Pancreatitis mwa amayi apakati: Zizindikiro ndi chithandizo, ndizotheka kubereka?

Pa nthawi yomwe mayi ali ndi pakati, thupi la mayi limasintha, zomwe zimapangitsa kuti matenda abwere kwambiri. Izi zimaphatikizira kapamba pamimba. Muzojambula zambiri, iyi ndi njira yotupa, komabe, nthawi zina imachitika koyamba.

Pancreatitis ndi njira yotupa ya kapamba yomwe imayambitsa zovuta zazikulu mu trimester yoyamba, koma sizikhudza kukula kwa fetal pambuyo pa masabata 16.

Mawonekedwe ali pachimake, amadziwika ndi njira yachangu komanso yachangu komanso yovuta, yotsatiridwa ndi njira yaulesi. Mankhwalawa amatenga kulimbikira, amafunika kugwiritsa ntchito mankhwala osokoneza bongo, kudya mwamphamvu.

Talingalirani zomwe zimayambitsa kukula kwa prostatitis, ndipo mayi woyembekezera akukumana ndi mavuto ati? Kodi chithandizo chimachitika bwanji?

Pancreatitis ndi pakati

Nthawi zambiri mu trimester yoyamba ya gestation, chifuwa chachikulu chimayamba. Chovuta chachikulu ndikuti nkobvuta kukhazikitsa kuzindikira koyenera. Amayi ambiri amadandaula kuti kapamba amapweteka kwambiri panthawi yoyembekezera, chimbudzi chimasokonekera, ndipo matenda amkati amawonekera.

Nthawi zambiri, zizindikiro zoyambira za pathological process zimasokonezeka ndi toxicosis - kusowa kwa chilimbikitso, kusanza, kusanza, kusapeza pamimba. Malinga ndi ICD code 10, matendawa ndi acute, subacute, aakulu, ndi mitundu ina.

Matenda osachiritsika amatchulidwa m'magulu awa:

Dyspeptic.
Zowawa.
Asymptomatic.

Pa nthawi yomwe mayi ali ndi pakati, mitundu iliyonse imatha kukhazikika, nthawi zambiri imakhala yophatikizidwa, mwachitsanzo, pali zizindikiro za mitundu yopweteka komanso ya dyspeptic.

Zomwe zimakhudza mkhalidwe wa kapamba zimaphatikizapo zizolowezi zoyipa za kudya, matenda ena oopsa (cholecystitis, matenda a zilonda zam'mimba), chibadwa cham'mimbamo, komanso matenda a shuga. Panthawi yapakati, kapamba amapsinjika kwambiri chifukwa cha kusintha kwa mahomoni m'thupi, kusintha kwa zakudya.

Ndi dyspeptic pancreatitis, chimbudzi chimasokonekera, kutuluka kwa magazi, kutsekula m'mimba kokhala ndi zotupa, ndipo kulemera kwa thupi kumachepa. Nthawi zambiri amalowa ndi dysbiosis chifukwa cha kuchuluka kwa microflora ya pathogenic. Zambiri za mawonekedwe a ululu:

Ululu wamphamvu pamimba yapamwamba.
Zowawa zazing'ono zomwe zimayang'ana kumbuyo.

Fomu ya asymptomatic ndi asymptomatic, kotero ndizovuta kwambiri kuzindikira munthawi yake. Ngati pali zizindikiro zosokoneza, muyenera kufunsa dokotala. Chachikulu ndikuyambitsa chithandizo chanthawi yake, chomwe chidzachotse mavuto posachedwa.

Kugwidwa koopsa mukanyamula mwana si zachilendo. Komabe, zimadzetsa chiwopsezo kukula kwa khanda m'mimba. Kusiyanitsa kwakukulu kwa mitunduyi ndikutukuka kwachangu. Chizindikiro choyamba ndi kupweteka m'dera la nthiti yakumanzere.

Matendawa amatha kuchuluka chifukwa cha zifukwa zosiyanasiyana. Mwachitsanzo, zolakwika mumenyu, poyizoni, sayanjana ndi chakudya. Chithunzi chonse cha matenda omwe amatenga mphamvu matendawa sichimveka bwino, popeza zomwezi ndi zofanana ndi matenda ena. Komabe, ngati mukumva zowawa, chisankho chokha choyenera ndikuyendera dokotala.

Ululu pamimba, kufikira kumbuyo.
Kuwonjezeka kwa kutentha kwa thupi.
Chembetsani zizindikiro zam'mbuyo.
Kufalikira.
Kusanza, kubwereza kusanza kosalekeza.
Lethargy, malaise wamba.

Kuti muzindikire momwe ziliri, muyenera kupatsa chidwi mkodzo ndi magazi.

Ngati pali kuchuluka kwa amylase, enzyme ya kapamba, yomwe imayambitsa kuphwanya kwa chakudya chamagulu ndi kuwonjezereka kwa diastasis, ndiye kuti pancreatitis yovuta imapezeka.

Zomwe zimapangitsa izi

Kodi chifuwa chachikulu cha pancreatitis ndi chiyani? Ndi boma kumamveka yotupa yomwe ikupanga kapamba. Itha kuchitika chifukwa cha zinthu zosiyanasiyana:

Zakudya zopanda pake - ngati mumakonda zakudya zamafuta, zosaphika komanso zosuta, zonsezi ndizowonjezera mphamvu kapamba (Kafukufuku wathu amafotokozera momwe angadye bwino: Zinsinsi za zakudya zoyenera kwa mayi woyembekezera >>>),
Matenda ena a ziwalo zogaya chakudya - gastritis, zilonda, cholecystitis,
mowa ndi chikonga zimawononga kwambiri mkhalidwe wa kapamba,
cholowa cham'tsogolo - ngati abale anu am'magazi anali ndi matenda apamba,
Nthawi zina pamakhala pancreatitis yopatsirana - chifukwa cha ma virus kapena ma bacteria.
shuga mellitus - njira yayitali ya matendawa imadzetsa kutupa kwa gland.

Pakakhala kuti muli ndi pakati, kapamba amapanikizika kwambiri. Ichi ndi chifukwa cha kusintha kwa mahomoni m'thupi, kusintha kwa zakudya, kuchuluka kwa chiwindi. Zimawonjezera kukondoweza kwa kapamba ndi kufinya pakhungu ndi chiberekero chokula, ndikusunthira mbali, zolimba ziwalo zina.

Pancreatitis mwa amayi apakati amatha kuchitika koyamba, ndipo pakhoza kukhala kuchuluka kwa kapamba panthawi yapakati.

Dinani kuti Mukhale ndi Maphunziro a Video 3 pa Kukhala ndi Moyo Wathanzi Ndi Kubadwa

Zizindikiro za kapamba mu amayi apakati

Kodi mungadziwe bwanji kuti muli ndi kapamba? Zizindikiro za chikhalidwe ichi sizosiyana ndi zizindikiro za kapamba kwa anthu osakhala oyembekezera.

Choyamba, mseru umachitika, womwe mwina sutha kuzindikira. Zoonadi, panthawi yoyembekezera izi zimachitika kawirikawiri (werengani nkhani ya Nusea panthawi yapakati >>>). Koma nseru sizimaleka ndipo itha kusintha kusanza. Ichi ndi chizindikiro chachilendo kale chomwe chitha kuwonetsa matenda omwe alipo (pezani zambiri kuchokera m'nkhaniyi Vomiting panthawi yapakati >>>),
Nthawi zina, matenthedwe anu amatha kukwera - pang'ono, mpaka 37.5 * C,
Kenako mutha kumva kuwawa m'mimba ndi kumanzere pansi pa nthiti. Kukula kwake pang'onopang'ono, kumatha kusanduka kupweteka komanso kumva kuwawa. Nthawi zambiri ululu umakhala lamba - kutanthauza kuti umapweteka kumbuyo ndi kumbuyo. Izi zikutanthauza kuti muli ndi matenda opweteka,
More dyspeptic variant of pancreatitis. Pankhaniyi, muli ndi vuto la tulo - imakhala yofupika komanso ya mushy, nthawi zina ngakhale imasungunuka (werengani nkhani yapano ya Kutsegula m'mimba nthawi yapakati >>>) Tinthu tambiri timene timakhala topepuka komanso yosalala - izi zimachitika chifukwa cha mafuta osaneneka. Nthawi yomweyo, kutuwa ndi kubuma kwamimba kumawonekera,
Nthawi zina mutha kuwona njira ya asymptomatic ya matendawa. Zachidziwikire, zizindikirizo sizipezeka kwathunthu, koma mutha kunena kuti zalakwitsa pakudya, kapena toxicosis.

Mwambiri, kukhala bwino kwanu kumavutika kwambiri. Mwachilengedwe, kusowa chakudya kumasokonekera. Izi zimakhudza mwana wosabadwayo, chifukwa samalandira michere yoyenera. Zoyenera kuchita ndi kapamba pamimba? Tsatirani njira zofunika kuti muchepetse kutupa kwa kapamba.

Ndingathandize bwanji?

Ngati muli ndi pancreatitis koyamba panthawi yomwe muli ndi pakati komanso imasokoneza thanzi lanu, pali ululu wosaneneka, kusanza kwambiri komanso kusanza, muyenera kufunsa chithandizo chamankhwala. Mankhwala othandizira angafunike.

Ngati mwakumana kale ndi matendawa kale, ndipo tsopano sizimayambitsa zovuta, mutha kutenga njira zoyenera kuchitira pancreatitis pa nthawi yapakati.

Zochita zoyambirira zomwe mungachite ndikudya zakudya zoyenera. Mwachilengedwe, kubereka kumatanthawuza chakudya chokwanira komanso chokwanira (izi zikufotokozedwa mwatsatanetsatane munkhani ya Zakudya Zoyimbitsa thupi panthawi yapakati >>>). Komabe, kapamba ndimatenda am'mimba, zomwe zikutanthauza kuti thanzi liyenera kusinthidwa moyenerera.

Kodi mungadye chiyani ndi kuchulukitsa kwa kapamba?

