Khungu loyera ndi kapamba - zimayambitsa, mankhwalawa

Khungu loyera ndi kapamba. Zimayambitsa kuyabwa pakhungu ndi kapamba. Chithandizo cha kuyabwa kwa khungu ndi kapamba.

Moni kwa alendo onse ku blog ya pancreatitis!

Mutu wankhani zamasiku ano ndi wodekha ud ndi kapamba. Kodi kapamba angayambitse kuyabwa? Kodi mankhwala a enzymatic a kapamba angayambitse kuyabwa?

Posachedwa, (mwezi wapitawu) momwe ndidakhalira kuyikamo (ndikhululukireni) crotch, yomwe kenako idatsamira. Ndipo kuyimba uku kudawonekera mwa mawonekedwe a kugwidwa. Pomwe zimayamba kukwapula simungayime. Kuphatikiza magazi onse. Adawoneka pomwe ndimatenga chikondwererochi, pancreatin ndi creon zosakanikirana, zomwe zidabwera m'manja mwanga.

Ndinapita kwa dotolo ndipo ndinakambirana za mavuto anga komanso kuyamwa kumaoneka. Adafunsa mwachindunji ngati kuyabwa kumatha kuchitika chifukwa cha kukonzekera kwa enzymatic (konkroni, chikondwerero, kapamba)? Poyankha iye anati: - Ayi. Mankhwalawa amangothandiza kulemba chimbudzi. Ndipo funso nlakuti, ndichite chiyani tsopano? Adayankha - Pitani kwa dokotala wazachipazi, mumulole iye azindikire mtundu wa kuyabwa m'mimba. Mwa njira, shuga anali abwinobwino, kotero kuti sakanakhoza kuyambitsa kuyabwa.

Ndinapita kwa dokotala wazachipatala, ndinapeza yisiti, ndinachita kupangana, adalandira chithandizo. Ndipo kuyimba kudalipo. Sindinamvepo mpumulo panthawi ya chithandizo. Atakhumudwitsidwanso ndi madotolo, adayambanso kupukusa mutu wake nthawi yomwe kuyambitsa kudayamba.

Panali yankho limodzi lokha - mutamwa mankhwala a enzymatic mosiyanasiyana. Ndidawerenga ma creon aja ndipo adalembedwa zakuda ndi zoyera kuti bongo womwe umapangitsa kuti uyambe.

Ndinapita ku pharmacy, kukagula mankhwala a bowa ndi yisiti, omwe nthawi zambiri amawagwiritsa ntchito mankhwalawa atapsa mankhwala ndipo ndi zonse! Vuto lomwe limayambitsa kuyamwa kwa kapamba lidatha. Koma kuchuluka kwa nthawi yomwe adazunzidwa, makamaka mukamayikha magazi. Ndili ndi khungu m'miyendo yanga kale.

Nthawi zambiri kuyabwa khungu, mkodzo wakuda, kufinya kwa maso kumawonekera chotupa m'mutu wa kapamba. Pambuyo pa opaleshoni, kuyabwa ndi zizindikiro zina nthawi zambiri zimatha.

Koma nayi nkhani ina. Nayi nkhani yomwe kuyabwa pakhungu ndi kapamba adawoneka kuchokera ku mankhwala osokoneza bongo a enzymatic, kapena kuti zonse zimasokoneza mosiyanasiyana. Kapena mwina kuchokera pamilandu yonseyi pamodzi.

Chabwino! Nkhani yayikulu yathetsedwa ndipo mathedwewo akhoza kutsatiridwa motere - kuyabwa ndi kapamba imatha kuwoneka kuchokera ku mankhwala a enzymatic ngati satengedwa bwino. Chifukwa chake, ndibwino kumwa mankhwalawo molondola, monga adanenera dokotala, monga momwe amayembekezera.

Ndizo zonse. Ndimangofuna kugawana zomwe ndakumana nazo pankhaniyi. Mwina wina angafunikire kuti asazunzike ngati ine. Zabwino zonse kwa aliyense ndi thanzi labwino.

Kodi mudayamba kuyabwa chifukwa cha kapamba? Kodi munachita nawo chiyani? Chonde gawani, ngati sizovuta.

Khungu loyera la kapamba ndi khansa ya kapamba

Zochizira kapamba, owerenga athu amagwiritsa ntchito bwino njira ya Irina Kravtsova.

Kuyabwa ndikumverera koyaka ndi khungu pa khungu, kumapangitsa munthu kusokonezeka kwakukulu, kusokoneza moyo wake. Kuyabwa kumayambitsa kugona komanso kupunduka, kukhumudwa, malingaliro ofuna kudzipha. Chizindikiro ndi chizindikiro chachikulu cha matenda apakhungu, koma chimawonedwa ndimatenda ena.

Pruritus ndi chizindikiro cha matenda apathengo kapangidwe kake malinga ndi mtundu wa pseudotumoral. Mawonekedwe a kapamba amakula pang'onopang'ono. Kuti pancreas a pathological awoneke, kusintha kosafunikira ndikofunikira kuyambira zaka 7 mpaka 15. Pancreatitis yamtunduwu imadziwika ndi chotupa cha mutu wa kapamba, yemwe amangochitidwa opaleshoni.

Ndi mawonekedwe a pseudotumoral a kapamba, kuchepa kwa cholestatic kumaonekera mwa odwala, chifukwa chomwe chimawerengedwa kuti ndi asidi a bile ndi zinthu zina zosadziwika zomwe zimaphatikizidwa m'thupi pamene dongosolo la biliary limasokonekera komanso limasowetsa chidwi kumapeto kwa khungu.

Pambuyo pa opaleshoni, zizindikiro za kutupa kosatha kwa kapamba monga mkodzo wakuda, koma ndowe zopepuka, kufinya khungu, khungu ndi maso ndi kuyabwa kwa khungu.

Khungu la Itch ndilimodzi mwazizindikiro za khansa yowonekera pamutu wa kapamba. Amayamba ndi chotupa cha jaundice, pomwe kutuluka kwa ndulu kumatumbo kumalephera.

Pali zifukwa zingapo izi:

kumera kwa chotupa pakhoma la duct ya bile,
kuchoka ndi kukakamiza kuchokera kunja kwa bile duct mwa kuchuluka kwa chotupa kapena ma lymph node,
kutsekeka kwa lumen wa duodenal papilla ndi chotupa.

Kusintha kulikonse kwa kuphwanya kwa mapangidwe a bile kumayambitsa kukula kwa makina a subhepatic jaundice. Zovala zovekera zimalowa m'mimba, ndipo kuchokera pamenepo zimalowa m'magazi. Kuchulukana kwa bilirubin mwachindunji kwa thupi kukuchulukirachulukira. Kuthamanga mu minyewa yonse komanso pakhungu, kumayambitsa kukulitsa khungu. Izi zimaphatikizidwa ndi kuchuluka kwa histamine m'magazi.

Kuphatikiza pazomwe tafotokozazi, ndimatenda a chamba, zovuta zosadziwika mwachindunji kuchokera ku ubongo ndizotheka.

Ndi khansa ya pancreatic, kuyabwa kumatchulidwa, kosapirira, popanda kusinthasintha kwodziwika kwampweya. Nthawi zina ndi amene amayambitsa kuvutika kwambiri. Itha kuwoneka pamaso pazizindikiro zina za jaundice.

Pambuyo pake, ntchito ya chiwindi, komanso ziwalo zina zonse, zimasokonekera. Kukula kwa impso ndi kwa hepatic kusowa kungakulitse kuyabwa chifukwa cha kudzikundikira kwa zinthu za metabolic.

Zambiri pamutuwu:

Pancreatitis mutu, zomwe zimayambitsa ndi chithandizo.
Zimayambitsa kukhumudwa ndi kapamba.
Kuchulukana kwa matenda kapamba. Zomwe zimachitika
Ndikofunika kusunga pakamwa ndi kapamba

Ngati mukuganiza kuti nkhaniyo ndi yosangalatsa komanso yothandiza, ndiye kuti ndidzakhala wokondwa kwambiri ngati mungagawane ndi anzanu zidziwitsozi patsamba. Kuti muchite izi, ingodinani mabatani ama webusayiti ochezera.

Kodi mukuwonekerabe kwa inu kuti kuchiritsa pancreatitis kumakhala kovuta?

Poona kuti mukuwerenga izi tsopano, kupambana pakulimbana ndi kapamba kulibe kumbali yanu.

Ndipo mudaganizapo kale za opaleshoni? Ndizomveka, chifukwa kapamba ndi gawo lofunikira kwambiri, ndipo magwiridwe ake oyenera ndi chinsinsi cha thanzi komanso thanzi. Kupweteka kwapafupipafupi m'mimba, kufooka, chizungulire, kutulutsa, mseru, kusokonezeka kwa chopondapo. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani ya Irina Kravtsova. momwe adachotsera kapamba mpaka muyaya.

Hubergrits Pancreatology mu "galasi" (khungu limasintha m'matenda a kapamba)

Zizindikiro za kapamba. Khungu loyipa lomwe limakhala ndi kapamba limawonetsa kusinthika kwa matendawo kukhala mawonekedwe osafunikira ndipo kumafunikira lingaliro lowongolera vutolo. Kachiwiri, kuyabwa kwa khungu kungachitike chifukwa chakuti kapamba, kapamba amatupa, amawonjezeka ndipo amayamba kuponderezana ziwalo zapafupi. Khungu loyenda ndi kapamba limachepetsa kwambiri ngati matendawa amachiritsidwa.

Tiyeni tiyesetse kumvetsetsa zosoweka za khungu zomwe zimachitika ndi matenda a kapamba. Pankhani ya ululu womwe sukulumikizika womwe sungathetsedwe ndimankhwala a khansa ya kapamba, odwala nthawi zina amagwiritsa ntchito botolo lamadzi otentha kwa nthawi yayitali, omwe ali ofanana ndi pancreatitis kwathunthu.

Kukoka kwa magazi ka cutaneous nthawi zambiri kumachitika patatha masiku 1-2 pambuyo pobwera ndi chifuwa chachikulu cha kapamba, limodzi ndi zotupa m'mimba mchala cha kapamba. Maukonde a Livedo mu njira yolumikizana ndi mawonedwe amtundu wa buluu amapezeka pakhungu pamimba ndi matako apamwamba ndi chifuwa chachikulu cha pancreatitis.

Kuphatikiza pa pancreatitis yachilendo, palinso ma pathologies ena angapo omwe amakhudza kapamba. Chifukwa chake, chotupa pakhungu chimatha kukhala chizindikiro cha chifuwa chachikulu. Pakapukusira kosaletseka kapamba, totupa nthawi zina zimawonedwa, lotchedwa chizindikiro cha Tuzhilin. Njira yotupa yomwe imagwera m'mapapo, zomwe zimayambitsa kuphwanya ntchito zake, imatchedwa pancreatitis.

Kutupa kwa pancreatic kumatha kukhala koopsa komanso kosatha. Khungu loyenda, monga lamulo, ndi mnzake wa chifuwa chachikulu, chomwe chimayamba zaka zambiri. Sindikudziwa kuti kuyabwa kumatha kuyenda ndi kapamba (Ndipo ndadabwitsidwa kwambiri tsopano (Ngakhale izi ndizosowa. Ndilinso ndi matenda kapamba, madotolo amati ndimadya zoperewera. Nthawi zambiri ndimadwala matenda osokoneza bongo, nthawi zonse ndimaganiza kuti kuyabwa ndi zotupa kumachitika. Zogulitsa zina, Osati pomwe sanalumikizane ndi ziwengo zake ndi kapamba.

Matenda a kapamba

Kwa zaka zisanu ndi chimodzi ndakhala ndikudwala kapamba, mankhwalawa amapezeka ndimankhwala ndipo nthawi zambiri ndimatulutsa. Chithandizo cha pancreatitis yoopsa kwambiri. Sizachilendo kuti wodwala azikhala ndi ululu wa paroxysmal, koma chizindikiro ichi chimawonekera kwambiri kwa odwala omwe ali ndi pancreatitis yachuma. Zizindikiro za pancreatitis yayikulu. Matenda owopsa a pancreatitis akuwonetsedwa ndikuwopseza komanso kugwa kwa wodwala.

Zoyambitsa Pancreatitis

Pali zinthu zambiri zomwe zimayambitsa kupezeka kwa kapamba:

kuledzera ndi chikonga cha kuledzera,
kuvutitsidwa ndimafuta, kusuta, zonunkhira, zakudya yokazinga,
Matenda a chiwindi ndi matenda amisala,
kuwonongeka kwa kapamba, kuphatikizapo zoopsa,
kugwiritsa ntchito mankhwala osokoneza bongo (maantibayotiki, sulfonamides, cytostatics),
matenda endocrine
ma virus obwera ndi ma virus (hepatitis),
cholowa.

Mu pachimake maphunziro a matendawa, pali kuphwanya kwa chimbudzi kudzera m'misempha ya kapamba. Ma enzymes am'mimba amathandizira mwachindunji mu kapamba ndikuyamba kugaya maselo ake. Tissue necrosis imachitika, komanso kupatula mwa gawo kapena kugwira ntchito kwa ziwalo zina za chiwalo.

Matenda a kapamba amayambika pambuyo pa matendawo pachimake, komanso motsutsana ndi kusowa kwa ziwalo zapamimba zam'mimba (m'mimba, duodenum, chiwindi). Tiziwalo tating'onoting'ono timawonongeka, ndipo pang'ono ndi pang'ono timasinthidwa ndi minofu yolumikizana.

Pachimake kapamba.

Cyanosis (khungu la cyanotic pakhungu ndi mucous membranes) silachilendo, koma mitundu yovuta kwambiri yamapapo komanso yovuta kupezekanso yapansi. Acute pancreatitis # 8212, nthenda yowopsa, yomwe imakhazikika podzigaya (necrosis) yathunthu ya kapamba.

Kusintha kwa khungu, kwenikweni, nthawi zambiri kumakhala kuwunikira kwamachitidwe osiyanasiyana am'magawo am'mimba, kuphatikiza kapamba. Koma zomwe timaziwona pakhungu zimayamba chifukwa chobwereza, kutupa kwa dystrophic komanso kusintha kwina m'malo osiyanasiyana a thupi.

Gastroenterologists ndi dermatologists ayenera kuphunzira kutanthauzira molondola ngakhale malingaliro olakwika mu "kalilore wokhotakhota". Nthawi zina zimachitika chifukwa cha kusintha kwa khungu komwe matenda akhungu a pancreatic monga khansa kapena glucagonoma angayikidwe. Zilonda zamkhungu matenda a kapamba (kupatulapo matenda a shuga a mellitus # 8212, matenda ashuga) sizili m'gulu la pafupipafupi.

Zimayambitsa kuyabwa

Khungu loyenda, monga lamulo, ndi mnzake wa chifuwa chachikulu, chomwe chimayamba zaka zambiri. Ndi kapamba, khungu loyenda limawoneka pazifukwa zazikulu ziwiri. Choyamba, izi zitha kukhala chifukwa cha zovuta zomwe zimagwiritsidwa ntchito pochiza matendawa. Kachiwiri, kuyabwa kwa khungu kungachitike chifukwa chakuti kapamba, kapamba amatupa, amawonjezeka ndipo amayamba kuponderezana ziwalo zapafupi.

Pokhudzana ndi izi, chiwindi ndi ndulu zimayandikira kwambiri, zomwe zikutanthauza kuti zimakumana ndi izi. Zotsatira zake, ndikuphwanya kutuluka kwa ndulu, kusinthanitsa kwake m'magazi. Zomwe zimapangidwa ndi bile - bile acid, kulowa m'magazi, zimafika kumapeto kwa mitsempha, ndikuyambitsa kuyabwa kwambiri.

Mu pancreatitis pachimake, kuyabwa kwa khungu sikamachotsedwa. Zizindikiro zikuluzikulu za matendawa ndimatenda opweteka kwambiri kumanzere ndi kumanja kwa hypochondrium, komanso m'mimba, kuledzera, mseru, ndi kusanza. Ngati pakhungu pakulowa ziwonetsero za matendawa, nthawi zambiri zimachitika chifukwa cha mavuto omwe amagwiritsidwa ntchito ndi mankhwalawa omwe amagwiritsidwa ntchito pochiza kapamba. Kuyabwa nthawi zambiri kumakonzedwa.

