Zizindikiro za matenda apamba

Sikuti aliyense amadziwa matenda omwe amakhudzana ndi kapamba, Zizindikiro za matendawa ndi zomwe zingachitike m'thupi. Chiwalo ichi ndi gawo la chimbudzi. Pancreas amabisa madzi a pancreatic, omwe amaphatikizidwa ndi chimbudzi cha chyme. Ma mahomoni angapo ndi ma enzyme amaphatikizidwa mu chiwalochi (insulin, glucagon, amylase, lipase, trypsin ndi chymotrypsin).

Zizindikiro za matenda a gland

Matenda osiyanasiyana a kapamba amadziwika. Onsewa amagawidwa kukhala osapatsirana komanso osachiritsika. Ma pathologies otsatirawa nthawi zambiri amapezeka ndi matenda:

• pachimake kapamba
• matenda ashuga
• zotupa
• khansa
• aakulu kapamba
• cystic fibrosis,
• kunyowa
• cysts.

Bwanji osayamba matenda a kapamba mu amayi, abambo ndi ana, sikuti aliyense amadziwa. Zotsatirazi ndizosiyanitsidwa:

• uchidakwa
• kudya zakudya zamafuta ndi zonunkhira,
• vuto la autoimmune
• cholecystitis
• kukhalapo kwa foci matenda opatsirana,
• zolakwika zakubadwa.

Matenda amadziwonetsa munjira zosiyanasiyana. Zizindikiro zonse zimaphatikizidwa pama syndromes angapo. Zomwe zikuluzikulu ndi kuledzera, kusowa kwamadzi, kupweteka, kukanika komanso cholestatic.

Zizindikiro zodziwika bwino za matenda a kapamba ndi izi:

• kupweteka
• nseru
• kusanza
• malungo
• kuphwanya chopondapo
• kuzizira
• kuwonda
• kuteteza khungu
• ukufalikira
• kumva kutopa
• zotupa.

Nthawi zambiri pamakhala zizindikiro za matenda amkati ndi kupuma.

Zizindikiro za Kukhathamiritsa

Zizindikiro za matenda a kapamba zimaphatikizapo kutentha thupi, kuzizira komanso kupweteka kumutu. Izi ndi zizindikiro za kuledzera. Nthawi zambiri, amawonetsa njira yotupa yotupa (pancreatitis) kapena minofu necrosis. Kutupa kwa kapamba ndi njira yotchuka kwambiri. Mwa mwana, nthawi zambiri amakula. Zizindikiro za matendawa nthawi zambiri zimapezeka mwa anyamata.

Chithunzi cha chipatala chimatsimikizika ndi kuuma kwa kapamba kapamba. Kutentha m'matendawa kumakwera mpaka 38-39 ° C. Kukhala bwino kwa munthu kumakulirakulira. Zovuta, kupweteka mutu kwambiri, myalgia, ndi arthralgia ndizotheka. Matenda a intoxication amayamba chifukwa cha kukhathamiritsa kwa ma enzymes, ma virus ndi kuwola kwa ziwalo zama cell kulowa m'magazi.

The kwambiri pachimake bakiteriya kapamba. Ndi izo, kuwonjezera kwa minofu ndikotheka. Chimodzi mwazovuta za kutupa pachimake ndi pancreatic necrosis. Ndi iye, malungo amatchulidwa. Amayamba chifukwa cha kupukutidwa koyera kwa minofu ya tinyezi. Ma fomu a Caverns.

Zinthu zowola zimathamangira m'magazi ndipo zimanyamulidwa m'thupi lonse.

Poterepa, pali chiopsezo chokhala ndi ziwalo zingapo. Matendawa amayamba. Zizindikiro za kuledzera zimachitika pambuyo zolakwika mu chakudya kapena kumwa mowa. Pancreatic necrosis imawonetsedwa ndi kupuma pafupipafupi komanso kosazama, ochepa hypotension ndi tachycardia. Zizindikirozi zikuwonetsa poyizoni wakupha wa thupi.

Amawerengetsa padera za kuledzera khansa. Amayamba kukhala zotupa zonyansa za England. Ndi khansa yapamwamba, zizindikiro monga kuchepa thupi, kufooka kwambiri, kuchepa kwa magwiridwe antchito, zotupa za m'mimba, komanso kutentha thupi. Zizindikiro za kuledzera kuphatikiza ululu, kusanza, kusanza, mkamwa ndi kupezeka kwa chisindikizo pamimba kumakula.

Kukhalapo kwa zowawa

Zizindikiro za matenda a kapamba zimaphatikizapo kupweteka. Itha kuchitika ndi matenda aliwonse. Mu pancreatitis yovuta kwambiri, ili ndi zinthu zotsatirazi:

• odziwika mu epigastrium, hypochondrium wamanzere, kapena herpes zoster,
• kwambiri
• mosalekeza
• Amakhala wamphamvu munthu akagona kumbuyo kwake,
• kuphatikiza mseru ndi kusanza,
• radiation pansi pa scapula,
• amapezeka pambuyo zolakwika kudya ndi kumwa mowa,
• kudula kapena kuzimiririka.

Ngati chithandizo cha kapamba sichikuchitika, ndiye kuti mankhwalawa amatha kuchitika. Kuzindikira kwa zowawa kumatengera dera la kutupa. Mchira wa gland ukawonongeka, vuto limamveka m'mimba kumanzere. Panthawi ya kutukusira kwa thupi la kapamba, ululu umamveka m'gawo la epigastric. Kuwonongeka kwathunthu kwa chiwalo kumatha kuwonetsa kusasangalala m'munsi kumbuyo.

Ululu umapezekanso matenda a kapamba. Zimachitika nthawi yowonjezera kapena kusokoneza pakakhala kugonja. Nthawi zambiri, ululu umathetsa. Ilibe chidziwitso chowonekera. Mu 50% yamilandu, imatchulidwa mwapang'onopang'ono. Ululu umapereka kumbuyo. Zomwe zimayambitsa chizindikirochi zimaphatikizapo kuwonongeka kwa parenchyma, gawo la kapisozi kazinthu, ma fibrosis, mapangidwe a pseudocyst, ndi kufinya ma ducts.

Mtundu wa ululu wammbuyo nthawi zina umapezeka. Imamveka pachifuwa kapena m'chigawo cha mtima. Malangizo amawoneka mu kolala. Poterepa, ntchito ya dotolo ndikuchotsa matenda a mtima. Kukhalapo kwa matenda opweteka omwe sangathetsedwe ndi antispasmodics ndi NSAIDs, komanso zizindikiro za kuledzera, kungasonyeze mapangidwe a cyst.

Kukula kwa dyspeptic syndrome

Zizindikiro ziti za pancreatic pathology, aliyense wa gastroenterologist ayenera kudziwa. Nthawi zambiri pamakhala dyspeptic syndrome. Mulinso:

• nseru
• kusanza
• chisangalalo
• kuphwanya chopondapo ngati m'mimba,
• kutentha kwa mtima
• kubwatula
• kulawa kowawa mkamwa
• kuchepa kwamtima.

Pancreatitis nthawi zambiri imayendera limodzi ndi kusanza. Imachitika ndi kutupa pachimake kapena kuchulukitsa kwa matenda. Poyamba, kusanza sikubweretsa mpumulo. Bile akhoza kumasulidwa. Kukhalapo kwa chizindikiro ichi kuphatikiza ndi kupweteka ndi chizindikiro cha kukana kwakanthawi. Poyambirira, kusanza kumakhala ndi chakudya. Kenako bile limapezeka mwa iwo. Mukasanza, thupi limataya ma electrolyte ndi madzi.

Izi zingayambitse kusokonezeka kwa mtima ndi kusowa kwamadzi (kusowa madzi m'thupi).

