Malingaliro olakwika asanu ndi limodzi a kapamba

Ndi nzika zochepa chabe zamakono zomwe sizimakumana ndi mavuto ndi m'mimba. Mitundu yovuta kwambiri ya moyo, kupsinjika, kuperewera kwa chilengedwe ndi kudya kosayenera kumayambitsa kugaya chakudya, chofunikira kwambiri chomwe ndi kapamba. Chiwerengero cha odwala matenda a pancreatitis chikuwonjezeka chaka chilichonse, matendawa akucheperachepera. Pakadali pano, zokhudzana ndi ma regimens a chithandizo cha kutupa kwa kapamba, palibe kusintha komwe kwachitika kuyambira 80s ya XX century. Masiku ano, monga kale, njira zazikuluzikulu zikutsatira kudya mosamalitsa ndikudya ma enzyme.

Nthawi zambiri anthu omwe ali ndi vuto losatha la kapamba amayang'ana njira zina zochizira matendawa, koma nthawi zambiri kuyesayesa koteroko (komanso kudzichitira nokha mankhwala osokoneza bongo) kumangokulitsa vutoli. Pali malingaliro ambiri olakwika omwe amayambitsidwa ndi chithandizo cha kapamba. Lero tiyesa kuyankha pa zomwe ambiri amakonda.

Mankhwala okhala ndi enzyme

Ma pancreatic enzymes ndi ofunika pakuwonongeka kwa mapuloteni, zakudya zamafuta ndi mafuta m'matumbo. Ndi kapamba, kapangidwe kake kamatupa, chifukwa chomwe thupi limadwala, kuperewera kwamatumbo ndimatenda, komwe kumabweretsa zotsatira zosasangalatsa kwa thupi lonse.

Muzochitika zotere, kugwiritsa ntchito kukonzekera kwa enzyme, ndiye, m'malo mwa chithandizo chamankhwala. Kuopa kuti kapamba pazoyambira chithandizo choterechi "kudzakhala ulesi" ndikusiya kugwira ntchito konse, kulibe chifukwa. Chikhululukiro chokhazikika chikachitika, mkhalidwe umakhala wabwino, kupanga kwachilendo kwa michere kumayambiranso.

Ma enzyme obzala ndi othandiza ngati nyama

Kukonzekera kwa enzyme pancreatitis amapangidwa kuchokera ku kapamba ka nkhumba. Izi zimakhala ndi zoyenera komanso zoyenera kwambiri kwa anthu ma enzyme (ma protein, ma amylase ndi lipases).

Mankhwala amapangidwanso kuchokera kuzomera zomera. Othandizira kugwiritsa ntchito kwawo akuti mankhwalawa ndi odziwika bwino komanso otetezeka kuumoyo wopangidwa ndi nyama, koma pakadali pano adakhazikitsidwa: ma enzymes amtunda samathandiza. Akatswiri amakhulupirira kuti amatha kugwiritsidwa ntchito magawo oyamba a kapamba.

Mlingo waukulu wa kukonzekera kwa enzyme umakhala wowopsa thanzi.

Posankha chithandizo chamankhwala, dokotalayo amawona mtundu wa mankhwalawa, motsogozedwa ndi zambiri zokhudzana ndi matendawo ndi zina zomwe wodwalayo ali nazo. Muzichitika zofananazo, mankhwala osokoneza bongo amaletsedwa.

Malingaliro oti kuchuluka kochepa kwa ma enzyme kapena maulamuliro awo nthawi imodzi atha kuthetsa vutoli ndi kwabodza komanso koopsa. Chithandizo cha chifuwa chachikulu chimatenga nthawi yambiri, anthu ena amakhala ndi kukonzekera kwa zaka zambiri. Palibe mavuto obwera chifukwa chodwala kwakanthawi.

Kutenga michere imatha kuchita popanda kudya

Mankhwala okhala ndi enzyme si njira ina yakudya. Odwala matendawa ayenera kuyang'anitsitsa zakudya zawo. Kuti muchotse matendawa, muyenera kuchepetsa kuchuluka kwa chakudya chamafuta, kusiya mafuta, mafuta okazinga ndi zokometsera, chakudya mwachangu, zakudya zam'chitini, nyama zosuta, ndi zina zilizonse zoledzera.

Pazakudya za odwala awa, muyeso wokwanira wa mapuloteni, mafuta ndi chakudya uyenera kuyang'aniridwa. Ndikofunikanso kusamalira zakudya: idyani chakudya nthawi yomweyo, pang'ono (nthawi zambiri m'magawo ang'onoang'ono), osadya usiku. Zakudya zonse za calorie zomwe zimadyedwa tsiku ndi tsiku nthawi zambiri zimatsimikiziridwa payekhapayekha, kutengera magawo a matenda ndi zofuna za munthu.

Kupambana kwa mankhwalawa a kapamba kumadalira kutsatira malangizo onse a dokotala. Simungasinthe mosavomerezeka kudya kwa ma enzyme kapena kuchepetsa kuchuluka kwa mankhwala: kuwonongeka kwa zizindikiro zosasangalatsa sikumangotanthauza kuchira kwathunthu.

Ndikofunika kuyang'anira zakudya. Ngati pancreatitis ikapezeka, mudzayamwa zakudya zina kwamuyaya. Komabe, izi sizitanthauza kusiya njira yamoyo wamba. Odwala omwe ali ndi pathologies a kapamba amatha kudya zakudya zosangalatsa, zakudya zabwino, ntchito zakunja ndi masewera.

Kuthamangitsa matendawa ndi owopsa. Kunyalanyaza malangizo azachipatala (makamaka cholakwika chachikulu m'zakudya) kumatha kubweretsa zovuta: matumbo kutsekeka, chiwindi kapena kulephera kwa impso, matenda a shuga komanso matenda ena a metabolic. Kukula kwa zotupa zoyipa sikutsutsidwa. Ndiye chifukwa chake pazizindikiro zoyambirira za kutupa kwa kapamba, muyenera kupita kwa dokotala ndikutsatira mosamala chithandizo chomwe mwalandira.

Ma pancreatic enzymes, a anatomy ochepa

Pancreas: Schematic Anatomy

Ma pancreatic enzymes ndi lingaliro lophatikizira. Mulinso lipase, alpha-amylase, trypsin, chemotrypsin, ndi zina zachilengedwe.

Onsewa amagwira ntchito zosiyanasiyana ndikufuna kuphwanya mafuta, mapuloteni ndi chakudya chamafuta kuzinthu zosavuta.

Chiwerengero chonse cha michere yomwe thupi limatulutsa masana ndi lita imodzi. Kutulutsa kwa zinthu zodabwitsazi kumayamba pambuyo pakumwazika kwa chakudya chochuluka kuchokera kumkamwa ndi m'mimba. Koma kutsegula kumachitika m'matumbo okha.

Lipase, phospholipase - zimathandizira kuti chimbudzi ndi kusungunuka kwa mafuta.
Alfa-amylase - agwetsa glycogen, wowuma ndi zina zamafuta kupita ku maltose.
Trypsin, elastase, kallikrein - njira zomanga thupi. Kuphatikiza apo, trypsin ili ndi analgesic komanso anti-yotupa. Ndi gawo lamankhwala ambiri.
Chemotrypsin - imathandizanso kuti mapuloteni awonongeke.

Kanemayo akunena za udindo wa ma enzyme:

Zizindikiro zazikulu

Nkhani yothandiza? Gawani ulalo

Ma encyme a pancreatic ayenera kutumizidwa ndi dokotala!

Kuperewera kwa michere yokugaya imakhudza thanzi lanu. Pa gawo loyambirira la matendawa, zizindikilo zomwe zimapezeka palibe. Zomwe zimawonedwa ndizofanana ndi kuchuluka kwa ma pathologies am'mimba.

Kuperewera kwa enzyme ya digestive kumayendetsedwa ndi:

mutatha kudya mukadzaza m'mimba,
chisangalalo ndi kuphuka,
belching ndi mpweya
kuphwanya kwamatumbo, nseru,
kusowa kwa chakudya.

Kuperewera kwa zinthu kwachilengedwe kwa nthawi yayitali kumayambitsa mtundu wamanjala. Ndiye kuti, munthu amatenga zakudya zofunikira, koma palibe amene angazikwaniritse. Chakudya chopanda chakudya chimachotsedwa mwachilengedwe.

Mtsogolomo, pali kuwonongeka kapena kusakhazikika kwa thupi, khungu louma, kusintha kwa mapangidwe a nyanga - tsitsi, misomali.

Njira zoyesera ndi njira zamankhwala

Njira yayikulu yodziwira matenda ndi mtundu wa ndowe. Ndi kuchepa kwa ma enzymes, kusintha mtundu wa ndowe kuti imvi kumaonedwa. Fecal nkhani imadziwika ndi fungo losasangalatsa kwambiri, ndikovuta kutsuka ndi madzi.

Njira zotsatirazi zozindikirira zasonyezedwa:

kuyezetsa magazi - ambiri, shuga ndi zamankhwala amitundu mitundu,
mkodzo, ndowe - kudziwa michere ya kapamba,
Ultrasound yamatumbo am'mimba dongosolo,
CT kapena MRI yokhala ndi neoplasms yomwe ikukayikira.

Njira zamankhwala othandizira ndikuti mutenge mankhwala othandizira.

Zizindikiro, gulu

Kukonzekera kwa Enzymatic kumagwiritsidwa ntchito kwambiri pamatenda am'mimba, kuphwanya mfundo zaumoyo wathanzi, kulipiritsa chifukwa chosowa kupanga kwawo.

Gawoli lakhazikitsidwa:

Kuphatikizika kwa mankhwalawa ndi ma enzyme okha kapena okhala ndi zinthu zowonjezera.
Kukana madzi a m'mimba.
Kukula kwamitundu yam'manja - mapiritsi kapena makapisozi okhala ndi ma micogranules.

Kusankhidwa kwa mankhwalawa, kuchuluka kwake kumatengera kulemera, Zizindikiro ndipo amasankhidwa mosiyanasiyana payekhapayekha kwa wodwala aliyense.

Zisonyezero zakusankhidwa kwa michere ya pancreatic:

kapamba
aakulu mawonekedwe a kapamba,
matumbo, chiwindi,
kuyamwa ndi zida zamagetsi zamagetsi a ionizing,
chisangalalo
khansa yam'mimba
nditayamwa,
kutsegula m'mimba
kuphwanya ntchito kutafuna,
kuchira pambuyo pambuyo pancreatitis pachimake,
kukonzekera x-ray, MRI ndi othandizira ena.

Pazinthu zambiri pazoyeserera zimawonedwa pakadutsa mphindi 30 kuchokera pakukhazikitsa.

Contraindication ndi zoyipa

Kupatula kwa enzyme ndiye njira yovuta kwambiri

Maziko a enzymatic mankhwala ndizachilengedwe zomwe zimachokera ku zikondamoyo za nyama. Chifukwa chake, pali zochepa zotsutsana pakusankhidwa kwa mankhwalawa:

tsankho
kukwiya
zotupa njira mu kapamba mu pachimake siteji.

Zotsutsana zina zimadalira kukhalapo kwa zida zowonjezera pakupanga mankhwala. Momwemo ndi hepatitis, ma pathologies ena amabala a machitidwe, kukonzekera komwe kuli ndi bile sikuletsedwa.

Zotsatira zoyipa zimayamba ndi kuchuluka kwa nthawi yayitali pazovomerezeka. Odwala adadandaula za:

thupi lawo siligwirizana
Hyperuricosuria - kuchuluka kwa mafuta ndi michere ya uric acid,
Zizindikiro za matumbo
ana omwe ali ndi matenda a cystic fibrosis, matupi awo sagwirizana ndi omwe ali nawo amtundu wapadera amatha,
kupitiriza matumbo stenosis.

Muzochitika izi, kugwiritsa ntchito kukonzekera kwa enzymatic kumatha. Kuwongolera kwa chithandizo cha mankhwala ndi chithandizo chamankhwala pamafunika. Ma antidoteti apadera mulibe.

Mimba siwopondanso kwathunthu kuperekedwa kwa ndalama zotere. Ma Enzymes alibe mutagenic, kapena teratogenicity, kapena chilichonse pa mwana wosabadwayo. Koma kudziyimira pawokha sikuyenera kuwonetsedwa, popeza mankhwalawa amayenera kutumizidwa ndi dokotala atasanthula wodwalayo.

Panthawi yoyamwitsa, mankhwala onse m'gululi amavomerezedwa kuti agwiritse ntchito. Kudyetsa nthawi yakumwa sikusokonezedwa.

Zofunika! Enzymes imalepheretsa kuyamwa kwa folic acid, chitsulo pa kuchepa kwa magazi, kuchepetsa ntchito ya aspirin ndi anticoagulants ena.

Ikasungidwa ndikuphwanya zinthu zamafuta, ntchito ya mankhwalawa imachepa.

Kukonzekera kwapamwamba kwa enzymatic ndi regimen

Muzipatala - kusankha kwa mitundu yambiri ya kukonzekera kwa enzyme

Mankhwala amaimiridwa kwambiri m'mafakitoreti - kuchokera ku bajeti mpaka pakukula. Sankhani yoyenera siyovuta.

Kukonzekera kwa enzymatic kotchuka:

Creon ndi makapisozi okhala ndi micros okhala ndi ma enzymes. Gawo limodzi mwa magawo atatu a kumwa amatengedwa musanadye, kupumula kumakhala pakati pa chakudya. Mlingo woyambirira ndi makapisozi a 1-2, omwe ndi okwanira - mpaka 15 ma PC. patsiku.
Panzinorm - makapisozi oyendetsera pakamwa. Kusokoneza ndikuloledwa. Kuti mugwiritse ntchito kumeza, zomwe zili m'mbale ya kapisozi zimawonjezedwa ku applesauce, yogati. Mlingo woyambirira ndi masauzande 10,000 - masauzande 25,000 pa chakudya chimodzi.
Micrazim - makapisozi okhala ndi ma micronanules. Mlingo umawerengeredwa potengera kulemera kwa wodwala. Mulingo woyenera kwambiri mwa ana ndi magawo 10,000 pa kilogalamu imodzi ya kulemera kwa tsiku. Akuluakulu - mayunitsi zana patsiku.
Mezim-forte - mawonekedwe piritsi. Mankhwalawa satsalidwa, koma amakhala athunthu. Pakupera, kuwonongeka kwa chipolopolo cholimbana ndi asidi kumachitika, ndipo zinthu zomwe zimagwira zimapangidwa mu hydrochloric acid.
Mlingo woyenera ndi mapiritsi 1-2 katatu patsiku, koma utha kuwonjezeredwa mpaka ma 4 ma PC. Mankhwala amatengedwa musanadye.
Digestal ndi mankhwala ovuta kwambiri ngati ma dragees. Kuphatikiza pa michere yam'mimba, ili ndi bile bile. Ndi zoletsedwa kuti aziyambitsa hepatitis yamitundu yambiri, pamaso pa calculi mu ndulu.
Mankhwalawa saphwanyidwa. Mlingo woyambirira ndi ma 1-3 ma PC. Katatu patsiku. Kutalika kwa chithandizo kumatengera matendawa ndipo kungakhale miyezi ingapo.
Festal - imakhala ndi ma pancreatic enzymes ndi bile owuma wa ng'ombe. Tengani mapiritsi 1-2 katatu pa tsiku. Osatafuna, chifukwa zigawo za Festal zimatha kuwononga mucous membrane wamkamwa. Mankhwala ndi oletsedwa ntchito yotupa chiwindi.

Mankhwalawa onse ndi ma analogi, koma amasiyana mu kuchuluka kwa michere yamafuta m'mapangidwe. Chifukwa chake, kusintha kulikonse kuyenera kukambirana ndi dokotala.

Zofunika! Mankhwalawa a kapamba, mitundu ya piritsi ndiyothandiza kwambiri. Ndi kukanika kwa pancreatic - makapisozi okhala ndi ma microspheres.

Malingaliro ena

Kukonzekera konse kwa enzymatic kumapangidwa kuchokera ku zinthu zachilengedwe zopangira. Ichi ndi chinyama chouma chanyama. Amayenera kutengedwa pokhapokha ngati akuwonetsera komanso osapitirira mlingo woyenera.

Njira za gululi sizopulumutsa moyo. Osanyalanyaza malamulo azakudya zopatsa thanzi ndikutenga zakudya zamafuta ndi zolemera ndimakonzedwe a enzymatic.

Kupweteka kwambiri pamimba, kusanza ndi ndulu, mseru ungasonyeze kapamba - kutupa kwa kapamba. M'matendawa, michere yomwe umapangidwa ndi thupi, mmalo mongomusiya duodenum, imakhalabe m'misempha ndikuyamba kuyigaya. Izi zimatsogolera kutulutsidwa kwa poizoni yemwe amatulutsidwa m'mitsempha, kufikira impso, mtima, mapapu, ubongo ndikuwononga minofu yake. Mankhwala omwe amwa mankhwalawa panthawi ya kapamba angapewe izi.

Zizindikiro za Pancreatitis

Kapamba amapanga michere yam'mimba ndi mahomoni omwe amawongolera mapuloteni, mafuta, metabolism - insulin, glucagon, somatostatin. Chiwalocho chimakhala ndi mawonekedwe obisika ndipo chimapezeka m'mimba kumbuyo, kumbuyo kwa m'mimba, chikugwirizana kwambiri ndi duodenum. Chitsulo chimalemera pafupifupi 70 g, kutalika kwake kumasiyana kuchokera pa 14 mpaka 22 cm, m'lifupi - kuchokera 3 mpaka 9 cm, makulidwe - 2-3 cm.

Kutupa kwa pancreatic kumatha kuchitika m'mitundu yovuta komanso yosatha, mawonetsedwe azachipatala omwe ali osiyana. Pancreatitis pachimake ndi yakufa, chifukwa poizoni amatha kupweteka kwa minyewa ya gland ndi ziwalo zina, matenda, puritis. Ngakhale ndi chithandizo chanthawi yake ndi njira zamakono, kufa ndi 15%.

Palibe chithunzi chachipatala chomveka bwino mu pancreatitis yayikulu, chifukwa chake, mayeso owonjezera amafunikira kuti azindikire molondola. Mwanjira yodwala, matendawa amaboweka kapamba, omwe amayambitsa kupweteka kwa ziwalo zina, amasokoneza kayendedwe ka chakudya kudzera m'mimba ndi matumbo. Kuphatikiza apo, matendawa amadziwonetsera muzizindikiro zotsatirazi:

kupweteka kwapweteka pamimba, mpaka mbali yakumanzere, kumbuyo,
nseru
kusanza ndi bile, komwe sikubweretsa mpumulo,
ukufalikira
kusowa kwamadzi
khateyo limayamba, limodzi ndi chikasu pakhungu, mkodzo wakuda, ndowe zowala,
Nthawi zina, malo owoneka bwino amakhala pafupi ndi msomali kapena kumanzere kwam'mimba, nthawi zina amakhala ndi tinge yachikasu.

M'matenda osaneneka mu kapamba, kusintha kosasintha kumachitika. Amachepa, limachepa, maselo amasinthidwa ndi minyewa yolumikizana, chifukwa chomwe chiwalo chimaleka kukwaniritsa ntchito zake, ndipo kaphatikizidwe ka michere yam'mimba ndi mahomoni amachepa. Pancreatitis yodziwika bwino imadziwika ndi chithunzi cha matenda osachiritsika, zizindikiro zake zimatha kusokonezeka mosavuta ndi matenda ena am'mimba.

Matendawa amakula pang'onopang'ono ndipo sadzipangitsa kumverera kwa nthawi yayitali. Pathology imadziwoneka ngati ululu wammbuyo kapena wamkati pamimba, pafupi ndi hypochondrium yamanzere, imatha kupatsa kumbuyo kwakumbuyo. Matendawa amaphatikizidwa ndi mseru, kusanza, kugona, kutentha kwachisangalalo, kakomedwe kosakoma kamkamwa. Kutsekula m'mimba kumatha kusinthana ndi kudzimbidwa, limodzi ndi ndowe za chakudya chosalowetsedwa kutuluka. Kuonda kwambiri, maonekedwe a mafupa am'mimba amatha. Popeza kapamba amapanga insulin, pancreatitis yachilendo imakonda kuyenda ndi matenda a shuga.

Mankhwala achikulire a kapamba

Popeza mwazindikira Zizindikiro za kutupa kwa kapamba, muyenera kufunsa dokotala ndipo mupeze kafukufuku. Kenako, malinga ndi zotsatira za mayeserowa, adotolo adzalembera dongosolo la chithandizo. Amapereka zofunikira kuchita:

mpumulo wa zizindikiro zopweteka,
Kuchotsa kwa zotupa m'mimba kapamba ndi ziwalo zapafupi,
Kutha kwa matendawa chifukwa cha kuperewera kwa kapamba,
kupewa mavuto.

Mukayamba chithandizo, mukulira mwayi wopambana. Mankhwala onse a kapamba mu akulu ayenera kumwedwa monga momwe adanenera dokotala pomupatsa. Zochizira kapamba, antispasmodics, ma antacid, antienzyme, ndi N-2 blockers ndi omwe amapatsidwa. Muli ndi othandizira okhala ndi aprotinin polypeptide. Kufanana ndi kumwa mankhwala, njira zimayeretsedwa kuti ziyeretse thupi la pancreatic enzymes, zakudya.

Antispasmodics wa kapamba

Pofuna kuthetsa kupweteka pakukonda, antispasmodics amagwiritsidwa ntchito. Amakhala ndi nthawi yopumula minofu yosalala, yomwe imathandizira kuchotsedwa kwa ma enzymes pamodzi ndi ma ducts kuchokera ku kapamba. Ma antispasmodics ndiwongoyembekezera kwakanthawi: zochita zawo zikangotha, ululuwo ubwerera, ndiye kuti chithandizo chachikulu chikuyenera kukhala chofanana ndi kukonza ntchito ya thupi. Pakukokomeza, adokotala amatipatsa jakisoni wamkati kapena m'mitsempha, osagonja kawirikawiri. Pakutupa kosalekeza, mapiritsi amagwiritsidwa ntchito.

Kuti athetse ululu, No-Shpa (Hungary) kapena analogue Drotaverin nthawi zambiri amaloledwa. Zomwe zimagwiritsidwa ntchito mwa mankhwalawa ndi drotaverine hydrochloride. Chidacho chimathandizira kupindika kwam'mimba m'mimba, chimbudzi, kwamkati, bile, ndulu. Zotsatira za mankhwala pambuyo pakamwa makonzedwe amapezeka kotala la ola, pambuyo jekeseni - mphindi yachiwiri. Mu kutukusira pachimake kwa England, amadziwika:

jekeseni wa mu mnofu: 2 ml ya njira imodzi,
ndi jekeseni wovomerezeka wa 2 ml, mankhwalawo amadzimadziika ndi 8-10 ml ya njira yothandizira ya sodium chloride, jekeseni pang'onopang'ono kwa mphindi zisanu,
mapiritsi: pafupifupi tsiku lililonse 80 mg, mlingo waukulu wa tsiku ndi tsiku ndi 240 mg.

Amatha kuthetsa kupweteka Papaverine, zomwe zimagwira ntchito zomwe zimafanana ndi dzina la mankhwalawa. Mankhwalawa amathandizanso minofu yosalala ya ziwalo zogaya chakudya m'mimba ndi kupuma, amachotsa ma spasm, omwe amachititsa kuti madzi azuluka mu kapamba. Opanga osiyanasiyana amasula mankhwalawo mwanjira ya mapiritsi, suppositories, jakisoni. Mankhwala a akulu:

mapiritsi: 40-60 mg 3-4 pa tsiku, pazipita tsiku lililonse ndi 0,6 ga,
subcutaneous ndi mu mnofu jakisoni wa kapamba: 0,5-2 ml yachiwiri peresenti yothetsera, muyeso umodzi umodzi ndi 5 ml, tsiku lililonse mlingo ndi 15 ml.

Platifillin amachepetsa kupindika kwam'mimba, kumachepetsa mphamvu ya minofu ya ndulu ndi chikhodzodzo. Opanga osiyanasiyana amapanga antispasmodic mwanjira ya mapiritsi kapena jakisoni. Pothandizanso kupweteka kwambiri, jakisoni amatchulidwa: yankho limayendetsedwa kamodzi kapena kawiri pa tsiku katatu, tsiku lonse limakhala 15 ml, mlingo umodzi osapitilira 5 ml.

Atropine imatsitsimutsa minofu yosalala yam'magazi, imalepheretsa chidwi cha acetylcholine, neurotransmitter yomwe imagwiritsa ntchito ma neuromuscular signation. Opanga osiyanasiyana amapanga mapiritsi ndi jakisoni. Kuti muchepetse kupweteka kwambiri, 1 ml ya yankho la 0,1% ya atropine sulfate imabayidwa katatu mpaka katatu patsiku. Mankhwalawa ali ndi chidwi pa mitsempha, mtima, chifukwa chake, uyenera kugwiritsidwa ntchito mosamala moyang'aniridwa ndi achipatala.

Enzymes ndi anti-enzyme akukonzekera kapamba

Kuti achepetse kuchuluka kwa madzi am'mimba, dokotalayo amatipatsa mankhwala omwe ali ndi zinthu zomwe zimalocha m'malo mwa michere yopangidwa ndi kapamba. Awa ndi amylase, omwe amathandizira kukonzanso kukhuthala kukhala ndimaswiti, komanso proteinase ndi lipase (yoyamba imaphwanya zida zapakati pa amino acid m'mapuloteni, chachiwiri - mafuta). Kukonzekera kwa puloteni ya kapamba kumathandizira ntchito ya kapamba, kuthandizira kupewa kufooka, kupukusa chakudya moyenera, kuchotsa m'mimba, nseru, kutulutsa magazi, ndi kusefukira.

Pa chithandizo cha pancreatic, mankhwala a enzyme okhala ndi pancreatin ndi mankhwala. Imaphwanya mafuta, mapuloteni ndi chakudya, ndikusintha amylase, lipase, proteinase:

Chikondwerero. Kuphatikiza pancreatin mu kapangidwe - hemicellulose, bovine bile Tingafinye. Mankhwala amalimbikitsa osati chimbudzi ndi chakudya, komanso kuwonongeka kwa utsi, kusintha kwa katulutsidwe ka bile, ndikuthandizira lipase. Mlingo: piritsi limodzi patsiku limodzi kapena chakudya.
Chiboni. Kutulutsa mawonekedwe - makapisozi 150, 300, 400 mg wa kapamba. Mlingo umatengera chithunzi cha matenda, omwe amatengedwa nthawi ya chakudya kapena itatha.
Panzinorm 10000 ndi 20000. Wopangidwa m'mapiritsi, kumwa piritsi 1 limodzi ndi zakudya katatu patsiku.
Chimbudzi. Kutulutsidwa mawonekedwe - dragees. Imwani mutatha kudya kapena nthawi ya chakudya 1-2 ma PC. katatu patsiku.
Mezim 10000 ndi 20000. Opangidwa m'mapiritsi, makapisozi, ma dragees. Tengani chakudya isanayambe kapena itatha 1-2 ma PC. kamodzi mpaka katatu patsiku.

Ndi edema ya pancreatic, ntchito yake iyenera kupanikizidwa. Kuti muchite izi, adotolo amafotokozera kukonzekera kwa antienzyme kukonzekera. Pakati pawo, Contrical kapena analogi yake Aprotinin iyenera kusiyanitsidwa. Amayambitsa proteinase, amalepheretsa kallikrein-kinin dongosolo - gulu lama mapuloteni omwe amatenga gawo limodzi pakukonzekera, kuwundana kwa magazi, komanso kupweteka.

Pancreas yoyaka imapangitsa kuti m'mimba pakhale hydrochloric acid yambiri. Kuchuluka kwa acidity kumazungulira tiziwalo tating'ono, kumayambitsa kupweteka kwambiri, kumapangitsa kuti michereyo izigaya. Kusintha mphamvu ya kukonzekera kwa enzyme ndi kupewa kuwonongeka kwa makoma am'mimba, madokotala amapereka ma antacid, omwe ntchito yawo ndi yothandiza kuti hydrochloric acid ikhale. Mankhwala a gululi amadziwika ndi envelopu athari, amateteza ku zotsatira zoyipa, kusintha kapangidwe ka bicarbonates, komanso kupewa flatulence.

Zida zazikulu zaantacid zomwe zimagwiritsidwa ntchito pochiza ziphuphu zakumwa ndizo mankhwala a magnesium ndi aluminium. Mankhwala oterewa amachepetsa kuchuluka kwa hydrochloric acid, kukhala ndi choleretic, mankhwala oletsa ululu, kukhala ndi zovuta, kusintha katulutsidwe wa bile, ndikuchotsa kapangidwe ka mpweya. Mankhwala okhala ngati mapiritsi musanayambe kugwiritsidwa ntchito amayenera kuphwanyidwa kapena kutafunidwa bwino. Kuti kukhazikika bwino kwa acid-base, otsatirawa ndi omwe atchulidwa:

Gel Almagel. Akuluakulu amayenera kumwa 1-2 tsp. patsiku theka la ola musanadye komanso pogona. Mlingo wapamwamba wa tsiku lililonse ndi 16 tsp. Njira ya mankhwala ndi milungu 2-3.
Kuyimitsidwa ndi mapiritsi Maalox. Imakhala ndi ma analgesic, kuimitsa ululu pamtunda wam'mimba. Mlingo - mapiritsi 2-3 kapena 15 ml ya kuyimitsidwa ola limodzi mutatha kudya komanso musanagone. Njira ya mankhwala ndi miyezi 2-3.
Mapiritsi a Gastracid. Mlingo: 1-2 mapiritsi 4 pa tsiku mukatha kudya musanayambe kugona. Njira yochiritsira salinso yopitilira milungu itatu.
Mapiritsi a Alumag. Imwani 1.5 maola pambuyo chakudya. Njira ya mankhwala ndi mwezi.
Gel ndi mapiritsi a Palmagel. Mlingo: Mapiritsi awiri kapena atatu kapena mphindi 5 mg ya kuyimitsidwa ola limodzi ndi theka mutatha kudya. Njira ya mankhwala ndi miyezi 2-3.

Ma blockers a H2

Mankhwala a kapamba nthawi imodzi ndi ma antacid, secretion inhibitors, blockers a H2-histamine receptors, ayenera kutumikiridwa. Mankhwalawa amapanga histamine insensitive gastric cell receptors omwe amapanga hydrochloric acid. Izi zimachepetsa kaphatikizidwe kake ndikulowa kwa lumen pamimba, zomwe zimathandiza pancreatitis. Mphamvu ya blockers pamthupi sikungokhala: zobisalira zoletsa zimapangitsa kuti mucosa wa gastric azigonjetsedwa ndi zinthu zamtopola, zimathandizira kuchira kwake.

Ma H2-blockers amayenera kumwedwa mosamala, pa mlingo wokhazikitsidwa ndi adokotala, chifukwa amatha kuyambitsa zovuta zambiri. Zovuta zambiri ndi mankhwala a m'badwo 1. Zochizira zikondamoyo zoyipa, mankhwalawa ndi awa:

Cimetidine. Mankhwalawa amatengedwa musanadye kapena nthawi ya chakudya. Kuzindikira kwakukulu m'magazi kumawonedwa pambuyo pa maola awiri. Awa ndi mankhwala a m'badwo woyamba, chifukwa chake, amatha kupweteketsa mavuto ena osiyanasiyana kuchokera ku ziwalo zosiyanasiyana. Pakati pawo - kutsegula m'mimba, kusokonezeka kwa mutu, kupweteka kwam'mimba, zotupa zamkati mwa dongosolo lamanjenje, kusintha kwa kapangidwe ka magazi, kunachepetsa chitetezo chokwanira. Pambuyo pa tsiku, 48% yazinthu zomwe zimagwira ntchito zimachoka m'thupi.
Ranitidine. Mankhwala ndi a m'badwo wachiwiri. Ntchito yake imakhala 60 times ya cimetidine. Mankhwalawa amatengedwa mosasamala kanthu ndi chakudya. Chogwiritsidwacho chimapereka zovuta zochepa, zomwe zimadziwika ndi nthawi yayitali yochitapo kanthu. Amalowa mwachangu m'magazi, kuphatikiza kwakukulu kumawonedwa pambuyo pa maola awiri. 40% ya zomwe zimagwira thupi zimachoka m'thupi pambuyo pa tsiku.
Mapiritsi a Famotidine. Mankhwala a m'badwo wachitatu, motero ogwira ntchito kwambiri kuposa Ranitidine, ali ndi zovuta zochepa ndipo amalekeredwa bwino. Chipangizocho chitha kutengedwa mosasamala kanthu ndi chakudya. Mulingo wapamwamba umawonedwa pambuyo pa ola limodzi, theka la moyo ndi maola 3.5, kugwirako kumatenga maola 12.

Kafukufuku waposachedwa awonetsa kuti ma H2-histamine receptor blockers ali ndi zovuta zambiri. Amalephera kupitiliza kuchuluka kwa acidity kwa maola opitilira 18, atalandira chithandizo mobwerezabwereza, thupi limazolowera mankhwalawo ndipo limatha kupirira, ndikuzolowera mankhwalawa. Kubwezerani kwakukulu kwa blockers ndikuti kugwiritsa ntchito kwawo kumayambitsa kukula kwa kapamba kapena kufalikira kwake.

Proton pump zoletsa

Posachedwa, H2-histamine receptor blockers ayambanso kugwiritsa ntchito mankhwala othandiza komanso otetezeka - proton pump inhibitors (PPIs). Kuchita kwawo ndikufuna kutsekereza ntchito za michere, yomwe imadziwika kuti "proton pump", yomwe imakhudzidwa mwachindunji ndi kaphatikizidwe ka hydrochloric acid. Ubwino wa IPP ndikuti samasokoneza bongo atatha kuletsa, akulephera kuyambitsa matenda a kapamba, chifukwa cha zovuta zingapo.

Ma protein onse a proton pump ndi ma benzimidazole ofunikira, chifukwa chake, amadziwika ndi machitidwe ofanana. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimadziunjikira mobisa wam'madzi, pomwe, mothandizidwa ndi acidity yayikulu, imasinthidwa ndikuyamba kugwira ntchito, kutsekereza ntchito ya enzyme. IPPs imatha kuwongolera kapangidwe ka hydrochloric acid tsiku lonse, mosasamala zomwe zimapangitsa kuti amasulidwe.

Wothandizidwa kwambiri pagululi ndi Omeprozole, womwe ndi mankhwala ochepa omwe amapereka mofulumira hydrochloric acid synthesis. Mu kutupa kwambiri kapamba, mankhwalawa mankhwala 20 mg kamodzi patsiku, pobwerera - 40 mg / tsiku, aakulu - 60 mg / tsiku. Mukatha kugwiritsa ntchito Omeprozole, kupanga kwa hydrochloric acid kumachepetsedwa ndi 50%. Kuchepa kwa acidity kumayambira patatha maola awiri, mphamvu kwambiri imawonedwa patsiku lachinayi.

Chithandizo chothandiza cha kapamba ndi Pantoprazole, yemwe amagulitsidwa pansi pa mayina Nolpaza, Sanpraz, Ulsepan. Pantap. Mankhwalawa amagwira ntchito mosasamala chakudya, koma ndibwino kuti mutenge mphindi 10 chakudya chisanafike. Pazipita ndende ya mankhwala m'magazi amawona pambuyo 2, 5 maola, zotsatira kumatenga tsiku. Kutalika kwa mankhwala kumatsimikiziridwa ndi adokotala.

Zochizira kapamba, Rabeprazole (analogues - Pariet, Razo, Khairabesol) amagwiritsidwa ntchito ngati mankhwala ochizira. PPI imayamba kuletsa kupanga kwa hydrochloric acid mkati mwa ola limodzi mutatha kumwa mankhwalawo. Kutsika kwakukulu kwa acidity m'mimba kulembedwa patatha maola awiri kapena anayi pambuyo pa kumwa koyamba, zotsatira zokhazikika pambuyo masiku atatu a chithandizo. Patsiku loyamba, indexation ya acidity imatsika ndi 61%, patsiku lachisanu ndi chitatu la chithandizo - ndi 88% ya manambala oyamba.

Mankhwala ena a kapamba

Nthawi zina, chifukwa cha kupweteka kwa kapamba, madotolo amatumiza mankhwala, omwe amachepetsa mphamvu ya mantha ndi kuchepetsa nkhawa. Mankhwalawa samangochepetsa kukhumudwa, komanso amathandizira zotsatira zamankhwala opweteka a kapamba. Mwa mankhwala omwe mungadziwike:

Ndi kutupa kwa kapamba, adotolo atha kupereka mankhwala a mahomoni. Poletsa kupanga kwa pancreatic ndi madzi a m'mimba, Octreotide imagwiritsidwa ntchito - analogue of the somatostatin, yomwe imagwiritsidwa ntchito pochiza zotupa. Corticosteroids (mwachitsanzo, prednisone) amadziwika ngati matenda osachiritsika adayamba chifukwa cha matenda a autoimmune. Hormone chithandizo kwakanthawi, chifukwa chithandizo cha nthawi yayitali chimatha kuyambitsa mavuto ambiri.

Mu chifuwa chachikulu, chimbudzi nthawi zambiri chimawonedwa, limodzi ndi m'mimba. Kuperewera kwa enzyme kumachepetsa kugaya chakudya, chifukwa choti chakudya chimachedwa m'mimba, ndipo mabakiteriya omwe amayambitsa kuwola amakhazikika momwemo, zomwe zimayambitsa kutsegula m'mimba komanso kuphwanya. Ma sorbents amatha kuthana ndi vutoli. Smecta ndi kapamba amalepheretsa njirazi, kuchotsa kusapeza bwino komanso kukhazikika kwa chopondacho. Mankhwalawa amapanga nembanemba yoteteza pa mucosa, amaikapo poizoni ndi mabakiteriya ndikudziwonetsa pamodzi ndi ndowe.

Maantibayotiki amagwiritsidwa ntchito kuti awononge tizilombo toyambitsa matenda omwe adatulutsa zovuta zakupatsirana: kupasuka kwa kapamba, kukondoweza kwa ndulu, kutupa kwa ma ducts a bile, maonekedwe a cysts, ndi matenda a bakiteriya. Mankhwala osokoneza bongo a pancreatitis pachimake amaperekedwa ndi jakisoni, popeza kuti kufalikira kuyenera kuchitapo kanthu mwachangu. Maantibayotiki amayenera kumwedwa pokhapokha ngati akuwongolera dokotala, chifukwa ndi okhawo omwe amatha kuwononga maselo a chamba komanso kuyambitsa kutupa. Pakati pa mankhwalawa akuyenera kufotokozedwa:

Ceftriaxone, cefotaxime kuchokera pagulu la cephalosporins,
Amoxiclav kuchokera ku gulu la penicillin,
Thienam kuchokera pagulu la thienamycin,
Ampioks - mankhwala osakanikirana ndi mankhwala a Ampicillin ndi Oxacillin,
Vancomycin pagulu la ma trousclic glycopeptides.

Popewa edema ya pancreatic, chotsani michere yambiri ndi ziphe m'thupi, madokotala amamulembera okodzetsa - okodzetsa. Ndi kapamba, Furosemide ndi Diacarb amalembedwa limodzi ndi potaziyamu.Kumwa okodzetsa kuyenera kukhala kokhazikika monga momwe adauongolera adokotala, popeza kugwiritsa ntchito molakwika kumatha kuwononga maselo apachifupa, kupangitsa kuchuluka kwa creatinine ndi urea m'magazi, kuchepa kwamphamvu kwa magazi ndi zina.

Zambiri za kumwa mankhwala a kapamba

Dotolo ayenera kuyikiranso mankhwalawa ndikufotokozera kuti ndi mankhwala ati a kapamba omwe ayenera kumwa, omwe ndi omwe nthawi ya chakudya. Mwachitsanzo, mankhwala a enzymatic a kapamba amamwa nthawi yomweyo ndi kudya, pamene maantibayotiki amatengedwa pambuyo pake, proton pump inhibitors kamodzi patsiku. Ma painkiller amatha kutengedwa ngati pakufunika nthawi iliyonse, kuyang'anira mosamala mlingo womwe ukupezeka mu malangizo.

Mapiritsi onse okhala ndi kapamba ayenera kutsukidwa ndi madzi ambiri akumwa. Munthawi ya matendawa, mowa umaletsedwa mwamphamvu, poizoni wake amene amawononga maselo onse amthupi, kuphatikizapo kapamba. Kuphatikizidwa kwa mankhwalawa ndi ethanol kumakulitsa kuchuluka kwa chiwindi, impso, ndi ziwalo zina zam'mimba, zomwe zimayambitsa zovuta zazikulu.

Mankhwala aliwonse angayambitse zoyipa ndipo ali ndi contraindication, kotero musanagwiritse ntchito, muyenera kuwerenga malangizo ndikudziwitsa dokotala za matenda ena aliwonse. Ngati mankhwala a pancreatitis aputa zovuta ndi zovuta zina, ziyenera kutha pomwepo, ndikuthira mankhwala ndi chinthu chinanso chogwira ntchito.

Kutalika kwa nthawi ya mankhwalawa kwa mtundu uliwonse wa mankhwala ndiudokotala. Mwachitsanzo, maantibayotiki sangathe kuledzera kwa milungu yopitilira iwiri, popeza mabakiteriya amayamba kukhala osokoneza bongo ndipo mankhwala amakhala osagwira. Ndikosatheka kusokoneza chithandizo chamankhwala, chifukwa sikuti zimangochepetsa mphamvu ya chithandizo, komanso zimayambitsanso matenda.

Kuti mankhwalawa akhale othandiza, muyenera kutsatira zakudya. Mwanjira yamatendawa, kumenyedwa kwa njala kumasonyezedwa m'masiku awiri oyamba, mutatha kudya zakudya zamafuta ochepa. Mafuta, zonunkhira, amchere, opaka, osuta, zakudya zina zomwe zimapangitsa kuti pakhale msuzi wam'mimba, mapangidwe a mpweya m'matumbo ndi oletsedwa. Mu mtundu wa matenda, kugwiritsa ntchito kwawo kumakhala kochepa. Zakudya ziyenera kukhala zonyowa, mutha kuwotcha, kuphika, kuphika. Idyani zakudya zazing'ono 5-6 patsiku.

Pancreatitis ya kapamba ndimatenda oopsa omwe matendawa amawonongeka, ndipo mtsogolomo izi zimabweretsa kusintha kwa metabolic. Lero tilingalira zomwe zimayambitsa matenda, momwe mungathane nawo, njira zogwiritsira ntchito.

Zomwe zimayambitsa matendawa

Kuzindikiritsa kwa kapamba kapamba mu nthawi yathu yathu kumachitika mwachilendo. Koma kodi chifukwa chiyani anthu akuvutikirabe? Mudzamvetsetsa chilichonse mukazindikira zifukwa zomwe zimakulimbikitsani maonekedwe anu.

Kumangika ndi zakumwa zoledzeretsa.
Zakudya zoperewera, zomwe ndimakonda kugwiritsa ntchito zakudya zamchere, zonunkhira komanso mafuta.
Kulemera kwambiri.
Matenda onga, monga: cholecystitis, hepatitis, cholelithiasis, zilonda zam'mimba, gastritis, kutupa.
Opaleshoni yam'mimba kapena kuvulaza kwake.
Kusuta
Zakudya.
Khalidweli.
Kumwa mankhwala, pambuyo pake matendawa amawoneka (tetracyclines, cytostatics, sulfonamides).

Zizindikiro za pancreatitis pachimake

Ndi matenda amtunduwu, kutulutsa kwaulere kwa pancreatic madzi kumasokonezeka, kumatha kugayidwa ndi michere yake. Pa matenda a pancreatic pancreatic pachimake, zotsatirazi ndi zikhalidwe:

Zowawa. Imachitika kumanzere kwam'mimba, ndipo patapita kanthawi imafalikira kumimba yonse.
Kuchepetsa mseru komanso kusanza.
Kuthamanga kwa magazi sikunapangidwe.
Kumvetsetsa kwenikweni kumaphwanyidwa.
Vuto ladzidzidzi lingachitike.

Zizindikiro zake ndizazikulu kwambiri pochiza matendawa kunyumba. Chifukwa chake, mu pancreatitis yovuta kwambiri, ambulansi imayenera kuyitanidwa mwachangu. Dokotala wodziwa bwino adokotala ayenera kumuyesa wodwalayo, ndipo alephera, amuzindikiritse kuchipatala kuti apitirize chithandizo. Sizokayikitsa kuti opaleshoni ya pancreatic ikhoza kupewedwa m'njira yamatenda.

Matenda a kapamba: zizindikiro ndi chithandizo koyamba

Zizindikiro za matenda amtunduwu sizowopsa ndipo sizikufunika chisamaliro chofunikira. Tsopano tikambirana za pancreatitis yayitali, zizindikiro ndi chithandizo cha matenda amtunduwu.

Poyamba, ndikofunikira kusiyanitsa magawo awiri mu kutupa kosapumira:

Woyambira.
Nthawi yowonongeka kwanyumba.

Nthawi yoyamba imatha kukhala nthawi yayitali - mpaka zaka 10. Zizindikiro zanyengo iyi:

Ululu wammbuyo Zowawa zimatha kutulutsidwa kumtunda ndi pakati pamimba, m'chigawo chakumanzere chachilengedwe komanso ngakhale m'chigawo cha mtima. Nthawi zambiri, zosasangalatsa zoterezi zimachitika pakadutsa mphindi 15 mpaka 20 mutadya.
Kusanza, kusanza ndikotheka.
Kufalikira.
Kutsegula m'mimba.

Choyambirira chimawonedwa mwa odwala nthawi zambiri, koma zina sizingachitike. Ngakhale chizindikiro chikawoneka, ndiye kuti mothandizidwa ndi mankhwala mutha kuthetsa vutoli mwachangu.

Nthawi Yawonongeka Pancreatic

Nazi zizindikilo izi:

Zowawa sizodziwikiratu ngati poyamba.
Pankhaniyi, dyspeptic syndrome imakhazikika: kutentha kwa mtima, kupindika, nseru, kutulutsa.
Pali matenda a maldigestion. Apa ndipomwe pali kuphwanya kwa chimbudzi cha chakudya kuzinthu zomwe zimayamwa.
Pali matenda a malabsorption. Poterepa, kachipangizo kamene kamayamwa matumbo ang'onoang'ono sikasokonezeka konse.

Pa maldigestion ndi malabsorption, zizindikiro zotsatirazi ndizodziwika:

fetid, zopondera zambiri,
kuwonda
Kuchepa kwamadzulo usiku,
kutulutsa magazi kumachitika
conjunctivitis, stomatitis, ndi kuyabwa kwa khungu kumachitika
kuchepa kwa magazi kumayamba
chifukwa chakuti pali kuphwanya mayamwidwe kashiamu, pamakhala kukokana ndi mafupa,
neuropsychic arousal,
mawonekedwe a thukuta lozizira
kunjenjemera m'thupi
khungu lowuma
pali kumverera kwa ludzu losalekeza.

Ndikofunikira kuchiza pancreatitis yayitali kuti mupewe opaleshoni ya pancreatic. Mankhwalawa ayenera kukhala okwanira komanso ovomerezeka. Pambuyo poti mwadutsa mayeso onse ofunikira, komanso kufunsa dokotala, chithandizo chitha kutumikiridwa. Tsopano tikambirana za matenda omwe wodwala amayenera kupeza kuti chithunzi chake chikhale bwino.

Kuzindikira matenda

Mitundu yotsatirayi yazidziwitso ipereka chithunzi chonse cha matendawa:

Kuyesa kwa Ultrasound Pancreatic ultrasound ya kapamba ndi njira yofunika kwambiri yowunikira. Matenda amtunduwu akuwonetsa kuchuluka kwa kuchuluka kwake, kukuwonetsa kupendekeka kwa kapangidwe, kupezeka kwa cysts ndi kukulitsa kwa ma ducts. Kulondola kwa phunziroli ndi 80-85%. Izi sizotsatira zapamwamba kwambiri, kotero kuyesa kwa labotale kuyeneranso kutengedwa.
Kuyerekezera ndi maginito okonzanso. Mitundu yodziwitsa, monga ija, imawonetsa kuchuluka kwa kapamba amakulitsidwa. Kuphatikiza apo, mothandizidwa ndi kafukufuku wotere, mitundu yoipa, mapangidwe apadera, ndi zotupa za ziwalo zapafupi zitha kupezeka.
Endoscopic retrograde cholangiopancreatography. Iyi ndiye njira yolondola kwambiri, yomwe ikuwonetsa pafupifupi 100% zotsatira. Komanso, mtundu wodziwonetsa ndi wotsika mtengo kwambiri pamwambapa. Zowona, pali opanda: njira imeneyi si yosangalatsa kwambiri, ndipo nthawi zina imakhala yopweteka.

Ndi mayeso ati omwe akuyenera kuchitika kuti adziwe matenda?

Kuphatikiza pa njira zomwe zatchulidwazi pakuzindikira matenda, dokotala amapereka malangizo operekera maphunziro awa:

Kuyesedwa kwa magazi konse. Zotsatira zake zikuwonetsa zizindikiro za kutupa ndi kuchepa kwa magazi m'thupi.
Kupereka magazi kuti mupeze shuga. Kusanthula koteroko ndikofunikira kuti mudziwe ngati wodwala ali ndi shuga.
Urinalysis Ikuwonetsa matenda a impso.
Electrocardiogram ndi echocardiography zimapatula matenda a mtima.

Pambuyo popereka mayeso omwe ali pamwambapa, chithunzicho chidzaonekera bwino, komanso kuwonetsa pancreatic pancreatitis kudzapangidwa kapena kusapangidwa.

Udindo wa akatswiri pochiza matendawa

Matenda a kapamba amafunika chithandizo choyenera. Chifukwa chake, wodwalayo sayenera kukafunsidwa ndi dokotala m'modzi, koma ndi angapo, kuti chithunzi cha momwe akuwonera chikuchitika, ndipo madotolo adamupatsa chithandizo choyenera.

Wodwalayo ayenera kukumana ndi akatswiri ngati awa:

Gastroenterologist. Amapereka chithandizo.
Kwa dotolo. Kuthandiza kwa katswiriyu ndikofunikira ngati zowawa sizisiya kapena pali zovuta zina.
Endocrinologist. Ndikofunikira ngati wodwala ali ndi matenda a shuga.
Kwa wa mtima. Kulumikizana ndi katswiriyu ndikofunikira kupatula zotheka za mtima ndi mtima.

Zotsatira za chithandizo zimadalira ziyeneretso za madokotala. Chifukwa chake, muyenera kusankha zabwino kwambiri pazigawo zawo. Mutha kufunsa za zomwe adotolo adakumana nazo, kuchuluka kwa maopa omwe adachita, ngakhale pali ziwerengero. Thanzi lanu lili m'manja mwanu. Ndipo chifukwa cha luso waluso, kuthamanga ndi chithandizo chamankhwala anu ndikuchira mwachangu zimadalira 80%.

Mfundo za zakudya zoyenera za kapamba. Zakudya

Ndi matendawa, ndikofunikira kutsatira malamulo ena okhudzana ndi zakudya. Popeza kukhala wodwala kumadalira mtundu ndi chakudya chomwe chimatengedwa. Mfundo zotsatirazi zomwe muyenera kudziwa:

Muyenera kudya zakudya zosachepera 5-6 patsiku. Muyenera kudya pang'ono, pang'ono.
Ndikofunika kudya zakudya zosenda bwino. Chowonadi ndi chakuti, monga kuphatikiza kwa mbale, kupukusira kwa m'mimba sikungakwiyitsidwe.
Mapuloteni (magalamu 150 patsiku) ayenera kuchuluka m'zakudya. Kuchuluka kwa mafuta sikuyenera kupitirira 80 magalamu patsiku. Zakudya zomanga thupi zimafunikiranso kusamala.
Taboo ndi yotentha kwambiri kapena, m'malo mwake, mbale yozizira.
Munthawi yakuchulukirachulukira kwa vutolo, ndikofunika kusiya kotheratu chakudya chilichonse kwa tsiku limodzi.

Tsopano taonani zakudya zomwe zili ndi phindu pa boma pa kapamba.

Mndandanda Wazogulitsa

Mkhalidwe waukulu wamatenda monga pancreatic pancreatitis ndi zakudya. Ili ndiye mfundo yayikulu yothandizira. Kodi tanthauzo la chakudya ndi chiyani? Gwiritsani ntchito zakudya zokha ndi mbale zomwe sizimakwiyitsa mucous membrane wa kapamba. Zotsatirazi zingathe ndipo ziyenera kudyedwa ndi anthu omwe akudwala matendawa.

Dzulo ndi mkate wakale wa tirigu.
Yachiwiri nkhuku kapena msuzi wa ng'ombe.
Nyama: nkhuku, nyama yamphongo, nkhuku. Njira kukonzekera: wiritsani, kuphika mu uvuni. Nyama siyenera kukhala ndi zokometsera zilizonse.
Nsomba zaphika, zophika kapena kuphika mu uvuni.
Zinthu zamkaka zokhala ndi mafuta ochepa.
Yophika masamba. Ngati mukufuna yaiwisi, ndiye pokhapokha mu grated mawonekedwe.
Mitundu yosiyanasiyana ya pasitala.
Groats (buckwheat, mpunga, oatmeal).
Zipatso zophika (maapulo ndi mapeyala m'maganizo).
Jelly.
Chipatso chofewa, zakudya, tiyi wopanda mphamvu.

Mndandanda wazakudya zomwe zimapangidwa ndi kapamba

Nyama yoyamba kapena msuzi wa nsomba. Ndiye kuti, mafuta oopsa, opatsa mphamvu.
Mapira sayenera kudyedwa kuchokera ku chimanga.
Nyama zamafuta, nsomba, nkhuku.
Kuyambira masamba, masamba a radish, radish, kabichi, sorelo ndi sipinachi.
Mkate watsopano kapena makeke aliwonse.
Mitundu yosiyanasiyana ya soseji, zakudya zamzitini.
Zakumwa zoledzeretsa.
Ayisikilimu.
Tiyi yamphamvu, khofi.

Kugwiritsa ntchito zinthu zomwe zili pamwambapa kumabweretsa zotsatira zoyipa, zomwe zimatchedwa "kutupa kwa kapamba" (kapamba, pongoyika). Pofuna kuti musasewere roulette ndi thanzi lanu, kumbukirani zakudya zomwe zaletsedwa kudya ndi matendawa. Kupatula apo, kudya kale 60% yazotsatira zabwino zamatenda.

Chithandizo cha matenda kapamba

Chithandizo cha matendawa ndikufuna kuchepetsa kuchuluka kwa bile. Pancreatitis ya kapamba, mankhwalawa omwe amachepetsa kokha kugwiritsa ntchito mapiritsi apadera, apereka zotsatira kwakanthawi. Ndipo, kuphatikiza pa izi, wodwalayo azidya molondola, kutsatira zakudya, ndiye kuti izi zikhala pafupifupi chitsimikizo cha kuchira kochita bwino.

Koma tsopano tiyeni tiganizire za mankhwala omwe amathandiza kulimbana ndi matendawa.

Chifukwa chake, mankhwala omwe amathandizira kuchotsa kuphipha kwa minofu:

Awa ndi mapiritsi a pancreatic. Pancreatitis imachiritsidwa ndi antispasmodics otsatirawa: No-Shpa, Spazmoverin, Spazmol.
Dongosolo lokonzekera milingo "Papaverine".

Mankhwala otsatirawa amachepetsa kubisala kwa madzi a m'mimba:

Makapisozi Omeprazole.
Mapale "Ranitidine", "Famotidine".

Mankhwalawa otsatirawa amateteza kugaya chakudya ndikuwongolera ntchito ya pancreatic. "Allohol", "Pancreatin", "Phenipentol" - awa ndi magome ochokera ku kapamba. Pancreatitis si sentensi.

Komanso, mankhwala omwe amalepheretsa kupanga ma pancreatic enzymes amapatsidwa mankhwala ochizira kapamba. Pakati pa mankhwalawa, yankho la Aprotinin limagwiritsidwa ntchito nthawi zambiri.

Ngati ululu wowopsa ulipo kapena munthu akuonda, ndiye kuti kulandira kuchipatala ndi chithandizo chowonjezereka ndizotheka mosamalitsa ndi akatswiri. Kuchitapo kanthu kwa opaleshoni kumayikidwa ngati zikondamoyo sizikuliranso. Kuchiza, kudya ndi kugonjetsedwa kwambiri sikungathandize. Kuchotsa gawo limodzi lokha ndi komwe kungapulumutse chiwonongeko china.

Izi sizikutanthauza kuti mukalandira chithandizo cha mankhwala, kuchira kwathunthu kumachitika. Zachisoni kuti, koma kapamba sangathe kuchiritsidwa kwathunthu. Koma kuti zikondamoyo zisawonongeke, ndikofunikira kulandira chithandizo, ndikutsatira zakudya zosasunthika, zomwe tafotokozazi.

Chithandizo cha pachimake kapamba

Matenda amtunduwu amafunikira kuchipatala. M'chipatala, wodwala amayankhidwa kuti azitsatira:

Kulowetsedwa kwamitsempha komwe kumathandiza kuyeretsa magazi a poizoni ndi michere ya pancreatic.
Mankhwala opweteka.
Mapiritsi omwe amawononga ma enzymes a gland. Mwachitsanzo, mapiritsi a Cordox.
Mankhwala oletsa kusanza.
Maantibayotiki.
Antispasmodics.

Kuphatikiza apo, chithandizo chamankhwala chimaphatikizapo:

Kusokonezeka kwathunthu kwa zakudya kudzera pakamwa mpaka masiku 6. Izi ndizofunikira kuti ntchito ya kapamba iyimitsidwe kwakanthawi.
Mitseko yamkati.
Kupanga kwa kukodza kuti mkodzo ukhale wambiri kuti uchoke m'thupi ndi mkodzo.
Bowel lavage.

Kupewa kwa Pancreatitis

Pofuna kuti musayambenso, ndipo matendawa sangakugwetseninso, ndikofunika kutsatira malamulo otsatirawa:

Idyani pomwe. Kutsatira zakudya ndizofunikira kwambiri kuti mukhale ndi thanzi la pancreatic.
Kuletsa kwamtundu uliwonse zakumwa zoledzeretsa zilizonse.
Siyani kusuta.
Chepetsani zolimbitsa thupi. Kuthamanga, kudumpha, kuchezera malo osambira ndi saunas kuli koyipa kwa kapamba. Njira yabwino ndiyo kupumira masewera olimbitsa thupi komanso kutikita minofu.

Kuchokera munkhaniyi mudaphunzira zomwe zimapanga matenda otchedwa pancreatic pancreatitis. Adasankha njira zochizira matendawa komanso momwe angadziwire matendawa. Tidazindikira kuti kudya mosamalitsa ndiye njira yofunika kuti wodwalayo achotse mwachangu.

Zambiri pamutuwu:

Kodi Mungatani ndi Pancreatin Kodi Mungatani
Momwe mungatengere Creon 25000 chifukwa cha kapamba
Creon imagwiritsidwa ntchito pancreatitis.
Khungu loyera ndi kapamba - zimayambitsa, mankhwalawa

Ngati mukuganiza kuti nkhaniyo ndi yosangalatsa komanso yothandiza, ndiye kuti ndidzakhala wokondwa kwambiri ngati mungagawane ndi anzanu zidziwitsozi patsamba. Kuti muchite izi, ingodinani mabatani ama webusayiti ochezera.

Pamene dokotala adzalembera kukonzekera kwa enzyme

Mankhwala amalimbikitsidwa ngati thupi litasiyidwa ndi michere yokwanira. Izi ndizofunikira kuti kuthamanga kukhale kwamtundu, kuthana ndi chizindikiro cha kapamba kapena matenda ena a ziwalo za m'mimba.

Ma Enzymes a kapamba ayenera kutengedwa popanda kuchulukitsa mawonekedwe a matendawa, mankhwalawa amadzimadzi a sphincter a Oddi, hepatobiliary system, celiac matenda, matenda am'mimba, kutupa kwamatumbo. Nthawi zambiri, kukonzekera kwa enzyme kumasonyezedwa kuchepa komwe kumayenderana ndi zaka.

Funso nthawi zambiri limabuka kuti kodi ndizotheka kutenga michere panthawi yowonjezera ya kapamba. Muyenera kudziwa kuti nthawi yovuta ya matendawa ndi kutsutsana kwathunthu ndi kugwiritsa ntchito mankhwalawa. Amalimbikitsidwa pambuyo pakutsatiridwa kwa matenda.

Kodi ma enzymes abwino kwambiri a kapamba ndi chiyani? Ayenera kukhala otetezeka, osakhala oopsa. Kukonzekera kwa ma enzyme apamwamba nthawi zambiri kumakhala kochokera nyama, zimapangidwa motengera kapamba wa nkhumba, popeza kapangidwe ka thupi la nyama iyi ndi ofanana kwambiri ndi munthu.

Muyenera kudziwa kuti mankhwala aliwonse okhala ndi ma enzymes amakhala ndi zinthu zazikuluzikulu:

Kukonzekera kwa enzymatic kumakhala ndi chipolopolo chosagonjetsedwa ndi madzi a m'mimba, amawonongeka m'malo amchere wamatumbo. Ndikulimbikitsidwa kudya ma enzymes ambiri monga momwe kapamba wama thanzi amapangira.

Mungatenge nthawi yayitali bwanji ma enzyme osagwira chifuwa cham'mimba, zomwe zimatenga ma pancreatitis, momwe mungamwere ma enzymes osachiritsika amadziwika ndi adotolo, kutengera kuopsa kwa matendawa komanso mbiri yachipatala ya munthuyu.