Zimayambitsa kapamba ndi magawo a matendawa

Chikhansa chimadziwika kuti ndi chimodzi mwazinthu zovuta kwambiri m'thupi la munthu. Mavuto a gland ndi ovuta kuzindikira, ndipo zikafika, zimakhala zovuta kwambiri kubwezeretsanso ntchito ya thupi.

Kagayidwe ndi chimbudzi chokwanira chimatengera ntchito ya kapamba. Kafukufuku wazachipatala akuwonetsa zoposa 200 zomwe zimayambitsa kapamba.

Zomwe zimayambitsa zovuta zapancreatic ndimatenda a gallstone komanso uchidakwa. Ndikudziwika bwino kuti vuto ndi m'mimba ndipo, makamaka, ndi kapamba kumapezeka mwa anthu ambiri omwe amamwa mowa mwandondomeko.

Komabe, lero tikambirana zomwe zimayambitsa matenda monga kapamba, zomwe zimayambitsa, kuwonjezera pa kuperewera kwa zakudya m'thupi.

Mitundu yayikulu ya kapamba

Pali mitundu iwiri yayikulu yamatenda a kapamba - kuwonongeka kwa pancreatitis yovuta kapena yopweteka. Zomwe zimayambitsa pancreatitis ndizambiri. Zofunikira kwambiri zimaphatikizira kagayidwe kachakudya mu kapamba kapena ziwalo zina, kuwononga thupi ndi zinthu zakupweteka, kuyamwa ndi mankhwala amphamvu, matenda opatsirana, kuwonongeka kwa mtima.

Matenda

Matenda omwe amayamba chifukwa cha kutupa kwa kapamba amatchedwa chronic pancreatitis. Psychology yotere imachitika kwa nthawi yayitali ndikuwonetsa munthu wopita patsogolo.

Kukula kwa matendawa kumatenga zaka, nthawi zina kumayendera limodzi ndi kufalikira kwakanthawi. Nthawi yamatendawa, kapamba amapukusika, minofu ya m'mimba yake imasinthidwa ndi cicatricial, kupanga kwa mapuloteni othandizira kumachepa, komwe kumayambitsa kulephera kwa magwiridwe antchito.

Fomu yovuta

Pachimake kapamba ndimatenda wamba. Matenda amtunduwu amachiritsidwa, koma mu 20% ya nthendayi imachitika. Imfa mu zotupa za England ndi pancreatitis pachimake ndi 10%, ndipo mavuto akacitika, amakula mpaka 40%. Munthawi yamatendawa, matendawa amatayika, ndipo pachimake, minofu imawonongeka ndi michere yake.

Zomwe zimayambitsa matendawa

Muzochitika zambiri, zomwe zimayambitsa kapamba zimayambitsa matenda osokoneza bongo komanso uchidakwa. Zinthu zotere zimakhala chifukwa chakukula kwamatenda amtundu komanso owopsa a matendawa. Mwachitsanzo, ndi kusanza komwe kumachitika chifukwa cha kuledzera, kusanza kwam'mimba kumalowa m'matumba a kapamba. Zikakhala zotere, njira yotupa imayamba, zomwe zimapangitsa kuti pakhale matenda. Kukula kwakukulu kwa matendawa kumachitika ndi kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali.

Zomwe zimayambitsa pancreatitis yayikulu ndi kuvulala kwamkati pamimba (kuphulika ndi chinthu champhamvu kwambiri, ngozi).

Zifukwa zina zimaphatikizapo:

• Zakudya zoyipa
• Kumwa mankhwala amphamvu posagwirizana ndi zofunikira,
• Matenda opatsirana
• Viral chiwindi,
• Poizoni
• Matenda a Endocrine
• Njira za Endoscopic zomwe zimavulaza kapamba.

Magawo a kukula kwa matenda omwe ali kale

Matumbo amalumikizana ndi zikondamoyo kudzera m'miyendo. Mothandizidwa ndi ducts zachitsulo zimaperekedwa ndi michere yam'mimba. Izi zikatsekeka, chimbudzi chimasokoneza, ndipo matendawa amakula. Zomwe zimalepheretsa ma ducts ndikupangidwe kwa mapuloteni ndi ma gallstones, zomwe zimachitika chifukwa cha kusokonekera kwa metabolic.

Magawo akulu ndi awa:

1. Gawo loyamba (nthawi ya matendawa ndi zaka 5 mpaka 10) - mawonekedwe osinthika a nthawi zakukhululuka komanso kukokosera ndi mawonekedwe apa. Ndi chiwonetsero cha kufalikira, kupweteka kumachitika ndi mphamvu zosiyanasiyana komanso magawo osiyanasiyana a kapamba.
2. Gawo lachiwiri limachitika patadutsa zaka 5 mpaka 10 matendawa. Zizindikiro zofotokozera: kupweteka ndi kufalikira sikutchulidwa, exlandine gland kusowa, kuwonda mwadzidzidzi popanda chifukwa.
3. Kukula kwamavuto kapena kuzindikira kwa njira yogwira mtima. Mavuto a pancreatitis omwe amaphatikizana ndi akuluakulu ndi chifukwa cholephera kusiya mowa, kulephera kudya.

Zomwe zimayambitsa kutupa

Pancreatitis ndimatenda a kapamba. Zimayendera limodzi ndi njira zotupa komanso zoperewera. Chaka chilichonse, kuchuluka kwa anthu omwe amapezeka ndi kapamba, zomwe zimayambitsa kubereka ndikupeza, zikukula mwachangu. Komanso, matendawo ayamba kuchepera. Ngati zaka 5-7 zapitazo, kudwala kwamatenda kunakhudza anthu ambiri azaka zopitilira 30, lero zimapezekanso paunyamata.

Omwe akuvutika ndi pancreatitis ndi anthu omwe amakonda kudya kwambiri, kumwa kwambiri mafuta osokoneza bongo, zakumwa zoledzeretsa. Zina zomwe zimayambitsa kupangitsa kuti chiwonjezeke chopanga ma enzymes ena azikhala ndi kapamba, zomwe zimayamba kuchititsa kutupa.

Zomwe zimayambitsa matenda:

• kumwa mowa mwauchidakwa, makamaka wopanda vuto - kuledzera ndikuwongolera matenda.
• matenda a biliary thirakiti (gallstone matenda), chiwindi,
• kuwonongeka kwamakina ziwalo zam'mimba chifukwa cha kuvulala,
• Zowopsa zamankhwala - diuretics, estrogens, maantibayotiki,
• kukhudzana ndi zakumwa zapakhomo, chakudya ndi mafakitale,
• othandizira opaleshoni
• matenda kapena matenda opatsirana - mycoplasmosis, mitundu ina ya chiwindi, mumps,
• onenepa kwambiri
• poyizoni
• kusamvana kopitilira muyeso - kufupikitsa njira, ma neoplasms oyipa,
• kuperewera kwa zakudya m'thupi - njala, kudya kwambiri, kudya zakudya zoyipa,
• endocrine pathologies, mwachitsanzo, hyperparathyroidism,
• nyongolotsi (zozungulira),
• kusintha kwa mahomoni,
• matenda amtima
• chibadwa.

Mwa anthu ena, ndi kupezeka kwa kapamba, zomwe zimayambitsa sizingakhazikike. Izi zimachitika mu 25- 35%.

Kodi njira yotupa imayamba bwanji?

Zinyalala ndi ma tubules a chiwalocho amakhudzidwa chifukwa cha kupangidwa kwa miyala kapena mapulula a protein. Chifukwa china chopititsa patsogolo kukonzekera kwa matenda a m'mimba ndikuyamba kugwira ntchito kwa ma enzymes omwe amatulutsidwa ndi kapamba. Potengera maziko awa, maselo a gland awonongeka.

M'mawu osavuta, pakakhala chosokoneza, mwachitsanzo, calcine (mwala), kutsekereza duct ya bile, pamakhala kuwonjezeka kwa kukakamizidwa. Kutuluka kwa katulutsidwe kamatupa, ndipo michere yowonjezera imayatsidwa. M'malo mochita ntchito yake mwachangu kupukusa chakudya, katulutsidwe kamataya umayamba m'mbali mwa ziwalozo, zomwe zimayambitsa kutupa.

Kutupa kosagwirizana kumayendetsedwa ndi kusintha kwa minofu yamoyo. Pang'onopang'ono zimayamba.

Kodi chithandizo chake ndi chiani?

Chithandizo cha pancreatitis chimaphatikizapo kuchotsedwa kwa zomwe zimayambitsa matenda, kudya kwazakudya, komanso kugwiritsidwa ntchito kwa narcotic analgesics kuti muchepetse kupweteka. Madontho okhala ndi mayankho a saline, mankhwalawa omwe amatchinga ntchito za michere amakhazikikanso. Kuchotsa minofu yowonongeka ya pancreatic kumachitika m'njira yogwira ntchito.

• zododometsa
• pachimake chiwindi, aimpso kulephera,
• m'mimba ndi magazi m'matumbo,
• mtima thrombosis,
• zotupa zotupa,
• kutupa kwa peritoneum,
• pleurisy, chibayo,
• chotupa choteteza
• zotupa
• cysts
• fistulas.

Amayambitsa matenda owopsa a matenda

Pancreatitis pachimake ali mu malo a III pambuyo pa appendicitis, cholecystitis. Njira yayikulu ya matendawa imayambitsa kufalikira kwa zotumphukira kuzinthu zapafupi.

Mu mawonekedwe acute, omwe amapezeka kwambiri, mulingo wazinthu zina zofunikira m'magazi umakwera kwambiri. Izi zimayambitsa kusokonezeka kwachiwiri ndi kusokonezeka kwa dystrophic.

Mwanthawi yovuta, kapamba amadzigaya wokha. Nthawi zambiri, kutupa kwambiri kumachitika chifukwa cha uchidakwa komanso kuponyera ndulu.

Palinso zifukwa zina za kapamba:

• zakudya zopanda thanzi
• mankhwala a nthawi yayitali,
• zotupa za khansa
• kuchitapo kanthu pochita opaleshoni, limodzi ndi kuwonongeka kwa ma tubules,
• kuyambitsa kwa othandizira pakuyesa kwa x-ray,
• shuga mellitus ndi endocrine pathologies ena,
• herpes, hepatitis.

Zoyambitsa Kutupa Kwambiri

Matenda osachiritsika a matendawa nthawi zambiri amayamba ndi kuwononga kwamphamvu kutupa. Koma nthawi zina zimachitika mobisa, komanso kwa nthawi yayitali. Nthawi yomweyo, munthu amamva kusasangalala, koma palibe zodziwika zomwe zimafuna chithandizo chamankhwala mwadzidzidzi. Zomwe zimayambitsa matendawa:

• zolakwika zazikulu pazakudya,
• uchidakwa
• chibadwa
• zotupa zam'mimba,
• kusunthika kwa magazi m'mitsempha ya chiwalo,
• poyizoni poizoni.

Mu mawonekedwe osakhwima, kuchitika kwa chiwopsezo kumachitika. Pancreatitis pachimake ndi kuwonjezereka ndi mitundu iwiri yosiyana ya zamankhwala. Kuchulukitsa ndikuwopseza mobwerezabwereza. Vutoli limatha kuchitika mwa anthu omwe ali ndi mtundu wa matenda amisala.

Pancreatitis pachimake, vuto la kuperewera kwa chakudya komanso mankhwala okwanira, amakhala osakhazikika.

Chifukwa chiyani khanda limakula paubwana

Kutupa kwa ana kumayamba kawirikawiri kwambiri, chifukwa zinthu zambiri zomwe zimayambitsa kutupa zimangokhala kulibe. Zoyambitsa kapamba zimatha kukhala:

• Zovuta zakukula kwam'mimba,
• Zakudya, kusowa kwa lactase,
• cystic fibrosis ndi mwatsatanetsatane matenda opatsirana omwe amayamba chifukwa cha majini, omwe amadziwika chifukwa cha kusagwira bwino ntchito kwa minyewa,
• helminthic infest ambiri makamaka ozungulira,
• bile ductfunction,
• kuperewera kwa zakudya m'thupi
• kuvulala kwam'mimba
• kuchita zolimbitsa thupi kwambiri.

Nthawi zambiri zomwe zimayambitsa kukula kwa zotupa mu makanda, ndizovuta zam'mimba pakukula kwa fetal. Mwachitsanzo, awa akhoza kukhala mipata yaying'ono ya ma tubules osakhalapo kapena kusakhalapo kwathunthu.

Makanda amadwala kapamba chifukwa cha ziwengo za chakudya, zomwe zimatha kupatsidwanso kuchokera kwa mayi kupita kwa mwana wosabadwayo.

Cystic fibrosis ndi chifukwa china chopititsa kukhazikitsidwa kwa ziwalo mwa akhanda. Matendawa ndi obadwa nawo, amadziwoneka yekha chaka choyamba cha moyo. Pankhaniyi, ntchito ya tiziwalo timene timatulutsa kunja, kuphatikiza zikondamoyo, imasokonekera. Kusintha kowononga kotereku mu chiwalo, pakalibe chithandizo chofunikira, kuchuluka, kupita patsogolo. Pakapita kanthawi, ziwalo zam'mimba zimachira.

Maonekedwe a matenda muubwana amawonedwa motsutsana ndi maziko a mphutsi. Ma parasitisi amatha "kukhazikika" mwa ana kuposa akuluakulu, makamaka zaka zam'mbuyo. Matenda a pancreatic amapezeka ngati chozungulira chikulowa mumkono, ma curls mmwamba. Pali kufalikira kwa mzerewo, kutupa kumayamba.

Mavuto akudya ndi chimodzi mwazomwe zimayambitsa matendawa ali ana. Ndipo masiku ano kuchuluka kwa ana odwala kumakulirakulira makamaka chifukwa chogwiritsa ntchito zakudya zovulaza - koloko, tchipisi, zopopera, Zakudyazi zapompopompo, zakudya zothamanga, zakudya zamafuta kwambiri komanso zamkaka.

Ana ena amatenga matenda am'mimba chifukwa cha kuvulala kwam'mimba, komwe kumakhala kofala kwambiri pakatha zaka 1 mpaka zaka 3, mwana akamayamba kuyenda.Munthawi imeneyi, ndikofunikira kuyang'anira mwana, kupewa kuvulala.

Mankhwala osagwiritsika ntchito kwa nthawi yayitali amakhala chifukwa cha pancreatitis ali mwana. Pachifukwa ichi, madokotala samalimbikitsa kuti azidzipatsa nokha mankhwala, makamaka ngati mwana ali ndi matenda enaake osachiritsika.

Poizoni wa mankhwala, kusakaniza koopsa kungayambitse kutupa. Ana amatha kumwa palafini, antifreeze, acetic acid, mankhwala ndi mitundu ina ya mankhwala. Ichi ndiye chifukwa china chowayang'anira ndi kuti asayiwale.

Njira yodwala yamatenda mu akulu mu 90% ndi zotsatira za kutupa kwapakati paubwana.

Pancreatitis, monga matenda ena aliwonse, ndizosavuta kupewa kupewetsa pochira. Choonadi ichi mwina chimadziwika ngakhale kwa ana asukulu. Njira yoyenera ya moyo, kukana zizolowezi zoyipa, kudya zakudya zoyenera ndi njira yabwino yopambana ndi thanzi. Izi ndizowona makamaka kwa anthu omwe ali pachiwopsezo ndi ana.

Ntchito ya pancreatic

Chikhansa ndi chinsinsi chomwe chimapanga mahomoni apadera ndi madzi a m'mimba. Popanda kupanikizika, ndizosatheka kuchita chimbudzi komanso kupangika kwathunthu kwa thupi la munthu.

Kondomu ndi yotalika masentimita 15 okha, koma kulemera kwake ndi magalamu 80 osachepera. Patsiku limodzi, thupi limabisala kuposa malita 1.4 a chimbudzi.

Ntchito yachinsinsi ya kapamba ndikuyendetsa madzi akumwa a pancreatic kupita nawo ku duodenum.

Madzi a pancreatic ali ndi ma enzymes angapo:

Zikondazo zimapanganso mahomoni:

Ma mahomoni awa ali ndi vuto la shuga m'magazi, amathandizidwanso pakupanga phospholipids ndi carbohydrate metabolism.

Zoyambitsa Pancreatitis

Zachidziwikire, kapamba amakhudzidwa mwachindunji ndi moyo ndi chakudya chomwe munthu amadya. Pofuna kugaya chakudya, mapuloteni ndi mafuta, kapamba amatulutsa michere yapadera, mwachitsanzo, ndi trypsin ya mapuloteni, ndi lipase ya mafuta.

Ndiye chifukwa chake kumwa kwambiri, zakudya zovulaza, mankhwala amabweretsa kutsika mu kutuluka kwa pancreatic madzi. Madzi amangokhala mu minyewa ya ndulu, osafikira duodenum, awa ndi zifukwa zoyambirira zomwe zimabweretsa mavuto ambiri, kuphatikizapo kapamba amayamba kukulira.

Chifukwa cha zovuta zam'mimba, njira yotupa imachitika, ndipo, ndiponso, kapamba kovuta. Zomwe zimayambitsa matendawa:

Palibe pafupifupi milandu pamene kutupa kumachitika ngati dziko lodziyimira payekha kapamba. Zikondwerero zimaphatikizidwa nthawi zonse mu matenda a pathological mu matenda aliwonse, makamaka dongosolo logaya chakudya.

Monga lamulo, mkhalidwe wa kapamba ndizovuta kudziwa, chifukwa kudziwa kuti chiwalo chaching'onochi ndi chovuta kwambiri. Ndikofunikira kudziwa momwe mungakonzekere moyenera pancreatic ultrasound kuti mupeze zotsatira zoyenera.

Chifukwa chake, pancreatitis pachimake imakhala ndi zifukwa zomwe zimadziwika padziko lonse lapansi.

Matenda a biliary thirakiti ndi ndulu

Choyambitsa ndichimodzi mwazofunikira pakuwonekera kwa pacreatitis, ndi matenda oopsa m'mitsempha yamafinya, kapangidwe kazinthu zosakanikirana zamankhwala zimayamba kukula msanga.

Ndipo pali kudzikundikira kwa zinthu zomwe zimayambitsa kutsegula kwa ma enzyme motsutsana ndi minyewa ya pancreatic. Mukuchita izi, mitsempha yamagazi imakhudzidwa, zomwe zimapangitsa kutupika kwambiri kwa minofu ndi kukha pambuyo pake.

Izi zimachitika 70% ya milandu yovuta yotupa mu kapamba. Mu 30%, kapamba amatha kukhala idiopathic.

Matenda a duodenum ndi m'mimba

Mapangidwe a osakwanira a sphincter a Oddi amawonekera ndi kuphwanya kwam'mimba, monga:

1. gastritis
2. kutupa kwa duodenal
3. zilonda zam'mimba
4. kufooka kwa ntchito yamagalimoto.

Matendawa, matumbo omwe amapezeka m'matumbo amatulutsidwa m'matumbo, komanso matenda a ndulu.

M'matenda otsatirawa, pali kuphwanya kayendedwe ka magazi m'magazi, komwe kumachepetsa zakudya zake, ndipo potero, mumayamba kupindika. Tilembera matenda awa:

1. matenda ashuga
2. mtima atherosulinosis
3. matenda oopsa
4. mimba

Mimba imakhumudwitsa uterine pazitseko, zomwe zimayambitsa mapangidwe a kapamba, chifukwa chake pamakhala chiopsezo cha pancreatitis pachimake.

Ma pancreatic enzymes amathandizira chakudya, mowa ndi poyizoni wa mankhwala. Intoxication ikhoza kukhala:

1. Zoopsa
2. Mchere
3. Acidic
4. Potengera maziko akuukira kwa helminthic.

Kugwiritsa ntchito masamba ndi zipatso zomwe zili ndi chiwerengero chachikulu cha mankhwala ophera tizilombo komanso kuthira mankhwala ambiri pazakudya kumathandizanso kuti ma enzymes azitsulo azitha.

Kuphatikiza apo, pali mankhwala angapo omwe amayambitsanso njirayi, pakati pawo:

• Mankhwala osokoneza bongo oletsa kuponderezana
• Furosemide
• Azathioprine
• Metronidazole
• Ma estrogens
• Tetracycline
• Thiazide okodzetsa
• Sulfonamides
• Glucocorticosteroids
• Cholinesterase Inhibitors

Nthawi zambiri, kapamba amawonekera mwa anthu omwe amadya kwambiri mwanjira iliyonse. Kuwonongeka kwa kagayidwe ka mafuta kumayambitsanso mphamvu yothandizira ma enzymes.

Ngati munthu ali ndi vuto lodana ndi kudya kwambiri, ndiye kuti chiopsezo chokhala ndi kapamba zimachulukitsa kangapo, makamaka ndi zakudya yokazinga ndi mafuta. Pazonse, ndikofunikira nthawi zonse kudziwa zomwe zikondamoyo zimakonda kuti thupi lizikhala bwino.

Ndi mabala, kuvulala kwakanthawi, komanso chifukwa chakulephera kugwira ntchito pa duodenum ndi chikhodzodzo cha ndulu, njira yotupa yopweteka kwambiri m'matumbo ikhoza kuonekera.

Kuopsa kwa kapamba kumachulukitsidwa ndi matenda opatsirana:

1. Matenda owopsa komanso chiwindi.
2. Kulephera kwa chiwindi.
3. Matenda a tonsillitis.
4. Kuku pox
5. Mapampu (ma mumps).
6. Njira zoyipa-zotupa (zofala komanso zopezeka mu peritoneum).
7. Kamwazi.
8. Sepsis yamatumbo.

Madokotala ena amati mitundu ina ya kapamba imayamba. Odwala oterowo nthawi zambiri amakhala ndi ma antibodies m'magazi awo omwe amawonetsa autoaggression. Izi zimayambitsa kutupa kwa kapamba.

Pali zovuta ndi majini ambiri omwe matendawa amakula kuyambira masiku oyamba amoyo.

Zokhudza mowa pa kukula kwa kapamba

Odwala ambiri kuchipatala omwe amadziwika kuti ali ndi pancreatitis pachimake ndi anthu omwe amamwa mowa wambiri.

Malinga ndi chidziwitso china, oposa 40% ya odwala omwe amathandizidwa kuchipatala ndi omwe amamwa mowa ndi kapamba, komanso kapamba wowononga.

• 30% yokha ya odwala amathandizidwa ndi matenda a gallstone.
• Pafupifupi 20% ya anthu onenepa kwambiri amadwala matendawa.
• Kuvulala, hepatitis ya mavairasi, kugwiritsa ntchito mankhwala osokoneza bongo ndi poyizoni ndizomwe zimayambitsa pancreatitis mwa 5% yokha.
• Anomalies of development, deficiital defici, genetic predisposition do not over 5%.

Kupewa kwa Pancreatitis

Kuukira kwa kapamba mu mawonekedwe owopsa, ichi ndi chifukwa chachikulu chothandizira kuchipatala mwachangu. Chithandizo chikuyenera kuchitika kuchipatala, nthawi zina opaleshoni imayikidwa.

Nthawi zambiri, kapamba mu mawonekedwe owopsa amakhala osakhazikika. Pankhaniyi, kapamba amadziwononga nthawi yonseyi.

Kupewa mitundu yonse ya kapamba ndi njira yabwino kwambiri yopewa mavuto ambiri omwe nthawi zambiri sasintha.

Kusiya kusuta fodya komanso kumwa mowa kumachepetsa katundu pa kapamba, komanso nthawi zina.Komanso, ndi chifuwa chachikulu, nthawi yochotsera chikhale kwa nthawi yayitali.

Kuchulukana kwa kapamba kumatha kuchitika chifukwa cha:

• Kuchita masewera olimbitsa thupi kwambiri
• Bath ndi sauna
• Kudumphadumpha ndi kuthamanga magulu

Kusintha kwakukulu kwambiri kwa masewera olimbitsa thupi panthawiyi, asayansi adazindikira kutikita minofu, masewera olimbitsa thupi komanso masewera olimbitsa thupi.

Ndikofunika kuchotsa miyala ku chikhodzodzo akangopezeka ndi dokotala. Ntchito ya kapamba zimatengera mkhalidwe wa ndulu ndi njira zake.

Mukafuna chithandizo chovuta, adotolo adzalembera zakudya zapadera za miyala mu ndulu. M'pofunika kufikira zakudya moyenera, kutsatira malangizo onse azachipatala.

Limagwirira a chitukuko cha pachimake mawonekedwe a matenda

Zomwe zimapangitsa kuti pakhale matendawa ndi matendawa ndizomwe zimapangidwira kwambiri ndikupanga ma activate a pancreatic.

Ma enzyme osagwira amapangidwa mu kapamba wabwino, wopanda ntchito. Ma enzyme oterowo atalowa m'matumbo amadutsa gawo la zochitika ndipo amathandizira kugaya chakudya. Koma pankhani ya mawonekedwe owopsa, michere imayamba pamene michere ilowa m'thupi osati mutumbo, koma m'matumbo a glandular. Njira za chimbudzi zomwe zimawononga kapamba zimayambitsa.

The enzyme yomwe imayendetsa chimbudzi cha mafuta, imagwira makoma a glandular, imapangitsa mafuta kuwonongeka m'maselo. Trypsin ndi puloteni yomwe imayambitsa chimbudzi cha mapuloteni. Zomwe zimayambitsa kutupa ndi necrosis ya cell ndizoyambitsa kwa trypsin mkati mwa kapamba.

Edema komanso kuwonjezeka kwa minofu ya glandular kumachitika chifukwa cha zomwe zimatchulidwa pamwambapa. Komanso, ndi njira yomwe zimachitikira, zizindikiro za necrosis zimapangidwa. Imfa ya maselo koyamba kumachitika popanda zotupa zopatsirana. Pambuyo pa matenda, mawonekedwe a purulent amapezeka pamakoma a gland. Kumayambiriro kwa siteji iyi, kuchitapo kanthu kwa opaleshoni ndikofunikira.

Zizindikiro za pancreatitis yovuta komanso yovuta

Zizindikiro za mawonekedwe osatha akuphatikizira:

• Kunenepa kwambiri, kuchepa kwa mavitamini ndi michere,
• Kuzonda kwambiri, kumwa mowa ndi kudya zamafuta ochulukitsa am'matumbo,
• Kukhazikika kwa matenda ashuga kumachitika mosangalatsa.
• Kuperewera koyipa kwa michere. Titha kudziwa izi podutsa mayeso ofunika.

Pankhani ya mawonekedwe owopsa, zizindikirazo zimatchulidwa, chifukwa kapamba amawonongeka kwathunthu. Zizindikiro Zowopsa:

• Zowawa m'mimba kumbuyo
• Maonekedwe a nseru, amasanza, pambuyo pake saphweka,
• Zovuta
• Zizindikiro zakunjenjemera, kutentha thupi,
• Khungu loyera, kuzizira,
• Maonekedwe a zomverera zakukwanira.

Ngakhale zikumveka zachisoni, koma ngakhale ndi njira yoyenera yothandizira, mankhwalawo amayamba kupha.

Pancreatitis mwa amayi apakati

Zomwe zimayambitsa pancreatitis pachimake mwa mayi wapakati ndi: matenda opatsirana, kupukusa chimbudzi komanso kugwiritsa ntchito mankhwala mosasamala. Njira yamatenda mwa mayi wapakati imakhala yovuta chifukwa cha kukula kwa chiberekero. Chiberekero chokulirapo chimasokoneza kuchuluka kwa magazi a ziwalo zina.

Zimakhala zovuta kudziwa zizindikiro za matendawa, chifukwa zizindikiro zina za matendawo zimabisika kuseri kwa chizindikiritso cha kutenga pakati. Chifukwa chake, ndikuwoneka ngati kusanza pafupipafupi, kutsegula m'mimba, kusanza, komanso kusasangalala ndi chidwi, kulabadira. Ndikwabwino kukaonana ndi dokotala ndikutsatira malangizo a dokotala.

Njira zopewera

Mwa anthu omwe akukhala ndi moyo wathanzi, kapamba ndi kawirikawiri kwambiri. Tsatirani mindandanda yotsatirayi ndikuteteza thupi:

• Kudya wathanzi
• Kukana zizolowezi zoyipa (mowa ndi ndudu poyambira),
• Njira yogwira ntchito
• Kusungabe thupi labwinobwino
• Chithandizo cha opaleshoni chimbudzi.