Zithandizo Zabwino

Kotero kuti kuyimitsa khungu sikuwoneka, kapena kulimba kwake kumachepa, ndikofunikira kuyesedwa ku chipatala. Adotolo, potengera zotsatira za kafukufukuyu, adzayambitsa chomwe chimayambitsa kuyamwa ndikupereka mankhwala ofunikira.

Ngati pakhungu pakayamba chifukwa cha mankhwalawa osokoneza bongo, ma antihistamines adzayikidwa. Kukhazikitsidwa bwino Levocetirizine, Desloratadine, Fexofenadine, Cetirizine. Mankhwalawa amaletsa ma histamine receptors omwe amachititsa kuti thupi lawo lizigwirizana. Kusankhidwa kungakhale koyenera. glucocorticoids, Kuchepetsa kutupa, chifuwa, kuchepetsa mawonetseredwe a kapamba.

Komabe, zidzakhala zolondola kuti muchotse kupezeka kwa ma acid acids m'magazi kuti musayang'ane kuyamwa khungu chifukwa cha zotsatira zawo zakupha m'mitsempha. Kukonzekera kwa Ursodeoxycholic acid kuthana ndi ntchitoyi. Amaphatikizana ndi ma molekyulu a bile acid ndipo amathandizira kuti azichita bwino.

Khungu loyenda ndi kapamba limachepetsa kwambiri ngati matendawa amachiritsidwa. Chithandizo cha pancreatitis chikuyenera kuchitika moyang'aniridwa ndi dokotala, ndibwino kuti muchite izi mkati mwa makoma achipatala. Mankhwalawa ndi ovuta. Amapereka mndandanda wambiri wa mankhwala, chithandizo cha matenda oyanjana ndimatumbo, komanso kutsatira mosamalitsa zakudya zomwe wapatsidwa.

Zakudya za pancreatitis zolimbikitsa (kusuta, mchere, zonunkhira, zakudya wowawasa, mowa, khofi, zakumwa zoziziritsa kukhosi) ziyenera kuthetsedwa. Khungu loyipa lomwe limakhala ndi kapamba limawonetsa kusinthika kwa matendawo kukhala mawonekedwe osafunikira ndipo kumafunikira lingaliro lowongolera vutolo.

Matenda a kapamba.

Acidosis imayamba m'magazi ndipo imagovoicic inayamba kugunda ndikusazindikira zingapo komanso kulephera kwa ziwalo zingapo. Kumayambiriro kwa matendawa, odwala ali ndi thukuta (totupa, zomwe zimayambitsa) ndikusunga kwa chopondapo (onani njira zonse zothandizira kudzimbidwa). Izi ndichifukwa choti ma pancreatic enzymes ndi bile acid, omwe ali ndi mankhwala ofewetsa tulo, osalowa m'matumbo moyenera.

Pancreatitis Gulu.

Ndi chiwonongeko chachikulu komanso kuwonjezeredwa kachilombo koyambitsa matenda oyera, "kusintha kwa njira ya leukocyte kumanzere" kumawonekera, ndiko kuti, chiwonjezeko cha anthu omwe agawika komanso akhazikika. Zikakhala kuti pali hemorrhagic pancreatitis pambuyo pake, kukula kwa kuchepa kwa magazi kumatheka (kuchepa kwa maselo ofiira am'magazi ndi hemoglobin). Nthawi zambiri imazindikira kuchuluka kwa amylase, kukwera pamwamba pa 125 U / L m'maola 12 oyambirira a matenda.Minyewa ya diastasis imayamba kupitilira mayunitsi 100 okhala ndi malire apamwamba pazinthu 64. Thupi la shuga ndi ketone limawonekeranso mkodzo, zomwe zimawonetsa kuphwanya kwa chakudya chamafuta ndi mapuloteni.

Pancreas anatomy ndi kapangidwe kake

Zizindikiro za matendawa, kuzindikira ndi kulandira chithandizo nthawi zambiri zimadalira gawo la momwe izi zikuchitikira komanso kutulutsa kwawo. Izi ndizopweteka, dyspepsia ndi mawonekedwe a mayeso a labotale. Pa nthawi yonseyi, gawo lamanja la epigastrium limagwera m'mutu, ndipo zilonda zam mchala, kumanzere. Ngati chotupa chili mthupi, ululu umapangidwira mkati mwa epigastrium. Anthu komanso zothandizira pa intaneti zomwe zikupezeka kuti zikugwira nawo ntchito mosavomerezeka zidzatsutsidwa.

Zizindikiro za "m'malovu ofiira"

Kusintha komwe kumawonekera pakhungu lanu ngati totupa kumatha kukhala chizindikiritso choyambirira cha matenda am'mimba, omwe amaphatikizapo kapamba. Chifukwa chake, musadabwe kuti mukaonane ndi dermatologist ndikudandaula za zotupa zomwe adokotala adakutumizirani kuti mukakumane ndi dokotala wa matenda am'mimba yemwe adazindikira pancreatitis.

Ndi kuchulukitsa kwa matendawa, kuchuluka kwa totupa kungachuluke, ndi kutsimikiza kwa zotupa m'matumba, ziphuphu zimatha. Mu pachimake maphunziro a matendawa, pali kuphwanya kwa chimbudzi kudzera m'misempha ya kapamba. Ma enzymes am'mimba amathandizira mwachindunji mu kapamba ndikuyamba kugaya maselo ake. Matenda a kapamba amayambika pambuyo pa matendawo pachimake, komanso motsutsana ndi kusowa kwa ziwalo zapamimba zam'mimba (m'mimba, duodenum, chiwindi).

Zizindikiro za kapamba ndi zizindikiro za matendawa, zomwe zimawonetsedwa ndi kupweteka, koma ndi chifuwa chachikulu, matendawa samatchulidwa, koma patapita nthawi yayitali matendawa. Ululu ndi kapamba, lamba, kufalikira mpaka pachifuwa. Maziko a pathogenesis a pancreatitis pachimake ndi kudziwonetsa kwa kapamba ndi michere yake.

Khungu loyaka ndi kapamba # 8211, zomwe zimayambitsa, chithandizo

Khungu loyera ndi kapamba. Zimayambitsa kuyabwa pakhungu ndi kapamba. Chithandizo cha kuyabwa kwa khungu ndi kapamba.

Mutu wankhani zamasiku ano ndi wodekhaud ndi kapamba. Kodi kapamba angayambitse kuyabwa? Kodi mankhwala a enzymatic a kapamba angayambitse kuyabwa?

Panali yankho limodzi lokha - mutamwa mankhwala a enzymatic mosiyanasiyana. Ndidawerenga ma creon aja ndipo adalembedwa zakuda ndi zoyera kuti bongo womwe umapangitsa kuti uyambe.

Nthawi zambiri kuyabwa khungu, mkodzo wakuda, kufinya kwa maso kumawonekera chotupa m'mutu wa kapamba. Pambuyo pa opaleshoni, kuyabwa ndi zizindikiro zina nthawi zambiri zimatha.

Ndizo zonse. Ndimangofuna kugawana zomwe ndakumana nazo pankhaniyi. Mwina wina angafunikire kuti asazunzike ngati ine. Zabwino zonse kwa aliyense ndi thanzi labwino.

Kodi mudayamba kuyabwa chifukwa cha kapamba? Kodi munachita nawo chiyani? Chonde gawani, ngati sizovuta.

Kodi khungu loyamwa limawoneka liti?

Khungu loyenda ndi kapamba limakonda kuyenda ndi matenda enaake, omwe akhala akupanga pang'onopang'ono zaka zingapo. Pali zochitika ziwiri zomwe zimayimitsidwa:

Mankhwala osokoneza bongo
Pancreatic edema.

Mankhwala osokoneza bongo amayamba chifukwa cha mankhwala omwe amatengedwa pofuna kuchiza matendawa. Mu pachimake matenda, kuoneka kuyabwa ndi osowa kwambiri. Ngati kuyabwa kudakalipo, ndiye kuti ziwengo ndi zomwe zimayambitsa. Ngati kuyambitsa kuyamwa ndi ziwonetsero, ndiye kuti kumayendera limodzi ndi kuledzera, kusanza, mseru.

Chifukwa cha edema, kapamba amatupa ndikusindikizira ziwalo zapafupi. Chiwindi ndi chikhodzodzo cha m'mimba ndizoyandikira kwambiri kufooko, zimatha kukakamizidwa kwambiri.

Pazifukwa izi, kutuluka kwa bile kumasokonekera, ndipo kumalowa m'magazi. Kenako ma asidi a bile amafika kumapeto kwa mitsempha ndipo mumamva kuyamwa kwambiri.

Njira yothetsera kuyabwa

Kuti muthane ndi kuyabwa kapena kuchepetsa, muyenera kufunsa dokotala. Chipatala chichita mayeso onse ofunikira ndikupeza chomwe chikuyambitsa. Pambuyo pake, mudzatha kupereka mankhwala omwe mukufuna.

Ngati zomwe zikuyambitsa matendawa ku mankhwalawa, ndiye kuti muyenera kupereka mankhwala omwe ali ndi antihistamines kuti muchepetse ziwengo. Mankhwala oterewa amachepetsa ma histamine receptor komanso amaletsa chifuwa.

Nthawi inanso, mudzapatsidwa mankhwala ena omwe angakupatseni mavuto. Muthanso kutumikiridwa ndi glucocorticoids, omwe amachepetsa chifuwa ndi kuchepetsa zizindikiro za kapamba.

Pankhani ya kutupa kwapancreatic, ursodeoxycholic acids amakakamizidwa. Ndi chithandizo chawo, ma asidi a bile amachotsedwa, omwe amathandizira kumapeto kwa mitsempha ndikuyambitsa kuyabwa.

Malangizo pochiza pancreatitis

Chithandizo cha matenda monga pancreatitis chimachitika kwambiri moyang'aniridwa ndi dokotala mukadwala. Njira ya matendawa ndikukhazikika kwa khungu kudzakhala kosavuta, ndipo chithandizo chikhala chothandiza kwambiri, chifukwa aziyang'anira kusintha kwa thupi lanu.

Kukhala kosavuta kuti mutsatire zakudya; chakudya chanu chimayang'aniridwa mosamala. Ndi chakudya, zinthu zomwe zimapangitsa kuti zikhale pancreatitis sizimachotsedwa.

Mndandanda wazinthu zotere ndi monga:

Zakudya zakusuta
Zakudya zamchere
Zakudya zokometsera
Mowa
Zakumwa zoziziritsa kukhosi
Zakumwa za kaboni.

Samalani mndandanda wazinthu! Ngati simutsatira zakudya, ndiye kuti kapamba wanu amayamba kudwala, ndipo mudzadwala koposa chaka chimodzi. Mwambiri, ngati muli ndi kuyabwa, ndiye kuti matendawa asintha kale kukhala mawonekedwe osakhazikika. Onetsetsani kuti mwatsata chakudya.

Ino si matenda omwe simungathe kuwalabadira. Pali anthu omwe sakonda kuthandizidwa ndikungomwa tiyi wotentha, akuganiza kuti zonse zitha. Ena samataya nthawi mwadala.

Ngati ndinu mmodzi wa iwo - ganiziraninso. Pancreatitis, komanso yodwala komanso yopweteka, ndimatenda ochiritsika.

Kupitiliza chithandizo mosasamala - kumakulitsa kwambiri matendawa. Chifukwa chake, muyenera kugwiritsa ntchito nthawi ndi ndalama kuti mukhale athanzi komanso kuti musadwale. Musaiwale kutsatira zakudya ndipo musadzipengeni nokha. Nthawi zonse muziyang'aniridwa ndi dokotala komanso kuti mukhale bwino kuchipatala. Chithandizo chimakhala chovuta komanso chodula nthawi zambiri.

Kodi khungu loyipa limawoneka bwanji ndi kapamba?

Kuyabwa kwa thupi ndi kutupa kwa kapamba kumachitika ngati wodwalayo ali ndi matenda.

Kuyenda m'matumbo a wodwala kumatha kuwonekera pawiri.

Zomwe zimabweretsa zosakondweretsa:

Kukhalapo kwa thupi la wodwalayo ndi mankhwala.
Kukula kwa edema ya pancreatic.

Chiwopsezo cha mankhwala chimachitika chifukwa chogwiritsa ntchito mankhwala omwe amagwiritsidwa ntchito pochiza pancreatitis, yomwe imakhala ndi zinthu zomwe zimapangitsa kuti thupi lizigwirizana.

Kuyabwa kwa thupi ndi chifuwa chachikulu cha kapamba ndimawonekedwe osowa kwambiri.

Ngati kuyabwa kwamkaka kumayambitsa mankhwala, ndiye kuti kumathanso kumwa limodzi ndi kuledzera, mawonekedwe a mseru komanso kufuna kusanza.

Chifukwa cha kukula kwa puffness, chitsulo chimachulukitsa voliyumu. Zomwe zimabweretsa kukakamizidwa kwa ziwalo zapafupi monga chiwindi ndi ndulu.

Pancreatic edema imayambitsa kuphwanya kutuluka kwa ndulu. Kuphwanya kotereku kumabweretsa kulowetsa kwa bile kulowa mumtsinje wamagazi. Chifukwa cha kulowetsedwa kwa ma asidi a bile kulowa m'magazi, amakafika kumapeto kwa mitsempha ndikuyambitsa kubwuma kwambiri.

Chomwe chimayambitsa vuto losasangalatsa chikhoza kukhala cholecystitis, komwe kumayambira komwe kumayambira pancreatitis kumachitika chifukwa chakuwuka kwa mapangidwe a bile.

Kuti adziwe chomwe chimayambitsa khungu pakhungu, wodwalayo amayenera kupimidwa.

Mukamayesedwa, muyenera kuchita mayeso osiyanasiyana kuphatikiza kuyezetsa magazi, mkodzo ndi ndowe.

Magazi amaperekedwa kuti azindikire kuchuluka pakati pa maselo oyera ndi maselo ofiira amwazi.

M'mikhalidwe yokhazikika, maselo ofiira pafupifupi 5 miliyoni, ma cell mapulaneti 300 ndi ma cell oyera pafupifupi 4-9,000 ali m'magazi a anthu. Kuwonjezeka kwa maselo oyera kumawonetsa kuchuluka kwa njira yotupa mthupi.

Kupenda magazi kumavumbula kukula kwake chifukwa cha kusowa kwamadzi. Kusanthulaaku kukuwonetsa kuchepa kwa maselo ofiira amwazi.

Kuphatikiza apo, kuyesa kwamagazi kwamphamvu kumachitika. Momwe kuphatikiza kwa bilirubin kuli komwe kumapezeka.

Pambuyo pakulemba mayeso ovuta, dokotala yemwe amapezekapo amasankha njira ndi njira zochiritsira zothanirana ndi matenda zomwe zimalimbikitsa kuti pakhale zovuta zomwe zimachitika pakhungu la thupi.

Khansa yapakansa

Chotupa choyipa ndi amodzi mwa zotupa zoyipa kwambiri za kapamba. Chifukwa chake, ndikofunikira kudziwa za zizindikiro za matendawa kuti mupeze thandizo munthawi yake.

Poyamba, khansayo sidziwonetsa. Zizindikiro zosadziwika mwapang'onopang'ono zimawonekera, zimafanana ndi zizindikiro za gastritis, kapamba, cholecystitis, mwachitsanzo, kupweteka kumtunda kwachitatu kwam'mimba komanso hypochondrium yoyenera. Amayang'ana kumbuyo, amakula atagona kumbuyo.

Ndipo pamakhala zowawa m'mimba. Nthawi yomweyo, zizindikiro za kuphatikizika kwa ziwalo zozungulira zimawonekera: jaundice, kuyabwa pakhungu, mseru komanso kusanza.

Ngati chotupa chikamera pancreatic duct, pali kudzimbidwa, kutsekula m'mimba, kumasulidwa kwamafuta ndi ndowe, kuchepa msanga kwa thupi.
Wodwalayo amadandaula za kufooka, kusowa kudya, thanzi lofooka, kukhumudwa.

Mankhwala achilendo a kapamba samubweretsa mpumulo.

Chotupa cha thupi ndi mchira wa gland imayendera limodzi ndi kupweteka kwambiri kumbuyo kapena epigastrium, kuchepa kwambiri kwa thupi, komanso kukula kwa matenda a shuga. Maonekedwe a kusunthika kwa thrombophlebitis, kutupa kwa mitsempha, ndizotsimikizika. Pankhaniyi, madera ofiira komanso kutupa kwa khungu, mitsempha yopweteka yopweteka imawoneka m'munsi.

Kuzindikira koyambirira kumakhala kovuta, komabe, pogwiritsa ntchito njira zamakono (mwachitsanzo, kulingalira kwamatsenga), mwayi wodziwa chotupa ukuwonjezeka. Madokotala akamam'chita opaleshoni, ndiye kuti matendawa amatha bwino.

Mawonekedwe a khungu m'matumbo a kapamba

Zochizira kapamba, owerenga athu amagwiritsa ntchito bwino njira ya Irina Kravtsova.

Madokotala nthawi zambiri amatcha khungu la munthu ngati galasi momwe ma pathological process (kutupa, dystrophic, kuledzera, matupi awo ndi ena ambiri) omwe amapezeka m'magulu osiyanasiyana a thupi amawonetsedwa.

Kusintha komwe kumawonekera pakhungu lanu ngati totupa kumatha kukhala chizindikiritso choyambirira cha matenda am'mimba, omwe amaphatikizapo kapamba.

Chifukwa chake, musadabwe kuti mukaonane ndi dermatologist ndikudandaula za zotupa zomwe adokotala adakutumizirani kuti mukawone ndi gastroenterologist. onani kapamba.

Chimbudzi ndi chinsinsi chachikulu mthupi la munthu, chimakhala chachiwiri pambuyo pa chiwindi m'mimba. Ma enzyme opangidwa ndi gland amatenga nawo mbali m'mimba, kugawa chakudya m'matumbo, mafuta, ndi mapuloteni m'matumbo.

Ndipo mahomoni opangidwa ndi thupi amasunga, mozungulira, kuchuluka kwa shuga mumagazi.

Pancreatitis, yowonetsedwa mu kutupa ndi kutupa kwa chiwalo, imasokoneza ntchito zoyambirira za kapamba, zimayambitsa kusalinganika mthupi lonse, zomwe zimakhudza mkhalidwe wa khungu, wokutidwa ndi zotupa.

Zimakhazikika pakhungu ndi kapamba

M'matenda oyambitsidwa ndi kapamba, pomwe matendawa amakhala osakhazikika komanso osakhalitsa, chosakwanira kwa exocrine imawonedwa: katulutsidwe ka madzi a kapamba omwe amaperekedwa ku duodenum, omwe amalepheretsa magawo a acid m'mimba ndikuchita nawo chimbudzi, amachepetsa.

Ntchito za ma enzymes mu lumen ya m'matumbo amachepa, ma bactericidal of the intestinal flora, omwe amatengedwa kuchokera m'matumbo akulu kupita yaying'ono, amayamba kuchepa.

Poyerekeza izi, mabakiteriya amakula kwambiri, ndipo izi zimapangitsa kuti matumbo azitsekereza, zomwe zimapangitsa kuti chiwopsezo chokhala ndi michere komanso michere itayamba. Chifukwa chake, chotupa pakhungu chimatha kukhala chizindikiro cha chifuwa chachikulu.

Zizindikiro zamatsitsi ofiira

Pakapukusira kosaletseka kapamba, totupa nthawi zina zimawonedwa, lotchedwa chizindikiro cha Tuzhilin. Pakhungu lakumbuyo, pamimba, pachifuwa, pakhungu pamawoneka mawonekedwe oyang'ana mawanga amitundu yoyenera ya mtundu wofiira. Chotupa, chomwe ndi aneurysm yamitsempha (chosiyana ndi asterisks mu cirrhosis), sichitha ndi kukakamiza.

Ndi kuchulukitsa kwa matendawa, kuchuluka kwa totupa kungachuluke, ndi kutsimikiza kwa zotupa m'matumba, ziphuphu zimatha. Kuzungulira kwa mathonje ofiira sikuti ndi chifuwa chachikulu chokha, komanso matenda a mtima.

Khungu lotupa ndi matenda apamba

Amati maso ndi kalilore wa mzimu. Zokhudza khungu, titha kunena kuti ndi kalilore wa thanzi lathupi.

Ngati pali zovuta pamimba, ndiye kuti khungu silitha kukhala loyera: zotupa, zotupa, zilonda.

Zachidziwikire, izi ndizosasangalatsa, koma, panthawi imodzimodzi, izi ndizizindikiro zamthupi zofunikira kuti zimuthandize kuthana ndi matenda omwe sangathe kuthana nawo payekha.

Mthupi lathu, kapambayu ndiye amachititsa kuti chimbudzi chikhale. Amakhala ndi ma enzymes ndi mahomoni, popanda zomwe njira yogaya chakudya ndiosatheka.

Kuwala pakhungu pathupi pathupi kumayambitsa matenda a chida ichi (chinsinsi chomwe chimasungidwa ndi icho chimabaya tiziwalo tokha, ndi zina zotere).

Tchulani zizindikiro ndi mawonekedwe a zotupa za pakhungu ndi matenda a kapamba.

Matenda a kapamba ndi zizindikiro zawo

Pachimake kapamba. Kutupa kumachitika kawirikawiri chifukwa cha matenda a duodenal. Itha kupangidwanso chifukwa chomwa mowa kwambiri. Pansi pa nthiti zimayamba kupweteka kwambiri (kupweteka kwa m'chiuno ndikotheka). Pondapondayo imakhala yotayirira komanso pafupipafupi, kusanza osaganizira kuti ithe. Ngati chithandizo chachipatala sichiperekedwa panthawi, kapamba amayamba kudwala, zotupa pakhungu chifukwa cha mafuta necrosis zitha kuwoneka.
Pancreatic cyst. Zizindikiro za jaundice wolepheretsa zimawonekera ngati chotupa chikukakamizidwa ndi ziwalo zapafupi. Pakati pawo, khungu loyenda komanso kupezeka kwa mthunzi wachikasu ndi epithelium.
Matenda a shuga. Zikondazo zimasiya kutulutsa insulin yokwanira. Khungu limakhala louma, zilonda zimawoneka. Kufooka, kuchiritsa kwa nthawi yayitali kwa mabala. Kumva njala mosalekeza ndikolemera kwambiri.
Khansa yapakansa. Matenda omwe kuchuluka kwake kukuchuluka chaka chilichonse. Tsoka ilo, zizindikiro za oncology zimachitika mochedwa (kufinya kapena kupweteka kwambiri pakhungu, kupweteka, nseru, kusanza, kuchepa kwa hemoglobin, kuchepa thupi kwambiri).

Zizindikiro za khansa ya kapamba ndizofanana ndi zizindikiro za kapamba.

Matenda a atopic

Zingwe zimawoneka ngati thovu. Khungu m'malo awo okhala zotupa ndi kotupa. Pamalo ophatikizika, pomwe thovu limatseguka, ziphuphu zimawonekera.

Ngati matenda a pancreatic apita patsogolo, maziko a zotupa za khungu amakula.
Chowonadi ndi chakuti nthawi yayitali yotupa ikakhala m'mapapo, msuzi wa kapamba umayamba kutulutsidwa mosalakwitsa, ndipo mu duodenum acidic sing'anga singasinthe. Chimbudzi chikukula. Zomera zamkati zimataya katundu wa bactericidal.
Kukula kwambiri kwa mabakiteriya kumapangitsa kuti chotchinga cham'mimba chizikhala chokwanira kwambiri. Kuchepa kwa tizilombo tating'onoting'ono kapena chakudya ndipo chifukwa chake, zotupa za pakhungu zimakulitsidwa.
Madokotala aku Europe amatcha atopic dermatitis eczema.

Zizindikiro Tuzhilina

Pakakhala khungu, timadziti tambiri tomwe timakhala ngati khungu. Zomwe zimachitika nthawi zambiri zimakhala kapamba, yemwe wakhala akudwala. Kwenikweni, zotupa zotere zimayang'aniridwa kumbuyo, komanso pamimba pamatalikiridwe amatenda. Zocheperako, pa chifuwa, mikono ndi miyendo. Zidonthe ngati izi sizimatha mukangowatula.

Mu gawo limodzi mwa magawo atatu a odwala omwe amapezeka ndi pancreatitis, khungu limakhala ndi kuwala kwa chikasu. Ma enzyme omwe amawononga chiwindi amalowa m'magazi. Yellowness imatha kuwonedwa ngati ma ducts a bile amapanikizika. Mwa odwala ena, khungu limakhala lotuwa kwambiri, lomwe limawala. Khungu pachifuwa kapena pamimba limatembenukira kwamtambo (cyanosis).

Kuyabwa

Pancreatitis, yomwe imayamba molingana ndi mtundu wa pseudotumoral, imakhala ndi ulesi pakadali pano ndipo imatha kukhala kwa zaka 15 mpaka zosinthika zitasinthika.

Odwala omwe ali ndi vutoli akuvutika ndi kuyabwa kwa cholestatic: mathero amtsempha pakhungu amakwiya chifukwa chodzikundikira bile acid m'thupi.

Chotupa chimakhazikika pamutu wa kapamba, chithandizo chomwe chimatheka pokhapo opaleshoni.

Mu khansa ya kapamba, kuyabwa kumawonekanso ngati chotupa chikukula khoma la ndulu ya bile, ma ducts a bile amapanikizika kuchokera kunja kapena ndi ma lymph node ngati duodenal papilla yotsekedwa. Pazochitika zonsezi, kutuluka kwa bile kulowa m'matumbo ndikovuta.

Jaundice amakula. Ma utoto tambiri timalowa mumadzi, kenako m'magazi. Kuchuluka kwa bilirubin kumachuluka, ndipo kumakhala poizoni m'thupi. Mlingo wa histamine umakwera - kuyabwa pakhungu kumakhala kosatha.

Ntchito ya chiwindi ndi impso ikadwala, kuyabwa kumakulitsidwa.

Pruritus ndi chimodzi mwazizindikiro zazikulu zamatenda apakhungu. Koma ngati khungu layamba kuzimiririka, chifukwa cha izi matenda amkati.

Laborator matenda matenda

Ngati nthendayi ya kapamba ikukayikiridwa, dokotala amakupatsirani kuyesa kwa magazi, kuyesa kwamikodzo. Kuwunikira kwa Fecal kungafunike.

Nthawi zambiri, m'magazi a munthu pamamilimita 1 miliyoni - maselo ofiira 5,000,000 (maselo ofiira) maselo 300,000, ma cell oyera a 4,000 - 9,000.

Ngati kutupa kumayamba mthupi, kuchuluka kwa maselo oyera kumachuluka. Matenda a kapamba amachititsa magazi m'magazi, zimayambitsa magazi m'thupi.

Nthawi yomweyo, shuga wodwala amakwezedwa. Kusanthula kwa biochemical kumapangitsa kudziwa kuchuluka kwa michere.

Nthawi zambiri, mkodzo suyenera kukhala ndi mapuloteni, maselo ofiira ndi oyera. Mwa anthu omwe ali ndi kapamba wodwala, mkodzo ndiwotakata, pali zinthu zina zamagazi, mapuloteni.

Kuti atsimikizire matendawa, dokotalayo amamuuza kuti azimuwonetsa.

Malangizo amomwe mungaphikire ndikuphika pamimba payi

Kodi ziwonetsero zofala kwambiri za kapamba ndi chiyani? Chifukwa chiani khungu limavutika pakatupa, maonekedwe ake amasintha ndi matanga? Kutupa kwa kapamba ndimatenda oopsa omwe angapangitse maselo a ziwalo.
Kuzindikira pancreatitis koyambirira kumakhala kovuta. Nthawi zambiri, odwala amayamba kukayikira kuti china chake sichili bwino ngati matendawa akhudza kwambiri chithokomiro.
Nthawi zambiri, tikukamba za kuukiridwa kovuta, koma pali mwayi wofanana ndi matenda osachiritsika omwe ali ndi matenda okhudzana ndi chakudya cham'mimba, endocrine kapena genitourinary system.
Zoyipa zazikulu za pancreatitis ndi moyo wopanda komanso chikhalidwe chazakudya. Komanso, cholowa monga cholowa, matenda a m'mimba, kukanika kwa chikhodzodzo komanso chikhodzodzo, komanso mavuto amadzimadzi a bile drainege angayambitse matenda apachifine.
Khungu silikhala popanda chifukwa lotchedwa chizindikiritso chaumoyo. Kutsuka ndi kusintha kulikonse kwamaonekedwe kumaonetsa kuti thupi limakhala ndi mavuto.
Ndi kapamba, khungu limatha kutembenuka, kutembenuka lamtambo kapena kukhala ndi imvi, yomwe imayenera kumachenjeza wodwalayo mwachangu.
Mbali yodziwika bwino ya kutupika ndi kusokonezeka kwa kapamba kapena chiwindi ndichakuti kukakamiza kwa iwo satembenuka.

Ichi ndi chizindikiro chosasinthika, kutanthauza kuti mwina sichingakhalepo mwa onse odwala. Komabe, ngati mungazindikire kena kake, fulumirani kukaonana ndi dokotala.

Mapangidwe ofananawo amathanso kukhala ndi chiyambi chosiyana, mwachitsanzo, microtrauma nthawi yochotsa tsitsi, angioma, chotupa cha benign chomwe chimayamba kuchokera ku mitsempha kapena mitsempha yamagazi, kuchepa kwa mavitamini C ndi K, matenda amadzimadzi, ndi zina.

Kuchepetsa mphamvu yoteteza ntchito kumakhudza nthawi yomweyo mwayi wokhala ndi ziwopsezo zamtundu kapena michere. Zotsatira zake, eczema, atopic dermatitis, kuyabwa kwayamba. Ichi ndi chimodzi mwazifukwa zomwe muyenera kukhalira tcheru ndi chakudya cha kapamba.

Ngakhale zinthu zomwe sizinakumanepo ndi mavuto am'mbuyomu zimatha kuvomerezedwa. Chipatso chilichonse, masamba, phala zimaperekedwa pang'onopang'ono kuyambira mndandanda pang'onopang'ono, kuti muzitha kutsatira zomwe sizigwirizana, ngati zingatero.

Makamaka chidwi chake chiyenera kulipidwa pakhungu lomwe lili pamimba, ziwopsezo ndi chiuno. Mwachitsanzo, m'malo a navel pakachulukidwe ka zotupa za kapamba, kuphulika ndikotheka kuti kwamawonekedwe akufanana ndi mikwingwirima. Zikopa zamkati mwa groin ndi pancreatitis nthawi zambiri zimakhala ndi mthunzi wabuluu kubiriwira. Mawonetsero omwewo a kutupa amatha kukhudza chiuno.

Urticaria ndi chizindikiro china chodziwika bwino cha kuwonongeka kwa kapamba. Tizilombo tating'ono topaka pakhungu timakhala ndi utoto wamtambo. Nthawi zambiri zimakhala pamsana, miyendo ndi matako. Mawonetseredwe amasungunuka mkati mwa masabata awiri, kusiya zomwe zili ndi zinthu zomwe zimasokonezeka mosavuta ndi mawanga amsinkhu.

Maonekedwe a zotupa pakhungu

Ndi kapamba pakachulukitsa, mawanga nthawi zambiri amawoneka mchombo. Mchira wa pancreatic umapezeka kudera lino. Zovuta zimafanana ndi mikwingwirima. Mu gululi amapeza mtundu wamtambo wonyezimira.

Njira ya pathological imatha kukhudza chiuno.

Urticaria ndi zotupa zomwe zimawoneka mu pancreatitis yovuta kapena yopweteka. Zotsatira zake zitha kuwoneka:

Tizilombo tadzulu tambiri timawoneka pakhungu, timakhala ndi utoto wamtambo wokhala ndimtambo wabuluu. Pakupita milungu ingapo, mawanga amasowa, ndipo mapiko amtundu wawo amawonekera pamalo awo.

Mawonekedwe amtundu wa pakhungu la kapamba amatha kuyanjana ndi chifuwa. Kuchepa kwa thupi kumakhudza mkhalidwe wa chitetezo chamthupi. Kuzindikira kwa pancreatic pathologies kumafuna kudya mosamalitsa kwa wodwala.

Zogulitsa zonse ndizowopsa ndipo zimatha kuyambitsa kuyamwa, atermiki dermatitis, chikanga. Ngati wodwala analibe matenda asanakwane nthendayo, ndiye atazindikira kuti kapamba, chilichonse chomwe chingakhale ndi vuto chimatha kuyambitsa tsankho.

Zizindikiro zochenjeza izi sizinganyalanyazidwe kapena kudzilimbitsa mtima.

Kuphatikiza pa zotupa pakhungu, khungu lonse limatha kusintha. Ndi yovuta mawonekedwe a pathological process, wodwalayo amatulutsa jaundice yamagetsi.

Choyambitsa chake ndi kupsinjika kwa duct ya bile ndi minofu ya pancreatic.

Biliary pancreatitis nthawi zambiri imawonetsedwa ndi totupa m'chigawo chochepa. Chifukwa cha zosokoneza zomwe zimawoneka m'matumbo ang'onoang'ono motsutsana ndi zotupa za pakhungu, pakhungu loyipa limapangidwa pamphumi, koma limatha kufalikira pakhungu lonse la nkhope.

Mukapanda kuchitapo kanthu pothana ndi matendawa, ziphuphuzo zimayamba kukula pang'onopang'ono. Chifukwa cha kupsya ndi magwiridwe antchito, omwe amayamba chifukwa cha kusowa kwa chakudya, amayamba kuwoneka mbali zina za thupi.

Ngati palibe mawanga, ziphuphu kapena zizindikiro zina za matendawa ku khungu, koma kuyabwa kumawoneka ngati chizindikiro chodziyimira, ndiye titha kuganiza za kukhalapo kwa matenda osokoneza bongo.

Zotupa za pakhungu zomwe zitha kuwoneka chifukwa cha matenda akulu kwambiri monga khansa ya kapamba sangathe kunyalanyazidwa.

Zikondamoyo: Zizindikiro za matendawa, zizindikiro za matendawa

Nthawi zambiri, kapamba amabweretsa mavuto azaumoyo, zizindikiro za matendawa zimatha kukhala zosiyanasiyana. Zimatengera zonse matendawa paokha komanso pa gawo la kukula kwake. Komabe, milandu yambiri imakhala ndi mawonetsero ofanana.

Momwe mungadziwire matenda komanso zoyenera kuchita pankhaniyi? Zizindikiro za matenda a pancreatic amatha kuphatikizidwa m'magulu angapo omwe amayimitsidwa ndi ma syndromes osiyanasiyana.

Wodwala ayenera kufunafuna thandizo kuchipatala, zomwe zingapewe mavuto ndi ziphuphu mtsogolo.

Mavuto Akutulutsa

Matenda a kapamba mu azimayi ndi abambo amatha kukhazikika pamayendedwe a exocrine osakwanira. Pankhaniyi, matendawa amakhala ovuta kwambiri.

Ichi ndichifukwa chakumwalira kwa ambiri mwa parenchyma pa nthawi ya zovuta za exocrine. Chiwerengero cha maimidwe am'mimba amafika 90%.

Zotsatira zake, wodwalayo amachepetsa kupanga ma enzymes omwe amafunikira gulu la metabolic njira.

Zizindikiro zoyambitsa kuphwanya gawo zomwe zaperekedwa zimalumikizidwa ndi kuchepa kwakukulu pantchito ya chiwalo. Izi zikuwonetsedwa pazowonetsera izi:

Cachexia, ndiye kuti, kutopa.
Mawonekedwe a steatorrhea.
Kukula kwa m'mimba.
Kufalikira.

Kuphwanya kwa exocrine limba ntchito mwa amuna ndi akazi kumachitika m'njira zosiyanasiyana. Izi zikugwiranso ntchito kwa chifuwa chachikulu cha kapamba, pomwe wodwala amachepetsa thupi, amatero. Kusokonezeka kwa njira za metabolic kungayambitse matenda a shuga.

Matenda a Schwahman amadziwika ndi mawonekedwe a zizindikiro monga chifukwa cha pancreatic hypoplasia, yomwe ndi matenda a mawonekedwe a autoimmune. Kupanga kwa lipase ndi trypsin kumachepa, vuto la mafupa limayamba, m'mafupa a neutropenia amapezeka.

Matenda a Autoimmune ndi cystic fibrosis. Nthawi zambiri (pafupifupi 85% ya odwala), kukomoka kwa procrine kumayamba. Zotsatira zake, wodwalayo amapanga michere ndi ma cysts, atrophy ya organ.

Kuphwanya kwa ntchito ya exocrine ya gland kumatha kuchitika pambuyo pachiwalo. Njirayi imakhudzidwanso ndikupanga matenda a kapamba, komwe kumawonjezera kukakamiza kwina. Njirayi imagwiritsidwanso ntchito pancreatic cancer kapena necrosis.

Panthawi yomwe matenda akuchulukirachulukira, mwachitsanzo, wokhala ndi zilonda zam'mimba kapena matenda a Crohn, wodwalayo amatha kupanga mtundu wachiwiri wa kuperewera kwa pancreatic pancreatic. Mulimonsemo, ngati izi kapena zizindikiro zina zitayamba kuwonekera, kulowerera kwa katswiri ndikofunikira.

Tropholoengqondo insufficiency syndrome ndi kuledzera

Intoxication syndrome imadziwika ndi masinthidwe angapo ochokera kuma kachitidwe osiyanasiyana a thupi. Wodwala amakhala ndi vuto loonda, amayamba kutentha thupi komanso tachycardia. Kuphatikiza apo, magazi a wodwalayo amachepa. Pali mkhalidwe wofooka, ndipo erythrocytosis ndi kuwonjezeka kwa ESR zimapezeka poyesa magazi.

Nthawi zina, kuledzera kwa psychosis kumatha. Amayamba chifukwa cha hypoxia wa mu ubongo ndi mawonekedwe a kutupa. A psychosis yamtundu wamtunduwu imapangidwanso kuti iwononge mitsempha yaubongo yamtundu wofala. Makamaka nthawi zambiri, matendawa amakula mwa anthu omwe ali ndi matenda a chiwindi komanso amamwa mowa kwambiri.

Mawonetseredwe azachipatala a kutupa kwa kapamba amadziwika ndi euphoria, kugwedeza kwa dzanja, ndi kukhalapo kwa kukangana. Ngati zizindikiro sizichotsedwa ndipo chithandizo sichikuchitika, ndiye kuti psychosis imapita patsogolo.

Wodwala amakhala ndi kuchuluka kosangalatsa, kukomoka komanso kukomoka zimatha kuchitika.

Zitachitika izi, kuchepa kwa zokopa kumachitika, ntchito zamagalimoto ndi zamaganizidwe zimalephereka, wodwalayo amagwera mumtundu wa stupor.

Zizindikiro za matenda apancreatic ali ndi mawonetsedwe ena. Tikuyankhula za mawonekedwe a tropholoengqondo insufficiency syndrome. Izi ndi zomwe zimapangitsa kuti pakhale vuto la enzyme komanso kugaya chakudya m'mimba mwake.

Zizindikiro za matenda apakansa ali ndi izi:

Masomphenya akuipiraipira.
Kuchepetsa thupi.
Pamalo a kapamba, khungu limadetsa (chizindikiro cha Barthelheimer's).
Kugwirizana kwamayendedwe kumasokonekera.
M'mimba, mafuta onunkhira (chizindikiro cha Grotto) atrophies.
Kutupa kwa pakhungu kumachitika.
Khungu limayamba kutuwa.
Nthawi zina, vuto la m'maganizo limatha.

Kukula kwa zowawa

Matenda a kapamba amatsogolera pakupanga kupweteka kwapang'onopang'ono. Ululu nthawi zambiri umakhala chiwonetsero chachikulu pakukonzekera kapamba.

Ngati chikhalidwe cha matendawa chimakhala chachikulu, ndiye kuti ululuwo umatha kudziwika kuti umakhala nthawi yayitali, umakhala wolimba komanso wowopsa. Matenda apakhungu a kapamba samanenedweratu.

Mwa odwala ena, zizindikiro za matenda a kapamba mwina sangakhalepo.

Pakapita nthawi, ululu umatha.Iyi ndi nthawi yayitali (zaka 5 mpaka 5 kuchokera ku nthawi yoyamba kuukira). Izi sizitanthauza kuti matendawo asowa.

Izi zikuwonetsa kuti kufa kwa mitsempha kumatha, komwe kumangokulitsa zinthu. Nthawi yomweyo, wodwalayo amatha kudwala matenda a shuga komanso matenda am'mimba.

Pakapita kanthawi, zizindikiro zina za matendawo zimawonekera.

Korotov S.V: "Ndingapangire njira imodzi yokhayo yothandizira zilonda zam'mimba ndi gastritis, yomwe tsopano idavomerezedwa ndi Unduna wa Zaumoyo.

Kukula kwa zopweteka kumachitika mothandizidwa ndi zinthu zambiri. Izi zikugwirizana ndi kutukusira kwa England, kukula kwa kutupa ndi ischemia. Kulephera kwakanthawi kwa ziwalo za thupi kumachitika, koma kuwonongeka kwake ndikothekanso. Pazovala zofooka, kukakamizidwa kwa madzi a pancreatic m'mizere kumadzuka, komwe kumayambitsa chizindikiro chosasangalatsa.

Mu kapamba, Zizindikiro zamtundu wa ululu zimachitika makamaka zaka zoyambirira za matenda. Pambuyo pazaka 10, chizindikirocho chimawonedwa mu theka la odwala, ndipo patatha zaka 15 - mu 25% ya odwala. Izi zikutsimikizira malingaliro omwe ali pamwambawa onena za kupweteka pang'ono komanso kufa kwa mitsempha yopita kumapeto.

Kuphatikiza pa kapamba pamatenda a kapamba, Zizindikiro za kupweteka zimatha kuwoneka ndi pseudocyst. Pali kuwonjezeka kwa kukula ndi kuchulukana, komwe kumayambitsa kukakamira kwa duodenum ndi ducts ya bile. Izi zimatsogolera ku mawonekedwe a ululu.

Zizindikiro za matenda a kapamba mu mawonekedwe a ululu amakhala ndi gawo limodzi. Nthawi zambiri, zizindikiro zosasangalatsa zimachitika m'dera la epigastric. Komabe, ululuwo umatha kupita kumalo ena, kutengera malo omwe manjawo ali ndi kutupa. Chifukwa chake, kupweteka kwapancreatic kumatha kuchitika mu chiwalo chokha, pambuyo pake amafalikira ku groin ndi kumbuyo, sternum ndi malo ena.

Mawonetsero ena

Mawonekedwe a Thrombohemorrhagic a matenda amawonekera mwa kuwoneka kwa magazi m'mitsempha mwa m'mapapo, m'matumbo ndi m'magazi. Zofananazo zimachitika mu portal dongosolo la wodwalayo. Nthawi ya dyspeptic syndrome, wodwalayo amayamba kusowa chakudya, kugona, kugona komanso kugwedezeka pamimba. Kuphatikiza apo, wodwalayo amayamba kupumula kwambiri ndikusanza.
Zizindikiro zina za njira yotupa imatha kukhala chifukwa cha kukula kwa kutulutsa timadzi tating'onoting'ono komanso kupsinjika kwa ziwalo zapafupi. Wodwalayo amatulutsa mtundu wa jaundice, ndulu imakulitsa, mkodzo umadetsedwa ndipo ndowe zimayatsidwa. Kusintha ndi kuyabwa pakhungu kumatha kuchitika.

Matendawa amayamba kupanga pakhungu la kapamba, ndimapangidwe amtundu wotchedwa pseudocysts komanso maonekedwe a zovuta za matenda a kapamba. Kupezeka kwa matendawa kumathanso kuchitika pakapangidwe koipa kosiyanasiyana pachitukuko cha gland.

Ngati kukakamiza kwa duodenum kumawonedwa, ndiye kuti wodwalayo amakhala ndi kutsekeka m'matumbo. Vutoli limawonetsedwa ndi kuchepa kwamadzi m'thupi la wodwalayo, kuwoneka pafupipafupi komanso kusanza kwadzaoneni, komanso kupangika kwa kuchepa kwa mtundu wa trophic. Ngati mitsempha ya splenic ndi portal ikamezedwa, ndiye kuti pancreatic ascites imapangidwa.

Pancreatocardial mtundu wa matenda amadziwika ndi kuchepa kwa kuthamanga kwa magazi. Extrasystole imawonedwa, kugunda kwa mtima kukufulumizitsa, ndipo mawu amtima amanjenjemera. Pa cholestatic syndrome, wodwalayo amayambitsa kuyabwa ndi jaundice, kuwonjezeka kwa kukula kwa chiwindi.

Matenda a organic amatha kudziwika ndi mawonekedwe ena, omwe amafotokozedwanso ndi syndromes. Ndi chifuwa chamtundu wa kapamba, pamakhala mwayi wamitsempha ya neurasthenic.

Izi zimadziwonetsera mu mawonekedwe a kupsya mtima, kukula kwa zopinga zamagalimoto ndi kufooka kwa chizolowezi.

Nthawi zambiri wodwala amakhala ndi mutu, kukumbukira ntchito kumakulirakulira, chidwi chimachepa, kutopa kumawonjezeka.

Zochita za wodwala atazindikira zizindikilo

Zizindikiro zake ndi chithandizo chake chilumikizidwa. Kuwonjezeranso zina pofuna kuthetseratu matenda amisala kumatengera mawonetsedwe ndi magawo a matendawa.
Zimafunika kulabadira ku chiwopsezo cha kudzichitira wekha.
Muyenera kufunafuna chithandizo chamankhwala kuti mupange zizindikiro zosiyanasiyana. Njira zosiyanasiyana zimagwiritsidwa ntchito popanga matenda. Kugwiritsa ntchito x-ray kuyeserera, kuyesa kwa ultrasound ya gland, computer tomography ndi njira zina.
Zochita za wodwala ziyenera kukhala magawo angapo omwe akufunika kuvomerezana ndi dokotala. Ndikofunika kutsatira zakudya, sizikhala zapamwamba kugwiritsa ntchito njira zodzitetezera. Amathandizira kupewa matenda kwa anthu athanzi. Odwala sayeneranso kunyalanyaza kupewa, popeza njira zoterezi zidzawongolera mkhalidwe wawo ndi thanzi.
Njira zodzitchinjiriza ndi cholinga chopewa kutukusira ndikukulitsa vutoli.
Zotsatira zoyipa pa thanzi la anthu komanso kapamba zimakhudzidwa ndi mowa komanso fodya. Kupewa matenda kumafunika kukana izi.
Kudya kosakhazikika kapena kudya zakudya zamafuta kumakhudzanso mkhalidwe wa kapamba. Zinthu ngati izi ziyenera kupewedwa.

Ndikulimbikitsidwa kuti muzidya mankhwala azitsamba pafupipafupi. Amatha kukhala ma lingonberry, dandelion, blueberries, m'chiuno ndi maukonde. Ngati pali zovuta ndi kapamba, ndiye kuti muyenera kusiyiratu kugwiritsa ntchito zakudya zamafuta ndi nyama yokazinga. Zonunkhira ndizoletsedwa. Simuyenera kukhala ndi zodyera panjira.

Zakudya ziyenera kukhala zosiyanasiyana. Zakudya zabwino ndizofunikira kwambiri kuti mukhale ndi thanzi. Kudya kumayenera kuchitika nthawi zisanu ndi imodzi ndi zisanu ndi imodzi patsiku zazing'ono. Pakati pa chakudya, ndikofunikira kuti muzisunga nthawi yomweyo.

Dzulo mikate ya bulawuni iyenera kuphatikizidwa menyu. Mkate Woyera umaloledwa. Maphunziro oyamba ayenera kukhala maziko a zakudya za odwala.

Msuzi, msuzi wamasamba ndi mkaka, msuzi wa kabichi - iyi si mndandanda wonse wa chakudya chololedwa. Mutha kudya nyama, koma osati mafuta. Pankhaniyi, nkhuku yotsamira, nyama ya kalulu ndi ng'ombe ndizoyenera.

Nsombazo zimatha kudyetsedwa kapena kuwiritsa.

Mutha kugwiritsa ntchito masamba aliwonse. Kupatula kumakhudzidwa ndi ndiwo zamasamba zomwe zimaphika ndi kuwaza. Chakudyacho chimaphatikizapo kugwiritsidwa ntchito monga chimanga zosiyanasiyana, pasitala, mkaka.

Mafuta amafunika kuchotsedwa kwathunthu. Mutha kugwiritsa ntchito masamba ndi batala pang'ono. Mazira amaloledwa, koma osapitilira amodzi patsiku. Mwa zakumwa, tiyi wopanda mphamvu, kissel ndi compote amaloledwa kuti azimwa. Sizoletsedwa kuphatikiza mbale zozizira kwambiri ndi zotentha, zonunkhira ndi nsomba zamafuta. Chocolate ndi ayisikilimu ayeneranso kukhala osayikidwa.