Kodi edema ya pancreatic ndi chiyani

Kukula kwa kutupa mu kapamba kumachitika pokhapokha wodwala akaphwanya malamulo oti atenge tebulo lazakudya. Mukamamwa zakudya zopatsa mphamvu zamapuloteni, mumapezeka michere yambiri ya pancreatic. Njira sizitha kuthana ndi madzi kuzimitsidwa kwathunthu, kenako ndikuyamba kusayenda kwake. Kenako, chinthu chowopsa chodzigaya chimbudzi chimayambira, zomwe zimapangitsa kuwoneka kovuta kwa kapamba. Chifukwa chake, kutupira kwa kapamba kumayamba. Komanso njira, zomwe pambuyo pake zimatsekeka, zimachita manyazi kwambiri.

Zizindikiro za pancreatitis pachimake

Kuti mumvetse chifukwa chomwe kutupa ndi edema kunachitikira, ndikofunikira kudziwa magwiridwe antchito a kapamba. Madzi a pancreatic amapangidwa muzitsulo, ndipo ma enzyme omwe amathandizira kuphwanya chakudya, mapuloteni, ndi mafuta m'matumbo amapezeka momwe amapangidwira. Komanso chimbudzichi chimatulutsa mahomoni, zomwe zimapangitsa kuti azitha kuwongolera kuchuluka kwa insulin m'magazi.

Ntchito ya chiwalo ikasokonekera, kutsekeka kumachitika, zomwe zimapangitsa kuti pakhale chizimba cha kapamba. Madontho a pancreatic sangathe kuthana ndi kuchoka kwa msuzi, ndiye kuti amachita manyazi komanso pafupi.

Pancreatic edema imawonekera chifukwa cha kusintha kwa magwiridwe antchito. Madzi am'mimbamo am'mimba, amatupira.

Edema amatha kupangitsa kuti pakhale kusintha kosiyanasiyana kwa kapamba ndikudzaza ngalande ndi chinsinsi. Pamene edema ya chiwalo ikapangidwa, pamakhala kumasulidwa m'magazi a michere yogwira ndi zinthu zomwe zimawola, zomwe zimapangitsa poizoni m'thupi.

Izi zodabwitsa chifukwa cha zinthu zosiyanasiyana.

Kumwa kwambiri.
Gome lonyansa.
Matenda a Gallstone.

Komanso zimayambitsa pancreatic edema pakukula msanga shuga, kuvutikira ku peritoneum, kapena atachitidwa opareshoni yam'mimba. Kuphatikiza pa zinthuzi ndi monga:

matenda opatsirana a kapamba,
kubowola kwa ngalande zapancreatic,
kukulira kwa zotupa zomwe zimachitika zodetsa ndi zotupa.

Edema ndi kutupa pachimake ndondomeko sizimachitika popanda zizindikiro. Choyambirira komanso chachikulu ndi kupweteka kwa ululu. Zikondwerero za wodwalayo zimachuluka, pamakhala kuphatikizika kwamphamvu kwa minofu.

Popeza mitengo ikuluikulu yamitsempha imapezeka m'gululi, ikapakidwa, pakumveka kupweteka komanso kukulirakulira. Mapeto a mitsempha amaphatikizidwanso mumayendedwe opweteka, omwe amachititsa kuti pakhale kupweteka kwapweteka.

Wodwala amakhala ndi vuto lakumva ululu kuchokera kudzanja lamanja, lamanzere pansi pa nthiti. Nthawi zambiri ndi chizindikiro ichi cha pancreatic edema, kutenga ma pinkillers sikubweretsa mpumulo, ndiye, njira yokhayo yochepetsera zizindikiro zowawa ndikugwada kutsogolo.

Zizindikiro za kapamba zimaphatikizira matendawa.

Wowonongera mphamvu, thupi limafooka, thukuta limachuluka, wodwalayo akunjenjemera. Zizindikiro zimachitika chimodzimodzi, zonse pamodzi ndi kuwonongeka kwa mutu wa kapamba, komanso cholelithiasis.
Ngati pali zotupa zodwala, wodwalayo akudwala, asanza. Kupuma pambuyo poti kusanza kumakhala kwakanthawi, pakapita nthawi nseru imayambiranso. Chizindikiro ndi kusiyana pakati pa kapamba ndi zovuta zina zam'mimba ndi matumbo.
Zinthu zapoizoni zikalowera m'magazi, kutentha kumatuluka, khungu la wodwalayo limayamba kutuwa.
Ndi matenda a diabetes, kamwa yowuma, ludzu, kuyabwa, khungu losafunikira, kukhudzika kwa chakudya kumamveka, kulemera kwa thupi kumakulanso mwachangu, wodwala amatopa msanga, kutaya ndende, kugona nthawi zonse.

Kutentha kukakwezeka ndi madigiri oposa 37,5, zimawonetsa kusinthika kwa kutuluka kogwira ntchito ndikuyamba zinthu zakupha kulowa m'magazi. Pankhaniyi, ndikofunikira kupita kuchipatala ndikupita kukayezetsa.

Pancreatic edema mu nthawi ya pachimake imakhala nthawi kapena yosasintha. Ichi ndi chizindikiritso cha matendawa kuchokera kuzilonda zina zam'mimba.

Ngati pali chotupa cha ziwalo ndi mndandanda wazizindikiro, izi sizoyambira kukhazikitsa matenda. Chifukwa chake, wodwalayo adzafunikanso kukayezetsa.

Kuzindikira matendawa

Atazindikira chifukwa chomwe edema ya pancreatic imachitikira, matenda amapezeka. Chifukwa cha njira zakufufuzira, magawo azovuta zakuvumbulutsidwa amawululidwa, komwe chidwi chake chimadziwika.

Mwa kusanthula kwa magazi, kupezeka kwa gawo la kutupa kwamphamvu kumatsimikiziridwa. Kugwiritsa ntchito kusanthula kwa zamankhwala zam'magazi, kuchuluka kwa michere ya m'mimba, yomwe imapezeka mozama kapena kuchepa, imayesedwa. A urinalysis awulula kukhalapo kwa amylase. Kuphatikiza apo, kafukufuku wa shuga m'thupi amachitika.

Kuzindikira matenda kumachitika pogwiritsa ntchito njirazi.

Esophagastroduodenoscopy - zimaphatikizapo kuwunika kwathunthu kwammero, duodenum, m'mimba pogwiritsa ntchito kafukufuku.
Ultrasound yam'mimba imayang'ana kutupa kwa kapamba. Mukamayesedwa, zimawonedwa kuti chiwalocho chimapitilira muyeso, kukula kwake kumachepetsedwa, gawo lowonetsera sizowoneka. Izi, palimodzi, zikuwonetsa mapangidwe a kutupa.

Maphunzirowa akakwanira kuti azindikire moyenera, dokotala amakayikira zotsatira zake, ndiye kuti wodwalayo amatumizidwa ku MRI.

Kutengera ndi zotsatira za kusanthula, njira zodziwira, dokotala amapanga dongosolo la chithandizo cha kapamba payekha.

Chithandizo cha pancreatic edema

Poyamba, pancreatic edema imachiritsidwa ndikuchepetsa ntchito ya kupanga enzyme. Chifukwa cha izi, kumenyedwa ndi njala kumayendetsedwa ndipo kumagona nthawi yayitali. Chithandizo chotere ndichotheka ndi kutupa kwa kapamba wamankhwala osachiritsika kapena kupweteka kwapafupipafupi.

Gawo lalikulu la kapamba limaperekedwa kuchipatala, moyang'aniridwa ndi madokotala. Wodwalayo ayenera kutsatira zakudya ndikumwa mankhwala.

Ngati kutupa kwa kapamba kuoneka, mankhwalawa amachitidwa motere:

kuchepa kwa ntchito ya hydrochloric acid akudutsa ndi mankhwala a antisecretory. Chithandizo choterechi ndichothandiza kwa nthawi yoyamba tsiku litatha,
Tithandizire kuchepetsa kupweteka, kutupa, kuchepetsa kusintha kwakanema, kuletsa kugwira ntchito kwa zinthu za enzyme pogwiritsa ntchito mankhwala a antienzyme,
pakufunika kuthana ndi edema ndi njira yobweretsera thupi kuti tipewe kuwola ndi zinthu zapoizoni kuti zisadziunjike mthupi,
kuteteza kuphatikizana kwa mafupa a m'magazi mwina ndi mankhwala othandizira
kulowetsedwa ndikofunika kulipiritsa kutayika kwa plasma ndikubwezeretsa kuchepa kwa mapuloteni,
kupewa zotsatira zoyipa - chosowa ndi zovuta zina, zimachitika pomwa mankhwala a antibacterial, omwe amadziwika ndi zovuta zingapo,
zimayambiranso madzi ndi electrolyte bwino, ndipo kusowa kwa zinthu zama protein kumalipira.

Pathologies a limba nthawi zambiri amatsogolera pakupanga zovuta. Kuyendera bwino kwa matendawa ndikotheka ndikuzindikira komanso kuthandizira njira yochizira. Chifukwa chake, odwala ayenera kutsatira mosamalitsa malangizo onse a dokotala.

Pa gawo la chikhululukiro, kugwiritsa ntchito njira zina zamankhwala kumalimbikitsidwa. Odwala amatha kutenga mkati mwa mafuta - filakisi, maolivi, nyanja ya buckthorn, mbewu za caraway. Kutupa ndi decoctions a mankhwala othandizira amathandizidwa. Madokotala amalimbikitsa kuti chithandizo choterechi chingochitika kokha popanda kuchulukitsa matendawa.

Ndi zovuta, wodwalayo amachita opareshoni. Mtundu wa chithandizo cha opaleshoni umachokera ku momwe kutupa kumayambira. Poyerekeza ndi zomwe zimachitika ndi zikondamoyo, laparoscopy imachitidwa, yomwe imakupatsani mwayi wowunikira zigawo zowonongeka.
Ngati dokotalayo ali woopsa ndi dokotalayo, chiwalocho chimatuluka nthawi yomweyo ndi chikhodzodzo.

Madzi ophatikizika mu peritoneum amachotsedwa ndi peritoneal lavage.

Edema monga chizindikiro cha oncology

Matenda owopsa ngati khansa ya pancreatic ndi osowa, koma kukula kwake ndi kowopsa ndipo nthawi zambiri zotsatirapo zake sizabwino. Ndikosavuta kuzindikira pancreatic oncology pamtunda wa chitukuko, popeza wodwalayo alibe zizindikiro zowonekeratu.

Pakupanga khansa, kukula kwachilengedwe kwa maselo mu chiwalo kumawonedwa, komwe pambuyo pake amapanga chotupa. Chifukwa cha kufupika kwa khungu, limalowa m'magazi ndi m'mimba, kenako khansa imabalalika paliponse, ndikupanga foci ya khansa.

Pali magawo otere a khansa ya kapamba.

Pakapangidwa kakulidwe kakang'ono ndipo palibe chiwalo chokulirapo, ndiye gawo loyamba la khansa.
Pa gawo lachiwiri, pamakhala kachulukidwe kachulukidwe kapangidwe kokhotakhota kamene kamachotsa bile kenaka mpaka ku ziwiya zamitsempha.
Gawo lachitatu limadziwika chifukwa khansa imazungulira zonse m'mimba, ndulu ndi kolona, ndi ziwiya zazikulu zamitsempha.
Ngati mawonekedwe a metastases ndi ma lymph node akuphatikizidwa, ndiye gawo ili lachinayi la matendawa.

Selo yoyipa ikadutsa m'mitsempha ya m'mimba, imayenda mu dongosolo ndi kulowa mkati mwake, yopanga kuteteza thupi ku maselo omwe adasoweka kapangidwe kake.

Ndipo pamakhala chinthu chotupa m'mitsempha ya m'mimba, ndipo kumapeto kwa matendawa, amatha kugulitsa limodzi komanso zimakhala ndi pafupi. Mapangidwe a kapangidwe kameneka amachitika, magwiridwe antchito a lymphatic amakumana ndi kuphwanya kwathunthu.

Kukhazikika kwa ma lymph node omwe ali ndi maselo owopsa kumabweretsa kuti mfundo sizilola kuti mdani azikhala, chifukwa chake, lymph stagnation imachitika. Kugwira kwa njira ya lymphatic kumachitika kuchokera pansi mpaka, chifukwa chake, zikalephera, edema imachitika, miyendo nthawi zambiri imavutika. Edema amapangidwanso chifukwa cha kupangika kwa magazi kumitsempha.

Pamaso pa chotupa chowopsa m'mapapo, ascites nthawi zambiri imachitika. Ndi edema ya pancreatic, Zizindikiro za ascites zimadziwika ndi kupweteka kwamadzi ambiri mu peritoneum, yomwe imayambitsa kuwonjezeka kwa kukula kwam'mimba.

Zomwe zimatsogolera pakupanga ascites ndi izi:

maselo am khansa amapita m'mimba ndikuwakwiyitsa,
mitsempha ya portal ndi chiwindi zimakhudzidwa ndi maselo a khansa, chifukwa cha momwe kupsinjika kwamphamvu kumayambira ndikusintha kwa magazi,
kusintha kwa mitsempha yam'mimba, kuwonongeka kwa ma lymph node.

Chithandizo cha ascites chimatengera kwathunthu chithandizo chokwanira cha khansa pogwiritsa ntchito njira zamakono. Cancers amathandizidwa ndi chemotherapy, opaleshoni ndi radiation. Pa siteji yopanga mitundu yotsika mtengo, pamakhala mwayi wochiritsidwa kwathunthu. Ngati khansa ikupita kumapeto, ndizowona kuti moyo wabwino ukhale bwino ndikuwonjezera kwake.

Zimayambitsa kudzikundikira kwa madzimadzi mu kapamba

Momwe madzi amadzimana mu kapamba akhoza kukhala chifukwa cha mavuto:

matenda a duodenum,
matenda a chiwindi, mwachitsanzo, matenda a chiwindi,
mavuto a metabolic
kunenepa kwambiri,
matenda a ndulu
kupezeka kwa chotupa kapena chotupa chowopsa,
kutupa mu kapamba - pachimake kapamba,
helminths
matenda ashuga
kuvulala m'mimba.

Nthawi zina edema imawonedwa ndi uchidakwa kapena chifukwa chodwala kwambiri. Kudzikundikira kwamadzimadzi m'tizilimbudzi tokwiyitsa kumayambitsa kugwiritsa ntchito zakumwa zochokera ku kaboni, zakudya zomanga thupi kwambiri, zomanga thupi. Zakudya zotere ndizomwe zimayambitsa pancreatitis yovuta kwambiri, yomwe edema imakonda kupezeka.

Mutha kumvetsetsa zomwe zimachitika pofufuza momwe chiwalo chiliri pakachitika kutupa. Pakusowa thandizo kwakanthawi, michere yambiri imatulutsidwa nthawi zonse. Koma ndowe za ndulu sizitha kuchotsa madzimadzi, zimafinya ndikutseka. Madzi a pancreatic pang'onopang'ono amadziunjikira mumtundu ndipo amadzigaya. Maselo a pancreatic amafa, necrosis yamasamba amodzi amayamba. Zovunda zimanyamulidwa ndi magazi amthupi mthupi lonse, ndikupangitsa kuledzera.

Palibe chowopsa chomwe chimakhalapo pamene chotupa chikupsinjika ndi chotupa. Mwadala, magawo oyamba a khansa amapezeka paliponse. Nthawi zambiri, maselo osinthika amalowa kapamba kudzera mu ziwalo zam'mimba zomwe zimapangidwa ndi kupweteka kwina.

Khansa yapakhungu ya kapamba ndiyomwe imachitika kawirikawiri ndipo imakhala yofanana ndi asymptomatic. Chifukwa chake, nthawi zambiri matendawa amadziwika pamene chotupa chimapereka metastases.

Mukamawunika odwala otere, madotolo amawona kuti kapamba amatupa, ngati kuti amadzaza ndimadzimadzi, miyeso yake imachulukanso.

Pazizindikiro zoyambirira za edema ya pancreatic, ndikofunikira kufunsa endocrinologist. Dokotala atazindikira msanga vutoli, ndiye kuti mankhwalawo adzatha.

Zizindikiro za pancreatic edema

Chithunzi cha matenda a edema sichimadziwika kwambiri, choncho nkosavuta kusokoneza ndi matenda ena:

Chizindikiro chachikulu ndi kupweteka m'mapapo. Kuchulukitsa kwa ndulu kukula kwake kumapangitsa kuti nthambi zamanjenje zizipindika, chifukwa chake, kuwonjezeka kwa ululu kumadziwika. Pang'onopang'ono, njirayi imagwira osati mitengo yayikulu yokha, komanso mathero a mitsempha. Munthu amakumana ndi zowawa za herpes zoster. Kuti achepetse kusasangalala, amayesa kusintha mawonekedwe a thupi - atakhala, pang'ono pang'ono ndikulimbitsa thupi, kupweteka kumakhala kosavuta kulekerera.
Pancreatic edema imakwiyitsa kupanga michere yokugaya, yomwe, pamodzi ndi zinthu zowola, zimalowa m'magazi. Kuledzera kwa thupi kumakula, komwe kumayambitsa kufooka, kutentha thupi, ndi thukuta lalikulu. Kusanza kosadziwika kumawonedwa, komwe sikupereka mpumulo. Vutoli limakhala lowopsa kwa ana, chifukwa limafulumira kutsuka madzi m'thupi.
Matumbo am'mimba amachitika. Chifukwa cha edema, mawonekedwe ndi kapangidwe ka kapamba amasintha, ma ducts omwe ma enzymes amachotsedwa amawerama. Tizilombo ta minyewa timakhala totupa, totupa. Ma Enzym samalowa m'matumbo mochuluka; kusayenda kwa chakudya kumachitika. Kuchulukirachulukira, kufalikira, ndi matenda am'mimba kumayamba. Ngati njirayi ndi yotopetsa, zizindikiro zake sizifotokozeredwa - kuopsa kwa kapamba, kusowa kudya, kuchepa thupi, kuchepa kwa vitamini.
Mu pancreatitis pachimake, kunyansidwa komanso kufuna kusanza kulipo. Pambuyo pakusanza, kupumula kwakanthawi kumabwera, koma zizindikiro zimabwereranso.
Ngati pancreatic edema imakwiyitsidwa ndi matenda a shuga, munthu amazunzidwa ndi ludzu losaletseka, pakamwa louma. Kutopa kumadziwika, khungu limatulutsa, mabala amachiritsa bwino. Wodwalayo amakhala ndi kugona, thupi limasintha.

