Kodi kutupa kwa kapamba: zimayambitsa, zizindikilo, momwe mungachotsere

Omasuliridwa kuchokera ku dzina lakale lachi Greek la kapamba ("kapamba") amatanthauza "nyama yonse." Imagwira ntchito yayikulu pakuwonetsetsa kuti kugaya chakudya, kuyang'anira kagayidwe kazakudya ndi njira zina zofunika, komanso kutupa kwa kapamba ndi matenda oopsa.

Mwachitsanzo, ma enzymes a pancreatic amathandiza kugaya mapuloteni, chakudya chamafuta ndi mafuta m'matumbo. Ndipo insulin ndi glucagon (mahomoni ophatikizidwa ndi gland) amakhudzidwa ndi kayendetsedwe ka misempha ya magazi.

Kutupa kwa pancreatic kumatchedwa pancreatitis. Pancreatitis imatha kukhala ndi mawonekedwe owopsa ndipo imatha kuchitika mwachangu kwambiri komanso mwachangu, komanso ngati imatha kusefukira ndi nthawi yayitali komanso kumachitika nthawi ndi nthawi.

Pancreatitis ndipo amachititsa kutupa kwa kapamba

Pali zinthu zosiyanasiyana zomwe zingayambitse kapamba. Mitu ikuluikulu ndi:

• - matenda a gallstone ndi kumwa mopitirira muyeso - amapanga 98% yazomwe zimayambitsa kapamba,
• - duodenitis, komanso zilonda zam'mimba,
• - opaleshoni yam'mimba ndi chithokomiro,
• - mabala kapena kuvulala kwam'mimba,
• - endoscopic retrograde cholangiopancreatography,
• - kugwiritsa ntchito mankhwala ena, mwachitsanzo, estrogens, sulfonamides, maantibayotiki, furosemide,
• - matenda opatsirana - mumps, ma hepatitis amtundu wa B ndi C, ndi ena,
• - kukhalapo kwa majeremusi (ascariasis),
• - zotupa, kuchepa kwa kapamba komanso zovuta zina,
• - kusinthasintha kwa mayendedwe amakulu amthupi ndi kusokonekera kwa metabolic,
• - matenda amitsempha,
• - kubadwa kwa chibadwa (kapamba ndi chibadwa).

Zitha kudziwika kuti zizindikiritso ndi mawonekedwe a pancreatitis pachimake mu 30% sizinakhazikitsidwe.

Zomwe zimayambitsa kutupa kwa kapamba

Nthawi zambiri, kapamba amatulutsa chimbudzi cha ma enzyme osagwira ntchito. Amadutsa pancreatic duct ndi wamba bile kumalowa mu duodenum, ndipo kumeneko adakachita.

Mothandizidwa ndi zinthu zosiyanasiyana (mwachitsanzo, ndi kufalikira kwa mwala), kuwonjezeka kwa kukakamiza kwa chithokomiro kumachitika, chifukwa, kutuluka kwachinsinsi chake kumasokonekera ndipo ma enzymes amayambitsidwa. Zotsatira zake, m'malo motenga nawo gawo pachakudya, ma enzyme amayamba kupanga chimbudzi chokha. Pali kutupa pachimake, kapamba, ndi mankhwala a kapamba ndi mankhwala ofunikira ngati matenda ayambitsidwa.

Ngati pancreatitis ili mu mawonekedwe osakanikirana, ndiye kuti kusintha kwapangidwe pang'onopang'ono kwa minofu yokhazikika ya pancreatic kumachitika. Ntchito ya exocrine ya gland (enzyme secretion) imalephera, ndipo kuchepa kwa endocrine (kaphatikizidwe ka mahomoni, kuphatikizapo insulin) kumachitikanso.

Zizindikiro zoyambira

Kutupa kwa kapamba mwa ana ndi kowopsa kwambiri, ngakhale kumakula mwa iwo osakwana achikulire ndipo zizindikiro zimafanana.

Nthawi zambiri, kapamba muubwana kumatha kuyamba pakusintha, komanso pakusintha, mwachitsanzo, muzakudya (kuyambitsa zakudya zowonjezera kapena zosakanikirana). Zina mwazomwe zimapangitsa kuti mwana akhale ndi pancreatitis amatha kubereka, kuperekera katemera, gawo loyambira kupita ku sukulu ya kindergarten kapena sukulu, komanso nthawi yaunyamata.

Zizindikiro za matenda a kapamba:

1. Thupi.
2. Khungu pakhungu.
3. Kusanza ndi kusanza, komwe kumakhalako mpumulo wakanthawi kochepa chabe.
4. Kupweteka kwambiri mu hypochondrium wa chilengedwe.
5. Thukuta, kufooka, kuzizira.
6. Kumva kusokonezeka kwa khoma lakunja kwam'mimba.

Zizindikiro zoyambirira komanso zazikulu ndizopweteka. Zizindikiro zambiri sizimadziwika kwa nthawi yayitali, pomwe kupangika kwa michere kumachitika, komwe kumabweretsa kutupa kwa ziwalo.

Chiwalo chovulazidwa chimawonjezeka molimba, ndikuthandizira kuyankha mwachangu momwe tingadziwire kuti zikondamoyo zimapweteka, kapangidwe kake kwambiri ka minofu yolumikizidwa kamapangidwa. Izi, limodzi ndi kudutsa kwa ulusi wam'mimba wokwanira wokwanira kudutsa m'mutu wa kapamba, kumayambitsa kupweteka kwakukulu, komwe kumakula nthawi zonse.

Ngati mutenga malo ena amthupi, ndiye kuti ululu wolimba kwambiri umatha kuchepa pang'ono. Nthawi zambiri izi zimachitika ngati wodwala akhala ndi thupi lake pang'ono pang'ono.

Nthawi ya pachimake nthawi zonse imakhala limodzi ndi kuwonjezeka kwa kutentha kwa thupi, komwe zizindikiro zina za kapamba zimalumikizanso. Kutentha kwa thupi kumakwera chifukwa cha kulowetsedwa kwa zinthu zowola kuchokera ku maselo a pancreatic owonongeka. Kulowerera thupi kumayambitsa kusanza kowawa, koma kuukira kwake sikubweretsa mpumulo. Zizindikirozi zimasiyanitsa kapamba ndi matenda otupa a ziwalo zina zam'mimba.

Zizindikiro zotere nthawi zambiri zimawonetsa kuti pancreatitis yovuta imayamba, koma ndi dokotala yekha yemwe amatha kumaliza. Ngati, pambuyo paulendo woyamba kuchipatala, panali zizindikiro za kudwala, ndikufunafunanso chithandizo, izi zikuwonetsa matenda osachiritsika, mwina ali pachimake.

Kudzimbidwa m'matumbo kumatha kukhala umboni wa kapamba. Izi ndichifukwa choti ma enzyme omwe amaphatikizidwa ndi chimbudzi cha chakudya samalowa m'matumbo a lumen, chifukwa, flatulence ndi bloating amapanga, ndipo patatha maola ochepa kutsegula m'mimba kumayamba.

Nthawi zina zimayamba ndikuwoneka ngati ululu "pansi pamimba" womwe umachitika maola awiri mutatha kudya. Odwala amasiya kudya, chizungulire komanso kupweteka kwa mutu kumachitika, ma painkiller adzafunika. Zizindikiro izi zikuwonetsa kuti kusintha koyipa kwayamba kale m'mapazi.

Mu chifuwa chachikulu cha pancreatitis, matenda am'mimba amachitika kwa nthawi yayitali kwambiri, amachititsa kuchepa thupi koma kuchepa thupi, komanso kuchepa kwa mavitamini kumayambikanso, popeza mavitamini amachepetsa. Komanso, zizindikiro za kuchepa kwa mavitamini osungunuka mafuta zimawoneka mwachangu kuposa chizindikiro cha kuchepa kwa mavitamini ofanana ndi mavitamini osungunuka ndi madzi. Mwakuti ma mankhwalawa amathandizidwa kusankha pazinthu izi.

Ngati zizindikiro za kapamba zimayamba kumveka kapena zimachitika mobwerezabwereza, ndiye kuti muyenera kupita kuchipatala, osadzimvera. Kungowunika kwakanthawi kochepa ndi komwe kumathandiza kumvetsetsa zomwe zimayambitsa matendawa komanso kupereka mankhwala oyenera.

Chithandizo cha kapamba

Wodwala matenda a pancreatitis ayenera kuthandizidwa kuchipatala m'maola ochepa kuyambira chikhazikitso cha matendawa, popeza mankhwalawa adayamba panthawi yake amalola kuti mankhwalawo achotsedwe poyambirira.

M'masiku atatu kapena anayi oyamba, muyenera kupumula pogona, kugona ndi ludzu, kumwa zakumwa zamchere (madzi amchere, koloko yankho), ikani chikhodzodzo cha m'mimba. Ngati kusanza kosalekeza kumawonedwa, ndiye kuti zomwe zili m'mimba zimapukutidwa kudzera pa kafukufuku, kenako zakumwa zaukali zimaperekedwa ndipo chithandizo chamankhwala choyenera chimachitika.

Kenako, mankhwalawa ndi mankhwalawa amatengedwa kuti athe kuwongolera katulutsidwe ka m'mimba, komanso mankhwala a enzyme ndi antimicrobial. Amagwiritsidwabe ntchito mankhwala osokoneza bongo ndi mankhwala antispasmodic ndi painkiller.

Kuchepetsa mapangidwe a ma enzyme omwe amalimbikitsa njira yotupa, perekani mankhwala trasilol, kontrikal kapena gordoks. Ndi ululu waukulu, mankhwala ndi mankhwala nthawi zina amagwiritsidwa ntchito kuti athetse kapena kuchepetsa kuchuluka kwa hydrochloric acid m'mimba. Poletsa kukula kwa kachilombo koyambira, amathandizidwa ndi maantibayotiki amphamvu. Nthawi zina, opaleshoni yadzidzidzi imachitidwa kuti apulumutse moyo wa wodwalayo.

Chithandizo cha makolo pachimake kapamba

Mu gawo lowopsa la matenda a kapamba, ndikofunikira kupumula. Kuti muchite izi, chepetsani kapena sinthani chakudyacho kwakanthawi. Mpaka kutupa atachokapo, zakudya zabwinobwino zimatha kulowetsedwa ndi kulowetsedwa kwamadzi, ndipo zizindikiro za kukokoloka kwa pancreatic ziyenera kuchepa.

Kuti athetse zomwe zimayambitsa matendawa, nthawi zina amapanga chithandizo chamankhwala ochita opaleshoni, mwachitsanzo, pakakhala koyenera kuchotsa miyala yomwe imalepheretsa duct ya bile yolumikizana ndi kapamba, chikhodzodzo cha ndulu ndi duodenum.

Pancreatitis yosatha, ngakhale ngati palibe kutuluka, odwala amatha kupweteka, kudzimbidwa, nseru, nthawi zina kudzimbidwa kwamafuta kumayamba kenako mafuta ambiri amtundu wa "mafuta" amawonekera, osasamba bwino ndi madzi. Nthawi yayitali ya matenda, zikondamoyo zimawonongeka nthawi yayitali.

Chithandizo cha chikhalidwe chodwala kapamba

Palibe machiritso athunthu a matenda ngati awa, palibe mankhwala apadziko lonse lapansi, ndipo ntchito yayikulu ya madokotala ndiyo kupewa kuchulukitsa kwa gland. Njira zithandizo zimaphatikizira kuthetsa khofi ndi mowa, kudya zakudya zamafuta ochepa, kudya michere ndi mavitamini, komanso kuchiza matenda ashuga ngati alipo.

Pancreatitis zakudya

Ndikofunikira kuchepetsa kuchuluka kwa batala, ndipo phala liyenera kuphikidwa kokha m'madzi. Ndikofunika kuchotsa msuzi wamafuta ndi msuzi, katundu wam'chitini, bowa, marinade, nyemba, kabichi yoyera, adyo ndi anyezi, makeke, maswiti, maswiti, khofi ndi zakumwa zochokera mu kaboni. Ndikofunika kwambiri kugwiritsa ntchito tchizi tchizi ndi zinthu kuchokera pamenepo.