Pancreatitis ndi gulu la matenda opatsirana a kapamba omwe ma enzyme omwe amapukusira omwe amapezeka m'matumbo samatulutsidwa mu duodenum, koma amathandizidwa pasadakhale, zomwe zimayambitsa kudzipangitsa tokha kudzimbidwa kwa tiziwalo timene timagwira chiwalochi.

Kutupa kwa pancreatic kumatha kuchitika chifukwa cha kuledzera, matenda a ndulu, kutupa m'matumbo a duodenum, kumwa mankhwala ena, kuvulala ndi matenda obadwa nawo.

Mitundu ndi gulu

Pali mitundu ingapo ya matenda. Chifukwa chake, pancreatitis ya pachimake ndi kutupa kwambiri kwa kapamba ndi necrosis yake, yomwe imatsogolera ku atrophy, calcization ndi fibrosis ya chiwalo. Chimodzi mwazomwe chimapangitsa kuti pakhale pancreatitis yogwira - yogwira matendawa - kuukira kwa matendawa komwe kumachitika motsutsana ndi maziko a matenda ochulukirapo a m'mimba, chiwindi, duodenum kapena ndulu. Komanso, pancreatitis yowonongeka, yomwe kuchuluka kwa michere kumayambitsa kupweteka kwamatumbo, komanso kapamba woledzera chifukwa chomwa mowa kwambiri.

Ngati kutupa kwa kapamba kumayamba pang'onopang'ono, ndikusinthana kwachulukidwe ndi kukhululuka, ndiye kuti amalankhula za chifuwa chachikulu. Kenako, matenda kapamba amalekanitsidwa m'mitundu yambiri. Makamaka, biliary pancreatitis nthawi zambiri imakhudzana ndi matenda a gallstone, cholecystic pancreatitis imalumikizidwa ndi kutupa kosagwirizana kwa gallbladder, ndipo parenchymal pancreatitis imamveka kutanthauza pang'onopang'ono kukula kosalephera komwe kumayambitsa pancreatic atrophy ndikuphwanya ntchito zake zoyambira.

Zizindikiro zake

Zizindikiro za kapamba mwa akulu ndi ana zimasiyana malinga ndi mtundu wa matendawa. Chifukwa chake, nthawi yayitali odwala, akumva kupweteka m'mbali ndi kumbuyo ndi nkhawa, zomwe zimakulirakulira nthawi yayitali, makamaka ola limodzi mutatha kudya, ndikusowa chikhululukiro. Fomu yodabwitsayo imadziwikanso ndi mapando otayirira, kukwatula, kutulutsa, lilime louma, komanso kuchepa thupi.

Munjira yotupa kwambiri, zizindikiro za kapamba zimakhala motere: ululu wowopsa kumanzere kapena hypochondrium wamanja, womwe nthawi zina umaphimba malowa m'chiuno, umatha kubwezeretsanso kupweteka, kusanza, kusanza, hiccups, pakamwa kowuma. Pakapanda chithandizo chanthawi yake, kutentha kwa thupi kwa wodwalayo kumawonjezeka, kuthamanga kwa magazi kumatsika kwambiri ndikufupika, khungu limayamba kututuka, kenako ndikuyamba kuyamwa. Kuukira kwa chifuwa chachikulu cha pancreatitis kumafuna kuthandizidwa mwachangu.

Kodi kuchiritsa kapamba? Mu mawonekedwe pachimake matenda, analgesics analamula kuti analgesia, akutsikira kwa mtsempha wa magazi njira za colloidal kapena saline, mankhwala apadera omwe amaletsa ntchito ya michere, komanso mankhwala ena. Nthawi zina, opaleshoni ingafunike.

Chithandizo cha chifuwa chachikulu chimaphatikizira kudya mosamalitsa, kudya mavitamini ndi ma pinkiller, kulandira mankhwala othandizira ndi ma enzyme. Nthawi yomweyo, kutengera zomwe zikuwonetsa, matenda a gallstone, matenda a shuga komanso matenda ena omwe angayambitse kuchuluka kwa matendawa.

Chithandizo cha kapamba ndi wowerengeka azitsamba

Ngati pancreatitis pachimake ayenera kuitana ambulansi yomweyo, ndiye kuti chikhodzodzo chovuta kwambiri pachimake chingakhale, limodzi ndi kumwa mankhwala omwe adokotala adalandira, mothandizidwa ndi mankhwala ambiri wowerengeka. Tiwotcha odziwika kwambiri.

Dogrose ya kapamba

Zodzikongoletsera ndi kulowetsedwa kwa mizu ndi m'chiuno mwadzuwa kumakhala ndi anti-yotupa, yotsitsimula ndi antispasmodic kwambiri pa kapamba ndikuthandizira kuti muimitse msanga kuukira kwa kapamba.

Kuti akonze msuzi, tengani 50 g wa mizu yomera yokhomera, mudzaze ndi 250 ml ya madzi, kubweretsa kwa chithupsa ndikuphika kwa mphindi 20. Imwani msuzi womalizidwa katatu pa tsiku, ndikupanga 2-3 nthawi iliyonse.

Kulowetsedwa kwa rose m'chiuno kumathandizanso: kutsanulira zipatso zingapo mu thermos ndikutsanulira 1 lita imodzi ya madzi otentha, kenako muzipereka kwa ola limodzi ndikupeza makapu 0,5 musanadye.

Kuti mukonzekere decoction pamasamba a ndevu zagolide, tengani masamba awiri a chomera kutalika kwa 10 cm, pogaya ndi kutsanulira 700 ml ya madzi otentha, ndiye kuti wiritsani kwa mphindi 15. Chotsani msuzi wokonzedwa pamoto, wokutani poto ndi chopukutira ndikuchiwulula kwa maola 900. Tengani msuzi katatu pa tsiku mphindi 40 musanadye, 50-70 ml imodzi.

Madzi a mbatata a kapamba

Ngati mukukhala ndi chifuwa chachikulu cha kapamba, mwatsopano madzi a mbatata angakuthandizeni kuthana ndi ziwonetsero za kutupa msanga. Kumwa koteroko kumalimbikitsidwa kuti muledzere kawiri pa tsiku kwa 1, -1,5 maola musanadye, 100-200 ml pa kudya.

Kuyankhula za momwe mungagwiritsire kapamba, muyenera kukumbukira za mankhwala odziwika bwino monga phula. Kwa mankhwala, phula liyenera kutengedwa mwachilengedwe. Pakati pa chakudya, kutafuna kwakatali komanso kosemedwa bwino kwa phula lolemera 3 g, ndikumeza kumapeto.

Ginger wa kapamba

Ginger ali ndi zinthu zambiri zothandiza zomwe zimathandizira kuti ntchito ya kapamba ichitike komanso kuti ichotse mwachangu zotupa zake. Kupanga chakumwa cha ginger, mudzafunika muzu wa ginger wodula bwino (kachidutswa kakang'ono ka kukula kwa mtedza) kapena supuni 0,5 ya dothi louma. Thirani ginger ndi 200 ml ya madzi otentha, mulekerewo kwa mphindi 10-15, onjezani uchi ndi mandimu kuti mulawe. Imwani kutentha.

Komabe, kumbukirani kuti chida ichi sichabwino kwa aliyense, chifukwa chake, pazizindikiro zoyambirira, ziyenera kusiyidwa pomwepo.

Zitsamba za Pancreatitis

Chithandizo cha pancreatitis kunyumba chitha kuchitika mothandizidwa ndi zitsamba kukonzekera. Nayi imodzi mwa izo: 30 g ya valerian muzu, masamba ofanana a peppermint ndi 20 g ya barberry bark ndipo mtundu wa hawthorn umapangidwa ndi kapu yamadzi otentha, womwe umalimbikitsidwa kwa ola limodzi ndikutenga magalasi 1 / 2-3 / 4 m'mawa chakudya cham'mawa chisanachitike. musanagone.

Muthanso kukonzekera odana ndi kutupa decoction a 20 g a barkworn bark, ofanana muzu wa dandelion ndi 15 g wa masamba atatu a masamba owonera, mahatchi achikasu amtundu, udzu wa celandine ndi masamba a timbewu. Mankhwalawa amayenera kumwa 1 / 2-3 / 4 mphindi 30 musanadye katatu katatu patsiku.

Kapamba pamimba

Pachimake pancreatitis mu mimba ndi osowa, koma ambiri milandu kumabweretsa akuchira ndi perinatal kufa, chifukwa chake kuchipatala pamafunika woyamba chizindikiro cha isanayambike kuukira.

Amayi oyembekezera omwe ali ndi pancreatitis yayikulu kuyambira milungu yoyamba ya mimba amayenera kuwonedwa ndi katswiri wothandizira ndi matenda oletsa kubereka m'mimba, kuti pamene zizindikiro zoyambirira za matendawa zioneka, chithandizo choyenera chiyenera kuyambitsidwa nthawi yomweyo.

Pancreatitis mwa ana

Mavuto akulu kudya, zovuta zam'mimba za chitukuko cha ziwalo zam'mimba, komanso zoopsa zam'mimba zimayambitsa kukula kwa matendawa kuubwana. Nthawi zambiri, yogwira pancreatitis amapezeka mwa ana, pomwe kutupa kwa kapamba kumachitika m'njira yokhudzana ndi kutukusira kwa thupi. Ana omwe ali ndi pancreatitis pachimake amakhala ndi chipatala chovomerezeka.

Thanzi la Pancreatitis

Zakudya za kapamba zimayenera kukhala zokhazokha zokhazokha zophika ndi kuwira, kuwongolera kapena kuwotcha (chimanga, sopo, supu zamasamba ndi mbatata zosenda, patties yochepa yamafuta). Mafuta a nyama, masamba osaphika ndi zipatso, mkaka waiwisi, tchizi chamafuta, mtedza, bowa, nyemba, msuzi, marinade, nyama zosuta komanso zakudya zam'chitini siziyikidwa pagalimolo. Mowa uliwonse umaletsedwa.

Pomaliza, tikukumbukira kuti zithandizo zilizonse za anthu kapena mankhwala omwe mumamwa pancreatitis ayenera kuvomerezedwa ndi dokotala. Pancreatitis ndi matenda oopsa omwe amatha kubweretsa zovuta monga peritonitis, chifuwa cha pakhungu, sepsis, kutulutsa magazi mkati, kotero kudzilimbitsa nokha mu nkhaniyi sikuyenera.

Pancreatitis

Pancreatitis ndi matenda omwe amadziwika ndi kutupa kwa kapamba.

Nthawi zambiri, kapamba amachita ntchito ziwiri zofunika. Choyamba, kapamba amatulutsa michere yomwe, ikalowa m'matumbo ang'onoang'ono, imayatsidwa ndipo imathandizira kugaya mapuloteni, mafuta ndi chakudya. Kachiwiri, thupi limatulutsa insulini ya mahomoni, yomwe imayang'anira kuchuluka kwa shuga m'magazi. Ngati, chifukwa cha zifukwa zosiyanasiyana, michere ya kapamba imayamba kugwira ntchito ngakhale mkati mwa chiwalo, nduluyo imakumbidwa ndipo pang'onopang'ono pakubuka.

Pali mitundu iwiri ya kapamba: kapamba wamkati komanso wodwala.

Pachimake kapamba

Nthawi zambiri amapezeka mwa amayi onenepa kwambiri azaka zapakati pa 30 mpaka 60. Kukhazikika kwa matendawa kumadziwika ndi kupweteka pachimake pamimba, nthawi zambiri mukatha kumwa mowa kapena zakudya zamafuta. Ululu umakhala wofatsa, wololera, kapena wowopsa kwambiri ndi radiation kupita ku scapula kapena sternum. Ululu umakhala wamphamvu kwambiri mwakuti nthawi zina wodwalayo amatha kuyamba kudandaula kapena kugwa. Mseru, kusanza, ndi chopondapo zimawonedwa. Chifukwa cha kutuluka kwa chotupa kwa khungu, khungu ndi sclera zimakhala zachikasu. Cyanosis ya khungu lam'mimba komanso khoma lamkati lam'mimba nthawi zina limatha. Zizindikiro za kuledzera zimawonedwa, lilime mu pancreatitis yowuma imakhala yolimba komanso yokutidwa ndi zolembera.

Kumayambiriro kwa matendawa, kumatulutsa kumawonedwa, pomwe khoma lam'mimba limakhalabe lofewa. Ndi kukula ndi kupitilira kwa pachimake kapamba, kuwonongeka kwa minofu ndi zizindikiro za kuyimitsidwa kwa peritoneal kumawonedwa.

Pancreatitis pachimake imatha kutha kapena kulowa mu mawonekedwe osakhazikika. Makamaka milandu yovuta kwambiri ya kapamba imatha kupha.

Matenda a kapamba

Pali mitundu ingapo ya matendawa: kupezekanso kwa kapamba, kapangidwe kake, nthabwala komanso nthabwala.

Ululu wambiri pancreatitis yamphamvu, mphamvu ya paroxysmal kapena kulimbikira. Kuphatikizika kwakukulu kwa ululu kumakhala kumtunda kwa khoma lam'mimba ndi radiation kumbuyo, chifuwa (mbali yakumanzere), m'mimba. Chakudya chamafuta kwambiri, mowa, nkhawa komanso zinthu zina zimatha kuyambitsa kupweteka. Kukula kwa chifuwa chachikulu chimadziwika ndi mseru, kusiya kudya, kutulutsa thukuta, chopondapo, komanso nthawi zina kusanza. Zotheka jaundice chifukwa cha kufooka kwa maluwa a bile.

Matenda a kapamba amadziwika ndi nthawi yotikhululukila ndi kukokomeza. Ndi matendawa, nthawi yochulukirachulukirachulukirachulukira imayamba kukula, kusokonezeka kwamatumbo, kusokonezeka kwa chimbudzi chambiri, ndikuchepetsa thupi. Mwina kukula kwa matenda ashuga. Nthawi zambiri zimayambitsa zovuta, kuphatikizapo kutulutsa magazi m'mimba, khansa, kukomoka ndi zotupa, kuwonongeka kwa chiwindi, matenda a shuga, enterocolitis.

Zizindikiro za Acute Pancreatitis

Chimbudzi sichinthu chachikulu kwambiri, komabe, chimagwira ntchito zofunika kwambiri mthupi la munthu, chofunikira kwambiri chomwe ndichinsinsi cha michere yazakudya kuti chimbidwe chabwinobwino ndikupanga insulin, kuchepa kwake komwe kumabweretsa matenda oopsa monga matenda a shuga. Chimachitika ndi chiani ndi kutupa kwa England Mu nthawi ya pancreatitis pachimake, zizindikirazo zimakula ngati ndi poyizoni.

Ma enzyme omwe amapangidwa ndi kapamba amasungidwamo kapena ma ducts, ndikuyamba kuwononga chiseyeye, ndipo kulowa m'magazi kumayambitsa matenda a chidakwa chachikulu:

Ululu. Ichi ndiye chizindikiro chodziwika bwino, kupweteka ndi kapamba nthawi zambiri kumakhala kovuta kwambiri, kosalekeza, chikhalidwe cha ululu chimafotokozedwa ndi odwala monga kudula, kuwuma. Wodwala akangopeza chithandizo chamankhwala osapumira, wodwala amamva kuwawa. Zowawa pansi pa supuni, hypochondrium imapangidwira mbali yakumanja kapena kumanzere, kutengera ndi malo a chotupa, pomwe gawo lonselo limapsa, ululu umakhala ngati.
Kutentha kwambiri, kutsika kapena mosavutikira kwambiri. Ndikusintha mwachangu kwachangu, thanzi la wodwalayo limakulirakulira msanga, kutentha kumatha kukwera mpaka kuchuluka, komanso kutsitsa kapena kukweza magazi.
Kusokonezeka. Ndi kapamba, nkhope ya wodwalayo imakuthwa, poyamba khungu limayamba kutuluka, pang'onopang'ono mawonekedwe ake amakhala ndi imvi.
Hiccups, nseru. Pancreatitis ilinso ndi monga mkamwa youma, hiccups, belching, ndi nseru.
Kubweza Kuukira kwa kusanza ndi bile sikubweretsera mpumulo wodwala. Chifukwa chake, kumayambiriro kwa nyengo yovuta kwambiri, palibe cholankhula chilichonse cha chakudya, kufa ndi njala pancreatitis yovuta kwambiri ndikochita bwino kwina.
Kutsekula m'mimba kapena kudzimbidwa. Mpando wokhala ndi pancreatitis pachimake nthawi zambiri amakhala thovu, pafupipafupi ndi fungo la fetid, wokhala ndi tinthu tating'onoting'ono ta chakudya. Kusungunula kungadyedwenso ndi chakudya (ndikasanza ndimatumbo oyambira pachiwopsezo), kenako bile kuchokera 12 zilonda zam'mimba. Komabe, pali mosemphanitsa, kudzimbidwa, kutuphuka, kufinya kwam'mimba, komwe kungakhale chizindikiritso choyamba cha kuyambika kwamphamvu kwa kapamba.
Kupuma pang'ono. Dyspnea imapangidwanso chifukwa cha kuchepa kwa ma elekitirodi pakusanza. Wodwalayo amasokonezeka ndi kupuma movutikira, thukuta lomata, kuphatikiza kwachikasu pamilomo kumawonekera.
Kufalikira. Mimba ndi matumbo sizimagwirizana pakubwera, chifukwa chake, pakumufufuza, dokotala amayamba kudziwa kutulutsa kwamphamvu, palpation sazindikira mavuto am'mimba.
Cyanosis wa pakhungu. Kuzungulira msomali kapena kumbuyo kwenikweni, mawanga amtundu wa cyanotic amatha kupatsa khungu khungu la nsangalabwi, m'malo otetemera, khungu limatha kukhala ndi utoto wonyezimira. Izi ndichifukwa choti magazi ochokera mu ndulu yoyaka amatha kulowa pansi pa khungu pamimba.
Yellowness of sclera, khungu. Ndi mawonekedwe oopsa a kapamba, jaundice wopatsirana amatha kuchitika, womwe umabwera chifukwa chakufinya gawo limodzi la duct yotupa ya bile.
Ndi zizindikiro za pancreatitis mwa munthu, vutoli limakulirakulira mphindi iliyonse, simungathe kuzengereza pazinthu izi, ndipo muyenera kuyimba ambulansi posachedwa.

Zizindikiro za Chronic Pancreatitis

Matenda a kapamba amatha kukhala asymptomatic kwakanthawi kapena chigoba ngati matenda ena am'mimba. Poterepa, ndi adokotala okha omwe angadziwe zoyenera.

Zizindikiro zazikulu za pancreatitis yapamwamba ndi monga:

1. Kupweteka kwam'mimba. Popanda chidziwitso chowonekera bwino, chowongolera kumbuyo, chitha kukhala lamba:

ndi gawo limodzi kapena lathunthu la duct lumen - limachitika mutatha kudya, paroxysmal, imayimitsidwa ndi mankhwala a pancreatin kapena antisecretory,
chifukwa cha kutupa - sizimadalira chakudya, zamatsenga kuchokera ku epigastrium mpaka kumbuyo, zimachitika mutatenga analgesics,
chifukwa cha kuchepa kwa michere ya pancreatic - ululu wambiri womwe umatuluka m'chilengedwe umagwirizanitsidwa ndi kupanga kwa mpweya.

2. Zizindikiro zakulephera kwa exocrine (exocrine). Amayamba chifukwa cha zovuta za m'mimba komanso mayamwidwe azinthu zofunika kuchokera m'matumbo. Amadziwika ndi:

Matenda a stool (mpaka katatu pa tsiku),
fetid, mafuta ndowe (steatorrhea),
kusanza, kusanza,
kuwonda
kutulutsa, chisangalalo,
akunjenjemera m'mimba, akumayenda,
Zizindikiro zakuchepera kwa michere ndi mavitamini osiyanasiyana.

3. Intoxication syndrome. Pankhaniyi,

kufooka wamba
kuchepa kwamtima
tachycardia
kutentha kuwonjezeka
kutsitsa magazi.

4. Biliary matenda oopsa. Zomwe zimayambitsa matendawa:

chotupa choteteza
pa ultrasound: kuwonjezeka kwa mutu wa kapamba, kukakamira kwa wamba duct.

5. Mavuto a Endocrine. Yopezeka mu 1/3 ya odwala:

ketoacidosis
matenda ashuga
chizolowezi cha hypoglycemia.

Mu chifuwa chachikulu, chizindikiritso cha Tuzhilin chitha kuoneka - mawonekedwe ofiira owoneka bwino m'mimba, kumbuyo, pachifuwa, omwe ali ndi aneurysms ndipo samatha ndi kupanikizika.

Zoyenera kuchita ndi kuwukira kwa kapamba?

Sizoletsedwa kudya chakudya chilichonse. Ndipo osadya ayenera kukhala masiku atatu. Izi ndizofunikira kuyimitsa kupanga ma enzyme omwe amathandizira kuyankha kwakutupa ndi kupweteka. Mutha kumwa madzi opanda gasi ndi zina zowonjezera.
Kuzizira kumayikidwa ku dera la epigastric - izi zimakupatsani mwayi wochepetsera kupweteka, kuchotsa pang'ono kutupa ndi kutupa. Ndikwabwino ngati botolo lamadzi otentha lodzazidwa ndi madzi ozizira limagwiritsidwa ntchito m'malo mwa ayezi.
Wodwala ayenera kukhala pakama komanso kupumula kwathunthu. Izi zimachepetsa kutuluka kwa magazi kupita ku chiwalo chodwala, ndipo motero kuchepetsa kutupa.
Mankhwala odzivomerezeka ndi Drotaverin, Spazmalgon, No-shpa ndi Maxigan. Amatha kuledzera ambulansi isanafike. Pakadali pano, ndikofunikira kuyimba madokotala ngakhale wodwalayo alibe chitsimikizo kuti ali ndi vuto la pancreatitis ya pachimake. Kupatula apo, matenda awa ndi owopsa chifukwa amatha kuchepa kwakanthawi, kenako ndikubwerezanso mwachangu.

Makamaka, kubwerezanso msanga kumachitika ndi necrosis ya organ. Chifukwa chake, ndikofunikira kwa achibale kuti wodwalayo (ngakhale atawonetsera ziwonetsero) ayesedwe kwathunthu.

Mawu atatu ofunikira pothandiza wodwala wokhala ndi pancreatitis yayikulu ndi Mtendere, ozizira komanso njala. Awa ndi malamulo a thandizo loyamba powaukira.

Kulandila kwa ma enzymes am'mimba okha kumatha kulimbitsa njira yothandizira. Ma proton pump blockers, makamaka, Rabeprazole ndi Omeprazole, amatha kuchepetsa vutoli.

Ngati zadziwika kuti wodwalayo adakumana ndi chimodzi mwazomwe zimayambitsa kutupa (mowa, kudya kwambiri, zoopsa, zina) asanaukire, ambulansi imayenera kuyitanidwa mwachangu.

Zotsatira zake

Chinthu choyamba chomwe wodwala akukumana nacho chifukwa cha kupweteka kwa kapamba ndimapweteka kwambiri, omwe satha kupirira. Pakadali pano, zotsatirazi zimachitika m'matumbo.

Tizilombo ta kapamba ndi ziwalo zoyandikana zimaphwanyidwaphwanyidwa.
Ziwalo zonse ndi machitidwe omwe amagwirizana ndi ma enzymes awonongeka.
Ma Enzymes, omwe ali mu ntchito ndipo sangathe kulowa m'matumbo, amamwa (kugaya) minofu iliyonse yomwe amapeza.
Kenako ma enzymesi "olusa" amabalalika m'magazi onse mthupi, ndikutenga ma cell owononga.
Okusanyusa emmundu mu mbeera eno okusobola okusooka okutandika buli kimu ne mu mbeera yonna, wadde mu bbanga.
Kulephera kwa ziwalo zingapo kumatha kuyambika komwe poizoni amalowerera thupi lonse, kufalikira kudzera m'magazi.

Muzochitika zoterezi, moyo wa wodwala umakhala pachiwopsezo ngati njira zoyenera sizitengedwa mwachangu.

Sepsis imayamba.
Pali magazi mu ziwalo.
Peritonitis imapangidwa.
Wodwalayo amatha kukhala wodabwitsa.
Zotsatira za Lethal ndizotheka.

Koma adzaonedwa kuti ndi cholakwika chotheratu kuti mawonekedwe omwewo siowopsa. Choyamba, matenda osachiritsika pawokha amatha kukhala ovuta kwambiri ngati simukutsatira malangizowo kapena kulandira chithandizo chokwanira. Kachiwiri, m'mabuku, zinthu zomwe zimakwiyitsa komanso kuvulaza thupi zimakhalamo nthawi zonse. Iron, ngakhale pang'ono pang'onopang'ono, koma adawonongedwa. Izi zimayambitsa kubwerezedwa mobwerezabwereza, kuphatikiza oyipa kwambiri. Chachitatu, njira yovuta yotupa mu kapamba ndi mbiri yabwino ya matenda ashuga ndi oncology, sepsis ndi matumbo, kutsekeka kwa impso, mavuto a chiwindi, mawonekedwe a purulent, spleen thrombosis ndi pancreatic necrosis.

Zizindikiro

Kuzindikira matenda, monga lamulo, si kovuta, chifukwa zizindikiro zake nthawi zambiri zimatchulidwa. Koma, dokotala ayenera kudziwa mtundu wa matendawa kuti apereke mankhwala oyenera. Kuti muchite izi, ndikofunikira kuchita laparoscopy - njira yomwe imakuthandizani kuti mufufuze zamkati kuchokera mkati ndi chida chapadera.

Ngati pancreatitis ya pachaka ikukayikiridwa, kuyesa kwina kwanyumba kumachitika. Uku ndi kuyezetsa magazi konse, urinalysis, maphunziro a biochemical. Kuyesedwa kofananako kumachitika chifukwa choganiziridwa kuti ndi chifuwa chachikulu. Komabe, ndikofunikira kuchititsa maphunziro a biochemical panthawi yowonjezera matendawa. Kusanthula kwapadera kwa ndowe kumachitidwanso.

Chithandizo cha pachimake kapamba

Mu chifuwa chachikulu cha pancreatitis, chithandizo chitha kuchipatala, moyang'aniridwa ndi akatswiri oyenerera, izi zimawoneka ngati zowopsa. Ngati pancreatitis yokomera ikukayikiridwa, ambulansi iyenera kuyitanidwa mwachangu ndipo munthuyo ayenera kuchipatala.

Nthawi zina chithandizo chamankhwala chosayembekezereka chimatha kupweteka munthu. Thandizo loyamba lomwe lingaperekedwe kwa munthu yemwe ali ndi vuto la kapamba, zizindikiro zomwe zikuwonekeratu, ndikugwiritsa ntchito kuzizira m'mimba, kutenga antispasmodic - Na-shpa, Papaverin, komanso kukana kudya chakudya chilichonse ndi kugona pogona asanafike ambulansi.

The zazikulu 3 zinsomba pomwe mankhwalawa pachimake kapamba amachokera: HUNGER, COLD NDI REST

Thandizo ladzidzidzi loperekedwa ndi Ambulasi:

mtsempha wamkati, woponya ndi mchere
antiemetic - metoclopramide (cerucal) 10 mg
mankhwala a ululu - ketorolac
antisecretory - octreotide (sandostatin) 250 mg kapena quamatel (omeprazole) 40 mg

Mu chipatala, nthawi zambiri amachita:

Mu chipatala, opaleshoni ya sodium mankhwala enaake (saline), reopoliglukin + kontrikal
Amagwiritsa ntchito mankhwala okodzetsa, amalepheretsa kapamba, komanso amathandizira kuchotsa ma enzymes m'magazi ndi poizoni m'thupi. Kuchokera okodzetsa, mwina Furosemide (Lasix) pa kulowetsedwa mankhwala (mu zotanuka gulu pambuyo pa dontho) kapena Diacarb pamapiritsi motsogozedwa ndi potaziyamu kukonzekera.
Omeprazole 80 mg patsiku, pali mitundu ina ya mtsempha wamagazi pakapendekete - Kvamatel.
Antispasmodics - drotaverine hydrochloride, wopanda spa
Ndi kusanza kosatha, intramuscular metoclopramide
Ululu - painkiller
Woonda kapena purulent pancreatitis - maantibayotiki (cephalosporins 3-4 mibadwo kapena fluoroquinolones).
Mu nthawi yovuta kwambiri, ma enzyme enhibitors (contracal ndi gordox) amasonyezedwa.
Vitamini othandizira amaphatikizidwanso pokonzanso thupi lopanda mphamvu, makamaka mavitamini C ndi mavitamini B amawonetsedwa.
Kwa masiku 4-5, wodwalayo amamulembera njala ndi kumwa madzi ofunda opanda mpweya. Woopsa pancreatitis, akamavutika ndi chakudya kwa milungu ingapo, zakudya za makolo zimasonyezedwa (ma protein hydralizates ndi emulsions yamafuta amathandizidwa kudzera mu cholesterol yachilendo m'magazi).
Pambuyo pokhapokha, wodwalayo amaloledwa kudya, poyamba mumatha kudya yogati yokha, pang'onopang'ono kuwonjezera tchizi cha kanyumba ku menyu, ndipo pambuyo pa masiku 3-4, pang'onopang'ono wodwalayo amatha kudya chakudya chamagulu pazakudya zapadera za 5P.

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. Amachitidwanso kuti apange matenda osiyanasiyana a pancreatitis pachimake ndi matenda ena.

Laparatomy (kufalikira kochulukirapo ndi kudula kuchokera ku sternum kupita ku groin) kumachitidwa ndi maopaleshoni omwe amachitidwa kale pamimba, ventral hernias, magazi osasunthika (mantha).

Chithandizo cha kukokomeza kwa kapamba

Ndi kuchulukirachulukira kwa kapamba, odwala amafunikira kuchipatala ndi kuyang'anira magawo a magazi, mulingo wamadzi, kuchuluka kwa maselo oyera, kuchuluka kwa ma seramu, kuchuluka kwa asidi m'masabata oyamba.

Kupsinjika kwa katemera wa pancreatic ndi gawo limodzi lofunikira pakukonzekera kwa kapamba. Pachifukwa ichi, njira zotsatirazi zimagwiritsidwa ntchito:

ozizira ku dera la epigastric,
M'nthawi ya masiku atatu kapena atatu kuchulukirapo kwa kapamba, njala, kumwa mankhwalawa maola awiri aliwonse (mwachitsanzo, mchere wamchere),
kugwiritsa ntchito zotumphukira M-anticholinergics (gastrocepin)
kukhazikitsidwa kwa analogue somatostatin - sandostatin kuti achepetse katemera wa pancreatic, kuthetsa ululu wam'mimba, kuchepetsa kufunika kwa maink. Sandostatin amamuika pa mlingo wa 100 mcg mosadukiza katatu patsiku (mpaka kupitirira 600 mcg / tsiku) kwa masiku angapo mpaka masabata angapo,
utachepa acidity wa chapamimba nkhani kuonetsetsa zinchito zina za kapamba. Pachifukwa ichi, ma antacid, H2 histamine receptor blockers (cimetidine), ndi proton pump blockers am'malo oboola (omeprazole) amagwiritsidwa ntchito.
chopinga wa pancreatic ntchito: dalargin 1 ml intramuscularly 2 pa tsiku kwa masiku 8-10, zikuwoneka zolonjeza kugwiritsa ntchito peritol (4 mg katatu patsiku mkati kwa masiku 8-10)
enzyme zoletsa ntchito pambuyo kudziwa munthu kulolerana kwa mankhwala kwa odwala. Mankhwala otsatirawa amagwiritsidwa ntchito: trasilol, kontrikal, gordoks. Amaperekedwa ndi mitsempha imodzi munthawi ya 5% shuga kapena kukokana mu isotonic sodium chloride solution. Thupi lawo siligwirizana pakupereka mankhwalawa limawonedwa pafupipafupi ndi 10-12%,
mankhwala antimicrobial. Amagwiritsidwa ntchito kuchulukitsa kwa kapamba, kuchitika ndi malungo, kuledzera, komanso kupewa mavuto. Nthawi zambiri, ma anti-sipekitiramu ambiri amagwiritsidwa ntchito - penicillin kapena cephalosporins (ampicillin, oxacillin, ampiox, kefzol, claforan ndi ena) kwa masiku 5 - 7 munthawi zonse.

Kuperewera kwa kapamba kumawonetsedwa ndi vuto la mayamwidwe m'matumbo. Malinga ndi malingaliro amakono, matendawa sadziwonetsa pancreatitis yayitali mpaka chinsinsi cha michere chimatsikira mpaka 10% ya mphamvu yake yoyambirira. Chithandizo cha pancreatic insufficiency yafupika poika zakudya ndi enzyme m'malo mankhwala. Pankhaniyi, mlingo wa kukonzekera kwa enzyme umasankhidwa payekha kwa wodwala aliyense.

Choyimira chachikulu pakuchita bwino kwa chithandizo cha mankhwalawa ndizosangalatsa za kuchuluka kwa mafuta mu ndowe komanso kulemera kwa thupi kwa wodwalayo. Nthawi zambiri, chithandizo chimayamba ndi mapiritsi atatu musanadye komanso pambuyo pa chakudya chachikulu. Mitundu yayikulu, mankhwalawa amatha kufikira mapiritsi 20 kapena kupitilira tsiku lililonse. Kukonzekera kwa enzyme kwa chifuwa chachikulu chimaperekedwa kwa nthawi yayitali, nthawi zambiri moyo. Ndikotheka kukwaniritsa kuchepetsedwa kwa mlingo wawo potsatira kudya mosamalitsa ndi mafuta ochepa komanso mapuloteni. Komabe, pakukula kwa chakudya, mlingo wa kukonzekera kwa enzyme uyenera kuchuluka.

Physiotherapy imakhala ndi ma pinkiller komanso ena odana ndi kutupa. Monga lamulo, physiotherapy imagwiritsidwa ntchito polimbitsa thupi la exacerbation. Zogwiritsidwa ntchito kwambiri:

electrophoresis ya 5-10% yankho la novocaine kapena dalargin
ma modutsa ma diadynamic
mafunde a sinusoidal modated

Mu gawo la chikhululukiro, balneotherapy imagwiritsidwa ntchito kwambiri mu mawonekedwe a kaboni dioxide-hydrogen sulfide, kaboni dayokisi, radon, kaboni dioxide, "ngale" kapena malo osambira a sulfide. Iwo amatengedwa pa kutentha kwa 36-37 ° C, nthawi yake ndi mphindi 10-15, njira ya chithandizo ndi njira 8-10.

Sanatorium-resort chithandizo imachitika mu gawo la kubwezeretsa popanda kukokoloka mu malo a Essentuki, Truskavets, Zheleznovodsk, komanso m'malo opanga ma Republic of Belarus (Naroch, Rechitsa).

Chithandizo cha matenda kapamba

Pancreatitis yayitali imatha kukhala ndi zizindikiro zowala kapena zofatsa. Nthawi zambiri, pakachulukitsa matenda a kapamba, wodwalayo amawonetsedwa kuchipatala ndi chithandizo, chofanana ndi njira ya pachimake.

Wodwalayo ayenera kutsatira zakudya pamoyo wake wonse ndikugwiritsa ntchito mankhwala osokoneza bongo kuchokera ku gulu la antispasmodics ndi mankhwala osokoneza bongo omwe amachititsa kuti ziwalozo ziziwonekera. Ndikofunika kwambiri kumenyedwa ndi Sanatorium kawiri pachaka m'malo oyenerera a Stavropol Territory (Kislovodsk, Zheleznovodsk, Pyatigorsk), komwe amathandizidwa ndi madzi achilengedwe amchere.

Mfundo zoyambira zamankhwala:

1) Zakudya - iyi ndiye mfundo yovutirapo yovomerezeka yokwaniritsa, chifukwa ndi kapamba, zinthu zonse zomwe anthu ambiri amakonda - zokazinga, zokometsera zokometsera, bowa, maswiti, chokoleti, kanyenya, chakudya chofulumira, siziyenera kuyikidwa pambali. Zinthu zonse, kuphatikizapo zipatso ndi ndiwo zamasamba, ziyenera kudyedwa pokhazokha, zophika kapena zodulidwa. Zakudya ziyenera kukhala zopezeka pafupipafupi komanso zowonongekera, mwanjira ina, muyenera kudya maola atatu aliwonse, pomwe sizingakhale bwino kusakaniza mitundu yosiyanasiyana ya mapuloteni, chakudya ndi mafuta mu gawo limodzi.

2) Zosankha Za Ululu Ndi chifuwa chachikulu.

Ndi chakudya, ululu umayamba kuvutitsa wodwalayo pafupipafupi, koma ndikuphwanya pang'ono boma kapena mukatenga chinthu choletsedwa, opaleshoni amafunika.

Ndikumva kupweteka kwambiri, dokotala atha kukulemberani antispasmodics - Drotaverin, No-Shpa, amene amachepetsa kutupa mthupi ndipo potero amachepetsa ululu.
Komanso munthawi yathu, adotolo amatha kupatsa mankhwala Mebeverin (Sparex, Duspatalin), omwe ali antispasmodic wa myotropic kanthu ndipo amachotsa kupsinjika konsekonse m'mimba.
Phunziro lalifupi lingagwiritsidwe ntchito antisecretory mankhwala ("Diacarb" kapena "Omeprazole" piritsi 1 / masiku 3, pamaso pa kudzikuza - "Asparkam").
Amagwiritsanso ntchito Octreotide, mankhwala omwe amachepetsa kupangika kwa mahomoni, chifukwa ululu umabwera chifukwa cha kukondoweza kwa gland ndi mahomoni ake. Mankhwala oterewa amaperekedwa kokha ngati angalandire chithandizo chamankhwala.

Pancreatic michere yomwe imakonza kuperewera kwa ndulu

Ndi nthawi yayitali ya kapamba, maselo abwinobwino amaloŵedwa m'malo ndi minyewa yolumikizana. Chifukwa chake, magwiridwe antchito a ziwalo zimasokonekera, matenda a shuga komanso matenda am'mimba amatha kukula. Pofuna kuchepetsa ululu ndikupatsanso kapamba, ma enzymes achimbudzi ayenera kutengedwa:

"Festal" - tengani katatu patsiku ndi zakudya, nthawi zambiri, pewani kugwiritsa ntchito histamine blockers, omwe amachepetsa acidity yam'mimba ("Cimetidine", "Famotidine").
Pancreatin (Enzistal, Gastenorm, Biozim, Mezim, Mikrazim, Pangrol, Panzinorm, Penzital, Creon, Hermitage) ndi ma enzymes a pancreatic, omwe amayenera kumwedwa, ngati "Festal", pomwe kuli bwino kumwa mankhwalawa ndi mchere wamchere wamchere. Amathandizira kuwonongeka kwabwino kwa mapuloteni, zakudya zamafuta ndi mafuta.
Ndikofunikanso kufotokoza bwino ntchito za michere. Pofuna kuchiritsira mankhwala, magawo 10,000 a lipase amafunikira (mapiritsi atatu a Mezima patsiku). Dziwani kuti "Mezim" yoyambirira ili ndi fungo losasangalatsa, chifukwa chake, pakadapanda pake, titha kunena kuti ichi ndi chinyengo (choko chophwanyika).

Pamaso pa chifuwa chachikulu, Zizindikiro zimatha kukhalapo kwa nthawi yayitali, ndipo kuchuluka kwa insulini kumachepa, zomwe pamapeto pake zingayambitse kukula kwa matenda osokoneza bongo. Pankhani yodziwitsa matendawa, wodwalayo ayenera kulumikizana ndi endocrinologist kuti apange regimen yothandizira ndi kugwirizanitsa zakudya.

Kodi kapamba amawonekera bwanji?

Zizindikiro zomwe zimayamba ndi chifuwa chachikulu, zomwe zimafunikira chithandizo chamankhwala komanso zakudya, zimawonetsedwa motere:

pali kumverera kwa nseru
kusanza ndikotheka
kusowa kwa chakudya
kupindika pafupipafupi kumachitika
kumva kuwawa m'mimba.

Komabe, ululu ukhoza kusakhalapo ndikuwonekera pokhapokha ngati mukudya kwambiri, pomwe milomo ya ndulu ndi kutupa kwa kapamba kumayamba. Nthawi zina, palibe ululu ndipo kulakalaka kwambiri kumachitika, mumangokhala ndi njala, pomwe kumverera kwodzaza sikuwoneka.

Zizindikiro zimatengera mtundu wamatenda omwe amapezeka:

maphunziro aposachedwa (wodwalayo samva kusintha kwanthawi yayitali),
kapamba wokhala ndi ululu (kumva kuwawa kumamveka m'mimba, nthawi zina pamakhala kupweteka kosawerengeka),
aakulu pafupipafupi pancreatitis (kupweteka kumachitika pokhapokha pakuwopseza, popanda kusokoneza wodwalayo nthawi zina),
pseudotumor pancreatitis (imachitika kawirikawiri, imadziwika ndi kukula kwambiri kwa minofu ya fibrous, chifukwa momwe kukula kwa kapamba kumachulukira kwambiri).

Ndi njira ziti zochizira zomwe zimagwiritsidwa ntchito polimbana ndi matenda?

Pofuna kudziwa chithandizo choyenera ndi zakudya zoyenera za kapamba, katswiri amafunika kuwunika momwe mkhalidwe wa wodwalayo uliri.

Ngati matendawa ayamba kuwonekera popanda zovuta zilizonse, katswiriyo amamulembera chithandizo chamankhwala, chomwe chizikhala ndi kugwiritsa ntchito mankhwalawa komanso tebulo lazakudya.

Munthawi yakukwanitsa kwa kapamba, komanso thanzi labwinobwino ndi wodwala, kuchipatala ndi chithandizo chamankhwala zimachitika mosamalitsa. Thandizo loyambirira likhala ndi cholinga chowayimitsa matenda opweteka. Ngati matendawa akula msanga kapena akunyalanyazidwa kwambiri, amachitidwa opaleshoni, pomwe mbali zake zobisika zimachotsedwa.

Kutulutsa kwaderalo kwakomweko kwa mutu wa kapamba

Mankhwala ochizira kapamba

Zakudya zoyenera komanso mankhwala osokoneza bongo a kapamba am'mimba zimathandizira kupweteka m'mimba. Choyamba, antispasmodics amalembedwa omwe amachotsa kupweteka ndi kupindika. Zodziwika kwambiri ndi papaverine, no-shpa ndi baralgin. Komanso, mankhwala omwe amawongolera kapamba, mwachitsanzo, Almagel kapena Phosphalugel, amagwiritsidwa ntchito.

Ngati ndi kotheka, ma enzymer omwe amalimbikitsa kuyamwa bwino kwa chakudya amaperekedwa, njira zoterezi zimaphatikizapo Pancreatin, Creon ndi ena. Mankhwala amatengedwa ndikudya kapena mutatha, kutsukidwa ndi madzi okwanira (makamaka mchere wamchere).

Mankhwala kumatenga miyezi 1.5-2, malingana ndi kuopsa kwa matendawa. Dokotala wokha ndi amene amatha kudziwa kuchuluka kwake kapena kusiya mankhwala. Kuti mupeze zotsatira zabwino mukamaliza kupweteka kwamatumbo, muyenera kutsatira malangizo onse a katswiri kunyumba ndikutsimikiza kutsatira zakudya zomwe mwalandira.

Pancreatitis Zakudya

Ngati kuchulukitsa kwa pancreatitis yokhazikika kuli koopsa ndipo kumayendera limodzi ndi kupweteka kwambiri, kusanza kosalekeza, kusintha kwakukulu pama mayeso a labotale, ndiye kuti odwala amafunikira njala. Zimakupatsani mwayi wopatsa chiwalo chovulazidwacho ndi mtendere wambiri ndikuchepetsa kupanga michere yamphamvu ndi gland yomwe imawononga chiwalocho. Kutalika kwake kumatengera ndi matenda, koma nthawi zambiri amayamba pa 1 mpaka 3 masiku. Nthawi zina mu gawo la "njala" limaloledwa kumwa msuzi wa rosehip, madzi amchere amchere, ndi tiyi wopanda mphamvu.

Ndiye zakudya zapadera zopatsa mphamvu (mpaka 2200 kcal) zokhala ndi kuchuluka kwa protein. Amapangidwa kuti azitha kuteteza kachulukidwe komanso ziwalo zina. Zina mwa izi ndi:

kugawikana kwa chakudya (mpaka 6),
kupera kapena kupukuta zinthu zomwe zagwiritsidwa ntchito,
kuletsa mchere
Mbale amazipaka zokhazokha zotentha,
kusiyidwa kwazinthu zonse zomwe zimakhala ndi mafuta ochulukirapo kapena mafuta ofunikira (nsomba, msuzi wa nyama, koko, khofi, ndi zina), zipatso zatsopano, masamba, zitsamba, zipatso, zipatso, zakumwa zowawasa, zakumwa za kaboni, marinade,
choletsa zakudya zamafuta (mwanawankhosa, nkhumba, kirimu, mafuta anyama, ndi zina) ndi mowa,
ntchito ponseponse mumphika wophika phala, masamba owononga masamba ndi nyama yophika, souffle, mapiritsi omanga thupi, nsomba ndi zodyetsa nyama, zotsekemera zotentha, maapulo otsekemera, maapozi ophika, masamba oyambira, jellies, mousses, mkate wopanda chofufumitsa, tchizi wowonda.

Pansi pa mkhalidwe wa kukonzanso kwachipatala ndi ma labotale, zakudya zimakulitsidwa, ndikuwonjezera zomwe zili ndi zopatsa mphamvu komanso kuchuluka kwa mapuloteni ofunikira kuti achire mwachangu. Ngakhale seti yazinthu zovomerezeka ndizofanana ndi zakudya zomwe zatchulidwa kale, mndandanda wazakudya pazakudya ukuwonjezeka (kuphika ndikuloledwa). Ngati pancreatitis imayendera limodzi ndi chitukuko cha shuga, ndiye mapira oyera, mbatata, uchi, maswiti, ndi makeke amawonjezeredwa pamndandanda woletsedwa wagolosale.

Zomwe sizingadyedwe ndi kapamba

Gome ili pansipa limandandalika zakudya zosafunikira komanso zovomerezeka za kapamba.

Zinthu zomwe zimayenera kudyedwa chifukwa cha matenda a kapamba:

buledi wa tirigu kuchokera ku ufa wa 1 ndi 2 kalasi uyenera kuyesedwa
mbatata yosenda, karoti, sukoti zophika
mpunga wowiritsa, buckwheat, oatmeal, vermicelli
nyama zopanda mafuta (ng'ombe, nyama yamwana wamchere, kalulu, nkhuku, yophika, yodulidwa (cutlets, stroganoff ndi mbale zamitundu ina)
masamba ophika kapena ophika (mbatata, kaloti)
nsomba yamafuta ochepa (yophika)
zinthu zamkaka zamafuta ochepa (tchizi chatsopano chopanda acidic), ma puddings osiyanasiyana
kucha zipatso zopanda zipatso ndi zipatso, zosenda zosaphika kapena zophika
tiyi ofooka ndi ndimu, msuzi wa rosehip
batala (30 magalamu), mafuta a mpendadzuwa (10-15 ml) - m'mbale

Monga tanenera kale pamwambapa, pakuchulukitsa, chakudya chamadyetsa chimaperekedwa kwa masiku 1-2 okhala ndi madzi okwanira (maola awiri aliwonse). Ndipo pali kuphatikiza pang'onopang'ono kwa zinthu monga masamba puree kapena phala losenda.

Zosintha zachitsanzo

Pakulimba kwamatumbo, kupenda kugaya ndi kuyamwa mafuta kumachepetsedwa, komwe kumawonetsedwa ndi kupweteka kwam'mimba ndi chimbudzi chosayimira. Pankhaniyi, mfundo yayikulu pakukonzekera menyu ndi mafuta ochepa muzakudya za tsiku ndi tsiku osaposa 50 magalamu amafuta patsiku.

Tikukupatsirani mitundu yosiyanasiyana ya maphikidwe a tsikulo okhala ndi mafuta 50 gm:

Chakudya cham'mawa:

Steam omelet kuchokera dzira limodzi ndi sipinachi (protein),
1 tirigu aliyense wowotcha ndi batala (ochepera supuni 1),
½ chikho oatmeal,
½ chikho buliberries
Tiyi, khofi kapena zipatso zouma.

Zovuta:

Malo opatsa zipatso: 1 chikho cha soya kapena mkaka wa amondi kukwapulidwa ndi 1 chikho cha yogurt yamafuta ochepa ndi 1 nthochi.

Chakudya chamadzulo:

Masangweji aku Turkey ndi tchizi: magawo awiri a buledi wopanda tirigu, magalamu 80 a Turkey kapena bere la nkhuku (mapuloteni),
1 mbale imodzi ya tchizi wamafuta ochepa,
Magawo owiritsa kapena kaloti,
½ chikho cha apulo ya tiyi (wopanda wowawasa).

Zovuta:

1 chikho cha mafuta opanda kanyumba (protein),
Maapulo 1-2 ophika,

Chakudya chamadzulo:

100 magalamu a nsomba zamafuta ochepa.
100-150 magalamu a mpunga wophika,
1-2 kaloti wowiritsa,
Chingwe chonse
Supuni 1 ya batala
Tulutsani tiyi kapena zipatso zowuma.

Zovuta:

Buledi 3 (tirigu-oat),
½ chikho buliberries (kapena zipatso zina zolimbikitsidwa)
1 chikho cha mkaka ndi mafuta 1% (mapuloteni).

Yesani kuwonjezera mapuloteni pachakudya chilichonse ndi zakudya zazakudya zina (brisket, nsomba, zoyera za dzira, mafuta amkaka otsika, soya, ndi zina). Ngati kudya kamodzi sikokwanira kuthana ndi zizindikiro, muyenera kumwa mankhwala omwe amalocha ma pancreatic enzymes (Mezim, Creon, Panreatin, etc.) musanadye.

Mfundo zazikuluzikulu za kadyedwe koyambirira kwa kapamba zimaperekedwa pamwambapa zomwe ndizoyenera anthu ambiri omwe akudwala matendawa. Komabe, ndikofunikira kudziwa kuti chamoyo chilichonse chimunthu payekha, jenda, zaka, mtundu, genetics, kupsinjika, matenda okhudzana, ndi zina zotere, chifukwa chake, kukonza makonzedwe kumakhala kwakukulu. Choyamba, muyenera kumvetsera thupi lanu kuti lizisankhira nokha zakudya zomwe thupi lanu limaziona kuti ndizabwino. Chilichonse chimafunikira njira yoyenera komanso malo apakati.

Onetsetsani kuti mwawonana ndi dokotala!

Kodi ndingathe kudya zamasamba atsopano a kapamba?

Kugwiritsa ntchito masamba mwatsopano a kapamba sikulimbikitsidwa, chifukwa zinthu izi zimathandizira kulimbitsa njira zamatumbo m'matumbo, zomwe zingayambitse zovuta zingapo komanso zimadzetsa zovuta zina zazikulu.

Mu chifuwa chachikulu, pali kuphwanya kwakukulu kwa ntchito ya kapamba ndi kusintha kwa kuchuluka kwake ndi kapangidwe kake kam'mimba kamene kamapangidwira. Zotsatira zake, njira yogaya chakudya yazakudya zingapo imasokonekera. Izi zimayambitsa kusintha kwamunthu wodwalayo (chifukwa cha kuperewera kwa michere, kutopa kwambiri kumachitika), komanso kusintha kwamkati wamatumbo. Chifukwa cha kusintha kwa mkati mwa matumbo, ntchito yofunikira ya microflora yake yachilengedwe (ma tizilombo tosiyanasiyana omwe amakhala mu lumen yamatumbo, yomwe imathandizira kugaya chakudya mwanjira) imasokonekera, yomwe imayambitsa kupesa kwa mphamvu.

Masamba atsopano, ngakhale ali ndi phindu losawoneka bwino kwa anthu athanzi komanso okhala ndi mavitamini ambiri pancreatitis, amatha kubweretsa njira zowonjezera mphamvu. Zikatero, ukufalikira kumayamba, kusakhazikika kumachitika, kutsegula m'mimba kumayamba, kapena, nthawi zina kudzimbidwa. Kuphatikiza apo, masamba atsopano ali ndi tanthauzo losangalatsa pancreatic minofu, potero amawonjezera kuchuluka kwa chakudya chamafuta omwe amapangidwa. Ngakhale kuti poyang'ana koyamba izi zingaoneke ngati zabwino, kwenikweni sichoncho. Chowonadi ndichakuti mosiyana ndi momwe mawonekedwe osinthira a pancreatic, mphamvu zake zosungidwazo zimaphwanyidwanso, ndiye kuti, kukokomeza kopitilira muyeso sikumabweretsa kusintha kwa magwiridwe antchito, koma kumakulitsa kapena kukulitsa matenda. Chifukwa chake, kuphatikizidwa kwa masamba atsopano ndi masamba awo ndizofunikira kwambiri kapamba.

Tiyenera kudziwa kuti mu pancreatitis yachilendo, komanso kukokosera kwa chifuwa cham'mimba, tikulimbikitsidwa kupewa osati masamba ndi zipatso zatsopano, koma makamaka zakudya zilizonse zofunikira (chakudya chomwe chimalowa m'mimba ndi m'mimba).

Zithandizo za anthu

Propolis. Tizidutswa tating'onoting'ono timapukusidwa mosamala pakati pa chakudya, njira ndi chitsanzo chabwino chogwiritsira ntchito homeopathy yamakono ndikuchotsa zopweteka, kupukusa kugaya.
Phulusa laphiri. Wothandiza kwambiri choleretic wothandizila, womwe umagwiritsidwa ntchito pochiza komanso kupewa kapamba. Zipatso za Rowan zimatha kudyedwa mwatsopano kapena zouma kuti mugwiritse ntchito mtsogolo.
Kwa masiku 10 muyenera kumwa supuni 1 ya mafuta a rosehip. Pumulani kwa miyezi iwiri ndipo mutenganso maphunzirowo. Chimalimbikitsidwa matenda osachiritsika.
Ma ndevu agolide Pepala lalikulu (kutalika 25 cm) kapena ma sheet awiri ang'onoang'ono amaphwanyidwa ndikudzaza madzi 700 ml. Wiritsani kutentha kwapakatikati kwa mphindi 15 mpaka 20, kenako ndikuyika kwa maola angapo m'malo olimba (mutha kuwusiya usiku). Muyenera kugwiritsa ntchito kulowetsedwa mwachangu 25 ml (musanadye).
Mbatata ndi msuzi wa karoti. Idumani mbatata 2 ndi karoti 1 kudzera pa juzi. Gwiritsani ntchito 2 pa tsiku kwa mphindi 30 musanadye, njira yothandizira anthu akuluakulu ndi masiku 7, njirayi imathandizira kuti kugaya kugaya, kuthetseratu zizindikiro zopweteka.
Zitsamba za pancreatic zimagwiritsidwa ntchito kuphatikiza ndipo imodzi mwazo izikhala ndi udzu wa yarrow, maluwa a calendula ndi chamomile. Zosakaniza zonse zimatengedwa supuni ndikuwotcha mumiyala ndi madzi otentha. Pambuyo pa theka la ola, mutha kumwa gawo loyamba (100 ml), ndipo mphindi 40 zitatha izi, idyani. Ndikofunika kumwa mankhwalawa katatu pa tsiku, makamaka musanadye.
Kuti mupeze pancreatitis, muyenera maluwa osatha, amayi, St. wort, kutsanulira 200 ml ya madzi otentha ponseponse, kunena mphindi 30, kumwa mpaka katatu patsiku musanadye.
M'malo mwa tiyi wamba, gwiritsani ntchito tiyi ndi timbewu ndi uchi. Mint ali ndi choleretic kwambiri ndipo amalimbikitsa kutulutsidwa kwa ma enzymes kuchokera ku kapamba.
Thirani kapu yamafuta ndi lita imodzi ya madzi, tsimikizani kwa maola 12. Bweretsani msuzi kwa chithupsa ndi kuwira pansi pa chivindikiro kwa theka la ora. Pukuthirani chidebe ndi msuzi, ndikuumirira maola 12, kenako tsanulira ndikuwonjezera madzi okwanira lita imodzi. Akuluakulu amatenga katatu patsiku, 100-150 ml theka la ola asanadye. Njira ya mankhwala ndi mwezi.
Rosehip. Mu nthawi yayitali ya kapamba, dogrose amatha kuledzera mosalekeza - mpaka 400 ml patsiku. Zipatso za rosehip zimathiridwa ndimadzi otentha (kuchuluka kwa zipatso kumakhala kofanana ndi kuchuluka kwa madzi). Mu kulowetsedwa kwa thermos kumatsalira kwa maola angapo, pambuyo pake kumatha kumwa.

Kupewa

Kupewera kwa kapamba ndi njira yabwino kwambiri yopewera mavuto akulu azaumoyo:

Kudyetsa magazi ndizoletsedwa. Pofuna kuti musadzazitse thupi lanu ndi chakudya chochuluka, ingomverani ndi chakudya.
Kofi ndi chakumwa chosakonda cha vuto. Ndikwabwino kukana zonsezo kapena osamwa kapu imodzi patsiku. Munthu amadzivulaza makamaka akamamwa chakumwa cham'mimba chopanda kanthu. Kugunda kwenikweni kwa gland ndi khofi wapapo.
Chiwalo chodwala sichikonda zakudya zomwe zimakhala ndi ma fiber owuma, choncho ndibwino kuphika kapena masamba. Ndikofunika kukana osati zakudya zamafuta ndi nyama yokazinga zokha, komanso kuchepetsa kuchuluka kwa zakudya zam'chitini, zamchere komanso zosuta kwambiri. Zipatso za citrus zimakhalanso zoletsedwa. Ndikofunika kumwa madzi amchere, kuphatikiza zakudya zam'madzi ndi mkaka ndi mafuta ochepa mumndandanda.
Kuchita masewera olimbitsa thupi mopitirira muyeso, monga: makalasi ochita masewera olimbitsa thupi, kuthamanga ndi kudumpha, kuyendera nyumba yosambira, sauna, zonsezi zimatha kuyambitsa matenda. Njira yabwino kwambiri yothandizira zolimbitsa thupi ndikuchita masewera olimbitsa thupi komanso kupuma komanso kuchita maphunziro olimbitsa thupi.
Kukana zizolowezi zoipa (zakumwa zoledzeretsa ndi kusuta) kudzapangitsa kuti zinthu zitha kuchepetsa thupi, zomwe zidzakwaniritse kuchotseredwa kwokhazikika.
Munthawi yake mankhwala a gallbladder ndi biliary thirakiti. Miyala ikapanga kale kuwira, imayenera kuchotsedwa posachedwa.
Muyenera kudya moyenera, magawo sayenera kukhala akulu, koma ndibwinobwino kuyandikira njira patebulo. Osagwiritsa ntchito zakudya zambiri zosiyanasiyana nthawi imodzi - mfundo za zakudya zomwe zimapangitsa kuti thupi lizigwira bwino ntchito. Kuphatikiza michere ndi mapuloteni ayenera kupewedwa - uku ndiye kuphatikiza kovuta kwambiri kwa England. Masiku akusala kudya amapindulitsa thupi. Chakudya chophweka, tchizi tchizi ndi phala.

Sindimadya mopitirira muyeso, ndipo za kumwa mowa kwambiri, palibe kuyankhula. Ndiye kuti poizoni anali nthawi zambiri m'moyo wanga, nthawi yoyamba yomwe ndimakumbukira ndili mwana, ndinali ndi zaka 6-7. Ndipo pamenepo panali poyizoni atakula.Chifukwa chake ndikufuna kuuza aliyense: osati kale litali ndidaphunzira kuti ngati pali poyizoni wa chakudya, ndiye kuti ndikofunikira kuyendetsa kachipatala pofuna kubwezeretsanso microflora yam'mimba yogaya. Ndipo tsopano ndili ndi "Phwando" lathunthu la matenda int. ziwalo ... ndikupita kwa adotolo! Thanzi lonse komanso moyo wautali!

Ndi zakudya ziti zomwe zingagwiritsidwe ntchito pancreatitis mu gawo la kukhululuka kwamachimo

Pakadutsa miyezi isanu ndi umodzi panali asanavutike kwambiri ndipo zisonyezo za njirayi zibwereranso kwina, malinga ndi kafukufuku, chakudyacho sichingakhale chopanda makina, kuwonjezera kwa masamba ndi zipatso zatsopano. Zatsopano zilizonse zimayambitsidwa mosamala. Zakudya zabwino, zakudya zisanu patsiku. Chakudyacho chimakhala chosangalatsa popanda kupsetsa zakudya. Zakudya izi ziyenera kuchitika pafupipafupi. Mulinso:

Masamba onse owiritsa, saladi wamafuta ophika kumene, kaloti wobiriwira wobiriwira kapena nyemba za katsitsumzukwa, mutha kuwonjezera tomato ku mbale zoyambirira. Biringanya ndi kabichi watsopano mwachisamaliro.
Buckwheat, oat, tirigu ndi mpunga.
Maapulo atsopano, nthochi, ma apricots ndi ma plums opanda khungu, mphesa. Zipatso mu ma compotes, zakudya ndi zakudya.
Zopangira mkaka tsiku lililonse, kirimu wowawasa kapena kirimu wopanda mafuta, batala mpaka 5 g patsiku.
Mafuta ophikira masamba okonzeka mpaka 20 g.

Malangizo onse pazakudya zimasungidwa.

Chitsanzo cha menyu wa kapamba wambiri ndi maphikidwe

Matenda a kapamba pakukhululuka, mutha kutsatira zakudya monga izi:

Chakudya cham'mawa: phala lungu ndi mpunga ndi maapricots owuma, chicory.
Chakudya chamadzulo: mkate wopanda zoyera ndi tchizi cha Adyghe, tiyi.
Chakudya chamasana: msuzi wophatikizidwa ndi nsomba ndi phala lophwaphwaphika ndi kaloti owiritsa ndi kolifulawa.
Zosakhazikika: kanyumba tchizi ndi zoumba, zipatso zouma zipatso.
Chakudya chamadzulo: ng'ombe stroganoff kuchokera ku chifuwa cha nkhuku ndi mbatata yophika ndi zitsamba, compote.
Musanagone: makeke amphika a biscuit ndi kefir.

Dzungu phala ndi mpunga ndi maapricots zouma.

400 g wa dzungu.
30 g ma apricots owuma.
Supuni ziwiri za mpunga.

Onjezani maapulosi owuma ndi madzi otentha kwa mphindi 15.
Dulani dzungu mu tiziduswa tating'onoting'ono ndikuphika moto wochepa, ngati kuli kotheka, thirani madzi pang'ono pansi pan. Kuphika kwa mphindi 15.
Onjezani mpunga ndi maapulo owuma ndi dzungu ndikuphika kwa mphindi 15.

Ng'ombe stroganoff ku nkhuku ya chifuwa.

300 g nkhuku.
Kaloti imodzi.
Mmodzi anyezi.
100 ml mkaka.
50 ml ya madzi.
1 tbsp mafuta a mpendadzuwa.
5 g ufa
Mchere kulawa.

Zovala nkhuku zazingwe. Ikani nkhuku mumoto ndi mafuta a masamba ndikuphika mpaka madzi atasuluka.
Chekani anyezi ndi kaloti, onjezerani ku nkhuku, onjezerani madzi. Simmer pansi pa chivindikiro mpaka kuphika.
Sakanizani mkaka ndi mchere ndi ufa, kutsanulira mu poto wokazinga ndikuphika kwa mphindi zina 7.

Zakudya zoletsedwa za chifuwa chachikulu komanso chovuta

Ndizoletsedwa kupweteka kwapancreatitis paliponse kuphatikiza pazosankha zomwe zimapangitsa kapena kukhumudwitsa kapamba, zomwe ndizovuta kugaya:

Mowa womwe uli mphamvu iliyonse ndi kapangidwe kake.
Zakudya zamafuta ndi mafuta a nyama, tchizi chamafuta, kirimu wowawasa kapena zonona.
Msuzi wolemera wa nyama kapena nsomba, nyama yoyatsa.
Ice cream, chokoleti ndi makeke, muffin, mkaka wokhala ndi mkaka.
Zakumwa - khofi, tiyi wamphamvu, kvass, kaboni aliyense wokoma.
Leamu - nyemba, nandolo, mphodza, anapiye.
Bowa, radishi, turnips, sipinachi, sorelo, anyezi ndi adyo, mosamala parsley ndi katsabola.
Maapulo wowawasa wozizira, ma cranberries, mandimu, yamatcheri, onse wowawasa ndi ma CD.
Porridge kuchokera ku mapira kapena barele.
Kuzifutsa, mchere, zamzitini kapena kusuta.
Soseji, masoseji, masoseji.
Zogulitsa zilizonse zomwe zimakhala ndi utoto, olimbitsa, zonunkhira.
Mayonesi, msuzi uliwonse wokhala ndi zonunkhira, viniga, mpiru, horseradish kapena tsabola.

Mankhwala achikhalidwe apeza luso logwiritsa ntchito mankhwala azomera komanso njuchi pogwiritsa ntchito kapamba. Ndalama zonsezi zimagwiritsidwa ntchito pokhapokha pakuchotsa njira yotupa yopatsirana kuti ichotsere chimbudzi. Matenda a kapamba akuluakulu amatha kuthandizidwa:

Decoctions azitsamba - calendula, chamomile, dieelle ndi nthangala za katsabola. Kuti mukonze msuzi, muyenera kutenga gawo lofanana la mbewuzo, kupera ndi kusakaniza. Thirani supuni ya osakaniza ndi madzi otentha. Konzani kusamba kwamadzi ndikuyika chidebe cha zitsamba momwemo. Kuphika kwa mphindi 15. Kulemba. Pezani kutentha mu 50 ml. Mukatha kudya, mutha kudya m'mphindi 30.
Madzi a mbatata. Madzi okonzedwa mwatsopano amangogwiritsidwa ntchito mu kapu imodzi ya theka la ola musanadye.
Pergo. Kuti mudziwe kulolerana, yambani ndi magulu angapo. Kenako mutha kukulira supuni. Tengani m'mawa pamimba yopanda kanthu. Njira ya mankhwala ndi milungu iwiri.

Momwe mungapewere kapamba wamankhwala amapezeka mu kanema pansipa.

Pancreatitis ndi dzina lachipatala lotupa kapamba, njira yomwe imatha kuchitika pachimake kapena mawonekedwe osakhazikika. Mu pancreatitis pachimake, pancreatic yachilendo imatha kubwezeretsedwanso, ndipo pancreatitis yayikulu, nthawi yachulukidwe imasinthanso ndi chikhululukiro, koma pakapita nthawi, kuchepa kwamphamvu kwa pancreatic kumawonedwa. Tiyeni tikambirane mwatsatanetsatane mawonekedwe a matendawa, kuzindikira kwake komanso momwe amathandizira.

Pafupipafupi matenda a kapamba pakati pa matenda am'mimba, amachokera ku 5.1 mpaka 9%. Kwa zaka 30 zapitazi padzikoli kudwala matenda a kapamba kawiri konse. Gawo loyamba la matendawa limatenga zaka 10, lodziwika ndi kusinthana kwakanthawi ndikuchotsedwa. Wodwala amadera nkhawa kwambiri zowawa. Pa gawo lachiwiri, pali zovuta zamatumbo, kunenepa. Ululu umayamba kuonekera pang'ono. Mavuto a pancreatitis aakulu amatha kuchitika nthawi iliyonse. Nthawi zambiri, kapamba limayendera limodzi ndi kutulutsa ma enzymes m'magazi, zomwe zimayambitsa kuledzera kwambiri.

Matenda a kapamba kwenikweni ndi gulu lonse la matenda. Pali mitundu ingapo ya gulu la matenda kapamba.

Poid metabolic. Amayamba mothandizidwa ndi mankhwala osokoneza bongo komanso / kapena mowa.
Idiopathic. Amatuluka popanda prerequisites owoneka.
Wodzitchinjiriza. Zotsatira zakulephera kubadwa.
Autoimmune. Zimachitika chifukwa chakuwukira kwa chitetezo cha mthupi pa kapamba.
Zotsatira. Imakhala ndi nthawi yayitali yochotsedwa, kusinthana ndi kutulutsa.
Zopindulitsa. Zimachitika chifukwa cha kufalikira kapena kukakamira kwa ma pancreatic ducts.
Poyamba. Amayamba popanda matenda am'mbuyomu.
Sekondale. Amayamba ngati matenda enanso.

Poyamba: etiology yosadziwika, chidakwa, mankhwala, chifukwa cha kuperewera kwa zakudya kapena kagayidwe kachakudya.
Zotsatira-zowawa: chifukwa cha kuwonongeka kapena kuvulala kwachikondwerero, pambuyo pa opaleshoni.
Sekondale: chifukwa cha matenda ena.

Kugawa malinga ndi dongosolo lapadziko lonse lapansi M-ANNHEIM (2007):

Mwa chiyambi (chiopsezo) (kuyambira mtundu wa A mpaka M).
Malinga ndi gawo lazachipatala.
Malinga ndikuvuta kwa matendawa (pali dongosolo laudindo).

Ndi kapamba, odwala amadandaula za kupweteka kwam'mimba, nthawi zambiri - kumanzere kwake, kupatsa kumbuyo. Kufotokozera zamkati kumawonetsedwa, komwe kumadziwonetsera mu mseru, kusanza, kufooka, kutentha thupi, kutentha thupi, kuchepa kwa chilakolako cha chakudya. Mpandowo ndi mushy, oiri, wokhala ndi tinthu tosiyanasiyana ta chakudya. Pankhaniyi, mitundu ina ya kapamba imatha kukhala yofanana ndi wodwalayo, koma zovuta zam'mimba zilipobe, zomwe zitha kufotokozedwa mwakuya m'mimba kapena kutsekemera pang'ono m'derali mutadya kapena kumwa.

Zomwe zimayambitsa kutupa kwapancreatic zimagwirizanitsidwa ndi moyo wopanda thanzi komanso chibadwa. Atha kukhala:

kuperewera kwa zakudya m'thupi
uchidakwa
kutupa kwamatumbo,
matenda a minofu ofala
mavuto obwera chifukwa chomwa mankhwala,
kuvulala
cholowa cholowa matenda.

Imfa atazindikira koyamba matenda a kapamba ndi mpaka 20% pazaka 10 zoyambirira. Pambuyo pazaka 20, odwala oposa 50% amamwalira. Zomwe zimayambitsa imfa ndizovuta zomwe zimakhudzana ndi kufalikira kwa kapamba, kuchepa kwamatumbo ndi matenda. Chiwopsezo cha khansa ya pancreatic mu pancreatitis yayitali imawonjezeka nthawi 5.

Pafupifupi njira 90 zosiyanasiyana zofufuzira zingagwiritsidwe ntchito kuzindikira matenda a kapamba. Tsoka ilo, ambiri aiwo saulula magawo oyambilira a matendawa. Chiwerengero chambiri cholakwika chazovuta chimayenderana ndi mtundu wa multisymptom ndi gawo la matendawa omwe amawonetsa pancreatitis yosatha, kusowa kwaukadaulo kwa zida zamankhwala, komanso kusowa kwa ma algorithms odziwika bwino.

Kuzindikira kumatha kuchitika pambuyo pa kufufuza kwathunthu, komwe kumaphatikizapo:

Kuyesa kwamagazi kachipatala kuti mupeze zizindikiro za kutupa ndi kuchuluka kwa leukocytes, kuchuluka kwa ESR ndi zizindikiro zina.
Kuyesa kwa magazi a biochemical kuti mudziwe kuchuluka kwa michere ya pancreatic.
Urinalysis kuti muwone ngati ili ndi amylase.
Kuwunikira kwa fecal kwa fiber yoperewera.
Ultrasound yam'mimba kuti muwone kusintha kwa kapamba ndi ziwalo zina zam'mimba.
Gastroscopy
Zojambula zam'mimba.
Endoscopic retrograde cholangiopancreatography (ERCP).
Ntchito zoyeserera pambuyo pa shuga kapena kutsitsa kwa mankhwala.

Monga diagnostics, njira zamankhwala zochizira matendawa zimafunikira njira yophatikizidwa ndipo cholinga chake ndikukhazikitsa ndikukhazikitsanso ntchito zapancreatic.

Matenda a kapamba amafunikira kudya, chithandizo chamankhwala, ndipo, nthawi zina, kuchitapo kanthu opaleshoni. Popeza pancreatitis yayitali imatha kukhala ndi zifukwa zosiyanasiyana ndipo imasiyana mu kuchuluka kwa kuledzera, pamangokhala yankho limodzi ku funso lmomwe mungagwiritsire matenda a chifuwa: muyenera kuyitanitsa ambulansi nthawi yomweyo ndikutumiza wodwala kuchipatala kuti akamupime mayeso oyenerera. Ndipo masiku atatu otsatirawo, njala, kupumula pamalo oonekera, mpweya wabwino komanso kuzizira (gulu la madotolo lisanachitike, muyenera kuphatikiza ndi madzi oundana ndi ayezi kumalo am'mimba ndikuwongolera chipindacho).

Kumwa mankhwala a chifuwa chamtundu wamagulu kumalimbana ndiku kuthetsa mavuto angapo:

Mankhwala opweteka. Kupitilira kutulutsa pancreatitis kosatha, monga lamulo, kumayendetsedwa ndi ululu waukulu, kupumula komwe kumachitika ndi mankhwala monga No-shpa, Novocain, Papaverine, Platifillin, Atropine, nthawi zina? Adalits. Koma palibe chifukwa chomwe muyenera kugwiritsa ntchito aspirin, Nise ndi NSAID ena! Samangokwiyitsa mucosa, komanso amachepetsa magazi, zomwe zimathandizira kutuluka kwa magazi.
Pancreatic secretion kukakamiza. Proton pump inhibitor, omeprazole, ndi mankhwala monga contracal amagwiritsidwa ntchito.
M'malo mankhwala kutsitsa ziphuphu mu mawonekedwe a lipase, amylase, proteinase, ndiye kuti, kapamba, omwe amagulitsidwa pansi pa mayina amalonda Festal, Mezim, Creon, Panzinorm, Digestal, etc.
Mankhwala othandizira popewa kukula kwa matenda opatsirana kapamba. Maantibayotiki opepuka monga Ampicillin ndi omwe amapatsidwa.
Ngati kuphwanya magazi-electrolyte bwino, m`malo mankhwala amakhazikitsidwa mu mawonekedwe a saline ndi zokhudza thupi mayankho.

Mankhwala othandizira opha pancreatitis achindunji mwachindunji. Njira zosadziwikiratu zimaphatikizapo opaleshoni pamitsempha yam'mimba, thirakiti lam'mimba, ndi neurotomy. Zowongolera? kukhetsa kwa cyst, kuchotsa miyala, kufufutidwa kwachimbudzi.

Mankhwala ochizira pancreatitis akuwoneka milandu zotsatirazi:

mawonekedwe ovuta a matendawa, omwe amaphatikizidwa ndi jaundice wovuta,
Ululu wammbuyo womwe sutha ndi chithandizo cha nthawi yayitali.
mawonekedwe a chotupa.

Odwala omwe ali ndi pancreatitis yayitali pakukhululukidwa akuwonetsedwa ngati chakudya choletsa mafuta komanso mapuloteni ambiri. Zakudya zokometsera ndi ma coarse fiber, kofi, cocoa, sodas ndi zakumwa wowawasa siziyenera kuyikidwa pambali. Madzi ocheperako akuwonetsedwa: Slavyanovskaya, Smirnovskaya, Essentuki No. 4. Zakudya zam'madzi, 5-6, nthawi zina 8 patsiku. Pakati pakuchulukitsa, kusala kudya kumayendetsedwa kwa masiku 2-4.

Chithandizo cha chifuwa chachikulu mu chipatala komanso ngati sichingatheke sichingalephereke. Mowa umasokoneza kapamba, chifukwa chake, pofuna kupewa, uyenera kusiyidwa kwathunthu. Ndikofunika kuchitira matenda am'mimba, m'mimba ndi duodenum munthawi yake, chakudya choyenera chopanda mafuta a nyama ndi zonunkhira zotentha ndizofunikira. Izi zithandizira kuti chifuwa chachikulu chizitha nthawi yayitali.

Kuthandiza pancreatitis mu chipatala chachikulu cha Moscow

Kodi kuchitira kapamba? Zachidziwikire, ku chipatala chomwe chili ndi zida zonse zothandizira kudziwa ngati ali ndi antchito odziwa bwino za udokotala. Matenda a kapamba posachedwa apezeka, mankhwalawa amayamba mwachangu osadikirira zovuta komanso zovuta zomwe zimafunikira kuyikidwa kuchipatala. Dera lamakono lazachipatala ndipo madotolo oyenerera akudikirani mukadwala kachipatala wamba "ABC-mankhwala". Zakhala zikuthandiza bwino ana ndi akulu kwa zaka 20, malo osangalatsa adapangidwa, mitengo yamsika pamsika pamagulu antchito. Chipatala chodziwitsa za anthu omwe ali ndi vuto loti "mankhwala a ABC" akhazikika mosavuta pakati pa Moscow

Zachipatala "mankhwala a ABC":

Clinic ku Chistye Prudy - License LO-77-01-012180 de Epulo 21, 2016, loperekedwa ndi Dipatimenti ya Zaumoyo ku Moscow.
Clinic ku Baumanskaya - laisensi LO-77-01-013027 kuyambira pa Seputembara 1, 2016 idaperekedwa ndi Dipatimenti ya Zaumoyo ku Moscow.
Clinic pa "Street of 1905" - layisensi LO-77-01-013523 yolembedwa Novembara 23, 2016 yoperekedwa ndi Dipatimenti ya Zaumoyo mumzinda wa Moscow.
Clinic ku Kolomenskaya - layisensi LO-77-01-012454 ya pa 8 June, 2016 yoperekedwa ndi Dipatimenti ya Zaumoyo ku Moscow.
Polyclinic pa "Running" - layisensi LO-77-01-013720 ya pa Disembala 28, 2016 yoperekedwa ndi Dipatimenti ya Zaumoyo ya mumzinda wa Moscow.
Clinic ku Balashikha - layisensi LO-50-01-007895 ya pa Julayi 28, 2016 yoperekedwa ndi Unduna wa Zaumoyo ku Moscow Region.
Zachipatala ku Kommunarka ndi Romashkovo - layisensi ya LO-50-01-009187 ya Novembara 14, 2017 idaperekedwa ndi Unduna wa Zaumoyo ku Moscow Region.
Clinic ku "Culture Park" - License LO-77-01-014762 de August 30, 2017 idaperekedwa ndi Dipatimenti ya Zaumoyo ku Moscow.

Matenda a kapamba ndimatenda am'mimba, chithandizo chamankhwala chomwe sichingayambitse zovuta zambiri, mpaka khansa ya kapamba.

Tomography yophatikizidwa imatha kupereka chithunzi chowoneka bwino cha ziwalo, kuphatikizapo kapamba.

Mapulogalamu apadera azachipatala adzapulumutsa kwakukulu pakuwunika kwathunthu kwa kapamba.

Kuzindikira ndi kuchiza pancreatitis ndi njira yoyenera yomwe ingathe kudalirika kwa akatswiri. Zokonda ziyenera kuperekedwa kuzipatala zamakono zokhala ndi zida zabwino komanso madotolo oyenerera.

Aleksandrovsky, Y. A. Matenda a shuga. Zoyeserera komanso zokopa. Machaputala Osankhidwa / Ya.A. Alexandrovsky. - M: SIP RIA, 2005 .-- 220 p.
Watkins, Peter J. Matenda a shuga mellitus / Watkins, Peter J. .. - M .: Beanom. Laborator of Chidziwitso, 2006. - 758 c.
Anastasia Osokina und Olga Barbarash Acute coronary syndrome ndi mtundu wa matenda a shuga a 2., LAP Lambert Academic Publishing - M., 2011. - 116 p.
Nikberg, I.I. Matenda a shuga / I.I. Nickberg.- M.: Zdorov'ya, 2015. - 208 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi ndiyenera kudya bwanji ndi matenda amtunduwu?

Mu nthawi pambuyo kuchuluka kwa kapamba, wodwalayo mankhwala mankhwala No. 5 mogwirizana ndi mankhwala.

Zakudya zopatsa thanzi zimathandizira kusintha magwiridwe antchito, monga chakudya chotere.

Ngati ndi kotheka, ma enzymer omwe amalimbikitsa kuphatikiza bwino zakudya amapatsidwa.

Zofunika! Kupatsa thanzi kumatanthauza kugwiritsa ntchito kuchuluka kwa mapuloteni, pomwe kumachepetsa michere ndi mafuta.

Mavitamini amayenera kupezekanso muzakudya za tsiku ndi tsiku, zakudya zimaphikidwa kokha pamwayi kapena mu uvuni.

Uphungu! Osamadya chakudya chozizira komanso chotentha kwambiri, magawo azikhala ochepa.

Ndi zinthu ziti zomwe zimapanga menyu?

Pofuna kuchepetsa zizindikiro komanso kuthana ndi chifuwa chachikulu cha chifuwa cham'mimba, zakudya zimayikidwa pogwiritsa ntchito izi:

mkate dzulo wa tirigu,
Maria makeke
mbewu yophika madzi - semolina, buckwheat, mpunga, oatmeal,
kanyumba tchizi casseroles,
Tchizi chamafuta ochepa, kefir (kirimu wowawasa amawonjezeredwa ku chakudya chomalizidwa),
tchizi zolimba zopanda mafuta.

Zakudya zopatsa thanzi koma zopepuka komanso nkhuku, monga nkhuku, kalulu, nkhuku, ng'ombe, zimalimbikitsidwa, magawo opanda mafuta amasankhidwa. Chachikulu ndichakuti nyamayo imadulidwa.

Masamba ophika masamba ndi mbatata zabwino, dzungu, kaloti ndi zukini amalimbikitsidwa tsiku lililonse kuti agwiritse ntchito. Mu supu zotere, onjezerani semolina, buckwheat, mpunga, oatmeal, nthawi zina vermicelli imaloledwa.

Chakudyacho chimaphatikizapo masamba omwe amaphika kapena kuwiritsa: kaloti, mbatata, dzungu, beets, kolifulawa.

Mitundu yopanda acidic imaloledwa kuchokera ku zipatso (imatha kuphika, kuwotcha, kuphika zakudya ndi zakumwa za zipatso zochokera zipatso ndi zipatso, zatsopano kapena zouma). Zipatso zingapo za semisweet ndi mabulosi amsuzi (ufa suvinidwa mu poto).

Masamba ophika masamba ndi mbatata zabwino kwambiri, dzungu, kaloti amalimbikitsidwa.

Chakudyacho chimaphatikizapo kugwiritsidwa ntchito ndi mafuta otsika ophika kapena owiritsa, otayika mu mawonekedwe osweka, amatha kukhala tizidutswa tating'onoting'ono. Ma cell a proteni amaloledwa (osaposa 2 patsiku).

Mafuta ophikira amagwiritsidwa ntchito kokha mu chakudya chophika, osapitirira 15 ml, kirimu wosapitirira 30 g.

Lekani malonda a chifuwa chachikulu

zinthu zatsopano zophika
msuzi pa nyama ndi msuzi wa bowa, borsch,
nyama ndi nsomba zamakala amafuta,
malonda osiyanasiyana omaliza,
tchizi chamafuta, zonona wowawasa ndi zonona,
mazira okazinga ndi owiritsa, nyemba,
ngale balere, chimanga ndi barele zipatso, mapira.

Yang'anani! Simungadye adyo, radishi, sorelo, anyezi ndi bowa.

Muyenera kuiwala maswiti osiyanasiyana (chokoleti, kupanikizana, maswiti, makeke). M nthochi, nkhuyu ndi mphesa zimaletsedwanso.

Zonunkhira, msuzi zimasiyidwa kwathunthu kuchokera muzakudya, mchere umaloledwa pang'ono.

Timapatula adyo, radishi, sorelo, anyezi ndi bowa, zonunkhira kuchokera muzakudya

Muyenera kusiyiratu tiyi ndi khofi, madzi otsekemera. Kwa munthu amene akudwala matenda a kapamba, muyenera kutsatira zakudya kuti muchepetse kuchuluka kwa matendawa.

Zoyambitsa zazikulu za kapamba

Ntchito ya kapamba wa munthu wamkulu imayendetsedwa ndi zinthu zambiri - kadyedwe, zizolowezi zoipa, thanzi lanu, moyo wonse. Kuti BZHU ibwere ndi chakudya kuti izikhala ndi chakudya chokwanira m'mimba, ma enzyme ena ayenera kupezeka ndikupanga - pancreatin, lipase, ndi trypsin. Ngati, pazifukwa zilizonse, kapamba akuthyoka, sangathe kupanga ma enzymes ofunikira kuti chimbudzi, kugaya chakudya kugwe pansi, madzi a pancreatic amadzilimbitsa m'thupi, zomwe zimapangitsa kuti ntchito ya chiwonetsero ichitike.

Childs, pachimake pancreatic kutupa mu akulu chifukwa cha:

chakudya kapena chakumwa choledzeretsa,
kudya kwambiri
kudya zakudya zonenepetsa kwambiri kapena zonunkhira kwambiri,
kuvulala kwa kunja kwam'mimba khoma ndi kufalikira kwamkati.

Monga lamulo, kapamba samakonda kukhala ngati matenda oyima pawokha, nthawi zambiri ziwalo zina zam'mimba zimagwira nawo gawo la pathological - m'mimba, duodenum, chikhodzodzo, komanso matumbo aang'ono. Kuzindikira koyenera kumakhala kovuta chifukwa chakuti kapamba amapezeka mkati mwa m'mimba, kukula kwake ndikochepa, ndipo ndi kutupa kwa chiwalo, zizindikiro zimawoneka ngati njira zina za pathological.

Pali zinthu zingapo zomwe zingayambitse matenda a chamba kapamba:

Matenda amisala yodwala komanso chikhodzodzo - ndi chimodzi mwazomwe zimayambitsa. Miyala ikakumana mu ndulu, kufinya kwa ndulu zikuluzikulu, kapamba amakumana ndi mankhwala amomwe amachititsa. Imadziunjikira zinthu zomwe zimapangitsa kuti ma enzymes omwe amapanga azitsutsana ndi minofu yawo. Zotsatira zake, minofu ya zikondamoyo imayamba kusokonekera, kuwonongeka kwa mitsempha yamagazi kumachitika, zotupa zimatuluka ndipo njira yotupa yopweteka imayamba.
Matenda a duodenum ndi m'mimba - ngati sphincter ya Oddi ndi yotsika, zomwe zili m'matumbo zimatha kuponyedwa m'mizere ya kapamba, ndikuyambitsa kutupa. Nthawi zambiri zimachitika motsutsana ndi maziko a matenda monga gastritis, zilonda zam'mimba komanso zilonda zam'mimba.
Kuledzera ndi poyizoni wa thupi - kapamba m'mimba mwa achikulire nthawi zambiri amakula motsutsana ndi poyambira poyizoni ndi zakumwa zoledzeretsa, zakudya zopanda pake, mankhwala osokoneza bongo, mankhwala. Kuphatikiza apo, masamba osakhala a nyengo ndi zipatso omwe ali ndi mankhwala ophera tizilombo komanso zowonjezera zamankhwala zimatha kuyambitsa zovuta pa kapamba ndi kutupa kwake.
Matenda oopsa a arterial, matenda a shuga, mellitus, pakati - pakakhala kusokonezeka kulikonse m'matumbo komanso mthupi lonse, chiopsezo chotenga matenda opezeka pachifuwa chimawonjezeka, chifukwa motsutsana ndi maziko osowa magazi m'mimba, chakudya chake chimasokonekera, ischemia imayamba, kupanga ma enzyme ndi mahomoni amapita pansi, zomwe zimatsogolera kwa chotupa.
Kudyetsa pafupipafupi - kudya kwambiri mthupi, mafuta a metabolism amasokonezedwa chifukwa cha kuchuluka kwa kapamba. Ndi kudya kwambiri nthawi zonse, chiopsezo cha matenda a kapamba komanso kutupa kwake kumawonjezeka.
Kumwa mankhwala ena - kumwa kwa nthawi yayitali komanso osalamulirika monga tetracycline, sulfonamides, glucocorticosteroids, mankhwala okhala ndi estrogen kumabweretsa vuto la gland ndipo kumawonjezera mwayi wokhala ndi matenda ndikutupa kwa kapamba.
Kuvulala - kuwomba khoma lakunja kwam'mimba, kuvulala, ntchito zomwe zimachitika pa duodenum 12 zingayambitse kutupa kwa akuluakulu a kapamba.

Zizindikiro za kapamba mwa akulu

Kutupa kwachimbudzi kwa kapamba kumayendera limodzi ndi zizindikiro zofanana ndi poyizoni, wodwalayo ali ndi:

kupweteka kwambiri pamimba (epigastric zone ndi navel) ya chikhalidwe chomanga chodzaza ndi msana wam'munsi, impso - chifukwa cha kuphatikizika kwa ululu wamankhwala, wodwalayo sangamvetsetse zomwe zikuvutitsa,
Kutentha kwakukulu ndikulumphalumpha m'magazi - ndikamvekera kwambiri ndi kutukusira kwa ndulu, mkhalidwe wake umadwalanso. Kutentha kwakuthupi mpaka madigiri 39, kuzizira, kutentha thupi kwambiri, kuthamanga kwa magazi kapena kuchepetsedwa kwambiri,
kusanza ndi kusanza kosalephera - zitatha zam'mimba kutulutsidwa kunja, wodwalayo samva kupumula, nseru ikupitilirabe kumuzunza komanso kumuwopseza kusanza.
malamba, kutentha kwache,
kutsekula m'mimba - chopondapo pachimake cha kapamba wokhala ndi vuto lofooka, chokhala ndi mafuta ambiri, zotsutsa, zobiriwira, komanso chakudya chosapezeka bwino zimawonekera pang'onopang'ono.
khungu, mawonekedwe amdima, mawonekedwe a halitosis, kufupika kwa mpweya,
ukufalikira.

Zofunika! Mu chilonda chachikulu cha pancreatitis, mkhalidwe wa wodwalayo umakulirakulira msanga, zomwe zimapangitsa kuti matendawa asinthe kwambiri kapena angayambitse matenda a chamba (pancreatic necrosis). Kuti mupewe kukula kwa zovuta pazizindikiro zoyambirira za matendawa, muyenera kufunsa chithandizo chamankhwala msanga.

Zikondwererozo zimakhala ndi mutu, thupi ndi mchira. Kutengera gawo lomwe gawo lachiberekero limapangidwira, zizindikirozo zimasiyana pang'ono:

ndi kutupa kwa mutu wa England, wodwala amamva kupweteka mu hypochondrium yoyenera,
ndi kutupa kwa thupi lachitsulo - m'chigawo cha epigastric,
ndi kutupa kwa mchira - kumanzere hypochondrium.

Ngati tiziwalo timene timayaka, ndiye kuti wodwalayo amakhala ndi nkhawa chifukwa cha ululu wowopsa wa herpes zoster ndi zotupa pansi pa masamba, msana, impso.

Chithandizo cha kapamba mu akulu

Mfundo zazikulu zochizira pancreatitis pachimake mu akulu ndi njala. Ndi kuchulukitsa kwa matendawa kwa masiku 1-2, chakudya chilichonse chimasiyidwa kwathunthu. Ingomwa madzi oyera, madzi okha. Ngakhale kuthana ndimatenda a wodwalayo ndikusanza kumapitilizabe, kutsekula m'mimba kumapitilizabe, pofuna kupewa kupewetsa madzi mthupi, kugwiritsa ntchito magazi mthupi kumachitika - kulowetsedwa kwa njira zamchere ndi glucose wokhala ndi mavitamini.

Chikhodzodzo cha ayezi chimayikidwa pa epigastrium ya wodwalayo, yomwe imachepetsa ululu, kuchepetsa ululu komanso kutulutsa kutupa. Wodwala amayenera kupuma pabedi ndikuonetsetsa kuti akupumula kwathunthu.

Zofunika! Ngati matendawa adayamba kwa nthawi yoyamba, ndiye kuti sikulimbikitsidwa kumwa mankhwala aliwonse opweteka kapena antispasmodics asanafike ambulansi, chifukwa izi zitha kupangitsa kuti azindikire. Kuphatikiza apo, kupweteka kwapakhosi pamimba, kusanza komanso kusanza kumatha kuonetsa kuti ali ndi opereshoni yomwe imafunikira kuchitapo kanthu mofulumira kuti apulumutse moyo wa wodwalayo.

Njira yothetsera kutupa itatha, wodwalayo akuwonetsedwa zakudya zopatsa thanzi komanso mankhwala - michere, antispasmodics, probiotic.

Zakudya ndizopatula kwathunthu kuzakudya:

Zakudya zokazinga, zonunkhira, zonunkhira, viniga, mafuta osuta,
bowa
nkhumba, mwanawankhosa, wochotsa,
mafuta
batala
pasitala (vermicelli yekha amaloledwa),
mowa
khofi
chokoleti, koko
makeke, makeke, maswiti,
buledi watsopano.

Maziko a chakudyacho ndi mbale zamphaka ndi zamasamba, zophika, zophika ndi kuwira ndi kutumiza ndi mafuta ochepa.

Pakudya, wodwalayo ayenera kukonzekera michere yomwe imathandizira kapamba ndikuthandizira kugaya bwino:

Popeza pancreatitis pachimake imayendera limodzi ndi kutsekula m'mimba, ma protein amapatsidwa kuti abwezeretse matumbo a microflora kwa wodwalayo panthawi yopuma: