Zikondwerero zimapweteka: ndi dokotala uti amene ndiyenera kupita?

Munthu wathanzi samadandaula kuti ndi dokotala uti amene amachiza matenda ena ake. Koma mwatsoka, kusazindikira kumeneku nthawi zambiri kumabweretsa kuti, akakumana ndi vuto, wodwalayo sakudziwa kuti atembenukireni kuti amuthandize, ndipo amataya nthawi yofunika kufunafuna chidziwitso. Kuti mupewe mavuto otere, ndikofunikira kudziwa kuti ndi dokotala uti amene amathandizira kapamba.

Pansi pa zochitika zilizonse za kapamba, kufunsa kwa akatswiri angapo kudzafunika. Ndi dokotala uti yemwe ndiyenera kulumikizana ndi mavuto ndi ziphuphu? Vutoli lafotokozedwa ndi:

• katswiri (wamkulu],
• gastroenterologist,
• dokotala wa opaleshoni
• endocrinologist
• oncologist.

Kutengera ndi kuopsa kwa matendawa, chithandizo chitha kuchitika motere:

• mu dipatimenti ya gastroenterological,
• m'chipinda chopangira odwala opaleshoni,
• mu dipatimenti ya oncology,
• kwa dokotala wamkulu pachipatala cha tsiku limodzi kapena kunyumba.

Yemwe mungathe kulumikizana ndi chifuwa chachikulu

Kuti musankhe momwe mungayambire kuchira, muyenera kupenda mkhalidwe wanu.

Zizindikiro Zosautsa:

• kupweteka pamimba, komanso hypochondrium ya kumanzere,
• nseru
• mavuto ndi chopondapo (onse kutsekula m'mimba ndi kudzimbidwa ndikotheka),
• kapangidwe ka mpweya, malamba,
• kufooka
• kusadya bwino.

Ndi kutupa kwa kapamba, osati hypochondrium yokha, komanso mbali yakumanzere nthawi zina imapweteka, zomwe zimatha kukhala zosokoneza, popeza zizindikiro zoterezi zimafanana ndi osteochondrosis, momwe anthu ochepa amawonera dokotala.

Ngati kupweteka kwapafupipafupi, koma kotheka m'gawo la epigastric kumamvekedwa, lingaliro labwino kwambiri lingakhale kupita kwa akatswiri othandizira. Paphwando, dokotala wopezekapo amayesa kuyesa, kupereka mayeso ofunikira ndikupereka kwa katswiri yemwe akukumana ndi vutoli, nthawi zambiri amakhala gastroenterologist. Komanso, wochiritsirayo adzakopa wodwalayo chidwi chakufunika kotsatira njira yazithandizo, popeza iyi ndi imodzi mwanjira zazikulu zolimbana ndi matendawa. Zikondazo zikakhudzidwa, zokometsera, zokazinga, mchere, zotsekemera, zakumwa zozizilitsidwa ndi khofi, khofi ndi mowa zimaletsedwa. Ndikofunika kukumbukira kuti pazinthu zokhudzana ndi thanzi, simuyenera kuchita manyazi, chifukwa ngati mukukayika, mutha kugwiritsa ntchito kapena sichingachitike, ndibwino kuti mukaonanenso ndi dokotala wanu, chifukwa amadziwa zonse zomwe zimachitika chifukwa cha matenda ena ake. ikhoza kuyankha mwatsatanetsatane. Lamulo lomweli limagwiranso ntchito njira zachikhalidwe. Ambiri aiwo ndi abwino ndipo amatha kuthandiza kuthetsa vutoli, koma adotolo amayenera kupereka chilolezo.

Algorithm yemweyo imagwira ntchito ngati wodwala akudwala matenda a kapamba - choyambirira, amapita kwa akatswiri.

Ndani angathandize ndi pachimake kapamba

Kuukira kwa chifuwa chachikulu cha kapamba kumatheka. Mkati mwake, munthu amamva kupweteka ululu pamimba, zomwe zimawonetsa mosavutikira zovuta ndi kapamba. Kuti apereke chithandizo chamankhwala panthawi yake muzochitika zotere, ambulansi imayenera kuyitanidwa mwachangu. Tiyenera kumvetsetsa kuti wodwalayo akumva ululu wosaletseka panthawiyi, ndipo kuzengereza kumakhala ndi zovuta zambiri mpaka kufa.

Gulu lachipatala, lomwe lafika kudzayitanitsidwa, lipereka chithandizo choyamba ndikuganiza kuti ndi liti lomwe lipereke wodwalayo. Nthawi zambiri, anthu omwe ali ndi pancreatitis yovuta kwambiri amagonekedwa m'chipinda chothandizira kwambiri, koma pazifukwa zina, awa akhoza kukhala madipatimenti opanga opaleshoni, gastroenterology kapena mankhwala.

Pofuna kutsimikizira matenda oyambirirawo ndikukhazikitsa kupezeka kapena kusakhalapo kwa matenda opezekapo, pakulandila kuchipatala kuyezetsa mayeso angapo ndi maphunziro kukakamizidwa:

• kuyezetsa magazi (kawirikawiri komanso kwamankhwala ambiri),
• urinalysis (kawirikawiri ndi kusintha kwaylyl),
• pulogalamu
• ECG
• Ultrasound yam'mimba,
• MRI yomwe adotolo amafufuza ngati alipo kapena palibe kusintha kwa minofu,
• CT
• chizimba
• bweretsani cholecystopancreatography.

Ndani amamuwuza wodwala atatenga mbiri ndikuwatsimikizira kuti wapezeka? Dokotala wochita opaleshoni komanso gastroenterologist, yemwe amakhudzidwa kwambiri ndi mavuto am'mimba, amasankha chithandizo chofunikira, atadutsa pomwe aliyense amalandila zingapo pazomwe amamwa mankhwala ndikutsatira njira yothandizira odwala. Kupitilira apo, wothandizira wam'deralo awunikira kusintha kwa thanzi la pancreatic. Ngati ndi kotheka, aperekanso thandizo kuti lipimidwe kwa gastroenterologist, endocrinologist kapena oncologist.

Kodi ndiyenera kulumikizana liti ndi endocrinologist?

Kasitomala amatulutsa mahomoni ofunikira m'thupi la munthu: glucagon, insulin ndi somatostatin. Zonsezi zimakhudza mwachindunji kagayidwe kazigazi. Kutupa kwa chiwalochi kumatha kuyambitsa kusayenda bwino kapena ngakhale necrosis ya minofu, yomwe imawopseza kupezeka kwa matenda osokoneza bongo. Ndi chifukwa chake kufunsa wa endocrinologist muzochitika zotere ndikofunikira. Dokotala adzaika wodwalayo pazolemba zake, sankhani kuchuluka kwa insulin, ngati kuli kotheka, kapena amupatseni mankhwala ena okhala ndi mahomoni ena.

Ngati wothandizira amatengera oncologist

Ambiri amadabwitsidwa pakungotchulidwa kuti "oncologist." Koma simuyenera kuchita mantha ngati wothandizirayo wapereka malangizo kwa katswiriyu, chifukwa vuto lomwe lapezeka mu nthawi litha kuthetsedwa mothandizidwa ndi njira zamakono zamankhwala.

Chithandizo cha pancreatitis chokhacho chingayambitse matenda otupa. Mutha kuwazindikira mothandizidwa ndi ultrasound, CT, MRI ndi maphunziro ena omwe amachitika pakulandila kwa wodwala kuchipatala. Tizilombo ta kapamba, minyewa kapena zotupa za khansa zimatha kupanga. Zikatero, kuonana ndi a oncologist ndikofunikira kwenikweni, chifukwa ndi iye yekha amene angadziwitse matenda ake ndi kupereka mankhwala okwanira. Ngati ndi kotheka, lingaliro limapangidwa ponena za opaleshoni ndi chemotherapy.

Kutupa kwa kapamba ndi matenda oopsa omwe amafunika kufunsa ndi katswiri yemwe amagwira moyenera ziwalo zam'mimba. Siyenera kuchepetsedwa ndi kuchezera kwa dokotala, chifukwa kuwonjezera pa zovuta zazikulu, matenda ophatikizika, omwe ndi ofunika kwambiri omwe ali ndi matenda ashuga, amakhala ndi zoopsa.

Kodi ndi dokotala uti amene angathandize kuchiritsa kapamba?

Ndi zizindikiro za matenda a kapamba, tikulimbikitsidwa kuti muyenera kulumikizana ndi GP wakwanuko. Malangizowo sagwira ntchito kwa anthu ngati munthu akudwala matendawa. Potsirizira pake, kufunikira kwa odwala kuchipatala ndi chithandizo chamankhwala chofunikira ndikofunikira.

Wothandizira kwambiri pamayeso oyamba angathandize kudziwa ngati ululu wam'mimba ulipo chifukwa chophwanya magwiridwe antchito a kapamba, kapena zifukwa zomwe zili mu ma pathologies ena.

Ngati nthendayo ikukayikiridwa, adokotala amalimbikitsa njira zina zodziwitsira matenda kuti atsimikizire kapena kutsutsa choyambirira. Ngati vuto lachiberekero la pancreatic likuganiziridwa mwatsopano, mwana wakhanda adzakhala yankho ku funso lomwe adokotala amafunikira kuti apeze pancreatitis. Kenako adzaperekanso kwa madotolo ena.

Kuti mudziwe momwe matenda am'magazi amapangidwira pancreas, kuyesedwa kwa ultrasound kuyenera kuchitidwa, zomwe zimathandiza kudziwa zotsatirazi:

• Kodi kapamba amakulitsa kapena ayi,
• Mlingo wa echogenicity, womwe umawoneka ngati chiwonetsero cha matenda,
• Kukhalapo kwa zotupa neoplasms, cysts,
• Kudziwa kuya ndi dera la zotupa.

Pambuyo pakuzindikira kwakanthawi, adotolo amaperekanso ku gastroenterologist. Dotolo ndi katswiri wopapatiza yemwe amatsatira kapamba. Adzafunsira wodwalayo madandaulo, kumuyesa. Kutengera ndi ultrasound ndi palpation, adzazindikira kuti ndi gawo liti lomwe lawonongeka.

Kuphatikiza apo, kafukufuku amalembedwa omwe amasankha kuchuluka kwa michere ya m'mimba m'magazi. Njira yotupa imasonyezedwa ndikuwonjezeka kwa leukocytosis.