Kubwezeranso kupewa

Ngati kunali kotheka kuzindikira matendawa poyamba, ndikofunikira kupewa matendawa. Kulankhula mwachangu kuchipatala ndipo kuthandizidwa kuchipatala kumalepheretsa zovuta komanso kuchuluka kwa zizindikiro, kudzakuthandizani kuchira munthawi yochepa kwambiri.

Pambuyo pancreatitis yoyamba yachilengedwe itasamutsidwa, funsani katswiri wa gastroenterologist za njira zomwe zingathandize kuti matenda asadzayambenso.

Nkhaniyi ikufotokozera njira zodzitetezera, zifukwa zomwe zimapangitsa kuti kapamba azizindikira, Zizindikiro, komanso malangizo othandiza pancreatitis.

Chifukwa chiyani kapamba amawoneka?

Cancreas ndiye chinsinsi chachinsinsi kwambiri chomwe chimagwira ntchito yake ndikupanga mahomoni ndi timadzi tonunkhira, mwakuti popanda kugaya komanso chizolowezi chomanga thupi m'thupi ndi chosatheka. Kutalika kwake, izi 15 cm zokha ndipo akulemera pafupifupi 80 g. komabe, imatulutsa zambiri patsiku 1.4 malita a pancreatic secretion . Ntchito yake yachinsinsi ndikupereka madzi apadera a pancreatic ku duodenum. Ma enzymes otsatirawa amaphatikizidwa pakupanga madzi a pancreatic - trypsin, lipase, maltase, lactase, omwe ntchito zake zimaphatikizapo kutulutsa asidi wam'mimba ndikuthandizira kugaya. Komanso chiwalo chaching'onicho chimatulutsa mahomoni ofunikira kwambiri - insulin, glucagon, lycopoin, omwe amawongolera kuchuluka kwa shuga m'magazi, amatenga nawo kagayidwe kazachilengedwe komanso kupanga ma phospholipids m'chiwindi.

Zachidziwikire, ntchito ya pancreatic imayendetsedwa mwachindunji ndi onse amoyo wamunthu komanso chakudya chomwe amagwiritsa ntchito. Pakugaya mapuloteni, mafuta, chakudya, chitsulo chimapangidwa ma enzyme ofananawo ndi a mapuloteni a trypsin, a mafase a lipase, etc.

Chifukwa chake, kugwiritsidwa ntchito mopitirira muyeso kwa zinthu zovulaza, zakumwa zoledzeretsa, komanso mankhwala osokoneza bongo kumabweretsa kuti kutuluka kwa msuzi wa pancreatic kumachepetsa, kuyimilira ndikutsalira mu minyewa ya m'matumbo kapena m'miyala, osafikira duodenum. Njira yogaya imasokonekera ndipo njira yotupa imayamba - pachimake kapamba, zomwe zimayambitsa kudya kwambiri, komanso kupha poyizoni, komanso kuvulala.

Kutupa kwa kapamba ngati njira ina yokhayokha sikumachitika, chithokomiro chimakhala chokhudzidwa ndimatenda amtundu uliwonse matenda, makamaka dongosolo la m'mimba. Kuphatikiza apo, mkhalidwe wa kapamba palokha ndizovuta kudziwa, chifukwa kudziwa kuti chiwalo chaching'ono ndi chokwanira mokwanira.

Chifukwa chake, mu pancreatitis yayikulu, zinthu zotsatirazi zomwe akatswiri onse amaziwona zimayambitsa matenda:

• Matenda a ndulu, biliary thirakiti. Izi zimawerengedwa kuti ndi chimodzi mwazomwe zimayambitsa pancreatitis, popeza njira zosakwanira zamankhwala zimapezeka m'matumbo ndi matenda oopsa m'mitsempha yamimba ndi kuponyera kwa bile. Bile imathandizira kutulutsa kochulukirapo kwa michere ya pancreatic. Zomwe amaziwononga. Nthawi yomweyo, mitsempha yamagazi imakhudzidwanso, ndikupanga kutupa kwamphamvu kwa minyewa komanso kutulutsa magazi kwambiri. Magwero a kapamba amenewa (kupatula zakumwa zoledzeretsa) ndi 70% ya chiwerengero chonse cha zotupa zoperewera m'matumbo. Ma pancreatitis ena onse, monga akatswiri ambiri amakhulupirira, ndi ideopathic ndi etiology yosamveka.
• Matenda am'mimba, duodenum. Kuphwanya kotere kwa m'mimba thirakiti monga gastritis, zilonda zam'mimba, kufooketsa ntchito ya mota kapena kutupa kwa duodenum - kumathandizira kuti pakhale kupindika kwa kuperewera kwa Oddi. Chifukwa chake, ndimatenda awa, kutuluka kwa bile ndi kapamba kwam'mimba kumasokonezedwanso. Ndiye kuti, chitsulo chimawonongeka ndi ma enzymes ake, osasunthika mumizere.
• , matenda ashuga, matenda oopsa, mimba . Ndi matenda awa, pali kuphwanya kayendedwe ka magazi mu kapamba, kuletsa zakudya zake, zomwe zimapangitsa kuti pakhale chamba. Pa nthawi ya pakati, kukakamiza kwa chiberekero pamatumbo kumakhudzanso chitukuko cha pancreatic ischemia, chifukwa chake amayi omwe akuyembekezera mwana ali pachiwopsezo chokhala ndi pancreatitis yapachimbudzi.
• Mowa, chakudya, poyizoni wa mankhwala. Ndi ma poizoni osiyanasiyana, zinthu zoopsa, ma acid, ma alkali, komanso kuledzera komwe kumachitika chifukwa chakuwombana kwa helminthic, ngakhale kugwiritsidwa ntchito pafupipafupi kwa zipatso ndi ndiwo zamasamba zokhazikitsidwa ndi mankhwala ophera tizilombo komanso kuchuluka kwazowonjezera zamankhwala ena muzakudya zimathandizira kutsegula kwa michere ya pancreatic.
• Mankhwala ena monga:
  • Azathioprine
  • Furosemide
  • Metronidazole
  • Tetracycline
  • Glucocorticosteroids
  • Ma estrogens
  • Thiazide okodzetsa
  • Cholinesterase Inhibitors
  • Sulfonamides
  • Mankhwala osokoneza bongo oletsa kuponderezana
• Pancreatitis ndimatenda a anthu omwe amakonda kudya kwambiri. Pankhani ya kuphwanya mafuta kagayidwe, michere imapangidwanso. Ndipo ngati munthu amakonda kudya kwambiri, chiwopsezo cha kapamba chimawonjezeka nthawi zina, makamaka pogwiritsa ntchito mankhwala osokoneza bongo, mafuta ophika.
• Kuvulala kwa gland, kuvulala pamimba. Ndi kuvulala kwamaso, ndi mabala, atagwira ntchito yopanda ndulu pamimba, duodenum, kukulira kwa njira yotupa yopweteka kwambiri m'mapapo ndizothekanso.
• Matenda opatsirana. Viral pachimake komanso matenda a zilonda zapakhosi, chikuku,), njira zilizonse zotupa kapena zotupa, zodziwika komanso zotulutsidwa pamimba, kamwazi, matumbo a m'mimba - matenda onsewa amawonjezera chiopsezo cha kapamba.
• Thupi lama Thupi. Pali mtundu wonena za matupi awo amtundu wa kapamba. Ma antibodies omwe amawonetsa autoaggression amapezeka nthawi zambiri m'magazi a odwala. Ndipo izi ndizomwe zimayambitsa kutupa kwa kapamba, popeza kapamba amadziwononga yekha.
• Mitundu. Pali zovuta zingapo za majini momwe pancreatitis imayamba kukulira mwa mwana kuyambira pobadwa.
• Zakumwa zoledzeretsa - Ngakhale kumwa kamodzi mu teetotaler ndi zilonda zam'mimba kumatha kubweretsa pancreatitis yovuta kapena njira yowonongeka m'matumbo.

Chiwerengero cha kapamba pazifukwa

• Kuchuluka kwa odwala omwe amagonekedwa kuchipatala ndi pancreatitis pachimake ndi anthu omwe amamwa mowa kwambiri. Malinga ndi malipoti ena, opitilira 40% mwa odwala onse amakhala zidakwa za kapamba kapena chamba chowononga.
• Ndipo 30% yokha ya odwala ndi omwe amathandizidwa chifukwa chodwala matendawa.
• 20% ya anthu onenepa kwambiri amadwala matendawa.
• Virusi hepatitis, zoopsa, mankhwala ndi poyizoni monga chifukwa cha kapamba ndi 5% yokha.
• Zovuta za kubala, zovuta zachitukuko, chikhalidwe chamtundu wa makolo zimaposa 5%.

Kukula kwa kapamba

Matendawa pawokha ali ndi mitundu yosiyanasiyana yoyenda. Pancreatitis imatha kukhala pachimake komanso chovuta, chilichonse chimadziwika ndi zina zomwe zimayambitsa ndi zomwe zimayambitsa matenda.

Ngakhale izi, njira yachitukuko ili pafupifupi nthawi zonse yofanana. Pa kutupa kwa kapamba, zotupa za ma tubules ndi ma ducts zimayamba, chifukwa cha mapulagi apulogalamu kapena calculi.

Kuphatikiza apo, kutupa kumachitika chifukwa cha kutseguka koyambirira kwa michere yomwe thupi limabisalira chimbudzi choyenera komanso chimbudzi cha zakudya. Chifukwa cha izi, kuwonongeka kwa maselo ndi kudziwononga kwa thupi kumayamba.

Mwachitsanzo, ngati zotheka zikuwoneka, mwachitsanzo, pamakhala ma calculi omwe amatsekera mzere wa bile, ndiye kuti mavutowo amakula.

Chifukwa cha izi, kutuluka kwachilengedwe kwachilengedwe kumatayika, ndipo ma enzymus amayamba kugwira ntchito pasadakhale.

M'malo motenga nawo gawo logaya chakudya, zimayamwa chimbudzi, chimayambitsa kutupa kwambiri.

Mu mawonekedwe a kapamba, kusintha kwa maselo athanzi ndi minofu kumayambika, amasinthidwa ndi minofu yolumikizana.

Pancreatitis imayambitsa zosiyana, koma zovuta zake, mosasamala mawonekedwe, zimatha kukhala zofanana, ndipo zina mwa izo ndi zakufa kwa munthu aliyense.

Mavuto omwe angakhalepo akuphatikizapo:

1. Gwedeza dziko.
2. Pachimake chiwindi kapena impso.
3. Kutulutsa kwamkati kumachitika m'matumbo ndi ziwalo zina zam'mimba.
4. Supombosis.
5. Kutupa ndi purulent zili.
6. Kutupa kwa m'mimba.
7. Khunyu kapena chibayo.
8. Kukhazikika kwa zopinga za jaundice.
9. Zofoka.
10. Cysts ndi fistulas.
11. Poizoni wamagazi.
12. Peritonitis

Chithandizo cha matendawa ndikuchotsa zazikulu komanso zomwe zimayambitsa kutupa.

Kuti muchite izi, muyenera kugwiritsa ntchito manjala kumayambiriro kwa chithandizo, komanso kudya mosamalitsa. Mu maphunziro owopsa, ma analgesics ndi mankhwala ena ayenera kugwiritsidwa ntchito omwe amachotsa kupweteka, kutupa kwambiri.

Chithandizo cha pachimake kapamba imachitika mu chipatala, odwala amapatsidwa mankhwala osokoneza bongo omwe amamwa mankhwala, michere imagwiritsidwa ntchito yomwe imaletsa zotsatira zoyipa za michere.

Matani omwe amawonongeka kwathunthu amachotsedwa ndi njira zopangira opaleshoni.

Zoyambitsa Acute Pancreatitis

Acute pancreatitis ndi matenda omwe Zizindikiro zake zimawonekera posachedwa pambuyo poyang'ana chinthu chodzetsa nkhawa.

Chochita chachikulu mu mawonekedwe apakhungu ndi kukhudzika kwa thupi, m'mawu osavuta ndi kukumba kwa tiziwalo tating'onoting'ono tambiri ndi ma enzymes awo.

Mchitidwewo umachitika chifukwa cha kutseguka koyambirira kwa ma enzyme, atatuluka mu ducts.

Zomwe zimayambitsa matenda kwambiri pachimake ndi kumwa mowa kwambiri komanso kupezeka kwa matenda a ndulu.

Kukula kwa pancreatitis pachimake kungakhale pazifukwa zina, zomwe zimagawidwa m'magulu osiyanasiyana.

Poyambirira, matendawa amawoneka ndi kuchulukitsa kwa zotupa ndi kukondoweza kwa michere ya pancreatic. Zomwe zimapereka:

1. Zakudya zopanda pake, momwe mumakhala zakudya zovulaza kapena zakudya zosaphika.
2. Kugwiritsa ntchito mankhwala ena popanda mankhwala a dotolo kapena mu njira yolakwika.
3. Kumwa mowa.
4. Kuzunza.

Gulu lachiwiri lazomwe zimayambitsa limaphatikizapo kuwonjezeka kwa kukakamizidwa mkati mwa duct yokha. Vutoli limachitika chifukwa cha calculi yomwe imatuluka mumtondo ndipo imatha kutseka njira.

Miyala imayambitsa kuthamanga kwa magazi komanso kugwira ntchito kwa kapamba. Kuphatikiza apo, vutoli litha kulowa m'malo mwa minyewa yathanzi, komanso zotupa zotupa.

Gulu lotsatira lazomwe zimayambitsa kutulutsa kwa ndulu mwachindunji mu njira zamkati, chifukwa chomwe kusintha kwa kayendedwe kumasinthika, pali blockage ndi zovuta zina zomwe zimayambitsa njira yotupa.

Zinthu zotsatirazi zingayambitse izi:

1. Kumwa pafupipafupi.
2. Kudya zakudya zamafuta ndi mowa.
3. Kukhalapo kwa cholelithiasis ndi nthawi ya kukokomeza kwake.
4. Maonekedwe a calculi mu bile ducts.
5. Chingwe cha Cancer Vater.
6. Pancreatic kuvulala komwe kumawonekera pambuyo pochita opareshoni.
7. Kugwiritsa ntchito zida zosiyanitsa nthawi ya radiology.
8. Kugwiritsa ntchito mankhwala, chinthu champhamvu, chomwe chimaphatikizapo metronidozole kapena tetracycline.
9. Matenda a endocrine dongosolo omwe amachititsa kuchuluka kwa calcium m'magazi. Popita nthawi, zochulukazo zimasungidwa munjira ndikuwatsogolera kuti atulutse.
10. Matenda a virus, mwachitsanzo, matenda opatsirana ndi hepatitis kapena herpes.Matenda oterewa akhoza kusokoneza mkhalidwe wa kapamba.

Kuphatikiza pazomwe tafotokozazi, muyenera kudziwa zomwe zimayambitsa kupezeka kwa kapamba, chifukwa amatha kusiyanasiyana, ndipo chithandizo cholondola komanso chogwira ntchito chimadalira iwo.

Zimayambitsa Matenda a Pancreatitis

Zomwe zimapangitsa kuti matenda asadutse kwambiri. Vutoli limatha kukhazikika chifukwa cha gawo lalikulu la kapamba, ndipo limatha kukhala ndizowonetsera ndi zinthu zina zomwe zimayambitsa kusasangalala, koma sikuti chifukwa chofunikira kuchipatala.

Potere, kutupa ndi minofu kusintha kumachitika m'thupi kwa nthawi yayitali, pambuyo pake kapamba amalephera.

Zina mwa zifukwa zazikulu ndi izi:

1. Kuphwanya kwambiri zakudya m'thupi komanso malamulo ake oyambira.
2. Kumwa mwadongosolo, kusuta.
3. Matenda a Gallstone.
4. Matenda a m'matumbo a 12 ndi ziwalo zina zam'mimba.
5. Kusunthika m'mitsempha ya ndulu.
6. Makamaka.
7. Zoyipa za autoimmune mu gland.
8. Kugwiritsa ntchito mankhwala kwakanthawi kochepa komwe kumakhala ndi zovulaza m'thupi.

Nthawi ndi nthawi, matenda a kapamba amatha kuyambitsa. Pankhaniyi, chithunzi chazizindikiro, komanso zinthu zopweteketsa, zimafanana ndi njira yovuta ya matendawa.

Kusiyanitsa kokhako ndikuti kuchulukana kumachitika ndi kutuphuka kwa kapamba kale.

Zimayambitsa kapamba mu ana

Kukula kwa kapamba mwa ana sichinthu chachilendo, chifukwa zifukwa zambiri zotupa za gland zimangosowa.

Mwa zina zomwe zingachitike ndi matendawa zimadziwika:

1. Anomalies kuchokera pakubadwa.
2. Zakudya.
3. Lactase akusowa.
4. Cystic fibrosis ndi matenda obadwa nawo omwe amayambitsa kusintha kwa majini ndipo amathandizidwa ndi kupunduka kwa kapamba.
5. Kuperewera kwa thupi ndi nyongolotsi, nthawi zambiri zozungulira
6. Kuphwanya khunyu.
7. Zakudya zopanda pake.
8. Kuvulala kwam'mimba.

Mu mwana, kapamba amatha kuonekera chifukwa cha zovuta zomwe zimachitika m'mimba.

Makanda amadwala chifukwa cha ziwopsezo zamafuta zomwe zimaperekedwa kudzera mkaka. Poterepa, chifukwa chake ndikudya kolakwika kwa mkaziyo.

Ngati pali cystic fibrosis, ndiye kuti zizindikilo zake zimawonekera mwa mwana chaka choyamba cha moyo.

Poterepa, ntchito osati zapamba zokha, komanso tiziwalo timene timabisala kunja timasokonekera.

Popanda chithandizo, masinthidwe amakula ndikukula, pambuyo pake minofu yathanzi imasinthidwa ndi minofu yaying'ono.

Kwa ana azaka zapakati pa 1-3, kuwonongeka pafupipafupi pamimba kumakhala kakhalidwe, chifukwa choyambira kuyenda ndikugwa pafupipafupi.

Makolo panthawiyi amayenera kuwunika ana kuti asawononge pamimba, zomwe zingayambitse kutupa kwa kapamba.

Ngati ana akufunika kuthandizidwa ndi mankhwala, ndiye kuti muyenera kuwasankha molondola, ndikutsatiranso malangizo omveka bwino kuti mugwiritse ntchito. Izi zimapewa zovuta ndi kuyamba kwa njira yotupa.

Pancreatitis, monga matenda ena, ndizosavuta kupewa kupewetsa kuchitira zina mankhwala.

Ndikofunikira kutsatira moyo kuyambira ubwana, idyani pomwe kuti mukhale athanzi. Ndikofunikira kwambiri kutsatira malamulo a anthu omwe ali pachiwopsezo.

Njira zolanda

Matenda a kapamba akangoyambika, muyenera kudziwa zinthu zofunika kuzitsatira ndikuzitsatira.

Mwa zina zazikulu:

1. Ndi zoletsedwa kudya, ngakhale zakudya zopepuka kwambiri. Ndikofunikira kukana chakudya masiku atatu kuti aletse kumasulidwa kwa michere yomwe imakulitsa kupweteka komanso kutupa. Amaloledwa kugwiritsa ntchito madzi amchere opanda mpweya.
2. Ikani ozizira pamimba kuti muchepetse kupweteka, kuphatikiza apo, kuzizira kumachotsa kutupa m'matupi. Ndikofunika kugwiritsa ntchito mapiritsi otenthetsera pomwe madzi oundana amatengedwa.
3. Ndikofunikira kuti mupumule ndikupumula ngati bedi, yesetsani kuti musanyamule katundu aliyense, zomwe zimachepetsa kutuluka kwa magazi kupita ku chiwalo chomwe chakhudzidwa, komanso kuthandiza kuchotsa kutupa.
4. Mwa mankhwala akuluakulu omwe mungagwiritse ntchito kuti muchepetse ululu, Drotaverinum, No-shpu ndiosiyanitsidwa. Mankhwalawa amatha kugwiritsidwa ntchito mu mtundu wa matenda, asanafike madokotala.

Nthawi zambiri, kubwereranso kumatenda kumachitika ndi kufa kwa minofu kapena chiwalo chonse.

Kugwiritsa ntchito kwa enzymatic othandizira ndikuloledwa panthawi yovuta, apo ayi padzakhala kukulira kwa vutolo.

Ngati zomwe zimayambitsa kuvutikazi zikudziwika, ndiye kuti muyenera kuyimbira ambulansi, ndipo dokotala akangofika, fotokozerani zomwe zikuchititsa.

Kanema wothandiza

Khalidwe lamakono, zakudya zopanda pake, kudya mwachangu komanso zizolowezi zoyipa zapangitsa kuti matenda azamba ndizovuta zomwe anthu azaka zonse amakhala nazo.

Chikhansa ndi gawo lofunikira kwambiri lomwe limagwira ntchito yofunika kwambiri chimbudzi. Ma enzyme obisalira kapena madzi a pancreatic amaphwanya chakudya, amathandizira matumbo kuti amugonjetse.

Kutulutsa magazi kumeneku kumapanga mahomoni ofunikira a thupi lonse, mwachitsanzo, kuchuluka kwa shuga m'magazi kumadalira ntchito yake. Chiwalocho chili pafupi ndi m'mimba, chikugwirizana ndi duodenum.

Kodi chifukwa cha kapamba kumachitika?

Pancreatitis - kutupa, nthenda yotchuka kwambiri ya kapamba. Pancreatitis nthawi zambiri imakhudza anthu omwe ali ndi vuto la chikhodzodzo kapena ndi duodenum. Pancreatitis imatha kupezeka chifukwa cha matenda ndi ma hepatitis.

Pancreatitis imatha kuchitika pakusokonezeka kwa metabolic komanso kusintha kwa mahomoni. Matendawa samachotsedwa pambuyo povulala m'mimba. Zomwe zimayambitsa kapamba zimatha kukhala nyongolotsi ndi zozungulira.

Nthawi zambiri kupweteka kwa kapamba kumakhudza anthu omwe ali ndi matenda am'mitsempha kapena anthu omwe anachitidwa opaleshoni pamimba zawo. Pancreatitis nthawi zambiri imawoneka mwa amayi apakati. Iwo omwe amadya mwakudya amakonda.

Matendawa amatha kuchitika pambuyo pogwiritsira ntchito maantibayotiki nthawi yayitali komanso munthawi yomwe thupi limadana.

Nthawi zambiri zomwe zimayambitsa pancreatitis sizingadziwike. Kutupa kumachitika chifukwa chakuti ma enzyme omwe chitsulo chimapanga sangathe kulowa mu duodenum. Amayamba kukhudzana ndi minofu ya England, kukwiya ndi kufiyanso kumachitika.

Chizindikiro choyamba cha matendawa ndimapweteka kwambiri m'mimba ndi hypochondrium, omwe mapiritsi wamba samathandiza. Zomverera zosasangalatsa zimawonjezeka pambuyo pa ola limodzi ndi theka mutatha kudya. Makamaka ngati mumadya yokazinga kapena mafuta.

Zizindikiro za matenda a kapamba:

1. kusanza, nseru
2. mutu, chizungulire,
3. kutsegula m'mimba ndi kutsegula m'mimba
4. kusintha kuchuluka, kununkhiza komanso kusasinthika kwa ndowe,
5. kuchepa kwa chilimbikitso ndi kunenepa
6. kuchuluka kwambiri kwa mpweya,
7. ziphuphu zakumaso, tsitsi,
8. zokutira yoyera pa lilime ndi fungo losasangalatsa.

Poyesedwa kwa ultrasound, adokotala azindikira kusintha kwa kukula kwa mbewa, itha kutaya mawonekedwe ake achizolowezi. Popeza kapamba amalumikizana kwambiri ndi ndulu, chizimba cham'mimba nthawi zambiri chimayendera limodzi ndi kutulutsa ndi ululu pansi pa nthiti yakumanja. Cholecystitis imatha - kutukusira kwa chikhodzodzo, komwe kumayambitsa nthenda ya ndulu.

Pancreatitis imayendera limodzi ndi kudzikundikira kwa mafinya (abscess) pa gland komanso ngakhale magazi amkati. Ndi chikopa, kuwonjezeka kowopsa kwa kutentha kwa thupi mpaka madigiri 40-41 ndikotheka. Chiwalo chikayamba kugwa, wodwalayo amakhala pangozi.

Mukachedwa kulandira mankhwalawo, zimakhala zovuta kwambiri zotsatirapo zake. Matendawa amatha kukhala osachiritsika, omwe mwina ndi osachiritsika. Wodwala akamadwala matendawa, amatha kukhala ndi matenda ashuga.

Nthawi zina, kutupa kwa ndulu kumapangitsa kuti maonekedwe azisokonekera, khansa, mawonekedwe a zotupa zopweteka komanso zotupa.

• Pancreatitis pachimake imachitika mwadzidzidzi ndipo imatha kukhala ndi vuto lodana nawo. Zonenepa zonse ndi gawo lake laling'ono zimatha kuyatsidwa.
• The yogwira pancreatitis kumachitika monga zochita za gland matenda ena am'mimba dongosolo.
• Pancreatitis yowononga ndiyowopsa chifukwa matendawa amawonongeratu chithaphwiacho. Ndi matenda amtunduwu, opaleshoni ndiyofunikira. Opaleshoni amatha kuchotsa “mchira” kapena gawo la zofunikira zowonongeka. Kubwezeretsa pambuyo pa ntchito yotereyi ndikutalika kwambiri. Zimachitika kuti wodwalayo amasoka m'matumba apadera kuti atulutsire madzi kuchokera m'malo ovulala. Wodwala sangathe kuyenda momasuka.

Matenda a kapamba - amakula zaka zingapo. Pali zochulukitsa za matendawa komanso thanzi labwino. Matenda a kapamba amatha kukhala oyamba komanso sekondale. Poyamba zimakhudza kapamba wokha. Chachiwiri chimatha kukhala chifukwa cha zilonda zazitali za m'mimba ndi zilonda zam'mimba. Pakadwala kapamba, minyewa ya m'matimu imayamba, nkusowa.

Ndi vuto la kapamba, muyenera kuyimbira foni dokotala. Nthawi zambiri wodwala amapita kuchipatala. Kuti mutsimikizire kutupa, wodwalayo amayesedwa magazi ndi ndowe, kuyezetsa magazi kwa ziwalo zonse za m'mimba.

Pancreatitis yayikulu ndi chithandizo chochitika kuchipatala choyang'aniridwa ndi akatswiri. Sodium chloride imalowetsedwa kudzera kwa wodwala.

Kutengera ndi milandu, wodwalayo amapatsidwa mankhwala opha tizilombo, ma antispasmodics, mavitamini.

Zakudya za kapamba ndizofunikira kwambiri. Simungadye kwa masiku angapo. Kuchokera pamadzi mungathe kuyeretsa madzi ochepa ochepa. Pambuyo panjala, pang'onopang'ono wodwala amaloledwa kudya zinthu zopatsa mkaka.

Kenako - zakudya okhwima: yokazinga, bowa, wokoma, zokometsera, mowa, khofi amaletsedwa. Simungadye zipatso ndi masamba ambiri atsopano. Nthawi zambiri, mavitamini atsopano omwe amabweretsedwa kwa wodwala, kotero kuti amachira. Koma pankhaniyi, zitha kuvulaza. Zipatso acid ndi timadziti tatsopano timakhumudwitsa kwambiri kapamba. Mutha kungotaya masamba, nthochi, maapulo ophika.

Simungathe kudya kwambiri. Muyenera kudya pafupipafupi, koma pang'ono.

Mu chifuwa chachikulu cha pancreatitis, zakudya zotere ziyenera kutsatidwa moyo wonse.

Pamafunika kukonzekera enzyme: Festal, Pancreatinum ndi ena. Zonsezi zimayenera kuchitika pokhapokha atakambirana ndi adokotala.

Mankhwala wowerengeka, kapamba amathandizidwa ndi zitsamba ndi zomera zosiyanasiyana. Mwachitsanzo, ndikulimbikitsidwa kupanga chakumwa kuchokera ku chowawa ndi iris. Izi zitsamba zofanana zofanana ziyenera kutsanulidwa ndi kapu ya madzi owiritsa ndikumwa pamaso pa chakudya. Chakumwa chomwechi chimapangidwa kuchokera ku chisafa.

Kuti mukonzekere chakumwa china, muyenera kutenga kuchuluka komweko kwa mizu ya burdock, chamomile youma, calendula. Gona mu thermos, kuthira madzi otentha. Gawani m'mitundu itatu. Muzidya musanadye.

Kugwiritsa ntchito mankhwalawa kunawonetsa madzi a mbatata. Tsiku lililonse muyenera kumwa kapu yam'mawa m'mawa ndi madzulo. Madzi amalimbikitsidwa kumwa ndi kefir zachilengedwe. Pambuyo milungu iwiri chithandizo chotere, muyenera kupuma kwa masiku 10-12. Kenako bwerezani maphunzirowo. Kupititsa patsogolo moyo wabwino kumatha kuonekera pambuyo pa maphunziro oyamba, koma kuti muchiritse muyenera kupitiliza maphunziro a 5-6.

Chithandizo cha makolo chimakulangizani kuchita masewera apadera a kapamba. Ndikofunika kuti odwala aziyenda m'mawa uliwonse m'mayendedwe opita kwa mphindi 30-50. Pankhaniyi, muyenera kupuma kwambiri komanso modabwitsa.

Pancreatic mkati kutikita minofu kungachitike ndi kupumira ntchito:

1. kutulutsa, kutulutsa, kuchedwetsa kwa masekondi atatu, kupumula kwathunthu kwa minofu yonse yam'mimba,
2. inhale, exhale, gwiritsani ntchito mpweya kwa masekondi angapo, nthawi ikachedwa yesetsani kuwonjezera pamimba,
3. kangapo wonongerani momwe mungathere ndikutsitsa m'mimba momwe mungathere kuchokera kumlengalenga.

Pali milandu ya kuchira kwathunthu pambuyo mankhwala wowerengeka azitsamba. Koma ndikwabwino kupeza kapamba komanso kukaonana ndi dokotala, chifukwa zitsamba sizithandiza aliyense chimodzimodzi. Mukamalandira chithandizo chamankhwala a wowerengeka, mutha kuyambitsa matenda ndipo mwakutero mukulitsa vuto lanu.

Kanema wachidule wokhala ndi maupangiri wothana ndi kapamba:

Palibe amene watetezeka ku matendawa asanayambike. Nthawi zambiri zimachitika popanda chifukwa chochepa kapena ayi. Koma ndikofunikira kukumbukira malamulo akuluakulu opewera matenda:

1. lekani kusuta ndi kumwa mowa,
2. yang'anirani zakudya zanu (osafunikira kupeza zovuta zilizonse, monga zamasamba kapena kukana zakudya zilizonse, kumbukirani - mutha kudya chilichonse, koma m'njira zovomerezeka),
3. gwiritsani ntchito zinthu zochepa zosavomerezeka,
4. kumwa madzi osapsa, zakumwa mkaka wowawasa, zakumwa zakumwa zoziziritsa kukhosi, madzi okoma, khofi, tiyi,
5. kuyang'anira thanzi lathunthu.

Aliyense amene wakhala akudwala kapamba amayenera kuyang'anira kwambiri malamulowa. Mphekesera, yomwe inayatsa kamodzi, yataya mawu kale. Kubwezeretsanso (matenda obwezeretsanso) a kapamba ndizofala kwambiri. Kumbukirani, kupewa nthawi zonse kuli bwino kuposa kuchiritsa.

Mwachitsanzo, ma enzymus a pancreatic amathandiza kugaya mapuloteni, mafuta ndi chakudya m'matumbo. Ndipo mahomoni a pancreatic (insulin, glucagon ndi ena) - amawongolera kuchuluka kwa glucose m'magazi.

Pancreatitis ndi kutupa kwa kapamba. Matendawa amatha kuoneka ngati ali pachimake (mwachangu komanso mwamphamvu) kapena mwamtundu (wautali komanso waulesi), pomwe nthawi zimangokulitsa matenda kapamba.

Kodi chikuchitika ndi chiani?

Nthawi zambiri, ma pancreatic osagwira a ma enymes amapangidwa mu kapamba - kusintha kwawo ku mawonekedwe omwe amapezeka kumachitika mwachindunji mu duodenum, pomwe amalowa ndi pancreatic duct ndi duct wamba ya bile.

Mothandizidwa ndi zinthu zosiyanasiyana (mwachitsanzo, mwala womwe umatseketsa duct ya bile), kukakamiza mu duct la pancreatic kumawonjezeka, kutuluka kwa chinsinsi chake kumasokonekera, ndikuwonetsa ma enzyme asanakwane. Zotsatira zake, mmalo mwakugaya chakudya, ma enzyme amayamba kugaya kapambayo. Kutupa kwayamba.

Mu chifuwa chachikulu cha pancreatitis, pancreatic yachilendo imasinthidwa pang'onopang'ono ndi cicatricial, exocrine (kupanga ma enzymes) ndi endocrine (kupanga mahomoni, kuphatikiza insulin) kuperewera kwa matuza.

Kodi zikuwonetsedwa bwanji?

Chizindikiro chachikulu cha pancreatitis pachimake ndi kupweteka kwambiri pamimba pamimba (epigastric dera, kumanzere kapena kumanzere kwa hypochondrium), nthawi zambiri mwa chikhalidwe cha shingles. Ululu sutsitsidwa ndi antispasmodics (no-shpa) ndi analgesics. Kusuntha, kusokonezeka kwa chopondapo, kufooka, chizungulire nthawi zambiri kumadziwika. Pakuwunika kwa magazi kwamankhwala am'mimbamo kwa kapamba, kuchuluka kwa alpha-amylase kumachulukitsidwa 10. Zizindikiro zazikulu za pancreatitis pa ultrasound (ultrasound) ya kapamba ndizosintha mawonekedwe ndi kuzungulira m'mphepete, pakhoza kukhala ma cysts.

Matendawa ndi akulu. Zotsatira za Lethal ndizotheka.

Wodwalayo kapamba, wodwalayo amadera nkhawa kwambiri zowawa. Amatchulidwa m'dera la "epigastric", nthawi zambiri amafalikira kumanzere ndi kumanzere kwa hypochondrium ndikuperekanso. Nthawi zambiri ululu umamangidwa, umalimbikira ngati wagona kumbuyo kwako, ndikuchepera ngati ungokhala pansi ndikutsamira pang'ono. Ululu umabuka kapena umawirira mphindi 40-60 mukatha kudya (makamaka mukatha kudya zolemera, zamafuta, zokazinga, zokometsera). Masoka owawa amatha kufika pamtunda, kutsitsa angina pectoris.

Zizindikiro zina zosasangalatsa za kapamba ndim'mimba. Pondapondayo imakhala mushy, pomwe imatha kukhala ndi tinthu tosapsa chakudya.Kuchuluka kwa ndowe kumachulukitsidwa kwambiri. Ili ndi fungo losasangalatsa, kutuwa kwamaso, mawonekedwe amafuta, ndizovuta kuchotsa pamakoma a chimbudzi. Kubetcha, nseru, kusanza kwa Episodic Munthu amayamba kulakalaka kudya ndipo amayamba kuchepa thupi msanga.

Mavuto

Nthawi zambiri, cholecystitis (kutukusira kwa ndulu) amalowa ndi kapamba, komanso, cholecystitis imayambitsa kukula kwa kapamba. Nthawi zambiri ndi pachimake kapamba, kachilomboka (zovuta zamkati) zimalumikizana. Phlegmon kapena pancreatic abscess imayamba. Nthawi zina, magazi am'mimba amatuluka. Vuto linanso lalikulu la kapamba ndi chiwonongeko cha kapamba ndi kukula kwa peritonitis.

Pambuyo pancreatitis pachimake, matendawa amakhala osakhazikika. Kuchulukana kwa matenda a kapamba, monga lamulo, kumakwiyitsa chakudya, mowa. Matenda a kapamba amatha kuyambitsa matenda ashuga.

Pancreatitis pachimake imatha kubweretsa zovuta zambiri. Kutengera nthawi yomwe yakachitika, amagawika m'magulu awiri:

• Oyambirira . Atha kukhala limodzi ndi isanayambike woyamba zizindikiro za pachimake kapamba. Amakhala chifukwa chotulutsidwa kwa michere ya pancreatic m'magazi, kayendetsedwe ka kayendedwe ka kayendedwe ka magazi ndi kayendedwe ka magazi.
• Pambuyo pake . Nthawi zambiri zimachitika pambuyo masiku 7-14 ndipo zimayenderana ndi kupezeka kwa matenda.

Oyambirira mavuto a pachimake kapamba :

• Hypovolemic mantha . Amayamba chifukwa chakuchepa kwambiri kwa kuchuluka kwa magazi chifukwa cha kutupa ndi zovuta za ma pancreatic enzymes. Zotsatira zake, ziwalo zonse zimasiya kulandira mpweya wokwanira, zimakula kulephera kwa ziwalo zingapo .
• Zovuta zam'mapapu ndi pleura : «mapapu owopsa », kulephera kupuma , pleural mayankho (kutupa kwa pleura, momwe timadzi timadziphatikizira pakati pamasamba ake), atelectasis (mzera) wa m'mapapo.
• Kulephera kwa chiwindi . M'mawonekedwe ofatsa, amadziwoneka ngati ndewu yaying'ono. Atakula kwambiri pachimake poizoni hepatitis . Kuwonongeka kwa chiwindi kumayamba chifukwa cha mantha komanso zovuta za michere. Ambiri omwe ali pachiwopsezo ndi odwala omwe amadwala kale matenda a chiwindi, ndulu ya chikhodzodzo, komanso thirakiti.
• Kulephera kwina . Ili ndi zifukwa zofananira ndi kulephera kwa chiwindi.
• Kuwonongeka kwa mtima (kulephera kwa mtima).
• . Zifukwa: chilonda chopsinjika , erosive gastritis (mawonekedwe a gastritis pomwe zilema zimapangidwa pakhungu la mucous m'mimba - kukokoloka ), zotumphukira za mucous membrane wamkati mwamgawo waminyewa m'mimba, magazi akusokonezeka.
• Peritonitis - kutupa m'mimba. Mu pancreatitis pachimake, peritonitis ikhoza kukhala aseptic (kutupa popanda matenda) kapena purulent.
• Mavuto amisala . Amachitika ndi kuwonongeka kwa ubongo pamwambapa kuledzera kwa thupi. Nthawi zambiri psychosis imayamba tsiku lachitatu ndipo imakhala kwa masiku angapo.
• Kupanga kwa magazi .

Mochedwa mavuto a pachimake kapamba :

• Sepsis (poyizoni wa magazi ) Vuto lalikulu kwambiri, lomwe nthawi zambiri limamupangitsa wodwalayo kuti afe.
• Ma Abscesses (amatuluka) m'mimba.
• Purulent kapamba. Ili ndi mtundu wina wa matendawa, koma ungawonedwe ngati complication.
• Pancreatic fistulas - mauthenga a pathological okhala ndi ziwalo zoyandikana . Nthawi zambiri amapezeka pamalo opangira opaleshoni, pomwe zikhomo zinaikidwapo. Monga lamulo, fistulas lotseguka kwa ziwalo zapafupi: m'mimba, duodenum, matumbo ang'ono ndi akulu.
• Parapancreatitis - kutukusira kwa purulent kwa tiziwalo tozungulira tondovi.
• Pancreatic necrosis .
• Kutulutsa magazi mkati .
• Pancreatic Pseudocysts . Ngati minofu yakufayo singatengeke konse, chiputu cha minofu yolumikizika imapangidwa mozungulira iye. Pakhoza kukhala zosapanga bwino kapena mafinya mkati. Ngati chotupa chikuyankhulana ndi ma pancreas, chimatha kudzithetsa.
• Zotupa zam'mimba . The kutupa mu pachimake kapamba angayambitse kuwonongeka kwa maselo, chifukwa chomwe iwo adzapereka chotupa kukula.

Kodi kupewa matenda oopsa a pancreatitis ndi chiyani?

Kodi ndiyenera kuchita chiyani?

Kodi muyenera kupewa chiyani?

Zakudya zoyenera. Kutsatira zakudya. Muzikhala ndi thanzi labwino. Kuchita masewera olimbitsa thupi mokwanira. Kuthandiza pa nthawi ya matenda am'mimba dongosolo (m'mimba ndi duodenum, chiwindi ndi ndulu), kuwunika kwa gastroenterologist, kutsatira malangizo onse a dokotala. Kupewa kuyambiranso kwa kapamba : Kuzindikira koyambirira ndi chithandizo choyenera cha pancreatitis chachikulu pachimake. Chithandizo chokwanira kuchipatala cha pulayimale yodwala yayikulu, mpaka zizindikiro zonse zitadutsa ndipo zizindikilo zonse zibwerere mwakale. Kuwona ndi gastroenterologist pambuyo pachiwopsezo chachikulu cha kapamba.

Zakudya zamafuta, zokazinga, zonunkhira, kuchuluka kwa zonunkhira. Chakudya chofulumira. Kudya kwambiri mwadongosolo. Osakhazikika, kusowa kwa zakudya m'thupi. Kunenepa kwambiri. Kuchita masewera olimbitsa thupi ochepa, kumangokhala. Mowa Mochedwa kuonekera kwa dokotala, mwadzidzidzi chithandizo cha matenda am'mimba.

Kodi ndizotheka kupereka chithandizo choyamba cha pancreatitis pachimake dokotala asanafike?

Kodi ndiyenera kuchita chiyani?

Kodi sizingachitike bwanji?

Mugoneke wodwala pambali pake. Ngati wagona kumsana kwake ndipo kusanza kuyambika, ndiye kuti masanzi akhoza kulowa m'mapazi. Ikani ozizira pamimba yapamwamba: ayezi wokutidwa ndi thaulo, chopukutira ndi madzi ozizira, chopukutira chosungunuka ndi madzi ozizira. Imbani ambulansi nthawi yomweyo. Zoneneratu zimadalira mwamphamvu momwe wodwala amaperekedwera kuchipatala ndikuthandizidwa ndi dokotala.