Kuti muwone bwino zomwe zimayambitsa pancreatic edema, kuwunika mwatsatanetsatane kumachitika.

Njira Zodziwitsira

Njira zotsatirazi zimagwiritsidwa ntchito pancreas ndikupeza edema:

Kuyesedwa kwa magazi konse kumazindikira kutupa.
Biochemical imayambitsa ndende ya kugaya chakudya michere.
Kuyesedwa kwa shuga kumachitika chifukwa cha anthu omwe akuganiza kuti ali ndi matenda ashuga.
Njira ya mkodzo imatengedwa kuti iwone amylase (enzime ya pancreatic).
Esophagogastroduodenoscopy amachitidwa kuti azitha kuyang'ana esophagus, m'mimba ndi duodenum.
Ultrasound imagwiritsidwa ntchito pofotokozera za edema. Poterepa, pamakhala kutsika kwa tsambalo, kuwonjezeka kwa kukula kwa mutu, thupi kapena mchira wa gland. Njirayi imathandizira kuzindikira zoyipa mu kapamba. Koma ngati vuto laling'ono ndi laling'ono, kafukufuku wowonjezera amafunika - kulingalira kwa maginito.

Kutengera ndi kupezeka kwa mankhwalawa, pulogalamu yothandizira odwala imapangidwa.

Chithandizo cha pancreatic edema

Pofuna kuthana ndi edema ndikuthandizira zomwe zimayambitsa, ntchito yoyenera imagwiritsidwa ntchito. M'masiku oyambilira, wodwalayo ayenera kuyang'anitsitsa njala kuti achepetse kupanga kwa michere ndi England.

Kuti muchotse edema ya pancreatic, ndikofunikira kuti wodwalayo athe kupumula komanso kukhala ndi njala, ndiye kuti, kusiya kudya ndipo, motero, siyani kupanga michere.

Mu matenda osachiritsika, mutha kumathandizidwa kunyumba. Nthawi yayitali, munthu amayikidwa kuchipatala.

Malangizo azakudya zopatsa thanzi

Kutengera ndi zomwe zimayambitsa edzi, zakudya zimasintha:

Ndi matenda ashuga, amachepetsa chakudya. Osapatula chimanga ndi mbatata, zipatso, ophika buledi, komanso zinthu zamkaka, maswiti okhala ndi sucrose.
Pakutupa kwambiri, zakudya zopatsa mphamvu zochepa zimasonyezedwa - zosaposa 2500-2600 kcal patsiku. Muchepetse mchere wambiri, chakudya cha zamzitini, nyama zosuta, kirimu ndi muffin. Supu yophika, zopopera, nsomba zophika, tiyi wofooka, zakumwa zozungulira m'chiuno kapena masamba akuda ndizothandiza.
Pamaso pa calculi mu chikhodzodzo, amadyetsa pang'ono - maulendo 4-6 tsiku lonse pang'ono. Musati mudye mafuta ambiri a cholesterol. Zakudya zamafuta ambiri zamasamba ndizolandiridwa.

Dotolo adzakulangizani chakudya chomwe muyenera kutsatira kuti muchepetse kutupira kwa matenda.

Mankhwala

Mankhwala a anti-edema amakhazikikanso potengera zomwe zimayambitsa:

Matenda a shuga a Type 1 amathandizidwa ndi Insulin, Humalog, yomwe imachepetsa msanga kuchuluka kwa shuga. Mwa mtundu wachiwiri, amalimbikitsa Lantus, Insumal Bazal.
Kuukira kwa pachimake kapamba amachotsedwa ndi antispasmodics - Drotaverin, No-shpo. Ululu umathetsedwa ndi Novocain. Ma Inhibitors ndi ma deactivators a ma pancreatic enzymes amagwiritsidwa ntchito - Gordoks, Pantripin, Kontrikal. Kuchepetsa mwayi wokhala ndi zovuta zopezeka ndi maantibayotiki.
Kuti athetse edema chifukwa cha cholelithiasis, ursodeoxycholic acid akuwonetsedwa.

Mu edema yoopsa, wodwalayo amathandizidwa kuchipatala. Njira zazikulu zamankhwala:

Enzyme Inhibitors - Octreotide, Somatostatin.
Kuchepetsa magazi. Kutsatira kwa mapulatifomu kumayesedwa ndi Warfarin Nycomed, Trental, yankho la Latren.
Amachita detoxation pogwiritsa ntchito okodzetsa, plasmapheresis.

Njira zomwe zimagwiritsidwa ntchito edema zimatengera kuzindikira.

Njira za anthu

Ndi edema ya pancreatic, mankhwala azikhalidwe amaloledwa. Maphikidwe otchuka amachepetsa zizindikiro, koma osakhudza zomwe zimayambitsa. Chifukwa chake, mankhwala azitsamba omwe amakonzedwa kunyumba ndi gawo limodzi la zovuta.

Maphikidwe ochizira edema:

Thirani 200 ml ya madzi otentha 1 tbsp. l oatmeal. Pitilizani kutentha pang'ono kwa mphindi 10, tsimikizani ola limodzi ndiosefa. Tengani kutentha kwa mphindi 30 musanadye.
Sakanizani 10 g wa sinamoni wouma ndi marigold, 15 g wa yarrow, 20 g a peppermint. Steam 200 ml ya madzi otentha 2 tbsp. l chopereka. Kutentha mumadzi osamba kwa mphindi 15, kunena 1 ora. Imwani mphindi 30 chakudya chisanafike.

Musanagwiritse ntchito zitsamba kuti muchepetse edema, ndikofunikira kudziwa zotsutsana.

Ngati pakufunika opaleshoni

Chithandizo cha opaleshoni ya pancreatic edema imasonyezedwa kwambiri matenda. Ndi kudzikundikira kwa madzi am'mimba pamimba, zotumphukira za peritoneal zimayikidwa. Pankhani ya minofu necrosis, amatembenukira ku necroectomy - kuyang'ana kwa malo owonongeka. Nthawi zambiri ndi chifuwa chachikulu cha pancreatitis, chikhodzodzo chimachotsedwa pochiritsa.

Njira za oncological zomwe zimatsogolera ku edema zimagwiritsidwanso ntchito mochita opaleshoni. Chovuta chimagwira wailesi ndi chemotherapy.

Kuopsa kotani

Kutupa kwa pancreatic kumatanthauza kuti matendawa ndiwankhanza kwambiri. Enizymes, osapeza njira yotuluka, amasungunula minyewa ya ndulu. Nthawi zambiri njirayi imayendetsedwa ndi matenda amtima, mavuto am'mapapo mwanga, kulephera kwa impso.

Popanda thandizo pa nthawi yake, zotsatirapo zake zimakhala zovuta kwambiri. Ngakhale ndi chithandizo choyenera, matenda opatsirana a matenda omwe ali ndi matenda amatha.

Ngati matenda a m'matumbo ndi osachiritsika, ngozi yake siyabwino kwambiri. Komabe, kutupa kumabweretsa zotsatira zosasinthika - kufa pang'onopang'ono kwa maselo a pancreatic. Amasinthidwa ndi minofu ya fibrous, yomwe singathe kupanga michere yofunika. Zotsatira zake, matenda a shuga ndi matumbo amapanga. Oncology ndiyotheka.

Zotsogola ndi kupewa

Edema imabweretsa kudzikundikira kwa madzimadzi pamimba. Ngati vuto la pancreatic lapezeka koyambirira, chithandizo chokwanira ndichotheka. Ndi maphunziro othamanga, madokotala amatha kungochotsa zizolowezi ndikuwonjezera moyo wa wodwalayo, komabe, mankhwala amakono sangathetse vutoli kwathunthu.

Chifukwa chake, ndi zizindikiro zoyambirira, muyenera kuyamba kulandira chithandizo. Ndipo ndibwino kupewa matenda: onani pafupipafupi matenda a kapamba, osagwiritsa ntchito mankhwala osokoneza bongo, mowa, zakudya zamafuta ndi okazinga, zonunkhira.

Zomwe zimachitika

Kupezeka kwa edema ndi chimodzi mwazizindikiro zakukula kwa kapamba. Zinthu zomwe zimayambitsa kupezeka kwake ndizovuta, kuperewera, zinthu zilizonse zomwe zimapangitsa kuti pakhale michere yambiri. Zotsatira zake, msuzi:

sapita konse mu duodenum,
zimayenda mkati mwa chithaphwi
akuyamba kuwononga parenchyma.

Kubwerezabwereza kotereku kumadzetsa kutupa, zotulukapo zake zimatupa. Pankhaniyi, mikhalidwe yomwe idayambitsa imachulukirachulukira, kusowa kwa chithandizo chamanthawi yake kumayambitsa kukulitsa kwa kapamba mu mawonekedwe owopsa kapena osakhazikika. Kutupa kwa ndulu kumatha kukhala chimodzi mwazomwe zikuwonetsa pa oncologization, chifukwa cha matenda a shuga. Fomu yotakataka imatheka, vuto likayamba chifukwa cha kutupa komwe kumayandikira ziwalo zapafupi.

Zizindikiro zamakhalidwe

Kuwonetsedwa kwa matenda am'mimba kumatha kuphatikiza zizindikiro za matenda ena omwe adamukhumudwitsani mulimonse, zizindikirazo zimatchulidwa, zimaphatikizapo zambiri. Choyipa kwambiri pakati pawo chidzakhala kupweteka kwambiri, hypochondrium kumanja kapena kumanzere kumadzakhala malo achitetezo, chovala chimatha ndikubwerera kuderalo la vertebral, amakhala olimba kwambiri atatha kudya. Nthawi yomweyo, ma pinkiller ndi osagwira ntchito, kuchepa pang'ono kumatheka pogwiritsa ntchito thupi lathu kutsogolo. Mndandandandawo ungaphatikizepo:

kufooka kosalekeza
kuchepa kwa ntchito ndi magwiridwe antchito,
thukuta kwambiri
kutentha kwambiri
kukopa kwa pakhungu.

Zambiri mwazizindikirozi ndizofanana kutupa ndi kupangika kwa calculi mu ndulu. Chizindikiro cha kutupa kwapancreatic pachimake ndi mseru, kusanza pafupipafupi. Mu matenda a shuga, kutupa kumayendetsedwa ndi:

Pakamwa pakamwa ndi ludzu losatha,
kuyabwa kwambiri
njala yosalekeza
kusinthika kwakhungu kwavulala,
kugona
kunenepa.

Ngakhale kuopsa komanso mndandanda wazizindikiro, sikokwanira kuzindikira kwathunthu, kusankha njira zoyenera zakuchiritsi kumafunikira maphunziro a labotale ndi othandizira.

Njira zochizira

Njira yoyamba komanso yayikulu yothandizira ndi kudya moyenera. Izi zimachepetsa kukula kwa pancreatic juisi katulutsidwe, kuchepetsa katundu pathupi, kuchepetsa ululu, kukonza mkhalidwe wa wodwalayo. Wodwala amayenera kupatula zakudya ndi zinthu zambiri zomwe azidziwa tsiku lililonse.

zakumwa zokhala ndi tiyi kapena khofi wambiri, acidity yayikulu, mpweya wambiri:
khofi, tiyi wamphamvu, timadziti, msuzi wamitundu yonse, mowa,
Zakudya zokazinga ndi zamafuta:
nkhumba, mitundu ina ya nsomba, soseji, nyama zotsekemera,
maphunziro oyamba:
borscht, hodgepodge,
zipatso ndi masamba ambiri:
maapulo, nthochi, nkhuyu, mphesa, zipatso za citrus, radish, adyo, anyezi, kabichi, biringanya, sorelo, sipinachi, bowa, sipinachi,
dzinthu zopanda pake:
mapira, barele, nyemba, chimanga,
zophika zatsopano:
buledi, masikono, ma pie,
lokoma:
chokoleti, maswiti, kupanikizana.

Zosankha zake zingaphatikizeponso:

broths in the rose m'chiuno, tiyi wobiriwira, zakumwa za zipatso, compote wokoma, kissel,
masamba ophika ndi zipatso zokhala ndi mafuta a masamba,
buledi wowuma
dzira lowiritsa,
Chimanga chamadzimadzi (semolina, oats, oatmeal, mpunga, buckwheat),
supu ndi masamba grated (dzungu, zukini, kolifulawa, mbatata),
ng'ombe yophika, nkhuku, nyama ya kalulu,
nsomba zoyera zoyera
mafuta ochepa mkaka.

Mndandanda wazinthu zomwe zimalimbikitsidwa zimatsimikiziridwa mukapita kukaonana ndi dokotala, lamulo lazakudya zotupa limatupa pafupipafupi maola 4 kapena 4 aliwonse magawo ang'onoang'ono. Mbale zonse ziyenera kuyatsidwa pang'ono, koma osati kutentha kapena kuzizira.

M'matumbo a kutupa, kuthandizira kuchipatala ndi jekeseni ya michere kudzera mu dontho ndikofunikira, mutachotsa kuchuluka kwa wodwalayo, amasinthidwa kuti agwiritsidwe yogurt pang'onopang'ono ndikuyambitsa kudya.

Chithandizo cha mankhwala osokoneza bongo komanso opaleshoni

Mu pachimake matenda, chithandizo sichokwanira popanda kumwa mankhwala. Awa ndi zovuta zamankhwala zomwe zitha kuyimitsa zizindikiro zosokoneza, kuchepetsa kulimba kwa njira zomwe zimayambitsa. Pachifukwa ichi, mitundu iyi ya chithandizo imagwiritsidwa ntchito:

antisecretory, yomwe imachepetsa kupanga hydrochloric acid,
antienzyme - amachepetsa ululu ndi kupondereza ntchito ya enzyme,
kuchotsa thupi - kumathandiza kuchotsa poizoni ndi kuledzera kwambiri,
rheological - amalepheretsa kuphatikiza mapulateleti, kuchepetsa magazi,
kumwa maantibayotiki, omwe amaletsa matenda.

Ngati chithandizo chamankhwala chikulephera, zizindikirazo zikulimbikira kapena vutolo likukulirakulira, kuchitapo kanthu kwa opaleshoni ndikotheka. Amawonetsedwa ndi kudzikundikira kwa madzi am'mimba, kumachitika kwa necrosis, pamene kapamba amachotsedwa pang'ono kapena kwathunthu, kupezeka kwa oncology.

Pathogenesis ndi zizindikiro za edema ya pancreatic

Edema wamkati imayamba chifukwa cha kusokonekera kwa michere. Njira yodabwitsayi imachitika pazifukwa zosiyanasiyana. Izi zimaphatikizapo kumwa mowa kwambiri, kuperewera kwa zakudya m'thupi, cholelithiasis.

Acute edematous pancreatitis imayamba chifukwa cha matenda opatsirana a shuga omwe amapita patsogolo msanga, kuvulala kupita kumimba kapena atachitidwa opaleshoni m'dera la chimbudzi. Zomwe zimayambitsa ndi matenda opatsirana, kufalikira kwa ma pancreatic ducts, kuwoneka ngati chotupa kapena chosaopsa.

Edema imachitika chifukwa chodzimbidwa pamatumbo ndi chotupa chomwe chimalowa. Ma ducts sangathe kuthana ndi kuchotsedwa kwa juwisi mu voliyumu "yatsopano", yomwe imatsogolera kutseka ndi kufinya kwake. Zotsatira zake, pamakhala madzimadzi mu kapamba.

Kutupa kwa mkati kwamkati kumayendera limodzi ndi zizindikiro zazikulu:

Chizindikiro chachikulu chomwe chikuwonetsa kukula kwa matenda a kapamba ndi ululu. Ululu wammbuyo wotupa wopita ku hypochondrium. Chizindikiro ichi chimadalira kutupa kwa mutu komanso kutsekemera kwa ma ducts. Nthawi zambiri, opukutira mtima samathandiza kuchepetsa ululu. Kuchepetsa kwambiri kupweteka kumathandiza kuti thupi likhale patsogolo.
Zizindikiro zina zachikhalidwe zimaphatikizapo ulesi, hyperhidrosis, kuzizira, kutentha thupi. Dziwani kuti Symbomatology iyi imakhala yothandiza osati kuwonongeka kwa kapamba, komanso cholelithiasis. Zinthu zapoizoni zikaloŵa m'magazi a magazi, kuledzera kumapezeka. Kutentha kwa thupi la wodwalayo kumawonjezeka, khungu limakhala lotuwa.
Kuchulukana kumachitika nthawi zonse limodzi ndi mseru, kusanza. Kupuma kumangopereka mpumulo kwakanthawi, kwenikweni pambuyo pa mphindi 20-30 wodwalayo ayambanso kudwala. Nthawi yachipatala iyi imasiyanitsa kapamba ndi zovuta zina zam'mimba.

Ngati matenda a shuga amayambitsa kutupa, ndiye kuti zizindikiro zake ndi izi: mumakhala ndi ludzu pafupipafupi, kuchepa thupi kwa khungu, kulakalaka kugona, kugona, kuwonjezeka kwa mkodzo mwachindunji patsiku, pakamwa lowuma.

Chowonadi cha edema ya pancreatic ndi mawonetsedwe angapo azachipatala sikokwanira kuti azindikire bwino. Kuti mutsimikizire za matenda, mayeso a labotale amafunikira.

Njira zoyesera

Tazindikira chifukwa chake kutupira kwa ziwalozi kumachitika, timaphunzira momwe matendawa amapezeka. Chifukwa cha matendawa, mutha kudziwa kuopsa kwa vutoli, kudziwa komwe lingalirike - mutu, thupi kapena mchira.

Kuwerengera magazi kwathunthu kumathandiza kutsimikizira kupezeka kwa njira yotupa yopweteka kwambiri. Kudzera pakuphunzira zamadzimadzi zamadzimadzi, kuchuluka kwa michere ya m'mimba kumayesedwa. Amatha kukhala ochulukirapo kapena akusowa.

Kafukufuku wokhudza mkodzo akuwonetsa zomwe amylase ali nazo. Kuphatikiza apo, kuwunika kwa shuga mthupi. Njira zozindikiritsa:

Esophagogastroduodenoscopy. Kudzimbidwa kumathandizira kuwunika mkhalidwe wa kum'mero kwa wodwala, duodenum ndi m'mimba mwa kuwomba.
Ultrasound yam'mimba yamagetsi imakhazikitsa kutupa kwa kapamba. Pakufufuzidwa, kuchuluka kwa limba mu kukula, kuchepa kwapang'onopang'ono, chiwonetsero chochepa cha chizindikiro chikuwoneka. Zonsezi zikuwonetsa kukula kwa njira yotupa yotupa.

Ngati maphunzirowa ali osakwanira kuti adziwe ngati katswiriyo akukayikira, wodwalayo amalandila chithandizo chakuwunikira, komwe kumakupatsani tsatanetsatane wa nthawi zomwe sizili bwino.

Popeza zotsatira za kuyesedwa kwa ma labotale ndi njira zodziwira matenda, adotolo amapanga dongosolo la mankhwala.

Chithandizo cha pancreatic

Momwe mungachotsere edema ya pancreatic kunyumba? Funsoli nthawi zambiri limakhala losangalatsa kwa odwala omwe ali ndi mbiri ya chifuwa chachikulu cha khansa. Kuchiza kunyumba ndizovomerezeka ngati njira yaulesi imawonedwa, kuukira sikuchitika.

Kuti muchepetse kudzikuza, pamafunika zinthu zingapo. Loyamba ndi kusala kudya kwachipatala, chachiwiri ndi kupumula kwa kama. Njira zoterezi zithandiza kuchepetsa kupanga michere yokugaya, kuchepetsa katunduyo mkati, zomwe zimapangitsa kuti magwiridwe ake azigwira bwino ntchito.

Ngati njira yotupa ili m'gululi, ndiye kuti thandizo la madokotala likufunika. Chithandizo chimachitika pokhapokha pompopompo. Pamafunika zakudya komanso mankhwala.

Chithandizo cha mankhwala osokoneza bongo chimakhala ndi zolinga:

Kuchepetsa kupanga hydrochloric acid. Chifukwa chake, mankhwala antisecretory amachitidwa. Imagwira ntchito kwambiri masiku oyambirira atachulukitsa.
Pewani ululu, kutupa, kuchepetsa zovuta zam'mimba, kuponderezani kupanga kwa enzyme.Kuchita ntchito iyi, chithandizo cha antienzyme chimachitika.
Pofuna kuti zinthu zowola ndi zinthu zakupha zisadziunjike m'thupi, mankhwala oletsa kupunduka ndi mankhwala amakhazikitsidwa.
Pofuna kupewa kupatsidwa zinthu za m'magazi a m'magazi - mankhwala othandizira.
Kugwiritsa ntchito maantibayotiki, omwe amadziwika ndi zovuta zambiri, kumathandiza kupewa zotsatira zoyipa ngati zotupa ndi zovuta zina.
Kubwezeretsani madzi ndi electrolyte bwino, pangani kuchepa kwa mapuloteni.

Matenda a kapamba nthawi zambiri amadziwika ndi zovuta. Kuzindikira koyenera kumatengera nthawi yodziwikiratu komanso chithandizo chamankhwala. Chifukwa chake, odwala ayenera mosamalitsa malangizo onse a dokotala.

Mukukhululuka, mutha kuyang'ana kuchithandizo cha wowerengeka thandizo. Odwala amamaliza, mafuta a azitona, ma sea buckthorn ndi mafuta amkati mkati. Ndizovomerezeka kugwiritsa ntchito decoctions ndi kulowetsedwa kwa mankhwala azitsamba zam'mapapo. Kuunika kwa madotolo amati chithandizo chotere ndi chovomerezeka pokhapokha pakuwonjezera gawo.

Ngati mavuto atakula, ndiye kuti akufunika opaleshoni. Mtundu wa operekera opaleshoni zimatengera mawonekedwe a njira yotupa. Potengera maziko a zotayidwa pancreatic, laparotomy imachitidwa - njira yomwe imakupatsani mwayi kuti muchotse zigawo zowonongeka.

Muzovuta kwambiri, dokotalayo amachotsa kapamba konse pamodzi ndi chikhodzodzo. Kudzikundikira kwa madzimadzi m'mimba kumachotsedwa kudzera pachiwopsezo cha peritoneal.

Kutupa monga chizindikiro cha chotupa

Mwa amuna ndi akazi, kutupa kwa ndulu kumachitika chifukwa cha chotupa cha pancreatitis, matenda a shuga, ndi matenda ena omwe amakhudza chimbudzi. Thandizani kutupa pokhapokha moyang'aniridwa ndi dokotala.

Nthawi zina, chotupa cham'mimba chimayimira khansa ya chiwalo. Malinga ndi ziwerengero, matenda oterewa ndiwosowa kwambiri. Kuopsa ndikuti koyambirira sikungatheke kudziwa bwino matenda, zomwe zimayambitsa kuwonjezereka kwa matenda.

Zosachitika mu cell zam'mimba mu kapamba pakapita nthawi zimabweretsa kukula kwa chotupa neoplasms. Maselo, akuthana ndi mapangidwe a ziwonetsero, amalowa m'magazi ndi zamitsempha yamagazi, zomwe zimatsogolera kufalikira kwa metastases m'thupi lonse.

Magawo a khansa yapakansa:

Kapangidwe kachilengedwe koyipitsa kakang'ono (osati yayikulu kuposa ziwalo zamkati).
Mitsempha imakulirakulira kulowera ku bile ducts ndi ma lymph node.
Mitsempha yayikulu ya magazi, mathero amtsempha, m'mimba, matumbo akulu ndi ndulu zimakhudzidwa.
Chotupa "chikufika" ku ma lymph node, gawo lachiwiri la zotupa limapangidwa - metastases.

Zombo za Lymphatic ndi mtundu wa cholepheretsa maselo kuti asamagwire ntchito. Koma khansa imalowera mkati mwake, maselo a oncological amafalitsa dongosolo lonse, amakhazikika m'mitsempha, kuletsa zotchinga kuti zigwire ntchito mokwanira.

M'magawo apambuyo akachitika, zodwala zam'mimba zimawonedwa, edema ilipo. Potengera maziko awa, kudzikundikira kwamadzi am'mimba pamimba kumapezeka - ascites.

Kuchiza khansa kumaphatikizapo chemotherapy, radiation ndi njira zopangira opaleshoni. Pafupifupi kuchira kwathunthu kumatha kunenedwa pang'onopang'ono matenda. Matendawa akapezekanso, ndiye kuti sakhala ndi zotsatira zabwino. M'magawo apambuyo, salankhula za kuchira. Chithandizo cha mankhwalawa ndikuti chithandizire kukulitsa thanzi la wodwalayo.

About matenda a kapamba, madokotala atiuza mu kanema munkhaniyi.

Pancreatic edema: Zizindikiro ndi njira zochizira

Makina a chitukuko cha kutupa kwa kapamba amayamba nthawi yomweyo, wodwalayo akachimwira ndikuphwanya zakudya. Mukamadya zakudya zokhala ndi mapuloteni ambiri, kupanga michere m'mapapo kumayamba. Zotsekerazo sizingathe kuthana ndi kutuluka kwa msuzi wonsewo ndipo zimayenda. Njira yowopsa kwambiri yodzigaya-nyere imayamba, zomwe zimapangitsa kuti ziwalozo ziwonongeke kwambiri. Chifukwa chake, pali kutupira kwa kapamba. Pankhaniyi, ma ducti amapanikizika kwambiri ndipo amakhala osavomerezeka.

Pakufufuzidwa, zimadziwika kuti kapamba amatupa, ngati kuti madzi adalowetsedwa nawo. Kukula kwa chiwalo kumakulitsidwa kwambiri. Ndi edema, parenchyma abscesses nthawi zambiri imayamba, ma ducts amadzazidwa ndi chinsinsi chomwe chimapangitsa kuchuluka kwa epithelium ndi leukocytes ambiri.

Ndi edema ya pancreatic, michere yogwira ndi zinthu zowola zimatulutsidwa m'thupi ndipo zimayambitsa poizoni m'thupi.

Choyamba, ndikutupa, edema imachitika, monga zikuwonekera ndi ululu. Chiwalo chopunthidwa chimachulukitsa kwambiri voliyumu, minofu yake imakhala yofewa. Mitengo ikuluikulu ya mitsempha yayikulu imadutsa kapamba ndipo kupsinjika kwawo ndiye chifukwa cha kupweteka kwapakati komanso kukula. Mapeto a mitsempha amakhudzidwanso mu pathological process, yomwe imakulitsa ululu.

Munthu amakumana ndi zovuta zambiri, zowonetsedwa ndi ululu wammbuyo. Ma analgesics samathandiza kwambiri pankhaniyi. Choyamba, wodwalayo amafunafuna malo abwino, momwe ululuwo umapumira. Nthawi zambiri, uku ndi malo okhala ndi thupi lokonda pang'ono kupita kutsogolo.

Kuphatikizika kwa poizoni m'magazi kumayambitsa kutentha kwa thupi la munthu. Khungu limasanduka lotuwa, pali kufooka wamba, thukuta lozizira. Poizoni amasambitsa kusanza kosalephera, ndipo sikubweretsa mpumulo. Ichi mwina ndicho chinthu chachikulu chodziwika ndi kapamba ku matenda ena otupa am'mimba.

Mu ana, pancreatic edema ndi kuledzera ndizowopsa kwambiri. Ndikofunikira kuyang'anitsitsa zakudya komanso thanzi la mwana panthawi yoyambira kukhazikitsidwa kwa zakudya zowonjezera, zakumwa, komanso nthawi yaunyamata.

Mukamayesa ma ultrasound, kapamba wokhala ndi edema amakula kwambiri, kukula kwake kumachepetsedwa ndipo kuchuluka kwa chiwonetsero kumachepa. Zizindikiro zofananira za pancreatic edema zimawonedwa mu nthawi yayikulu ya kapamba.

Milandu yobwerezedwa mobwerezabwereza imawonetsa kukhalapo kwa matenda osachiritsika. Kutupa kakhazikika nthawi ndi nthawi kumayendera limodzi ndi edema yake. Thupi limasintha kukula kwake, kapangidwe kake. Njira zotulutsira madzi a pancreatic amakula ndikugwada. Kupweteka kwa chithokomiro kumakhala kolimba, kumayamba kugwedezeka.

Chiwerengero chokwanira cha ma enzymes ophatikizidwa kuti mgaye chakudya simalowa m'matumbo. Njira yakugawika, kugaya ndi kuperewera kwa michere kuchokera pamenepo imasokonekera. Izi zimayambitsa kutulutsa, kutsegula m'mimba komanso kutsegula m'mimba.

Zochitika zina ndizotheka, mwa mawonekedwe omasuka. Atatha kudya kwakanthawi, wodwalayo amamva kuwawa m'mimba. Kenako kufooka m'thupi, chizungulire, kupweteka mutu kumalumikizana. Mwamuna amasiya kulakalaka.

Ngati matumbo salandira ma enzyme okwanira kwa nthawi yayitali, ndiye kuti thupi lilibe michere yokwanira ndi mavitamini, ndipo izi zimadzetsa kuchepa kwa thupi.

Kuti muchotse edema ya pancreatic, ndikofunikira kuti wodwalayo athe kupumula komanso kukhala ndi njala, ndiye kuti, kusiya kudya ndipo, motero, siyani kupanga michere. Izi zimathandiza ngati matenda akudwala, ndiye kuti, mobwerezabwereza anthu amatizunza.

Mu chilonda chachikulu cha pancreatitis, wodwala amayikidwa kuchipatala. Kuchiza kumachitika ndi mankhwala ndi kuikidwa kwa mankhwala othandizira.

Mankhwala a pancreatic edema amakhala ndi zotsatirazi:

Chithandizo cha antisecretory. Zimachitika kuti muchepetse kupanga kwa hydrochloric acid. Kukhazikitsidwa kwa chithandizo chotere kumathandiza mwachangu masiku atatu atadwala.
Chithandizo cha antenzyme. Cholinga chake ndikupondereza kupanga ma enzyme, omwe amachepetsa ululu, amachepetsa kutupa ndi kutsitsa zovuta zama cellcirculatory.
Rheologically yogwira mankhwala imapangidwa kuti muchepetse magazi ndi kupewa kuphatikiza, i.e. kupendekera kwa maselo.
Mankhwala ochepetsa mphamvu ya antibacterial omwe ali ndi anti-spectrum antibayotiki. Pofuna kupewa matenda oyambitsidwa ndi thupi pamene akutupa ndikuchitika kwa chikopa.
Kutulutsa thupi. Chithandizo chake ndikuthandizira kuthetseratu mwachangu kwa zinthu zowola.
Kulowetsedwa mankhwala. Kutayika kwa plasma, kubwezeretsa madzi osowa mwa electrolyte ndi kuchepa kwa mapuloteni. Edema mu khansa ya kapamba

Khansa ya kapamba ndiyosowa kwenikweni, koma njira yake imakhala yolimba kwambiri ndipo zotsatirapo zake nthawi zambiri zimakhumudwitsa. Ndizovuta kwambiri kuzindikira magawo oyamba a khansa, chifukwa cha kuchepa kwa zizindikiro zowonekera.

Ndi khansa, kumera kwachilendo kwa maselo am'mapapo amapezeka, omwe pambuyo pake amapanga chotupa. Selo ikatuluka, imalowa m'magazi ndi m'mitsempha yamagazi, ndiye kuti khansa imafalikira m'thupi lonse, ndikupanga metastases.

Magawo anayi a khansa ndi osiyana:

Gawo loyamba la khansa ya pancreatic - chotupacho ndi chaching'ono ndipo sichikulitsa kukula kwa chiwalo.
Gawo lachiwiri - neoplasm yoyipa imakulanso motsogozedwa kwa bile duct ndikupitilira mpaka m'mitsempha.
Gawo lachitatu - chotupacho sichidakhudzanso m'mimba, ndulu ndi matumbo akulu, komanso mitsempha yayikulu ndimitsempha yamagazi.
Gawo lachinayi - ma lymph node amakhudzidwa ndipo metastases imapangidwa.

Selo ya khansa ikalowa m'mitsempha ya m'mimba, imayendetsedwa kudzera mu dongosolo ndikuisungidwa m'malo mwake, yomwe imayenera kuteteza thupi ku maselo atypical (omwe ataya katundu wawo).

Kutupa kwa ma lymph node kumachitika, ndipo m'magawo apambuyo a khansa, sangathe kuphatikiza pamodzi, komanso ndi zimakhala zapafupi. Potere, kupangika kumapangidwa ndipo kugwira ntchito kwa mitsempha ya m'mimba kumasokonekera kwathunthu.

Kukonzekera kwa ma lymph n cell omwe ali ndi maselo a khansa kumabweretsa kuti ma node "akane kusiya tizilombo," zomwe zikutanthauza kuti kusuntha kwamitsempha kumachitika. Ntchito ya lymphatic system imayendetsedwa kuchokera pansi kupita pansi ndipo ikangolephera mukati mwake, timakhala ndi edema, makamaka miyendo imakhudzidwa. Kukundika kwa magazi m'mitsempha kumathandizanso pakupanga edema. Mu khansa ya kapamba, ascites imayamba.

Ascites ndi pathological kudzikundikira kwamadzimadzi m'chigawo cham'mimba, zomwe zimapangitsa kukulira kwamphamvu pamimba. Ndi khansa yapakhungu ya kapamba, nthawi zambiri imapangika.

Zimayambitsa madzi owonjezera mu ascites:

Kuphatikizika kwa maselo a khansa mu peritoneum kumabweretsa kukwiya kwake. Kuti achepetse, amamasulidwa ndimadzimadzi, omwe pambuyo pake amadzunjikana.
Ngati maselo a khansa akhudza chiwindi kapena mitsempha ya portal, ndiye kuti kuthamanga kwa magazi m'ziwalo kumakwera ndipo magazi amayenda mochuluka, zomwe zimapangitsanso kuwoneka kwamadzi.
Kuwonongeka kwa ma lymph node kumapangitsa kuti ascites ichitike bwino, chifukwa chosagwira bwino ntchito kwa mitsempha ya m'mimba.

Chithandizo cha ascites chimatengera mwachangu mankhwala othandizira khansa pogwiritsa ntchito njira zamakono.

Chithandizo cha khansa ya pancreatic chimaphatikizapo chemotherapy, opaleshoni, ndi radiation. Mu gawo loyambirira la chotupa chotupa, mwayi wa kuchiritsidwa kwathunthu ndi waukulu. Pambuyo pake, ndizotheka kusintha moyo wabwino komanso kukulitsa.

Matenda a kapamba ndi othandizira komanso ovuta. Mavuto ake ndi oopsa chifukwa amakhala osavomerezeka kwa wodwala ngati sakayezetsa dokotala pafupipafupi. Kuti mupewe kuukiridwa, muyenera kutsatira zakudya, ndikuzindikira zovuta zina, kumawunikira pafupipafupi. Yang'anirani thanzi lanu ndi zakudya zanu kuti mukhale ndi moyo wabwino.

Momwe mungachotsere edema ya pancreatic kunyumba?

Limagwirira a chitukuko cha zotupa njira kukhazikitsidwa mchikakamizo cha zinthu zoyambitsa. Izi ndi zakumwa zoledzeretsa, zamafuta, zamchere komanso zosuta. Ndi kumwa kwa zinthu zotere, kupanga kwakukulidwe kwa michere yamagaya kumayambira.

Ma ducts sangathe kuthana ndi kuchoka kwa msuzi, zomwe zimapangitsa kuti pakhale kusayenda. Ndipo pambuyo pake njira yonyansa yonyansa ikayamba - thupi limadzigaya lokha, lomwe limayambitsa kutupa kwambiri. Umu ndi momwe pancreatic edema amakulira.

Kutupa kumayambitsa kufinya kwa ma ducts, amatsekeka kwambiri. Mukamawunika, chimbudzi chotupa chimawonedwa, ngati kuti madzi adalowetsedwa nawo. Chiwalo chimakula kwambiri kukula kwake.

Edema amakwiya pamavuto osiyanasiyana. Nthawi zambiri, zimapangitsa kuti mawonekedwe a parenchyma abscesses, pomwe ma ducts amadzaza ndi ma secretions, momwe mumakhala kuchuluka kwa leukocytes ndi ma desquamated epithelial cell.

Pancreatic edema: Zizindikiro, zoyambitsa ndi chithandizo

Pancreatic edema ndizinthu zomwe siziyenera kupita kwina popanda adokotala. Kutupa kwa chiwalo kumatha kuwonetsa kukulira kwa chotupa chowopsa, njira yotsika yotupa, cholelithiasis, matenda a shuga komanso khansa. Pancreatitis imasiyana ndi zovuta zina komanso ma pathologies omwe ali ndi matenda apadera, omwe tikambirana m'nkhaniyi. Kuphatikiza apo, muphunziranso kudziwa za matenda anu komanso njira zazikulu zakuthandizira.

Pancreatic edema: mankhwala

Choyambirira kuchita ndikuchepetsa ntchito ya kupanga enzyme. Chifukwa chaichi, kusala ndi kugona mokwanira kumayikidwa. Izi ndizothandiza kwa matenda osachiritsika komanso pafupipafupi.

Ngati gawo lachiwopsezo likuwoneka, chithandizo kuchipatala chimayang'aniridwa ndi akatswiri azachipatala. Zakudya zabwino ndi mankhwala zimasonyezedwa.

Chithandizo cha mankhwala osokoneza bongo ndichozikidwa pa:

Kusintha kwa hydrochloric acid, komwe kumatchedwa kuti antisecretory chithandizo. Imagwira ntchito kwambiri masiku oyamba pambuyo poti mwadwala.

Kuchepetsa ululu, kuchepetsa edema, kuchepetsa zovuta zam'mimba, kuletsa kaphatikizidwe ka michere - antienzyme.

Kutulutsa ndi kuchotsa mwachangu zinthu zowonongeka.

Kuchepetsa magazi ndi kupewera kwa mapulateleti ndizothandiza mwanjira zina.

Kupewa matenda a thupi ndi kukula kwa zilonda zam'mimba. Chithandizo chimaphatikizapo kugwiritsa ntchito maantibayotiki omwe amagwiritsidwa ntchito pazinthu zingapo.

Kuwongolera kwa kutayika kwa plasma ndikubwezeretsa kwa madzi-electrolyte metabolism ndi kuchepa kwa mapuloteni.

Matenda a kapamba ndiwowoneka bwino chifukwa cha zovuta zambiri zomwe zingayambitse wodwalayo akanyalanyaza mayeso. Zakudya zoyenera komanso mayeso ake a panthawi yake amatha kupewa zovuta zatsopano ndikukula kwa matenda olimba.

Kuchita mobwerezabwereza kumawonetsa kuti ali ndi chifuwa chachikulu cha kapamba. Kutupa mobwerezabwereza ndiko kuyambitsa kupusa. Chifukwa chake, posachedwa kapangidwe ndi mawonekedwe a chiwalocho amasintha. Pali kukula pang'onopang'ono ndi njira zopindika. Parenchyma imakhala yofiyira, imakhazikika, ndipo nthawi zina imakhala yolimba. Kutsegula m'mimba, kumatulutsa, komanso kukhumudwa m'mimba kumachitika chifukwa cha kuchepa kwa michere yomwe imafunikira kuti kugaya chakudya komanso kuperewera kwa chakudya kuchokera ku chakudya.

Pancreatitis sikuti nthawi zambiri imawoneka ndi vuto laukali. Mwachitsanzo, odwala ena amafotokoza kuti ali ndi vuto m'mimba atatha kudya, kenako ndikuthothoka kwa mphamvu komanso mutu.Kuchepetsa chidwi cha chakudya kumachitika chifukwa cha kusowa kwa michere yamatumbo. Kuperewera kwa mavitamini, michere ndi zinthu zofunikira mu voliyumu yofunikirayi kumakhudza kulemera konse.

Kutupa monga chizindikiro cha oncology

Malinga ndi ziwerengero, khansa ya gland ndimachitika kawirikawiri. Asymptomatic m'magawo oyambayo imapangitsa kuti zikhale zovuta kudziwa, zomwe, zimayambitsa kukula ndikukula kwa matendawa.

Kukula kwachilendo kwa maselo mu kapamba pakapita nthawi kumapangitsa kuti pakhale chotupa. Ndi kupatukana kwa khungu ndi kulowa mkati mwake mwa ma lymphatic ndi ma circulator, ma metastases amafalikira, akukhudza thupi lonse.

Akatswiri amawerengera magawo awa a oncology:

Mpweya woipa wocheperako ndi wocheperako, osapitirira England.

Chotupacho chimakulitsa kumabala a bile duct ndi ma lymph node.

Neoplasm yodwala imakhudza ziwiya zazikulu ndi mitsempha, m'mimba, matumbo akulu, ndulu.

Chotupa chimadutsa mpaka zamitsempha ndipo zimayambitsa mbali yachiwiri ya zotupa - metastases.

Zombo za Lymphatic mwa chibadwa chawo zimakhala ngati cholepheretsa maselo omwe ataya zinthu zawo. Komabe, khansa ikalowa mkatikati mwa iwo, maselo a khansa amafalikira mthupi lonse ndikuyimilira maselo, kuletsa kukhazikitsa kwa ntchito yoteteza.

Zovuta zakumapeto kwa oncology zimatha kuphatikizana pakati pawo ndi pafupi ndi tupi tambiri, timene timayambitsa kupindika komanso kusokonezeka kwa dongosolo lonse lathunthu. Kusasunthika kwa zamitsempha kumatupa, nthawi zambiri motsutsana ndi kumbuyo komwe kupezeka kwa madzimadzi aulere kumayamba mu peritoneum.

Zina mwazinthu zomwe zimatsogolera ascites ndi:

Kulowerera kwa khansa kulowa m'mimba ndikutsekemera kwake.

Kuwonongeka kwa maselo a khansa a m'mitsempha ya portal ndi chiwindi, chifukwa cha momwe kupanikizika kumawonjezeka ndikuyenda kwa magazi kumasokonezedwa.

Zolakwika mu mitsempha yam'mimba komanso kuwonongeka kwa ma lymph node.

Chithandizocho chimaphatikizira chemotherapeutic, radiation ndi njira zopangira opaleshoni. Munthu akhoza kunena za kuchira kwathunthu pokhapokha ngati matenda atapezeka mu gawo loyamba. Mukaphunzira za oncology, mumachepetsa mwayi wopeza bwino chithandizo. M'magawo apambuyo pake, palibe funso loti uchira. Chokhacho chomwe chitha kuchitidwa ndikuwonjezera moyo pakuwongolera mtundu wake.

Edema ndi kapamba

Njira yotupa mu kapamba, kapena monga momwe imatchulidwanso kuti pancreatitis yayikulu, imatha kupezeka m'njira ziwiri: edema ndi necrosis. Pancreatic edema ndiye njira yofala kwambiri yamaphunziro. Ichi ndi chizindikiro chowopsa, momwe mumakhala mwayi wokhala ndi abscess, ndipo ma ducts amadzazidwa ndi kuchuluka kwakukulu kwa maselo epithelial maselo oyera ndi magazi. Edema imayambitsa nyengo yabwino yotulutsira zinthu zonse zowola m'magazi, potero poyipa thupi.

Kutupa mu kapamba kumatha kuyambitsa kupha kwa oncology.

Edema ndi matenda apamba

Monga lamulo, pancreatic edema ndi zotsatira za zolakwika zam'mimba zomwe zimapanga. Kuchepa kugwira ntchito nthawi zambiri kumayambitsa matenda oyamba. Zodziwika kwambiri ndi:

Matendawa (umayamba mwachangu kwambiri),
kumwa mowa mwauchidakwa (njira yayitali).

Pachimake kapamba chifukwa cha matenda ena:

Zizindikiro zamakhalidwe

Matenda a pancreatic pancreatic amadziwonetsa okha ndi zizindikiro zomveka. Woyamba kukudziwitsani zowawa. Mu thupi muli mitengo ikuluikulu yamitsempha. Ndi kukulitsa kwa tiziwalo tating'onoting'ono, timapanikizika ndipo munthu akumva kupweteka kwa m'chiuno komwe kumachokera mu hypochondrium. Kutsatira mitsempha ya mitsempha, kutha kwa mitsempha kumachitika, ndiye kuti ululu umakhala wakuthwa, nthawi zina umakhala wosapirira. Izi zitha kuwona kutukusira kwa mutu wa kapamba.

Pancreatic edema imakhudza kutentha kwa thupi, thanzi, madzi kagayidwe, khungu.

Kansa ya Edematous ndiyomwe imapangitsa kuti ma enzyme ndi zinthu zowola ziyambe kulowa m'magazi, zomwe zimayambitsa poizoni m'thupi. Njira ya kuledzera kwa thupi kumabweretsa poyizoni wa thupi ndikudziwonetsa:

kutentha kuwonjezeka
khungu
kufooka koopsa
thukuta
kusanza, kusanza.

Ndi kutaya kofotokozedwa mobwerezabwereza kwa kapamba, titha kuyankhula kale za matenda. Ndi kutukusira kulikonse kwa thupi, kapamba amapanga edematous. Chifukwa cha edema, chiwalo chimasintha kasinthidwe ake ndi kapangidwe kake, mayendedwe amasinthidwe, ma cell zinthu amakhala owonda kwambiri. Kuchuluka kwa ma enzyme omwe amalowa m'matumbo sikokwanira kuti chimbudzi chikhale chokwanira. Kuchepetsa chimbudzi kumayambitsa kukokoloka kwa chakudya, komwe kumabweretsa chiwongolero chochulukirapo, kumatulutsa ndi kuphwanya chopondapo.

Nthawi zina ndondomeko ya edema imachoka ndi zizindikiro zosakwanira. Amamva kuwawa, Amamva kuwawa m'mimba mwake, munthu amayamba kutaya mtima. Njira yakugaya imasokonekera, chifukwa cha kuwonda mwadzidzidzi. Vutoli ndi lalikulu kwambiri, palibe kuchedwa kuchira kwakanthawi. Chifukwa chake, zosankha ziyenera kupangidwa ngakhale ndi zofatsa.

Zizindikiro

Pambuyo pofufuza chithunzi chachipatala, gastroenterologist amatengera njira zodziwira matenda. Pazofufuza, zingapo zowunikira zimagwiritsidwa ntchito:

kuyezetsa magazi kwakukulu, komwe kuyenera kuwonetsa kupezeka kwa njira yotupa,
kuyezetsa kwamwazi wamagazi komwe kumawonetsa kukhalapo kwa ma enzyme mkati mwake,
urinalization wa amylase, yomwe imatsimikizira kapamba,
kuyezetsa magazi kwa shuga,
gastroscopy akuwonetsa kukhalapo kwa njira yotupa,
Ultrasound
MRI

Pancreatic edema ndi khansa

Khansa ndi matenda ovuta. Zowonongeka kwa kapamba ndizosowa kwambiri. Nthawi zambiri, chotupa chowopsa pamutu pa chiwalocho, sichimakhudza thupi ndi mchira wa kapamba. Matendawa ndi owopsa chifukwa choti m'magawo oyambilira mwina sangadziwike mwanjira iliyonse. Magawo amtsogolo ndi owopsa pakufalikira kwa maselo a khansa omwe ali ndi kachilomboka mthupi lonse. Amakhala m'malo amitsempha, zomwe zimapangitsa kuti azigwirizana komanso azicheza. Chifukwa cha zovuta za matendawa, kuphwanya njira ya zamankhwala kumachitika. Zovuta zomwe zimayambitsa ndizomwe zimayambitsa edema.

Magawo omaliza a matendawa ndi ovuta chifukwa cha kuchuluka kwa madzimadzi m'mimba mwake (ascites). Mphamvu ya ascites chithandizo mwachindunji zimatengera chithandizo cha matenda oyambitsidwa. Mankhwala, ndi njira zokha zochitira opareshoni ndi chemotherapy zomwe zimagwiritsidwa ntchito. Zotsatira zabwino zitha kuchitika pofufuza matenda oyamba. M'magawo apambuyo pake, ndizongokulitsa moyo wa munthu, kuchiritsa kwathunthu ndikosatheka.

Chithandizo cha edema ndi kapamba

Chithandizo cha zikondwererozo ndikuchotsa zizindikiro za matenda (edema, kupweteka), ndikuchotsa zomwe zimayambitsa matendawa. Akatswiri amathandizira matenda amisala potengera matendawa. Edema mu matenda a shuga, matenda a gallstone kapena vuto la mowa amafunika kuchita payekha. Kwenikweni, kwa edema yokhala ndi zizindikiro za kapamba, mankhwalawa amaphatikiza njira ya mankhwala, zakudya, komanso pamavuto akulu, opaleshoni.

Mankhwala

Chithandizo chokwanira chimaphatikizapo kugwiritsa ntchito mankhwala angapo ofunikira. Mankhwala ozikidwa pa antispasmodics kapena novocaine amathandizira kuchepetsa ululu wa edema. Kugwiritsa ntchito mankhwala osokoneza bongo omwe amachepetsa zochitika za trypsin, plasmin ndi ma encyme ena a pancreatic. Pofuna kupewa zovuta mu mawonekedwe a matenda owopsa, maantibayotiki ndi omwe amapatsidwa mankhwala.

Pofuna kupewa kuyambiranso, mankhwala atagwiritsidwa ntchito masiku onse, mankhwala amawonjezeranso mankhwala omwe amachotsa matenda omwe amayambitsa matenda. Ngati ndi matenda ashuga, kukonzekera insulini kumaphatikizidwa. Chimodzi mwa zotetezeka ndi Humalog. Mankhwala omwe akhala akuchita kwa nthawi yayitali ndi monga Lantus, Novorapid wocheperako.

Ngati chifukwa cha edema chinali cholelithiasis, wodwalayo amapezeka kuti ali ndi mankhwala chifukwa cha bere bile (ursodeoxycholic acid). Pogwiritsa ntchito mankhwala onse amakono, mungachotse mwachangu zizindikiro zosasangalatsa za matendawa ndikubwezeretsanso ntchito yapancreatic.

Zakudya zamagulu

Pa mankhwala a pancreatic komanso mtsogolomo, popewa kubwereza zovuta, wodwalayo amalimbikitsidwa kutsatira zakudya zoyenera, zomwe zimathandiza kuthetsa zizindikilo za matendawa. Munthawi yovuta, njala imalimbikitsa masana, ndipo nthawi ina, chakudya chimayenera kukhala chochepa komanso pafupipafupi. Zakudya zapadera zimayikidwa:

Zomwe zimapangitsa kuti pakhale chakudya chamagulu ndizakudya zamchere zomwe zimamwetsa, zoletsa zamchere, zosuta komanso zosakaniza. Kuchokera pamenyu sikupatula kuteteza, mowa, makeke,
Mbale zonse za odwala zimaphatikizidwa mosasunthika, theka lamadzi. Malangizo oyamwa otsekemera, nsomba zamafuta ochepa, nkhuku. Mbatata imaloledwa kuchokera ku masamba, komanso ma broth - rose rose, currants, tiyi wopanda mafuta.

Ngati edema ndi chifukwa cha matenda ashuga, sinthani kudya zakudya zopatsa mphamvu. Dzungu, kabichi, zukini, kaloti, tsabola ndizabwino kuphika, ndipo mbatata, chimanga, zinthu zophika, zinthu zamkaka, zipatso za anthu odwala matenda a shuga sizili bwino.

Opaleshoni

Pamavuto akulu, chithandizo cha opaleshoni chimasonyezedwa. Mtundu wa ntchito umatengera mwachindunji mawonekedwe a kutupa. Ndi chiwonongeko chowonongeka cha minofu ya chiwalo, laparotomy imagwiritsidwa ntchito, pomwe malo owonongeka amachotsedwa. Muzochitika zovuta kwambiri, kapamba amachotsedwa kwathunthu, nthawi zina limodzi ndi ndulu. Dokotala amachotsa kudzikundikira kwa madzimadzi m'mimba ndi zotumphukira za peritoneal. Ngati maziko a edema ndi kuphwanya mutu wa chiwalo, dokotala amachotsa vutoli ndi opareshoni. Khansa imathanso kuthandizidwa ndi opareshoni.

Matenda a kapamba ndimatenda oopsa komanso oopsa. Ngati simumayesedwa ndi madotolo pafupipafupi, zovuta zomwe zimachitika koyambirira zimatha kuzindikirika ndikuwonekera pamalo owonjezereka. Kudya pafupipafupi, mayeso okhazikika ndi akatswiri kumathandiza kupewa kukomoka komanso zovuta zina.