Kodi kapamba wa kapamba ndi njira yake yochiritsira

Kupita patsogolo kwa kapamba masiku ano kumatha kubweretsa zovuta zazikulu ku kapamba ndi ziwalo zina zamkati. Ndipo imodzi mwazomwe zimapezeka kwambiri ndi fibrolipomatosis. Nawonso fibrosis kapena lipofibrosis imatha kukhala imodzi mwamitundu yosiyanasiyana ndikupanga mawonekedwe owopsa.

Kutanthauzira kwamatenda

Pancreatic fibrolipomatosis - imawonetsedwa bwanji ndipo ndi chiyani? Matendawa ndi mndandanda wa momwe thupi limasinthira malingana ndi kufa kwa woyamba. Izi ndizomwe zimachitika chifukwa cha kupita patsogolo kwa machitidwe otupa a gland ndi pancreatitis.

Matendawa amapezeka ndi opitilira 40 peresenti ya odwala omwe ali ndi kapamba, omwe amapezeka mu shuga mellitus. Ndi kupita patsogolo, ndizotheka nthawi imodzi kusintha minofu yakufa osati kokha ndi minofu ya adipose, komanso ndi zipsera. Kuphatikiza apo, zowonongeka zimatha kubweretsa kukhumudwa.

Pali mitundu iwiri yayikulu ya fibrosis:

1. Zovuta. Pankhaniyi, kufalitsa kwa minyewa ya m'magazi kumapangidwa mofananiratu mu kapamba.
2. Zachangu. Ndi mawonekedwe amtunduwu, amatchulidwa okhazikika a njira zotupa ndi kuchulukana kwa minyewa yamagazi. Mfundo zoterezi zimatchedwa islets.

Zomwe zimayambitsa komanso zomwe zimachitika

Choyambitsa chachikulu cha fibrosis ndi kupitilira kwa matenda kapamba. Izi ndichifukwa choti pakukula kwa matendawa, minofu ya necrotic ya kapamba ndi kapangidwe kazinthu zimachitika. Komabe, zinthu zomwe zimakhudza chitukuko cha matendawa zimasiyanitsidwanso:

• onenepa kwambiri
• kusuta fodya komanso kumwa mowa mwauchidakwa
• kuperewera kwa zakudya m'thupi, ndikuyambitsa kubwereza kapamba,
• matenda opatsirana, ma virus,
• kugwiritsa ntchito mankhwala osalamulirika kapena kwanthawi yayitali,
• kutupa mu duodenum
• Zinthu zovuta
• kuwonongeka kwakumwa kwa kapamba,
• zotsatira za poizoni m'thupi,
• cystic fibrosis,
• chibadwa.

Chofunikira: Gulu lomwe lili pachiwopsezo cha fibrolipomatosis limaphatikizapo magulu aanthu azaka zopitilira makumi asanu akugwira ntchito m'mabizinesi azigulitsa pamavuto.

Zizindikiro

The Symbomatology ya fibromatosis kwakukulu zimatengera zinthu zomwe zimadzetsa matenda. Nthawi zina, kupezeka kwa matendawa kumatheka pokhapokha ngati matendawa atapezeka, chifukwa kale palibe chizindikiro chomwe chidawonedwa. Komabe, chimodzi mwazizindikiro zomwe zimadziwika komanso zofala kwambiri ndizopweteka kwambiri mu hypochondrium yoyenera, nthawi zina imafikira mbali yakumanzere ndi kumbuyo. Zotsatira zake, kusowa kwa michere yam'mimba ndi timadziti timayambitsa zotsatirazi:

• chisangalalo
• kusanza ndi kusanza
• kusowa kwa chakudya
• kudzimbidwa, kutsegula m'mimba,
• kuwonda
• kutentha kwa mtima.

Nthawi zina, ndi kupita patsogolo kwa fibromatosis, pali kuphwanya mayamwidwe mavitamini ndi mchere. Pachifukwa ichi, kufooka kwa minofu, khungu khungu, kufooka kwa mafupa, komanso zizindikiro zokhudzana ndi matenda ashuga zimayamba:

• kukodza pafupipafupi,
• kutopa ndi kugona,
• ludzu lalikulu
• kutopa kosalekeza ndi mphwayi,
• youma mucous nembanemba
• kuyabwa

Chofunikira: Asymptomatic fibrosis ndiowopsa, chifukwa chifukwa chake zimakhala zovuta kudziwa. Izi zikuphatikiza kukula kwa matendawa komanso kusintha kwa matenda a oncology.

Zizindikiro

Kuzindikiritsa wodwalayo kupezeka kwa lipofibrosis kumachitika m'njira zingapo:

1. Kafukufuku ndi kafukufuku wa mbiri yachipatala. Pakadali pano, pamakhala poyambira kunena za momwe wodwalayo alili. Njira yofunika yofufuzira ndiyofunikiranso kwakunja ndi palpation ya malo owawa.
2. Kafukufuku wa Laborator. Amaphatikizapo kuyezetsa magazi ndi zamankhwala zamankhwala ambiri (kudziwa njira yotupa), kuyesa kwamkodzo (kudziwa kuchuluka kwa matupi a diastase ndi matumbo a ketone), ndi ndowe zowonetsera kukhalapo kwa tinthu tosiyanasiyana.
3. Kuyesa kwa Ultrasound. Amagwiritsidwa ntchito poyerekeza, kudziwa kukulira kwa gland ndi kuwunika kwa malo omwe akhudzidwa.
4. Zolemba pamakompyuta Imalola kafukufuku watsatanetsatane wazikhalidwe zakunja za kapamba.
5. Endoscopy Amagwiritsidwa ntchito pophunzira ducts ndi zipsera.
6. Biopsy Amakulolani kuti muwoneke momwe minofu yapamwamba ikuonekera.

Zomwe zimayambitsa matenda a pathogenesis

Nthawi zambiri, kusintha kwa kapamba, wowonetsedwa ndi njira ya fibro-lipomatous, kumalumikizidwa ndi pancreatitis yovuta kapena yosatha. The necrosis ya maselo oyambitsa amachititsa kuti mafuta asinthe, kuchepa kwamkati kwamkati mwa ziwalo. Kusintha kumeneku kumatha kukhala ziwonetsero za matenda ena:

• matenda a biliary thirakiti
• scleroderma,
• mumps kapena mumps,
• hemochromatosis,
• chimfine
• kunenepa
• cystic fibrosis.

Izi zomaliza nthawi zambiri zimakhumudwitsa njira zaubwana, zomwe zimabweretsa kuchepa kwakula. Zina zabwino pazowonetsa zam'tsogolo ndi:

• kuvutitsidwa ndi zakudya zazonunkhira, zamchere kapena zamafuta,
• kumwa pafupipafupi, kukonda kusuta,
• kugwiritsa ntchito mankhwala kwakanthawi monga maantibayotiki.
• zinthu zopsinjika nthawi zonse, mantha amanjenje kwa nthawi yayitali.

Osati mwachindunji, nthawi zambiri mwanjira, izi zimapanga zinthu zolepheretsa ntchito ya parenchyma, zimathandizira pakuwonongeka kwake, m'malo mwa maselo okhala ndi mafuta ndi minofu yolumikizana.

Mitundu ya zosintha

Fibrosis imatha kuchitika m'mitundu iwiri yayikulu: kupukusa kapena chofunikira. Poyambirira, mkati monse mumakhala zowonongeka, mawonekedwe atsopano amafalikira chimodzimodzi. Kachiwiri, kuwonongeka kwa maselo kumachitika ndi foci. Ndi mawonekedwe ochepa a zilondazo, zamatsenga sizidziwika, zomwe zimapangitsa kuti azindikire, imathandizira kuthandizira mpaka chizindikiro chodziwika.

Zizindikiro zakonzedwa

Zizindikiro zanu mu kusintha kwa fibrotic kulibe. Ndondomeko imatha kudziwonetsa ngati zizindikiro za matenda otupa, ma pathologies ena omwe amatsatiridwa ndi mayendedwe a cell pancreatic cell. Chimodzi mwazizindikiro zomwe zimapangitsa kuti azitha kukayikira kukula kwa fibrosis ndi kupweteka kwapancreatic. Amadziwika kumtundu wa epigastrium (kumtunda kwa m'mimba), amatha kudziwonetsa kumanzere kapena mbali yakumanzere ya hypochondrium, kutenga mawonekedwe odzutsa, kupatsa kumbuyo. Amayamba kuonekera kwambiri mukatha kudya, pambuyo maola ochepa. Zizindikiro zokayikitsa zingaphatikizeponso:

• belching kapena hiccups
• kusazindikira mseru komanso kusanza,
• kumva kuwawa mutatha kudya,
• kusowa kwa chakudya,
• kuwonda msanga
• m'mimba kukhumudwa ndi kutsegula m'mimba, kusalala.

Fibroma ikachitika, mphamvu zowonetsera zimawonjezeka pamene kukula kwake kumawonjezeka.

Popeza ndikofunikira kuyimitsa kukhazikitsidwa kwa mapangidwe kumayambiriro, ndikofunikira kufunsa dokotala ngati mawonekedwe oyamba okayikira apezeka.

Momwe mungadziwire

Zizindikiro zomwe zalembedwazo mwina sizingakhale zifukwa zokwanira zodziwitsira matenda; njira zamakono zothandizira zimafunikira. Izi zikuphatikiza mayeso a labotale ndi njira zofufuzira zothandiza.

Choyamba ndi kuyezetsa magazi kwa magazi m'thupi, hemoglobin, kusintha kwa kapangidwe kake, kupezeka kwa njira zotupa. Kuwunikira kophatikizana ndi ndowe kumawonjezedwa kwa iwo, komwe kuwulula kuchuluka kwa zoletsa za pancreatic. Lachiwiri lizichitika:

• biopsy ikhoza kudziwa kukula kwa tizilombo toyambitsa matenda,
• kuwunika kwamtsogolo kumakupatsani mwayi kuti muwunike mwatsatanetsatane momwe thupi limagwirira ntchito,
• mtundu wake wa akupanga, womwe umatha kudziwa kusintha kumayambiriro kwa ndondomekoyi, kutengera kusintha kwa magonedwe amitundu.

Ngati ndi kotheka, kufotokozera bwino zotsatira za njira zodziwira matenda, zowonjezera zowoneka bwino zimachitika.

Zolemba zamankhwala

Popeza zotsatira za pathogenesis sizichotsedwa, ndizosatheka kubwezeretsanso magawo omwe adawonongedwa, ma cell othandizira, cholinga chachikulu chamankhwala ndikuyimitsa kupitanso patsogolo kwa njirayo, kukonza mkhalidwe wa wodwalayo. Kutengera ndi machitidwe a munthu payekha, dongosolo la mankhwalawa limaphatikizapo:

• kusiya kusuta ndi kumwa mowa,
• kusamalira mosamala zochitika
• kuwonda.

Udindo wofunikira pakubwezeretsa ntchito za pancreatic ndikuyimitsa kusintha kwa magwiridwe amasinthidwa ndimakudya oyenera komanso masewera olimbitsa thupi.

Zakudya zoyenera

Zakudya zamagulu pazakudya zilizonse za kapamba zimaphatikizapo kukana kwathunthu kwa zakudya yokazinga, zakudya zamafuta ochulukirapo ndi zonunkhira. Mwa zoletsedwa kuti zigwiritsidwe:

• kotentha kwambiri komanso kozizira
• wowawasa
• amamwa mowa wambiri wa tiyi kapena khofi.

Zakudya zatsiku ndi tsiku ziyenera kukhala ndi msuzi wamasamba wokhala ndi msuzi wa nkhuku kapena ng'ombe, mbale zazikulu zokhala ndi mbale yazipatso, pasitala kapena mbatata, ndi nsomba yophika, zidutswa za nyama kapena cutlets. Mwa zakumwa, zakumwa zopanda asidi komanso ma compotes, ma jelly, tiyi wopepuka amalimbikitsidwa. Kudya kumachitika pafupipafupi mpaka sikisi patsiku, m'magawo ang'onoang'ono.

Zochita zolimbitsa thupi

Ndi ma pancreatic pathologies, katundu wambiri amaletsedwa, koma ayenera kukhala okwanira kuti thupi likhale labwino. Kuchokera pamndandanda wazolimbitsa thupi, tikulimbikitsidwa kupatula kupompa ma AB ndi minofu. Kuchita masewera olimbitsa thupi kudzakuthandizani makamaka. Zabwino pakuchita bwino zimaperekedwa ndi:

Ndi ntchito yamagalimoto aliwonse, kuthamanga moyenera kumalimbikitsidwa, popanda katundu wambiri yemwe angakhudze ziwalozo, komanso imathandizira kuchepa.

Mankhwala

Kugwiritsa ntchito mankhwalawa ndikofunikira kuti muchepetse zizindikiro zosokoneza mukakumana ndi concomitant, mwachitsanzo, matenda opatsirana. Zomwe zimapangidwira zimatengera momwe wodwalayo alili, kulolerana kwake. Mndandandandawo ungaphatikizeponso:

• Kukonzekera kwa enzyme
• anti-yotupa mankhwala
• antiemetic mankhwala
• zosankha zosiyanasiyana za ma pinkiller.

Ngati mankhwalawa adalephera kugwira ntchito, mafomu otupa olembetsedwa, kukula kwake komwe kumawonjezeka, ndipo chifukwa chake chiopsezo cha oncology chimakula, lingaliro lingachitike pakuthandizira opaleshoni.

Njira zopewera

Palibe chifukwa chochizira matenda a fibrosis ngati njira zingapo zosavuta zimatsatiridwa. Choyamba, kudziwunikira pafupipafupi komanso mosamala za kapamba ndikofunikira. Ndikofunikira kwambiri kukana:

• kusuta
• mizimu
• kudya zakudya zamafuta.

Kusintha kwamachitidwe abwino kumathandizira kupewa zovuta zosafunikira mu pancreatic pathologies, ndipo zimakhudza thanzi lathunthu.

Njira yofikira

Mankhwala ochizira matenda a fibrosis akuphatikizira kugwiritsa ntchito mankhwala otsatirawa:

• antispasmodics (No-Shpa, Papaverin, Drotaverin),
• ma antibayotiki (cephalosporins, penicillins),
• anti-yotupa ndi antipyretic (Paracetamol, Ibuprofen, Diclofenac),
• antienzyme othandizira (Octreotide, Abeprazole).

Nthawi zina, malamulo a enzyme bwino amachitika pogwiritsa ntchito michere (Mezim, Pancreatin). Phwando lawo limachitika mwachindunji pachakudya.

Kuthandizira opaleshoni

Monga lamulo, kugwiritsa ntchito njira yogwirira ntchito kumachitika ngati pakachitika zovuta zambiri, kuphatikiza kusintha kwa gawo loyipa. Potere, ma pathological amadzilimbitsa okha, gawo la kapamba kapena chiwalo chonse chitha kuchotsedwa mwachindunji. M'tsogolomu, nthawi yokonzanso ikufunika. Nthawi zambiri, atachitidwa opaleshoni, chithandizo chovomerezeka chogwiritsa ntchito michere yam'mimba chimayikidwa.

Popanda matenda azakudya, chithandizo cha fibrolipomatosis sichingatheke. Zakudya zamatendawa zimaphatikizaponso kukana zakudya zotsatirazi:

• Zakudya zokazinga ndi zamafuta
• chakudya chofulumira
• mizimu
• ufa
• confectionery ndi maswiti,
• msuzi wokhuta ndi mbale zamafuta,
• zinthu zamchere komanso zosuta,
• tapas.

Ndikulimbikitsidwa kudya chakudya m'magawo ang'onoang'ono (pafupifupi mazana awiri a magalamu) kasanu mpaka kasanu ndi tsiku ndi kuchepa kwa kuchuluka kwa kalori. Kuphika kumaloledwa kokha ndi nthunzi, madzi ndi uvuni. Ndikulimbikitsidwa kutafuna chakudya mosamala ndikupewa kudya kwambiri. Kudya zakudya zotentha kwambiri sikuloledwa.

Zakudya ndizofunikira kuti muchepetse zizindikiro za kapamba ndi kuchiza minofu ya kapamba. Izi zimachepetsa kwambiri kubwereranso kwina, chifukwa chake kukula kwa fibrosis.

Njira zopewera

Kukula kwa mankhwalawa lipofibrosis kwakukulu kumatengera ndi deta yoyamba yamatenda. Pokhapokha pazovomerezeka zonse ndi zakudya zomwe dokotala amafunsira, ndizotheka kukhala ndi moyo wonse wokhala ndi chiopsezo chochepa kwambiri chobwereranso m'mankhwala ena.

Pofuna kuchepetsa mwayi wa kapamba ndi chifrosis, ndikofunikira kugwiritsa ntchito malangizo awa:

• lekani zizolowezi zoyipa,
• dyetsani chakudya
• kukana chakudya chamadyeretso komanso zakudya zambiri,
• Pewani zinthu zovuta komanso zokhumudwitsa,
• tsiku lililonse imwani mavitamini ndi michere yokwanira kapena chakudya piritsi,
• tsiku ndi tsiku chitani zolimbitsa thupi.

Chofunikira: Pancreatitis pancreatitis, ndikofunikira kuti adziwe mayeso ndi dokotala kuti apewe zovuta zamatenda.

Pomaliza

Pancreatic lipofibrosis - ndi chiyani ndipo mungathane nayo bwanji? Funsoli nthawi zambiri limafunsidwa ndi odwala omwe ali ndi pancreatitis yosatha, chifukwa fibrosis ndimatenda ambiri. Kuchulukitsidwa kwa minyewa yam'magazi pazinthu izi kungakhale ndi chiopsezo chaumoyo komanso kusintha kwa gawo la oncological. Ichi ndichifukwa chake ndikofunikira kutsatira mosamalitsa zomwe dokotalayo adalandira ndikuyang'aniridwa mwadongosolo ndi dokotala wa gastroenterologist.

Zambiri

Fibrosis (fibromatosis) ndi kusintha kwam'magazi mu kapamba, momwe minofu yogwira ntchito imasinthidwa ndi epithelium yolumikizana. Chiwalo palokha chimakhala ndi mitundu iwiri ya minofu: stroma ndi parenchyma. Ndi mphamvu yayitali yazosokoneza pa kapamba, kufa kwa maselo ake kumayamba. Ndiye pakadali pano kuti epithelium ya glandular imasinthidwa ndi minofu yolumikizana.

Zikatero maselo akufa atalowedwa m'malo ndi mabala ochepa, wodwalayo amapanga fibrosis. Ngati epithelium yogwira ntchito imasinthidwa ndi minofu ya adipose, lipomatosis imachitika. Nthawi zambiri, kusinthidwa kwa mbali zomwe zimakhudzidwa ndi chiwalo kumachitika nthawi yomweyo ndi adipose ndi minofu yaying'ono. Zikatero, wodwalayo amakhala ndi pancreatic lipofibrosis. Matenda amtunduwu ndiwofanana ndi anthu omwe ali ndi matenda ashuga.

Mitundu yonse yamatenda ndiyowopsa, chifukwa kupita patsogolo kwawo kumabweretsa magwiridwe antchito amthupi. Cholinga chake ndikuti, mosiyana ndi minofu ya glandular, epithelium yolumikizira sitha kupanga mahomoni ndi ma enzyme. Kuphatikiza apo, fibrosis, lipomatosis ndi pancreatic fibrolipomatosis ndi njira zosasinthika, ndiye kuti, minofu yothandizidwayo singabwezeretsedwe ndi ma pathologies oterewa.

Zoyambitsa matenda

Chomwe chimapangitsa kukula kwa fibrosis ndi kapamba wamitundu yonse komanso yovuta. Kafukufuku wasonyeza kuti kuyang'ana mwachindunji kwa minofu yolumikizidwa kumachitika nthawi yamachulukidwe, ndipo dera lomwe amagawire mwachindunji zimatengera nthawi yayitali ya matendawa. Kuphatikiza apo, kusintha kwamankhwala mu kapamba kumatha kuyambitsidwa ndi izi:

• kumwa kwambiri
• kusuta
• kunenepa
• cystic fibrosis,
• zikondamoyo
• matenda a ndulu
• kudziwana ndi poyizoni wazinthu zosiyanasiyana zoyambira,
• chibadwire
• njira zopatsirana mthupi, kuphatikizapo kachilombo ka chimfine,
• zolakwika m'zakudya,
• kupsinjika
• mahomoni ochulukirapo opangidwa ndi kapamba,
• matenda a autoimmune ndi thupi lawo siligwirizana,
• kutupa mu duodenum,
• kugwiritsa ntchito mankhwala mosasamala.

Gulu lamavuto limaphatikizapo anthu omwe amagwira ntchito m'malo opanga zoopsa, komanso amuna ndi akazi azaka zopitilira 55.

Chithunzi cha kuchipatala

Zizindikiro za pancreatic fibrosis makamaka zimatengera chomwe chinayambitsa. Nthawi yomweyo, pamayambiriro a matendawa, zizindikiro zamankhwala zimatha kukhalapo kwathunthu.

Thupi la gland likakhudzidwa, wodwalayo amayamba kupweteka m'dera la epigastric. Ngati mutu kapena mchira wa chiwalo wakhudzidwa, ululu umachitika mu hypochondria lamanja ndi lamanzere.

Nthawi zambiri kupweteka kwambiri kumachitika ndi zolakwika mu zakudya. Mwachitsanzo, mutadya zakudya zamafuta ndi zonunkhira kapena mukamwa mowa.

Fibrosis imayamba pang'onopang'ono, kuperewera kwa michere yam'mimba kumawonekera, ndipo zizindikiro zotsatirazi zikumaliza chithunzi chachipatala:

• kusanza ndi kusanza
• ukufalikira
• kutsegula m'mimba
• kubwatula
• kusowa kwa chakudya
• kuwonda
• tsankho lamafuta azakudya.

Nthawi zina, kuphwanya mayamwidwe a zinthu zina ndi mavitamini osungunuka mafuta, wodwalayo amatha kuyamba kufooka kwa minofu, mafupa a khungu kapena khungu. Ngati kusintha kwa fibrotic kumakhudza maselo a pulogalamu yaing'ono, ndiye kuti ntchito ya chiwalocho iyamba kuvuta. Poyerekeza ndi zomwe zasintha, wodwalayo ali ndi zizindikiro za matenda ashuga:

• kukodza pafupipafupi,
• ludzu
• khungu louma ndi nembanemba
• kugona
• Khungu
• aakulu kutopa matenda.

Kuopsa kwa fibrosis kukugona chifukwa chakuti poyambira matendawa nthawi zambiri matendawa amakula. Zizindikiro zomwe zimalengezedwa zimawonekera pokhapokha pakuwonjezera zochita. Chifukwa chake, kuti mudziwe zamatenda a munthawi yake, ndikofunikira kukayezetsa pachipatala chaka chilichonse.

Njira Zodziwitsira

Pokayikira pang'ono pazosindikiza zam'mimba, muyenera kufunsa uphungu wa gastroenterologist. Zisindikizo zazikulu mu zikondamoyo zimatha kudziwika ndi dokotala ndi palpation ya chiwalo.

Kuyesedwa kwa ma laboratori kungathandize kuzindikira kuchepa kwa mapuloteni komanso kuchepa kwa albumin-globulin factor. Mwa ntchito yotsika ya amylase (pancreatic enzyme), munthu akhoza kuwunika kufalikira kwa njira ya pathological. Ultrasound imathandiza kuzindikira fibrosis nthawi zambiri. Kuzindikira koteroko kumakupatsani mwayi wofufuza magawo otsatirawa:

• voliyumu
• mawonekedwe
• kapangidwe ka minofu
• malo oyenera m'mimba.

Dongosolo la kapamba limawunikidwa malinga ndi kuchuluka kwake kachulukidwe komanso mphamvu zake. Pakupangika kwa mucosa, chizindikiritso cha echogenicity chimakulitsidwa. Zambiri zimaperekedwa ndi njira monga endoscopic ultrasonography. Ndi chithandizo chake, mutha kuzindikira kuperewera kwa mitsempha ya m'mimba ndi kuchepa kwa zovuta zakumiseche.

Retrograde cholangiopancreatography imakuthandizani kuti muzindikire kusintha mu zida zapanja zomwe zatsitsidwa ndi zipsera.

Pofuna kutsimikizira kapena kutsutsa matendawa, wodwala amatha kupatsidwanso gawo laling'ono la ziwalozo. Ngati phunziroli silinapereke chotsimikizika, kachilombo ka kapamba kamachitika.

Njira zochizira

Chithandizo cha pancreatic fibrosis sichingatheke. Mankhwala amakono, palibe mankhwala omwe angasinthe epithelium yolumikizira kukhala minofu yothandizira. Njira zonse zochizira zimakhala ndi cholinga chothandizira kuti mtima ukhale wovuta komanso kuti muchepetse mkhalidwe wa wodwalayo.

Choyamba, wodwalayo amapatsidwa chakudya chokhwima. Kuyeza kumeneku kumakupatsani mwayi kuti muimitse ntchito yotupa ndikumapumitsa kapamba. Zakudya zonunkhira, zonona, zonunkhira, zamchere, zokhala ndi mkaka komanso zophatikiza sizimachotsedwa muzakudya za wodwalayo. Kuphatikiza apo, ndikofunikira kusiya zamalonda zomwe zimapangitsa kuti madzi am'mimbamo azikhala pansi (zokometsera, soseji, marinade). Zakudya ziyenera kukhala zopindika, ndipo wodwalayo amamwa madzi ambiri. Mowa mu fibrosis (ngakhale pang'ono) umaletsedwa.

Chofunikira pakuthandizira matendawa ndikuwongolera kwa michere. Komanso, kutengera zomwe zimayambitsa kutupa, gastroenterologist ikhoza kukupatsirani magulu otsatirawa a mankhwalawa:

• antispasmodics
• glucocorticosteroids,
• zotengera
• maantibayotiki
• analgesics
• antiemetic
• michere yokugaya.

Ngati fibrosis imathandizidwa m'njira yoyenera, ndiye kuti kukodola kwa wodwalayo kumakhala koyenera, kuchepetsa thupi kumatha. Koma pali milandu ingapo pomwe ma opaleshoni kapena endosopic ingafunike. Mwachitsanzo, ndi:

• kupweteka kosalekeza kwamawonekedwe komwe sikuyimitsidwa ndi analgesics,
• kufinya kufinya kwamatenda,
• kuwonongeka kwa minofu kukhala chotupa,
• kukula kwa gland ya post-necrotic cyst,
• chotupa choteteza.

Kukula koyenera kwa fibrosis kumadalira momwe gland imakhudzidwira. Ngati mutsatira zakudya komanso malangizo onse azachipatala, kusiya mowa ndi kusuta, matendawa sangathebe kwanthawi yayitali.

Kuteteza matenda

Kupewera kumene kumayamba, ndiye kuti matendawo amakula. Makamaka lamuloli limagwira ntchito kwa anthu omwe akudwala kapamba. Kuti muchepetse chiopsezo chopanga fibrosis kapena kusiya kupita patsogolo, ndikofunikira:

• kupatula mowa
• kusiya kusuta
• onetsetsani kuchuluka kwa chakudya chomwe mumadya.

Muyeneranso kuyang'anira kuchuluka kwa zakudya zomwe zadyedwa ndikumwa madzi okwanira masana. Matenda ena aliwonse ayenera kuthandizidwa panthawi yake, makamaka pancreatic pathologies. Kukhala ndi moyo wathanzi komanso kusapezeka kwa nkhawa kumachepetsa chiopsezo cha fibrosis.