Kuti muchiritse bwino, ndikulimbikitsidwa kuti muzipita X-ray, MRI, CT, ndi maphunziro ena.

Kodi thandizo la endocrinologist ndi oncologist likufunika liti?

Kodi ndi dokotala uti amene amathandizira pancreatitis mwa akulu? Choyamba muyenera kulumikizana ndi akatswiri azachipatala komwe akukhala. Ngati ndi kotheka, ndibwino kupita kwa dokotala wa gastroenterologist nthawi yomweyo. Monga lamulo, kuchezera “mwachindunji” kumakhala kovomerezeka m'makliniki azinsinsi. Pa nthawi yomwe muli ndi pakati, mutha kudandaula ndi gynecologist wanu. Adotolo adzaperekanso njira yochezera madokotala ena.

Kodi ndi liti pamene mungafune kukakambirana ndi a endocrinologist ku chipatala? Maselo amadziwika m'mitsempha yamkati, yomwe imathandizira kupanga mahomoni - insulin, glucagon ndi somatostatin. Akalowa m'magazi, amathandizira kuyang'anira kuchuluka kwa shuga m'thupi. Ndi kutupa kwa pancreatic, necrosis yama cell awa imawonedwa, chifukwa chake, matenda a shuga amapita patsogolo. Nthawi zambiri chithunzichi chimawonedwa mu chifuwa chachikulu.

Ndi chithunzichi, kutenga nawo mbali kwa endocrinologist kumafunika. Dokotala amalemba wodwala, amawunika momwe aliri, kusankha kuti ayesedwe, amasankha kuchuluka kwa insulin kapena mankhwala ena omwe amalimbikitsidwa kuti alandire chithandizo. Chithandizo cha inpatient nthawi zina chimafunikira kuchipatala ku dipatimenti ya endocrinology.

Matenda a biliary system ndiofala pathologies - urolithiasis, cholecystitis, etc. Nthawi zambiri, zifukwa zimakhala m'magulu apangidwe a chotupa. Ndi dokotala uti yemwe ndiyenera kufunsa ndi kapamba wa kapamba ngati chifukwa cha matendawa ndi chotupa? Pankhaniyi, thandizo la oncologist likufunika.

M'matenda a kapamba amatha kupezeka:

1. Cysts
2. Pseudocists.
3. Zilonda zopweteka.
4. Benign neoplasms.

Kutengera ndi mtundu womwe wapezeka, dokotala amamulembera mankhwala. Nthawi zina, chithandizo cha mankhwala osokoneza bongo kudzera m'mankhwala ndi zitsamba za kapamba ndizokwanira. Nthawi zina opaleshoni ikufunika kuti ichotse mankhwalawa.

Pamaso pa chotupa cha chikhalidwe choyipa, chemotherapy ndi mankhwala.

Kodi ndiyenera kulumikizana ndi ani?

Maonekedwe a ululu wowopsa pamimba pamimba akuwonetsa kutupuka kwa kapamba. Sizotheka kuchepetsa ululu kunyumba, palibe njira zina zomwe zingagwire ntchitoyo.

Njira yokhayo yotumizira ndikuyitanitsa gulu lachipatala. Dotolo yemwe adafika adzafufuza wodwalayo, achitapo kanthu mwadzidzidzi kuti wodekha akhazikike, agonekere kuchipatala kuti amupezenso ndi kupezanso chithandizo.

Akakumana ndi vuto lalikulu, wodwalayo amathandizidwa m'chipinda chothandizira kwambiri, komwe amamufufuza ndi dokotala wochita opaleshoni. Izi zikakhala kuti sizotheka, mwachitsanzo, chipatala chokhala ndi odwala omwe ali kutali kwambiri chimatumizidwa ku gastroenterology kapena opaleshoni.

Munthu akangolowa kuchipatala, ndikofunikira kuti adziwe momwe ziliri. Kuzindikira kwachangu kwa matenda am'mimba kumachitika, kusiyanitsa ndi matenda ena. Atha kuyang'ana zotsatirazi:

• Zotsatira zamagazi ndi zamankhwala amwazi.
• Kusanthula kwa mkodzo ndikofala, komanso kwa amylase.
• Ultrasound, ECG, MRI.

Malingaliro azotsatira zamankhwala amtsogolo nthawi zonse amakhala amodzi payekha, chifukwa cha zotsatira zomwe zimapezeka mukamazindikira. Kutengera ndi zomwe atenga, dokotalayo amatsimikizira kapena amakana kuwonetseredwa koyambirira kwa pancreatitis pachimake.

Poyerekeza ndi njira yovuta yotupa m'matumbo, machitidwe akuchitidwa kuti amalize kupereka chithandizo chamankhwala mwadzidzidzi, dokotalayo amapereka mankhwala. Ngati ndi kotheka, chithandizo chitha kusintha.

Kubwezeretsa magwiridwe antchito a chiwalo, madokotala amatsogozedwa ndi zochitika zitatu - njala, kuzizira ndi mtendere. Wodwala amafunikira kupuma pabedi, kupatula ntchito zamagalimoto. Kuti achepetse kupweteka, phukusi lozizira limayikidwa pa kapamba. Njala ya kapamba amatanthauza kukana chakudya kwathunthu moyang'aniridwa ndi achipatala masiku angapo.

Pambuyo pokhazikika, wodwalayo amasamutsidwa kupita ku dipatimenti ya gastroenterology kapena opaleshoni. Akatulutsa, wodwalayo amapatsidwa malangizo okhudzana ndi chakudyacho - kupatula zakudya zamchere, zamafuta ndi zonunkhira, amaletsedwa kumwa mowa, monga lamulo, amapatsidwa mapepala pomwe zakudya zovomerezeka ndi zoletsedwa. Kunyumba, mumatha kumwa ma decoctions a zitsamba - dieel, motsatizana, meadowsweet, ndi zina zambiri, ndikuthandizira kuthamanga njira yochira.

Momwe mungachiritsire matenda a kapamba amamuwuza katswiri muvidiyoyi.

Kodi ndi dokotala uti amene amachitira kapamba woipa?

Tsoka ilo, ambiri sadziwa dzina la adotolo chifukwa cha kapamba komanso ziwalo zogaya chakudya kwathunthu. Ngati munthu sanakhale ndi vuto lililonse ndi chiwalo ichi, ndiye kuti ndi kutupa kwake kumakhala kovuta kuti wodwalayo amvetsetse zomwe zimapweteka komanso momwe angachitire.

Nthawi zambiri pamkhalidwewu, anthu amatembenukira kwa ochiritsira podandaula za m'mimba. Ili ndiye chisankho choyenera, chifukwa ndi amene angadziwitse matenda ake, kufotokoza tanthauzo la zowawa ndikuwonetsa matenda omwe wodwala ali nawo. Pambuyo pa kufufuza, wothandizira adzafotokozera ngati kapamba akuyenera kuthandizidwa, kapena ngati pali vuto lachilendo. Zizindikiro zina zikawoneka, ponena za madandaulo a wodwalayo ndi mkhalidwe wake, dokotalayo amatumiza wodwalayo kwa katswiri:

• gastroenterologist
• endocrinologist
• kwa asing'anga.

Matenda a ziwalo zamkati, makamaka mu vuto lodana kwambiri, ndikofunikira kupereka chithandizo chamankhwala munthawi yoyenera komanso moyenera poyambira chithandizo choyenera, motero muyenera kudziwa kuti ndi dokotala uti amene amathandizira kapamba. Izi zitha kuchitika ndi dokotala yemwe wodwala wake adawonedwa, makamaka ngati mavuto ofananawo adabuka kale. Ngati mukukumana ndi izi kwa nthawi yoyamba, ndiye kuti adokotala angakuuzeni dokotala yemwe mungakumane naye. Ndikofunikira kupanga nthawi ndi dotolo wachigawo, amamuyesa mayeso, kupereka mayeso ofunikira, mwina mwa mtundu wake, ndikuwongolera ku diagnostics a ultrasound.

Pamene kutupa kwa kapamba ali mumtundu wa pancreatitis pachimake, katswiri wa gastroenterologist amathandiza wodwala ndi mankhwalawo. Amakhala ndi matenda a kapamba, amatha kudziwa kuti ndi gawo liti lachiberekero lomwe limayatsidwa. Chithunzi cholondola chithandiza kukhazikitsa ultrasound. Wowunika wodwalayo angakuwuzeni zomwe zili mu ma enzymes m'magazi, poganizira momwe gastroenterologist ikupangireni mankhwala othandizira.

Ngati wothandizirayo akhazikitsa pancreatitis yonyansa, ndipo kapamba amatha kumveka palpation, ndiye kuti mayendedwewo amaperekedwa kwa dokotalayo, koma izi sizitanthauza kuti ayenera kuchitidwa opaleshoni. Wodwalayo amamuthandizira kuchipatala, komwe dokotala amapanga njira yochiritsira payekha, kupereka jakisoni ndi kaperekedwe ka mankhwala. Izi ndizofunikira mu milandu yayikulu, kapamba ndi zovuta. Ngati pakhale zotupa mu chimbudzi cha chitho, kapena chikhodzodzo chikuvutika, atha kupereka mankhwala othandizira omwe adokotala amayambitsa ndipo dokotala akuchitirani.

Ndi pancreatic pancreatitis yolimbana ndi matenda a shuga, othandizira amatumiza wodwala kwa endocrinologist.Dotoloyu adazindikira kuchokera pakuwunika momwe wodwalayo amakhudzidwira ndi wodwala, amamuwuza kuti awongolere, makamaka ngati pali kuphwanya kwa insulin.

Kodi ndi dokotala uti amene amachitira pancreatitis pachimake?

Ndi dokotala uti kuti apite ndi kapamba ndiye funso lalikulu pakukhudzana ndi chifuwa chachikulu cha kapamba. Mkhalidwe wa wodwala pakuwukira ndiwovuta kwambiri, chifukwa chake, cholondola kwambiri ndikuyimbira foni ya ambulansi kuti ipatsidwe chithandizo chadzidzidzi cha syndromes. Kutengera ndi momwe wodwalayo alili, dokotala amapanga chisankho chakugonekedwa, ndikuyikidwa m'chipinda choperekera chisamaliro chokwanira, kapena kuthandiza pamalopo, poika nthawi ina komanso chithandizo.

A gastroenterologist akuchita mankhwalawa, yemwe adzadziwongolera payekha kuti ayesedwe ultrasound, kulemba mayeso ofunikira. Wodwala samayikidwa kuchipatala nthawi zonse, nthawi zina matendawa amatha kuchiritsidwa kunyumba, koma izi sizituluka pakubwera kwa dokotala. Kutupa kwa kapamba a siteji ya pachimake kuyenera kuthandizidwa ndi mankhwala, thupi lokha silitha kuthana. Ngati simupempha thandizo ndipo simuyamba kulandira chithandizo, matendawa amatha kukhala magawo akulu ndikupereka zovuta.

Pachimake kapamba - kupweteka kwambiri, kusanza kosalekeza, matumbo oyenda mwadongosolo ndi ndowe zamafuta amadzimadzi. Kuti muchepetse kutupa kuchokera ku chiwalo, ndikofunikira kuti mulingo wama michere m'magazi omwe gland yomwe yakhudzidwa ilibe nthawi yopanga. Awa ndi mphamvu ya mankhwala:

Gastroenterologist amatha kuthetsa zokhazo zomwe matendawa amatenga, komanso chifukwa cha matenda am'mimba mwa kapamba popereka chithandizo choyenera komanso chapanthawi yake. Ngati mutsatira upangiri wake ndi malingaliro ake, mukalandira chithandizo, mutha kuyiwala za kapamba kosatha, komabe, simudzatha kubwerera pamachitidwe anu achizolowezi, muyenera kuyang'ananso zakudya zanu komanso zizolowezi zanu.

Ndani amachitira pancreatitis yosatha?

Ngati pancreatitis imayamba kukhala yovuta, wodwala amatha kuthana ndi matendawa pokhapokha kukaonana ndi akatswiri othandizira odwala kapena kuwonana ndi gastroenterologist. Nthawi zambiri, munthu amatembenukira kwa madokotala pokhapokha ngati zizindikiro zikukula, kapena ngati mankhwala omwe adalandira kale sagwira ntchito. Pakadali pano, ululu sukutchulidwa, chifukwa, monga momwe dokotala amafotokozera, wodwalayo amatenga mankhwala omwe kale anali ndi vuto lochizira.

Ngati vutoli lachitika kwa nthawi yoyamba, litha kukhala lamphamvu kwambiri ndikupangitsa kupweteka kosalephera, wodwala yemwe ali ndi kapamba ayenera kuyitanitsa gulu la ambulansi mwachangu, dokotala adzaganiza komwe angagonekere wodwala komanso ndi dokotala uti angamuthandize. Nthawi zambiri, wotsitsimutsa komanso dokotala wa opaleshoni amapereka thandizo, kutengera zotsatira za kusanthula, umboni wa zida zamakono. Ataletsa kupweteka, kuthetsa kutupa, wodwalayo adayikidwa mankhwala othandizira, kumwa mankhwala ndikumasulidwa kunyumba. Kuti tithane ndi zizindikiro za chifuwa chachikulu kuchipatala, ndikofunikira kugona pansi osachepera sabata limodzi.

Ndi chitukuko cha pancreatitis pachimake, chikhodzodzo ndi vuto la chiwindi, zomwe zimakhudza mkhalidwe wa wodwalayo ndikuwunika kwake, chifukwa chake, akamaliza kulandira chithandizo kuchipatala, ndikofunikira kuti wodwalayo awunikiridwe ndi othandizira am'deralo omwe amawunika momwe thanzi limakhalira komanso kuchuluka kwa michere m'magazi. Matenda a kapamba amafunikira chisamaliro chapadera, zakudya ndi mankhwala omwe ali munthawi yake. Ngati muphwanya malangizo a dokotala ndipo musanyalanyaze kadyedwe, khunyu imayamba kuchuluka, chitetezo chitha kuchepa, matenda a chiwindi, matumbo, chikhodzodzo.

Kuyankhulana kwa endocrinologist ndi oncologist

Nthawi zina matendawa amaphatikizidwa ndi zovuta kapena zizindikiro zomwe zimawoneka kuti zikuwonetsa kukula kwamitsempha. Kukana kwa nthawi yayitali kumathandizanso kuti mapangidwe a chotupa mu ma pancreatic ducts, omwe dokotala angathandize nawo njirazi, sizikhala zofunikira kwambiri - chotsatira chachikulu. Ngati ma ultrasound akatsimikizira chotupa cha chosaopsa kapena chowawa, ndiye kuti akuyenera kuthandizidwa ndi a oncologist. Ntchito yake ndikusintha chithandizo chamankhwala operekedwa ndi gastroenterologist malinga ndi momwe wodwalayo awonera. The oncologist akuyesera kuti adutsemo ndi mankhwala, kuthandizira chisamaliro chambiri, chomwe sichingapangitse opaleshoni. Ma pseudocysts, ma cysts ndi ma polyp amayankha bwino chithandizo.

Zikaikira, zomwe zimagwira wodwala pancreatic pancreatitis, motsutsana ndi maziko a matenda a shuga, sizingatheke, monga endocrinologist imachita. Kufunsira kwake ndikofunikanso ngati mavuto opanga insulin atuluka m'thupi la wodwalayo motsutsana ndi chibayo. Pofuna kupewa kupita patsogolo kwa matenda ashuga, kapena osayambitsa gawo lovuta - muyenera kuwona dokotala nthawi. Kuphatikiza apo, kapamba amatulutsa mahomoni ndi ma enzyme omwe amalimbikitsa kagayidwe ndi kuwonongeka kwa chakudya, ngati pakhale zovuta m'magulu a mahomoni awa, endocrinologist imapereka mankhwala a mahomoni omwe amawathetsa.

Zomwe zimayambitsa matendawa

Kukula kwa kapamba kumalumikizidwa ndi kukhudzidwa kwa zinthu zomwe zimawononga kapamba ndi kuyambitsa kutupira:

1. Zakudya zopanda pake.
2. Kuzunza.
3. Mowa
4. Matenda
5. Intoxication (kuphatikizapo mankhwala).
6. Kuvulala kwam'mimba.
7. Zotsatira zam'mimba za m'mimba, chiwindi, ndulu.
8. Endocrine zovuta, kagayidwe kachakudya.

Kutupa kwa pancreatic kumatha kukhala koopsa kapena kosatha. Mlandu wachiwiri, matendawa amapitiriranso nthawi yobwereza (kuyambiranso chizindikiro) ndi kuchotsedwa (kusowa kwa zizindikiro zazikulu za matenda a zam'mimba ndi zodandaula za mkhalidwewo).

Zosankha Zophwanya

Acute pancreatitis ndi osiyana ndi matenda - pali kusiyana pazomwe zimayambitsa ndi pathogeneis (njira yotukula), komanso njira zamankhwala zosamalira odwala. Zimakhala zofunikira posankha katswiri wothandizira wodwala.

Chifukwa chake, mawonekedwe apamwamba a pathologies amatha kuwonetsedwa pagome:

Chifukwa chake, mitundu yonse iwiri ya njirayi imakhudza mkhalidwe wama kapamba, koma imakhala yowopsa kwambiri chifukwa cha mawonekedwe owoneka bwino ndi kuledzera kwambiri, komabe mtundu wamatsenga womwe umachitika mwadzidzidzi.

Yemwe mungalumikizane nawo

Akatswiri osiyanasiyana azachipatala omwe ali ndi ma dipatimenti yodwala komanso odwala amapita kuthana ndi mavuto azachipatala. Zambiri zimatengera kusiyanasiyana kwa njirayo ndi gawo la njira yake (kutulutsa, kukhululuka), momwe wodwalayo alili. Ndiye ndi dokotala uti amene amathandizira kapamba?

Akudwala matenda oyamba omwe wodwala amakhala nawo m'matumbo am'mimba komanso zotupa zapang'onopang'ono, ndikuvomera:

• m'chipatala
• kuchipatala
• m'malo operekera thandizo kuntchito.

Wochiritsira nthawi zambiri amakhala dokotala woyamba yemwe wodwala amafunafuna thandizo la mankhwala ngati pali zizindikiro za kuperewera kwa magazi: kusanza, kusanza, kusupuka, komanso kusokonezeka kwa chopondapo. Katswiriyu amatha kukonza njira zoyeserera, kusankha mankhwala kuti alipirire ma enzymes omwe akusowa (Panzinorm, Pancreatin), amalimbikitsa mankhwala kuti akhazikitse vutoli pang'onopang'ono kuwonongeka kwa pancreatic (Movespasm, Almagel, Omez).

Gastroenterologist

Uyu ndi dokotala wodziwitsa za matenda ndi matenda a kugaya chakudya, kuphatikiza thirakiti la hepatobiliary (chiwindi, ndulu). Itha kuthandizira pokhapokha ngati kutupa kwapamba kumawonedwa ndipo wodwala amakhala ndi nkhawa:

1. Kulakalaka.
2. Kusanza, kusanza kwakanthawi.
3. Kupweteka kwam'mimba.
4. Kukhazikika pansi.

Dokotala wa gastroenterologist amapereka chithandizo chamankhwala mwanjira yomwe anakonzekera (podzilowetsa kapena kudzipereka ndi katswiri wazachipatala kapena pachipatala). Dotoloyu amakhudzidwanso pakuwongolera odwala omwe ali pakukonzanso pambuyo poti akuwombana ndi chifuwa chachikulu, koma osafunikiranso kuwunikira komanso kuthandizira opaleshoni.

Dotolo amachitira kapamba:

• mu pachimake maphunziro
• mukuyambiranso kwa matenda osachiritsika,
• pamaso pa zovuta za njira yayikulu (peritonitis, abscessing, magazi ochokera kumtunda ndi m'munsi thirakiti),
• ndi molumikizana njira ya zikondamoyo ndi matenda a ndulu.

Powongolera odwala omwe ali pachiwopsezo chamoyo kapena osakhazikika pambuyo pakuchita opaleshoni, dokotalayo amathandizana ndi dokotala monga anesthetist-resuscitator. Ngati wodwala ali ndi vuto lililonse lamkati wamtima, impso ndi ziwalo zina, dokotala wamankhwala, akatswiri amisala, ndi othandizira atha kuyitanidwa kuti akambirane.

Endocrinologist

Popeza pancreatitis imakhudza kupanga mahomoni, wodwala amafunikira thandizo la endocrinologist. Katswiri:

1. Amachita kafukufuku kuti awone zovuta zakuphwanya.
2. Amaganizira zofunikira pakuthandizirana komanso kukonza mankhwala (mwachitsanzo, mankhwala a insulin kapena mankhwala ochepetsa shuga).
3. Imawongolera kusunthika kwa nthawi ya matenda a shuga ndi zina zama metabolism zomwe zimakhudzana ndi kuwonongeka kwa kapamba kapena kupezeka kwa wodwalayo pazifukwa zina.

Endocrinologist imagwira nawo othandizira, kuphatikizapo gastroenterologist. Ngakhale thandizo la kapamba silimaphatikizidwa pamndandanda wazomwe zimayambira, ntchito yake ndikugwira nawo mankhwalawa pazotsatira za matendawa - makamaka, matenda a shuga.

Chifukwa chake, ndi pancreatitis, wodwalayo amatengedwa ndi othandizira, gastroenterologist, dokotala wa opaleshoni, ndipo, ngati pakufunika, endocrinologist.

Kumene amathandizidwira

Ndi njira yoopsa yotsatirira, kukula kwa zolakwika zathupi (kuchokera kumbali yamapapu, impso, mtima, ndi zina), kuchipatala ndikofunikira mu dipatimenti yachipatala kuti muchiritse wodwala. Nthawi zambiri, mbiri ya opaleshoni (popeza maopareshoni angafunike). Zomwezi zimayendera zovuta:

• peritonitis
• chifuwa, mafinya, fistula m'mimba,
• magazi ochokera kumtunda ndi m'munsi thirakiti.

Akatswiri azachipatala chazachipatala chazachipatala chachikulu (chofupikitsidwa ngati ICU) akuchita nawo ntchito yowunika wodwalayo atadwala atamuchita opaleshoni. Pali kupitiriza pakati pawo ndi malo opangira opaleshoni, ndipo ngati pakufunika kutero, alangizi osiyanasiyana amafufuza wodwalayo.

Chithandizo chamankhwala (ndi kupita ku chipatala kukazindikira, kugwiritsa ntchito mankhwala ndikuwonetsetsa kuti ikuyenda bwino) kumachitika pokhapokha ngati palibe choopseza moyo, kapamba imayamba popanda mawonekedwe popanda kuyambiranso. Odwala atha kukhala athanzi komanso otakataka, ndipo ntchito yayikulu ndikuwunikira ndikuwunikira njira zomwe zingawonekere kuti zikuwonjezera vutoli ndikuwonetsa njira yoyenera yothandizira (ndi ma enzymes, antispasmodics, ndi mankhwala omwe amakhudza acidity m'mimba).

Ndi dokotala uti amene amapita kukapweteka m'matumbo

Kasitomala ndi chiwalo chomwe sianthu onse amadziwa za malo ake. Ndipo koposa apo, sikuti aliyense amadziwa kuti ndi dokotala uti amene amathandizira kapamba. Komabe, ambiri amatha kusokonezedwa ndi kuphwanya thupi. Chifukwa chake, chidziwitso pa nkhaniyi sichingakhale chopanda tanthauzo.

Mutha kuyankhula za kuphwanya kwa kapamba potsatira zizindikiro izi:

• kulemera pamimba kumanzere,
• kupweteka m'mbali, komwe kumakulirakudya mutatha kudya,
• ululu ndi lamba
• chisangalalo
• nseru

Tisanayankhe funso lomwe adotolo ati agwirizanenso, ndikofunikira kudziwa komwe kumakhala kapamba. Kutengera ndi dzina la limba, titha kunena kuti ili pansi pamimba mbali yake yakumanzere. Ndi gawo la chimbudzi. Ichi ndichifukwa chake gastroenterologist amalimbana ndi mavuto okhudzana ndi kapamba.

Thupi limayang'anira kapangidwe ka michere, kenako amalowa mu duodenum, pomwe amasemphana ndi zinthu zosiyanasiyana zomwe zimapangidwa ndi matumbo.

Komanso kapamba amachita ntchito ziwiri zofunika:

1. Katulutsidwe wakunja ndi kapangidwe ka madzi a pancreatic pakugaya.
2. Katemera wamkati - amatulutsa mahomoni angapo omwe amawongolera kagayidwe kazakudya, mapuloteni ndi mafuta.

Ntchito yayikulu ya thupili imalumikizidwa ndikupanga insulin ndi glucagon. Mothandizidwa ndi oyambayo, chakudya ndi shuga zimatha. Glucagon imatha kuteteza maselo a chiwindi kuti asawonongeke mafuta. Ngati katemera wa pancreatic atachepetsedwa, ndiye dokotala uti amene angakuthandizeni? Potsutsana ndi kuphwanya kwa kupanga mahomoni awiriwa ndi thupi, munthu ayenera kufunafuna thandizo la endocrinologist.

Munthu akatembenukira kwa wina yemwe amachitapo pancreatitis kapena zovuta zina zamatenda ndi zodandaula zina, katswiriyo amafufuza kaye kaye za wodwalayo mogwirizana ndi zomwe akuwonetsa.

Pambuyo pake, wodwalayo amatumizidwa ku mitundu yakuzama yakufufuzira:

• urinalysis
• kuyezetsa magazi - zamankhwala komanso zamankhwala amitundu mitundu,
• kupenda kwamimba m'mimba,
• MRI
• ECG
• pulogalamu - kusanthula kwapadera,
• organ angiography
• bweretsani cholecystopancreatography,
• shuga wamagazi ndi mbiri ya lipid,
• magazi lipase ndi kusanthula kwa amylase,
• kuyesa kwa chiwindi - ALT, bilirubin, AST, etc.

Mitundu yonse yamaphunziro imayendetsedwa payekhapayekha, kutengera zisonyezo zaumwini ndi gawo la matendawa ndi kapamba. Dokotala wokha ndi amene angadziwitse matenda ake omaliza.

Kodi ndi dokotala uti amene amachitira kapamba? Kutengera ndi ziwerengero, nthenda yofala kwambiri ya chiwalo ndi kutupa kwake, kotchedwa pancreatitis. Nthawi zambiri izi zimachitika chifukwa chosowa kapena kupanga ma enzyme ambiri omwe cholinga chake ndi kukonza chakudya. Akatswiri angapo amatha kuchita mankhwalawa nthawi imodzi.

Dokotala aliyense adzakhala ndi dongosolo lake la ntchito kuti athetse vuto la kapamba:

1. Wochiritsayo amathandizira ngati pancreatitis sanatenge mawonekedwe osavuta ndipo amakhala osavuta.
2. Ngati matendawa ali pachimake, pomwe akuphatikizidwa ndi kupweteka, mudzafunika kuonana ndi dokotala, ndipo nthawi zina dokotala wakuthandizani. Zovuta zonse za kapamba zimawonetsa munthu kuchipatala.
3. Ngati kutupa pachimake ndi kapamba kumatha kuchotsedwa popanda kuchitapo kanthu, ndi mankhwala, ndiye kuti gastroenterologist imatengedwa. Kuphatikiza apo, dokotala yemweyo amapereka mankhwala othandizira odwala.
4. Kufunsanso kwa endocrinologist ndikofunikanso, komwe kuyenera kutsogolera wodwalayo kumuwunikira kowonjezereka. Izi ndichifukwa choti kusiyanasiyana ndi kapamba, kupanga insulini ndi glucagon kumatha kukhala kovuta. Ngati izi zili zoona, ndiye kuti mankhwala ogwiritsira ntchito mahomoni ndi omwe amapatsidwa. Ngati mankhwalawa anyalanyazidwa, ndiye kuti matenda am'mbuyomu amayamba chifukwa cha kapamba.

Zikondazo zikapweteka ndipo pakatupa, matendawa amachoka mofulumira ngati akatswiri angapo atenga nkhaniyi, kuwunika mwatsatanetsatane kudzachitika, chithandizo chokwanira chidzalembedwera, wodwalayo amatsata zakudya zina ndikuchita masewera olimbitsa thupi oyenera.

Ngati kufunsira kwa oncologist kungafunike

Ngati munthu wadwala chifuwa chachikulu, ndiye motsutsana ndi izi, mawonekedwe ndi kukula kwa maselo a khansa mu kapamba ndizotheka. Palibe amene angayankhe kuti chitukuko cha chotupacho chikuyamba liti. Mwakuwoneka, maphunziro osiyanasiyana a hardware, monga MRI, CT, ndi zina, amapereka chidwi.

Kuphatikiza pamapangidwe oyipa, ma cysts kapena ma pseudocysts amapezeka nthawi zambiri.

Ngati mukukayikira kuti njira yotupa m'matumbo, muyenera kufunsa dokotala yemwe adzatchedwa oncologist. Katswiri mu gawo ili amasankha njira zothandizira wodwalayo, kudziwa ngati opaleshoni ndiyofunikira kapena ngati chemotherapy ikhoza kugawidwa ndi.

Kutupa kwa kapamba kumafunika kusamala ndi thanzi lanu. Osanyalanyaza malangizo a madokotala ndipo nthawi zonse amakayesedwa. Pokhapokha pokhapokha mudzatha kupewa zovuta zazikulu mtsogolo. Kuti mudziwe zomwe madera amakumana ndi zomwe zingapweteke, muyenera kufunsa akatswiri othandizira kapena a gastroenterologist.

Munthu akakhala wathanzi, samasamala kuti ndi dokotala wamtundu wanji amene amatenga matendawa kapena matendawa. Komabe, kusazindikira koteroko nthawi zambiri kumayambitsa kuti vutoli litakula, wodwalayo sakudziwa kuti adokotala apiteko, akumapeza nthawi yofufuza zambiri. Kuti mupewe izi, ndikofunikira kukhala ndi malingaliro omwe dokotala amachiza kapamba.

Kutupa kwa pancreatic ndi kowopsa ndipo kumafuna chithandizo chovuta. Pachifukwa ichi, ndizovuta kupereka yankho kwa omwe adotolo adziwa. Munthawi zonsezi, munthu aliyense payekha.

Popanga matendawa, kapamba amafunika kufunsa madokotala angapo. Ndani amasamalira matenda:

Ndi dokotala wokha amene akuchita nawo m'derali yemwe angapereke chithandizo choyenera komanso choyambirira. Dokotala pakuyang'ana koyambirira kwa wodwala akuwonetsa ngati pali kulumikizana pakati pa zomverera zopweteka ndi matenda a pancreatic, kapena ngati matenda ena ali ndi zomwe zimapangitsa kuti akule.

Kuti muzindikire bwino momwe kupweteka kumayendera kapamba, ndimayeso a ultrasound, amathandizira kudziwa mawonekedwe a kapamba.

