Chimodzi mwazomwe zimayambitsa matenda a kapamba

Ntchito yogaya chakudya imagwirizanitsidwa bwino. Kulephera kugwira ntchito kwa imodzi kumabweretsa zosokoneza ziwalo zina. Zikondamoyo ndi chiwindi zimalumikizana mwapadera.

Ziwalo zamkati zimayang'anirana bwino kwambiri, zimagwira ntchito zofananira, kagayidwe kachakudya ka thupi kamadalira iwo, motsatana, Zizindikiro zamatenda a chiwindi ndi kapamba zimayendera limodzi ndi mawonetsedwe angapo ofanana.

Nthengwa (kapamba) imakhala ndi thupi, mutu ndi mchira. Imapanga insulin ya mahomoni, yomwe imathandizira kusungunulira kwa glucose pamlingo woyenera. Thupi limapanganso ma enzyme angapo omwe amathandizira kugaya chakudya.

Chiwindi chimagwira ngati "fyuluta" pakati pazakudya zam'mimba ndi kufalikira kwa m'mapapo. Ganizirani chimodzi mwazomwe zimayambitsa matenda a kapamba, ndipo ndi zizindikiro ziti zomwe zikusonyeza kuti kuphwanya ziwalo zamkati?

Zimayambitsa matenda a kapamba ndi chiwindi

Ndi dokotala yekha yemwe amatha kumvetsetsa bwino chifukwa chomwe kapamba amapweteka. Nthawi zina, kuti mupeze pansi pazifukwa zowona, kudziwika mozama ndikofunikira, kudutsa njira zosiyanasiyana ndi mayeso.

Nthawi zambiri, ululu umachitika pamene chiwalo chamkati chikuyamba kudzimbidwa. Choyambirira chimaphatikizapo kusintha kwa atherosulinotic, kukwiya mu kayendedwe ka metabolic, ndi kuzunza kwa mapuloteni ndi mafuta.

Zikatero, izi zimakwiyitsa kupanga michere yamagetsi, yomwe imayambitsa kuphwanya zakudya, pomwe imakhudza gawo lamkati.

Zoyambitsa matenda a kapamba:

Zizolowezi zoyipa - mowa ndi kusuta zimathandizira kukulitsa madzi a pancreatic, omwe amawononga chiwalo kuchokera mkati. Kuphatikiza apo, zimatha kusokoneza kayendedwe ka kapamba, kusokoneza kayendedwe ka magazi mthupi, zomwe zimabweretsa kukula kwa kutupa.
Kuchiza kwa nthawi yayitali ndi mankhwala osokoneza bongo kumakhudza kapamba. Mankhwala ovulaza kwambiri akuphatikizapo maantibayotiki omwe ali m'gulu la tetracycline, corticosteroids.
Sizachilendo kuti mavuto a kapamba amachitika pakubala kwa mwana. Izi ndichifukwa choti thupi la mayi limagwira ntchito mowirikiza, amayi oyembekezera nthawi zambiri amamva kufunika kudya chinthu chosazolowereka kapena chomwe sichimadziwika mwa iwo okha, makamaka, mbale yamafuta.
Kusintha kokhudzana ndi ukalamba m'thupi kumabweretsa kuphwanya magazi, chifukwa, matenda a kapamba amapezeka.

Zomwe zimayambitsa matenda a kapamba zimatha kupsinjika nthawi yayitali, kusokonezeka kwamanjenje, kusakhala bwino kwachilengedwe. Nthawi zambiri zomwe zimapangitsa kuti matendawa atukuke komanso kuphatikiza zinthu zomwe zingayambitse mkwiyo.

Malinga ndi kayendedwe ka kapamba ndi chiwindi cha munthu zili pafupi.

Pali zifukwa zambiri zoyambitsira chiwindi ntchito. Tiyeni tiwone ena a awa:

Matenda a mavairasi amatulutsa njira zotupa komanso zotupa m'magazi a chiwindi.
Zoopsa. Ngati zinthu zovulaza zochokera kuzungulira chilengedwe (zida za mankhwala, zitsulo zolemera, ndi zina) zilowa m'thupi la munthu kwa nthawi yayitali, izi zimabweretsa kuwonongeka mkati.
Zovuta za matenda achilengedwe komanso parasitic. Amatha kuyambitsa kusintha kwachilengedwe pachimake, kapena amathandizira pakukula kwa njira zochizira pakusintha kwa chiwindi.
Matenda obadwa nawo, matenda owopsa am'mimba, kuvulala pamimba ndi chiwindi, etc.

Chiwindi chimadziwika ndi imodzi mwazinthu zapamwamba kwambiri zobwezeretsa thupi. Kuchuluka kwa ziwalo zowonongeka kwakukulu zimatengera momwe munthu aliri.

Zizindikiro zamatenda a chiwindi, kapamba ndi chikhodzodzo

Matenda ofala kwambiri a chiwindi ndi hepatitis, omwe amawerengedwa m'mitundu ingapo. Ndiwachilombo, pachimake komanso poizoni, ma virus. Matenda ophatikizika ndi monga kuperewera kwa impso, hepatosis ndi cirrhosis.

Matenda a gallbladder - dyskinesia, cholecystitis, kupindika kapena polyp ya ndulu, matenda a ndulu. Ndi kuphwanya magwiridwe antchito a kapamba, chifuwa chachikulu kapena kapamba, khansa yamkati, matenda am'mimba, ndi dystrophy amadziwika.

Chizindikiro chachikulu cha ma pathologies omwe afotokozedwa pamwambapa ndi ululu. Kukula kwa chizindikirocho kumachitika chifukwa cha kuopsa kwa zovuta zina m'thupi. Zowawa zimatha kukhala zochepa kapena zowawa, zimayang'aniridwa mosalekeza kapena kwakanthawi. Kusintha ndi kupweteka. Mu zojambula zina, zotulutsa zowawa zimawonekera m'chigawo cha mtima, nthawi zambiri zimawala mpaka ku scapula yoyenera.

Zizindikiro zodziwika bwino za chiwindi ndi kapamba:

Kuphwanya kwam'mimba, komwe kumawonetsedwa ndi nseru, kusanza - nthawi zina, kutaya thupi, kuchepa thupi.
Ngati mukulitsa malo opweteka, ndiye kuti zopweteka zimakulirakulira, pomwe mutha kumva kukulitsidwa kwa chiwalo.
Kufalikira, mawonekedwe a kutentha kwa kutentha kwa mtima (nthawi zonse kapena nthawi ndi nthawi).
Hormonal kusalinganika m'thupi.
Kusowa tulo kapena kugona.
Kuchulukitsa kutentha kwa thupi.
Kudzimbidwa kwa nthawi yayitali, kutsegula m'mimba, matumbo.
Kusakwiya, kuda nkhawa, mantha.
Kusintha kwa utoto wa ndowe, ntchofu ulipo mu ndowe.

Chizindikiro cha Voskresensky ndi pancreatitis chimawonedwanso. Zowonadi, wodwalayo alibe mndandanda wathunthu wazizindikiro, nthawi zambiri zizidziwikiratu kuti zizindikiro za 2-4 zimapezeka.

Matenda aliwonse a chiwindi ndi kapamba amasiyanitsidwa ndi njira yake komanso mawonetsedwe ake azachipatala.

Mawonetsedwe ena azachipatala ndi chithandizo

Zachidziwikire, ngati pali ululu pamimba yapamwamba, yomwe imapezeka pafupipafupi kapena nthawi ndi nthawi, chizindikirochi chidzakhala mwayi wopita kuchipatala. Mu kapamba pachimake, thandizo la madokotala likufunika. Kunyalanyaza zizindikirazo kumabweretsa zovuta, chimodzi mwazo ndi necrosis (imfa) ya minyewa ya ziwalo.

Ngati mukukayikira matenda ena ake, adotolo adzalembera mayeso. Wodwalayo amapita kukasuntha ka ultrasound, radiology. Kuphatikiza apo, kuyesa kwa magazi ndi mkodzo, kuyezetsa shuga kumayikidwa. Ngati chotupa chikukayikiridwa, mbiriyakale ifunika. Nthawi zina, njira zambiri zodziwira matenda zimafunikira pamene matendawo atulutsa.

Zizindikiro za pancreatitis pachimake: zoteteza za ululu wammbuyo. Ululu umatha kukhala wamphamvu kwambiri mpaka wodwalayo amasiya kuzindikira. Kusanza mobwerezabwereza komanso kupukusa, kutsegula m'mimba kosasunthika, kutentha kwa thupi, kuchuluka thukuta.

Ndi zizindikiro zoterezi, muyenera kuyitanitsa gulu la ambulansi. Madokotala amapereka chithandizo choyamba cha pancreatitis pachimake. Mankhwala ena amagwiritsidwa ntchito kuthandiza.

Mapiritsi ochepetsera kupweteka omwe atengedwa kunyumba sangachotse chomwe chimayambitsa. Wodwala amafunikira njala, chithandizo chovuta ndi mankhwala, komanso kuwunika kwambiri.

Zizindikiro zina za matenda a chiwindi:

Kuteteza khungu.
Kukula kwa ziwalo zamkati.
Kulawa kwamkamwa pamkamwa ndi pakamwa.
Khungu lotupa lomwe limadandaula mosalekeza.
Kutupa mbali zina za thupi.
Kuthamanga mtima.
Kutha kwa chilakolako chofuna kudya, kusatha mphamvu.

Zizindikiro za vuto la chiwindi choperewera limaphatikizaponso chilankhulo choyera, kuchuluka kwa magazi (nthawi zina), kusintha kwamkodzo, mawonekedwe a venous pakhungu pamimba.

Malangizo a chithandizo kwa amuna ndi akazi amatengera matendawo, kuopsa kwake komanso chifukwa chake. Nthawi zambiri amalimbikitsa mankhwala omwe samakhudzanso Zizindikiro, komanso matenda a etiology. Maphunzirowa amaphatikizapo zakudya za Wellness, zomwe zimatanthawuza kukana zakumwa zoledzeretsa, zakudya zamafuta ndi zonunkhira, confectionery, etc.

Monga njira yothandizira, wowerengeka azitsamba amagwiritsidwa ntchito - decoctions motengera dogrose, peppermint, pharmac chamomile, yarrow, dieelle, meadowsweet. Amathandizira kuthetsa kutupa, kuchepetsa ululu.

Zomwe zimawonetsa zomwe zimayambitsa chiwindi ndi kapamba zimawuza katswiri muvidiyoyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Matenda a kapamba

Matenda a kapamba amalumikizidwa ndi kuperewera kwa chakudya, ndipo amatha kubweretsa mavuto akulu kuchokera kumimba yodyetsa zakudya komanso tiziwalo tina ta thupi.

Zikondamoyo, zomwe zimakhala gawo la chimbudzi chamunthu, monga ziwalo zina, zimatha kutengeka ndimatenda osiyanasiyana. Chiwalochi chimatha kutchedwa "mwala wapangondya" wa gastroenterology yamakono.

Matenda a kapamba sakhala ochulukirapo, koma onsewo angayambitse kusokonezeka kwakukulu mu ntchito ya ziwalo zina zogaya chakudya ndi dongosolo la endocrine la anthu. Matendawa ndi monga:

chilonda chachikulu komanso chamba
cystic fibrosis,
zotupa zoyipa ndi zoyipa,
cysts
miyala
matenda ashuga

Zizindikiro zazikulu za pathologies zitha kugawidwa m'magulu awiri: syndrome ya ululu ndi exocrine insufficiency syndrome. Ngati pali kukayikira kwanthawi iliyonse mwamagetsiwa, kuwunika kokwanira kwa wodwalayo kumafunikira kuti mudziwe zomwe zimayambitsa matendawo, komanso kukupatsani chithandizo chokwanira.

Zoyambitsa

Zomwe zimayambitsa ma pancreatic pathologies zimayenera kufunafuna nthawi zonse m'matenda a ziwalo zina zam'mimba. Matenda a ululu nthawi zambiri amawonetsa kuti gawo lina la kapamba silingalimbane kwathunthu ndi ntchito yomwe yapatsidwa. Zotsatira zake, kukokana kwachilendo kumayamba: kupanga kwa insulin mokwanira kufunikira kwa thupi kumayima, shuga ya magazi imakwera, yomwe imaphatikizira kukulira kwa zovuta zina.

Zikondazo zimapanga ma enzymes ofunikira amthupi la munthu, omwe amaphatikizidwa pakuphatikizidwa kwa madzi a m'mimba ndipo amatenga nawo mbali pakuwonongeka kwa mapuloteni, mafuta ndi chakudya. Ndi vuto la kuchuluka kwa enzyme imodzi, chakudya sichilimbitsa thupi, njira za m'mimba zimayamba kukula m'matumbo mwake komanso ziwalo zina zam'mimba.

Zifukwa zazikulu zomwe zimayambitsa kusokonezeka kapena kusintha kwina kwa kapamba, akatswiri amasiyanitsa izi:

kudya kolakwika
kuchuluka kwa zakudya zamafuta, zonunkhira, zotsekemera ndi zina "zoyipa" pazakudya zilizonse,
uchidakwa
kusuta
kukhalapo kwa cholecystitis mu pachimake kapena matenda mawonekedwe,
matumbo dysbiosis,
zosiyanasiyana zam'mimba,
cholelithiasis, etc.

Pancreatitis

Poganizira matenda a kapamba, munthu sangathe kudziwa pancreatitis - kutukusira kwa chiwalo komwe kumatha kuzindikirika ndi njira yovuta kapena yopweteka. Njira yotupa yotupa imayamba mwadzidzidzi. Nthawi zambiri, zomwe zimayambitsa matendawa zili m'matumbo a duodenum, chikhodzodzo, kumwa kwambiri, etc.

Matendawa amakula mosemphana ndi kutuluka kwamphamvu kwa kapamba. Ma enzymes ake amadziwika kuti amagwira ntchito kwambiri, ndipo ngati sizingatheke kudutsa mu ndulu, mumakhala njira yodzipangira yokha ya maselo a gland, zomwe zimapangitsa kuti thupi lithe. Kusintha kwamitundu yosiyanasiyana kumachitika pafupipafupi ndi anzawo a pachimake kapamba. Nthawi yomweyo, matendawa amawonekera kupweteka kwambiri, kupweteka kwambiri, komwe kumakhala kovuta kuletsa kuukira, komanso zizindikiro zina.

Matenda a pancreatitis amadziwika ndi njira yayitali komanso yowonongeka. Matendawa akamakula, kuchuluka kwa minofu ya kapamba kumachepa, ndipo m'malo mwa iwo, minye yolumikizira imawonekera. Kuchulukitsa kwa matenda osachiritsika nthawi zambiri kumachitika ndikuphwanya zakudya, pomwe chidziwitso cha pancreatitis pachimake chikuwonekera.

Cystic fibrosis

Ma cystic fibrosis m'machitidwe amakono azachipatala siofala. Awa ndimatenda amtundu wokhala ndi cholowa chamtundu wa autosomal cholowa, chomwe chimachitika ndi kuwonongeka kwa ma endocrine gland, ndipo ntchito ya kupuma imakhudzanso ndi matenda awa.

Pa kapamba, matendawa amawonetsedwa motere: chifukwa cha kukula kwa chinsinsi, kutsekeka kwa milomo ya ziwalo kumachitika ngakhale mu nthawi ya kukula kwa fetal. Pankhaniyi, acini amatulutsa michere ya pancreatic mu voliyumu yabwinobwino, koma alibe mwayi wolowa mu duodenum. Kudzikundikira kwa ma enzymes amenewa, omwe amadziwika ndi ntchito yayitali, amathandizira kutsimikizira kwa minofu ya kapamba.

Zotsatira zake, njira za protein-carbohydrate metabolism, kuyamwa kwamafuta zimasokonekera, kuperewera kwa mavitamini osungunuka mafuta kumachitika. Kuchiza matendawa ndikofunikira, apo ayi mwana amakula ndi kuchedwa. Komabe, nthawi zina, kukula kwa matendawo kumachitika pang'onopang'ono, pomwe thupi limakhalabe ndi mphamvu yogwira ntchito kwazaka zambiri.

Khansa komanso zotupa zokhala ndi mahomoni

Chotupa cha khansa chimatha kupezeka mu gawo lililonse la kapamba ndipo chimakhala ndi chithunzi chosiyanasiyana chamadokotala malinga ndi dera linalake komanso kuwonongeka kwake. Pokhala matenda oopsa, khansa ya kapamba iyenera kuzindikirika kumayambiriro, pokhapokha wodwalayo ali ndi mwayi wochira kwathunthu.

Khansa yapakansa ndi matenda oopsa omwe amatha kupha munthu popanda kulandira chithandizo choyenera. Kugwirizana ndi zakudya zochizira pamenepa kumazirala kumbuyo, ndipo kuthekera kochotsa chotupa cha khansa kumakhala chinthu chofunikira kwambiri.

Hormone yogwira mahomoni ikhoza kukhala yopanda vuto kapena yoyipa. Amapangidwa kuchokera ku maselo apadera ndipo amapanga mahomoni a pancreatic pamlingo waukulu kwambiri. Kuzindikira mtundu wa matenda amtunduwu kumachitika pogwiritsa ntchito kuyezetsa magazi kwa munthu.

Mapangidwe a cystic

Pafupifupi pancreatic cyst yomwe tikukamba za pamene kaphatikizidwe kazinthu kena kamapezeka ndi kudzikundikira kwamadzi mkati mwake. Maseti amalumikizidwa kutizilombo tokha kapena minofu yapafupi. Mwa chiyambi, ma cystic omwe amapanga ndi obadwa ndipo amatengedwa. Zotsirizazo, zimagawidwa posungidwa, kuchuluka, kusinthika ndi parasitic.

Komanso, wodwalayo amatha kupezeka kuti ali ndi vuto la pancreatic cyst. Kutsekeka koteroko nthawi zambiri kumachitika chifukwa cha kupweteka kwa kapamba kapena necrosis ya organ. M`kati mwa chotupa choterechi, kuphatikiza pazakumwa zamadzimadzi, zimakhala za necrotic zimapezeka.

Miyala ya kapamba

Kapangidwe ka miyala kapamba ndizosowa.Nthawi zambiri, miyala imasanjidwa m'malo okonzedwa, ndipo madontho amchere mu organ parenchyma amathanso kuchitika. Miyala imatha kukhala matenda odziyimira pawokha, komanso kuvuta pambuyo pa matenda am'mbuyomu omwe amayamba chifukwa cha kuwonongeka kwa kapamba.

Ngati tikunena za kapangidwe kazinthu zama calculi, ndiye, monga lamulo, zimakhala ndi phokoso la phosphorous ndi calcium. Zocheperako, miyala imapangidwa kuchokera ku mchere wa aluminium, potaziyamu ndi magnesium. Miyala ndiosakwatiwa komanso yambiri, ndipo imapezeka m'milandu yambiri yamapanca.

Mpaka pano, matenda ashuga ndi matenda osachiritsika omwe amakhala ndi kuchuluka kwa shuga m'magazi. Ndi zovuta zosiyanasiyana pakugwira ntchito kwa kapamba, matenda a shuga a mtundu woyamba kapena wachiwiri akhoza kuchitika.

Mtundu woyamba wamatenda, kuwonongeka kwa maselo a pancreatic omwe amachititsa kuti insulin ipangidwe ndi chitetezo cha mthupi la munthu. Matenda a shuga a Type 2 amadziwika kuti wodwalayo amakula insulin, chifukwa chake glucose m'magazi nawonso amatuluka.

Matendawa adapezeka zaka zoposa 3,000 zapitazo. Dzinali "matenda ashuga" limaphatikizapo mawu achi Latin akuti "uchi" kapena "wokoma." Popeza matenda ashuga adakweza kuchuluka kwa shuga osati m'magazi okha, komanso mkodzo, m'zaka za zana la 17 nthendayi inkadziwika kuti ndi "yolemba zoyipa."

Zizindikiro

Dokotala amatha kudziwa kukhalapo kwa matenda a kapamba pambuyo pakupenda kwathunthu kwa wodwalayo pogwiritsa ntchito njira zasayansi ndi zothandizira. Choyamba, kuyesedwa kwa matenda a mkodzo ndi magazi kumayikidwa, momwe zodziwikiratu zimayamba kuwonekera, kupezeka kwa ma pancreatic enzymes (amylase), kuwonetsa kuwonongeka kwa ziwalo.

Kuyesa ntchito ya michere ya pancreatic, kuyezetsa kwamwazi wamagazi kumachitika. Pulogalamu imapatsidwa ntchito kuti idziwe momwe gululi lilili. Chizindikiro chachikulu cha kukanika kwa pancreatic nthawi zambiri chimakhala chodabwitsa monga steatorrhea - kupezeka kwa chopondapo cha zotsalira za zakudya zamafuta. Kuphatikiza apo, zidutswa zama carbohydrate (amylorrhea) ndi ulusi wama minofu (creatorrhea) zitha kupezeka mu ndowe. Kafukufuku wamagulu am'magazi amatha kuwona ngati pali vuto la carbohydrate metabolism.

Kuti muwone zaumwini ndi mawonekedwe a chiwalo, maphunziro othandizira ndi ofunikira, omwe akuphatikizapo ma ultrasound ndi compact tomography ya kapamba. Ultrasound pakadali pano ndiyotsika mtengo kwambiri komanso yopweteka. Ndi chithandizo chake, adokotala amawona kukula, kuchuluka kwa ziwalo, m'mimba mwake, zomwe zimapangira, kuwulula kupezeka kwa neoplasms ya pathological. Elastography ndi amodzi mwa mitundu ya ma ultrasound omwe amafunikira kuti azindikire kukula kwa minofu.

Dongosolo la tomography limatanthawuza njira zotsika mtengo kwambiri zofufuzira, kulola kuzindikira kusintha kwamapangidwe m'thupi. Ngati ndi kotheka, diagnostics apakompyuta amatha kuchitika pogwiritsa ntchito njira ina - izi zithandizira kuwunika kotsimikiza kwa zomwe zikuchitika. Kafukufuku wokhudzana ndi duct system amathanso kuchitika pogwiritsa ntchito endoscopic njira yotchedwa cholangiopancreatography.

Ndikofunika kudziwa kuti njira zomwe zili pamwambazi sizokwanira kukwaniritsa chidziwitso choyenera. Ngakhale kuti ambiri mwa ma pathologies a kapamba omwe amadziwika ndi chithunzi chamatsatanetsatane mwatsatanetsatane, zovuta pazomwezidziwikirazo siziphatikizidwa. Chifukwa chake, zovuta zimatha kubuka pakuwunikira kwa morphology ya chiwalo. Mukamagwiritsa ntchito ultrasound ndi CT, akatswiri amatha kuyang'ana kwambiri pa zosadziwika zina zakusintha kwa ma pathological, osatha kuziwona mwatsatanetsatane. Ichi ndichifukwa chake zimakhala zovuta kudziwa ntchito ya pathological process.

Zizindikiro zosatsata pamenepa ndi ntchito ya ma pancreatic enzymes m'magazi a wodwalayo, komanso kupatuka kwazomwe zimapangidwira pakuwunika kwa ndowe. Koma ngati pancreatitis yovuta kwambiri ya kuchuluka kwa ntchito ya enzyme imachuluka, ndiye kuti matendawa ndi osachiritsika, kuwonjezeraku kumatha kukhala kwakanthawi, pomwe njira ya pathological imakhala yogwira kwambiri. Mavuto apadera amawoneka poyang'ana kapamba mu ana.

Mavutowa amakakamiza gastroenterologists kupanga njira zatsopano zofufuzira, imodzi mwa kutsimikiza kwa elastase-1 mu ndowe. Njirayi imalola kuwunikira mokwanira ntchito ya chiwalo, kuzindikira zizindikiro za kuchepa mphamvu ndikuzindikira osati matenda wamba monga kapamba, komanso ochulukirapo, mwachitsanzo, cystic fibrosis.

Njira zopewera

Pankhani yopewa matenda a kapamba, choyambirira, ndikofunikira kuzindikira kufunika kokhala ndi moyo wathanzi. Makamaka chidwi ndi zakudya ziyenera kulipidwa: tikulimbikitsidwa kuti mudye chakudya pang'ono m'magawo ang'onoang'ono, zakudya ziyenera kukhala ndi mapuloteni ambiri. Amaloledwa kugwiritsa ntchito batala pang'ono. Akatswiri amalangizidwanso kuti aziphika mbale zothira kapena chithupsa.

Zotsatira zoyipa kwambiri pakugwira ntchito kwa kapamba zimaperekedwa ndi mowa, kusuta fodya, komanso zakudya zamafuta. Pofuna kupewa kutulutsa ma pathologies, ndikofunikira kusiya izi zonse kapena kuchepetsa malire ogwiritsira ntchito mankhwala omwe ndi oyipa kwambiri. Ndikofunika kuti musamayike zofunafuna ndi zowuma.

Pamaso pa matenda ena am'mimba, njira ziyenera kuchitidwa kuti muthane nawo. Kuyendera katswiri wa gastroenterologist kuti achititse mayeso a chitetezo kumathandizanso kudziwa kusintha kwa matenda munthawi yake. Kusamalidwa kwakanthawi kumathandizira kupewa zovuta zazikulu komanso kusintha kosasintha m'thupi lofunikira.

Matenda A kapamba

Pothandizana komanso kupindulitsa ziwalo zina zamkati, m'modzi wa iwo amalumikizana, omwe ntchito yake imakhala yosaoneka kwa nthawi yayitali. Tingoyerekeza kuti anthu ambiri amadziwa za momwe mtima kapena impso zimagwirira ntchito, koma sikuti aliyense amadziwa za momwe zikondamoyo zimagwirira ntchito, zomwe zimachitika komanso kufunika kofunikira kwa ziwalo zonse.

Pokhala chinsinsi chachikulu cha chinsinsi, kapambayu wapanga chofunikira kwambiri pakukumba ndi ma metabolic a thupi la munthu. Ndiye chifukwa chake ndikofunikira kudziwa momwe muyenera kukhalira ngati mwadzidzidzi pamakhala kupweteka.

Udindo wa zofunikira m'thupi

Kapamba nthawi yomweyo kutulutsa kwace kwakunja ndi kwamkati. Monga gland ya endocrine system, thupi limatulutsa ma insulin ofunika kwambiri a glucagon. Ma mahomoniwa amatenga nawo gawo pakuphatikizira chakudya chamthupi ndipo amathandizira kuti magazi azikhala ndi shuga wokwanira.

Ntchito ya procrine ndikupanga madzi a pancreatic, popanda omwe kupopera chakudya kwathunthu sikungatheke. Mcherewu umakhala ndi ma enzymes apadera omwe amathandizira pakuwonongeka ndi kuperewera kwa mapuloteni, mafuta ndi chakudya. Kuphatikiza apo, imakhala ndi zinthu zomwe zimateteza mucosa wam'mimba kuti asawonongeke ndikukhala ndi acid acid.

Pakadali pano, matenda a kapamba amapezeka nthawi zambiri. Zizindikiro zake zamatenda sizinyalanyazidwa. Izi zikuthandizira kupewa zovuta.

Amayambitsa matenda a kapamba

Zomwe Zimayambitsa Matenda A Pancreatic nthawi zambiri zimakhala zophatikiza zingapo. Pathology nthawi zambiri imakhala yachiwiri ndipo imayamba chifukwa cha matenda ena.

Matenda a chiwindi ndi ducts bile. Chifukwa chake, nthawi zonse pamakhala matenda angapo a chiwindi ndi kapamba. Zizindikiro za pathologies oterewa zimasiyanasiyana.
Zowonongeka za ziwalo.
Ma neoplasms oopsa omwe amasokoneza kutuluka kwachilengedwe kwa kapamba.
Kudziletsa.
Kuledzera kwa nthawi yayitali.
Kuphwanya kwambiri komanso kuphwanya malamulo a zopatsa thanzi nthawi zonse.
Matenda opatsirana pafupipafupi.
Zowopsa pa thupi.
Kupanikizika kosalekeza, kutopa kwamanjenje.
Matenda otopa kwambiri.
Kumwa pafupipafupi mankhwala.
Kubadwa kwatsopano kwa chiwalo.

Zina mwazomwe zili pamwambazi zimakhala zotsutsana. Mwachitsanzo, mphamvu za mowa pa kapamba sizinaphunziridwe bwino. Mwa odwala ena, Mlingo wocheperako umabweretsa zovuta zotsutsana ndi maziko a moyo wabwino, pomwe ena akhala akuledzera kwa zaka zambiri ndipo alibe mavuto ndi kapamba. Zonse zimatengera mawonekedwe amunthu.

Zizindikiro za pathological mkhalidwe

Zizindikiro za matenda am'mimba zimayamba kuonekera pamene njira zotupa zikukonzekera. Zizindikiro zofala kwambiri.

Kusintha khungu. Pali pallor, nthawi zina kuyerekezera, cyanosis imatha kuoneka kolowera patatu, yomwe imafanana ndi zizindikiro za mtima. Zosintha pamithunzi ya khungu zimadziwika osati pankhope pokha, komanso m'dera la zomwe zimayimira kapamba.
Ululu umatha kukhala nthawi zonse kapena nthawi. Chikhalidwe cha kupweteka: kupweteka, kusoka, kukoka, lakuthwa. Nthawi zambiri amawalira kupita ku scapula, kumbuyo, dera la hypochondrium yamanzere. Nthawi zina, ululu wolimba umawonedwa, womwe umasiyana mwamphamvu komanso mwadzidzidzi. Zinthu zopatsa zimatha kupsinjika, kudya kwambiri. Wodwalayo amatenga malo okakamizika momwe mphamvu zake zimacheperachepera - atagona pambali pake ndi mawondo ake atakankhidwa pachifuwa pake.
Matenda a dyspeptic ndiwothandizirana kwambiri ndi matenda a kapamba. Kulakalaka kumachepa, nseru, kusanza, kukhumudwa kumawonedwa. Kupumira sikubweretsa mpumulo kwa wodwalayo, koma amataya madzi ambiri, omwe amachititsa kuti madzi atheretu.
Muzovuta kwambiri, kukachezeredwa ndi dokotala, kumachepetsa kwambiri kuthamanga kwa magazi, kuphwanya mzere wamtima.

Mukapanda kuyamba njira zochizira, kutupa kumafalikira kwambiri ndipo kumatha kubweretsa imfa.

Mitundu ya Matenda a Gland

Pali matenda angapo ofunikira ofunikirazomwe zimakhala ndizodziwika komanso zopatukana.

