Kodi tiyenera kuchitanji ndi kufalikira kwamatenda a kapamba?

Pancreatitis imatchedwa kutukusira kwa minofu ya kapamba, chifukwa cha zomwe miluza ya chiwalo imatsekedwa ndipo madzi a pancreatic amatulutsidwa pakukimbira kulowa mkati mwanga. Zomwe zimayamba kutupa ndikuti kapamba amayamba kudzipenda yekha. Pancreatitis mwa akulu nthawi zambiri imakhazikika motsutsana ndi chiyambi cha kumwa mowa, koma pali zifukwa zina, zomwe zikufotokozedwa pansipa.

Zoyambitsa zazikulu za kapamba

Ntchito ya kapamba wa munthu wamkulu imayendetsedwa ndi zinthu zambiri - kadyedwe, zizolowezi zoipa, thanzi lanu, moyo wonse. Kuti BZHU ibwere ndi chakudya kuti izikhala ndi chakudya chokwanira m'mimba, ma enzyme ena ayenera kupezeka ndikupanga - pancreatin, lipase, ndi trypsin. Ngati, pazifukwa zilizonse, kapamba akuthyoka, sangathe kupanga ma enzyme ofunikira kuti chimbudzi chikhale chofunikira, kugaya chakudya kumachepa, madzi a pancreatic amadzilimbitsa thupi, zomwe zimapangitsa kuti magazi azitupa.

Childs, pachimake pancreatic kutupa mu akulu chifukwa cha:

• chakudya kapena chakumwa choledzeretsa,
• kudya kwambiri
• kudya zakudya zonenepetsa kwambiri kapena zonunkhira kwambiri,
• kuvulala kwa kunja kwam'mimba khoma ndi kufalikira kwamkati.

Monga lamulo, kapamba samakonda kukhala ngati matenda oyima pawokha, nthawi zambiri ziwalo zina zam'mimba zimagwira nawo gawo la pathological - m'mimba, duodenum, chikhodzodzo, komanso matumbo aang'ono. Kuzindikira koyenera kumakhala kovuta chifukwa chakuti kapamba amapezeka mkati mwa m'mimba, kukula kwake ndikochepa, ndipo ndi kutupa kwa chiwalo, zizindikiro zimawoneka ngati njira zina za pathological.

Pali zinthu zingapo zomwe zingayambitse matenda a chamba kapamba:

• Matenda amisala yodwala komanso chikhodzodzo - ndi chimodzi mwazomwe zimayambitsa. Miyala ikakumana mu ndulu, kufinya kwa ndulu zikuluzikulu, kapamba amakumana ndi mankhwala amomwe amachititsa. Imadziunjikira zinthu zomwe zimapangitsa kuti ma enzymes omwe amapanga azitsutsana ndi minofu yawo. Zotsatira zake, minofu ya zikondamoyo imayamba kusokonekera, kuwonongeka kwa mitsempha yamagazi kumachitika, zotupa zimatuluka ndipo njira yotupa yopweteka imayamba.
• Matenda a duodenum ndi m'mimba - ngati sphincter ya Oddi ndi yotsika, zomwe zili m'matumbo zimatha kuponyedwa mumizere ya kapamba, ndikuyambitsa kutupa. Nthawi zambiri zimachitika motsutsana ndi maziko a matenda monga gastritis, zilonda zam'mimba komanso zilonda zam'mimba.
• Kuledzera ndi poyizoni wa thupi - kapamba m'mimba mwa achikulire nthawi zambiri amakula motsutsana ndi poyambira poyizoni ndi zakumwa zoledzeretsa, zakudya zopanda pake, mankhwala osokoneza bongo, mankhwala. Kuphatikiza apo, masamba osakhala a nyengo ndi zipatso omwe ali ndi mankhwala ophera tizilombo komanso zowonjezera zamankhwala zimatha kuyambitsa zovuta pa kapamba ndi kutupa kwake.
• Matenda oopsa a arterial, matenda a shuga, kubereka - pakakhala kusokonezeka kulikonse m'matumbo komanso mthupi lonse, chiopsezo chotenga matenda opezeka pachifuwa chimawonjezeka, chifukwa motsutsana ndi maziko osowa magazi m'mimba, chakudya chake chimasokonekera, ischemia imayamba, kupanga ma enzymes ndi mahomoni kusokonezeka, zomwe zimatsogolera. kwa chotupa.
• Kudyetsa pafupipafupi - kudya kwambiri mthupi, mafuta a metabolism amasokonezedwa chifukwa cha kuchuluka kwa kapamba. Ndi kudya kwambiri nthawi zonse, chiopsezo cha matenda a kapamba komanso kutupa kwake kumawonjezeka.
• Kumwa mankhwala ena - kumwa kwa nthawi yayitali komanso osalamulirika monga tetracycline, sulfonamides, glucocorticosteroids, mankhwala okhala ndi estrogen kumabweretsa vuto la gland ndipo kumawonjezera mwayi wokhala ndi matenda ndikutupa kwa kapamba.
• Kuvulala - kuwomba khoma lakunja kwam'mimba, kuvulala, ntchito zomwe zimachitika pa duodenum 12 zingayambitse kutupa kwa akuluakulu a kapamba.

Zizindikiro za kapamba mwa akulu

Kutupa kwachimbudzi kwa kapamba kumayendera limodzi ndi zizindikiro zofanana ndi poyizoni, wodwalayo ali ndi:

• kupweteka kwambiri pamimba (epigastric zone ndi navel) ya chikhalidwe chomanga chodzaza ndi msana wam'munsi, impso - chifukwa cha kuphatikizika kwa ululu wamankhwala, wodwalayo sangamvetsetse zomwe zikuvutitsa,
• Kutentha kwakukulu ndikulumphalumpha m'magazi - ndikamvekera kwambiri ndi kutukusira kwa ndulu, mkhalidwe wake umadwalanso. Kutentha kwakuthupi mpaka madigiri 39, kuzizira, kutentha thupi kwambiri, kuthamanga kwa magazi kapena kuchepetsedwa kwambiri,
• kusanza ndi kusanza kosalephera - zitatha zam'mimba kutulutsidwa kunja, wodwalayo samva kupumula, nseru ikupitilirabe kumuzunza ndikuwatsuka.
• malamba, kutentha kwache,
• kutsekula m'mimba - chopondapo pachimake cha kapamba wokhala ndi vuto lofooka, chokhala ndi mafuta ambiri, zotsutsa, zobiriwira, komanso chakudya chosapezeka bwino zimawonekera pang'onopang'ono.
• khungu, mawonekedwe amdima, mawonekedwe a halitosis, kufupika kwa mpweya,
• ukufalikira.

Zofunika! Mu chilonda chachikulu cha pancreatitis, mkhalidwe wa wodwalayo umakulirakulira msanga, zomwe zimapangitsa kuti matendawa asinthe kwambiri kapena angayambitse matenda a chamba (pancreatic necrosis) Kuti mupewe kukula kwa zovuta pazizindikiro zoyambirira za matendawa, muyenera kufunsa chithandizo chamankhwala msanga.

Zikondwererozo zimakhala ndi mutu, thupi ndi mchira. Kutengera gawo lomwe gawo lachiberekero limapangidwira, zizindikirozo zimasiyana pang'ono:

• ndi kutupa kwa mutu wa England, wodwala amamva kupweteka mu hypochondrium yoyenera,
• ndi kutupa kwa thupi lachitsulo - m'chigawo cha epigastric,
• ndi kutupa kwa mchira - kumanzere hypochondrium.

Ngati tiziwalo timene timayaka, ndiye kuti wodwalayo amakhala ndi nkhawa chifukwa cha ululu wowopsa wa herpes zoster ndi zotupa pansi pa masamba, msana, impso.

Matenda a kapamba

Kuzindikira kumachitika chifukwa cha madandaulo odwala komanso zotsatira za mayeso ndi maphunziro:

• pakuwunika mkodzo, kusintha kwa kuchuluka kwa magazi kumapezeka,
• pakuwunika ndowe, kupezeka kwa steatorrhea ndiko kupezeka kwa mafuta osaphatikizika ndi tinthu tating'onoting'ono tambiri m'ndowe,
• mayeso olimbitsa thupi,
• Ultrasound wa kapamba,
• magazi kuyesa kwa shuga kulolerana mayeso ndi michere ya pancreatic.

Kutengera zotsatira za matendawa, wodwalayo amamulembera mankhwala ena.

Chithandizo cha kapamba mu akulu

Mfundo zazikulu zochizira pancreatitis pachimake mu akulu ndi njala. Ndi kuchulukitsa kwa matendawa kwa masiku 1-2, chakudya chilichonse chimasiyidwa kwathunthu. Ingomwa madzi oyera, madzi okha. Ngakhale kuthana ndimatenda a wodwalayo ndikusanza kumapitilizabe, kutsekula m'mimba kumapitilizabe, pofuna kupewa kupewetsa madzi mthupi, kugwiritsa ntchito magazi mthupi kumachitika - kulowetsedwa kwa mayankho a saline ndi glucose wokhala ndi mavitamini.

Chikhodzodzo cha ayezi chimayikidwa pa epigastrium ya wodwalayo, yomwe imachepetsa ululu, kuchepetsa ululu komanso kutulutsa kutupa. Wodwala amayenera kupuma pabedi ndikuonetsetsa kuti akupumula kwathunthu.

Zofunika! Ngati matendawa adayamba kwa nthawi yoyamba, ndiye kuti sikulimbikitsidwa kumwa mankhwala aliwonse opweteka kapena antispasmodics asanafike ambulansi, chifukwa izi zimatha kupangitsa kuti azindikire. Kuphatikiza apo, kupweteka kwam'mimba m'mimba, mseru ndi kusanza zimatha kupereka chizolowezi pakuchita opaleshoni yomwe imafunikira kuchitapo kanthu mofulumira kuti apulumutse moyo wa wodwalayo.

Njira yothetsera kutupa itatha, wodwalayo akuwonetsedwa zakudya zopatsa thanzi komanso mankhwala - michere, antispasmodics, probiotic.

Zakudya ndizopatula kwathunthu kuzakudya:

• Zakudya zokazinga, zonunkhira, zonunkhira, viniga, mafuta osuta,
• bowa
• nkhumba, mwanawankhosa, wochotsa,
• mafuta
• batala
• pasitala (vermicelli yekha amaloledwa),
• mowa
• khofi
• chokoleti, koko
• makeke, makeke, maswiti,
• buledi watsopano.

Maziko a chakudyacho ndi mbale zamphaka ndi zamasamba, zophika, zophika ndi kuwira ndi kutumiza ndi mafuta ochepa.

Nthawi ya chakudya, wodwala ayenera kukonzekera michere yomwe imathandizira kapamba ndikuthandizira kugaya bwino:

Popeza pancreatitis pachimake imayendera limodzi ndi kutsekula m'mimba, ma protein amapatsidwa kuti abwezeretse matumbo a microflora kwa wodwalayo panthawi yomwe akuchira:

• Linex
• Biogaya
• Lactofiltrum,
• Mafuta a ng'ombe ndi ena.

Kupewa kwa Pancreatitis

Chithandizo cha pachimake mawonekedwe otupa a pancreatic ziyenera kuchitika kuchipatala, popeza mkhalidwe wa wodwalayo ungakulire ndipo angafunike opaleshoni yodzidzimutsa. Ndi pancreatitis yachilendo, chiopsezo chowonekera cha matendawa chimawonjezeka, ndiye kuti, zikondamoyo zomwe zimadziwunda pang'onopang'ono zimadziwononga zokha.

Odwala omwe ali ndi pancreatitis yayikulu kamodzi kamodzi ayenera kutsatira malangizo omwe angathandize kupewa kubwerezanso izi:

• Pewani kuchita masewera olimbitsa thupi kwa nthawi yayitali komanso mwamphamvu,
• lekani zizolowezi zoipa (kusuta, kumwa mowa), kuphatikizapo nkhanza za khofi ndi tiyi wakuda wamphamvu,
• kudya ndikofunikira!
• zipatso ndi masamba ochepa koma wowawasa, makamaka pamimba yopanda kanthu.

Anthu omwe adakumana ndi pancreatitis nthawi zopitilira 2 ayenera kulembetsedwa ndi gastroenterologist.

Mfundo Zofunika Zokhudza Matendawa

Zikondwererozo zimapezeka m'mimba mwa munthu kumbuyo ndi kumunsi kwa m'mimba, pamalire pakati pa malo okumbika komanso otsika a chimbudzi. Amagwirizana kwambiri ndi kapangidwe kake ndikugwira ntchito kwa chikhodzodzo, chiwindi, duodenum ndipo ndi chiwalo chofunikira pamoyo.

Ntchito yachinsinsi ya kapamba imadziwika m'njira ziwiri:

• kunja (kunja) - kaphatikizidwe ka michere yam'mimba yogaya mafuta, zakudya zama protein ndi mapuloteni, komanso ma bicarbonates kuti athetse asidi wa madzi a m'mimba,
• wamkati (endocrine) - kupanga mahomoni insulin ndi glucagon, kuwongolera bwino shuga wamagazi, polypeptides ndi somatostatin.

Zofunika! Ndi kutupa kwa kapamba, ntchito ya exocrine imakhudzidwa kwambiri. Ma Enzymes a pancreatic juisi mkati mwa gland amangokhala, amathandizira pansi pa zochita za bile atalowa m'matumbo a duodenal.

Gland ikakhudzidwa ndi mowa, zokometsera, zakudya zamafuta, zochuluka zowonekera zimapangidwa. Alibe nthawi yoti atuluke parenchyma munthawi yoyenera, kukhulupirika kwa ma ducts amawonongeka, ma enzymes amatuluka mu minofu ya thupi lake.

Izi zimayamba ntchito yodzigaya, zomwe zimayambitsa kukula kwa kutupa. Edema imasinthidwa ndi necrosis komanso kudzikundikira kwa minyewa yolumikizana m'malo mwa maselo a ziwalo zakufa za gland.

Zofunika! Ngati malingaliro azachipatala anyalanyazidwa, vuto la chifuwa chachikulu limatha kubwerezedwa. Pambuyo pakuchulukana kulikonse, gawo la fibrosis limakulanso, lomwe limakhudza kugwira ntchito kwa kapamba.

Kodi zimadziwika bwanji pazifukwa zake?

Matenda a kapamba ndimatenda a polyetiological. Ili ndi code for ICD 10 K86.1. Payokha, pachimake (K85) ndi mowa pancreatitis (K86) ndizodziwika. Udindo wofunikira pakukula kwa matenda a zam'mimba umachitika chifukwa cha chibadwa chamunthu komanso zochita za wodwala.

Zizindikiro zakukula kwa kapamba amadziwika pambuyo pa zinthu zina zoyambitsa kukopa. Mitu ikuluikulu ndi:

1. Zakudya zambiri mosazolowereka zokhala ndi zakudya zakuthwa, zamafuta - chakudya choterocho chimafunikira kupanga kwa ma pancreatic enancme kuchokera ku kapamba.
2. Mowa - ethanol wokhala ndi pafupipafupi komanso (kapena) kugwiritsa ntchito nthawi yayitali kumakhala ndi vuto lofananalo, kuphatikiza kumapangitsa kuti pakhale zinthu zopanda ufulu zomwe zimawononga maselo a chiwalo.
3. Kupha poizoni ndi mankhwala oopsa, mankhwala, ziphe. Mankhwala ena akuphatikizidwanso pano.
4. Kusuta - fodya ndi zosakaniza ndizinthu zodziyimira pawokha zomwe zingapangitse kuchuluka kwa kapamba.
5. Matenda oyamba a chiwindi ndi ma biliary system, makamaka cholelithiasis, momwe calculi imapangitsa kuti vutoli lisamayende.
6. Postcholecystectomy syndrome - atachitidwa opaleshoni yochotsa ndulu, kupindika kwa chamba cha m'mimba kumachitika kawirikawiri chifukwa cha kusayenda kwa ndulu ya bile.
7. Kutupa matenda a duodenum - duodenitis, anam`peza matenda, cicatricial stenosis, diverticula.
8. Kupsinjika, zokumana nazo zolimba zimatha kubweretsanso kapamba.
9. Makina kuwonongeka kwa parenchyma (kuvulala, kupweteka kwa biopsy).

Yang'anani! Ndikofunikira kwambiri kudziwa za zinthu zoyipa kwa anthu omwe ali ndi vuto loti azikhala ndi matenda apamba. Udindo wa masinthidwe amtundu wina wakhazikitsidwa, womwe umabadwa ndipo umadziwika ndi matendawa mothandizidwa ndi zinthu zoyipa.

Chithunzi cha kuchipatala

Pancreatitis yovuta kwambiri pachimake cha pachimake imadziwika ndi mawonekedwe owoneka bwino omwe amatsogolera wodwala kupita kwa dokotala. Pakutalika kwa kuukiridwa, amasiyana pang'ono ndi kutupa kwamapapo.

Matenda opweteka kwambiri amafunikira chithandizo choyenera chamankhwala. M'mavuto akulu, kudabwitsika kumatha kuchitika chifukwa chakuti zopangidwa ndi necrotic fusion ya pancreatic minofu zimalowa m'magazi ndikupangitsa kuledzera.

Amawonetsedwa ndi kusanza, kutsika kwa magazi, kutentha thupi komanso kuzizira. Pankhaniyi, ndizotheka kuchotsa kukokomeza kuchipatala. Kutalika kwa matendawa kumatenga nthawi yayitali kutengera chifukwa cha kapamba, kupezeka kwa matenda amodzi ndi ena, mawonekedwe a thupi la wodwalayo, komanso kufunika kwa mankhwalawo. Nthawi zambiri kuchokera maola angapo mpaka tsiku kapena kupitirira.

Zomwe matendawa akayamba kuchepa, chipatalacho chimayamba kutchulidwa. Zizindikiro zokhazikika za cancreatitis yayitali ndizosiyanasiyana. Amatha kuphatikizidwa m'magulu awiri.

Dyspeptic syndrome

Kukula kwa kuphatikizidwa kwa zizindikiro izi kumachitika chifukwa choti michere yamagayilo imalowa mu duodenum mosakwanira chifukwa cha kutupa kwa kapamba.

Wodwalayo wasokonezeka: nseru mpaka kusanza, kutentha kwa mtima, kusowa kudya, kugona, kumva kukoma kosasangalatsa mkamwa. Nthawi yomweyo, chopondapo sichitha kukhazikika, kutsegula m'mimba kawirikawiri, ndowe ndimadzi, ndimafuta, chifukwa cha kuchuluka kwamafuta kumatsuka kuchimbudzi.

Nthawi zina kudzimbidwa. Dyspeptic zizindikiro za chifuwa chachikulu mu pachimake gawo limakwaniritsa zizindikiro za kuledzera chifukwa cha kupweteka kwa malabsorption (malabsorption a michere ya michere) yomwe imabwera chifukwa cha kuchepa kwa ma enzyme. Izi ndi monga: malaise, chizungulire, mutu, kuwonda, misomali yothina, tsitsi.

Ululu wammbuyo

Ndizosiyanasiyana, nthawi zambiri pamakhala ululu wolimba wamkati (kuyambira kumiyala yamtengo kummunsi), nthawi zina kumakhala kutengera kwina kumanzere kwa hypochondrium. Ululu wamtunduwu umangokhala kwa nthawi yovuta kwambiri, pambuyo poti waukira, m'malo mwake amadzimva kuwawa kapena kupweteka, kuphulika kwa zotupa mu epigastrium (pansi pamimba). M'mimba yotsika, pamatha kukhala kukokana komwe kumayenderana ndi kuvulala kwamitsempha.

Kulimbitsa kwa ululu kumachitika ndi zolakwika za chakudya. Kusiyana kwa chikhalidwe cha kupweteka kwa ululu kumafotokozedwa ndikuti chifukwa cha kuchuluka kwa kapamba, magawo ena am'mimba omwe amatenga gawo mu gawo la pathological process: chikhodzodzo, m'mimba, duodenum, matumbo ang'ono ndi akulu. Izi zimapangitsa kuti azindikire matendawa.

Mawonekedwe! Nthawi zina, maselo omwe amachititsa insulin kupanga zowonongeka, kapamba amatha kutsatiridwa ndi kuphwanya kwa endocrine ntchito ya kapamba, ndiye kuti pali zizindikiro za matenda ashuga: polydipsia (ludzu), polyuria (kuchuluka diuresis), kapena ena, kutengera ndi kukula kwa hypo-kapena hyperglycemia.

Zolemba za maphunziro a kapamba

Matenda a kapamba ndimatenda a nthawi yayitali osachiritsidwa kwathunthu; zimachitika ndikusintha kwa nyengo zotsatirazi:

• choyambirira - chimakhala pafupifupi zaka 10, chimadziwika ndi kusinthanitsa ndi kuchotsedwa, komwe kupweteka kumakulirakulira.
• gawo la exocrine pancreatic insolvency - nthawi zambiri limachitika mchaka chachiwiri kuyambira kuukira koyamba, kuchipatala koyamba dyspepsia, malabsorption syndrome, kutsegula m'mimba komanso kuwonda pang'ono pang'onopang'ono kwa wodwala,
• complication ya kapamba - imatha kuchitika pa gawo lililonse la matendawa, pamene kulimba kumawonjezeka, dyspepsia imakhala yolimba, hypoglycemia imayamba, cysts imawonekera parenchyma, ndipo njira zopatsirana ndizotheka.

Kuchulukirachulukaku kwamatenda omwe wodwalayo atha kukhala nako, komwe kumapangitsa kuti mavuto azikhala ochepa.

Mkhalidwe wovuta kwambiri nthawi zonse umabweretsa kufa kwa kapamba, wotsatiridwa ndi kudzikundikira m'malo awo a minofu yosagwira ntchito (ma fibrous). Ndi kuwonongeka kwa 90% ya ziwalo parenchyma, kwambiri exocrine pancreatic insufficiency.

Kuchulukirachulukira kwa kapamba kosatha kumatenga nthawi yayitali kutengera zinthu zambiri: moyo wa wodwalayo, kupezeka kwa matenda othandizirana, kuchuluka kwa njira zochizira. Ngati mumadya molakwika komanso (kapena) mosasamala, mumakhala ndi nkhawa kwambiri, musamwe mankhwalawa, ndiye kuti mutha kubwerezanso matenda.

Udindo wa wodwala wa kapamba umakulitsidwa ndi kukhalapo kwa zotupa zosakhazikika m'malo ena am'mimba thirakiti (gastritis, gastroduodenitis, colitis, cholecystitis) kapena calculi mu chikhodzodzo cha ndulu ndi ndulu.

Zoyenera kuchita ndi kufalikira kwa matenda mawonekedwe?

Chithandizo cha chifuwa chachikulu cha m'mapapo ndikuchulukitsa milandu kuchitika kunyumba.

Zizindikiro zakuchipatala zimatsimikiziridwa ndi dokotala payekhapayekha. Ku chipatala, zizindikiro za kapamba (kupweteka, kupweteka kwa dyspepsia) zimayimitsidwa, ndipo kupatsirana kwa thupi kumachitika.

Kuchiza kunyumba makamaka kumakonza chinsinsi cha kupanikizika komanso kupewa kuchulukana. Kupuma pang'ono ndi njala kumasungidwa kwa masiku awiri ndi kuwonjezera pang'onopang'ono zakudya. Pakadali pano, mumatha kumwa madzi owiritsa okha, tiyi wofooka kapena madzi amchere amchere, kuchuluka kwamadzimadzi mpaka 1.5 malita patsiku pang'ono m'magawo ang'onoang'ono tsiku lonse.

Mankhwala a kapamba ndi monga:

• analgesics - Ketonal, Nurofen, Paracetamol,
• antispasmodics - Baralgin, Drotaverin (No-shpa), Papaverin,
• mankhwala a antisecretory - Rabeprazole, Lansoprazole, Omeprazole, Esomeprazole, Kvamatel,
• maantacid - Phospholugel, Gaviscon,
• maantibayotiki (Ampiok, Clarithromycin, Flemoxin) - amaphatikizidwa ndi zovuta kuchizira pancreatitis yayitali ndikuwopseza zovuta za pancreatic necrosis,
• Ma enzyme (Creon, Licreaz, Mezim, Pancreatin) - amagwiritsidwa ntchito pochotsa matenda pang'onopang'ono chifukwa cha kuperewera kwa exocrine pancreatic ntchito, mu Mlingo monga adanenera dokotala.

Yang'anani! Zomwe mungatenge ndikuwonjezera pancreatitis, adokotala asankha. Mankhwala aliwonse ayenera kuyesedwa. Ntchito ya wodwala ndikutsatira mosasamala nthawi zonse kuti asatchule zovuta. Ndondomeko ya chithandizo imasankhidwa payekhapazokha.

Malangizo azopatsa thanzi

Zakudya ndizofunikira kwambiri pancreatitis therapy. Zomwe zimatha kudyedwa pakupuma pang'ono, wodwala ayenera kudziwa. Kusintha kwa zakudya zabwino kumachitika pang'onopang'ono.

Kupatula kokha, mwaukadaulo ndi mwaukadaulo, zakudya zama calorie ochepa ndizololedwa, ndi mafuta ochepa komanso okwanira mapuloteni, komanso 30% ya nyama. Ndi zakudya ziti zomwe zimatha kudyedwa mukachulukitsa cha kapamba:

• michere ya mucous ochokera ku mbewu zosiyanasiyana
• phala lamkaka lamadzi
• mikate yoyera,
• nyama yophika ndi mafuta ochepa komanso nsomba,
• omele
• tchizi chatsopano chopanda mafuta komanso chopanda acid.
• maapulo ophika
• masamba osenda
• batala lopanda mafuta owonjezera phula kapena mbatata yosenda,
• mitengo yazipatso zatsopano ndi zouma,
• Kisot's Izotov ndi njira yothandiza kubwezeretsa kapamba, pali njira zingapo zakukonzekera, maziko ndi oatmeal ndi kefir.

Zakudya za chifuwa chachikulu cha khansa ziyenera kukhala zopindika, simungathe kudya kwambiri, makamaka usiku. Zinthu zatsopano zimayambitsidwa pang'onopang'ono, koma njira yophika bwino imapangidwira. Ndi gawo lokhalabe ndi chikhululukiro chomwe chitha. Zikondwererozo zikuchira pang'onopang'ono. Kuchulukitsa kwa kapamba kumatha kukhala zaka, ngati simutsatira zakudya, kunyalanyaza zomwe dokotala wakulembani.

Mitundu ya matenda

Mwa kuvuta, chifuwa chachikulu chitha kugawidwa m'mitundu itatu:

1. Kuchepa kofatsa: kufalikira kumakhala kocheperako (mpaka kawiri mkati mwa chaka), kwakanthawi kochepa, zopweteka ndizosafunikira, ndizosavuta kuyimitsa, kulemera sikuchepa, ntchito ya pancreatic yosasokoneza, palibe zizindikiro zowonekeratu za matendawa.
2. Kuchepa kwapakati: kuukira kumachitika kangapo pachaka, kumachitika kwa nthawi yayitali ndi ululu waukulu, kusanthula ndowe - zambiri zam'mafuta, minyewa ya minofu, mapuloteni, kulemera kumatha kuchepa, ntchito ya pancreatic imayamba kuchepa.
3. Zochitika zingapo: kukomoka pafupipafupi komanso kwanthawi yayitali (koposa nthawi 5 pachaka) ndikumverera koopsa komanso zizindikiro. Kulemera kumachepetsedwa kwambiri kutopa, chizindikiro chomwe chimakhala m'mimba. Nthawi zina zovuta zoyipa zimatha kuwonjezeredwa - shuga mellitus, stenosis wa duodenum 12, zomwe zimachitika chifukwa cha kukula kwa kukula kwa mutu wapamba.

Gulu

Matenda a pancreatitis amakhala m'gulu

• kuchokera koyambira: pulayimale (mowa, poizoni, ndi zina) ndi sekondale (biliary, etc.),
• malinga ndi mawonetsedwe azachipatala: kupweteka (mobwerezabwereza komanso kupitiliza), pseudotumor (cholestatic, ndi matenda oopsa a portal, ndi gawo la duodenal obstruction), latent (chipatala chosafotokozedwa) komanso kuphatikiza (zizindikiro zingapo zamankhwala zafotokozedwa),
• Malinga ndi chithunzi cha morphological (kuletsa, kuletsa, kutulutsa (kulowetsedwa-fibrous), kupatsa chidwi (fibro-sclerotic),
• malingana ndi chithunzi chogwira ntchito (hyperenzymatic, hypoenzymatic), chikhalidwe cha zovuta zomwe zimagwira ntchito chimatha kusiyanitsa hypersecretory, hyposecretory, obstriers, ductural (chinsinsi cha kusowa kwa chinsinsi chimagawidwanso ndikuvutikirana kukhala kofatsa, kwapakati komanso koopsa), hyperinsulinism, hypoinsulinism (shuga ya chifuwa chachikulu).

Matenda apathengo amadziwika ndi kuwopsa kwa maphunzirowo ndi zovuta zake (zovuta, zolimbitsa thupi komanso zofatsa). Munthawi ya matendawa, magawo ochulukitsa, chikhululukiro ndi kusasunthika kosakhazikika zimasiyanitsidwa.

Pa magawo oyamba a matendawa, njira zamatenda zimayambira mwaulesi, nthawi zambiri popanda kuwonetsa. Kubwereza koyamba kwakukuru kwa matenda a kapamba kumachitika pamene dystrophy ndi njira zoponderezera mu kapamba ndizofunikira. Zizindikiro za chifuwa chachikulu sichimangokhala kliniki ya kutupa kwamphamvu, komanso mawonekedwe a kuledzera chifukwa cha kulowetsedwa kwa ma enzymes m'magazi ambiri.

Zizindikiro za chifuwa chachikulu:

• kupweteka kwambiri (kupweteka kwamankhwala) kumadula kapena kuzimiririka mwachilengedwe, kosakhazikika pafupipafupi kapena mwanjira yaukazitape, nthawi zina ululuwo ungapangitse wodwalayo kukhumudwa, kupweteka kwamatenda kapamba kumawonekera kutengera mbali yakumenyedwa - mawonekedwe otsika kumbuyo, chiwalo chonse chimakhudzidwa kwathunthu, ndi kuwonongeka kwa mchira kapena mutu, kutsitsa kwa dera la mtima, epigastrium kapena mbali yakumanja kumadziwika,
• kukwera kwa kutentha ndi kudumphadumpha kwa magazi kumakhudzana kwambiri ndi njira za kuledzera, kukwera kwa kutentha mpaka 38- 39 ° C kukuwonetsa chotupa chachikulu chokhala ndi vuto la bakiteriya kapena kupangika kwa matumba, madontho oponderezedwa amapezeka pakanthawi pang'ono ndikukulira ambiri,
• Kusintha kwa mawonekedwe a wodwalayo - nkhope imayamba kuwoneka ngati yopweteka, maso amagwa pansi, nkhopeyo imakhala yakuthwa, khungu limasinthira kukhala imvi ndikutuluka tating'onoting'ono, mawanga ofiira ofunikira ("madontho ofiira") amatha kuwoneka pachifuwa ndi pamimba,
• Kukula kwa zotupa za jaundice (zotulutsa khungu la duct) ndi chikasu cha khungu ndi maso sclera,
• kusanza kopweteka, ndikatha kusanza, kupuma sikumachitika, kusanza kumakhala ndi chakudya chosasakanizidwa chophatikizidwa ndi bile,
• kugunda kwa mseru ndi hiccups kuphatikiza ndi kupindika kwa mpweya, kuwuma pamlomo wamkamwa kumawonekeranso,
• Matenda a stool amatha kuwonetsedwa ngati kudzimbidwa kapena kutsekula m'mimba: chimbudzi chobiriwira chambiri chokhala ndi foamy fetid wambiri ndi ntchofu wambiri ndimomwe chimayambiranso kuyambiranso, kudzimbidwa ndikusokosera komanso kuphuka ndi chizindikiro cha magawo oyamba a matenda osachiritsika.
• kusowa kwa chakudya komanso kuchepa thupi chifukwa cha kulephera kwathunthu kudya michere.

Pancreatitis yovuta kwambiri mwa achikulire imatha kuonekeratu ndi chizindikiro chimodzi kapena zingapo. Kwa ena, matendawa amatenga matendawa kwathunthu - munthu sankaganiza kuti atupa zaka zingapo. Mgulu lina la anthu, mawonekedwe a pancreatitis okhawo amawonekera kokha mwa dyspepsia omwe ali ndi matenda am'mimba komanso emaciation. Kutupa kwamtundu wamapweteka kumalumikizidwa ndi kupweteka kwapafupipafupi pambuyo pa zolakwika zakumwa zaukali ndi mowa. Nthawi zambiri, Symbomatology imakhala ndi chithunzi cha kutupa kwa pseudotumor ndi zizindikiro za khansa komanso nthawi yomweyo chikasu cha khungu ndi khungu.

Zoyambitsa ndi zizindikiro

Vuto la kapamba limatha kuchitika mosayembekezereka, nthawi zambiri sizikhala chifukwa cha kukomoka, monga matenda ena, koma moyo wa wodwala komanso zakudya. Chifukwa chake, zimatha kuchitika kangapo pachaka kapenanso mochepera. Koma nthawi zina matendawa amatha kubwereranso m'mbuyo, pomwe chidwi chake chimangodzuka.

Odwala ambiri amene ayambiranso matenda awo, omwe mwina amaiwalako, ali ndi chidwi chotenga nthawi yayitali. Nthawi zambiri kukokoloka kumatenga milungu iwiri. Zimatengera mikhalidwe ya pathology, nthawi yayitali yoyambira chithandizo ndi zomwe wodwalayo akuchita. Momwe zimakhudzira kwambiri kuwopsa kwa kufalikira kwa chifukwa chake. Zomwe zimayambiranso kuvuta kwambiri ndizo kubwereranso komwe kumachitika chifukwa chovulala pamimba pambuyo pakuchita opaleshoni, poyizoni, matenda a parasitiki kapena matenda opatsirana. Kuchulukana mobwerezabwereza komanso koopsa kumachitika mwa anthu achikulire omwe amachedwetsa njira zosintha minyewa komanso kagayidwe. Muzochitika zonsezi, nthawi yobwereranso m'mbuyo imatha kuchuluka.

Koma kuchulukitsa kumatha kuchitika pazifukwa zomwe zikuwoneka zazing'ono kwambiri. Poyamba pamndandandawu ndikuphwanya zakudya. Odwala ambiri omwe ali ndi pancreatitis yayitali ndi ofatsa ndipo pafupifupi asymptomatic amaiwala kuti ayenera kuwunika zakudya zawo. Koma ndi matendawa, zolakwika zilizonse m'zakudya zimatha kupititsa patsogolo kufalikira kwa kapamba.

Choyamba, kugwiritsa ntchito zakumwa zoledzeretsa. Mowa mu mtundu uliwonse umaponderezedwa pa gawo lililonse la kapamba, chifukwa zimapangitsa kuwonongeka kosalephera. Thupi ili sililandiranso zakudya zamafuta ndi zowuma, zokhwasula-khwasula, maswiti ambiri komanso chakudya chamafuta.

Mu chifuwa chachikulu, simutha kudya masamba ndi zipatso zambiri, zitsamba, chifukwa zimathandizira zinsinsi za ziwalo zam'mimba. Zinthu zochepa za mapuloteni zomwe zimapereka zothandizira kubwezeretsa maselo zingayambenso kubwereranso. Ichi ndichifukwa chake nthawi zambiri kuukira kwa kapamba kumachitika patapita nthawi ya tchuthi, maphwando kapena masikono, pomwe munthu amadya "zinthu zabwino" zonse zomwe kapamba sakonda.

Chomwe chimayambitsa kukhathamiritsa ndi zochitika zovuta. Kugwedezeka kwamanjenje kwamphamvu kumayambitsa kutulutsa kwa adrenaline ndi cortisol, komanso kuphipha kwa minofu yosalala. Zonsezi zimabweretsa kuphwanya kwa magazi kwa kapamba ndipo zimapangitsa kutsekeka kwa milomo yake. Zotsatira zake, michere ya pancreatic imayamba "kugaya" minofu ya gland, yomwe imayambitsa kutupa kwambiri.

Zinthu zonsezi zimatha kuchulukitsa nthawi iliyonse, ngakhale kwa ana. Koma pali zifukwa zingapo zomwe nthawi zambiri zimapezeka mwa akulu:

• kusuta ndi kumwa mowa
• kudya kosalamulirika kwa ma painkiller, mahomoni kapena maantibayotiki,
• cholecystitis, matenda a ndulu,
• matenda a chiwindi, m'mimba, duodenum.

Matenda a kapamba amatha kuonetsa zizindikiro zilizonse. Koma odwala ena nthawi zina amakhala ndi nseru, matenda a stool, kapena kugona. Izi sizowonjezera. Kupatula apo, zizindikiro zazikulu za kuukira kwa kapamba ndizopweteka kwambiri. Zitha kutulutsidwa kumanja kumanzere, kumanzere kapena dera la epigastric, kutengera gawo lomwe gland ikukhudzidwa. Nthawi zambiri kupweteka kumakhala ndi chikhalidwe chomangirira, kufalikira m'matumbo am'mimba, ndikuwunikira kumbuyo, kumbuyo, mapewa.

Ululu ndi kufalikira kwa kapamba amatha kupweteka, kukoka, kukoka. Koma nthawi zambiri imakhala yakuthwa, yolimba komanso yosalephera. Ululu umakulirakudya mukatha kudya, kuchita masewera olimbitsa thupi. Nthawi zambiri wodwala amakhala wosavuta ngati wagona pambali pake ndikukoka miyendo yake m'mimba mwake kapena kukhala pansi ndikutsamira kutsogolo.

Zomverera zowawa, monga zizindikiro zina za kuchuluka kwa kapamba, zimagwirizanitsidwa ndi njira zomwe zimachitika mu kapamba ndi matenda am'mimba. Zakudya zopanda pake kapena zinthu zina zovuta zimayambitsa ntchito ya pancreatic enzymes. Amakwiyitsa minofu ya gland, kumabweretsa edema ndi njira yotupa. Gland limakulira kukula, kufinya minofu yoyandikana, mitsempha ndi mitsempha yamagazi. Nthawi zina kusunthika kwa pancreatic madzi kumachitika, chifukwa chomwe chiwonongeko cha minyewa ya minyewa chimachitika ngakhale mwachangu.

Chifukwa chake, kuwonjezera pa zowawa, zizindikiro zina za kufalikira kwa kapamba zimachitika kawirikawiri:

• nseru, nthawi zambiri kumatha ndi kusanza, kupweteka, kutentha kwa mtima,
• kuphwanya dongosolo la chimbudzi, chifukwa chomwe thupi limasowa michere ndi mavitamini ena, komanso zidutswa za chakudya choperewera zimawonekera mu ndowe,
• kuwawidwa mtima ndi pakamwa pouma, kusowa kwa chakudya.
• ndi kuchulukana kwa kapamba, kutsekula m'mimba kumachitika kawirikawiri, kuchuluka kwa mafuta ndi ndowe kumawonjezeka, matumbo amayenda mokwanira, kupeza fungo la fetid,
• Pamakhala kupangika kwa gasi, kumatulutsa, kugundana.

M'mavuto ovuta kwambiri, kapamba wam'mimba amakhala ndi zovuta zina. Wodwala amatha kukhala ndi malungo. Izi zikuwonetsa kutupa kwa purulent kapena kufalikira kwa ziwalo zoyandikana. Nthawi zina kukoka kwa wodwala kumawonjezeranso, kuthamanga kwa magazi kukwera kapena kugwa, khungu limasanduka lotuwa ndikuuma. Nthawi zambiri, kuchulukitsa kwa kapamba kumayendetsedwa ndi jaundice yolepheretsa, yomwe imakhudzana ndikuphwanya kutuluka kwa ndulu. Chifukwa cha kuchepa kwa chakudya, munthu amayamba kuchepa msanga, amayamba kufooka. Mphamvu yake yogwira ntchito imachepa, zizindikiro za kutopa, kusasangalala, komanso mavuto atagona.

Koma ndizowopsa makamaka pamene njira yotupa pakuwukira ikawononga maselo a kapamba, omwe amachititsa kuti mahomoni azipanga. Pankhaniyi, zomwe zimapezeka m'magazi m'magazi nthawi zambiri zimaphwanyidwa. Kuwonjezeka kwa msambo wake kumayambitsa pafupipafupi matenda a hypoglycemia, ndipo kuchepa kwake kumabweretsa kukula kwa matenda a shuga.

Mavuto

Ngati patapita nthawi simukugwira bwino matenda a kapamba, ndiye kuti zovuta zotsatirazi ziyamba kupita patsogolo:

• ma pancreatic ascites,
• kapamba ka shuga kapamba,
• kunyowa
• mapangidwe a phlegmon m'malo opatsirana,
• yotupa mu ma ducts,
• chotupa chakutchinga,
• B12 kuchepa magazi
• matenda oopsa a portal
• kutulutsa magazi m'mimba kumatha kuchitika chifukwa chotumphukira cha ma pseudocysts,
• mapangidwe zotupa zoyipa.

Kodi kuchitira matenda a kapamba?

Polembera wodwala dongosolo lamankhwala omwe akubwera, adokotala amakhazikitsa zolinga zodziwika bwino. Ndikofunikira:

• Chotsani ululu
• patsani nkhondoyi ndi mtendere,
• chepetsa ntchito yake yachinsinsi,
• bwezerani kuchepa kwa michere ya kapamba,
• Malangizo a mitsempha ya mafuta owonongeka (ngati pakufunika).

Kuti tikwaniritse zolinga izi posagwiritsa ntchito mankhwalawa odwala omwe ali ndi mitundu yosiyanasiyana ya kapamba, njira zosiyanasiyana ziyenera kugwiritsidwa ntchito. Zovuta zakuchuluka kwa zinthu zingapo zochizira (chithandizo cha zakudya, mankhwala, njira zolimbitsa thupi, ndi zina zambiri) ndizothandiza kwambiri.

Mankhwala osokoneza bongo omwe amalandira mankhwala

Magulu a mankhwala omwe amagwiritsidwa ntchito pochiza matenda a kapamba:

1. Antispasmodics ndi analgesics (Nosh Pa, Aspirin) amagwiritsidwa ntchito kupweteka kwambiri. Piritsi la Nosh PA 1 katatu patsiku.
2. Mankhwala ochepetsa mphamvu ya kutupa (Diclofenac) amachepetsa ululu pochepetsa kutupa mu kapamba.
3. Kuthandizira mankhwala othandizira umuna kumachitika ndi zokonzekera zomwe zimakhala ndi ma pancreatic Enzymes (Mezim, Creon, Pancreatin), kuti akonze njira zimbudzi (zithandizira kugaya chakudya), kuthetsa ululu komanso kutulutsa magazi. Ndikofunikira kumwa mankhwalawa ndikudya. Piritsi 1 Mezim ndi chakudya.
4. Maantacidine (Fosfalugel, Almagel, Grastal) amadziwika kuti ateteze mucosa wa duodenal kuchokera ku acidic zomwe zimapangidwa chifukwa chosowa ma bicarbonates omwe amapangidwa ndi kapamba. Almagel supuni 1 katatu patsiku, mphindi 30 asanadye.
5. Mankhwala a Antisecretory (Famotidine, Omeprazole) amadziwika kuti asalole asidi. Piritsi la Omeprazole 1 (20 mg) 2 pa tsiku.
6. Kuchepetsa katulutsidwe yogwira gland, mankhwala osokoneza bongo (Octreotide, Sandostatin) amagwiritsidwa ntchito pakukulitsa kwa kapamba, kupweteka kwambiri, osaletsa antispasmodics. Sandostatin 100 mcg katatu patsiku, subcutaneally.
7. Prokinetics (Motilium, Tserukal) amagwiritsidwa ntchito kupondera mseru pa kusanza, pakuchulukirachulukira kwa chifuwa chachikulu. Motilium 10 mg katatu patsiku, mphindi 30 musanadye.

Ndi matenda osakhalitsa a kapamba, endocrine pancreatic matenda ndi chitukuko cha matenda a shuga amell, motero, kufunikira kwa endocrinologist ndikofunikira.

Zakudya ndi mfundo za zakudya

Ngati kuchulukitsa kwa pancreatitis yokhazikika kuli koopsa ndipo kumayendera limodzi ndi kupweteka kwambiri, kusanza kosalekeza, kusintha kwakukulu pama mayeso a labotale, ndiye kuti odwala amafunikira njala.

Zimakupatsani mwayi wopatsa chiwalo chovulazidwacho ndi mtendere wambiri ndikuchepetsa kupanga michere yamphamvu ndi gland yomwe imawononga chiwalocho. Kutalika kwake kumatengera ndi matenda, koma nthawi zambiri amayamba pa 1 mpaka 3 masiku. Nthawi zina mu gawo la "njala" limaloledwa kumwa msuzi wa rosehip, madzi amchere amchere, ndi tiyi wopanda mphamvu.

Ndiye zakudya zapadera zopatsa mphamvu (mpaka 2200 kcal) zokhala ndi kuchuluka kwa protein. Amapangidwa kuti azitha kuteteza kachulukidwe komanso ziwalo zina. Zina mwa izi ndi:

• kusiyidwa kwazinthu zonse zomwe zimakhala ndi mafuta ochulukirapo kapena mafuta ofunikira (nsomba, msuzi wa nyama, cocoa, khofi, ndi zina), zipatso zatsopano, masamba, zitsamba, zipatso, zipatso, zakumwa zowumwa, zakumwa zozunguliridwa ndi mpweya, marinade,
• choletsa zakudya zamafuta (mwanawankhosa, nkhumba, kirimu, mafuta anyama, ndi zina) ndi mowa,
• kugawikana kwa chakudya (mpaka 6),
• kupera kapena kupukuta zinthu zomwe zagwiritsidwa ntchito,
• kuletsa mchere
• Mbale amazipaka zokhazokha zotentha,
• ntchito ponseponse mumphika wophika phala, masamba owononga masamba ndi nyama yophika, souffle, mapiritsi omanga thupi, nsomba ndi zodyetsa nyama, zotsekemera zotentha, maapulo otsekemera, maapozi ophika, masamba oyambira, jellies, mousses, mkate wopanda chofufumitsa, tchizi wowonda.

Pansi pa mkhalidwe wa kukonzanso kwachipatala ndi ma labotale, zakudya zimakulitsidwa, ndikuwonjezera zomwe zili ndi zopatsa mphamvu komanso kuchuluka kwa mapuloteni ofunikira kuti achire mwachangu. Ngakhale seti yazinthu zovomerezeka ndizofanana ndi zakudya zomwe zatchulidwa kale, mndandanda wazakudya pazakudya ukuwonjezeka (kuphika ndikuloledwa). Ngati pancreatitis imayendera limodzi ndi chitukuko cha shuga, ndiye mapira oyera, mbatata, uchi, maswiti, ndi makeke amawonjezeredwa pamndandanda woletsedwa wagolosale.

Kodi mndandanda wazitsanzo zamatenda ang'ono ang'ono ndi chiyani?

Mphepoyi ndi chida chogaya chomwe chimabisa ma enzymes apadera ndi mahomoni omwe amathandizira kugaya chakudya komanso kuyamwa michere.

Cholinga cha zakudya za kapamba:

1. Chepetsani kukwiya kwapancreatic,
2. Chotsani zizindikiro za matendawa (kupweteka, kutulutsa, mseru, zimbudzi, etc.),
3. Patsani thupi zakudya zofunika.

Pakulimba kwamatumbo, kupenda kugaya ndi kuyamwa mafuta kumachepetsedwa, komwe kumawonetsedwa ndi kupweteka kwam'mimba ndi chimbudzi chosayimira. Pankhaniyi, mfundo yayikulu pakapangira menyu zakudya ndizochepa mafuta m'zakudya zosaposa 50 magalamu a mafuta patsiku.

Zakudya zokhala ndi mafuta ochepa komanso mapuloteni olimbitsa thupi komanso chakudya chambiri zimachepetsa katundu paziphuphu, zimachepetsa kutupa komanso zimatchanso kuwonongeka kwina.

Mukamalemba mndandanda, mfundo zingapo zofunika kuziwona:

Ndi zakudya ziti zomwe zingayambitse matenda a kapamba?

Pogwiritsa ntchito mafuta ochepa, mutha kugwiritsa ntchito mafuta apadera okhala ndi mitundu yapadera yamafuta ngati sing'anga yaying'ono triglycerides (MTC Mafuta, ma triglycerides apakati). Pazomwe zimayamwa mafuta awa, michere ya pancreatic sifunikira. Mutha kugula mafuta otere m'masitolo azakudya zamasewera monga zosakaniza zosiyana kapena zimapezeka mu mafuta a kokonati ndi mafuta a kanjedza (Palm Kernel Mafuta). MTS Mafuta amawonjezera chakudya, supuni 1-3 patsiku.

Physiotherapy

Njira zolimbitsa thupi zimagwiritsidwa ntchito pokhapokha kuchepa kwa ntchito yotupa. Ndi ululu waukulu, electrophoresis yokhala ndi novocaine kapena dalargin imayikidwa, ma ultrasound, ma diadynamic mafunde. Pofuna kuthana ndi zotumphukira zomwe zatsalira, kukhathamiritsa kwa magazi kwa laser kapena ultraviolet magazi, makina osinthika amathandizidwa.

Chithandizo cha kukokomeza matenda kapamba

Zomwe zimathandizira pakuwopseza kwambiri zimaphatikizira kutsatira kupumula kwa kama, kudya ndi kumwa mankhwala oyenera kuchipatala, popeza pali chowopseza osati thanzi, komanso moyo wa munthu. Ma ambulansi isanafike, wodwala ayenera kulandira thandizo loyamba:

• Njala yeniyeni.
• Ikani ozizira ku pancreatic dera.
• Kupumula kwathunthu ndi kugona.

Odwala ambiri akufuna kufotokozera kuti kutalika kwa chifuwa chachikulu chitha kukhalapo mpaka liti? Madokotala amatsimikiza kuti m'malo ambiri obwezeretsanso matendawa sapitirira masiku 7.

Chithandizo chothandizira kupumula kwa zowawa:

• Ma enzyme (Creon kapena Pangrol),
• antispasmodics (drotaverine kapena papaverine),
• proton pump inhibitors (lansoprazole, rabeprazole).

Pofuna kutsitsa kapamba, gwiritsani ntchito:

• Zakudya zomwe zili ndi mafuta ochepa kapena osatha kudya kwa masiku angapo,
• kusiyiratu kumwa mowa ndi kusuta,
• octreotide ndi mankhwala omwe ali analogue of the pancreatic hormone somatostatin.

Pofuna kuchiritsa matenda, nthawi zina pamafunika opaleshoni yofunikira. Chizindikiro cha opaleshoni ya pancreatitis yodala mwa okalamba ndi zovuta za purifosis, kutsekeka kwa ma biliary ndi pancreatic path, stenosis, kusintha kwa tiziwalo timene timatulutsa timene timatulutsa timene timayambitsa matenda, komanso zovuta zina zomwe sizitha kuthandizidwa mosamala.

Mitundu yotsatira ya opaleshoni imachitidwa:

• sphincterotomy pakutseka chitseko cha Oddi,
• mwala wamiyala panjira za kuthengo,
• kutsegula ndi ukhondo wa purulent foci,
• Pancondola
• vasectomy, splanhectomy, pang'ono mbali yam'mimba,
• Kuchotsa ndulu panthawi yamavuto mu ndulu yayikulu ndi ndulu,
• njira yolenga zotumphukira za bile kuti zitumphukire kuti muchepetse kupsinjika kwa njira zikuluzikulu za pancreatic.

Zochizira

Mawonetsero a kapamba mu gawo lodana kwambiri amatha kufanana ndi ma pathologies ena. Chifukwa chake, musanayambe chithandizo, ndikofunika kuti mupeze matenda. Ithandizira kudziwa kupweteka kwambiri kwam'mimba, matumbo, zotupa zamkati, peritonitis, ndi zotupa za khansa. Kuti muchite izi, ndi kuphipha kwa kapamba ndi kuyezetsa magazi kumayikidwa. Nthawi zina mukufunikabe kuchita MRI kapena endoscopic retrograde cholangiopancreatography.

Koma ngakhale pakubwera koyamba kwa dokotala musanamuyeso, amalangiza wodwalayo zoyenera kuchita kuti achepetse kupweteka ndikuyambitsa kugaya. Kuchulukana kwa matenda a kapamba nthawi zambiri amathandizidwa kunyumba. Pokhapokha pokayikira ngati chotupa kapena kufalikira kwa ma ducts, wodwalayo ayenera kupita kuchipatala.

Mankhwalawa ochulukitsa matenda a kapamba nthawi yoyamba ayenera kukhala pansi pazinthu zitatu zofunika: njala, kuzizira komanso kupuma. Njira imeneyi iyenera kupitilira kwa masiku angapo mpaka chotupa chichepa. Kuperewera kwa chakudya ndikofunikira kuti ntchito ya kapamba izigwira ntchito. Kupatula apo, ngakhale chakudya chochepa chomwe chimapangitsa kuti michere ya pancreatic yomwe imakulitsa kutupa. Ndipo nthawi yanjala, kapamba amatha kubwezeranso.

Ma compress ozizira amathandizira kuukanso mwachangu, popeza amachepetsa kutupa ndi kutupa. Ndipo kupumula kwa wodwala ndikofunikira kwambiri chifukwa zochitika zolimbitsa thupi zimadzetsa zowawa zambiri.

Cholinga chachikulu chochizira pancreatitis panthawi yowonjezera ndikuchepetsa ululu ndi kutupa. Mfundo ya "kuzizira, njala ndi mtendere" imagwirizana bwino ndi izi. Koma kuphatikiza apo, mankhwala amathandizika. Poyamba, awa ndi antispasmodics. Kenako, wodwala akayamba kudya pang'ono, mankhwala ena amafunikira: ma enzyme, ma prokinetics, ma metabolic othandizira, ma multivitamini. Ndikofunikira kwambiri kutsatira zakudya zosasinthika kwa masabata awiri. Chakudya chotsalira chimathandizira kupumira komanso kufulumizitsa kuchira.

M'pofunika kuchitira kukhathamiritsa kwa kapamba kuyang'aniridwa ndi dokotala. Inde, kuphatikiza pakuchepetsa ululu ndi kutupa, ndikofunikira kubwezeretsanso kugwira ntchito kwa kapamba. Izi nthawi zambiri zimafuna kulipira kubwezeretsa kwa endocrine, kupangitsa kuti ntchito yazinsinsi ikhale. Kuphatikiza apo, ndikofunikira kusintha ntchito ya ziwalo zina zam'mimba zomwe zakhala ndi vuto chifukwa chakufa kwa chimbudzi.

Thandizo loyamba

Chiyembekezo choti atha kugwidwa mwachangu popanda zovuta, zimadalira momwe thandizo loyambirira limaperekera kwa wodwala. Nthawi zambiri muyenera kuchita izi nokha, kuyembekezera kuti adokotala afike.

Chifukwa chake, odwala onse omwe ali ndi pancreatitis yayitali ayenera kudziwa zoyenera kuchita akayamba kuukira:

• Choyamba, muyenera kukana kudya nthawi yomweyo.Izi zikuthandizira kuyimitsa kupanga ma enzyme ndikuthimitsa kapamba. Amaloledwa kumwa madzi okha.
• Kuzizira kumayenera kuyikiridwa kwa kapamba. Zabwino koposa zonse si madzi oundana, koma poto yotentha ndi madzi ozizira. Izi zikuthandizira kuthetsa kutupira ndi kutupa pang'ono komanso kuchepetsa ululu.
• Kuchepetsa kutuluka kwa magazi kupita ku gland, kupuma pabedi ndikofunikira. Wodwala amayenera kukhala momasuka ndikuyesera kuti asunthe.
• Amaloledwa kutenga antispasmodics m'masiku atatu oyamba kuti athetse ululu. Izi ndi No-Shpa, Drotaverin, Spazmalgon.

M'masiku oyambira kusokonezeka musanadye chilichonse, muyenera kuchepetsa kuchita masewera olimbitsa thupi komanso kupewa nkhawa. Sitikulimbikitsidwanso kumwa mankhwalawa ngati sauzidwa ndi dokotala. Ndizowopsa panthawiyi kumwa kukonzekera kwa enzyme.

Kuphatikiza apo, tikulimbikitsidwa kukaonana ndi dokotala komanso kukayezetsa, ngakhale wodwalayo akutsimikiza kuti ali ndi kufalikira kwamphamvu kwa kapamba. Izi ndizofunikira kuti musankhe zotupa, necrosis ya tiziwalo tamatumbo kapena kutsekeka kwa ma ducts. Pankhaniyi, kuukira kuyenera kuthandizidwa kuchipatala komwe madokotala, ngati kuli koyenera, amapereka chithandizo kwa wodwala: amapereka chakudya chamagulu, kuletsa kuledzera, kapena kuchitidwa opaleshoni.

Mankhwala

Njira imodzi yayikulu yochiritsira kapamba m'njira iliyonse ndi mankhwala. Koma mankhwalawa amayenera kufotokozedwa ndi dokotala kutengera kuopsa kwa vuto la wodwalayo.

• Nthawi zambiri amagwiritsa ntchito antispasmodics ndi painkiller. Amatha kutengedwa kuchokera tsiku loyamba lomenyera. Ikhoza kukhala Papaverin, No-Shpa, Analgin.
• Nthawi zina, kuti muchepetse kutupa, cytostatics imalembedwa mwachitsanzo, cyclophosphamide. Ma NSAID sagwiritsidwa ntchito, chifukwa amawononga kwambiri m'mimba.
• Mankhwala a antisecretory amafunikiranso omwe amatchinga kupanga ma enzyme komanso kupewa kuwonongeka kwa minofu ya tinyezi. Itha kukhala ma enzyme blockers, mwachitsanzo, Kontrikal, Trasilol kapena Somatostatin, kapena proton pump inhibitors - Omeprazole.
• Ndi kufalikira kwa kutupa kwa ziwalo zina, kulumikizana ndi matenda kapena njira ya puritive, maantibayotiki amafunikira. Zomwe zimasankhidwa kwambiri ndi Kanamycin kapena Monomycin.
• Pambuyo pochotsa zotupa, wodwalayo ayenera kukhazikitsa njira za metabolic ndikupanga kuchepa kwa michere. Mwa izi, multivitamini ndi ma metabolic othandizira amagwiritsidwa ntchito.
• Kuti muthandizike ntchito ya kapamba munthawi yakuchulukitsa, wodwalayo akayamba kusiyanitsa zakudya, kukonzekera kwa enzy ndikofunikira. M'mawu ofatsa, amatha kukhala Pancreatin kapena Cholenzym, muzovuta kwambiri, Creon, Panzinorm kapena Hermitage ndi omwe adayikidwa.
• Muzovuta, ndi kuledzera kwambiri kapena kusintha kwa magazi, mayankho a colloidal, amino acid ndi ma elekitirodi amtundu wa mankhwala ndi mankhwala.