Kodi kapamba amwalira > Matenda a shuga

Pancreatitis ndi matenda oopsa a kapamba, omwe amaphatikizapo kuwonongeka kwa minofu. Nthawi zambiri, zinthu zotupa zimachitika chifukwa chomwa kwambiri mowa. Kupita patsogolo kwa kuwonongeka kwa minofu kumajambulidwa ngakhale pamene wodwala sanamwanso. Ndizovuta kuyankha funso loti mwina ndizotheka kufa ndi kapamba. Chifukwa cha izi zimatengera zifukwa zomwe zakhudzira chiyembekezo chamoyo. Moyo wokhala ndi matenda otere ndiwotheka, chinthu chachikulu ndikuganizira mosamala zaumoyo wanu.

Zizindikiro zowopsa mukayimbira ambulansi

Imfa ya kapamba imawoneka ngati chiopsezo chenicheni ngati munthu sazindikira zizindikiro za matenda. Zizindikiro ndizofanana ndi kuwonetsa kwa matenda ena am'mimba ndi matumbo, chifukwa chake ndikofunikira kusiyanitsa pakati pawo ndikuzindikira pa nthawi.

Mawonetsedwe oyamba komanso akuluakulu a kapamba owopsa komanso osapweteka ndi:

kusanza
nseru
kupweteka kwa lamba m'mimba, komwe kumachitika nthawi yomweyo. Atamaliza kudya.

Mu chifuwa chachikulu cha pancreatitis, Zizindikiro sizimakula mwachangu, komabe, nthawi yopweteka imatenga nthawi yayitali, molingana ndi zovuta. Ndi pancreatic necrosis, ululu womwe poyamba umapezeka mu peritoneum, kenako umapita pansi pa chifuwa.

Nthawi zambiri, kapamba limafalikira chifukwa cha kupweteka, komwe kukula kwake kumakhala kofanana ndi zamatenda, zotsatira zake zomwe sizingatheke kulosera.

Zizindikiro zamatenda akulu:

gawo lowopsa la kapamba limasiyanitsidwa ndi mitundu yayikulu ya matendawa; amadziwika kuti ndi njira yoopsa yomwe wodwalayo amafa.
ndikumva ululu wosapweteka m'mimba yamalo osiyanasiyana - pafupi ndi navel, pansi pa nthiti mbali yakumanzere kapena kumanja. Nthawi zambiri ululu umamangidwa, perekani kumunsi kumbuyo, mapewa onse, sternum. Matenda a ululu amakhala olimba kwambiri kotero kuti amakupangitsani kukula kwa kupweteketsa mtima ndikusintha kwa chikumbumtima, mapangidwe a kuchepa kwa ziwalo zingapo, zomwe zimatsogolera kuimfa,
mawonekedwe a dyspeptic amadziwika ndi chiwonetsero cha mseru komanso kusanza komwe sikubweretsa mpumulo, kuchuluka kwa mpweya m'matumbo, bloating, kutsekula m'mimba. Njira yayikulu yokhala ndi dyspepsia yokhala ndi kusanza kwa nthawi yayitali, kutsegula m'mimba kumabweretsa kuchepa kwa madzi m'thupi, zinthu zofunika kupeza ndi mavitamini zimatayika. Nthawi zambiri izi zimachitika chifukwa chosakwanira kapena kulowetsedwa mosadzilimbitsa. Zosokonekera zimakhudza ntchito ya ziwalo zonse ndi machitidwe, kuchepa kwamatenda amthupi, kusowa kwa michere, m'malo ovuta kwambiri, izi zimatha kubweretsa imfa,
kwambiri kuledzera matenda akuwonetseredwa ndi zizindikiro zazikulu zingapo zomwe zikuwonetsa kugonja kwa machitidwe onse a thupi. Zowonetsera zazikulu za poyizoni wa thupi ndikuwonjezera kutentha, thupi lofooka, kukakamizidwa kumachepa, kupuma movutikira, kusintha kwachitetezo cha khungu - pallor, yellowness, ictericity, mutu ndi chizungulire, chikumbumtima chovulala,
labotale, kuyezetsa kothandizirana kumakulirakulira ngati kutupa kwambiri kwa kapamba kumawonedwa. Mu KLA, leukocytosis yomveka bwino yophwanya njira yovomerezeka ya leukocyte, kuwonjezereka kwa ESR chifukwa cha kutupa, kumapezeka. Chiwindi chikakhudzidwa kapena kuthamanga kwa magazi kukwera mwachangu, kuchuluka kwa michere ya chiwindi, amylase ndi zizindikiro zina zomwe zikuwonetsa kuwonongeka kwa ziwalo kumawonjezeka. Kufufuza kwa Ultrasound, tomography yowerengeka kumawonetsa zizindikiro za kutupa, kusokonezeka kwa minofu ya kapamba, ma abscesses ndi zina
zovuta zopweteka.

Ndi mawonekedwe a ululu waukulu ambulansi isanabwere, ndizosatheka kupirira ndi kugwiritsa ntchito mankhwala amphamvu. Ndizothekanso kutsika kutentha kwambiri, kusanza kumawonekera mutatha kudya. Pakakhala njira yolumikizidwa, mbali zambiri, zowoneka bwino, zokhala ndi khungu loyendetsedwa zimawonedwa pakhungu. Chifukwa cha kufalikira kwamphamvu kwa kapamba, mapamba onse amalephera ndipo magwiridwe antchito a chiwindi, impso, m'mimba, ndi matumbo amasintha.

Mtundu wa Cholangiogenic umakula mutangodya chakudya. Izi matenda amayamba chifukwa cha kupezeka kwa chimbudzi m'njira yothandiza. Nthawi ya mtundu woperewera wamafuta a kapamba nthawi zambiri imapezeka pomwe wodwala amamwa kwambiri mowa.

Zizindikiro zamtunduwu zimawonekera bwino ndipo zimatuluka ngati zipatso zatsopano, masamba, kapena zonunkhira kapena zakudya za acidic zimatha.

M'mbuyomu, mawonetseredwe a matenda am'mimba amaperekedwa ndi kudzimbidwa kosatha pamodzi ndi hypomotor colon dyskinesia ndi bile strretion. Nthawi zambiri kudzimbidwa kumalowedwa m'mimba. Kutsegula m'mimba ndi mtundu uwu ndi chodabwitsa chosawoneka bwino komanso chizindikiro.

Kodi ndizotheka kufa ndi kapamba

Imfa ya pancreatic necrosis imapezeka mu 1/3 ya odwala - ziwerengerozi ndizowopsa. Zotsatira zakupha ndi poyizoni pancreatitis ya gland zimawonedwa mu 100% ya milandu.

Imfa ya wodwalayo imachitika mkati mwa masiku 7, ngati chithandizo sichikulamulidwa mwachangu. Odwala omwe samalabadira zomwe zikubwera amamwalira. Nthawi zambiri kumachitika chifukwa cha matenda a cholangiogenic komanso chidakwa cha matenda.
Kuwoneka kwa mawonekedwe owopsa, omwe amabweretsa 50% yaimfa, titenga zitsanzo.

Wodwalayo amangodya zakumwa zoledzeretsa komanso zamafuta, zokometsera komanso zakudya zamchere. Komanso ndimasuta ndudu, ndikumverera kuti ndibwinobwino kwakanthawi. Komabe, pali colic, kuwawa pamlomo wamkamwa, nseru imakhalapo nthawi zonse.
Zizindikiro za matendawa zimatha patapita kanthawi, ndipo munthuyo amwanso mowa komanso akusuta. Pozindikira kuti kutulutsa ziwalo kumayambitsa vuto, sikunachedwe kusintha zinthu zonse kukhala zabwino.
Popeza palibe chochitidwa, kuwonongeka kwa kapamba kumapitirirabe, mpaka kufalikira kwa matenda kukukupangitsani kuganiza zotsogolera moyo wosayenera.

Ndikofunikira kuti musataye nthawi ngati mukukayikira koopsa, kuti kufa kwa maselo amtunduwu komanso kufa pambuyo pake kwa wodwala kuchokera ku chancreatic necrosis sikuchitika.

Zomwe Zimayambitsa Imfa Yaikulu Pancreatitis

Kodi wodwala amatha kufa ndi kapamba? Posachedwa, kufa chifukwa cha matenda oterewa kwawonedwa pang'onopang'ono, popeza mwayi wambiri watseguka wochizira pancreatitis.

Zotsatira zakuchulukirachulukira za nthenda yayitali nthawi zambiri zimatengera kuchuluka kwa matendawo. Imfa 1 ya 1 ndiyosowa. Nthawi zambiri imfa imabwera kwa odwala omwe ali m'magawo atatu a matenda. Ngati simukumana ndi chithandizo cha matenda a pathologies, zotsatira zakupha ndi kapamba zimatsimikizika.

Izi zoyipa matenda.

Mowa mtundu wa kapamba - kumwalira ndi matenda amtunduwu nthawi zambiri amakhudza anthu adakali aang'ono, makamaka abambo omwe amamwa mowa. Ngati mumamwa ethanol pafupipafupi, ndiye kuti izi zitha kuwononga poizoni wama cell ndi ma cell a chiwindi. Ndi mawonekedwe amtunduwu wa kapamba, pancreatic necrosis imawonedwa, ntchito zake zimaphwanyidwa.
Imfa yochokera ku mawonekedwe owopsa komanso mawonetsedwe owopsa a zisonyezo ndizapamwamba kwambiri. Odwala, zotsatira zoyipa zimapangidwa m'masiku 7 oyamba kumayambiriro kwa matendawa, zimachitika, ngakhale mu nthawi yoti ayambe mankhwala. Imfa ya wodwalayo imachitika chifukwa cha kupezeka kwa exudate, chachikulu pancreatic necrosis, kutulutsa magazi mkati.
Pancreatic necrosis - njira yopangika imapangidwa chifukwa cha kapamba owononga a pachimake, omwe amawoneka kuti amamwa mowa komanso kumwa mankhwala ovulaza. Chifukwa cha kutupa, edema kapamba kapena kukhalapo kwa chimbudzi mu ma excretory ngalande, malo awo amachepera, ndi madzi otaya, omwe ali ovutitsa tinthu tambiri, amasungidwa pakatikati pa kapamba. Ma enzymes a Proteolytic amachititsa chisokonezo cha England komanso ziwalo zomwe zimayandikira.

Imfa pambuyo pa opaleshoni yamapazi. Zilonda, fistulas, zilonda zam'mimba, ndiye njira yokhayo yothetsera vutoli ndi kuchitidwa opaleshoni.

Mankhwala othandizira opaleshoni ndi njira zingapo. Kuchuluka kwa kuchitapo kanthu kwa opaleshoni kumatsimikiziridwa ndi kuchuluka kwa kuwonongeka kwa chiwalo - minofu ya necrotic, kapena gawo limodzi, kawirikawiri chiwalo chonse, sichitha.

Ngakhale opaleshoniyo itamuyendera bwino, ndiye kuti wodwalayo angamwalire:

ngati magazi akutuluka,
yogwira pancreatitis pambuyo pa opaleshoni,
matenda a maphunzirowa, peritonitis,
kukhalapo kwa matenda ashuga, zovuta, ngati chithandizo chamankhwala sichinasankhidwe molakwika, malingaliro a adotolo samatsatiridwa.

Imfa imakonda kulembedwa mwa odwala omwe akuyembekezera, akuyembekeza kuti zizindikiritso za kapamba zimachoka zokha.

Momwe mungapulumutsire moyo wa wodwala

Pamaso pa kutupa kwambiri, kufa kwa wodwalayo kumachitika chifukwa cha kutsika kwambiri kwa kuthamanga kwa magazi, kusintha kwa kayendedwe ka magazi ndi kugwedezeka kowawa.

Kuyembekezera kubwera kwa ambulansi, kuti muchepetse mkhalidwe wa wodwala kumafuna:

kutenga malo abodza, ngati kuli kotheka, ndiye kumbali,
kumwa mankhwala omwe amathandizanso kupuma - No-Shpu, Drotaverin,
osamadya
ikani kanthu kena kozizira ku matenda.

Wodwala akakhala ndi vuto loti ali ndi vuto lalikulu, ndiye kuti amagonekedwa m'chipatala mwachangu. Adotolo azindikira matendawa, ndikusankha njira yochizira. Ngati kapamba ndi ziwalo zopezeka pafupi zinakhudzidwa ndi zochitika zowonongeka, ndiye njira yokhayo yopewera kufa ndi kuchitidwa opaleshoni.

Matenda a hemorrhagic amawonetsedwa ndi kufa kwa minofu ya ziwalo. Imfa ndi nthenda yotere imachitika nthawi zambiri. Mkhalidwe wamatumbo umakula pamene makoma a chotengera chilichonse amakhudzidwa chifukwa cha zochita za ma enzyes ake.

Ndi matenda, kuwonjezeka kowopsa mu chiwalo kumachitika, chifukwa cha izi, kutaya magazi kumachitika, mawonekedwe a magazi.

Ngati simukuwonanso magazi munthawi yake ndipo simukuchita opaleshoni, ndiye kuti kutaya magazi kumakulirakulira kwambiri. Pamene hemorrhagic pancreatitis ikukayikiridwa, wodwalayo amamva kuziziritsa, kutentha kumadzuka, kusanza, kufooka kumachitika, kupweteka kumapereka pansi pamapewa ndi kupindika kumbuyo. Gawo lalikulu la odwala omwe ali ndi vutoli ali m'mavuto akulu.

Kotero ndi hemorrhagic pancreatitis, chifukwa cha imfa chimawonedwa chifukwa cha hemorrhagic shock state.
Pakumatha kuchira, chithandizo chamankhwala cha enzyme chimayikidwa, komanso mankhwala a vitamini. Wodwala amafunikira kuti azisamalira zakudya zomwe amadya pamoyo wake wonse, kusiya zizolowezi zoyipa m'mbuyomu.

Matenda a kapamba ndi matenda omwe amatha kuwongolera. Malinga ndi malingaliro onse, imfa siowopsa kwa wodwala. Ndikofunikanso kuwunika momwe mukumvera, idyani pomwe, kuyesedwa munthawi yake ndi dokotala.

Zizindikiro zazikulu za kapamba

Kupumira, nseru ndi m'chifuwa kupweteka kwam'mimba komwe kumawoneka mutatha kudya ndi chizindikiro choyamba komanso chachikulu cha pancreatitis yayikulu komanso yayikulu. Komanso, kusanza kwambiri sikupatsa wodwalayo mpumulo wocheperako.

Mu mawonekedwe apakhungu a kapamba, Zizindikiro sizimawoneka kwambiri, koma njira zopweteka zimatenga nthawi yayitali kuposa momwe amapangira mawonekedwe owopsa. Ululu womwe umayamba m'mimba kenako umafalikira mpaka pachifuwa.

Nthawi zambiri, pancreatitis imayendera limodzi ndi kupweteka kwa paroxysmal, komwe kumakhala mawonekedwe amtundu wamatenda, zotulukapo zake zomwe sizingachitike kunenedweratu.

Zizindikiro za chifuwa chachikulu

Mu chifuwa chachikulu cha pancreatitis, wodwalayo akhoza kugwa kapena kugwedezeka pomwe mutha kufa. Ngati matendawa aphatikizidwa ndi mapangidwe a mafinya, ndiye kuti wodwalayo amatha kuwona kutentha kwambiri kwa thupi.

Ngakhale pankhani ya edema ya pancreatic, kutentha kumatha, m'malo mwake, kutsika, ndikofunikira kulipira chidwi chapadera ndi izi. Chizindikiro china cha pancreatitis pachimake ndikusintha kwa khungu, izi zitha kukhala izi:

Fomu yovuta

Acute pancreatitis ndimtundu woopsa kwambiri wamatenda, pomwe imfa ndi zotsatira zake. Wodwala yemwe ali ndi mtundu uwu wapweteketsa kupweteka kwa kumanzere kapena kumanzere kwa hypochondrium. Vuto lachiwopsezo cha kapamba, zilonda zam'mimba zimatha. Pa chifuwa chachikulu cha pachimake, zizindikiro zina ndizodziwika, monga:

kubwatula
nseru
hiccups
kamwa yowuma
kusanza pafupipafupi chakudya chambiri ndi kuphatikizika kwa ndulu, ndikuchotsa zomwe zili m'mimba sizibweretsa mpumulo kwa wodwala.

Pancreatitis iyenera kuzindikirika mofulumira, chifukwa zovuta zomwe zimawoneka sizikhala zovuta.

Matendawa akakula msanga, mkhalidwe wa wodwalayo umachepa kwambiri kanthawi kochepa kwambiri, ndipo kumwalira kumachitika, ndipo zizindikiro zotsatirazi zimawonekera:

Kutsitsa magazi.
Thupi.
Zosangalatsa pamtima.
Kukongola kwa khungu.
Kupuma pang'ono.
Zovala zoyera pamalirime.
Nkhope za wodwalayo zakuthwa.
Kufalikira.
Zizindikiro za m'mimba ndi m'mimba.
Mu magawo apambuyo pake matendawa, m'mimba palpation kumavumbula zizindikiro za kukwiya kwa peritoneal.

Tiyenera kukumbukira nthawi zonse kuti matenda a pancreatitis ndiowopsa mwadzidzidzi.

Cholangiogenic mawonekedwe a kapamba

Odwala ndi cholangiogenic pancreatitis, zizindikiro za matendawa zimawonekera mukangodya. Matenda amtunduwu amayamba chifukwa cha kupezeka kwa miyala mu ducts ya bile. Zosakaniza za Cholagogue zimakhala ndi ma alkaloids, mafuta acids, mafuta ofunikira, mapuloteni, potopin ndi sanguinarine.

Matenda oledzera apakhansa

Mtunduwu umapezeka nthawi zambiri mwa anthu omwe amamwa mowa mopitirira muyeso. Zikuwonekeratu kuti dzinalo lidachokera kuti. Zizindikiro za pancreatitis yoledzera zimatchulidwa kwambiri ndipo zimawonekera mutatha kudya zipatso, masamba ndi zakudya zilizonse zokometsera kapena acidic.

Gawo loyambirira la chitukuko cha matendawa limatha kutsagana ndi kudzimbidwa pafupipafupi pamodzi ndi hypomotor dyskinesia of the intestine ndi biliary thirakiti. Posachedwa, kudzimbidwa kumaloledwa ndi chopondapo chosakhazikika. Kutsegula m'mamwa mwa mawonekedwe a pancreatitis ndi mnzake pafupipafupi komanso ndi chizindikiro.

Zomwe zimapangitsa kuti odwala azidwala kwambiri

Zadziwika kale pamwambapa kuti amuna ndi akazi onse amafa ndi kapamba. Nthawi zambiri, zotsatira zoyipa zimachitika sabata yoyamba ya matenda.

Madokotala pankhani iyi azindikiritsa hemorrhagic kapena mtundu wosakanikirana wa kapamba, womwe umayendera limodzi ndi kusintha kwamatenda am'mimba mu kapamba. Imfa ya wodwala chifukwa cha kapamba imachitika mu zochitika zotsatirazi:

Ngati wasintha kapangidwe ka minofu kapena khungu la kapamba.
Mu nkhani ya exudate ndi mapangidwe necrotic foci.
Ndi yotakasika endological njira mu zofunika - pancreatic necrosis.

Nthawi zambiri muzochitika izi, nthawi yakufa imawerengeredwa m'maola angapo kapena masiku. Nthawi zina, wodwalayo amatha pafupifupi mwezi. Chiwalo chomwe chimatchedwa kuti kapamba chimatulutsira timadzi tam'magazi tambiri tomwe timatha kugaya mapuloteni aliwonse, kuphatikiza kapamba wokha.

Chikhalidwe cha thupi la munthu chapereka njira yogaya chakudya, pomwe madzi a pancreatic amatengedwera m'matumbo a duodenal ndikusakanikirana ndi zinthu zina.

Ngati pali zolepheretsa kuti mupeze madzi mu duodenum, zomwe zimapangitsa kuti chida choduliracho chikhalebe m'miyeso yake, njira yodzigaya yokha, yotchedwa pancreatosis mu mankhwala, siyimachotsedwa, ndipo pancreatic necrosis kale ndi mtundu woopsa kwambiri wa kapamba.

Kuchokera pamwambapa zimatsata kuti chifukwa chaimfayo mu kapamba wam'mimba ndizotsekemera za kapamba. Zomwe zimapangitsa kuti anthu azitha kufa chifukwa cha kapamba:

uchidakwa
zakudya zosayenera (zakudya zonunkhira kwambiri komanso zamafuta, kuphatikiza pazakudya zopangidwa ndi zoteteza),
matenda a ndulu
kupsinjika kosalekeza.

Kukhala ndi nkhawa kwambiri pafupipafupi komanso kupanikizika nthawi yayitali kumatha kuyambitsa ma spasms mu bile ducts, zomwe zimalepheretsa zachilengedwe kugaya chakudya. Zotsatira za izi ndizosintha zamitundu yonse mu kapamba.

Choyambitsa kufa kwa kapamba amatha kudziwikanso kuti zakudya zomwe zimadziwika kuti "sokogonnye". Uku ndi kuphatikiza zakudya zamafuta kwambiri ndi zonunkhira zomwe zimapatsa zakumwa zazikulu, muyenera kumvetsetsa kuti mowa ndi kapamba siziphatikiza. Zotsatira zoyipa zitha kupezeka chifukwa cha kuphulika kolimba kwa dzuwa, kutsatiridwa ndi kapamba.

Mwayi wakufa ndi matenda

Odwala amafa chifukwa cha kutupa kwambiri, chifukwa cha kufalikira kwa matenda okalamba, chifukwa cha zovuta. Mavuto omwe angayambitse imfa ndi awa:

glandular minofu necrosis,
Hypovolemic mantha okwiyitsidwa ndi magazi amkati,
poyizoni wa thupi pakuwonongeka kwamatenda omwe ali ndi matenda opatsirana komanso mowa,
chotupa mu kapamba kapena ziwalo zina zam'mimba,
purulent yotupa inayake mu ducts wa chiwalo, zikubweretsa peritonitis,
mantha chifukwa chakumva ululu,
kuperewera kwa zilonda zaminyewa tokhala ndi matenda osakhalitsa.

Zomwe zimayambitsa kufa m'njira zosiyanasiyana za matendawa

Imfa imachitika chifukwa cha chiyambi, mawonekedwe, zizindikiro za matenda. Ndi mawonekedwe aliwonse otupa, zomwe zimapangitsa kufa kwa odwala zimadziwika:

Mowa kapamba. Ndi matendawa, anyamata achichepere komanso okhwima ambiri amafa, popeza gulu ili laanthu limatengera kwambiri uchidakwa. Ndi kumwa kwa ethyl mowa, kuwonongeka kwa chiwindi ndi kapamba kumachitika. Necrosis imayamba m'matipi, ziwalo zimakanika kwambiri, ndipo munthu woledzera amwalira. Imfa ndiyotheka ngakhale m'maloto. Komanso mwa amuna omwe amasiya mowa, gland yowonongeka siyabwezeretsedwa.
Pachimake kapamba. Mtundu wamatendawa umadziwika ndi zizindikiro zazikulu, ali ndi imfa yayikulu kwambiri. Ngati chithandizo sichinayambike, ndiye kuti wodwala amatentha m'masiku ochepa, nthawi zina ngakhale patsiku limodzi. Zimachitika kuti odwala amwalira mkati mwa sabata ngakhale atangoyambitsa chithandizo. Mwanthawi yovuta, magazi amkati ndi necrosis yayikulu imatsogolera kuimfa.
Matenda kapamba Fomuyi yokhala ndi maphunziro autali ndi wowopsa komanso yovuta kwambiri. Ndi zowonjezera, njira zimachitika zomwe zimatsogolera ku kuwoneka kovuta kwambiri. Komanso, chomwe chimapangitsa kuti munthu amwalire matenda osachiritsika nthawi zambiri chimapangitsa kuti minyewa yake iziyenda bwino. Chifukwa cha kutupa kwakutali, matenda a oncological amadziwika ndi njira yankhalwe, amafika msanga kumapeto.
Hemorrhagic kapamba. Kuchita kwa kutupa komwe kumayendetsedwa ndi magazi amkati ndi koopsa kwambiri. Pali magazi chifukwa cha kugunda kwamitsempha ya mtima pansi paukali wa michere ya pancreatic. Wodwala amafunikira kuchitapo kanthu mwachangu, ngati satero, hemorrhagic imayamba chifukwa cha magazi ambiri, imfa imachitika.
Pancreatic necrosis. Kufa kwa minofu ya glandular kumachitika pazifukwa zosiyanasiyana. Nthawi zambiri, necrosis imawonedwa pamtundu wamatenda komanso chidakwa cha matendawa. Mu chofufumitsa chowuma komanso chotupa, ma lumen a ma ducts amachepa, chifukwa omwe madzi owopsa a pancreatic sangathe kuthawa, amayamba kuwononga zimakhala.
Mavuto obwera pambuyo pake. Ndi zovuta komanso kusintha kwa necrotic, opaleshoni imachitidwa mwachangu. Koma ngakhale atachitidwa opareshoni, zotsatira zakupha zimatheka chifukwa chotuluka magazi, postoperative peritonitis, yogwira pancreatitis, chotupa chodwala. Ngati wodwala ali ndi matenda ashuga, ndiye kuti pambuyo pa opaleshoniyo chikomero cha hyperglycemic chitha kuchitika chifukwa cha kusamvetseka kwa mankhwala a insulin kapena kusatsatira malangizo a chipatala.

Thandizo loyamba

Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, muyenera kuyimbira ambulansi nthawi yomweyo. Pamene madokotala akuyenda, njira ziyenera kuchitidwa kuti munthu athe kudwala.

Ikani wodwala kumbali yake,
mpatseni antispasmodic,
osapatsa chilichonse choti adye
kanikizani paketi ya ayisi ku thupi kapamba.

Pambuyo pa opaleshoni, chithandizo chimachitika ndi kukonzekera kwa enzyme ndi mavitamini. Wodwalayo amatsatira kudya kwamphamvu. Kuti muchepetse, muyenera kusiya zizolowezi zoipa, kuchepa thupi, musaiwale za zolimbitsa thupi.

Kodi kapamba ndi ntchito zake ndi chiyani

Thupi limakhala ndi kakulidwe kakang'ono, lofanana ndi tsamba la msondodzi ndipo limagwira ntchito zazikulu ziwiri:

amatenga nawo gawo pokonza chakudya chifukwa cha madzi am'mimba,
amapanga mahomoni omwe amakhudza maselo mkati mwa thupi.

Homoni wamkulu m'matumbo ndi insulin, yomwe imayang'anira shuga.

Mitundu yamatenda imachita

Nkhani yothandiza? Gawani ulalo

Pali mitundu iwiri ya pathological process:

Pachimake kapamba. Amapangidwa mwachangu. Pokonzekera matendawa, ma enzymes anu a pancreatic amapha England. Ndi chithandizo chamwadzidzidzi m'masiku oyamba kumayambiriro kwa zizindikiro, chiopsezo chotsatidwa ndi zoopsa kwambiri. Malinga ndi ziwerengero, mwa odwala 10 omwe ali ndi pancreatitis yovuta, 2 samakhala ndi moyo. Pankhaniyi, ndi zizindikiro zoyambira za matenda, munthu sayenera kuchedwetsa kupita kwa katswiri ndikuchita chithandizo chodziyimira payekha. Ndi matenda oopsa a pathology, kusintha kosasinthika kumachitika mu kapamba, womwe umabweretsa imfa.
Matenda kapamba Amayamba nthawi yayitali. Kuchulukitsa kungasinthidwe ndikuchotseredwa, ndipo zomwe zikuwonetsa kuti matendawa kulibe. Nthawi zambiri kuposa ena, odwala ochokera zaka 40 amakhala ndi matenda amtunduwu. Fomu yodwalayo nthawi zambiri imawonetsedwa chifukwa cha malingaliro osayenera paumoyo wa wodwalayo - ndi kusintha koyambirira kwa thanzi, njira zochiritsira ziyenera kusokonezedwa ndikuyambiranso pokhapokha ngati zikuwonjezera.

Funso limakhala nthawi zambiri ngati amafa ndi matendawa. Nthawi zambiri imfa imachitika mwachindunji kuchokera pakuchulukirachulukira, chifukwa kupangika kwamwadzidzidzi kumakhala kovuta kulosera.

Anthu amakhudzidwa ndi izi, mosaganizira jenda. Njira ya pathological imapangidwa mwachangu kwambiri.

Pachifukwa ichi, kufa kwa matendawa kumadziwika m'masiku 7 oyambira kuchokera pachiwonetsero choyamba.

Chochititsa imfa

Chomwe chimapangitsa kuti munthu afe chifukwa cha kusintha kwa kutupa m'mapapo nthawi zambiri ndi kusasamala kwa odwala.

Amwalira ndi mavuto okhudzana ndi mavuto omwe amabwera chifukwa cha kusokonezeka kwakukulu kwa ntchito ya ziwalo zamkati.

Ena amakhala ndi ululu, ena ali ndi chala. Nthawi zambiri ukalamba mtima sukulimbana ndi nkhawa zambiri.

Palibe amene angadziwe momwe matendawa azikhalira, koma mosasunthika, motsogozedwa ndi akatswiri odziwa bwino, wodwala adzakhala ndi mwayi wabwino wochira msanga.

Wodwala akakhala pamavuto, ntchito yayikulu ya madokotala imakhala kuti akhazikitse mkhalidwe wake, ndikumuchotsa m'dera langozi.

Izi zitha kuchitika pogwiritsa ntchito njira zosiyanasiyana pakusamalidwa kwambiri. Zowerengera ngati zoterezi ndizochepa, ndiye kuti simungathe kuzitaya.

Pachifukwa ichi, kulimbana ndi matenda akuluakulu kumayambira pamenepo. Madokotala akuyesera kuchita zonse zotheka kuti asinthe ndikusintha kwa kapamba, kuchotsa ululu.

Izi zikachita bwino, wodwalayo amasamutsidwira ku gastroenterology, komwe kumenyera nkhondo yotsatira kwa moyo wake kudzapitiliza.

Pofuna kuti musabweretse izi, muyenera kuyang'anira thanzi lanu. Zovuta zamomwe zimachitika mu navel ziyenera kukhala zowopsa.

Ngakhale pakadutsa nthawi ndipo sizipangitsa vuto lililonse, ndibwino kufunsa upangiri wa dotolo wocheperako ndikuwonetsetsa.

Ngati matenda atapezeka koyambirira, ndikosavuta kuthana ndi mawonetseredwe ake ndi zomwe zimayambitsa, chiopsezo cha kufa sichikhala chochepa.

Mowa Pancreatitis

Matendawa amatero chifukwa chomwa mowa kwambiri. Mtundu ndi mtengo wa mowa sizimakhudzanso njira ya pathological.

Ndizotheka kudwala kuchokera ku mowa komanso cognac mothandizidwa ndi zakumwa.

Mu mtundu wamatenda omwe akudwalayo, umunthu umadziwika kwa zaka 20. Munthawi imeneyi, theka la odwala omwe ali ndi matenda a kapamba amwalira.

Imfa imachitika mosaganizira zaka. Zomwe zimayambitsa imfa ndi ma pathologies omwe adawoneka chifukwa cha mowa wambiri.

Kuwonetsedwa kwa mowa

Chifukwa chakumwa zakumwa zoledzeretsa mthupi, maselo a gland ndi opunduka.

Chochititsa chidwi ndi zinthu zomwe zimapangidwa panthawi ya kuwola kwa ethyl mowa kapena ma surrogates.

Kusintha kwa maselo kumachitika kudzera mwa kutsegula kwa ma enzymes omwe amapangidwa kokha ndi gland.

Kenako michere imakhudza chiwalo chokha. Zotsatira zake, necrosis imapangidwa, yomwe imakwiyitsa kufa kwa malo ofunikira.

Glandi imatha kuwunditsidwa ndikukulitsidwa mpaka kukula. Tiziwalo ta pancreatic amayamba kupunduka, amasinthidwa ndimafuta m'maselo, amathandizira kuwonongeka kwa endocrine system. Chifukwa cha kusintha kwa pathological, shuga imapangidwa.

Zakumwa zoledzeretsa, zomwe zimamwa kwambiri wodwalayo ndi matenda ake, zimakhudza maselo.

Fodya, yemwe nthawi zambiri amagwirizanitsidwa ndi mowa, amayambitsa vasospasm, yomwe imatha kuwonjezera minofu.

Zogulitsa, zomwe zimadzazidwa ndi mafuta, zimathandizira kuyambitsa ntchito zachinsinsi, ndikupanga zovulaza m'matumbo.

Ntchito zomwe zimagwirizanitsidwa ndi kugwira ntchito kwa kapamba ndizolumikizana. Ndizosatheka kunena kuti wodwalayo adamwalira ndi matendawa osakhazikitsa chifukwa chenicheni chaimfa.

Gulu la kapamba chifukwa cha uchidakwa

Njira ya pathological imagawidwa m'magawo awiri - pachimake komanso chovuta. Chifukwa chakumwa nthawi imodzi zakumwa zoledzeretsa zochuluka, poizoni wa thupi amadziwika.

Zofananazo zimadziwika mu pancreatitis yovuta kwambiri. Zizindikiro zamatenda amtunduwu ndizofanana ndi omwe ali ndi matenda ena.

Chomwe chimapangitsa kuti pakhale mtundu wa chifuwa chachikulu cha kapamba chimakhala kumwa kwambiri mowa.

Zizindikiro zamatenda amtunduwu sizimawonekera kwa nthawi yayitali. Mowa ukamwa mowa wambiri, koma pafupipafupi, matendawa amakula tsiku lililonse.

Munthawi ya matenda a kapamba, odwala amakhala popanda kukayikira kukhalapo kwa pathological process kwazaka zambiri.

Kodi chiwopsezo cha pancreatitis choledzeretsa ndi chiani?

Mukuchulukitsa kwa ululu, odwala ambiri amadandaula za kusokonezeka kwakukulu pamimba pamimba yomwe imachitika kumbuyo ndi hypochondrium.

Zosangalatsa mosasangalatsa zitha kukula m'malo opingasa.

Chifukwa cha kuchepa kwa zinthu zopindulitsa m'thupi, kuchepa kwamphamvu kwa thupi kumadziwika mwa odwala.

Kuti mupewe kuopsa, funsani katswiri wa gastroenterologist.

Kodi kapamba angachiritsidwe chifukwa cha mowa?

Chithandizo cha matendawa chimachitika motsogozedwa ndi akatswiri ena. Madokotala omwe ali mu gawo la gastroenterology, endocrinology, ndi opaleshoni ndiyofunikira.

Panthawi yovuta, thandizo limafunika kuchokera kwa radiologist kapena psychotherapist. Chofunikira kwambiri pakubala zipatso ndikusankha zakumwa zoledzeretsa kuchokera pamenyu. Mowa ndi zakumwa zina zotsika sizikulimbikitsidwa.

Kodi maulosi abwera bwanji?

Kuti tipewe kusintha kosasinthika, odwala ayenera kumvetsetsa bwino kuti zomwe zimapangitsa kuti pakhale chifuwa chachikulu cha kapamba zimasiyana ndi mitundu yazakudya.

Ndi matenda awa, ndizoletsedwa kumwa mowa ndikudya mafuta. Zakudya zopatsa thanzi zimaphatikizapo kugwiritsa ntchito mapuloteni muzakudya komanso mafuta ochepa kwambiri.

Anthu ambiri amakayikira ngati ndizotheka kufa ndi kapamba. Zambiri zomwe zimakhudza moyo wamunthu:

Zizindikiro zaka za wodwala.
Njira yothirira zakumwa zoledzeretsa.
Kukula kwa ziwalo.

Zifukwa zomwe zimakhudza moyo wautali:

Mawonekedwe a matenda. Nthawi zambiri kukomoka kumabweretsa. M'mitundu yovuta, zotsatira zoyipa zimawonedwa mu 30% ya odwala.
Kukula kwa matendawa kumakhudza thanzi lathunthu. Zotsatira za mawonekedwe a cystic neoplasms, kupezeka kwa magazi kuchokera ku kapamba, zovuta ndi kugaya chakudya zimatha kukulitsa vutolo.
Zizindikiro za zaka za odwala.
Kutsatira malangizo azachipatala okhudzana ndi zamankhwala.
Magwiritsidwe a chakudya omwe adapangidwa ndi gastroenterologist.
Kukana kumwa zakumwa zoledzeretsa.

Zomwe zimayambitsa pachimake hemorrhagic pancreatitis

Njira yotereyi imadziwika ndi necrosis ya minofu ya England. Nthawi zambiri, ndi matenda oterewa, umunthu umakhala wokwera kwambiri.

Zomwe zimaperekera zikhale njira zopangira opaleshoni, kuvulala kosiyanasiyana, uchidakwa.

Kuwonjezeka kwadzidzidzi kwa kapamba chifukwa cha kukha mwazi kumadziwika. Ndi thandizo losayembekezereka, mutha kufa ndi matendawa.

Pancreatitis ndi matenda omwe amatha kuwongolera. Pokhapokha atalandira mankhwala, imfa siyidzachitika.

Kuphatikiza apo, ndikofunikira kuti muzisamalira chikhalidwe chama psycho, kutsatira malamulo a chakudya chopatsa thanzi, kupewa kupsinjika ndikuwunika mayeso munthawi yake.

Zimayambitsa pancreatic necrosis

Pachimake kapamba, complication ya pancreatic necrosis, ali lachitatu malo pafupipafupi, kungolola patsogolo pachimake appendicitis ndi cholecystitis. Monga lamulo, limayamba chifukwa cha kuwonongeka kwa ma cell achinsinsi a kapamba, kupanga kwambiri madzi a kapamba komanso kuphwanya kutuluka kwake. Njira izi zitha kupangitsa kuti:

kuvulala kwam'mimba
opaleshoni yam'mimba
kuledzera kwa thupi (kuphatikizapo mowa),
thupi lawo siligwirizana
matenda a ndulu
matenda opatsirana kapena parasitic,
kudya kwambiri nyama yokazinga, zinthu zina zowonjezera, mafuta a nyama.

Zomwe zimayambitsa pancreatic pancreatic necrosis ndizambiri, koma nthawi zambiri zimayamba kumwa mowa wambiri kuphatikizapo zakudya zama protein. Zimachitika kuti matendawa amatuluka nthawi yomweyo ndipo kuukira kumatha kuchitika motsutsana ndi maziko amoyo wathunthu. Milandu yanenedwa pomwe pancreatic pancreatic necrosis, zotsatira zakupha zomwe zidachitika patangodutsa maola ochepa chiyambireni zizindikiro zamatendawa, pakapita masiku angapo pambuyo pa phwando lochuluka.

Zomwe zimachitika ndi pancreatic necrosis

Chikondamoyo chathanzi chimatulutsa ma enzyme omwe amafunikira kuti chakudya chisalowe m'mimba. Ndili othokoza kuti chakudya chimagawika muzinthu zomwe zingalowe m'magazi kudzera mucous membrane wam'mimba, omwe amawapereka kwa zimakhala ndi ziwalo. Izi zimapangitsa kapamba kukhala chimodzi mwazinthu zofunika mthupi. Kumwa mowa ndi zakudya zamafuta ambiri kumalimbikitsa kwambiri kapamba kuti apange madzi, ndipo popeza ma ducts sangathe kuwachotsa kwathunthu, amayamba kudziunjikira mkati mwa gland. Izi zimabweretsa kukulira kwa edema, kuphatikizidwa kwina kwa ma ducts komanso kutsika kwawo kwotsatira. Ma enzymes olimbirana a kapamba, omwe ntchito yake inali kuwonongedwa kwa mapuloteni, amatuluka thukuta m'makumba ndikuyamba kuyisungunula, mothandizidwa ndi ma enzyme, "ake" a gland "amadzimbidwa". Ma enzymes othandizira ndi zinthu zowola zomwe zimapangidwa munjira imeneyi amalowa m'magazi ndikuthandizira kuti ziwalo zina ndi minyewa itha, ndikupangitsa kuledzera kwambiri. Chifukwa chake, matenda a pancreatic pancreatic necrosis, zomwe mtsogolo mwake zimakhala zovuta kudziwa, ndi matenda oopsa.

Gulu la pancreatic necrosis

Kutengera ndi kuchuluka kwa zotupa za England, tating'onoting'ono tating'ono, tating'onoting'ono, tating'onoting'ono tomwe timayang'ana pakati pathupi lathunthu. Zachidziwikire, kusiyanasiyana pakati pa mitundu iwiri yoyamba kumakhala kotsutsana. Madokotala amagwiritsa ntchito malingaliro awa kuti adziwe kuchuluka kwa kuwonongeka kwa ziwalo. Ndi subtotal pancreatic necrosis, kusintha kwa necrotic kumakhudza kwambiri England. Ngati chiwalocho chikukhudzidwa kwathunthu, ndiye kuti pancreatic pancreatic necrosis yonse yapezeka. Potere, zotsatira zakupha zimawonedwa nthawi zonse.

Palinso mtundu wina wosankha. Amagawa necrosis ya pancreatic m'mitundu iwiri:

Zochepa. Izi zimaphatikizira njira yomwe cholinga cha zigawo zazikulu zimapangidwa.
Zofala. Poterepa, zambiri mwa tiziwalo kapena chiwalo chonse chimakhudzidwa.

Mitundu ya pancreatic necrosis

Kutengera kwa kukhalapo kwa matenda omwe akukhudzidwa ndi madera omwe akhudzidwa, wosabala kapena kachilombo ka pancreatic necrosis imasiyanitsidwa. Kuphatikiza apo, matenda akakhala kuti ali ndi kachilombo, matendawa amakhala osavomerezeka, popeza pali kuthekera kwakukulu kodzetsa nkhawa, ndipo zimakhala zovuta kwambiri kuti wodwala atuluke.

Sterile pancreatic necrosis imagawidwa m'mitundu iyi:

mafuta - amadziwika ndi kukula kwapang'onopang'ono kwa masiku 4-5 komanso njira yofatsa,
hemorrhagic - yodziwika ndi njira yofulumira komanso magazi pafupipafupi,
osakanikirana - amapezeka nthawi zambiri, chifukwa ndi pancreatic necrosis, minofu ya adipose ndi pancreatic parenchyma zimakhudzanso chimodzimodzi.

Ngati pancreatic pancreatic necrosis ikapezeka, opaleshoni ndiyosapeweka. Koma nthawi zambiri sizimapereka zotsatira zomwe zikufunidwa, ndipo mwina kukonzanso kwa necrotic foci.

Zizindikiro ndi kuzindikira kwa pancreatic necrosis

Clanical pachimake kapamba amasonyezedwa ndi kupweteka kwambiri mu hypochondrium wamanzere kapena kupweteka komwe kumakhala ndi shingles. Pali kusanza kwam'matumbo, komwe sikubweretsa mpumulo, kutsegula m'mimba. Poyerekeza ndi maziko awa, kusowa kwamadzi kumachitika mwachangu, kuledzera kumakulirakulira. Popanga matenda, kuphatikiza kwa anamnesis ndikofunikira kwambiri. Ngati ili ndi chidziwitso chokhudza kuledzera, zakudya zamafuta kapena chidziwitso cha matenda amchiwindi ndi chikhodzodzo, izi ndizotheka kupanga matenda a pancreatic pancreatic necrosis. Zomwe zimachitika mu vutoli zimadalira kwambiri matenda omwe wodwala amafunafuna chithandizo, komanso kuchuluka kwa zotupa.

Ponena za diagnostics a ma labotale, apa amalipira kusanthula kwamkodzo ndi magazi, momwe mumakhala kuchuluka kwakukulu kwa amylase. Ultrasound yam'mimba, CT kapena MRI imachitidwanso, komwe mumatha kuwona mawonekedwe a necrotic m'misempha ya kapamba.

Nthawi zambiri, pancreatic necrosis imafunika opaleshoni yothandizira. Nthawi yomweyo, ngakhale kuti chiwerengero cha anthu omwalira chimakwera kwambiri, kugwira ntchito kwakanthawi kumapereka mwayi wowomboledwa. Chithandizo cha Conservative chikuphatikiza zotsatirazi:

patangopita masiku ochepa chichitikire kuukira - njala kwathunthu, ndipo malingana ndi kuopsa kwa matendawa, kuyambitsidwa kwa michere kudzera mu kulowetsedwa kwa mkati kumatha kukhala kwa milungu ingapo,
kuyeretsa magazi (hemosorption) - kumachitika ndi chidakwa chachikulu,
somatostatin ndi timadzi timene timatha kuchepetsa mavuto obwera chifukwa cha impso, nthawi zambiri timayendera limodzi ndi pancreatic necrosis,
ndi matenda opatsirana - maantibayotiki.

Pancreatitis pachimake - Zakudya

Popeza ndizofunikira zakudya zomwe nthawi zambiri zimayamba kukhala chifukwa cha pancreatitis pachimake, ndikofunikira kwambiri pakuthandizira. Monga tafotokozera pamwambapa, m'masiku oyamba atapezeka kuti khansa yapakhungu idayambika, zakudya ndizofunikira kwambiri - kufa kwathunthu kumawonedwa. Woopsa milandu, makonzedwe a makolo pazakudya amatha milungu ingapo.

M'tsogolomu, zakudya mu pancreatic pancreatic necrosis zimatanthawuza boma losasamala, lomwe limatsimikiziridwa ndi kupatula kwakukulu kwa mafuta ndi chakudya kuchokera kuzakudya, komanso zinthu zomwe zimayambitsa kupangika kwa mpweya. Chakudyacho chimawotchera ndi kuwaza. Imatengedwa m'magawo ang'onoang'ono kasanu ndi kamodzi patsiku. Kugwiritsa ntchito mankhwala ochokera kunja ndi mchere kumatha. Chakudya choterocho, kutengera kuuma kwa matendawa, chiyenera kukhala miyezi ingapo mpaka chaka.

Zachidziwikire, ndimatenda oopsa monga pancreatic pancreatic necrosis, zotsatira zakupha ndizotheka, ndipo, ndizachidziwikire, ndibwino kuti musabweretse thupi lanu, kuti muchepetse ziwopsezo momwe mungathere. Koma ngati matendawa adakulirakulirabe, kutsatira mosamala zakudya kumathandizanso kupewa kubwereranso m'tsogolo.

Mphamvu ya mowa pa kapamba

Chifukwa cha mowa olowa mthupi, maselo a pancreatic amakhala opuwala. Zomwe zimayambitsa ndi zinthu zomwe zimapangidwa panthawi ya kuvunda kwa ethyl mowa kapena surrogates.

Kusintha kwa maselo kumachitika kudzera mwa kutsegula kwa ma enzymes opangidwa mwachindunji ndi gland. Kenako ma enzyme amatengera gawo palokha. Zotsatira zake, necrosis imachitika, kumwalira kwa malo akuluakulu. Glandi imadzaza ndikukula ndikukula kukula. Tishu ya pancreatic imasokonekera, m'malo mwake ndimaselo amafuta, ndikuwononga dongosolo la endocrine. Chifukwa cha matenda, matenda a shuga amakula.

Mowa, womwe umagwiritsidwa ntchito ndi odwala omwe ali ndi vutoli, umakhudza kwambiri maselo. Fodya, yemwe nthawi zambiri amagwirizanitsidwa ndi mowa, amayambitsa mitsempha yamitsempha yamagazi, yomwe imawonjezera kuwonongeka kwa minofu. Zakudya zodzala ndi mafuta zimayambitsa ntchito zachinsinsi, kukhala ndi vuto pa chimbudzi.

Ntchito zomwe zimagwirizanitsidwa ndi ntchito ya kapamba ndizogwirizana. Ndizosatheka kunena kuti wodwalayo adamwalira ndi kapamba popanda kudziwa chifukwa chenicheni cha imfa.

Zizindikiro za matendawa

Imfa ya pachimake kapamba imayamba ngati matendawa ayambika, kuperekera kumachitika pamalo a kutupa, komwe kumadutsa ndikuphwanya magazi. Pakadali pano, zomwe zimachitika chifukwa cha matendawa sizingasinthe. Malinga ndi ziwerengero, zotsatira zakupha zimapezeka mu 40% ya milandu. Pakati pazizindikiro za pancreatitis pachimake, muyenera kutsatira izi:

ululu wolimba m'chiuno, kudutsa mu hypochondrium, kumbuyo, lamba,
kusanza, kusanza kwakukuru, komwe sikumadzetsa mpumulo.
khungu ndi khungu la pakhungu,
kamwa yowuma, kulawa koyipa.

Odwala ambiri ali ndi chidaliro kuti kufa chifukwa cha kapamba kumatheka kokha ndi kuwonjezeka kwamphamvu kwa kutentha kwa thupi, koma kuchita kumawonetsa kuti nthawi zina, kutentha, m'malo mwake, ngakhale kumatsika. Kufooka kwambiri, chizungulire, kutentha pansi pa madigiri 36,5, uwu ndi mwayi wofunsa dokotala nthawi yomweyo.

Kuphimba koyera kumawoneka pakamwa, wodwalayo amangofuna kumwa, amazunzika ndi kamwa yowuma, milomo yake imakhalanso yowuma komanso yosweka, koma ndikatha kumwa madzi, kusanza kumachitika nthawi yomweyo, kuchepa madzi am'mimba, amenenso ndi chimodzi mwazifukwa zomwe munthu wamwalira ndi chifuwa chachikulu cha kapamba .

Zoyambitsa kufa

Titha kunena mosabisa kuti choyambitsa kufa chifukwa cha kutupa kwa kapamba ndi kusasamala kwa odwala. Amakakamizidwa kuti afe chifukwa cha zovuta zomwe zimadza chifukwa cha kusokonezeka kwakukulu pakugwira ntchito kwa ziwalo zonse. Wina akayamba kumva kupweteka, ena akuwonetsa. Nthawi zambiri, anthu okalamba sangathe kulimbana ndi kuchuluka kowonjezereka. Palibe amene anganenere momwe matendawa azikhalira, koma kuchipatala, motsogozedwa ndi madokotala oyenerera, wodwala amapeza mwayi wabwino wochira mwachangu komanso moyo wautali.

Ngati wodwalayo ali pamavuto akulu, ntchito yayikulu ya madokotala ndikumukhazikika, kuti amuchotsere pangozi yake. Amakwaniritsa izi m'njira zosiyanasiyana machitidwe osinthika. Zowerengera pakadali pano ndi mphindi, kotero kuti musakayikire. Pofuna kuti musataye nthawi, kulimbana ndi matenda akuluakulu kumayambira pamenepo. Madokotala amachita zonse zotheka kuti athetse kutupa kwa kapamba, kuti amuchotsere wopweteka. Ngati atachita bwino, ndiye kuti wodwalayo amasamutsidwira ku dipatimenti ya gastroenterological, komwe kulimbananso kwa thanzi kumapitilirabe.

Pofuna kuti musabweretse izi, muyenera kumvera thupi lanu. Nthawi zambiri kupweteka kwa navel kuyenera kukuchenjezani. Ngakhale zitadutsa nthawi osayambitsa vuto lalikulu, ndibwino kuti mudzayendere kwa katswiri, kukayezetsa thupi. Matenda akapezeka kumayambiriro, zimakhala zosavuta kuthana ndi mawonekedwe ake komanso zifukwa zake, ndipo kufa kwake kumacheperachepera.

Kodi kufa ndi chifuwa chachikulu

Matenda a pancreatitis samakhala oopsa komanso osadziwika, koma kuchotsa izi ndizovuta. Kuwonongeka kwakuthwa kwa wodwala kumawonedwa ngati satsatira malamulo a zakudya. Pamavuto aliwonse omwe ali ndi chimbudzi, chakudya ndicho chida chachikulu chothandizira kuchira. Nthawi zambiri, zoletsa zakudya zimakhazikitsidwa ndi moyo. Zimakhala zovuta kuti odwala apirire ndi izi, amalolera zofooka zazing'ono, osaganiza kuti zina mwazomwe zimatha kuyambitsa kukhumudwa kwambiri m'boma mpaka kufa.

Pancreatitis nthawi zambiri imakhala chifukwa cha matenda a gallstone. Kasikil’owu, ufwete sungamenanga vo e nzengo za nkutakani. Miyalayo amachichotsa pamakina, nthawi zambiri madokotala amapanga chithandizo chamankhwala mwachangu kapena chofunikira kuti amuchotsere ndulu. Ma opaleshoni sachitidwa pamene wodwala ali pachimake.

Nthawi zina kutupa kosatha kwa kapamba kumadutsa khansa ya chiwalo chija. Chiyanjano cha matenda awiriwa sichinatsimikizidwe ndi sayansi, koma oncologists odziwika bwino padziko lapansi amadziwa kuti neoplasms yoyipa imakonda kupezeka mwa odwala omwe kale anali ndi vuto la kutupa. Ngati oncology yapezeka pamtundu wa 3-4, ndiye kuti njira zowonongeka mthupi sizisintha, zotsatira zakupha zimakhala zotsatira zachilengedwe. Ntchito ya madokotala panthawiyi ndikulimbikitsa moyo wa wodwalayo, chithandizo chamankhwala chikuchitika.

Odwala amatha kuletsa zovuta zamatendawa, amangoyang'anira momwe thanzi liliri, osayiwala za mayeso apadera omwe amakhala nawo komanso kudzayendera dokotala panthawi yake.