Zizindikiro ndi zoyambitsa za kapamba mwa abambo

Mphepoyi ndi chiwalo chofunikira chomwe chimapanga michere ya m'mimba ndi mahomoni omwe amalamulira kagayidwe kazachilengedwe. Pancreatitis (kutukusira kwa gland iyi) kumayamba pazifukwa zosiyanasiyana. Nthawi zambiri, amuna achikulire amadwala matenda amtunduwu: izi zimachitika chifukwa chodzipereka pang'ono pa moyo wathanzi, kudya moyenerera komanso kusasamala zaumoyo wawo. Zizindikiro za zotupa za m'mimba mwa amuna zimadalira chomwe chimayambitsa matendawa, gawo la kutupa, kukula kwakuwonongeka kwa chiwalo.

Zimayambitsa kapamba mwa amuna

Kutupa mu kapamba kumayamba chifukwa cha mphamvu ya zinthu zakunja kapena zamkati.

Zomwe zimayambitsa pancreatitis:

Zakudya zopanda pake: kudya zakudya zamafuta, zamchere, komanso zonunkhira. Zakudya zothiridwa, kusuta, ndi kuzifutsa zimasokoneza ntchito ya gland. Chakudya chosasamba, mbale zotentha kwambiri kapena zozizira zimayambitsa kwambiri ntchito ya exocrine. Pogwiritsa ntchito kwambiri madzi a pancreatic ndi kuphwanya kutuluka kwake mu lumen ya duodenum, ma enzyme amayamba kuwononga minofu ya pancreatic, kuwapangitsa kukhala osasinthika, osasinthika mwa iwo.
Mowa. Zakumwa zilizonse zomwe zimakhala ndi zakumwa zimasokoneza mawonekedwe a chiwindi, kapamba, zimasokoneza ntchito zawo. Pancreatitis yovuta imapezeka pafupifupi amuna onse omwe ali ndi chidakwa.
Kusuta ndi chimodzi mwazinthu zofunika kwambiri zoopsa. Kuopsa kwa chizolowezi choipachi ndi kuwonongeka kwa kayendedwe ka magazi m'matumba a kapamba, komanso kuchuluka kwamadzi am'madzi a pancreatic, omwe amachititsa kuti gland iwonongeke.
Kupsinjika kwapafupipafupi komwe kumakhala ndi vuto pa zotengera zomwe zimadyetsa kapamba. Izi ndichifukwa chakusintha kwa kayendetsedwe ka magazi ka neuro-mahomoni pakakumana ndi zovuta.
Mankhwala osachiritsika kwa nthawi yayitali (diuretic, mahomoni, maantibayotiki ena).
Kuvulala kwa gland, chikhalidwe pambuyo pa opaleshoni.
Kukhala m'dera losasangalatsa zachilengedwe, ntchito yokhudzana ndi kuyanjana ndi hepatotropic, pancreatotropic poisons.

Zoyambitsa zamkati mwa amuna:

Matenda am'mimba. Nthawi zambiri, kapamba amayamba chifukwa cha cholelithiasis chifukwa cha kufinya kwa mapindikidwe a kapamba, chifukwa chomwe kunyamula madzi ampamba mu duodenum kumadzaza, ndikusunthika, kenako ndikusintha kwamapapo. Zomwe zimayambitsa pancreatic pathology zimakhalanso ndi cholecystitis, hepatitis, duodenitis, gastritis, zotupa za hepatopancreatobiliary system.
Matenda a chithokomiro kapena ziwalo zina za endocrine system.
Kunenepa kwambiri kwamtundu uliwonse.
Matenda am'mimba (bakiteriya, ma virus, fungal, matenda a helminth).
Kuwonongeka kwa chiwindi, kubadwa kwatsopano kwa kapamba ndi ziwalo zina zam'mimba, mitsempha yamagazi.
Thupi lawo siligwirizana mu mawonekedwe a kutupa kwa kapamba.

Nthawi zambiri, kapamba amayamba mothandizidwa ndi zinthu zingapo zoopsa.

Zizindikiro za matendawa

Zizindikiro za matendawo mwa amuna ndi akazi sizosiyana kwenikweni. Matendawa amadziwonetsa ndi zizindikiro zosiyanasiyana kutengera gawo la chotupa, mawonekedwe a kapamba, zomwe zimayambitsa, kuchuluka kwa kuwonongeka kwa kapamba.

Zizindikiro zoyambirira za kapamba mwa amuna

Zizindikiro zake zomwe zimayambitsa kukanika kumayikiridwa ndi izi:

Kupweteka kwam'mimba. Localization zimatengera pomwe pali zotupa za gland: ngati minyewa yam'mimba ya pancreatic imazunzika chifukwa cha njira ya pathological, ndiye kuti ululu umamveka mu hypochondrium yoyenera, ndikutupa kwa thupi m'dera la epigastric, ndi matenda am'mimba a chala cha hypochondrium. Nthawi zambiri ululu umakhala ngati lamba, ukugwera kumbuyo. Zimatha kupweteka ngakhale mkati mwa chifuwa kapena m'mimba. Ululu samaletseka bwino ndi analgesics kapena antispasmodics wamba.
Kubwera pansi kwa chopondapo. Odwala nthawi zambiri amadandaula za kutsegula m'mimba kapena kuwoneka kwa mushy, wonyezimira (chifukwa cha mafuta osakhazikika omwe amapezekamo) chopondapo.
Kusanza, kusanza mutatha kudya.
Kuwonjezeka kwa kutentha kwa thupi, zizindikiro za kuledzera kwambiri mu chifuwa chachikulu cha matenda oopsa komanso matenda oopsa.

Zizindikiro zimayamba pambuyo pa kudya, komanso magawo oyamba a matendawa (makamaka ndi kochita pang'ono kapena kutupa pang'ono), abambo nthawi zambiri samatengera kufunika kwa zizindikirozi, chifukwa sakonda kuthandizidwa ndipo samapita kwa dokotala. Izi zikuwoneka ndikukula kwamavuto akulu, ena omwe amaopseza moyo.

Zizindikiro za kapamba mu uchidakwa

Mowa pancreatitis nthawi zambiri amakhala ndi matenda osachiritsika komanso kuchuluka kwa zizindikiro zake pang'onopang'ono:

kuwonda
kusintha kwa khungu ndi mucous nembanemba (jaundice), mawonekedwe a zotupa pakhungu.
pafupipafupi ma pancreatogenic, omwe amachititsa kuti mavitamini ndi ma microelements ambiri azibwera ndi chakudya, zomwe zimayambitsa kusokonezeka kwa metabolic, kugwira ntchito kwa ziwalo zonse ndi machitidwe,
Zizindikiro zam'maso
Zizindikiro za matenda ashuga.

Zizindikiro zofala

Mitundu yosiyanasiyana ya kapamba imakhala ndi chithunzi chofanana ndi zamankhwala. Zizindikiro zimasiyana muukali, kutalika. Mu chithunzi cha matenda amtundu uliwonse, zizindikiro zotsatirazi zilipo:

ululu
Zizindikiro za dyspepsia,
kuledzera
Kusintha kwa khungu, mawonekedwe a pakhungu,
Kusintha kwazowonetsa za ma labotale (kusintha kwa mapangidwe amwazi amkati mwa magazi - kuchuluka kwa amylase, diastase, alkaline phosphatase kapena michere ina ya pancreatic - ndizofunikira kwambiri kuti munthu azindikire)
Kuzindikira kusintha kwa pancreatic minofu ya yotupa, chosawoneka bwino nthawi ya ultrasound, CT yam'mimba.

Mawonekedwe owoneka

Acute pancreatitis ali ndi chithunzi chowala kwambiri chachipatala. Zizindikiro zimayamba pambuyo poti mwakumana ndi chinthu chodetsa nkhawa (mowa kapena chakudya "choletsedwa"). Thanzi la wodwalayo likuchepa kwambiri.

Zizindikiro zazikulu za kutupa pachimake:

ululu wam'mimba kwanuko,
nseru
kusanza kosasinthika komwe sikukweza thanzi la wodwalayo (m'masanzi mumakhala chakudya chosasinthika, bile, ndikutulutsa magazi mkati - magazi),
ukufalikira
phokoso mokhumudwa (kutsekula m'mimba)
matenda mawonetseredwe a kuledzera matenda a kutentha thupi, kufooka, tachycardia, ochepa hypotension, mu milandu - kukomoka kwa chikumbumtima ndi ena),
hemorrhagic amawoneka pakhungu la pamimba, yomwe imapezedwa ndi kapamba (makamaka kapamba kapena kapamba).

Panthawi yodwala yodwalayo komanso chithandizo chanthawi yake, minyewa ya m'mimba imachiritsidwa, Zizindikiro zimayima kwathunthu, zizindikiro zoyeserera zibwerere mwakale, wodwalayo amachira. Koma nthawi zambiri mwa abambo, njira yodwala matendawa imakhala yochepa kwambiri chifukwa chotsika, poyerekeza ndi azimayi, kutsatira chithandizo chokwanira kwakanthawi komanso osagwirizana ndi zomwe dokotala amafufuza kuti apewe matendawa.

Zizindikiro za mawonekedwe osatha

Matenda a kapamba amakhala ndi njira ya wavy yomwe imakhalapo nthawi yochulukirapo komanso kukhululuka. Zomwe zimayambitsa matendawa zimachitika chifukwa cha zolakwika zomwe zimachitika pakudya, kuphwanya zakudya, kuvutikira ndi kupuma, mantha kapena thupi, kumwa mowa.

Nthawi yowonjezereka imakhalapo ngati kapamba kwambiri, koma zizindikilo zake sizimatchulidwa kwenikweni.

Gawo la chikhululukiro chimatha kukhala chodabwitsa kwambiri, koma patadutsa nthawi yayitali matendawa atafalikira, zikuwonetsa zisonyezo za chifuwa chachikulu cha amuna:

kusasangalala, kupweteka pamimba mutatha kudya,
chisangalalo
mavuto a chopondapo (kutsegula m'mimba kapena kudzimbidwa), kusintha kosasinthika ndi mtundu wa ndowe,
jaundice
kuwonda chifukwa cha kuchepa kwa enzyme ndipo, monga chifukwa chake, kuphwanya chimbudzi pamaso pa cachexia (kutopa kwambiri),
Zizindikiro za kuchepa kwa vitamini, magazi m'thupi (khungu, khungu lowuma, tsitsi losakhazikika, misomali, kufooka, chizungulire),
chilala, kugona, mavuto am'mimba,
Zizindikiro za matenda am'mimba chifukwa cha kuwonongedwa kwa kapamba ka endocrine.

Chithandizo cha chifuwa chachikulu cha pancreatitis chimaphatikizapo kutsatira njira yochizira yodwala, kudya kukonzekera kwa enzyme (Creon, Pancreatin), mankhwala omwe amateteza matenda am'mimba motility (Motilium), antispasmodics (No-Shpa), ndi mankhwala ena othandizira, ngati ali ofunika.

Kodi nchifukwa chiyani chamba chachikulu chimapezeka kwambiri mwa abambo kuposa amayi?

Malinga ndi ziwerengero, matendawa nthawi zambiri amakhudza amuna. Izi zimachitika makamaka chifukwa chakuti azimayi amamwa mowa kwambiri ndikudya zakudya zopanda zakudya. Kuphatikiza apo, amuna nthawi zambiri amakhala olimbitsa thupi, nthawi zambiri ntchito zawo zimalumikizidwa ndi kulimbitsa thupi kwambiri, kukweza thupi, zomwe zimakhudza mkhalidwe wapakhungu ndi ziwalo zina zam'mimba.

Makhalidwe abambo omwe amachitika mwa abambo amathandizanso kukulitsa matenda a pancreatic: amuna ambiri amakhala ndi nkhawa, chifukwa sataya mtima wawo, zomwe zimabweretsa mavuto azosokoneza maganizo. Chimodzi mwa matenda omwe ali ndi psychosomatic kwambiri ndi kapamba.

Chifukwa chiyani sindiyenera kuzengereza kulandira chithandizo?

Pancreatitis ndimatenda oopsa, omwe nthawi zambiri amabweretsa zotsatira zoyipa:

kapamba,
purulent zotupa za kapamba (kapangidwe ka zotupa) ndi ziwalo zina zam'mimba, zomwe zili pafupi ndi kapamba,
peritonitis, sepsis, poizoni wazakudya zoopsa,
magazi amkati mpaka kukhumudwa kwa hemorrhagic,
matenda a shuga ndi zovuta zina,
kwambiri cachexia
khansa ya m'matumbo.

Zinthu zoterezi ndizakufa, zimafunikira opaleshoni yomweyo (kuchotsedwa kwa ma pathological kapena chiwalo chonse), wodwalayo ayenera kuthandizidwa ndikuwunikira.

Pancreatitis mwa amuna nthawi zambiri imapezeka, nthawi zambiri chifukwa cha uchidakwa komanso kusowa kwa zakudya m'thupi. Kuphatikiza pazinthu zina zowopsa, kutupa kwapakhungu kumayamba. Vutoli, chifukwa chofunafuna chithandizo chamankhwala osafunikira komanso kusowa kwa chithandizo choyenera, limakhala pancreatitis yayikulu; muzovuta, wodwalayo amatha kufa chifukwa cha zovuta zakupha. Pofuna kupewa izi, chinthu chachikulu mukakhazikitsa njira yodziwira matendawo ndi kupeza thandizo la kuchipatala munthawi yake ndikutsatira mosamalitsa malangizo onse a katswiri popewa matendawa komanso kupewa matendawa. palibe zotsutsana).

Pancreatitis

The pachimake mawonekedwe a kapamba nthawi zambiri amakhala akumwa mowa wambiri, makamaka otsika kwambiri. Kudya zakudya zamafuta kapena kuvulala koopsa kumatha kuyambitsa matendawa. Nthawi zina, matendawa amapezeka motsutsana ndi maziko a thanzi lathunthu, kuchuluka kwa matendawo nthawi zambiri kumakhala kofala.

Pancreatitis yachilengedwe imadziwonekera mu izi:

kupweteka pamimba, pansi pa nthiti. Ili ndi mawonekedwe otsogola, mwamphamvu kwambiri,
malungo
kusanza ndi kusanza.

Odwala otere amafunika chisamaliro chodzidzimutsa, chithandizo chikuyenera kuchitika pokhapokha kuchipatala.

Njira yodwalayo yamatenda siyimangotchulidwa. Pankhaniyi, Zizindikiro zimayamba ndikukula pang'onopang'ono. Nthawi zambiri matendawa amayambitsidwa ndi kuperewera kwa zakudya m'thupi kapena kumwetsa mowa. Ndi nthawi yayitali ya matendawa, kufa kwa tiziwalo timene timatulutsa timene timayang'aniridwa ndikusinthidwa ndi minofu yolumikizana kumachitika. Ndi chithandizo chamwadzidzidzi, izi zimatha kuyambitsa kuperewera kwa chakudya chokwanira.

Odwala omwe ali ndi mawonekedwe amtunduwu wa kapamba amawoneka ngati ululu wosakhazikika, kumva kuwawa ndi kuphulika pansi pa nthiti. Zizindikiro zowonjezereka zimagwirizanitsidwa nthawi zonse ndi chakudya, pamimba yopanda kanthu mawonekedwe amankhwala amatsitsidwa.

Nthawi zambiri, matendawa amatuluka ndikusinthana nthawi zakukhululuka ndikuchulukirachulukira. Pankhaniyi, wodwala nthawi zina amatha kuoneka ngati ali ndi vuto la matenda. Ndi njira yayitali, kulekerera kwa shuga kumatha kusokonekera, kupezeka kwa matenda ashuga kumakhala kwakukulu.

Neoplasms

Chaka chilichonse, kuchuluka kwa odwala khansa ya kapamba kumakulirakulira. Popeza chiwalo chimagwira ntchito ziwiri, chimbudzi ndi endocrine, zotupa zimatha kukhalanso zamitundu iwiri. Izi zimatsimikiziridwa ndi ma cell omwe kukula kwa chotupa kumayambira.

Pancreatic zilonda zitha kuwoneka ngati pancreatitis yovuta kwambiri. Koma pakhoza kukhala Zizindikiro zokhudzana ndi kumera kwa chotupa cha bile duct kapena kupindika kwake. Poterepa, wodwalayo amatulutsa jaundice. Ndizothekanso kukula kwa matenda ashuga chifukwa cha kuwonongeka kwa maselo ogwira ntchito a endocrine gland.

Miyala ndi Cysts

A cyst ndi neoplasm yomwe imakhala kuti imayang'aniridwa ndi makina amkati mwa fibrous. Zamadzimadzi nthawi zambiri zimadziunjikira mkati. Amatha kuchitika m'mbali iliyonse ya thupi, pomwe zizindikiro za matendawa nthawi zambiri zimakhala zopanda tanthauzo. Pali chisokonezo pamimba yapamwamba, chimbudzi chimasokonekera, kulemera kwa thupi kumachepetsedwa. Kuti mumvetse bwino za matendawa, pakufunika kuwunika kowonjezera.

Miyala mu kanyumba samapangidwa nthawi zambiri. Amatha kuwonekera onse palokha komanso chifukwa chakuwonongeka kwa mineral metabolism mu ziwalo zina. Nthawi zina amapezeka m'malo omwe maselo amisempha amasintha. Chodziwika kwambiri pamutu ndi mutu wa chiwalo, nthawi zambiri chimapezeka mwamwayi pakuwunika kwa ultrasound.

Kukhalapo kwa miyala mu kapamba kumatha kudziwonetsa ngati cyst ndi ma neoplasms ena. Nthawi zina kuwerengera kumatha kuletsa wamba bile. Zikatero, jaundice amawoneka, ululu waukulu umatha.

Kudziwa momwe matenda a kapamba amadziwonekera, munthu aliyense amatha kukaonana ndi dokotala munthawi yake pamene matenda am'mimba amachitika. Izi zikuthandizani kuti mum'peze pa nthawi yake ndikuyamba kulandira chithandizo mudakali matendawa.

Zizindikiro zazikulu

Ndi kutupa kwa kapamba, chithunzi cham'chipatala chimadalira mtundu wamatenda (pachimake kapena chovuta), gawo, comorbidity ndi kuchuluka kwa kuwonongeka kwa minofu. Madandaulo amatha kuledzera pakumwa zakumwa zoledzeretsa kapena zakudya zamafuta, kudya kwambiri pamadyerero, kumwa mankhwala oopsa, kuvulala, kulowererapo, kulowetsedwa ndi matenda a helminths (zolakwika) komanso motsutsana ndi matendawa.

Zowonetsedwa

Ndi kapamba, zizindikiro zotsatirazi zimatchulidwa kwambiri:

Ululu Imakhala yakuthwa, kuzungulira, nthawi zambiri imatha kudya ndikusinthidwa kosiyanasiyana.Ululu umatha kumveka mu hypochondrium yoyenera, mbali yakumanzere yam'mimba kapena kumbuyo. Amapatsa theka lamanzere la thupi (phewa, nthiti zotsika, tsamba lamapewa). Zowawa zambiri zimatha kuchokera kwa mphindi zingapo mpaka masiku angapo. Kutenga ma pinkiller sikuthandizira nthawi zonse. Choyambitsa ululu wammbuyo kuphedwa kwa maselo motsutsana ndi kumbuyo kwaukali kwa zomwe zimapangidwa ndi michere ya minyewa.
Dyspepsia mu mawonekedwe a mseru, kusanza, kutulutsa timatumbo ndi pafupipafupi. Kutsegula m'mimba ndi kapamba sikuchitika nthawi zonse. Tizigawo ting'onoting'ono ta odwala timakhala tizakudya tambiri ndi mafuta. Pali fungo lakuthwa wowawasa. Kwa odwala omwe ali ndi kapamba, steatorrhea amakhala ndi mawonekedwe (ndowe zonyezimira zamafuta, zomwe ndizovuta kuzimitsa). Kupezeka kwa dyspepsia kumalumikizidwa ndi kusowa kwa michere m'matumbo lumen komanso kuphwanya kwa chimbudzi cha zomwe zikubwera (mapuloteni, mafuta ndi chakudya).
Zizindikiro za kuledzera (kutentha mpaka + 38 ... + 39ºC, kuzizira, kupweteka mutu, kufooka, khungu.
Zizindikiro zakunjenjemera. Kutheka ndi kupweteka kwambiri komanso kutayika kwambiri kwamadzi ndi kusanza mobwerezabwereza. Kwa odwala, kupanikizika kumatsika, thukuta limawonekera, chikumbumtima chimaletseka. Khungu limakhala lofiirira ndi utoto wa imvi.
Zotupa pakhungu ndi malo amtambo. Cholinga chake ndi kusokonezeka kwamaukulu.
Kusokonezeka kwa minofu yam'mimba kumanzere kwa chipilala chamtengo wapatali.
Kutentha kwa mtima Amayamba chifukwa cha kusokonezeka kwa chapamimba pamimba pancreatitis ndi asidi reflux mu emophagus.
Kubwula. Ndi kutukusira kwa ndulu motsutsana ndi maziko a matenda a ndulu, ndi owawa.

Zopanda chidwi

Zizindikiro zake zimakhala zochepa mu chifuwa cham'mimba. Ndi iyo, kupweteka kwapweteka pamimba, kusakhazikika kwa magazi, zizindikiro za asthenia (kuchepa kwa ntchito, kufooka, kusayang'ana), kugundika kwa mpweya, kugona, kuchepa kwa chakudya, kuchepa kwa thupi, kusalolera pazinthu zina chifukwa cha chifuwa ndi matenda a shuga. khungu ndi mucous nembanemba).

Kodi mankhwala mankhwala

Ndi vuto la kapamba, muyenera kuwona dokotala. Kuyesedwa kwa magazi, mkodzo ndi ndowe, ultrasound, ionogram, laparoscopy, kuyezetsa thupi ndi tomography yowerengeka kudzafunika. Mu chifuwa chachikulu cha pancreatitis, odwala angafunike thandizo. Zimafunikira kuyika munthu pambali pake, kuyimbira ambulansi ndikuyika ayezi pamalo omwe akhudzidwa. Ndikofunikira kusiya kudya.

Ndi ululu waukulu, ma painkiller angagwiritsidwe ntchito.

Chithandizo cha kapamba ndizovuta. Malangizo a mankhwalawa akuphatikizapo:

kumwa mankhwala
kukana chakudya (mgawo la kuchuluka),
kudya
physiotherapy.

Ndi vuto la kapamba, muyenera kuwona dokotala.

Ndi kukula kwa zovuta za purulent, kulowererapo kwa opaleshoni kumafunika. Ndi pancreatic necrosis, minofu ya necrotic imachotsedwa. Pankhani ya chifuwa chachikulu, mutha kugwiritsa ntchito mitundu ili:

sphincterotomy (kugawa kwa Vater papilla),
kutseguka kwa zotupa ndi ukhondo wawo wotsatira,
kapamba
cholecystectomy (kuchotsa ndulu),
Kupanga kwa njira zamchigawo zotuluka kwa bile.

Mankhwala

Pazifukwa zokhudzana ndi kugaya zakudya, mankhwalawa amagwiritsidwa ntchito:

Maantibiotic (penicillins, cephalosporins).
Mahomoni (corticosteroids).
Ma Enzymes (Mezim, Creon, Panzinorm, Pancreatin, Festal). Contraindified mu pachimake kapamba komanso nthawi kufalikira.
Zoletsa za plasma proteinases (Aprotex).
Antispasmodics.
Antisecretory (Omeprazole).
Kukonzekera zitsamba.
Diuretics (Lasix).
Ma antioxidants.

Pankhani yamavuto am'mimba, plasma proteinase inhibitors (Aprotex) imagwiritsidwa ntchito.

Mankhwala a antiparasitic (Biltricid) amagwiritsidwa ntchito potupa kapamba chifukwa cha helminths.

Zithandizo za anthu

Ndi pancreatitis, wowerengeka azitsamba amagwiritsidwa ntchito omwe amasintha kutuluka kwa pancreatic madzi, kupumula minofu, kukhala ndi antimicrobial komanso anti-yotupa. Itha kugwiritsidwa ntchito:

chitowe
msuzi wa oat,
mizu ya burdock
chamomile
Kulowetsedwa kwa wort wa St.
msuzi wa rosehip,
kulowetsedwa kochokera pa chowawa.

Ndi pancreatitis, wowerengeka azitsamba amagwiritsidwa ntchito omwe amasintha kutuluka kwa pancreatic madzi, kupumula minofu, kukhala ndi antimicrobial komanso anti-yotupa.

Ntchito masamba a chicory, elecampane, mbewa, chingwe ndi masamba a birch.

Zithandizo za Folk zitha kugwiritsidwa ntchito pokhapokha ndi chilolezo cha gastroenterologist.

Zakudya zapadera

Ndi kuchulukana kwa kapamba, masiku 1-2 tikulimbikitsidwa kuti tisakhale ndi njala. Pambuyo kupweteka kumachotsedwa, tebulo No. 5B imaperekedwa. Odwala amafunika:

siyani mowa, mafuta, wowawasa, mchere komanso zakudya zazonunkhiritsa.
imwani zakumwa zambiri
osapatula zakudya zoletsedwa (monga makeke, khofi, chokoleti, bowa, nyama yamafuta ndi nsomba, masamba osaphika, msuzi wabwino, mafuta amkaka, mayonesi, mafuta anyama, ayisikilimu, zakumwa zozikika ndi zakumwa zochokera ku kaboni),
Idyani 4-5 patsiku,
kuphika, mphodza kapena kuwiritsa chakudya.

Pancreatitis iyenera kuyiwalika za mowa mpaka kalekale.

Ndi kuchulukana kwa kapamba, masiku 1-2 tikulimbikitsidwa kuti tisakhale ndi njala.

Mavuto

Pancreatitis imatha kubweretsa zotsatirazi:

duodenum 12,
jaundice
kunyowa
mapangidwe a cyst
endocrine insufficiency (yachiwiri shuga mellitus),
khansa
peritonitis (kutukusira kwa peritoneum),
minofu necrosis
cellulitis cellulose,
kuchuluka kwa mitsempha yam'madzi,
encephalopathy
kufalitsa intravascular coagulation syndrome.

Kupewa

Nonspecific prophylaxis ya pancreatitis yovuta komanso yosatha imapumira kuti ikhale ndi chakudya choyenera (choletsa mndandanda wazakudya zamafuta), kukana zakumwa zoledzeretsa ndi kusuta, masewera, chithandizo chamankhwala cha ziwalo zina zam'mimba, kupewa poyizoni komanso kuchuluka kwamadzimadzi.

Pancreatitis ndi kutupa kwa kapamba amene amathandiza kwambiri chimbudzi. Ziwerengero zikuwonetsa kuti mayi aliyense wachisanu ndi chitatu komanso mkazi aliyense wachinayi amakumana ndi izi. Pangozi ndi okalamba komanso onenepa kwambiri. Zizindikiro za kapamba mwa abambo nthawi zambiri zimawonekera kwambiri, ndipo mu theka lofooka laumunthu, nthawi zambiri pamakhala mtundu wankhanza wamatenda. Bukulo limaperekedwa ku mikhalidwe ya matenda ndi njira zochizira.

Kodi kapamba ndi chiyani?

Zizindikiro ndi chithandizo cha matendawa akufotokozedwa pansipa. Madzi am'mimba, omwe amapanga chitsulo, ali ndi ma enzymes ndi bicarbonate. Amadutsa chubu chaching'ono chotchedwa pancreatic duct ndikuchigwirizanitsa ndi matumbo aang'ono. Ma Enzymes amathandizira pakuwonongeka kwa mapuloteni ndi mafuta mu ma molekyulu omwe amatha kuyamwa ndi magazi. Bicarbonate imathandizira acidity yam'mimba asidi yankho. Madzi a m'mimba omwe amapangidwa ndi glucagon ndi insulin, kulowa m'magazi, amawongolera shuga. Bile imaphatikizidwa ndi ma enzymes a pancreatic - uwu ndi madzi omwe amalowa ndulu kuchokera chiwindi ndipo amathandizanso kugaya chakudya. Zotsatirazi zimaganiziridwa pazomwe zimapangira matenda a kapamba, zizindikiro za matendawa zimawonekera.

Enzymes nthawi zambiri samatakataka mpaka atalowa matumbo aang'ono. Koma ndi kutupa kwa kapamba, amayamba kuwukira ndikuwononga minofu yomwe imatulutsa. Timadziti tam'mimba timakodwa ndikuyamba kupukusira timadzi tokha. Chifukwa chake pancreatitis imatha, imatha kukhala yovuta kapena yopweteka. Mitundu iliyonse mwa izi imatha kubweretsa zovuta, mwachitsanzo, kukula kwa matenda, magazi ndi kuwonongeka kwa minofu. Acute pancreatitis, zizindikiro ndi chithandizo cha mtundu uwu wa matendawa akufotokozedwa pansipa.

Pachimake ndi matenda kapamba

Pancreatitis pachimake imayamba posachedwa kuwonongeka kwa gland. Zovuta zambiri zimatsatiridwa ndi kupweteka pang'ono, koma 20% yawo imakhala yoopsa. Amakhala kwakanthawi, pambuyo pake thupi limabwereranso momwe limakhalira. Kuukira kwa kapamba, Zizindikiro, chithandizo chomwe chikufotokozedwa pansipa, chimakhala chovuta. Kenako kuchipatala kumafunikira.

Matenda apathengo, zizindikiro ndi chithandizo chomwe chimasiyana m'magulu osiyanasiyana, chimayamba ngati pachimake, ndimatenda, ndipo ngati matendawa akukhudzidwa kwambiri ndipo sangathe kubwereranso ku matupi ake, ndiye kuti patapita nthawi matendawa amatha. Pankhaniyi, kutupa sikumatha, ndipo chomwe chimayambitsa kwambiri kumwa kwambiri kwa zaka zingapo, matenda obadwa nawo, cystic fibrosis, ndi mavuto a autoimmune.

Acute pancreatitis, Zizindikiro ndi mankhwala omwe amafotokozedwa m'nkhaniyi, nthawi zambiri amayamba pang'onopang'ono kuwonjezeka kapena kupweteka kwapweteka pamimba. Amatha kukhala ofatsa komanso oyipa kwambiri mukatha kudya. Zimachitikanso kuti kupweteka sikusiya munthu kwa masiku angapo, wodwalayo amawoneka ndikumva bwino ndipo akufunika chithandizo chamankhwala mwachangu.

Zomwe zizindikiro za kapamba zimawonera:

kusanza ndi mseru
kutupa, kupweteka m'mimba
kugunda kwa mtima
malungo.

Zizindikiro zoterezi za pancreatitis mwa mkazi zimawonedwa nthawi zambiri. Chifukwa chake, ngati panali zowawa zakuthwa pamimba yapamwamba, kusanza ndi pakamwa pouma, ma hiccups adawonekera, ndiye kuti izi zikuwonetsa kuti njira yotupa imayambira m'mapamba. Matenda oopsa a kapamba amachititsa magazi kuchepa kwa magazi komanso kuthamanga kwa magazi; mtima, mapapu, kapena impso zimalephera. Zizindikiro zotere za kapamba mwa amuna ndi akazi nthawi zambiri zimakhala zofanana. Kutulutsa magazi mu kapamba kumabweretsa mantha ndipo nthawi zambiri kumafa.

Kuchulukitsa kwa kapamba kumakhala kowopsa kwambiri, zizindikiro zake zimatha kubweretsa zotsatirapo zomvetsa chisoni. Fomu yodwalayi imakhala ndi zofananira zambiri ndi mtundu wazowopsa wazizindikiro, koma imatha kuphatikizira kutsegula m'mimba, mafuta opangira mafuta, komanso kuchepa thupi.

Zizindikiro

Zizindikiro za kapamba, zizindikiro zake zimakambidwa pamwambapa, koma matendawa amapezeka bwanji? Pambuyo pokambirana ndi kufufuza mozama, adokotala amafufuza kuyesa magazi komwe kumathandiza kuzindikira matenda. Mu kapamba pachimake, magazi amakhala ndi zochulukirapo katatu poyerekeza ndi amylase ndi lipase. Kusintha kwapangidwe kake kungakhudzenso zovuta monga glucose, sodium, potaziyamu, magnesium, calcium ndi bicarbonate. Pambuyo povutikayo kuchepa ndi mkhalidwe wa munthuyo, thanzi la magazi ake limabwinanso.

Kuzindikira matenda a kapamba nthawi zambiri kumakhala kovuta chifukwa cha kupezeka kwa kapamba, kotero maphunziro ena amafunikira, omwe amaphatikizapo:

Ma Ultrasound am'mimba, momwe mafunde amawongolera kupita ku chiseyeye kudzera pachipangizo chonyamula kuzungulira pamimba. Amawonetsedwa kuchokera ku ziwalo ndikupanga chithunzi pazithunzi zowunikira. Ngati pali miyala mu ndulu yomwe ingayambitse kapamba, ndiye kuti mafunde omveka awonetsedwanso kuchokera kwa iwo, kuwonetsa malo omwe ali pakanema.
complication tomography, njirayi imatulutsa zithunzi zamitundu itatu, kugwiritsa ntchito mungathe kulingalirapo za kuchuluka kwa zowonongeka kwa kapamba,
endoscopic ultrasound imatchulidwanso kuti cholangiopancreatography ndipo imakupatsani mwayi kuti muwone mtundu wa kuwonongeka kwa gland ndi miyala yotheka mu ndulu. Nthawi ya njirayi, mmero umayamba kugwiritsidwa ntchito ndi aerosol, kenako endosikopu imayikidwa kudzera m'mero ndi m'mimba mu matumbo - chubu loonda ndi nyali.
Kuyerekeza kwa maginito kumatulutsa zithunzi za ziwalo zam'mimba pambuyo kukhazikitsidwa kwa utoto mu mtsempha, kukulolani kuti muwone momwe madera akhudzidwira.

Matenda a kapamba, makamaka zizindikiro za kapamba mwa amuna omwe atenga nthawi yayitali chifukwa chakumwa mowa, amapezeka chimodzimodzi monga pachimake, ndipo nthawi zambiri amasokonezeka ndimatendawa. Pazindikiritso zosiyanazi, thandizo looneka lingaperekedwe mwa kuphunzira mbiri yamatenda am'banja, kadyedwe kake, komanso kuti wodwalayo amamwa mowa. Zizindikiro za matendawa zimatha kuyamba msanga, ichi ndi chiopsezo cha kapamba.

Zizindikiro ndi chithandizo cha kutupa kwa kapamba zimadalira zomwe zimayambitsa matendawa.

Koma kapamba amachitika osati mwa anthu akuluakulu okha. Ngati pancreatitis ikukula mwa ana, zizindikiro zitha kukhala chifukwa cha kuperewera kwa zakudya, kusokonezeka kwa dongosolo la kugaya chakudya, kuvulala, poyizoni wa chakudya, kapena kumwa maantibayotiki.

Gallstones ndi kumwa mowa ndizomwe zimayambitsa kapamba ndipo amapanga 80-95% ya milandu yonse yamatenda. Mwa amuna, omwe amadwala kwambiri matenda osokoneza bongo ndi kapamba. Nthawi zambiri, mtundu wa zakumwa za matendawa umayamba mwa anthu omwe amamwa pafupipafupi zaka zisanu ndi ziwiri. Nthawi zambiri munthu amafufuza chithandizo chamankhwala ngakhale matendawa atatenga nthawi yayitali ndikulowerera kwapafupipafupi, wofanana ndi zizindikiro za pancreatitis pachimake.

Miyala mu ndulu imatha kulepheretsa chimbudzi, kusokoneza kayendedwe kazobisika komanso kumathandizira kudzikundikira mu chiwalo chokha. Zizindikiro za kapamba mwa mkazi pachifukwa ichi zimatha kukhala zaka 50.

Milandu yotsalira ya 10-15% itha kukhala chifukwa cha zifukwa zingapo:

kumwa mankhwala
kukhudzana ndi mankhwala ena ake
kuwonongeka ndi kuvulala
matenda obadwa nawo
matenda
matumbo ndi kapamba,
magazi apamwamba.

Mu pachimake kapamba, 15% ya milandu, zomwe zimayambitsa sizikudziwika, komanso 40% ya milandu yodwala. Werengani za pancreatitis pachimake, zizindikiro ndi chithandizo cha matendawa.

Ngati zizindikirozo ndizofatsa, ndiye kuti mutha kuletsa kukula kwa matendawa poletsa kumwa, kusinthana ndi chakudya chamadzi ndi mbale monga msuzi, msuzi ndi mbatata zosenda. Pewani ma pinkiller omwe angawononge chiwindi, mwachitsanzo, Acetaminophen, Tylenol. Chithandizo nthawi zonse chimakhala chofuna kuchepetsa zizolowezi komanso kupewa kuchulukitsa. Mavuto akulu angafunike kuthiridwa magazi kapena kuchitidwa opareshoni.

Chithandizo cha pachimake kapamba

Kwa matenda amtunduwu, kugonekedwa kuchipatala ndi kumwa mankhwala ofunikira ndikofunikira. Wodwala sayenera kudya kwa masiku angapo kuti matumbo apumule. Kusankha chithandizo kumatengera kuzunzika kwake. Ngati palibe zovuta, ndiye kuti chithandizo chikuyang'ana kwambiri pochepetsa zizindikiro ndi kubwezeretsanso ntchito ya kapamba. Kwa odwala omwe akukumana ndi mavuto akumeza, makonzedwe amkati a mankhwalawa ndimadzi amagwiritsidwa ntchito.

Ngati ndi kotheka, dokotala amakupatsani mankhwala opweteka ndi mseru, maantibayotiki pakakhala matenda. Anthu ena amafunikira chubu cha nasogastric momwe chubu chochepa thupi chimayikidwa m'mimba ndi matumbo kuti achotse timadziti tambiri ndikupatsa thanzi. Ngati kuukira kumatenga nthawi yayitali, ndiye kuti michereyi imaperekedwa kudzera mwa dontho. Ndi chithandizo chokwanira, pancreatitis pachimake imathetsedwa m'masiku ochepa.

Nthawi yochulukitsa komanso pambuyo pake, sikuletsedwa kumwa mowa, zakudya zamafuta ndi utsi. Pambuyo pakuchotsa, kuyezetsa kuyenera kuchitidwa kuti muwone momwe thupi liliri. Zizindikiro za kapamba, zizindikiro za pachimake zimakambidwa kale.

Endoscopic retrograde pancreatocholangiography imagwiritsidwa ntchito pancreatitis yayikulu komanso yosatha.Potere, njira yapadera imagwiritsidwa ntchito pancreas, chikhodzodzo ndi ndowe, komanso kuthana ndi zovuta - miyala mu chikhodzodzo cha ndulu, kupendekera kapena kufalikira kwa mzere ndi kutulutsa madzi. Pogwiritsa ntchito chipangizochi, mutha kuchita:

sphincterotomy, momwe, mothandizidwa ndi endoscope, kakang'ono kakang'ono kamapangidwa mumkokomo kuti zitsimikizire kuti madzi akutuluka,
kuchotsa miyala
Kukhazikitsa stent kuti ikukulitse kuunikira kwa duct,
balloon dilatation.

Anthu omwe amathandizidwa ndi ERCP ali ndi chiopsezo chochepa cha zovuta monga matenda, kutsuka kwamatumbo, ndi magazi amkati. Mavuto omwewo ndiofala kwambiri kwa odwala omwe ali ndi pachimake komanso pancreatitis. Ndikofunika pambuyo pa njirayi kuti muthe chidwi ndi zinthu monga kupweteka pamimba, kumeza movutikira, kuzizira, kusakhazikika pachifuwa ndi pakhosi, ndikuwuzani adotolo za iwo.

Chithandizo cha matenda kapamba

Ndi matenda amtunduwu, chithandizo chamankhwala chimalimbikitsa kuchepetsa ululu komanso kupewa kufalikira, komanso kukulitsa mphamvu ya thupi yolandila ndi kugaya chakudya. Ndi kukokomeza kwakukulu komanso kupezeka kwa zovuta, kugwiritsidwa ntchito kuchipatala kungafunike. Chakudya chizikhala chochepa kwambiri m'mafuta komanso kudya mafuta ambiri, kudya zochepa kumalimbikitsidwa, komanso kudya pafupipafupi kumathandizira kupewa zotsatira zoyipa za kapamba. Ngati pali vuto pakukonza chakudya, ndiye kuti kukonzekera kwa pakamwa kumayikidwa, komwe kumathandiza kugaya chakudya. Anthu omwe adapezeka kuti ali ndi pancreatitis aakulu amalangizidwa mwamphamvu kuti asiye kumwa mowa. Ngati kapamba satulutsa insulin yokwanira ndipo kuchuluka kwa shuga m'magazi sikungatheke, jakisoni wa chinthuchi ungafunike.

Chithandizo chachilengedwe cha kapamba ndi zina zowonjezera m'thupi

Pali zitsamba zambiri komanso zowonjezera zosiyanasiyana zomwe zimatha kuchepetsa zizindikiro za chifuwa chachikulu. Kuchiza kwachilengedwe kumakhala ndi mwayi wotsimikizika, ndikuti chiopsezo chokhala ndi zotsatira zoyipa chimachepetsedwa mpaka zero. Zachidziwikire, munthu sangachite popanda chithandizo chamankhwala omwe adokotala amafunsa, koma ndizotheka kuwonjezera chithandizocho ndikuthandizira kuchira mothandizidwa ndi mankhwala achilengedwe azitsamba. Timalemba zazikulu.

Dandelion Tingafinye, yomwe imalimbikitsa kupanga bile. Mtengowo ungathenso kutengedwa ngati tiyi, chifukwa ndikofunika kugwiritsa ntchito maluwa achikasu zipatso zisanakhwime.

Kutulutsa mkaka wamkaka, komwe kumathandizira kuchepetsa chiwindi, kapena, mwanjira ina, kuyeretsa poizoni. Silika yemwe amapezeka pachomera chimathandizira kukonza minofu yowonongeka chifukwa cha kutupa. Pazinsinsi, mutha kutenga supuni ya tiyi ya mkaka, kuwathira ndi madzi otentha ndikuumirira kwa maola 2-3, kapena kumwa mankhwalawa monga mowa.

Soya imathandizira kuwongolera kuchuluka kwa shuga m'magazi. Mutha kugwiritsa ntchito nyemba zosaphika, mkaka wa soya. Turmeric ili ndi pawiri yomwe imatha kuchepetsa kukula kwa kutupa mu kapamba. Mutha kuwonjezera zokometsera zanu ku zakudya kapena kudya zina zowonjezera pamtunduwu. Komabe, anthu omwe ali ndi vuto la hypoglycemia, sikulimbikitsidwa kugwiritsa ntchito chida ichi mokulira.

Muzu wachikunja umadziwika kuti ndiwothandiza kwambiri pochiza matenda a kapamba, popeza umakhala ndi glycosides ndi alkaloids. Zosakaniza izi zimathandizira kuchepetsa ululu komanso kuchepetsa kutupa. Muyenera kutenga mbewuyo ngati tiyi, pakungophika ndi supuni ziwiri za mizu yodulidwa mu lita imodzi yamadzi. Kukoma kwa kulowetsaku kumakhala kowawa pang'ono, kotero mutha kuwonjezera mandimu a mandimu kapena mandimu kwa iye. Ndikofunika kuti kumwa mankhwalawa osavomerezeka kwa amayi apakati komanso anthu omwe ali ndi vuto la kuthamanga magazi komanso matenda am'mimba.

Mankhwala a Chamomile ali ndi katundu ndipo amadzetsa mpumulo. Zomera zofunikira kwambiri pankhaniyi ndi ma coumarins, ma asidi achilengedwe, glycosides ndi zotumphukira za salicylate. Imwani tiyi wa chamomile ndikugwiritsa ntchito mafuta ofunikira a chomera ngati aromatherapy.

Maolivi ndi adyo okhala ndi zinthu zotsutsa-kutupa ndi antioxidant. Mafuta a azitona amathandizira kuti awononge mawonekedwe aulere m'thupi, zomwe zimangowonjezera zofunikira za kapamba mwa amuna ndi akazi. Onjezani mafuta ku saladi ndikugwiritsa ntchito kuphika zakudya zina.

Mavitamini omwe amafunika kumwedwa pamodzi, ndi lecithin, omwe amathandizira pakuyamwa kwa mafuta, amakhalanso othandiza pancreatitis. Dokotala wopezekanso amathanso kukupatsani mankhwala a lactobacilli, mwachitsanzo, chida "Acidophylline", chomwe chimabwezeretsa microflora wamba m'matumbo. Kwa ambiri, kugwiritsa ntchito mankhwala owonjezera potengera zinthu izi kumathandizira kuchotsa mwachangu zizindikiro zopweteka za matendawa. Komabe, musadzitengere nokha, ndibwino kufunsa dokotala za izi. Izi ndizofunikira kuti muchepetse kuyanjana koyipa ndi mankhwala omwe mumalandira.

Dokotala yemwe akupezekapo akhoza kulimbikitsa mavitamini okhala ndi antioxidants monga mavitamini A, E, C ndi B, michere, kufufuza zinthu, makamaka calcium, magnesium, selenium ndi zinc. Kuphatikiza apo, mafuta a Omega-3 acid, omwe amapezeka pamafuta ambiri ndi mafuta a nsomba, amathandizira kukonza mphamvu ya chitetezo cha mthupi komanso kuchepetsa kutupa. Chimodzi mwazinthu zonsezi chimapezeka mu mawonekedwe apamwamba a kapisolo, omwe angagulidwe pafupi ndi mankhwala aliwonse.

Zambiri za zakudya za kapamba

Kuukira kwa kapamba ndi zizindikiro zitha kupewedwa ndikutsatira zakudya zapadera komanso kukana zakudya zina. Nayi malamulo angapo okhudza kadyedwe ka munthu wodwala.

Sankhani zakudya zamafuta ochepa, izi zimapewe ochulukirachulukira. Mafuta a tsiku ndi tsiku sayenera kupitirira 30-30 magalamu. Ndikofunikira kukana zakudya zokazinga ndi zakudya zachangu, popeza zimakhala ndi mafuta ochulukirapo a mafuta ndi mafuta acids. Zakudyazi ndizophatikiza ma donuts, ma frie achi french, makeke ndi ma cookers, makeke ndi makeke. Ndikulimbikitsidwa kuti musagwiritse ntchito margarine ndi batala, koma mafuta: maolivi, zopindika, mpendadzuwa, chimanga.

Idyani mapuloteni osakhazikika, amathandizanso kuchepetsa kutupa. Sankhani magwero a mapuloteni ngati nsomba, nkhuku, nyemba, soya, koma m'pofunika kukana nyama yofiira. Pewani zamafuta amkaka - tchizi, ayisikilimu, mkaka, kirimu wowawasa. Mazira, makamaka yolk, samalimbikitsidwanso, koma mutha kupanga amamu kuchokera kumapuloteni. Ndikofunika kuti utsi, mwachitsanzo, pakudya kwamadzulo mutha kuphika broccoli ndi kagawo ka m'mawere a nkhuku, sankhani kapu ya madzi a phwetekere kapena kefir yamafuta ochepa kuchokera ku zakumwa. Pa nkhomaliro, mutha kuphika mitundu yonse ya msuzi, zonse zamasamba ndi nyama yopanda, saladi ochokera masamba abwino, okometsedwa ndi mafuta. Kuchokera pazophika buledi, sankhani mkate ndi zakudya zowonjezera-mkate, mkate wamphongo, yesetsani kuchotsa mikate yoyera, makeke monga ma pie, rolls ndi tchizi kuchokera ku zakudya.

Phatikizaninso zovuta za chakudya m'zakudya zanu. Idyani zipatso ndi ndiwo zamasamba zomwe zili ndi ma antioxidants, monga ma cherries, yamatcheri, phwetekere, tsabola wa belu, buluu ndi cranberry. Idyani zamasamba obiriwira komanso masamba ambiri - kabichi, sipinachi, letesi, chifukwa zimakhala ndi mavitamini ambiri azitsulo ndi B zothandiza pancreatitis. Zinthu zonse za tirigu amaonedwa kuti ndi gwero labwino la zopatsa mphamvu zambiri kapena zopatsa pang'onopang'ono: oatmeal, mapira, barele la ngale, mpunga wofiirira. Muchepetse zakudya zanu zokhazokha komanso zopaka, komanso zakudya zokhala wowuma: pasitala, mikate yoyera, shuga, makeke, mpunga woyera, ndi masamba obayira.

Pewani zakudya zokometsera, mowa, khofi, chifukwa zimapangitsa kuti kapamba azigwira ntchito, ndikuwonjezera ntchito yake ndikuthandizira kugwiranso ntchito kwambiri komanso ngakhale kutupa. Ndikofunikira kusiya zinthu zomwe zimayambitsa kupangika kwa mpweya, ndikuwonanso menyu yanu kuti mupeze allergen, mwachitsanzo, zoteteza, gluten, zakudya zowonjezera zamankhwala. Sizikulimbikitsidwa kugwiritsa ntchito zakudya zamchere komanso nyama zosuta, komanso zokhwasula-khwasula monga zophwasula, tchipisi ndi nsomba zouma.

Zizindikiro zakuchipatala

Gulu lamavuto limaphatikizapo zidakwa komanso anthu omwe amadya zakudya zamafuta. Mothandizidwa ndi zinthu zina, kapamba amayambitsa kupanga michere ina ya proteinolytic, yomwe ndiyomwe imayambitsa kutupa. Zomwe zimayambitsa kukula kwa kapamba zimakhudzana ndi chitukuko cha matenda a gallstone komanso uchidakwa.

Nthawi zambiri, kapamba amatulutsa michere yopanda mphamvu yomwe imalowa mu duodenum, kenako kenaka ndi kapamba. Pakadali pomwe masamba atatsekeka pamiyala ya duct, kuwonjezeka kwa kupanikizika kumachitika chifukwa cha kapamba, zomwe zimayambitsa kuphwanya kwa kutulutsa kwake.

Poterepa, ma enzyme amayamba kugwira ntchito pasadakhale. Samatenga nawo mbali pang'onopang'ono chakudya chomwe chikubwera, zomwe zimathandizira kukulitsa njira zopewera mphamvu zotupa. Matenda a kapamba akamachitika mthupi, mankhwalawa amachiritsa. Chifukwa cha njirayi, kukula kwa enzyme ndi kuchepa kwa mahomoni kumatha kuchitika. Zochitika zoterezi zimathandizira kukula kwa matenda ashuga. Madokotala amatha kusiyanitsa kapamba, pachangu komanso kakhansa. Chithandizo ndi zizindikiro zimadalira mwachindunji gawo la matendawa.

Zikondamoyo ndi kachigawo kakang'ono kukula. Ntchito yake yayikulu ndikubisalira kwa michere ya chakudya, yomwe imathandizira kugaya chakudya komanso kupanga insulini, kuchepa kwa komwe kumapangitsa kukula kwa matenda ashuga.

Zizindikiro za pancreatitis pachimake ndizofanana ndi poyizoni. Ma Enzymes omwe amapangidwa pogwira ntchito kapamba amakhalamo kapena m'makola ake, akuyamba ntchito yowononga England. Ngati michere ilowa m'magazi, ndiye kuti wodwalayo ali ndi chizindikiro chachikulu cha kuledzera - kupweteka. Ndizachidziwikire ndipo ndizokhazikika.

Zizindikiro zazikulu

Ngati wodwala sanapatsidwe chithandizo chamankhwala mwachangu, ndiye kuti kupweteka ndi kapamba kumayamba kukhala kwakumwa. Kudziwonetsa kwawoko ndi hypochondrium pambali yomwe gland imakhudzidwa. Ngati chiwalo chonse chikugwidwa ndi kutupa, ndiye kuti ululu wammbuyo ulibe mawonekedwe. Wodwalayo amadzuka kutentha kwa thupi ndi kuthamanga kwa magazi. Ndikusintha mwachangu kwachangu, thanzi la wodwalayo limayamba kutha msanga, kutentha kumakwera kufika pa 39-40 ° C, kumadumphira kuthamanga kwa magazi.

Ndi chitukuko cha kapamba, mawonekedwe a wodwalayo amawonekera. Khungu limakhala lotuwa, ndipo pakapita kanthawi nkhope yake imayamba imvi. Ndi kapamba, zizindikiro zotsatirazi zimawonekera:

Zizindikiro za kapamba mwa abambo ndi amayi zimagwirizanitsidwa ndikuwoneka ngati chopondapo ndi fungo la fetid. Muli ndi zotsalira za chakudya chosasokonezeka. Poganizira za matendawa, madokotala amatha kudzimbidwa komanso kuphuka. Zizindikiro izi zikuwonetsa kukula kwa kugwidwa kwamphamvu kwa kapamba.

Zochitika zazing'ono

Kupuma pang'ono komwe kumawonekera wodwala kumachitika motsutsana ndi maziko a kutayika kwa ma elekitiroma pakusanza. Potere, wodwalayo amasokonezedwa ndi thukuta lomata. Madokotala samachotsa kuwoneka ngati zolembedwa zambiri (zachikaso) zolankhula.

M'mimba ndi m'matumbo a munthu pakukomoka sikungachepe. Chifukwa chake, pakumuunika wodwalayo, dokotala amatha kudziwa kutulutsa magazi kwambiri, komanso pofufuza m'mimba (palpation) - kusowa kwa mikangano m'mitsempha.

Malo amtundu wa cyanotic amatha kupanga dera la navel kapena lumbar, ndikupatsa khungu khungu la nsangalabwi. M'chigawo cha inguinal, khungu limatha kukhala ndi mtundu wobiriwira. Izi ndichifukwa choti magazi omwe amalowa m'matumbo oyaka, adalowa pakhungu pamimba.

Ngati pancreatitis imayamba ndi mawonekedwe a scancosing, mawonekedwe a jaundice opatsirana samatsimikizika, chomwe ndi zotsatira za kufinya gawo la ndulu ya bile ndi minofu yakumaso yolimba. Maonekedwe amtunduwu, wodwalayo amadwaladwala mphindi iliyonse.

Njira zoyambira matenda

Kuzindikira koyambirira kwa matendawa ndi kuchuluka kwathunthu kwa magazi. Ngati pali matenda, zotsatira za kusanthula zikuwonetsa kuchuluka kwa maselo oyera am'magazi komanso kuwoneka kwa magazi. Pogwiritsa ntchito kupenda kwamitundu iwiri, dokotala adziwa kuchuluka kwa lipase, amylase, ndi trypsin m'thupi la wodwalayo. Ngati chiwerengero chawo ndichoposa, ndiye kuti mufunika chithandizo choyenera. Nthawi yomweyo, calcium imachepetsedwa kwambiri mthupi, zomwe zimawonetsa njira ya matendawa mu mawonekedwe a necrotic. Kashiamu wocheperako mthupi, ndizovuta zake kuti wodwalayo amalimbane ndi matendawa.

Kuunika kwamankhwala am'magazi kudzakuthandizani kuti muwonetsetse ngati ma transaminase a chiwindi akwera m'thupi - AST, ALT. Zotsatira zabwino zikuwonetsa kuwonongeka kwa chiwindi. Wodwala yemwe ali ndi kuchuluka kwa pancreatitis, kuchuluka kwa magazi kumachepa, ndipo mulingo wa bilirubin umakwera kangapo. Wodwala ayenera kukhala ndi urinalysis kuti adziwe amylase.

Kuti azindikire zizindikiro za pancreatitis pachimake, madokotala amagwiritsa ntchito njira zothandizira (radiology).

Njira imeneyi imalola kupezeka kwa chibayo cham'mapapu. Nthawi yomweyo, madzimadzi amayamba kudziunjikira mu pleural patsekeke, kusunthira kwa diaphragm kumachepa kwambiri, kukakamiza pamimba kumawonjezereka, kutulutsa kwamimba kumawonedwa.

Njira yothandiza yodziwikitsa matenda ndi ultrasound, pomwe mutha kudziwa zambiri zokhudza kapamba, kukula kwake, kuchuluka kwa madzimadzi am'mimba, dziko la chiwindi ndi chithokomiro.

Monga njira zowonjezereka, madokotala amagwiritsa ntchito fibrogastroduodenoscopy, pomwe m'mimba imayesedwa ngati zilonda. Angiography imakupatsani mwayi kuti muwone momwe ziwiya zapamba. Tomography imagwiritsidwa ntchito poyesa kapamba pogwiritsa ntchito magawo. Mimbulu yam'mimba imatha kuyesedwa pogwiritsa ntchito laparoscopy.

Mankhwala othandizira

Zizindikiro, Zizindikiro, chithandizo chimatengera gawo ndi mtundu wa matendawa. Ndi chitukuko cha pachimake gawo la kapamba, chithandizo chikuchitika kuchipatala, moyang'aniridwa ndi akatswiri. Thandizo loyamba lomwe limaperekedwa ndi vuto la pancreatitis ndikugwiritsa ntchito kuzizira m'mimba. Pofuna kuthetsa ululu ndi kapamba, njira zoyenera zimagwiritsidwa ntchito. Ndikulimbikitsidwa kuti muchepetse wodwalayo chakudya komanso kutha kuyendayenda mpaka ambulansi ifika.

Wodwala akaperekedwa kuchipatala, madokotala amaponya mtsempha mwa kukhazikitsa dontho la mchere. Madokotala amapereka okodzetsa kwa wodwalayo, zomwe zimalepheretsa kutupira kwa m'mimba ndikulimbikitsa kuchotsedwa kwa michere m'magazi. Ndalama zoterezi zimaphatikizapo furosemide. Amagwiritsidwa ntchito popanga kulowetsedwa mankhwala (kuwonjezera pa chingamu kumapeto kwa dontho).Kupanda kutero, tengani diacarb pamapiritsi.

Onetsetsani kuti mwalowa kudzera m'mitsempha yamagetsi (pa dontho) Omeprazole kapena Kvamatel. Monga antispasmodics, Drotaverin hydrochloride, No-shpu amagwiritsidwa ntchito. Ngati wodwalayo akupitiliza kusanza, amamuika metoclopramide (intramuscularly). Pofuna kuthetsa ululu wa kapamba, mankhwala ochita kupanga amagwiritsidwa ntchito.

Njira zowonjezera ndi mankhwala osokoneza bongo

Ngati pancreatitis yatenga mawonekedwe owopsa kapena a purulent, ndiye kuti wodwalayo amamulembera maantibayotiki, omwe amaphatikiza ndi fluoroquinolones kapena cephalosporins mibadwo 3-4 Panthawi yovuta ya matendawa, ndikofunikira kutenga enzyme inhibitors (Kontrikal, Gordoks). Chithandizo chokwanira cha matendawa chimakhala pochita vitamini (C, B). Pambuyo masiku 4-5, wodwalayo adamulamula kumwa madzi ofunda opanda mpweya. Mankhwala othandizira kapamba amatengedwa motsogozedwa ndi dokotala. Katswiri amasankha njira ya mankhwalawa komanso kuchuluka kwa mankhwalawa aliyense payekhapayekha. Matenda a pancreatitis aakulu komanso pachimake amathandizidwa kwambiri.

Mu gawo lovuta la matendawa, wodwala akakhala ndi njala kwa masabata 3-4, zakudya za makolo zimayikidwa. M'mbuyomu, adotolo amawona kuchuluka kwa cholesterol m'magazi. Ngati chizindikirochi ndichabwinobwino, ndiye kuti wodwala amalandira emulsions yamafuta ndi mapuloteni hydrolysates m'mitsempha. Mapeto a nthawi yodziwika, wodwalayo amadya.

M'masiku oyambilira, chakudyacho chimaphatikizapo yogati ndi kuphatikiza pang'onopang'ono kwa tchizi. Pambuyo masiku 6, wodwalayo amatha kugwiritsa ntchito zakudya zamagulu, malinga ndi zakudya zapadera za 5P. Mankhwala othandizira pancreatitis amalembedwa ngati pali kukayikira kwa mawonekedwe owonongeka, ngati zizindikiro za kutupa pamimba zam'mimba zapezeka, kapena ngati chithandizo chokhazikika sichitha. Kuti muzindikire matendawa, laparoscopy imalembedwa, yomwe imakulolani kuti muzindikire zizindikiro za peritonitis kapena kukhalapo kwa madzimadzi pamimba. Njira yosiyanitsa imagwiritsidwa ntchito kutsimikizira chitukuko cha pancreatitis pachimake. Kupewa matendawa kumakhala ndi zakudya komanso ukhondo. Akatswiri salimbikitsa kudya chakudya mwachangu. Kupanda kutero, chiopsezo chotenga pancreatitis chikuwonjezeka.

Ngati pancreatitis ikukayikiridwa, zizindikiritso ndi chithandizo ziyenera kutsimikiziridwa pa nthawi yake, ndiye kuti matendawo amatha.

Kodi zizindikiro za kapamba mwa abambo ndi ziti?

Pakati paanthu akuluakulu, mavuto a kapamba nthawi zambiri amabwera chifukwa cha kumwa mwadongosolo, koma Zizindikiro za pancreatitis pachimake mwa amuna ndi akazi ndizofanana. Muubwana, kuphatikiza ziwalo ndizochepa. Ndi matenda pang'ono pang'onopang'ono, zizindikirazo sizifotokozedwa bwino, ndipo mawonekedwe owawa amakhala owawa, ovuta. Kuthekera kwakukulu kwa zovuta, monga hemorrhagic pancreatitis kapena kapamba (kuwonongeka kwathunthu kwa kapamba chifukwa chodziwononga).

Zizindikiro za kutupa kwapancreatic

Chizindikiro chachikulu cha matenda opatsirana ndicho kupweteka kwambiri pamimba. Tiyenera kukumbukira kuti ululu umatha kuwonekera kudera lamtima, lomwe limafanana ndi kupunduka kwa mtima. Mwa wodwala:

kusanza kosatha kumachitika
kuthamanga kwa magazi kumagwa
kufooka wamba kumawonekera
khungu limasandulika.

Zizindikiro zofala zamatenda a pancreatic ndizofanana ndi matenda ena am'mimbamo.

kutupa kwa ndulu,
hepatic colic
matumbo pachimake,
poyizoni wazakudya.

Kodi kupweteka kwa kapamba ndi chiyani?

Kupweteka kwanthawi yayitali m'mimba ndi chizindikiro choyamba cha kapamba mwa amuna ndi akazi. Imayamba kwambiri, kuphulika, mpaka munthu amayamba kumva kupweteka. Chiwalo chonse chikawonongeka, ululu umakhala ngati lamba. Kukhala pansi wokhala ndi miyendo yokwezedwa pachifuwa kumatha kubweretsa mpumulo pang'ono, ndipo kugona kumbuyo kwanu kumangolimbitsa ululu. Zovuta zimatha kukhala kwa masiku angapo, zimawoneka mwadzidzidzi kapena mutatha kudya, mowa.

Kutentha

Ndi kuchulukitsa kwa matendawa, njira zotupa zimayambitsa kutentha pang'ono kwa thupi. Thermometer yomwe ili pamwambapa 38 ° C ndi kuzizira kumawonetsa kuyambika kwa zovuta za purulent, peritonitis. Ngati kutentha kwa kapamba kumachepera 35,5 ° C, ichi ndi chizindikiro cha kugwa (kupweteketsa mtima) kapena kuchepa kwamadzi kwambiri. Thupi limatha kuthana ndi kutentha ku ululu wosapiririka, koma mu nthawi yayitali ya matendawa, kutentha sikuchepa kwa nthawi yayitali, zomwe zikuwonetsa kupitiliza kobisika kwa matendawa.

Mavuto a matumbo ntchito ndi kutsekula m'mimba nthawi zonse kumayenderana ndi matendawa. Kumayambiriro kwa kuukira, kudzimbidwa, kutulutsa magazi ndikotheka. Kenako mpando umakhala mushy, thovu, wosakanizika, umayamba kulocha imvi. Mukamaganizira, mutha kuwona tinthu tating'onoting'ono chakudya komanso mafuta ambiri osatulutsidwa chifukwa cha kusowa kwa enzyme. Madzi phukusi lomwe limachitika ndi kapamba ndimwambo wamba, ngakhale limabwereranso pakukhululuka.

The kufalikira ululu pancreatitis mtima ndi malo kuwonongeka:

chidwi cha kutupa chili pamutu wa zikondamoyo - zowawa zidzachitika m'chigawo cha epigastric, pafupi ndi mbali yakumanja.
ngati njirayi yayamba pakati pakatupa, zowawa zimadziwika pamwambapa, pakati kapena perekani kumanzere kwam'mimba,
ngati mchira wa kapamba wakhudzidwa, ndiye kuti ululu umapita kwambiri ku hypochondrium yamanzere,
ndi kuwonongeka kwa gawo lonse la chiwalo, kupweteka kwam'mimba kumayikidwa pamimba, kukhala ndi mawonekedwe odabwitsa ndipo kungathe kufalikira kudera lamtima.

Zisonyezo za matenda a kapamba

Kuperewera kwa mankhwala a kapamba kumayambitsa matenda. Kubwezeretsa kapamba, odwala amalembedwa "Allohol" - mankhwala a choleretic omwe amatithandizanso kupanga bile ndi kugwira ntchito m'mimba. Pali mankhwala okhala ndi pancreatic Tingafinye - Pancreatin. Imathandizira dongosolo la kugaya chakudya, ndikupanga kuchepa kwa michere. Pancreatitis pachimake imafunikira kukayezetsa kuchipatala msanga, ngozi yake ili m'mavuto obwera msanga.

Pachimake kapamba

A kwambiri mawonekedwe a pachimake ndi hemorrhagic pancreatitis - kufa kwa tiziwalo timene timatulutsa. Chizindikiro chake chachikulu ndi kupweteka kwamphamvu ululu. Matenda a wodwalayo akuwonongeka msanga, kuthamanga kwa magazi kumachepa, tachycardia imawonekera, zotsatira zoyipa zimatha. Mu matenda a pancreatic, kusanza mobwerezabwereza kumakhala ndi chikhalidwe, komwe kumabweretsa kuchepa kwa thupi, motero muyenera kumamwa madzi ambiri magawo ang'onoang'ono. Zotsatira za zochita za ma enzyme, mawanga amtundu wa buluu amatha kuwonekera pakhungu la pamimba.

Matenda a kapamba

Zizindikiro za matendawa kukhululuka kulibe kapena kufatsa. Monga lamulo, pamakhala kupweteka, kumva kuwawa mutatha kudya mafuta ambiri, kusanza kwakanthawi kumatheka. Matenda a kapamba nthawi zambiri amaphatikizidwa ndi kuchepa thupi kwa wodwala, izi zimachitika chifukwa cha kukanika kwa pancreatic, kugaya chakudya chokwanira komanso kusapeza bwino. Kuchulukitsa kwa mawonekedwe osakhazikika kungayambitse kumwa kwambiri, osagwirizana ndi zakudya, pomwe zizindikirazo zikuwoneka chimodzimodzi ndikuwopseza matenda.

Zomwe Zimayambitsa Matenda A Pancreatic

Kukhazikika kwa kayendedwe ka pathological mu kapamba kumatha kudziwika kwa miyezi ingapo ngakhale zaka. Popeza chiwalo chimatha ntchito pang'onopang'ono, matendawa amadzimverera. Pali zinthu zina zomwe zingayambitse kutupa ndi kuyambitsa kuukira:

kumwa mowa
matenda a ndulu
onenepa kwambiri
matenda a chiwindi,
poyizoni
cholowa.

Chikhalidwe cha kapamba

Ngati pali kutupa kwa kapamba, ndiye kuti ambiri atazindikira kuti ndi kapamba, amapezeka ndi matenda a kapamba. Gawani mitundu iwiri yokha ya matendawa. Ndi pachimake komanso matenda.

Poyamba, munthu akhoza kukumana ndi mtundu woyamba wa matenda. Ndipo pokhapokha ngati mankhwalawo sanachitike bwino, matendawa amakula.

Mu pancreatitis pachimake, kutupa kwambiri kwa chiwalo, kuchuluka kwake, kutupa kumawonedwa. Pang'onopang'ono, ndi kapamba, kulowetsedwa ndi minofu yolumikizidwa kumadziwika. Chifukwa chake, kuwonongeka kwa khungu ndi necrosis kumachitika.

Awa ndi malo abwino olowera komanso kubereka mabakiteriya omwe amachititsa matenda opatsirana.

Ndi maphunzirowa, kugwira ntchito kwa kapamba kumatsika kwambiri. Thupi limaleka kupanga ma enzymes onse ndi insulin. Pambuyo pake, matenda a shuga amakula.

Zovuta - mapangidwe zilonda zam'mimba, kukokoloka ndi magazi m'mimba.

Gulu la pachimake kapamba:

Hemorrhagic.
Zosangalatsa.
Purulent.
Cholecystopancretitis.
Pancreatic necrosis.

Nthawi zambiri, kapamba amatenga mawonekedwe ena - osachiritsika. Poterepa, wodwalayo akukumana ndi nthawi yochulukirapo komanso kutulutsa chikhululukiro.

Njira yotupa yomwe imagwira pancreatitis yayitali imayambitsa kuphwanya kwa endocrine ndi exocrine ntchito.

Kusintha kwathanzi kumakhudza maselo a kapamba. Zimasokoneza kayendedwe ka magazi ndi kagayidwe kachakudya.

Akatswiri pakulemba kuti apezeka kuti pali ena omwe ali ndi minofu yolumikizira.

Izi zimakonzanso chiwalo. Zotsatira zake, kapamba sangathe kugwira ntchito limodzi.

Zizindikiro za Pancreatitis

Kodi zikondamoyo zimapweteka bwanji? Gawo loyambirira la zamatenda lingathe kusadziwonetsa lokha nthawi yoyamba.

Ngati kuchulukitsa kumachitika, muyenera kufunafuna thandizo kwa katswiri.

Ngati matendawa ndi akulu kwambiri ndipo munthuyo sangathe kupita kuchipatala payekha, amayimbira ambulansi.

Zizindikiro za matenda a kapamba mwa amuna ndi akazi omwe ali ndi kapamba samasiyana kwambiri.

Mawonetseredwe ena amaphatikizidwa ndi mawonekedwe amunthu wa thupi. Fomu yovuta komanso yosatha imatha kusiyanasiyana m'njira zingapo. Mtundu uliwonse umakhala ndi zake.

Kuti muwone kukula kwa kapamba nthawi, munthu aliyense ayenera kumvetsetsa momwe angazindikirire.

Zizindikiro za matenda a kapamba mwa amuna omwe ali ndi matenda kapamba:

Ululu wammbuyo Malo achitukuko ndi mbali yoyenera pansi pa nthiti. Nthawi zina ululu umafalikira kumimba lonse kapena kuzungulira kumbuyo. Potere, wodwalayo amagwera molakwika, poganiza kuti vutolo lili ndi impso.
Kupweteka m'mimba, kugaya chakudya.
Zizindikiro za Dyspeptic.

Tiyenera kumvetsetsa kuti chifuwa chachikulu chimakhala ndi zizindikiro zofowoka.

Kupita patsogolo, kuwonekera bwino kwa zizindikirazo kumakhala, ndipo mindayo ikukula. Zizindikiro za matenda a kapamba mwa amuna omwe ali ndi pancreatitis yayikulu:

Kubwera pansi kwa chopondapo. Kutsegula m'mimba kumatha kubwezeretsedwanso ndi kudzimbidwa komanso mosinthanitsa. Nthawi zambiri pampando, kupezeka kwa ntchofu kumadziwika.
Kusanza, kusanza.
Kufunitsitsa kosalekeza.
Thupi. Mwina kupezeka kwa kupweteketsa mtima.
Kufalikira ndi kusanja.
Kuonda kwambiri.
Zosangalatsa pamtima.
Kuthetsa madzi m'thupi.
General malaise m'thupi ndi kufooka.

Matenda a shuga - monga chizindikiro cha pancreatic pathologies

Awa ndi matenda omwe sangathe kuchiritsidwa kwathunthu. Pankhaniyi, dongosolo la endocrine limakhudzidwa.

Popeza kapamba ndiye amachititsa kupanga insulini, kusintha kulikonse ndi zosayenera kungayambitse matenda a shuga, zomwe zikutanthauza kuti zizindikiro za matenda a kapamba mwa amuna zidzakulitsidwa.

Mkulu akayamba kuchuluka, kuwonongeka kwa machitidwe onse a thupi kumayamba. Zimakhudzanso kagayidwe. Kukula kwa kapamba nthawi zambiri kumakhudza mawonekedwe a shuga.

Zizindikiro za matenda amtundu 1 m'magulu amuna ndi akazi:

Dontho lakuthwa.
Kukodza pafupipafupi.
Mutu.
Kuchepetsa thupi.
Pakamwa pakamwa ndi ludzu losalekeza.
Lethargy, malaise, kufooka, kuchepa kwa magwiridwe.
Kumva njala nthawi zonse.
Kusokonezeka tulo.
Ululu pachifuwa ndi malekezero otsika.

Gawo lachiwiri la chitukuko cha matenda ashuga litayamba kale, kuchepa kwa chidwi cha insulin kumadziwika. Ngakhale ndikupanga zokwanira, ma receptor amasiya kuwayankha.

Mtundu wachiwiri wamatenda ndi wodekha. Thupi silinena zambiri za vutoli. Amati:

Kulemera.
Kudzera ndi kumva kuwawa m'minwe ya miyendo.
Pafupipafupi kufalikira kwa ma virus.
Kusintha kumachitika nthawi ndi nthawi.
Kuvulala kulikonse pakhungu kumachiritsa kwa nthawi yayitali.

Ngati tikulankhula za mphamvu za anthu, ndiye kuti amuna adazindikira kuchepa kwa libido ndi chitukuko cha potency. Izi ndichifukwa choti mathero amitsempha ndi mitsempha yaying'ono yamagazi amawonongeka.

Kutalikirana kwambiri, ndi komwe kumakhala chiwopsezo chachikulu cha maselo necrosis, chifukwa cha kupangika kwa insulin.

Zizindikiro za matenda ashuga zimatha kukhala zomveka bwino mpaka wodwalayo atabweranso patatha zaka zochepa.

Khansa Yapancreatic

Kutalika kwambiri kwa kapamba, komanso kuchepa kwa chithandizo choyenera, kumakwiyitsa maselo kukhala chotupa cha khansa.

Neoplasms imatuluka m'maselo omwe adagwira nawo ntchito yopanga ma enzymes.

Chotupa chogwiritsa ntchito mahomoni chimadziwikanso. Amachokera m'maselo omwe amapanga mahomoni.

Kuti mupeze panthawiyi njira yotupa yopatsirana ikupangidwira, pamafunika kuti nthawi zina mumayesedwe.

Omwe ali ndi kapamba ayenera kuchita izi pafupipafupi. Odwala omwe ali ndi vuto lotere ayenera kuyang'aniridwa bwino ndi akatswiri.

Ultrasound ya kapamba ndi mayeso a labotale ingakuthandizeni kuzindikira zovuta zotere m'nthawi yake.

Pseudocysts ndi ma abscesses

Matenda akuluakulu otere amatha chifukwa cha pachimake cha kapamba. Chotupa chikukula pafupifupi milungu 6. Zizindikiro za ma abscesses ndi pseudocysts:

Kuwawa mkamwa.
Thupi, kuzizira.
Thupi.
Zizindikiro za kutupa m'ziwalo.
Kusanza, kusanza.
Ululu.
Kumva zabodza.
Dera lopanikizika la peritoneum.

Zimayambitsa kapamba mwa amuna

Ngati mulibe chidwi ndi thanzi lanu komanso moyo wanu. Mavuto azaumoyo posakhalitsa amatha kudzimva kuti ali ndi vuto lofooka.

Matenda aliwonse ndiwosavuta kupewa kuposa kuchiritsa, ndikofunika kudziwa kuti ndi zinthu ziti zomwe zimapangitsa kuti pakhale chizimba cha kapamba.

Izi ndizomwe zimayambitsa. kupweteka kwamatumbo mwa amuna:

Mowa. Izi zimaphatikizaponso kumwa pafupipafupi zakumwa zoledzeretsa, monga mowa. Mothandizidwa ndi mowa, michere yam'mimba imapangidwa mwachangu, koma pakhoza kukhala kuphipha, ndipo madzi a pancreatic sangathe kulowa mu duodenum. Chifukwa cha izi zimachitika kuti kupweteka kwamatenda kapamba kumachitika kawirikawiri.
Zakudya zopanda pake. Munthu amatha kudya chakudya chochuluka kwambiri, amakonda zakudya zamafuta ndi zokuthira, ndipo nthawi yomweyo amve bwino. Koma izi sizitanthauza kuti palibe njira zina zapambuyo zomwe zimachitika mthupi lake. Kuchulukitsa pafupipafupi pa dongosolo lonse logaya chakudya kumabweretsa kuti ziwalo zonse zimavutika - osati kokha kapamba, komanso m'mimba, duodenum, ndulu ya ndulu.
Matenda a m'mimba otaya - zilonda, gastritis, cholecystitis - zimayambitsa kukula kwa kapamba.
Komanso omwe ali pachiwopsezo ndi abambo, akuvutika ndi miyala ya impso.
Zomwe zimayambitsa matendawa kuwonongeka kwamakina kwa kapamba - Mwachitsanzo, pangozi yagalimoto, kapena ngozi iliyonse yomwe munthu adalandira ndiwongo pamimba.

Amayambitsa matenda a kapamba mwa amuna atha kukhala obisala kumatengera matendawa. M'pofunika kutola anamnesis - kodi achibale ake apamtima adakumana ndi mavuto omwewo.

Zofunika! Nthawi zambiri matendawa amakhumudwitsa chiwindi, chiwindi chilichonse. Zowonjezera zomwe zili pachiwopsezo ndi mbiri yakale yosuta, kuzunza kwa helminthic. Kupatula apo, Kulephera pakudya yam'mimba kungakhale chifukwa chodzipangira nokha.

Mwachitsanzo, munthu amazunzidwa ndi zowawa, koma samapempha thandizo lachipatala, koma amadziwonetsa yekha wodzigulitsa, ndipo pambuyo pake amabisala izi kwa adotolo. Izi zimasokoneza kwambiri kuzindikira kwa ogwira ntchito yazaumoyo.

Amylase pancreatic - muyezo wamagazi mwa amuna

Ntchito ya dokotala pofotokoza za wodwala wokhala ndi madandaulo am'mimba - khazikitsani kusanthula koyenera ndikupereka chithandizo choyenera. Chifukwa chake, adokotala atha kuyesedwa mayeso ndi maphunziro ena owonjezera.

Chizindikiro chabwino chomwe chingayankhe, ngati wodwala ali ndi mavuto ndi kapamba ndi pancreatic amylase.

Ichi ndi chakudya cham'mimba chomwe, limodzi ndi madzi a pancreatic, amalowa mu duodenum ndikuthandizira thupi kugaya chakudya ndikupeza chakudya.

Ndikupanga kapamba, amylase amakhalabe mkati mwa kapamba, ndipo amayambitsa chiwonongeko cha chiwalo. Gawo la enzyme limalowa m'magazi. Kuti mudziwe kuchuluka kwa amylase, kuyezetsa magazi kumayikidwa.

Kusanthula kumafunika kukonzekera asanakonzekere. Tsiku lisanafike chopereka cha magazi, muyenera kupewa zakudya zamafuta, ndi mowa. Kuwunikiridwa kumatengedwa pamimba yopanda kanthu, chakudya chomaliza chikuyenera kukhala mumaola 6-8. Kwa osuta, ndi bwino kupewa kusuta kwa maola angapo musanawunike.

Zofunika! Kuchuluka kwa pancreatic amylase kupezeka mthupi - zomwe zimachitika mwa abambo m'magazi zimachokera ku 0 mpaka 53 vipande / lita. Mwa amuna ndi akazi akulu azaka zopitilira 18, izi ndizofanana, kwa ana ndi achinyamata mfundo zina zovomerezeka zimakhazikitsidwa.

Kutengera zotsatira zakusanthula, adotolo akhazikitsa matenda olondola mwachangu kwambiri. Kuunikiridwa ndi ma CD pancreas, x-ray, komanso kuwunika magazi ndi mkodzo kungamuthandizenso pamenepa.

Njira zochizira

Zizindikiro za kutupa kwa kapamba mwa amuna tPemphani chithandizo chamankhwala mwachangu. Kuukira kwa chifuwa chachikulu cha pancreatitis kumatha kukhala kolimba kwambiri kotero kuti pamakhala ngozi ku moyo wa wodwalayo.

Ndikumva kupweteka m'mimba kawirikawiri ndibwino kufunsa dokotala kapena gastroenterologist.

Pancreatitis ndi chithandizo chake ziyenera kuperekedwa kokha kwa katswiri wodalirika, chithandizo chokha chokha sicholimbikitsa. Pambuyo pa mayeso onse ndi mayeso, dokotala amasankha njira yoyenera yoyenera.

Ngati kapamba amadwala, mankhwalawa amakhala osakhazikika. Choyambirira chomwe dokotala amalimbikitsa ndi kutsatira kwambiri zakudya. Kuti muchepetse wodwalayo kupweteka, mankhwala a ululu ndi antispasmodics amalembedwa. Mankhwalawa amathandizira wodwala kukhala ndi moyo wabwino.

Amaphatikizidwanso mu regimen yokwanira yamankhwala. Adotolo adzalembera mankhwala omwe azithandiza kapamba kuti azigwira komanso kugaya chakudya. Mapiritsi oterewa amatha kutengedwa pokhapokha akutsimikizira dokotala, komanso pokhapokha ngati akudwala matendawa. Pakachitika vuto lankhanza kwambiri, limatha kukhala lovulaza.

Zofunika! Komanso, wodwalayo ayenera kutenga njira ya mavitamini kuti athandizire thupi.

Ngati wodwala adagonekedwa kuchipatala ndikuwopseza chifuwa chachikulu cha pancreatitis, Malingaliro a madotolo azikhala motere:

Choyamba muyenera kukhazikitsa bata. Chifukwa chaichi, kusala kwachiwonetsero kungapangidwire masiku 1-2.
Katundu wozizira, monga thumba la ayezi, amatha kuyikiridwa pamimba m'mapazi. Izi ndizofunikira kuchepetsa ntchito ya kupanga enzyme.
Komanso, kuti muchepetse kuchuluka kwa ma enzymes m'magazi, ma donels ndi omwe amapatsidwa. Ngati ndi kotheka, maantibayotiki amatha kupatsidwa kwa wodwala.

Ngati chithandizo chilichonse chosasamala sichingathandize ndipo vuto la wodwalayo likupitilirabe, funso likubwera chifukwa chochotsa zikondamoyo. Opaleshoni imeneyi imatchedwa pancreatectomy. Iyi ndiye njira yayikulu yochitira opaleshoni.

Nthawi zina pochita opareshoni, amafunika kuchotsa ndulu, chikhodzodzo, kapena m'mimba. Zambiri zimatengera momwe ziwalo zamkati zimakhalira. Dokotala amayenera kuwunika momwe angagwiritsire ntchito moyenera.

Ndi chithandizo cha opaleshoni, pamakhala ngozi ina ya zovuta. Odwala onenepa kwambiri omwe akudwala matenda a mtima, ndi apamwamba kuposa ena onse.

Njira yochira pambuyo pochita opaleshoni imatenga milungu isanu ndi itatu. Wodwala ayenera kukhala kuchipatala moyang'aniridwa ndi achipatala kwa masiku osachepera 7-10. Pakukonzanso, kutsatira zakudya zapadera ndizofunika kwambiri.

Matenda a kapamba amafunikira kuyang'aniridwa mosamala kuchipatala, kotero ngakhale mutakhala ndi thanzi labwino, muyenera kupimidwa ndi dokotala nthawi zonse ndikupereka magazi ku ma enzyme.

Mankhwala kukonza

Ngati wodwala wadwala matenda a kapamba, kuti thupi lizichira mwachangu, ayenera kudya zakudya zapadera. Zakudya zapadera zimathandizira kuchepetsa kupezeka kwa matenda.

Zakudya zonse zomwe zimapangitsa kuti zikondamoyo zizigwira ntchito kwambiri sizimachotsedwa muzakudya. Izi ndi nyama zonona: nkhumba, mwanawankhosa, bakha, tsekwe, mitundu yonse yamafuta, soseji, nsomba zamafuta, mbale zilizonse zokazinga m'mafuta, ngakhale zitakhala. Broths yophika nyama yamafuta sayenera kudya. Kusungidwa kunyumba, bowa, ma legamu, sorelo, makeke, ndi makeke sakhalanso kunja. Kuchokera nthochi, mphesa, masiku sioyenera. Kuyambira zipatso za acidic, muyenera kukana.

Zofunika! Pakumwa pang'ono, wodwala yemwe ali ndi pancreatitis amamva kuwonongeka kwakuthupi, chifukwa chake, mowa uliwonse umaletsedwa. Kofi ndi khofi yomwe ili ndi zakumwa, cocoa, koloko yokoma, tiyi wakuda wopanda mphamvu siabwino monga kumwa khofi.

Nthawi yomweyo thupi liyenera kupeza mapuloteni okwanira. Mapuloteni amatha kupezeka kuchokera ku mitundu yochepa yamafuta a nyama kapena nkhuku, nsomba zam'madzi zophika. Chakudya chamasana, muyenera kuphika mbale zoyambirira - msuzi pa msuzi wa masamba. Msuzi uyenera kukhala wopanda kukazinga, iwo amawonjezera masamba ndi vermicelli woonda. Mazira a nkhuku amathanso kudyera ngati maeleeleele opendekera, okhala ndi yolk imodzi pa mapuloteni awiri.

Zakudya zopatsa thanzi chifukwa cha matenda a pancreatic ndizosavuta kupanga komanso ndizosiyanasiyana. Izi zotsatirazi ndizovomerezeka: zukini, mbatata, kaloti, dzungu, pang'ono zobiriwira zobiriwira ndi kolifulawa.

Mutha kuphika phala lamkaka kuchokera ku buckwheat, oat, semolina. Mkaka umaphatikizidwa ndi madzi muyezo wa 2: 1. Zopangira mkaka wowonda wokhala ndi mafuta ochepa ndizovomerezeka: kanyumba tchizi, yogati, kefir.

Muthanso kugwiritsa ntchito batala, onse batala ndi masamba. Thupi limafunikira mafuta a nyama komanso masamba. Mulingo wovomerezeka wa batala ndi magalamu 30 patsiku, masamba - mpaka 20 g.

Mwa zakumwa, mopepuka tiyi wopanda mkaka, ma compotes a zipatso opanda zouma, zipatso zamisuzi zothiriridwa ndi madzi, odzola, mchere wamadzi wopanda mafuta umalimbikitsa.

Kutsatira kwambiri zakudya, kutukusira kwa kapamba pang'onopang'ono kumachepa, kupweteka kwa ululu kumachepa, ndipo mwayi wokhala ndi zovuta umachepa.