Zizindikiro zakukula kwa kapamba kapamba, gawo mwa akulu

Tikukulimbikitsani kuti muwerenge nkhaniyi pamutuwu: "Zizindikiro zakuchulukirapo kwa kapamba kapamba, magawo mwa akulu" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Kusokoneza kwamatumbo ndi vuto lomwe mamiliyoni a anthu padziko lonse lapansi akukumana nalo. Mulingo wapadera wamoyo, kuperewera kwa zakudya, kupsinjika, zochitika zachilengedwe ndizovuta zina zimayambitsa kukulira kwamatenda am'mimba osiyanasiyana.

Kanema (dinani kusewera).

Pancreatitis ndi njira yodziwika yomwe imagwirizanitsidwa ndi kuphwanya kwa ntchito ya m'mimba. Matendawa amadziwika ndi njira yotupa yomwe imachitika m'matumbo chifukwa chakuyambitsa kwachilendo kwa michere ndi thupi.

Vutoli limakhala lowopsa chifukwa ngati chakudya sichikupakidwa bwino, ziwalo za mkati zimawonongeka. Kuphatikiza apo, matenda ophatikizika monga gastritis kapena matenda am'mimba osafunikira amachitika. Mwina kukula kwa zilonda.

Matendawa amadziwika ndi njira yotupa yomwe imachitika m'matumbo chifukwa chakuyambitsa kwachilendo kwa michere ndi thupi.

Kanema (dinani kusewera).

Chimodzi mwa njira yotupa mu kapamba ndichakuti matenda am'mimba amatha kuchitika kwa nthawi yayitali popanda kuwonekera. Kuchulukitsa kwa chifuwa chachikulu ndi vuto. Sitha kuyimitsidwa popanda kumwa mankhwala angapo. Zizindikiro zamakhalidwe zikaonekera, muyenera kufunsa dokotala. Pancreatitis ili ndi code yapadera ya ICD-10. Ndi ya gulu la matenda am'mimba thirakiti (kalasi 11). Kuphatikiza kwa K85 kumatanthauza mtundu wopweteka kwambiri wa matenda. Zosankha kuyambira K86 ndiye njira yodwalayo.

The pathological process of biliary pancreatitis amachokera m'njira ziwiri zazikulu: aakulu komanso pachimake. Mutha kuwerenga zambiri za izi apa.

Matenda apathengo amayamba pakapita nthawi. Nthawi zina, chiyembekezo cha matendawa chimafalikira ndi cholowa. Nthawi zambiri zimachitika chifukwa chokhala ndi moyo woipa. Kugwiritsidwa ntchito kosalekeza kwa zakudya yokazinga, kukonda zokometsera kapena zakudya zamafuta, kusuta fodya, kusuta fodya komanso kusowa zakudya zoyenera kumabweretsa zovuta m'mimba.

Mowa mu kapamba amaletsedwa chifukwa cha zakumwa za mowa zomwe zimamwa mowa, zomwe zimakhudza kapamba.

Thupi limalephera kupirira kupsinjika kwamphamvu. Chifukwa chake, pantchito ya ziwalo zina, zolephera zimachitika.

Ndi kapamba, ma michere ofunikira kugaya chakudya pang'ono kapena kuti akhalebe kapamba. Amakhudza minofu yake, ndikumayambitsa kutupa, pomwe chakudya m'matumbo ang'onoang'ono sichigonjetsedwa. Ngati munthawi imeneyi mfundo zachakudya zabwino sizitsatiridwa, ndiye kuti zotsatirapo zake zimatha kukhala zoopsa, ngakhale zakupha.

Zomwe zimayambitsa zamtundu uliwonse wa pathology ndizofanana. Kusiyana pakati pa pancreatitis pachimake ndi kufalikira kwa matenda osachiritsika kumayambira njira yoyamba. Kuchokera pa chiyambi cha zizindikiritso kufikira zosintha zina, masiku 3 mpaka 7 akudutsa.

Kugwiritsidwa ntchito kosalekeza kwa zakudya yokazinga, kukonda zokometsera kapena zakudya zamafuta, kusuta fodya, kusuta fodya komanso kusowa zakudya zoyenera kumabweretsa zovuta m'mimba.

Kuchulukitsa kwa kupezekanso kwa kapamba kumadziwika ndi kuwonjezeka kwapang'onopang'ono kuwonekera kwa matendawo. Nthawi zina kuphatikizidwa kwa zinthu zonse zomwe zimakhumudwitsa boma poyambira kumathandizira kuthana ndi zovuta za matenda, pomwe mawonekedwe owopsa a matendawo amabwereka kokha ku zovuta kuchipatala.

Zizindikiro zakuchulukirapo kwa kapamba mwa akulu ndizofanana ndi ana. Kukula kwa mkhalidwe wowopsa kumayambira ndi kupweteka kwapadera mu hypochondrium yamanzere yam'mimba. Kudulira zomverera kumatha kuperekera kumbuyo.

Kuchulukana kwa kapamba kumakwiyitsa khungu komanso kusanza. Wodwalayo amamva kukoma kwa bile. Nthawi zambiri pamakhala kukhumudwa. Vomiting ndi kutsegula m'mimba ndizovuta kusiya. Munthu amamva kufooka mwamphamvu komanso kusweka. Nthawi zina kukhathamiritsa kumaphatikizidwa ndi kuzizira komanso kutentha thupi kwambiri. Chizindikiro ichi chimatha kuwonetsa kuwonongeka kwakuipa kwa kapamba ndi kukula kwa kutupa kwachiwiri.

Zomwe zonse zomwe zimayambitsa matenda a chifuwa ndi kapamba komanso momwe mungazichiritsire - mutha kuwerenga izi munkhaniyi.

Kuchulukana kwa kapamba kumakwiyitsa khungu komanso kusanza. Wodwalayo amamva kukoma kwa bile.

Matendawa ndi oopsa kwambiri. Nthawi zambiri zimatha ndi magazi amkati. Chifukwa chake, wodwalayo ayenera kupita kuchipatala mwachangu ndikusamalidwa.

Amuna nthawi zambiri amakhala ndi vuto la kapamba. Izi zikugwirizana ndi moyo. Mwa akazi, matendawa samadziwonetsa. Komabe, matenda oopsa ndi oopsa kwa ogonana ofooka osachepera kwa amphamvu.

Matenda a kapamba amadziwika ndi nthawi yayitali. Amakhala masiku 5 mpaka 7. A kwambiri mawonekedwe a matenda amatha kuwonekera mu gawo lowopsa mpaka masabata awiri. Izi zikuchitika chifukwa cha kulephera kwa kapamba kuti ayambe kuchira msanga.

Njira yogwirira minofu ya ziwalo zimayenda pang'onopang'ono. Chifukwa chake, wodwalayo ayenera kutsatira malingaliro a dokotala komanso osasiya kumwa mankhwala mpaka kumapeto kwa maphunziro. Kupanda kutero, chifuwa chachikulu chimatha kukhala mawonekedwe obwereranso. Izi zikutanthauza kuti kuchulukitsa kudzakhala kotalikirapo komanso kowonjezereka.

Kudya pafupipafupi mankhwala omwe amathandizira kugaya, kutsatira zakudya zapadera, komanso moyo wabwino kumapangitsa kuti chikhululukiro chilimbikire.

Kudya pafupipafupi mankhwala omwe amathandizira kugaya, kutsatira zakudya zapadera, komanso njira yabwino yodwala kumatha kuyambitsa kukhululukirana ndikuthandizira wodwalayo kuiwala zosasangalatsa zomwe zimakhudzana ndi kuchuluka kwa kapamba kwa nthawi yayitali.

Mawonetsedwe oyamba akuwonjezera ndi chizindikiritso chakufunika kosinthira zakudya zopatsa thanzi ndikupatsa wodwala mtendere. Mutha kumwa mankhwala ovomerezeka ndi dokotala kuti muchepetse kupweteka, kumwa madzi ambiri. Simungathe kudzipangira mankhwala. Muyenera kulumikizana ndi chipatala.

Asanafike oyendetsa ambulansi, ndikofunikira kutenga malo oyimirira. Osamadya chilichonse. Imwani madzi ambiri (munthawi yomwe mukuchulukirachulukira, ndimadzi kapena msuzi wa duwa lakuthengo). M'dera lamanzere la hypochondrium, tikulimbikitsidwa kuyika mawonekedwe otentha ndi ayezi. Ngati izi sizili zokwanira kuthetsa ululu, muyenera kumwa mankhwala opweteka.

Kuchepetsa ululu pakachulukitsa, mutha kugwiritsa ntchito chopukutira ndi ayezi.

Ngati wodwalayo ali ndi thanzi labwino, ndiye kuti ndikuwonjezera mphamvu, opaleshoni sifunikira. Njira zingapo zothandizira kuti muchepetse kupweteka komanso kukhala bwino zimaphatikizaponso:

Kukana chakudya mu masiku 2 oyamba. Madzi amchere a alkaline ovomerezeka.
Kusintha kwa zakudya zamafuta pang'ono, zomwe zimakhala ndi chimanga komanso sopo wothira mafuta ochepa. Zakudya zolimba zimasankhidwa bwino kwa masiku 14.
Kulandila kwa antispasmodic ndi mapuloteni okonzekera adagwirizana ndi adokotala. Ngati gulu la mankhwalawa silinapatsidwe mankhwala, muyenera kufunsa dokotala wa gastroenterologist.

Mawonetsedwe oyamba akuwonjezera ndi chizindikiritso chakufunika kosinthira zakudya zopatsa thanzi ndikupatsa wodwala mtendere.

Zowawa zazikulu ndi kufalikira kwa kapamba ziyenera kuyimitsidwa moyang'aniridwa ndi akatswiri kuchipatala. Osakana kupita kuchipatala kuti achulukitse ngozi.

Matenda a kapamba amafunikira kudya pafupipafupi. Zakudya zoyenera ndizofunikira kwambiri kuti chikhululukiro chikhale cholimba. Pakuchulukitsa, wodwalayo ayenera kutsatira zakudya No. 5. Amapereka ntchito yamafuta ochepa. Zakudya zimayamwa. Zakudya zake zimaphatikizapo chimanga pamadzi, msuzi wosenda, ng'ombe yotsamira.

Mwa zakumwa, ndikwabwino kuti muzikonda madzi, odzola komanso msuzi wosafalikira wa m'chiuno cha rose. Chipatsochi chimaphikidwa. Wodwala ayenera kupewa chilichonse chomwe chimakhumudwitsa m'mimba.

Chakudya cha pancreatitis chimapereka chakudya chambiri pafupipafupi. Njira iyi yodyetsera zakudya zimathandizira kukhazikika pansi ndikuyambiranso pang'ono pancreatic ntchito.

Cholinga cha kadyedwe ka kuchulukitsa kwa kapamba ndi kubwezeretsa kapamba ndi kuthandizira kuthana ndi zovuta za matendawa. Werengani zambiri za izi apa.

Mkhalidwe wa kapamba mu kapamba mu gawo lodziwika ndi otsimikiza pogwiritsa ntchito njira zosiyanasiyana zofufuzira. Choyamba, wodwalayo amayesedwa. Iyi ndi njira yokhazikika. Mndandandandawo umaphatikizapo kusanthula kwamikodzo, magazi ndi ndowe.

Kusankha njira zamankhwala kuchipatala, muyenera kuchita gastroscopy, ultrasound ndi radiological pamimba. Mu zovuta zovuta zowonjezera pancreatitis, chidziwitso chodziwikiratu kwambiri ndi chifukwa cha kulingalira kwa maginito.

Kuphatikiza pa njira zofufuzira zothandizira, kuyesa kwapadera zingapo kumachitika komwe kumawonetsa kuchuluka kwa kapamba, lipids ndi calcium m'magazi. Odwala onse omwe adapezeka ndi pancreatitis amayesedwa shuga, makamaka ndi matenda a shuga.

Kusankha njira zamankhwala kuchipatala, muyenera kuchita gastroscopy, ultrasound ndi radiological pamimba.

Kuchulukitsa kwa kapamba kumawonetsa kuchipatala. Chithandizo chimachitika kuchipatala. Choyamba, ululu wammbuyo umachotsedwa. Kwa izi, antispasmodics ndi mankhwala othandizira kutupa omwe amapangidwa ndi ibuprofen, paracetamol kapena diclofenac amagwiritsidwa ntchito.

Kuletsa kwa ma protein ndi kinins kumawonetsedwa kwa wodwala. Kuti muchite izi, ikani ma dropers. Pancreatic edema imachotsedwa ndi okodzetsa, pambuyo pake ma capillary network ya zimakhala zimabwezeretseka ndikukonzekera kwa heparin. Pakakhala vuto la matenda chifukwa cha kuwonongeka kwa ziwalo, maantibayotiki adayikidwa. Mndandanda ndi malamulo omwera maantibayotiki ofunikira ndi okhawo omwe akupita kuchipatala.

Ntchito ya pancreatic imathandizidwa ndi kukonzekera kwa enzyme monga Creon kapena Pangrol. Kupewa kufalikira kwa kapamba kumaphatikizira kutsatira zakudya komanso mfundo za zakudya zopatsa thanzi. Pafupifupi nthawi zonse, munthawi yakukhululuka, wodwalayo ayenera kumwa michere pafupipafupi. Iwo aledzera monga adalembera.

Matenda, omwe anthu amangowatcha - "kuchuluka kwa kapamba," mwina akhoza kukhala angapo. Nthawi zambiri, ndimtundu wa kapamba wam'mimba, ngakhale matenda ena omwe angakhudze chiwalo samasiyidwa. Matenda a pancreatic omwe amayamba chifukwa cha matenda aliwonse angawononge kwambiri moyo wamunthu. Zikondazo zimachita ntchito yofunika kwambiri - zimatulutsa insulin ndipo zimatulutsa michere yokumba. Momwemo, ngati matenda amtunduwu, munthu amayamba kuona zovuta, ndipo njira zazikulu zimayambitsa matenda, kutanthauza mkhalidwe pakati pa moyo ndi imfa.

Mulemba la lero, tikambirana za chiyani chomwe ndi njira zoyambirira zakukulira kwa zovuta mu kapamba, momwe tingapezere matenda kumayambiriro ndi njira zomwe zingachitike kuti muchepetse kuyanjana ndi matenda a kofunikira.

Kuchuluka kwa Pancreatic: Zizindikiro

Matenda aliwonse a kapamba ndiowopsa chifukwa pakamwa pake palibenso chiwalo china chomwe chimagwira ntchito yomwe imagwira gland.

Chifukwa chake, kufa kwa minofu ya pancreatic ndikutaya kwakanthawi kwa thupi, zomwe zimakhudza thanzi la wodwalayo.

Ntchito zachindunji za kapamba zimatha kugawidwa m'magawo akuluakulu awiri. Yoyamba ndikupanga insulini, yomwe imafunika kuwongolera kuchuluka kwa shuga m'magazi. Maselo ochepa pancreatic omwe amaphatikizidwa pakupanga, ndizowopsa zomwe zimapangitsa munthu kukhala ndi matenda a shuga. Odwala omwe ali ndi vuto la kapamba, matenda a shuga nthawi zambiri amakhala nawo.

Gawo lachiwiri la ntchito za chiwalo ndikupanga ma enzyme okumba. Nthawi zambiri, kapamba amawononga mafuta, chakudya, ndi mapuloteni omwe munthu amalandila kuchokera kunja ndi chakudya akamalowa mu duodenum. Ngati densi yatsekeka pazifukwa zina, ma enzymewo sangathe "kutuluka" m'matumbo ndikukhalabe mkati mwake, osagaya chakudya, koma maselo a chiwalocho. Zinafika kuti zikondamoyo zimayamba kugwira ntchito modziwononga.

Pancreatic boma aakulu kapamba

Potengera ntchito yakuwononga, chitsulo chimawonongeka, minofu yamoyo imasandulika minofu yolumikizika, kutupa kumayamba. Ndi chikhalidwe ichi chomwe anthu amachitcha "kukokosera kwa kapamba," ndiye kuti kapangidwe kake kapenanso matenda osapweteka amadziwika. Mu gawo lowopsa, kulumpha mu chiwonongeko kumachitika mwachangu - patangopita nthawi yochepa, tsamba la minofu limafa. Munthawi ya matenda, kapamba amawonongeka pang'onopang'ono, koma kwanthawi yayitali, ndipo chotupa chimatha kufalikira kudera lachiwalo chonse.

Nthawi zambiri, gawo loyambirira la kufalikira kwa kapamba limalembedwa mwa akulu, azaka makumi anayi mpaka makumi asanu. Pali vuto lomwe lakumana ndi chiyambi cha kuledzera, zakudya zamafuta ndi zonunkhira, komanso mavuto ambiri pakudya. Akatswiri azachipatala amasiyanitsa mitundu inayi yayikulu ya kapamba owopsa:

Fomu ya Purulent.
Fomu ya edematous (yapakati).
Fomu la hemorrhagic.
Pang'ono kapena kwathunthu pancreatic necrosis (minofu imfa).

Vuto lalikulu pakupeza pancreatitis pachimake ndi kuchuluka kwa zizindikiro. Izi zikutanthauza kuti mwa anthu osiyanasiyana nthenda yomweyo imatha kudziwonetsa ndi zizindikilo zosiyanasiyana. Komabe, maphunziro apamwamba a matendawa amakhalabe ndi zizindikiro zomwe zimathandiza madokotala kuzindikira matendawa.

Pancreatitis pachimake ndikosatheka kuzindikira. Munthu amamva kupweteka m'chiuno, pakati pake pomwe pali epigastrium (pakati pa nthiti ndi navel). Kumayambiriro kwa kutupa, kusanza kangapo kumatha, pambuyo pake palibe mpumulo, kugunda kwamtima kumachitika mwachangu. Ngati munthu amatha kunyalanyaza izi, patatha masiku awiri kapena atatu kutentha kwake kukwera.

Kwa odwala omwe ali ndi pancreatitis, yoyera yovala palilime, zipatso zowawa pamlomo wamkamwa, mpweya woyipa

Mu chilonda chachikulu cha pancreatitis, ululu umakhalapo nthawi zonse, sugwirizana ndi zakudya kapena zamadzimadzi. Komabe, zomwe zimachitika pakudya zimachitikabe - munthu akangodya, amamva kusanza kapena kusanza kumodzi, nthawi zambiri amakhala ndi zakudya zosaphika. Mukamamwa ma pinkiller, ululu umachepa, ndipo atatha kutha kwa pinkiller, zimayamba kuwonjezeka.

Kuphatikiza pa zodziwika bwino, mtundu uliwonse wamitundu yayikulu yamatenda amkati uli ndi zizindikiro zapadera. Ganizirani mawonekedwe ake patebulo.

Gome 1. Zizindikiro zamatenda otupa a pancreatic

Pancreatitis ndi kutupa kwa kapamba. Zinthu zosafunika kwenikweni zimayambitsa matenda. Ndikofunikira kudziwa zizindikirazi posachedwa.

Zizindikiro zakukula kwa kapamba ndizovuta chifukwa chakuti ululu wammbuyo ndi wovuta kuyimitsa ngakhale mothandizidwa ndi mankhwala. Pofuna kuthana ndi matenda komanso kukonza zina, chithandizo chofunikira chimafunika nthawi yomweyo.

Choyambitsa chachikulu chowonjezera ndikuphwanya kwakukulu zakudya komanso kumwa kwambiri. Ngakhale mowa wochepa pamalo amodzi. Pambuyo pake, ndikofunika:

Kuperewera kwa mapuloteni kudya.
Zokumana nazo zamaganizidwe, zopsinja mtima.
Kugwiritsa ntchito mankhwala (mahomoni, aspirin, maantibayotiki ena, mankhwala a mankhwala othandizira khansa).
The pachimake mawonekedwe a cholecystitis ndi cholelithiasis, cholangitis.
Poizoni ndi matenda opatsirana owopsa.

Pa exacerbations, ntchito ya ma pancreatic enzymes imachulukirachulukira, minyewa ya kapamba imatha kukwiya chifukwa cha zochita zawo, kutupa kumawonekera, kupindika kwakukulu kwa pancreatic kumapanikizika, ndikupereka magazi ku ndulu kumachepa.

Kuchulukitsa kwa kapamba ndi vuto lalikulu lomwe lingawononge thanzi komanso moyo wa wodwala. Mankhwalawa amachitika pokhapokha pokhapokha poti pali zovuta kuti wodwala amwalire popanda thandizo la akatswiri panthawi yake. Odwala ambiri, kufalikira kwa kapamba kumachitika popanda chizindikiro chilichonse. Nthawi zina mapando otayirira kapena kupweteka pafupi ndi kumanzere kwa hypochondrium kumabweretsa kusasangalala. Zizindikiro za pancreatitis pachimake sizingachitike.

Pa vuto ili, kukhalapo kwa zizindikiro zotsatirazi ndichikhalidwe:

ululu wosalala kapena wowonda pafupi ndi hypochondrium. Zowawa zimafalikira pansi pa scapula, mpaka kumbuyo,
kutsegula m'mimba. Timbaloyo ndi sheen wamafuta, nthawi zambiri imakhala ndi zakudya zotsalira,
Kuchulukana kwa kapamba, makamaka, kumangophatikizana ndi kupweteka kwapakamwa, mkokomo, mseru komanso kutaya chidwi,
kupezeka kwa chilankhulo choyera,
kuwonda.

Zizindikiro zonse pamwambapa zimawoneka limodzi komanso palimodzi. Kupweteka kukatchulidwa kwambiri, vuto la dyspeptic mwina limachitika, pomwe kuwonongeka kwadzidzidzi kungawoneke. Mwa odwala ena, kukokomeza kumachitika ndi matenda osatchulika: kupweteka kosakhazikika kumawonekera, kusanza kumachitika nthawi ndi nthawi, kudzimbidwa ndi matenda otsekula m'mimba, chilala chimachepa. Munthawi imeneyi, munthu amatha kukhala kwa milungu ingapo. Dyspepsia, chiwonetsero chazinthu zokhudzana ndi khungu komanso kusowa kwa chidwi cha zakudya zimabweretsa kuchepa kwakukulu komanso mwadzidzidzi kwa thupi - mu masabata 1-2 wodwala ataya mpaka 8 kg. Zikatero, chikamadya chilala, shuga imayamba.

Ndi kuchulukana kwa kapamba, zizindikiro zotsatirazi zingachitike:

Popeza zizindikiro zotere sizimayendera pancreatitis yokha, komanso njira zina zamatumbo am'mimba, katswiri ayenera kudziwa vutoli ndikuwapatsa chithandizo. Kuchita izi ndizotheka pokhapokha pazizindikiro.

Pazonse, kuzindikira kufalikira kwa kapamba si ntchito yovuta, pofuna kuti muthe kutulutsa zovuta, kuyesedwa kofunikira kuyenera kuchitidwa munthawi ndipo njira zapadera zodziwira ziyenera kuchitika:

Kuyesedwa kwamwazi wamagazi kumawonetsa zambiri za trypsin, amylase, antitrypsin, lipase.
Hyperglycemia ndi glucosuria zimawonetsa kuwonongeka kwa zida zamapangidwe a insulin komanso mapangidwe a shuga.
Poyeserera magazi a labotale, pali leukocytosis ndipo kuchuluka kwa erythrocyte sedimentation kumawonjezeka.
Mukukonzekera kwa ultrasound, kuwonjezereka kwa kapamba ndipo kutupa kwake ndikuwonekera.
Pa CT, ndizotheka kudziwa mulingo wa glandular fibrosis.
X-ray imawonetsa magawo owerengera m'mizimba ya chiwalo, chomwe chizikhala chizindikiro chosamveka cha zovuta ngati shuga.
Njira za Hardware zimasiyanitsa kukokoloka kwa kapamba chifukwa cha matenda am'mimba, zilonda zam'mimba, khansa, gastroduodenitis, enteritis. Tisaiwale za kuthekera kwa kupanikizika kwa kapamba ndi njira imodzi kapena zingapo zamagetsi. Chifukwa chake, kafukufuku wokhazikika yemwe ali woyenera kuchititsa mochitika.

Ndi kuchulukitsa kwa kapamba, ndikofunikira kupereka thandizo nthawi yake, chifukwa kusamvera malamulowo kungangokulitsa zinthu:

Ndi zoletsedwa kudya zakudya zilizonse. Izi zikuyenera kuchitika mkati mwa masiku atatu. Izi zimalola kuimitsa kupanga ma enzyme omwe amalimbikitsa kutulutsa kwamkati ndi kupweteka panthawi yowonjezera pancreatitis. Ndizololedwa kutenga madzi osakhala ndi kaboni ndikuwonjezera.
Cold imagwiritsidwa ntchito ku dera la epigastric, lomwe lingapangitse kuchepetsa kupweteka, pang'ono pang'ono pang'ono ndi kutupa ndi njira zotupa. Muli bwino kwambiri ngati m'malo mwa ayezi mugwiritsidwe ntchito magetsi, omwe amadzazidwa ndi madzi ozizira.
Wodwala amayenera kukhala wodikirira komanso kukhala wodekha. Izi zipangitsa kuti magazi achepetse kuthamanga, ndipo chifukwa chake amachotsa njira zotupa.
Mankhwala ovomerezeka ndi Drotaverin, No-shpa ndi Maxigan. Iwo aledzera madotolo asanafike.

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

Nthawi zambiri, kuchulukitsa kwa kapamba kumatha sabata osapitilira sabata ndipo sikubweretsa vuto lalikulu kwa thanzi la wodwalayo. Zolinga zazikulu zoyambira matenda a kapamba:

kuthetsa ululu
bwezeretsani madzi mkati mwa thupi,
tsegulani kapamba, osalola kuti ma pathological apite patsogolo.

Pa nthawi yoyamba yomwe wodwala amafunsira kwa katswiri, mankhwala omwe si a antiidal amaperekedwa. Nthawi zambiri, zimapereka mwayi wochepetsa kuopsa kwa zizindikiro za matendawa. Mankhwalawa, amakonda kupatsidwa paracetamol, chifukwa amakhala ndi vuto losavulaza la mucosa. Ndiosafunika kugwiritsa ntchito chida ichi chifukwa cha zomwe zimayambitsa kutupa kwa kapamba ndimatenda a chiwindi. Ngati palibe zotsatira zomwe zikuyembekezeredwa, ndiye kuti wodwalayo adayikidwa narcotic analgesics. Nthawi zambiri sankhani Tramadol. Mankhwala ena owonjezera pancreatitis mu kapamba komanso kuchepetsa mavuto:

michere
antispasmodics
proton pump zoletsa.

Kuti mutsegule zogwiritsa ntchito kapamba:

Zakudya zolemetsa zamafuta ochepa kapena kusala kwa masiku angapo,
kuletsa zakumwa zoledzeretsa ndi kusuta,
octreotide ndi wothandizira yemwe ali analogue wa pancreatic hormone somatostatin.

Zizindikiro zomwezo zomwe zimawoneka mu pancreatitis yovuta komanso yosatha ndi lakuthwa, lotchulidwa ululu pafupi ndi peritoneum. Ululu umawonekera padera mu gawo la kapamba, lomwe limakutidwa ndi kutupa. Ululu ndi kukokoloka kwa kapamba ndiye kwamphamvu. Imachitika pafupi ndi pamimba kapena hypochondrium, ikuwonekera kumbuyo, pansi pa scapula ndi kumbuyo kwa sternum. Ngati wodwalayo ali ndi zizindikiro zakuchulukitsa kwa matendawo, ndikofunikira kulumikizana ndi katswiri nthawi yomweyo. Njira zowombolera komanso kutha kwa zovuta kumatengera chithandizo chanthawi yake.

Matenda a kapamba - zizindikiro, zimayambitsa, chithandizo, zakudya komanso kukokomeza kwa akuluakulu

Pancreatitis yachilendo imawonedwa kuti ndiwowonongeka pancreas yamatenda otupa, yomwe imayambitsa zovuta za exocrine ndi intrasecretory function. Izi, zimabweretsa kuchepa kwa kupanga kwa ma enzyme omwe akukhudzidwa ndi chimbudzi, mahomoni ofunikira (mwachitsanzo, insulin) ndi zinthu zingapo zomwe zimagwira ntchito pazamoyo. Chifukwa chake, odwala onse amafunikira kuzindikira zizindikiro mwachangu ndikutsatira chithandizo chakanthawi komanso chokwanira chokhazikitsidwa ndi adokotala.

Kenako, tikambirana zomwe zimayambitsa matendawa kukula, ndichizindikiro komanso chizindikiro chani mwa akulu, komanso njira zabwino zamankhwala zomwe zilipo.

Matenda a kapamba ndimatenda otupa a kapamba omwe amakhala ndi njira yayitali yobwereza, yodziwika ndi kusintha kwapang'onopang'ono kwa kagayidwe kake ka cell ndi chitukuko cha magwiridwe antchito.

Zotsatira zakukula kwa matenda oterowo, kubisalira kwa michere, trypsin ndi lipase, kumachepa m'matumbo. Chifukwa cha izi, kufalikira kwa magazi a chiwalo kumakulirakulira, minyewa yolumikizana imakula, ndipo zipsera zina, madera omwe amapezeka ndi sclerosis amapangidwa.

Nthawi zambiri, matendawa amapezeka chifukwa chomwa mowa kwambiri kwa nthawi yayitali. Mwa amuna, matenda a pancreatic pancreatitis amatha kukhala ngati amamwa zaka zopitilira 15, mwa amayi omwe amamwa mowa kwambiri kwa zaka zoposa 10.

Makina akulu opangira matenda a kapamba ndi kuwonjezeka kwa kupanikizika kwa kapamba ndi kusuntha kwa madzi a kapamba. Kusasunthika kwanthawi yayitali mu duct kumayambitsa kuphwanya kapangidwe kake, chifukwa chake ma enzymes a pancreatic amalowa mosavuta m'matumba awoawo, ndikuwononga maselo ake (autolysis) ndikukula kwa njira yotupa

Zitha kutenga zaka 10-15 pamene zizindikiro za chifuwa chachikulu cha khansa zimayamba kufotokozedwatu kotero kuti pasakhale kukaikira za matendawo. Matendawa amatha kuchitika chifukwa cha:

Cholecystitis, gastritis kapena duodenitis yovuta mawonekedwe.
Zilonda zam'mimba kapena zam'mimba.
Zilonda zopatsirana - mumps, typhoid kapena typhus, virus hepatitis.
Kumwa kwambiri.
Zakudya zopanda malire.
Matenda a atherosulinotic.
Kulowa kwa mphutsi kulowa mthupi.
Kulowa ndi zinthu zovulaza - arsenic, phosphorous, mercury, lead.

Nthawi zambiri, kusintha koyamba kwa matenda m'thupi la minyewa ndi kukula kwa kapamba kumachitika popanda chizindikiro. Kapenanso zizindikiro zake ndi zofatsa komanso zosatchulidwa. Pamene kufotokozera koyamba kufalikira kumachitika, zovuta zamatenda zimayamba kale kwambiri.

Matenda a kapamba ndi vuto limodzi ndi:

Ndi chifuwa chachikulu, kupweteka kumachitika chifukwa cha:

mavuto ndi kutuluka kwa pancreatic madzi,
kutulutsa kwachilengedwe
pancreatic ischemia,
kutupa kuzungulira CHIKWANGWANI
kusintha kwa mathero a mitsempha,
kufinya ziwalo pafupi.

Ndi chitukuko cha matendawa, pafupipafupi kufalikira, monga lamulo, kumakulira. Kutupa kosalekeza kwa kapamba kumapangitsa kuti ziwonongeke tokha komanso tiziwalo tating'ono. Komabe, zitha kutenga zaka zambiri matenda asanawonekere matenda (zizindikiro).

Matenda a kapamba amatha kuperewera chifukwa chimodzi mwazomwe zimayambitsa:

kumwa mowa waukulu,
kukanika kwa chithokomiro.

Palinso zifukwa zambiri zosafunikira, koma zimachulukitsa kwambiri kuchuluka kwa kupweteka kwa kapamba:

kumwa pafupipafupi mowa.
amakonda kudya kwambiri,
kusuta
onenepa kwambiri
kudya mafuta ochulukirapo,
kumwa mankhwala
matenda opatsirana
zopsinjika pafupipafupi.

Nthawi zambiri, Zizindikiro zakukula kwa kapamba zimawonekera mu mawonekedwe amkati, kupweteka kwapweteka komanso kupweteka kwambiri komwe kumamveka pansi pa nthiti, kuwonetsedwa kumbuyo.

Nthawi zambiri ululu amakhala atypical, obisala ngati matenda ena, umatchulidwa kumbuyo kumbuyo, kuwumbidwa m'mimba.
Nthawi zina ululu umamvekera pachifuwa, kumbali, ndikumva mwakuya kwa thupi, zomwe zimadziwika kuti zikuluzikulu za kapamba.

Zizindikiro za kuchulukitsa kwa kapamba:

Ululu wowawa, womwe umatha kukhala wowuma kapena wowongoka m'matumbo popanda kudziwa kwawoko, kuwonjezeka mutatha kudya ndikupereka kumbuyo.
Pafupipafupi kutsegula m'mimba ndi kuphatikiza kwamafuta tinthu tambiri mu chopondacho.
Kumva kuwawa pamkamwa.
Kusungunuka mkati mwa ndulu, kovuta kupereka ndi mankhwala.
Chilichonse.
Kuchepetsa chidwi.
Zovala zoyera pamalirime.

Zizindikiro zonse pamwambapa zitha kuwonekera monga maluwa onse, kapena chimodzi. Ngati munthu akumva kupweteka kwambiri, ndiye kuti dyspeptic syndrome imatha kuchitika, pomwe thanzi la wodwalayo limayamba kufooka.

Ngati patapita nthawi simukugwira bwino matenda a kapamba, ndiye kuti zovuta zotsatirazi ziyamba kupita patsogolo:

ma pancreatic ascites,
kapamba ka shuga kapamba,
kunyowa
mapangidwe a phlegmon m'malo opatsirana,
yotupa mu ma ducts,
chotupa chakutchinga,
B12 kuchepa magazi m'thupi
matenda oopsa a portal
kutulutsa magazi m'mimba kumatha kuchitika chifukwa chotumphukira cha ma pseudocysts,
mapangidwe zotupa zamakhalidwe oyipa.

Chithandizo cha chifuwa chachikulu cha m'mimba chimatha kuchitika ndi onse ochiritsira komanso gastroenterologist. Ndi chitukuko cha kulephera kwa endocrine, kufunsira kwa endocrinologist kukuwonetsedwa, ndi kukakamiza kwa ziwalo zozungulira, dokotalayo.

Kuzindikira kumatheka pokhapokha kukhazikitsidwa kwa njira zakufufuzira motere:

Kusintha kwa zomwe elastase mumkodzo ndiyo njira yayikulu yofufuzira odwala,
kudziwika kwa steatorrhea - kukhalapo kwa mafuta osagonjetseka mu ndowe,
kukhazikitsa kuyesa koyesa kukopa kwa ndulu,
Ultrasound
CT malinga ndi zomwe zikuwonetsa
kuyezetsa magazi m'magazi ndi kuyesa kwa glucose.

Polembera wodwala dongosolo lamankhwala omwe akubwera, adokotala amakhazikitsa zolinga zodziwika bwino. Ndikofunikira:

Chotsani ululu
patsani nkhondoyi ndi mtendere,
chepetsa ntchito yake yachinsinsi,
bwezerani kuchepa kwa michere ya kapamba,
Malangizo a mitsempha ya mafuta owonongeka (ngati pakufunika).

Kuti tikwaniritse zolinga izi posagwiritsa ntchito mankhwalawa odwala omwe ali ndi mitundu yosiyanasiyana ya kapamba, njira zosiyanasiyana ziyenera kugwiritsidwa ntchito.

Zovuta zakuchuluka kwa zinthu zingapo zochizira (chithandizo chamankhwala, mankhwala, njira za thupi, ndi zina) ndizothandiza.

Matenda a kapamba, mankhwala otsatirawa akhoza kulembedwa:

Zomwe zimathandizira pakukhudzidwa mwamphamvu kumakhala ndikutsatira mwamphamvu kugona kupumula, kudya ndi kumwa mankhwala oyenera kuchipatala, popeza pali chowopseza osati thanzi, komanso moyo wa munthu. Ma ambulansi isanafike, wodwala ayenera kulandira thandizo loyamba:

Njala yeniyeni.
Ikani ozizira ku pancreatic dera.
Kupuma kwathunthu ndi kugona pa bedi.

Odwala ambiri akufuna kufotokozera kuti kutalika kwa chifuwa chachikulu chitha kukhalapo mpaka liti? Madokotala amatsimikiza kuti m'malo ambiri obwezeretsanso matendawa sapitirira masiku 7.

Chithandizo chothandizira kupumula kwa zowawa:

Ma enzyme (Creon kapena Pangrol),
antispasmodics (drotaverine kapena papaverine),
proton pump inhibitors (lansoprazole, rabeprazole).

Pofuna kutsitsa kapamba, gwiritsani ntchito:

Zakudya zomwe zili ndi mafuta ochepa kapena osatha kudya kwa masiku angapo,
kusiyiratu kumwa mowa ndi kusuta,
octreotide ndi mankhwala omwe ali analogue of the pancreatic hormone somatostatin.

Opaleshoni yamatenda oyamba a kapamba:

sphincterotomy ndi kutsekeka kwa sphincter ya Oddi,
kufukula kwa miyala m'miyala ya kapamba ndi choletsa chotchinga,
kutsegula ndi ukhondo wa purulent foci (abscesses, phlegmon, cysts),
Pancrectomy (kwathunthu kapena pang'ono),
vasectomy, splanhectomy (kuchulukitsa kwa mitsempha yomwe imayendetsa kubisalira kwa kutulutsa kwa thumbo), pang'ono
chapamimba chapamwamba (chapafupi),
Kuchotsa ndulu panthawi ya zovuta za ndulu yayikulu ndi ndulu,
njira zopangira potengera gawo la bile lotuluka kuti muchepetse kupsinjika kwa ma pancreatic ducts (wirsungoduodenostomy, etc.).

Akuluakulu, matendawa amakhala osachiritsika, zomwe zikutanthauza kuti chisamaliro choyenera chimayenera kulipira thanzi, chifukwa chingalepheretse kuchulukana. Kuchulukana kwina kulikonse kumatanthauza kulowetsa tiziwalo tamatumbo tambiri. Chifukwa chake, pazaka zambiri, wodwalayo amakula ndi exocrine ndi intrasecretory gland insuffence.

Mfundo zazikuluzikulu za zakudya zopatsika matenda kapamba:

Zakudya No. 5p yodwalitsa kapamba imayambitsa kukhazikitsidwa kwa zakudya zamapuloteni ambiri m'zakudya chifukwa chopatula mafuta ndi chakudya. Ndikofunikanso kusiya ulusi wamafuta wowola ndi nyama yamafuta.
Zakudya zophika siziloledwa. Chakudya chikulimbikitsidwa kuphika mu chowiritsa chowirikiza, kuwira ndikuphika mumadzi awo.
Zinthu zonse zomwe zimayambitsa dyspepsia ndikuthandizira kupanga ma enzymes sizikuphatikizidwa pamenyu.
Zakudya zodwala zomwe wodwala amadwala matenda a pancreatitis osafunikira amayenera kugwiritsidwa ntchito moyenera, zimaphikidwa monga ofunda ndi theka lamadzimadzi.
Chakudyacho ndichoperewera, chimakhala ndi chakudya chambiri ndi 5-6, komanso magawo a buku laling'ono.
Kuletsedwa kwathunthu kwa zakumwa zoledzeretsa kumachotsa chiopsezo chachikulu cha kapamba.
zakudya zatsopano ziyenera kuyambitsidwa mosamala m'magawo ang'onoang'ono.
Ndi malaise wocheperako ayenera kusiyidwa kuti pakhale chikhazikitso chonse,
Upangiri wofunafuna kudya kwathunthu ndiwofunikanso kuti ukhale wathanzi, koma ndi matenda a kapamba, lamuloli liyenera kuchitika mosamalitsa, ngakhale msuzi utaphikidwa.

Zakudya zomwe zimachulukitsa matenda a kapamba, ngakhale zili ndi malire, ndizosiyanasiyana. Amaloledwa kuphatikiza ndi zakudya:

nyama yopanda nkhuku,
nsomba yamafuta ochepa,
masamba ophika masamba
masamba omwe amapezeka ndi mpunga, ndi vermicelli, wokhala ndi buckwheat, semolina, oatmeal,
Masamba ophika (mbatata, kaloti, zukini, kolifulawa, dzungu),
maelemu ochokera ku mazira awiri,
zinthu zamafuta zopanda mkaka, tchizi wopanda mafuta komanso mafuta ochepa, kirimu wowawasa ndi zonona pang'ono, zinthu mkaka wowawasa,
zipatso zokhala ndi acidity yochepa, zipatso zosenda, maapulo ophika,
zipatso zosafunikira ndi tiyi wopanda mphamvu ndi mandimu,
kuchuluka kwa batala ndi mafuta a masamba,
chimanga chophika m'madzi ndi mkaka muyezo wa 1: 1,
nyama yophika,
ma cookie aulere opanda pake komanso zopanga zomwe zimapangidwa kuchokera ku mkate wa tirigu.

Odwala ali contraindicated mbale ndi sokogonnym kanthu:

nyama
fupa
msuzi ndi nsomba,
zakudya zokazinga.

Chofunika kwambiri ndikukana zakumwa zoledzeretsa, chifukwa zimatha kutulutsa zinsinsi za pancreatic.

Panthawi yachikhululukiro, mndandanda wazinthu umakulitsidwa ndikuyika masamba ndi zipatso zikuwonetsedwa kale komanso mwanjira yaiwisi. Masamba amagwiritsidwa ntchito ngati gawo la saladi, mbale zam'mbali, vinaigrette komanso monga mbale zodziyimira pawokha. Kuphatikiza pa chimanga, mutha kupanga pilaf ndi zipatso zouma ndi nyama yophika, pasitala, groats. Msuzi wophika osaphika ndipo beetroots, borscht ndi msuzi wa kabichi amayambitsidwa mosamala. Kusintha kukoma kwanu pogwiritsa ntchito soseji zopangira tokha ndi zonunkhira.

Matenda apakhungu, njira yochiritsira madzi amchere nthawi zambiri imayikidwa. Kuti akwaniritse izi, amamwa madzi kuti asathetse ludzu lawo, koma malinga ndi malingaliro omwe amamwa, mitundu ina ya iwo komanso malinga ndi dongosolo lotchulidwa.

Gawani njira yamadzi akudya a Essentuki No. 4, Borjomi ndi Smirnovskaya, makamaka pancreas:

Pewani kusunthika kwa ndowe, mu kapamba,
chepetsani ngozi yotupa,
sinthanso ntchito yam'mimba ndi matumbo.

Kuti musaphunzire momwe mungapangire matenda a kapamba, ndikofunikira kuchita nawo kupewa matendawa, komwe kumaphatikizapo:

kusiya kusuta
kupatula zakumwa zoledzeretsa,
kudya
mayeso okonzekerera pafupipafupi kuchokera kwa akatswiri akatswiri.

Matenda a kapamba amayenera kuchitika moyang'aniridwa ndi dokotala wa gastroenterologist. Ngati zizindikiro zoyambirira zikuwonekera m'nkhaniyi, onetsetsani kuti mwazindikira kuti mwazindikira.

Chithandizo cha Okorokov A.N. Matenda a ziwalo zamkati. Gawo 2. Chithandizo cha matenda amitsempha. Chithandizo cha endocrine matenda. Chithandizo cha matenda a impso, mabuku a Medical - M., 2011. - 608 c.
Rumyantseva, T. Zolemba za odwala matenda ashuga. Zolemba za kudziyang'anira pawokha mellitus / T. Rumyantseva. - M: AST, Astrel-SPb, 2007 .-- 384 p.
Pewani matenda ashuga. - M: Owerenga Digest Publishing House, 2005. - 256 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.