Zizindikiro zotupa za pancreatic

Anthu ambiri amadandaula chifukwa cha kusokonezeka kwa m'mimba. Nthawi zina chizindikiro ichi chimatsatiridwa ndi mseru komanso kusanza. Zolakwika zoterezi zinachitika pafupifupi aliyense. Komabe, nthawi zina, zizindikirozi nthawi zambiri zimawonekera. Makamaka munthu atatha kudya mafuta, kuvuta kugaya zakudya. Tsoka ilo, si aliyense amene amapita kwa dokotala ngati zotere zimachitika. Ambiri amakhulupirira kuti izi zimawonetsa poyizoni ndipo zidzangochitika zokha. Malingaliro oterewa ndi olakwika, chifukwa zizindikiro zomwe zalembedwapo nthawi zambiri zimagwirizanitsidwa ndi kupukusira kwamatenda mu kapamba (kapamba). Chiwalo ichi ndi chofunikira pakugwirira ntchito kwamatumbo. Mwa anthu athanzi, kapamba amatulutsa michere yambiri yomwe imathandizira kugaya mafuta, mapuloteni komanso michere. Kuphatikiza apo, mahomoni amapangidwa mkati mwake, kuphatikizapo insulin, glucagon, somatostatin. Zizindikiro za kutupa kwa kapamba zimasonyeza kuti chiwalo chathyoledwa. Kubwezeretsa magwiridwe ake, chithandizo ndi zakudya ndizofunikira. Kupanda kutero, kutupa kosatha kumayamba. Mwakutero, zizindikirazi zimabwerezedwa nthawi iliyonse wodwala akadya mafuta kapena okazinga.

Kukonzekera kwa enzyme

Patha zaka zoposa 150 kuchokera pomwe dokotala wa ku Dutch D. Flash adachotsa ziphuphu zakudwala za wodwala ndikuchotsa madzi am'mapazi a ana amphongo. Mpaka pano, pancreatin ya mankhwala opangidwa kuchokera ku kapamba ka ng'ombe kapena nkhumba yakhala ikugwiritsidwa ntchito kwambiri pazolinga izi. Enzymes lipase, amylase ndi proteinase yomwe ndi gawo la kapamba amathandizira kugaya mafuta, chakudya ndi mapuloteni, zomwe zimapangitsa kuti azilowa m'matumbo ang'onoang'ono. Zomwe zimapangitsa kuti mankhwala a enzyme atchuke ndizosavuta: zikondamoyo zoyipa zimafuna kupumula. Amaperekedwa ndi mapiritsi ndi makapisozi, omwe amatenga gawo la ntchito yogaya chakudya ndikuthandizira ululu.

Mu mankhwala, mutha kupatsidwa kusankha mankhwala angapo okhala ndi ma enzymes ochiritsa. Imatha kukhala pancreatin concentrate, pancreasim, pank renorm, pancytrate, penzital, panzinorm forte, tsopano creon wotchuka ndi ena. Odwala ena, akuwunikira manja awo osagwiritsa ntchito mwatsatanetsatane, amagula chinthu choyamba chomwe wafizirayo adayitana. Komabe pali tsankho lotere: Amati ngati wodwala samadziwa zambiri za mankhwalawo, ndiye kuti amawakhulupirira kwambiri, motero, amamuthandiza. Mwachidziwikire, uku ndi mwayi wabwino chabe, kulola adotolo kuti adziwe zochepa za iye komanso osafotokozera wodwala chilichonse.

Kuti athandizidwe ndi milanduyi, tikupangira kuti mukumvetsetsa zomwe zimapangidwira ndikugwiritsa ntchito kukonzekera kwakukulu. Tiyeni tiyambire ndi owongolera ochepa kwambiri a kapamba - izi ndi mezym forte, zomwe sizimapereka zotsatira zoyipa ndipo zimaperekedwa kwa ana kuyambira ali aang'ono kwambiri ndi amayi oyembekezera. Ndipo mankhwala onse omwe ali pamwambawa ali ndi pancreatin mu mawonekedwe ake oyera.

Popeza matenda opatsirana a kapamba nthawi zambiri amaphatikizidwa ndi kukanika kwa ziwalo zina (chiwindi, m'mimba, matumbo, biliary thirakiti), zigawo zina zowonjezera matumbo microflora, mayamwidwe, katulutsidwe ka bile, ndi zisonyezo zina zimayambitsa kuphatikizidwa kwa mankhwala limodzi ndi kapamba. Mankhwalawa akuphatikiza kugaya, kugaya forte, chikondwerero, kuyimbira, michere, panzinorm forte.

Monga mukuwonera, zokonzekera zambiri za enzyme zilipo lero. Ndipo kuti musasokonezedwe m'mabokosi okhala ndi mayina osadziwika, musanapite ku mankhwala osokoneza bongo musakhale aulesi kwambiri kuti mukafunse kwa gastroenterologist.

Mwina adokotala angakuuzeni kuti m'zaka zaposachedwa, njira zogwiritsira ntchito ma enzyme zasintha. Poyamba anthu ankakhulupirira kuti ayenera kugwiritsidwa ntchito pakukula kwa kapamba, ndiye kuti, masabata ndi theka kapena awiri kuyambira pomwe exacerbation. Tsopano michere imayikidwa nthawi yomweyo, munthu akayamba kudya. Pafupifupi, kuyambira tsiku lachinayi la matenda.

Izi zidatheka chifukwa m'zaka khumi zapitazi mankhwalawa akugwiritsidwa ntchito mwapadera, monga konkoni, awonekera ku Russia. Bokosi la creon gelatin lili ndi tinthu tating'onoting'ono tambiri tokhala ndi pancreatin. Udzu wa gelatin ikalowa m'mimba, imasungunuka mwachangu. Ndipo mapiritsi aana amasakanikirana ndi chakudya, kulowa mu duodenum ndikutsika bizinesi. Chifukwa chake, ma creon ndi mawonekedwe ake amagwiritsidwa ntchito kwambiri pancreatitis. Creon ndi mankhwala omwe amatha kusintha mosavuta komanso amatha kusintha mosavuta. Wodwala yemwe akutenga Creon sangatsatire zakudya zovuta kwambiri.

Tsopano amalankhulanso zambiri za ma enzymes a chomera - papain ndi bromelain, omwe amaphatikizidwa ndi mankhwala ambiri amakono: wobenzym, phloenzyme, unienzyme. Mankhwalawa amathandizira kwambiri pakudya chakudya chamafuta owonjezera thupi, koma potengera mphamvu yawo sangayerekezedwe ndi mankhwala achikhalidwe. Chifukwa chake, ndi pancreatitis, kukonzekera kwazitsamba kungalimbikitsidwe ngati gawo limodzi la chithandizo chokwanira. Osati nthawi yanthawi yowonjezera.

Mu chifuwa chachikulu cha pancreatitis, mankhwala a enzyme amatengedwa pamtunda wautali. Ndipo ngati kapamba wavutika kwambiri - nthawi zina moyo wanga wonse. Nthawi zambiri, michere yokugaya imadyedwa mukatha kudya, koma ngati mukufuna kukonzedwa kapena zinthu pansi, mutha kumwa mapiritsi ndi chakudya. Kumbukirani kuti zokonzekera zonse zomwe zimakhala ndi ma enzymes ziyenera kusungidwa pamalo abwino. Sungani mapiritsi ndi zakumwa m'firiji, ndi ufa ndi makapisozi pamalo abwino, owuma.

Zikuwoneka kuti vuto lomwe lili ndi ma enzyme adathetsedwa: mankhwalawa amathandizira ntchito ya zikondwerero zathu - ndipo tsopano sitingawope kufalikira. Koma, likukhalako, pali gawo lozungulira ndalamayo - anthu ena, motsogozedwa ndi malonda, tsopano musangokhala pagome popanda mezim ndi kukonzekera kofananako. Samalani ndi ma enzyme, chifukwa popanda "kuphunzitsa" kapamba wanu amayamba kukhala waulesi ndikusiya kutulutsa zinthu zodyera zokha. Zotsatira zake, pakatha chaka chimodzi, mankhwala amphamvu azifunikira, kenaka olimba, kenako amadzatulukira kuti popanda pancreatin, ngakhale semolina porridge silingagwidwe. Tsimikizani chiyembekezo ma enzyme, koma osadandaula kwambiri - musaiwale za zakudya, gwiritsani ntchito kukonzekera kwa enzyme kokha monga adokotala adalembera ndipo ngati simungathe popanda iwo.

Laser chithandizo

Mankhwalawa pancreatic pathologies, njira zolimbitsa thupi zimagwiritsidwa ntchito kwambiri. Njira imodzi yotere ndiyo chithandizo cha laser. Laser mankhwala nthawi zambiri zotchulidwa atangoyamba ntchito kapamba. Njira zolimbitsa thupi pankhaniyi zimachitika m'magawo awiri:

1) choyamba, odwala amapita padera la pancreas nthawi yayitali (nthawi ya njirayi ndi mphindi 5 mpaka 10),

2) ndiye laser chithandizo choyenera chimachitika - chilonda cha postoperative chimasesedwa ndi mtengo kuchokera mtunda wa 1 cm.

Kutalika kwa scan laser ndi mphindi 10. Njira ya chithandizo ndi njira za tsiku ndi tsiku za 10-15, kuyambira tsiku loyamba pambuyo pa opaleshoni.

Kodi njira iyi ndi yotani? Choyamba, pali kuchiritsa mwachangu kwa mabala a postoperative.Kuphatikiza apo, mtanda wa laser umachepetsa ululu ndi kutupa.

Magnetotherapy

Pochizira pancreatitis yosatha, mphamvu zamagetsi zosinthika zamagetsi zimagwiritsidwa ntchito bwino, zomwe, mosiyana ndi minda yamagetsi yamagetsi yambiri, ilibe mphamvu. Kafukufuku wachipatala awonetsa kuti magnetotherapy ili ndi zabwino zambiri - njirayi imakhala ndi mphamvu yotsutsa-yotupa, imathandizira kupweteka, komanso imathandizira chitetezo cha mthupi. Mankhwalawa, kuchuluka kwa magazi kumayenda bwino, kuchuluka kwa ma cell kumawonjezeka. Njirayi ndi yothandiza kwambiri kuphatikiza ndi mankhwala osambira a coniferous bath. Kusamba kumayikidwa tsiku lililonse, kutentha kwa madzi ndi 36-37 ° C. Njira ya mankhwalawa ndi malo osambira 8-10.

Chithandizo cha matope

Mankhwala a peloid amathandiza kwambiri pancreatitis yosatha, ndiko kuti, matope othandizira odwala matendawa. Kafukufuku wasonyeza kuti kugwiritsa ntchito matope kumathandizira kuchira ndikuchotsa zovuta za microcirculatory mu kapamba. Ndikulimbikitsidwa kuyika ntchito yamatope pamalire a kolala, kumtunda ndi m'munsi malekezero a mawonekedwe a magolovesi apamwamba ndi masokosi. Ntchito zamatumba zimagwiritsidwa ntchito tsiku lililonse (kutentha - 38-39 ° C, maphunziro othandizira - 8-10 njira).

Matalala othandizira okhudzidwa ndi magawo a reflexogenic amathandizira chitetezo chamthupi, amawongolera ntchito za ziwalo zam'mimba. Akatswiri amati kuphatikiza njira iyi ya physiotherapy ndi njira zina zochiritsira matenda a kapamba - chakudya chamagulu (tebulo No. 5P) komanso kusamba kogwiritsa ntchito mankhwala tsiku lililonse (kutentha kwa madzi - 36-37 ° C, maphunziro othandizira - 8-10 osambira).

Mapulogalamu ozokerite

Ozokerite, yomwe nthawi zina mophiphiritsa imatchedwa misozi yowuma padziko lapansi, yakhala ikudziwika kwa anthu kuyambira kalekale, mwachitsanzo, mafuta. M'mbuyomu, adagwiritsidwa ntchito popanga makandulo ndi mankhwala ena. Mphamvu yodabwitsa yachilengedwe iyi imakhala ndi ma parafini akuluakulu ndi kulemera kwa maselo okhala ndi zowonjezera zamafuta amadzimadzi ndi zinthu zotsalira.

Mankhwala, ozokerite amagwiritsidwa ntchito ngati anti-yotupa komanso analgesic, ndipo mothandizidwa ndi magazi amawonjezera magazi mu chiwalo chodwala, chomwe chilinso ndi antiseptic. Mu chifuwa chachikulu cha chikhululukiro, ntchito za ozokerite zimayikidwa pang'onopang'ono kwa kapamba. Njira yotchedwa cuvette njira yogwiritsira ntchito ozocerite imapereka zotsatira zabwino. Chochita chopangidwa ndi chitsulo chimatsanuliridwa mu tini cuvette yoyeretsa 20 x 40 cm ndi kutalika kwa 3-5 cm, wokutira ndi mafuta. Pambuyo pa ozokerite kuzizira kutentha kwa 45-50 ° C, iyo, limodzi ndi chikopa cha mafuta, imayikidwa m'dera la odwala.

Mphamvu yamafuta a ozokerite ndi yotsika kwambiri, chifukwa chake ntchito sizimawotcha khungu ngakhale kutentha kwa 60-70 ° C. Kuphatikiza apo, atatha kugwiritsa ntchito, ozokerite imawuma, potero amateteza khungu ku lotsatira, zigawo zotentha.

Chimodzi mwa malo odyera odziwika kumene amachitira ozokerite ili ku Truskavets. Chomwe chimagwiritsidwa ntchito kwambiri kumeneko chinali mankhwala ozokerite, okhala ndi mafuta opaka komanso mafuta a parafini. Kumayambiriro kwa zaka za m'ma 80 za XX, mankhwala atsopano adawoneka - ozokeramin, ozoparaffin, ozokerafin, napochi ya ozokerafin. Ozokerafin, komanso ozokerite wachipatala, nthawi zambiri amagwiritsidwa ntchito pakhungu ndipo amamugwiritsa ntchito ndi njira ya cuvette-application kapena minofu.

Pamaso pa njirayi, kuti njira yolera yotseketsa, ozokerite imatenthedwa mpaka 100 ° C ndipo imasungidwa ndi kutentha kwa mphindi 30 mpaka 40. Monga lamulo, umayikidwa pakhungu ndi compress kapena lozenges. Kupanga keke kuchokera ku ozokerite, imathiridwa mu mawonekedwe osungunula mu cuvette ndikuloledwa kufewetsedwa. Mukaphika keke yotereyi, imakhalabe yotentha.

Compressyo imapangidwa pogwiritsa ntchito chopukutira chopukutira, chomwe chimatsitsidwa m'chiwiya chomwe chili chotentha, chotsetsedwera, ndikuchigulitsa pamtengo wamafuta ndikudikirira mpaka compressyo itazizira mpaka kutentha.Pambuyo pake, imayikidwa pamalo owawa. Ma compress a Ozocerite amagwiritsidwa ntchito ngati, malinga ndi zidziwitso zamankhwala, wodwalayo amawonjezedwa kutentha kwambiri.

Compress ya ozocerite kapena lozenge nthawi zambiri imayikidwa kwa mphindi 40-60. Pambuyo pa njirayi, tinthu tating'onoting'ono tomwe timamatira pakhungu timachotsedwa ndi thonje swab ndi mafuta odzola. Nthawi zambiri, njira zimakhazikitsidwa tsiku lililonse kapena tsiku lililonse. Pambuyo pa njirayi, wodwalayo ayenera kupuma kwa mphindi 30 mpaka 40. Njira yonse ya chithandizo, monga lamulo, ndi njira 20-25.

Madzi amchere

Thandizani bwino pancreatitis ndi madzi amchere. The achire zotsatira zimatheka chifukwa chakuti amamwa mchere wam'madzi osati monga choncho, nthawi ndi nthawi, koma malinga ndi sayansi: amamwa madzi ena pafupipafupi kwa nthawi yayitali omwe amalimbikitsidwa ndi dokotala.

Zomwe zimachitika madzi amchere zimadalira kapangidwe kake ka mankhwala. Chifukwa chake, madzi am'madzi am'magawo a ku Borjomi, Essentuki, Zheleznovodsk, Morshin amawongolera zakale ndi magalimoto ntchito zam'mimba, amachepetsa m'mimba ndi matumbo kukokana. Madzi a kloride amathandizira kubisalira kwa madzi a m'mimba ndikuwonjezera acidity yake.

Madzi a sphphide, mwachitsanzo Batalinskaya (Pyatigorsk), amachepetsa katulutsidwe ka m'mimba, amakhala ndi choleretic komanso mankhwala ofewetsa tuvi tolimba. Madzi ocheperako okhala ndi michere yokhala ndi organic, monga Naftusya, Arkhyz, amasintha kagayidwe kachakudya mthupi, amasinthasintha magwiridwe antchito a chiwindi ndi kapamba. Ndikofunika kukumbukira kuti kumwa madzi amchere chifukwa cha mankhwala amasonyezedwa kwa chifuwa chachikulu pakukhululuka.

Madzi monga Slavyanovskaya, Essentuki No. 17 ali ndi phindu pazigawo zosiyanasiyana zamagetsi. Ndi chithandizo chawo, amathandizira matenda am'matumbo, chiwindi, m'mimba, kapamba. Mukamamwa, mchere wam'madzi umakhala ndi mphamvu chifukwa cha zinthu zomwe zimapezeka mmenemo, mchere, mpweya.

Ndikofunika kwambiri kutenga madzi am'madzi kuchokera ku gwero - chipinda chopopera. Nthawi yomweyo, zinthu zake zonse zachilengedwe zimasungidwa. Muyenera kumwa madzi pang'onopang'ono, m'malo ochepa. Kutalika kwa nthawi ya maphunziro akumwa ndikuchokera ku 3-4 mpaka milungu 6. Nthawi zambiri kumwa madzi amchere katatu patsiku - musanadye chakudya cham'mawa, nkhomaliro komanso chakudya chamadzulo, kawirikawiri - mukatha kudya.

Kuphatikiza pa kumwa, mchere wam'madzi umagwiritsidwa ntchito kutsuka m'mimba ndi kafukufuku wovuta, duodenal drainage (tubage), kuthilira kwa mucosa mkamwa, njira za rectal (enemas, kutsitsa m'mimba). Ngati ndimatenda a pancreatic kudya kwamadzi am'mimbamo kumaphatikizidwa ndi kuphatikizika kwa chithandizo chamankhwala, izi nthawi zambiri zimayambitsa kukhululukidwa kwa matendawa ndikuwongolera kwakukulu.

M'malo mwake ma scalpel a dokotala wa opaleshoni sangapewe

Kodi ndimatenda ati a kapamba omwe amasonyezedwa pakuchita opaleshoni? Nthawi zambiri, opaleshoni imayambika chifukwa cha kupweteka kwamphamvu kwa kapamba, kawirikawiri kukokoloka kwa chifuwa cham'mimba, ndimatumbo a chancreatic necrosis, zotupa, ndi kuvulala, kochizira pancreatic cysts. Chovuta kwa madokotala othandizira opaleshoni ndikuti kapamba amapezeka pamalo osavutikira: kuyanjananso komanso pafupi kwambiri ndi ziwalo zofunika - aorta, a vena cava apamwamba, mitsempha yapamwamba ya mesenteric ndi mitsempha, komanso impso. Zikondamoyo zimakhala ndi minofu yowonongeka kwambiri ya parenchymal, yomwe imawonongeka mosavuta. Nthawi ya ntchito, zimakhala zovuta kuzimata. Kuwonongeka kwa minofu nthawi zambiri kumayambitsa magazi ndikupanga fistulas.

Ndikwabwino, zoona, osabweretsa nkhaniyi ku opareshoni, koma pali nthawi zina pamene chithandizo cha opereshoni sichingapewe. Zizindikiro za opaleshoni mankhwala a pancreatitis pachimake masiku 10 kuyambira kumayambiriro kwa matendawa ndi motere:

• kuwonjezeka kwa chiwonetsero cha matenda a peritonitis, • kukulitsa kwa kulephera kwamtima kwamankhwala, komwe sikungathandize pakumwa mankhwala, • ​​kuchepa kwa kupatukana kwa mkodzo (osakwana 1000 ml patsiku), • kuwonjezeka kwa jaundice.

Popeza kapamba ali pafupi kwambiri ndi bile ducts ndi duodenum, limavutika ngati mavuto ena amachitika m'dera lino. Zimachitika kuti mu pancreatitis yovuta kwambiri, mwala wawung'ono umalowa kuchokera ku ndulu ndikulowetsa pancreatic duct. Mwalawo umaphimba ductwo kwakanthawi pomwe umalumikizana ndi bile ya duct wamba pakutsutsana ndi duodenum. Odwala ambiri omwe ali ndi vutoli amachira msanga, koma ena amakhala ndi kutupa kwambiri komwe kumafunikira opareshoni. Popeza bile pancreatitis imakonda kupezekanso, wodwalayo akangopweteka kwambiri, amapatsidwa cholecystectomy - kuchotsedwa kwa ndulu.

Kuukira kwa chifuwa chachikulu cha pancreatitis chifukwa cha ma gallstones kapena mowa kumatha kuyenda limodzi ndi kulowa kwa timadzi tamoyo tambiri tomwe timatulutsa mu duodenum. Madzimadzi amadziunjikira, ndi mitundu yomwe imatchedwa pseudo- kapena mabodza a cyst, omwe amasiyana ndiowona kuti ilibe chipolopolo. Pseudocysts amafunikanso kulandira opaleshoni.

Madokotala ochita opaleshoni nthawi zambiri samadziwa momwe zikondamoyo zimakhalira pakuchita opaleshoni. Milandu yokhudzana ndi kapamba kapamba kachulukidwe akufotokozedwa, pomwe maopareshoni adachitidwa omwe sanakhudzane mwachindunji ndi kapamba, koma pafupi nawo kapena ngakhale patali (mwachitsanzo, pamtima). Popeza zonsezi, ndizosavuta kumvetsetsa chifukwa chake ngakhale dokotala wazachipatala wodziwa ntchito kwambiri amagwiritsa ntchito kapamba mosamala kwambiri.

Tizikumbukiranso: opaleshoni ya kapamba ndizovuta ndipo amangochita chifukwa chathanzi. Pambuyo pawo, nthawi yochira ndikuchira, kapena, monga momwe madokotala amanenera, kukonzanso, ndikutali.

Zinali kuti popanda kapamba, moyo wa munthu ndiwosatheka. Kuchita koyambirira kochotsa kwathunthu kwa chiwalochi kunachitika kuchiyambiyambi kwa zaka za zana la 20 ndikutha muimfa pambuyo pakuchita opareshoni kapena patapita nthawi yochepa. Mankhwala amakono athetsa vutoli. Masiku ano, anthu omwe amachotsa kapamba amakhala amoyo mwa kumwa mankhwala - kukonzekera kwa enzyme, mankhwala a lipotropic ndi insulin.

Ndi maupangiri ena othandiza.

Kuti muthane ndi matendawa, ndicholinga chanu kuti muphunzire momwe mungathere zokhudza matenda a kapamba kuchokera m'mabuku, malangizo a zamankhwala, mapulogalamu a wailesi ndi wailesi yakanema. Koma ndi adokotala okha omwe angakupatseni mayankho oyenera ku mafunso angapo. Ndipo kupambana kwa chithandizo kumatengera momwe ubale pakati pa adotolo ndi wodwala umakulira.

Vuto ndilakuti popeza palibe madokotala abwino, palibe odwala abwino. Ku mulingo wina, tonsefe timadziwika ndi kufooka, ulesi, komanso kusayang'anira. Sikuti aliyense, mwachitsanzo, amene amatha kusiya zizolowezi monga kusuta, kumwa mowa, kapu ya khofi m'mawa, ngakhale akudziwa kuti kapamba angachitire izi.

Njira yosankhidwa kwambiri ndi pamene dokotala ndi wodwala atakhala abwenzi polimbana ndi kapamba kapena matenda ashuga. Ndikusowa kwamuyaya kwa madotolo, yesetsani kupeza dokotala yemwe adzakumverani mosamala ndikuyesera kuthetsa mafunso anu onse. Nthawi yomweyo, musaiwale kuti kulumikizana nthawi zonse kumakhala njira ziwiri. Dokotala amatha kungoyankha pazomwe mumamuuza. Chifukwa chake, ndikofunikira kulongosola molondola komanso momveka bwino momwe izi kapena zizindikiro zina zimawonekera ndikukuvutitsani.

Mutha kujambulanso papepala mafunso omwe mungafune kufunsa dokotala. Ndi kangati komwe timakumbukira zomwe timafuna kufunsa titachoka ku udokotala!

Nawa zitsanzo za mafunso omwe mungakhale nawo.

Kodi ndi zizindikiro ziti zomwe zikundidetsa nkhawa? Kodi ndichifukwa cha matenda apamba kapena china? Kodi ndingapewe bwanji kupweteka m'mimba ndi zizindikiro zina zosasangalatsa? • Kodi maubwino othandizidwawo ndi otani? • Ndipeza chithandizo chotani? • Mankhwalawa adzafunika ndalama zingati? Kodi pali chithandizo china? • Kodi ndiyenera kupita kuchipatala kapena ndikalandilidwa kuchipatala? • Kodi ndikufunika kupima mayeso otani? Kodi ndikufuna upangiri kuchokera kwa akatswiri ena ndi uti?

NTHAWI YA PANSI

Kodi mumaganizira zomwe mumadya? Kodi ndi zinthu ziti zomwe zimabwera kuchokera kusitolo, ndipo kapamba wanu amazidziwa bwanji? Zikondazo ndizapadera komanso sizingachitike; sizingachotsedwe, monga zowonjezera. Chifukwa chake, muyenera kusintha: simungadye mafuta, okazinga - zivute zitani, simungathenso kuzizira, zonunkhira komanso wowawasa, maswiti ali ochepa. Ndikofunika kuthana ndi chiletso, popeza matendawa amalanga kupweteka pamimba, nseru. Pancreas wovulazidwa amakakamizidwa kuti ayankhule chilankhulo chowawa, sangathe kuchenjeza mwanjira ina za ngozi yomwe ikuwopsezeni.

Mu chifuwa chachikulu cha pancreatitis, omwe amatchedwa zakudya No. 5p malinga ndi M. I. Pevzner amagwiritsidwa ntchito bwino ku mankhwala apakhomo. Katswiriyu wasayansi yazopatsa thanzi ku Soviet nthawi inayake adakonza zakudya zingapo zochizira matenda akulu. Zakudya amatchedwa matebulo. Mwachitsanzo, tebulo loyamba limagwiritsidwa ntchito ngati zilonda zam'mimba, chachinayi pamatenda am'matumbo, achisanu ndi chinayi matenda a shuga, ndi zina zotero.

Cholinga chachikulu cha zakudya No. 5p ndikuchepetsa kumasulidwa kwa michere ya pancreatic kuti muchepetse katundu pa kapamba. Kuti tichite izi, tikulimbikitsidwa kupatula msuzi wamphamvu, mafuta, zonunkhira komanso zowawasa, masoseji, masoseji, masoseji, ma offal (chiwindi, impso ndi ena), nyama yofinya ndi nyama zovomerezeka (makamaka sauerkraut), zakudya zamzitini, nsomba zamphika ndi mafuta ochokera ku zakudya - stellate sturgeon, sturgeon, halibut, mullet, catfish, carp.

Zoletsedwazo zimaphatikizanso mtedza, bowa, nyemba ndi mkate wa bulauni (mapira owunda kwambiri), mapira (chifukwa cha makoma osenda bwino a cell), makeke atsopano, makeke, makeke ndi caramel, ayisikilimu, kutafuna chingamu, kvass, khofi, cocoa, chokoleti, zipatso za malalanje, zakumwa za kaboni.

Osatengeka kwambiri ndi zipatso zatsopano, zomwe achibale omasamalira amakonda kudyetsa wachibale wawo wodwala. Sitikukayikira kuti mavitamini omwe ali mkati mwake amafunikira thupi kwambiri, koma mphamvu yamphamvu ya kapamba (masamba apamwamba oyera (makamaka kabichi yoyera, radish, turnips ndi rutabaga), amadyera (sorelo, sipinachi, saladi) ndi zipatso sizabwino. 1-2 nthochi kapena maapulo okoma osakhomera peel, inde, sizivulaza thanzi, koma zipatso za acidic zimatsutsana kwambiri. Koma maapozi ophika, masamba ophika ndi owotcha sikuletsedwa kudya nawo.

Osagonjera kuchonderera kwa okondedwa kuti adye zambiri kuti abwezeretse mphamvu zomwe zidasokoneza matendawa. Yang'anani pa chidwi chanu: pomwe ikuchepetsedwa, dziwani nokha momwe mungathere. Chakudya chomwe mumadya chimayenera kuwiritsa kapena kuwotcha. Nayi zakudya zomwe zingakhale zothandiza kwa inu.

Poyamba: supu za chimanga mumkaka kapena zamadzimadzi zomwe zimakhala ndi masamba ophika bwino (kupatula kabichi, anyezi ndi adyo). Lachiwiri: nyama yosakhwima, nkhuku ndi nsomba - yophika kapena mawonekedwe amnyuzi wotsekemera, masamba otsekemera, masamba owiritsa ndi mbale zamphongo, mkaka phala, nkhumba kanyumba casserole kapena mazira osenda. Lachitatu: madzi odzola, compote kapena tiyi wopanda mphamvu, mchere wamchere pang'ono wopanda mafuta (Essentuki No. 4 ndi 17, Slavyanovskaya, Moskovskaya), msuzi wothira pakati ndi madzi owiritsa. Za zotsekemera: mabisiketi owuma, mabisiketi, pastille, marshmallows, marmalade (zosaposa ma PC 2-3. Patsiku), uchi ndi kupanikizana (1-2 tbsp. Supuni).

Kuti muwongolere kusankha kwanu kwamasamba, timakupatsirani zakudya zamasiku atatu za kapamba, kapangidwe ka munthu m'modzi. Kukula kwa ma servings amatengedwa pafupifupi - mutha kuwachepetsa kapena kuwonjeza kutengera moyo wanu.

Chakudya cham'mawa. Masamba - 2 ma PC., Mbatata zosenda - 100 g, madzi amchere osagwiritsa ntchito mpweya - 200 ml. Chakudya cham'mawa chachiwiri. Omelette kuchokera ku mazira awiri, cutlet ya nthunzi - 150 g, mikate yoyera - 1 kagawo, apurikoti - 1 pc., Mkaka - 200 ml. Chakudya chamadzulo Msuzi wa nkhuku - 250 ml, nsomba yophika - 100 g, yophika zukini - 100 g, mkate Woyera - 1 kagawo, zoumba - 30 g, madzi a phwetekere - 200 ml. Chakudya chamadzulo. Kissel - 200 ml, zakudya odzola - 150 g, madzi amchere osagwiritsa ntchito mpweya - 200 ml. Chakudya chamadzulo Phula la oatmeal - 150 g, cutlet ya nthunzi - 100 g, karoti puree - 100 g, mikate yoyera - gawo 1, tiyi mkaka - 200 ml.

Chakudya cham'mawa. Oatmeal phala - 100 g, yophika ng'ombe - 100 g, mikate yoyera - gawo 1, madzi amchere osagwiritsa ntchito mpweya - 200 ml. Chakudya cham'mawa chachiwiri. Curd pudding - 100 g, mikate yoyera - gawo 1, apulo puree - 100 g, tiyi wopanda shuga - 200 ml. Chakudya chamadzulo Msuzi wamasamba - 300 ml, cutlet ya nsomba - 100 g, phala la dzungu ndi shuga - 100 g, mkate Woyera - gawo 1, tchizi tchizi - 100 g, tiyi ndi mkaka - 200 ml. Chakudya chamadzulo. Meatballs - 100 g, karoti puree - 150 g, apulo puree - 100 g, yogati - 100 g. Chakudya chamadzulo. Nyama yokulungira - 150 g, mbatata yosenda - 150 g, curd pudding - 100 g, mikate yoyera - gawo 1, zipatso odzola - 100 ml, tiyi wopanda shuga - 200 ml.

Chakudya cham'mawa. Mafuta ochokera ku mazira awiri, mkate Woyera - gawo 1, mkaka - 200 ml. Chakudya cham'mawa chachiwiri. Nsomba yophika - 100 g, phala la buckwheat - 150 g, mikate yoyera - gawo 1, apulo puree - 100 g, tiyi ndi mkaka - 200 ml. Chakudya chamadzulo Msuzi wamkaka - 250 ml ,loleaf - 100 g, oatmeal - 150 g, mkate Woyera - gawo 1, masamba puree - 100 g, ma apricots owuma (ananyowa m'madzi) - 5 ma PC., Tiyi ndi shuga - 200 ml. Chakudya chamadzulo. Steam cutlet - 100 g, mpunga wowiritsa - 100 g, mikate yoyera - 1 kagawo, kefir - 200 ml. Chakudya chamadzulo Zukini adakhala ndi mbatata - 150 g, ma boardb - 100 g, kanyumba tchizi pudding - 100 g, mikate yoyera - gawo 1, tiyi ndi shuga - 200 ml.

Zikondazo zimakonda mapuloteni a nyama: amazilimbitsa. Zakudya za odwala omwe ali ndi pancreatitis yayikulu, onse pachimake komanso kukhululuka, ayenera kukhala ndi mapuloteni osachepera 130 g patsiku. Kuphika, sankhani mitundu yabwino kwambiri ya nyama: nyama yaying'ono, nyama yamwana wankhuku, komanso nkhuku, nkhuku ndi kalulu m'njira zamkati. Nyama yoyera imakidwa ndipo imayamwa mosavuta. Mwa nsomba, cod, pollock, pike perch, wamba carp, nsomba ndizosankhidwa. Kunja kwa mpikisano, nsomba za ayezi ndizokoma kwambiri komanso zanthete. Nthawi ndi nthawi mumatha kugula pollock, whiting blue, navaga.

Mapuloteni a mazira a nkhuku ndi ofanana mu amino acid amapanga mapuloteni athu ndipo chifukwa chake amatha kugaya mosavuta popanda kuchuluka kwambiri kwa kapamba. Tsiku lililonse, mumatha kudya dzira limodzi, yophika pang'ono. Ndipo cholembera cham'mlengalenga ndi chosangalatsa chenicheni cha chiwalochi.

Ponena za mazira okhazikika. Madokotala ena amakhulupirira kuti ayenera kukonzekera kuchokera ku mapuloteni, pomwe ena amati nthawi zina amatha kuchokera ku mazira athunthu. Ndani akulondola? Zosamveka bwino, onsewo akunena zoona. Mapulogalamu am'mapuloteni amawerengedwa kuti achulukitse ziphuphu kapena kufooka kwa thanzi. Madokotala omwe amagwira ntchito kuchipatala amakumananso ndi milandu ngati imeneyi. Popanda kukokomeza, ndizotheka kuphika chomata chonse kuchokera ku dzira lonse kapena ngakhale dzira lowiritsa, koma liyenera kuphikidwa mogwirizana ndi malamulo onse. Dzira la nkhuku limamizidwa m'madzi otentha ndikuwophika kwa mphindi 2-3 ndi chithupsa pang'ono. Poterepa, mapuloteniwo amakhala pang'ono ndipo amakula ndipo ma yolk amakhala amadzimadzi pang'ono.

Parade wa mapuloteni mbale akupitirizabe kanyumba tchizi. Zimakhala zokoma kwambiri ngati mumasakaniza tchizi chazakudya chogulitsa, chogulidwa m'sitolo, ndi tchizi chazakudya chatsopano. Kuphika tchizi chatsopano, kuphika 1 lita imodzi ya mkaka, kuchotsa kuchokera kutentha, kutsanulira 1 / lita imodzi ya kefir. Tayani mkaka wozizira bwino paminga. Mutha kuwotcha tchizi chotsirizidwa ndi supuni yotsekemera ya Actimel. Cottage tchizi puddings kapena yowutsa mudyo casseroles ndi kaloti, maungu okoma, ma apricots, mapeyala, maapulo amtundu wamtundu wamitundu ingasiyanitse menyu. Zakudya zochokera ku tchizi tchizi ndi vermicelli zimatha kukonkhedwa ndi tchizi cha grated yamitundu yamafuta ochepa: Dutch kapena zofewa zilizonse.

Malinga ndi chakudya No. 5p, mafuta 60-70 g amaloledwa patsiku. Ngati mumaphika phala, amaloledwa kuti ayiyike ndi batala, koma osapitilira ola limodzi.spoons pa kutumikira. Ndikwabwino kugula mafuta mumatumba ang'onoang'ono okhala ndi zojambulazo. Mafuta amayenera kukhala atsopano, omaliza (osawonjezera mafuta azamasamba). Ndikwabwino kuyika mafuta mu mbale ndi mbatata zotentha, phala kapena masamba ophika. Kuchuluka kwake komweko kumalekeredwa koyipa kwambiri pa sangweji. Ndi kuchulukitsa kwa matendawa, ngakhale pang'ono, mafuta ochokera menyu samakanikirana kwakanthawi.

Pewani mafuta azomera. Zowawa zikafika pansi, mutha kuwonjezera mafuta pang'ono azitona kapena mpendadzuwa woyatsidwa.

Ponena za chakudya chamagulu, akatswiri azakudya tsopano ali ndi malingaliro otsatirawa: odwala omwe ali ndi pancreatitis yayitali ayenera kuchepetsa kuchuluka kwa chakudya chamafuta, chifukwa kapamba ndi gland ya endocrine yomwe imayambitsa insulin. Ndipo ngati akutenga nawo mbali mu pathological process, ndiye kuti matenda a shuga amatha. Chifukwa chake, kuchuluka kwa chakudya chamagulu m'zakudya zam'mimba zam'mimba zimachepetsa mpaka 350 g, kutsimikizika kumakhala ndi mafuta osungunuka pang'ono.

Porridge yophika mkaka pakati ndi madzi. Kodi phala lotani lothandizira wodwala? Mupatseni kusankha semolina, buckwheat, oatmeal, oatmeal, kapena mpunga. Mitundu yosiyanasiyana yazakudya zophatikizira, vermicelli. Pewani mapira: imakhala ndi ma polysacbleides.

Monga mukuwonera, mndandanda wazomwe mukugulitsa sizotsika ndi mndandanda wazinthu zomwe sizili zoyenera kwa inu. Sonyezani malingaliro pang'ono, kuphika ndi chikondi, ndipo posachedwa mudzazindikira kuti chakudya chamagulu chimatha kukhala chokoma kwambiri komanso chosiyanasiyana.

Zakudya za cholecystopancreatitis

Mukudziwa kale kuti, monga lamulo, kapamba "kamodzi sikupita", nthawi zambiri amakhala ndi matenda amtundu wamatumbo. Ngati cholecystopancreatitis imayamba, ndiye popereka zakudya, kusintha kwa ndulu kumazindikiridwa. Mulingo woyenera wa mapuloteni muzakudya zamatendawa amadziwika kuti ndi 110-120 g patsiku. Gwero lama protein yathu yonse ya nyama ndi mafuta ochepa a nyama, nsomba, nkhuku, mkaka, mazira. Popeza dzira la mazira limatanthauzira kuti limalekanitsa madzi a bile ndi kapamba, munthawi yochulukitsa matendawa, ndibwino kuti mupangitse ma protein (mazira osaposa 2 mazira).

Mapuloteni okhala ndi masamba ndi gawo la masamba, zipatso, zipatso, mkate ndi zinthu zina za ufa. Masamba ndi zipatso ndizomwe zimagulitsa mavitamini ambiri ndi mchere wambiri, popanda iwo zakudya zimakhala zochepa.

Chifukwa cha kuwonongeka kwa ntchito zachinsinsi cha kapamba ndi katulutsidwe ka bile ndi cholecystopancreatitis, monga lamulo, kuyamwa kwa mafuta kumangokhala. Chifukwa chake, kuchuluka kwa mafuta m'zakudya sikuyenera kupitilira malire am'munsi a thupi (70-80 g). Mafuta mu mawonekedwe ake oyera samapatula konse. Gwiritsani mafuta batala wopanda mafuta pang'ono (mpaka 30 g) pakuphika, ndi 10-15 g wamafuta azoyenga zamasamba, ngati amalolera bwino, akhoza kuwonjezeredwa ku mbale zopangidwa kale. Mafuta ophikira safunika kuphika: ataya katundu wake wamtengo wapatali. Nthawi zina, mumatha kukola saladi ndi supuni ya kirimu wowawasa.

Kafukufuku waposachedwa adawonetsa kuti kuwonjezeka kwa mashuga osavuta m'zakudyazo kumayambitsa kuwonongeka kwa kapangidwe ka bile ndikuphwanya kwa secretion ya bile, komanso kumafunikira kugwira ntchito molimbika kwa kapamba. Chifukwa chake, muchepetsani zakudya zamafuta ku 300-350 g. Shuga mu mawonekedwe ake osavomerezeka samapitiliranso magawo anayi patsiku (30 g).

Mchere wambiri mu chakudya umathandiza pakutupa. Chifukwa chake, mchere (osaposa 8 g) umangogwiritsidwa ntchito popaka mchere wotsiriza. Unyinji wazakudya za tsiku ndi tsiku za cholecystopancreatitis ndi 2,5 makilogalamu, kuchuluka kwa madzi ndi 1.5-2 l, zopatsa mphamvu za calorie ndi 2500-2800 kilocalories.

Chofunikanso chimodzimodzi ndi kukonza zakudya. Zakudya zimasenda kapena kuwiritsa, kuvomerezeka ndikuphika mu uvuni. Simungadye, chifukwa izi zimapanga zinthu zomwe zimakwiyitsa mucous membrane wam'mimba ndi matumbo, mwakuwonetsa kupititsa patsogolo chisangalalo cha ndulu ndi kapamba.

Panthawi yomwe mukuchulukirachulukira, timalimbikitsidwa kudya chakudya chophwanyika kapena chosenda, chosavuta kugaya komanso kulowetsa thupi. Komabe, kudya kwa nthawi yayitali ndi chakudya chosenda sikoyenera; izi zimakhudza odwala omwe ali ndi malingaliro am'maganizo, zimapangitsa kuchepa kwa chilimbikitso, komanso kudzimbidwa.

Kutupa kwa Pancreatic: Zomwe zimayambitsa

Kuti mukaikire chikhansa, muyenera kudziwa zomwe zizindikiro za kutupa kwa kapamba zimakhalapo. Choyamba, kupweteka kwam'mimba ndi mseru. Zoyipa ngati izi sizichitika mwadzidzidzi, nthawi zonse zimayendetsedwa ndi cholakwika pakudya. Kutengera izi, titha kusiyanitsa zizindikiro zoyambirira za kutupa kwa kapamba. Izi zikuphatikiza:

1. Kusagwirizana ndi mowa. Monga mukudziwa, kumwa pafupipafupi sikwabwino thanzi lanu. Kukula kwakukulu, izi zimakhudza chiwindi ndi kapamba. Chifukwa chake, kumwa zakumwa zoledzeretsa ndi chimodzi mwazifukwa zazikuluzikulu zopanga kapamba.
2. Khansa ya m'mimba mutatha kudya zakudya zolemetsa. Zakudya zosavuta kugaya zimaphatikizapo mafuta a nyama, yokazinga, mchere wambiri, komanso zakudya zonunkhira. Komanso, zovuta zimatha kuzindikiridwa ndi nkhanza za mankhwala a ufa.

Zakudya zopanda pake ndi zakumwa zoledzeretsa ndizomwe zimayambitsa pancreatitis. Mothandizidwa ndi zinthuzi, kapamba amayatsidwa. Zizindikiro za kutupa sizimawoneka nthawi yomweyo. Nthawi zambiri izi zimayambitsa matenda a kapamba. Zizindikiro zoyambirira za kutupa pachimake ndizosiyana. Amafanana ndi zizindikiro za toborosis ya chakudya. Kusiyanako kumanenedwa ngati kupweteka, kufalikira osati pakatikati pamimba, komanso kufalikira mpaka kumbuyo.

Momwe mungadye ngati mwachitidwa opareshoni

Matenda ena a kapamba amathandizidwa pokhapokha mothandizidwa ndi opaleshoni (pancreatic necrosis, zotupa, cysts, fistulas, etc.). Pambuyo pa opaleshoniyo, kwakanthawi, dokotala amakupatsirani mankhwala okhwima apadera a milandu ngati imeneyi. Chakudya chimayenera kuperekedwa kokha m'madzimadzi ochepa okha maola 1.5-2. Awa ndi tiyi wopanda mphamvu, zipatso ndi mabulosi otsekemera onunkhira, zipatso zopatsa mphamvu (zokhala ndi zipatso zouma), mumatha kudya zipatso zamafuta kapena soufflé, muthanso kumwa msuzi wama nyama ndi zipatso mpunga ndi oatmeal ndi batala (supuni 1). Chakudya chizikhala chotentha. Ngati ndi kotheka, gwiritsani ntchito zakudya zamafuta kudzera pa kafukufuku kapena muthandizire kupaka michere yanu.

Pambuyo pochotsa ndulu, chakudya chofunikira sichofunikira ngati wodwala sanachitepo opareshoni. Amatha kudya zakudya wamba, kumangoletsa kugwiritsidwa ntchito kwamafuta a nyama osapendeketsa - mafuta anyama, brisket, mwanawankhosa wokazinga. Odwala omwe amatsatira zakudya zokhazikika amatha kupititsa patsogolo chakudya chawo.

Kuchotsa kwa kuthekera kwa kupangidwanso kwamiyala - panthawiyi mu ma ducts a bile - amathandizidwanso ndikukhazikitsidwa kwa zakudya zomwe zimakhala ndi mafuta ambiri kuchokera ku zakudya: ubongo, mazira a mazira, nyama yamafuta ndi nsomba, msuzi wokhazikika, zokometsera komanso zakudya zokazinga. Zakumwa zoledzeretsa, kuphatikizapo mowa, sizilimbikitsidwanso. Amasokoneza ntchito ya chiwindi ndi kapamba. Odwala mafuta ayenera kudya mkate wochepa, mbatata, shuga, maffine, confectionery, ndi zakudya zina zamafuta ambiri.

Mwambiri, kwa odwala omwe ali ndi matenda a pancreatic, ndikofunikira kuti azitsatira pafupipafupi zakudya zamagulu onse motsatira zakudya zomwe zimagwiritsidwa ntchito pakati pa chakudya. Kupuma pakati pawo sikuyenera kupitirira maola 5 nthawi ya masana, ndi maola 10-11 pakati pa usiku womaliza ndi maola oyamba m'mawa .. Choyenerera bwino kwambiri ndizakudya zinayi patsiku, chifukwa chimakondweretsa kukondwerera kwa chipinda cha chakudya komanso kumasulidwa kwa timadziti tam'mimba. Zakudya za tsiku ndi tsiku za odwala ambiri ndi 3-3,5 kg. Masana, imagawidwa motere: kadzutsa koyamba - 25-30% yazakudya zonse zopatsa mphamvu, kadzutsa kachiwiri - 10-15%, nkhomaliro - 40-45%, chakudya - 15-20%.

Ndi chironda chachikulu cha m'mimba ndi duodenum pachimake, kufalikira kwa pancreatitis yosafunikira, komwe kumafunikira kusungika kwamakanika, chakudya cha tsiku ndi tsiku chimachepetsedwa kukhala 2,5 kg ndipo chimagawidwa kukhala 5-6, ndipo nthawi zina ngakhale 8-10 phwando.

Chofunika kwambiri ndi kutentha kwa mbale komwe kumaperekedwa kwa wodwala.Pa chiwindi, kapamba, kutentha kosiyanasiyana kumakhala kosangalatsa. Zakudya zotentha zomwe zimakhala pamwamba pa 60 ° C zimakhumudwitsa mucous membrane wa esophagus, m'mimba, ndi duodenum. Zakudya zomwe zimakondedwa kwambiri ndizomwe kutentha kwake kumakhala pafupi ndi 36-37 ° C, monga m'mimba.

Ngati sichoncho, koma ndikufuna kutero.

Chakudya ndi chimodzi mwazofunikira, komanso kwa ambiri, ngakhale chisangalalo chofunikira kwambiri m'moyo. Inde, sikoyenera kuyitanitsa anthu ambiri okhala ndi zilonda, kukhathamiritsa kwa cholecystitis kapena kapamba. Afunika kudya zakudya. Koma kwa eni matenda operewera m'mimba, "chinsinsi" chodziwika bwino ndizovomerezeka: ndizosatheka, koma ndizotheka ngati mukufunadi.

Mwachitsanzo, kuti muthe kusiyanitsa tebulo, nthawi zina mungathe kudya chidutswa cha hering'i, ndi nyama yophika pang'ono kapena nsomba yophika. Ngati simungathe kukhala tsiku lopanda maswiti, ndiye kuti osakana nokha. Komabe, izi sizingachitike kwa wina aliyense, kotero kuti mu nthawi ya matenda anu mukhazikika, mutha kugula maswiti ochepa a tiyi, koma chakudya chamadzulo, khalani ndi chakudya chamtengo chochepa kwambiri.

Anthu ambiri amakonda chokoleti, koma amaiona ngati mafuta kwambiri. M'malo mwake, cocoa ndi mankhwala otsika kalori, ndipo zowonjezera (mkaka, batala, mtedza, caramel, shuga) zimapangitsa kuti mafuta. Ndikwabwino kugula chokoleti chamdima osadzaza, ndiye zakudya kwambiri.

Kuwunikanso kwathunthu kokhudza kaudyedwe si ntchito yophweka, chifukwa chake sikokwanira kuti muchidule. Yesetsani kunyalanyaza kuchuluka kwa zakudya “zovulaza” pang'onopang'ono, ziguleni pang'ono ndi pang'ono kuti zisaname mufiriji ndikukusansani.

Vutoli limakhala lovuta nthawi ya tchuthi, pomwe kulumikizana kosangalatsa, mowa komanso kusintha zakudya kumapangitsa kuti musakhale wokhumudwa komanso ambiri amatengeka. Koma tchuthi sichikhala tsiku lililonse, ndipo sizovuta kuti akonzekere. Choyamba, theka la ola phwando lisanachitike, imwani kapu yamadzi - yokhazikika kapena mchere. Izi zimachepetsa kumverera kwanjala, ndipo m'mimba, kapamba ndi chiwindi zidzayamika kwambiri chifukwa cha kumwa kwa madzi musanayambe kugwira ntchito molimbika. Kachiwiri, kutafuna chakudya pang'onopang'ono komanso mosamala kwambiri. Iwo adatenga chidutswa chimodzi ndikuyika folokoyo pambale - ndiye mumaphunzira momwe mungaddyere pamagawo ochepa. Pakati pa mbale zotentha, zingakhale bwino kumwa kapu ya tiyi wobiriwira popanda shuga. Ndikwabwino kuti musatenge mkate, kuti musadzaze m'mimba ndi matumbo awo.

Sinthani mandimu ndi marinade ndi zakudya zamchere ndi zosasa. Koma zakudya zonunkhira ndi zonunkhira, komanso zopanda wowawasa, mutha kulawa pang'ono. Zakumwa zochokera pansi pamtima sizipeza inu - zimayambitsa kutentha kwawoko ndi malamba. Kofi ndi chokoleti, komanso zakudya zopanda moto, zimatha kuyambitsa kutentha kapena kutentha kwa kutentha. Ndikofunika kuti musagwiritse ntchito chilichonse chopendekera pansi kutentha kwa chipinda. Ponena za mowa, mutha kumeza galasi, koma chakumwa chauchidakwa chimayenera kukhala chabwino komanso chosapatsa thanzi. Koma kusuta sikuvomerezeka.

Kuphatikiza apo, muyenera kumadzuka patebulo ndikusuntha. Mwachitsanzo, posintha zakudya. Ndipo mapwando atatha, yesetsani kuti musagone kwa maola osachepera awiri. Ndipo osatenga ngakhale malo oyimirira.

Ngati kudya kwambiri sikungatheke, zomwe zimachitika kawirikawiri, muyenera kuthandizira thupi lanu - imwani michere ndi zigawo za bile. Mlingo wamba ndimapiritsi awiri kapena awiri. Chitani zomwezo ndi cholecystitis, khoma la chikhodzodzo likakhazikika ndipo limalepheretsa kuyamwa kwa bile chifukwa cha chakudya. Tengani ma enzyme otsala a kapamba wambiri wa kapamba. Mwachidule, ngati mungavomereze malamulowa ndikuganizira phwandolo, lofotokozedwa pamasewera, osati ngati juga - kukonda njuga, koma monga kulimbana - kumenyera koyeserera, ndiye kuti zonse zikhala bwino.

Kodi ndingathe kuchotsa kutulutsa kwanyini ndekha?

Mwinanso, simudzatha kuchotsa zotupa mu kapamba panokha popanda thandizo la kuchipatala. Mutha kungochepetsa vuto lanu asanafike ambulansi. Kuti tichite izi, titha kulimbikitsa:
piritsi la duspatalin kapena drotaverin kapena noshpa,
thirani kuzizira kumbuyo ndi m'mimba,
khalani malo abwino,
imwani magawo angapo a madzi akumwa abwino kapena kulowetsedwa kotentha kwa chamomile.

Samalirani mwapadera zakudya zopatsa mphamvu ya kapamba. M'masiku atatu oyamba pambuyo pa kuukira, kupumula kwathunthu kumalimbikitsidwa. Mutha kumwa madzi ochepa okha. Mtsogolo, muyenera kusiya khofi, koko, tiyi ndi chokoleti. Zinthu zonsezi zimapangitsa kuti ma enzyme azikhala opanga bwino.

Nyama zamafuta, zakumwa, nyama zosuta ndi zakudya zamchere zamchere sizimachotsedwamo. Ndikulimbikitsidwa kuti muthandizire ku saladi zamasamba opepuka popanda kuphatikiza mayonesi, nkhuku zambiri ndi chimanga chochepa. Muyenera kutsatira zakudya zosachepera miyezi itatu pambuyo povulala ndi kapamba.

Zokhudza zabwino zolimbitsa thupi

Matenda ambiri osachiritsika a kapamba, ngakhale chikhululukiro, amayenda limodzi ndi kuwonongeka, asthenia, kukhumudwa - mwachidule, dziko lonse silabwino. Munthu amayamba kuyang'ana komwe angapeze mphamvu. Chifukwa chake, si chikho cha khofi chokha chomwe chingasangalatse. Pali yankho komanso lamphamvu - ichi ndi masewera olimbitsa thupi. Pafupifupi chilimbikitso chilichonse cha dokotala yemwe amayang'ana odwala omwe ali ndi matenda a kapamba, pali chikumbutso chofunikira kusunthira zina. "Zambiri, ndikungoluka ngati gologolo mu gudumu, ndipo nthawi yanga yakonzedwa ngati mphindi," ambiri a inu mungatsutse.

Dokotala yemwe amapezekapo pamenepa sakutanthauza zopanda pake zapakhomo, koma amayang'ana kwambiri zolimbitsa thupi kuti mukhale ndi kamvekedwe ka kapamba anu. Kuti mukwaniritse zotsatira zabwino, sikofunikira kuphunzitsa monga othamanga. Ngakhale zolimbitsa thupi zolimbitsa thupi zimapereka zotsatira zabwino - 1 kuyenda ndikuyenda mwamphamvu, ntchito zapakhomo ndi chiwembu, kuvina, kusambira, komanso, masewera olimbitsa thupi kunyumba. Zachidziwikire, zochitika zonsezi zimangopindulitsa munthawi yokhazika mtima pansi, pamene zonse ziwonjezereka.

"Kulipiritsa" kwa kapamba

Mothandizidwa ndi kusunthika kwapadera kwa minofu yam'mimba ndi diaphragm, mutha kuphunzira kupukuta pancreas anu mokoma. Kudzera mu izi kumathandizira kuti magazi azisunthika mu kapamba komanso kutulutsa timadziti tam'mimba. "Kuyitanitsa" kotere kwa kapamba ndi njira yabwino kwambiri yopewera kapamba komanso kufalikira kwake. Choyamba muyenera kuyeseza: kutulutsa, kutulutsa ndi kupuma. Pang'onopang'ono, koma kukoka pamimba mwamphamvu mokwanira, kuwerengera mpaka atatu, kenako kupumula m'mimba. Timapita kukachita masewera olimbitsa thupi.

1. Inhale, kutulutsa ndikukhala ndi mpweya. Mukapuma pang'ono, phatikizani m'mimba momwe mungathere, werengani mpaka atatu ndipo mupumule. 2. Pakati pa kudzoza, gwiritsani ntchito kupumira kwa masekondi 1-2 (ma dialogragm ndi ma flattees) ndikupitilizabe kutaya, ngati kuti mukuwongolera mpweya m'mimba ndikutulutsa khomo lakumimba. Pamapeto pa kudzoza, imani, kuwerengera mpaka atatu, kututumula m'mimba yanu, ndiye kuti muchepetse minofu yanu ndikupitilira kuwerengera mpaka sikisi, mukukoka pang'onopang'ono khoma lam'mimba. Kutulutsa ndi kupumula minofu yanu yam'mimba. 3. Kokani pamimba mwamphamvu pamene mukutuluka. Kugwiritsira ntchito mpweya wanu kwa masekondi angapo, khazikitsani minofu yam'mimba. Yesetsani mwamphamvu m'mimba momwe mungatulutsire ndikubwezerani momwe mungatulutsire.

Masewera olimbitsa thupi amayenera kuchitidwa pogona, kukhala kapena kuyimirira katatu patsiku. Yambani ndi kubwereza katatu kwa zolimbitsa thupi zilizonse ndipo pang'onopang'ono kumaliza mpaka 9. Koma musachite masewera olimbitsa thupi mokakamiza - kuchedwetsa makalasi ngati mwatopa kapena mukukumana ndi vuto.

Pano pali masewera ena osavuta omwe amasintha kayendedwe ka magazi m'mimba, komanso othandizira kulimbitsa minofu ndi mafupa a miyendo.Ikani manja anu kumbuyo kumbuyo, pamalo a impso, ndikuyenda mozungulira chipindacho pazala, zidendene komanso mbali zamkati ndi kunja kwa mapazi. Kuchita masewera olimbitsa thupi kumalimbikitsidwa pamatenda a impso, chiwindi, ndi kapamba.

Masewera olimbitsa thupi atatha opaleshoni

Zochita zolimbitsa thupi mu matenda a gallstone ndi pancreatitis zimawonetsedwa kokha munthawi yachikhululukiro. Ngati wodwalayo adachitidwa opaleshoni yamapazi kapena chikhodzodzo, ndiye kuti palibe chifukwa chazovala zilizonse mwezi woyamba atachitidwa opaleshoni yam'mimba - mikangano iliyonse pamimba yam'mimba imayambitsa kupweteka. Pokhapokha nthawi yochira ndikuyang'aniridwa ndi wophunzitsa physiotherapy amayamba kuchita masewera olimbitsa thupi kuti apange gawo labwino la postoperative bala ndikuthandizira minofu yam'mimba. Ndipo odwala onenepa kwambiri ali ndi m'mimba yovuta kwambiri amayeneranso kuvala bandeji. Kumene mungachipeze, adokotala amuuza. Iwo omwe amachitidwa opaleshoni pogwiritsa ntchito endoscopy amafunikanso kuchita masewera olimbitsa thupi - amathandizira kutuluka kwa ndulu.

1. Malo oyambira (zina) - atagona kumbuyo kwanu, miyendo itapinda mawondo, miyendo mosiyana pang'ono kuposa mapewa. Mukapuma kwambiri, maondo anu mupite mbali ina kapena mbali inayo. 2. I. p. - wagona kumbuyo kwanu, miyendo itapinda mawondo. Ikani thumba la mchenga (lolemera 250-300 g) pamimba yapamwamba. Pamene mukutulutsa, yesani kukweza kwambiri momwe mungathere, ndikupumira mkati, itsitsani. Chitani zomwezo ndi thumba loikidwa pamimba yakumunsi. 3. I. p. - atagona mbali yakumanzere, miyendo ili yotakata bondo ndi malo olumikizirana mafupa. Pamene mukutuluka, tengani mwendo wanu wamanja, pang'ono ndi pang'ono kukwera ndikuchepetsa mphamvu ya kusinthasintha. Zomwezo zili kudzanja lamanja. 4. I. p. - wagona kumbuyo kwanu, miyendo itakulitsidwa ndikunyamula kwambiri, mikono ndi thupi. Kuyenda kwamiyendo miyendo yowongoka - kumanzere kumanzere, kumanzere kumanja. Mpweya umayambiranso. 5. I. p. - atakhala pampando, atatsamira, manja atagwira mpando. Pumirani kwambiri. Pa exhale, kupumula mikono ndi miyendo yanu, kwezani pelvis, mubwerere pamalo ake oyambirirawo. 6. I p. - atakhala pa chiguduli, manja pamodzi thupi, miyendo pamodzi. Pambuyo pakupuma kwambiri, kusinthana ndi torso kumanja ndi kumanzere. Kenako thupi limagonera kumanzere ndi dzanja lamanja lokwera ndikukwera kumanja ndi dzanja lamanzere. 7. I. p. - nditayimirira kumbuyo kwa mpando, ndikugwiritsitsa kumbuyo. Mukapumira mkati momwe mumatulutsira, ikitsani mwendo wanu wamanja kumbali ndi kumbuyo. Chimodzimodzi ndi phazi lakumanzere. 8. I. p. - kuyimirira, miyendo m'lifupi mapewa, manja ali lamba. Amatembenuza thupi kumanja ndikumanzere mosiyana. Mpweya umayambiranso.

Chitani masewera olimbitsa thupi nthawi zonse 10-15, koma ngati mukumva kutopa, chepetsani katundu, chepetsa kubwereza kwawo. Ena amakhulupirira kuti achire olimbitsa thupi amachotsedwa ntchito m'munda, kumtunda kapena kunyumba. Ichi ndi katundu wosiyana kotheratu, osagwirizana ndi kulimbitsa thupi ndi thanzi. M'zaka zoyambirira za ntchito atatha opaleshoni, muyenera kudzisamalira nokha: pewani ntchito yokhudzana ndi kusokonezeka m'mimba yam'mimba (kupukusa, kukweza zolemera, kukuta mabedi).

Yoga kupuma zolimbitsa thupi

Phindu lina la kapamba limatha kubweretsa masewera olimbitsa thupi malinga ndi njira ya yoga - mwa kudzikundikira kwa mphamvu yofunikira kuchokera mlengalenga ndi thupi komanso kutikita minofu ya ziwalo zamkati. Kuti muphunzire kuyang'anira kupuma movomerezeka ndi kupuma kwam'mimba (kutsika), muyenera kuchita - modziyimira pawokha kapena motsogozedwa ndi wophunzitsa.

Muyenera kukhala pansi pansi ndikuyenda ndi miyendo yanu (mutu, khosi ndi kumbuyo kuyenera kukhala pamzere womwewo), kugona pansi kapena kuimirira. Musanalowe mkati, muyenera kutulutsa mpweya m'mapapu, pomwe m'mimba muli mkati (diaphragm ikukwera). Kenako ndikofunikira kutulutsa mpweya m'mphuno pang'onopang'ono, kutulutsa m'mimba (ma diaphragm otsika), osasuntha chifuwa ndi manja. Gawo lam'munsi la mapapu limadzaza ndi mpweya.

Tikatulutsanso, m'mimba timalowa mkati, ndipo chimbudzi chimakwera, pomwe mpweya umatuluka kuchokera m'mapapu. Kupuma kumeneku kumadziwika chifukwa chakuti chifanizo chokha chimakhudzidwa ndi izi, pomwe nthiti ndi minofu yolumikizana imakhalabe yosagwira. Kuti mumvetsetse bwino ntchitoyi, ikani manja anu m'mimba mwanu. Kenako pogwiritsa ntchito kukhudza, zimakhala zosavuta kwa inu kuyang'anira kukwera ndi kugwa kwa khoma lam'mimba. Mukaphunzira kupumira m'mimba, mutha kupitiliza kuchita masewera olimbitsa thupi nthawi zonse.

Bhujangasana (cobra pose). Bodza pansi ndi kuyika manja anu pansi pachifuwa. Wotsamira manja anu, kwezani thupi lanu lam'mwamba, gwiranani m'chiuno mwanu ndikubweza kumbuyo kwanu. Bwererani ku malo oyambira. Bwerezani zolimbitsa thupi 4-5 kangapo.

Kuchita masewera olimbitsa thupi kumathetsa matenda a ziwalo zomwe zimakhala m'mimba, komanso kumalimbitsa minofu yam'mimba, chifuwa, khosi ndi mikono.

Dhanurasana (uta pose). Bodzani m'mimba mwanu, gwadani mawondo anu, gwirani matako ndikuwakoka kuti manja anu awongoke, nsana wanu ukhale kumbuyo, ndi m'mimba mwanu mokhazikika. Choyamba mabondo akhale pambali. Mukatha kuchita pang'ono, chitani masewera olimbitsa thupi ndi mawondo olumikizidwa. Mukamachita masewera olimbitsa thupi, muzichita masinthidwe 4-6. Popita nthawi, mimba imakhala yolimba.

Kuchita masewera olimbitsa thupi kumathandizira kuthetsa matenda am'mimba, komanso kupindulitsa msana.

Prushta Walitz Hanumasana (woimira mfumu ya nyani). Imani molunjika ndi miyendo yanu palimodzi. Siyani mwendo wanu wamanzere mtsogolo momwe mungathere, ndikuugwada pa bondo. Miyendo yakumanja imakhala yowongoka. Kwezani manja anu omangidwa pamwamba pamutu panu, ndikuwakoka. Kenako tsitsani manja anu pansi, kukhudza pansi ndikutembenuzira thupi kumanzere. Bwerezani zochitikazo mbali ina. Chitani izi m'njira zonse ..

Kuchita masewera olimbitsa thupi kumayambitsa kusokonezeka kwa minofu yonse ya thupi, kumalimbitsa m'chiuno komanso kumachiza matenda a ziwalo zomwe zili m'mimba ndi m'chifuwa.

Kuthamanga

Ndipo tsopano tikukumbukira masewera omwe sanali otchuka kale kwambiri ndipo safuna ndalama zambiri komanso zida zapadera kuchokera kwa inu. Zomwe mukufunira kuthamanga ndi nsapato zomasuka komanso masokosi ofunda. Othamanga amakhulupirira kuti mwanjira imeneyi amakulitsa moyo wawo pofika zaka 5-7. Inde, kuthamanga kumathandizira kagayidwe, kumachepetsa cholesterol ndipo ndi njira yolepheretsa matenda ashuga. Popanda kutsutsana, masewerawa ndi oyeneranso kupewa zisindikizo ndi ma pancreatic fibroids.

Kuti mumvetsetse chidwi cha mafani, muyenera kukakamiza kamodzi kuti mutuluke ndikuthamangira mlengalenga. Osachepera, mudzasangalala ndi mayendedwe nokha; pazabwino, khalani ndi thanzi - osati thupi lokha. Chimodzi mwamaubwino akuthamanga ndikuti zimatha kuchepetsa kupsinjika. Kuthamanga mozungulira paki, kumvetsera mbalame zikuyimba, kapena msewu, kuyang'ana magalimoto akudutsa, ndi chisankho kwa inu. Mulimonse momwe zingakhalire, kuthamanga bwino kumatulutsa "mutu wanu", ndipo kwa iwo omwe amakhala mu mzinda waukulu, izi ndizofunikira.

Ngati simunachitepo nawo masewera, ndiye kuti kuthamanga kungakutopetseni kwa mphindi 4-5. Mukangotopa, imani ndikayeze kugunda kwanu. Payenera kukhala pafupifupi 100-110 kumenyedwa pamphindi, ngati oposa 120 - kuchepetsa katundu. Kuthamanga kwa theka la ola nthawi zambiri kumakhala kotalika 4,5-5 km, motero nthawi yomweyo mutha kufufuza zomwe zikuzungulira. Gwiritsani ntchito mayendedwe osiyanasiyana, yesetsani kuti musayende pa imodzi yomweyo. Dumphani makalasi mumvula yamphamvu ndipo musayende osayang'ana pamayendedwe achisanu. Ngati kunja kwatentha kwambiri, mutha kuthamangitsa kuwala pang'ono.

Aliyense amasankha nthawi yodziyendera yekha, koma, kawiri, kawiri pa sabata zidzakhala zokwanira. Ngati mukufuna kuthamanga kwambiri, mutha kuthamanga tsiku limodzi, koma osati kangapo: minofu yanu imafunikira nthawi kuti ichiritse.Ndipo musaiwale: masewera olimbitsa thupi nthawi zonse popanda kuyang'aniridwa ndi dokotala amawonetsedwa kokha kwa anthu athanzi. Ngati muli ndi matenda a mtima obadwa nawo, matenda oopsa, matenda ashuga, mavuto amawonedwe, makamaka omwe akuphatikizana ndi kusintha kwa retinal, ndiye kufunsira kwa dokotala ndikofunikira. Ndipo musanayambe kuvala zovala zanu ndikuthamangira mumsewu, sichikhala chopanda pake kuyesa mayeso ochepa: chitani ECG, yang'anani kuchuluka kwa cholesterol ndi shuga wamagazi, kuyeza kuthamanga kwa magazi.

Zizindikiro ndi zizindikiro za kutupa kwapancreatic

Mimba imakhala kumbuyo kwa m'mimba komanso pafupi ndi chikhodzodzo, kotero ngati ipweteka, ndiye matendawa amafalikira kwa kapamba. Kumayambiriro kwa kutukusira kwa kutupa, Zizindikiro ndi zizindikiro za kapamba ndizofunikira:

• mkhalidwe wamtundu wa ululu
• ululu woyaka mkati mwa ntchafu kuyambira kumbuyo,
• kuchepa kwamtima
• kuchuluka pagulu Reflex,
• atatsamira patsogolo, ululu umachepa,
• Nthawi zina kutentha kumatuluka.

Odwala nthawi zambiri amasokoneza kapamba ndi osteochondrosis, pyelonephritis komanso shingles. Koma dokotala waluso amazindikira kutukusira kwa kapamba, popeza kumayambika kwa matendawa kumatha nthawi zonse ndikumva kupweteka kwambiri. Ndikosavuta kudziwa ndi palpation kuti si msana womwe umapweteka: ndi osteochondrosis kapena pyelonephritis, kugunda kumalo opweteka kumadziwika, koma ndi pancreatitis sikuti.

Fomu yovuta

The pachimake mawonekedwe a kapamba amatha kuthandizidwa kuchipatala, ndipo madokotala amayenera "kukhazika" kapamba mwachangu, apo ayi matendawa amawopseza kuti asinthe kukhala kufa kwa necrosis (kufa minofu) ndi kufa kwa wodwalayo. Chifukwa chake, ndi ululu woyamba mu epigastric dera kapena kutupa kwa hypochondrium, muyenera kufunsa dokotala nthawi yomweyo. Matenda acute amatsogolera kuimfa mu 15% ya milandu chifukwa chofika kwa katswiri. Zizindikiro zikuluzikulu za kutupa kwapakhungu pancreatic:

Matenda

Ngati pachimake kapamba zimachitika motsutsana maziko a pancreatic enzyme activation, mawonekedwe ake osakhazikika amapangidwa ndi matenda osiyanasiyana am'mimba, mwachitsanzo, matenda a gallstone, cholecystitis kapena hepatitis. Zizindikiro za matenda osachiritsika:

• kudya zakudya zamafuta,
• kupweteka kwa hypochondrium panthawi yolimbitsa thupi,
• kuphwanya chopondapo
• kuwonda mwadzidzidzi
• kusowa kwa chakudya.

Kutengera ndi zisonyezo, madokotala amasiyanitsa mitundu ingapo ya matenda osakanikirana a kapamba: asymptomatic, ululu, kubwereranso pseudotumor. Mu mawonekedwe oyamba, wodwalayo sakudziwa za matendawa, akumva ululu, akumva kupweteka kwakanthawi pansi nthiti, ndipo ndikubwerera m'mbuyo ululu umawonekera, koma amazimiririka atatha kulandira chithandizo. Mtundu wa pseudotumor wa kutupa kwa pancreatic kumachitika mutu wake ukakulirakulira, ukukulira ndi minyewa ya fibrous.

Chitukuko cha yotupa ndondomeko

Ngati zikondazo zimapsa, ndiye kuti ululu ndi wosiyana: kupweteka, kudula, kusoka, ndi kutulutsa kwina, mwachitsanzo, pansi pa nthiti yakumanja, kapena popanda kutulutsa kwina kulikonse pamimba yam'mimba, kumbuyo kapena kwa groin. Mtundu wa ululuwu zimatengera mwachindunji gawo lachiberekero lomwe limayatsidwa: thupi, mutu kapena mchira. Pakupezeka kwawoko kupweteka, madokotala nthawi zambiri amalankhula za matenda athunthu.

Kupweteka kwapakati pakati pamimba ndikuwonetsa kuti kapamba amapsa, ngati ululu umatsekeka mbali yakumanja, mutu wa nduluyo umayatsidwa, ndipo ngati kumanzere, mchira. Kukhalapo kwa milandu yotsiriza kumakhala koyipa kwambiri, chifukwa m'magawo awa amapangika volumetric (chotupa).

Pamutu wapachala

Kusintha kwazonse mu kukula kwa kapamba ndizotetezeka koposa kukulira kwina kulikonse. Mutu wa gland uli ndi mawonekedwe apadera komanso mawonekedwe achilendo: umapezeka mwa munthu wamkulu pamlingo wa ma vertebrae awiri oyamba, ndipo mwa khanda lobadwa kumene limakweza pang'ono.Mukakula, kukula kwabwinobwino kwa mutu wa kapamba kumayenera kufika pa 35 mm, ndipo ngati kuli kocheperako kapena kokulirapo, ndiye izi zimawonedwa ngati matenda.

Mapangidwe a volumetric a pancreatic mutu nthawi zambiri amadziwika pa ultrasound yam'mimba ndipo amadziwika kuti ndi matenda oopsa. Itha kukhala yopanda pake kapena yoyipa bwino, yomwe imafunikira kuchotsedwa mwachangu. Matenda ngati amenewa nthawi zambiri amapezeka mwa anthu patatha zaka 60. Ngakhale dokotala wodziwa bwino amatha kudziwa zoyambirira za kutukusira kwa mutu wa England: kusintha kwa khungu ndi kusintha kwa mapuloteni amaso achikaso. Chithandizo cha matenda amtunduwu chimachitika kuchipatala.

Mchira wa kapamba umakhala ndi mawonekedwe ofanana ndi peyala ndipo umayandikira pafupi ndi nduluyo. Mwa munthu wathanzi labwino, mulingo woyenera kwambiri wamtundu ndi 20-30 mm, ndipo kutalika kwake ndi pafupifupi masentimita 15. Kupeza kolimba kwa mchira wa gland ndikutukuka kwake kapena kumangiriza, komwe kumapangitsa kutsekeka kwa mitsempha ya splenic kapena mawonekedwe a subrenal.

Chotupa mumchira wa chithaphwi chimakhala chosowa: pafupifupi kotala yonse yamatenda am'mimba. Koma ngati wapezeka, ndiye kuti nthawi zambiri chotupacho chimavulala ndipo chimakhala chosatheka kuchiza, popeza chimapezeka mochedwa, chikakhala chofika kukula kwakukulu. Akamagwiritsa ntchito chotupa mumchala wa kapamba, madokotala nthawi zambiri amafunika kuchotsa ziwalo zapafupi.

Zomwe zimayambitsa matendawa

Nthawi zambiri, zomwe zimayambitsa matenda a kapamba zimakhudzana ndi mowa. Kuphatikiza apo, zilibe kanthu kuti zidamwa tsiku lanji m'mbuyomu: vodika wokwera mtengo kapena vinyo wosakwiridwa. Anthu amazolowera kuganiza kuti mowa umapereka gawo lalikulu ku chiwindi, komwe kumayambitsa matenda a cirrhosis, koma amatha kuthana ndi ma alcohols mothandizidwa ndi ma enzymes ake mpaka nthawi ina. Zikondamoyo sizikhala ndi mapuloteni otero, chifukwa chake ma alcohols amagunda pamalopo pomwe sangathe kudziteteza.

Komanso, zinthu zotsatirazi zimawerengedwa kuti ndizomwe zimayambitsa kutupa:

• Matenda a biliary thirakiti. Mimba ikaponyedwa m'matumbo, zinthu zapadera zimadziunjikira zomwe zimapangitsa kuti michereyo izitulutsa, kupangira minofu ya edema, kuwonongeka kwa mitsempha yamagazi ndi zotupa zingapo. Ngati simumaganizira zakumwa zoledzeretsa, ndiye kuti kutupa kumeneku ndi 70% ya matenda onse a gland.
• Mapangidwe a mwala kapena mchenga. M'matumba a pancreatic motsogozedwa ndi vuto la kuperewera kwa zakudya m'thupi, miyala imapangidwa nthawi zambiri kuti, ikatuluka, itsekeleni chimbudzi, ndikuyamba kutupa kwa kapamba.
• Matenda a duodenum kapena m'mimba. Zilonda zam'mimba, gastritis, kapena kutukusira kulikonse kwa m'mimba thirakiti kumathandizira kuti zotulutsa zam'mimba zisatulutsidwe m'matumbo a pancreatic, zomwe zimabweretsa kufalikira kwa kapamba.
• Matenda oopsa, matenda ashuga, matenda a m'mimba, pakati. Muzochitika izi, pali kuphwanya koyenera, kufalitsa zakudya za kapamba, kupanga kutupa.
• Mankhwala am'madzi kapena poyizoni wazakudya. Ngati mukumwa poyizoni ndi alkalis, ma acid, poizoni, kuledzera kapena helminthic, ma enzymes a pancreatic amayamba, omwe nthawi zambiri amatsogolera ku pancreatitis.
• Mankhwala osalamulirika. Mankhwala ena amathandizira michere ya gland, chifukwa chake muyenera kuwamwa mosamalitsa woyang'aniridwa ndi dokotala.
• Kuzunza. Ngati thupi limasokoneza kagayidwe ka mafuta ndi chizolowezi chamafuta kwambiri, chiopsezo cha kapamba kumawonjezeka nthawi zina. Makamaka ngati munthu akugwiritsa ntchito zakudya zokazinga, zamafuta ndi zonunkhira.
• Kuvulala kapena kuvulala kwam'mimba. Ndi mabala, kuvulala kwakanthawi kapena kuchitapo kanthu opaleshoni yopumira m'matumbo, chiopsezo chotukuka cha kutupa kwambiri kwa chiwalocho chikuwonjezeka.
• MatendaMatenda otupa chiwindi, nthomba, kulephera kwa chiwindi, maillipitis, mamps, purosesa pamimba, matumbo a m'mimba kapena kamwazi zimawonjezera chiopsezo cha kapamba.
• Mitundu Matenda amtundu nthawi zambiri amayambitsa kutupa kwa kapamba mwa mwana wakhanda akangobadwa.

Njira zochepetsera kutupa ndi chithandizo cha kapamba

Pa ululu uliwonse wam'mimba, ndikofunika kukaonana ndi dokotala nthawi yomweyo. Chithandizo cha kapamba nthawi zambiri chimachitika kuchipatala. Madokotala omwe ali pachimake amatha kusangalatsa kapamba, kupondereza ntchito zake zachinsinsi. Amathandizanso mitsinje yopanda mankhwala omwe ali ndi mankhwala osokoneza bongo ndikuwapatsanso mankhwala ambiri othana ndi mankhwalawa kuti asasinthe kapena kusokonezeka kwachiwiri. Ngati zovuta zakumapazi ndizovuta, kuchitapo kanthu kwa opaleshoni kumagwiritsidwa ntchito.

Kuchulukitsa kwa matenda osachiritsika kumachizidwa pang'onopang'ono. Wodwalayo adafotokozedwa kuti azidya mosamala ndi zakudya zothina. Zakudya zoyenera zimaphatikizidwa ndikumwa mankhwala omwe amatseketsa michere yogwira. Ndiwonjezereka wa kutupa kwa "kapamba," ma pinkre, ma antispasmodics, mankhwala a enzyme, komanso mavitamini amafotokozedwanso.

Momwe mungachiritsire zitsamba ndi wowerengeka azitsamba

Chithandizo chakale komanso chothandiza ndi mankhwala azitsamba. Kuphatikiza pa zakudya zoyenera za kapamba komanso kukana zakudya zokazinga, zamafuta ndi zonunkhira, kuti muchepetse kutulutsa kovuta m'mapapo, muyenera kumwa zitsamba za choleretic. Kuti muchite izi, tengani 10 ga zitsamba zouma:

• celandine
• stigmas,
• chipatso cha anise
• dandelion muzu
• tricolor violets,
• mbalame zokwera ndege.

Pukuta chilichonse, kusakaniza, kuthira ½ lita imodzi ya madzi otentha ndikuphika kwa mphindi zitatu. Pambuyo pozizira, msuzi uyenera kuledzera ndikuwonjezera matendawa katatu tsiku lililonse musanadye kwa milungu iwiri motsatizana. Kenako muyenera kumwa kuchokera ku zitsamba zotsatirazi:

• katsabola, peppermint, 30 g iliyonse,
• Maluwa osatha, zipatso za hawthorn 20 g,
• maluwa chamomile 10 g.

Thirani zitsamba zothira madzi okwanira lita imodzi ndi madzi otentha ndikusiya kwa mphindi 20, ndiye kuti mumavutika ndi kumwa katatu tsiku lililonse mukatha kudya kwa mwezi umodzi. Ndizothandizanso kumwa msuzi wa sauerkraut wopanda kaloti ndi zonunkhira. Madzi amathandizira kupweteka msanga, chifukwa muli ndi lactic acid, womwe umathandiza kwambiri pakuchulukitsa kapamba.

Mankhwala

Mankhwala amachotsa chachikulu chomwe chimayambitsa kupukusira kwa kapamba, komanso:

• bwezeretsa ntchito,
• letsa kupweteketsa mtima
• lipira kubwezeretsa kwa endocrine.

Kuti izi zitheke, madokotala amatipatsa mankhwala monga analgesics, antispasmodics omwe cholinga chake ndi kuchepetsa ululu m'matumbo, ma enzymes opangidwa kuti abwezeretse kapamba kuti azigwira ntchito moyenera, komanso maantacid - mankhwala omwe amalepheretsa m'mimba kutulutsidwa kwa hydrochloric acid. Mu kutukusira kwakulu kwa England, mumagwiritsidwa ntchito mankhwala ocheperako a shpu, papaverine kapena atropine.

Ndi mayeso ati omwe amafunikira

Ngati kutupa kwapamba kumayikiridwa, wodwalayo amatumizidwa kukayezetsa kwathunthu. Adalembedwa:

• Ululu wam'mimba,
• kafukufuku wa x-ray
• makina ophatikizira amagetsi,
• laparotomy.

Ngati dokotala wapeza pancreatitis, ndiye kuti muyenera kuyang'anitsitsa mkhalidwe wa kapamba, chifukwa chake, muyenera kuyezetsa mayeso otsatirawa:

• kuchuluka kwamankhwala pamagazi
• magazi okhathamira
• mkodzo, ndowe,
• malovu.

Momwe mungachepetsere kuukira kwa mwana

Kunyumba, madokotala samalimbikitsa kuti azimasuka ndi mwana. Ndi zizindikiro zilizonse za matendawa, muyenera kupita naye kuchipatala. Koma m'moyo muli zochitika zosiyanasiyana, mwachitsanzo, chithandizo chachipatala sichikupezeka.Zikatero, muyenera kuyesetsa kuti muchepetse kupweteka kwambiri m'mapapo mwanu, kenako onetsetsani kuti mumutumiza kuchipatala chapafupi. Izi zikufunika:

• Njala yokhazikika.
• Kupuma kwathunthu kwa thupi.
• Pakatha mphindi 30 zilizonse perekani kwa mwana magalasi amadzi.
• Musapereke mankhwala monga creon kapena panzinorm, komanso enanso omwe ali ndi ma enzymes, kuti muchepetse vutoli.
• Ngati ndi kotheka, ndibwino kubaya papaverine (2 ml) kapena kuikamo popanda mkondo.
• Ikani chikhodzodzo cha madzi oundana kuchokera kumbuyo kupita kukapamba.
• Mukhazike mwana pompopompo.

Zakudya Zabwino Komanso Zakudya

Mosasamala mawonekedwe a matendawa, chakudya chofunikira ndikofunika kuchiza kutupa kwa kapamba. Ndi kuchulukitsa kwa matendawa m'masiku awiri oyamba, simungathe kudya chilichonse. Analoleza msuzi wa rosehip basi, mchere wamadzi wopanda mafuta kapena tiyi wopanda mafuta. Iyenera kuyikidwa pambali pazakudya pakachulukitsa matenda:

• mowa
• zonunkhira, zokometsera,
• mafuta, okazinga,
• masoseji, nyama zotsekemera,
• zipatso, zamzitini,
• confectionery, chokoleti, msuzi wowawasa.

Zogulitsa zomwe zingathe

Ngati kutupa kwa kapamba kumakhala kovuta, ndiye kuti madokotala amalola zotsatirazi:

• Zinthu zamkaka: tchizi chosakhala acidiki, yogati, kefir.
• Mitundu yamafuta ochepa-mafuta: pike, bream, zander.
• Zakudya zamafuta amphaka monga mbatata yosenda, ma bordo, soufflé kuchokera kwa kalulu, nyama yamwana wang'ombe, ng'ombe, nkhuku kapena nkhuku.
• Yophika masamba grated.
• Zipika kapena mkate wowuma.
• Steeled dzira omelette.
• Zakudya monga chimanga, nkhuku, Zakudyazi kapena masamba.
• Mafuta: Mpendadzuwa woyenga, maolivi, zonona.
• Pasitala, mbewu zampira.
• Mafuta okoma, odzola, zipatso zopatsa chidwi.
• Maphika ophika, maapulo.
• Msuzi wa tirigu tirigu, tiyi wopanda mphamvu, msuzi wa duwa lakuthengo, mchere wamadzi wopanda mpweya.

Ngati kapamba wayaka, mutha kugwiritsa ntchito zakudya zomwe tafotokozazi. Menyu adapangira munthu m'modzi masiku awiri:

• Chakudya cham'mawa 1: mbatata zosenda 100 g, 2 zopangira, madzi amchere.
• Chakudya cham'mawa chachiwiri: omelet yoyenda ndi mazira awiri, 2 cutlets zouma, 1 1 Cracker, mkaka wopanda mafuta 200 ml.
• Chakudya chamasana: msuzi wa nkhuku 200 ml, nsomba yophika 100 g, yophika zukini 100 g, 1 wowgwetsera, zoumba zouma 30 g, madzi a phwetekere 200 ml.
• Zosakhazikika: zipatso zonona 200 ml, madzi amchere osakhala ndi mpweya.
• Chakudya chamadzulo: oatmeal 150 g, 1 steam cutlet, karoti puree 100 g, 1 cracker, tiyi wokhala ndi mkaka 200 ml.

• Chakudya cham'mawa 1: ng'ombe yophika 100 g, oatmeal 150 g, Cracker 1, madzi amchere.
• Chakudya cham'mawa chachiwiri: applesauce 100 g, tchizi chokoleti kukokolola 100 g, Crack 1, 200 ml ya tiyi.
• Chakudya chamasana: msuzi wamasamba 250 ml, makeke awiri amtundu wa nsomba, dzungu phala 100 g, kanyumba tchizi 100 g, Crack 1, tiyi.
• Zakudya zoziziritsa kukhosi: karoti puree 150 g, makanema a nyama 100 g, apulo 100 g, yogati 100 g.
• Chakudya chamadzulo: mbatata yosenda 150 g, meatloaf 150 g, kanyumba tchizi pudding 100 g, Crack 1, zipatso zonona 100 ml, tiyi.

Zomwe zimayambitsa Kutupa Kwa Pancreatic

Zomwe zimayambitsa matenda a pancreatitis ndi kuledzera komanso ma gallstones. Komanso, matendawa amatha kupezeka chifukwa cha kuvulala, matenda komanso kugwiritsa ntchito mankhwala mosasamala. Nthawi zina zimachitika kuti zimayambitsa zomwe zimayambitsa kutukusira kwa kapamba zimakhalabe idiopathic (osadziwika). Munthawi yabwinobwino, kapamba ndi ndowe zake sizimalola ma enzyme kuwongolera maselo a mucous membrane. Koma nthawi zina kutuluka kwa ma enzymes m'matumbo ang'onoang'ono kumalephera, ndipo timadziti tam'mimba timayamba kukhala ndi zowononga zimakhala za gland palokha.

Zizindikiro za kutupa kwapancreatic

Chizindikiro chodziwikiratu kwambiri cha kutupa kwapancreatic ndikumva kupweteka kwambiri kumanzere kwa hypochondrium kapena pamimba pamimba.Nthawi zina ululu umaperekedwa kumbuyo ndipo umakhala ngati lamba. Mukakhala pansi kapena kutsamira pang'ono, zopweteka zimayamba kuchepa ndikuyamba kuchepa.

Zizindikiro zake zimaphatikizaponso:

Makaso amtundu wamaso ndi khungu,

Ululu wammbuyo, komabe, chizindikiro ichi nthawi zina chimayambitsidwa ndi matenda monga zilonda zam'mimba, appendicitis, cholecystitis, kutsekeka kwamatumbo, diverticulosis.

Limagwirira a kukula kwa zizindikiro za pancreatic kutupa

Zomwe zimayambitsa ndi zizindikiro za kutupa kwa kapamba ndizogwirizana kwambiri. Kupatula apo, Zizindikiro zimawonekera pokhapokha atakumana ndi chinthu chopatsa chidwi (mowa, zakudya zamafuta). Ndikofunikira kudziwa kuti pancreatitis yovuta komanso yopweteka imasiyana kwambiri wina ndi mnzake. Poyamba, makina oyendetsa chitukuko cha matenda am'mimba amadzipukusa okha kapamba. Mwa anthu athanzi, michere ya pancreatic imasungidwa osagwira ntchito. Amayamba kuphwanya mapuloteni, mafuta ndi chakudya pokhapokha atafika pamimba. Pali kutsegula kwa ma pancreatic enzymes. Mu chilonda chachikulu cha pancreatitis, njirayi imayamba kale, ndiye kuti, m'matumbo mwa iwo eni. Mothandizidwa ndi ma enzyme, makamaka lipase, minyewa ya ziwalo imayamba kuwonongeka. Zoopsa zimayambitsa kutupa ndi kutupa kwa kapamba. Ngati thandizo siliperekedwa pa nthawi, pancreatic necrosis imayamba - kuwonongeka kwathunthu kwa minofu. Izi nthawi zambiri zimapha.

Limagwirira kukula kwa kapamba ndi pang'onopang'ono m'malo mwachizolowezi pancreatic maselo ndi zolimba minofu. Njira imeneyi imatchedwa organ sclerosis. Zotsatira zake, ntchito yayikulu ya kapamba imasokonekera - katulutsidwe ka michere ya m'mimba. Zotsatira zake, zinthu zambiri sizigayidwa kwathunthu, zomwe zimayambitsa kukhumudwa ndipo zimawonjezera kukula kwa wodwalayo.

Zikondamoyo: Zizindikiro za kutukusira kwa ziwalo

Zizindikiro zoyambirira za kutupa kwapancreatic zimaphatikizapo, monga tanena kale, kupweteka kwam'mimba ndi mseru, kuwonda. Nthawi zambiri, odwala amapita kwa dokotala pamene zizindikiro za kapamba zimayambiranso pakapita nthawi. Anthu nthawi zambiri amazindikira kuti zizindikiritso za kapamba zimachitika mutatha kudya zakudya kapena mowa. Ndili ndi kufotokozedwa kwa madandaulo onse komanso mbiri yachipatala yamatenda omwe kupezeka kwa matenda a kapamba amayamba. Zizindikiro za kutupa zikuphatikizira izi:

1. Ululu pamimba chapamwamba. Popeza kuti kapamba ndi wamkulu, kumverera kosasangalatsa kumatha kuchitika kumanzere ndi kumanja. Komanso, ululu umatha kupezeka m'chigawo cha epigastric, kuwonetsa gastritis. Nthawi zina, kapamba wonse amadzaza. Potere, ululu umamangidwa.
2. Kuchepetsa mseru Itha kuchitika pambuyo cholakwika mu zakudya kapena kupezeka pafupipafupi.
3. Kusanza mobwerezabwereza. Mosiyana ndi zilonda zam'mimba, chizindikiro ichi sichimabweretsa mpumulo.
4. Kusintha chikhalidwe cha mpando. Tizilomboti timatha kutulutsidwa zochuluka, zimakhala ndi thovu komanso tinthu tating'onoting'ono ta chakudya. Kutsekula m'mimba nthawi zina kumadziwika, nthawi zambiri - kudzimbidwa.
5. Thupi. Chizindikiro ichi sichimatchulidwa nthawi zonse, chifukwa chake, motsutsana ndi maziko a dyspepsia, sichilabadiridwa. Thupi lakuthwa limadziwika ndi chifuwa chachikulu cha kapamba.
6. Kulimbikitsidwa kwa peristalsis, kumverera kwa "kuphulika" pamimba.

Ndi kutupa kwa nthawi yayitali, kupsinjidwa kwa ma ducts a bile kungachitike. Komabe, zizindikilozo zimakhalabe chimodzimodzi. Kuphatikiza apo, khungu loyenda ndi icteric syndrome limalowetsedwa.

Kuyeserera kwakuthupi kwa chizindikiro cha kutupa kwa kapamba

Kodi zizindikiro za kutupa kwa kapamba pamayeso ndi ziti? Choyamba, adotolo amawonetsa kuwonongeka kwa chikhalidwe cha wodwalayo. Wodwala nthawi zambiri amakhala wokhumudwa, wotupa, wotuwa.Mu pachimake kapamba, kutsika kwa magazi, tachycardia yayikulu, kupumira mofulumira kumatha kuchitika. Ngati kutupa kwa kapamba kumakayikiridwa, palpation yam'mimba imachitika. Kuti izi zitheke, wodwalayo wagona pamsana pake ndikupempha kuti agwade. Ngakhale kukhudza kwambiri khoma lam'mimba kumatha kusowetsa mtendere. Zizindikiro za palpatory za kutupa kwa kapamba mwa akulu ndizosavuta kuzizindikira. Kupatula apo, wodwalayo atha kuwonetsa zakupezeka kwapadera. Zomverera zosasangalatsa zimadziwika m'malo a pancreas. Izi zikuphatikiza gawo la Shoffar ndi Gubergrits - Skulsky. Loyamba ndi lalitali lomwe limamangidwa ndi mizere itatu. Chimodzi mwa izo chimakokedwa kuchokera ku navel kupita kumanja ndikukwera pa ngodya yofanana ndi madigiri 45. Lachiwiri ndi mzere wamthupi. Lachitatu limalumikiza mfundo ziwiri zam'mbuyomu, zimachitika ndi masentimita 6 pamwamba pa mphete ya umbilical. Dera la Hubergrits-Skulsky limafanana ndi makona atatu a Shoffar, koma lili kumanzere kwamimba.

Kukhazikitsa dera lomwe lakhudzidwa ndi kapamba, mfundo zitatu ndizosiyanitsidwa. Chifukwa cha izi, zimadziwika komwe gawo lachiberekero limatulutsa. Zina mwa izo ndi:

1. Mayo-Robson Point. Itha kutsimikizika pakujambula mzere kuchokera ku navel kupita ku mtengo wamanzere wamtengo wapatali. Ngati mungagawe gawoli magawo atatu, ndiye kuti Mayo-Robson mfundoyo izikhala pamalire a gawo lapakati komanso lapamwamba. Uku ndikukulosera kwa mchira wa kapamba.
2. Desjardins amaloza. Zimasankhidwa ndikujambula chingwe cholumikiza navel ndi kumanja kolondola. Mfundoyi ili pagawo la masentimita 5-7. Nayi mutu wa kapamba.
3. Point Kacha. Ili pakati 4-7 cm pamwamba pa msomali m'mphepete lakunja kwa minofu ya rectus abdominis. Kuvulala pakadali pano kumatanthauza kuti kutupa kumachitika padera pakati pa mchira ndi thupi la kapamba.

Kuphatikiza apo, zizindikiro za kapamba zimaphatikizanso kusintha kwa lilime. Imakutidwa ndi zovala zoyera kapena zachikaso, zitha kuwuma pang'ono.

Laborator zizindikiro za kapamba

Zizindikiro zaku labotale zamatenda a pancreatic zimapangitsa kuzindikira pancreatitis. Izi zikuphatikiza kusintha kwamomwe magazi amafotokozera, magazi, UAC. Kukhalapo kwa kutupa kumawonetsedwa ndi kuwonjezeka kwa kuchuluka kwa diastase, enzyme yomwe imatsimikiziridwa mu mkodzo. Mulingo wabwinobwino ndi magawo 16-64. Leukocytosis ndi kukweza kwa erythrocyte sedimentation rate (ESR) amadziwika mu KLA. Kuyesedwa kwamwazi wamagazi kumawonetsa kuchuluka kwa zochitika za ma pancreatic enzymes. Izi zimaphatikizapo amylase ndi lipase. Chofunika kwambiri ndikuphunzira ndowe. Ndibwino kuti mukuwerenga Facks amene amuchotsa pamiyeso yambiri (polyfecal), ali ndi zinyalala za chakudya, amatha kukhala ndi sheen wonunkhira. Kusanthula kwa fecal kumatchedwa Coproscopy. Kafukufukuyu amakupatsani mwayi kuti muwone zizindikilo zasayansi monga:

1. Steatorrhea. Liwuli limatanthawuza kuwonjezeka kwamafuta acid mu ndowe.
2. Creatrhea - kuphatikiza kwa ulusi wamisempha mu ndowe.

Zizindikiro izi za kutupa kwa kapamba zimayambitsa kuphwanya chakudya. Nthawi zambiri zimawonedwa mu chifuwa chachikulu.

Timazindikira zizindikilo za kutukusira kwa kapamba pogwiritsa ntchito njira

Kuti muzindikire njira yotupa mu kapamba, mayeso angapo amathandizidwa. Ultrasound yam'mimba ziwalo imatengedwa ngati njira yayikulu yodziwira matenda. Phunziroli, kuwonjezeka kwa kukula kwa kapamba ndi kusintha kwa kachulukidwe kake kumadziwika. Kapangidwe ka minofuyo kangakhale kopatsa chidwi. Makoma a chiwalo amakhala kuti adakomoka chifukwa cha edema - chimodzi mwazizindikiro za kutupa.

Kuphatikiza pa ultrasound yam'mimba, FGDS imachitidwa. Phunziroli ndilofunikira kupatula matenda am'mimba ndi duodenum. Nthawi zina, tomography yochitidwa imachitidwa. Ngati pancreatitis yachilendo ikukayikiridwa, ECG iyenera kutengedwa. Kupatula apo, matendawa amasiyanitsidwa ndi myocardial infarction.Matenda a laparoscopy azadzidzidzi nthawi zina amasonyezedwa.

Ngati zizindikiro za kutupa kwa kapamba mwa mkazi wapezeka, maphunziro angapo akuyenera kuchitika. Nthawi zina, chithunzi cha matenda apakhungu pancreatitis chimatha kufanana ndi ziwonetsero za peritonitis. Zomwe zimayambitsa kutukusira kwa peritoneum mwa azimayi ndimatenda oopsa a m'mimba (ectopic mimba, kupasuka kwa thumba losunga mazira, torsion yamiyendo ya chotupa). Chifukwa chake, kuphatikizika kwa ziwalo za m'chifuwa kumafunika.

Kuphatikiza kwa cholecystitis ndi kapamba: Zizindikiro

Zizindikiro za kutupa kwa ndulu ndi kapamba zimaphatikizidwa nthawi zambiri. Izi ndichifukwa choti matupi awa amakhala muubwenzi wokhazikika. Nthawi yomweyo, kuwunika kwa cholestopancreatitis kumapangidwa. Zizindikiro za kutupa sizosiyana ndi zizindikiro za chotupa cham'mimba. Koma mawonetseredwe ena azachipatala amawonjezeredwa kwa iwo. Zina mwa izo ndi:

1. Ululu mu hypochondrium yoyenera.
2. Kupsinjika mkamwa ndi malamba.
3. Kusungunula kwa bile.

Pakufufuza kwakuthupi, ululu umadziwika ndi kupanikizika kwa kuchuluka kwa ndulu (chizindikiro cha Kera). Zomverera zosasangalatsa zimatsatiridwa ndikuwombera mtengo wapamwamba kumanja. Mwanjira imeneyi, chizindikiro cha Ortner-Grekov chimayendera. Chizindikiro china cha kutukusira kwa ndulu ndi kupweteka pamene kukanikizidwa pakati pa ulusi wa minofu ya sternum-mastoid.

Momwe mungadziwire kapamba mu ana?

Zizindikiro za zotupa za pancreatic mwa ana sizisiyana ndi zomwe zimachitika mwa akulu. Komabe, kuzindikira pancreatitis adakali aang'ono kumakhala kovuta kwambiri. Kuphatikiza pa kukhalapo kwa zizindikirozi, mwana amakhala wodwala, amakana kudya. Mwa ana aang'ono, kugona kumasokonezeka, kutentha kwa thupi kumatha kukhala kupitirira 38 madigiri, kutsegula m'mimba kumadziwika. Kuti muwone kutupa, pangani zamimba za m'mimba, mayeso a labotale. Palpation ya ana aang'ono sikuchitika.

Kutupa kwa pancreatic: Zizindikiro ndi chithandizo cha matenda am'thupi

Chithandizo cha pancreatitis pachimake nthawi zambiri chimatsikira ku opareshoni. Pakutupa kosafunikira, mankhwala osokoneza bongo akuwonetsedwa. Amayikidwa malinga ndi zizindikiro zomwe zilipo za kapamba. Chithandizo chimaphatikizapo:

1. Opaleshoni Ikani mankhwala "Ketonal", "Analgin." Ndi ululu waukulu - mankhwala "Promedol".
2. Kuthandizira mothandizidwa ndi michere. Amawerengedwa kuti aziwonetsetsa kuti chakudya chaphazikika. Ikani mankhwala "Pancreatinum", "Creon", "Festal".

Zakudya za zizindikiro za kutupa kwapancreatic

Popewa kufalikira kambiri, muyenera kutsatira zakudya. M'masiku oyambilira a pancreatitis pachimake, njala ikuwonetsedwa. Pambuyo pa masiku 3-5, chakudya chapadera chimasankhidwa - tebulo Na. 5. Ngati mankhwalawa ndi osachiritsika, ndikofunikira kupatula mowa, nyama yokazinga ndi zonunkhira, mafuta a nyama pazakudya. Chakudya chizikhala chovundira, mu uvuni kapena kuphika. Zakudya ndi gawo lofunika mankhwalawa pancreatitis.

Udindo wa kapamba

Chiwalo chomwe chili mkati mwa m'mimba kumbuyo kwa m'mimba mwa lumbar vertebrae chimachita zolinga ziwiri mthupi:

p, blockquote 3,0,0,0,0,0,0 ->

• Imatsekera madzi a pancreatic ndi michere yokumba m'matumbo ang'onoang'ono, pomwe michere imayamwa ndikuyamwa magazi.
• Magazi a glucagon ndi insulin amapangidwa, omwe amapatsidwa gawo potsatira kayendedwe ka metabolic.

Chizolowezi choyipa cha akazi kudya kwambiri, kudya zakudya zamafuta, kapena kudya zakudya zosakwanira m'mapuloteni kumayambitsa kutupa kwa kapamba pomwe michere ya m'mimba imakhudzidwa isanalowe m'matumbo ang'onoang'ono. Chithunzichi pansipa chikuwonetsa wathanzi komanso matenda.

p, blockquote 4,0,0,0,0,0,0 ->

Pachimake kapamba

p, blockquote 7,0,0,0,0 ->

Zizindikiro zoyambirira za kutupa ndizopezekanso ndi kusanza mobwerezabwereza.Ndiye kuti pali ululu wammimba m'chibelekero chapamwamba, chomwe mkati mwa masiku atatu chimaperekedwa m'mapewa, kenako ndikupeza mawonekedwe opweteka ndi kuchepa kwapang'onopang'ono kwa sabata limodzi. Nthawi yomweyo, zizindikiro zotsatirazi zimadziwika:

p, blockquote 8,0,0,0,0 ->

• Kukongola kwa khungu la nkhope, lakuthwa muzinthu.
• Anakulitsa m'mimba.
• Kudzimbidwa komanso kuphuka.
• Fetid chopondapo ndi chithovu komanso zidutswa za chakudya zosakhudzidwa.
• Kuthamanga kwamtima.
• Thupi - kutentha thupi ndi minofu kugwedezeka, kumverera kozizira.

Ndi zizindikirazi, muyenera kufunsa thandizo kuchipatala mwachangu. Kuukira kwapadera kwa pancreatitis mu milandu yayikulu kumabweretsa kutaya kwa magazi mu chiwopsezo, matenda ndi mapangidwe a cyst. Matendawa amasokoneza ziwalo zina zofunika - impso, mtima ndi mapapu.

p, blockquote 9,0,1,0,0 ->

Matenda a kapamba

p, blockquote 10,0,0,0,0 ->

Njira yayitali yotupa imayamba pazifukwa ziwiri:

p, blockquote 11,0,0,0,0 ->

• Pambuyo pa kumwa, amuna akamayamba kumwa mowa.
• Pamapeto pa gawo la matenda omwe ali pachimake, ngati chithandizo cholondola sichinachitike, monga thandizo loyenerera ndi maphunzirowa limathandizira odwala kupezanso bwino.

Kutupa kosatha kumatenga nthawi ziwiri. Loyamba limadziwika ndi kusintha kobwereza-bwereza komwe kulibe zizindikiro zowoneka bwino, ndipo chachiwiri - ndikusokonekera kosalekeza, kofanana ndi khunyu, komanso nseru, kusanza ndi kudzimbidwa, koma mawonekedwe a zizindikilo zatsopano:

p, blockquote 12,0,0,0,0 ->

• Kamvekedwe ka chikaso pakhungu.
• Kutsegula m'mimba komanso kuchepa thupi.
• Ululu wambiri pamimba pamimba pambuyo kudya kwambiri kapena kudya mafuta. Nthawi yomweyo, imakhala yosavuta pakukhala kapena pambuyo maola angapo kapena masiku angapo kuchokera pomwe chakudya chalowe kwambiri m'mimba.

p, blockquote 13,0,0,0,0 ->

Matenda a kapamba, okhalitsa, amabweretsa chiwonongeko cha kapamba, kusintha kapangidwe ka minofu ya chiwalo. Zotsatira zake, pangani:

p, blockquote 14,0,0,0,0 ->

• Chinsinsi chosakwanira.
• Matenda a shuga.
• Malabsorption syndrome, yomwe imagwira ntchito monga gwero la zovuta zazikulu: kuchepa magazi, kubereka, komanso kusowa kwa michere mthupi.

Zizindikiro

Mapeto ake chifukwa chake kupweteka kwamkaka kumachitika mwa amayi amapangidwa pambuyo pa mayeso ndi njira zothandizira:

p, blockquote 20,0,0,0,0 ->

• Kusanthula kwamwazi ndi kukosanso kwamwazi. Kutupa mu chiwalo kumawonetsedwa ndi kuchuluka kwa amylase ndi lipase, kuwonjezeka kwa chiwerengero cha leukocytes, ndi kuchuluka kwa ESR.
• Mayeso a kulolera a glucose.
• X-ray, kuyesa kwa ultrasound kwam'mimba.
• Endoscopy - gastroscopy. Kuyesa kutenga nawo gawo pakatupa a m'mimba ndi duodenum.
• Tomography yowerengera - kufunafuna ma gallstones ndikuwona kuchuluka kwa kuwonongeka kwa kapamba.
• Coprogram ndi urinalysis momwe amylase ilipo pancreatitis.
• Kuyesa kwa biopsy ndi ntchito.
• ERCP ndi magonedwe amatsenga.

Chithandizo cha kutupa kwa kapamba

Acute pancreatitis ndi chiopsezo kuumoyo ndi moyo, chifukwa chake, kupweteka kwamankhwala sikumawachitira mankhwala azikhalidwe kunyumba, koma munthuyo amatumizidwa kuchipatala. Pankhaniyi, odwala omwe ali ndi vuto lalikulu la pathology amasamutsidwa kumalo osungirako odwala kwambiri, komwe amakhala moyang'aniridwa ndi madokotala.

p, blockquote 21,0,0,0,0 ->

Chithandizo cha kutupa kwa azimayi omwe ali ndi vuto la matenda kapena osachiritsika pakubwezereranso kumayamba ndi njira zotsatirazi:

p, blockquote 22,0,0,0,0 ->

• Pogona pogona.
• Njala yazithandizo.
• Ice pamimba.
• Gland push-up (chala chimayikidwa pa hypochondrium ndikuwakanikizidwa pang'ono mpaka khoma lam'mimba limasokonezedwa kwa mphindi zitatu).
• Zochita zolimbitsa thupi kusintha magazi ndikuyenda kwa pancreatic.

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kuikidwa kwa:

p, blockquote 23,0,0,0,0 ->

• Mitsempha yamkati, yomwe imapangitsa kuchepa kwamadzi ndi thupi ndikulimbitsa magazi.
• Ma painkiller, okodzetsa.
• Njira zakuyeretsa magazi.
• Somatostatin kapena kaphatikizidwe kapangidwe ka zoletsa pancreatic.
• Ma anti-sipekitiramu othandizira.

Ndi zovuta za matenda a shuga, mankhwala a odwala amatchulidwa ndi endocrinologist.

p, blockquote 24,0,0,0,0 ->

Ndi pancreatitis yowonongeka, opareshoni amachitidwa kuti achotse minofu yakufa kapena yowonongeka. Njira zopangira opaleshoni ziyeneranso kuthandiza odwala omwe:

p, blockquote 25,0,0,0,0 ->

• Matenda a intoxication adakulirakulira.
• Palibe kusintha pambuyo masiku awiri awofatsa mankhwala.
• Anazindikira kuti anali ndi kachilombo koyambitsa matenda a pancreatic necrosis.

Mankhwala osokoneza bongo

Mu nthawi yayitali ya kutupa mu kapamba, pakubwereranso, mankhwala amachitika:

p, blockquote 26,0,0,0,0 ->

• Mwa kukonzekera kwa enzyme, uyu ndi Wobenzym wokhala ndi miyezi iwiri, Pancreatin, Mezim, Cholenzym.
• Mapiritsi a Allohol, koma amatha kuledzera pokhapokha ngati pali zizindikiro zowonjezera.
• Ma Painkiller ndi Baralgin, No-shpa, Duspatalin.
• Madzi amchere (Smirnovskaya, Slavyanskaya, Essentuki Na. 4 ndi Na. 17).
• Zitsamba zamankhwala - dandelion, stigmas chimanga, nthula mkaka, muzu wa burdock.

Mu pachimake matenda a kapamba, mankhwala otsatirawa amathandizidwa kulandira chithandizo:

p, blockquote 27,0,0,1,0 ->

• Antispasmodics - Papaverine, Drotaverin, No-shpa. Ndi chithandizo chawo, ululu wammbuyo umaleka, minofu yosalala ya Oddi ndi gawo lothandizira limapuma, ndipo kupanikizika kwa duodenum ndi m'mimba kumachepa.
• Mankhwala ochepetsa mphamvu yotupa - Diclofenac, Dexketoprofen, omwe amaletsa kupweteka komanso kuchepetsa kutupa.
• Narcotic analgesics - Morphine adalembedwa kuti awononge kapamba.

Mankhwala othandizira

p, blockquote 28,0,0,0,0 ->

Zakudya zopatsa mphamvu mu zotupa zimayambitsa gawo lofunikira. Chakudyacho chimasankhidwa mwanjira yoti sichingayambitse kuyambiranso kwa chizindikiro cha matenda mukachira. Pankhaniyi, malamulo ena pakudya ayenera kutsatiridwa nthawi zonse:

p, blockquote 29,0,0,0,0 ->

• Osamadya kwambiri.
• Idyani nthawi zambiri komanso pang'ono.
• Osamadya mbale zozizira kapena zotentha, koma mwa mawonekedwe ofunda.

Panthawi yamavuto, zizindikiro zowawa zikaoneka, samadya chilichonse m'maola 24 oyamba. Pakadutsa mphindi 15 mpaka 20, amamwa magawo angapo a madzi owiritsa kapena mchere wa Borjomi ndi Essentuki, msuzi wamiyendo yamtchire, tiyi wobiriwira wopanda mphamvu wopangidwa ndi supuni 1 ya zosaphika pakapu imodzi yamadzimadzi.

p, blockquote 30,0,0,0,0 ->

Zakudya zamatenda a kapamba, kuyambira tsiku lachiwiri mutachira, muli mndandanda wotsatira:

p, blockquote 31,0,0,0,0 ->

• Chakudya cham'mawa, mutha kuphika chimanga chamadzimadzi pamadzi.
• Amaloledwa kumwa ma bulosi compotes, currant ndi cranberry zakumwa, idya masamba.
• Kuyambira masiku atatu, zakudya zimasiyanasiyana ndimtundu wa mpunga kapena oatmeal. Kuyambira masamba amapanga mafuta oyera osafunikira mafuta. Porridge yopangidwa kuchokera ku semolina, grated buckwheat kapena mpunga umakonzedwa zonse m'madzi ndi mkaka.

Kuyambira sabata yachiwiri, menyu uphatikiza:

p, blockquote 32,0,0,0,0 ->

• Nsomba ndi nyama soufflés kapena nyama zodulira.
• Mafinya opanda yolks.
• Maapulo ophika ndi mapeyala mu uvuni.
• Cottage tchizi ndi lactic acid zinthu.
• Suzi zamphesa za mbewa.
• Mapira ndi masamba osenda - mbatata, zukini, maungu ndi kaloti.

Kuchiza kunyumba ndi zakudya kumatanthauza izi:

p, blockquote 33,0,0,0,0 ->

• Zakumwa zoledzeretsa ndi mowa.
• Nyengo ndi zonunkhira.
• Zakudya zamafuta, zonunkhira komanso zokazinga.
• Soseji ndi zakudya zamzitini.
• Maswiti, makeke, makeke ndi zinthu zina zofananira, chokoleti.
• Masuzi owiritsa.
• Mchere wamchere.
• Khofi ndi nthochi.

Zakudya zopatsa mphamvu zotupa kwa kapamba zimapitilira chaka chonse. M'tsogolomo, kuphatikizapo zakudya zoletsedwa m'zakudya, ndizotheka kubwerezabwereza.

p, blockquote 34,0,0,0,0 ->

Makina oyenerana sabata limodzi ndi kapamba:

p, blockquote 35,0,0,0,0 ->

p, blockquote 36,0,0,0,0 -> p, blockquote 37,0,0,0,0,1 ->

Zomwe zimachitika

Zitha kupangitsa chitukuko cha zotupa zapansi:

• kudya zakudya zamafuta, zonunkhira komanso zokazinga,
• kudya kwambiri
• kumwa mwadongosolo
• kutenga mahomoni
• mantha amanjenje
• kuvulala kwam'mimba.

Kutupa kwa ndulu kumatha kuchitika motsutsana ndi maziko a matenda ena ammimba thirakiti (yotupa pancreatitis):

Madokotala amati anthu okalamba amadwala ndipo amakonda kuchita zonse. Amayi nthawi zambiri kuposa amuna amadwala matendawa.

Mankhwala

Mankhwala othandizira kutupa kwa kapamba, mankhwalawa amasankhidwa ndi kuperekedwa ndi dokotala aliyense payekha. Mutha kulembedwa:

1. Mankhwala a Antispasmodic (kuti muchepetse kuphipha kwa minofu): Drotaverinum (mwanjira ya mapiritsi osiyanasiyana: Spasmol, No-shpa, Spazmalgon), Papaverine.
2. Mankhwala ofooketsa kubisika kwa madzi am'mimba: Omeprazole (Zerocide Orta-nol, Gastrozole, Ocid, Promezole, Omepar Losek ndi ena). Ranitidine (Acidex, Histak, Ulkuran, Rantak, Atzilok-Yee ena). Famotidine (Antodyne, Histodyl, Belomet, Acipep, Primamet, Blockacid, Ulkuzal, Gasterogen).
3. Kukonzekera kwa enzyme: Gimekromon, Allohol, Pancreatin (Creon, Digestal Pankral, Mezim, Pancitrat, Penzistal).
4. Zinthu zomwe zimalepheretsa kupanga kwamphamvu kwa kapamba: Aprotinin (Iniprol, Antagozan, Trasilol Gordoks, Kontrikal).

Ngati kupanikizika kwa kapamba kumachitika ndi matenda a shuga - mankhwalawa amachitidwa monga adapangidwira ndi endocrinologist. Cysts ndi zotupa zoyipa za kapamba zimakhalanso zovuta za chifuwa chachikulu. Popeza ndi ma neoplasms omwe amagwira ntchito mu ma cell, maonekedwe awo amatha kuwonetseredwa kuphatikiza maphunziro a ultrasound ndi MRI, komanso ndikugawidwa kwa mahomoni ochulukirapo.

Kuti mankhwalawa akhale othandiza, odwala matendawa ayenera kutsatira zakudya pachaka chimodzi. Idyani pafupipafupi ndipo osamadya kwambiri. Tengani chakudya mwachikondi. Mwambiri, wodwala aliyense amayesera kudzisankhira yekha zakudya zomwe sizingabwezeretsere, chifukwa tonse ndife osiyana ndipo aliyense mwanjira yake amakumana ndi zomwezi.

Ndi kukokomeza kwa kutupa kwa kapamba m'masiku oyamba simuyenera kudya konse, kumwa madzi amchere osagwiritsa ntchito mpweya - angapo amawulutsa mphindi 15 zilizonse. Msuzi wa rosehip, tiyi wofooka uzichita, koma timadziti, zakumwa za zipatso - ayi.

Kenako mutha kuyamba kudya, kawirikawiri komanso pang'ono ndi pang'ono. Nyama ndi nsomba mu mawonekedwe a soufflé ndi ma cutlets otentha, phala pamadzi, mazira osenda, masamba osenda owiritsa - oyamba kumene. Kenako adzaphatikizidwa ndi kanyumba tchizi, zinthu zamkaka, zipatso ndi zipatso mwanjira ya ma compotes ndi odzola, maapulo ophika ndi mapeyala.

Ndi kuchulukitsa kwa matenda a kapamba, ndikofunikira kupatula chakudyacho:

• mowa
• zonunkhira, zokometsera,
• mafuta, okazinga,
• masoseji, nyama zotsekemera,
• zipatso, zamzitini,
• confectionery, chokoleti, msuzi wowawasa.

Kunyumba, chithandizo chamankhwala cha kutupa kwa zikondamoyo chimatanthawuza kupatula kwa mitundu ingapo ya zakudya za nthawi imeneyo mpaka nthawi yoti matenda athe, komanso nthawi yakukonzanso. Ndi chitukuko cha matenda a kapamba, kuletsa zakudya kumapitirirabe.

Ngakhale matendawa atachiritsidwa, zomwe zimapangitsa kuti zikhale zovulaza thanzi, muyenera kusamala ndi zomwe mumadya komanso zakudya kuti mupewe kuyambiranso.

Kupewa kufalikira kwatsopano

Mu kutupa kosalekeza, kupewa kuthekera kwakuthupi kumafunika kutsatira mosamalitsa kudya No. 5 kapena No. 5P. Zakudya zokhala ndi chakudya chamafuta kwambiri zimayenera kukhala zochepa momwe zingathere, ngakhale simuyenera kuzichotsa kwathunthu kuzakudya.

Zakudya zomanga thupi ndi gawo limodzi lazakudya za munthu wathanzi ndipo ndizofunikira kuti zizigwira ntchito bwino. Komabe, odwala pancreatitis ayenera kuchepetsa kugwiritsa ntchito kwawo.Maswiti ndi olemera kwambiri mu chakudya - makeke, makeke, ayisikilimu, maswiti, makeke, ndi zina zambiri zophikira.

Zowopsa

Zinthu zotsatirazi zimawonjezera chiopsezo cha kapamba:

Mowa. Zonse zimatengera mawonekedwe amunthu. Kuchuluka kwa mowa komwe kungayambitse kuwonongeka kwa maselo a pancreatic, munthu aliyense amakhala ndi wake. Pafupifupi, akatswiri azachipatala amati amuna samatha kumwa magalasi awiri a mowa wamphamvu tsiku lililonse, ndipo kwa akazi chizolowezi ichi sichiyenera kupitirira galasi limodzi.

Miyala mu chikhodzodzo. Matenda a Gallstone angayambitse kufooka kwa pancreatic duct, ndipo chifukwa chake, kutuluka kwa timadziti tam'mimba kumayipa.

Kukweza magazi triglycerides,

Kupatuka mwa kapangidwe ka ndulu kapena kapamba, komanso katangale kazinthu, pomwe kapamba amagawikana ndipo amakhala ndi mayunitsi awiri akuluakulu.

Ndikofunikira kudziwa! Muyenera kupita kuchipatala mwachangu ngati pali kupweteka m'mimba, ngati mukusanza kwa maola angapo, kapena ngati pali kupweteka pang'ono kwa masiku angapo. Sikoyenera kuti zizindikirazi zikuwonetsa matenda a kapamba, komabe, kupatula kuzindikiritsa, kuyezetsa kofunikira ndikofunikira. Simuyenera kupirira kwa nthawi yayitali ndikudikirira kuti zizindikirozo ziziyenda okha. Izi ndizowona makamaka kupweteka kwambiri m'mimba, popeza izi zimatha kuwononga moyo wa munthu.

Mankhwala ochizira pancreatic aakulu a kutupa

Mankhwalawa matenda a kapamba, mankhwala a ululu, michere yomwe imasintha chimbudzi cha chakudya imayikidwa, ndipo ngati ndi kotheka, mankhwala okhala ndi insulin.

Mitundu yayikulu ya mankhwala ochizira kapamba:

Ophera. Ngati zovuta zowawa ndizovomerezeka, ndiye kuti zitha kuyimitsidwa ndi ibuprofen kapena acetaminophen. Ngati mukumva ululu wowopsa komanso wowopsa, monga momwe dokotala amafotokozera, ma ulalo wamphamvu kwambiri umagwiritsidwa ntchito,

Insulin Ngati kutupa kumayambitsa kuphedwa kwa maselo a pancreatic omwe amapanga insulin, ndiye kuti wodwalayo amapatsidwa jakisoni wopatsa insulin,

Enzymes Ndi mawonekedwe owopsa amtundu wa kapamba m'matumbo, chiwalochi chitha kuyimitsa kupanga michere ya m'mimba, yofunikira pakugaya ndi kuyamwa koyenera kwamafuta, chakudya ndi mapuloteni. Pankhaniyi, wodwalayo adamulowetsa kudya enzyme. Kulowa mthupi, amathandizira kuti chakudya chizikhala chokwanira.

Kugwiritsa ntchito ma enzymes pochiza matenda kapamba kumatha kuyambitsa mavuto. Mwachitsanzo, kuwawa pamtunda wa anus kapena pamlomo. Ma enzymes ambiri amapangidwa ndi mapuloteni a nkhumba, motero sayenera kutengedwa ngati mukusowa nkhumba.

Mosamala komanso moyang'aniridwa ndi dokotala, ma enzyme amayenera kumwedwa ali ana, popeza kuchuluka kwake kumatha kuyambitsa matumbo.

Kodi opaleshoni ndiyofunikira liti?

Kondomu ndi chida chofewa kwambiri, chomwe chimakhala chosavuta kuwonongeka pakuchita opareshoni, madokotala samakonda kuti aziwapatsa chithandizo ngati zingatheke. Komabe, nthawi zina opaleshoni imangofunikira, chifukwa chiopsezo cha zovuta chifukwa cha minofu yakufa ya pancreatic ndiyokwera kwambiri kuposa chiwopsezo cha zovuta zamankhwala opaleshoni.

Ngati kapamba amayamba chifukwa cha kupezeka kwa ndulu, ndiye kuti imodzi mwa mitundu iwiri ya ntchito imasankhidwa:

Tsegulani opaleshoni ya ndulu.

Ngati pali miyala mu ndulu, endoscopic retrograde cholangiopancreatography imagwiritsidwa ntchito. Amatembenukiranso ngati kuli kofunikira kukulitsa kapena kukhetsa nguluwe yopapatiza.

Kuthetsa minofu ya pancreatic yakufa, njira zingapo zimagwiritsidwa ntchito:

Laparoscopic necrectomy, yomwe imagwiritsidwa ntchito ndi zochepa pancreatic minofu necrosis. Kuchita koteroko ndikofunikira kupulumutsa moyo wa wodwalayo, ngakhale pambuyo pake kuchuluka kwa ma enzymes ndi mahomoni omwe amatulutsidwa ndi thupi amatsika.

Tsegulani necrectomy. Amawonetsedwa pofalitsa paliponse njira za necrotic mu minofu ya kapamba. Maselo a Necrotic amatsekeredwa, ndikutsatira ndikuchotsa zotupa, kukoka kwa zotumphukira komanso kuphulika kwa m'miyendo ya purulent.

Pancreatic necrectomy ndi ntchito yopulumutsa chiwalo yomwe ikukhudzana ndikuchotsa minofu yonse.

Zoyenera kuchita ngati mavuto a kutupa akuyamba?

Pancreatitis odwala samayang'aniridwa ndipo nthawi zambiri amakhala limodzi ndi zovuta. Izi zikuphatikiza:

Pancreatic minofu necrotization,

Nthawi zina opaleshoni yochotsa miyala mu ndulu kapena pang'onopang'ono mwa mbali yowonongeka ya kapamba imafunika. Ngati zakuphwanya ndizofunikira, ndiye kuti wodwala nthawi zambiri amayenera kutenga insulini kuti aziwongolera shuga. Ndipo pakugaya kwabwinobwino mapuloteni ndi mafuta, mankhwala amalembedwa omwe ali ndi michere yamagaya.

Ngati kutupa kwa kapamba kumakhala kovuta, ndiye kuti wodwala amafunika kutsatira zakudya zomwe nthawi zonse zimatha, zomwe zimathetseratu kumwa zakumwa zoledzeretsa, kuphatikizapo zakumwa zoledzeretsa. Ndikofunikira kuti nthawi zonse muzitenga ma pinkiller. Wodwalayo ayenera kupanga njira yopezera zakudya mothandizana ndi adokotala. Kusintha zizolowezi zanu zakukoma ndizovuta, makamaka kwa anthu omwe ali ndi chifowoka chofooka, koma ndi njira yoyenera, kukonzekera bwino komanso kuthandizira mabanja, zonsezi zimatheka.

Mavuto a pancreatitis aakulu ndi awa:

Kuchulukana kwamadzi ochulukirapo kuzungulira zikondamoyo,

Kutulutsa kwamitsempha yamagazi,

Kupweteka kokhazikika

Stenosis ya bile ducts ndi matumbo aang'ono,

Chithandizo cha kufooka kwa odwala

Zomwe zimachitika chifukwa chotupa kwakanthawi kwa kapamba ndikuchepa kwa kuchuluka kwa michere yomwe amatulutsa. Chifukwa chake, thupi silitha kugaya mafuta mokwanira. Kuchepetsa kaphatikizidwe ka michere kumaphatikizira steatorrhea. Uku ndikutulutsa kwamadzimadzi, ndowe zamafuta.

Popeza mapuloteni ndi mafuta sizimatengedwa ku chakudya, munthu amayamba kuchepa thupi. Kuthetsa vutoli ndi mankhwala okhala ndi ma enzyme. Ngati pancreatitis yadzetsa kutha kwa kutulutsa kwa pancreatic kwa insulin, ndiye kuti wodwalayo adapangidwa jakisoni woyenera.

Mankhwala, ndi njira yotupa yotupa, mankhwalawa amaperekedwa kwa wodwala kapena minyewa yapamimba yomwe imakhudzidwa ndi ma pancreatic. Komabe, madotolo akuyesera kuchitira chiwalo ichi popanda kugwiritsa ntchito opaleshoni, chifukwa kapamba ndiwofatsa kwambiri komanso osavulaza.

Kupewera kwa kutupa kwa kapamba

Ndikosatheka kupewa kutupa kwa kapamba, ngati matenda ena aliwonse.

Komabe, mutha kuchepetsa zomwe zingachitike pachiwopsezo, motero, kuchepetsa mwayi wakuwukiridwa kwatsopano:

Popeza nthawi zambiri kupweteka kwa kapamba kumachitika motsutsana ndi maziko a kuledzera, pamaso pa matenda otere, mowa uyenera kusiyidwa kwathunthu ndi moyo wanu. Ngakhale ocheperako amatha kupweteketsa ululu kapena zovuta. Mlingo waukulu wa mowa ukhoza kukhala pachiwopsezo cha munthu wa kapamba,

Popeza kupweteka kwamatumbo kumayendera limodzi ndi kupweteka, ma pinkiller ndi michere yam'mimba ndi mankhwala.

Zakudya zamafuta, zokazinga, zosuta, zonunkhira ndizochepa, chifukwa zimakwiyitsa kapamba komanso kupweteka,

Ngati pancreatitis yapsinjika ndi ma gallstones, ndiye kuti muyenera kuwunika zakudya zanu ndikuyenda bwino,

Kusuta kumayambitsanso chitukuko cha matenda apamba, chifukwa chake muyenera kuganizira zosiya chizolowezi ichi,

Muyenera kudya zipatso ndi ndiwo zamasamba zatsopano, nyama zopanda mphamvu, zinthu zophika mkate, komanso phala yophika pamadzi.

Kuyendera kwa panthawi yake kwa dokotala pamaso pa zisonyezo zoyambirira za kapamba, kutsatira malingaliro ake onse othandizira ndi kupewa matendawa, kungathandize kukhalabe ndi zochitika zina zamtundu wofunikira kwambiri monga kapamba.

Kodi ndiyenera kumonana ndi dokotala ndi ndani?

Dziwani kutupa ndi kuthandizira kutupa kwa pancreatic:

Gastroenterologist (katswiri wa matenda am'mimba),

Maphunziro: Dipuloma mu "General Medicine" yapadera idapezeka ku Russian State Medical University. N.I. Pirogova (2005). Maphunziro omaliza maphunziro mu "Gastroenterology" yapadera - maphunziro ndi sayansi yazachipatala.

Zifukwa 20 zodya nthanga za nthungu - mbewu zabwino kwambiri padziko lapansi - tsiku lililonse!

Njira zoyenera kutsata mankhwala azitsamba azitsamba zilizonse zazikazi (matenda azitsamba)

Cancreas ndi gawo lofunikira la dongosolo logaya chakudya lomwe lili ndi ntchito yosakanikirana: kunja (exocrine) ndi mkati (endocrine). Ntchito ya katulutsidwe wakunja ndi katulutsidwe ka madzi a pancreatic, omwe ali ndi michere yogaya chakudya yofunikira pakugaya chakudya kwathunthu. Ntchito ya endocrine.

Kufalikira kwa matenda kapamba kumachitika chifukwa cha kupatsirana komwe kumachitika mu kapamba. Amuna opitilira 40 ndi omwe amatenga matendawa mosavuta, koma m'zaka zaposachedwa pakhala chiwopsezo cha kapamba wamafuta kwambiri azimayi ndi achinyamata.

Chimodzi mwazinthu zofunika kwambiri zam'mimba, zomwe zimaloleza kuti zizigwira bwino, ndi kapamba. Amapanga ma enzymes onse am'mimba ndi mahomoni (insulin ndi glucogan), omwe amachititsa shuga m'magazi. Kuti thupi lizigwira ntchito bwino, pamafunika "kuzidyetsa" bwino.

Pancreatitis si matenda omwe mutha kuiwala bwinobwino ndikudikirira kuchotsedwa kwa kapamba. Ngati mukukayikira ngakhale zamatenda awa, ndiye kuti muyenera kufunsa dokotala. Kutengera ndi kuopsa kwa matendawa, amatha kuthandizidwa kunyumba komanso kuchipatala.

Choyambitsa chachikulu cha pancreatitis ndi kuperewera kwa zakudya m'thupi ndizakudya zamafuta ambiri ndi zonunkhira komanso kumwa mowa kwambiri. Matendawa amadziwika ndi kupweteka kwa m'chiuno m'chigawo cha epigastric cham'mimba, chomwe chimatha kubwezeretsanso kumbuyo. Mosiyana ndi zilonda zam'mimba, kupweteka sikuyenda ndi kutentha kwa mtima, sikukula.

Cancreas ndi gawo lamkati la secretion lomwe limatulutsa glycogen, insulin ndi pancreatic juice. Loyamba ndi michere yosungirako thupi. Imayimira mtundu wa mphamvu, womwe umagwiritsidwa ntchito ndi thupi pakafunika.

Kutupa kwa pancreatic, kapena pancreatitis, ndi njira imodzi yosasangalatsa komanso yovuta kuchiza matenda am'mimba. Zizolowezi zoyipa komanso chakudya chopanda thanzi, chokhala ndi mafuta ambiri komanso zowonjezera zakudya, zimathandizira kuti zizichitika. Ichi ndichifukwa chake motsogozedwa ndi chithunzithunzi chamakono chamatauni.