Kodi uchidakwa wa kapamba: zomwe zimayambitsa matenda pachimake komanso chodwala

Ngati kapamba amavutika chifukwa cha kuledzera kwaukapena, matenda oterewa omwe ali ndi vuto lotupa amatchedwa chidakwa cha kapamba. Chithandizo chowongolera chiyenera kukhala chapanthawi yake, apo ayi wodwalayo amatha kufa. Chifukwa chakumwa mowa kwambiri, chizolowezi chopanga chizolowezi chomanga thupi mwa kusokonekera chimasokonekera, kapamba amadzaza. Matenda oledzera a pancreatitis samachiritsidwa, motero ndikofunika kuzindikira matendawa pachimake.

Kodi mowa kapamba ndi chiani?

Ngati, atakhala kwa nthawi yayitali ku ethanol, kutupa kwa kapamba kumachitika, pakati pazovuta, madokotala samachotsa chiwindi cha chidakwa cha chiwindi ndi kufa kwa wodwala wodwala. Matenda omwe ali ndi khalidwe limayendera limodzi ndi mbiri yayitali, ndipo zizindikiro zosasangalatsa zimawonjezeka pang'onopang'ono, zimakhala kwambiri, ndikuchepetsa moyo. Pancreatitis yamtunduwu imakonda kuchitika motsutsana ndi maziko a zakumwa zoledzeretsa kapena kuponderezana mwamafuta kwa zakudya zamafuta.

Kuchulukitsa kwa matenda kapamba kumayamba ndi kuwawa kwakapweteka kwa m'mimba. Ululu wamankhwala ulili mu chiberekero cha herpes zoster, paroxysmal contractions, pomwe pakalibe chithandizo chamankhwala chimangokulira. Pali kuchepa komwe kumapangika kwa michere ya pancreatic mwa zovuta zam'mimba, zomwe zimayimiriridwa ndi matenda am'mimba, zizindikiro za dyspepsia, zizindikiro za nseru, ndi kusanza. Zizindikiro zina zamatendawa zimaperekedwa pansipa:

• ndowe
• Chakudya chosazaza ndowe,
• kuthawa popanda mpumulo womwe ukuyembekezeredwa kwa nthawi yayitali,
• kuchuluka kwa maulendo akuchimbudzi - mpaka katatu pa tsiku,
• kuwonda kwambiri
• kusowa kudya kwathunthu,
• kutsitsa magazi
• kutentha kwambiri kwa thupi
• kusakhazikika kwa dongosolo lamanjenje,
• kufooka kwa minofu.

Kuonetsetsa kubwezeretsanso kwa kapamba pambuyo pa mowa, gawo loyamba ndikuwona kuti etiology yamatenda, kuthetseratu mbali ya pathogenic m'thupi. Pafupipafupi kuukiridwa kwathunthu zimatengera mlingo wa mowa ndi nthawi kumwa mowa. Mowa umaphatikizira, monga zoledzeretsa zamphamvu, ndizomwe zimayambitsa khansa yoledzera.

Odwala achikulire omwe amakonda kumwa mowa mwauchidakwa, amanenepa kwambiri, amasuta fodya, ndipo amakhala ndi moyo wopanda ntchito. Pafupifupi, chithunzithunzi chachipatala chimatengera mtundu wa zakumwa zoledzeretsa, mwachitsanzo, "vodka yophika" imangochulukitsa zovuta zowonongeka kwa chiwindi, ndipo necrosis imayamba.

Njira ya matendawa

Mothandizidwa ndi zinthu zovulaza, minofu yathanzi itawonongeka, michere ya gland imayatsidwa ndipo maselo awo amawonongeka. Zotsatira za njira imeneyi, zikondamoyo zimatupa ndikukula, zimakulitsa ziwalo zina zoyandikana. Popita nthawi, ndulu yoyaka imayamba, wodwalayo amakumana ndi zovuta zopweteka. Pakadali pano, chidwi chachikulu cha necrosis chikufalikira mthupi, zomwe zimasokoneza magwiridwe antchito ofunikira.

Gulu la Alcoholic Pancreatitis

Njira yodziwika bwino imadziwika ndi mtundu wovuta kwambiri komanso wosakhazikika, pomwe wina umayamba kukhala wina, pomwe wina sukhalanso kuchira komaliza. Kufotokozera kwachidule kwa njira ya pathological yomwe yaperekedwa pansipa:

1. Mu pancreatitis pachimake, zinthu zingapo za pathogenic zimagwira nthawi imodzi, mwachitsanzo, pamene wodwala adya zakudya zamafuta, amamwa mowa tsiku lililonse, komanso akusuta fodya nthawi zonse. Mowa pancreatitis nthawi zambiri amadziwika ndi anyamata, ndizovuta kusunga mawonekedwe.
2. Njira yovuta ya kapamba imatha kuyambika, imayamba ngati matenda odziyimira pawokha. Zizindikiro zoyambirira zimachitika patapita zaka zingapo zakumwa zakumwa zoledzeretsa, matendawo amaphatikizidwa ndi kutupa ndi kupweteka kwapakhosi kwakanthawi kosiyanasiyana. Kugwiritsa ntchito moyenera kumachitidwa ndikuwonjezera mphamvu yotupa.

Mavuto omwe angakhalepo

Pancreatitis ku mowa kumathandizira kuwonongeka kwa chiwindi ndi kugaya chakudya enzyme. Kuledzera kwapang'onopang'ono kumatha kubweretsa kulumala ndi kufa kumene, kumapangitsa wodwala kuzunzidwa mwamphamvu. Poyerekeza ndi kukhudzana kwanthawi yayitali ya ethanol, hepatitis ya viral, matenda a chiwindi, chidwi chachikulu cha kapamba, neistosis, fistulas ndi cysts sichitha. Matenda a shuga ndi adenocarcinoma amakula.

Matenda a chidakwa kapamba

Ndikosavuta kudziwa kapamba a mawonekedwe amowa mthupi, popeza zizindikiro ndi zofanana ndi matenda ena am'mimba. Chifukwa chake, kuwonjezera pakuphatikiza deta ya mbiri yachipatala, kuzindikira koyenera ndikofunikira, komwe kumaphatikizapo maphunziro a labotale ndi zamankhwala:

• kuyesa kwamagazi ndi kwamilandu yambiri,
• kuyesa kwamkodzo kuwunika ma diastase,
• Ultrasound ya ziwalo zoyipa,
• CT ndi MRI
• kuzunzika kozindikira pazamankhwala.

Zambiri

Mowa pancreatitis ndimatupa a kapamba omwe adayamba chifukwa cha kumwa kosalekeza ndi zakumwa zake, kapena ndi chakumwa chimodzi chamowa limodzi ndi zakudya zamafuta, kusuta. Pafupifupi 50% ya odwala omwe ali ndi vuto loledzera pancreatitis amwalira asanakwanitse zaka 20 chiyambireni matendawa, koma chifukwa chaimfa nthawi zambiri chimayamba chifukwa cha matenda ogwirizana ndi uchidakwa, osati pancreatitis yokha.

Choyambitsa kukula kwa chidakwa cha kapamba ndi kuwonongeka kwa masokedwe a pancreatic ndi kuwola kwa zinthu za ethyl mowa kapena zinthu zomwe zimapangidwa panthawi yogwiritsa ntchito ma surrogates. Nthawi yomweyo, mtundu kapena mowa ndiwosazindikira - kapamba angapangidwe ndi mowa, tsiku ndi tsiku, komanso kugwiritsa ntchito ma surrogates.

Kafukufuku waposachedwa yemwe adachitika pankhani ya gastroenterology yamakono akuwonetsa kuti uchidakwa suchitapo kanthu pakukula kwa kapamba, chifaniziro cha chibadwa cha matendawa chimaganiziridwa. Komanso, kuphatikizidwa kwa zotupa zapakhosi sikumaphatikizidwa ndi kuphatikiza pazinthu zingapo: kumwa, kusuta, kudya zakudya zamafuta ambiri zomwe zimatsitsidwa ndi mapuloteni.

Pathogenesis ya mowa pancreatitis ndi yovuta kwambiri. Maselo atasokonekera, ma enzyme amayambitsidwa ndipo amayamba kupukusa ndulu yakeyo, ndikupangitsa kuti necrosis ichulukane. Kutupa kwa ndulu kumayamba, kumachulukitsa ndikumakanikizika ziwalo zozungulira, nembanemba yake imatambasuka, ndikupweteka kwambiri. Pankhaniyi, ma pseudocysts enieni amapangidwa, odzaza ndi zotupa za necrotic komanso zamadzimadzi.

M'matenda a gland, ntchito ya fibrosis imayamba, ndipo minyewa yolumikizana imasokoneza stroma ndi ma ducts, zomwe zimayambitsa kukhumudwa kwa chimbudzi cha pancreatic komanso kuwonongeka kambiri. Ntchito pakugawidwa kwa ma enzymes imavutika, mokhudzana ndi momwe ma dyspeptic phenomena amawonekera. Pamapeto pake, minyewa yabwinobwino imasinthidwa ndi minofu yamafuta komanso yolumikizana, chifukwa chake ntchito ya endocrine imayamba kuvutika - matenda a shuga amakula.

Amadziwika kuti kumwa mowa kumayambitsa kupanga ma free radicals, omwe amawononga kwambiri maselo. Nthawi yomweyo, kusuta kumakwiyitsa vasospasm ndi pancreatic ischemia, chifukwa chomwe kuwonongeka kwa minofu kumakulitsidwa. Kudya zakudya zamafuta kumathandizira kupanga ma enzyme, ndikuwonjezera mphamvu yawo pakuwonongeka.

Zizindikiro za Mowa Pancreatitis

Chithunzi chachipatala cha matenda nthawi zambiri chimadziwoneka ndi maonekedwe a ululu wolimba wamkati, ngakhale kuchuluka kwazovuta kumachitika popanda kupweteka. Ululuwo umawonetsedwa pamimba yapamwamba, ikuwunikira kwa hypochondria, kumbuyo. Amatha kukhala akupweteka pafupipafupi kapena lakuthwa mwadzidzidzi. Zowawa zimakulitsa malo a supine, amachepetsa m'malo mokakamizidwa atakhala ndikudikirira chamtsogolo. Komanso, ululu umalimba mutatha kudya, chifukwa chake odwala nthawi zambiri amayambaopa kudya. Mu chifuwa chachikulu cha pancreatitis, ululu umatha kukhala wokhazikika, mutamwa kapena kudya mafuta, zakudya zonunkhira, zimachulukirachulukira.

Kusanza, kusanza, kutsekula m'mimba nthawi zambiri kumakhalanso ndi nkhawa. Pondapo ndi ochulukirapo, amtundu wamtundu, fetid, wokhala ndi mafuta onyansa komanso zidutswa za chakudya chosakhudzidwa. Komanso amakhudzidwa ndi kuchuluka kwanyumba, malamba, kugungunuka m'mimba. Chifukwa chophwanya kusweka ndi kulowetsedwa kwa michere (chifukwa chosakwanira kupanga michere ya pancreatic), komanso chifukwa choopa kudya, kuwonda kwambiri kumadziwika.

Mavuto

Ndi njira yovuta ya chidakwa cha kapamba, mapapo ndi zotupa za kapamba, fistulas wokhala ndi ziwalo zapafupi kapena zam'mimba, jaundice wopatsirana, komanso matenda a shuga. Kukhalitsa kwa nthawi yayitali pancreatitis kungayambitse kukulitsa kwa adenocarcinoma a pancreatic.

Chithandizo cha mowa pancreatitis

Chithandizo cha matendawa chimachitika motsogozedwa kwathunthu ndi dokotala wa gastroenterologist, dokotala wa opaleshoni, endoscopist, endocrinologist, radiologist, psychotherapist, narcologist, ndipo, ngati pakufunika, akatswiri ena. Mkhalidwe waukulu komanso wofunikira kwambiri pochiritsidwayi ndi kukana mowa, koma ngakhale zili choncho, kuchira kwathunthu sikungatsimikizidwe. Yambirani chithandizo ndi zochitika zina. Woopsa pancreatitis, mankhwala achire amatha kuikidwa kwa masiku angapo. Muzochitika zina zonse, tebulo lachisanu la pancreatic limalembedwa, mowa ndi kusuta ndizoletsedwa.

Chithandizo cha Conservative chimaphatikizapo kugwiritsa ntchito kukonzekera kwa enzyme ndi cholinga china, antiemetic ndi mankhwala opweteka. Mlingo wa shuga umayendetsedwa, kukonzedwa ngati pakufunika. Mavitamini osungunuka a mafuta, ma microelement ofunikira amafunikira.

Mankhwala opangira opaleshoni amakhala ndikutseguka kwa cysts ndi ma abscesses, resection ya gawo la ndulu, kutulutsa zomata, kutseka ndimaumi olimba. Mankhwala othandizira amafunikira pancreatitis yovuta. Ngati pakufunika opaleshoni, matenda amayamba kukulira. Tiyenera kukumbukira kuti mankhwalawa opaleshoni ya kapamba kumawonjezera mwayi wokhala ndi matenda ashuga.

Zotsogola ndi kupewa

Momwe matendawo amalephera kudwala chifukwa cha chidakwa cha pancreatitis. Munthawi yoopsa, matendawo amatengera kuuma kwa matendawa, nthawi zambiri matendawa amatha ndi matenda a pancreatic necrosis, omwe angayambitse kuti wodwalayo afe. Kupewera kwa pancreatitis yoledzera ya mowa ndikukana kwathunthu kwa mowa ndi ndudu, zakudya zabwino zomwe zimakhala ndi mapuloteni okwanira, kufufuza kwapachaka ndi dokotala wa gastroenterologist.

Zizindikiro zamankhwala oledzera pancreatitis:

Ndi pancreatitis yoledzera yaukali, Zizindikiro zimayamba kukula pang'onopang'ono, chifukwa mapulagi a calcium-calcium amapangidwa mu ma pancreas am'mimba, omwe amasokoneza kutuluka kwa michere yam'mimba. Zotsatira zake, mawonekedwe a cysts, minofu ya fibrous imakula, yomwe pafupi ndi kumapeto kwa mitsempha imakhala chowawa chowawa.

Popita nthawi, ndikukula kwa minofu ya fibrous, ululu umachepa, kufalikira kumachitika kawirikawiri, koma kusowa kwa enzymatic ndi mahomoni pancreatic kumayamba kutchulidwa.

Zowawa, monga lamulo, panthawi yowonjezereka kwambiri, zimakhala ngati lamba (kufalikira kumanja ndi kumanzere kwa hypochondrium, kumbuyo), zimakulirakudya mutatha kudya, zimayendera limodzi ndi zizindikiro za dyspeptic ndipo zimayimitsidwa kokha ndi mankhwala amphamvu. Zowawa zimawonjezekanso ndi supine udindo, ndikucheperachepera pakukhala pansi ndikugwedeza pang'ono, kotero odwala nthawi zambiri amakhala okakamizidwa. Pa chikhululukiro, kupweteka kumachepa, kutsekemera, kupweteka. Zowonjezera zakumwa zoledzeretsa zapathengo zimatha pambuyo pa miyezi 6-12.

Kuphatikiza pa ululu wammbuyo, Zizindikiro za zakumwa zakumwa zoledzeretsa zimakonda kupezeka, monga kupindika, kusanza ndi kusanza, kutsika kwamatumbo, zotupa zambiri zotsekemera ndi mafuta a sheen mpaka ma 3-6 patsiku, zomwe zimachitika chifukwa cha kuchepa kwa michere ya m'mimba ya kapamba m'matumbo, momwe chakudya chimagwidwa. Kuwonjezeka kwa kutentha kwa thupi kumadziwikanso.

Matendawa amatha kuyamba mwadzidzidzi, paroxysmally, ndipo amatha kuwonjezeka pang'onopang'ono motsutsana ndi maziko a chifuwa chachikulu. Nthawi zina, pancreatitis yoledzera amakhala ndi njira yopweteka.

Mu theka mwazovuta za chifuwa chachikulu cha zakumwa zoledzeretsa, pali zizindikiro za matenda a shuga, chifukwa chophwanya ntchito ya mahomoni.

Zoyambitsa matenda

Kukula kwa mankhwala osokoneza bongo a pancreatitis kumachitika pang'onopang'ono. Matendawa amapezeka chifukwa chomwa mowa kwa nthawi yayitali. Chifukwa chodziwikiratu kwa zinthu zakupweteka kwa kapamba, ma biocatalysts amapangidwa omwe amayamba kuyamwa gland palokha, zomwe zimapangitsa minofu necrosis. Popita nthawi, zikondamoyo zimayamba kutupa, kuchuluka kwake ndikuwapanikizitsa ziwalo zomwe zili pafupi ndi izo, zomwe zimabweretsa kupweteka kwambiri.

Ngati simuyamba kulandira chithandizo pa nthawi yake, ndiye kuti minofu yathanzi yathanzi imayamba kulowa m'malo mwa mafuta ndi ma minyewa a fibrous, omwe amawonongeka osati pancreas, komanso dongosolo lonse la endocrine, chifukwa chake, limodzi ndi kapamba, matenda a shuga amayamba. Amadziwika kuti osati mowa ndi kusuta kokha zomwe zimayambitsa kapamba, nthawi zambiri zakumwa zoledzeretsa zimayamba ndi kudya kwa nthawi yayitali zamafuta ndi zakudya zama calorie ambiri molumikizana ndi kugwiritsa ntchito kuchuluka kwa zakumwa zoledzeretsa komanso zakumwa za fodya.

Mitundu ya cyst kapena chotupa cha kapamba zimachitika.

Pancreatitis yovuta kwambiri ya mowa imachitika mwadzidzidzi, ndikofunikira kudziwa kuti mapangidwe ake safuna kumwa kwa nthawi yayitali, kamodzi kokha ndikokwanira. Zakumwa zoledzeretsa zimatha kusiyanasiyana, ngakhale ndi mowa wotsika mtengo kwambiri kapena wa cognac wokwera mtengo kwambiri, ngati nyama yamafuta imagwiritsidwa ntchito limodzi ndi izi, ndiye kuti ndizokwanira kuyambitsa vuto la kupweteka kwa chidakwa cha kapamba.

Kupewera kwa chidakwa cha kapamba:

Njira zodzitetezera kuti mupewe kupanikizika kwa chidakwa cha pancreatitis ndi izi:

• zakudya zoyenera, kudya mapuloteni okwanira,
• kupatula mowa, makamaka ndi zakudya zamafuta ambiri,
• kusiya kusuta
• mankhwalawa matenda am'mimba dongosolo zomwe zimathandizira kukulitsa kapamba.

Mowa pancreatitis imatha kuchitika pakapita mlingo umodzi waukulu wa mowa kapena kumwa mankhwala ochita kupsa pakumwa mafuta ambiri, okazinga. Kungokaniza mowa ndi njira yodalirika yolepheretsa kumwa mowa mwauchidakwa.

Chithandizo cha kutupa kwa kapamba

Ndi kuledzera, kusuta fodya ndi zizolowezi zina zoyipa sizithetsa. Ndikofunikira kuti muchepetse ndikuchotsa kutupa kuchokera ku kapamba wamkwiyo. Popeza pancreatitis yoledzera imadzala ndi matenda ashuga, madokotala akutenga njira zobwezeretsanso nthawi yowonjezera. Nawa malingaliro ofunikira m'chithunzichi:

• pofuna kusamalira ndi kulimbitsa ntchito ya chiwindi, wodwalayo amaletsedwa kudya zakudya zolemetsa mu zakudya munthawi ya chithandizo ndi chikhululukiro - mafuta, nyama zosuta, mankhwala osungirako,
• popeza ntchito zonse za thupi zimafooka ndi kapamba, ndikofunikira kuyendera kufunsira kwa akatswiri apanthawi ngati dokotala wa gastroenterologist, dokotala wa opaleshoni, endoscopist, endocrinologist, radiologist, psychotherapist, ndi narcologist.
• Popeza zakumwa zoledzeretsa zimachulukitsa kuchuluka kwa shuga m'magazi, wodwalayo amafunika kuwunika mwatsatanetsatane wa chizindikiro ichi, pakamwa mavitamini osungunuka a mafuta, kufufuza zinthu.
• pakuyambiranso, ndikofunikira kutenga malo opingasa, mutenge mapiritsi angapo a No-shpa mkati ndikuyika ozizira pamimba. Ndikulimbikitsidwa kudzipha kwakanthawi, osachulukitsa ziphuphu zoyipitsidwa.
• opaleshoniyo akuwonetsedwa pazithunzi zovuta za chipatala mwa kutsegula ndi kupukusa ma cyst, potero kuthetsa chiopsezo cha zovuta zowopsa.

Zakudya achire

Ndi mowa pancreatitis, kukonza zakudya tsiku lililonse kumafunika. Confectionery, maswiti, shuga, mkaka, mchere, zakudya zonunkhira ndizoletsedwa kwa wodwala. Zakudya izi zimathandizira pakupanga madzi a pancreatic, kuchuluka kwa obwerera. Zakudya zina ndizoletsedwa, kuphatikizapo:

• masoseji,
• zoteteza
• oyambira msuzi
• zipatso zowawasa
• zonunkhira ndi mchere
• koloko, mowa, khofi.

Mukamadya chakudya, timalimbikitsidwa kutsimikiza mwapadera pazakudya zotsatirazi zothandiza zidakwa za pancreatitis:

• msuzi wamafuta ochepa
• kudya nyama
• phala lopanda
• nsomba zopanda mafuta,
• maapulo ophika
• tiyi wazitsamba, mankhwala
• masamba ophika.

Matenda obwera ndi matenda

Zotsatira zamankhwala sizabwino, popeza nthawi yodwala imachepetsedwa, ndipo zotsatira zakupha sizimadziwika. Pancreatitis ndi matenda osachiritsika, ndipo pakapanda chithandizo chamanthawi yake, kuchuluka kwa zovuta zowonjezereka kumangokulira. Kufunika kokakamizidwa kuchipatala mwachangu ndi kutembenuka mtima sikumachotsedwa. Matendawa akuwonetsa pazovuta za matenda azachipatala amachititsa kuti pancreatic necrosis ifenso chifukwa cha kufa kwa thupi.

Kutalika kwa moyo

Odwala omwe ali ndi vuto losakanikirana la pancreatic mwina kwa nthawi yayitali sangazindikire kukhalapo kwa matenda akupha mthupi. Matenda a pathological amapita patsogolo mosadziletsa, pomwe pali kale chifuwa cha kapamba. Pambuyo pa kuukira koyamba, chiyembekezo cha moyo chimachepetsedwa, ndipo ndikuwonjezeka kwa zovuta, wodwalayo sadzakhala ndi moyo zaka 2 - 3. Ngati mukuthandizidwa ndikutsatira gawo la chikhululukiro, mutha kukhala ndi moyo zaka 10, koma mutakana kwathunthu zoyipa.

Etiology ndi pathogenesis

Chomwe chimayambitsa mowa, makamaka mowa. Limagwirira a kupezeka kwa mowa pancreatitis ndi zovuta komanso osiyanasiyana. Izi ndichifukwa choti mowa, kulowa mthupi la munthu, umagwira m'njira zingapo nthawi imodzi.

Mowa umasokoneza gawo la ku Oddi (gawo lalikulu la phula lalikulu la duodenal, lomwe limayang'anira kutuluka kwa madzi a pancreatic ndi bile kuchokera kumayendedwe wamba kupita mu duodenal patsekeke). Chifukwa cha kuphipha, kusokonekera kwa kubisalira kumachitika, komwe kumapangitsa kuti ichitikenso pakhungu. Chifukwa cha olamulira ankhanza omwe amasungidwa mobisa ambiri, kukwiya kumachitika kaye, kenako kutupa kwa kapamba.

Mowa umakhudza kwambiri ma pancreatic ducts. Pankhaniyi, awo atrophy ndi necrosis amachitika, kenako ndikusinthidwa m'malo awa ndi minofu yolumikizana. Zimathandizanso kukondoweza kwa enzymatic madzi, omwe pamapeto pake amatsogolera pancreatitis yoledzera.

Mowa umakwiyitsa maselo am'minyewa omwe ali m'matumbo. Izi zimabweretsa kukondoweza kwa enzymatic ntchito ya kapamba, hypersecretion.

Zakumwa zoledzeretsa zimawonjezera mawonekedwe a pancreatic secretion chifukwa cha kuchuluka kwa lithostatin (chinthu chomwe chimalimbikitsa mapangidwe amwala).

Hypersecretion pansi pazomwe zimachulukitsa mamasukidwe amadzi a kapamba, limodzi ndi kuphipha kwa gawo lalikulu la duodenal sphincter kumabweretsa kukakamizidwa mkati mwa ma ducts, bile ndi ma pancreatic enzymes amasunthika ndikubwezeretsedwa mu ndulu. Kutulutsa kwawo kumachitika kumeneko, chifukwa chomwe chiwalo chawonongeka ndikuwotchedwa. Ngati simumasiya kumwa mowa, ndiye kuti m'kupita kwanthawi malo owuwalirako adzazungulira, adzawonongeka ndikuwonongeka.

Kugwiritsa ntchito mowa pafupipafupi kumasokoneza mafuta mu thupi, hyperlipidemia imachitika. Vutoli limathandizanso kuti pakhale chizolowezi cha zakumwa zoledzeretsa.

Kumbukirani! Mowa pancreatitis amapezeka pambuyo kumwa tsiku lililonse 100-120 g mowa kwa zaka 8-12 motsutsana maziko a mowa woledzera. Komanso, milandu amadziwika pamene kapamba sanachitike motsutsana maziko a kumwa kwambiri mowa, koma atangochotsa kamodzi kokha, komwe kumayambitsa kudana ndi poyizoni komanso kupha thupi.

Zizindikiro zake

Mowa pancreatitis ulibe zizindikiro zina. Kuzindikira kumadalira madandaulo komanso ngati pali mbiri yayitali ya mowa. Kuchulukirachulukira kumachitika motsutsana ndi maziko a kuledzera, patatsala pang'ono kuyamba kwa chizindikirocho.

Chizindikiro chachikulu cha pancreatitis yovuta ya chidakwa ndi kupweteka. Ili ndi mawonekedwe olimbitsa, ili ndi poyambira mwadzidzidzi, siyimitsidwa ndi antispasmodics ndi analgesics. Kulimbitsa kwa ululu kumawonedwa ndi kusuntha kwadzidzidzi, kutengeka. Kutalika kwa ululu, monga lamulo, kusanza kumachitika, komwe sikubweretsa mpumulo.

Panthawi yochulukirapo, zizindikiro za kuledzera zimawonedwa: kutentha, kufooka, nseru, kutsika magazi.

Zofunika! Woopsa pachimake kapamba, pali zingapo kulephera, poizoni, dementia, psychosis, kupuma kulephera (mpaka kupuma mavuto syndrome). Wodwala ali wodwala. Ngati maora angapo oyamba sanachitepo kanthu, ndiye kuti mu 100% ya milandu imachitika.

Ndi kutupa kosachiritsika, kupwetekako kumakhala kosatha, koma osafikira phindu. Amalimbikitsidwa ndikugwiritsira ntchito zakumwa zoledzeretsa ndi zakudya zamafuta okazinga, chifukwa pamenepa enzyme yopanga ntchito ya kapamba imapangidwira. Monga lamulo, palibe kutentha, zizindikiro zina za kuledzera sizimawonedwa. Matendawa amatuluka nthawi yochulukirapo komanso kukhululuka.

Laborator diagnostics

Kuti mutsimikizire matendawa, mayeso azachipatala otsatirawa amaperekedwa kwa odwala:

• Kuyesedwa kwa magazi konse. Kupitilira muyeso wamankhwala oledzera pancreatitis, leukocytosis wowona imawonedwa poyesa magazi. Ndi exacerbation - kutchulidwa leukocytosis ndi kusintha kwa chilinganizo kumanzere, kuchuluka kwa erythrocyte sedimentation rate, mawonekedwe a C-reactive protein.
• Kuyesa kwamwazi wamagazi. Apa, choyambirira, mulingo wa amylase, lipase, bilirubin, AlAT, AsAT, phosphatase ya alkaline, lactate dehydrogenase (LDH) ndi otsimikiza. Ndi kuchulukitsa kwa njira yotupa, zizindikiritso zonsezi zimaposa zabwino zovomerezeka.
• Kusanthula kwamkati mwazinthu zamkati kuti mudziwe kuchuluka kwa diastase. Ndi kuchulukitsa kwa pancreatitis yoledzera, phindu la diastase limaposa kasanu kuposa momwe limakhalira. Izi zimathandiza kuti tikambirane za kuwonekera kwa matendawo kapena kuchuluka kwa matendawo.
• Ultrasound kuwunika kwam'mimba. Lero ndi muyezo wagolide wofufuzira. Apa mutha kuwona zosintha zamatumba (ma calrificates, calcifying, malo omwe kuchuluka ndi kuchepa kwa zachilengedwe, cysts ndi zina zovuta). Kuphatikiza apo, ultrasound imakuthandizani kuti muyeze momwe muliri ndi ndulu. Chifukwa cha mawonekedwe a anatomical komanso magwiridwe antchito a ziwalo izi, kusintha kwamatenda kapena kuwonongeka kumakhala komwe kumakhalapo.
• Wolemba wa multispiral tomography (kapena magonedwe amatsenga). Mothandizidwa ndi kafukufukuyu, kuopsa kwa matendawa, gawo la zakumwa zoledzeretsa, zimayesedwa. Kukhulupirika kwa kapangidwe ka kapamba kumatsimikiziridwa, komwe pamapeto pake kumatilola kuthetsa funso la kulowererapo kwa opaleshoni.
• Kulowerera kwa laparoscopic kuti adziwe kukhulupirika kwa kutulutsa tulo komanso kukula kwa kuvunda kwake.
• Pamaso pa kulowetsedwa kwapamimba m'mimba kapena patsekeke, kupopera matenda kumachitika. Ngati amylase alipo mu punctate, ndiye kuti titha kulankhula molimba mtima za kukhalapo kwa pancreatitis wodwala.

Conservative mankhwala a pachimake mowa kapamba

Wodwala akakhala wokhazikika, amathandizidwa kuchipatala komwe njira zachipatala zimachitika mwachangu.

Wodwala akapezeka kuti ali ndi vuto lalikulu, amapezeka kuchipatala nthawi yomweyo, komwe amayang'anira zochitika zazikulu (zopumira, zamtima) kuzungulira koloko. Ndi chitukuko cha DIC, kulowetsedwa kwa madzi atsopano oundana, maulalo amwazi ndi heparin adalembedwa. Ndi hypoxia yolimbitsa thupi, mpweya wa oxygen umasonyezedwa. Woopsa kupuma kulephera, wodwalayo amapatsidwa kwa makina mpweya wabwino (makina mpweya wabwino).

Menyani ndi zowawa

Ndi mowa pancreatitis, ululu umatulutsa, wamphamvu kwambiri. Ma analcics a narcotic ndi othandiza kwambiri, koma kugwiritsa ntchito morphine kumatsutsana (kumayambitsa kupindika kwa sphincter ya duodenal papilla yayikulu). Mankhwala a mzere woyamba - promedol osakanikirana ndi mankhwala osapweteka a antiidal (Indomethacin, Diclofenac, etc.). Nthawi zina, ndi ululu wowopsa, osayima, kutsekeka kwa mitengo ikuluikulu ya mitsempha ndi ma plexuse omwe amapezeka mkati mwa kapamba amagwiritsidwa ntchito.

Kubwezeretsa magazi mozungulira

Kuchulukitsa kuthamanga kwa magazi, kuthana ndi hypotension ndikupewa kugwedezeka, odwala onse omwe ali ndi zakumwa zoledzeretsa akuwonetsedwa kuyambitsidwa kwa olowa m'malo mwa magazi. Colloidal (Gelatinol, Reopoliglukin) ndi mayankho a crystalloid (Saline, Disol, Acesol) amayendetsedwa ndi kuchuluka kwa malita 3-4 patsiku.

Kupewa matenda

Chifukwa cha izi, mankhwala opha maantiamu ambiri amalembedwa. Mankhwala osankhidwa ndi III m'badwo wa cephalosporins wophatikizana ndi metronidazole. Kuphatikiza uku kumakwaniritsa zonse bwino za gramu-gramu komanso gram-negative. Mankhwala opha maantibayotiki amatumikiridwa kudzera m'mitsempha, kawiri pa tsiku.

Chofunikira kwambiri pazachipatala chothandizira. M'masiku oyambilira ochulukirachulukira, odwala onse omwe ali ndi chidakwa cha pancreatitis amasonyezedwa njala yonse. Izi zimapangitsa kugwira ntchito kwa mpweya wabwino. Pambuyo pa masiku 4-5, zakudya zosavomerezeka (tebulo Na. 5) zimayikidwa ndi ziletso zamafuta ochepa, mafuta, okazinga, amchere komanso zakudya zazonunkhiritsa. Zosiyidwa kwathunthu ndi zinthu zomwe zimachulukitsa ntchito zachinsinsi za kapamba (zakumwa zoledzeletsa ndi zakumwa zoziziritsa kukhosi, khofi, bowa, mitundu yonse ya mtedza, mkate watsopano, maswiti). Zakudya zambiri zamapuloteni zimayambitsidwa muzakudya (mitundu yamafuta ochepa a nyama ndi nsomba, chimanga, zinthu zamkaka ndi zakumwa). Zakudya zosiyanasiyana zimakhala zamasamba. Kuchokera pa zipatso, kugwiritsa ntchito maapulo ophika kapena mapeyala kukuwonetsedwa. Zakumwa, zodzikongoletsera ndi teti, zakudya, zonunkhira kuchokera ku zipatso zouma kapena zipatso zimaloledwa. Chakudya chimayenera kukhala pa wotchi, kasanu patsiku, m'magawo ang'onoang'ono.

Kudyetsa chakudya ndi gawo limodzi lofunika la mankhwalawa mowa. Muyenera kutsatira mfundo za zakudya zoyenera osati kuchipatala, komanso pambuyo poti musiye. Zakudyazo ziyenera kukhala mtundu wa moyo wa wodwala. Izi zikuthandizira kupewa kutupa kwa kutupa kapena kutulutsa kwina kokwanira, kukulitsa nthawi yachikhululukiro, kuthetsa zizindikiro za chifuwa chachikulu.

Wowerengeka mankhwala a uchidakwa matenda a kapamba

Zowawa zimayimitsidwa ndikuphatikizidwa kwa antispasmodic (No-shpa, Papaverin, Platiffilin) ​​omwe ali ndi mankhwala osokoneza bongo a anti-yotupa (Indomethacin, Diclofenac, etc.). Ndi kusagwira ntchito kwa mankhwalawa, kukhazikitsidwa kwa Promedol kapena blockade ya mitsempha yamatumbo ndi plexuses kukuwonetsedwa.

Monga momwe zimakhalira pachakudya, njala imayikidwa, ndiye kudya kosavomerezeka. Kuti zitsimikizire mokwanira ziphuphu, ma proton pump blockers (Omeprazole kapena Omez) ndi histamine blockers (Ranitidine, Famotidine) amawonjezeranso mankhwalawo.

Kuperewera kwa pancreatic secretion kumalipidwa ndi enzyme m'malo. Pazifukwa izi, wodwalayo ayenera kugwiritsa ntchito mankhwala a Creon (kapena Pancreatin) nthawi iliyonse chakudya. Mulibe ndulu za bile zaukali, ndipo kuchuluka kwa michere yokumba ndi kokwanira kugaya chakudya chomwe chikubwera.

Zofunika! Ngati wodwala atatha kumwa mowa, ndiye kuti mankhwalawa amalephera kuchitika nthawi iliyonse. Pokhapokha kukana kwathunthu zakumwa zoledzeretsa komanso zakumwa zoledzeretsa titha kulankhula za kuchira ndi kubwezeretsa ntchito za pancreatic.

Mankhwala othandizira

Ndi mikhalidwe yovuta kwambiri, funso lothandizira opaleshoni limathetsedwa. Poterepa, kwathunthu kapena pang'ono pang'onopang'ono chiwalocho chimachitika. Opaleshoniyo akuwonetsedwa pakugwa kwa kapamba kapenanso pazotsatirazi:

• Fistulas (njira yodutsa ndi njira zolumikizira tinthu tating'onoting'ono ndi ziwalo zina).
• Cysts ndi abscesses (m'malo mwa malo a necrotic, malo omwe ali ndi mawonekedwe amadzimadzi). Ngati madziwo alibe kachilomboka, ndiye kuti matendawa amatchedwa cyst, ngati ali ndi kachilombo ndikudzazidwa ndi mafinya - chithupsa.
• Kukhalapo kwa chotupa cha khansa mu kapamba, wotsimikiziridwa ndi ultrasound, CT kapena MRI ndi laparoscopy.
• Kufalikira kwa chachikulu kapena zowonjezera pancreatic duct. Pankhaniyi, kutuluka kwazinthu zobvuta kumakhala kovuta, gland imakhala ikuchitika tsiku ndi tsiku ndi ma enzymes ake, omwe amawopseza moyo wa wodwalayo.

Kupewa ndi moyo

Gawo lofunika kwambiri la kupewa ndi kukhala ndi moyo wathanzi, womwe umaphatikizapo kusiya kusuta kwathunthu ndi kumwa mowa, makamaka m'malo mwa mowa. M'moyo wanu wonse, muyenera kutsatira mfundo zachakudya zopatsa thanzi: kutsimikizika kumakhala pazakudya zama protein, kukana kudya zamafuta, okazinga ndi zakudya zoperewera. Chaka chilichonse, gastroenterologist amayenera kukumana ndi kupewa. Malangizo osavuta koma othandiza awa adzakuthandizani kupewa matenda osasangalatsa ngati amenewa.

Mphamvu ya mowa pa kapamba

Madokotala nthawi zambiri amayenera kuyankha funso: Kodi mowa umaloledwa chifukwa cha kapamba? Yankho lake ayi! Kamodzi m'mimba, mowa wa ethyl umalowa mwachangu m'magazi ndikufalikira m'thupi lonse. Kufika kapamba, zakumwa zaukali zimakulirakulanso katulutsidwe ka kapamba. Monga mukudziwa, ethanol amatha kutunga madzi m'maselo, omwe amachititsa kuti ma enzymes azikhala ndi madzi ochepa.

Munthawi yabwinobwino, katulutsidwe wa kapamba amafikira duodenum, pomwe njira yopukusa chakudya imayamba. Koma pakumwa mowa, kupindika msana kumachitika, ndipo ma enzymewo amakhalabe m'matumba a kapamba, zomwe zimayambitsa kutupa. Mowopsa kwambiri ndi mowa womwe umamwa pamimba yopanda kanthu. The mayamwidwe a ethanol mu chapamimba mucosa zimachitika yomweyo, ndende kuchuluka, zotsatira zimachulukana.

Mukukhululuka

Kuchotsedwa ndi nthawi ya matenda osachiritsika, pamene zizindikiro zake zimakhala zofatsa kwambiri kapena sizikupezeka. Pakadali pano, kapamba samawoneka, ndipo kapamba amagwira ntchito ngati chiwalo chathanzi, akuchita ntchito zotchulidwa ndi chilengedwe. Komabe, kumwa mowa kwa anthu omwe adakonzedweratu ku matendawa, pakalibe zizindikiro, ndikothekanso, popeza zinthu zitha kusintha kwambiri miniti. Kupezeka kwobisalira pancreatic ku duodenum kutsekedwa, njira yogawa minofu iyamba.

Mu gawo la pachimake

Mu gawo la pachimake, kapamba ndiye wowopsa kwambiri. Matenda a wodwalayo amatha kuwonongeka mwachangu. Chifukwa chake, ndikumva kupweteka kwambiri pamimba, kufikira kumbuyo, limodzi ndi mseru, kusanza, kutentha thupi ndi matenda ambiri zimasonyezedwa.

Zachidziwikire, kugwiritsa ntchito madzi akumwa omwe ali ndi zakumwa pamaso pa zizindikiro zotere ndi zoletsedwa. Mowa umakulitsa matendawa ndipo umadzetsa zovuta zambiri, kulumala, makamaka pamavuto akulu kwambiri, mpaka kufa.

Nthawi yayitali matenda

Pancreatitis yachilendo ndi njira yotupa m'matumba omwe amakhala nthawi yayitali komanso ndi mawonekedwe ofatsa: kupweteka pang'ono m'matumbo, nseru, kusanza, kupindika, kuchepa kwa chilimbikitso ndi kuchuluka kwa mpweya.

Kugwiritsa ntchito moledzera pancreatitis yosokoneza bongo kumapangitsa kuti maselo a pancreatic akhale ndi mpweya komanso michere. Acetaldehyde (chinthu chowola cha ethanol) chimayambitsa kupangika kwa minofu yaying'ono pamakoma a mitsempha yamagazi, kufa kwa minofu, kukulitsa kwa necosis ya pancreatic, ndipo kutupa kwa purulent kumayamba.

Pancreatitis ndi mitundu yosiyanasiyana ya mowa

Mitundu yayikulu yamitundu imadziwika: pa kukoma kulikonse, mtundu ndi chikwama. Bokosi lirilonse kapena mtsuko uli ndi ethanol yamaudindo osiyanasiyana, omwe amawononga mphamvu ya kapamba.

Zikuwoneka kwa odwala kuti kuvulaza mowa kumadalira kuchuluka kwa mowa. Funso lazomwe mungagwiritse ntchito ndi pancreatitis limamveka ndi dokotala aliyense phwando. Ganizirani za zakumwa zotchuka kwambiri panjira iyi.

Mowa ndi Pancreatitis

Nthawi zambiri, odwala omwe ali ndi kutupa kwa kapamba mumkhalidwe wachikhululukiro molakwika amakhulupirira kuti tsopano ndizovomerezeka kupuma ndikumwa kapu ya mowa. Komabe, pambuyo pakukula kwa thanzi latsoka popanda zizindikiro za matendawa, minyewa yomwe ikukhudzidwa siyikhala yathanzi, khalani pachiwopsezo chomwa mowa. Mowa wokhala ndi kapamba sangachitike ngati mankhwala otetezeka. Zakudya za Ethanoli, ngakhale zazing'ono Mlingo, zimatha kuyambitsa nthendayi ndikuwonjezera thanzi la wodwalayo!

Kuphatikiza pa mowa, mowa umakhala ndi zoteteza, zowongolera, mpweya woipa, zomwe zimalepheretsa kugwira ntchito kwa kapamba ndikuwononga minofu ya thupi. Dziwani mndandanda wokwanira wa zakumwa, womwe umadzetsa kuchuluka kwa insulin, yomwe imapangitsa gawo lina. Chifukwa chake, ngakhale mowa wopanda mowa umasiyanitsidwa ndi zakudya za odwala a kapamba.

Kodi vinyo wofiira ndi wabwino pancreatitis?

Maganizo enanso olakwika ndi kugwiritsa ntchito vinyo wofiyira mu Mlingo waung'ono pakatupa. Alangizi a "chithandizo" ichi amatsogozedwa ndi kafukufuku wa asayansi omwe atsimikizira kuti ndiwothandiza polimbana ndi matenda a pancreatic a antioxidant resveratrol, omwe amapezeka mphesa zofiira. Zowonadi, maphunziro awa alipo. Koma vinyo wokhala ndi pancreatitis amakhalabe mankhwala osatetezeka.

Musaiwale kuti vinyo wofiira weniweni pamphepete mwa malo ogulitsa ku Russia ndi osowa, zomwe zili mu ethanol ndi zovuta zomwe zakumwa sizimasinthidwa. Ngati mumathandizidwa ndi antioxidants, idyani zabwinozo mwanjira ya mphesa.

Mowa wamphamvu komanso kapamba

Mwinanso, vodka ya kapamba, limodzi ndi mitundu ina ya mowa wamphamvu (whiskey, cognac, kuwala kwa mwezi), imabweretsa zowononga kwambiri kapamba. Kuchuluka kwa ethanol mu zakumwa zotere ndikokwera kwambiri kuposa vinyo kapena mowa, zomwe zimatanthawuza kuti kuchuluka kwa magazi m'magazi komanso zovuta za minofu yathupi kumaonekera kwambiri.

Ngakhale kapu ya vodika pamadyerero osangalatsa ikhoza kutha mosamalitsa. Palinso malingaliro olakwika akuti kugwiritsa ntchito mowa wokwera bwino osokoneza bongo sikuyipitsa chitukuko cha kapamba. Palibe mowa womwe ungaganizidwe kuti ndi wotetezeka kwa anthu omwe ali ndi matenda ampamba.

Zoyambitsa Pancreatitis

Ndikofunika kwambiri kudziwa chifukwa chake kapamba angawoneke, kotero kuti ndizotheka kupewa pang'ono pang'ono matenda. Chifukwa chake, zifukwa zazikulu ndizophatikizira:

1. Kugwiritsa ntchito zakumwa zoledzeletsa zamphamvu zosiyanasiyana. Ngati munthu agwiritsa ntchito zakumwa zoledzeretsa nthawi zonse, ndipo moyipitsitsa, samayang'anira kuchuluka kwa oledzera, potero kuyika thupi pachiwopsezo chachikulu. Choyamba, kapamba amayankha izi. Iye pakanthawi kochepa mothandizidwa ndi mowa wambiri amasiya kukwaniritsa ntchito zake, amaika pangozi thupi lonse
2. Matenda a Gallstone, pomwe mwala umatha kuletsa chimodzi mwazizirazo, pomwepo umayambitsa kutupa kwambiri
3. Matenda a Duodenal monga duodenitis ndi zilonda zam'mimba
4. Kupangira opaleshoni pamimba kapena thirakiti la biliary. Pa nthawi ya opareshoni, matenda amatha kuyambitsidwa, omwe pakapita nthawi amafalikira mobwerezabwereza, akukhudza ziwalo zazikulu. Ndipo choyambirira chomwe chimalowa m'njira yake ndi kapamba
5. Kuvulala kwam'mimba nthawi yomwe kapamba amatha kuwonongeka
6. Kumwa mankhwala ena, pazotsatira zoyipa zomwe zimawonongeka chifukwa cha kapamba
7. Mavuto a metabolism
8. Khalidweli

Madotolo adazindikira kuti pafupifupi 30 peresenti ya milandu, ngakhale atawunika kwathunthu komanso panthawi yake, sangathe kudziwa bwinobwino zomwe zimayambitsa matendawa kuti athetse vuto lomwe lingayambitse.

Pancreatitis imathanso kuchitika chifukwa ch kumwa mankhwala ena ake.

Pancreatitis imatha kuoneka ngati yovuta kapena yovuta. Ndipo ngakhale ndimavuto opweteka kwambiri, anthu ena ali ndi chidwi ndi nkhani ya kumwa mowa ndi matenda awa. Osatengera chomwe chimayambitsa matendawa, zizindikilo zake zizikhala motere:

1. Zowawa kwambiri, ndipo odwala ena akunena kuti sizingatheke. Ndipo pafupifupi ma painkiller onse alibe zotsatira zoyenera. Nthawi zina ngakhale chithandizo chachipatala sichinaperekedwe pa nthawi, kunjenjemera kumatha kuchitika, komwe kumakhala kovuta kuti munthu atuluke
2. Kutentha kwambiri kwa thupi, komwe kumadzuka ngati njira yotupa m'mthupi
3. Mavuto opanikizika, amatha kuwonjezera ndi kuchepa
4. Sinthani mawonekedwe. Madokotala amazindikira kuti zonse mu mawonekedwe owuma komanso osakhazikika, pang'onopang'ono khungu la nkhope limayamba kusintha mtundu kuchoka pakuwala kupita ku imvi
5. Hiccups. Si aliyense amadziwa, koma ma hiccups omwe amapezeka pafupipafupi komanso opanda chifukwa amatha kukhala chizindikiro cha kapamba, ndipo chokhacho
6. Kusanza ndi kusanza. Chizindikiro chodziwika kwambiri mu kapamba yayikulu ndi kusanza, komwe sikubweretsa mpumulo, ngakhale kwakanthawi kochepa.
7. Mavuto azimbudzi, monga kudzimbidwa kapena kutsegula m'mimba. Kutengera ndi momwe thupi limayankhira kumatendawa, munthu amatha kukhala ndi ziwengo zotayirira, zomwe zimayenda ndi fungo losasangalatsa, kapena, kudzimbidwa ndi kupweteka kwambiri pamimba komanso kutulutsa kwampweya kovuta.
8. Kupuma pang'ono, komwe nthawi zambiri kumawoneka ngati kusanza mobwerezabwereza
9. Kamvekedwe ka khungu lamtambo

Zizindikiro zoyambirira za kapamba wam'mimba zikaonekera, muyenera kuyimbira ambulansi, popeza vutoli limakulirakulira mphindi iliyonse. Ponena za matenda am'mimba kapamba, ndiye kuti ndizosiyana pang'ono:

• Zomverera zopweteka zimawonekera pafupifupi mphindi 15 mutatha kudya. Komanso, alibe mphamvu ndipo amadutsa kwakanthawi
• Zowopsa zambiri zimayamba kuzunza mutatha kudya mafuta, zonunkhira, zotsekemera
• Kusanza kwamkati ndi kusanza
• Kamvekedwe kakhungu ka chikaso komwe kamatha kuwoneka ndi kuzimiririka

Mukanyalanyaza matendawa ndikupitilizabe kukhala ndi moyo wabwino, mutha kupeza matenda a shuga mosavuta.

Mowa mu kapamba

Pancreatitis ndi mowa sizigwirizana!

Chimodzi mwamafunso osangalatsa omwe amafunsidwa ndi odwala ambiri omwe amapezeka ndi kapamba, monga tafotokozera pamwambapa, ndi kuvomerezeka kwa kumwa mowa. Madokotala ena atha kukuloletsani kumwa pafupifupi magalamu 50 a vinyo, koma sizokayikitsa kuti wina angaime pamalingo awa.

Nthawi zambiri, kupitiriza kumachitika. Ichi ndichifukwa chake odwala omwe ali ndi pancreatitis yayikulu kapena yovuta kwambiri amaletsedwa kumwa mowa:

• Ngakhale zazing'onoting'ono kwambiri, zikafika pagalasi limodzi, mowa umathandizira kuti ziwonongeko za maselo a chamba awonongeke
• Ngakhale nditamwa pang'ono kapena pafupifupi ndi zakumwa zakumwa zakumwa, chifukwa mulimonsemo, imalowa m'magazi, kenako mpaka kapamba
• Ngakhale mu confectionery. Panthawi yophika makeke ndi makeke, confectioners, kuti athandize kusintha kwawo ndikupatsa chithumwa chazonchi, onjezerani zakumwa zambiri, cognac, ndi zina zotere. Pancreatitis, muyenera kuwerengera mosamalitsa kapangidwe kazinthuzo kuti mupewe ngakhale mowa wochepa

Odwala ena amakhulupirira kuti ngati matendawa adadwala kwambiri, kapena nthawi yochira wafika ndipo mkhalidwe wayenda bwino, mutha kuyamba kudya mosayenera ndikumwa mowa. Sizoletsedwa kuchita izi, chifukwa ngakhale galasi limodzi limatha kupepuka ndipo chithandizo chonse chomwe chikuchitika ndi "ayi."

Asayansi atsimikizira kuti ndi mowa womwe umayambitsa kukula kwa matendawa pafupifupi 50. Izi zili choncho makamaka kwa anthu omwe sadziwa kumwa ndikuwonjeza matupi awo.

Munthawi yabwinobwino (yathanzi), kapamba amapanga pafupifupi malita awiri ndi theka a madzi a kapamba tsiku limodzi, omwe amakhala ndi ma enzyme ofunikira kuti magwiritsidwe ntchito a dongosolo lonse la chimbudzi. Koma zimachitika kuti ndimeyo yatsekedwa, ndipo madzi onse a pancreatic amayambiranso, ndikuwononga ziwalo.

Zomwe zimawononga kwambiri ndikumwa mowa, zomwe zimapangitsa kuti magazi azitupa m'matumbo, chifukwa sizitulutsa michere yomwe imathandizira kuti igwetse. Mowa womwe umalowa m'magazi umapangitsa kuti serotonin ipangidwe, zomwe zimapangitsa kuti zikondamoyo zizipanga shuga wambiri. Chifukwa chakuchepetsa kwa ma ducts, madziwo sangathe kusiya kapamba ndipo amayenda mkati mwake, pomwepo akumabaya yekha maselo ake.

Ndipo m'malo mwa zakumwa zoledzeletsa ndi zakufa, mafomu amtundu wolumikizana, omwe sangatulutse insulin mwanjira iliyonse, ndipo, motero, matenda a shuga amatha. Chifukwa chake, yankho ku funso loti ngati ndizotheka kumwa mowa ndi kapamba, ndikofunikira kuyankha motsutsana "ayi." Kupanda kutero, mkhalidwe wa wodwalayo umangokulirakulira, ndipo chithandizo choyambirira sichingapereke zotsatirapo zabwino.

Zotsatira za kumwa mowa

Ndi mowa womwe umawononga maselo a pancreatic

Mowa ndi chimodzi mwazifukwa zazikulu zomwe zingapangitse munthu kuti akhale ndi kapamba. Ndipo ndichifukwa chake akagwiriridwa, pamakhala zotsatilapo zingapo. Odwala omwe amapezeka ndi pancreatitis ali ndi malingaliro amodzi olakwika kwambiri. Amakhulupirira kuti ndizoletsedwa kumwa mowa kokha panthawi ya pachimake, kupweteka kwambiri, kusanza, malaise ambiri, etc. kumuzunza.

Koma ngati mukumva bwino ndipo matendawa alowa gawo la kukhululuka kosalekeza, kuletsa kotereku kukhoza kuphwanyidwa mosavuta, chifukwa anthu ambiri amaganiza kuti vutoli lidayamba kale.

Palibe phindu kwa anthu omwe ali ndi vuto la zakumwa zoledzeretsa kuti afotokozere za zovuta zakumwa za kapamba, chifukwa amatha kudzikhutiritsa okha ndi ena kuti gawo laling'ono la ngakhale chakumwa chachikulu sichidzakhudza thanzi lawo. Kugwiritsa ntchito zakumwa zoledzeretsa mu pancreatitis yayitali kumatha kubweretsa zotsatirapo zingapo, kuphatikizapo:

• Kuchepa kwamatendawa, pomwe nthendayo imakulirakulira, ndipo ngati chithandizo cha kuchipatala sichinapatsidwe panthawi, vuto la kupweteka lingachitike
• Kuchulukitsa kwa matenda ena osachiritsika
• Type 2 shuga
• Kukula kwa kapangidwe ka matenda a pancreatic necrosis, zomwe zimapangitsa kuti gawo lina la maselo a chiwalo limangofa ndikusinthidwa ndi minyewa yolumikizana
• Imfa, makamaka ngati munthu wakhala akumwa mowa wambiri, ngakhale amalangizidwe ndi madokotala

Osati nthawi zonse ndipo aliyense samvera upangiri wa madokotala, pakukhulupirira kuti iwonso amadziwa zambiri, ndipo makamaka akutsimikiza kuti ali ndi matupi athu komanso zomwe sizili bwino.

Kuchiritsa kwa kapamba

Zakumwa zoledzeretsa komanso zamafuta ndi adani a kapamba!

Pofuna kukonza thupi lanu, makamaka mukamwa mowa, muyenera kutsatira izi:

1. Chotsani moledzera zakumwa zoledzeretsa, ngakhale zilibe gawo lalikulu la ethanol.
2. Amakhulupirira kuti mlingo woopsa, pambuyo pake kuledzera kwambiri, umakhala magalamu 50
3. Yeretsani thupi, mwachitsanzo, tsiku lina osadya chilichonse, imwani madzi okha kuti poizoni atuluke mwachangu kwambiri

Mwakutero, izi ndi zonse zomwe munthu angachite yekha. Kuyeretsa kwathunthu kwa ziwalo ndi kapamba kumachitika kokha mu zipatala, komwe, moyang'aniridwa ndi dokotala, munthu amalandila gawo la mankhwala ofunikira kuti thupi lonse lizigwira ntchito.

Pancreatitis ndi mowa ndizinthu zosagwirizana. Ndipo ngakhale odwala ena amayesa kudzidzidzimutsa ndikuwonetsa kuti galasi limodzi sachita chilichonse, sizili choncho konse. Ndi galasi iyi yomwe imatha kukhala chofunikira kuti chibwererenso, ikanikizeni kapamba kuti apange michere yokulirapo, motero, kufa kwa maselo. Chifukwa chake, palibe chifukwa chake muyenera kupatuka pa malingaliro a akatswiri ndikumwa mowa, popeza chakumwa chimodzi chagalasi chimatha kuwononga thanzi lanu.

Mowa wokhala ndi kapamba wam'mimba amatsutsana - pazankhaniyi:

Mowa pancreatitis ndi matenda omwe zizindikiro zake zimatha kukhala ndi pachimake komanso chakhansa. Chifukwa chake, chithandizo chikuyenera kusankhidwa payekha pachilichonse. Pancreatitis ndi kutupa kwa kapamba, komwe kumayambitsa kuphwanya chinsinsi cha michere ya m'mimba. Matendawa m'mawonekedwe ake owopsa amakhala pachiwopsezo cha moyo, chifukwa chake ndikofunikira kwambiri kuti musangochotsa zizindikirozo, komanso kuchitira chithandizo chanthawi yake.

Zizindikiro ndi etiology

Mowa pancreatitis umatha kuchitika chifukwa cha uchidakwa, komanso pambuyo pa kumwa kamodzi. Poterepa, mtundu wa mowa suyenera kuchita. Asayansi ena amati nthendayi ndi zotsatira za chibadwa chamunthu.

Choyambitsa chidakwa cha pancreatitis ndicho kuphwanya umphumphu wa maselo a kapamba mothandizidwa ndi zakumwa zoledzeretsa za ethyl mowa ndi zinthu zina zomwe zimapangidwa panthawi yomwa zakumwa zoledzeretsa. Potere, edema imayamba kukhazikika, gland imakulanso kukula ndikuwumiriza ziwalo zoyandikana. Izi zimadzetsa ululu waukulu. Kuphatikiza apo, vuto la dyspeptic limachitika, lomwe limawonetsedwa ndikusunthika kwa katemera wa kapamba. Chifukwa cha kusintha koteroko, minyewa yabwinobwino ya ndulu imasandulika kukhala yokhudzika ndikuchuluka ndi mafuta, ntchito ya endocrine imasokonezeka, chifukwa chomwe matenda a shuga amatha.

Matendawa agawidwa m'mitundu iwiri:

1. Pachimake mowa wapamba. Zambiri mwa anyamata. Amayamba chifukwa chomwa mowa wambiri (makamaka kuphatikiza ndi zakudya zamafuta komanso kusuta).
2. Matenda oledzera apakhungu. Zizindikiro za matenda amtunduwu zimatha kuwoneka kwa nthawi yayitali. Nthawi zambiri zimachitika chifukwa chomwa mowa nthawi yayitali. Chitha kukhala chifukwa cha matenda.

Zizindikiro za kapamba a zakumwa zoledzeretsa zimatha kukhala motere:

• chisangalalo, belching,
• kusowa kwa chakudya
• nseru, kusanza (makamaka mukatha kumwa mowa kapena zakudya zamafuta),
• kupweteka kwa mtundu wa lamba,
• kuwonda msanga
• mofulumira chopondapo
• malungo
• kufooka, kutopa kwambiri.

Kuzindikira ndi kuchiza

Musanayambe chithandizo, ndikofunikira kudziwa bwino matendawa. Kuti muchite izi, maphunziro otsatirawa amachitika:

• kusonkhanitsa kwa anamnesis matenda ndi madandaulo a wodwala,
• kuyezetsa magazi kwakukulu,
• kuyesa kwamwazi wamagazi,
• urinalysis
• ambiri matenda kusanthula ndowe,
• mayeso a cerulein kapena a secretin-pancreosimine (omwe amagwiritsidwa ntchito kuti aoneke magwiridwe antchito a kapamba ndi kuthekera kwa thupi kuchita nawo chimbudzi),
• kupenda kwam'mimba pamimba,
• composed tomography yam'mimba,
• magonedwe amatsenga,
• Kuunika kwa X-ray pamimba,
• endoscopic ultrasonography,
• kuphunzira kwa ma ducts a bile ndi ma pancreatic ducts ogwiritsa ntchito probe yosinthika ndi kamera.

Kutengera ndi zomwe zapezeka, adotolo amakhazikitsa njira zofunikira kuchitira chithandizo moyenera momwe angathere. Mankhwala okhala ndi enzyme nthawi zambiri amapatsidwa mankhwala. Kuti muchepetse zovuta zosasangalatsa, ma analgesics ndi antiemetic mankhwala amapatsidwa. Kuphatikiza apo, zakudya zapadera zimakhazikitsidwa ngati mankhwala othandizira, omwe amatanthauza kukana kwathunthu kwazinthu zina. Pankhani ya matenda oopsa, kuyenera kuchitidwa opaleshoni ndikuchotsa gawo lina la chiwalo.

Njira zopewera

Pofuna kupewa kufalikira kwa matendawa, ndikofunikira kutsatira zotsatirazi:

• gwiritsitsani zakudya zoyenera komanso zopatsa thanzi,
• kusiya kusuta
• kupatula kudya zakumwa zoledzeretsa, makamaka molumikizana ndi zakudya zamafuta,
• munthawi yake ndi chithandizo cha matenda opatsirana komanso yotupa ya m'mimba thirakiti.

Ngati mukuwona zizindikiro zilizonse za matendawa, muyenera kufunsa dokotala nthawi yomweyo. Kuti muchotseretu pancreatitis yoledzeretsa ndikuletsa matendawa kuti asadwale, ndikofunikira kuzindikira bwino komanso chithandizo chanthawi yake.

Zizindikiro za matendawa

Pa nthawi yaukali mankhwala osokoneza bongo kapamba, zizindikiro monga:

• kupweteka kwambiri m'mutu
• kusanza ndi kusanza
• kutentha kwa mtima
• kutsegula m'mimba
• Chimbudzi cholakwika
• kupweteka m'mimba, komwe kumadutsa mu hypochondrium ndi kumbuyo.

Mtundu wa zowawa nthawi zonse umakhala wosiyana - kuyambira zazing'ono, pafupifupi zosaphatikizika mpaka zamphamvu kwambiri.

Kudya nyama yamafuta ndi mowa kumatha kuyambitsa matenda a kapamba

Zofunika! Ululuwu umakulirakulira pamene wodwalayo wagona kumbuyo kwake, ndikutsikira ngati wodwala wakhala pansi kapena wopindika. Mukatha kudya, kupweteka kumatha kuchuluka kwambiri.

Wodwala yemwe ali ndi matenda osokoneza bongo a pancreatitis mwadzidzidzi amayamba kuchepa thupi, kulakalaka kumangokhala pang'ono kapena kutayika kwathunthu. Ngati pancreatitis ikayamba kukhala ndi matenda osokoneza bongo, ndiye kuti kulakalaka, m'malo mwake, kumawonjezera, wodwalayo amakhala ndi ludzu komanso njala nthawi zonse.

Chimodzi mwazinthu zodziwika za matenda osachiritsika a chidakwa cha pancreatitis ndi kupezeka kapena kufalikira kwa shuga. Izi ndichifukwa choti pancreatitis yosatha, kupanga kwa insulin kumasokoneza.

Yang'anani! Ngati matendawa sanalandiridwe kwa nthawi yayitali, chotupa kapena chotupa cha kapamba zimatha kupanga. Kuphatikiza apo, odwala omwe ali ndi vuto loledzera pancreatitis amatha kukhala jaundice ndi ascites.

Chithandizo cha matenda a mtima

Zofunika! Pozindikira pancreatitis yoledzera yaukali, wodwalayo ayenera kukana zakumwa zilizonse zokhala ndi zakumwa zoledzeretsa, apo ayi chithandizo chonse chomwe chingadutse sichingadzetse zotsatira.

Mankhwalawa matenda osokoneza bongo pancreatitis, ndikofunikira:

• Chotsani poizoni tonse m'thupi,
• kuchepetsa ululu
• bwezeretsani mphamvu zonse za kapamba ndi ziwalo za m'mimba, zomwe zimadodometsa chifukwa cha kuledzera kwa thupi.

Chithandizo cha mankhwala osokoneza bongo a pancreatitis nthawi zambiri chimayamba ndi zochitika zina, zomwe zoyambirira ndizosala kudya, zotchulidwa kwa masiku angapo. Munthawi imeneyi, wodwalayo amafunika kugwiritsa ntchito madzi ochepa okha opanda mpweya, kenako natsata zakudya Nambala 5. Chithandizo chikuyenera kuchitika kokha kuchipatala moyang'aniridwa ndi madokotala. Kupatsa thanzi kwa thupi kumachitika pokhapokha ngati obwera ndi jakisoni.

Kuti muchepetse kupweteka, lipatseni mankhwala onunkhiritsa komanso mankhwala omwe amachepetsa kukokana. Mankhwala omwe amachepetsa ululu sangathe kudzisankhira pawokha, ayenera kuthandizidwa ndi adokotala, chifukwa mankhwala ambiri amaletsedwa mu matenda monga kapamba. Opaleshoni ndi jekeseni tikulimbikitsidwa. Monga antispasmodics, No-shpa ndi Papaverin amagwiritsidwa ntchito.

Chithandizo cha zakumwa zoledzeretsa za pancreatitis

Kuti muchepetse kapamba ndi kuzichita kukhala zabwinobwino, wodwalayo amapatsidwa njira yokonzekera enzyme monga Mezim, Creon. Ndikofunika kukumbukira kuti kudya mankhwalawa kwa nthawi yayitali sikulimbikitsidwa.

Maantacid - Maalox, Almagel amathandizira kupweteka kwamtima. Musanagwiritse ntchito, muyenera kufunsa dokotala ndikuwerenga malangizo mosamala, chifukwa mankhwalawa ali ndi mavuto.

Kuti muchotse zinthu zonse zapoizoni m'thupi, mankhwalawa amathandizira mafuta othandizira - mankhwala opangira mafuta amoto, Chitosan, Sorbex, smecta, Sorbolong, Polysorb, Atoxol, Omeprazole, Diacarb.

Ngati chithandizo chotere sichithandiza ndipo njira yotupa ikupitirirabe, ndiye kuti wodwalayo ndi amene amamuchitira opaleshoni. Pakukonzekera, gawo lowonongeka la kapamba limachotsedwa, nthawi zambiri pamakhala zochitika. Ndikofunika kudziwa kuti pambuyo pa opaleshoni pochiza matenda osokoneza bongo a pancreatitis, sipangakhale kulankhulaku kuchira kwathunthu. Ndi chithandizo cha opaleshoni, kuchulukitsa kwa shuga ndikotheka.

Zakudya zapadera 5

Nthawi zambiri, pochiza pancreatitis yayikulu, chakudya No. 5 chimayikidwa, kapena, monga momwe chimatchulidwira mwanjira ina, tebulo lachisanu la pancreatic.

Cholinga chachikulu chakudyacho ndi kusintha ntchito zonse za kapamba. Zakudyazo zimaphatikizapo kuchuluka kwa mapuloteni, zakudya zonse yokazinga zimaperekedwa kunja kwa zakudya. Kudya kumayenera kukhala kwamtundu umodzi, m'malo ochepa 5-6 pa tsiku.

Zakudya nambala 5

Pazakudya, msuzi wosenda ndi mbatata zosenda ziyenera kupitilira. Nyamayo iyenera kukhala yoyonda, pomwe ndikofunikira kuchotsa tendons yonse ndi cartilage kuchokera pamenepo. Nyama ndi zinthu kuchokera pamenepo zimatha kuwiritsa ndi kuwotcha. Nsomba ziyeneranso kukhala zamtundu wamba, zitha kuwiritsa, kuwotchera ndi kuphika mu uvuni. Zinthu zonse zamkaka ziyenera kukhala zochepa m'mafuta. Mazira amathanso kudyera ngati omelet ya protein. Chiwerengero cha mazira sichidutsa 2 PC. patsiku. Mutha kudya mbewu monga chimanga, yophika m'madzi ndi mkaka wochepa. Tiyenera kudziwa kuti mbewu zonse zophika zophika. Masamba amathanso kudyedwa mu mawonekedwe owiritsa okha. Zipatso zonse zimadyedwa ziyenera kukhala zofewa komanso zopanda acid. Kuchokera ku zakumwa zomwe mumamwa mungathe kumwa tiyi wopanda mphamvu ndi mandimu, misuzi ya zipatso yothiriridwa ndi madzi. Mkate uyenera kumadyedwa pang'ono kapena ngati obalaza. Shuga ayenera m'malo ndi xylitol.

Wodwala wodwala kapamba sayenera kudya bowa, zophika zatsopano ndi batala, mafuta osuta komanso nsomba, chiwindi, nsomba zamzitini ndi caviar. Muyeneranso kupatula adyo, anyezi, radara. Mphesa, nthochi, khofi, zakumwa zozizilitsa thupi siziyeneranso kumwa.

Ndikofunikira kusiya kotheratu kugwiritsa ntchito zakumwa zoledzeretsa komanso fodya