Pancreatic mchira wokulirapo zimayambitsa

Kasitomala amatanthauza chimodzi mwazinthu zofunika kwambiri m'thupi la munthu. Imakhala yayitali, ili m'mimba kumbuyo kwamimba. Imasiyanitsa mutu, mchira ndi thupi la chiwalo, chomwe mkati mwake mumakhala duct.

Nthawi zambiri, zamatsenga zimakhudza mutu, womwe umayandikana ndi duodenum.

Ngati mchira wa kapamba, thupi ndi mutu wake umakulitsidwa, ndiye kuti izi zimawonetsa kusatsatira malamulo okhudzana ndi zakudya komanso kupezeka kwa kutupa. Nthawi zambiri, mutu wa chiwalo uyenera kukhala 18-26 mm, mchira # 8212, 16-20 mm (izi zimatengera zaka za munthu). Chifukwa cha zotupa, kuchuluka kwa chitsulo, komwe kumatha kudzetsa matenda owopsa # 8212, kapamba. Ndi matendawa, kutuluka kwa chakudya cham'mimba ndi ma enzyme omwe amapangidwa ndi kapamba m'matumbo ang'onoang'ono amasokonezeka.

Zomwe Zimakulitsa Pancreatic

Pali mitundu iwiri ya kukulitsa ziwalo:

Chiwerengero # 8212, chodziwika ndi kusintha m'madipatimenti onse amthupi.
Local # 8212, ikuwonetsa kuwonjezeka kwa gawo limodzi, madipatimenti ena sanasinthe. Mwachitsanzo, mchira wa kapamba amatha kukulitsidwa, koma zochitika izi sizikhudzidwa ndi mutu ndi thupi.

Kodi chitsulo chimasintha bwanji? Thupi limatha kusintha kasinthidwe ake chifukwa chakuti:

pali njira zotupa ndi maonekedwe a edema,
pakufunika kubwezeretsa kuchepa kwa ntchito yake.

Akuluakulu, zomwe zimayambitsa kuwonjezeka kwa kapamba zingakhale:

Otsatirawa atha kuyambitsa izi: chotupa, chotupa, kapamba wovuta. Nthawi zambiri, ndi kapamba, gawo la chiwalo limatha kukula, koma nthawi zambiri pamakhala kusintha kwa kapamba.

Zizindikiro za matenda

Ndikosatheka kudziwa nthawi yomweyo kuti chiwalo chasinthika kukula, popeza imapezeka mkati mwa m'mimba. Kuti zitheke kuwunika kuwonjezeka pamutu wa kapamba pokhapokha ngati mufufuze za ultrasound kapena maginidwe oyendera maginito.

kuchuluka kwakukulu kwa kutentha
kutsegula m'mimba, kusanza komanso kusanza,
kusowa kwa chakudya, kupezeka kowawa pamkamwa,
kupweteka kwamphamvu mosiyanasiyana pamimba (kumtunda), kufikira msana kapena mkono.

Kuchepetsa ndi kukulitsa kwa ma ducts kumayambitsa kapamba.

Zizindikiro ndi zoyambitsa matenda mwa mwana

Kuwonjezeka kwa mchira wa kapamba (kapena mutu) kumatha kupezeka mwa mwana. Zizindikiro zakugonjetsedwa:

Ululu pamimba chapamwamba.
Thupi (nthawi yayikulu).

Kuchulukitsa kupweteka pamimba kumawonedwa ndi mtundu wa matenda.

Matendawa amakhudza makanda. Zomwe zimayambitsa vutoli:

kukana kochepa kwa ma virus,
kufooka chitetezo
Zakudya zokwanira komanso zopanda thanzi,
kusowa kwa magalimoto,
osagwirizana ndi miyezo yaukhondo.

Zonsezi zoyipa sizimangokhudza thanzi lokha, komanso kukula kwa mwana wakhanda.

Nthawi zina ma ultrasound amawonetsa kusintha kwa chida. Izi zimayambitsa matenda a gland matenda awa:

poyizoni wazakudya
kuvulala
kuchita zolimbitsa thupi kwambiri
mapiritsi ochulukirapo
matenda obadwa nawo
kudya zakudya zamafuta ndi yokazinga,
osagwirizana ndi zakudya.

Kusintha koteroko # 8212, chifukwa chodera nkhawa makolo, chifukwa kutupa kwa kapamba kumatha kudzetsa matenda a chiwindi, omwe, limodzi ndi chiwalo chomwe chikufunsidwa, ndikofunikira pamoyo wa munthu.

Njira zakuzindikira ndi chithandizo

Kuti mudziwe kupezeka kwa matenda, muyenera kumamuuza dokotala za matenda. Koma kuti katswiriyo athe kufotokozera momwe mungagwiritsire ntchito mankhwala komanso mankhwala ofunikira, muyenera kuchita kafukufuku woyesa wa ziwalo, kukayezetsa.

Nthawi zina, angafunikire kuchitidwa opaleshoni mwachangu. Zisonyezero za iye # 8212, njira yotupa yotupa, kutupa kwa ziwalo za thupilo.

Mu chifuwa chachikulu cha khansa, ndikofunikira kupita kuchipatala, moyang'aniridwa ndi dokotala.

Ngati mayesowo atawonetsa kuti kapamba yakula, ndiye kuti mankhwalawo akuphatikizanso mfundo zotsatirazi:

kudya
kuchepa kwa ntchito m'mimba,
kugwiritsa ntchito compress yozizira,
kukonzekera enzyme kukonzekera.

Zakudya mokakamiza

mizimu
zakudya zamafuta ambiri (mafuta anyama, mafuta, kirimu wowawasa),
msuzi wolemera ndi msuzi,
Masamba atsopano ndi zipatso
nyama zophika, zakudya zokazinga,
zonunkhira
zabwino zonse.

masamba ophika (mphodza),
phala pamadzi
buledi wonyezimira
kanyumba tchizi ndi kefir wopanda mafuta,
Nyama yophika kapena yophika ndi nsomba zamitundu yamafuta ochepa.

Kupewa kwa Matenda a Pancreatic

Pofuna kuthana ndi matendawa, ndikofunikira kulimbitsa chitetezo cha mthupi. Ndikofunikira kuwonjezera kukana ma virus ndi mabakiteriya omwe angawononge ntchito ya pancreatic. Ndikofunikira kwambiri kuwunika zakudya za ana munthawi zotsatirazi za moyo:

makanda, akayamba kupereka zakudya zowonjezera,
posamutsa mwana kuti ayambe kudya,
pa mano
musanayambe kuphunzira kusukulu komanso kukalembetsa ku sukulu yapamwamba,
pakukula, mwana akukula.

Pansi pa chiletso padzakhala ntchito yolemera, zolimbitsa thupi kwambiri pamasewera.

Ngati mankhwala sanayambike munthawi yake, ndiye kuti manjenje apitilira kukula, zotupa zitha kuwoneka, minofu necrosis ikhoza kuyamba. Muzovuta kwambiri, matendawa amatha kukhala oopsa pofika pa oncology.

Kufotokozera kwa kapamba

Munthawi yabwinobwino, kapamba amakhala ndi zotsatirazi malinga ndi msinkhu wa munthu: mutu - masentimita 18-16, mchira - 16-20 masentimita. Chiwalocho chili m'mimba kumtunda, kumbuyo kwa m'mimba pafupi ndi ndulu.

Popeza kapamba amapezeka kumbuyo kwa ziwalo zina, sizingatheke kuzindikira kusintha kwake ndikupanga mwachangu kuti amakula ndi palpation. Zikatero, kudutsa kwa ultrasound kapena MRI ya chiwalo kumakhala kofunikira.

Ndi mitundu yodziwitsa izi, katswiri amatha kudziwa kukula kwa kapamba, kupezeka kwa ma neoplasms, mwachitsanzo, cysts, ndi kukhalapo kwa foci of kutupa, omwe angakhudze kugwirana komanso mutu.

Kuti mudziwe matenda, ndikofunikanso kukaonana ndi gastroenterologist, yemwe amatsogozedwa ndi zithunzi ndi zotsatira za mayeso ena kuti adziwe mtundu wa matenda.

Choyambitsa kupweteka kwambiri mu kapamba ndi kapamba. Odwala omwe ali ndi kapamba, ma ultrasound amawonetsa kusintha kwa kukula kwa chiwalo, mchira ndi mutu wa kapamba amatha kukulitsidwa.

Komanso, kukulitsa kwakukulu kwa chiwopsezo sikowopsa pamoyo wamunthu monga kuchuluka kwawoko, ndiko kuti, ngati mchira kapena mutu ukukulitsidwa.

Pancreatitis ndizovuta kudziwa panthawi yomwe matendawa amakula. Ndi ululu waukulu, kukula kwa kapamba kumakhala kwabwinobwino, ndipo sikakulitsidwa. Musanayankhe matenda, muyenera kudikirira osachepera maola 6.7 pambuyo poti chawukire, kenako pokhapokha mudziwe ngati mchirawo, kapena ngati chakulitsidwa kapena ayi.

Mukazindikira, adotolo sayenera kuphonya ngakhale kusintha pang'ono ngati kapamba akukulitsidwa. Izi zitha kuwonetsa pancreatitis komanso kukula kwa oncology.

Ndi kukula kwa khansa, kuwonjezeka kwa mchira kapena mutu wa chiwalo kumawonedwa. Pancreatitis imadziwika ndi kuwonjezeka kwa chiwalo chonse, komanso kuphwanya kwake homogeneity ndi malire.

Zomwe zimayambitsa matendawa

Akatswiri azindikira zingapo zomwe zimayambitsa matenda a kapamba. Mwa iwo, pali cholowa, kuphwanya kapangidwe ka minofu ya chiwalo, komanso matenda osapezeka kapena sanapezeke. Zomwe zimayambitsa zimatha kukhala zovuta komanso zimayambitsa matenda a ziwalo.

Chizindikiro chachikulu cha kapamba ndizochulukitsa zam'deralo, mwachitsanzo, mchira. Zifukwa apa zingakhale motere:

kupezeka kwa mwala, komwe kumapangidwanso,
organen adenoma yokhala ndi cysts pamenepo,
kapamba
zotupa za purulent m'dera la mchira wa pancreatic,
neoplasms woipa pachimake,
duodenal duodenum,
neoplasms pa papilla yaying'ono ya duodenum.

Zizindikiro zakucha kwa kapamba

Kwa munthu aliyense, matenda a kapamba amayamba payekhapayekha, kutengera kuwopsa kwa matendawa ndi kulolerana kwake, komanso kuthekera kwazotupa, ikhoza kukhala thupi, mutu, mchira.

Chizindikiro chachikulu cha kutupa kwa pancreatic ndi ululu wamphamvu, womwe umatha kukhala kudula kapena kukoka. Kupweteka uku kumatha kukhala kwa nthawi yayitali ndipo sikugwirizana ndi zakudya. Kutengera ndi kuopsa kwa matendawa, kupweteka kwa kapamba kumakulanso.

Zomverera zowawa zimapezekanso m'dera la mtima, komanso masamba. Nthawi zambiri, ululu umatha kukhala wopweteka kwambiri mpaka munthu amakhala ndi nkhawa. Muzochita zamankhwala, mumakhala milandu yodziwika ya imfa, chomwe chimapangitsa anali kupweteka kwambiri.

Zizindikiro zazing'ono zamatenda a pancreatic ndi mseru, kusanza, mapando osakhazikika. Zimadziwikanso kuti mchira wa kapamba umachulukana, womwe umatsimikiziridwa ndi kupezeka kwa ultrasound.

Zizindikiro za izi zitha kukhala kusintha kwa khungu. Imakhala ndi mtundu wachikasu, ndipo khungu la zala limakhala mtundu wonyezimira wamtambo.

Njira zochizira zotupa za kapamba

Musanapitilize ndi mankhwalawa ndikuchotsa kutupa kwa thupi, ndikofunikira kufunsa ndi akatswiri angapo kuti athe kupatula kukhalapo kwa matenda oyanjana.

Asanapite kwa dokotala, wodwala sayenera kupatula mafuta, okazinga ndi osuta zakudya kuchokera pachakudya ndipo asamwe mowa. Komanso, simungathe kutenthetsa kapamba.

Nthawi zambiri, chithandizo cha kapamba chimakhala ndi zinthu zovuta kuchita: kusintha pakudya, physiotherapy, komanso ngati mukudwala pang'ono, kumwa mankhwala.

Njira yopangira opaleshoni imaganiziridwa kwa wodwala aliyense payekhapayekha, kutengera kuwopsa kwa matendawa, opaleshoni yamapazi ikuchitika kokha ngati njira yomaliza.

Pancreatic kutupa kwa ana

Malinga ndi ziwerengero zamankhwala, kuchuluka kwa ana omwe akudwala matenda a pancreatic akukula chaka chilichonse.

Cholinga cha izi ndi:

kuperewera kwa zakudya m'thupi
chibadwa
kapena poyizoni thupi.

Thupi la anawo limagwiranso ntchito kwambiri pamiyeso yosiyanasiyana.

Kuzindikira matenda kwa ana adakali achichepere kumatha kukhala kovuta. Izi zimatha kudzetsa matenda olakwika ndikusankhidwa kwa chithandizo chopanda tanthauzo.

Matenda akuluakulu a kapamba mu ana ndi othandizira komanso osatha kapamba, ndipo kupweteka kwapakhosi kumakhala kofala.

Kuthandizira ndi matenda apamba

Ngati mukumva kupweteka m'dera la thupi, tikulimbikitsidwa kukana chakudya chathunthu patsiku ndikumamwa zakumwa zambiri zamchere. Itha kukhala madzi amchere popanda mpweya. Ice kapena chiwiya chotenthetsera ndi madzi ozizira chiyenera kuyikiridwa m'dera la navel. Izi zikuthandizira kuchepetsa ululu.

Ngati ululu suchepera, ndiye kuti mutha kumwa mapiritsi a 1-2 a no-shpa. Imathandizanso kupindika komanso kuthandiza kuchepetsa ululu. Sikulimbikitsidwa kumwa mankhwala ena ndi mapiritsi a kapamba popanda mankhwala a dokotala.

Ngakhale ululu utatha, muyenera kuwona dokotala, ngati ululuwo ndi waukulu, ndiye kuyimbira ambulansi. Palibe chifukwa chomwe mungamwere mankhwala osalandira mankhwala a dokotala.

Madokotala amakumbutsa kuti kupweteka sikubwera kokha, nthawi zonse amakhala ndi zifukwa. Ichi chingakhale chizindikiro choyamba cha matenda oopsa, nthawi zina ngakhale khansa. Kuzindikira matenda mosakhalitsa komanso chithandizo cha matendawa kungayambitse kuchotsedwa kwathunthu kwa chiwalo.

Khalidwe

Kamba ndi chimbudzi chachikulu chomwe chili mkati mwa m'mimba ndipo chimayandikira pafupi ndi duodenum. Iron ndi gawo lofunikira la chakudya chamagaya chomwe chimapanga ma enzymes apadera omwe amathandizira pakuwonongeka kwa mapuloteni, mafuta ndi chakudya. Zina mwa michereyi ndi trypsin, chymotrypsin, pancreatic amylase, ndi zina.

Mphepoyi ndiyonso gland ya endocrine yomwe imatulutsa insulini komanso imodzi mwa mahomoni amtundu wa contra-glucagon. Chiwerengero cha exocrine komanso intracecretory of the organ is 9: 1. Kapangidwe kake kamene kamayambira pancreas kumakhala kosangalatsa kwa zisumbu za Langerhans mu parenchyma. Kukula kwake ndi 0,1 - 0,2 mm, ndipo kuchuluka kwa kachipangidwe kameneka mu kapamba kumasiyana 200,000 mpaka 1.8 miliyoni. Ma cell a Langerhans amapanga mahomoni omwe amawongolera kagayidwe ka thupi. Insulin, glucagon ndi amylin, zimakhudza kagayidwe kazakudya, ndimaganizo aliwonse obwera chifukwa cha kuwonongeka kwa gawo lachiberekero amayambitsa mavuto akulu, makamaka matenda a shuga.

M'malo athanzi, chitsulo sichimva. Kuwonjezeka kwa kukula kwa kapamba woposa 25 cm kwa thupi ndi 35 mm mchira kumawonetsa kukhalapo kwa matenda. Makulidwe abwinobwino mwa akazi ndi amuna a kapamba ndiofanana. Kutupa ndi kukulitsa kwa ziwonetsero kumawonetsa pancreatitis, khansa. Kuchepa kwa chiwalo kukuwonetsa kuyipa kwake.

Choyambitsa kupweteka kwambiri mu kapamba ndi kapamba. Kuti mupeze matenda olondola, gastroenterologist imapereka mankhwala ngati pali kutupa kwa kapamba. Pa nthawi ya mayeso, kusintha kwa chiwalo kumajambulidwa, nthawi zambiri kumawonjezeka kukula kwa mchira ndi mutu wa gland.

Pancreatitis ndizovuta kudziwa panthawi yomwe matendawa amakula. Poyerekeza ndi ululu wowawa, kukula kwa kapamba ndizabwinobwino, ndipo ziwalo zonse sizikhudzidwa. Asanapange matenda omaliza, katswiri amayenera kudikirira pafupifupi maola 7 pambuyo povutikapo kwambiri, kenako ndi pomwe angadziwe momwe mchira ndi kapamba kokwanira. Ngakhale kusintha kochepa mu kapamba kumatha kukhala chizindikiro cha matenda oopsa (kapamba kapena khansa ya kapamba). Mu khansa, kuwonjezeka kwa mchira kapena mutu wa kapamba kumawonedwa. Pancreatitis imadziwika ndi kuwonjezeka kwa chiwalo chonse ndikuphwanya kwake homogeneity ndi malire.

Ndikofunikira kudziwa!

Zizindikiro monga: kupuma movutikira, kupweteka m'mimba, kutentha kwa mtima, kutsegula m'mimba, kusanza, kusanza, kupindika, kuchuluka kwa mpweya.

Zomwe Zimakulitsa Pancreatic

Ngati kapamba wakulitsa, ndichitenji? Izi nthawi zambiri zimatanthawuza kuti kusintha kowopsa kumachitika m'thupi. Nthawi zina limba limatha kukulitsidwa chifukwa cha mawonekedwe a anatomical, ndiye kuti sitikulankhula za matenda aliwonse.

Kodi kapamba ndi chiyani?

Kasitomala amatanthauza chimodzi mwazinthu zofunika kwambiri m'thupi la munthu. Imakhala yayitali, ili m'mimba kumbuyo kwamimba.Imasiyanitsa mutu, mchira ndi thupi la chiwalo, chomwe mkati mwake mumakhala duct.

Nthawi zambiri, zamatsenga zimakhudza mutu, womwe umayandikana ndi duodenum.

Zomwe Zimakulitsa Pancreatic

Pali mitundu iwiri ya kukulitsa ziwalo:

Chiwerengero # 8212, chodziwika ndi kusintha m'madipatimenti onse amthupi.
Local # 8212, ikuwonetsa kuwonjezeka kwa gawo limodzi, madipatimenti ena sanasinthe. Mwachitsanzo, mchira wa kapamba amatha kukulitsidwa, koma zochitika izi sizikhudzidwa ndi mutu ndi thupi.

Kodi chitsulo chimasintha bwanji? Thupi limatha kusintha kasinthidwe ake chifukwa chakuti:

pali njira zotupa ndi maonekedwe a edema,
pakufunika kubwezeretsa kuchepa kwa ntchito yake.

Akuluakulu, zomwe zimayambitsa kuwonjezeka kwa kapamba zingakhale:

Otsatirawa atha kuyambitsa izi: chotupa, chotupa, kapamba wovuta. Nthawi zambiri, ndi kapamba, gawo la chiwalo limatha kukula, koma nthawi zambiri pamakhala kusintha kwa kapamba.

Zizindikiro za matenda

kuchuluka kwakukulu kwa kutentha
kutsegula m'mimba, kusanza komanso kusanza,
kusowa kwa chakudya, kupezeka kowawa pamkamwa,
kupweteka kwamphamvu mosiyanasiyana pamimba (kumtunda), kufikira msana kapena mkono.

Kuchepetsa ndi kukulitsa kwa ma ducts kumayambitsa kapamba.

Zizindikiro ndi zoyambitsa matenda mwa mwana

Kuwonjezeka kwa mchira wa kapamba (kapena mutu) kumatha kupezeka mwa mwana. Zizindikiro zakugonjetsedwa:

Ululu pamimba chapamwamba.
Thupi (nthawi yayikulu).

Kuchulukitsa kupweteka pamimba kumawonedwa ndi mtundu wa matenda.

Matendawa amakhudza makanda. Zomwe zimayambitsa vutoli:

kukana kochepa kwa ma virus,
kufooka chitetezo
Zakudya zokwanira komanso zopanda thanzi,
kusowa kwa magalimoto,
osagwirizana ndi miyezo yaukhondo.

Zonsezi zoyipa sizimangokhudza thanzi lokha, komanso kukula kwa mwana wakhanda.

Nthawi zina ma ultrasound amawonetsa kusintha kwa chida. Izi zimayambitsa matenda a gland matenda awa:

poyizoni wazakudya
kuvulala
kuchita zolimbitsa thupi kwambiri
mapiritsi ochulukirapo
matenda obadwa nawo
kudya zakudya zamafuta ndi yokazinga,
osagwirizana ndi zakudya.

Njira zakuzindikira ndi chithandizo

Nthawi zina, angafunikire kuchitidwa opaleshoni mwachangu. Zisonyezero za iye # 8212, njira yotupa yotupa, kutupa kwa ziwalo za thupilo.

Mu chifuwa chachikulu cha khansa, ndikofunikira kupita kuchipatala, moyang'aniridwa ndi dokotala.

Ngati mayesowo atawonetsa kuti kapamba yakula, ndiye kuti mankhwalawo akuphatikizanso mfundo zotsatirazi:

kudya
kuchepa kwa ntchito m'mimba,
kugwiritsa ntchito compress yozizira,
kukonzekera enzyme kukonzekera.

Zakudya mokakamiza

mizimu
zakudya zamafuta ambiri (mafuta anyama, mafuta, kirimu wowawasa),
msuzi wolemera ndi msuzi,
Masamba atsopano ndi zipatso
nyama zophika, zakudya zokazinga,
zonunkhira
zabwino zonse.

masamba ophika (mphodza),
phala pamadzi
buledi wonyezimira
kanyumba tchizi ndi kefir wopanda mafuta,
Nyama yophika kapena yophika ndi nsomba zamitundu yamafuta ochepa.

Maphikidwe a anthu azithandiza

Decoction ngatiyo yatsimikizira bwino: muzu wa burdck umatengedwa, ndikudula, kenako ndikudzazidwa ndi madzi (0,5 l). Chidachi chimaphatikizidwa kwa maola asanu. Pambuyo pake, amaphika pamoto kwa mphindi 30. Kenako muyenera kufinya msuzi ndi kumwa mutatha kudya 1 galasi.

Kupewa kwa Matenda a Pancreatic

makanda, akayamba kupereka zakudya zowonjezera,
posamutsa mwana kuti ayambe kudya,
pa mano
musanayambe kuphunzira kusukulu komanso kukalembetsa ku sukulu yapamwamba,
pakukula, mwana akukula.

Pansi pa chiletso padzakhala ntchito yolemera, zolimbitsa thupi kwambiri pamasewera.

Ndikofunikira kudziwa!

Zizindikiro monga: kupuma movutikira, kupweteka m'mimba, kutentha kwa mtima, kutsegula m'mimba, kusanza, kusanza, kupindika, kuchuluka kwa mpweya.

Zida zamachiritso mchira wa pancreatic

Chiwalo chilichonse chili ndi kapangidwe kake ndi magawo ake. Mchira wa kapamba ndi gawo la kapangidwe kake. Zimayenda bwino mthupi ndikutha ndi mutu. Zikondazo zikalephera, thupi limayamba kutentha. Mukufuna dokotala komanso chithandizo chamankhwala. Matendawa amakhudza gawo lililonse ndipo ali ndi mitundu yosiyanasiyana ya zotupa izi.

Mawonekedwe a matenda amtunduwu

Zakudya zamafuta ambiri, zophatikiza ndi kudya kwambiri,
kumwa kosalamulirika ndi kusuta,
chakudya chamadzulo m'mimba, ndi zodyera masana, zakudya zopanda thanzi,
Mapiritsi omwe amamwa popanda zosowa zapadera komanso zotchulidwa ndi ife, i.e., kugwiritsa ntchito mosiyanasiyana,
kupsinjika, kugona, kugona.

Cholinga chokonzanso matendawa monga chakudya chamafuta owonjezera: utoto, okhazikika ndi zina, koma achinyamata okondedwa:

Milandu iyi, zifukwa zenizeni zomwe zimayambitsa matendawa pancreatitis.

Zizindikiro za Matenda

Kulekerera kwamunthu payekha, chopondera ululu, kwa anthu apadera ndizosiyana. Chifukwa chake, matendawa amakhalanso osiyana, kutengera kuuma kwake, zovuta zake, ndi komwe akukhala.

Zizindikiro ndi chithandizo, mwa matanthauzidwe awo, ndizosatheka, popeza ndiwofanana ndi zizindikiro zina za pathologies am'mimba:

Panthawi yovuta, wodwalayo sadzapita kuchipatala, chifukwa chake mutha kuyimbira dokotala wakwanuko. Alembebe komwe akupita kuchipatala. Kapena mutha, osataya nthawi, Imbani mayendedwe ndikupita naye kuchipatala.

Matenda A kapamba

njala pang'ono
okhazikika zakudya piritsi 5P,
Chithandizo cha mankhwala azitsamba pofuna kuchepetsa ululu, nseru, kuletsa kuonjezera.

Ngati munthu sanafunse adokotala za matenda amtundu wa m'magazi, ndiye kuti kukhala pamankhwala othandizira kunyumba kumakhala koopsa chifukwa cha kuwonongeka kwa moyo.

Nthawi yoyamba matendawa kuyamba ndi fomu yovuta ndipo imatha kuchira kwamuyaya ngati itapezeka kuti yapezeka munthawi yake ndipo chithandizo chovuta chikuyamba:

maantibayotiki
Kukonzekera kwa enzyme
antispasmodics
analgesics
maantacid.

Kudziwa za matenda osachiritsika, machitidwe a moyo amasintha. 2 pachaka ndikofunikira kuchita ndi ultrasound ndikuwonetsa dokotala. Dokotala adzatha kuyendetsa mphamvu ya matendawa, amalimbikitsa maphunziro owonjezera ngati pakufunika. Izi zimachitika ngati zosintha zosintha zimakhala zowoneka bwino. Mwachitsanzo, kutukusira kwa mutu wa kapamba, komwe kumapangitsa kuti iwonjezeke, komanso mchira pawokha, uyenera kuwunika nthawi yomweyo chifukwa cha oncology, ichi ndi chizindikiro chofala cha icho.

Zowoneka za kapamba mwa ana

Zina zomwe muyenera kuwerenga?

Tsamba lonena za kapamba: Zizindikiro, mankhwala, zakudya

Kodi mchira wa pancreatic ndi chiyani?

Mchira wa kapamba ndiye gawo lochepetsetsa komanso lomaliza la chiwalo. Gland yonse ndi parenchyma yake imakhala ndi ma glandular, pali zinthu zina. Tiyi imayimiriridwa ndi acini ndi zisumbu za Langerhans.

Acinus (lobule) ndi gawo losavuta la kapamba, lomwe limapangidwa ndi mitundu ingapo ya maselo osiyanasiyana okhala ndi ntchito yopanga enzyme. Ma boles onse ali ndi gawo loyambira loyambira lokhala ndi ziwiya, maselo awo amapanga mitundu ingapo ya ma enzyme omwe amakhudzidwa ndi kuwonongeka kwa mapuloteni, mafuta ndi chakudya. Mitundu ya acini imakhala ndi ma ducts akuluakulu omwe amatuluka mumayendedwe wamba a wirsung duct, omwe amapereka ntchito ngati exocrine.

Zisumbu za Langerhans, zomwe zimakhala pakati pa acini komanso zomwe zimakhala ndi mitundu yosiyanasiyana ya maselo omwe amapanga mahomoni, amachititsa ntchito ya endocrine. Zinthu zofunikira za Hormonal zimalowa nthawi yomweyo m'magazi ndikuyamba kuchitapo kanthu. Zambiri, zimapangidwa ndi maselo a beta. Ichi ndiye insulin yomwe imayendetsa kagayidwe kazakudya. Chifukwa cha kusowa kwa mphamvu imeneyi, matenda a shuga amayamba, womwe ndi matenda oopsa, wokhala ndi vuto labwino.

Komwe kuli kapamba

Zikondamoyo zimapezeka mu peritoneum, pafupi ndi ziwalo zina zam'mimba. Mwachindunji, zimachitika pansi pamimba. Mwa munthu wamkulu, kutalika kwa chiwalo ndi 20 cm masentimita, ndipo m'lifupi mwake umakhala wa 2-5 masentimita. Mchira wa chiwalo ndi wopendekera kwambiri, wokhala ndi masentimita awiri mpaka atatu. mutu.

Kapangidwe ka thupi la munthu wina kumapangitsa kusiyana komwe kuli ndulu mu hypersthenics, Normosthenics, asthenics. Pafupifupi mozungulira, kapamba ndi mchira wake umapumira kumanzere kwa hypochondrium, ndipo mutu kumanja. Thupi la chiwalo limakhala pamwamba pa msana wamimba.

Matenda a ziwalo zosiyanasiyana zimasiyana, motero ndikofunikira kuzizindikira. Popeza imakutidwa ndi ziwalo zina zam'mimba, kusintha kwa kapangidwe kake, i., Kuwonjezeka, sikungatheke ndi palpation.

Chidziwitso chophweka komanso chofunikira kwambiri cha matenda am'mimba ndicho kuzindikira kwa ultrasound, ndi ma analytics apamwamba kwambiri ku MRI. Izi zimapangitsa kudziwa kukula kwa chiwalo, kukhuthala m'mphepete, kupezeka kwa mawonekedwe, zotupa zozungulira, zomwe zimapezeka paliponse, ndikuphatikizira kuwonjezeka mchira, matenda amitu ndi thupi.

Kuopsa kwa matenda

Zithunzithunzi zomwe zapezeka ndikuwonetsa ziwonetsero za mbali za gland. Kwa moyo wa munthu wodwala, kuwonjezereka kwina m'zigawo zake ndi kowopsa. Mukazindikira matenda, dokotala amayenera kuyambitsa kuphatikizana pang'ono. Kukula kwa gland kumatha kukhala chitsimikiziro cha kapamba, koma mapangidwe a oncology sangathetsedwe. Ngati mchira wa kapamba umakulitsidwa, ndiye kuti izi zimakonda kuyenda limodzi ndi mapangidwe a khansa. Pancreatitis imakhalanso ndi zisonyezo zakuwoneka bwino kwa chiwalo chonse, komanso kuwonongeka kwa kukhulupirika kwake ndi contour.

Kodi mchira wa kapamba uli kuti?

Kuwona kusintha kwa kukula kwa kapamba ndizotheka kokha mothandizidwa ndi ultrasound. Panthawi yowonera, ndizotheka kukonza malo omwe chigawocho chili. Poyerekeza khoma lakunja kwam'mimba, ndi masentimita 5 mpaka pamwamba pa msomali, mutu uli mu hypochondrium yoyenera, ndipo mchira umadutsana ndi ndulu, impso kumanzere ndi adrenal gland.

Ku ndulu, gawo la mchira limachepa. Imatambasuka molunjika, kukoka pang'ono. Popeza gawo ili lazitsulo limafotokozeredwa ndi hypochondrium yamanzere, ili mkati mwakuya ndikutseka ndi ziwalo zoyandikana, njira yodziwira matendawo ndi yovuta.

Chifukwa chiyani mchira wa kapamba umapweteka?

Nthawi zambiri, chomwe chimayambitsa kusokonezeka kwa mchira wa kapamba ndi kapamba. Kutupa kwa mchira wa gland kumatha kuyamba ndi kuledzera, matenda, kugwiritsa ntchito mowa ndi zakudya zopanda pake. Potere, ululu umapezeka kudera lamanzere, wodwalayo amakhala ndi matenda oopsa, mawonekedwe a dyspeptic, komanso kawirikawiri poizoni.

Njira za m'matumbo zimapangitsa kuphwanya kapangidwe ka insulin, chifukwa chake pali kuwonjezeka kosalamulika kwa glucose m'magazi. Mkhalidwewo umakonzedwa ndikumaba jakisoni wa ma cell. Popewa kubayidwa tsiku lililonse, mapampu a insulini amagwiritsidwa ntchito. Chipangizocho chimakupatsani mwayi wogwiritsa ntchito mahomoni ena m'thupi. Njirayi imakhalanso prophylactic ndipo imalepheretsa lipodystrophy.

Pancreatitis chifukwa cha kusowa kwa insulin amathandizidwa ndi mankhwala komanso pogwiritsa ntchito zakudya zapadera. Maantibiotic, mankhwala othana ndi kutupa, ma painkillers ndi antispasmodics amagwiritsidwa ntchito.

Matenda a oncological ndi omwe amayambitsa kupweteka m'malo a caudal a kapamba. Kuopsa ndi kuperewera kwa ma neoplasms oyipa ndikuti samayambitsa kupweteka mumagawo oyamba. Nthawi zambiri, matendawa amapezeka kuti chotupa chili kale, pali metastases. Matenda a wodwalayo ndi akulu, matendawa ndi osauka kwambiri.

Kuwonjezeka kwa gawo lodziwika bwino kwa kapamba kumathanso kulembedwa ndi chitukuko cha benign neoplasms. Izi zotupa zikuphatikiza neoplasms:

Zosiyana ndi metastasis,
Kusunga kusiyana kwa minofu,
Kukula mkati mwa chiwalo chimodzi kapena gawo limodzi.

Zomwe zimapangitsa kupweteka komanso kuwonjezeka kwa mchira wa kapamba kumatha kukhala njira yotupa yakumaloko, yomwe imayamba kufalikira ku mbali zonse za thupilo, komabe, poyambira imadziwika ndi edema komanso kusintha kwa minyewa yopanga mchira.

Ululu m'dera la caudal la kapamba ukhoza kuphatikizidwa ndi kuwonongeka kwa zomangidwazo. Mkhalidwe wa pathological umatchedwa cystic fibrosis ndipo amadziwika ndi mapangidwe ang'onoang'ono a pseudocysts mu ma pancreatic ducts, zomwe zimayambitsa kuphwanya kwa kutuluka kwa pancreatic madzi m'matumbo. Pamodzi ndi vutoli, wodwalayo ali ndi vuto la pancreatic fibrosis komanso makulidwe amtundu wa minofu yolumikizika.

Kuchokera pama cell a islets a Langerhans omwe amagwira ntchito ya endocrine ndipo amapangidwira ambiri mchira wa kapamba, mothandizidwa ndi zinthu zina, a benign adenomas kapena adenocarcinomas oyipa amapangidwa.

Pancreatic kutupa pa mimba

Zomwe zimapangitsa kupweteka m'matumbo mwa nthawi ya pakati kumatha kukhala kuphwanya zakudya zomwe zidatchulidwa kale kapena kudya kwambiri. Kuti muchepetse kupweteka, antispasmodics ndi mankhwala ena amalembedwa, maantibayotiki sagwiritsidwa ntchito pochiza amayi apakati, popeza ndi owopsa thanzi la mwana wosabadwa ndi amayi. Nthawi zambiri, akatswiri amagwiritsa ntchito kukonzekera kwa enzymatic kuti athetse vutoli, mothandizidwa ndi iwo amachotsa katundu pa kapamba ndikupangitsa magwiridwe antchito a chiwalocho.

Kutupa kwa kapamba pamimba nthawi zambiri kumawonekera m'miyezi yoyambirira yamoyo, motero nthawi zina imatengedwa ngati toxicosis, yomwe imadziwikanso ndi mseru komanso kusanza. Matendawa amapezeka kuti ndi ovuta. Ngati mzimayi anali ndi vuto la kapamba musanakhale ndi pakati, muyenera kufunsa dokotala pamene zizindikilo zoyambirira zikuwoneka kuti zitha kupewa zovuta.

Kuzindikira mu amayi apakati kumachitika pogwiritsa ntchito kuyesa kwa magazi ndi ma urinalysis. A urinalysis amawulula diastasis ndi amylase m'magazi. Dokotala amayang'anitsitsa mosamala chithunzi cha matendawa, popeza chizindikiro cha kutupa kwa kapamba chimadalira pamatenda. Mitundu iwiri yamatenda otupa a kapamba imasiyanitsidwa - kutupa kwa asymptomatic ndi dyspeptic.

Ndi mawonekedwe a dyspeptic a matendawa mwa mayi wapakati, matenda am'mimba, kutsegula m'mimba, kusanza, kuchepa kwa thupi, kulembedwa. Kuyamba kwa zizindikiro kumachitika chifukwa cha kukula kwa mabakiteriya m'matumbo (dysbiosis). Kutupa kwa kapamba ndi dysbiosis kungayambitse kukula kwa vagidi candidiasis, ziwengo za chakudya ndi hypovitaminosis. Izi zimayambitsa chiopsezo ku thanzi la amayi, makamaka panthawi yapakati.

Mitundu ya asymptomatic yotupa imadziwika ndi ululu nthawi ya chakudya kapena itatha. Matenda amtundu wamtunduwu ndi ovuta kuzindikira, nthawi zina, matendawa amayenda ndi kupweteka pamimba.

Zizindikiro za pathologies ndi kupweteka kwa mchira wa pancreatic

Zizindikiro za ululu wamkati mwa kapamba zimaphatikizidwa ndi kulolerana kwapadera kwamatenda ndipo zimadalira njira komanso kuopsa kwa matendawa, pazovuta zake ndi kutulutsa kwawoko. Chithunzi cha chipatala cha matendawa ndi chofanana ndi zizindikiro zina zam'matumbo, ndipo sizingatheke kupereka chithandizo pokhapokha.

Wodwala atha

Ululu kumanzere kwa thupi,
Ululu pansi pamapewa.
Kusanza ndi kusanza
Chilako chachepa, kufooka,
Kupweteka kwambiri m'munsi
Matenda a matumbo
Kutentha kwamphamvu
Kunenepa komanso kupindika kwa miyendo,
Kuteteza khungu,
Wanjala, manjenje, mantha
Pakamwa pakamwa.

Kupwetekako kumatha kukhala kwakukuru kwambiri ndikupangitsa kugwedezeka kwa ululu, komwe ndi kowopsa pamoyo wa wodwalayo, chifukwa chake, pazizindikiro zoyambirira, ndikofunikira kuchipatala.

Ngati choyambitsa kupweteka mchira wa kapamba ndi neoplasm, chithunzi chachipatala chimatsimikiziridwa ndi maselo omwe chotupa chinapangidwa, kuchokera ku timadzi tomwe timaselo timapangika, kuchokera kukula kwa neoplasm.

Matenda omwe amapezeka mchira wa ndulu

Kwa matenda onse kapamba, kuwonjezereka kwa chiwalo sikumakhala kujambulidwa nthawi zonse. Kuphatikiza mchira wa kapamba kumapezeka pogwiritsa ntchito njira zofufuzira. Kusintha kotereku kumabweretsa minyewa ya msana komanso kukula kwa matenda a portal aimpso.

Kuchulukitsa kwa mchira wa kapamba kumatha kuchitika ndi:

Kukhalapo kwa miyala yomwe imakuta njira ya Wirsung,
Benign cystic adenoma,
Mokwanira mutu ndi kufalikira kwa minyewa yakumapeto kwa kapamba,
Pseudocysts yovuta ndi pancreatic necrosis,
Duodenit
Kukhalapo kwa neoplasms yoyipa.

Zoyambitsa matenda a kapamba

Zikondazo zimagwira ntchito ya exocrine ndi endocrine ndipo zimakhudza kwambiri chimbudzi, mayamwidwe, kagayidwe ndi kusungidwa kwa michere.

Matenda a kapamba amatha kupita patsogolo ndikubweretsa zovuta zingapo zomwe zimakhudza ziwalo zina, makamaka chikhodzodzo, chiwindi ndi ma ducts a bile, komanso machitidwe ena (chimbudzi ndi metabolism).

Kutupa kofala kwambiri kwa kapamba ndi kapamba wamkati kapena mawonekedwe osakhazikika. Ngati simumayamba mankhwala a kapamba panthawi yake, minofu necrosis imayamba, ndipo matumba kapena ma pseudocysts amatha kupanga.

Pachimake kapamba limayamba chifukwa chakhazikitsidwe cham'mimbayo ma pancreatic enzi, akadziunjikira m'ziwalo ndi chimbudzi cha minofu chimayamba, zomwe zimatsogolera kuwonongeka kwa minofu. Miyala ya chikhodzodzo, zakumwa zoledzeretsa, komanso zokhudzana ndi kubadwa kwa kapamba zimatha kukhala zoyambitsa.

Matenda a kapamba amayamba chifukwa cha vuto lomwe silinayambike pachimake, kuthana ndi zakudya, komanso chifukwa cha zinthu zina. Matendawa amadziwika ndi kubwereranso, komwe kumawoneka makamaka chifukwa chotsatira kosagwirizana ndi zakudya komanso kuchuluka kwa pancreatic.

Zomwe zimayambitsa matenda a kapamba zimatha kukhala zopweteka za neoplasms. Nthawi zambiri chotupacho chimapangidwa chifukwa cha duct adenocarcinoma, yomwe imayamba m'miyendo ya kapamba. Zomwe zimayambitsa ndi cinar cell carcinoma ndi pancreatoblastoma. Khansa ya pancreatic ili ndi imodzi mwamaimfa ambiri amtundu uliwonse wamatenda ndipo ndi amodzi mwa mitundu ya khansa. Nthawi zambiri zimawonedwa mwa amuna ndipo zimagwirizanitsidwa ndi zaka, kusuta, kupezeka kwa matenda kapamba. Zomwe zimapangitsa kuti khungu lizisinthidwa komanso kusintha kwa majini kumathandizanso.

Matenda ofala amaphatikiza ma pancreatic cysts, omwe amadziwika ndi kupanga mthumba m'matupi ake.

Ma pseudocysts ndiomwe sanali chotupa omwe amadzazidwa ndi zinthu za necrotic. Zomwe zimayambitsa cysts ndi pseudocysts ndi kapamba ndi zoopsa mu peritoneum, komanso majini. Cysts imatha kupezeka nthawi yomweyo m'mitundu yambiri, kuphatikizapo chiwindi ndi impso.

Zizindikiro za matenda omwe ali pamwambapa sizimadziwika. Wodwalayo amatha kudandaula za ululu pamimba, nseru. Cysts amadziwika nthawi ya ultrasound, CT, MRI, yomwe imapangidwira kafukufuku wathunthu wamatumbo pathologies. Mukukonzekera endoscopic ultrasound, madzimadzi amathandizidwa kuchokera ku cyst ndi singano, yomwe imalola kuzindikira mtundu wa neoplasm, kuti muyankhe funso ngati ndi khansa kapena ayi.

Ultrasound yachilendo kukula kwa ultrasound ana ndi akulu

Magawo atatu ali odziwika mu kapangidwe ka kapamba: mutu, thupi, mchira. Kwa munthu wamkulu, mutu wa pancreatic umakhala ndi kutalika kwa masentimita 5 kapena kuposerapo, makulidwe a gawo ili amasiyanasiyana masentimita 1.5-3. Mutu umakhala ndi kutalika pafupifupi 18 - 26 cm.

Kutalika kwa thupi la kapamba kumakhala pafupifupi masentimita 1.75-2.5. Mchira wa chiwalo umatha kufika pakati pa 3.5cm komanso kutalika pafupifupi 1.5 cm. Kunja, kapamba umakutidwa ndi chifuwa tating'ono tating'ono.

Pobadwa, kutalika kwa kapamba wonse ndi 5cm. Pazaka 1 mwezi mpaka chaka chimodzi, kukula kwa mchira ndi 12 - 16 mm, kuyambira chaka chimodzi mpaka zaka 10 - 18 -22 mm. Kukula kwa kapamba kumakwanira pazaka 18.

Kodi kukulitsa kwa mchira wa pancreatic kumawonetsa chiyani?

Nthawi zina, kapamba amachititsa kusintha kwa kapamba konse. Nthawi zambiri, kutulutsa kwadongosolo la pathological amalembedwa m'malo osiyanasiyana a chiwalo: mutu, thupi kapena mchira wa kapamba. Koma munthawi yazofufuza, matenda ena amatha kudziwikanso, zomwe zimatsogolera kupatuka kwazomwe zimachitika mu kukula kwa gawo limodzi kapena gawo lina la kapamba.

Kutengera kufalikira kwa njira ya pathological, kuchuluka kwa kapamba kumagawidwa:

Zovuta. Pali kusintha kwamitundu yonse
Pafupi Kupatuka panjira yokhayo ya gawo limodzi lokhazikika kumapezeka. Mutu kapena mchira wa chiwalo ukhoza kukula.

Matenda ofala kwambiri a mchira ndi kufutukuka (kupangika), komwe kumayambitsa kutsekeka kwamitsempha yama cell ndi portal aimpso. Matenda a m'matumbo amayamba chifukwa cha:

Mapangidwe a pseudocysts amachokera ku kapamba,
Kapangidwe ka zotupa zomwe zimakhala ndimadzi amadzimadzi,
Chotupa chofiyachi chomwe chimayamba m'minyewa yake
Kukula kwakukulu kumapangitsa kuti mchinya wa kapamba,
Mwala womwe uli mu dambo la Wirsung lomwe lili m'dera lamatumbo a gland.

Zomwe zimapangitsa kukulitsa mchira pancreatic

Kusintha kwanuko kumachitika ndi kufooka kwa thupi. Dyspepsia ndi mawonekedwe a asthenic amapezeka mu mawonekedwe a kutopa, kupweteka kwa mutu, ndi kudzutsidwa. Mkhalidwe umawonekera pomwe kukula kwa ma pseudocyst oposa 5 masentimita kufikiridwa. Ndi cyst wamba, zizindikiro sizipezeka. Ndi polycystosis, zowonongeka zikajambulidwa osati mbali yamkati yokha ya kapamba, komanso ziwalo zapafupi, wodwalayo amatha kudandaula za zizindikiro zina.

M'dera la mchala wa kapamba, zigawo zazikulu za Langerhans zilipo. Chifukwa chake, kuwonjezeka kwa mchira wa kapamba nthawi zambiri kumalumikizidwa ndi kusintha kwa zinthu izi. Ma insulomas okhazikika, omwe ndi ma neoplasms ochokera ku mitundu ina ya ma islet cell. Pangani:

Insulinoma. Mkhalidwe wamatumbo amadziwika ndi kupanga kuchuluka kwakukulu kwa insulin. Hormone iyi imayambitsa kutsitsa shuga m'magazi. Ngati ilipo, sikuti kuwonjezeka mchira kokha, komanso kuchepa kwa shuga m'magazi. Wodwalayo amadandaula za chizungulire, kufooka, thukuta kwambiri, tachycardia, kusakwiya, chikomokere m'mitsempha kumatha kuchitika komanso kutsika kwamphamvu kwa shuga m'magazi.
Glucagon. Matendawa amayambitsa matenda a shuga, kupsinjika kwa neoplasm ndikotheka. Glucagon imaphwanya glycogen mu minofu ndi chiwindi ndikupangitsa kuchuluka kwa shuga.
Gastrinoma. Amapangidwa ndi gastrin, yomwe imatsogolera ku mawonekedwe a zilonda zam'mimba za mucosa ndi 12 - mphete zamatumbo, zosagwirizana ndi mankhwala. Gastrinoma imatha kuyambitsa matenda a Zollinger-Ellison, omwe amadzipangitsa kukhala ndi zilonda zam'mimba zambiri komanso m'mimba. Ndiye khansa yodziwika bwino ya kapamba.
Somatostatin. Mitsemphayi ndiyosowa, imagwiritsidwa ntchito ngati minolas ndi kukulitsa kwa mchira, imafalikira mwachangu m kapamba munthawi yochepa ndikukhudza ziwalo zapafupi. Chithunzi cha chipatala sichikupezeka chifukwa cha kuchuluka kwa metastase. Nthawi zambiri, matenda a ndulu, matenda a shuga, kutsegula m'mimba ndimatenda am'madzi mofulumira komanso kuchepa thupi kapena kuchepa magazi m'thupi kumayamba.

Kuzindikira ndi kuchiza matenda a pathologies

Kusankha njira yoyenera yolandirira, dokotala amawunika wodwalayo, amapeza anamnesis, akumvetsera madandaulo ndikuwunikira kuwopsa kwa zizindikiro.

Ndi kuwonongeka kwa mchira wa kapamba, zizindikirochi zikufanana ndi chithunzi cha matenda a m'mimba. Wodwalayo amadandaula za kupweteka mu hypochondrium yoyenera kapena m'dera la epigastric ndi kulowerera kwa kupweteka m'dera la mtima ndi kutsikira kumbuyo. Mseru, kusanza, kutsegula m'mimba, kusowa kwa chakudya, kutentha thupi, chizungulire, ndi kufooka wamba kumawonedwanso.

Matenda a oncological ndi asymptomatic, zizindikilo zoyambirira zimawonekera pamene ma neoplasms akuluakulu amafikiridwa.

Mwa kuyang'ana ndi mawonekedwe a palpation, ndizosatheka kudziwa kusintha kwa kapamba chifukwa cha malo omwe ali pakatikati pa peritoneum. Ngati kusintha pamagawo a kapamba kumakayikiridwa, mayeso a labotale ndi othandizira amalembedwa. Chithandizo chimayikidwa potengera zotsatira za mayeso. Kusankhidwa kwa njira yochiritsira kapena chithandizo chamakedzedwe kumatengera mtundu ndi masinthidwe ake. Chithandizo cha opaleshoni chimayambiranso ndi abscesses, cysts zazikulu, pseudocysts. Zilonda zam'mimba zimathandizidwa ndi mankhwala a pancreatitis.

Chithandizo choyamba chazindikiritsa matendawa

Kuwonjezeka kwa gawo lodziwika bwino kwa kapamba makamaka chifukwa cha njira yotupa yolimba komanso kukulitsa pancreatic necrosis. Pathology imayendera limodzi ndi kupweteka kwambiri, kutsegula m'mimba, kusanza. Mkhalidwewo ndiwowopsa pamoyo wa wodwalayo, popeza pamakhala chiopsezo chodandaula. Zizindikiro zotere zikawoneka, ndizofunikira kuyitanitsa gulu la ambulansi. Madotolowo asanafike, wodwalayo ayenera kuyikidwa pambali yake ndi mawondo ake akugwada mpaka m'mimba mwake, zomwe zingathandize kuchepetsa ululu. Ndikofunikira kuti pakhale mtendere, chitonthozo, simungathe kudyetsa wodwalayo. Mutha kungopereka madzi amamineral popanda mpweya. Pamimba muyenera kugwirizanitsa ndi kutentha kwa ayezi ndi ayezi. Amaloledwa kupereka antispasmodic ngati kusanza kulibe. Papaverine wogwira, Drotaverinum, Koma - shpa. Odwala matendawa sayenera kuperekedwa kwa wodwala.

Kodi ndi motani chochita ndi mchira wa kapamba?

Chithandizo chimapangidwa mogwirizana ndi zotsatira za mayeso. Kuopsa kwa chithunzi cha matenda kumatengera kusankha kwa njira zamankhwala. Njira zochizira zovuta zimaphatikizapo:

Ma antispasmodics, anticholinergics, painkiller,
Protease inhibitors, omwe machitidwe awo cholinga chake ndi kuchepetsa ntchito zaukali wa ma pancreatic enzymes,
Kukula kwamahomoni, omwe amathandizira pakuyimitsa malire a necrotic zone,
Mankhwala omwe amaimira gulu la proton pump inhibitors omwe amachepetsa kupanga hydrochloric acid, omwe amathandizira kupanga ma enzymes a pancreatic,
Maantibayotiki othandizira kupewa kapena kupewa matenda,
Njira zothetsera mavuto kuti athandizire kuthetseratu poizoni ndikuchotsa zizindikiro za kuledzera,
Othandizira zotulutsa zomwe zimathandizira kuti mitundu yambiri ya poizoni ipangidwe.

Mavuto pambuyo pa pathologies a mchira wa kapamba

Kuwonongeka kwa mchira wa kapamba kumatha kuyambitsa zovuta m'moyo. Nthawi zambiri, motsutsana ndi maziko a pathologies a pancreatic mchira, matenda a shuga, kapamba amayamba. Matenda a oncological ndi owopsa chifukwa metastasis ku ziwalo zoyandikana nayo imatha kuwonekera patapita nthawi.

Pali kuthekera kwachitukuko:

Matupi necrosis,
Cysts, fistulas ndi purulent kutupa kwa peritoneum chifukwa cha fistulas yopangidwa kale,
Kudzimbidwa kwa m'mimba.

Zakudya ndi Kupewa

Matenda a kapamba amafunika kudya kwapadera. Ndi kuwonongeka kwa mchira wa kapamba, komanso kuwonongeka kwa chiwalo chonse, chakudya patebulo lachi 5 chimayikidwa pambuyo poyimitsa kuwonongeka kwakanthawi komanso kuchepetsa kuopsa kwa zizindikiro.

Kwa masiku atatu oyamba atadwala kwambiri, wodwalayo amaloledwa kupatsa madzi amamineral okha popanda mpweya. Kuyambira kuyambira pa tsiku la 5th, chimanga chophika pamadzi, soups zamasamba ndi mbatata zosenda zimayambitsidwa muzakudya. Patsiku la 14 la matendawa, amaloledwa kukulitsa chakudya powonjezera puddings zamasamba, ma stew, nyama yazakudya, wowawasa, opanga tokha, ma compotes, yogurt yopanda mafuta ku menyu.

Zakudya zonse zizikhala zotentha kapena mu uvuni. Kugwiritsa ntchito zokazinga, zamafuta, zonunkhira ndizoletsedwa. Chakudyacho chimayenera kukhala chosakanizika, chimayenera kudyedwa nthawi 5-6 patsiku m'magawo ang'onoang'ono kuti asayike ziphuphu.

Kugwiritsa ntchito masamba atsopano ndi zipatso sizikulimbikitsidwa, ndizopatsa thanzi, zopangidwa ndi kutentha ndi mtundu wofewa komanso zopanda maula.

Ndikofunikira kusiya zizolowezi zoyipa, kugwiritsa ntchito zakumwa zoziziritsa kukhosi. Ndikofunikira kupatula khofi, maswiti, chokoleti, makeke kuchokera muzakudya. Mafuta amatha kusinthidwa ndi masamba kapena zipatso soufflé ndi zakudya, ndipo zakumwa zokhala ndi zida zokumba ndi utoto zingagwiritsidwe ntchito ngati decoction ya rose m'chiuno, chamomile.

Popewa kuwoneka kwa ma pancreatic pathologies, muyenera kudya moyenera, kupewa kugwiritsa ntchito mankhwala osagwiritsidwa ntchito, gwiritsani ntchito panthawi yake matenda am'mimba komanso chimbudzi. Amalangizidwanso kuti nthawi ndi nthawi akamakayezetsa kuchipatala, chifukwa matenda ambiri omwe ali m'magawo oyambirira a chitukuko samadziwika ndi zizindikiro zapadera ndipo amapezeka m'magawo owopsa.

Pazizindikiro zoyambirira zokhala ndi pancreatic pathology, ndikofunikira kukaonana ndi dokotala. Chithandizo chamanthawi moyenera nthawi zambiri ndi chitsimikizo cha kudwala kopambana komanso kubwezeretsa kwathunthu thanzi.

Okondedwa owerenga, malingaliro anu ndiofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kuwunikira ululu wamatenda a pancreatic mu ndemanga, izi ndizothandizanso kwa ogwiritsa ntchito ena a tsambali.

Mila

Ululu unayamba mwadzidzidzi mu hypochondrium yoyenera. Ululu anali limodzi ndi nseru, kusanza. Adasankha kusachita chilichonse payekha ndipo adayitanitsa ambulansi. Ali kuchipatala, adapezeka kuti apeza matendawa pancreatic. Zinanditengera nthawi yambiri ndikuyesayesa kuti ndikhale ndi thanzi labwino. Kale mwezi wa 6 ndadya chakudya, adokotala sanalole kuti akane.

Alexandra

Ndinkakhala ndi khunyu ndili wachinyamata. Nditalandira chithandizo, ndidayiwalanso za matendawa. Adakumbukira matenda ali ndi pakati. Anatenga nseru chifukwa choledzera kwa amayi amtsogolo, komabe, pakakhala zowawa mbali yakumanja ndi zovuta zam'mimba, amapita kwa dokotala. Anamulembera enzymatic mankhwala ndi zakudya. Pakupita milungu iwiri, zizindikirizo zidazimiririka, koma chakudyacho chinatsatiridwa mpaka kumapeto kwa pakati komanso miyezi isanu ndi umodzi mwana atabadwa.