Matenda a kapamba chifukwa cha kuperewera kwa thupi

Kwa zaka zambiri, osagwirizana ndi gastritis ndi zilonda zam'mimba?

Mutu wa Bungwe: “Mudzadabwa momwe kuliri kovuta kuchiritsira matenda am'mimba ndi zilonda mwakumwa tsiku lililonse.

Matenda ena am'mimba atapezeka m'thupi, amatha kukhala chifukwa cha kapamba, mankhwalawa amayankhidwa pambuyo poti awonetse zizindikiro za matenda awa. Nthawi zambiri, anthu azaka zapakatikati komanso okalamba amadwala matendawa.

Kodi chikhansa chachikulu ndi chiyani?

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pamaso pa chotupa chamafinya komanso chowononga cha kapamba, chifukwa chomwe ntchito zake zimaphwanyidwa, chifuwa chachikulu chimapezeka. Matendawa amadziwika ndi njira yayitali yobwereza. Pamene matenda akukulira, ma cell a gland amasintha, kulephera kwamankhwala kumachitika.

Wikipedia imati kupanikizika kosachiritsika ndimatenda ofala kwambiri omwe wodwala amakhala ndi ululu, komanso kuchokera kuwonetseredwa kwa kuperewera - exocrine ndi endocrine. Nthawi zina pamakhala zizindikiro zochepa za matenda, kapena amatenga matenda ena.

Chakudya nthawi zambiri chimakonzedwa ndikugwiritsika ntchito chifukwa cha ntchito yolumikizana ya ziwalo zambiri. Zina mwazonse zomwe zingayambitse kulephera kwa pancreatic. Anthu omwe ali ndi vuto la chifuwa chachikulu amadziwa kuti zotupa za gland nthawi zambiri zimakhala zovuta kudziwa poyamba. Pathology ingatengedwe, mwachitsanzo, gastritis, cholecystitis kapena biliary dyskinesia.

Zitha kutenga zaka 10-15 pamene zizindikiro za chifuwa chachikulu cha khansa zimayamba kufotokozedwatu kotero kuti pasakhale kukaikira za matendawo. Matendawa amatha kuchitika chifukwa cha:

Cholecystitis, gastritis kapena duodenitis yovuta mawonekedwe.
Zilonda zam'mimba kapena zam'mimba.
Zilonda zopatsirana - mumps, typhoid kapena typhus, virus hepatitis.
Kumwa kwambiri.
Zakudya zosavomerezeka.
Matenda a atherosulinotic.
Kulowa kwa mphutsi kulowa mthupi.
Kulowa ndi zinthu zovulaza - arsenic, phosphorous, mercury, lead.

Anthu omwe amakhala ndi nkhawa nthawi zonse amakhala pachiwopsezo. Mchitidwe wamanjenje ukakhala wosakhazikika, mavuto omwe amachitika m'matumbo samatulutsidwa panthawiyi, makamaka, magazi amayenda m'mimba chifukwa cha spasmodic phenomena. Matenda apansi a pancreatitis ndi osagonjetseka ndi ziwengo za pancreatic.

Njira mu gland aakulu pancreatitis

Madzi am'mimba kuchokera ku kapamba atachotsedwako ndi kuchedwa, kutsegulidwira msanga kwa ma enzymes trypsin ndi lipase kumachitika. Ngati chimbudzi chikugwira bwino ntchito, ntchito ya enzyme imayamba mu lumen ya duodenum.

Pamene kuphipha kwa duct ya excretory kumachitika, chodabwitsa cha chinsinsi chomwe chili ndi ma enzymes chimachitika, motero, chiwalo parenchyma chimakhala pansi pa mfuti. Zilonda zolumikizana zimamera, gland scleroses. Izi zakhala zikuchitika kwa zaka zambiri. Kapangidwe kosalekeza kwa kapamba kumawonetsa kosavuta kupweteka.

Ngati matendawa alipo kalekale, kuyambanso kwachiwiri kwa khansa ya kapamba kumawonekera poyambira.

Nthawi zina, tizilombo tating'onoting'ono timatha kulowa m'matumbo. Cholinga chake - kufunikira kwa kugaya chakudya m'mimba sikungachitike.Zotsatira zake, limodzi ndi kapamba, kutupa kwa gland kumakhalapo.

Chifukwa cha kusayenda bwino kwa ma ducts kumatha kupangitsa miyala.

About aakulu kapamba, muyenera kudziwa kuti awa ndi matenda omwe ali ndi njira ina yotukukira. Chifukwa chake, amatha kusiyanitsa pakati pa matenda:

kutupa,
parenchymal
sclerosing
kuwerengetsa.

Zizindikiro za chifuwa chachikulu

Monga momwe mchitidwe umasonyezera, poyamba kusintha kwa pathological mu gland, nthawi zambiri, zimachitika mobisa. Kapena, Zizindikiro za chifuwa chachikulu chimakhala chofatsa komanso chosakhazikika. Chizindikiro chilichonse chikawoneka bwino, kuphwanya kwa chiwalo kumakhala kwakukulu.

Matenda a kapamba ndi vuto limodzi ndi:

Kupweteka kwakumwa, ndipo kuchuluka kwa mphamvu kungakhale kosiyana. Tsamba lachitukuko ndi gawo la epigastric ndi hypochondrium yamanzere. Ululu umakhalapo nthawi zonse kapena kuwoneka paroxysmally. Wodwala akatha kudya china chake, chizindikirocho chikukula.
Dyspeptic matenda - nseru, chidwi kusanza, kumva kuwawa pamimba, chosasangalatsa pambuyo pakamwa patsekeke, phokoso. Wodwala amatha kudana ndi zakudya zamafuta, ndipo nthawi zina chidwi chake chimatha.
Kuchepa mphamvu kwa m'munsi esophageal sphincter, chifukwa chomwe zam'mimba zimawonekera pafupipafupi. Wodwala amadwala kutentha kwa chifuwa, kutsokomola, kukoma wowawasa.
Kutsegula m'mimba. Kumayambiriro kwa matendawa, palibe zovuta za patofu zimawonedwa, koma kenako kutsekula m'mimba kumachitika, komwe kumagwirizana ndi kudzimbidwa. Ndi ma pancreatic m'mimba, ndowe zimatuluka kwambiri. Muli ndi zotsalira za chakudya zomwe sanazigaye. Tulo timene timakhala ndi fungo lonyansa, ndipo kuchokera kuchimbudzi kumakhala zotseka zamafuta.
Kuchepetsa thupi kwa wodwala komanso mavuto ndi kunenepa kwambiri.
Mapangidwe angiomas ang'onoang'ono pakhungu.
Maonekedwe a matenda ashuga (nthawi zina).

Chizindikiro cha kupweteka kwamatumbo kapamba

Zowonongeka kwa kapamba zimatha kuzindikira chimodzi mwazizindikiro zazikulu - kupweteka. Nthawi zambiri, wodwalayo amadandaula za kusasangalatsa kumanzere, komwe kumatha kugwira mbali yonse yakumanzere.

Matenda a kapamba akamakulirakulira, zizindikirazo sizimawoneka ngati zowala komanso chifuwa cha kapamba. Kuphatikiza apo, wodwalayo amakumana ndi zowawa atatha kudya kapena kumwa mowa.

Wodwalayo nthawi zambiri amakhala ndi mavuto osokoneza atatha kudya yokazinga kapena zakudya zamafuta kapena maola 3-4 atatha kudya. Ululu umavutikanso pamimba yopanda kanthu. Ngati wodwala akumva njala, ululu umachepa, ambiri amakana kudya, ndipo, chifukwa chake, amachepetsa thupi.

Zizindikiro zimayamba kumadzulo. M'mawa, silimakhalako kapena limasiyana m'kufooka kofooka.

Ngati wodwalayo akunama, zovuta panthawi imeneyi zimakhala zamphamvu kwambiri. Amasunga kusintha kwa udindo. Zomverera zimacheperachepera pomwe thupi liyenera kupendekekera kutsogolo.

Ndi chifuwa chachikulu, kupweteka kumachitika chifukwa cha:

mavuto ndi kutuluka kwa pancreatic madzi,
kutulutsa kwachilengedwe
pancreatic ischemia,
kutupa kuzungulira CHIKWANGWANI
kusintha kwa mathero a mitsempha,
kufinya ziwalo pafupi.

Mwina mavuto a chifuwa chachikulu

Popeza nthenda yotupa imakhala yotuluka kwambiri kuposa mawonekedwe owopsa, zovuta zimayamba pakapita nthawi. Chr pancreatitis imatha kusintha:

jaundice wolepheretsa (chifukwa mutu wa gland umakulirakulira),
duodenal stenosis (mutu wokulirapo wa kapamba umakankhira duodenum),
chithuza cham'mimba cham'mimbamo (chokwiyitsidwa ndi kutukusira kwamkati, komanso kusungunuka kwa minyewa ya ndulu ndi ziwalo zapafupi),
njira zotupa, pomwe pali lalikulu ndi laling'ono omentum, guctbladder,
cysts ndi pseudo-cysts,
kuchepa kwa magazi m'mimba, (chotupa cha chotupa kapena mitsempha ya m'mimba ndi m'mimba),
fistulas ya gland - zoopsa ndi pambuyo-necrotic.

Zomwe zimachitika poyesa matenda a chifuwa chachikulu

Kuti matendawa atsimikizidwe, wodwalayo amatumizidwa kuti awerenge magazi athunthu, mkodzo ndi ndowe. Pafunikanso kuyesedwa kwa ma labotore ena omwe angadziwe mawonekedwe omwe ali pachimake, komanso maphunziro othandiza. Njira yotsiriza imaphatikizapo kugwiritsa ntchito:

Ultrasound
compression tomography,
radiology.

Komanso, wodwalayo amapatsidwa mawonekedwe a radioisotope a chovutacho.

Phunziro lililonse lili ndi mawonekedwe ake:

Zoyeserera zasayansi. Dokotala amaphunzira za kukula kwa matenda a zam'mbuyo chifukwa cha kuyezetsa magazi. Adzawonetsa kukhalapo kwa leukocytosis ndikusintha kwa chilinganizo kumanzere.

Ngati pali kuchuluka kwa alpha-amylase mu mkodzo, ndiye kuti matendawa achulukirachulukira, ndipo kutsika kochepa kumawonetsera mawonekedwe.

Phunziro la bakiteriya likufunikanso, kuwonjezera apo, zomwe zili mkati mwake zimasunthidwa ndikuti pulogalamu (kusanthula ndowe) imachitidwa.

Roentgenography. Njira yotsika mtengo komanso yodziwika, yomwe ma x-ray a gawo lophunziridwa la thupi la wodwalayo amasintha. Zoyipa zake ndi kuyambitsa ma radiation.
Kubwezeretsa cholangiopancreatography. Njira yophunzitsira, yomwe imaperekedwa kwa wodwala yemwe ali ndi matenda kapamba, ngati pali mawonekedwe am'mimba. Komabe, si odwala onse omwe amawonetsedwa kuyesedwa uku. Diagnostics amaletsedwa pamene:

kuwonongeka kwambiri kwa impso ndi chiwindi,
matenda a chithokomiro
mimba
zambiri zowopsa.

Kukonzekera kumakhudzanso kumwa mankhwala opatsa thanzi tsiku lisanafike mayeso. Kenako enema imayikidwa. Kuti muchepetse minofu yosalala, mankhwala apadera amabweretsedwa. Odwala ambiri sakonda mchitidwewu, motero amapatsidwa mankhwala osokoneza bongo.

Kuyesa kwa Ultrasound Ngati dokotala akuganiza kuti kupezeka kwa chifuwa chachikulu, kupanikizika ndi njira yovomerezeka. Zimathandizira pakupeza chidziwitso cholondola.
Zolemba pamakompyuta Njira yake ndi yokwera mtengo, motero sikuti imagwiritsidwa ntchito nthawi zambiri. Nthawi zambiri zokwanira za ultrasound. Kulemba mbiri ndikoyenera pomwe dokotala akuwakayikira kuti:

kapamba wamatumbo,
zotupa
cystic mawonekedwe a matenda.

Kujambula kwa Radioisotope. Njira yodziwitsa anthu omwe amagwiritsa ntchito ma radio isotopes. Munjira, wodwalayo amapatsidwa kukonzekera kwa radioisotope. Makina apadera amathandizira kusanja zofunikira pakujambulira momwe mankhwalawo amawonongera.

Chifukwa cha kusanthula, pancreatitis yayitali imatha kupezeka koyambirira. Odwala onse amaloledwa kuchita njirayi.

Kodi kuchitira matenda a kapamba?

Wodwala akapanda kuchedwetsa chithandizo, mavuto ena akulu atha kupewedwa. Ndikofunika kukumbukira kuti kapamba ndimatenda owopsa, chifukwa ndi mankhwalawa amalephera kugwira ntchito ya ziwalo zina. Chifukwa chake, pancreatitis yayikulu ikapezeka, ndipo zizindikiro zake zimakulirakulira, chithandizo chikuyenera kuchitika mwachangu.

Kuti muchotse matenda, muyenera:

Tsatirani zakudya zokhwima, makamaka kwa odwala omwe akufalikira.
Pewani kusamvana.
Bwezeretsani chakudya m'mimba.
Bwezerani kuchuluka kwa michere.
Chotsani kutupa.
Bwezeretsani minofu yamatumba yomwe idakhudzidwa.
Pewani.

Chithandizo Pancreatitis imaphatikizapo kugwiritsa ntchito maantibayotiki ngati wapezeka ndi matenda. Maphunzirowa adapangidwa pafupifupi sabata limodzi.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Ndi kutupa kwa ma ducts omwe cholinga chake ndikuchotsa bile, mankhwala "Amoxicillin" ndi mankhwala. Mankhwala salola njira yotupa kuti ipite patsogolo. "Amoxicillin" mu kapamba amaletsedwa kupewa kubwereranso, komanso ngati pali chiwopsezo cha zovuta.

Mutha kutsitsimutsa ululu ndimankhwala osapweteka a antiidal (Nimesulide, Diclofenac, Paracetamol). Ndi dokotala yekhayo amene amapereka mlingo woyenera ndikuwasintha ngati pakufunika kutero.

Ngati ululu ulimba kwambiri, mankhwalawa amagwiritsidwa ntchito mosokoneza bongo. Zitha kukhala, mwachitsanzo, Promedol kapena Tramadol. Ndi zochitika za spasmodic phenomena, "No-shpa", "Drotaverin" adzapirira. Mankhwalawa amatha kugwiritsidwa ntchito pakamwa kapena ngati jakisoni.

Chr pancreatitis imayendera limodzi ndi matenda am'mimba, motero chithandizo chimakonzekera kuphika zakudya. Kuphatikiza apo, pakufunika kukonzekera kwa enzyme ("Creon", "Pancreatinum", "Trienzyme").

Therapy yovuta imaphatikizanso kugwiritsa ntchito mankhwala, chifukwa pomwe pali kuchepa kwa acidity. Ndiye kuti, chithandizo cha matenda a kapamba amatha kuchitika mothandizidwa ndi Almagel, Maaloksa.

Intoxication imachotsedwa ndi kukhazikika kwa kayendetsedwe ka yankho la Ringer, mankhwala "Hemodez" ndi saline.

Popeza pancreatitis yosatha imakhala ndi zizindikiro mu mawonekedwe a kuchuluka kwa katemera wa kapamba, ndiye kuti mankhwalawo adzayendetsedwa ndikugwiritsa ntchito mankhwala ("Octreotide", "Sandostatin"), omwe angathandize kuthetsa vutoli. Mankhwala amaperekedwa mwachisawawa.

Ngati ndi kotheka, wodwalayo amakhala wokonzekera kuchita opareshoni.

Zisonyezero za opaleshoni yolowererapo kwa chifuwa chachikulu

Ngati wodwala akudwala kwambiri, dokotalayo atha kukulemberani opaleshoni. Mothandizidwa ndi chithandizo cha opaleshoni, zotsatirazi zimachitika:

purulent zovuta
kusuntha (biliary and pancreatic),
sphincter wa Oddi stenosis,
Kusintha kwakukuru m'matumbo a kapamba,
cysts ndi pseudo-cysts,
matenda oopsa a matenda, momwe chosakhazikika mankhwala analibe mphamvu.

Monga momwe masewera amasonyezera, odwala pancreatitis, omwe ali ndi mowa wothirira, amagwiritsidwa ntchito nthawi zambiri. Panthawi ya ndondomekoyi, madokotala amayesa kuchepetsa kupweteka kwam'mimba kapena m'munsi kumbuyo, koma kusintha kwamachitidwe ndi magwiridwe antchito mu kapamba sikuchitika.

Matenda a kapamba: mankhwalawa wowerengeka azitsamba

Kudzipangira nokha ndikuloledwa pamikhalidwe yokhazikika, ndiye kuti, kunyumba, koma choyamba muyenera kufunsa dokotala. Maphikidwe amayenera kusankhidwa mosamala. Mothandizidwa ndi zitsamba zina, ntchito ya kapamba imakhala yofanana, ndipo sipadzakhala zovuta.

Mankhwala osakanikirana ndi mankhwala amathandizanso wodwalayo kuthana ndi zizindikiro za chifuwa chachikulu.

Pofuna kukonza chimbudzi cha bile, ndikofunikira:

Sakanizani immortelle, mizu ya dandelion, tansy, chamomile, knotweed. Chosakaniza chilichonse chimatengedwa supuni.
Kusakaniza kumathiridwa ndi lita imodzi ya madzi otentha ndikusiyidwa kwa maola awiri.
Msuzi uyenera kuledzera theka la ola mutatha kudya kapu.

Madzi amamwetulidwa kuchokera pa chomera.
Kwa mwezi umodzi, muyenera kumwa supuni ya tiyi musanadye.
Pamapeto pa maphunzirowo, kupumula kwa miyezi 2-3 kumachitika, pambuyo pake maphunzirowo ayenera kubwerezedwa.

Mankhwala othandizira kupweteka:

Zitsamba zimasakanizidwa: popnik, repeshka, dandelion, plantain, motherwort, chamomile, phala lowuma, yarrow.
Zosakaniza zimaphwanyidwa.
Osakaniza (2 tbsp. L) amathiridwa ndi madzi otentha (0.5 l) ndikusiyidwa kwa maola 8.
Mankhwalawa amagwiritsidwa ntchito asanagone.

Madokotala amalimbikitsa kumwa zamchere zamchere zamchere, chifukwa zimalimbana bwino ndikumva kupweteka.

Zakudya monga njira yosinthira kapamba

Mankhwala othandizira zakudya amapatsidwa odwala osati monga njira yochizira. Zimapangitsa kupewa kutuluka kowonjezereka komanso kupitirira kwa kapamba.

Ndikachulukirachulukira, masiku awiri kapena atatu oyamba ndibwino kusadya chakudya. Chakudya chimachitika pogwiritsa ntchito magazi a mtsempha wa magazi. Isotonic sodium chloride solution imayambitsidwanso. Kuti apulumutse wodwala ku ludzu, amapatsidwa 1% yankho la sopo. Ndi kuyamba kwa tsiku lachinayi, chakudyacho chimapangidwanso ndi zinthu.

Muyenera kukhala patebulo nthawi zambiri - nthawi 7-8 tsiku lonse, pomwe magawo ayenera kukhala ochepa. Chololedwa kugwiritsa ntchito:

zipatso zamasamba
shuga
wokondedwa
amateteza
decoction a rose m'chiuno ndi othandizira,
msuzi wa kiranberi.

Tsiku lachisanu: wodwala amatha kudya, zomwe zimakhala ndi mapuloteni pang'ono - masamba ndi mkaka. Masiku achisanu ndi chiwiri ndi chiwiri: pakhoza kukhala mapuloteni ochulukirapo ndi chakudya, mafuta amayambitsidwanso. Chakudya chiyenera kufufutidwa.

Simungagwiritse ntchito zinthu zomwe zimapangitsa kuti pakhale chinsinsi cha m'mimba komanso ntchito ya kapamba. Mwachitsanzo, muyenera kupewa nyama, msuzi wa nsomba, zakumwa - kaboni ndi mowa, khofi, tiyi wamphamvu, mafuta osuta, chokoleti, soseji, msuzi wowawasa ndi zina zambiri.

Nthawi yochulukirapo ndi nthawi yomwe wodwalayo amaletsedwa zakudya zomwe zimakhala ndi fiber yambiri komanso minofu yolumikizika, komanso mbale yozizira.

Njira zopewera kapamba

Odwala sayenera kuyiwala za kupewa, zomwe sizingalole kufalikira kwa matendawa. Kuti muchite izi, muyenera:

chepetsa kumwa mowa pang'ono,
idyani moyenera
Pewani kudya kwambiri
muchepetse kuchuluka kwamafuta ndi zakudya zamafuta,
kusiya kusuta
kumwa madzi okwanira (pafupifupi malita 1.5 patsiku),
samalirani kupezeka kwa zakudya zomwe zili ndi mavitamini ndi michere mokwanira,
funsani dokotala panthawi ndi kutsatira malangizo ake.

Kawiri pachaka, odwala ayenera kuyesedwa. Malangizo apadera ndi chithandizo cha spa.

Wodwala akakhala wodziwika panjira yodzitetezera, njira ya kapamba imakhala yofatsa. Koma kuphwanya zakudya, mowa, kusuta komanso kusowa kwa mankhwalawa kumapangitsa kuti pang'onopang'ono pachitike zovuta komanso kuwonekera kwa zovuta. Wodwalayo ali pachiwopsezo osati thanzi lokha. Zotsatira zake zitha kupha.

Wodwala yemwe amasamalira thupi lake amatha kulimbana ndi matendawa popanda mavuto. Chachikulu ndikuzindikira kuwonekera kwakanthawi m'nthawi kuti ayambitse maphunziro panjira yake mwachangu. Katswiri wodziwa bwino amakuthandizani kusankha mankhwala ogwira, komanso kulangizirani anthu azitsamba. Ngati njirayi siyayambike, Zizindikiro zimachotsedwa posachedwa. Ndipo chifukwa cha kupewa, mutha kukhalabe ndi thupi labwino.

Momwe kusuta kumakhudzira kapamba komanso zomwe zimawopseza chizolowezi choyipa ndi kapamba

Kusuta ndi chizolowezi choyipa kwambiri, sichimangotengera momwe zilili ndi mapapu, komanso ziwalo zonse za anthu. Kuphatikizidwa kwa fodya kumakhala ndi zinthu zambiri zovulaza zomwe zimalowa m'thupi limodzi ndi utsi. Oopsa kwambiri ndi nikotini, carcinogens, ammonia, carbon monoxide ndi formaldehyde. Zinthu zomwe zalembedwerazi zimasinthidwa kukhala utsi, kusakanikirana komanso kuvulaza minofu ndi ziwalo. Chifukwa chake, kusuta ndi pancreatitis pang'onopang'ono kumawononga kapangidwe ka kapamba.

Kuyambitsidwa ndi kusuta

Mu kapamba ka anthu osuta ndi kapamba, mapangidwe amatsenga amachitika:

Kuphwanya ntchito yowonjezera - kuchuluka kwa madzi omwe amaperekedwa mu duodenum kumachepetsa - izi zimachepetsa ndikulepheretsa kugaya bwino.
Kuchepa kwa kuchuluka kwa insulin ndi glucagon komwe kumatulutsidwa.
Kuphwanya ntchito za endocrine system.
Kusintha kapangidwe ka kapamba.
Kuchepetsa kubisala kwa bicarbonate.
Kupezeka kwamchere wamchere.
Chiwopsezo cha zotupa zoyipa chikuchulukirachulukira.
Kuopsa kwa kapamba kumachulukitsa kangapo.

Makhalidwe abwinobwino a kapamba ndi kusuta fodya ndi njira ziwiri zokha. Mwayi wopezeka ndi matenda amodzi umakhala wofanana ndudu yosuta.

Kafukufuku wazaka zamankhwala watsimikizira mgwirizano wosasinthika pakati pa kusuta ndi kuwonetsa kwa matenda owopsa kwambiri a kapamba - kapamba ndi oncology. Ndi pafupipafupi matenda a kapamba, ma enzyme amasokoneza ntchito yawo, amasintha kukhala khansa.

Zomwe zimayambitsa kuwopsa kwa kusuta limodzi ndi mowa

Kuledzeretsa ndi chifukwa chasayansi chotsimikiziridwa cha pancreatic pancreatitis. Monga lamulo, anthu nthawi zambiri amasuta akamamwa mowa. Kuphatikiza kwa izi kumawonjezera zinthu zowonongeka kangapo. Izi zimapangitsa kuti thupi lisakhale ndi thanzi labwino.

Malinga ndi kafukufuku, asayansi adapanga lingaliro pazokhudza kusuta kwa kapamba:

Asayansi aku Britain pazaka zitatu adawona anthu 600 omwe ali ndi matenda a chifuwa chachikulu. Zinapezeka kuti matendawa osuta amasuta kwambiri ndipo ndi ovuta kuwongolera. Amafuna kupatsidwa mankhwala owonjezera, komanso kutalika kwa kukonzanso kwawo pambuyo poti aukire ndikutalika ka 2. Mu 60% yamilandu, osuta amayambiranso.
Asayansi aku Italy achita kafukufuku pa zotsatira zakusuta kwa kapamba. Zinapezeka kuti pali ubale wolunjika pakati pa kusuta fodya ndi kupsa. Osuta fodya ndi kapamba amakhalanso pachiwopsezo chachikulu chotenga matenda a shuga.

Momwe mungasiyire kusuta ndi kuwonongeka kwa pancreatic

Kwa odwala omwe ali ndi ziphuphu zakumaso, palibe njira yolekeramo kusuta, yomwe imagwiritsidwa ntchito pokhazikika. Zigamba za Nikotine, lozenges, kutafuna mano komanso makamaka ndudu zamagetsi zimaperekedwa kwa iwo. Mankhwala olowa m'malo oterowo amakhalanso ndi vuto loyipa la kapamba, ma pancreatic osakwanira angayambike. Kuchiza pamenepa kuti mukhale ndi thanzi labwino kwambiri kungasankhidwa ndi katswiri.

Kwa odwala ambiri, kusiya kusuta fodya kumafuna kuthandizidwa ndi katswiri wama psychology ndi kulumikizana pafupipafupi ndi adotolo kuti matendawo asakulitse.

Momwe mungasiyere kusuta

Ndizovuta kwambiri kwa anthu omwe ali ndi pathologies a kapamba kuti asiye kusuta, koma izi ndizotheka komanso ndizofunikira. Kusuta si chizolowezi chakuthupi, koma chizolowezi chomangirira.

Ndi chidziwitso chazaka zambiri chosuta, kukana kwambiri ndudu kumatha kuyambitsa zovuta zosayembekezereka, komanso zoopsa, chifukwa thupi liyamba kugwira ntchito mwanjira yatsopano, monga sizinachitikirepo. Kuphatikiza apo, dokotala akupanga zakudya.

Mukasiya kusuta, wodwalayo ayenera kukhala okonzekera mfundo zotsatirazi:

Ofooka chitetezo chokwanira. Imeneyi ndi njira yochepa, koma mkati mwake, chitukuko cha matenda opatsirana pachimake, matenda a m'matumbo amayamba, zilonda pakamwa zimawonekera.
Kukwiya komanso kupsa mtima popanda chifukwa chomveka.
Insomnia syndrome.
Kutopa
Kulemera.

Kusuta ndi chizolowezi choyipa, ndipo anthu ambiri ali ndi mavuto ambiri kuti asiye. Ndi kutupa kosalekeza kwa kapamba, ndikofunikira kuwonetsa kukana ndi chikonga.

Ubwino wodzigonjetsera wekha ukuphatikiza izi:

Pakatha miyezi itatu, mapapu adzatsika, magazi adzasinthika, kuthamanga kwa magazi kubwerera ku nthawi zonse, kutsokomola kumayamba kucheperachepera, wodwalayo sadzadandaulanso kupwetekedwa mutu pafupipafupi.
Pambuyo pa miyezi 5, kukonzanso kwathunthu kwama cell a chiwindi kumachitika.

Zotsatira zoyipa za ndudu

Kusuta kumakhala chifukwa chachikulu chazovuta pamtima ndi m'mitsempha yamagazi. Ngati mupitiliza kusuta ndi matenda a pancreatic, ndiye kuti chiwopsezo cha kuwonongeka kwa matenda otsatirawa chikuwonjezeka kwambiri:

Matenda a kapamba
Maphunziro apamwamba.
Mapangidwe a zilonda zam'mimba komanso magazi m'matumbo.
Kulephera kwina.
Mavuto ndi mkhalidwe wamaganiza chifukwa cha poyizoni wa thupi.
Kukongoletsa khungu.
Kusokonezeka m'mapapu.
Supombosis
Matenda a shuga.
Mavuto a chimbudzi.
Mapangidwe a calculi mu kapamba.

Ndi pancreatitis yapamwamba, mawonekedwe a fistulas m'mimba, ndi kapamba, insuffacquence ya insracecretory imayamba, yomwe imayamba ndi kusuta.

Pofuna kuwonongeka kwa kapamba ndi chidwi chofuna kusiya kusuta, muyenera kupita kwa dokotala kuti akuuzeni zolinga zanu. Katswiriyu amasankha chithandizo choyenera chothandizira kuchepetsa vutoli ndikukana ndudu.

Kupweteka m'mimba komanso kupindika

Mwadzidzidzi kudzutsa ululu m'mimba ndichizindikiro kuti pali kuphwanya kwa ntchito yake. Zovuta zomwe zimabweretsa zimabweretsa zovuta kwa munthu, zimasokoneza ntchito ya thupi lonse. Ndipo ngati zizindikiro zowonjezereka zimawonjezedwa ku zowawa, mwachitsanzo, mumachitidwe akung'ung'uza, kupasuka? Kodi izi zikutanthauza chiyani? Zizindikiro za matenda ovuta kapena wamba?

Zoyambitsa kugwedezeka kwa mpweya ndi m'mimba

Kuphatikiza ndi kupweteka si matenda osiyana, koma zizindikiro za matenda am'mimba. Chitani zinthu ndikuthandizira kokha izi sizikumveka. Ndikofunikira kuti mupeze chowopsa cha zomwe zimachitika ndikuchotsa, zizindikirazi zidzapita zokha. Kukwiya kwa ma receptors omwe amachititsa kuti pakhale kupweteka kumabweretsa zosasangalatsa zomverera. Tikuwona zifukwa zazikulu zomwe zimapangitsa kuti kupweteka komanso kupindika kwa anthu athanzi kuonekere limodzi:

Kudya zipatso mutatha kudya. Zipatso ndi chipatso chathanzi, koma zimakhala ndi ma organic acid omwe amachitika ndi mchere womwe umapezeka m'zakudya zina. Kuchita izi nthawi zambiri kumakhala vuto lalikulu.
Thumba lotentha. Njira yopumulirako, yosangalatsa mukatha kudya itatha mosasangalatsa. Ichi ndichifukwa cha kusokonezeka kwa magazi. Magazi amayangika kumapeto, amachepetsa m'mimba, chifukwa cha kupweteka kwa mutu, kupweteka m'mimba, pamakhala chiopsezo chotseka zomwe zili m'mimba.
Gona pamimba yonse. Kugona mutatha kudya kumaphwanya chimbudzi choyenera, chomwe chimapangitsa kuti m'mawa mulemeke kwambiri, kuphulika m'mimba.
Kusuta.

Matenda am'mimba

Mwa anthu omwe ali ndi vuto m'matumbo am'mimba, mawonekedwe awa ndi chizindikiro cha matenda. Mwadzidzidzi pakubwera, kupweteka, kupangidwa kwa mpweya, matenda osiyanasiyana amayamba, chifukwa chake sikolondola kuti mupange matenda popanda kufufuza. Tikuwonetsa matenda omwe wodwalayo amawona akusweka ndi kupweteka kwam'mimba:

Matenda a kapamba

Matendawa amafalikira makamaka pakati pa azimayi azaka zopitilira 40, amagwirizanitsidwa ndi kutsekeka kwa ndulu ya gallbladder ndipo pali kuphwanya kutuluka kwa timadzi ta m'mimba tating'onoting'ono timene timalowa m'matumbo ang'onoang'ono. Pali zifukwa zingapo zomwe zimayambitsa kutupa:

matenda a ndulu
matenda
helminthic nkhondo,
kuvutika
kudya kolakwika.

Njira ya kapamba amadziwika ndi nthawi yayitali komanso kuphatikizira kwapakatikati. Zimapweteka m'dera la epigastric dera kapena hypochondrium yamanzere. Ululu ndiye chizindikiro chachikulu chotupa:

Chizindikiro chopweteka chokhazikika chimachitika ndi kamvekedwe ka minofu kochepa ka chiwalo chovulazidwa. Nthawi zina ululu umakhala waukulu, ukupweteka kumanzere hypochondrium.
Paroxysmal, kupweteka kwakanthawi kofanana ndi colic kumachitika ndi kutulutsa kokwanira, kupindika kwa makoma a ndulu.

Kumva ululu si kungosangalatsa kosangalatsa, wodwalayo akumva:

kulawa kowawa pamkamwa,
kutentha kwa mtima
nseru
kupindika pafupipafupi kumayambitsa kusanza kwa bile,
chisangalalo
pakukula, kutentha kumakwera mpaka madigiri 38,
phokoso mokhumudwa
kuwonekera kwa thupi lawo siligwirizana,
kufooka wamba, kuwonda.

Kuphwanya ziphuphu nthawi zambiri kumayambitsa kukokoloka kwa chakudya m'mimba, kudzikundikira kwa hydrogen sulfide, kutulutsa, kugwedezeka, motero, wodwalayo atha kutsagana ndi kuwaza ndi kukoma kwa dzira lowola. Kuzindikira kumachitika chifukwa cha mafuta, mafuta, owotcha, osuta. Zochita zolimbitsa thupi, maulendo ataliatali, zochitika zovutitsa ndi adani kwa odwala omwe ali ndi matenda osachiritsika.

Zilonda zam'mimba

Njira yodwalayo yomwe imayamba yotupa m'mimba imabweretsa kupunduka kwa zilonda zam'mimba khoma la chiwalo. Kuti mumvetsetse kuti chimbudzi chachilendo chikuchitika m'mimba, ngakhale munthu yemwe ali kutali ndi mankhwala amatha. Mimba yapamwamba imapweteka kwambiri. Ululu ndiye kutengeka kwakukulu kwa wodwala wokhala ndi zilonda. Olimba, ululu wowopsa umachitika mutatha kudya, pakati pa chakudya, chotchedwa "kugwidwa ndi njala", komanso usiku. Kuphatikiza apo, zilonda zam'mimba zimayendera:

Acid burping chifukwa chosagonja chosakanizira cha madzi a m'mimba mu emophagus.
Khalidwe la mseru ndi chotsatira cham'mimba. Wodwala amakhala ndi mtima wofuna kubweza pofuna kuti athetse vuto lakelo.
Kupumula komwe kumachitika patatha maola angapo mutatha kudya kumabweretsa mpumulo kwa wodwala.
Kumva kowopsa m'chigawo cha khomo lamkati lakumbuyo, komwe kumakwiya ndi malo okhala acid.
Kuchepetsa chilako, komwe kumabweretsa kuwonda.
Chizindikiro chosasinthika ndikuwonjezera chidwi. Pali zochitika zina zomwe chakudya chimachepetsa kusasangalala, motero odwala amapewa nthawi "yanjala", kudya kwambiri.
Thukuta lozizira.
Mavuto a Stool.

Matenda omwe amathandizidwa pakapita nthawi sangadzetse mavuto kwa munthu, koma mtima wosayang'anira thanzi, kunyalanyaza zizindikirazo kumabweretsa zovuta. Ndizovuta za njirayi zomwe ndi maziko opaka ndi mazira owola. Chakudya chimayenda pang'onopang'ono kudzera m'migawo, m'mimba, kuchuluka kwa mpweya wa hydrogen sulfide, kumatulutsa. Chifukwa chake, mpweya wowola umatuluka m'mimba kudzera mkamwa (amafanana ndi dzira lowonongeka).

Kukhazikika m'mawa kumatha kukhalanso chizindikiro cha chilonda. Chomwe chimapangitsa izi kukhala chakudya chachedwa.

Zambiri pazomwe zingatheke zidzakuthandizani kuti muzitha kusamalira nthawi kuti musinthe m'thupi, kukaonana ndi katswiri. Nthawi zina matendawa amakhala asymptomatic, omwe amatsimikizira kuti amafunikira kupimidwa pafupipafupi.

Matenda a cholecystitis

Kutupa kwa kapamba kumalumikizidwa ndi kuphwanya kutuluka kwa bile ndipo kumathandizira kuti miyala ipangidwe. Zomwe zimayambitsa matenda opatsika thupi zimakhala zofanana ndizomwe zimayambitsa matenda a kapamba:

kuperewera kwa zakudya m'thupi
nthawi yayitali pakudya,
kudya kwambiri
mavuto
kuvutika.

Matendawa amadziwoneka ndi ululu wakuthwa mbali yakumanja mosayembekezeka. Gallstone imatchinga duct, kuyambitsa kutupa, kuphulika kwa chiwalo. Ululu wolimba umatha kuyima pawokha utatha kumwainkha Mofananamo, wodwalayo akumva:

nseru kutembenukira ku magging
ukufalikira
kutentha kwa mtima
kutsegula m'mimba
kutentha kwambiri.

Mtundu wosiyidwa wa matendawa umayankhula pawokha pomwe munthu waphulika pafupipafupi ndi dzira lowola. Kusakwanira kukonza chakudya, kusayenda kwake m'matumbo, komanso kuchepa kwa puloteni ndi zifukwa zazikulu zomwe zimawonekera. Mwanthawi yayitali ululu wambiri, wodwalayo samadzimva, umakulirakulira mu nthawi yovuta ya matenda.

Khansa ya m'mimba

Njira ya oncological ndiowopsa. Choopsa chake chimakhala pakusowa kapena kufafaniza zizindikiro koyambirira, kotero odwala samachita nawo chidwi. M'magawo omaliza, matendawa ndi ovuta kuchiza. Zizindikiro zazikulu zimatengera malo, zovuta za chotupacho ndikuwonetsetsa:

kusapeza bwino mu sternum,
kuphwanya kwam'mimba, kuphatikizira wowawasa, kutentha kwa kutentha, kumva kuwawa, kuphuka,
kuphwanya kwa kumeza
kusanza ndi kusanza
kupezeka kwa magazi m'masanzi, ndowe - chiwonetsero chachikulu cha matenda omwe amakhudza m'mimba,
kuwonda
kufooka.

Chizindikiro chilichonse chimatha kupezeka padera ndipo sichizindikiro cha kukhalapo kwa matendawa. Koma ndi kuwoneka kwa zizindikiro zingapo nthawi imodzi, ndikofunikira kulumikizana ndi katswiri.

Kukhazikitsa gwero la kupweteka ndi burping kumakupatsani mwayi wopereka mankhwala. Ngati mpweya utuluka mkamwa chifukwa chakudya chopanda thanzi, komanso kumva kutopa kwambiri, ndikung'ung'udza m'mimba ndikosavuta kufotokozera - ndikofunikira kusintha menyu, kupita pachakudya ndikumverera kosasangalatsa kumatha.

Koma ngati nkhaniyo ndi matenda, ndipo kusweka nthawi zambiri, kupweteka, kapangidwe ka mpweya ndi zizindikiro zam'mbali, musadziyese nokha. Osazengereza ulendo wopita kwa dokotala, pezani upangiri ndi chithandizo choyenera. Matenda omwe ananyalanyazidwa amabweretsa ngozi pamoyo wa wodwalayo. Chithandizo choyenera, malinga ndi kudwazika, chidzachotsa gwero lalikulu la matendawa, ndipo nazo ziwonetsero zina zidzachoka.

Pomaliza

Kugundika pamimba, kubzala ndi mpweya kapena zam'mimba, zowawa ndi zofanana ndi matenda osiyanasiyana.

Ndikofunikira kuti wodwala agamule motsimikiza: Nditha kumvetsera moyo wanga, osanyalanyaza matenda omwe ali ocheperako, ndimamufufuzira pachaka.

Moyo wathanzi, kudya moyenera - chinsinsi cha thanzi, kusangalala.

Pancreatic endocrine kusakwanira: Zizindikiro, zoyambitsa ndi chithandizo

Mkati mwachinsinsi, kapena mwanjira ina, kuchepa kwa endocrine kumachitika chifukwa cha kuvulala kwa gland, kapena m'malo mwake kuwonongeka kwa ziwalo. Madera ovulala a kapamba, omwe amayambitsa kuphatikizika kwa lipocaine, insulin ndi glucagon, zimabweretsa kukula kwa matenda a shuga.

Zizindikiro mkati mwa kuchepera kwachinsinsi ndi:

Akuyenda
Gasi woyipa ndi matenda otsegula m'mimba,
Kuthetsa madzi m'thupi
Kutsegula m'mimba
Kuyenda kwamatumbo mwachangu,
Kufalikira.

Mukamayesa magazi, kupatuka kudzatchulidwa. Kuphatikiza pa zamankhwala amuzolengedwa ndi zamankhwala ambiri, chitani kusanthula kwama mahomoni ndi shuga m'magazi a seramu. Chofunika ndi ultrasound, tomography, Coprogram ndi urinalysis.

Chithandizo chake ndikuwongolera msanga. Ngati izi sizikubala zipatso, muyenera kupita ku insulin.

Thupi laumunthu limakhala ndi ziwalo zambiri ndi machitidwe omwe amagwirizana kwambiri. Kulakwira kulikonse mu gawo limodzi la ziwalo zathupi lathu kumakhudza kwambiri ntchito za ena ndipo nthawi zambiri kumayambitsa zizindikiro zosasangalatsa zingapo. Chimodzi mwazinthu zofunika mthupi la munthu ndi kapamba. Zimatengera gawo logaya ndi kukhala ndi gawo lofunikira mu unyolo wa ziwalo za endocrine. Ndipo ntchito yake yolakwika kapena yosakwanira imakhala chifukwa chodwala.Chimodzi mwazomwe zimayambitsa zovuta zamtunduwu ndizoperewera chifukwa cha kuchepa kwa thupi, zizindikiritso ndi chithandizo chomwe tikambirana pansipa.

Pazonse, exocrine pancreatic insufficiency ndi mkhalidwe wam'magazi momwe chiwalochi chimapangira kuchuluka kwa ma enzymes ofunikira pakutha kwathunthu kwa zinthu zonse zofunikira kulowa thupi la munthu. Zofananazi zimawonekera kwambiri pancreatitis yayitali (kutupa kwa kapamba), njira zopatsirana ndi matenda otere zimayambitsa kutsika kwa maselo omwe amathandizira kupanga ma enzymes.

Zizindikiro za exocrine pancreatic insuffuffence

Monga matenda ena aliwonse, kuperewera kwa pancreatic kuperewera kumadziwika ndi zina mwatsatanetsatane zomwe adokotala amakumbukira popanga matendawo. Kusaloledwa kwa zakudya zokazinga, zamafuta ndi zonunkhira kumawoneka ngati chiwonetsero chachikulu cha kuphwanya koteroko. Ndizovuta kwambiri kwa odwala omwe ali ndi inshuwaransi ya pancreatic kusowa chakudya chotere, sichokwanira, kapena sichidziwika konse ndi thupi.

Njira zokhudzana ndi matenda ndi matenda amtunduwu zimapangitsa kumva kupsinjika pamimba. Chizindikirochi chimakonda kuchitika patangotha zakudya zamafuta (okazinga kapena onunkhira) omwe samadziwika ndi thupi.

Kuphatikiza apo, kusowa kwa michere ya pancreatic kumawonekera mwa kusintha kwa chopondapo. Ndi mafuta komanso mushy.

Kuphatikiza apo, odwala omwe ali ndi exocrine pancreatic insufficiency akuda nkhawa ndi kuchuluka kwa mpweya m'matumbo, nthawi zina chimbudzi chosakwanira cha chakudya chophatikizana ndi flatulence chimabweretsa mawonekedwe a colic opweteka kwambiri.
Chizindikiro pafupipafupi cha matenda amtunduwu chimawonedwanso ngati zopweteka m'mafupa.

Mwa zina, exocrine kusakwanira amadzipanga yekha kumverera ndi mawonekedwe a mtima palpitations, kukokana, kupuma movutikira. Odwala nthawi zambiri amawona kuuma kwa khungu la thupi, ndipo kuyesedwa kwa labotale kumawonetsa kukhalapo kwa kupatuka kwa magazi. Zizindikiro zoterezi zimafotokozedwa ndikulephera kwa thupi kuyamwa mafuta, zomwe zimapangitsa kuti pakhale kuchepa kwa zinthu izi. Ndi kusowa kwa zinthu izi komwe kumayambitsa mavuto ambiri, ndipo pakukwanira pancreatic palokha sikumveka.

Exocrine pancreatic kusowa - -

Odwala omwe ali ndi vuto lofananalo ayenera asinthe kaye moyo wawo ndikusintha kadyedwe kake. Madokotala amalimbikitsa kudya chakudya chamagulu: onjezerani chakudya pafupipafupi komanso muchepetse kuchuluka kwa nthawi yomwe mumamwa. Ndikofunikira kwambiri kuchepetsa kudya kwamafuta, kuphatikiza nyama yamafuta. Kuti muzimva bwino, ndikofunikira kuchepetsa kuchuluka kwa zakudya zomwe zimadyedwa madzulo, ndipo kumapeto kwa usiku ndi usiku ndikwabwino kuti musakhale ndi chakudya. Kuti muthane ndi vuto la kuperewera kwa procrine, ndikofunikira kupatula mowa ndi kusuta.

Zakudya za wodwalayo ziyenera kupangidwa molingana ndi malingaliro a adokotala, ndipo iwonso, ayenera kuwongolera kwathunthu zakudya zomwe wodwalayo amadya. Chifukwa chake kuchepetsa kudya zamafuta ndi zakudya za nyama kumatanthawuza kuwonjezeka ndikufanana kwa kuchuluka kwa zinthu zamasamba muzakudya za tsiku ndi tsiku, chifukwa chake zakudya ziyenera kuphatikiza masamba ndi zipatso. Zingachitike kuti kusintha kotereku kumachulukitsa vuto lopanga mpweya wambiri, chinangwa chitha kukhala chothandiza.

Kugwiritsa ntchito mankhwala osokoneza bongo a exocrine pancreatic insufficiency kumangotengera kumwa mankhwala othandizira kuchititsa zinthu za thupi kapena kutsimikizika kwathunthu (molingana ndi kupanga kwa enzyme). Pankhaniyi, madokotala nthawi zambiri amapereka mankhwala a enzyme, monga mankhwala a Creon, Pancreatin, Mezim (malangizo, kugwiritsa ntchito mankhwala aliwonse pamalowo). Nthawi zambiri, ndalama zotere zimapangidwira kuti zalandiridwe mwadongosolo - chakudya chilichonse, ndipo zimalepheretsa kugaya chakudya m'mimba.Kuchuluka kwa mapiritsi kapena makapisozi polandirira kungasiyane chimodzi mpaka zinayi, kutengera kuchuluka kwa gawo komanso kapangidwe kake. Nthawi zambiri, kuchuluka kwa michere kumachitika mukamadya zakudya zomwe zimakhala ndi mafuta ambiri. Ndizofunikira kudziwa kuti kudya zakudya zamagulu ochulukirapo kungachepetse kufunikira kwa wodwalayo pakugaya michere.

Madokotala amathanso kutumiza ma proton pump blockers, mwachitsanzo, Omeprazole, Pantoprazole, Lanzoprazole, Esomeprazole, ndi zina zotere. Mankhwalawa ali ndi phindu pa ntchito ya michere, kupanga zamchere m'matumbo am'mimba.

Chithandizo chamankhwala choyenera chimakupatsani mwayi wodekha kuti wodwalayo akhale bwino. Kuchita kafukufuku wa labotale mu nkhani iyi kumawonetsa kusintha kwa ndowe za wodwala. Tsoka ilo, exocrine pancreatic insuffuffence Nthawi zambiri samachiritsidwa, koma moyo wabwino, kudya mokwanira komanso mankhwala okwanira amalola odwala kumva kuti ndi abwinobwino.

Kupititsa patsogolo kapamba, zitsamba zosiyanasiyana ndi zinthu zotheka zingagwiritsidwe ntchito. Kuyenera kugwiritsa ntchito kwawo kuyenera kukambirana ndi dokotala.

Chifukwa chake, mkaka wa oat umapereka chodabwitsa, chokhalira chomwe chili chosavuta. Kukonzekera kukonzekera koteroko, kukonzekera magalamu zana osapsa, ndikutsuka mu colander, kutsanulira malita ndi theka la madzi mumtsuko wopanda kanthu. Bweretsani kusakaniza ndi chithupsa ndi kuwira kwa mphindi makumi anayi. Pambuyo kupwanya ma oat mwachindunji mu poto ndikuwiritsa mankhwalawa kwa mphindi makumi awiri. Tiziziritsa msuzi wokonzedwa ndikuuvuta kudzera cheesecloth.
Tengani madzi oyera okwanira mamilimita atatu katatu kanayi patsiku musanadye. Sungani mankhwalawa pokha mufiriji osapitilira masiku awiri.

Kodi kuphwanya ndi chiani

Kuperewera kwa pancreatic ndi mitundu iwiri. Kukula kwa lirilonse la iwo kumazikidwa pazifukwa zina, kukhala ndi mawonekedwe, ndipo chithandizo cha matenda ena a chiwalochi chimafuna njira ina. Chifukwa chake, mitundu yotsutsana iyi imasiyanitsidwa.

Endocrine kusakwanira. Matenda amtunduwu amadziwika ndi kusintha kwa minyewa yofunikira popanga mahomoni ofunikira kwa anthu ndi michere yam'mimba. Pokhudzana ndi izi, kuphwanya kwamtunduwu kumatchedwanso kuchepa kwa enzyme. Kupita kwakanthawi kwa vutoli komanso kusowa kwa chithandizo chokwanira kumatha kudwalitsa thanzi la munthuyo ndikupangitsa kuti pakhale zovuta zina, pakati pomwe "zosavulaza" kwambiri ndikusowa kwamafuta chifukwa chakutha kwa kuperewera kwa thupi ndi thupi.

Exocrine pancreatic kuchepa. Matenda amtunduwu amadziwika ndi kuperewera kwa timadzi timene timapanga. Kuperewera kwa chimbudzi kumatengera kuphwanya kwa zigawo za chimbudzi pakudya ndipo, chifukwa chake, kumayambitsa kusakanikirana kwa michere yofunikira kuti ichitikenso ndi matupi athupi.

Kuti timvetsetse mwatsatanetsatane kusiyana pakati pa izi ndi mawonekedwe awo, timaganizira mtundu uliwonse mwatsatanetsatane.

Zizindikiro za endocrine kulephera

Monga lamulo, matenda amawonongeka ndi zizindikiro monga kuponderezera pansi, nseru, kupweteka kwambiri, kutulutsa magazi ndikugundika, kusowa chilimbikitso, kufooka, komanso kuchepa thupi, kuchepa mphamvu komanso kuchepa thupi. Kutengera zaka za munthu, momwe thanzi lake limakhalira, kuchuluka kwa kuchepa kwa enzyme, komanso nthawi yayitali, zizindikiro zomwe zalembedwa zimatha kuwonedwa mosiyanasiyana.

Chifukwa chiyani kulephera kwa endocrine kumatha?

Zomwe zimapangitsa kukhazikika kwa matendawa ndi matenda (onse am'matumbo am'mimba komanso ambiri - kulowa mkati mwa minyewa yam'mimba), kuwonongeka kwa maselo a ziwalo chifukwa cha mankhwalawa pogwiritsa ntchito mankhwala ena, congenital pathologies mu kapangidwe kake, kusintha kwamatumbo microflora, ndi zina zambiri. .

Kuyesa kuchuluka kwa kuphwanya

Kodi kulephera kwa endocrine kumadziwika bwanji?

Kuti muwone kuperewera kwa pancreatic ndikuwunika kuchuluka kwa zovuta zomwe zayambika m'gululi, maphunziro angapo a Laborator ndi othandizira amalembedwa. Mndandanda wazinthu zodziwitsa ena za matenda omwe akupezeka ndi izi

kuyezetsa magazi (chonse, zamankhwala ambiri, shuga),
kuyesa kwamkodzo ndi chopondapo,
tomography
kuyesa kwa ultrasound.

Gawo lililonse la mayeso limapangidwa nthawi yomweyo kuti lizindikire chomwe chimayambitsa kusokonezeka komanso kuthetsa matenda ambiri omwe angayerekezere kufooka kwa michere. Kutengera ndi zotsatira za kafukufukuyu, komwe akuwongolera chithandizo ndi mawonekedwe ake adatsimikizika. Ngati ndi kotheka, dokotala amatha kukupatsani mayeso owonjezera, ngati akuona kuti ndi koyenera.

Zida za mankhwalawa endocrine pancreatic insufficiency

Chithandizo cha kuperewera kwa pancreatic kumayamba pambuyo podziwikiratu ndipo zimatengera deta yomwe idapezedwa panthawi ya mayeso. Monga lamulo, chithandizo cha mankhwala chimakhala ndi:

kuchokera pakukonzanso zakudya (makamaka kupangika kwa dongosolo la chakudya),
kutsatira zakudya zopatsa mphamvu zambiri zopatsa mphamvu zama protein ndi zakudya zamagulu ambiri,
kumwa mankhwala omwe amathandizira pakutha kwathunthu kwa michere yomwe imabwera ndi chakudya.

Chithandizo cha pancreatic matenda (kuphatikizapo kapangidwe kazakudya) chimayikidwa mosiyanasiyana, poganizira zolimbitsa thupi ndi kulolerana kapena kusalolera kwazinthu zina ndi zigawo zina za mankhwala.

Zizindikiro zakulephera kwa procrine

Kukwanira kwa exocrine kumadziwika ndi kuphwanya thupi, kupweteka kwam'mimba, kusanza, kusanza, kusokonezeka kwa chifuwa, kumva kupsinjika pamimba, kutsika kwam'mimba komanso kusowa chakudya kwakanthawi, komwe kumawonetsedwa ndi kufooka kwa minofu, kufoka, kuchepa kwa thupi komanso kamvekedwe ka thupi. ndi zakudya zabwinobwino.

Zomwe kulephera kwa procrine kumatha

Kukwanira kwa procrine nthawi zambiri kumayambitsidwa ndikusintha kwa kapangidwe ka kapamba (kuphatikizapo kuchepa kwa puloteni), mavuto a duodenum, matenda am'mimba, zosayenera komanso / kapena zosagwirizana ndi zakudya, kusagwira bwino kwa ndulu, chakudya chochepa cha calorie kapena njala, uchidakwa.

Kuyesa kuchuluka kwa kuphwanya

Kodi kulephera kwa procrine kumadziwika bwanji?

Kuti adziwitse bwino, mayeso angapo a labotale amachitidwa. Mndandanda wa mayeso umayikidwa ndi adotolo, kutengera mtundu wa zomwe zikuchitika. Ndi kusakwanira kwa exocrine, kuyang'anira shuga wamagazi pafupipafupi kumafunikira, popeza odwala omwe ali ndi vuto losowa pancreatic awa ali pachiwopsezo chowonjezereka chotenga matenda a shuga.

Kupambana pa chithandizo cha exocrine pancreatic insufficiency

Njira yayikulu yothandizira bwino ndi kudziwa chifukwa chomwe matendawa adayamba, ndikuchotsa chomwe chinayambitsa kuphwanyidwaku. Pancreatic insufficiency imathandizidwa ndi mankhwala, kusankha komwe kumatsalira ndi adokotala. Kuphatikiza apo, chithandizo chovuta chimaphatikizapo kusintha zakudya ndi zakudya kuti chakudya chizikhala chokhazikika, ndipo mndandanda umaphatikizanso zinthu zomwe zimakhala ndi mavitamini A, C ndi E.

Micrasim® polimbana ndi matenda a pancreatic

Monga imodzi mwa mankhwalawa omwe amapanga mankhwala ovuta kwambiri ophwanya kapamba, Mikrasim ® angagwiritsidwe ntchito. Muli ma enzymes achilengedwe otaya - lipase, proteinase ndi amylase, omwe amapangidwira kugaya mapuloteni, mafuta ndi chakudya. Kuwonetsedwa kwakukulu kwa ntchito ya enzyme kumatheka patatha mphindi 30 pambuyo pakupereka chinjirizo *. Chiwonetsero ichi cha Mikrasima® chimapereka kuthamanga kwambiri. Kudziwitsa kufunika kwa mankhwala a exocrine pancreatic kusakwanira kumachitika payekhapayekha, poganizira kuopsa kwa zizindikiro, njira zamankhwala, kapangidwe kazakudya komanso zaka za odwala.

* Onani malangizo ogwiritsira ntchito mankhwala a Mikrasim®

- chinsinsi chochepa kapena ntchito yochepa ya michere ya pancreatic, zomwe zimayambitsa kusokonekera kwa kuwonongeka ndikupezeka kwa michere m'matumbo. Imadziwonetsa ngati kunenepa kwambiri, kuwonda, kuchepa kwa magazi, kusinza, polypecal, kutsekula m'mimba ndi polyhypovitaminosis. Kuzindikira kumakhazikitsidwa ndi njira zasayansi zophunzirira katulutsidwe wakunja wa kapamba, kuchititsa pulogalamu, kutsimikiza kuchuluka kwa ma enzymes mu ndowe. Chithandizo chimaphatikizapo chithandizo cha matenda oyambitsidwa, kuchuluka kwa michere, kusintha kwa michere ya pancreatic, ndi chithandizo chamankhwala.

Zizindikiro

Kufunika kofunikira kuti muzindikire kuperewera kwa pancreatic enzyme ndizoyesa kwapadera (kafukufuku ndi zosafunikira), zomwe nthawi zambiri zimaphatikizidwa ndi njira za ultrasound, radiology ndi endoscopic. Njira za Probe ndizokwera mtengo kwambiri ndipo zimapangitsa kuti odwala asamasangalale, koma zotulukapo zawo ndizolondola. Mayeso osafunikira ndi otsika mtengo, ofatsa omwe amalekeredwa ndi odwala, koma amapangitsa kuti azitha kudziwa kuperewera kwa pancreatic kokha ndi kuchepa kwakukulu kapena kusowa kwathunthu kwa ma enzymes.

Mayeso achindunji a probe secretin-cholecystokinin ndi muyezo wagolide wofufuza kuperewera kwa mapiritsi a pancreatic. Njira imakhazikitsidwa ndi kukondweretsedwa kwa katemera wa pancreatic ndi makina a secretin ndi cholecystokinin, otsatiridwa ndi zitsanzo zingapo zam'mapepala a duodenal ndi gawo la mphindi 10. Mu zitsanzo zomwe zapezeka, ntchito ndi kuchuluka kwa katemera wa pancreatic, mulingo wa ma bicarbonate, zinc, ndi lactoferrin amaphunziridwa. Nthawi zambiri, kuwonjezeka kwa kuchuluka kwa kubisika pambuyo poyeserera ndi 100%, kuwonjezeka kwa mabicarbonates osachepera 15%. Kuwonjezeka kwa kuchuluka kwa katulutsidwe ochepera 40%, kusoweka kwa kuchuluka kwa mabicarbonates, kumayankhula za kuchepa kwa mapangidwe a kapamba. Zotsatira zabodza zimatheka ndi matenda a shuga, matenda a celiac, hepatitis, ndikadzakhala gawo limodzi la m'mimba.

Kuyesedwa kosadziwika kwa Lund kuli kofanana ndi njira yapita, koma kubisala kwapancreatic kumatheka chifukwa chobweretsa chakudya chama test. Kuwerenga uku ndikosavuta kuchita (sikutanthauza jakisoni wa mankhwala okwera mtengo), koma zotulukapo zake zimadalira kapangidwe ka chakudya choyesa. Zotsatira zabwino zabodza zimatheka ngati wodwala ali ndi matenda a shuga, matenda a celiac, gastrostomy.

Njira zosafunikira zimachokera pakubweretsa zinthu zina mthupi zomwe zimatha kulumikizana ndi ma enzymes mu mkodzo ndi seramu yamagazi. Kafukufuku wazinthu za metabolic za kuyanjana uku kumapangitsa kuti ntchito yama pancreatic igwiritse ntchito. Mayeso omwe sangatheke amaphatikizapo bentiramide, pancreato-lauryl, iodolipol, triolein ndi njira zina.

Kuphatikiza apo, kuchuluka kwa katulutsidwe ka pancreatic kungadziwike ndi njira zosakhudzika: ndi kuchuluka kwa mayamwidwe a plasma amino acid ndi kapamba, mwakuwunikira bwino kwa pulogalamuyo (zomwe zimakhala zamafuta ndi sopo) kudzachulukitsidwa motsutsana ndi maziko a mafuta achilengedwe), kuchuluka kwa kutsekeka kwa ndowe, fecal chymotrypsin elastase-1.

Njira zozindikira ngati chida (radiography of the m'mimba patsekeke, MRI, CT, ultrasound ya kapamba ndi hepatobiliary system, ERCP) amagwiritsidwa ntchito pozindikira matenda oyamba komanso ogwirizana nawo.

Chithandizo cha kuperewera kwa enzyme

Chithandizo cha exocrine pancreatic insufficiency iyenera kukhala yokwanira, kuphatikizapo kukonza zakudya zaumoyo, etiotropic ndi mankhwala othandizira, othandizira chithandizo. Etiotropic therapy imapangidwa makamaka poletsa kupitirira kwa imfa ya pancreatic parenchyma. Kuwongolera machitidwe a kudya kumakhala ndikuchotsa kugwiritsa ntchito mowa ndi kusuta fodya, kuwonjezera kuchuluka kwa mapuloteni m'zakudya mpaka 150g / tsiku, kuchepetsa kuchuluka kwa mafuta osachepera kawiri pazachilengedwe, komanso kumwa mavitamini pazithandizo zochizira. Ndi kukomoka kwambiri, zakudya zochepera kapena zathunthu za makolo zingafunike.

Chithandizo chachikulu cha kuperewera kwa pancreatic enzyme ndikutengera moyo wonse kudya michere ndi chakudya. Zisonyezo za enzyme m'malo mankhwala pancreatic akusowa: steatorrhea ndi kutaya kwamafuta oposa 15 g kugogoda, pang'onopang'ono mapuloteni mphamvu mphamvu.

Kukonzekera kwa michere ya microganular mu chipolopolo chosagwira asidi, chokhala ndi kapisozi ya gelatin, imakhala ndi ntchito yabwino kwambiri masiku ano - kaphatikizidwe kamasungunuka m'mimba, ndikupangitsa kuti pakhale kusakanikirana kwa magawo a mankhwala ndi chakudya. Mu duodenum, mutafika pH ya 5.5, zomwe zili m'mipukutuyi zimamasulidwa, ndikupereka kuchuluka kokwanira kwa michere ya pancreatic mu madzi a duodenal. Mlingo wa mankhwala amasankhidwa payekha, kutengera kuopsa kwa matendawa, kuchuluka kwa chinsinsi cha pancreatic. Miyezo yothandiza pakubwezeretsa mankhwala ndikwanira kwamalingaliro a kukonzekera kwa enzyme ndikulemera kwambiri, kuchepa kwaulesi, komanso chopondapo chambiri.

Zotsogola ndi kupewa

Kukula kwa matenda a kapamba chifukwa cha kuchepa kwa matenda oyambitsidwa ndi kuwonongeka kwa pancreatic parenchyma. Popeza kuti kuperewera kwa pancreatic encyme kumayamba ndi kufa kwa gawo lalikulu la chiwalo, matendawa nthawi zambiri amakayikira. Ndikotheka kuti muchepetse kukula kwa vutoli pozindikira matenda ake komanso kupewa matenda a kapamba, kukana kumwa mowa, ndi kusuta.

Kuperewera kwa Enzymatic ndi mkhalidwe womwe kuchuluka kwa ma enzymes (ma enzymes) opangidwa ndi m'mimba sikugwirizana ndi zofunikira zenizeni za thupi. Kuperewera kwa kwachilengedwenso yogwira zinthu kumabweretsa kudzimbidwa - kupangika kwa gasi kwambiri, mseru komanso kusanza. Kuperewera kwa ma enzymes si matenda odziyimira pawokha, koma chiwonetsero chachikulu cha matenda oopsa a concomitant. Kuperewera kwa chithandizo chamankhwala kapena opaleshoni kumayambitsa zovuta zazikulu. Zizindikiro zoyambirira za kusagwira bwino kwa dongosolo la kugaya chakudya zizikhala chizindikiro chochezera chipatala.

Endocrine enzymatic akusowa kumachitika pambuyo kuwonongeka kwa ma islets a Langerhans

Zomwe zimayambitsa matenda

Matenda omwe amapezeka kawirikawiri amaphatikizapo kuchepa kwa enzymatic, komwe kumadziwika ndi kusowa kwathunthu kwa michere. Koma nthawi zambiri, kapamba amachepetsa kupanga enzyme imodzi kapena zingapo.Gastroenterologists amasiyanitsa zotsatirazi zomwe zimayambitsa matenda:

kugwiritsa ntchito kuchuluka kwa chakudya, kuphwanya komwe sikokwanira kupanga michere,
pachimake komanso kupweteka kwa kapamba (kutupa kwa kapamba),
helminthic infestation,
Kuphatikizidwa ndi kuphwanya kwa msuzi wa pancreatic madzi,
chidziwitso chowawa,
Enteritis, gastritis - njira yotupa m'mimba yaying'ono ndi (kapena) m'mimba,
Matenda a chiwindi, ndulu ya ndulu, ma ducts a bile, pomwe ma activation a bile pancreatic enzymes samachitika,
yodziwika ndi kuperewera kwa hydrochloric acid ndi michere yokumba,
Matenda a Crohn, amyloidosis, matenda a autoimmune omwe ma cell a matumbo amatayika,
Zotsatira za kulowererapo kwa maopareshoni - kuyamwa kwa gawo limodzi la m'mimba,
zolakwika zopatsa thanzi kapena kusowa kwa chakudya, zomwe zimatsogolera kuchepa kwa mavitamini ndi mchere.

Zomwe zimayambitsa kuperewera kwa kapamba zimatha kukhala zovuta zake zobadwa nazo. Zizindikiro za kuchepa kwa enzyme komanso kugaya chakudya zimawonedwa mwa ana atangobadwa kumene. Matenda amtunduwu samachiritsika, koma ndizotheka kukonza vutoli. Mwana ndi munthu wamkulu yemwe ali ndi vuto lochepa wa michere amawonetsedwa ngati alandila chithandizo chamankhwala komanso zakudya zopatsa thanzi.

Ngati matenda a pathological adakwiyitsa matenda aliwonse, ndiye kuti matendawo amayambitsidwa bwino. Ndikofunikira kutsatira malangizo azachipatala ndikuwunika zakudya. Koma nthawi zina kuvulala sikungasinthe, mwachitsanzo, ndi zotupa za khoma lamatumbo. Muzochitika izi, wodwalayo amayeneranso kuwunika kudya kwake ndikumwa mankhwala osokoneza bongo omwe ali ndi ma enzyme.

Kuwonongeka kwa khungu la pancreatic kumakhala chifukwa cha kuchepa kwa enzymatic

Mitundu yamatenda

Pa nthawi yodziwitsa, mtundu wa kuchepa kwa enzymatic ndi gawo la maphunziridwe ake amakhazikitsidwa. Mtundu uliwonse wa matenda am'madzi umadziwika ndi zizindikiro zake zapadera komanso zomwe zimayambitsa. Kuperekanso chithandizo kumadalira mtundu wa matenda.

Chenjezo: "Ngati vuto la enzymatic lili koyambirira, ndiye kuti chithandizo sichitenga nthawi yayitali. Nthawi zina zimakhala zokwanira kuti wodwalayo asinthe zakudya zina kuti chimbalo chikhale chokwanira. ”

Wopusa

Exocrine pancreatic kusakwanira kumayamba chifukwa chakuchepa kwa unyinji wa exocrine parenchyma kapena kutuluka kwa chimbudzi pakatikati pa duodenum. Akatswiri odziwa zinthu amatha kukhazikitsa mtundu wamtunduwu mwa zizindikiro zake zokha:

kudzimbidwa atatha kudya mafuta kapena zakudya zonunkhira
kumva kutulutsa m'mimba ndi kulemera m'mimba,
Zopanda zotayirira zokhala ndi mafuta osalowa mu thupi,
kukokana kowawa pamimba yotsika, kupatsa mbali.

Zovuta mu m'mimba thirakiti kumayambitsa kudwala thupi. Chifukwa chosamwa mavitamini ndi michere osakwanira, khungu la munthu limakhala louma ndi imvi, kupuma movutikira kumawonekera, komanso kugunda kwa mtima kumapitilira.

Zosiyanasiyana za matendawa: zimayambitsa, Zizindikiro, matenda ndi njira zochizira

Akatswiri amasiyanitsa mitundu inayi ya magwiridwe antchito osakwanira a pancreatic, omwe ali ndi mawonekedwe amtundu wake, mpaka etiology kapena njira yothandizira.

Kuperewera kwa kapamba kungakhale:

Wopusa
Wopusa
Zosangalatsa
Endocrine.

Popeza aliyense mwa mitunduyo ali ndi kusiyana kwakukulu, ndiye kuti ayenera kuganiziridwa mosiyana.

Exocrine pancreatic kuchepa

Kuperewera kwa procrine pancreatic kumatchedwa pathology momwe kumakhala kuperewera kwa timadziti kwa njira yodalirika yazakudya. Zizindikiro za kuperewera kwa kapamba ndi izi:

Zotsatira zoyipa
Kufalikira
Kumverera kolemetsa mu epigastrium,
Mavuto a Stool
Chimbudzi cholakwika.

Mavuto osiyanasiyana am'mimba komanso ma pancreatic pathologies chifukwa cha kusintha kwa tiziwalo timene timayambitsa matenda. Kuphatikiza apo, exocrine insuffuffing ikhoza kukhazikitsidwa motsutsana ndi maziko a ndulu kapena matenda am'matumbo, kufa ndi njala kwambiri kapena kuvutitsidwa ndi zakudya zama mono.

Kuperewera kwa exocrine kumatha kupezeka pokhapokha pofotokoza matenda athunthu. Ndi kusakwanira kwa kapamba wotere, chiopsezo chokhala ndi matenda a shuga chikuwonjezereka, motero odwala awa amafunika kuyang'ana shuga wawo wamagazi nthawi zonse.

Kupambana kwamankhwala kumadalira mwachindunji kukhazikitsidwa kwa etiology ya pathological process. Pokhala ndi zomwe mumadya kapena mowa, mudzafunika kusintha moyo wanu pakusiya zakudya zamphamvu komanso zakumwa.

Pazakudya zokhala ndi vuto lofanana ndi kapangidwe kazitsulo ka pancreatic, mavitamini monga ascorbic acid, tocopherol ndi retinol ayenera kukhalapo. Kuphatikiza apo, kukonzekera kwa enzymatic kumayikidwa kwa odwala omwe amathandiza gland kuti ichite bwino ntchito zachinsinsi.

Wopusa

Kuperewera kwa pocrreatic pancreatic kumachitika pambuyo pazovuta zina zosasintha mu minofu yake. Zomwe zimayambitsa matenda a pathological ndizoperewera kwa mankhwalawa kwa duodenum, chikhodzodzo, komanso matenda am'mimba. Kuperewera kwa procrine kumapezeka mwa anthu omwe chakudya chake sichingokhala komanso yopanda tanthauzo. Kuledzera kwa zakumwa zoledzeretsa zamphamvu kumadzetsanso kuchepa kwa magwiridwe antchito a gland ndikukula kwa njira yotupa. Kodi mawonekedwe amtunduwu ndi otani:

kusowa kwa mapuloteni, mafuta ndi chakudya,
nseru, kusanza,
kuchuluka kwa mpweya,
matumbo osagwirizana,
zimbudzi zotayirira.

Matumbo a nthawi yayitali amachititsa kuti ntchito zamagetsi zichepe, kusokonezeka kwa mitsempha, ulesi, kusowa chidwi, kugona.

Zosangalatsa

Kuperewera kwa enzyme kumatchedwa chakudya kusalolera, komwe kumayamba chifukwa cha kusakwanira kwa chitetezo cha pancreatic.

Enzymes zilipo mu pancreatic madzi, cholinga chawo ndikuthandiza magulu azakudya.

Ngati gawo limodzi la enzymatic silokwanira, ndiye kuti kupukusa kwathunthu kumatha kutaya phokoso ndikusokoneza.

Nthawi zambiri, kusowa kwa kapamba kotereku kumayambitsa zinthu monga:

Njira zopatsirana
Kumwa mankhwala omwe amabweretsa kuwonongeka kwa ma glandular cellular cell,
Zotupa zapakhungu,
Kubadwa kwa dongosolo la chiwalo, etc.

Kawirikawiri matenda owonekera pancreatic enzyme osakwanira ndimavuto azakudya ndi kupweteka pamimba, nseru kapena kupangika kwambiri kwa mpweya, mapangidwe otayirira komanso kutopa kwambiri, kuchepa thupi zolimbitsa thupi komanso kuchepa thupi.

Chizindikiro chimodzi cha kuperewera kwa mtundu wa enzyme ndi chakumwa chopondapo, chomwe chimafanana ndi fungo lamafungo.

Pozindikira, wodwalayo amapatsidwa maphunziro, ndipo. Kutengera ndi zomwe zapezeka, mtundu weniweni wa kusakwanira umawululidwa.

Ndi kuchepa kwa enzyme, zakudya zopatsa mphamvu zopatsa mphamvu zambiri komanso mankhwala omwe amathandizira kugaya chakudya akuwonetsedwa.

Etiology ndi pathogenesis

Njira ya pathological imakhazikika pakuchepa kwa kuchuluka kwa minofu yogwira pancreatic.Nthawi zina exocrine pancreatic insufficiency imayamba chifukwa cha pathological process yomwe imachitika mu gland itself, ndipo matendawa amatchulidwa ngati chilolezo chokhalitsa, ndipo ngati chifukwa cha matenda ena am'mimba, ndiye chilolezo chachiwiri chogona.

Zomwe zimayambitsa kuperewera kwa pancreatic pancreatic

Zomwe zimayambitsa chilolezo choyambirira kukhala ndi kapamba wa uchidakwa komanso uchidakwa wokhudza khansa, khansa ya kapamba, kupweteka kwa cystic, cystic fibrosis, kuchepa kwa katulutsidwe chifukwa cha opaleshoni yamapazi, stenosis ya papillary, matenda a shuga, matenda a shuga Cancreas mu ana, kwashiorkor, kuchepa kwina kwa amylase, lipase kapena proteinase, kuchepa kwa alpha-1-antitrypsin, Schwachman-Diamond syndrome.

Amayambitsa sekondale procrine pancreatic insuffuffence

Zomwe zimapangitsa chilolezo chachiwiri kukhala nyumba zimaphatikizanso kuchepa kwa bile acid mu hepatobiliary pathology, chapamimba hypoacidism, chifukwa cha kupezanso kwam'mimba kapena tsinde la vagotomy, njira ya pathological yothandizidwa ndi kuchepa kwa cholecystokinin excretion, kukula kwama bakiteriya m'matumbo ang'ono, gastrin (Zollinger-Ellitrozen syndrome, .

Kuchepa kwa exocrine pancreatic ntchito kumawonekera mwa mawonekedwe a dyspepsia ndi malabsorption syndrome (malabsorption syndrome), omwe amalumikizidwa ndi kuchepa kwa secretion ya michere ndi bicarbonates. Izi zimaphatikizira kuphwanya njira za kugawikana kwapakati pazakudya ndi kuponyera kwawo mu duodenum.

Pamene kutupa kumayambukira kwa kapamba mwa odwala omwe ali ndi matenda kapamba, pamakhala pang'onopang'ono minofu ya glandular (secretory) ya cholumikizira kapena choperewera. Zotsatira zake, kuchuluka kwa ma cell achinsinsi (acinar) mu kapamba amachepetsa, omwe pansi pamikhalidwe yamoyo, poyankha chakudya kulowa lumen ya duodenum, chinsinsi chachinsinsi chomwe chili ndi michere yam'mimba ndi alkali imatulutsidwa m'matumbo.

Ili ndi chiwonetsero chonse cha ma enzyme omwe amatha kugaya mapuloteni, mafuta, chakudya, koma lipase yokha, enzyme yomwe imatsimikizira kuchepa kwa mafuta kukhala ma acid acid ndi sopo pamaso pa bile ndipo ilibe "kawiri" pamagawo am'mimba. Chifukwa chake, pakuchepa kwa kuchuluka kwamasamba am'makutu, zimakhala zowonjezereka kuti kuchuluka kwa lipase yomwe imatulutsidwa mu lumodenal lumen sikokwanira pantchito yokumba ndikuyamwa, makamaka mafuta ndi mavitamini osungunuka.

Ndikufuna kulabadira mwapadera chifukwa chakuti zikondamoyo zimatha kulipira. Kwa chimbudzi chonse cha mafuta, kugwira ntchito kwa 2/3 kwa pancreatic parenchyma, mapuloteni - 1/2, chakudya - 1/10 ndikokwanira. Chifukwa chake, steatorrhea, creatorrhea ndi polyphecal (chopondapo tsiku ndi tsiku chimaposa 440 g) zimawonekera kale m'magawo akukulira kwa matendawa, pomwe chinsinsi cha pancreatic lipase ndi trypsin chimatsika kupitirira 90%. Kuchepa kwa thupi kumatanthauzanso zisonyezo zakutsogolo za kukulira mphamvu ya pancreatic prenreatic ndipo imawonedwa kwambiri m'matumbo akhungu. Kuzindikira koyambirira nthawi zina sikuchitika chifukwa chakuti zizindikiro zoyambirira za kuperewera kwa kapamba, monga kupindika komanso kumva kupsinjika pamimba, sizingawonekere kwa wodwalayo chifukwa cha kuchepa kwawo komanso sikuti chifukwa chofunsa dokotala.Zotsatira zake, wochiritsira wakwanuko amayenera kuthana ndi magawo otukuka a matendawo, pomwe ntchito yachinsinsi ili pa kubwezera. Kuzindikira kuchuluka kwa anthu komanso kusamala kwa madokotala okhudzana ndi kuphwanya kapamba kumathandizira kuzindikira matendawa munthawi yake ndikuyimitsa kupitilira kwake, kusintha moyo wa wodwalayo komanso kudwala kwake.

Mawonetseredwe azachipatala

Kumbukirani kuti kuyambira ndi zosavuta za dyspepsia, matendawa amatha kubweretsa zovuta monga kuchepa thupi chifukwa cha maldigestia komanso misala. Odwala ena omwe ali ndi vuto lalikulu la kuchepa kwa magazi ndi kuwonda, kupweteka kwa mafupa, kufupika kwa mafupa, komanso zizindikiro za kuchepa kwa mafupa chifukwa cha kuperewera kwa kuperewera kwa calcium ndi vitamini D. kusokonezeka kwa magazi mu njira yogaya magazi munjira yotaya magazi (hypovitaminosis K), kusawona kwamadzulo kapena "khungu usiku", khungu lowuma (hypovitaminosis A), chizolowezi matenda, kuchepa libido, potency (hypovitaminosis E).

Kukhumudwa kwa khungu, kupuma movutikira, palpitations, kuchepa mphamvu mwachangu, kuchepa kwa magazi komanso zizindikiro zina za kuchepa kwa magazi kwa B12 zitha kuwonedwa chifukwa cha kuchepa kwa mavitamini ofanana chifukwa chosowa ma protein a pancreatic (ma enzyme omwe amaphulitsa mapuloteni). Kuchepa kwa thupi, chifukwa cha kusakwanira kudya michere, kumawonetsa kuchepa mphamvu kwa pancreatic pancreatic.

Kupitilira kwina kwa kusintha kwamkati mwa mafinya kumatha kuyambitsa kusokonezeka kwa endocrine ndikukula kwa matenda a shuga.

Chidziwitso kwa dokotala

Chachikulu chiwonetsero chachikulu cha exocrine pancreatic insuffence:

Kuphulika (kusefukira)
- Kudzimva kuti ndi wolemetsa epigastrium mukatha kudya
- Kutsegula m'mimba
- Steatorrhea (kupezeka kwa mafuta mu ndowe)
- creatrhea (kupezeka kwa minofu yosasamalidwa mu ndowe)
- kuwonda
- Kukula kwakula (mwa ana)
- matenda ashuga
- Osteoporosis

Zakudya ndiye maziko a chithandizo

Kuperewera kwa exocrine pancreatic ntchito kumabweretsa vuto logaya chakudya ndi mayamwidwe. Chifukwa chake, chithandizo cha pathogenetic cha exocrine pancreatic insufficiency makamaka chimabwera pakukonzekera zakudya ndi enzyme.

Ngati pancreatic steatorrhea ndi chotupa cha pancreatic, ndiye mawonetseredwe ena a pathological amafunikanso chidwi ndi kukhazikitsidwa kwa mfundo zomveka za zakudya.

Pafupipafupi (kangapo kwa maola osaposa 4) magawo a chakudya (ochepa)
- pewani kudya kwambiri, makamaka madzulo ndi usiku,
- kudya mafuta kwakanthawi kochepa - mpaka 60-80 magalamu patsiku,
- kukana kwathunthu mowa ndi kusuta.

Enzyme m'malo mankhwala

Mbiri ya chithandizo cha exocrine pancreatic insuffence yakhala ikuchitika kwa zaka pafupifupi zana limodzi, koma "m'badwo wagolide" wa mankhwala othandizira olimbitsa thupi adayamba ndi pancreatin, chidutswa chowuma ndi pansi. M'masiku amakono, kukonzekera kochokera pancreatin kuchokera kuchotsera kumapita njira zamtundu wapamwamba komanso zapamwamba zomwe zimatsutsana ndi katulutsidwe kathupi ka pancreatic enzymes.

Masiku ano, m'zaka za XXI, mankhwala omwe amathandizira encyme

Kuti mukhale ndi ma enzymes ambiri, makamaka mapuloteni (osachepera 600-1000 Units F.I.P pa phwando),
- kukhala ndi milomo yayikulu ya lipase mu duodenum (magawo 30,000 a F.I.P. chakudya chimodzi),
- khalani ndi polowa enteric kuti muchepetse kuvulala msanga m'mimba,
- mndandanda wogwira ntchito wa ma enzymes uyenera kukhala pamlingo wa pH 4.5-5,5,
- khalani ndi granule osachepera kukula kwa yogawa yunifolomu unyinji wa chyme ndikugwirizanitsa kutuluka kwa duodenum.

Chisankho chabwino kwambiri cha mankhwala

Kukonzekera kwa enzyme komwe kuli mitundu iwiri ya pancreatin ndi michere yokwanira yokwaniritsa zofunika pamwambapa. Amadziwika kuti mphamvu ya hydrochloric acid pa michere ya pancreatic imawononga mpaka 90% ya chiwerengero chawo, kotero kukonzekera kwakanema kambiri kumapangidwa m'mazira osagwira asidi. Koma kusungunuka pang'onopang'ono kwa zigoba zoteteza mankhwalawa mu duodenum sikuloleza kufalitsidwa kwamphamvu kwa lipolytic michere mu chyme. Kuphatikiza apo, ndikofunikira kulingalira kuti kutuluka kwachakudya ndi michere kuyenera kuyanjanitsidwa. Chifukwa chake, popanga mankhwala othandizira, ndikofunikira kwambiri kuyang'ana mawonekedwe a mankhwalawa. Kukula kwa ma microganules ndikofunikira, chifukwa ndikuwonjezeka kwa diamondi yawo kusadutsika kudzera pachipata kumachepa. Kukula kwakukulu kwa tinthu tolimba kamadutsa pyloric kuchokera m'mimba kudzera pa pylorous ndi 1.4-2 mm. Tinthu tating'onoting'ono, makamaka timakonzedwe ta michere m'mapiritsi kapena ma dragees, timasamutsidwa panthawi yopukusira chakudya pomwe chyme chakudya chatsalira kale ku duodenum.

Kukula koyenera ndi 0.8-1.2 mm, komwe kumafanana ndi mawonekedwe ochepera.

Pamene gelatin kapisozi cha mankhwala amalowa m'mimba, chimasungunuka mkati mwa mphindi 1-2, ma minimicrospheres ambiri (kuyambira 280 mpaka 500mm ndi mulifupi wa 1.0-1.2 mm) amagawananso mofananitsidwa m'mimba, kusakanikirana ndi chakudya ndipo potero amawonjezera kugaya chakudya chifukwa chachikulu mawonekedwe oyandikira. Zigawo za mankhwala nthawi imodzi ndi chakudya zimalowa pang'onopang'ono mu duodenum. Pa pH ya zomwe zili mmwamba za 5.5, zigoba za ma microspheres zimasungunuka, ndipo ma enzymes amayamba kugwira ntchito molingana ndi chyme.

Ndizofunikira kudziwa kuti mukamagwiritsa ntchito kukonzekera kwa enzyme, njira yachilengedwe yogaya thupi imapangidwanso, pomwe madzi a pancreatic amathandizidwa m'magawo chifukwa chodya zakudya zam'mimba nthawi ndi nthawi.

Pomaliza, ndikufuna kunena kuti kudya, kusangalala mokwanira komanso kusangalala ndi njira yodyera ndi imodzi mwazinthu zomwe zimatsimikizira moyo wabwino komanso nthawi yake. Ndipo kukonzekera kwamtundu wapamwamba kumazindikira bwino ufuluwu kukhala ndi "chokoma" komanso moyo wathanzi.

Pamene kutupa kumayambukira kwa kapamba mwa odwala omwe ali ndi matenda kapamba, pamakhala pang'onopang'ono minofu ya glandular (secretory) ya cholumikizira kapena choperewera. Zotsatira zake, kuchuluka kwa ma cell achinsinsi (acinar) mu kapamba amachepa, omwe, pansi pa zikhalidwe zokhudzana ndi thupi, poyankha chakudya kulowa lumen ya duodenum, secretion (madzi a pancreatic) okhala ndi michere yam'mimba ndi alkali imatulutsidwa m'matumbo.

Ili ndi chiwonetsero chonse cha ma enzyme omwe amatha kugaya mapuloteni, mafuta, chakudya, koma lipase yokha, enzyme yomwe imatsimikizira kuchepa kwa mafuta kukhala ma acid acid ndi sopo pamaso pa bile ndipo ilibe "kawiri" pamagawo am'mimba. Chifukwa chake, pazotheka kuchepa kwa kuchuluka kwa maselo achinsinsi, kumakhala kothekera kwambiri kuti kuchuluka kwa madzi omwe atulutsidwa mu lumodenal lumen sikungakhale kokwanira pakukonzekera chimbudzi ndikuthira pambuyo pake, makamaka mafuta ndi mavitamini osungunuka a mafuta, ndipo pokhapokha mapuloteni ndi chakudya.

Akatswiri amatcha mkhalidwe uwu wa exocrine pancreatic insuffuffence.Kupitilira kwina kwa kusinthika kwa kutukusira kwa kapamba kumapangitsa kuti pakhale kusokonekera kwa endocrine organ dysfunctions.

Chowonetsera chomwe chimapezeka kwambiri cha exocrine pancreatic insufficiency ndi kusalolera bwino kwa mafuta zamafuta, makamaka zakudya yokazinga ndi kusuta. Zotsatira zake, mawonekedwe atamuwonekera akumva kupsinjika pamimba ndi mafuta ambiri opaka mafuta a "mafuta", otchedwa pancreatic (chimbudzi cha ndowe zamafuta). Pafupipafupi ma matumbo a matumbo nthawi zambiri sakhala upitilira katatu kwa tsiku ndi tsiku ndi limodzi. Chizindikiro chosavuta komanso chotsimikizika cha "mafuta" owonjezera ndowe ndikutha kusiyira chizindikiro kuchimbudzi, chosasambitsidwa bwino ndi madzi.

Pakhoza kukhala kupweteka ndi kupweteka pakati pake. Kuchepetsa kudya zamafuta, kuthana ndi michere ya m'mimba (onani pansipa) kumathandizira kuchepetsa kuuma kwa zizindikirozi komanso ngakhale kuzimiririka kwawo.

Kuwonetsera kwa kuchepa kwa mavitamini osungunuka m'thupi kumatha kupweteka, mafupa awo ochulukirapo komanso chizolowezi chogwira minofu (hypovitaminosis D), kusokonezeka kwa dongosolo la magazi pakupanga magazi (hypovitaminosis K), kusowa kwamaso, kapena "khungu khungu", (hypovitaminosis A), kukonda matenda, kuchepa kwa libido, potency (hypovitaminosis E).

Khungu la pakhungu, palpitations, kufooka mwachangu, kuchepa kwa mawonekedwe ndi zizindikiro zina za kuchepa kwa B12 zitha kuwonedwa chifukwa chophwanya mayamwidwe a Vitamini ofanana ndi chakudya chifukwa chosowa ma protein a pancreatic (michere yomwe imaphwanya mapuloteni). Kuchepa kwa thupi, chifukwa cha kusakwanira kudya michere, kumawonetsa kuchepa mphamvu kwa pancreatic pancreatic.

Zomwe zimachitika:

Matenda a pulayimale pancreatic osakwanira (kapamba) amayamba chifukwa cha kuchepa kwa kuchuluka kwa magwiridwe antchito a pancreas chifukwa cha fibrosis, kapena kuphwanya kutuluka kwa pancreatic secretion ya duodenum (duodenum) chifukwa chotchinga ndi ma panc. Izi ndizodziwikanso za magawo omaliza a CP (mtheradi woyambirira wa kapamba) kapena, monga lamulo, matenda a duodenal papilla wamkulu (wachibale wa pulani yayikulu). Njira zina zachitukuko cha kusakhazikika kwa exocrine pancreatic insuffential zimaphatikizapo milandu pamene kuchuluka kokwanira kwa ma enzymes a pancreatic amalowa mu duodenum omwe satenga gawo lokwanira kugaya chakudya chifukwa chosakwanira, kutulutsa, komanso kusokonezeka kwa magawano. Kukula kwa exocrine pancreatic kuchepa kwa odwala pambuyo pazokhazikitsidwa ndi njira zingapo, zonse zoyambirira komanso zachiwiri.

Chithandizo cha mankhwala:

Chofunikira pakuthandizira mawonetseredwe a exocrine pancreatic insufficiency ndi kukonza kwa regimen ndi zakudya. Zina mwazigawo zazikulu zamalingaliro azakudya ndi malingaliro:
pafupipafupi (mosaposanso maola 4) magawo a chakudya (ochepa)
pewani kudya kwambiri, makamaka madzulo ndi usiku
Kuchepetsa kudya mafuta, makamaka nyama zomwe zakhala zikuwotcha (kuwotcha, kusuta)
kukana mowa kwathunthu

Pankhani yazakudya zinazake, kapangidwe kake ndi kamodzi ndipo kamasankhidwa mogwirizana ndi wodwalayo ndi dokotala, nthawi zambiri mwamphamvu. Popeza gawo lofunikira lazakudya pakakonzedwe ka mawonekedwe a exocrine pancreatic insuffuffence, wodwalayo ayenera choyamba kuyang'anira mafunso onse okhudzana ndi kuchuluka kwa zakudya komanso / kapena kusintha kwa boma ndi dokotala.

Ndi kudya ochepa wamafuta ndipo nthawi zambiri mumakhala zakudya zama protein, zakudya zimabwera patsogolo popatsa wodwalayo mphamvu. Zachidziwikire, zokonda siziyenera kuperekedwa kwa zakudya zosakanikirana (maswiti), koma zamasamba, zipatso ndi chimanga, monga magwero achilengedwe osapangira fiber zokha, komanso mavitamini ofunikira kwambiri, amafufuza zinthu. Komabe, si odwala onse omwe ali ndi exocrine pancreatic insuffence kulekerera zakudya zam'mera chimodzimodzi. Odwala ena, akumwa mankhwala othandizira komanso ofunikira monga nyemba, nandolo, mitundu ingapo ya kabichi, biringanya, ufa wa chimanga, ndi zina, kapangidwe ka gasi m'migawo ya mgonero kumawonjezera, zomwe zimakhudza thanzi lawo.

Njira ina yomwe mwina ingagwiritsidwe ntchito ndi izi ndizakumwa zakudya zomwe zimakhala ndizophatikiza ndi vitamini-mineral zovuta kuphatikiza tirigu "Rekitsen-RD". Kugwiritsa ntchito kwawo pakudya kwa odwala omwe ali ndi exocrine pancreatic kusakwanira sikungowonetsetsa kuti magetsi azikhala ndi thupi lokwanira, komanso kuthana ndi vuto lomwe lilipo pothana ndi kuchepa kwa mavitamini ndi micronutrients. Kuphatikiza apo, zinthu zotere zimatha "kutsitsa" kapamba, zomwe zimakhudza ntchito yake.

Mankhwala ofunikira pakukonzekera kwa exocrine pancreatic insufficiency ndi ma enzymes (pancreatin, mezim-forte, panzinorm-forte, creon, etc.). Pakati pawo, amasiyana kokha mu kuchuluka kwa lipase yomwe ilimo ndi zina zowonjezera (ma enzymes am'mimba).

Mankhwalawa amayenera kumwa ndi zakudya. Kuchuluka kwa mapiritsi kapena makapisozi pachakudya chilichonse kumasiyanasiyana kuchokera pa 1 mpaka 3-4, kutengera kuchuluka kwa chakudya. Kukonzekera kwakanema kokwanira kumasonyezedwa mukamadya zakudya zomwe zimakhala ndi mafuta ambiri, mpaka mapuloteni ocheperako.

Kutsindika za kudya zakudya zamafuta ochepa kumachepetsa kufunika kwa michere yokugaya, chifukwa kufunikira kwa kapamba m'mimbidwe yawo ndizochepa kwambiri kuposa mapuloteni ndipo makamaka mafuta. Kuti muwonjezere kugaya kwa michere ya michere, amatengedwa ndi ma pulon pump blockers (omeprazole, pantoprazole, lansoprazole, rabeprazole, esomeprazole), zomwe zimapangitsa kuyamwa kwa zamchere m'matumbo am'mimba, potero zimapangitsa ntchito za ma enzymes.

Chidule chosavuta chothetsera kuwonetsera kwa exocrine pancreatic insufficiency ndi michere yam'mimba ndikuwonongeka kwa kutsekula m'mimba ndi matenda a kulemera kwa thupi, komanso kutha kwa pancreatic steatorrhea malinga ndi kusanthula kwa mankhwalawa kwa ndowe ndi kuchepa (normalization - osakwana 7 g) zamafuta mumadzimadzi patsiku.