Pancreatitis amphaka: Zizindikiro, mankhwala, zakudya

Pancreatitis pachimake mu zipatala zanyama zimapezeka pafupifupi mphaka zana lililonse. Ili ndi matenda osowa kwambiri, koma owopsa. Kutupa kwa pancreatic ndi kudzimbidwa kwa chiwalo mwa michere ya m'mimba, yomwe nthawi zambiri imalowa m'matumbo ang'onoang'ono kuti igwetse chakudya.

Vuto limodzi la kapamba limatha kubweretsa mavuto ena, koma nthawi zina matendawa amakhala ovuta kuchiza ndikutha mchilombacho chikafa.

Acne pancreatitis imayamba modzidzimu ndipo amawonetsedwa ndi zizindikiro zotsatirazi:

kusanza, kusanza mobwerezabwereza, kuphatikizapo pamimba yopanda kanthu,
kupweteka kwambiri, mpaka kugwedezeka,
pamimba zowawa pamimba.
kusowa kwamadzi (maso owoneka ndi khungu, khungu silowongoka, zimimba zam'mimba ndizotumbululuka),
ulesi, chibwibwi,
kusowa kwa chopondapo kapena kutsekula m'mimba,
kusowa kwa mucous nembanemba ngati kuphwanya kutuluka kwa bile.

Munthawi yayitali, chithunzicho chidamizidwa.

Kusanza kwakanthawi.
Chimbudzi chimasokonekera.
Chovalacho chimakhala chosapepuka.
Mpando siumakhazikika, nthawi zambiri umakhala wamadzimadzi.
Kulakalaka kumachepa.

Zoyambitsa Pancreatitis

Kunenepa kwambiri, kusintha kwazakudya kapena chinthu chosazolowereka kungayambitse kutupa kwa kapamba. Chakudya chowopsa chochokera pagome - mafuta, okhala ndi mchere ndi zonunkhira. Chidutswa cha soseji yosuta chitha kupha mphaka ndi chimbudzi.

Matenda azachilengedwe:

matenda ashuga: kuchuluka kwa mafuta m'magazi kumawononga kapamba,
oncology: kuchuluka kwa calcium m'magazi,
kuyamwa
matenda a peritonitis,
matenda a chiwindi ndi ndulu (cholecystitis).

Kugwiritsa ntchito mankhwala osokoneza bongo.

Iatrogenic pancreatitis ingayambitse:

diuretics (furosemide),
ma antibayotiki (tetracycline),
sulfonamides,
mankhwala a mahomoni.

Paracetamol ndi owopsa amphaka.

Zoweta, zotulutsa ntchito, makamaka nyama, mafuta a rancid - zonsezi zimatha kukhala mufiriji ya munthu aliyense, mosiyana ndi arsenic ndi mercury. Kunyumba, ndizowopsa:

mankhwala ophera tizilombo
feteleza
mowa
organophosphorous amapanga
mankhwala aliwonse am'nyumba.

Makamaka.

Pathology nthawi zambiri imalembedwa amphaka a Siamese komanso am'midzi.

Zomwe zimayambitsa pancreatitis zimatha kukhala chinsinsi, ngakhale nthawi zambiri matendawa amaphatikizidwa ndi chinthu chopatsa thanzi.

Zizindikiro

Pancreatitis imakhazikika pa anamnesis, chiwonetsero chazachipatala, komanso kupatula zina zomwe zingatheke.

Zithunzi ndizofunikira kupatula thupi lakunja la matumbo a matumbo. Pa X-ray, munthu amatha kupeza kulowetsedwa pamimba, patrostasis.

Ultrasound imakupatsani mwayi wowona bwino ziwalo zam'mimba zam'mimba - chiwindi, matumbo ndi m'mimba, kapamba palokha. Mphaka wathanzi, zimatha kukhala zovuta kuwona, ndi kapamba, zimachulukana, zimasintha khungu (echogenicity). Ultrasound imakhalabe njira yokhayo yotsimikizirira kupweteka kwamphaka.

Magazi amatengedwa kuchokera ku chiweto chodwala kuti chiziwunikira mozama zamankhwala (cell formula) ndikuwonetsa mwatsatanetsatane zamitundu yosiyanasiyana. Izi ndizofunikira osati pongodziwa matenda a kapamba, komanso kuti mupeze matenda oyanjana (kulephera kwa impso, matenda ashuga, matenda a virus).

Kuwonjezeka kwa amylase ndi lipase, mosiyana ndi nthano yodziwika, sikuti chizindikiro cha kapamba. Ma enzyme awa adzakulitsidwa ndi thupi lakunja la matumbo kapena enteritis, ndipo ndi kutupa kwa kapamba kumatha kukhala mwa malire. Mayeso a kapamba adapangidwa ku USA - kutsimikiza kwa seramu ya pancreatic lipase, koma sikupezeka m'makliniki ambiri azowona ku Russia.

Popeza kulibe mphamvu yawofatsa mankhwala, madokotala amatha kuyang'ana kuti atsegulidwe pamimba pamimba - diagnostic laparotomy. Dokotalayo samachotsa thupi lakunja la matumbo (kufinya kwam'mimba kumayendera limodzi ndi zofanana ndi matendawa) ndikuwunika mkhalidwe wa kapamba.

Nthawi zina chotupa pa kapena pafupi ndi kapamba zimatha kupezeka mwanjira iyi. Dokotala amati kupezeka kwa ma cysts, zilonda zam'mimba, kuphatikizika kwam'mimba, imayang'ana m'mimba ndi matumbo: ngati pali chilonda chopaka mafuta.

Kufufuza kwamtundu wa khungwa sikamachitika kawirikawiri, chifukwa kuwunika kwa mbiriyakale kumakhala kopangidwa ndi sayansi osati kothandiza. Koma novocaine blockade ya kapamba ndi ma mesentery am'matumbo ang'ono ali ndi njira yothandizira, ndipo atachitidwa opaleshoni nyamazo zimaleka kusanza.

Kubwezeretsanso kuchuluka kwa mchere wamadzi

Popeza zizindikiro za kapamba, kuthana ndi vuto losowa madzi m'thupi ndiko njira yabwino kwambiri yomwe dokotala angachitire nyama. Gwiritsani ntchito njira zamchere zilizonse:

Reamberin itha kukhala yothandiza chifukwa imachepetsa shuga wamagazi ndikuigwirizira.

Njira yofunda imaperekedwa kudzera m'mitsempha. Ma voliyumu amathothomoka amatha kukhala akulu (40-60 ml pa kg), ndipo mankhwalawa amayenera kuperekedwa pang'onopang'ono. Chifukwa chake, amphaka odwala nthawi zina amakhazikitsidwa kwa maola ambiri.

Madokotala nthawi zambiri amawonjezera mavitamini (ascorbic acid) ndi antioxidants (Mexicoidol, Emicidin) pa yankho la stock kuti apangitse dontho kukhala lalikulu kwambiri. Komabe, kwenikweni, madzimadzi ndi ma electrolyte ndiwo amachiritsa ngati mphaka wadzuka ndi madzi.

Kwa odwala omwe ali ndi nkhawa, plasma yomwe yangokhala kumene imagwiritsidwa ntchito, koma imangopezeka muzipatala zamankhwala zotsogola.

Kupumula

Mu chifuwa chachikulu, chiweto chimamva kupweteka kwambiri, komwe kumayambitsa zosokoneza zina mthupi. Chowonadi ndi chakuti ma analgesics omwe amapezeka alibe mphamvu, ndipo mankhwala omwe si a antiidal anti-yotupa (Ketofen, Meloxicam) amakhalanso otsutsana, chifukwa amachulukitsa acidity ya m'mimba.

Muyezo wagolide ndikugwiritsa ntchito ma opioid painkiller. Ku Russia, zipatala zanyama zokhala ndi chiphaso cha ma narcotic analgesics ndichinthu chapadera. Kulephera kugwiritsa ntchito tramadol, fentanyl, butorphanol, veterinarians nthawi zina amaika catheter mu mzere wa msana kuti apitirizebe kupweteka kwa msana.

Ma antispasmodics (ayi-shpa, baralgin) sagwira ntchito.

Chithandizo cha antiemetic

Kusintha kwamaluwa kumachepetsa kwambiri amphaka, kumapangitsa kuchepa kwamadzi ndi kutupa kwa kummero. Ngati chakudya chikupitilira pachakudya chanu, muyenera kusiya ndi mankhwala. Lowetsani:

Cerucal (metoclopramide) - jekeseni maola 8 aliwonse,
Zofran (ondansetron) - maola 12 aliwonse,
Serena (maropitant citrate) - maola 24 aliwonse.

Cerucal imakulitsa kuyenda kwam'mimba, chifukwa chake sichitha kugwiritsidwa ntchito ngati thupi lanyama la matumbo siliphatikizidwa. Serena, wogwiritsa ntchito kwambiri mankhwala osokoneza bongo, ndiye njira yabwino kwambiri.

Mankhwala ena

Kasitomala amatulutsa osati ma enzymes okha, komanso mahomoni omwe amawongolera shuga wamagazi - insulin. Ngati shuga wodwala wa kapamba amayamba kukula, mankhwala a insulini kapena mapangidwe ake amaphatikizika:

Ngati kachiromboka kanafungidwa kapena atachitidwa opaleshoni, mankhwala ogwiritsira ntchito mankhwala osokoneza bongo amagwiritsidwa ntchito (sinulox, cefazolin).

Zilonda zam'mimba zam'mimba mu nyama, kuchuluka kwa mapuloteni m'magazi, makamaka albin, kumachepa msanga. Kupewa edema ya m'mapapo, albin imathandizidwa.

Titha kudziwa kuti mankhwalawa amafunikira kuti muchepetse zizindikiro, osati kuchitira pancreatitis palokha. Vuto ndilakuti chithandizo chamankhwala sichimakhalapo, ntchito ya dotolo ndikuletsa zovuta ndikuthandizira thupi kufikira litachira lokha.

Mankhwalawa "ochokera ku kapamba" (aprotinin) amagwiritsidwa ntchito kwambiri:

Zilibe vuto, koma sizibweretsa zopindulitsa mu amphaka. Ngati mwini wake angathe kugula mankhwalawa pamawonedwe azachuma, amaphatikizidwa ndimalamulo othandizira.

Pofuna kuletsa mapangidwe amadzimadzi am'mimba mu kapamba, komanso pokhudzana ndi kusanza kosaloledwa, chakudya cha njala chimayikidwa.

Mphaka suyenera kufa ndi njala masiku opitilira 1-2. Ngati chakudya sichilowa kwa masiku opitilira 3, chimayambitsa lipidosis ya chiwindi.

Kudyetsa koyambirira kumathandizira ntchito ya m'mimba. Ngati chiweto chikakana kudya, dokotala amatha kukhazikitsa kafukufuku wa mphaka kuti akhale ndi zakudya zopatsa chidwi.

Mfundo yayikulu yodyetsa nthawi zambiri imakhala pang'onopang'ono. Ngati chiweto chikumwa madzi, nthawi yomweyo yesetsani kuyambitsa chakudya chamadzimadzi. Zakudya ziyenera kugayidwa mosavuta osati mafuta. Ndi bwino kugwiritsa ntchito mankhwala azakuchiritsira:

Zakudya zamatenthedwe zimatha kuchepetsedwa ndi madzi kuti zikhale zogwirizana. Ngati eni akewo amadalira kudya chakudya chokha, amakonza mpunga wokhazikika, osakaniza ndi nyama yophika yophika (ng'ombe). Zakudya zamadzimadzi zimasiyidwa kwa nthawi yayitali, ndikubwerera kudyetsa kawiri ndi kukula pang'onopang'ono.

Matenda a kapamba

Ngati, pambuyo pa kutupa pachimake, gawo lalikulu la minyewa ya m'mimba yake yasinthidwa ndi minyewa yonyansa, kapamba sangathe kukwaniritsa ntchito yake - kupanga insulin ndi michere yam'mimba.

Pakadwala kapamba, chithandizo chachikulu ndicho kudya chamafuta ochepa ndikutsatira malamulo a kudyetsa amphaka kuti muthane ndiwonso.
Ndi kuperewera bwino kwa chakudya, mankhwala amathandizira - amapatsa ma enzymes a petroni (Creon, pancytrate). Osagwiritsa ntchito mankhwala monga Festal, Digestal, popeza ali ndi ma acid acores kuwonjezera pa michere.
Mphaka akayamba kudwala matenda a shuga chifukwa chosakwanira kupanga insulin, amathandizidwa malinga ndi njira zovomerezeka ngati matenda odziyimira pawokha.
Kuwongolera ntchito ya chiwindi. Panthawi yakutupa kwamatumbo, njira ya gastroprotectors imayikidwa.

Pomaliza

Malinga ndi ziwerengero zochokera ku mankhwala a humane, m'modzi mwa odwala 10 omwe ali ndi vuto la pancreatitis pachimake amwalira. Izi zikuyenera kuzindikiridwa ndi eni ake kuti amvetsetse kuopsa kwa chiweto chawo, chifukwa mwayi wa mankhwala azowona ndiwosowa. Imfa ya mphaka mwadzidzidzi imayamba chifukwa cha kupangika kwa magazi m'matumbo, m'mtima, ndi muubongo.

Tithokoze chifukwa cholembetsa, yang'anirani bokosi lanu: muyenera kulandira kalata yokufunsani kuti mutsimikizire kulembetsa kwanu

Kodi kapamba ndi chiyani?

Monga mwa anthu, kapamba wamphaka mu mphaka sichinthu china choposa kutupa kwa kapamba. Nthawi zina zimakhala zovuta kudziwa za matendawa, ndipo ndi katswiri yekha yemwe angachite izi atapima nyama mozama komanso kupeza zotsatira zoyesa zonse zofunika. Chifukwa chake, ndikofunikira kuyang'anira bwino thanzi la chiweto chanu ndipo, ngati pali kukayikira pang'ono, pitani kuchipatala chanthawi yazipatala kuti mudziwe ngati muli ndi vuto. Izi zikuthandizirani kuzindikira vutoli munthawi ndikuikonza.

Zomwe zimayambitsa matendawa

Pakhoza kukhala zifukwa zingapo zomwe mphaka angayambitse kapamba. Zina mwa zikuluzikulu ndi izi:

kugwiritsa ntchito molakwika mankhwala ena
poyizoni wazinthu zopangidwa ndi phosphorous,
Kukhalapo kwa matenda a chiwindi, matumbo ochepa
matenda ashuga
zikondamoyo
matenda atabadwa,
kukhalapo kwa nyongolotsi zazinyama, ma virus kapena fungal matenda.

Komabe, pali zinthu zina zomwe zimathandizira kuti matendawa akule.

Zakutsogolo

Palibe matenda omwe amayamba kuchokera pakayamba. Iliyonse mwa zinthuzi imayenda limodzi ndi zinthu zina zoyipa.

Pancreatitis mu mphaka imatha kukhala chifukwa cha:

kudya zakudya zamafuta. zomwe zimabweretsa onenepa kwambiri,
kudya kolakwika
Kunenepa kwambiri kuposa nyama
onjezerani cholesterol m'mwazi wa nyama,
kuchuluka kwa calcium m'magazi.

Kuphatikiza apo, monga ziwerengero zikuwonetsa, amphaka a Siamese ndi mitundu ina yakummawa ndi omwe atenga matendawa mosavuta. Ndikothekanso kuchulukitsa muzochitika zovutirapo, panthawi yoyembekezera, mutasintha zakudya zomwe mumakonda. Nthawi zambiri, amphaka zakale amadwala kapamba, pokhapokha atakwiya ndi zinthu zakunja.

Pachimake kapamba

Pali mitundu iwiri ya kapamba: pachimake komanso chovuta. Iliyonse ya izo imatsatiridwa ndi zizindikiro zake.

Pancreatitis pachimake amphaka amayamba mofulumira kwambiri. Nthawi zambiri izi zimachitika motsutsana ndi matenda omwe sanachitike chifukwa cha kapamba kapena ziwalo zina zilizonse. Kansa yamtunduwu imadziwika ndi zizindikiro zotchulidwa. Pankhaniyi, zizindikiro za matendawa zimayamba kuonekera mwadzidzidzi.

Zizindikiro za matendawa

Kodi zizindikiro za kapamba mumphaka ndi ziti? Zizindikiro zimatha kukhala zosiyanasiyana.

Popeza matumbo am'mimbamo amakhudzidwa ndi matendawa, kuchepa kwa chakudya, kusanza, ndi m'mimba zimatha. Kuphatikiza apo, kukhudza m'mimba kumakhala kowawa kwambiri kwa mphaka.

Nyama imakhala yowopsa, yosagwira, ndi kugona. Kuwonjezeka kwa kutentha ndi kufupika kwamphamvu kungawonedwenso.

Munthawi yodwala, matendawa amatha kukhala ofatsa, pomwe mawonekedwe owawa amakhala ndi ululu wambiri, womwe ungayambitse kudwala munyama. Pakachitika zovuta, arrhythmias ndi sepsis zitha kuchitika, ndipo kupuma kwa nyama kumakhala kovuta.

Chithandizo cha kapamba mu amphaka

Kuti muchiritse bwino matendawa, ndikofunikira kutsatira malingaliro angapo. Choyamba, ndikofunikira kuthetsa kufooka kwa thupi la nyama, yomwe idayambitsidwa ndi kusanza komanso kutsegula m'mimba. Pazifukwa izi, mchere umalowetsedwa kudzera m'mitsempha kapena mozungulira. Kuphatikiza apo, ululu umachotsedwa.

Chotsatira, muyenera kupirira chilala cha maola 24. Munthawi imeneyi, nyama sayenera kupatsidwa mankhwala. Kugwiritsa ntchito antiemetics kokha ndi kotheka.

Ngati patapita tsiku kukhala zosavuta kwa chiweto, amatha kupatsidwa chakudya chochepa kwambiri. Pofuna kukana chakudya, oyang'anira zanyama amalimbikitsa kuyesa kudyetsa nyamayo mwamphamvu. Pakadali pano, ndikofunikira kuyamba kumwa mankhwala omwe amalimbikitsa chilimbikitso, ma enzyme kuti athandize kugaya, komanso vitamini B₁₂.

Mwina kugwiritsa ntchito mankhwala ena osokoneza bongo. Zitha kuphatikizira kugwiritsa ntchito anti-yotupa, mankhwala a analgesic ndi maantibayotiki, komanso njira zothetsera zochitika zapakhungu (mwachitsanzo, "Contrical"). Onetsetsani kuti mwatsata kulowetsedwa. Zovuta zikachitika, chithandizo chamankhwala chimalimbikitsidwa.

Kuphatikiza apo, ndikofunikira kukhazikitsa chifukwa cha kapamba ndikuchotsa. Ngati matendawa adayamba chifukwa cha kumwa mankhwala, ayenera kuchotsedwa. Pankhani ya matenda opatsirana, njira zonse zofunika zimatengedwa kuti zithetsedwe.

Pa mankhwala, nyama imayenera kukhala yazakudya. Nthawi yomweyo, muyenera kudyetsa chiweto chanu muzing'onozing'ono. Izi zikuthandizani kuti musavutike kwambiri m'mimba, makamaka kapamba. Zakudya zamphaka za pancreatitis ziyenera kukhala zamagulu azakudya zambiri.

Kuphatikiza apo, mtundu wa chithandizo chofunikira umatengera mtundu wa matendawa.

Ngati mphaka ali ndi pancreatitis ofatsa mawonekedwe, chithandizo chitha kuchitika kunyumba, malinga ndi kuchezeredwa pafupipafupi ndi veterinari ku mayeso ndi mayeso, komanso kuchipatala. Njira yachiwiri ndiyoyenera, chifukwa nyamayo imalandira chithandizo chamkati, zomwe zimathandizira kuchira msanga.
Mtundu wapakati wa matendawa umaphatikizira kuchipatala, chifukwa mankhwalawa amaphatikizapo kugwiritsa ntchito ma pinkiller ndi maantibayotiki. Nthawi zina, pangafunike kuikidwa magazi am'magazi.
Mtundu wowopsa wa kapamba mumphaka umaphatikizapo kusamalidwa kwambiri, popeza pamakhala chiopsezo chachikulu cha kufa. Pankhaniyi, ndibwino kulumikizana ndi chipatala chapadera.

Zonenedweratu zamtsogolo

Pakatha chithandizo chathanzi, ndikofunikira kuti eni ziweto apitilize kuwunika bwino ziweto zawo. Chowonadi ndi chakuti pancreatitis amphaka sangachiritsidwe kwathunthu, motero pali mwayi wubwerezanso. Monga njira yoteteza, nyama nthawi zonse izikhala pachakudya chopangidwa mwapadera.

Popanda zovuta monga, mwachitsanzo, matenda a shuga kapena vuto la impso ndi matumbo, pali kuthekera kwakukulu kochira bwino.

Pamaso pa mawonekedwe achilengedwe a kapamba, nyamayo imathandizidwira amoyo. Izi sizithandiza matendawa, koma zithandiza kuti zisamachitike.

Amayambitsa komanso chiwopsezo cha kapamba

Matendawa amaphatikizidwa ndi kapamba. Ikayamba kugwira bwino ntchito, chimbudzi cha chiweto chimasokonekera, ndipo chifukwa chake, thupi lonse limavutika. Kuti nyamayi isavutike, ndikofunikira kuphunzira mawonedwe ndi chithandizo cha matendawa.

Pali zifukwa zingapo zomwe zimatsogolera ku chitukuko cha kapamba mu ziweto:

Khalidweli. Kukula kwa kapamba sikugwirizana nthawi zonse ndi chilengedwe kapena kukula kosayenera kwa chiweto. Pali nthawi zina pamene mphaka amalandira matendawa kuchokera pakubadwa.
Kunenepa kwambiri Mafuta ochulukirapo samalola kuyanjana kwa maselo ndi shuga. Chifukwa cha izi, kagayidwe kamasokonekera.
Matendawa amatha kuyamba chifukwa cha kuvulala kwam'mimba. Nthawi zambiri izi zimachitika opaleshoni atalakwitsa kuchita. Komabe, ngakhale atachitidwa opaleshoni yosayenera, pali mwayi kuti mphaka umakhala moyo popanda zovuta.
Matenda a virus, mafangasi, majeremusi, tizilombo toyambitsa matenda mthupi la pet.
Pancreatitis imatha kumera motsutsana ndi matenda ena am'mapapo.
Itha kuwoneka chifukwa cha kuchuluka kwa calcium mthupi.
Matenda a impso ndi matenda ashuga amphaka amafooketsa thupi ndipo amatha kukhala chifukwa chakuchita bwino kwa kapamba.

Ndikofunika kukumbukira kuti kudya zakudya zoyenera kumatenga gawo lalikulu pa thanzi la chiweto. Ngati thupi sililandira kuchuluka kwamapuloteni, chakudya, mavitamini ndi michere, ngozi ya matenda atsopano imawonjezeka.

Pachimake komanso chovuta

Pachimake ndi matenda kapamba amadziwika ndi kuwuma kwa zizindikiro, njira ndi kupezeka kwa zovuta. Mwa mitundu iwiriyi, pachimake kumatengedwa kuti ndi kowopsa kwambiri. Nthawi zambiri imadziwika kuti ndi viral, koma izi ndi zoyambira.

Pancreatitis yachilengedwe imadziwoneka yokha mutatha kudya nyama. Kusanza kwamphaka, kupweteka m'mimba, kusintha kwa machitidwe (kupweteka kwapafupipafupi), kutsegula m'mimba - izi ndi zizindikiro zomwe zimawoneka m'chipinda mutatha kudya chakudya.

Fomu yokhazikika ndiyabwino. Ndi izo, zovuta pachimake ndi nthawi zamachimo zosinthika. Pang'onopang'ono, kapamba amasiya kupanga michere yokumba. Ziwalo zina zathupi zimasiya kugwira ntchito moyenera.

Enzymes zimayambitsa pokhapokha chithandizo. Komabe, chifukwa cha kusowa kwa zizindikiro za pachimake, matendawa amakhala ngati ali ndi matenda osachedwa.

Poyamba ndi sekondale

Pazifukwa zomwe zingayambitse kapamba mu mphaka, magulu awiri amatha kusiyanitsidwa: yoyamba komanso yachiwiri.

Mu matenda oyambawo amakula chifukwa chopanga opaleshoni yoyipa, kuwonongeka kwa kapamba, chifukwa chatsoka.

Ndi kufinya kwachiwiri kwa kapamba m'mphaka, kumatha kudzetsa matenda a ziwalo zapafupi: kuphwanya chiwindi, mahepatitis, cholelithiasis.

Musaiwale za cholowa chamakedzedwe ku mphaka pakuwonekera kwa kapamba.

Mitundu ya Pancreatitis mu Amphaka

Munthawi ya kutupa, kapamba amawagawa pachimake komanso osachiritsika. Mtundu woyamba wa matenda amodzi umadziwika ndi mphamvu zazikulu komanso zodziwika. Matenda a kapamba amadziwika ndi mawonekedwe ofatsa amtundu - ichi ndi matenda owopsa. Pathology pang'onopang'ono koma imasokoneza thanzi la chiweto, pang'onopang'ono zimabweretsa zotsatira zosasintha.

Mu chifuwa chachikulu cha mphaka, eni nthawi zina samazindikira vuto kwa zaka. Zikuwoneka kwa iwo kuti chiwetocho chikukalamba basi ndipo wasiya chidwi ndi masewera komanso kulumikizana ndi ukalamba. Chovala chanyama chimakhala chosalala komanso chochepa. Ziwetozo zimagona kwambiri, nthawi ndi nthawi zimataya m'mimba, kusanza kumachitika, kumakhala koopsa komanso koopsa.

Kuphatikiza pazomwe tafotokozazi, mitundu yoyambira komanso yachiwiri ya matenda amapezanso kusiyana. Choyamba ndi matenda odziyimira pawokha, pomwe matendawa amakula chifukwa cha kuwonongeka kwa kapamba. Izi zimachitika ndi kuvulala, kulowererapo, chifukwa chodziwikiratu ndi mankhwala. Kuphatikiza apo, pancreatitis yayikulu imayamba ngati pali zovuta zina zokhudzana ndi kubereka, komanso chifukwa chazolakwika zolakwika.

A yachiwiri mawonekedwe a matenda amagwirizanitsa ndi matenda amodzi a ziwalo zapafupi zam'mimba thirakiti - chiwindi, ndulu, matumbo. Mwanjira ina, kusayenda bwino kwa kapamba ndi chizindikiro cha matenda oyamba.

Zizindikiro zamatsenga

Dokotala wodziwa zanyama yekha ndi amene angadziwe komanso kupereka mankhwala oyenera. Mosiyana ndi munthu kapena galu yemwe, pakumva zowawa kwambiri, sangakhale chete, mphaka umangokhala phee kupulumuka nthawi yosasangalatsa ya matendawa, amakonda kugona kwambiri. Zizindikiro zotsatirazi zamtundu wa matenda zikawoneka, mwini ayenera kukhala ndi nkhawa:

kusanza kosalekeza ndi vuto lanyumba - kutsekula m'mimba, komwe ndowe zimakhala ndi fungo la asidi kapena kudzimbidwa,
kusowa kwamadzi - khungu louma, kusachedwa kwamkati,
kuopa komanso kusachita chidwi ndi masewera komanso kulumikizana,
ululu
zosokoneza mu ntchito ya kupuma ndi mtima dongosolo,
kutentha kuwonjezeka
kuteteza khungu.

Munthawi zonse, mutha kuwona zonse nthawi imodzi, kapena zina mwa zizindikiro zomwe zalembedwa.

Njira yayikulu yamatumbo imayambitsa chiopsezo chachikulu kwa chiweto. Kusakhalapo kapena thandizo losayembekezereka lothandizidwa lingachititse kuti nyamayo iphedwe.

Thanzi la Pancreatitis

Chofunikira pothandizira pancreatitis amphaka ndichakudya choyenera. Nyama imafunikira kudyetsedwa nthawi zambiri - nthawi 5-6 patsiku, koma magawo a voliyumu yaying'ono. Poyamba, yophika bwino, chimanga chamadzimadzi chimayenera kuphatikizidwa muzakudya. Zothandiza pa mafuta a mkaka otsika mafuta, kaloti ndi zukini puree. Ziwetozi zimayenera kukhala zosefera madzi pagulu.

Ngati chiweto chanu chazolowera chakudya chomaliza, muyenera kuphatikiza zakudya zapamwamba pakadyedwe kake - Royal Canin Gastro Intestinal Moderate Calorie, Eukanuba Intestinal, Hill's i / d. Monga lamulo, katswiri amalimbikitsa kugwiritsa ntchito zinthu zomalizidwa pamoyo.

Royal Canin Gastro Intestinal Moderate Calorie, Eukanuba Intestinal, zakudya za ku Hill za i / d zimakhala ndi zinthu zamagetsi zomwe zimapezeka mosavuta, prebiotic

Zopatsa choletsa kapamba zimaphatikizapo:

nyama yamafuta ndi nsomba,
mazira
zakudya zosaphika
mafuta amkaka.

Osadwala zokha, komanso nyama zathanzi ndizoletsedwa kuphatikiza zilizonse zomwe zimasuta, zokazinga ndi zamzitini, zakudya zamchere ndi zonunkhira, mkaka, maswiti ndi zinthu zophika buledi.

Zomwe zimapangidwira amphaka amphaka, omwe amatchedwa bajeti, ndizokayikitsa kwambiri. Zakudya zoterezi zimatha kuvulaza thanzi la nyama iliyonse. Akatswiri salimbikitsa mitundu yazakudya monga Kitekat, Darling, Whiskas, Frieskies, Felix.

Kupewa kwa Pancreatitis

Popewa matenda owopsa monga kapamba, malamulo ayenera kutsatira:

dyetsani zoweta zanu zatsopano komanso zapamwamba kwambiri,
kusenda kwakanthawi ndi katemera,
osampatsa nyama patebulo la munthu,
sinthani kupezeka kwa zakudya zomwe zimakhala ndi calcium yambiri muzakudya,
yang'ani kulemera kwa nyama - pewani kunenepa kwambiri kapena kutopa,
perekani mankhwalawa kwa cholinga chokha,
Tetezani nyamayi kuti isakhudzane ndi zomera zapoizoni ndi mankhwala apakhomo.

Kuthekera kochira pancreatitis

Pancreatitis mu ziweto ndi njira ina yomwe sikudziwika. Ndi kudziwidwa munthawi yake komanso kuthandizidwa pabwino, mwayi wochiritsidwa kwathunthu ndi wokwera. Pancreatitis yochiritsidwa kwathunthu imatha kubwereranso ndikukalamba. Choopsa kwambiri ndi matenda omwe amapezeka pamaso pa shuga, njira yotupa m'matumbo. Mu chifuwa chachikulu, nyama imakhazikitsidwa nthawi yayitali yochiritsa matendawa, yomwe singathetseretu matendawa, koma imachepetsa vutoli komanso kupewa.

Ntchito ya mwini wa nyama iliyonse ndiyofunika kumvetsera kwambiri petayo kuti izitha kudziwa kusintha kwazomwe zikuchitika panthawi yake. Pakukayikira koyamba kwa matenda, muyenera kulumikizana ndi veterinarian. Osadzichitira nokha - izi zitha kukulitsa vuto la chiweto chanu.

Zowopsa

Nthawi zambiri, veterinarians sangadziwe chomwe chimayambitsa matendawa, poganiza kuti ndi idiopathic. Nthawi zambiri, kapamba amayamba chifukwa chogwira ntchito mosavutikira kapena kuvulala kwa peritoneum.

Amphaka omwe adakhala ndi toxoplasmosis, matenda opatsirana a peritonitis, kapena matenda opatsirana pogonana nawonso ali pachiwopsezo.

Mankhwala ena omwe amayambitsa poyizoni mu ziweto angayambitse kukula kwa matenda oopsa. Mwachitsanzo, poika poizoni wa aspirin kapena organophosphate.

Matendawa amadziwika ndi maphunziro aposachedwa, Zizindikiro nthawi zambiri sizifotokozedwa. Mavuto owononga mthupi amapezeka pang'onopang'ono ndipo magawo oyamba amawonekera pokhapokha ngati alibe chidwi ndi kufowoka kwa chiweto.

Chisamaliro makamaka chiyenera kulipira ngati mphaka wagona ndipo sakugwira ntchito kwambiri.

M'tsogolo, zizindikiro zotsatirazi zingaoneke:

kusanza ndi kusanza pafupipafupi,
zimbudzi zonunkhira bwino.
kuthamanga kwa mtima,
kupuma kosakhazikika, nthawi zambiri mwachangu,
kuchuluka kwa thupi kutentha
kuzindikira kwa mucous nembanemba
kupweteka chifukwa cha kupweteka kwamimba.

Zizindikiro sizimawoneka nthawi yomweyo. Monga lamulo, izi zimachitika pang'onopang'ono ndipo zimatengera gawo la matendawa.

Mankhwala

Kugwiritsa ntchito mankhwala osokoneza bongo amphaka omwe ali ndi pancreatitis kumaphatikizapo njira zingapo zomwe cholinga chake ndi kukonza thupi, komanso kuchepetsa zizindikiro za matenda. Dokotalayo amapereka mankhwala oyenera pokhapokha ngati mwawunika mozama komanso kupezeka kwa matenda oyenera.

Anachepetsa m'mimba

Zizindikiro zakukula kwa kapamba amphaka nthawi zambiri amaphatikizanso ndi zilonda zam'mimba. Ichi ndichifukwa chake ndikofunikira kuthandizidwa osati ndi mankhwala enieni, komanso kuchepetsa acidity ya m'mimba ndi mankhwala okwera mtengo. Mutha kugwiritsa ntchito Omeprazole, Fosfalugel, Ultop, Ranitidine ndi mankhwala ena odziwika bwino.

Zoyenera kudyetsa mphaka

Ndikofunika kuyang'anira kutentha kwa chakudya. Mphaka wofowoka ayenera kudya zakudya zotentha kangapo patsiku. Pankhaniyi, zigawo za malonda ziyenera kukhala zazing'ono, zopatsa thanzi.

Ngati zakudya zama mafakitale zimagwiritsidwa ntchito podyetsa, muyenera kuphunzira mosamala kapangidwe kake. Kugwiritsa ntchito kabichi kapena chimanga pokonzekera malonda kungakhudze mkhalidwe wa chiwetocho.

Kuphatikiza apo, kudyetsa mphaka kuyenera kukhala kosiyana. Kuti muchite izi, pachakudya chilichonse perekani zinthu zosiyanasiyana.

Pachiyambi, ndimatumbo okha omwe amagwiritsidwa ntchito, mitundu yamafuta ochepa ndi nsomba ndi nyama, yomwe ma broth amakonzedwa.

Onetsetsani kuti simukuchotsa masoseji ndi zakudya zokazinga, komanso masamba komanso zipatso. Chofunikira chachikulu ndikugwiritsa ntchito madzi okwanira okwanira.

Mr. Cat akuchenjeza: kapamba ndi kubwereranso m'mbuyo

Mphaka yemwe wakhala ndi pancreatitis amakhalabe pachiwopsezo chobwerezanso matendawa moyo wawo wonse. Chilichonse, ngakhale cholakwika pang'ono, chingapangitse kubwereranso kwa matendawo.

Kuti muthane ndi chiwopsezo chotenga matendawa, tsatirani malamulo okhwima pakudya kwa nyama. Chotsani zakudya zokazinga, onetsetsani kuti calcium siziwonjezera pazopangira zamafuta.

Pewani kudya nyama yambiri kapena kumafa ndi njala, mupatseni madzi akumwa abwino nthawi zonse.

M'pofunikanso kuwonetsetsa kuti nyanjayi imakhala mosamalidwa mwaukhondo. Kuyesedwa pafupipafupi kwa zamankhwala ndi mamewo zimadziwikanso monga chofunikira pa thanzi la chiweto.

Zizindikiro za kapamba mu Amphaka

Zizindikiro za kapamba mu amphaka zimasiyana pang'ono kutengera mtundu wa kutupa. Chifukwa chake, mawonekedwe owopsa amadziwika ndi kuyambika kwadzidzidzi ndi chithunzithunzi chachipatala.

Zizindikiro zazikulu za pancreatitis amphaka amphaka ndi:

kuphulika kwa zam'mimba zomwe zimapangidwa mwadongosolo (chinyama chimatsukanso pamimba yopanda kanthu, mukatha kudya),
kupweteka kwambiri m'dera lomwe lakhudzidwalo (nthawi zina, nyamayo imayamba kugwedezeka pang'onopang'ono kuchokera kumbuyo kwa ululu wowopsa, mwadzidzidzi),
kupweteka pamimba m'dera la kapamba (amphaka amakumana mwamphamvu kukhudza kulikonse pamimba, makamaka kumtunda),
zoopsa za nyama, zina zimatheka,
Zizindikiro zakutha kwam'madzi (monga pachimake pakhungu pakumayambira, pomwe maso amagwera m'maso, zikopa za pakhungu, zimagwira pakhungu kapena zotuwa)
kusokonezeka kwa dyspeptic mu mawonekedwe a kutsekula m'mimba kapena kusowa kwathunthu kwa zotulutsa,
kwambiri kuyamwa kwa mucous nembanemba (limayamba chifukwa cha kuwonongeka kwa ndulu ndi kuwonongeka kwa ndulu ya ducts).

Pancreatitis yovuta ndiyowopsa chifukwa chithunzithunzi cha chipatala chili ndi mawonekedwe ochotsedwa ndipo sichimawonetsa kuwonongeka kwa kapamba.

Chifukwa chake, matenda osachiritsika amatha kukhalanso kwakanthawi osasamalidwa bwino, omwe amachititsa kuti mankhwalawa apitirire chithandizo komanso zotsatira zabwino. Zizindikiro zazikuluzikulu za kutupa kwa kapamba zamtunduwu ndi izi:

kuphulika kwakanthawi kwa zam'mimba,
kuphwanya dongosolo la chimbudzi cha chakudya chomwe chimalandidwa m'migawo (chakudya chosafikikika chimanenedwa mgonero),
Malaya amayamba kuzimiririka, amagwera posagwirizana ndi zomwe zimapangitsa kuti pakhale zakudya zofunika m'thupi,
kuphwanya machitidwe a defecation (ndowe sizimatuluka, ndipo kusasinthika kumatha kukhala gruel kapena madzi kwathunthu),
chisangalalo cha nyamayo chimachepetsedwa, machitidwe a metabolic m'thupi amasokonezeka.

Matenda a Pancreatitis

Mankhwalawa pancreatitis, malo apadera amaperekedwa ku zakudya za chiweto. Poyerekeza ndi kusanza kwambiri mu mphaka, chakudya chofunikira ndi chofunikira. Izi zimakuthandizani kuti muchepetse kupanga kwa michere ya enzymatic yomwe imalowa mu chiseye chodzazidwa chokha.

Chakudya champhamvu chamadwala sichikhala chotalikirapo kuposa maola 48, apo ayi chiopsezo chokhala ndi lipidosis zamagulu a chiwindi ndizotheka. Nyama yodwala yomwe ili mu mkhalidwe womvetsa chisoni ndipo osatha kudya yokha imadyetsedwa ndi vuto lapadera.

Ndikofunikira kudyetsa mphaka ndi kapamba m'magawo ang'onoang'ono komanso nthawi zambiri. Maziko a chakudyacho ndi chakudya chopepuka, osati chamafuta, chomwe chimatengeka mosavuta komanso popanda ndalama zapadera za thupi. Makamaka kwambiri amamva kusintha mthupi pambuyo pachimake cha zotupa.

Potengera momwe matenda amapezera, gawo la tinthu ta kapamba limasinthidwa ndi minyewa yolimba, ndipo chiwalocho sichingagwire ntchito mokwanira ndikupanga mahomoni ndi michere ya enzymatic.

Mtundu wa matendawa umaphatikizapo zakudya, zomwe zimakupatsani mwayi woti musanayambike kuukira. Zinthu zokhala ndi lipid zochepa ziyenera kudyera kwambiri m'zakudya. Ngati mphaka uli ndi vuto lochepa kwambiri pakatha chithandizo ndikuchira, ndikofunikira kuyambitsa ma enzymes monga Creon 1000 kapena Pancytrate.

Mitundu ina ya kukonzekera kwa enzyme siyikulimbikitsidwa amphaka, chifukwa amaphatikiza bile acid kuwonjezera pa michere. Njira yabwino yothetsera mwiniyo ndi kusankhidwa kwa chakudya champhaka chapamwamba kwambiri cha kapamba.

Zakudya zopangidwa ndi zakonzeka za kalasi yapamwamba kwambiri zimakhala ndi zonse zofunikira m'thupi zomwe zimaloledwa kuchitapo kanthu mu kapamba.

Kuti zitheke, chakudya chonyowa chonyowa chimatha kuchepetsedwa ndi madzi ofunda, oyera. Nyama zomwe eni ake amakonda kudya zakudya zawo zophika ayenera kulandira phala (makamaka mpunga) yophika msuzi wa ng'ombe mu zakudya.