Chiwindi cha kapamba

Matenda a chiwindi ndi kapamba ali ndi zofanana. Chinthu chinanso ndikuti zizindikiro za matendawa sizimawoneka nthawi yomweyo, ndipo nthawi zina odwala amawona kuti ndi kudzimbidwa wamba. Matenda amtundu wamabala, kapamba ndi chiwindi zimagwirizanitsidwa wina ndi mnzake ndipo amatengedwa ngati matenda opatsirana.

Izi zikutanthauza kuti ndi matenda a chimodzi mwazomwe zikuwonetsedwa, ntchito ya kusintha kwina. Kudzifufuza moyenera nthawi yake sikulola kuti matendawo apite patsogolo komanso kumachepetsa chiopsezo cha zovuta. Chifukwa chake, muyenera kudziwa zomwe zimayambitsa matenda a chiwindi ndi kapamba komanso momwe zimathetsedwera.

Chiwindi ndi kapamba, ntchito zawo ndi gawo la chimbudzi

Ntchito ziwiri zazikulu za chiwindi ndi kapamba, chimbudzi ndi endocrine, zimatha kusiyanitsidwa.

Udindo wa chiwindi ndi kapamba pakudya chimbudzi ndikuti kapamba amatulutsa ndi kupatsa madzi amapa kapamba (pancreatic) ku duodenum yomwe ili ndi ma enzyme awiri osiyana, mothandizidwa ndi kuti chakudya chomwe timadya chimaphwanyidwa kuti chithandizike pambuyo pake. , imatulutsa bile, popanda kukhalapo komwe m'matumbo njira yogwirira mafuta ndi mavitamini osungunuka am'thupi ndi thupi sizingatheke.

Ntchito za endocrine za tiziwili tating'onoting'ono timalumikizananso. Kasitomala amatulutsa insulini yomwe imalowa m'magazi, yomwe imathandizira kuyendetsa kagayidwe kazinthu komanso kuwongolera kuchuluka kwa shuga m'magazi, ndipo chiwindi, monga glycogen, chimapeza glucose wosadyedwa ndi maselo athu ndikuwapatsira magazi ngati magazi ofunika a shuga atachepa.

Mwapadera chidziwitso ndi gawo la chiwindi mu kapamba, chifukwa ndi ndulu yotulutsa chiwindi yomwe imathandizira ntchito ya kapamba pobisa madzi a kapamba.

Chifukwa chake, ntchito ya chiwindi ndi kapamba imalumikizana, ndipo kusagwira bwino ntchito kwa chiwalo chimodzi kumabweretsa matenda a chinzake.

Chiwindi ndi chifuwa chachikulu - Zizindikiro ndi chithandizo

Matenda apakhungu, njira zotsatirazi za chiwindi zimatha kuchitika:

  • kufinya mafupa apafupipafupi osinthika ndi zikondamoyo, zomwe zimayambitsa kukokoloka kwa ndulu,
  • kusintha kwamphamvu mu minyewa ya chiwindi monga chiwonetsero cha kuledzera ndi kutupa kwa kapamba,
  • kusinthika kwapang'onopang'ono komanso kusintha kwamapangidwe mu chiwindi ndi matenda a shuga.

Kuwonjezeka kwa kukula kwa mutu wa kapamba kumabweretsa chisokonezo cha duct wamba ndikumachepetsa mphamvu yake. Kutuluka kwa bile kumasokonezeka, kumayamba kusayenda, ndipo ma acid acid ndi bilirubin yokhudzana ndi mapuloteni imalowetsedwa. Ndi kuchuluka kwakukulu kwa bilirubin m'magazi, jaundice imayamba. Amatchedwa makina (kapena oletsa) ndipo amadutsa pakubwezeretsa kwachilengedwe ndulu ya bile. Izi zimachitika:

  • ndi kutupa kwakukulu kwa mutu wa kapamba,
  • ndi pseudotumorous aakulu kapamba, akuwonjezereka ndi minofu ya zomwe zimakhudzidwa,
  • Ndi zotupa ndi ma pancreas.

Ngati chiwonongeko cha tiziwalo timene timayambitsa matenda a pancreatitis, ndiye kuti izi zimayenderana ndi kuledzera komanso kusintha kwina komwe kumayambitsa ziwalo zina. Izi zimabweretsa kuwonongeka kwa chiwindi ndi maziko a kuvunda mkati mwake.

Matenda a shuga amatha chifukwa cha kapamba. Izi zimachitika pakamwalira maselo omwe amagwira ntchito ya endocrine. Ma insulin omwe amapangidwa m'matumba samakhudzana ndi shuga wokha, komanso mafuta a metabolism. Ndi milingo yochepa ya insulin, steatosis imachitika - kuwonongeka kosalamulirika kwamafuta m'chiwindi ndi kudzikundikira kwamafuta acids. Zotsatira za njirayi zitha kukhala matenda a cirrhosis.

Zizindikiro za kuwonongeka kwa chiwindi ndi kapamba zingakhale:

  • jaundice wokhala ndi madontho a khungu ndi mkodzo ndi kusungunuka kwa ndowe,
  • kulemera mbali yakumanzere, kumva kuwawa mkamwa, kuwonjezeka ndi kuwawa kwa chiwindi palpation,
  • kuphwanya chimbudzi cha mafuta ndi kunyowa kwa mavitamini ena,
  • kusintha kwa zamankhwala amwazi mu magazi,
  • Pankhani ya cirrhosis, edema, kuchuluka kwa madzimadzi m'matumbo amthupi, kukulitsa mitsempha pamimba, kusintha kwa magazi.

Chithandizo cha chiwindi ndi kapamba zimayamba ndi kadyedwe. Pafupifupi ndi izi, mankhwalawa amaperekedwa, kuchuluka kwake komwe kumatengera chithunzi cha chipatala. M'mikhalidwe ina (jaundice yovuta, pancreatic necrosis), chithandizo cha opaleshoni chingafunenso.

Zomwe zimayambitsa ndi zizindikiro za matenda

Pali matenda ambiri a ziwalozi. Tiye tikambirane zambiri zaiwo.

Hepatitis. Mwanjira ina, ndikutupa kwa chiwindi. Hepatitis, mwina, imayika pamndandandandawo, yomwe imatchula matenda a chiwindi ndi kapamba. Zizindikiro za kachilomboka: mutu, kusanza, kamvekedwe ka chikasu, kutopa. Kutengera ndi kachilombo komwe kamayambitsa matendawa, kusiyanitsa:

Hepatitis A - opatsirana kudzera m'madzi kapena chakudya, komanso ngati simukutsatira malamulo aukhondo. Ndi chithandizo chanthawi yake, matendawo samayambitsa khansa kapena mavuto ena.

Hepatitis b - wofalitsa kudzera mwa malovu, umuna, kuchokera kwa amayi kupita kwa mwana. Kukula kwa kachilomboka kumachitika pang'onopang'ono, kukhudza chiwindi ndikusokoneza ntchito yake. Zitha kutsogolera ku matenda a cirrhosis.

Hepatitis C - woperekedwa ndi kuthiridwa magazi. Matendawa amatha kubweretsa zotsatira zoyipa monga khansa kapena matenda enaake.

Gallbladder dyskinesia. Matenda otere a ndulu amayamba chifukwa cha vuto la kuperewera kwa zakudya m'thupi, matenda amitsempha yamaukwati, chifuwa, matenda osiyanasiyana am'mbuyomu omwe amakhudza ntchito ya chiwindi ndi ziwalo zina. Zizindikiro za matendawa zimaphatikizapo ululu kumanja pansi pa nthiti, womwe umatha kupita kumalo ena.

Miyala ya chikhodzodzo. Kukumbukira matenda a chiwindi ndi kapamba, zomwe timafotokoza m'nkhaniyi, wina sangathe kukumbukira miyala. Matenda oterowo amatha kukulitsa mkhalidwe wa kapamba. Zimachitika pazifukwa zosiyanasiyana, kuyambira pa kuperewera kwa zakudya mpaka matenda. Miyala m'thupi lino imatha kukhala zaka, osakudziwitsani. Koma posakhalitsa akapezeka (pogwiritsa ntchito ma ultrasound), ndiye kuti nthawi zambiri ndimatha kunena zavuto lanu munjira yachipatala, m'malo mopangira opaleshoni. Kugwira ntchito molakwika kwa ndulu kumatha kukulitsa mkhalidwe wa kapamba, yemwe pambuyo pake amachititsa kapamba. Munthu amatha kusokonezedwa ndi kupweteka m'dera la chiwindi kumanja, ndipo nthawi zina ululu ndi kulemera zimawoneka m'mimba ndi kapamba.

Cholecystitis. Uku ndikutupa kwa chiwindi ndi ma bile bile mkati mwake. Choyambitsa matendawa ndi matenda. Chizindikiro cha matendawa ndi chiwalo chokulirapo ndi kupweteka mu hypochondrium yoyenera, yomwe imatha kutsagana ndi kutentha kwa thupi.

Pancreatitis Ngati tikhazikitsa mndandanda wa matenda a chiwindi ndi kapamba, zizindikiro zomwe tikulingalira, ndiye kuti kapamba, mwina, ndi woyamba mwa mndandandandawo. Pakadali pano, anthu ambiri ali ndi vuto la kutupa kwa kapamba. Chifukwa cha kuperewera kwa zakudya, miyala kapena miyala ya ndulu imatha kupanga, yomwe imakhudza ziwalo zonse. Chizindikiro cha kapamba ndi ululu pansi pa nthiti kumanzere, makamaka mutadya zonunkhira, zokazinga, chakudya chosuta, chokoleti, ayisikilimu ndi zinthu zina, komanso zovuta ndi chopondera munthu. Kugwiritsa ntchito mowa ndi matenda oterewa nkoletsedwa.

Cirrhosis - Uku ndi kukhalapo kwa zipsera pa chiwalo chomwe chimasokoneza kayendedwe kake, nchifukwa chake pambuyo pake zimasokonekera. Zotsatira zoyipa pambuyo pa matendawa zimatchedwa matenda a matumbo. Pali zifukwa ziwiri zazikuluzikulu zomwe zimayambitsa matenda - hepatitis kapena mowa. Zizindikiro zake zimatha kuphatikizapo kutulutsa magazi m'mimba, kutopa, kupweteka m'mimba, kutentha thupi, komanso shuga yochepa ya magazi.

Chinanso chomwe chingakhale chizindikiro cha matenda a chiwindi ndi kapamba? Zizindikiro: kupweteka pamimba, hypochondrium yakumanja kapena kumanzere, kupweteka pambuyo podya zakudya zonunkhira komanso zamafuta, kutentha kwambiri kwa thupi, thanzi labwino. Zonsezi ndi chizindikiro kuti muyenera kuwona dokotala mwachangu.

Ndi chiyani china chomwe chimadziwika ndi matenda a chiwindi ndi kapamba? Zizindikiro pakhungu lake ndi tint yake yachikasu. Pankhaniyi, muyenera kulumikizana ndi ambulansi nthawi yomweyo.

Ambiri amadwala matenda ngati amenewa. Zizindikiro za matenda a chiwindi ndi kapamba ndizofanana kwa akazi ndi abambo.

Matenda a chiwindi, kapamba ndi ana

Matenda a chiwindi ndi kapamba mwa ana, mwatsoka, zimachitika nthawi zambiri. Nthenda yodziwika kwambiri ya kapamba mwa mwana ndi kapamba. Tsoka ilo, limatha kuchitika modabwitsa kapena kupweteka ziwalo zina, nthawi zambiri matenda a chiwalochi amasokonezedwa ndi gastritis, dysbiosis ndi ena.

Zomwe zimayambitsa kupweteka kwamwana

Zomwe zimayambitsa kutupa kwa kapamba ndi izi:

  • kuvulala kwam'mimba, chifukwa cha zomwe ziwalo zamkati zidakhudzidwa.
  • kubadwa kwa matumba a kapamba,
  • kusokonekera kwa ndulu ndi ndulu zake,
  • matumbo kutukusira njira
  • payekha tsankho
  • zakudya zosayenera za mwana.

Mpaka pano, sizotheka kudziwa nthawi zonse zomwe zimayambitsa matenda a kapamba mwa mwana.

Zizindikiro za matendawa

Zizindikiro za matenda a chiwindi ndi kapamba mu mwana:

  • kupweteka kwapweteka kapena kupweteka m'dera la hypochondrium yakumanzere kapena m'mimba, yomwe imatha kuperekedwa pansi pa phewa lakumanzere kapena phewa, zotere zimachitika mutatha kudya mafuta kapena zakudya zonunkhira.
  • kusanza mwa mwana amene sabweretsa mpumulo, ngati matenda abwinobwino.
  • kutentha kwa mtima
  • kusowa kwa chakudya komanso mavuto okhala pansi,
  • belching ndi kutulutsa.

Kuyeserera kwa mwana

Mulimonsemo, mukakayikira pang'ono pancreatitis mwa mwana, muyenera kufunsa dokotala yemwe, mothandizidwa ndi mayeso angapo ndi mayeso, angatsimikizire kapena kutsutsa kuti adziwe.

Amasanthula ndi maphunziro omwe dokotala angafotokozere:

  • urinalysis
  • kusanthula kwa malovu
  • kuwunikira
  • Makina a Ultrasound
  • endoscopy.

Zizindikiro

Kuti muwone ngati chiwindi chidwala kapena ayi, ndikofunikira kuyang'ana mkhalidwe wa mwanayo osati kwa madokotala okha, komanso kwa makolo.

  • Chizindikiro cha kuwonongeka kwa chiwindi mwa mwana ndi khungu la chikaso pakhungu. Nthawi zambiri, chizindikiro ichi chimasokonezedwa ndi jaundice ya makanda akhanda.
  • Ngati m'modzi mwa makolo ali ndi matenda a shuga, ndikofunikira kudziwitsa adotolo za izi. Matendawa amatha kupatsirana ngati matenda obadwa nawo ndikusokoneza ntchito ya chiwindi cha mwana.
  • Matenda opatsirana omwe amafala kuchokera kwa mayi kupita kwa mwana amathanso kupangitsa matenda a chiwalochi. Pakati pawo: hepatitis, herpes, rubella, syphilis ndi ena.
  • Chifukwa chinanso chomwe chimayambitsa vuto mu chiwindi chimatha kutchedwa kuti zochita za mankhwala ena, omwe amachititsa kusayenda kwa ndulu.
  • Ndi matendawa, kukula kwa ziwalozo kumatha kuwonjezereka, ndipo kugundana kumayamba kusalala.

Matenda a chiwindi ndi kapamba: Zizindikiro, mankhwala

Ngati munthu ali ndi matenda amtundu uliwonse, tikulimbikitsidwa kukaonana ndi katswiri. Mutha kuonana ndi dokotala - endoscopist, yemwe amatha kuchita ma endoscopy (pamimba yopanda kanthu) ndikukuuzani mkodzo, magazi, ndowe ndi mayeso ena, komanso kutumiza kukayendera. Mutha kuthandizanso ndi dokotala wa opaleshoni, ndipo ngati mukudwala matenda a mwana, ndi dokotala wa ana. Chimodzi mwazinthu zazikulu zakuchira mwachangu kuwonjezera pa mankhwala (kapena opaleshoni) ndikudya.

Zakudya zoyenera zamatenda a chiwindi ndi kapamba

Kugwiritsa ntchito zinthu zotere kumalimbikitsa:

  • chakudya chamagulu, chimatha kukhala nkhuku, kalulu, ng'ombe, nyama yophika kapena yophika, yodulidwa
  • masamba osaphika ndi owiritsa, zipatso, malo ophika ndi shuga,
  • msuzi ndi borscht, msuzi wofowoka wa nsomba,
  • pasitala aliyense
  • phala, makamaka oat ndi buckwheat,
  • batala (osapitirira magalamu makumi awiri patsiku),
  • zipatso zosafunikira, msuzi wa rosehip,
  • zopangidwa mkaka (ndi mafuta ochepa).
  • makeke owuma, mkate dzulo.

Zakudya zomwe sizikulimbikitsidwa kuti ziziphatikiza ndi zakudya:

  • nyama ya nkhumba
  • chakudya chilichonse chokazinga
  • zinthu zamchere komanso zosuta,
  • mtanda wa batala
  • anyezi,
  • ayisikilimu
  • chokoleti
  • mowa ndi oletsedwa
  • tiyi ndi khofi wamphamvu,
  • zakumwa zoziziritsa kukhosi.

Kuchiza ndi wowerengeka azitsamba

Pofuna kuchiza matenda osiyanasiyana okhudzana ndi chiwindi ndi kapamba, anthu amakonda kugwiritsa ntchito njira zina. Musaiwale kuti njirayi imatha kubweretserani mavuto, chifukwa musanayambe chithandizo, muyenera kufunsa dokotala. Kugwiritsa ntchito mankhwala oterewa kwa ana sikuvomerezeka kwambiri. Pa matenda a chiwindi ndi kapamba wa mwana, ndibwino kulumikizana ndi dokotala wamankhwala ndikumuyang'anira moyang'aniridwa ndi akatswiri.

  1. Tengani zipatso za katsabola, hawthorn, masamba a timbewu, maluwa osafa ndi chamomile m'malo ofanana ndikuthira madzi otentha. Pambuyo poti chiphikiro choterechi chitha, chimayenera kusefedwa ndikufinya. Imwani mankhwalawa supuni 1 mutatha kudya katatu patsiku.
  2. Mbeu za caraway, masamba a nettle, yarrow osakanizika ndi muzu wa magazus komanso amathira madzi otentha. Tengani supuni ziwiri katatu patsiku mukatha kudya.
  3. Muzu wa Valerian, hawthorn, hop hop ndi chamomile amathiridwa ndi madzi otentha, pambuyo pake amatenga zikuni ziwiri za tincture usiku.

Matenda a chiwindi ndi kapamba, Zizindikiro zomwe zidafotokozedwa munkhaniyi, ndizosasangalatsa komanso zonenepa. Anthu ambiri amaika maulendo awo kuchipatala chifukwa chosowa nthawi ndi ndalama, koma mulimonsemo, matenda oopsa otere amafunika chithandizo choyenera komanso chanthawi yake ndikuyang'aniridwa ndi achipatala. Ndi zizindikiro zilizonse za matendawa, simuyenera kuchedwetsa kupita kwa dokotala, chifukwa lingaliro lotere limatha kukhala ndi zotsatirapo zomvetsa chisoni.

Matenda a chiwindi, ndulu ya ndulu ndi kapamba

Pakati pa anthu azaka zapakati, zoteteza matenda a chiwindi ndi:

  • hepatitis, yomwe imachitika m'njira zingapo - zopweteka, pachimake, poizoni, ma virus.
  • hepatosis
  • aakulu aimpso kulephera
  • matenda amatsenga.

Matenda ofala kwambiri a ndulu ndi awa:

  • dyskinesia
  • cholecystitis
  • kukhota kwa ndulu,
  • matenda a ndulu
  • polyp wa ndulu.

Ndipo pakati pa pathologies a kapamba nthawi zambiri amati:

Matenda a chiwindi: zimayambitsa ndi zizindikiro

Kukula kwa pafupifupi matenda onse am'mimba oyendetsedwa bwino nthawi zambiri kumagwirizanitsidwa ndi kuperewera kwa zakudya m'thupi, komwe kwakanthawi yayitali kunali ndi zotsatira zoyipa zamkati.
Kuphatikiza pa kuperewera kwa zakudya m'thupi, zinthu monga:

  • matenda (chifuwa chachikulu, hepatitis ndi ena),
  • poyizoni ndi zakumwa zoledzeretsa kapena mankhwala osokoneza bongo (zimachitika ndi nthawi yayitali),
  • majeremusi
  • zosokoneza kagayidwe,
  • zosiyanasiyana za dongosolo la magazi,
  • kusintha lakuthwa kwambiri kwa thupi.

Kukula kwa matenda a chiwindi kumachitika, munthu amatha kuwona zizindikiro monga:

  • kusintha kwa khungu (monga lamulo, amapeza utoto wachikasu),
  • Kusintha kwa mkodzo (kumayamba kuda)
  • zotupa pakhungu ndi kuyabwa,
  • kukhalapo kowawa mkamwa,
  • kutulutsa ndi kutentha kwache,
  • kutupa
  • malungo
  • arrhasmia,
  • kusowa kwa chakudya, motsutsana ndi komwe kuwonda kumachitika.

Matenda a kapamba: zimayambitsa ndi zizindikiro

Zikondazo zimatulutsa timadzi tambiri timene timayamwa ndi ma enzymes. Zotsatirazi zingayambitse kuphwanya magwiridwe antchito a thupi ili:

  • kuperewera kwa zakudya m'thupi
  • kumwa mankhwala
  • kumwa mowa wambiri, etc.

Zowonongeka za kapamba zimachitika, munthu amatha kumva kupweteka kwambiri mu hypochondrium. Komanso, imatha kutulutsidwa m'malo osiyanasiyana - kumanja kapena kumanzere, pakati. Zimatengera gawo lomwe gawo lidakhudzidwa. Komanso, mawonekedwe a kutentha pamtima ndiwotheka.

Zotsatira za chifuwa chachikulu pachiwindi

Matenda a kapamba amadziwika ndi nthawi yowonjezereka komanso kukhululuka. Koma ngakhale pagawo lotsiriza, njira za pathological zimawonedwa zomwe zimakhudza kugwira ntchito kwa ziwalo zina zamkati, kuphatikizapo chiwindi.

Matenda a hepatatic amatha chifukwa cha kupindika kwa ma ducts, kuwonetsa kusintha kwa kapamba, kamene kamapangitsa kukondoweza kwa bile. M'matenda a chiwindi, masinthidwe otakataka amawululidwa, omwe ali zotsatira za kuledzera pakukonzekera.

Ndi matenda a shuga ndi kapamba, vuto la chiwindi limapezeka kawirikawiri, kapangidwe kake limasintha. Kuwonongeka kwa kapamba, mpweya wambiri wambiri m'thupi, kumakhala ndi zotsatira.

Mutu wa chiwalo ukakwera, duct wamba imakhala yopunduka, stenosis (kulimbikira kupendekera) kwa lumen kumadziwika. Kutuluka kwathunthu kwa bile kumakwiya, komwe kumakwiyitsa kusunthika, kuyamwa kwa bile acid ndi bilirubin yokhudzana ndi mapuloteni kumachitika.

Ngati zotsalira za bilirubin zawonjezeka, ndiye kuti izi zimatsogolera kukukula kwa jaundice yovuta. Zimadutsa ngati mubwezeretsa kutuluka kwa ndulu. Kusayenda kwa bile kumakhala ndi zifukwa zotsatirazi:

  • Kutupa kowopsa m'mutu wa kapamba.
  • Pseudotumorous aakulu kapamba, amene limodzi ndi kuchuluka kwa zolumikizana minofu. Kusintha uku kungapezeke pogwiritsa ntchito ultrasound, zizindikiro za echogenicity.
  • Tumor neoplasms ndi cysts ku gland.

Ngati chinsinsi cha mkati mwa kapamba chikulephera, matenda ashuga amayamba. Insulin, yomwe imapangidwa mu kapamba, imakhudzanso kuchuluka kwa shuga, komanso imayang'anira kagayidwe ka mafuta m'thupi. Ndi kuchepa kwake, steatosis imayamba - kuwonongeka kwapadera kwa lipids mu chiwindi ndi kuchuluka kwachulukidwe kwamafuta acid. Kuperewera kwa chithandizo kumayambitsa chiwindi.

Chiwonongeko ndi necrosis ya pancreatic minofu imayendera limodzi ndi kuledzera kwa thupi, kusintha kosinthika kwa ziwalo zina kumawonedwa - chiwindi dystrophy, maziko a kuvunda mkati mwake amapezeka.

Momwe kapamba amakhudzira chiwindi

Monga mukudziwa, kapamba wam'mimba ndi kutupa kwa kapamba, yemwe amatha kukhala ndi mawonekedwe owopsa kapena osakhazikika.

Chiwindi chomwe chimakhala ndi pancreatitis chitha kupezeka zingapo zingapo.

Ngati munthu wapezeka ndi chifuwa chachikulu, ndiye njira zoyipa monga:

  • stagnation ya ya bile chifukwa cha psinjika mchikakamizo cha anasintha zikondamoyo minofu wamba wamba duct,
  • kuponderezana kapena kuchuluka kwa vuto, kusintha kwa kapangidwe kake (pankhani ya matenda ashuga),
  • kusintha msanga kwa minyewa ya chiwindi chifukwa cha kuledzera komwe kumachitika chifukwa cha kutupa kwa kapamba.

Ngati bile stagnates kapena kutuluka kwake ndiwosokonekera (chifukwa cha chifuwa chachikulu, mapapo ndi zotupa kapena edema ya mutu wake, yomwe imakhala yotupa mwachilengedwe), ndiye kuti ma bile acid ndi bilirubin amalowetsedwa m'magazi, kuchuluka komwe m'magazi kumayambitsa kukula kwa jaundice yolepheretsa. Awa ndi matenda othandizira omwe amakwaniritsidwa pakubwezeretsa kwachilengedwe kwamadzimadzi a bile.

Kuwonongeka kwa minofu ya pancreatic mu kutupa kosakhazikika kumayambitsa kukula kwa chiwindi dystrophy, pomwe cholinga cha mawonekedwe owola kumapeto.

Matenda a shuga, omwe adayamba chifukwa cha kapamba, amatha kupangitsa kuti chiwindi chiwonjezeke (kuchuluka kwa mafuta m'maselo ake) ndipo pamapeto pake chimayambitsa matenda a chiwindi.

Pang'onopang'ono, cirrhosis ya chiwindi ndi matenda osachiritsika omwe amapita patsogolo mwachangu ndipo amatsogolera kusintha kwa ziwalo zam'magazi komanso kuchepa kwa maselo ake ogwirira ntchito, zomwe zimapangitsa kulephera kwa chiwindi ndi matenda oopsa a portal.

Cirrhosis ndi chimodzi mwazomwe zimayambitsa kufa kwa anthu azaka zapakati pa makumi atatu ndi zisanu ndi chimodzi.

Mu chifuwa chachikulu cha pancreatitis, pamakhala kuwonjezeka kwa kapamba ndi kuwonongeka kwa minofu yake mothandizidwa ndi njira yotupa komanso yofulumira yotupa. Kutupa kwa minofu ya pancreatic kumalepheretsa kutuluka kwa katemera wa pancreatic mu duodenum, chifukwa chomwe ma enzymes amathandizira, ndipo mapamba "odzigaya". Zotsatira zake, minofu ndi ma cell a ma parenchyma amawonongeka.

Mu chilonda chachikulu cha pancreatitis, chiwindi chimakakamizidwa kuti muchepetse zinthu zakupha zomwe zimatulutsidwa m'magazi a zikondwerero za wodwalayo, ndiko kuti, kugwira ntchito ya compensator ndikunyamula katundu wowonjezera. Izi zimapangitsa kuti chiwindi chitha kukula, ndipo izi zikuwonetsa kufooka kwa ziwalo.

Kukulitsidwa kwa chiwindi ndi chizindikiro chomwe chimafuna chisamaliro chamankhwala pompopompo, popeza kulephera kutenga njira yolerera panthawi yake kapena njira zochizira kungapangitse kusintha kwa kayendedwe ka magazi ka chiwindi, parenchyma yake ndikusokoneza kagayidwe ka thupi.

Zizindikiro za kuwonongeka kwa chiwindi mu kapamba zimasonyezedwa ndi zizindikiro monga:

  • kuwawa mkamwa
  • kumverera kolemetsa mbali yakumanzere,
  • kukulira chiwindi ndi kupweteka palpation,
  • discool discoloration
  • khungu lachikasu ndi mkodzo
  • kusintha kwa zamankhwala amwazi,
  • kusintha kwa coagulability wamagazi (ndi matenda enaake),
  • edema, madzimadzi m'matumbo amthupi, mitsempha yamadzi yam'mimba (yam'mimba).

Chithandizo cha pathologies ndi kapamba

Kusintha kulikonse kumafunikira kuti muzindikire mosamala komanso chithandizo chanthawi yake. Chifukwa chake, kuyesa kwa chiwindi kwa kapamba kumayenera kuchitika, makamaka ngati muli ndi chimodzi mwazizindikiro zomwe zili pamwambapa.

Zambiri zofufuzira zimaphatikizapo, koma sizokhazo:

  • mayeso a labotale (a ma enzymes, bilirubin, albin, ndi zina).
  • Ultrasound
  • Maphunziro a X-ray ndi tomography.

Ngati ziwalo zonse zili zowawa, zotsatila za mayeso zitha kutumikiridwa ngati mankhwala, ndipo nthawi zina chithandizo cha opaleshoni (mwachitsanzo, ndi pancreatic necrosis kapena jaundice yovuta).

Komabe, mulimonsemo, kutsatira zakudya zapadera za chiwindi ndi kapamba.

Zomwe zimathandiza pachiwindi ndi kapamba ndi kapamba

Ndi kapamba, ndikofunikira osati kungosintha ntchito ya kapamba, komanso kuchepetsa nkhawa pa chikhodzodzo cha ndulu ndi chiwindi. Chifukwa chake, zakudya za chiwindi ndi kapamba zimapatula:

  • mchere wambiri
  • Zakudya zamafuta (cholesterol), mafuta ofunikira ndi mafuta odzola,
  • CHIKWANGWANI chophatikizika (masamba osaphika ndi zipatso),
  • Zakudya zazing'ono zilizonse
  • confectionery, kupanikizana ndi timadziti okoma.

Zakudya izi zimaphatikizapo zomwe kapamba amakonda:

  • nyama yophika kapena yankhono ndi nkhuku,
  • nsomba zowonda
  • tchizi chamafuta ochepa
  • phala pamadzi
  • masamba msuzi puree, etc.

Chakudya chizikhala chodulidwa bwino komanso kumadyedwa m'magawo ang'onoang'ono pafupipafupi (mpaka kasanu pa tsiku).

Ntchito ya chiwindi ndi kapamba m'thupi la munthu ndi yayikulu - ichi ndi kayendedwe kazakudya zamagetsi, ndikuwonetsetsa magwiridwe antchito a endocrine. Kusintha kulikonse kumatha kubweretsa zotsatira zoyipa kwa thupi, ndipo nthawi zina mpaka kufa. Chifukwa chake, chithandizo cha panthawi yake komanso kutsatira zakudya zopangidwa ndi zinthu zomwe zikondazo zimakonda ndizofunikira kuti zibwezeretse magwiridwe antchito a ziwalozi.

Ntchito za chiwindi ndi kapamba

Pamodzi ndi chakudya, zinthu zomwe zimakhudza ziwalo zamkati zimatha kulowa m'mimba. Kuphatikiza apo, poizoni amapangidwanso m'thupi palokha, mwachitsanzo, chifukwa cha zochita za mabakiteriya osokoneza bongo. Chiwindi ndimtundu wa fyuluta womwe umayeretsa magazi onse kuchokera ku poizoni, mabakiteriya, mahomoni owonjezera komanso oyimira pakati, mavitamini.

Ngati chiwindi chimasiya kugwira ntchito, ndiye kuti imfa imachitika nthawi yomweyo chifukwa cha poizoni. Chiwindi sichingogwira ntchito yoteteza, chimagwiritsanso ntchito shuga wamagazi, ndi malo osungirako mavitamini, michere, kupanga mahomoni ndi ma enzymes, ndipo amatenga nawo gawo la hematopoiesis ndi chimbudzi.

Pancreas imapanga ma enzymes ofunikira pakuwonongeka kwa mapuloteni ndi chakudya (trypsin, chymotrypsin, lipase, alpha-amylase), komanso kupanga ma mahomoni, kupangitsa matenda kukhala ndi mapuloteni, mafuta komanso metabolism.

Chitsulo chimatulutsa madzi a pancreatic, omwe amakhala ndi ma enzymes ofunikira pakuwonongeka kwa zinthu ndi kuyamwa kwina kulowa m'magazi. Kapangidwe ka madzi a pancreatic amasiyanasiyana malinga ndi chakudya chomwe chikubwera.

Zolinga zakukula kwa matenda amisala

Pali matenda a chiwindi ndi kapamba chifukwa cha zinthu zotsatirazi:

  • kumwa kwambiri
  • zakudya zopanda thanzi
  • kumwa mankhwala omwe ali ndi vuto pa chimbudzi ndi chimbudzi,
  • ma gallstones
  • atherosulinosis
  • zathupi zakuthupi komanso zotengera,
  • kukhalapo kwa matenda.

Pamodzi ndi magazi, poizoni ndi mabakiteriya omwe amachokera m'matumbo am'mimba amalowa m'chiwindi. Ntchito ya thupi ndikuchotsa zinthu zomwe zingakhale zovulaza kapena zopanda ntchito m'magazi. Kuti tichite izi, zimachitika pakompyuta zomwe zimapangitsa kuti poizoniyu asakhale poizoni kapena wopanda vuto lililonse.

Mwachitsanzo, mowa wa ethyl umasinthidwa kukhala acetic acid ndi acetone kuti urea. Ndi chithandizo chamankhwala, kugwiritsa ntchito mowa wambiri kapena zinthu zovulaza, chiwindi chimakumana ndi zovuta zochuluka, zomwe zimapangitsa kutsika kwa chotchinga cha ntchito cha gland komanso magawo a mankhwala owopsa kulowa m'magazi.

Matenda omwe angakhalepo ndi zizindikiro zawo

Matenda ofala kwambiri omwe amabweretsa kukanika kwa chiwindi:

  • matenda a chiwindi,
  • matenda amatsenga
  • hepatosis
  • stenosis
  • helminthic nkhondo,
  • neoplasms.

Ngati malamba atha kugwira bwino ntchito kapamba, matenda otsatirawa angachitike:

  • kapamba
  • matenda ashuga
  • cystic fibrosis,
  • neoplasms.

Zachidziwikire, pali matenda ochulukirapo a chiwindi ndi kapamba, tangowonetsa omwe amadziwika kwambiri kuposa ena. Ndi matenda a zoterezi, ndi zofanana ndi izi.

Nthawi zambiri, zizindikiro zotsatirazi za matenda zimawonedwa mwa odwala:

  • malungo
  • kusanza, nseru, kusowa kudya, kuchepa thupi mwadzidzidzi,
  • chimbudzi, kutentha kwa mtima, kusefukira kwam'mimba, kutsegula m'mimba, kudzimbidwa (kumachitika chifukwa cha kusowa kwa michere),
  • Pali ululu mbali yakumanzere pansi pa nthiti. Itha kukhala yochepa kapena yowonjeza, imachitika nthawi ndi nthawi kapena imakhalapo nthawi zonse. Nthawi zina imapereka dera lamapewa kapena mtima,
  • pakhungu lakudwala, ululu womwe umakulirakulira, dokotala amatha kusintha kukula kwa chiwindi kapena kapamba,
  • kuseri kwa mahomoni kumaphwanyidwa (chizindikiro ichi chimawonetsedwa nthawi zambiri mwa amuna omwe ali ndi "mowa" wa cirrhosis),
  • kusintha kwa ndowe kumawonedwa, ntchofu umawonekera.

Zizindikirozi zikuwonetsa kuperewera kwa chiwindi ndi kapamba, koma palinso Zizindikiro zomwe zimatsimikizira matenda ena, mwachitsanzo, khungu ndi sclera (bilirubin sichichotsedwe m'thupi, koma kulowa m'magazi), kuwawa mkamwa ndi milomo, kuyabwa ndi zotupa (ntchito yothandizira).

Pali kutupa, kusintha kwa kugunda kwa mtima, kufooka, kutopa kwambiri (chizindikiro cha kuledzera), kusintha kwa maonekedwe a mkodzo (kumawonetsa kutupa kwa chiwindi), kusintha kwa kuthamanga kwa magazi, mawonekedwe a venous amawoneka pamimba ("nyenyezi" akuwonetsa kuwonongeka kwa chiwindi, kuchitika ndi cirrhosis) m'chinenedwe cha zolembera (zoyera kapena zofiirira), ming'alu.

Ndi matenda a chiwindi, kupweteka kumakupweteka, amadziwika mu hypochondrium yoyenera, m'munsi kumbuyo, tsamba lamanzere. M'mawu ena, mwachitsanzo, kulephera kwa chiwindi kapena matenda enaake, kupweteka kumachitika chiwindi chikakhala chikuwonongeka kale komanso kuwonjezeka kwakukulu.

Kuwonongeka kwa chiwindi kumatha kupatsanso kapena kuyang'ana mbali. Ndi zotupa zotupa, thupi lonse limapsa, izi zimachitika pachilonda cha hepatitis, steatosis, cholangitis, cirrhosis, zilonda zam'mimba. Zilonda zowoneka bwino zimati ngati zotupa zatuluka pachitho.

Mu matenda apancreatic, kupweteka kumakhala kukhathamira, kukuzizira kumbuyo, tsamba lamanzere. Kusasangalala kumamvekedwa kwambiri mutadya kwambiri, kudya zakudya zamafuta, sodas kapena zakumwa zoledzeretsa. Chizindikiro cha matenda amtundu wamadzi ndi kusinthasintha kwa ndowe, zimayamba imvi.

Zizindikiro za matenda a chiwindi

Hepatitis imayamba chifukwa cha kutupa kwa chiwindi chifukwa cha kachilomboka kapena kukhudzana ndi poizoni (mowa, mankhwala, majeremusi). Mitundu isanu ndi iwiri ya hepatitis yodziwika bwino imasiyanitsidwa, yotchuka kwambiri ndi A, B, C. Kutupa kumawonetsedwa ndi jaundice (osati nthawi zonse), hyperthermia, kuzizira, kufooka, kupweteka kwa thupi.

Pa gawo loyambirira la matendawa, zizindikiro ndizofanana ndi chimfine. Ndi chithandizo choyenera, mawonekedwe owopsa a hepatitis nthawi zambiri samasiya zotsatirapo zake. Matenda otupa a hepatitis amapezeka palokha, mwachitsanzo, kuledzera kosalekeza ndi mowa, kapena chifukwa cha chithandizo chosayenera cha mawonekedwe osokoneza bongo.

Cirrhosis ndi kutupa kwamphamvu kwa chiwindi komwe minofu yokhazikika imasinthidwa ndi minofu ya fibrous. Amatha kukhala motsutsana ndi maziko a chiwindi, malungo, syphilis, matenda amkatikati. Zizindikiro za matendawa: kufooka, hyperthermia, kupweteka kwapagulu, kusagona, asthenia, kuchepa thupi.

Munthu salekerera zakudya zamafuta ndi mowa. Zizindikiro zakunja (misomali yoyera, tsitsi lochepa, zala zakuda) sizowonetsedwa mwa onse odwala. Matendawa amakula pakatha zaka 2-5 ndipo pakalibe chithandizo, zotsatira zoyipa zimachitika.

Hepatosis amadziwika ndi kusokonekera kagayidwe kachakudya njira mu chiwindi maselo. Mafuta a hepatosis amatchedwa steatosis (maselo a gland amasonkhana mafuta). Njirayi imasinthidwanso ndi chithandizo chanthawi yake.

Poyambirira, matendawa samadziwonetsa, monga ma cell amadzizunzika, kuphwanya zochita za ziwalo kumachitika. Wodwalayo amadandaula za kupweteka, nseru, kufooka, kuchepa chitetezo chokwanira, kuyabwa, zotupa, chikasu pakhungu.

Tizilombo timene timasokoneza chiwindi. Mwanawankhosa wambiri. Amalowa m'matumbo kuchokera m'matumbo. Zizindikiro zake ndizofanana ndi matumbo okhumudwa (kutsegula m'mimba, kutulutsa magazi, kugungudza, kusowa kudya). Komanso pali zokutira yoyera pa lilime, kupuma movutikira, kupindika pafupipafupi, kufooka, komanso kuthamanga kwa mtima.

Chithandizo cha chiwindi ndi kapamba

Kodi kuchiritsa kapamba ndi chiwindi? Funso ili limafunsidwa ndi aliyense amene wakumana ndi ziwalo za ziwalozi. Komabe, ndikofunikira kudziwa nthawi yomweyo kuti matenda omwe ali ndi mawonekedwe osachiritsika sangathe. Zomwe munthu angachite ndikuwonjezera gawo la chikhululukiro pakukonzekera zakudya zapadera zochizira.
Anthu omwe ali ndi vuto la kapamba ndi chiwindi saloledwa kudya:

Komanso, sosi zosiyanasiyana ndi zakudya zamzitini ndizoletsedwa, chifukwa zimakhala ndi mankhwala osiyanasiyana omwe angawonongere dongosolo logaya chakudya.

Anthu omwe ali ndi chiwindi komanso zilonda zam'mimba amafunika kusiya kusuta ndi kumwa mowa. Munthawi imeneyi ayenera kudya chakudya chopatsa thanzi. Masamba ndi zipatso ziyenera kukhala zisanayambe ntchito. Kuti muchite izi, mutha kuwaza kapena kuwaza pogwiritsa ntchito blender.
Kudya nyama zamafuta ndi nsomba ndizotsutsana. Masiku oyamba ochepa, tikulimbikitsidwa kupatula mbale za nyama ndi nsomba kuti tisamayike katundu pancreatic. Matenda a wodwalayo akangokhala okhutira, nsomba ndi nyama zimatha kudzetsedwa muzakudya, koma m'magawo ang'onoang'ono. Ubwino wake ukhalebe ndi masamba ndi zipatso.
Pokonzekera wodwalayo, muyenera kudziwa kuti ziyenera kukonzedwa mosamala - kuchotsa khungu, mitsempha, cartilage ndi mafilimu. Kenako nyamayo iyenera kudulidwa ndikumangophika mbale kuchokera pamenepo. Izi zitha kukhala maondo, ma cutlets, ma soufflés ndi zina zambiri.
Komabe, kumbukirani kuti kugwiritsa ntchito mchere otentha, adyo ndi anyezi panthawi yokonza mbale kwa wodwalayo nkoletsedwa. Ndipo zimayenera kuphikidwa zokhazokha pa nthunzi kapena mu uvuni popanda kuwonjezera mafuta.
Kumbukiraninso kuti ndimatenda a kapamba ndi chiwindi, ndizoletsedwa kugwiritsa ntchito mafuta mkaka. Ndiko kuti, ngati mumadya tchizi cha kanyumba, ndiye kuti iyenera kukhala 1%, ndipo ndibwino kusesa kwathunthu, ngati mkaka uwu - osaposa 2.5%, yogati - 1.5%, etc.
Ngati kapamba ndi chiwindi zimapweteka, ndiye kuti kumbukirani kuti kudya mokhazikika ndiye njira yothandiza kwambiri yochiritsira. Osangotengera thandizo la mankhwala, chifukwa amatha kungokulitsa ululu wammbuyo ndikubweretsa kuwonongeka kwa wodwalayo.

Mankhwala osokoneza bongo a chiwindi ndi kapamba

Chiwindi ndi kapamba ndizovuta kwambiri kuzindikira ziwalo. Chifukwa chake, kugwiritsa ntchito mankhwala aliwonse popanda kudziwa dokotala sikutheka. Izi zimatha kudzetsa nkhawa komanso kupweteka kwambiri, komwe ena amalephera kudziwa.
Chifukwa chake, ngati mukukhudzidwa ndi kapamba kapena chiwindi, pezani thandizo kwa dokotala. Adziyesa moyenera, azindikire chomwe chayambitsa vuto lanu ndikupereka mankhwala ofunikira.
Monga lamulo, ndi ma pathologies oterowo, kukonzekera kwa enzyme kumayikidwa, komwe kumakhala ndi ma enzymes omwe amathandizira kugaya chakudya. Komabe, kulandira kwawo kumatheka pokhapokha pakukhululukidwa.
Panthawi yochulukitsa, m'mimba pamafunika kupuma kwathunthu, chifukwa chake akatswiri amapereka mankhwala patebulo Na. 5 ndi kubayidwa mkodzo wamkati, womwe umathandizira kuti thupi lizigwira ntchito.
Ndiye, kutengera mtundu wa wodwalayo komanso zomwe zimayambitsa matenda, adotolo amamulembera chithandizo.

Chithandizo cha chiwindi ndi kapamba ndi mankhwala wowerengeka

Madokotala samalimbikitsa kuti atenge mankhwala achikhalidwe, chifukwa sizikudziwika momwe matumbo a chimbudzi angayankhire. Masiku ano, pali mankhwala osankhidwa omwe amatha kuthandizira kapangidwe ka kapamba ndi chiwindi. Chifukwa chake, sizipanga nzeru konse kuyika pachiwopsezo chifukwa cha chuma.
Komabe, ambiri amakonda kukhulupilira njira zakale zomwe zatsimikiziridwa. Ndipo ena amatha kukwanitsa zotsatira zabwino. Mwa maphikidwe a wowerengeka azitsamba a kapamba ndi chiwindi ndi:

  • kudya zipatso zamakhwangwala zatsopano,
  • kugwiritsidwa ntchito kwa decoction okonzedwa kuchokera muzu wazipatso,
  • kugwiritsa ntchito mafilimu owuma am'mimba za nkhuku,
  • kugwiritsa ntchito chitsamba chowawa,
  • kugwiritsa ntchito ndevu zagolide, ndi zina zambiri.

Komabe, kumbukirani kuti kugwiritsa ntchito mankhwala azikhalidwe kungachititse kuti tisinthe. Chifukwa chake, ndikwabwino kukaonana ndi dokotala kuti mufufuze ngati njira iyi ingagwiritsidwe ntchito kwa inu kapena ayi.

Ngati muli ndi pathologies a kapamba, chikhodzodzo ndulu kapena chiwindi, ndiye kuti mungasangalale kuwona kanema yemwe akuwonetsa zomwe zimayambitsa matendawa, komanso njira zowonjezera gawo la chikhululukiro.

Zizindikiro za matenda a chiwindi ndi England

Thupi laumunthu limapangidwa mwanjira yoti kuphwanya kwamphamvu kwa chiwalo kapena kuchepa kwa ntchito yake kuwonekere ndi "zizindikilo" zosiyanasiyana. Monga taonera kale, kuwonongeka kwa chiwindi nthawi zambiri kumadziwika ndi mavuto akhungu.

Choyamba - jaundice. Zizindikiro zitha kukhala zovuta kuzisintha. Nthawi zina timadontho tating'ono tating'ono timawonekera. Nthawi zambiri, malo achitukuko ndi mabowo a axillary. Ndi mavuto ndi biliary thirakiti, kuyabwa kumawoneka, kuuma kwambiri pakhungu.

Chimodzi mwazizindikiro zamatenda a cirrhosis ndikupanga mitsempha ya kangaude mthupi lonse. Ngati sanachiritsidwe ndi matenda amitsempha, zotsatira zake zimakhala zoopsa.

Zizindikiro zina za matenda a chiwindi:

  • Zomverera zowawa zimakhazikitsidwa mu hypochondrium yoyenera. Pali zosasangalatsa m'mimba, sizimadalira chakudya. Kukomoka kwambiri pamlomo wamkamwa.
  • Kusokonezeka kwa chakudya cham'mimba ndi ma pathologies a chiwindi ndi kapamba kumawonetsedwa ndi kudzimbidwa kwa nthawi yayitali kapena kutsekula m'mimba (pafupipafupi). Chopondapo ndichamadzimadzi, chamtundu wamafuta ambiri, kusintha kwa mtundu ndi fungo.
  • Kusintha kwa mahomoni. Matendawa amafala kwambiri mwa amuna. Chilichonse chiri chifukwa cha zapamwamba za estrogen mthupi - mahomoni azakugonana achikazi.
  • Ntchito zolakwika za CNS. Zizindikiro zake zambiri zimaphatikizira kugona tulo kapena kugona, kusakhazikika popanda chifukwa, kuchepera chidwi. Ngati simukuchita, ndiye kuti mukufa.
  • Intoxication imayamba ndi ntchito yochepa ya chiwindi. Imadziwonekera mu mawonekedwe a ululu mu minofu ndi mafupa, dziko lanthete.

Matenda a chiwindi amachititsa kuti kapamba azigwira bwino ntchito, zomwe zimakwiyitsanso zizindikiro zina. Ndi pancreatitis, wodwalayo amamva kupweteka kwambiri atamwa mowa kapena chakudya, nthawi zambiri amadzaza kumbuyo. Odwala amadwala komanso kusanza. Pa palpation, pali kuwonjezeka kwa zowawa mu navel.

Matenda a shuga a shuga amawonetsedwa ndi njala yosatha, ludzu komanso kukokana pafupipafupi, kuchepa thupi, mavuto omwe amagwira ntchito kwa erectile mwa amuna, komanso kuwonongeka kwa mawonekedwe.

Chiwindi ndi kapamba kuyeretsa

Kusintha kwa chiwindi ndi England, mutha kugwiritsa ntchito njira zina zochizira. M'magulu ena othandizira, pali maphikidwe ambiri omwe angathane ndi ntchitoyo.

Musanakonzetsere, kukonzekera ndikofunikira. Zimatanthawuza kutsatira boma lakumwa - amamwa pafupifupi malita atatu amadzimadzi patsiku. Pang'ono pang'ono amatha kulowetsedwa ndi compote ya zipatso zouma. Masiku khumi asanadziyeretse nthawi yomweyo, zakudya zamafuta ndi nyama yokazinga, nyama zotsekemera, khofi, koloko, maswiti sapezeka mumenyu, ndipo amachepetsa kumwa kwa mchere wa patebulo.

Ndi zitsamba ziti zomwe zingagwiritsidwe ntchito pochiza chiwindi ndi kapamba? Anatsimikizira kulowetsedwa kwa Bay masamba. Mapepala khumi amathiridwa ndi 450 ml ya madzi otentha, tsimikizirani tsiku mu thermos. Tengani m'mawa 50 ml asanadye chakudya cham'mawa. Njira yoyeretsa yonse ndi milungu iwiri. Zadziwika kuti malaise wamba amatha kuonedwa masiku angapo oyambira - izi ndizosiyana ndi zomwe zimachitika. Posachedwa zizindikiro zosasangalatsa zidzatha.

Muzu wa Burdock umasintha bwino chiwindi. Pafupifupi 5-8 g la chigawo chowuma chathiridwa ndimadzi. Ikani kusamba kwamadzi, kutentha, koma osabweretsa chithupsa. Gawani bukuli m'magawo angapo, akumwa masana. Tengani tsiku lililonse la sabata.

Maphikidwe omwe amayeretsa chiwindi ndikuwongolera zochitika zapancreatic:

  • Sakanizani kapu ya mafuta owuma ndi 500 ml ya kefir yamafuta ochepa. Chokani usiku. M'mawa, idyani theka makamaka musanadye kadzutsa, kusiya gawo lachiwiri pa phwando lamadzulo - maola awiri asanagone. Njira ya mankhwala ndi masiku 10. Pambuyo pakupuma kwa masiku khumi, bwerezani. Pa nthawi yopuma, zipatso 6 za ma apricot zimadyedwa patsiku.
  • Parsley kuphatikiza mkaka amathandizira kuyeretsa chiwindi, ndulu ndi kapamba. Makilogalamu awiri a mizu yodulidwa kutsanulira mkaka 3000 ml. Kuphika pamoto wochepa mpaka mafayilo osalala (pafupifupi ola limodzi). Amadya "mankhwala" omwe amakonzedwa kunyumba masiku atatu. Zakudya zina ndizoletsedwa.

Pamapeto pa chithandizo, muyenera kumwa madzi ambiri amchere sabata imodzi, popeza mankhwalawa ali ndi diuretic, amachotsa madzi ambiri mthupi.

Kuyeretsa chiwindi ndi kapamba: kuwaza mizu ya chicory - supuni ziwiri pa 250 ml ya madzi otentha. Bweretsani chithupsa. Zozizira, zosefera. Tengani masamba ochepa tsiku lonse. Njira ya mankhwala ndi milungu itatu. Ndiye yopuma sabata, kubwereza.

Mankhwala a chiwindi ndi kapamba okha ndi omwe angathandize panthawi yake. Katswiri wa gastroenterologist amatenga nawo mankhwalawa; kufunsana ndi katswiri wa matenda opatsirana (virus hepatitis), endocrinologist (shuga mellitus), ndi oncologist (tumor neoplasms) angafunikire.

The etiology ya kapamba imakambidwa mu kanema munkhaniyi.

Zizindikiro za pancreatic pathology

Ngati michere ya pancreatic yakhazikitsidwa osati mu duodenum, koma mwa iyoyokha, ndiye kuti amalankhula za kapangidwe ka kapamba. Matendawa amayambitsidwa ndi kutukusira kwa minofu ya kapamba.

Pali matenda chifukwa chakudya chopanda malire, moyo wokhalitsa komanso chibadwa chamtundu. Mu nthawi ya pachimake, wodwalayo amadandaula za ululu wolimba wamkati, kusanza, kutsekula m'mimba, kuphwanya, kutentha thupi, kutuluka thukuta kwambiri.

Ngati kapamba amapanga insulin yokwanira, ndiye kuti matenda a shuga amapezeka. Zizindikiro zake ndizosiyanasiyana ndipo sizogwirizana ndi chimbudzi. Wodwalayo amakhala ndi ludzu pafupipafupi komanso ali ndi njala, maso akuwonjezeka, mavuto okhala ndi potency, kusinthika kwa minofu kumathina, komwe kumapangitsa kuchiritsa kwa bala kwa nthawi yayitali.

Cystic fibrosis ndimatenda obadwa nawo omwe matendawa amatha. Kusintha kwa minofu kumatha kukhala m'mapapu, kapamba, chiwindi. Mu matenda, tiziwalo tating'onoting'ono tomwe timapangidwira minyewa, ndi ma ducts, minofu yokhazikika imasinthidwa ndi minyewa ya cystic.

Izi zimabweretsa kusintha kwanyengo, kusakhazikika kwa bile ndi cirrhosis ya chiwindi. Zizindikiro za matendawa: kuonda, kutsekula m'mimba, kupendama, kuyimba likhweru, kuthinana kwa zala, kufalikira kwa rectum.

Chithandizo cha matenda a chiwindi ndi kapamba

Kuti atsimikizire za matendawa, wodwalayo ayenera kumayesedwa kangapo. Pokhapokha atalandira zotsatira zawo, adokotala azitha kudziwa zam'magazi ndikupereka chithandizo chokwanira. Kuzindikira kumatengera matenda, kuphatikizapo kupenda mkodzo, magazi (kuwulula ALT, AST, bilirubin, shuga), ultrasound, x-ray, ngati kuli kofunikira, chitani chiwindi.

Kuti athetse zizindikiro za matendawa, madokotala amayenera kupatsa wodwalayo chakudya chomwe chidzapatse wodwalayo ntchito yopuma. Ngati matendawa adakula kwambiri, ndiye kuti kudwala kwamasiku angapo ndi mankhwala. Panthawi zadzidzidzi, wodwalayo amagonekedwa m'chipatala.

Kutengera ndi kuwonekera kwa matendawa, wodwalayo ayenera kutsatira mosamalitsa zakudya mpaka miyezi isanu ndi umodzi. Ngakhale chikhululukiro chisanayambike, odwala amalangizidwa kuti asamamwe mowa, mafuta, zonunkhira, zakudya zamchere pamenyu, ndipo asale zakumwa zochokera ku kaboni ndi confectionery. Mukanyalanyaza malangizowa, kuchulukitsa kwa matendawa kumatha kuchitika.

Ndikulimbikitsidwa kudya 4-5 pa tsiku, koma m'magawo ang'onoang'ono. Chakudya chimayenera kuwotchera kapena kuphika, chophika chimaloledwa. M'pofunika kuchepetsa kugwiritsa ntchito mchere ndikuchotsa pazakudya zomwe zimayambitsa kuphuka (kabichi, mphesa, mapeyala). Zakudya 5:

Kuphatikiza pa zakudya, wodwalayo amapatsidwa mankhwala omwe amachotsa zomwe zimayambitsa matendawa ndikuthandizira thupi kuyambiranso. Ndi kuchulukitsa kwa matendawa, kugwiritsa ntchito mankhwala osokoneza bongo kuyimitsidwa, ndipo chithandizo chimakhala chochepetsa katunduyo pa odwala. Pazinthu zadzidzidzi, wodwalayo amalandila zakudya zokha.

Pa chikhululukiro, kukonzekera kwa enzyme kumayendetsedwa kuti kumathandizira kugaya chakudya ndi kagayidwe. Therapy imaphatikizanso kutenga hepatoprotectors. Mankhwalawa amabwezeretsa kutuluka kwa bile, kuchepetsa cholesterol, kulimbitsa chitetezo chokwanira, ndikuchotsa ma radicals omasuka. Nthawi zambiri, madokotala amamulembera Karsil, Essentiale Forte, Ursofalk, Phosphogliv.

Kuti athetse ululu wopweteka, mankhwala omwe amachepetsa ma spasms (No-shpa kapena Papaverine) amagwiritsidwa ntchito, Mezim kapena Creon athandizira kubwezeretsanso ntchito yapakhungu. Mu shuga mellitus wa mtundu woyamba, insulin imayikidwa, wachiwiri mtundu wa glucose-kuchepetsa mankhwala.

Chithandizo cha chiwindi ndi kapamba ndi mankhwala amaloledwa kokha moyang'aniridwa ndi katswiri. Ndi mankhwala ena alionse opatsirana pogwiritsa ntchito matenda aliwonse, dokotala wopezekapo amayenera kudziwitsidwa kuti pali zovuta ndi chiwindi, kuti dokotala atchule mankhwala omwe amapezeka paliponse.

Kuphatikiza pa chithandizo chachikulu, maphikidwe achikhalidwe chachikhalidwe chitha kugwiritsidwa ntchito kuthandizira ntchito ya chiwindi, kuchepetsa njira yotupa komanso kuthamangitsa kugaya.

Kuchiritsa chiwindi, ochiritsa achikhalidwe amalimbikitsa kupanga decoctions ndi kulowetsedwa kuchokera masamba ofunda, ananyamuka m'chiuno, zitsamba za oregano. Ntchito ya kapamba idzasinthidwa ndim mbewa, maluwa a chamomile, udzu wosafa, katsabola, hawthorn.

Pali zizindikiro zapadera zomwe zikusonyeza kuti akuphwanya matendawa, koma samawonekera mwa odwala onse osati pazizindikiro zoyambirira za matendawa. Mwachitsanzo, ngati mu chiwindi muli ndi ululu, ndiye kuti nthawi zambiri odwala amayamba kudziwa ngati ali ndi khungu la khungu ndi khungu, koma chizindikiro sichimachitika nthawi zonse.

Chifukwa chake, kuti mudziwe chomwe chimayambitsa matenda, muyenera kufunsa dokotala. Pambuyo pokhazikitsa mayeso ofunikira ndikuwunikira pomwe dokotala amvetsetse zomwe zimapangitsa kupweteka komanso kugaya chakudya.

Ndikothekanso kuchiritsa matenda ambiri a chiwindi ndi kapamba ndi kuyang'anitsitsa kwamalangizo onse a dokotala. Osachepera, mankhwalawa amakono amatha kuchepetsa matendawa ndikuwongolera moyo wa wodwalayo.

Zimatenga nthawi yayitali kuchiritsa matenda, kenako muyenera kutsatira zakudya zama moyo. Kupewa matenda kumakhala ndi zakudya zoyenera, kumwa moyenera, kukhala ndi moyo wathanzi. Ndi kukakamizidwa kudya mankhwala amphamvu, tikulimbikitsidwa kuchita thandizo la chiwindi.

Kusiya Ndemanga Yanu