Pancreas: komwe kuli ndi momwe zimapwetekera

Anthu ambiri amaganiza kuti ngati dzina la chinthuchi ndi "pancreatic," ndiye kuti limapezeka kwinakwake pansi, pafupi ndi navel, pakati pa matumbo a matumbo. Uku ndikulingalira kolakwika kwakukulu komwe kumachepetsa kudwala kwa wodwala kupita kuchipatala chifukwa cha chithandizo cham'tsogolo.

M'malo mwake, mwa kugonjetsedwa kwathunthu kapena kuphatikizika kwa ziwalo, imfa imachitika, popeza dzina lake loti "kapamba" limatha kutanthauziridwa kuti "wopanga zonse": popanda iwo, kugaya ndi kuyendetsa shuga wamagazi ndikosatheka.

Chifukwa chake, ndikofunikira kuti munthu aziyang'anira momwe matumba amapangira: ngati kuli kofunikira, mutha kuchotsa gawo lam'mimba, matumbo, kuyambiranso gawo la chiwindi, ndikuchotsa chikhodzodzo popanda mavuto.

Koma manambala onse omwe amapezeka ndi kapamba ndi owopsa kwambiri, chifukwa onse opaleshoni ya "kutaya mtima" - zida za madokotala a opaleshoni amalowa mkati mwake nthawi ya edema, pancreatic necrosis, kutengera kwa ducts ndi chotupa cha khansa - ndiye kuti, pamene moyo wa wodwalayo uli pangozi. Muyenera kudziwa ndikumvetsetsa momwe kapamba amapwetekera kuti muthe kuchitapo kanthu mwachangu.

Tsamba lofulumira

Kodi kapamba kali kuti - kumanja kapena kumanzere?

Chithunzi cha malo a pancreas mwa anthu

M'malo mwake, kapamba wamunthu sakhala m'mimba, koma pambuyo pake, amathanso kunena kuti amaphatikizira kumbuyo, ndipo amakhala pamlingo wa matupi a 1 ndi 2 a lumbar vertebrae.

Chimakhala ngati lilime lonyezimira mosiyanasiyana, ndipo kutalika kwa chitsulo mwa munthu wamkulu sikudutsa 25, m'lifupi - 10, ndipo makulidwe - 3 cm. Nthawi zambiri samalemera kuposa magalamu 100, ngakhale mwa munthu wamkulu. Mu chitsulo, mutu, thupi ndi mchira zimasiyanitsidwa.

Ndi mutu wake, imakuta kukhazikika kwa duodenum, thupi limaphimba m'mimba kutsogolo, ndi msana kumbuyo. Mchirawo umayambira kumanja kupita kumanzere.

Chifukwa chake, kungoyankha funso loti "gland ili, kumanja kapena kumanzere"? - zosatheka, iye ndi wakhazikika. Inde, ali ndi chidwi kumanzere, koma ndi mchira wawung'ono. Ndipo buku lake lalikulu limazunguliridwa pakati.

Zowonadi, ndizovuta kupeza chiwalo china chomwe chitha kubisidwa kwambiri mkati mwa thupi, ndipo chiwalo sichikhala chopanda kanthu, koma chophatikizika, chokhala ndi minyewa. Chifukwa chake mawonekedwe a ululu wammbuyo, komwe gwero lake ndi kapamba.

Zomwe zimayambitsa kupweteka

lamba chikhalidwe cha kupweteka

Ngati kapamba amapweteka, kodi zomwe zimayambitsa zimadziwika nthawi zonse? - Inde, zilipo. Tikulemba mndandanda wofunikira kwambiri kwa iwo: iyi ndi edema ya zimakhala zake, kutalika kwa kapisozi wake, necrosis ya ziwalo zake komanso kutengapo gawo pokhudzana ndi peritoneum ndikukula kwa peritonitis.

Njira zonsezi zimadziwika pogwiritsa ntchito matenda angapo:

1. Pancreatitis pachimake kapena chodwala. Amadziwika ndi kutukusira kwa zotulutsa za pancreatic, nthawi zambiri - chifukwa chogwiritsa ntchito Mlingo waukulu wa mowa wotsika kwambiri, zolakwika mu zakudya (zakudya zamafuta), matenda a gallstone.
2. Pancreatic zilonda - khansa.
3. Kuvulala kwa malo obwezeretsera ndi m'mimba. Makina ofala kwambiri ndikumenya pamimba ndi chifuwa moyang'anizana ndi chiwongolero pang'onopang'ono. Zimagwirizanitsidwa ndi kupezeka kwa hepatoma ya retoperitoneal, komanso hemorrhagic pancreatic necrosis.

Pazifukwa zilizonse zomwe kapamba samapweteka, sikuti ululu wowopsa womwe umakhala wowopsa, koma zotsatira zake - necrosis ya minofu ya gland, chifukwa chazovuta komanso kupweteka kwapakhosi.

Pancreatic necrosis ndi hemorrhagic komanso mafuta. Ndikosavuta kufotokozera izi ndi "kudzimbidwa tokha" mwa timene timapanga minyewa, ndipo izi zimachitika pambuyo podyera kwambiri tchuthi ndi chakudya chamafuta ambiri, zakudya zazonunkhira komanso mowa wamphamvu.

Ndondomeko iyi, pakakhala zotupa zathunthu za m'mimba ndi kukhudzana ndi matenda ena achiwiri, pafupifupi nthawi zonse imabweretsa imfa.

Zizindikiro - momwe mungamvetsetsere zomwe kapamba amapweteka?

Ululu wa kapamba suiwalika ndi munthu amene kamodzi adadwalapo chifuwa cha kapamba. Popeza gland ili pafupi pakatikati pa thupi, zikuwoneka kuti mtengo umalowedwa mkati mwa Mediastinum, womwe umamuboola munthu kudzera.

• Mawonekedwe a zowawa ndi chizindikiro choyamba cha pancreatitis pachimake. Popeza kuti gland ili pafupi ndi vertebrae, imakonda kupweteka kumbuyo.
• Chizindikiro chachiwiri ndi kusakhazikika kwakhalidwe: munthu samawonetsa malo a ululu ndi chala kapena mkono, amasuntha manja ake pamimba, nthiti zam'munsi, nthawi zina kukweza manja ake ngakhale kumbuyo kwake. Izi ndichifukwa cha kutalika kwambiri kwa timuyo.
• Chachitatu ndi kuperewera kwamavuto am'mimba, ngakhale kupweteka kwambiri. Ichi ndichifukwa cha "kutali" mtunda wa kapamba kuchokera pagawo lalikulu la peritoneum. Chizindikiro ichi chimatha kudziwa kuzindikira kwa matendawa.
• Chizindikiro chotsatira ndi kuwonjezeka kosaletseka komanso kosawerengeka kwa kupweteka, komwe sikulumikizidwa bwino (kapena osalumikizana nkomwe) ndikudya kwa chakudya. Mwachitsanzo, bambo wina adakumbukira kuti adadya chidutswa chachikulu cha nyama yotsekemera, koma maola atatu apitawo, kapenanso usiku womwewo.

Ndipo pali zizindikiro za dyspeptic, monga kusanza mobwerezabwereza, komwe sikubweretsa mpumulo, nseru, komanso chimbudzi chosakhazikika chomwe chimawonekera pambuyo pake kuposa zizindikiro zina zonse, chifukwa izi zimatenga nthawi.

Kupumira sikubweretsa mpumulo, chifukwa sikugwirizana ndi poyizoni, ndipo sikuchotsa poizoni m'thupi. Zimaphatikizidwa ndikukwiya kosalekeza kwa mitsempha ya vagus yomwe imalowa mkati mwa kapamba.

Mphamvu yakutsuka ikhoza kukhala yosiyana: kuchokera pang'ono mpaka pamadzi ndi profuse, momwe madzi am'mimba amachitikira. Maonekedwe a wodwalayo atha kumuzanso adotolo kwambiri: samagona modekha, koma amathamangira pakama, akugudubuzika mbali ndi mbali, atagwira manja ake pamimba.

Kuphatikiza pa kuda nkhawa, kufinya khungu, kumata, thukuta lozizira, kugwa komanso ngakhale kupweteka kwapweteka, komwe kumadziwika kuti kuwonongeka kwathunthu kwa ziwalo kungachitike.

Ngati munthu ali ndi zilonda zapakhansa, Zizindikiro zimatha kulumikizana ndi dongosolo la biliary: mwachitsanzo, chifuwa chachikulu, komanso khansa ya m'matumbo yomwe ili ndi chotupa cha khansa, jaundice yofatsa imatha.

Chochita ndi zowawa m'mapamba?

Choyamba, muyenera kupatula mankhwala onse, monga ma painkillers, monga Ketanova. Ziribe kanthu momwe tingadzitsimikizire kuti ndife odziwa bwino zomwe zimapangitsa kupweteka, ndi ululu wam'mimba, ma analgesics ndi oletsedwa.

Mapiritsi aliwonse otenthetsera pamimba ndi oletsedwa mwachimvekere: izi zimawonjezera kutupa, ndipo chimodzimodzinso chokha chokha chimatha kuyambitsa zonse, ndi zotsatira zakupha za wodwala kuchokera ku chotupa chachikulu.

Popeza nthawi zambiri zizindikiro zoyambirira zimachitika m'mawa kapena ngakhale usiku, ndikuledzera, ndizoletsedwa "kuvala" vodka kapena cognac. Izi zimayambitsa kupindika kwa sphincter ya Oddi, yomwe imapangitsa kuwonjezeka kowawa ndikuwonetsa kwa necrosis yayikulu.

Kodi ayenera kuchitanji kuti apweteke mu kapamba?

1. Chitanani mwachangu ambulansi.
2. Tsatirani mfundo ya "kuzizira, njala yathunthu ndi mtendere." Kuzizira kumatanthauza kuti paketi ya ayezi yoyikidwa pamimba ingathandize, ngati singachepetse, kenako ndikuchepetsa kuwonjezeka kwa edema. Njala - kugwiritsidwa ntchito kulikonse kwa chakudya motsutsana ndi ululu kumathandizira kutulutsidwa kwa msuzi ndi "chokhoma" chotsekedwa, chomwe chidzatsogolera ku pancreatic necrosis. Ndipo mtendere ndi mpumulo wa kama.
3. Chokhacho chomwe chimaloledwa ndikumwa madzi oyera kuti muteteze madzi m'thupi. Mwa mankhwala omwe awonetsedwa - "No-Shpa," kapena antispasmodic ina yomwe imakupatsani mwayi kuti "mutsegule" sphincter ndikutulutsa ma enzymes ake a proteni kuchokera kumimba ndikulowetsa m'matumbo lumen - yopanda vuto pamenepo, koma yakufa mkati mwa gland. Ndi kusanza kosaletseka, mankhwalawa amatha kutumikiridwa intramuscularly, ndipo metoclopramide imasonyezedwanso ngati antiemetic.

Ngati mankhwalawa apweteka kwambiri m'mapapo, ndiye kuti chithandizo chabwino kwambiri ndichofa ndi njala. Mutha kumwa madzi okha. Muyenera kufa ndi njala masiku atatu, kenako ndikusinthira ku chakudya chochepa, chamafuta ochepa. Mwachilengedwe, mumafunika kukana mowa ndi kusuta fodya.

Mutha kupitiliza kumwa ma antispasmodics kwa masiku owerengeka. Ndipo, zowona, maphwando ambiri saloledwa kwa moyo wanga wonse.

Koma izi zitha kutchedwa zabwino. Nthawi zina wodwala amatha kupulumutsidwa pokhapokha pochita opaleshoni yothamanga komanso mankhwala okwera mtengo, monga kukula kwa mahomoni ndi proteinase inhibitors. Chifukwa chake, ndikofunikira kusamalira mikwingwirima yanu mosamala, osadya mkati mwomwe palibe, mwachitsanzo, zakumwa zoledzeretsa zam'kati.

Ntchito zolimbitsa thupi

Malinga ndi kapangidwe ka chitsulo, ili ndi ntchito ziwiri: exocrine ndi endocrine.

Maselo otuluka tsiku ndi tsiku amatulutsa 0,5-1 l wa kapamba wa pancreatic, yemwe amakhala ndi madzi, mchere wa asidi ndi michere yokumba yomwe imaphwanya michere yobwera isanaperekedwe kumatumbo.

Zinthu zomwe zimapangidwa ndi acini ndi proenzymes osagwira, zomwe zimapatula kuwonongeka kwa tinthu tating'onoting'ono tokha. Chakudya chikalowa mu duodenum, zimachitika zingapo zosiyanasiyana, zomwe zimayambitsa kutseguka kwa michere ya pancreatic. Kukondoweza kwa enzymatic ntchito ya kapamba kumachitika pakulimbana kwam'mimba ndi matumbo. Madzi am'mimbamo, omwe ali ndi hydrochloric acid, amalowa m'matumbo ang'ono ndikuwonjezera kupanga kwa cholecystokinin ndi secretin, yomwe imayambitsa ntchito ya acini.

Gawo lakelo la chimbudzi limatulutsa ma enzyme otsatirawa:

1. Amilazu. Enzyme imeneyi imawola chakudya chamagulu owonjezera m'mimba kuti chitha kupukusa mosavuta ndi ma oligosaccharides.
2. Lipase (cholesterol esterase, phospholipase A ndi lipase). Milomo imaphwanya mafuta omwe adayesedwa ndi bile acid. Bile imayendetsa michere iwiri yoyamba ndikuletsa zochita za wachitatu, koma madzi a pancreatic ali ndi colipase, omwe amasunga kapangidwe ka lipase.
3. Protease (trypsin, chymotrypsin, elastase, carboxy ndi aminopeptidase). Mapuloteni amakhudzidwa ndi kupukusa kwa mankhwala a protein. Amaphwanya zomangira zamapuloteni ndikupanga ma amino acid kwa iwo.

Madzi a pancreatic amakhala ndi pH ya alkal, yomwe imalola kuti isasokoneze mphamvu ya msuzi wam'mimba panthawi ya chimbudzi cha zakudya zamatumbo.

Ntchito ya procrine imayang'aniridwa ndi pulogalamu yamanjenje, yomwe imamangiriza kukula kwa kupanga kwa pancreatic enzyme kuzakudya. Kapangidwe kamadzimu kamatengera kuchuluka kwa mapuloteni, mafuta ndi chakudya pamagulu a chakudya.

Zilumba za Langerhans (endocrine pancreas) zimakhala ndi mitundu isanu ya maselo, omwe amodzi amakhala ndi mahomoni ake:

1. Ma cell a Alfa. Maselo amenewa amatulutsa glucagon wa mahomoni, omwe amadzutsa shuga m'magazi panthawi yochita masewera olimbitsa thupi, i.e., amachita mosiyana ndi insulin. Komanso gawo ili la mabungwe achidule a Langerhans ali ndi gawo lofunikira popewa mafuta a hepatosis. Gawo la maselo a alpha ndi 20% ya kuchuluka kwa kapamba wa endocrine.
2. Maselo a Beta. Iwo ali ndi udindo wopanga insulini ndikuwongolera chakudya chamafuta ndi mafuta metabolism. Ndi gawo la mahomoni amenewa, minofu ya mthupi imadziunjikira shuga, ndikuchepetsa zomwe zili m'magazi. Maselo a Beta ndi gawo lofunikira kwambiri la gawo la intrasecretory: gawo lawo ndi mpaka 80% ya kuchuluka kwa mashopu a endocrine.
3. Maselo a Delta. Maselo amtunduwu amatulutsa mahomoni somatostatin, omwe amalepheretsa kugwira ntchito kwa tiziwalo tambiri ta endocrine, kuphatikizapo kapamba. Hormone iyi imapangidwanso mu gawo lalikulu loyang'anira dongosolo la endocrine - hypothalamus. Gawo la maselo a delta omwe ali mkati mwa cancreas sapitilira 10%.
4. Maselo a PP. Amathandizira kubisa kwa pancreatic polypeptide (PP), yomwe imalepheretsa kupanga ma enzymes a England ndipo imathandizira kupanga madzi am'mimba. Kukula kwa maselo a PP kuli mpaka 5% ya kuchuluka kwa gawo la endocrine la chiwalo.
5. Maselo a Epsilon. Maselo amtundu wa Epsilon, omwe gawo lawo limachepera 1% ya unyinji wa mabwalo amtundu wa endocrine, amatulutsa zomwe zimatchedwa. "Njala mahomoni" ghrelin, amene amachititsa chidwi.

Kuwonongeka kwa maselo a alpha ndi beta kumabweretsa zotsatira zoyipa kwa thupi, chifukwa mahomoni omwe amawongolera kagayidwe kazinthu kamthupi amapangidwa kokha mu kapamba.

Kodi kapamba amapezeka kuti?

Zikondazo (onani chithunzi) zili m'mimba mwa m'mimba (pafupifupi mulingo woyamba ndi wachiwiri wa lumbar vertebrae). Chiwalocho chimakhala kumbuyo kwa m'mimba ndikuchigwirizanitsa bwino ndi duodenum.

Ngati mumagwira zowerengera pambali ya khoma lam'mimba, malo ake ali pafupifupi 5-10 cm pamwamba pa msomali. Mutu wa gland umazunguliridwa ndi duodenum, yomwe imazungulira mozungulira ngati mawonekedwe a chivalo cha akavalo. Kudzera m'mitsempha ya kapamba - duodenal, magazi amapezeka ku kapamba amaperekedwa.

Kodi kapamba m'manja mwa anthu ndi kuti

Kodi zikondamoyo zimapweteka bwanji mwa anthu?

Zopweteka zomwe zimachitika chifukwa cha kusintha kwa kapamba zimatha kukhala zachilengedwe - kukoka kovuta kapena kudula pachimake, mpaka pakhungu (ndi peritonitis). Zimatengera mtundu ndi kutayika kwa zotupa, komanso kuphatikizidwa kwa ma sheet a peritoneal (peritonitis) pakatupa.

Pancreatitis pachimake ndi edema imadziwika ndi ululu wadzidzidzi, womwe nthawi zambiri umazungulira, kufalikira mpaka pamimba, mbali yakumanzere ndi dera lumbar. Chifukwa cha edema, kumverera kwodzaza kumapezeka pamalo a kapamba, kupanikizika kwa nthiti zamkati. Zikatero, kugwiritsa ntchito antispasmodics sikothandiza. Ululu umachepetsedwa pokhapokha mutangokhala ndi thupi lolunjika kutsogolo mpaka pansi.

Pakutalika kwa zowawa (ndipo nthawi zina ngakhale zisanachitike), kusanza kumatha kuyamba, komwe kumabwerezedwa kangapo ndipo sikumabweretsa mpumulo nthawi zonse. Zomwe zimatsuka zimatha kudyedwa ndi chakudya kapena bile (pamimba yopanda kanthu), makomawo akhoza kukhala wowawasa kapena owawa.

Zizindikiro zofananira (kupweteka kwambiri, kusanza) zitha kuwonedwa ndi kukokomeza kwa mitsempha ya m'mimba mu msana wa lumbar, ndi matenda a impso ndi ma shongozi. Kafukufuku wowonjezera athandizira kudziwa kukayikira kwa kapamba. Ndi lumbar osteochondrosis, kuwonda kwa vertebrae pa palpation kumayang'aniridwa, kumakhala ndi mavuto ndi impso - kuwonjezeka kwa ululu mukamenyera m'munsi kumbuyo, ndi shingles pakhungu pamakhala zotupa. Pancreatitis imadziwika ndi kusapezeka kwa zizindikiro zonsezi.

Matenda a kapamba amadziwika ndi kupweteka pang'ono, ndipo amapezeka nthawi zambiri chifukwa chophwanya zakudya. Kuopsa kwa kufalikira kwa kapamba kakang'ono ndi kupezeka kwa zotupa zapakhansa, kuphatikizapo zilonda zam'mimba (khansa).

Kodi ndimatenda ati omwe akuwonetsa?

Maonekedwe a ululu wopweteka m'mapapo nthawi zonse chimakhala chizindikiro cha matenda omwe amatsogolera pakupanga matenda akulu. Pamene magwiridwe antchito amachepa, njira za m'magazi zimachitika zomwe zimayenderana ndi matenda:

1. Pancreatitis ndi kutukusira kwa minofu ya tinyezi. Zimayendera limodzi ndi kudziunjikira ndi kutsegula kwa ma enzymes obisika ndi chitsulo, zomwe zimatsogolera ku chiwonongeko chake (kudzimbidwa). Pankhaniyi, zinthu zimamasulidwa kuti, kulowa m'magazi, zimawononga ziwalo zina - mtima, chiwindi, impso, mapapu ndi ubongo,
2. Jomba ndi imodzi mwazovuta za kapamba chifukwa chomwa kwambiri. Amadziwika ndi kudzikundikira kwa minofu yakufa ya gland ndi kutulutsa kwawo pambuyo pake,
3. Pancreatic necrosis ndi chifukwa cha pachimake mawonekedwe a kapamba. Limodzi ndi cell necrosis. Zingayambitse magazi m'mimba,
4. Matenda a thrombosis a splenic ndiye amayamba chifukwa cha kapamba. Kuphatikizidwa ndi kusanza ndi magazi komanso kupweteka kwambiri. Zimawonjezera kukula kwa kukula kwa ndulu komanso kuchepa kwa chitetezo chamthupi,
5. Cholestasis ndi njira yovuta ya kapamba. Amadziwika ndi kuphwanya njira za biliary ndi kusayenda kwa bile,
6. Khansa yapakansa - Kukula kwa zotupa zopweteka m'zinthu zina za epithelial za minofu ndi ma ducts. Atha kuwoneka motsutsana ndi matenda ashuga a shuga, chifuwa chachikulu ndi kapamba,
7. Matenda a shuga - amapanga motsutsana ndi maziko a kuchepa kwa insulin, komwe kumayambitsa kusokonezeka kwa glucose ndikuwonjezera kwake kuchuluka kwake m'magazi (hyperglycemia). Zimayendera limodzi ndi kuwonongeka kwa mitsempha, minofu, kupuma, chitetezo cha m'thupi, komanso mtima komanso kubereka.

Matenda aliwonse omwe amayamba chifukwa cha kukanika kwa pancreatic amakhala ndi chiopsezo chachikulu osati kungogwira ntchito m'mimba, komanso moyo wa munthu.

Zizindikiro

Kuzindikira matenda a pancreatic kumaphatikizapo njira zingapo:

1. Kuyang'ana wodwala ndi dokotala. Katswiri amafunsira wodwalayo, amayang'anira mtundu wa mucous nembanemba.
2. Palpation madera opweteka. Poyezetsa koteroko, wodwala choyamba amakhala kaye kumbuyo kwake, kenako kumanzere. Zikondazo zikakhudzidwa, kupweteka kumbali nthawi zambiri kumakhala kovuta.

Komanso, dokotala nthawi zambiri amapereka mndandanda wa mayeso ofunikira, kuphatikiza:

1. Kuyesedwa kwa magazi konse. Mavuto a gland nthawi zambiri amayambitsa kuchuluka kwa maselo oyera.
2. Kuzindikira milingo ya tripase, amylase ndi lipase mu seramu yamagazi.
3. Kuphatikiza apo, kafukufuku wa michere ya chiwindi amalimbikitsidwa: alkaline phosphatase, bilirubin ndi ATL. Kuwonjezeka kwa ziwonetsero kungasonyeze kuwukira kwa kapamba chifukwa cha kayendedwe ka ma gallstones.
4. Urinalysis kuti mupeze kuchuluka kwa amylase.
5. Kusanthula ndowe zamafuta kwambiri, trypsin ndi chymotrypsin.

Kuphatikiza apo, njira zogwiritsa ntchito paziwonetsero zimagwiritsidwa ntchito:

1. Roentgenography. Ndi chithandizo chake, zimapezeka ngati chitsulo chimakulitsidwa kapena ayi.
2. Ultrasound Amathandizira kuti aphunzire zomwe zimachitika mthupi, amawunika kukhalapo kwa ma gallstones, mkhalidwe wakadzala.
3. MRI Amagwiritsidwa ntchito pofotokozera za matendawa, amawonetsa kupezeka kwa pancreatic necrosis kapena madzimadzi mu peritoneum.

Inde, chinthu choyambirira kuchita mukazindikira zomwe kapamba amapweteka ndikufunsira katswiri. Kupatula apo, kudzifufuza, komanso kudzipangira wekha, kumakhala koopsa ku thanzi.

Ndi vuto la pancreatitis yovuta kwambiri, kusala kwathunthu ndikofunikira masiku awiri, popeza madzi a pancreatic pamenepa amapangidwa pang'ono, ndipo katundu wochokera ku gland amachotsedwa. Nthawi zambiri, chilala chimachepa kapena kusowa kwathunthu masiku angapo chisanachitike kukokosera. Munthawi imeneyi, muyenera kumwa madzi amchere (madzi amchere opanda mpweya, yankho la soda) kapena msuzi wa rosehip.

Ngati muli ndi ululu wam'mimba kwambiri, kusanza kwambiri, kapena kupweteka pang'ono kwa masiku angapo, muyenera kulumikizana ndi achipatala, chifukwa izi zimatha kukhala zizindikiro za cholecystitis, appendicitis, zilonda zam'mimba kapena m'mimba.

Pankhani ya pancreatitis pachimake, kuchipatala ndi kulandira chithandizo kuchipatala ndikofunikira. Popewa kuchepa kwamatenda ndikuchepetsa kukakamiza, amachepetsa dontho. Ma painkiller ndi mankhwala omwe amachepetsa kubisala kwa michere ndi mankhwala. M'masiku oyamba a 3-4, amathandizidwa kudzera m'mitsempha, ndipo pambuyo pothandizidwa ndi mapiritsi. Pofuna kuchepetsa ululu mu kapamba, ayezi angagwiritsidwe ntchito.

Zakudya ndi zakudya

Kudyetsa chakudya ndi gawo lofunikira kwambiri pothandizira komanso kupewa kufalikira kwa kapamba. Mukanyalanyaza izi, mankhwala aliwonse sangakhale opanda mphamvu.

Popeza kuchuluka ndi kuchuluka kwa ma enzymes omwe amapangidwa ndi chitsulo kumasiyanasiyana malinga ndi zomwe zimapangidwa pazakudya chimodzi, ndikulimbikitsidwa kuti musinthane ndi zakudya zopatsa thanzi kuti muchepetse katundu pazitsulo, i.e.

Komanso, munthu sayenera kudya mopitirira muyeso: kudya zakudya za tsiku ndi tsiku za caloric sikuyenera kupitirira zofanana ndi zaka, kugonana komanso mtengo wa mphamvu ya thupi.