Matendawa - kapamba adakula

Zikondamoyo zazing'ono ndi chimodzi mwazinthu zofunika kwambiri zaumunthu ndipo zimagwira ntchito yayikulu pakuwonetsetsa kuti thupi likuyenda bwino.

Mu anatomy ndi mankhwala, chitsulo chili ndi dzina lachi Latin - Pancreas.

Kupanikizika kwakukulu kwa munthu wamkulu kapena kuwonekera kwa njira yotupa m'matumbo ake kumayambitsa kusokonezeka kwa kagayidwe ka mafuta, chakudya ndi mapuloteni. Pathologies mu zimakhala za chida zimayambitsa malfunctions a m'mimba dongosolo.

Pakakhala chithandizo choyenera, matenda ochokera ku mawonekedwe owopsa amakhala osachiritsika, omwe amafunika njira yayitali komanso yovuta yochizira.

Kapangidwe ka kapamba

Chiwalochi chimapangidwa mopendekera, chomwe chimakhala ndi mtundu wa imvi, chimakhala ndi mawonekedwe ndipo chimakhala cham'mimba kumbuyo kwa m'mimba ndipo chimayandikana ndi duodenum.

Kutalika kwa chithokomiro cha munthu wamkulu ndikwabwinobwino kuyambira 14 mpaka 22 cm, ndipo m'lifupi mwake mpaka 3 mpaka 9. Gland imakhala ndi kutalika kwa 9 cm kudera lamutu.

Kuchuluka kwa limba kumakhala koyenera kuchokera 70 mpaka 80 magalamu.

Magawo atatu ali ndi mbali ya tinthu tating'onoting'ono ta glandcopic:

Mutu umayandikana ndi duodenum. Thupi limakhala ndi mawonekedwe achitatu. Mchira wa kapamba umakhala wopindika.

Choyimbira chachikulu cha kapamba chimayendera kutalika konse kwa chiwalo ndikuyenda kulowa mu duodenum papilla wamkulu wa duodenal. Nthawi zambiri, kusakanikirana kwa pancreatic ndi bile ducts kumachitika.

Kapangidwe ka microscopic kamene kamakhala ndi mitundu ingapo ya maselo, omwe amachititsa kuphatikiza kwamahomoni osiyanasiyana ndi ma enzymes ophatikizidwa ndi madzi a pancreatic. Gawo lothandizira chiwalo ndi ziphuphu, lomwe lili ndi kukula kwa ma micons 10 mpaka 150.

Gawo la endocrine la gland limayimiriridwa ndi masango a maselo, omwe amatchedwa islets of Langerhans.

Zifukwa zazikulu zowonjezera

Kusakhazikika kwamapangidwe mu kukula kwa chithokomiro, kuwonjezeka kwa chiwalo chonse kapena madipatimenti ake pawokha kungawonetse kukhalapo kwa zovuta m'matenda komanso kukula kwa matendawa. Kukula kwa ziwalo zonse ndikwanira. Pankhani yakuwonjezeka kwa kukula kwa magawo amodzi a kapamba, amachedwa wamba.

Ziwalo zam'mimba ndi dongosolo la endocrine zimalumikizana kwambiri, kotero, kusagwira bwino ntchito kwa gland kumabweretsa mavuto mu magwiridwe antchito onse am'mimba ndi a endocrine.

Pali magawo osiyanasiyana amachitidwe owonongeka omwe amachitira umboni machitidwe omwe amapezeka mu kapamba ndikuwongolera chitukuko cha matenda.

Zomwe zimayambitsa matendawa komanso kuwonjezeka kwa kukula kwa mbewa imatha kukhala:

1. Wachiberekero.
2. Zovuta zakudya komanso zakudya zosakhazikika.
3. Kugwiritsa ntchito mankhwala kwa nthawi yayitali komanso kosaganizira.
4. Mafuta ochulukirapo a zakudya zamafuta ndi zonunkhira, komanso nyama zosuta.
5. Mowa wambiri.
6. Kukhalapo kwa njira zoyenda ndi zotupa mthupi.
7. Zovuta ndi matenda a mtima ndi mtima dongosolo.
8. Kuchuluka kwa calcium m'thupi.
9. Mapangidwe a miyala ndi kuphwanya komwe kumalumikizidwa ndi kapangidwe kake.
10. Mapangidwe ndi kukula kwa cysts, zotupa ndi adenomas.
11. Njira zotupa pa mucosa wa m'mimba.
12. Njira zopatsirana komanso zovuta zomwe zimayambitsa.
13. Maonekedwe a zilonda zopweteka.
14. Zilonda zam'mimba.
15. Anachepetsa chitetezo chokwanira.
16. Kupeza kuvulala kwapancreatic.

Matendawa omwe amayambitsa kukulitsa chiwalo amatha kubisika mwachilengedwe ndipo kwa nthawi yayitali siziwonekera mwanjira iliyonse. Nthawi zina, zizindikiro zina zimatha kuwonetsa matendawa. Zizindikiro zoterezi zimaphatikizapo nseru kapena kupweteka kwakanthawi.

Kuchulukana kwaderalo kumadipatimenti ena a ziwalo kumachitika chifukwa cha kupangika kwa minofu ya chiwalochi.

Izi zimawonedwa ngati pali kuwonjezeka kwa njira yotupa m'mchira, thupi kapena mutu.

Zomwe zimayambitsa mutu wa kapamba komanso mchira umatha kukhala wopweteka, kutsekeka kwa ma ducts, mapangidwe a cystic misa, mawonekedwe a kupendekera, komanso mapangidwe a pseudocysts.

Zizindikiro zakuwonjezeka

Nthawi zambiri, matenda amtundu samadziwonetsa kwa nthawi yayitali. Koma pamakhala zochitika zina ngakhale kupatuka pang'ono pang'ono pazomwe zimachitika nthawi yomweyo kumamveka.

Ngati munthu waulula chizindikiro chimodzi chosonyeza kusintha kwa kapamba, muyenera kufunsa dokotala.

Dokotalayo amayambitsa maphunziro omwe adzatsimikizire ndulu ya chisa cha matenda.

Ndizotheka kukayikira kukhalapo kwa matenda a matenda a ziwalo mwa kukhalapo kwa ziwalo zotsatirazi:

1. M'mimba yapamwamba, kupezeka kwa zowawa. Kukula kwa zowawa kumatha kuwonjezeka kapena kuchepa. Nthawi zambiri, odwala omwe awonetsa kukula kwa kapamba amafotokoza kusakhazikika komanso kupweteka ngati chinsoni chofiyira cham'mimba. Kuphatikiza apo, odwala ena amati kupweteka komwe kumakulitsidwa ndi chiwindi kumakulitsidwa ndikuwukiridwa mwamphamvu. Ululu womwe umapezeka mu peritoneum umatha kusunthira kudzanja lamanzere komanso kudera lumbar.
2. Zovuta zomwe zimawoneka m'mimba zimatha kutsagana ndi kuwonjezeka kwa kutentha kwa thupi mpaka kufika madigiri 38-39. Nthawi zambiri, kuwonjezeka kwa kutentha kumalumikizidwa ndi kukula kwa kayendedwe kazinthu kakang'ono m'mimba.
3. Wodwalayo amakhala ndi vuto la mseru, lomwe limatha kukulitsidwa chifukwa cha kusanza komanso kugaya chakudya, kuwonetsedwa ndi m'mimba. Mkamwa, kulawa kowawa kumamveka kukhumudwa.

Kuwoneka kwa kuwawa kungawonetse kukhudzidwa kwa kuchuluka kwa kapamba pazolimbitsa chiwindi.

Kuwonekera kwa kudzimbidwa pafupipafupi kumayamba chifukwa cha matumbo osagwira bwino ntchito, komwe kumachitika chifukwa cha kupanikizika kwa matumbo a mutu wokukulidwa kwa England.

Kuzindikira kuphwanya

Sizingatheke kupanga chidziwitso cha kukulitsa kwa ziwalo, kudalira zizindikiro zakunja.

Pofuna kufotokozera bwino za matendawo, njira za ma labotale ndi zothandizira popima wodwalayo ziyenera kugwiritsidwa ntchito pakuwunika.

Kufufuza kwathunthu kumakupatsani mwayi wodziwa osati kuphwanya kokha, komanso zifukwa zomwe zidakupatsani.

Njira yayikulu yodziwira matenda ndi kugwiritsa ntchito ma ultrasound a kapamba.

