Kodi masinthidwe otulutsa pancreatic ndi ati?

Njirayi imakhala yovuta kwambiri mwa akulu, mwa ana zizindikiro sizitchulidwa. Tiyenera kukumbukira kuti awa si matenda, koma njira za m'mitsempha ya chiwalo. Zotsatirazi zomwe zimapangitsa kuti masinthidwe a kapamba azilekanitsidwa ndizomwe zimasiyanitsidwa:

1. Kutupa kwa m'mimba ndi duodenum (gastritis, zilonda zam'mimba, gastroesovagal Reflux),
2. Cholecystitis (kuwonongeka kwakatundu kapena kupweteka kwa ndulu),
3. Matenda a chiwindi (hepatitis, cirrhosis),
4. Neoplasms, cysts zomwe zimasokoneza matumbo),
5. Ulcer enterocolitis (zotupa zamatumbo ang'onoang'ono),
6. Kuvulala kwam'mimba
7. Matenda amkati
8. Kumwa mankhwala (mankhwala oletsa kubereka, maantibayotiki, mankhwala osapweteka a antiidal).

Ngati ziwalo zapafupi ndikuyang'ana kutupa kapena chotupa, izi zimayambitsa kuphwanya kutuluka kwa ma enzymes, kulimbikira kwawo kusanachitike ndipo, chifukwa chake, autolysis imayamba (kudzimbidwa).

Poganizira zaukali wa michere ya pancreatic, zikuwonekeratu kuti kudziwononga kotereku kumafunika chisamaliro chachipatala msanga. Koma zizindikiritso zoyambirira ndizopanda tanthauzo, zomwe zimapangitsa kuti matenda azidziwitso azidziwike. Pachiyambi padzakhala kupweteka kosadziwika bwino m'mimba, kuwonda m'mimba, kusilira komanso kuphuka, kusintha kwa chopondapo (pakhoza kukhala kuchedwetsa kupindika, kutsegula m'mimba, kapena kudzimbidwa ndi kudzimbidwa). Pamene njirayi ikayamba, zizindikiro za yogwira pancreatitis zimawonekera:

• ululu wofinya wam'mimba womwe umafalikira m'chuma chamtengo wapatali ("chokhazikika"), amapangitsa wodwalayo kuthamangathamanga kuti akaone mawonekedwe omasuka, asokoneze tulo. Nthawi zina ululu umakhala wolimba kwambiri kotero kuti umafunikira mankhwala oletsa ululu wamankhwala osokoneza bongo,
• Matenda a dyspeptic: nseru, kusanza, kutentha pa mtima, kutulutsa magazi, kutulutsa zakudya zamafuta, kutsekeka m'matumbo),
• zovuta zamitsempha: kugona, kukhumudwa, kuyesayesa kudzipha, kuchita zamtopola,
• kamwa yowuma, ludzu, kukodza mwachangu (zizindikiro za matenda ashuga).

Dziwani za kusintha kwamachitidwe

Kodi machitidwe amadziwika bwanji?

Madandaulo amafotokozeredwa, ma anamnesis amatengedwa, zimapezeka kuti, pomwe wodwalayo adazindikira zizindikiro, zomwe zimathandizidwa, zomwe kuchulukitsa kumadalira.

Zoyeserera zowonjezera zasayansi zimachitika:

• kuyezetsa magazi kwaponseponse (pali kuchuluka kwa ESR, leukocytosis yosunthira kumanzere, yomwe ikuwonetsa kutupa),
• urinalysis (mawonekedwe a glucose, michere ya protein ingawoneke),
• Kafukufuku wa zamankhwala amodzi (kuchuluka kwa amylase, ALT, AST, alkaline phosphatase, kuphwanya kwa electrolyte bwino potaziyamu ndi sodium).
• Kufufuza kwazida ndi chitsimikiziro chachikulu cha njirayi.

Mwatsatanetsatane pankhani yophunzira kapamba

Kupanga kwamimba kumachitika, miyala mu chikhodzodzo, kupezeka kwa kutupa m'matumbo kumadziwika, ndipo, zowonadi, ma pathologies ochokera ku gland palokha amatsimikiza.

