Kodi kukokoloka kwa chifuwa chachikulu kumatenga nthawi yayitali bwanji?

Pancreatitis imayamba chifukwa chodziwononga yokha minyewa ya pancreatic ndi ma enzymes ophatikizidwa. Kutsegula kwa ma enzyme omwe amaphwanya mapuloteni ndi mafuta kumachitika poyankha kusintha kwa minofu.

Kusintha kwa ma pancreatic pancreatic ntchito kumachitika ngati yankho la mphamvu ya michere. Kuchulukitsa kwa enzyme kumachitika chifukwa cha zinthu zingapo:

Kulephera kwamakina. Muli potseketsa duct ndikuletsa kutulutsa kwa gland juice. Amayamba chifukwa cha pafupi ndi matenda a bile ducts, edema. Osiyanasiyana.
Kusokonezeka kwa Neuroendocrine. Matenda ofala amthupi ntchito ya thupi - mafuta kagayidwe, chakudya. Zifukwa: kugwiritsa ntchito molakwika zakudya zamafuta, mowa.
Mavuto oyipa komanso amtundu uliwonse. Thupi lawo siligwirizana ndi zokhudza zonse mankhwala, akumwa.

Mosasamala kanthu zomwe zimapangitsa kuti pakhale kupweteka, nthawi zambiri kuukira kwachikondwerero kumayambitsa kuphatikiza pazinthu, malingaliro osasamala ku thanzi.

Kusintha kwanuko kumabweretsa zowawa

Kudzala kwa ndulu kumatsekeka, koma kubisala kwa michere ya chakudya sikumira. Zinthu zomwe zimagwira zimatulutsidwa m'matumbo a ziwonetserozo. Ma Enzymes ndi mapuloteni omwe amagwira ntchito kwambiri. Molekyu ya enzyme yomwe imaphwanya mafuta imatha kuthyola mamolekyulu 154 amafuta. Kukhazikika kwa gawo laling'ono la michere pa minyewa ya minyewa kumabweretsa kufa kwa maselo ndi minyewa.

Pali necrosis - pachimake kapamba. Ndi necrosis, michere ya minofu imabisidwa, kukulitsa ntchito ya zinthu, kukulitsa kutuluka kwa malo okhudzidwa, kukulitsa chiopsezo chamitsempha yamagazi. Kuzungulira kwa chifuwa chachikulu kumatha.

Ululu wambiri kapamba

Njira yayikulu yothandizira pancreatitis yachilendo ndikusintha kwa minyewa yake yokhala ndi minofu yolumikizana. Nthawi zina mu minyewa yolumikizika imapangidwa ndimchere, nthawi zambiri calcium, yotseka zisa za gland (kuwerengetsa kapamba). Zotseka zotsekedwa zimagwirabe ntchito, kudziunjikira madzimadzi, ndikupanga ma cysts. Pakachulukana kwa kapamba, kupweteka kwa msana kumawonekera m'dera lomwe lili pansi pamimba, kumakula pambuyo poti kuphwanya zakudya. Nthawi zambiri, malingaliro amadza pambuyo pamaphwando ochulukirapo, chakudya chochuluka chomwe chimadyedwa. Izi zimachitika chifukwa cha kukula kwa m'mimba, ndikulikika pamutu pa kapamba, ndikupangitsa kuphipha kumabweretsa kuwawa. Imachitika pansi pamimba, imamvanso m'mimba. Kutengera ndi zovuta zakudya, kupwetekako kumakhala kwakanthawi kapena kosatha.

Ululu umafikira kudera lamanzere lamanzere, kukhudza paphewa, mpaka kumbuyo. Ngati matendawa akula m'mutu wa England, imafalikira m'dera la chiwindi. Ngati matenda amakhudza chiwalo chonse, zolimba zimamanga.

Pali kuwonjezeka kwa ululu m'malo ena a wodwala - atagona kumbuyo kwake. Imakhala yofooka pakukhala pansi. Mwakuthupi, wodwalayo amasunthira miyendo yake pachifuwa chake atakhala pansi - ndi izi, ululuwo umafooka.

Malinga ndi ziwerengero, mu pancreatitis yosatha, kupweteka kumawonedwa mwa 9 mwa odwala 10, ndipo m'modzi yekha mwa 10 ali ndi pancreatitis osatsatana ndi zomverera zowawa.

Kuukira kungayambenso. Madotolo adapanga zovuta zingapo:

Mtundu A. Ululu umatenga mpaka masiku 10, kusinthana ndi nthawi yayitali popanda iwo.
Lembani B. Nthawi yayitali ya ululu mpaka masiku 30-60. Mtundu wofananawu umapezeka kwambiri ndi chidakwa cha kapamba.
Kupweteka kosalekeza. Ndi chisonyezo cha opaleshoni, kugwiritsa ntchito ma narcotic painkillers.

Kodi kuukira kwa kapamba kumatenga nthawi yayitali bwanji?

Yankho la funso loti kugwidwa kwa kapamba kumatenga nthawi yayitali bwanji? Kuphwanya kutulutsa kwa pancreatic madzi, kuchuluka kwa kupanikizika kwa lumen kwa duodenum kumabweretsa kuponyedwa kwamkati mwa chisa cha gland. Duct silinapangidwire izi, pali misozi yaying'ono yomwe ma enzymes omwe amagwira kuchokera m'matumbo amalowa. Omwe amathandizira awo ma pancreatic enzymes. Njira yotupa ndi chiwonongeko cha minofu ya pancreatic imayamba.

Kupweteka kwamatenda a kapamba ndizosiyana. Zowoneka zachinyengo zimatsagana ndi odwala omwe amaphwanya zakudya zamatendawa.

Mtundu wina wamapweteka ndi pachimake, ndikuwonjezereka, popanda kuphipha. Amayi nthawi zambiri amathamangitsidwa ndikumakantha ndikudya. Malinga ndi ziwerengero, mwa akazi, kapamba nthawi zambiri amaphatikizidwa ndi matenda amisempha. Ululu mutatha kudya mosayenera zakudya zimadutsa pambuyo pa maola awiri ndi atatu ndipo umachitika nthawi yayitali.

Pancreatitis Pain Management

Funso la kuchitira kupweteka pakhungu losakhazikika la m'matumbo limakhala lovuta, ndikofunikira kuchitira ululu ndi matenda a gland nthawi imodzi.

Mphamvu ya golide imawonedwa pamene ntchito ya gland ibwezeretsedwa. Mikhalidwe yabwino imapangidwira thupi pogwiritsa ntchito zakudya zowonjezera komanso kupweteka. Pambuyo pakutha kwa ululu wammbuyo, njira yotupa mu gland imachotsedwa ndipo chithandizo chimachitika kuti abwezeretse ntchito.

Ndikofunikira kutenga chofufumitsa kubwezeretsa kutulutsa kwa pancreatic madzi, ndiye kuti ululu umatha. Pazifukwa izi, kuchipatala gwiritsani ntchito mankhwala osokoneza bongo, antispasmodics. Zotsatira zabwino zimawonedwa mukamagwiritsa ntchito choline receptor blockers agents; ganglia blockers ntchito.

Kwa ululu wopitilira kukula, ma analgesics amathandizidwa kudzera - novocaine, diphenhydramine, papaverine, wophatikizidwa ndi saline ya thupi, magnesium sulfate ndi ascorbic acid.

Nthawi zina, madokotala amatengera kugwiritsa ntchito kwambiri analgesics - tramadol ndi ena. Nthawi zina chithandizo chofotokozedwacho chimasinthidwa ndi paracetamol ndi mankhwala osapweteka a antiidal. Mochulukitsa, ma analcics a narcotic amalola kuti wodwalayo akhale ndi moyo asanachitike opaleshoni.

Kutengera ndi siteji, ululu umatha nthawi yayitali, osafafaniza. Ndi njira yofanana ya kapamba, chithandizo cha opaleshoni ndikulimbikitsidwa. Opaleshoniyo amachitidwa kuti achotse gawo la ndulu kapena duct.

Njira Zapakhomo Zoperekera Chisoni

Njira zosankhidwa zingachepetse ululu kwakanthawi, kupewetsa zizindikiro za kupweteka kwambiri kwa kapamba. Momwemo, miyeso imatchedwa "Kuzizira, njala ndi mtendere":

Kukana chakudya. Nthawi yocheperako ndi tsiku limodzi. Muyesowo umachitika chifukwa chakufunika kwatsitsa kwa enzymatic.
Compress yozizira kapena botolo lamadzi ozizira pa navel kuti athetse edema.
Madzi. Onjezerani madzi kuti malita awiri kapena angapo a madzi ofunda.
Kuthetsa kuphipha. Kulandila kwa antispasmodics.
Mtendere kuchokera kupsinjika. Pewani kupsinjika kwakuthupi ndi kwamaganizidwe.

Machitidwe osavuta awa amathandizira ndikuchepetsa ululu. Ndikofunika kukumbukira kuti kusamala pang'ono pakumwa zakudya zosavomerezeka chifukwa cha kapamba kumangoyambitsa kupweteka. Ndikofunikira kumwa kupweteka pambuyo poti mwapatsidwa dokotala.

Kodi kapamba amayambitsa ntchito yanji?

Thupi limagwira ntchito yotulutsa michere yomwe imakhudzana ndi chimbudzi. Chifukwa chake, kusokonezeka kulikonse kwa gland kumayambitsa malfunctions a dongosolo lonse logaya chakudya. Kuchulukana kwa matenda a kapamba, mankhwalawa omwe sanayambe munthawi yake, angayambitse matenda a gastritis ndi zilonda zam'mimba. Chowawa ndi chilonda chopaka mafuta, pomwe chithandizo cha opereshoni sichitha. Imalimbikitsa kuti chitsulo chibweretse:

Amylase ndiye amachititsa kuti ma protein ambiri awonongeke. Ngati enzymeyi ndiyosakwanira, matumbo sangathe kuyamwa michere yambiri.

Lipase limaphwanya mafuta kukhala glycerol ndi mafuta achilengedwe, potero limathandizira matumbo kuti awamwe. Kuperewera kwa zinthu m'thupi la munthu kumachepetsa mphamvu ya m'mimba yopangira mavitamini A, D, E, omwe angayambitse mavuto ambiri.

Zindikirani Popanda vitamini D, kuyamwa kwa calcium m'thupi ndikosatheka. Kuperewera kwa calcium kumapangitsa mafupa kukhala ochepa.

Nuclease amatenga nawo gawo pakulandidwa kwa ma nyukiliya (ma nikic) a thupi.

Trypsinogen ndi enzyme yothandizira popanda momwe amylase saphwanya mankhwala a kaboni.

Profospholipase imaphwanya phospholipids muzinthu zosavuta.

Zikondazo zimagwira gawo lalikulu m'mimba.

Zizindikiro za matenda

Ndikofunika kumvetsetsa kuti kuchitira zizindikiro za kuchulukitsa kwa kapamba sikuchiritsa matendawa palokha. Ndipo chithandizo cha matendawa pachokha chiyenera kuyamba ndikufotokozera zomwe zimayambitsa.

Kuchulukitsa kwa matenda osakanikirana a pancreatic nthawi zambiri kumayendera limodzi ndi zizindikiro zotsatirazi:

Zowawa zam'mimba pamimba kapena hypochondrium yamanzere, mpaka kumbuyo kwa gawo lamapeto.
Kuchepetsa mseru
Kubweza
Kupsinjika ndi kuuma pamlomo wamkamwa.
Pafupipafupi komanso kutulutsa matumbo.
Kununkhira kwamphamvu kwa chopondapo, komwe sikungotsuka bwino.
Kuchepetsa thupi.
Anachepetsa chilako.
Kusakwiya.

Kuchulukitsa kwa matenda kapamba kumatha masiku awiri mpaka miyezi ingapo. Ngati ululu umakhala pachimake, ndiye kuti malo owopsa nthawi zambiri amakhala osakhalitsa. Ndi ululu wofatsa, nthawi imatha kuchedwa mpaka miyezi ingapo.

Zizindikiro zakukulira kwa kapamba kawirikawiri zimawonetsedwa mu nyengo ya yophukira ndi ya masika, pamene thupi likuvutika chifukwa cha kusowa kwa mavitamini

Zofunika! Nthawi zambiri, odwala amawonetsa zizindikiro zosapweteka za kapamba, koma chithandizo, m'malo mwake, ndi munthu payekha. Zimatengera zomwe zimayambitsa matendawa komanso momwe wodwalayo amayankhira pazinthu zomwe amapanga.

Zizindikiro

Atazindikira zizindikiritso ndi matendawa, dokotala wokhazikika amafufuza mayeso. Izi nthawi zambiri:

kuyezetsa magazi komanso kopitilira muyeso,
urinalysis
stool biochemistry,
kuyesedwa kwa malovu kuti mupeze kuchuluka kwa amylase.

Kudziwitsa moyenera kungafune mayeso owonjezera pamimba, monga computer tomography, MRI, radi radiology, ultrasound, kapena endoscopy.

Choonadi Kodi mukudziwa kuti zizindikiro za kuchulukitsa kwa chifuwa chachikulu kwa achikulire ndi ana nzofanana?

Kafukufuku wowonjezera amapatsa akatswiri lingaliro la kuchuluka kwa kuwonongeka kwa ziwalo ndi gawo la chitukuko cha matenda, omwe amafunikira chithandizo chanthawi yake komanso chothandiza

Magulu owopsa

Matendawa amakhudza anthu azaka zonse komanso amuna komanso akazi. Komabe, nthawi zambiri matendawa amadwala achikulire.

Misonkhano ikuluikulu, magulu 9 oopsa amatha kugawidwa, awa ndi anthu:

zidakwa
kudya mosazolowereka ndipo amakonda kudya mwachangu,
kumwa mankhwala ambiri
Zidakwa za Nikotini
mbiri yakudwala kwamwala,
odwala onenepa
odwala matenda a mtima,
kukumana ndi zovuta zambiri
kuvulaza kapamba kapena kudwala kumene poyizoni.

Matendawa ndi owopsa, ndipo kupweteka kosalekeza kumadera akumanzere a hypochondrium, lumbar ndi epigastric, komanso kumbuyo kwamkatikati kwamapewa, kumapangitsa munthu kupitiliza kupsa mtima

Thandizo loyamba

Zizindikiro zakuchulukirachulukira kwa chifuwa chachikulu chitha kupanikizika. Wodwala amatha kugunda kwamtima mwachangu, kupweteka pakati pa tsamba, kutentha thupi. Munthu wopanda kuphunzira amatha kusokoneza izi mosavuta ndi kuwonongeka kwa angina pectoris.

Chizindikiro chachikulu cha kukokomeza kwa kapamba pamenepa ndikumakhala kupweteka kwambiri mu hypochondrium yamanzere, ikuwunikira kudera lumbar kapena kupweteka kwa dera la epigastric. Ululu wambiri nthawi zambiri umatsatiridwa ndi kupweteka kwa kuthengo, komwe munthu amakhala nako asanakokoke.

Zofunika! Choyamba, ndikofunikira kuyimba ambulansi.

Pamavuto, chinthu chachikulu ndikuti musonkhanitsidwe osati kuchita mantha, ndiye kuti mutha kupereka chithandizo kwa odwala omwe akuwafunikira kwambiri

Kuchepetsa ululu waukulu pakachulukidwe ka chifuwa chachikulu, ndikofunikira:

chotsani zovala kwa wodwala zomwe zingapangitse kupuma kukhala kovuta (nsonga zolimba, ma turtlenecks, thukuta, ndi zina).
yesetsani kukhala pansi, kutsamira thupi patsogolo, izi zimathandiza kuchepetsa ululu,
wodwalayo ayenera kupumira mopumira popanda kupumira mkati mwakuya,
Kuti muchepetse kupweteka, tikulimbikitsidwa kupuma kwakanthawi.
osaloledwa kudya,
theka lililonse la ola muyenera kumwa wodwala wowiritsa ndi madzi osaposa 50 ml nthawi imodzi,
apatseni wodwala mankhwala a antispasmodic (drotaverine kapena ayi-shpa 0,8 g, papaverine 0,8 g), ndikofunikira kulowa intramuscularly ndi luso loyenera, malingana ndi mlingo,
osapatsa opalesa kapena enzyme, izi sizipangitsa kuti adotolo azindikire
Simungathe kuyika phukusi lotenthetsera kapena malo ozizira malo owawa.

