Ndi dokotala uti amene amasamalira kapamba

Zikondamoyo ndi chimodzi mwa ziwalo zazikuluzikulu za munthu. Ntchito yolakwika imayambitsa mavuto m'thupi lonse. Pazizindikiro zoyambirira za vuto la ziwalo zolimbitsa thupi, upangiri waukatswiri umafunika, koma sikuti aliyense amadziwa omwe adotolo amasamalira kapamba.

Ndi dokotala uti amene amasamalira kapamba

Mavuto a Pancreatic

Matumbo amtundu wa pathologies amathandizidwa ndi a gastroenterologist. Chimodzi mwazovuta zambiri za kapamba ndi kapamba. Matenda ndi njira yotupa yomwe imatsogolera kusintha kwa minofu. Matendawa ndi osachiritsika komanso opweteka.

• kugwiritsa ntchito mankhwala amphamvu
• kuvulala
• mavuto pambuyo matenda,
• matumbo
• kumwa mowa.

6 zimayambitsa pancreatitis

Zizindikiro zodziwika bwino za mavuto a pancreatic:

1. Kusanza, kusanza.
2. Ululu mu quadrant wapamwamba kumanzere.
3. Kupanda chilimbikitso.
4. Kufalikira, chisangalalo.
5. Matenda am'mimba.

Kukula kwa zizindikiro zomwe zili pamwambazi mwachindunji zimadalira kukula kwa matendawo. Ngakhale pa gawo loyambilira la pathology, thupi la munthu lifunika michere. Pokhala ndi chakudya choyenera, padzakhala kusowa kwamadzi pakhungu, misomali yothina, kuchepa kwa mavitamini, komanso kuchepa thupi. Kuphatikiza pa kapamba, necrosis, matenda a shuga, calculi mu ma ducts ndi adenocarcinoma amapezeka kawirikawiri.

Zizindikiro za thupi zokhudzana ndi matenda apamba

Mu chilonda chachikulu cha pancreatitis, chomwe chinayambika mosayembekezereka, pamakhala kupweteka kwa m'chiuno ndi kupweteka komwe kumaphimba kumbuyo ndi kumanzere kwa thupi. Mukamagwedezeka, ululu umacheperachepera, koma mankhwalawa samathandiza pancreatitis. Nthawi zambiri, kuchulukitsa kwa matendawa kumayendera limodzi ndi kusanza.

Yang'anani! Matenda osachiritsika amadziwika ndi kupweteka kwapafupipafupi komwe kumachitika nthawi yowonjezera.

Pamaso pa necrosis, ma enzyme ochulukirapo amatulutsidwa m'thupi la munthu chifukwa chakufa kwa gawo lina la nduyo. Zizindikiro za matendawa ndi kutentha thupi, kusanza, kutsegula m'mimba, kupezeka kwa mawanga amtambo pafupi ndi msomali, mbali ndi pamimba. Pambuyo pakuwonekera kwa zizindikiro izi, thandizo la katswiri ndilofunikira.

Udindo wa kapamba m'mimba

Munthu sakudziwa komwe kapamba amapezeka mpaka pali zizindikiro za matenda ake. Zizindikiro zoyambirira zomwe zimafunikira upangiri wa zamankhwala ndi mseru, kusisita, kupweteka m'chiuno mutatha kudya. Chiwalocho chimakhala kumanzere pansi pamimba, chifukwa chake chimayesedwa ngati gawo logaya chakudya. Ma Enzymes omwe amapangika ndi kapamba, mutalowa mu duodenum, agwetsani michere muzinthu zina. Thupi limayendetsa kagayidwe ka mapuloteni, mafuta ndi chakudya chifukwa cha mahomoni, komanso limapangira madzi amamba a chimbudzi pakudya.

Pancreas malo

Ma mahomoni akabisika ndipo njira za metabolic zimakhazikika, ntchito ya endocrine imakhudzidwa. Zikondazo zimatulutsa madzi okwanira lita imodzi ya madzi patsiku, komanso ma lipases, ma amylase, ndi ma trypsins, omwe amathandizira kuti chakudya chikhale ndi mapuloteni. Ntchito yamkati imalola kupanga ma glucagon mahomoni, insulin. Kugwiritsa ntchito insulin, thupi la munthu limapukusa shuga ndi chakudya.

Glucagon wa mahomoni amathandiza kuteteza chiwindi kuti chisawononge mafuta. Ngati pali ma pathologies am'magazi a glucagon ndi insulin, kufunsa kwa endocrinologist kungafunike. Kuchita kwa kapamba kumakhudza mkhalidwe wam'mimba komanso thupi lonse laumunthu.

Pancreas: Kusankha Kwa Dokotala

Anthu mamiliyoni ambiri amapita kuchipatala ndi matenda am'mimba, kuphatikizapo matenda a kapamba. Matendawa amaphunziridwa bwino, chifukwa chake, mothandizidwa ndi zamankhwala, thanzi limatha kusintha. Pazizindikiro zoyambirira zamatumbo am'mimba, ndikofunikira kulumikizana ndi akatswiri monga dokotala wamkulu, endocrinologist, dokotala wa opaleshoni, gastroenterologist, oncologist.

Ntchito ya pancreatic

A kwambiri mawonekedwe a kapamba angayambitse kuwoneka kwa neoplasms ndi cysts osati pancreas, komanso pamimba ndi chiwindi. Dziwani kuti chotupacho chimalola ultrasound, ERCP, MRI, CT. Kutengera ndi zotsatira za kafukufukuyu, adotolo adzalembera chemotherapy kapena opaleshoni. Matendawa ndi ovuta kuthandizira ndipo nthawi zambiri amakhala ovuta chifukwa cha kupezeka kwa neoplasms kapena matenda a shuga. Kulowetsa kuchipatala mosavomerezeka kumapangitsa kuti ma opaleshoni ayambe kuchitidwa opaleshoni ndikuyenda bwino m'maso.

Dokotala wam'deralo amatha kuchezeredwa chifukwa cha matenda opepuka a kapamba, osati pachimake kapamba, kapena matenda ena okayikitsa. Kuunika ndi kuyesa kwa Ultrasound kumathandizira kuti adziwe matenda, ndipo ngati kuli kotheka, katswiriyo amamuthandiziranso kwa gastroenterologist. Nthawi zambiri zizindikiro za matenda a kapamba zimayenderana ndi matenda ena monga osteochondrosis, herpes zoster, omwe akatswiri amawazindikira atawunika. Pambuyo pochotsa nthenda yowopsa ya nthendayi, wochita zamankhwala amawauza kusintha kwa zakudya ndi moyo, pambuyo pake wodwalayo amalembetsedwa ndipo nthawi ndi nthawi amapita akatswiri odziwa ntchito.

Dokotala wakwanuko amatha kuchezerani matenda a m'mapapo a kapamba

Gastroenterologist

Uyu ndiye dokotala wamkulu, yemwe ayenera kufunsidwa kuti apeze zovuta ndi kapamba. Mwa kudziwa ululu wamalonda, katswiri azindikire kuti ndi gawo liti lomwe lawonongeka. Kuchuluka kwa kuchuluka kwa leukocyte kumawonetsa kutupa. Kuti adziwitse matenda ake, dokotalayo amapereka mankhwala a urinalysis, coprogram, ultrasound, MRI mosiyana ndi x-ray. Kafukufuku akuwonetsa kuchuluka kwa maulendo atatu, ma lipases ndi ma amylase m'magazi a anthu.

Gastroscopy imagwiritsidwa ntchito kuwunika gawo lomwe limakhudzidwa ndi m'mimba ndi duodenum mu pathological process. Mulingo wambiri wa ESR ndi maselo oyera oyera amawonetsa matendawa. Cholangiopancreatography imakuthandizani kuti muphunzire za zowonjezera zosagwirizana, kupindika kwa stenosis, malembedwe opindika. Kuti mupeze neoplasms, ERCP imagwiritsidwa ntchito.

Kutengera ndi thanzi la wodwala komanso matenda ake, dotolo amatha kupatsa ena njira zowunika:

• mayeso a kuperewera kwa chymotrypsin
• kusangalatsa ndi cholecystokinin ndi kapangidwe ka enzyme pambuyo pake,
• kukondoweza kwa secretin ndi muyeso wa chitsulo cha bicarbonate.

Dokotala wa gastroenterologist ndiye dokotala wamkulu yemwe ayenera kufunsidwa kuti apeze zovuta ndi ziphuphu

Mayeso omwe ali pamwambawa amachitidwa atatola kuyesedwa kwa kapamba pogwiritsa ntchito prood wa duodenal. Pafupifupi chipatala chilichonse chimakhala ndi gastroenterologist, ngakhale pakakhala kusowa kwanu mutha kupita kuchipatala kuti mukakambirane. Osayendetsa matenda a pancreatic, apo ayi mavuto sangathe kupewedwa.

Endocrinologist

Pankhani yamavuto opanga insulin, dokotalayo amakupangira chithandizo, chomwe chimaphatikizapo mankhwala omwe amalocha mahomoni. Ndi kuvomerezedwa kwakanthawi kuchipatala, zimatengera kuti wodwalayo akhale ndi matenda opatsirana ngati shuga. Mu kapamba pali maselo omwe amapanga insulin, somatostatin, glucagon, omwe amayang'anira kuchuluka kwa glucose mthupi.

Kutupa mu kapamba kumatha kuyambitsa cell necrosis, chifukwa chomwe shuga ndi zovuta zina za endocrine zimayamba. Ndi kuchulukana kwa kapamba, kuchuluka kwa ma amylase ndi glucose mu mkodzo kumawonjezeka, osati m'magazi okha. Komanso, momwe wodwalayo amayang'aniridwa ndi endocrinologist.

Pankhani ya matenda a kapamba, ndikofunikira kukaona endocrinologist

Katswiriyu ndikofunikira pancreatitis yovuta kwambiri, pomwe wodwala adzafunika kuchipatala komanso kulandira chithandizo kuchipatala. Pakuwopsa kwa kapamba, ma dontho ndi ma pinkil amalembedwa kuti azichotsa zizovuta m'masiku angapo. Kuchita opareshoni kumachitidwa pomwe miyala imalepheretsa zofunikira za chiwalo. Dokotala wothandizira azitha kusiyanitsa kapamba ndi zilonda zam'mimba, cholecystitis kapena appendicitis, omwe ali ndi zizindikiro zofanana.

Dokotala wothandizira amafunikira pancreatitis yovuta, pamene wodwala akufunika kuchipatala

Kuyendera koyambirira

Poyamba kufunsa, adokotala azitha kunena ngati ululu wammbuyo umalumikizana ndi kapamba kapena ayi. Kuunika ndi kusanthula kudzakuthandizira kudziwikitsa koyenera, pambuyo pake katswiriyo adzapereka mankhwala a matenda enaake. Ultrasound imakupatsani mwayi kuti mupeze gawo la kuwonongeka kwa ziwalo ndikuzindikira matenda mwa izi:

• kukulitsa England
• kukhalapo kwa neoplasms,
• heterogeneity ya echogenicity.

Ngati chotupa chapezeka pa ultrasound, munthu amamuika kuti awonane ndi oncologist. Kutengera ndi zotsatira za mayeso, dokotalayo amakupatsani mankhwala othandizira kapena opaleshoni. Ngati mukuwonjezereka komanso kupweteka kwambiri, wodwalayo amamuwuza kuti amuchitire opaleshoni kuti amupangire dokotala kapena wothandiza, kutengera mkhalidwe wa munthuyo panthawi ya kuchipatala.

Poyamba kufunsa, adokotala azitha kunena ngati vuto la ululu limayenderana ndi kapamba kapena ayi

Therapy ndi zowonera

Pambuyo kuwonetseredwa kwakukulu kwa matenda apachifwamba atachotsedwa, wodwalayo amatumizidwa kwa gastroenterologist. Katswiri adzalangiza zakudya zamagulu azakudya, zomwe zingathandize kukonza mkhalidwe wa wodwalayo ndikuchepetsa chiopsezo chowonjezereka mtsogolo. Ngati malangizowo sanatsatidwe, pancreatitis ibwerera posachedwa, koma mawonekedwe owopsa.

Wodwala wokhala ndi matenda osachiritsika ayenera kutsatira zakudya zapadera. Ngati mukuchulukirachulukira, ndikofunikira kukana chakudya masiku angapo. Chosiyana ndi madzi osakhala a carbonated. Kenako mutha kudya chakudya m'magawo ang'onoang'ono kasanu patsiku. Zakudya zopatsa thanzi zimaphatikizapo zakudya zambiri zama protein komanso zochepa zomwe zimakhala ndi mafuta ndi chakudya. Kukhala kothandiza kugwiritsa ntchito mafuta ofunda kapena otentha owira.

Zinthu zabwino kwambiri za kapamba

Ndikofunikira kuti muzikhala ndi zakudya kwa miyezi iwiri kuti mubwezeretsere kapamba, ngati chiwopsezo cha pancreatin chikuwoneka koyamba. Munthawi yamatenda, matendawa amakhala amoyo wonse.

Zikondamoyo zimakhudza kugwira ntchito kwa chiwalo chonse, makamaka dongosolo la endocrine limadalira chiwalo ichi. Kuti mupewe mavuto amtsogolo mtsogolo, muyenera kupita kwa dokotala munthawi yake ndipo, pazizindikiro zoyambirira zaumoyo, pezani thandizo kwa katswiri.