Kuledzera kwa pancreatic: Zizindikiro ndi chithandizo

Zikondazo zimagwira ntchito yoyang'anira ntchito zambiri zamthupi, zimapanga ma enzymes ofunikira kwambiri okhudzana ndi chimbudzi. Zovuta zazing'ono pantchito yake zimabweretsa zotsatirapo zoyipa, chifukwa chake amafunikira kudziyang'anira payekha ndikuyambitsa chithandizo posachedwa pazizindikiro zoyambirira.

Kudziwa zizindikiro za kapamba kumathandiza kuthamanga kwa chithandizo

Kudziwa zizindikiro zazikulu za matendawa, ndikosavuta kupewa kutukuka kwake, chifukwa cha kufulumira kwa mayeso ndi kuyamba kwa chithandizo, komanso kuchotsa kwa zomwe zimayambitsa.

Nthenda yodziwika kwambiri ya kapamba ndi kapamba. Zimayambitsa kutupa kwa chiwalo, kenako ndikulephera kugwira ntchito kwa kapamba ndi kutulutsa poizoni ndi ma enzyme omwe amapanga m'magazi. Matendawa amagawidwa m'magulu awiri - pachimake pancreatitis komanso aakulu, omwe ali ndi zizindikiro komanso zosiyana.

The pachimake mawonekedwe pancreatic pancreatitis ndi chikhalidwe:

• kuwonetsedwa kwa kupweteka kumanja kapena kumanzere kwa hypochondrium, komwe nthawi zambiri kumayendera limodzi ndi kupweteka kwa lamba, komwe kumatengera kuchuluka kwa kutukusira kwa chiwalo ndi malo a chotupa chachikulu cha pancreatic,
• kuwonongeka kwakuthwa mu thanzi lathunthu, kuwonjezeka kwa kutentha kwa thupi, kuchepa mphamvu, kuchuluka kapena kuchepa kwa kuthamanga kwa magazi,
• mawonekedwe akununkhira pakhungu: mawonekedwe ake amakhala amtopoma, mawanga amtundu wotuwa amaonekera mozungulira msomali komanso kumbuyo, jaundice wopewera,
• kuwoneka pakamwa pouma ndi ma hiccups a nthawi yayitali, kugona kosasangalatsa, ngati mazira owola, nseru ndi kusanza mobwerezabwereza, komwe kulibe mpumulo.
• kupezeka kwa vuto logaya chakudya m'mimba mwa kudzimbidwa kapena kutsekula m'mimba,
• kupezeka kwa kufupika, thukuta linakulirakulira.

Mu chifuwa chachikulu, Zizindikiro sizitchulidwa. Matendawa amatenga nthawi yayitali ndipo akuwoneka kuti sakubweretsa mavuto ambiri. Koma uku ndikuwopsa kwake, chifukwa kapamba amawonongeka pang'onopang'ono, zomwe zingayambitse chotupa ndi khansa. Ndi chifuwa chachikulu chamba:

• mutatha kudya, kupweteka kumawonekera mu hypochondrium,
• chiwonetsero chakuthwa cha zowawa mukamadya mafuta komanso okazinga, osuta fodya komanso okoma, zakumwa zoledzeretsa,
• kusanza, kukhumudwa m'mimba, kapena kutulutsa magazi,
• Kusintha khungu (khungu).

Zizindikiro zimathandizidwanso ndi zinthu monga zaka, kugwiritsa ntchito mankhwala ndi momwe malangizo audokotala amatsatirira mosamala.

Kudandaula madokotala akatswiri ndizovomerezeka. Kupatula apo, ndi chizindikiro chimodzi chokha komanso zizindikilo zakunja ndi zomwe zimapangitsa kukhalapo kwa matendawa kutsimikizika, osati chikhalidwe chake ndi kuchuluka kwa kuwonongeka kwa kapamba, mwina zizindikiro zofanana ndi poyizoni. Chifukwa chake, monga momwe dokotala walangizira, ndikofunikira:

• amayesa magazi amylase ndi mkodzo diastases,
• khalani ndi kulingalira kosiyanasiyana kwamagazi ndi mkodzo.

Kuti mutsimikizire matendawa, ndikofunikira kuchita chidziwitso cha matenda.

1. Ndi radiology yowunika mu kapamba, ndizotheka kuyang'ana danga pafupi ndi m'mimba ndi matumbo ang'onoang'ono kuti muwerengere.
2. Ultrasound imakupatsani mwayi wowona kapamba, kusintha kapangidwe kake, mutu ndi mchira wake, komanso mkhalidwe wa duct.
3. CT (compute tomography) imatsimikizira zizindikiro za densitometric, imathandizira kuzindikira zovuta zamatenda a pancreatitis.
4. MRI - imapereka zidziwitso zambiri pazinthu zonse ndipo sizikhala zovulaza thupi.
5. Njira yamakono kwambiri yofufuzira ya radiopaque ndi endoscopic retrograde pancreatocholangiography, yomwe imathandizira pakuwunika kolondola kwa boma la ma ducts a bile ndi ma dancts a pancreatic.
6. Ngati wodwalayo wachotsa ndulu ya ndulu, radionuclide cholecystography ndi intravenous cholangiography amagwiritsidwa ntchito pofufuza momwe ducts zilili.

Chithandizo cha chifuwa cham'mimba ndi kuledzera

Pochiza matenda a kapamba, sikuti chifukwa chakanthawi kochepa kuchotsedwa kwa kupweteka kwamankhwala kumakhala kofunika, koma chithandizo chovuta, kupatsirana njira zopewera komanso kudya mwamphamvu.

Kuyambira pachiyambi pomwe, chithandizo chimafuna kuchepetsa ululu komanso kuledzera. Izi ndizomveka, chifukwa pancreatitis yayitali komanso kuledzera sikuthandiza. Njira zochizira zimachepetsedwa gawo loyamba mpaka kusala kwa masiku atatu, zakudya za makolo ndi chithandizo chamankhwala kuti muchepetse kupweteka. Choyamba, analgesics amagwiritsidwa ntchito. Ngati ndi pancreatitis yovuta kwambiri, ndipo kusanza ndi chimodzi mwazizindikiro, ndiye kuti sizothandiza kugwiritsa ntchito mapiritsi. Pankhaniyi, jakisoni kapena mafinya amtsitsi amagwiritsidwa ntchito.

Ndikofunikira panthawi yakukhazikika kuti ipange magwiridwe antchito a chiwalo, chomwe chimakwaniritsidwa ndi kutsekeka kwathunthu kwa katulutsidwe katulutsidwe ka khungu ndi chikhazikitso cha pancreatic. Pazomwezi, pali zida zingapo zoyeserera bwino za proton pump.

Ngati simupereka chithandizo chanthawi yake komanso chothandiza, izi zimabweretsa zovuta zazikulu:

• chitukuko
• kuwerengera ndi kuwonetsedwa kwa jaundice yovuta:
• Kukhazikika ndi kukula kwa matenda ashuga,
• stenosis ya pancreatic duct ndi chachikulu chamkamwa,
• chikopa
• zotupa ndi khansa ya kapamba.

Pachimake kapamba kapena matenda apezeka, chithandizo cha matendawa ndizosatheka popanda kupereka njira zodzitetezera. Ayenera kuletsa kukula kwa matendawa ndikuletsa kupezeka kwake. Pakati pawo, gawo lofunikira limasewera ndi zakudya.

Pali malingaliro onse omwe afotokozedwa mwachidule:

• chakudya chamagulu pang'ono - kangapo ka 5-6 patsiku,
• Pazakudya zopatsa thanzi, zomwe zipatso, ndiwo zamasamba, chimanga, mkaka wowawasa uzikula,
• kukana mafuta, okazinga, osuta, amchere ndi zakudya zowuma, zakudya zosavuta ndi maswiti,
• kusinthira kuphika chakudya chophika kapena chawotcha,
• kusiyanitsa zizolowezi zoipa, koposa zonse, mowa ndi fodya.

Ndipo musayese kudya kwambiri, ngakhale mutakonda kudya chiyani.

Kutupa kwa Pancreatic: Zizindikiro ndi Chithandizo

Pancreatitis ndi kutupa kwa kapamba, Zizindikiro ndi chithandizo chomwe chimatengera mwachindunji mawonekedwe a matendawa. Pathology imatha kukhala yovuta komanso yosatha. Ndikofunika kuzindikira zizindikiritso za matendawo munthawi yake ndikupempha thandizo, popeza kunyalanyaza zizindikilo za thupi kumatha kubweretsa zotsatira zosasangalatsa, ngakhale kufa.

Mu 70% ya milandu, kapamba amayamba chifukwa cha uchidakwa, 20% chifukwa cha kutsekeka kwamkati ndi Calculator, ndipo 10% yotsalayo ali ndi zifukwa zingapo zoyambitsa:

• poyizoni wa chakudya pafupipafupi,
• kuvulala kwamimba m'mimba kapamba (kumanzere kwa hypochondrium),
• matenda opatsirana kapena ma virus am'mimba,
• zolakwika za sphincter zomwe zili kuthengo,
• matenda oyamba ndi mafangasi.

Kuphatikiza apo, matendawa amatha kukhazikika ngati opaleshoni yam'mimba kapena patatha njira ya endoscopic.

Zizindikiro ndi matendawa

Mkhalidwe wowonetsera matendawa umatengera mawonekedwe a kapamba, chidwi cha wodwalayo, komanso dera lomwe akukhudzidwa. Zizindikiro za zotupa za m'mimba mwa azimayi ndizofunikira kusiyanitsa zovuta ndi zam'mimba, pomwe ululu umatha kuwonekera pansi pa nthiti yakumanzere. Ndipo mwa ana, zizindikiro zoterezi zimatha kuchitika poizoni wa banal.

Njira yovuta imakhala ndi chifuwa chachikulu, nthawi zambiri, odwala samadziwa za kukhalapo kwa matendawa mpaka kufalikira koyamba. Njira yayikulu ya matenda, m'malo mwake, yatulutsa zizindikiro. Panthawi yozunza, wodwalayo mosakayikira amafuna chithandizo chamankhwala choyenera.

Pachimake mawonekedwe a kapamba

Chikhansa ndi chiwalo chaching'ono, koma chimagwira ntchito zofunika kwambiri m'thupi - chimatulutsa insulini, chomwe chimafunika kuti magazi azikhala ndi shuga, komanso michere yokugaya yomwe imathandizira kuphwanya chakudya chomwe chimalowa m'matumbo. Pakutupa, ntchito zonse za chiwalo zimachepa, ndipo kuwonongeka kwakukulu kungayambitse matenda osachiritsika monga matenda a shuga.

Kuti mupewe izi, muyenera kuzindikira Zizindikirozo munthawi yake ndikuthandizira wodwala:

• Zowawa za m'chiuno, zomwe zimapangidwira mu hypochondria, nthawi zambiri zimakhala zazikulu kumanzere. Zomverera zowawa ndizapamwamba, sizingatheke chifukwa chogwiritsa ntchito mankhwala, kuyambitsa nseru, kusanza. M'mavuto akulu, kupweteketsa mtima kumatha kupezeka ndipo, motsutsana ndi izi, imfa imachitika,
• kupewera zakudya zilizonse, kupezeka kwa ndulu ya masanzi mu masanzi,
• kusintha kwa zofunikira - kutentha thupi, kupuma, kuthamanga magazi,
• kutentha kwadzaoneni kwamkamwa komanso pakamwa lowuma
• kubwatuka pafupipafupi, hiccups,
• kutuluka kwam'mimba chifukwa cha kukamwa,
• chisokonezo cha chopondapo - kunyamula, kudzimbidwa, kupezeka kwa ndowe za tinthu tosapatsa chakudya.

Kukhala ndi thanzi labwino kwa wodwala kumayamba kuchepa. Makamaka chidwi chake chiyenera kuperekedwa kuti chiwonekere khungu. Khungu loyera kapena loyera la khungu limawonekera nthawi zambiri, silowopsa ngati mtundu wachikasu. Jaundice amalankhula za mawonekedwe a pancreatitis otenga mphamvu (owopsa kwambiri), amachitika chifukwa cha kupanikizana kwa ndulu ndipo chimbudzi chake chimakulitsidwa kwambiri ndi ziphuphu.

Pakhungu pang'ono pakhungu kapena khungu, muyenera kufunafuna thandizo kuchipatala mwachangu.

Chithunzi cha kuchipatala cha kufalikira kofanana ndi mawonekedwe owopsa a kutupa:

• kufalitsa ululu - pamimba pamimba, mu hypochondria. Zomverera zimakhala ngati lamba ndipo zimatha kuperekedwa kwa tsamba, kumbuyo kapena kumbuyo,
• kuphwanya kwam'mimba thirakiti - nseru, kupindika, kusanza, kutulutsa thukuta, kudzimbidwa,
• kusintha kwa mtima, kukakamiza, kutentha.

Munthawi yamatenda akuchepa, zizindikirizo zimatha, koma kapamba amadziwikanso. Wodwalayo amadandaula za kudzimbidwa nthawi zonse kapena kunyamula, komwe kumachitika chifukwa chosagaya chakudya chokwanira m'matumbo, flatulence.

Kusunthika kwa tsitsi ndi mbale za msomali, kuuma ndi kutsekeka kwa khungu, ndipo kuyambanso kutopa kumawonekeranso.

Akafika kuchipatala, wodwalayo amapatsidwa maphunziro otsatirawa:

• kuyezetsa kwachizolowezi magazi - kumawonetsa Zizindikiro Zosagoneka m'thupi (kuchuluka kwa erythrocyte sedimentation, kuchuluka kwa ndende yamagazi),
• kudziwa kuchuluka kwa glycemia (glucose) m'magazi - amachitika kuti asatenge chitukuko cha matenda ashuga kapena matenda asanafike chifukwa cha kuwonongeka kwa ma islets a Langerhans - madera a kapamba komwe insulin imapangidwira.
• magazi zamankhwala am'magazi - sachita kafukufuku mwatsatanetsatane, koma adziwe michere ya gland (trypsin, amylase, lipase),
• ultrasound ya ziwalo zomwe zili m'mimba,
• Esophagofibrogastroduodenoscopy - imalola kugwiritsa ntchito chubu chopyapyala ndi kamera yaying'ono kuti ayang'anire m'mimba kuchokera mkati,
• Kuunika kwa X-ray kwam'mimba,
• kusanthula kwathunthu kwa ndowe ndi mkodzo.

Mwachilendo, wodwalayo amatha kutumizidwanso mankhwala ena, koma samakonda kutengera izi chifukwa cha kukwera mtengo kwa njirayo komanso kuphulika kwa nthawi yayitali.

Chithandizo cha kutupa kwa kapamba

Kusunga chikhululukiro cha chifuwa chachikulu, nthawi zambiri chimakhala chokwanira kutsatira zakudya ndikumamwa mankhwala a enzymatic. Malangizo a mankhwala othandizira kukokomeza komanso kutupa pachimake ndi osiyana. Wodwala amayenera kugonekedwa m'chipatala, kuchitira detoxization mankhwala, kukhazikika kapamba.

Zomwe zimapangitsa kupweteka m'mimba ndi mseru komanso njira zochizira

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.

Malinga ndi ziwerengero, munthu aliyense wachiwiri amakhala ndi ululu m'mimba.

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

Imatha kukhala yokhazikika kapena yakanthawi, kuwonjezera apo, chizindikirochi chimathandizanso ndi kusanza, nseru, kutentha thupi ndi zina zosasangalatsa. Chifukwa chomwe m'mimba mumapweteka komanso mukudwala, muyenera kudziwa, chifukwa chomwe chimayambitsa matenda omwe akudwala.

Gulu la Zizindikiro

Kuti adziwitse bwino matenda ake, gulu la zowawa limagwiritsidwa ntchito, lomwe limaperekedwa pagome pansipa.

Kufotokozera za kuwawa:Ngati chizindikirocho chikuwoneka pafupipafupi, ndiye kuti chifukwa chake chimakhala matenda a duodenum kapena esophagus. Kupweteka kwam'mimba pansi pa nthiti yakumanja - matenda a chiwindi kapena a biliary, kupweteka kwam'mimba pansi pa nthiti yakumanzere - kapamba. Ngati zimapweteka kumtunda - vuto ndi kapamba, lomwe siligwirizana ndi ntchitoyo. Ngati m'mimba mwayamba kuzungulira navel, ndiye kuti vuto lili m'matumbo aang'ono. Kupweteka kwambiri mbali yakumanja - imatha kulankhula za appendicitis. Ndikumva kupweteka pansipa komanso m'munsi kumbuyo, mavuto ndi chikhodzodzo ndiwotheka. Mtundu wamawonekedwe akumva kuwawa:Amagawika muzizindikiro: cramping, mawonekedwe a spasms, colic. Kuphatikiza apo, zizindikirazi zimagawidwa ndikumva kupweteka, kupweteka komanso kuwawa. Zizindikiro zowonjezera:Wodwala amadwala kwambiri, pali ululu winawake, kusanza ndi kusuntha kwina. Kutsegula m'mimba, kupweteka m'mutu sikumachotsedwa. Zizindikiro:Mwina m'mimba zimapweteka pambuyo kutsatira zina mankhwala, mankhwala osokoneza bongo kapena chifukwa cha zochita. Chizindikiro chofunikira ndi nthawi yomwe kuonekera kwa zomverera: usiku, m'mawa kapena kudwala.

Kudziwa kagawoli, ndikofunikira kuti muzolowere pazifukwa zingapo zomwe zingayambitse kupweteka m'mimba.

Zomwe zimayambitsa mseru komanso kupweteka m'mimba

Zomwe zimayambitsa nseru

Pali zifukwa zambiri zomwe zimapangitsa m'mimba kupweteka, ndipo mutha kuyankhula za iwo kwanthawi yayitali. Kuti muchepetse tanthauzo, ndikofunikira kugawa zomwe zimayambitsa nyumba komanso zomwe zimayambitsa matenda kapena kupatuka. Pankhani yamavuto am'banja, malingaliro osasangalatsa adzachitika okha, ngati titapatula zina zoyambitsa. Ngati wodwala ali ndi matenda, ndiye kuti thandizo la dokotala likufunika.

Pazifukwa zapakhomo, muyenera kuphatikiza zakudya zosayenera, kupsinjika, kupsinjika kwakuthupi kapena m'maganizo, pamene m'mimba mupweteka pambuyo pakumwa, kuchokera pakudya kwambiri kapena pamankhwala. Kuphatikiza pa zowawa, zovuta zapakhomo zimayendera limodzi ndi kulemera pamimba, kumatulutsa, mpweya, nthawi zambiri wodwalayo amasanza, kufooka kumawonekera kapena kutentha kumatuluka, kumazizira ndikutaya kutentha. Monga lamulo, ngati mukulanda, musavutike, koma osati nthawi zonse. Nthawi zina, wowerengeka kapena mankhwala amathandiza.

Ngati m'mimba mupweteka komanso mukudwala chifukwa cha ma pathologies, ndikofunikira kudziwa nokha chifukwa chilichonse mwatsatanetsatane. Zitha kukhala chiyani:

1. Appendicitis. Vuto lotere mwa anthu limapezeka nthawi zambiri. Zowawa komanso zakuthwa m'mimba yakumbuyo kumanja. Kutentha kwa wodwalayo kumayamba kuchuluka, m'mimba mwake kumakhala kupweteka komanso kudwala. Njira yakuchiritsira idzangochotsedwa pakuchita opaleshoni.
2. Poizoni. Chifukwa china chomwe chimachitika nthawi zambiri. Pankhaniyi, kunyansidwa kumayamba, kulemera ndi kutsegula m'mimba kumawonekera, kutentha kumakwera mwachangu, kufooka kumawonekera, malovu amayamba kuoneka mwamphamvu. Kukakamizidwa kwakukulu sikumachotsedwa.Ngati poyizoni nthawi zambiri amakhala mutu, nseru ndi chizungulire, kusanza kosalekeza.
3. Matenda am'mimba komanso zizindikiro zake

Gastritis Monga lamulo, matenda a pathology amawoneka ngati chifukwa cha matenda. Ululu umakhala ukukoka komanso mosalekeza. M'mawa, amadwala, koma ngati mumadya, ndiye kuti mseru umasowa ndipo kutentha kwadzidzimu kumawonekera, mpweya woipa. Ngati matenda a gastritis akudwala, ndiye kuti mukatha kudya pamakhala kuphika.

Pancreatitis (kutupa kwa kapamba)

Tumors Ndikapangira zotupa, m'mimba mumapweteka pafupipafupi, ndipo nseru imayamba nthawi zina.

Izi ndi zifukwa zazikulu, zachidziwikire, ngati mukudwala wowongolera, ndiye kuti simungadandaule ndikugwiritsa ntchito mankhwala othandizira kuti zitheke. Koma pankhani ya kulimbikira kwa matendawa omwe amapitilira ola limodzi, kutentha kumakhala kuposa 37, kusanza, kusanza, ndiye kuti mukufunikira kukaonana ndi dokotala, komanso mwachangu.

Chithandizo cha ululu wam'mimba

Mimba imapweteka ndipo imadwala - choti muchite zinthu zotere. Pali njira yothetsera, kapena awiri a iwo: Mankhwala osokoneza bongo ndi wowerengeka azitsamba. Chithandizo cha mankhwala ziyenera kuchitika kokha ndi adokotala omwe amapita. Kodi ndiyenera kupita kwa dokotala uti? Pankhaniyi, gastroendocrinologist ayenera kuyesedwa. Pambuyo ululu utayamba, sikoletsedwa kumwa mankhwala oledzeretsa, chifukwa pakhoza kukhala zovuta. Mankhwala amapangidwa malinga ndi zomwe zimayambitsa ndi zomwe zimayambitsa:

Ranitidine mapiritsi a kupweteka m'mimba

"Ranitidine", "Rennie", "Almagel" ndi ma antacid ena adakhala abwino. Ranitidine ndi mankhwala ena amadziwika ndi dokotala ndipo mankhwalawa amagwiritsidwa ntchito ngati pali chilonda ndi matenda ena amtundu wa m'mimba. Nthawi zambiri, "Ranitidine" amagwiritsidwa ntchito pachilonda, chifukwa amachepetsa kupanga madzi am'mimba. "Ranitidine" alibe contraindication, koma ayenera kugwiritsidwa ntchito mosamala pa nthawi yomwe ali ndi pakati. M`pofunika kugwiritsa ntchito mankhwalawa 2 pa tsiku - m'mawa amatengedwa musanadye komanso madzulo asanagone. Mlingo ndi chithandizo ndi mapiritsi a Ranitidine amalembedwa ndi adokotala.

Zoyenera kuchita kunyumba ndikupweteka pang'ono kapena poyizoni? Ndikulimbikitsidwa kuti muthe mafuta oledzera musanadye, pa piritsi limodzi pa 10 makilogalamu. Amagwiritsidwa ntchito ngati dera lam'mimba limadwala pakati, kukanikiza mkati, mpweya umatulutsidwa, kuwotcha kumawonekera ndipo thupi likuwotcha. Mutha kumwa mukatha kudya.

Chithandizo cha kupweteka m'mimba ndi wowerengeka azitsamba

Ubwino wa aloe wa kupweteka m'mimba

Nthawi zambiri, ana omwe ali ndi vuto la kupuma kwamphamvu kwambiri pamatenda amatha kukhala ndi m'mimba pang'ono, kulibe kudya, kutentha kumakwera, ndikuponyera kutentha. Pankhaniyi, chithandizo chimachitika bwino mothandizidwa ndi dokotala, koma mutha kugwiritsa ntchito njira zina kuchokera ku mankhwala achikhalidwe. Kuphatikiza apo, ndalama zochokera kuchizolowezi chachikhalidwe ndizosayenera osati kokha kwa mwana, komanso kwa amayi apakati, komanso anthu omwe ali ndi zilonda zam'mimba kwambiri.

Zoyenera kuchita ngati mimba yapweteka, koma osadwala? Potere, njira zosinthika zimagwiritsidwa ntchito. Poyamba, m'mimba wosefukira adzafunika kumasulidwa ndikusanza. Pambuyo pa izi, muyenera kumwa mankhwala azitsamba. Itha kupangidwa kuchokera pazinthu zotsatirazi:

1. Kulowetsedwa kwa Aloe: muyenera kuthira kapu yamadzi otentha 1 tsp. Zomera ndi kumwa mutatha kudya.
2. Wort wa St. John ndi udzu wolimba, womwe ungathandize osati kokha ngati gawo lam'mimba limadwala, komanso ndi zovuta zina. Zomwe simuyenera kuchita ndikumwa msuzi wambiri. Ngati mimba ya mwana yapweteka usiku, ndiye kuti ayenera kupatsidwa 1 tbsp. decoction 4 pa tsiku.
3. Ngati zizindikirazo zimayendera limodzi ndi ululu wam'mawa mwa mwana, tikulimbikitsidwa kutsanulira madontho 50 a calendula tincture mu kapu yamadzi ndikumwa mankhwalawa katatu patsiku.
4. Mutha kupanga decoction wa peppermint. Ndiye ngati inali kugwedezeka ndipo panali kumva kupweteka m'mimba, ndiye kuti msuzi uyenera kuledzera pang'ono pang'ono m'malo mwa tiyi. Zabwino kwa amayi apakati pa toxicosis.

M'mawu ena mutha kuwona izi: "M'mimba mwanga mudadwala, koma mankhwala atatha kudya ndikudutsa, zonse zidapita." Mankhwala oyenera azithandiza kuthana ndi zizindikirazi mpaka kalekale. Mankhwala achikhalidwe, pali maphikidwe osiyanasiyana, koma osawagwiritsa ntchito pafupipafupi, tikulimbikitsidwa kukaonana ndi dokotala, chifukwa njira zambiri zimangokulitsa vutoli. Mwa mwana, ululu umatha kutsitsimuka ndi kupsinjika kwam'mimba pamayendedwe akachezera.

Pofuna kuthana ndi vuto la wodwalayo ndikuchotsa kutupa, mankhwalawa amagwiritsidwa ntchito:

• antispasmodics (No-shpa, Baralgin),
• anticholinergics (Atropine, Metacin),
• Ma H2-blockers (Famotidine),
• michere ya kapamba (Festal, Mezim),
• adsorbents (Sorbex, Enterosgel),
• maantibayotiki
• ebiotic.

Mu tsiku loyamba, wodwalayo ayenera kufa ndi njala, amaloledwa kumwa madzi wamba. Kuyambira tsiku lachiwiri, zinthu zosiyanasiyana zimayambitsidwa pang'onopang'ono, komabe, munthu amatha kubwerera ku chakudya chake chokhacho pakatha miyezi yochepa.

Zithandizo za anthu

Chithandizo cha kutukusira kwa kapamba ndi mankhwala wowerengeka amayamba pokhapokha gawo ladzaza. Njira zosakhala zachikhalidwe zimayenera kugwiritsidwa ntchito nthawi yomweyo ngati chithandizo chamankhwala pokhapokha mutakambirana ndi dokotala. Kudzichiritsa nokha, munthu kumatha kuyipitsa thanzi lake.

Yokhazikitsidwa ngati mankhwala a kapamba, msuzi wa mbatata. Imayenera kuledzera 100-150 ml asanadye, nthawi 1-2 patsiku lokwanira. Ndikofunika kuti gawo lililonse lamadzimadzi limamfinyidwa musanagwiritse ntchito.

Komanso, mankhwala amchikhalidwe nthawi zambiri amagwiritsa ntchito kukonzekera kwazitsamba:

• yarrow, chamomile, calendula:15 g wa zitsamba zouma kutsanulira 200 ml ya madzi otentha, lolani kuzizira. Imwani 70-100 ml ya kulowetsedwa theka la ola musanadye.
• makungwa a barberry:kapu yamadzi otentha yikani supuni yayikulu yamakungwa ophwanyika, ozizira. Tengani supuni musanadye chilichonse.
• wosafa, chowawa, chamomile (maluwa):sakanizani zitsamba izi mu 3: 1: 2, masamba asanu. supuni kutsanulira 1.5 makapu madzi otentha ndikulola kuti kuziziritsa. Imwani 100 ml katatu patsiku.

Zopatsa thanzi ndi zakudya - mungadye chiyani komanso zomwe simungathe?

Zakudya za kutupa kwa kapamba zimagwira ntchito yayikulu pakuthandizira. Pa pachimake kapamba, wodwalayo amaletsedwa kudya zakudya zilizonse mpaka masiku awiri, ndiye kuti zakudya zimayambitsidwa pang'onopang'ono.

Poyamba, mutha kudya chimanga chochepa thupi pamadzi, popanda kuwonjezera mchere, shuga, mkaka ndi zinthu zina. Ndi njira yabwino, pambuyo pa sabata amaloledwa kudya supu zamasamba, nsomba yophika ndi nyama yazakudya pang'ono.

Wodwala ayenera kukhala pachakudya kwa miyezi ingapo.

Mu gawo lokhululuka, ndikofunikira kupatula zakudya zomwe zimanyamula kapamba ndipo zimayambitsa chiwopsezo chatsopano:

• mowa
• chokoleti
• ankasuta nyama
• zakudya zamafuta
• zakudya zokazinga
• zopangidwa mkaka kuchokera mkaka wamafuta ambiri,
• nyemba, kabichi,
• tiyi, khofi.

Muyenera kudya pang'onopang'ono, onani kutentha kwa chakudya (pafupifupi madigiri 50), sankhani zakudya zomwe zingakuthandizeni kugaya.

Mavuto omwe angakhalepo:

• kulolerana kwa shuga, shuga,
• chofufumimba
• kuwonongeka kwa ziwalo zina zam'mimba,
• cysts mu glandular minofu,
• mawotchi opaka khungu.

Muzochitika zapamwamba, kapamba amatsogolera kuledzera kwambiri kwa thupi ndi kufa.

Kuchulukitsa

Popewa kufalikira, ndikokwanira kuti tisamaphwanye malamulo a kadyedwe komanso kumwa mankhwala omwe dokotala watipatsa. Kuphatikiza apo, tikulimbikitsidwa kuti nthawi zina mumayesedwe, mumayesedwe ndikuchita m'mimba ultrasound. Muyeneranso kupewa kupsinjika, kukhala osatetezeka pamlingo woyenera, chotsani kapena chepetsani kwambiri shuga.

Zizindikiro za Pancreatitis

Pancreatitis ndi njira yotupa yomwe imachitika chifukwa cha kusinthika kwa kapamba ndipo amadziwika chifukwa cha kuwonongeka kwakukulu komanso kusokonekera kwa ntchito ya chiwalo.

Matenda achifwamba akufalikira kwambiri pakati pa anthu okhala m'mizinda, chifukwa chachikulu chomwe chimapangitsa kusokonekera kwa maselo a cell ndizilakwika m'zakudya ndi chizolowezi chomwa mowa komanso fodya.

Pakati pa matenda am'mimba, kapamba amatenga malo achitatu pa chiwerengero cha anthu omwe amafa, motero ndikofunikira kudziwa zizindikiro za kapamba kapamba komanso mfundo za chisamaliro chodzidzimutsa.

Kodi kapamba amawonekera bwanji?

Ntchito yayikulu ya kapamba ndikupanga (katulutsidwe) ka insulini ndi michere yofunikira kuti pakhale chakudya chokwanira komanso kutsimikizika kwathunthu kwa michere. Ndi zovuta zilizonse pakugwira ntchito kwa thupi, kuchepa kwa insulini ndikotheka, komwe nthawi zambiri kumatha ndikupanga matenda a shuga.

Ndi pancreatitis, michere yogaya chakudya imayenda m'mitsempha ya kapamba kapena ndulu ndipo imayambitsa zotupa, limodzi ndi zizindikilo za kuledzera kwambiri.

Ululu wammbuyo The kufalikira kwa ululu pancreatitis zimatengera pomwe pancreatic lesion. Itha kuchitika kumanja kapena kumanzere mu hypochondrium.

Zomverera zowawa zimakhala ndi kutanthauzira kwakukulu, chifukwa chake ndikofunikira kupereka thandizo kwa nthawi yake kwa wodwalayo (apo ayi, mwayi wokhala ndi kupweteketsa mtima).

Ngati ziphuphu zonse zakhudzidwa, ululu umakhala ngati m'chiuno ndipo umafalikira kuzungulira pamimba komanso epigastric zone.

Kukongola kwa khungu. Ndi kuledzera kowonjezereka, khungu limasintha mtundu. Wodwalayo amayamba kupendekera, pakapita nthawi khungu limayamba kupindika.

Matenda am'mimba. Wodwalayo amatha kusanza komwe kumakhala kuphatikiza kwa ndulu, nthawi zina, kusanza kumatha kukhala kwathunthu m'matumbo.

Ma hiccups, akugona ndi fungo losasangalatsa amawoneka, monga lamulo, kumayambiriro kwa kuukira.

Mimba yotupa kwambiri imachitika chifukwa cha kusungidwa kwa mpweya (minofu yamatumbo simagwirizana ndi vuto la chifuwa cham'mimba), mavuto am'mimba, omwe amatsimikiziridwa ndi palpation, ndizotheka.

Chofunika kwambiri pakuzindikiranso mawonekedwe apampando. Monga lamulo, ili ndi kusasinthasintha kwamadzi (thovu), fungo la fetid. Mtundu ukhoza kusinthasintha ndi mtundu mpaka utoto, kupezeka kwa chakudya chosasankhidwa kumatsimikiziridwa muzomwe zili m'matumbo. Defecation imachitika pafupipafupi (maola onse 1-2).

Yang'anani! Nthawi zina, ndi pancreatitis mwa odwala, kulibe kwathunthu kwa peristalsis, chifukwa chake, chopondapo sichitha kuyenda m'matumbo ndikupita kunja, wodwalayo amayamba kudzimbidwa. Pachifukwa ichi, ndikofunikira kulabadira zonse zomwe zikuwonetsedwa muzochitika.

Zizindikiro zina za pancreatitis pachimake:

• kutentha kwambiri (nthawi zina, kutentha kwa thupi kumatha kufika mpaka madigiri 41),
• kuzizira kapena kutentha thupi
• kupsinjika kumatsika
• ziume zowuma zamkamwa,
• kupuma movutikira
• thukuta lozizira.

Momwe mungasiyanitsire kapamba ndi poyizoni?

Zizindikiro zoyambirira za kapamba zimatha kufanana ndi poyizoni, chifukwa chake ndikofunikira kudziwa mawonekedwe osiyanitsa matendawa ndikutha kusiyanitsa kutupa kwa kapamba ndi ma pathologies ena am'mimba.

Ndi kapamba, pafupifupi nthawi zonse zimawonedwa chotupa chotetezakuwuka chifukwa chakufalikira kwa gawo la ndulu ya bile kwachulukana kukula kwa kapamba. Khungu la wodwalayo limasanduka chikaso, khungu limayang'ana chikasu, utoto wachikasu wowoneka bwino pamalirime.

China chomwe chimasiyanitsa ndikupezeka mawanga amtundu pakhungu (m'dera lam'munsi kumbuyo, coccyx ndi umbilical zone). Khungu la kumaliseche limatha kusintha mtundu kuti ukhale wabuluu kapena ngakhale utoto.

Momwe mungadziwire kapamba mwa mwana?

Pancreatitis imapezeka pafupifupi ana 15-18% ya ana omwe ali ndi matenda kapena matenda am'mimba. Pathology ndiyovuta kudziwa, chifukwa imakhala yofanana ndi asymptomatic, makamaka kwa ana aang'ono (mpaka zaka 6-7).

Makolo ayenera kusamala ndi izi Zizindikiro za kutupa kwa kapamba mwa mwana:

• kusadya bwino
• kuchepa thupi kapena kuchepa mwadzidzidzi,
• Kusintha kwa chikhalidwe cha chopondapo, malinga ndi chikhalidwe chokhazikika komanso zakudya wamba.
• madandaulo a mwana pakumva kupweteka kwa epigastric,
• kufooka wamba, ulesi, kugona, kusinthasintha.

Ngati matendawa akuipiraipira, mwana amakhala ndi malungo, mavuto am'matumbo, kusanza ndi mseru zingachitike (osati nthawi zonse).

Pancreatitis mwa ana okulirapo zaka 7

Pachimake kapamba mwa ana azaka zamsukulu, zimayamba ndi zowawa mu hypochondrium, zomwe zimatha kuperekera phewa ndi kutsikira kumbuyo.

Mwana amakhala wotumbululuka, akusanza paroxysmal, pali kutentha kwina, kumeta.

Kutentha kwa ana (mosiyana ndi odwala achikulire) sikukwera kwambiri kuposa madigiri 37 37.3 - kusiyanasiyana ndi zochitika za puranc pancreatitis ndi pancreatic necrosis (necrosis ya kapamba kapena chiwalo chonse).

Fomu yovuta matendawa samatchulidwa, nthawi zina amafanana ndi mitundu ina ya kugaya zakudya (gastritis, duodenitis, ndi zina). Ndikofunikira kumuwonetsa mwana kwa dokotala wa ana ndi ziwonetserozi ngati ana akuonetsa zotsatirazi:

• wonenepa
• kusowa kwa chakudya chokwanira ndi mwana,
• kutentha kwa mtima, nseru,
• kusanza
• kupweteka kwa epigastric kumatha zosaposa maola 1-2.

Zofunika! Mu pancreatitis yaubwana, ululu umayamba kutchulidwa pambuyo pamasewera akunja, mavuto akudya kapena kupsinjika (kusangalala kwamisala).

Zomwe zimachitika

Pafupifupi 90% ya anthu omwe adapezeka kuti ali ndi kapamba amadziwika chifukwa cha zovuta kwambiri za kudya komanso kuzunza anzawo omwe ali ndi ethyl mowa (ethanol). Kudzidyetsa kwambiri (makamaka ngati ndiko kwamuyaya), zakudya zamafuta ambiri ndizokazinga m'zakudya, zizolowezi zoyipa - zinthu izi sizimangothandiza chitukuko cha matendawa, komanso zimachulukitsa.

Komabe, pali zifukwa zina zomwe zingachititse kuti pakhale njira yotupa m'matumbo a ma fodya. Izi zikuphatikiza:

• kugwiritsidwa ntchito mokakamizidwa kwa mankhwala ena (Metronidazole, Furosemide, njira zakulera za pakamwa zomwe zimakhala ndi estrogen, etc.),
• ma bacteria ndi ma virus (hepatitis, chikuku, tonsillitis),
• matenda a ndulu
• mitsempha ya mitsempha,
• matenda ashuga
• poyizoni (chakudya, mankhwala osokoneza bongo, mowa),
• mabala ndi kuvulala kwam'mimba.

Yang'anani! Pa nthawi yomwe mayi ali ndi pakati, chiopsezo cha kapamba zimachulukana kangapo, chifukwa chake amayi oyembekezera amayenera kuwunika zakudya zawo mosamala komanso osagwiritsa ntchito zakudya zoyipa komanso zamafuta.

Kuopsa kotani?

Pancreatitis iyenera kuthandizidwa pompopompo, kupewa kupatsirana kwa matendawa m'njira yayikulu, popeza matenda amadzala.

• Kudzikundikira kwa madzimadzi m'chigawo cha pleural kumathandizira kuti pakhale zovuta zakukula kwa kupuma, zomwe zina zake ndi zakupha (bronchitis, chibayo, pleurisy, etc.).
• Kuphatikizika kwapafupipafupi kwa kapamba ndi matenda amanjenje (psychosis, mantha ndi kukhumudwa).
• Pancreatitis imatha kupangitsa kukokoloka ndi cysts osati pa kapamba, komanso ziwalo zina zam'mimba.
• Matenda a kapamba amatha kusandulika kukhala mawonekedwe a purulent, momwe kuyamwa mwachangu (kuchotsa) kwa puritive foci ndikofunikira. Kupanda kutero, chiopsezo cha poyizoni wamagazi ndi kufa kwa wodwalayo ndichokwera.
• Kuperewera kwa insulin ndikuphwanya chinsinsi cha kapamba kumayambitsa matenda ashuga.
• Pafupifupi 12% ya odwala omwe ali ndi pancreatitis amadwala matumbo, omwe amadzalanso ndi imfa (mawonekedwe owopsa).
• Pancreatitis yokhala ndi nthenda yayitali ya matenda imalepheretsa kugwira ntchito kwa minofu ya mtima ndipo imakhudza magwiridwe antchito amitsempha yamagazi, omwe amadzuka. Zotsatira zake ndikuwukha magazi pafupipafupi komanso kumutu.

Zofunika! Matenda a kapamba chifukwa cha kupezeka kwa chithandizo chanthawi yake kumawonjezera mwayi wa khansa ya kapamba ndi 40%.

Choyamba thandizo la pachimake kapamba

Thandizo ladzidzidzi liyenera kuchitidwa moyenera komanso mwachangu. Izi zimawonjezera mwayi wa chithandizo chokwanira komanso kusapezeka kwa zovuta zazikulu.

Ngati banja lili ndi anthu omwe akudwala matenda am'mimba, muyenera kudziwa njira zoyambira zothandizira kutulutsa matenda osiyanasiyana.

Ngati muli ndi pancreatitis yayikulu, muyenera kuyimbira ambulansi, ndipo asanafike, chitani izi:

• gonani wodwala, kwezani mutu wake pang'ono (kuti wodwalayo asatsamwitse musanza pakumvulaza kupweteka),
• ikani chofufumitsa ndi madzi oundana pamimba panu (osawotha!),
• apatseni wodwala mankhwala a antispasmodic (No-Shpa, Drotaverin, ndi ena otero), ngati wodwalayo akulephera kumeza piritsi, mutha kugwiritsa ntchito mankhwalawo ngati ma rectal suppositories,
• osampatsa chakudya ndi chakumwa.

Zofunika! Njira yotsitsimutsa bwino yopezeka pancreatitis: HUNGER + COLD + SEX!

Kodi kapamba angachiritsidwe kwathunthu?

Poyamba, ndikofunikira kumvetsetsa tanthauzo la mawu oti "kuchira". Izi sizitanthauza kuti siyambiranso. Kutha kukhala moyo wathunthu popanda zopweteka komanso zochititsa kukhazikika. Ndikofunikira kumvetsetsa kuti ngakhale zitachitika kusintha kwakukulu, wodwalayo sangathe kubwerera ku zizolowezi zakale ndi moyo wawo, popeza kuyambiranso sikungatenge nthawi yayitali.

Kuti mupewe kukomoka kwatsopano (ndipo izi ndizomwe zikutanthauza tanthauzo la "kuchira kwathunthu"), ndikofunikira kutsatira malamulo awa:

• osamwa mowa (mulimonse, ngakhale zazing'ono kwambiri),
• thanani ndi vuto la fodya,
• khazikitsani zakudya (zopezeka pafupipafupi, kupatula zakudya zamafuta m'zakudya),
• kutsatira mosamalitsa upangiri wonse, nthawi ndi malingaliro a dokotala.

Pofuna kupewa kufalikira, muthanso kumwa mankhwala a mankhwala (mwachitsanzo, hawthorn, katsabola, ndi zina), koma izi zitha kuchitika ndi chilolezo cha dokotala, popeza mbewu iliyonse imakhala ndi contraindication kuti mugwiritse ntchito.

Pachimake poizoni kapamba

Chimodzi mwa matenda owopsa a kapamba ndi pancreatitis yoopsa, yomwe imapezeka mu 30-40% ya milandu yowonongeka kwa chiwalochi.

Njira yamtunduwu ndi yomwe imayambitsa kukula kwa pancreatic necrotic mu gland, yomwe imayambitsa kuwonjezeka kwakukulu kwa chikhalidwe cha wodwalayo, zotupa zambiri, mawonekedwe a purulent mu chiwalo ndi kuledzera kwa ziwalo zamkati ndi ziwalo.

Kuzindikira matenda mosatsimikizika komanso kusowa kwa chithandizo chake ndi njira yotsimikizika yomwe ingaphe kwa wodwala aliyense yemwe ali ndi matenda otere. Pazinthu zomwe talemba m'nkhaniyi, tiona mwatsatanetsatane chifukwa chake kupha khansa kumachitika, momwe zimakhalira zoopsa, komanso momwe njira zamankhwala zingasonyezedwere.

Chifukwa chiyani ndipo zimapangidwa bwanji?

Kukula kwa poyizoni pancreatitis nthawi zambiri kumachitika motsutsana ndi momwe thupi limayambira poizoni, komanso kugwiritsa ntchito mankhwala osokoneza bongo komanso kugwiritsa ntchito zakudya "osati zatsopano." Malonda omwe atha ntchito ndizinthu zofala kwambiri zomwe zimayambitsa poizoni mwa anthu.

Ngati kapamba amapweteketsa pambuyo poyizoni, ndiye ichi chikhoza kukhala chizindikiro choyamba cha kukula kwa mtundu wa poizoni wa matenda a kapamba. Kukumana ndi zizindikiro ngati zotere sikuli koyenera ndipo muyenera kupeza chithandizo chamankhwala nthawi yomweyo.

Poizoni, kapena monga amatchedwanso chidakwa, kapamba amapezeka kwambiri mwa abambo kuposa amayi, m'malo opitilira 85%.

Zakumwa zokhala ndi zakumwa zoledzeretsa, zomwe sizikhala zatsopano komanso zinthu zapoizoni zomwe zimaloŵa m'thupi, mkati mwake zimagawika muzinthu zopanga metabolic, zimayipa mwachindunji pazinthu zopanga ziwalo za parenchymatous.

Monga gawo la madzi a pancreatic, kuchuluka kwa kutulutsa kwa mapuloteni kumayamba kuchuluka, njira yopanga hydrochloric acid imakulitsidwa m'mimba, ndipo chiwindi chimakulitsa kuchuluka kwa bile ndi kuchuluka kwake.

Kuchuluka kwa chapamimba asidi kumakwiyitsa kuchuluka kwa katemera wa pancreosimine m'matumbo a duodenum pofika 8-10.

Mulingo wapamwamba kwambiri wamagawo ochepa omwazika mapuloteni mu madzi a pancreatic amakhumudwitsa kuphatikiza kwawo kukhala kwakukulu komanso kosakwanira komanso mpweya wawo mu mawonekedwe a mpweya m'mphepete mwa ma pancreatic ducts. Mapuloteni odziwika bwino amatseketsa nduluzo m'mitsempha ya ndulu, komwe kumabweretsa kuphwanya kwamphamvu kwa madzi a pancreatic kulowa m'matumbo.

Zotsatira za kufalikira kwa ma ducts ndikuwonjezera kukakamiza mwa iwo ndi kutsegula kwa ma enzymes opangidwa mu kapamba palokha.

Munthawi yachilengedwe chimbudzi, kugwira ntchito kwa ma pancreatic michere kumachitika m'mitsempha ya biliary ndi matumbo, momwe zinthu za enzymatic zomwe zimagwira zimayambitsa kuwonongeka kwa mapuloteni, zakudya zamafuta ndi mafuta kuchokera ku chakudya.

Milandu ndikuphwanya kutuluka kwa pancreatic madzi kuchokera ku chithokomiro, kutsegula kwa ma enzymes kumachitika m'matupi ake, zomwe zimapangitsa kuti pakhale njira zodziyimira pakamwa ndi kuchepa kwake kwamkati, komwe kumatchedwa china necrosis, komwe popanda mankhwala ndi mnzake wotsimikizika kuti adzafa .

Kodi kuopsa kwa matenda ngati amenewa ndi kotani?

Kukula kwazovuta za mawonekedwe owopsa a pancreatic pathology kumagona pazotsatira zake:

• kuchuluka kwa madzimadzi m'matumbo am'mimba,
• kukula kwa toxosis mu zimakhala,
• kupitilira kwa pancreatic necrosis,
• imfa yamatenda amodzi
• kukula kwa kupembedzera, komwe kumatha kukhala chifukwa chakufa kwa chitukuko cha matenda.
• kudzikundikira kwamadzimadzi mu mawonekedwe a madzi a pancreatic kuzungulira khoma la fibrous,
• chitukuko
• kapangidwe kazilonda zam'mimba,
• chikopa.

Zizindikiro zodziwika

Zizindikiro za chotupa cha pancreatic, chomwe chikuwonetsa kufalikira kwa njira yotupa m'magulu ake a minofu, komanso kufa kwake kwa necrotic komanso kuwonongeka kwamkati, kumawonetsedwa makamaka ndikuwonetsa zowawa za mawonekedwe owopsa mu gawo lalikulu la epigastric zone mu hypochondrium.

Ndipo ndi pancreatic pancreatitis ya poyizoni poyambira, zizindikiro zotsatirazi zingachitike:

• kumva kwambiri nseru ndi mapangidwe osanza owopsa omwe sabweretsa mpumulo ku thanzi lathunthu,
• malo okwanira pafupipafupi, katatu kapena katatu pa tsiku,
• kutentha kwamphamvu thupi, madigiri oposa 38,5,
• kuchuluka kwa kugunda kwa mtima, kupumira komanso kupuma,
• kumverera kozizira,
• kutupa m'mimba
• kumva mseru nthawi ya chakudya, chifukwa cha kusowa kokwanira kachulukidwe ka michere ya kapamba wamatumbo,
• kukula kwa tachycardia,
• chiwonetsero cha kugwidwa koopsa,
• kukopa kwa pakhungu.

Zizindikiro zodziwika zomwe zimapangitsa kukula kwa zotupa mu kapamba zimatha kuphatikizidwa ndi kuphwanya chikhalidwe cha psychoemotional, kuwonjezeka kwa kusokonekera, komanso kusayang'anira dziko lonse lozungulira komanso kufooka kwambiri thupi lonse.

Panthawi yodziwitsa wodwala, kumva kupweteka m'dera la epigastric kumadziwika, kulakalaka kulibe, kugona komanso kununkhira kosasangalatsa pamlomo wamkati kumawonekera pafupipafupi.

Njira zochizira matendawa

Kuthandiza odwala pogwiritsa ntchito mankhwala a pancreatitis makamaka kumachepetsa ululu, kuthetsa kupsinjika kwa gawo la minyewa, komanso kumapereka mphamvu yolimbikitsira njira zodzikonzeretsera madera owonongeka a gland.

Kuti ayeretse madzi am'magazi ndi madzi am'mimba mthupi lonse, njira zochotsedwako zimayikidwa. Kuphatikiza apo, odwala amalembedwa:

1. Kuchepetsa kutupa ndi kuponderesa microflora ya bakiteriya, mankhwala owoneka ngati ma Metronidazole, Flagyl ndi Ceftriaxone.
2. Kuchepetsa kuphipha mu ndulu ya duct ndi pancreatic ducts, komanso kuchepetsa ululu, mankhwala a spasmolytic, omwe pakati pawo panali Promedol, No-Shpa, Papaverin, Novocain, Platifillin ndi Metacin.
3. Kuti muchepetse kuchuluka kwa michere ya enzymatic mu gland, kukonzekera kwa antacid.
4. Poletsa ntchito ya ma enzymes ophatikizidwa mu kapamba, kuwonetsetsa kuti awonongeke kuchokera mkati, proton pump inhibitor adayikidwa.
5. Kuwongolera asidi, alkali, madzi ndi magetsi a electrolyte, njira yotsatsira mchere wa puloteni imalowetsedwa m'thupi la wodwalayo pokhazikitsa dontho.
6. Kuti muchepetse ntchito yam'mimba acid, kugwiritsa ntchito Almagel ndi mankhwala.
7. Ndipo kuti muchepetse kuchuluka kwa kuledzera kwa pancreatic, cytostatics ndi mankhwala, omwe amadziwika kuti Fluorouracil.

Pomwe mawonekedwe oopsa a matenda a parenchymal chiwalo akudutsa mtundu wina wokhwima kwambiri wa chitukuko - purulent pancreatitis, lingaliro lokhalo ndikuchita opaleshoni.

Panthawi yamankhwala, njira yopangira opaleshoni yokhazikika ndi kukhazikitsa opaleshoni ya laparoscopic, komwe sikumayambitsa matenda ambiri komanso kumangochitika zochizira matenda am'mimba.

Pofuna kuti musabweretse nkhaniyi ku opaleshoni, muyenera yomweyo, chikondwerero chikadwala, pemphani thandizo kwa akatswiri oyenerera.

Mukadutsa mayeso okazindikiritsa, muyenera kuyamba kulandira chithandizo chanthawi yake ndimankhwala, kuwona zakudya zapadera zamagulu ndikuchotsa kwathunthu zinthu zomwe zimayambitsa kuledzera kwa thupi m'njira yazakudya zamafuta, mowa, zakudya zoperewera komanso kupezeka ndi zinthu zoopsa.

Ngati matendawa ali munjira yotukuka yapamwamba kwambiri komanso kupangidwa kwa miyala m'mapazi, zaphwanya ndima mu zikondazo, ndiye kuti opaleshoniyo ndiye lingaliro lokhalo lobwezeretsa magwiridwe antchito a kapamba.

Zakudya zamagulu

Monga tanena kale, njira imodzi yochiritsira matenda a pancreatic ndikutsatira kwambiri zakudya zopatsa thanzi. M'masiku oyamba awiri mpaka atatu pambuyo pa vuto lalikulu la kuledzera kwa pancreatic, kusala kwathunthu ndikofunikira limodzi ndi gawo la zakumwa zamchere.

Kuchokera pazogulitsa zakudya, ndikofunikira kupatula kwathunthu kugwiritsa ntchito zakudya zomwe zili ndi mafuta ambiri, komanso mbale zomwe zimakonzedwa ndi kuwotcha ndi kusuta.

Kupatula kuyenera kupangidwa ndi zinthu zonse zotuluka mkaka, zakumwa zozama za tiyi ndi khofi, komanso confectionery yokhala ndi shuga wambiri. Mchere uyeneranso kukhala wopanda malire.

Zakumwa zokhala ndi zakumwa zoledzeretsa ndizoletsedwa.

Kugwiritsa ntchito zipatso zatsopano kumalimbikitsidwa chifukwa cha zotupa, kupatula zipatso zomwe zimakhala ndi acidity yayikulu, monga mphesa, maapulo ndi plums.

Kupititsa patsogolo zakudya ziyenera:

• mbewu zosiyanasiyana ndi ndiwo zamasamba
• ng'ombe zodulidwa kapena zodulira nkhuku,
• osati mafuta amitundu mitundu ndi nsomba yophika mu uvuni kapena otentha,
• masamba ophika
• Zipatso zophika
• osati compote wokoma ndi chakumwa chofooka cha tiyi.

Kugwirizana ndi chakudyacho kuyenera kukhala pafupifupi miyezi isanu ndi umodzi kuchokera pomwe matendawa amayamba.

Ngati kuphwanya zakudya, komanso kumwa mowa, kuchitika pafupipafupi kwa matenda a pancreatic kumatha kuchitika nthawi yomweyo komanso kuwonongeka kwakukulu kwa chiwalo cha parenchymal komanso kuwonjezereka kwakukulu kwa thanzi la wodwalayo.

Kukokomeza mobwerezabwereza kwa matenda oopsa kumabweretsa kuwonongeka kwakukuru kwa kapamba, komwe kumakhala kovuta kubwezeretsanso magwiridwe ake am'mbuyomu, omwe amachititsa kusintha kwa matenda, komwe kumadziwika ndi nthawi zakhululukidwe ndikuwonjezereka.

Pancreatic kuledzera ndi kapamba

Zikondazo zimagwira ntchito yoyang'anira ntchito zambiri zamthupi, zimapanga ma enzymes ofunikira kwambiri okhudzana ndi chimbudzi. Zovuta zazing'ono pantchito yake zimabweretsa zotsatirapo zoyipa, chifukwa chake amafunikira kudziyang'anira payekha ndikuyambitsa chithandizo posachedwa pazizindikiro zoyambirira.

Zizindikiro zakuwukira kwa kapamba (kapamba), momwe mungachotsere kuposa mankhwala oletsa kupweteka?

M'zaka zaposachedwa, kapamba wakhala mtsogoleri pakati pa matenda am'mimba. Chomwe chimapangidwira ndikuti ndi kupezeka kwa zilonda zam'mimba, gastritis, komanso kapangidwe ka miyala mu chikhodzodzo cha ndulu. Pancreatitis imatha kuyambitsa poizoni, matenda opatsirana, kumwa kwambiri komanso kunenepa kwambiri. Nthawi zina kuti munthu adwale matendawa amakhala wokwanira kudya kamodzi, kumamwa chakudya ndi mowa.

Ngati tiona kuti pafupifupi munthu aliyense nthawi zina amadya zakudya zopatsa thanzi komanso zamafuta osakana kumwa, ndikuwonjezeranso kuti anthu ambiri mdziko lathu, kuphatikiza ana, amadya mopitirira muyeso, ndiye zosavuta kuganiza kuti kapamba amaopseza pafupifupi munthu aliyense.

Pancreatitis imatha kukhala yovuta.Chimodzi mwazizindikiro zake ndi kupweteka kwa paroxysmal, kukula kwake komwe kumakhala kwakukulu kwambiri kotero kuti kumatha kuyambitsa kupweteketsa thupi komanso ngakhale kupsinjika kwa munthu. Zikaoneka, muyenera kufunafuna thandizo kuchipatala, kusiya zonse zomwe mungachite. Pazakudya zilizonse zomwe zingapangidwe ndi michere yogaya chakudya, pakadali pano sipangakhale nkhani. Kuukira kwa chifuwa chachikulu cha pancreatitis kuyenera kuchotsedwa kuchipatala chokha.

Choyambitsa kupweteka kwambiri pakukhudzidwa ndi kapamba ndi kapangidwe kake kapamba ndi udindo wake wapadera pakudya. Chowonadi ndi chakuti ndi chiwalo ichi chomwe chimapanga michere ya m'mimba yomwe imaphwanya mapuloteni, mafuta ndi chakudya mu duodenum.

Pankhani ya matenda apamba, edema yake ndi vasospasm zimachitika, pomwe kutuluka kwa zinthu zopangidwa nthawi zambiri kumachitika. Zotsatira zake, michere yokugaya imadziunjikira mu kapamba payekha ndikuchita zina zake. Pali njira yogaya timinyewa tawo, limodzi ndi ululu wamkati wa paroxysmal. Vutoli limatchedwa kuwukira kwa kapamba kapena kapamba. Zizindikiro zake zimaphatikizana ndi mseru, kusanza, kupopa, kuthamanga kwa magazi, kutentha thupi, khungu lotuwa komanso kutuluka kwa mkodzo.

Komabe, Zizindikirozi ndizodziwikanso za matenda ena angapo omwe amafunikira chithandizo chamankhwala mwadzidzidzi, mwachitsanzo, apendenditis kapena kupaka chilonda cham'mimba. Pachifukwa ichi, ululu wamkati uliwonse uyenera kukhala maziko opimidwa mwachangu komanso kumveketsa bwino matendawa. Pokhapokha mutazindikira mozama momwe mungaganizire momwe mungatithandizire kuukira kwa pancreatic ndi zomwe zikuyenera kuchitika.

Nthawi zambiri, akafunsidwa zoyenera kuchita ndi vuto la kapamba, amayankha kuti muyenera kukana chakudya, ikani ayezi pamimba panu ndikupatseni mtendere wodwalayo. Koma zonsezi zitha kuchitika mu nthawi yayitali ya matenda, pomwe mukukayikira kuti ndi kapamba yemwe amapweteka. Ndikofunikira kupatula kudya michere ina yamagayilo, chifukwa imathandizira ntchito yachinsinsi, kukakamiza kuti wodwalayo apange timadziti tambiri, kutulutsa komwe kumayambitsa kupweteka.

Mutha kumwa mankhwala omwe amathandizira kuchepetsa kuphipha komanso kuchepetsa magazi, komanso mankhwala aliwonse opweteka. Ngati vutoli silikuyenda bwino ndipo zizindikiro za kupweteka kwa kapamba zimapitilizabe, muyenera kufunafuna chithandizo chamankhwala, komwe amadziwa bwino momwe angachepetsere kupweteka kwambiri.

Koma ngakhale chiwopsezochi chitha ndipo ululuwo utapita, ndikofunikira kuti tisachedwe kupita kwa adotolo ndikumuchezera posachedwa. Matenda onse a pancreatic ayenera kuthandizidwa pokhapokha kuyang'aniridwa ndi dokotala.

Choyamba thandizo ndi kuukira kwa kapamba

Zachidziwikire, ndikumva kupweteka kwambiri ndikofunikira kuyimbira dokotala, koma mungaletse bwanji ndikuletsa kupweteka kwa chifuwa cham'mimba pomwe ambulansi ikuyenda?

Pa chithandizo, wodwala amatha kupatsidwa 0,8 mg wa drotaverine hydrochloride kapena ayi-shpu. Mutha kuthandizanso jakisoni wa papaverine (2 ml) kapena m'malo mwake ndi yankho la No-shpa. Kwa analgesia, muyenera kutenga mtundu wina wa analgesic. Madokotala salimbikitsa kumwa mankhwala ena kuposa antispasmodics ndi analgesics, kuti musavulaze wodwalayo.

Munthawi izi, amatha kupatsidwa madzi, koma osapitilira 1/4 chikho chimodzi. Ndikofunika kuti amwe mphindi 30 zilizonse. Lamulo labwino kwambiri lothandizira pakadutsa matenda osokoneza bongo a pancreatitis ndi njala, kuzizira komanso mtendere. Madokotala amalimbikitsa kutsatira izi. Chikhodzodzo cha ayezi chimayikidwa bwino osati pamimba, koma kwa kapamba kuyambira kumbuyo. Poterepa, zotsatira za njirayi ziziwonekera kwambiri.

Momwe mungachotsere, kuletsa, kusungitsa chidwi cha matenda a kapamba?

Wodwala panthawi ya vuto la kapamba nthawi zambiri zimakhala zovuta kupuma. Ndiye chifukwa chake kupumira kwambiri, ndipo njira yotsatirayi ikuthandizira kupweteka: ndikofunikira kuti mupumire mpaka ululu utachepa, motero zimakhala zosavuta kuti wodwalayo athe kupirira ululu.

Ngati pali chidwi chofuna kusanza, ndiye kuti musawaletse, muyenera kuthandiza kuti m'mimba muzidziyeretsa mwa kukanikiza pamizu ya lilime ndi zala ziwiri. Monga lamulo, mutatha kusanza, wodwala amakhala wosavuta, koma, mwatsoka, izi ndizopumira kwakanthawi.

Ngati wodwalayo akutsimikiza kuti alibe miyala mu chikhodzodzo chake, ndiye kuti mutha kuyimitsa mwa kutenga mankhwala a Allohol. Ndikofunikira kupatsa mapiritsi awiri katatu patsiku. Koma muyenera kukumbukira kuti choleretic wothandizira aliyense ayenera kumwedwa pamodzi ndi mankhwala a antispasmodic.

Ngati wodwalayo wadwala, kuukira kwa kapamba kwadutsa ndipo chilakolako chaoneka, ndiye kuti simuyenera kudya masiku atatu. Mutha kumwa: madzi owiritsa kapena mchere wopanda mpweya ndi tiyi wokoma pang'ono. Pambuyo popereka chithandizo choyamba kwa wodwala pancreatitis, ndikofunikira kumayesedwa ndi kulandira chithandizo kuchipatala kuti musadzabwerenso m'tsogolo.

Momwe mtima ndi kapamba zimalumikizirana - zizindikiro zosayembekezereka za kapamba

Thupi laumunthu ndi dongosolo lophatikizidwa lomwe limangogwira ntchito pokhapokha ngati ntchito yolumikizidwa kwa ziwalo ndi ziwalo zamagulu molamulidwa ndi dongosolo lamanjenje, zinthu zamafuta ndi njira zina zowongolera. Pakakhala kulephera kwa gawo limodzi limodzi, kugwira ntchito kwa gawo lina la dongosolo kumadodometsedwa.

Ndi pancreatitis, mwachindunji kapena mwachindunji pantchito ya mtima simaphatikizidwa. Nthawi zina Cardialgia imavuta kusiyanitsa ndi zizindikiro za kutupa kwa zikondamoyo. Ndi dokotala yekhayo amene amatha kusiyanitsa pakati pazizindikiro ndikuyankha funso loti kapamba angapereke mu mtima.

Cardialgia ndi kapamba

Zinthu izi ndizosowa pamodzi. Koma nthenda imodzi nthawi zambiri imaphimba mawonetseredwe a wina.

Ndizovuta kunena zomwe ndizowopsa - kapamba, kupweteka mtima. Zonsezi ziwiri zimafuna chisamaliro chodzidzimutsa mumalo apadera.

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

Kupweteka kwa mtima, kotchedwa Cardialgia, malinga ndi zomwe akatswiri azachipatala amakono akuwona, sikuti amakhala ndi machitidwe ena. Izi zikuphatikiza:

• chitukuko: kumbuyo kwa sternum,
• kufalikira: kudera lamanzere lamapewa, phewa lamapewa, phewa, dzanja, nsagwada yotsika,
• zimachitika:
• Zotsatira zabwino za odwala omwe amalandila nitroglycerin ndi ena omwe amapatsa gulu la nitro.

Kuchulukirachulukira sikumva kuwawa, koma kumapangitsa mayendedwe atypical. Musakhale otsimikiza, mwachitsanzo, kuti kupweteka kwa m'chiuno ndi mawonekedwe owonekera a kutupa kwapancreatic. Mwinanso, mawonekedwe a angina pectoris kapena myocardial infarction amadziwonetsera okha ndi zizindikiro zamankhwala.

Cardialgia kapena kapamba: ndi dokotala yekha amene angayankhe

Nthengwa zimaperekera mumtima nthawi zambiri. Ululu mu mtima ndi kapamba ayenera kusiyanitsidwa pa gawo la prehospital. Ndikosavuta kusiyanitsa pakati pa zochitika zamtunduwu popanda kuchita kafukufuku wa ma labotale ndi othandizira. Ma electrocardiogram amafunikira, kupereka magazi kuti atsimikizire amylase, kupanga phosphokinase, troponin, myoglobin, aspartate aminotransferase, alanine aminotransferase, urinalysis kwa diastase.

Pancreatitis ndi kupweteka kwa mtima pamodzi ndi wodwala zimawonedwa pamlandu pamene wodwalayo anali ndi angina pectoris kale. Kutupa kwa pancreatic ndimayendedwe amphamvu, chinthu chodetsa nkhawa kwa wodwala wamtima. Njira yotupa imatha kupangitsa chiwopsezo cha chipatala cha angina pectoris ndikupangitsa kuti matendawa achulukane.

Ululu wamkati wamtima ndi pancreatitis sichimapatula chomaliza, ngakhale ngati zizindikiro za angina pectoris, infarction ya myocardial ipezeka pa electrocardiogram. Izi ndizovuta kwambiri kuchiza. Ndikofunikira kuti mukhale ndi dokotala wa opaleshoni, wamtima wazachipatala pochita mankhwalawa. Anachita bwino, etiopathogenetic mankhwala. Pancreatitis ndi angina pectoris ndimavuto osiyanasiyana, amathetsa payekhapayekha.

Momwe mungasiyanitsire kupweteka mumtima ndi angina pectoris ndikuwonetsa kupweteka kwa kapamba

Ndikofunikira kwambiri kusonkhanitsa deta moyenera. Ndikofunikira kwa dotolo ngati panali zowawa zotere kale, nthawi yayitali bwanji komanso munthawi yomwe adayimitsa. Theka la chidziwitso choyenera pamafunso abwino komanso mayankho owona kuchokera kwa wodwalayo.

Pokomera matenda a mtima ndi ululu womwe umachitika pochita masewera olimbitsa thupi. Koma nthawi zina amatha kuvutikira kupuma, makamaka ndi mitundu yayikulu ya angina pectoris. Apa ndikofunikira kudziwa zomwe zimathandiza pamenepa. Piritsi ya nitroglycerin kapena mlingo wa nitrospray, womwe umakhala ndi moyo wabwino, ukugwirizana ndi myocardial ischemia.

Pamene ululu kumbuyo kwa sternum adakwiya ndi chakudya chochuluka, kapamba ayenera kuganiziridwanso, ngakhale kuti angina atengeke.

Matenda ambiri amatha kuperekedwa ku dera la mtima, kuphatikizapo kutupa kwa kapamba. Pancreatitis imathandizidwa ndi magawo am'mbuyomu a ululu wamtunduwu womwe umakhudzana ndi kumwa mowa kapena chifukwa cha zolakwika zakudyazo.

Ndikosavuta kuzindikira zizindikiro za ischemia ya mtima. Koma ndizotheka kukayikira mawonetseredwe a kapamba. Pachifukwachi, dera lamapiko lamiyendo limapindika. Ndi ululu wamanzere wachiwiri kapena wolumikizana, kutupa kwa kapamba kumachitika.

Kenako, matenda a Kach ndi Mayo-Robson amayesedwa. Kuyesedwa kwa machitidwe osinthika a 8, 9, 10, 11 ndi 11 thoracic vertebrae kumapereka kupweteka pachiwindi cha pancreatitis. Ichi ndi chizindikiro cha Kacha. Ndi matenda a Mayo-Robson, zilonda zam'mimba zimazindikira kupindika kwake. Zizindikiro ndizodziwika bwino kwa kapamba. Makamaka, limodzi ndi zizindikiro za peritoneal, zoipa pa angina pectoris.

Vuto la mtima

Kutupa kosafunikira kwa minofu ya pancreatic nthawi zambiri sikukukhudza mkhalidwe wamtima. Koma ndi kuchulukitsa kwa matendawa kapena munthawi ya kapamba kakang'ono, mungoli ndi kusokonezeka kwa zotupa ndizotheka. Kodi tingawafotokozere bwanji mawonekedwe awo?

Mtundu wofala kwambiri wa arrhythmias ndi tachycardia. Uku ndiye kugunda kwamtima komwe wodwalayo akumva. Zomwe zimachitika ndizapamwamba - kumenyedwa kopitilira 90 paminiti Tachycardia imachitika kuchokera ku Reflex. Pali ubale wapakati pakati pa mtima dongosolo la mtima ndi ziwalo zam'mimba. Amadziwika mu matenda awo. Pankhani ya kapamba, pakhoza kukhala pancreatic-Cardial syndrome poyerekeza ndi gastrocardial kapena cholecystocardial syndrome.

Njira ina yomwe ingakhale yodziwika ndi yokhudza mitundu yayikulu (pakakhala zovuta za kapamba). Nthawi yomweyo, ululu m'mimba umapatsa mtima. Tachycardia yokhala ndi kapamba chifukwa cha kutupa kwa thupi. Izi zimawonekera bwino makamaka kutentha kukayamba kukhala ma subfebrile, manambala a febrile. Pa 1 degree, 10 kumenya pamphindi. Koma zimachitika ndi kapamba zimatha kugunda kwa 120-130 pakamphindi. Kusintha kwaubwenzi m'magazi. Pali chizolowezi cha hypotension, ngakhale poyamba magazi amakwera.

Extrasystole

Nthawi zina odwala amawona mawonekedwe amtundu wamtundu wapadera kwambiri. Ndiye kuti, phokoso labwinobwino la mtima limasokonekera chifukwa cha kugunda kwa mtima, komwe odwala amawatchula kuti ndi apadera, oyambirira kapena mochedwa, osadziwika. Ndi za extrasystoles.

Mu matenda am'mimbamo ndipo malo obwezerako, mtundu wamtunduwu wamisempha wamtima ndiwodziwika. The kapamba ndi palpitations nthawi zambiri zimagwirizanitsidwa. Njira zotsatirazi zakukula kwamtima zamkati (extrasystoles) zimasiyanitsidwa:

1. Kusintha kwa kapangidwe ka electrolyte ndi kukula kwa hyperkalemia (kuchuluka kwa seramu potaziyamu).
2. Kukhudzika kochokera ku kapamba (izi zikufotokozedwa kuchokera kumbali ya kuchuluka kwa kubisika).
3. Intoxication syndrome.
4. Zosokoneza zam'maganizo (chizolowezi cha kukhumudwa, nkhawa).

Kuopsa kwa extrasystoles ndi pancreatitis ndi chifukwa chakuti amatha kuyambitsa chisokonezo chachikulu chamtundu, makamaka ndi matenda omwe alipo am'mimba. Extrasystole imakhala ngati choyambitsa (trigger factor) ya cyricular tachycardia, atrive fibrillation kapena chingwe, chomwe chitha kupha.