Chithunzicho chimasinthasintha, pamakhala kusintha kwa pancreatic parenchyma, kufalikira kwa chizindikirocho kumawonedwa, malo ang'onoang'ono a hypoechoic (foci ya edema) amapezeka kawirikawiri kwa ana. Kuyesa magwiridwe antchito a gland, kafukufuku wam'mbuyo nthawi zina amachitika (atatha kudya).

Phunziroli lili ndi magawo awiri: kuwunika kwa mawonekedwe pamimba yopanda kanthu komanso maola awiri mutatha kudya. Mukakola chakudya, chiwalocho chimakulanso kukula, chifukwa magazi adzachuluka. Phunziroli limafotokoza kukula kwathunthu kwa kutulutsa tizi komanso kutsika kwake kukuwonetsa njira zomwe zimayambira.

Fibrogastroduodenoscopy - kafukufuku wam'mero, m'mimba, duodenum kudzera pa kafukufuku - amakupatsani mwayi kuti muwone chomwe chimayambitsa kutupa, ndipo ngati ndi kotheka, khalani ndi kukonzekera kwa magawo osinthika a mucosa (okhala ndi zilonda zam'mimba) kapena neoplasms.

Kuwona zomwe zimayambitsa kutupa pamankhwala

Kuti mudziwe njira zamankhwala, ndikofunikira kuzindikira chomwe chimayambitsa kutupa.

Cholecystitis - opaleshoni mankhwala a ndulu amachitika ndi pambuyo enzyme mankhwala ndi kusankha yoyenera zakudya.

Zilonda zam'mimba zam'mimba ndi duodenum - antibacterial mankhwala, kuti awononge Helicobacter pylori (chifukwa chachikulu cha gastritis), kuikidwa kwa zakudya komanso mankhwala omwe amachepetsa kubisika kwa madzi a m'mimba.

Neoplasms - kutengera mtundu wa njirayo, chithandizo cha opaleshoni ndi chemotherapy yotsatira ndi radiation.

Kutha kwa mankhwala omwe amachititsa kutupa kwam'mimba komanso kusintha kwa magulu ena a mankhwala.

Pambuyo pochiritsa matenda oyambitsidwa, mankhwala a kapamba amayamba:

1. Zakudya zimayikidwa motsutsana ndi mafuta, zonunkhira, zokometsera, zotsekemera,
2. mankhwala a enzyme ogwiritsa ntchito poponi, pancreatin, chikondwerero, oraza,
3. kutenga analgesics a ululu (ketorol, nise).

Zambiri zakutsogolo zimasinthidwa nthawi zambiri, popeza kuchotsedwa kwachakanthawi chifukwa cha etiological factor (chifukwa), njira zomwe zimapangidwira zikuluzikulu zimatha kusintha. Koma simungakhale ndi chiyembekezo chodzilimbitsa.

Zizindikiro za yogwira pancreatic change

Zosintha pancreatic zotheka zimakhala ndi zizindikiro izi:

• Ululu mu epigastric dera. Kutsika kwamphamvu kwa zosasangalatsa zomverera kumawonedwa pakukhala pansi.
• Kuukira mseru, kuchititsa kusanza. Vomit imakhala ndi madzi am'mimba ambiri komanso chakudya chambiri. Kuukira sikubweretsera mpumulo wodwala.
• Zizindikiro za kuledzera. M'mayambiriro oyamba matenda, kutentha kumatuluka, kuzizira, kufooka, mutu kumawonekera.
• Kudzimbidwa. Kudzimbidwa kumaloledwa ndi matenda otsegula m'mimba, kupangika kwa mpweya kumawonedwa.
• Pakamwa pakamwa, potsatira limodzi ndi mawonekedwe a kuyala kwamilomo.
• Kuchepetsa chilala, kunenepa kwambiri.
• Beling, nthawi zambiri imakhala ndi acidic.
• Kusintha kapangidwe ka kapamba, kamene kamakhala ndi zake.

Zizindikiro

Kuzindikira koyenera kumatha kupangidwa kokha mutayesedwa kwathunthu. Choyamba, kuyezetsa kumachitika, pomwe dokotala amawunikira zomwe zilipo, akuwonetsa kuwonjezeka kwa chiwalocho. Kuti mudziwe zomwe zimayambitsa kusintha, m'mimba ma ultrasound, FGDS, mayeso a labotale amagwiritsidwa ntchito.

Chifukwa cha ultrasound, malingaliro akhoza kuchitika za:

1. Kuchepetsa kachulukidwe ka minofu ya kapamba ndi kuchepa kwawo, kukulitsa chiwalo. Amawonedwa pachimake kapamba.
2. Kuchepetsa kukhudzika kwa minyewa komanso kupindika kwa minofu ndikusunga kukula kwa Amadziwika ndi kusintha kosasintha.
3. Kuwonjezeka kwa echogenicity ndi kukula kwamtundu wa kapamba. Zikuwonetsa kukhalapo kwa lipomatosis, momwe mumakhala m'malo mwake timinyewa ta m'magazi tambiri ndi mafuta.
4. Kuchulukana kwaachulukidwe ndi echogenicity ndi kuchepa kwa kukula kwa mbewa. Zapadera pancreatic fibrosis.

Kufufuza kwamatenda otupa a pancreatic kumaphatikizapo:

1. Kuyesedwa kwa magazi konse. Zimawonetsera mawonekedwe owonekera pakatupa - kuchuluka kwa ESR ndi kuchuluka kwa leukocytes.
2. Kuphunzira kwamkodzo kwamkodzo. Mtsempha umayang'aniridwa kuti mupeze michere yomwe imasinthidwa ndi impso.
3. Kuyesa kwamwazi wamagazi. Zimakupatsani mwayi kuti muwone kuchuluka kwa michere mthupi.
4. Cop program. Mumagwiritsidwa ntchito kuti mudziwe kuchuluka kwa mapuloteni osagwiritsidwa ntchito ndi mafuta m'zimbimbimbizi.

Mankhwala

Nthawi zambiri ndimatenda a kapamba, Mankhwalawa amagwiritsidwa ntchito:

• painkiller (ndi njira yofatsa yamatenda - mankhwala omwe si a antiidal - odana ndi kutupa, okhala ndi zovuta - narcotic analgesics),
• antispasmodics (No-shpa, Platifillin),
• makonda opondera (Espumisan),
• kukonzekera kwa enzyme (Pancreatin, Mezim).

Werengani zambiri za kukonzekera kwa ma enzyme a kapamba mu nkhaniyi.

Njira za anthu

Masinthidwe othandizira pancreatic amathandizidwa ndi mankhwala achilengedwe otsatirawa:

1. Imwani kuchokera ku viburnum. 1 tbsp. l zipatso kutsanulira 300 ml ya madzi otentha, kunena 2 maola, kusakaniza ndi 1 tsp. wokondedwa. Tengani katatu pa tsiku kwa mwezi umodzi.
2. Mafuta a Rosehip. Mankhwala amatengedwa mu 15 ml kwa sabata limodzi. Pambuyo pa miyezi iwiri, mankhwalawa amabwerezedwanso.
3. Madzi a Dogwood. 0,5 tbsp. madzi kuchepetsedwa ndi madzi ofunda, kumwa musanadye.
4. Tincture wa iris ndi chowawa. Zitsamba zimatengedwa m'magulu ofanana, 1 tbsp. l kusonkhanitsa kutsanulira 200 ml ya madzi otentha, kunena 3 maola, kutenga 3 pa tsiku 4 tbsp. l
5. Madzi a mbatata. Chida ichi chimatengedwa mu 100 ml kawiri pa tsiku pamimba yopanda kanthu. Popita nthawi, mlingo umakulitsidwa mpaka 200 ml. Patangotha ​​mphindi zochepa mutamwa madziwo, imwani kapu ya kefir. Njira ya mankhwalawa ndi masiku 14, patatha sabata limodzi kubwerezedwa.
6. Kutengeka kwamabuluu. 1 tbsp. l zipatso zophika mu 200 ml ya madzi kwa mphindi 10, kumwa katatu patsiku.
7. Immortelle Tincture. Pophika, muyenera 2 tbsp. l maluwa ndi malita 0,5 a madzi otentha. Mankhwala amawiritsa kwa mphindi 30, atalimbikitsidwa mpaka utakhazikika kwathunthu, kumwa 100 ml. theka la ola musanadye.

M`pofunika kudya matenda a kapamba ang'onoang'ono magawo, 5-6 patsiku. M'masiku oyambilira ochulukirachulukira, tikulimbikitsidwa kusiya kwathunthu kudya zakudya. Pakupita masiku angapo, ma hop, mabisiketi, tiyi wopanda mafuta ndi mafuta oatmeal amayamba kudyedwa. Zovomerezeka kuti zigwiritsidwe:

• zopangidwa mkaka,
• odzola
• buledi wokalamba
• supu zamasamba
• nyama yophika
• Masamba atsopano ndi zipatso.

Zakudya zoyenera zomwe zimasintha m'matenda a kapamba zimatanthawuza kukanidwa kwa zinthu zotsatirazi:

• chokoleti
• ankasuta nyama
• masoseji,
• msuzi wanyama wolimba,
• chakudya chomwe chili ndi zoteteza, makomedwe ndi mitundu,
• zipatso zowawasa.

Kuposa owopsa

Mavuto ambiri omwe amachitika pancreatic yotupa ndi:

• purulent kapamba,
• khomo lam'mimba,
• kunyowa
• kuphatikizidwa kwa minofu yapanchipic ndi mapangidwe a fistulas,
• sepsis
• zotupa zam'mitsempha,
• chachikulu cysts chomwe chimachitika pamene zimbudzi za kapamba zimatsekedwa,
• magazi amkati oyambitsidwa ndi minyewa,
• matenda ashuga.

Zowoneka za matenda a ana

Mu makanda, ma pancreatic pathologies omwe amathandizira amawonetsedwa ndikulira mofuula ndikuwonjezera ntchito yamagalimoto. Mwanjira imeneyi pokhapokha mwana wakhanda akabadwa amveketse kuti pali cholakwika ndi thupi lake. Zizindikiro za zotupa za pancreatic zimawonekera mukangoyambitsa chida chopanda thanzi muzakudya zowonjezera.

Komarovsky zokhudzana ndi kusintha kwanthunzi kwa kapamba

Dr. Komarovsky akukhulupirira kuti zifukwa zazikulu zomwe zimapangitsa kuti pakhale kusintha kosinthika kwa kapamba mwa ana ndi kuyambitsa koyambirira kwa zakudya zowonjezera komanso kugwiritsa ntchito zakudya zokhala ndi zowonjezera zambiri. Kufunitsitsa kwa makolo kuponda mwana nthawi zambiri kumabweretsa kukula kwa matenda owopsa.

Mbiri ya moyo

Kumayambiriro kwamankhwala, mawonekedwe a pathological sakuwaopsa, maselo a kapamba amachira pakapita nthawi ndikuyamba kugwira ntchito zawo. Popanda chithandizo, minofu imafa, vuto lowopsa limayamba - pancreatic necrosis. Kujowina sepsis nthawi zambiri kumatha ndi imfa.

Kodi masinthidwe otulutsa pancreatic ndi ati

Kusintha kwina kwa kapamba kumayamba chifukwa cha matenda omwe amalumikizana ndi m'mimba, matumbo, chiwindi ndi ziwalo zina zam'mimba. Chizindikirochi chikuwonetsa kusintha kwawonekedwe kwambiri m'thupi, chifukwa chake, zikaonekera, muyenera kulumikizana ndi dokotala ndikuyang'aniridwa kwathunthu.

Kodi masinthidwe otulutsa pancreatic ndi ati? Kusintha kwina kwa chiwalo sikumawerengeka ngati njira ina ndipo sikutha kudutsa pakokha. Matendawa ndimomwe zimachitika chifukwa cha chiwalo chamitundu mitundu cha matenda ophatikizidwa ndi ziwalo zam'mimba ndi matumbo, komanso zovuta zomwe zimachitika chifukwa cha thupi.

Nthendayi - yachiwiri kukula kwambiri pamimba pambuyo pa chiwindi, imapereka kupangidwa kwa zinthu ziwiri zofunika.

1. Kukula kwa insulin zofunika kuti shuga atenge.
2. Kupanga kwamadzimadzi am'mimba, popanda iwo sipadzakhala chimbudzi chokwanira.

Kudzera mu njira, madzi amalowa mu duodenum. Maudzu a ma ducts awa ndiofunikira kuti ntchito ya pancreatic. Popeza ziwalo zonse za m'mimba ndi m'mimba zimafalikira kudzera munjira zamkati, nthenda ina iliyonse ya izo imakhudza zochitika za chiwalo, zomwe zimayambitsa zovuta.

Ma Enzymes opangidwa ndi thupi amangoyambira kugwira ntchito akamalowa m'matumbo. Ngati msuzi wochokera ku duodenum 12 umathiridwa mu ngalande za pancreatic, zinthu izi zimayamba kugwira ntchito koyambirira, chifukwa cha zomwe tiziwalo timene timayamwa. Izi zimapangitsa kuti pakhale kusintha kosinthika pancreatic parenchyma, komwe kumayambitsa mapangidwe oyambitsa.

Zomwe zimapangitsa kuti chiwonetsero chogwira ntchito chilingalire:

• Matenda opatsirana - kusintha komwe kumachitika motsatana ndi chibayo, matenda am'mimba, chimfine,
• kukhalapo kwa kutupa m'mimba ndi matumbo - ziwalo zimachulukira chifukwa cha gastritis, zilonda zam'mimba, zotupa za esophagus,
• kuvulala kwamtima,
• matenda a chiwindi ndi ndulu
• Zakudya zopanda pake - kutupa kumawonekera chifukwa chomwa mowa, koloko, kudya kwambiri,
• kumwa mankhwala - mapangidwe otsogola amawonekera ngati chithandizo cha nthawi yayitali ndi maantibayotiki, mankhwala omwe amachotsa kutupa ndi bowa, okodzetsa,
• zoperewera
• mavuto atalandira katemera,
• poyizoni wa thupi
• kukhalapo kwa matenda osachiritsika
• zovuta pambuyo pakuchita opaleshoni yam'mimba,
• zaka odwala. Amayi azaka zapakati pa 40-50 ali ndi matenda opezeka pancreatic kuposa abambo.

Ndi mikhalidwe iti yomwe ingayambitse kusintha kwodutsa mu tiziwalo timene timatulutsidwa

Choyamba, kulandira malingaliro oterowo m'manja mwake, adokotala adzaganiza za kutupa kwapang'onopang'ono mu kapamba payekha kapena gawo lina la dongosolo la hepatobiliary. Chifukwa chake, zifukwa zake ndi izi:

• Kuukira kwachimake kwa kapamba.
• Zowopsa kapena zowopsa za kapamba (mwachitsanzo, uchidakwa).
• Pachimake ndi matenda kutupa kwa chiwindi (mitundu yonse ya hepatitis).
• Pachimake ndi matenda kutupa kwa ndulu.
• Zilonda zam'mimba kapena duodenum.
• Matenda a colitis.
• Matenda ena am'mimba.

Zikondamoyo zimalumikizana ndi ziwalo zonse za m'mimba. Kusintha kulikonse pantchito yawo, kumasulidwa kwamphamvu kwa oyimira pakati ndi ma cytokines kumachitika, komwe kumapangitsa poizoni ziwalo zoyandikana. Kuphatikiza apo, kutuluka kwa katulutsidwe kumasokonezeka, kumaponyedwanso, ndipo zinthu zomwe zimapanga timadziti zimayamba kugaya kapamba palokha. Chiwalocho chimapsa, chomwe chimatsatana ndimasintha.

Zizindikiro zake zimasintha nthawi yomweyo, poyankha kuwonongeka kwa maselo a ziwalo. Kukula kwa zizindikiro ndikusintha - kuchokera mitundu yofatsa kupita kuopseza moyo.

• Kupweteka kumanja kwa subcostal, zigawo za epigastric za lunda kapena chovala. Ululu umachitika chifukwa cha mafuta, wowawasa, okometsera kapena zakudya zolemera.
• Matenda a dyspeptic: Kusanza kwa zakudya zomwe zadyedwa dzulo, zimbudzi zopanda maziko popanda zodetsa zilizonse zokhala ndi mafuta ambiri, phokoso komanso kufalikira. Kuwonongeka kwa chilala, kuluka, ma hiccups.
• Zizindikiro za kuledzera: kukwera kwa kutentha kwa thupi mpaka mkhalidwe wamantha, mutu, thukuta.
• Kulawa kwamkamwa pakamwa, kuyanika kwamalirime.
• Ludzu losasinthika.

Zofunika! Zizindikiro zomwe zalembedwazi sizikunena mwachindunji. Amawonedwa m'matenda ambiri am'mimba. Pankhaniyi, wodwala yemwe amasinthasintha matenda a kapamba amafunikira mayeso owonjezera.

Pamaso pa kusintha kosinthika pachithunzithunzi pakuwunikira kwa ultrasound, kuwonjezereka kwa kapamba kumawonekera. Makulidwe amasiyanasiyana chifukwa cha edema ya kapisozi ndi parenchyma, kutupa kwa maselo. Kuphatikiza apo, parenchyma imakhala yolemera pakukwaniritsidwa, komwe imadziwika kuti ikukula kapena kuchepa kwa matendawa pa gland parenchyma.

Kuchokera pakufufuza kwa wodwala, adokotala amaphunzira za matenda ndi matenda a wachibale wawo, zamtundu wazakudya. Kuchokera kwa anamnesis, kuyambika kwa zizindikiritso, zomwe zimayambitsa kupezeka kwawo komanso chilengedwe ndizofunikira.

Pambuyo popenda bwino, mayeso owonjezereka amalembedwa kuti atsimikizire kuti ali ndi vutoli:

• Kuwerengera kwathunthu kwa magazi - kusintha kwa kutupa, zizindikiro za kuchepa kwa magazi.
• Mayeso a biochemical magazi - Zizindikiro za kukhalapo kwa matenda osachiritsika, kusintha kwa zinthu za michere, mapuloteni athunthu, ma bile bile
• Urinalysis (kuphatikizapo biochemical) - pakakhala kusintha kwamkodzo mumkodzo, amylase enzyme imasungidwa.
• Kuwunikira kwamtundu wa steatorrhea.
• Ultrasound kuwunika kwam'mimba konse ziwalo.
• Esophagogastroduodenoscopy.
• Pakufunikira: makina ophatikizira ndi maginito a resonance, ERCP, fibrocolonoscopy, etc.

Ndi kuzindikira koyambirira kwa kusintha kwa moyo, sikuti kuimira zoopsa. Mothandizidwa ndi chithandizo chokwanira cha matenda oyambitsidwa, njira zonse m'maselo a kapamba zimabwezeretseka.

Ngati chithandizo chamankhwala sichinachitike munthawi yake kapena sichinapezekepo, ndiye kuti ma cell ochokera kumalire a boma amapita ku necrosis, ndiye kuti, amafa. Pang'onopang'ono, njirayi imakhudza kupanikizika kwathunthu, kupanikizika kwa necosis - chomwe chimawopseza moyo wa wodwalayo. Zikondazo zimasiya kugwira ntchito, wodwalayo ali pamavuto akulu. Ndi kuwonjezera kwa sepsis kapena mantha, imatha kuonedwa.

• Kutha kwa chikumbumtima, malo odabwitsidwa.
• Thupi (kutentha kwa thupi kumafika 3940 C).
• Khungu kapena mtundu wamtambo wokutidwa ndi thukuta.
• Kupumira kosasunthika.
• Tachycardia kuphatikiza ndi kolimba ngati ulusi.
• Kuchepetsa kwambiri kuthamanga kwa magazi.

Mitundu yofatsa ya maphunzirowa imafunikira chithandizo chokwanira cha matenda oyambitsidwa ndi chiwindi (hepatitis, cholecystitis, kapamba, etc.). Ndi chithandizo choyenera, masinthidwe onse otakatika amachoka pomwe njira yovuta kwambiri itatha.

Ndi zizindikiro zazikulu, kuikidwa kwa enzyme kukonzekera komwe kumayambitsa ntchito za kapamba kumasonyezedwa. Ndi mankhwala enzyme m'malo, kusapeza bwino m'mimba, flatulence ndi kulemera m'mimba amachoka. Ndi zowawa kwambiri, ma analgesics omwe si a narcotic amalembedwa.

Mitundu ikuluikulu imafunikira chisamaliro chachikulu muzipatala zazamalonda. Apa, monga lamulo, funso la kuchotsedwa kwa opaleshoni kapamba kapena maopaleshoni am'madzi, omwe angachepetse mkhalidwe wa wodwalayo, lasankhidwa.