Msuzi wa nkhuku, nsomba sopo, nyama yophika mafuta ochepa. Ndikofunika kuphika mbale zothira kapena kuwira. Ndikulimbikitsidwanso kudya zakudya zotsukidwa - makamaka m'masiku oyamba a matendawa,
Zinthu zamkaka zimatha kudyedwa pang'ono. Chakudya chabwino kwambiri ndicho tchizi chokhala ndi mafuta ochepa komanso kefir,
Zipatso ndi ndiwo zamasamba ndizochepa mu fiber. Zothandiza zimakhala nthochi, zipatso zouma, zipatso,
Mpunga ndi buckwheat phala, bwino pamadzi. Chothandiza kwambiri kwa kapamba ndi oatmeal,
Muyenera kugwiritsa ntchito maswiti achilengedwe pang'ono,
Ndikofunika kugwiritsa ntchito madzi amchere - Borjomi, Essentuki. Musanamwe madzi awa, muyenera kumasula thovu lonse la mpweya.

Zakudya zoterezi zimapangidwa kuti zikule kwambiri zotulutsa kapamba. Izi zimakuthandizani kuti muchepetse kutupa.

Kodi muyenera kupatula chiyani pakudya, osakhalitsa?

Zakudya zamafuta ndi nsomba, zakudya zamafuta ndi mafuta okazinga, zosuta komanso zakudya zamchere,
Chokoleti, makeke amchere ndi makeke,
Maapulo, mapeyala, mbatata,
Mazira a nkhuku mwa mtundu uliwonse.

Muyenera kudya pang'onopang'ono - izi zikutanthauza kuti muyenera kudya chakudya nthawi 5-6 patsiku, m'magawo ang'onoang'ono. Zimathandizanso kuchepetsa katundu pa kapamba.

Tsoka ilo, kapamba payekha sangathe kupewedwa. Muyenera kumwa mankhwala ena omwe angabwezeretse ntchito m'mimba. Mimba imachepetsa mndandanda wa mankhwalawa.

Othandizira enezymatic. Izi zikuphatikizapo Mezim, Festal, Creon. Ndi njira yowachotsera mankhwala - kapamba wanu sangathe kupanga michere yokwanira. Izi zimabweretsa chimbudzi, chifukwa chake, mwana wosabadwayo samalandira michere yoyenera. Muyenera kudya nawo musanadye,
Kukonzekera kwamantchito. Pakati pawo, Almagel ndi Gaviscon amaloledwa kwa amayi apakati. Kugwiritsa ntchito ndikofunikira kuti muchepetse acidity ya madzi am'mimba, omwe angakwiyitse kapamba. Apezeni theka la ola musanadye,
Njira zowongolera peristalsis. Amayi oyembekezera amaloledwa kutenga Trimedat. Kugwiritsidwa ntchito kwake kulepheretsa kukonzanso kwa madzi mu chakudya cham'mimba kuti mutulutse kapamba,
Cholagogue akuwonetsedwa kuti mukuthandizira kutuluka kwa ndulu ndikubwezeretsa chimbudzi. Izi zikuphatikiza Allohol ndi Holosas,
Ndikumva kupweteka kwambiri, mutha kugwiritsa ntchito mankhwala a antispasmodic - No-shpa, Spazmalgon. Komabe, sayenera kuzunzidwa, chifukwa zimatha kukhudza kamvekedwe ka chiberekero.
Kuti mubwezeretse chopondapo choyenera muyenera kukonzekera ndi ma protein - Linex (nkhani yapano pamutuwu: Linex pa nthawi ya bere >>>), Maxilak, Normobakt, Baxet.

Njira ya mankhwalawa imayenera kukhala osachepera sabata ndipo iyenera kufotokozedwa ndi dokotala.

Pancreatitis pa mimba - momwe mungagwiritsire ntchito kuchokera ku wowerengeka azitsamba? Tsoka ilo, maphikidwe a wowerengeka akhoza kukhala osathandiza pancreatitis. Kuopsa kwa zotsatira zoyipa kuchokera kugwiritsidwa ntchito kwawo kungadutse kwambiri phindu. Chifukwa chake, mankhwala achikhalidwe samalimbikitsidwa pa mankhwalawa pancreatitis pa nthawi yapakati.

Chokhacho chomwe chitha kulangizidwa ndi kumwa kwa manyumwa kapena chida cha rose. Zimathandizira kutulutsa bwino kwa bile, komwe kumathandiza kukonza chimbudzi.

Kupezeka kwa kapamba nthawi zonse kumakhala kosasangalatsa. Makamaka ngati muli ndi pakati. Komabe, munthu sayenera kuchita mantha, chifukwa nthendayi imachiritsidwa mosavuta. Chachikulu ndikuyiyambitsa pa nthawi ndikugwiritsa ntchito mankhwala ovomerezeka okha.

Ndi mayeso ati omwe amachitika nthawi ya pakati?
Kupsinjika pakamwa pa nthawi yapakati
Kuchepetsa urinalosis pa nthawi yapakati

1 trimester
2 trimester
3 trimester

Pezani kanema "Njira Zitatu Zoyembekezera Kukhala Ndi Moyo Wathanzi Ndi Kubadwa Mwatsopano" pompano

Lowetsani imelo yanu ndikudina batani "LANDIRANI"

Zimayambitsa kapamba

Zosiyanasiyana zimayambitsa kutupa kwa kapamba, omwe makamaka amakhala mu zakudya zosokoneza. Ndikosavuta kupewa matendawa kwa okonda zakudya yokazinga, nyama zosuta, ngakhalenso ndi zonunkhira zotentha.

Makina owononga makamaka achitsulo amakhala ndi zakumwa zoledzeretsa komanso kusuta. Matendawa omwe amachiritsa gastitis komanso zilonda zam'mimba zimatha kupangitsanso kupezeka kwa kapamba.

Kutupa kwa ndulu pamodzi ndi kapamba - cholecystopancreatitis - kuphatikiza kosasangalatsa panthawi yapakati. Matenda osiyanasiyana opatsirana omwe amachokera ku ma virus ndi bakiteriya amathandizira kuti matendawa ayambe. Kubadwa mwatsopano komanso matenda obwera chifukwa cha matenda ashuga nthawi yayitali kumatha kuyambitsanso kapamba. Kunenepa kwambiri kumaperekanso vuto losasangalatsa.

Mitundu ya kapamba

Pali mitundu iwiri yayikulu ya kapamba, pachimake komanso matenda.

Kusiyana kwawo kwakukulu ndi chiani? Mwa mawonekedwe owopsa, maselo a glandular a chiwalo amasungunuka, komanso mothandizidwa ndi ma enzymes omwe kapamba payokha amapanga.

Mu nthawi yayitali, kutupa kumapitirirabe mpaka kukula kapena pang'ono, ngakhale atayambitsa matendawa. Zotsatira zake, ntchito ya gland imasokonezeka chifukwa cha kutchulidwa komwe kwasinthidwa.

Pachimake kapamba

Pancreatitis pachimake pa nthawi ya pakati sichimawonetsedwa, koma kuchokera pamenepa sichikhala chowopsa, ndikuwopseza zovuta zingapo, mpaka kuthetsa pakati. Ndi matenda amtunduwu, ndikofunikira kudziwa zizindikiro zoyambirira za mawonekedwe ake, popeza njirayi ikukula mwachangu.

Zizindikiro za kapamba mu amayi apakati:

Ululu mu epigastric dera, kufalikira mofulumira mu onse hypochondria ndi kutsikira mmbuyo.
Hyperthermia yomwe ikukula mwachangu, momwe kutentha kumafika madigiri 38–39.
Hypotension (dontho mu kuthamanga kwa magazi).
Kufalikira, chisangalalo.
Kuchepetsa mphumu limodzi ndi profuse kusanza.
Zonsezi pamwambapa zimabweretsa kufooka kwambiri.

Matenda a kapamba komanso kutenga pakati

Matenda kapamba kumabweretsa:

Kuwerengera cholecystitis.
Mowa
Matenda am'mimba ndi duodenum.
Matenda oopsa chifukwa cha atherosulinosis.
Kusintha kwa chilonda cha mmatumbo kumaso.
Chifuwa chachikulu, mitundu yonse ya hepatitis.
Matenda a ziwalo za endocrine.

Zizindikiro zamatenda za matendawa zimawonetsedwa ndi kuchepa thupi kwa odwala, kutupa kwa mucosa wamlomo chifukwa cha kuchepa kwa vitamini. Kuteteza khungu. Zowawa panthawi yowonjezera zimafanana ndi momwe mawonekedwe amtundu amayambira matenda, kukakamiza wodwalayo kuti azigona pakama zomwe zimapangitsa kuti vutoli lisinthe - kukanikiza miyendo ndikugwada mpaka m'mimba ndi mawondo.

Kudya kwa amayi apakati omwe ali ndi matenda kapamba

Mawonetsedwe amomwe amakhulupilira awa mwa amayi omwe ali ndiudindo siosiyana kwambiri ndi omwe sanakhale m'gululi. Chizindikiro choyamba cha kusokonekera kwa pancreatic nthawi zambiri chimakhala mseru, omwe amayi ambiri oyembekezera saona ngati vuto lalikulu. Mtsogolomo, kusanza kwambiri kungatseguke, zomwe kale ndi chifukwa chachikulu chodetsa nkhawa.

Kumverera kolemetsa pamimba mu hypochondrium yamanzere kumatha kudziwika. Izi zitha kusintha kukhala kupweteka kapena kukoka ululu. Zizindikiro ndi vuto la dyspeptic.Ndi pancreatitis mu amayi nthawi yapakati, pali kumverera kwa thukuta ndi flatulence.

Kuphatikiza apo, zidutswa za chakudya chosazolowereka zimapezeka mu ndowe. Kulephera kwapancreas nthawi zambiri kumakhala zifukwa zoyambitsa magazi. Nthawi zina, amatha kupangitsa kuti pakhale kusagwirizana konse ndipo amatha kupangitsa kuti matenda oyamba ndi nyini apezeke.

M'madera ovuta kwambiri, poyerekeza ndi kuwonjezeka kwa kapamba azimayi nthawi yapakati, pali kuwonjezeka kwa kuthamanga kwa magazi, kupweteka komanso ngakhale chizungulire. Chithunzi chosasangalatsa choterechi chitha kuphatikizidwa ndi kusowa kwa ululu.

Ngati pancreatitis ikupezeka mu mawonekedwe owopsa panthawi yapakati, zizindikiro zimatha kuwonjezeka kwambiri. Ngati simukumvetsetsa munthawi yake zoyenera kuchita ndikusokonekera kwa ntchito ya chiwalo monga kapamba, pali chiopsezo chachikulu cha kubadwa isanakwane, pathupi komanso ngakhale kufa kwa mayi wamtsogolo.

Mawonekedwe osaneneka a matendawa amawonetsedwa ndi kuchulukana mu trimester yoyamba. Ngati kapamba amapweteka kwambiri panthawi yoyembekezera, mayi ayenera kufunsa dokotala posachedwa. Ndikofunika kwambiri kuzindikira nthawi yake pancreatitis panthawi yomwe muli ndi pakati, pogwiritsa ntchito njira zomwe sizingavulaze mwana wosabadwayo.

mulingo wa michere mkodzo
Zizindikiro za hemoglobin,
wama protein onse
kuwunikira
Ultrasound

Njira zofufuzira zothandiza, mwachitsanzo, CT kapena radiology pa nthawi yomwe ali ndi pakati, sizingagwiritsidwe ntchito, chifukwa zingasokoneze mapangidwe a mwana wosabadwayo. Kutengera ndi zomwe zapezeka pakusanthula, chithandizo chokwanira cha matenda amtunduwu ndi chomwe chimaperekedwa, chomwe chimakhala chotetezeka kwa onse mayi ndi mwana wosabadwa.

Kuti muchepetse mawonetsedwe onse a matendawa, ndikofunikira kutsatira zakudya zapadera. Patatha tsiku limodzi zisanayambike zovuta, kusala kudya kungalimbikitsidwe. Mtsogolomo, zakudya zopukusa zokhala ndi mavitamini ambiri athanzi, michere ndi mapuloteni, komanso ochepa - mafuta ndi michere ayenera kuyambitsidwa muzakudya. Mukamalemba menyu patsiku kapena sabata, mutha kuphatikiza zakudya ndi zakudya monga:

nkhuku ndi nsomba,
nyama yophika mafuta ochepa
zopangidwa mkaka
masamba ophika
kuchuluka kwa zipatso.

Zakudya zoterezi zimachepetsa katundu pa kapamba ndi kubwezeretsa njira yachilengedwe yokugaya. Kuchokera muzakudya kwa nthawi yonse yovuta kwambiri ya kapamba, ndikofunikira kupatula mitundu yamafuta am'madzi ndi nyama, nyama yofuka ndi marinade, komanso chakudya chofulumira komanso zakudya zosavuta.

Chocolates, makeke ndi makeke, mazira, mapeyala ndi mbatata siziyenera kuperekedwa kuchakudya, ngati kuli kotheka, kapena zochepa. Kuphatikiza apo, pali malamulo angapo okhudzana ndi kugwiritsa ntchito chakudya, pomwe kapamba sangadzadzaze kwambiri.

Ndikwabwino ngati chithandizo cha pancreatitis pa nthawi ya pakati chikuchitika mothandizidwa ndi zakudya zopatsa thanzi, koma sizotheka nthawi zonse kukwaniritsa kufunika kosafunikira popanda mankhwala apadera. Zikondazo zikavutikira chifukwa cha kutupa, zizindikiritso ndi chithandizo chake zimalumikizana. Nthawi zambiri, pakachitika zinthu zotere, chithandizo chimachitika pogwiritsa ntchito mankhwala monga:

michere
maantacid
choleretic
mankhwala kusintha peristalsis.

Pa ululu waukulu, mankhwala a antispasmodic, mwachitsanzo, No-shpu, Spazmalgon, etc. angagwiritsidwe ntchito. Mankhwalawa amayenera kugwiritsidwa ntchito pokhapokha Mlingo wochepetsetsa kuti asawononge mphamvu ya kamvekedwe ka uterine.

Nthawi zina, kukula kwa zinthu zoopsa monga chithupsa kapena phlegmon kungapangitse opaleshoni. Ngati matendawa adayamba sabata la 35 lisanathe, kuchotsa pakati kungakhale koyenera.

Pancreatitis panthawi yoyembekezera ndiwowopsa chifukwa cha zovuta zomwe zingayambitse kubadwa msanga kapena kusokonekera kwadzidzidzi kumayambiriro koyambira.

Mayi wamtsogolo, wokonzedweratu ku matendawa, ayenera kuyang'anitsitsa thanzi lake ngakhale pa nthawi yomwe akukonzekera kubereka.

Ntchito ya dotolo pakuwongolera amayi apakati omwe ali ndi vuto la pancreatic ndikuwonetsetsa kuti matendawa ali munthawi yake komanso kupewa kutalikirana kwake, zomwe zingayambitse zotsatira zosayenerera.

Pancreatitis panthawi yoyembekezera ndiwowopsa chifukwa cha zovuta zomwe zingayambitse kubadwa msanga kapena kusokonekera kwadzidzidzi kumayambiriro koyambira.

Kuyimira njira yotupa yokhudzana ndi kapamba, kapamba nthawi zambiri amakula nthawi yapakati chifukwa cha kuchuluka kwazinthu zonse za mthupi ndi machitidwe amunthu wamkazi, chikhalidwe choyembekezera mwana.

Chifukwa cha izi, kukula kwa kapamba nthawi zambiri kumakhala kosadziwika. Matendawa amapezeka pamlingo pomwe chithandizo chake chokwanira chikuchitika kuchipatala. Komabe, katswiri wodziwitsa za matenda amazindikira mawonekedwe a kapamba, omwe amasintha pang'ono kutengera zaka zakubadwa, m'mayambiriro ake.

Mu gawo loyambirira la kubereka, chifuwa chachikulu chimadziwonetsa ngati toxosis yoyambirira.

Matenda a dyspeptic omwe ali ndi vuto la toxicosis ndi kapamba, kupitilira kwa milungu 12, ndi zisonyezo zakuwunika kokwanira monga gawo la kuzindikira kwa zinthu zam'tsogolo.

Kuwopseza kwambiri kwa kapamba ndi mapangidwe angapo amadzimadzi kapena phlegmon panthawiyi kungayambitse kuchotsa kwapadera.

Kukulitsa kwa kapamba mu wachiwiri wa trimester kumatha chifukwa cha kukakamiza kwa chimbudzi cha pancreatic ndi chiberekero chokulirapo.

Kuyambira sabata 12, kukula kwa matendawa sikuwopsezanso mwana wosabadwayo, koma kuphwanya lamulo lililonse kwamankhwala kungachititse kuwonetsa kosasangalatsa kuchokera m'mimba.

Kupita patsogolo kwa kapamba mu gawo lachitatu lomaliza la mimba kumawerengedwa kuti ndi chinthu chofunikira kwambiri pakukula kwa ntchito. Lingaliro lakubereka koyambirira limapangidwa ndi adotolo atatha milungu 35.

Mukamanyamula mwana, katundu pa zikondwerero zimawonjezeka chifukwa cha kuchuluka kwa chakudya chomwe chimadyedwa ndikuwonjezera kupanga kwa insulin, komwe kupanga mwana wosabadwayo kumafunikira. Kutupa kwa kapamba kumayambitsa kupanga kwambiri zamadzimadzi ndi michere yopangidwa ndi gland.

Zomwe zimapangitsa kuti chiwopsezo chachikulu cha kapamba chizindikiridwe kuti ndi chosavomerezeka ndi vitamini.

Chifukwa china cha kufalikira kwamatenda a kapamba kumawerengedwa ngati mankhwala osavomerezeka a vitamini kapena kumwa mankhwalawa omwe amaperekedwa kuti akonze ma concomitant pathologies.

Magwiridwe a chiwalochi siliwongoleka poyesa kuchotsa zinthu zowonongeka za zinthu zomwe zimagwira, ma enzymes amasungidwa mkati mwa gland ndikuwawononga kuchokera mkati.

The yogwira pancreatitis kumachitika monga zimachitika chifukwa cha kapamba ndi kulimbalimba kwa ziwalo zina. Gwero lenileni la matenda pankhaniyi ndikuphwanya mwatsatanetsatane mfundo zachakudya zopatsa thanzi, kuchulukitsa kuchuluka kwa matenda am'mitsempha ndi m'mimba.

Pali zizindikiro zingapo zodziwika bwino zomwe munthu angaganize zokhala ndi kapamba:

kupweteka kwambiri mu epigastric dera,
malungo
matenda ammimba
kudya kwakachepa chifukwa cha mseru, kudzetsa kusanza,
kukokana m'miyendo, kupezeka nthawi imodzi komanso kupweteka mseru,
kuthamanga kwa magazi, kupangitsa kufooka komanso chizungulire.

Nthawi yapakati, kuchepa kwambiri kwa thupi ndi kudya kosasinthika, kupweteka kwa kumanzere kwa hypochondrium yachilengedwe chodula kwambiri, kutsegula m'mimba, kutsekemera kumawonjezeredwa ndi mawonetseredwe awa.

Zizindikiro

Monga gawo lodziwika ngati kapamba, njira zambiri zothandizira zimagwiritsidwa ntchito, koma si onse omwe amagwiritsidwa ntchito komanso otetezeka kwa thanzi la mwana wosabadwa.

Kuzindikira kwa Ultrasound kumathandizira kuzindikira matendawa kumayambiriro, popanda kuvulaza mwana wosabadwayo.

Kutengera ndi zotsatira za kupukutira kwa kapamba, adotolo adzayesa kuchuluka kwa kutulutsira, kapangidwe ka minofu ya parenchymal, kuwunikira kwa duct ndi kufalikira kwa ziwalo.

Yogwirizana tomography pa nthawi ya pakati imatsutsana.

Ma X-ray, complication tomography ndi kubwezeretsa cholangiopancreatography pa nthawi ya pakati amakhala akupatsirana, gastroscopy imayikidwa mpaka milungu 32.

Kuti adziwe matenda, dokotala adzafunika kuyezetsa magazi (kawirikawiri, kuti lipase, glucose, amylase), komanso kuwunika mkodzo ndi ndowe. The zasayansi kuwunika ndowe limayambitsa kapangidwe ka matumbo microflora ndi zomwe sizimagwira ndale, ndipo kusanthula kwa mkodzo kumapangitsa mulingo wa amylase.

Pancreatitis pachimake mu odwala apakati amafuna chithandizo kuchipatala. Pambuyo pakugonekedwa kuchipatala, njira zolowetsedwera zimagwiritsidwa ntchito kuti muchepetse kuukira. Mitsempha yopanga mankhwala apadera imakuthandizani kuti muchepetse magazi ndikuwongolera kuchuluka kwa michere yopangidwa ndi kapamba.

Obligatory kudziwitsa obstetrician-gynecologist za kukhalapo kwa kapamba, zomwe zikuwonetsa kuwopsa kwa matendawa, nthawi yakukwanira komaliza, ndikupereka chidziwitso chamankhwala ndi mayeso.
Ndiponso, limodzi ndi obstetrician-gynecologist, mankhwala omwe amaperekedwa chifukwa cha kapamba ayenera kuwunikanso, mlingo wawo ndi kutalika kwa makonzedwe. Mkazi amasiyidwa ndimankhwala okhawo ofunikira, m'malo mwa mankhwala omwe ali oopsa panthawi ya pakati ndi ena (mwachitsanzo, ma proton pump inhibitors amatha m'malo mwa ma antacid, etc.). Nawo, ena mwa mankhwalawa omwe amagwiritsidwa ntchito pochiza gestosis kapena zina zokhudzana ndi matenda a m'mimba pa nthawi ya pakati adzapatsirana mankhwala a pancreatitis.
Pafupipafupi (osachepera nthawi imodzi mumasabata awiri) kuyang'aniridwa ndi katswiri wa gastroenterologist kapena katswiri wazamankhwala. Kuphatikiza apo, kufunsa kwa endocrinologist kungafunike.
Mayeso owonjezera pafupipafupi: mapulogalamu apakompyuta, ambiri komanso a biochemical, kuyesedwa kwa magazi, mayeso a mkodzo sabata ndi sabata a shuga ndi acetone, ultrasound ya kapamba, etc.
Ngati kuchulukana kwa kapamba kumachitika, ndibwino kuchiza kuchipatala, ndipo mbiri yake imasankhidwa kutengera nthawi yomwe mayi ali ndi pakati. M'mbuyomu, mayi amagonekedwa kuchipatala ku dipatimenti ya gastroenterology, chithandizo chamankhwala kapena opaleshoni yofunsidwa ndi abambo-gynecologists, mochedwa komanso pakuwonjezeka kwambiri, nthawi zambiri amagonekedwa ku dipatimenti yokhudzana ndi matenda oyembekezera, ndipo dokotala wa opaleshoni ndi gastroenterologist amayitanidwa kale kumeneko kuti akalandire.
Mimba toxicosis pamaso pa kapamba imathandizidwanso kwambiri kuchipatala, chifukwa chotsatira cha toxicosis (nseru, kusanza, kuchepa kwa chakudya, kupweteka kwam'mimba, kuwoneka kwa acetone mu mkodzo), kuukira kwa kapamba kumatha kubisika. Kuphatikiza apo, ngakhale itakhala toxosis, mwayi wokhala ndi kufalikira kwa pancreatitis yayitali kale.

Yesani kusamala komanso kulondola panthawi yomwe muli ndi pakati, kwinaku mukuyang'anira kuwonda. Samalani kuchuluka kwa zomwe mumatenga folic acid, chitsulo, calcium ndipo musaiwale kuti kulemera kuyenera kuwonjezeka pang'onopang'ono.
Pa nthawi yoyembekezera komanso mkaka wa m'mawere ndi zakudya zamasamba, muyenera kutenga mapuloteni, vitamini B12, vitamini D, zinc monga kuwonjezera kwa folic acid, chitsulo ndi calcium, chifukwa zinthu izi ndizofunikira pakukonzekera bwino kwa ubongo ndi ziwalo zamkati mwa mwana wosabadwayo, komanso kuyimira mwachizolowezi kulemera.
Calcium ndi chinthu chofunikira, makamaka panthawi yapakati. Ngati mkaka wagundidwa, bweretsani calcium yanu ndi soya curd, broccoli, mandimu a lalanje kapena mkaka wa soya, zitsamba ndi ma amondi.
Vitamini C yokwanira imateteza ku chikhodzodzo cha msanga cha chikhodzodzo. Vitamini C amathandizira kulimbikitsa chikhodzodzo. Vitamini C imapezeka mu zipatso ndi ndiwo zamasamba: zipatso za malalanje, tsabola, tomato, zipatso, broccoli, kabichi, Brussels zikumera.

Kugwiritsa ntchito mankhwala osokoneza bongo kapena mankhwalawa omwe sayenera kumwa panthawi yokhala ndi pakati (mwachitsanzo, mankhwala osapweteka a antiidal omwe amayambitsa matenda osokoneza bongo).
Kudya chosapsa papaya, chifukwa chimayambitsa matenda a uterine, omwe angayambitse kubadwa msanga.
Kapena ingotsani khofi mmodzi pa chikho chimodzi patsiku.
Za mowa.
Utsi wachiwiri.
Saunas.
Zakudya zoipitsidwa zomwe zimayambitsa listeriosis kapena toxoplasmosis (nyama yaiwisi, nkhuku ndi zakudya zam'madzi, masamba osasamba ndi zipatso).
Nsomba zomwe zitha kukhala ndi zebaki: shark, armfish, king mackerel, crestheads.
Mankhwala owopsa, ma radiation, ndi zinthu zina zodzikongoletsera.

Kukonzekera kubereka

Matendawa sikuti akuphwanya kubereka komanso kubadwa kwa mwana. Sichikukhudza chitukuko cha intrauterine, koma kukonzekera pakati kuyenera kuchitika moyang'aniridwa ndi achipatala.

Mzimayi amakhala wofasira, komwe kumathandiza kupewa zovuta, amatenga zinthu zofunika ngati matendawa akuipiraipira. Mimba imatha kukonzedwa ngati palibe zoonekeratu zonyansa kumapazi.

Matendawa ayenera kukhala pa siteji ya kukhululuka kokhazikika, ndipo mkazi ayenera kumayendera dokotala wazachipatala pafupipafupi, kuwunika mozungulira pakanthawi kochepa, kukayezetsa, ndi zina zambiri. Nthawi iyi imasankhidwa payekhapazokha.

Kodi ndingabale matenda apamba? Ngati matendawa sawonetsa zizindikiro, ndiye kuti kubadwa kumatha kukhala kwachilengedwe. Mu malo omwe kuchulukitsa kumawonedwa pambuyo pa nyengo yachiwiri, kubereka kosavomerezeka kungalimbikitsidwe.

Monga mankhwala oletsa kupweteka pantchito, antispasmodics amagwiritsidwa ntchito. Muyenera kukhala okonzekera kuti kubadwa kwachilengedwe kumatha ndikugwiritsa ntchito ma forcep. Tsoka ilo, muzipatala mumakhala kuchuluka kwa milandu yomwe imathera molakwika.

Nthawi zambiri, pambuyo pobadwa, mkhalidwe wa mayiyo umacheperachepera, motero, thandizo lofunikira limafunikira mwanjira ya mankhwala omwe amachepetsa kutupa ndi kuthetsa ululu.

Kapamba, ngakhale wothinitsidwa, sikulepheretsa mwachindunji kubereka (pokhapokha mutaganizira zaukadaulo wamitundu yamatenda limodzi ndi kufooka kwa ziwalo zonse ndi machitidwe).

Ndiye kuti, kukhala ndi pakati pamaso pancreatitis aakulu ndi kotheka. Yokha, matenda a kapamba samakhala ndi vuto lililonse pakukula kwa mwana wosabadwayo (mwachidziwikire, pokhapokha ngati palibe kufalikira kwamatenda).

Musanakumane ndi matendawo okhazikika, ndibwino kuti musaganize zokhala ndi pakati pazifukwa zingapo:

Pakati mukukhala, katundu pa thupi la mzimayi amawonjezeka, ndipo nthawi zambiri matenda omwe amapezekapo, kuphatikiza kapamba, amakula
pamene kuchulukana kwa kapamba kumatsika ndi kusintha kwa chikhululukiro, odwala amapatsidwa mankhwala ambiri ndithudi kapena osagwiritsika ntchito, ambiri omwe amatsutsana ndi amayi apakati.

Mukakonzekera kutenga pakati, onetsetsani kuti mwakumana ndi dokotala komanso dokotala wazachipatala, pitani pamayeso onse ofunikira, ngakhale kuti simunakhalepo ndi nthawi yayitali. Pezani dokotala wabwino pasadakhale yemwe angayang'anire mimba yanu, kuyankha mafunso anu ndikuthetsa zovuta zilizonse nthawi iliyonse.

Gland ya chithokomiro ndikofunikira kwambiri pokonzekera kutenga pakati.Kupambana kwa kutenga pakati ndi kutenga pakati zimatengera mkhalidwe wa glandula thyroidea ndi mahomoni omwe amapanga. Kukula kwakuthupi kwa mwana wosabadwa komanso kuchuluka kwa nzeru zake zimadalira mtundu wa mahomoni omwe amapangidwa ndi chithokomiro cha chithokomiro.

Ichi ndichifukwa chake, pakukonzekera kutenga pakati, ntchito yoyamba ya mayi ndikuyesera kuti adziwe kuchuluka kwa mahomoni a chithokomiro ndikuwunika ma ultrasound kuti adziwe ngati chiwalocho chikugwira bwino ntchito.

Mukakonzekera kutenga pakati, chidwi chapadera chimaperekedwa pamlingo wa mahomoni olimbikitsa chithokomiro, omwe sayenera kupitirira 2.5 μI / ml. Ngati mayesowa adawonetsa kuti kuchuluka kwa mahomoni ndikokwera kuposa zomwe zimadziwika, ndiye kuti ndi mwayi wofunsa wa endocrinologist.

Dokotala adzalembera mankhwala othandizira kuti achulukitse kuchuluka kwa mahomoni. Nthawi zambiri, zakudya zomwe zimagwiritsidwa ntchito popanga zakudya zomwe zimakhala ndi ayodini wokwanira zimayikidwa ngati chithandizo. Pambuyo pazotsatira zoyesa zamahomoni glandula thyroidea ndizabwinobwino, mutha kukonzekera kutenga pakati.

Zakudya zamagulu

Kumbukirani kuti mkati mwa masabata 20 kuyambira pa chiyambi cha kubereka, azimayi amawonjezera 30% ya kulemera konseko, ndipo kuwonjezeka kwa sabata ndi gawo la 300 g. Zakudya zomwe "mudakhalapo" musanakhale ndi pakati siziperekedwa!

Zakudya zopatsa thanzi pakatha milungu 8 ya gestation ziyenera kupatsa thupi zonse zomwe mukufuna: mapuloteni, mafuta, chakudya, michere. Mtengo wamagetsi wazakudya panthawiyi sayenera kukhala wotsika kuposa 2000 kcal patsiku.

Ngati tsopano muyamba kuyika mindandanda yonse yomwe ili yopindulitsa kwa amayi apakati, ndiye kuti kuwerenga mndandandawu simungakhale ndi mphamvu zokwanira ... Chifukwa chake tidzakhala mwachidule: muyenera kudya nyama, nsomba ndi nsomba zam'nyanja, chimanga (chimanga ndi buledi wa tirigu), zakudya zamkaka (osati mafuta kwambiri) , mafuta a masamba (zosaphika) komanso, masamba, zipatso ndi zipatso - mwanjira iliyonse.

Mwambiri, zomwe mungadye pakadutsa masabata asanu ndi atatu, tsopano mukudziwa. Ndipo tikambirana mwachidule momwe kuthana ndi zakudya kungathandizire kuthetsa mavuto apakati monga kudzimbidwa ndi kubala (kufalikira).

Poyamba (kudzimbidwa) mumafunikira: CHIWANGWERE CHINSINSI ZA NKHANI ZA NKHANI ZONSE (Buckwheat, oatmeal, balere yophika bwino), mkate wa chinangwa, nyemba (nandolo, nyemba, ndi zina), kefir watsopano (mugalasi tsiku lililonse) , kabichi (iliyonse) ndi masamba athu onse apabwinobwino masamba, kuyambira beets.

Ndipo tsopano, zomwe simuyenera kudya kuti pakhale sabata ya 8 ya mimba musakuvutitseni: mafuta a nyama, rye ndi mikate yoyera yatsopano, mapira ndi oatmeal, nyemba, nandolo ndi nyemba zina (kuphatikizapo mtedza),

Tsopano - poyerekeza - mutha kupanga mindandanda yanu mosavuta, kutengera kukhalapo kapena kusapezeka kwa kudzimbidwa komanso bata. Koma zomwe aliyense amafunikira ndi mavitamini okwanira masabata asanu ndi atatu.

Chisamaliro chodzidzimutsa ndicho chakudya choyenera. Inde, kutenga pakati pakokha kumaphatikizapo chakudya chamagulu komanso koyenera, koma kapamba ndimatenda am'mimba, zomwe zimatanthawuza kuti zakudya ziyenera kusinthidwa motsatira.

Ndi zoletsedwa kukhala ndi njala mukanyamula mwana. Njala imakhudzanso boma la kapamba, komabe, imatha kusokoneza chitukuko cha intrauterine.

Simungadye confectionery, nyama yamafuta ndi nsomba, zotsekemera ndi zonunkhira, zipatso - mapeyala, maapulo, ma tangerines, etc. Kupatula mazira amtundu uliwonse kuchokera ku menyu, kukaniza mbatata.

Zakudya zopatsa thanzi zimaphatikizapo kudya zakudya:

Nyama yophika mafuta ochepa, msuzi wa nkhuku.
Kefir, yogati, tchizi chanyumba chokhala ndi mafuta ochepa.
Zipatso ndi ndiwo zamasamba zomwe zimakhala ndi fiber yaying'ono.
Buckwheat, mpunga. Porridge yophika pamadzi.
Kuchokera zakumwa amaloledwa kumwa mchere wam'madzi wopanda mpweya, ma compotes opanga tokha, zakudya.

Ndemanga za madotolo amati chakudya choterocho chimakhala ndi cholinga choti mutulutse ziphuphu, zomwe zimakuthandizani kuti muchepetse zovuta za kutupa.

Amayi oyembekezera omwe ali ndi pancreatitis yayitali ayenera kukumbukira:

Kugwirizana ndi chakudyacho ndikofunikira: chakudya ndicho chimapangitsa kuti matenda asachulukane.
Chakudyacho chimakhala chokhwima - onse malinga ndi kuchuluka kwa zakudya ndi zakudya zomwe zimaloledwa, komanso momwe chakudya chophikidwira. Mu trimester yoyamba ya kubereka, pamene toxosis imayamba, ndikofunikira kutsatira zakudya zomwe zimalimbikitsidwa pakukokoloka (kapena njira yoyamba ya chakudya No. 5P): mbale zokhazokha zomwe zimayatsidwa kapena kuwiritsa, ndi phala lotsatira, ndizololedwa. Mu 2-3 trimester, ndimatenda oyenera, matendawa amakula pang'onopang'ono.
Chenjezo liyenera kutengedwa ndi "mavitamini achilengedwe" kuchokera ku timadziti tating'ono, masamba abwino, zipatso ndi zipatso. Kumbukirani kuti ambiri a iwo amatsutsana ndi kapamba. Ndikwabwino kusiya kwathunthu kugwiritsa ntchito masamba, zipatso, zipatso ndi timadziti kuchokera kwa iwo osalandira chithandizo chawotchi, popeza chiwopsezo cha kukokomeza chimaposa phindu la zinthu izi. Ndipo mavitamini ndi mchere wofunikira ukhoza kusankhidwa ngati mankhwala. Ndi chikhululukiro chosalekeza komanso mtundu wofatsa wa matendawa, zipatso zochepa zololedwa ndi zipatso (maapulo omwe si acidic, ma apricots, nthochi, yamatcheri, mavwende, ndi zina zotere) zimaloledwa mwatsopano.
"Zoyera" zowoneka bwino komanso chikhumbo chofuna kudya mwadzidzidzi (zonunkhira, zamchere, ndi zina), zotengera azimayi munthawi yakuyembekezera khanda, sizili kwa inu. Kubwerera kuchakudya sikuyenera.
Musaiwale za kufunika kwazakudya zopatsa thanzi: idyani maola 4 kapena 4 aliwonse, osalola kupumula kwanjala.

Ndikofunikira kuchepetsa zonunkhira, mafuta, okazinga, osuta, acidic zakudya. Simungathe kumwa timadziti ndi kudya masamba atsopano: amatha kugwiritsidwa ntchito mwanjira yophika kapena stewed. Anyezi, adyo, kabichi, radish, zipatso zouma zimatsutsana.

Zakudya ziyenera kukhala zofatsa: kutentha kumatengako mbali. Muyenera kudya zakudya zotentha, osakhumudwitsa mucosa wam'mimba, kuti musakulitse kutupa. Zakudya zochepa ndizofunikira: kawirikawiri magawo ang'onoang'ono, kutafuna chakudya kwathunthu.

M'modzi mwa madotolo otchuka Komarovsky amakhulupirira kuti thanzi la mwana wosabadwa limadalira kwambiri thanzi la mayi panthawi yapakati. Panthawi yachikhululukiro cha matendawa, gawo lalikulu la zakudya kwa mayi woyembekezera ndi mapuloteni: nyama, tchizi chinyumba, nsomba, omelette, kefir. Chakudya chimayenera kuwiritsa kapena kuwotcha.

Kodi ndizotheka kukonzekera mwana ndi matenda amisempha

Dzira losemedwa, kapena dzira, limayenda kudzera mu chubu cha fallopian kulowa m'chiberekero. Dzira ndi dzira lomwe laphatikiza ndi umuna. Ili ndi chidziwitso chonse cha mwana yemwe sanabadwe - jenda, khungu la maso ndi kuthekera kwa maluso!

Kuyambira pomwe mayi watenga pakati, uyu ndi munthu yemwe sanakhalepo kale. (Pokhapokha, mwachidziwikire, mumakhulupirira za kubadwanso mwatsopano ndikusamutsidwa kwa miyoyo. Mwa njira, ngakhale mutakhulupirira izi, nembanemba yakuthupi imakhalabe yosiyana.) Patsiku la 3-4, dzira limalowa m'chiberekero, ndipo kuyambira pa 5th mpaka tsiku la 9 pambuyo umuna, dzira limalowetsedwa mu endometrium - mawonekedwe a chiberekero omwe amawazungulira kuchokera mkati.

Kulowetsedwa kumalizidwa ndi tsiku la 12. Ichi ndiye chiyambi chenicheni cha pakati. Dzira limayamba kukula kwake, komwe kumachitika mwa magawano. Choyamba, awiri amapangidwa kuchokera ku khungu limodzi, kenako kuphatikizika kwa gawo lina kumawonekera, ndikugawa ma cell awiriwo awiri - amakhala anayi, kenako eyiti, 16, makumi atatu ndi awiri, ndi ena otero.

Sabata ino ndizovuta kwambiri kwa mwana wosabadwa. Munthawi imeneyi, zinthu zonse zovuta - mowa, mankhwala osokoneza bongo, kusuta, kumwa mankhwala, matenda, zitha kuvulaza mwana wosabadwa. Mu sabata lachitatu, placenta yamtsogolo imapangika, mitsempha yamagazi yam'tsogolo, maselo a majeremusi, kupuma, matumbo ndi mitsempha, mafupa, minofu, ndi khungu zimayamba kupanga.

Sabata yachinayi. Mluza, womwe kuyambira pamenepo unkawoneka ngati disk yopanga zigawo zitatu, pang'ono ndi pang'ono umasandulika kukhala silinda. Ziwalo zopatula zimayamba kupanga. Ndipo woyamba amawonekera mtima. Magawo ake amatha kulembedwa kuyambira tsiku la 23 la kutenga pakati.

Fossae yamkamwa ndi kumat, matumbo oyamba, ofanana ndi chubu, chiwindi, kapamba, ndulu, zimayamba kuwonekera. Pakutha kwa mwezi woyamba, kutalika kwa mluza kuli pafupifupi 5 mm, ndipo amawoneka ngati nyemba yokhala ndi timiyala tating'ono, timene timakhala mikono ndi miyendo.

Tsitsi kumutu limayamba kukula, mikono imagwadira mbali zonse, ndipo kukhudza kumayamba. Mwana wosabadwayo akupitilizabe kukula, koma ziwalo zatsopano sizikuwonekanso, monga momwe zimapangidwira kale. Amatha kuwerama, kumwetulira, kusisima m'maso poyankha mkwiyo.

Kulemera kuli pafupifupi 80 g, ndi kutalika - 110-115 mm.

Mwana wosabadwayo ndi wokonzeka kubadwa ndipo amafunanso. Akungodikira nthawi yomwe mahomoni okwanira adzasonkhana m'thupi la amayi, ndikuwonetsetsa kuti akuyamba kubereka.

Mafupa a mwana amakhala ndi mafupa 300 olekanitsidwa, chifukwa si mafupa onse omwe amaphulika ndi kuphatikizika pamodzi (mwachitsanzo, mafupa a chigaza amakhala ndi mafupa asanu ndi limodzi, pomwe chigaza cha akulu chimakhala chonse). Chiwerengero cha mafupa mwa munthu wamkulu ndi pafupifupi zana limodzi.

50% ya thupi lake ndi mafuta. Kukula kuli pafupifupi 50 cm ndipo kulemera kwake kuli pafupifupi 3.5 kg.

Kamvekedwe ka chiberekero pamasabata asanu ndi atatu a bere - ndiko kuti kusokonezeka kwa nembanemba yake (minometrium) - ikusintha nthawi zonse. Ndipo iyi ndi njira yachilengedwe yolumikizira thupi, chifukwa cha kumva chisoni kwa thupi la chiberekero ndi khosi lake.

Kunja kwa mimba, chisamaliro sichimalipiridwa mpaka pakuvutikira kapena kumasuka kwa ulusi wautali ndi wozungulira wa myometrium.

Koma hypertonicity - kamvekedwe ka chiberekero pakapita milungu 8 ya bere - kumakweza nkhawa, makamaka popeza nthawi kuyambira masabata 8 mpaka 12 imawerengedwa mu nthawi ya chiwopsezo cha matenda. Ndipo izi zili pachiwopsezo chakuti mimbayo yochotsa mimbayo imatha kuchitika pakadutsa milungu isanu ndi itatu kapena, mopitilira apo, kutaya pathupi pa milungu 8 ya mimba.

Ndi kuwonjezeka kwa kamvekedwe ka khoma lakunja la chiberekero panthawiyi, amayi oyembekezera amamva momwe mimba imakhalira yolimba, pambuyo pake pamatha kupweteka kwam'mimba pamimba yachilengedwe. Chithandizo cha chizindikiro ichi chimachitika ndikutenga Duphaston, analogue yopanga endo native progesterone (mulingo woyenera ndi 20 mg patsiku, womwe umangotengedwa ndi dokotala - malinga ndi chiwembu chapadera),

Ululu pamilungu ya 8 ya gestation umatha kukhala osiyana ndipo umakhala ndi zifukwa zingapo. Choyamba, m'mimba mumapweteka pakatha masabata 8 mutakhala ndi mphamvu kwambiri komanso kuwonjezeka kwa kamvekedwe ka chiberekero. Komanso kudzimbidwa komanso mavuto ndi kudutsa kwamatumbo am'mimba, komanso mayi wapakati wokhala ndi matenda osakhazikika am'mimba, myoma, endometriosis, endometrioid cyst ndi zina zomwe sizikugwirizana ndi mimba.

Koma nthawi zambiri, madotolo am'zipatala zoyamwitsa amamva madandaulo ochokera kwa odwala kuti amakhala ndi ululu wochepa kumbuyo kwa masabata 8 a bere kapena kuti msana wawo umapweteka pakatha masabata asanu ndi atatu. Zomwe zimayambitsa zowawa izi, chifukwa nthawiyo idakali yaying'ono, ndipo azimayi samamva kuwawa kwam'mimba?

Ndipo chifukwa chake ndikuti thropion ya fetal chorion, komanso endometrium ya chiberekero ndi thumba losunga mazira kwa mayi woyembekezera imayamba kupanga mahomoni apadera, restin, omwe ntchito yawo ndikukonzekeretsa pang'onopang'ono dongosolo laumiseche.

Ndi kuwonjezeka kapena kuchepa kwa kuthamanga kwa magazi, ndimatenda opumira kwambiri a ma virus kapena chimfine, ndimagona nthawi yayitali masana, mutu wa masabata asanu ndi atatu ali ndi pakati umapweteka.

Zowonongeka pamasabata asanu ndi atatu a bere ndizosiyana, koma ziyenera kuthandizidwa mosamala.

Chifukwa chake, zotupa zopanda chikasu pa sabata la 8 la mimba, zomwe sizimapangitsa kupweteka komanso zilibe fungo losasangalatsa, zimawerengedwa ngati chodabwitsa kwambiri. Koma ndi zotupa kumaliseche ndi kuyabwa, kukula kwa vagidi candidiasis - thrush akuyenera kumayikiridwa (Kutumiza sabata la 8 la mimba - onani pansipa).

Kusamba pa milungu 8 ya bere, poganiza, sayenera kukhalapo: pambuyo pake, endometrium ya chiberekero chokhala ndi pakati siingakanidwe. Komabe, pali otchedwa daub pa sabata la 8 la mimba, omwe akatswiri pankhani ya matenda amtundu wa wamkazi amatanthauza kukhetsa magazi.

Makamaka, kutulutsa magazi kumatha kukhala kutulutsa kwa pinki kamodzi pamasabata asanu ndi atatu a bere, ndikulimbikitsidwa ndi kuyambitsa kwa blatocyst mu uterine mucosa. Kutulutsa kwamtundu wamtundu wa pinki kuchokera ku chiberekero komwe kumalumikizidwa ndi kukomoka kwake kwa matumbo kapena myoma ndikothekanso.

Koma chifukwa chomwe chimadziwika kwambiri ndi kuchuluka kochepa kwambiri kwa progesterone kapena hCG mwa mayi wapakati, yemwe sangathe kuthana ndi kuponderezedwa kwa luteotropin, komwe kumayambitsa kusintha kwam'mimba mu ovary panthawi ya ovulation. Ndipo m'malo oterewa, njira yokhayo yothandizira kuti mayi akhale ndi pakati ndi chithandizo chamankhwala cha mahomoni.

Kutupa kwa ma brown pamasabata asanu ndi atatu a mimba, komanso kutulutsa wamagazi kwambiri pakatha masabata asanu ndi atatu a kubereka - ndi chizindikiro cha kufooka wamba ndi kukoka kupweteka pamimba yotsika - ndichizindikiro cha matenda owopsa monga kupezeka kwa masabata asanu ndi atatu a mimba.

Ndipo izi zikutanthauza kuti dzira la fetal lomwe lili ndi mluza limachokera ku endometrium. Kukhazikika kwa dzira la fetal kumayambitsa kubvunda. Kugwiritsa ntchito mawu othandizira azachipatala, awa ndi ma hematoma obwezeretsanso patatha milungu 8 ya gestation. Ndi kuperewera pang'ono, madokotala amatha kusunga mimba.

Kutsika kwamphamvu kwambiri pakatha masabata asanu ndi atatu a mayiyo "amatumiza chizindikiro" kwa mayi: kupita padera kumawopseza kutenga pakati - onani dokotala nthawi yomweyo!

Ndipo kutaya magazi kwa milungu isanu ndi itatu ya kutenga pakati (makamaka ngati kuli kwambiri, kuchuluka kwa magazi kumamasulidwa, ndipo kupweteka kwambiri kumakhalapo m'mimba yam'mimba) kumatanthauza kuti kutaya kolakwika kunachitika pakatha masabata asanu ndi atatu a mimba, kapena kubereka kunali ectopic.

Malinga ndi a gynecologists, ectopic mimba pa masabata 8 ya bere ilibe njira zina kupatula kutumphuka kwa chubu la fallopian mothandizidwa ndi moboticyst yemwe akukula. Pankhaniyi, kutulutsa magazi kwambiri kwakanthawi kumatha kukhala ndi zotsatira zoyipa.

Kuphatikiza apo, pali mimba yozizira pakatha masabata 8 - gawo loopsa kwambiri lakukula kwa fetal. Pamaso pa matenda oyamba ndi ma virus (rubella, cytomegalovirus, etc.), kusowa kwa progesterone yapakati mthupi kapena kuchuluka kwa testosterone, komanso pankhani ya kukomoka kwa chibadwa cha chibadwa, kukula kwa fetal kumayima.

Pa sabata la 37 la kubereka, mwana wanu wafika nthawi yayitali. Ngati ntchito yantchito yayamba tsopano, kubereka kumadutsa mosavuta komanso mwachangu. Ana ena amafunikabe kukhalabe m'mimba mwa amayi awo.

Chifukwa chake, ngati mwakonzekera kubadwa pogwiritsa ntchito gawo la cesarean, adotolo adzalembera iwo kwa nthawi yochepera masabata 39, ngati palibe zifukwa zina zamankhwala, zichiteni koyambirira. Mwana wanu amalemera pafupifupi 3 kg ndipo kutalika kwake ndi kupitirira 48 cm.

Chofunikira: Kukula kwa mwana aliyense ndi munthu payekha. Zambiri zathu zidapangidwa kuti zikuthandizireni pakukula kwa fetal.

Mwana wanu ali ndi milungu 38 ya bere atakhala wolemera kale, ndipo tsopano ndi pafupifupi 3.1 kg, kutalika kwake ndi masentimita 50. Ali ndi chidwi chogwira, ziwalo zake zonse zimakhazikika bwino ndipo mwana amakhala wokonzekera moyo kunja kwa chiberekero.

Ndikudabwa kuti maso ake adzakhala otani? Simungadziwe nthawi yomweyo. Maso amtundu wakubadwa nthawi zambiri amakhalabe omwewo, ndipo imvi kapena buluu zimatha kusintha kukhala zobiriwira kapena zofiirira pakatha miyezi 9.

Kubadwa kwa mwana wokhala ndi kapamba. Mimba komanso kubereka mwana ndi kapamba. Mwana wokhala ndi kapamba. Kubala mwana ndi kapamba.

Kuopsa kwa mwana wosabadwa

Kodi kukhala ndi pakati pa kapamba kumabweretsa ngozi kwa mwana. Amakhulupirira kuti ayi, ndipo kubereka mwana wosabadwa sikungakhudze kukula kwake. Kuopsa kopita padera kapena kubadwa msanga kumatha kudikirira mu nthawi yoyambirira ya kubereka, mu trimester yomaliza pali chiwopsezo cha toxosis ya mawu ochedwa. Zikatero, chiwopsezo kwa mayi ndi mwana wosabadwayo ndichofunika, chifukwa chake amayi apakati amakhala m'manja mwa madokotala.

Chachikulu apa ndikuwonetsetsa kuti wapeza nthawi yayitali ndikupeza chithandizo choyenera.

Mankhwala

Mwambiri, njira zochiritsira sizimasiyana ndi omwe ali ndi matenda owopsa. Amayang'ana mosamala zomwe zimayambitsa matendawa ndikuyesetsa kuti athetse. Amayesa kuyimitsa njira yotupa m'matumbo, kuthana ndi zowawa. Pankhaniyi, amayamba ndi kugwiritsa ntchito ma analgesics omwe si a narcotic, koma ndi ululu waukulu, mankhwalawa amakhalanso ndi mankhwala.

Pitani ntchito zamankhwala omwe amachepetsa kwambiri ntchito zachinsinsi za gland - Gordoks, Pentoksil, histamine receptor blockers.

Zakudya zoyenera - pancreatic tebulo 5, yopanda mafuta komanso zakudya zonunkhira. Ndipo masiku awiri oyamba ambiri, mutha kupewa kudya, okhutira ndi tiyi wopanda mafuta.

Maantibayotiki amagwiritsidwa ntchito pokhapokha pakufunika kuti asavulaze mwana, komanso osati kale kuposa chachiwiri kapena chachitatu cha matupi oyembekezera, pamene mapangidwe a fetal amakhala atamalizidwa kale, ndipo amatetezedwa ndi placenta.

Zokonda zimaperekedwa kwa maantibayotiki a penicillin, omwe alibe vuto lililonse pakukula kwa mwana wosabadwayo: Ampicillin, Ampiok, ena. Cephalosporins: Ceftriaxone, Cefazolin nawonso amaonedwa ngati opanda vuto, ngakhale amatha kudutsa chotchinga chachikulu.

Zofunika kapena ayi

Chithandizo cha pancreatitis pa nthawi ya pakati mothandizidwa ndi njira zothandizira thupi kuchita zinthu zina popewa kuyatsa kwambiri. Koma pali zotsatsa zazomwe zimatchedwa mphamvu ya electroneurostimulation (DENAS-tiba). Kukula kwake ndikuyenera kuti kumakhala kokwanira kotero kuti kumakupatsani mwayi wochotsa matenda ambiri.

Koma mimba. Kuchuluka kwa njira yamtunduwu pa kakulidwe kazinthu ka fetus kamawerengedwa, pomwe zokambirana za mayeso obwereza m'magawo oyambawo pogwiritsa ntchito ultrasound sizimayima, kodi ndizovulaza kapena ayi. Mwa ndemanga pali, Komabe, yabwino, yomwe imalankhula za kupweteka komanso osatseguka kwa khomo pachibelekeropo.

Pokhapokha kubadwa kunali kwachiwiri, motero sikukhulupirira. Ndipo zimakhudza bwanji mwana wosabadwayo ngati kukondoweza ndi magetsi kumachitika pancreas. Zikuwoneka kuti mayi aliyense woyembekezera azisankha yekha.

Opaleshoni idakali njira yosankhira zovuta za matendawa.

Popeza nthawi zambiri kuperewera kwa zakudya m'thupi kumabweretsa pancreatitis, malo apadera amapatsidwa chakudya cha matendawa. Kuphatikiza apo, magawo oyambilira a zakudya amatha kupewa matenda.

Zakudya za amayi oyembekezera osachepera 5-6.
Kutumikira kulikonse sikuyenera kukhala kokwanira, koma kukhala ndi michere yambiri.
Chakudya chotafuna, monga kuphunzitsidwa kuyambira paukhanda, ziyenera kusamalidwa.
Osamadya zakudya zamzitini, zamafuta, zakudya zamchere.
Zakudya zimangokhala zotsekemera ndipo zimawonetsedwa pofunda.
Kanani chokoleti chonse wokondedwa.
Chotsani khofi pachakudya chonse.
Imwani zamadzimadzi zokwanira: tiyi wa zitsamba, madzi amphaka, compotes.

Chithandizo cha kapamba azimayi oyembekezera omwe ali ndi wowerengeka azitsamba

Ngati mukuopa zoyipa zamankhwala pa mwana wosabadwa, kapena ambiri a iwo akupangika kwa inu, funsani dokotala wanu ngati zingatheke kusamalira mankhwala achilengedwe ndi vuto lanu.

Mwa iwo, ma decoctions omwe amathandizira kutukuka ndikufulumizitsanso kuchira kwa matenda omwe ali ndi matenda akudalirika kwambiri. Malingaliro amathandizira pakadwala matenda owopsa komanso pakakhala njira yayitali pakhungu.

Ichi ndiye chomera chofunikira kwambiri, zomwe zabwino zake zimayesedwa mobwerezabwereza ndi onse. Msuzi umakhala ndi ma analgesic komanso umamasula mashephoni. Imafooketsa njira yotupa, imathandizira kubwezeretsa zimakhala. Amachepetsa cholesterol ndikuwachitira magazi m'thupi. Kuchulukitsa kamvekedwe ka thupi, kusintha njira zama metabolic.

Mutha kutenga decoction mukamaliza kusanza. Poyamba, zakumwa siziyenera kuzunguliridwa ndi kukoma. Zonsezi ndi zina zitha kukulitsidwa pakuyenda bwino.

Oatmeal, wokhala ndi mapuloteni ambiri, antioxidants ndi mafuta amasamba, amatha kuthana ndi zovuta za enzymes. Ndikwabwino kwa phala kuphika pamadzi ndikukhala madzi. Osamawonjezera shuga poyamba.

A decoction wa oats amasintha kwambiri dongosolo logaya chakudya ndikuchepetsa kutupa. Zogwiritsidwa ntchito mu gawo la njirayi zomwe zikuthandizira.

Kutulutsa kolimbikitsidwa kwa mamawort, mint ndi wort wa St. Njira ina ndi marigolds, marshmallow muzu ndi cinquefoil.

Kupewa

Muyenera kukonzekera mimba isanakwane. Musanafike pathupi panu, chotsani matenda onse oyamba kupuma, funsani mano anu kuti mupeze mano.

Ngati pali matenda osachiritsika, ayendetseni kuchotsedwa kwokhazikika, osamala kwambiri gawo la genitourinary ndi chiwindi ndi chikhodzodzo cha ndulu. Khazikitsani tebulo la chakudya pasadakhale. Ndipo onetsetsani kuti mwakumana ndi dokotala yemwe angakulimbikitseni mankhwala otetezeka a kapamba.

Kodi kapamba ndi chiyani?

Poyamba, muyenera kudziwa chomwe chimayambitsa matenda monga kapamba.

Pancreatitis ndi njira yotupa yomwe imapezeka mu chiwalo chimodzi chofunikira kwambiri komanso chofunikira cha munthu - kapamba.

Zikondazo zimagwira gawo lalikulu m'thupi la munthu. Chimodzi mwazinthu zofunika kwambiri, zomwe zimapangitsa kuti thupi lizigwira ntchito, ndi:

kupanga michere yazakudya zamagayidwe oyenera,

kupanga insulin (chinthu chofunikira pa thanzi la munthu, chokhala ndi vuto m'thupi lomwe, matenda ena oopsa ngati matenda a shuga ayamba kupanga),

kutenga nawo gawo pakumanga mphamvu kagayidwe, komanso m'njira zina zambiri.

Dziwani kuti kapamba ndi amitundu iwiri:

Matenda a kapamba, zomwe zikutanthauza kuti njira zotupa za pachilumbachi zimakhazikika mu kapamba.

Concomitant pancreatitis, yomwe imaphatikizapo kukula kwa matenda omwe amawoneka chifukwa cha matenda ena am'mimba, monga: gastritis, enteritis ndi ena.

Matenda a kapamba - pulogalamuyi "Khalani athanzi!"

Lankhulani pazifukwa zake

Choyambitsa chachikulu cha kapamba ndiko kumwa kwambiri kapena matenda a gallbladder.

Zina, monga:

kudya kwambiri mafuta komanso zakudya zopanda thanzi,
zotsatira zoyipa za kumwa mankhwala angapo (maantibayotiki ndi mahomoni),
matenda opatsirana ndi ma virus
matenda a kagayidwe kachakudya mthupi,
chibadwire.

Chizindikiro chachikulu chomwe chimagwira ena ndi kupweteka kwam'mimba pamimba, yomwe imatchedwanso dera la epigastric. Pakati pa anthu nthawi zambiri mumamva mawu akuti "akuyamwa pansi pa dzenje."

Ululu wamtunduwu umawonedwa ndi kapamba. Ndikofunika kudziwa kuti ululu sutsitsimuka ndi ma painkiller monga No-shpa kapena Analgin.

Ngati kupweteka kwam'mimba kukuzunzani kwa nthawi yayitali ndipo mapiritsi sangakupulumutseni muyenera kumenya mabelu!

Zizindikiro zina zazikulu ndi:

kutentha kwambiri kwa thupi. Ndikamakula, matendawa amadwala, ndipo chizindikiro cha thermometer chimakwera kwambiri.

mawonekedwe. Ndi kukula kwa matendawa, mawonekedwe a munthu amapeza penti yowoneka ngati fumbi,

Ntchito yam'mimba imayamba kuchepa ndipo alibe nthawi yochita kukonza zakudya zomwe zikubwera, kuziyika mu zinthu zowola, chifukwa chake, wodwalayo amadzimva kuti ali ndi vuto.

Madokotala amalimbikitsa kuti muchepetse kudya zakudya mukamalandira chithandizo. Njala ndiyo chifungulo chakuchira wodwala mwachangu,

kufooka, chizungulire. Ndi kapamba, kuchepa kwa magazi kumawonedwa nthawi zambiri, komwe kumayambitsa kukwera kwambiri mthupi, kuwonetsedwa ngati kufooka komanso chizungulire.

Zolemba zamatenda a akazi apakati

Pancreatitis amayi oyembekezera nthawi zambiri amakula ndi isanayambike poyizoni. Matendawa amakhudza mayi aliyense wachitatu amene wanyamula mwana.

Mwa zina mwazomwe matendawa amatenga, ziyenera kukumbukiridwa kuti zizindikiro za kapamba mu amayi apakati ndizosiyana pang'ono ndi masiku onse.

Amayi oyembekezera amakhala ndi zizindikiro monga:

lakuthwa, lodula ululu mu hypochondrium wamanzere, kufikira kumbuyo,
kutsegula m'mimba
kuwonda kokwanira.

Kuopsa kotani?

Pancreatitis palokha ndi matenda owopsa kwambiri. Mukalandira chithandizo mosayembekezereka, zotsatira zake zingaphe.

Mosakayikira, pancreatitis imakhala yowopsa kwambiri panthawi yoyembekezera. Ndipo mosiyana ndi munthu wamba, mayi woyembekezera amaika anthu awiri nthawi imodzi - yekha ndi mwana wake wamtsogolo.

Ndi chithandizo chamankhwala osadziwika bwino, kapamba angayambitse zovuta monga matenda a shuga ndi kapamba, ndipo amatha kupha.

Kwa mwana

Kukhalapo kwa pancreatitis mwa mayi wapakati kokha sikungawononge thanzi la mwana wosabadwa.

Chokhacho chomwe chingakhudze ndikugwiritsa ntchito mankhwala amphamvu, monga maantibayotiki ndi ma painkillers ena, omwe ali ndi kapangidwe kapangidwe kake.

Izi zimatha kukhudza thanzi la mwana wosabadwa. Chifukwa chake, mukakhala ndi pakati, madokotala amalangizidwa kupewa mankhwalawa ndikumamwa mankhwala achilengedwe ochulukirapo monga zitsamba.

Mankhwala

Momwe mungachiritsire kapamba pamimba? Pofuna kuteteza matenda ofunikira a chiwindi ndi biliary panthawi ya bere, mankhwalawa amagwiritsidwa ntchito zomwe zimayambitsa kukhathamiritsa kwa bile.

Mwayi uyenera kuperekedwa kwa mankhwala azomera kapena zanyama, monga: Holosas, Ursofalk, Holiver.

Kuti muchotse dysbiosis, ndiko kuti, vuto la m'matumbo, ndikofunikira kuti mupitirize njira zonse zochizira onse apakhosi oyambanso ndi kapamba nthawi yayitali.

Kukonza microflora yamatumbo, mankhwalawa ayenera kugwiritsidwa ntchito:

mankhwala ochokera pagulu la akatswiri ofufuzira, monga: Linex, Hilak forte, Bifikol, etc.,
mankhwala ochokera ku gulu la prebiotic, monga: Dufalac.

Tikutenga mankhwalawa, microflora yam'matumbo imayambika pang'onopang'ono, ndipo zizindikiro za kupukusa m'mimba zimatha.

Mankhwala, kudya ndi kumwa kwake kungathe kutumizidwa ndi dokotala yemwe amakuwona, yemwe akudziwa mbiri yanu yamankhwala.

Kudzichiritsa pawokha panthawi iliyonse yomwe mayi ali ndi pakati kumakhala ndi zovuta zosakomera, kwa mayi woyembekezera komanso kwa mwana wosabadwa.

Kodi matendawa amakula bwanji?

Pa mimba, kapamba nthawi zambiri amakwiya chifukwa cha kuchuluka kwa thupi la mayi motsutsana ndi mawonekedwe a manja a mwana. Mu thupi, mumakhala kuchuluka kwa kagayidwe kazakudya, izi zimafunikira kuchuluka kwa chakudya komanso kuchuluka kwa chimbudzi. Metabolism yofananira imakhudzana mwachindunji ndi chitukuko cha mwana wosabadwayo. Ndi kufala kwa kapamba, mayamwidwe a chakudya m'matumbo amadzaza, kuphatikizira kuphwanya kwamatumbo kachulukidwe ka matumbo, kusokonekera kwa mwana wosabadwa.

Chomwe chimayambitsa pancreatitis mwa amayi apakati ndi kulandira mankhwala ambiri komanso mavitamini omwe mayi woyembekezera amakakamizidwa kumwa. Gawo lalikulu la mankhwalawa limakonzedwa m'chiwindi ndi m'matumbo, ndikusokoneza ntchito za m'mimba, kuphatikizapo kapamba.
Osatinso kawirikawiri, kupweteka kwamphamvu kwa pancreatitis mwa mkazi pakuwonongeka kumayamba pambuyo pa matenda a ndulu. Ndi osafunika kupanga mwadzidzidzi m'masiku akuchulukirachulukira matenda, kupewa colara.
Kuchepa kwa chitetezo chathupi komanso kupezeka kwa thupi poganizira matenda oyambitsidwa ndi bakiteriya kapena kachilombo komwe kamayambitsa matenda angayambenso kutupa.

Kuwonjezeka kwa kukula kwa chiberekero kumayambitsa kuphatikizika kwa mitsempha ya m'magazi ndi mapindikidwe a kapamba, kusokonekera kwa chinsinsi cha pancreatic ndi kutupa kumayamba.

Matenda am'mbuyomu apakati, kuvulala kwa kapamba kumatha kukhala zinthu zomwe zimapangitsa kuti pakhale pancreatitis pa nthawi yapakati.

Njira Zodziwitsira

Kuzindikira kwa mayi woyembekezera wokhala ndi pancreatitis yayitali kumachitika mwa kupatsa maphunziro a labotale ndi zida:

Kuunikira kwa m'mimba komwe kumachitika m'mimba kumawonetsa kusintha kwa minyewa ya kutupa, kutupa ndi zizindikiritso za chotupa.
Kuyeza magazi m'thupi kumawonetsa kusowa kwa metabolic komwe kumayambitsa matendawa.
Pulogalamuyi ikusonyeza kuphwanya kwa chimbudzi komanso kuperewera kwa chakudya m'matumbo aang'ono.
Pakufufuza mkodzo, kusintha kwa kuchuluka kwa diastase ndi shuga kumapezeka.

Momwe mungachiritsire kapamba pamimba

Pochiza pancreatitis ndi mimba yotsatana, mankhwalawa amachitika moyang'aniridwa ndi dokotala. Ngakhale popereka mankhwala, mtundu wa mkazi ndi mwana wosabadwa amasiya chizindikiro chake ndi kuletsa kwambiri mankhwala omwe amagwiritsidwa ntchito. Chifukwa chake, ndi dokotala yekhayo amene ayenera kuchitira pancreatitis pa nthawi yomwe ali ndi pakati, ndipo ndikofunikira kuchita chithandiziro kuchipatala ndikupuma.

Monga mitundu yachilendo ya kapamba, chithandizo chimayamba ndi kukhazikitsidwa kwa zakudya zopatsa thanzi. Pokhala wokhoza, mayi woyembekezera amafunika magulu ena a mavitamini, choncho wopatsayo ayenera kuwerengera mosamala zakumwa kuti zisawononge mwana wosabadwayo. Ndipo zamchere, zowawasa, zowawa zimachotsedwa muzakudya.

Acidity m'mimba ndi matumbo amachotsedwa ndikugwiritsa ntchito kwambiri rose m'chiuno, tiyi, ndipo simuyenera kuchita mopitirira muyeso, chifukwa izi zimatha kusokoneza kukula kwa chiberekero. Pogwiritsa ntchito zakudya pali ma probiotic, prebiotic, omwe amathandizira kuchepetsa zizindikiro za matenda a gland. Kukhazikitsa moyenera malangizo omwe madokotala amapereka kudzakupatsani mwayi wowonjezereka wokhala mwana wathanzi komanso wamphamvu.

Izi matenda amafunikira chithandizo choyenera, ndipo mothandizidwa ndi chakudya, simungathe kudzipulumutsa nokha. Chifukwa chake, mukuyenerabe kumwa mankhwala kuti mubwezeretsenso ntchito ya gland.

Ma enzyme owonjezera. Mezim, Festal, Creon - mankhwalawa amabweretsa ma enzymes osowa m'thupi, omwe amayendetsa bwino chimbudzi. Amayenera kumwedwa mosamala asanadye.
Maantacid. Almagel, Gevixon. Mankhwalawa amachepetsa acidity ya kapamba wa pancreatic, omwe amathandizanso kuteteza njira yotupa. Gwiritsani ntchito mphindi 25 musanadye.
Peristalsis. Trimedat. Chipangizocho chikuvomerezedwa kuti chigwiritsidwe ntchito ndi amayi apakati. Mankhwalawa amalepheretsa kutulutsa kwamkati kuchokera ku kapamba, komwe kumachepetsa mwayi wa minofu necrosis.
Cholagogue Allohol, Holosas. Bwezeretsani kutuluka kwa bile ndi kusintha kugaya.
Mukupweteka kwambiri, kugwiritsa ntchito antispasmodics ndikulimbikitsidwa. Palibe-shpa, Spazmalgon. Zowona, mankhwala saloledwa kuzunzidwa, chifukwa adzayambitsa kupuma kwa chiberekero.

Kugwiritsa ntchito mankhwala onse kumagwirizana ndi dokotala.

Zisonyezero zochizira

Chithandizo cha opaleshoni ya kapamba chimakhala chofunikira kapena chofunikira ndipo chimachitika m'maola oyambawa chifukwa cha matendawa kapena masiku oyambawa. Chizindikiro ndi kufalikira kwa mphuno ya duodenum, ndikupanga kwa peritonitis.

Ndi kuchedwa kwa opaleshoni, opareshoni imachitika mu gawo la chitukuko cha minofu necrosis kapena peritoneum. Kuchita kotereku kumachitika masiku 15-16 atadwala kwambiri komanso kuchipatala.

Ntchito yoyeserera. Mtundu wa kulowererapo ukuchitika pokhapokha ngati pakuyenda patsogolo pa zamankhwala komanso mosiyanasiyana kukula kwa matenda. Chofunikira chidzakhala kusakwanira kwathunthu kotsitsimula ululu. Pamaso pa opareshoni, kudzifufuza kwathunthu kumachitika, zomwe zingathandize kuchotsa malingaliro olakwika ndi malingaliro.

Zakudya zochizira pancreatitis amayi apakati

Panthawi ya mankhwala a kapamba, lamulo lalikulu ndi chakudya chamagulu. Chovuta chokha ndikunyamula mwana wosabadwayo. Chifukwa chake, kusungidwa kolondola kokha kwa kuchuluka kwa mavitamini ndi michere ya mwana wosabadwa kungathe kuwerengedwa ndi katswiri wazakudya. Pancreatitis ambiri zakudya:

msuzi wophika kwachiwiri
mitundu yamafuta ochepa a nyama,
tchizi chamafuta ochepa
kefir
masamba otsika a fiber
phala pamadzi
mchere ukadali madzi.

Thanzi limachitika mu grated mawonekedwe komanso ochepa magawo, nthawi zambiri. Izi zimathandizira kuthana ndi matendawo komanso kufulumizitsa kuchira. Chifukwa chake ndibwino kukana zakudya: