Kusintha kwa chiwindi ndi kapamba

• 1. Zovuta za chiwindi zimasintha: ndi chiyani?
• 2. Mitundu ya zosintha
• 3. Zofunikira

• 1. Zambiri zokhudzana ndi matenda
• 2. Mankhwala othandizira matenda
• 3. Maantibiotic

• 1. Zomwe zimatsimikiza zakumwa zoledzeretsa m'thupi
• 2. Kuzindikira kuchuluka kwa mowa mthupi
• 3. Magometi osinthika

• 1. Katemera wonyamula matenda oopsa a encephalitis
• 2. Katemera
• 3. Kodi ndingamwe mowa nditalandira katemera?

• 1. Chakudya chopatsa thanzi
• 2. Menyu
• 3. Maphikidwe

• 1. Mitsempha ya chiwindi: imagwira ntchito m'thupi
• 2. Njira zazikulu ndi mawonetsedwe awo
• 3. Thrombosis

• 1. Mphamvu ya mowa pa thupi la munthu
• 2. Ndi zinthu ziti zomwe zimapangitsa kukula kwa kuchotseredwa.
• 3.Kodi ma mowa osiyanasiyana amatuluka nthawi yayitali bwanji.

• 1. Mowa wa Ethyl
• 2. Mphamvu ya Mowa thupi
• 3. Zotsatira pamtima

Zambiri patsamba lino zimaperekedwa kuti zidziwitso. Musanagwiritse ntchito malingaliro aliwonse, onetsetsani kuonana ndi dokotala.
Kukopera kwathunthu kapena pang'ono tsambalo kuchokera pamalowo popanda kuwonetsa kulumikizana komwe kuli komweko sikuletsedwa.

Zomwe zimachitika

Hepatomegaly (i.e., kukulitsa chiwindi mu kukula) kungayambike pazifukwa izi:

• matenda a chiwindi,
• uchidakwa
• mankhwala osokoneza bongo
• mavuto
• ma metastases
• zosokoneza ntchito ya matenda amtima,
• njira zoyenda
• kulowa pansi kwamafuta
• ma virus opatsirana
• kuledzera
• mitsempha ya mitsempha,
• kuperewera kwa zakudya m'thupi
• kubadwa kwatsopano
• chibadwire
• matenda a gallstone (cholelithiasis),
• kumwa mankhwala: maantibayotiki, ma analgesics, osakhazikika mtima.

Zovuta zakusintha kwa kapamba zimachitika chifukwa cha izi:

• chiwalo edema,
• kapamba wolimbira,
• mafuta ochulukirapo mu shuga
• kukula kwa minofu
• cholecystitis
• kusintha kwamakhalidwe.

Kuwonetsedwa kwa matenda

Kwenikweni, kusintha kapangidwe ka parenchyma sikuwonekera. Nthawi zina, zizindikiro zotsatirazi zitha kuonedwa: kulemera kumanja kwam'mimba, kupweteka kwa chiwindi, kufalikira kwa sclera. Nthawi zambiri, kusinthasintha kwa chiwindi kumachitika popanda chizindikiro.

Zomverera zosasangalatsa zimatha kukula pakathamanga, masewera olimbitsa thupi, kuyendetsa galimoto pamalo osagwirizana, komanso kudya zakudya zamafuta. Kuphulika kwa ululu kumakhala kosatha. Momwe masinthidwe akapangidwe akupita, zizindikilo zina zimawonekera:

• kuwukira mseru
• kutentha kwa mtima
• kupweteka kwambiri
• kusowa kwa chakudya
• gag Reflex
• mutu
• kusokonezeka kwa mahomoni
• zotupa za pakhungu,
• jaundice
• kuda kwa mkodzo
• khungu loyera la ndowe,
• kulakwitsa kwa maliseche,
• kufooka ndi kutopa.

Kutengera ndi kuchuluka kwa zowonongeka, kusintha kwamapangidwe kumagawidwa m'magulu akulu atatu:

• zopanda pake. Nthawi zambiri amawoneka ndi hepatitis komanso chifukwa cha zinthu zoyipa,
• zolimbitsa. Pakadali pano, kukonza njira, njira za mavitamini ndizofunikira njira zowonjezera, zofunika,
• ofotokozedwa. Kapangidwe kazotupa kovuta kali. Kusintha koteroko kumadziwika kwa odwala omwe ali ndi kunenepa kwambiri, matenda a shuga, matenda amitsempha, matenda a chiwindi, ndi chotupa.

Kusintha kwazomwe zimachitika mu chiwindi parenchyma, ichi sichiri matenda, koma chisonyezo chokhacho chomwe chikuwonetsa kukhalapo kwa matenda akupanga. Kuti mudziwe chomwe chimayambitsa kusinthaku, ndikofunikira kuyesedwa. Njira ya pathological imakhudza anthu azaka zonse.

Zizolowezi zoyipa, kuperewera kwa zakudya m'thupi, kuperewera kwachilengedwe - sizinthu zonse zomwe zimapangitsa kuti chiwindi chisafike bwino. Kusintha kwa parenchyma kungayambitse kayendedwe ka autoimmune, kumwa mowa mwauchidakwa, mankhwala osasinthika, kusintha koopsa kolemera ndi zina zambiri.

Mu magawo oyamba, wodwalayo amakhala ndi mseru komanso kupweteka pang'ono m'dera la hypochondrium yoyenera, koma nthawi zambiri anthu ochepa amalabadira izi. Nthawi zambiri zimasinthasintha zimapezeka kale ndi gawo la ultrasound. Kuphatikiza apo, ma Sc, ma radiograph, ndi kuyezetsa magazi kungafunike.

