Miyala ya pancreatic: zoyambitsa ndi momwe muyenera kuchitira

Miyala ya pancreatic (kapamba) ndizowerengeka zopangidwa kuchokera ku mchere wa carbonic ndi phosphate wa calcium. Muzochita zachipatala, mawonekedwe a mawonekedwe oterewa amatchedwa pancreolithiasis. Nthawi zambiri, mawonekedwe a calculi mu parenchyma ndi ma pancreatic ducts, koma nthawi zina amatha kupezekanso mu ducts ya bile. Mkhalidwe wamtunduwu umakhudza molakwika ntchito yachinsinsi mkati ndi kunja.

Chifukwa chiyani miyala imapezeka m'mapamba ndi kuopsa kwake

Maonekedwe amiyala kapamba ndizosowa kwambiri. Mapangidwe ake amafunikira kuphatikiza pamodzi pazinthu zingapo. Kutupa kwa kapamba kumawonekeranso pakuwonekera kwa ma calcication, ndipo kuwonjezera apo, zinthu zomwe zimayendetsedwa ndi kusayenda kwa madzi a pancreatic. Matendawa ndi monga:

Nthawi zambiri, mapangidwe oterewa m'matumba a kapamba amapangidwa mwa anthu omwe nthawi zambiri amakhala ndi vuto la pancreatitis.

Kuphatikiza apo, mapangidwe a mawerengeredwe nthawi zambiri amaphatikizidwa ndi kusintha kwa kapangidwe ka magazi motsutsana ndi maziko a leukemia ndi sickle cell anemia. Pankhaniyi, miyala yapadera ya cholesterol imapangidwa nthawi zambiri. Pali zinthu zingapo zodziwika bwino zomwe zimapangitsa kuti ma calculi apangidwe mosiyanasiyana amtundu wa kapamba. Izi zikuphatikiza:

• matenda ashuga
• ukalamba
• wamkazi
• kunenepa
• kudya zakudya zamafuta amnyama,
• kumangokhala
• uchidakwa komanso kusuta fodya.

Zomwe zimayambitsa miyala m'matumba a pancreatic zitha kukhala kuzunza kwa okhwima. Nthawi zambiri zimafanana ndi zomwe zimachitika mwa azimayi omwe amatsata zakudya zochepa kapena osafuna kudya. Pankhaniyi, pancreolithiasis imalumikizidwa ndi anorexia kapena bulimia.

Kapangidwe kakang'ono sikumayambitsa chiwonetsero chilichonse cha matenda. Zizindikiro zoyambirira zamiyala mu kapamba zimawonedwa zitatha kukula kwakukulu. Nthawi zambiri mapangidwe a calculi akulu amawonetsedwa ndi zizindikiro za kapamba.

Odwala makamaka amadandaula za kupweteka kwambiri. Zomverera zosasangalatsa zimadziwika pamimba yapamwamba. Nthawi zambiri amapatsa dera lumbar.

Mwala ukalowa mu ndulu ya bile, umayambitsa zovuta zina. Poterepa, khungu la m'maso ndi khungu limakhala ndi mtundu wachikaso. Miyala mu kapamba imayambitsa kutsika kwa kudya ndi kutopa kwa thupi.

Zizindikiro

Popeza kupangidwa kwa miyala mu kapamba sikumayendera limodzi ndi zizindikiro zapadera, sikokwanira kusungitsa anamnesis ndi mayeso akunja kuti muwazindikiritse. Kuti mutsimikizire mapangidwe a ziwonetsero mu kapamba, ndikofunikira kugwiritsa ntchito njira zodziwira matenda.

Mukamayesa X-ray, mawonekedwe ake mu chithunzicho amawoneka ngati mithunzi yaying'ono yazungulira. Amatha kukhala osakwatiwa kapena angapo. Kuti mumvetse bwino za matendawa, zithunzi zingapo zimatengedwa mosiyanasiyana. Kujambula kwa ultrasound kungafunike kuti muwone njira zoyenda bwino zomwe zingasonyeze kupepuka mu minofu ya pancreatic.

Kudziwa molondola kupezeka kwa mawonekedwewa kumapangitsa MRI. Iyi ndi njira yolondola kwambiri, koma yodula, motero imagwiritsidwa ntchito pozindikira kapangidwe kake kapamba, akaonekera kwa wodwalayo m'njira yoyipa. Kuphatikiza apo, ndi matenda amtunduwu, ma ultrasonography ndi retrograde cholangiopancreatography nthawi zambiri amachitidwa.

Kuphatikiza apo, ma endoscope nthawi zambiri amagwiritsidwa ntchito kutsimikizira zowerengera, zomwe sizimalola kungoyang'ana kapangidwe ka chiwalocho, komanso kutenga biomaterial kuchokera kumiyendo yake kuti apitenso kafukufuku wa histological.

Zambiri

Chiwalo chathanzi ndi chithokomiro chokhala ndi lathyathyathya, madzi amaduwula, ndikulowa m'matumbo aang'ono. Pancreatitis imasintha mawonekedwe a duct, ndipo m'malo ena imachita chifukwa cha kutupa. Pambuyo pake, sikuti madzi onsewo amatuluka ndipo ndimatsimikiziratu kuti kupezeka kwa ma calcifying mu kapamba - awa ndi miyala yomwe amapangidwa. Zitha kukhala zazikuluzikulu zosiyanasiyana - kuchokera kumchenga wama microscopic mpaka miyala yama mm.

Chonde dziwani kuti kapamba, wotsekedwa ndi miyala, ali ndi dzina lazachipatala - kapamba wa pancreolithiasis!

Nthawi zambiri, blockage imachitika m'miyala yayikulu ndi kumutu kwa chiwalocho ndipo nthawi zambiri m'matupi ndi mchira wa gland.

Palibe odwala ambiri a pancreolithiasis, matendawa amapezeka mwa anthu osakwana 1%. Pafupifupi 50% ya omwe adazunzidwayo anali ndi chiyembekezo chakutsogolo kwa izi.

Kuphatikiza pakupangidwe kwa ziwonetsero mu kapamba, palinso kuthekera kwa miyala yamtambo mu gallbladder. Amayala ndulu ya bile, yomwe imalumikizana ndi kapamba. Mwala wopangidwa utatsika ndikutseka chotsekera, ma enzymes am'mimba amayamba kugwira ntchito m'mimba yakeyo ndipo imawonongeka. Kudzimva kwamtunduwu kumatha kupweteka kwambiri pakati pa anthu. Nthawi zambiri, ndimamva zowawa zomwe zimatumiza wodwala kwa dokotala kuti akamupime.

Ngati bile duct lesion sichichiritsidwa pakapita nthawi, wodwalayo amadzapangidwanso ndi biliary pancreatitis (matenda osachiritsika).

Zimayambitsa mapangidwe amwala m'mapamba

Chifukwa chomwe kapamba amatsekeka ndi neoplasms, mankhwala sanaphunzirepo kwathunthu. Koma mndandanda wazinthu zomwe zingakhudze chitukuko cha matenda apangidwe kale:

• Kunenepa kwambiri
• Zizolowezi zoyipa zomwe zimakhala ndi chithunzi (mowa ndi kusuta),
• Kupangidwe kwa ma cysts kapena zotupa (zoyipa ndi zoyipa), zomwe zimathandizira kuchepetsedwa kwa ma ducts,
• Matenda am'mimba (monga cholecystitis, duodenitis ndi kapamba),
• Kuphwanya njira ya kagayidwe kachakudya,
• Zotsatira za zaka (Pambuyo zaka 40, anthu amatenga matenda)
• Zotsatira zakulephera kuchita masewera olimbitsa thupi,
• Matenda a shuga:
• Kukonzeratu kwa matenda a chiwindi ndi impso,
• Mimba (makamaka zingapo) ndi kusokonekera kwa mahomoni mwa azimayi,
• Kuchulukitsa chakudya chosalekeza komanso kusala kudya,
• Kumwa mankhwala ambiri, kuphatikiza kulera kwa mahomoni,
• Choyipa.

Kapangidwe ka kapamba

Njira zodziwira matendawa

M'zaka zaposachedwa, mankhwala amakono amatha kudziwa milandu yamiyala m'mapapo kumayambiriro kwa chitukuko ndikupereka chithandizo chofunikira. Izi ndichifukwa chakupanga kwamakono amakono pankhani zamankhwala. Kondomu imatha kupezeka mosavuta, kuphatikiza pa mayeso wamba (mkodzo ndi magazi), dokotala atha kukulemberani:

• Kufufuza kwa Ultrasound (ultrasound kumapangitsa kuti kuzindikiritsa bwino mawonekedwe a chiwalo ndi miyala yomwe ili),
• MRI ndi CT - kuthekera kudziwa momwe ziwalo zimapangidwira komanso momwe zimasinthira miyala,
• Kupenyerera kwa X-ray pamatumbo athu onse kuti atha kumuunika mosiyanasiyana.
• Kuti mudziwe momwe thupilo limagwirira ntchito, endoscopic retrograde cholangiopancreatography ndondomeko imalembedwa.

Tekinolo yamakono imapangidwa kwambiri lero kuti zikondamoyo zimayang'aniridwa mosavuta ndipo kupezeka kwa mawonekedwe ndi ma microscopic calculi mumisempha ndi ma ducts omwe amatchedwa mchenga amadziwika.

Zizindikiro zoperekera

Chizindikiro chachikulu chomwe chimapangitsa kuti munthu apite kuchipatala posachedwa ndi ululu wambiri komanso wautali wamkati wam'mimba kapena kumanja. Ululu umatha kuperekedwa kumbuyo kapena kudera lamapete. Zisangalalo zosasangalatsa zimatha kukhala nthawi yayitali ndipo zimachitika nthawi zambiri mukatha kudya kapena kumwa mowa.

Kuphatikiza pa zowawa, mutha kusiyanitsa zingapo zazikulu zomwe zikuwonetsa miyala mu kapamba:

• Kutentha kwakutali kwa nthawi yayitali,
• Kuzindikira chikaso cha khungu,
• Kuchuluka thukuta,
• Kumva kawirikawiri kapena kusanza mseru, kusanza,
• Choyera chofiirira kapena chopepuka ndi kuzindikira kwa mafuta,
• Kukula m'mimba ndi kupweteka palpation,
• Kuzindikira pachimake kapamba limodzi ndi yotupa,
• Zofooka limodzi ndi thukuta lomwe limakulirakulira.

Ndi njira yayitali popanda chithandizo chofunikira, zikondamoyo zomwe zimakhalapo ndizoyambitsa matenda zimatha kutenga zovuta zowopsa monga matenda a shuga. Zizindikiro zazikulu za matenda ashuga zimaphatikizapo:

• Mumva ludzu pafupipafupi ndi pakamwa lowuma
• Mapangidwe ammonia mkamwa,
• Kuyang'anira kuchuluka kukodola (polyuria),
• Kuchulukitsa kwa maswiti
• Kusintha kwakuthwa kwambiri kwa thupi.

Zofunika! Ngati mukuwona zizindikiro zomwe zikupanga kukhalapo kwa miyala mu kapamba, makamaka kuphatikiza kwake, ndikofunikira kuchita mayeso a magazi ndi mkodzo (makamaka pophatikizana ndi biochemistry) ndikupita kwa dokotala ndi zotsatira zake.

Njira zochizira miyala mu kapamba

Ngati matenda atapezeka, wodwalayo saloledwa kuchotsera pawokha matendawa ndikuwathandizira - izi zimabweretsa zovuta komanso zosayembekezereka.

Mitundu yotsatira ya chithandizo ikhoza kusiyanitsidwa:

1. Mankhwala othandizira
2. Kutsatira zakudya zomwe zidaperekedwa,
3. Chithandizo cha anthu,
4. Chithandizo cha opaleshoni yam'mimba.

Njira yothanirana ndi mankhwalawa imakupatsani mwayi kuti muchotse miyala mu kapamba popanda opareshoni. Mapiritsi ndi mankhwala ena amasankhidwa ndi katswiri kutengera kuchuluka kwa mawerengeredwe, kukula kwake ndi momwe wodwalayo alili. Nthawi zina zimakhala zotheka kusankha mankhwala omwe amathandiza kusungunula ndikuchotsa mawonekedwe. Koma mankhwala osokoneza bongo amatha kuthandizira ndi miyala yaying'ono. Mwachitsanzo, Ursodiol kapena Henodiol amathandiza bileefy bile, komanso kuphwanya, kuwononga ndikuchotsa miyala ku kapamba.

Miyala ya kapamba

Ndi chithandizo chilichonse, kuphatikiza apo, dokotala amakupatsani zakudya zofunika:

• Chakudya chiyenera kukhala chosakanikirana - zakudya zosachepera zisanu,
• Chosiyana ndi kumwa koloko (Coca-Cola ndi ena) tiyi, khofi, maswiti,
• Kukana chakudya chokazinga, mafuta, zonunkhira komanso zonunkhira,
• Kukana zakumwa zakumwa zoledzeretsa ndi chikonga,
• Kumwa madzi okwanira mthupi (madzi oyera),
• Zakudya zonse zophika ziyenera kuphikidwa kapena kudyedwa popanda kugwiritsa ntchito mafuta.

Kuperewera kwa zakudya m'thupi komanso vuto la kuperewera kwa zakudya m'thupi kudzakhala ndi zotsatira zoyipa pamaphunziro ndi kukulira kwa matenda a kapamba, omwe pambuyo pake amatsogolera pakugwiritsa ntchito opaleshoni.

Pakati pa mankhwala achikhalidwe, munthu amatha kugwiritsa ntchito zitsamba kutulutsa bile ndi chindapusa chomwe chimathandizira pakukuta ndikuchotsa miyala yaying'ono. Kukonzekera kwazitsamba kotsatira kumakhala ndi zotsatira zabwino:

• Beri yotseka kapena khungwa la aspen,
• Timbewu tonunkhira ndi dandelion muzu,
• Chamomile ndi dieelle,
• Muzu wakupakidwa kwa masiku atatu,
• Tiyi yochokera ku wort ya St. John, chamomile, violets, linden ndi timbewu (kuphatikiza kulikonse ndizotheka) - kumalimbikitsa thupi.

Musanagwiritse ntchito mankhwala azikhalidwe kunyumba, ndikofunikira kukaonana ndi dokotala zakufunika kogwiritsa ntchito njirayi matenda ena apakhungu. Kulumikizana ndikofunikira, chifukwa chithandizo choterechi chimatha kupereka kayendedwe komanso kufalikira kwamiyala yamiyendo ya bile. Dokotala amatenga nthawi yayitali kuti adziwe momwe wodwalayo alili.

Ndi mapangidwe amiyala mu zikondamoyo zazikulu, opaleshoni sangapewe. Pankhaniyi, zikutsatirazi zikutsimikizira njira ya opaleshoni yochotsa miyala:

• Ululu ukupitilira
• Chithandizo chosagwiritsidwa bwino ndi njira yothandizira,
• Cystic neoplasm,
• Kuperewera kwa kapamba,
• Matenda a kapamba,
• Pachimake kupitirira kutupa.

