Pancreatitis pa nthawi yapakati

Nthawi yapakati, kufalikira kwamatenda omwe alipo kapena kuwonekera kwatsopano ndi khalidwe. Makamaka, motsutsana ndi maziko a kukakamira kwa ziwalo zonse zamkati ndi chiberekero chokhwima ndi khanda lomwe limakhala mkati mwake. Pancreatitis sichimanso chimodzimodzi: kuchuluka kwa matendawa ndi gawo limodzi mwa azimayi anayi akuchira.

Pancreatitis mu amayi oyembekezera ndiyofunikira ndipo amadziwika ndi kupezeka kwa njira yotupa mu kapamba palokha. Kuphatikiza apo ,imfa yodwala matendawa mwa amayi apakati imakhala yokwera kwambiri, ndipo imachulukana pafupipafupi molingana ndi kuchuluka kwa chiyembekezo cha mwana. Imfa ya makanda kapena mwana wosabadwa yemwe ali ndi nthendayi ya mayi wapezeka ndimilandu 380 mwa 1000, chomwe ndi chisonyezo chachikulu chokhala pachiwopsezo cha moyo. Zotsatira zoyipa kwa zolengedwa zazing'ono zimachitika chifukwa chakuti ndi kapamba, kubadwa msanga kumatha kuchitika (kale kwambiri kuposa nthawiyo) kapena placenta imayamba, yomwe imayikanso moyo wa mwana wosabadwayo. Vutoli limakhala ndi matendawa chifukwa cha zovuta kuzindikiritsa kusowa kwa kapamba mwa amayi apakati, komanso chifukwa chakuchepa kwa zomwe zimachitika komanso chifukwa cha kupweteka kwapakhosi kwa amayi oyembekezera.

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Kuukira kwa kapamba panthawi yoyembekezera kumachitika motsutsana ndi maziko a matenda omwe ali pachimake, omwe nthawi zambiri amapezeka theka lachiyembekezo la mwana. Ngakhale, zoona, azimayi satetezedwa ku mliriwu nthawi iliyonse yamayi.

Pachimake kapamba chifukwa cha zotsatirazi:

Pali mbiri yamtsogolo ya mayi cholecystitis - njira zotupa mu ndulu.
Kukhalapo kwa matenda a ndulu.
Kwambiri kudya kwambiri.
Kugwiritsa ntchito molakwika zakudya zamafuta, komanso zokazinga, zokometsera, zamchere, zosuta komanso zakudya zina zopanda thanzi.
Maonekedwe a kunenepa kwambiri pa nthawi yoyembekezera kapena kupezeka kwa mayi wamtsogolo mwana asanabadwe.

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Zizindikiro za kupweteka kwa kapamba pakakhala pakati

Kuukira kwa matendawa pakokha kumayamba chifukwa chakuti ndowe za kapamba zimasefukira ndipo ma enzyme omwe amapanga chiwalochi amasulidwa ndipo amayamba kuvuta kwambiri. Madzi osefukira omwe ali pamwambawa amakhumudwitsa kupezeka kwa miyala mu ndulu kapena kufinya chiwalo chokhala pansi kwambiri cha chiberekero panthawi yomwe ali ndi pakati.

Ma enzymes otulutsidwa amayamba kuwononga zikondamoyo, motero zimapangitsa kuti magawo atsopano a michere amasulidwe komanso kuwonongeka kwa ziwalo za thupilo. Zinthu izi zimalowa m'magazi ndipo zimayendetsedwa ndi mayendedwe ake mthupi lonse, zomwe zimapangitsa kutsika kwamphamvu kwa magazi, omwe ali ofanana ndi mantha. Pankhaniyi, chizungulire komanso kukhumudwa zitha kuoneka, ndipo mayi woyembekezera akhoza kungokhala osazindikira.

Ndi chithunzichi cha kuukira, mkhalidwe wa mayi wam'tsogolo umatha kukulira popanda ululu. Ichi ndichifukwa choti kuwonongeka kwa tiziwalo timene timayambitsa edema yake, komwe kumapangitsa kuti mathero amitsempha, asokonezeke. Mkhalidwe wodwalayo umatikumbutsa kwambiri ziwonetsero za eclampsia - matenda a azimayi oyembekezera, momwe kupsinjika kumafikira nsonga, okhala ndi kufa kwakukulu kwa amayi oyembekezera. Kuwonetsa kumeneku kwa kapamba amachititsa kuti azimayi azifa kawirikawiri - mpaka makumi atatu ndi atatu peresenti pakukomoka.

Zizindikiro

Kuti mudziwe zomwe zimachitika kwa mayi woyembekezera, pokhapokha pazizindikiro zomwe zilipo, zimawoneka zovuta. Popeza kuukiridwa ndi ululu kumadziwika ndi maonekedwe a kupweteka m'chiuno komanso kukhumudwa. Mwa zizindikiro zotere, chikhalidwe cha mayi wamtsogolo chimatha kusokonezedwa, mwachitsanzo, ndi kuchepa kwa placental kapena hepatatic colic. Chifukwa chodziwitsa za kapamba ndizokwera kwambiri - mu hypochondrium - ndipo panthawi yomwe ali ndi pakati, kusapeza bwino m'derali kungatanthauze chilichonse. Chifukwa chake, pokayikira pang'ono pancreatitis yovuta kwambiri, mkazi ayenera kukhala ndi ultrasound ya kapamba. Ndikofunikanso kuchita kafukufuku wofufuza mayeso kuti mudziwe kuchuluka kwa ntchito za ma enzymes m'magazi, omwe amapangidwira kuphwanya mapuloteni ndi mafuta. Njira zowunika izi ndi chitsimikizo cha 100% zithandiza kukhazikitsa njira yotupa mu kapamba, kuwonjezera kukula kwake ndikuzindikira pancreatitis yayikulu.

Ganizirani chachiwiri cha kapamba mu amayi oyembekezera, omwe amayambitsanso kukoka, koma amayambitsidwa ndi zifukwa zina zingapo. Cancreatitis yamtunduwu imatchedwa yayitali ndipo imachitika motsutsana ndi matenda ena am'matumbo - gastritis, zilonda zam'mimba komanso duodenum, njira zotupa za chikhodzodzo kapena matumbo aang'ono. Chiwopsezo chotenga pancreatitis, komanso kuukira kwa matendawa, zimawonjezereka ngati pali toxosis mu trimester yoyamba ya kutenga pakati.

Chikhalidwe cha kupweteka pamsana pachimake cha mtundu uwu wa kapamba amachepetsa, monga momwe zimakhalira pakhungu mu duodenum. Nthawi zina ululuwu umatha kutengedwa ngati kuukira kwa angina pectoris, monga momwe amamvera kumanzere ndikupatsidwa kutali ndi hypochondrium yamanzere.

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Amayambitsa, zizindikiro ndi mawonekedwe a mankhwalawa a kapamba pamimba

Poyerekeza ndi kuchuluka kwa katundu mthupi, amayi oyembekezera amakhala ndi ziwopsezo zoyambira. Matenda oopsa kwambiri ndi kutupa kwa kapamba. Pancreatitis pa mimba imafuna njira yapadera yochiritsira.

Gawo la kapamba amasiyana pakati pa 0.18-6%. Kuchuluka kwa kutupa kwa pancreatic pa nthawi ya pakati ndi anthu 1 / 4.0 masauzande. Matendawa amapezeka nthawi iliyonse. Nthawi zambiri izi zimawonedwa mu theka lachiberekero.

Pafupifupi gawo limodzi mwa magawo atatu aliwonse azimayi apakati amapezeka ndi kufalikira kwa matenda apakhungu a pancreatitis. Kukula kwa matenda a pathological nthawi zambiri kumayendera limodzi ndi toxosis.

Njira yotsogola ya kapamba mwa amayi apakati ndi kuchedwa kwa ma pancreatic enzymes ndi kutsatira kwawo. Izi zikugwira ntchito kwa lipase, komanso trypsin.

Zingwe zolumikizana zikukula mofulumira. Ndiye kusewera kwake kumawonedwa. Zili mawonekedwe apa. Zikondwererozo zimachedwa pang'onopang'ono. Choyimira chachikulu chomwe chili pangozi ndi kuperewera kwa sphincter ya Oddi. Zinthu zamkati zimalowa mkatikati mwa ziwalo. Wotsutsa wina ndi neoplasm mu hepatic-pancreatic ampoule.

Pancreatitis pamimba imayamba pazifukwa zosiyanasiyana. Gawo lokhalitsa lazitali limasinthidwa kukhala yovuta. Koma nthawi zambiri kuwonjezereka kwa njira ya pathological kumachitika pang'onopang'ono. Chochititsa chachikulu chomwe chimapangitsa kuti matendawa akhazikike nthawi yapakati ndi kudya kosakhazikika.

Zizindikiro zapadera zimawonekera mwa amayi omwe akuyembekezera omwe, atayiwalako zakudyazo, amadya mwamphamvu zakudya zamafuta. Chifukwa china chomwe chimayambitsa kupanikizana kwa kapamba nthawi ya gestation ndikuchepa kwa mavitamini ndi mapuloteni m'thupi.

Mwa akazi ena, kutupa kwachiwiri kwapancreatic kumapita patsogolo. Izi zikuchitika chifukwa cha:

Zilonda za Duodenal.
Cholecystitis.
Zilonda zam'mimba.
Matenda a Gallstone.
Vuto la chiwindi.
Matupi omaliza.
Kupsinjika.

Nthawi zambiri, kapamba mu amayi apakati amakula motsutsana ndi maziko a kunenepa kwambiri kapena kuledzera.

Pancreatitis pa nthawi yapakati ndi ndendende. Chizindikiro chachikulu ndi kupweteka. Imasanjidwa kumanzere hypochondrium kapena epigastric zone. Zizindikiro zina ziyenera kuphatikizapo:

kuwonda mwadzidzidzi
chifuwa cham'mimba
mawonetseredwe a dyspeptic.

Zomverera zowawa nthawi zambiri zimakhala ngati lamba. Amatha kubwezera kapena mtima. Chifukwa chake, amayi ambiri apakati amakayikira angina pectoris.

Kukula kwa chizindikirocho ndikusiyana. Ululu ukupweteka, wopondereza. Mwa akazi ena, amawonekera atatha kudya. Odwala ambiri amadandaula za kuukiridwa. Zitha kukhala zonse nthawi zonse komanso zosasamba. Nthawi zimasiyanasiyana kuyambira masiku 2-3 mpaka zaka zingapo.

Osowa kwambiri, kapamba m'mimba mwa amayi apakati amawonetsa kukhalapo kwa matenda opweteka pafupipafupi. Izi zimachitika motsutsana ndi kuwonongeka kwa ma plexuses, omwe amakhala mozungulira limba.

Panthawi ya palpation, mzimayi amadandaula kuti alibe nkhawa kumanzere kwa hypochondrium. Mu chifuwa chachikulu, kumakhala kovuta kumva kuti ali ndi chiwalo chophatikiza chomwe chikukula.

Pancreatitis pa nthawi ya pakati imakhala yovuta ndi mawonekedwe a dyspeptic pafupipafupi. Chizindikiro chachikulu ndikuchepa kwambiri kwa chilakolako cha kudya. Mzimayi amadana kwambiri ndi zakudya zamafuta. Ngati zida zam'mapulogalamu zikuphatikizidwa mu pathological process, kupita patsogolo kwa shuga mellitus kumawonedwa. Nthawi yomweyo, munthu amadandaula chifukwa cha ludzu lalikulu komanso amakonda kudya.

Pancreatitis panthawi yoyembekezera imadziwika ndi:

Kusinthana m'mimba ndi kudzimbidwa.
Zachisangalalo.
Malo olimbitsa.

Mwa amayi apakati, imakhazikika pamimba, pamakhala kugunda kwa mseru. Kupumira sikubweretsa mpumulo.

Njira zakugaya zimasokonekera. Potengera izi, munthu akuchepetsa thupi. Pancreatitis ikachuluka, kutentha kumatuluka. Vutoli limakhalapo nthawi zonse. Zosintha zimawonekera mu ziwalo zina. Zizindikiro za hepatitis yogwira mtima nthawi zambiri imachitika.

Mavuto akulu azachipatala amaphatikizapo:

ndulu yamitsempha,
shuga yayikulu
kuwerengetsa
kunyowa
cicatricial stenosis.

Amayi oyembekezera omwe ali ndi pancreatitis amakhala ndi oncology.

Njira yoyamba yodziwira pancreatitis mwa amayi apakati ndikutenga anamnesis. Mayeso owonjezera amachitidwanso:

Kuyesedwa kwa magazi konse.
Ultrasound ya kapamba.
Kuyesa kwamwazi.

Kuyesedwa kwa magazi kumawonetsa kuchuluka kwa hemoglobin yatsika nthawi yapakati. Matendawa akamakula, ntchito za amylase zimachulukana, kachigawo ka bilirubin yaulere limachulukako pang'ono.

Njira yayikulu yodziwira pancreatitis ndikuwunika kwa stool. Ikuwonetsa kuphwanya kwa chimbudzi cha chakudya, mapuloteni, mafuta. Kukula kwachidziwitso cha microflora yamatumbo kumawonedwa.

Ultrasound imawerengedwa ngati njira yodziyesera kwambiri yodziwitsa panthawi ya pakati. Ndiotetezeka kwathunthu kwa mwana. Dokotala amati kusintha kwa kukula kwa kapamba, kakulidwe ka minofu yake.

Kuunika kwa X-ray kumaphatikizapo kugwiritsa ntchito ma radiation ya ionizing. Ponena za amayi oyembekezera, sizikugwira ntchito.

Chithandizo cha matendawa panthawi yomwe ali ndi mimba chili ndi mawonekedwe ake. Mankhwala ena amaletsedwa kwa azimayi oyembekezera.

Chithandizo cha kapamba chimaphatikizapo:

kuchepetsa kuchuluka kwa mankhwala omwe agwiritsidwa ntchito,
kuwunika zakudya
kuchitira chithandizo,
kukonza chiwindi,
kutsitsa acidity yam'mimba,
kukonza makina ogwirira ntchito,
Chithandizo cha dysbiosis.

Pa nthawi yoyembekezera, ndikofunikira kwambiri kuchepetsa kuchuluka kwa mankhwalawa omwe amamwa. Upangiri wa kumwa izi kapena kuti mankhwalawa akuyenera kukambirana ndi adotolo.

Chithandizo chamankhwala a kapamba mwa amayi oyembekezera zimaphatikizapo kuperekedwa kwa michere ya m'mimba. Mkaziyo akufuna kumwa Creon, Mezim. Kugwiritsa ntchito mankhwalawa kuyenera kuphatikizidwa ndi chakudya chomaliza. Imwani mankhwala omwe mukufuna 150 ml. madzi amchere osakhala a carbonated.

Mankhwalawa pancreatitis pa nthawi ya pakati, kugwiritsa ntchito Almagel ndi mankhwala. Mankhwalawa amathandizira kuchepetsa acidity yam'mimba. Amayi amtsogolo sayenera kumwa H2 blockers kapena Omeprazole.

Pofuna kukonza magwiridwe antchito a chiwindi ndi chiwindi, mankhwala ochokera kumadera azomera ndi mankhwala. Zokonda zimaperekedwa kwa Holiver, Urzofalk, Holosas. Mankhwalawa amafulumira kuthana ndi bile.

Pofuna kuteteza kapangidwe ka microflora pa nthawi ya mankhwalawa pakhungu pa nthawi yapakati, ma protein amapatsidwa. Mzimayi akulimbikitsidwa kutenga Bificol, Bifidumbacterin, Hilak forte, Linex. Mankhwala opatsirana m'mimba nawonso amalembedwa. Zokonda zimaperekedwa kwa Dufalac.

Maola 48 oyambilira a kapamba panthawi yoyembekezera amaphatikizapo kufa ndi njala. Amaloledwa kumwa pang'ono zamchere zamchere zamchere. Zokonda ziyenera kuperekedwa kwa Borjomi. Itha kusinthidwa ndi msuzi wa rosehip, tiyi wopanda mphamvu.

Masiku asanu ndi awiri otsatira, mayi woyembekezera akuvomereza kuti azitsatira zakudya zochepa zopatsa mphamvu. Afunika kusiya nyama zosuta, zakudya yokazinga, msuzi wamafuta, zipatso zosaphika, masamba. Ndikofunikira kudya mukamakhala ndi pakati pazigawo zochepa, koma nthawi zambiri. Zakudya zoziziritsa kutentha zimayenera kuzingidwa mosamala ndi zothinira.

Pancreatitis ikakhala chikhululukiro, mayi woyembekezera ayenera kudya mokwanira. Kutsatira chakudyachi adzakhala ndi moyo wake wonse.

Amaloledwa kudya nsomba zamtsinje, tchizi chamafuta ochepa, nyama yophika. Mlingo woyenera wovomerezeka tsiku lililonse ndi 125 g. Kuchuluka kwa mafuta sikupitilira 80 g / 24 h, chakudya chamafuta - 350 g / tsiku.

Sizoletsedwa ndi chakudya cha pancreatitis chokhala ndi chakudya cham'mimba chambiri. Simungadye maswiti. Pa mankhwala, ndikofunikira kusiya zamalonda zomwe zimakhudza kuwonjezeka kwa kaphatikizidwe ka madzi a kapamba. Chakudya chimalimbikitsidwa kuti chizisenda kapena kuwira.

Mkhalidwe waumoyo wa mayi woyembekezera ukakhazikika, zinthuzo zimaloledwa kuti zizigwiritsidwa ntchito ndikudya zazing'ono. Kupatula pakati pa chakudya ndi maola 3-4. Chakudya chizitenthe, koma osati kutentha.

Ndi kapamba, mkate wopanda tanthauzo wopangidwa ndi ufa wa tirigu umaloledwa. Ubwino waukulu kwa thupi umabweretsa osokoneza, supu zamasamba. Simungadye kabichi yoyera, mapira, vermicelli.

Mankhwalawa ndikofunikira kudya ma omeled, imwani mafuta ochepa a kefir. Amaloledwa kuwonjezera batala, mkaka. Mutha kudya zamasamba zomwe zimakhala ndi zochepa fiber. Zipatso zokhala ndi kapamba, kukonda kuyenera kuperekedwa kwa maapulo, mapeyala.

Pancreatitis ndi pakati sizinthu zokhazokha zomwe zimasiyana. Kubereka mwana wosabadwa ndi matendawa ndikotheka. Fetoplacental homeostasis yamatendawa siyisokonezedwa. Koma azimayi omwe ali ndi kapamba amayenera kulembetsa mu dispensary. Dotoloyo avomera kuti apereke mankhwala omwe amathandizira kuonjezera ndi zovuta.

Mimba imaloledwa ndikhululukidwa kosalekeza. Mayi woyembekezerayo akuvomereza kuti aziwonekedwa osati kokha mwaoperewera-gynecologist, komanso kwa akatswiri.

Mu chifuwa chachikulu cha pancreatitis kwa masabata 12, kuchotsa kwa mimba kumalimbikitsidwa. Kupumula kwamphamvu kumachitika kudzera mu ngalande yakubadwa. Analgesia wokwanira amagwiritsidwa ntchito. Chigawo cha ku Kaisareya cha kapamba chimayikidwa pokhapokha ngati chitha kufooka.

Chifukwa chiyani kapamba limachitika pakapita nthawi yobereka?

Kuphatikiza pa zofala za etiological zomwe zimachitika (cholelithiasis, poyizoni wopweteka kwambiri, uchidakwa, zoopsa, matenda am'mimba, matenda am'mimba), zifukwa zina zimatha kudziwika mwa amayi apakati. Zina mwa izo ndi:

Kudya chakudya chochuluka kuposa kale. Izi zimasokoneza ntchito ya kapamba ndi kugaya chakudya. Pancreatitis mu izi zitha kuchitika pokha pakokha komanso motsutsana ndi maziko a matenda ena omwe adakhalapo.
Kuphatikizika kwa chiberekero champhamvu cha mitsempha yamagazi ndi ducts ya bile. Zotsatira zake, kutuluka kwa ndulu ndi kapamba wa pancreatic kumasokonezeka.Pali kutaya kwina kwa ma enzymes am'mimba mu kapamba, komwe kumabweretsa kukula.
Kachilombo kapena kachilombo ka kachilombo ka kapamba kameneka kamene kamayambira kumbali ya kusakhazikika kwamphamvu kwa mayi wapakati.
Kutenga kwa Mlingo waukulu wa mavitamini ndi amayi apakati, omwe amadziunjikira (kudziunjikira) m'matumbo. Izi zodzikundikira pang'onopang'ono zimayamba kukhala ndi poizoni ku chiwindi ndi kapamba, yemwe amadzaza ndi kutupa kwa kapamba.

Zizindikiro za kapamba zomwe zimachitika mwa mayi wapakati

Kuzindikira matenda a pancreatitis mwa amayi apakati ndi ntchito yomwe okhawo odziwa kudziwa matenda opatsirana pogonana ndi omwe amapirira. Mu trimester woyamba wa mimba (mpaka milungu 20), kapamba, ngati alipo, amayenda pansi pa chizindikiritso cha toxosis wapakati. Izi zikuwonetsedwa ndi izi:

Kusinthanitsa chakudya chomwe chidadyidwa dzulo. Chizindikiro ichi chimayambitsidwa ndi zowawa, koma osati nthawi zonse. Chifukwa chake, azimayi ambiri amati izi zimachitika ndi toxicosis yodziwika bwino ya amayi apakati.
Kupweteka kwam'mimba kwa lamba kapena kutengera kwachilengedwe komwe kumachitika chifukwa choyambitsa zakudya zamafuta, mowa kapena mankhwala osokoneza bongo. Ululu umatha kuwonekera ku scapula, kutsikira kumbuyo.
Kukhululuka kwamaluwa ndi maluwa.
Kutsegula m'mimba (chinsinsi cha madzi osakhazikika) ndi wachikasu wokhala ndi mafuta ambiri, osatha zakudya.
Zizindikiro za kuledzera kwakukulu: kuwonjezeka kwa kutentha kwa thupi (kwabwinobwino kumatha kukhala mwa azimayi oyembekezera), kufooka, kuchepa kwa chidwi.
Pafupipafupi - masanjidwe owopsa a sclera, mucous nembanemba.

Ngati mayi woyembekezera wazindikira zina mwazimodzi mwazizindikirozo, akuyenera kupempha dokotala kuti amupatse upangiri. Kuti muwonetsetse kuchuluka kwa matendawa, amayi apakati amafunika kuyesedwa kowonjezera ma laboratori. Kuzindikira kutengera madandaulo sikutheka.

Kuyesedwa kwa magazi

Yang'anirani zisonyezo za pachimake (ESR, mapuloteni a C-reactive, maselo oyera a magazi), kusintha komwe kumawonetsa kukhalapo kwa njira yotupa mthupi la mkazi. Chizindikiro china chomwe chimakakamira amayi apakati ndi kuchuluka kwa hemoglobin. Ndi kuchepa kwa hemoglobin m'magazi, kuyamwa kosakwanira kwa michere, mavitamini ndi michere kuchokera kumimba yamatumbo amaweruzidwa.

Mapazi amwazi

Amayang'ana kuchuluka kwa ma enzymes (kusintha, maylase, LDH), bilirubin. Kuwonjezeka kwakukulu kwa amylase m'mwazi kukusonyeza kutupa kwapakhosi. Kusanthula kumeneku kumakupatsaninso mwayi kuti mufufuze amayi omwe ali ndi pakati cholesterol, mapuloteni wamba m'magazi, kusintha komwe kungakhudze mayendedwe apakati.

Ultrasound kuwunika kwam'mimba ziwalo

Njira yokhayo yomwe imagwiritsidwa ntchito pancreatitis mwa amayi apakati. Palibe vuto, silikhudzana ndi mwana yemwe akukula. Ngati pali matenda, adotolo awona kusintha kosafunikira kwamatumba pazowonera, edema ndi kulowetsedwa. Mkhalidwe wa chiwindi, ndulu ndi ndulu zimayesedwanso. Kutupa kwawo komanso kusintha kwina kwa pathological kungayambitse kukula kwa kapamba.

Kukonzekera kubereka kwa matenda omwe amapezeka kale ndi kapamba

Muyenera kumvetsetsa kuti kutupikana komwe kumachitika chifukwa cha kapamba sikukhudza njira yobereka. Chifukwa chake, sikovuta konse kubereka mkazi yemwe ali ndi matenda apamba a pancreatitis. Komabe, muyenera kukumbukira kuti ndikutupa muyenera kumwa mankhwala pafupipafupi, ambiri omwe amapangika pakubala. Zonsezi zimayambitsa kuchotsa kwapadera kapena kusokonezeka chifukwa cha zamankhwala.

Ngati mayi yemwe ali ndi pancreatitis yayikulu akukonzekera kutenga mtsogolo posachedwa, amafunika kukayezetsa ndi dokotala wa gastroenterologist. Dokotala adzakuthandizani kusankha nthawi yoyenera ya kubereka, pomwe matendawa amakhala pagawo lokhalabe ndi chikhululukiro. Munthawi imeneyi, kudya tsiku lililonse kwamankhwala sikofunikira, zomwe zikutanthauza kuti mwana wosabadwayo amakula bwino nthawi zonse.

Zofunika! Simuyenera kukonzekera kutenga pakati pakukula kwa kapamba ndipo pakatha mwezi wotsatira atachira. Chifukwa cha kuchuluka kwa thupi la mayi wapakati, matendawa amathanso kuyambitsa matenda, omwe angakhudze mwana wosabadwayo.

Matenda a kapamba komanso kutenga pakati

Mu trimester yoyamba ya amayi apakati, chodabwitsa monga pancreatitis chokhazikika chimakhala chofala. Choopsa chachikulu pamkhalidwe woterewu ndichakuti nkovuta kwambiri kuzindikira bwinobwino.

Amayi oyembekezera omwe ali ndi pancreatitis amamva kupweteka kwam'mimba, ali ndi zovuta zingapo zam'mimba, kuwonekera kwa dermatological kumayamba. Nthawi zambiri, zizindikiro zoyambirira za kapamba zimatha kusokonezeka ndi zizindikiro za toxosis azimayi apakati - kusowa chilimbikitso, kusanza, kusanza, kusapeza bwino m'mimba.

Mitundu itatu yamatenda a kapamba amadziwika chifukwa cha zizindikiro zake.

zopweteka
dyspeptic
asymptomatic.

Panthawi yapakati, mtundu uliwonse wa izi umatha kupezeka, ndipo palinso kuphatikiza kwa dyspeptic ndi mitundu yopweteka.

Fomu ya dyspeptic imadziwika ndi kusokonezeka kwa chimbudzi, monga kutulutsa magazi (ndulu), kutsegula m'mimba ndi ndowe kapena mafuta omwe amakhala ndi zotsalira za chakudya chosasokonezeka, kuchepa thupi, kuchepa kwa chakudya, nseru, ndi kusanza.

Nthawi zambiri pakayipa kamtundu kameneka, kuchuluka kwa tizilombo tating'onoting'ono kumawonjezeka, ndipo dysbacteriosis imakulanso. Akaphatikizidwa ndi chimbudzi chimbudzi, dysbiosis imatha kuyambitsa matenda othandizira, neurodermatitis, vagidi candidiasis, ndi hypovitaminosis.

Zonsezi zomwe zili pamwambazi zimatha kusokoneza kukula kwa mwana m'mimba, komanso momwe mayiyo amakhalira.

Ndi mawonekedwe opweteka a kapamba, kupweteka kumatchulidwa kwambiri. Monga lamulo, malo omwe amawonetsera ndi pamimba pamimba. Pangakhalenso ndi ululu m'chiuno womwe umayamba pamwamba pamimba, kenako umatsikira kumbuyo ndipo kuchokera pamenepo "umamanga" thupi lonse.

Mitundu ya asymptomatic ya pancreatitis pa nthawi yapakati sikuwonekera mwanjira iliyonse, chifukwa cha izi ndizovuta kudziwa. Kuphatikiza apo, pazinthu ngati izi, kuyendera kwa dokotala nthawi zambiri kumayendetsedwa kwina.

Kuphatikiza pazowonetsera zina zonse za matendawa, kutsika kwamphamvu kwambiri komanso kotchulidwa kwa thupi kumachitika kawirikawiri. Muyenera kupita kuchipatala msanga momwe mungathere kuti mukayezetse bwino ndikuzindikira matendawo. Chachikulu ndikuwonetsetsa kuti matendawa alipo komanso kuyamba kulandira chithandizo posachedwa pofuna kupewa mavuto ndi zovuta zina mtsogolo.

Pancreatitis pachimake pa mimba

Pachimake pancreatitis pa nthawi yapakati ndimachitika kawirikawiri, koma nthawi yomweyo zimakhala zowopsa ndipo zimawopseza zovuta zingapo zomwe zingasokoneze pang'onopang'ono njira ya kubereka.

Kusiyanitsa kwakukulu pakati pancreatitis yachuma ndikuti imakula mofulumira, motero ndikofunikira kuti nthawi yomweyo muzindikire chizindikiro chake choyamba - kupweteka kwamphamvu m'dera la nthiti yakumanzere. Kuphatikiza apo, pancreatitis pachimake panthawi yoyembekezera imatha kukhala ndi zizindikiro zotsatirazi:

Ululu pamimba chapamwamba kufikira kumbuyo.
Kuwonjezeka kowopsa kwa kutentha kwa thupi.
Kutsitsa magazi.
Zachisangalalo.
Kusanza ndi kusanza kwambiri.
Zofooka zazikulu.

Chithunzi chonse cha matenda omwe ali ndi matendawa sichidziwikiratu, kotero kuzindikira matendawa ndikovuta. Zizindikiro zonse pamwambazi sizimangonena molondola kuti pancreatitis yachuma imayamba, koma mulimonsemo ayenera kuzindikira ndi kulimbikitsa mkazi kuti awone dokotala.

Ndikofunikira kudutsa mayeso onse ofunikira mwachangu, makamaka kuyesa kwa magazi ndi zamkati. Phunziro loyamba, kuchuluka kwa amylase (pancreatic enzyme yayikulu yomwe ikupangitsa kuti pakhale zovuta zam'mimba) kupezeka, ndipo kuwunika kwachiwiri kudzawonetsa kuwonjezeka kwa diastasis.

Zimayambitsa kapamba

Kukhazikika kwa matendawa kumatha kupsinjika ndi zinthu zosiyanasiyana. Nthawi zambiri, choyambirira choyendetsa ndikuwononga minyewa ya ma pancreatic ndi ma enzymes ake.

Zotsatira zake, tizilombo tating'onoting'ono timalowa m'thupi kapena kufinya maudindo ake. Chifukwa cha kuchuluka kwa chiberekero mwa amayi apakati, kapamba amayamba mwamphamvu kwambiri.

Komanso, kuphwanya kwa chimbudzi cha chakudya nthawi yomwe mayi ali ndi pakati kumalumikizidwa ndi kuchepa kwapang'onopang'ono kwa kamvekedwe ka chakudya chonse. Kuphatikiza apo, mavairasi okhudzana ndimatenda komanso kugwiritsa ntchito kwambiri mankhwala omwe ali ndi amayi apakati, mwachitsanzo, kukonzekera kovuta kwa mavitamini, kungakhale ndi chidwi pakukula kwa kapamba.

Matenda a kapamba kwambiri, monga lamulo, ndi matenda odziyimira pawokha, koma nthawi zina pamakhala zochitika zosinthika za pancreatitis pachimake kukhala mawonekedwe osakhazikika.

Chithandizo cha matendawa azimayi oyembekezera ali ndi zinthu zina ndipo ziyenera kuchitika moyang'aniridwa ndi katswiri.

Mankhwala ena nthawi zambiri amapatsidwa mankhwala, koma nthawi yake yobereka imakhala yochepa kwambiri chifukwa cha zotsatira zoyipa za mapangidwe a mwana wosabadwayo. Chifukwa chake, mankhwala omwe ali ndi vuto lotere amatha kuikidwa ndi madokotala odziwa bwino za mafayilo oyenera.

Pancreatitis yayikulu, wodwala amayenera kugonekedwa kuchipatala mwachangu kuti amuthandize kwathunthu. Ndipo mtsogolomo, amafunikira chisamaliro ndi kuyang'aniridwa nthawi zonse.

Chithandizo cha kapamba mu amayi apakati iyenera kuyamba ndi kukonza zakudya. Kuchokera muzakudya muyenera kuchotsa zakudya zonse zonunkhira komanso zamchere, chokoleti ndi khofi, komanso zakudya zamafuta, zosuta komanso zosakaniza. Mutha kuyesa uchi ndi pancreatic pancreatitis, pambuyo pa zonse, ndi zachilengedwe komanso zoyera.

Kuperewera kwa michere yam'mimba kumalipidwa ndi kukonzekera kwa pancreatin, ma antacid amagwiritsidwa ntchito kuti achepetse kuchuluka kwa madzi am'mimba, chiwindi chimabwezeretseka mothandizidwa ndi mankhwala azitsamba a choleretic. Mankhwala opha tizilombo komanso prebiotic amagwiritsidwanso ntchito kuti matendawa agwire ntchito.

Mankhwala onse omwe ali pamwambawa amatsogolera pakuchotsedwa kwa zizindikiro zosasangalatsa za kapamba, ndipo amalola mkazi kukhala ndi nthawi yayitali yonse.

Pancreatitis ndimatenda oopsa kwa munthu aliyense, ndipo panthawi yomwe ali ndi pakati kumakhalanso kovuta kudziwa.

Chifukwa chake, ngati zizindikiro zina zikuchitika, muyenera kulankhulana kuchipatala mwachangu. Kuchiza panthawi yake kumathandizira kupewa zovuta ndikuchepetsa zovuta zoyipa za matendawa.

Pancreatitis pa mimba: chochita ndi exacerbations

Munthawi yonyamula mwana, matenda osachiritsika nthawi zambiri amakhala ochulukitsa, komanso chifukwa cha kuchuluka kwachuma komanso chitetezo chochepa, njira zamatenda zimayamba kukulira. Zochitika zoterezi zimaphatikizira kapamba pa nthawi yomwe mayi ali ndi pakati, yemwe mkazi amene ali ndi vutoli amafunika kuwongolera mwapadera.

Komabe, pazizindikiro zazikulu, munthu amatha kusiyanitsa:

Kuchepetsa msana kusanza. Izi zimamveka bwino kwambiri mutatha kudya zakudya zamafuta. Ngati ndi toxosis zomverera zosasangalatsa zokha zilipo, ndiye kuti ndi kapamba zimakhalabe zomva zowawa.
Kutsegula m'mimba Zimbudzi zamwadzidzidzi zimakhala zachikasu, nthawi zambiri zimakhala ndi tizinthu tambiri ta chakudya. Matendawa amatchedwa matenda a m'mimba a pancreatogenic, koma amatha kusinthidwa ndi kudzimbidwa, omwe amawonetsanso mavuto. Izi sizofunika kwenikweni kapamba, komabe muyenera kuyang'anira matumbo ake.
Ululu Amakhala osakhalitsa, olimbikitsidwa atatha kudya, makamaka ovuta kwa kapamba, mwachitsanzo, mafuta, okoma. Zowawa zimatha kutulutsidwa mu hypochondrium, kukhala lamba komanso kupatsa dera la mtima.
Kuchepetsa thupi. Pa nthawi yoyembekezera, kuchuluka kwa thupi kumawerengedwa kuti ndi chimodzi mwazizindikiro zazikulu za nthawi yomwe mayi ali ndi pakati. Ndi trimester iliyonse, kuwonjezereka kumayembekezereka ndipo ngati kulibe kapena kuwonda kumadziwika, ndiye iyi ndi nthawi yoyesanso.
Kwezani kutentha. Izi ndimakonda kuphukira kwa kapamba, pamene kutupa kumachitika kwambiri.

Ngati zizindikiro za atypical zadziwika, kuphatikizapo mseru ndi kusanza, kutsegula m'mimba, kupweteka, muyenera kulankhulana ndi dokotala nthawi yomweyo. Pamaziko a madandaulo ndi mayeso, adzasankha maphunziro owonjezera, atumiza kwa katswiri wopapatiza.

Ngati matenda a kapamba amatsimikiziridwa ndi mayeso ndi maphunziro, gastroenterologist amalangiza zoyenera kuchita pambuyo pake. Mukamasankha njira yochizira, mawonekedwe a wodwalayo amayenera kukumbukiridwa, choncho mankhwalawo amasankhidwa mosamala kuti asawononge thanzi la mwana wosabadwa.

Ndi chithandizo chanthawi wodwalayo komanso chizindikiritso cha zotupa m'mimba kapamba, ndizotheka kusankha njira yokwanira yolandirira yosapatsa pakati. Izi zimatheka ndi njira zotsatirazi:

Sinthani muzakudya. Kwa amayi ambiri apakati, izi ndizovuta, chifukwa zokonda zakudya zimasintha pakadali pano, chikhumbo chosalephera chokhala ndi chakudya chambiri sichimawoneka nthawi zonse. Kubwezeretsa ntchito za gland, muyenera kuchepetsa mchere, mbale zokhala ndi zokometsera zambiri, zokazinga, masoseji, nyama zamafuta ndi nkhuku. Mndandanda wazinthu zololedwa zitha kupezeka kuchokera kwa gastroenterologist kapena kupezeka nokha. Zakudya za pancreatitis ndizosiyanasiyana kugwiritsidwa ntchito panthawi yomwe muli ndi pakati.
Kulandila kwa ma enzyme obwezeretsa. Amathandizira kukonza chimbudzi ndipo salemetsa chofinya. Njira zokhala ndi zotsutsana pang'ono, zambiri zimaloledwa panthawi yapakati.
Kuwongolera kutuluka kwa bile, pamtundu wa momwe ntchito ya m'mimba ndikuwonekera kwa mayi wamtsogolo kumadalira. Pazifukwa izi, kukonzekera kwazitsamba kungapangidwe.
Kupewa matumbo dysbiosis. Izi zimatheka kudzera mu zakudya, kumwa ma proiotic.
Acidity. Kukonzekera kwa Antacid kwa zovuta zochita kumayikidwa. Ndikosayenera kuchita njira zina, mwachitsanzo, koloko kapena njira zina zokayikitsa panthawi yapakati.
Ophera. Ndi zowawa zowonjezereka, antispasmodics ikhoza kutumikiridwa.

Pogwiritsa ndi nthawi yake komanso kuchitapo kanthu, maulosiwo ndiabwino. Mkazi ayenera kuyang'aniridwa nthawi zonse ndi akatswiri onse awiri, kutsatira mosamalitsa malangizowo, ndipo ngati angayambenso kuonana ndi dokotala. Zingakhale kuti kutulutsa kambiri kuyenera kukhala pa kukonza mankhwala, kuti asayambitse kuwukira kwatsopano.

Kubala mwana kumatha kuchitika mwachilengedwe, pokhapokha ngati ali pachiwopsezo cha matenda, omwe amawonekera ndi magawo apamwamba a kapamba, Caesarean adzalimbikitsidwa.

Ngati pancreatitis adapezeka kuti ali ndi zovuta kuchokera ku ziwalo zina zamkati, zokhala ndi sepsis, ndiye kuti pali chiopsezo chachikulu cha gestation. Kwa masabata osakwana 10-12, kuchotsa kwa mimba kumalimbikitsidwa.

Ndikofunikira kumvetsetsa kuti kutupa kwa pancreatic kumafuna chithandizo chokwanira komanso chosankhidwa bwino, makamaka panthawi yapakati. Kugwiritsa ntchito njira zina ngati chithandizo chachikulu ndi koopsa, makamaka popeza pali mankhwala omwe mapangidwe ake samakhudza thanzi komanso kukula kwa mwana wosabadwa.

Kutupa kwa kapamba, nthawi zambiri, kumayambitsa mimbayo.Chifukwa chake, kukayikira pang'ono kwa matenda awa, kapamba amafunika kuwazindikira mwachangu, ndipo panthawi yoyembekezera, kulandira chithandizo mwachangu ndikofunikira. Pancreatitis - nthenda yayikulu yomwe imakhudzana ndi kupukusa kwamimba kwa mayi wapakati, pamikhalidwe yovuta kwa munthu, imayambitsa poizoni wa mwana wosabadwayo ndi zakumwa zoopsa zomwe zimayambitsidwa ndi minofu ya pancreatic necrosis.

Kodi titha kunena chiyani za mayi wapakati, ngakhale atakhala ndi mankhwala oopsa mwa munthu wathanzi. Kodi zidachitika chifukwa chani mthupi la mayi woyembekezera?

Njira yotupa mu kapamba imadziwika ndi kuwonongeka kwa minyewa ya m'matumbo ndi madzi a pancreatic ndi ma enzyme. Kutupa komwe kumayambitsa kumabweretsa zovuta m'mimbidwe ya chakudya, motero, thupi sililandira zofunikira zofufuza ndi mavitamini. Mwana wosabadwayo akavala, izi zimapangitsa kuti pakhale zinthu zosafunikira zake zofunikira kukhazikikazo, zomwe zimapangitsa kuti zikule. Choyipa chachikulu kwambiri, kutupa m'mimba imapatsidwira kwa mwana wosabadwa, zomwe zimapangitsa kuti afe.

Maonekedwe a kapamba pamimba imayambitsa kupsinjika kwa mwana wosabadwayo, kukulitsa chiberekero, pamiyendo ya pancreatic madzi kapena njira ya choleretic. Ma enzymes obisika ndi madzi amayamba kudziunjikira mumiyendo, pomwe minyewa ya ndulu ndi chimbalecho chimayamba kugwira ntchito ndikuwongolera. Pali njira yotupa yomwe imalepheretsa ntchito yam'mimba ndikugaya chakudya chamunthu.

Pali zifukwa zowonetsera kapamba ponyamula mwana wosabadwa:

kufinya malekezero a kapamba ndi chiberekero chokulirapo,
matenda am'mimba thirakiti
matenda a chiwindi, impso
zilonda zamkati (m'mimba, duodenum),
kuchepa chitetezo chamthupi chifukwa cha pakati,
matenda opatsirana a ma virus
poyizoni wa mankhwala osokoneza bongo.

Pancreatitis, komanso zizindikiro zake ndi mawonetseredwe ake pakubala, ayenera kuthandizidwa kumayambiriro kwa chitukuko, popeza kuchedwa vutoli kumavulaza mwana wosabadwayo komanso mkaziyo.

Pancreatitis imakhala ndi zizindikiro zake komanso mawonetsero akuwonekera pa nthawi yapakati:

Pang'onopang'ono kukulitsa mseru, womwe ungakhale wolakwika wa toxicosis. Kusinthana chizindikiro ndi chizindikiro choyamba chakulephera kwamphamvu m'thupi.
Kuwonjezeka kwa kutentha kwa thupi, kuzowonetsa otsika - 37.3-37.5.
Komanso kumva kumeta m'mimba ndikusiya hypochondrium. Pang'onopang'ono, ululu wammbuyo umawonjezeka ndikusintha kukhala gawo lopweteka lopweteka. Gawo lotsatira la chitukuko ndikuwoneka kwa herpes zoster.
Fumbi lamadzi kapena phala, lokhala ndi mayendedwe owonjezereka a matumbo. Tizilombo tambiri timakhala tambiri chifukwa cha mafuta omwe sanakonzedwe.
Kutulutsa kwam'mimba, phokoso lakunja (thovu louluka).
Kulakalaka kugona, kugona.

Izi zitha kuchititsanso kuti mukhale ndi pakati, koma matendawa ndi oopsa ndipo amafuna chithandizo. Chifukwa chake, ndikofunikira kufunsa dokotala.

Nthawi zina, matendawa amatha popanda zizindikiro kapena mawonekedwe ake, omwe amadziwika ndi amayi apakati ngati toxicosis kapena cholakwika chakudya. Thanzi laonyamula matendawa, limavutika kwambiri tikayang'ana kumbuyo kwa matenda omwe amapezeka chifukwa cha kapamba.

Chochita ndi mavuto omwe akuwoneka kuti ndi ndulu? Choyamba, musakhumudwe ndikupeza mwayi wofunsa dokotala.

Kodi nchiyani chomwe chingapangitse njira zodziwitsira matenda? Matenda a kapamba, ali ndi zizindikiro zake zapakhansa, komanso chithandizo cha amayi apakati, amafunikira kugwiritsa ntchito mankhwala mosamala komanso kudya moyenera.

Pa nthawi ya pakati, njira zosalira pancreatitis zimachitika. Chifukwa chake, kuzindikira ndikukhazikitsa kuzindikira koyenera, njira zosavuta zimagwiritsidwa ntchito pofufuza njira yotupa ya kapamba:

kuyezetsa magazi konse
mu kapangidwe ka magazi m'magazi, kuchuluka kwa amylase ndi lipase kumadziwika,
Kuzindikira amylase mkodzo,
fotokozerani ndowe zambiri,
Ultrasound gland.

Mitundu yotchulidwa yozindikira matenda apakhungu pancreatitis panthawi yoyembekezera ithandizanso kudziwa zomwe zimayambitsa matendawa ndikupereka mankhwala oyenera, patebulo la zakudya.

Mitundu ya kutupa kwapancreatic panthawi yapakati sikusiyana ndi mawonekedwe a matenda:

aakulu mawonekedwe a kapamba,
pachimake mawonekedwe a pancreatic kutupa.

Pancreatitis yosatha ndi matenda omwe samatengera zaka. Kwenikweni, matendawa amapezedwa mwaunyamata panthawi yophunzirira, zovuta zopsinja. Ndi matendawa, azimayi amakhala ndi funso, kodi matendawa amayenda bwanji panthawi yoyembekezera ndipo zingavulaze mwana wosabadwayo? Matendawa ndi oopsa, koma ndi chithandizo choyenera, ndikotheka kusiya zoyipa zomwe zimabweretsa mwana wosabadwa, zomwe zimapereka mwayi wokhala ndi mwana wopanda ma pathologies.

Ponena za mawonekedwe apanja a kapamba, amatha kukhala ofatsa komanso owopsa. Kufatsa - kutupa kwa kapamba, popanda kusintha kwachilengedwe. Fomu yayikulu - kukulira minofu necrosis kumabweretsa kusintha kwakukulu mu mitsempha ya mayi wapakati komanso kumatanthauza kutaya mwana.

Pochiza pancreatitis ndi mimba yotsatana, mankhwalawa amachitika moyang'aniridwa ndi dokotala. Ngakhale popereka mankhwala, mtundu wa mkazi ndi mwana wosabadwa amasiya chizindikiro chake ndi kuletsa kwambiri mankhwala omwe amagwiritsidwa ntchito. Chifukwa chake, ndi dokotala yekhayo amene ayenera kuchitira pancreatitis pa nthawi yomwe ali ndi pakati, ndipo ndikofunikira kuchita chithandiziro kuchipatala ndikupuma.

Monga mitundu yachilendo ya kapamba, chithandizo chimayamba ndi kukhazikitsidwa kwa zakudya zopatsa thanzi. Pokhala wokhoza, mayi woyembekezera amafunika magulu ena a mavitamini, choncho wopatsayo ayenera kuwerengera mosamala zakumwa kuti zisawononge mwana wosabadwayo. Ndipo zamchere, zowawasa, zowawa zimachotsedwa muzakudya.

Acidity m'mimba ndi matumbo amachotsedwa ndikugwiritsa ntchito kwambiri rose ya m'chiuno, tiyi, ndipo osapitilira izi, chifukwa izi zimatha kusokoneza kukula kwa chiberekero. Pogwiritsa ntchito zakudya pali ma probiotic, prebiotic, omwe amathandizira kuchepetsa zizindikiro za matenda a gland. Kukhazikitsa moyenera malangizo omwe madokotala amapereka kudzakupatsani mwayi wowonjezereka wokhala mwana wathanzi komanso wamphamvu.

Izi matenda amafunikira chithandizo choyenera, ndipo mothandizidwa ndi chakudya, simungathe kudzipulumutsa nokha. Chifukwa chake, mukuyenerabe kumwa mankhwala kuti mubwezeretsenso ntchito ya gland.

Ma enzyme owonjezera. Mezim, Festal, Creon - mankhwalawa amabweretsa ma enzymes osowa m'thupi, omwe amayendetsa bwino chimbudzi. Amayenera kumwedwa mosamala asanadye.
Maantacid. Almagel, Gevixon. Mankhwalawa amachepetsa acidity ya kapamba wa pancreatic, omwe amathandizanso kuteteza njira yotupa. Gwiritsani ntchito mphindi 25 musanadye.
Peristalsis. Trimedat. Chipangizocho chikuvomerezedwa kuti chigwiritsidwe ntchito ndi amayi apakati. Mankhwalawa amalepheretsa kutulutsa kwamkati kuchokera ku kapamba, komwe kumachepetsa mwayi wa minofu necrosis.
Cholagogue Allohol, Holosas. Bwezeretsani kutuluka kwa bile ndi kusintha kugaya.
Mukupweteka kwambiri, kugwiritsa ntchito antispasmodics ndikulimbikitsidwa. Palibe-shpa, Spazmalgon. Zowona, mankhwala saloledwa kuzunzidwa, chifukwa zimapangitsa kupuma kwa chiberekero.

Kugwiritsa ntchito mankhwala onse kumagwirizana ndi dokotala.

Chithandizo cha opaleshoni ya kapamba chimakhala chofunikira kapena chofunikira ndipo chimachitika m'maola oyambawa. Chizindikiro ndi kufalikira kwa mphuno ya duodenum, ndikupanga kwa peritonitis.

Ndi kuchedwa kwa opaleshoni, opareshoni imachitika mu gawo la chitukuko cha minofu necrosis kapena peritoneum. Kuchita kotereku kumachitika masiku 15-16 atadwala kwambiri komanso kuchipatala.

Ntchito yoyeserera. Mtundu wa kulowererapo ukuchitika pokhapokha ngati pakuyenda patsogolo pa zamankhwala komanso mosiyanasiyana kukula kwa matenda. Chofunikira chidzakhala kusakwanira kwathunthu kotsitsimula ululu. Pamaso pa opareshoni, kudzifufuza kwathunthu kumachitika, zomwe zingathandize kuchotsa malingaliro olakwika ndi malingaliro.

Panthawi ya mankhwala a kapamba, lamulo lalikulu ndi chakudya chamagulu. Chovuta chokha ndikunyamula mwana wosabadwayo. Chifukwa chake, kusamvetsetsa kolondola kokha kwa kuchuluka kwa mavitamini ofunikira ndi michere kwa mwana wosabadwa kungawerengeredwe ndi wazakudya. Pancreatitis Dongosolo Lanyama:

msuzi wachiwiri wophikira nkhuku,
mitundu yamafuta ochepa a nyama,
tchizi chamafuta ochepa
kefir
masamba otsika a fiber
phala pamadzi
mchere ukadali madzi.

Thanzi limachitika mu grated mawonekedwe komanso ochepa magawo, nthawi zambiri. Izi zimathandizira kuthana ndi matendawo komanso kufulumizitsa kuchira. Chifukwa chake ndibwino kukana zakudya:

zakudya zamafuta
maswiti
chakudya zamzitini
kuphika kwatsopano
maapulo ndi zinthu zina zambiri zomwe zingakwiyitse kapamba ndi makhoma ake.

Gazetov B.M., Kalinin A.P. Matenda opaleshoni mwa odwala matenda a shuga. Moscow, yosindikiza nyumba "Mankhwala", 1991, 256 pp.
Serov V.N., Prilepskaya V.N., Ovsyannikova T.V. Gynecological endocrinology, MEDpress-inform - M., 2015. - 512 p.
Hürter, P. Buku lonena za matenda ashuga a mtundu woyamba. Kwa ana, achinyamata, makolo ndi ena / P. Hürter, L. Travis. - M: Buku la Demand, 2012. - 194 c.
Kalinin A. P., Kotov S. V., Rudakova I. G. Matenda a mitsempha m'matenda a endocrine, Medical News Agency - M., 2011. - 488 p.
Gryaznova I.M., VTorova VT. Matenda a shuga ndi pakati. Moscow, yosindikiza nyumba "Mankhwala", 1985, 207 pp.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kuthekera kwa kutenga mimba ndi kapamba

Matendawa sikuti akuphwanya mwana akangoyamba kubereka komanso kubereka.

Pancreatitis sichikhudza kutuluka kwa magazi a fetoplacental, koma ndikofunikira kukumbukira kuti azimayi omwe ali ndi matendawa amafunika kulembedwa mu dispensary kuyambira adakali wakhanda. Kuwunikira nthawi zonse kumapewetsa zovuta komanso kuchuluka ndikuwonjezera njira zadzidzidzi ngati pakufunika kutero.

Matenda a kapamba sindiwo cholepheretsa kutenga pakati, chinthu chachikulu ndikuti palibe zovuta komanso kuphwanya kwachidziwikire pakugwira ntchito kwa kapamba. Matendawa ayenera kukhala mu gawo la chikhululukiro chokhazikika, ndipo ndikofunikira kuti mkazi aziwonetseredwa pafupipafupi ndi katswiri wazachipatala komanso kuphatikiza kwa amayi, kuphatikiza ndikofunikira kuti asalole cholesterol yayikulu panthawi yapakati.

Ndi matenda oopsa omwe atenga matendawa, funso la kuchotsa mimba lingabuke, chifukwa limatha kukulitsa gawo la matenda. Vutoli limathetsedwa ndi mayi aliyense payekhapayekha, zokambirana zimachitika ndi dokotala wazachipatala, dokotala wa opaleshoni, othandizira.

Zomwe zimapangitsa izi

Kodi chifuwa chachikulu cha pancreatitis ndi chiyani? Ndi boma kumamveka yotupa yomwe ikupanga kapamba. Itha kuchitika chifukwa cha zinthu zosiyanasiyana:

Zakudya zopanda pake - ngati mumakonda zakudya zamafuta, zosaphika komanso zosuta, zonsezi ndizowonjezera mphamvu kapamba (Kafukufuku wathu amafotokozera momwe angadye bwino: Zinsinsi za zakudya zoyenera kwa mayi woyembekezera >>>),
Matenda ena a ziwalo zogaya chakudya - gastritis, zilonda, cholecystitis,
mowa ndi chikonga zimawononga kwambiri mkhalidwe wa kapamba,
cholowa cham'tsogolo - ngati abale anu am'magazi anali ndi matenda apamba,
Nthawi zina pamakhala pancreatitis yopatsirana - chifukwa cha ma virus kapena ma bacteria.
shuga mellitus - njira yayitali ya matendawa imadzetsa kutupa kwa gland.

Pakakhala kuti muli ndi pakati, kapamba amapanikizika kwambiri. Ichi ndi chifukwa cha kusintha kwa mahomoni m'thupi, kusintha kwa zakudya, kuchuluka kwa chiwindi. Zimawonjezera kukondoweza kwa kapamba ndi kukakamira kwa chithokomiro ndi chiberekero chokulirapo, kuchoka kwina kupita kumbali, kogwirizana kwambiri ndi ziwalo zina.

Pancreatitis mwa amayi apakati amatha kuchitika koyamba, ndipo pakhoza kukhala kuchuluka kwa kapamba panthawi yapakati.

Zizindikiro za kapamba mu amayi apakati

Kodi mungadziwe bwanji kuti muli ndi kapamba? Zizindikiro za chikhalidwe ichi sizosiyana ndi zizindikiro za kapamba kwa anthu osakhala oyembekezera.

Choyamba, mseru umachitika, womwe mwina sutha kuzindikira. Zoonadi, panthawi yoyembekezera izi zimachitika kawirikawiri (mwatsatanetsatane, werengani nkhani ya Nusea panthawi yapakati >>>). Koma nseru sizimaleka ndipo itha kusintha kusanza. Ichi ndi chizindikiro chachilendo kale chomwe chitha kuwonetsa matenda omwe alipo (pezani zambiri kuchokera m'nkhaniyi Vomiting panthawi yapakati >>>),
Nthawi zina, matenthedwe anu amatha kukwera - pang'ono, mpaka 37.5 * C,
Kenako mutha kumva kuwawa m'mimba ndi kumanzere pansi pa nthiti. Kukula kwake pang'onopang'ono, kumatha kusanduka kupweteka komanso kumva kuwawa. Nthawi zambiri ululu umakhala lamba - kutanthauza kuti umapweteka kumbuyo ndi kumbuyo. Izi zikutanthauza kuti muli ndi matenda opweteka,
More dyspeptic variant of pancreatitis. Pankhaniyi, muli ndi vuto la tulo - imakhala yofupika komanso ya mushy, nthawi zina ngakhale imakhala madzimadzi (werengani nkhani yapano ya Kutsegula m'mimba nthawi yapakati >>>). Tinthu tambiri timene timakhala topepuka komanso yosalala - izi zimachitika chifukwa cha mafuta osaneneka. Nthawi yomweyo, kutuwa ndi kubuma kwamimba kumawonekera,
Nthawi zina mutha kuwona njira ya asymptomatic ya matendawa. Zachidziwikire, zizindikirizo sizipezeka kwathunthu, koma mutha kunena kuti zalakwitsa pakudya, kapena toxicosis.

Mwambiri, kukhala bwino kwanu kumavutika kwambiri. Mwachilengedwe, kusowa chakudya kumasokonekera. Izi zimakhudza mwana wosabadwayo, chifukwa samalandira michere yoyenera. Zoyenera kuchita ndi kapamba pamimba? Tsatirani njira zofunika kuti muchepetse kutupa kwa kapamba.

Ndingathandize bwanji?

Ngati muli ndi pancreatitis koyamba panthawi yomwe muli ndi pakati komanso imasokoneza thanzi lanu, pali ululu wosaneneka, kusanza kwambiri komanso kusanza, muyenera kufunsa chithandizo chamankhwala. Mankhwala othandizira angafunike.

Ngati mwakumana kale ndi matendawa kale, ndipo tsopano sizimayambitsa zovuta, mungatenge njira zoyenera kuchitira pancreatitis pa nthawi yapakati.

Zochita zoyambirira zomwe mungachite ndikudya zakudya zoyenera. Mwachilengedwe, kubereka kumatanthawuza kudya kwathunthu komanso koyenera (izi zikufotokozedwa mwatsatanetsatane munkhani ya Zakudya Zoyimbitsa thupi panthawi yapakati >>>). Komabe, kapamba ndimatenda am'mimba, zomwe zimatanthawuza kuti zakudya ziyenera kusinthidwa moyenerera.

Kodi mungadye chiyani ndi kuchuluka kwa kapamba?

Msuzi wa nkhuku, nsomba sopo, nyama yophika mafuta ochepa. Ndikofunika kuphika mbale zotentha kapena chithupsa. Ndikulimbikitsidwanso kudya zakudya zotsukidwa - makamaka m'masiku oyamba a matendawa,
Zinthu zamkaka zimatha kudyedwa pang'ono. Chakudya chabwino kwambiri ndicho tchizi chokhala ndi mafuta ochepa komanso kefir,
Zipatso ndi ndiwo zamasamba ndizochepa mu fiber. Zothandiza zimakhala nthochi, zipatso zouma, zipatso,
Mpunga ndi buckwheat phala, bwino pamadzi. Chothandiza kwambiri kwa kapamba ndi oatmeal,
Muyenera kugwiritsa ntchito maswiti achilengedwe pang'ono,
Ndikofunika kugwiritsa ntchito madzi amchere - Borjomi, Essentuki. Musanamwe madzi awa, muyenera kumasula thovu lonse la mpweya.

Zakudya zoterezi zimapangidwa kuti zikule kwambiri zotulutsa kapamba. Izi zimakuthandizani kuti muchepetse kutupa.

Kodi muyenera kupatula chiyani pakudya, osakhalitsa?

Zakudya zamafuta ndi nsomba, zakudya zamafuta ndi mafuta okazinga, zosuta komanso zakudya zamchere,
Chokoleti, makeke amchere ndi makeke,
Maapulo, mapeyala, mbatata,
Mazira a nkhuku mwa mtundu uliwonse.

Muyenera kudya pang'onopang'ono - izi zikutanthauza kuti muyenera kudya chakudya nthawi 5-6 patsiku, m'magawo ang'onoang'ono. Zimathandizanso kuchepetsa katundu pa kapamba.

Tsoka ilo, kapamba payekha sangathe kupewedwa. Muyenera kumwa mankhwala ena omwe angabwezeretse ntchito m'mimba. Mimba imachepetsa mndandanda wa mankhwalawa.

Othandizira enezymatic. Izi zikuphatikizapo Mezim, Festal, Creon. Ndi njira yowachotsera mankhwala - kapamba wanu sangathe kupanga michere yokwanira. Izi zimabweretsa chimbudzi, chifukwa chake, mwana wosabadwayo samalandira michere yoyenera. Muyenera kudya nawo musanadye,
Kukonzekera kwamantchito. Pakati pawo, Almagel ndi Gaviscon amaloledwa kwa amayi apakati. Kugwiritsa ntchito ndikofunikira kuti muchepetse acidity ya madzi am'mimba, omwe angakwiyitse kapamba. Apezeni theka la ola musanadye,
Njira zowongolera peristalsis. Amayi oyembekezera amaloledwa kutenga Trimedat. Kugwiritsidwa ntchito kwake kulepheretsa kukonzanso kwa madzi mu chakudya cham'mimba kuti mutulutse kapamba,
Cholagogue akuwonetsedwa kuti mukuthandizira kutuluka kwa ndulu ndikubwezeretsa chimbudzi. Izi zikuphatikiza Allohol ndi Holosas,
Ndikumva kupweteka kwambiri, mutha kugwiritsa ntchito mankhwala a antispasmodic - No-shpa, Spazmalgon. Komabe, sayenera kuzunzidwa, chifukwa zimatha kukhudza kamvekedwe ka chiberekero.
Kuti mubwezeretse chopondapo choyenera muyenera kukonzekera ndi ma protein - Linex (nkhani yapano pamutuwu: Linex pa nthawi ya bere >>>), Maxilak, Normobakt, Baxet.

Njira ya mankhwalawa imayenera kukhala osachepera sabata ndipo iyenera kufotokozedwa ndi dokotala.

Pancreatitis pa mimba - momwe mungagwiritsire ntchito kuchokera ku wowerengeka azitsamba? Tsoka ilo, maphikidwe a wowerengeka akhoza kukhala osathandiza pancreatitis. Kuopsa kwa zotsatira zoyipa kuchokera kugwiritsidwa ntchito kwawo kungadutse kwambiri phindu. Chifukwa chake, mankhwala achikhalidwe samalimbikitsidwa pa mankhwalawa pancreatitis pa nthawi yapakati.

Chokhacho chomwe chitha kulangizidwa ndi kumwa kwa manyumwa kapena chida cha rose. Zimathandizira kutulutsa bwino kwa bile, komwe kumathandiza kukonza chimbudzi.

Kupezeka kwa kapamba nthawi zonse kumakhala kosasangalatsa. Makamaka ngati muli ndi pakati. Komabe, munthu sayenera kuchita mantha, chifukwa nthendayi imachiritsidwa mosavuta. Chachikulu ndikuyiyambitsa pa nthawi ndikugwiritsa ntchito mankhwala ovomerezeka okha.

Mimba komanso kubereka

Pa nthawi yoyembekezera, azimayi omwe ali ndi pancreatitis yayitali amawonedwa ndi dokotala wazachipatala, katswiri wazachipatala komanso gastroenterologist. Mu theka loyamba la odwalawa, kutchulidwa kuti toxosis kumawonedwa, komwe kumatha kusokonezeka mosavuta ndikuchulukanso kwina. Njira ya pachimake yomwe imapezeka mu nthawi sizikhudza mayendedwe apakati mwanjira iliyonse, chifukwa zizindikiro zonse zimatha kuyimitsidwa panthawi. Ndi ndondomeko yokhazikika, yotupa kwambiri, kuwopseza kusokonezedwa kunapangidwa, mayiyo amagonekedwa kuchipatala.

Chigawo cha ku Kaisareya cha amayi apakati omwe ali ndi pancreatitis yayikulu sichikuwonetsedwa. Kubala mwana kumayenda popanda zovuta kudzera mu ngalande yakubadwa kwachilengedwe.

Chithandizo cha pancreatitis pachimake pa mimba

Zizindikiro za toxosis zikadziwika, mayi woyembekezera amagonekedwa kuchipatala, komwe amachititsa kafukufuku wofufuza komanso kuitana madokotala akatswiri kuti akawone. M'mayambiriro oyamba, mayi woyembekezera amagonekedwa kuchipatala ku dipatimenti yochizira kapena gastroenterological, pambuyo pake - mu dipatimenti yamaphunziro a amayi apakati. Nkhani yakuwongolera kwina kwa kubereka ndi kubereka kwamwana imathetsedwanso pamenepo.

Ngati kuchulukana kumachitika, chithandizo chokwanira chimayikidwa poganizira kulekerera kwa mankhwalawa.

Zofunika! Ngati kapamba adayamba kufooka panthawi yomwe ali ndi pakati, mayi sayenera kudzimeza ndikugwiritsa ntchito mankhwala kuti aletse kuukira: zimatha kukhudza mwana wosabadwayo. Pambuyo pakufunsira kuchipatala chakutsogolo, palibe chifukwa chokana kuchipatala. Pofuna kukhalabe ndi pakati, mkazi ayenera kuyang'aniridwa pafupipafupi. Kuphatikiza apo, chipatala chichita maphunziro ambiri owonjezera, mayeso ndikupereka chithandizo cha munthu payekha.

Zakudya zapadera za amayi apakati

Mu gawo loyambirira la pakati, ngati toxosis yayikulu ikuwoneka, zakudya ziyenera kukhala zofanana ndi nthawi ya kukokomeza. Chakudya chizikhala chokhazikika, kangapo patsiku. Ndikwabwino ngati mayi amadya nthawi yomweyo. Zakudya zonse ndizoyenda kapena kuwiritsa, muyenera kukana kudya zakudya zatsopano. Zakudya zonse siziyenera kukhala zopanda gawo pazakumwa: osati zokometsera, osati mchere, osati zowawa, komanso osati zokoma. Yesani kupera mbale zonse ndi blender kupita ku puree state. Kuperewera kwa mavitamini kumalipiriridwa ndi kukonzekera kwa mavitamini opangidwa makamaka kwa amayi apakati.

Mu theka lachiwiri, posakhala toxosis ndi zizindikiro zowonjezera, tebulo limakulitsidwa. Zakudya zomwezo ndizofanana ndi gawo la chikhululukiro cha matenda a kapamba.

Zofunika! Kudyetsa pakati nthawi yoyembekezera ndi gawo lofunikira popewa kutukusira kwa kutupa. Monga mayi aliyense wapakati, mzimayi amatha kukhala ndi zakumwa komanso zosowa za chakudya, koma muyenera kupondereza izi mwa inu nokha kuti musavulaze mwana wosabadwa. Zakudya zoyenera ndizofunikira osati thanzi lanu, komanso thanzi la mwana wanu.