Pofuna kufotokoza bwino za dokotala yemwe akupezekapo, maphunziro owonjezera ozikidwa pa:

• urinalysis
• kuyezetsa magazi konse
• kusanthula kwamwazi m'magazi.

Mukamayesedwa ndi kudziwa, gastroenterologist imaganizirabe mawonetseredwe akunja a matenda amisala.

Pambuyo popenda thupi lonse la wodwalayo, adokotala amapanga chisankho panjira ya mankhwala.

Kusankhidwa kwa njira yochizira matendawa kumatengera zinthu zingapo, momwe malo oyamba amatengedwera ndi thanzi la wodwalayo komanso kuchuluka kwa mahomoni a pancreatic.

Ngati pali kuwonjezeka kwa kukula kwa chithokomiro chifukwa cha matenda omwe ali pachimake pamthupi, wodwalayo amalizidwa kuchipatala mwachangu. Izi ndichifukwa choti m'malo otere, kuchitapo kanthu kwa opaleshoni kungafunike.

Ngati mukufuna thandizo posankha chithandizo choyenera, madokotala a opaleshoni, a oncologists, ndi ma endocrinologists angaitanidwe kuonana.

Chithandizo cha kapamba ndi kuchuluka kwake

Musanagwiritse ntchito mankhwala azinthu zachilengedwe zopangidwa.

Chithandizo chabwino pa boma la kapamba zimaperekedwa ndi zakudya. Chifukwa chaichi, muyenera kusiya kugwiritsa ntchito zonunkhira, zosuta komanso zamafuta.

Sinthani kutikisidwa kwa munthu wamkulu kudzera mu kugwiritsa ntchito mitundu yosiyanasiyana ya mankhwala.

Nthawi zambiri, kuyamwa kwa mapiritsi okhudzana ndi magulu ena a mankhwalawa ndi mankhwala.

Mankhwala osokoneza bongo a pancreatitis pachimake kapena chidakwa angathe kuchitika kunyumba.

Pachifukwa ichi, magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:

• proton pump zoletsa
• mankhwala a mahomoni
• mankhwala - histamine receptor blockers,
• ndalama ndi ma pancreatic enzymes mu kapangidwe kake.

Kuphatikiza apo, ndizotheka kugwiritsa ntchito antipyretic, antiemetic ndi analgesic mankhwala. Piritsi ya Ibuprofen kapena Ketorol imathandizira kupweteka. Kuti muchepetse kutentha, mutha kugwiritsa ntchito Paracetamol kapena Citramon. Mankhwalawa amayenera kugwiritsidwa ntchito mosamala kwambiri ngati chithandizo chikuchitika mwa mkazi yemwe akukonzekera kubereka mwana.

Mankhwala othandizira antiemetic pa nthawi ya mankhwala ndi mankhwala monga:

Ndi chithandizo chakunyumba cha matendawa, ziyenera kutsagana ndi kudya.

Zomwe zimakhazikitsidwa ndi zakudya zimaphatikizapo mbewu monga chimanga komanso nyama yopendekera. Ndi zoletsedwa kugwiritsa ntchito muzakudya zinthu zomwe zimafunikira katulutsidwe ka kapamba wa pancreatic. Kuletsedwa kumwa mowa.

Ndi chithandizo cha panthawi yake, ndizotheka kupewa mawonekedwe a zovuta zina mthupi.

Muubwana, matenda a gland, omwe chifukwa cha cholowa chamtsogolo, amatha kukhazikika. Pochiza kapamba wokulirapo mwa achinyamata, mankhwala othandizira komanso opareshoni angagwiritsidwe ntchito. Kusankha kwa chithandizo chamankhwala kumachitika ndi adokotala, poganizira mawonekedwe a thupi.

Zambiri zokhudzana ndi matenda a kapamba zimaperekedwa mu kanema munkhaniyi.

Chifukwa chiyani kapamba amakulitsa

Chiwalo chokulirapo chimatha kuwonetsa matenda oyipa mthupi la munthu wamkulu kapena mwana.

Choopsa chachikulu ndikuti ndizosatheka kuzindikira palokha njira yopangira matenda, chifukwa sizingatheke kudziwa kuwonjezeka kwa nthawi ya palpation, chifukwa chiwalocho chimakhala mkati mwa thupi, ndipo zizindikiro zake nthawi zina zimakhala zopanda mphamvu ndipo munthuyo samangoganizira.

Zikondazo zimatha kukulitsidwa kwathunthu pamene ziwalo zake zonse (mutu, mchira ndi thupi) zimasintha kukula kapena kwanuko pomwe gawo limodzi lokha limawonjezeka.

Zizindikiro za matendawa zimasiyana pakati pawo kutengera gawo lomwe lakhudzidwa. Chifukwa chake, ngati kapamba akukulitsidwa m'mutu, ndiye kuti duodenum yoyandikana nayo imapangitsa kudzimbidwa kapena kutsekeka m'matumbo.

Matendawa amadziwonekeranso ndi zizindikiro monga mseru, kusanza, kupweteka pamimba - kuchokera pakumva kutentha pang'ono mpaka kupweteka. Nthawi zina ululu umaperekedwa kudzanja lamanzere ndikumatsikira kumbuyo kumanzere. Zizindikiro za matendawa nthawi zambiri zimafotokozedwa ndi kutentha thupi, kutentha thupi. Ngati matendawa ali ndi kuwonongeka kwa chiwindi, wodwalayo amakhala ndi nkhawa chifukwa cha kakomedwe kake mkamwa, lamba, kutentha kwa mtima, kutaya m'mimba popanda zosayenera.

Pachimake kapamba kapena kuchulukitsa kwa nthawi yayitali kumatha kukweza thunthu lonse.

Zifukwa zake ndi izi:

• Cystic fibrosis ndi matenda obadwa nawo monga chibadwa,
• Zovulala zam'mimba zingapo
• Khalidweli
• Kutupa kwa Duodenal, zilonda,
• Matenda a autoimmune
• Kusokonezeka kwa magazi
• Intoxication chifukwa chogwiritsa ntchito mankhwala osokoneza bongo kapena mowa (kukulitsa chiwindi),
• Matenda opatsirana, monga chimfine, hepatitis C, sepsis.

Zomwe zimapangitsa kukulitsa kwa pancreatic m'deralo kumatha kukhala matenda am'matumbo kapena kapamba, ngati kutupa kumafalikira m'dera linalake la chiwalo.

Zomwe zimayambitsa zimapangitsa kukula kwa mchira wa chiwalo:

• Muli - kuphatikiza zamkati za purulent mu kapisozi,
• Miyala mumiyala
• Zotupa zoyipa za Volumetric,
• Cancerous chotupa, adenoma,
• Kupanga kwa chotupa (pseudocysts) ndi patimadzimadzi timadziti tomwe timapangidwa ndi zimakhala zapafupi,
• Zotupa za Benign.

Zomwe zimawonjezera mutu wa chiwalo nthawi zambiri zimagona m'mavuto otsatirawa:

• Kuchepa kapena kutupira kwa mapira a duodenal,
• Mwala mu duct
• Kukhalapo kwa maselo a khansa,
• Njira zotupa mu duodenum,
• Pseudocyst.

Mwa mwana, matendawa amatha kuchitika zaka zilizonse, koma, monga lamulo, amadziwonetsa mwa odwala achinyamata panthawi yovuta kwambiri.

Kuikidwa ndi kapamba, kamene kamaphatikizapo kuchuluka kwa kapamba, ana m'mibadwo yotere:

• Kuyamba kudyetsa khanda,
• Kanthu
• Kulandila ku kindergarten ndi sukulu,
• Kusintha kwa unyamata.

Zomwe zimayambitsa kuwoneka ngati matenda mwa mwana zimatha kukhala zolimbitsa thupi kwambiri, kuvulala kwamthupi, poyizoni wa chakudya, zotsatira za kumwa maantibayotiki.

Onse mwa mwana ndi wamkulu, chomwe chimayambitsa matenda nthawi zambiri chimakhala chosowa zakudya: nthawi yayitali pakati pakudya, kugwiritsa ntchito mafuta ochulukirapo, osuta, okazinga, zinthu zopangidwa ndi ufa, kugwiritsa ntchito molakwika chakudya.

