Pancreatitis kutsegula m'mimba

Kutsegula m'mimba kumayambitsa matenda a chinsomba. Tinthu timene timamwa pakakhala kuledzera sizovuta kudziwa kutulutsa kwa kapamba chifukwa cha mawonekedwe ake apadera. Zinyalala za wodwala ndizobiriwira kapena zonyezimira, ndi fungo losasangalatsa. Kukhalapo kwa tizigawo ta chakudya chosasamalidwa kumawonedwa mwa iwo. Kuyenda kwamatumbo kumayenderana kwambiri ndi kusintha kwa magwiridwe am'mimba.

Chithandizo cha matenda a ziwalo zamkati chimakhala ndi tebulo lapadera lazakudya ndi kugwiritsa ntchito mankhwala - ma enzymes enterosorbents, antispasmodics, analgesics, mankhwala osokoneza bongo. Gawo lalikulu la chithandizo ndikuchotsa kutupa ndi poizoni. Pambuyo kuyambiranso matumbo microflora ndi chitetezo chokwanira.

Chifukwa chiyani kutsegula m'mimba kumachitika ndi kapamba

Funso la momwe angapewere matenda am'mimba mu matenda a kapamba amadetsa nkhawa omwe akuvutika ndi chotupa cha England. Kutsegula m'mimba kumatchedwanso kutsekula m'mimba, ndowe zikatha kukhala madzi, matumbo a wodwalayo nthawi zambiri amakhala opanda kanthu. Matenda otere amadziwika chifukwa chakuti pancreatic gland imaleka kutulutsa ma enzymes mu duodenum 12, yomwe imayambitsa kudzimbidwa. Palinso kuphwanya ntchito ya intrasecretory.

Masiku ano, madokotala alibe yankho lenileni ngati kutsegula m'mimba kumatha ndi cholecystitis. Komabe, nthawi yamatendawa, kapamba amatha kukhala ndi cholecystitis, popeza ndulu ndi chithokomiro zimakhala ndi duct wamba. Chifukwa zizindikiro za matendawa zimaphatikizidwa, ndipo madokotala amapereka chiyembekezo chokhudza kukhalapo kwa cholecystopancreatitis.

Pancreatitis kutsegula m'mimba ndimwambo wamba. Nthawi zambiri, matenda a pancreatitis amawonetsa kuti matenda am'mimba amachitika mu gawo lowopsa ndipo asintha kukhala ovuta. Ngati pachimake kapamba, m'malo mwake, wodwala amakhala ndi kudzimbidwa.

Pakati pazizindikiro za kapamba, malo akuluakulu amawonetsedwa ndi kusokonezeka kwa ntchito ya m'mimba. Kutsegula m'mimba kumadziwika ndi ndowe zamadzimadzi, kusasinthika ndi mushy. Nthawi zambiri chilimbikitso chopanda kanthu chimachitika pakapita nthawi yochepa mutatha kudya. Ngati vuto la matumbo likuyenda mobwerezabwereza.

kusanza, kusanza,
ukufalikira
Khungu limakhala loyipa
kuzizira
chizungulire
thukuta lozizira limatuluka
kumakhala kovuta m'maso
kutentha kumakwera.

Kutentha kukakwera, izi zikuwonetsa kukulira kwa chotupa m'ziwalo. Kutsegula m'mimba ndi hyperemia imawonedwa ngati pancreatitis exacerbation syndrome, momwe ndikofunikira kuyambitsa chithandizo mwachangu.

Kupezeka kwa matenda am'mimba mu kapamba kumawonekera:

kubweza,
nyansi zazitali
kutsanulira kumakhala kopepuka kapena imvi,
chimbudzi sichitsukidwa bwino ndi madzi kuchimbudzi,
mu ndowe mumakhala mafuta, pamakhala kunyezimira kwamafuta,
fungo lokhumudwitsa
pali zotsalira.

Zomwe zimayambitsa kupangika kwa matenda am'mimba m'mimba pancreatitis, gastritis, cholecystitis, komanso zomwe zimapangitsa kukula kwa zilonda zam'mimba ndi:

zovuta zopweteka za chiwalo zimatsogolera pakupanga juwisi wochepa, pali zochulukitsa pazakudya, zimbudzi zimatuluka, osakhala ndi nthawi yopopera,
kumwa mankhwala kumayambitsa kusintha kwa microflora,
matenda a ziwalo zina zam'mimba
mapangidwe a dysbiosis,
kumwa kwambiri,
kulephera kutsatira ukhondo.

Pankhani ya kutsegula m'mimba pafupipafupi, zotsatira zingapo za matenda am'mimba zimayamba.

Kuperewera kwa Vitamini.
Kusokonezeka kwa magwiridwe antchito amanjenje yapakati.
Kuchepetsa chitetezo.
Anemia
Kuchepetsa thupi.
Chisoni.
Loto lovuta.
Kulimbikitsa kwa ziwalo zamkati.

Zinthu zonsezi zimayambitsa kutsegula m'mimba ngati kuwonongeka kwa matenda am'mimba parenchymal gland, chithandizo chomwe chimatengera kwathunthu zoyambirira.

Chithandizo cha m'mimba

Zoyenera kuchita ngati wodwala akukumana ndi mapangidwe am'mimba m'matenda? Ndikofunika kuyang'anitsitsa kusintha kwamayiko, ndi ndulu zamtundu wanji, kuti musaphonye chiwonetsero chachikulu. Chithandizo cha matenda otsegula m'mimba ndi kapamba zimachitika pogwiritsa ntchito mankhwala ochulukirapo, koma njira zosiyanasiyana ndizofunikira.

Momwe mungachiritsire matenda am'mimba pamaso pa kapamba:

Njala idagunda.
Ikani ozizira kudera lachiwalo.
Khalani nokha.

Popeza thupi la wodwalayo, lomwe lili ndi matenda otsekula m'mimba, limataya madzi ambiri, amafunika kumwa madzi oyera ambiri m'malo mwa chakudya. Chifukwa chakuti chofufumitsa chaphimbidwa, chepetsani njirayi pogwiritsa ntchito ozizira. Amatenga phukusi lotenthetsera, ndikudzaza ndi madzi oundana, limayikiratu komwe kuli limba.

Njira inanso yothanirana ndi matenda am'mimba ndi enema.

Popeza pancreatitis imayambitsa kugaya bwino kwa zinthu, zidutswa zake m'matumbo zimayamba kuvunda ndikuvunda, motero, ndowe zimaperekedwa ndi enema. Izi zimafunikira kupaka shuga m'madzi ndikupangitsa wodwalayo kukhala enema.

Zoyambitsa matenda am'mimba mu kapamba ndi mawonekedwe ake

Kutsegula m'mimba ndi kapamba kumachitika kawirikawiri. Nthawi zambiri, chizindikirochi chikuwonetsa kuti matendawa adakula ndipo ali munyoza. Pankhani ya pachimake mtundu wa kapamba, chodabwitsa china chimawonedwa - kudzimbidwa.

Kutsegula m'mimba ndi kutupa kwa kapamba amayamba chifukwa zingapo:

Kusintha kwachilengedwe mu chiwalo kumayambitsa kuperewera kwa kapamba wa madzi a pancreatic, pali kulephera pakudya m'mimba, ndowe zimatuluka musanadye.
Kutenga maantibayotiki pancreatitis kumayambitsa kuphwanya microflora.
Pathology ya ziwalo zotsalira za m'mimba dongosolo (m'matumbo, bile, etc.).
Kukula kwa dysbiosis.
Mowa.
Kusayang'anira ukhondo.

Zinthu izi zimayambitsa matenda am'mimba pancreatitis, mankhwalawa amasiyanasiyana, kutengera zomwe zimayambitsa odwala.

Zizindikiro za Matenda a Pancreatic

Matenda ambiri am'mimba otsogola amawonetsa zofananira. Gastritis, zilonda, matenda a ndulu nthawi zambiri amayenda limodzi ndi kudzimbidwa. Kutsegula m'mimba ndi kapamba kumawonetsa machitidwe omwe amachitira umboni mwachindunji ku zovuta za kapamba:

chopondapo chautoto, mafuta, mafuta amphika, fungo labwino,
ndowe zimapangidwa zochuluka (mu chilankhulo chachipatala, zodabwitsa zimatchedwa polypecal),
Zakudya zopanda mafuta zimapezeka ndowe,
kutsegula m'mimba kumayamba mukatha kudya.

Ngati mawonekedwe a pathological akupitiliza, zizindikiro zachiwiri zikuwoneka zikugwirizana ndi kuchepa kwa chimbudzi komanso kuyambika kwa kuchepa kwa michere:

Wodwala amadwala matenda am'madzi.
Kulemera kumayamba kuchepa.
Pali kutaya chakudya.
Khungu limakhala louma, lowuma, lowoneka bwino.
Mkhalidwe wa tsitsi ndi misomali ukuyipa.
Wodwalayo amasinthasintha, mwina kuyamba kugona.
Wodwalayo amamva kufooka kosalekeza komanso kutopa.

Pankhaniyi, ndikofunikira kudziwa momwe mungapewere matenda otsegula m'mimba ku kapamba, ndiye kufunsa dokotala kuti athetse matenda omwe amayambitsa matenda ndikubwezeretsanso thupi ndi zinthu zofunika pamoyo wabwino

Chithandizo cha Matendawa a Pancreatic

Anthu ambiri omwe ali ndi pancreatitis poyamba amayesa kuchotsa chizindikiro chosasangalatsa pawokha. Maphunzirowa ndimankhwala ochokera ku nyumba yochitira mankhwala kunyumba, wowerengeka azitsamba. Kumbukirani, kutsegula m'mimba ndi kapamba kumawerengedwa kuti ndi vuto lalikulu, kumabweretsa njira zowopsa zomwe tafotokozazi.

Pakadwala, pamafunika kufunafuna chithandizo choyenerera, sizotheka komanso kuopseza moyo kuchiritsa kuphwanya kwamthupi.

Njira zozindikira pancreatic m'mimba

Dokotala azichita zoyesa pochita phwando, afunseni mafunso kuti atenge anamnesis ndikutumiza maphunziro owonjezera. Izi ndizofunikira kudziwa chomwe chimayambitsa matenda am'mimba mu kapamba, chithandizo chimatengera zotsatira. Zochitika zachipatala zovomerezeka zimachitika:

kuyezetsa magazi (ambiri komanso kudziwa kuchuluka kwa shuga),
magazi amylase
kuwunikira
kupezeka kwa ultrasound kwam'mimba.

Kutengera ndi zomwe zalandira, adotolo aziganiza zamankhwala ndi kuperekera mankhwala. Therapy pamilandu iyi imachitika mokwanira, kuphatikiza mankhwala ndi zakudya. Nthawi zambiri, chithandizo chimachitika kuchipatala, chifukwa kutsegula m'mimba kumayambitsa matenda opita patsogolo.

Zakudya Zam'mimba za Pancreatic

Kuti achulukitse chopondapo m'matenda a kapamba, kutsatira malamulo a zakudya zofunika, odwala amathandizidwa kudziwa njira yochizira. Mulinso malamulo osavuta ndi malingaliro.

Odwala amayenera kumwa madzi ambiri oyera.
Chakudya chimatengedwa pakapita maola pafupifupi atatu aliwonse patsiku, masikono ake amakhala ochepa. Mfundo iyi ya chakudya imatchedwa fractional.
Mukamadya, chakudya chophika kapena chofundira, chodulidwa mosamala chololedwa.
Zakudya zamafuta, zosuta, zamchere, zonunkhira ndizoletsedwa.
Zipatso ndi masamba atsopano sizoletsedwa.
Khofi ndi zakumwa za kaboni siziphatikizidwa kwathunthu.
Odwala amalangizidwa kuti asiye kusuta fodya komanso kumwa mowa.

Kuthana ndi zomwe tafotokozazo kumakonzanso chakudya cham'mimba, kuchiritsa ziwalo zowonongeka, kumalola kuti thupi lizitulutsanso michere.

Chithandizo cha Matenda a Pancreatic

Woopsa milandu, madokotala amayenera kuchitira kutsegula m'mimba mu chipatala, pomwe odwala amapatsidwa jekeseni wamkati ndi mankhwala omwe amafunikira kuwongolera mchere wamchere m'thupi ndikudzaza ndi michere. Odwala amadziwitsa kuyeretsa enemas kuti achotse mabakiteriya omwe ali ndi matumbo m'matumbo.

