Cancreas: Zizindikiro ndi zomwe zimayambitsa matendawa, mankhwala ndi zakudya
chithunzi cha kapamba
Pancreatic gland - chimodzi mwazinsinsi zofunikira kwambiri m'thupi la munthu. Kukula kwake, ndiye chitsulo chachiwiri m'matumbo a pakhungu pambuyo pa chiwindi.
Pancreatic gland yakula, ndi yayitali yokhala ndi imvi. Ngakhale kufunikira kwa thupili ndizofunikira, ambiri sadziwa komwe kapamba amapezeka. Awa ndi malo am'mimba pamimba pamimba, kwinakwake pamlingo wa msana woyamba ndi wachiwiri wa lumbar. Makulidwe a kapamba nthawi zambiri amakhala masentimita 14 mpaka 22. Kutalika ndi kuyambira 3 mpaka 9 sentimita. m'lifupi (m'dera la mutu) komanso kuchokera 2 mpaka 3 sentimita. makulidwe. Amalemera kwinakwake 70-80 magalamu. Ngati kukula kwa kapamba kutuluka m'ndime za izi, izi zitha kuwonetsa kukula kwa matendawa.
Mwa makanda, kukula kwa kapamba kumakhala kochepa kwambiri (kutalika ndi masentimita 3-6., Ndipo kulemera magalamu 2,5-3). Ili pamwambapa pomwe ya akulu, koma imasunthika chifukwa cha kufooka kwa kukhoma kwam'mimba. Kukula kwa pancreatic kumachitika ndi zaka. Ali mwana, amalemera kale magalamu 20, ndipo wazaka 10-12, pafupifupi magalamu 30. Kutulutsa kwa kapamba mwa ana ndi akulu kumakhala kofanana zaka 5.
Udindo wa kapamba m'migawo ya m'mimba ndi ma metabolic sungagwiritsidwe ntchito mopitirira. Kuti mumvetse momwe kapamba amagwirira ntchito, muyenera kudziwa kuti imagwira ntchito ya intrasecretory komanso yosakhala yachinsinsi.
Chifukwa cha ntchito yachinsinsi yakunja mu duodenum, ma enzymes a pancreatic amadziwika. Amakhala mu madzi a pancreatic ndikusokoneza chilengedwe cha m'mimba; amathandizira mwachangu kukumba kwa chakudya. Kuphwanya chinsinsi cha ntchito yakunja kumayambitsa mavuto mu kagawidwe ka michere (tirpsin, lipase, maltose).
Ma mahomoni omwe ndi ofunikira kwambiri kwa anthu ndi lipoquine, glucagon, ndi insulin, omwe amapangidwa ndi gawo la intracerebral function ya kapamba. Kusokonezeka kwa kapangidwe kawo kungayambitse matenda osiyanasiyana, mwachitsanzo, matenda ashuga kapena kapamba.
Chifukwa chake, mahomoni a kapamba - glucagon ndi insulin amawongolera mulingo wabwinoko wa saxar m'magazi ndikuchita nawo kayendedwe ka kaboni. Mothandizidwa ndi lipocaine, ma phospholipids amapangidwa m'chiwindi, omwe amakhudzidwa bwino ndi makulidwe a oxidation amafuta acids. Ngati simumamwa lipocaine m'chiwindi, zimatha kutha kwa mafuta.
Cancreas ili pafupi ndi ndulu, chiwindi, chiwindi, m'mimba ndi mtima, chifukwa chake sichitha kunyalanyazidwa - siyingakhale ndi vuto lililonse.
Matenda a kapamba amadziwika ndi kusintha kwachilendo msanga, komwe kumayambitsa kukhudzika pang'ono.
Vutoli limatha kuchitika patangopita maola ochepa, ndipo kusintha, koyambirira, sikungasokoneze kwambiri.
Zowonongeka zilizonse za kapamba ndizowopsa. Kuboola pancreatic kuyenera kuchitidwa mosamalitsa.
Samye rasprostranennye problemy ndi podzheludochnoy zhelezoy- Ndi pankreatit podzheludochnoy zhelezy (kaya ostroy forme xronicheskoy) kalkulezny pankreatit (Pali indetu kamni mu podzheludochnoy zheleze) rak podzheludochnoy zhelezy, diabet, pankreonekroz podzheludochnoy zhelezy, mukovistsidoz, kista podzheludochnoy zhelezy.
Matenda a Pancreatic Gastric
Zakudya zazonunkhiritsa zimayambitsa kutupa kwa kapamba
Matenda aliwonse am'mimba amakhala ndi vuto lililonse mthupi lina lofunikira mthupi. Kuukira kwa kapamba kumatha kunena zambiri, choyamba, za kulephera kwa ziwalo zilizonse kuthana ndi magwiridwe antchito. Eto zapuskaet tsepnuyu Zimene: insulin bolshe NE vydelyaetsya chto privodit kuti povysheniyu urovnya saxara mu magazi, ndi, mu svoyu ochered, vyzyvaet problemy wosamvetseka vesom ndi MMENE rezultat, vozmozhnaya slepota kapena amputatsiya konechnostey kuchokera kumbuyo makope narusheniya magazi ndi nekroza tkaney.
Ndipo iyi ndi njira imodzi yokha yopititsira patsogolo zochitika, pokhapokha zomwe zimayambitsa kusintha kwa kapamba zichitika. Zowonongeka zochepa ndizosinthasintha zomwe zimachitika mu kapamba. M'malo mwake, matenda a pancreatic amatha kumangowonjezera kuchepa kwa thupi ndi kunyengerera kwa michere yofunika.
Lumikizanani ndi dokotala wanu nthawi yomweyo ngati mukumva kupweteka kwa kapamba - ntchito za thupili ndizofunikira kwambiri, ndipo zitha kusinthika.
Pancreatic iron ndiye amachititsa kuti michere yambiri ipangike, yomwe imatenga gawo la mafuta. Popanda iwo, chakudya sichingakayikidwe kapena kukhala chopatsa. Nachnetsya patologichesky protsess: lyubye pischevye veschestva nachnut preobrazovyvatsya mu molekuly zhira, telo nachnet nakaplivat zhirovye otlozheniya mu tom chisle Na vnutrennix organax, Kuchokera nedostatka belkov razovotsya myshechnaya distrofiya serdechnoy minofu, ndi defitsit uglevodov sposobstvuet gibeli kletok golovnogo mozga. Zotsatira zosasinthika zoterezi zimatha kuchitika ngati simupereka chidwi ndi zomwe zimayambitsa matenda a pancreatic gland.
Ululu wa kapamba ungayambitse:
nepravilny rezhim priema chakudya zakudya upotreblenie chereschur ostryx kapena razdrazhayuschix mafuta mankhwala veschestv-zloupotreblenie kureniem ndi alkogolnymi napitkami-xronichesky ndi ostry xoletsistit-bolezni zheludka-zhelchno- kamennaya bolezn-disbakterioz kishechnika.
Chifukwa chake, zakudya za matenda a pancreatic gland ziyenera kukhala zazakudya, ndipo zakudya zizikhala zokhazikika.
Zizindikiro za Pancreatic Gastrointestinal
Pachimake, kupweteka kwam'mbuyo m'munsi - chizindikiro cha kutupa kwa kapamba
Zikondazo zimapezeka m'thupi la munthu m'njira yoti izitha kukwaniritsa ntchito zake. Monga tanena kale, ili mkati mwa m'mimba, poyandikira kufupi ndi ndulu. Chifukwa chake, njira zonse zotupa zomwe zimakhudza ndulu, zulani msanga ndikufinya.
Zizindikiro za kutupa kwa kapamba;
ostrye zhguchie boli NKHA storony amanena mu rayone nizhnix reber- xarakter boley opoyasyvayuschy mu momenty naibolshego pika boley zameten povyshenny rvotny refleks-rvota mozhet sostoyat wa kislogo soderzhimogo-snizhenie appetita Prix naklone vpered mu polozhenii atakhala uroven boli zametno snizhaetsya, ndi inogda ndi Zingatheke kuwonjezera kutentha komwe kumayesedwa m'makutu a wodwala.
Nthawi zambiri, adokotala sizimapangitsa kuti zikhale zovuta kudziwa kutulutsa kwa kapamba - Zizindikiro zake zimatchulidwa kwambiri, ndipo ululu umakhala pachimake.
Mwachitsanzo, chitukuko cha pancreatitis pachimake chimaletsa kwambiri. Zizindikiro za matenda a pancreatic gland ndizodziwikiratu, ndipo anali amphamvu, zomwe nthawi zambiri zimakhala zovuta kuyika pansi. Chifukwa, ngakhale kungakhale mpumulo wosafunikira, iye amayenera kukhala m'malo mokhazikika ndi torso yakutsogolo. Zomwe zimachitika pafupipafupi ndikusanza ndi kusanza kumanena kuti kapamba umavutika kwambiri. Ngati, molingana ndi maziko azizindikirozi, kutentha kwa thupi kumakwera, izi zitha kutanthauza kuyambika kwa njira za necrotizing.
Samalani ngati mukuvutitsidwa ndi chamba cha pancreatic - zotsatirazi ndizizindikiro za matendawa:
kupweteka kumachitika chifukwa cha kusanza ndi mseru pambuyo m'mimba, kumwa mowa wamphamvu kuchokera kumbuyo kumbuyo
Nthawi zambiri, zowawa sizingatengedwe, kotero kuti kapamba amakhudzanso - zizindikirazi zimatikumbutsa kwambiri matenda a nyamakazi, zilonda zam'mimba kwambiri.
Mothandizidwa ndi phwando losavuta, mutha kumvetsetsa kuti zimapweteka kapamba, koma osati msana. Ndi matenda a nyamakazi, palpation yam'mbali ya vertebral imakhala yopweteka, ndipo ndi kapamba, ayi.
Kufotokozera ndere kumapereka pa zotupa, ndi matenda a kapamba - ayi.
Kuzindikira matenda a kapamba
Kuti mumvetsetse, chifukwa chomwe kapamba amapwetekera, akafufuzidwa, dokotala azindikira madandaulo anu onse, kumusamalira, adzamuyang'ana, koma adzalowa mu chakudya. Nthawi zambiri, odwala amadandaula za kupweteka kwambiri m'mimba, komwe kumamveka malinga ndi gawo lakhudzidwa ndi kapamba. Ululu womwe umapezeka kumanja kumanzere kwa navel komanso pansi pa nthiti umalankhula za kusokonekera kwa ntchito ya mutu wa kapamba.
Ngati mukumva kupweteka m'dera la epigastric, zimatanthawuza kuti mukuvutika ndi thupi la chithokomiro, ngati mumakhala mbali yakumanzere ndi nthiti - mchira wa kapamba. Ngati ululuwo "watayika" kapena kufotokozedwedwa m'mimba mwa kumtunda, ndiye kuti thupi lawonongeka. Zowawa zimatuluka mutatha kudya, zimaperekedwa mbali yakumanzere ya nthiti (m'khosi ndi kumbuyo). Dokotala amayenera kuyang'anira maonekedwe anu nthawi zonse, kupaka utoto wamkati ndi khungu.
Ayenera kudziwa momwe angayang'anire kapamba kuti azitha kusiyanitsa zowawa zomwe zimayambitsidwa ndi matenda am'mimba oyambitsidwa ndi matendawa. Dokotala amatha kugwiritsa ntchito njira yotsatirayi: choyamba, azigoneka wodwalayo kumbuyo, ndiye kuti adzayipereka kumanzere ndikuchichita kachiwiri. Ngati kupweteka kumalumikizidwa ndi kukokoloka kwa pancreatic, nthawi yachiwiri sangakhale kwambiri. Panthawi yamatumbo opatsirana mosiyanasiyana, ululu sutha.
Mu sluchae, Ngati vrach reshit provesti kakie-Libo laboratornye issledovaniya, skoree vsego, cholinga adzatero interesovat uroven pankreaticheskix fermentov elastazy, fosfolipazy A, dezoksiribonukleazy, a-amilazy, lipazy, tripsina mu syvorotke magazi. Njira zina zodziwitsira matenda ndi kutsimikiza kwa kuchuluka kwa ma pancreatic enzymes m'magazi ndikugwiritsa ntchito mphamvu za chinsinsi, kufufuza kwa minofu-ain-a-a
Njira yofikira kwambiri yomwe yalandila kwambiri ndikutsimikiza kuchuluka kwa a-amylase mkodzo ndi magazi.
Pa chifukwa chomwechi, chizindikiritso cha kusowa kwachilendo kwa pancreatic cha pancreatic chimagwiritsidwa ntchito PABK (RAVA) -est.
Palibe njira yofalikira yotanthauzira kuchepa kwakunja kosaphatikizidwa ndi pancreatic gland, komwe ndiko kuzindikiritsa mafuta mu kuchuluka kwa mafuta.
Cholinga cha kusantaku ndikufanizira kuchuluka kwa mafuta omwe amaperekedwa ndi ndowe ndi kuchuluka kwa mafuta omwe adalowa m'thupi la wodwalayo. Ndi izi kwa masiku atatu, wodwala amapsinjika ndi zakudya zinazake.
Kuti mufufuze zakuphwanya carbohydrate metabolism, kuphunzira kuchuluka kwa shuga m'magazi a wodwala ndi kulolerana ndi omwewo.
Kuti mupeze matenda a kapamba, amagwiritsidwanso ntchito njira zothandizira kufufuza.
Mwa njira za kafukufuku wa X-ray, nthawi zambiri kuposa pamenepo, kuwunika ma X-ray a kapamba, monga lamulo, ayenera kuchitidwa. Ndi chithandizo chake, chokhazikika pachifaniziro cha mthunzi, ndizotheka kudziwa kapamba kapena kukulira. Kuwonjezeka kumawonekera bwino pa kompyuta tomography ndi angiography.
Malo ofunikira kuti muzindikire matenda a kapamba ndi kafukufuku wa ultrasound. Pamene pomoschi ultrazvukovoy skanogrammy spetsialist mozhet dat tochny otvet Na vopros Inu lokalizatsii, forme, razmere, xaraktere konturov, tolschine, strukture podzheludochnoy zhelezy, sostoyanii organov ndi tkaney, kotorye EE okruzhayut. Ngati chamba cha pancreatic chikukokomeza, ndiye kuti izi zitha kuwonetsa matenda.
Chithandizo cha Pancreatic Gastrointestinal
Matenda a Pancreatic Gastrointestinal
Ngati mwazindikira chizindikiro cha matenda a pancreatic gland, muyenera kuchitapo kanthu mwachangu. Onetsetsani kuti kutentha kwathunthu kwanjala kumatha kukhala maola 24. Imbani madzi ambiri amamineramu okhala ndi mchere wambiri wamchere. Pofuna kuchepetsa ululu, ikani ayezi m'dera la pancreas - kumtunda pang'ono ndi kumanja kwa msomali.
Mapiritsi ochokera ku kapamba amatha kuperekedwa kwa adokotala okha, koma kuti muchotse vuto lopweteka ndi kuphipha, mutha kutenga osagwedezeka kapena nthunzi. Itanani dokotala kunyumba, ndipo ngati mukumva kupweteka kwambiri, itanani ambulansi. Mankhwala ena a kapamba sangathe kugwiritsidwa ntchito popanda kuyang'aniridwa ndi dokotala.
Kumbukirani kuti zizindikiro za matenda a kapamba zimawoneka osati zotere. Amanena za kuyamba kwa kufa kwa nsalu zopanga thupi. Zizindikiro za khansa ya kapamba, yomwe imatengedwa kuti wachotsa kwathunthu kapamba, imayambanso ndi ululu.
Pancreatitis pachimake amathandizira kokha ndi dokotala wa opaleshoni. Pambuyo pochepetsa kuukira, azitha kukuwuzani momwe mungabwezeretsere kapamba. Ngati mukusintha kukhala mawonekedwe osatha, muyenera kulankhulana ndi dokotala. Nthawi zambiri, imapereka mankhwalawa kwathunthu kwamatumbo athu onse, kuphatikiza, ngati alipo, pachimake komanso matenda am'mimba
Matenda a kapamba
mowa chifukwa chotupa kapamba ndi contraindicated
Odwala omwe ali ndi kapamba ayenera kukhala ndi zakudya zapadera. Zakudya zokhala ndi matenda a kapamba zimaganizira kuti thupi lomwe lakhudzidwa limakhudzana ndi chimbudzi. Kusokonezedwa kwa ntchito zake kumayambitsa kusokonezeka kwa njira yogaya chakudya, ndipo wodwalayo sayenera kupirira katunduyu. Zakudya zosafunikira panthawi yamatenda a kapamba zimayambitsa kuwonjezeka kwa ululu, kuchepa kwa njala, komanso kuyambanso kusanza ndi mseru. Chifukwa chake, vuto la kapamba, zakudya zimaphatikizidwa mu chakudya chosungirako, chomwe mowa, wambiri mafuta, umachotsedwa mu chakudya. Chakudya chokhwima kwambiri cha matenda a pancreatic gland chimawonedwa pambuyo pogwidwa, zomwe zimapangitsa kupweteka kwambiri. Gome la chithandizo lomwe limalimbikitsidwa zotupa za pancreatic lakonzedwa ndi No. 5P.
Wodwala yemwe akudwala amayenera kudya chakudya choyera. Amanenanso kuti katundu wamkulu pa kapamba amaperekedwa ndi chakudya, ndipo mapuloteni, mosadzaza, amadzaza ndi kapamba.
Sikoyenera kupatula mafuta a masamba anu okha - mungawonjezere pang'ono poti mumawotchera mchere ndi nyama yamchere, muziganizira
Zakudya zogwiritsa ntchito monga chimanga ziyenera kukhala zazakudya. Ndi bwino kugwiritsa ntchito iwo grill, mpunga, oatmeal. Kuphika, ndibwino kuti muthe kumera msuzi, ndikuwuphika msuzi ndi mbatata zosankhidwa bwino, masamba pansi - kaloti, kaloti, dzungu. O msuzi wowawasa, msuzi, ndipo tsopano muyenera kuyiwala.
Matenda ndi chiyani?
Nthawi zambiri, kupezeka kwa matenda a kapamba kumachitika mothandizidwa ndi mankhwala. Amangotengera malangizo a dokotala. Popanda chithandizo chanthawi yake, njira zowonongeka zimatha kuchitika. Ndi matenda ati omwe angayambitse kapamba?
- Matenda ofala kwambiri ndi kapamba kapena kutupa kwa kapamba.
- Zakudya zopanda pake zimatha kubweretsa miyala m'mapancreas.
- Matenda owopsa kwambiri padziko lapansi omwe amapha pang'onopang'ono ndi matenda a shuga.
- Zilonda zopweteka zimatha kuchitika (m'mawu osavuta, khansa ya pancreatic).
Zotsatira zake, kutupa kwa kapamba kumachitika. Chimodzi mwazifukwa zomwe zimatchedwa poyizoni wa mankhwala. Kumwa mowa kapena kudya mosavutikira kungayambitse kutupa. Kuphatikiza apo, mavuto okhala ndi chiwindi, m'mimba, komanso chikhodzodzo amatha kuchitika limodzi. Nthawi zina kutupa kumatha kuchitika pambuyo povutikira zam'mimba kapena matenda a virus.
Amayi ali pachiwopsezo cha matendawa.
Zizindikiro za kapamba (kutupa kwa kapamba)
Zizindikiro za matenda mwa munthu aliyense ndizosiyana:
- Ululu wolimba kwambiri wam m'chiuno womwe umangokhala kokha ndi gawo lina la thupi. Nthawi zambiri, izi zimachitika pamene munthu amakhala ndipo thupi liyenda pang'ono pang'ono kupita kutsogolo.
- Kusintha, pambuyo pake kupumula kwakanthawi kochepa.
- Mimba ndi yolimba.
- Kuchulukitsa thukuta ndi kufooka mthupi lonse.
- Kuwonjezeka kwakukulu kwa kutentha.
Zizindikiro zoyambirira zitha kuwoneka patatha maola awiri mutadya. Njira yotupa imatha kutsagana ndi mavuto ndi kusowa kudya, komanso kupweteka mutu komanso chizungulire. Kusintha kwakukulu kukuchitika kale mu chitsulo.
Kutengera ndi zomwe mukuwonetsa, mutha kudziwa kuti ndi gawo liti la kapamba lomwe limayatsidwa:
- Malinga ndi njira yotupa, m'mutu wa kapamba, zotsekemera zimawoneka pansi pa nthiti.
- Mchira umayatsidwa ndipo umapweteka pansi pa nthiti yakumanzere.
Koma munthu akalandira chithandizo chamankhwala ndipo gawo ladzaza limatha, amamva bwino. Nthawi zina kutsegula m'mimba kumatha kutentha.
Fomu yamatenda
Akatswiri amati matendawa amakhala osachiritsika matenda atadwala kale. Komanso, choyambitsa mawonekedwe osakhazikika ndimagwiritsa ntchito molakwika zakudya zamafuta, yokazinga ndi kusuta. Zochita zoipa zimakhudzanso thanzi la kapamba.
Zizindikiro
Kuti mudziwe chomwe chimayambitsa kupweteka m'mapazi, ndikofunikira kukayezetsa.
- Zoyeserera za zida. Mwachitsanzo, ultrasound, x-ray, kulingalira kwa maginito oyang'ana m'mimba.
- Kuyesa kwamwazi wamagazi.
Dokotala amayeneranso kumvetsera madandaulo a wodwalayo zokhudzana ndi thanzi.
Thandizo lomwe limafunikira kupweteka kwambiri
- Imbani ambulansi.
- Gonerani kumbuyo kwanu ndi m'mimba pansi pa nthiti yakumanzere kuti muyike Kutentha ndi madzi ozizira.
- Simungadye chilichonse.
- Imwani kapu yamchere yamchere.
- Osamamwa mankhwala opweteka madokotala asanafike.
- Ndikumva kupweteka kwambiri, gwirani ndikuwakanikizani m'matumbo anu m'mimba mwanu. Udindo wa mluza ungachepetse mkhalidwewo.
Kupewa matenda kapamba
Kutupa kosalekeza kwa kapamba kumadziwika ndi ululu wocheperako kuposa mawonekedwe apakati. Chakudya sichikonzedwa kwathunthu. Mphindi zochepa atatha kudya, kumanganso kumveka. Nthawi iliyonse kugwa ndi masika, matendawa amakula.
Cholinga chachikulu cha pancreatitis yayitali ndikupewa kuchulukanso. Choyamba, chakudya chimakhala chothandiza, chomwe chimachotsa kudya kwa utsi, mafuta ndi zonunkhira.
Pali malamulo ochepa osavuta kutsatira:
- Osamadya mkate woyera watsopano.Ndikofunika kuti muzikonda mkate wa chinangwa, kupatula dzulo.
- Sinthani zakudya zokazinga ndi mphodza, zophika kapena zoduka.
- Osamadya mafuta az mkaka. Mulimonsemo, sayenera kunenepa kwambiri.
- M'malo mwa khofi ndi tiyi, gwiritsani ntchito kulowetsedwa kwa ma currants ndi m'chiuno.
- Kanani mwamphamvu zakumwa zoledzeretsa.
- Osamadya mafuta mpendadzuwa. M'malo mwake, perekani zokonda ku batala.
- Nyama yokhala ndi zakudya zochepa ndizabwino kwambiri. Izi ndi kalulu ndi ng'ombe. Chotsani nkhumba ntchito. Nyama siyenera kukazinga. Iyenera kukhala yophika, yophika pang'onopang'ono kapena yophika chabe.
- Simungathe kudya zopitilira 1 patsiku.
- Ganizirani zamasamba atsopano, zipatso ndi compote. Simungadye makeke okoma ndi maswiti.
- Osamadya chakudya chotentha kapena chozizira kwambiri. Ndikofunika kuti muzidya zakudya zotentha.
Chithandizo cha pachimake kapamba
Mu gawo pachimake matenda, ndikofunikira kuchipatala wodwala. Ndikofunikira kuyeretsa zinthu zomwe zimadzaza. Masiku oyamba munthu amalandila zakudya zofunikira kudzera mu dontho. Kuti muchepetse kutupa, kuledzera, komanso kuchepetsa ntchito za michere. Ndikofunikira kutenga analgesics. Masiku oyamba muyenera kulowa ndi dontho. Kuti muchepetse kutupa ndi kupanga ma enzyme, ndikofunikira kuyika mankhwala osenda ndi mphira ndi madzi ozizira kupita kumalo amanzere a hypochondrium. Ngati kachilombo ka bacteria kakuwonekeranso, ndiye kuti maantibayotiki ayenera kumwedwa. M'malo ovuta kwambiri, opareshoni ndiyofunikira.
Chithandizo cha matenda kapamba
Mu mawonekedwe osakhazikika, ndikofunikira kumwa mankhwala, ndikofunikira kuthetsa ululu. Koma ndikofunikira kukonzanso chiwalo chokha. Wodwala amafunika kumwa mankhwala othandiza kuti akhale ndi thupi komanso kuti azitha kugaya chakudya. Kuchokera pa zokoma ziyenera kusiyidwa kwathunthu, monga ufa, wokoma ndi wokazinga. Tsatirani zakudya mpaka kumapeto kwa moyo. M'pofunikanso kutsatira pafupipafupi zakudya.
Payenera kukhala mitundu iwiri ya mankhwala kunyumba. Ena kuchotsa ululu, ena kugwiritsa ntchito nthawi iliyonse asanadye.
Zopweteka
Ndi kapamba, kupweteka kwambiri kumachitika, nthawi zina kuposa kupweteka kwamtima. Ululuwo umakulirakudya utatha kudya kapena munthu akagona kumbuyo kwake. Mutha kuthetsa ululu ndi chotenthetsera chamadzi otentha. Kuphatikiza apo, ma pinkiller ayenera kutengedwa. Potere, mpumulo umabwera mwachangu kwambiri. Mwambiri, amagwiritsa ntchito No-shpa, Papaverin, Drotaverin. Mankhwalawa amatha kukhala ophatikizira kukonzekera kwa mapiritsi ndi mapiritsi. Tengani ma analgesics ena monga "Paracetamol" kapena "Aspirin". Mankhwala osokoneza bongo otchinga Famotidine amalembedwa kuchipatala.
Kukonzekera kwa enzyme
Mankhwala samangokhudza kuchotsera matendawa, komanso kugwiritsa ntchito kukonzekera kwa enzyme. Izi zimachitika mukatha kudya pofuna kukonza chimbudzi. Mlingo wa munthu aliyense amasankhidwa payekha ndipo amalembedwa ndi adokotala okha. Nthawi zambiri, amamwa mankhwalawa kwa moyo wonse. Mankhwala omwe amapezeka kwambiri ndi Pancreatin ndi Mezim Forte. Koma ndikofunikira kusankha nokha payokha kuti thupi la munthu, chifukwa zina mwazomwe zimayambitsa thupi. Ndikofunikira kuti maziko a mankhwalawa aphatikizidwe ndi zinthu zina zomera.
Chithandizo chowonjezera
M'mikhalidwe yovuta kwambiri komanso yonyalanyaza, adayikidwa kuti amwe insulin. Izi ndichifukwa choti kapamba sagwira ntchito kwathunthu ndipo matenda ashuga amapezeka.
Ngati kachilombo kakang'ono kakukula, mankhwalawa amayenera kumwedwa. Vutoli ndikuti pali kuphwanya dongosolo la kapamba komanso kugaya chakudya mokwanira. Motere, pali mavuto ndi kulolera kwa mankhwala. Wodwala ayenera kutsatira zakudya zofunikira pamoyo ndikuwonetsetsa kuti ali ndi thanzi.
Mukamachulukitsa, muyenera kutsatira zakudya:
- Masiku atatu oyamba sangadyedwe konse. Ndikofunikira kumwa zamchere zamchere.
- Mpaka sabata limodzi, muyenera kuyamba kudya pang'onopang'ono chakudya kapena masamba msuzi.
- Muyenera kudya pafupipafupi, koma pang'ono. Osachepera 6 pa tsiku.
- Chakudya chizikhala chotentha chabe, koma osati chotentha kapena chozizira.
- Idyani zakudya zabwino monga mpunga, oatmeal ndi buckwheat.
- Madzi ambiri ndi tiyi wopanda mphamvu.
Zofunika kudziwa za kapamba
Pancreas ndi chiwalo chomwe chili chaching'ono kukula (kutalika kwake ndi 15 cm), popanda momwe chimbudzi cha chakudya sichingatheke. Imachita nthawi yomweyo katundu awiri:
- malamulo a kugaya chakudya mwa kupanga michere yomwe imaphwanya chakudya, mafuta ndi mapuloteni,
- imawonetsetsa kupitilira kwamkati mwa thupi, komwe kumatheka chifukwa cha kutulutsa kwa insulin ndi glucagon.
Chiwalo chofunikirachi chimakhudzidwa ndi kubisika kwa michere yamphamvu kwambiri, yomwe imatulutsidwa kudzera m'miyendo. Chifukwa cha iwo, chakudyacho chimatengedwa ndi thupi. Ngati munthu apanga matenda a chiwalochi, ndiye kuti chakudya chimatumizidwa m'matumbo osazolowera, popeza kusweka kwake kumasokonezeka.
Zizindikiro zofala zamatenda a pancreatic
Mwambiri, nthawi zambiri, ma pancreatic pathologies amawonetsedwa ndi zizindikiro zofananira:
- Pali zowawa
- kulakalaka kusowa osadandaula,
- munthu akuchepetsa thupi
- nseru, kusanza, ndi kutsegula m'mimba ndizotheka.
Dera lachiberekero lam'mimba ndi dera la hypochondrium lamanzere ndi malo omwe amapweteketsa ululu. Nthawi zambiri, zimakulirakulira ngati munthu adya kwambiri, kapena akudya zakudya zamafuta, zokometsera kapena zokazinga, zakumwa zoledzeretsa.
Ngakhale kuyikika kwa ndulu yofunika kumangokhala pamimba, kupweteka kumatha kusintha ndikukhala pakati. Ngati muyika kutentha, ndiye kuti ululu wammbuyo umakulirakulira, koma kuzizira kumachotsa zomverera zosasangalatsa.
Mutha kuchepetsa ululu ngati mutatenga gawo lomwe lagona kumbali yanu ndikukoka miyendo yanu pachifuwa, kapena kukhala pansi, kugwada kutsogolo.
Pachimake kapamba
Pancreatitis, potanthauza chimodzi mwazomwe zimachitika kwambiri pancreatic pathologies, ndiye, sichinthu china choposa chotheka chotupa chomwe chimakhudza minofu ya chiwalo ichi. Acute pancreatitis amadziwika kuti necrosis ya minyewa yam'mimba komanso kumasulidwa kwamphamvu kwa michere yam'mimba, yomwe imakhala yaukali, imachitika.
The pachimake gawo la matendawa kuchedwa mpaka 2 milungu. Ngati mukusowa nthawi imeneyi ndikukulitsa mankhwalawa kwa mwezi wopitilira, ndiye kuti pamakhala zovuta zoterezi pakubwera kwa matenda osakhalitsa ndipo pakubwera pafupipafupi.
Zomwe zimayambitsa chitukuko cha pancreatitis pachimake
Zomwe zimayambitsa matenda osasangalatsa ndikuphatikizapo izi:
- Zakudya zamafuta ochepa, zonunkhira, zamafuta,
- zakumwa zoledzeretsa, mowa,
- kumwa kwambiri makeke,
- kukonda zakumwa zochokera kaboni,
- kupezeka kwa margarine mu zakudya.
Werengani zambiri zamalonda pancreatic apa.
Kukoka kwamphamvu mu kapamba kumapangitsidwanso ndi kuchuluka kwa mankhwalawa kapena ngati sikugwidwa molingana ndi chiwembucho.
Kuphatikiza pazomwe zidayambitsa, ndizomveka kulabadira ena:
- kukhalapo kwa pathologies a biliary thirakiti, matenda a ndulu, kusagwira ntchito kwa ndulu,
- ngati panali vuto lachipangalo kapena ayi popanda kuchitapo kanthu opaleshoni,
- ndi mtima ulipo, womwe umayambitsa kusokonezeka kwa magazi m'mapazi,
- pa matenda a duodenum,
- ngati m'mimba mwavulala.
Kukhala ndi lingaliro loti chifukwa chiyani kapamba amapweteka komanso chifukwa chani chomwe chimapangitsa kukula kwa ma pathologies otere, pali mwayi wopewa zotsatira zosasangalatsa.
Kuwoneka ngati matenda osasangalatsa kumatha kuwerengedwa ndi zizindikiro zingapo:
- Kupezeka kwa kupweteka kwambiri pamimba, pansi pa nthiti,
- Kuchulukitsa kwa mafuta,
- Kutsekula m'mimba (chikhazikitso mpaka ka 15 patsiku),
- Kusanza, kusanza.
Ngati nthawi yomweyo kutentha kukwera mpaka 40 0, ndiye zomveka kukayikira kukula kwa pancreatic necrosis.
Zitsanzo zimadziwika komwe kukhazikitsidwa kwa matenda osasangalatsa kumayendetsedwa ndi pakamwa lowuma, kupindika, kuchuluka kwa mtima, mawonekedwe a kupuma movutikira, komanso kuchepa kwa kuthamanga kwa magazi. Maonekedwe a jaundice samapatula.
Chithandizo cha pachimake kapamba
Ngati pali chiwonetsero cha zovuta zamatenda, munthu ayenera kuchipatala. Chofunikira ndi kupatsa wodwala mtendere, kuzizira ndi njala. Ndi mawonekedwe ochulukirachulukira, kusala kudya kuyenera kuchitika kwa masiku 5-7. Ndikulimbikitsidwa kumwa pafupifupi malita awiri amadzi ndikuchapa poizoni womwe umapangidwa ndimatumbo a ziwalo.
Kuzizira kumayikidwa pamalo omwe chitsulo chili.
Anthu omwe amakonda kudya kwambiri, kunenepa kwambiri, kumwa mowa kwambiri komanso kuvutika ndi zizolowezi zina zoyipa ayenera amapita kukayezetsa kapamba nthawi ndi nthawi pofuna kupewa kapamba.
Pancreatic cyst
Maziko a izi ndi kupangidwa kwa chiwalo kapena minyewa yomwe ili pafupi ndi kabowo kakang'ono komwe kumapangidwira madzi amomwe amapangira timitsempha. Amuna kapena akazi sakhala ndi vuto lililonse lotere.
Zamoyo zatsopano zimachitika, koma zitha kupezeka nthawi ya moyo.
Nthawi zambiri wodwala amapezeka ndi cyst yabodza. Mitsempha yotereyi imawoneka chifukwa cha pachimake kapamba kapena kapamba wa chifuwa, chifukwa cha kuwawa. Mkati mwa cyst yabodza, kuwonjezera pa madzi, mumadzaza minofu ya necrotic.
Komwe kuli cyst yabodza sikungokhala ndi gawo lililonse la kapamba, kumatha kuwoneka paliponse ndikukula mpaka kukula kwambiri (nthawi zina mpaka malita 2 amadzimadzi amaikidwako).
Ngati ma cyst ndi ochepa, ndiye kuti mutha kudziwa za kukhalapo kwake pokhapokha mutayesedwa mwachisawawa, chifukwa zizindikiritso za munthu sizingawoneke konse.
Zizindikiro zodziwika bwino za matenda am'mimba zomwe zatulukira zitha kuzindikirika pamene neoplasm ikukula mpaka kukula ndikuyamba kuthana ndi ziwalo zapafupi kapena kuzichotsa. Zoterezi, wodwalayo amamva kupweteka pamimba yapamwamba, amayamba kuchepa thupi, pamakhala kusiyanasiyana ndi kutentha kwa thupi.
The cyst imathandizidwa ndi resection ya opaleshoni, ndipo njirayo imasankhidwa potengera kukula ndi malo a chotupacho.
Miyala ya kapamba
Kupangidwa kwa miyala mu chiwalo ichi ndichinthu chosowa kwambiri. Matenda ofanana amatha kuonekera kapena kudwala chifukwa cha matenda omwe amadutsa kale. Nthawi zambiri, miyala imawoneka m'mutu wa gland, m'malo ena - kawirikawiri.
Zomwe zimayambitsa kukula kwa matenda oterewa ndi mankhwala amakono sizinaphunzire bwino. Koma pali lingaliro kuti mapangidwe a calculi amadalira mwachindunji kuphwanya phosphorous-calcium metabolism m'thupi. Mwinanso maonekedwe a mitundu yamtunduwu akukhudzana ndi kusayenda kwa kapu yamadzi ndi zotupa zomwe zimayambitsidwa ndi matenda apakati.
Zizindikiro za matendawa siziri m'zochitika zonse zimawonedwa bwino. Monga lamulo, wodwalayo amaphunzira za kukhalapo kwa miyala mwangozi mwangozi mwa kutenga X-ray. Koma palinso zisonyezo zowala. Pakati pawo, kupweteka kwambiri kwakanthawi pamimba, mpaka kumbuyo, kumaonekera kwambiri. Imatha kudziwonetsa mwa kugwidwa ndikukulitsa pambuyo maola ochepa mutatha kudya.
Pankhani ya matenda, kudwala, kutsegula m'mimba ndi kudzimbidwa kumatha, ndipo kusowa kwa chakudya kungadutse. Akasuntha miyala, wodwalayo nthawi zambiri amakumana ndi chindende chovutitsa.
Kutengera maphunziro a x-ray, adokotala amapezeka. Njira zamankhwala zimatengera mwachindunji kuuma kwa vuto la munthu komanso kupezeka kwa zovuta. Ngati pali matenda ofatsa a matendawa, kuchiritsa zakudya ndi kuchiritsa odwala kungathandize. Ndi kukula kwamatenda a matenda, opaleshoni singapewe.
Khansa Yapancreatic
Pakati pa zotupa neoplasms, benign ndi zilonda zitha kusiyanitsidwa.
Tsoka ilo, m'zaka zaposachedwa chiwerengero cha odwala omwe ali ndi vuto lofananalo chawonjezeka kwambiri.
Zizindikiro za khansa ya kapamba ndi kapamba zimafanana kwenikweni. Komabe, kutengera komwe kuli chotupacho, mawonetserowo atha kukhala osiyana. Ngati chotupa cha khansa chatulukira m'dera la mutu wa kapamba, ndiye chifukwa cha kuchuluka kwa chotupacho, duct wamba ya bile imafinya ndipo imodzi mwazizindikiro zazikulu za pathology zikuwonetsedwa - jaundice. Ululu, mwatsoka, umadziwonekera mu magawo omaliza.
Ngati chotupa chikupangika mu thupi kapena mchira wa chiwalo, chimodzi mwazizindikiro zazikulu kwambiri chimatha kukhala matenda a shuga.
Khansa ya pancreatic, yomwe imapezeka koyambirira, imathandizidwa ndi resection ya opaleshoni. Mankhwala amakono amagwiritsa ntchito bwino njira zochizira radiotherapeutic makamaka zomwe zakhudzidwa. Pambuyo pakuchita opaleshoni kwa miyezi isanu ndi umodzi, ndikofunikira kuchita chithandizo chothandizira kuti musatenge matenda obwereranso.
Ngati matendawa apezeka m'magawo apambuyo pake, ndiye kuti mankhwala amakono amatha kukonza moyo wa wodwala wokhala ndi matenda ofanana ndi omwe amapezeka pogwiritsa ntchito mankhwala am'deralo.
Kupanga kwa Benign kumaphatikizapo fibroma, adenoma, cystadenoma, lipoma, ndi zina zotero.
Zakudya ndizofunikira kwambiri pancreatic pathologies
Mankhwalawa matenda amtundu uliwonse wa kapamba, ndikofunikira kulipira chidwi chake pakudya.
Kwa odwala omwe ali ndi vuto loti thupi limagwirira ntchito, mndandanda wazinthu zomwe zimatha kudya umaperekedwa. Menyuyi muyenera kukhala ndi mikate yoyera, imaloledwa kugwiritsa ntchito mkate wopanda bulawuni womwe unaphika dzulo.
Zakudya za wodwala tsiku ndi tsiku ziyenera kukhala ndi maphunziro oyamba. Pokonzekera maphunziro achiwiri amaloledwa kugwiritsa ntchito nyama yopendekera (ng'ombe, nkhuku, nyama ya kalulu), nsomba zophika zokha kapena zowotchera, zomangira nyama, mphodza.
Zomera zimagwiritsidwa ntchito mwanjira iliyonse, koma osati yokazinga.
Zakudya zilizonse zamafuta siziphatikizidwa. Pang'ono pang'ono batala kapena mafuta a masamba amaloledwa. Mutha kudya dzira limodzi patsiku.
Ndikwabwino kumwa ndi compote, jelly, tiyi wopanda mphamvu, komanso osamwa zakumwa zina.
Osagwiritsa ntchito mbale zotentha kwambiri kapena zozizira.
Momwe mungapewere matenda a kapamba
Matendawa ndiosavuta kupewa kupewetsa kuthana nawo pambuyo pake. Monga njira yodzitetezera ya ma pancreatic pathologies, malamulo angapo osavuta ayenera kutsatiridwa:
- Musaiwale kuti zoyipa zomwe zimachitika pantchito ya thupi lathuli zimaperekedwa ndi mowa, kusuta fodya, kugwiritsa ntchito zakudya zamafuta ndi zakudya zopanda pake. Ngati ndi kotheka, izi ziyenera kupewedwa.
- Tiyi ya zitsamba yopangidwa kuchokera ku buliberries, dandelion, m'chiuno, maukonde, ndi lingonberry iyenera kumadyedwa nthawi ndi nthawi.
- Ngati pali kukayikira pang'ono pang'onopang'ono kwa chitukuko cha matenda a kapamba, ndiye kuti nthawi yomweyo ndikofunikira kupatula zakudya zazonunkhira, zokazinga, zamafuta ndi kupewa kuluma mwachangu.
- Kusintha menyu watsiku ndi tsiku, kuti mukhale wathanzi momwe mungathere.
- Yesani kudya m'magawo ang'onoang'ono, koma nthawi zambiri, 5-6 patsiku. Pakati pa chakudya, muzikhala ndi nthawi yomweyo. Pazakudya, khalani odziletsa.
Kutsatira njira zonsezi kudzathandiza kupewa mavuto ambiri ndi kapamba.
Chikondamoyo ndichinthu chofunikira kwambiri m'thupi la munthu. Amakhudzidwa ndi mitundu yonse ya njira za metabolic. Matenda a chiwalo ichi amayenera kumwedwa ndi zovuta zonse ndikuyenera kulandira chithandizo chanthawi yake.
Zochitika pa zaka zoposa 7.
Maluso aluso: kuzindikira ndi kuchiza matenda am'mimba komanso biliary dongosolo.