Kapamba: kufooka ndi chizungulire ndi kapamba

Pancreatitis ndi mutu ndi njira yosasangalatsa yomwe imapatsa munthu zovuta kwambiri.

Ndizosatheka kuzindikira zomwe zimayambitsa kupweteka kwa mutu kwa odwala ndi kapamba, chifukwa chizindikirochi, chimagwirizana ndi kutupa kwa kapamba.

Nthawi zambiri, kuchuluka ndi kupweteka kwapakati kumadalira mtundu wa nthendayo komanso momwe matupi athu alili. Mutu wokhala ndi pancreatitis ukhoza kuvuta panthawi yakukoka komanso kusokonezedwa ndi mawonekedwe a kutentha.

Kuzindikira kwa thupi ndi chimodzi mwazotsatira zoyipa za matenda a kapamba. Chifukwa cha kupindika mphamvu, poizoni ndi zinthu zoopsa zomwe zimachitika chifukwa chakusokonekera kwa chakudya zimalowa m'thupi.

Mwanjira ina, ndi mitundu yowonjezereka ya matendawa, kukonza chakudya kumachepa. Zotsalira za chakudya chosasinthika zimayendetsedwanso kudzera m'magawo am'mimba, chifukwa chomwe kupsa kumachitika komanso mabakiteriya ovuta amayamba kuchulukana, omwe amakhala gwero lenileni la kuledzera.

Zikondamoyo zimayambitsa ntchito zambiri zamthupi, monga:

  • Kusintha nayonso mphamvu ya zinthu
  • magazi shuga
  • kuchuluka kwa shuga
  • malamulo opanga gastric secretion.

Pakasokonekera kwa chiwalo, kupanga ma enzymes othandiza kulephera. Chifukwa cha izi, poizoni amayamba kukhala wofunikira kwambiri mthupi la wodwalayo. Zotsatira zake, kusinthika kwakukuru mu msuzi wa shuga kumatha kuchitika ndipo thanzi la munthu liwonongeka msanga.

Zotsatira zake, kuthamanga kwa magazi, chizungulire chimachitika, chomwe chimakhala chifukwa chachikulu cha mutu.

Ngati mutu umapweteka ndi kapamba, ndiye kuti zotsatirazi zingakhale chifukwa cha matenda:

  1. Kulowetsa thupi ndi poizoni.
  2. Kulephera kwamatenda.
  3. Chakudya chochepa komanso chochepa pang'onopang'ono.
  4. Kubwera kwa kapamba.

Mavuto onse omwe ali pamwambawa amakhudza momwe thupi limagwirira ntchito ndipo ali ndi zovuta zambiri pakugwira ntchito kwamankhwala ambiri.

Pancreatitis ndi matenda otupa a kapamba, omwe amatha kukhala amitundu ingapo:

  • lakuthwa
  • pachimake
  • aakulu

Aliyense wa iwo ali ndi zizindikiro zina, koma kupweteka kwa mutu ndi kapamba ndizodziwika mu mitundu yake yonse. Matenda a kapamba sikuti amakhala osasangalatsa chabe, komanso vuto lopulumutsa moyo.

Kansa ndi gawo la thirakiti la m'mimba, komwe limayang'anira ntchito yopanga ma enzymes osiyanasiyana (insulin, somatostatin, glucagon, etc.). Ngati imagwira ntchito molakwika, ndiye kuti imakhala yovutitsidwa ndi kuledzera thupi ndi minofu kuwonongeka, komwe pambuyo pake kumatha kusokoneza dongosolo lamtima, ndikusokoneza magwiridwe antchito a ubongo ndi ubongo.

Zizindikiro za kapamba nthawi zambiri zimayamba ndi mutu wokhazikika, kufooka kapena kufooka wamba, kusintha kwakuthwa m'magazi. Pang'onopang'ono, zovuta pamatumbo am'mimba zimatha kuzindikirika.

Panthawi yowonjezereka yotupa, wodwalayo amakakamizika kusala kudya. Thupi limalandira chakudya chochepa kwambiri, ndipo michereyo samayamwa mokwanira chifukwa cha kusachita bwino pakukumba. Zotsatira zake, maselo akusowa "zakudya", chizungulire komanso mutu umayamba.

Pakuwonekera koyamba kwa zizindikiro za kapamba, muyenera kulumikizana ndi katswiri yemwe akupatseni mayeso ndikumutumiza wodwalayo kuti azimuona. Simungachedwe kuonana ndi adotolo, chifukwa matendawa amatha kupita patsogolo msanga ndikuyambitsa zovuta zambiri, monga pancreatic necrosis ndi pathologies a khansa, omwe amayamba pomwe pakalibe chithandizo chamankhwala.

Ambiri ali ndi chidwi ndi funso loti mutu wokhala ndi kapamba chifukwa chosagona bwino komanso kusowa tulo kumatha kupweteka. Zowawa zotere zimakhalapo, ndipo chithandizo chake chimakhala pakupumula kwapang'onopang'ono ndikubwezeretsa mphamvu.

Nthawi zina, ngati zimakhala zovuta kuti wodwalayo agone, kupumitsa mankhwala azitsamba ndi kulowetsedwa kwazitsamba kungapangidwe, popeza mapiritsi ogona amaletsedwa pankhaniyi.

Tisaiwale kuti kumwa mankhwala onunkhira pamimba yopanda kanthu sikutheka, izi zikuwonjezereka ndi kuwipira kwa wodwalayo.

Ngati mavuto akupezeka mu ntchito ya mtima ndi mitsempha yamagazi, katswiri amatha kudziwa njira yotengera mankhwalawa kuti azitha kusintha magazi kapena njira yamavitamini.

Kudzichitira nokha mankhwala sikovomerezeka. Musanagwiritse ntchito mankhwala aliwonse, muyenera kupeza upangiri wothandizira pazokhudza gastroenterology. Dokotala adzakuthandizani kusankha mankhwalawa ndikuti akupatseni zakudya zapadera kuti zovuta zitha kupewedwa.

Zithandizo zachilengedwe zachilengedwe zimawerengedwa kuti ndiwothandiza kwambiri pakuchotsa vutoli ndipo zimatha kutsata chithandizo chachikulu.

Kutsitsimutsa kumakhala ndi tiyi wa peppermint wonunkhira bwino. Ndikokwanira kuyika masamba angapo kapena chikwanje chaching'ono mugalasi yanu, kuthira madzi otentha ndikulole kuti atuluke pafupifupi mphindi 10-15. Ngati mumagwiritsa ntchito zouma zouma, muyenera supuni 1 kuti mupange tiyi. kapu ya madzi otentha.

Tiyi ya maluwa a laimu imakonzedwa mwanjira yomweyo. Kupititsa patsogolo izi, tikulimbikitsidwa kuphatikiza mbewu ziwiri izi kuti muchepetse kusokonezeka kwamanjenje.

Zosakaniza za mankhwala a ndimu mankhwala a mandimu, timbewu tonunkhira, mankhwala a chamomile ndi mizu ya valerian ndizodziwikiranso. Zitsamba zouma zimatengedwa zofanana, zosakanizidwa ndikugwiritsidwa ntchito kukonzekera kulowetsedwa kwa 1 tsp molingana ndi Chinsinsi. 300 ml. madzi otentha.

Pofuna kuchepetsa ululu wamankhwala, gwiritsani ntchito kulowetsedwa kwa oregano. Pa 400ml. madzi otentha adzafunika supuni imodzi yokha ya udzu wouma. Siyani kusakaniza kwa mphindi 30 mu chidebe chotsekedwa mwamphamvu, kenako ikani chikho 1/3 m'misuzi yaying'ono katatu pa tsiku.

Ngati wodwalayo akuda nkhawa ndi chizungulire ndi kapamba, ayenera kupumula mowonjezereka ndipo nthawi zina amapenyerera kugona. Ngati izi sizingatheke, ndiye kuti muyenera kugwira ntchito ndikuyenda pang'onopang'ono, bwino komanso popanda kusuntha mwadzidzidzi.

Chifukwa cha izi, zotsatira mukamamwa mankhwalawa zimadza mwachangu ndipo mutu umatha kupweteka. Komanso muyenera kukhala nanu osavutikira nthawi zonse, zomwe zingathandize kuchepetsa kukomoka ndipo mutha kumwa mankhwala nthawi zonse.

Ngati mungafune, ndikulimbikitsidwa kuphunzitsidwa mutu ndi khosi kuti mupumule komanso kuti muchepetse zovuta zamkati, pitani ku gawo la yoga kapena kusinkhasinkha.

Zakudya zoyenera ndizofunikira kwambiri pancreas komanso kupewa mutu. Chifukwa chake, chinthu choyamba kuchita ndikuwongolera kuchuluka kwa zakudya. Zakudya zisanu patsiku ndi magawo ang'onoang'ono zingakhale njira yabwino kwambiri.

Komanso, ndi chakudya, nkofunika kumwa mankhwala kuti mupange mphamvu yampweya, ngati Mezim ndi Pancreatin.

  • zakudya zam shuga kwambiri
  • Zakudya zamafuta, sizimamwa bwino,
  • mavoliyumu akulu amadzi.

Wodwala yemwe ali ndi matenda oterowo ayenera kupatula mowa. Zinthu zokhala ndi mowa zimathandizira kuti maselo a ziwalo aphedwe.

Sinthani zinthu zovulaza ndi zomwe zimakhala ndi multivitamini wambiri, mapuloteni komanso chakudya chamafuta ambiri. Komanso muthandizire kutsogolera njira yogaya ndi kugaya chakudya. Izi zimaphatikizapo

  • nsomba, zothandiza kwambiri m'madzi,
  • nyama yoyera - nkhuku ndi kalulu, komanso nyama yamwana wamphongo,
  • masamba, makamaka mawonekedwe a saladi,
  • zipatso zazitali.

Munthu yemwe amadzifunsa ngati mutu wake umapweteka ndi kapamba ayenera kufunsa katswiri wa gastroenterologist. Dokotala adzalembera mayeso omwe angathandize kudziwa chomwe chimayambitsa kupweteka komanso kupereka mankhwala.

Pancreatitis ndi kupweteka kwa mutu kuli njira zina zomwe sizingatheke. Nthawi zambiri amatha kuzindikirika ndi kukhalapo kwa kutentha kwambiri komanso mawonekedwe a khungu lachikaso, zomwe zimawonetsa njira yotupa m'matumba a pancreatic.

Ndemanga kuchokera kwa owerenga athu - Irina Kravtsova.

Kutupa kwa kapamba kumakhudza kwambiri thanzi la munthu wonse. Pakachulukana, imadzipweteka ndi kupweteka kwambiri pamimba ndi kusanza.

Koma ngakhale munthawi yakusintha kwina, nseru sizachilendo. Chizungulire ndi kufooka mutatha kudya ndi kapamba ndimagulu azikhalidwe. Makamaka kwambiri.

Kuti mumvetsetse zifukwa zosasangalatsa zomwe zimachitika mobwerezabwereza, muyenera kukhala ndi lingaliro labwino la njira za chitukuko cha matendawa. Kudziwa tanthauzo la zomwe zikuchitika, etiology ndi pathogenesis ya kapamba, ndizosavuta kupirira mawonekedwe ake.

Mutu womwe mutu umakonda chizungulire kapena kufooka mwamphamvu m'thupi kumatha kuchitika pazifukwa zosiyanasiyana. Mwachitsanzo, azimayi omwe ali ndi kuthamanga kwa magazi nthawi zambiri amadwala matendawa.

Chizungulire poyang'ana maziko ofooka, kugona ndi kuwonda - kuphatikiza kwa zizindikiritso zamatenda akulu:

  • matenda a mtima
  • kulephera kwa aimpso
  • chiwindi
  • kuchepa kwa magazi m'thupi,
  • vegetovascular dystonia,
  • kusintha kwa oncological,
  • chithokomiro chithokomiro,
  • cystic fibrosis (njira yovuta ya kapamba mwa ana),
  • kusowa kwa mapuloteni (pafupipafupi kudya zakudya zamasamba zazitali)
  • zotupa ndi kachilombo.

Kupatula zifukwa zikuluzikulu zotere, muyenera kukayezetsa pamaziko a kuyeserera ndi kufunsira kwa akatswiri othandizira. Adotolo adzaperekanso zothandizira mayeso ofunikira ndikukulimbikitsani kuti mukayendere akatswiri odziwa ntchito.

Kukhala ndi moyo wabwino kumakulirakulira ngati munthu ali ndi moyo wosayenera:

  • Amadya zakudya zonunkhira komanso zamafuta, amadya popita kapena yowuma,
  • amamwa mowa
  • amasuta
  • kugwiritsa ntchito mankhwala osagwirizana,
  • Amamwa madzi oyera oyera (kupatula tiyi, timadziti, zakumwa),
  • sayenda mlengalenga,
  • kumakhala moyo wongokhala.
  • osagona mokwanira.

Chizungulire cha kapamba: chimayambitsa kutopa ndi kufooka

Chizungulire ndi kapamba zimachitika ngati chizindikiritso cha ulesi cha kapamba, kapena chifukwa chakugwa kwambiri kwa kuthamanga kwa magazi komanso kupweteka kosaletseka pamawonekedwe amtundu wa matenda.

Muzochita zachipatala, pamakhala zochitika zina pamene munthu kwa nthawi yayitali samalabadira chizungulire komanso kufooka kwapafupipafupi, kenako amafika kwa dokotala kale ndi kusintha kwa dystrophic pamisempha yamapamba.

Zomwe zimachitika m'matumbo ndi kapamba

Kutupa kwa pancreatic sikukwiya ndi ma virus, koma ndi ma enzymes ake a chiwalochi - ma pancreatic enzymes.

Cholinga chawo ndikugwetsa zigawo zovuta za chakudya kukhala zinthu zosavuta, zomwe zimatengedwa ndi thupi.

Koma njira yachilengedwe yobayira chakudya ikasokonekera, michere ya m'mimba imayamba kugaya minofu yake (parenchyma). Izi zimachitika pazifukwa zina.

Chakudya chikalowa m'mimba, madzi a pancreatic amayamba kutumizidwa kudzera m'matumbo am'mimba, m'matumbo aang'ono, momwe michere ya m'mimba (amylase, lipase, trypsin, insulin, ndi zina).

Koma pamene mbali yayikulu ya chimbale - ngalande ya Virsungov itatsekeka chifukwa cha miyala, chotupa kapena zomatira mmatimo, kutulutsa kwa ma pancreatic enzyme kumasokonezeka.

Kupitilira apo, zochitika za matenda amakula motsatira njira imodzi:

  • M'matumba ang'onoang'ono a kapamba, mapuloteni a madzi a pancreatic amakhala, ndikupanga mapulagi. Kenako, m'malo otsekera maselo a glandular organic, kupanikizika kumachitika. Atafika pamlingo winawake, ziwalo zapafupi za nduluzo zimapanikizika ndikuyamba kufa chifukwa chophwanya magazi m'deralo.
  • M'miyeso yaying'ono yotsekeka kwa tiziyo, kupanikizika kumachulukana kwambiri kotero kuti kumayambitsa kugumuka kwamakoma a mizere yopanda miyala. Zotsatira zake, madzi a pancreatic amalowetsa chiwalo parenchyma (glandular minofu) ndikuyamba kugaya.

Madokotala amazindikira mitundu yosiyanasiyana ya kapamba, poganizira zosankha zomwe zingayambitse matendawa ndi zomwe zimayambitsa matendawa.

Pakakhala chithandizo chokwanira, minyewa ya m'mimba ya kapamba imasinthidwa ndi minyewa yolumikizana (yothandizira, yomwe imagwira ntchito yoteteza ndipo siyoyang'anira ntchito ya thupi), yomwe imayambitsa kupweteka kwa kapamba.

Zizindikiro za Pancreatitis

Kwa anthu omwe ali ndi matenda osachiritsika, vuto lofananalo limakhalapo pafupipafupi. Komabe, amafunafuna chithandizo chamankhwala pokhapokha zovuta zitachitika, nthawi zambiri izi zimakhala zowawa pamimba. Ululu umatha kufalikira kumunsi ndikubwera ndi zoster.

Chizungulire chofatsa, kutopa, ndi kufooka ndi chizindikiro choyamba cha kufalikira kwa kapamba.

Ndi kukula kwa njira yotupa mu kapamba, odwala amatha kuwona kutentha mpaka 37.2-37.4 ° C.

Nthawi zambiri, kutentha thupi kotsika kumakhala kwa maola angapo mpaka kugwira ntchito kwa pancreatic kumakhala kwabwinobwino. Monga lamulo, izi zimachitika mutatha kumwa mankhwala omwe amasintha chimbudzi.

Koma ngati matenthedwe a thupi afika 38 ° C ndipo wodwalayo adayamba kuzizira, izi zikuwonetsa kuti matenda am'mimba adayamba kutenga mawonekedwe akulu.

Zimayambitsa chizungulire

Glucose ndiye gwero lalikulu lamphamvu zamunthu. Kulowa kwake m'maselo a thupi kumathandizidwa ndi insulin, yomwe kapamba amatulutsa.

Ndi insulin yokwanira, kuchuluka kwa shuga m'magazi kumatsika, ndipo m'maselo amatsika, zomwe zimayambitsa kusokonezeka kwa ziwalo zofunika. Ubongo womwe umafunikira mphamvu kwambiri umakhudzidwa makamaka.

Nthawi zambiri zimakhala mu kusowa kwa glucose komwe zimapangitsa kuti wodwala yemwe ali ndi pancreatitis agwere mu kukakamiza, chizungulire chimawonekera, ndipo zizindikiro zina zamatendawo zimawonekera.

Mutu

Mutu wokhala ndi kapamba amatha kupweteka pazifukwa zosiyanasiyana:

  • Kulimbitsa thupi. Zikondazo zikasokonekera, michere yonse ya poizoni ndi poizoni (mankhwala opakidwa) omwe amapangidwa ndi iye amatulutsidwa m'm magazi. Ndi magazi, amathira thupi lonse ndikuwaphwanya, zomwe zimapangitsa kuti mukhale ndi thanzi lopanda chizungulire komanso mutu.
  • Kulephera kwamatenda. Zakudya zomwe zimagwiritsidwa ntchito pancreatitis sizigonjetsedwa kwathunthu, kotero thupi limatenga zakudya zochepa zofunikira. Zotsatira zake, maselo amthupi amayamba kufa ndi njala, zomwe zimapangitsa kutsika kwa magazi, mawonekedwe a kufooka, chizungulire komanso mutu.
  • Insulin ndi glucagon akusowa. Zikondamoyo zimatulutsa michere yamagetsi, komanso zinthu zomwe zimathandizira kuchuluka kwa shuga m'magazi. Kusowa kwa zinthuzi mthupi kumayambitsa matenda a shuga, chizungulire komanso kupweteka kwa mutu.
  • Loto lowonongeka. Mukamagona, machitidwe onse a thupi (manjenje, amtima, chitetezo cha thupi, ndi zina zotere) amabwezeretsedwa.Koma ngati munthu sangathe kugona mokwanira, ndiye kuti akumva kutopa, mutu wake umayamba kupweteka masana.
  • Mutha kuthana ndi chizungulire komanso kupweteka kwa mutu ndi kapamba ngati mukudziwa zomwe zimapangitsa mawonekedwe awo.

Chithandizo cha kapamba

Chithandizo cha kupweteka kwa mutu ndi kapamba ndicholinga chothetsa zomwe zimayambitsa. Kwa odwala omwe chizungulire komanso kupweteka kwa mutu kumakwiyitsidwa ndi kuledzera kwa thupi (vutoli limatsimikiziridwa ndi zotsatira za kuyezetsa magazi kosiyanasiyana), adotolo amakupatsirani mankhwala omwe amathandizira kuyeretsa magazi ndi minyewa.

Komanso, wodwala matenda a kapamba amalembedwa:

  • mankhwala othandizira -
  • Maantacid - kuchepetsa ntchito zapakhansa,
  • antispasmodics - chotsani ululu
  • cytostatics - chepetsa milingo ya kuledzera kwa England
  • kukonzekera kwa enzyme - kusintha chimbudzi.

Ngati choyambitsa chizungulire komanso kupweteka kwa mutu ndikusowa kwa michere mthupi, dokotalayo amauza wodwala kuti atenge mavitamini a gulu B, ascorbic acid, mavitamini A ndi E. Amapereka chithandizo machitidwe ofunikira a thupi. Komanso, wodwalayo akulimbikitsidwa kusintha menyu pophatikizamo zinthu zomwe ndi magwero a michere ndi mavitamini.

Zochizira kapamba ndi zizindikiro za kuchepa kwa mahomoni omwe amayendetsa shuga wamagazi, mankhwala ochepetsa shuga ndi omwe amapatsidwa.

Ngati kutopa, chizungulire komanso kupweteka kwa mutu kumayambitsidwa ndi kugona tulo, ndiye kuti wodwalayo akulimbikitsidwa kupumula osati usiku, komanso nthawi ya nkhomaliro.

Mulimonsemo, mkhalidwe wa thupi la odwala omwe ali ndi pancreatitis imayamba bwino ngati ayamba kutsatira malamulo azakudya zopatsa thanzi.

Ndikosavuta kusintha ntchito ya kapamba komanso kupewa kuchulukirachulukira kwa odwala omwe amachiritsa kapamba ndi mankhwala, koma osalabadira zakudya zoyenera, komanso sangathe kusiya kusuta ndi kumwa mowa.

Zakudya za pancreatitis zimaphatikizapo kugwiritsa ntchito zakudya zomwe zili ndi mapuloteni, komanso kukana:

  • Zakudya zopatsa mafuta (nyama yamafuta),
  • chakudya (shuga, uchi, chokoleti),
  • CHIKWANGWANI chakumaso (masamba atsopano ndi zipatso, nyemba).

Ngakhale kuti pali mapuloteni ambiri munyama, si mitundu yake yonse yomwe imakhudzidwa ndi kapamba. Mwachitsanzo, nkhosa, bakha ndi tsekwe zokhala ndi mafuta okhathamiritsa omwe ndi ovuta kugaya, mwakutero amatulutsa zikondamoyo ndikupangitsa kutupa.

Nkhumba imakhala ndi zinthu zina zowonjezera zomwe zimathandizira kupanga ma enzyme. Chifukwa chake, pancreatitis yayikulu komanso yopanda matenda, menyu wodwala akhoza kukhala ndi kuchuluka (40 g tsiku lililonse) kwamkango, kalulu, nkhuku, kapena nyama yankhuku. Ndikulimbikitsidwa kwa kapamba ndi nyama yam'madzi amitundu yamafuta ochepa (nsomba zamtsinje, pollack, cod). Amadyedwa 2 pa sabata.

Wopatsa zakudya amathandizira kupanga menyu wazachipatala kwa wodwala kapamba, koma choyamba, katswiri adzafunsa wodwalayo ndikuphunzira mbiri yake ya udokotala. Kudya wathanzi kumakhala ndi gawo lalikulu lofunikira popititsa patsogolo thanzi. Monga lamulo, odwala omwe ali ndi pancreatitis amayenera kutsatira mndandanda wopangidwa ndi wazodwala kwa moyo wawo wonse.

Kufooka ndi chizungulire ngati zizindikiro za kapamba

Njira iliyonse ya pathological m'thupi imakhala ndi zake.

Matenda ena amayambitsa kupweteka, pomwe ena amathandizira kuwonjezeka kwa kutentha, ndipo palinso ma pathologies omwe amayambitsa chizungulire komanso kufooka kwakukulu m'thupi lonse.

Zimachitikanso ndi kapangidwe ka matenda a kapamba mu chifuwa cha chifuwa chachikulu, makamaka ndi kukula kwa mawonekedwe ake osakhazikika.

Kwenikweni, matenda a pancreatic ali ndi poyambira lakuthwa, koma amasinthasintha ndi njira yake yaulesi, momwe matenda am'mbuyomu amapezeka kale pamlingo wa kupititsa patsogolo kwa kusintha kwa dystrophic, nawonso samasiyidwa.

Kuti muyambe kumenya nkhondo yolimbana ndi matenda a munthawi yake, muyenera kuyang'anira madera anu, kumvetsera kusintha kwa thanzi lanu lonse. Kuti muthane ndi zizindikiro monga chizungulire komanso kumva kufooka, muyenera kudziwa kaye momwe amapangira.

M'mawunikidwe omwe adawonetsedwa, tiwona mozama za chifukwa komanso momwe ziliri zikuwopseza chizungulire komanso kufooka kwa kapamba, komanso momwe tingazichotsere ndi zomwe tikulimbikitsidwa kuti zitenge.

Amayambitsa ndi chizungulire cha chizungulire ndi kapamba

Chizungulire ndi kapamba zimatha kuwoneka nthawi zosiyanasiyana za tsiku. Mnzathu wokhulupirika wa chizindikiro ichi ndi kumva kufooka, kugona, ndi nseru. Zizindikiro zazikulu za chizungulire ndi izi:

  • mdima m'maso ndi "ntchentche", makamaka yokhala ndi mutu wakuthwa, kapena kungoyimilira,
  • kuyang'ana kowala
  • Kuwala kwam'mutu,
  • tinnitus
  • kusabala
  • kutayika kwa chizolowezi chomanga malo ndi kusakhazikika pamiyendo,
  • kusaka gitala ndi kusasamala.

Kuphatikiza kwa chizungulire ndi kugona kumawonekera ndi kuthamanga kwa magazi, zomwe zimachitika pakapita nthawi matenda osachiritsika a chifuwa cham'mimba. Chizindikiro chowonjezera chimatha kupweteka m'mutu, komanso kumva mseru.

Cholinga cha izi, mutu ukayamba kumva chizungulire ndi kapamba, zitha kukhala chifukwa chosowa mpweya, kugwira ntchito kwambiri m'thupi, kudya mokwanira komanso kudya mokwanira, komanso kumwa mowa kwambiri, kuvulala kumutu ndi msana, komanso vegetovascular dystonia.

Etiology ya matenda

Ndi chitukuko cha matenda a kapamba, chimodzi mwazizindikiro zazikulu ndi kupweteka m'dera la epigastric.

Pakadutsa mtundu wamtunduwu wa matenda, odwala nthawi zambiri amawona kutopa kokwanira, komanso kuchepa kwa kugwira ntchito konse kwa thupi.

Nthawi zambiri, njira yaulesi yomwe imachitika m'zigawo za m'mimba mwa m'mimba, yomwe ikuwonetsedwa ndi kuwonjezeka kwa kufooka kwa thupi lonse, itha kupita patsogolo pamachitidwe awa:

  • kumwa kwambiri mankhwala okhala ndi zakumwa zoledzeretsa, makamaka kwa amuna,
  • ndikupanga njira zama pathological mu gallbladder, monga cholecystitis, kapena gcb, yomwe imawonetsedwa kawirikawiri mu theka la umunthu wa anthu,
  • ndi kukula kwa mavuto a cystic fibrosis, omwe amapezeka kwambiri mwa ana,
  • kumwa kwambiri mankhwala osokoneza bongo, kuphatikiza ndi aspirin ndi hypothiazide,
  • ndi mtundu wotchulidwa wa kusowa kwa mapuloteni m'thupi,
  • kusintha kwa ma Horoni m'thupi la wodwalayo,
  • malowedwe a matenda opatsirana,
  • kuvulala kwam'mimba.

Kuphatikiza apo, matenda a pancreatic amatha kukhala ndi chiyambi chake motsutsana ndi kumbuyo kwa kupitirira kwa hyperparathyroidism, zovuta zamagazi, komanso pambuyo pa opaleshoni.

Ndi mapangidwe a siginatology inayake, ndikofunikira kudziwa momwe zimakhalira. Zowonadi, ndi kukula kwa matenda amtundu wa catarrhal, kumverera kofooka kumayang'ana kumbuyo kwa kutentha kwa thupi lokwera, koma ndi momwe pancreatic pathology ikusinthira, zinthu sizili zosiyana.

Pathogenesis wa zizindikiro

Ndi kukula kwa yotupa mkati mwa patrenchymal gland, kuchuluka kwa katulutsidwe ka michere ya michere yokhala ndi puloteni yotulutsa yambiri. Njira izi zimadzetsa chiyambi chodziwononga mu chiwalochi.

Zotsatira zake ndi chiyambi cha kuledzera komwe kumachitika motsutsana ndi maziko a kulowetsedwa m'magazi kudzera pazing'onoting'ono zazing'ono zazinthu zina za enzymatic.

Njira izi zimatha kuyambitsa kutopa kwambiri mthupi lonse, komanso kupangika kwa mawanga amtambo chifukwa cha kuchuluka kwa zinthu za pancreatic enzymatic m'magawo a subcutaneous.

Kuphatikiza apo, michere ya enzymatic imakhudzanso khungu la impso ndi magwiridwe antchito a chiwindi, omwe ali ndi udindo wochotsa mankhwala onse oopsa m'thupi. Ndi kuchepa kwa mphamvu ya ziwalo izi, njira ya kuledzera thupi lonse iyambanso.

Ndizofunikiranso kudziwa kuti ndi kutsegulira kwa njira yodziwonongera mu khola la parenchymal gland, kukula kwa kutupa kwa chiwalochi kumadziwika, komwe kumapangitsa kuphwanya kwa kutuluka kwa madzi a pancreatic, komanso ndulu kudzera mu ndulu ya bile.

Chifukwa chake, osati pancreatic enzyme yophatikizira komanso bile limayamba kulowa m'magazi, zomwe zimayambitsa kukulira kwazinthu zonsezo komanso thanzi labwino la wodwalayo, yemwe ali ndi zizindikiro zonse za poyizoni komanso kumva kuti ndi wofooka.

Mwanjira yapadera, kufooka kwa kapamba kumakhala chizindikiro chodziwika bwino, bola kuletsa kugwiritsa ntchito zinthu zomwe zili ndi mowa sikuwone.

Ndizofunikira kudziwa kuti anthu omwe nthawi zambiri amamwa zakumwa zoledzeretsa nthawi zambiri amamva chimodzi chofooka ndi zowonongeka pancreatic ku gland, chifukwa matendawa amapezeka mochedwa.

Ma virus ndi kuvulala

Chisamaliro chapadera chimafunikira ku njira za mapangidwe a kufooka kwa maziko a matenda amtundu wamavuto, komanso kuvulala kwam'mimba.

Ndi matenda a virus, wodwalayo amakula ndi zizindikiro zamankhwala, zomwe, ndi chithandizo chanthawi yake, zimachotsedwa kwathunthu, ndipo kumverera kwofooka kumathetsedwa.

Koma, vuto lalikulu ndikuti ma virus omwe ali ndi vutoli nthawi zambiri amakhala ndi vuto lalikulu pancreatocytes. Nthawi yomweyo, zizindikiro zokhala ndi mawonekedwe sizikupezeka konse, koma njira ya fibrosis imayamba kugwira ntchito.

Koma, kapamba, kamene kanayamba chifukwa cha kuvulala kwam'mimbamo, komwe matumbo a Wirsung amadzaza ndipo kumverera kwofooka kumayamba ndi kutuluka kwa zinthu za enzymatic, kumakhala ndi chithunzi china chachipatala. Pankhaniyi, matenda a kapamba amayenda pang'onopang'ono, chifukwa kutupa sikumakhudza gawo lonse la parenchymal, koma gawo lokha la izo.

Kuthetsa kufooka

Kuti matendawa akhale ambiri, ndikofunikira kuchititsa chithandizo chokwanira chothandiza kuthetsa matenda oyambitsidwa.

Kuti musankhe mankhwalawa moyenera momwe mungathere, ndikofunikira kuti muchepetse choyambitsa chomwe chinayambitsa matendawa. Chifukwa cha izi, maphunziro owonjezera a wodwalayo adayikidwa.

Odwala omwe ali ndi vuto losakhazikika la matenda a kapamba, zizindikiro zotsatirazi zitha kuzindikirika:

Ndikofunikira kuchitira chofooka limodzi ndi matenda a pancreatic, kuwona njira yovuta ya mankhwala, yomwe imatsatira kutsatira zakudya, kumwa mankhwala ndi wowerengeka azitsamba.

Mankhwala ndi wowerengeka azitsamba

Musanagwiritse ntchito mankhwala ndi mankhwala ochokera kwa ochiritsa, muyenera kufunsa dokotala.

Chimodzi mwazomwe mungagwiritse ntchito kuti mumve kutopa ndi mankhwala opangira mankhwala monga Vitabalance Multivit, omwe amaphatikizapo mavitamini A, B, C, E, magnesium ndi Ca.

Mutha kugwiritsanso ntchito masisitimu osokoneza bongo a Valerian ndi Motherwort, koma pokhapokha malinga ndi malangizo omwe aphatikizidwa komanso pambuyo povomerezeka ndi dokotala.

Kuchokera pazowoneka bwino za wowerengeka azitsamba zofooka, kulowetsedwa kwa chamomile, lavenda, kapena maluwa a linden akulimbikitsidwa.

Zomwe zimayambitsa kuwonongeka

Mutu womwe mutu umakonda chizungulire kapena kufooka mwamphamvu m'thupi kumatha kuchitika pazifukwa zosiyanasiyana. Mwachitsanzo, azimayi omwe ali ndi kuthamanga kwa magazi nthawi zambiri amadwala matendawa. Komanso zimachitika kuti hypotension imayamba chifukwa cha ulesi wa kutupa kwa kapamba.

Chizungulire poyang'ana maziko ofooka, kugona ndi kuwonda - kuphatikiza kwa zizindikiritso zamatenda akulu:

  • matenda a mtima
  • kulephera kwa aimpso
  • chiwindi
  • kuchepa kwa magazi m'thupi,
  • vegetovascular dystonia,
  • kusintha kwa oncological,
  • chithokomiro chithokomiro,
  • cystic fibrosis (njira yovuta ya kapamba mwa ana),
  • kusowa kwa mapuloteni (pafupipafupi kudya zakudya zamasamba zazitali)
  • zotupa ndi kachilombo.

Kupatula zifukwa zikuluzikulu zotere, muyenera kukayezetsa pamaziko a kuyeserera ndi kufunsira kwa akatswiri othandizira. Adotolo adzaperekanso zothandizira mayeso ofunikira ndikukulimbikitsani kuti mukayendere akatswiri odziwa ntchito.

Kukhala ndi moyo wabwino kumakulirakulira ngati munthu ali ndi moyo wosayenera:

  • Amadya zakudya zonunkhira komanso zamafuta, amadya popita kapena yowuma,
  • amamwa mowa
  • amasuta
  • kugwiritsa ntchito mankhwala osagwirizana,
  • Amamwa madzi oyera oyera (kupatula tiyi, timadziti, zakumwa),
  • sayenda mlengalenga,
  • kumakhala moyo wongokhala.
  • osagona mokwanira.

Kufooka kwakukulu kwakukulu kumatha kubweretsa kupsinjika, nkhawa, kugwira ntchito mopitirira muyeso (m'maganizo, m'thupi, m'malingaliro). Chizungulire chimakhudza azimayi ndi achinyamata pa nthawi ya kuchuluka kwa mahomoni.

Komanso, zoterezi zimachitika kwa anthu omwe amakonda kudya osati chifukwa cha mankhwala, koma kuti achepetse thupi msanga. Kuperewera kwa zinthu zofunika komanso mavitamini m'zakudya kumabweretsa kutsika kwa thupi ndipo kumayambitsa kudwala kwamkati mwa ziwalo zamkati.

Momwe muyenera kukhalira ngati zizindikiro za chizungulire zachitika

Poyamba, ndi chizolowezi chambiri cha chizungulire, ndikofunikira kuti musachite mantha komanso kukhazikika. Kenako muyenera kukhala pampando ndikukonzanso nthawi imodzi, koma osatseka maso anu. Ngati chizungulire sichitha, muyenera kuyimba ambulansi.

Ndi chiwopsezo champhamvu, ndikofunikira, kuyika wodwalayo pabedi, kuti mumasulidwe ku zovala zolimba ndikupereka mpweya wabwino kuti musataye chikumbumtima.

Pa mphumi, mutha kuyika chopukutira chothira mafuta osakaniza a viniga kapena mu 0.1% yankho la Atropine.

Ngati simungathe kufatsa, mutha kutenga piritsi la 0.2 Andaxin, lomwe limakhala ndi bata.

Kuchokera maphikidwe a asing'anga achikhalidwe, tikulimbikitsidwa kugwiritsa ntchito karoti ndi juwisi kuchokera ku chizungulire. Musaiwale za zakudya zoyenera, chakudya chizikhala chopepuka komanso chokwanira. Zakudya zamafuta ndi zonunkhira siziyenera kukhalapo m'zakudya za wodwalayo.

Kufooka kwa kapamba

Ndizovuta kusiyanitsa kufooka komwe kumachitika ndendende ndi kapamba. Zomverera ndizofanana ndi ma syndromes ena, mwachitsanzo, kutopa kosatha. Koma pali zizindikiro zowonjezera zomwe nthawi zambiri zimayenderana ndi kutupa kwa kapamba.

Pancreatic pathologies amatsogolera kuledzera mwadongosolo la thupi. Chifukwa chake, mkhalidwe wa wodwalayo uli ndi chizindikiro chachikulu cha poyizoni - nseru. Chizindikiro ichi sichitha pambuyo pamimba. Kusungunula kapena kutsegula m'mimba pakachulukanso sikubweretsa mpumulo. Izi zimachitika chifukwa poizoni wokhala ndi timadzi ta pancreatic amapezeka pamalo ozama kwambiri.

Matenda apathengo amawonekera m'mawu amachepera komanso kufooka. Amadziwika kwambiri atatha kudya, munthu akafuna kugona mwachangu pabedi, chifukwa pamaso pake kumayamba kuda.

Kudya kumayambitsa mavuto m'dera la epigastric, kutumphuka pamimba, komanso kumva kuti chakudyacho chinali chamafuta komanso chochuluka, ngakhale atangodya pang'ono.

Kufooka mu kutupa kwa kapamba nthawi zambiri kumayendetsedwa ndi kumva kuwawa mkamwa, chizungulire m'mawa, komanso kusowa kwa chilimbikitso.

Chizindikiro cha kuledzera ndi timadzi ta pancreatic titha kukhala makanidwe olimbitsa thupi kuzungulira msomali, kuwonetsa kudzikundikira kwa ma enzymes mu mafuta obisika, komanso kupweteka kwakanthawi mu hypochondrium.

Zoyenera kuchita ngati zizindikiro za chizungulire ziziwoneka

Ngati pali kufooka kwa kufooka ndi chizungulire, chinthu chachikulu sikuyenera kuchita mantha. Muyenera kukhala wodekha momwe mungathere kuti muthandizire nokha kapena kuti mupemphe thandizo kwa munthu wapafupi.

Ngati maso anu ayamba kukhala amdima ndi osinjirira, muyenera kuyimilira kapena kukhala pansi ndikutsamira pang'ono. Ndikofunika kuti musatseke maso, apo ayi, chidwi cha chizungulire chitha kukulira. Muyenera kungoyang'ana modekha patsogolo panu ndikuyang'ana pa kupuma: mpweya wozama kudzera pamphuno - kutulutsa kofunda kudzera mkamwa.

Madzi aukhondo wamba opanda mpweya amathandizira kukhazikika. Muyenera kumwa pang'onopang'ono, m'malo ochepa.

Ndi kufooka kwakukulu ndi zizindikiro zakukomoka, ammonia ingathandize. Kupumira ndikofunikira osati mwachindunji kuchokera botolo, koma pochotsa botolo pang'ono.

Inde, muyenera kufunsa dokotala. Makamaka ngati izi sizachilendo.

Kuchokera kuzithandizo zapakhomo, kulowetsedwa kwa zitsamba (timbewu tambiri, linden, lavender). Amasamba m'malo mwa tiyi, kuwonjezera uchi ndi zakumwa. Mankhwala azitsamba ndi abwino osati patsiku la kuukira, komanso mwa njira yotalikilapo ya kupewa.

Zizindikiro zazikulu za kapamba

Ngati tizingolankhula za chifukwa chomwe mutu umaphulira ndi kapamba, zifukwa zimamveka, chinthu chonsecho ndi kulumpha kowopsa m'mwazi wamagazi ndikusowa kwamahomoni oyambira, ndiye chifukwa chomwe chiyambi cha zizindikilo zina zonse chikadali funso.

Amadziwika kuti matendawa ali ndi mitundu yambiri ya maphunzirowa. Iliyonse ya magawo awa imatsatiridwa ndi zomverera zowawa. Poyamba, zimasanjidwa pamimba, ndipo pokhapokha zimatha kufalikira ku chifuwa kapena kumbuyo. Nthawi zina odwala amawona kuti mu supin malo opweteka amawonjezereka. Kuphatikiza apo, akuti:

  • kusanza ndi mseru
  • ukufalikira
  • munthu amatha kukhala ndi malungo
  • Khungu limayamba kumata.

Ngati tikulankhula za mtundu wamatenda a matenda, ndiye kuti umatha kutsagana ndi kupweteka kwapafupipafupi kapena m'mimba. Komanso mu nkhani iyi, kuchepa thupi, zopondapo zomasuka zalembedwa.

Pancreatitis nthawi zambiri imayambitsa nkhawa, kupsinjika, ndi zizindikiro zina monga kuthamanga kwa magazi, kuthamanga kwa mtima, komanso kupumira mofulumira.

Vutoli lingathenso kuyambitsa zovuta zazikulu zomwe zitha kukhala zowopsa m'moyo.

Zimayambitsa kufooka pa kapamba

Matenda aliwonse ali ndi mawonekedwe ake. Ma pathologies ena amawonetsedwa ndi zowawa, ena amathandizira kuwonjezeka kwa kutentha, koma palinso zomwe zimachitika ndi kufooka kotchulidwa. Makamaka, izi zimachitika ndi kapamba, makamaka munthawi yake.

Chifukwa cha kuwoneka kwa njira yotupa m'matumba, odwala nthawi zambiri amakhala ndi zofooka

Monga lamulo, matendawa amayamba modzidzimutsa, koma nthawi yomweyo, milandu siyimachotsedwa pamene gawo lanyumba limakhala lochepa ndipo matendawa amapezeka ngakhale kusintha kwa dystrophic kwayamba m'thupi. Kuti muyambe kuchiza matenda mu nthawi, muyenera kuyang'anira thupi lanu, koma mutha kuthana ndi kufooka pokhapokha podziwa momwe amapangidwira.

Kodi zingakhale zovuta ziti?

Mukukonzekera matendawa, kuwoneka kwa zovuta ndizotheka.

Pancreatitis ndizovuta kuchiza matenda.

Nthawi zambiri, ngakhale mutalandira chithandizo chabwino, zovuta zitha kuchitika mtsogolo.

Mukumana ndi zovuta, zizindikiro zotsatirazi zitha kuoneka:

  1. Kupuma (kungayambitse kudandaula).
  2. Kuthetsa madzi m'thupi (kuchepa kwamadzi kwambiri).
  3. Zovuta m'thupi (mwachitsanzo, kupuma movutikira, kupweteka kwa impso kapena mtima).
  4. Pseudocysts (kuchuluka kwa minofu yowonongeka ndi madzimadzi omwe amasonkhana mwachindunji m'goli kapena malo ozungulira).
  5. Zowonongeka za minofu (necrosis).

Inde, chizindikiro chachikulu cha matenda ndi mseru komanso chizungulire. Amachitika chifukwa cha kutsika kwa magazi. Chifukwa chake, ngati munthu amayamba chizungulire, pomwe vutoli limangobwereza, ndibwino kufunsa upangiri wina kuchokera kwa dokotala.

Kuti mudziteteze ku kuwonongeka kotereku muumoyo, ndikofunikira kumvetsetsa zomwe zimayambitsa ndi zoopsa zomwe zimayambitsa kufooka kumeneku.

Zina mwa zifukwa zazikulu ndi izi:

  • kudutsa ndulu ya ndulu, komwe kumatseketsa kukoka kwa kapamba (komwe nthawi zambiri kumayambitsa kuwawa),
  • uchidakwa umaphatikizidwa ndi pancreatitis yowopsa komanso yovuta kwambiri,
  • Kusuta fodya kumalumikizidwa ndi chitukuko cha kapamba ndi kupitilira kwa khansa ya kapamba.

Zomwe zimayambitsa zovuta kwambiri:

  1. Kuvulala kwa kapamba.
  2. Kugwiritsa ntchito mankhwala ena.
  3. Mkulu triglycerides.
  4. Vuto la ma virus monga mumps.

Zomwe zimayambitsa matenda osachiritsika:

  • kusintha kwa matenda kukhala obwera chifukwa cha kapamba,
  • kukula kwa cystic fibrosis (ana ali pachiwopsezo)
  • kuperewera kwa zakudya m'thupi.

Ngati munthu akudwala koopsa, komanso ali ndi cholecystitis, ndiye kuti muyenera kufunsa dokotala, Makamaka, ngati banja lili ndi lingaliro lakukhazikika kwa matendawa.

Kodi pamakhala chizungulire ndi kapamba?

Nthawi zambiri odwala amakumana ndi vuto pamene chizungulire chimachitika ndi kapamba. Chizindikiro ichi ndi chizindikiro choyamba kuti wodwalayo wayamba kutupa m'thupi lomwe lili pamwambapa.

Ndikofunika kudziwa kuti kupatuka kulikonse pakugwira ntchito kwa chiwalo kungayambitse chisokonezo pakupanga ma enzymes ophatikizira komanso kuperewera kwamahomoni konse.

Mavuto akachitika pantchito ya thupi, mphamvu ya kapangidwe ka mahomoni monga insulin ndi glucagon imasokonekera.

Matenda a kapamba omwe amaphatikizidwa ndi kukhalapo kwa njira yotupa mu minyewa ya kapamba imatha kutsagana ndi kubwereza kochulukira mkati mwa kutupa.

Nthenga ndi chizungulire ndizogwirizana kwambiri. Izi ndichifukwa choti pang'onopang'ono ngati chiphuphu chikugwira bwino ntchito, insulin yokwanira imayamba kupangidwa mthupi, zomwe zimapangitsa kuti magazi a shuga asokonekera. Chifukwa cha zonse zomwe zimachitika, zizindikiro za chizungulire komanso kumva kufooka kumawonekera.

Wodwala akayamba kumva kuti ali ndi chizungulire, ayenera kupempha thandizo kuchipatala mwachangu. Pambuyo pokhazikitsa chidziwitso chodziwikiratu, ndizotheka kudziwa chifukwa chenicheni chazinthu zoyipa ndikuyamba kulandira chithandizo chadzidzidzi.

Kodi kuzindikirika kwa matendawa ndi kotani?

Mukamayesedwa, adokotala amafufuza wodwalayo ndikuwonetsa zizindikiro za kapamba, kuphatikizapo kupweteka kapena kutulutsa magazi.

Ngati matendawa akula, kuchepa kwakukulu kwa kuthamanga kwa magazi, kutentha thupi, komanso kusintha kwa mtima kumaonekera.

Mukazindikira, ndikofunikira kuyesa mayeso kuti mudziwe magwiridwe antchito, izi zitha kukhala mayeso wamba wamagazi, kuyesa kwamkodzo ndi ndowe.

Chifukwa cha mayeso a labotale, kupezeka kwa milingo yachilendo ya michere yonse yopangidwa ndi thupi, mwachitsanzo, amylase, lipase, imapezeka.

Ngati pali kukayikira kwa kapamba, ndikofunikira kudziwa mulingo wa leukocytes ndi zinthu zina zamagazi, komanso zinthu zina zam'magazi, posintha momwe wina angaweruze kupezeka kwa kapamba.

Kupanga kwamimba m'mimba ndi x-ray kumachitika.

Pancreatic MRI nthawi zina ingafunike. Kuunika kumeneku kudzathandiza kudziwa kupezeka kwa matenda m'mimba mwa munthu.

Ndikofunikira kupatula matenda ena omwe amatha kupatsanso zizindikiro ndi zizindikiro zomwezo mukazindikira pancreatitis. Matenda oterewa amatha kukhala zilonda zam'mimba, kutupa kwa ndulu (pachimake cholecystitis) ndi matumbo. Pambuyo pofunsidwa kwathunthu ndi pomwe lingayambitse matenda oyamba.

Ndi matenda oterewa, kuchipatala kwa wodwala kumafunika. Makamaka ngati muwona kuwonongeka m'moyo wabwino.

Kodi kuchitira matendawa?

Choyamba, adotolo amafotokozera mankhwala. Pakati pa mankhwala akuluakulu omwe amalimbikitsidwa kuti azigwiritsa ntchito ndi pancreatin.

Koma ndikofunikira kumvetsetsa kuti ndi gawo liti la matendawa komanso ngati kuchipatala kuli kofunika kwa wodwala. Nthawi zambiri chithandizo chamankhwala chodzidzimutsa chimafunikira, mpaka kuchotsedwa kwa ndulu, komanso kudziunjikira kwamkati pamimba.

Nthawi zina zimakhala zokwanira kutsatira chakudya chokhazikika kapena kusala kudya.

Kuthana ndi ulesi ndi chizungulire ndi matendawa ndizotheka pokhapokha ngati zifukwa zenizeni za matendawa zakhazikika.

Kukula kwa chithandizo kumatengera zaka, thanzi la wodwalayo komanso kuopsa kwa vutoli.

Nthawi zina, matendawo amapezeka bwino. Kuchiza ndikwabwino kwambiri mwa odwala omwe amasiya kusuta ndikuletsa kumwa mowa, komanso kutsatira kwambiri zakudya.

Mavuto, monga kuwonongeka kwa minofu, matenda, kulephera, matenda ashuga, komanso chikomokere, nthawi zambiri zimayambitsa zotsatira zoyipa.

Malinga ndi National Institute of Health, kufa kumatha kufikira 10-50% mwa odwala omwe ali ndi zovuta kwambiri (mwachitsanzo, kuperewera kwa ziwalo). Muzochitika zotere, kapangidwe kazinthu zonse zofunikira za biologic yogwira zimasokonekera.

Kuti muchepetse kutenga matenda, muyenera kumwa mowa wambiri, osasuta, komanso kudya zakudya zabwino, zamafuta ochepa.

Muyenera kumayesedwa pafupipafupi ndipo ngati pali zovuta zilizonse zomwe zingachitike, pitirizani kuzithetsa.

Zizindikiro za kapamba zimakambidwa mu kanema munkhaniyi.

Kufooka ndi chizungulire ndi kutupa kwa kapamba: momwe kapamba amatipatsira mphamvu

Zizindikiro zazikulu za pancreatitis ndi kupweteka kwa m'chiuno m'chigawo cha epigastric ndi mawonekedwe a dyspeptic: nseru, kusanza, chopondapo chosakhazikika.

Komabe, matendawa amathanso kupangitsa kuti zizindikiritso zina zimvekere. Chizindikiro chimodzi chosadziwika cha kufooka kwa kapamba ndi kufooka.

Nthawi zambiri pamakhala limodzi ndi chizungulire, nthawi zina, munthu amatha kuzindikira.

Chifukwa chiyani kufooka kwakukulu kumabuka?

Mu pathogenesis ya pancreatitis, maselo a kapamba amawonongeka, pomwe zinthu zomwe zimapangidwa zimalowa m'magazi, zimayambitsa kumwa kwa thupi. Maoyimira pakati a nayitrogeni amapangidwa: bradykinin, histamine ndi ena, zomwe zimatsogolera pakuwonjezeka kwa kutentha.

Kuledzera kwa Exo native ndi hyperthermia kumatha mphamvu zamkati mwathupi. Ndi kuwonjezeka kwa kutentha kwa thupi, njira zonse zamagetsi zamagetsi zimatha. Glucose "amatheratu" pa kutentha thupi.

Popeza chithandizo chachikulu ndi njala, kukonzanso mphamvu zamagetsi sikuchitika, kugawanika kwa nkhokwe kumayambira. Dipo la glucose, lomwe limapangidwa ndi glycogen m'chiwindi, limatha, metabolism yama cell mafuta imayamba kupeza mphamvu zowonjezera. Pang'onopang'ono, thupi limatha.

Wodwalayo amamva izi ngati kufooka wamba komanso kufooka kwa mphamvu. Popeza ubongo ndi woyamba kumva kuperewera kwa glucose, nthawi zambiri wodwalayo amakonza chizungulire ndi kufooka ndi kapamba, amdima m'maso ndikusintha kwa thupi. Kuyenda kulikonse kumakhala kovuta.

Pa magawo oyamba, ma enzyme ambiri ochokera ku maselo owonongeka a gland amalowa m'matumbo lumen. Izi zimawonjezera kupweteka m'dera la epigastric ndipo zimapangitsa kukula kwa zilonda zam'mimba ndi magazi. Ndi kuchepa kwa magazi, mitundu ya kuchepa kwa magazi m'magazi a hemhemorrhagic, chizindikiro chachikulu chomwe chiri kufooka kwenikweni, pomwe mutu ukupindika.

Munthawi yayitali

Panthawi ya chifuwa chachikulu, kutupa kwa kapamba kumachitika pakhungu; kutalika kwa njirayi kumapangitsa kutsika kwa maselo aminyewa. Ma enzymes ochepa kwambiri a pancreatic amatsegulidwa mu lumen yaing'ono.

Mu lumen ya cholowetsa chakudya, ma pancreatic michere pansi pa zochita za bile zomwe zimayendetsedwa ndi chiwindi zimayatsidwa ndikuthandizira kuti chakudya chisokedwe:

  1. Mitengo (amatha kugawanitsa mapuloteni ovuta, makamaka ulusi wa minofu - nyama, nsomba).
  2. Lipase (Wokhoza kuthana ndi zovuta zamafuta - mafuta amanyama ndi masamba).
  3. Zoyeserera (Wokhoza kuthana ndi zovuta zophatikiza zama carbohydrate kukhala zosavuta zosavuta).

Zophatikizira zovuta sizingathe kuzimitsidwa, chifukwa chake, zinthu zopanda pake zomwe zimalowa m'thupi. Wodwalayo alibe poti angapeze zakudya kuchokera ku. Kutalika kwake, njirayi yolimba ya thupi. Hemoglobin synthesis imasokonezeka, kuchepa kwa magazi m'thupi kumapangidwa.

Ndi anemia pakupuma, maselo ofiira ochepa kwambiri amakhala ndi mpweya. Izi zimatengera kukonzekera kwa anaerobic intracellular kupuma.

Pankhaniyi, kuchuluka kwa mphamvu zamagetsi (ATP, ADP, AMP) zimapangidwa pang'ono, maselo amakumana ndi vuto la mphamvu. Ichi ndi chizindikiro cha kutopa kwambiri.

Ndizovuta kuti munthu agwire ntchito yomwe m'mbuyomu idalibe vuto, amafunafuna kugona nthawi zonse.

Momwe angamenyere

Njira yayikulu yothetsera nkhaniyi ndikutsatira malingaliro onse a dokotala. Mu chifuwa chachikulu cha pancreatitis, kupewa izi kumachitika, komanso zovuta zina.

Chofunikira kwambiri ndikutsatira zakudya. Thanzi liyenera kukhala lamphamvu momwe lingathere.

Zakudya zopatsa thanzi zimakonda:

  • phala (buckwheat, oat, tirigu ndi ena),
  • buledi wokalamba
  • masamba ophika (beets, kaloti, mbatata ndi zina),
  • tiyi wopanda mphamvu wokoma, ma compotes ndi zina zotero.

Ndikofunikira kugwiritsa ntchito kukonzekera kwa enzymatic komwe kumathandizira kugaya chakudya ndikuwonjezera kuyamwa kwa michere. Izi zimakupatsani mwayi wowonjezera mphamvu zamthupi zolimbana ndi matendawa.

Gome lokonzekera:

MankhwalaMachitidweNjira yogwiritsira ntchito
ChiboniProteolytic, amylolytic, lipolytic zochita,

Zimathandizira kugaya chakudya pancreatic insuffidence.

Osavomerezeka m'masiku oyamba kukhathamiritsa kwa kapamba, pakakhala kuwonjezeka kwa enzymatic ntchito.

Nthawi iliyonse chakudya, kapisozi 10 kapena 25 zikwi.
ZothandizaNdi osakwanira exocrine ntchito (kaphatikizidwe michere) gland. Nthawi zambiri amawononga mafuta opangira mafuta.Mapiritsi awiri mukatha kudya.
ChikondwereroChothandiza kuthamangitsa chimbudzi. Nthawi zambiri amagwiritsidwa ntchito poletsa kuchulukana kwa kapamba.Mapiritsi awiri mutatha kudya, ndikumva kuwawa.

Mu nthawi ya pachimake, kulowetsedwa kwa shuga kapena dextrose kukonzekera kwa 5-10% ndi subcutaneous makonzedwe a insulin amakhazikikanso. Izi zimakuthandizani kuti mupange hypoglycemia.

Popewa kufooka, limodzi ndi chizungulire, ndimatenda osachiritsika, njira yophatikizika ndiyofunikira.Maphunzirowa amapereka vitamini mankhwala, kukonza kuchepa kwachitsulo. Izi zimakuthandizani kuti mulamulire kuchuluka kwa hemoglobin.

Wodwala wodwala kapamba ayenera kulembedwa ndi gastroenterologist. Izi ndichifukwa choti njira yodwalayo imakonda kupweteketsa zilonda ndi kuperewera (mapangidwe a oncopathology). Chizindikiro choyamba cha khansa ya pancreatic ndi kufooka, kuwonjezeka kwa kutopa motsutsana ndi maziko a kuchepa kwapang'onopang'ono kwa kulemera kwa thupi - cachexia.

Chifukwa chake, kufooka ndi chizungulire ndi kapamba ndi anzawo okhazikika. Ndi chithandizo choyenera komanso zakudya, zizindikiro zimachepetsa. Ngati palibe zizindikiro zakukondowera, koma zizindikirazo zikupitiliza, muyenera kufunsa upangiri ndikupita kukayezetsa kuti mumvetse bwino zomwe zimayambitsa.

Kusiya Ndemanga Yanu