Mafuta hepatosis

Nthawi zambiri, minyewa ya chiwindi imapangidwa mosiyanasiyana. Chomwe chimapangitsa kuti matendawa akwaniritse ndikupezeka kwa kuchuluka kwa lipids komanso kuchepa kwa magwiridwe antchito. Nthawi zambiri dystrophy imayamba motsutsana ndi maziko a matenda osokoneza bongo, kunenepa kwambiri komanso kusokonezeka kwa metabolic. Mafuta hepatosis amadziwonetsera okha monga mawonekedwe:

• kukula kwa chiwindi kukula kwake,
• kusintha kwa mawonekedwe
• chiwalo chili ndi mawonekedwe oyipa komanso owonda,
• mitsempha yosiyana.

Akatswiri amasiyanitsa magawo atatu apamwamba a chitukuko cha mafuta:

• Imadziwoneka mu mawonekedwe a kusinthasintha kwa michere ya chiwindi. Gawo ili limadziwika ndi njira yotupa.
• Pakadali pano, zizindikiro zamankhwala zikuchulukirachulukira. Odwala amadandaula za kusakhazikika pamimba kumanja, atawunika, kuwonjezeka kwakukulu kwa chiwindi.
• Gawo ili lodziwika ndi mseru wokhazikika, chidzalo ndi kupweteka kumbali yakumanja, kudzimbidwa, kusefukira kwamkati, kuphwanya chakudya.

Dokotala wa gastroenterologist amatenga nawo mbali pakuzindikiritsa ndi kuchiza kwamafuta amafuta. Mutha kuchepetsa kuchuluka kwa mafuta m'chiwindi mwa kusintha moyo wanu komanso kukonza zakudya. Gome la mankhwala lomwe lili ndi mapuloteni ambiri komanso zoletsa zamafuta a nyama zimayikidwa.

Zakudyazo ziyenera kuwonjezera kugwiritsa ntchito mbewu monga chimanga, tchizi cha kanyumba, mpunga. Zakudya izi zimathandizira kuti mafuta athetse chiwindi. Musaiwale za zinthu zomwe zimakhala ndi choleretic: kaloti, dzungu, kabichi. Pofuna kuthetsa chomwe chimapangitsa kuwonongeka kwa maselo a chiwindi, ndikofunikira kufikira vutoli kwathunthu. Osamagwirizana ndi mankhwala okha.

Zakudya zopatsa thanzi ziyenera kutsatiridwa kwa miyezi ingapo. Wodwalayo akapitiliza kumwa mowa, kugwiritsa ntchito mafuta ochulukitsa, okazinga, ndiye kuti mankhwalawo sangaphule kanthu. Mutha kubwezeretsa chiwindi mothandizidwa ndi hepatoprotectors. Zamoyo zowonjezera zowonjezera zimaperekedwanso kwa odwala. Ndi kukula kwa khungu la eyelid komanso munthawi yake, kuchuluka kwa hepatosis ndikabwino.

Kuphwanya kapangidwe ka minofu kumachitika chifukwa cha kuchuluka kwa minofu yolumikizana. Zotsatira zake, kulephera kwa ntchito yolimba kumayamba. Zifukwa zingapo zimatha kukhala ngati cholimbikitsa pakukula kwa matenda amitsempha:

• matenda a chiwindi,
• uchidakwa
• kuledzera
• kugwiritsa ntchito mankhwala kwa nthawi yayitali
• matenda obadwa nawo
• kusayenda
• kuwonongeka kwa biliary thirakiti.

Momwe kusintha kwa pathological kumakhalira, odwala amayamba kudandaula za kufooka, kutopa kwambiri, kutaya mphamvu, komanso kusowa kudya. Matenda a Dyspeptic amawonekanso mu mawonekedwe a kuwawa mkamwa, mseru, kusanza, belching, kusagwirizana ndi zakudya zamafuta ndi mowa.

Mwa zina mwa zizindikiro za matenda amitsempha, zizindikiro zotsatirazi ndizothandiza kuzindikira:

• redness ya m'manja
• maonekedwe a mitsempha yam'mimba makamaka kumapeto kwa thupi,
• zotupa pansi pa khungu,
• magazi a mucous nembanemba,
• Khungu
• kufooka, kusokonekera,
• kugona kusokonezedwa
• kupweteka m'malo
• yafupika libido
• khola m'malo a pubic ndi ma axillary hole.

Odwala omwe ali ndi matenda oterewa amakhala ndi malire m'maganizo awo komanso nkhawa zawo. Ngati wodwala akumva bwino, amaloledwa kuyenda ndi physiotherapy.

Zikondwerero

Kusintha kovuta m'mapamba kumawonekera mwa kukulitsa, kufinya, kutupa ndi kuvulala kwa chiwalo. Zifukwa zosiyanasiyana zimatha kupangitsa izi: kupanikizika kosalekeza, zizolowezi zoipa, cholowa chamtsogolo, kusintha kwokhudzana ndi zaka, kusowa kwa chakudya, mankhwala osokoneza bongo, ndi zina zambiri.

Mwa anthu okalamba omwe ali ndi matenda opatsirana omwe alipo, minofu yathanzi yathanzi imamwalira ndi mafuta kapena mitundu ya minofu yolumikizana m'malo mwake. Ndi chitukuko cha njira yotupa yotupa, kupweteka kumawoneka pansi pa sternum mbali yakumanzere, nseru, kusanza, kutsika kwa magazi, kuthamanga kwa mtima. Izi zimafunika kuchipatala mwachangu mu dipatimenti yovomerezeka. Muzochitika zapamwamba, kuchitapo kanthu kwa opaleshoni kuyenera.

Mosiyana ndi pancreatitis pachimake, njira yodwalayo imayamba pang'ono ndipo odwala amazolowera ululu. Mu magawo oyamba, chitsulo chimazizidwa ndikukula kukula. Pali kuphwanya kapangidwe ka michere ya kapamba.

Katswiri wa ultrasound amathanso kudziwa lipomatosis. Njira ya pathological imatha kukhala yogwirizana ndi majini, komanso kusintha kokhudzana ndi zaka. Chiwalo chimachepa kukula ndikukusinthidwa ndi maselo amafuta. Tsoka ilo, lipomatosis imayambitsa njira zosasinthika. Chiwalo chotupa ndi mafuta chimakanikizira parenchyma, yomwe imapangitsa kupweteka kwambiri.

Fibrosis imayamba pamene minofu yolumikizana bwino yasinthidwa. Pankhaniyi, kusintha kwacicatricial kumayamba, chifukwa thupi silingathe kupanga michere yokwanira ndi mahomoni. Fibrosis amayambitsa kusayenda bwino mthupi lonse. Odwala amachepetsa thupi, amasamala kusanza, kutsegula m'mimba. Nthawi zambiri, matenda a shuga amakula pakapita nthawi.

Akatswiri amasiyanitsa mitundu iyi ya kusintha kwakaphatikizidwe mu chiwalo:

• wogwira ntchito. Amayamba motsutsana ndi matenda am'mimba, chiwindi, matenda amisala,
• wakhama. Khalani zotsatira za zotupa, cysts, miyala. Njira yotereyi imafuna opaleshoni,
• zotupa. Kusindikiza thupi kumachitika ngati kukubayidwa. Fibrosis nthawi zambiri imayamba pambuyo pa matenda osakhazikika, otupa, komanso mowa komanso kuledzera. Njira ya pathological ingayambitse chotupa chotupa, chomwe m'magawo oyamba sichimabweretsa chisokonezo,
• lipodystrophy. Matenda akale amayambitsa kufa kwa maselo. Thupi silingathe kubwezeretsanso kutaya.

Zochizira

Choyamba, tiyeni tikambirane njira zopangira chiwindi. Njira yakuchiritsira imasankhidwa kutengera mtundu wa matenda. Ngati kusintha kwayamba chifukwa cha uchidakwa, kunenepa kwambiri kapena kumwa mankhwala, ndiye kuti pakuyenera kuthetseratu zinthu zoyipazi ndiye pokhapokha mukabwezeretse chiwindi.

Opaleshoni imawonetsedwa pokhapokha: chotupa, cyst, portal matenda oopsa, metastasis. Nthawi zina, kugwiritsa ntchito mankhwala osokoneza bongo kukuwonetsedwa. Mu njira yotupa yotupa m'matumbo m'masiku ochepa ndikofunikira kukana chakudya kwathunthu, ndikuloledwa kugwiritsa ntchito madzi achilengedwe okha.

Mtsogolomo, chakudya chokhwima chimalembedwa, chakudya chimayenera kudyedwa pang'ono, kasanu patsiku komanso m'magawo ang'onoang'ono. Zonunkhira, mafuta, okazinga, osuta, etc. siziphatikizidwa muzakudya.Masamba, chimanga, nyama yotsika ndi nsomba ndilolandiridwa.

Kusintha kovuta mu chiwindi ndi kapamba - uwu si sentensi. Palibenso chifukwa chochitira mantha, nthawi zina zosokoneza zoterezi zimatha kulumikizidwa ndi kayendedwe ka thupi m'thupi. Ngati kulowetsedwa kwapezeka motsutsana ndi maziko a ululu womwe ulipo, ndiye kuti muyenera kuwunika bwino ndikuwonetsetsa thanzi lanu.

Etiology ya kusintha kwa matenda

Choyamba, tiyeni tikambirane pang'ono pa chiwindi - chofufumimba chofunikira chomwe chimachotsa poizoni m'thupi, mahomoni ochulukirapo, amatenga nawo gawo mu hematopoiesis ndi chimbudzi, amapanga ma enzymes, mahomoni, cholesterol, etc.

Mkhalidwe wowopsa ndi hematomegaly - kuchuluka kwa chiwindi. Chizindikirochi chikuwonetsa kuyamba kwa njira yachilendo, chifukwa nthawi zambiri chiwalo sichimapitirira malire a mtengo wozungulira kumanja.

Palibe vuto lalikulu ndi matenda monga hepatosplenomegaly. Zikutanthauza kuwonjezeka munthawi yomweyo kukula kwa ndulu ndi chiwindi.

Zomwe zimayambitsa kusintha kwa dystrophic m'chiwindi ndi:

• uchidakwa wa nthawi yayitali,
• mtima matenda
• kulowetsedwa kwamafuta, kapena chiwindi steatosis,
• kupezeka kwa matenda a chiwindi,
• kugwiritsa ntchito mankhwala kwakanthawi
• njira zoyenda m'mitsempha,
• metastases yochokera ku ziwalo zina,
• chibadwa.

Chimbudzi chimakhudzidwa ndi chimbudzi cha chakudya, komanso chinsinsi cha mahomoni awiri ofunika (glucagon ndi insulin). Kapangidwe ka minofu yake kamasintha chifukwa cha:

1. Kudzikuza kwambiri.
2. Zosintha zokhudzana ndi zaka.
3. Kugawa minofu yamafuta m'thupi mu shuga.
4. Njira zazitali zotupa.

Kuphatikiza apo, kapangidwe ka minofu ya limba imatha kusintha mothandizidwa ndi zinthu zomwe zimapangidwa mchikakamizo cha kapamba pancreatitis.

Mitundu ya kusintha kwakasinthidwe

Zosintha m'mawonekedwe a parenchyma pafupifupi asymptomatic.

Zizindikiro za pathological process zimatha kuchitika pakudya zakudya zamafuta kapena zolimbitsa thupi kwambiri.

Muzochitika zotsogola, kuwongolera kusintha kwa chiwindi ndi kapamba zimayambitsa zotsatirazi:

• pafupipafupi kusanza
• kupweteka kwambiri mu hypochondrium woyenera,
• kutentha kwachakudya komanso kuwonda.
• general malaise
• kulawa kowawa mutatha kudya,
• kuchepetsa kulumala
• migraine
• kusokonekera kwa diso sclera.

Dystrophic syndrome imakhudzanso dongosolo la kubereka kwa amuna ndi akazi. Poyerekeza ndi vuto la kusokonezeka kwa hepatic, oimira theka lamunthu wamphamvu amatha kudandaula za zovuta za potency. Mwa akazi, kusamba kwamsambo kumachitika.

Pali mitundu itatu yayikulu ya kusintha kwa maonekedwe a dystrophic mu chiwindi ndi kapamba:

1. Zowonongeka zazing'onoting'ono, zomwe zingatanthauze kukhudzidwa kwa thupi la zinthu zoyipa kapena hepatitis.
2. Kusintha pang'ono mwanjira chifukwa chokhala ndi vuto la kuperewera kwa chakudya, kuledzera, ndi mowa.
3. Sever syndrome, limodzi ndi edema. Nthawi zambiri, vutoli limayamba chifukwa cha kunenepa kwambiri, matenda ashuga, matenda amitsempha ya m'mimba, matenda otupa chiwindi, matenda oopsa komanso zotupa.

Kusintha koipa kwa kapamba kuyenera kuganiziridwa mosiyana:

• minyewa imachepetsa mphamvu yake, yomwe imakhala ngati kapamba,
• m'malo minofu dongosolo ndi mafuta maselo lipomatosis.

Kusintha kwanyengo kumeneku kumakulitsa mkhalidwe wa thupi la munthu.

Kuzindikira chiwindi ndi kapamba

Ngati zizindikiro zakusintha kwaphokoso zikachitika, munthu ayenera kufunsa dokotala wothandizira.

Monga lamulo, dokotala amafotokoza njira yodziwira matenda othandiza kwambiri - ultrasound (ultrasound). Chifukwa cha iye, adokotala amatha kuwona kusintha kwa kapamba ka chiwindi ndi chiwindi.

Koma kukhazikitsa matenda, kupititsa ndi ultrasound kokha sikokwanira.

Kuti mupeze chithunzi chonse cha matendawa, momwe zimayambitsa ziwalo zamkati, mayeso owonjezera ayenera kumaliza.

Kafukufukuyu akuphatikizapo:

1. Kuwerengera kwamwazi konse (KLA) kuzindikira cholinga cha kutupa.
2. Magnetic resonance imaging (MRI).
3. Kuyesa kwa magazi a biochemical (LHC).
4. Scut tomography (CT) Scan.
5. Phunzirani pa zotupa ndi zotupa zomwe zimayikidwa pachiwindi.
6. Kuunika kwa X-ray.
7. Kutenga biopsy wa punctate chiwindi.
8. Kusanthula mkodzo ndi ndowe.

Echography (kuchokera ku Chigriki. "Echo" - chikuwonetsedwa) ndi njira yovuta yowunikira chiwindi, kapamba ndi ziwalo zina zofunika. Chizindikiro cha kusintha kwa kuphatikiza ndikuchepetsa kapangidwe ka ziwalo ndi mgwirizano wamitsempha. Komanso, mawonekedwe a espost amathandizira kuzindikira kuphatikizika kwa minofu, ziwalo zonse, komanso magawo ake.

Pa michere ya CT ndi MRI, chiwindi chimawoneka bwino. Pafupifupi pafupi nthiti 10-11, mthunzi wa lobe lamanzere chiwindi ukuwoneka. Ili ndi mawonekedwe osalala komanso omveka bwino. X-ray imawonetsa mfuti yofananira. Mbali yakumwambayo ya chigawocho ikuyenera kufanana.

Mfundo za Therapy of Pathology

Kuti muchepetse kulowetsedwa, zinthu zitatu zofunika kuzikumbukira: chiyambi cha matendawa, pathogenesis ndi kuchuluka kwa zowonongeka.

Dokotalayo amapanga dongosolo la wodwala aliyense.

Kuchiritsa matenda osokoneza bongo, zinthu zina ziyenera kuchitidwa.

Izi ndizofunikira:

• kutsatira zakudya zapadera
• kupatula mowa
• kutsatira zomwe mumachita tsiku ndi tsiku
• azichitira matenda am'mimba.

Zakudya zimachotsa kumwa kwamchere komanso zotsekemera. Nthawi zambiri, munthu ayenera kudya zosachepera magalamu asanu amchere patsiku. Muyenera kuiwalanso zonunkhira, zinthu zopangidwa ndi ufa, mafuta ndi zakudya zina. Zakudyazo ziyenera kukhala ndi zipatso ndi masamba abwino, chimanga, mafuta amadzimadzi, mafuta ochepa mkaka wowawasa, nyama yopanda mafuta komanso nsomba.

Kugwiritsa ntchito mowa kapena kusuta fodya kulibe vuto. Zizolowezi ziwiri zoyipazi zimangokulitsa kuphatikiza zowononga mphamvu za chiwindi ndi kapamba. Zochita tsiku ndi tsiku zikutanthauza kuti munthu amene ali ndi vuto lotere ayenera kupatula nthawi yake yogwira ntchito ndi kupuma. Mtengo umaperekedwa kwa kugona kwathunthu.

Mankhwala othandizira amakhala ndi cholinga chothandiza kuti ntchito ya m'mimba isamatayike. Ndikofunikira kwambiri kuteteza microflora yopindulitsa ya matumbo ang'ono ndi akulu. Dokotalayo amapereka mankhwala othandizira ndi a enzyme, omwe wodwalayo amatenga kwa masabata atatu.

Kuti muchepetse kutonthola kwa minofu ya matenda, antispasmodics amathandizira kusintha kwa madzi a m'mimba m'matumbo. Ngati kusintha kwasintha pamaziko a microsis, mankhwala odana ndi kutupa ali othandiza.

Kupewa kusintha kwa masanjidwe

Pofuna kupewa kusintha koopsa kumeneku, muyenera kusiya kumwa zakumwa zoledzeretsa nthawi zonse. Zimakhudza chiwindi ndi kapamba, zimapweteketsa thupi lonse.

Anthu ambiri odya zakudya amalangizidwa kuti azitsatira zakudya zochepa. Izi zikutanthauza kuti muyenera kudya zosachepera 5-6 zazakudya zochepa patsiku. Zakudyazi ziyenera kukhala ndi mafuta "osakwiya" (rye mkate, masamba, chimanga) ndi fiber fiber (nyemba, mtedza, zipatso). Zogulitsa zotere zimayimbidwa kwa nthawi yayitali, kotero zimadzaza thupi ndi michere ndipo sizitsogolera pakulemera.

Ndikwabwino kuchepetsa kudya zophika, zokazinga, mchere ndi zakudya zonunkhira. Zizindikiro zoyambirira za poyizoni wazakudya zikaonekera, chakudya choterechiyenera kuchichotsa paliponse.

Chofunikira china ndikuwunika koyenera. Tsoka ilo, kuchuluka kwa anthu mdziko lathu amanyalanyaza lamuloli ndipo nthawi zina amafunsira chithandizo chamanthawi. Kusintha kovuta mu chiwindi ndi kapamba parenchyma nthawi zonse kumayambitsa matenda oyipa omwe ayenera kumenyedwa.

Pali njira zambiri zodziwira matenda a pathological (ultrasound, CT, MRI, radiography, njira ya ultrasound, UAC, etc.). Amathandizira msanga kuzindikira kusintha kwamkati ndi zomwe zimayambitsa. Ndi chithandizo chanthawi yake komanso chothandiza, madokotala amapereka chiyembekezo chabwino.

Zizindikiro za vuto la chiwindi

Zizindikiro za matenda a chiwindi ndi kapamba zimayendera limodzi ndi kupweteka komanso kulemera mu hypochondrium yoyenera. Monga lamulo, kupweteka kwamtunduwu kumachitika pakulimbitsa thupi, kuthamanga, kudya zakudya zamafuta ambiri. Pankhaniyi, ululu wammbuyo umakhala wokhazikika ndipo umatha kuwonjezereka mukakhala ndi zifukwa zosiyanasiyana zokhumudwitsa.

Wodwala nthawi zambiri anati:

• kumverera kokhazikika kwa mseru
• kuchepa kwamtima
• kutentha kwa mtima
• kutsatira kuwawa,
• kusanza mobwerezabwereza,
• kufooka wamba
• kuchepa kwa ntchito, kugwira ntchito kwambiri,
• kupweteka mutu pafupipafupi.

Nthawi zambiri, zizindikiro za kusintha kosiyanitsa zimawonekera mwa kuwoneka kwa magazi mu mafuta obisika. Amuna, molingana ndi maziko a matenda amchiwindi, kuphwanya kugonana kumatheka. Mwa amayi, pamakhala kusokonezeka kwa mahomoni ndi kusamba kwa msambo.

Kuphatikiza apo, matenda a chiwindi amadziwika ndi kusintha kwa khungu komanso chovala chamaso. Pa gawo loyambirira la matendawa, kufalikira kwamaso amtundu wa m'maso kumawonekera, kenako kusintha kwa khungu kumalumikizana ndi pathological process. Wodwalayo amasintha ndowe ndipo mkodzo umayamba kuda.

Pakufufuza kwakuthupi, nthawi zambiri, kusintha kwa chiwindi kumawonedwa, nthawi zina chiwalo chimaperekedwa kupitirira kukhoma kwa nthiti.

Kusintha kwa kapamba

Chikhansa ndi chiwalo chomwe chimalumikizana bwino ndi chiwindi komanso chithokomiro. Kusokonezeka kwazinthu zilizonse pakuchitika kwa ziwalo izi kumakhudza kwambiri magwiridwe antchito a kapamba. Zofananazo zimawonedwa ndi kuwonongeka kwa chiwindi.

Zikondazo ndizoyambitsa kapangidwe ka kapamba ndi insulin. Kusintha kwina kulikonse kumawonetsera kuphwanya kwamkati mwa chiwalo ndipo sikumapangitsa mawonekedwe a chotupa chilichonse.

Kusintha kwa kapamba wamisala:

1. Kusintha kwa pathological mu minofu kachulukidwe chifukwa cha pachimake khunyu. Zimaphatikizidwa ndi kupukusira pang'onopang'ono kwa pancreatic parenchyma ndi chakudya cham'mimba. Pali kuwonjezeka kwa kuchuluka kwa chiwalo ndi kutupa kwa makoma ake.
2. Kuchepa kwa kachulukidwe kakulidwe ka parenchyma komwe kali pachiwopsezo cha kapamba, pomwe ma pancreatic duct amakhala. Ichi ndichifukwa chakuphwanya chimbudzi cha chakudya ndimafuta ambiri.
3. Pancreatic lipomatosis amadziwika ndi kuchuluka kwa mafuta mu zimakhala za chiwalo. Amawonedwa kwambiri mwa anthu omwe ali ndi matenda ashuga komanso amasintha okalamba.
4. Chifukwa cha pancreatic fibrosis. Fibrosis amatanthauza kukonzanso kwa ma cell kwa minyewa yodziwika ndi zotupa, nthawi zambiri chifukwa cha kukomoka kwa metabolic ndi kutupa.

Monga zikuwonekera ndi kukula kwa kapamba ndi momwe chiwalo wamba chimawonekera pachithunzithunzi cha ultrasound, werengani nkhani yotsatira.

Dziwani za kuphwanya

Njira zoyenera kuzindikiritsa matenda am'mimba kapamba ndi chiwindi ndi monga:

• mbiri yakale yazachipatala, kafukufuku wazachipatala,
• kuyesa kwa ultrasound
• kuyezetsa magazi kuti mupeze njira zotupa mthupi,
• Kuunika kwa ma X-ray
• kuyesa kwamwazi wamagazi,
• kusanthula ndowe ndi mkodzo,
• kusanthula kwa biopsy kwa chiwindi punctate,
• kusanthula kwa zotupa poyimira khansa ya chiwindi,
• makina ophatikizira ndi maginito.

Kodi kuchotsa matenda?

Mukamapereka mankhwala oyenera, ndikofunikira kuganizira za momwe matendawo aliri, zomwe zimapangitsa kuti pakhalepo komanso zomwe zimachitika mu matenda.

Odwala onse, mosasamala kanthu za njira zoyeserera, amapatsidwa chithandizo chamankhwala choyambira. Chithandizo cha antiviral ndizothekanso.

Chofunikira kwambiri pazachipatala ndi kudya mosamalitsa. Kuyimitsidwa kofunikira kwa zakumwa zoledzeretsa ndi kaboni, kuletsa kugwiritsa ntchito zakudya zokazinga, zokometsera komanso zamafuta. Sizikulimbikitsidwa panthawi ya chithandizo kutenga mankhwala a hepatotoxic, kuti mupange vaccinations osiyanasiyana. Sikoyenera kuchita chithandizo cha matenda omwe akupezeka m'mimba.

Zakudyazo zimapangidwira payekhapayekha, poganizira kulolerana kwa zakudya zina ndi zovuta zomwe thupi limakhala nazo. Zakudya zamankhwala zimatanthawuza kupatula kwathunthu kwa mankhwala oledzeretsa omwe amapezeka, mankhwala osungirako, ndi zina zowonjezera zamankhwala pazakudya. Zakudyazo ziyenera kukhala zofatsa, komanso zolimbitsa thupi ndikugwira ntchito mogwirizana ndi luso la wodwalayo.

Chithandizo choyambirira chikuyenera kuthandizira kugaya ntchito pogaya ntchito ndi mayamwidwe. Udindo wofunikira umachitika ndi kukula kwa mabakiteriya okhala m'matumbo ndi matumbo aang'ono. Mwa izi, wodwalayo amamuika antibacterial mankhwala, mankhwala enzyme. Chithandizo chikuchitika mkati mwa masabata 3-4.

Kuchepetsa kamvekedwe ka minofu ya chiwalo chomwe chakhudzidwa, mankhwala a antispasmodic amagwiritsidwa ntchito omwe amathandizira kutulutsa kwa madzi a enzymatic kulowa m'matumbo.

Pankhani ya kusintha kwakakhungu pachiwindi ndi kapamba komwe kumachitika motsutsana ndi maziko a fibrosis, ndikofunikira kupaka mankhwala odana ndi kutupa a gulu lomwe si la steroid.

Njira zopewera

Kuchepetsa chiopsezo cha kusinthasintha, njira zotsatirazi zingatengedwe:

1. Choyamba, muyenera kusiya kumwa, chifukwa mowa umakhudza chiwindi ndipo umathandizira kuti pakhale matenda osiyanasiyana.
2. Ndikofunika kutsatira zakudya zosavomerezeka.
3. Pokayikira koyamba ka matenda am'mimba othandizira, ndikofunikira kuti muchepetse kugwiritsidwa ntchito kwa zakudya yokazinga, zonunkhira komanso mafuta.
4. Nthawi zonse mumayesedwa.

Kutsatira malamulo opewera, mutha kuletsa kukula kwa mitundu yosiyanasiyana ya chiwindi ndi m'mimba thirakiti.

Ichi ndi chiyani

Zikondamoyo ndi chiwindi zimadziwika ngati mtundu wosatupa wa ziwalo zomwe sizimaphatikizira zolakwika, zopanga minofu. Ziwalo zimaphatikizidwa palimodzi ndi njira, ndi kusokonezeka kwa imodzi, magwiridwe a enawo amasokonezeka.

Kodi kusintha kwa chiwindi ndi kapamba ndi chiyani? Izi zikutanthauza chisokonezo chomwe chimayamba pakupanga minofu. Matupi amataya kukula, mawonekedwe, kukula. Kuyesa kuchiritsa matendawa popanda chilolezo sikovomerezeka, chifukwa zizindikiro za matendawa ndi ofanana ndi hepatomegania. Izi zikutanthauza kuwonjezeka munthawi yomweyo, ndulu, chiwindi, ndi njira zingapo zamankhwala zofunika.

Zomwe zimayambitsa kusinthika kwa chiwindi ndi kapamba zimawerengedwa:

• Kusintha kagayidwe kachakudya
• matenda a matenda opatsirana,
• kutupa
• cholelithiasis.

Mawonetsero ofanana ndi kapamba, kudalira mowa, kupsinjika kumapangitsanso kusintha kwa kapamba ka chiwindi ndi chiwindi. Kukula kopweteka mu ndulu kumatha kuyambitsa matenda, ichi ndi cholecystitis.

Zotsatira zoyipa zikakhudza thupi, wozunzidwayo amakhala ndi steatosis, yomwe imakhudzanso kupezeka kwa mafuta m'thupi.

Zizindikiro zamatenda

Nthawi zambiri, kusintha kwakumayimbidwe ka chiwindi ndi kapamba kumapezeka pakukonzekera kwa ultrasound kwamitsempha yamagetsi. Chidziwitso chosaneneka cha matenda osiyanasiyana a kapamba amafunikira ngati wodwalayo abwera kudzalandila ndi mndandanda wazodandaula.

Zizindikiro zakusintha kwamatenda a chiwindi ndi kapamba zimafalikira ndikuwonetsa kuwawa ndikulemera pansi pa nthiti yakumanja.

Kukula kwa kupweteka kwa ululu kumakhala kofatsa kapena koyenera. Kwenikweni, kusintha koteroko kumasintha pancreatic parenchyma ndi chiwindi kumayamba chifukwa cha kulimbitsa thupi, kuthamanga, kumwa zinthu zomwe zimakhala ndi mafuta ambiri. Chizindikiro cha kupwetekedwa kwapweteka mu izi ndikutukuka kosalekeza ndipo imatha kukula motsogozedwa ndi ena osokoneza.

Kusintha kovuta mu chiwindi ndi kapamba kumadziwika ndi zizindikiro zingapo.

1. Kulimbikira.
2. Anachepetsa chilako.
3. Kutentha kwa mtima
4. Pambuyo pa chakudyacho, phulusa lowoneka.
5. Kusanza mobwerezabwereza.
6. Kupanda mphamvu motsutsana ndi maziko onse.
7. Kuchepetsa mphamvu yogwira ntchito.
8. Kugwira ntchito mopitirira muyeso.
9. Mutu wopweteka nthawi zonse.

Nthawi zambiri, ndi kuwonongeka kwa chiwindi ndi kapamba, kuchuluka kwa magazi kumapangika pansi pa khungu. Mwaimuna, ndi matenda amchiwindi, kuphwanya kugonana kumayang'aniridwa. Hafu yachikazi yaanthu imayang'anizana ndi kusowa kwa mahomoni komanso kusamba kwa msambo.

Kuphatikiza apo, Zizindikiro zimadziwika ndi kusintha kwa khungu ndi mapuloteni amaso.

Pa gawo lachiberekero cha zotsatira za pathological, pamakhala kuchekeka pang'ono kwa maso, kenako ndikusintha khungu. Kutupa kwa wodwala kumakhala kopanda utoto, mkodzo umayamba kuda. Dancado wa pancreatic amakhala wopindika, izi zimachitika chifukwa cha kapangidwe ka kapamba.

Mkulu wosinthika komanso kuchuluka kwa chakudya m'minyewa yathu m'mimba akakwiyitsidwa ndi matenda osiyanasiyana a kapamba ndi chiwindi, wozunzidwayo amakumananso ndi zizindikiro zina zomwe zimafanana ndi matenda ena ake.

1. Kapangidwe ka mawanga amdima pamilomo.
2. Mimbulu yatupa ndikutuluka magazi.
3. Misomali imakhala yofiyira.
4. Mbali yaching'ono ya chala chachinayi imakhala yolimba kapena mawonekedwe a callus m'malo ano.
5. Chala choyamba chakunga.
6. Mpando ndiwowuma komanso wolimba.
7. Mavuto a mano.

Zizindikiro zonse zatchulidwazi zikuwoneka, muyenera kupita kwa dokotala nthawi yomweyo.

Mitundu ya Kusintha

Hepatomegaly ya kusintha kwa chiwindi ndi kapamba imagawika malinga ndi kuuma ndi gawo la zinthu zodontha.

1. Fomu yoyambayo ndi zizindikiro zazing'ono zamankhwala, zifukwa zomwe zimakhazikika pakulimbikitsidwa ndi zoyipa (utsi wa fodya, mowa mowa, mafuta, zakudya zonunkhira) m'thupi kapena chiwindi.
2. Wodekha dystrophic mawonekedwe - amapangidwa mchikakamizo cha chakudya chopanda malire, mowa, kuledzera. Kuti muwongolere vutoli, ndikokwanira kumwa mavitamini ndikudya mothandizidwa.
3. Fibrosis ndimtundu wazovuta zamatenda, kutupa kumachitika, minofu yolumikizana imakula ndikupanga zipsera za mawonekedwe amodzi kapena angapo. Mawonetseredwe ofananawa amalembedwa mu odwala matenda ashuga, onenepa kwambiri, mawonekedwe a chiwindi, ndikupanga koopsa komanso koopsa.

Zovuta zovuta mu matenda a pancreatic amapangidwa:

• kachulukidwe kachulukidwe - chitukuko chachikulu cha matenda, chimafalikira mwa kukakamira kwa m'mimba ndi madzi a m'mimba. Chiwalo chimakula, septum imakhala ikutupa nthawi zonse,
• makulidwe a parenchyma amatsika - amapangika pang'onopang'ono matendawo, chomwe chimapangitsa chisokonezo ndi kusintha kwa ntchito m'mimba
• lipomatosis - wosanjikiza wamafuta umayamba m'matumbo.

Mosasamala mtundu wamatenda a kapamba ndi chiwindi, ndikuwonetsa koyamba, muyenera kupita kwa dokotala nthawi yomweyo. Pambuyo pakuwunika kotheratu, ndizotheka kudziwa molondola zomwe zimapangitsa kusintha kwa minofu.

Zizindikiro za Echo

Asanapereke mankhwala, dokotala ayenera kuvomereza moyenera matendawo. Chifukwa chake, amagwiritsa ntchito njira zosiyanasiyana zodziwitsa, zomwe zimagwiritsidwa ntchito kwambiri ndi ultrasound.

Zotsatira za kuphwanya malamulo zimadziwika kudzera mu kuphunzira kwa ultrasound.

1. Kutsitsa dongosolo lalikulu la parenchyma. Vuto lofananalo limafotokoza kupezeka kwake.Kukula kwa kapamba ndi chiwindi kumapangidwa. Matendawa amakula chifukwa cha mwadzidzidzi zochitika.
2. Kachulukidwe ka Echo kachepetsedwa. Zikondamoyo ndi chiwindi sizimasinthika kukula. Wobwerera adzakondwera chifukwa cha gawo lalikulu la kapamba.
3. Zizindikiro za Sonographic ndizophatikizidwa. Kukhalapo kwa parenchyma kachulukidwe kumawonedwa motsutsana kumbuyo kwa kusintha kwa septa ndi adipose minofu.
4. Kupatuka - kupangika kwa thupi, kupezeka kwa hyperecho Mtengo ndi wachilengedwe kapena wochepetsedwa.
5. Kuwonjezeka kapena kuchepa kwa sinuses, Zizindikiro zopweteka za purapy course, thrombosis.
6. Chifukwa cha zovuta, kachulukidwe ka chiwalo nako kumakulanso.

Kutenga mphamvu kwambiri kwa kapamba, chiwindi ndi njira yodziwika mwa ana. Kusintha kwina kwa pancreas kwa mwana ndi zonyansa zapakati pa ultrasound kumawonetsedwa ndi kupindika kovuta kwa echo. Iron ndi chipangizo chopangidwa mwaluso, ndichopepuka kuposa chabwinobwino, echogenicity imachulukitsidwa m'njira zonse.

Ndikusintha kwa kutulutsa kwa ana pa ultrasound, kapamba ndi hyperechoic, matupi ake amakhala opepuka pang'ono, mawonekedwe - oyera mawonekedwe oyera amatanthauza kukhalapo kwa zipsera ndi ma fibrosis.

Ngati zikuwoneka kuti muli ndi vutoli, muyenera kupita kwa dokotala nthawi yomweyo. Dokotala azichita zoyeserera za ultrasound. Ultrasound imatha kuyang'ana zolephera za pancreatic ndi chiwindi. Komabe, kuti muwone bwino za momwe wodwalayo amathandizira nthawi zambiri, zotsatirazi zimachitika:

• kusanthula magazi kuti mudziwe zotupa,
• MRI
• CT
• kusanthula kwa zotupa poyesa maphunziro osayenera mu chiwindi,
• X-ray
• kusanthula kwa chimbudzi, mkodzo.

Kwa odwala onse omwe ali ndi kusintha kwa chiwindi ndi kapamba parenchyma, chithandizo chamankhwala chimayikidwa potsatira zinthu izi:

• chiyambi cha matenda
• pathogenesis
• gawo lowonongeka.

Dokotala amapanga dongosolo la iyemwini kwa wodwala. Kuti tichotse zovuta zomwe zimapangitsa kuti pakhale zovuta, zimalimbikitsidwa kutsatira njira zamasiku onse ndikuchiza matenda ophatikizana.

Pazakudya, kupatula kugwiritsa ntchito mankhwala osungira, mankhwala ena owonjezera, mankhwala oopsa, mowa, zakumwa zoziziritsa kukhosi. Chepetsani kudya zamafuta, zakudya zamchere popanga matenda a kapamba, komanso zakudya zonunkhira. Pokayikira koyamba kwa zizindikiro za kuledzera, zinthu izi ziyenera kuchotsedwa kwathunthu patebulo.
Sizovomerezeka kumwa mankhwala a hepatotoxic pamankhwala, kupanga katemera osiyanasiyana. Ndi osafunika kuchiza matenda omwe apezeka m'mimba.

Gome lazakudya limayikidwa payekhapayekha, poganizira kulolerana kwa zakudya zina ndi malo omwe wodwala alibe. Zakudya zoyenera zimawonedwa kwa miyezi isanu ndi umodzi.

Muyenera kudya zinthu zomwe zili ndi mavitamini ambiri. Mutha kubwezeretsa thupi ndi maapulo, mazira, tchizi chinyumba, ng'ombe, nsomba. Kuphika kumachitika ndi nthunzi kapena kuwira.

Mankhwala othandizira amakhala kuti akhazikitse magwiridwe antchito a ziwalo. Kutengera ndi zomwe zadziwika, mankhwalawa ali ndi magulu otsatirawa a othandizira:

1. Maantibayotiki - siyani kutupa komwe kumachitika ndimatenda oyambitsa mabakiteriya. Perekani - Clarithromycin, Amoxicillin, Azithromycin.
2. Ma anti-virus - gwiritsani ntchito mankhwala ozikidwa pa interferon.
3. Mankhwala olimbana ndi chifuwa chachikulu - adayikidwa mu hepatitis chithandizo - Rifampicin, Pyrazinamide.
4. Chimbudzi michere kuti muchepetse kugaya chakudya komanso kukonza kulowetsedwa kwa zakudya - Pancreatin, Festal.
5. Antispasmodics - amachepetsa chizindikiro cha ululu, amagwiritsidwanso ntchito ngati njira yochepetsera bile - Papaverine hydrochloride, No-Shpa.
6. Mankhwala omwe amateteza matumbo microflora - Bifidubacterin, Bifiform.
7. Othandizira a heepatoprotective amateteza chiwindi ku zovuta zomwe zimayambitsa kuwonekera kwamkati ndi kunja - Phosphogliv, Essentiale.

Ngati chithandizo chodzikakamiza sichinabweretse zotsatira zomwe zikufunika, njira yochitira opaleshoni imayikidwa.

Kuchiza ndi wowerengeka azitsamba

Kuti m'malo mwa exocrine osakwanira kuthandizidwa ndi adokotala, Pancreatin ndi mankhwala. Njira zina zothanirana ndi vutoli zimalimbikitsidwanso. Kuti muchite izi, gwiritsani ntchito ma tetenti osiyanasiyana azitsamba, kuyeretsa chiwindi kumachitika ndi oats, masamba a birch, timbewu tonunkhira ndi chiuno.

Maphikidwe zochizira matenda osokoneza.

1. Uchi mu dzungu - masamba pang'ono amatengedwa, mbewu zimatengedwa ndikudzazidwa ndi uchi. Kenako imakankhidwa m'malo amdima pafupifupi masiku 20. Imwani madzi katatu patsiku mu supuni yaying'ono.
2. Lingonberry tincture - mankhwalawa amatha masamba, mutha kuwuma kapena mwatsopano. Kuti akonzekere bwino, mbewu zingapo zimaponyedwa mumphika pa lita imodzi yamadzi ndikuwophika kwa mphindi 20. Pambuyo pozizira chakumwa, imwani 250 ml patsiku.

Popeza kusinthika kwa kapamba ndi chiwindi kumatengedwa ngati zizindikiro zazikulu, kuwongolera kwawo kwakanthawi kapena chithandizo kumafunika.