Zotsatira zake komanso kuopsa kwa kapamba wa kapamba

Pancreatitis ndi matenda otupa a kapamba. Cholinga chachikulu ndikuphwanya kutuluka kwa chakudya cham'mimba ndi michere ina yomwe imapangidwa ndi kapamba m'matumbo ang'ono (duodenum). Chiwopsezo cha kapamba ndi matenda ena a kapamba chikukulira padziko lonse lapansi. Izi zimachitika makamaka chifukwa cha kusadya bwino, kuledzera, kuwononga chilengedwe.

M'nkhaniyi, tikambirana mwatsatanetsatane: ndi chiyani, ndi zifukwa zazikulu ziti zomwe zimachitikira, zizindikiro ndi zizindikiro zoyambirira, komanso ndi chithandizo chamankhwala chomwe chimaperekedwa kwa akuluakulu a kapamba, komanso zomwe muyenera kudziwa ngati chiwopsezo chachitika.

Kodi kapamba ndi chiyani?

Pancreatitis ndi njira yotupa komanso yoipa mu kapamba. Njira ngati izi zikuwonekera, ndiye ma enzyme opangidwa ndi kapamba sakalowa mu duodenum. Chifukwa chake, amayamba kuchita mwachangu kale kapamba, pang'onopang'ono akuwononga.

Ndondomeko iyi imatchedwa Autolysis, yomwe, mu Latin, imatchedwa "kudzimbidwa." Tsopano mukudziwa, nthawi zambiri, pancreatitis yayikulu, chomwe ili. Kungokhala kuwukira kwa mankhwala, ndikusintha kwa chindende "pachokha" kukhala chovunda chovunda.

Kasitomala ndi chimodzi mwazinthu zovuta kwambiri m'thupi la munthu, zomwe zimatsala pang'ono kuti zibwerere. Kugwiritsa ntchito bwino kwa gland iyi kumayendetsa kagayidwe, kubadwa koyenera.

Ntchito zake zazikulu ndi:

• Kupatula kwa michere pakutha kwa zinthu zopindulitsa zomwe zimapezeka ndi chakudya m'matumbo aang'ono.
• Fermentation ya insulin ndi glucagon m'magazi - mahomoni omwe amawongolera ndikusunga komanso kugwiritsa ntchito mphamvu yochokera ku chakudya.

Pancreatitis mwa akulu ndi vuto lodziwika bwino lomwe aliyense angathe kukumana nalo. Kusokonezeka komwe kumachitika chifukwa cha kutuluka kwa ndulu, komanso zizolowezi za kadyedwe (mwachitsanzo, kudya zamafuta ndi chakudya chamafuta chochuluka, kupsinjika, cholowa cholowa, mowa, ndi zina zambiri) kungapangitse kukula.

Zotsatira zake, iwo omwe amamwa mowa mopitirira muyeso ali pachiwopsezo chachikulu chotenga kapamba. Malinga ndi ziwerengero, nthawi zambiri zimakhazikika mwa amayi apakati komanso mwa amayi achichepere nthawi yobereka. Njira yolepheretsa kukula kwa kapamba ndi njira yoyenera yakhazikitsira zakudya.

Zotsatirazi zingayambitse kapamba:

• opaleshoni pamimba yothandiza kwambiri pamimba.
• m'mimba, kuvulala,
• parasitic infestation, matenda, makamaka tizilombo hepatitis,
• mumps (mumps),
• chibadwa.

Chiwerengero cha kapamba pazifukwa

• 40% ya odwala onse omwe ali ndi kutupa kwa pancreatic ndi zidakwa. Amakonda kuwonetsa mwina necrosis ya chiwalo, kapena mavuto ake owononga.
• 30% ya odwala ndi odwala omwe ali ndi mbiri ya cholelithiasis.
• 20% ya odwala ndi odwala onenepa kwambiri.
• 5% ya odwala ndi odwala omwe avulala kapena adwala thupi, akumamwa mankhwala.
• Osakwana 5% ya odwala ndi odwala omwe ali ndi cholowa chamtundu wa mapangidwe a kutupa, kapena akuvutika ndi zolakwika zakubadwa pakukonzekera ziwalo.

Zolemba za matendawa

Pancreatitis ndi kutupa kwa kapamba, limodzi ndi khungu la ntchito. Malangizo a kutulutsa tukutira, thambo la Wirsung limakulitsa, zomwe zimapangitsa kuti ma enzyme apange chimbudzi.

Ngati matendawa sanalandiridwe, njira zoyenera zimayambira m'malo ena oyipa a chiwalo, ndipo, pang'onopang'ono kukulira, adzaphimba ziphuphu zonse.

Zotsatira za mankhwala zotchulidwa mankhwalawa pancreatitis makamaka ndi kuyimitsa katulutsidwe. Iyi ndiye njira yokhayo yotsimikizira mtendere wathunthu wamthupi, kuchiritsa, ndikubwezeretsanso magwiridwe antchito ake.

Milandu yambiri ya kapamba, limodzi ndi njira zowonongeka, nthawi zambiri zimafunikira kuchitapo kanthu pakuchita opaleshoni komanso pang'onopang'ono kapena kuyambiranso kwa thupilo.

Mavuto a kapamba

Mitundu ya pancreatitis pachimake, monga: purulent, uchidakwa, biliary ndi hemorrhagic, nthawi zambiri imayendera limodzi ndi zovuta monga pancreatic necrosis - kufa kwa maselo a pancreatic. Kuzindikira kumeneku kumawerengedwa kuti ndi pathomorphological, ndiko kuti, kumakhazikitsidwa ndikutsegula thupi la wodwalayo womwalirayo ndi pancreatitis.

Ndi gland necrosis, kufa pang'onopang'ono kapena kufa kwathunthu kwama cell maselo kumawonedwa. Minofu imasungunuka mothandizidwa ndi michere yopangidwa ndi gland. Izi zimatha kukulitsidwa ndi matenda ndi peritonitis.

Fanizo lowoneka bwino la necrotic pancreatitis ndi momwe limapulumutsira ndi ziwerengero zakufa: ngakhale odwala atagonekedwa kuchipatala panthawi yake, pafupifupi 50-70% ya milandu yonse imakhala yakufa.

Chiwopsezo cha zovuta zowonongeka za kapamba zimakhalanso kuti osati zokhazo, komanso ziwalo zina zam'mimba zomwe zimawonongeka. Choyamba, zimakhala, zimatupa, toxemia amakula (poizoni amalowa m'magazi a wodwalayo, kuwononga thupi), pambuyo pake, chotupacho chikayamba m'chiwalo chakecho komanso ziwalo zapafupi, kenako, minyewa ya m'mimba ndi minyewa ya m'mimba imayamba kuwola.

Zotsatira zabwino za matendawa ndizotheka pokhapokha mutazindikira kuti adakalipo. Pankhaniyi, wodwalayo amapatsidwa mankhwala omwe amaletsa zochitika zapakhungu, ndipo madotolo akuyesayesa kudziwa kuti ndi chiwalo chiti chomwe chasintha.

Kodi chiwopsezo cha matendawa ndi chiani?

Ma pancreatitis omwe ali ndi pachimake komanso oopsa amakhala oopsa kwambiri. Enzymes, zopangidwa mopambanitsa ndi matenda oyamba, zimayang'anitsitsa minofu yake. Pochita "kudzimbidwa" kumeneku, makhoma a gland pang'onopang'ono amawongolera, chifukwa chake ma enzymes amapitilira thupi lonse ndikumazungulira thupi lonse.

Kulowa mkati mwa m'mimba, michere imayambitsa magazi, imatha kuyambitsa fistulas.

Matenda omwe amapezeka m'ziwalo zina zazing'ono zam'mimba angakhudze machitidwe onse ofunika a thupi. Zinthu zapoizoni zomwe zimayamba chifukwa cha kuwola kwa foci ya necrosis zimalowa m'magazi ndipo zimatengedwa m'thupi lonse, ndikuzungulirazungulira: impso, mapapu, chiwindi, komanso ubongo.

Pancreatitis yovuta yowonongeka (apo ayi, pancreatic necrosis) ikhoza kukhala chofunikira pakukula kwa matenda a ubongo. Gawo lovuta kwambiri la pancreatic necrosis limayendera limodzi ndi kuledzera kwathunthu kwa thupi, kupuma movutikira komanso kulephera zingapo: momwe vutoli limakulirakulira ndikukula kwa toxemia, ubongo umakhudzidwa ndipo matenda a encephalopathy amakula. Pakupitilira gawo limodzi mwa magawo atatu, amayamba kudwala.

Kusiya matendawa popanda mankhwala oyenera, ndipo nthawi zina kuchitapo kanthu opaleshoni, wodwalayo amakhala pachiwopsezo chachikulu. Zina mwazotsatira zake:

• peritonitis ndi purulent abscess,
• purulent cholangitis,
• cholestasis
• magazi amkati
• thrombosis ya mesenteric, splenic, portal ndi portal mitsempha,
• matenda ashuga. Monga tanena kale, ma enzyme opangidwa mopitirira muyeso amangozungulira makoma a kapamba. Akayamba kupita ku maselo omwe ali ndi vuto lopanga ma glucagon ndi ma insulin (ma islans of Langerhans), munthu amatha kuyambiranso moyo wawo wanthawi zonse, ndikuzolowera
• kupezedwa kumene kwaposachedwa "kudalira kwa insulin" kapena ayi, matenda ashuga
• oncological zovuta. Zikatero, kuyeserera pang'ono pang'ono kapena kwathunthu kumachitika nthawi zambiri, kutengera malo omwe akhudzidwa ndi khansayo. Pambuyo pa opaleshoni yotere, wodwalayo ayenera kutenga insulin ndi lipotropics moyo wonse.

Wodwala yemwe wakhalapo ndi pancreatitis amakhala ndi chitetezo chofooka, chomwe chimamupangitsa kukhala chandama cha matenda amtundu uliwonse opatsirana komanso ma virus.

Matendawa amatithandiziratu kugwira ntchito kwamthupi:

• Ntchito yonse yam'mimba imakwiya. Kutupa kumafikira ku khoma la mucous la esophagus ndi m'mimba, chifukwa chomwe zilonda zam'mimba zimawoneka. Wodwalayo amakumana ndi zovuta m'mimba komanso peritoneum.
• Kuzindikira kwa kupuma kwamphamvu. Chifukwa cha kupanikizika kwa kapamba pazinthu zoyandikana, wodwalayo amavutika kupuma. Zingwe za ziwalo zam'mapapo zimapukusa chifukwa cha kuchuluka kwa madzi mwa iwo.
• Kusokonekera kwa mtima. Odwala omwe ali ndi kutupa kwa pancreatic amakhala ndi tachycardia, amakhala ndi magazi ochepa komanso amakhala ochepa ochepa. Matendawa akamakula, vasospasm imawonedwa mwa odwala, ma hypoxia amayamba, ndipo magazi amayamba.

Mndandanda wazotsatira zamatendawa suyerekeza pazonse zomwe tafotokozazi. Matendawa ndiwosokonekera kwambiri, madokotala nthawi zonse amalemba mitundu yatsopano m'njira yake. Pokayikiridwa pang'ono pancreatitis, muyenera kupita kuchipatala. Iyi ndiye njira yokhayo yotsekerera chitukuko munthawi yake komanso kupewa zotsatira zowopsa.

Kufotokozera kwathunthu za matendawo ndi gulu lowopsa

Pancreatitis ndi njira yotupa yomwe ma pancreatic zimakhala kumbuyo kwa m'mimba mu dera la retroperitoneal ndikuyandikana ndi duodenum amakhudzidwa. Ntchito yayikulu ya thupi ndikupanga timadzi tokhathamira timene timayambitsa chimbudzi. Kapangidwe ka kapamba kuti azitha kunyamula ma enzyme ndi ma bicarbonates kudzera mu duct yotumphukira. Njirayi ndiyofunikira kuti nayonso mphamvu ya organic zinthu, kagayidwe koyenera ndi mayamwidwe a michere kudzera pakhoma la matumbo ochepa. Mafuta osenda sawotcha acidic chilengedwe cham'mimba, amatenga gawo logawanika ndi kukonza zakudya zomwe zikubwera.

Pancreatitis imachitika motsutsana ndi kutuluka kwa pancreatic fluid kulowa m'matumbo a duodenal, komwe kumayambitsa kusungidwa kwa ma enzymes omwe amayamba kuphwanya minofu yoyandikana, ziwalo zapafupi komanso mitsempha yamagazi. Kuchedwa kwakanthawi mumadzi owira m'matipi, njirayi imayamba kupita patsogolo m'chilengedwe, zomwe zimatsogolera pancreatic necrosis. Monga lamulo, milandu yapamwamba ya kapamba imakhala yosavomerezeka ndipo nthawi zambiri imatha muimfa. Chomwe chimapangitsa kukula kwa matendawa ndi kumwa kwambiri mafuta osokoneza bongo komanso kumwa mowa kwambiri.

Gulu lamavuto, choyambirira, limaphatikizapo anthu omwe amamwa mowa kwambiri. Odwala omwe ali ndi cholelithiasis amatha kugwidwa ndi matenda chifukwa chakukutulutsa kwachinsinsi kuchokera ku kapamba. Izi zimayambitsa kutupa. Kukhala okhazikika kupsinjika nthawi zambiri kumatha kuyambitsa kapamba chifukwa cha kukomoka kwa bile.

Gulu

Pancreatitis imatchulidwa motere:

1. lakuthwa
2. pachimake kupweteka, kuthekera kubwezeretsa magwiridwe a ziwalo,
3. aakulu kutupa ndi pang'ono pancreatic ntchito, omwe si oletsa,
4. aakulu, chifukwa chotchinga ndulu zamkati,
5. pachimake kwachiwiri popanda kubwezeretsa ziwalo,
6. aakulu ndi calcification, ndiko kuti, ndi kupezeka kwa mchere m'mapako.

Njira zowuma komanso zopweteka zimagawidwa malinga ndi njira zosiyanasiyana. Mwachitsanzo, pali magawo atatu a zovuta:

1. Chiyeso chofatsa sichimayambitsa kuwonongeka kwakukulu kwa minofu ndipo sichikhudza magwiridwe antchito.
2. Yapakatikati - yodziwika ndi kuphwanya kwapancreas ndi kuwonjezera kwa zovuta zamachitidwe.
3. Digiri yovuta imadziwika ndi zovuta kwambiri komanso kuthekera kwa kufa.

Pali gulu la zifukwa:

1. Chakudya. Pochoka pa kugwiritsa ntchito mafuta, mchere, zakudya zosuta, komanso mowa. Itha kuwonetsedwa zonse ndi kugwiritsidwa ntchito kosalekeza kwa zinthu izi, komanso kamodzi.
2. Biliary. Amayamba motsutsana ndi matenda a chiwindi, ndulu, monga cholelithiasis ndi cholecystitis.
3. Ischemic pancreatitis. Zimachitika motsutsana ndi maziko a kuphwanya magazi kumapazi.
4. Gastrogenic. Amawoneka m'matenda am'mimba, monga zilonda zam'mimba.
5. Zoopsa. Amayimbidwa pamene amamwa mankhwala kapena akukumana ndi allergen.
6. Zopatsirana. Zimachitika ndimatenda a bacteria ndi bacteria.
7. Zowopsa chifukwa chatsoka lanyumba.
8. Kubadwa, kumachokera ku ma pathologies pa nthawi ya pakati kapena kubereka.

Pancreatitis pachimake imagawidwa m'magulu atatu: hemorrhagic, mafuta komanso osakanikirana.

Matenda a kapamba amatha kugawidwa m'mitundu iyi:

1. Kutupa kosagwirizana ndi kukhalapo kwaung'ono wazitsulo. Fomu iyi ndiyofala kwambiri. Zizindikiro zimawonekera kutengera ndi kukula kwa zotupa.
2. Kuletsa kupweteka kwa kapamba komwe kumakhudzana ndi mkodzo wotuluka wa enzyme mu duodenum. Zimachitika chifukwa cha kupezeka kwa miyala mu ducts ya bile kapena mapangidwe chotupa mu kapamba.
3. Pancreatic fibrosis - limachitika chifukwa cha kulowedwa kwa zimakhala ndi zolumikizana minofu awo wotsatira kuphatikizika.
4. Fibro-endurative - kumachitika ndi kusintha kwa zimakhala ndi zovuta mu kutuluka kwa pancreatic madzi.

Zizindikiro za Pancreatitis

Chizindikiro choyamba komanso chachikulu ndi mawonekedwe a ululu. Mitundu ya ululu imatha kukhala yosiyana, izi zimachitika chifukwa cha zomwe zimachitika. Mwachitsanzo, ndi mawonekedwe osakanikirana, momwe kupindika kwamatenda am'mimba, kutalika kwa kapisozi kapamba ndi kuphwanya kwamkati kumachitika madzi a pancreatic, ululu wosakhazikika umachitika pamimba yapamwamba. Ndi mawonekedwe a necrotic a chotupa, kupweteka kumakhala kwakukulu kwambiri kotero kuti kungayambitse kukulira kwa kugwedezeka kwa ululu. Matenda a mtima nthawi zambiri amafunikira, chifukwa kupweteka komwe kumachitika ndi kapamba kumasokonezeka mosavuta ndi zizindikiro za matenda amtima.

Zofunika! Monga lamulo, ululuwo umakhala ngati m'chibelekero ndipo umatuluka kuchokera kumimba kumimba.

Pancreatitis ilinso ndi matenda a dyspeptic, omwe amawonetsedwa ngati nseru, kusanza ndi dysbiosis (kutsegula m'mimba kumatha kudzimbidwa komanso mosiyanasiyana). Monga lamulo, matendawa amayamba chifukwa chophwanya zakudya komanso kuyamba kwa mankhwala ena.

Kuthetsa thupi ndi chimodzi mwazizindikiro za matendawa. Imadziwonetseranso ndi kuchepa thupi pang'onopang'ono, ludzu, khungu louma, kukodza kochepa komanso kupindika mkodzo. Mu magawo amtsogolo - chisokonezo, kuthamanga kwa magazi, tachycardia, kusokonekera kwa mawu, kusintha kwakuya koopsa ndi chiwopsezo cha kufa.

Chizindikiro china cha kapamba ndi khungu komanso kutsekemera kwa khungu. Ichi ndichifukwa kukanikiza kwa kapamba ndi edema chifukwa chomwe kutuluka kwa bile sikunachitike. Pakapanda kulephera kupuma, mawanga a cyanotic amatha kuwoneka m'dera la nasolabial triangle, komanso pamimba.

Zizindikiro

Magawo oyambirira a kapamba ndizovuta kuzindikira.Chifukwa chake, kudziwa matendawa pogwiritsa ntchito njira zosiyanasiyana zogwiritsira ntchito zasayansi ndi othandizira.

1. Kuyesedwa kwa magazi - kudziwa kukhalapo kwa njira yotupa, ndiye kuti, kuchuluka kwa maselo oyera, maselo ofiira a magazi, ESR, ndi zina zambiri.
2. Magazi a michere ya magazi kupezeka kwa milingo yokwezeka kwambiri.
3. Kuyesedwa kwa magazi kwa shuga.
4. Urinalysis kwa kukhalapo kwa amylase.
5. Ultrasound kuwunika kwam'mimba.
6. Gastroscopy, kudziwa zotupa za duodenum.
7. Panoramic x-ray - kudziwa miyala mumakonzedwe ndi kuwerengedwa kwa kapamba.
8. Endoscopic retrograde cholangiopancreatography (ERCP). Cholecystocholangiography.
9. CT
10. Cop program (kusanthula ndowe za kupezeka kwa ndulu).
11. Mayeso a Secretin-cholecystokinin, mayeso a Lund ndi maphunziro ena ogwira ntchito.

Chithandizo cha kapamba

Kusankhidwa kwa mankhwalawa kumadalira digiri, mawonekedwe, etiology ndi matenda okhudzana ndi wodwalayo. Chithandizo cha pachimake mawonekedwe chikuchitika kokha m'malo. Mu pachimake kapamba, monga ulamuliro, kutsatira malangizo:

1. Analgesics, antispasmodics, anticholinergics - kuthetsa ululu. Kwa ululu wosapilira, mankhwala akhoza kutumikiridwa.
2. Cytostatics - kuchepetsa njira yotupa.
3. Enzyme ndi secretion blockers - kupewa minofu necrotization.
4. Maantibiotic - pamaso pa matenda.
5. Electrolyte ndi amino acid njira - kuchepetsa msanga wa kuledzera.

Otsatirawa amagwiritsidwa ntchito pochiza mawonekedwe:

1. Ndi ululu, mankhwala a analgesic ndi mankhwala.
2. Proton pump inhibitors amagwiritsidwa ntchito kupondereza katulutsidwe.
3. Kukonzekera kwa enzyme.
4. Mankhwala osokoneza bongo.
5. Kuthandizira opaleshoni.
6. Zakudya

Kuthandiza ana

Chithandizo cha kapamba mu ana chimachitika kuchipatala. M'masiku oyambira, kusala kudya kumayendetsedwa kuti mutulutse ziphuphu. Pambuyo chakudya kusinthana kupereka zakudya zomwe siziwonjezera kutulutsa. Perekani zakumwa zamchere, kukhazikitsa njira ya shuga, zoletsa za michere ya proteinolytic, ngati pangafunike - hemododeis ndi plasma. Mankhwala osokoneza bongo akuphatikizira kugwiritsa ntchito analgesics, antispasmodics, mankhwala omwe amachepetsa kuchuluka kwa katulutsidwe, komanso kukonzekera kwa enzyme. Monga mankhwala othandizira, maantibayotiki, ma antihistamines, corticosteroids, komanso mankhwala omwe amasintha microcirculation ndi omwe amapatsidwa.

Zofunika! Kuchitapo kanthu kwa opaleshoni kumasonyezedwa pokhapokha pakuwonongeka kwa kapamba kapena kusagwira bwino ntchito kosasamala.

Chithandizo cha akuluakulu

Mankhwala a kapamba mu akuluakulu, odana ndi kutupa, mankhwala antispasmodic ndi mankhwala amathandizidwa kuti achepetse kuchuluka kwa ma pancreatic enzyme. Kuphatikiza apo, njira zothetsera zimayambitsidwa zomwe zimachotsa zizindikiro za kuledzera. Anthu omwe ali ndi matenda osachiritsika amadwala mankhwala osokoneza bongo komanso kumwa mankhwala okhala ndi ma enzymes, popeza gawo ili la kapamba limachepa kwambiri. Ngati ndi kotheka, mankhwalawa amatengedwa kuti apewe kugaya chakudya.

Zotsogola ndi kupewa

Ndi chithandizo cha panthawi yake, matendawo amathandizira. Pangakhale mavuto ena omwe amabwera chifukwa chomwa mowa, kusuta fodya komanso kulandira chithandizo chokwanira chomwe chikufunika opaleshoni.

Pali mitundu iwiri ya kupewa: yoyamba (kupewa kuteteza matenda) ndi sekondale (kupewa kuti musabwerenso). Pofuna kupewa chachikulu pamafunika:

1. Kuthetsa kwathunthu kusuta fodya ndi kumwa mowa.
2. Kuchepetsa kupsinjika kwa thupi.
3. Kuletsa kugwiritsa ntchito mafuta ndi zonunkhira.
4. Kuwunikira panthawi yake kapamba ndi ziwalo zapafupi.
5. Ngati ndi kotheka, konzekerani kukhala ndi ma enzymes.

Pakupewa kwachiwiri, malamulo otsatirawa akuyenera kuonedwa:

1. Kukana mowa kwathunthu.
2. Zakudya zochepa zamafuta.
3. Kufatsa kofatsa chakudya.
4. Tetezani thupi ku matenda oyambitsidwa ndi ma virus.
5. Mu nthawi yochitira ziwalo zomwe zili pafupi ndi kapamba.
6. Kumwa mankhwala apadera kuti musathenso kubwereranso.

Zakudya za pancreatitis zilibe zoletsa zapadera. Lamulo lalikulu ndikudya yophika, yosenda ndikuwotcha.

M'masiku 2 oyamba, madzi okha kapena rosehip decoction amaloledwa. Patsiku lachitatu, zakudya zopatsa mphamvu kwambiri komanso mchere siziphatikizidwa. Chifukwa chake, zokometsera zonse, zokometsera ndi zokometsera siziphatikizidwa. Chakudyacho chiyenera kudulidwa. Pambuyo pakuchepetsa kutupa, nyama yotsamira, tchizi chokoleti, chimanga, ndi ndiwo zamasamba (kupatula kabichi) zimaloledwa. Amaloledwa kumwa misuzi ya zipatso ndi zakumwa zo mkaka wowawasa. Mwachilengedwe, mowa ndi mafuta ziyenera kusiyidwa kwa nthawi yayitali. Ndikofunika kugawa chakudyacho ndi nthawi 5-6.

Pancreatitis ndimatenda omwe amatha kuthandizidwa mosavuta, bola mutatsatira zakudya komanso kulandira malangizo oyenerera a dokotala. Koma musaiwale kuti mawonekedwe osatha angayambitse zovuta zazikulu kapena kufa. Ndikofunikira kuti mukhale ndi moyo wathanzi munthawi yake, kutsatira zakudya zabwino komanso kusiya zizolowezi zoipa.

Sungani ulalo pa nkhaniyi, kuti musataye!

Pachimake kapamba

Pancreatitis pachimake palokha, motero, ndi pachimake mawonekedwe a aseptic kutupa komwe kapamba amawululidwa. Nthawi zambiri zimachitika zotsatirazi:

• Mukamamwa mowa - mpaka 70% ya matenda onse (makamaka mwa amuna a misinkhu komanso achinyamata),
• pamaso pa cholelithiasis - mpaka 25% kapena 30% (nthawi zambiri mwa akazi),
• opaleshoni pamimba kapena ziwalo zina zam'mimba zam'mimba - pafupifupi 4% kapena pang'ono.

Pali magawo ena a kapamba, omwe amawerengedwa monga mawonekedwe ake owopsa:

• gawo la enzymatic (mkati mwa masiku atatu mpaka asanu),
• gawo lotakataka (kuyambira masiku 6 mpaka 14),
• gawo lobwereza (kuyambira masiku 15),
• gawo lazotsatira (kuyambira miyezi isanu ndi umodzi kapena kupitilira kuchokera pomwe mawonekedwe akuyamba).

Aakulu mawonekedwe a kapamba

Ichi ndi chiyani Pancreatitis yosatha ndi mtundu wa matenda omwe kutupa kumayamba pang'onopang'ono, pomwe ntchito za kapamba zimalephera. Zotsatira zake, fibrosis ya minofu ya pancreatic imatha kuchitika kapena kuwerengera kwake. Nthawi zambiri amapezeka mwa akazi okalamba.

Pazifukwa zazikulu zoyambitsa kutupa, chifuwa chachikulu chimadziwika:

• poizoni-kuphatikiza (kuphatikizapo mowa),
• chidziwitso
• cholowa
• autoimmune
• zinthawi zonse
• zotchinga.

Mutha kusiyanitsa njira yayikulu ya kapamba, yachiwiri, yomwe imayamba chifukwa cha matenda am'mimba - cholecystitis, gastritis, gitisitis.

Zizindikiro zoyambirira zakuukira

Wodwala akakhala ndi chizindikiro cha kupweteka kwa kapamba, vuto lake limangokulirakulira. Chifukwa chake, ndikofunikira kwambiri kufunafuna chithandizo chamankhwala nthawi yomweyo.

• Mwanjira yamatenda, matendawa amapezeka pansi pa supuni kumtunda kwake, hypochondria lamanzere ndi lamanja, ngati zotupa zonse zakhudzidwa, ndiye kuti ululu ndi wong'ambika.
• Komanso, wodwalayo amayamba kusanza ndi kuphatikizika kwa bile, komwe sikumubweretsera mpumulo, kamwa yowuma, hiccups, nseru ndi belching.

Zizindikiro zomwezi, zomwe zimawonetsedwa ponseponse komanso nthawi yayitali (panthawi yowonjezera) kapamba, ndimapweteka kwambiri pamimba. Chitukuko chimatengera gawo liti la kapamba lomwe limayambitsa kutupa.

Thandizo loyamba

Ngati mukukayikira kuti chiwopsezo cha kapamba chimakhala thandizo loyamba - kupuma, mutakhala pansi ndi mawondo anu atapanikizika pachifuwa chanu, kufa ndi njala kwambiri ndi kotala imodzi ya madzi mphindi 30 zilizonse - ola limodzi, ikani kuwira kwa kapamba kuyambira kumbuyo. Kupuma mwapamwamba kumathandizira kuukira.

Ma painkiller ndi anti-yotupa mankhwala sayenera kumwedwa, izi zimapangitsa kuti azindikire.

Ngati kupwetekaku kuli kwakukulu, adokotala amatha kukupatsani mankhwala antispasmodics (No-shpa, Drotaverinum). Ndi chithandizo chawo, kutupa m'matumba kumachepa ndipo, chifukwa chake, ululu umachepa.

Kuchipatala, njira zochizira zomwe zimagwiritsidwa ntchito pochizira pancreatitis zimakhala pachimake. Makamaka, mayankho osiyanasiyana amaphatikizidwa m'magazi - njira zamchere, kukonzekera kwa mapuloteni, shuga, komwe kumwa ndi zopweteka zimagonjetsedwa. Mulingo wa acid-base umapangidwanso chimodzimodzi.

Mankhwala a kapamba

• Ndikusanza pafupipafupi, mankhwalawa amagwiritsidwa ntchito pobwezeretsa mchere wamchere, mwachitsanzo, "Sodium chloride solution".
• Kuti abwezeretse ntchito ya m'mimba, kumakonzedwa ma enzyme omwe amalocha m'malo mwa pancreatic omwe kulibe panthawi ya matendawa: "Creon", "Pancreatin", "Festal".
• Vitamini Therapy. Mankhwalawa pancreatitis yosatha, mavitamini owonjezera - A, E, C, D, K ndi B adayikidwa. Kuphatikiza apo, phwando lakhazikitsidwa - lipoic acid, cocarboxylase.
• Zakudya za makolo M'matumbo okalamba komanso kusamwa bwino chakudya m'matumbo, zakudya za makolo zimayikidwa.

Monga zakudya za makolo, mwa kukapumira m'mitsempha, izi zimakonda kuperekedwa:

• Zosakanikirana zofunika za amino acid (250-400 ml iliyonse): Alveein, Alvezin, Aminosol,
• Mayankho a Electrolyte: 10% potaziyamu mankhwala enaake (10 ml) ndi 10% calcium calciumconconate (10 ml).

Chithandizo cha chifuwa chachikulu chimaphatikizapo: kudya, ma paninkil, mavitamini, kugwiritsa ntchito enzyme, chithandizo cha matenda osokoneza bongo komanso mavuto ena a endocrine, chithandizo cha matenda a gallstone.

Mankhwala othandizira

Chithandizo cha opaleshoni chikusonyezedwa pokhudzana ndi chitukuko cha kutupa kwa zotupa za puritoneum, zovuta za purifonia, kuwonjezeka kwa jaundice ndikuwonongeka kwa ndulu ndi ndulu.

Ntchito zotsatirazi zitha kutumizidwa:

• Zadzidzidzi. Amachitika kumayambiriro kwa chitukuko cha matendawa. Itha kukhala maola ndi masiku oyamba. Odwala omwe ali ndi peritonitis omwe amayamba chifukwa cha michere ndi kapamba kapamba, yemwe adayamba chifukwa cha kufalikira kwa duodenum, amagwiritsidwa ntchito mwachangu.
• Zokonzedwa. Dokotalayo amayamba kugwira ntchito pa wodwalayo pokhapokha kutulutsa kwadzaoneni kwa kapamba kumayima. Opaleshoniyo isanachitike, wodwalayo amapenda mosamala kuti asayambenso kuukiridwa.

Maziko a bwino achire kudzudzula matendawo kutsatira zakudya. Zakudya za tsiku ndi tsiku zimasinthidwa motere: kuchuluka kwa mafuta ndi chakudya chamagulu m'zakudya kumachepa ndipo kuchuluka kwa mapuloteni okwanira kumawonjezeka. Kukonzekera kwa Vitamini kumayikidwa. Chiwerengero cha zakudya ziyenera kukhala 5-6 tsiku limodzi.

Mu chilonda chachikulu cha pancreatitis, m'masiku atatu oyambilira ndikofunikira kukana kudya, kumwa kwambiri kumaloledwa - madzi amchere, msuzi wa rosehip, kapena woopsa, madzi osadziwika.

Pamene kuchulukitsa kwa kapamba kwadutsa, muyenera kutsatira malamulo monga zakudya:

1. Lipids, mapuloteni ndi chakudya chamafuta ayenera kupezeka m'zakudya.
2. Gwiritsani ntchito ma protein osungunuka am'madzi komanso mavitamini osungunuka a mafuta.
3. Kanani zakudya zomwe zimakhala ndi mankhwala, chifukwa zimatha kukhumudwitsa mucosa wamatumbo.
4. Simungadye zonunkhira, nyama zosuta, zonunkhira.
5. Ndikofunika kuphika chakudya banja, kupukuta kale, mungafunike kupera.
6. Ndikofunikira kudya zakudya zofunda, koma osati kutentha.

Zizindikiro za pancreatitis pachimake zitazimiririka, muyenera kudya msuzi, nyama yopendekera, nsomba, tchizi chochepa kwambiri, mitundu yosiyanasiyana ya chimanga, masamba, mutha kumwa zipatso zamadzimadzi, kuchokera maswiti, perekani kukonda uchi, kupanikizana ndi pudding.

Zithandizo za anthu

Pansipa, tapeza njira zothandiza zaanthu a kapamba, koma musanagwiritse ntchito, onetsetsani kuti mukuonana ndi dokotala.

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

Kupewa

• Poyamba pali kukonza kwa ziwopsezo: uchidakwa, matenda osiyanasiyana a metabolic.
• Muyenera kutsatira zakudya nthawi zonse. Yesetsani kukhala osasamala ndi zomwe mumadya, chifukwa izi sizidzachitika mtsogolo. Nthawi zambiri, idyani masamba ndi zipatso zomwe zimalemeretsa thupi lanu ndi mavitamini. Kupewa koteroko kudzakutetezani osati kokha ku kapamba, komanso ku matenda ena.
• Kukonzanso pafupipafupi kwa mankhwala kumafunikiranso. Kuti muchite izi, tikulimbikitsidwa kukaona katswiri wa gastroenterologist 2 pachaka posabwereza. Pobwerera, muyenera kufunsa dokotala nthawi yomweyo.

Tsopano, mukudziwa chomwe matendawa ali komanso momwe zimachitikira mwa akulu. Kumbukirani kuti chithandizo chomwe munayamba nthawi chimakupatsani mwayi wopewa kapamba komanso kuchepetsa chiopsezo cha zovuta. Khalani athanzi ndikuwonetsetsa thanzi lanu!

Kodi kapamba ndi chiyani ndipo amathandizidwa bwanji?

Tiyeni tichoke kutali ndi zomwe kapamba ndi kukuuzani momwe mungachitire.

Chithandizo chitha kugawidwa m'magulu akuluakulu komanso wowerengeka.

Mankhwala ovomerezeka akukonzekera kupereka:

1. Kutenga ma ululu oletsa ululu. Pachifukwa ichi, otsitsira amathanso kuikidwa.
2. Poika ma enzyme ngati mankhwala omwe amabwezeretsa dongosolo la m'mimba.
3. Kulandila kwa ma anti-spectrum mankhwala ambiri omwe amalepheretsa kulowetsedwa kwa matenda komanso kuthetsa kutupa.
4. Kutsatira zakudya. Zakudyazi ziyenera kuchepetsedwa kwambiri atagwidwa. Mafuta, okazinga, onunkhira, onunkhira, amchere, osuta komanso osakidwa sawikidwa. Chofunika kwambiri ndi masamba, zipatso, msuzi, mkaka, chimanga, nyemba, mafuta ochepa a nkhuku, nsomba ndi nyama, ndi zina zambiri.
5. Kukana zizolowezi zoipa. Kusuta ndi mowa sikuloledwa.

Mankhwala achikhalidwe amadzaza ndi maphikidwe odziwika kuyambira nthawi zakale. Mitundu yonse ya ma decoctions, odzola, ma tinctures - izi ndizomwe, malinga ndi odwala komanso madokotala, zimathandizira kukonza thanzi la pancreatic. Kumbukirani kuti zinsinsi za agogo sizipatula njira zachipatala, m'malo mwake zimakhala ngati zowonjezera, zomwe ziyenera kuvomerezedwa ndi adokotala.

• Kupanga njuchi: phula ndi mkaka wa njuchi.
• Kukonzekera kwazitsamba: sophora, dandelion, fennel, violet, elecampane, valerian, yarrow, peppermint, calendula, wort wa St. John, dieelle, chamomile, tansy, etc.
• Madzi ochokera ku Brussels amatumphuka, kaloti, mbatata, ndi zina zambiri.
• Msuzi wa oat.
• Ma Buckwheat akudya akudya mu kefir.

Tsopano mukudziwa chomwe kapamba ndi njira yochizira.

Chofunikira pobwezeretsa magwiridwe antchito a gland ndi njira zodzitetezera, zomwe zimaphatikizapo kukhalabe ndi moyo wathanzi. Kupuma koonetsedwa, kugona bwino, kumayenda mumlengalenga. Thanzi liyenera kukhala loyenera, lolemererapo ndi losiyanasiyana. Ndikulimbikitsidwa kudya kasanu kapena sikisi masana. Mautumiki azikhala ochepa.

Muyenera kuwona dokotala osachepera katatu pachaka kapena zizindikiro zovuta zikawoneka. Kuunikiridwa kumachitika ndi katswiri, gastroenterologist ndi dokotala wa opaleshoni ngati khansa yayamba kwambiri.

Zoyambitsa vutoli

Pancreatitis amatchedwa kutupa kwa kapamba. Matendawa amapezeka motsutsana ndi maziko a kudya zakudya zamafuta kapena zonunkhira, kudya kwambiri, komanso uchidakwa.

Zomwe zimayambitsa chitukuko cha matendawa ndi monga:

• kuwonongeka kwa ziwiya za kapamba,
• kuvulala
• zotupa zako m'mimba,
• matenda opatsirana.

Pancreatitis ikhoza kuyamba:

• Ndikapangidwa ndi mchenga kapena miyala mumiyala ya zonyansa,
• Ndi zovuta ndi ndulu,
• chifukwa cha kutupa kwa papilla, momwe mumakhala duct yolumikizira kapamba ndi duodenum.

Nthawi zambiri, motsutsana ndi maziko a pachimake cholecystitis, kapamba amayamba. Kodi nthendayi ndi yotani komanso momwe ikudziwonekera, aliyense ayenera kudziwa, chifukwa chithandizo cha panthawi yake chimathandizira osati kuchira msanga, komanso kupewa zotha kufa.

Chithunzi cha kuchipatala

Mutha kukayikira pawokha matenda omwe mukukhala ngati mukudziwa zomwe zimayendera limodzi ndi kupweteka kwamatenda komanso chifuwa chachikulu. Ndikofunika kumvetsetsa momwe chithandizo chikuyenera kuchitidwa.

Acute pancreatitis ndi matenda oopsa. Chizindikiro chake chachikulu ndi kupweteka kwak pachimake, kwapadera pamimba. Amatha kubwezera. Kuphatikiza apo, matendawa amaphatikizidwa ndi zizindikiro zina - nseru, kusanza, kutentha thupi. Odwala ambiri amakhala ndi jaundice.

Ululuwo umatha kukhala kudula kapena kufooka, ndipo osangoyenda wokha. Matendawa akamakula, kusakhazikika kumakulirakulira ndipo kungayambitsenso kupweteka. Ngati zonyansa zonse zakhudzidwa, ndiye kuti zomverera zimamanga. Zitha kupezekanso komweko kumanja ndi kumanzere kwa hypochondrium.

Kuchira kwa odwala sikubweretsa mpumulo, ngakhale kuti kumatha kuchitika kangapo. Bile atha kukhalapo muzomwe zili. Zizindikiro za kapamba ndimkamwa wowuma, hiccups, belching. Mkhalidwe wa wodwala wokhala ndi pancreatitis yapachangu imangokulira. Wodwalayo amatha kuwonjezera kutentha kwa thupi, kutsika pang'ono, komanso thukuta lozizira limawonekeranso. Pachilankhulo mutha kuwona zolembedwa zambiri. Zikatero, khungu limakhala lofiirira, mpaka utoto wamtundu, mawonekedwe amaso akuthwa.

Mitundu ina yamatendawa

Ngakhale kuti pancreatitis yovuta kwambiri ndi matenda akupha, nthawi zambiri kuchira kumayamba mosadzipangitsa. Ngati munthu sagwiritsa ntchito mowa mopitirira muyeso, ndiye kuti minyewa yake ya m'mimba yake sikuwonongeka, ndipo palibe kusintha kosasintha.

Nthawi zina ululu umatha kuwonetsa kuti matenda osiyana pang'ono akupezeka. Matenda a kapamba am'mimba amaphatikizidwanso ndikumva kusasangalala, kusokonezeka kwa dongosolo logaya chakudya. Mwanjira imeneyi, chopondacho chimakhala chamafuta chomwe chimakhala ngati fungo la fetid. Ndi matendawa, kuchepa thupi kumaonekera, zizindikiro za kuchepa kwa mavitamini zimawonekera.

Njira yovuta ya kapamba imayambitsa matenda ashuga. Kupatula apo, ndi iyo, maselo omwe amapanga insulin amayamba kuwonongeka. Izi nthawi zambiri zimayamba pambuyo poti pachilala matenda atasiyidwa popanda chithandizo.

Madokotala pawokha amatenga pancreatitis. Ndi matenda amtundu wanji, si aliyense amene angadziwe popanda kufunsa katswiri. Kupatula apo, imayamba motsutsana ndi maziko a matenda omwe ali pachimake cha ziwalo zina zam'mimba. Chifukwa chake, zizindikirazo zimatha kupaka, kuphatikizidwa ndi zizindikiro za matenda ena.

Kudziwitsa za matenda a kapamba

Wodwala akakayendera gastroenterologist ndi zodandaula za kupweteka, mseru, mafuta odzola, adotolo adzalemba mayeso angapo. Yang'anani mulingo wa elastase mu ndowe, kupezeka kwa mafuta osagwiritsidwa ntchito. Pamaso pa steatorrhea, amalankhula za zovuta za kapamba.

Ma diagnostics a Ultrasound amadziwikanso kuti apange kuzindikira koyenera. Tsimikizani kapena tsimikizani mawu omaliza muzoikayikitsa angakuthandizeni Komanso, ngati pakufunika kuchitika, kuyezetsa kumachitika pogwiritsa ntchito kukonzekera kwapadera komwe kuchitapo kanthu ndikulimbikitsa kapamba. Popeza kuti matendawa amakhala ndi matenda omwe amayambitsa matenda a shuga, ndikofunikira kuyang'ana kuchuluka kwa shuga mu seramu yamagazi. Ndikofunikira kupenda wodwalayo, chifukwa pancreatitis imatha.

Thandizo loyamba

Popeza adamva kuwawa kwa nthawi yoyamba, zimamuvuta kuti adziwe pancreatitis. Kodi ndi matenda amtundu wanji, monga lamulo, adokotala amauza odwala kale. Koma, podziwa chizindikiro cha matendawa, ndikosavuta kudziwa njira zoyenera kuchitira.

Choyamba, muyenera kusiya chakudya ndi madzi. Zonsezi zimangokwiyitsanso kapamba. Muyenera kudziwa kuti kutenga antispasmodics kapena analgesics pamenepa sikuthandiza. Mutha kuchepetsa kusasangalala pang'ono ngati muyesera kupumula ndikugona. Mutha kuyikanso kuzizira pamalo owawa.

Chonde dziwani kuti kumwa mankhwala aliwonse kungangoipitsa chithunzi cha matenda ndikusokoneza matendawo.

Mu chifuwa chamtundu wa kapamba, womwe umayendetsedwa ndikuwopseza pafupipafupi, ndikofunika kukumbukira kufunika kotsatira zakudya, kupewa kupsinjika ndikuchotsa mowa kwathunthu.

Chithandizo cha pachimake

Pali malamulo oyambirira omwe matenda amathandizira. Choyamba, kapamba ayenera kuchira. Zizindikiro zake ndi chithandizo zimatsimikiziridwa ndi katswiri wazachipatala.

Mu mawonekedwe owopsa, ndikofunikira kukana chakudya chokwanira masiku atatu. Munthawi imeneyi, madzi okha ndi omwe amaloledwa, tiyi wopanda mphamvu komanso chiwonetsero cha rosehip. Mutha kutsitsimutsa kutupa ndi kutupa ndi phukusi lotenthetsera lozizira lomwe limapangidwa ndi kapamba. Ndikofunikanso kusunga mtendere wathunthu. Izi zimatha kuchepetsa kuchuluka kwa magazi mu ziwalo zamkati, kuphatikiza ndi kapamba.

Mutha kuthetsa ululu mothandizidwa ndi narcotic analgesics. Zithandizo zamchere, plasma, Albumin, Reopoliglyukin zimathandizidwanso kudzera m'mitsempha. Mu nthawi yovuta kwambiri, ma inhibitors a enzymes Gordoks ndi Kontrikal amalimbikitsidwa.

Mankhwala oterewa a kapamba monga Omeprazole, Kvamatel amakhazikikanso. Ndi mawonekedwe oyera kapena owopsa a matendawa, maantibayotiki amasankhidwa. Cephalosporins kapena fluoroquinolones amagwiritsidwa ntchito.

Nthawi zina, opaleshoni imasonyezedwa. Izi ndizofunikira pancreatitis yowonongeka, zizindikiritso za njira yotupa mu peritoneum komanso popanda zotsatira za chithandizo chamankhwala.

Matenda a kapamba: njira zamankhwala

Mosasamala mtundu ndi mtundu wa matendawa, ndikofunikira kuithira mothandizidwa ndi gastroenterologist. Chimodzi mwazomwe tikukulimbikitsani ndi kusiya mowa ndi kusuta. Njira yapadera yothandizira enzyme imapangidwanso. Pa gawo loyambirira, ululu utangowoneka kumene, mutha kugwiritsa ntchito antispasmodics "Drotaverin", "No-shpa", "Sparex", "Duspatalin." Kugwiritsa ntchito kwa mankhwala opondereza kuphatikiza michere ndi kapamba, mwachitsanzo, "Octreotide", akuwonetsedwa. Phunziro lalifupi lingagwiritsidwe ntchito mankhwala antisecretory "Diacarb", "Omeprazole."

Ndikofunikira kutsatira chakudya cha moyo wonse ndi kusowa kwamafuta, zonunkhira, zakudya. Zimawonetsedwanso ngati matenda oyambitsidwa ndi biliary pancreatitis adayamba. Matendawa amadziwika ndi kuti amayamba motsutsana ndi kufalikira kwamtundu wa biliary. Chithandizo cha mankhwalawa chikuchitika. Mwina odwala oterowo ayenera kuchotsa ndulu.

Kodi kapamba ndi chiyani?

Dzinalo la matendawa "pancreatitis" limachokera ku liwu lachi Greek kapamba, yomwe ili ndi magawo awiri: kapamba - kapamba ndi itis - kutupa. Kutupa kwa kapamba kumatha kuyambitsa matenda athunthu, pomwe muzipatala muli mitundu iwiri ya kapamba - pachimake komanso chovuta. Mwa amuna, kapamba amadziwika nthawi zambiri kuposa azimayi. Kuphatikiza apo, anthu okalamba komanso anthu onenepa kwambiri amatha kudwala.

Pachimake kapamba - Ichi ndi chotupa cha kapamba wam'mimba chifukwa cha enzymatic autolysis, kapena kudzimbidwa. Chifukwa cha kutupa, ma enzyme opangidwa ndi gland sangathe kulowa mu duodenum ndikuyamba kugwira ntchito mwachangu ku kapamba, kuwononga. Nthawi zambiri, pancreatitis pachimake imawoneka yokha mwa njira yotupa ndi edema ya gawo limodzi kapena kapamba, koma nthawi zina kutupa kumalowetsedwa ndi fibrosis kapena atrophy, necrosis, supplement, hemorrhages angapo komanso abscesses.

Zindikirani

Acute pancreatitis adadzipatula ngati matenda osiyana mu 1870 ndi E. Klebs, ndipo mu 1889 dokotala waku America R. Fitz adazindikira koyamba pancreatitis yamoyo.

Matenda a kapamba ochulukirapo kuposa pachimake: ku Europe, kuchuluka kwa milandu ndi anthu 25 pa 1000 pachaka. M'dziko lathu, pafupifupi 60 miliyoni amalembetsa chaka chilichonse. Nthawi zambiri, matenda a kapamba am'mimba amapezeka odwala azaka zapakati kapena achikulire. Madokotala amasiyanitsa mitundu iwiri yamatenda a kapamba - yoyamba komanso yachiwiri. At choyambirira mtundu wa zotupa zimayambitsidwa ndendende ndi kapamba. Yachiwiri, kapena yofanana, kapamba nthawi zonse amapezeka motsutsana ndi maziko a matenda ena - gastritis, zilonda zam'mimba, matenda a ndulu, cholecystitis, gastritis ndi ena.

Mu chifuwa chachikulu cha pancreitis, kugwira ntchito kwa kapamba kumatha kubwezeretsedwa kwathunthu. Mu mtundu wamatendawa omwe matendawa amakhala nawo, nthawi yochulukirapo imachulukana ndi chikhululukiro, koma kwakukulu, ntchito ya pancreatic imakhala ikuchepera.

Kodi kusowa kwa pancreatic enzyme ndi chiyani?

Uku ndi mtundu wa chakudya chosalolera ku mitundu ina ya chakudya. Zimachitika chifukwa cha kuchepa kwa ma enzyme omwe amachititsa kuti mapuloteni, mafuta ndi mafuta ambiri athe. Zotsatira zake, kugaya kwa thupi kumasokonezeka: Zizindikiro zingapo zimawonekera. Mwa anthu, matendawa amapezeka kawirikawiri kuposa matenda a kapamba, koma m'kupita kwanthawi amatha kukhala asymptomatic.

Kuperewera kwa enzyme kumatha kubereka komanso kutengeka. Congenital kusowa kumachitika motsutsana ndi maziko amtundu uliwonse wamtundu womwe umasokoneza magwiridwe antchito a kapamba. Walandidwa kuchepa kwa enzyme nthawi zambiri kumachitika chifukwa cha matenda, pomwe nthawi zambiri, chomwe chimayambitsa vutoli ndi kapamba, chifukwa chomwe njira zake za m'magazi zimayambika m'mapapo, zimayambitsa matenda ake. Zomwe zimachitika chifukwa cha kapamba zimatha kutulutsa ma enzymewo mu kuchuluka kofunikira (kulephera koyambirira kapena exocrine,, kapena pazifukwa zina, sanakhazikitsidwe, kamodzi m'matumbo aang'ono (kulephera kwachiwiri).

Zizindikiro za exocrine enzyme akusowa, zotumphukira zochulukirapo, kukhalapo kwa zotupa zoperewera pachakudya, chifukwa cha kuchuluka kwa michere ya pancreatic. Kuphatikiza apo, chifukwa cha kuperewera kwa mphamvu ya mapuloteni, kuperewera kwa vitamini, kuchepa kwa magazi m'thupi komanso kuperewera kwa madzi m'thupi kumachitika. Mwina kuchepa kwambiri kwa thupi, mawonekedwe a kutentha pamtima, nseru, kutuphuka ndi kusanza.

Kuperewera kwa mphamvu ya enzyme popanda chithandizo chokwanira kumatha kudzetsa thupi, ndipo nthawi zina, ngakhale kufa.

Kodi zizindikiro za kapamba ndi chiyani?

Mitundu yosiyanasiyana ya kapamba imadziwikanso ndi zizindikiro zosiyanasiyana.

Mu mawonekedwe Chizindikiro chotsogolera komanso chokhazikika chimatengedwa kuti ndi champhamvu kupweteka pamimbakoma. Ngati zotupa zonse zakhudzidwa, ndiye kuti ululuwo umatha kukhala wamtopola. Kuwongolera kwa zowawa m'dera la mtima kapena kumbuyo kwa sternum nthawi zina kumadziwika. Kuchulukitsa kwa kupweteka kumadalira kuchuluka kwa kuwonjezeka kwa kupanikizika mu mapindikidwe a kapamba ndi munjira wamba ya duct, pamlingo wakukwiyitsa kwa ma receptors. Chifukwa cha ululu waukulu, wodwalayo amakhala ndi nkhawa ndipo amayesera kusintha mawonekedwe amthupi popanda kulandira mpumulo.

Ngakhale ululu ndiye chizindikiro chachikulu, kulimba kwake sikungagwiritsidwe ntchito kuweruza gawo la kuwonongeka kwa kapamba, popeza ndi kuyamba kwa necrosis ya mitsempha mathero akumvulaza kumatha kufooka.

Chizindikiro chachiwiri cha kapamba kwambiri kusanza ndi kusanzaosapatsa wodwala mphamvu. M'magawo ake oyamba, zotsalira za chakudya zimawonedwa, ndipo muzotsatira zokhazokha zomanga zam'mimba ndi bile.

Khungu la wodwalayo nthawi zambiri limakhala lotuwa, lozizira, yokutidwa ndi thukuta lomata. Nthawi zambiri, pancreatitis pachimake imayendera limodzi ndi mawonekedwe a chotupa chotchinga chifukwa cha kuwonongeka kwa dambo la ndulu wamba. Kutentha kwamthupi kumakula ndi chitukuko cha matenda. Mwinanso kuchuluka kwa mtima, kuwonjezeka.

Matenda a kapamba Pali ululu m'dera la epigastric kapena hypochondrium ya kumanzere, nthawi zina imazizira kumbuyo kapena imakhala ndi zoster.Kukula kwa ululu kumawonjezeka pamalo apamwamba, ndipo nthawi zina kumatsika kukhala pampando ndikugwada pang'ono pang'ono. Nthawi zambiri, ululu umawonekera kudera la mtima, tsamba lamanzere kapena phewa, komanso dera la iliac. Mtundu wa ululu ndi mphamvu zake zimatha kukhala zosiyana: kupweteka kosalekeza, kupweteka mutatha kudya kapena kupweteka kwa paroxysmal.

Nthawi zambiri, kuphatikiza ululu, kusokonekera kwa dyspeptic kumachitika, makamaka amakhala akuchulukitsa kapena koopsa kwa matendawa. Kuyika, kuchuluka kwa masisitere, nseru, kusanza, kufalikira kumawonedwa. Chifukwa cha kuperewera kwa mphamvu ya enzyme, kuchepa kwa thupi la wodwalayo kumachitika, ndipo m'mitundu ikuluikulu, kupsinjika, hypochondria, ndi zizindikiro zina zitha kuwoneka.

Zoyambitsa za kapamba

Pachimake kapamba Amayamba chifukwa cha kuwonongeka kwa ziphuphu zakumaso (zomwe zimayambitsa kaphatikizidwe ndi chimbudzi cha michere) ma cell a pancreatic, kuchuluka kwa secretion yamadzi a pancreatic ndi kuvuta kwa kutuluka kwake. Zotsatira zake, michere imayendetsedwa mu gland palokha ndipo pancreatitis yovuta imachitika. Kuwonongeka kwa maselo acinous kumatha kuchitika chifukwa cha kuvulala kwam'mimba kapena chatsekedwa m'mimba, kupatsirana kwa ziwalo zam'mimba, poyizoni, zovuta zina zam'mimba, kusokonezeka kwa chifuwa cha pancreatic.

Kuphatikiza apo, pancreatitis pachimake imayambitsidwa ndi matenda a bile duct, makamaka ndi jakisoni wa bile mu pancreatic duct. Zakudya zambiri zamafuta kwambiri komanso mafuta ochulukirapo zingayambitsenso matendawa. Nthawi yomweyo, kusowa kwa chakudya chama protein kumapangitsa kuti maselo acinous awonongeke, ngakhale atatuluka pang'onopang'ono madzi a pancreatic.

Pakakhala pachimake kapamba, vuto la endocrine (kutenga pakati, chithandizo chambiri cha corticosteroids), kuperewera kwa mafuta m'thupi, komanso matenda ena opatsirana komanso omwe sayanjana nawonso amathanso kuchita.

Mtsogoleri wosasankhidwa pamndandanda wazomwe amayambitsa aakulu kapambakumwa kwambiri. Ku Russia, kapamba yemwe amayamba chifukwa cha uchidakwa amapezeka pafupifupi 30% ya odwala. Zitha kuthandizanso kukula kwa matenda a kapamba:

• kapamba,
• duodenitis
• kapamba pseudocysts,
• stenosis wa wamkulu duodenal papilla,
• kuvulala ndi kuchitapo kanthu pakuchita opaleshoni.

Kodi kutupa kwapamba kumapezeka bwanji?

Matenda a kapamba nthawi zambiri amakhala ovuta, chifukwa nthawi zambiri amatchulidwa. Komabe, kuti adziwe zoyenera, dokotalayo amachita maphunziro angapo.

Matenda a kapamba zikuphatikizapo:

1. Kufufuza kwakuthupi: kuyang'aniridwa kwa lilime la wodwala, khoma la kunja kwa khomo lam'mimba.
2. Laborator diagnostics:
   • Kuyesa kwamagazi kachipatala kuti mupeze zizindikiro za kutupa ndi kuwonjezeka kwa ESR, kuwerengera kwamagazi oyera, ndi zina zambiri.
   • Kusanthula kwamankhwala kambiri kwamkodzo kuti mudziwe kupezeka kwa amylase mmenemo,
   • pulogalamu - kusanthula ndowe kuti pakhale zotsalira za chakudya chosasokonekera,
   • biochemical general achire magazi kuti adziwe kuchuluka kwa michere ya kapamba,
   • bacteriological kuwunika exudate zam'mimbamo zam'mimbamo (anachita pa opaleshoni).
3. Kufufuza kwazida: Kufufuza kwamtundu wam'mimba (zovuta), kulingalira kwa maginito, kuyerekezera kwa m'mimba, radiography, celiacography, esophagogastroduodenoscopy, duodenoscopy, diagnostic laparoscopy - malinga ndi mawonekedwe.

Monga lamulo, chikhansa cham'mimba ndizovuta kudziwa ngati chimakhala chovuta kwambiri, chifukwa chake madokotala amafunikira kufunsa wodwalayo, pomwe pamaganizidwe amtundu ndi mtundu wa ululu, zakudya komanso kupezeka kwa zizolowezi zoyipa.

Chochita ndi kuperewera kwa pancreatic enzyme?

Mu pachimake kapamba ndi kuchulukitsa kwa matenda mawonekedwe, matenda ayenera kuchitika mu chipatala moyang'aniridwa ndi dokotala. Pa gawo loyambirira la chithandizo, wodwalayo amaletsedwa kwathunthu kudya chakudya, ma painkillers ndi antispasmodics amalembedwa kuti athetse ululu. Kuphatikiza apo, kupumula kwathunthu, kozizira pamimba ndikulimbikitsidwa kuti muchepetse kupanga michere yogaya chakudya ndi kapamba. Nthawi zina, kupukuta zam'mimbamu kumalimbikitsidwa kuti muchepetse katundu padzuyo. Pakakhala zovuta, opareshoni imapangidwa kuti achotse ziwalo zomwe zakhudzidwa. Ndi zovuta mukutuluka kwa pancreatic katulutsidwe, kulowererapo kwa endoscopic ndikotheka - kuchotsedwa kwa miyala kuchokera pamakokedwe a pancreatic, kukulitsa kwa duct m'njira zosiyanasiyana.

Yang'anani!

Kulandila kwa kukonzekera kwa enzyme mu nthawi ya pancreatitis yapakati kumatsutsana!

Pakadwala kapamba popanda kufalikira komanso chifukwa cha kuperewera kwa mphamvu ya mankhwalawa, chithandizo chimayenera kukhazikitsidwa makamaka pakulimbikitsa mphamvu ya thupi kugaya chakudya mokwanira. Mwa izi, wodwalayo adapangidwa kukonzekera kwa enzyme yochokera pancreatin okhala ndi proteinase, lipase, alpha-amylase, trypsin, chymotrypsin. Kuthandizira pang'onopang'ono sikungabwezeretse kapamba pakokha, koma kumatha kutenga ntchito yomwe gland singayende nayo. Mothandizidwa ndi mankhwala othandizira obwezeretsanso enzyme, thupi la wodwalayo limatha kuyamwa michere yazakudya kwa zaka zambiri.

Kuphatikiza apo, machitidwe a mankhwalawa amatha kuimitsa pang'onopang'ono kupweteka kwamankhwala chifukwa cha mapangidwe a kusintha kwa kulepheretsa kupanga kwa enzyme: pancreatin mu mawonekedwe a mlingo amalowa mu lumen wa duodenum, ndipo proteinase inactivates cholecystokinin-releasing factor, yomwe imatsogolera kuchepa kwa magazi cholecystokinin ndi secretion ya pancreatic (ndi mfundo ya "mayankho"). Ngati mankhwala othandizira pancreatin omwe ali ndi mphamvu yokwanira samakwanira, ndiye kuti kukondoweza pakupanga ma enzymes ndi gland kumapitilizabe, kupangika kwa autolization kumachitika mwachangu, kukakamiza kwa intraductal kumadzuka ndipo ululu umakulirakulira.

Mankhwala a enzyme samangotenga m'malo mwa kuchepa kwa ma enzymes ofunikira, komanso amachepetsa chinsinsi cha kapamba, kupatsanso thupi ntchito.

Ndikofunikira kwambiri kusiya zizolowezi zomwe zimayambitsa matendawa - kuledzera, kusuta fodya komanso kusakhala ndi thanzi labwino.

Mpaka pano, chithandizo cha kuperewera kwa pancreatic enzyme ndikadali ntchito yovuta, kufuna njira yophatikizika. Akatswiri amalimbikitsa kusankha mtundu wa chithandizo cha mankhwala payekhapayekha - poganizira kuchuluka kwa kuperewera ndi zovuta za endocrine komanso kupweteka kwa wodwala. Kudziwa kokha kwa mfundo zamankhwala othandizira kulowetsedwa ndi madokotala omwe amapezeka kumatipatsa mwayi wodziwa njira zamankhwala ndikuzindikira matendawo.

Ma Microbeads kuti athetse kusowa kwa enzyme

Chimodzi mwazomwe amamwa kuti athe kulipira kuchepa kwa enzyme ndi Mikrazim ®, yomwe imaphatikizapo pancreatin kuchokera ku nyama mwanjira ya ma micogranules (enteric-soluble pellets) osakwana 2 mm kukula. Amapezeka m'mabotolo okhala ndi mulingo wa 10,000 ndi 25,000 mayunitsi.

Zomwe zimagwira zimagwirizana ndi ntchito ya michere yamagayidwe achilengedwe - lipases, ma amylases ndi mapuloteni, zomwe zimapangitsa kuti pakhale kuphwanyika komanso kugaya mafuta, mapuloteni ndi zakudya zomwe zimalowa m'mimba.

Makapisozi olimba a gelatin, momwe ma Microganules amapezekera, amatha kudutsa m'mimba yamagetsi mwachangu kuposa mapiritsi ndikupereka mankhwalawo kumalo othandizira. Chipolopolo cha kapisozi chimasungunuka mosavuta m'mimba, ndikutulutsa ma microcranes ndi pancreatin.

Chifukwa cha kukula kocheperako, ma granules amasakanikirana mwachangu ndi chakudya ndipo amalowa mu duodenum, kenako kulowa m'matumbo aang'ono - kutanthauza komwe ma enzymes achilengedwe amachita. Ma pancreatic Enzymes omwe amapezeka m'magawo amaphatikizidwa ndi chimbudzi, pomwe ntchito yayitali ya mankhwala imakhazikika theka la ola mutalowa m'matumbo aang'ono. Pambuyo poyanjana ndi chakudya, ma enzyme amataya ntchito zawo ndipo amachotsedwa m'thupi popanda kulowa m'magazi.

Kulandiridwa kwa Mikrasim® ndikulimbikitsidwa kwa enzyme m'malo mwa enzyme kufooka kwa inshuwaransi chifukwa cha chifuwa cham'mimba kapena kuchotsedwa kwa mafinya, ndi zovuta pambuyo pakulowetsedwa, ndi flatulence, kutsekula m'mimba. Amalimbikitsidwanso kumwa mankhwalawa ngati akuphwanya njira za kugawikana ndi kulowetsedwa kwa michere mutatha kuyambiranso m'mimba, kusintha chimbudzi ndi zolakwika za anthu omwe alibe mavuto am'mimba, mwachitsanzo, kudya kwambiri, kusowa kwa zakudya.

Zokhudza contraindication, ntchito ya Mikrasim® siyiyenera kuyikiridwa:

• pamaso pa tsankho la munthu pazinthu zomwe zimapangika,
• pachimake kapamba,
• ndi kuchulukitsa kwa matenda a kapamba.

Mlingo wa mankhwalawa nthawi zonse umasankhidwa ndi dokotala, kutengera zaka za wodwalayo, kuuma kwa Zizindikiro za matendawo ndi kapangidwe kake ka zakudya. Ndikofunikira kutenga Micrazim® pamlomo ndi madzi okwanira. Ndikosatheka kuphwanya kapena kutafuna ma micronanules - kotero mutha kuphwanya chitetezo chawo pazotsatira zamadzimadzi am'mimba ndikuchepetsa mphamvu ya achire.

* Nambala yolembetsa ya mankhwalawo Mikrazim® ku State Register of Medicines ili ndi LS-000995 kuyambira pa Okutobala 18, 2011, yomwe idapangidwanso kosatha pa Januware 16, 2018.Mankhwalawa akuphatikizidwa ndi mndandanda wa Vital and Essential Diction.