Kuti mudziwe kuti zikondazo zimakulitsidwa zimatheka pokhapokha ngati munthu wapima mozama. Ngati akukayikira matenda, dokotalayo amamuuza wodwalayo kuti akamupime pamimba, akuwonetsa kuti akuwonetsa mkodzo, kuyezetsa kwamitsempha yamagazi, ndipo pokhapokha atapereka mankhwala. Ndikofunikira kudziwa zomwe zimayambitsa matendawa munthawi yake.

Wodwala akayamba kudandaula za matenda monga nseru, kutsegula m'mimba, kutentha thupi, amagonekedwa m'chipatala nthawi yomweyo.

Kuchiza matendawa mwachindunji kumatengera zomwe zimamupangitsa. Mwachitsanzo, ngati pali miyala mu ma ducts, kulowererapo kwa opaleshoni kukuwonetsedwa. Ngati chotupa chikukayikiridwa, wodwala amatumizidwa kukakumana ndi a oncologist.

Kuchiza kwa kapamba wokulirapo mwa mwana kapena wamkulu akuphatikizira njira izi:

• Kudya kwa ma enzyme opanga kusintha minyewa,
• Kumwa mankhwala a mahomoni ndi ma histamine receptor blockers kuti muchepetse ntchito zachinsinsi za pancreatic.

Mosakayikira, pothana ndi matendawa, chakudya chofunikira kwambiri chimaperekedwa kwa wodwala.

Ngati mwa zisonyezo zamatenda oyamba kulibe matenda am'mimba, wodwalayo amamulembera chakudya Na. 5 (chotchedwanso chakudya cha Pevzner).

Mfundo zazikuluzikulu zakudya za Pevzner ndi izi:

• Chakudya chamagulu. Kuchuluka kwa zakudya kuyenera kukhala pakati pa zisanu mpaka zisanu ndi chimodzi - zakudya zitatu zazikulu ndi chakudya chimodzi kapena ziwiri (osati zowuma),
• Zakudya zokhala ndi pectin ndi CHIKWANGWANI (masamba a masamba, supu wamafuta ochepa, chimanga, mkaka wopanda mafuta, zipatso zophika) ziyenera kuyang'anira chakudya,
• Zakudya zonse ziyenera kukhala pazabwino kwambiri kutentha. Zakudya zozizira ndi zotentha ndizoletsedwa.
• Kudya zakudya zolimba ziyenera kuchepetsedwa. Ndikulimbikitsidwa kuti muzidya msuzi wosenda, nyama mu mawonekedwe a phala (kwenikweni - lopangidwa ndi nyumba, lopanda zonunkhira), phala la mucous, zakudya,
• Kuchuluka kwamafuta mumenyu tsiku lililonse ndikofunikira kuti muchepetse zakudya zamapuloteni ndi zomanga thupi.

Komanso, chakudyacho chimaphatikizapo kukana zakumwa zoledzeretsa (kuphatikiza mowa), koloko, yokazinga, kuzifutsa, kusuta, zakudya zonunkhira, chakudya mwachangu.Kusankhidwa kwamasamba ndi zipatso kumafunikiranso kuyenderedwa posankha - anyezi, sorelo, adyo, nyemba, bowa, radish ayenera kuchotsedwa mu chakudya chonse, chifukwa angayambitse kuchuluka kwa matendawa. Ndiosafunika kudya ambiri zipatso, wowawasa zipatso.

Maziko azakudya za tsiku ndi tsiku ayenera kukhala omwera ndi msuzi wosenda pa nyama yazakudya (mwachitsanzo, bere la nkhuku) kapena masamba. Amaloledwanso kugwiritsa ntchito nsomba zaamba kapena zowiritsa za mitundu yamafuta ochepa. Kuchuluka kwa zinthu zamkaka siziyenera kupitirira 200 ml patsiku.

Ndikulimbikitsidwa kuti mkatewo uwume pang'ono, ndipo zopangidwa ndi ufa ziyenera kusankhidwa kukhala zosatheka.

Odwala omwe ali ndi mano okoma nthawi yamankhwala ayenera kusiya maswiti a fakitale - maswiti, makeke, makeke komanso nyumba zina. Ndizololedwa kusangalala ndi maswiti wofunikira - kupanikizana, marmalade, marshmallows, uchi ndi pastille. Komabe, ngakhale zoterezi siziyenera kunyamulidwa.

Kuthandizira matendawa ndikofunikira kuyang'aniridwa ndi dokotala wokhazikika, kutsatira mosamalitsa malangizo ake onse. Ndizosatheka kugwiritsa ntchito mankhwala ochiritsira wowerengeka azitsamba kapena kutsatira malangizo a anthu omwe si akatswiri, chifukwa izi zitha kusokoneza wodwalayo.

Kupititsa patsogolo kwa Pancreas

Kuti muchepetse kuthekera kwa matenda, ndikofunikira kusiya zizolowezi zoyipa - kusuta, kumwa pafupipafupi zakumwa zoledzeretsa. Ndikofunikira kupatula zakudya zamafuta ndi zonunkhira, chakudya mwachangu, zouma. Ndikofunikira kuyambitsa chithandizo chanthawi yake pazomwe zimayambitsa kukulitsa kwa pancreatic pofuna kupewa zovuta.

Ngati zizindikiro zoyambirira zikuchitika, muyenera kufunsa othandizira posachedwa, yemwe angazindikire, adziwe zomwe zimayambitsa matendawa ndikukufotokozerani chithandizo choyenera.

Zomwe Zimakulitsa Pancreatic

Pali zifukwa ziwiri zophunzirira kapamba wamkulu:

• kukula kwa minofu kulipirira ntchito yafupika ya maselo amodzi,
• minofu edema chifukwa cha kutupa kapena autoimmune reaction.

Chifukwa chake, zofunika kwambiri pakukulitsa ziwalo ndi:

• uchidakwa
• matenda opatsirana
• kufalikira kwa dambo la Wirsung,
• kuledzera kwa mankhwala ndi mankhwala othandizira,
• njira ya autoimmune.

Ngati kapamba amakulitsidwa popanda zizindikiro za chimbudzi, ndiye kuti chifukwa chake chimatsitsidwa pang'onopang'ono pantchito yachinsinsi kapena matenda a ziwalo zoyandikana. Kafukufuku wambiri akuchitika.

Kukula kwa kapamba kumalumikizidwa ndi zochitika zowopsa:

• chotupa ndi khomo lokhala ndi mafinya omwe amakhudza ntchito za chiwalo chonse, limakulitsa chiopsezo cha sepsis,
• ma epithelial cysts nthawi zambiri amakhala opanda vuto, koma amapweteka ndikutambasula kapisozi kazinthu,
• ma pseudocysts ndi mawonekedwe omwe ali ndi mabowo a maselo kapena ma enzyme ndi madzi ena, omwe amalimbikitsa kukula kwa chiwalo ndikuwononga ntchito yake,
• Khansa imayambitsa kupweteka kwambiri kumbuyo. Zizindikiro zake zimaphatikizidwa ndi chopondapo chopondera, matenda osokoneza bongo.

Nthawi zambiri, kuchuluka kwa kapamba kumachitika chifukwa cha kutupa kosatha - kapamba. Kuledzera ndi kuledzera kwina, kuphatikiza calcium wowonjezera ndi mafuta ndizinthu zazikulu zoyambitsa matenda.

Sphincter ya Oddi kukanika kumawonetsedwa ndi Reflux ya zomwe zili mu duodenum mu pancreatic duct, zomwe zimatsogolera pakupanga kutupa. Kenako zosinthazo zimayamba mwa mawonekedwe a autolysis - kugawanika kwa minofu. Zoyenera kuchitazo ndikuphwanya: kuchotsedwa kwa ndulu, kukakamira kwa mitsempha ya vagus pamlingo wam'chiberekero kapena kutseguka kwa diaphragmatic - chinthu chodetsa nkhawa, komanso gastritis.

Zotsatira zowopsa za Autolytic zimachitika pamene chiwopsezo cha ma enzymes enieniwo chikulunjikira motsutsana ndi minyewa yake yomwe. Kudziwononga kachiwalo kumawonedwa.

Kukula kwa ndulu kumachitika chifukwa cha kuphipha kwa mitsempha ndi minyewa. Kukakamira kwa diaphragm kumasintha mawonekedwe am'mimba ndi duodenum, chifukwa, mutu wa kapamba amapindika, kutuluka kwa katulutsidwe kumayamba kuchepa.

Nthawi yomweyo, dyskinesia of biliary thirakiti, matenda a ndulu kapena gastritis, ngati concomitant kapena maziko a matenda, amapezeka. Ndi kukanika kwambiri kuchokera ku chiwindi, mphutsi ndi ma minyewa zimatha kusokoneza thirakiti la hepatobiliary.

Matenda a kapamba am'mimba amadziwika kuti ndi chimodzi mwazinthu zomwe zimakhudza matumbo papilla ndi zotupa, kuphatikiza pamtundu wamtsogolo. Kuwonjezeka kwa minofu ya mutu wa kapamba chifukwa cha chifuwa kapena adenoma kumayambitsa kukakamira kwa wamba bile duct, komwe kumawonetsedwa ndi jaundice. Ma tumor a ma islet cell amatchedwa ma insulomas, amapezeka mchira ndi kuwonjezeka kwanuko kwa kapamba. Chizindikiro ndi hypoglycemia, kugona, thukuta.

Mwanayo ali ndi zilonda zam'mimba, fungo lochokera mkamwa limatuluka, ulesi ndi kusanza zimachitika - izi ndi chizindikiro cha kuchuluka kwa acetone. Izi zimachitika chifukwa cha kudzikundikira kwa matupi a ketone m'mwazi chifukwa chophwanya mapuloteni kapena carbohydrate metabolism, kuchepa kwa mphamvu ya chiwindi kapena kusokonekera kwa endocrine. Acetonemic syndrome ikuwonetsa kukanika kwa pancreatic, kuchuluka kwake.

Kutulutsidwa kwa michere ya pancreatic m'matumbo amakhudzidwa ndi acidity yam'mimba. Hydrochloric acid imatumiza chinsinsi. Ndi acidity yotsika, chiopsezo cha khansa yam'mimba yomwe imayamba chifukwa cha gastritis yayamba.

Zomwe zimapangitsa kukulitsa kwa pancreatic mwa mwana nthawi zambiri zimafunidwa mucholowa. Osteopaths amawona kusokonezeka chifukwa cha kukakamiza kwa chigaza pa nthawi yobala mwana ndikuchepetsa mauthenga amtsitsi la vagus. Amatsika m'khosi, pachifuwa, kumalowetsa ziwalo mbali mbali imodzi ya thupi.

Chomwe chimapangitsa kuti zikuluzikulu zikuluzikulu chikulire ndi kuphatikiza mafuta, lipomatosis kapena steatosis. Matendawa amaphatikizidwa ndi mtundu 2 matenda a shuga, pancreatitis ya pachimake, oncology. Kuti mupeze matenda osiyanasiyana, muyenera kuwunika MRI.

Kuchulukitsa kwa pancreatic kumadziwika nthawi zambiri pakamayesedwa chifukwa cha zovuta zina zosagwirizana ndi chimbudzi.
Vutoli limadziwika ndi zingapo:

1. Mafuta opaka mafuta amaonetsa kuti mafuta saphimbidwa. Matenda okhazikika ndi chimodzi mwazizindikiro zamatenda.
2. Kuthamanga kosagwirizana ndi kugunda kwa mtima.
3. Kutentha kocheperako, komwe kumatenga nthawi yayitali, popanda matenda.
4. Khwangwala wolimba umasonyeza vuto la kuperewera kwa michere.

Chimodzi mwazomwe zimawonekera kwambiri ndi jaundice, yomwe imachitika nthawi ndi nthawi. Kulephera kulemera, komanso kuchepa thupi mwadzidzidzi, kumafunikira kuyeserera ndikuwunika ndi endocrinologist.

Zizindikiro

Ngati kapamba amakulitsidwa ndi ultrasound, ndiye kuti mayeso owonjezera ayenera kuvomerezedwa. Kuzindikira matenda ena kumachitika: boma lam'mimba ndi babu la duodenal limayesedwa, acidity ya madzi am'mimba imatsimikizika. Magnetic resonance cholangiopancreatography ndi CT motsutsana amagwiritsidwa ntchito.

Ultrasound imatsimikiza magawo a kutupa. Kuyesedwa kwa ultrasound kumawonetsa kuchepa kapena kuwonjezeka kwa phokoso. Mu pancreatitis yovuta komanso yosatha, kuchepa kwa zizindikiro za echo, kukulira kapena kufalikira kwa mzerewo kumawonedwa. Ndi fibrosis - madera omwe achulukitsa. Koma pokhapokha pochita kwambiri, kapamba amakulitsa.

Kukula kwa kapamba ndi ultrasound kumatengera msinkhu wa wodwala. Mu 1 chaka chimodzi ana, mutu, thupi ndi mchira mm mm 15x.8x.12, kuyambira 1 mpaka 5 zaka - 17x.10x.18, patatha zaka 11 - 20x.11x.20 mm. Kulekerera kwa 3-4 mm ndikololedwa.

Mu munthu wamkulu, chiwalo chili, mutu: 25-30 mm, thupi la 15-17 mm ndi mchira wa 20 mm.

Kuyesedwa kwa magazi kumachitika - ambiri azachipatala, shuga, kuyesera kochita masewera olimbitsa thupi ndi shuga kumatsimikiziridwa. Zizindikiro za gastrin, insulin, amylase amafufuzidwa.

Mchira wa gland umakhala ndi epithelium glandular momwe ma islets a Langerhans amapezeka. Pancreatitis, yomwe imayamba pambuyo pa matenda, kuledzera, kuledzera komanso kugwiritsa ntchito mafuta osokoneza bongo, imasokoneza ntchito ya pancreatic m'derali. Chithandizo chimatengera kuchuluka kwa kusokonezeka kwa ntchito:

1. Ndi kusowa kwa insulini, mankhwala obwezeretsanso mahomoni amadziwikiridwa ngati jakisoni wa tsiku ndi tsiku.
2. Popanda kuchepa kwa insulin, zakudya, mankhwala othandizira kutupa, antispasmodics ndi maantibayotiki othandizira matenda amagwiritsidwa ntchito.

Mchira wa kapamba umakulitsidwa chifukwa cha insulinomas kapena ma pseudocysts omwe amachokera ku cystic fibrosis.

Ndi kuchepa kwa timinofu tating'onoting'ono tomwe timakhala ndi zaka, kuchuluka kwathunthu kwa glandular kumawonjezeka, koma kupanga insulin kumachepa.

Kukula kwa mchira kumakwiyitsidwa ndi machitidwe omwe amafunikira chisamaliro chadzidzidzi: mwala mu Wirsung duct, puritive abscess, kusintha kwakupweteka kwa kapamba. Ndi mawonekedwe a ululu mu hypochondrium yamanzere yokhala ndi ma irradiation kumbuyo mmunsi, ndikofunikira kuyesedwa ndi akatswiri a gastroenterologists.

Mutu wa kapamba udzakulitsidwa chifukwa cha zovuta za duodenum. Nthawi zambiri, zimagwirizanitsidwa ndi kukomoka kwa Vater papilla, kuwonjezereka kwa bile, komwe kumasokoneza kutulutsa kwa ma enzymes a chimbudzi. Choyambitsa chake ndi zotupa kapena zipsera. Komabe, duodenitis, yomwe imayamba chifukwa cha kukanika kwa pyloric sphincter kapena kuchuluka kwa m'mimba. Nthawi yomweyo, chyme acidic (chotupa cha chakudya) chimapangitsa secretion.

Ndi kutupa kwa mutu wa pancreatic, mankhwala a antisecretory amagwiritsidwa ntchito. Cholinga chake ndikuchepetsa katundu pama cell a glandular ndi epithelial.

Popeza katulutsidwe kamakhudzidwa ndi zochita za acid pamitsempha yama mucous, amamuwonetsa proton pump zoletsa.

• antispasmodics
• kulowetsedwa kulowetsedwa kudzera m`mitsempha,
• ma pinkiller
• mankhwala enzyme.

Kuphatikiza apo, mankhwala a antioxidic Amoxicillin kapena Gentamicin amagwiritsidwa ntchito. Milandu yowonjezereka motsutsana ndi mbiri ya adenoma kapena chilonda cha Vater papilla, endoscopic retrograde cholangiopancreatography imachitika.

Mankhwala obwezeretsanso enzyme amathandizira kukonza momwe thupi liliri, kuonetsetsa kuti chakudya chilipo. Mankhwala omwe amagwiritsidwa ntchito ndi Pancreazin, Mezim, Festal.

Matenda a kapamba amayamba chifukwa cha kuperewera kwa minyewa kapena acidity ya m'mimba. Gwiritsani ntchito hydrochloric acid mukamadya. Ndi kuchulukitsa kwa matenda a kapamba, m'malo mwake, Sandostatin amagwiritsidwa ntchito - analog ya kukula kwa mahomoni omwe amalepheretsa kupanga ma enzyme ndikupatsa thupi mtendere.

Malamulo akuluakulu azakudya ndi kuchepetsa ntchito ya enzymatic. Chakudya chomwe chimayambitsa katemera wa pancreatic sichikuphatikizidwa: msuzi, cocoa, mowa, nyemba, zakudya zamafuta, nkhuyu, mphesa, nthochi, zonunkhira, ayisikilimu.

Zakudya zokhala ndi zikondamoyo zokulitsidwa mwa mwana zimalepheretsa kuchuluka kwa acetone. Porridge, omeleti, nkhuku yopanda khungu, masamba, zipatso zosaphika acid, masikono ndi mkate dzulo ndizololedwa.

Njira zaku Sanatorium zochiritsira, mchere wamadzi am'mimbamo, gawo la reflex massage kapena osteopathy amagwiritsidwa ntchito.

Zotsatira za matenda

Zoyenera kuchita ngati kapamba wakulitsa? Onani zomwe zimayambitsa kutupa, nthawi yomweyo musinthe moyo, zakudya.
Nthawi zina kuwonjezeka kwa kapamba mwa mwana kumachitika mu mankhwala opha maantibayotiki ndi mankhwala a metronidazole. Kuyankha kwa adotolo pakuchiza pancreatitis popanda zizindikiro ndikuwonetsetsa, kuphunzira zamphamvu zamatsenga.
Kuchiza ndikofunikira kupewa kupewa zovuta. Kutupa kovuta kumakhala chifukwa cha matenda a shuga, peritonitis, mawonekedwe a cysts, kuwonongeka kwa nyumba zapafupi. Matenda a kapamba amakhumudwitsa kuperewera kwa enzymatic, amasokoneza kutuluka kwa ndulu, kumawonjezera chiopsezo cha mapangidwe amwala. Mavuto amakhudzana ndikusintha kwa maselo - khansa, ascites, kupweteka kosatha.

Matendawa amakhala ocheperako, amapezeka ali ndi zaka 5. Osteopaths amakhulupirira kuti kuvulala kwa kubala ndi komwe kumayambitsa kusokonezeka koyambirira ndikugwira ntchito ndi zomwe zimayambitsa matenda am'mimba.

Ntchito ya pancreatic

Choyamba muyenera kudziwa tanthauzo la kapamba m'thupi la munthu. Mosiyana ndi ziwalo zina zambiri, imagwira ntchito zamabisidwe akunja ndi mkati:

Katemera wakunja - amatulutsa michere ya pancreatic yomwe ndiyofunikira pakugaya chakudya. Kuphatikiza apo, acidic ya gastric chyme ndiyotenga mkati mwake, chifukwa chomwe amakonzekera kupita patsogolo mu duodenum.

Zobisika zamkati - mkati mwake mumakhala timagulu tomwe timakhala timaselo tomwe timakhala opanda ma ducts. Amabisa mahomoni omwe amawongolera kagayidwe kazinthu mwachindunji mu kayendedwe kazinthu.

Zindikirani! Zowonongeka kwa kapamba, komanso matenda ake onse, zimawerengedwa kuti ndizowopsa ndipo zimafunikira njira yochizira yovomerezeka.

Ntchito za kapamba mu thupi la munthu

Zomwe zimapangitsa kuchuluka kwathunthu

Kutupa kwa maselo onse, monga lamulo, kumawonedwa ndi kutupa kwa kapamba. Matendawa amatchedwa pancreatitis ndipo amatha kuoneka ngati pachimake kapena mawonekedwe osakhazikika. Kugonjetsedwa kwa ziwalo zina kumakhalanso gawo limodzi ndi kuchuluka kwathunthu, chifukwa chakuti njira yotupa (chiwindi, ndulu ndi zina) imawafikira.

Zomwe zimayambitsa kuchuluka kwa kapamba

Mwa zinthu zomwe zingayambitse vutoli, madokotala amasiyanitsa:

1. Cystic fibrosis.
2. Matenda opatsirana.
3. Ma genetic amatsimikizira mawonekedwe a chiwalo.
4. Kuvulala kwam'mimba.
5. Njira za Autoimmune.
6. Kutupa
7. Mowa, kuphatikizapo mankhwala osokoneza bongo komanso mowa.
8. Zilonda zam'mimba za ziwalo zoyandikana.

Zifukwa zakuchulukira kwanuko

Pakapangidwe ka kapamba, magawo atatu amikhalidwe amasiyana: mutu (poyambira), thupi (pakati) ndi mchira (kumapeto). Kutengera ndi komwe njira ya pathological imayendera, madokotala amatha kukayikira matenda osiyanasiyana.

Chithunzi cha kapamba

Kuchulukitsidwa kwa magawo achinsinsi kungasonyeze kupezeka kwa zotsatirazi:

1. Pseudocyst.
2. Muli.
3. Chotupa cha Benign.
4. Mapangidwe owopsa.
5. Kupezeka kwa miyala.
6. Duodenitis ndi kutupa kwa matumbo papilla.

Zindikirani! Kuchulukitsa kwapakati mkati mwa chiwalo kumakhala kocheperako kuposa mutu kapena mchira.

Kapangidwe ka kapamba

Nthawi zambiri, mavuto ndi kapamba amadziwonetsa okha pamapeto omaliza. Zizindikiro zazikulu zimatha kupezeka mwa munthu wamkulu komanso mwana. Komabe, mawonetseredwe amatsenga ndi amodzi ndipo kwa odwala ena matendawa angayambitse kusasangalala nthawi yomweyo.

Ululu ndiye chizindikiro chachikulu chomwe sichimveka. Kukula kwake ndi mphamvu zake zimasiyana. Odwala ena amadandaula chifukwa cha kufooka komanso kupwetekedwa mtima, komwe sikumatha ndipo kumangokhala ngati kumenyedwa. Malo omwe akukondedwa ndi malo a navel komanso ngakhale malo obisika.

Zizindikiro Zakulitsa Pancreatic

Kutengera ndikuzindikira, matenthedwe amatha kuchuluka, mpaka pamiyeso yambiri.

Zindikirani! Ngati ziwalo zina zimagwira nawo ntchito yokhudzana ndi pathological, kuwonekera kwa zizindikiro zosasangalatsa kumakula. Ndi kuwonongeka kwa chiwindi, munthu amatha kudandaula ndi mseru, kusanza, kuwawa mkamwa, kusinthasintha ndi kusasinthika kwa chopondapo.

Ndi kuthekera kwakukulu, zovuta zamatumbo zitha kukayikiridwa ndi zotsatirazi:

Zizindikiro zosiyanasiyana magawo a kapamba

Kanema - Zizindikiro za matenda apamba

Matenda a kapamba, zakudya zosafunikira zimayikidwa, zomwe zimafanana ndi tebulo lazakudya zisanu. Malamulo oyambira omwe ayenera kuyang'aniridwa muzakudya za wodwala:

1. Mautumiki azikhala ochepa. Ndikulimbikitsidwa kudya 4-5 pa tsiku. Izi zimachepetsa katundu pazakudya zam'mimba, komanso zimathandizira kutuluka kwa ndulu nthawi zonse.
2. Zakudya ziyenera kukhala ndi mavitamini ambiri ndikukwaniritsa bwino zosowa zamapuloteni ndi chakudya. Mafuta amalimbikitsidwa kuti agwiritsidwe ntchito kuchokera kuzomera, ndipo kuchuluka kwake muzakudya ziyenera kuchepetsedwa.
3. Momwe chakudya chimapangidwira ndi kutentha kwa chakudya Kuphika ndi kuphika kumakonda. Ngati ndi kotheka, mbale yotsirizidwa isinthidwe ndi mbatata yosenda. Ndichabwino kwambiri kudya chakudya chotentha, osapatula mbale yozizira ndi yotentha, kuti chisayambitse kapamba.
4. Masamba ndi zipatso zimayenera kudyedwa tsiku ndi tsiku, mutha kuphika mphodza kuchokera kwa iwo.
5. Msuzi wofunda wa pancreatic kapena msuzi wonenepa kwambiri umadziwika bwino. Amaloledwa kuphika iwo kuchokera ku kritsa, nkhumba yotsamira kapena nsomba.

Mndandanda watsatanetsatane wazinthu zamatenda a pancreatic

Mukamasankha zophika, mutha kudalira tebulo lotsatirali:

Zopangira batala, mafutaMaswiti achilengedwe, buledi wouma, kupanikizana, uchi, zophera, pastille

Zokazinga, kusuta, zonunkhiraNkhuku, nsomba zamafuta ochepa

Ma Leamu, bowa onseZogulitsa Zamtengo Wapansi

Sorelo, anyezi, adyo, radishMiphika yophika ndi madzi

Zakumwa za kaboni, mowaZipatso zouma zamankhwala, zonunkhira, tiyi wokoma

Pancreatitis Zakudya

Pansipa pali mndandanda womwe mungapezere nokha chakudya chokwanira komanso chosiyanasiyana:

Zindikirani! Kumapeto kwa nthawi yodwala, wodwalayo amatha kudya mitundu yambiri, chinthu chachikulu ndi njira yophikira yosalira.

Kodi kapamba ndi chiyani?

Mu thupi la munthu, kapamba amachita ntchito zingapo zofunika:

• Chimbudzi - madzi a pancreatic (pancreatic juwisi) ndi gawo lofunikira la michere ya m'mimba. Ndikumuthokoza kuti zimatha kuphwanya lipids (mapuloteni) ku boma la amino acid.
• Zoyenda kapena zochititsa manyazi - kuphatikiza ndi zinthu zomwe zakimbidwa, madzi a kapamba zimawathandiza kuti afike. Kuphatikiza apo, kutengera mkhalidwe wa thupilo, kumasulidwa kwa madzi a pancreatic ndikudziyimitsa, potero kupatsa boma lopulumutsa la pancreatic.
• Endocrine - Ma cell a Langerhans-Sobolev, omwe amapanga zida zam'mapulogalamu, ma enzymes achinsinsi komanso magazi m'magazi omwe amathandizira magwiridwe antchito a ziwalo zonse. Makamaka, imapanga insulin ya mahomoni, yomwe imathandizira kuyamwa kwa shuga ndikuchepetsa kuchuluka kwa shuga m'magazi.
• Katemera - amaphatikiza magawo atatu nthawi imodzi:

1. Exocrine - secretion wa pancreatic madzi mwachindunji mu duodenal patsekeke,
2. Kuchulukitsa - kukhwimitsa kuchuluka kwa mahomoni m'magazi komanso mthupi lonse,
3. Chinsinsi cha intra - kupanga mahomoni ofunikira.

Kukula kwa kapamba - Zizindikiro

Zizindikiro zowonjezera kapamba zimatha kukhala zosiyana kwambiri, kutengera zomwe zimayambitsa matendawa. Pali nthawi zina pamene matendawa akhala asymptomatic kwazaka zingapo.

Nthawi zambiri, chiwalo cholimba chimatsogolera ku kuwoneka kwa ululu wosiyanasiyana. Nthawi zambiri, pamimba chimapweteka, nthawi zina chimapatsa nkono kapena kumbuyo. Nthawi imeneyi, kutentha kumatha kuwonjezeka pang'ono.

Ngati zizindikirazo sizitha kwa nthawi yayitali, ndipo kutentha kumakulirakulira tsiku lililonse, izi zitha kuwonetsa khansa ya kapamba.

Kuphatikiza apo, ndi zotupa za chiwalochi, pali chithunzi chonse cha zizindikiro, komanso ndi poyizoni wa chakudya. Mwakutero:

• Kupweteka kwam'mimba
• Kusanza, ndi kusanza kwakanthawi,
• Kuchepetsa chidwi
• Zovala zotayidwa, nthawi zina zimakhala ndi zosafunika zosiyanasiyana,
• Kuwawa mkamwa.

Mwanjira ina, ngati pali chimodzi mwazizindikirozi, muyenera kulumikizana ndi chipatala chakufupi ndi kukayezetsa koyenera.

Zikondamoyo ndi chiwindi zimakulitsidwa mwa munthu wamkulu: zimayambitsa

Kuphatikizika uku kungasonyeze kuti munthu wayamba kudwala kapamba. Matendawa amaphatikizidwa ndi kuwonjezeka kwa kapamba chifukwa cha kuchepa kwa magwiridwe antchito amtundu ndipo, chifukwa chake, kuchuluka kwina kumbali inayo.

Ngati chiwindi chakwera, zikutanthauza kuti thupi limagwiritsa ntchito zinthu zake zonse ndipo thupi silingathanso kuthana ndi zinthu zapoizoni zomwe zimafunikira kusefa. Ngati dokotala samalabadira ndipo sapereka chithandizo choyenera, kuthekera kwa kusintha kwa ma pathological mu parenchyma ndi mitsempha yamagazi yopereka chiwindi ndi magazi ndiwokwera.

Komanso, zomwe zimayambitsa munthawi yomweyo kapamba ndi chiwindi zimatha kukhala mtundu wachiwiri wa matenda ashuga, omwe amayamba chifukwa cha chifuwa chachikulu. Zotsatira zake, mafuta amayamba kuyikidwa mu ziwalo, ndikupanga cyst ndikuwononga maselo apafupi.

Makulidwe amakulitsa mwana

Nthawi zambiri, kuchuluka kwa zikondamoyo mwa mwana kumalumikizidwa ndi kukula kwake kwachilengedwe. Gawo limodzi la chiwalo limatha kukula mwachangu kuposa ena onse. Simuyenera kuopa izi, posachedwa kukula kwake kudzasintha.

Komabe, kuyezetsa sikumvulaza, chifukwa kufalikira thupi kumatanthauza kukula kwa matenda oopsa. Kufufuza zamankhwala ndi zothandizira kumathandizira kuti adziwe zoyenera komanso kuti apatsidwe mankhwala.

Zomwe zimayambitsa kuchuluka kwa kapamba ndizotsatirazi:

• Zilonda za Mucosal,
• Kutsekeka kwam'mimba
• Kuwonetsedwa ndi zinthu zoopsa
• Njira zosinthika za autoimmune,
• Zowawa kapena zotupa
• Cystic fibrosis,
• Kuphwanya kwa magwiridwe antchito a duodenum,
• Kuphwanya kukula kwa limba.

Ngati gawo limodzi la chiwalo limakulitsidwa, izi zitha kutanthauza kuti:

• Cyst Zoona kapena zabodza
• Zilonda zopweteka kapena zotupa,
• Muli ndi kupembedzera,
• Pancreatitis
• Kufalikira kwamizere yachiwalo.

Kuzindikira kwakanthawi kumathandiza kuchiritsa kwathunthu kapena kukulitsa mkhalidwe wa mwana.

Mutu wakutchinga - umatanthawuza chiyani?

Nthawi zambiri, chibadwidwe chimakhudza kukula kwa mutu wa kapamba. Zosadabwitsa, koma kusintha kwa ziwalo zoterezi mu chiwalo zimatha kufalikira kuchokera kwa mayi kupita kwa mwana, koma sizowopsa.

• Komabe, nthawi zambiri zomwe zimayambitsa matendawa zimatha kupezeka - mwachitsanzo, atathiridwa magazi. Chifukwa chake, kachilombo ka hepatitis, fuluwenza ndi matenda ena atha kuyambitsidwa m'thupi.
• Nthawi zina kusokonezeka mu endocrine kumabweretsa izi, zomwe zimayambitsa zolephera zosiyanasiyana mu ziwalo zonse za anthu.
• Komanso, pseudocyst - patsekeke mu chiwalo chodzazidwa ndi madzi limatha kupititsa patsogolo mutu wa kapamba. Pazowopsa kwambiri, izi zitha kuwonetsa kukula kwa khansa ya kapamba.
• Kuledzera pakudya kapena poyizoni wa mankhwala osokoneza bongo ndikosowa, koma mwayi womwe ungachitike sukanadziwikanso.
• Mimbulu yam'mimba kapena zilonda zam'mimba, zomwe zimadziwonetsa pambuyo pake.
• Kuchulukitsa kwa kapamba wam'mimba ndi chifukwa china chowonjezera cha mutu wa kapamba.
• Matenda owopsa a chitetezo chamthupi amatha kuphatikizidwa ndi zotupa zamagulu osiyanasiyana.
• Miyala mumiyala yomwe imalepheretsa madzi a pancreatic kuti achoke mwachizolowezi.

Mulimonsemo, matendawa ayenera kuthandizidwa kuchipatala. Kudzichiritsa nokha kumatha kuyambitsa vuto la wodwalayo ngakhale kufa kumene.

Kuchulukitsa kachulukidwe

Tizindikiritsa kukulitsa kwa kapamba kumatheka ndi ultrasound. Izi zikutanthauza kuti kachulukidwe ka ziwalo ndi kokwezeka kwambiri kapena kotsika kwambiri, chifukwa chake chipangizochi chimathandizira kupatuka kwachuma. Zodabwitsazi zimatha kuchitika mu gawo lililonse la kapamba, ndipo nthawi yomweyo chiwalo chonsecho.

Kuchulukitsa kwakumayambiriro kumayamba chifukwa cha kupsinjika kwachulukidwe mwa kupangika kwa ma deposits, komanso ndi matenda ena monga fibrosis ndi lipomatosis. Ngati kuchepa kwa kupsinjika kwapezeka, ndiye kuti wodwalayo amapezeka ndi pancreatitis kwambiri.

Kafukufuku wowonjezereka angafunike mayeso owonjezera ndi mayeso, pomwe kuzindikira koyenera kudzaperekedwa.

Mankhwala osokoneza bongo

Dokotala amakupatsani mankhwala, kutengera matenda omwe wodwala wapezeka ndi zomwe akufuna pakadali pano:

Ma Painkiller - amachepetsa ululu ndikuthandizira kuti musagwedezeke panthawi yovuta kwambiri yamatenda a kapamba. Nthawi zambiri, antispasmodics osiyanasiyana amagwiritsidwa ntchito, monga No-Shpa, Baralgin, Papaverin ndi Drotaverin. Mankhwalawa amatha kuthandizidwa ngati mapiritsi (ngati wodwalayo amatha kulekerera kupweteka kapena kuwonongeka kwa chiwalo sikokulira) kapena ngati jakisoni. Ma analgesics samasankhidwa kwambiri - Aspirin kapena Paracetomol, koma ayenera kukumbukira kuti amakhudza kwambiri kapamba ndipo amatha kuyambitsa zovuta. Mankhwala kuchipatala, wodwalayo amamuika H2 blockers Ranitidine ndi Famotidine. Amamasulidwa malinga ndi mankhwala ndipo ndizoletsedwa kuzigwiritsa ntchito kunyumba. Kuphatikiza apo, kubwezeretsa kulimba kwa wodwala, cholinolytic ndi antihistamines monga Plifillin, Atropine ndi diphenhydramine ndi mankhwala.

Popewa kukwiya kwa mucous nembanemba wa duodenum ndi hydrochloric acid, omwe sangathe kusankhidwa ndi matenda kapamba, komanso kupewa kukula kwa zilonda zam'mimba, maantacid ndi mankhwala. Odziwika kwambiri ndi Almagel ndi Fosfalugel. Mothandizana nawo, mankhwala amathandizidwa kuti achepetse kupanga kwa hydrochloric acid - Omez ndi Contralock. Mankhwalawa Gastrozole, Proseptin, Ocid, Ranitidine, Famotidine, Acidex, Zoran, Gasterogen, Pepsidin ndi ena ambiri ali ndi zoterezi. Komanso, nthawi zambiri wodwala amafunika proton pump blockers, monga lanzoprazole. Kuphatikiza apo, madotolo amatha kutumiza kukonzekera kwa wamba koloko ya soda. Ngati, chifukwa cha matendawa, kapamba amagwira ntchito kwambiri, perekani mankhwala omwe amaletsa kumasulidwa kwa ma enzymes - Contrical and Aprotinin.

Kukonzekera kwa enzyme kumayikidwa pokhapokha ngati pali zoletsa zapamwamba kwambiri za pancreatic. Wotchuka kwambiri mwa izi ndi Pancreatin. Nthawi zina ma analogues amatha kutchulidwa - Mezim, Festal, Creon kapena Panzinorm. Ngati wodwala akumwa mankhwalawa, mutha kumwa mankhwala azitsamba osagwira - Unienzyme, Somilase, Pepfiz.

Ngati matendawa ndi oopsa, ndi kuchuluka kwamkati pamimba, Ampicillin ndi mankhwala.

Opaleshoni

Ngakhale kuti njira yothandizira mankhwalawa imalembedwa kawirikawiri, imangokhala ngati chithandizo cha mankhwalawa sichinapereke zotsatira zomwe zikufunidwa kapena matendawo akunyalanyazidwa kwambiri. Njirayi ndi yovuta kwambiri komanso yodula. Pali mitundu inayi ya njira zochitira opaleshoni yofuna kubwezeretsanso zochitika zapakhansa:

• Necrectomy - kuchotsedwa kwa minofu yakufa ndi kuwonongeka,
• Kubwezeretsanso - kuchotsa ziwalo zomwe zakhudzidwa,
• Chiwonetsero chonse - kuchotsedwa kwathunthu kwa kapamba,
• Kukongoletsa (kubaya) kwa ma abscesses ndi ma cysts.

Maganizo a Dr. Komarovsky

Malinga ndi dokotala wotchuka Yevgeny Olegovich Komarovsky, wolandila pulogalamu ya Sukulu ya Doctor Komarovsky School, ngati mwana ali ndi matenda okayikira, ayenera kufunsa dokotala nthawi yomweyo ndikupita kukayezetsa koyenera kuti adziwe zoopsa zake ndikutsatira nthawi. Ngati zokayikirazo sizili zomveka, koma chiwalocho chikukulitsidwa, ndiye kuti ndikupatuka kwachilengedwe komwe kumachitika chifukwa cha kukula kwa thupi. Ndikokwanira kudya bwino ndipo posachedwa zikondamoyo zimabwezeretseka.

Zizindikiro Zakulitsa Pancreatic

Kuchulukitsa kwa pancreas kumatha kukhala kwachilendo komanso kotseguka, osasiya kukayikira za matendawa.

Ngati chithokomiro chikuwonjezeka motsutsana ndi kumbuyo kwa kutupa, zizindikiro zimawoneka nthawi yomweyo. Cyss ndi zotupa kwa nthawi yayitali sizidziwikitsa zokha. Dziwani bwino za matenda anu mwa kuyerekezera zizindikiro zina monga:

• kuphika kapena kukoka ululu m'minyewa yapamwamba ya peritoneum, kumayang'ana kumbuyo,
• kusowa kwa chakudya
• mseru ndi kusanza, kumva kuwawa pamkamwa,
• kutsegula m'mimba
• kutentha kwambiri.

Zotupa zomwe zimakulitsidwa ndikukulitsidwa kwa ziwalo ndi ziwiya zozungulira.

Chifukwa cha kukula kochepa kwa mchira komanso thupi la kapamba, kuchuluka kwawo sikawonjezereka kwa ziwalo zoyandikana. Mutu ndi wokulirapo, uyenera kukulira, ndikufinya duodenum 12, womwe, nthawi zina, umakwiyitsa matumbo.

Njira zoyesera

Dongosolo lofufuzira ultrasound ndi maziko chabe a kuyang'anitsitsa wodwalayo. Dokotala sangathe kupereka chithandizo chamankhwala obiriwira, chifukwa chake amalamula wodwalayo njira izi:

• it one x
• kuyesa kwamwazi wamagazi,
• urinalysis
• composed tomography ndi biopsy (ngati kuli kotheka).

Kuphatikiza apo, Zizindikiro ndizofunikira popanga matenda, madandaulo amafotokozedwa ndi odwala komanso deta yoyeserera kwa odwala.

Ngati cholowa chikupezeka ndi ultrasound, kayendetsedwe kake sichiyenda bwino, mayesowo amakhala abwinobwino, ndipo wodwalayo alibe nkhawa ndi zisonyezo zilizonse, palibe chithandizo chapadera chomwe chimaperekedwa. Wodwalayo amangochenjezedwa za kufunika kokhala ndi moyo wathanzi kuphatikizapo kusiya zizolowezi zoyipa.

Njira zochizira

Ngati njira zodziwonera zatsimikizira mosavomerezeka kuti kapamba wakulitsa, simuyenera kuyerekezera mwachangu ndi kuchita zinthu mwachangu: Opaleshoni ndi njira yochizira kwambiri, nthawi zambiri odwala amachiritsidwa kwathunthu ndi chakudya komanso chithandizo chamankhwala.

Mfundo zazikuluzikulu zachithandizo ndi izi:

• Chakudya cholimba. Wodwala amafunika kudya pafupipafupi (nthawi 5-6 patsiku) pazigawo zing'onozing'ono, amachotsa kwathunthu zakudya zamafuta, zosuta, zonunkhira.
• Kuzizira kumachepetsa mphamvu yotupa.
• Kudzimbidwa kwa michere.
• Kumwa mankhwala apadera kuti muchepetse ntchito zachinsinsi za thupi.

Kuchotsa opaleshoni ya minofu ya necrotic kapena mawonekedwe a chotupa ndi njira yochizira kwambiri. Pambuyo pakuchita opaleshoni, wodwala amayenera kupita kuchipatala kwakanthawi, kukana chakudya masiku angapo (kutengera malangizo a dokotala, zakudya za makolo zitha kutumizidwa).

Thanzi la zikondamoyo zokulitsidwa

Ndi kapamba wokulitsa, kudya zakudya zoyenera ndi njira yofunika kwambiri yothandizira. Mwachilengedwe, kudya kamodzi pazotsatira zabwino sikokwanira, koma popanda iwo, chithandizo sichingayende bwino.

Ndi kuwonjezeka kwa kapamba, zakudya No. 5 ndi 5p malinga ndi Pevzner nthawi zambiri zimayikidwa.

Maziko azakudya ndi zinthu zomanga thupi. Zinthu zilizonse zamkaka zamafuta, msuzi wamafuta ndi msuzi, nyama zamafuta ndi nsomba ndizoletsedwa. Confectionery, makeke, mkate watsopano (makamaka wotentha), kupanikizana ndi mkaka wokometsedwa, ayisikilimu saloledwa.

Chakudya chizikhala chosalowerera ndale. Utoto ndi zida zaukali zomwe zimakwiyitsa madera omwe akhudzidwa ndi mucous membrane wa chiwalo, kupewa. Chifukwa chake, zotsatirazi sizimaphatikizidwa ndi zakudya: chakudya chofulumira, zakumwa zotsekemera za carbonated, zakudya zosavuta, marinade ndi katundu wam'chitini (fakitale ndi nyumba). Ndizosavomerezeka kugwiritsa ntchito zinthu zomwe zili ndi zinthu zina zowonjezera zomwe zimapangitsa kuti madzi am'mimba azitentha: adyo, anyezi.

Chakudya chiyenera kugayikidwanso mosavuta, chifukwa chake ndikofunikira kupatula zakudya zopaka, zopatsa mphamvu: masamba atsopano ndi zipatso, chinangwa, buledi wonse wa tirigu. Palibe chifukwa chomwe mungadye chakudya chambiri nthawi imodzi: izi zimapangitsa chimbudzi kukhala chovuta.

Mwa zomwe mungadye ndi matenda a kapamba: mafuta amkaka otsika kwambiri (tchizi chofufumitsa mkaka, mkaka), nyama yamafuta ochepa ndi nsomba, yophika ndi masamba owiritsa ndi zipatso, chimanga (mbewu zonse, kupatula barele).

Njira zophikira monga kuwira, kuwongolera, kuphika, kuwotcha ndikulandiridwa.

Zachidziwikire, zakudya sizingakhale njira yochiritsira anthu onse: ndi mitundu yotupa, zakudya sizisintha kalikonse. Njira yokhayo chithandizo ndikuchotsa opaleshoni.

Nthawi zambiri, chifukwa cha chakudyacho, thupi limapatsidwa mtendere wogwira ntchito, pomwe limatha kuchira kwathunthu ndikuyambiranso kukula kwake. Ndikofunikira kudziwa matenda a pathology munthawi yake, kuchita mayeso ndikuyamba kulandira chithandizo. Chifukwa chake, zovuta zambiri zomwe pambuyo pake zimafunikira chithandizo cha opaleshoni zitha kupewedwa.

Zomwe zimapatsa thanzi pakukweza ndi pancreatic ndi zakudya

Pa matenda a pancreatic, zakudya zazing'ono, zisanu kapena zisanu ndi chimodzi zokhala ndi mchere pang'ono ndi zonunkhira zimalimbikitsidwa.

Kuletsedwa kotheratu:

• Mafuta nyama ndi nsomba,
• Soseji zosuta,
• Msuzi wolemera pa msuzi wamphamvu,
• Zakudya za bowa
• Ziphuphu
• Kuzifutsa ndi kuzifutsa masamba
• Msuzi wazokometsera,
• Khofi wamphamvu, tiyi ndi chokoleti,
• Zakumwa za kaboni.

Njira yophikira ndiyofunikira kwambiri: mwachitsanzo, mawere amkhuku kapena mwendo umodzi umatha kuphikidwa mu zojambulazo ndi masamba komanso masamba, kapena wokutidwa ndi dzanja lophika ndi otentha. Nthawi yovuta kwambiri ikadutsa, mutha kusiyanitsa zakudya ndi mphodza ndi ndiwo zamasamba.

Mu zakudya olandilidwa:

• Mitundu yonse ya msuzi wosenda,
• Mafuta phala
• Zakudya za nkhuku
• Masamba ophika ndi ophika,
• Omelet,
• Souffle.

Zakumwa zololedwa, zosapweteka:

• Tiyi yofooka
• Berry compote ndi maapulo,
• Zonona zosiyanasiyana.

Zonsezi zikugwirizana ndi chakudya patebulo 5.

Zosafunanso kwenikweni ndiye kutentha kwa mbale: ziyenera kukhala zofunda pang'ono, koma osati kutentha ndi kuzizira.

Zotsogola ndi kupewa

Matenda a kapamba sakhala sentensi. Matenda aliwonse, ngakhale oncology, amatha kuchiritsidwa ngati mukumva kumayambiriro. Koma ngakhale chiwalo sichingabwezeretse, zilibe kanthu. Anthu ambiri amakhala ndi moyo wopanikizana ndi kapamba ndipo ngakhale alibe. Popewa matendawa, ndikokwanira kudya moyenerera, kusunga ntchito ndi kupumula, kuteteza mitsempha ndikusamalira chilichonse m'moyo modekha komanso nthabwala.

Kafukufuku wapachaka wofunsidwa kukuthandizani kuti muchepetse kapamba ndipo ngati mutayamwa, yambani kulandira chithandizo munthawi yake.

Okondedwa owerenga, malingaliro anu ndiofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kuwunika zikondwerero zomwe zakulitsidwa, ndizothandizanso kwa ogwiritsa ntchito ena a tsambali.

Kristina, Omsk

"Kwa miyezi ingapo ndimavutitsidwa ndi mseru wofatsa, wosadziwika bwino m'dera la epigastric - osati chifukwa cha ululu, koma chifukwa chosamva bwino kuti china chake chinkandivuta nthawi zonse. Pomaliza, atalimba mtima kukaonana ndi dokotala, zinapezeka kuti chiwindi changa ndi kapamba adakulitsidwa, panali miyala yayikulu iwiri mu chikhodzodzo changa, ndipo mkhalidwe wake udalipo kotero kuti ngakhale adotolo adadabwa kuti kulibe zopweteka. Mankhwalawa adatenga nthawi yayitali, ndipo ndikatha kumwa ndimapitiriza kumwa mapiritsi ndi kumwa mankhwala azitsamba. Ndikuphunziranso mabuku a Louise Hay. Anandithandiza kudziwa momwe ndikumvera, komwe ziwalozi zimachita. Sindikunena kuti ndachira, koma zakhala zosavuta. ”

Vitalina, Ivanovo

"Mwamuna wanga amakonda kumwa mapiritsi a Pancreatin asanafike chakudya. Zinali chomwecho pa Tsiku la Chaka Chatsopano: kumeza - ndipo makamaka pagome. Adamwa, adumwa - ndipo atatha ola limodzi adasokonekera ndi kupweteka kwamphamvu m'mimba mwake. Adatenga piritsi ina, wayipa kwambiri. Ndinaitanitsa ambulansi, adanditengera kuchipatala. Zinapezeka kuti anali ndi vuto la kupweteka kwa kapamba, komwe kumwa Pancreatin kuli koopsa: kapamba amayamba kugwa. Ndinkakhala ndi Eva Wokhulupirika Chaka Chatsopano kuchipatala, pansi pa dontho. Komabe, osachita opareshoni. Tsopano kulibe madyerero: komwe, idyani msuzi wa kabichi - nthawi yomweyo kapamba amatupa. ”