Cancreatitis yowerengeka: zimayambitsa, Zizindikiro, zoyesa zamankhwala, upangiri wa zamankhwala ndi chithandizo

Cancreatitis yowerengeka ndi matenda oopsa omwe amayenda limodzi ndi kutupa kwa minyewa ya kapamba ndi kupangika kwa calculi yolimba mkati mwa ziwalo. Matendawa amatengedwa kuti ndi opatsirana chifukwa amafunika kuwazindikira pa nthawi yake komanso chithandizo chokwanira.

Inde, anthu ambiri ali ndi chidwi ndi zowonjezera. Kodi chifukwa chiyani pancreatitis yovuta kwambiri imayamba? Ndi zizindikiro ziti zomwe ziyenera kubweretsa nkhawa? Kodi dokotala angapereke chiyani? Kodi zoneneratu zili zabwino? Mayankho a mafunso awa ndiofunika kuwasanthula.

Zambiri zokhudzana ndi matendawa

Pancreatitis yowerengeka ndi njira yowopsa kwambiri, yomwe imatsatana ndi mapangidwe a calculi m'magulu a kapamba. Amakhulupirira kuti choyambitsa pankhaniyi ndikusintha kwa kapangidwe ka mankhwala a pancreatic madzi. M'makola a England, ma neoplasms ang'onoang'ono amapangidwa kuchokera ku phosphate kapena laimu ya carbonate. Miyalayi nthawi zambiri imakhala yaying'ono, osati yowonda kwambiri ndipo imafanana ndi mchenga wamtundu woyera kapena wotuwa.

Noplasms yofananira imadziunjikira mu ndulu za kapamba, kuteteza kutulutsa kwampweya kwa kapamba. Madzi amayamba kudziunjikira, zomwe zimapangitsa kukulitsa kwa duct, activation ya microflora ya pathogenic ndi kupititsa patsogolo kwa njira yotupa.

Mankhwala amakono, pancreatitis yamphamvu komanso yovuta kuizindikira imadziwika. Cholecystitis, hepatitis, kuperewera kwa zakudya m'thupi, kumwa mankhwala - zonsezi zimayambitsa kukulira kwa matendawa, omwe siosavuta kuchiza.

Zifukwa zazikulu zowonekera

M'malo mwake, zamankhwala zimadziwa zinthu zingapo, zomwe zimabweretsa zomwe zimayambitsa matenda. Koma, malingana ndi ziwerengero, nthawi zambiri, mapangidwe a calculi mu ducts a kapamba amapezeka motsutsana ndi maziko a kupitirira kwa matenda ena. Ichi ndichifukwa chake kuwerengera kapamba kumayamba:

Cholecystitis ndi matenda ena a ndulu nthawi zambiri amabweretsa kuwonongeka kwa kapamba.
Mndandanda wazomwe zimayambitsa umaphatikizapo hepatitis, komanso matenda ena a chiwindi.
Zowopsa pamenepa ndi zotupa zam'mimba za m'mimba ndi matumbo.
Pancreatitis yowerengeka imatha kukhala chifukwa cha ma pathologies osiyanasiyana a mtima ndi ziwalo zolumikizana.
Chofunika kwambiri pankhaniyi ndi zakudya. Mtundu wa chakudya chomwe amadya umakhudza mwachindunji kapangidwe ka kapamba. Kupsinjika kwakukulu pa chiwalo kumatha kuyambitsa chitukuko.
Zowopsa zomwe zimayambitsa ngozi zimaphatikizapo zizolowezi zoyipa, makamaka, kumwa mowa, mankhwala osokoneza bongo, kusuta. Zonsezi zimakwiyitsa mucous membrane wam'mimba.
Zomwe zimayambitsa kutupa zimatha kukhala zovuta kumwa mankhwala ena, makamaka antibacterial.
Udindo wina umachitika ndi zachilengedwe, kuchuluka kwa kuwononga chilengedwe, kuchuluka kwa madzi ndi chakudya chomwe mumagwiritsa ntchito.

Cancreatitis yowerengeka: Zizindikiro

Inde, mawonekedwe a chithunzi chachipatalachi amatengera mtundu wa matendawa komanso gawo la kukula kwake. Chizindikiro choyamba ,achidziwikire, ndi zowawa. Kuzindikiritsa kwazosangalatsa zomverera zimatengera mwachindunji kuwonongeka kwa chiwalo ndi mawonekedwe.

Ngati miyala yazikuta m'dera la mutu ndi thupi la chithokomiro, ndiye kuti odwala amadandaula za ululu pakati pamimba ndi epigastric dera. Nthawi zina miyala imakhalapo m'thupi la gland, pomwe ululu umawonekera kudzanja lam'mimba. Ngati kusokonekera kumachitika mu hypochondrium wamanzere, izi zitha kuwonetsa kuchuluka kwa ma calcication mumchira wa kapamba. Nthawi zambiri pamakhala kugonjetsedwa kwa ziwalo zonse - odwala amadwala kwambiri herpes zoster.

Inde, pali zolakwika zina zomwe sizingatheke kuti musamvere:

kugunda kwa mtima kumachuluka
thukuta likuwoneka
Kuchepa kwa thupi kumachepa pang'onopang'ono, komwe kumalumikizidwa ndi kuchepa kwa chakudya ndi chimbudzi chosakwanira, motero, chidwi cha chakudya,
zovuta za chopondapo
Nthawi zambiri nseru, zomwe nthawi zambiri zimatha kusanza.

Mosiyana ndi hepatitis, matenda amtunduwu samatsatiridwa ndi kupindika kwa sclera ya maso ndi khungu. Nthawi zina kuphatikiza kwa miyala kumakhudza kaphatikizidwe ka insulin - pamakhala ngozi yotenga matenda ashuga, makamaka zikafika pobwera chifukwa cha kutupa.

Zomwe zikuchitika poyesa kuwunika

Ndikofunikira kudziwa matenda omwe ali m'mayambiriro a chitukuko. adokotala azichita izi molangizidwa. Chithandizo cha pancreatitis chaposachedwa chikuyambira, ndiye kuti mwayi wochira msanga komanso wathunthu:

Choyamba, odwala amalimbikitsidwa kuti apereke magazi ndi mkodzo pakuwunika ma labotale. Kuchuluka kwa maselo oyera pamagazi kumatsimikizira kukhalapo kwa kutupa. Kuphatikiza apo, magawo amidase amawonetsedwa motsutsana ndikupanga calculi.
Ultrasound ndi njira yophunzitsira bwino, yosavuta komanso yotsika mtengo. Mukamayesedwa, adokotala amatha kudziwa kukhalapo kwa zikuluzikulu zazikulu za zikondamoyo.
Kuphatikiza apo, x-ray imatengedwa, yomwe imakupatsani mwayi kuti muzitha kudziwa miyalayo (makamaka ngati ndi yayikulu mokwanira).
Ngati njira zomwe zili pamwambazi sizinapatse dokotala chidziwitso chokwanira, ndiye kuti wodwalayo amatumizidwa kuti apange endicopic retrograde pancreatography (njirayi imapangitsa kuti ziwonekere kupindika kwa chiwalo kuchokera mkati).

Mankhwala othandizira

Zoyenera kuchita ndi matenda ofanana? Momwe mungathandizire kupweteka kwambiri ndi pancreatitis yowerengeka? Odwala ambiri amafunsa izi atapangidwa ndi adotolo. Nthawi yomweyo ndikofunikira kunena kuti mankhwalawa amathandizira pamenepa. Mankhwala ena amathandizira kupirira ndi zizindikiro, pomwe ena amabwezeretsa m'mimba:

Ndi zowawa kwambiri, ma analgesics ndi mafuta omwe amagwiritsidwa ntchito, makamaka, "Analgin", "Drotaverin", "Papaverin", "No-shpa".
Zogwiritsidwa ntchito ndi anti-ulcer - "Famotidine", "Gastroceptin", "Ranitidine."
Mankhwala a Enzymatic, mwachitsanzo, Pancreatin, Mezim, Festal, akuphatikizidwanso mu regimen yothandizira. Amathandizira kuthetsa nkhawa kuchokera ku kapamba komanso kukonza chimbudzi.
Maacacid amagwiritsidwanso ntchito, makamaka, "Maalox", "Almagel", "Dalargin".

Opaleshoni

Malinga ndi ziwerengero, nthawi zina ndizotheka kuthana ndi matendawa mothandizidwa ndi mankhwala. Mwambiri, opaleshoni imafunika. Ngati ndi kotheka, ndiye kuti kukhetsa kwa ma pancreatic ducts kumachitika.

Nthawi zina adotolo amakhazikitsa anastomosis polumikiza ductor ya pancreatic ndi patsekeke lamatumbo laling'ono - izi zimathandizira kubwezeretsa kutuluka kwa pancreatic madzi. Ngati pali chikhodzodzo chokulirapo cha chiwalocho, ndiye kuti dokotala amatha kusankha kutuluka kwathunthu.

Pambuyo pakuchita opaleshoni, wodwalayo amapatsidwa mankhwala oyenera, komanso njira zolimbitsa thupi. Analimbikitsa spa chithandizo ndi mayeso apakati.

Pancreatitis yowerengeka: zakudya

Ndi matenda otere, kudya ndikofunikira kwambiri. Zakudya zopanda pake pamenepa zimangoyambitsa kupsinjika, zimakulitsa mkhalidwe wa wodwalayo. Malamulo opanga zakudya zabwino ndizosavuta:

Zosuta, zamchere kwambiri, komanso zonunkhira, zokazinga ndi zamafuta zimaphatikizika, chifukwa izi zonse zimakhudza mkhalidwe wa kapamba, zimakwiyitsa mucous membrane wam'mimba.
Ndikofunikira kusiya zakumwa zoledzeretsa ndi zakumwa zoziziritsa kukhosi.
Ndikwabwino kukana nkhumba. Amaloledwa kugwiritsa ntchito nyama ya kalulu, nyama ya nkhuku, nsomba zamafuta ochepa, koma ndibwino kuti muziphika zaphika (osagwirizana).
Amaloledwa kudya supu zamasamba, mbatata yosenda, chimanga (oatmeal amadziwika kuti ndizothandiza kwambiri).
Zakudyazi ziyenera kuphatikizapo zinthu zopangidwa mkaka, ma omamu, tchizi wopanda mafuta.
Ponena zakumwa, tiyi wamafuta, zakudya, msuzi wa rosehip ndiwothandiza. Kuchokera ku khofi ndi tiyi wakuda wamphamvu ayenera kusiyidwa kwakanthawi.
Njira yoyenera kwambiri imawonedwa ngati chakudya chamagulu - idyani pang'ono, koma nthawi zambiri.

Zithandizo za anthu: mungatani?

Zinthu zina zimatha kukonzedwa kunyumba:

An tincture wogwira mtima amaganiziridwa.
Odwala amalangizidwa kumwa decoction wa oat mbewu (ayenera kukhala pansi mu chopukusira khofi).
Madokotala amalimbikitsa kumwa tiyi wa chamomile, omwe amathandizira kuthetsa kutupa.
Kugwiritsa ndi decoctions masamba ndi mizu ya dandelion.
Zodzikongoletsera ndi ma infusions kuchokera ku muzu wa magazus zimathandizanso bwino pamavuto am'mimba.

Mwachilengedwe, mutha kugwiritsa ntchito mankhwalawo pokhapokha mwachilolezo kwa dokotala, ndiye kuti mukangoyang'ana ndi katswiri. Mankhwala achikhalidwe amatha kugwiritsidwa ntchito ngati njira zothandizira.

Kulosera kwa Odwala

Zoneneratu pankhaniyi zimatengera mwachindunji kuti matendawa adapezeka. Ndi pancreatitis yowerengeka, nthawi zonse pamakhala chiopsezo cha kusinthika kwa matenda kukhala matenda oopsa a oncological. Nthawi zina zotupa za kapamba zimabweretsa kulumala. Komabe, mwayi wazotsatira zabwino ulinso pamenepo.

Kuteteza: kodi ndizotheka kuletsa kukula kwa matendawa?

Tsoka ilo, palibe mankhwala ena apadera kapena njira zina zomwe zingateteze kwathunthu ku chitukuko cha pancreatitis yowerengeka. Komabe, kutsatira malamulo osavuta kumachepetsa kwambiri matenda.

Ndikofunika kwambiri kuwunika zakudya, kudya zakudya zochepa, zophika bwino. Akatswiri amalimbikitsa kuti asiye kusuta fodya komanso kumwa mowa - zizolowezi zoyipazi zimakhudza matumbo oyamba. Yesetsani kukhala ndi nthawi yochulukirapo panja, limbitsani chitetezo chokwanira, pumulani yabwino, ndiponso, pewani zinthu zovuta.

Ngati mukuwona kuwonongeka kulikonse, ndiye kuti muyenera kudziwitsa dokotala mwachangu ndikuwonetsetsa. Monga mukudziwira, chithandizo cha mankhwala chimayamba posachedwa, ndipamenenso mwayi wopambana.

Zinthu za maphunzirowa ndi zizindikiro za matendawa

Monga tanena kale, kuwerengetsa kwamtundu wa kapamba kumayamba chifukwa cha kusintha kwa mapangidwe amomwe amapangira madzi omwe amapezeka mu kapamba. Chifukwa chachikulu ichi chodzetsera matendawa chimalumikizidwa ndikuwoneka ngati njira zosagwedezeka kapena zotupa mumtunduwu wam'mimba zomwe zimayambitsa kukula kwa miyala yamkati mwa iye - miyala yomwe imalepheretsa kwathunthu kukamwa. Chifukwa chake ndi chachikulu pakukula kwa matenda, koma pali zinthu zingapo zoopsa zomwe zimathandizira njira ya pathological:

kukhalapo kwa wodwalayo m'mbiri ya pathologies of connective minofu kapena magazi,
kudya mankhwala osagwiritsidwa ntchito masiku ambiri,
uchidakwa
Matenda a chiwindi monga matenda a chiwopsezo, chiwindi ndi matenda am'mimba amatha kubweretsa matendawa mwachindunji.

Kuwonetsedwa koyamba kwa kuwerengetsa kwapachiwonetsero kachilengedwe kuli pafupifupi kofanana ndi kakulidwe ka anthu omalizira omwe adadziwika kuti ali ndi matenda amtundu wa chiwindi - uku ndikuwonetsa kupweteka kwambiri. Koma palinso mawonekedwe - uku ndi kupezeka kwa matenda am'mimba ndipo nthawi yomweyo kusowa kwa jaundice.

Matenda akuwonetsa matendawa

Chipatala cha pancreatitis chowerengeka nthawi zambiri chimatengera momwe matenda amapezekera - pachimake kapena chovuta. Kuphatikiza apo, malo omwe miyala ikuluzika mu gland imakhudza kwambiri mawonetsedwe, monga malo omwe akumva kupweteka. Pankhani yakupezeka kwa calculi m'thupi la kapamba, ululu umakhudza gawo lapakati pamimba, m'thupi la gland - kumanja, ndipo akapezeka ndi mchira wake, ululu waukulu umamveka mu hypochondrium wamanzere. Momwemonso, pamene zikondamoyo zonse zimakhudzidwa ndi miyala, ululu umakhala ngati.

Wodwalayo amakhalanso ndi zizindikiro zina, malinga ndi momwe katswiri wodziwa bwino angakayikire kukula kwa kapamba owerengetsera:

Munthu yemwe ali ndi matendawa amakhala ndi vuto la kudzimbidwa, koma nthawi yomweyo, ndowe panthawi yopanga zinthu zimakhala ndi mushy kapangidwe kake, ndipo zotsalira za chakudya chosasokonekera zilipo. Pondaponda wodwalayo nthawi zonse amakhala ndi fungo losasangalatsa.
Nthawi zambiri mseru, ndipo nthawi zina amasintha kukhala kusanza kwambiri.
Zosayembekezereka (popanda chifukwa chachikulu) komanso kuchepa kwambiri kwa thupi.
Kugunda kwa mtima kunachuluka.
Kutuluka thukuta kosalekeza.

M'malo pamene miyala ikakhala m'choga chonse, munthu amayamba kudwala matenda ashuga. Muzochitika zotere, kumverera kowawa sikungakhaleko konse kapena kungokhala ndi mawu ofooka kotero kuti wodwalayo sangawalandire.

Akatswiri amalimbikitsa mwamphamvu kuti aliyense amene ali pachiwopsezo cha chitukuko cha zamtunduwu asamale ndi zizindikiro zowopsa. Zikakhala kuti zizindikiro ziwiri kapena zingapo zikuwoneka, muyenera kufunsa dokotala ndipo mukayezetsa koyenera. Izi zikuthandizira kuzindikira matenda oyipa pachiyambi pomwe ndikuwonjezera mwayi wochira.

Kuzindikira ndi kuchiza matendawa

Pofuna kudziwa momwe matenda a kapamba aliri masiku ano ndikupereka chithandizo chokwanira (chosasamala kapena chamankhwala ochita opaleshoni), katswiri wa gastroenterologist amafunika zotsatira za kafukufuku wapadera wofufuza matenda.

Kuti mupeze zofunika, njira zotsatirazi zimaperekedwa kwa odwala omwe ali ndi pancreatitis yowerengeka:

Kuyeserera kwa labotale magazi ndi mkodzo kumatha kuwonetsa kuchuluka kwa amylase (enzymment yapadera), yomwe imatsimikizira kuwonongeka kwa kapamba.
Fluoroscopy. Njira yofufuzira iyi imakuthandizani kuti muwone ngati pali timiyala mumkamwa kapena m'thupi la chimbudzi, ndi kuchuluka kwa zomwe zilipo. Dokotala wodziwa bwino yekha ndi amene amatha kusiyanitsa zowona zenizeni ndi mawonekedwe amitsempha.
Ultrasound imathandiza kudziwa kutalika kwa pancreatic duct, komanso kukhalapo kwa miyala momwemo.
Endoscopic retrograde pancreatography ndizosowa. Njira yofufuzira iyi ndiyofunika pokhapokha ngati vutolo lazidziwika ndilovuta.
Kumuwunika kwathunthu wodwalayo kungachitike pokhapokha ngati wachotsedwa, popeza kubwerezanso matendawo mkhalidwe wa wodwalayo kumacheperachepera, ndipo akufunika chithandizo chamankhwala mwadzidzidzi.

Njira zazikulu zochizira

Chithandizo cha pancreatitis chowerengeka chimachitika m'njira zingapo. Ngati matendawa amayenda pang'onopang'ono, njira zotsatirazi zimagwiritsidwa ntchito:

Mankhwala. Mankhwala omwe amagwiritsidwa ntchito nawo amagwiritsidwa ntchito m'njira zochepa.Cholinga chawo ndikuchotsa zizindikiro zazikulu, kupweteka, mseru komanso kusanza, komanso kuchotsedwa kwa zotupa, matenda am'mimba ndi chimbudzi.
Physiotherapy. Kugwiritsa ntchito njirayi cholinga chake ndikuthandizira kubwezeretsanso minofu, kuthetsa matenda oyanjana ndi kubwezeretsa ntchito ya ziwalo zomwe zakhudzidwa.
Chithandizo chothandizira ndi wowerengeka azitsamba. Zimachitika kokha motsogozedwa ndi katswiri. Sizikulimbikitsidwa mwapadera kuti musankhe modziimira nokha, chifukwa mutha kungokulitsa zazomwe zikuchitika.
Sanatorium-resort chithandizo, chomwe odwala amasankhidwa menyu wovomerezeka ndikupatsidwa madzi amchere omwe amafanana ndi mawonekedwe awo.

Ngati wodwala ali ndi vuto lalikulu, osokoneza magwiridwe antchito kapena kumayambitsa kupangidwaku kwa ntchito yake, pakufunika kuchitapo kanthu mwachangu.

Chithandizo cha opaleshoni chikufuna kubwezeretsa kutuluka kwa madzi kuchokera kumimba. Izi zimatheka pochotsa miyala pamatumbu am'mimba ndikugaya madzi ake.

Matenda a pancreatitis owerengeka, omwe akatswiri amawasiya, nthawi zambiri amakhala osavomerezeka, chifukwa kudwala kumeneku nthawi zambiri kumakhala koopsa. Kuphatikiza apo, matenda a zamatsenga amachepetsa kwambiri magwiridwe amunthu. Ndi zifukwa izi kuti nthawi zambiri, anthu omwe ali ndi mbiri yakale ya matenda amapatsidwa gulu la olumala. Kuzindikira kwakanthawi, chithandizo chokwanira, kukana zizolowezi zoyipa komanso kudya zakudya zoyenera kumathandiza kupewa izi.

Zizindikiro zodziwika pancreatitis yowerengeka

Kumbukirani kuti dokotala amapeza matendawo. Pambuyo pakufufuza kwathunthu, kuphatikiza mayeso a endoscopic, akapezeka kuti apezeka ndi matenda a kapamba, amayamba kulandira chithandizo. Kodi mungamvetse bwanji kuti pali mwayi wokhala ndi matenda otere? Imawonetsedwa ndi mawonekedwe osiyana:

kupweteka kwambiri pamimba. Kutengera ndi komwe miyala yapangidwayo imamveka m'malo osiyanasiyana,
kudzimbidwa: kudzimbidwa, chopondapo mwa mawonekedwe a phala, chokhala ndi chakudya chosasokoneza.
kuwonda
thukuta kwambiri
kupuma koipa.

Ngati zizindikiro zotere zikuwoneka, pamafunika kukauza dokotala. Ngakhale ndi chizindikiro chimodzi, sichingavulaze kuzindikira, kumayambiriro kwa matendawo, matendawa amatha kuwononga thupi.

Zimayambitsa kuwerengedwa kapamba

Zowonjezera zingapo zomwe zimachokera ku mzake zimatsogolera mkhalidwe wofanana. Pancreatitis yowerengeka imawerengedwa ngati mtundu wonyalanyaza wa matendawa pomwe thupi sukulimbana ndi katundu wambiri.

Ganizirani zopinga zomwe zimapangitsa kuti matendawa akule:

Mowa osaloledwa
Mankhwala othandizira kwambiri
Matenda opitirira a hepatitis B ndi hepatitis C, chikhodzodzo ndulu ndi ducts ya bile,
Zilonda za Duodenal
Zotsatira zakuchiza kuvulala, matenda, opaleshoni,
Mavuto amitsempha yamagazi, mtima.

Chithandizo cha kuwerengetsa kapamba

Chithandizo chimayamba ndikuwunikira kwathunthu komanso kupereka njira za dokotala woyang'anira. Kudzichitira nokha mankhwala ndikotsutsana. Kwa pancreatitis yowerengeka, mawonekedwe amtundu komanso wodwala amakhala ndi vuto. Mapulogalamu owopsa a matendawa ndi osowa, amawonedwa ngati owopsa kwa anthu. Opaleshoni amatha kuthetsa vutoli moyang'aniridwa ndi dokotala wazachipatala wodziwa ntchito, pakakhala kofunikira kuchotsa miyala yopangidwa. Kubwezeretsa pamilandu iyi kumatenga nthawi yambiri. Ndikofunika kutengapo maphunziro okonza madera ena apadera, malo okwerera kapena nyumba zokwerera. Nthawi zambiri pambuyo pakuchita opaleshoni, pamakhala zotsatira zake pakusintha kwamatenda ku oncology. Munthu yemwe ali ndi vuto lofananalo amachepetsa, kulumala kumaperekedwa, nthawi zambiri gulu lachiwiri.

Pancreatitis yovuta yowerengeka imakhala yofala, imapezeka nthawi zambiri kuposa mitundu ina. Pathology imadziwika ndi kupweteka mu mawonekedwe a spasms, nseru, kusanza. Njira yamatendawa imakhala yangozi kuposa pachimake. Zotsatira ndi kukonzanso zidakali zofanana. Kuchiza si nthawi yonse ya opareshoni. Njira zozizira zomwe zimayang'ana kutulutsa kwa miyala mu kapamba, kuthekera kwa kugawanika ndi kukula kwachilendo kukuchitika. Njira zolimbitsa thupi zimagwiritsidwanso ntchito pafupipafupi pochiza pancreatitis yowerengeka.

Zakudya za kuwerengera kapamba

Nthawi yonse ya matendawa, mankhwalawa amapezeka pancreatitis wowerengeka. Choyamba, mbale zophika ndi zosuta, zamchere komanso zokometsera, chakudya mwachangu, zakumwa zoledzeretsa zimasiyidwa kunja kwa chakudya. Chakudya chisasiyanitse kwambiri kutentha.

Zipatso ndi ndiwo zamasamba zimakhalabe. Masamba samadyedwa osaphika, zipatso sizac acid. Ndikofunika kugwiritsa ntchito zinthu zamkaka zopaka, zamafuta opanda mafuta, sopo wamasamba, zakudya zamafuta, mankhwala azitsamba. Chakudya cham'mawa, michere yama protein, michere (semolina, buckwheat, oatmeal) ndi yabwino. Mbaleyi idzafunika kukonzedwa, mkaka uyenera kusankhidwa ndi mafuta ochepa. Zogulitsa ziyenera kukhala zowotchera, kuwiritsa kapena kuwotchera. Chofunika ndicho kumwa madzi ambiri. Malangizo pazakudya za adotolo ayenera kuonetsetsa bwino. Ichi ndiye chinsinsi chofuna kuchira.

Pambuyo pa mankhwalawa, pakakhala mphindi yakuchira, kapena kukhululuka, ndizotheka kugwiritsa ntchito njira zina kuti musunge thanzi.

Folk maphikidwe zochizira kuwerengetsa pancreatitis

Njira zamankhwala zimagwiritsidwa ntchito pokhapokha ndi chilolezo cha adokotala, maphikidwe ena atha kulangizidwa ndi dokotala. Cholinga chawo ndi kulimbikitsa zotsatira zake pambuyo pa mankhwala achikhalidwe kuti muchepetse chiopsezo cha kufalikira kapena kutulutsa matendawa.

Onani maphikidwe odziwika ndi otsimikiziridwa:

Mbatata ndi msuzi wa karoti. 2 kaloti ndi mbatata amatengedwa, kutsukidwa bwino, osachotsa peel, chotsani kupanda ungwiro. Pogaya mu blender kapena nyama chopukusira, Finyani msuzi. Imwani m'mawa pamimba yopanda sabata. Kenako pumulani nthawi yofananayo.
Mafuta Kapu ya chimanga imatsukidwa ndikukupukusidwa mu chopukusira nyama. Osakaniza amathiridwa ndi madzi okwanira 1 litre ndikuwaphika pamoto wotsika kwa mphindi 10. Kuzizira komanso kusefa. Imwani kapu imodzi ya zakumwa m'mawa musanadye. Maphunzirowa ndi masiku 10.
Walnut 1 chikho cha chipolopolo ndi mtedza zidatsanulidwa 0,5 malita a vodika mu botolo la opaque, ndiye kumanzere kwa mwezi, nthawi zina kugwedezeka. Tengani supuni imodzi musanadye, pafupifupi mwezi umodzi, ndiye yopuma yomweyo.
Dandelion. Tengani mphukira pamodzi ndi muzu wopanda duwa ndi kuwaza. Onjezani malita 0,5 a madzi pamlingo womwewo ndikuwutulutsa kwa tsiku limodzi. Imwani kapu ya ¼ musanadye katatu pa tsiku. Njira yovomerezeka ndi milungu iwiri.

Sikuti njira zonse zodziwika pokonzekera mankhwala azomwe zalembedwa pano. Kumbukirani kuti ndizotheka kugwiritsa ntchito njira zina ngati palibe tsankho ndi zovuta zina pazinthu zomwe zimapangidwa. Maphikidwe a anthu sachotsa chithandizo chachikulu, koma adzakhala owonjezera.

Ndikufuna kuwonjezera kuti kupewa komanso kupewa matendawa ndi njira yabwino kwambiri yopewera. Musanyalanyaze zizindikiro zoyambirira zomwe zikuwoneka kuti simusangalala, ndikuwamwetsa mapiritsi, kudzipangira nokha. Kuchita izi kungachepetse zizindikiro, koma osati kuchiritsa zomwe zimayambitsa. Kukana kogwiritsa ntchito zizolowezi zoyipa, kuchepetsa masewera olimbitsa thupi ndikutsatira malamulo azakudya zabwino.

Nthawi zambiri kuposa mitundu ina ya kutupa kwa kapamba, ma biliary-pancreatitis amayamba (limodzi ndi mowa). Biliary pancreatitis imachitika chifukwa chophwanya kutuluka kwa ndulu kudzera munjira ya biliary. Zotsatira zake, kupanikizika kumawonjezeka mumizere ya bile poyerekeza ndi milomo ya kapamba ndipo bile limayamba kulowa m'matumbo a ma pancreatic. Chifukwa cha bile regurgation, maselo a pancreatic amawonongeka ndikuyamba kwa kutupa ndi zochitika zowonongeka. Malinga ndi maphunziro azaumoyo, pancreatitis ya biliary-yodalira imakhala yovuta komanso yopweteka.

Biliary pancreatitis ndimatenda osachiritsika omwe amapezeka ndi matenda amtundu wa biliary, zomwe zimapangitsa kuti chiwopsezo cha ducts cha ndulu ndi kulowa kwa bile mu ducts ya pancreatic.

Etiology ndi pathogenesis

Vuto lodziwika bwino limachitika pazifukwa zofanana ndi chifuwa chapakati cha biliary pancreatitis. Zolinga zodziwika:

kuwerengetsa cholecystitis ndi bile sludge (yaying'ono yaying'ono mu bile),
cholowa cholowa cha ma ducts a bile,
dyskinesia wa bile ducts,
kutupa kwa ndulu,
kutupa kwa bile ducts,
matenda a duodenal papilla (dyskinesia wa sphincter wa Oddi, njira zotupa, kuwonda, kukhalapo kwa matupi akunja kapena njira za volumetric mkati mwake),
cirrhosis ndi zina chiwindi matenda.

Pali njira zopangidwira pancreatitis yochokera ku biliary:

Chifukwa cha matenda a biliary system mu bile ducts, kukakamizidwa kumawonjezeka, bile Reflux kupita pancreatic panjira kumachitika.
Kuchulukitsa kwa bile chifukwa cha ma pathologies a Vater papilla.
Kuwonongeka kwa ma pancreatic ducts ndi Calculator (sludge) opangidwa mu bile ducts.
Kufalikira kwa othandizira opatsirana kuchokera pa biliary dongosolo kupita ku pancreatic (mwina kudzera mu dongosolo la mitsempha yam'mimba).

Maphunziro azachipatala

Njira yowuma kwambiri imadziwika ndi kuwukira kamodzi kokha kwamatenda omwe ali ndi zizindikiro zamphamvu kwambiri komanso kutuluka kwadzidzidzi. Pambuyo povulazidwa, pancreatitis yovuta kwambiri imadutsa popanda kufufuza, ndipo kuchira kwathunthu kumachitika.

Njira yayitali imadziwika ndi njira yonga mafunde yomwe imakhala nthawi yochulukirapo komanso kuchotsedwa, kusintha kosalekeza kwa kusintha kwa matenda m'thupi.

Kuchulukitsa kwa matenda osachiritsika kapena kupezeka kwa matenda owopsa nthawi zambiri kumachitika chifukwa cha zolakwika za chakudya - kudya mafuta ambiri, okazinga ndi zakudya zonunkhira usiku. Kuukira kwa kapamba kumadziwika ndi zizindikiro:

Shingles ululu waukulu mu epigastrium, kwambiri kumanzere, kwamuyaya. Ngati wodwala akudwala pancreatitis ya biliary-yodalira, ndiye kuti ululu ukupweteka. Pochita zowawa, amakhala olimba, osalephera.
Kumva nseru, kusanza.
Amayimitsa pansi kapena kudzimbidwa.
Kumva kuwawa lilime.
Hyperthermia yotheka.
Mwazi wamagazi ungachuluke kapena kuchepa chifukwa cha kusokonezeka pakupanga insulin ndi glucagon ndi ma cell a gland.

Mukamayang'ana wodwala, zizindikiro za biliary pancreatitis zidzakhala zabwino: kupweteka kwa Mayo-Robson, Desjardins, Shoffar point, Voskresensky dalili (kusowa kwa pulpation pa palpation 5 centimeter diagonal kuchokera ku msana kupita kumunsi kumanzere, chizindikiro cha Razdolsky (kupweteka pakugunda pancreatic dera) , chizindikiro cha Mondor (mawanga ofiirira pamthupi la wodwalayo), chizindikiro cha Tuzhilin (kukhalapo kwa zotupa pakhungu).

Kukula kwa kapamba

Pancreatitis ndimatenda otupa omwe amapezeka m'mapapo aanthu. Chiwalocho chili m'mimba ndipo chimagwira ntchito ziwiri:

Endocrine (mkati). Mahomoni amapangidwa ndi gland, yomwe chachikulu ndi insulin. Horm ndiyofunika pakuwongolera kuchuluka kwa shuga m'thupi.
Exocrine (wakunja). Ntchitoyi ndi yomwe imayambitsa kupanga chikondamoyo cha pancreatic ndikubweretsa m'mimba pazofunikira. Madzi amaphatikiza ma enzyme omwe amaonetsetsa kuti mapuloteni, zakudya zamafuta ndi mafuta omwe amapezeka muzakudya zomwe zimadyedwa.

Chithandizo cha chifuwa chachikulu chimadalira mtundu wa kakulidwe (edematous, parenchymal, sclerosing, calculous).

Tanthauzo la matendawa ndikuti pancreatic duct imasiya kupatsa madzi am'mimba, gawo limayatsidwa. Kupanga kwa juisi kumapitilizabe, pali kuphwanya kwa magawidwe a michere. Enzymes yokhala ndi mtundu wa alkaline nthawi zambiri amayamba kuchita, kusiya zofunikira, kuteteza ziwalo. Mu chifuwa chachikulu cha pancreatitis, njira ya enzyme yomwe imayang'aniridwa imaphwanyidwa, zinthu zimayamba kugwira ntchito mkati mwa thupi.

Kuopsa kwa matendawa kuli poti ma enzyme omwe amapezeka mumadzimadzi, osapeza njira yotulukira, amawongolera mwachindunji mkati mwake. Matenda a kapamba amapangidwa motsutsana ndi matenda ena am'mimba ochita kugaya. Matendawa amakula nthawi yayitali. Zizindikiro ndi chithandizo cha matendawa zimatengera zomwe zimayambitsa kutupa.

Gulu lamavuto

Matendawa amafala kwambiri pakati pa anthu achikulire. Ndi zaka, njira zachilengedwe mthupi zimachepa, monga ntchito ya kapamba. Peresenti yayikulu ya kupezeka kwa zotupa zalembedwa mwa anthu omwe ali ndi vuto la kumwa mowa ndi mankhwala osokoneza bongo. Kumwa moledzera pafupipafupi kumayambitsa kukwezedwa. Kubwereza nthawi ndi nthawi, kukomoka kumatha kukhala mawonekedwe osachiritsika. Kumwa mowa mwauchidakwa kumayambitsa kukokoloka kwa chifuwa chachikulu.

Chisamaliro chathanzi chimaperekedwa kwa anthu omwe ali ndi cholowa chamtunduwu. Asayansi amati kupezeka kwa kusintha kwa majini. Kukhazikika kwa khungu kumapangitsa kuti zikondamoyo zizivuta. Kugwira ntchito m'makampani owopsa kumawonjezera mwayi wokhala ndi matendawa. Ndiosavuta kuchiritsa matendawa ngati zovuta zomwe zingayambitse kutupa zichotsedwa m'moyo.

Zinthu zomwe zimayambitsa matendawa

Ndikofunikira kuti anthu omwe agwera m'maguluwa amvetsetse kuti mwayi wawo wodwala ndiwokwera kwambiri. Chithandizo cha chifuwa chachikulu chimakhala chovuta kwambiri. Ndikofunikira kupewetsa zinthu zomwe zimayambitsa matendawa:

Kupsinjika kwanthawi yayitali
Matenda
Kumwa mankhwala omwe amayambitsa kuledzera kwa thupi,
Kusala, zakudya,
Kuvulala
Kudya zakudya zopanda pake.

Pancreatic pancreatitis nthawi zambiri imayamba motsutsana ndi maziko a matenda ena opweteka: gastritis, zilonda zam'mimba, kutupa kwa ndulu ndi zina. Choopsa chake chachikulu ndicho cholecystitis.

Zizindikiro za matendawa

Pancreatitis yosatha ndi matenda omwe amakhala zaka zambiri. Amadziwika ndi nthawi yakuchulukitsa komanso kukhululuka. Poyambirira, kudziwa komwe kumayambitsa matenda kumakhala kovuta. Odwala amatanthauza kukwiya kwambiri, osafunafuna thandizo kuchokera kwa dokotala. Zizindikiro za chifuwa chachikulu chimakhala chosavuta kuzindikiritsa ndi kufalikira kwa matendawa. Kenako zizindikirazo zikufanana ndi chithunzi cha matenda.

Kuchepetsa thupi. Wodwala akuchepetsa thupi popanda zifukwa zomveka, kubwezeretsa thupi kumakhala kovuta.
Ululu mu epigastrium ndi kumtunda kumanzere kwamimba. Mu chifuwa chachikulu, kupweteka kumawuma komanso kupweteka.
Njira zakugaya zachilengedwe zimasokonekera. Wodwala amakhala ndi mseru, nthawi zambiri umatsatiridwa ndi kusanza, kutentha kwa mtima, komanso kuwonda.

Kuchulukitsa kwa pancreatitis yodziwika bwino kumadziwika ndi zambiri. Mukakhala mukuchulukirachulukira, zizindikiro zimavuta kuzindikira. Chizindikiro chowoneka ndikuphwanya chopondapo. Chifukwa chosowa madzi okwanira, chakudyacho sichimaphwanya mokwanira. Pondapondayo imakhala fetid, imayamba kuwala.

Mu chifuwa chachikulu, kuphwanya kwa endocrine ntchito ya mkati zimapezeka. Chifukwa cha izi, thupi silipanga mahomoni okwanira, kuphatikizapo insulin. Kuperewera kwa insulin m'thupi kumabweretsa matenda ashuga.

Kuzindikira ndi chithandizo

Ngati zizindikiro za matenda apakhungu apezeka, muyenera kufunsa dokotala. Ndikofunika kumvetsetsa kukula kwa matendawa. Ngati mukukayikira chithandizo, pamakhala zovuta zina zomwe zingachititse wodwalayo kuti aphedwe. Kuphatikiza apo, motsutsana ndi matendawo a matendawa, enanso, osakhala oopsa, amatuluka. Ndipo chithandizo cha matenda amodzi amaloledwa ndi thupi kukhala chosavuta kuposa zingapo nthawi imodzi.

Kukhazikitsidwa kwa akatswiri

Ngati kutupa kumayikiridwa, kuonana ndi dokotala. Dokotala amatenga anamnesis ndipo amapanga chithunzi chonse chachipatala. Wodwala akazindikira kuti ali ndi pancreatitis yayikulu, zizindikiro ndi madandaulo omwe wodwala akutsimikizira zimatsimikiziridwa ndi maphunziro owonjezera. Zizindikiro zomwe zimadziwika zimadziwika ndi matenda ambiri a m'mimba. Uku ndiye kusokonezeka kwa chizindikirocho. Chifukwa chake, kuzindikira kwa pancreatitis yayikulu kumafunikira kufufuza kokwanira. Njira zoyambira:

Mbiri yazachipatala, kumvera madandaulo,
Kuyang'ana wodwalayo
Palpation (palpation) kuti mudziwe malire a ziwalo zamkati,
Kafukufuku wa Laborator
Kufufuza kwazida.

Magawo awiri omaliza amawerengedwa kuti ndi ofunikira kuti apezeke matenda a kapamba. Chifukwa chake, timaziwona mwatsatanetsatane. Kuzindikira kwa labotale kumaphatikizapo kafukufuku wamagazi, mkodzo ndi ndowe. Laboratory diagnostics imapeza bwino kwambiri ngati maphunziro amachitika pamene chifuwa chachikulu chikutha. Kafukufukuyu akufuna kukhazikitsa kuchuluka kwa michere mthupi la munthu, makamaka amylase. Mu chifuwa chachikulu, chizimba cha enzymeyi chimakwera kwambiri patatha maola awiri kuchokera ku nthawi yayitali. Mlingo wa lipase mu thupi umachuluka ndipo umakhala wokwezeka kwa nthawi mpaka milungu iwiri.

Zambiri zofunikira zimaperekedwa ndi kuyezetsa magazi ndi mitundu yambiri. Odwala omwe amapezeka ndi chifuwa chachikulu cha khansa, chiwopsezo cha leukocytes chimadziwika. Izi ndizodziwika pakatupa aliwonse. Kusanthula kwa biochemical kumanena kuchepa kwa mapuloteni m'magazi. Komanso, chisonyezo chofunikira pakuwonetsa matendawa ndi kuchuluka kwa mafuta omwe amapezeka mumizu.

Pali zizindikiro zingapo zomwe zimathandiza kudziwa matenda a kapamba:

Kutupa kwa msempha pansi pa sternum kumakhala kovuta kumva,
Kupangidwe kwa mabala m'malo ena am'matumbo,
Mukamaliza kapamba, zotulutsa zimapweteka,
Zowawa pakadali pakati pa msana ndi nthiti kumanzere.

Kuzindikira ndi kuchiza matendawa molondola kwambiri amatsimikiza pogwiritsa ntchito zida zamankhwala. Zidazi zimagwiritsidwa ntchito kwambiri pogwiritsa ntchito njira zodziwitsira matenda.

Chida chozindikira

Matenda a kapamba nthawi zambiri amapezeka pogwiritsa ntchito zida zodziwikitsa. Njira yodziwika kwambiri imadziwika kuti ndi ultrasound. Njira yowonera ziwalo zamkati zimathandizira kudziwa kukula ndi kapangidwe kazinthu zazikulu.

Zizindikiro za kutupa kwa echo pakamayesedwa ndi ultrasound:

Chofufumira chomangira,
Kupezeka kwa ma cysts,
Kuchulukana kwachilengedwe
Pamaso pa miyala,
Kufutukula kwa maenjewo m'malo osiyanasiyana.

Njira ya radiology imayikidwa ndi dokotala kuti adziwe kupezeka kwa miyala mu kapamba ndi ndowe. Complication tomography imathandiza kudziwa zambiri za necrosis ya zimakhala zamkati ndikuwulula zotupa ndi ma cysts.

Endoscopy ndi njira yoyezera ziwalo pogwiritsa ntchito kamera ya kanema. Iyi ndi njira yophunzitsira modabwitsa. Pogwiritsa ntchito chithunzi cham'manja cha digito, mutha kudziwa bwino ziwalo zamkati ndikuwunika momwe ziliri. Mu chifuwa chachikulu, endoscopy imakupatsani mwayi wowerengeka zamkati mwa ziwalo zina zamkati.

Zithandizo zamankhwala

Dokotala yemwe amaphunzira kutupa kwa pancreatic amakhala ndi gastroenterology. Chifukwa chake, funso "momwe mungachitire ziphuphu" limayang'ana kwa gastroenterologist. Njira zambiri zochizira matendawa zapangidwa. Kusankha kumatengera mtundu wa matendawo. Cholinga chachikulu cha chithandizo chamankhwala ndi kuchepetsa chiopsezo cha zovuta. Chifukwa chake, mankhwalawa amathandiza kuthetsa ululu komanso kupewa kufalikira. Njira yochizira imadalira matendawo.

Ndikachulukirachulukira, vuto la ululu limayamba kuchotsedwa. Panthawi yowonjezera, chithandizo cha kapamba chimachitika bwino kwambiri kuchipatala, kuyang'aniridwa ndi madokotala nthawi zonse. M'masiku oyambilira, odwala amalimbikitsidwa kuti azitha kufa ndi njala, madzi ena okha ndi omwe amaloledwa kudya. Kuchulukirachulukiraku kuzimiririka, kuchuluka kwa mankhwalawa kumachepa komanso kuthandizidwa ndi mankhwalawa kumayikidwa kuti athandizenso odwala. Mfundoyi ikukonzekera kukonzekera. Ululu wamankhwala umachepetsedwa ndi antispasmodics. Kuphatikiza apo, adotolo amatipatsa mankhwala omwe amachepetsa kubisika kwa m'mimba.

Kuphatikiza pa mankhwala, mankhwalawa amaphatikizanso kutsatira malamulo ena okhudzana ndi zakudya. Wodwala tsopano akuyenera kutsatira zakudya ndikuyendera gastroenterologist kuti akhale ndi moyo.

Zakudya kwa odwala omwe ali ndi kapamba

Wodwala yemwe wapezeka ndi chifuwa chachikulu chimapitilirabe chithandizo moyo wonse. Izi zimagwiritsidwa ntchito pazakudya zapadera, zomwe zikufunika kutsatiridwa kuti mupewe zovuta. M'masiku ochepa oyamba a fomu yowonjezereka, akatswiri salimbikitsa kudya chakudya. Zakudya zamagetsi zimayambitsidwa m'thupi kudzera pakufufuza. Podziyimira kuti amangodya mchere wam'madzi wopanda mafuta, msuzi wa rosehip. Kupitilira apo, kugwiritsa ntchito zakudya monga zakudya ndi zinthu zomwe sizingapangitse kuti madzi a pancreatic atulutsidwe.

Zikachuluka zikachoka, wodwalayo amaloledwa kuyamba kudya zopatsa mphamvu zamagulu onse. Izi ndi mbewu monga msuzi, msuzi wosenda ndi zina zotero. Pakupita masiku khumi pambuyo povutikapo, wodwalayo amamuwonetsa kuti azidya mkaka wothira mkaka ndi nyama yowonda.

Matenda a pancreatitis amafunika kutsatira malamulo okondweretsa pamoyo wonse. Wodwala amayenera kupewa kudya mafuta, zonunkhira komanso zakudya zina. Pewani mowa, bowa, zophika ndi maswiti. Ndikofunikanso kuganizira momwe mumadyera. Muyenera kugwiritsa ntchito magawo ang'onoang'ono. Izi zikuthandizira kupewa kuchuluka kwa kapamba. Kuthana ndi malamulo a zakudya komanso zopatsa thanzi, kuphatikiza ndi mankhwala omwe adokotala adapereka - ili ndi yankho ku funso lmomwe mungagwiritsire matenda a kapamba.

Kudya zakudya zopatsa thanzi, komanso kusuta fodya ndi kumwa kumadziwika kuti ndi njira zofunika kwambiri popewa matenda a kapamba. Kumbukirani izi kuti muzidzipatula pagulu la anthu omwe ali pachiwopsezo. Matenda a kapamba amavuta kuchiza, amafunika mtengo komanso zofunikira zonse. Kupewa kuyambika kwa matendawa ndikosavuta ngati mutsatira malamulo a moyo wathanzi.

Kuphatikiza apo, kupewa kumathandiza kupewa matenda ena owopsa. Chifukwa chake, anthu athanzi, asanadzifunse momwe angachiritsire matendawa, ayenera kuphunzira njira zopewera kapamba kwambiri.

Chithandizo cha Conservative

Dokotala atazindikira kuti ali ndi matenda owopsa a kapamba, angamupatseni mankhwala othandiza. Choyamba, zimapereka chakudya. Muyenera kupatula zakudya zanu zonse zomwe zimakonzedwa. Muyenera kudya zazing'ono komanso zochepa. Ndi matendawa, simungathe kudya zakudya zotentha kwambiri kapena kuzizira kwambiri. Masamba amatha kudyera bwino mu mawonekedwe ophika kapena owiritsa. Muyenera kupatula zakudya zonunkhira komanso zamchere.

Chithandizo cha Conservative chimafuna mankhwala ovomerezeka. Kuchepetsa ululu, antispasmodics ndi analgesics amalembedwa, kuphatikiza:

Mankhwalawa amatha kuperekedwa osati pakamwa, komanso m'mitsempha. Mlingo wa mankhwalawa umaperekedwa ndi dokotala wokhazikika pazotsatira zake.

Mankhwala osokoneza bongo angaphatikizepo mankhwala a mahomoni. Amasankhidwa kuti athetse ma spasms ndikuchepetsa kuchepetsa kwa secretion wa asidi. The achire zotsatira akuwonetseredwa mu mawonekedwe kusintha mu ambiri mkhalidwe ndi matenda a chopondapo.

Kuchepetsa chubu kukamwa kwa chapamimba madzi, mankhwala okhala ndi antiulcer kanthu amadziwika, kuphatikiza:

Kuti achepetse katundu pazenera ndikuchepetsa kuchuluka kwa mafuta m'thupi, ma enzymes ndi omwe amapatsidwa. Siyenera kukhala ndi bile acid. Chifukwa chake, madokotala nthawi zambiri amapereka mankhwala otsatirawa:

Kuphatikiza apo, ma antacid amatha kuikidwa. Amakhala ndi zotsitsa komanso zochititsa chidwi. Mankhwalawa akuphatikizapo:

Matenda owerengeka a kapamba ndimatenda omwe amayenera kuthandizidwa mokwanira komanso moyang'aniridwa ndi dokotala.

Mankhwala othandizira

Chithandizo cha matenda owerengeka a kapamba amkati ndiwofatsa wamankhwala sichikhala chokhazikika chomwe chimawonetsedwa mu mayesero azachipatala. Nthawi zambiri ndimatenda ngati amenewa, mumayenera kulandira chithandizo cha opaleshoni. Imapatsanso ntchito zomwe zotsatirazi zingachitike:

transduodenal papillosphincterotomy, kuphatikiza kutulutsa kwa ndulu,
Kukhazikikanso kwina kwa mbali yakumaloko ya gland, komwe kumakhudza gawo lawo mu jejunum,
kudutsana pakati pa kuzungulira kwa jejunum ndi kutulutsa kwa ndulu ya anastomosis,
pancreatic resection (ngati zotupa zazikulu zam'mimba za cell zatulukira).

Njira zina

Anthu ena amakonda kuchiza pancreatitis yowerengeka yodwala. Musanakumane nawo, muyenera kufunsa dokotala.

Tikukupatsirani mndandanda wazithandizo zabwino zakunyumba:

Tengani masamba a mabulosi abulu ndi nyemba zosenda nyemba, muzimutsuka bwino kenako ndikudula. Thirani 1 tbsp. l chifukwa osakaniza 200 ml ya madzi otentha. Pambuyo pake, ikani moto pamalopo, bweretsani kwa chithupsa ndikuyimilira kwa mphindi 5-7. Imwani mankhwalawa opangidwa kangapo katatu patsiku, 40 ml iliyonse.
Madzitsuka kangapo oat mbewu (200 g) pansi pa madzi, kenako kudutsa chopukusira nyama. Thirani madzi okwanira 1 litre ndi kuwira kwa mphindi 10. Tengani chotsirizidwa nthawi zonse musanadye 100 ml.
Dutsani udzu ndi mizu ya dandelion kudzera chopukusira nyama. Zotsatira zopangira zofunikira mu 20 g kutsanulira 600 ml ya madzi ndikusiya kwa maola 12. Imwani mankhwala 50 ml 6 pa tsiku.
Pogaya mapesi a nightshade kukhala ufa. Iyenera kumwedwa katatu patsiku ndi kutsina mphindi 15 musanadye.
Tengani 10 g wa celandine, tsabola, nyemba stigmas, mbalame ya phiri, tricolor violet ndi mizu ya dandelion. Zotsatira zosonkhanitsira, kutsanulira 500 ml ya madzi otentha, kuyatsidwa pamoto, kubweretsa kwa chithupsa ndikuzama kwa mphindi 5-7. Tengani decoction ayenera kupendekera katatu patsiku, 50 ml.
Tengani mbatata zochepa, peel ndikufinya msuziwo kwa iwo. Imwani zakumwa 100 ml maola 2 musanadye. Nthawi yomweyo, ndikofunikira kumwa kapu ya yogati mphindi 5 mutamwa mankhwala otere.

Njira ya mankhwala mothandizidwa ndi wowerengeka azitsamba ayenera kukhala kwa 2 mpaka 4 milungu. Kenako muyenera kupumula ndipo, ngati kuli kotheka, pitilizani maphunzirowo.

Ndikofunikira kukumbukira kuti pancreatitis yayitali yowerengeka ndi matenda omwe amayenera kuthandizidwa mokwanira komanso mwaukadaulo. Musayambe chithandizo popanda kufunsa dokotala, chifukwa mwakutero mudzangowononga thanzi lanu.

Matenda amtundu wanji?

Pancreatitis yowerengeka ndi matenda otupa a kapamba omwe amapezeka ndi mchere wa calcium m'misempha ya thupi. Izi zimachitika chifukwa cha ma pathologies ndi kuphwanya kwa mankhwala omwe amapezeka ndi kapamba wa pancreatic. Zotsatira zake, miyala imakhala m'dera lachiberekero.

Nthawi zambiri, miyala iyi imakhala ndi phosphate ndi laimu ya kabati. Nthawi zambiri zimakhala zazing'ono kukula, zimawoneka ngati mchenga wamtambo-yoyera, yocheperako komanso mawonekedwe.

Nthawi zambiri, pancreatitis yayitali yowerengeka imapezeka mu hafu yaanthu, yoposa zaka 50, ndipo amatchedwa miyala ya pancreatic. Ndi chosowa kwambiri komanso chovuta.

Zomwe zimayambitsa matendawa

Nthawi zambiri, kuwerengetsa kapamba kumachitika chifukwa cha zifukwa zotsatirazi:

kugwiritsa ntchito mankhwala osokoneza bongo pafupipafupi komanso mosasamala.
uchidakwa
cholecystitis
hepatitis B ndi C,
nthenda ya ndulu,
zilonda zam'mimba.

Kuzindikira matenda

Kuti adziwe zoyenera, dokotalayo amagwiritsa ntchito njira zotsatirazi:

Kuyesa kwa Ultrasound Zimakupatsani mwayi kuti muwone m'lifupi mwa pancreatic duct komanso kupezeka kapena kusowa kwa miyala.
Zoyeserera zasayansi. Posanthula magazi ndi mkodzo, kuwonjezeka kwa amylase kumachitika.
Kuunika kwa X-ray. Zimakupatsani mwayi kuti muwone mwala umodzi kapena zingapo zing'onozing'ono.
Endoscopic retrograde pancreatography. Njirayi imagwiritsidwa ntchito ngati yowonjezera pomwe njira zomwe zili pamwambazi sizinapereke zotsatira zabwino.

Kuchiza matenda

Chithandizo cha pancreatitis chowerengera chiyenera kukhazikitsidwa ndi dokotala, chifukwa ichi ndi matenda oopsa komanso owopsa. Njira zamankhwala zimatengera mwachindunji kuopsa kwa matendawa.

Pakukhululuka kosalekeza, chithandizo cha spa chikulimbikitsidwa, chomwe chimapereka njira zotsatirazi:

1) Sanatorium-resort mode.

2) Njira zingapo zachipatala:

- kudya kwakanthawi kwamadzi amchere (kumwa mankhwalawa, kutsuka kwa m'mimba, njira zamkati, ngalande yonyamula madzi ndi ena).
- Zakudya zakunja zamadzi amchere (kudya ma mchere osowa).
- chithandizo chamatope.
- olimbitsa thupi ndi climatotherapy.

- chithandizo cha UHF
- diathermy,
- parafini,
- sollux ndi ena.

Nthawi zambiri, matendawa amathandizidwa pogwiritsa ntchito opareshoni. Ngati zizindikiro zilipo mkati ndi exocrine kusakwanira, wodwalayo amapatsidwa jekeseni wa insulin. Monga tafotokozera pamwambapa, njira yothandiza kwambiri yomwe imagwiritsidwa ntchito pochiza matenda a pancreatitis imawoneka ngati njira yogwirira ntchito. Cholinga cha opaleshoniyo ndikupanga malo abwino kuti madzi azituluka kuchokera m'matumbo am'mimba kuchokera ku kapamba palokha.

Kutengera momwe gland imakhudzidwira ndi ma ducts, mitundu yotsatirayi yochita opaleshoni imachitidwa:

Subtotal pancreatectomy (pancreatic resection). Kuchita opaleshoni kumayikidwa pakachitika chotupa chachikulu cha pancreatic ndipo maselo ambiri a chiwalo akafa.
Transduodenal papillosphincterotomy, pomwe pancreatic duct imachoka.
Kuyambiranso gawo lachigawo cha kapamba ndikulowetsa m'matumbo.
Anastomosis pakati m'chiuno chaching'ono cha matumbo ndi chimbudzi cha pancreatic.

Njira ndi njira zamankhwala achikhalidwe

Ndi chilolezo cha adotolo, pochizira pancreatitis yowerengeka mu gawo la kukhululuka kwamomwemuko, njira zina zitha kugwiritsidwa ntchito.

Chifukwa chake, mankhwala otsatirawa amagwiritsidwa ntchito:

walnut tincture ",
juisi kuchokera mbatata zatsopano ndi kaloti,
tincture wa maluwa a chamomile, udzu wa wort wa St. John, chowawa, masamba a timbewu ndi yarrow,
decoction kapena ufa wa bark wa aspen,
decoction wa mizu ndi masamba a dandelions,
kusankha kwa nyemba za nyemba ndi masamba a mabulosi,
decoction wa oat mbewu,
makungu a chowawa chowawa,
mapesi opaka pang'ono a bittersweet nightshade. Tengani mphindi 15 musanadye katatu patsiku.Pakachitika chisangalalo, titha kunena kuti kutupa kwambiri kwa kapamba. Ngati zoterezi zimachitika pakatha mphindi 15, ndiye kuti matendawo amatuluka ofooka.
osakaniza mizu ya magazus, dandelion, nettle, masamba a timbewu, thyme ndi cones of hops, uchi kapena chodzaza,
decoction of anise zipatso, chimanga stigmas, celandine udzu, tricolor violet muzu ndi dandelion, mbalame ya wokonda mapiri.

Ndi pancreatitis yowerengeka, mfundo yofunikira kwambiri ndiyakudya yoyenera ndi zakudya. Kuchokera pachakudya, ndikofunikira kupatula chilichonse chokazinga ndi chokoma. Chakudya chizikhala cha mitundu ing'onoing'ono. Chakudya chizikhala cha kutentha kwapakatikati (sichotentha kapena chozizira kwambiri).

Tiyeni tidziwe zopangidwa zothandizidwa ndi izi:

mitundu yamafuta ochepa nkhuku, nsomba ndi nyama.
tchizi chamafuta ochepa. Itha kudyedwa mwatsopano kapena kuchokera ku casseroles.

Ndikofunika kuphika mbale zodyedwa ndi banja kapena chithupsa. Panthawi yomwe matendawa achulukitsa, tikulimbikitsidwa kuphika masamba kapena zipatso.

Kuchokera zakumwa akulimbikitsidwa:

tiyi wazitsamba
m'chiuno,
osiyanasiyana odzola.

Nayi mndandanda wa zakudya woyenerana ndi matendawa:

makeke ndi mkate wowuma,
msuzi wokazinga, wophika pa msuzi wamafuta ochepa,
mafuta amkaka ochepa,
casseroles
mafumbo. Gwiritsani ntchito mapuloteni okha kuphika.

Buckwheat, semolina, kapena oatmeal imatha kukhala chakudya cham'mawa chambiri. Koma mbewu monga chimanga zimayenera kudyedwa mwa ma grated form. Zipatso zimaloledwa ndi izi mitundu yokha yopanda acidic.

Matenda obwera ndi matenda

Ndi pancreatitis yowerengeka, akatswiri nthawi zambiri amasiya kachilombo koyipa, chifukwa matenda amtunduwu nthawi zambiri amatha kukhala chotupa. Komanso, ndimatenda awa, odwala amagwira ntchito amachepetsa, chifukwa chake nthawi zina gulu lolumikizidwa limapatsidwa.

Kuzindikira kwakanthawi, zakudya zoyenera, kukana zizolowezi zoyipa kungathandize kupewa kukula kwa zovuta ndi zovuta zina.