Pofuna kuchiza matenda otsekula m'mimba, adokotala amatipatsa mankhwala angapo omwe ali ndi mfundo zingapo zosiyanasiyana:

Mankhwala okhala ndi kukonza zinthu (mwachitsanzo, Loperamide, Smecta),
mankhwala omwe amatulutsa mapangidwe a michere (pancreatin, amylase, etc.),
prebiotic, probiotic (osankhidwa payekha, kutengera chithunzi cha chipatala),
mavitamini zovuta.

Mothandizidwa ndi dokotala, kutsegula m'mimba kwa pancreatic kumatha kuthandizidwa ndimankhwala achikhalidwe. Chothandiza kwambiri ndicho chophatikiza ndi mankhwala, kuphatikizapo:

chamomile (anti-kutupa othandizira),
peppermint (antispasmodic),
calendula (ali ndi zotsatira zoyipa),
stigmas ya chimanga (imathandizira kutuluka kwa bile).

Zigawozo ziyenera kumwedwa zofanana, zosakanizidwa. Supuni ya chopereka imathiridwa ndi lita imodzi ya madzi otentha ndikuikiridwa. Muyenera kumwa theka lagalasi theka la ola musanadye.

Kupewa kwa Matenda a Pancreatic

Pancreatitis ndimatenda oopsa, omwe pakakhala chithandizo chanthawi yake amabweretsa zovuta zingapo zovuta. Zakudya zoyenera, kukana mowa, mankhwala omwe dokotala wamupatsa, kukhala ndi moyo wathanzi kumalepheretsa chitukuko cha kupweteka kwa m'mimba ndi m'mimba.

Ngati mukupeza zizindikiro zoyambirira za vuto la m'mimba, musadikire kaye kuti chizindikire chowopsa cha matenda otsekula m'mimba. Ndikofunikira kufunsa dokotala nthawi yomweyo kuti mupeze matenda oyenera komanso kuti mupeze chithandizo choyenera. Malangizo a adotolo amayenera kuyang'aniridwa mosamalitsa, izi zimagwiritsidwa ntchito pazakudya, mankhwala, komanso mankhwala. Kutsatira malamulo osavuta komanso owonekeratu kumabwezeretsa thanzi lanu komanso kupewa zovuta.

Gastritis amatchedwa kutupa kwa mucosa. Matendawa amagawidwa m'mitundu kutengera kutalika, mapangidwe a maphunzirowo ndi kutengera kuthekera kwa zotupa, chilichonse chimakhala ndi zofunikira zake. Tiona ngati kutsegula m'mimba kumaoneka ngati chizindikiro cha matendawa.

Kutsegula m'mimba m'njira zosiyanasiyana za matendawa

Matenda owopsa a matendawa amakula chifukwa cha kupsinjika, kudya mosayenera kapena chifukwa chake, kugwiritsa ntchito mankhwala omwe amachititsa chifuwa. Wodwalayo akumva kupweteka m'mimba, nseru. Nthawi zambiri pamakhala kutsegula m'mimba kwa gastritis yovuta. Ndi kuchotsedwa kwa chifukwa cha kufalikira, chithandizo choyenera komanso zakudya, nembanemba imabwezeretseka ndipo matendawa amayamba.

Fomu yodwalayo imatha kudziwonetsa kwa zaka zingapo ngati kukokoloka kwamunthumwini, ndikusokonezeka kwapang'onopang'ono, kumachitika kupweteka komanso kulemera pamimba, nthawi zina kusanza, kusanza kumachitika. Gastritis yosachiritsika imayambitsa mitundu yayikulu ya matendawa, ndipo ndi zizindikiro zoyambirira zomwe muyenera kufunsa dokotala, osalandira chithandizo chokha.

Zoyambitsa Kutsekula m'mimba

Kutsegula m'mimba ndi gastritis nthawi zambiri kumachitika chifukwa cha kuchepa kwa zakudya, ndipo zifukwa zina ndizotheka. Ndi matenda, makamaka mawonekedwe osakhazikika, ntchito ya m'mimba imachepetsedwa kwambiri. Chifukwa cha kutukusira kwa mucosa, kapangidwe ka madzi am'mimba, omwe amachititsa gawo lalikulu pakudya, amasokonezedwa.

Kutengera ndi kusintha kwa ntchito zachinsinsi, mitundu iwiri ya matendawa imasiyanitsidwa: ndi acidity yotsika komanso yapamwamba. Gastritis yokhala ndi acidity yambiri nthawi zambiri imayendera limodzi ndi kudzimbidwa, kutsekula m'mimba kumadziwika ndi gastritis yokhala ndi secretion yochepetsedwa.

Zakudya zam'mimba

Pakakhala chimbudzi cha pancreatitis chakhansa, tebulo lazakudya ndi gawo lofunikira kwambiri pakubwezeretsanso magwiridwe antchito pambuyo poti matenda atuluka kapena kuchulukitsa kwa matenda osachiritsika.

Zakudya zamatenda a pancreatic ndi kutsekula m'mimba zimatha kusintha masokono pambuyo pakutsatira malamulo ndi malangizo a zakudya.

Odwala amamwa madzi oyera ambiri, osakhala ndi mpweya.
Tengani chakudya pakatha maola atatu tsiku lonse, m'magawo ang'onoang'ono.
Chakudyacho chimalola kudyedwa kwa zakudya zomwe zimaloledwa kuti ziziphikidwa mu ofunda owiritsa, ophika mu owiritsa pawiri, osankhidwa bwino.
Zakudya zoterezi zimayenera kuchotsedwa pagome - yokazinga, yosuta, zonunkhira, zamchere.
Osamadya zipatso ndi masamba osasankhidwa.
Chotsani khofi ndi koloko mu zakudya.
Kanani mowa, ndudu.

Kulandila kwa zinthu sikubweretsa vuto kwa womenyedwayo. Zakudya zimakonzedwa mopepuka. Muyeneranso kumwa mavitamini, chifukwa ndi kutsegula m'mimba zinthu zonse zofunika zimatuluka m'thupi.

Monga njira yodyetsera wodwalayo atachulukitsa, ndikofunikira kuphatikiza:

nyama yokonda
mkate wa dzulo
pasitala
mafuta ophikira
mkaka ndi mkaka wowawasa.

Mukamatsatira tebulo lazakudya, zomwe zimapangitsa kuti chimbudzi chikhale ndi mphamvu, ziwalo zomwe zakhudzidwazo zichira msanga, zomwe zimalola kuti thupi likonzenso zinthu zopindulitsa.

Zomwe zimayambitsa kugaya zakudya ndi gastritis yokhala ndi acidity yochepa

Ndikusowa kwa madzi am'mimba, chimbudzi chokwanira cha chakudya chimachitika. Zakudya zimayenda m'mimba ndipo zimayambitsa kukula kwa kupesa ndi kuzungulira kwatsalira. Munthu nthawi zambiri amakhala ndi mseru, akumanga, kupumira movutikira. Zakudya zomwe sizinakonzedwe zimakhumudwitsa khoma lamatumbo, zimayambitsa kutsekula m'mimba. Kukhala bwino kwa wodwalayo kumakulirakulira, kumakhala kumva kufooka, kusowa chidwi, kulephera kudya.

Chimbudzi mavuto a gastritis kwambiri acidity

Kuphwanya chimbudzi kumadziwikanso mtundu wa gastritis yodziwika bwino. Komanso, wodwalayo amatha kudzimbidwa komanso kupweteka kwambiri, komwe nthawi zambiri kumatha kudya.

Zomwe zimayambitsa matenda am'mimba ndikukula kwa kutsekula m'mimba mu gastritis ndi dysbiosis ndi matenda ndi bactericum Helicobacter pylori, yomwe, kukhazikika m'mimba ndikuchulukana mwachangu, imawononga makoma a mucosa.

Zizindikiro ndi matendawa

Nthawi zambiri, kusokonezeka kwa stool kumayendera limodzi ndi zizindikiro zina za matendawa. Nthawi zambiri, ndikamatsuka pafupipafupi, munthu amamva kufooka kwambiri, nseru, nthawi zina limodzi ndi kusanza, kunjenjemera miyendo, kutentha thupi, kugona, kugona.

Ngati muli ndi zizindikiro, ndi bwino kufunafuna thandizo nthawi yomweyo.

Zizindikiro

Kuti mudziwe zomwe zimayambitsa matendawa ndikuyambitsa chithandizo chofunikira, ndikofunikira kuti mudziwe bwino lomwe. Foid stool imawerengedwa ngati chizindikiro cha zovuta zambiri zam'mimba, matenda a chiwindi, kapamba kapena chikhodzodzo, zimayambitsa matenda opatsirana, kufufuza kwathunthu kumathandizira kudziwa zomwe zimayambitsa. Ultrasound yam'mimba, gastroscopy imagwiritsidwa ntchito.

Pazinthu zotsutsana komanso zovuta, adotolo ali ndi ufulu wotumiza wodwala ku X-ray kapena nthawi yotsiriza kuti akope ndi biopsy. Kuphatikiza pa zothandizira, kafukufuku akuchitika pazotsatira zamagazi amkati, mkodzo ndi ndowe zamagazi.

Chithandizo cha mankhwala ochizira matenda am'mimba

Ntchito yogwiritsa ntchito kugaya zakudya, wowerengeka azitsamba. Iyenera kuwagwiritsa ntchito atakambirana ndi adokotala. Amaloledwa kutenga infusions ndi decoctions azitsamba omwe ali ndi anti-yotupa komanso analgesic katundu. Mwachitsanzo, chamomile, wort wa St. Chovomerezeka kutenga payokha, kapena kusakaniza ndikupanga supuni yothira ndi kapu ya madzi otentha, lolani kulowetsedwa kwa maola angapo ndi kutenga theka lagalasi musanadye.

Njira zomwe zikupezeka ndizowoneka bwino komanso mabala ochiritsa: mafuta a sea buckthorn, mbewu za fulakesi ndi msuzi wa aloe. Mafuta a fulakesi ndi mbewu zimawonjezeredwa ku saladi, decoctions apadera amakonzedwa kuchokera ku mbewu, kusefedwa ndipo ntchofu yotulutsidwa imamwa.

Mbewu za tirigu zam'mera zimayesedwa ngati njira yabwino yowonjezera chitetezo chathupi lonse komanso chimbudzi.

Thanzi mankhwalawa kutsegula m'mimba chifukwa cha kufalikira kwa gastritis

Kwa mtundu uliwonse wa matenda am'mimba oyambitsidwa ndi zifukwa zosiyanasiyana, ponena za mankhwalawa ngati chizindikiro cha matenda, ndikofunikira kutsatira njira yapadera yazakudya. Muyenera kutsatira zakudya mankhwalawa gastritis. Pofuna kuti muchepetse kukula kwa zovuta komanso kuchulukitsa kwa matendawa, kumbukirani kuti chakudya chambiri sichikulimbikitsidwa - ntchito yamkati yam'mimba siyidabwezeretsedwenso, kusowa kwa dongosolo.

Dongosolo labwino lazakudya zopatsa thanzi komanso nthawi yayitali yodwala imakonzedwa ndi adokotala. Amayitanitsa malamulo omwe amafunikira kuti azigwiritsa ntchito podwala. Zakudya zovulaza siziyenera kuphatikizidwa: zokazinga, zamafuta, zamchere, zamzitini ndi zonunkhira. Siyani kudya kwathunthu, zakumwa zoledzeretsa, tiyi wamphamvu, khofi, msuzi wokoma. Penyani zakudya zapadera ngati chakudya chimatengedwa ndikanthawi yochepa m'magawo ang'onoang'ono. Chakudya chimatengedwa mopepuka. Ndikofunikira kupatula kwakanthawi kochepa kugwiritsa ntchito zipatso ndi ndiwo zamasamba zomwe zimachulukitsa acidity (mwachitsanzo, malalanje kapena tomato), kuwonjezera mphamvu yampweya (mitundu yonse ya kabichi, buledi wa bulauni, buns watsopano, nyemba).

Menyu imalola mitundu yochepa yamafuta ndi nsomba, yabwinoko kapena yophika. Chakudya cham'mawa, ndikofunikira kuti nthawi zonse muziphika phala yophika bwino ndi mkaka theka. Yokwanira mankhwalawa komanso kupewa matenda ammimba, kukhalabe ndi chitetezo chamthupi mokwanira. Kuchokera ku chimanga, mapira, mpunga kapena buckwheat amalandiridwa. Ndi kulekerera kwabwinobwino, zinthu zopaka mkaka zoyenera, zimabwezeretsa microflora yam'mimba ndikuthandizira kuchira msanga.

Masamba ophika masamba omwe amapangidwa kuchokera ku mbatata, dzungu ndi zukini amatha kulimbikitsa kuyendetsa matumbo, chifukwa cha enveloping yawo komanso kusasinthasintha zofewa, kubwezeretsa makoma a mucous m'mimba. Pakati pa chakudya, ndizotheka kudya zipatso: nthochi, maapulo obiriwira, mapichesi. Musanadye, ndikofunika kumwa supuni yamadzi am'madzi amchere kapena kulowetsedwa zitsamba.

Etiology ya matenda

Matendawa amatchulidwa kuti ndiofala kwambiri, chifukwa pali anthu ambiri omwe ali pachiwopsezo. Matendawa amagwirizanitsidwa ndi kusayenda bwino kwa kapamba, womwe umagwira ntchito yofunika kwambiri m'thupi la munthu.

Choyamba, chimbudzi chimatengera chiwalo ichi. Popanda michere yomwe imapangidwa ndi kapamba, kugaya bwino mapuloteni, mafuta ndi chakudya sikokwanira. Gland yofunika imeneyi imatenga nawo gawo popewa mphamvu zama metabolism ndikukulolani kuti mulingo wa shuga m'magazi. Ndi chiwalochi mu mulingo woyenera chomwe chimapanga insulin ndi glucagon, ndizofunikira kuti munthu azigwira bwino ntchito.

Pancreatitis imatha kupezeka m'njira zingapo. Matendawa amatha kukhala osapweteka kapena osachiritsika. Poyamba, wodwalayo amakhala ndi nkhawa nthawi zambiri pazizindikiro zambiri zosasangalatsa, koma mawonekedwe a mawonekedwe awa ndi achangu. Pancreatitis yokhayo yomwe imachiritsidwa kwathunthu. Ndizosatheka kuchotsa mawonekedwe osachiritsika. Pankhaniyi, munthu ayenera kulimbana kwambiri ndi kufalikira kwa matenda ndikukhala nthawi zonse pancreatitis ikhululuka.

Ndi kapamba, chimbudzi nthawi zonse chimatupa. Ngati mu thupi muli bwino, munthu amatulutsa michere yomwe imakumba chakudya, pambuyo pake zonse zimatuluka m'thupi, ndiye kuti m'mimba pakasokonekera, kutulutsa kwa katulutsidwe kadzaza, ndiye kuti madzimadzi okhala ndi michere ayamba kugaya osati chakudya, koma khoma la pancreatic. Ngati matendawa ndi osachiritsika, ndiye kuti minofu yake imayamba kuchepa. Popita nthawi, izi zimapangitsa kuti pakhale kusokonezeka kwakukulu pakupanga mahomoni ofunikira ndi ma enzymes.

Zomwe zimayambitsa pancreatitis zimatha kukhala matenda am'mimba komanso chikhodzodzo, matenda opatsirana, matenda a mtima, kusokonezeka kwa ma cell, maopa omwe anavulaza ziwalo zam'mimba, komanso moyo wosayenera ndikuledzera. Zonsezi zimabweretsa kudwala, komwe kumadziwonetsera kumatulutsa ndi kupweteka kwambiri pamimba, kusanza pafupipafupi, kupindika, kutsegula m'mimba, chizungulire, kufooka thupi lonse ndi mutu. Odwala omwe ali ndi kapamba, nthawi zonse pamakhala kusowa kwa mavitamini m'thupi komanso kupezeka kwamawu oyera.

Zizindikiro zonsezi ndizosasangalatsa, ndipo zina zake zimatha kubweretsanso mavuto akulu. Pancreatitis imayenera kuthandizidwa moyenera, chifukwa kunyalanyaza matendawa kumatha kupha.

Njira zoyendera

Pakukaikira koyamba, muyenera kufunsa dokotala. Katswiriyo ayenera kufotokozeratu chithandizo choyenera, koma choyamba ayenera kufufuza mozama, komwe kumatsimikizira molondola kuchuluka kwa kunyalanyaza matendawo. Mankhwala ena amatengera izi.

Mndandanda wa njira zodziwira matenda ophatikizira matenda umaphatikizanso kuyesa kwapadera ndi dokotala wa gastroenterologist. Kenako, kuyezetsa kwamwazi wamagazi kumayesedwa, mkodzo ndi ndowe zimatengedwa kuti ziyezetsedwe, ndipo pamapeto pake gastroscopy ndi radiography zimachitika. Nthawi zina, katswiri amatha kutumiza kukonzekera kwa compact tomography, cholecystocholangiography ndi mayeso a ultrasound.

Zakudya Zolimbikitsidwa

Ndi kapamba, kutsekula m'mimba kumachitika nthawi zambiri. Koma kuti mupewe zovuta zotere ndi zina zambiri, muyenera kudya moyenera. Pamavuto ndi kapamba, ndikofunikira kutsatira zakudya zapadera.

Madokotala amalimbikitsa kuti kuthana ndi matenda otsekula m'mimba komanso vuto la m'mimba kumayang'anitsitsa boma la kumwa ndikusiyiratu zakudya zomwe zingakwiyitse m'mimba. Tikuyankhula za zokazinga, zokometsera ndi mchere. Palibe chifukwa chomwe kudya moperewera kumaloledwa. Idyani katatu pa tsiku m'magawo ang'onoang'ono. Izi zimalola m'mimba ndi kapamba kuti azichita bwino ntchito zawo.

Ndi kapamba, kusuta, zakudya zotsekemera ndi zakumwa zoledzeretsa ndizoletsedwa. Chakudyacho sichimaphatikizanso masamba a masamba, ndiye kuti, masamba atsopano, zipatso ndi zinthu zomwe zili ndi gluten, ndiye kuti, zakudya zam'chitini ndi marinade. Bowa, ma legamu ndimtundu wa ufa sizikulimbikitsidwa kuti mugwiritse ntchito.

Zochita zolimbitsa thupi ndi ma compress ozizira ndizothandiza kwambiri pochiza matenda a kapamba. Pasakhale mowa ndi ndudu zilizonse m'moyo wamunthu amene amachiza matenda a kapamba.

Chithandizo chovomerezeka

Munthawi yamatendawa, matendawa amatchulidwa pafupipafupi. Ichi ndi chizindikiro chosasangalatsa kwambiri chomwe chimafuna chithandizo choyenera. Nthawi zambiri, ngati ziphuphu zakumaso zokhala ndi kapamba sizitha kwa nthawi yayitali, wodwalayo amamuika kuchipatala, chifukwa kutayika kwambiri kwa zinthu zopanda nzeru popanda kubwezeretsanso kuchuluka kwa mavitamini m'thupi kumabweretsa zotsatira zosasangalatsa kwambiri.

Kuphatikiza pa zakudya zoyenera, zomwe zimagwira ntchito yofunika kwambiri ku kapamba, dokotala amakupatsani mankhwala omwe amathandiza kugaya chakudya. Mezim, Creon, ndi Pancreatin akuphatikizidwa m'gulu ili. Muli michere yomwe kapamba wodwala sangathe kutulutsa. Kuti muchepetse kugaya, mudzafunika mankhwala okhala ndi lactobacilli ndi bifidobacteria.

Pankhani yoletsa kutsegula m'mimba ndi kapamba, ndiye kuti Imodium ndi Loperamide amagwiritsidwa ntchito pamenepa. Kwa zizindikiro zopweteka kwambiri, ma pinkiller amagwiritsidwa ntchito.

Musaiwale kuti ndi kapamba, thupi lidzachepa chifukwa chosowa zakudya zomwe sizingachitike kuchokera ku chakudya. Kubwezeretsa bwino mavitamini, mutha kugwiritsa ntchito vitamini.

Mutha kuthandizira mankhwalawa ndi wowerengeka azitsamba. Ndi matenda otsekula m'mimba, mankhwala azitsamba a chamomile, calendula ndi stigmas a chimanga amathandiza bwino. Msuzi wa msuzi kwa miyezi iwiri.

Kutupa kwa kapamba kumayendera limodzi ndi kutayika kwa m'mimba. Pachimake kapamba nthawi zambiri limodzi ndi chopondapo posungira. Koma ngati matendawa ali ndi matenda osachiritsika, wodwalayo amakhala ndi matenda otsegula m'mimba. Izi ndizovuta kuzichotsa. Kukhalapo kwake kumachitika chifukwa cha kusachita bwino kwa kapamba ndi ziwalo zina. Pafupifupi kutsegula m'mimba ndi kapamba, mankhwalawa afotokozedwa m'nkhaniyi.

Kodi chifukwa chiyani ma stools oyenda pafupipafupi amawonekera?

Kutupa kwa kapamba ndi matenda omwe amabwera chifukwa chogwira ntchito molakwika m'thupi.

Kukhazikika kwa matenda a pathological nthawi zambiri kumayendetsedwa ndi zizindikiro zowopsa. Komabe, pakalibe chithandizo chokwanira, zizindikiro za matendawa zimawonekera pafupipafupi. Mu chifuwa chachikulu cha m'mimba, kutsegula m'mimba kumakhala kofala. Kodi chifukwa chophwanya mpando ndi chiyani? Pathology imagwirizanitsidwa ndi kusakwanira kwa kupanga zinthu zofunika pakachulukidwe ka chakudya. Kuperewera kwachilendo kwa mankhwala omwe munthu amalandila kuchokera ku chakudya kumakhudza zochitika za ziwalo zina zam'mimba. Mwachitsanzo, odwala omwe ali ndi matenda ofananawo alibe madzi am'mimba. Ndipo kuwonongeka kwa mapuloteni osakwanira osakanikirana ndi ma fiber ndizotsatira zam'mimba. Kuzindikiritsa chakudya, komwe kumaphatikizapo mapuloteni, kumatsimikiziridwa ndi kupezeka kwa asidi m'mimba, ndipo kupezeka kwa alkali ndikofunikira kuti kuphwanya kwa ufa ndi zinthu zamphesa. Kwa odwala, izi zimasokonekera, ndipo izi zikufotokozera mawonekedwe am'mimba mu kapamba. Kuchiza kuyenera kukhala ndi cholinga chobwezeretsanso michere.

Njira zakuchitika

Madzi phukusi mwa anthu omwe ali ndi zotupa zam'mimba zimayenderana ndi zifukwa zingapo. Monga zinthu zomwe zikuthandizira chitukuko chake, titha kulembapo:

Kupanda zinthu zofunika yachibadwa pokonza chakudya.
Chithandizo cha zovuta zopezeka ndi maantibayotiki.
Kusokonezeka kwamatumbo ang'onoang'ono, kusokonezeka kwa ziwalo zam'mimba.
Kupanda tizilombo tothandiza, kuchuluka kwa mabakiteriya oyipa.
Kuledzera.

Chidwi ichi chimapangitsa kukula kwa njira yotupa mu kapamba.

Ngati wodwala akutsegula m'mimba ndi kapamba, mankhwala sayenera kungobwezeretsanso zinthu zofunika kuti mugaya chakudya, komanso kuti athetse michere yoyesayesa kugaya chakudya. Munthu yemwe ali ndi matenda ofanana amafunika kutsatira zakudya zinazake kuti asawonongeke.

Zolemba za chizindikirocho

Kutsegula m'mimba mwa odwala omwe ali ndi kutupa kwa pancreatic kumayendetsedwa ndi kutulutsidwa kwa chopondapo, kokumbukira gruel. Defecation nthawi zambiri amapezeka chakudya. Ndibwino kuti muli ndi timiyala tokhala ndi imvi kapena dongo lopepuka, ndi mafuta, ndizovuta kuchapa. Poyerekeza ndi momwe mankhwalawo amagwiritsidwira ntchito ngati antibayotiki komanso kuwonjezereka kwa matenda am'mimba, kutsekula m'mimba kumatha kuchitika. Pulogalamu yodwala imakhala ndi fungo labwino ndipo ili ndi zinthu zosapangidwira bwino. Ngati kutsegula m'mimba kumachitika ndi kapamba, mankhwalawa amayenera kukhala a panthawi yake. Izi sizingatengeke mopepuka. Inde, kutsegula m'mimba kwa nthawi yayitali kumapangitsa kuti pakhale zovuta (kuperewera kwa madzi m'thupi, kusowa kwa zinthu zothandiza m'thupi). Anthu omwe ali ndi vuto lofananalo amawoneka otopa. Amakhala ndi khungu louma, ming'alu m'makamwa, magazi. Kugwira ntchito kwamanjenje kumasokonekera. Pali mantha, kufooka. Wodwala sangathe kugwira ntchito mwachizolowezi, amapezeka pazinthu zosangalatsa, pitani patchuthi.

Mfundo zoyambirira zamankhwala

Kodi mungaletse bwanji kutsegula m'mimba ndi kapamba?

Odwala ambiri ali ndi chidwi ndi nkhaniyi. Choyamba, muyenera kukumbukira malamulo ofunikira. M'masiku 2 oyamba mutatha kudziwa kuti mukuwonjezereka, muyenera kupewa kudya, koma imwani madzi akumwa ambiri osakhala ndi kaboni. Ndikulimbikitsidwanso kuyika mafuta odzola ndi madzi oundana pamalo angozi. Njirayi imachepetsa kusapeza bwino, kutupa komanso kutupa.

Kuphatikiza apo, ngati pali kutsegula m'mimba ndi kapamba, chithandizo chikuyenera kuphatikizidwa ndi chakudya chokhwima. Pakatha masiku awiri osamwa chakudya, munthu ayenera kudya pafupipafupi, koma pang'ono pang'ono. Ngati mukukumana ndi vuto, muyenera kugwiritsa ntchito zinthu zomwe zimayeretsedwa. Odwala amalimbikitsidwa kutentha mbale. Chakudya chozizira kwambiri kapena chotentha chimatha kukhumudwitsa ziwalo zamagetsi zopweteka. Pakuchulukitsa, munthu ayenera kukonda zamasamba osati zakudya za mapuloteni, chifukwa ndizovuta kuti ziwalo zam'mimba zitha kupanga mapuloteni munthawi imeneyi. Zakudya za wodwala ziyenera kuphatikizidwa ndi katswiri.

Ndi mankhwala ati omwe amathandizira kuthetsa kutsekula m'mimba?

Popeza limagwirira kukula kwa chizindikirochi kumaphatikizapo kuphatikiza pazinthu zingapo, chithandizo chovuta ndikofunikira kuti chithetse. Pali njira zingapo zochizira. Choyamba, odwala amafunsa kuti amwe mapiritsi ati oti amwe ku m'mimba.

Akatswiri amalimbikitsa Imodium ndi Loperamide ngati mankhwala omwe akukonzekera. Kuphatikiza apo, decoction ya makangaza a makangaza, kulowetsedwa kwa walnuts kumathandiza kuthana ndi chimbudzi chomasuka komanso pafupipafupi. Ngakhale kuti mankhwala azitsamba amathandizira kuti muchepetse kuyenda, matendawa samathandiza kuti pakhale zambiri. Kupatula apo, kusayenda kwa chakudya chosakumba bwino kumayambitsa kukula kwa ntchito yampweya komanso kufalitsa kachilombo koyambitsa matenda. Chifukwa chake, wodwalayo ayenera kumwa mankhwala omwe amathandiza kupewa zovuta zoterezi.

Kugwiritsa ntchito mankhwala osokoneza bongo

Akatswiri amalimbikitsa mankhwala okhala ndi zinthu zomwe zimakhazikitsa chimbudzi. Kusankha kwa mankhwala kumatsimikiziridwa ndi momwe wodwalayo alili.Odwala ena akumva bwino ndi kugwiritsa ntchito "Creon". Kwa ena, Pancreatin ndi yoyenera kwambiri. Malangizo ogwiritsira ntchito mapiritsi akufotokozedwa mu gawo lino. Mankhwalawa amagwiritsidwa ntchito kuperewera kwa zinthu zomwe kapamba amapanga. Vutoli limawonedwa pambuyo pochotsa chiwalo kapena chothandizira cha ma radiation, ndi cystic fibrosis ndi kutupa komwe kumachitika mwa mawonekedwe osakhazikika.

"Pancreatin" imagwiritsidwanso ntchito pothetsa matenda otsekula m'mimba, osagwirizana ndi matenda opatsirana, zizindikiro za pathologies a bile ducts, kuchuluka kwa mpweya. Kuphatikiza apo, mankhwalawa amapatsidwa mankhwala ogwiritsa ntchito odwala omwe ali ndi vuto la m'mimba. Kuchuluka kwa mankhwala ofunikira kumatsimikiziridwa pazinthu zingapo. Amadziwika kuti ndikudya, zabwino kwambiri zotengera Pancreatin ndizotheka. Malangizo ogwiritsira ntchito mapiritsi akuwonetsa kuti mlingo womwe umalimbikitsidwa umasiyanasiyana kutengera zaka komanso wodwala. Ana osakwana zaka 2 sanakhazikitsidwe. Pokhapokha ngati pakuphwanya kwambiri, mlingo wochepa ndi wokwanira kwa munthu. Amasiyana piritsi 1 mpaka 4. Ndalamayi imadyedwa nthawi iliyonse chakudya.

Munthawi yakuchulukitsa kwa matendawa, ngati matumbo amalepheretsa kapena chifuwa, mankhwala amaletsedwa.

Zolemba zamagulu azakudya

Ngati pali matenda otsegula m'mimba ndi kapamba, zakudya zake ziyenera kuphatikizapo kupatula kwa zakudya zomwe zimafunikira kupanga ma enzyme ambiri. Zakudya zonunkhira, zamafuta ndi amchere siziyenera kudyedwa. Zakumwa zomwe zimakhala ndi ethanol ziyeneranso kutayidwa. Muyenera kudya pafupifupi nthawi 8 patsiku. Kuchuluka kwa chakudya, kuwerengetsa phwando limodzi, kuyenera kukhala m'manja ochepa. Pakadalibe zovuta (kutsegula m'mimba kwambiri, kupweteka), tchizi chokhala ndi mafuta ochepa ophika kanyumba komanso chimanga chophika m'madzi chitha kuphatikizidwa muzakudya. Ngati mkhalidwe wa wodwalayo watukuka, akulimbikitsidwa kuti awonjezere mbale za nyama ndi nsomba muzakudya. Ukama wa tsekwe, nkhumba, mwanawankhosa sungadye. Amaletsedwanso mwachangu kapena mbale zophika. Tiyenera kukonda zakudya zosenda bwino komanso zowiritsa, soufflé, msuzi wosenda. Mawuwa sakukhudza nyama zokha, komanso zamasamba, zipatso.

Ndi zinthu zina ziti zomwe siziyenera kuperekedwa kwa menyu odwala? Chiletso chikuphatikizaponso:

Zoyala, zomangira nyama.
Mchere ndi mchere wosuta.
Tchizi wowoneka bwino, zonona zambiri wowawasa.
Mkaka woyela.
Ndimu, anyezi, adyo, masamba owawa owawa.
Bowa wamtundu uliwonse.
Wofesa ndi wokoma kwambiri zipatso, zipatso.
Kuphika
Zakudya zopatsa thanzi (chokoleti, maswiti).
Timwiti tiyi wamphamvu kwambiri, zakumwa zoziziritsa kukhosi.
Soda.

Mankhwala okhala ndi ma enzymes ("Festal", "Mezim Forte") amathandizira kuti zinthu zisinthe. Amachepetsa kusefukira, kuthetsa kusapeza bwino. Koma mankhwala amathandizanso wodwala pokhapokha ngati zakudya zoyenera zimawonedwa. Zithandizo zofananira ziyenera kugwiritsidwa ntchito potsatira dokotala.

Ntchito ya Enema

Njirayi imathandizira kuchotsa chimbudzi pakudya ma ma virus oyipa omwe amayambitsa pafupipafupi komanso mopanda chimbudzi.

Odwala ambiri amawopa kugwiritsa ntchito mankhwalawa kutsegula m'mimba ndi kapamba. Amakhulupirira kuti enema imachotsa zinthu zopindulitsa. Koma izi siziri konse zoona. M'malo mwake, njirayi itatha, kutsegula m'mimba kumayima msanga, ndipo wodwalayo amva kupumula.

Kwa enema, njira yapadera ndiyofunikira. Malita awiri amadzi ayenera kuphatikiza ndi supuni yayikulu yamchere ndikuwonjezera 7 magalamu a koloko. Ndondomeko amachitidwa kawiri. Kutentha kwamadzi kumayenera kukhala madigiri 38.

Zomera zamankhwala

Pankhani ya matenda otsegula m'mimba ndi kapamba, chithandizo cha zitsamba chimagwiritsidwa ntchito ngati njira yowonjezera. Mankhwalawa ayenera kugwiritsidwa ntchito ndi chilolezo cha dokotala. Mwambiri, zinthu zopangidwa ndi zomerazi zimathandiza kukhala ndi thanzi labwino.

Amathetsa njira yotupa, amasinthasintha zochitika m'mimba, amalimbikitsa kupanga ma enzyme, ndikubwezeretsa maselo owonongeka.

Ndi pancreatitis, osafa ndi chowawa ziyenera kudyedwa. Kuphatikiza apo, pali ndalama zochokera ku timbewu tonunkhira, ndimu, mankhwala a chamomile, zipatso za rosehip, masamba a birch, oregano, ndi pulasitiki. Zomera izi zimagwiritsidwa ntchito limodzi ndi uchi, mandimu, cranberries, sea buckthorn, yamatcheri.

Mankhwala

Pamavuto akulu, chithandizo cha matenda otsegula m'mimba chifukwa cha kapamba chimachitika kuchipatala komwe amathandizira kuti amupatse mankhwala. Komanso, pochizira matenda am'mimba, kuyeretsa enemas kumayikidwa.

Chithandizo cha matenda am'mimba ndi kapamba sichimapita osamwa mankhwala. Ntchito yayikulu ndikusintha mchere wamchere ndikulimbitsa chitetezo cha mthupi.

Chithandizo cha mankhwala chikuchitika.

Mankhwala a Enzymatic - amatha kutsogolera njira yogaya chakudya, omwe adapangidwa kuti atenge - Festal, Mezim, Pancreatin.
Enteosorbents - amathandizira kuchotsa poizoni m'thupi. Kuchita kotereku kumakhala ndi kukonzekera - adamulowetsa kaboni, Almagel, Polysorb.
Mankhwala omwe amachulukitsa matumbo amachepetsa kuchuluka kwa matumbo a matumbo. Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri, omwe maziko ake ndi loperamide. Zimathandizira pamene m'mimba mwakula. Mwa mankhwalawa omwe ali ndi bloating akuphatikiza ndalama - Loperamide, Immodium, Lopedium.
Mankhwala omwe amathandizira kuthetsa ululu, gwiritsani ntchito Baralgin, kukhudzika - Papaverine, No-Shpo, mankhwala omwe ali ndi zovuta - Renalgan, Spazmil.
Ma Probiotic amathandizira kukhazikitsa matumbo - Colibacterin, Lactobacterin, Bactistatin.
Mavitamini ndi michere - imabwezeretsa chitetezo chathupi pambuyo pa matenda - Complivit, Vitrum, Supradin.

Mankhwala ena ali ndi zotsutsana zomwe zimakhudzana ndi kupezeka kwa kapamba mwa amayi pakukonzekera ndi kuyamwa, zomwe zimayenera kuganiziridwa.

Njira zina zochizira

Mogwirizana ndi adotolo, gastroenterologist yemwe ali ndi vuto m'mimba, komanso ngati m'mimba mukukula, amaloledwa kuchiza matenda otsegula m'mimba ndi kapamba ndi mankhwala wowerengeka. Dokotala adzakuuzani momwe mungapewere kutsekula m'mimba ndi kapamba pogwiritsa ntchito maphikidwe a wowerengeka.

Chakumwa chowachiritsa pancreatitis ku matenda am'mimba amadziwika kuti ndi decoction ya chamomile. Kukonzekera mankhwalawa, kutsanulira 250 ml ya madzi otentha pa supuni yayikulu ya maluwa oma. Unikani ndi kudya 100 ml mpaka katatu pa tsiku.

Poletsa kutsekula m'mimba ndi kapamba, mutha kugwiritsa ntchito zitsamba zotsatirazi:

Chimodzi mwazomera zofunikira supuni ndizofunikira kuthira 250 ml ya madzi otentha. Ikani mankhwalawa kwa theka la ola ndikuyamba kudya katatu pa tsiku.

Karoti kapena madzi a mbatata amathandizira kubwezeretsa ndi kukhazikitsa matumbo m'mimba. Imwani amaloledwa kulumikiza 1 mpaka 1. Imwani 250 ml ya madzi tsiku lililonse katatu pakadutsa mphindi 30 musanadye.

Kupewa kutsegula m'mimba

Popewa kukula kwa matenda am'mimba a pancreatic, tsatirani moyo wathanzi ndikutsatira malamulo onse.

Chotsani mowa, ndudu.
Yang'anani pagome la zakudya.
Phatikizani masewera olimbitsa thupi muzokonzekera tsiku ndi tsiku.
Kuti aoneke ndi dokotala.

Ngati kapamba amapweteka, muyenera kufunsa dokotala nthawi yomweyo kuti matenda otsekula m'mimba asathenso. Popeza zizindikiro, kuyezetsa, mankhwala adzakhazikitsidwa ndi kapamba.