1. Kukula.
2. Echogenicity.
3. Kukhalapo kwa cysts, zotupa.
4. Gawo, kuya ndi malo owonongeka.

Kutengera ndi kuopsa kwa matenda, zamankhwala zimachitika m'madipatimenti opangira opaleshoni, gastroenterology kapena mankhwala. Ngati chotupa chapezeka chifukwa cha kuyesa kwa ultrasound, wozunzidwayo ayenera kukaonana ndi a oncologist.
Ndi kukula kwa chodabwitsa cha kapamba, chomwe dokotala amachiza matendawa.

Powonetsa koyamba matenda a kapamba, akatswiri othandizira amathandizira. Adzaunikira koyambirira, ayankhe kaye ndi kuzindikira.

Dotolo amatenga anamnesis wa matenda, kudziwa kuti ndi liti kapena munthawi iti zomwe zizindikiro zoyambirira zimatuluka, ngati pali kusintha pakukumba, kupweteka pansi pa nthiti.

Chofunikira chachikulu ndicho kupezeka kwa matenda omwe amayenda ndi chiwindi, m'mimba, chikhodzodzo.

Kenako dotoloyo amafotokozera mayeso angapo omwe adzawerengere zamatenda a kapamba.

1. Kusanthula magazi ndi mkodzo.
2. ECG - imakuthandizani kuti musiyanitse pakati pa matenda amtima ndi matenda a peritoneal.
3. Zizindikiro zamayendedwe am'kati.
4. Cop program - imawulula kukhalapo kwa ulusi wosapitilira kapena mafuta m'malo am'mimbamo.

Njira yothandizira ikuphatikiza ndi ultrasound ya ziwalo zam'mimba, endoscopy yam'mimba. Kutengera zotsatira za mayeserowa, dotolo amapanga matenda ndikuwonetsa chithandizo, chomwe chidzachitike mu gawo la mankhwala kapena gastroenterology. Gastroenterologist adzakuthandizani ndi matenda osachiritsika, chokwanira cham'mimba komanso chidziwitso chogwirizana ndi matumbo ndi m'mimba.

Ngati chithandizo sichingachitike popanda kuchitidwa opaleshoni, tumizani kwa dokotala wa opaleshoni.

Chithandizo cha thumbo chimagwiritsidwa ntchito ngati njira yodziyimira, komabe, ndi zovuta zina, wodwalayo ali ndi mwayi wopeza mwayi wochita opaleshoni mwadzidzidzi.

Makamaka, izi ndizofunikira mu mtundu wawukulu wa matenda. M'matumbo, ma cysts ndi malo owonongeka amapangidwa omwe amatha kudzilimbitsa.

Madokotala ochita opaleshoni amayesa kuthawa opaleshoni yotseguka ngati pakuchulukitsa kwa matenda. Ndiye njira zochepa zowukira zimagwiritsidwa ntchito. Mwachitsanzo, punct yokhala ndi mawonekedwe a drainage motsogozedwa ndi ultrasound. Chithandizo pambuyo pakuchotsa kwa dokotala wa opaleshoni chikuchitika ndi dokotala ngati kuwonongeka kwa minofu kumachitika pakadwala komanso kusintha mobwerezabwereza m'mapensulo kulipo.

Mu magawo akulu a matendawa omwe angathe kusokonezeka ndi necrosis, wozunzidwayo amapititsidwa kumalo osamalira odwala. Kuchiritsa kumachitika ndi ma resuscitators, opaleshoni. Pambuyo pokhazikitsa thanzi, wozunzidwayo amasamutsidwa kumalo osavuta.

Matendawa akapita kuzilumba za Langerhans, gland imalephera kutulutsa insulini mu kuchuluka kofunikira, ndipo mavuto a endocrine amatuluka. Kuphatikiza apo, wodwalayo amachepetsa kaphatikizidwe ka glucagon, somatostatin. Amayambitsa digestibility yama chakudya ndi mapuloteni. Izi zikuwonetsa kuti kuwonjezera pa kapamba, wodwalayo amakhala ndi matenda ashuga ndi zina.

Kuti mupewe izi, muyenera kufunsa wa endocrinologist. Dokotala amawunika momwe munthu akuvutikiradi, akuwonetsa kuchuluka kwa shuga. Ndipo imagwiritsanso ntchito kusintha kwa kadyedwe ka matendawa ndi kugwiritsa ntchito mankhwala a mahomoni.

Othandizawa atumizanso kutumiza endocrinologist ngati kuyezetsa magazi kuwulula kuphwanya shuga.

Njira yotupa yopatsirana m'mapapo imabweretsa mavuto ambiri. Nthawi zambiri wochiritsirayo samatha kusintha mankhwalawo m'njira yoyenera, chifukwa chothandizidwa ndi gastroenterologist adzafunika.

Dokotala adzakuthandizani kukhazikitsa tebulo labwino la zakudya, kudziwitsa za kuchuluka kwa zakudya ndi matenda. Kuphatikiza apo, adotolo amafunikanso posankha kuchuluka kwa michere. Njira yothandiza yogaya chakudya imadalira mlingo woyenera pamene kuukira kudutsa.

Chithandizo chowonjezera, chophatikiza ma proiotic, mavitamini ndi mankhwala omwe amasintha chitetezo cha mthupi, amachitidwanso ndi gastroenterologist.

Pa nthawi yayitali ya matendawa popanda kulandira chithandizo, maselo onse am'mimba komanso ziwalo zina zam'mimba zimavutika.
Zinapezeka kuti palibe mankhwala ochizira kapamba omwe amayambitsa khansa kapamba, m'mimba ndi chiwindi.
Kuzindikira kwa tumor ndi motere:

• Ultrasound
• compression tomography,
• magonedwe amatsenga.

Ngati wozunzidwayo satsatira malangizo a dokotalayo, ma cysts ndi zotupa za m'munsi zimapangidwa mu minyewa ya kapamba. Ngati vuto lofananalo likuyembekezeka, ndikulimbikitsidwa kukaonana ndi a oncologist. Kutengera zotsatira zowunikira, dotolo apeza kuthekera kwa mapangidwe a khansa pa kapamba, m'mimba, chiwindi, chifukwa alumikizidwa.

Kuyambanso kufunafuna chidziwitso chomwe dokotala atembenukire kapamba akamapumira, ndikofunikira kumvetsera kuzowonetsa za matenda. Pali zochitika zina zomwe wodwala amazunzidwa ndi impso, ndipo amapita kwa dokotala wa gastroenterologist.
Kuwonetsedwa kwa matenda osakhazikika a kapamba:

1. Zochitika zopweteka m'mimba, pansi pa nthiti kuchokera kumanzere, zomwe zimakulitsidwa ndikugwiritsa ntchito chakudya.
2. Kuchepetsa mseru
3. Kutsekula m'mimba, kudzimbidwa.
4. Zofooka.
5. Mapangidwe amipweya, belching.
6. Kulakalaka.

Ngati zikondazo zimayaka, ululu umapezekanso pansi pa nthiti yakumanzere komanso kumbuyo kumanzere. Mawonetseredwe otere nthawi zambiri amasokoneza, chifukwa osteochondrosis amaganiza, ndipo nawo, ovutitsidwa samakonda kupita kwa dokotala.

Ngati matenda a pachimake akuwoneka, kupweteka kwam'mimba kumapangidwa m'chigawo chapamwamba, chomwe chikuwonetsa matenda a gland. Kuti muthandizire panthawi yakukhudzidwa, ndikofunikira kuyitanitsa chithandizo chamankhwala, popeza kuvulala kopweteka sikumalephera ndipo kumabweretsa zovuta zambiri kuti zotsatira zake ziphe. Madotolo awonetsa chisamaliro chachipatala choyambirira ndikumutengera wodwala kuchipatala.

Ndi dotolo uti yemwe azichita chithandizo chotsatira chifukwa cha mayeso athunthu. Pazachipatala, kapamba amathandizidwa mu opareshoni, gastroenterology kapena mankhwala.

Pancreatitis ndi imodzi mwazomwe zimapangidwira kwambiri pamimba. Amapangidwa chifukwa chamadyekedwe osakudya, popanda kumwa mowa, kumwa mitundu ina ya mankhwala.

Njira yotupa m'matumbo imafalikira ndi zizindikiro zomwe zimadutsa ndikuwonetsa poizoni. Enzyms zomwe zimayambitsa matendawa zili m'mayendedwe a gland kapena mwa iyo, ndikuwononga kuchokera mkati.

Kuphatikiza apo, ma enzyme amatha kulowa mu magazi, zomwe zimabweretsa kuledzera.

Mu gawo lachiwopsezo chachikulu cha kapamba, wodwalayo amakhala akuzunzidwa ndi kupweteka kosaloleka m'mimba. Ali ndi chopanda pake kapena chodulira chake. Ululuwu ndi waukulu kwambiri kotero kuti ungayambitse kukula kwa kuwawa. Matendawa amakhala padera kumanja kapena kumanzere pansi pa nthiti, kapena ili kumapeto kwa chifuwa. Dera la ululu wamatenda zimatengera gawo liti lachiberekero lomwe limayambitsa zotupa. Ndi kuwonongeka kwa kapamba wonse, ululu wammbuyo umakhala ndi chozungulira.
Njira yosavuta yodzithandizira ndi zowawa m'mapamba ndizovuta pang'ono.

Kuonjezera kuchipatala kumafunikira kuti apereke mankhwala ozindikira komanso ochizira. Njira zamankhwala zothandizira zimakhala:

• pothetsa kutupa,
• kuchotsa kwa poizoni m'thupi,
• kuchita njira yochizira.

M'masiku atatu oyamba, kusala kwathunthu kumafunikira. Izi zimathandizira kuti thupi liyambe kuchira ndikuyamba ntchito zomwe zimachitika nthawi zonse. Kenako mutha kungoyatsa zakudya, kuti ziwonongeke bwino. Ngati mutsatira zakudya, ndizotheka kuchepetsa chiopsezo chokhala ndi zatsopano ndikuwonjezera kubwezeretsa kwathunthu.

Dokotala wokhala ndi matenda omwe amalumikizidwa ndi pancreatic pathologies anganene kuti matendawa amathandizidwa nthawi yomweyo zizindikiro zoyambirira zikaonekera. Chithandizo cha matendawa chimatengera zinthu zomwe zimayambitsa kukoka, komanso mitundu ya zomwe zimachitika. Mankhwala ochiritsira amachitidwa ndi katswiri kapena gastroenterologist.

Mkhalidwe woyambirira wa kuchiritsa ndi chakudya chokhwima. Poyamba, wodwalayo ayenera kumwa madzi kuti abwezeretse ntchito ya chiwalo. Kenako dokotala adzakudziwitsani nthawi yoyambira kudya. Sizoletsedwa kudya mbale yokazinga, mafuta, zonunkhira komanso zotsekemera.

Komanso adotolo azikupatsirani mankhwala othandiza enzyme. Athandizira thupi kugwira ntchito palokha.
Ndikotheka kugwiritsa ntchito njira zina pochizira chiwalo, pomwe koyambirira kumafunikira kukaonana ndi dokotala.
Pakakhala mavuto ndi ziwalo zogaya, poyambirira zimayenera kupita ndi kapamba kupita kwa ochiritsira. Kutengera kuyesedwa koyambirira komanso kuyesedwa kochitidwa, dokotalayo adzapitiliza yekha ndi chithandizo chamankhwala kapena kulemba kalata kwa dokotala wina kuti athetse vutoli.

Zikondamoyo ndi chimodzi mwa ziwalo zazikuluzikulu za munthu. Ntchito yolakwika imayambitsa mavuto m'thupi lonse. Pazizindikiro zoyambirira za vuto la ziwalo zolimbitsa thupi, upangiri waukatswiri umafunika, koma sikuti aliyense amadziwa omwe adotolo amasamalira kapamba.

Ndi dokotala uti amene amasamalira kapamba

Matumbo amtundu wa pathologies amathandizidwa ndi a gastroenterologist. Chimodzi mwazovuta zambiri za kapamba ndi kapamba. Matenda ndi njira yotupa yomwe imatsogolera kusintha kwa minofu. Matendawa ndi osachiritsika komanso opweteka.

• kugwiritsa ntchito mankhwala amphamvu,
• kuvulala
• mavuto pambuyo matenda,
• matumbo
• kumwa mowa.

6 zimayambitsa pancreatitis

Zizindikiro zodziwika bwino za mavuto a pancreatic:

1. Kusanza, kusanza.
2. Ululu mu quadrant wapamwamba kumanzere.
3. Kupanda chilimbikitso.
4. Kufalikira, chisangalalo.
5. Matenda amkati.

Kukula kwa zizindikiro zomwe zili pamwambazi mwachindunji zimadalira kukula kwa matendawo. Ngakhale pa gawo loyambilira la pathology, thupi la munthu lifunika michere. Pokhala ndi chakudya choyenera, padzakhala kusowa kwamadzi pakhungu, misomali yothina, kuchepa kwa mavitamini, komanso kuchepa thupi. Kuphatikiza pa kapamba, necrosis, matenda a shuga, calculi mu ma ducts ndi adenocarcinoma amapezeka kawirikawiri.

Zizindikiro za thupi zokhudzana ndi matenda apamba

Mu chilonda chachikulu cha pancreatitis, chomwe chinayambika mosayembekezereka, pamakhala kupweteka kwa m'chiuno ndi kupweteka komwe kumaphimba kumbuyo ndi kumanzere kwa thupi. Mukamagwedezeka, ululu umacheperachepera, koma mankhwalawa samathandiza pancreatitis. Nthawi zambiri, kuchulukitsa kwa matendawa kumayendera limodzi ndi kusanza.

Yang'anani! Matenda osachiritsika amadziwika ndi kupweteka kwapafupipafupi komwe kumachitika nthawi yowonjezera.

Pamaso pa necrosis, ma enzyme ochulukirapo amatulutsidwa m'thupi la munthu chifukwa chakufa kwa gawo lina la nduyo. Zizindikiro za matendawa ndi kutentha thupi, kusanza, kutsegula m'mimba, kupezeka kwa mawanga amtambo pafupi ndi msomali, mbali ndi pamimba. Pambuyo pakuwonekera kwa zizindikiro izi, thandizo la katswiri ndilofunikira.

Munthu sakudziwa komwe kapamba amapezeka mpaka pali zizindikiro za matenda ake. Zizindikiro zoyambirira zomwe zimafunikira upangiri wa zamankhwala ndi mseru, kusisita, kupweteka m'chiuno mutatha kudya. Chiwalocho chimakhala kumanzere pansi pamimba, chifukwa chake chimayesedwa ngati gawo logaya chakudya. Ma Enzymes omwe amapangika ndi kapamba, mutalowa mu duodenum, agwetsani michere muzinthu zina. Thupi limayendetsa kagayidwe ka mapuloteni, mafuta ndi chakudya chifukwa cha mahomoni, komanso limapangira timadzi ta pancreatic popakidwa chakudya.

Pancreas malo

Ma mahomoni akabisika ndipo njira za metabolic zimakhazikika, ntchito ya endocrine imakhudzidwa. Zikondazo zimatulutsa madzi okwanira lita imodzi ya madzi patsiku, komanso ma lipases, ma amylase, ndi ma trypsins, omwe amathandizira kuti chakudya chikhale ndi mapuloteni. Ntchito yamkati imalola kupanga ma glucagon mahomoni, insulin. Kugwiritsa ntchito insulin, thupi la munthu limapukusa shuga ndi chakudya.

Glucagon wa mahomoni amathandiza kuteteza chiwindi kuti chisawononge mafuta. Ngati pali ma pathologies am'magazi a glucagon ndi insulin, kufunsa kwa endocrinologist kungafunike. Kuchita kwa kapamba kumakhudza mkhalidwe wam'mimba komanso thupi lonse laumunthu.

Anthu mamiliyoni ambiri amapita kuchipatala ndi matenda am'mimba, kuphatikizapo matenda a kapamba. Matendawa amaphunziridwa bwino, chifukwa chake, mothandizidwa ndi zamankhwala, thanzi limatha kusintha. Pazizindikiro zoyambirira zamatumbo am'mimba, ndikofunikira kulumikizana ndi akatswiri monga dokotala wamkulu, endocrinologist, dokotala wa opaleshoni, gastroenterologist, oncologist.

Ntchito ya pancreatic

A kwambiri mawonekedwe a kapamba angayambitse kuwoneka kwa neoplasms ndi cysts osati pancreas, komanso pamimba ndi chiwindi. Dziwani kuti chotupacho chimalola ultrasound, ERCP, MRI, CT. Kutengera ndi zotsatira za kafukufukuyu, adotolo adzalembera chemotherapy kapena opaleshoni. Matendawa ndi ovuta kuthandizira ndipo nthawi zambiri amakhala ovuta chifukwa cha kupezeka kwa neoplasms kapena matenda a shuga. Kulowetsa kuchipatala mosavomerezeka kumapangitsa kuti ma opaleshoni ayambe kuchitidwa opaleshoni ndikuyenda bwino m'maso.

Dokotala wam'deralo amatha kuchezeredwa chifukwa cha matenda opepuka a kapamba, osati pachimake kapamba, kapena matenda ena okayikitsa. Kuunika ndi kuyesa kwa Ultrasound kumathandizira kuti adziwe matenda, ndipo ngati kuli kotheka, katswiriyo amamuthandiziranso kwa gastroenterologist. Nthawi zambiri zizindikiro za matenda a kapamba zimayenderana ndi matenda ena monga osteochondrosis, herpes zoster, omwe akatswiri amawazindikira atawunika. Pambuyo pochotsa nthenda yowopsa ya nthendayi, wochita zamankhwala amawauza kusintha kwa zakudya ndi moyo, pambuyo pake wodwalayo amalembetsedwa ndipo nthawi ndi nthawi amapita akatswiri odziwa ntchito.

Dokotala wakwanuko amatha kuchezerani matenda a m'mapapo a kapamba

Uyu ndiye dokotala wamkulu, yemwe ayenera kufunsidwa kuti apeze zovuta ndi kapamba. Mwa kudziwa ululu wamalonda, katswiri azindikire kuti ndi gawo liti lomwe lawonongeka. Kuchuluka kwa kuchuluka kwa leukocyte kumawonetsa kutupa. Kuti adziwitse matenda ake, dokotalayo amapereka mankhwala a urinalysis, coprogram, ultrasound, MRI mosiyana ndi x-ray. Kafukufuku akuwonetsa kuchuluka kwa maulendo atatu, ma lipases ndi ma amylase m'magazi a anthu.

Gastroscopy imagwiritsidwa ntchito kuwunika gawo lomwe limakhudzidwa ndi m'mimba ndi duodenum mu pathological process. Mulingo wambiri wa ESR ndi maselo oyera oyera amawonetsa matendawa. Cholangiopancreatography imakuthandizani kuti muphunzire za zowonjezera zosagwirizana, kupindika kwa stenosis, malembedwe opindika. Kuti mupeze neoplasms, ERCP imagwiritsidwa ntchito.

Kutengera ndi thanzi la wodwala komanso matenda ake, dotolo amatha kupatsa ena njira zowunika:

• mayeso a kuperewera kwa chymotrypsin
• kusangalatsa ndi cholecystokinin ndi kapangidwe ka enzyme pambuyo pake,
• kukondoweza kwa secretin ndi muyeso wa chitsulo cha bicarbonate.

Dokotala wa gastroenterologist ndiye dokotala wamkulu yemwe ayenera kufunsidwa kuti apeze zovuta ndi ziphuphu

Mayeso omwe ali pamwambawa amachitidwa atatola kuyesedwa kwa kapamba pogwiritsa ntchito prood wa duodenal. Pafupifupi chipatala chilichonse chimakhala ndi gastroenterologist, ngakhale pakakhala kusowa kwanu mutha kupita kuchipatala kuti mukakambirane. Osayendetsa matenda a pancreatic, apo ayi mavuto sangathe kupewedwa.

Pankhani yamavuto opanga insulin, dokotalayo amakupangira chithandizo, chomwe chimaphatikizapo mankhwala omwe amalocha mahomoni. Ndi kuvomerezedwa kwakanthawi kuchipatala, zimatengera kuti wodwalayo akhale ndi matenda opatsirana ngati shuga. Mu kapamba pali maselo omwe amapanga insulin, somatostatin, glucagon, omwe amayang'anira kuchuluka kwa glucose mthupi.

Kutupa mu kapamba kumatha kuyambitsa cell necrosis, chifukwa chomwe shuga ndi zovuta zina za endocrine zimayamba. Ndi kuchulukana kwa kapamba, kuchuluka kwa ma amylase ndi glucose mu mkodzo kumawonjezeka, osati m'magazi okha. Komanso, momwe wodwalayo amayang'aniridwa ndi endocrinologist.

Pankhani ya matenda a kapamba, ndikofunikira kukaona endocrinologist

Katswiriyu ndikofunikira pancreatitis yovuta kwambiri, pomwe wodwala adzafunika kuchipatala komanso kulandira chithandizo kuchipatala. Pakuwopsa kwa kapamba, ma dontho ndi ma pinkil amalembedwa kuti azichotsa zizovuta m'masiku angapo. Kuchita opareshoni kumachitidwa pomwe miyala imalepheretsa zofunikira za chiwalo. Dokotala wothandizira azitha kusiyanitsa kapamba ndi zilonda zam'mimba, cholecystitis kapena appendicitis, omwe ali ndi zizindikiro zofanana.

Dokotala wothandizira amafunikira pancreatitis yovuta, pamene wodwala akufunika kuchipatala

Poyamba kufunsa, adokotala azitha kunena ngati ululu wammbuyo umalumikizana ndi kapamba kapena ayi. Kuunika ndi kusanthula kudzakuthandizira kudziwikitsa koyenera, pambuyo pake katswiriyo adzapereka mankhwala a matenda enaake. Ultrasound imakupatsani mwayi kuti mupeze gawo la kuwonongeka kwa ziwalo ndikuzindikira matenda mwa izi:

• kukulitsa England
• kukhalapo kwa neoplasms,
• heterogeneity ya echogenicity.

Ngati chotupa chapezeka pa ultrasound, munthu amamuika kuti awonane ndi oncologist. Kutengera ndi zotsatira za mayeso, dokotalayo amakupatsani mankhwala othandizira kapena opaleshoni. Ngati mukuwonjezereka komanso kupweteka kwambiri, wodwalayo amatengedwa kuti amupangire kuti aunikidwe ndi dokotala wa opaleshoni kapena wotsitsimutsa, kutengera mkhalidwe wa munthuyo panthawi ya kuchipatala.

Poyamba kufunsa, adokotala azitha kunena ngati vuto la ululu limayenderana ndi kapamba kapena ayi

Pambuyo kuwonetseredwa kwakukulu kwa matenda apachifwamba atachotsedwa, wodwalayo amatumizidwa kwa gastroenterologist. Katswiri adzalangiza zakudya zamagulu azakudya, zomwe zingathandize kukonza mkhalidwe wa wodwalayo ndikuchepetsa chiopsezo chowonjezereka mtsogolo. Ngati malangizowo sanatsatidwe, pancreatitis ibwerera posachedwa, koma mawonekedwe owopsa.

Wodwala wokhala ndi matenda osachiritsika ayenera kutsatira zakudya zapadera. Ndi kuchulukitsa, ndikofunikira kukana chakudya osachepera masiku angapo. Chosiyana ndi madzi osakhala a carbonated. Kenako mutha kudya chakudya m'magawo ang'onoang'ono kasanu patsiku. Zakudya zopatsa thanzi zimaphatikizapo zakudya zambiri zama protein komanso zochepa zomwe zimakhala ndi mafuta ndi chakudya. Kukhala kothandiza kugwiritsa ntchito mafuta ofunda kapena otentha owira.

1. 
   Tabidze Nana Dzhimsherovna Matenda A shuga. Moyo, Dziko - Moscow, 2011 .-- 7876 c.
2. 
   Dreval, A.V. Kupewa kwamachulukidwe amakono a shuga mellitus / A.V. Zopanda, I.V. Misnikova, Yu.A. Kovaleva. - M: GEOTAR-Media, 2013 .-- 716 p.
3. 
   Potemkin V.V. Zadzidzidzi muchipatala cha matenda a endocrine, Mankhwala - M., 2013. - 160 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi zikondwerero zimatha bwanji

Kutikako kumagawika m'madipatimenti atatu: mutu (womwe umapezeka mkati mwa duodenum), thupi (lophatikizira kutsogolo, kumbuyo ndi pansi ndi mchira (woloza kumanzere ndi kumanzere).

Kapangidwe ka chiwalocho chimachitika chifukwa cha ntchito ziwiri zomwe zimachitika mthupi.

1. Ntchito ya exocrine, yomwe imaperekedwa ndi minofu yopangidwa ndi lobules yaying'ono - acini. Iliyonse ya mabulowa imakhala ndi duct. Ma ducke onsewa amalumikizidwa kukhala njira yolumikizirana, yomwe imayenda kutalika konseku. Imalowa mu duodenum, imapereka kuperekera kwachifungo ku chimbudzi chija.

Zikondazo zimatulutsa michere:

• Amilazuzomwe zimapangitsa kuti mafuta asungunuke,
• trypsin ndi chymotrypsin, pokhudza chimbudzi cha mapuloteni omwe amayambira m'mimba,
• lipaseyankho la kuphwanya mafuta.

Enzymes amapangidwa ndi chitsulo mu mawonekedwe osagwira. Chakudya chikalowetsa duodenum, zimakhudzidwa ndimitundu zingapo zomwe zimayambitsa izi.

Kupanga kwa madzi a pancreatic kumakhudzana mwachindunji ndi chakudya: zomwe zimapezeka mu michere ina zimatengera mtundu wa chakudya.

2. Ntchito ya Endocrinewopangidwa ndi kutulutsa kwa insulin, glucagon ndi mahomoni ena kulowa m'magazi. Insulin imapereka lamulo la chakudya ndi mafuta metabolism, amachepetsa kuchuluka kwa shuga m'magazi. Glucagon imawonjezera chizindikirocho, pokhala wotsutsana ndi insulin.

Matenda a kapamba: zimayambitsa ndi zizindikiro zaponseponse

Mitundu yambiri ya pathological ya kapamba imawonetsanso chimodzimodzi.

• Ululu. Kuwonekera pamimba yapamwamba, kufalikira kudera la epigastric komanso hypochondrium. Amatha kukhala ndi chikhalidwe chomangira, kupatsa kumbuyo, pansi pa tsamba lamanzere. Monga lamulo, samachotsedwa atatha analgesics ndi antispasmodics. Kutengera ndi zomwe zikukula, matendawo amatha kukhala obooleka komanso osatha, angakulitse kudya kwambiri, kugwiritsa ntchito mafuta, zonunkhira komanso zakudya yokazinga, komanso mukamwa. Mothandizidwa ndi kutentha, ululu umakulirakulira, kuyambira kuzizira, kumachepa. Amafooka ngati wodwalayo wagona pambali pake ndi mawondo ake atakwezedwa pachifuwa chake, kapena atakhala moyang'ana kutsogolo.
• Mawonekedwe a Dyspeptic: chisangalalo, mseru, kusanza, komwe sikubweretsa mpumulo, chopondera chopondapo. Ma Fecal misa amakhala opangika, kukhala ndi mawonekedwe ofanana ndi phala komanso fungo losasangalatsa. Chizindikiro chodziwika bwino cha matenda akhunyu ndi mafungo "mafuta". Kutsegula m'mimba kumatha kulowa m'malo mwa kudzimbidwa.
• Kuchepetsa chilimbikitso, kuchepa thupi msanga.
• Ndi kapangidwe ka matenda kusintha kwa khungu: imapeza penti yachikasu kapena kutulutsa pallor. Cyanosis ya zala, napolabial patatu ndi khungu lam'mimba nthawi zina zimadziwika.

Kuwoneka kwa zizindikiro zotere kumachitika chifukwa cha zifukwa zingapo.

• Mowa
• zolakwika pazakudya: zakudya zopanda chakudya, kugwiritsa ntchito mafuta pafupipafupi, zakudya zazonunkhira, mipata yayikulu pakati pa chakudya,
• Matenda a ndulu ndi duodenum,
• kuvulala kwam'mimba, kulowererapo, zotsatira za njira zina zodziwira matenda,
• kudya kwa nthawi yayitali, makamaka kusalamulirika kwa mankhwalawa omwe amachititsa mwankhanza gland (maantibayotiki, mankhwala okhala ndi estrogen, glucocorticosteroids, acetylsalicylic acid, mitundu ina ya diuretics, mankhwala a sulfanilamide, etc.),
• matenda apitawo (mumps, hepatitis B, C),
• kupezeka kwa tiziromboti m'mimba,
• malapso obadwa nawo pancreatic duct,
• ambiri kagayidwe kachakudya,
• kulephera kwa mahomoni
• mtima matenda.

Mphamvu ya mowa pa kapambafotokozeredwa mu vidiyo iyi:

Pachimake kapamba

Mkhalidwe wodziwika ndi kusokonezeka kwa kutulutsidwa kwa ma enzymes opangidwa ndi gland mu duodenum. Popeza adalowetsedwa mu chiwalo chomwechi, amayamba kuchiwononga ndikuyambitsa kutupa.

Chizindikiro chachikulu cha pancreatitis pachimake imanenedwa ngati ululu pamimba, nthawi zambiri kuzungulira. Opaleshoni samabweretsa mpumulo. Zizindikiro za Dyspeptic zodziwika bwino za matenda a kapamba zimawonekera: kusanza, komwe sikumachepetsa vutoli, kuphwanya chopondapo, kufooka wamba.

Matenda a kapamba

Matendawa amakhala ngati atakhala kwa nthawi yayitali, amakhala atatulutsa nthawi yochulukirapo komanso kuchotsedwa. Mu gawo loyambirira la matendawa, zizindikilo zomwe zimadziwika nthawi zambiri zimakhala zopanda, kapena kuchepa mphamvu ndipo ndizovuta kusiyanitsa ndikuwonetsa matenda ena. Nthawi imeneyi imatha kukhala zaka zingapo. Zizindikiro zoyambirira zikaonekera, zovuta m'matumbo zimayamba kale.

Kuchulukitsa kwa matendawa nthawi zambiri kumayambitsa kuwaza kwa zakudya zonunkhira, mafuta kapena okazinga, mowa. Madandaulo akulu ndikumva kupweteka pamimba, nthawi zambiri mu hypochondrium yamanzere. Ululu umayenda ndi flatulence, nseru ndi kusanza, malo osakhazikika.

Kupitilira patsogolo kwa matendawa kumabweretsa kusintha kwa pathological mu gland: minofu yake imasinthidwa pang'onopang'ono ndi minyewa yolumikizana, yomwe siyikutha kupanga michere. Kuperewera kwawo, kumapangitsa, kusokoneza magwiridwe antchito am'mimba.

Kukula kwa matendawa pakalibe chithandizo choyenera kumayambitsa zovuta zazikulu, zomwe zimakhala ndi matenda osokoneza bongo, kupweteka kwa neoplasms mu glandular minofu, aimpso, pulmonary ndi chiwindi.

Madotolo amawona kuchuluka kwa odwala kapamba chifukwa cha kuchuluka kwa zakudya zopatsa thanzi, makamaka kudya mwachangu komanso zakudya zosavuta, komanso kumwa zakumwa zoledzeretsa.

Khansa yapakansa

Ziwopsezo za matendawa zikukula chaka ndi chaka, nthawi zambiri zimakhudza anthu achikulire. Zowopsa zomwe zimachitika ndikumwa mowa, zakudya zamafuta ndi zonunkhira, kusuta, kupezeka kwa matenda ashuga ndi chiwindi, chifuwa chachikulu.

Kuposa theka la milandu, chotupacho chimapezeka m'mutu wa gland ndipo ndi malo abwino kwambiri osatchulira malire.

Kuwonetsedwa kwa matendawa koyamba nthawi zambiri musanatchulidwe kovuta, chifukwa chake, chotupachi chimadziwika kwambiri kumapeto kwa chitukuko, nthawi yayitali asymptomatic.

Kupita patsogolo kwa matendawa kumawonetsedwa ndi kupweteka pamimba yapamwamba, kuwonjezereka pakugona, kuchepa chilakolako cha thupi ndi kunenepa kwambiri, kutentha kwa thupi, ndi kufooka. Chotupa chomwe chili m'mutu mwa nduyo chimalepheretsa mapere am'madzi, motero jaundice imayamba.

Koyamba, opaleshoni ndiye njira yothandiza kwambiri yamatenda. Kuchepetsa chiopsezo chobwereranso pambuyo pakuchita opaleshoni, komanso ndi zotupa zosagwiritsidwa ntchito, mankhwala a chemotherapy ndi radiation amagwiritsidwa ntchito.

Pancreatic cyst

A pathological mkhalidwe chifukwa cha kupangika kwa neoplasm odzaza madzimadzi. Cholinga chachikulu cha izi ndikutchinga milawu kapena kuphwanya kwa msuzi wa pancreatic mu duodenum. Nthawi zina, zimachitika ngati pancreatitis, matenda a ndulu, chifukwa cha kuvulala kwa gland kapena majeremusi.

Cysts yaying'ono nthawi zambiri siziwonetsa mwanjira iliyonse, pokhapokha pakukula kwa matenda kumakhala kutopa, kufooka, kupweteka pamimba, mavuto a dyspeptic, komanso mwina kuwonjezeka kwa kutentha kwa thupi. Ngati kufalikira kwa chotupa kumayambitsa kuphatikizika kwa dzuwa, kupweteka kwambiri kumawonekera. Neoplasms yayikulu imatha kupezeka ndi dokotala palpation.

Mtundu woyamba wa shuga

Matenda osachiritsika amapezeka pamene kapamba amasiya kupanga insulin. Zotsatira zake ndi kuwonjezeka kwa shuga m'magazi.

Zomwe zimayambitsa matenda a shuga 1 sichidziwika bwinobwino. Nthawi zambiri, zimayamba chifukwa cha kulephera kwa autoimmune. Ma cell a pancreatic omwe amapanga insulin, thupi limayamba kuzindikirika ngati lachilendo choncho limawonongeka.

Monga zinthu zina zomwe zimatsutsana ndi gland iyi, zadziwika:

• Kulemera kwambiri
• kuperewera kwa zakudya, kudya mafuta ambiri ndi chakudya chamafuta,
• nthawi zambiri zokumana ndi zovuta za nkhawa.

Zizindikiro za matendawa nthawi zambiri zimawonekera mwadzidzidzi. Pali kumverera kosalekeza kwa njala, polyuria (kukodza kwambiri), ludzu, kuchepa thupi, mawonekedwe akuwoneka oyipa a pakhungu. Munthu amamva kutopa kosayenerera.

Kukhazikika kwa mahomoni awa kuchokera kunja kumafunidwa, chifukwa chake mtundu uwu wa matenda umatchedwa insulin wodalira shuga.

Kuzindikira matenda a kapamba

Zizindikiro za ma pathologies oterowo nthawi zambiri zimakhala zofanana ndi zizindikiro zosokoneza pakugwira ntchito kwa ziwalo zina zam'mimba. Chifukwa chake, gawo lofunikira limaseweredwa ndi diagnostics ovuta.

• Njira zasayansi (biochemical kusanthula kwamkodzo ndi magazi, Coprogram, mayeso kuwulula kuperewera kwa enzymatic).
• Njira za zida (X-ray ndi ultrasound, fibroesophagogastroduodenoscopy, kusiyanitsa duodenography, computer tomography, gland biopsy).

Momwe mungachiritsire matenda a kapamba

Chithandizo cha pachimake zinthu zomwe zimayambitsa matenda a chiwalochi zimachitika kuchipatala. Chifukwa chokhala ndi mseru kwambiri komanso kusanza, kukonzekera konse kofunikira kumaperekedwa kwa wodwala monga jakisoni kapena mothandizidwa ndi akutsikira.

Kuphatikiza mankhwala kumathandizira kuchepetsa ululu, kuchotsa kuledzera ndikuchepetsa ntchito ya michere. Ngati cholinga cha kutukusira kwa purulent chikapangidwa, maantibayotiki amaikidwa.

Nthawi zina, chithandizo chawofatsa sichimapereka zotsatira zoyenera, ndipo kuchitapo kanthu kwa opaleshoni ndikofunikira.

Zinthu zikayamba kuyenda bwino, wodwalayo amapatsidwa mankhwala a pancreatin, omwe amakhala ndi puloteni yomwe nthawi zambiri imapangidwa ndi minyewa chakudya chikalowa m'mimba. Imagwiritsidwa ntchito mpaka ntchito za kapamba zimabwezeretsedwa bwino. Odwala ena omwe adakhala ndi pancreatitis yayikulu, komanso akudwala matenda osachiritsika, amakakamizidwa kumwa mankhwalawa kwa moyo wawo wonse.

Mukuchira, chithandizo cholimbitsa chokwanira chimayikidwa, kuphatikiza mavitamini amamineral mineral ndi ma immunostimulants.

Njira zina zochizira

Pazovuta za matenda a pancreatic, kugwiritsa ntchito mankhwala azikhalidwe ndi zovomerezeka.

Mphamvu yakuchiritsa pachakudya ichi chimaperekedwa ndi mankhwala othira kunyumba a oat.

• Oatmeal odzola. Kuti mukonzekere, thirirani kapu ya chimanga ndi lita imodzi ya madzi owiritsa, ikani malo osamba madzi ndi kuphika theka la ola. Odzola utakhazikika amayenera kuledzera ½ chikho 3-4 pa tsiku musanadye.
• Mkaka wamkaka Zimatenga magalamu 100 a phala wosasenda, 1.5 malita a madzi. Wiritsani mafuta osambitsidwa ndi madzi kwa mphindi pafupifupi 40. Ikakhala yofewa, imayenera kudulidwa. Ndikofunikira kuchita izi ndi dzanja blender mu mbale yomweyo. Zotsatira zosakanikirana ziyenera kuphikika kwa mphindi 20-30. Imafunika kusefedwa. Imwani mankhwala otere ayenera kukhala katatu patsiku kwa ½ chikho. Mkaka wa oat umasungidwa mufiriji osapitilira masiku atatu.

Amathandizira madzi a mbatata yaiwisi. Grated yaiwisi mizu masamba Finyani, imwani msuzi mu 100 ml 2 maola musanadye.

Anti-yotupa ndi antispasmodic zotsatira adzakhala ndi tincture kutengera youma zida za chamomile ndi wosabereka. Supuni ya osakaniza azitsamba adzafunika 200 ml ya madzi otentha. Mankhwalawa amayenera kupatsidwa kwa mphindi 30 kenako ndikuvutikira. Mafuta 120 ml 2-3 kawiri pa tsiku theka la ola musanadye.

Zochizira kapamba, chicory ya pansi imagwiritsidwa ntchito. Itha kugwiritsidwa ntchito m'malo mwa tiyi kapena khofi pakutenga supuni ya kapu mu kapu yamadzi.

Pankhani ya kuphwanya kapamba, mankhwala ochiritsira wowerengeka sayenera kuloweza chithandizo chachikulu chomwe dokotala wakupatsani.

Zakudya achire

Zakudya za zakudya zamatenda a kapamba ndimtundu wa zovuta mankhwala.

Munthawi yowonekera kwambiri, kusala kudya kumalimbikitsidwa kwa wodwala. Zizindikiro zoyipa zikachepa, chakudya chamadongosolo chimayambitsidwa pang'onopang'ono menyu.

Nthawi zambiri, mawonetseredwe a matenda apakhungu amachititsa kuti thupi lichepe. Chifukwa chake, ndikofunikira kuyang'anira boma lakumwa, ndikuwonetsetsa kuti madzi abwezanso madzi.

1. Kupatula kwathunthu kumayikidwa pazokazinga, zophika, mafuta, zonunkhira, mbale zamchere, nyama zosuta, zakudya zamzitini (kuphatikiza zopangidwa kunyumba), ndi confectionery.
2. Maziko ake azikhala zakudya zam'madzi, msuzi wamasamba ndi msuzi wamasamba, masamba osenda, mkate wowuma, nsomba zonenepa kwambiri, tchizi kanyumba, omelet, tiyi wopanda mafuta.
3. Chakudya chizikhala cha mitundu ing'onoing'ono.
4. Ndikofunikira kukonza chakudya nthawi yomweyo.
5. Onetsetsani kuti simukusiyira kusuta fodya komanso mowa.

Ndani amasamalira kapamba

Ngati mukukayikira kuti matenda a chiwalochi, muyenera kuonana ndi gastroenterologist. Popeza kuti kapamba amachitanso ntchito ya endocrine, kuwunika kwa endocrinologist nthawi zambiri kumafunika.

Ntchito yayikulu pakuthandizira matenda otere imayimbidwa ndi chithandizo chamankhwala, chifukwa chake, kuthandizidwa ndi katswiri wazakudya kungalimbikitsidwenso.