Kutupa kwachimbudzi kwa chithokomiro kumadziwika ndi kuyambika kwadzidzidzi ndi chitukuko cha edema. Nthawi zambiri, kutupira kwa mchira wa kapamba kumayamba. Chomwe chimayambitsa kuphwanya zakudya, zakumwa zoledzeretsa, kupsinjika, kugwiritsa ntchito mankhwala ena. Izi nthawi zambiri zimayambitsa njira za necrotic. Edema imadzetsa kukakamiza kwa ma ducts, chifukwa chomwe kubisala kumakhala kovuta ndipo chitsulo chimayamba kugaya makhoma ake. Ululu ndizovuta kusiya. Zikatero, kumwa mankhwala oletsa kukolola okha ndiwotsutsana, chifukwa izi zimatha kufooketsa chithunzi cha matenda. Thandizo lokhalo lomwe lingaperekedwe kunyumba ndikuthira kuzizira pamalo omwe polojekiti ya polojekitiyo ilipo.
Njira yovuta ya kapamba imakhalapo kwa nthawi yayitali ndipo imadziwika ndi kubwereza kwakanthawi. Munthawi yakhululuka, palibe ululu, munthawi yakuchulukirachulukira, matenda amasoweka mosavuta. Pali ululu wosakhazikika wonyezera kumbuyo, tsamba la mapewa, kutsikira kumbuyo, kukana chakudya, milandu yotsalira. Kuchulukana kumachitika motsutsana ndi maziko a kuphwanya kwambiri zakudya komanso zovuta zina. Ndi chithandizo cha panthawi yake, ndizotheka kuti muchepetse kutupa.

Matenda a kapamba amaphatikizanso mtundu woyamba wa matenda ashuga, chifukwa umayamba chifukwa chakutha kwa kupanga kwa insulin ndi tiziwitsi. Koma kuchokera kumbali ya gland, palibe mawonetsero, chifukwa chake matenda a metabolism amadziwika ndi zovuta za metabolic.

Chithandizo cha mankhwala osokoneza bongo

Kupambana kwa njira zochizira kumatengera kulondola komanso kuthamanga kwa matenda. Pachimake magawo matenda Amalandira chithandizo chamankhwala kuchipatala chokha ndi kulowetsedwa kudzera mwa dontho.

Mfundo yoyamba pamankhwala ikukana kudya zakudya zosachepera masiku atatu. Muzovuta kwambiri, nthawi imeneyi imakulitsidwa. Amaloledwa kumwa madzi okha. Monga mankhwala okonza, mankhwalawa okhala ndi saline yokhala ndi glucose amaperekedwa kudzera mu mtsempha wa magazi.
Mankhwala apadera amathandizira kuthetsa nseru: Cerucal, Sturgeon.
Kuti muchepetse ululu, mumakhala mankhwala osokoneza bongo omwe amaphatikizapo: No-shpu, Papaverine, Analgin, Spazmalgon, Platifillin.
Kuti muchepetse kutupa, maantibayotiki athandizanso, komanso zida zapadera zomwe zimapangidwira kubwezeretsa gland (Gordoks).
Ngati mankhwalawa apezeka, mankhwalawa omwe amachotsa mankhwalawo amaphatikizidwa mu njira yochizira.

Ma tumamu, miyala, ma cysts amathandizidwa pokhapokha ngati pali zotsutsana.

Malamulo a Zopatsa Thanzi

Zakudya ndi gawo lofunikira pochiza matenda osafunikawa.. Pambuyo pakupuma kwakanthawi, wodwalayo amapatsidwa chakudya chokwanira No. 5, chopangidwa makamaka kuti thanzi la wodwalayo likhale labwino.

Ndikulimbikitsidwa kuti musankhe zinthu zotsatirazi muzakudya: zakumwa zoziziritsa kukhosi, zokometsera, mchere, zakudya zokazinga, nyama yofuka, confectionery, makeke, zamzitini zamzitini, khofi, zipatso zowawasa, zakudya zosavuta, mafuta olimba a nyama, zonunkhira.

Zakudya ziyenera kukhala zotentha ndikusenda, zomwe zimathandizira kugaya. Masamba ndi omwe amawagwiritsa ntchito yophika kapena yowotchera. Kugwiritsa ntchito tsiku lililonse maphunziro oyamba, nkhuku zosakhwima, mazira, odzola, mbale zamasamba zamasamba ndizolandiridwa.

Mankhwalawa amayenera kukhala ocheperako, pafupipafupi, mpaka katatu pa tsiku. Kudya kwambiri sikuletsedwa, chifukwa kumapangitsa kufalikira komwe kumachitika chifukwa cha kuchuluka kwa katundu m'matumbo.

Njira Zopewera Matendawa

Njira zopewera amagwira pakukhazikitsa mfundo za kadyedwe kabwino komanso koyenera, kusiya kusuta fodya, kusiyiratu kumwa zakumwa zoledzeretsa, chakudya chovomerezeka.

Kufikika kwa dokotala panthawi yake kumathandiza kupewa matenda kapena kupewa kufalikira kwake.

Matenda a kapamba ndiowopsa ku thanzi la munthu ndi moyo. Pazizindikiro zoyambirira za kukhazikika kwa matenda am'mimba, tikulimbikitsidwa kusintha moyo ndikuyamba njira zochizira.

Udindo ndi ntchito ya kapamba

Pancreatic gland ndi chiwalo chopanda ntchito m'mimba chomwe chimagwira ntchito ziwiri zazikulu:

1. Otsutsa

Amakhala mu kapangidwe ka kapamba wamadzimadzi, omwe ali ndi mitundu ina ya michere yofunika kwambiri, yopanga yomwe mwa nthawi yayitali imagwira matumbo lumen:

trypsinogen ndi chymotrypsinogen, omwe amachititsa chimbudzi cha zinthu zina za protein,
amylase - umagwira chimbudzi chamoto,
lipases ndi phospholipases zomwe zimathandizira kugaya mafuta.

2. Endocrine

Mu gawo la kupanikizika kwa kapamba, mahomoni amapangidwa omwe amawongolera njira zina za metabolic:

Insulin Kupanga kwake kumapangidwa ndi ma B-cell. Hormoni iyi imathandiza kuwongolera kagayidwe kazakudya zamafuta ndi mafuta. Mothandizidwa ndi insulin, glucose amalowa m'magazi, chifukwa chomwe mulingo wake umachepa.
Glucagon. Ndiwotsutsa wa insulin, wopangidwa ndi ma cell a A.
Somatostatin. Ntchito yake imaphatikizana ndi zoletsa kupanga insulin ndi glucagon, komanso kukula kwa mahomoni.
Vaso-m'mimba peptide. Zimathandizira kukhazikitsa kapangidwe ka madzi a pancreatic ndi mahomoni, kukulitsa mitsempha yamagazi, potero kuonetsetsa kutsika kwa magazi.

Ululu wammbuyo

Tsopano lingalirani za zomwe zizindikiro zomwe zimadziwika za pancreatic pathologies. Tiyeni tiyambe ndi kupweteketsa mtima. Mwanjira zambiri, momwe mawonekedwe ndi kufalikira kwa ululu kumafanana ndi mtundu wina wa matenda:

Chifukwa chake, ngati kutupa kwa ziwalo, pakakhala mtundu wovuta wa kapamba, zilonda zimatha kukhala zowoneka bwino kapena zodula, zomwe zimayambitsidwa ndi kuchuluka ndi mtundu wa zotupa. Pankhani ya kufinya, chomwe chimapangitsa kupweteka ndi kutambasulira kwa kapisozi kazinthu zomwe zakhudzidwa, komanso kupinikizika kwa ulusi wamitsempha. Komanso, malo omwe ululuwo umadalira pomwe panali lesion, yomwe imatha kukhudza mbali zonse za kapamba. Nthawi zambiri kuoneka kwa ululu pancreatic matenda kumachitika chifukwa chosowa chakudya. Ululu umatha kwa nthawi yayitali, umakhala wolimba kwambiri matendawa akamakula. Pankhani ya chitukuko cha matenda a kapamba, zilonda zimachitika nthawi zina.
Ndi pancreatic necrosis, ululu wammbuyo umadziwika ndi kulimba kwambiri, komwe kumayambitsa chiopsezo cha kufa chifukwa cha kuwawa kwa kupweteka.
Nthawi zambiri, kutupa kwa kapamba kumakhudzana ndi kumwa mowa mwauchidakwa. Nthawi yomweyo, kumwa pafupipafupi komanso kwakutali sikofunikira. Osatinso kawirikawiri, kuwonongeka kwa chiwalo kumachitika pambuyo pa kumwa kamodzi muyezo waukulu.
Ululu ndiye chizindikiro chachikulu cha khansa ya pancreatic. Itha kukhala yokhazikika kapena episodic.
Ululu wopindika ndi wodziwika bwino wa cystic fibrosis kapena, pakakhala chiwopsezo cha kapamba, komanso ululu wosakhazikika womwe umachitika modutsa nthawi zambiri umachitika pakapangidwe ka cystic neoplasms.

Matenda a Dyspeptic

Mitundu yambiri yamatumbo a pancreatic amawonetsedwa mwanjira yamatenda a dyspeptic:

zolakalaka zopanda pake
gag Reflex
kusowa kwamadzi
kuphwanya chopondapo.

Kupezeka kwa dyspepsia m'magawo oyamba okukula kwa ma pathologies amayamba chifukwa cha zolakwika zina muzakudya kapena kudya mitundu ina ya mankhwala. Pankhani ya kapamba, palinso zizindikiro zingapo za dyspeptic zimawonedwa. Chifukwa chakukwiyitsa kumapeto kwa mitsempha, kusanza kumachitika, kumatha mu kusanza, kutsagana ndi zodetsa za bile osabweretsa mpumulo.

Kupumira kumapangitsa thupi kutaya madzi ambiri, zomwe zimapangitsa kuti madzi azisowa, omwe amatha kuwonekera m'magawo osiyanasiyana:

Choyamba. Amadziwika ndi kuchepa kwa thupi mpaka 3% ndi ludzu lokwanira.
Wachiwiri. Kuchepetsa thupi kumafika pa 9%. Nthawi yomweyo, pali ludzu lotchulidwa, lomwe limatsatana ndi maume owuma.
Chachitatu. Zimawonjezera kuwonda kwakukulu, zomwe zimapangitsa kuti thupi lizipweteka kwambiri, kuwonetseredwa kufooka, kugona, kupeza khungu louma, kugunda kwamtima kwakanthawi. Kusokonezeka kwa chikumbumtima kumadziwika nthawi zambiri, komwe kumayambitsa kusokonekera kwa kulankhula.

Chifukwa cha kuchepa kwa madzi m'thupi ndi chopondapo m'thupi, kuperewera kwa zinthu zopindulitsa ndi mavitamini kumachitika, zomwe zimatsogolera pakupanga matenda amtundu wa mawonekedwe a stomatitis, glossitis ndi ena. Pankhani ya vuto la stool, kudzimbidwa kumadziwika nthawi zambiri, komwe nthawi zambiri kumachitika m'mimba. Nthawi yomweyo amathandizidwa ndi kusangalala komanso kutulutsa maluwa. Mukamadya zakudya zamafuta, chopondapo chimadziwika ndi pafupipafupi komanso ndizambiri zamafuta, zomwe zimadziwika kuti ndi kapamba komanso mkhalidwe wa oncological. Khansa ya amuna ndi akazi imayendera limodzi ndi:

kukulira kapena kusowa kwa chakudya,
kuwonda
profayil kutsekula m'mimba komwe kumawonekera pambuyo pake.

Pamaso pa matenda am'mimba ambiri, tiyenera kulankhula za cystic fibrosis. Pankhani ya matenda ashuga, pamakhala kumva kwamphamvu kwanjala ndi kufooka wamba. Kusakhalapo kwa stool kumawonetsa cystic neoplasms okhazikika pamthupi kapena pamutu wa kapamba.

Kusintha khungu

Zizindikiro zina zamatenda a pancreatic mwa amayi ndi abambo amatha kudziwonetsa pakusintha kwenikweni kwa khungu. Mwachitsanzo, pancreatitis nthawi zambiri imadziwika ndi kupezeka kwa khungu komanso mawonekedwe a khungu, omwe amayamba chifukwa cha kukakamira kwa ma ducts a bile, omwe amachitika chifukwa chotupa cha chiwalo.

Panthawi yakusokonezeka pakupuma ndi kuledzera, mwayi wa cyanosis m'mphuno ndi milomo, komanso zala zakumapeto ndizokwera. Ndi matenda a magazi, magazi abuluu amaphimba khungu pamimba. Ponena za jaundice, mu mawonekedwe owopsa a kapamba, amangokhala milandu 30% yokha.

Zizindikiro zapadera

Palinso zisonyezo zapadera za matenda a kapamba, omwe amapezeka pakhungu ndi katswiri pamimba:

Zizindikiro za Dudkevich. Ululu umachitika pakukhudza pamimba. Ululu umapezeka kudera lomwe lili pansi pa umbilical dera, ndikufalikira kudera lapamwamba.
Zizindikiro Mayo-Robson. Zowawa zimakhalapo pakumva mbali pakati pa nthiti ndi msana, yomwe ili kumanzere.
Zizindikiro Shchetkina-Blumberg. Pali kuwonjezeka kwa zilonda pamutu wochotsa dzanja lakuthwa nthawi yakupweteka. Chizindikiro ichi ndichizindikiro chakuyamba kwa peritonitis, yomwe ikupezeka chifukwa cha kuwonongeka kwa kapamba ndi kupsinjika kwa patentoneal patsekeke ndi fermetic zinthu.
Zizindikiro Chukhrienko. Ululu wammbuyo umachitika ndikusunthika kwakuthwa ndi m'mphepete mwa dzanja lamalo m'dera lomwe lili pamwamba pa chiberekero.

Komanso, akatswiri amasiyanitsa zizindikiro zotsatirazi zamatenda a kapamba:

aakulu mawonekedwe a kapamba, owonjezera omwe amapezeka pakudya zakudya zoyipitsa,
cystic fibrosis amadziwika ndi kufooka mu minofu ya minofu, kuwoneka kowuma pamlomo wamkati, kufotokozera kwamakristali amchere,
matenda a shuga a mtundu woyamba amakhala ndi kukodza kwakukulu, komwe kumachitika motsutsana ndi ludzu lomwe limakhalapo pakumva ludzu, kumverera kwa zotupa pa mucous nembanemba. Palinso mawonetseredwe a hypoglycemia mwanjira yakukhathamira, thukuta lochulukirapo, kusokonezeka kwa chikumbumtima. Kuphatikiza apo, ketoacidosis imadziwika, zizindikiro zomwe ndi fungo la acetone lomwe limachokera kumkamwa wamkamwa, nseru, kukomoka,
Oncology amawonetsedwa pakhungu kapena pakhungu,
ndi ma cystic formations, palpation ya zazikulu-zazikulu cysts zimatheka. Potengera kusinthika, ululu umachitika ndikuwonjezereka kwazomwezi kutentha kwa thupi.

Kusintha kwa Mayeso

Kuti mupeze matenda apadera a pancreatic, kuyezetsa zingapo kumachitika. Chimodzi mwazidziwitso kwambiri - kuyezetsa magazi kumaganiziridwa, momwe mumaperekedwa chidwi chapadera ndi maselo oyera a magazi ndi maselo ofiira amwazi. Zosintha m'magazi amtunduwu ndizizindikiro zamatenda a pancreatic, zomwe zikuwonetsa kukhalapo kwa kutupa ndi njira zowonongeka mthupi:

Kusunthika kwa mulingo wa leukocyte kumanzere kukuwonetsa kuwonjezeka kwa matenda opatsirana,
chifukwa cha kuchepa madzi m'thupi, pamakhala kuchuluka kwa hematocrit, komwe kumamveka ngati kuchuluka kwa maselo ofiira a magazi ndi kuchuluka kwa madzi am'magazi. Nthawi yomweyo, kuchuluka kwa maselo ofiira a m'magazi kumawonjezeka,
pankhani ya kukula kwa hemorrhagic mawonekedwe a kapamba mu gawo lotsogola, kuchepa kwa hemoglobin kumawonedwa, komwe kumachitika chifukwa cha kuchepa kwa magazi m'thupi. Potere, glucose ipitilira chikhalidwe choyenera,
kafukufukuyu amakhalanso ndi gawo la amylase, lomwe limatsimikiziridwa poyesa magazi kwa biochemistry. M'mawola oyamba kuchokera kumayambiriro kwa matendawa, msinkhu wake umaposa mayunitsi a 125 / lita. Ngati pali kusintha mu chikhalidwe cha necrotic, mulingo wa amylase umachepa.

Kwa ma pathologies ena a kapamba, amafufuza posintha ma michere ena. Chifukwa chake, shuga imayendetsedwa ndi shuga wambiri. Mukamayang'ana mkodzo, kusintha kumadziwikanso:

kuchuluka kachulukidwe kumachitika
gawo la protein
leukocytes ndi maselo ofiira a magazi alipo.

Njira yosokonezeka ya mapuloteni ndi carbohydrate metabolism imayendera limodzi ndi kuwonjezeka kwa shuga wamagazi ndi matupi a ketone. Kuti mutsimikizire matenda a pancreatic, njira zakufufuzira za radiation zimayatsidwa zomwe zimapangitsa kuti zizindikire zowonjezera za matenda am'magazi ndikutsimikiza kolondola kwachilengedwe.

Zikondamoyo ndi ntchito zake

Pancreas amatanthauza chakudya chamagaya, ndipo kapangidwe kake kamafanana ndi tadpole. Kufanizira uku kukufotokozedwa ndikuti ili ndi mutu waukulu, thupi lokha komanso mchira pawokha. Pafupifupi, kutalika kwake kumayambira 15 mpaka 23 cm mwa munthu wamkulu, ndipo kulemera kumakhala pafupifupi 80 g. Ngati chiwalochi chikuchulukirachulukira, ayenera kuganiza kuti pali matenda.

Zikondazo zidatchedwa dzina kuchokera pamalowo. Kunena zowona, ili mkati mwa khoma lam'mimba kwambiri kutalika kwa vertebrae yachiwiri ndi yachitatu, ndiye kuti, pakati pa ndulu ndi duodenum mbali zonse ziwiri, impso ili pansi pake.

Ngakhale kukula kwake kocheperako, magwiridwe antchito a chiwalo ichi titha kufananizira ndi ntchito ya labotale yonse yama mankhwala.

Maonekedwe a gland amayimiriridwa ndi chiwalo chofiirira cha utoto, wokutidwa ndi mtundu wa kapisozi wokhala ndi nthambi. Mitsempha yamagazi ndi mitsempha yamagazi imalowa mkati mwa kapamba limodzi ndi malekezero a mitsempha ndi ndulu za ma cell achinsinsi. Onsewa amatsikira kumayendedwe akuluakulu.

Madzi a pancreatic amapangidwa mu lobules ya kapamba, okhala ndi ma enzymes omwe ali ndi phindu pa chimbudzi. Kudzera mumtsinje waukulu, msuzi umalowa mu duodenum, pomwe umasakanikirana ndi bile duct. Umu ndi momwe ntchito ya exocrine ya kapamba imawonekera. Ma enzyme opitilira 30 amadziwika kuti chitsulo chimatha kupanga chimbudzi. Mothandizidwa ndi ma enzymes omwe amapangidwa pakudya chimbudzi, kuwonongeka kwathunthu kwa zinthu zonyalazo kumachitika asadalowe ndi thupi komanso kupanga mphamvu.

Zochitika mkati mwachinsinsi zimayimiridwa ndi kapangidwe ka gulu linalake lamahomoni omwe amatenga nawo gawo limodzi mu kagayidwe ka chakudya. Kunena zowona, mahomoni a insulin ndi glucagon ndikofunikira kuti shuga ikhale yayitali. Kuperewera kwawo kungayambitse matenda osiyanasiyana. Lipocaine wa mahomoni umakhudza mapangidwe a phospholipids, omwe, nawonso, amaphatikizidwa ndi oxidation wamafuta acids. Chifukwa chake, ntchito zofunikira za thupi lonse lathunthu zimatengera luso la pancreatic secretion.

Matenda apakhungu kwambiri

Matenda ambiri amatha kuthana ndi chiwalochi. Onsewa ndi ogwirizana chifukwa chakuti kukula msanga kwa matendawa komanso kulephera kulandira chithandizo chakanthawi kake kumasintha vutoli kukhala matenda oopsa. Chifukwa chake, ndikofunikira, koyambirira, kufunafuna thandizo kwa katswiri. Matenda ofala kwambiri, omwe takambirana mwatsatanetsatane pansipa, akuti:

madigiri awiri a kapamba,
Zizindikiro zoonetsa matenda ashuga
chotupa chomwe chimasanduka khansa.

Cancreatic khansa ndi cyst

Ngati chotupa chikuwoneka m'matumbo, onetsani mwachangu ndi kuchitapo kanthu. Mwachilengedwe chake, siowopsa mpaka atakhala khansa. Monga lamulo, wodwalayo amakhala ndi nkhawa osati ndi ululu wam'mimba, komanso kutopa, kusokonezeka kosalekeza, kusowa kwa chakudya, etc. Zizindikiro zimasonyezanso kuti pali cholakwika ndi thupi:

mkodzo wa bulauni
ndowe zoyera
kuyabwa kwa khungu ndi kusintha kwa kamvekedwe ka khungu, mawonekedwe a mawonekedwe.
kumva kudya kwambiri
masanzi akuda
Zizindikiro za matenda a shuga, etc.,
kuwonongeka kwamanjenje ndi mtima,
Matenda ambiri amawonjezeka.

Zifukwa zitha kuphatikiza:

matenda monga matenda a shuga, kutupa kwa kapamba, ndi zina zotero.
kusuta ndi uchidakwa,
kudya pafupipafupi zakudya zamafuta ndi mafuta.

Chofunikanso chimakhalabe chovuta kwambiri chodziwikitsa matendawa m'masiku oyamba. Chifukwa chake, opaleshoni ndiyofunikira pozindikira zizindikiro ndi matendawa omwe ali pamwambapa.

Momwe mungadziwire matenda oyambira?

Monga tafotokozera pamwambapa, kuzindikira mtundu wamatendawa, makamaka koyambirira, kumakhala kovuta kwambiri. Ndipo pamene matendawa anyalanyazidwa, zotsatira zake zimakhala zachilendo chifukwa cha kuyandikira kwa chithaphwi ndi ziwalo zina. Chifukwa chake, ndikofunikira kudziwa zizindikiro zomwe ziyenera kutchulidwa.

Izi ndi monga: kusintha kwa khungu kapena kuyamba kwa jaundice, komwe sikumayendetsedwa ndi zifukwa zina. Pankhaniyi, matenda awunikidwe amayenera kufufuzidwa pogwiritsa ntchito radiology.

Ndi mapangidwe a shuga ali aang'ono, ayenera kuwunika ngati pali chotupa mu kapamba. Zizindikiro zina ndikumva kupweteka komwe kumatuluka msana, kukhumudwa nthawi zonse popanda chifukwa, kuchepa thupi mwadzidzidzi.

Muyenera kusamala ndi thupi lanu. Pancreas sichoncho. Choyamba, ziyenera kunena kuti “ayi” ku mowa ndi kudya mopitirira muyeso. Kupatula apo, ndizinthu izi zomwe nthawi zina zimathandizira kukulitsa matenda a kapamba.

Thandizo loyamba komanso chithandizo chotsatira

Pa kuwonongeka koyamba m'moyo wabwino, sichingakhale chopanda pake kulumikizana ndi katswiri woyenera kuti muchepetse kutukusira kwa gland ndikupereka mankhwala.

Ngati palibe njira yochitira izi nthawi yomweyo, ndipo ululu sutha, ndiye kuti chithandizo chotsatira chikuthandizira kuti vutoli lithe. Kukana kudya musanapite kwa dokotala, izi zimachepetsa nkhawa pazakudya zam'mimba, kuphatikizapo gland. Mutha kuthira kuzizira pamalo omwe ululu umachokera, kaya ndi phala lotenthetsera kapena botolo lamadzi ozizira. Izi zimachepetsa kutupa kwa ziwalo zamkati. Mowa wambiri, ndendende chifukwa cha madzi, kuchuluka kwake komwe kumachepera malita awiri patsiku, kungakulitse kutuluka kwa ndulu.

Mankhwala omwe ali ndi antispasmodic amakhudza thupi. Kulandila ndalamazi kumathandizanso kuthetsa kuphipha komanso kubwezeretsa magwiridwe antchito.

Ponena za mankhwalawo pawokha, monga lamulo, wodwala yemwe ali ndi kutupa kwa chida amayikidwa mu dipatimenti yochita opaleshoni, ngati kuchuluka kwa kuwonongeka kuli kokwanira, ndiye kuti mukusamalidwa kwambiri. Mankhwalawa ndi ovuta, omwe amachitika pamaziko a mayeso ndi kusanthula, komanso njira zina zodziwonera. Chofunikira ndichakuti kuopsa kwa zizindikiro zina za matendawa.

Cholinga cha mankhwalawa ndikuchepetsa ululu ndikubwezeretsa kapamba ndi kupewa kwake. Nthawi zina, physiotherapy amasonyezedwa. Ndi chithandizo chake, amakhala ndi anti-yotupa pakuyang'ana kwambiri matendawa, ndikutsatira ndikuchotsa ululu waukulu. Monga lamulo, ikhoza kukhala electrophoresis yokhala ndi novocaine, komanso mafunde a biodynamic.

Chinthu chosiyana chiyenera kuyikidwa pamankhwala pamavuto.Koma simuyenera kuwayika iwo eni, kuti musayipitse vutolo. Akatswiri amasiyanitsa Motilium kapena Tserukal - polimbana ndi kusanza komanso kupuma msana. Kuchepetsa spasms, nthawi zambiri amatembenukira ku Noshpe, Papaverin, Diclofenac, Paracetamol. Mwa zokonzekera zomwe zimakhala ndi ma enzymes apadera, pali: Creon, Pancreatin, Mezim, Festal, ndi zina zotchuka kwambiri pakati pa omwe amachepetsa acidity ndi Almagel, Maalox, etc.

Tiyenera kukumbukira kuti mankhwala onse ayenera kutumizidwa ndi dokotala. Kudzichitira nokha mankhwala nkoletsedwa. Ngati zizindikiro za matendawa zikapezeka, muyenera kumwa madzi amchere ambiri omwe ali ndi alkali momwe mungathere.

Zakudya sizongolimbitsa thupi

Zakudya zapadera ndi mtundu wina wamachiritso wodwala. Komanso, popanda zakudya zoyenera, kuchira sikutsatira. Simuyenera kuchepetsa kuchuluka kwa chakudya chokha, komanso chakudya chochepa.

Masiku oyambilira akuwonetsedwa kusala ndi kumwa kwambiri, komwe kumakhala mchere wamadzi, broths of rose rose ndi tiyi wopanda mphamvu. Vutolo litayamba kuyenda bwino, wodwalayo amaloledwa kudya, logawika chakudya chambiri 5 - 6 patsiku.

Zogulitsa zonse zomwe zimatha kutumiza katundu pazinyumba ziyenera kusiyidwa. Izi ndi monga zokazinga, mafuta, zakudya zonunkhira, komanso zakudya zomwe zimakhala ndi CHIKWANGWANI, msuzi wa nyama ndi nsomba, zipatso zosaphika ndi ndiwo zamasamba, masoseji, nyama zosuta ndi zinthu zam'chitini, mitundu yonse yamaphika ndi maswiti. Komanso musiye mowa ndi ndudu.

Kupewa ndi chifungulo cha thanzi

Ngati mumathandizira kupewa pa nthawi yake, ndiye kuti palibe matenda omwe angavulaze thupi lanu. Mwakulimbikitsa kukhala ndi moyo wathanzi, mumadzipulumutsa inu ndi okondedwa anu pamavuto amtundu uliwonse, kuphatikizapo matenda a kapamba.

Chakudya choyenera komanso chopatsa thanzi chimakwaniritsa bwino mawonekedwe anu komanso mawonekedwe anu. Thupi lanu limathokoza chifukwa chisamaliro chotere. Kukana zakumwa zoledzeretsa ndi zinthu zina za ndudu, chabwino, kapena kugwiritsa ntchito mankhwalawa, kumathandizanso mavuto ndi kapamba.

Ngati matendawa afika kale, ndiye kuti mukuyenera kutsatira mosagwirizana ndi zonse zomwe dokotala amafunikira ndikutsatira malangizo onse. Mwinanso osati chithandizo chamankhwala, komanso mankhwalawa amagwiritsidwa ntchito. Chofunikira kwambiri ndichakuti matendawa samakhala pachimake.

Tiyenera kukumbukira kuti kapamba amatchera khutu kwambiri pazakudya zopanda zakudya komanso zakudya zosavomerezeka. Dzisamalire nokha ndi thupi lanu.

Kapamba: Zizindikiro za kapamba ndi matenda ena

Mwa matenda am'mimba onse am'mimba, matenda omwe amaphatikizidwa ndi kuperewera kwa enzymatic amakhala malo amodzi oyamba. Choyamba, zimaphatikizapo matenda a kapamba (kapamba) ndi matumbo aang'ono.

Chithunzi cha kapamba

Nthawi zonse pamakhala kuwonjezeka kwa matendawa komanso kuchepa kwa zaka za odwala.

Chiwerengero cha pancreatitis chawonjezereka pafupifupi pazaka 30 zapitazi. Chiwerengero cha azimayi omwe ali ndi pancreatitis adakwera ndi 30%. Pali kuchuluka kwamatenda pakati pa ana.

Pang'onopang'ono za chimbudzi

Kapamba

Chakudya chomwe timadya chimayamba kupangidwanso enzymatic kale. M'mimba, mapuloteni omwe amakankhidwa ndi hydrochloric acid amagwera m'magawo ang'onoang'ono. Mu duodenum, bile ndi pancreatic timadziti talumikizidwa ndi kupukusa, komwe kumayambira tinthu timene timayambira, chifukwa mapuloteni, mafuta ndi chakudya zimawonongeka kotero kuti zimatha kulowa mosavuta m'magazi.

Pakukonza, kapamba amatulutsa ndi kupangitsa ma enzyme 22, ndipo zida za mu islet zimatulutsa insulin ndi glucagon, mahomoni omwe amayang'anira kagayidwe kazachilengedwe m'thupi la munthu.

Amylase agwetsa chakudya.

Lipase ndi bile acid akudya (kuphwanya) mafuta ndi mavitamini osungunuka a mafuta. Mafuta amathandizidwa asanakhale ndi bile acid.

Trypsin ndi chymotrypsin kugaya mapuloteni.

Elastase amawononga mapuloteni a minofu yolumikizika.

Ma cell a ma ducts a gland amatulutsa ma bicarbonates (alkalis), omwe, mwa kulinganiza zomwe zili mu duodenum 12, amalepheretsa kuwonongeka kwa michere yam'mimba ndi mpweya wa ma asidi a bile.

Amayambitsa matenda a kapamba

Pancreatic pancreatic necrosis mankhwala, omwe adayamba motsogozedwa ndi ethanol

Pakati pa matenda onse amamba kapamba, ndizofunikira kwambiri ndizomwe zimatsogolera gawo la gland kuti ichotse ntchito. Ichi ndi chifuwa chachikulu, kupweteka kwa ma ducts, kuchotsedwa kwa kapamba kapena gawo lake, khansa, kusintha kwa cystic, cystic fibrosis, etc.

Khansa yapakansa

Matenda a kapamba amtundu wa kutupa ndi amodzi mwa matenda ofala kwambiri a kapamba. Zomwe zimayambitsa ndikumwa mowa, kuyamwa kwa zinthu zoopsa ndi mankhwala ena ake, cholowa cham'tsogolo, zolakwika zokhudzana ndi zakudya, kulephera kwa magazi ndi matenda a autoimmune.

M'matenda ena, kapamba amawonongeka kachiwiri. Izi zimachitika ndimatenda a biliary thirakiti (cholelithiasis) ndi chiwindi, m'mimba, duodenum, ndi stenosis komanso kutupa kwa sphincter ya Oddi, hemochromatosis, kuphwanya calcium kagayidwe, kutupa ndi stenosis ya ndulu ya nduluyo.

Kodi matendawa amakula bwanji?

Ntchito yayikulu pakukula kwa kapamba imayimbidwa ndi kuwonjezeka kwakukulu kwa kukakamizidwa kwa chinsinsi mu ma ducts a gland chifukwa cha kukakamiza kwa ma vesi ochokera kunja ndi zovuta kubisa chobisalira mu duodenum. Zomwe zimayambitsa ndikutupa ndi stenosis ya sphincter ya Oddi, miyala yomwe imapezeka mu bile duct ndi chinsinsi chamkati.

Pancreatic minofu imawonongeka ndi ma enzymes ake, omwe kwakukulu ndi trypsin. Zikondamoyo zoyipitsidwa zimaponderezedwa pawokha (kudzimbidwa). Popita nthawi, madera owonongeka a thupi amatenga, kuperewera ndi kuyamwa.

Kuyendetsa kashiamu mwachangu kuma cell kumabweretsa kudzikundikira kwake, komwe kumaphatikizapo kuchepa kwa mphamvu zamagetsi m'maselo. Cell dystrophy imalowa. Mu minofu ya pancreatic, kusintha kwa zamankhwala, madera a calcium ndi mawonekedwe a cysts. Mochulukitsa, miyala imapangika mu ma pancreatic ducts.

Zowonongeka kwa kapamba zimatha kutulutsidwa pamalo amodzi okha, kukhalamo gawo lonse kapena kupatsanso.

Ma Enzymer omwe amalowa m'magazi amawononga ziwalo zina: impso, mapapu, dongosolo lamanjenje lamkati, minofu yamafuta, etc.

Ndi ma virus ndi bacteria pancreatitis, njira zosiyanasiyana zimachitika.

Pano, malo otsogolera pakukula kwa matenda amatenga machitidwe a mapangidwe a fibrosis chifukwa cha kuwonongeka kwa maselo ndi poizoni wa ma tizilombo tating'onoting'ono.

Zizindikiro za Pancreatitis

Ngakhale amiseche amakumana ndi zovuta zonse za kapamba ndi m'mimba, zizindikiritso zoyambirira za chifuwa cham'mimba zimawonekera nthawi zosiyanasiyana kuyambira matenda atayamba. Chomwe chimapangitsa izi ndizochulukitsa zolimbitsa thupi.

Mu chilonda chachikulu cha pancreatitis, Symbomatology imadziwoneka yokha, imangokulira msanga, ndipo matendawa amatenga njira yaukali.

Ndi kumwa mowa kwambiri, zizindikiro zoyambirira za kapamba zimayamba kuonekera, pafupifupi, patatha zaka 8 kuchokera pachiwonetsero cha matendawa.

Zoyambitsa za exocrine kusakwanira

Hemorrhagic pancreatic necrosis. Kutupa kwapang'onopang'ono kumachitika pamalo a zotupa kapena madera a necrosis yamafuta

Kuperewera kwachinsinsi chakunja kumayamba chifukwa cha kuwonongeka kwa kapamba, komwe kumapangitsa kuchepa kwa kumasulidwa kwa kuchuluka kwa madzi a kapamba mu lumen wa duodenum.

Kuchuluka kosakwanira kwa ma bicarbonates otulutsidwa ndi epithelium ya ma ducts a gland amachititsa acidization pazomwe zili mu duodenum 12, zomwe zimayambitsa kuwonongeka kwa michere ya pancreatic ndi mpweya wa bile acids.

Chowonekera kwambiri ndi kuchuluka kosakwanira kwa lipase enzyme (kuchepa kwamafuta), zotsatira za kuchepa komwe kumayamba pang'onopang'ono kuposa kuperewera kwa trypsin (kuwonongeka kwa mapuloteni), amylase (kuwonongeka kwa carbohydrate) ndi ma enzyme ena angapo.

Mu okalamba komanso osakhazikika, kapamba amayamba, amalumikizidwa ndi magazi osakwanira ku gland chifukwa cha kuperewera kwa mtima.

Ntchito zazikuluzikulu za kapamba

Pancreas ili ndi ntchito ziwiri zazikulu:

Mothandizidwa amapanga insulin. Ngati insulini itapangidwa mosakwanira, ndiye kuti matenda ashuga apanga posachedwa. Glucagon imathandizanso kuti kagayidwe kazachilengedwe kagayidwe kabwino m'thupi.
Ntchito yachiwiri ndikupanga michere ndi michere ya m'mimba, yomwe imaphwanya mapuloteni m'thupi. Komanso mu madzi a pancreatic pali ma enzyme omwe amateteza mucous m'mimba kuti asawonongedwe ndi malo achilengedwe, mwa kuwasokoneza.

Ndikofunikira. Ngati chimodzi mwazomwezi chitalephera, dongosolo logaya thupi limayamba kuvutika. Chifukwa chake, ndikofunikira kuzindikira zisonyezo kumayambiriro koyambirira, komanso zomwe zimayambitsa kusokonezeka ndi matenda a kapamba.

Zizindikiro za exocrine kusakwanira

Ndi wopanda ma enzymes, chakudya chyme (chotupa) chimayenda motsatira gawo logaya chakudya mofulumira, kuthamanga kwamatumbo, limodzi ndi chimbudzi chosapindika komanso kupweteka kwa ma umbilical.

Chifukwa chosowa ma bile acid, ndowe zimapeza mtundu wowala (mtundu wa dongo la imvi).

Chifukwa chosakwanira chimbudzi cha mafuta, steatorrhea imawoneka (mafuta mu chopondapo, chomwe chimapatsa sheen yamafuta). Mpando umakhala pafupipafupi komanso ochulukirapo - mpaka katatu pa tsiku. Mafuta osaphatikizidwa amapangitsa kuti stool ikhale poipa. Mavitamini osungunuka a mafuta samamwa kwambiri.

Chifukwa cha kuchuluka kwa kuvunda ndi kupesa, ndowe zimapeza fungo la fetid. Kung'ung'udza kumawoneka m'mimba. Njira yovunda imayambitsa kupangidwa kwa mpweya wambiri, chifukwa chomwe pamimba pamakula kukula ndikuyamba kupweteka pamene palpated (flatulence).

Kuphulika (kufalikira)

Chifukwa cha kusakwanira kwa elastase, minofu yolumikizana ya zinthu zam'mimba sizigonjetsedwa. Tizidutswa tating'onoting'ono ta chakudya ndi minofu ya minyewa imawonekera pampoyo.

Wodwalayo amayamba kugwiritsa ntchito mafuta ochepa ndi utsi, chifukwa chomwe m'mimba umayamba kusinthana ndi kudzimbidwa, matumbo a m'matumbo amayamba.

Zotsatira zake, njirayi imayamba kufooka. Thupi limakhala ndi vuto losakwanira pazinthu zofunika kuti likhale ndi moyo.

Kuchepa m'mimba pafupipafupi, kusanza ndi kusowa kwa chakudya kumakulitsa vutoli. Kulemera kwa thupi kumachepa. Thupi limasowa madzi. Ziwalo zina ndi machitidwe zimavutika, ntchito yawo imasokonekera. Chithunzi cha hypovitaminosis chimayamba.

Pancreatitis Biliary Hypertension Syndrome

Mchiwonetserochi, chotupa cham'mutu cham'mimba chimatseka duct ya bile, chimawononga khoma lake ndikukula ndikuwunikira kwa duodenum.

Ndi kuwonjezeka kwa mutu wa kapamba, imakakamiza bile duct, chifukwa chomwe imayatsidwa. Kutuluka kwa bile kumakhala kovuta pang'onopang'ono. Zowawa zowoneka zimawonekera mu hypochondrium yoyenera, kuwonjezereka kwa bilirubin m'mwazi kumadziwika. Popita nthawi, jaundice wopatsirana amakula, mkati momwe khungu limawonekera, ndowe ndi mtundu wa dongo loyera, kuchuluka kwa bilirubin m'magazi, ndi khungu loyenda. Jaundice amabwerezedwa mobwerezabwereza. Imakulirakulira kapena kuonekeranso pafupipafupi pambuyo povulaza ululu.

Zizindikiro zofananazo zimapezeka mu 30% ya milandu. Kutuluka kwa bile nthawi zambiri kumalepheretsedwa ndi chotupa chomwe chili m'mutu wa kapamba.

Zomwe Zimayambitsa Kupweteka Kwa Pancreatic

Mphamvu ya ululu imawonjezeka pambuyo pa theka la ola, pamene chimbudzi chimayambira mu duodenum 12, pomwe pancreatic secretion ndi bile kuchokera ku bile duct kulowa.

Zikondazo zimabisa chinsinsi mpaka malita 2.0 a chinsinsi chovuta patsiku. Ululu umawoneka pofinya kutsekeka kwa chithokomiro kuchokera kunja, pomwe kupanikizika kwa chinsinsi pamakoma amipatawo kumawonjezeka kwambiri panthawi yamachitidwe obisika. Chithunzithunzi chofananacho chikuwonekera pang'onopang'ono ndikuzimitsa pansi ndikusunthika kwa kupezeka kwa miyala komanso ndima.

Miyala yochotsedwa pancreatic duct

Kukula kwa ululu m'matenda a kapamba kumalumikizidwa ndi mphamvu yake yayikulu yopulumutsa. Zowawa zazikulu zimalembedwa ndikupanga kusintha kwasintha kwa microtic m'dera la mathero a mitsempha ndi ganglia.

Papu yachiwongola dzanja imapweteka kwambiri, ikumakumana ndi chopanikizika ndi chiwalo chokulirapo, chopukutidwa. Kupweteka kwambiri kumachitika ndi kupanikizika kwa pancreatic pamalo a malo amitsempha ya m'mimba.

Mu 40% ya milandu ya kupweteka kwamatenda kapamba, amapezeka motsutsana ndi maziko am'mimba omwe amapezeka m'mimba ndi m'mimba ya 12, pomwe zomwe zili m'mimba zimalowa mu chimbudzi cha pancreatic.

Kuperewera kwa exocrine pakapita nthawi kumayambitsa kuwonjezeka kwa tizilomboto tating'onoting'ono tokhala m'matumbo, pomwe njira zowola ndi kupsinjika zimapambana pamachitidwe abwinobwino a chimbudzi. Kung'ung'udza kumawoneka m'mimba. Njira yovunda imayambitsa kupangidwa kwa mpweya wambiri, chifukwa chomwe pamimba pamakula kukula ndikuyamba kupweteka pamene palpated (flatulence).

Matumbo amayesetsa kuti amasuke mosavuta pazakudya zopanda chakudya, zomwe zimapangitsa kuti ululu uzungulira. Matumbo enanso amakula, omwe amachititsa kuti tulo tambiri tiwachedwe. Ululu pamenepa amapezeka paliponse pamatumbo akulu.

Pamaso pa cholelithiasis, yomwe imayambitsa kutupa kwa kapamba, ululu umafanana ndi colic, colita patokha mu hypochondrium ndi epigastric dera.

Makhalidwe a kupweteka kwapancreatic

Ululu umawonekera nthawi zonse mu dera la epigastric (pamwamba pa dzenje la m'mimba), limakhala ngati lamba, ndipo m'malo opitilira 50% limakhala lalikulu komanso lopweteka.

Mu 10% ya milandu, iwo amawonekera kumanzere kwa chifuwa ndipo vuto la mtima limakumbukiridwa. Ululu mu hypochondrium yoyenera imawoneka ndi khansa ya mutu wama pancreatic. Ululu kumanzere hypochondrium - ndi kutupa mchira wa kapamba.

Mukamamwa zakumwa zoledzeretsa, zamafuta ndi acidic, kuchuluka kwa zowawa kumawonjezeka. Ululu umatha maola angapo. Nthawi zina nthawi yawo imafika masiku atatu.

Ululu umakhala wowonongera kapena wowonda. Ululu wa usiku ndizosowa kwambiri.

Madera omwe amapsa ndi kapamba amasinthidwa ndi fibrosis, chifukwa, pakapita nthawi, chiwalo chimayamba kuchepa kukula ndipo ululu umatha kusiya kwathunthu.

Intra-secretory insufficiency syndrome (vuto la endocrine)

Mphepoyi ndi chiwalo chamtundu wa endocrine chomwe zida zake zing'onozing'ono za cell zimatulutsa mahomoni a insulin ndi glucagon. Amayendetsa kagayidwe kazakudya. Mavuto amtundu wa endocrine amawonongera kwambiri thanzi la wodwalayo.

Endocrine mavuto mu matenda a kapamba amapanga mitundu iwiri:

Kuchulukitsa kwa insulin (hyperinsulinism) kumawonekera mwa kupezeka kwa mkhalidwe momwe kuchuluka kwa glucose m'magazi kumachepera kwambiri. Wodwalayo amasokonezeka chifukwa chodwala, kufooka komanso kunjenjemera mthupi lonse. Pali nkhawa ndi paresthesia. Kudya kumawongolera mkhalidwe. Komabe, nthawi zambiri amatha kuonekanso patatha maola ochepa. Ngati khunyu limachitika pafupipafupi komanso mosadukiza, nthawi yayikulu yamanjenje ndi chithokomiro cha m'mimba zimayamba kuvutika.
Ndi kuwonongeka kapena kuwonongeka kwa pulogalamu yaing'ono, zida za shuga za pancreatic zimayamba. Ndi kuchulukana kwa matenda kapamba, kuchuluka kwa shuga m'magazi kumadzuka ndi kukhazikika munthawi yakudekha. Mbali yodziwika ya matenda ashuga otere ndi kusowa kwenikweni kwa jakisoni wa insulin. Ndipo mavuto monga chikomokere ndi ketonuria sikamayamba.

Hypovitaminosis mu kapamba

Hypovitaminosis aakulu pancreatitis amalowa nawo chitukuko cha matendawo pambuyo pake. Izi ndichifukwa chophwanya kufalikira kwa mavitamini osungunuka a mafuta A, D, E ndi K ndi lipase enzyme, yomwe imawonetsedwa ndi kuyanika komanso khungu, ziphuphu zakumaso, kuchepa kwa khungu la turgor komanso kuwoneka kwa ming'alu pakamwa komanso m'milomo ya milomo.

Zomwe zimayambitsa ndi Zizindikiro za matenda a kapamba

Zomwe zimayambitsa matenda a pancreatic nthawi zambiri zimagona mu zakudya zopanda chakudya komanso zopanda pake, chifukwa cha matenda ena oyanjana ndi matenda kapena ziwalo zam'thupi. Zina zomwe zikuluzikulu ndi:

kuvulala kwa chiwalo ichi,
kumwa kwambiri mowa ndi mankhwala osokoneza bongo
matenda
pafupipafupi zovuta
neoplasms
matenda amatumbo ndi biliary thirakiti.

Mu matenda aliwonse, zizindikilo zake zimakhala zokha. Koma pali zingapo mwazizindikiro zamankhwala zomwe zilipo mu matenda aliwonse:

Zowawa m'mimba.
Wodwala amadwala kwambiri.
Zogaya mwadongosolo zimakwiya.

Ganizirani zamatenda akulu am'mapapo:

kapamba
zotupa
mawonekedwe a cystic
kapangidwe ka miyala
kapamba.

M'pofunika kuganizira momwe matenda aliwonse amapezeka ndi kapamba.

Pancreatitis

Awa ndi njira yotupa yolimba mu kapamba. Ili ndi mitundu iwiri yachiwiri: matenda owopsa komanso mtundu wa matendawa. Panthawi yowoneka bwino, munthu amakhala ndi ululu wopweteka kwambiri m'mimba, womwe umatha kupereka kumanja kapena kumanzere kwa hypochondrium, kapenanso msana. Zizindikiro zazikulu za pancreatitis pachimake ndi:

Kusanza pafupipafupi ndi bile, komwe kumakhala kowopsa chifukwa cha madzi m'thupi.
Kutentha kwa thupi ndikwabwinobwino (ngati pancreatitis imayendera limodzi ndi kutupa kwa purulent, ndiye kuti kutentha kwa thupi kumakwera mpaka madigiri 39-39,5).
Khungu limakhala lotumbululuka, zotupa zimatha kuwoneka.
Jaundice

Panthawi yoyambirira ya kapamba wam'mimba, munthu amakhala ndi nkhawa ya kudzimbidwa, m'malo mwake ndi m'mimba. Palinso kuyanika kwamphamvu kwa mucous nembanemba mkamwa ndi khungu. Potengera izi, kuperewera kwa mavitamini ndi michere kumakula. Munthu amayamba kuchepa thupi msanga.

Mu mawonekedwe a kapamba akulu, makoma owonongeka a kapamba amasinthidwa ndi minye yolumikizira thupi. Matendawa amasinthidwa nthawi ndi nthawi kukhathamira ndi chikhululukiro. Zomwe zimayambitsa matenda a kapamba wamkulu ndi:

uchidakwa
matenda a biliary thirakiti
kuchitira opaleshoni m'mbuyomu komanso kuvulala pachiwindi, chikhodzodzo,
Matenda ofanana (chiwindi, miyala),
onenepa kwambiri.

Nthawi yoyambira ikayamba, munthu amakumana ndi zotsatirazi:

Ululu mu hypochondrium, womwe umatha kuperekedwa pansi pa scapula kapena msana.
Ndi zowonongeka zazikuluzikulu za kapamba, pali lamba wamkati yemwe suuma.
Kuchepetsa mseru, kusanza, kufooka, kubala komanso kutentha thupi kumawonjezeredwa.

Kwenikweni, zizindikiritso zotere zimawonekera mukangodya, ndipo mawonekedwe awo amawonekera kutengera momwe chitsulo chimawonongeka. Kodi ndichifukwa chiyani kapamba amayenera kuthandizidwa? Pancreatitis ndi chimodzi mwazomwe zimayambitsa pancreatic necrosis; imatha kupha wodwalayo.

Pancreatic necrosis

Zizindikiro za matendawa ndimapweteka pachimake, akuwonekera pachifuwa, hypochondrium ndi scapula. Ululuwu ndi waukulu kwambiri mpaka umapangitsa kuti musamaiwale komanso kumva kuwawa. Kudzimbidwa komanso kusefukira kwamtunduwu zimadziwikanso. Pancreatic necrosis ndi necrosis yama cell a pancreatic, motero wodwala amafunikira mwachangu opaleshoni.

Mapangidwe a miyala

Kupangidwe kwa miyala mu kapamba sikodabwitsa koma mwina. Zomwe zimayambitsa kupezeka kwawo sizinafotokozedwe bwino, koma nthawi zambiri zonsezi:

mavuto ndi madzi a pacreatic,
zolephera za phosphorous ndi calcium metabolism,
kutupa kwa kapamba,
matenda opatsirana.

Palibe zizindikiro zotchulidwa, koma ndi kukula kwakukulu kwa miyala kapena kuchuluka kwake, munthu amatha kumva ululu pamimba, yomwe imapatsa zigawo za dorsal. Kukula kwa zowawa kumawonjezeka mukatha kudya. Ngati miyala siyinalandiridwe, ndiye kuti kudzimbidwa, kutsekula m'mimba komanso kusowa kwa chakudya.

Ndikofunikira. Mukasunthira miyala mu thirakiti la biliary, jaundice yamtundu wamakina amayamba.

Pomaliza

Ngati ntchito m'dera la kapamba imalephera, wodwalayo ayenera kuyang'anitsitsa zakudya ndipo ngati zingatheke azikonza. Ngati izi sizipereka kupambana koyenera, ndiye kuti muyenera kukaonana ndi dokotala. Mwina matenda a kapamba amayamba chifukwa cha matenda encomitant ndipo amafunikira chithandizo chamankhwala.