Njira yocheperachepera ndi ESL. Nthawi yoyesedwa, wodwalayo amayikidwa pansi kuti agwiritse ntchito mafunde. Mafundewa amatha kuthyola ndi kupukusa maumbidwe. Kuphatikiza apo, ufa umachotsedwa zokha kapena kugwiritsa ntchito ma endoscope. Nthawi zina mumatha kumva kuwawa mpaka kuwonetseredwa kwa mikwingwirima.

Njira ya ERCP imakupatsani mwayi kuti muchotse miyala yaying'ono ndi endoscope (kupangika kwapang'ono), pomwe miyala ikuluikulu imakankhidwira pamatumbo, yomwe imatha kuwatsogolera mwachilengedwe.

Ngati chithandizo cha kapamba sichili koyenera, makulidwe amomwe amayamba kuyimitsidwa awonekere. Poterepa, opaleshoni yathunthu imagwira ntchito yochotsa miyala mu kapamba, lonse kapena mbali yake, kutengera kukula kwa malo omwe akukhudzidwawo.

Zomwe zimayambitsa matendawa

Miyala ya pancreatic imatha kupanga zifukwa zingapo.

1. Kutupa komwe kumachitika m'mimba. Nthawi zambiri, amayamba chifukwa cha kupindika mu ndulu, komanso kutupa kwa m'mimba mwa kapamba. Pancreatitis imakhumudwitsa mapangidwe a miyala pafupifupi 65% ya milandu.
2. Njira zoyenda mozungulira mu ma gland, zomwe nthawi zambiri zimayamba chifukwa cha oncological neoplasms ndi cyst. Nthawi zina kuvulala kumayambitsa kukokoloka, komwe kumatupa kwambiri pamimba.

Mapangidwe azigawo zowopsa amapezeka m'magawo angapo.

1. Poyamba, pali kuphatikiza kwakukulu kwa madzi a kapamba mu tiziwalo ta chiwalo. Zotsatira zake, zimakhazikika kwambiri ndikupanga mawonekedwe a protein.
2. Pa gawo lachiwiri, phosphorous ndi calcium zimapangidwa mokhazikika m'mapuloteni, omwe amakhala gawo lalikulu lamiyala.
3. Pa gawo lachitatu, mapangidwe athunthu a mawerengeredwe ndikuphatikizika kwa zizindikiro zonse chifukwa cha kutupa komwe kumayambitsa matendawa kumawonedwa.

Zakudya zoyenera ndizofunikira pakuchiritsa miyala ya pancreatic

Zizindikiro ndi zovuta zotheka

Kuphatikiza apo, wodwalayo amadandaula za kupweteka pamimba pamimba. Pang'onopang'ono, kuphwanya kotereku kumabweretsa kufa kwa maselo a pancreatic, omwe amayambitsa matenda ashuga komanso kufunika kochizira ndi insulin.

Ngati mawotchi otulutsidwawo atsekera mzerewo, nduluyo imatha kutentha kwambiri, chifukwa kutuluka kwa bile kumasiya. Vutoli lifunika kuchitapo kanthu mofulumira.

Ngati mwala wochokera ku kapamba ulowa mu duct ya bile, wodwalayo amakhala ndi chikhungu pakhungu.

Kuchotsa mwala wa Endoscope

Zakudya zamiyala kapamba

Ndi mapangidwe amiyala mu kapamba ndipo atatha kuphwanya, chakudya chotsimikizika chimakonzedwera wodwalayo, kuwonetsa zomwe angadye. Wodwala sayenera kumwa zakumwa zoledzeretsa zilizonse pazakudya zake, mosasamala kuchuluka kwa zakumwa zoledzeretsa. Ndizosavomerezeka kudya zonunkhira, mafuta ndi zakudya zokazinga, maswiti, tiyi wamphamvu, khofi. Mambiri mazira ambiri ndi mbale zomwe zili nazo. Muyenera kutaya mbale ndi bowa ndi chokoleti.

Masamba ophika, nyama ndi othandiza.Ndikofunika kuti musankhe zakudya zamtundu wa nyama kokha kuchokera ku mitundu ya zakudya. Kalulu wothandiza, nkhuku, nkhuku, nkhuyu. Nkhumba imaloledwa, koma yokhayo popanda kupezeka pang'ono kwamafuta. Zopangira mkaka wowawasa ndi mbale zochokera kwa iwo ndizothandiza pa kapamba. Phula lothandiza kuchokera ku buckwheat, oatmeal, mpunga wa bulauni. Pasitala amathanso kukhalapo muzakudya, pokhapokha ngati amapangidwa kuchokera ku tirigu wa durum.

Kuchiza matenda

Nthawi zambiri, chithandizo cha calculus chimaphatikizapo opaleshoni. Kuvuta kwake kumatengera kukula kwa miyala ndi komwe adakhalako. Nthawi zambiri, odwala amapita pang'onopang'ono pochotsa tizigawo ting'onoting'ono pang'ono. Pambuyo pa kulowererapo koteroko, njira yayitali yopulumutsa siyofunika, nthawi zambiri pamakhala zovuta. Koma chithandizo cha endoscopic ndizotheka pokhapokha ngati miyala ili yaying'ono komanso yayikulu.

Ngati zigawo zikuluzikulu kapena zili mchira wa kapamba, amachitidwa opaleshoni yotseguka. Nthawi yake, chiwalo chimatseguka kwathunthu ndipo zophatikizika zonse za calcium ndi phosphorous zimachotsedwa.

Pambuyo pakulowererapo kwakukulu, pamakhala zovuta zina, chifukwa dokotala wochita opaleshoni amatha kukhudza m'mimba, matumbo ndi ziwalo zina zam'mimba. Chifukwa cha kuphwa kwakukulu, kutupa ndi kupitiliza kwa suture nthawi zambiri kumatheka.

Kuti mukhale ndi thupi, mankhwala omwe amathandizidwa ndi enzyme ndi mankhwala. Poganizira zovuta za wodwalayo, akulimbikitsidwa kumwa mankhwala monga Pancreatin, Mezim, Festal, Creon ndi ena kuchokera pagululi. Poyerekeza ndi kutupa kapena chifukwa cha kupewetsa pambuyo pakuchita opaleshoni, njira yochepa ya mankhwala othandizira imachitika. Nthawi zambiri amabailidwa jekeseni. Mankhwala othandizira omwe amagwiritsidwa ntchito kwambiri ndi ampicillin kapena cefolosporins.

Kuchepetsa ululu, antispasmodics kapena analgesics atha kuperekedwa. Zogwiritsidwa ntchito kwambiri:

Othandizira opaleshoni pambuyo pa opaleshoni amaperekedwanso kudzera othandizira. Kuti muchepetse kubwezeretsa kwammimba, tikulimbikitsidwa kumwa mankhwala kuti tithandizire microflora yopindulitsa: Linex, Bifiform, Lactobex.

Pancreatic calcation ndimavuto osowa koma owopsa omwe amafunika kuwunika nthawi yake. Ngati simukufuna thandizo pakapita nthawi, wodwalayo amatha kupanga matupi amthupi onse, omwe amafunika kuti amuchotse.

Ndi chithandizo choyenera komanso kutsatira kwambiri zakudyazo, zidzatheka osati kubwezeretsa kapamba, komanso kudziteteza kuti zisadzayambenso mtsogolo.

Urolithiasis ndi ma gallstones ndizodziwika kwa onse, koma ambiri amakayikira ngati ali m'mapamba, amapanga chifukwa chiyani? Mankhwala samatulutsa chifukwa chokha chodwaladwala.

Monga lamulo, kuwerengera kwa kapamba kumawonekera chifukwa cha kusokonezeka kwa metabolic, mwachitsanzo, chifukwa cha kuchuluka kwazomwe zimachitika mu mchere wa calcium mu pancreatic madzi.

Zomwe zimayambitsa kapamba:

• aakulu kapamba, cholecystitis,
• cysts, chotupa mu kapamba,
• uchidakwa, kusuta kwa nthawi yayitali,
• kusokonezeka kwa mahomoni (matenda amtundu wa parathyroid).

Kukhalapo kwa zowerengera mu kapamba kumabweretsa zovuta zowopsa:

• chotupa chovundikira chifukwa cha kufalikira kwa papoti ya Vater,
• matenda ashuga
• kuphatikizika kwa purini
• kapamba.

Kukula kwa matendawa ndi zizindikiro

Gawo loyamba la matendawa limadziwika ndi kuwoneka kwa mchenga wocheperako m'mphepete mwa chithokomiro. Pakadali pano, kutupa kulibe kapena kukhala ndi vuto lochepa, chifukwa chake, wodwalayo samadandaula. Nthawi yobisika yamatendawa ndi yayitali ndipo nthawi zambiri ilibe zizindikiro zamankhwala.

Mu gawo lachiwiri, patatha zaka zochepa, kupanga calculi kumachitika. Amatseka lumen ndikufinya chiwalo parenchyma, ndikuyambitsa kukokoloka.

Popanda chithandizo, calcification yowonjezera pancreatic imachulukirapo, madontho amchere amayamba kukhala olimba kwambiri, amasintha kukhala mawonekedwe amiyala omwe amakhala m'matumbo a gland, kapena mumkamwa, kutsekeka.

Chifukwa chosasunthika kosatha kwa madzi a pancreatic, pancreatitis yowerengeka imayamba kupita patsogolo, kayendedwe ka thupi kamakhala kovuta mpaka kuthe. Zizindikiro za kutupa kwambiri ndi kutsekemera kwa ma ducts zimawonekera.

Odwala amayamba kukumana ndi kupweteka pachimake, kupsinjika ndi ululu womwe umayamba chifukwa cha kuchuluka kwa mapeto amitsempha ya ziwindi. Chifukwa cha kukula kwawo, ululu umakhala wamphamvu komanso umakulirakudya.

Komanso, ululu umatha kulowa:

• miyendo
• dera la interscapular
• kubwerera
• hypochondrium wamanzere,
• pachifuwa.

Zizindikiro zina za pancreatitis yayitali:

• kuchuluka kwa masokono
• mseru, chisangalalo,
• kusokonezeka m'matumbo - maonekedwe a choponderezera cha m'malovu a mafuta osakhazikika,
• malungo
• kusanza kophatikizidwa ndi bile (kumverera ngati kuwawa mkamwa ndikakhudza chitsulo chowonjezera).

Popita nthawi, wodwalayo amachepetsa msanga, khungu limatenga imvi. Mphamvu ya wodwalayo yolowetsa mafuta m'zakudya imachepa (chopondacho chimakhala "chambiri"), malaise wowonjezereka, kuwonjezereka, munthu samayenda pang'ono ndipo amakana kudya.

Ndani ali pachiwopsezo

Pafupifupi mapangidwe a calculi mu patsekeke, parenchyma ndi ducts ya kapamba ndi anthu omwe akuvutika:

• endocrine mavuto osiyanasiyana etiologies,
• matenda ashuga
• yotupa njira mu ziwalo zam'mimba thirakiti (cholecystitis, chironda chachikulu, gastroduodenitis),
• uchidakwa wambiri, kuchititsa kubisalira kwa kapamba.

Chiwopsezo cha matenda a m'matumbo chimachulukanso kwa iwo omwe amadya mwanjira iliyonse, omwe amakhala moyo wongokhala, komanso amadya zakudya zotsekemera, zamchere komanso zotsekemera.

Musanachiritse pancreolithiasis, ndikofunikira kukayezetsa kuchipatala. Kodi kuchotsa miyala? Chithandizo chiyenera kuyang'aniridwa ndi katswiri wazachipatala.

Nthawi zambiri, dokotala yemwe amapezekapo samayimira njira imodzi iliyonse yachithandizo ndikugwiritsa ntchito limodzi, kuphatikiza njira zomwe zimathandizira ndikuthandizira wodwala.

Odwala oterewa akulimbikitsidwa:

• moyo wakhama, "wathanzi"
• zolimbitsa thupi ndi zolimbitsa thupi
• mavitamini othandizira ndi ma mineral complexes.

Mankhwala

M'mayambiriro oyamba a matendawa, njira zosasinthika zimafotokozedwa, zopangidwira kuletsa kutupa ndikutchingira mapangidwe ena amiyala.

Dokotala amafotokozera zamaphunziro:

• ma pinkiller, antispasmodics,
• maantibayotiki
• mankhwala antisecretory
• mankhwala a choleretic

Chithandizo chapamwamba popanda opaleshoni chimayendera limodzi ndi kumwa mankhwala omwe amathandizira kuthana ndi kukakamiza kwakukulu mu ducts ya bile, mpaka kusungunuka kwa mchenga ndi miyala mwa iwo.

Njira zakuchiritsira kwachikhalidwe cha mankhwala zimathandizidwa ndi chithandizo chamiyala yaying'ono yomwe yawonekera ndi njira zina.

Njira zosinthira

Ngati wodwala ali ndi miyala yambiri mu kapamba, kapena pali imodzi, koma yayikulu kwambiri, chithandizo cha mankhwala chimatha, pokhapokha ngati wodwalayo ali bwino. Pankhaniyi, opaleshoni yochotsa ducts zamiyala ikusonyezedwa.

Ndi njira yokhazikika ya mapangidwe a miyala, zovuta za pafupipafupi (kuchuluka kwa kugunda kumapitilira anayi patsiku), kuchuluka kwambiri kwa ululu wamankhwala, mankhwalawa amatsikiranso kukachitidwa opaleshoni.

Opaleshoni ikhoza kukhala yamitundu ingapo:

Mtengo wa opaleshoniyo umatengera zinthu zotsatirazi:

• opaleshoni yolowerera njira
• mtundu wazakudya
• kukhalapo kwa zovuta za matenda,
• udindo wa chipatala
• ziyeneretso za dokotala
• dera lokhala.

Popeza mtengo wokwanira wa mautumiki nthawi zonse umakhala chisonyezo cha luso lapamwamba, ndikofunikira kudziwa nokha za ndemanga zakuchipatala ndi akatswiri ake pasadakhale.

Njira zina zochizira

Pakadalibe zovuta zazikulu kuchokera kwa dokotala yemwe amapezekapo, munthu amathanso kumva malingaliro a kugwiritsa ntchito mankhwala azitsamba kuti achotse miyala mosavomerezeka.

Zithandizo za Folk zimaphatikizapo mankhwala othana ndi "pancreatic":

Decoctions wa mbewu izi zimapangitsa kagayidwe ndikusintha katulutsidwe ka kapamba wamadzi.

Mapangidwe amwala omwe amapezeka mu kapamba amafunikira kuti apende kawirikawiri chakudya. Kupatukana zakudya mu mawonekedwe a payokha mapuloteni ndi chakudya tikulimbikitsidwa. Odwala amalimbikitsidwa monga chimanga, masamba ndi zipatso.

Zopanda mphamvu:

• mowa wa ndende iliyonse
• chokoleti, khofi ndi cocoa yozama,
• mafuta amafuta
• Katundu wophika kumene
• msuzi wokoma
• nyama msuzi,
• nyemba (nandolo, nyemba),
• zokometsera, zokhala ndi zonunkhira ndi zokometsera,
• ankasuta nyama.

Kusintha kwa chakudya chopatsa thanzi, zinthu zosankhidwa bwino ndi njira zina zakukonzekera kwawo zitha kuyimitsa kukula kwa miyala, kusungitsa kapangidwe kake kapamba, kuthandizira ntchito yake komanso kupewa pancreatitis.

Cholinga cha kadyedwe ndikuchepetsa nkhawa kuchokera ku chiwalo chomwe chakhudzidwa ndikuchepetsa kudya kwa calorie. Gawo la chakudya chamafuta kwambiri limapatsa mphamvu tulutsani pompopompo timadziti tambiri, tomwe timatha kusunthira mwala pamalo ake, timayambitsa kukokoloka kwa thirakiti ndikuyambitsa chitukuko cha kapamba.

Zakudya zake zimatengera mfundo izi:

• zakudya zazing'ono 5-6 patsiku,
• kukonza zinthu kuphika, kuwotcha, kuphika ndi kupera,
• Kuperewera kwa zakudya zina.

Maziko a chakudya amayenera kukhala mapuloteni komanso zakudya zopatsa mphamvu mu potaziyamu.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo:

• Nyama yophika kapena yophika kapena yochokera kwa nyama,
• nsomba zamafuta ochepa,
• msuzi wosenda pa masamba kapena msuzi wofowoka wa nyama ndi oat, barele kapena mpunga,
• maapulo ophika
• zukini wowiritsa kapena wowotcha, kaloti, dzungu, kolifulawa ndi mbatata,
• odzola
• skim mkaka
• tofu, feta, ricotta, Adyghe ndi mitundu ina ya tchizi wopanda mafuta.

Odwala amaletsedwa kudya mopitirira muyeso, kuti asalembere dongosolo logaya chakudya komanso osayambiranso.

Kodi miyala ndiyotani mu zikondamoyo

Zomwe zimapangidwira zimaphatikizapo zinthu za mankhwala: calcium salt - orthophosphate ndi calcium carbonate, zosafunika zamchere za aluminium ndi magnesium. Muli zinthu zachilengedwe - cholesterol, mapuloteni, ma cell a epithelial membrane ndi maselo oyera amwazi. Ma calcancic oyera ndi oyera kapena achikaso achikuda.

Miyala mumiyala ya kapamba amawonetsa masikono osiyanasiyana ndi mawonekedwe osiyanasiyana, ndi osakwatiwa komanso angapo. Miyala ikuluikulu imodzi nthawi zambiri imakhala mutu wa zikondamoyo, miyala ing'onoing'ono ingapo imapezeka mchira ndi zingwe zazing'ono. Pancreatic parenchyma imapangidwanso.

Matenda a pancreatic amagwirizana mwachindunji ndi pathologies mu biliary system ndi ndulu ya ndulu. Kapangidwe ka gallstones, kapangidwe kake ka mapangidwe ndizosiyana ndi mawonekedwe a pancreatic. Ma gallstones amapangika chifukwa chosokoneza chiwindi ndi chikhodzodzo, cholesterol yowonjezereka m'thupi komanso kusowa kwa bile acid.

Kuphatikizika kwa miyala mu ndulu, kapangidwe kazinthu zimapangidwa zimadalira zomwe zimayambitsa maonekedwe, kukula ndi momwe zinthu zikukula.

Chifukwa chiyani amalemba?

Miyala mu kapamba nthawi zambiri amapanga ndi kapamba. Pali zifukwa zingapo zopangira ma calcication:

• kusokonekera kwa kapamba wamadzimadzi (nthawi zambiri amakhala ndi chotupa ndi chotupa),
• matenda a gallstone, cholecystitis,
• zotupa m'mimba,
• kusokonezeka kwa mahomoni
• zizolowezi zoipa
• kuperewera kwa zakudya m'thupi.

Zinthu izi zimabweretsa kukula kwa pancreatic madzi, mchere wamchere umapangidwa mmenemo. Anthu omwe ali ndi mavuto azaumoyo ayenera kudziwa za ngozizi.

Kuwonetsera kwathunthu kumatengera kukula kwa mawonekedwe ake ndi komwe akupezeka. Nthawi zina, ululu umadziwoneka wokha chifukwa cha nkhawa kapena kuperewera kwa zakudya m'thupi. Zomwe zimapangitsa kupwetekako kukhala:

Ululu, monga lamulo, suchepa munthu akatenga malo abodza, amatha kuperekedwa ku dera lumbar ndi epigastric. Pakukhumudwitsa, wodwalayo amayamba kusanza, nthawi zambiri amatha ndi kusanza. Ngati miyala imaletsa mitsuko ya bile, zodetsa za bile zingapezekenso m'masanzi. Nthawi zambiri, chifukwa cha izi, wodwalayo amakhala ndi jaundice yovuta. Ndi chithandizo chamwadzidzidzi, kupatsirana kumayambitsa matenda ashuga. Kuzindikira kwakanthawi kokhako ndi chithandizo chamankhwala chodziwika ndi dokotala wodziwa bwino kungatsimikizire kuchira kwathunthu. Zizindikiro zotsatirazi zimangotsimikizira kukhalapo kwa miyala mu kapamba:

• kuchuluka kwa masisitere,
• Kusintha kwa ndowe, kukhalapo kwa mucous inclusions mmenemo,
• hyperhidrosis.

Zowona, izi zimawonetsedwa zitha kuwonetsa kukhalapo kwa matenda ena, kuyezetsa ndikofunikira kukhazikitsa matenda.

Zakudya zolimbikitsidwa

Zakudya za wodwalayo ziyenera kuphatikizidwa ndi katswiri wazakudya yemwe amadziwa bwino zomwe matendawa amatenga. Zakudya zoyenera zimalepheretsa kukula kwa miyala ndikuthandizira kuchepetsa ululu pakugwidwa. Odwala omwe ali ndi vuto lofananalo amalangizidwa kuti azimwa madzi ambiri momwe angathere, madzi oyeretsedwa ndioyenera izi.. Nutritionists akulangizidwa kuti awonjezere 1 tbsp. madzi 1 tsp mandimu kuti muchepetse mucous nembanemba wa kapamba. Zosankha za odwala zitha kukhala ndi:

1. Msuzi pa msuzi wa masamba (mutha kuwonjezera zonona wowawasa kwa iye).
2. Buckwheat ndi oatmeal.
3. Nsomba ndi nyama yakudya.
4. Ma compotes ndi tiyi ofooka.

Chakudya chizikhala ndi chakudya chamafuta ambiri. Odwala ayenera kusiya kugwiritsa ntchito zakudya zamafuta, zonunkhira komanso zosuta.

Miyala mu kanyumba ikhoza kubweretsa munthu nthawi zambiri zosasangalatsa zomwe zimaphimba moyo wake. Kwa chithandizo chonse, kuzindikira koyambirira ndikofunikira. Ndikofunika kukumbukira kuti kudzichiritsa nokha kungapangitse kukulira zizindikiritso ndikuchepetsa mwayi wokhala ndi chithandizo chamankhwala.

KODI ZIKUKHUDZANI KUTI MUMAKHALA NDI MTIMA WABWINO?

Poona kuti mukuwerenga mizereyi, kupambana pa nkhondo yolimbana ndi matenda am'mimba sikunakhale kumbali yanu.

Ndipo mudaganizapo kale za opaleshoni? Ndizomveka, chifukwa m'mimba ndi gawo lofunikira kwambiri, ndipo magwiridwe ake oyenera ndi chinsinsi cha thanzi komanso thanzi. Kupweteka kwapafupipafupi kwam'mimba, kutentha kwa mtima, kufalikira, kupindika, kusokonezeka kwa chopondapo. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani ya Galina S., momwe adachiritsira m'mimba. Werengani nkhani ija »

Miyala ya kapamba

Miyala ya kapamba - zowerengera zopangika mu ma dancts ndi parenchyma ya kapamba, zomwe zimayambitsa kuwonongeka mu intra- ndi exocrine ntchito ya chiwalo. Nthawi zambiri, miyala ya pancreatic imakhazikitsidwa kumbuyo kwa kapamba, chifukwa chake matendawa amawonetsanso zofanana: kupweteka kwambiri m'chiuno, steatorrhea, ndi yachiwiri shuga. Kuzindikira sikumabweretsa zovuta zilizonse, chifukwa chotsimikizira, radiology, ultrasound kapena CT scan ya ziwalo zam'mimba, RCP zimachitika.Mankhwala othandizira opaleshoni, koma osakanikirana ndi njira zowonetsetsa kuti muchepetse kutupa ndi kutupa, kubwezeretsa ntchito kwa gland.

Zotsogola ndi kupewa

Ngati pa nthawi yolakwika komanso molakwika matenda a kapamba, zovuta zingachitike:

• Chochitika chodziwika kwambiri ndicho kupezeka kwa matenda a shuga,
• Kuthetsa kwa ndulu yamkati,
• Pambuyo pake, kutsekeka kwapangitsa kuti pakhale pancreatic necrosis kapena kapamba kapamba,
• Kusokonezeka kwa chimbudzi chifukwa chochepa kwambiri cha michere,
• Zotsatira zoyipa za pancreatic necrosis zimatha kubweretsa imfa.

Mankhwala amakono komanso zipatala zotsogola zotsogola zimathandizira kuchiritsa odwala atachitidwa opaleshoni mu 85-90% ya milandu. Malinga ndi ziwerengero, anthu omwe amafa chifukwa cha matenda sapitilira 2%.

Njira zapadera zopeweretsera matendawa ndi kulibe. Maphikidwe apamwamba aumoyo wazakudya zam'mimba ndi awa:

1. Chitani masewera olimbitsa thupi pafupipafupi
2. Idyani zakudya zopatsa thanzi
3. Chepetsa kumwa zakumwa zakumwa zoledzeretsa ndi chikonga,
4. Nthawi zambiri amapita kukayezetsa kuchipatala.