Ndi dokotala uti amene amayenera kuchiza kapamba

Ngati munthu akumva kusasangalala m'mimba mwake, ndiye kuti ayenera kufunsa othandizira. Uyu ndi dokotala woyamba yemwe amayenera kufunsidwa kuti akumane ndi mavuto am'mimba. Komabe, ngati uku ndi kapamba, ndiye dokotala uti amene azimuyang'anira, kuthandizira?

Tiyeni tiwone mu nkhani zomwe adotolo amachita pamatenda a kapamba, ndi zomwe amachita choyamba.

1. Adokotala atenga zonse zokhudzana ndi zomwe zingayambitse matenda.
2. Adzaona wodwalayo, ndi kupenyetsetsa m'mimba mwake ndi mkamwa.
3. Ikufotokozera zamtundu ndi mtundu wa zowawa.

Kuyendera koyambirira

Kuunika koyamba kale kungawonetse ngati zowawa ndi kapamba zimalumikizana, kapena zimadalira njira zina. Kuzindikira koyenera kwa labotale kungathandize mayeso a labotale, omwe adzatsogolera wodwalayo.

Ndipo pamenepo zidzaululidwa kale kuti ichi ndi kapamba kapena matenda ena omwe dokotala wina amamuchita.

Chofunika kwambiri kuti mudziwe njira zodutsira m'matumbo ndi chosunthira ma ultrasound, makamaka ngati pakhala vuto la pancreatitis, pomwe adokotala angadziwitse:

• Kodi kapamba amawakulitsa,
• heterogeneity ya echogenicity, chomwe chidzakhale chizindikiro cha chotupa, kapamba amayamba,
• Kuphatikiza apo, mutha kuwona ma neoplasms osiyanasiyana (ma cysts kapena zotupa),
• kudziwa malo ndi kuwonongeka kwa gland.

Ngati kupimidwa kwa ultrasound kukuwonetsa kukhalapo kwa njira zotupa mu kapamba, ndiye kuti mukalandira chithandizo chambiri wodwalayo amapita kwa a oncologist. Ndiamene amasankha ngati kuli koyenera kuchitidwa opaleshoni kapena ngati mankhwala amphamvu ayenera kuthandizidwa ndi kuchitira oncology.

Kutupa kwa pancreatic (pancreatitis) nthawi yomweyo kumafunika chithandizo kuchokera kwa akatswiri angapo.

Povulala kwambiri, wodwalayo amatumizidwa ku dipatimenti yochita opaleshoni, komwe amamuwunikira mosamala ndi dokotala wa opaleshoniyo kapena kuti akutsitsimutsanso (izi zimatengera momwe munthu adzakhalire akugonekera kuchipatala).

Chithandizo ndikutsatira

Pambuyo pochotsa chiwonetsero chachikulu cha kapamba, wodwalayo amasinthana ndi chithandizo cha gastroenterologist. Popeza kapamba amatsogolera pakudya kwa chakudya, kuyamwa kwa gastroenterologist komanso nthawi yothandizidwa ndi iye ndikofunikira kuti ntchito yathanso ya thupi ndikuchita ntchito zake.

Kuphatikiza apo, adotolo adzapatsa wodwalayo upangiri wofunikira pa gulu lazithandizo zamagulu azakumwa, popeza kuti kutsatira zakudya zapadera kumathandizira kwambiri pancreatitis, ndipo izi zitha kukhala zakudya zosavuta zopweteka kupweteka kwa kapamba kapena zakudya zosankhidwa payekha.

Ngati gastroenterologist amafotokoza bwino chithandizo, izi zimapangitsa wodwalayo kuiwala za matenda monga kapamba, mwachitsanzo. Ngati zochitika sizikula bwino, nthawi ndi nthawi munthu amatha kuzunzidwa ndimachulukidwe ambiri.

Kodi katswiri wa endocrinologist amafunikira liti?

Nthawi zambiri, kapamba angafunsidwe ndi katswiri wofanana ndi endocrinologist. Nthawi zambiri, zimatengera zochitika zake zachindunji, momwe kapamba amadzayendera mtsogolo, komanso ngati matendawa adzabweretsa zovuta m'matenda a shuga.

Ngati kuphwanya kwa insulin kaphatikizidwe kwapezeka m'thupi la munthu, adotolo ayenera kusankha mlingo woyenera wa timadzi timene timatulutsa. Ntchito za endocrinologist zimaphatikizapo kulembetsa kwa wodwala yemwe ali ndi matenda osokoneza bongo komanso kuwunikiranso mayendedwe ake, makamaka amamuthandiza wodwalayo ndikumamuyang'anira.

Wodwala akamalandira chithandizo chamankhwala ndikuchotseredwa, ayenera kulembetsa ku malo okhala ndi ochiritsira. Ndi dotolo uyu yemwe apitiliza kuunikira zikondwerero za wodwalayo ndikumutumiza kwa akatswiri ang'onoang'ono kuti akamuyeze.

Samachita kwambiri, pamutuwu, pochita zowunikira komanso pothandiza kupewa. Izi, komabe, ndizokwanira kupewa kapamba, kapena matenda ena.

Wochiritsirayo ayenera kutsimikizira wodwala kuti atsatire malingaliro onse a madokotala, chifukwa kukhazikitsa kwawo komanso kufufuza kwakanthawi ndizotheka kupewa zovuta zosafunikira za matendawa.

M'malo mwake, gawo lalikulu mochizira matenda opatsirana a kapamba limayendetsedwa ndikuwunika koyenera kwa zomwe odwala ali nazo. Wodwala ayenera kudziwa kuti thanzi lake ndilofunika kwambiri ndikuwonetsetsa zoyipa zonse mthupi lake panthawi.

Madokotala Ochita Ziphuphu

Kutupa kwa pancreatic ndi kowopsa ndipo kumafuna chithandizo chovuta. Pachifukwa ichi, ndizovuta kupereka yankho kwa omwe adotolo adziwa. Munthawi zonsezi, njira yolankhulirana payokha.

Popanga matendawa, kapamba amafunika kufunsa madokotala angapo. Ndani amasamalira matenda:

1. Wothandizira.
2. Opaleshoni
3. Gastroenterologist.
4. Oncologist.
5. Endocrinologist.

Ndi dokotala wokha amene akuchita nawo m'derali yemwe angapereke chithandizo choyenera komanso choyambirira. Dokotala pakuyang'ana koyambirira kwa wodwala akuwonetsa ngati pali kulumikizana pakati pa zomverera zopweteka ndi matenda a pancreatic, kapena ngati matenda ena ali ndi zomwe zimapangitsa kuti akule.

Kuti muzindikire bwino momwe kupweteka kumayendera kapamba, ndimayeso a ultrasound, amathandizira kudziwa mawonekedwe a kapamba.

1. Kukula.
2. Echogenicity.
3. Kukhalapo kwa cysts, zotupa.
4. Gawo, kuya ndi malo owonongeka.

Kutengera ndi kuopsa kwa matenda, zamankhwala zimachitika m'madipatimenti opangira opaleshoni, gastroenterology kapena mankhwala. Ngati chotupa chapezeka chifukwa cha kuyesa kwa ultrasound, wozunzidwayo ayenera kukaonana ndi a oncologist.
Ndi kukula kwa chodabwitsa cha kapamba, chomwe dokotala amachiza matendawa.

Powonetsa koyamba matenda a kapamba, akatswiri othandizira amathandizira. Adzaunikira koyambirira, ayankhe kaye ndi kuzindikira.

Dotolo amatenga anamnesis wa matenda, kudziwa kuti ndi liti kapena munthawi iti zomwe zizindikiro zoyambirira zimatuluka, ngati pali kusintha pakukumba, kupweteka pansi pa nthiti.

Chofunikira chachikulu ndicho kupezeka kwa matenda omwe amayenda ndi chiwindi, m'mimba, chikhodzodzo.

Kenako dotoloyo amafotokozera mayeso angapo omwe adzawerengere zamatenda a kapamba.

1. Kusanthula magazi ndi mkodzo.
2. ECG - imakuthandizani kuti musiyanitse pakati pa matenda amtima ndi matenda a peritoneal.
3. Zizindikiro zam'mawu amodzi.
4. Cop program - imawulula kukhalapo kwa ulusi wosapitilira kapena mafuta m'malo am'mimbamo.

Njira yothandizira ikuphatikiza ndi ultrasound ya ziwalo zam'mimba, endoscopy yam'mimba. Kutengera zotsatira za mayeserowa, dotolo amapanga matenda ndikuwonetsa chithandizo, chomwe chidzachitike mu gawo la mankhwala kapena gastroenterology. Gastroenterologist adzakuthandizani ndi matenda osachiritsika, chokwanira cham'mimba komanso chidziwitso chogwirizana ndi matumbo ndi m'mimba.

Ngati chithandizo sichingachitike popanda kuchitidwa opaleshoni, tumizani kwa dokotala wa opaleshoni.

Chithandizo cha thumbo chimagwiritsidwa ntchito ngati njira yodziyimira, komabe, ndi zovuta zina, wodwalayo ali ndi mwayi wopeza mwayi wochita opaleshoni mwadzidzidzi.

Makamaka, izi ndizofunikira mu mtundu wawukulu wa matenda. M'matumbo, ma cysts ndi malo owonongeka amapangidwa omwe amatha kudzilimbitsa.

Madokotala ochita opaleshoni amayesa kuthawa opaleshoni yotseguka ngati pakuchulukitsa kwa matenda. Ndiye njira zochepa zowukira zimagwiritsidwa ntchito. Mwachitsanzo, punct yokhala ndi mawonekedwe a drainage motsogozedwa ndi ultrasound. Chithandizo pambuyo pakuchotsa kwa dokotala wa opaleshoni chikuchitika ndi dokotala ngati kuwonongeka kwa minofu kumachitika pakadwala komanso kusintha mobwerezabwereza kwa kapamba amapezeka.

Mu magawo akulu a matendawa omwe angathe kusokonezeka ndi necrosis, wozunzidwayo amapititsidwa kumalo osamalira odwala. Kuchiritsa kumachitika ndi ma resuscitators, opaleshoni. Pambuyo pokhazikitsa thanzi, wozunzidwayo amasamutsidwa kumalo osavuta.

Endocrinologist

Matendawa akapita kuzilumba za Langerhans, gland imalephera kutulutsa insulini mu kuchuluka kofunikira, ndipo mavuto a endocrine amatuluka. Kuphatikiza apo, wodwalayo amachepetsa kaphatikizidwe ka glucagon, somatostatin. Amayambitsa digestibility yama chakudya ndi mapuloteni. Izi zikuwonetsa kuti kuwonjezera pa kapamba, wodwalayo amakhala ndi matenda ashuga ndi zina.

Kuti mupewe izi, muyenera kufunsa wa endocrinologist. Dokotala amawunika momwe munthu akuvutikiradi, akuwonetsa kuchuluka kwa shuga. Ndipo imagwiritsanso ntchito kusintha kwa kadyedwe ka matendawa ndi kugwiritsa ntchito mankhwala a mahomoni.

Othandizawa atumizanso kutumiza endocrinologist ngati kuyezetsa magazi kuwulula kuphwanya shuga.

Gastroenterologist

Njira yotupa yopatsirana m'mapapo imabweretsa mavuto ambiri. Nthawi zambiri wochiritsirayo samatha kusintha mankhwalawo m'njira yoyenera, chifukwa chothandizidwa ndi gastroenterologist adzafunika.

Dokotala adzakuthandizani kukhazikitsa tebulo labwino la zakudya, kudziwitsa za kuchuluka kwa zakudya ndi matenda. Kuphatikiza apo, adotolo amafunikanso posankha kuchuluka kwa michere. Njira yothandiza yogaya chakudya imadalira mlingo woyenera pamene kuukira kudutsa.

Chithandizo chowonjezera, chophatikiza ma proiotic, mavitamini ndi mankhwala omwe amasintha chitetezo cha mthupi, amachitidwanso ndi gastroenterologist.

Pa nthawi yayitali ya matendawa popanda kulandira chithandizo, maselo onse am'mimba komanso ziwalo zina zam'mimba zimavutika.
Zinapezeka kuti palibe mankhwala ochizira kapamba omwe amayambitsa khansa kapamba, m'mimba ndi chiwindi.
Kuzindikira kwa tumor ndi motere:

• Ultrasound
• compression tomography,
• magonedwe amatsenga.

Ngati wozunzidwayo satsatira malangizo a dokotalayo, ma cysts ndi zotupa za m'munsi zimapangidwa mu minyewa ya kapamba. Ngati vuto lofananalo likuyembekezeka, ndikulimbikitsidwa kukaonana ndi a oncologist. Kutengera zotsatira zowunikira, dotolo apeza kuthekera kwa mapangidwe a khansa pa kapamba, m'mimba, chiwindi, chifukwa alumikizidwa.

Zizindikiro za matenda apamba

Kuyambanso kufunafuna chidziwitso chomwe dokotala atembenukire kapamba akamapumira, ndikofunikira kumvetsera kuzowonetsa za matenda. Pali zochitika zina zomwe wodwala amazunzidwa ndi impso, ndipo amapita kwa dokotala wa gastroenterologist.
Kuwonetsedwa kwa matenda osakhazikika a kapamba:

1. Zochitika zopweteka m'mimba, pansi pa nthiti kuchokera kumanzere, zomwe zimakulitsidwa ndikugwiritsa ntchito chakudya.
2. Kuchepetsa mseru
3. Kutsekula m'mimba, kudzimbidwa.
4. Zofooka.
5. Mapangidwe amipweya, belching.
6. Kulakalaka.

Ngati zikondazo zimayaka, ululu umapezekanso pansi pa nthiti yakumanzere komanso kumbuyo kumanzere. Mawonetseredwe otere nthawi zambiri amasokoneza, chifukwa osteochondrosis amaganiza, ndipo nawo, ovutitsidwa samakonda kupita kwa dokotala.

Ngati matenda a pachimake akuwoneka, kupweteka kwam'mimba kumapangidwa m'chigawo chapamwamba, chomwe chikuwonetsa matenda a gland. Kuti muthandizire panthawi yakukhudzidwa, ndikofunikira kuyitanitsa chithandizo chamankhwala, popeza kuvulala kopweteka sikumalephera ndipo kumabweretsa zovuta zambiri kuti zotsatira zake ziphe. Madotolo awonetsa chisamaliro chachipatala choyambirira ndikumutengera wodwala kuchipatala.

Ndi dotolo uti yemwe azichita chithandizo chotsatira chifukwa cha mayeso athunthu. Pazachipatala, kapamba amathandizidwa mu opareshoni, gastroenterology kapena mankhwala.

Kodi pancreatitis pachimake imawonetsedwa komanso zoyenera kuchita

Pancreatitis ndi imodzi mwazomwe zimapangidwira kwambiri pamimba. Amapangidwa chifukwa chamadyekedwe osakudya, popanda kumwa mowa, kumwa mitundu ina ya mankhwala.

Njira yotupa m'matumbo imafalikira ndi zizindikiro zomwe zimadutsa ndikuwonetsa poizoni. Enzyms zomwe zimayambitsa matendawa zili m'mayendedwe a gland kapena mwa iyo, ndikuwononga kuchokera mkati.

Kuphatikiza apo, ma enzyme amatha kulowa mu magazi, zomwe zimabweretsa kuledzera.

Mu gawo lachiwopsezo chachikulu cha kapamba, wodwalayo amakhala akuzunzidwa ndi kupweteka kosaloleka m'mimba. Ali ndi chopanda pake kapena chodulira chake. Ululuwu ndi waukulu kwambiri kotero kuti ungayambitse kukula kwa kuwawa. Matendawa amakhala padera kumanja kapena kumanzere pansi pa nthiti, kapena ili kumapeto kwa chifuwa. Dera la ululu wamatenda zimatengera gawo liti lachiberekero lomwe limayambitsa zotupa. Ndi kuwonongeka kwa kapamba wonse, ululu wammbuyo umakhala ndi chozungulira.
Njira yosavuta yodzithandizira ndi zowawa m'mapamba ndizovuta pang'ono.

Kuonjezera kuchipatala kumafunikira kuti apereke mankhwala ozindikira komanso ochizira. Malingaliro azithandizo azikhala:

• pothetsa kutupa,
• kuchotsa kwa poizoni m'thupi,
• kuchita njira yochizira.

M'masiku atatu oyamba, kusala kwathunthu kumafunikira. Izi zimathandizira kuti thupi liyambe kuchira ndikuyamba ntchito zomwe zimachitika nthawi zonse. Kenako mutha kungoyatsa zakudya, kuti ziwonongeke bwino. Ngati mutsatira zakudya, ndizotheka kuchepetsa chiopsezo chokhala ndi zatsopano ndikuwonjezera kubwezeretsa kwathunthu.

Malonda a kapamba wa kapamba

Dokotala wokhala ndi matenda omwe amalumikizidwa ndi pancreatic pathologies anganene kuti matendawa amathandizidwa nthawi yomweyo zizindikiro zoyambirira zikaonekera. Chithandizo cha matendawa chimatengera zinthu zomwe zimayambitsa kukoka, komanso mitundu ya zomwe zimachitika. Mankhwala ochiritsira amachitidwa ndi katswiri kapena gastroenterologist.

Mkhalidwe woyambirira wa kuchiritsa ndi chakudya chokhwima. Poyamba, wodwalayo ayenera kumwa madzi kuti abwezeretse ntchito ya chiwalo. Kenako dokotala adzakudziwitsani nthawi yoyambira kudya. Sizoletsedwa kudya mbale yokazinga, mafuta, zonunkhira komanso zotsekemera.

Komanso adotolo azikupatsirani mankhwala othandiza enzyme. Athandizira thupi kugwira ntchito palokha.
Ndikotheka kugwiritsa ntchito njira zina pochizira chiwalo, pomwe koyambirira kumafunikira kukaonana ndi dokotala.
Pakakhala mavuto ndi ziwalo zogaya, poyambirira zimayenera kupita ndi kapamba kupita kwa ochiritsira. Dotolo, pamaziko a kuyesedwa koyambirira ndi kuyesedwa kochitidwa, ayambe payekha kulandira chithandizo kapena kulemba kalata kwa dokotala wina kuti athetse vutoli.

Kodi ndiyimbire ambulansi?

Chimodzi mwa matenda omwe amatsatana ndi kupweteka kwambiri pamimba ndi kapamba. Uwu ndi njira yotupa mu kapamba, yomwe imachitika mokhazikika komanso poyambira. Wodwala akakhala ndi ululu woyaka womwe umaboola gawo lonse la epigastric, kufalikira kwa kapamba. Nthawi zambiri, zoterezi ndizosalephera, ndipo kutupa popanda chithandizo choyenera kumabweretsa zotsatira zoyipa kwa thupi.

Kusankha koyenera ngati matendawa achulukitsa kuyimbira foni kunyumba chisamaliro chadzidzidzi.Gulu la ambulansi lidzayesa wodwalayo, limapereka thandizo loyamba ndikupereka wodwalayo kuchipatala, komwe amakamupima ndi akatswiri odziwa zinthu zazifupi.

Zizindikiro zomwe madokotala amayendera foni mwadzidzidzi akulimbikitsidwa:

• kusanza mobwerezabwereza komwe sikubweretsa mpumulo,
• kupweteka kwambiri m'chiuno
• kuchuluka kwa kutentha kwa thupi
• mawonekedwe a tachycardia,
• dontho mu kuthamanga kwa magazi
• kupsinjika kwa minofu pamimba.

Pafupifupi kutalika kwa nthawi yoyamba ya kapamba ndi zaka 10

Udindo wa wothandizira

Matenda a kapamba amakhala ndi zizindikiro zosiyanasiyana ndipo nthawi zambiri munthu amakhala akuwopsezedwa. Mu kutupa kosalekeza kapamba, wodwalayo ali ndi kumanzere kwa hypochondrium ndi zina zodziwika za njira yotupa ndi:

Kuzindikira kapamba, mayeso ofunikira

• kulemera kwa thupi kumachepa
• kusinthasintha kwa chopondapo kumasintha kwazinthu zingapo kukhala kwamadzi ndi mawonekedwe amafuta,
• ndowe zikukununkha,
• kusilira, pafupipafupi kumayimbira m'mimba ndipo kumatulutsa kwake kumawonedwa.

Ngati ululu wam'mimba sukutchulidwa, ndi bwino kulumikizana ndi othandizira am'deralo. Pambuyo pa mayeso oyamba, dokotala atha kufunsira kwa katswiri woperewera, mwachitsanzo, dokotala wa gastroenterologist, komabe, kudandaula kwam'mimba ndi madandaulo a wodwala sizikhala zokwanira kuti adziwe matenda oyenera. Dotolo wakomweko amatha kulembera tikiti yoyeserera magazi, kuyesa mkodzo, gastroscopy, ndi maphunziro ena. Kuphatikiza apo, wothandizirayo amatumiza kwa katswiri wa ultrasound yemwe amasanthula kukhalapo kwa zosintha zowonongeka mu chiwalo chofunikira, miyala, cysts, zilonda zam'mimba ndi chosaopsa.

Chofunikira: ngati wodwalayo akudandaula za kupweteka kumbuyo kumanzere ndi kumanja kwam'mimba, kufunsa ndi hepatologist, katswiri wa matenda a chiwindi, angafunike.

Chikukulandirani ku gastroenterologist

Ndiye gastroenterologist yemwe amagwira ntchito makamaka pochiza zisa zomwe zili pansi pamimba. Dokotala yemwe amathandizira matenda am'mimba thirakiti samangotengera vuto lomwe lachitika m'thupi, komanso amasankha chakudya choyenera kwa wodwalayo. Ndi mwambo wake, mutha kuletsa kukula kwa kapangidwe ka kapamba, komanso kuchotsa zizindikiritso zambiri zaulesi.

Mu matenda a gland omwe ali pansi pamimba, ndibwino kuti azikonda zakudya zazing'ono

Chikhansa ndichimodzi mwazinthu zofunika kwambiri pakukamata kwachuma, motero thanzi lake ndilofunika kwambiri kuti chimbudzi chikhale bwino. Kulumikizana ndi dokotala wa gastroenterologist kungathandize kupewa kufalikira kwa matenda am'mimba kapena kuchiritsa zomwe zidalipo.

Thandizo la Surgeon

Mavuto ndi kapamba sikuti nthawi zonse amayamba chifukwa cha kutupa. Mukamayesedwa ndi ultrasound, adokotala amatha kudziwa kuchuluka kwa thupi, komwe kumatha kuchotsedwa opaleshoni yokha.

Thandizo la dokotala wa opaleshoni limafunikanso ngati wodwala watengeredwa ndi ambulansi kupita kuchipatala ali ndi vuto lalikulu. Kutengera ndi momwe wodwalayo alili, chisankho chimapangidwa kuti ayitane dokotala wa opaleshoni.

Kuthandizira opaleshoni kumafunikiranso kwa anthu omwe apezeka kuti ali ndi zotupa mu chiwalo, komanso iwo omwe ali ndi eancomy yathunthu ya pancreatic.

Chofunikira: kuyesa kupewa opaleshoni, anthu ambiri amathandizira othandizira pazomera. Kuti mupewe mavuto obwera chifukwa cha mankhwala azitsamba, simungathe kuchitira thukuta momasuka ndi zitsamba ndi mankhwala.

Kodi pa oncologist amafunikira liti?

Zimachitika kuti zotsatira za kuyesa kwa maphunzirowa ndi kupezeka kwa chotupa chowopsa. Pankhaniyi, wodwalayo ayenera kufunsa wa oncologist. Dokotala samangomuuza wodwala kuti amuchiritse opaleshoni kuti achotse madera amene akhudzidwa ndi nduluyo, komanso amauza maphunziro a chemotherapy.

Kuti muthane ndi mavuto amtundu wofunikira, nthawi zambiri ndikofunikira kufunsa akatswiri angapo a mbiri yopapatiza. Ntchito yofunikira kwambiri pamankhwala imathandizidwanso ndi momwe wodwalayo amvera komanso kutsatira malangizo a kuchipatala.