Pancreatitis: kuukira ndi zotsatira zake

Tikuyenera kuvomereza kuti zizolowezi zoyipa zimasokoneza kwambiri magwiridwe antchito amkati. Zowopsa zambiri zomwe zimagunda kapamba. Khalidwe labwino limatsogolera kumatenda ake. Mu chilankhulo cha madokotala, matendawa amatchedwa pancreatitis. Wodwalayo amakhala ndi zochitika zosiyanasiyana zosasangalatsa, monga nseru, kusanza. Koma mawonekedwe osasangalatsa kwambiri omwe amayenda ndi kapamba ndi kupweteka kwapakati. Kodi kuchitira matenda? Ndipo nchiyani chomwe chingachitike kunyumba?

Pathology

Chikhansa ndi gawo lofunikira lamkati lomwe limakupatsani mwayi woyamwa bwino womwe umalowa m'thupi la munthu. Imasunga ma mahomoni ambiri ndi ma enzyme, kuphatikiza insulin ndi glucagon.

Njira yotupa yomwe imapezeka m'mapapo amatchedwa pancreatitis. Kukhazikika kwa ma enzymes m'thupi kumabweretsa kutupira ndi kukwiya. Izi zitha kuchitika mwadzidzidzi, koma zimatha kudutsa zaka.

Izi matenda akufotokozera. Pancreatitis, malinga ndi maphunzirowa, amatha kukhala owawa kapena osachiritsika. Komabe, mulimonsemo, matenda oterewa amatsogolera pakuwonongeka pang'onopang'ono kwa chiwalo chofunikira pakugaya chakudya.

Zomwe zimayambitsa matenda

Poyamba, timaganizira zomwe zimapangitsa kuti pakhale matenda monga kapamba. Zachiwembu, monga lamulo, zimachitika zinthuzi zikakulirakulira. Koma, mwatsoka, nthawi zambiri sizotheka kudziwa zomwe zimayambitsa matenda omwe mapamba amadzigaya okha.

Madokotala amapereka zinthu zotsatirazi, chifukwa chake kapamba amadziwika kwambiri nthawi zambiri:

Zakudya zopanda pake. Kugwiritsa ntchito molakwika zakudya zosapatsa thanzi (zonunkhira, mafuta, yokazinga) zimatha kuyambitsa matenda a kapamba. Chochita pankhaniyi? Kanani zakudya zopanda thanzi ndikufunsani zakudya. Zakudya zamafuta sizimakola thupi bwino. Zotsatira zake, pali kuphwanya kwa kutuluka kwa pancreatic madzi. Nthawi yomweyo mawonekedwe ake amasintha. Zinthu zotere zimayambitsa nseru, kupweteka.
Kuvulala kwapancreatic. Kuvulala kwa chiwalo kumatha chifukwa cha kupweteka kwam'mimba, ngozi yagalimoto, kugwa kuchokera kumtunda, mpeni kapena bala la mfuti. Nthawi zina vutoli limafunika kuchitapo opaleshoni.
Kumwa mankhwala. Mankhwala ena amatha kusokoneza kugwira ntchito kwa kapamba. Maantibayotiki, ma immunosuppressants, corticosteroids amatha mosavuta kuyambitsa matenda a pancreatitis. Zoyenera kuchita kwa wodwala? Pewani mankhwalawa ndikutsatira zakudya.
Mowa. Zakumwa zokhala ndi zakumwa zoledzeretsa zimasokoneza kwambiri ziwalo zambiri. Kapamba ndiwonso. Chithunzithunzi chomwechi chimawonedwa ndi kuperewera kwa chakudya m'thupi. Kutuluka kwa msuzi wa pancreatic kumavulala kwambiri m'thupi, chifukwa chomwe matendawa amakula.
Kuperewera kwa zakudya m'thupi. Potere, chakudya chama protein chimatanthauzidwa. Ngati thupi limadwala pafupipafupi ndi kuperewera kwa zinthuzi, munthu amayamba kudwala matenda a chamba.
Miyala. Kuchulukitsa, kuyenda m'mphepete mwa bile, kumathandizira kuphwanya kutuluka kwa madzi ndikuwonjezera kutupa kwa chiwalo. Zotsatira zake, wodwalayo amakhala ndi mseru, kusanza, kupweteka, chizungulire.
Matumbo am'mimba. Nthawi zina matenda osiyanasiyana amatha kupweteketsa mtima.

Zizindikiro zakuwukira

Ndi matenda awa, zizindikiritso zambiri zimazindikira ndi odwala. Pafupifupi mbiri yonse yazachipatala ili ndi zizindikilo zotere. Pancreatitis imawonetsedwa ndi zowawa. Potere, vuto limatha maola ambiri.

Zizindikiro zotsatirazi ndizomwe zimachitika pancreatitis:

Kupweteka kwam'mimba. Chizindikiro chofunikira kwambiri komanso pafupipafupi. Zikuwoneka pafupifupi 80-95% ya odwala. Ululu umatha kukhala pafupipafupi kapena mobwerezabwereza, kuwotcha kapena kuwawa, kupindika kapena kuwawa. Zovuta zimapezeka kumtunda kumanzere kumanzere komanso m'chigawo cha epigastric. Chifukwa chake pancreatitis yovuta imawonekera. Mikwingwirima imakonda kulimba pambuyo podya chakudya (pambuyo pa mphindi 20-30). Wodwalayo amakumana ndi vuto lalikulu atadya yokazinga, mafuta, zokometsera, kusuta zakudya kapena kumwa mowa. Ululu umatha kufalikira kumbuyo, kumanzere kwa clavicle, tsamba la phewa, mkono. Nthawi zambiri, kusasangalala kumamanga. Ndi njala, izi zikuwoneka kuti zimachepetsa. Kuyimitsa kokhazikika kumathandizanso kuchepetsa kusasangalala: ndikosavuta kuti wodwalayo athe kupirira pamene akhala, atatsamira pang'ono.
Kutsegula m'mimba Chizindikiro ichi chimawonedwa mu theka la odwala. Mpando umakhala ndi fungo losasangalatsa, uli ndi mawonekedwe osasinthika. M'matumba, mafuta osasankhidwa amawonedwa.
Kuchepetsa thupi. Zizindikiro zofala. Tchulani kuukira kwa chifuwa chachikulu. Monga lamulo, zimawonedwa m'magawo omaliza a matendawa.
Kusanza, kusanza. Zizindikiro zotere sizimabweretsa mpumulo kwa wodwala. Nthawi yomweyo, kuphatikizira ndi kutsegula m'mimba, imawononga thupi kwambiri. Kutanuka kwa khungu kumachepa, mawonekedwe ake amakhala owuma kwambiri. Kuwonetsa mawonekedwe a nkhope kumawonedwa.
Kutsekeka kwa bile duct. "Madontho ofiira" amawoneka pamimba ndi chifuwa. Akakanikiza, samasowa. Nthawi zina pamakhala kusowa kwa nembanemba ndi khungu chifukwa chofinya chimbudzi ndi chotupa chotupa.
Thupi, kuzizira, kupuma movutikira. Zizindikiro zotere zimawonetsa kupangika kwa thupi. Pankhaniyi, ndikofunikira kuyamba chithandizo chokwanira nthawi yomweyo. Kuchedwa kulikonse kumatha kubweretsa zovuta zazikulu.

Pambuyo pa kuchitika kangapo konse, matendawa amakhala osachiritsika. Pankhaniyi, wodwalayo nthawi zina amakumana ndi zizindikiro zonse za kapamba. Koma chosasangalatsa kwambiri ndikuwonongeka pang'onopang'ono kwa chiwalo.

Thandizo loyamba

Chithandizo chokwanira chimalembedwa ndi adokotala okha. Kudzichitira nokha mankhwala, makamaka osazindikira kuzindikira koyenera, ndizowopsa. Nthawi yomweyo, kumbukirani kuti kusokonezeka kwakukulu m'mimba sikuyenera kuloledwa ndi kumizidwa ndi analgesics. Ngakhale mutadziwa kuthana ndi vuto la kapamba kunyumba, muyenera kuunikiridwa. Izi zimateteza motsutsana ndi kukula kwa zovuta zosasangalatsa kwambiri.

Ngati mukukumana ndi vuto m'mimba, muyenera kufunafuna thandizo kuchokera kwa gastroenterologist. Wodwala akakhala ndi ululu “wokhotakhota”, ndikofunikira kuyimbira ambulansi nthawi yomweyo. Komabe, pamene gulu lazachipatala likuyenda, ndizotheka kuchepetsa zomwe wodwala akukumana nazo chifukwa cha chifuwa cham'mimba.

Thandizo loyamba limaphatikizapo malingaliro otsatirawa:

Kulandila kwa antispasmodics. Mankhwala oterowo amatha kuchepetsa kuphipha. Chifukwa chake, kuonetsetsa kuti akutuluka mu lumen wa matumbo a pancreatic. Pankhaniyi, tikulimbikitsidwa kuti musagwiritse ntchito mapiritsi, koma jekeseni wamitsempha. Amachita bwino kwambiri komanso mwachangu. Chithandizo chogwira mtima kwambiri ndi No-shpa.
Chithandizo cha chimbudzi. Wodwala amalimbikitsidwa kumwa kukonzekera kwa enzymatic: Festal, Mezim, Pancreatin. Ndalamazi zimathandizira kukonza chimbudzi ndipo zimatha kuchepetsa ululu.
Ozizira pamimba. Njira ngati izi zimathandizira wodwalayo. Komabe, osagwiritsa ntchito kuzizira kwa ayezi. Potere, m'malo momasuka, mutha kukulitsa vutoli. Ndikofunika kugwiritsa ntchito phukusi lotenthetsera lodzaza ndi madzi ozizira, kapena ayezi wokutidwa ndi thumba ndi nsalu. Chochitikachi sichingothandiza kuthetsa kupweteka, koma chimachepetsa kutupa.

Madokotala, ofotokozera momwe angachepetse kuukira kwa kapamba, makamaka amalimbikira kupatula chakudya chilichonse. Wodwala amangofunika kumwa. Potere, ndikofunikira kwambiri kupatsa madzi oyera oyera kapena mchere wopanda mchere.

Chithandizo cha kunyumba

Woopsa, wodwala amafunikira kuchipatala. Koma nthawi zina, atapima mozama, dokotalayo amamulembera wodwala chithandizo ndipo samutengera kuchipatala. Pankhaniyi, ndikofunikira kudziwa anthu omwe ali pafupi ndi wodwalayo momwe angachepetse kuukira kwa kapamba kunyumba. Ndikofunikira kuti mankhwala osokoneza bongo a No-Shpa ndi enzymatic akhale pafupi.

Malangizo ochepa osavuta amakupatsani mwayi wopewa kuwukira pafupipafupi:

Njala. M'mimba mwake muyenera kuchotsedweratu. Zikatero, chitsulo chidzasiya kupanga ma enzyme omwe amawapweteka. Chifukwa chake, odwala amaloledwa kumangodya madzi, tiyi ndi othandizira m'masiku ochepa.
Limbani. Kuwotcha kapamba ndizoletsedwa. Njirayi imayambitsa kutupa kwambiri ndikuthandizira pakuwonongeka kwa kapamba ndi mahomoni ake omwe. Kumbukirani: hypochondrium ya kumanzere "imasankha" kuzizira! Chifukwa chake, ayezi wofundira ayezi ayenera kuyikiridwa ndi kapamba.
Mtendere. Pathology ikhoza kutsogolera mosavuta pakukhazikitsa zotsatira zoyipa. Chifukwa chake, madokotala amalimbikitsa mwamphamvu kuti mumasule thupi lonse momwe mungathere. Odwala amalangizidwa kuti azitsatira pogona mpaka zizindikire za kupweteka kwambiri kwa kapamba zimatha.

Matenda opatsirana

Kodi pancreatitis wowopsa ndi chiani? Ziwopsezo sizidutsa popanda kutsatira ndipo nthawi zambiri zimabweretsa zovuta zosasangalatsa.

Izi zikuphatikiza:

matenda
chotupa
minofu ya necrotic ya England.

Pazovuta zazikulu, wodwala amafunika kuchitapo kanthu opaleshoni. Pambuyo pa opaleshoni, wodwalayo nthawi zambiri amapatsidwa insulin kuti azitha kuwonetsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, mankhwala apadera omwe amakhala ndi ma enzyme omwe amatsimikizira kuti m'mimba mumapezeka mafuta ambiri komanso mapuloteni amalimbikitsidwa.

Chosafunikanso kwambiri ndi zakudya zopatsa thanzi, zomwe muzochitika zamakedzana, wodwala amayenera kuyang'ana moyo wake wonse. Ndipo siyani mowa uliwonse.

Matenda a kapamba amatha kuyambitsa zovuta zotsatirazi:

kufalikira kwa mitsempha
kuchuluka kwa madzi mderalo
kupweteka kwakanthawi
kufufuma kwamatumbo ang'onoang'ono ndi ndulu zamkati,
chiopsezo chotenga khansa yapancreatic.

Chakudya pambuyo povutitsidwa kwambiri

Odwala akulimbikitsidwa kudya No. 5 chifukwa cha kapamba. Komabe, mutavutika ndi masiku angapo, muyenera kusiyiratu kugwiritsa ntchito chakudya.

Ma Dietitians amalimbikitsa malamulo otsatirawa:

Kwa masiku 2-4, wodwalayo amaletsedwa kudya. Ndikulimbikitsidwa kugwiritsa ntchito madzi am'madzi okha pochiritsa, monga Borjomi, Essentuki No. 4. Muyenera kumwa pang'ono pang'onopang'ono.
Tsiku la 5. Chololedwa mosamala kuwonjezera menyu. Pankhaniyi, muyenera kudziwa kuti wodwalayo adayikapo tebulo la kapamba ya 5 kap.
Tsiku 6-7. Chakudyacho chimaphatikizapo msuzi wa mucous, zakudya, zakudya monga chimanga, kefir, cutlets za ng'ombe, nkhuku ndi nsomba. Chovomerezeka: mbatata zosenda, masamba. Mbale zonse zokhala ndi kapamba zimayenera kudyetsedwa kapena kuwiritsa. Wodwala amatha kumwa tiyi wopanda mphamvu, maapulo osenda, makeke, msuzi wamtchire wamtchire.

Izi matenda ali ndi dzina limodzi losasokoneza - prediabetes. Tsoka ilo, zikafika pancreatitis yayitali, mwayi wokhala ndi matenda oopsa oterewo ndiwambiri. Popewa kupezeka kwa matenda osokoneza bongo, odwala amawapatsa mankhwala No. 5 a kapamba. Zakudya izi ziyenera kutsatidwa moyo wonse.

Maziko azakudya ndi izi:

mkaka, kefir, tchizi yofewa, yogurt, curd wowawasa,
pasitala, phala (mpunga, oats, buckwheat),
masamba (beets, zukini, kaloti, dzungu, mbatata),
mikate yoyera, tirigu wowaza,
nsomba zowonda
nyama (nkhuku, kalulu, nkhuku, nyama yamphongo),
mafuta odzola, maapulo ophika, msuzi wabulosi,
zipatso za oats, zakumwa za zipatso, tiyi wa chamomile, timadziti tamitengo ta asidi,
msuzi wosenda, broths zamasamba.

Kuchokera pazakudya ziyenera kuperekedwa:

kabichi watsopano, zipatso zowawasa, nyemba,
sorelo, radish, sipinachi, radish,
buledi watsopano, maswiti, muffin,
zonunkhira ndi zonunkhira zotentha,
Zakudya zamzitini, nyama zosuta, soseji, mazira,
nsomba, msuzi wa nyama, borscht, msuzi wa kabichi,
msuzi wokoma, mowa,
ayisikilimu, kirimu, kirimu wowawasa,
zakudya zokazinga.

Zakudya izi zimaphatikizapo kudya pafupifupi 6 pa tsiku, m'magawo ang'onoang'ono. Izi zimathandiza kupewa kudya kwambiri.

Maganizo a odwala

Modabwitsa, ndimatenda amtunduwu, odwala onse amalimbikitsa chinthu chimodzi: kulumikizana ndi gastroenterologist ndipo musazengereze kulandira chithandizo! Kodi odwala omwe amapezeka ndi pancreatitis amatsimikizira chiyani? Ndemanga za odwala zimanena za kusinthaku kwakukhalanso wathanzi pambuyo pa mankhwala omwe adalembedwa ndi adokotala komanso kutsatira zakudya zomwe wapatsidwa.

Odwala ambiri amati atalandira chithandizo kwa nthawi yayitali amatha kubwereranso ku zakudya zawo. Ndipo pa nthawi imodzimodziyo sakumananso ndi zowawa zazikhalidwe.

Zolemba zaukadaulo wazachipatala

Zowonadi, wodwalayo mwiniyo ndi abale ake apamtima akudabwa, koma momwe angachepetsere kuukira kwa kapamba zikachitika?

Pali malingaliro osavuta komanso otsika mtengo omwe angathandize pankhaniyi:

Maola oyambilira atatha kuukira sikuletsedwa kudya chilichonse.
Kuchokera zakumwa mutha kumwa madzi oyera (oyeretsedwa, kasupe). Osalowerera m'madzi amamineral, chifukwa simungadziwitse zakudwala pamalopo. Madzi amatengedwa pang'ono, pang'ono pang'ono, pang'ono pang'ono komanso pang'ono. Ndikwabwino kusungira madzi mkamwa kwakanthawi kuti madziwo ayambe kumamwa kale.
Ice chimayikidwa pa epigastric dera, ndiye kuti, polojekiti yakunyumba yazipinda zapamwamba za thupi. Malo omwe malowa amatha kufotokozedwa m'mawu otsatirawa - amapezeka pakati pa chifuwa ndi navel. Monga njira yotithandizitsira kutenthetsa, pesi lotenthetsera lodzaza ndi madzi ozizira ndiloyenereradi. Mutha kutenganso phukusi lililonse kuchokera mufiriji yafiriji ndikuyiika m'derali.
Chochitika choterechi chitha kuchepetsa mkhalidwe wa wodwalayo, kuchepetsa kupweteka, komanso njira zotupa ndi kutupa.
Wodwala amalimbikitsidwa kuti apumule pogona kuti azitha kupumula. Izi ndizofunikira kuti muchepetse kusokonezeka kwa kapamba ndi machulukidwe ake amitsempha yamagazi ndi magazi.
Akatswiri amalimbikitsa kuti azitengera spasmolytics ndi analgesics. Pankhaniyi, ndikofunikira kukhala ndi No-shpa, Spazmalgon, Drotaverin, Maksigan mu kakhitchini yamankhwala.
Wodwala kapena anthu ake apamtima ayenera kuyitanitsa gulu la ambulansi, lomwe madokotala ake amatha kuzindikira momwe zinthu ziliri ndikupanga njira zina zachipatala.

Nthawi zina anthu amakana kupita kuzipatala zadzidzidzi pokhapokha pazifukwa zopanda manyazi komanso manyazi. Osayesa mwayi wanu ndikunyalanyaza ntchito za akatswiri. Ngakhale vutoli litakulirakulira, zingakhale zodetsa nkhawa thanzi lanu kuposa kunyalanyaza zizindikiro zazikulu.

Pancreatitis imadziwika kuti kusintha kwakanthawi ndizotheka, koma zotsatira zake zimakhala zowopsa. Ndipo izi ndi ngati mungalimbitse yankho la vutolo ndikupewa mayeso, kudzipangitsa kudziwa koyenera ndi chithandizo choyenera.

Nthawi zambiri, kuukira kwa kapamba kumayambitsa kuphwanya ndulu, kutanthauza kufalikira kwa ndulu. Ngati wodwalayo akudziwa motsimikiza kuti alibe miyala mu chikhodzodzo chake, ndiye kuti titha kumulangiza kuti atenge mapiritsi awiri a Alohol. Izi zichitike osati kamodzi, koma katatu patsiku. Nthakayo ikachoka, zimamveka, chifukwa chopondera odwala chimadzimadzi. Kuyenda kwa ndulu ndikothandiza poshana ndi kapamba, chifukwa kumalimbitsa gawo lachilengedwe lamatumbo kuchokera ku kapamba. Chofunikira ndichakuti Alohol imangotengedwa kuphatikiza ndi antispasmodics - No-shpa, Drotaverin, Papaverin.

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Mankhwala othandizira pancreatitis

Timalemba mankhwala onse omwe amagwiritsidwa ntchito pothandiza wodwalayo. Mankhwala ochizira matenda a kapamba ndi mndandanda wonse wa mankhwala:

No-spa - ndi mankhwala a antispasmodic omwe amagwiritsidwa ntchito mwa mphindi kapena maola ochepa akuyamba kwa chiwopsezo cha mapiritsi.
Drotaverine hydrochloride ndi mankhwala omwe ali ndi antispasmodic athari, omwe angagwiritsidwe ntchito m'malo mwa No-shpa. Amagwiritsidwa ntchito piritsi.
Spazmalgon ndi mankhwala omwe ali ndi vuto lofanana la spasmolytic. Ndikulimbikitsidwa kuti mugwiritse ntchito mphamvu kuti muchepetse chimtundu chamtunduwu pakuwukira, komanso mutapangidwe piritsi.
Maxigan ndi antispasmodic yemweyo monga makhwala onse akale omwe ali ndi mawonekedwe omwewo a piritsi.
Papaverine ndi antispasmodic, yomwe imabayidwa intramuscularly, mogwirizana ndi mitundu ya pakamwa ya mankhwala antispasmodic.
Alocholum - mapiritsi omwe amafunika kupita kwa odwala nthawi yomweyo ndi mankhwala a antispasmodic, ngati alibe miyala mu chikhodzodzo.
Kontrikal - amagwiritsidwa ntchito pokhapokha ogwira ntchito kuchipatala. Amathandizira kuchepetsa kupwetekedwa kwapweteka pakuwombana ndi kapamba, komanso kutenga nawo mbali pakubwezeretsa minofu ya kapamba.

Momwe mungachotsere msanga kuukira kwa kapamba?

Nthawi zambiri, wodwala ndi banja lake amadzifunsa funso ili: momwe angachezere mwachangu kuukira kwa kapamba? Makamaka kunyumba komanso popanda antchito azachipatala. Ngakhale izi zimakhumudwitsidwa kwambiri, ndibwino kupempha thandizo mwadzidzidzi ndikukhulupirira akatswiri.

Koma, komabe, pali zochitika zina momwe mulibe njira yoyambira kuti athandizire ogwira ntchito kuchipatala, ndipo wodwala amafunikira chithandizo. Pankhaniyi, tikulimbikitsidwa kuchita izi: perekani wodwala mtendere, kuzizira ndi njala. Awa si fanizo, koma kalozera wakuchitapo kanthu.

Chifukwa chake, amalimbikitsidwa kwa abale a wodwala:

Mpatseni mtendere wamphumphu. Osamayenda mwadzidzidzi. Wodwala amayenera kupatsidwa 0,8 mg wa No-shpa kapena Drotaverin hydrochloride ndikusambitsidwa ndi madzi osakwana magawo anayi a kotala.
Intramuscularly jekeseni ndi yankho la Papaverine wambiri awiri ml. Mutha kulowetsa m'malo mwa Papaverine ndi yankho lofanana la No-shpa.
Kenako wodwalayo amakhala pampando kapena pampando, ndipo thupi lake limatsamira. Kuchokera kutsogolo muyenera kuthandizira china chake kuti muthe kulemera thupi ndi mutu.
Kumbuyo komwe kudali polojekiti ya kapamba amayikapo chidebe chilichonse ndi ayezi (wotenthetsera thumba, thumba, ndi zina).
Wodwala amaletsedwa kudya chakudya.
Madzi amatengedwa mu kuchuluka kwa kapu ya kotala nthawi. Madzi amagwiritsidwa ntchito theka lililonse la ola ndipo osaposa zomwe zanenedwapo kale. Madzi oyera okha opanda mpweya amakhala ngati chakumwa.
Sizoletsedwa kupatsa wodwala mankhwala monga Creon, Pazinorm ndi zina zotero, zomwe zimakhala ndi ma enzymes a pancreatic. Kunyalanyaza izi kungakulitse kwambiri mawonetsedwe akuukira kwa kapamba.
Mukakulimbikitsani kuti musambe, ndikofunikira kuyeretsa m'mimba mwa wodwalayo ndikakanikiza ndi zala ziwiri pamizu ya lilime. Nthawi zambiri, kuukira kwa kapamba pambuyo poti masanzi atulutsidwa, koma mpumulowo umadza nthawi.

Chifukwa chiyani kuukira kumachitika?

Musanafotokozere momwe mungachepetsere kupweteka ndi kapamba kunyumba, ndikofunikira kunena mawu ochepa chifukwa chake matendawa akuipiraipira, chifukwa izi zitha kuthandiza ambiri mtsogolomo kupewa zoterezi.

Kuchulukitsa kwa kapamba kumachitika chifukwa cha kupweteka pachimake pancreatic parenchyma, chifukwa chake zimakhala zake zimatupa ndikuyamba kuponderezana kuzungulira kwa chiwalo. Chifukwa cha izi, lumen wawo ndi wochepetsedwa komanso madzi a pancreatic, omwe ali ndi michere yam'mimba, sangatulutsidwe mu duodenum, momwe ziyenera kukhalira, koma amakhalabe mkati mwa gland, akuyamba kugaya maselo ake. Izi ndi zomwe zimayambitsa kupweteka kwamphamvu ululu, womwe mu tanthauzo lenileni la mawu amatenga wodwala.

Kutupa ndi zochita zachilengedwe za chiwalo kuzinthu zoyipa, kuphatikiza:

kusuta
kumwa mowa
kukana kutsatira zakudya,
kupsinjika
kusowa tulo.

Mwakutero, izi zoyipa zonsezi ndi zotsatira za kukhala ndi moyo wopanda tanthauzo. Chifukwa chake, kuti mupewe kuwonjezeka kwa kapamba m'tsogolomo kapena kuchepetsa kuchepa kwawo, wodwalayo amangofunika kusiya zizolowezi zoipa, kutsatira mosamalitsa chakudya, kudzipatsa tulo tofa nato (muyenera kugona pafupifupi maola 8) ndikuyesera kupewa zinthu zovuta kapena kuphunzira kudziletsa.

Komabe, ngati munthu ali ndi matenda ena omwe amakhudzanso kapamba (mwachitsanzo, zilonda zam'mimba kapena matenda a ndulu), mwatsoka, kufalikira pafupipafupi sikungapeweke. Ndipo pankhaniyi, wodwalayo amangofunikira kudziwa malamulo oyambira othandizira kupweteka, komwe kumamuthandiza kuthana ndi iyemwini.

Njira zazikulu zakuyimitsirani kuukira

Ngati pakachitika vuto, wodwalayo amakhala kuti ali kunyumba ndipo safuna kuti aziyimbira timu ya ambulansi, pamenepa pamafunika izi:

Tsatirani chakudya chamavuto. Pakuchulukirachulukira kwa kapamba, simungadye kalikonse masiku angapo. Izi ndichifukwa choti munthu akadya chakudya, kapamba amalandila lamulo kuti apange michere yokugaya. Ndipo popeza sangathe kulowa mu duodenum chifukwa chakuchepa kwa ma ducts, amakhala mkati mwa chiwalo ndikukulitsa mphamvu zopweteka. Ndipo kuti muchepetse kaphatikizidwe ka michere yokugaya chakudya ndikuchepetsa ululu, ndikofunikira kukana kudya chakudya osachepera masiku awiri. Pakadali pano, madzi okha ndi omwe amaloledwa kuti azimwa ochepa pang'onopang'ono komanso nthawi zonse.
Gwiritsani ntchito mankhwala antispasmodic. Mwa izi, No-shpa ndiye wotchuka kwambiri komanso wotetezeka. Koma mwanjira ya mapiritsi sangathe kumwa, popeza mankhwalawo amalowa m'mimba, potero amalimbikitsa kupanga michere yothandiza kugaya chakudya komanso kukulitsa ululu. Chifukwa chake, kuti muchepetse kuukira, ndikofunikira kugwiritsa ntchito mankhwala a antispasmodic ngati njira yothetsera makonzedwe a intramuscular.

Ngati wodwala akusanza kwambiri komanso kutsekula m'mimba nthawi yayikulu ya kapamba, pakadali pano ndikofunikira kwambiri kupewa kutayika kwa thupi. Kuti muchite izi, pakatha mphindi 30 mpaka 40, perekani madzi kwa wodwala kuchuluka kwa chikho cha ¼. Ngati kunyumba pali mankhwala a antiemetic ndi antidiarrheal mwanjira yothetsera mayankho a intramuscular, mutha kuyikamo jakisoni.

Kuti muthane ndi vuto la ululu womwewo, simuyenera kupatsa wodwala matenda opweteka. Ndikokwanira kupanga jakisoni wa No-shpa ndikuyika compress yozizira kwa kapamba. No-spa itha kuthandiza kumasuka kwa ndulu, potero kukonza kusintha kwa pancreatic madzi, ndipo compress imachepetsa kukula kwa ululu ndikupangitsa mkhalidwe wa wodwalayo.

Kuti achepetse ululu, madokotala amalimbikitsanso kukhala wodwala moyenera. Kuti muchite izi, ndikofunikira kumuyika, koma kuti thupi lake lapamwamba limasunthira kutsogolo, ndipo miyendo yake imakanikizidwa mpaka m'mimba mwake. Mwanjira ina, muyenera kutenga mawonekedwe a mluza, mutangokhala pansi. Wodwala akayamba kusanza kwambiri, beseni kapena chidebe chilichonse ayenera kuyikidwa pafupi ndi iye.

Zikatere kuti wodwalayo atadwala kwambiri pambuyo poti awonongeke pakadutsa maola awiri ndi atatu, ndikofunikira kuyitanitsa gulu la ambulansi. Zikakhala choncho, madotolo ayenera kuchotsa zotsutsidwa. Popeza ngati njira zopweteka kwambiri za m'mapapo zikuluzikulu zimakhala kwa nthawi yayitali, izi zimatha kubweretsa necrosis, momwe kufa kwa tiziwalo timene timayang'aniridwa. Pankhaniyi, kubwezeretsa magwiridwe ake kale sizingatheke.

Nthawi zambiri chomwe chimayambitsa kukokoloka kwa kapamba ndi kusowa kwa ndulu, chifukwa chomwe kutuluka kwa ndulu kumasokonezeka komanso kusayenda kwake kumachitika. Pankhaniyi, kuti muchepetse kupweteka, madokotala amalimbikitsa kumwa Allochol katatu patsiku. Koma mankhwalawa ali ndi zotsutsana, zomwe pakati pawo pamakhala matenda osachiritsika, ndipo ngati akupezeka, ndizoletsedwa kumwa chifukwa izi zingapangitse wodwalayo kuwonongeka.

Kumbukirani kuti kuchulukitsa kwa kapamba komanso kupweteka kumatha kuchitika mothandizidwa ndi zinthu zosiyanasiyana. Ndipo ngati zoyambitsa zenizeni zomwe zakhumudwitsa sizinakhazikitsidwe, simungamwe mankhwala ena alionse popanda mankhwala a dokotala. Izi zimatha kubweretsa osati kuwonongeka m'moyo wabwino, komanso kumabweretsa mavuto akulu azaumoyo.

Zoyenera kuchita atayimitsa kuukira?

Popewa kuchitika mwadzidzidzi wina, ndikofunikira kuchita chithandizochi. Zimatanthawuza zokha:

kudya
kumwa mankhwala enzyme ndi antispasmodic,
mtendere.

Ponena za chakudyacho, chizikhala chikugubuduza. Ndiye kuti, mukangoyimitsa kuukira, simungathe kudya chilichonse chomwe chikubwera. Pakati pa sabata, zomwe wodwala azidya ziyenera kukhala:

mbatata zosenda m'madzi opanda mafuta ndi mchere wocheperako (ngati kuli kotheka ndibwino kuzichotsa zonse),
phala pamadzi
msuzi wosenda wophika ndi msuzi wa masamba,
odzola
buledi wowuma
compotes
ma cookies a biscuit
tchizi chamafuta ochepa.

Patatha sabata limodzi, zakudya zomwe wodwalayo amadya zimaphatikizanso nyama ndi nsomba, koma ziyenera kukonzedwa kuchokera ku nyama ndi nsomba zochepa zomwe zimakhala zonenepa. Nthawi yomweyo, nyama ndi nsomba ziyenera kumankhidwa, ndiye kuti zimadutsa chopukusira nyama. Muthanso kuwonjezera masamba ndi zipatso zazakudya. Kugwiritsa ntchito kwawo kuyenera kuonekeranso mwa mitundu yoyenga. Simungawadye onse pano.

Koma pambuyo pa masabata 4-5 atatha kuukira, mutha kusinthira ku "zachilendo" zakudya, zomwe zimalimbikitsidwa kwa odwala onse omwe ali ndi matenda a kapamba. Pankhaniyi, madokotala amapereka mankhwala a tebulo lachitatu. Muyenera kuti muzitsatira nthawi zonse! Zakudya izi zimapatula kwathunthu muzakudya zonse "zoyipa" zomwe zimaphatikizapo:

Zakudya zonse zamafuta ndi mafuta,
nyama zabwino ndi msuzi wamasamba,
Chocolate ndi Cocoa
maswiti
kuphika batala,
Confectionery
chakudya zamzitini
mankhwala omalizidwa
ndinasuta nyama ndi zipatso.
zakumwa zoledzeretsa komanso zakumwa zoledzeretsa.

Pofuna kupewa kuchulukirachulukira kwa kapamba, chakudya cha tsiku ndi tsiku cha wodwalayo chimayenera kupakidwa polingalira zinthu zomwe zololedwa. Izi zikuphatikiza:

nsomba zachiwiri ndi msuzi wa nyama,
ngalande zodumphira, nsabwe, zomata,
masamba ndi zipatso
chimanga
mkaka ndi mkaka wokhala ndi mafuta ochepa (osapitirira 2,5%),
tiyi wopanda mphamvu
uchi (osaposa supuni 1 patsiku).

Zakudya zambiri zofunikira kudya zitha kupangidwa kuchokera ku izi, chifukwa chake, ndikulingalira bwino, zakudya za tsiku ndi tsiku za wodwala zimasiyana siyana ndipo nthawi yomweyo zimapatsa thupi lake zinthu zonse zofunika.

Ponena za kumwa mankhwala, antispasmodics tikulimbikitsidwa kuti atengedwe kwa masabata awiri atatha kuukira. Koma kukonzekera kwa enzyme (Creon, Pancreatin, Mezim, etc.) ayenera kuledzera tsiku lililonse akamadya kapena akamaliza kudya.

Njira ina yolimbana ndi matenda a kapamba

Mankhwala ena amakhalanso ndi maphikidwe ambiri pokonzekera mankhwala osiyanasiyana kunyumba omwe amathandiza kulimbana ndi vuto la ululu lomwe limachitika pakadutsa matendawa. Koma atha kutengedwa pokhapokha atakambilana ndi katswiri!

Pakukwaniritsidwa kwa kapamba, mankhwala amchikhalidwe amalimbikitsa kugwiritsa ntchito:

Madzi a mbatata. Amathandizanso kutulutsa m'mimba kapamba ndipo amathandizanso kupweteka. Kuti mukonzekere, muyenera kutenga mbatata za mbatata, kuzitsuka bwinobwino pansi pamadzi ndipo, osapendaponda, kudutsa juzi kapena kabati, kenako kufinya msuziyo chifukwa cha kuzimiririka. Imwani ayenera ½ chikho 3-4 pa tsiku musanadye.
Mbatata ndi msuzi wa karoti. Konzani mwanjira yomweyo ngati madzi a mbatata. Komabe, pankhaniyi, madzi a mbatata ndi kaloti amasakanikirana ndi chiŵerengero cha 1: 1. Imwani zakumwa za 1 kapu musanadye.
Msuzi wa oat. Pakukonzekera kwake, mbewu zosafunikira za oat zidzafunika. Ayenera kumwedwa kuchuluka kwa supuni 1, kutsanulira 1 chikho cha madzi otentha ndikuyika moto wochepa, kenako mphindi 30. Kenako msuzi uyenera kusefedwa ndikuledzera ofunda pamaso pa chakudya. Mankhwala oterewa ayenera kudyedwa musanadye.

Tiyenera kumvetsetsa kuti kapamba ndimatenda oopsa omwe amatha kutsogolera kukomoka kwa kapamba. Ndipo ngati imakulirakulira, ndiye kuti mankhwalawa amayenera kuchitika mokhazikitsidwa ndikuyang'aniridwa ndi madokotala. Kupatula apo, mutha kudzipangitsa kukhala ndi mavuto ambiri azaumoyo, omwe, mwatsoka, sangathe kuthana.

Kuukira kwa pachimake kapamba, mawonekedwe ake

Kusintha kwa kuukiridwa kwa chifuwa chachikulu cha kapamba kumakhala ndi magawo otsatirawa: kuwukira kwambiri, kutsutsidwa, kuwongolera (kuchira kapena kusinthika, kusinthika kwakumasintha).

Pazifukwa zofala wokhoza kuyambitsa kupezeka kwa vuto lachiwopsezo cha kapamba: mowa, chakudya chambiri, matenda a ndulu ndi zisa zake, kuvulala koopsa, opaleshoni, biopsy, khansa ya kapamba (khansa), cholesterol yapamwamba (hyperlipidemia)
Zomwe takumana nazo sizikupezeka: mankhwala, mtima matenda, autoimmune matenda, matenda (mavairasi, kachilombo ka HIV, mphutsi, ndi zina), chifuwa, kulumidwa ndi njoka, chibadwa cha makolo, pakati, matenda a ziwalo zoyandikana, komanso idiopathic pancreatitis (pomwe sizingayambike).

Zizindikiro za kupweteka kwa kapamba zimawonekera mwadzidzidzi:

kupweteka pachimake (pancreatic colic)
kutentha kukwera
kuchuluka kwa mtima komanso kupumira,
nseru komanso mwina kusanza
nthawi zina jaundice.

Kusokera mumayeso amalebhu akulembedwa. Pakuwunika kwa magazi, kuchuluka kwa leukocyte kulembedwa, ndikusintha kwa formula ya leukocyte kumanzere, kuchepa kwa ma lymphocyte, kuwonjezeka kwa ESR.

Kuzindikira kwa zotupa zolemba mu biochemistry yamagazi, kukula kwa mapuloteni a C-yogwira komanso fibrinogen, etc. Kuchulukitsa kwa michere ya pancreatic mu biochemistry yamagazi amadziwika: amylases, lipases, elastases, trypsin.

Zothandiza pakugwiritsa ntchito njira zamagetsi (MRI, CT, ultrasound).

Ndikofunikira kupatula matenda omwe ali ndi madandaulo ofanana, kuti musatenge zolakwika: chilonda cham'mimba ndi matumbo, kulowetsedwa kwam'mimba, cholecystitis ndi miyala ndi cholecystitis, kupasuka kwa aortic kukulira, aimpso ndi zina.

Kuphatikiza apo, Zizindikiro zina zimatha kuchitika, koma pafupipafupi: Zizindikiro za kutsekeka m'matumbo, bloating and flatulence (flatulence), kuchepa madzi m'thupi, zizindikiro za kugwedezeka, mtima kapena kulephera kwa impso.

Zizindikiro sizachilendo: kudzikundikira kwa madzi am'mimba (ascites), pleural (mapapu) ndi milingo yama pericardial (pericardial), kuchepa kwa calcium calcium, magawo a chiwonongeko ndi kuchepa, kupindika kwamkati kwamkati, kuwonongeka kwa ubongo, kuwonongeka kwa ubongo ndi khungu.

Khunyu ya pachimake kapamba amadziwika ndi zovuta: wofatsa, wofatsa, wowopsa. Izi ndizofunikira kuti mankhwalawa apitirire.

Pancreatitis pachimake digiri yofatsa akuwonetsedwa pazowoneka zochepa za zotupa zapachifuwa. Kulephera kugwira ntchito sikuvutikira pang'ono. Kapangidwe ka gland kamasintha kawirikawiri, ndi CT scan (computed tomography). Matenda a matendawa amatuluka pakatha masiku atatu. Zovuta sizinalembedwe. Imatha bwino ndikubwezeretsa kwathunthu ntchito. Digiri iyi imapezeka mu 50% ya odwala. Kugonjetsedwa kwa kapamba kumatha kubwerezedwa ngati zomwe sizinathe.
Pafupifupi 25% ya anthu amakhala ndi vuto kuopsa kozama. Nthawi zina zovuta (ma pseudocysts, kutupa ndi kukomoka kuzungulira nduluyo, kuphatikizika kwa pursefa). Mwinanso kukhudza ziwalo zina zomwe zili ndi vuto pogwira ntchito, matendawa amatha mpaka masiku awiri.
25% yotsala ya anthu amakula kugwidwa kwambiri kwa kapamba. Amadziwika ndi kuwonongeka kwakukulu kwa kapamba, ziwalo zozungulira. Kutulutsa magazi kwambiri, kulephera kupuma, kulephera kwa impso kumayamba. Moyo wowopsa. Mavutidwe amapezeka nthawi zambiri (cysts, pseudocysts a gland, necrosis ndi kutulutsa kwa gland, coagulation matenda, electrolyte kusalinganika). Kuukira kumeneku kumatenga masiku opitilira awiri.

Zoyenera kuchita ndi kuwukira kwa kapamba?

Chisamaliro chachikulu chimakhala pakuwunika momwe wodwalayo alili komanso kufunafuna thandizo kuchipatala. Osadyetsa, osamwa, perekani mtendere!

Madandaulo ena akuwonetsa kuti akuyamba kudwala khunyu yayikulu: kupweteka kwambiri, kawirikawiri, kokhala kupweteka, kusanza kowawa, kupsinjika kwa m'mimba.

Ndizotheka kudziwa zomwe zidayambitsa kuwonongeka (kumwa mowa, kudya kwambiri, zoopsa, cholelithiasis, ndi zina).

Gululi la anthu likuyenera kutumizidwa mwachangu kupita ku dipatimenti yopanga opaleshoni, ndikulimbikitsidwa pazinthu zotere, itanani ambulansi ya "03".

Dokotala wama ambulansi "03" amatha kuchepetsa kupweteka poyendetsa ma pinkillers, antispasmodics, komanso anti-yotupa mankhwala.

Dipatimenti yofunikira imatenga mayeso ofunikira mwachangu ndikuchita ma ultrasound scan, CT scan (m'mimba patsekeke). Kupitilira apo, malinga ndi zotsatira zake, adotolo amapanga lingaliro lazokhudza matendawa ndi chithandizo china. Mankhwala ena ayenera kuchitika kuchipatala.

Pa gawo loyambirira, amathandizira mankhwala osokoneza bongo, kuyambitsa opaleshoni kumachitika ndikukula kwa zovuta.

Kuukira kwa chifuwa chachikulu, zomwe zimapangitsa

Kusintha kwa kuukira kwa kapamba: kupangika, kuchuluka kwa kuchuluka, kutsimikiza (kuchotsedwa, mapangidwe azovuta).

Mosiyana ndi kuukira kwa chifuwa chachikulu cha pancreatitis, kuukira kwa chifuwa chachikulu kumasiyana. Kutalika kwa kapamba ka m'mbuyomu nthawi zambiri kumapitirira miyezi isanu ndi umodzi, ndikusinthana ndikusinthika kwakanthawi.

Kudandaula kofunikira pakadwala matenda a chifuwa chachikulu kumadziwika ululu. Zowawa zakumaso zimatha kusintha pakapita nthawi, kuchuluka kwa kuukiridwa, malo awo, kutengapo mbali kwa ziwalo zopezeka pafupi.

Ululu umatha kukhala kumbali yakumanja, kumanzere kapena pakati, ukhoza kutenga mawonekedwe a herpes ndi kutupa kwamatumbo a matumbo. Zowawa zimawonekera pakangotha kapena theka la ola mutatha kudya.

Kudya ndiko kuyambitsa kupweteka. Kafufuzidwe wazomwe akuwonetsa pamakhala zovuta, zizindikiro za chifuwa chachikulu.

Kupanda kukwana kwa ma pancreatic Enzymes kumafotokozedwa mwanjira zotsatirazi: kutsekula m'mimba kapena chimbudzi, zotupa, kuchuluka kwa ndowe, kusokonekera kwamimba, kusokonezeka kwam'mimba, kusowa chilimbikitso, mafuta ndowe, malovu, kugona, nseru, kusanza mobwerezabwereza.

Zodandaula ndizosiyanasiyana, osati zokhudzana ndi kapamba kokha, komanso zokhudzana ndi ziwalo zoyandikana. Chifukwa cha kuukira kwa kapamba, chitsulo chimatupa ndipo chimatha kuponderezana ziwalo zapafupi.

Mukufinya matumbo, kutsekeka kwamatumbo kumachitika. Jaundice amadziwika ndi kufinya matumba a ndulu, ndikutchinjiriza ndi mwala. Kuphatikizika kwa mitsempha ya hepatic ndi splenic kumabweretsa ma ascites, kuwonjezeka kwa kuchuluka kwa ndulu, ndi mitsempha ya varicose.

Zizindikiro za pancreatitis pachimake

Chofunikira chamkati mwa thupi la munthu ndi kapamba, amene amathandiza kugaya chakudya. Imachititsanso kuti mahomoni ambiri ndi ma enzymer ofunikira kuti chimbudzi chikhale. Kutupa mu kapamba kumayambitsa matenda ngati kapamba.

Pali mitundu iwiri ya matendawa:

M'njira zonsezi, kutupa kwa kapamba kumayendera limodzi ndi kupweteka kwambiri. Ngati palibe chithandizo choyenera ndipo wodwala akaphwanya chakudyacho, pali zotupa za zotupa za necrotic, chifukwa chake, munthu akhoza kufa.

Mwanjira yovuta kwambiri ya kapamba, zizindikiro zotsatirazi nthawi zambiri zimachitika:

kupweteka kwa hypochondrium kumanja,
lamba ululu kumbuyo
nseru ndi kugwedezeka
ukufalikira,
kusowa kwa chakudya
kupsinjika kumatsika
mutu
Zizindikiro za tachycardia zimawonedwa.

Komanso, ululuwo ungafooketse pang'ono ngati wodwalayo atakhala pansi ndikupunthira mawondo ake. Ngakhale kuukiridwa kwadutsa, muyenera kufunsa thandizo kuchokera kwa dokotala kuti mupewe zovuta.

Nthawi zambiri pamabuka mafunso omwe ndi akatswiri omwe amafunsidwa kuti azindikire zizindikiro za kupweteka kwa kapamba. Ngati zizindikirozi zikuchitika, muyenera kulumikizana ndi othandizira omwe, ataphunzira za momwe wodwalayo alili, apereka kwa a gastroenterologist. Amachita kafukufuku ndikuwapatsa chithandizo chamankhwala omwe amamwa komanso kutsatira kwambiri zakudya. Ngati ndi kotheka, mudzafunika kuonana ndi dokotala komanso akatswiri ena.

Kodi chithandizo chofunikira ndi chiyani?

Pambuyo poti kuukira kwatha, simungadye chakudya, izi zimatha kuyambiranso. Komabe, simuyenera kumangokhala ndi kumwa. Akatswiri amalimbikitsa kumwa madzi owiritsa kapena tiyi wokometsera.

Momwe mungachepetsere kupweteka kwambiri ndi kapamba, odwala ambiri ali ndi chidwi. Wodwala akagonekedwa m'chipatala, opaleshoni amaikidwa.

Ku chipatala, amatsuka thupi, kuyika ma dontho ofunikira, kupereka mankhwala omwe amathandizira kubwezeretsa kapamba komanso kuchepetsa kutupa. Komanso, ngati ndi kotheka, mankhwala othandizira, ma pancreatic enzyme inhibitors, kulowetsedwa kwa mapuloteni ndi mchere kumachitika.

Ngati palibe chithandizo choyenera, ndiye kuti kuukira kwatsiku ndi tsiku kumatha kubweretsa chiwonongeko cha chiwalo ndi kufa. Chifukwa chake, ngakhale ngati kunali kotheka kuchotsa ululu wammbuyo, muyenera kulumikizana ndi kuchipatala kuti mudziwe zomwe zimayambitsa.

Kupewa pambuyo potiukira

Mu chifuwa chachikulu cha khunyu, kukomoka kumatha kuchuluka, motero ndikofunikira kudziwa momwe mungachepetsere kutupa kwa kapamba kunyumba. Mankhwala omwe ayenera kumwedwa nthawi zina amatha kutenga dokotala, ndikuwapatsanso mankhwala. Thandizo loyambirira la pancreatitis kunyumba lithandiza kupewa zovuta ndipo lingapulumutse moyo wa munthu.

Zoyenera kuchita ndi kapamba kunyumba, ngati kuchulukitsa kumawonekera nthawi zonse. Ndikofunika kumwa mankhwala onse omwe dokotala mwalandira ndi kutsatira zakudya zapadera. Kupatula apo, kupweteka ndi kapamba nthawi zambiri kumachitika chifukwa chophwanya malamulo a zakudya. Mwakutero, kudya zokometsera, mafuta ambiri kapena chakudya chokoma kwambiri. Zotsatira zake, kutuluka kwa msuzi wa pancreatic kumasokonekera, kapangidwe kake kamasintha, ndipo munthuyo amawonetsa zizindikiro monga mseru komanso kusanza. Kutsatira zakudya kumayiwala za kuchuluka kwa matendawa.

Zochizira

Matenda a kapamba amatha kukhala asymptomatic, koma odwala ambiri amakumanabe ndi mseru komanso kusamva bwino. Ndizotheka kudziwa kuti kufutukukaku kwayamba ndi kuwonongeka kwakuthwa mu mkhalidwe. Wodwalayo amamva kupweteka m'matumbo am'mimba, nthawi zina amakhala olimba kwambiri kotero kuti mpumulo umabwera pokhapokha mawondo akaponderezedwa pamimba. Kuphatikiza apo, kunyansidwa kumakulirakulira, nthawi zina kumatha ndi kusanza, kusokonekera kwa tulo komanso kusokonekera.

Nthawi zambiri, chithandizo cha kuchuluka kwa kapamba amatha kuchitika kunyumba. Odwala 20% okha ndi omwe amafuna kuchipatala komanso chisamaliro chamankhwala. Koma ndikulimbikitsidwa kuyitanitsa dokotala. Kupatula apo, ndi akatswiri okhawo omwe amatha kusiyanitsa kutulutsa kofala kwambiri pazovuta zina zazikulu. Posachedwa, muyenera kuwona dokotala wokhala ndi kuwonjezeka kwa kutentha, kutsika kwa kupanikizika, kupweteka kwambiri komwe sikudutsa pakumwa antispasmodics.

Kupatula apo, Zizindikiro zoterezi zimatha kuyenda limodzi ndi kufalikira kwamatenda a kapamba kapena zimawonetsa zovuta zina. Kupatula apo, ngakhale matendawa alibe ululu, kapamba amawonongeka. Ndi matenda akale, kuwonongeka kwa maselo a ziwalo kumatha kupitilirabe. Izi zimatha kubweretsa zotsatirapo monga necrosis, kutupa kwamadzimadzi, kuoneka ngati chotupa, kufalikira kwa ma ndulu a chithokomiro. Zinthu zonsezi zimafuna chisamaliro chamankhwala. ndikosavomerezeka kuthandizidwa kunyumba.

Koma kuchuluka kwachilengedwe kofatsa kapena kosakhazikika kwenikweni kumatha kuchotsedwa palokha. Nthawi zambiri kuukira kumatha milungu iwiri, koma ngati patatha masiku 3-5 wodwalayo samva mpumulo, muyenera kufunsa dokotala.

Njira zopitilira chithandizo

Palibe chithandizo chamankhwala pancreatitis ponseponse. Kupatula apo, matenda aliwonse amatuluka mosiyanasiyana. Koma njira zilizonse ziyenera kukhala ndi cholinga chothetseratu kupweteka komanso kubwezeretsa magwiridwe antchito a kapamba.
Pachifukwa ichi, chithandizo chovuta kwambiri chimagwiritsidwa ntchito. Kuphatikiza pa mankhwala apadera omwe adapangidwa ndi dokotala, muyenera kudya zakudya zapadera. Kuphatikiza apo, mutha kugwiritsa ntchito njira za anthu, kuchita masewera olimbitsa thupi, kutikita minofu, kuchita masewera olimbitsa thupi.

Mankhwala

Kuchiza kwa matenda a kapamba kunyumba sikokwanira popanda mankhwala. Poyamba, ma antispasmodics kapena ma analgesics okha ndiwo amatengedwa. Amathandizira kuthetsa ululu. Kuphatikiza apo, m'masiku oyambilira, adokotala angalimbikitse kumwa mankhwala omwe amatchinga ma pancreatic enzyme. Pazomwezi, Trasilol, Octreotide, Contrical amalembedwa, komanso H2 histamine receptor blockers - Famotidine, Ranitidine. Omeprazole ndi ma proton pump zoletsa ena nawonso amagwira ntchito.

Wodwala akayamba kudya chakudya, amafunika kukonzekera. Zimafunikira kuti musalemerere kapamba ndi kukonza chimbudzi. Pancreatinum, Festal, Penzistal, Mezim amatha kusankhidwa. Koma omwe amagwiritsidwa ntchito nthawi zambiri ndi Creon, Hermitage, Panzinorm kapena Digestal. Amawerengedwa kuti ndi othandiza kwambiri.

Mankhwala otsala amagwiritsidwa ntchito kutengera umunthu wa mapangidwe a kapamba. Ndi acidity yowonjezereka, ma antacid adayikidwa - Maalox, Fosfalugel, Almagel. Ndi bloating kapena nausea - prokinetics: Motilium, Tserukal, Domperidon. Enterosgel, Hilak Forte, Polysorb, Lopedium amagwiritsidwa ntchito polimbitsa chopondapo ndi kusiya kutsegula m'mimba.

Zakudya zopatsa mphamvu za kuchuluka kwa kapamba ndi njira yofunika kwambiri yamankhwala. Palibe mankhwala omwe angathandizire kudwala ngati wodwala satsata zakudya. Nthawi zambiri amalimbikitsidwa m'masiku oyamba atatu a kukokomeza kuti musiye chakudya chilichonse. Ngati wodwalayo akumva kupumula, tsiku lachitatu, mutha kuyatsa pang'ono pang'onopang'ono mbale zosalira. Poyamba anali odzola, phala la mucous, msuzi wamasamba wosenda. Ngati zizindikiro zosasangalatsa sizibwerera, tsiku lotsatira zakudya zimatha kusiyanasiyana.

Steam omelet, nyama souffle, mbatata yosenda amaloledwa. Zinthu zamkaka wowawasa, tchizi chamafuta ochepa, maapulo ophika, nyama zodulira kuchokera ku nyama yochepa mafuta zimapangidwa pang'onopang'ono. Pakatha pafupifupi sabata, ngati palibe kuwonongeka, zakudya zimakulanso. Amagwiritsa ntchito masamba ophika ndi zipatso, chimanga, msuzi, pasitala. Mutha kudya nyama yam'madzi, nyama yopendekera ndi nsomba zamafuta ochepa, mafuta a masamba, zinthu zamkaka, buledi wopanda kapena dzulo.

Ndikulimbikitsidwa kugwiritsa ntchito madzi amchere. Ndibwino ngati dokotala atasankha, chifukwa ali ndi mitundu yambiri ya mineralization ndipo zingayambitse kuwonongeka. Nthawi zambiri ndi kapamba, amalimbikitsa kumwa Borjomi, Narzan, Smirnovskaya. Kuchokera pamenepo muyenera kumasula mpweya, kutentha kutentha kwa chipinda ndikumwa 150-200 ml theka la ola mutatha kudya.

Mowa, zakumwa zoziziritsa kukhosi, khofi, cocoa sizimaphatikizidwa kwathunthu kuchokera kuzakudya za wodwala ndi kapamba. Simungathe kudya nyama yamafuta, nyama zosuta, nyama yoyambirira. Chakudya sichiyenera kukazinga, chokha chophika kapena chophika. Ndikofunikira kukana muffin, makeke, ayisikilimu, chokoleti. Nyemba, bowa, radishi, anyezi, adyo ndi masamba ena omwe amakhala ndi CHIKWANGWANI coarse ndizovulaza kapamba.

Njira za anthu

Gwiritsani ntchito njira zina pokhapokha mukaonana ndi dokotala. Ndikulimbikitsidwa kuti mugwiritse ntchito ngati zizindikiro za kutupa kwambiri zimachepa pang'ono ndipo ululu utachepa. Zowonadi, nthawi ino ndizovomerezeka kumwa madzi okha. Pofika madzulo a tsiku lachiwiri la kuukira, ngati pali kusintha, kulandira kwa rosehip decoction kumaloledwa. Ndipo patatha masiku ochepa, pomwe wodwalayo pang'onopang'ono amadya zakudya zake, mankhwala ena wowerengeka amaphatikizidwa. Chofunikira kwambiri ndikuti akhale njira yothandizira pakanathandizika, panthawi yowonjezera, simungakane kumwa mankhwala ndi zakudya.

Nthawi zambiri tikulimbikitsidwa kugwiritsa ntchito decoction wa oats chifukwa chowonjezera kapamba. Imakhala ndi enveloping, analgesic komanso anti-kutupa katundu, imakonza chimbudzi ndi matumbo. Kuti akonze mankhwalawa, mbewu za oats zimafunikira kuti ziwiritse, kenako kuphika kwa nthawi yayitali. Chifukwa chake, odwala ambiri amagwiritsa ntchito oatmeal. Imathiridwa ndimadzi ndikuwiritsa kwa mphindi zingapo. Mafuta omwe amayambira amayenera kutsitsidwa ndipo mutha kumwa kapu musanadye.

Imathandizanso wodwalayo kuti azimuthanso. Nthawi iliyonse yomwe muyenera kuphika gawo latsopano. Nthawi zambiri okwanira mbatata 2-3 zazing'ono. Amadutsa mu juicer kapena wosweka ndikufinya msuzi pamanja. Muyenera kumwa theka la ola musanadye kangapo patsiku.