Mafuta m'matumbo ndi kapamba

Flatulence imatha kukhala ndi zisonyezo zomwe zimayambitsa matenda. Kuchulukitsa kwa mpweya kumatha kuchitika osati pancreatitis, koma ngati kukanika kwa mtima dongosolo:

• Arrhasmia
• Kuyaka m'misempha yamtima,
• Kusowa tulo
• Kusintha kwadzidzidzi,
• Kufooka ndi kutopa.

Therapy ikuchitika mu magawo angapo:

Kuti mumwe madzi owonjezera a haidrojeni panthawi yaulemu, ma sorbents amalembedwa: dongo loyera, polysorb, kaboni yokhazikitsidwa, polyphepan, dimethicone. Zithandizo za anthu ku fennel, katsabola, zochokera m'mabwinja, kulowetsedwa kapena kupendekera kwa korori zimapatsidwa mphamvu.

Ngati flatulence imayamba chifukwa cha kusowa kwa michere yogaya chakudya m'mimba, chithandizo chamankhwala chimayikidwa, chomwe chimaphatikizapo kumwa mankhwala ozikidwa ndi madzi achilengedwe a pancreatic, monga:

Nthawi zambiri, kutsetsereka sikutanthauza kulandira chithandizo, kotero zakudya zimagwiritsidwa ntchito nthawi zambiri kuti muchepetse vuto. Kuti muthane ndi zizindikirazi, pali njira yayikulu yosankha zakudya zosiyanasiyana. Koma amatsatira malamulo opatsa thanzi kuti atulutse matumbo. Zakudya zopanda chakudya:

• Ndi ma coarse fiber, motero, sayenera kudyedwa panthawi yazakudya: bowa, masamba atsopano ndi zipatso, nyemba, msuzi, mkate ndi mkate,
• Chifukwa chake, kufinya, kvass, mkaka, mowa, marinade, sauerkraut ndizoletsedwa,
• Njira zolimbikitsira kupesa: madzi otumphuka, mowa, champagne, soufflé ndi bisé, muffin ndi mankhwala a sopo.

Kuti muchepetse kutulutsa, muyenera kutafuna chakudya mosamala.

Kuti muthane ndi kusangalala, mtundu wa chakudya muyenera kuwongolera. Chifukwa chake, muyenera kutafuna chakudya mosamala, osameza mpweya. Ndudu ndi chingamu ziyenera kuletsedwa. Nthawi zambiri kutsegula kumawoneka ngati matumbo osakwiya. Matendawa amathandizidwa ndi zakudya. Pokhapokha ngati izi, chakudya chimasankhidwa kuti chichepetse kupanga kwa mpweya wambiri ndikupangitsa kuti matumbo azigwira bwino ntchito.

Ngati chifukwa cha kutuluka kwa magazi kudali kupsinjika, muyenera kusiyanitsa ndi zakudya zomwe zimapangitsa chisangalalo chamkati wamanjenje komanso matumbo. Izi zikuphatikiza: khofi, tiyi wokhazikika, zakumwa zonse zamafuta, mafuta ndi mbale zonunkhira. Zakudya za kudzimbidwa, limodzi ndi kusefukira kwamadzi, zimachokera pakudya chamafuta omwe ali ndi mankhwala ofewetsa thukuta ndi mankhwala kuti athandizire ntchito yodziyeretsa kwamatumbo. Malamulo apakati pazakudya za odwala pankhaniyi ndi awa:

• Kugwiritsa ntchito madzimadzi ambiri (oposa malita awiri patsiku), komwe kumakupatsani mwayi wofewetsa chopondapo ndikuwongolera kumasulidwa kwake,
• Zakudya zopatsa thanzi m'magawo ang'onoang'ono (mpaka 7 pa tsiku), zomwe zimathandiza kuti chakudya chizilowetsedwa munthawi yake osati kudziunjikira m'matumbo,
• Zambiri pazakudya za lactic acid,
• Kukana zakudya zosaphika, zosaphika,
• Kudya zakudya zosankhidwa
• Kuchulukitsa kwa zakudya zamagulu azakudya (bowa, masamba, zipatso).

Mfundo yomaliza iyenera kuchotsedwa ngati kudzimbidwa kwayamba chifukwa cha chotupa m'matumbo ndi chotupa. Kuchuluka kwa zamasamba ndi zipatso zatsopano kumatha kuvulaza wodwala, kumawonjezera ululu ndi kutupa. Pewani kusangalatsa Munthu akakhala akusunthasuntha, kamvekedwe ka zinthu ndi matumbo ake zimakulanso. Kutulutsa kwa hydrogen sulfide kumakhala bwino, kudzimbidwa kumatha, ndipo mkhalidwewo umakhazikika.

Zakudya za pancreatic flatulence zimagwiritsidwa ntchito:

• Ma Enzymer omwe amasintha zitsulo zopanda chitsulo
• Zakudya zazing'ono mpaka katatu pa tsiku,
• Zakudya zamadzimadzi kapena zochepa zamadzimadzi
• Madzi ambiri (1.5-2 malita patsiku).

Ndikofunikira kupatula ntchito zamafuta, zomwe ndizovuta kugaya ndi kapamba chifukwa cha kuchepa kwa lipase. Ndikulimbikitsidwa kuti muchepetse kuchuluka kwa mapuloteni omwe amwedwa, chifukwa ngati amasonkhana m'matumbo, kuwonjezeka kwaulendowo ndikotheka. Kuperewera kwa enzyme kungalipiridwe ndi Creon, Panzinorm, Pangrol, omwe amatengedwa ndi chakudya.

Zomwe zimayambira komanso zomwe zimayambitsa kupangika kwamagesi kwambiri

Kumva kutumphuka ndi kulemera mu epigastric dera, khungu likayamba kutupa ndi kuwoneka, kumva kwamphumphu, kupezekanso kwa kupweteka kwapakati pamimba - zonsezi ndi chipatala chobiriwira. Pakuchulukirachulukira kwa matendawa, odwala amawona kupezeka kwapadera ndi kupsinjika kwa epigastric zone pamimba.

Kupanga kwa gasi m'matumbo am'mimba kumachitika chifukwa cha kumeza kwa mpweya pakudya, ndipo mapangidwe a mpweya amapezeka mu cecum, pomwe amatulutsidwa m'madzi a m'magazi. Kwa thupi lamunthu wathanzi, mpweya wocheperako m'matumbo am'mimba ndikofunikira kuti chimbudzi chikhale bwino ndikuyeretsa thupi la poizoni ndi poizoni. Koma, kuchuluka kwa kupangika kwa gasi kumathandizira kuti pakhale njira yopezera matenda monga kusefukira.

Zimayambitsa flatulence odwala ndi kapamba

Flatulence aakulu kapamba kumachitika motsutsana maziko a kuchepa kwa kapangidwe kake, chifukwa osakwanira msanga pancreatic encyme katulutsidwe zofunika kuonetsetsa yachilendo kugaya chakudya njira. Chakudya chosagwiritsidwa ntchito bwino m'matumbo am'mimba chimayamba kusunthika, kuyendayenda ndi zowola, zomwe zimapangitsa kuti pakhale kutulutsa.

Ndizofunikanso kudziwa kuti china chomwe chimapangitsa kuti pakhale kunyentchera sikokwanira kwa minofu ya matumbo ndi chakudya, zomwe zimakwiyitsa njirazi. Kutaya mtima kwambiri komanso kupezeka pafupipafupi kwa zinthu zovuta kumathandizira kuti muchepetse matumbo komanso mapangidwe a ma spasms.

Ngati kupanga kwa mpweya kumayamba kukulira ndi kapamba, ndiye kuti malita 20 a mpweya amatha kupanga m'matumbo am'mimba patsiku, omwe amayamba kutambasulira kwambiri matumbo, ndikukhumudwitsa zolimba zomwe zimapezeka pa iwo, zomwe zimapangitsa kuti ziwonekere kukhala zowawa kwachilengedwe.

Vutoli limathanso kupezekanso pazifukwa zotsatirazi:

• kudya kwambiri mafuta okhuthala, komanso fiber ndi lactose,
• poyerekeza ndi kuchuluka kwa mabakiteriya omwe ali mkati mwa m'mimba,
• ndi kusakwanira kwa michere ya enzymatic mu colon patity,
• ndimatenda amisala mu kayendedwe kazinthu,
• ndi concomitant pathologies mkati mwa ndulu, monga cholecystitis, komanso gastroduodenitis, yodziwika ndi mapangidwe a kutupa m'matumbo a duodenum ndi m'mimba,
• Ndi chitukuko cha zomata kapena zotupa za khansa m'matumbo,
• kuledzera kwathunthu kwa thupi kapena matenda aliwonse atenga kachilomboka.

Mwa akazi, kumatulutsa nthawi zambiri kumachitika motsutsana ndi maziko am'mimba wa ectopic, cyst ovary, kapena kupitirira kwa endometriosis. Mu theka wamwamuna, kukula kwa mawonekedwe aulemu kumachitika motsutsana ndi maziko a prostatitis, komanso kukula kwa kutupa kwa testicles ndi seminal ducts.

Momwe mungazindikire kusilira

Zizindikiro zofanizira zimawonedwa ndi diso lamaliseche ndipo pamimba yokhazikika imatha kuzindikira ngakhale popanda maphunziro apadera azachipatala kunyumba.

Kumverera kwodzaza kumayamba kuonekera m'mimba, komanso kupweteka kwapang'onopang'ono, kumalumikizana ndi colic komwe kumachitika pamene mipweya ikunjenjemera m'matumbo ndikuchoka itatuluka.

Kuphatikiza apo, kutsekemera kumathandizira kuti pakhale mseru wambiri komanso kusanza, kupezeka pafupipafupi kwa belching, kukula kwa kutsekula m'mimba kapena kudzimbidwa, kusowa chilimbikitso, kupweteka mutu, kusintha kwa zam'magazi pakuchitika kwa mtima wam'mimba komanso kupangika kwamphamvu m'mimba. Kuphatikiza apo, zizindikiro zimayamba kukulira, monga:

• kusowa tulo
• kufooka kwathunthu ndi kutopa,
• kupweteka kwa minyewa
• kupumira msanga
• akunjenjemera m'mimba
• kuchuluka kununkhira kowopsa.

Ndi kuphuka kwamaluwa, kumakhala kumverera kosokoneza kuchokera kukula kwake kwakukulu ndi kupweteka kwapweteka.

Kuunika koyamba kwa wodwala

Pakafukufuku woyamba wodwala wamkulu, dokotala yemwe amapezekapo amapeza mbiri yachipatala yokhala ndi madandaulo a wodwala, zambiri zazomwe zimayambitsa zizindikiro, zomwe amakonda komanso zomwe amakonda.

Pambuyo pake, diagnostics palpation wa m'mimba zonse zam'mimba zimachitika ndi kufufuza ndi kugunda. Ndi kukula kwa bata, m'mimba mwa wodwalayo kumakhala kolimba, kumayamba kutupa ndipo m'deralo momwe kumatuluka kwake, malire am'mimba amatsimikizika. Mukamayendetsa malowa, mumamveka mawu osabera.

Zoyeserera zasayansi

Odwala omwe akukayikira mwachisawawa amapatsidwa mayeso a magazi pazachipatala komanso zamankhwala amodzi, komanso choperekera chopondera kuti aphunzire kafukufuku wamthupi lawo ndi mankhwala.

Ndi kukula kwa flatulence, kuyezetsa magazi kwamankhwala kumapereka zotsatira zokhala ndi kuchuluka kwa maselo oyera am'mwazi komanso kuchuluka kwa hemoglobin ndi maselo ofiira amwazi.

Zotsatira za kafukufuku wamankhwala osokoneza bongo zikuwonetsa kuchuluka kwa ma albin. Zotsatira za kafukufuku wapamwamba zowonetsera zowonetsera zimawonetsa kupezeka kwa njira yotupa, zimapangitsa kuti athe kuyesa kwathunthu momwe matumbo akuberekera, komanso kudziwa, ngati alipo, mazira a helminth.

Zida za Hardware

Kuti mupeze chithunzi chodziwika bwino cha matenda am'mthupi mwa wodwalayo, njira zowunikira zotsatirazi zimalembedwa:

• Maphunziro a X-ray omwe amathandizira kuti mawonekedwe azakudya zam'mimba azitha,
• Ultrasound, mothandizidwa ndi zotupa ngati ma neoplasms osiyanasiyana etiologies, zotupa za cystic, komanso kusintha kwa ma pathological mu magwiridwe antchito a mtima.
• kufufuza kwa endoscopic kumapereka mwayi wopeza zinthu zolemba zotsalira ndi njira zina zowonetsera

Chithandizo cha maluwa

Njira zochiritsira m'mimba ndi kapamba zimayendera limodzi potsatira zovuta zotsatirazi:

1. Poyamba, kuchiritsa kwazomwe zimayambitsa chachikulu cha matendawa kumachitika, kwa ife, chithandizo chamankhwala ndikuchotsa matenda a pancreatic.
2. Kenako ndikofunikira kukhazikika pakumamatira kopatsa zakudya, patebulo Na. 5.
3. Matenda a microflora m'matumbo am'mimba pogwiritsa ntchito mankhwala, omwe amathandizanso kukhazikitsa njira za peristalsis m'matumbo ndikutsimikizira kuchotsedwa kwa mpweya wambiri.
4. Kuchita physiotherapy ndi kugwiritsa ntchito maphikidwe a wowerengeka.

Mankhwala

Kudukiza ndi kapamba, limodzi ndi zilonda zam'mimba, kumafuna kugwiritsa ntchito mankhwala, omwe omwe amagwira ntchito kwambiri ndi awa:

1. Makala ophatikizidwa, omwe amathandiza kuthetsa kutulutsa, mlingo womwe umalimbikitsa ndi mapiritsi 2-3 nthawi imodzi.
2. Smecta ndi Espumisan amathandizira pakuchotsa kwampweya kwa mpweya wambiri.
3. Pofuna kuchotsa ululu wowopsa womwe umayamba chifukwa cha kupangika kwa m'mimba m'matumbo, mankhwalawa monga No-Shpa, Drotaverin kapena Spazmalgon ndi omwe amapatsidwa.
4. Kuti mutenge ndi kuchotsa magesi m'matumbo am'mimba, ndikofunikira kutenga mapiritsi oyera amalaala.
5. Ndi chitukuko cha kusakwanira kwa chinsinsi magwiridwe antchito a parenchymal gland, ndizotheka kuonjezera mphamvu yake mwa kutenga kukonzekera kwa enzymatic mu mawonekedwe a Mezim, kapena Festal.
6. Disflatil wa mankhwalawa athandizira kuthetsa chithunzi chazachipatala cha kapangidwe ka mpweya ndi kumverera konse kosasangalatsa.
7. Lactobacterin kapena Linex ithandizanso kubwezeretsa thanzi la matumbo.
8. Ndipo kuyambitsa mabakiteriya opindulitsa m'matumbo am'mimba, Dufalac athandizira.

Chithandizo cha mankhwala osokoneza bongo cha flatulence chimakhazikitsidwa pamaziko a zotsatira zomwe zimapezeka kuchokera kuzizindikiro.

Physiotherapy

Ngati chisangalalo sichikhala pachimake, mutha kuthetsa kusapeza bwino mothandizidwa ndi njira zolimbitsa thupi. Kuti muchite izi, chitani izi:

• Nthawi zonse muzisamba osambira kapena mchere wamchere wamchere wokhala ndi madzi osachepera 36 digiri,
• pitani kunjira zamatope
• Pitani ku njira yama electrophoresis yogwiritsira ntchito novocaine, yomwe ipititse patsogolo zinsinsi za gland yomwe yakhudzidwa, muchepetse kupweteka ndikuchotsa kubwezerera,
• Mutha kuthana ndi mafuta ochulukirapo mothandizidwa ndi masewera olimbitsa thupi.

Ndikulimbikitsidwanso kuti muziyenda tsiku lililonse, mosathamanga osachepera 1 km.

Zakudya zoyenera komanso kupewa kuteteza thupi

Chakudya pa nthawi yaulemu uyenera kukhala wogawika bwino komanso wabwino. Ndikofunikira kusintha kwathunthu zakudya zamasiku onse, kupatula izi:

• malonda okhala ndi mawonekedwe owoneka ngati chiphuphu, maonekedwe a zoumba, maula, ma apricots owuma,
• mitundu yonse ya bowa,
• nyemba
• Zinthu zophika buledi
• chimanga
• mitundu yonse yamadzi am'nyanja.

Ndikofunikanso kuiwala za zakumwa zozizilitsa khofi, mowa, mkaka ndi champagne.

Ndikulimbikitsidwa kupangitsa kuti zakudya zizikula bwino: mbewu monga chimanga, mkaka, zipatso zophika ndi masamba, nyama yophika yophika.

Kuwona zakudya zopatsa thanzi, komanso kutsatira mosamalitsa malangizo onse a dokotala, kumathandizira wodwalayo komanso kuthetseratu matenda ake mwachangu momwe zingathere.

Cancreas: flatulence (gasi, gasi) wa chifuwa chachikulu, mankhwala

Kutulutsa magazi, kumverera kolemetsa, kutupa, matumbo ndi kupweteka m'malo osiyanasiyana am'mimba nthawi zambiri kumachitika chifukwa cha kuchuluka kwa mpweya mkati mwake. Vutoli limadziwika kuti flatulence. Ndi chidziwitso chazomwezi cha pathological process, kupweteka kwa spasmodic kapena cramping kumatha kuchitika, komwe madokotala amatcha mpweya wa colic. Ngati kusokonekera kwambiri kumachitika kawirikawiri m'matumbo amunthu, ndikuyambitsa kusasangalala, ndiye kuti moyo wake umachepa.

Mpweya umalowa m'thupi la munthu, kapena m'malo mwake, m'matumbo ake munjira zingapo: woyamba umameza mpweya, wachiwiri umapangidwa mu lumen ya cecum, lachitatu limachokera kumagazi.

Thupi lathanzi limafunikira kuchuluka kwa zinthu zamafuta kuti thupi likhale ndi mphamvu komanso mphamvu yogwira matumbo. Mafuta ochulukirapo omwe amachititsa flatulence amathanso kuyambitsidwa ndi zifukwa zosiyanasiyana, monga chakudya cham'mimba, ma cellulose ndi ma legamu, ndi matenda osiyanasiyana, omwe amachititsa kuti kapamba kapena kutupa kwa kapamba.

Amayambitsa kusokonekera kwa kapamba

Chomwe chimayambitsa kupangika kwamagesi kwambiri m'matumbo ndikuchepa kwa michere yam'mimba yomwe imawoneka mu matenda apancreatic. Mu chifuwa chachikulu cha pancreatitis, chomwe chimadziwika ndi kufalikira kwakanthawi komanso kusintha kwa mafupa m'njira yotsatsira minofu yathanzi, kuperewera kwa msuzi wa kapamba kumachitika chifukwa chakuti ziphuphu zopunduka, zotupa sizingakwaniritse bwino ntchito yake yapamwamba - mapangidwe a michere yokugaya. Chifukwa chake, njira yogawika ndi kupukusa chakudya, ndikuchepetsa, imasokonezedwa.

Kuchuluka kwaulemu ndiulemu ndi chimodzi mwazinthu zambiri zodandaula za odwala omwe amapezeka ndi kapamba. Vutoli limafotokozedwa ndi kuyamwa kwa chakudya chosaphatikizidwa m'matumbo akulu, momwe zimapangitsa kuti magesi azingika komanso azitulutsa. Muzochita zamankhwala, kubwatula pang'onopang'ono ndikuphwanya chakudya chokwanira kumatchedwa kugaya chakudya.

Nthawi zambiri, pochiza matenda oyamba, omwe amatupa kapamba, adotolo, kuwonjezera pa michere yam'mimba, amatipatsa mankhwala omwe amatha kuchepetsa mpweya wambiri m'mimba. Pachifukwa ichi, ndi kapamba, imodzi mwamagulu awiriwa amagwiritsidwa ntchito nthawi zambiri: antifoam agents kapena adsorbents.

Kufalikira ndi kapamba

Vuto lachiwopsezo mu kapamba nthawi zambiri limawonetsedwa chifukwa cha kuchepa kwa puloteni. Chakudya sichidagwidwa kwathunthu, chimayima m'mimba, chomwe chimayambitsa kukondoweza ndi kupsa. Monga lamulo, chifukwa chomwa mowa wambiri, choncho mankhwalawa samangotengera kukonzekera kokhazikika, komanso kutsatira malamulo apadera azakudya.

Kodi kutsekula m'mimba ndi chiyani ndipo chifukwa chiyani kumachitika ngakhale m'thupi lathanzi?

Flatulence imawonedwa mwa anthu onse, ndipo imayamba chifukwa cha kuchuluka kwa kupanga kwa gasi m'mimba. Nthawi zambiri zimawonekera mukatha kudya kwambiri, kapena mutatha kudya zakudya zomwe zingayambitse kuchuluka kwambiri kwa mafuta.

Pali magwero atatu apakati amafuta m'matumbo amunthu:

1. Mpweya womwe umameza nthawi yomweyo ndi kudya.
2. Mafuta omwe amalowa m'mimba am'magazi.
3. Magemu opezeka m'chigawo cha cecum.

Ndi thanzi labwino, mpweya wambiri womwe umapezeka m'matumbo am'mimba ndi 200 ml. Mu tsiku lonse, 600 ml akudutsa mu rectum, koma chizindikiro ichi siwokhazikika chifukwa cha mawonekedwe ake amthupi. Chifukwa chake, zimachokera ku 200-2600 ml.

Mzimu woyipa wama mpweya wotulutsidwa ndi thumbo amafotokozedwa ndi kupezeka kwa mankhwala onunkhira amodzi, pakati pawo pali:

Mapangidwe awo amachitika m'matumbo, chifukwa cha momwe microflora imachitikira pazinthu zamagulu zomwe zimapangidwa ndi matumbo ochepa.

Mafuta ambiri amakhala ngati chithovu chobowoka, pomwe ulusi uliwonse umakutidwa ndi wosanjikiza mucous. Kuchuluka kwa thovu lomwe limayenderera limafalikira m'mbali mwa matumbo ndi malo ochepa, omwe samakhudza makoma a ziwalo zogaya chakudya m'njira yabwino. Kuphatikiza apo, kuyamwa kwa zinthu zopindulitsa kumachepa, ntchito za ma enzyme zimachepa.

Zoyambitsa ndi zizindikiro

Kutulutsa magazi kumayambitsa zifukwa zingapo, koma ndi kapamba, vuto lambiri ndi kuperewera kwa zakudya. Pancreas wovulazidwa sangathe kupanga ma enzyme kuti mupeze chakudya choyenera mu kuchuluka kofunikira. Kufufuza zamadzimadzi sikokwanira, kupatsa mphamvu chakudya kumabweretsa mapangidwe am'mimba m'mimba.

Zomwe zimayambitsa kubwezeretsa m'mimba zimatha kukhala matenda osiyanasiyana omwe amapezeka limodzi ndi kapamba:

• Matenda amsempha, kupsinjika kwanthawi yayitali,
• Ma tumamu kapena zomatira mkati mwa matumbo,
• Matenda a intoxication kapena pachimake,
• Kuchuluka kwa mabakiteriya m'matumbo aang'ono,
• Matenda a biociotic mu colon
• Gastritis, matenda a ndulu,
• Kuphwanya kayendedwe koyenera ka magazi.

Flatulence imawonetsedwa ndi kupangika kwakukulu kwa mpweya, komwe kumayendera limodzi ndi kuphuka, kupweteka kwamkati m'matumbo. Kubetcha, kusanza, kapena kusowa kwamphongo kumawonedwa. Zizindikiro zake zimaphatikizaponso kukung'ung'udza ndi kuyamwa, "kusefukira" kwa mpweya, kudzimbidwa.

Mwa zina zopanda pake, ndizosowa, koma pamakhala kusagwira bwino ntchito kwa mtima:

• Arrhasmia kapena kutentha mumtima,
• Kutopa, kugona,
• Kusintha kwa malingaliro.

Vutoli komanso kutupa kwa kapamba

Mafuta okhala ndi pancreatitis amapanga zovuta zina kwa wodwala, chifukwa chake, pothandizira kupatuka uku, ndikofunikira kukhazikitsa njira zomwe zimayambitsa kukula kwake.

Ngati m'mimba mukutupa ndi kapamba, ndiye ichi ndichizindikiro choonetsa kuti matumbo amtunduwu ndi opuwala. Flatulence mu nyengo yovuta ikuwonetsa kuti kuperewera kwakukulu kwa michere ya pancreatic yapanga m'thupi.

Muntchitoyi, tinthu tating'onoting'ono ta chakudya chomwe timalowa timakonzedwa ndi madzi am'mimba, omwe ndi osakwanira. Kupitilira apo, maselo osaphunzitsidwa kwathunthu amafikira mabakiteriya, omwe amatengedwa kuti adutse khungu.

Zotsatira zake zonsezi, mpweya wambiri umapangidwa. Pasanathe tsiku limodzi, kukula kwawo kumatha kufika 20 malita. Lingaliro lomwe mipweya imapita kunja mu nthawi yochepa ndilakwika.

Kupezeka kwawo kwakukulu kumatambasulira makoma a zikondamoyo, ndipo zolumikizira zomwe zimayambitsa chidwi chake zimakhala zamanjenje, kotero kutuluka ndi chithaphwi chonyansa kumayendera limodzi ndi kupweteka kwambiri komwe kumatha pambuyo poti atulutse kapena kutulutsa mpweya.

Chifukwa cha kupatuka konseku, matumbo am'mimba amakhumudwitsidwa, ndipo flatulence imayamba.

Kupanga kwa mafuta a pancreatic nthawi zambiri kumawonetsedwa mwa odwala omwe:

• Satsatira malangizo a kadyedwe komanso zakudya zoperewera ndi zakudya za cellulose.
• Mabakiteriya ochulukirapo amapezeka m'matumbo awo aang'ono.
• Ntchito zachilengedwe zimasokonekera m'matumbo akulu.
• Magazi amayenda.
• Pali zomata ndi zotupa m'mimba.
• Amadwala matenda oopsa komanso kuledzera kwa thupi.

Komanso, zomwe zimayambitsa kuphimbira zimatha kuchitidwa opaleshoni pamimba.

Zizindikiro zamagesi

Zizindikiro zakusyasyalika zimadziwika ndi zosiyana. Kuchulukitsidwa kwa mpweya ndi kapamba kumawonetsedwa ndi zizindikiro zotsatirazi:

• Ululu waukulu.
• Kubwula.
• Pakamwa pakamwa.
• Kubweza
• Colic
• Mutu.
• Kusokoneza mtima.
• Kutentha pamtima.
• Kuchepetsa mseru
• Kuchepetsa chidwi.
• Kudzimbidwa kapena kutsegula m'mimba.

Kuphatikiza apo, wodwalayo amatha kudandaula za zotsatirazi:

• Maloto oyipa.
• Kupweteka kwa minofu.
• Zofooka zambiri.
• Kutopa kwambiri.
• Kupuma kovuta.
• Kung'ung'udza m'mimba.
• Kutuluka pafupipafupi kwa mipweya.

Mankhwala amadziwa mitundu iwiri yosiyanasiyana yowonetsera kusalala:

1. Wodwalayo amakhala ndi chotupa cham'mimba panthawi yokhudzana ndi colon. Chifukwa cha matumbo omata, mpweya sutha kutuluka kunja. Pankhaniyi, zizindikiro zimawoneka, monga kumverera kwodzaza pamimba, kupweteka kwapweteka komanso thanzi labwino.
2. Kuchotsa mwachangu kwa hydrogen sulfide kumadziwika, komwe sikukhudza moyo wa wodwalayo m'njira zabwino kwambiri. Ndi matenda osiyanasiyana awa, ululu umakhalapo, komabe, munthu mwadongosolo amamva kusefukira ndikung'ung'udza mu peritoneum.

Kupezeka kwambiri kwa mafuta m'magawo am'mimba kumakhudza magwiridwe antchito awa:

Kutupa kwa m'mimba ndi chifuwa chachikulu komanso chifuwa chachikulu chimapweteketsa mutu kwambiri, munthu amakhala ndi nkhawa, kutopa kwa matenda kumachitika.

Njira zochizira zotupa

Ngati wodwala yemwe ali ndi vuto lotseguka nthawi zambiri akuwonetsa kupanga gasi wamphamvu, musalole chilichonse kumangochita. Izi zodabwitsa ziyenera kuchitidwa. Masiku ano, mankhwalawa amagwiritsa ntchito njira zingapo zomwe zimathandizira kuthetsa chisangalalo:

1. Mankhwala
2. Zakudya zoyenera.
3. Zithandizo za anthu

Ndiye, kodi mungachotse bwanji mpweya ndi kapamba? Choyamba, zochizira zimayendetsedwa:

• Kukhazikitsidwa kwa zinthu zakutsogolo zomwe zidayambitsa kuphuka.
• Zakudya
• Kugwiritsa ntchito zinthu zachilengedwe zomwe zingathandize kuti matenda a biocenosis achulukane.
• Kubweretsa kufotokozera kwam'mimba.
• Kumasulidwa kwa thupi kuchokera ku hydrogen sulfide.

Kuphatikiza apo, kuwonjezera mphamvu ya njira zochizira motsutsana ndi flatulence yokhala ndi kapamba wodziwika, ndikofunikira kuchotsa kuchepa kwa michere.

Mankhwala

Kuti muchepetse mpweya ochulukirapo, tikulimbikitsidwa:

• Yoyambitsa kaboni.
• Espumisan.
• Polysorb.
• Polyphepan.
• Dongo loyera.
• Dimethicone.

Zikachitika kuti flatulence yachitika chifukwa chosowa ma enzyme, mwina adokotala adzalembetse:

Zizindikiro zopweteka zimatsitsimuka ndi antispasmodics:

Kuphatikiza apo, katswiri angalimbikitse mankhwala omwe amadziwika kuti ndi a bile:

Wodwala sayenera kuiwala kuti muzochitika zina, kupangidwa kwa mpweya kumatha kuyambitsidwa ndikugwiritsira ntchito kwakanthawi mankhwala ena omwe angachepetse kupanga kwa madzi a m'mimba.

Mawonekedwe azakudya zamankhwala

Pofuna kuchotsa kwathunthu kufalikira kwa kapamba, potithandizanso wodwalayo kuti azitha kuzindikira njira yokhayo yothandizira, yomwe chakudya chama 5p chimayamba.

Zakudya zokhala ndi mafuta ambiri, omwe ndi osafunika pancreatitis chifukwa cha kuchepa kwa lipase, amachotsedwa muzakudya. Kudya kwa mapuloteni, omwe angayambitse kuchuluka kwa anomaly, kumachepetsedwa. Zakudya zokhala ndi ma coarse fiber sizimasungidwa kumenyu. Sitikulimbikitsidwa kugwiritsa ntchito:

• Masamba atsopano ndi zipatso.
• Bowa.
• Nyanja ndi sauerkraut.
• Mkate
• Ziphuphu.
• Mbale.
• Zakumwa za kaboni.
• Mkaka.
• Maapulo.

Musaiwale kuti chakudya chotsatirachi chimayambitsa kupsya:

• Madzi ndi gasi.
• Kuphika.
• Zinthu zokhala ndi koloko.
• Champagne
• Beer, kvass.

Mankhwala othandizira pakhungu la pancreatic akupanga:

1. Kugwiritsa ntchito ma enzymes omwe samapangidwa mokwanira ndi gland wodwala.
2. Muyenera kudya nthawi zambiri m'magawo ang'onoang'ono (osachepera 6 pa tsiku).
3. Chakudya chizikhala chamadzimadzi kapena theka-viscous, kapena mwanjira ya mbatata yosenda.
4. Onetsetsani kuti mumamwa madzi osachepera 1.5-2 malita tsiku.

Minyezi ikayamba chifukwa cha kupsinjika, masisitimu am'mimba am'mimba ndi matumbo amachotsedwa pazosankha:

• Tiyi wamphamvu komanso khofi.
• Mphamvu.
• Zakudya zamafuta ndi zolemera.
• Zakudya zokometsera.

Monga mukuwonera, kudya moyenera pancreatic flatulence kumathandizira kwambiri pakuchiritsa kwake.

Pomaliza

Kukhalapo kwa flatulence mu kapamba kumayambitsa kusapeza bwino kwa wodwala. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo onse omwe dokotala angaupatse pokhudzana ndi zakudya, kugwiritsa ntchito mankhwala oyenera komanso kugwiritsa ntchito mankhwala oyenera kuti muthandizire kuchotsa chinthu chosasangalatsa komanso chopweteka.

Pancreatitis Kufalikira

Pancreatitis - kutupa kwa kapamba.

Pali mitundu iwiri yonse yathunthu: chifuwa chachikulu cha pancreatitis.

Lilime, monga lamulo, louma, lopindika pang'ono ndi zokutira yoyera. Kufalikira kwam'mimba chifukwa cha Reflex m'matumbo a parresis.

Nthawi zambiri pamakhala kuterera kwakutali kwa kolulu yodutsa, yomwe imalumikizana kwambiri ndi ndulu, imathandizira msanga kuchita izi.

Pakusintha kwamatumbo, palibe phokoso lomwe limamveka (kutsekeka kwamatumbo mwamphamvu, kwachilengedwe).

Ngakhale palpation yapamwamba pamimba nthawi zambiri imabweretsa ululu waukulu, nthawi zambiri wopweteka wa epigastrium. Kumayambiriro kwa matendawa, pamimba pamakhala zofewa, nthawi zina zoteteza minofu kumadera a epigastric komanso kuwawa panthawi yolumikizana ndi kapamba (chizindikiro cha Kerte).

Khalidwe ndilo kusowa kwa kupindika kwammimba m'mimba mu epigastrium (chizindikiro cha Voskresensky), kupweteka pakhungu pakona yakumanzere kwa nthiti yakumanzere (chizindikiro cha Mayo-Robson).

Pancreas palokha siyikupezeka palpation, komabe, mu pancreatitis yovuta kwambiri, nthawi zambiri imatha kupezeka kuti imalowa mu epigastrium ndi hypochondria, yomwe imalumikizidwa ndi kusintha osati ku gland palokha, koma omentum (hemorrhages, edema, mafuta necrosis). Zizindikiro za peritoneal mkwiyo zimawonekera ndi pancreatic necrosis ndi chitukuko cha peritonitis.

Pachimake kapamba - pachimake yotupa-necrotic zotupa - zimachitika 3 malo pafupipafupi zimachitika pakati pachimake opaleshoni matenda a m'mimba ziwalo. Matendawa amakhudza anthu azaka zakubadwa, nthawi zambiri opitilira 30, ndi okalamba, omwe amakonda kunenepa kwambiri, komanso omwe amamwa mowa kwambiri.

Amayi amadwala katatu kuposa abambo. Mu ana, matendawa ndi osowa kwambiri. Zomwe zimatitsogolera zodwala zomwe zimayambitsa pancreatitis pachimake ndi matenda a ndulu, kumwa mowa, komanso kuvulala kwa pancreatic.

Pathogenesis ya pancreatitis ya pachimake imakhazikitsidwa ndi kuyambitsa kwa michere ya proteinolytic (makamaka ya trypsin) osati m'matumbo a lumen, koma pancreas palokha ndikukula kwa kudzimbidwa kwake. Mothandizidwa ndi lipase, chimbudzi cha mafuta ndi mapangidwe a necrosis yamafuta m'matumbo amachitika.

Ndi kuvunda kwake ndi kutulutsidwa kwa ma enzymes, zotupa ndi necrosis zimapezeka m'matumbo ozungulira England.Nthawi zina, kupatula peritonitis imayamba ndi mawonekedwe a hemorrhagic mayamwidwe.

Hypovolemia, komanso kumasulidwa kwa zinthu zogwira ntchito (ma enzymes, ma kinins, histamine) kuchokera ku kapamba kulowa m'magazi, kukulitsa mitsempha ya magazi, kukulitsa kupezeka kwa khoma lamitsempha, kuchepetsa kuchepa kwa mtima, kumabweretsa kukula.

Mosiyanitsa mitundu pakati pamatenda (ofunda) owonda kwambiri. Ndi edematous pancreatitis, chitsulo chimachulukitsidwa nthawi ziwiri mpaka zitatu, chimalimbikitsa ndi madzi amadzimadzi amadzimadzi komanso amadzimadzi. Ma necrotic mawonekedwe, kapena hemorrhagic pancreatic necrosis, amadziwika ndi zotupa, tiziwalo timeneti ndi pang'ono kapena kwathunthu.

Pancreatitis pachimake imadziwika ndi profuse (nthawi zina 4-6 l) kusanza mobwerezabwereza, choyamba ndi chakudya, kenako ndi ntchofu ndi bile. Kusungunula kumachitika nthawi yomweyo ndi ululu, osawathandiza, ndipo kumakulirakulira madzi onse akatha. Choyambitsa chake ndi kukula kwam'mimba, ziwalo za duodenum, zomwe zimapangidwa ndi akavalo kuzungulira kapamba.

Thupi lakuthwa, kutentha thupi, khungu la pakhungu ndi lodziwika, ma erythematous vesicles amatha kuwoneka chifukwa cha necrosis ya subcutaneous mafuta.

Mu pancreatic necrosis, monga chiwonetsero cha kagayidwe kakang'ono ka hemoglobin, pakhoza kukhala kufooka kwa khungu kuzungulira mkombero wa umbilical (Chizindikiro cha Cullen), kufiyira kwamtundu wamtambo kapena kubiriwira kwamtundu wamtundu wa pambuyo pake (chizindikiro cha Turner's).

Kuzindikira kwa chifuwa chachikulu cha pancreatitis nthawi zambiri sikovuta.

Deta ya Anamnesis (kudya zakudya zochuluka kwambiri ndi zakumwa), kupweteka kwambiri kosaneneka pamimba (nthawi zambiri zamtundu wa herpes), nseru, kusanza, kutentha thupi, tachycardia, hypotension, m'mimba yofewa komanso kusowa kwa peristalsis, chizindikiro chabwino cha Mayo-Robson chikuonetsa kuti pancreatitis yapamwamba . Ku chipatala, kupezeka kwa matenda kumatsimikiziridwa ndi ultrasound, laparoscopy imatha kuzindikira kutuluka kwa hemorrhagic pamimba.

Chithandizo. Wodwala yemwe ali ndi pancreatitis yovuta kwambiri ayenera kuthandizidwa kuchipatala mofulumira ndikuyang'aniridwa ndi achipatala, chifukwa pancreatitis imatha kutenga zoopsa, ndipo chithandizo chanthawi yake chitha kuimitsa njirayo.

Pakati pa njira zochizira, chinthu chachikulu ndikupuma kapamba. Odwala amaletsedwa kudya zakudya zilizonse kwa masiku angapo, kutengera kuuma kwa vutolo, nthawi yotalikirapo yotsala kudya ndi masiku 10. Kuzizira kumayikidwa m'dera la epigastric (chikhodzodzo cha ayezi).

Kuchepetsa kuphipha kwa kupindika kwa Oddi, antispasmodics (no-shpa, platifillin) ndi mankhwala, nitroglycerin imapangitsa antispasmodic pamenepa. Kukhazikitsidwa koyambirira kwa antispasmodics kungachepetse chiopsezo chokhala ndi pancreatic necrosis.

Pokhudzana ndi kuchepa kwakukulu kwa madzimadzi ndi chloride ndi kusanza kosaloledwa, komanso kutsika kwa kuthamanga kwa magazi ndikuwopseza kugwedezeka, saline ya thupi, polyglycine, ndi hemode amathandizidwa kudzera m'mitsempha.

Ndi ululu waukulu komanso popanda kukayikira za matendawa, analgesics amalembedwa (analgin, baralgin). Pofuna kupewa zovuta za purulent, chithandizo choyambirira cha antibacterial ndicofunika.

Matenda a edematous a pancreatitis pachimake ndi abwino, chifukwa pancreatic necrosis imakhala yoopsa kwambiri (kufa kumafikira 50-60%). Kupewa kumakhalapo pakuwona chakudya chamagulu, kuthana ndi uchidakwa, chithandizo cha matenda am'mimbamo.

Matenda a kapamba nthawi yayitali amakhala akuwonjezera njira yotupa yomwe imapangitsa kuti chiwonetsero cha pang'onopang'ono chisasinthike.

Zomwe zimayambitsa matenda osatha a kapamba zimaphatikizapo kumwa mowa mwauchidakwa, matenda am'mimba, m'mimba ndi duodenum, kukhudzana ndi mankhwala ndi mankhwala osokoneza bongo (hypothiazide, corticosteroids), hyperlipidemia, hypercalcemia, chibadwa chamtsogolo, kuperewera kwa mapuloteni.

Chithunzi chachipatala cha chifuwa chachikulu chokhala ndi kupweteka, kukanika, exo- ndi endocrine kulephera, zizindikiro chifukwa cha zovuta za matendawa.

Zowawa zimatha kutulutsidwa kumanzere kwa hypochondrium kumanzere kwa navel, nthawi zina zimafanana ndi lamanzere lamanzere kumbuyo (pomwe mchira udawonongeka), mu epigastrium kumanzere kwa midline (ulcer-ngati chosiyanasiyana pamene kapamba wawonongeka), mu hypochondrium yoyenera, nthawi zambiri imaphatikizidwa ndi mutu wa jaundice (pomwe pancreas imatha. zotupa), zotupa za m'mimba zimabweretsa zowawa zam'mimba. Kupweteka - kosalekeza kapena paroxysmal - kumachitika kapena kumawonjezera theka la ola mutatha kudya, makamaka mafuta kapena zonunkhira, kumwa mowa, nthawi zina usiku, kumakulirakudya mukakhala kumbuyo kwanu ndikuchepera pakukhala pansi ndikusuntha pang'ono. Zowawa zitha kutsimikizidwanso ndi kupweteka kwa m'mimba poyerekeza ndi kapamba. Zizindikiro za Dyspeptic (nseru, kugwedezeka ndi kuthira m'mimba, kutulutsa, mkamwa osasangalatsa, mkamwa, kutentha kwa mtima, kutsutsana ndi zakudya zamafuta, nseru) zimayang'aniridwa pokhapokha ndikuwonjezera pancreatitis, ndipo pamene matendawa akupita, mosalekeza. Kuperewera kwa exocrine kumawonetsedwa ndi matenda am'mimba, kuwonongeka kwa zida za islet - kukula kwa matenda ashuga.

Mavuto osakhalitsa a kapamba amatha kukhala chodandaula (ndi chiyambi cha Courvoisier - chikhodzodzo chodontha chopanda pake) komanso chotengera matenda oopsa (ascites, varicose mitsempha ya miyendo), kukula kwa zotupa, ma cysts, ma pancreatic calcication. Ndi kukula kwa matendawa, kufooka kumawoneka, kugwira ntchito kumachepa, muzovuta kwambiri, kusokonezeka kwamaganizidwe kumatheka.

Kuzindikira kumachitika pamaziko a anamnesis, chithunzi cha chipatala, kuwunika kwapofotokozera (pakuwunika kwa ndowe kuchuluka kwa zotsalira za chakudya zosatsimikizika kutsimikizika - dontho la mafuta - steatorrhea, minofu ulusi - creatorrhea, zouma zouma - amylorrhea), deta ya ultrasound (kuzindikira kwa kuchepa kwanyumba kapena kuyambitsa kuchuluka kwa zikondamoyo. kapena kuchuluka kwa zachulukidwe, kukulira kwa kupendekera kwache, zizindikiro za kusintha kwa cystic), kusinthidwa kogwirizana (kuwulula kuwonjezeka, kusinthika, kusintha kwa hepigeneity, pacemaker, kukulitsa kwa kapamba wa kapamba), zotsatira za endoscopic retrograde cholangiopancreatography (zimakupatsani mwayi wofufuza momwe ma pancreatic ducts ndi bile ducts.

Ndi kutchulidwa kufalikira kwa matendawa, odwala amathandizidwa kuchipatala, chithandizo chikuchitika ngati pachimake pancreatitis kuchipatala. Ngati mukuchulukirachulukira, chithandizo chamankhwala chimasonyezedwa.

Musataye zinthu zomwe zimapangitsa kuti mukhale ndi zakumwa zoledzeretsa, mafuta, zonunkhira, acid, zakudya zamzitini ndipo mulimbikitseni kutsatira mosamalitsa zakudya - pafupipafupi zakudya zomwe zimaletsedwa zamafuta ndi chakudya chamagulu ambiri.

Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo mankhwala omwe amapondera pancreatic secretion - maantacid (almagel, vicalin), H2-histamine receptor blockers (ranitidine), anticholinergics (atropine, platifillin), epancreatic enzyme inhibitors (contracal, gordox, aminocaproic acid), antiquini mankhwala othandizira kaphatikizidwe ka trypsin inhibitors (pentoxyl, methyluracil), ma anti-spectrum anti-virus. Kuti muchepetse ululu wammbuyo, antispasmodics (platifillin, no-shpu), omwe si a narcotic analgesics (analgin, baralgin) amalembedwa, kupweteka kwambiri, perirenal kapena paravertebral novocaine blockade amachitika. Ndi zochitika zazikulu za dyspeptic, kukonzekera kwa enzyme kumagwiritsidwa ntchito (pancreatin, festal, panzinorm, etc.). Ndi kuphwanya kwambiri kwa kagayidwe kazakudya, zimayambitsa matenda a shuga.

Kupewa kumakhalapo pakuwona zakudya zabwino, munthawi yake chithandizo cha matenda am'mimba, kuphatikiza pachimake kapamba.

Vuto lachiwopsezo mu kapamba

Mu nthawi ya pancreatitis pachimake, zizindikirazo zimakula ngati ndi poyizoni.

Monga lamulo, ndi kuchuluka kwa kapamba, kuperekera kuchipatala ndi mankhwala ofanana kumasonyezedwanso, monga momwe zimakhalira pachimake.

Mpaka mutachita izi, mudzakhala ndi zowawa ndi mapiritsi, ndipo izi ndizabwino. Werengani zambiri za zakudya zomwe zili mu nkhani yathu Zomwe mungadye ndi kapamba. Ndipo ndi ndani amene akusanza ndi mseru kuchokera ku kapamba?

Chimodzi mwazizindikiro kwambiri "zosavutikira" zomwe zimatsatana ndi kapamba ndi flatulence. Ponseponse - kuphuka. Kuyambira pachimake nthawi ndi nthawi, anthu onse amavutika ndi makanda mpaka okalamba, amuna ndi akazi, odwala komanso athanzi.

Mu chifuwa chachikulu cha pancreatitis, kugwira ntchito kwa kapamba kumapangika; michere yokwanira kudya m'mimba sikokwanira.

Chithandizo cha flatulence ndi kapamba popanda kuwongolera kuperewera kwa puloteni kudzapereka kwakanthawi.

Nkhondo yolimbana ndi ululu ndi kapamba ndimayendedwe a antispasmodics. Kuchepetsa ululu womwe umayambika chifukwa cha maluwa, pali meteospasmil wophatikizika.

Pancreatitis ndi njira yotupa komanso yoipa mu kapamba. Chaka chilichonse, kuchuluka kwa anthu omwe akudwala kapamba kumakulirakulira.

Zizindikiro ndi kuchiza kwa matendawa zimadalira makamaka kuwonongeka kwa njira yotupa, kuwonongeka kwa ziphuphu.

Mothandizidwa ndi zina zopangitsa, kupanga michere ya proteinolytic imayikidwa mu kapamba, yomwe imayambitsa kutupa. Nthawi zambiri, mwa munthu yemwe ali ndi vuto la kapamba, pali zinthu zingapo zomwe zimapangitsa kuti ikule, yomwe iyenera kukhazikitsidwa ndipo mwina kuthe.

Kuti mumve tsatanetsatane wa zomwe zimachitika m'matumbo a chamba pakhungu, komanso zowopsa za kapamba, onani nkhaniyo. Kusokonezeka.

Ndi kapamba, nkhope ya wodwalayo imakuthwa, poyamba khungu limayamba kutuluka, pang'onopang'ono mawonekedwe ake amakhala ndi imvi.

Pancreatitis ilinso ndi monga mkamwa youma, hiccups, belching, ndi nseru.

Chifukwa chake, kumayambiriro kwa nyengo yovuta kwambiri, palibe cholankhula chilichonse cha chakudya, kufa ndi njala pancreatitis yovuta kwambiri ndikochita bwino kwina. Mimba ndi matumbo sizimagwirizana pakubwera, chifukwa chake, pakumufufuza, dokotala amayamba kudziwa kutulutsa kwamphamvu, palpation sazindikira mavuto am'mimba.

Yellowness of sclera, khungu. Ndi mawonekedwe oopsa a kapamba, jaundice wopatsirana amatha kuchitika, womwe umabwera chifukwa chakufinya gawo limodzi la duct yotupa ya bile. Mu chifuwa chachikulu cha pancreatitis, chithandizo chitha kuchipatala, moyang'aniridwa ndi akatswiri oyenerera, izi zimawoneka ngati zowopsa.

Zizindikiro zake ndi chifuwa chachikulu cha kapamba

Woonda kapena purulent pancreatitis - maantibayotiki (cephalosporins 3-4 mibadwo kapena fluoroquinolones). Mu nthawi yovuta kwambiri, ma enzyme enhibitors (contracal ndi gordox) amasonyezedwa.

Chithandizo cha opaleshoni chikuwonetsedwa chifukwa cha pancreatitis yowonongeka ndikuwonetsa za kutupa kwa peritoneal, komanso chifukwa chosagwira ntchito mwamphamvu.

Pankhaniyi, laparoscopy imasonyezedwa pakhungu lomwe akuganiza kuti limayamwa kapena zizindikiro za peritonitis.

Chithandizo cha matenda kapamba

Matenda a kapamba amadziwika kuti ndi matenda otupa a kapamba, momwe masinthidwe amisempha amachitika.

Poterepa, zosowa zakunja za thupi lathu zimapangidwa. Zikondazo ndizovuta kupirira mitundu yambiri ya mapuloteni, mafuta ndi chakudya.

Pakumva ululu, pamakhalanso zovuta zina monga kusanza, kusanza, kutsegula m'mimba, kumatulutsa, komanso kuchepa thupi.

Zizindikiro za Acute Pancreatitis

Pakumapeto kwa kapamba, matimu akayamba kuoneka, matenda ashuga amatha.

Maonekedwe a asymptomatic - mawonekedwe awa ndi achilendo kwambiri, chifukwa kapamba kwa zaka sakhala akuwonetsedwa ndi zizindikilo zilizonse, zizindikiro ndipo munthu samadziwa za kuphwanya komwe kumachitika.

Mtundu wa pseudotumor - mtundu uwu wa kapamba komanso maphunzirowo amafanana ndi khansa ya kapamba. Zachidziwikire, ngati mukukayikira kuti pancreatitis yayikulu, muyenera kufunafuna kudziwa kwa dokotala wa gastroenterologist.

Momwe mungachotsere kupweteka pachiwopsezo cha kapamba

Wodwala ayenera kutsatira zakudya moyo wonse, kumwa mankhwala osokoneza bongo kapamba kapangidwe ka insulin, antispasmodics.

Zakudya ziyenera kukhala zopezeka pafupipafupi komanso m'magawo ang'onoang'ono, ndiye kuti, zimayenera kudyedwa maola 3 aliwonse, pomwe kuli koyenera kuti musakanikize mitundu yambiri ya mapuloteni, mafuta kapena chakudya pakudya kamodzi.

Ngati mumatsata zakudya, ululu umakhala wocheperako, koma ngati musunthira kutali, dziloleni nokha mafuta kapena okazinga, ndizo zonse - muyenera opanikizika.

Octreotide, mankhwala omwe amachepetsa kupangidwa kwa timadzi ndi tezi, amagwiritsidwanso ntchito chifukwa amalimbikitsa ndipo mwanjira imeneyi amapweteka. Mankhwalawa amalembedwa m'm zipatala zokha.

Ndi kuphunzira kwa nthawi yayitali pancreatitis, minyewa yabwinobwino yamtunduwu imasinthidwa, ntchito yake imatayika, chifukwa chake matenda a shuga amawonekera ndipo chimbudzi chimasokonekera.

Mu chifuwa chachikulu cha pancreatitis, zizindikiro zake zikaonekera kwa nthawi yayitali, kuchuluka kwa insulini kumachepa, komwe posakhalitsa kumabweretsa kukula kwa matenda a shuga.

Ndimachiza matenda a kapamba monga chonchi - m'mawa ndimamwa kapu imodzi ya 1/4 ya Essentuki 17 kapena 4, nditatha mphindi 20 ndikudya, ndiye pancreatin kuphatikiza esliver-forte, piritsi limodzi lililonse, chifukwa. Chifukwa cha kapamba chifukwa chotaya mapaundi 40 owonjezera m'miyezi isanu ndi umodzi

Zizindikiro

M'chipatala kuti mudziwe momwe munthu angakhalire mosamala, amapereka njira zingapo:

• Kuyendera koyankhulana wodwala amaphatikizira kuphunzira madandaulo, anamnesis. Dokotalayo amamva ndikumenya m'mimba yonse. Gawo lachitetezo cha dera lachitetezo lili pamalo pomwe mawu akumva zopanda pake amveka. Nthawi zambiri, matumbo amtunduwu amapangidwa m'derali.
• Kafukufuku wa Laborator amatanthauza chopereka cha magazi pazachipatala komanso zamankhwala am'thupi. Komanso, ndikukaikira kosangalatsa kwa kapamba, kuyezetsa ndowe kumayikidwa.
• Kuyendera kwa Hardware Zimathandizira kumveketsa bwino za momwe matenda am'thupi amapangira. Pakuwona kwa dokotala, wodwala amatengedwa ndi X-ray, ndikukulolani kuti muganize zokhudzana ndi kugaya kwam'mimba. Ngati mukukayikira kukhalapo kwa neoplasms (cysts, polyps, tumors), zolakwika zam'mimba zimalimbikitsidwa kuti zizichitidwa ndi ultrasound. Kuunika kwa Endoscopic kumakupatsani mwayi wopanga biopsy (tengani kachinthu kena koti muwerenge), muzindikire zamomwe mungagwiritsire ntchito zamankhwala ndikupezapo zolemba zina zamankhwala.

Chithandizo cha flatulence ndi kapamba ayenera kukhala okwanira. Kuphatikiza pa kuyimitsa chizindikiro chosasangalatsa, muyenera kutsatira kadyedwe ndikugwira ntchito kuti muwongolere zomwe zimachitika m'thupi.

Ganizirani za njira zamankhwala zomwe zimachotsera ulemu:

• Kuchotsa mpweya, poizoni, Espumisan, Smecta, Polyphepan nthawi zambiri amakhazikitsidwa.
• Mutha kuchotsa chizindikiro cha m'mimba wamagazi mwa kutenga mapiritsi angapo a sorbent (makala ophatikizidwa, makala a Sorbex).
• Pothandizidwa ndi ululu pozizira kwambiri, No-Shpu kapena Spazmalgon amatengedwa.
• Amasonkhanitsa ndikuchotsa mipweya yonse kuzakudya zamagetsi zamankhwala ngati White malasha.

Mankhwalawa onse, ngati pakufunika kutero, amasinthidwa ndi wothandizira. Mankhwala Disflatil pambuyo makonzedwe amachotsa kupanga kwa mipweya, amachotsa ma vesicles okhazikika kale ndipo amatulutsa matumbo ndi bata.

Pankhani ya kuperewera kwa katemera wa pancreatic, mankhwalawa amathandizidwa ndi othandizira enzyme (Festal, Mezim forte, Panzinorm, Pancreatin). Ma Probiotic (Linex, Bifidumbacterin, Lactobacterin, Bifinorm) amathandizira chilengedwe zachilengedwe m'matumbo nthawi ya bata.

Chithandizo cha physiotherapeutic chimapereka zotsatira zabwino ndi flatulence. Wodwalayo akulimbikitsidwa kusamba kwamatope, electrophoresis, masewera olimbitsa thupi apadera, kutikita minofu.

Kupewa

Ndi kufalikira kwa odwala ndi kapamba, kuvomerezedwa kwa zakudya zoyenera kumalimbikitsidwa. Kudya moyenera kumathandizira kuti muchepetse vutoli komanso kupewa kufalikira kwa matendawa.

Ndi flatulence, zakudya zomwe zimakhala ndi ma fiber ophatikizika (bowa, maapricots owuma, zoumba, ma prunes, nyemba, seaweed) siziyenera kudyedwa. Zakudya monga mkate, mkate, masikono, mkaka, mowa ndi koloko ziyenera kuphatikizidwanso kuchakudya.

Madokotala amalimbikitsa kupatsa thanzi thanzi la munthu yemwe akudwala masamba obiriwira, masamba, zipatso, nyama yopunthira, mbewu zamphesa, mkaka wowawasa.

Kuchita kwakanthawi kachitidwe ka kayendedwe ka thupi m'thupi mwanjira yochezera kwa dokotala kumakuthandizani kuti muthane nawo mwachangu. Kuthana ndi malingaliro ndi zakudya zonse kungathandize kuchepetsa mwayi wotulutsa ndi kutupa kwa kapamba.

Pancreatitis Flatulence

Diagnosis, Zizindikiro ndi mankhwala a flatulence mu pachimake ndi matenda kapamba.

Vutoli kapena kufalikira kumatha kuchitika, onse mwa anthu athanzi komanso odwala matenda a kapamba komanso matenda ena am'mimba.

Zamkatimu:

Kuchulukitsa kwa kapangidwe ka gasi kumabweretsa kuwonjezeka kwa kuchuluka kwa mpweya ndi kuyendayenda kwawo m'mimba. Zotsatira zake, pamimba imatupa, imayambitsa kusautsika komanso kusasangalala.

Ndi mpweya wambiri womwe umapezeka m'matumbo, ululu wam'mimba umatha kulowa pachimake, ndipo matumbo a matumbo amatha kuphipha.

Mankhwala, zizindikiro zotere zimatchedwa kuti colic, ndipo zimatha kukhala chinthu champhamvu chomwe chimayipa kwambiri chithunzi cha chipatala cha kutupa kwa kapamba.

Zimayambitsa maonekedwe a mipweya ndi kapamba

Akatswiri amatchulanso magwero atatu apamwamba a gasi m'mimba:

• Mphepo imameza chakudya,
• Minyewa imalowa m'matumbo am'magazi,
• mipweya imapangidwa chifukwa cha tizilombo tating'onoting'ono m'matumbo.

Mu pancreatitis yovuta komanso yosatha, magwero otsatira a mpweya kulowa m'matumbo amaphatikizapo izi:

• kuphatikiza kwamagesi kwambiri kumachitika chifukwa cha zovuta zakumwa za pancreatic madzi ndi michere,
• mipweya imapangidwa chifukwa chakuchepa kwa ntchito yopanga kapamba,
• choyambitsa mawonekedwe a mpweya m'magawo am'mimba ndi zina mwa ziwalo zake.

Chifukwa cha zifukwa zomwe zili pamwambazi, chakudya chogaya mosakwanira chimapezeka m'matumbo. Ndi kuchepa kwa ma enzymes, njira zosafunikira zimachitika, zodziwika ndi mipweya yoyendayenda m'matumbo. Fungo lenileni la mipweyayi limatsimikiziridwa ndi indole, skatole ndi hydrogen sulfide.

Thupi komanso kuwola kwa chakudya chosakonzedwa zimatha kuchitika chifukwa cha matenda otsatirawa:

• Njira zotupa mu kapamba.
• Cholecystitis.
• Gastritis.
• Duodenitis.

M'mbiri ya anthu omwe ali ndi matenda osiyanasiyana a kapamba, kuphuka komanso kupezeka kwa mpweya kwambiri kumadziwika mu 83% ya milandu.

Ndi chimbudzi chokhazikika, mpweya wowonjezera umalowetsedwa ndi tizilombo tating'onoting'ono m'matumbo. Kutupa kwa kapamba kumadziwika ndi kusayenda bwino komwe kumayambitsa mabakiteriya opanga mpweya ndikusowa kowonekera kwa omwe amawononga mpweya. Zikatero, izi zimachitika.

Zakudya Zamankhwala Zamasamba

Zizindikiro mankhwala a flatulence ndi kapamba ndi mankhwala njira si nthawi zambiri zotchulidwa.

Zinthu zosokoneza, zosasangalatsa kwa wodwalayo zimachotsedwa pakudya. Ndi mitundu ya zakudya yomwe ilipo, yonseyi ndi yolumikizidwa ndi mfundo, malinga ndi zomwe zotsatirazi sizili zovomerezeka:

• buledi, chimanga, nyemba, bowa, zam'madzi, mphesa, jamu, sorelo,
• malonda okhala ndi koloko, muffin, bisé, sauerkraut, marinade osiyanasiyana,
• mowa, madzi otumphuka, champagne, kvass.

Zakumwa zoledzeretsa zosavomerezeka ndi ndudu. Palinso ziletso zodziwika bwino pa kapamba ogwiritsira ntchito tiyi wamphamvu, khofi, mafuta, yokazinga, yosuta, zokometsera komanso zakudya zamchere. Ndikofunikira kutafuna chakudya mosamala komanso kwanthawi yayitali kuposa masiku onse. Muyenera kusiya chizolowezi chotafuna chingamu.

Mankhwalawa amathandizira pancreatitis, masewera olimbitsa thupi amasonyezedwa, makamaka yoga munjira yosavuta komanso yosavuta kupezeka.

Chakudya chizikhala cha mitundu mitundu, 6-7 patsiku, m'magawo ang'onoang'ono. Makonda amayenera kuperekedwa pazakudya zophika, zophika kapena zowotchera, zosenda, kapena kubwezeredwa pang'ono. Osamadya chakudya chotentha kapena chozizira - chakudyacho chikuyenera kutentha. Ndikofunika kumwa osachepera 2 malita a madzi oyera tsiku lililonse.

Ndikofunika kupatula zakudya zomwe zili ndi mapuloteni ambiri komanso mafuta ambiri m'zakudya, chifukwa kuchuluka kwa lipase kosakwanira kungayambitse kusakumba kwa chakudya chotere, kuchuluka kwake m'matumbo ndikukula kwa bata.

Malamulo azithandizo

Kuphulika sikumadziwika ngati matenda, ambiri amakonda kudzagwirizana ndi zizindikiro zosasangalatsa, m'chiyembekezo chakuti zonse zidzangochitika zokha. M'malo mwake, kulumikizana ndi katswiri kungakhale chisankho choyenera.

Chithandizo choyenera chamankhwala chobwezeretsera chimaphatikizapo:

• Dziwani zomwe zimayambitsa matendawa, kumwa mankhwala oyenera.
• Kupanga dongosolo la zakudya komanso zakudya.
• Kuwongolera microflora ya m'mimba.
• Kubwezeretsa matumbo.
• Mapeto a hydrogen sulfide.

Chinsinsi pamndandandawu ndikuzindikira chomwe chimayambitsa vuto lililonse, chifukwa kutsetsereka kumatha kuchitika osati kutulutsa kapamba, komanso matenda ena.

Mankhwala omwe amalembedwera chiyani

Dokotala ku phwando amapereka mankhwala angapo kuti athetse zizindikiro zosiyanasiyana ndikubwezeretsa magwiridwe antchito oyenera a thupi. Ndizofunikira kudziwa kuti mankhwalawa omwe amafotokozedwa kuti asungunuke amafunika kuthana ndi vutoli kwakanthawi. Si zolakwika kuwagwiritsa ntchito ngati mankhwala popanda kuwunika kokwanira, izi zimatha kuyambitsanso pafupipafupi.

Mankhwala otsatirawa athandizira kubwezeretsa kuchepa kwa michere:

• Pancreatin
• Pepfiz, yomwe ili ndi diastase ya fungal ndi papain, siyimapatula kugwiritsa ntchito pancreatin, koma imangokhala yowonjezera.
• Smetikon.

Mankhwalawa cholinga chake ndi kuchepetsa mapangidwe a gasi, koma angayambitse kudzimbidwa. Ayenera kumwedwa mosamala, makamaka osakakumana ndi katswiri. Kuphatikiza apo, Allochol kapena Carsil atha kutumizidwa kuti athetse bile.

Ma Absorbents adapangidwa kuti athetse hydrogen sulfide:

Kuphulika ndi kapamba nthawi zambiri kumayendera limodzi ndi kupweteka, antispasmodics yosavuta, monga No-shpa, Meteospasmil kapena Duspatalin, kungathandize kuthetsa vutoli.

Zakudya Zabwino Komanso Zakudya

Nthawi zambiri, kukonza zakudya ndi chithandizo chokhacho chomwe katswiri amafotokozera. Kuti muchepetse zizindikiro, komanso zina zomwe zimayambitsa kuphwanyaphwanya, chakudya chopatsa thanzi chimathandiza pamene chakudya chimatengedwa kangapo patsiku m'magawo ang'onoang'ono.

Ndikofunikira kupatula pa zakudya za tsiku ndi tsiku zomwe zakudya zonse ndi mafuta ophatikizika:

• Zipatso zatsopano ndi ndiwo zamasamba, zipatso zouma (zipatso, maapulosi owuma, zoumba),
• Bowa
• Ziphuphu
• Kale kale,
• Mkate ndi chimanga.

Zakumwa zonse za kaboni:

Muyenera kusiyanso yisiti ndi kuphika batala, sauerkraut, soufflé, mankhwala a koloko.

Zonsezi zakumwa zakumwambazi ndi mbale zimathandizira kuti pakhale kupangika kwambiri kwa mpweya kapena kupatsa mphamvu, sizingangokulitsa mkhalidwe wa thupi, komanso zimapangitsa kuti pakhale zochitika zapamwamba. Pamene kutulutsa chifukwa cha vuto la kuperewera kwa zakudya m'thupi, izi zimathandizira kubwezeretsa mwachangu m'mimba.

Nthawi zina, chomwe chimayambitsa kupanga kwa mpweya chimakhala chodetsa nkhawa kapena chodetsa nkhawa. Pofuna kuthana ndi kuseketsa kuchokera pachakudya cha tsiku ndi tsiku, tikulimbikitsidwa kupatula mbale zonse ndi zakumwa zomwe zimayambitsa chisangalalo cha mantha. Izi ndi: zakumwa zonse zamphamvu zomwe zili ndi khofi kapena taurine, khofi kapena tiyi wamphamvu, zakudya zokometsera komanso zamafuta.

Pamene kutumphuka limodzi ndi kudzimbidwa, ndikofunikira kudya chakudya modekha. Ndikofunikanso kusunga malamulo apadera azakudya zopatsa thanzi kuti muteteze matumbo:

• Imwani madzi osachepera malita awiri patsiku,
• Chakudya chamafuta sichimalola chakudya kuti chisonkhane,
• Onjezani zakudya zanu ndi zinthu mkaka wopanda mkaka (kefir, yogurt),
• Idyani zakudya zokhala ndi fiber yambiri, monga bowa kapena masamba, koma pokhapokha ngati izi sizikukulitsa matenda,
• Kukana kwathunthu kopanda zakudya zosawola,
• Kupatula pambale yophika, buledi,
• Flatulence yokhala ndi kapamba nthawi zonse imangotanthauza kugwiritsa ntchito zakudya zamafuta pang'ono, ophwanyidwa kuti azikonza kamodzi kokha patsiku.

Mwachilengedwe, mutha kumwa mankhwalawo nokha, omwe amalimbikitsidwa kwambiri. Pambuyo pochotsa kusasangalala ndi zizindikiro zopweteka, muyenera kuyang'ana pazomwe zimayambitsa kusekerera. Kutsatira malingaliro onse azomwe akatswiri akuchita mwachangu kudzapangitsa kuti thupi liziwoneka bwino.

Vuto lakuchuluka kwamphumphu ndi kapamba ndizachilendo, zomwe zimayambitsa zovuta zambiri. Kuti muthane ndi vutoli mwachisawawa, muyenera kudziwa zomwe zimayambitsa kupanga gasi komanso njira zothetsera. Nkhaniyi ikufotokoza bwino izi.