Kodi pancreatitis ya indurative ndi chiyani?

Induction pancreatitis, chithandizo chomwe chimafuna njira yophatikizika, chimachitika chifukwa cha kupsinjika, kuperewera kwa zakudya m'thupi ndi zizolowezi zoyipa. Kusasamala thanzi lanu kumapangitsa kuti pakhale matenda ambiri, omwe amachititsa kuti pakhale matenda osokoneza bongo.

Kodi matendawa amakula bwanji?

Cancreatitis yozizira ndi kuphwanya ntchito ya kapamba ndi kuwonongeka kwina komwe kumakhala kosavuta. Pathology imayamba pambuyo pachimake kapamba. Maonekedwe ake amadziwika ngati matenda atuluka munthirimo komanso mu gastroduodenal zone.

Njira yodwala yamaperekedwe imayendera limodzi ndi izi:

mawonekedwe a miyala
zovuta mu kutuluka kwa pancreatic madzi,
kukula kwa duct,
mawonekedwe a chotupa komanso kusintha kwa kapangidwe ka parenchyma.

Chiwopsezo chachikulu cha matendawa ndikuti chithandizo chosayenera chimakhudza mawonekedwe ndi chotupa.
Pali maulendo atatu a matenda:

Zosavuta. Chaka, kukokoloka kumachitika kamodzi kapena kawiri. Dokotala wofunsayo amazindikira kuti ali ndi vuto lalikulu la kapamba. Ululu ndi wofatsa. Wodwala ali wokhutira, kulemera kwake kumakhala kwabwinobwino.
Wofatsa Mchaka, kufalikira kumachitika mpaka kanayi pachaka ndikumva kupweteka kwakutali. Mtunduwu umayendera limodzi ndi kuphwanya kwa ntchito zamkati zamkati ndi zakunja.
Chachikulu. Kubwerezabwereza kwamatendawa kumachitika, komwe kumayendetsedwa ndi kupweteka kwambiri. Ntchito ya gland imasokonekera kwambiri.

Pancreatitis yozizira imayamba ndi chithandizo chovuta cha pancreatitis pachimake, mowa, kugwiritsa ntchito mafuta ambiri, matenda am'mimba ndi duodenum.

Zizindikiro zotsatirazi ndizomwe zimayambitsa matendawa:

kupweteka ululu kumanja ndi kumanzere kwa hypochondria, ndikusandulika kupweteka kwammbuyo,
nseru
chizungulire
kuchepa kwamtima
kuphwanya chopondapo (kutsegula m'mimba, kudzimbidwa),
kuwonda
kutentha pang'ono.

Tizilombo toyambitsa matenda timatengera kukakamiza kwa duct ya bile ndi mutu wa kapamba. Chifukwa cha izi, jaundice amawoneka. Maphunziro a Laborator akuwonetsa kuwonjezeka kwa ESR, kuchuluka kwa shuga m'magazi ndi mkodzo.

Ndikovuta kwambiri kudziimira pawokha popanda matendawa. Poyambirira, imayamba popanda chizindikiro. Chifukwa chake, odwala amafunafuna thandizo panjira zapamwamba, pomwe ululu umangogwiritsa ntchito mankhwala. Malinga ndi zizindikiro zoyambirira, katswiri amatha kupanga zodziwikiratu kuti ali ndi vuto la pancreatitis pachimake. Pambuyo pachipatala ndikuzindikira, mawu ake ndi omaliza - zokhumudwitsa zopweteka za kapamba.

Kodi matendawa amathandizidwa bwanji?

Kukula kwa gland ndi kusintha kwa kapangidwe ka parenchyma kumatsimikiziridwa ndi ultrasound. Zotsatira za kulinganiza kwa tomography zimathandizira kusiyanitsa chifuwa chachikulu cha chotupa komanso kudziwa komwe kumayambitsa matenda a pancreatic cysts.

Wodwala amatha kupatsidwa mayeso a X-ray, kuti zitheke kuzindikira kupezeka kwa ma calcifying (miyala). Ngati miyala ikapezeka, izi zikutanthauza kuti indanc pitisreatitis ili patsogolo. Pogwiritsa ntchito endoscopic pancreatography, katswiri amapenda m'mimba mwake mwa pancreatic duct ndi patency yake, amathetsa mapangidwe a cysts ndi zotupa.

Chithandizo chitha kukhala motere:

Chithandizo cha Conservative cholinga chake ndikuchotsa kuphipha kwa kapamba. Chifukwa chaichi, antispasmodics amagwiritsidwa ntchito, monga No-shpa. Pofuna kukonza ntchito za kapamba, kukonzekera kokhala ndi enzyme kumafunikira - Festal, Pancreatin.

Ngati pali zovuta zamagulu am'mimba, ndiye kuti adotolo amakupatsirani mankhwala omwe amakonzanso chimbudzi - Almagel, Fosfalugel. Chithandizo chowongolera chimaphatikizapo kukhala ndi moyo wathanzi ndikukhalabe ndi thanzi labwino. Muyenera kudya zakudya zama calorie ochepa komanso kusiya mowa.

Ngati adotolo apanga lingaliro loterolo, ndiye kuti ophera matendawa amagwiritsidwa ntchito pochiza, zomwe zimapangitsa kuti mtima wake ukhale m'malo. Mankhwalawa amathandizira kupanga ma enzyme, chifukwa khungu lawo limalephera. Ngati njira zonse ndi njira zochiritsira sizingabweretse zotsatira zabwino, ndiye kuti dokotala amakakamizidwa kuchita opareshoni. Cholinga chake chachikulu ndikukwaniritsa patency mu guct yayikulu ya gland.

Funso lothandizira opaleshoni nthawi zambiri silingathetsedwe mosatsutsika.

Opaleshoni ndiyofunikira ngati chithandizo chokhwima kwa zaka zingapo sichimapereka zotsatira zabwino.

Choyamba, ndikofunikira kudziwa chomwe chimayambitsa matendawa, gawo komanso kusintha kwa kachitidwe ka zinthu zomwe zakhudzidwa. Kuchitapo kanthu kwa opaleshoni kumaperekedwa kwa mitundu yapamwamba yamatendawa, yomwe imawonetsedwa ndi jaundice, mapangidwe a cyst, komanso matenda omwe amapezeka motsutsana ndi maziko a zilonda zam'mimba, colitis ndi gastritis.

Contraindication kwa opaleshoni ndi matenda a shuga, kusokonezeka kwa kagayidwe kachakudya, komanso njira zowongolera zosinthika mwa okalamba. Popereka mankhwala othandizira opaleshoni, tiyenera kukumbukira za mphamvu zake zochepa. Kuopsa kwa opaleshoni ndi chiopsezo cha matenda ziyenera kuganiziridwa. Pamaso pa opaleshoni, ndikofunikira kuzindikira zomwe wodwala akuchita.

Chithandizo cha opaleshoni ndicholinga chokwaniritsa izi:

kuzindikiritsa komanso kuchotsa komwe komwe kumayambitsa matendawa,
kuthetsa kupweteka
makina a kutuluka kwa pancreatic madzi ndi bile mu matumbo.

Chithandizo cha opaleshoni ya pancreatitis yochizira yakhazikitsidwa kuti ichite pancreatic duct, mawonekedwe a calcification ndi cysts mu kapamba, ndi kapamba wokhala ndi ululu wowonda, womwe umayambitsa kuchepa kwa magwiridwe. Kuwongolera ndikofunikira pakuwunika kwa ma pathologies a ndulu.

Kupewa kwa Pancreatitis

Induction pancreatitis, chithandizo chomwe chimakhala chovuta kwambiri, chitha kupewedwa. Kuti mupewe kuchulukitsa kwa matendawa, muyenera kutsatira kadyedwe, kukometsa zakudya zanu ndi zakudya zamafuta ndikuchepetsa kudya mapuloteni ndi mafuta. Pankhaniyi, muyenera kuyang'anitsitsa zakudya zanu, kusamalira thanzi lanu, komanso kufunsa dokotala pazizindikiro zoyambirira. Dziwani kuti kudziletsa kumaletsedwa kokhako, chifukwa izi zimabweretsa zovuta zamitundu mitundu.

Chitsamba chotsatirachi chikulimbikitsidwa kupewa matenda:

dandelion muzu
masamba atatu
Wort wa St.
zipatso za anise
udzu ndi celandine
kusalidwa kwa chimanga.

Zinthu zonsezi zimaphatikizidwa magawo ofanana. Zosakaniza zomwe zimatsanuliridwa ndi magalasi atatu amadzi, ndikuwotcha moto ndikuwubweretsa. Msuzi wotsatira uyenera kuwotedwa m'madzi osamba kwa theka la ola, pambuyo pake uyime kwa mphindi 15-20. Quoquo ya 1 chikho amatengedwa theka la ola asanadye. Mankhwalawa ndiwofunikanso kwa odwala omwe matendawo amawonjezereka, koma pokhapokha atakambirana ndi adokotala.

Popeza nthendayi yomwe ikunena za matendawa ndi yofunika, chithandizo chake chiyenera kukhala chokwanira. Kulandira chithandizo sikubweretsa chiyembekezo chabwino ngati wodwalayo samatsatira mosamala mfundo zachakudya zoyenera. Izi zikutanthauza kuti muyenera kusiya zakudya zamafuta ndi zonunkhira, siziyenera kukhala ndi utoto kapena zowonjezera zamankhwala. Ndikofunika kuti wodwalayo amadya zipatso ndi ndiwo zamasamba. Pokhapokha ngati izi, chithandizo chitha kukonza bwino wodwalayo ndikuyambiranso ntchito yake yachilendo.

Zamoyo komanso kudziwiratu

Zotsatirazi ndizofunikira kwambiri pakukula kwa matenda am'mimba a chimbudzi monga kapamba:

Pafupipafupi magawo a pancreatitis pachimake,
Kufalikira kwa othandizira opatsirana kuchokera ku gastroduodenal zone, komanso dongosolo la biliary, onse mu pancreatitis pachimake ndi matenda ena opatsirana komanso otupa.

Kuphatikiza pazinthu zodziwikiratu zomwe zimafotokozeredwa bwino, zinthu zoyambitsa (zomwe zimawonetsa) zomwe zimathandizira kupezeka kwa matendawa:

Cholelithiasis (cholelithiasis) - makamaka kupezeka kwa calculi mu duct wamba wa bile, komanso pancreatic duct,
Matenda a chiwindi chilichonse etiology,
Njira yolowera kapena kupaka chilondacho m'mimba kapena duodenum kulowa kapamba,
Nthawi zambiri pamakhala zovuta
Matenda a mtima opatsirana
Matenda a shuga ndi mtundu wodalirika wa insulin momwe mumakhala gawo la zigawo za endocrine zomwe zimapangitsa kuti pakhale insulin,
Mowa
Zakudya zopanda pake komanso zopanda thanzi: kudya kwambiri, kugwiritsa ntchito mafuta osakhalitsa, okazinga, osuta fodya.

Chithunzi cha matenda

Mtundu wamtundu wa kapamba kumayambiriro kwa chitukuko chake ulibe zizindikiro zenizeni zomwe zimapangitsa kuti azitha kuzindikira moyenera pokhapokha pazotsatira zamankhwala. Choyamba, njira ya pathological imadziwonetsera mobisalira komanso imasokoneza wodwalayo kawirikawiri, zomwe zimapangitsa kuzindikira kwake kumayambiriro kwa chitukuko chifukwa cha kuchezera kwa wodwalayo kwa dokotala.

Pancreatitis yozizira, monga mitundu ina yamatendawa, ili ndi zizindikiro zotsatirazi:

Zomverera zowawa mu dera la epigastric (m'dera la epigastric), komanso kumanja ndi kumanzere kwake (kumanja ndi kumanzere kwa hypochondria). Ululu umakhala wowuma, kuphulika, kupweteka. Kulimba kwawo kumatha kuwonjezeka ndi nthawi ndikupeza digiri yapamwamba. Ululu wokhala ndi matendawa umakhala ndi vuto linalake: likuwombera kumbuyo kumbuyo komweko monga komwe kumawonedwera m'mimba (kutsekemera kwa ululu). Poyamba, kupweteka kumatha kuyimitsidwa ndikumwa mankhwala, pambuyo pake, ngakhale pakamwa kapena kukonzekera kwake kwamkati kumathandiza wodwalayo,
Kumverera kolemetsa m'mimba
Mphekesera, kusanza kapena kusanza,
Stool disorder - kutsekula m'mimba kapena kudzimbidwa,
Kuchepa kwamtima, nthawi zina mpaka kusakhalako kwathunthu,
Kuchuluka kwa kutentha kwa thupi (nthawi zambiri amakhala ocheperako),
Kuchepetsa thupi
Zofooka zambiri komanso kuchepa mphamvu,
Potengera kukakamiza kwa duct ya bile yololedwa ndi mutu wokukulidwa kwa England, jaundice amadziwika. Kuchuluka kwa khungu la khungu ndi kuwonekera kwa mucous nembanemba kumatsimikiziridwa ndi kuchuluka kwa kutsekemera kwa ma ducts.

Zizindikiro

Kuyendera ndi katswiri woyenerera sikokwanira kungodziwitsa ena matenda anu. Kuti adziwitse bwino, dokotala amamulembera wodwalayo njira zowunika ngati:

Kuyesedwa kwa magazi, komwe kumawonekera kuchuluka kwa maselo oyera ndi ESR - zizindikiro zomwe zimapangitsa kukhalapo kwa yotupa m'thupi,
Kusanthula kwa biochemical kwa magazi - mulingo wokwezeka wa amylase, bilirubin, glucose imadziyang'anitsa yokha,
Urinalization - kuwonjezeka kwa index yamtundu wa amylase kumadziwikanso,
Coprogram - kuchuluka kwa chimbudzi cha zotsalira za chakudya kumayesedwa. Steatorrhea ndi creatorrhea amadziwika - kukhalapo kwa mafuta osaphatikizika ndi tinthu tating'onoting'ono tambiri timimba,
Ultrasound yamimba yam'mimba, mwachidwi imaperekedwa mwachindunji kwa kapamba. Kuunika kwa chifuwa cham'mimba kumatithandizira kuzindikira kukula kwake, komanso kusintha kwa kapangidwe ka parenchyma (pali zonse zomwe zimapanga fibrous komanso sclerosing),
Endoscopic retrograde pancreatography - imawerengetsa mainchesi a main bile duct ndi kuchuluka kwa patency,
FGDS (fibrogastroduodenoscopy) ndi luso lomwe limakupatsani mwayi wowunika momwe chinsinsi cha gawo linalake lilili,
Kuwunika kwa ma X-ray, komwe kumakhala mawonekedwe a ziwalo.
Cholecystocholangiography - imawunika mkhalidwe wa ndulu ndi milulu yake,
Computer tomography - nthawi zambiri imagwiritsidwa ntchito kupatula khansa matenda.

Pancreatitis yozizira imatha kuthandizidwa ndikutsatira opaleshoni, kutengera maphunziro ndi kunyalanyaza matendawa. Chithandizo cha Conservative cholinga chake ndikuchepetsa zochitika za pathological process komanso kuchepetsa kuopsa kwa zizindikiro zamankhwala. Komabe, mtundu uwu wazomwe zimayambitsa matenda a pathological sungathe kuthetseratu. Mankhwala osamala a matendawa amatengedwa pamagulu otsatirawa a mankhwalawa:

Antispasmodics (No-shpa, Papaverine),
Ma Enzymes (Creon, Methionine, Pancreatin, Festal),
Maantacid okhala ndi acidity yowonjezera yamadzimadzi am'madzi (Fosfalugel, Almagel),
Mbiri ya H-receptor blockers (cimetidine, ranitidine, Famotidine),
Vitamini chithandizo - chisamaliro chapadera chimaperekedwa ku mavitamini a B.

Zosafunikira kwenikweni ndikofunika kusunga chakudya chamankhwala ndikuyendera malo omwe ali ndi mankhwala a spa.

Njira zochiritsira zosagwiritsidwa ntchito masiku onse nthawi zambiri zimagwiritsidwa ntchito ngati njira zina zowonjezera zochizira. Zothandiza kwambiri pa matenda a kapamba zimawerengedwa monga mankhwala azomera monga: masamba atatu a violet, udzu wa St. John wa wort, chimmero cha chimanga, knotweed ndi udzu wa celandine, muzu wa dandelion ndi zipatso za tsabola.

Chithandizo cha opaleshoni chikuwonetsedwa kuti chikuphwanya kutuluka kwa ndulu limodzi panjira yodutsitsa ya bile, kupezeka kwa mapangidwe ngati mawonekedwe, chotupa chikukula, kupweteka kwambiri komwe sikumayima ndi mankhwala osokoneza bongo, komanso kulephera kwa machitidwe othandizira. Ngati patency ya main bile duct yalemala, chotenga pancreatostomy chimachitika ndi anastomoses pakati pamkono ndi chiuno cha jejunum, chomwe chimasinthidwa kuchoka pamalowo.

Zizindikiro za Induction Pancreatitis

Tiyerekeze kuti wodwalayo akudziwa kuti ali ndi vuto la kapamba, zofunikira zina zapezeka. Kodi ndizotheka kuzindikira palokha matendawa asanayambike, ambulansi isanabwere kapena ulendo wopita kwa dokotala?

Kuphatikiza pazizindikiro zomwe zili zodziwika kwa mtundu uliwonse wa kapamba, pali:

kusapeza bwino mu hypochondrium kumanja kapena kumanzere,
kupweteka kumawonekera kumsana, nthawi zina pansi pa masamba.
mtundu wamba wa kufalikira kwa ululu - shingles,
kusanza, kusanza,
kutsegula m'mimba, kapena mosinthanitsa, kudzimbidwa.

Nthawi zambiri, kapamba amachepetsa m'chilengedwe. Pankhaniyi, kuwonongeka kwa kapamba sikufalikira mofananamo, kumakhudza magawo osiyanasiyana a gland. Pazosintha mosiyanasiyana, mawonekedwe ake ndi osiyana, Zizindikiro zimatha kusiyanasiyana.

Zomwe zimachitika

Ndizodziwikiratu kuti kupweteka kwa kapamba ndikokula kwa kutupa kwa kapamba. Kupitilira apo, munthu amatha kusamalira thupi, kutsatira zakudya komanso kuchita njira zopewera kuti asayambenso kudwala. Kapena wokhoza:

kumwa mowa kwambiri
kulola kuoneka miyala m'ndulu,
matenda a m'mimba thirakiti.

Zina mwazinthu zilizonse zomwe zimatchulidwa zimayambitsa kupweteka kwamkaka. Ndi zovuta ku kapamba yemwe wataya thanzi, machitidwe otere amakhala ndi zotsatira zoyipa.

Njira Zodziwitsira

Njira zakuzindikiritsa zimagwiritsidwa ntchito kuti zidziwike moyenera chizindikirocho ndi kapamba (kuchuluka kwa momwe amachepetsa, ngati chotupa chimafalikira kumankhwala ena). Njirazi zimadziwika kwa munthu, sizimayambitsa mantha:

Ultrasound - mumakonda kumvetsetsa momwe kapangidwe ka parenchyma, kakhazikitsidwe kamapangidwe osindikizira,
Zolemba pamakompyuta - zofunikira pakachitika zotupa zomwe zimakayikira,
X-ray - imagwiritsidwa ntchito poganiziridwa kuti ndi zovuta kwambiri za pancreatitis. Njirayi imalola kuwunika ma pancreas omwe amafunikira chithandizo chamankhwala,
Endoscopy imagwiritsidwa ntchito kumvetsetsa momwe idatsekera ma ducts, kaya calculi kapena cyst ikupezeka, molakwika mwa mzere wa zisindikizo.

Kuunika kwathunthu ndiye njira yabwino yothanirana ndi vutoli. Dokotala amayang'ana matendawa kuchokera ku ngodya zosiyanasiyana, amawona mawonekedwe apadera, ndipo amatha kudziwa moyenera, kupereka mankhwala.

Chithandizo cha Kulowa Pancreatitis

Njira zomwe zimagwiritsidwa ntchito pochiza pancreatitis yamtunduwu sizisiyana ndi "masiku onse", mtundu wamba.

Mankhwalawa akuphatikizapo:

zakudya zochizira (nthawi zambiri - mankhwala azitsamba, kuyimitsidwa kwa zoletsa ndi mapuloteni ndi mafuta),
mankhwala antispasmodics (wotchuka kwambiri si-shpa),
kumwa mankhwala omwe amalepheretsa chinsinsi cha timadzi ta m'mimba komanso kapamba omwe amathandiza kupanga ma enzyme (kuphatikiza pa mankhwala, izi zimaphatikizapo madzi amamineral, decoctions azitsamba zosiyanasiyana),
kudya mavitamini osiyana - mwachitsanzo, gulu B,
Kuchoka ku sanatorium kapena kokapangira mankhwala.

Ngati wodwalayo amadziwa bwino kupezeka kwa kapamba, kupezekanso kwa matendawo kumakula. Ngati akuwakayikira zomwe zidachitika mwanjira yopusitsa, kudzipereka wekha-mankhwala kumaletsedwa. Ndikwabwino kulumikizana ndi dokotala, fotokozani zomwe zinachitika, kupatsira matendawa m'manja mwa mankhwala.

Mankhwala othandizira

Ngati musachedwa ndi chithandizo chanthawi zonse osakuwona dokotala, pamakhala mwayi woti mulowe pansi pa mpeni wakuchita opaleshoni. Izi ndizosasangalatsa kuposa zakudya za banal ndikumwa mapiritsi. Ndikwabwino osanena izi.

Zisonyezero za opareshoni:

kuphwanya kwathunthu kwa pancreatic duct yayikulu,
calcicic calcation
mawonekedwe a chotupa
kupweteka kwambiri, komwe kumakhudza wodwalayo, kumapangitsa kutopa kokhazikika.

Pakati pa opaleshoni, adokotala amatha kuchita njira zingapo nthawi imodzi, pofuna kukonza mkhalidwe wa wodwalayo. Njira yovomerezeka ndi kuzindikira ndi kuwongolera kwa ma ducts a bile ndi ndulu.

Ngati mkhalidwe wa kapamba wayambika, ntchito imodzi ndiyofunikira. Nthawi zina madokotala amachita maopaleshoni 8 mpaka 10 pa wodwala. Mkhalidwe wosauka wa kapamba umabweretsa chiopsezo chotaya magazi, ndipo nkovuta kudziwa zomwe zidzachitike.

Pali zotsutsana zingapo zomwe zimaletsa mwamphamvu kulowererapo:

malungo (malungo)
kudumpha kuthamanga kwa magazi
kugwedezeka kosaletseka
kapangidwe kazida kamodzaza ndi mpweya kapena madzi (amadziwika ndi x-ray kapena ultrasound),
kapangidwe ka zisindikizo m'dera la pancreatic.

Ndizowopsa kwa dotolo yemwe akupezekapo kuti adziwe zoyambitsa za opereshoni kapena njirayo ndizowopsa. Asanakhazikitse tsiku la opareshoni, wodwalayo amayang'aniridwa, kenako kusankha. Chitetezo chimachitika tsiku lachiwiri pambuyo kukonzekera kwambiri kwa wodwalayo.

Monga lamulo, opaleshoni imatha kupewedwa ngati mankhwala ayambitsidwa pa nthawi ndipo malangizo azachipatala amatsatiridwa.

Popewa kuchitapo kanthu opaleshoni ndi zovuta, ndikwabwino kudandaula za thanzi pasadakhale, kuwunikira mosamala za vutoli, kutsatira upangiri wa dokotala yemwe adapulumutsa wodwala ku matenda a pancreatitis owopsa.

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu:

Essence of the matenda

Chikhotakhota ndi gawo laling'ono koma lofunikira la chimbudzi. Imagona kumbuyo kwa m'mimba ndikuyamba kuchokera ku duodenum mpaka ndulu. Zikondamoyo zili ndi mawonekedwe. Bola lililonse limakhala ndi duct. Mchiwalo, ma ducts onse amalumikizana ndikupanga dancino chachikulu. Palinso yachiwiri (yowonjezera) duct. Iliyonse ya iwo imalowa mu duodenum.

Chitsulo m'thupi la munthu chimagwira ntchito ziwiri:

Exocrine (exocrine). Madzi otulutsidwa kuchokera ku gland kupita ku duodenum mumakhala michere. Amathandizira kugaya mapuloteni, chakudya chamafuta ndi mafuta.
Endocrine (intrasecretory). Nthenga zimapangitsa mahomoni a polypeptide kulowa m'magazi. Amayang'anira kagayidwe kachakudya kamene kamachitika mthupi.

Ndi kutupa, ntchito za kapamba ndizovuta. Izi zimatsimikiziridwa ndi kupezeka kwa kapamba. Chinsinsi sichobisidwa kuchokera ku limba kulowa mu duodenum. Mwakutero, njira yodzigaya yokha ya zigawo za gland imayamba. Gawo la michere ndi poizoni pamenepa limatulutsidwa m'mitsempha yamagazi, limafalikira mthupi lonse ndikuvulaza ziwalo zina (chiwindi, impso, mapapu, mtima, komanso ubongo).

Matendawa amapezeka mwa anthu pazifukwa zosiyanasiyana. Ziwerengero zikuwonetsa kuti 50% ya anthu amadwala chifukwa chotupa chifukwa cha uchidakwa. Mu 20% ya milandu, kupezeka kwa kapamba mwa akulu kumawonetsa kuti matendawa amakula chifukwa cha matenda opatsika. Zomwe zimayambitsa kutupa kwapancreatic zimaphatikizapo:

matenda opatsirana, a virus ndi parasitic,
matenda oyamba ndi fungus
kuvulala ndi poyizoni,
mankhawala a endoscopic ndi ntchito.

Pancreatitis Gulu

Mwa mtundu wa maphunzirowo, matendawa amatha kukhala owuma (OD) komanso aakulu (CP). Mtundu woyamba wa matendawa umatanthawuza kutukusira komwe kumachitika mu kapamba ndikudutsitsa ziwalo zina ndi ziwalo zina. Matendawa amakula mwadzidzidzi chifukwa chakumwa mowa, zokometsera kapena zakudya zamafuta. Nthawi zina, kuyambika kwa matendawa kumayenderana ndi kudya zakudya zambiri ndikatha kusala kudya kwanthawi yayitali.

Akatswiri a pancreatitis acute amatchula motere:

Pachimake kwambiri kapamba. Ndi mawonekedwe awa, ziwalo zamkati sizigwira ntchito moyenera. Kusiyana matenda a kapamba amawulula kuphwanya kwakukulu.
Fomu lakuthwa. Ndi matenda amtunduwu, ntchito za ziwalo zimasokonezeka pang'ono.
Pachimake kwambiri kapamba, zovuta ndi parapancreatic kulowetsedwa, peritonitis, purulent abscesses, sepsis, magazi.

Matenda a kapamba amapezeka mwa anthu atavutika ndi mawonekedwe a pancreatic kutupa. Kutengera kuzika kwawo, akatswiri amasiyanitsa:

Mawonekedwe olimba. Pancreatitis imadziwika ndi njira yomwe imapitilira mobwerezabwereza. Nthawi zakukhululuka ndizosowa komanso ndizochepa.
Njira yamatendawa imakhala yochepa. Kuchulukitsa kwa kutupa kwa kapamba kumachitika katatu pachaka. Kupweteka kwamimba m'mimba kumatenga nthawi yayitali.
Njira yofatsa yamatenda. Exacerbations ndiyifupi komanso osowa. Amachitika kawiri pachaka.

Zizindikiro za kutupa pachimake

Kupweteka kwa epigastric ndi chizindikiro chowonetsa pancreatitis yayikulu. Kuzindikiritsa mosiyanasiyana pamaso pa chizindikirochi kumachitika nthawi yomweyo, chifukwa ululuwu nthawi zambiri umakhala wolimba kwambiri kotero kuti anthu sanganame ndikungokhala chete. Pambuyo pakuzindikira komanso kuzindikira moyenera akatswiri amatha kuchita chilichonse kuti athetse vuto la odwala.

Chizindikiro china chodziwika bwino chotupa kapamba ndi kusanza, komwe kumachitika mobwerezabwereza. Sizibweretsa mpumulo kwa anthu odwala. Mkhalidwe wawo chifukwa cha kusanza umangokulira. Zizindikiro zina za pancreatitis pachimake ndi monga:

khungu, acrocyanosis (kupeza kwa khungu loyera),
ukufalikira
posungira mafuta, chopondapo,
kufooka kwambiri.

Zizindikiro za Chronic Pancreatitis

Zizindikiro za CP ndizosiyana munthawi yakukhululuka komanso kuchotsedwa. Zimatengera zifukwa zingapo: siteji, zamankhwala zamtundu wa matenda. Ngakhale izi, zingapo zazikulu za chifuwa chachikulu chimatha kusiyanasiyana:

Kudzimbidwa. Zimawonetsedwa ndikuwonjezereka kwa kuchuluka ndi kuchuluka kwa chopondapo. Pancreatitis yayitali, ndowe zimakhala ndi imvi komanso fungo la fetid. Nthawi zambiri mumakhala zakudya zotsalira zomwe sizinapayidwe. Zizindikiro zomwe zili pamwambazi zimachitika chifukwa cha kuchepa kwa kuchuluka kwa mphamvu yogwira ntchito ya prulinine parenchyma komanso kuphwanya chinsinsi cha kutulutsa tulo mu duodenum.
Kufooka, kunjenjemera mthupi lonse, njala, kukokana, kusuntha kwamatumbo ndi kukodza, kusiya kuzindikira. Zizindikiro izi za CP zimagwirizanitsidwa ndi kuphwanya kwa magwiridwe antchito a kapamba.
Ululu wam'mimba. Zowawa sizikudziwikiratu. Itha kuchitika pakati kapena pamimba pamimba ndikutenga herpes zoster. Nthawi zina, ululu suwonedwa.

Kuzindikira mawonekedwe osakhazikika

Kuzindikira pancreatitis mwa akulu kumakhala makamaka ndi ultrasound ndi CT. Anthu odwala amapatsidwa gawo la endoscopic retrograde cholangiopancreatography. Njira yofufuzira iyi ndi kuphatikiza kwa endoscopy ndi fluoroscopy.

Kuzindikira matenda kapamba kumakhalanso ndi kutsimikiza kwa exocrine pancreatic ntchito. Ndizolinga izi kuti akatswiri azichita pulogalamu - yowerengera labotale yomwe imakuthandizani kuti mupeze zotsalira za chakudya chosagwiritsidwa ntchito mu ndowe.

Ntchito ya Exocrine pancreatic imatha kuyesedwa pogwiritsa ntchito mayeso a C-mpweya. Ubwino wawo waukulu ndiosavulaza (kusowa kwaphwanya umphumphu wa zopinga zakunja za thupi). Kudziwona koteroko kwa kapamba kumapangitsanso kudziwa kuyenera kwa enzyme m'malo mwake.

Mankhwalawa pachimake kapamba

Ngati pali zizindikiro zomwe zikuwonetsa kukula kwa OP, wodwala ayenera kupatsidwa thandizo loyamba:

letsa kudya ndi kumwa kwa masiku angapo,
ikani choko
perekani antispasmodics (chifukwa chogwiritsa ntchito "No-shpa" kapena "Papaverine" kupanga ma enzyme kuchepa).

Pambuyo pa thandizo loyamba, muyenera kuyimbira foni dokotala. Munthu ayenera kuchipatala. Kuzindikira kwa ultrasound kwa pancreatitis pachimake kumachitika nthawi yomweyo kuchipatala. Pambuyo pokhazikitsa kuzindikira koyenera, ma analgesics amalembedwa (Baralgin, Analgin) kuti athetse kupweteka.

Mankhwalawa amagwiritsanso ntchito mayankho a amino acid ndi glucose. Amadzipangira zosowa za pulasitiki komanso mphamvu za thupi. Maantibayotiki nawonso amalembedwa. Mankhwalawa ndi ofunikira kuti athandizidwe komanso kupewa matenda a purulent.

Patatha masiku angapo chiyambireni chithandizo, probe woonda amaikidwa m'matumbo ang'onoang'ono. Ndikofunikira pakugwiritsa ntchito njira zamagulu azakudya. Ntchito yamatumbo ikabwezeretsedwa, wodwalayo amaloledwa kudya zachilengedwe. Chakudyacho chizikhala ndi mbewu monga chimanga, masamba ophika, makompyuta.

Chithandizo cha Conservative mu 87% ya milandu chimachita bwino. 13% yotsala ya odwala amafunikira chithandizo chamankhwala. Zimachitika pamene kupezeka kwa matenda a kapamba amawulula zovuta zazikulu. Zolinga zamankhwala opaleshoni ndi awa:

Kuchepetsa endotoxemia. Chifukwa cha izi, kukhetsa ndi kuwonongeka kwa ma ducts a bile, kukoka ndi kukonzanso kwam'mimba pamimba kumayikidwa. Pa nthawi ya opareshoni, ma enzyme, poizoni ndi zinthu zina zomwe zimagwira thupi zimachotsedwa m'thupi.
Chithandizo cha matenda opatsirana ndi necrotic a pancreatic necrosis (abscesses, fistulas, cysts, peritonitis). Kuti mukwaniritse izi, akatswiri amachita zoyeserera komanso kukoka kwa ma post-necrotic, ma purcine patsekeke, resection and sequestrectomy ya kapamba.

Chithandizo chachikulu cha kutupa

Ngati kupezeka kwa matenda a pancreatitis kuwonetsa mtundu wa matendawa, ndiye kuti mankhwala osiyanasiyana angafotokozedwe kwa odwala: kukonzekera kwa pancreatin-enzyme (Mezim, Festal, Creon), maantibayotiki (Abaktal, Amoksiklav, Sumamed) ndi ena Nthawi zina (mwachitsanzo, ndi pseudocyst wopangidwira) pang'onopang'ono madzi am'kati kapena opareshoni amafunikira.

Udindo wofunikira umachitika ndi zakudya. Ndi kuchulukitsa kwa matendawa patsiku la 1-2, odwala amaletsedwa kudya chilichonse. Mutha kumwa madzi okha (malita 1-1,5 patsiku): tiyi wofooka, mchere wamchere wopanda mafuta, msuzi wa rose yamtchire (magalasi 1-2). Patsiku la 2-3, chakudya chimaloledwa. Supu zokonda, amphaka amkaka osenda amkaka, zakumwa zamasamba, zakudya zonunkhira zopangidwa kuchokera ku msuzi wa zipatso zimaloledwa.

Panthawi yachikhululukiro, muyenera kutsatira malangizo awa:

Cook wothira, kusenda kapena kuphika mu uvuni. Pewani mafuta oyera pazakudya ndikuchepetsa mchere mpaka 6 g patsiku.
Idyani zakudya zazing'ono 5-6 patsiku. Kutentha kolimbikitsidwa kwa mbale zotentha sikokwanira kuposa madigiri 57−62, ozizira - osachepera 15−17 madigiri.
Musachotse mu zakudya acidic, zonunkhira, zokometsera ndi zakudya zam'chitini, nandolo ndi nyemba, bowa, zakumwa zozizilitsa kukhosi ndi zakumwa zoledzeretsa, kvass, misuzi yazipatso zamchere, ndi zinthu zina zambiri zophika mkate. Kirimu ndi wowawasa kirimu amaloledwa pang'ono m'mbale.

Njira zina zochiritsira

Mwanjira yovuta yotupa kapamba, njira yokhayo yoyenera ndikuwona dokotala. Sikoyenera kuyesa mankhwala azikhalidwe zaanthu. Ngati Zizindikiro ndi matenda a pancreatitis akuwonetsa mtundu wa matenda, ndiye kuti mutha kuyesa njira zochizira zomwe zimaperekedwa ndi mankhwala ena.

Zotsatira zabwino nthawi zambiri zimapatsa mankhwala azitsamba. Kugwiritsa ntchito mankhwala azitsamba kungathandize kwambiri kuti anthu omwe ali ndi matenda apamba a pancreatitis asamavutike. Nayi chinsinsi cha mankhwala amodzi:

sakanizani magawo awiri ofanana chimanga stigmas, chamomile ndi maluwa a calendula, masamba ophukira ndi udzu wa timbewu,
kutenga 1 tsp. kuchokera osakaniza ndi kutsanulira 2 makapu madzi otentha,
sambani msuzi m'madzi osamba kwa mphindi 15,
tsitsani chomaliza ndi mphindi 45 ndikuvutikira.

Ndikulimbikitsidwa kumwa msuzi katatu patsiku kwa mphindi 15 musanadye chakudya, makapu 0,4, omwe m'mbuyomu amadzipereka ndi madzi ofunda mpaka kuchuluka kwa kapu. Mutha kusunga malonda mufiriji mpaka masiku 5.

Kodi matenda awa ndi ati?

Matenda a kapamba nthawi zambiri amapezeka mwa oimira ofooka theka laanthu okalamba, ndipo nthawi zambiri amakhala ndi zaka zapakati. Chifukwa chachikulu chomwe chakhazikitsire matendawa ndi kuperewera kwa zakudya m'thupi.

Nthawi zambiri, mavuto a kapamba amayambika nthawi yoyamba munthu akayamba kudya zakudya zamafuta kwambiri komanso zamafuta. Komabe, izi sizokhazo zomwe zili zowonjezera. Komanso, matendawa amathanso kuvutitsa azimayi omwe amatsata zakudya mopitirira muyeso ndipo amadzikana okha zakudya zopatsa thanzi.Ngati thupi la munthu lilandira mafuta ochepa komanso mapuloteni, ndiye kuti kapamba amasiya kugwira ntchito moyenera. Kupatula izi, ngati munthu amamwetsanso mowa, mutha kutsimikizira kuti kupweteka kwamphamvu kwa pancreatitis kumamveketsa.

Masiku ano, pali kuchuluka kwakukulu kwa matendawa, komwe kumatengera zifukwa zina. Tiyeni tikambirane chilichonse mwatsatanetsatane.

Zotsatira zake

Popeza kulibe chithandizo choyenera kapena ndi matenda omwe amupeza mochedwa, kukula kwa zovuta zotsatirazi za kapamba am'mimba ndizotheka:

Mawonekedwe ndi kuchuluka kwa ma pancreatic cysts,
Maonekedwe a ziwindi kapena zodetsa nkhawa za chiwalo,
Zovuta za purulent: zotupa za England, peritonitis, sepsis,
Cholestasis - kuphwanya kutuluka kwa ndulu,
Kutsekeka kwamkati,
Thrombosis ya splenic mtsempha, etc.

Zizindikiro

Zizindikiro za pancreatitis yoyipa yofanana ndi zizindikiro za kakulidwe kazakhungu kakapangidwe kake ka chiwindi. Monga ziwonetsero zazachipatala zimawonetsa, motsutsana ndi kudwala, matenda a shuga amapangidwa theka. Vutoli limachitika chifukwa chophatikizira minofu yomwe imagwira ntchito endocrine, makamaka iwo omwe amachititsa kupanga insulin.

Chithunzi cha matenda matenda opatsirana pancreatitis ndi awa:

Kuchita mseru pafupipafupi komwe kumayambitsa masanzi ambiri. Kutulutsidwa kwa m'mimba pazakudya zopakidwa pang'ono sikubweretsa mpumulo. Kumva kudwala kumawonedwa tsiku lonse.
Kukula kwa kudzimbidwa, kutsegula m'mimba. Kuyang'aniridwa kwakukulu kwa chopondapo kumadzipangitsa kumverera. Wodwala akuyenera kuvutika chifukwa cha kuchuluka kwa mpweya.
Shingles ululu wamtundu wosakhazikika mu kapamba. Kusakhumudwa pang'onopang'ono kumasunthira ku hypochondrium, pansi pa phewa, imaperekera kumbuyo. Pali kumverera kolemetsa m'mimba.
Kuwonongeka koonekera kwa thupi kumadziwika. Vutoli limabuka chifukwa chakusala kudya. Kuchitapo kanthu kumachitika chifukwa choopa kupangika kwa matenda atsopano osapweteka.
Pambuyo chakudya, munthu nthawi zambiri amamva kufooka, amakhala ndi kamvekedwe kaulesi, kutentha thupi. Zovuta zimawonekera pakuchepetsedwa kwa ntchito.

Mitundu ya matenda

Madotolo amatha kusiyanitsa mitundu ingapo ya kapamba wothandizidwa.

Mitundu yofatsa yamaphunziro yamatenda imadziwika ndi kugwiritsidwa ntchito mochenjera pakugwira ntchito kwa kapamba. Munthu pafupifupi samamva bwino m'malo ogaya ziwalo. Kuchulukana, limodzi ndi kupweteka kwapafupipafupi komanso kuperewera, zimadziwika kangapo pachaka.

Kukhazikika kwa mawonekedwe apakati a kakhalidwe kakang'ono ka m'mimba kamayendedwe kamatulutsa kosiyanasiyana. Mavuto amabweretsedwa kangapo pa nyengo iliyonse. Zomverera zam'mimba zimatchulidwa, zimapitilira.

Matenda owopsa amatsatiridwa ndi kubwereza kosalekeza. Nthawi iliyonse ululu umakhala wakuwala. Pali zolakwika zina zikuluzikulu zomwe zimayambitsa kusokonekera kwa khungu, zomwe zimakhudza thanzi labwino komanso chamoyo chonse.

Zakudya zodwala zopweteka za kapamba

Kuchepetsa kwambiri kupita patsogolo kwa matenda am'mimba kumapangitsa kuti pakhale chakudya choyenera. Kutsatira kwambiri zakudya zopatsa mphamvu kumakupatsani mphamvu yothandizira kugaya chakudya, kuchepetsa kuchuluka kwa shuga m'magazi. Chofunikira kuti tikwaniritse nkhondo yolimbana ndi matendawa ndikuti musiyidwe kuchokera ku zakudya za shuga, zakudya zosiyanasiyana zakusuta, masamba osapsa ndi zipatso, zakumwa zozizilitsa kukhosi komanso kusungidwa.

Zakudya za pancreatic pancreatitis, mndandanda wachitsanzo:

Chakudya cham'mawa - chimanga chophika mu mafuta osambira osambira, tiyi wopanda mafuta, kachidutswa kakang'ono ka tchizi.
Chakudya chamadzulo - msuzi wamasamba ophika, nyama yophika nkhuku, zothira zipatso zabwino.
Zakudya zokhazokha - tchizi chamafuta ochepa kapena yogati, biscuit wopanda mafuta.
Chakudya chamadzulo - mbatata yosenda kapena zukini, fillet ya nsomba yokongoletsedwa, zodulidwa zouma, zipatso zambiri.

Okalamba amapatsidwa zakudya zosiyana pang'ono za kapamba kapamba. Zosankha zachitsanzo zimaphatikizapo supu yotsitsa nkhuku ndi chakudya cham'mawa. Chakudya chamasana, mavu omwe amasilira ndi tchizi chamafuta ochepa, maapulo ophika kapena mapeyala, soufflé ya karoti amawadyera patebulopo. Madzulo, timalimbikitsidwa kugwiritsa ntchito soups yosenda masamba. Kugwirizana ndi zakudya zotere kumayenderana ndi kuchepa kwa thupi m'thupi la okalamba komanso chimbudzi.

Mankhwala

Pofuna kuchiza pancreatitis oyambitsa, madokotala amapereka mankhwala othandizira awa:

"No-Shpa", "Papaverine" - ali ndi chothandizira pancreatic minofu.
"Almagel", "Fosfalugel" - zinthu zomwe zimachitika pakapangidwe kamankhwala zimachepetsa kuchuluka kwa acidity ya chapamimba.
"Festal", "Creon", "Methionine", "Pancreatin" - magawo a mankhwalawa ndi magwero a michere yofunika yomwe imafunikira kuti magwiridwe antchito azizungulira.
Vitamini maofesi - amathandizira pakulimbitsa thupi kwathunthu ndikukhalanso chitetezo chathupi.

Njira zina zochizira

Pewani kuwonekeranso kwa kubwereza kwa pancreatitis oyambitsa masisitimu kumalola kugwiritsa ntchito njira zotsatirazi. Tengani supuni ya zouma zouma za St. John wa wort, dandelion, knotweed, maluwa a violet ndi manyazi a chimanga. Zosakaniza zimathiridwa ndi lita imodzi ya madzi otentha. Kuphatikizikako kumawiritsa pamoto wochepa kwa theka la ola. Mankhwalawa amaloledwa kupatsa kwa mphindi 10-15. Madzimadzimadzi amawotchera ndikuwamwetsedwa mwa mawonekedwe ofunda mu kapu asanadye chilichonse.

Kuti tichotse zovuta zomwe zimachitika panthawi yopanga matendawa zimapangitsa kuti pakhale mankhwalawa a ndevu zagolide. Gwiritsani ntchito muzu waukulu wa mtengo wochiritsa. Zinthu zosaphika amazidula bwino, zimayikidwa mumtsuko wagalasi ndikuthira ndimowa wamphamvu wokwanira 200-250 ml. Chipangizochi chimakutidwa ndi chivindikiro, kenako chimatumizidwa kuti chikapereke malo amdima kwa milungu iwiri. Mankhwala omalizidwa amamwa madontho 10 atatha kudya.

Opaleshoni

Ngati chithandizo cha mankhwala osokoneza bongo komanso njira zina zochizira matendawa sizikupereka chifukwa, madotolo amatengera njira yogwirira ntchito kuti athetse vutoli. Njira zotsatirazi zimagwiritsidwa ntchito:

Stenting - mawonekedwe a mesh amayambitsidwa mu kapangidwe ka kapamba, chifukwa chomwe mawonekedwe a ma ducts am'deralo amasinthidwa.
Kuyambiranso - malo amtundu wa necrotic amadulidwa, kuchuluka kwa calcium kumachotsedwa, ma neoplasms oyipa amatsitsidwa.
Cholecystectomy - pang'ono kuchotsa ndulu, ngati pali kufalikira konsekonse kwa ducts ya chiwalo.

Kodi ndimtundu wanji womwe umayambitsa kutupa kwa gland?

Pali zifukwa zingapo zomwe zimatha kuyambitsa kupweteka kwamkati:

Pa iko kokha, kuukira kwamphamvu kwa chotupa kumatha kukhala njira yolimbikitsira kukulira kwamtundu wa matenda.

Zolakwika mu chakudya. Chakudya chopanda malire, kudya kwambiri kapena, mosinthanitsa, ndi kuwuluka kwa ntchentche. Kugwiritsa ntchito zonunkhira, kusuta, kuzifutsa, mafuta ndi zakudya komanso zakudya.

Mankhwala osokoneza bongo, monga zakumwa zoledzeretsa komanso zopatsa mpweya, kusuta fodya, kugwiritsa ntchito khofi mopambanitsa, etc.

Kusokonezeka kwa m'mimba.

Ngati njira zonse sizinatengepo pachiwopsezo cha kutupa, pofuna kuchotsa kapamba pamayambiriro oyamba kapena wodwalayo atapereka malangizo a dotolo yemwe ali ndi chikhulupiriro cholakwika, matendawa amapita patsogolo, ndipo nthawi yotayika imasinthidwa kukhala mawonekedwe osokoneza matendawo.

Marseille-Roman gulu la matenda kapamba

Izi zimadziwika kwambiri ndipo zimagwiritsidwa ntchito padziko lonse lapansi. Malinga ndi iye, pali mitundu inayi ya matenda:

Zopindulitsa. Fomuyi imadziwika ndi kukhalapo kwa njira zotupa m'mapazi. Pankhaniyi, zikuluzikulu zazikulu zimatsekeka ndi zotupa, zomata, kapena zotupa zomwe zimachitika zokha.

Kuwerengetsa kapamba kumakhala kofala kwambiri masiku ano. Pankhaniyi, minofu imawonongeka mwachindunji, ndikupanga miyala yosakanikirana. Matenda amtunduwu amapezeka kwambiri mwa anthu omwe amamwa mowa wambiri.
Mawonekedwe owonetsera amakhala osowa kwambiri, chifukwa amadziwika ndi minyewa ya minyewa.
Mapangidwe a cysts ndi pneumocystis.

Kodi pancreatitis yochiritsika imawonetsedwa bwanji?

Zizindikiro zimakhudzidwa nthawi zambiri, chifukwa pomwe wodwalayo samangokayikira zakuphwanya, chifukwa chodwala.

Monga lamulo, mutamwa mowa ndi kudya zakudya zamafuta, munthu amadzimva m'mimba. Popita nthawi, kulumikizidwa kwa chiwalo kumachitika pafupipafupi, ndipo kukhazikitsidwa kwa mawonekedwe ena - kutsamira thupi patsogolo kumathandizanso kuchepetsa mavuto. Ena amazindikira kuti akumva bwino pogona. Kulimbitsa thupi kumakulirakulira, kupweteka kwa m'chiuno kumachitika.

Kamodzi kuchipatala ndi matenda oyambitsidwa ndi kupweteka kwamatenda mu kapamba, zimapezeka kuti matendawa akhala nthawi yayitali.

Ntchito yayikulu ya kapamba

Kuti mumvetsetse funso monga gulu la kapamba, muyenera kumvetsetsa zomwe zimachitika monga kapamba. Ndizofunika kudziwa kuti imapanga ma enzyme osiyanasiyana omwe amagwira mwachindunji pakugaya chakudya. Ma pancreatic Enzymes amatha kugaya chakudya chomwe chikubwera kuti chitha kumamwa. Masana, chiwalochi chimatha kupanga pafupifupi lita imodzi yobisika, chofunikira kwambiri kuti chimbidwe chokwanira cha chakudya.

Kodi chikuchitika ndi chiyani kuti adziwe kutupa?

Diagnostics imaphatikizapo zolemba zingapo zofufuza.

Amaganizira mwachindunji magazi ndi mkodzo. Ultrasound ya thupi ndizovomerezeka. Kuchulukitsa kwa ndulu mu kukula kwake ndikusokonekera kwa kapangidwe ka parenchyma ndi zizindikiro zotsimikizika za kutupira mobwerezabwereza. X-ray imawonetsera zowerengeka mu kapamba, zomwe zikuwonetsa kunyalanyaza njira yotupa yopatsirana.

About patency ya the ducts phunzirani kugwiritsa ntchito endoscopic pancreatography. Amasinthana nthawi zina kuti azigwiritsa ntchito mitundu yotsutsana kuti asayike kukhalapo kwa ma neoplasms oyipa ndi ma cysts.

Zizindikiro za matenda

Kuti mumvetsetse bwino lomwe kapangidwe ka matenda kapamba, muyenera kumvetsetsa zomwe matendawa ali nawo. Ndipo, kodi ndi zizindikiro ziti zomwe muyenera kuyang'anira:

kupweteka pamimba,
kugaya chakudya mosayenera, komwe kumakhala ndi zizindikiro monga kunenepa kwambiri kwam mafuta, kutuluka kwa magazi, kuchepa kwambiri, kulephera kudya komanso kufooka kwa thupi lonse.
Nthawi zina, matendawa amadwala matenda a kapamba, matenda a shuga amatha kuyamba,
mavuto akuwonjezeka mu bile ducts ndi gastric dyspepsia syndrome wapezeka.

Kodi amachiritsa pancreatitis?

Momwemonso, chithandizo chitha kugawidwa ndikugulitsa opaleshoni.

Loyamba limaphatikizapo kukonza zakudya m'thupi komanso kumwa mankhwala kuti matendawa agwiritsidwe ntchito:

Chomwe chikutsimikizidwa ndikukula kwa zakudya zamasamba zomwe zimalimbikitsa kugaya komanso kuletsa kwa mapuloteni ndi mafuta.

Ndikulimbikitsidwa kumwa mankhwala a spasmolytic ndikukonzekera enzyme: Papaverine, Creon, No-spa, Festal, etc.

Ulendo wopita ku Sanatorium, mwachitsanzo, kupita ku Essentuki kapena malo ena okhalako azachipatala omwe amathandizira pakukhala ndi gastroenterological.

Ntchito yoteteza imadziwika ndi kukonzekera Fosfalugel, Almagel, etc.

Kuchita opaleshoni kumafunikira kuti muchepetse ma ducts, cysts kapena neoplasms yoyipa, kapena kukhalapo kwa ululu wammbuyo waukulu.

Zotsatira zake, matenda a kapamba amayamba.

M'malo mwake, matendawa amatha kuyamba pazifukwa zingapo, komanso kuphatikiza kwawo. Samalani pazifukwa zomwe, malinga ndi madokotala, nthawi zambiri ndizomwe zimayambitsa matenda awa:

uchidakwa kwambiri,
kugwiritsa ntchito mankhwala ena
calcium yambiri

mafuta osayenera kagayidwe,
Kukula kwa matendawa ndikothekanso chifukwa chobadwa nawo,
Komanso matendawa amatha kudzipangitsa kuti azimva kuperewera kwa michere.

Kodi zatsopano zitha kupewedwa?

Kupewa, monga aliyense amadziwa, kumatha kupewa matenda ambiri ndikupewanso kubwereranso. Mawuwa ndiowona pokhudzana ndi indancative pancreatitis.

Chizindikiro cha matenda am'matumbo, chomwe chimaphatikizapo kapamba pazosiyanasiyana zake zonse, ndi nyengo komanso nthawi. Chifukwa chake, ndikofunikira kukhala okonzekera kuyambiranso kwatsopano ndikuyesetsa kupewa kuzipewa.

Kutsatira zakudya ndi zakudya zoyenera. Zakudya za 5-6 m'magawo ang'onoang'ono ndizofunikira. Kudziletsa ku zakumwa zoledzeretsa, kusuta, zokazinga, zonunkhira, zonunkhira, kusuta fodya komanso mafuta kupitiriza.

Moyo wathanzi. Kuyenda pafupipafupi mu mpweya wabwino, kugona bwino, kupumula.

Zikakhala kuti pali matenda aliwonse am'mimba kapamba kapenanso m'mimba, mukupita kukaonana ndi dokotala.

Njira zodzitetezera zili ndi maphikidwe omwe amabwerekera ku mankhwala azikhalidwe. Mwachitsanzo, zitsamba zotsatirazi zakhala zikuwoneka bwino kwambiri pafunso la momwe mungapewere kuyambiranso matenda a kapamba:

Kututa kwazitsamba ndikosavuta kukonzekera. Gawo lirilonse lofanana limawonjezeredwa mumtsuko. Kenako chilichonse chimathiridwa ndi madzi otentha. Amawiritsa chithupsa, kenako moto umachepera, ndikuwumirabe kuti uwiritse kwina kwa maola 0,5 mukusamba kwamadzi. Zingotsalira kuti zisiyeni kuti ziseweredwe mphindi 5 mpaka 15. Ndikulimbikitsidwa kumwa 1 tbsp. chakumwa chofunda theka la ola musanadye.

Chinsinsi ichi ndichabwino chifukwa chitha kupezedwa osati munthawi yachikhululukiro, komanso pakuwukira kwambiri. Kugwiritsa ntchito pafupipafupi kumathandizira kukonzanso mofulumira kwa zimakhala komanso mucous membrane, normalization ya kapangidwe ka pancreatic ndikubwezeretsa kwake. Chifukwa chake, kuukira sikuyenera kubwerezedwanso konse.

Kudzichitira nokha mankhwala kumatha kubweretsanso mavuto ena. Chifukwa chake, monga momwe mumagwiritsira ntchito mankhwala aliwonse, zinsinsi zachinsinsi za anthu ziyenera kuthandizidwa pokhapokha ndi chilolezo cha dokotala.

Kupanikizika kwa kapamba amadziwika kuti ndizovuta kuchiza, chifukwa chovuta kwambiri chifukwa cha zovuta zomwe zimachitika komanso kubwera mochedwa kwa dokotala. Koma kutsatira malangizo pa kudya moyenera komanso njira zina, moyo wabwino, komanso kugwiritsa ntchito mankhwala apadera zonse zimatha kukhala ndi zotsatira zomwe mukufuna.

Matenda a kapamba: ICD gulu 10

Kugawikaku ndi kwamakono komanso komwe kumagwiritsidwa ntchito kwambiri masiku ano. Malinga ndi izi, World Health Organisation zaka khumi zilizonse zimapanga mndandanda wa matenda atsopano, kuphatikizapo matenda a kapamba. Gulu la masiku ano limapatsa aliyense matenda ake khodi yake, chifukwa chake, ngakhale dokotala samamvetsetsa chilankhulo chachilendo akugwiritsa ntchito nambala iyi, amvetsetsa mtundu wamatenda omwe akukhudzidwa.

Chifukwa chake, malinga ndi gawoli, pancreatitis yayitali ili ndi mitundu iwiri:

Magwero a zakumwa zoledzera,
Mitundu ina ya zamatsenga izi.

Gulu la Cambridge

Kugawidwa kwa Cambridge kwa pancreatitis yosatha kumadziwika kwambiri ndi madokotala aku Western. Zimatengera pang'onopang'ono kusintha kwa kapamba pamagawo osiyanasiyana a matendawa. Malinga ndi gawoli, magawo otsatirawo a matendawa ndi osiyana:

Zikondwererozi zili bwino. Potere, limba limakhala ndi mawonekedwe abwinobwino ndipo limagwira ntchito moyenera.
Kusintha kwachikhalidwe kwachilendo. Pankhaniyi, kusintha kochepa pancreas kumawonedwa.

Kusintha kwofatsa kwam'magazi kumadziwika ndi kusintha kwa ma ducts.
Kusintha kwachikhalidwe kwamunthu wapakati. Poterepa, mutha kuzindikira kale zosintha osati pazophimbira, komanso zazikulu. Nthawi zambiri, ma cysts ang'ono ndi mawonekedwe a necrotic pano.
Kusintha kwakukuru kwa matenda. Pankhaniyi, kuphatikiza pazakusintha konse zomwe tafotokozazi, miyala yayikulu ndi miyala ikhoza kupangidwanso.

Biliary Pancreatitis

Matenda a biliary amadalira pancreatitis ndi nthenda yayitali ya kapamba yomwe imayamba motsutsana ndi maziko a ma pathologies omwe analipo m'thupi ngakhale panthawi yomwe mwana wabadwa. M'malo mwake, matenda oterewa ndiofala kwambiri ndipo amadziwika ndi zizindikiro zotere:

Ululu m'mbali zonse zam'mimba, zimachitika makamaka usiku. Ululu umathanso kupita kumbuyo, tsamba lamapewa kapena khosi. Komanso, nthawi zambiri zizindikiro zopweteka za matendawa zimatha kusokonezeka ndikulimbana ndi colic.

Biliary pancreatitis imawonetsedwa m'matumbo, nseru, belching, kusanza, kapena kupindika pamimba.
Mukadwala, mavuto amkuwa amatha kuzindikirika. Odwala ambiri amadandaula ndi matenda am'mimba, omwe amawonedwa mpaka kasanu patsiku. Nthawi yomweyo, mpandoyo unali ndi mawonekedwe a mushy ndipo anali wosasamba bwino kwambiri kumakoma kuchimbudzi.
Kuchulukitsa kwamisempha ya bile ya pigment. Zotsatira zake, khungu, komanso azungu amaso, amapeza utoto wachikasu.
Odwala ambiri adadwala kwambiri.
Kukula kwa matenda ashuga.

Matenda ngati amenewa nthawi zambiri amathandizidwa mosamala, komabe, nthawi zina pamafunika opaleshoni yofunika kwambiri.

Kupezekanso kapamba

Matenda apakhungu (gulu la kubwezeretsanso mobwerezabwereza sagwiritsidwa ntchito nthawi zambiri) amadziwika ndi kupweteka kwapafupipafupi. Sitinganene kuti ululu woterewu ndi wakuthwa kwambiri, koma ndi chithandizo chosayenera, mkhalidwe wa wodwalayo ungakulire kwambiri.

Komabe, ngati nthawi yomweyo ndi matenda awa, wodwalayo amakhalanso ndi matenda ena am'mimba, ndiye kuti ululuwo umatha kulephera. Nthawi zambiri ululu umakhalapo kuyambira maola angapo mpaka masiku angapo. Kuti tithane ndi zizindikiro za matendawa, tifunika kugwiritsa ntchito njira zochizira, komanso kuchepetsa matenda.

Matenda a kapamba, etiology yomwe imatha kukhala yosiyanasiyana, ndikofunikira kwambiri kuyambitsa kuchiza nthawi, mwinanso matenda amtunduwu angayambitse matenda ena. Nthawi zambiri, njira yodwala yamatenda imakhala yovuta kwambiri kuthandizira pogwiritsa ntchito njira zolembera, chifukwa chake akatswiri akuganiza zofunanso opaleshoni. Osamangoganiza mwachangu, pitani kwa madokotala angapo, ndipo malingana ndi malingaliro omwe mwalandira, sankhani njira ina yoperekera chithandizo.

Musaiwale kuti njira yothandizira mankhwalawa ikuyenera kuthandizira kuthetsa ululu, kuchotsa njira zotupa, komanso njira yochotsa bile mthupi.

Rease pancreatitis: ndi chiyani

Reactive pancreatitis ndi njira yotupa mu kapamba.

Reactive pancreatitis ndi njira yotupa yomwe kapamba imakhudzidwa ndi zakumwa komanso matenda am'mimba.

Pachimake kapamba amayankha matenda a m'mimba dongosolo. Pancreatic kutupa chifukwa cha matenda m'mimba m'mimba ndi yogwira pancreatitis.

Mankhwala, pali mitundu isanu yokha ya kapamba: pachimake ndi subacute, kubwezeretsa, purulent, hemorrhagic.

The pachimake yotupa ndondomeko kumachitika limodzi ndi pathologies a ziwalo zina. Matendawa amapezeka motsutsana ndi maziko aomwe amakwiyitsa ndipo amadziwika ndi kukula kwa chitukuko. Reactive pancreatitis sikuwoneka mwaokha, Zizindikiro zake komanso mapangidwe ake a m'mimba, matumbo ndi chiwindi.

World Health Organisation (WHO) imatchula pachimake pancreatitis ngati matenda wamba (wolemba K86.9). Mu 70% ya milandu, kapamba owopsa amakhudza amuna ndi ana. Matendawa pawokha siowopsa ndipo nthawi zambiri amapezeka akangoyamba kumene.

Ndi chithandizo choyenera chovuta, pancreatitis yogwira imachiritsidwa pakatha masabata awiri, ndipo mwakuwongolera moyenera, chiwopsezo chobwereranso m'mbuyo chimakhala ch zero. Fomu yodwalayo imatha kubweretsa purulent ndi hemorrhagic pancreatitis, yomwe imakhudza gawo lonse lam'mimba.

Matendawa amadziwika ndi chitukuko chachikulu, pomwe gawo loyambirira limayamba kukhala chifuwa chachikulu. Zizindikiro zake zimakhala zowala komanso zopweteka kwambiri, nthawi zina, matendawa ndi asymptomatic.

Zolinga za maonekedwe

Zakudya zopanda pake zingayambitse kapamba.

Matendawa samawoneka mwa iwo okha, koma amatuluka ngati yankho la chakudya, njira zotupa za m'mimba, mankhwala ndi zina zakunja.

Zolakwika zamagetsi. Sizoletsedwa kugwiritsa ntchito zakudya zamafuta, zonunkhira komanso zamchere zomwe zimakwiyitsa makoma oonda m'mimba ndi matumbo. Pakakhala vuto la kudya, m'mimba pang'onopang'ono umasiya kugwira ntchito ndipo ma atony amapezeka.

Kudya kwambiri, kuperewera kwa zakudya m'thupi, kugwiritsa ntchito chakudya chofulumira, zakumwa zazakudya zoziziritsa kukhosi komanso kaboni kaboni kumachepetsa mphamvu ya minofu yam'mimba. Popita nthawi, atony imayamba kukhala gastritis, zilonda zimatha kuonekera. Zakudya zopanda pake zimayambitsa matenda a shuga, kuperewera kwaimpso, bulimia, dystrophy ndi anorexia, zomwe zimakhudza kapamba.

Zizolowezi zoipa. Mowa ndi kusuta (ndudu, fodya, hooka). Utsi wa fodya umakhala ndi mankhwala opitilira 10, monga nikotini, ammonia ndi acid. Mukamasuta, utsi wa fodya umalowa m'mimba ndi m'matumbo, pomwe amawononga pang'ono pang'onopang'ono.

Matenda am'mimba. The yogwira pancreatitis kumachitika motsutsana maziko a cholecystitis aakulu, mtima ndi matenda opatsirana, poyizoni ndi mankhwala amphamvu, komanso gallstone matenda, gastritis, zilonda zam'mimba ndi atherosclerosis a pancreatic chotengera.

Mankhwala Kugwiritsa ntchito mankhwala mosasamala kumaphwanyanso zingwe zam'mimba ndi matumbo. Mavitamini, othandizira pakudya, maantibayotiki, ma painkillers ndi mankhwala othana ndi kutupa ayenera kugwiritsidwa ntchito mosamalitsa malinga ndi malangizo.

Matenda a m'mimba. Reactive pancreatitis imawoneka chifukwa cha kuvulala komwe kumayambitsa misozi mu minofu yofewa, komanso dyskinesia, cirrhosis, ndi hepatitis.

Kuopsa kwa yogwira pancreatitis

Pancreatitis yosatha imayambitsa matenda a shuga.

Pancreas yoyaka sangathe kugwira ntchito yake. Thupi limatulutsa ndikuyendetsa michere yamagetsi yomwe imayendetsa kagayidwe ndi kagayidwe.

Ngati cholephera chachitika, ndiye kuti gawo lonse la m'mimba silitha kuphwanya zinthu zomwe zikubwera kukhala mafuta, mapuloteni komanso chakudya.

Ma enzyme atasiya kuyenda, duodenum imayamba kupukusa pang'onopang'ono minofu yake yofewa, yomwe imatsogolera ku chiwonongeko chonse (chiwonongeko) ndi mawonekedwe a zilonda zam'mimba. Ndi yogwira pancreatitis, magwiridwe antchito a chiwindi ndi impso amachepetsa.

Matenda osachiritsika pafupipafupi amabweretsa matenda a shuga, kenako atherosclerosis ndi matenda a mtima. Ngati yogwira pancreatitis siinapezeke munthawi yake, ndiye kuti pali ngozi yotenga matenda.

The pachimake mawonekedwe a kapamba amatha kukhala kachilombo ndi purulent kapamba necrosis (kuwonongeka kwa zofewa minofu ndi maselo a kapamba, komanso necrosis yawo ndi necrosis).

Kuchiza matenda

Ndi kapamba, muyenera kutsatira zakudya zosamalitsa.

Ndi yogwira pancreatitis, pamafunika kuchipatala. Chithandizo chimasankhidwa mosamalitsa ndi gastroenterologist potengera zomwe zimayambitsa matendawa.

Kuti muchite izi, choyamba, ziwalo zomwe zimakhudzidwa zam'mimba ndi chimbudzi zimazindikirika, kenako zimathandizidwa ndi chithandizo.

Musazichiritse pancreatitis yeniyeni. Izi zimatha kubweretsa zovuta komanso kukula kwa matendawo. Chithandizo chadongosolo komanso chothandiza sichingothandiza kuchotsa njira zotupa m'mapazi, komanso kubwezeretsa m'mimba.

Popewa kuchepa madzi m'thupi komanso kukhalabe ndi momwe thupili limakhudzira, omwe akutsikira amapatsidwa mankhwala.
Kwa cramping, painkillers adalowetsa kudzera m'mitsempha.
Mapiritsi amalembedwa pokhapokha kuti achepetse kuchuluka kwa madzi a pancreatic omwe amatsitsidwa.
Ma diuretics zotchulidwa.

Wodwala amafunikira kutsatira zakudya zowonjezera, zomwe 100% zimapatula mafuta, okazinga, amchere, osuta komanso zakudya. Kutalika kwa zakudya zimatengera gawo ndi mawonekedwe a pancreatitis yogwira. Sizoletsedwa kugwiritsa ntchito chakudya chofulumira, zakumwa zoziziritsa kukhosi ndi kabichi zomwe zimakhala ndi utoto, komanso zinthu zotsiriza (masoseji, masoseji).

Onse panthawi yamankhwala komanso kwa miyezi 6, musamwetsetse mowa komanso fodya, koma ndi bwino kusiya zonse zoipa. Kubwezeretsa chakudya cham'mimba, zopangidwa kuchokera mkaka zomwe zimakhala ndi mabakiteriya amoyo (lacto, bifido) zimayikidwa. Chakudya chokhwima chimatha pafupifupi miyezi 3-4. Popewa kuyambiranso, muyenera kusiya zinthu zoletsedwa kwa nthawi yayitali.

Ngati matendawa akula msanga komanso akukhala mokhazikika, kuthandizira opaleshoni kungafunike. Kuchita opareshoni kumathandizira kuchotsa ma enzymes ndi minofu ya necrotic ya kapamba.

Reactive pancreatitis ndi matenda wamba ndipo amakhudza anthu opitilira 40% padziko lapansi. Pazizindikiro zoyambirira, ndikofunikira kulumikizana ndi akatswiri omwe adzakuzindikiritseni ndikupereka mankhwala oyenera.

Reactive pancreatitis, zomwe zimachitika pang'onopang'ono komanso zopweteka, zimapereka zodabwitsa zokhudzana ndi kupukusa kwa thupi. Mwa kuthandiza thupi ndi chakudya chamagulu komanso kusiya zizolowezi zoipa, kupewera kwapafupipafupi kotetemera kungapeweke.