Ululu wambiri, kugonekedwa kuchipatala kwa wodwala matenda a kapamba, zomwe zimadziwika ndi dokotala pantchito, ndizofala masiku onse

Mankhwala

Chithandizo cham'tsogolo chimathandizira kuthetsa kuphipha ndi kupweteka. Chifukwa chaichi, antispasmodics ndi analgesics amagwiritsidwa ntchito:

Mankhwala okhala ndi enzyme, monga pancreatin, amalipira kuchepa kwa zinthu zopangidwa ndi chitsulo.

Pogwiritsa ntchito ma enzyme ochulukitsa, mankhwala a inhibitor omwe amalepheretsa zochitika zapancon monga mankhwala a Famotidine, Gordoks, Kontrikal ndi ena.

Chithandizo chothandiza pancreatitis yayitali ndi mankhwala omwe amalimbana ndi matendawa komanso osayambitsa kusokonezeka kwa mahomoni ndi ziwalo zina za ziwalo zina zitha kuperekedwa ndi katswiri kapena katswiri wazachipatala.

Yang'anani! Kudzilanga nokha ndi mankhwalawa kumatha kubweretsa kuphwanya kwakukulu.

Mankhwala ayenera kumwedwa pokhapokha ngati akuwuzani dokotala

Anthu wowerengeka azitsamba wowonjezera wa kapamba

Yang'anani! Musagwiritse ntchito njira yomwe tafotokozayi pansipa ngati matenda anu sakudziwika!

Mwadzidzidzi kufalikira kwamphamvu kwa kapamba kumatha kulimbikitsidwanso ndi mabanki azachipatala omwe amagwiritsidwa ntchito pochizira chimfine. Chikhochi chimakhala kuti chimathiriridwa ndi mowa kuchokera mkati ndikuyatsidwa moto, nthawi yomweyo chimayikidwa mu zikondwerero kuchokera ku lumbar, koma kuti musagwere impso, kapena kuchokera pamimba. The akhoza kumamatira mwamphamvu.

Pakapita mphindi, mtsukowo umatsukidwa, ndipo pamalo pomwe adayikiramo amadzola mafuta ndikuwaphimba ndi thaulo kapena ubweya waowongole. Pambuyo pa njirayi, simungathe kupita kwina 2 masiku.

Banks adabwera ku mankhwala athu ochokera ku China. Agwiritsidwa ntchito kwa nthawi yayitali kuchiza matenda a bronchitis ndi chibayo.

Matenda a kapamba

Mitundu yodwalayi ili ndi mitundu itatu yachipatala:

Amadziwika ndi chitukuko cha edema ndi coagulation necrosis, zomwe zimatsogolera ku fibrosis yamadera ena. Kuwonongeka kwa minofu ya glandular kumayendetsedwa ndi kufooka kwa exocrine ndi endocrine pancreatic ntchito. Zimachitika ndi zigawo za kukhathamiritsa ndi chikhululukiro.

Kodi kapamba amatenga nthawi yayitali bwanji chikhululukiro?

Chifukwa chachikulu chakuchotserera kwa zolakwa ndi vuto mu chakudya

Minofu yodziwika ndi fibrosis sabwezeretsa kapangidwe kake koyambirira. Chifukwa chake, zovuta zothandizira zimapitilira moyo wonse. Matendawa amatha nthawi yayitali, kwazaka zambiri kuti asadziwonetsere, ngati wodwalayo atsatira zakudya zomwe adalandira ndikumwa mankhwala omwe adokotala adawauza. Therpatent chithandizo sichofunikira.

Chithandizo chothandizira - ma antacid omwe sangathe kuyamwa, mankhwala osokoneza bongo, mankhwala omwe amachotsa matenda a gastroduodenal motility. Kumwa mankhwalawa kumatha kuchepetsa matendawa, kuchedwa kuyambika kwa matenda ashuga, matenda akulu am'mimba.

Kutalika kwa mankhwala

Chithandizo cham'malo chimapitilirabe mu moyo wonse wa wodwala. Ngati kuwonongeka kwa mchira wa pancreatic ndi kuwonongeka kwa kuchuluka kwa timadzi tating'onoting'ono ta Langerhans, kuyang'anira insulin tsiku lililonse kumafunika mosiyanasiyana monga gawo la glycemia ndi mikate yazakudya. Ngati zochitika za exocrine zosakwanira, ma pancreatic enzymes atatha kudya akuwonetsedwa (Pancreatin, Creon).

Chipatalachi chimayika odwala omwe akukulitsa matendawa. Monga lamulo, izi zimachitika ndikuphwanya zakudya zomwe zalimbikitsidwa, kugwiritsa ntchito:

pachimake
zamchere
wowawasa kwambiri
zakudya zowuma
yokazinga.

Nthawi zambiri, chikhululukiro chimasokonezedwa pambuyo pa kumwa ngakhale mitundu yaying'ono ya mowa kapena zakumwa zoledzeretsa zamagetsi (Red Bull, Adrenaline Rush).

Zambiri! Zimatenga sabata imodzi kapena mwezi umodzi kapena kupitilira apo kubwezeretsanso mkhalidwe wa kapamba. Mawuwo amatengera kuopsa kwa chotupa ndi momwe wodwalayo amayankhira mankhwala omwe agwiritsidwa ntchito.

Kuwongolera matendawa kumachitika pogwiritsa ntchito njira zambiri zamchere ndi ma colloidal (Trisol, Reopoliglyukin), othandizira omwe amathandizira ma enzymes (Gordox), histamine H2-receptor blockers (Famotidine), antispasmodics (Drotaverin). Ndi chitukuko cha hemorrhagic syndrome, kuthana kwa zinthu zophatikizika, ma plasma achisanu kumene mwatsopano amachitidwa.

Ululu umafuna makonzedwe a analgesics. Ndi kuwawa pang'ono, NSAIDs (paracetamol, analgin) ikhoza kutumikiridwa. Nthawi zina, pamafunika kugwiritsa ntchito mankhwala osokoneza bongo.

M'masiku oyamba atatu kuchokera kutha kwa kuchuluka, wodwalayo amafunikira njala. Kenako amayamba kumudyetsa chakudya chamadzimadzi, pang'onopang'ono kukulitsa chakudyacho.

Mndandanda wazomwe walola ndizophatikizira:

tchizi tchizi
amamu omele,
nsomba zowonda
masamba ophika
puddings
envelopu ya mucous,
maapulo ophika.

Muyenera kusiya zakudya zam'chitini, mkaka wathunthu, nsomba zonona kapena zonunkhira, nyama yosavuta kugaya, nyama ndi msuzi wa bowa, mkate watsopano wa rye. Kuphatikiza apo, zakudya zina zomwe zimakhumudwitsa m'mimba ndi matumbo ziyenera kupewedwa.

Zizindikiro zakuchulukirachulukira

Kuchulukitsa kumayendera limodzi ndi mawonekedwe a ululu

Chizindikiro chachikulu cha kukokoloka kwa chifuwa chachikulu ndi kupweteka. Itha kutsegulidwa kumanzere kwa hypochondrium, epigastric zone kapena kukhala yogwirizana. Zimachitika, monga lamulo, pakatha mphindi 40-60 pambuyo pophwanya zakudya. M'malo a supine - amakula, ndikukhala pansi ndikukonda kutsogolo - kumafooka. Zomvera ndizakuthwa kapena zopepuka, zoponderezana.

Madandaulo a wodwala ochulukirachulukira:

Belching, kutentha kwa mtima, nseru.
Steatorrhea, kutsegula m'mimba.
Stool mpaka nthawi 6 / tsiku, mushy, wokhala ndi fungo losasangalatsa.
Mwina kuwoneka kwa mawanga ofiira owoneka bwino pakhungu (chizindikiro cha Tuzhilin).

Zambiri! Kuchulukitsa kwa matenda kapamba kumatenga 1 mpaka milungu 4, komabe, chiwonetsero chovuta chimapitilira masiku 2-7. Kupitilira apo, mosiyana ndi zamankhwala, chithunzi chachipatala chimayamba kutchulidwa.

Pachimake kapamba

Poyamba, aseptic kutupa kwa pancreatic minofu, momwe mumakhala kuphwanya kwamphamvu kwa ntchito yake. Zitha kuchitika modekha, zolimbitsa kapena zowopsa.

Maphunziridwe ofatsa amadziwika ndi kutupa kwa chiwalo ndipo samatsogolera pakupanga necrosis. Kutalika kwa kuukira pansi pa mankhwala a volumetric kulowetsedwa pafupifupi masiku 3-7.

Kuperewera kwa mankhwalawa kumabweretsa chitukuko cha necrosis, chomwe chimafunikira opareshoni. Popanda opaleshoni, nthawi zambiri imapha. Mtima kumangidwa kumachitika motsutsana ndi maziko a kuledzera ndi kuwonongeka kwa ziwalo zapafupi ndi ma enzymes am'mimba. Izi nthawi zambiri zimachitika patsiku la 7 000 la matendawo.

Ngati wodwalayo adachitidwa opareshoni kwakanthawi, zimatenga pafupifupi mwezi umodzi kuti achire. M'tsogolomu, amafunikira chithandizo chamankhwala chopatsa moyo, chomwe chimasankhidwa molingana ndi kuphwanya komwe kulipo.

Reactive Pancreatitis

Rease pancreatitis imatha kuchitika chifukwa cha zovuta za mankhwala.

Imakhala ndi mawonetsedwe azachipatala ambiri, koma amatha kuthandizidwa. Nthawi zambiri sizimayambitsa mapangidwe a pancreatic necrosis. Amadzuka chifukwa cha kukhudzidwa kwa chinthu chopweteketsa thupi: kuledzera, kuledzera, kuchuluka kwa zilonda zam'mimba, poyizoni, kumwa mankhwala ena. Kuchiza sikusiyana ndi kachulukidwe kakang'ono ka kapamba. Nthawi yochira ndi masiku 3-5 ndikuyamba kwamankhwala.

Kutalika kwa kapamba kumadalira:

mitundu yamatenda,
ziyeneretso za udotolo
mkhalidwe woyambirira wa kapamba, makamaka, ndi thupi lonse la wodwalayo lathunthu.

Zomwe zili pamwambazi ndi masiku wamba, omwe amatha kusiyanasiyana kwambiri mpaka pansi. Chofunika kwambiri ndikuthamanga kwa kuyambiranso kwa njira zochizira. Chifukwa chake, pazizindikiro zoyambirira za matenda, muyenera kulankhulana ndi a chipatala msanga kuti mumupime ndikuwunika chithandizo chofunikira.

Kodi kuchulukitsa kwa chifuwa chachikulu mu akulu kumatha kukhala mpaka liti?

Pancreatitis ndi amodzi mwa matenda ofala kwambiri a kapamba. Mankhwalawa matendawa pachimake ayenera kuchitika mchipatala okha. Izi ndichifukwa choti matendawa amatha kubweretsa kulumala kapena ngakhale kufa.

Ngati pali zokayikitsa zoyambirira za kukhalapo kwa matendawa, wodwalayo ayenera kupita naye ku dipatimenti ya opaleshoni kapena chisamaliro chachikulu.

Chithandizo cha matendawa chimachitika ndi njira zamankhwala, ndipo m'malo ovuta kwambiri kugwiritsa ntchito njira zochizira opaleshoni.

Kuchipatala ndikuchiza matenda apachimbudzi kuchipatala

Odwala omwe amagonekedwa m'chipatala amakhala ndi chidwi ndi mafunso okhudza kutuluka kwa kapamba kumatenga nthawi yayitali bwanji, komanso nthawi yayitali chikhansa chikugwiritsidwa ntchito.

Kuchiza matendawa m'chipatala kumatenga nthawi yayitali. Ngati mawonekedwe a matendawa ndi ofatsa, kugwiritsa ntchito kulowetsedwa kwa mankhwala kumayikidwa. Pambuyo pa maphunziro, wodwala amatumizidwa kunyumba.

Nthawi yomwe amakhala kuchipatala imatengera nthawi yofunafuna chithandizo chamankhwala komanso kuzindikira koyenera. Kuphatikiza apo, kutalika kokhala kuchipatala kumadalira kulondola kwa njira yosankhidwa ya chithandizo.

Panthawi yomwe akuwaganizira kuti ali ndi vuto la pancreatitis pachaka atagonekedwa, kuyesedwa kumachitika ngati wodwala ali ndi vuto. Chifukwa chaichi, mayeso oyenera amthupi amachitika pogwiritsa ntchito zida zapadera.

Pa njira yodziwitsa, kupezeka ndi malo omwe chidwi chimatupa chikuwululidwa. Osati njira yamankhwala okha, komanso machitidwe owongolera zochizira zimatengera kulondola kwazindikiritso.

Mitundu yotsatirayi ya mayeso imaperekedwa kwa wodwala yemwe ali ndi mawonekedwe a pancreatic lesion:

hemogram - imathandiza kuwona kupezeka kwa maselo oyera,
kuyesa kwa magazi kwachembere - kumakuthandizani kuti muwone kupezeka kwa ma enzymes apamba,
kupenda kwamimba kwam'mimba - kumapangitsa kudziwa kutukula kwa chidwi,
laparoscopy

Pambuyo pochita mayeso oyamba ndikuzindikiritsa mtundu wa matendawa, kuchuluka kwa kutupa kumatsimikizika. Kuphatikiza apo, mwayi wazovuta umayesedwa. Pambuyo pokhazikitsa njira zonse zowunikira ndi kuwunika ndi chisankho chomwe chimapangidwa panjira ndi njira zamankhwala zomwe zimagwiritsidwa ntchito.

Chithandizo cha chotupa chingakhale mankhwala kapena opaleshoni, chithandizo cha opaleshoni sichimaletsa kugwiritsa ntchito mankhwala apadera.

Zizindikiro zazikuluzikulu za kapamba

Pancreatitis si matenda omwe amapezeka mwadzidzidzi. Nthawi zambiri, kukula kwa matenda kumachitika chifukwa cha zomwe zimachitika munthu m'modzi kapena zingapo zosavomerezeka.

Nthawi zambiri, kudziwitsidwa ndi zinthu zoyipa kumayambitsa matenda omwe amatenga matenda, omwe amasinthasintha nthawi yochulukitsa komanso kuchulukitsa.

Nthawi zambiri, matenda a kapamba amayamba chifukwa cha matenda ena am'mimba, makamaka, cholecystitis ndi gastritis.

Zizindikiro zazikulu za chitukuko cha pancreatitis pachimake ndi:

kuwoneka kwa ululu waukulu mu hypochondrium kapena m'deralo pamwamba pa msomali,
kusanza
kutsegula m'mimba
malungo
kupezeka kwa tachycardia.

Kuwoneka kwa zizindikirozi ndi mwayi woperekera kuchipatala mwachangu.

Zizindikiro zakukula kwa nthenda yamatendawa m'njira zambiri zofanana ndi zomwe zimadziwika ndi mawonekedwe amphere, kusiyana kwakukulu ndikuwonetsera kwawo kochepa.

Mawonetsedwe akulu amitundu yosiyanasiyana ndi:

Kupezeka kwa zowawa mu hypochondrium mukamachita zolimbitsa thupi.
Kumachitika kwa kuchepa kwambiri kwa thupi.
Maonekedwe a mafuta am'mimba.
Kukhazikika kwodukirana ndi zakudya zamafuta.
Kuchepetsa chidwi.

Kuphatikiza apo, pamaso pa CP, wodwalayo akuwonetsa zina zowonjezera, monga:

kupweteka mumtima,
kupweteka kumbuyo,
kusintha kwa khungu, chikaso chawo,
chitukuko cha matenda ashuga pankhani ya kukula kwa mitundu yapamwamba ya matendawa.

Kuti achepetse mkhalidwe wa wodwalayo pancreatitis yachilendo, asanafike ambulansi, tikulimbikitsidwa kuti atengepo malo ena omwe amathandizira kuchepetsa ululu.

Munthu yemwe ali mgululi ayenera kuunikanso thupi lake ndikukumbukira kuti pali zowonetsa zochepa.

Makamaka zolemba zosiyanasiyana za pathologies monga yogwira pancreatitis. Matenda amtunduwu amachitika mwadzidzidzi ngakhale motsutsana ndi maziko abwinobwino. Nthawi zambiri, matenda oterewa amawonekera atatha kudya mafuta komanso zonunkhira zambiri. Pakuwonekera kwa nthenda yotopetsa ya matenda, kupezeka kwa zizindikiro zofanana ndi za mitundu mitundu yamatenda kumakhala kodziwika.

Chithandizo cha kukokomeza kwa kapamba kuchipatala chachipatala

Wodwala amayenera kukhala m'chipinda chothandizira odwala moyang'aniridwa ndi adokotala. Nthawi zambiri, odwala amapita kuchipatala ali ndi mtundu wina wa matendawa. Nthawi zambiri, njira zochizira mosamala zimagwiritsidwa ntchito kuzindikira mawonekedwe amthupi.

Cholinga chogwiritsa ntchito mankhwala othandizira ndikukhazikitsa thupi la wodwalayo komanso kupewa kuti matenda asinthe ndikusintha. Kuphatikiza apo, cholinga cha mankhwalawa ndikubwezeretsanso thupi la wodwalayo kwazomwe zimapangitsa kuti asafe.

Pa gawo loyambirira la kapamba, phukusi limatha kuwongoleredwa, chifukwa chake machitidwe ndi njira zosiyanasiyana ziyenera kugwiritsidwa ntchito pochotsa wodwala pamkhalidwe womwe umabweretsa ngozi pamoyo.

Munthawi yoyambirira yamankhwala, chisamaliro chapadera chiyenera kulipidwa pamalingaliro amunthu ndi momwe akumvera. Khalidwe labwino limathandizira wodwalayo mwachangu.

Magawo akuluakulu a chithandizo cha kapamba mu chipatala:

Kupereka othandizira kupumira kwa kapamba.
Kuthetsa kwa zizindikiro za kudzisunga.
Opaleshoni
Kupsinjika kwa ntchito ya enzyme.
Kuthandiza odwala matenda.
Matenda a metabolic njira.
Kutulutsa thupi la wodwalayo.

Pakakhala zovuta komanso kuledzera kwambiri, kusankha njira ndi njira zamankhwala zimachitika poganizira zomwe munthu payekhapayekha ali ndi matendawa.

Zakudya zamagulu ndikugwiritsa ntchito mankhwala

Pambuyo pakuwonekeratu matenda atachotsedwa, wodwalayo amakhala ndi nthawi yayitali kuti azolowere moyo watsopano, womwe ungayambike atachoka kuchipatala. Wodwala akuyenera kusintha moyo wake ndikukhazikitsa malamulo oletsa kugwiritsa ntchito zakudya zopatsa thanzi.

Poona pancreatitis mu mwana, makolo ayenera kuyang'anira kwambiri zakudya zake.

Kutsatira ndondomeko yolimbikitsidwa ya zakudya ndi zakudya ndizofunikira pazithandizo zochiritsira matenda a kapamba.

Wodwalayo akulangizidwa kuti azikana kugwiritsa ntchito zakudya yokazinga zamafuta amafuta amitundu ndi mitundu ingapo ya nyama.

Chakudya cholimbikitsidwa chimayenera kuphikidwa kaya chawotchera kapena kuphika mu uvuni.

Monga chakumwa, tikulimbikitsidwa kugwiritsa ntchito decoctions a rose m'chiuno ndi ma compotes zipatso zouma. Muyenera kukana kudya makeke ndi makeke osiyanasiyana. Gawo ili la zakudya limatha kusintha mabisiketi owuma.

Kwa munthu wamkulu, kuti azitsatira zakudya zomwe azidya, ayenera kusiyiratu kumwa ndikukhala ndi moyo wathanzi, kusiya zizolowezi monga, mwachitsanzo, kusuta fodya.

Wodwalayo ayenera kukumbukira kuti kusatsatira malangizo a kadyedwe komanso malingaliro a dokotala kumapangitsa kuti matenda awonjezeke komanso abwererenso molemetsa.

Matenda akayamba kudwala, wodwalayo amakhala ndi funso kuti nthawi yayitali ya kapamba, ndikuchulukirachulukira kwa mawonekedwe osakhazikika, funso limakhala loti kuchuluka kwa kapamba kumatenga nthawi yayitali.

Nthawi zambiri, nthawi yovuta kwambiri ndi mwezi umodzi, ndipo nthawi yochira imatenga pafupifupi chaka. Ndikotheka kuchiritsa kutupa m'matumba pokhapokha pokhapokha kutsatira malangizo onse ndi malingaliro omwe adalandira kuchokera kwa dokotala.

Panthawi yochira, pamafunika nthawi yayitali kuti mumwe mankhwala apadera. Kulandila mankhwala amenewa ndi gawo limodzi mwa njira zoyenera kwambiri zochizira matenda.

Mankhwala otsatirawa amagwiritsidwa ntchito pochiza:

mankhwala omwe amachepetsa ma spasms, mankhwalawa amaphatikizapo No-shpa, Platifillin,
mankhwala omwe amathandizira kukonza magayidwe am'mimba - Mezim, Pancreatin 8000, Festal,
zikutanthauza kuti sangasinthe kuchuluka kwachilengedwe m'zakudya zam'mimba - Almagel,
zovuta za vitamini, kuphatikiza mavitamini A, B, C, D.

Wodwala akayamba kuchira, amalimbikitsidwa kuti azigwiritsa ntchito mankhwala opangira masamba. Decoctions okonzekera zitsamba ali ndiwofatsa odana ndi zotupa ndipo amatulutsa njira zama metabolic.

Kusamala makamaka kuyenera kuchitika posankha mankhwala, njira ndi njira zochizira kuti matendawa akayamba mwa mayi wapakati.

Kodi mankhwala amagwira ntchito liti?

Kugwiritsa ntchito kukonzekera kwa enzyme munthawi yamankhwala kuchipatala kumatha kupweteka pakamwa, kupweteka kwa pakhungu pamimba, kupweteka kwa peritoneum, komanso sayanjana.

Pambuyo pa kugwiritsidwa ntchito kwa mankhwala a enzyme, pafupifupi odwala onse, kupumula kwa zizindikiro zazikulu zamatendawo kumachitika.

Nthawi zina, pamakhala kuchepa kwa kugwiritsa ntchito mankhwala.

Madokotala amagwirizanitsa kuchitika kwa zoterezi ndi zifukwa zingapo:

Kuphwanya malamulo a mankhwala.
Cholakwika pakuzindikira ndikudziwitsa zolakwika.Nthawi zambiri, matendawa amapitilizabe kugwiritsa ntchito mankhwala a enzyme, ngati wodwalayo ali ndi matenda osokoneza bongo kapena matenda akulu am'mimba.
Kuphwanya mlingo woyenera wa mankhwala.
Kugwiritsa ntchito mankhwala osakwanira. Matendawa satha kutha chifukwa chopangidwa ndi nembanemba yoteteza asidi.

Kuti mupeze zotsatira zabwino kuchokera ku chithandizo, sikofunikira kungotsatira malangizo onse a dokotala munthawi yoyambira, komanso kutsatira mosamalitsa malangizo onse a dokotala mukachiza matendawa kunyumba.

Nthawi zambiri, kusintha kwa kapamba kumachitika pambuyo pa miyezi 12-14.

Wodwala atachotsedwa kuchipatala kuti abwezeretse ndikusintha kapamba munyumba, ndikulimbikitsidwa kugwiritsa ntchito mbewu zamitundu mitundu.

Mankhwala ozikidwa pazomera zomera amakhala okonzeka kuphatikizika ndi ma infusions; mafuta a masamba amathanso kugwiritsidwa ntchito pochiza.

Nthawi zina, mankhwalawa amagwiritsidwa ntchito, yomwe imagwiritsidwa ntchito popanga matenda, yomwe ndi nthano yachilengedwe yomwe imachokera ku chomera cha stevia. Chipangizochi chimakhudza thupi ndipo chimagwiritsidwa ntchito pochiza matenda ambiri.

Momwe mungachiritsire kapambafotokozedwa mu kanema munkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Kuchulukitsa kwa matenda a kapamba: zizindikiro ndi chithandizo kwa achikulire, mpaka liti

Mavuto a dongosolo la kugaya chakudya, ngakhale sakhala malo oyamba pakati pa matenda oopsa, komabe ndi ena mwa matenda otsogola pa mndandanda omwe amakhudza anthu amakono. Chimodzi mwa matenda amenewa ndi chifuwa chachikulu.

Pancreatitis yosatha ndi kukanika kwa pancreatic komwe kumayambitsa makwinya a parenchyma yake. Matendawa amatengedwa ngati osasintha mu mankhwala. Nthawi zambiri, matendawa amapezeka chifukwa chosagwira mankhwalawa pachimake kapamba. Nthawi zambiri zimawonedwa mu osuta komanso okalamba. Kulephera kutsatira malingaliro a dokotala kungayambitse kuchuluka kwa chifuwa chachikulu.

Chimawoneka ngati kapamba pa ultrasound

Zakudya za kuchuluka kwa kapamba ndi chifuwa chachikulu cha kapamba

Munthu yemwe ali ndi matenda amtunduwu ayenera kudziwa kuti kuchiritsa matendawa kumadalira, choyamba, pa zakudya komanso zakudya. Chifukwa chake, kuphatikiza pa kumwa mankhwala osokoneza bongo, kukokoloka kwa chifuwa chachikulu, njala imayikidwa masiku atatu, malingana ndi kuopsa kwa zizindikiro, kenako chakudya.

Ndikofunikira kupatula zakudya zamafuta, zonse yokazinga. Muyenera kuchepetsa mchere wambiri mpaka 3 g tsiku lililonse, ndipo ndibwino kudya osakhala ndi mchere uliwonse, ndikusintha ndi msuzi wa soya. Ozizira komanso otentha, onunkhira komanso wowawasa nawonso ndi kosatheka.

Ndi matendawa, tebulo loyamba limawonetsedwa. Zakudya zonse ndizoyenda: phala (makamaka buckwheat), zomangira nyama, mbatata.

Ndikwabwino kudya pang'ono, koma nthawi zambiri: kangapo ka 5 patsiku, malinga ndi nthawi yofanana yakudya tsiku lililonse.

Zofunika! Zakudya zopanda thanzi nthawi zambiri zimayambitsa matenda a gastroenterological ndi masinthidwe owopsa.

Chakudya chopatsa thanzi ndichinsinsi chothandizira kuti matumbo azigwira ntchito mwachangu

Ndi Zizindikiro zakukulira kwa kapamba, mankhwalawa ayenera kuyamba pomwepo. Chizindikiro cha matendawa ndi chofanana kwa anthu ambiri, koma pali zizindikiro za atypical zomwe zimatha kusokonezeka ndi angina pectoris.

Zomwe zimayambitsa matendawa zimatha kupezeka mutangolemba mayeso athunthu, kotero kuyesayesa kuti mudziwe nokha kuli ndi chiopsezo chachikulu cholakwa, chifukwa chake, simulandira chithandizo.

Kuchulukana kwa kapamba kumathandizidwa ndimankhwala onse ndi wowerengeka.

Anthu omwe alibe zizolowezi zoyipa, komanso kudya zakudya zopatsa thanzi nthawi zambiri, amakhala ocheperako.

Mitundu ya matenda

Gastroenterologists amasiyanitsa mitundu ingapo ya kapamba. Gawoli lakhazikitsidwa pazithunzi zamankhwala. Mawonekedwe a pathological process komanso kukhalapo kwa matenda ophatikizika amazindikira kuchuluka kwa kapamba omwe amathandizidwa.

Gawo la pachimake limagawika m'magulu angapo:

Pamene kutupa kumayamba m'thupi pakuchulukana, mphamvu ya michere yomwe imayambitsa kuwonongeka kwa mapuloteni ndi ma peptides imayambitsa. Malinga ngati mathero amitsempha sawonongeka, kupweteka kwamtunduwu kumawonetsedwa kwambiri. Zowopsa, zomwe zimafunikira chithandizo chamankhwala msanga, milandu imayenderana ndi kuledzera, kuchepa mphamvu kwa thupi.

Nthawi yomwe kuchulukitsa kwa kapamba kumapitirirabe kumatha kukhala maola awiri kapena atatu mpaka sabata limodzi. Nthawi zambiri, mawonekedwe pachimatendawa amatenga masiku 3-4. Zochita zakuchipatala ndi ziwerengero zimanena kuti ndi nthawi iyi yomwe imfa zambiri zimachitika - kuchokera pa 7 mpaka 15% ya milandu yonse yotupa yomwe imayambitsa kupumira.

Zizindikiro zazikulu za pancreatitis pachimake ndi:

kupuma mseru, nthawi zambiri kumayendera ndi kusanza,
kuchuluka kwa mpweya,
kusintha kwa kamvekedwe ka khungu (limakhala loyera, imvi),
kuchuluka kwa kutentha kwa thupi popanda chizindikiro cha kuzizira,
Zizindikiro za Halstead, Culden, ndi Grey-Turner.

Fomu yamtunduwu imadziwonetsera mosiyana. Ndi kuyamba kwa gawo ili, njira yotupa komanso yoipa imayamba kukula mthupi la wodwala. Matenda a kapamba amatha kugawidwa m'magulu ang'onoang'ono:

Zomverera zosasangalatsa zimadziwika nthawi zambiri mtundu wachiwiri wa matenda utachitika. Nthawi zambiri, kapamba amapweteka kwambiri ndi chifuwa chachikulu cha masiku asanu ndi awiri. Koma ngati matendawa afika pakubwezeretsa, ululu umadziwika mosalekeza.

Ma ambulansi amayenera kuyitanidwa ngakhale wodwalayo sakudziwa kuti akuwonjezera kwambiri kapamba. Kupatula apo, njira zoterezi ndizowopsa chifukwa zimatha kupuma kwakanthawi kochepa, kenako ndikuyambiranso.

Matenda a kapamba amatha kutsatiridwa ndi matenda ena am'mimba thirakiti:

Zizindikiro zotsatirazi zimatha kudziwika kuti zikuwonetsa kuchepa kwa kapamba:

Adanenanso zowawa, zowawa, zomwe zili ngati lamba. Imakwirira dzenje la m'mimba, hypochondrium yamanzere kapena kumanja.
Wodwalayo amadwala matenda am'mimba, pomwe stool yake imakhala ndi fungo losasangalatsa, imapakidwa imvi komanso zimakhala ndi zakudya. Pulogalamu yowonetsera ili ndi mawonekedwe apamwamba a fiber, minofu minofu, komanso mafuta.
Kuwawa pamlomo wamkamwa, kuyanika kwamalirime.
Kusanza, nthawi zambiri kumayendera ndi kusanza.
Kuchuluka kutentha kwa thupi.
Kuphwanya kapena kusowa kudya kwathunthu, chifukwa chake wodwalayo amayamba kuchepa thupi msanga.
Kufooka kwapafupipafupi, kuchepetsedwa kupanikizika.

Zizindikiro za kapamba ndizovuta chifukwa zimavuta kuthetsa ndi mankhwala. Nthawi yomweyo, chiwopsezo cha mawonekedwe ena othandizira a matenda amakhalabe.

Chizindikiro chachikulu cha fomu yogwira ntchito ndikuwoneka mwachangu kwa chithunzi cha matenda. Zimachitika chifukwa cha chakudya, chomwe chimakhumudwitsa mucous nembanemba.

Ikamalizidwa, michere ya chiwalo imatsekeka, ma enzymere onse opangidwa amakhalabe mkati. Izi zimawononga makoma, zimayambitsa kukokoloka. Kukula kwachilengedwe kumafuna chisamaliro chamankhwala. Kuukira sikunachedwe.

Ngati analamula bwino mankhwala amayima pambuyo 4 masiku.

Kutalika kwa nthawi yayitali pancreatitis

Kutalika kwa matenda a kapamba kumatenga nthawi yayitali kutengera gawo lomwe matendawa afikira. Ngati timalankhula za gawo la pachimake, ndiye kuti chithunzi cha chipatala chimawonedwa kwa maola angapo. Kenako pamabwera mpumulo. Nthawi zambiri, mikhalidwe yotere imawonedwa mukatha kudya mafuta kapena nyama yokazinga yambiri.

Matenda a kapamba ndi owopsa chifukwa amatha kuchitika kwa nthawi yayitali popanda chizindikiro. Kubwereranso kutha kuchitika motsutsana ndi maziko a kuphwanya kwakukulu kwa zakudya. Zomwe zimatsitsimutsa zimaphatikizira chidwi cha zakumwa zoledzeretsa, zokazinga, zokometsera ndi mafuta. Mutha kuthana ndi zotsatirazi pongochotsa zinthu zomwe ndizoyipa kapamba kuzakudya.

Njira yokhayo yomwe imatsalira popanda chithandizo chamankhwala, imakhala yowopsa kwambiri kwa wodwalayo. The aukali mawonekedwe a matendawa komanso exacerbation amayankha chithandizo kuchipatala.

Zidzachitika ndi chiyani ngati sizichitika

Matenda a kapamba amayamba kukhala owuma kwambiri pakana chithandizo. Izi zimabweretsa kusokonekera kwa ntchito m'mimba thirakiti. Ma pancreatic enzymes opangidwa, chifukwa cha kutsekeka kwa ma ducts, amayamba kukhala ndi vuto pa chiwalo. Chifukwa chake mawonekedwe akhungu amayamba, njira zosasinthika nthawi zambiri zimayamba.

Ngati ntchito ya pancreatic singabwezeretsedwe, zovuta zingachitike:

kukula kwa matenda ashuga
kapangidwe kazinthu, katemera,
pleurisy, chibayo,
mapangidwe a miyala mu kapamba.

Nthawi zambiri chopondapo chomwe chimayenda limodzi ndi gawo la pancreatitis chimatsitsa thupi. Pakakhala chithandizo chokwanira, izi zimapangitsa kutopa kokwanira komanso kuchepa kwakukulu kwa thupi.

Kuperewera kwa odwala omwe ali ndi vuto la khansa kumabweretsa, patatha zaka 4-5, kukulitsa khansa ya kapamba. Chifukwa chake, ngakhale ngati pakukweza m'mimba sikumapweteka kwambiri, muyenera kuwona dokotala.

Momwe mungathamangitsire chithandizo ndikubwezeretsa gland

Ngati munthu wamkulu wapezeka ndi matenda a pancreatitis, chithandizo chofunikira chimafunika.

Pokhapokha pokhapokha pazotheka kubwezeretsanso ntchito zapancreatic. Onetsetsani kuti mwatsatila malangizowo pokhapokha ngati matendawo ayambe kudwala:

Ngati kupweteka kwakulu kumachitika masiku atatu, tikulimbikitsidwa kukana kudya chilichonse. Kuti akhalebe mchere komanso mchere wam'mimbamu amagwiritsa ntchito madzi amchere (opanda mpweya), chosakanizira cha rosehip popanda zotsekemera.
Pofika tsiku lachitatu, mbewu monga chimanga, msuzi, mafuta odzola amayamba kuzilowa.
Kwa milungu iwiri simungathe kudya chakudya cholimba.
Ndi mawonetsero owoneka bwino a kupweteka kwamtunduwu, tikulimbikitsidwa kusunga kupumula kwa kama ndi kugwiritsa ntchito kuzizira kwa epigastric zone (sac ndi ayezi, osaposa mphindi 15 motsatana).

Onetsetsani kuti mukuyimbira ambulansi. Madokotala asanafike, mutha kutenga mankhwala opha ululu (No-shpa kapena Drotaverin omwe ndi oyenera).

Ndi kuchulukirachulukira kwa chifuwa chachikulu, zakudya zimakulirakulira pang'onopang'ono, ululu utachepa. Choyamba, zakudya zokhala ndi mapuloteni zimayambitsidwa:

nyama yovunda mwanjira ya souffle, mabatani a nyama, mafuta ochepa
nsomba zophika za mitundu yopanda mafuta,
tchizi tchizi
omele amapuloteni.

Pamodzi ndi zakudya, mankhwala a mankhwala amachitika. Ma Inhibitors amagwiritsidwa ntchito kuti achepetse kupanga ma enzyme ndi zinsinsi. Mankhwala ochepetsa mphamvu ya kachiromboka ndizovomerezeka.

Amathandizira kuchiritsa kwa makoma owonongeka a gland. Mankhwala omwe amaletsa mapangidwe a magazi amathandizira kubwezeretsanso magazi m'mitsempha.

Mu nthawi yovuta kwambiri, komanso kupweteka, kugwiritsa ntchito ma enzyme kumapangidwa, chifukwa kuchuluka kwa katulutsidwe kumakulitsa vutoli.

Kuchulukitsa

Mu chifuwa chachikulu, kuchotsedwa kwa zinthu zomwe zimayambitsa kumathandizira kupewa kufalikira. Ndikulimbikitsidwa kuti musiye kusuta, kumwa mowa, zakumwa zoziziritsa kukhosi. Kudziwa malamulo a zakudya zabwino kumathandiza kupewa kuyambiranso.

Odwala omwe ali ndi pancreatitis amapatsidwa chakudya No. 5. Ngakhale pali zoletsa zina zopewa kufalikira, zimakupatsani mwayi wokhutitsa thupi ndi zinthu zofunika. Chakudya chizikonzedwa ndi kudyetsa, kuphika. Njira yanthunzi ndiyoyeneranso. Idyani kangapo 5-6 patsiku, m'magawo ang'onoang'ono.

Kupsinjika ndi chinthu china chopangitsa kufalikira kwa kapamba. Kupatula kunja kumathandizira kuti usayambirenso. Kupumula kwabwino ndikofunikanso. Miyezi inayi iliyonse, mayeso a chitetezo amayenera kumwedwa.

Kutalika kwa Matenda a Pancreatitis - Njira Yaitali Yachiritsidwire

Pakadali pano, matenda am'mimba ndi njira yodziwika bwino. Ndi madandaulo a kupweteka mu hypochondrium yoyenera, kulemera kwa epigastric dera kapena kusokonezeka atatha kudya, adokotala amafunsidwa pafupipafupi. Zizindikiro zotere zimayambitsidwa ndi kuchuluka kwa zinthu ndi matenda, zomwe zimaphatikizanso matenda a pancreatic.

Kukula kwa njira yotupa mu kapamba amatchedwa pancreatitis. Pancreatitis imathandizidwa ndi achikulire kwa nthawi yayitali, chifukwa si odwala onse omwe amatha kukhala ndi vuto la matenda, ndipo mawonekedwe osakhazikika kwa nthawi yayitali nthawi zambiri amakhala osadziwika bwino. Odwala omwe ali pangozi zambiri, amakhala ali kuchipatala.

Gawo pachimake

Mu gawo lazowawa, mitundu ingapo imasiyanitsidwa:

Mafuta, magawo a hemorrhagic ndi a pancreatic necrosis, pakukula kwake pali kusintha kwa madigiri atatu a matenda:

Tozematic toxemia.
Kuchotsa kwakanthawi.
Sequestration ndi purulent zovuta.

Mlingo wa kufalikira kwa kapamba ukhoza kukhala wathunthu, wocheperako komanso woperewera. Matendawa amatenga mawonekedwe okhetsa kapena okhazikika ndi makulidwe amtundu wamafuta.

Chizindikiro cha kapamba ndi mawonekedwe a herpes zoster, opangidwira pamimba pamimba, yomwe imawala mpaka kumbuyo, phewa, mkono ndi khosi.

Maonekedwe a ululu, omwe adakwiya ndi kukwiya kwa ma receptor kapena kuchuluka kwa kukakamiza kwa bile, ma pancreatic ducts, amatha kuchepera.

Ndi kukula kwa njira yotupa mthupi, kuwonongeka kwa mankhwala a trypsin kumayambitsa - enzyme yomwe imayambitsa kuphwanya kwa ma peptides ndi mapuloteni.

Chifukwa cha kusowa kwa zosokoneza malo ogona, wodwala yemwe ali ndi edema ya pancreatitis amakhala ndi ululu wammbuyo. Ngati kuwonongeka kwa mitsempha kumawonedwa, ndiye kuti ululu umakhala wofatsa.

Kuledzera kwambiri komanso kufooketsa thupi m'thupi lathunthu ndizowopsa.

Kodi pancreatitis yayitali imakhala nthawi yayitali bwanji? Nthawi yochulukitsa imatha kukhala maola angapo mpaka sabata limodzi. Nthawi zambiri pachimake kapamba kumatenga masiku angapo. Cancreatitis yamtunduwu imadziwika ndi kuwonjezeka kwaimfa, chifukwa chake chithandizo chiyenera kuyamba posachedwa. Zotsatira zakupha zonse zikuchokera 7 mpaka 15%, ndikupanga mawonekedwe owonongeka kuchokera 40-70%.

Zizindikiro zikuluzikulu za fomu yovuta kwambiri ndi izi:

nseru
kusanza
chisangalalo
loyera kapena loyera khungu
mawonekedwe a khansa,
chizindikiro cha Halstead,
kutentha kwambiri kwa thupi
ukufalikira
Chizindikiro cha Cullen
Gray-Turner syndrome.

Ndi kapamba, wodwalayo amatha kukhala ndi zizindikiro za Grey-Turner ndi Cullen

Fomu yovuta

Ndi mawonekedwe osakhazikika, njira yotupa komanso yoipa imayamba m'thupi. Mutha kusiyanitsa mtundu wobwereza, wowawa, wammbuyo kapena wodabwitsa wa chifuwa chachikulu.

Kukhazikitsidwa kwakanthawi kwamankhwala kumatenda kumakwaniritsa bwino pambuyo pa miyezi iwiri kapena isanu ndi umodzi. Cholinga cha mankhwalawa ndikuti akwaniritse chikhululukiro. Matenda a pancreatitis amachiritsidwa kwa nthawi yayitali, makamaka chithandizo chimafuna kutsatira malingaliro a dokotala moyo wonse.

Nthawi zambiri, matenda a kapamba am'mimba amaphatikizidwa ndi matenda ena am'mimba, omwe amaphatikizapo:

Ngati munthu wapezeka ndi matenda enaake osachiritsika, kenako kuti apondereze zizindikiro zazikulu, ayenera kumwa mankhwala ndikutsatira kudya kwamphamvu, komwe kumathandizanso wodwalayo kuti asayambenso kudwala. Nthawi ya pancreatitis yodwalayo komanso kutalika kwake kumadalira mwachindunji chithandizo choyenera. Nthawi zambiri anthu amakhala ndi matendawa kwa zaka zambiri.

Mtundu wamtunduwu wa kapamba amadziwika ndi mawonekedwe a kupweteka m'chiuno, komwe kumapereka hypochondrium kumanja kapena kumanzere. Nthawi zina, ululu wamankhwala umakhala wamuyaya.

Wodwalayo ali ndi vuto la kugona, nseru, kuchepa kwa chakudya, kusanza, komanso kupindika pang'onopang'ono. Kulimbitsa ululu kumachitika mukamadya zakudya zamafuta, zochita zolimbitsa thupi kwambiri.

Malinga ndi nthawi ya mankhwalawa, matenda am'mimba amakhala malo otsogola pakati pa matenda ena ammimba. Ichi ndichifukwa cha kukhudzidwa kowonjezereka kwa kapamba, kamene kamakhudzana ndi zakudya zopanda pake, mowa. Kutalika kwa matenda a kapamba kumachitika chifukwa cha matenda am'mimba, omwe ali ndi matenda osachiritsika.

Fomu yogwira ntchito

Matenda amtunduwu amadziwika ndi kukula kwakanthawi komanso kuyambika kwa zizindikiro. Choyambitsa chachikulu cha kuukira ndicho chakudya chomwe chimakwiyitsa. Zotsatira zake, zikondwerero za kapamba zimatsekedwa, zomwe zimapangitsa kuti chimbudzi chikhale ndi ma enzyme. Popeza kukula kwa zizindikiro ndikovuta, wodwala adzafunika thandizo la othandizira.

Pambuyo polumikizana ndi ambulansi, mankhwalawa adzapangidwira, pomwe mpumulo wa kuwawa udzapangidwa. Ma analgesics, antispasmodics ndi mankhwala. Matendawa sakhalitsa: ndikupumula kwathunthu, matendawa amayamba pambuyo pa masiku atatu kapena anayi.

Chithandizo cha kapamba chimasankhidwa ndi dokotala, zimatengera matenda amtundu umodzi, zomwe zimachitika mthupi la wodwalayo. Kugwiritsa ntchito njira zachipatala zachikhalidwe kumaloledwa ndi chilolezo cha katswiri. Ndikofunika kukumbukira kuti kapamba ndi chiwalo chokhwima chomwe chimayankha ndikulimbikitsa kosasangalatsa.

Pachimake kapamba kapena exacerbation bwino amathandizidwa kuchipatala. Gawo loyamba ndikutsatira kudya kosala kudya komanso narcotic analgesics, yomwe imapangitsa kuti mankhwala osokoneza bongo asungike. Kuphatikiza apo, wodwalayo amapatsidwa dontho la mchere, plasma ndi albumin.

Mankhwala amatengedwa omwe amalepheretsa ma enzymes a pancreatic. Popeza zabwino kapena chitukuko cha zovuta kuchuluka kwa exacerbation - peritonitis, pitani mwadzidzidzi njira zochizira.

Zikatero, kapamba amathandizidwa ndikutsuka m'mimba. Kuti muchite izi, kutsuka kwamadzi kumachitika, komwe kumakoka madzi amadzimadzi kuchokera kunja kupita kunja.
Njira inanso yochitira opaleshoni ndikuchotsa minofu yowonongeka. Opaleshoni yotereyi amatanthauza njira zochizira zowopsa komanso zovuta, zimaperekedwa pazochitika zadzidzidzi.
Pambuyo povutikira zizindikiro za pachimake, kuchotsedwa kwa ndulu kungafunikire.

Njira ina imagwiritsidwa ntchito pochiza matenda a chifuwa cham'mimba panthawi ya kukokomeza. Kuti muchite izi:

Chakudya chokhazikika chimayikidwa.
Mankhwala opweteka amayikidwa.
Kudya kwa ma enzymes mwanjira ya mankhwala amalembedwa ("Creon", "Mezim").
Amathandizanso matenda ena, makamaka matenda ashuga.
Amachiza matenda amwala.

Ngati chifukwa cha chithandizo chamankhwala sichimawonedwa, opaleshoni ndi mankhwala. Mankhwala a Endoscopic amachitidwanso, pambuyo pancreatitis ikadutsa.

Tikukulimbikitsani kuti muzidziwitsa bwino za maphikidwe a kapamba: Masaladi.

Chifukwa chake, pancreatitis ndi matenda omwe amafunika kusokoneza poyendetsa dongosolo lonse la m'mimba. Ndi kutupa kwa kapamba, munthu ayenera kutsatira njira yoyenera. Choyamba, ndikofunikira kupatula mowa, idyani mokwanira komanso pang'ono. Zakudya siziyenera kukhala ndi zokazinga, zamchere, zosuta, zosunkhidwa.

Pamaso pa matendawa, zilibe kanthu kuti khansa yayitali imatenga nthawi yayitali bwanji, komanso kuti ndi nthawi yanji yomwe idapezeka, ndikofunikira kutsatira zakudya zomwe adokotala amatenga ndikumwa mankhwala. Kuchuluka kwa kapamba kumadalira wodwalayo payekha ndikuwunika koyenera kwa akatswiri a gastroenterologist.