Chifukwa chiyani kutsegula m'mimba kumachitika panthawi ya kapamba komanso momwe mungaletsere

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Kutsekula m'mimba - ichi mwina ndi chimodzi mwazinthu zosasangalatsa m'miyoyo yathu, chimayambitsa kusokonekera kwina ndipo nthawi zambiri chimawononga mapulani ofunikira, omwe amabwera panthawi yotsutsana kwambiri. Zomwe zimayambitsa matendawa zimatha kukhala poyizoni wa chakudya komanso mavuto akudya, kumwa mankhwala enaake ndikudya zakudya zabwino zopatsa thanzi. Komabe, nthawi zambiri kutsegula m'mimba kumakhala chizindikiro cha matenda am'mimba, chifukwa mawonekedwe am'mimba amawonedwa ndi chifuwa cham'mimba, matenda am'mimba, duodenitis, zilonda zam'mimba komanso zilonda zam'mimba, colitis, etc. Mwanjira ina, kusokonekera kwa chimbudzi kumadziwika ndi matenda aliwonse am'mimba omwe amatupa.

Lero tikambirana za kutsekula m'mimba, komwe kumachitika chifukwa cha kutupa kwa kapamba, komwe kamapanga michere yofunika kugaya chakudya.

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Zimayambitsa kutsegula m'mimba mu kapamba

Kutsegula m'mimba ndi kapamba ndimasewera omwe amadziwika ndi machitidwe kapamba. Nthawi zambiri izi zikamawonedwa, zimakhala zolimba kwambiri pakadutsa ziwalo.

Gastroenterologists amavomereza kuti chachikulu chomwe chimayambitsa matenda otsekula m'mimba pancreatitis ndi njira yotupa yomwe imakhudzanso kupanga kwa pancreatic madzi, omwe amakhala ndi michere yankhanza (trypsin, phospholipase, amylase, lactase, ndi zina), chifukwa chomwe chakudya chomwe chilowa m'matumbo am'mimba makamaka kupukusa kwathunthu ndi kuzilowetsa m'matumbo momwe mumafunikira michere mthupi.

Ndi kuperewera kwa michere yokugaya, njira yogaya chakudya mu duodenum imalepheretseka. Vutoli limakulirakulira ndikukula kwa biliary dyskinesia motsutsana ndi dongosolo la chotupa m'matumbo am'mimba, omwe amachepetsa mphamvu ya gallbladder ndi kayendedwe kake. Mwa njira, njira yotupa mu ziwalo zina zam'mimba imatha kufalikira ku ziwalo zina, mwachitsanzo, ku ndulu (cholecystitis - kutukusira kwa ndulu), yomwe imakhudzanso ntchito yake ya contractile, kupangitsa mtundu wa dyskinesia wa hypotonic (wochepetsedwa mphamvu).

Bile, yomwe imapangidwa m'chiwindi komanso imasungidwa mu ndulu, imagwira ntchito yothandizira pancreatic enzymes ndi gawo lothandizira. Mwanjira ina, imayendetsa ntchito ya m'mimba ya pancreatic enzymes ndikuletsa njira zowola mu duodenum, momwe bile limalowa ndi madzi a pancreatic chakudya chikamalowa m'thupi.

Kufooka kwa gallbladder ndi ma ducts ake kumayambitsa kuchepa kwa bile mu duodenum, chifukwa chake, ngakhale madzi osakwanira a pancreatic omwe amapezeka mu duodenum amakhala ndi ntchito yochepa. Chakudyacho sichidagundidwa kwathunthu, komanso kusokonezeka kwa matumbo a m'mimba (kachiwiri chifukwa cha zotupa m'mitsempha yama cell) kumathandizira kuti maonekedwe akuola ndi kupindika m'mitsempha yodyetsa matumbo ndi microflora yamatumbo, chotulukapo chake chomwe ndi mawonekedwe apakhungu a m'mimba.

Kudzimbidwa pa maziko a kutupa ndi kusowa kwa michere yogaya m'mimba ndi timadzi ta pancreatic ndiye chimayambitsa matenda am'mimba ku kapamba. Komabe, pali zifukwa zina, zochepa (zachiwiri) zomwe zimakhudza kugwira ntchito kwa kapamba.

Zowopsa

Zomwe zimayambitsa kupezeka kwa matenda am'mimba mwa odwala ndi kapamba:

• mavairasi, mabakiteriya komanso ma parasitic pathologies am'mimba, zomwe zimayambitsa vuto la m'matumbo microflora,
• mtima pathologies okhudza kinetic ntchito ya m'mimba dongosolo,
• zotupa zowopsa za kapamba chifukwa cha kuwopsa, mabala olowera komanso kuchitapo kanthu opaleshoni,
• Matenda a chiwindi, chikhodzodzo, komanso mapangidwe amisala, kuphatikizapo mapangidwe a calculi (miyala),
• kumwa mankhwala amphamvu (mwachitsanzo, kuchiza cholecystitis yomweyo), komanso momwe thupi limayambira.

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Pancreatitis ndi amodzi mwa oopsa kwambiri opatsirana am'mimba, omwe, ndi mtima wolumikizana, amakhala ndi zoopsa zomwe zimapangitsa kuti pakhale kusokonezeka kwapakudya, zomwe zimakhudza kwambiri magwiridwe antchito ndi ziwalo zonse zamthupi.

Nthawi zambiri, njira yotupa m'matumba ndi kuphwanya magwiridwe ake amachitika chifukwa cha zizolowezi zoipa. Choyambitsa chachikulu cha kapamba ndi uchidakwa kwa nthawi yayitali, ndiye kuti pamakhala kusuta, komwe kumadziwika chifukwa chosokoneza chikumbumtima cha ziwalo zambiri ndi machitidwe amthupi.

Zotsatirazi zimathandizira kukulitsa kapamba: kudya kwambiri, kudya zakudya zamafuta, zakudya zopanda mapuloteni. Mavuto a kapamba amaperekedwa ndimankhwala ambiri, makamaka pogwiritsa ntchito nthawi yayitali (maantibayotiki ena, mahomoni, okodzetsa amphamvu omwe amagwiritsidwa ntchito chifukwa cha edematous syndrome chifukwa cha matenda a mtima, ndi zina zambiri).

Matendawa amatha kuchitika pachimake komanso chovuta. Acute pancreatitis imatha kukhazikika motsutsana ndi kumbuyo kwa matenda opatsirana omwe amayambitsidwa ndi cytomegalovirus, hepatitis B ndi C ma virus, ndi zina, matenda am'magazi, matenda monga matumbo kulowetsedwa, zilonda zam'mimba, bysary duct dyskinesia, aakulu ndi pachimake cholecystitis, kupezeka kwa miyala mu chikhodzodzo.

Ndi mankhwala osakwanira komanso kudya pang'ono, kudya kapamba kokhala ndi ululu wamkati, kusanza, jaundice ndi kudzimbidwa zimasandulika kukhala mawonekedwe osakhazikika, omwe amadziwika ndi kupweteka pamimba yopanda kanthu komanso pambuyo chakudya chamtima, kupweteka kwambiri kwamadzulo, kumva kupsinjika m'mimba, zizindikiro zowuma kwambiri. matenda am'mimba.

Kutsegula m'mimba pancreatitis yosatha ndi chizindikiro chofala, koma kukula kwa chiwonetsero cha matendawa kumadalira kwambiri kuwopsa kwa matenda. Pamene kutupa kumachitika pokhapokha magawo a kapamba ndipo samatsatiridwa ndi kupweteka kwambiri, akumamva kuwawa ndi kukakamizidwa mbali yakumanzere, kutsekula m'mimba kumachitika ngati mukudya kwambiri kapena pakudya chamadzulo. Masana, chizindikiro chofananira chimakhala chosowa kwambiri.

Pakusagwirizana ndi zakudya komanso kusapezeka kwa chithandizo choyenera, kutupa kumakhudza mbali zambiri za chiwalo, ndikuchepetsa kwambiri magwiridwe ake. Milandu ya m'mimba yokhala ndi kapamba imakhala yowonjezereka, ikuphatikizana ndi kukulira kwa matenda

The pathogenesis ya matenda am'mimba mu pancreatitis yayitali amachokera kuchepa kwa enzymatic ntchito ya kapamba. Kupanda kukwana kwa michere yamagayidwe am'mimba kumayambitsa kuperewera kwawo mu duodenum, komwe chakudya chogaya theka kuchokera m'mimba chimalowa. Imaphwanya dongosolo lonse la chimbudzi, matumbo am'mimba ntchito imakhala ndi kukula kwa njira yotsikiramo (chakudya sichitha, koma matumbo m'matumbo).

Pancreatitis samachitika ngati matenda odziyimira pawokha. Nthawi zambiri zimawonedwa limodzi ndi matenda ena am'mimba a m'mimba kapena kumbuyo kwa chotupa cham'mimba.

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Zizindikiro za m'mimba mu kapamba

Kungonena kuti ndi maonekedwe a pancreogenic odziwika kwambiri am'mimba sikuchitika mwangozi. Zowonadi, ndi kapamba, kutsekula m'mimba kumakhala ndizomwe zimasiyanitsa ndipo sikuwoneka ngati kutsekula m'mimba komwe kumayambitsa poizoni wazakudya.

Zokhudza mawonekedwe am'mimba mu kapamba:

• kuchuluka kwa matumbo
• kupezeka kwa ndowe za chakudya chosasamba,
• fungo loipa
• mawonekedwe amafuta
• ndowe zochuluka kwambiri zothimbidwa nthawi imodzi yachinyengo (polyphase),
• imvi kapena mtundu wa chikasu (kutsegula m'mimba ndi kapamba komanso cholecystitis yofanana ndi kuphwanya kutuluka kwa bile nthawi zambiri imakhala ndi utoto wonyezimira).

Limagwirira a chitukuko cha matenda am'mimba vuto la enzymatic kapamba kuchepa timangotengera zomwe m'mimba timawona pancreatitis.

Chikhalidwe chachikulu cha ndowe mu kapamba ndi kupezeka kwa zotsalira za chakudya chosasankhidwa. Ndizowonetsa izi zomwe zikuwonetsa kuphwanya njira yogaya chakudya chifukwa chosowa ma enzymes apadera omwe amapangidwira kuphwanya chakudya mpaka tinthu tating'onoting'ono. Kuperewera kwa madzi a pancreatic ndi ntchito yochepa ya ma enzyme mkati mwake kumapangitsa kuti chakudya chofunikira kugaya chimatulutsidwa m'njira yomweyo, chifukwa kupukusira komaliza kwa chakudya kumapeto kwa chimbudzi.

Kuyamwa kwa michere m'matumbo chifukwa chosakwanira kukonza kwa chakudya, kumabweretsa kuti mafuta, monga gawo lofunikira lamphamvu, "amawulukira kuchimbudzi", kukhazikika pamakoma ake ngati mafuta, ovuta kutsuka, ndipo wodwalayo amayamba kufooka komanso kutsika magulu ankhondo.

Ndowe zambiri zomwe zatsitsidwa ndikuwonetsa kuchuluka kwa chakudya m'mimba. Ine.e. pafupifupi chilichonse chomwe munthu amadya chimatuluka osapindulitsa thupi.

Ponena za utoto ndi kununkhira, ndiye kuti machitidwe omwe amapezeka m'thupi chifukwa cha kusayenda akusiya kale chizindikiro. Kuphwanya kolowera mu duodenum ya bile ndi ma pancreatic enzymes amasintha mtundu wa ndowe kukhala imvi kapena kuwala kwa chikasu. Ndipo njira zowola ndi kupesa, zimachitika ndi kutenga mbali kwa mabakiteriya, zimatsogolera ku chochitika chakuti pang'onopang'ono matenda kapamba timayang'ana kutsegula m'mimba. Ndizovuta zomwe zimapangitsa matumbo kuti azindikire kununkhira kwa kashchetseobraznyh matumbo amtundu wobiriwira.

Pali matenda otsegula m'mimba omwe amapezeka m'mimba mutatha kudya, nthawi zambiri mawola awiri atatha kudya. Zizindikiro zina za matendawa zimawoneka nthawi yomweyo. Pafupipafupi mawonekedwe a chizindikiro monga kutsegula m'mimba ndi 1 kapena 2 kawiri pa tsiku. Milandu yayikulu ya matendawa, machitidwe obwereza matumbo amayang'aniridwa, akubwereza tsiku lililonse mukatha kudya komanso ngakhale pakati pawo.

Kutsegula m'mimba ndi kapamba kumayendera limodzi ndi zizindikiro monga mseru komanso kusanza, kupweteka kwam'mimba m'mimba ndi matumbo, kufooka, chizungulire. Poona izi, wodwalayo amakhala ndi thukuta lozizira, khungu limapeza mthunzi wopepuka, nthawi zina wokhala ndi kutulutsa mawu, kumakhala kodetsedwa m'maso, kunjenjemera kumaonekera m'thupi.

Ponena za kusanza, nthawi zambiri pamakhala kukakamizidwa kofooka komwe sikupangitsa kuti zinthu zam'mimba zituluke.

Njira yothira yotupa mu kapamba ikhoza kuyambitsa kutentha thupi ndi mawonekedwe a kuzizira. Kutsegula m'mimba ndi kutentha kwa kapamba kumawonetsa kuti kutupa mkati mwa thupi kukuyenda bwino ndipo matendawo ayamba kuwopsa.

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Mavuto ndi zotsatirapo zake

Zomwe zimayambitsa matenda otsekula m'mimba, zotulukapo zake zowopsa ndi kusowa kwamadzi. Maonekedwe, fungo, mtundu wa ndowe zilibe kanthu, ndikwanira kuti ndowe zimakhala madzi ambiri, zomwe zikutanthauza kuchuluka kwa N₂Pafupifupi iwo amawonjezeka.

Pakangodzichulukitsa kamodzi ndi matenda otsekula m'mimba, madzi ochulukirapo kawiri kawiri amathiridwa m'thupi kuposa masiku onse. Ndipo ngati mungaganizire kuti kutsegula m'mimba ndi pancreatitis yodziwika bwino kumatha kuchitika kangapo patsiku, kutayika kwa madzimadzi kumapeto kumafika pazovuta zambiri.

Chifukwa chake khungu louma ndi ludzu, zomwe nthawi zambiri zimapezeka odwala odwala ndi kapamba.

Chizindikiro chotalikirapo monga kutsegula m'mimba ndi kapamba amachiwona, chovuta kwambiri ndicho mkhalidwe wa wodwalayo, chifukwa mchere wofunikira umachoka m'thupi limodzi ndi madzi, zomwe zikutanthauza kuti kuchuluka kwa ma electrolyte kumasokonekera. Kuphwanya chimbudzi komanso kuperewera kwamatumbo kumapangitsa kuti mavitamini asamayende bwino komanso kuti magazi achepetse, kuchepa kwa mapuloteni m'thupi (chinthu chofunikira chomanga maselo amthupi), komanso zovuta zina za metabolic.

Zonsezi zimabweretsa kuwonongeka pakhungu, mafupa, mano, misomali, tsitsi, kufooka kwa minofu, zotupa zotulutsa lilime (glossitis), mawonekedwe a ming'alu pamilomo ndi "kuthinana". Wodwalayo amayamba kuchepa thupi msanga, mpaka kufika manambala ovuta. Mavuto a kapamba chifukwa cha matenda otsegula m'mimba amathandizira kukulitsa asthenic syndrome, yothandizirana ndi kutengeka mtima (kusinthasintha kwa kayendedwe, kupsya mtima, malingaliro), nkhawa, ndi zovuta kugona.

Kuperewera kwa michere yofunika kwa moyo wa thupi kumachepetsa ntchito yake yoteteza. Chifukwa chake, odwala pancreatitis nthawi zambiri kuposa ena omwe ali ndi vuto la bacteria ndi virus.

Kutsegula m'mimba ndi kapamba kumakhala chifukwa cha necrosis chamkati ndikukula kwa dystrophy yawo. Kucheperako kukula, ziwalo ndi minyewa yake sizitha kukwaniritsa bwino maudindo omwe apatsidwa, zomwe zimayambitsa kusokonekera kwatsopano ndi kwatsopano kwa thupi. Mwachitsanzo, kuchepa kwa ntchito ya pancreatic ndiwofupi ndi kukula kwa matenda ashuga.

Udindo wofunikira muumoyo wa odwala omwe amapezeka ndi matenda am'mimba ophatikizidwa ndi matenda otsekula m'mimba nawonso umachitika ndi kuyesa kwa zomwe zikuchitika. Kukakamira kwapafupipafupi kopezera kumatha kuwonongera moyo wa odwala, kuwachepetsa mwayi malinga ndi ntchito yopindulitsa komanso kupuma, kuwononga mapulani, kuwayika pamalo osavomerezeka pamaso pa ena. Izi zikuwonetsa kuti odwala ambiri omwe ali ndi mitundu yapamwamba ya kapamba amakumana ndi mavuto amanjenje, kukhumudwa, komwe kumangokulitsa mkhalidwe wa wodwalayo ndi njira yake yamatendawa (kupsinjika sikunathandizenso kuchira).

Kuzindikira matenda am'mimba mu kapamba

Nthawi zambiri, sitimvera chidwi ma alamu omwe chamoyo chimatipatsa chomwe chimayambitsa matenda. Ululu wa epigastrium amadziwika kuti ndi chakudya chodwala kapena chosawoneka bwino, kutsekula m'mimba poyizoni wa chakudya, nseru kuti adye poizoni, kutenga pakati kapena kuthamanga kwa magazi, zizindikiro za dyspeptic pamatenda am'mimba komanso zakudya zopanda pake. Zizindikiro zilizonse zimapezeka pofotokozera momveka bwino komanso momveka bwino. Koma zotsatira zokhazokha zowunika zomwe zitha kudziwa momwe lingaliro lathu lidzakhalire lokhazikika.

Ngati mumanyalanyaza zizindikiro zosafunikira kwa nthawi yayitali, mutha kuphonya kumayambiriro kwa matendawo ndikusintha kwake kukhala mawonekedwe osakhazikika, potero kuwonekera pathupi lanu pachiwopsezo chachikulu, chifukwa matenda aliwonse osakhazikika amachepetsa chitetezo cha mthupi ndikusiya munthu osatetezeka kumatenda osiyanasiyana. Koma izi sizokhudza izi, koma kuti maonekedwe ena sakutanthauza kukula kwa ndondomekoyi, koma kudziwikanso kwake.

Chifukwa chake, kutsegula m'mimba ndi kapamba ndichizindikiro kuti matendawo apeza matenda osachiritsika.Komabe, kupita kwa dokotala mochedwa ngakhale atakhala ndi zizindikiro zotere kumafunikira kupenda kwapadera kwam'mimba kuti apeze matenda oyambitsidwa, momwe matendawa amakhala amodzi mwa mawonetsedwe a matendawo.

Zizindikiro za kapamba m'njira zambiri zimafanana ndi chithunzi cha matenda am'mimba ambiri. Komabe, mawonekedwe a ululu omwe amapezeka makamaka atatha kudya "zoletsedwa", kumva kupsinjika pamimba, kuchuluka ndi kuchuluka kwa ndowe zomwe zimapatsidwa kumapereka dokotala chifukwa choganiza kuti ndi kapamba. Koma kukhalapo kwa chizindikiro ngati kutsegula m'mimba kumayambitsa zambiri za matendawa.

Njira zozindikiritsa pancreatitis yokayikitsa imaphatikizapo kuyesa wodwala ndi palpation ya dera la epigastric, kuwerenga mawonedwe malingana ndi wodwalayo, ndipo ngati kuli kotheka, kuyeza kutentha kwa thupi.

Wodwalayo adayikidwa mayeso otsatirawa:

• kuyezetsa magazi kwapakati (kuwonetsa kukhalapo kwa njira yotupa ndi kusintha kwa kapangidwe ka magazi, kosonyeza kukula kwa kuchepa kwa magazi),
• kuyesa kwa shuga m'magazi (kufotokozera ngati kapamba amachititsa matenda ashuga)
• kusanthula kwamkodzo kwamkodzo (kudzaperekanso chidziwitso cha kutukusira, koma kuwonjezera pamenepo kudzawunikira ntchito ya impso, yofunikira mukapereka mankhwala),
• kusanthula ndowe (zikuwonetsa kukhalapo kwa ziwiya zopanda chakudya, mafuta, komanso njira zowola motsutsana ndi maziko a ntchito ya bakiteriya).

Ngati pancreatitis ikukayikiridwa, kuunika kwa chiphuphu kumachitika. Pachifukwa ichi, magazi kapena mkodzo wapadera umayesedwa ma enzymes (magazi amylase kapena fecal elastase-1).

Kufufuza kwazida kumakupatsani mwayi wowunika kukula kwa ziwalo zamkati ndi momwe zimachitikira mwa iwo. Fibrogastroscopy, wotchuka ndi matumbo am'mimba, pankhani ya kapamba sangayerekeze kupereka chidziwitso chokwanira, chifukwa chake simuyenera kudalira.

Njira yophunzitsira komanso yodziwika bwino yodziwonetsa kuti ndi kapamba imakhalabe mayeso a pancreas. Kuyerekezera kwamakompyuta ndi maginito oyeserera a chiwalo kumachitidwanso njira zamakono zowonetsera kapamba, kukulolani kuti mufufuze ziphuphu kuchokera mbali zonse mu chithunzi cha mbali zitatu.

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Chithandizo cha kapamba pamimba

Chinthu chinanso chomwe chimayambitsa matenda otsegula m'mimba khunyu ndikuti sizovuta kuzimitsa. Sizingatheke kupanga mankhwala okhawo, chifukwa sangathe kusokoneza kapamba. Ndipo kodi ndikoyenera kuti muchepetse kuchotsedwa kwa zinthu zomwe zimayambitsa poizoni m'thupi popanda kusintha thupi?

Mutha kuthana ndi matenda otsekula m'mimba m'mimba pancreatitis pokhazikika pancreas, ndipo izi zimafuna kupirira komanso kudziletsa.

Zikondamoyo zoyipirazi zimakumana ndi zovuta kwambiri pazonyamula katundu komanso mafuta ambiri. Kutentha nthawi zambiri kumakhudzana ndi kutupa, chifukwa kumangokulitsa vutolo. Koma kugwiritsa ntchito mafuta osafunikira mafuta kumafuna kubwereranso kwakukulu kuchokera kwa odwala, omwe sangathe. Zotsatira zake, kupweteka kwa epigastric, nseru, ndi mavuto am'mimba zimawonekera.

Kuletsa kuukira kwa kapamba m'masiku oyamba kukokomeza, wodwalayo amapatsidwa njala yochepa, kumwa madzi okwanira. Choyesa chopanda ayezi chimayenera kuyikiridwa ndi zikondamoyo kuti chichepetse kutupira ndi kutupa (mwachitsanzo, phukusi lotenthetsera lodzala ndi zidutswa za madzi oundana, loyala lomwe limakulungidwa kuchokera zigawo zingapo pakati pa thupi ndi phata lotenthetsera kuteteza chisanu pakhungu.

Ndi kuchulukitsa kwa matendawa, kupumula pabedi kumalimbikitsidwa, chifukwa mtendere ndi zina mwazinthu zazikulu pakuchiritsa kwa kapamba.

Mtsogolomo, kuti athandizire ntchito ya kapamba, tikulimbikitsidwa kuti azitsatira mosamala kudya. Chakudya chamadzimadzi chovomerezeka (katatu pa tsiku), pomwe magawo azikhala ochepa kuti angokulitse njala. Chakudya chimayenera kukhala chamadzimadzi kapena chamafuta pang'ono, chopukutidwa bwino, popanda zokometsera ndi sosi.

Ndikofunikira kuchepetsa kugwiritsa ntchito zoperewera zowuma, barele wa peyala, mkaka (ndi matenda am'mimba mutha kuwonjezeredwa m'miyeso yaying'ono ndi sopo). Zipatso ndi ndiwo zamasamba ziyenera kuphikidwa. Mowa ndi koloko, nyemba ndi bowa ndizoletsedwa.

