Momwe kapamba amapwetekera: Zizindikiro komanso mankhwala kunyumba

Kodi zikondamoyo zimapweteka bwanji? Funsoli limafunsidwa ndi munthu aliyense yemwe amakumana ndi kupweteka m'dera lachiwalo.

Ndi kuwoneka kwa ululu m'mapapo, funso limabuka momwe mungadzipiririre modekha ndikumva kwakumva ululu. Zomverera zoterezi zimatha kuwonetsa kukula kwa pathologies ndi zovuta pakugwira ntchito kwa chiwalo chofunikira.

Aliyense amene ali ndi vuto lachiberekero ayenera kudziwa zoyenera kuchita ngati zikondazo zipweteka, komanso njira yothetsera kupweteka kunyumba dokotala asanafike.

Chimbudzi ndi chiwalo chomwe chimagwira gawo logaya, ndikupanga timadzi ta m'mimba tomwe timapangidwa ndi ma enzymes omwe amathandizira kugaya chakudya kulowa m'mimba.

Kuphatikiza apo, thupi ndi lomwe limayang'anira kupanga mahomoni azinsinsi zamkati. Mwachitsanzo, insulin ya mahoni opangidwa ndi maselo a beta am'midzi yaying'ono ya Langerhans ndiyo imayang'anira kuwongolera kwa shuga m'magazi am'magazi komanso kuthana ndi shuga ndi maselo a minofu yotengera insulin. Potsutsana ndi kapangidwe kake, matenda a shuga amakula.

Kuphatikiza pa insulini, maselo a pancreatic amapanga mahomoni otsatirawa okhudzana ndi endocrine system yolembera thupi:

maselo a alpha amatulutsa glucagon,
maselo a delta amapanga somatostatin,
Maselo a D1 amatulutsa VIP,
Maselo a PP amatulutsa pancreatic polypeptide.

Kuphatikiza apo, maselo a pancreatic amatulutsa gastrin yaying'ono, thyroliberin ndi somatoliberin.

Ma mahomoni opangidwa ndi ma alpha, beta, delta, D1 ndi PP amagwira nawo ntchito zambiri zamomwe zimachitika mthupi.

Chifukwa chiyani kapamba amapweteka?

Nthawi zambiri, chomwe chimayambitsa kupweteka ndikumakula kwa minyewa yamatumbo yotupa yomwe imatha kupezeka pazifukwa zingapo.

Njira yotupa yomwe imayamba m'mimba mwake imatchedwa pancreatitis.

Zomwe Zimathandizira Pancreatitis

Monga tafotokozera pamwambapa, nthawi zambiri chomwe chimayambitsa vuto lakusokonekera ndikuwonekera kwa kupweteketsa mtima ndi njira yotupa.

Zomverera zopweteka zomwe zimachitika mu nkhaniyi zimadziwika bwino m'mimba ndi kusintha kwa mbali yakumanzere ya hypochondrium ndi kumbuyo.

Munthawi yayitali ya matenda, kupweteka kumatha kupweteka, kupatsanso kumbuyo komwe kumapangitsa kugwedezeka. Ululu muzochitika zotere umayenda ndi munthu pafupipafupi, osasowa ngakhale usiku.

Nthawi zambiri, kumachitika kupweteka kwa lamba, komwe kumakhala kwamphamvu kwambiri ndipo nthawi zambiri kumadula mwachilengedwe. Kupweteka kotereku kumangowonjezera kusasangalatsa mwa munthu.

Nthawi zina, zimatha kusokoneza wodwalayo mpaka kumabweretsa kuwawa, komwe kumatha kupha.

Zikakhala zoterezi, njira zofunikira ziyenera kutengedwa kuti muchepetse kupweteka kwambiri ndikuthandizira kuitana mwachangu.

Kukula kwa kapamba mwina chifukwa cha zifukwa zotsatirazi:

Zakudya zoperewera. Kudya kwambiri kapena kudya kwambiri, zakudya zamafuta ndi zonunkhira zimayambitsa kupanga ma enzyme omwe amatha kuwononga maselo amizimba yamoyo.
Kusuta fodya komanso kumwa mowa mwauchidakwa kumakwiyitsa kupanga kwambiri pancreatic madzi, omwe amachititsa kuti maselo awonongeke.
Kuphwanya machitidwe a kagayidwe ndi magazi kupita ku thupi.
Zosokoneza pakugwira ntchito kwa minyewa ya chiwindi, matumbo ang'ono, chikhodzodzo ndi chithokomiro cha biliary.
Kugwiritsa ntchito mankhwala kwa nthawi yayitali.

Kuwonetsedwa kwamavutidwe ndi mitsempha yamthupi pa thupi kumayambitsa zochitika zomwe munthu angatenge pancreatitis.

Zotsatira zoyipa za izi zimabweretsa chisokonezo mu kapamba, zomwe zimakhudza njira zambiri zomwe zimachitika mthupi la wodwalayo.

Pachifukwachi, muyenera kudziwa momwe mungazindikire munthawi yake momwe mungayambire kuzizira. Munthu amene ali ndi kutupa ayenera kuchitapo kanthu kuti athetse vutoli komanso zifukwa zake, pomwe chithandizo chitha kuchitidwa palokha moyang'aniridwa ndi adokotala. Kuperewera kwa chithandizo kwakanthawi kumatha kuyambitsa zovuta zina mthupi la wodwalayo.

Mavuto owopsa kwambiri ndi kapangidwe ka pancreatic necrosis, ascites, ndi pseudocyst.

Kupweteka kwapancreatic. Zizindikiro Chithandizo

Ndi kapamba, kupweteka kumakhala kokhazikika, sikukula ndipo sikumatha. Pali kupweteka kwambiri m'mapapo. Zizindikiro sizingokhala ndi izi. Nthawi zambiri, kuukira kumayendetsedwa ndi mseru komanso kusanza. M'machitidwe owawa kwambiri, kupweteka kumakhala kwakukulu kwambiri kuposa momwe zimakhalira nthawi yayitali. Kukhazikika kwawo: kumayamba m'mimba ndikudutsa mu hypochondrium yamanzere ndi kumbuyo. Kupweteka m'chiuno kulimba kwambiri, ndikudula mwachilengedwe. Nthawi zina mkhalidwe wodwala umabweretsa kupweteketsa, komwe amatha kufa. Chifukwa chake, zizindikiro zotere zikachitika, chisamaliro chofunikira chimafunikira mwachangu.

Matenda a kapamba amachitika nthawi yokhala chikhululukiro ndi kukokomeza. Panthawi yowonjezereka, kupweteka kwapadera kwa kapamba kumachitika. Zizindikiro ndizosiyana pang'ono ndi momwe zimachitikira. Kuchepetsa mseru komanso kusanza zimatha kuphatikizidwa ndi chopondapo. Nthawi zina kutupa kumayamba ndi zovuta zazikulu:

kapamba - necrotic kuwonongeka kwa kapamba,
ascites - kudzikundikira kwamadzi mkati mwa m'mimba,
kapangidwe ka pseudocyst.

Zomwe Zimayambitsa Kupweteka Kwa Pancreatic

Chikhansa m'thupi la munthu chimagwira ntchito zingapo zofunika, ndi gawo lina la chimbudzi, chimagwira ntchito pakubaya kwa mapuloteni, mafuta ndi chakudya, ndimayendedwe a kayendetsedwe ka kagayidwe kazakudya, ndikupatsanso insulin ndi mahomoni ena ofunika m'magazi.

Momwemo, kusagwira bwino ntchito kumakhudza dongosolo la m'mimba ndi ziwalo za m'mimba, komanso momwe thupi lilili.

Zomwe zimayambitsa kupweteka ndizosiyanasiyana:

Poizoni akupha thupi,
Mowa
Kuperewera kwa zakudya m'thupi
Zomera za parasitic ndi zina zambiri.

Kuphatikiza pazinthu zomwe zafotokozedwa kale, ndizosatheka kutchula matenda omwe amakhudza kapamba ndipo nthawi zonse amayenda ndi zopweteka m'dera lamalo ake:

Pancreatitis yachilengedwe komanso yodwala ndiye matenda oopsa kwambiri a kapamba,
Oncology, i.e. khansa, yothandizidwa ndi neoplasms mu gland,
Mavuto pambuyo cholelithiasis.

Kutengera ndi kutsimikizira kwa njira ya pathological, mawonekedwe ndi mawonekedwe a ululu amatha kusintha. Mwanjira ina, zinthu zambiri pakuzindikiritsa ndikuwonjezeranso chithandizo zimatengera zifukwa zoyambira matenda ena.

Zizindikiro za Pancreatic Pain

Choyamba, ndikofunikira kudziwa kuti odwala ambiri amapita kwa dokotala ndi zodandaula za kupweteka kwam'mimba, osafotokoza malowa. Pa ululu wa kapamba, funso loti "limapweteka pati?", Yankho limafanana kwambiri - lili kumanzere kwamkati pamimba, kutulutsa kwawoko ndikusakhala koyenera.

Ngati tizingolankhula za zambiri za matendawa, zomwe zimayendera limodzi ndi matenda ambiri a ndulu, ndi motere:

Ululu umatha kukhala wopepuka komanso wowawa, wowonda kwambiri komanso wodula. Amadziwika kumtunda kumanzere kwa m'mimba, nthawi zambiri amapatsidwa dera lumbar, ndipo amatha kuphimba kumimba konse, chifukwa chake kuzindikira kumakhala kovuta nthawi zambiri.
Mvetsetsani kuti zimapweteka, zilola kuyesa kosavuta. Muyenera kugona kumbuyo kwanu, ngati nthawi yomweyo kupweteka kumakulirakulira,
Kuphatikiza pa zowawa, zovuta ndi kapamba zimayendera limodzi ndi kupangika kwa mpweya, kugundana pamimba, nseru, nthawi zina ngakhale kusanza,
Komanso, odwala ambiri amawonongeka kapena amasiya kudya, amasinthasintha magwiritsidwe ake ndi mtundu wa ndowe.

Ichi ndiye chisonyezo chachikulu cha mavutowo, koma monga tanena kale, kutengera vuto lenileni, Zizindikiro zakuchipatala zitha kusiyana. Kuti mumvetsetse zonse, muyenera kuganizira mwatsatanetsatane za matenda omwe angakhalepo ndi kupweteka. Kupanda kutero, funso la zomwe mungachite ngati zikondamoyo zikafulumira, yankho lake ndi losavuta - funsani dokotala.

Zoyambitsa Pancreatitis

Matendawa pachimake kapamba komanso kukokoloka kwake chifukwa cha matenda opatsirana kumatha kuyambitsa zinthu zotsatirazi:

Kugwiritsa ntchito zakumwa zoledzeretsa (zomwe zimapezeka m'mabakiboni ndizovulaza kwambiri - gin ndi tonic, mowa, etc.),
mankhwala a nthawi yayitali
matenda a kagayidwe kachakudya mthupi,
matenda am'mimba a m'mimba (zilonda zam'mimba, kuwerengera cholecystitis ndi kutsekereza ndulu kapena kuchotsa kwake, ndi zina zotere),
kudya kwambiri komanso kukonda zakudya zamafuta, mchere, zonunkhira,
matenda opatsirana
matenda a autoimmune
kusuta

Matenda a ziwalo zapafupi amatha kupweteketsa kapamba. Zizindikiro zidzakhala zofanana ndi kuukira kwa pachimake kapamba. Awa ndi matenda awa:

matenda a ndulu
cholecystitis
dyskinesia wa biliary ndi chikhodzodzo,
pyelonephritis,
urolithiasis,
gastritis kapena zilonda zam'mimba,
matenda apathengo.

Zomwe zimachitika pachimake kapamba

Mawu akuti pachimake kapamba mu mankhwala amatanthauza kukula kwa njira yotupa yomwe imazungulira kapamba. Pankhaniyi, zizindikiro zimayamba kukhazikika, chithunzi cha chipatala chimatchulidwa. Zizindikiro za pancreatitis pachimake ndi motere:

Chizindikiro chachikulu ndikupweteka kwachilengedwe. Nthawi zina, tikulankhula za zomata zosakoka, nthawi zina, zomverera zowawa zimadziwika ndi zowola komanso zodula. Kutengera gawo lomwe mankhwalawo adalowetsedwa, zowawa zimatha kutuluka mosiyanasiyana. Mwachitsanzo, ngati mutu wa kapamba wakupsinjika, ululu umaperekedwa osati kumbuyo kwam'mbuyo, komanso kwa hypochondrium yoyenera,
Ndikofunikanso kumvetsetsa kuti kupweteka kwamatenda a pancreatitis samatha ndi ma analgesics, kapena mpumulo umabwera mwachidule,
Tchera khutu ku zisonyezo zina, wodwala amakhala ndi kufooka komanso chizungulire, amatha kudwala, kusanza kumachitika kawirikawiri,
Kukula kwa njira ya pathological kumayendera limodzi ndi kuwonjezeka kwa kutentha kwa thupi, zomwe zimawonetsa kukhalapo kwa kutupa.

Zina za chifuwa chachikulu

Milandu yotsika mtengo ya matenda, ngakhale kupumula kwakanthawi, matendawa amatha kukhala mawonekedwe osakhazikika, omwe amadziwika ndi chithunzi chake cha "ake".

Pankhaniyi, kutulutsa kwazinthu zopweteka kumatha kukhala kopanda tanthauzo, zomwe zikuwonetsanso kukula kwa njira yotupa m'magawo osiyanasiyana a thupi. Mwachitsanzo, titha kunena kuti ngati mchira wa pancreatic wakhudzidwa ndi kapamba, ululu umafalikira makamaka mbali yakumanzere ndikumanzere kwa hypochondrium.

Ndiponso, kutengera kutengera kwa chotupa, kupweteka kumafalikira mosiyanasiyana, komwe kumadziwika kuti ndiko kupweteka kwa msana m'chigawo cha inguinal, msana wa lumbar, mchira wamphongo, kumawonetsa mtundu wina wa kutupa.

Mwapadera, kupweteka kwa munthu wodwala kapamba kumakhala kovuta, kupweteka kwa paroxysmal, kumakhala kosalala, kukoka ndi kupweteka, komanso kumakulitsa chakudya mukatha kudya.

Kupweteka Kwa Cancreatic Cancer

Khansa ya pancreatic imapangidwa mu zochitika izi, mothandizidwa ndi zinthu zoyipa, maselo a ziwalo amayamba kusandulika m'machitidwe owopsa. M'magawo oyambirirawo, matenda a psychology samapezeka kawirikawiri chifukwa cha kuchepa kapena kusapezeka kwathunthu kwa zizindikiro. Komabe, m'mene njira ya pathological ikupita, chipatala cha zowawa ndi motere:

Zomverera zowawa zimatha kugwedezeka, zimakhala zakuthwa komanso zowawa, ululu ukugwedezeka, kudula, kukoka mu chilengedwe.

Ululu mwa amuna

Kukula kwa njira za pathological mu kugonana kwamphamvu sikuti ndizosiyana kwambiri ndi chithunzi chonse chachipatala. Mwa amuna, zizindikiro zimafotokozedwa motere:

Ululu umakhala wowopsa, pachimake, ndimatenda a colic amapezeka,
Zizindikiro za poyizoni wa chakudya zimayamba
Kutsitsa magazi
Pali mseru wambiri womwe umakulitsidwa ndikusanza,
Pali kusintha pakhungu pakhungu pallor.

Ululu mwa akazi

Zomverera zopweteka mwa azimayi omwe ali ndi zotupa zakhungu zimatha kukhala zachindunji, zomwe zimapangitsa kupweteka kumakhala kolakwika chifukwa cha msambo. Chithunzi cha chipatala ndi motere:

Ululu umapezeka mu 95% ya milandu, yomwe nthawi zambiri imatulutsidwa pafupi ndi pakati pamimba, imatha kukhala yovuta, yotupa kapena kukoka. Ndi chifukwa cha mtundu wa zowawa zomwe akulakwitsa chifukwa cha kusamba,
Amayi amamva kupweteka kosalekeza, amakhala olimba kwambiri mosasamala chakudya,
Kusanza ndi kusanza kumachitikanso.
Pali zovuta za chopondapo, makamaka kutsekula m'mimba,
Kukhazikika kwa khungu ndi zina zotero kumadziwika.

Kwa akazi, ma pathologies okhudzana ndi kapamba amakhala ovuta kwambiri, chifukwa kukomoka kwa endocrine kumakhudzanso thupi la mkazi.

Chithandizo cha Pancreatic Pain

Osatengera zomwe zimayambitsa kupweteka komwe kumakhudza kapamba, ngati mukupeza zomwe zikufotokozedwazo, muyenera kuyang'ana dokotala posachedwa.

Katswiri wodziwa bwino amaluma, atenga anamnesis, amupatse mayeso oyenera ndikuwunikira koyenera komwe chithandizo chikuyenera kukhazikitsidwa. Nthawi zambiri, zimatheka kuchitira chithandizo kunyumba, popeza ngati mwayi woyenera wothandizidwa nawo, vutoli litha kuthana ndi chithandizo chamankhwala chokhazikika.

Mankhwalawa a kapamba, omwe ndi omwe amapweteka kwambiri, madokotala amatengera izi:

Kuperekera ululu kumachitika poika antispasmodics. Ndi mankhwala otani omwe ali bwino pamenepa? Zangwiro kwa No-Shpa kapena Papaverin. Ndikofunikanso kudziwa kuti ngati mukupitilira kupweteka, mungafunike jakisoni wa opweteka,
Pazochita zingapo, ndikuchotsa kwamva kupweteka, ma enzymatic othandizira amafunikira omwe amalola kutulutsa kwa gland. Kupindulitsa kwawo ndikuchepetsa katundu pathupi, chifukwa chaichi, odwala amalembedwa "Creon" kapena analogues,
Nthawi zambiri, ndikofunikira kuchepetsa acidity, ndiye kuti, kuchepetsa ntchito zachinsinsi za gland, chifukwa zotsekemera zimatha kutuluka m'mimba. Kuti muchepetse kupweteka komanso kukonza chimbudzi, mapiritsi a Mezim adziwonetsa bwino.
M'matenda akulu komanso kumapeto kwa kapamba, ma gastroenterologists ambiri amagwiritsa ntchito mankhwala a antibacterial. Ambiri aiwo amalembedwera mapiritsi, zomwe zimapangitsa kuti pakhale zochitika zenizeni zapanyumba, koma jakisoni amatha kupaka.

Kuphatikiza apo, pazovuta za kupweteka kwakatundu ndikukula kwa njira za pathological, poyamba wodwalayo amalangizidwa kuti asadye chakudya.Makamaka, tsiku loyamba pali kukana kwathunthu kwa chakudya, panthawiyi mkhalidwe wa wodwalayo umakhazikika ndipo pambuyo pake, malinga ndi mawonekedwe a kulakalaka, chakudya chimatumizidwa m'magawo ang'onoang'ono.

Panthawi yakukana chakudya, ndikofunikira kuti muzikhala ndi madzi nthawi zonse, zomwe zimathandizanso kuchotsa poizoni m'thupi. Kuti muchite izi, muyenera kumwa osachepera malita ndi theka amadzimadzi, makamaka ayenera kukhala madzi kapena mankhwala apadera azitsamba.

Zakudya ngati kapamba amapweteka

Monga gawo la mankhwalawa a kapamba ndi zina zapakhungu, kupatsa thanzi kuyenera kusintha. Ndikulimbikitsidwa kudya zakudya zopepuka, ndikofunikira kusiya mafuta, osuta, okometsera, okazinga, amchere, owawasa komanso okoma.

Kuphatikiza apo, zakudya zonse ziyenera kuphikidwa ndi nthunzi, kuphika mu uvuni kapena kuphika.

Chakudya chokhwima chikuyembekezeka kupatula zakudya zotsatirazi:

Zakumwa zoledzeretsa komanso zopatsa mphamvu, komanso khofi, tiyi wamphamvu,
Mazira amitundu yonse,
Zinthu zopangidwa ndi tirigu (mkate, batala, pasitala, ndi zina).
Zinthu zamafuta mkaka,
Nyama yamafuta, chiwindi ndi zinthu zilizonse zotsiriza (zakudya zamzitini, soseji, etc.),
Muthanso kudya nsomba zamafuta,
Pakati pa mbewu monga chimanga, muyenera kupewa tirigu, chimanga, barele, mapira, barele,
Kukana chinsinsi chilichonse ndikofunikira.

Pankhani yazakudya chomwe chili ndi ululu wa kapamba, mutha kutero:

Zinthu zamafuta ochepa mkaka,
Mkate wa tirigu uzikhala ufa wosalala komanso wopanda mafuta,
Mpunga, burwheat, oatmeal ndi semolina amaloledwa ngati mbewu,
Zakudya za zakudya (kalulu, ng'ombe, nkhuku zoyera, nkhuku) ndizoyenera.
Njira yabwino ikakhala kudya masamba abwino komanso ophika.

Zizindikiro ndi chithandizo kunyumba, ngati kapamba amapweteka, ndikofunikira komanso kofunikira kudziwa. Komabe, ndikulimbana ndi vutoli, muyenera kufunsa dokotala, chifukwa ndi njira imeneyi yomwe mungadziwe zomwe zimayambitsa kupweteka, dzipatseni moyenera ndikulimbana ndi matendawa molondola.

Axamwali! Ngati nkhaniyo inali yothandiza kwa inu, chonde gawanani ndi anzanu kapena siyani ndemanga.

Kodi chingabwezeretse chiyani?

Kuti mupewe zovuta zovuta za kapamba komanso kupweteka kwa kapamba (zizindikiro zalembedwa pamwambapa), muyenera kuwona dokotala posachedwa ndikuyamba chithandizo. Ndibwino kuyitanira ambulansi. Mwambiri, kugonekedwa kuchipatala. Madokotala asanafike, kuti athetse ululu wa kapamba, makamaka, kubweretsa mpumulo ndi kuchepetsa mphamvu zake, angathe:

kuyamwa kuzizira pamalo owawa
kusala kudya kwakanthawi,
kukhazikitsidwa kwa mpando wokhala ndi chidwi kutsogolo kapena kutsogolo kwa bondo,
kutenga No-Shpa kapena Drotaverin,
ngati kuli kotheka, ndiye kuti jakisoni wambiri wa mankhwalawa aperekedwe,
kumwa madzi pang'ono (ayenera kupatsidwa kwa wodwala nthawi zambiri mu chikho 1/4 - izi zimachepetsa zizindikiro za kuledzera),
Mtendere wamphumphu (simungathe kuyendetsa mwadzidzidzi - izi zimakulitsa ululu).

Kuzizira, njala ndi mtendere

Mukutupa, wodwalayo ayenera kupereka ozizira, njala ndi mtendere. Ndi mtundu wapamwamba kwambiri wamtunduwu womwe umathandiza kuchepetsa ululu wa kapamba. Zizindikiro za pancreatitis pachimake ndizochepa.

Kuzizira ndikofunikira kuti muchepetse kutupa. Imaikidwa kwa mphindi 10-15, ngati kuli kotheka, njirayi imatha kubwerezedwanso pambuyo pa mphindi 30 mpaka 40. Izi zimathandiza kuchepetsa zizindikiro za kutupa pachimake ndipo zimachepetsa ululu m'mapapo. Zizindikiro za kapamba zimayamba kuchepa.

Njala imapereka zinthu zambiri zokweza m'mimba. Pakusowa chakudya, kapamba amasiya kutulutsa madzi a kapamba, ndipo, monga tafotokozera pamwambapa, ali ndi alkalis, yomwe imatha kukhumudwitsa England. Kuchepetsa kuchuluka kwa katulutsidwe kamatulutsa kumathandizanso kuchepetsa kufooka. Mu chifuwa chachikulu cha pancreatitis, kufa ndi njala kumatha kupitilira masiku atatu. Mutha kumwa madzi ndikumwa msuzi wa masamba pang'ono kumapeto kwa tsiku lachiwiri. Ngati njala singathe kuloledwa, kugwiritsa ntchito owononga ochepa kumaloledwa.

Mtendere umatsimikiziridwa ndikutsatira mwamphamvu kugona pogona. Acute pancreatitis ndi owopsa chifukwa cha zovuta zake, motero ndikofunikira kuchepetsa zolimbitsa thupi. Kupereka mikhalidwe imeneyi kumachepetsa ululu mu kapamba. Mankhwalawa amathandizidwa ndi kukonzanso kwamitsempha. Izi zikuchitika kale kuchipatala.

Zowawa m'mapazi. Chithandizo cha mankhwala

Kuti muchepetse zizindikiro za kuledzera kwakukulu, madzi ambiri amaperekedwa kwa wodwalayo mwamkati, ndikumva kupweteka kwambiri, omwe akutsikira amaikidwa pa yankho la Novocaine. Kupweteka kukapumira kumayimitsidwa, chithandizo chimapitilizidwa ndikugwiritsa ntchito mankhwala omwe adalowetsa enzyme.

Kuchepetsa ululu wamankhwala opweteka, mankhwala a No-Shpa, Baralgin, ndi Papaverin amagwiritsidwa ntchito piritsi kapena jakisoni. Kuthetsa njala, wodwala amapatsidwa zakudya zochepa. Ngati sikokwanira kupanga michere ya pancreatic kuti ikhale bwino kugaya, encyme, m'malo mwa Festal, Creon, Mezim kapena Pancreatin akuwonetsedwa. Amachepetsa katundu pa kapamba. Mankhwalawa amatengedwa ndi chakudya.

Kuchepetsa acidity ya chapamimba madzi, oyang'anira mapiritsi "Cimetidine", "Ranitidine" kapena "Famotidine" akhoza kutumikiridwa. Kutsika kwa acidity kumathandizira kuchepetsa njira yotupa komanso kupweteka kwa kapamba.

Mu mawonekedwe a kapamba, mankhwala "Octreotide" akhoza kuwonetsedwa, amaperekedwa kudzera m'mitsempha.

Chithandizo chimakwaniritsa izi:

mpumulo wa zowawa
chimbudzi
kuchotsedwa kwa insretory kusakwanira.

Kuperewera kwa Endocrine ndi kuchepa kwa ntchito ya endocrine. Zimatha kubweretsa chitukuko cha yachiwiri ya shuga (ichi ndi chimodzi mwazovuta za kapamba), yomwe imachepetsa kupanga insulin. Zoyenera kuchita ngati pali vuto mu kapamba (Zizindikiro, mankhwala), tsopano tili ndi lingaliro. Tikambirana za chakudyachi mwatsatanetsatane.

Ndi kapamba, amalimbikitsidwa kudya pang'ono, ndiye kuti, nthawi zambiri, koma osakwanira. Kukula kotumikirapo sikuyenera kupitilira 200 ml. Zakudya 6 pa tsiku tikulimbikitsidwa.

Zakudya zamafuta ndi mafuta ndizofunikira kuchepetsa. Zakudya zomanga thupi zimakonda. Zopangira mkaka ndizothandiza, mkaka mu mawonekedwe ake oyera omwe amapezeka ndi odwala kapamba nthawi zonse samaloledwa. Chifukwa chake, ndibwino kuphika phala ndikuphika maelemu. Mutha kuyatsa misuzi yosenda, nyama yokonda ndi nsomba.

Masamba ndi zipatso zimatha kudyedwa zosaphika, zophika ndi kuphika. Msuzi amaphika kokha msuzi wamasamba. Ndikofunika kuphika phala (buckwheat, oatmeal, mpunga) m'madzi kapena kuchepetsedwa mkaka ndikufinya kudzera mu sume. Mafuta ophikira kapena oyengeka samaloledwa kupitilira 20 g patsiku. Mazira amangokhala otentha kapena kuwaza mazira. Ndikofunika kumwa msuzi wa rosehip.

Katundu Woletsedwa

Zakudya zokometsera, zokazinga, zamafuta ndi zakumwa zilizonse zoledzeretsa ndi kaboni ziyenera kusiyidwa kwathunthu. Kuphatikiza apo, simungadye:

zipatso, kabichi msuzi, borscht, msuzi wa bowa,
chakudya chilichonse zamzitini
masoseji,
mchere caviar
mazira owiritsa
nthochi ndi mphesa
chokoleti

Njira zina zochizira

Pali wowerengeka maphikidwe zochizira pancreatitis.

Sambani magalasi am'madzi amtundu wa burwheat ndikupera mu blender. Thirani phala pansi ndi kapu ya kefir ndikulimbikitsa usiku. Hafu ya zotsatira zake imadyedwa m'mawa m'mimba yopanda kanthu, theka linalo - asanagone.
Kwa milungu iwiri m'mawa, idyani masiku atatu ndipo mukangotha theka la ola kuyamba kadzutsa.
Mu chifuwa chachikulu, ndikofunikira kukonza masiku osala nkhaka kamodzi pa sabata. Patsikuli, muyenera kudya nkhaka 2-2,5 za nkhaka mumapikisano a 5-6. Zogulitsa zina sizimachotsedwa kwathunthu.
Ndikofunika kupangira masamba oyera nyemba. Izi zimachitika motere: 1 tbsp. spoonful wa masamba amathiridwa ndi madzi otentha (1 chikho), kuthira pansi pa chivindikiro. Mutha kuyambiranso kusamba kwamadzi. Timasinthanso chimodzimodzi ndipo timasamba kwa mphindi 15 kusamba kwamadzi. Kulowetsedwa amatengedwa 3-4 pa tsiku musanadye mu 1/4 chikho. Maphunzirowa amatha mpaka miyezi iwiri.

Ngati kupweteka kumabweretsa pancreas, ndibwino kuti musamadziyese, koma kufunafuna chithandizo chamankhwala choyenera.

Momwe mungamvetsetse zomwe kapamba amapweteka?

Pancreas ili m'malo obwezeretsanso kumbuyo kwa m'mimba (kuchuluka kwa khoma lakutsogolo kwa peritoneum m'chigawo cha epigastric). Ndi kutupa kwa chiwalo, munthu amamva kupweteka pamimba kumanzere chifukwa cha mtengo wamanzere womwe umawunikidwa ndikuzungulira kuwala komwe kuli mozungulira mphete ya umbilical. Ululu umatha mwadzidzidzi kapena umatha mosalekeza, umakulirakatha ola limodzi pambuyo poti wayambitsidwa ndi chinthu chomwe chimapangitsa. Nthawi zambiri, zizindikiro zonse zosasangalatsa za matenda a kapamba zimawonekera mutatha kudya. Pakutupa kovuta, kupweteka kwam'mimba pamimba kumanzere kumachitika pokhapokha chakudya chamadzulo chokhala ndi mafuta ambiri komanso chakudya cham'mimba chambiri.

Pancreas malo

Ngati wodwalayo ali ndi mawonekedwe owopsa a matenda, kupweteka, kulemera, kupweteka pamimba kumatha kuwonekera ngakhale ndi chakudya chochepa, motero, nthawi zambiri kuti muchepetse zochita za oyimira pakati, wodwalayo amaloledwa kufa ndi njala masiku atatu kuyambira chikhazikitso cha woyamba. Chikhalidwe cha zowawa ndi chakuthwa, chodula. Odwala ena amafotokoza ululu ngati wopindika kapena wowawa. Nthawi zina (osakwana 9.1%), odwala amadandaula za ululu wosakhazikika womwe umawoneka mphindi 10-30 mutatha kudya.

Tcherani khutu! Matenda a pancreatic samadziwika ndi spasmodic yomwe imachitika pakumva ululu kapena kukula kwawo pang'onopang'ono. Kukula kwa zomverera kumatha kuwonjezeka pakadutsa mphindi 30 mpaka 40, koma pambuyo pake matendawa amakhala ndi chikhalidwe chokhazikika.

Kodi kapamba ndi chiyani?

Momwe mungasiyanitsire matenda a pancreatic ndi ma pathologies ena?

Nthawi zambiri zimakhala zosatheka kudziimira pawokha chomwe chimapweteka. Chithunzi cha chipatala cha kapamba (kutupira kwa m'mimba) ndi zina zomwe zili ndi zizindikiro zamatenda am'mimba, chiwindi ndi matumbo, motero, kuti apange kuzindikira koyenera, wodwalayo ayenera kuyesedwa kwathunthu. Maphunziro a biochemical a mkodzo ndi magazi, ma ultrasound a ziwalo zam'mimba malo, kufufuza kwa endoscopic pamimba, esophagus ndi matumbo (gastroscopy ndi sigmoidoscopy) ndizovomerezeka.

Izi ndizofunikira kupatula matenda ena am'mimbamo chimbudzi ndikutsimikizira kuyambitsa matenda. Mu opaleshoni yovuta kwambiri, kuwunika kumachitika mwachindunji pa opareshoni. Gome ili pansipa limalemba zizindikiritso zazikulu za matenda a kapamba, komanso mndandanda wawo.

Zizindikiro za kapamba ndi matenda ena kapamba

Chizindikiro cha matenda	Chithunzi	Feature
Kuchepetsa mseru		Itha kuchitika nthawi iliyonse yamasana, imadzilimbitsa itatha kudya. Khansa yokhudzana ndi pathologies a kapamba imachepetsedwa kwambiri pakudya komanso zakumwa ndi zakumwa zina zowonjezera
Kubweza		Zimachitika makamaka mutatha kudya. Vomit ali ndi kusasintha kosasinthika, atha kukhala ndi tizidutswa ta chakudya chosapatsika. Fungo lokhumudwitsa nthawi zambiri kulibe. Pasakhale ntchofu mu masanzi
Ululu kumtunda kwa epigastric danga kumanzere		Kudziwitsa za ululu matenda - pansi lamanzere mtengo Chipolopolo ndi zotheka irradiation kumanja kwamimba. Mtundu wa zomverera ndi kusenda, kudula, lakuthwa (kawirikawiri - kupweteka kowawa). Kuwonekera mukatha kudya
Mavuto a Stool		Zitha kuwonetsedwa ndi kusakhalitsa kwakutali kwa chopondapo (kapena kudzimbidwa kosatha), kapena, ndikuyenda matumbo pafupipafupi ndi vuto la chopondapo. Ndi kudzimbidwa, ndowe ziuma, zimakhala ndi mawonekedwe owonda, mtundu umatha kusiyanasiyana mpaka kukhala wakuda mpaka wakuda. Ndi matenda otsekula m'mimba, chopondacho chimakhala chamadzi (kawirikawiri, odwala amadandaula za phulusa la mushy), amatenga mtundu wachikaso. Kudzibweza sikumupweteka, chikhumbo chabodza chovundukula matumbo nthawi zambiri kulibe

Zizindikiro zowonjezera zamatenda a pancreatic ndi zizindikiro za dyspeptic ndi kusokonezeka kwa m'mimba. Zitha kukhala: kutentha kwa mtima, kumva kwa thupi lachilendo m'mkhusu (wodwalayo nthawi zonse amafuna kumeza chotupa pakhosi), kupuma movutikira. Pazizindikiro zofala, munthu amatha kuzindikira kuchepa kwa chikhumbo, kusintha pakhungu (kuchuluka kowuma ndi pallor), kufooka, kugona, komanso kutopa msanga.

Zizindikiro za zovuta za pancreatic

Zofunika! Ndi pseudotumor pancreatitis, kupindika kwa ziwalo zoyandikana (mbali yakumanzere ya chiwindi, duodenum ndi m'mimba), komanso kupatsanso mitsempha ndi mitsempha. Mwanjira imeneyi, ululu umabisala kapena kuwononga chilengedwe ndipo umatha kuwonekera kumalo komwe ziwalo zowonongeka ziwonongeka. Pofinya mitsempha ya wodwalayo, khungu limakhala lotuwa kwambiri, chizungulire chambiri, kufupika kumawonekera. Zizindikiro zotere ululu wam'mimba zimatha kukhala chisonyezero cha kutukusira kapena kupukusira kwa kapamba.

Momwe mungabwezeretse kuukira kunyumba: upangiri wa madokotala

Odwala ambiri, ngakhale pamene zizindikiro zazikulu za pancreatitis yachuma zimawonekera, amakhalabe kunyumba ndipo safuna thandizo kuchipatala. Ngati pazifukwa zina munthu sangathe kupita kuchipatala mwachangu, ndikofunikira kudziwa momwe mungathandizire kupweteka kwambiri kunyumba.

Zikondwerero zoyipa

Ma algorithm ochita muzochitika za zizindikiro za pathological ndi kupweteka kwambiri amaperekedwa pansipa.

Apatseni wodwalayo chakudya chokwanira masiku 1-3. Ndikachulukirachulukira, kupumula pakama kumalimbikitsidwa, chifukwa chake ndikofunikira kuti munthu athe kupereka chithandizo chokwanira kwa wodwala ngati sakufuna kupita kuchipatala.
Kuchepetsa ululu pamalo owawa, ndikofunikira kuyika mafuta ozizira (otenthetsera thukuta ndi ayezi wokutidwa thaulo). Kutalika kwa compress kulibenso kuposa mphindi 3-5. Mutha kubwereza njirayi maola 1.5-2 aliwonse.
Kuchepetsa zochitika za maselo a pancreatic, kusala kudya kumayikidwa (pokhapokha ndi matenda omwe akudwala kwambiri). Kutalika kwake kuyenera kuyambira pa 1 mpaka 3 masiku. Kuyambira pa tsiku lachinayi, puree ya masamba, msuzi wamafuta ochepa ndi phala lamadzi m'madzi kapena mkaka wothira madzi mutha kuwonjezeranso pachakudyacho.

Kuchepetsa ululu wa kapamba, chifuwa chozizira chiyenera kupakidwa pamalo owawa

Ngati ululu ulipo kwambiri, kugwiritsa ntchito mankhwala ochokera ku gulu la antispasmodics kochokera ku drotaverine ndikuloledwa ("Palibe-shpa», «Spasmol», «Spazmonet"). Mutha kumwa mankhwalawa mpaka katatu patsiku. Mlingo umodzi ndi 40-80 mg (mapiritsi 1-2). Ma antispasmodics amachepetsa kupindika kwa minofu yosalala, kumasula makoma a ziwalo ndi mitsempha yamagazi, kuchepetsa kupweteka kwambiri. Popanda kukaonana ndi katswiri, kutenga ndalama za gululi sikungathenso kupitirira masiku awiri.

Zofunika! Ndi chiwonetserochi chotchedwa "gag-shpa" chitha kugwiritsidwa ntchito mu mawonekedwe a jekeseni wamkati ndi makonzedwe amkati. Wodwala akapanda kudwala matenda am'mimba, antispasmodics mu mawonekedwe a rectal suppositories angagwiritsidwe, mwachitsanzo, "Papaverine"(1 yowonjezera kawiri pa tsiku mu rectum).

Papaverine mwanjira yamakandulo

Kodi nditha kumwa ndikakokomeza?

Ena amalangizika kukana kumwa zamadzimadzi panthawi ya kukokomeza kwa kapamba, chifukwa madzi ndi zakumwa zina zimakulitsa kukanikizika kwa minofu yosalala yomwe ili mkati mwa duodenum (sphincter of Oddi), yomwe imabweretsa zowawa zambiri. Muyeso wotere umawonedwa ngati wolondola pokhapokha ngati wodwalayo alibe chizindikiro chodana ndi magazi: milomo youma, khungu lotuwa, malo amtambo obiriwira khungu. Madzi amadzimadzi amayamba chifukwa cha kusanza mobwerezabwereza, motero, ndi zizindikiro zotere, ndikosatheka kukana kumwa zamadzi zilizonse.

Madotolo amalangiza kuti azigwiritsa ntchito madzi a gome la hydrocarbonate-sodium pa exacerbation, mwachitsanzo, "Narzan"Kapena"Essentuki”(Na. 4 ndi Na. 17). Izi zichitike maola 1-1.5 asanadye. Mankhwala othandizira mlingo umodzi amachokera pa 100 mpaka 300 ml. Musanamwe, madzi ayenera kuwotchukitsidwa ndi kutentha kwa 36 ° -38 °: kugwiritsa ntchito mbale zoziziritsa kukhosi ndi zakumwa mkati mwa zotupa zomwe zimayambitsa kupweteka kwamatumbo zingapangitse kuwonjezereka kwa zizindikiro zomwe zilipo.

Madzi a Essentuki №4

Malangizo a Madotolo

Kuti muchepetse katundu pakhungu lowonongeka ndikubwezeretsa minofu yowonongeka, odwala amalembedwa chakudya No. 5 malinga ndi Pevzner. Mbale zonse zomwe zili pachimake pamatendawa ziyenera kupakidwa zosenda, yosenda kapena yosenda. Pambuyo pakuleka kutupa, chakudyacho chikuyenera kutsatira miyezi ingapo, kuti chisayambitsenso matendawa. Kutentha kwa chakudya ndi zakumwa ziyenera kukhala kuzungulira 36 °. Izi ndi zinthu zomwe zimatha kuwonongeka nthawi yamankhwala a kapamba ndi zina za pancreatic pathologies.

Gawo nambala 5 malinga ndi Pevzner

Zipatso ndi masamba

Mukutupa kwambiri, zipatso ndi ndiwo zamasamba zimatha kudyedwa mu zophika kapena zophika. Kabichi wofiira, phwetekere, tsabola wa belu, ndi beets ndizothandiza. Masamba omwe amakhala ndi wowuma kwambiri (mbatata ndi kaloti) akhoza kuphatikizidwa muzosapezekanso katatu pa sabata. Anyezi uyenera kuthandizidwa popanda kuwonjezera mafuta, mphodza kapena chithupsa. Pambuyo poletsa kutupa kwambiri, nkhaka zimatha kuwonjezeredwa pachakudyacho, koma masamba ayenera kuchotsedwa kwa iwo asanagwiritse ntchito. Ndikwabwino kusankha mitundu yosalala, popeza pali mbewu zambiri pamatchuke amphaka zomwe zimakwiyitsa makoma am'mimba.

Zololedwa ndi zipatso za kapamba

Kuchokera pa zipatso, maapulo ndi mapeyala ziyenera kukhala zinthu zazikulu. Nthochi mu mawonekedwe a soufflé, ochepa tangerines ndi malalanje amaloledwa. Mavwende, ma Persimmons, mphesa zokhala ndi kapamba ndizoletsedwa, chifukwa zimakhala ndi shuga yambiri komanso zimayambitsa kupesa.

Waletsa masamba a kapamba

Amaloledwa masamba a kapamba

Nyama ndi nsomba

Nyama imatha kudyedwa mu mawonekedwe osankhidwa bwino, mu mawonekedwe a casseroles, nyama soufflé kapena mbatata yosenda. Pophika, muyenera kugwiritsa ntchito mitundu yamafuta ochepa: nyama yang'ombe, nyama ya kalulu, nkhuku ndi fillets. Nthawi 1 m'masiku 10 mutha kuphatikiza nkhumba ndi mwanawankhosa pazosankhazo, koma simuyenera kugwiritsa ntchito mitundu iyi ya nyama, popeza kuchuluka kwa mafuta mkati mwake kuli pafupifupi kawiri kuposa khola ndi ng'ombe. Asanaphike, nyamayo iyenera kunyowa m'madzi ozizira ndikuchotsa mafuta, mafilimu ndi khungu kuchokera pamenepo.

Nsomba ndi nsomba zam'madzi siziyenera kupatula pakudya, koma ziyenera kuperekedwa kwa mitundu yamafuta ochepa, monga:

Pancreatitis Fish

Trout, mackerel, nsomba ndi mitundu ina yokhala ndi mafuta acids ambiri sitingathe kuwonongerapo nthawi 1 m'masabata 1-2.

Zofunika! Pakuchulukitsa, msuzi wa nyama ndi nsomba siziyenera kuperekedwa kwa chakudya kwa masiku 10.

Zopangira mkaka ndi mazira

Wodwala amaloledwa kudya mkaka wokhala ndi mafuta ochepa: mkaka wokhala ndi mafuta ochepa 1.5 mpaka 2,5%, yogati, kefir, kanyumba tchizi. Kirimu wowawasa amaloledwa ngati kuvala koyamba kumene (osaposa supuni 1 patsiku). Mkaka wonse, batala, mkaka wowotchera ndi zinthu zina mkaka wamafuta sizimaphatikizidwa kwathunthu kuchokera menyu.

Zakudya za matenda osachiritsika komanso kapamba

Mazira aliwonse amathanso kudyedwa, koma kuchuluka kwa yolk sikuyenera kupitirira chidutswa chimodzi patsiku. Ngati mazira awiri kapena kupitilira apo amafunika kuti akonze ma omelet, mapuloteni okha ndi omwe ayenera kugwiritsidwa ntchito.

Confectionery

Pazocheperako, kumwa marmalade, marshmallows, marshmallows, soufflés opangidwa kuchokera ku zachilengedwe agar-agar ndi pectin amaloledwa. Ngati zitsamba zam'madzi zikuphatikizidwa ndikuchokera, zimakhudza ntchito ya khunyu ndikuthandizira kupanga kapangidwe ka mahomoni ofunikira kwambiri. Monga mchere ku tiyi, mutha kugwiritsa ntchito ma cookie, ma biscuits, ma biscuits.

Zinthu zophika buledi

Mkate watsopano wokhala ndi mtundu uliwonse wa kapamba amaletsedwa. Wodwalayo amaloledwa mkate wopangidwa ndi ufa wa tirigu, masikono owuma, makeke popanda kuwonjezera yisiti, buledi wonyezimira. Zogulitsa ndi chinangwa, komanso zophika ndi kuwonjezera pa ufa wa peeled, zimatha kupatsa mphamvu matumbo, kuphulika, kulemera, kotero ndikwabwino kuti musazidziwitse zakudya.

Zakudya za kukokomeza matenda kapamba

Mankhwala

Kuwongolera kwa mankhwalawa kumasonyezedwa pambuyo pakupumula kwa njira yolephera yotupa ndipo ikhoza kuphatikiza magulu osiyanasiyana a mankhwala, omwe omwe ali ndi michere ya m'mimba. Ichi ndiye maziko olowa mmalo, popeza kuperewera kwa michere ndi chimodzi mwazomwe zimayambitsa matenda a pancreatic. Mankhwala osokoneza bongo omwe ali mgululi amakhala ndi mayamwidwe otsika ndipo amangochita mu lumen yamatumbo. Ma enzymes omwe amagwiritsidwa ntchito pochiza matenda a kapamba, komanso chiwembu chogwiritsa ntchito, akuwonetsedwa patebulopo.

Dzina lamankhwala ndi mawonekedwe akumasulidwa	Kutenga?	Mtengo wapakati
Ngalawa yolimba yotentha "Festal"	1-2 mapiritsi katatu patsiku ndi chakudya. Kutalika kumatsimikiziridwa payekhapayekha ndipo kumatha kuyambira masiku 10 mpaka miyezi ingapo (kufunika kwa chithandizo kuyenera kuwunikidwa ndi ma Hardware ndi maphunziro a biochemical)	Ma ruble 140
Mapiritsi a pancreatin	1-3 mapiritsi katatu patsiku ndi chakudya kapena mukatha kudya kwa masiku 10-30	16-50 ma ruble
Makapisozi "Hermitage"	1 mpaka 4 makapisozi mukatha kudya	116 ma ruble
Makapisozi a Enteric "Creon 10000"	Mlingo komanso nthawi yayitali yogwiritsidwa ntchito imatsimikiziridwa ndi dokotala. Kudziwerengera nokha mlingo osaphunzirira za magazi ndi mkodzo ndikosatheka	281 ruble

Zofunika! Ndizosatheka kugwiritsa ntchito mankhwala osokoneza bongo omwe amapezeka ndi ma enzymes pachimake pa matenda.

Mankhwala othandizira

Ngati muli ndi chithandizo chamankhwala, magulu otsatirawa a mankhwalawa akhoza kuphatikizidwa ndi mtundu wa chithandizo:

antiemetics ("Motilium», «Tserukal»),
mankhwala omwe amachepetsa katulutsidwe ka madzi am'mimba ndi kapamba wa pancreatic ("Omeprazole», «Omez»),
mankhwala a carmative zochokera ku simethicone yophulika ndi kuyamwa ("Espumisan»),
mankhwala othandizira kudzimbidwa ("Lactulose», «Dufalac»),
kukonzekera masanjidwe a chopondapo ndi m'mimba ("Diara», «Loperamide»).

Kubwezeretsa ntchito yamatumbo komanso kupewa dysbiosis, eubiotic ingagwiritsidwe ntchito mwachitsanzo, "Hilak Forte».

Matenda a pancreatic ndi ma pathologies omwe amafunikira kuzindikira kwakanthawi ndi chithandizo. Kunyumba, ndizosatheka kuti mupeze vuto lokwanira ndikuwona chomwe chimayambitsa kupweteka kwa epigastric, chifukwa chake kudzichiritsa nokha ndi zizindikiro za kapamba sikuvomerezeka.