Zizindikiro ndi mawonekedwe a mankhwala a edematous pancreatitis

Edematous pancreatitis imayendera limodzi ndi kutukusira ndi kudzikundikira kwa madzi mu danga komanso tinthu timene timatulutsa, koma sikuti kumabweretsa kuwonongeka kowononga.

Edematous pancreatitis imayendera limodzi ndi kutukusira ndi kudzikundikira kwa madzi m'danga komanso tinthu timene timatulutsidwa.

Vutoli limatha kubwezeretsa kwathunthu kapamba, koma m'njira yosavomerezeka imatha kulowa mu pancreatic necrosis. Kudziwona kwakanthawi zamatenda komanso chiyambi cha zovuta mankhwala amakupatsani mwayi obwezeretsa chimbudzi ndikuchepetsa chiopsezo chovuta kwambiri.

Zomwe zimachitika

Edema ya pancreatic minofu ndi kudzikundikira kwa madzimadzi m'matumbo am'mimba nthawi zambiri ndizotsatira zosiyanasiyana zoyipa zachilengedwe komanso zamkati.

Nthawi zambiri, michere yokugaya yomwe imapangidwa m'mimba imayenera kutulutsidwa mu duodenum, pomwe imayambitsa.

Njira yodabwitsayi imasokonezeka chifukwa cha zinthu zosiyanasiyana zoyipa.

Enzymes imayendetsedwa mu tiziwalo ta kapamba, kuchititsa kutupa ndi kukula kwa edema.

Zinthu zomwe zitha kupangitsa kuti matendawa azioneka ndi monga:

• kudya zakudya zamafuta ndi yokazinga,
• Kulandila mbale kokhala ndi zonunkhira zambiri zotentha,
• kugwiritsa ntchito mankhwala ena
• chakudya chochuluka pambuyo poti musala,
• kapangidwe kamwala,
• kumwa kwambiri mowa
• Poizoni thupi
• matenda
• kuvulala kwam'mimba.

Kuphatikiza apo, zovuta zam'magazi zomwe zimayendetsedwa ndi zovuta za metabolic zimatha kuyambitsa kapamba. Matenda a Autoimmune angathandizire kuwoneka kuti vutoli. Matenda a mahomoni amawonjezera chiopsezo chotukusira zotupa za England ndi kutupa kwa ziwalo za chiwalo.

Matenda am'mimba amatha kupweteketsa kapamba, kuphatikizapo cholecystitis, gastritis, hepatitis, etc. Nthawi zina, zotupa zotupa ndi edema ya tiziwalo timene timatulutsa timayimwira motsutsana ndi maziko a kuledzera kwa thupi pakapangidwa chotupa chowopsa.

Zimathandizira pakukula kwa edematous pancreatitis traum pamimba.

Mitundu yovuta kwambiri ya kapamba wam'mimba imayendera limodzi ndi kuwoneka kwa zizindikiro zingapo zodziwika bwino zakudziko. Zizindikiro zamatenda zimatuluka kwambiri motsutsana ndi kumbuyo kwa mphamvu ya zinthu zoyipa.

Chizindikiro chodziwika bwino cha kapamba ndi kupweteka kwambiri.

Pa palpation pamimba, kusapeza komanso kusasangalala kumawonjezeka. Kuphatikiza apo, matenda am'mimba, otchulidwa monga:

• akukumbutsa
• ukufalikira,
• kubwatula
• hiccups
• chisangalalo
• kutsegula m'mimba.

Kudya mu nthawi yovuta kwambiri ya matenda am'mimba kumayambitsa matenda ambiri am'thupi. Munthu amakhala ndi zizindikiro zakusowa madzi m'thupi. Ndi kapamba, Zizindikiro za kuledzera kwapafupipafupi.

Ndi kapamba, Zizindikiro za kuledzera kwapafupipafupi zimatchulidwa ngati mutu.

Wodwala atha kukhala ndi zodandaula za:

• mutu
• kufooka
• kuchepa kwa magwiridwe
• chizungulire
• kudumphira m'magazi,
• malungo
• zosokoneza tulo
• kusakhazikika.

Khungu limatha kukhala imvi. Kutukwana kumachuluka. Muzovuta kwambiri, mawonekedwe a edema a m'munsi am'munsi amawonedwa. Khungu pamiyendo likhoza kupindika. Wodwala pakati pa chitukuko cha kapamba amayamba kuonda msanga.

Zizindikiro

Ngati pali zizindikiro za pancreatitis pachimake, wodwalayo ayenera kupita kuchipatala kuti akakambirane ndi gastroenterologist.

Ultrasound yam'mimbamo yam'mimba imakuthandizani kuti muwone mtundu wa kuwonongeka kwa tiziwalo timene timatulutsa timitsempha, ndulu, chiwindi ndi m'mimba.

Pambuyo pochita mbiri yakale ndi kuyesedwa kwakunja, maphunziro amalembedwa kuti ayese mkhalidwe wa gland. Ultrasound yam'mimba ziwalo zambiri zotchulidwa. Kafukufukuyu amakupatsani mwayi kuti muwone mtundu wa kuwonongeka kwa minyewa ya ndulu, milomo, chiwindi ndi m'mimba.

Kuphatikiza apo, ultrasound imapangitsa kuti izindikire kusintha kwamapangidwe amtundu ndi malo odzazidwa ndi madzi.

Nthawi zambiri ankachita CT kapena MRI. Izi zimatha kungodziwa mtundu wa matenda. Nthawi zambiri, pamene zizindikiro za matenda amtunduwu zikuwonekera, radiology imalembedwa. Kuphatikiza apo, pamene zizindikiro za kusokonezeka kwa magazi zimachitika, angiography nthawi zambiri imaloledwa.

Chofunikira kwambiri pakuwonetsetsa kuti matenda anu ndiwotani? Kuyesedwa kwa magazi konsekonse mu pathological iyi kumakupatsani mwayi wowona kuchuluka kwa ESR, kuchuluka kwa maselo oyera.

Kuyesedwa kwa magazi kumakupatsani mwayi wowona kuchuluka kwa ESR, komanso kuchuluka kwa maselo oyera.

Mukamachita biochemistry yamagazi, chizindikiro chododometsa ndikuchepa kwa calcium, chifukwa izi zikuwonetsa kuwonongeka kwa necrotic. Kuphatikiza apo, kafukufukuyu amakupatsani mwayi kudziwa ndi pancreatitis kuchuluka kwa kuchuluka kwa lipase, trypsin ndi amylase.

Mukamayang'ana mkodzo, pancreatitis ya pachimake imatha kuwonetsa kuchuluka kwa amylase. Nthawi zambiri chopondapo chimatengedwa kuti chimveke bwino bwino za elastase.

Chithandizo cha kapamba chimachitika ndi njira zosakhazikika. Choyamba, zakudya zapadera zimaperekedwa kwa wodwala.

Zakudya zopatsa mphamvu zimaphatikizidwa ndi njira zamchere ndi madzi amchere.

Pambuyo pokhazikika, mankhwala angapo amagwiritsidwa ntchito kuti abwezeretse England. Kuthandizira opaleshoni kumayikidwa pokhapokha ngati chithandizo cha Conservative sichikupereka zotsatira zabwino ndipo wodwalayo ali ndi zizindikiro za zovuta zomwe zimawopseza moyo wa wodwalayo.

Kuchitapo kanthu kwa opaleshoni kumayikidwa ngati chithandizo cha Conservative sichimapereka zotsatira zabwino.

Mfundo zoyambirira zamankhwala osokoneza bongo

Mankhwala osankhidwa bwino amatha kuthetsa chiwonetsero cha kapamba. Mankhwala ambiri amagwiritsidwa ntchito ngati ma dropers. Pofuna kuthetsa kupweteka kwambiri, mankhwala omwe ali m'gulu la antispasmodics ndi mankhwala, kuphatikizapo:

Mankhwala nthawi zambiri amabweretsedwa mu njira zamankhwala zomwe zimathandizira kuchepetsa kubisalira kwa michere ya gland. Ndalama zamtunduwu, zomwe zimagwiritsidwa ntchito kwambiri pancreatitis yayikulu, zimaphatikizapo:

The Contrakal ya mankhwala nthawi zambiri imalowetsedwa mu regimen yothandizira, yomwe imathandizira kuchepetsa kubisika kwa michere.

Ma antacid nthawi zambiri amapatsidwa. Mankhwala omwe ali mgululi amatha kusokoneza hydrochloric acid wopangidwa m'mimba. Nthawi zambiri zotchulidwa:

Ma blockers a N-2 histamine receptors amalowetsedwa mu scheme ya terrarium. Pa ndalama zamtunduwu zikuphatikizapo Atzilok, Kvamatel, Blockacid. Nthawi zina, ndikumva kupweteka kwambiri, mankhwala opweteka a narcotic amatha kuperekedwa, kuphatikiza Moradol ndi Tramadol. Ndalama izi zitha kugwiritsidwa ntchito pokhapokha ngati wodwala akalandira chithandizo kuchipatala.

Kuwongolera mkhalidwe wambiri ndi kuthetsa kuledzera, chithandizo cha kulowetsedwa chofunikira. Nthawi zambiri amagwiritsa ntchito yankho la Ringer, mchere, Trisol ndi Quartasol. Mankhwala aliwonse angagwiritsidwe ntchito pokhapokha ngati dokotala akufotokozera.

Ma blockers a N-2 histamine receptors amalowetsedwa mu scheme ya terrarium. Mtundu wa mankhwalawa umaphatikizapo mankhwala a Kvamatel.

Njira zamankhwala achikhalidwe

Kugwiritsa ntchito mankhwala azitsamba osiyanasiyana amakupatsani mwayi kuti muchepetse mawonekedwe a edematous pancreatitis. Mutha kugwiritsa ntchito mankhwala azikhalidwe pokhapokha akutsimikizirani ndi dokotala.

A decoction yozikidwa pamaluwa a chamomile, chowawa chowawa ndi chosafa chingakhale chopindulitsa kwambiri. Zomera zonse ziyenera kumwedwa molingana. Pafupifupi supuni 1 Kutola kwathunthu muyenera kuthira 0,5 malita a madzi otentha. Wiritsani malonda kwa mphindi 3-5. Msuzi uyenera kusefedwa ndikuthiramo 0,5 makapu 4-5 pa tsiku.

Phindu lalikulu limatha kubweretsa decoction, yomwe imaphatikizapo elecampane, timbewu ndi chingwe.

Zomera zonse zofunikira ziyenera kusakanikirana chimodzimodzi. Pafupifupi ma supuni awiri kusonkhanitsa kutsanulira 250 ml ya madzi. Mankhwala ayenera kuwiritsa kwa mphindi 5, ndiye kupsyinjika. Tengani zikuchokera ayenera kukhala 50 ml katatu patsiku.

Kuti muthane ndi mawonetsedwe a edematous pancreatitis, mutha kugwiritsa ntchito msuzi wa mbatata watsopano. Kuti mukonzekere bwino, muzimutsuka ndi kupukusa mbewu zabwino zitatu.

Kuti muthane ndi mawonetsedwe a edematous pancreatitis, mutha kugwiritsa ntchito msuzi wa mbatata watsopano.

Ayenera kudutsidwa ndi chopukusira nyama. Zomwe zimachitika zamkati zimayenera kumizidwa kuti zithe. Madzi amayenera kudyedwa katatu patsiku. Pa chakudya chilichonse, konzekerani mwatsopano madzi a mbatata.

Mankhwala a edematous pancreatitis, mankhwala oatmeal odzola angagwiritsidwe ntchito.

Kuti mukonzekere, muyenera kutsuka mafuta okwana 200 g ndikusiyira kuti mupatse tsiku limodzi. Pambuyo pake, madziwo amatsanulidwa, ndipo njereyo imayimitsidwa ndikuiphwanya ndikukhala ufa. Okonzeka ufa wa oat amadzipaka ndi madzi otentha ndikuwiritsa kwa mphindi 10. Kissel adadzazidwa kwa mphindi 15-20. Chomalizidwa chimasanjidwa ndikuwakhomerera kuchipinda kutentha. Muyenera kumwa oatmeal jelly mukangophika. Njira ya mankhwala osachepera milungu iwiri.

Opaleshoni

Woopsa, wodwalayo amafuna kuchipatala kuchipatala. Nthawi zambiri pamachitika opaleshoni yomwe imaphatikizapo kuchotsa gawo lowonongeka la chiwalo. Pamaso pa zotupa ndi ma cysts, njira yotsitsirira madzi imachitika.

Chofunikira kwambiri pakuchira msanga pambuyo povutitsidwa ndi edematous pancreatitis ndichakudya chapadera. Kwa pafupifupi masiku 1-2, muyenera kukana kudya zakudya.

Pambuyo kuukira kwa kapamba kwa masiku 1-2, muyenera kukana chakudya.

M'tsogolomu, zakudya ziyenera kukhala zopangika ndipo zimangophatikizapo zinthu zomwe zimagwiritsa ntchito bwino kugaya ndikuchepetsa katundu pa gland. Munthawi imeneyi, kugwiritsa ntchito:

• buledi wowuma
• ma cookies a biscuit
• nsomba zamafuta ochepa ndi nyama,
• zopangidwa mkaka,
• supu zamasamba
• zipatso zophika
• phala
• msuzi wa rosehip,
• wokondedwa
• amateteza.

Zimafunikira kupatula zakudya zamafuta, zakumwa zoziziritsa kukhosi ndi zakumwa zoledzeretsa, chakudya mwachangu, mbale zomwe zimakhala ndi zonunkhira zambiri. Simuyenera kudya nsomba zodzadza ndi msuzi wa nyama, nyama zosuta, mazira, tiyi wamphamvu ndi khofi, msuzi wa phwetekere, etc.

Wodwala sayenera kudya madzi a phwetekere.

Kukula kwa oncology

Kutupa kwa tiziwalo timene timapangitsa kuti zinthu ziwonekere. Mitundu yamtundu uliwonse wa zotupa zopanda mphamvu zomwe zimapezeka m'mapapo amachitika mwankhanza kwambiri, chifukwa chake zili ndi chiphunzitso chovuta kupulumuka.

Nthawi zina, motsutsana ndi edematous pancreatitis, zotupa za ziwalo za munthu zimayang'aniridwa ndi necrosis. M'madera okhudzidwa ndimatumbo, kayendedwe ka magazi kamasokonezedwa ndipo kufa kwa minofu kumawonedwa. Izi zimabweretsa kuwonjezeka kwa zizindikiro za kuledzera kwa thupi ndi kuphwanya ntchito zachinsinsi za mkati ndi mkati.

Ngati matendawa akakhala osavomerezeka, mtsogolomo, malo owonongeka amachiritsa palokha, koma mafupa am'mimba amtundu wawo amakhala m'malo awo. Izi zingayambitse kupunduka kwa pancreatic. Munthawi yoyipa, chiwalo chonse chitha kukhudzidwa.

Nthawi zambiri, motsutsana ndi maziko a kuwonongeka kwa necrotic, malo opanda kanthu amapangika mu minofu ya chiwalo, yomwe imadzazidwa ndi madzi.

Kupanga ma cysts kumayambitsa kukakamira kwa zimakhala zowazungulira, kuchepetsa mphamvu yawo yogwira ntchito zawo.

M'mikhalidwe yovuta, cysts imatha kutsogola kukula kwa zovuta. Ngati kachilombo kamaphatikizika, zolakwika zopanda pakezo zimatha kukhala matumba.

Kodi imfa ndiyotheka?

Woopsa milandu, kutupa kwa pancreatic minofu kungayambitse kulimbalimba kwa chiwalochi. Ndi chitukuko cha mavuto motsutsana edematous kapamba, mkulu Mwina.

Odwala omwe ali ndi matendawa amakumana ndi mavuto osiyanasiyana, amatulutsidwa m'mimba. The yogwira mawonekedwe a pachimake kapamba amafuna chithandizo chindoko, chithandizo koyambirira. Matendawa amatha kuyambitsa zovuta zambiri zomwe zimawopseza thanzi komanso moyo wa wodwalayo. Chithandizo cha matenda a pathology chimaphatikizapo kugwiritsa ntchito mankhwala ndi mitundu ina ya mankhwala, kusala komanso kudya.

Kodi yogwira pancreatitis ndi chiyani?

Matendawa ndi aseptic process of kutupa omwe amapezeka m'mapapo. The zikamera yogwira mawonekedwe a pachimake kapamba zimagwirizana ndi pathologies a m'mimba dongosolo ndi ziwalo zina. Matendawa amadziwika ndi kuchepa kwa kuopsa kwa Zizindikiro atayamba kulandira chithandizo munthawi yake. Mawonetsedwe azachipatala a matenda am'mimba ndi kupweteka, kutentha kwa pamtima, kusanza ndi mseru, kuledzera. Zizindikiro zoyambirira zikaonekera, matendawa amayenera kuwonekera msanga ndipo chithandizo chimayamba.

Matenda a pancreatitis omwe amagwira ntchito amapezeka mwa amuna nthawi zambiri kuposa akazi. Ziwerengero zoterezi zimafotokozedwa ndikuti kugonana kwamphamvu kumatha kumwa zakumwa zoledzeretsa komanso zakudya zamafuta. Izi zimadzetsa kuchuluka kwa kukakamiza mu duodenum, kukulira kwa kutulutsa madzi a pancreatic. Zinthu zotsatirazi zingakhudze kuchitika kwa chiwopsezo cha kapamba:

• kuvulala kwam'mimba, komwe kumayendetsedwa ndi kupindika kwa pancreatic parenchyma,
• zizolowezi zoipa (kusuta, uchidakwa, kudya kwambiri),
• pafupipafupi mavuto obwera chifukwa chopsinja thupi,
• kugwiritsa ntchito mankhwala kwa nthawi yayitali (mankhwala osapweteka a antiidal, mahomoni, metronidazole),
• kudya kwambiri okazinga, mafuta, kusuta, zakudya zonunkhira, zakumwa zokoma za kaboni.

