Momwe mungadziwire zovuta zapancreatic?

Kanyama kapamba ndi kachiwalo komwe kali m'mimba mwa mimbulu. Amagawika mutu, thupi ndi mchira. Chiwalo chofunikira ichi chimagwira ntchito zogaya ndi endocrine: imapanga ma enzymes ndi mahomoni omwe amathandizira kugaya chakudya ndipo amachititsa kuti kagayidwe kake kagwire m'thupi. Pakuperewera pang'ono pakupanga kwawo, mavuto amabwera ndi kapamba, zomwe sizingawonekere mwachangu.

Zizindikiro ndi zizindikiro zamavuto

Amadziwika kuti kapamba amawongolera ntchito ya ziwalo zambiri zamkati. Zaumoyo zimatengera kuchuluka kwa ma enzymes ndi mahomoni omwe amapangidwa ndi iyo, ndipo, nthawi zina, moyo wa munthu. Kutengera ndi matenda, zizindikiritso za zovuta za kapamba zimatha kudziwonetsa mosiyanasiyana. Kuopsa kwa matendawa kukhudza kukhudzika kwawo ndi chikhalidwe cha mawonekedwe. Chifukwa chake, mu matenda osachiritsika, wodwalayo amatha kuzolowera kuwonetsa zizindikiro za zovuta za kapamba komanso osawapatsa chidwi chapadera, chomwe chimayambitsa thanzi lake.

Zizindikiro zazikulu zamatenda a chiwalochi zimatha kudziwonetsa motere:

  • kuwonda m'mimba, makamaka kumtunda,
  • chisokonezo chopondapo: ndowe zamadzimadzi kapena zamadzimadzi,
  • kuchuluka kwa mpweya m'matumbo,
  • chimbudzi,
  • kusanza pafupipafupi komanso kusanza
  • kutentha kuwonjezeka
  • ukufalikira
  • Pambuyo pake pakudya,
  • zotupa pakhungu.

Mawonetsedwe onse awa ndi chizindikiro cha matenda apamba. Kuzinyalanyaza ndizowopsa, chifukwa zimatha kubweretsa zovuta zomwe sizinachitike.

Ngati pali zonyansa m'matumbo, ndipo matenda otsegula m'mimba sasiya kwa nthawi yayitali, izi zitha kuwonetsa matenda osiyanasiyana. Muyenera kufunsa dokotala posachedwa ndikuwunika mayeso onse ofunikira kuti mudziwe zoyenera.

Nthawi zambiri, thupi limadziwoneka lokha ndi zaka, komabe, milandu yamawonekedwe a zaka zakubadwa 30 ndizofala kwambiri. Monga lamulo, m'badwo uno umangokhala tsiku la ntchito ndi moyo wabanja. Anthu amatanganidwa kwambiri ndi kukanikiza ndi mavuto osaneneka kotero kuti nthawi zina sipamakhala nthawi yokwanira yathanzi.

Anthu ambiri amaganiza momwe angamvetsetsere kuti mavuto ndi kapamba wayamba kale kudzipangitsa kumva. Inde, nthawi zambiri matendawa amatha kudwala matendawa.

Komabe, izi zonse ndi zovuta za matenda ngati amenewa, kuti kuchedwetsa chithandizo kwawo kungawopseze zovuta zowopsa komanso ngakhale kufa.

Ngati muli ndi zizindikiro za matendawa, pitani kuchipatala mwachangu.

Mitundu yamatenda

Matenda a chiwalo chofunikirachi ndi monga:

  1. Cystic fibrosis ndi matenda obadwa nawo. Tinthu timeneti timatulutsa tinthu tambiri tambiri. Zotsatira zake, salowa mu duodenum ndikuyamba kupukusa tiziwalo tokha. Zizindikiro za matendawa ndizopweteka komanso kupsinjika pamatumbo, komanso kutulutsa mchere wamkati pakhungu.
  2. Ma cyst ndimapangidwe obisika mkati mwa gland, omwe amasokoneza momwe amagwirira ntchito, pomwe ma enzyme samasungidwa mokwanira. Matendawa amaphatikizidwa ndi kutentha thupi.
  3. Miyala ya pancreatic ndi vuto lodziwika bwino lomwe lomwe limatha kukhalapo ndi kuperewera kwa kagayidwe kazakudya, kukanika kwa mahomoni, kumwa mowa mwauchidakwa komanso kusuta ndudu, komanso kusintha kwa matenda am'mimba. Kamvekedwe ka chikaso chachikaso, kupweteka kumbuyo kapena m'mimba kumatha kuwoneka.
  4. Pancreatic necrosis imakwiyitsa kufa kwa maselo, omwe motsatana ndi kupweteka kwambiri kapena ngakhale kupweteketsa mtima.
  5. Khansa ndi amodzi mwa matenda oopsa. Poyambirira, imatha kupezeka kuti imagwiritsidwa ntchito pogwiritsa ntchito ultrasound. Mu magawo amtsogolo, munthu "amawotcha" pamaso pake.
  6. Pancreatitis ndi kutupa kwa kapamba kapamba. Umu ndi momwe ntchito yolumikizira thupi ndi ma enzyme omwe amapangidwira, omwe amachititsa kudzikundika kwawo kokwanira komanso kupweteka kwa mkati. Chifukwa cha mawonekedwe a kutupa, kapangidwe ka michere ndi kovuta.

Pali pancreatitis yovuta komanso yopweteka. Poyambirira, kugonekedwa kuchipatala ndikofunikira. Zizindikiro zazikulu: kupweteka kwambiri, kutentha pa chifuwa, nseru, kupindika, kupangika kwamagesi, mapando omasuka. Kuchepetsa kwakukulu ndi pancreatitis amathanso kuonedwa. Izi mwachizolowezi sizingakhudze matenda oyipa kwambiri. M'malo mwake, m'malo mwake, ichulukitsa izi. (Nthawi zambiri, kuchepa thupi kumagwirizanitsidwa ndi matenda monga matenda a shuga.)

Matenda a kapamba sangawonekere makamaka koyambirira. Nthawi zina limodzi ndi ululu wofatsa. Ngati simukuwonetsa pakapita nthawi, matendawa amatha kukhala pancreatic necrosis, yomwe imakhala ndi chiopsezo ku moyo wa munthu.

Matenda a shuga amadziwika kuti amapanga insulini komanso kuchuluka kwa shuga m'magazi. Zimayendera limodzi ndikumva ludzu komanso kuyabwa kwa khungu. Ngati wodwala salandira mlingo wa insulin panthawi, amayamba thukuta kwambiri, kugunda kwa mtima kumayamba msanga, ndipo kumva kulimba kwamphamvu kumayamba. Zizindikiro za matenda a shuga ndi: kufooka kwa minofu, kunenepa kwambiri kwamiyendo, kapena kunenepa kwambiri, kunenepa kwambiri, ludzu.

Kuphatikiza apo, zizindikiro za zovuta za pancreatic zitha kuwonekeranso. Zizindikiro zophatikizika zomwe nthawi zambiri zimawonetsa kukhalapo kwa matenda a shuga:

  • Kutopa nthawi zonse.
  • Pakamwa pakamwa (sipachokapo ngakhale ndi madzi akumwa kwambiri).
  • Zowonongeka ndi kumva.
  • Kuzindikira kwa coagulability magazi.
  • Miyendo ndi miyendo.

Mukamaganiza momwe mungagwiritsire kapamba ndimatenda a shuga, ndikofunikira, choyamba, ndizindikirani mtundu wa matenda, kutengera mtundu wa mankhwala omwe adalandira.

Njira zochizira

Amadziwika kuti pali zinthu zambiri zomwe zimatha kuyambitsa mavuto ndi kapamba. Zizindikiro ndi chithandizo cha matenda zitha kutsimikiziridwa ndi dokotala potengera zotsatira za ultrasound, tomography ndikuwunika. Kutengera mtundu wa nthendayo ndi magawo ake, mumalandira mankhwala enaake kapena chithandizo cha opaleshoni.

Zakudya mokakamiza

Komabe, gawo lalikulu polimbana ndi matenda ngati amenewa limaseweredwa ndi zakudya zosasimbika. Nthawi zina moyo wamunthu umadalira malinga ndi chikumbutso chake. Ndikofunikanso kusiyiratu zoyipa zonse, monga kumwa mowa ndi kusuta. Anthu omwe ali ndi zizolowezizi amakhala malo oyamba kukhala pachiwopsezo cha matenda owopsa a chiwalo ichi.

Kutsatira zakudya Zinthu zina ziyenera kutayidwa:

  • zakudya zamafuta ndi zokazinga
  • maswiti, khofi, chokoleti,
  • mbale zokazika kwambiri
  • nyama yamafuta ndi nkhuku,
  • kirimu, tchizi ndi mkaka,
  • mowa ndi zakumwa zoziziritsa kukhosi,
  • zakudya zonunkhira komanso wowawasa
  • makeke ndi makeke,
  • bowa.

Zakudya izi ndi zolemera kwambiri kuti zigaye. Amayenera kuchotsedwa kwathunthu kuzakudya zanu.

Zotsatirazi zikulimbikitsidwa kuti zigwiritsidwe ntchito zosiyanasiyana matenda a kapamba:

  • Masamba atsopano ndi zipatso
  • mkate wa chinangwa
  • mitundu yazakudya ndi nkhuku (yopanda khungu),
  • mazira ndi nyemba (nyemba).

Idyani nthawi zambiri komanso m'magawo ang'onoang'ono kuti musadzaza kwambiri kapamba. Chakudya chimayenera kudulidwa, kusenda kapena kudyetsedwa, kutentha nthawi zonse. Zakudya zoyambirira ziyenera kusambitsidwa, mwachitsanzo, msuzi puree. Imwani madzi oyera nthawi zonse monga momwe kungathekere.

Dotoloyu ndi amene amachititsa kuti adye.

Mankhwala

Mavuto akapezeka ndikukula kwawo mwachangu, ndizosatheka kubwezeretsanso ntchito zonse za chiwalo. Monga lamulo, ndikuchulukitsa kwa zizindikiro, odwala amawaika kuchipatala ndipo amayang'aniridwa ndi achipatala mosalekeza. Amalembedwa maantibayotiki ndi antispasmodics, komanso prokinetics, antacid ndi saline.

Mankhwala Omez, komanso zoletsa zosiyanasiyana, amachepetsa kupanga katulutsidwe ka m'mimba. Kuphatikiza apo, ndi secretion yowonjezera, mankhwala Gordox amagwiritsidwa ntchito. Ndikusowa kwamadzi kwambiri, yankho la isotonic Ringer limaperekedwa.

Koma adotolo amatha kukupatsani mankhwala Pancreatin, potengera momwe wodwalayo alili. Mulimonsemo, kudzipereka nokha ndiwowopsa, izi zitha kuchititsa kuti matendawa atuluke komanso zotsatira zowopsa.

Zithandizo za anthu

Pamodzi ndi kumwa mankhwala, chithandizo chamankhwala azikhalidwe chingakhale chothandiza. Izi zimalimbitsa chitetezo cha mthupi, kuyeretsa thupi, kuwonjezera mphamvu polimbana ndi matendawa. Pachifukwa ichi, mankhwala ena azitsamba ndi oyenera:

  • 1 tbsp. supuni ya celandine
  • 1 tbsp. supuni ya dandelion muzu (nthaka),
  • 1 tbsp. spoonful chimanga stigmas (youma),
  • 1 tbsp. spoonful wa anise mbewu,
  • 1 tbsp. supuni ya violet tricolor,
  • 1 tbsp. Supuni ya mbalame zokulira.

Sakanizani zosakaniza zonse, kutsanulira theka la kapu ya madzi, kubweretsa kwa chithupsa ndi kuwira kwa mphindi 7. Kenako, kukulunga msuzi, lolani kuti ubwere. Pambuyo pa izi, kuziziritsa, kuthina ndikutenga gawo limodzi mwa magawo atatu a chikho mukatha kudya. Ndikofunikira kumamwa mpaka kufikanso kumatha.

Komanso chida chodabwitsa ndi chojambula cha masharubu agolide. Kuti mukonzekere, muyenera kupopera mwachangu ma shiti 4 a mbewu iyi, kuthira madziwo m'magalasi atatu amadzi. Bweretsani kwa chithupsa ndikugwira moto wochepa kwa mphindi 10, ndiye kuti kuzizira ndi kupsinjika. Tengani decoction supuni 1-2 musanadye.

Mwachidule, tiyenera kudziwa kuti chithandizo cha matendawa chikuyenera kukhala chokwanira: kudya, kumwa mankhwala, kumwa mankhwala a zitsamba, kukana mowa, nikotini komanso kumwa khofi. Chofunikanso kwambiri ndikupewa kudzipereka kuchita masewera olimbitsa thupi, zomwe zimathanso kukhumudwitsa anthu omwe akuchira.

Ndikofunikanso kuyesa kupewa mitundu yonse yamavuto omwe angatulutse matendawa. Onetsetsani kuti mukumalandira maphunziro a dokotala omwe mumayang'aniridwa ndi dokotala, yang'anani kuchuluka kwa chakudya, komanso kuchuluka kwa chakudya chodyedwa.

Kudziwa kuwonetsa kwa matenda ena, mutha kudzitchinjiriza pazovuta zambiri ngati chithandizo chayamba nthawi.

Ululu ngati chizindikiro cha mavuto a gland

Chizindikiro chachikulu cha vuto la kapamba ndi ululu. Amawonedwa nthawi zonse pachimake cha kapamba kapena kufalikira kwa matenda osachiritsika. Mkhalidwe wamvekedwe wopweteka ndi wosiyana - kuchokera pakukoka ndi kupweteka kowawa mpaka kumverera kowukirapo ndi odulira.

Chipatala cha matenda opweteka amayamba chifukwa cha kuchuluka kwa chidwi cha kutupa, chikhalidwe chake - necrosis kapena kutupa, komanso kuphatikizidwa kwa ma peritoneal ma sheet (peritonitis) mu pathological process. Potsirizira pake, zizindikiro zakukwiyitsa kwam'mimba zimayang'aniridwa, kupweteka kumakhala palpated nthawi ya palpation.

Ndi kutupa, ululu umachitika chifukwa chotambalala kwa kapisozi wamkati, kupindika kwa mizu ya mitsempha, kusefukira kwa ma ducts ndi mankhwala apadera achinsinsi amapezeka.

Kumene ululu umadalira malo omwe akutsitsimutsa chidwi. Wodwala amatha kudwala kumanja, kumanzere kapena pakati pa epigastrium. Chowonera chingathe kupezeka mthupi, mchira kapena mutu wa chiwalo.

Chizindikiro mu zojambula zambiri sichimakhudzana ndi kudya zakudya, pafupifupi sizikhala zokha, ndipo zimakulirakulira pomwe matenda akupita patsogolo. Mu 90% ya milandu, imawalira kumbuyo. Komabe, nthawi zina pamakhala "kubwerera" pamtima. Chifukwa chake, ndikofunikira kwambiri kusiyanitsa kapamba ndi vuto la mtima, angina pectoris.

Pancreatic necrosis imayendera limodzi ndi kupweteka kwambiri, komwe kumatha kuyambitsa kupweteketsa, komwe wodwalayo angafe.

Dyspeptic zizindikiro za kukanika kwa pancreatic

Zomwe zimayambitsa mavuto a pancreatic ndizambiri. Komabe, nthawi zambiri, etiology imakhala chifukwa cha kuperewera kwa zakudya m'thupi, kuledzera, kunenepa kwambiri, njira zopatsira ena, nthawi zambiri, matendawa amadziwonetsa okha chifukwa cha zovuta zina zam'mimba.

Zizindikiro zamavuto apachifalansa amachepa, kudya mseru komanso kusanza kwa chakudya chopanda, komanso kugaya chakudya m'mimba. Kusanza ndi kusanza kumachitika chifukwa cha kukwiya kwa mitsempha ya vagus. Kusinthanso kubwerezedwa, sikumabweretsa mpumulo.

Kuchuluka kwa kusanza ndikofunikira, komwe kumapangitsa kuti thupi lizitha kuchepa mphamvu ndi madzi amagetsi ndi madzi. Muzochita zamankhwala, magawo angapo am'madzi amadzindikirika:

  • Gawo loyamba. Odwala amadandaula za ludzu losatha. Pa nthawi imodzimodziyo kupuma movutikira kumawonedwa, ndizovuta kupuma.
  • Pa gawo lachiwiri, chikhumbo chachikulu chakumwa, kuwuma kwambiri kwa mucous nembanemba, kuwonekera kwa khungu, kutsekeka kwa mtima ndi kugunda kwa mtima kumachepa, mphamvu yeniyeni ya mkodzo imachepa.
  • Pa gawo lachitatu, odwala amalephera, amapezeka kuti ali ndi tulo kwambiri, amachepetsa kuthamanga kwa magazi, amasokoneza mtima. Pazovuta kwambiri, kuyankhula kumasokonezeka, wodwalayo amasiya kuzindikira.

Zizindikiro za matenda a kapamba amadziwika nthawi zonse ndi zovuta zam'mimba - matenda am'mimba amayamba ndi kudzimbidwa. Odwala amadandaula za kuchuluka kwa mpweya. Izi ndichifukwa choti michere yam'mimba ndi ma asidi a bile, omwe amapereka mankhwala ofewetsa tulo, osalowa m'matumbo moyenera.

Zizindikiro zakunja - khungu lotumbululuka komanso loyera chifukwa chakufinya kwa ma ducts a bile ndikutupa kwa kapamba.

Zala za buluu ndi makona atatu a nasolabial nthawi zina zimadziwika.

Zizindikiro za matenda apamba

Zachidziwikire kuti kuzindikira zizindikiritso za zovuta za kapamba ndizowona. Komabe, ndi dokotala yekha yemwe angamvetsetse matenda omwe wodwala ali nawo. Muyenera kulumikizana ndi gastroenterologist, kukayezetsa, kukayezetsa. Pakati pa nthawi yayitali, zizindikiro za mavuto a kapamba amafunikira kuchipatala msanga.

Kudzichiritsa nokha, osadziwa matenda omwewo, ndikulakwitsa koopsa. Ndi dokotala yekha, woganizira matendawa, omwe amatha kusiyanitsa matenda ena ndi matenda ena.

Zizindikiro za ululu ndi dyspeptic zimatha kuwonetsa kukula kwa kapamba kapenanso kupweteka kwamatumbo, zotupa, zotupa, cystic fibrosis, matenda a shuga mellitus, pancreatic necrosis.

Clinic kutengera matenda:

  1. Njira yovuta kwambiri ya kapamba pakukhululuka sikuwonetsedwa ndi zowawa. Munthawi yakuchulukitsa, kupweteka kwapweteka kumayang'aniridwa ndikusunthira kumbuyo kwake, kapena chovunda cha m'chiuno. Kudzimbidwa kumayamba - kutsekula m'mimba kapena kudzimbidwa. Ngati zakudya sizitsatiridwa, nseru, kusanza kwa chakudya kapena madzi a bile limayamba.
  2. Kutengera ndi gawo la khansa ya kapamba ndi dera la chotupa, ululu ukupweteka, akuwoneka pang'onopang'ono, kapena chimodzimodzi monga pancreatitis yovuta. Pa magawo oyamba a matenda, wodwalayo amakhala ndi mavuto am'mimba, chimbudzi chamasamba, kuchepa kwa chakudya, kuchepa thupi, kuchuluka kwa mpweya. M'magawo omaliza, kusanza kosalekeza komanso chimbudzi.
  3. Matenda a shuga samawonetsedwa ndi zowawa. Odwala omwe ali ndi mtundu woyamba, kulemera kwa thupi kumachepetsedwa kwambiri.Zizindikiro zapadera zimaphatikizapo ludzu, kuwonjezeka kwamkodzo mwachindunji, komanso kuyabwa pakhungu.
  4. Cystic fibrosis imakhala ndi chopondapo, momwe mumakhala mafuta ochulukirapo ndipo voliyumu yake imakhala yochulukirapo kuposa momwe imakhalira. Odwala amadandaula za kutaya mtima, kuchepa thupi, pakamwa pouma.
  5. Pancreatic necrosis imayendera limodzi ndi kupangika kwa mpweya, kudzimbidwa, kupweteka kapena mantha.
  6. Ndi chotupa mu kapamba, mawonekedwe aulemu alipo. Ndi pur purosesa, kutentha kwa thupi kumachuluka.

Kuti muwone kuwonongeka kapena kutupika kwa kapamba, mkodzo ndi magazi ziyenera kuyesedwa.

Kutengera zotsatira za mayesowo, adotolo adzalembera chithandizo choyenera.

Laborator zizindikiro za matenda.

Wodandaula wodwalayo amatha kudziwa kutisokoneza kwa chimbudzi, komabe, kuti adziwe zoyenera, wodwalayo ayenera kuyesedwa. Kuyesedwa kwa magazi kwachipatala kumafunika.

Kutupa kumawonetsedwa ndi kuwonjezeka kwa kuchuluka kwa erythrocyte sedimentation (kupitirira 10 mm m'maminitsi 60 mwa amuna ndi oposa 20 mm mwa azimayi), kuwonjezeka kwa wachibale m'thupi. Mwa amayi ndi abambo, kuperewera kwa madzi kumapezeka. Chiwerengero cha maselo ofiira a m'magazi chimakulanso.

Ngati wodwala ali ndi hemorrhagic pancreatitis, ndiye kuti mayesowa akuwonetsa kuchepa kwa magazi (kuchuluka kwa maselo ofiira am'magazi ndi hemoglobin kumachepera). Kuyesedwa kwa magazi mu 90% yamilandu kumawonetsa glucose woposa ma unit 5.5.

Kuphatikiza kwamwazi wamagazi kumapereka chidziwitso:

Kusagwira bwino ntchito mthupi la munthu kumaonekera mwa kusintha kwamkodzo. Komanso, zinthu zomanga thupi zimapezekamo. Minyewa ya diastasis yopitilira 100 PESCES, pomwe msambo wapamwamba siwopitilira 64 PIECES. Mu mkodzo, matupi a glucose ndi ketone nthawi zambiri amapezeka - izi zikuwonetsa kusokonezeka kwa njira za metabolic.

Mu kutupa kwambiri, mankhwala amachitika kuchipatala. Kuchepetsa ululu, mankhwala a ululu ndi mankhwala. Kusala kudya ndi kapamba kumathandizanso. Pambuyo tikulimbikitsidwa kutenga enzyme kukonzekera, zakudya (tebulo No. 5). Mu nthawi yochira, mutha kugwiritsa ntchito mankhwala wowerengeka kuti athandizire kukonza ntchito zapamba.

Njira yochizira matenda a kapamba zimatengera matenda enieniwo. Mtundu woyamba wa shuga, mankhwala a insulin amachitidwa, mu mtundu 2 wa matenda ashuga, zakudya ndi masinthidwe akufunika. Poyerekeza ndi poyambira kupezeka ndi cyst, chithandizo chitha kukhala chosasangalatsa kapena kuchitidwa opareshoni.

Zizindikiro ziti zomwe zimawonetsa matenda a pancreatic akufotokozedwa mu kanema munkhaniyi.

Mavuto a kapamba: Zizindikiro ndi chithandizo

Cancreas ndichofunikira kwambiri pakugwira ntchito yolumikizana ya thupi lonse. Amatha kutchedwa wochititsa, wowongolera gulu loimba la ophatikizira - zida zamagetsi ndi endocrine.

Kapangidwe ka kapamba ndi ntchito zake zazikulu

Kapangidwe ka kapamba ndi ntchito

Cancenas ili m'matumbo am'mimba mu diaphragm (pomwe gawo la thoracic vertebral limadutsa lumbar) - pafupifupi masentimita asanu ndi limodzi pamwamba pa msomali.
Thupi la tinthu titha kugawidwa m'magulu:
Mutu - gawo lalikulu kwambiri lachipilalo, lili kumanja kwa khosi lamaso, ndipo, titero, limagona m'chiuno cha duodenum.
Thupi - pakati penipeni pa gland,
Mchira - gawo lowonda kwambiri, limasiyira kumbuyo kwa m'mimba ndikuzama, limatha pafupi ndi ndulu, pang'ono likugwera m'mwamba.

Zikondwererozi zimagwira ntchito ziwiri mthupi:

  • kugaya chakudya - imatulutsa ma enzyme omwe amaphwanya mafuta, mapuloteni ndi zakudya mu duodenum kuti azitha kulandira zakudya zabwino,
  • endocrine - imatulutsa (mumchira) insulin ndi mahomoni ena omwe amakhudza kagayidwe koyenera m'thupi.
    Madzi opangidwa ndi chiwalo amatchedwa madzi a pancreatic.

Zomwe Zimayambitsa Kupweteka Kwa Pancreatic

Kumayambiriro kwamatenda omwe ali m'ziwalo, chifukwa cha zovuta zingapo zotulutsa, mwachitsanzo, chifukwa cha miyala yomwe imapangidwa mumkodzo kapena pamene kapamba ikakozedwa, ma enzyme omwe amapangidwa ndi iwo sangathe kulowa mu duodenum, koma khalani m'chiwalo chokha. Amakumba kapamba, amawononga minofu yake, ndipo kutupa kwambiri kumachitika - kapamba. Itha kuyambitsa kukulira kwa edema komanso ngakhale kutupa m'matumbo a chiwalo.
Ngati sichichiritsidwenso, mawonekedwe owopsa a kapamba amayamba kukhala osachiritsika, momwe mumakhala masinthidwe amisempha (m'malo mwake ndi cicatricial), komanso kutulutsidwa kwa ma enzymes ophatikizika ndi poizoni m'magazi, zomwe zimapangitsa ziwalo zapafupi kuvutika. Komanso, chitsulo sichimapanga insulin yokwanira, shuga m'magazi amakwera, ndipo endocrine ndi machitidwe am'mimba osagwira ntchito.

Pantheonecrosis kapena khansa imatha kupanga mtsogolo.

Matendawa amatha kufalikira ku chiwalo chonse kapena kupezeka m'chigawo chimodzi chokha (thupi, mutu, mchira).

Pancreas imapweteka: Zizindikiro zamankhwala

Ululu mu kapamba ndichizindikiro chofunikira kwambiri chakulephera kugwira ntchito m'thupi. Matenda ake onse (kupatula matenda ashuga) amadziwika ndi zopweteka zomwe zimakhala zosiyanasiyana.

Zizindikiro za kupweteka m'mapapo. Matenda a chiwalo ichi nthawi zambiri amakhala limodzi ndi ululu, olimba kwambiri komanso amakhala nthawi yayitali. Nthawi zina zimakhala pansi pa supuni, mu epigastrium, ndikusunthira mbali yakumanzere ya chifuwa, phewa lamanzere ndi phewa. Koma nthawi zambiri imazungulira thupi ngati ma hoops ndikuipereka ku dera lumbar. Komanso, ululu umatha kupezeka mu hypochondrium ya kumanzere, kukulira pakupuma kapena kusuntha.

Zomwe zimayambitsa matenda a pancreatic

Zoyipa za matenda ofunika kwambiri, malinga ndi madotolo, ndi:

  • Matenda a Gallstone
  • Gastritis ndi zilonda zam'mimba,
  • Kuvulala kwam'mimba
  • Matenda a matumbo
  • Pathology ya momwe magazi amayendera,
  • Pathology ya ndulu ndi ndulu zake,
  • Matenda a parathyroid ochulukirapo - amatsogolera kuchuluka kwa calcium m'thupi, ndiye kuti, kumiyala.
  • Osteochondrosis wa thoracic kapena lumbar msana,
  • Intercostal neuralgia,
  • Mowa, kusuta,
  • Zakudya zopanda pake (kudya kwambiri, kusala, mafuta, zakudya zonunkhira),
  • Kuukira kwa Helminthic,
  • Khalidwe labwino
  • Mimba - chiberekero chokulirapo chimaphatikizira England
  • Bacteria ndi ma virus
  • Hepatitis B ndi C,
  • Matenda amkati.

Zizindikiro za matenda apamba

Zizindikiro zodziwika bwino za matenda a chiwalo:

  • Panthawi ya pachimake pamimba pamimba pamimba - kudula, kupweteka kosapweteka, wodwalayo sanganame, kupweteka kwambiri, amapitilizabe ndi thupi lake pang'ono pang'ono kupita kutsogolo. Aakulu - kupweteka ndi kuzimiririka, kukoka, kupweteka.
  • Kusanza osachiritsika komanso mseru.
  • Kumauma kwamkamwa kumawoneka mkamwa, motsatana ndi kugasuka ndi mapokoso.
  • Kutsekula m'mimba - kutsekula m'mimba kapena kudzimbidwa, m'mimba nthawi zambiri kumatupa.
  • Kuthamanga kwamtima, kutentha thupi, kuthamanga kwa magazi.
  • Kuchepetsa mseru
  • Kusanza mwachangu ndi bile.
  • Kulowerera mu mawonekedwe a kufooka, kupweteka mutu, thukuta, kutentha thupi kapena kutentha thupi, etc.

Matenda akuluakulu a gland:

  • kapamba (pachimake komanso nthawi yayitali),
  • Mtundu woyamba wa shuga
  • cystic fibrosis,
  • mawonekedwe a cystic ndi zotupa
  • kapamba,
  • khansa

Zizindikiro za matenda ena:
Cystic fibrosis - matenda obadwa nawo. Madzi am'madzi otulutsa chimbudzi amakhala onenepa kwambiri ndipo amazungulira malekezowo, kutanthauza kuti sangalowe mumkati mwa duodenum ndikuyamba kugaya tinthu tomwe timwiniwo.
Zambiri:

  • Kupindika ululu m'matumbo.
  • Makristali abwino a mchere pakhungu.

Mtundu I shuga - chitsulo chimapanga insulin yaying'ono, kuchuluka kwa shuga m'magazi kumakwera. Kuwonetsera kwa ludzu ndi kuyimitsidwa kuli khalidwe. Mukadumphira kumwa insulin, hypoglycemia imayamba ndi thukuta, tachycardia, njala yadzaoneni.

Chips - uwu ndi gawo mu thupi la kapamba lomwe limalepheretsa ntchito yake, chifukwa chomwe ma enzymes sanapangidwe kokwanira. Matendawa amadziwika ndi kutentha thupi.

Pancreatic necrosis zimayambitsa kufa kwa maselo, chifukwa chake kupweteka kwapweteka kumakhalapo nthawi zonse, mpaka kudabwitsa.

Khansa kapamba kumayambiriro kwa gawo lingatsimikizidwe pogwiritsa ntchito ultrasound.


Zizindikiro zake:

  • Ululu pamimba yapamwamba, kudutsa kumbuyo.
  • Madandaulo ofooka, kutopa.
  • Kulakalaka.
  • Kuchepetsa thupi.
  • Pallor, pa gawo lotsiriza - kufalikira kwa pakhungu.
  • Kwezani kutentha.
  • Dyspeptic matenda a chopondapo.

Zizindikiro za kapamba wa kapamba (kapamba)

Matenda ofala kwambiri ndi ziwalo zotupa (pancreatitis). Ndi pachimake komanso matenda. Nthawi zambiri kumachitika ndi kuperewera kwa zakudya m'thupi ndikuyamba kumwa zakumwa zoledzeretsa, makamaka pambuyo pa tchuthi cholemetsa komanso chachitali.

Kupweteka kwakukuru kwa pancreatic ndi zizindikiro za kupweteka kwa kapamba:

  • Kupweteka kwakuthwa m'chupi komwe kumachitika mu hypochondrium kumanzere kapena pansi pa supuni ndikudutsa kumbuyo, mbali yakumanzere. Zimapweteka kwambiri - zimakhala ngati kukukoka munthu kuchokera mkati.
  • Anachepetsa chilako.
  • Kusanza kwadzaoneni, komwe sikumadzetsa mpumulo.
  • Kuchita mseru kosalekeza kungayambitse kukomoka.
  • Tachycardia.
  • Thupi ndi thukuta, kuzizira.
  • Pamimba pamimba pali kutupa.
  • Dyspeptic matenda a chopondapo.
  • Kukongola kwa khungu.
  • Kuteteza khungu ndi mucous nembanemba.
  • Mkodzo ndi wakuda bii ndipo ndowe zake ndizopepuka.
  • Pakamwa pakamwa.
  • Kuchulukitsa kapena kuchepa kwa kuthamanga kwa magazi.

Ngati mukumva chimodzi mwazambiri mwazizindikirozi, kufunikira kofunikira kuchita ndi kuphipha kwa kapamba.

Mu chifuwa chachikulu, Zizindikiro ndi zofanana ndi pachimake, chofewa, chosalala, kupweteka kumawuma, kupweteka.

Momwe mungachepetsere kupweteka kwa kapamba kunyumba

Ngati kupweteka kwapweteka kumachitika, muyenera kuyimbira foni dokotala. Asanabwere, pali njira zingapo zomwe zingachitike kuti muchepetse ululu:

  • Bodza kumsana kwako, kupuma.
  • Ikani kutentha kwa ayezi pamimba yapamwamba.
  • Simungadye.
  • Mutha kumwa madzi osowa a carbonated alkaline.
  • Simungathe kutenga ma pinkiller mpaka muwone dokotala.

Mankhwala apadziko lonse lapansi kuti muchepetse kupweteka kwam'mimba:

  • paracetamol - kuchepetsa kufooka kwa chiwalo, kuchepetsa kuchulukana mu zotupa,
  • drotaverin, no-shpa - yopumula makoma a milunda ya chiwalo ndi kutuluka kwa madzimadzi a pancreatic,
  • metoclopramide - kusintha matumbo,
  • simethicone, espumisan, meteospasmil - kuthetsa flatulence.

Zizindikiro zamatenda a kapamba ndi chithandizo cha zakudya

Ngati pali zizindikiro ziwiri zazikulu (zowawa ndi dyspepsia), madokotala nthawi zonse amakhala ndi chidwi ndi kapamba.
Matenda a chiwalo mumagawo oyambawo amakhala otsimikiza mosavuta kugwiritsa ntchito ultrasound, x-rays ndi compact tomography.

Potsimikizira kukayikira ndikudziwitsa matenda enaake, chakudya choyenera Nambala 5P ndi mankhwala apadera amalembedwa kuti athetse kukhathamiritsa komanso kusunga thupi (munthawi yovutikira).

Ngati zotsekera khansa, khansa, kapena cholimba kwambiri cha chiwalo chikapezeka, kuchotsa kwake pang'ono kapena kokwanira ndikofunikira.

Pancreatic pancreatitis zakudya

Ndi kuchulukitsa kwa matendawa:

  • M'masiku atatu oyamba musadye. Mutha kumwa madzi amchere amchere kapena amchere.
  • Kuyambira lachinayi mpaka tsiku lachisanu ndi chiwiri - pang'onopang'ono mumakhala chakudya chosenda, chomwe chimakonzedwa molingana ndi zofunikira za zakudya No. 5P.
  • Sizoletsedwa kugwiritsa ntchito mafuta ndi mchere uliwonse!
  • Kuphika kokha m'madzi kapena m'madzi.
  • Pogaya chakudya musanaphike.
  • Chakudya chizikhala chophika kwambiri ndikusenda.
  • Chakudyacho chizikhala chotentha.
  • Osamadya kwambiri.
  • Pali 5-6 nthawi patsiku ndi zosokoneza zoposa maola 3-4, koma m'magawo ang'onoang'ono.
  • Mchere ukhoza kuwonjezeredwa pang'ono ku mbale yokonzedwa kale.
  • Zakudya ziyenera kukhala zokhala ndi mapuloteni ambiri komanso ochepa mafuta.
  • Masamba (kupatula mandimu okha komanso asidi) - mu mawonekedwe osaphika kapena owiritsa.
  • Mkate wowuma kapena wowuma wa tirigu, makeke odzala, osokoneza,
  • Nsomba zamafuta ochepa ndi nyama.
  • Zinthu zamkaka zamafuta ochepa (mkaka, tchizi cha tchizi, tchizi).
  • Mbewu zophika (kupatula mapira) ndi pasitala.
  • Onetsetsani kuti mwaphika misuzi pa msuzi wofowoka ndi masamba ndi chimanga chololedwa.
  • Mafuta ophikira ndi batala pang'ono, osaphika.
  • Mazira amtundu uliwonse (1 nthawi patsiku).
  • Zipatso zopanda zipatso, mapeyala ndi maapulo osaphika.
  • ma compotes osaphatikizika, ma jelly, odzola, zipatso zosaphatikizika, tiyi wopanda mchere komanso wopanda shuga ndi khofi wokhala ndi mkaka, mchere wamchere wamchere wopanda mpweya kapena msuzi wa rosehip.
  • M'malo mwa shuga, othandizira monga fructose kapena xylitol amalimbikitsidwa.
  • Patsiku lachisanu ndi chitatu, m'malo mwa chakudya chosenda, ayamba kudya mwachizolowezi.
  • Ngakhale kuchulukaku kukachotsedwa, muyenera kudya zakudya izi kwa nthawi yayitali (mpaka chaka).

  • Mafuta, okazinga, onunkhira, amchere kwambiri, osuta, osowa.
  • Msuzi wamphamvu.
  • Supu wowawasa.
  • Zakudya zamatenda, kusuta nyama ndi soseji.
  • Mkate wopangidwa kuchokera ku batala ndi mtanda wa rye.
  • Bowa.
  • Kabichi, nyemba, masamba onse wowawasa komanso onunkhira.
  • Wowawasa ndi zipatso zamalanje.
  • Mowa, khofi wamphamvu komanso tiyi, zakumwa za kaboni.
  • Zakudya zotsekemera, monga chokoleti, ayisikilimu.

Pancreatitis ndi zizindikiro zake

Njira yodziwika bwino kwambiri ya kapamba ndi kapamba. Matendawa amapezeka mwa amayi ndi abambo onse. Nthawi zambiri anthu omwe amadwala kapamba amadwala patatha zaka 40. Amachitika, monga lamulo, pokhudzana ndi kuledzera kwamthupi nthawi zonse (mwachitsanzo, mowa), kuperewera kwa zakudya, kupsinjika pafupipafupi. Mwa mayi wapakati, kapamba amatha kuchitika chifukwa cha kukakamira kwamkati ndi chiberekero chokulirapo. Nthawi zambiri, kapamba amaphatikizidwa ndimatenda a gallstone ndi cholecystitis, omwe angayambitse kusakhazikika kwa katemera wa kapamba.

Kutupa, limodzi ndi edema, kutsekereza pancreatic duct. Zotsatira zake, michere ya pancreatic imakhazikitsidwa osati mu duodenum, monga iyenera kukhalira, koma mkati mwa gland yokha.

Ma enzymes omwe amagwira ntchito amakhala ndi vuto lowononga minyewa ya gland, zomwe zimapangitsa necrosis.

Mawonetsero a kapamba ndi osiyanasiyana. Popeza chiwalochi chimapangidwa bwino, chovuta ndi kapamba, chizindikiritso chachikulu ndi kupweteka pamimba, komwe kumatha kukhala kovuta kapena kufooka kapena kupweteka. Nthawi zina, ululu umatha kukhala ngati lamba, woperekedwa mbali yakumanzere, kutsikira kumbuyo, kapena pansi pa tsamba lamanzere. Kukula kwa vuto la ululu kumachitika mutatha kudya, makamaka mafuta ndi zonunkhira, mowa, khofi. Kupweteka kwapweteka kwambiri kumasonyezedwa mu pancreatitis yapachimake (kutupa kwa kapamba) ndi kapamba (necosis) yodziwika bwino wa kapamba komwe necrosis yamadera ena imachitika. Nthawi zina, ululu umakhala wawukulu kwambiri mpaka umapangitsa kuti musakhale ndi chikumbumtima komanso kumva kuwawa.

Chizindikiro chokhala ndi vuto la kapamba ndi kuledzera kwamthupi, kofotokozedwa m'miseru komanso kusanza. Nthawi zina kusanza kumakhala kusalamulirika ndipo sikubweretsa mpumulo. Ndi njira yotupa m'matenda, hyperthermia imachitika kawirikawiri. Zizindikiro zamavuto apachiwonetsero zimatha kufotokozedwa ndi chikasu cha sclera ndi khungu, mawanga amtundu wa nkhope (chizindikiro cha Mondor) ndi pakhungu, chotupa pakhungu m'chigawo cha epigastric, kuchuluka kwa mpweya m'matumbo ndi zizindikiro za dyspeptic. Pancreatitis yodwalayo imakhala ndi zizindikiro zofananira, koma sizitchulidwa. Kutupa kwa pancreatic nthawi zambiri kumayendetsedwa ndi kusowa kwa chakudya, kumverera kofooka, kusokonezeka kwamanjenje ndi kusokonezeka kwa kugona, komanso kuyabwa.

Matenda ena a kapamba

Pancreatitis complication imatha kukhala pancreatic cyst. Uku ndikukula kwakumanga kwa lumen kwa duct ya excretory, yodzazidwa ndi madzi a pancreatic ndi madzimadzi a minofu. Zizindikiro za pancreatic cyst ndizopweteka m'dera pansi pamimba ndi kufalikira kwa mucous nembanemba ndi khungu.

Nthawi zina, ma cyst amatha kusintha kukhala oncological neoplasm. Zizindikiro za matenda awa zimafanana ndi zapita, koma nthawi zambiri zimawonekera mochedwa. Mu kapamba, ma benign neoplasms amathanso kuchitika, omwe amatha kutsekeka ma ducts ndikuwatsogolera kapamba.

Type 1 shuga mellitus ndi chibadwa cha pancreatic pathological momwe maselo ake a endocrine amatulutsa insulini yochepa kwambiri kapena amasiya kupangika paliponse. Izi matenda amadziwika ndi kukula kwa ludzu losalekeza, kuwonjezereka kwa kukodza (kukodza), kuchuluka kwa chilimbikitso ndi kuwonda. Wodwala ali ndi kuchepa kwa magwiridwe antchito, kufooka, kutopa, minofu ndi mutu.

Njira yocheperako ndizomwe zimapangidwa pamiyendo. Popeza miyala imatha kuvala ma ducts ndikuyambitsa kutupa, Zizindikiro zonse za kapamba zimadziwika ndi matenda awa.

Kuzindikira ndi chithandizo

Kuzindikira kwa matenda a kapamba kumapangidwa pamaziko a mbiri yatsatanetsatane. Kuti mumvetse bwino za matendawa, kuyezetsa magazi (konsekonse ndi zamankhwala am'mwazi), mkodzo ndi ndowe zimatha kulembedwa. Kuwonjezeka kwa maselo oyera ndi kuchuluka kwa maselo oyera a erythrocyte kumawonetsa kukhalapo kwa chinthu chotupa mu gland.

Kafukufuku wazotsatira zamomwe magazi amaphatikizidwira ma enzymes ndiwothandiza kwambiri. Kwa kutupa kwapakhungu kwambiri, ntchito yowonjezera ya elastase imadziwika. Pakuwunika kwa mkodzo, chizindikiro chodziwika bwino cha matenda a pancreatic ndikuwonjezeka kwa zochitika za amylase, kukhalapo kwa matupi a ketone ndi shuga. Kuwunika kwa ndowe mu pancreatic pathologies kuwulula kukhalapo kwa zotsalira za zakudya zamafuta, zotupa za minofu, chakudya.

Njira yodziwika yofufuzira zikondwerero masiku ano ndi ultrasound. Njirayi imakupatsani mwayi kuti mufufuze kukula, mawonekedwe, kupindika kwa ziwalo, kudziwa ma pathologies a ma ducts, kudziwa kukhalapo kwa neoplasms ndi miyala. Kuphatikiza apo, radiography, compact tomography ndi maginito a resonance imaging (CT ndi MRI) angagwiritsidwe ntchito kuzindikira matenda.

Popeza matenda a kapamba amakhudzana machitidwe ambiri mthupi, kuwonekera kwa zizindikiro zake zazing'ono kumafunikira chithandizo cham'tsogolo. Kutupa kofatsa kumachiritsidwa mosavuta, ndipo kwakanthawi kochepa, kumakhalako. Mitundu ikuluikulu yotupa imafunikira chithandizo chambiri. Pozindikira ma neoplasms osiyanasiyana kapena kuletsa zokhoma ndi miyala, kulowererapo kwa mankhwala kumayikidwa. Nthawi yomweyo, ma concomitant kapena ovuta ma pathologies amafunikira chithandizo.

Pakuwopsa kwa kapamba, kumalimbikitsidwa kupumulanso thupi chifukwa chanjala. Kwa masiku angapo mumangomwa madzi owiritsa okha kapena pang'ono mchere wamchere.

Kuti muchepetse kutupa kwambiri, maantibayotiki amalembedwa: Ciprolet, Ampioks, Ciprofloxacin, Doxycycline. Kukokana kumayimitsidwa ndi Atropine, No-Shpo kapena Gastrocepin. Ndi ululu waukulu, mankhwala a ululu amalembedwa Baralgin, Ibuprofen. Ngati nseru kapena kusanza kulipo, Cerucal kapena Metoclopramide ndi mankhwala. Kuphwanya ntchito zachinsinsi kumakhazikika pakukhazikitsa mankhwala okhala ndi enzyme Festal, Pancreatin, Creon, Vigeratin.

Chithandizo cha pancreatitis pogwiritsa ntchito homeopathy imachitika.

Ngati pali zovuta ndi kapamba, zakudya zapadera ndizofunikira - chakudya chofunikira kwambiri kupatula mafuta, okazinga, zakudya zonunkhira, makamaka zakumwa zoledzeretsa. Ndikulimbikitsidwa kupatula muzakudya zamasamba zomwe zimakhala ndi michere acid, mwachitsanzo, sipinachi, sorelo, radish, radish, makangaza ndi sauerkraut. Muyeneranso kupewa kudya chokoleti, khofi, koko, mkaka wonse, nyemba ndi bowa. Zakudya zomwe zimaloledwa chifukwa cha kapamba zimayenera kuwiritsa kapena kuwotcha. Ndikofunika kuti muzidya chakudya chokhacho ngati ndinu ofunda, popeza kuzizira komanso zotentha kumatha kubweretsa vuto.

Chakudya chamagulu pang'ono - 5-6 patsiku komanso zazing'ono.

Zakudya zolimba ziyenera kudulidwa. Pambuyo pochotsa pachimake, amaloledwa kudya nyama yopendekera, nsomba, nkhuku, masamba ophika ndi ophika, mkate dzulo ndi olowa. Zakudyazi ziyenera kuphatikiza mbewu monga chimanga, zomwe buwheat ndi oat ndizofunikira kwambiri. Zothandiza kwambiri kaloti, zomwe zimatha kudyeka zonse zosaphika komanso kapangidwe ka mbale.

Mankhwala achikhalidwe

Mankhwala achikhalidwe amalimbikitsa kugwiritsa ntchito mbatata kapena msuzi wake mu kapamba. Zitsamba, pamaziko omwe decoctions adakonzedwa, ogwiritsira ntchito kutupa kwa kapamba, ayenera kukhala ndi zinthu zotsutsana ndi kutupa, choleretic ndi antispasmodic, mwachitsanzo: wort wa St. John, calendula, chamomile. Kukolola bwino zitsamba zamankhwala mwachitsanzo: ma stigmas a chimanga, celandine, muzu wa dandelion, tricolor violet, zipatso za anise, ndi mapiri amtchire amasakanikirana chimodzimodzi. 1 tbsp. l osakaniza amapangidwa ndi kapu yamadzi otentha. Muyenera kudya theka la ola musanadye mwanjira yotentha mu chikho 1/4. Ndalamazi zimangowonjezera chithandizo chachikulu mutakambirana ndi adokotala.

Kuzindikira koyambirira ndi chithandizo chokwanira kumatha kuchotsa matenda aliwonse a kapamba. Monga njira yolepheretsa, ndikofunikira kuletsa kugwiritsa ntchito mafuta, okazinga zakudya. Osamadya kwambiri. Vuto lalikulu kwambiri ku chiwopsezo limayamba chifukwa chomwa mowa nthawi zonse. Chifukwa chake, njira yayikulu yopeŵera popewa kukula kwa matenda a kapamba ndi kukana kapena kumwa kwambiri mowa. Ndipo, ndichachidziwikire, kukhala ndi moyo wathanzi ndikofunikira kuti chitetezo chikhale cholimba.

Kusiya Ndemanga Yanu