Masamba atachoka, odwalawo amamva kuwawa pakamwa pawo kwa nthawi yayitali. Kusoka ndi chizindikiro cha khansa. Zizindikiro zimachitika chifukwa cha kukakamira kwa duodenum ndi m'mimba ndi chotupa. Zotsatira zake, njira yolimbikitsira chakudya imasokonekera. Matenda ambiri a kapamba mwa amuna ndi akazi amawonetsedwa ndi nseru.

Zizindikiro zambiri zimayamba kusanza. Ichi ndi chiwonetsero cha kulephera kwa limba. Ndi matenda a kapamba mu ana ndi akulu, defecation imalephera. Ndi khansa ya mutu wa chiwalo, ndowe zimakhala zopanda kuwala. Kutsegula m'mimba nthawi zambiri kumachitika. Ngati pali matenda monga pachimake kapamba, ndiye kuti chopondacho nthawi zambiri chimakhala chofowoka. Chakudya chosasokonekera chimapezeka m'menemo.

Kudzimbidwa kumakhala kocheperako. Kupezeka kwa mafuta chopondapo ndi pancreatic cyst kumachitika chifukwa chophwanya mapangidwe a lipase. Mwa anthu otere, ndowe sizatsukidwa bwino ndipo zimakhala ndi mawonekedwe osilira. Vutoli limatchedwa steatorrhea. Ndi matenda a kapamba monga chifuwa chachikulu cha m'mimba, kutsegula m'mimba kumatha kusinthana ndi kudzimbidwa. Mpando ndi wosakhazikika. Nthawi zambiri pamakhala mawonekedwe a mushy.

Mndandanda wazizindikiro za dyspeptic umaphatikizapo kuchepa kwa chilakolako cha kudya. Ndizotheka ndi matenda amisempha iliyonse. Kusokonezeka kwa njira yogaya chakudya chifukwa cha kukomoka kwa ziwalo kumakhala chifukwa chopanga mpweya. M'mimba mwa odwala mumatupa, ndipo malamba amapezeka. Nthawi zambiri pamakhala kugundana m'mimba mukatha kudya.

Zizindikiro za Kuthetsa Thupi

Ndi matenda a pancreatic, kuchepa kwamadzi kumatha. Zoyambitsa zazikulu ndizotupa kwambiri ndi pancreatic necrosis. Pali madigiri 3 am'madzi. Kuchepa mphamvu kwa thupi kumadziwika chifukwa cha kuchepa thupi kochepera 3%. Zizindikiro zotsatirazi zimachitika:

• ludzu lofooka
• khungu lowuma
• kupumira msanga.

1 digiri yakutha kwamadzi sikowopsa kwa munthu wodwala. Kuchepetsa thupi kumafika 8-9%. Izi zikuwonetsa kuchepa kwamadzi 2. Zizindikiro monga kufooka kwa mucous membrane, ludzu lalikulu, kuthamanga kwa mtima, kutsekeka kwa khungu, mkodzo wakuda, komanso kutuluka kwa mkodzo kumawonedwa.

Wodwala amakhala ndi mkodzo pafupipafupi. Kutopa kwambiri kumadziwika mosavuta. Ndi iyo, kuchepa thupi ndi 10% kapena kuposa. Zizindikiro monga ulesi, kuthamanga magazi, khungu louma komanso mucous membrane, kugona, kusokonezeka, komanso kulephera kulankhula. Mivuto yayikulu imayamba. Nthawi zambiri, odwala amasiya kuzindikira. Ngati zizindikiro zoyambirira za madzi m'thupi zanyalanyazidwa, ndiye kuti kuphwanya kwa ziwalo zamkati ndikotheka.

Zizindikiro zapadera

Muyenera kudziwa osati zomwe zimayambitsa matenda a kapamba, komanso zizindikiro zenizeni. Amathandizira kuti adziwe zoyenera. Ndi matenda a kapamba, zizindikiro zotsatirazi zimapezeka:

• Mayo-Robson
• Dudkevich
• Chukhrienko,
• Shchetkin-Blumberg,
• Tuzhilina.

Ndi kapamba, peritoneum nthawi zambiri imayatsidwa. Chizindikiro chabwino cha Shchetkin-Blumberg chikuwululidwa. Ndi iyo, ululu umawoneka pakukoka mkono molunjika kuchokera khoma lakumbuyo lamkati la wodwalayo. Chizindikiro chikuwonetsa kukula kwa peritonitis motsutsana ndi kumbuyo kwa kutupa kwapakhosi.

Mwina kuwoneka kwa ululu pamkono wakumbali kwakumapeto kwa nthiti. Izi zikuwonetsa chizindikiro chabwino cha Mayo-Robson. Zizindikiro zapadera zimadziwikanso ndi chifuwa chachikulu cha pancreatitis. Ndi icho, chizindikiro chabwino cha Tuzhilin chikuwululidwa. Malo ang'onoang'ono ofiira amawonekera kumbuyo ndi m'chifuwa cha anthu odwala. Zotupa za pakhungu ndi chizindikiro cha ma micaneurysms. Mukapanikizika, zinthu za exanthema sizitha.

Zizindikiro zina zamankhwala

Mu matenda a kapamba, zizindikiro ndi chithandizo ziyenera kudziwika kwa dokotala aliyense. Nthawi zambiri jaundice amakula. Nthawi zambiri zimakhala zamakina. Chizindikiro ichi chimawonedwa ndi cyst ndi khansa. Jaundice yokhala ndi neoplasms yoyipa imachitika pang'onopang'ono. Poyamba, kuwunika kwa sclera ya maso kumatha kuonedwa.

Ndi kukula kwa matendawa, kufalikira kwa khungu kumachitika.

Nthawi zambiri imakhala yowoneka ngati yofiirira. Zomwe zimayambitsa chizindikiro ichi ndi kuponderezana kwa bile duct. Jaundice nthawi zambiri imachitika motsutsana ndi kumbuyo kwa chotupa ngati chapezeka m'dera la mutu wa gland. Chizindikiro chofananira ndikuyamba kuyamwa.

Zomwe zimayambitsa kupezeka kwake ndi ingress ya bile acid mu khungu. Ndi khansa pambuyo pake, mkodzo umadetsedwa ndipo ndowe zimasungunuka. Kusagwirizana ndi zinthu zina ndizotheka. Nthawi zambiri, odwala amadana ndi nyama. Mu chifuwa chachikulu cha pakhungu, khungu limakhala lotuwa ndi imvi. Nthawi zambiri mawanga a cyanotic amawoneka pa thupi (nkhope, m'mimba, khosi).

Amayambitsidwa ndi kuphwanya kwa microcirculation. Matenda a kapamba amatha kuwoneka ngati hypovitaminosis. Cholinga chake ndikuphwanya chimbudzi cha chakudya. Zizindikiro izi ndizotheka:

• kukopa kwa pakhungu
• kuchepa tsitsi komanso kutsika kwake,
• kusintha misomali
• magazi m`kamwa.

Chizindikiro cha chotupa mumchira cha tinthu timeneti ndi splenomegaly (ndulu yokulitsidwa). Nthawi zambiri, edematous syndrome imayamba. Ndi kapamba, kukula kwa encephalopathy ndikotheka. Amawonetsedwa ndi kuphwanya kwamakhalidwe, kukwiya, kupweteka kwa mutu komanso chisokonezo. Matenda a kapamba amaphatikizapo matenda a shuga. Itha kuchitika motsutsana ndi maziko a khansa ndi kapamba. Anthu awa amakumana ndi zotsatirazi:

• kuchuluka kwa kutulutsa mkodzo tsiku lililonse,
• ludzu
• thukuta
• kufooka
• kukomoka kwina kwina,
• kuwonda
• kugona

Zomwe zimayambitsa izi ndiz kuphwanya kapangidwe ka insulin. Poyerekeza izi, kuchuluka kwa shuga m'magazi kumakwera.

Zotsatira za matenda a gland

Ngati simumachiritsa kapamba, ndiye kuti mavuto amakula. Izi zikuphatikiza:

• peritonitis
• kugwedeza
• mapangidwe a abscess
• phlegmon
• msempha
• zilonda
• cholecystitis
• chiwindi
• Mitsempha ya varicose yam'mero.
• cachexia
• encephalopathy
• matumbo,
• mapangidwe abodza onyenga,
• magazi
• ascites
• kuphwanya kutuluka kwa mkodzo,
• mapangidwe a fistula.

Odwala ena amakhala ndi endocrine osakwanira. Matenda a shuga aachiwiri akhoza kukhala zotsatira. Choopsa chachikulu ndi khansa. Popanda chithandizo, amatsogolera ku kuledzera, kudzikundikira kwamadzimadzi pamimba, hepatomegaly ndi thrombophlebitis. Ngati chithandizo cha khansa ya pancreatic sichinachitike, ndiye kuti metastases imawonekera. Mwanjira imeneyi, zizindikiro za kuwonongeka kwa ziwalo zina (chiwindi, chikhodzodzo, matumbo) zimachitika.

Kusanthula chizindikiro cha matendawa

Upangiri wa adotolo ukamaperekedwa ukangotsimikiziridwa kuti wapezeka ndi vutoli. Madandaulo okha siokwanira. Maphunziro otsatirawa adzafunika:

• kuyezetsa magazi komanso kopitilira muyeso,
• kusanthula kwa zotupa
• Ultrasound yam'mimba,
• makulidwe
• CT kapena MRI
• positron emission tomography,
• bweretsani cholangiopancreatography,
• laparoscopy
• kuponyera
• radiology
• mayeso ogwira ntchito
• kuwunikira.

Zizindikiro monga leukocytosis, kuchuluka kwa ESR, amylase, trypsin, glucose, cholesterol ndi lipase m'magazi, kuchepa kwa mapuloteni ndi calcium kokwanira kumawonetsa pancreatitis yosatha. Kuwunikira kwa Fecal ndikothandiza kwambiri. Chiwerengero chambiri chamaselo am'misempha, owuma ndi mafuta amapezeka mmenemo. Ultrasound imawululira ma cysts, ma calctures, kukhuthala mu contours, chida chokulirapo, ndi zokutira zokulira. Kuti muwone pancreatitis yachilendo, mkodzo umayesedwa amylase. Khansa imatha kupezeka pokhapokha mukamachita kafukufuku wothandiza.

Pamaso pochiza odwala, kudziwitsani mosiyanasiyana kumachitika. Zizindikiro za chithokomiro cha chithokomiro ndizofanana ndi zizindikiro zowonongeka m'matumbo ndi ziwalo zina. Kusiyanitsa kosiyanasiyana kumachitika ndi appendicitis, zilonda, enterocolitis, gastroenteritis, kutsekeka kwamatumbo, matenda a Crohn, cholecystitis, ischemic syndrome, kupasuka kwa aortic aneurysm, myocardial infarction, pleurisy ndi pericarditis.

Momwe mungachotsere zizindikiro

Pancreatic matenda amafunikira chithandizo. Mankhwalawa amatengera matendawo. Zofunikira kwambiri pazamankhwala ndi:

• chakudya
• kumwa mankhwala
• kukonzanso thupi.

Ndi ma abscesses, cysts ndi zotupa zoyipa, kulowererapo kwa opaleshoni kumafunika. Ndikofunikira kutsatira malangizo a dokotala. Kuti athetse ululu wammbuyo, mankhwala ochokera ku gulu la NSAID kapena antispasmodics amagwiritsidwa ntchito. Woopsa milandu, procaine blockade chofunika. Mankhwala amatha kuperekedwa kudzera m'mitsempha. Nthawi zambiri amagwiritsidwa ntchito Tramadol ndi Baralgin.

Mutha kuthetsa zizindikiro za kuledzera mothandizidwa ndi kulowetsedwa. Hemodez ndi Reopoliglyukin amayikidwa. Sikuti aliyense amadziwa zizindikiro za pancreatic pathology, zizindikiro za matendawa, mankhwala osokoneza bongo komanso kupewa kufooka kwa ziwalo. Mu pancreatitis pachimake, ma statins ndi proteinase inhibitors (Contrical) nthawi zambiri amapatsidwa mankhwala.

Ntchito mankhwala omwe amachepetsa kupanga hydrochloric acid. Izi zimakuthandizani kuti muchepetse ntchito zachinsinsi za zofunikira. Ndi zizindikiro zakupha thupi ndi ma enzyme, okodzetsa ndi mankhwala. Amawonetsedwa pokhapokha ngati pali zizindikiro zoti thupi limatha. Mu matenda opatsirana, etiotropic mankhwala amachitika.

Zomwe zimagwiritsidwa ntchito kwambiri ndi cephalosporins, carbapenems ndi nitroimidazole.Ngati muli ndi vuto la kuchepa thupi, muyenera kumwa zochulukirapo. Anachita kulowetsedwa mankhwala. Ndi zizindikiro za dyspepsia motsutsana ndi chifuwa chachikulu, kukonzekera kwa enzyme zotchulidwa mu gawo la chikhululukiro (Mezim, Festal, Panzinorm). Amaphatikizidwa ndi zowawa. Kwa zizindikiro za cystic fibrosis, corticosteroids angagwiritsidwe ntchito.

Gawo lofunika la chithandizo chamankhwala ndiyabwino. Ndi zizindikiro za pancreatitis pachimake mkati mwa masiku 1-2, muyenera kukana kudya. Mutha kumwa madzi. Kenako, chakudya No. 5b ndi mankhwala. Zakudya zamafuta ndi zonunkhira, mowa, ma pickles, zakudya zam'chitini ndi ma marinade siziyenera kuphatikizidwa pamenyu. Ndikulimbikitsidwa kuti muzidya kangapo ka 4-6 patsiku.

Zakudya ziyenera kutsatiridwa kwa pafupifupi milungu iwiri. Sikuti nthawi zonse zizindikiro za matendawa zimathetsedwa mothandizidwa ndi mankhwala. Kuchita opaleshoni kumafunika. Itha kufunikira khansa, ma cyst, abscess, pancreatic necrosis, kutsekeka kwa ma ducts, stenosis ya sphincter wa Oddi, sclerosis ya gland ndi phlegmon.

Kupewa kwa matenda

Nthawi zambiri, kupezeka kwa zizindikiro za matenda am'mimba ndi kapamba ndizotsatira za moyo wosayenera. Kuti mupewe izi, muyenera:

• chepetsa zakudya zanu zamafuta,
• osamadya kwambiri,
• lekani mowa
• idyani zipatso ndi masamba ambiri
• Idyani zakudya zazing'ono pafupipafupi 4-6 pa tsiku,
• kusunthira zina
• munthawi yake kuchitira cholecystitis ndi matenda ena opatsirana,
• kupatula kuyamwa kwa zinthu zapoizoni,
• Pewani kupsinjika
• kuchita masewera
• kusiya kusuta
• imwani madzi oyera ambiri
• imwani mavitamini.

Pofuna kupewa zizindikiro za matenda ashuga, muyenera kudya zakudya zosakoma ndipo nthawi ndi nthawi mumayezetsa magazi. Zakudya zonse ndi njira yochiritsira komanso yoletsa. Ngati muli ndi zizindikiro za matenda a kapamba, muyenera kufunsa katswiri wa gastroenterologist. Kunyalanyaza madandaulo kungayambitse zovuta (matenda a shuga, matenda opatsirana, matenda a necrosis, sepsis, peritonitis, phlegmon, abscess).

Momwe mungachiritsire matenda a kapamba mu amuna kapena akazi? Zizindikiro zake ndi ziti, Zizindikiro za matendawa ndi mankhwala, zakudya zoyenera, upangiri wa dokotala.