Matenda a pancreatic ndi zizindikiro

Miyala ya pancreatic ndi zovuta za pancreatitis yosatha. Mankhwala, amatchedwa pancreolithiasis. Matendawa amapezeka molingana ndi magwero osiyanasiyana mu 25-60% ya odwala omwe ali ndi kapamba. Chochita chofunikira kwambiri cha kapamba ndikupanga madzi a pancreatic chimbudzi komanso chakudya. Madzi amapita pansi panjira yodutsa m'matumbo aang'ono. Mwa munthu wathanzi, ngalande iyi ndiyosalala komanso, koma mwa wodwala wokhala ndi pancreatitis, kufooka kwa zipsera mu ngalande chifukwa chotupa kwakanthawi. Chifukwa cha izi, madzi a pancreatic sagwira ntchito bwino; miyala imawoneka mumkamwa womwe umatseka msewu ndikupangitsa kupweteka kwambiri.

Zomwe Zimayambitsa Mwala

Miyala (calculi) mu kapamba amapangidwa chifukwa chogwiritsa ntchito calcium m'misempha. Momwe amasungidwamo amayamba kuwerengera ndikukhazikika. Choyambitsa chachikulu cha pathological process ndikutupa kosalekeza m'matumbo ndi zovuta za metabolic. Pamodzi ndi mfundo yoti pali miyala mu kapamba, miyala imapanganso mu chikhodzodzo cha ndulu. Kusuntha ndi ma ducts a bile, ma gallstones amatchinga duct wamba kulumikiza kutuluka kuchokera ku ndulu ndi kapamba. Ngati miyala yamtundu uliwonse ikaletsa msewuwu, ma encyme a pancreatic sangathe kusiya kapamba, ayambe kutakataka ndikuwononga minofu yake.

Sizikudziwika bwino chifukwa chake odwala ena amapanga miyala mu kapamba, pomwe ena satero. Koma pali zinthu zina zomwe zimawonjezera mwayi wakukula kwake:

  • kuchuluka kwa cholesterol kapena bilirubin mu bile,
  • kunenepa
  • kusowa kwa masewera olimbitsa thupi
  • zaka zopitilira 40
  • matenda ashuga
  • matenda a chiwindi
  • azimayi ali pachiwopsezo chachikulu
  • Zakudya zokhwima zomwe zimachepetsa thupi,
  • kumwa njira zakulera komanso mapiritsi kuti muchepetse cholesterol.

Magawo a matenda awo

Njira ya kupanga masamu mu kapamba kumachitika mu magawo angapo. Gawo lililonse limadziwika ndi zomwe limayambitsa ndi zomwe zimapangitsa kupweteka m'matumbo.

Pa gawo loyambirira, mothandizidwa ndi zinthu monga kusuta fodya, mowa, kuperewera kwa mphamvu ya thupi, kusungunuka kwa madzi a pancreatic, zigawo zama protein zimapezekamo. Amapanga mapuloteni omwe calcium salt imalowa. Kupangidwa kwa mchenga m'malo awa kumayambira.

Zizindikiro zamchenga mu kapamba ndizopweteka kwambiri komanso zopitilira m'mimba. Zowawa zimafalikira mpaka kumapeto kwa phewa ndi mbali yakumanja kumbuyo, nseru ndi kusanza kumachitika. Ululu umachitika mutatha kudya, kumwa mowa mwauchidakwa.

Ngati cholepheretsa cha ma pancreatic ducts chikapitiliza kwa nthawi yayitali, calculi yoyesedwa imakula mpaka kukula kwamiyala. Amatseka kutsekemera kwa ndulu ndikuyambitsa kutupa, komwe nthawi zambiri kumalumikizana ndi matendawa. Ululu umayamba chifukwa chakuti kapamba wa kapamba sangachokere kapamba.

Zizindikiro zamiyala yapancreatic:

  • kutentha kwambiri
  • khungu la chikaso ndi azungu amaso,
  • Ululu umatenga maola angapo mpaka masiku angapo,
  • wodwalayo akuwoneka steatorrhea (mafuta opaka patid),
  • munthu amachepetsa thupi.

Wodwala amafunikira kuchipatala mwachangu kuti ayang'anire mkhalidwe wake, chithandizo cha mankhwala opha maantibayotiki ndi ma pinkiller, ndipo nthawi zina kuti am'thandize.

Kodi ndizowopsa

Zowopsa kwa odwala ndikuti miyala yomwe idatseketsa ma ducke sangathe kudzipangitsa yokha ndikupangitsa kupweteka kwambiri. Kenako, pancreatitis yachilendo imayamba, yomwe imakhala yoopsa chifukwa cha matenda, kusokonezeka kwa kapamba (kuphatikizapo kupanga insulin) ndi kufa kwake.

Kuzindikira miyala mu kapamba kumachitika mu magawo angapo. Choyamba, dokotala amamvera madandaulo a wodwala, amafotokoza bwino zomwe akuwonetsa, akuwunika. Kenako muyenera kuyesa mayeso ena - kuyezetsa magazi a zamankhwala osokoneza bongo, kuphunzira za ma pancreatic enzymes, kuwunika kwa fecal.

Zizindikiro zakunja ndi zopweteka za miyala ya kapamba nthawi zambiri zimakhala zofanana ndi matenda monga kutupa kwa ndulu, cholecystitis, matenda ashuga ndi zina. Kupatula kuthekera kwa ma pathologies awa ndikutsimikizira kukhalapo kwa miyala mu kapamba, mayeso a Hardware adzafunika:

  • Ultrasound ya kapamba - akuwonetsa kukhalapo ndi miyala ndi miyala yaying'ono.
  • Kusanthula pamakompyuta kumapereka chithunzi mwatsatanetsatane cha chiwalo pamtanda, kumawulula kukhalapo kwa masamba aliwonse mkati mwake.
  • Magnetic resonance cholangiopancreatography ndiye mtundu wophunzitsika kwambiri, ndikupereka chithunzi chokwanira cha kapamba.

Pambuyo pakuwunikira mwatsatanetsatane, chisankho chimapangidwa pa regimen yothandizira munthu payekha.

Kuchotsa miyala ku kapamba, mankhwala osokoneza bongo, njira za endoscopic ndikugwiritsira ntchito opaleshoni imagwiritsidwa ntchito.

Poyambirira pofufuza miyala mu kapamba, matulukidwewo ndi abwino - kuposanso 80% ya omwe akuchira.

Mosasamala kanthu za njira yomwe yasankhidwa, chithandizo chamankhwala chimayamba nthawi zonse. Zimachitika kuti njirazi ndizokwanira kuti miyala yaying'ono ichoke mumkodzo ndikuyenda m'matumbo.

Mankhwala

Pofuna kuthana ndi miyala ya pancreatic, yomwe ndi yaying'ono kukula komanso kukhazikika, gwiritsani ntchito njira zotsatirazi:

  • Anesthesia - mankhwala a Papaverine, Acetaminophen, Baralgin, omwe amachepetsa ululu komanso amachepetsa kukokana.
  • Kuthetsa kufooka, kutupa kwa tiziwalo tosiyanasiyana. Ibuprofen ndi mankhwala ena osagwiritsa ntchito mankhwala a anti-kutupa amagwiritsidwa ntchito.
  • Kusintha kwa miyala ndi mankhwala - Henodiol, Ursodiol, Ursosan. Njirayi imagwira ntchito pamiyala yaying'ono.
  • Encyme m`malo mankhwala - amakwaniritsa kusowa kwa michere michere, mankhwala Creon, Pancreatin, Mezim, etc.

Ngati njira zowonjezera zochiritsira sizithana ndi vuto la wodwalayo, zida zamtunduwu ndi njira zamankhwala othandizira zimagwiritsidwa ntchito.

Njira zopanda opaleshoni

Mankhwala amakono ali ndi mwayi wochotsa miyala kuchokera ku kapamba popanda kuchita opareshoni. Kusankhako kukuchulukirachulukira m'malo mokomera othandizira kapena osasokoneza. Njira zotere zimavomerezedwa mosavuta ndi odwala, sizitengera nthawi yayitali kuchipatala, ndikuchotsa kapena kuchepetsa kwambiri chiwopsezo cha matenda obwera pambuyo pake ndi zovuta.

  • Extracorporeal shock wave lipotripsy ndi njira yofuulira mafunde omveka kuti asokonekere ndi kupera miyala kuti ikhale yolimba. Ufa ndiye mwachilengedwe umatuluka pancreatic ngalande. Ndondomeko imatenga mphindi 30 mpaka 60, yochitidwa ndi mankhwala oletsa ululu. Zotsatira zoyipa, kupweteka pamimba ndi kuvulala nthawi zina zimadziwika.
  • Njira ya endoscopic yotchedwa ERCP. Ma endoscope osinthika amawaika pamphuno kapena pakamwa la wodwalayo, amabweretsedwa ku nduluyo ndipo miyala ikuluikulu imachotsedwa, osapitirira mainchesi 5.
  • Njira ya laparoscopic. Pamimba, mawonekedwe angapo amapangika osaposa 1 cm, kolumikizika amaikidwamo amodzi mwaiwo, ndipo ogwiritsa ntchito mwapadera kuti athetse miyala kuchokera ku zikondamoyo amayamba nawo.

Opaleshoni imawerengedwa kuti ndiyo njira yowopsa kwambiri yochotsera miyala ku kapamba. Pazochitika zomwe kuwerengera mu kapamba kumakhala kwakukulu kapena kupangidwa kwakukulu, opaleshoni imakhalabe njira yokhayo yopulumutsira wodwalayo. Zisonyezero zake ndi zovuta zazitali komanso zopweteka zomwe zimayambitsa matenda a enzyme komanso kufooketsa thupi.

Mawonekedwe Amphamvu

Zakudya zoyenera za pancreolithiasis zimapangitsa kuti mankhwala azithandizira. Zakudya za odwala omwe amakonda kupangika miyala mu zikondamoyo zimayenera kukhala zopindika, osachepera kasanu patsiku. Kukula kotumikirako sikuyenera kupitilira kanjedza, kuti musagwiritse ntchito mphamvu yayikulu pakukhuta chakudya. Nthawi yayitali pakati pa chakudya sayenera kupitirira 2,5-3 maola.

Zovomerezeka kuti zigwiritsidwe:

  • buledi wonenepa
  • nkhuku, nkhuku, kalulu,
  • nsomba zamkati, nsomba, pike, pike,
  • maelemu omanga ma protein,
  • tchizi chamafuta ochepa, kefir, yogati, kirimu wowawasa,
  • masamba ophika, ophika kapena wowotcha - kaloti, dzungu, zukini, mbatata, beets, kabichi
  • Zipatso zosayidwa kapena zakumwa za zipatso, zonunkhira zochokera ku mabulosi amchere, mphesa zofiira, maapulo osawotcha.

Kuchokera pachakudya, ndikofunikira kupatula zakudya zamafuta ndi zosuta, maswiti, makeke, mafuta amkaka, biringanya, tomato, bowa, zipatso ndi wowawasa.

Maphikidwe a anthu

Zodzikongoletsera ndi misuzi yazitsamba kwa nthawi yayitali akhala akugwiritsidwa ntchito kuti ateteze kutupa ndikuchotsa mchenga ku kapamba. Ngati miyala ili ndi yokulirapo komanso yofiyira, imatha kuchotsedwa mu chipatala basi. Tiyeneranso kukumbukiranso kuti zotsatira za mankhwala ochiritsira kunyumba zimachitika atagwiritsidwa ntchito kwa nthawi yayitali. Ndi ululu wokulira komanso vuto lomwe likukula, wodwalayo samakhala ndi nthawi yochulukirapo.

  • Tincture wa Irish moss: 2 tbsp. kutsanulira zipangizo 1 chikho apulo cider viniga, mulole brew kwa masiku awiri. Musanatenge 1 tsp. Sungunulani mapiritsi mu 50 ml ya madzi, tengani mkati mwa masiku 14.
  • Kulowetsedwa kwa mizu ya burdock: 2 tbsp. Zopondera zosaphika zimathira 400 ml ya madzi otentha owiritsa, zilekeni kwa maola 3. Kenako kulowetsaku kuyenera kusefedwa, kutengedwa theka la ola musanadye. Kuchuluka konse kwa kulowetsedwa kuyenera kuledzera patsiku.
  • A decoction a yarrow ndi elecampane udzu: tengani zitsamba zilizonse zofanana, sakanizani. 1 tbsp kutsanulira osakaniza ndi 1 chikho madzi otentha, simmer kwa 1 min. Tsanulira msuzi utakhazikika, mutenga chikho 1/4 katatu pa tsiku musanadye.
  • Kutengedwa kwa masamba a herwort, dieelle ndi maluwa a calendula: sakanizani zitsamba zonse chimodzimodzi, tengani 3 tbsp. osakaniza, kutsanulira 1 lita imodzi ya madzi otentha owiritsa, alekeni kwa mphindi 30. Tengani 100 ml musanadye osachepera 5 pa tsiku.
  • Decoction wa barberry bar: 1 tbsp. kutsanulira zida ndi 1 chikho madzi otentha, wiritsani kwa mphindi 15, ozizira komanso kupsinjika. Kulowetsedwa ayenera kuledzera masana, kumwa pamaso chakudya.

Musanagwiritse ntchito mankhwala azomera, ndikofunikira kufufuza kuti muwonetsetse kuti mulibe miyala yayikulu m'miyeso ya gland. Zitsamba zimatha kuwapangitsa kuti asunthe, zomwe zimapangitsa kuti muwononge kwambiri. Pambuyo pofunsa dokotala, mutha kuyamba chithandizo chamankhwala kunyumba.

Zofunika! Palibe zolipira kapena ndalama zomwe "zimasungunula" miyala. Miyalayo imatuluka kapena imachotsedwa.

Zotsogola ndi njira zopewera

Njira zopangira zopewera masiku ano kulibe. Kuchepetsa kuchuluka kwa kubwereranso pambuyo pochotsa miyala, komanso pamaso pa banja, zomwe zingatheke, ndizotheka kudya kwambiri komanso moyo wathanzi.

Yesani kutsatira malangizo awa:

  • Osamadya kwambiri. Izi zimakakamiza kapamba kuti agwire ntchito mopitilira muyeso.
  • Siyani mowa ndi ndudu kwathunthu.
  • Chotsani mafuta, okazinga, zakudya zosuta, sodas ndi maswiti ndi zakudya zanu.
  • Idyani pang'ono, osachepera 5 pa tsiku.
  • Yendani kwambiri, chitani masewera omwe mumakonda, koma osachulukitsa thupi.
  • Imwani madzi abwino osachepera 30 ml pa kilogalamu imodzi ya kulemera kwanu.

Pomwe njira ya pathological imayambika, wodwalayo amakhala ndi matenda komanso zovuta zina. Izi zimawonjezera mankhwalawa ndikuchedwa kutha kuchira. Chifukwa chake, pazizindikiro zoyambirira za matendawa, musazengereze kupita kwanu kwa dokotala.

Kodi miyala chachikondwerero chimachotsedwa ndi ndalama zingati

Ku Moscow, zipatala zambiri ndi malo azachipatala amapereka ntchito pochotsa miyala ya pancreatic. Kutengera ndi zovuta za kupezeka kwa matendawa ndi momwe miyala imachotsedwera kuchokera kwa chinthu chodwala, mtengo wautumizowu umasiyanasiyana kuchokera ku 7,200 mpaka 39,560 rubles.

Ziwerengero zamankhwala zimati nthawi zambiri, atachotsa miyala ku gland, amapangidwanso. Ndiye kuti, miyala imatha kuchotsedwa, koma ndizosatheka kuyimitsa njira yovuta ya zinthu zachilengedwe, chifukwa cha momwe zimawonekera. Chulukitsani zakudya zanu ndi zinthu zapamwamba komanso zopatsa thanzi, yesetsani kusunthira zina kuti ziphuphu zanu zikhale ndi moyo wabwino kwanthawi yayitali.

Zomwe zimayambitsa matendawa

Miyala ya pancreatic imatha kupanga zifukwa zingapo.

  1. Kutupa komwe kumachitika m'mimba. Nthawi zambiri, amayamba chifukwa cha kupindika mu ndulu, komanso kutupa kwa m'mimba mwa kapamba. Pancreatitis imakhumudwitsa mapangidwe a miyala pafupifupi 65% ya milandu.
  2. Njira zoyenda mozungulira mu ma gland, zomwe nthawi zambiri zimayamba chifukwa cha oncological neoplasms ndi cyst. Nthawi zina kuvulala kumayambitsa kukokoloka, komwe kumatupa kwambiri pamimba.
  3. Kuphwanya mayamwidwe oyenera a calcium ndi phosphorous kungayambenso kupangika kwa calcifying. Ndi kudzikundikira kwawo kwakukulu mu pancreatic parenchyma, madontho akuyamba kupanga.
  4. Matenda a mahomoni mu endocrine dongosolo ndi kapamba palokha. Njira yofananira imawonedwa kwambiri mu shuga.
  5. Zilonda zopatsirana, nthawi zambiri zimapangitsa kukhala syphilis.
  6. Kumwa zakumwa zambiri zoledzeretsa komanso kukonda kwambiri zakudya zopanda pake.

Kapangidwe kazigawo zowononga kumachitika m'magawo angapo.

  1. Poyamba, pali kuphatikiza kwakukulu kwa madzi a kapamba mu tiziwalo ta chiwalo. Zotsatira zake, zimakhazikika kwambiri ndikupanga mawonekedwe a protein.
  2. Pa gawo lachiwiri, phosphorous ndi calcium zimapangidwa mokhazikika m'mapuloteni, omwe amakhala gawo lalikulu lamiyala.
  3. Pa gawo lachitatu, mapangidwe athunthu a mawerengeredwe ndikuphatikizika kwa zizindikiro zonse chifukwa cha kutupa komwe kumayambitsa matendawa kumawonedwa.

Zakudya zoyenera ndizofunikira pakuchiritsa miyala ya pancreatic

Zizindikiro ndi zovuta zotheka

ZizindikiroZovuta
Kupweteka kwam'mimba
  • Ululu umamanga m'chifuwa chonse
  • Mphepo zowawa kwambiri zimadziwika
  • Mtundu wa ululuwo umakhala pachimake ndipo umapangitsa kuti usunthe
  • Wodwalayo akuyesa kutenga embryonic
  • Ululu kumbuyo ndi kumbuyo kumbuyo
Episodic steatorrhea (mafuta ndowe)
  • Kusowa kwathunthu kwa mafuta
  • Kutsuka kwamatumbo osakhudzidwa chifukwa cha kuchuluka kwa mafuta chopondapo
  • Kutsegula m'mimba
Kusanza ndi kusanza
  • Vomit amayamba kutuluka ndi ndulu
  • Gallbladder imatha kuyatsidwa
  • Kutsekula m'mimba kumachitika chifukwa cha chimbudzi chimbudzi
Kuchulukana kwa malovu
  • Ndi zochuluka, zimayambitsa kusanza

Kuphatikiza apo, wodwalayo amadandaula za kupweteka pamimba pamimba. Pang'onopang'ono, kuphwanya kotereku kumabweretsa kufa kwa maselo a pancreatic, omwe amakhala chifukwa cha matenda a shuga komanso kufunika kwa kuchiritsa ndi insulin.

Ngati mawotchi otulutsidwawo atsekera mzerewo, nduluyo imatha kutentha kwambiri, chifukwa kutuluka kwa bile kumasiya. Vutoli lifunika kuchitapo kanthu mofulumira.

Ngati mwala wochokera ku kapamba ulowa mu duct ya bile, wodwalayo amakhala ndi chikhungu pakhungu.

Kuchotsa mwala wa Endoscope

Zakudya zamiyala kapamba

Ndi mapangidwe amiyala mu kapamba ndipo atatha kuphwanya, chakudya chotsimikizika chimakonzedwera wodwalayo, kuwonetsa zomwe angadye. Wodwala sayenera kusiya zakumwa zoledzeretsa zilizonse pazakudya zake, mosasamala kuchuluka kwa zakumwa zoledzeretsa. Ndizosavomerezeka kudya zonunkhira, mafuta ndi zakudya zokazinga, maswiti, tiyi wamphamvu, khofi. Mambiri mazira ambiri ndi mbale zomwe zili nazo. Muyenera kutaya mbale ndi bowa ndi chokoleti.

Masamba ophika, nyama ndi othandiza. Ndikofunika kuti musankhe zakudya zamtundu wa nyama kokha kuchokera ku mitundu ya zakudya. Kalulu wothandiza, nkhuku, nkhuku, nkhuyu. Nkhumba imaloledwa, koma yokhayo popanda kupezeka pang'ono kwamafuta. Zopangira mkaka wowawasa ndi mbale zochokera kwa iwo ndizothandiza pa kapamba. Phula lothandiza kuchokera ku buckwheat, oatmeal, mpunga wa bulauni. Pasitala amathanso kukhalapo muzakudya, pokhapokha ngati amapangidwa kuchokera ku tirigu wa durum.

Kuzindikira kuphwanya

Njira yopezera matendaMtengo ku Moscow
Kubwezeretsa cholangiopancreatography6-16 zikwi
Pancreatic MRI4,2-8 zikwi
Makina a Ultrasound850-1700 ma ruble
Ma radiyo a X-ray1.2-1.8 zikwi
CT scan ya kapamba3,5-7,000

Mitengo ya njira zodziwitsa anthu zimadalira mzindawo komanso kutchuka kwa chipatala chosankhidwa. M'magulu aboma, mtengo wa njira nthawi zambiri umakhala wotsika kwambiri.

Kuchiza matenda

Nthawi zambiri, chithandizo cha calculus chimaphatikizapo opaleshoni. Kuvuta kwake kumatengera kukula kwa miyala ndi komwe adakhalako. Nthawi zambiri, odwala amapita pang'onopang'ono pochotsa tizigawo ting'onoting'ono pang'ono. Pambuyo pa kulowererapo koteroko, njira yayitali yopulumutsa siyofunika, nthawi zambiri pamakhala zovuta. Koma chithandizo cha endoscopic ndizotheka pokhapokha ngati miyala ili yaying'ono komanso yayikulu.

Ngati zigawo zikuluzikulu kapena zili mchira wa kapamba, amachitidwa opaleshoni yotseguka. Nthawi yake, chiwalo chimatseguka kwathunthu ndipo zophatikizika zonse za calcium ndi phosphorous zimachotsedwa.

Pambuyo pakulowererapo kwakukulu, pamakhala zovuta zina, chifukwa dokotala wochita opaleshoni amatha kukhudza m'mimba, matumbo ndi ziwalo zina zam'mimba. Chifukwa cha kuphwa kwakukulu, kutupa ndi kupitiliza kwa suture nthawi zambiri kumatheka.

Kuti mukhale ndi thupi, mankhwala omwe amathandizidwa ndi enzyme ndi mankhwala. Poganizira zovuta za wodwalayo, akulimbikitsidwa kumwa mankhwala monga Pancreatin, Mezim, Festal, Creon ndi ena kuchokera pagululi. Poyerekeza ndi kutupa kapena chifukwa cha kupewetsa pambuyo pakuchita opaleshoni, njira yochepa ya mankhwala othandizira imachitika. Nthawi zambiri amabailidwa jekeseni. Mankhwala othandizira omwe amagwiritsidwa ntchito kwambiri ndi ampicillin kapena cefolosporins.

Kuchepetsa ululu, antispasmodics kapena analgesics atha kuperekedwa. Zogwiritsidwa ntchito kwambiri:

Othandizira opaleshoni pambuyo pa opaleshoni amaperekedwanso kudzera othandizira. Kuti muchepetse kubwezeretsa kwammimba, tikulimbikitsidwa kumwa mankhwala kuti tithandizire microflora yopindulitsa: Linex, Bifiform, Lactobex.

Pancreatic calcation ndimavuto osowa koma owopsa omwe amafunika kuwunika nthawi yake. Ngati simukufuna thandizo pakapita nthawi, wodwalayo amatha kupanga matupi amthupi onse, omwe amafunika kuti amuchotse.

Ndi chithandizo choyenera komanso kutsatira kwambiri zakudyazo, zidzatheka osati kubwezeretsa kapamba, komanso kudziteteza kuti zisadzayambenso mtsogolo.

Etiology ndi zizindikiro za pancreolithiasis

Pancreolithiasis ndimatenda osowa kwambiri, koma izi sizimachokera mu kupenga kwake. Chizindikiro chodziwika ndi kupweteka pamimba. Pakati pa pathogenesis otsogola, kulephera mu kagayidwe kachakudya ndi njira yeniyeni ya kapamba ndizodziwika.

Miyala yomwe imayambitsa kukopa imawonekera osati pancreas, komanso ikhoza kupanga mu ndulu, zomwe zimabweretsa kutsekeka kwa ma ducts omwe ali ndi chimbudzi cha bile. Dziwa ndi cholecystitis wowerengeka.

Miyala imatanthawuza zolimba, mapangidwe ake ndi chifukwa cha crystallization ya zigawo za bile. Zingwe zimasiyana kwambiri kuchokera kumchenga wocheperako mpaka zotupa zazikulu.

Mchenga mu kapamba ndiwowopsa komanso wowopsa, chithandizo chamanthawi yomweyo chimafunikira mu dipatimenti yochita opaleshoni, apo ayi vutolo limawopseza ndi zotsatira zoyipa, kuphatikizapo zosasintha.

Zomwe zimayambitsa matendawa:

  • Zosintha pakupanga kwamapangidwe amkati mwa pancreatic chifukwa cha uchidakwa, kusuta.
  • Kuchepa kwa mahomoni m'thupi (zinthu zingapo ndizomwe zimayambira).
  • Kuphwanya kagayidwe kachakudya njira.
  • Kutupa kwamkati mwa peritoneum, cyst yeniyeni kapena pseudocyst, chotupa neoplasms.
  • Kutupa kwa duodenum 12, ndulu ya ndulu ndi matenda ena.

Izi zimathandizira kukulira kwa pancreatic madzi, omwe amakhumudwitsa kuchuluka kwa mchere wamchere ndi mapangidwe apambuyo a calculi mu pancreatic parenchyma ndi / kapena ma ducts.

Mawonetsero akulu azachipatala:

  1. Ululu wa kudula kwachilengedwe m'chigawo cha epigastric, mpaka kumbuyo. Ululu umawonedwa nthawi ndi nthawi.
  2. Kusungunuka, kupuma mseru.
  3. Kutalika kwa vuto lopweteka kumasiyana kuyambira mphindi 5 mpaka maola angapo.

Kupweteka kwapakati kumachitika chifukwa cha kuwonjezeka kwa kupanikizika kwa mapindikidwe azikono chifukwa cha kufalikira kwawo ndi kukula kwa njira yotupa.

Kuzindikira ndi chithandizo

Pancreolithiasis amatanthauza matenda am'mimba, ICD code ndi K00-K93. Zojambula zam'mimba. Zimakupatsani mwayi kuwona m'maso miyala yomwe imawoneka ngati mthunzi wozungulira. Pali osakwatiwa komanso angapo. Njira zolondola kwambiri zodziwitsira matenda zimaphatikizapo CT ndi MRI.

Wodwala amafunikira kukambirana ndi dokotala wa gastroenterologist. Kuchiza nthawi zonse kumayamba ndi mankhwala. Cholinga cha kuyimitsa njira zotupa, adapangidwa kuti azisintha kagayidwe kake ka calcium ndi phosphorous m'thupi, kuti muchepetse kutupira ndi kapangidwe kake. Anti-yotupa ndi mapiritsi a analgesic ndi omwe amapatsidwa.

Mankhwala othandizira enzyme adayikidwa, chisamaliro chapadera chimaperekedwa ku zakudya, ndipo zakudya zisanu zimayikidwa. Ngati miyala ndi yaying'ono, ndiye kuti mapiritsiwo atha kuthandiza kusintha kwa wodwalayo, miyala yaying'ono imadutsa matumbo okha.

Pamaso pa miyala ikuluikulu, kugwiritsa ntchito mankhwala osokoneza bongo sizimveka. Opaleshoni ndiyofunikira, chifukwa pali ngozi ku thanzi ndi moyo. Mankhwala, njira zowononga zachilengedwe zakonzedwa kwambiri. Mwachitsanzo, kuchotsa kwa endoscopic kwa miyala yayikulu ya duct kumagwiritsidwa ntchito nthawi zambiri. Pangani cholembera, chotsani miyala kudzera pa endoscope.

Ubwino wa njira ya endoscopic:

  • Kuperewera kwakukhalitsa kwanthawi yayitali.
  • Zovuta zochepa pambuyo pa kulowererapo.

Chokhacho ndichakuti kunyenga sikungachotse ma neoplasms onse mu kapamba. Ngati pali miyala yayikulu ikuluikulu yomwe imakhazikitsidwa m'thupi ndi mchira, ndiye kuti ndibwino kugwiritsa ntchito njira ya laparotomy.

Mankhwala opangira oponderezedwa amathanso kuchitika. Opaleshoniyo ikuwonetsa kugwedeza kwamphamvu pamiyayo, yomwe imalola kutiiphwanyidwe mpaka kumchenga wocheperako. Pambuyo pake, amasiya thupi pomwe matumbo mulibe.

Njira yamakono ndikuchotsa miyala ndi laser. Miyala amawonetsedwa pogwiritsa ntchito kamera ya kanema, chiwonetserochi chimaperekedwa kwa owunikira. Chotsatira, kusweka komwe kumayang'aniridwa kumachitika kumadera a mchenga. Ndemanga za madotolo zimawona kuti kuwonetsa laser kuli ndi zabwino zambiri. Kugunda kwakukulu, kuwonongeka kochepa, nthawi yochepa yobwezeretsa, kusowa kwa zipsera kumasiyanitsidwa.

Kodi mtengo wakuchotsa laser ndi chiyani? Mtengo umatsimikiziridwa ndi ndondomeko yamitengo yachipatala, ziyeneretso za dokotala ndi zina. Kuyankhula pafupifupi, mtengo woyambira ukuchokera ku ruble 15,000.

Kuchita bwino kwa kulowererapo kumadalira ziyeneretso za dokotala. Mavuto akuphatikizira kupweteka, hematoma m'dera la opaleshoni, osachotsa kwathunthu miyala.

Zotsogola ndi kupewa

Kudziwika komwe kumakhalapo kwa miyala kapena mchenga m'matumba kumakhala kwabwino kwambiri. Koma zimachitika chifukwa cha zovuta komanso matenda opatsirana. Kuthandizira opaleshoni kumapereka zotsatira zogwira mtima mu 85% zamilandu yamankhwala.

Ziwerengero zimazindikiranso kuchuluka kwa anthu omwalira, ndizochepa kuposa 2%. Miyala yomwe imapezeka posachedwa imapezekanso m'matumbo, zomwe zimapangitsa kuti matenda azidwala.

Palibe njira zodzitetezera zenizeni zomwe zachitika. Madokotala amavomereza kuti chikhansa chachikulu chothandizira chikuyenera kuthandizidwa kupewa matenda. Imwani mankhwala omwe adokotala adalandira. Ndizololedwa kugwiritsa ntchito mankhwala azikhalidwe omwe amathandizira kubwezeretsa magwiridwe antchito a kapamba.

Ndi zizindikiro zamakhalidwe - kupweteka mu hypochondrium, tikulimbikitsidwa kuti mupemphe thandizo kwa dokotala. Zitsamba za kapamba pankhaniyi sizithandiza. Zomera sizithandiza kufufuta miyala. Kulandira chithandizo mosakonzekera kumangokulitsa vutolo.

Kupewa kumatanthauza kukhala ndi moyo wathanzi - kutsatira zakudya zosavomerezeka zomwe sizimalemetsa kapamba, kukana kumwa mowa, kusuta. Kuwunikira chitetezo cha boma la phosphorous-calcium metabolism ndikofunikira.

Kuchitira pa nthawi yake yotupa mu duodenum 12, biliary thirakiti, kapamba kumathandizanso kupewa kupangika kwa calculi mu gland.

Zizindikiro zodziwika bwino za matenda a kapamba zimakambidwa mu kanema munkhaniyi.

Zizindikiro zofala

Nthawi zambiri, kapamba (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa) (gulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwalimawonetsa motsutsana ndi maziko a matenda olimba (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) ndipo ili ndi zizindikiro zapadera komanso zapadera. Zizindikiro zodziwika pancreatic kutupa:

  • Zowawa. Pancreatitisgulu la matenda ndi ma syndromes omwe kutupa kwa kapamba kumawonedwa) yodziwika ndi ululu wamphamvu, wotchulidwa kupweteka, womwe umatha kudula komanso kumva kuwawa. Ngati chithandizo sichiperekedwa, wodwalayo ali ndi chiopsezo chodzidzimutsa. Nthawi zambiri ululu umalowetsedwa mu hypochondrium, ngati kutupa kumakhudza gawo lonse, ndiye kuti kusokonekera kungakhale kwachilengedwe.
  • Kubweza Gawo lililonse la matendawa limatsatiridwa ndi kusanza ndi kusasinthasintha kwa bile. Munthawi imeneyi, kukana kwathunthu chakudya ndikofunikira, madzi okha ndi omwe amaloledwa kumwa.
  • Kusokonezeka mu chopondapo, komwe kumatha kuchitika m'mimba komanso kudzimbidwa. Pancreatitis pachimake imadziwika ndi ma froo stools, omwe amaphatikizidwa ndi fungo losasangalatsa. Kufika kwa pachimake kapamba kumatha kuyerekezera ndi kudzimbidwa ndi minyewa yamimba.
  • Kufalikira. Pakadutsidwa, minyewa yathunthu imayamba kuchitika, zomwe zimayamba kutulutsa. Panthawi yopukutira, minofu sizimalimba.
  • Kupsinjika ndi kutentha kumatuluka. Njira yotukusira yomwe idapangidwa imayambitsa kuwonongeka koopsa m'moyo wonse, womwe umadziwoneka ngati kusintha kwa kutentha ndi kukakamiza.
  • Kusintha kwa mawonekedwe. Mukamadwala (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake) mawonekedwe a wodwalayo ndi lakuthwa, khungu limasunthika, limakhala laimvi.
  • Kuchita thukuta kwambiri chifukwa cha kupanikizika, kuphimba kwamkaso kumayang'aniridwa lilime.
  • Kukha magazi. Khungu limakhala ndi kuwala kwamtundu wa buluu, komwe kumapangidwa ndi navel. Kuphatikiza apo, kumbuyo kwakumbuyo, khungu limatha kukhala ndi miyala ya marble, m'manda - mtundu wonyezimira.
  • Jaundice. Khungu ndi sclera yokhala ndi khungu limatha kukhala ndi chikasu chamkaso. Jaundice wowononga amapezeka pambuyo poti tiziwalo tating'onoting'ono timene timapundika. Pamodzi ndi jaundice, kutaya mtima kwathunthu, kugudubuza pamimba, ndikuwonetsa pakamwa pouma.

Pancreatic kutupa mankhwala

Pancreatitis potengera zomwe zimayambitsa zimakhala ndi zosiyana, koma chithandizo (njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kuphwanya kwina (Kulakwira, kuchita kapena kusowa kosemphana ndi zofunikira za malamulo komanso kuchitidwa ndi munthu wovutitsidwa, "Kuphwanya", imodzi mwa nkhani zoyambirira za Sergey Lukyanenko) moyo,, monga lamulo, siosiyana kwambiri. Choyamba, nditapeza zoyamba (m'masamu, mfundo - malo okwanira kuti akhale a kalasi inayake) kutupa kwa kapamba, ndikofunikira kukaonana ndi dokotala posachedwa.

Ngati vuto la kapamba limayamba, ndiye kuti muyenera kuyimbira ambulansi nthawi yomweyo.

Kuchotsa kutupa kwa pancreatic kumaphatikizapo kuzindikira kwachangu, kuzindikira zizindikiro zoyambirira (Chimodzi mwazizindikiro, kuwonetseredwa pafupipafupi kwa matenda, momwe zimakhalira kapena kuphwanya njira ya moyo) ndikukumana ndi chithandizo chotsatira cha kapamba:

  • Dokotala wopita kwa masiku atatu amaletsa kuyamwa kwa chakudya, amangolola kudya madzi am'maminawo ndi mipweya yomwe imatulutsidwa kale.
  • Amaloledwa kuyika chida chowotcha pamimba, simungathe kumawotha thupiOrgan - gulu la mitundu yosiyanasiyana yamaselo ndi minyewa yomwe imagwira ntchito yina mkati mwa chamoyo).
  • Sizoletsedwa kutenga analgesics, amaloledwa kumwa antispasmodics okha, monga No-shpa.
  • Ma ambulansi isanafike, ndibwino kuti wodwalayo atengepo gawo lokakamizidwa lomwe limamupangitsa kumva bwino, monga lamulo, uku ndi mwayi wokhala kutsogolo.
  • Chithandizo (njira yomwe cholinga chake ndikuchepetsa, kuchotsa kapena kuchotsa zizindikilo za matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezedwa kwina kwa moyo,) matendawa amatha kuchitidwa kuchipatala, moyang'aniridwa ndi akatswiri.
  • Kutsatira kwambiri zakudyazo ndikofunikira osati kokha nthawi yoyamba atachotsedwa kuukira, komanso kwa zaka zambiri, ndipo nthawi zina moyo wonse. Zakudya zamagulu azakudya zimathandizira kupewa kubwerezedwa pafupipafupi, ndipo, chifukwa chake, kupewe kufa kwa minofu ina.
  • Kuwongolera chimbudzi, michere yokugaya imayikidwa yomwe imakulolani kuti muwononge chakudya, monga lamulo, awa ndi: Mezim forte, Creon.
  • Mankhwala a Vitamini amathandizira kulimbikitsa thupi.

Chithandizo cha matenda ophatikizika chingalepheretse kufalikira kwa chiwalo (Organ - gulu la mitundu yosiyanasiyana yamaselo ndi minyewa yomwe imagwira ntchito yina mkati mwa chamoyo).

Kuti mupewe kuwonongeka kwa minofu ndikukula kwa zotsatira zosasinthika, muyenera kudziwa zomwe pancreatitis ali nazo, ndipo ndi chizindikiro choyamba, ayambe kulandira chithandizo. Chifukwa chake, mutha kukhala moyo wonse kwanthawi yayitali.

Pakhoza kukhala miyala ya kapamba: Zizindikiro ndi chithandizo

Kodi pali miyala mu kapamba? Yankho lathu, inde, ndi.Ndipo izi sizibweretsa mpumulo, koma zimatipangitsa kuti tilingalire chifukwa chomwe izi zimachitikira komanso momwe tingathanirane nazo.Mnkhaniyi tiona mwatsatanetsatane momwe miyala imawonekera, zomwe ndizizindikiro, chithandizo ndi chiyani. Kuyang'ana mtsogolo, tikuwona kuti opareshoni si njira yokhayo yotulukira.

Miyala ya kapamba: zoyambitsa

Pazachipatala, pamakhala mawu akuti matenda amatenga miyala (miyala) akapanga gland - pancreolithiasis. Matendawa amatengedwa ngati osowa, koma operewera. Malinga ndi ziwerengero, kuchuluka kwake kukukula chaka ndi chaka. Chikhalidwe cha matendawa ndimapweteka m'mimba. Zina mwazomwe zimayambitsa pancreolithiasis ndizovuta kugwira ntchito komanso kupweteka kwa kapamba - kutupa kwa gland (chiwalo chokhala ndi maselo achinsinsi omwe amapanga zinthu zachilengedwe zosiyanasiyana zamankhwala) Miyala yomwe imayendetsedwa ndi zinthuzi imatha kuwoneka osati pancreas, komanso ndulu. Izi zidzabweretsa kufalikira kwa ma ducts omwe ali ndi ntchito yochotsa bile.

Ndi miyala amatanthauza chokhazikika chopangidwa ndi crystallization ya bile bile. Kukula kwake kumasiyana kuchokera kumchenga wocheperako, amatchedwa kuti mchenga, mpaka wokulirapo.

Pancreolithiasis simalola mtima woganiza. Vutoli limafunikira chithandizo chamwadzidzidzi ndipo likuwopseza kusokoneza magwiridwe antchito onse a mthupi (amoyo okhala ndi zinthu zomwe zimawasiyanitsa ndi zinthu zopanda moyo, kuphatikizapo kagayidwe kachakudya, kudzisamalira kapangidwe kake ndi bungwe, kuthekera kwodzaberekanso).

Zoyambitsa za kapamba:

  • Zosintha pakupanga kwamapangidwe azinthu zopangira pancreatic chifukwa chokhala ndi zizolowezi zoipa: mowa komanso kusuta fodya kwambiri.
  • Kulephera mu ntchito yamakonzedwe a thupiamoyo okhala ndi zinthu zomwe zimawasiyanitsa ndi zinthu zopanda moyo, kuphatikizapo kagayidwe kachakudya, kudzisamalira kapangidwe kake ndi bungwe, kuthekera kwodzaberekanso) chifukwa cha zinthu zosiyanasiyana.
  • Kuphwanya mu kagayidwe kachakudya ka thupi.
  • Njira zotupa mu ziwalo zamkati za peritoneum, komanso cysts ndi neoplasms.
  • Matenda otupa a duodenum (duodenitis), chikhodzodzo (cholecystitis), kapamba (kapamba), ndi zina zambiri.

Chifukwa cha zochitika pamwambapa, msuzi wa gland umakhala wokulirapo, mchere wamkati umayikidwa ndipo miyala imapangidwa m'mphepete mwa kapamba ndi / kapena ma ducts.

Miyala ya kapamba: Zizindikiro

Ndikofunikira kwambiri, koyambirira, kudziwa miyala mu kapamba. Zizindikiro zake zimakhala zosiyanasiyana, koma alipo okwanira kukaganiza kuti china chake chalakwika ndikupempha thandizo kuchipatala.

Zizindikiro wamba zamiyala yapancreatic:

  1. Kudula ululu mu epigastrium, yomwe imatha kubwezera. Paroxysmal chikhalidwe chowawa.
  2. Kuchepetsa mseru komanso kugwa.
  3. Kupezeka kwa zowawa mutangomwa mowa kapena kudya zakudya zopanda thanzi (zonunkhira, mafuta, zonunkhira, etc. mbale).
  4. Kutalika kwa kuzunza kumasiyanasiyana maola angapo mpaka masiku angapo.
  5. Kuyanjana pakati pakukoka magawo oyambayo ndikutali - kamodzi pakapita zaka zingapo. Kupitilira apo, ndikupanga matenda a zam'tsogolo, amakhala pafupipafupi.

Kupweteka kumachitika chifukwa chowonjezerera kupanikizika kwa ma ducts panthawi ya kuphuka kwawo ndikuwonjezera mphamvu yotupa mu chiwalo.

Malinga ndi ziwerengero, mwa munthu m'modzi mwa 20, odwala amatenga popanda chizindikiro - otchedwa pentreolithiasis. Mwachilengedwe, matendawa amatenga zovuta pakuwunika ndipo amatenga nthawi yamtengo wapatali, chifukwa miyala ikapezeka, imakhala mwayi wopeza bwino komanso imachepetsa chiopsezo.

Mwala mu kapamba, Zizindikiro zomwe zili m'njira zambiri zofanana ndi zovuta zina (Kulakwira, kuchita kapena kusowa kosemphana ndi zofunikira za malamulo komanso kuchitidwa ndi munthu wovutitsidwa, "Kuphwanya", imodzi mwa nkhani zoyambirira za Sergey Lukyanenko) ndi matenda am'mimba, amafunikira kudziwa bwino matenda oyenerera.

Miyala mu kapamba: momwe angapangidwire ndi zakudya?

Chingakhale cholondola kunena kuti, osati kuchitira, koma kuchirikiza. Zakudyazo zimakhala ngati zothandiza kupewa komanso kupewa.

  • Zakudya 5-6 pa tsiku.
  • Magawo ang'onoang'ono.
  • Zochepa zopatsa mphamvu za tsiku ndi tsiku.
  • Kuchotsera zakumwa zoledzeretsa ndi zopatsa mphamvu.
  • Chiletsocho chimaphatikizaponso: nyama zakusuta, marinade, zipatso, msuzi wa nyama, mafuta ndi zonunkhira, muffin, chokoleti ndi tiyi wamphamvu.

Kutsatira malangizo a katswiri wa zakudya kumathandizira kuchepetsa kukula kwa miyala. Chakudyachi chimakhala ndikuchepetsa kuchuluka kwa zopatsa mphamvu, popeza kuti kudya kwambiri kumakulitsa katundu pazakudya zam'mimba ndipo ndikofunika kuti izi zisalolere, chifukwa izi zitha kulimbikitsa kuchoka kwa miyala ndikuyenda kwawo. Izi zidzapangitsa kuti matendawa achulukuke komanso azikhala zatsopano.

Kodi ma helminths amawoneka bwanji mwa anthu? Chithunzi cha mphutsi

3. Hookworms amakhudza duodenum 12. Mphutsi zimalowa pakhungu pakalumikizana ndi dothi, magazi amayenda ziwalo zonse zamkati, mapapu. Munthu amayamba kutsokomola mwamphamvu, limodzi ndi sputum, mphutsi kulowa mkati mwakudya. Pambuyo pakugonjetsedwa kwamitsempha yamagazi, nyongolotsiyo imalowetsa enzyme yapadera mkati mwake, yomwe imalepheretsa kuwonongeka kwa magazi.

4. Tizilombo tambiri tomwe timayenda mthupi lathunthu, munthu akameza mazira a tiziromboti limodzi ndi masamba osasamba, madzi osapsa. Onyamula mazira amatha kukhala ntchentche.

Zizindikiro za helminthiasis

Choopsa chachikulu cha kupunduka kwa helminthic ndikusakhalapo kwa nthawi yayitali kwa zizindikiro za matenda. Ndipo zizindikilo zikaonekera, amafanana ndi matenda ena wamba. Munthu amayamba kumwa mapiritsi a chifuwa, kutentha thupi, matumbo kapena kudzimbidwa, koma kudzipereka wekha sikumapereka zotsatirapo zabwino.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kunja, matenda ndi majeremusi amatha kuoneka ngati ziphuphu, seborrhea, ming'alu zidendene, kugwidwa m'makona amkamwa, papillomas. Mwa azimayi, amatha kupangitsa kuti azungu azitulutsa, pali zofunika kuti azimitsa thukuta, kusamba kumakhala kowawa komanso kosasangalatsa. Ndi kachilombo ka nthawi yayitali, fibromas, fibroids, mastopathy zimawonekera. Mwa amuna, helminthiases imatsogolera ku kusabala, prostatitis, ndi adenoma ya Prostate. Nyongolotsi zimadzetsa mapangidwe a mchenga ndi miyala (mwala wachilengedwe (dr.-rus)) mu impso ndi chikhodzodzo.

Zizindikiro (Chimodzi mwazizindikiro, kuwonetseredwa pafupipafupi kwa matenda, momwe zimakhalira kapena kuphwanya njira ya moyo) zoyipa zamunthu:

  • chimfine pafupipafupi, matenda opumira,
  • kutupa kosalekeza kwa kupuma dongosolo ndi paranasal sinuses,
  • kudzimbidwa, kutsegula m'mimba, kubala,
  • kupweteka kwa minofu ndi minyewa
  • kusinthasintha kwadzidzidzi kwa kulemera
  • chiwonetsero cha kuchepa magazi.

Ma granulomas ndi chizindikiro chodziwika bwino cha matenda. Mu zotupa izi, mazira owonongedwa amadziunjikira, amapanga pakhoma la matumbo, m'mapapu, chiwindi, ndi chiberekero. Poyerekeza ndi poyizoni wa tiziromboti, matenda a oncological amakula. Kuledzera kwambiri kumabweretsa matupi awo sagwirizana, urticaria, chikanga. Maganizo a munthu amasinthanso - nkhanza zimasinthidwa ndikusakhala ndi chidwi, kutopa kwakuthupi kumawonekera, komanso kuda nkhawa.

Chizindikiro chachikulu ndi nyongolotsi mu ndowe. Amatha kuwoneka mwakuwona kapena kupezeka pogwiritsa ntchito kusanthula kwapadera.

Ana ndi majeremusi

Nyongolotsi mwa ana zimapezeka zambiri kuposa akulu. Mwanayo amakoka manja akuda, zoseweretsa mkamwa mwake, amakonda kucheza ndi nyama, amasewera mumchenga ndi nthaka. Malinga ndi ziwerengero, mwana aliyense wachitatu yemwe amapita kusukulu yophunzitsira amakhala ndi helminths. Mu ana, nsungu, zozungulira, giardia ndi toxocar nthawi zambiri amapezeka.

Giardia ndi tiziromboti tating'ono tomwe timakhudza ngakhale akhanda. Ndi matenda, kutsegula m'mimba kwambiri kumayamba, kutentha thupi, kupweteka m'mimba kumawonekera. Makolo ambiri amati zizindikiritsozo zimawonekera chifukwa cha matenda am'matumbo, chithandizo sichimapereka zotsatira zomwe zimafunikira, helminthiasis imadutsa nthawi yayitali.

Toxocars amakhala m'thupi la amphaka ndi agalu, kupita kunja ndi ndowe. Mwana amatenga kachilombo akamasewera mu sandbox kapena pansi, atatha kulumikizana ndi nyama zapamsewu. Izi nyongolotsi zimawoneka ngati zingwe zoyera za makulidwe osiyanasiyana ndi kutalika. Chithunzi chachikulu chofotokozera za majeremusi chitha kugwiritsidwa ntchito ngati chida chowonekera mukamakambirana ndi mwana za kufunika kosamba m'manja mokwanira.

Zotsatira za matendawa ndizochulukira, kukwiya mosalekeza, kusayang'anira. Mwana amayamba kutopa msanga, mtundu wa kugona umakulabe. Chizindikiro chachikulu chomwe chimakuthandizani kuti muphunzire mokwanira za matenda ndikumayamwa, kupezeka kwa tiziromboti.

Kusenda kwa mano usiku sikuwonetsa kuti mwana akudwala matendawa.

Mimbulu ya Helminthic ndiyowopsa kwa mwana - matenda operewera amakula (Izi ndi zomwe zimachitika mthupi, zomwe zikuwonetsedwa pophwanya kayendedwe kabwino, moyo, komanso kuthekera kwake), chitetezo chamthupi chimasokonekera, pali zovuta ndi kulakalaka komanso kunenepa. Wodwala chikwapu, mwana amayamba kuchedwa kukula, kuchepa magazi m'thupi.

Popeza thupi laumunthu limatha kukhala ndi mitundu yoposa 200 ya helminth, palibe njira imodzi yothandizira. Mitundu yamakono yodziwitsa anthu imathandizira kudziwa molondola kuti ndi mphutsi ziti zomwe zimapezeka mthupi, zomwe zimaloleza kupereka mankhwala okwanira. Nthawi zambiri, mitundu yosiyanasiyana ya majeremusi imapezeka mwa anthu.

Magulu akulu a mankhwala:

1. Praziquantel, piperazine, pyrantel - mankhwala osokoneza bongo amalimbitsa thupi ndi minofu, tiziromboti timatuluka ndi ndowe,

2. Albendazole - amaphwanya njira zamkati za helminths, zomwe zimawatsogolera kuti afe,

3. Mebendazole - amalepheretsa kuyamwa kwa glucose ndi mphutsi, popanda zomwe amatha;

4. Levamisole ndi mankhwala ophatikiza omwe amasokoneza njira zamankhwala am'magazi ndipo amachititsa kuti ziwalo zina zife.

Mankhwala amakhudza okhawo achikulire, pokana mphutsi ndi mazira alibe mphamvu. Chifukwa chake, pakuchotsa kwathunthu ndikofunikira kuchita maphunziro angapo a antiparasitic.

Zilonda zam'mimba zimatha kuyambitsa matenda ambiri opatsirana - matenda opweteka kwambiri a m'mimba komanso kupuma, mavuto amanjenje, glaucoma, zotupa zamavuto osiyanasiyana. Kupewetsa matenda a helminth ndikosavuta - sambani m'manja nthawi zambiri, gwiritsani ntchito antibacterial mumsewu, mutani nyama ndi nsomba kuchiritsa kwambiri, musamamwe madzi osaphika, kuthira madzi owira pamasamba onse ndi zipatso, popanda kupatula.

Kusiya Ndemanga Yanu