Chakudya chizikhala chotere kuti sichitha chifukwa cha kapamba. Zogulitsa zimaphikidwa kapena kuwotchera, chakudya chimadyedwa mwa mawonekedwe ofunda. Madzi amawonetsedwa ochuluka (osachepera malita awiri patsiku), omwe angathandizenso kubwezeretsanso malo ake ngati akutsegula m'mimba.

Mtendere ndi chakudya choyenera zimathandizira kusintha kwa kapamba, koma osati mwachangu momwe timafunira. Chifukwa chake, kuti athandizire ntchito ya gawo lofunikira ili, odwala amapatsidwa kukonzekera kwa enzymatic (Pancreatin, Creon, Mezim, Festal, etc.). Chifukwa chake, katundu pa zikondwerero zimachepa, ndipo duodenum imalandira michere yokwanira, zomwe zimathandizira kugaya chakudya mwachangu komanso moyenera. Ndipo ngati chakudyacho sichingamira m'matumbo, chimachoka m'thupi mwangwiro ngati chopondapo.

Wogwiritsa ntchito makala ndi ma enterosorbents ena (mwachitsanzo, "Makala oyera", "Polysorb" komanso ngakhale "Almagel", wotchuka mu gastroenterology) amathandiza kuthana ndi mawonetseredwe a kuledzera komwe kumachitika chifukwa chogwiritsa ntchito chimbudzi. Ndipo mutha kubwezeretsani mulingo wamagetsi am'madzi mothandizidwa ndi jekeseni wamkati wamchere wamankhwala a electrolyte (kuchipatala) ndikugwiritsira ntchito madzi ambiri.

Kuchepetsa pafupipafupi mayendedwe a matumbo, kukulitsa kamvekedwe ka rectum ndi anus, kudzathandizira mankhwala othandizira malinga ndi loperamide (Immodium, Loperamide, Lopedium, ndi zina). Komabe, pogwiritsa ntchito mankhwalawa, muyenera kusamala, chifukwa zimayambitsa kuchepa kwa zinthu zoopsa m'thupi. Amangofunika kutengedwa pokhapokha pakagwa ngozi.

Ma analgesics (mwachitsanzo, Baralgin) ndi spasmodics (No-shpa, Papaverin) amathandizira kuchotsa ululu ndi kukokana kunja komanso munthawi ya m'mimba ndi kapamba. Mwinanso, mutha kumwa mankhwala osokoneza bongo osokoneza bongo, omwe amachepetsa ma spasms ndikugonetsa ("Spazmil", "Spazmalgon", "Renalgan").

Popeza kutsegula m'mimba nthawi yayitali kumathandizira kuti matumbo asamayende bwino, muyenera kuchitapo kanthu kuti mubwezeretse zomwe zimachitika mkati mwa thupi. Kuti izi zitheke, dokotalayo amapereka mankhwala othandizira ofanana ndi a m'matumbo a coli, bifidobacteria ndi lactobacilli (Colibacterin, Bifidobacterin, Lactobacterin). Aliyense wa mankhwalawa amatengedwa kwa masiku 21, motero nthawi yomweyo matumbo a microslora amayambiranso mpaka miyezi iwiri kapena kupitilira.

Koma musanayambe kubwezeretsa maluwa opindulitsa m'matumbo, ndikofunikira kuti muyeretse bwino kuchokera ku tizilombo toyambitsa matenda omwe amaphatikizidwa ndikuwola ndi kupweteka kwa pancreatitis. Chifukwa chaichi, kuyeretsa kwamatumbo ndi enema kumachitika. Ndipo mankhwala monga Polyphepan amathandiza kuyeretsa matumbo athunthu, ndikukonzekera nthaka kuti ikhale yokhazikika ya microflora yopindulitsa.

Kutsegula m'mimba ndi kapamba kumabweretsa chifukwa chakuti thupi limayamba kusowa mavitamini ndi mchere wofunikira pakugwira ntchito kwake. Mafuta am'mimbamo amatha kubwezeretsanso jakisoni, yemwe amachitika m'mimba kwambiri. Koma mavitamini ofunikira omwe ali ndi zoletsa zakudya amatha kupezeka kuchokera ku mankhwala okhala ndi mavitamini. Vitamini-michere osakanikirana ndi mapiritsi amawonedwa ngati njira yabwino kwambiri yokwaniritsira kuchepa kwa mavitamini ndi mchere, komabe, muyenera kuwamwa mutachotsa matenda otsegula m'mimba, apo ayi zotsatira za zomwe amadya zimakhala zopanda zero.

Mankhwala a Pancreatitis

Chithandizo cha matenda otsegula m'mimba ndi kapamba ndizosatheka popanda kubwezeretsanso njira yomwe imagaya chakudya. Popeza kusintha kwa kapamba kumachitika pang'onopang'ono, ndipo muyenera kudya tsiku lililonse kapena katatu tsiku lililonse, chimbudzi chitha kupitilizidwa pokhapokha pothana ndi madzi a kapamba.

Kuthandizira pang'onopang'ono pankhani ya pancreatitis yachilengedwe kumakonda kumwa mankhwala a enzymatic omwe amathandizira kuthetsa matenda otsegula m'mimba komanso kupewa kukula kwa zovuta zina.

Chiboni - Chimodzi mwazinthu zodziwika bwino za michere ya pancreatic. Mankhwalawa amachokera ku mankhwala a porcine pancreatin, mu mawonekedwe ake ofanana ndi anthu. Pancreatin, imakhala ndi ma enzyme atatu: lipases, ma amylases ndi mapuloteni, omwe amathandiza kuthana ndi mafuta, zakudya zama protein ndi mapuloteni, motero, omwe amalowa m'thupi monga gawo la chakudya.

Kuti mugwiritse ntchito mosavuta, mankhwalawa amapezeka mu mawonekedwe a makapisozi amiyeso yosiyanasiyana: ma 150 mg (magawo 10,000 a lipase, magawo 8,000 amylase, mayunitsi 0,6,000 a proteinase), 300 mg (25,000 a lipase, 18,000 magawo a amylase, Magawo 1,000 a proteinase), 400 mg (40,000,000,000 a lipase, magulu 25,000 amylase, mayunitsi 1.6,000 a proteinase).

Popeza kufunikira kwa pancreatin odwala osiyanasiyana kumadalira kuchuluka kwa kuperewera kwa kapamba, kuchuluka kwa mankhwalawa kumayikidwa payekhapayekha (kuyambira 2 makapisozi 150 mg mpaka 3 makapisozi 300 mg nthawi imodzi). Zokhwasula-khwasula ziyenera kuphatikizidwa ndi kumwa mapiritsi ochepa (150 kapena 300 mg pa kapisozi).

Muyenera kumwa mankhwalawo mwina ndi zakudya, kapena musanadye chakudya kapena musanadye. Makapisozi safunikira kutafuna, ingomwanireni ndi madzi ambiri. Pa mankhwala, kuchuluka kwa madzi omwe amamwa tsiku lililonse ayenera kukhala osachepera 2 malita.

Mankhwalawa ali ndi zotsutsana zochepa kwambiri zogwiritsidwa ntchito. Sichikuperekedwa kwa odwala omwe ali ndi tsankho pamagawo a mankhwalawo, komanso pancreatic hyperfunction. Zotsatira zoyipa zimachepa ndikuwonekera kwa kudzimbidwa (motsutsana ndi maziko osakwanira amadzimadzi oledzera), dyspepsia, kupweteka ndi kutukuka kwa dera la epigastric.

Chikondwerero - Kuphatikiza kophatikizidwa komwe, kuphatikiza ndi pancreatin, kumakhala ndi ma enzyme ena omwe amathandizira kugaya chakudya mwachangu komanso moyenera. Bovine bile mu mawonekedwe a ufa imalimbikitsa zochitika za lipase mu metabolism ya mafuta, ndipo hemicellulase imathandizira pakuwonongeka kwa chomera cha fiber. Zikhala zothandiza kwambiri pothandiza matenda am'mimba ndi cholecystitis ndi kapamba.

Mankhwalawa amapangidwa mwa mawonekedwe a dragee, chigamba chomwe chimateteza ma enzymes ku zotsatira za hydrochloric acid. Piritsi limodzi lili: 6,000,000 a lipase, mayunitsi 4.5,000 amylase, mayunitsi 0,3,000 a proteinase, 50 mg ya bile, 25 mg ya hemicellulase.

Mankhwalawa amalembedwa kwa odwala akuluakulu a mapiritsi a 1-2 omwe ali ndi chakudya chilichonse. Zilonda zimameza madzi.

Zotsatira za kugwiritsa ntchito mankhwalawa ndi: hypersensitivity kwa zigawo zikuluzikulu za mankhwalawa, magawo a hepatitis ndi kapamba, jaundice wovuta, kutsekeka kwamatumbo, ma pathologies omwe amagwirizana ndi vuto la shuga ndi kagayidwe ka sucrose.

Zotsatira zoyipa chifukwa chmamwa mankhwalawa zitha kukhala zotsatirazi: kusokoneza kwam'mimba, limodzi ndi mseru, kusanza, kufupikitsa kapena kuthamanga kwa chopondapo ndikusintha mawonekedwe ake, kupweteka kwa m'mimba, matumbo.

Nthawi zambiri, thupi limakhala lodetsa nkhawa ndi anaphylactic. Kutenga michere yayikulu kungapangitse kuti magazi asinthe, kuyamwa kwam'mimba, komanso kukula kwa hyperuricosuria.

Mankhwala enzymatic amagwiritsidwa ntchito mu mawonekedwe a kapamba panthawi yochotsa matendawa.

Ngati matenda otsekula m'mimba a kapamba amakhala pafupipafupi ndipo amawopseza thanzi la wodwalayo, adotolo amatha kuthandizira mosamala othandizira.

Immodium - mankhwala antidiarrheal yochokera loperamide, amene amachepetsa kupanga nthumbu m'matumbo ndikuwonjezera kuyamwa kwa madzi am'mimba. Amapezeka mu mawonekedwe a makapisozi ndi mapiritsi.

Zochizira matenda am'mimba, akulu nthawi zambiri amapatsidwa mapiritsi 2 kapena lozenges, ndipo kwa ana, piritsi limodzi patsiku. Kupitilira apo, mankhwalawa amasinthidwa kotero kuti kuchuluka kwa matumbo kosatha sikunapitirire 2 patsiku.

Makapisozi samatsukidwa ndi madzi, ndipo mapiritsi amasungidwa mkamwa mpaka atasungunuka kwathunthu.

Mankhwalawa sagwiritsidwa ntchito pophwanya zida zake, kamwazi pachimake, pseudomembrane ndi zilonda zam'mimba zam'mimba, bakiteriya enterocolitis, mkhutu wamatumbo oyenda, kuyamwa. Chenjezo limawonedwa mu chiwindi matenda.

Ndikumamwa mankhwalawa, zizindikiro zosasangalatsa monga mseru, kufikira kusanza, kugona, chizungulire, kufooka, kugona, ndi kudzimbidwa zimatha kuonedwa. Kupweteka kwam'mimba kwa spasmodic kumatha kusokoneza, zizindikiro za kudzimbidwa zitha kuwoneka. Nthawi zina, odwala amadandaula kuti akunjenjemera m'thupi, amatha kuzindikira.

Poyerekeza ndi maziko a hypersensitivity, thupi lawo siligwirizana limawonedwa, kuphatikizapo komanso lolemera.

Kutsegula m'mimba ndi kapamba, monga matenda omwewo, nthawi zambiri kumayendera limodzi ndi zopweteka m'matumbo ndi m'matumbo. Pankhaniyi, adotolo amafotokozera mankhwala oletsa kupweteka ndi antispasmodics.

Spazmil - mankhwala osokoneza bongo omwe ali ndi zinthu zitatu zogwira ntchito, pomwe onse ali antispasmodic (pitophenone ndi fenpiverinium), komanso analgesic (metamizole).

Ndikulimbikitsidwa kumwa mapiritsi mukatha kudya ndi madzi ambiri. Mlingo wa tsiku ndi tsiku ndi mapiritsi 1-2. Njira ya mankhwalawa sapitirira masiku 5.

Mankhwalawa ali ndi zolakwika zingapo, zomwe zimayenera kuganiziridwa posankha. Ndi koletsedwa kumwa mankhwalawa odwala omwe ali ndi hypersensitivity ku zigawo zake, kutsekeka kwa mafupa, ndi kuchepa kwa magazi, kuchepa kwa magazi, impso ndi chiwindi, kutsika kamvekedwe ka makoma a ndulu ndi chikhodzodzo, arrhythmia yokhala ndi kugunda kwamtima. Osati mankhwala kwa pachimake porphyria, glaucoma, Prostate adenoma ndi mkodzo kutuluka, matumbo, kuwonongeka, bronchial mphumu, amaganiza appendicitis kapena peritonitis.

Mu ana adagwiritsidwa ntchito kuyambira zaka 15. Osagwiritsa ntchito pochotsa amayi apakati komanso oyamwa.

Kuwoneka kwa mavuto kumalumikizidwa ndi gawo la analgesic la mankhwala. Zimatha kugwidwa ndi matupi awo, zotupa pakhungu, kuukira kwa mphumu, tachycardia, kutsitsa magazi, kukula kwa matenda a magazi.

Osati kwenikweni, odwala amadandaula za kusokonezeka mu chakudya cham'mimba, chotsatira ndi ziwalo zamkamwa zowuma, mseru ndi kusanza, komanso kusokonezeka kwa chopondapo.

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Njira zina

Izi sizikutanthauza kuti njira zachilendo zoperekera kapamba ndizothandiza kwambiri kuposa zoyambirira. Komabe, kukana kugwira ntchito kwawo sikulinso koyenera. Komabe, mbewu zambiri zimakhala ndi zotsatira zofunikira mu zotupa za m'mimba, chifukwa zimathandizanso kuteteza, komanso kusungunulira, ndikuthandizira kugaya.

Kutsegula m'mimba ndi kapamba kumachitika pokhapokha pakumakula, komwe kapamba amatenga gawo. Ntchito yake imasokonekera chifukwa cha kutukusira kwa chiwalo.

Mphamvu yotsitsimula ndi yotakasuka mucous nembanemba ya ziwalo zosiyanasiyana zam'mimba zimagwiritsidwa ntchito ndi mbatata zatsopano ndi karoti. Madzi ayenera kumizidwa kuchokera masamba osambitsidwa bwino ndi masamba. Ndi bwino kusakaniza timadziti tofanana ndipo timamwa 1 kapu 3 katatu pa tsiku theka la ola musanadye.

A decoction a madzi chopondapo chimathandiza decoctions wa makangaza masamba, masamba a mtedza, mbewu ndi masamba a sorelo.

Phindu labwino la kapamba limaperekedwanso ndimankhwala omwe ali ndi zitsamba, zomwe zimaletsa kutsekula m'mimba ndikusintha zina zonse.

Kuti muchotse kutupa m'matumbo, kulowetsedwa kwa chamomile chamomile kumathandiza (supuni 1 ya zopangira pa chikho 1 cha madzi otentha). Imwani katatu pa tsiku chikho cha ½.

Ndipo ngati mukuwonjezera chamomile ndi ma stigmas a chimanga ndi maluwa a calendula, mutha kukonzekera wothandizira antidiarrheal. Tsopano amatenga supuni ya chopereka kukhala kapu yamadzi otentha, ndikuumirira kwa ola limodzi mu kutentha ndipo amatenga mphindi 15 asanadye kwa mwezi umodzi.

Zitsamba monga chouma ndi chowawa zimathandizanso kulimbana ndi m'mimba. 1 tbsp zitsamba zilizonse zimathira madzi otentha. Wosafa ndi wokwanira kukakamira kwa theka la ora, ndipo wiritsani chowawa ndikuumirira mphindi 45.

Kulowetsedwa Immortelle kumwedwa mu chikho ½ 3 pa tsiku. Koma ndi chowawa muyenera kusamala, chifukwa udzu ndi woopsa. Tengani iye decoction tikulimbikitsidwa magawo ang'onoang'ono (2 supuni) mpaka 5 pa tsiku.

Pofuna kukonza chimbudzi ndi kapamba, kuphatikiza choleretic kumasonyezedwanso.

• Kutolere 1: celandine, kumtunda, muzu wa dandelion, violet tricolor. Tengani zitsamba zilizonse mu 20 g, kuthira madzi osakaniza 1 lita imodzi ya madzi ndi kuwiritsa kwa mphindi zitatu. Tengani katatu tsiku lililonse musanadye. Maphunzirowa ndi milungu iwiri.

Tikamaliza maphunzirowa ndi chithandizo choyamba, timasinthira ku chachiwiri.

• Kutolere 2: mbewu za katsabola ndi timbewu tonunkhira - 60 g iliyonse, zipatso za hawthorn ndi zosafa - 40 g iliyonse, chamomile - 20 g. Kapangidwe kamothiriridwa ndi madzi okwanira 1 litre ndikuwatsimikizira mpaka atazizira. Timalandila pambuyo chakudya chachikulu. Maphunzirowa ndi milungu 4.

Ndikofunika kukumbukira kuti kukonzekera mankhwala azitsamba sikungalowe m'malo mwa mankhwala omwe adotchulidwa ndi adotolo, koma kumangowonjezera zotsatira zake. Kuphatikiza apo, kumwa njira iliyonse yamankhwala azikhalidwe kumafunikira kukambilana ndi dokotala.

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Homeopathy

Fans of homeopathic chithandizo amathanso kupatsidwa mankhwala angapo othandiza omwe amathandiza kulimbana ndi vuto losasangalatsa komanso loopsa ngati kutsegula m'mimba pancreatitis:

Arsenicum yozikidwa pa arsenic imapangidwira timitulu tambiri tofewa, tomwe timatha kutsatiridwa ndi kusanza komanso kukokana kowawa.

Iodum (kukonzekera kwa ayodini) kumathandizanso kuti matenda a pancreatitis asinthe.

Kolotsint, Momordika compositum (mankhwala opaka mtsempha wamagetsi) amathandiza kuthana ndi ululu m'matumbo ndi m'mimba.

Ngati pancreatitis ikadutsa maziko a cholelithiasis, mankhwala a homeopathic Helidonium-homaccord N. akhala othandiza.

Ndi mtundu uliwonse wam'mimba, mankhwala ngati Aloe ndi Belladonna azikhala ndi zotsatira zabwino. Koma nitricum ya ku Argenticum imayikidwa pokhapokha chopondapo chili ndi tinthu tosiyanasiyana ta chakudya, chomwe chimayang'aniridwa ndi kapamba.

Ngakhale akuwoneka kuti ndi otetezeka pakuchiritsa kwa homeopathic, amayenera kumwedwa pokhapokha ngati akuwuzidwa ndi dokotala.

Zimayambitsa kutsegula m'mimba mu kapamba

Pali zifukwa ziwiri zazikulu zomwe zimayambitsa matenda am'mimba mwa wodwala kapamba:

• kudzimbidwa, komwe kumachitika chifukwa chosamwa bwino chakudya chifukwa chosakwanira msuzi wam'mimba,
• kusowa kwa michere yomwe kapamba amapanga.

Zifukwa zina zosowa:

• matenda a m'mimba,
• kuphwanya dongosolo lamagazi
• matenda a mtima
• zikondamoyo,
• nthenda ya ndulu,
• thupi lawo siligwirizana.

Chimodzi mwazizindikiro ndi kununkhira kosasangalatsa kwa ndowe zomwe zimayamba chifukwa cha kuvunda kwa mapuloteni komanso kupsa mphamvu kwa chakudya cham'mimba. Mtundu wamatumbo utasanduka wobiriwira, izi zikuwonetsa kuti panali kuphwanya pakukokota kwa zinthu zomwe zidapezedwa, kupindika m'matumbo kumawonjezeka ndipo, mwina, mtundu wina wa matumbo amatuluka.

Kukula kwa tsitsi ndi misomali, kupezeka kwa glossitis, kusinthasintha kwa machitidwe, kumva kutopa, komanso kusokonezeka kwa tulo timadziwikanso ndi kapamba.

Ndi pancreatitis, kupweteka kwam'mimba kumamveka, kumayendetsedwa ndi mseru kapena lamba, kuthamanga kwa magazi kumachepa, ndipo mwina kuwonjezeka kwa kutentha kwa thupi.

Ngati matenda otsekula m'mimba akuvutitsa munthu kwa nthawi yayitali, ndiye kuti kumatha kubweretsa vuto lakumadzi. Wodwala amatha kukhala ndi mavitamini osasowa, chizolowezi chokhala ndi magazi m'thupi komanso mavuto ena azaumoyo.

Chifukwa chake, muyenera kulumikizana ndi katswiri.

Kuti adziwe matenda, dokotala amakupatsirani maphunziro awa:

• kuyezetsa magazi, mkodzo ndi ndowe,
• kupenda kwamimba m'mimba,
• kuganiza kapamba,
• woopsa kwambiri, laparoscopy.

Chithandizo cha kapamba pamimba

Kuthandiza munthu yemwe ali ndi pancreatitis yovuta, malamulo atatu ofunika ayenera kutsatiridwa:

Patsiku loyamba, ndikulimbikitsidwa kuti wodwalayo azikhala ndi nthawi yambiri pakudya, kumwa madzi ambiri oyera, kupumula kamagona ndikuyika mafuta otenthetsera ndi ayisi. Izi ziyenera kuchitidwa kuti muchepetse kutupa ndi kutupa.

Kutsatira zakudya kumafunika. Chakudya chimayenera kugawidwa m'magawo ang'onoang'ono. Pogaya zinthuzo bwino bwino, makamaka pogwiritsa ntchito njira ina. Ndikwabwino kudya zakudya zotentha ngati ndi ndiwo zamasamba komanso zamafuta ochepa. Choyamba, ndibwino kuphika masamba, ndiye kuti CHIKWANGWANI chimadzakimbidwa m'thupi mwachangu. Ndi zoletsedwa kugwiritsa ntchito zonunkhira ndi zokometsera, soups wokhala ndi barele wa ngale ndionso ziyenera kusiyidwa kwakanthawi.

Zakumwa zoledzeretsa komanso zopangidwa ndi kaboni siziwayika kwathunthu kuti zisayambitse mkwiyo wapancreatic.
Ngati, kutsatira kadyedwe, wodwalayo sanakuwonjezere, ndiye kuti mutha kuphatikiza tchizi yakunyumba ndi mbewu monga zakudya. Pondikulapo pabwino, mutha kuwonjezera nsomba ndi nyama muzakudya zanu. Koma izi siziyenera kukhala tsekwe kapena nyama ya bakha, nyama ya nkhumba yamafuta ndi mwanawankhosa, kachete, zomangira nyama, ndi zina zotere.

Kugwiritsa ntchito nkhuku mu mawonekedwe owiritsa, ndibwino kuiwalako za kuphika mu uvuni pakalipano.

Mkaka, pamene kutsegula m'mimba kupezeka ndi kapamba, iyenera kuphatikizidwanso, koma kuwonjezera msuzi kapena phala ndikololedwa.
Sitikulimbikitsidwa kugwiritsa ntchito nyemba ndi adyo, radish, tsabola, kupewa kumwa khofi ndi cocoa, kuiwala za makeke okoma ndi zipatso wowawitsa kwakanthawi.

Mankhwalawa, mankhwala a multienzyme nthawi zambiri amalembedwa kugwiritsa ntchito mankhwala monga Mezim Forte, Festal, ndi zina.

Wodwala aliyense amasankhidwa payekha njira yochira yomwe imatenga masiku 4 mpaka 12, kutengera kuopsa kwa matendawa.

Monga othandizira kukonza, ndimakonda kugwiritsa ntchito "Imodium", "Loperamide", kaboni yokhazikitsidwa, tincture wa walnut, etc.

Kupanga kutaya kwa madzimadzi panthawi ya kutsekula m'mimba, kuyamwa kwamankhwala osokoneza bongo okhala ndi magnesium, sodium, ndi zina zotere. Ngati mawonekedwe a kapamba ndiosavuta, ndiye kuti kuchipatala sikofunikira, koma muyenera kumwa mpaka malita awiri a madzi oyera tsiku lililonse.

Monga ma painkillers, tikulimbikitsidwa kuti mutenge "No-shpa", "Baralgin." Kusintha kapamba, "Almagel" kapena "Phosphalugel" ndi mankhwala.

Enema yoyeretsa ku matenda am'mimba nthawi zambiri amagwiritsidwa ntchito pochotsa zotsalira za njira zowola ndi kupesa komanso kukonza thupi kuti likhale ndi matenda a matumbo microflora.

Kubwezeretsa microflora, tikulimbikitsidwa kugwiritsa ntchito mankhwala a Kolibacterin kwa milungu itatu, ndiye kuti Bifidumbacterin amayamba, amatengedwanso masiku 21, kumapeto kwa maphunzirowa Lactobacterin ndi mankhwala, omwe amakhalanso oledzera kwa milungu itatu.

Ndi pancreatitis, ma multivitamin complexes ayenera kumwedwa. Izi zikuphatikizapo mavitamini a magulu B, C, A ndi E.

Ma complex monga Vitakomp, Siliva, Vitrum, Ultivit ndi ena adziwonetsa okha bwino.

Kudzichitira nokha mankhwala nkoletsedwa. Chilichonse chimayikidwa kokha ndi gastroenterologist.

Momwe mungachiritsire matenda a m'mimba ndi wowerengeka azitsamba

Msonkhanowu, kuphatikiza chamomile, peppermint, calendula ndi stigmas ya chimanga, ndiye wodziwika kwambiri. Ndikofunikira kutenga zigawo zonse molingana, kusakaniza bwino, kutsanulira 1 lita imodzi ya madzi otentha ndikusiya kwa mphindi 60. Ndiye mavuto ndi kumwa 2 tbsp. l Mphindi 20 asanadye. Chinsinsi ichi chimathandizanso kutupa bwino, ndikulimbikitsidwa ndi kutentha kwa 38 mpaka 40 ° C. Njira ya chithandizo imatenga 1 mpaka miyezi iwiri.

Mutha kugwiritsa ntchito timbewu, zingwe ndi elecampane. Kuti muchite izi, sakanizani zonse zomwe zili pamwambazi palimodzi ndi magalasi awiri a madzi otentha, onjezani moto wochepa kwa mphindi 5, kenako tsimikizani pafupifupi ola limodzi. Tengani decoction 2 pa tsiku, 50 ml musanadye.

Kuchokera ku m'mimba ndi kapamba, kulowetsedwa kwa wort kwa St. Pafunika 1 tbsp. l kutsanulira zitsamba kapu yamadzi otentha ndikusiya kwa mphindi 60. Imwani 100 ml katatu patsiku.

Kuphatikiza pa infusions ndi decoctions, ndi kapamba, masewera olimbitsa thupi ndi othandiza. Chifukwa cha kuchititsa zolimbitsa thupi zolondola, kutikita minofu yamkati kumachitika, zomwe zimathandiza pa ntchito zawo zonse.

Kugwiritsa ntchito mankhwala azitsamba kuthana ndi matenda am'mimba pancreatitis

Chofunikira pakutsekula m'mimba ndimankhwala azitsamba. Amathandizanso kutukusira, kusintha magwiridwe antchito a kapamba ndi biliary, kubwezeretsa minofu ya tinyezi, ndi zina zambiri.

Zomera zodziwika bwino zochizira matenda am'mimba mu kapamba ndi chowawa komanso chosafa.

Amathandizira kuchepetsa kutukusira komanso kukonza chiwindi.

Kukonzekera mankhwala decoction, muyenera: kutenga 2 tbsp. l maluwa osatha, amathira 500 ml ya madzi ofunda, kubweretsa kwa chithupsa pamoto wochepa ndi kuwira kwa mphindi 30. Kenako sakanizani ndikunyamuka kwakanthawi, kuti kulowetsaku kuzizire pansi. Pambuyo pake, kanizani osakaniza ndikutenga 1 tbsp. l mpaka katatu pa tsiku kwa theka la ola musanadye. Ndikofunika kumwa kulowetsedwa mwa mawonekedwe ofunda.

Udzu wazomera tikulimbikitsidwa kuti ugwiritse ntchito monga kulowetsamo komanso monga chopopera cha mowa. Kuti mukonzekere decoction nayo, muyenera: kutenga 2 tbsp. l zitsamba, kutsanulira 500 ml ya madzi ofunda, wiritsani kwa mphindi 5, ndiye kunena mphindi 45. Pambuyo pa izi, ndikofunikira kukhetsa msuzi ndikumwa 1-2 tbsp. l mpaka 5 pa tsiku 20 mphindi musanadye.

Monga njira yothanirana ndi kapamba (kuphatikizapo matenda a m'mimba), muyenera kukhala ndi moyo wathanzi, kudya moyenera, kusiya zizolowezi zoipa (kumwa mowa ndi kusuta ndudu), kukhala nthawi yambiri kunja. Kutsegula m'mimba kuyenera kuthandizidwa mukangopezeka kuti palibe zovuta.

Chithandizo cha matenda am'mimba ndi wowerengeka azitsamba

Mankhwala azitsamba omwe amagwiritsidwa ntchito pochiza pancreatitis ndi kutsekula m'mimba ndizofunikira. Amasiyanitsidwa ndi machitidwe awo othana ndi kutupa, kuwonjezera ntchito za kapamba ndi biliary, kukonza kupanga ndi kutumiza kwa bile, kutulutsa michere ya pancreatic, kutenga nawo gawo pakubwezeretsa minofu ya tizi m'maselo a cell ndikuchepetsa njira yotupa.

Zomera zomwe zimathandizira pancreatitis komanso kuthandizira ku m'mimba zimaphatikizapo maluwa osatha ndi chowawa. Mothandizidwa ndi maluwa osatha, mutha kuchotsa kutulutsa kwa kapamba, kuyambitsa ntchito yake yachinsinsi, komanso ntchito ya chiwindi.

Mothandizidwa ndi maluwa osatha, mutha kuchotsa kutulutsa kwa kapamba, kuyambitsa ntchito yake yachinsinsi, komanso ntchito ya chiwindi.

Kuphika decoction 1.

2 tbsp. l cholumikizidwa ndi 4 tbsp. l wa maluwa athunthu, kutsanulira 2 makapu amadzi otentha, kubweretsa kwa chithupsa ndi kuwira kwa mphindi 30, kuyambitsa kulowetsedwa. Pambuyo pozizira, sinthani ndi kumwa 50-100 ml katatu pa tsiku kwa mphindi 30 musanadye. Tengani kulowetsedwa.

Udzu wazomera ukhoza kugwiritsidwa ntchito monga kulowetsedwa komanso monga chopopera cha mowa. Mukamagwiritsa ntchito kukonzekera kwa chowawa mwa odwala, ululu umatha, kupukusira m'mimba kumachepetsedwa, ndipo chopondapo chimakhazikitsidwa.

Kuphika decoction 2.

2 tbsp. l kutsanulira 2 makapu amadzi otentha, wiritsani kwa mphindi 3-4, tsimikizani mphindi 45. Mutatha kusefa, tengani supuni ziwiri (mutha 3) kasanu patsiku kwa mphindi 15 kapena 20 musanadye.

Popewa kapamba ndi matenda am'mimba (m'mimba), ndikofunikira kuti mukhale ndi moyo wathanzi, kukumbukira ndikutsatira zakudya, osamwa mowa ndi ndudu, kuchita zolimbitsa thupi pang'ono.

Musaiwale kuti matendawa ndi bwino kupewa kuposa kuchiza. Ngati mutsatira malangizowa, moyo wopanda ululu ndi m'mimba (m'mimba) umatsimikizika!

Chifukwa chiyani m'mimba mumapezeka chiwopsezo cham'mimba?

Pakakonzedwa zotupa m'mimba, ma enzymes omwe amapangidwamo amakhala, samatulutsidwa m'matumbo, amakhala olimba kwambiri ndikuwononga gawo. Pambuyo pake, amalowa m'magazi ndikukhudza machitidwe ena.

Phukusi lamadzimadzi lomwe limapezeka ndi kapamba limawonetsa kuyenda kwa matenda mu mawonekedwe osakhazikika. Ngati munthu wadandaula za kudzimbidwa kosalekeza, ndiye kuti wapezeka ndi gawo lachiwopsezo cha kapamba.

Gawani zifukwa zazikuluzikulu zomwe zikutsogolera ku matendawa ndi matenda:

• Kulephera kwa chimbudzi cha chakudya chifukwa chazinsinsi zomwe zimagwira, chifukwa choti ndowe zimapita popanda kukonzekera, kusowa kwa michere.
• Kulandila kwa antibacterial mankhwala, zomwe zimathandizira kuwonongeka kwa microflora yam'mimba yodziwika bwino.
• Kutha kwa ndulu, m'mimba kapena duodenum. Kutsekula m'mimba kumayambikanso ndimatenda a chiwindi, chikhodzodzo komanso kutupa kwa ma ducts a bile.
• Dysbacteriosis ndi momwe magwiritsidwe a matumbo a microclora amasintha.
• Kuledzera, kusuta, mavuto azakudya.
• Kulephera kutsatira malamulo osavuta a ukhondo.

Odwala ambiri ali ndi chidwi chofuna kudziwa ngati pakhoza kukhala matenda otsegula m'mimba pancreatitis. Akatswiri amapereka yankho lotsimikizira ndipo amachenjeza kuti kumachitika kwa matenda otsekula m'mimba kumawonedwanso ndi kuvulala kwachikondwerero, kuyamwa kwa mankhwala omwe amwedwa, komanso kusokoneza magazi.

Zizindikiro zamakhalidwe

Matenda ambiri omwe amakhudza chimbudzi, nthawi zina amayamba kuvuta kapena amapezeka mosakhazikika. Onsewa ali ndi zofanana. Mwachitsanzo, ndi khansa ya kapamba, kukokana kumamvekanso, kupweteka pamimba pakuyenda kwamatumbo, malaise wamba amawonekera.

Kutsekula m'mimba chifukwa cha kutupa kwa kapamba kumakhala ndi mawonekedwe ake:

• Mpando womwe amakhala nawo nthawi zambiri umakhala ndi kuwala / koyera. Mwa kusasinthasintha, kumakhala kunenepa, kukumbukira za pasitala, ndipo kumakhala ndi fungo losasangalatsa. Komanso, ndowe zimatha kupeza mtundu wobiriwira kapena wachikaso. Nthawi zina, m'mimba mumatuluka magazi. Kusintha mumithunzi ya chimbudzi kumalumikizidwa ndi michere ndi poizoni amene amatulutsidwa ndikusalira ndulu. Mwachitsanzo, mabakiteriya apadera amapangitsa kuti ntchito yondayo ichitike, zomwe zimapangitsa kusintha kwa ndowe.
• Likukhalira ndewu lachilendo kwambiri.
• Chakudya chopanda kanthu mu ndowe ndi chizindikiro cha kapamba. Izi ndichifukwa chakuphwanya kwa mphamvu yampweya, zomwe sizimapangitsa kuti chimbudzi chikhale chokwanira komanso kukhutitsidwa kwathunthu kwa zinthu zopindulitsa.
• Kutsegula m'mimba ndi kutupa kwa kapamba kumayamba pafupifupi chakudya chikangotha ​​(itatha maola 1-2), limodzi ndi vuto la mseru, kuzizira, tachycardia. Muzochitika zapamwamba, malo ophatikizika amumwa nthawi zambiri amapezeka tsiku lililonse.

Ngati pancreatitis siyikuyamba kuthandizidwa, ndipo kutsegula m'mimba kumayambira, zizindikiro zina za matenda zidzawoneka, ndikuwonetsa kusowa kwa zinthu zofunika mthupi:

• Kuphwanya, kusapeza bwino kapamba, kupweteka pamimba.
• Anemia
• Kutsika kowoneka bwino kwa thupi.
• Kupanda chilimbikitso.
• Kuthetsa madzi m'thupi (thupi).
• Khungu, kutsekemera kwa khungu.
• Kufooka ndi kusokonekera kwa msomali ndi tsitsi.
• Kusokonezeka tulo.
• Kutha mphamvu nthawi zonse, kugona, kusowa mphamvu.

Kwa wodwala yemwe ali ndi matendawa, kutentha kwa thupi kumakwera, thukuta lakuzizira likuwoneka pamphumi ndi kumbuyo, limadetsedwa m'maso, pamakhala miseru yambiri, ndipo khungu limawonekera.Kutsegula m'mimba ndi kapamba kumatha kukhala chifukwa chosakhazikika bwino, kusinthasintha kwa machitidwe, kupezeka kwa angular stomatitis.

Njira zochizira

Anthu ambiri, atazindikira zoopsa za matendawa, akuyesetsa kuti achedwetse kupita kwa adotolo, akuyembekeza kuti zitha kwa iwo okha. Koma kupezeka kwa matenda am'mimba ku kapamba kumafunika mwachangu. Dokotala wodziwa za gastroenterologist amatha kuthana ndi vutoli, afotokozereni momwe amachepetsa matenda otsekula m'mimba komanso kupewa mavuto a kapamba. Amupima mayeso ndikupeza ndondomeko yoyesera chithandizo.

Wodwala ayenera kutsatira malangizo onse a katswiri, kumwa mankhwala, kutsatira zakudya zapadera. Ndi pokhapokha pazomwe tikuyembekezera zomwe zingachitike ndikuchotsa matenda otsegula m'mimba pafupipafupi.

Mankhwala

Pakuchulukitsa, kutsekula m'mimba, komwe kunayamba ndi kapamba, kumafunikira chithandizo chamankhwala komanso kuyang'aniridwa ndi achipatala. Wodwalayo amapaka jekeseni wothandizirana ndi mankhwala omwe amachepetsa mchere wamchere ndikulimbitsa thupi ndi zinthu zotayika.

Zoyeretsa zemas zimagwiritsidwanso ntchito pochiza matenda otsegula m'mimba chifukwa cha chifuwa chachikulu. Amakulolani kuti muchotse tizilombo toyambitsa matenda, zomwe zingayambitse kuledzera. Ndondomeko ikuchitika kawiri pa tsiku pogwiritsa ntchito madzi ofunda masiku atatu. Probiotic makulitsidwe amasonyezedwa kwa milungu itatu. Izi zimachokera ku mabakiteriya azikhalidwe komanso zikhalidwe zomwe zimakhala m'matumbo, zimagwira nawo ntchito pakudya chimbudzi, mavitamini, komanso kulimbitsa chitetezo cha mthupi.

Zikondazo zikapweteka ndi kutsekula m'mimba, akatswiri amapereka mankhwala osiyanasiyana:

• Mankhwala okhazikika (mwachitsanzo, decoction wa makangaza a makangaza, mapiritsi a Imodium kapena Loperamide).
• Kutanthauza kubwezeretsa zisa.
• Vitamini ndi mchere wama mineral.

Chithandizo chomwe chimaletsa kutsekula m'mimba sichimaphatikizira chithandizo cha mankhwala a bactericidal ndi bacteriostatic, chifukwa amatha kukulitsa vutoli ndikuwononga osati zovulaza zokha, komanso ma tizilombo oyenera omwe amagwira nawo ntchito pakudya chimbudzi. Izi ziphatikizira kukula kwa dysbiosis, yomwe imakhala ikuwonjezeka ndi kufalikira kwina kwa kapamba.

Chofunikira pakuchiza kwa mitundu yayikulu ya matendawa ndikuwopseza kutsegula m'mimba kangapo patsiku 10 ndikuthenso. Zikatero, wodwalayo amagonekedwa m'chipatala ndipo mayankho a saline electrolyte okhala ndi vuto la kufufuza zinthu amathandizidwa mwachilungamo. Ngati kutsegula m'mimba ndi kapamba kumakhala kovuta, ndiye kuti wodwalayo akulimbikitsidwa kumwa madzi ambiri (pafupifupi malita a kumwa a 2,5 patsiku).

Kuphatikiza apo, ma enterosorbents (Enterosgel, Atoxil, Smecta, Polysorb) amathandizidwa. Zochita za mankhwalawa cholinga chake ndikuyeretsa magazi a ziphe ndi poizoni.

Wodwalayo akadandaula za kukhalapo kwa ululu waukulu, pamenepa, mankhwalawa amachitika pogwiritsa ntchito antispasmodics (Papaverin, No-Shpa) ndi omwe amachepetsa ululu (Baralgin).

Njira za nkhondo

Njira zina zimathandiziranso kuchotsa kutsekula m'mimba ndikuthandizira wodwalayo. Koma musanagwiritse ntchito, muyenera kufunsa dokotala. Mutha kukwaniritsa chithandizo chabwino ndi zitsamba. Kuti muchite izi, gwiritsani ntchito mankhwala ochokera ku zitsamba:

• Mankhwala a Chamomile, kusiya kutupa.
• Peppermint, imathandizira mashesa.
• Calendula yokhala ndi machitidwe antiseptic ndi antimicrobial.
• Chimanga stigmas ndi choleretic ndi analgesic kwenikweni.

Kuphatikiza kwamachiritso kumakonzedwa motere: zigawo zonse zimaphatikizidwa mosiyanasiyana. Supuni ya chisakanizo imathiridwa ndi kapu yamadzi otentha ndikusiyidwa kwa ola limodzi. Mankhwala omalizidwa amasefa ndipo amatengedwa mphindi 30 asanadye chakudya chachikulu mu theka lagalasi kwa masiku 30-60.

Kuchita m'matumbo mobwerezabwereza ku pancreatitis kumathandizidwa ndimankhwala a choleretic:

• Pa supuni yosakwanira udzu, celandine, dandelion rhizomes, pansies kutsanulira kapu yamadzi ndikuphika kwa pafupifupi mphindi zitatu. Tengani katatu / tsiku mpaka chakudya chachikulu cha masabata awiri.
• 40 g aliyense wosafera ndi zipatso hawthorn60 g masamba peppermint ndi mbewu katsabola, 20 g daisi mankhwala amathira lita imodzi ya madzi otentha ndikudikirira mpaka kuziziratu. Imwani pambuyo chakudya chachikulu kwa mwezi umodzi.

Zakudya zamagulu

Onetsetsani kuti mwasintha zakudya zam'magazi omwe amapezeka m'matumbo ndi m'mimba. Kudya kumachitika nthawi 5-6 / tsiku muzinthu zazing'ono. Zinthu zonse zomwe zimayambitsa chisokonezo ziyenera kuthetsedwa. Izi zimaphatikizapo nyama zonse zokazinga, zamchere, zokhala ndi marinade, nyama yofuka.

Zakudya zam'mimba za pancreatic sizimaphatikizaponso zakumwa zakumwa zatsopano, khofi, masamba ndi zipatso. Wodwalayo akuyenera kukhala ndi patebulo la chakudya No. 5. Chakudya chimawotchera, kuwiritsa, kuwotchera, kuphika. Kutentha kwa chakudya chokonzekera sikuyenera kukhala kwakukulu kuposa 39 ° C.

Zofunika! Ndi kutupa ndi kuwawa m'mapapo, odwala ena amayamba kusala kudya. Ziyenera kuchitika pokhapokha poyang'aniridwa ndi achipatala komanso ndi chilolezo cha adokotala.

Njira zopewera

Ngati mupanga zakudya zopatsa thanzi, kuthetseratu mowa, lekani kusuta, kumwa mankhwala omwe dokotala amakupatsani, ndiye kuti muzovuta, izi zitha kusiya kupanikizana, limodzi ndi kutsekula m'mimba.

Ngati matendawa apezeka omwe amakhudza minofu ya kapamba, ndiye kuti muyenera kupita kuchipatala mpaka matuza atakula.

Zovuta zotheka

Ziribe kanthu zomwe zimapangitsa kuti matendawa athe, kuchepa kwamadzi kumawoneka ngati koopsa kwambiri m'mimba. Ngakhale mtundu wa ndowe, kapena kununkhira kwake sikulinso ndi vuto. Chizindikiro chodabwitsa ndi kusasinthasintha kwamadzi, zomwe zikutanthauza kuti mulingo wamadzi womwe umakhazikika.

Ndi matenda otsegula m'mimba, katatu konse madzi amadzimadzi amatayika mukutuluka kamodzi kwa ndowe kuposa momwe zimakhalira, popanda matenda. Khungu ndi mucous zimafota, pali ludzu, chizungulire, kupanda chidwi. Kuchiza matenda osavomerezeka am'mimba kumatha kubweretsa imfa, mwa odwala akulu ndi ana.

Kutalika kwa matenda am'mimba mu kapamba chifukwa:

• Steatorrhea (chopondera mafuta).
• Zofooka zazikulu, kuchepa kwa ntchito.
• Matenda a shuga.
• Kusokonezeka kwa acid-base balance.
• Hypokalemia.
• Zingwe.
• Kutulutsa magazi m'mimba.
• Kuwonongeka kwaimpso, komanso chiwindi.

Kutsegula m'mimba kwa nthawi yayitali ndi matenda a pancreatitis omwe amapita patsogolo kumatha kubweretsa kukula kwa matenda amisala komanso kungapangitse khansa. Pofuna kupewa zoterezi, muyenera kuganizira kwambiri za thanzi lanu: funsani dokotala, ndikuwona zizindikiro zoyambira zam'mimba zomwe zimachitika m'mimba. Komanso, munthu sayenera kugwiritsa ntchito njira zachikhalidwe zolimbirana ndikuyesera kuthandizidwa pawokha. Ndikwabwino kudalira akatswiri ndikutsatira malingaliro awo.

Momwe mungathetse matenda

Kuti muchepetse kutsegula m'mimba nthawi yayitali pancreatitis, ndikofunikira kudziwa chomwe chimayambitsa dongosolo logaya chakudya. Pokhapokha ngati pali njira zoyenera zochizira, matendawa amatha kupangitsa kuti madzi azisowa m'thupi, chomwe ndi chizindikiro chakuti pali vuto lalikulu m'thupi.

Ndi vuto lalitali la chopondacho, tikulimbikitsidwa kupita kuchipatala, komwe akamakatenga kachilombo koyenera:

• Kupereka mtendere wathunthu,
• Kupanga mankhwala ofunikira,
• Kugwirizana ndi zochizira zakudya.

Ngati kutsegula m'mimba kumayang'aniridwa kwanthawi yayitali, ndikofunika kupatula kugwiritsa ntchito zinthu zilizonse ndikuwonetsetsa kuti kudya kwamphamvu kwambiri mthupi kuthana ndi kutukuka kwa madzi m'thupi.

Kusokonezeka kwamphamvu kwam'mimba komanso kutupa kwa chiwalo kumathandizira kutupika kwake. Mutha kuthetsa chisokonezo mukamagwiritsa ntchito ayezi kumanzere wa hypochondrium. Pambuyo pochotsa zizindikiro zopweteka, ndikofunikira kubwereza zakudya ndikutsatira njira yothandizira odwala.

Zolinga zamaphunziro

Choyambitsa chachikulu cha matenda otsekula m'mimba m'mimba ndi njira yayitali yomwe njira yotupa imayambira mthupi. Zotsatira zake, pali kuphwanya mayamwidwe a ma pancreatic enzymes ndi kapamba.

Ndikusowa kwa michere yogwira, chimbudzi cha chakudya chimasokonekera ndipo dyskinesia wa biliary amapezeka motsutsana ndi maziko a pancreatitis yowonjezereka. Komanso matenda owonjezera a m'mimba thirakiti (cholecystitis, gastritis, colitis) amakula.

Bile imagwira ntchito yofunika mthupi ndipo imayang'anira njira yolembera chakudya. Ngati kuphwanya ntchito ya ziwalo zambiri zam'mimba, ambiri kusokonezeka kumachitika, komwe kumayambitsa kukhumudwa chopunthwitsa ndi kukula kwamatumbo dysbiosis.

Kupezeka kwa matenda am'mimba kumatha kuchitika chifukwa cha izi:

• Matenda osiyanasiyana komanso kuwonongeka m'matumbo ndi mabakiteriya azinthu zomwe zimakhudza microflora yachilendo,
• Maselo a minyewa yokhudzana ndi ntchito ya m'mimba,
• Zowonongeka zamakina kwa kapamba (bala, kuvulala kwamphamvu),
• Kuphwanya chiwindi, chikhodzodzo (kupanga miyala),
• Kugwiritsa ntchito mankhwala kwa nthawi yayitali (mwachitsanzo, mankhwala ochizira cholecystitis).

Zizindikiro za m'mimba mu kapamba

Kupezeka kwa matenda am'mimba ku kapamba kumakhala ndi chizindikiro cha matenda, omwe ali ndi kusiyana poyerekeza ndi poyizoni wa chakudya:

• Zonyowa zimasinthasintha
• Kukhalapo kwa chakudya chosasankhidwa mu ndowe,
• Kuwoneka ngati fungo lamphamvu losasangalatsa,
• Kuzindikira chinsalu chamafuta chamafuta chosonyeza chakudya chopanda,
• Kutalikirana kwa matumbo ambiri pakapangidwe kamodzi kwamatumbo,
• Agalu omwe ali ndi utoto wonenepa kapena wobiriwira (ndi kukula kwa cholecystitis, pamakhala mtundu wachikasu).

Chizindikiro chachikulu cha matenda am'mimba mu kapamba ndi kupezeka kwa chakudya chosagwiritsidwa ntchito mu ndowe, chifukwa izi zimapangitsa kuphwanya kapamba. Kuchepetsa mphamvu ya enzyme komanso kuperewera kwa madzi am'mimba kumapangitsanso kuti muzikhumudwa.

Potsutsana ndi chimbudzi wamba cha chakudya, pamakhala kuchepa kwa mafuta. Chifukwa chake, mu ndowe mumakhala zokutira zamafuta, ndipo sizitsukidwa bwino mpaka makoma a chimbudzi. Matenda a wodwalayo akuwonjezeka kwambiri, kutopa kwambiri komanso kuwonongeka.

Kukhalapo kwa imvi kapena kubiriwira kwamtambo kumachitika chifukwa chophwanya kutuluka kwa ndulu kuchokera mu ndulu kapena kapangidwe kazinthu zowola m'matumbo chifukwa cha chakudya chosagwiritsidwa ntchito. Izi ndizomwe zimayambitsa fungo losasangalatsa mu ndowe zomwe zatuluka.

Kutsekula m'mimba kumachitika pambuyo pakulowa mwachindunji kwa maola awiri. Ndi matenda oopsa a kapamba, matumbo amayenda pafupipafupi, ndipo zizindikiro za kuledzera kwa thupi zimakulirakulira.

Zinthu zikamakula, ziwonetsero zina za matenda owopsa zimawonekera:

• Kusanza, kusanza,
• Maonekedwe a ululu wam'mimba m'mimba ndi m'matumbo,
• Kufooka kwathunthu, chizungulire,
• Thukuta lozizira
• Chikopa champhamvu pakhungu
• Kugwedeza manja
• Thupi kapena kuzizira,
• Mdima wakuthwa m'maso.

Zizindikiro pamwambapa zikuwonetsa khunyu yayikulu ya kapamba, yomwe imatha kuwononga moyo wa munthu. Pankhaniyi, muyenera kupita kuchipatala mwachangu kuti akalandire chithandizo choyenera.

Momwe mungachiritsire matenda am'mimba ndi kapamba

Njira yochizira matenda am'mimba pancreatitis imakhazikika pa matenda a kugaya chakudya mthupi. Kuti muchiritse, ndibwino kumwa mankhwala omwe amalimbikitsa chimbudzi chamadongosolo kwakanthawi, omwe amakambidwa mwatsatanetsatane mndandanda womwe uli pansipa.

• Creon yokhala ndi nkhumba pancreatin, yomwe imakhala ndi michere yayikulu (lipase, amylase, proteinase) yomwe imathandizira kugaya chakudya mwa nthawi zonse. Mankhwala amaperekedwa mu mawonekedwe a makapisozi osiyanasiyana Mlingo, omwe amapatsidwa payekha malinga ndi kuopsa kwa matendawa.

Makapisozi amatengedwa musanadye kapena chakudya. Contension: tsankho kwa zigawo zikuluzikulu, ntchito yochulukirapo ya kapamba. Mankhwala angayambitse kukula kwa kudzimbidwa, kupweteka pang'ono, dyspepsia.

• Chikondwerero. Mankhwala ndi chophatikiza ndi ma enzyme ochulukitsa omwe amatithandizira kugaya chakudya mthupi. Kuthandiza mankhwalawa kapamba ndi cholecystitis. Kutulutsa mawonekedwe mu mawonekedwe a dragees wapadera wothira pachimake, otetezedwa ku zotsatira za hydrochloric acid.

Mankhwala amatengedwa 2 pa tsiku musanadye. Ziwengo, pachimake maphunziro a chiwindi, kapamba, matumbo, zotsekemera. Zotsatira zoyipa, kuwonetsa mseru, kusanza, kupweteka kwamatumbo m'matumbo ndikotheka.

• Zamphamvu. Mankhwala osokoneza bongo omwe ali ndi Loperamide omwe amasintha mayamwidwe am'matumbo ndikuletsa mapangidwe a m'mimba. Zoperekedwa mu mawonekedwe a makapisozi ndi mapiritsi. Mlingo wothandiza kuchiza matenda otsekula m'mimba ndi mapiritsi awiri a munthu wamkulu komanso 1 kwa mwana.

Contrance: tsankho kwa zigawo zikuluzikulu, kamwazi khunyu, pachimake zilonda zam'mimba, enterocolitis, mkhutu matumbo ntchito, chiwindi kukanika. Mukamamwa, zotheka zimatha: kukomoka, kukomoka, kudzimbidwa, kupweteka kwam'mimba m'mimba.

• Spazmil. Mankhwala ali ndi zovuta, zomwe zimakhala ndi analgesic ndi antispasmodic. Mlingo watsiku ndi tsiku salinso mapiritsi awiri, ndipo njira yonse ya chithandizo ili pafupifupi masiku 5.

Mukamamwa mankhwalawa, ndikofunikira kuti muganizire zotsutsana: magwiridwe a mafupa, kukomoka kwa ziwalo zazikuluzikulu, magazi, chiwindi, kukomoka kwa impso, kutsika kwakumaso kwa makoma a ndulu ndi chikhodzodzo. kukhalapo kwa appendicitis kapena peritonitis, zaka 15, nthawi ya pakati ndi yoyamwitsa.

Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumatha kuyambitsa zovuta monga kupweteka pakhungu, tachycardia, kuperewera, kusokonezeka kwa chopondapo, nseru, ndi kusanza.

Pochotsa matenda otsegula m'mimba pakachulukidwe ka kapamba, mankhwala wowerengeka amapereka zotsatira zoyenera, chifukwa mankhwala ambiri ali ndi zofunikira zomwe zimakhudza dongosolo logaya chakudya:

• Timadziti tangofika kumene kuchokera ku mbatata ndi kaloti molingana kumathandizira kuthetsa kutupa ndipo zimathandizira kugaya chakudya,
• Tincture kuphonya molingana ndi 1 tbsp. Supuni mu kapu yamadzi otentha. Chotsirizidwa chimatengedwa kawiri patsiku, 125 ml asanadye,
• Kutolere kwa chamomile, stigmas chimanga, maluwa a calendula mulingo wofanana amapangidwa m'madzi otentha. Okonzeka tincture kutenga 1 tbsp. Supuni musanadye chilichonse kwa masiku 30,
• Ma minortelle ndi chitsamba chowawa amalimbana bwino ndi chimbudzi. Pankhaniyi, mlingo sayenera upambana 2 tbsp. Spoons patsiku, popeza zitsamba zamankhwala zochuluka kwambiri zimapereka zosiyana ndipo zimatha kuyambitsa poizoni m'thupi,
• Kuti athetse matenda otsegula m'mimba, munthu amathanso kutenga mankhwala a choleretic kuchokera ku katsabola, timbewu tonunkhira, ndi mbewu za hawthorn. Chotsirizidwa chimatengedwa mutatha kudya kwa mwezi umodzi.

Njira zomwe zili pamwambazi zimafunikira kuti azigwirizana ndi dokotala, chifukwa momwe thupi lawo limathandizira limabweretsa zovuta zina mthupi.

Kutsegula m'mimba ndi kapamba ndi cholecystitis

Mapangidwe a m'mimba ndi kapamba ndi cholecystitis ali ndi zizindikiritso mu mawonekedwe a kuledzera kwambiri kwa thupi, mawonekedwe a chikasu cha ndowe ndi kukula kwa dyspepsia. Matendawa amagwirizana kwambiri, chifukwa amatha kukhala chifukwa chophwanya dongosolo la chimbudzi.

Matendawa amakhala okhazikika ndipo, patapita nthawi atatha kudya, maonekedwe a zotulutsa zomasuka zokhala ndi ululu wofanana wam'matumbo ndi m'mimba zimadziwika. Vutoli limafunikira kudziwitsidwa mosamala ndi kukhazikitsidwa kwa njira yoyenera yothandizira kuti mankhwala athetse zonse zoyipa za matendawo.

Yemwe mungalumikizane nawo

Kuzindikira kwa mkhalidwe wamba motsutsana ndi chiyambi cha kufalikira kwa kapamba ndi mawonekedwe a matenda am'mimba ophatikizika, omwe amayenda ndi ululu, amafunikira chithandizo chamankhwala kuchipatala ndi chithandizo choyenera kuchipatala.

Ngati wodwalayo ali ndi mtundu wa pancreatitis, ndiye mawonekedwe amtundu wotupa, ndibwino kukaonana ndi katswiri wazachipatala yemwe angakupatseni maphunziro ofunikira komanso chithandizo chotsatira chothandizira kuchira.

Kupewa

Kupewa kutsegula m'mimba kumakhala kuchiza matenda a kapamba komanso kutsatira malangizo omwe ali pansipa:

• Kuthetsa zizolowezi zoipa (zakumwa zoledzeretsa, ndudu, kudya kwambiri zamankhwala opatsa thanzi komanso zamafuta ambiri),
• Kutsatira zakudya zochizira (kudya zovomerezeka zomwe zakonzedwa ndi njira zophika zotetezedwa),
• Kusungabe moyo wokangalika ndikuwongolera zolimbitsa thupi,
• Kuyesedwa pafupipafupi ndi dokotala wa gastroenterologist.

Kukhalapo kwa pancreatitis sikungachiritsidwe kwathunthu, chifukwa chake, chiwonetsero chachikulu cha matendawa chimatha kuchotsedwa pokhapokha kutsatira zakudya komanso kukhalabe ndi moyo wathanzi kupatula njira zonse zoipa.

Ndemanga zakuchotsa matenda am'mimba pa nthawi ya kapamba ndimtundu wina, popeza ambiri adapeza zotsatira zabwino, ndipo ena, m'malo mwake, sanakwanitse zomwe zingachitike. Potere, njira yothandizira matendawa imadalira kuopsa kwa matendawa.

Poyamba sindinatchere khutu pazotulutsa zobiriwira, koma zamatsenga zinayamba kubwereza. Nthawi yomweyo, idamupweteka mbali yakumanzere. Kufufuzaku kunawonetsa gawo loyambirira la kapamba. Ndidalandira chithandizo chamankhwala ndipo tsopano ndawonanso zakudyazo ndikukhala ndi moyo wathanzi.

Svetlana, Kirov

Ndimadwala chifuwa chachikulu, motero ndimadziwiratu kuti ndimatumbo. Njira yabwino yochotsera ndikutsatira zakudya, komanso kupatula kudya zakudya zambiri masiku oyambawa. Kusintha pakubwera, mutha kupanga pang'onopang'ono zakudya zanu.

Kodi kapamba ndi chiyani?

Chimodzi mwazofala zomwe zimachitika pang'onopang'ono m'matumbo am'mimba ndi kapamba. Ma michere omwe kapamba amatulutsa ayenera kulowa mu duodenum.

Ndi chitukuko cha matenda a m'magazi, amathandizidwa ku gland, ndikuyamba kudzipanga tokha. M'matenda apamwamba, matendawa amabweretsa kusokonezeka kwina kwam'mimba. Ngati ma enzyme ndi poizoni atalowa m'magazi, zimawononga ziwalo zina: mtima, mantha, kupuma, kwamikodzo.

Monga lamulo, cholinga cha kutukusira kwa kapamba imayamba chifukwa cha zizolowezi zoipa. Choyambitsa chachikulu cha pancreatitis ndi kugwiritsa ntchito moledzera kwa nthawi yayitali. Malo achiwiri ndi kusuta, chifukwa chikonga chimakhudza pafupifupi machitidwe onse a ziwalo zamunthu.

Kuphatikiza apo, zinthu zomwe zimawonjezera chiopsezo cha matenda ndi:

• kudya kwambiri
• kudya zakudya zomanga thupi
• kugwiritsa ntchito mankhwala kwa nthawi yayitali (maantibayotiki, njira zakulera, okodzetsa).

Matendawa amatha kuchitika pachimake komanso chodwala. The pachimake mawonekedwe amachokera cytomegalovirus, hepatitis B ndi C, helminthiases, biliary duct dyskinesia, perfed duodenal ulcer, matumbo infarction, aakulu ndi pachimake cholecystitis, matenda amwala apezeka ndi ndulu.

Kusalandira chithandizo chokwanira kumakhudzanso kupindika kwa pachimake kapamba kwambiri. Pankhaniyi, kupweteka kwambiri, kudzimbidwa nthawi zonse, kufinya khungu kumasinthidwa ndi kupweteka kwam'mimba pambuyo pakudya kapena pamimba yopanda kanthu. Matenda a m'mimba a m'mimba nawonso ndi chizindikiro cha matenda. Mu magawo oyamba a kapamba, wodwalayo amatha kudandaula kuti ukufalikira komanso kumva kukakamizidwa mbali yakumanzere, koma kutsekula m'mimba kumangowonekera ndi kudya kwambiri.

M'matenda apamwamba, kufalikira kwam'mimba kumawonjezereka, chifukwa chake, kulimba kwa thupi lonse kumachepa. Kuphatikiza apo, zizindikiro monga mseru, kupuma, kusanza, m'mimba, komanso chizungulire komanso kufooka chifukwa cha madzi am'mimba, zimatuluka.

Osowa kwambiri, kapamba amayamba payekha. Amapezeka ndi zotupa pathologies a m'mimba thirakiti kapena matenda a peritoneal ziwalo.

Zoyambitsa ndi zotsatira za matenda am'mimba mu kapamba

Inde, kutsegula m'mimba ndi chimodzi mwazizindikiro zosasangalatsa za matenda aliwonse.

Amagogoda munthu, ndipo amangomumangirira chimbudzi. Kumayambiriro kwa kapangidwe ka kapamba, chizindikirochi chimakhala chosowa kwambiri.

Komabe, pali mndandanda waukulu wazomwe zimayambitsa matenda am'mimba.

Pachifukwa ichi, zovuta zamatenda azinthu zomwe zimachitika m'matumbo am'mimba ziyenera kukhalapo. Izi zikuphatikiza:

1. Kumwa pafupipafupi ndi mankhwala a kapamba.
2. Dysbacteriosis, pamene microflora yopindulitsa imapanikizidwa ndi mabakiteriya a pathogenic.
3. Njira yosokoneza yopanga chakudya.
4. Cholecystitis, cholangitis kapena kuyambiranso kwa kapamba, yemwe amathandizidwa ndi maantibayotiki.

Sizachabe kuti akatswiri, atapanga matenda, nthawi yomweyo amayamba kupanga njira yoletsa kutsegula m'mimba ku kapamba. Kutsegula m'mimba pafupipafupi kumatha kubweretsa zovuta izi:

• kusowa kwa vitamini
• kusokonezeka kwamanjenje
• kuchepa chitetezo chokwanira,
• kuchepa magazi
• kuwonda
• kagayidwe kachakudya
• necrosis yamkati ziwalo.

Chifukwa chake, pakufunika kuzindikira zimbudzi zamtundu wamba chifukwa cha matenda a dyspeptic and pancreatitis.

Aliyense akuyenera kutsatira njirayi, popeza mawonekedwe a ndowe amatha kuwonetsa mawonekedwe a matenda.

Zizindikiro za m'mimba mu kapamba

Kutupa kwa kapamba kumatha kuzindikira ndi zizindikilo za ndowe. Zimbayimbira zimayamba kukhala kuzimiririka kwamafuta, momwemo mumatha kuwona magawo a chakudya chosakhudzidwa. Facks amatenga fungo lamphamvu lamankhwala. Mithunzi yawo imasiyanasiyana kutuwa komanso imvi kutuwa imvi. Pakangolakwitsa kamodzi, ndowe zambiri zimamasulidwa.

Mwa munthu wathanzi, madzi a pancreatic amalowa m'matumbo, omwe amayenera kugaya chakudya. Ndi kapamba, kuchepa kwa michere ya kapamba ndi kapamba wam'madzi am'madzi kumabweretsa kuwonongeka mu chimbudzi cha chakudya chomwe chikubwera. Chifukwa chake, kupezeka kwa zotsalira zopanda ndowe mu ndowe ndi gawo lalikulu la matendawa.

Zakudya zamafuta, zomwe ndi mafuta, sizingatengeke bwino m'mimba, chifukwa chake, zimachotsedwa pamodzi ndi matumbo a matumbo. Zotsatira zake, mawonekedwe osokoneza bongo amawonekera. Ndowe zochuluka zimawonetsa kuti chimbudzi chija sichidaumbike chilichonse. Ndiye kuti, pafupifupi chakudya chonse chodyedwa chimangotuluka. Potere, wodwalayo amayamba kumva kufooka kwambiri komanso kupweteka m'thupi.

Mtundu wa matumbo a matumbo umatengera michere ndi poizoni amene amatulutsidwa. Chifukwa chake, mwachitsanzo, njira yogwirira pansi mu matumbo imayambitsidwa ndi mabakiteriya apadera, chifukwa chake imapeza mtundu wobiriwira komanso fungo losasangalatsa kwambiri.

Monga lamulo, kutsegula m'mimba ndi kapamba kumachitika patatha maola 1-2 mutadya. Muzochitika zapamwamba, kutsegula m'mimba kumatha kupezeka tsiku lililonse. Zochita zamatumbo zimatha kubwerezedwa kangapo mutatha kudya kamodzi.

Kuphatikiza pa matenda otsegula m'mimba, kapamba, wodwalayo amatha kudandaula ndikupanga zotsatirazi:

1. Kuukira mseru ndi kusanza.
2. Vuto lakuchuluka m'mimba, kupweteka.
3. Chizungulire komanso kufooka wamba.
4. Kuteteza khungu.
5. Kugwedezeka m'thupi.
6. Thukuta lachisanu limalowa.
7. Mdima m'maso.
8. Kutentha kwambiri kwa thupi.

Chizindikiro chomaliza chikuwonetsa kuwonjezeka kwa njira yotupa mu kapamba. Kutsegula m'mimba ndi hyperthermia ndi chizindikiro cha kufalikira kwa kapamba, momwe muyenera kuchitira zinthu mwachangu komanso moyenera.

Zoyambira zamankhwala osokoneza bongo

Kuti adziwike moyenera, dokotalayo amapereka mankhwala kuti apende magazi, ndowe ndi mkodzo.

Kuyesedwa kwa shuga kumafunikiranso kuti mudziwe ngati wodwalayo ali ndi matenda a shuga a pancreatogenic.

Kuphatikiza apo, kuwunika kwa HTML kumapangidwira kuthandiza kudziwa kuti kapambawa ndi woipa bwanji.

Maziko a chithandizo chamankhwala ndi zakudya zapadera komanso mankhwala. Thanzi limachita mbali yofunika kwambiri pothandizira matendawa, chifukwa chake tiyenera kukumbukira. Zofunikira zazikulu pazakudya za wodwala ndi:

• Imwani madzi okwanira malita awiri tsiku lililonse,
• Idyani zakudya m'magawo ochepa, koma nthawi zambiri,
• kukana zinthu zokazinga, zamafuta, zamchere komanso zotsekemera,
• muyenera kuphika chakudya chophika, chophika kapena chaphika,
• Kutentha kwa mbale sikuyenera kukhala kwakukulu kuposa madigiri 39,
• lekani zizolowezi zoyipa.

Mu pachimake matenda, kusala ndi kapamba kumakhala kopindulitsa. Koma njirayi iyenera kusinthidwa pokhapokha mutakambirana ndi dokotala.

Popanda mankhwala, kuthana ndi matendawa sikugwira ntchito. Ntchito yayikulu ndikutanthauza kusintha kwamchere wamchere komanso kuwonjezera chitetezo chokwanira. Chifukwa chake, vuto la momwe mungaimitsire matenda am'mimba mu kapamba amachoka palokha. Mankhwalawa matenda, zotsatirazi mankhwala:

1. Enzymatic michere yomwe imathandiza chimbudzi. Izi zikuphatikiza Festal, Mezim ndi Pancreatin.
2. Enterosorbents omwe amachotsa poizoni m'thupi. Odziwika kwambiri ndi kaboni yodziyimira, Almagel, Polysorb.
3. Mankhwala omwe amalimbikitsa kamvekedwe ka rectum ndikuchepetsa pafupipafupi kayendedwe ka matumbo. Mankhwala omwe amagwiritsidwa ntchito kwambiri kutengera loperamide - Loperamide, Immodium ndi Lopedium.
4. Amatanthawuza kuti amachepetsa ululu (Baralgin) ndi kuphipha (Papaverine, No-shpa), komanso kukhala ndi zovuta - Renalgan, Spazmil.
5. Ma Probiotic omwe amateteza microflora yamatumbo. Izi zikuphatikiza Lactobacterin, Colibacterin, Bactistatin.
6. Vitamini-mineral complexes yomwe imabwezeretsa chitetezo chathupi pakadwala. Complivit wotchuka kwambiri, Supradin, Vitrum.

Musanabwezeretse chitetezo chokwanira m'thupi komanso microflora yopindulitsa, ndikofunikira kuti muchotse ziwalo zovulaza m'matumbo. Pankhaniyi, kuyeretsa enemas kumachitika.

Mankhwala ena amakhala ndi ma contraindication ena okhudzana ndi kapamba panthawi yokhala ndi pakati, omwe amafunikanso kukumbukiridwa.

Njira zina za m'mimba

M'pofunika kudziwa kuti wowerengeka azitsamba siwopanda mankhwalawa. Wodwala aliyense wamkulu ayenera kumvetsetsa kuti kufunsa dokotala ndi gawo lofunikira posankha njira zina zamankhwala.

Pofuna kupewa kupezeka m'mimba pafupipafupi ndikuwongolera matumbo athu, msuzi wa chamomile umatha kukonzedwa. Mwa izi, 1 tbsp. l maluwa owuma amathira kapu yamadzi otentha. Atatambasuka, mankhwalawa amatengedwa theka lagalasi katatu patsiku.

Komanso sinthani chimbudzi ndipo siyani matumbo osunthika monga zitsamba zonona ndi zosafa. Chomera chamankhwala (1 tbsp) chimathiridwa ndi kapu yamadzi otentha. Chipangizochi chimakakamizidwa kwa mphindi 30 ndipo chimadyedwa katatu patsiku kwa supuni ziwiri.

Kubwezeretsanso ndikuziziritsa m'mimba madzi a mucosa kuchokera ku kaloti ndi mbatata. Itha kusakanikirana mu chiwerengero cha 1: 1. Kapu yamadzimadzi imatengedwa katatu tsiku lililonse mphindi 30 asanadye.

Mosakayikira, chithandizo chamankhwala ochizira wowerengeka chilipo. Komabe, sangathe kusinthiratu ndi mankhwala, koma amangowonjezera.

Zambiri pazikhalidwe ndi chithandizo cha kapamba zimaperekedwa mu kanema munkhaniyi.