Patsani chakudya, chakumwa. Mu kapamba pachimake, njala ndiyofunikira. Sansani m'mimba. Izi sizingabweretse phindu, koma zimangowonjezera kusanza. Apatseni ma pinkiller. Amatha kununkhira chithunzicho, ndipo zimakhala zovuta kwa dokotala kuti azindikire zoyenera.

Kodi pali chithandizo chamankhwala chothandiza wowerengeka cha kapamba?

Palibe mankhwala wowerengeka omwe angalowe m'malo mwa chithandizo chamankhwala kuchipatala. Komanso, kugwiritsa ntchito mankhwala azomera ndi njira zina, mutha kuvulaza wodwala, kukulitsa kukula kwa vuto lakelo. Kudzilimbitsa nokha ndikuyika kuyitanira ambulansi, mutha kutaya nthawi.

Zomwe zimachitika mthupi

Chikondamoyo ndichinthu chofunikira kwambiri chamkamwa, chomwe chili kumbuyo kwa m'mimba, moyandikana ndi duodenum. Chofunikira cha kapamba ndikupanga madzi a pancreatic omwe amakhala ndi ma enzymes omwe amatenga gawo muzogaya.

Kasitomala ndi amene amapanga michere yotere:

• amylase - amene amachititsa kuti pakhale shuga.
• lipase - kuphwanya mafuta,
• trypsin - amaphwanya mapuloteni,
• insulin, glucagon ndi ena.

Zomwe zimayambitsa pancreatitis zimagwirizanitsidwa ndi kuphwanya nthawi ya kutuluka kwa pancreatic madzi kuchokera ku kapamba mpaka duodenum. Ngati ma enzyme osankhidwa akanachedwa kupumira, kuwonetseredwa pasadakhale, pomwe alibe chilichonse choti achite, ndiye kuti amayamba kukonza ziwalo za chiwalocho.

Zotsatira zake, minyewa yamkati ya kapamba imawonongeka, zomwe zimatsogolera kumayambiriro a kutupa. Ngati chithandizo sichinayambike pa nthawi, zimakhala za ziwalo zapafupi ndi ziwiya zimayamba kuvutika. Dera lomwe limakhudzidwa ndi kutupa likukulira nthawi zonse.Zotsatira za kutupa kwa kapamba ndi necrosis, makamaka muzovuta kwambiri - imfa.

Chifukwa chiyani posungira madzi a pancreatic amachitika? Zimatha kupsinjika ndi zifukwa zosiyanasiyana, zina zomwe zimakhudzana ndi zakudya, zizolowezi zoipa, ndi zinthu zina zomwe zimachitika kudzera mu cholakwika cha munthu. Zina zimakhudzana ndi kayendedwe ka pathological m'thupi.

Zoyambitsa zamkati

Pali zifukwa zingapo zomwe zimayambitsa kukula kwa cholecystitis chifukwa cha zinthu zomwe anthu sangathe kuzisintha. Izi ndi:

• kuvuta pambuyo pakuchitidwa pamimba, chikhodzodzo - pafupipafupi chifukwa cha vuto la dokotala kapena chifukwa chosagwirizana ndi zomwe zikuwonetsa kukonzanso,
• kuvulala m'mimba - kuyambira pakukwapuka pafupipafupi mpaka kuvulala kwambiri,
• kusinthika kwatsopano kwa kapamba ndi / kapena duodenum, ziwalo zapafupi,
• kukula kwa chotupa, kuchuluka kwake komwe kumachepetsa kuwunikira kwa ma ducts,
• kusokonezeka kwa mahomoni - chofala kwambiri mwa akazi, mwachitsanzo, kusamba, kugwiritsa ntchito molakwika njira zakulera zamkamwa,
• matenda amitsempha yamagazi, chiwindi, ndi ziwalo zina zamkati.

Udindo wofunikira umachitidwanso ndi kutengera kwa chibadwa. Ngakhale pakokha sindiyo chifukwa cha pancreatitis, imatha kukhala chinthu chodziwitsa kutupira.

Zoyambitsa zakunja

Nthawi zambiri, pancreatitis imawoneka chifukwa cha zomwe zimayambitsa kunja kwa moyo wa munthu. Akuluakulu ambiri amanyalanyaza mwadala malamulo a zakudya zoyenera, kusiya zizolowezi zoipa.

Zifukwa zazikulu zakunja zomwe zimapangitsa kuti kapamba aziwotcha ndi:

• Kugwiritsa ntchito kwambiri mowa. Chifukwa ichi chimawerengedwa kuti ndi chofunikira kwambiri. Malinga ndi ziwerengero, zoposa 40% ya milandu ya kapamba mwa abambo imagwirizanitsidwa ndi kumwa pafupipafupi. Mowa ukalowa mthupi, umathandizira kukulitsa kuchuluka kwa ma enzymes mu madzi a pancreatic. Zotsatira zake, amayamba kudzigaya "yekha", osakhala ndi nthawi yolowa mu duodenum.
• Zakudya zopanda pake. Chizolowezi chodya mafuta, yokazinga, chosuta, ndi zakudya zina zopanda pake chimayambitsa kutupa kwa ziphuphu. Osangosankha pazogulitsa zomwe zimagwira ntchito, komanso mtundu wa zakudya. Zizolowezi zoipa ndi izi: kudya chakudya chowuma, nthawi zosiyanasiyana, usiku kwambiri, kudya kwambiri, kuperewera kwa zakudya m'thupi.
• Kugwiritsa ntchito mankhwala kwa nthawi yayitali. Ngati munthu akuwonetsa kutumiza kwa mankhwala amphamvu, mwachitsanzo, operekera khansa, sangathe kuwongolera ziwalo zawo zamkati. Izi ndizofunika makamaka kwa mankhwala a mahomoni, pakulandila komwe ndikofunikira kuti muzitsatira osati kuchuluka kwake, komanso mawonekedwe a ntchito.

Madokotala akuwunikiranso chinthu china chomwe chimalimbikitsa kupangika kwa kapamba - zifukwa zamaganizidwe. Izi zimaphatikizapo kupsinjika kwambiri, mantha amanjenje, kukhumudwa kwa nthawi yayitali, ndi mavuto ena. Potengera kubwezeretsa m'maganizo kwa thanzi losakhazikika kwamatenda, matenda ambiri am'mimba ophatikizidwa amayamba kulimba kwambiri.

Pancreatitis mu ana imafunika chisamaliro chofunikira kuchokera kwa makolo ndi madokotala. Dokotala wazachipatala wa ana amathandizira kuzindikira ndi matendawa. Pafupifupi zifukwa zonse zomwe zingayambitse kutupa kwa pancreatic mwa achikulire zimapezekanso mwa ana, ena mwa iwo amazindikiridwa makamaka nthawi zambiri. Izi zikuphatikiza:

• kuvulala kwapakale, kuphatikizapo kuvulala kwamkati,
• Anatumiza opaleshoni yokhudzana ndi kobadwa nako matenda am'mimba,
• cholowa
• chakudya
• matenda obadwa nawo (monga zovuta).

Mavuto olimbitsa thupi mwa ana amafunika kukhala osamala kwambiri. Ziwalo zam'mimba zimapangidwa mokwanira muunyamata, chifukwa chake ana amakhala pachiwopsezo chachikulu kuposa achikulire. Ngakhale nthawi zina ndizosatheka kukhazikitsa chifukwa cha pancreatitis ya ana, ndikofunikira kufunsa dokotala munthawi yosankha chithandizo.

Zizindikiro za mawonekedwe owopsa komanso aakulu, chithandizo

Pancreatitis yovuta kapena yogwira imadziwika ndi zizindikiro zotchulidwa, kukulira thanzi lathunthu. Zizindikiro zake ndizofanana ndi kuledzera kwambiri. Zizindikiro zazikulu za pancreatitis yogwira mtima ndi:

• matenda opweteka kwambiri, omwe amayang'ana mu hypochondria,
• kupweteka kwakanthawi kumawonekera ndikatha kudya, ndiye nthawi zambiri, pakapita nthawi,
• kusanza, kusanza - m'masamba, kupezeka kwa bile kumadziwika
• kusowa kwa chakudya
• kuchuluka kwa kutentha kwa thupi mpaka madigiri 37 383, kuchepa mphamvu,
• Mavuto a patulo - pafupipafupi kutsekula m'mimba, kudzimbidwa kawirikawiri,
• kutentha kwache, kupaka pakamwa, pakamwa pouma,
• kudumphira magazi, kuthamanga kwambiri,
• thukuta kwambiri.

Pancreatitis yodwalayo imakhala ndi zizindikiro zowopsa kuposa pachimake. Ngati wodwala amawunika zakudya, amawona malangizo ena a madokotala, kufalikira kungathe kupewedwa kwa nthawi yayitali. Nthawi zambiri zimatha kumwa mowa, kudya zakudya zamafuta.

Zizindikiro zakukulira kwamatenda amtunduwu ndizofanana ndi zizindikiro za pachimake. Omwe akutchulidwa kwambiri ndi awa:

• Kuchepetsa kwambiri thupi
• kupweteka kosalekeza pamimba, kukulira mutatha kudya,
• ukufalikira
• chisangalalo
• kutentha kosalekeza, ma hiccups, belching,
• Matenda a stool, kuphatikizapo matenda opaka m'mimba,
• kutopa, kuchepa mphamvu (chifukwa chosinthana ndi mapuloteni, mafuta, chakudya).

Kuchulukitsa kwa mawonekedwe osakhazikika kumatha kuyamba mwadzidzidzi. Ndikofunika kuti odwala omwe ali ndi pancreatitis yamtunduwu akhale nawo kunyumba mankhwala othandizira omwe amafunsidwa ndi adokotala.

Njira yochizira pancreatitis imasankhidwa malinga ndi zizindikiro, kuopsa kwa matendawa. Mu pachimake kutupa, kuvomerezedwa hospitalization wodwalayo ndikofunikira. Mu kutupa kwambiri, mawonekedwe apamwamba a matendawa, opaleshoni imayikidwa.

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito mankhwala a magulu angapo:

• cytostatics - Kuchepetsa yotupa,
• antisecretory - tsekani kupanga kwa ma pancreatic enzymes,
• painkiller ndi antispasmodics - kuthetsa ululu,
• maantibayotiki
• Mankhwala ochepetsa kuledzera nthawi zambiri amaperekedwa.

Mankhwala othandizira pakudya ndi gawo limodzi lothandiza pancreatitis, imathandizira kuti matendawa azikhazikika, imathandizira kudutsa kwamatenda. Sichidziwikire pompopompo, koma patatha masiku 1-5 kuchokera nthawi yomwe matendawa amadziwika ndi matendawa. Kufikira pano, kusala kudya kwathunthu ndikofunikira. Pa gawo la chikhululukiro cha pancreatitis yayitali, malamulo a zakudya amasintha pang'ono, samakhala okhwima kwambiri.

Chifukwa chake, zomwe zimayambitsa pancreatitis mwa akulu ndi ana zimatha kukhala zosiyana. Zina mwazo zimakhudzana ndi zakunja - zimayambitsidwa ndi vuto la munthu, ena - zamkati, zolumikizidwa ndimayendedwe amthupi. Ndikofunikira kuzindikira zizindikiro za kutupa kwa kapamba pakanthawi kuti musankhe chithandizo choyenera.

Zizindikiro za matendawa

Pancreatitis pachimake imatsatana ndi m'mimba.

Ngakhale kuti kapamba ndizochepa kwambiri, imagwira ntchito zofunika kwambiri.

Ndiye chifukwa chake ndi kutukusira kwa ziwalozi, ziwalo zambiri zimawonekera. Nthawi zambiri, matendawa amawonekera mu:

• Chisoni. Ndi chimodzi mwazizindikiro zotchulidwa kwambiri. Zowawa zimadula komanso kuzizira m'chilengedwe ndipo zimadziwika ndi kusakhazikika. Kusintha kwawawa kumawonedwa pansi pa nthiti kumanja kapena kumanzere. Ndi kutupa kwa kapamba wonse, zilonda zimakhala.
• Kuwonjezeka kwa kutentha kwa thupi kapena kuthamanga kwa magazi. Chizindikiro ichi chimawonedwa ngati matendawa atakula mwachangu.
• . Pambuyo potuluka m'mimba m'matumbo a zakudya, kuphatikizapo ndulu, wodwalayo adanenanso kuti mpumulo.Nthawi zambiri, chizindikiro ichi chimawonedwa mu nthawi yayikulu ya matenda. Chifukwa chake wodwala amakana chakudya.
• Kusintha kwa nkhope. Pancreatitis imabweretsa chakuti mawonekedwewa amakhala imvi. Zochitika za wodwalayo zimakuthwa kwambiri, chifukwa kuchepa kwa thupi lake.
• Mimbulu ndi hiccups. Odwala ambiri amadandaula pakamwa pouma.
• Kudzimbidwa kapena. Pachimake kapamba nthawi zambiri limodzi ndi chithovu chithovu. Odwala ambiri amawona fungo lake la fetid. Mumizimba, mumapezeka zakudya zomwe siziyimbidwa. Kudzimbidwa nthawi zambiri kumayendera limodzi ndi kufalikira kwa minofu. Zizindikiro zotere zimawonetsa kuti wodwalayo amakhala ndi pancreatitis pachimake.
• . Odwala ambiri omwe amapezeka ndi matendawa amakhala ndi bata ndipo amatulutsa. Izi zimachitika chifukwa cha kusakhalapo kwa matumbo ndi m'mimba nthawi ya kuukira. Ndikosatheka kudziwa vuto la minofu pogwiritsa ntchito palpation.
• Kupuma pang'ono. Pakusanza, thupi la munthu limataya ma elekitirodiya, omwe amachititsa kupuma pang'ono. Odwala samangodandaula za chizindikiro ichi, komanso za mawonekedwe a chikunja cha chikasu pamalilime komanso thukuta lomata.
• Cyanosis wa pakhungu. Ndi kapamba, khungu la wodwalayo limayamba kunyezimira. Odwala ambiri amadziwa mawonekedwe a cyanosis m'dera lumbar komanso. Panthawi yamkamwa, madokotala amawona kuti minofu yam'mimba ya wodwalayo imakhala yovuta.
• Yellowness sclera. Mtundu wowopsa wa matenda pafupipafupi umaphatikizidwa ndi jaundice yovuta. Izi ndichifukwa choti minyewa yofinya ya gland imapindika gawo la duct ya bile.

Pancreatitis imadziwika ndi zizindikiro zotchulidwa, zomwe zimaloleza wodwala kukayikira yekha. Ngakhale zili choncho, wodwalayo ayenera kupita kwa dokotala kuti akatsimikizire kuti ali ndi matendawo.

Kanemayo amakamba za matenda a kapamba:

Matenda a kapamba

A gastroenterologist amathandizira kuzindikira pancreatitis.

Kuzindikira matenda a kapamba ndizovuta.

Ndiye chifukwa chake, zizindikiro zikaonekera, wodwalayo ayenera kupimidwa.

Poyamba, amawunika za matenda omwe ali pamatendawa ndikuwonetsetsa.

Kuti mutsimikizire izi, kuyesa kwa ma labotale ndi njira zodziwira ntchito zamagwiritsidwe ntchito zimagwiritsidwa ntchito.

Wodwala akuyenera kuchita nthawi yayitali.

Ndi iyo, mutha kuwona zizindikilo za kutupa. Pofuna kudziwa kuchuluka kwa ma enzymes, kuyezetsa magazi komwe kumachitika.

Ngati njira zonse pamwambazi sizigwira ntchito, ndiye kuti kuchitapo kanthu kwa opaleshoni kumagwiritsidwa ntchito. Poyamba, wodwalayo amasambitsidwa.

Kuti muchite izi, machubu osiyidwa amawaikika pamimba. Amakwaniritsa kutuluka kwamadzi omwe amapezeka mumkati. Necroectomy imagwiritsidwa ntchito kuchotsa ziwalo zowonongeka.

Kuchita opaleshoni imeneyi ndizovuta kwambiri chifukwa chake amagwiritsidwa ntchito nthawi zina. Nthawi zina, pakapita nthawi yovuta kwambiri, wodwalayo amachotsedwa ndi opaleshoni.

Ngati wodwalayo ali ndi matenda osachiritsika, ndiye kuti ayenera kutsatira zakudya. Nthawi yomweyo, zakudya zonunkhira komanso zamafuta zimasiyanitsidwa kwathunthu ndi zakudya. Wodwala amaletsedwa kumwa mowa basi.

Pofuna kukonza momwe wodwalayo alili, amamulembera mankhwala akumva ululu. Ndi pancreatitis, mankhwala enzyme m'malo mwake ndi mankhwala. Zothandiza kwambiri pamenepa, ndi Creon ndi mankhwala ena onse.

Pa mankhwalawa kapamba, wodwalayo ayenera kumwa mavitamini. Ngati wodwala ali ndi matenda a shuga kapena vuto lina la endocrine, ndiye kuti ndikulimbikitsidwa kuti azichita mankhwalawo.Matenda a Gallstone amayeneranso kuchiritsidwa munthawi yake.

Uzani anzanu! Gawani nkhaniyi ndi anzanu pa tsamba lanu lolimba pogwiritsa ntchito mabatani ochezera. Zikomo!

Pancreatitis ndimatenda apang'onopang'ono a kapamba, omwe amabweretsa kusokonezeka kwakukulu kwa ntchito yake.

Kasitomala ndi gawo la chimbudzi chomwe chimathandizira kugaya bwino ntchito ndikugaya chakudya mu thupi. Imagwira njira yopanga madzi a pancreatic ndi kaphatikizidwe ka mahomoni, makamaka insulin, yomwe imayang'anira kusungirako kwa shuga m'magazi. Madzi a pancreatic amakhala ndi mtundu wapadera wa ma enzymes (amylase, lipase, ndi proteinase) omwe amathandiza kugwetsa chakudya, mafuta, ndi mapuloteni.

Pancreatitis ndimatenda a kapamba omwe amayamba chifukwa cha kutukusira kwa chiwalochi chifukwa cha michere ya pancreatic yomwe imayambitsidwa msanga m'matumbo a gland komanso ma dancts a pancreatic.

Zoyambitsa Pancreatitis

Zomwe zimayambitsa pancreatitis nthawi zambiri zimakhala:

• Kudziletsa
• Cystic fibrosis,
• Kumwa mankhwala monga cytostatics, sulfonamides, tetracyclines,
• Zakudya zambiri
• Kusuta
• Kuvulala kwa kapamba (kuphatikizapo opaleshoni),
• Matenda a endocrine system (hyperparathyroidism),
• Matenda a ma virus (hepatitis B, mumps),
• Matenda am'mimba ndi duodenum (chotupa, gastritis, zilonda zam'mimba),
• Zovuta za hepatobiliary system (hepatitis, cholecystitis, cholelithiasis),
• Kunenepa kwambiri
• Kumwa mafuta ochulukirapo, osuta, okazinga ndi zokometsera zambiri,
• Mowa.

Gululi limakhala ndi anthu omwe amakonda kudya kwambiri komanso kumwa mowa kwambiri, komanso azimayi omwe ali ndi pakati komanso akakhanda msambo.

Mitundu ndi zizindikiro za kapamba

Pali mitundu iwiri ya kapamba: pachimake komanso chovuta.

Pachimake kapamba nthawi zambiri amakhala mwa akazi azaka 30 mpaka 60 onenepa kwambiri. Chizindikiro choyamba cha kapamba ndi kupweteka kwapweteka komwe kumachitika kwambiri pansi pa supuni, hypochondrium kumanzere kapena kumanja. Pakawonongeka chisa chonse, wodwalayo amatha kudandaula za kupweteka m'chiuno. Pachimake kapamba nthawi zambiri amakhala limodzi ndi belching, hiccups, nseru, pakamwa youma ndi kusanza pafupipafupi kuphatikizidwa ndi bile.

Ndi kukula kwa matendawo, kuwonongeka koopsa m'magazi kungawonedwe. Pankhaniyi, zizindikiro za kapamba ndi kutentha thupi, kufupika, kuthamanga kwa mtima, kuthamanga kwa magazi, lilime louma lokhala ndi chophukira, mawonekedwe a thukuta lomata, khungu, komanso kuwongola nkhope.

Odwala amadandaula kuti amatulutsa komanso kusowa matumbo komanso minyewa. Pancreatitis pachimake imatha kuyambitsa zovuta kuchokera pamimba ndi ziwalo zomwe zimakhala kupyola malire ake. Izi zimaphatikizira phlegmon ndi kutulutsa kwam'mimba bursa, peritonitis, zilonda zam'mimba komanso kukokoloka kwa m'mimba thirakiti, chibayo. Nthawi zambiri, chifuwa chachikulu cha pachimake chimaphatikizidwa ndi kuperewera kwa mafuta mu metabolism (kuchuluka kwa shuga mumkodzo ndi magazi) ndi chiwindi.

Pa nthawi ya chifuwa chachikulu, nthawi ziwiri zazikulu zimasiyanitsidwa: zoyambirira ndi nthawi ya kutupa kwambiri kwa kapamba. Nthawi yoyambira imatha kukhala zaka 10. Chizindikiro chachikulu cha kapamba mu gawo ili ndi ululu. Wodwalayo amatha kudandaula za kupweteka pamimba pamimba komanso pakati, theka kumanzere kwa chifuwa (monga ndi matenda amtima), kumanzere kwakumanzere. Ululu nthawi zambiri umachitika pakatha mphindi 20-30 mutatha kudya, kumakhala ngati lamba, ndipo umachepetsa pakukhala kapena thupi litakhazikika.Nthawi zambiri, kupweteka kwamatumbo kumayendera limodzi ndi zizindikiro za dyspeptic: nseru yayitali, kusanza, kutsekula m'mimba ndi kumatulutsa.

Ngati pancreatitis yosachiritsika singachiritsidwe kwakanthawi, kupangika kwa minofu ya kapamba kumachitika, chifukwa, kuthekera kwake kwa kupanga mahomoni ndi ma enzyme kumakhala kopepuka ndipo amakwaniritsidwa mwachinsinsi. Popita nthawi, kuwawa kwa zowawa kumachepa mpaka kuzimiririka. Koma pakukula kwina kulikonse, zovuta zina zimabuka zomwe sizingasinthe.

Matenda a kapamba amatha kuyambitsa mavuto monga matenda a shuga, kutuluka kwa m'mimba, zotupa, khansa, cysts, kuwonongeka kwa chiwindi, enterocolitis.

Chithandizo cha kapamba

Chithandizo cha pancreatitis chiyenera kukhala ndikuchotsera osati kokha zizindikiro, komanso zomwe zimayambitsa kukula kwake.

Panthawi yamankhwala, ndikofunikira kusiya zakumwa zoledzeretsa zilizonse, kutsatira zakudya zomwe zili ndi mafuta ochepa, kupatula kugwiritsa ntchito mankhwala omwe angakhudze kapamba. Ngati kapamba adayamba chifukwa cha matenda omwe amadutsa m'mimba kapena matenda am'mimba, ayenera kuchitapo kanthu kuti athetse.

Cholinga chachikulu chochizira khansa ndikuchepetsa ululu, kusintha kapamba, komanso kupewa zovuta.

Kuchepetsa ululu, dokotala atha kukulemberani mankhwala osapatsa mankhwalawa kapena a narcotic (kutengera mphamvu ya ululu wammbuyo). Mlingo wa mankhwala amasankhidwa payekha kwa wodwala aliyense. Myotropic antispasmodics amagwiritsidwanso ntchito.

Ndi kuchuluka kwakukulu pancreatitis yodwalayo, wodwalayo amalimbikitsidwa ndi michere ya pancreatic yokhala ndi kuchuluka kwa lipase, molumikizana ndi proton pump inhibitors kuteteza ma enzyme kuti asawonongedwe mothandizidwa ndi madzi a m'mimba.

Pankhani ya mankhwala osokoneza bongo a kapamba, opaleshoni imachitika yomwe imatha kukulitsa moyo wa wodwalayo.

Maziko a chakudya cha kapamba ndi kugwiritsa ntchito zakudya zomwe sizivulala m'mimba ndi kapamba.

Ngati matendawa akuwonjezeka masiku 2 oyamba, wodwalayo amalimbikitsidwa kuti azitha kufa ndi njala. Mutha kumwa madzi okha, omwe voliyumu yake imayenera kukhala 1 lita imodzi. Amaloledwa kumwa madzi amchere popanda mpweya, tiyi wopanda mphamvu kapena msuzi wa rosehip. Matenda a wodwalayo akamakula, amawasinthira ochepa, kenako nkukhazikika, koma zakudya zopatsa thanzi.

Kukula kwa chakudya cha kapamba kumayenera kuchitika pang'onopang'ono.

Zaka zaposachedwa, chiwopsezo cha kapamba mwa anthu chakhala chikuchulukirachulukira. Kodi chifukwa chake nchiyani? Zambiri zimatengera moyo wamunthu wamakono komanso chilengedwe. Kudziwa zoyambitsa pancreatitis ndikuyesetsa kuzichotsa, mudzakhala ndi mwayi waukulu wodziteteza ku matenda apamba.

Zimayambitsa kukalamba kwa kapamba

Kuchulukana kwa kapamba ndi vuto mu kapangidwe kake kamene kamafanana ndi kuukira kwa chifuwa cha kapamba. Kusiyana pakati pa mikhalidwe kumeneku ndikuti kuchulukitsa kwa kapamba omwe adakhalapo kale limachitika pakakhala kusintha kwamisempha . Izi zikutanthauza kuti kapamba amawonongeka nthawi zambiri.

Zomwe zimayambitsa kuchuluka kwa odwala okalamba ndizofanana ndi zomwe zimapweteka kwambiri kapamba. Nthawi yomweyo, kuchulukitsa kwa matenda a kapamba kumanenedwa kukhala pamene zizindikiritso za matenda owopsa zimawonekera patatha chaka chimodzi kuchokera kuukira koyambirira.

Zoyambitsa matenda

Pomwe makina ogwiritsa ntchito amagwira bwino ntchito, kapamba amapanga michere yomwe sikugwira ntchito.

Kukhazikitsa kwawo kumachitika ndikulowa mu duodenum. Pancreatitis imayamba kukula pamene kutseguka kumachitika msanga.

Iwo likukhalira kuti m'malo kugawa chakudya, michere, monga iwo amati, timalimba minyewa ya tizi m'mimba.

Malinga ndi limagwirira, pancreatitis yayikulu imayamba ndikukula, yomwe pakapita nthawi imatha kusintha kukhala yodwala. Ndikofunikira kwambiri kuti muchepetse kukhazikika kwa matenda, makamaka ana.

Gastroenterologists malinga ndi zotsatira za kuwunika kwa odwala onani kuti zotsatirazi zimatha kukhala chifukwa cha kapamba:

• Matenda am'mimba ndi thirakiti lochuluka,
• uchidakwa
• poyizoni ndi mankhwala osokoneza bongo komanso zakudya zopanda thanzi.

Komanso, kukula kwa kapamba mu ana ndi akazi kuli ndi tanthauzo lake. Mwa abambo, chomwe chimayambitsa matenda ndi kuledzera.

Akatswiri amadziwa kuti pali gulu linalake la anthu omwe ali ndi vuto la kapamba chifukwa cha chibadwa chamunthu.

Pachimake kapamba

Kupweteka mwadzidzidzi pamimba yapamwamba nthawi zambiri kumayamba chifukwa cha pancreatitis pachimake. Chodabwitsa cha izi ndichakuti kuukira kumayambira kwakanthawi atatha kuzindikira chinthu chomukwiyitsa.

Zomwe zimayambitsa matenda nthawi zambiri zimadziwika bwino - kupezeka kwa matenda osokoneza bongo komanso kumwa mowa kwambiri.

Zochita zachipatala zimawonetsa kuti ngakhale munthu akangomwa kamodzi kokha yemwe munthu amamwa kwambiri sangachititse zomwezi. Zotsatira zamtunduwu ndizikhalidwe za akazi.

Kukondoweza kwambiri pakupanga michere yam'mimba kumatha kudzutsa kwambiri chifuwa cha kapamba.

Kwa abambo ndi amayi, izi zimachitika akamamwa mowa pamimba yopanda "chakudya" ndikuluma zakudya zonunkhira.

Kwa akazi, nthawi yomwe chakudya chambiri chikamachepetsa imawoneka ngati yowopsa. Nthawi zambiri pakakhala kusintha kwakukulu pakudya, pancreatitis ya pachimake imafanana.

Ndi chitukuko cha matenda a ndulu, monga ulamuliro, chifuwa chachikulu chayamba kufooka.

Zonse zomwe zalembedwa ndizowonjezera zimayenera kudziwika kwa odwala omwe ali ndi kapamba.

Childs kapamba

Kuwoneka kwa matendawa mu ana kumakhala kocheperako poyerekeza ndi amuna ndi akazi akuluakulu. Izi zikufotokozedwa ndikuti muubwana palibe zinthu zambiri zomwe zimayambitsa chitukuko cha kapamba.

Nthawi yomweyo, mawonekedwe apadera omwe amayambitsa matenda ndi chikhalidwe cha ana.

Zina mwazinthu izi ndi izi:

• kukula kwachilendo kwa kapamba,
• helminthic infestation,
• kufupika kwa lactase ndi ziwengo za chakudya,
• cystic fibrosis.

Mwana akayamba kukhala ndi vuto la kapamba, kupezeka kwa zinthu izi kumayendera kaye.

Malinga ndi akatswiri ena, zomwe zimapangitsa ana kudziwa zamatsenga zimachokera kwa makolo.

Ndikofunikira kuti makolo ndi ana adziwe mawonekedwe amtunduwu kuti apewe kusintha kwa pancreatitis yovuta kwambiri.

Osatengera chomwe chimayambitsa matendawa, muyenera kudziwa kuti chizindikiro chachikulu cha matendawa chimakonda kusanza mukatha kudya maswiti.

Makolo amayesa kudyetsa ana ndi zabwino kwambiri, koma nthawi yomweyo ndikofunika kulipira chisamaliro cha mpando.

Pamene chopondacho chimatsukidwa ndimafuta ndikutsukidwa bwino pamakoma a poto, ichi ndiye chifukwa chofufuza momwe khansa imakhalira mwa mwana.

Ndi matenda ati omwe angafanane ndi pancreatitis pachimake?

Matenda omwe amafanana ndi pancreatitis pachimake :

• Pachimake cholecystitis - kutupa kwa ndulu. Zimayamba pang'onopang'ono. Imadziwoneka ngati ululu wopondaponda pansi pa nthiti yakumanja, yomwe imaperekedwa kumapewa, pansi pa phewa, khungu lozizira, nseru, ndi kusanza.
• Kukwaniritsa chilonda cham'mimba kapena zilonda zam'mimba - mawonekedwe omwe bowo limapezeka mu khoma lachiberekero.Pali kupweteka kwambiri pamimba pamimba (nthawi zina imayerekezedwa ndi "kugunda kwakuthwa"), nseru, kusanza kamodzi. Minofu yam'mimba imakhala yovuta kwambiri. Monga lamulo, izi zisanachitike, wodwalayo wapezeka kale ndi chilonda.
• Kulepheretsa kwamkati . Izi zitha kukhala chifukwa cha zifukwa zosiyanasiyana. Imawoneka ngati kuwonjezeka pang'onopang'ono kwa colic, kupindika m'mimba, kusowa tulo, kusanza ndi fungo losasangalatsa.
• Mtsempha wamkati . Zimachitika pamene magazi amasokonekera zotengera za mesenteric kudyetsa m'matumbo. Pali kupweteka kwam'mimba kwambiri, nseru, kusanza, ndipo palibe chopondapo. Nthawi zambiri, anthu oterewa kale ankadwala matenda amtima.
• Pachimake appendicitis - kutupa kwa zowonjezera (zowonjezera ) Ululu wam'mimba ukupita patsogolo pang'onopang'ono, pomwe umasunthira kumunsi kwake, mseru, nkhawa zam'mimba zimachitika. Kutentha kwa thupi kumatha kukwera pang'ono.
• Myocardial infaration . Nthawi zambiri amadziwika ndi kupweteka kumbuyo kwa sternum, koma amatha kuchitika mwachitsanzo, mwa kupweteka kwambiri pamimba. Wodwalayo amakhala wotumbululuka, kupuma movutikira kumawonekera, kuzizira, thukuta lotata. Kuzindikira komaliza kumachitika pambuyo pa ECG.
• Mimbulu yopanga . Diaphragmatic hernia ndi gawo lomwe gawo lachiberekero ndi / kapena matumbo limatuluka kudzera m'mitsemvu. Nthawi zambiri, kumerera pakati kumachitika nthawi yayitali. Wodwalayo agona pambali pake ndikugwedeza mawondo ake pachifuwa chake, kuthamanga kwa magazi ake kumatsika, amakhala wotuwa, thukuta lozizira limayamba. Mimba ikapanikizika, kusanza kumachitika.
• Chakudya Choopsa cha Chakudya . Matenda omwe matenda opatsirana ndi poizoni amapezeka, nthawi zambiri kudzera mu chakudya. Pali ululu wam'mimba, kutsegula m'mimba, kuwonongeka kwapafupipafupi.
• Ziphuphu zotsika - kutupa m'munsi m'mapapu. Kutentha kwa thupi kumakwera, kupweteka kumachitika pachifuwa, nthawi zina pamimba. Kukhosakhota kouma kumatulukira, komwe pakatha masiku awiri kumanyowa. Kupuma movutikira kumachitika, mkhalidwe wa wodwalayo umakulirakulira.

Kupewa komanso chithandizo

Monga momwe zamankhwala zimasonyezera, pancreatitis yachilendo imachitika mwadzidzidzi, kotero wodwalayo samamvetsetsa momwe angakhalire zoterezi.

Zomwe zimayambitsa kukhathamiritsa zimatha kukhala zosiyana, koma kupweteka kwakanthawi, komwe kumakhalapo nthawi zonse.

Nthawi zambiri wodwala amatengeredwa kuchipatala pa ambulansi. Gawo la pachimake la matendawa limathandizidwa kuchipatala.

Pakukonzekera chithandizo, ma painkillers ndi mankhwala amagwiritsidwa ntchito kuti achepetse kubisala kwa kapamba wa kapamba.

Njira zochizira mu akulu ndi ana ndizofanana pankhaniyi.

Matenda a kapamba nthawi zambiri samavomerezeka. Wodwalayo amakhala moyo wake wamba kunja kwa chipatala, kunyumba.

Munthawi imeneyi, sizothandiza kwenikweni zomwe zimayambitsa matenda. Wodwala akakhala kuti ali ndi vutoli, njira zamankhwala zothandizira zimangogwiritsidwa ntchito ndi kuchuluka.

Mwanthawi yovomerezeka, ayenera kutsatira zakudya ndi malamulo omwe madokotala amapereka. Mowa komanso kusuta fodya sizikupezeka.

Pophwanya boma, kuukira kwamatenda kotsatila kumayambira pomwepo. Matenda a pancreatitis mosamalitsa amawongolera machitidwe a wodwala.

Osati mu zakudya za tsiku ndi tsiku zokha, komanso kugwiritsa ntchito mankhwala ena, omwe angayambitse matenda. Izi zimagwira makamaka kwa aspirin.

Kodi matenda ngati amenewo ndi ofala masiku ano? monga kapamba. Zomwe zimayambitsa matendawa zimatha kubereka komanso kutengeka. Ziwerengero zamankhwala zikusonyeza kuti posachedwa, milandu ya matendawa yachulukanso.Kuphatikiza apo, matenda am'mimba amapezeka onse atakula komanso mwa makanda.

Kudziwa zomwe zimayambitsa kutupa kwapancreatic, munthu angalepheretse chitukuko cha matenda ndi zovuta zomwe zingayambitse. Zomwe zimayambitsa ndi chithandizo cha kutupa ndizogwirizana kwambiri. Pofuna kuchiza kapamba, muyenera kudziwa chomwe chimayambitsa matendawa ndikuchotsa.

Kodi gulu la Atlanta limagawana chiyani ndi pancreatitis pachimake?

Atlanta International Classization of Acute Pancreatitis:

Njira zachikhalidwe mu kapamba	1. Pancreatitis pachimake : digiri yofatsa madigiri akulu. 2.Pachimake zapakati pancreatitis (kuchuluka kwa madzimadzi mu kapamba): 3.Pancreatic necrosis (kufa kwa minofu ya pancreatic): kachilombo osadziwika (wosabala). 4.Fake pancreatic cyst . 5.Pancreatic abscess (zilonda) .
Matende a Pancreatic	mafuta pancreatic necrosis, edematous kapamba, hemorrhagic pancreatic necrosis.
Kufalikira kwa necrosis mu minofu ya pancreatic	zotupa zakomweko - necrosis ya malo ochepa, chotupa chapakatikati - necrosis ya gawo lalikulu la kapamba, kugonja kwathunthu - necrosis ya kapamba wonse.
Njira ya matendawa	Achabe . Imafanana ndi edematous pachimake kapamba. Zimadutsa zokha kapena chifukwa cha mankhwala owononga. Kupita patsogolo . Imafanana ndi mafuta ndi hemorrhagic pancreatic necrosis. Fomu yoopsa kwambiri, nthawi zambiri imafunikira opareshoni.
Nthawi yamatenda	1. Kusokonezeka kwazungulira, mantha. 2. Kuphwanya kachitidwe ka ziwalo zamkati. 3. Mavuto.

Kodi postoperative pancreatitis ndi chiyani?

Zizindikiro, kuzindikira ndi kuchiza kwa postoperative pancreatitis ndizofanana ndi mitundu ina. Nthawi zambiri zimakhala zovuta kuti dokotala akhazikitse matenda ake chifukwa cha zinthu zotsatirazi :

• sizikudziwika ngati kupweteka kumachitika chifukwa cha opaleshoni palokha, kapena kuwonongeka kwa kapamba,
• chifukwa chogwiritsa ntchito ma pinkiller ndi sedative, zizindikiro sizitchulidwa
• pambuyo pa opaleshoni, zovuta zambiri zimatha kuchitika, ndipo ndizosatheka nthawi zonse kuzindikira kuti zizindikirazi zimagwirizanitsidwa ndi kapamba.

Kodi matupi a pancreatitis owopsa ndi otani?

Chidziwitso chapamwamba kwambiri chimawonedwa ndi mawonekedwe a edematous. Nthawi zambiri, pancreatitis yovuta kwambiri imatsimikiza yokha, kapena mothandizidwa ndi mankhwala. Osakwana 1% ya odwala amafa.

Kulosera za pancreatic necrosis ndizowopsa. Amatsogolera kuimfa ya 20% -40% ya odwala. Mavuto a purulent amawonjezeranso zoopsa zake.

Kubwera kwaukadaulo wamakono, kudalirika kwa odwala omwe ali ndi pancreatitis yovuta kwambiri kwasintha. Chifukwa chake, pogwiritsa ntchito matekinoloje ochepera, kufa ndi 10% kapena kuchepera.

Kodi pali kusiyana pakati pancreatitis yayikulu ndi pachimake?

Makina a chitukuko cha matenda a kapamba, komanso pachimake, sanamveke bwino. Ngati mu mawonekedwe owopsa kuwonongeka kwa tiziwalo timene timayambitsa ma enzymes ake, ndiye kuti mawonekedwe osakhwima, minyewa ya m'mimba yake imalowedwa ndi cicatricial.

Pancreatitis yachilendo imakonda kupezeka mafunde: mukachulukitsa, zizindikiro zimatchulidwa kwambiri, kenako zimachitika chikhululukiro kusintha kwa zinthu.

Monga lamulo, chikhansa chachikulu ndimachira. Pamaso pa zisonyezo zina muyenera kuchita opaleshoni.

Kodi kuyeretsa magazi kumagwiritsidwa ntchito mu pancreatitis pachimake?

Zisonyezero za plasmapheresis mu kapamba kapamba :

• Nthawi yomweyo atangolowa kuchipatala. Pankhaniyi, mutha "kugwira" kapamba kachuma pachimake ndikuthana ndi kuphwanya kwakukulu.
• Ndi chitukuko cha pancreatic necrosis.
• Woopsa kutupa, peritonitis, mkhutu ntchito mkati.
• Pamaso pa opareshoni - kuchepetsa kuledzera ndi kupewa zovuta zomwe zingachitike.

Contraindication kwa plasmapheresis mu pachimake kapamba :

• Zowonongeka zazikulu ziwalo zofunika.
• Kukhetsa magazi komwe sangathe kuyimitsidwa.

Nthawi zambiri, panthawi ya plasmapheresis mu pancreatitis pachimake, 25-30% ya madzi am'madzi am'magazi amachotsedwa kwa wodwala ndikusinthidwa ndi njira zapadera. Pamaso pa njirayi, sodium hypochlorite solution imayendetsedwa kudzera m'mitsempha. Panthawi ya plasmapheresis, magazi amayatsidwa ndi laser. Muzochitika zowopsa kwambiri, wodwalayo amatha kuchotsedwa 50-70% ya kuchuluka konse kwa plasma, m'malo mwake omwe plasma yatsopano yoziwitsidwa imalowetsedwa.

Kodi chithandizo chowonongera chazovuta chitha kupweteka pancreatitis?

Zowonjezera zazowonongera zomwe zimakhala ndi maubwino pazowonjezera opaleshoni yachilendo. Zimathandizanso, koma kuvulala kwamtundu kumachepetsedwa. Ndi kuyambitsidwa kwa njira zowononga zachilengedwe zowonongeka, zotsatira za mankhwalawa a pancreatitis pachimake zimayenda bwino, odwala anayamba kufa pafupipafupi.

Kodi kukonzanso pambuyo pancreatitis pachimake?

Ngati palibe zovuta, ndiye kuti wodwala ali kuchipatala milungu iwiri. Pambuyo pakuchotsa, ndikofunikira kuchepetsa kuchita masewera olimbitsa thupi kwa miyezi iwiri.

Ngati pambuyo opaleshoni wodwala zovuta, chithandizo inpatient chikhala nthawi yayitali. Nthawi zina pancreatitis pachimake imatha kubweretsa kulumala, wodwala amatha kupatsidwa I, II kapena gulu la III.

Ma Sanatorium ndi malo odyera omwe ali abwino kwa odwala otere :