Pancreatitis ndi Gulu Lankhondo

Kaya gulu lankhondo likugwirizana ndipo kapamba amasankha lingaliro la bungwe lachipatala lankhondo, kutengera zomwe zidapezeka muzolemba ndi nkhani 59 pa ndandanda ya matenda. The more kutchulidwa matenda a kapamba, ndi mwayi mwayi womasulidwa ku kuyitanidwa. Tiyeni tikambirane mwatsatanetsatane mikhalidwe yomwe tikiti yankhondo imaperekedwa chifukwa cha kapamba.

Medical board ya asukulu kulembetsa ndikulembetsa ofesi ndi chifuwa chachikulu

Tikuwona nthawi yomweyo kuti mu khadi lakunja kwa zilembedwe za nthawi yolemba zinthu zitha kukhala ndi kalembedwe ka chithandizo ndi chithandizo ndi mayeso. Monga lamulo, chithandizo choyambirira chimachitika pakumenyedwa kovuta: kupweteka kwambiri m'munsi pachifuwa, kupweteka kumatha kukhala kwachilengedwe, kutentha thupi, kutentha thupi, kusanza komanso kusanza. Milandu yoopsa kwambiri (ngati akuchedwa kupita kwa dokotala), angafunike kuchipatala. Kuukira mobwerezabwereza kwa kapamba pazaka zimapereka chifukwa chokhazikitsa matenda apakhansa.

Dokotala amachititsa kuti adziwe ngati ali ndi zotsatirapo zakuchipatala:

mayeso a labotale magazi ndi mkodzo,
pulogalamu
kafukufuku wazakudya zam'mimba,
pamimba ultrasound,
endoscopic retrograde pancreatocholangiography,
Nthawi zina pancreatic biopsy.

Mayeso okhudza pancreatic mwatsatanetsatane amalembedwa potengera zosowa zaumwini. Makope ovomerezeka a mayeso onse azachipatala, zotsatira za kufunsidwa kwa dokotala wa gastroenterologist ndi madotolo ena, zolembedwazo ziyenera kusiyidwa ndi dokotala wankhondo.

Njira yayitali yodwala kapamba imatha kubweretsa zovuta. Pali zinthu zambiri zomwe mungachite kuti muchite bwino, uku ndikutukuka kwa matenda a portal jaundice, komanso magazi amkati kutaya magazi kwambiri (mwachitsanzo, kulephera kwa matenda a impso). Mukamayang'ana draftee, kuopsa kwa matendawa komanso kuopsa kwake kungaganiziridwe.

Alumali moyo "B" wa chifuwa chachikulu

Gulu lazachipatala limawunika alumali moyo wa anthu omwe ali ndi matenda othandizira pancreatitis malinga ndi zomwe zalembedwa mu 59 za dongosolo la matenda. Ngati wodwalayo akuchulukirachulukira kwa kapamba, ndiye kuti ndi woyenera kuchedwa panthawi yanthawi yamankhwala ndikubwezeretsa thanzi. Nthawi yovomerezeka yathanzi imatha kupitirira chaka chimodzi chifukwa cha matenda amodzi. Atatseka tchuthi chodwala, mnyamatayo amapita kukayezetsa kuchipatala (munthawi yakakamizidwa kuloledwa ndi lamulo).

Pamaso pa matenda oopsa a nthawi zambiri, omwe amapezeka pafupipafupi, anthu olembetsa sanatengeredwe usilikali. Zikumveka kuti pamenepa, pafupipafupi kutulutsa pafupifupi pafupifupi 5 kapena kupitilira apo pachaka. Pankhaniyi, munthu amamva kupweteka kwambiri. Matendawa amaphatikizidwa ndi kutsegula m'mimba kwa nthawi yayitali, zomwe zimapangitsa kuchepetsa kwambiri thupi komanso kutopa. Mavuto amapezeka mu mawonekedwe a shuga kapena stenosis ya duodenum. Kupitiliza maphunziro apamwamba mdziko ili ndioponderezedwa, chifukwa chake, wophunzirayo amapatsidwa gulu lankhondo "D" (wosayenera, kumasulidwa kwathunthu ku gulu lankhondo).

Matenda apakhungu oletsa kupindika nawonso sagwirizana ndi gulu lankhondo. Chomwe chagona ndikufunika kotsatira zakudya komanso chiopsezo chobwereranso. Maziko ake ndi kukhalapo kwa kuchuluka kwa nthawi yayitali kwa milandu ya 3-4 pachaka, kupweteka kwambiri. Kafukufuku wa Laborate akhoza kuwulula kugaya bwino mafuta, mapuloteni. Munthu amatha kuwona momwe akuchepera thupi. Kuzindikira kumawonetseranso kuchepa kwa ntchito ya exocrine gland. Kuti mumasulidwe, ndikofunikira kutsimikizira kuchepa kwa ntchito zachinsinsi kapena zobisalira. Kenako wolembetsayo ali ndi ufulu kulandira tikiti yausirikali popanda ntchito, yomwe imapereka gulu "B" (kumasulidwa munthawi yamtendere ndi kulembetsa mu nkhokwe).

Kodi atenga usirikali ndi pancreatitis yapadera?

Kutupa kwa kapamba ndi njira yofatsa ya matenda kumafunikira kulingaliridwa mosamalitsa. Kuchulukana kosawoneka bwino (kamodzi pachaka), kuyankha bwino kwa chithandizo, kuchepa pang'ono kwa ntchito ya gland, ikhoza kukhala maziko a ntchitoyo. Lingaliro la komiti yolembetsedwayo ligwirizana ndi gawo la "c" la Article 59 la Republic of Belarus: "ogwirira ntchito" gulu la olimbitsa "B-3" ndi malire pazamasankho. Gulu lankhondo lomwe lili ndi mtundu wocheperako wa kapamba limatengedwa ngati gulu lankhondo. Chifukwa chake, milandu iliyonse yowonjezera iyenera kulembedwa ndi dokotala, kapena ndikofunikira kuti atulutsidwe kuchokera kuchipatala zokhudzana ndi mankhwalawa. Kukhalapo kwa deta yakachipatala pakuchepa kwa ntchito ya gland ndikofunikanso. Ngati muli ndi mafunso, tidzakhala okondwa kukulangizani m'dera lathu la VKontakte.

Pancreatitis ndi gulu lankhondo mu 2019

Ngati matendawa atsimikiziridwa, mayesowo amachitika malinga ndi Article 59 ya Ndondomeko ya Matenda, yomwe imamveka ngati Matenda ena am'mimba ndi duodenum, matenda a chiwindi, chikhodzodzo, ndulu ya biliary ndi kapamba. Magulu a moyo wa alumali amayikidwa ndi bungwe lachipatala lankhondo ngati:

a) kuphwanya kwakukulu kwa ntchito - D,
b) kusachita bwino komanso kukokoloka pafupipafupi - B,
c) kuphwanya pang'ono ntchito - B.

Ndime "a" ikuphatikiza:

matenda a chiwindi,
matenda oopsa a chiwindi,
aakulu matenda obwereza kapamba (kulimbikira kwapancreatic kapena pancreatogenic, kutopa pang'onopang'ono, polyhypovitaminosis),
Zotsatira za opaleshoni yoyambitsanso matenda a kapamba ndi matenda amimba,
zovuta pambuyo pa ntchito (biliary, pancreatic fistula, etc.).

Ndime "b" ikuphatikiza:

gastritis, gastroduodenitis yokhala ndi vuto losungika, ntchito yokhala ndi asidi, kuchulukana pafupipafupi komanso kuperewera kwa chakudya m'thupi (BMI 18.5 - 19.0 kapena ochepera), kumafunikira kuchipatala mobwerezabwereza (kupitirira miyezi iwiri) popanda chithandizo chokwanira m'malo opumira,
Matenda a chiwindi ndi chiwindi choperewera komanso (kapena) zolimbitsa thupi,
Matenda a cholecystitis pafupipafupi (kawiri kapena kawiri pachaka) amawonjezera omwe amafunikira chithandizo mosavomerezeka,
chifuwa chachikulu chokhala ndi pafupipafupi (kawiri kapena kawiri pachaka) chikuwonjezera komanso kusokonekera kwa ntchito zamkati kapena zongobisalira,
Zotsatira za opaleshoni mankhwala a kapamba ndi zotsatira za pseudocyst (marsupilization, etc.).

Kulemba "c" ndikuphatikiza:

aakulu gastritis, gastroduodenitis ndi kuphwanya pang'ono kwa chinsinsi ntchito ndi kawirikawiri exacerbations,
biliary dyskinesia,
enzymatic (benign) hyperbilirubinemia,
aakulu cholecystitis, gallbladder cholesterosis, kapamba ndi zosachulukitsa zotulutsa zabwino.

Pali mwayi woti uchotserepo ntchito, koma muyenera kutsimikizira matendawa, kuopsa kwa matendawa, kusowa kwa kapamba, kubwereza pafupipafupi, kulephera kwa chithandizo.

Momwe mungatsimikizire kuti mwazindikira

Pancreatitis ndi kutupa kwa kapamba chifukwa cha zinthu zakunja, zamkati. Ma Enzymes ofunikira kuti chimbudzi cha chakudya chisaponyedwe mu duodenum, koma amachitidwa pamene ali m'mimba. Izi zimabweretsa kuwonongeka kwa zimakhala za mucosa, chimbudzi, mawonekedwe owawa. Kudzimbidwa kumatitsogolera pakuphatikizira poizoni m'thupi, kamene, kudzera m'magazi, amalowa ziwalo zina - ubongo, mtima, chiwindi, mapapu, komanso impso. Pancreatitis imayambitsa kuphwanya kwa chiwindi, ndulu ya m'mimba, m'mimba, ndi duodenum.

Akatswiri amasiyanitsa pancreatitis pachimake ndi zizindikiro zotchulidwa, zopweteka - ndi ulesi, kukhalabe ndi thanzi labwino, kubwereza - matenda osachiritsika omwe amakhala ochulukirachulukira. Kutsimikizira matenda, ultrasound, FGDS, laparoscopy, kuyezetsa magazi kwa amylase, mkodzo wa diastase umagwiritsidwa ntchito. Pankhaniyi, kuwunika kwa pachimake, kupweteka kwa kapamba ndizosiyana mwanjira ina.

Kuti mutsimikizire matendawa, muyenera kufunsa thandizo kuchokera kwa akatswiri a gastroenterologist, akatswiri othandizira, ndikuyezetsa. Koma kuti mutsimikizire mawonekedwe obwereranso, osatha, muyenera kulumikizana ndi akatswiri nthawi zonse mukakhala mukuchulukana. Zosankha zonse ziyenera kulembedwa. Zikuwonetsa, kutalika kwa gawo la kukhathamira, magwiridwe antchito, kusagwira bwino ntchito kwa mankhwala, kuchipatala, malingaliro, malingaliro a akatswiri opapatiza.

Kodi amatenga kapamba wambiri mu gulu lankhondo?

Pancreatitis pachimake imadziwika ndi chithunzi chowoneka bwino cha chipatala, mawonekedwe owopsa. Vutoli limachitika chifukwa cha kuledzera kwa amkati. Kuchitidwa kwa ma pancreatic enzymes kuli ngati njoka. Pali poizoni wa thupi kuchokera mkati. M michere yochulukirapo ya kapamba imapangidwa, ndipamenenso thanzi la wodwalayo limadwalanso. Pancreatitis pachimake nthawi zambiri amathandizidwa kuchipatala.

Njira yodwalayo yamatenda imadziwika ndi thanzi lopanda thanzi, zizindikiro zosakhazikika - mseru, mbali yakumanja, kufooka, kupindika, kuponderezedwa kwam'mimba, ndi zina zotere. Kunja, zinthu zamkati zimatha kuyambitsa chidwi ndi kukulitsa zizindikiro zosasangalatsa, nthawi zambiri, ndi chakudya, mowa, kusuta , kupsinjika, kuphwanya zakudya, kupumula, kukhala phee kapena kuchita masewera olimbitsa thupi mopitirira muyeso.

Kaya matenda apathengo amatengedwa kupita kunkhondo zimatengera kuchuluka kwa kuchuluka pachaka. Gulu "B" limayendetsedwa kubwereza osachepera kawiri pachaka, limakhala kuchipatala miyezi iwiri osakwana chaka. Ndiko kuti, ngati chikalatacho chili ndi pancreatitis yobwereza, koma palibe umboni wotsimikizira izi, adzatengedwa kupita kunkhondo ndi gulu la "B". Nthawi yomweyo, pamakhala mwayi woti atumizidwe ngati kubwezera kuyambika kale m'gulu lankhondo.

Kodi munthu angathe kulembetsa usilikali pancreatic dessfunction?

Bungwe lachipatala lankhondo silikakamizidwa kuti lipange matenda, koma liyenera kuwunika. Ngati zikalata zomwe alembera komisheni yodwala zimawonetsa kuti akuswa ntchito za kapamba, pali mwayi woti amasulidwe. Koma kuchuluka kwa kuphwanya kuyenera kukumbukiridwa. Pakakhala vuto laling'ono, olembawo amatumizidwa kuti azigwira ntchito yolimbitsa thupi "B", yodziyimira - "C", ndikuphwanya kwambiri - "D".

Kulembako amatumizidwa kuti akayang'anidwenso kuchokera ku ofesi yolembetsa usilikali ndi kulembetsa m'chipatala. Akatswiri alemba mawu omaliza. Kutengera izi, bungwe lazachipatala limapanga chisankho. Ngati cholembedwacho sichikugwirizana ndi chigamulo cha bungweli, ali ndi ufulu woweruza milandu pamilandu yapamwamba, kukhothi, kapena ku ofesi ya wotsutsa.

Ndi matenda ati omwe satenga asitikali

Mu chifuwa chachikulu cha pancreatitis, gulu la olimba "G" limayikidwa, kupatsa kuchepetsedwa kwakanthawi kwa miyezi 6 mpaka 12 chithandizo. Kenako ntchito yobwerezabwereza imachitika. Mu chifuwa chachikulu, mumatha kuwerengera kuti:

Matendawa ndi owopsa, obwereza mobwerezabwereza amawonedwa, palibe nthawi yolimbirana chikhululukiro. Ntchito ya pancreatic imalephera.
Kuchulukitsa kumachitika kawiri pachaka, ntchito zachinsinsi komanso / kapena endocrine zimalephera. Kuchiza samapereka achire zotsatira.

Nthawi zina, palibe chifukwa chokakamizidwa usilikali.

Okondedwa owerenga, kodi nkhaniyi idathandiza? Kodi mukuganiza chiyani za kapamba komanso ntchito yankhondo? Siyani ndemanga! Malingaliro anu ndiofunika kwa ife!

Pancreatitis Ichi ndi chiyani

Pancreatitis ndi njira yotupa mu kapamba yemwe amakhudza minofu ya ziwalo. Zotsatira zake, pali kuphwanya kwam'mimba, chimbudzi, chimbudzi cha chakudya komanso kuphwanya kwazomwe zikuchitika m'thupi lonse.

Matendawa limodzi ndi malungo, kusalala, kupweteka kwam'mimba, kusanza kosakanikirana ndi bile. Nthawi zina zimafika pakuchepetsa kuthamanga kwa magazi komanso chizungulire. M'mavuto akulu komanso odwala matenda okalamba, kuchipatala kungafunike.

Pancreatitis imagawidwa m'mitundu iwiri:

pachimake - chimachitika mwachangu komanso chowopsa chifukwa chimatsogolera kusintha kosasintha mu kapangidwe ka kapamba.
aakulu - "Wokhala ngati", pali kusintha kuti ubwerere kuchikhululukiro. Poterepa, minofu ya glandular imasinthidwa ndi minyewa yolumikizana, yomwe singathe kupanga ma enzyme ofunikira. Ngati munthu abwera kuchipatala ndi zizindikiro za kapamba 2 kapena kuposerapo pachaka, matendawa amatengedwa kuti ndi osachiritsika.

Gulu loyenerera la chifuwa chachikulu

Gulu la zamankhwala limaunika kuyenera kolembetsedwa malinga ndi nkhani 59 ya "Ndondomeko ya Matenda", poganizira kutayika kwa kutulutsa tulo komanso kuchuluka kwa kutulutsa. Chikalata chokhazikikachi chimatanthauzira mtundu wa kuvomerezeka:

Pancreatitis yokhala ndi mawonekedwe osokoneza a mahomoni ndi michere yam'mimba. Poterepa, mnyamatayo osayenera ntchito, adapatsidwa gulu - "D". Matendawa ndi oopsa, omwe amakhala ochulukana pafupipafupi, ndimatenda a shuga, thupi limatha. Kalata imapatsidwa ID yausilikari, koma stamp imayikidwa mu pasipoti yake kuti atulutsidwe kwathunthu mu nthawi yankhondo ndi nthawi yamtendere.
Pancreatitis yokhala ndi vuto lozama, koma pafupipafupi (kawiri pachaka). Kuunikiraku kukuwonetsa kusayenda bwino kwa chimbudzi cha mafuta ndi mapuloteni, ntchito ya chinsinsi cha chinsinsi, ndipo chifukwa - kuwonda. Malipoti azachipatala ayenera kutsimikizira kuphwanya ntchito zachinsinsi komanso ntchito za endocrine. Mnyamata gulu "B" - kuchotsedwa mu ntchito yankhondo munthawi yamtendere komanso kulembetsa.
Panecreatitis ndi pang'ono opuwala ntchito. Draftee koyenera kuchitira ndi zoletsa zazing'ono - gulu "B". Pankhaniyi, matendawa ali mu gawo la chikhululukiro chokhazikika, pali zoyenera kuchokera ku mankhwalawa, pali zolakwika zazing'ono za ntchito ya chiwalo. Potere, zoletsa pazosankha asirikali zidzafika (mwachitsanzo, sizingatheke kutumikirira ku Airborne Forces, ankhondo akumalire).

Dotoloyo atalemba chikalata chodwala matendawa, wodwala amayenera kukayezetsa panthawi yoikika.

Kodi mungamasukidwe bwanji?

Pofuna kuti musamasuke ku gulu lankhondo, muyenera kulembapo za matendawa, sonkhanitsani mapepala ofunika. Adalemba akufuna kutengera zikalata zotsatirazi:

setifiketi ya mbiri yakale yakuchipatala komanso momwe matendawo aliri pano kuchokera ku chipatala, ndi kufotokoza kwathunthu,
makopi a khadi lolembera anthu kunja ndi zilembo zonse zofunika,
kumaliza kwa gastroenterologist,
Zotsatira za labotale (ma program, magazi ndi mkodzo), ultrasound,
milandu ikachulukitsa - satifiketi kuchokera kwa gastroenterologist ndi madipatimenti opanga opaleshoni a mabungwe azachipatala.

Ngati mayeso ofunikira sanaperekedwe kapena kuti sanaperekedwe zolemba zonse, ndipo lingaliro likakhala pakuyenererana, mlembowo ali ndi ufulu wokakamiza zochita zina pakuchipatala kuti ziwunikenso. Ngati wakanidwa izi, akhoza kukadandaula ku makhoti kapena kwa olamulira apamwamba.

Ngati, komabe, cholembedwacho sichingaperekedwe ndi zikalata zonse kuti amuchotsere ntchito, koma kutumidwa kwa madokotala pamaziko a mayeso ndikuwunikira kukayikira zovuta za matendawa, mnyamatayo atumizidwa kukayesedwa ku chipatala chankhondo. Adzapatsidwa gulu "G" - losakwanira kwakanthawi.

Chifukwa chake, ndi matendawa, chifuwa chachikulu, munthu wachinyamata akhoza kukakamizidwa kupita kunkhondo. Chachikulu ndikuti izi zilembedwe. Lipoti lililonse lazachipatala komanso lingaliro lokonzekera usilikali zitha kuperekedwa. Zochita zokha ziyenera kutengera kutsatira malamulo ndi malamulo.

Magawo olimbitsa thupi a pancreatitis

Kuti tiyankhe funso lomwe amapezeka kuti ali m'gulu lankhondo, tithana ndi chiwonetsero chazindikiritso. Zizindikiro za matendawa ndizosavuta kutsutsana ndi mawonekedwe a matenda ena. Pakakhala vuto, wodwalayo amakhala ndi ululu pamimba, chifuwa cham'munsi, malungo amadzuka ndi nseru kapena kusanza kumayamba. Nthawi zina, pakukhupuka, magazi amachepa, khungu limasanduka lotuwa ndipo thukuta lomata limatuluka pamphumi pake.

Mankhwala, mitundu itatu ya kapamba amadziwika: pachimake, pachimake komanso kupweteka. Kutengera mtundu wa matenda ndi kuuma kwake, zolembedwazi zitha kupatsidwa imodzi mwamagulu awa: "D", "B" kapena "B".

Matenda a khunyu: amatenga usirikali kapena ayi?

Malinga ndi Article 59 ya Ndondomeko ya Matenda omwe amadziwika ndi "pancreatitis" yayitali, gulu lankhondo silikuwopseza mumodzi mwazinthu izi:

Matendawa ndi oopsa, komanso obwerezabwereza. Palibe nthawi yolimbirana chilolezo. Ntchito ya pancreatic imalephera.
Exacerbations imawoneka kawiri pachaka, ntchito zachinsinsi ndi / kapena endocrine ndizowonongeka.

Ndi matenda apakhungu a pancreatitis, amawatengera ku gulu lankhondo ndimawonjezereka komanso mphamvu zake zamankhwala. Chifukwa chake, kuti mupeze tikiti yankhondo, ndikofunikira kutsimikizira osati kukhalapo kwa zovuta zamagulu ogwira ntchito, komanso maulendo obwereza. Kwazaka zambiri zogwira ntchito mu Thandizo la Ma Drafomiti, ndazindikira zomwe zikuchitika: achinyamata omwe ali ndi pancreatitis nthawi zambiri amakonda kuthetsa kuzunza kwawo, osapita kwa dokotala. Kunyalanyaza kotereku kumatha kubweretsa foni. Ngati chikalatacho chilibe zikalata chovomerezeka chofunsira thandizo la kuchipatala, bungwe lankhondo lingamuyankhe kuti ndi woyenera kupita kunkhondo.

Kuti mupeze khadi yachipatala, muyenera kupereka umboni wa matendawa kuofesi yakulembetsa usilikali. Chifukwa cha izi, zomwe zimachokera ku mbiri yakale yazachipatala, zotsatira za endoscopy kapena ultrasound, ndi ziphaso za kuchipatala ndizoyenera.

Pakulemekezani inu, Mikheeva Ekaterina, Mutu wa Dipatimenti Yazamilandu Yothandizira Ntchito Zothandizira Ma Drafomiti.

Timathandizira okonzekera kulemba zikalata zankhondo kapena kuimitsa boma mwalamulo: 8 (800) 333-53-63.

Pancreatitis chifukwa chamkati

Pancreatitis ndi ankhondo, kodi amatenga kuti atumikire? Nkhaniyi nthawi zambiri imakhala yosangalatsa kwa makolo a anyamata omwe amasintha ntchito za kapamba.

Ngati ntchitoyo ili ndi pancreatitis yosatha, kodi akutenga mankhwalawa ku gulu lankhondo? Kuti tiyankhe, tiona mwachidule za matenda a kapamba.

Kuwonetsedwa kwa kutupa mu ziwalo parenchyma nthawi zambiri kumawonetsedwa ndi chitukuko chokhazikika, chomwe chimasinthidwa ndi nthawi yowonjezera ndikuchotsa.

Kukula ndi kuopsa kwa kuwonjezereka kwa matendawa kumachitika chifukwa cha kuopsa kwa kutupa, thanzi lonse lolemba, chitetezo cha mthupi, zinthu zomwe zimapangitsa kuti pakhale matenda a kapamba, ndipo chinthu chachikulu ndikuchokera pakudzipereka kwa wodwalayo kuchipatala, kukhazikitsa kwa malingaliro onse a dokotala pokhudzana ndi chithandizo, zakudya ndi moyo.

Zizindikiro mu pachimake yotupa kapena kukokoloka kwa kapamba matenda aakulu kwambiri.

M'magulu ankhondo, sizingatheke kutsatira malangizo onse a gastroenterologist popewa kufalikira kwa ziwengo za matenda a ziwonetserozo pazinthu izi:

kulephera kutsata manambala a manambala a manambala 5, omwe amapangidwira odwala kapamba,
kulimbitsa thupi kosatha,
kupsinjika, chikhalidwe chovuta,
Pakadali pano, chithandizo chamankhwala chokhazikika sichipezeka.

Kutupa kwa kapamba, mitundu, magawo a matendawa, kuchuluka kwa kuyenerera kwa amuna pantchito yankhondo akufotokozedwa munkhani 59 ya ndandanda yapadera yamatenda.

Kutengera mtundu wa nthenda zamatenda komanso kuchuluka kwa ntchito yankhondo, pali mfundo zazikuluzikulu zitatu.

Clause A - amapereka mtundu wa kapamba amasinthidwe amtundu wa chinsinsi ndi endocrine. Izi zikutanthauza kuti draftee imasintha mu magwiridwe antchito ndikuamasulidwa kwa mahomoni mu kayendedwe kazungulire. Kusintha kumeneku kumabweretsa kupangika kwa matenda akulu a endocrine dongosolo, omwe amakhudzana ndi kusintha kwa maselo a ziwalo. Ntchito yofunafuna ya gland imakhala ndi chimbudzi cha ma pancreatic michere ndi gland, ntchito ya chiwalo m'migawo, kugaya chakudya.
B - amatanthauza kukhalapo kwa zovuta zazing'ono za magwiridwe antchito a ziwalo, pafupipafupi ziwonetsero za kapamba. Pafupipafupi mwa izi zachulukitsa sikuti kupitilira katatu pachaka chonse.
Mu - kalasi iyi imazindikira kupatuka pang'ono pakupanga ndi magwiridwe antchito a kapamba.

Matenda owopsa

Poganizira zidziwitso zomwe zimapezeka mu ndandanda ya ma pathologies, okhudzana ndi momwe angatengere ntchitoyi pakakhala kapamba, ndizotheka kumveketsa zomwe zachitika. Ndime 59 imapereka chidziwitso chokwanira chowunikiranso kuti mudziwe ngati achinyamata azaka zankhondo omwe ali ndi matenda otere atha kukhala m'gulu lankhondo.

Kutengera ndi thanzi la abambo, atapereka kalembera wamkulu pantchito yachipani ndipo amapatsidwa ntchito yachipatala.

Gulu D limayitanitsidwa kuti:

Pali chifuwa chachikulu cha kapamba, chomwe chimachitika pafupipafupi.
pali zovuta m'matenda a shuga,
thupi latopa
kutsegula m'mimba kwa matenda a pancreatic etiology,
kusowa kwa mavitamini.

Gulu D limayikidwanso ngati chimbudzi cha pancreatic yapezeka, cholembedwacho chinaperekedwa kuti chithandizire kutulutsa chiwalo chifukwa cha necrosis kapena abscess.

Chifukwa cha kuzunza kwa zam'mabatizidwe, cholembedwa choterechi sichiyenera kukhala m'gulu lankhondo, safunikira kunyamula zikalata kupita nawo ku bodiyo. Adalandira ID yausitikali, ndipo papasipoti azisonyeza kuti mwamunayo wachotsedwa ntchito. Mu matenda osachiritsika omwe amatenga matendawa mobwerezabwereza, gulu lankhondo limaperekedwa.

Gulu B limaphatikizapo ntchito ndi olumala. Mwamuna sangathe kugwira nawo ntchito yomenyera ndege, asitikali, amalire, matanki ndi asitima yapamadzi.

Zachitika kuti amayika gulu G, zomwe zikutanthauza kuti gulu la asitikaliwo amugwira kwa miyezi isanu ndi umodzi. Komiti yolemba anthuwa imapereka mpumulo kuchokera ku gulu lankhondo kuti nthawi imeneyi bambo azitha kumuyeza ndikumuthandizira.

Gulu B ndilochepa achinyamata. Amavomerezedwa ngati nkhokwe, samakhala usitikali wankhondo ngati kuli dzikolapansi mdziko muno, ndipo panthawi yankhondoyi akuitanidwa kuti ateteze dziko lakwawo.

Gawo A liziikidwa ngati mwamunayo ali woyenera kukakamizidwa.

Zolemba zotsimikizira matendawa

Asanapereke izi, bambo amatenga zikalata zofunika kutsimikizira kuti ndi kapamba kuti akapereke kwa dokotala.

Mndandanda wamakalata wotsimikizira kuti ali ndi matendawa.

Kufufuza kwathunthu, kuphatikizapo kuchuluka kwa kusanthula kwa maabara
Zolemba zamankhwala, kapena zolembedwa zawo zosainidwa ndi kusindikizidwa.
Zambiri zakuchira kuchipatala.
Zowonjezera za mbiri ya matenda omwe amaphatikizidwa ndi kusintha kwa malo, kukhalapo kwa zovuta.
Mapeto ake, momwe matenda amafotokozedwera, udindo wa wodwalayo.
Satifiketi yakuchipatala.

Mwamunayo atalephera kupereka zikalata zonse, ndipo adotolo akuwonetsa zodziwikiratu za kapamba, amatumizidwa kukayezetsa kuchipatala chankhondo. Wokonzekera amapatsidwa gulu G kuti sakwanira kwakanthawi. Chifukwa chake, mnyamatayo amafufuzidwa mosapumira, kapena amayang'aniridwa kumalo ophunzitsira komwe akukhalako, nthawi zambiri amawonekera ku ofesi yolembetsa asitikali pakampaniyo.

Pancreatitis pa msambo kukonzekera

Mkhalidwe wazovuta za kapamba, mawonekedwe, gawo la matenda, kuchuluka kwa zoyenera kuchitidwa mu gulu la Asitikali aku Russia ndi kutsimikiziridwa ndi Article 59 ya Special Edition of matenda. Malinga ndi mtundu wa matenda a zamatenda ndi kuchuluka kwa momwe mungagwiritsire ntchito, magawo atatu am'munsiwa amapezeka:

Clause A imapereka mtundu wa kapamba wokhala ndi vuto linalake lamkati ndi endocrine. Izi zikutanthauza kuti ntchito yopanga ndi kumasula mahomoni - insulin ndi glucagon - m'magazi imakhala yovuta kwambiri m'malembo. Kuphwanya kotereku kumabweretsa chitukuko chachikulu cha endocrine pathology, komwe kumakhudzana ndikuphwanya maselo a chiwalo chachiwalo. Kuchuluka thupi ntchito kuphatikiza chimbudzi michere ndi gland, nawo thupi mu chimbudzi, assimilation chakudya.
Point B amatanthauza kukhalapo kwa kusokonezeka kwakanthawi kwa ntchito zomwe zatulutsidwa, England. Pafupipafupi zotere - kangapo pachaka cha kalendala.
Ndime imapereka chocheperako pang'ono pakupanga ndi magwiridwe antchito a kapamba.

Zomwe Zinthu Zoyambitsa Matenda Zimalankhula

Tiyeni tikambirane mwatsatanetsatane ndime iliyonse ya Article 58, pamenepa tidziwitsa ngati atengeredwe usilikali omwe ali ndi pancreatitis yayitali.

Ndime ya nkhaniyi ikunena kuti osalembetsedwa usilikali sangakwanitse. Tikiti ya asirikali yalembedwa - gulu "D" - siloyenera kupita kunkhondo.

Matendawa amakhala mochulukirapo m'chilengedwe osinthika pafupipafupi komanso ali ndi zizindikiro zazikulu zamankhwala. Kubwezerera kumawonedwa mobwerezabwereza chaka chonse. Kupatuka komwe akuti:

Kukula kwa matenda am'mimba a pancreatogenic.
Mtundu woyamba wa shuga.
Kutopa kwathunthu.
Kuperewera kwambiri kwa mavitamini ndi mchere.

Ma alfrumu gulu D limakhazikitsidwa ndi zovuta komanso zovuta zovuta za matenda omwe apezeka pamutuwu:

Kukhalapo kwa pancreatic fistula.
Mkhalidwe pambuyo pancreatic resection.
Mkhalidwe pambuyo abscess kapena pancreatic necrosis.

Mwanjira iyi, omwe akukonzekera ntchitoyi amalandira ID yausirikali m'manja mwake, pomwe cholembedwa chimalembedwa pazosayenera kugwira ntchito yankhondo. Mnyamatayu amadziwika kuti ndi wosayenerera kupita kunkhondo nthawi yamtendere komanso wankhondo.

Malinga ndi gawo lomasulidwa mu Article 58, chikalata chodziwika kuti ndi choyenera kupita kunkhondo, chikugwera pagulu la B. Panthawiyi, mnyamatayo wapezeka ndi chifuwa chachikulu chomwe chimayambiranso ndipo amalephera kugwira ntchito kapamba. Mnyamata samatengedwa kupita kunkhondo nthawi yamtendere, koma amawerengedwa ngati nkhokwe. Pakakhala nkhondo m'dera la boma, bambo amakhala woyitanidwa.

Malinga ndi zomwe tangotchulazi, chikalatacho chimapezeka kuti chili ndi zoletsa ntchito zokhudzana ndi usilikali zomwe zimakhudzana ndi nthambi zankhondo. Kulembedwera kumagwera gulu B. Ili ndi magawo 4 molingana ndi zida zankhondo. Izi zimaphatikizapo anyamata achichepere omwe achulukitsa kwambiri matendawa komanso samathanso kugwira ntchito kwa kapamba kapenanso ngati akukhululukirana nthawi zonse. Izi zimaphatikizanso anthu omwe ali ndi zotsatira zabwino zamankhwala othandizira.

Mwanjira iyi, oyendetsa ntchitoyi sangathe kulowa nawo m'magulu ankhondo, ma sitima, ma sera, komanso ma tank ndi pansi pa madzi.

Momwe mungatsimikizire kusakwanira kwa ntchito yankhondo

Kuti gulu lipatsidwe gawo la "D" kapena "B" ndikumasulidwa ndikugwira ntchito m'magulu ankhondo aku Russia, kukhalapo kwa zizindikilo ndi kuopsa kwa njira ya pathological kuyenera kutsimikiziridwa ndi zikalata zoyenera. Kuti izi zitheke, ndikofunikira kutumiza zikalata ku bungwe lachipatala lankhondo:

Chotsitsa kuchokera ku khadi lapaulendo kuchokera ku chipatala komwe akukhala oyang'anira. Limafotokoza mwatsatanetsatane anamnesis a matendawa, mawonekedwe omwe alembedwa pakadali pano.
Zomwe zimachokera ku mbiri yachipatala ya wodwala kuchokera kuzipatala zapadera.
Zotsatira za mayeso a zasayansi, zamankhwala komanso zothandiza. Biochemical kusanthula kwa magazi ndi mkodzo, zosanthula za kupimidwa kwa ma pancreas, ndi zina zotere.
Mapeto a gastroenterologist.

Ngati kukonzekera kulephera kupereka zikalata zomwe zatchulidwa pamwambapa, ndipo komiti ya madotolo itazindikira bwino matendawa, draftee imatumizidwa kukayesedwa mu chipatala cha asirikali. Gulu G likuwonekera kwa mwamunayo - sakuyenerera kwakanthawi. Mwanjira iyi, ulembedwewo udzaunikidwa pamtunda wokha kapena kuti awatsatire kumalo komwe akukhala ndikugonjera kwa komisheni yachipatala ku commissariat yankhondo kumalo olembetsa.

Kuletsa kwina

Draftee ikawonedwa ngati yosayenera kapena kulandira ziletso pazankhondo, ziletso zina zidzatsatiridwa mtsogolo. Makamaka, anthu otere amawonedwa ngati osayenera kugwira ntchito yankhondo pansi pamgwirizano.

Wodwala wodwala kapamba amatha kulowa m'maphunziro apamwamba ankhondo. Kukula kwa matendawo kulibe kanthu.

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu: