe a calculi mwa anthu okalamba, komanso asungwana ndi amayi achichepere omwe ali osangalatsa. Ngati titenga pakati pa zogonana, ndiye kuti matendawa amatenga zambiri ndi akazi achimuna kuposa amuna.

Omwe akupikisana nawo pakukhazikika kwa matenda ndi odwala omwe ali ndi mavuto ndi magazi, chiwindi. Anthu omwe amamwa mankhwala kuti achepetse cholesterol yamagazi, komanso azimayi omwe amagwiritsa ntchito njira zodzitetezera m'thupi.

Zizindikiro zamiyala yapancreatic

Chimodzi mwazizindikiro zamiyala yapancreatic ndikumva kupweteka kwapakati pamimba, mpaka kufikira kumbuyo

Zizindikiro zakukula kwakanthawi kwamiyala mu kapamba zimapezeka, mwachangu mutha kuyamba kulandira chithandizo, chomwe chidzachotsere kupweteka komanso kuchepetsa ntchito ya ziwalo zamkati. Zizindikiro za nthendayi zomwe zikupitilira ndizosiyana, koma pazizindikiro zingapo ndizotheka kuzindikira vutoli.

Njira yotupa imayambira m'magawo angapo:

Gawo 1 - miyala imapangidwa mothandizidwa ndi kusintha kwamasamba am'madzi am'matumbo, imakhala yokulirapo,
Gawo 2 - mapuloteni osawerengeka amapangidwa mu ma ducts. Pambuyo pake imakhala chifukwa choyambirira cha kuyika kwa mchere wa calcium mu kapamba. Panthawi yomwe ikuchitika, kupangidwa kwa calculi kumalimbikitsa kusintha kwina. Kupanga kwamkati kwa katulutsidwe wamkati,
Gawo lachitatu - matenda achiwiri amalowa, pamaziko omwe njira yotupa imapangidwira.

Njira yotupa ikachitika, chizindikiro cha matendawa chimayamba, chimakhala chosiyana, koma nthawi zambiri, matendawa amatha kuzindikirika ndi zizindikiro zobwera.

Zizindikiro zotsatirazi zakupanga pancreolithiasis zimasiyanitsidwa:

Kuwonetsedwa pafupipafupi kwa mseru komanso kumalimbikitsa kuchotsa zamkati zam'mimba.
Zovuta zopweteka pambuyo podya mafuta, zonunkhira kapena zonunkhira.
Zowawa zolimba zamkati zomwe zimachitika kawirikawiri pamimba, mpaka kumbuyo.
Kuchulukitsa kwa masisitere.
Maonekedwe a chopondapo chamadzi chosasunthika, chamtundu wowala.
Kufalikira.
Pakukhudza pang'ono pamimba, wodwalayo amamva kuwawa.
Pali ntchito yowonjezereka ya zotupa za sebaceous, limodzi ndi thukuta labodza.

Zowawa sizipezeka nthawi zonse, zimabwera nthawi zina ndikusowa. Kutalika kwa kuzunzika kumasiyana maola angapo mpaka masiku angapo. Kupezeka kwa kusamvana kowawa kumagwirizanitsidwa ndi kuwonjezeka kwa kukakamiza mu ma ducts panthawi ya blockage, komanso kuwonjezeka kwa kutupa m'deralo.

Mwa odwala ena, kukula kwa miyala mu kapamba kumatha kuchitika popanda kuwonetsa zizindikiro zopweteka. Njira yotere yamatenda simapereka chithunzi chokwanira cha vutoli komanso imapangitsa njira zodziwira matenda.

Kuti mudziwe molondola matenda omwe akutupawo, muyenera kufunsa dokotala kuti mumupatse upangiri komanso kuyezetsa mayeso angapo. Pokhapokha atazindikira matendawa ndi chithandizo chamankhwala chokhazikitsidwa.

Momwe mungapezere matenda

Ultrasound ndi njira yothandiza yopezera matenda.

Zizindikiro zakudontha siziyenera kunyalanyazidwa kapena kuponderezedwa ndi mankhwala a mtundu wa painkiller. Matendawa amafunika chithandizo cha nthawi yayitali, koma musanapereke mankhwala, matenda ayenera kupangidwa. Pofuna kukambirana, muyenera kulumikizana ndi gastroenterologist.

Kutengera kusanthula ndi zizindikiro zakumaso zakunja, nkovuta kuzindikira vuto la kapamba, choncho wodwala amatumizidwa kukayesedwa kothandizidwa:

Kuunika kwa Ultrasound - kumawonetsa kukula kwa ziwalo, momwe zimagwirira ntchito. Zimathandizira kuzindikira kukhalapo kapena kusakhalapo kwa chinyezi m'mizere ya ndulu.
X-ray - imawululira kukula kwenikweni kwa zotupa, malo awo ndi kuthekera kwake kunyamula.
Magnetic resonance imaging - imawonetsa kukhalapo kapena kusakhalapo kwa calculi mu kapamba.
Endoscopy - endoscope imayikidwa kudzera pabowo lomwe limapangidwa pang'ono, ndikukulolani kuti mufufuze mozama mkati mwanu ndikupeza zofunikira zakuthupi (kutenga chikwangwani) kuti muphunzire kutsika ndi kusasinthika.

Dokotalayo amatchulanso za zotsatirazi, zomwe zimawongolera mayeso a labotale. Pozindikiritsa, kuyezetsa magazi ndi mkodzo kumachitika pofuna kufotokoza bwino kuchuluka kwa michere ya diastase, komanso ndowe zozindikiritsa calcium. Pambuyo povomereza zotsatira za phunzirolo, dokotala amatha kuzindikira matendawa.

Chithandizo cha matenda a mtima

Mukazindikira miyala mu kapamba, chithandizo ndichofunika kwa wodwala aliyense. Ndikulimbikitsidwa kuchita zochizira m'njira zotsatirazi:

Mosasamala (ndi mankhwala).
Mwachizolowezi
Zithandizo za anthu
Zakudya zamagulu.

Njira zosasinthika zokopa calculi m'makonzedwewo zimachitika ngati miyala kapena mchenga ukapezeka m'mizere. Mankhwala, mankhwalawa amaperekedwa omwe amafunikira kuchepera kwa katulutsidwe kamkati, komwe kumayambitsa kuwonongeka kwachilengedwe kwa miyala popanda kuchitapo opareshoni.

Koma chithandizo ndi mapiritsi ndizotheka pokhapokha ngati miyala sinali yayikulu, palibenso njira zina zothandizirana, ndipo palibenso kupweteka kwapafupipafupi. Pankhaniyi, kugwiritsa ntchito mankhwala monga Henodiol kapena Ursodiol ndikulimbikitsidwa.

Pochiritsa matenda, nthawi zina amatha kugwiritsa ntchito maopaleshoni

Kuthandizira opaleshoni ndikofunikira kuti kupezekanso kwapweteka kwapakati pamimba, komanso kukonza miyala. Mwa izi, ERCP imachitidwa. Mchitidwewo umachitika popanga patsekeke ndi chipangizo chapadera; calculi imachotsedwa kuchuluka kosaposa 10 mm.

Nthawi zina, wodwala amakhala ndi emitter. Mwalawo umaphwanya miyala ndi laser. Pambuyo pa mwambowo, miyala yophwanyidwa imachotsedwa ndi endoscope kapena imasiyidwa pamkono kuti ichotse chilengedwe. Ndondomeko amachitidwa pasanathe mphindi 60.

Kusemphana kwa minofu yofewa kumachitika ngati nguluwayo idatsekedwa osati ndi umodzi, komanso ndi zisindikizo zingapo. Pamene njirayi ikupita, timiyendo tonse tating'onoting'ono tomwe mchenga umatha kugweramo timatsukidwa. Pambuyo pa njirayi, nsaluyo imasokedwa mosamala.

Kuchiza ndi wowerengeka azitsamba

Kupsompsona kuchokera ku oats kumathandizira wodwalayo

Kuphatikiza apo, monga chithandizo chothandizira, tikulimbikitsidwa kugwiritsa ntchito njira zina zochiritsira. Mwa izi, njira zingapo zotsimikiziridwa zimagwiritsidwa ntchito, monga:

Decoction ya oats - imagwiritsidwa ntchito panjira yaulesi ya matenda, osakhala ndi zizindikiro zazikulu. Mbewu zopanda kanthu zimagwiritsidwa ntchito. Pa kulowetsedwa, muyenera kutenga 100 gr. mankhwala ndi wiritsani 1 lita imodzi ya madzi. Lowani m'mimba pa 0,5 tbsp. ndi 1 tbsp. l wokondedwa.
Mafuta ochokera ku oats - amachotsa kukokana ndi zowawa, zimasintha zonse. Poyamba, maziko amakonzedwa: 1 makilogalamu a oats amathiridwa ndi madzi, amasiyidwa kwa maola 12, usiku uliwonse. Madzi akatha, mbewuzo zimatsukidwa ndikuphwanyidwa. Kupanga zakumwa zakumwa amatengedwa 3 tbsp. l chifukwa kusasinthika ndi jekeseni wa 50 mg ya madzi, wosakanizidwa bwino. Kenako, kutsanulira 200 ml ya madzi otentha, wiritsani pambuyo kuwira kwa mphindi zitatu ndikuwapatsa theka la ola.
Uchi - normalization kagayidwe kachakudya, kubwezeretsa magwiridwe antchito a kapamba. Ndi bwino kudya 1 lita imodzi ya uchi musanadye tsiku lililonse m'mawa.
Msuzi - katatu musanadye, 0,5 tsp. koloko kutsukidwa ndi madzi ambiri kapena mkaka.
Propolis - imathandizira kuphatikizira kwa oxygen m'maselo omwe akhudzidwa ndikubwezeretsa minofu yowonongeka. Propolis imagwiritsidwa ntchito mwachilengedwe, kutafuna, kenako kulavulira.

Ndikofunikira kutsatira chakudya chapadera chofatsa, kuthetserani zakumwa zoledzeretsa. Ndikulimbikitsidwa kuchita kuthamanga kwambiri, kuphatikiza masewera ndi zinthu zina zolimbitsa thupi patsiku.

Chithandizo cha miyala ya pancreatic ndi zitsamba

Kulowetsedwa kwa mabulosi abulu okhazikika kungathandize ndi matendawa

Kuphatikiza pa maphikidwe wowerengeka azitsamba, zitsamba zomwe zimasankhidwa mwapadera kuti zithandizire kwambiri komanso kupangitsa kapamba kuti azigwiritsidwa ntchito. Zotsatirazi zothandiza kwambiri pogwiritsa ntchito zitsamba ndizodziwika bwino:

Kulowetsedwa wa mabulosi abulu - masamba 20 gr. osakaniza wophika 0,5 malita a madzi. Kenako umasefedwa, msuzi womwe unayambitsidwa umatengedwa masiku 12 asanadye m'mawa.
Burdock - masamba a mbewu amaphwanyidwa ndipo 500 ml ya madzi ozizira amathiridwa. Kusasinthaku kumalowetsedwa kwa maola 12, kenako kuwiritsa osaposa mphindi 15. Anayambitsidwa m'thupi mutatha kudya.
Kutenga kwa zitsamba za chamomile, violets, linden, wort ndi St. Zotsatira zosakaniza kuchuluka kwa 1 tbsp. l kutsanulira 1 tbsp. madzi. Kuti muvomereze, pezani mawonekedwe ake ndikudya m'mawa ndi madzulo.

Mutha kugwiritsa ntchito mankhwala osiyanasiyana achikhalidwe, koma muyenera kukumbukira nthawi zonse kuti mankhwala azitsamba ndi njira zina sangathe kuchiza vutoli. Onetsetsani kuti mukumane ndi dokotala wa gastroenterologist ndikumwa mankhwala.

Zotsogola ndi kupewa

Ngati miyala ikupezeka mu kapamba nthawi iliyonse yamatendawa, imathandizidwa mosavuta, chifukwa chake matendawa amakhala ambiri.

Nthawi zambiri, zotsatirapo zake zimatengera kupezeka kwa zotupa ndi zotsatira za matendawa. Ndi ma opaleshoni othandizira, zotsatira zabwino zimapezeka mu 85% yamilandu ndipo 2% yokha ndi yomwe imalemba zochitika zakufa pantchito.

Palibe chovuta kudziwa njira zodzitetezera kuti muchepetse kupangika kwa ziwalo mkati.

Ndikulimbikitsidwa kuti ndi cholowa chamtsogolo komanso chizindikiritso cha maphunziro, kutsatira zakudya zapadera, kusiya zizolowezi zilizonse, ndikuwunikiranso zomwe zikuwonetsa phosphorous-potaziyamu mumimba.

Kuphatikiza apo, nthenda zonse zopezeka m'thupi ziyenera kuchiritsidwa.

Chifukwa chake, mawonekedwe a miyala mu kapamba amaphatikizidwa ndi kuyambika kwa zopweteka zomwe ndizovuta kuzinyalanyaza. Pozindikira ndi kupeza matendawa, kuyezetsa zingapo kumachitika, pamaziko omwe chithandizo chimachitika. Mankhwalawa amachitika m'njira zosiyanasiyana ndipo amakhala ndi chiyembekezo cha wodwalayo.

Zizindikiro za pancreatitis pachimake zimapezeka mu kanema.

Mwa matenda am'mimba, miyala ya pancreatic imakopa chidwi chake. Zizindikiro za matendawa ndi ofanana ndi omwe ali ndi matenda a gallstone komanso chifuwa chachikulu cha pancreatitis, komabe, kwa nthawi yayitali, kupezeka kwa miyala kumatha kukhala asymptomatic, kuwonetsa ndi ululu wopweteka kwambiri. Momwe mungapewere kukula kwa zovuta zovuta zamatenda, monga pancreatic necrosis kapena jaundice yovuta?

Zizindikiro zamakhalidwe

Monga lamulo, miyala mu kapamba imayendera limodzi ndi zizindikiro zomwe zimafotokozedwa pakupweteka. Amatha kukhala ndi nthawi zosiyana kuchokera pakanthawi kochepa mumphindi zingapo mpaka nthawi yayitali, maola ambiri. Amasiyana m'magulu osiyanasiyana, mwachitsanzo, amalimbitsa pambuyo podya kapena pokhudza pamimba. Malo omwe akukhudzidwira amatha kuphatikiza:

kumtunda kwam'mimba kapena mbali yakumanja,
phewa lamanja
malo apakati pamapewa,
m'mimba malo ozungulira kumbuyo.

Kuphatikiza pa kuchepa kwa matendawa, wodwalayo amatha kusokonezeka ndi mseru pafupipafupi, kusanza, kutulutsa thukuta, thukuta kwambiri.

Mwina mavuto

Mitundu yayikulu yamavuto amakhalabe pancreatitis ndi shuga mellitus, kapena yotsutsa malembedwe akale. Komabe, palinso ndemanga, kutupa ndi kapamba kulinso m'gulu la zinthu zomwe zimayambitsa miyala ndikasokoneza ma dancanc. Kuti mukhale ndi mahomoni olimbitsa thupi, chomaliza chimatulutsa insulini, yomwe imayenera kusiya dontho mosazengereza kuti muchepetse shuga m'magazi. Ngati izi sizingachitike, kusowa kwa insulini kumachitika ndipo pamapeto pake shuga. Ndi blockage wautali, mitundu ya pancreatitis yam'mimba, yomwe imayendetsedwa ndi:

kutentha kwambiri
zopweteka zazitali
matenda.

Pazowawa zopweteka zomwe zimayamba chifukwa cha kufooka, khungu la khungu, kusintha kwa mawonekedwe amkati kumawonjezeredwa. Zizindikiro zowopsa zikufunika kufunikira kuchipatala, ndipo mwina mungachitidwe opareshoni.

Zolinga zamaphunziro

Kupezeka kwa miyala mu kapamba ndimatenda osowa kwambiri, koma m'zaka zaposachedwa chiwerengero cha ozunzidwa chakwera kwambiri.

Njira yopangira miyala ya pancreatic ndi yovuta. Kuti muyambe pamafunika kuphatikiza pazifukwa zingapo zosangalatsa. Njira yakukula kwa calculi imapangidwira kuti ichedwetse chakudya, zomwe zimayamba kuzikiririka. Ndiye pali kupangidwa kwa protein yambiri ndi kukula pang'onopang'ono kwa chodabwitsa cha kupezeka kwake. Miyala yopangidwa mu kapamba imayambitsa kupanikizika kwa ma ducts, zomwe zimabweretsa kusintha kwa necrotic.

Zomwe zimapanga miyala sizimamveka bwino. Komabe, pali zifukwa zingapo zomwe zingakulitse chiopsezo chotenga matenda.

Matenda a kutupa kumene m'mimba ndi matumbo - kapamba, cholecystitis, duodenitis.
Kuchepetsa kwina kwa zisa chifukwa cha chotupa, mapanga.
Age - odwala omwe ali ndi nthawi yopitilira 40 popanga calculi mu chiwalo.
Kusokonezeka kwa njira yosinthana - kuphwanya mayamwidwe a calcium, phosphorous.
Matenda opatsirana.
Kulemera kwambiri.
Khalidwe losayenera - kumwa mowa, kusuta, kusowa kwa zakudya m'thupi.
Zovuta za chikhalidwe chamafuta.

Pangozi ndi odwala omwe ali ndi zopweteka zingapo zamkati pamimba, makamaka pamene akusokoneza kutuluka kwa madzi am'mimba.

Magawo opanga miyala:

Pa siteji ya chitukuko cha matendawa, mawonekedwe a calculi amachitika. Cholinga chake ndikukula kwa madzi am'mimba. Mothandizidwayo, kuchuluka kwa mapuloteni osawerengeka kumawonekera patsekeke.
Gawo lachiwiri la matendawa limadziwika ndi kupatulidwa kwa mchere wa calcium, zomwe zimayambitsa kukulira kwa vutoli.
Pa gawo lachitatu, matendawa amalowa, ndipo kenako amakala.

Zambiri

Miyala ya pancreatic ndi njira yofala yamatenda a pancreato-hepatobiliary zone. Mwa anthu ambiri amapezeka milandu 0,75%. Nthawi zambiri, miyala imapangika m'miyala yayikulu, m'chigawo cha mutu, sichikhala chambiri m'thupi kapena mchira wa chiwalo. M'zaka zaposachedwa, calculi ya pancreatic idayamba kupezeka pafupipafupi, koma izi sizobwera chifukwa cha kuchuluka, koma kusintha kwa zida zofufuzira. Zaka makumi awiri zapitazo, zowerengera zazikulu zokha zomwe zimatha kupimidwa ndikuwunika kwa X-ray, lero makina ophatikizidwa amatha kudziwa ngakhale miyala yaying'ono.

Kafukufuku wokhudzana ndi opaleshoni yam'mimba amatsimikizira zomwe zimachitika pancreatolithiasis ya banja: pafupifupi theka la milandu ya chibadwa chobadwa nacho chimayendera limodzi ndi mapangidwe amiyala.Odwala omwe ali ndi vuto la zakumwa zoledzeretsa (pancreatitis yauchidakwa), kuchuluka kwa calculi kumakwezekanso - sekondi iliyonse, ndimatenda a kapamba ndi parathyroiditis - mgawo lililonse.

Kuti ayambe kupanga miyala, kuwonekera nthawi yomweyo pazinthu zingapo za causative kumafunikira. Mulingo uliwonse womwe umayambitsa kupanikizana kwa madzi a pancreatic umabweretsa pancreolithiasis: zotupa, calculi ya choledo, pancreatic cysts. Chifukwa cha kusayenda, kapamba wa kapamba kamakulunga, tizigawo ta protein timatulutsa. Kuphulika kwa ionic (makamaka calcium-phosphorous) ndi kagayidwe kazinthu ka m'magazi kamene kamapangidwa ndi miyala ya kapamba kumapangitsa kusintha kwa kapangidwe kazinthu zopanga madzi a pancreatic.

Mchere wa calcium umayamba kuphatikiza kuchuluka kwa mapuloteni m'miyendo ya kapamba, ndikupangitsa kukhazikika kwawo. Kutupa njira mu duodenum, biliary thirakiti ndi mwachindunji mu kapamba imathandizira kwambiri mawerengedwa. Kuwerengeka kumachitika osati kokha m'makonzedwe a kapamba, komanso mwa parenchyma. Pambuyo pakupanga calculi, kusunthika kwa pancreatic madzi kumakulitsidwa, ma ducts amakula ndikutambasula, ndipo kupsinjika mwa iwo kumakula.

Focal necrosis yamatumba achikondwerero amachitika, omwe amatha kudzanso m'tsogolo. Osangokhala ziwalo zachinyengo zokha zomwe zimawonongeka, komanso zisumbu za Langerhans. Kuchuluka kwa ma enzymes omasulidwa kumachepetsedwa kwambiri, ndipo kupanga kwa insulin kumayamba kuvutika. Kuwerengera komwe kwakhalapo kwanthawi yayitali kumathandizira kuti pakhale shuga yachiwiri.

M'magawo oyamba, miyala ya pancreatic imawonetsedwa ndi zizindikiro za kapamba, zomwe nthawi zambiri zimayambira ndikutsatira njira yowerengera. Odwala amadandaula pakuwotcha ululu wam'mimba m'mimba (kulimbikira kapena paroxysmal, ngati colic), kukuwonekera kumbuyo kapena pansi pa tsamba. Kuukira nthawi zambiri kumakulitsidwa ndi mseru, kusanza kwa bile. Kupweteka kwam'mimba kumayendetsedwa ndi episodic steatorrhea (kuchuluka kwa mafuta mu ndowe). Kumayambiriro kwa matendawa, kuwoneka kwa ululu kumayambitsa zolakwika zosiyanasiyana zakudya zopatsa thanzi, kumwa kwambiri.

Pamene ntchitoyi ikupita, necrosis ya zigawo zazikulu za kapamba zimachitika, ntchito za enzymatic ndi intracecretory zimakhudzidwa kwambiri. Pakadali pano, wodwala amatha kupezeka ndi matenda osokoneza bongo a glucosuria, kuchepa kwa kulolera kwa glucose. Komanso, mapangidwe amiyala amatha kuwonetsa kupweteka kwa epigastrium nthawi ya palpation pamimba, kuchuluka kwa malovu. Ndi kusunthira kwa calculus kupita ku duct wamba ya bile, pulogalamu yovuta yoletsa imatha.

Zizindikiro zamiyala yapancreatic

Kukula kwa zizindikiro zamiyala mu kapamba zimadalira gawo la kuwerengera. Mawonekedwe ake amapezeka mu ma ducts kapena parenchymal gawo la chiwalo.

Nthawi zonse, ngati miyala ya kapamba idayamba, zizindikiro poyamba zimawoneka ngati ululu wosapilira. Kupweteka kosautsa kumatenga mphindi zitatu mpaka maola angapo, ululu umadutsa mpaka phewa lakumanja ndi dera lomwe lili mkati mwa masamba.
Ululu woyaka, womwe nthawi zina umawoneka ngati colic, umagwira pamimba ndikutsikira kumbuyo. Zovuta zimachitika tsiku lililonse kapena kawirikawiri (kamodzi pamwezi, chaka).

Miyala mu kapamba amadziwika ndi mawonekedwe:

kupweteka kwambiri pakudya, mukakhudza m'mimba mwanu.
nseru
kusanza kwa bile
ndowe zimapeza mthunzi wopepuka, umakhala ndi mafuta osanenepetsa - mafuta opanda mafuta,
malovu amalekanitsidwa mwamphamvu,
Kunja, m'mimba akuwoneka kutupa,
kufooka
thukuta.

Kuphatikiza apo, pamaso pa miyala mu kapamba, kuletsa ntchito ya michere kumachitika, motero, wogwiridwayo amakhala ndi mavuto akulu.

Kasitomalayu ndiye amachititsa kuti mahomoni azitha kuyendetsa magazi m'thupi. Chifukwa cha kupezeka kwa calculi, kuchuluka kwa mahomoni kumatha kuchepa, izi zidzayambitsa kukula kwa matenda ashuga. Poterepa, wolakwiridwayo akulimbikitsidwa kuti aphunzire kafukufuku wamatendawa.

Ngati, chifukwa cha calculi, kupweteka kwa nthawi yayitali kumayamba, nthawi zina kutupa kwa kapamba kumayamba, komwe kumadziwika ndi kupweteka kwa kapamba. Izi zimabweretsa chiwonjezeko cha kutentha, kupweteka kwa nthawi yayitali komanso poyizoni wa ziwalo. Nthawi zambiri, kusapeza kupweteka kumayamba chifukwa cha kusadziwikirana kwa madzimadzi kudutsa m'miyendo.

Miyala ikupanga ndulu ya bile imabweretsa ululu wowopsa, malungo ndi chikopa cha pakhungu, posonyeza kuti bile yayamba. Poona zizindikiro zotere, wodwalayo ayenera kufunsa thandizo kuchipatala.
Mu chochitika chimodzi mwa 20, matenda amiyala ya pancreatic amapezeka popanda zizindikilo zenizeni. Zofanana zofananira pakupezeka kwa matenda am'mitsempha zimayambitsa zovuta.

Kodi nkoyenera kuchita mantha?

Aliyense wamvapo kuti pali miyala mu impso, chiwindi, kapena chikhodzodzo, koma ndi anthu ochepa omwe amadziwa kuti miyala imapanganso zikondamoyo. Tikamva za matendawa, timakhala amantha komanso amantha.

Pakadali pano, wina sayenera kuchita mantha ndi izi. Muyenera kumenya naye nkhondo. Ndipo ngati mulibe miyala m'thupi lanu, muyenera kuchita zonse zotheka kuti matendawa asadzichitikenso: yang'anirani thanzi lanu, pewani zizolowezi zoipa, yang'anani boma lantchito ndi kupumula.

Ngati muli ndi miyala, khalani atcheru. Popanda chithandizo choyenera, amatha kuyambitsa zopweteka kwambiri. Nthawi zonse khalani ndi olimbana nawo: sizosavuta kulosera nthawi yomwe kuwukira kungayambire.

Onetsetsani kuti mukupimidwa pafupipafupi. Matenda akapezeka msanga, zimakhala zosavuta kuthana ndi vutoli komanso kumachepetsa zovuta zake.

Kukhazikika kwa mapangidwe amwala mu kapamba kumayendera limodzi ndi zizindikiro za kapamba - matenda omwe amayambitsa njirayi ndikuyenda nawo m'njira yonse ya chitukuko. Chizindikiro chodziwika bwino chomwe wodwalayo amatha kulingalira kukhalapo kwa miyala mu kapamba ndi ululu woyaka, womwe umamangirira m'mimba ndikupereka pansi pa phewa kapena kumbuyo. M'milandu yambiri, kuphatikiza pakupweteka kwambiri, pali mseru, kusanza kwa bile ndi episodic steatorrhea - kukhalapo kwa ndowe zamafuta ambiri. Pakadali pano, zowawa zimayamba chifukwa cha kuchuluka kwa mowa kapena kudya zakudya zamafuta kwambiri.

Pamene machitidwe akupita patsogolo, ndizomwe zimapangitsa kuti zikondamoyo zizitha. Kuzindikira kwa intrasecretory ndi michere ntchito limodzi ndi limba minofu necrosis. Wodwalayo amavutitsidwa ndikusokosera, pakadutsa gawo la epigastric amamva kuwawa. Ngati mwala womwe umapezeka mu kapamba ulowa mkati mwa dothi la bile, izi zimatha kuyambitsa kukulitsa kwa jaundice. Odwala ambiri pakadali pano amapezeka ndi kuwonjezeka kwa shuga m'magazi - shuga.

Kupanga kwamiyala mu kapamba nthawi zambiri kumakhala kovuta chifukwa cha zotupa za peripancreatic, chifuwa chachikulu, kapangidwe kazinthu ndi ma cysts, kutsina kwa kuwerengera ndi magazi kulowa mumkati mwa chimbudzi.

Kuti calculi iyambe kupanga calculi, ndikofunikira kuti zinthu zingapo zopangitsa kuti zimane nthawi imodzi:

Kusunthika chifukwa cha zotupa, cysts kapena calculi of wamba bile duct (chifukwa cha ichi pali kukula kwa kubisalira kwa kapamba ndi mpweya wama protein
Kuphwanya kwa kusinthana kwa mahomoni ndi ma ion, chifukwa chomwe kapangidwe kazinthu kamadzi kamene kamapika madzi a kapamba amasintha,
Kulanditsidwa kwa protein yambiri ndi mchere wamchere,
The kukhalapo kwa kutupa njira ya duodenum 12, kapamba ndi biliary thirakiti.

Ndikofunika kudziwa kuti miyala imapangika pancreatic duct komanso parenchyma. Pamodzi ndi kuwonjezeka kwa kukula kwake, njira yodutsa mapindikidwe am'madzi a pancreatic imawipira ndipo kusayenda kwake kumakulitsidwa. Chifukwa cha kukakamira kowonjezereka, ma ducts amayamba kutambasuka ndikukula. M'matumba a kapamba, malo okufa amapangidwa, omwe pakapita nthawi amawerengera. Zowonongeka zimapezeka pawiri pazinthu zapakhungu komanso minyewa yaing'ono. Kupanga kwa insulin kumachepa, kapamba amayamba kupanga michere yocheperako. Ndipo ngati calculi idapangidwa kalekale, izi zimatha kubweretsa kukulitsa kwa matenda a shuga mellitus, kapena mitundu yachiwiri ya matendawa.

Njira Zopezera Matendawa

Miyala mu zikondamoyo zimapezeka mosavuta ndi x-ray, yomwe imagwiritsidwa ntchito pakuwunika kwa ziwalo zam'mimba. Miyala imawunikidwa ndi mithunzi yambiri kapena yozungulira yozungulira. Zowonekera pansipa potsatira njira ya xiphoid, kumanja ndi kumanzere komwe kumayenderana ndi midline. Komabe, zotsatira za njirayi nthawi zambiri zimakhala zosakwanira; kuyenga, muyenera kuchita:

Ultrasonography, yomwe imawunika malo, kukula, mawonekedwe ndi mapangidwe ake.
Magnetic resonance imaging, mothandizidwa ndi chomwe mawonekedwe amitundu itatu ndi ziwiya zake amamangidwanso ndi chiwonetsero chokwanira.
Retrograde cholangiopancreatography, imalongosola kutanthauzira kwa mapangidwe a pathological. Imafotokozanso zamtundu wa dzala.

Kutengera ndi zotsatira za njira zodziwira matenda, a gastroenterologist amafunsidwa, omwe amachititsa kuti wodwala azilandira chithandizo chamankhwala.

Zizindikiro

Mwachiwonekere, kupezeka kwa miyala yamatumbo sikovuta, komabe, popanga mayeso a matenda ena, zizindikiro zakuwala nthawi zambiri sizimamveredwa chidwi. Pomwe pakufufuzidwa ndi radiology, miyala ya OBP imawoneka ngati mithunzi yaying'ono yozungulira (imodzi kapena zingapo) yomwe ili pansi pa njira ya xiphoid, kumanja ndi kumanzere kwa mzere wapakatikati. Kuti mumvetse bwino za matendawa, muyenera kupanga zithunzithunzi mosiyanasiyana.

Njira zolondola kwambiri zodziwitsira matenda ndi pancreatic and biliary trampason, computer tomography ndi maginito a resonance imaging - pancreatic MRI. Maphunzirowa sangathe kudziwa bwino kupezeka kwa calculi, komanso kudziwa komwe kwawo, kuyesa mkhalidwe wa minofu ya kapamba. Retrograde cholangiopancreatography imathandizanso kumveketsa bwino mwala, kuyesa kuchuluka kwa kupindika kwa pancreatic duct.

Chithandizo cha miyala ya pancreatic

Ndi miyala mu kapamba, chithandizo cha ozunzidwa chimachitidwa ndi gastroenterologist. Njira yamayendedwe azotsatira zimadalira kuchuluka kwa mapangidwe awo, kapangidwe kake ndi kukula kwake.
Njira zochizira miyala mu kapamba.

Zochitika zolimbitsa thupi.
Njira yogwirira ntchito.
Kugwiritsa ntchito mankhwala wowerengeka.
Zakudya zopatsa thanzi.

Zithandizo za anthu

Mukamawerenga za njira zowononga zachilengedwe zomwe zimayambitsa matenda a kapamba, owerenga ambiri amaganiza za momwe odwala amawathandizira panthawi ya "zida zoyambirira". Monga mwa nthawi zonse - amagwiritsa ntchito mankhwala achikhalidwe. Izi sizongokhudza zakale zokha: zaka zana zapitazo, anthu okhala m'midzi yakutali ndi mafamu adachitiridwa chimodzimodzi, ndipo ngakhale atazindikira kuti miyala m'mapensulo idalibe funso, komabe, ndalama izi zidali zothandiza.

Ochiritsa achikhalidwe amagwiritsa ntchito kapangidwe ka mowa wa phula ndi kulowetsedwa kwake kwa mankhwalawa matenda osiyanasiyana - kuphatikizapo kapamba. Mutha kugwiritsa ntchito mankhwala a pharmacy komanso tincture wokonzekereratu kunyumba.

Kukonzekera tincture wa mowa, magalamu 100 a phula wosweka amatsanulidwa ndi magalamu 200 a ethyl 70% mowa ndikuumiriza milungu iwiri, kugwedeza botolo ndi osakaniza tsiku lililonse.

Madzi kulowetsedwa zakonzedwa m'njira yosiyana: 20 magalamu a wosweka phula wophika mu botolo laling'ono la thermos, ndikuthira ndi ma milliliters 180 a madzi osachedwa ndikusiyidwa tsiku limodzi.

Chinsinsi chonsecho chimagwiritsidwa ntchito mofananamo: madontho 10-15 amadzimadzi amawonjezeredwa theka la kapu ya mkaka ofunda ndipo nthawi yomweyo amamwa. Muyenera kumwa mkaka ndi phula 1-2 patsiku kwa mwezi umodzi, ndiye kuti mupumule kwa milungu iwiri, ndipo ngati pakufunika kutero bwerezaninso mankhwalawo.

Mizu ya chicory

Pogaya muzu wa chicory ndikuthira m'madzi. Bweretsani kwa chithupsa ndi kuwira kwa mphindi 5. Kuzizira, kupsyinjika ndi kumwa pang'ono tsiku lonse.

Tengani supuni ya barberry bar. Thirani ndi kapu yamadzi otentha. Siyani msuzi kwa mphindi makumi awiri. Imwani supuni kangapo patsiku.

Kupewa

Ndi chidwi chathu chonse chofuna kuwongolera kapangidwe ka miyala ya kapamba, sitingathe: njira zomwe zingalepheretse mapangidwe a miyala kulibe.

Njira zabwino kwambiri zopewera ndi izi:

Zakudya
Kusiya zizolowezi zoipa,
Madzi okwanira
Kuchulukitsa kwa magalimoto.

Komanso, kukaonana ndi dokotala sikuyenera kunyalanyazidwa: kuyezetsa kwachipatala kwapachaka komanso radiology yam'mimba imapangitsa kuti azindikire miyala yaying'ono yomwe imaphwanyidwa ndikuchotsa m'thupi momwe mumakhala mchenga. Kuphatikiza apo, kuwunika mulingo wa phosphorous ndi calcium m'magazi ndikofunikira.

Mitengo yamankhwala

Mtengo wa magwiridwe antchito ndi njira zomwe zingafunikire pochiza miyala mu kapamba:

Kuyankhulana ndi gastroenterologist - ma ruble 2000,
Ultrasound wa kapamba - ma ruble 1000,
Pancreatic MRI - ma ruble 6,000,
MRI yam'mimba - ma ruble 8500.
X-ray yam'mimbamo yam'mimba - ma ruble 1900,
Kubwezeretsa cholangiopancreatography - ma ruble 11,000.
Kuyesa kwamwazi wamagazi - 700 ma ruble,
Kusanthula kwamakemikolo amkodzo - ma ruble 550,
Kusanthula ndowe za kapamba - 2000 ma ruble,
Kuchotsa kwa Endoscopic kwa calculi ya pancreatic duct yayikulu - 30,000 ma ruble,
Pancreatectomy yathunthu - ma ruble a 105,000.

Mwambiri, ndi miyala mu kapamba, matulukidwewo ndi abwino. Ngati matendawa sakhala ovuta ndipo matenda ena sagwirizana nawo, amachiritsidwa pogwiritsa ntchito mankhwala othandizira.

Kuthandizira opaleshoni kumaperekanso zotsatira zabwino: odwala opitilira 80% amachira kwathunthu ndipo amatha kukhala ndi moyo wabwino, "wopindulitsa" (pokhapokha mutatsatira zakudya zomwe sizili zovuta kwambiri). 2% yokha ya ntchito imatha muimfa, ndipo izi zimachitika chifukwa chodwala kwambiri.

Kodi mwapezedwa ndi miyala ya kapamba? Onetsetsani kuti mwakumana ndi gastroenterologist! Kuchotsa koyambirira kwa calculi kumathandizira kuti pakhale zovuta zingapo: kutaya magazi, magazi, kapamba, kutupa kwa minofu ya adipose ndi kukula kwa cystic.

Okondedwa owerenga, lingaliro lanu ndilofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kuwunika miyala mu zikondwerero m'm ndemanga, izi ndizothandizanso kwa ogwiritsa ntchito ena a tsambali.

Margarita, Voronezh

"Mwangozi, nditatembenukira kwa owerenga za bronchitis wautali, ndazindikira kuti ndili ndi miyala mu kapamba, ndipo ndiyabwino kwambiri. Wochiritsirayo nthawi yomweyo adatumiza kwa gastroenterologist, yemwe kuti akamuyeze, molingana ndi zotsatira zake ndidapita molunjika pagome la opareshoni.Anachitidwa opaleshoniyo osati yoyipa, koma nthawi yokonzanso inaliipa. Zinanditengera zaka ziwiri kuti ndikachira. Ndikadadziwa kuti ndili ndi miyala mu kapamba wanga, ndikadatha kupewa mavuto ambiri, kuphatikizapo, opareshoni. Koma pazifukwa zina, sizinalole ngakhale m'mutu mwanga kuti ayang'anire ziphuphu za madokotala onse omwe ndawachezera. "

Elena, Armavir

“Zaka zisanu zapitazo, ndidapezeka kuti ndimatenda a kapamba, kapena kuti miyala. Pa x-ray, miyala ing'onoing'ono, zisanu ndi zitatu kapena khumi, inali yowoneka bwino. Gastroenterologist adandiwuza kuti ndilandire chithandizo chamankhwala, adandiuza kuti nditsatire zakudya zopanda mafuta - zopanda mafuta, zokazinga, zonunkhira, zonunkhira, zonunkhira (ndipo ndimangowakonda, ndimakula masamba azitsamba pabalaza komanso m'khola lanyengo yachilimwe). Ndinkachita chilichonse, monga momwe ananenera, ndimankhwala okha omwe ndinayamba kumwa mankhwala azitsamba ndikudya masamba ambiri a parsley. Nthawi ndi nthawi ankapita kukakawunika. Kenako, pazifukwa zanga, ndinayenera kusamukira kwa achibale ku Belarus, kunalibe nthawi yoti alandire chithandizo. Chokhacho chomwe sindinayiwale kupanga chinali kumwa mankhwala azitsamba ndikumawaza ndi parsley chilichonse chomwe chimawoneka papulogalamu yanga. Patatha zaka zitatu, adabwelera ndipo nthawi yomweyo adapita kwa dotolo. Ndinadabwa bwanji nditazindikira kuti kapamba wanga anali wangwiro! Dotolo adadabwa, adayamba kufunsa mafunso mosamalitsa pazomwe ndidathandizidwa, ndipo pamapeto pake, adazindikira kuti ndi parsley yemwe adagwira gawo lalikulu pakuthyola miyala ndikuwachotsa m'thupi. "

Mitundu ya mankhwala

Ngakhale mu asymptomatic njira yamatendawa, calculi imakhala yowopsa mthupi. Ali otukuka, amakhumudwitsa ma pancreas osiyanasiyana, amakhala ndi vuto lililonse paziphuphu, ndipo amatha kuyambitsa epithelium. Pa chifukwa ichi, ndikofunikira kuti azichitira ponse ponse. Ndi zazikulu zazing'ono zamaphunziro, njira zosasinthika nthawi zambiri zimagwiritsidwa ntchito.

Komabe, kusachita kwawo kochepa kumapangitsa kuti pakhale kofunikira kugwiritsa ntchito kuchotsedwa kwa miyala yayikulu kuchokera ku kapamba molingana ndi momwe munthu akuwonekera. Izi zikuphatikiza:

njira ya endoscopic
kapamba
kutali shock wave lithotripsy,
laser mtundu wa lithotripsy.

Kuchotsa miyala mochita bwino mu kapamba kumalola opaleshoni iliyonse kutchulidwa, komabe, chinthu chofunikira kuti muchite bwino ndicho kuyeneretsedwa kwa dokotala wa opaleshoniyo ndikutsatira kwambiri njirayi. Zotsatira zake zingakhale zizindikiro za kupweteka kwa postoperative, hematomas, kuchotsedwa kosakwanira.

Njira zochizira

Amagwiritsidwa ntchito kuti azindikire ma pathologies mu gawo loyamba. Kugwiritsa ntchito mankhwalawa kumaphatikizidwa ndi chakudya chamagulu, mankhwala a spa. Kumwa mankhwalawa kuyenera kusokoneza njira zotupa, kuchepetsa kutupa m'dera lomwe lakhudzidwa, komanso kuchepetsa matenda. Kuperewera kwa enzyme kumalipiridwa ndi kugwiritsa ntchito mankhwala okhala ndi enzyme. Zotsatira zake zitha kukhala kusuntha kwa calculi m'matumbo ndikubwerera kunja kapena kusungunuka kwawo pakumatenga mapiritsi okhala ndi chenodiol ndi ursodiol.

Njira ya laser

Njira ya atraumatic, yomwe imachitika popanda kuphwanya umphumphu wa zimakhala, ndikugwiritsa ntchito laser. Kamera yaying'ono imagwiritsidwa ntchito kuti ipangidwe, chithunzi cha kanema chikuwonetsedwa pa polojekiti. Wogwiritsa ntchito amalowetsedwa m'thupi, pambuyo pake masamuwo amathira mumchenga ndikutuluka mwachilengedwe. Njirayi ndi yokhwima, sasiya zipsera komanso kuchepetsa ngozi yobwereranso. Ilibe pafupifupi zovuta komanso yothandiza kwambiri.

Zowawa zochepa panthawi yochotsa zimapereka kuchira kwamthupi mofulumira.

Kuthandizira opaleshoni

Pancreotomy imagwiritsidwa ntchito popanga mitundu yayikulu. Kukula kumachotsedwa kudzera mu kupendekeka. Ndi mitundu yambiri ya matenda, imagwidwa padziko lonse lapansi. Mkati mwatsukidwa kwathunthu, kuphatikizapo tinthu tating'onoting'ono. Opaleshoniyo imakhala yovuta kwambiri, nthawi zambiri imayambitsa zovuta, imachitika pokhapokha ngati njira zina sizipezeka kapena zotsutsana.

Kugwiritsa ntchito pancreatomy kwathunthu

Amagwiritsidwa ntchito pa oncologization, akuphatikiza kuchotsedwa kwa ndulu ndi gawo la duodenum. Zizindikiro ndi kubwerezanso kwa kapamba ndi chifuwa chachikulu cha kapamba. Zotsatira zake ndikuchitika kwa exocrine ndi endocrine kusakwanira. Kuperewera kwa chakudya m'mimba ndi kukula kwa matenda a shuga kumachitika. Kukhazikika kwa moyo wonse kwa mankhwala okhala ndi enzyme ndi insulin ndikofunikira, zomwe zimakwaniritsa kuchepa kwachilengedwe.

Njira zopewera

Njira zosinthika zomwe zingalepheretse kukula kwa matenda kulibe, makamaka pakakhala zinthu zabwino. Kuchepetsa chiopsezo cha kupezeka kwake kulola:

chakudya
kusiya zizolowezi zoipa,
kudziwunikira komwe kumayang'anira thupi ndi kukula kwa zizindikiro.

Kutupa komwe kumachitika posachedwa komanso njira zoyenera zimatengedwa, zokulirapo ndiye mwayi wopewera kuwoneka kuti akukula komanso kufunikira kwa chithandizo chawo chamankhwala othandizira. Ngakhale opaleshoniyo singapewe, kukhazikitsa kwake koyambirira kungalepheretse kugwiritsa ntchito njira zoyenera.

Njira yama mankhwala osokoneza bongo

Ngakhale zovuta za vutoli, njira zamankhwala zimayambira ndi njira zosasamalira.

Pulumutsani kutupa.
Siyani kutupira kwa ndulu ndi zonyansa.
Khazikitsani njira za metabolic.

Ma Enzymes amawonetsedwa kwa odwala - Pancreatin, kudya tsiku lililonse kwa mankhwala kumasankhidwa ndi dokotala. Nthawi zina zimakhala zotheka kugwiritsa ntchito zida zapadera zomwe zimatha kusungunula mwala mu kapamba. Mankhwala oterowo amatha kuthana ndi mapangidwe ang'onoang'ono, ndikupanga bile yochepa kwambiri ndikuwononga mapangidwe.

Potengera maziko a mankhwala othandizira, thanzi la wovutikayo limatha kusintha kwambiri, mawonekedwe a ochepa sangathe kulowa matumbo.

Njira yothetsera vutoli

Ngati mitundu ikuluikulu ilipo pogwiritsa ntchito njira zosasamalira, nthawi zambiri zimakhala zosatheka kuchira. Pankhaniyi, kuchitapo kanthu kwa opaleshoni ndikofunikira.
Miyala ya pancreatic imachotsedwa ngati:

kupweteka pafupipafupi komanso kwanthawi yayitali kumachitika
pamaso pa vuto lodzaza ndi zotupa,
kukulira,
kutopa kwa thupi.

Njira imodzi yoperekera opaleshoni ndi ERCP. Mitundu yaying'ono imachotsedwa pogwiritsa ntchito endoscope. Pamaso pa calculi yayikulu, duct incision imapangidwa ndipo kuwerengera kumakankhidwa kudera lamatumbo.
Kuchotsa kwa Endoscopic kumatha kuloledwa ndi odwala, kuchiritsa koteroko sikutanthauza kuwongolera kwakutali, ndipo mwanjira iyi ndikosatheka kuchotsa mayendedwe onse.

Njira yatsopano ya lithotripsy imaphatikizapo kuphwanya. Miyala imachotsedwa pogwiritsa ntchito mafunde. Mafuta omwe amayamba chifukwa cha cleavage amachoka m'thupi. Kudzimbidwa kumachitika pansi pa opaleshoni yayitali pafupifupi ola limodzi. Pamaso pa njirayi, kukonzekera ndikofunikira, zomwe zimaphatikizapo kutaya kwathunthu chakudya, mankhwala osokoneza magazi komanso kusuta.

Ngati pali mitundu ingapo, makamaka yomwe ili mu caudal zone ndi thupi, laparotomy ndikuchotsa calculi pogwiritsa ntchito pancreatotomy nditha kudziwa. Kudzinyenga kotere kumakhala kovuta kwambiri kuchita, zikachitika zovuta, chifukwa chake chimagwiritsidwa ntchito ngati ziwonetsero zazikulu.

Pakakonzedwa mawonekedwe a tiziwalo timene timapezeka tikulandira opaleshoni, timayimbira tokwanira.

Njira zina

Ndikotheka kuchiritsa ndi mankhwala achikhalidwe. Musanagwiritse ntchito njira imeneyi, funsani dokotala. Mankhwala azitsamba azithandiza kuchotsa miyala.

Pogaya muzu wama chicory, tumizani m'madzi ndikuphika kwa mphindi 5. Tizizilitsa, sankhani ndi kumwa msuzi m'magawo ang'onoang'ono tsiku lonse.
Thirani supuni yayikulu ya barberry bar ndi madzi otentha - 250 ml. Kuziziritsa msuzi, kutenga 2-3 tsiku supuni.
Pogaya muzu wa burdock kukhala ufa. Brew 2 zikuni zazikulu za 500 ml zamadzi otentha ndikuyika pambali masiku atatu. Gwiritsani msuzi wosefera mphindi 30 chakudya chisanachitike.

Kuti alimbikitse kugwira ntchito kwa thupi, amamwa tiyi kuchokera ku linden, chamomile, violets, wort wa St. Mudzafunika mutenganso mbewu zomwezo, kuchuluka kwa 50 gr. Brew ndi kudya 2 pa tsiku.