Mwa odwala ena, mawonekedwe a kapamba amayamba chifukwa cha zina zatsitsi. Kuukira kumatha kuchitika chifukwa cha matenda okhudza matumbo:

• aakulu cholecystitis,
• helminthiasis,
• matenda a chiwindi,
• zilonda zam'mimba, gastritis,
• matenda a chiwindi,
• poyizoni wazakudya
• gastroduodenitis motsutsana cholelithiasis,
• gallbladder dyskinesia,
• matenda a ndulu, kusokonekera kwa kapamba wa pancreatic.

Chizindikiro chachikulu cha yogwira pancreatitis ndi kupweteka kwambiri. Kukhazikika kwake kumathandizira kudziwa kuti ndi gawo liti la kapamba lomwe latupa. Ululu mu hypochondrium yoyenera imawonetsa matenda amutu wa chiwalo. Ndi malingaliro osasangalatsa mu epigastric zone, ziyenera kuganiziridwa kuti thupi la kapamba limakhudzidwa. Ngati ululu umapezeka kumtundu wa hypochondrium wamanzere, mchira wa gland umawonongeka. Chiwalo chonse chitha kupsa: motere, wodwalayo amamva kupweteka m'chiuno.

Pancreatitis imatha kuwoneka pofufuza momwe wodwalayo alili. Matendawa amadziwonetsera kudzera mu izi:

• kupuma movutikira
• kupweteka kwa hypochondrium kapena m'mimba,
• paroxysmal nseru ndi kumasulidwa kwa bile ndi ntchofu,
• kuzizira ndi matenda oopsa,
• m'mimba kukokana
• kufalikira ndi chisangalalo,
• thukuta lakumamatira
• kuchuluka kwamatumbo ndi kukodza,
• kubwatula
• kutentha kwa mtima.

Mavuto

Pachimake edematous kapamba nthawi zambiri limachitika popanda zotsatira.Komabe, popanda vuto linalake, pamakhala zovuta zina zomwe zingayambitse malungo.

Kukula kwa oncology

Kutupa kwa tiziwalo timene timapangitsa kuti zinthu ziwonekere. Mitundu yamtundu uliwonse wa zotupa zopanda mphamvu zomwe zimapezeka m'mapapo amachitika mwankhanza kwambiri, chifukwa chake zili ndi chiphunzitso chovuta kupulumuka.

Nthawi zina, motsutsana ndi edematous pancreatitis, zotupa za ziwalo za munthu zimayang'aniridwa ndi necrosis. M'madera okhudzidwa ndimatumbo, kayendedwe ka magazi kamasokonezedwa ndipo kufa kwa minofu kumawonedwa. Izi zimabweretsa kuwonjezeka kwa zizindikiro za kuledzera kwa thupi ndi kuphwanya ntchito zachinsinsi za mkati ndi mkati.

Ngati matendawa akakhala osavomerezeka, mtsogolomo, malo owonongeka amachiritsa palokha, koma mafupa am'mimba amtundu wawo amakhala m'malo awo. Izi zingayambitse kupunduka kwa pancreatic. Munthawi yoyipa, chiwalo chonse chitha kukhudzidwa.

Nthawi zambiri, motsutsana ndi maziko a kuwonongeka kwa necrotic, malo opanda kanthu amapangika mu minofu ya chiwalo, yomwe imadzazidwa ndi madzi.

Kupanga ma cysts kumayambitsa kukakamira kwa zimakhala zowazungulira, kuchepetsa mphamvu yawo yogwira ntchito zawo.

M'mikhalidwe yovuta, cysts imatha kutsogola kukula kwa zovuta. Ngati kachilombo kamaphatikizika, zolakwika zopanda pakezo zimatha kukhala matumba.

Kodi imfa ndiyotheka?

Woopsa milandu, kutupa kwa pancreatic minofu kungayambitse kulimbalimba kwa chiwalochi. Ndi chitukuko cha mavuto motsutsana edematous kapamba, mkulu Mwina.

Odwala omwe ali ndi matendawa amakumana ndi mavuto osiyanasiyana, amatulutsidwa m'mimba. The yogwira mawonekedwe a pachimake kapamba amafuna chithandizo chindoko, chithandizo koyambirira. Matendawa amatha kuyambitsa zovuta zambiri zomwe zimawopseza thanzi komanso moyo wa wodwalayo. Chithandizo cha matenda a pathology chimaphatikizapo kugwiritsa ntchito mankhwala ndi mitundu ina ya mankhwala, kusala komanso kudya.

Kodi yogwira pancreatitis ndi chiyani?

Matendawa ndi aseptic process of kutupa omwe amapezeka m'mapapo. The zikamera yogwira mawonekedwe a pachimake kapamba zimagwirizana ndi pathologies a m'mimba dongosolo ndi ziwalo zina. Matendawa amadziwika ndi kuchepa kwa kuopsa kwa Zizindikiro atayamba kulandira chithandizo munthawi yake. Mawonetsedwe azachipatala a matenda am'mimba ndi kupweteka, kutentha kwa pamtima, kusanza ndi mseru, kuledzera. Zizindikiro zoyambirira zikaonekera, matendawa amayenera kuwonekera msanga ndipo chithandizo chimayamba.

Matenda a pancreatitis omwe amagwira ntchito amapezeka mwa amuna nthawi zambiri kuposa akazi. Ziwerengero zoterezi zimafotokozedwa ndikuti kugonana kwamphamvu kumatha kumwa zakumwa zoledzeretsa komanso zakudya zamafuta. Izi zimadzetsa kuchuluka kwa kukakamiza mu duodenum, kukulira kwa kutulutsa madzi a pancreatic. Zinthu zotsatirazi zingakhudze kuchitika kwa chiwopsezo cha kapamba:

• kuvulala kwam'mimba, komwe kumayendetsedwa ndi kupindika kwa pancreatic parenchyma,
• zizolowezi zoipa (kusuta, uchidakwa, kudya kwambiri),
• pafupipafupi mavuto obwera chifukwa chopsinja thupi,
• kugwiritsa ntchito mankhwala kwa nthawi yayitali (mankhwala osapweteka a antiidal, mahomoni, metronidazole),
• kudya kwambiri okazinga, mafuta, kusuta, zakudya zonunkhira, zakumwa zokoma za kaboni.

Mwa odwala ena, mawonekedwe a kapamba amayamba chifukwa cha zina zatsitsi. Kuukira kumatha kuchitika chifukwa cha matenda okhudza matumbo:

• aakulu cholecystitis,
• helminthiasis,
• matenda a chiwindi,
• zilonda zam'mimba, gastritis,
• matenda a chiwindi,
• poyizoni wazakudya
• gastroduodenitis motsutsana cholelithiasis,
• gallbladder dyskinesia,
• matenda a ndulu, kusokonekera kwa kapamba wa pancreatic.

Chizindikiro chachikulu cha yogwira pancreatitis ndi kupweteka kwambiri. Kukhazikika kwake kumathandizira kudziwa kuti ndi gawo liti la kapamba lomwe latupa. Ululu mu hypochondrium yoyenera imawonetsa matenda amutu wa chiwalo. Ndi malingaliro osasangalatsa mu epigastric zone, ziyenera kuganiziridwa kuti thupi la kapamba limakhudzidwa. Ngati ululu umapezeka kumtundu wa hypochondrium wamanzere, mchira wa gland umawonongeka. Chiwalo chonse chitha kupsa: motere, wodwalayo amamva kupweteka m'chiuno.

Pancreatitis imatha kuwoneka pofufuza momwe wodwalayo alili. Matendawa amadziwonetsera kudzera mu izi:

• kupuma movutikira
• kupweteka kwa hypochondrium kapena m'mimba,
• paroxysmal nseru ndi kumasulidwa kwa bile ndi ntchofu,
• kuzizira ndi matenda oopsa,
• m'mimba kukokana
• kufalikira ndi chisangalalo,
• thukuta lakumamatira
• kuchuluka kwamatumbo ndi kukodza,
• kubwatula
• kutentha kwa mtima.

Mavuto

Ngati yogwira pancreatitis imatsimikiziridwa ndi matendawa, wodwalayo amafunika chithandizo chamankhwala, apo ayi matendawa amatha kukhala osachiritsika. Kukula kwa matendawa kumawopseza munthu ndi zovuta zake, mpaka zotsatira zakupha. Ngati sanachiritsidwe, kapamba owononga kwambiri amachititsa zotsatirazi:

• kutupa kwa peritoneum,
• fistulas of pancreatic genesis,
• endotoxin mantha,
• zotupa,
• phlegmon kapena abscess,
• kusintha kwa necrotic m'malo a ziwalo zoyandikana.

Reactive Pancreatitis Chithandizo

Therapy ya pachimake yogwira pancreatitis umalimbana kuthetsa kutupa, kapamba edema, kuledzera. Chofunikira kwambiri pakuchiritsa bwino ndikuchotsa matenda omwe amayambitsa. M'nthawi ya masiku atatu ndi atatu, odwala ayenera kumwa mankhwala azitsamba othana ndi kutupa ndi madzi. Ndi kofatsa maphunziro a pancreatitis pachimake, kudya mosamalitsa kumawonetsedwa, kumachepetsa zomwe zili ndimafuta ndi mapuloteni muzakudya, koma olemera omwe amapatsa mphamvu. Njira za Endoscopic zimagwiritsidwa ntchito ngati matendawa amakumana ndi maziko a cholelithiasis.

Maziko a chithandizo ndi mankhwala. Ndi kapamba, mitundu yotsatirayi ya mankhwala imayikidwa:

• michere ya pancreatic (Pancreatin, Mezim, Creon, Panzinorm),
• painkiller - analgesics, mankhwala osapweteka a antiidal - Diclofenac, Ibuprofen),
• antispasmodics (No-shpa, Papaverine),
• carminative (Espumisan),
• maantibayotiki (Gentamicin, Ampioks).

Therapy iyenera kuyamba pomwe, kutsatira mosamalitsa malangizo a dokotala. Sizoletsedwa kugwiritsa ntchito morphine pochizira, chifukwa zimayambitsa kuphipha kwa duodenal papilla yayikulu. Mankhwala omwe amakonda kutumizidwa:

• Mezim - adapangidwa kuti apange kusowa kwa michere ya kapamba. Kuphatikizika kwa mankhwalawa kumayimiriridwa ndi pancreatin - ufa womwe umapezeka kuchokera kapamba wa nkhumba. Mezim akuwonetsedwa ndi zizindikiro za dyspeptic, kugwiritsa ntchito zakudya zolemetsa kapena atypical, matenda omwe amayendetsedwa ndi kusakwanira katulutsidwe ka michere ya m'mimba, komanso zovuta zamagulu am'mimba. Mankhwala amagwiritsidwa ntchito kukonzekeretsa wodwala mayeso ozindikira. Mankhwalawa amalimbana ndi kupindika, kufinya, kutentha pang'ono, nseru, kusefukira. Mezim ali osavomerezeka chifukwa cha kukokomeza kapamba, matumbo kutsekeka chifukwa cha makina kutsekeka, hypersensitivity zigawo zikuluzikulu. Zotsatira zoyipa zimatha kuwonetsedwa ndi matenda otsekula m'mimba, nseru, kufooka, bronchospasm, zotupa pakhungu, ndi khungu. Ana okalamba kuposa zaka zitatu ndi akulu ayenera kumwa mapiritsi 1-2 ndi chakudya, kumwa kapu yamadzi. Kutalika kwa maphunzirowa kukhazikitsidwa payokha kutengera zotsatira za kafukufuku.
• Creon - mankhwala omwe amagwiritsidwa ntchito pokonzanso chimbudzi, monga mankhwala ochiritsira kuperewera kwa mapira. Zomwe zimagwiritsidwa ntchito ndi pancreatin. Creon akuwonetsedwa kwa chifuwa cham'mimba, cystic fibrosis, kutsekeka kwa mapindikidwe am'mimba omwe amayamba chifukwa cha neoplasms, khansa ya kapamba. Mankhwala amalembedwa pancreatectomy, pang'ono mbali yam'mimba, kwathunthu gastroectomy. Ubwino wa Creon ndizofunikira kwambiri, zomwe zikuwonetsedwa pakupanga chimbudzi cha mbale zolemera. Ndemanga za kupezeka kwa zoyipa ndizosowa. Sizoletsedwa kupatsa Creon ndi pancreatitis yapachaka, kupezeka kwa chidwi ndi mankhwalawa. Zotsatira zoyipa zimawonekera mu mawonekedwe osakhazikika m'matumbo am'mimba, chifuwa, nseru, kudzimbidwa, kutsegula m'mimba. Pa magawo oyambirira a mankhwalawa, Creon amapatsidwa mankhwala okwanira 10,000-25,000. Tengani mankhwalawo mkati, pang'ono pokha musanadye, ena - ndi chakudya. Mapiritsiwo amatsukidwa ndi madzi. Mlingo wa nthawi komanso nthawi ya maphunzirowa imayikidwa payekhapayekha.
• Espumisan ndizopweteka zomwe zimachepetsa nkhawa zamafuta am'madzi. Chosakaniza chophatikizira m'mapiritsi ndi simethicone. Ubwino wa mankhwalawa umaphatikizira kukhathamiritsa, kuthekera kwa kusiyanasiyana. Ana a zaka zopitilira 6 ndi akulu omwe amapatsidwa 2 makapisozi a Espumisan 3-5 nthawi / tsiku. Mankhwalawa ayenera kumwedwa atatha kudya ndi madzi ochepa. Kugwiritsa ntchito mankhwalawo ndizoletsedwa ngati matumbo amatsekemera, kuchepa mphamvu kwa zigawo zikuluzikulu, kupweteka kwa m'mimba thirakiti. Zotsatira zoyipa ndizosowa, zimawonetsedwa ndi zochita zoyipa.
• Gentamicin ndi anti-virus wampweya wodziwika bwino. Mankhwala amafesedwa m'njira zingapo: ufa, madontho amaso, yankho, aerosol, mafuta. Chosakaniza chophatikizacho ndi gentamicin sulfate. Pancreatitis, mankhwala othandizira amasonyezedwa mu nthawi yovuta kwambiri. Gentamicin amalembera peritonitis, cystitis, pyelonephritis ndi matenda ena. Njira yothetsera vutoli imayendetsedwa intramuscularly pa 120-160 mg 1 nthawi / tsiku. Njira ya mankhwala ndi masiku 7-10. Contraindous kugwiritsa ntchito mankhwalawa ndi: mbiri ya ziwengo, uremia, pakati, kuyamwa, kwambiri kuwonongeka kwa impso, ndi makutu a mitsempha ya mitsempha. Gentamicin ili ndi mndandanda waukulu wazotsatira zoyipa zomwe zimakhudza magulu osiyanasiyana amthupi.
• Ibuprofen ndi analgesic, odana ndi kutupa. Amagwiritsidwa ntchito pothandizira ululu, kutentha. Mankhwalawa akuphatikizidwa pamndandanda wamankhwala ofunikira ndi World Health Organisation. Ndi kapamba, kuyeserera kumayikidwa ngati mankhwala oletsa kupweteka. Akuluakulu ndi ana opitirira zaka 12 akulimbikitsidwa kumwa mapiritsi atatu / tsiku ndi madzi. Chithandizo chikuyenera kuchitika pambuyo chakudya. Mankhwalawa ali contraindicated kwa zilonda zam'mimba komanso kukokoloka kwa m'mimba, gawo la impso, aimpso ndi kwa chiwindi kuchepa, hypersensitivity, mochedwa. Mapiritsi ali ndi mndandanda waukulu wazotsatira zoyipa (chiwopsezo cha mtima, kuchepa kwa makutu, kuwonongeka kwa mawonekedwe, kuyatsidwa kwa maso, tachycardia, kuthamanga kwa magazi, kugwidwa ndi matupi awo).

Zakudya zopatsa thanzi mu pancreatitis yogwira mtima ndi imodzi mwazinthu zazikulu zothandizira bwino. Zakudya za wodwala siziyenera kukhala ndi zidutswa zoondera. Zakudya zonse zimalimbikitsidwa kuti ziperekedwe kwa wodwala yemwe wakazidwa. Chakudya sichiyenera kuzizira kapena kutentha. Kuti mupewe kapamba, muyenera kutsatira malamulo angapo opatsa thanzi:

1. Kuphatikizika pakati pa chakudya kumalimbikitsidwa kuti muchepe.
2. Sankhani zakudya zabwino komanso zopatsa thanzi.
3. Chepetsani kumwa kwanu.
4. Dulani kaye mafuta azakudya, okazinga.
5. Osadzilimbitsa, pa chizindikiro choyamba cha matenda, funsani katswiri.

Zakudya zoyenera za kapamba zimathandiza kuchepetsa mwayi obwereranso. Zovomerezeka ndi zoletsedwa zalembedwa pagome:

Zomwe zimathandizira pakukula kwa matendawa

Pachimake edematous kapamba ndi gawo la matenda oyambitsidwa ndi zinthu zakunja.

Zomwe zimayambitsa kukula kwa matendawa zimadziwika kwa aliyense, koma nthawi imodzimodzi, si aliyense amene angathe kuwathetsa. Pa mndandanda wa zifukwa zofala komanso zoyenera, titha kusiyanitsa:

• kugwiritsa ntchito mankhwala oopsa kwa nthawi yayitali,
• kupezeka kwa chakudya cha mafuta ophika tsiku ndi tsiku, komanso mafuta ochulukirapo,
• kukana kwambiri mfundo za zakudya,
• kudya kwambiri, komwe kunayambitsidwa ndi zoletsa zina pazakudya,
• kudya zakudya zachilendo zomwe sizigayidwa bwino ndi thupi;
• uchidakwa
• Kumwa mwangozi kapena mwangozi zinthu zapoizoni (mowa wa methyl kapena viniga).

Mitundu ya edematous ya pancreatitis pachimake ilibe ma microfial, yomwe imaperekedwa mwa mawonekedwe a purulent maluwa, chifukwa chomwe mulingo wazomwe matendawa amakhudzira minofu ya pancreatic ndi wocheperako.

Nthawi zambiri, matendawa amatuluka, mosasamala kanthu za kuchuluka kwa kutupira, satsatiridwa ndi njira za dystrophic komanso necrotic, zomwe zingayambitse mavuto osasintha.

Choyipa chachikulu chomwe chimachitika pakakonzedwe ka matenda pamatenda ndi kuphwanya kuchotseredwa kwachilengedwe kwa zinsinsi zam'mimba, kusintha kwa m'mimba mwa pancreatic duct.

Vesi la njirazi limasokoneza magwiridwe antchito amomwe amayamba a kapamba. Kutalika kwa nthawi yayitali kwa matendawa popanda kulandira chithandizo chokwanira kumatha kubweretsa mfundo yoti michere yothinikizidwa kwambiri yomwe imapangidwa ndi kapamba imalowa mkati mwa zigawo, ndikuziyambitsa kudzimbidwa kwa chiwalo.

Chifukwa cha kuzindikira kwa nthawi komanso kuzindikira kwa matendawa, wodwalayo amalandila chithandizo chofunikira, chomwe, chimapewe ambiri omwe amabwera chifukwa cha matendawa.

Zizindikiro ndi mawonekedwe a matendawa

Mbiri ya matendawa "matenda oopsa a pancreatitis", monga matenda amakono ambiri, ali ndi zaka masauzande ambiri. Nthawi zonse, anthu akumanapo ndi vuto la vuto la kuperewera kwa kapamba, lomwe limawonetsedwa ndi zofanana ndi zomwe zikuchitika masiku ano.

Akatswiri amakono amatenga ngati maziko monga momwe zigawo zimagawidwira ndi zikhalidwe zawo wamba komanso wamba.

1. Zizindikiro zina zimaphatikizira kupweteka, kusasangalala, komanso kuwonongeka mu mawonekedwe a thupi, omwe nthawi zambiri samatchulidwa kwambiri, ndipo zikuoneka kuti akulakwitsa chifukwa cha zizindikiro za matenda ena ndipo sakuponderezedwa.
2. Zizindikiro za chikhalidwe chakumaloko zimaperekedwa mwa mitundu yazizindikiro zingapo zomwe zapezeka pakufufuzidwa ndi katswiri. Kukhalapo kwa zizindikiro zotere, zomwe zikukula motsata maziko am'mawu olondola, kumakupatsani mwayi wowunika bwino chithunzi chachipatala ndikupereka chithandizo choyenera.

Malinga ndi zisonyezo zake, edema ya kapamba yomwe imayamba chifukwa cha kapamba imakhala ngati njira zina zotupa zomwe zimakhudza kapamba, koma zimafotokozedwa mwa mawonekedwe ofooka. Zizindikiro zazikulu za kapamba ndi izi:

• kupweteka ndi kusasangalala pamimba,
• kusisita ndi mseru
• mavuto ndi chopondapo tsiku ndi tsiku.

Ululu wammbuyo

Ululu ndiwokhawokha komwe kumawonetsera matendawa, kotero njira yodziwira vutoli panthawi yake imakhudzana ndi zovuta zina zomwe zimakhalapo chifukwa odwala samakonda kupeza chithandizo chamankhwala.

Ululu wofowoka umakulitsidwa chifukwa cha zinthu zowonongeka ndi zovuta za thupi, komanso pakusintha mawonekedwe amthupi kuchokera mbali mbali ina.

Chizindikiro chimodzi chofunikira chomwe chikuwonetsa vuto lalikulu ndikumva kuwawa kwambiri poyesa kugona kumbuyo kwanu.

Popeza kutengera kwa yotupa njira, ululu limakhazikika mu chapamwamba m'mimba. Nthawi zina, ululu umatha kuwoneka m'munsi pachifuwa, komanso mkono wamanzere ndi chibwano.

Atypical ndikudziwitsa kupweteka m'dera lumbar, ngakhale izi zimachitika nthawi ndi nthawi.

Kusokoneza kwam'mimba

Kusungunuka ndi kumverera mseru nthawi zambiri kumachitika motsutsana ndi maziko a ululu wamphamvu.

Zovuta za mseru komanso kusanza zimatha kukhala zosiyanasiyana, zomwe zimawonjezera chifukwa chazomwe zimayambitsa komanso kufalitsa kwa kutupa.

Mavuto a chopondapo chimawonetsa kusagwira bwino kwa dongosolo logaya chakudya - njira yodziwira matendawa. Tiyenera kudziwa kuti chizindikiro ichi ndi chomwe odwala amalabadira kwambiri.

Kuperewera kwa enzyme yogaya pamenepa kumachitika ngati chinthu chachikulu chomwe chimakwiyitsa njirazi.

Njira zochizira edematous mawonekedwe a matenda

Mu labotale, kuzindikira kotsiriza kumakhazikitsidwa, ndikukulolani kuti mudziwe chithandizo komanso zomwe zimayambitsa matendawa.

Mayeso akulu a labotale ndi awa:

• kuyesa magazi,
• mayeso a msinkhu wa amylase mkodzo,
• kuwunikira
• mayeso a ultrasound
• kuwomba kwa m'mimba.

Njira zozizira ndi imodzi mwanjira zazikulu zochizira pancreatitis. Pachigawo choyamba, kuti muwonetsetse kugwiriridwa bwino bwino, ndikofunikira kuyendetsedwa mu chipatala, ndipo ngati pachitika bwino pang'onopang'ono kuchokera ku chithandizo, mutha kuimaliza kunyumba, malinga ndikuona kuti malingaliro onse akuwoneka bwino.

Kutsatira mfundo zoyenera kudya ndizofunikira zoyambirira zokha, zomwe zimaphatikizapo kukula pang'onopang'ono kwa zakudya. Kugwiritsa ntchito njirazi kumawonetsa kukhathamiritsa kwakukulu, chifukwa mwanjira iyi ndizotheka kuchepetsa kwambiri ziphuphu, zomwe zimapanikizika kale.

Chisamaliro chapadera chiyeneranso kuperekedwa ku zochitika zomwe zimayang'ana ku analgesia. Chithandizo chotere sichitha kuthana ndi zomwe zimayambitsa matendawa, koma zimathandiza kupulumuka nthawi yowonjezera popanda zotsatira zazikulu.

Pochizira mwachindunji matendawa, ma inhibitors amagwiritsidwa ntchito omwe amaphatikizidwa ndi mankhwala omwe amapanikizika ndi enzymatic ntchito ya kapamba.

Nthawi yomweyo, tikulimbikitsidwa kugwiritsa ntchito mankhwala omwe amachotsa kuledzera kwathunthu kwa thupi, komwe kumachitika chifukwa cha kulakwitsa kwa gland, komanso chifukwa chamankhwala. Mankhwalawa amatha kuchepetsa mavuto obwera chifukwa cha zinthu zina mthupi.

Kutalika ndi kuthandizira kwa mankhwalawa kumadalira kwambiri momwe matenda amatithandizira panthawi yomwe amadziwika kuti ali ndi matendawa, chifukwa chake, kupatula ena, akatswiri onse amawunikira kufunikira kwakukhudzana ndi nthawi yake ndi katswiri yemwe, chifukwa cha anamnesis ndi zotsatira zoyesa, atha kuzindikira mwachangu ndikuyambitsa chithandizo.

Kuyesera koyesera kuthana ndi matendawa pogwiritsa ntchito mankhwala omwe amapezeka nthawi zambiri sikulephera ndipo zimangoyambitsa chitukuko, kulimbana kumene kumakhala njira yovuta komanso yayitali.

• Kugwiritsa ntchito ndalama ya amonke pochizira kapamba

Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...

Kodi ndikofunikira kudziwa chiyani za kapamba ka pseudotumor?

Njira yotupa ya pseudotumor m'matumbo am'mimba imatha kuchiritsidwa pokhapokha ngati pakuchita opareshoni.

Kodi mungaletse bwanji kusanza komanso kuukira kwa nseru ndi kapamba?

Pankhani ya mseru wosapilira komanso wowawa wa mseru, tikulimbikitsidwa kupatula kwathunthu kugwiritsa ntchito zakudya kwa masiku angapo, ndiye kuti, kumenyedwa ndi njala

Kodi uchidakwa kapamba ndi chiyani?

Nthawi zina boma la kapamba limakhala kuti limalephera kusintha zinthu mothandizidwa ndi mankhwala, ndipo kungoyenera kuchitidwa opaleshoni ndikofunikira.

Kulawa koyipa komanso pakamwa pouma ndi kapamba

Kukoma kwa acidic kumatha kuphatikizidwa ndi chitukuko cha matenda a Reflux, pomwe zomwe zili m'mimba, zomwe zidasweka ndi asidi, zimaponyedwanso m'mimba ndi pharynx

Zosiyanasiyana za kapamba ndi mawonekedwe ake

Pancreatitis yovuta komanso yosatha imasiyanitsidwa ndi mawonekedwe a nthawi ya matendawa komanso kuchuluka kwa kapamba. Ngakhale kufanana kwa zisonyezo, mitunduyi imakhala ndi zosiyana ndi zomwe zimayenera kuganiziridwa pa chithandizo.

Acute pancreatitis ikukula msanga ndipo imakhudza ziwalo zina ndi machitidwe a thupi la munthu, ndikuwonjezera mwayi wokhala ndi pathologies yayikulu mu mawonekedwe a necrosis ndi peritonitis. Zizindikiro zoyambirira za matendawa zitawoneka, chithandizo cha kapamba kovuta kwambiri chiyenera kuchitika mwachangu komanso kuyang'aniridwa ndi ogwira ntchito pachipatala.

Mitundu yotsatirayi ya pancreatitis pachimake imasiyanitsidwa.

Edematous (interstitial) kapamba

Edematous mawonekedwe a kapamba ndi gawo loyamba la matendawa, omwe amadziwika ndi kukhalapo kwa edema ya interstitial (interellular) lobe ya kapamba, koma pakadali pano chiwonongeko chosasinthika sichikuchitika. Zotsatira za gawoli zimatha kukhala zosiyana - kuchokera pakudzipulumutsa nokha mpaka kusinthidwa kupita pagawo lovuta - pancreatic necrosis.

Oyipa pancreatic necrosis

Sterile pancreatic necrosis ndi mtundu woopsa komanso wowopsa wa matendawa. M'matumba a kapamba, zosintha zosintha zimayamba - kufa kumachitika. Poizoni amawoneka m'magazi, koma pakadali pano palibe majeremusi m'magazi.

Njira iyi ya pancreatic necrosis imagawidwa m'magulu angapo, kutengera kufalikira kwa chotupa:

• pancreatic necrosis yochepa,
• wamba
• laling'ono loyang'ana
• chachikulu chachikulu
• chapamwamba
• chonse.

ndi mawonekedwe a chotupa:

Limagwirira a isanayambike ndi chitukuko cha matenda

Pancreatitis yachilendo imayamba mwadzidzidzi, ndipo njira yotupa imafalikira mwachangu. Kupita patsogolo kwa matendawa kumachitika chifukwa chophwanyidwa kwa kutuluka kwa kapamba wa kapamba, kuwonjezeka kwa kupanikizika kwa mapindikidwe a kapamba ndi kutuluka kwanyumba kwa michere yamagetsi. Izi zimabweretsa "kudzimbidwa" kwa chiwalo ndi kufa kwa minofu yake.

Pancreatitis nthawi zambiri imakhudza amuna, koma tsopano mawonekedwe asintha pang'ono. Chiwerengero chowonjezeka cha azimayi amagonekedwa kuchipatala ndi matenda amtundu wa kapamba. Zizindikiro ndi kuchiza kwa matenda wamba zimakhudzana mwachindunji ndi kuwonongeka kwa ziwalo ndi chikhalidwe cha chotupa.

Zizindikiro mu gawo la edematous pancreatitis

Mu gawo la "edematous" la matenda, wodwalayo akumva kuperewera. Zowawa zimadziwika ndi pafupipafupi komanso mphamvu, zikupitilira komanso kufooketsa. Pali akutsukidwa kusanza pafupipafupi. Chopondapo ndi chamadzimadzi, koma popanda zodetsa. Kuthamanga kwa magazi ndi kutentha kwa thupi ndizabwinobwino. Nthawi zina, chikaso cha sclera chikuwoneka. Lilime ndi louma komanso lokutidwa ndi khola loyera.

Pakumva m'mimba, ululu umayamba. Mimba ndi yofewa. Kutupa kumtunda ndikochepa.

Zizindikiro mu gawo la pancreatic necrosis

Gawo ili la matendawa limadziwika ndi vuto lalikulu la wodwala. Munthu samadzuka ndipo amagona pansi. Kusintha kwamphamvu ndikumakhala kotopetsa. Mpumulo pambuyo pakutsukidwa sizimachitika. Kutentha kwa thupi kumakwezedwa. Mkhalidwe wa khungu umadziwika ndi pallor, kupezeka kwa mawanga amtambo ndi nyenyezi zam'mimba. Lilime ndi louma komanso lokutidwa ndi khola loyera. Khungu limakhala lotumbululuka. Kusungunuka kwa mtima mwachangu, kupuma movutikira kumawonekera. Kupsinjika kwa magazi kumatsitsidwa. Pankhani ya kuledzera kwambiri, matenda amisala amawonedwa - kuyerekezera zinthu mosangalatsa, dziko losangalala, lama psychoses.

Mukamayang'ana pamimba, kufalikira kwamphamvu kumadziwika ndipo ululu wamkamwa umatchulidwa.

Zizindikiro za chifuwa chachikulu

Mu chifuwa chachikulu cha pancreatitis, minofu ya pancreatic yosinthika imasinthidwa pang'onopang'ono ndi michere, kupanga michere ndi mahomoni amachepetsa kwambiri, ndipo chakudya chomwe chimalowa m'thupi chimatsala pang'ono kugaya.

Zizindikiro zikufanana ndi matenda omwe ali ndi mawonekedwe owopsa a maphunzirowo:

• Aching, kufooketsa kupweteka kwa m'mimba, kupereka mu hypochondrium kumanzere kapena kumanja, kapena kuzungulira. Dzukani mutadya,
• Kuperewera kwa chakudya, chifukwa - kuwonda - chizindikiro cha kapamba,
• Kukhazikika pansi. Imawonetsa mtundu wa imvi ndipo imakhala ndi fungo la fetid,
• Zachisangalalo
• Kukumana ndi nseru limodzi ndi kusanza.

Pakadwala kapamba, wodwalayo amayenera kuyang'aniridwa ndi dokotala pafupipafupi kuti apewe kufalikira. Mukachotsa chikhululukiro, amaloledwa kugwiritsa ntchito wowerengeka azitsamba, mwachitsanzo, mankhwala azitsamba kapena kuphika mankhwala pawokha. Pancreatitis simalola kunyalanyaza, chifukwa nthawi iliyonse imatha kudzikumbutsa nokha ndikusokoneza mapulani a moyo.

Njira zochizira pachimake kapamba

Chithandizo cha kapamba zimatengera kuopsa kwa matendawa. Acute pancreatitis ndi matenda oopsa komanso oopsa, chifukwa chake amaganiza kuti wodwalayo amaikidwa kuchipatala kuti azisamalidwa mwadzidzidzi. Pofuna kukhazikitsa bwino matendawa, kuyezetsa ma labotale, kufufuza ma ultrasound, kuyerekezera makina, MRI ndi machitidwe ena amachitidwa. Wodwala amatchulidwa kuti apumule pakama, ozizira pa epigastric dera komanso chakudya chamagulu.

Masiku ano, ntchito yayikulu ndikuonetsetsa kuti "kupumula" kwa kapamba. Mu pachimake kapamba, njira yothandizira kapena yochizira imagwiritsidwa ntchito, kutengera kuuma kwa mkhalidwe wa wodwalayo.

Mankhwala othandizira

Njira yothandizira mankhwalawa ndi:

• Kuchotsa kukokana kowawa ndi ma analgesics,
• Kuchotsa matenda osokoneza bongo,
• Kupereka "dziko lopumula" la kapamba,
• Kulimbitsa kwamtima dongosolo,
• Kubwezeretsa mulingo wamchere wamchere,
• Njira zochotsera,
• Kupewera kwa purulent-yotupa kapena mavuto a matenda omwe alipo kale,
• Thandizo lodzidzimutsa pakachitika ngozi yapancreatogenic.

Chithandizo chotere cha pancreatitis pachimake chimachitika ngati kuopsa kwa matendawa sikuopseza moyo wa wodwalayo.

Woopsa milandu, pamene chithandizo chokhazikika sichimabweretsa zotsatira zoyenera, kuchitapo kanthu kuchitidwa opaleshoni. Wovulala kwambiri, wodwala amayikidwa m'chipinda chothandizira kwambiri. Kugwiritsa ntchito njira zopangira opaleshoni ndikufuna kufotokozera za matendawa, kufufuza mwatsatanetsatane kwa matenda am'mimba ndikuwunika mwachindunji kwa kapamba ndi njira zachangu zopulumutsira moyo wa wodwalayo:

• Peritoneal lavage - kutsuka m'mimba kudzera m'matumba apadera
• Necrectomy ndikuchotsa minofu yowonongeka ya pancreatic.

Chithandizo cha pancreatitis ndi yayitali, pamafunika kuleza mtima komanso kukhazikika kwa malingaliro ndi malangizo a dokotala. Kudzichitira nokha mankhwala sikovomerezeka.

Thandizo lolemba

Mbiri yazachipatala ya wodwala ndiyo chikalata chofunikira kwambiri chamankhwala abwino, kupewa kubwereranso m'mbuyo komanso zovuta. Limafotokoza mwatsatanetsatane madandaulo a wodwalayo, zizindikiro zowonetsa ndi mtundu wa njira ya matendawa. Kupenda zolembazi kumatithandiza kudziwa zomwe zimayambitsa matendawo komanso kuopsa kwa matendawa, komanso kudziwa mtundu ndi kukula kwa zotupa za thupi, kuzindikira matenda oyanjana.

Motsatira nthawi, kufotokozeredwa kwa kulanda koyambirira, njira zamankhwala, ndi mankhwala M'mbiri ya wodwala, zifukwa zomwe akugonekedwera masiku ano zalembedwa, ndipo mayeso omwe akubwera ndi omwe amaperekedwa. Izi ndi zotsatira za kusanthula, zochitika zomwe zikuchitika ndipo zotsatira zake zikufotokozedwa.

Pochiza bwino matendawa, mikhalidwe ndi zomwe zimayambitsa matendawa zimatsimikiza. Kupeza chidziwitso cha kupezeka kwa matenda osachiritsika kwa wodwala ndi cholinga choperekera mankhwala mosamalitsa kumakhala chofunikira kwambiri. Mbiri yazachipatala imalongosola tsatanetsatane wa kusuntha kwa matenda kuchokera ku zizindikiritso zoyambirira kupita kuchipatala, imawulula zomwe zimayambitsa matendawa, imalemba zidziwitso kuchokera ku mayeso a labotale komanso mayeso ena a wodwalayo, kuwulula kupezeka kwa zovuta.

Mbiri yamilandu yapakhungu pancreatitis imawerengedwa kuti ndi chikalata chovomerezeka ndipo imatsimikizira kulondola kwa zomwe dotolo achita kapena zolakwitsa pazosankha zomwe zidapangidwa, komanso zimagwira ngati maziko olipiritsa. Kuwona kulondola kwa kuphatikiza ndi kudalirika kwa zidziwitso zojambulidwa kumachitika ndi ogwira ntchito a kampani ya inshuwaransi.

Mbiri yazachipatala ya opaleshoni imadzazidwa mokhazikika malinga ndi malamulo ena. Oyamba zamankhwala ndi ophunzira amayang'ana template ya cholembedwacho ndi zitsanzo zakudzaza kwake pa intaneti, kapena mabuku ena ofotokoza.

Zomwe zimapatsa thanzi mu kapamba kapamba

Kugwirizana ndi zakudya zosasamala ndiyo njira yobwererera mwachangu. M'masiku oyamba amaloledwa kumwa madzi amchere okha osakhala ndi kaboni, Borjomi. Muthanso kumwa msuzi wa rosehip wopanda mafuta kapena tiyi wopanda mphamvu. Pambuyo poyambira kusintha, amaloledwa kukulitsa chakudya ndikudya chakudya m'magawo ang'onoang'ono molingana ndi chakudya chamagulu.

Mapuloteni ambiri, mafuta ochulukirapo komanso mafuta pang'ono ayenera kupezeka m'zakudya. Poyamba, mchere umasankhidwa kunja kwa zakudya kuti muchepetse edema ndikuchepetsa kupanga kwa hydrochloric acid.

Chakudya chimasankhidwa kuti chisapatsidwe. Ndikosatheka kudya kwambiri. Chakudya chisakhale chotentha kapena chozizira.

Zakudya zimaphatikizapo:

• Maphous porridge
• Zosenda zokonkha
• Jelly
• Mbatata zosenda,
• Makina a nyama kapena zodula za nyama kapena nkhuku,
• Msuzi wa rosehip,
• Tiyi ya zitsamba
• Zoyendetsa tirigu
• Maapulo ophika.

Chithandizo cha pancreatitis chimaphatikizapo kukana kwathunthu zinthu zomwe "zimatsitsa" kapamba wodwala ndikuwonjezera kuchuluka kwa acidity ya madzi a m'mimba. Muyenera kuyiwala za zakumwa zozizilitsa kukhosi, zakumwa fodya ndi zakudya zam'chitini mpaka kalekale.

Kupewera kumayambiriro kwamatenda ndikuyambiranso

Ndikosavuta kuchiza matenda a kapamba, chifukwa chake ndikofunikira kukumbukira kuti ndikosavuta kupewa matenda awa, kutsatira malamulo osavuta:

• Idyani kumanja - kuyiwalani zamafuta ndi zakudya yokazinga, nyama zosuta, chakudya mwachangu.
• Onani makhwala akumwa.
• Musamamwe mankhwala okhazikika komanso osasamala popanda mankhwala a dokotala.
• Osamadya kwambiri, idyani pang'ono m'magawo ang'onoang'ono.
• Osamamwa mowa mwauchidakwa.
• Siyani kusuta.
• Osamamwa tiyi komanso khofi wamphamvu.
• Zakudya zonona, zokazinga, zonunkhira komanso zamchere siziyenera kudya kwambiri.
• Pofuna kupewa kapamba ndi matenda ena owopsa, amayesedwa mwatsatanetsatane ndi akatswiri azachipatala.
• Chitani kafukufuku wapakatikati pa miyezi isanu ndi umodzi.
• Khalani ndi moyo wamakono.

Chithandizo cha kapamba chimakhala chovuta ndipo chimaphatikiza zakudya zoyenera komanso chothandizira china. Ziwalo zamkati ndi machitidwe a thupi laumunthu amalumikizana kwambiri, chifukwa chake yang'anani momwe chiwindi chimakhalira, chikhodzodzo ndi m'mimba. Njira za anthu zimakuuzani momwe mungachitire pancreatitis mothandizidwa ndi wowerengeka azitsamba, komanso kuthandizira thupi pakukhululuka.

Acute edematous pancreatitis amadziwika bwino ndi anthu ambiri. Pali matenda chifukwa cha njira yotupa. Kutuluka kwothandizira kwa odwalawo. Kudya mosayenera, kumwa mowa mwauchidakwa, anthu amapanga mikhalidwe yabwino pakukula kwa matendawa. Nthawi zambiri chimayambitsa mwadzidzidzi mavuto mu duodenum. Gastritis imayambitsa matendawa.

Ndi chithandizo choyenera, matendawa amatha. Maganizo achinyengo pamachitidwe a moyo ndi zakudya zimakhala chifukwa cha pancreatic necrosis, pomwe pancreas imadzaza, kukulitsidwa, ndi kutupa. Edematous pancreatitis ndi mtundu wofatsa wa kutupa. Kapangidwe ka England kamakhala ndi mawonekedwe owoneka, kupezeka kwa necrosis ndi exudate pamimba pamimba ndikotheka.

• Zakudya zothira kapena zamafuta
• Kusunthira kwakuthwa kuchoka pakudya kwamafuta,
• Kusasamala kosinthira pang'ono pang'onopang'ono ku boma mwachikhalidwe mukatha kudya,
• Mankhwala oopsa
• Kusintha kwa chakudya chosavuta (kwa zonunkhira, chakudya chosazolowereka),
• Kumwa mowa
• Kuyamwa kwa poizoni.

Madokotala akuti edematous pancreatitis nthawi zambiri imachitika chifukwa cha zovuta m'mimba, chifukwa cha kudya kosayenera, kupindika kwambiri pakudya, komanso kumwa mowa. Odwala ena amalankhula molakwika za ubale wa tizilombo tating'onoting'ono komanso mawonekedwe a edema, koma zomwe zimayambitsa kutupa ndi kutupa mu kuphipha komanso kusokonezeka kwa chimbudzi.

Ma enzoni a pancreatic amakhala olimba kwambiri ndipo kuwonekera nthawi yayitali kumayambitsa njira zowonongeka mthupi. M`pofunika kuzindikira puffuff mu nthawi ndikuyamba chithandizo, kupewa necrotization. Edematous pancreatitis imakhudzanso madera ena omwe ali ndi vuto la endocrine. Pachifukwa ichi, kubisalira kwa michere kumachepetsedwa, kusokonezeka kwa kaphatikizidwe ka glucagon ndi insulin kumayambitsa matenda a shuga.

Momwe mungadziwire matenda

Mitundu yovuta kwambiri ya kapamba wamapapo imadziwika ndi zizindikiro:

• Ululu pansi pa nthiti kumbali yakumanzere ndi m'mimba, kufalikira mpaka ku dera lanyama,
• Kutopa, vuto lachilendo,
• Zofooka
• Ululu m'mutu, nthawi zambiri umakhala ndi mseru,
• Mavuto a Stool
• Minyewa yakusanza.

Ndi matenda, Zizindikiro ndi zofanana ndi matenda ena. Madokotala amazindikira kufewa kwam'mimba, kutupira kulibe. Osatsimikiza ndi mavuto mumtima ndi mapapu. Ululu umakhazikika mbali yakumanzere ya thupi pansi pa nthiti, odwala amalankhula za kupweteka m'dera lumbar. Nthawi zambiri ululu umachitika pambuyo kudya zakudya zamafuta ndikumwa zakumwa zoledzeretsa, makamaka pambuyo paphwando lalitali kuphatikiza zifukwa zonsezi.

Odwala omwe ali ndi edema yotchedwa pancreatitis amalankhula za kuthekera kwokhala pamalo oyang'ana kumbuyo. Ululu umakhala wamphamvu ndikutembenukira kumbali kupita kumbali.

Ena amazindikira kuchitika kwa m'mimba. Cholinga chake ndikuchepa kwa michere. Mitundu yovuta ya matenda imatsogolera ku kuledzera kwa thupi.

Kudya

Kusala kumalimbikitsidwa wodwala, pambuyo pa tsiku loletsa, kugwiritsa ntchito madzi amchere amchere amaloledwa. Kuchokera zakumwa zimaloledwa:

• chakumwa chowuma cha zipatso
• tiyi
• zipatso zamasamba.

Pafupifupi kuchuluka kwa tsiku ndi 1.5 malita amadzimadzi. Pakatha sabata kusala kudya, supu zamasamba opepuka, mbewu zosafunikira zopanda mkaka, karoti ndi mbatata zosenda ndi mafuta. Ngati wodwalayo akumva bwino, mutha kuphatikiza mafuta obisala, nyama ndi nsomba m'mafuta owiritsa kapena otenthetsedwa m'zakudya, tchizi chochepa kwambiri cha tchizi.

Mfundo zazikuluzikulu za zakudyazi ndizophatikiza. Zakudya za tsiku ndi tsiku zimagawidwa m'magulu 6, zimadyedwa m'magawo ang'onoang'ono. Ngakhale njira iliyonse payekhapayekha, zakudya zotsatirazi ndizofunikira:

1. Kuperewera kwa zakumwa zoledzeretsa ndi zakudya zamafuta pazakudwala
2. Kupatula zipatso ndi ndiwo zamasamba zomwe zimalimbikitsa ntchito zachinsinsi,
3. Osamadya zakudya zonunkhira komanso zokazinga,
4. Ndikofunika kusiya mkate kuchokera ku ufa wa rye, mafuta a batala.

Zotsatira zake

Ngati matendawa apezeka pakanthawi ndipo chithandizo chayamba, matendawa samapereka zovuta. Kusintha kwa matendawa kukhala mawonekedwe osavuta kuyenera. Zotsatira zake, kuphwanya dongosolo la chimbudzi. Pali zovuta ndi chikhodzodzo cha ndulu, chiwindi ndi matumbo.

Ngati matendawa wadwala, chithandizo cha enzyme chidzafunika pamoyo wonse.

Momwe mungapewere

Matenda amatetezedwa bwino kuposa kuchiritsidwa. Izi zikugwiranso ntchito kwa edematous pancreatitis, ndi zovuta za matendawa. Mkhalidwe woyamba wopewa edematous pancreatitis ndi chakudya choyenera. Tiyenera kulabadira zaumoyo, kuwunika kwambiri zakudya, machitidwe azakudya. Kugwiritsa ntchito kochepa kapena kukana komaliza mafuta owononga, zakudya zokazinga, kupatula zizolowezi zoyipa kumathandizira kuti pakhale pancreas wathanzi komanso thupi.

Zakudya zopatsa thanzi, zopangira chokoleti, maswiti sizingakhale zothandiza. Zakudya zachangu zophatikiza ndi zakumwa zoziziritsa kukhosi zomwe zimakonda achinyamata masiku ano ndizovulaza thupi. Samalani ndi mankhwala anu. Kugwiritsa ntchito mosamalitsa monga dokotala wakudziwa za matenda ena sangalole kugwiritsa ntchito mankhwala kuti ayambitse kukula kwa matendawa.

Kufufuza pafupipafupi kwa anthu omwe ali ndi matenda a kugaya chakudya sikungakhale kopindulitsa. Kupenda koyenera ndi kuzindikiritsa ndi theka la chipambano. Matenda m'matumbo am'mimba nthawi zambiri amayambitsa njira zotupa m'mapazi. Kuchitapo kanthu moyenera kumachepetsa mwayi wa edematous pancreatitis.

Edematous pancreatitis imayendera limodzi ndi kutukusira ndi kudzikundikira kwa madzi mu danga komanso tinthu timene timatulutsa, koma sikuti kumabweretsa kuwonongeka kowononga.

Edematous pancreatitis imayendera limodzi ndi kutukusira ndi kudzikundikira kwa madzi m'danga komanso tinthu timene timatulutsidwa.

Vutoli limatha kubwezeretsa kwathunthu kapamba, koma m'njira yosavomerezeka imatha kulowa mu pancreatic necrosis. Kudziwona kwakanthawi zamatenda komanso chiyambi cha zovuta mankhwala amakupatsani mwayi obwezeretsa chimbudzi ndikuchepetsa chiopsezo chovuta kwambiri.

Zomwe zimayambitsa mapangidwe a matenda

Pancreatic edema ndi zotsatira za kusokonezeka kwa michere yomwe imapangidwa ndi iye. Kuphwanya kwa pathological kwa kugwira ntchito kwa ma enzyme kumatha kuyambitsidwa ndi kukula kwa cholelithiasis kapena kugwiritsidwa ntchito molakwika ndi mankhwala okhala ndi zakumwa zoledzeretsa. Pancreatitis pachimake ndi mawonekedwe amtundu wakutukuka akhoza kukhala ndi zifukwa zotsatirazi zopangidwira zimagwirizanitsidwa mwanjira ina ndi zina ndi kapamba:

• gawo lotsogola la shuga
• Zotsatira zakugwa mwadzidzidzi pamimba kapena opaleshoni,
• matenda opatsirana matenda opatsirana,
• kutsekeka kwa pancreatic duct,
• kukulira kwa chotupa chokhala ngati chotupa chopweteka.

Njira Zodziwitsira

Kuti adziwitse matenda moyenerera ndikuyamba chithandizo chofunikira, wodwalayo nthawi zambiri amatumizidwa ku njira zotsimikizira izi:

• kutumiza kuyesedwa kwa magazi, zotsatira za kafukufuku wazachipatala zomwe ziyenera kuwonetsa kukula kwa njira yotupa,
• kuyezetsa magazi kwa biochemistry, komwe kungathandize kuzindikira kukhalapo kwa michere ya enzymatic mu kapangidwe kake,
• kuperekera mayeso a mkodzo wamba kuti adziwe amylase mmenemo, kupezeka kwake komwe kukuwonetsa chitukuko cha matenda a pancreatic,
• kuyezetsa magazi kukhazikitsa kuchuluka kwa shuga mkati mwake,
• kupenda kwa m'mimba kwa kapamba, mothandizidwa ndi komwe kutukusira kwa chotupa kwapezeka,
• CT
• MRI
• Ultrasound

Njira zochizira

Chithandizo cha ziwalo zomwe zakhudzidwapo ndikuchotsa koyamba zotupa ndi zowawa zonse. Pambuyo pake, chithandizo chamankhwala chimakhala ndikuchotsa zizindikiro zina zonse za matenda, ndikuchotsa zomwe zimachitika.

Chithandizo: chithandizo cha edema ya mankhwala a parenchymal ndi chitukuko cha matenda a shuga, kuledzera kwa thupi ndi zakumwa zoledzeretsa kapena ndi kukula kwa cholelithiasis kuyenera kupangidwa payekhapayekha, poganizira mawonekedwe onse a zinthu za wodwala aliyense.

Njira yodutsa ya pancreatic pathology nthawi zambiri imachotsedwa pogwiritsa ntchito mankhwala osokoneza bongo, kupereka mankhwala ogwirizana ndi zakudya zapadera, komanso m'malo ovuta kwambiri, ndikofunikira kuchitira chithandizo ndi njira yochitira opaleshoni.

Mankhwala

Chithandizo chachikulu cha edematous pancreatitis ndikugwiritsa ntchito mndandanda wonse wazofunikira zamankhwala. Novocaine ndi antispasmodics amathandizira kuthetsa zizindikiro zopweteka kwambiri zomwe zimachepetsa mulingo ndi moyo wa wodwalayo. Mankhwala amakhalanso ndi mankhwala omwe zochita zawo zimapangidwira kuponderezana ndi michere yapadera, yomwe ma trypsin, plasmin, ndi ena ndi oopsa kwambiri.

Pofuna kupewa kufalikira kwa matenda m'thupi la wodwalayo, mankhwala ochepetsa mphamvu ya kachilomboka ndiwo mankhwala.

Pofuna kupewa kupweteketsa mobwerezabwereza matenda opatsirana m'mapapo, mankhwala ofunikira kuti athetse matenda omwe amachititsa kuti pakhale kupanikizana kwa chifuwa amawonjezeredwa ku chithandizo chamankhwala kuti athetse matenda a pancreatic. Ngati chomwe chikuyambitsa ndikukula kwa matenda ashuga, ndiye kuti mankhwala ndi omwe amapezeka mu insulin, omwe othandiza kwambiri ndi awa:

Ngati chitukuko cha edema chinayambitsidwa ndi gawo la cholelithiasis lomwe likupita patsogolo, ndiye kuti mankhwala omwe ali ndi ursodeoxycholic acid kapena, monga momwe anthu amachitchulira, bile bile amawonjezeredwa pamankhwala ambiri othandizira.

Mothandizidwa ndi mankhwala amakono ndi njira yolandirira yoyenera, ndikotheka kuchotsa zonse zopweteka ndikubwezeretsanso kuchuluka kwa pancreatic munthawi yochepa.

Zakudya zamagulu

Panthawi ya chithandizo komanso pambuyo poti matenda abwinobwino pakhale njira zodzitetezera, tikulimbikitsidwa kuti zakudya zopatsa thanzi zizisungidwa, zomwe zingathandize kuthetsa zizindikiro za matenda. Ndi kuchulukana kwa kapamba, kusala kudya kwa masiku atatu ndikulimbikitsidwa, pambuyo pake chakudya chizikhala chosakanikirana ndi gawo laling'ono.

Kupatula pakudyako kuyenera kukhala: