Anatomy ndi ntchito ya kapamba ndi ndulu
Kwenikweni, ziwalo zamtunduwu ndizomwe zimayambitsa kagayidwe ndipo zimagwirizananso ndi mayendedwe a thupi lathu, omwe ndi impso ndi chiwindi. Ntchito yofunikira ya ndulu ndi zitsulo zapancreatic imaseweredwa mu mphamvu yamagetsi. Kupanga umuna ndi mtundu wawo komanso kuchuluka kwa amuna, komanso ntchito ya chiberekero mwa akazi.
Ngati njira yamagetsi iyi ikusintha mu kusakwanira kapena kuchepa mphamvu, imatha kubweretsa nkhawa, kumva kukhumudwa komanso kumva ngati mukuwopseza moyo. Munthu amakhala ndi mitundu yonse ya phobias, warility, ndi maloto omwe amalimbikira pa psyche. Njira iyi ikawonongeka, malingaliro amunthu amafika, ndipo izi zimapangitsa kutsika kwamphamvu kwa thupi. Chithandizo chakum'mawa chimakhulupirira kuti kapamba ndi ndulu ndizofanana. Mankhwala achizungu amatanthauzidwa ngati ziwalo ziwiri zodziyimira palokha, zomwe zimayang'anira mbali zosiyanasiyana za thupi lathu.
Kapamba
Pancreas ili ndi ntchito yowonetsera kubisala kwakunja, yomwe imayang'anira chinsinsi cha madzi a pancreatic, omwe amakhala ndi ma enzymes okumba. Ali ndi ntchito ya endocrine, ndiko kuti, yamkati, yomwe imayang'anira kupanga mahomoni ena ndikuwongolera metabolism ya mapuloteni, mafuta ndi chakudya. Kapangidwe ka mkati ka tinthu timene kamafanana ndi mphesa zopanda zipatso. Dzinali limafotokoza komwe mbali iyi ili m'thupi lathu.
Ndikofunikira. Chizindikiro cha ndulu ndi chimbudzi chimagwira ntchito yofunika kwambiri pakukonzekera masinthidwe azakudya, kuchepa kwa madzi ndimagazi.
Kasitomala ndi chiwalo chachitali chotalika pafupifupi 20 cm, chomwe chili ndi mawonekedwe awa:
- Thupi looneka ngati khosi lomwe limakhala kumbuyo kwa m'mimba komanso polumikizana nalo.
- Mutu womwe umakhala pafupi ndi kolala ndipo umalumikizidwa ndi iwo kudzera munjira yomwe madzi am'mimba amalowa mu duodenum.
- Mchirawo uli ngati mawonekedwe a cone kapena peyala, omwe amakhala pafupi kwambiri ndi ndulu.
Monga chimodzi mwazida zodyera, kapambayu ndiye amachititsa izi, zomwe zimafunikira madzi a kapamba. Ngati sikokwanira, minyewa yam'mimba imayamba kugwa chifukwa cha kukhudzana ndi hydrochloric acid.
Mpaka zaka za zana la 20, mankhwala azizungu adawona kuti chiwalocho ndi chachiwiri komanso chapamwamba kwambiri. Mwa mankhwala akale, kuyambira kale amadziwa za kufunika kwa chiwalo chathupi lathu ndipo amatengera limba ngati "amayi" wachiwiri. Ndulu ndi gawo limodzi la chitetezo chamthupi. Kusintha kocheperako pang'ono mu kayendedwe ka mphamvu ka chiwalo chamkati ichi kumaonekera nthawi yomweyo mu thanzi komanso thupi. Munthu amayamba kumva kusasangalala, amayamba kuda nkhawa, kusakwiya komanso chizungulire.
Mphezi imakhala ngati chowongolera chooneka ngati chopindika komanso chokhala ndi utoto wofiirira. Ndi gawo lamayendedwe oyeretsa magazi kuchokera ku ma virus, mabakiteriya, komanso amatenga nawo mbali m'thupi. Ndulu ikupezeka mu hypochondrium kumanzere pansi pa diaphragm. Pafupi ndi iye pali kamwana, impso, ndi kapamba. Ndulu zimayang'anira ntchito zotsatirazi:
- Zochita zamaselo amoyo. Imawononga maselo ofiira a magazi, zotsalazo zomwe zimadutsa m'chiwindi.
- Pa nthawi yoyembekezera, ali ndi udindo wopanga maselo oyera am'magazi ndi maselo ofiira amwazi.
- Ntchito yoteteza momwe imagwirira ntchito ngati fyuluta. Nduluyi imaphonya chilichonse chofunikira mthupi ndikulepheretsa kulowa kwa zinthu zovulaza.
- Ndi gawo limodzi la madongosolo opanga chitsulo chofunikira kwa munthu.
- Amatenga nawo mbali zonse zofunikira za chitetezo cha mthupi. Popanda izi, njira yophatikizira ya immunoglobulin yoteteza chitetezo cha m'thupi ndi yotheka.
Ndikofunikira. Ndulu ilibe zolandilira ululu, koma chifukwa chakuti ili pafupi ndi kapamba, impso ndi m'mimba, nthawi yotupa imakhala ndi zosasangalatsa chifukwa cha kuchuluka kwake.
Kodi pali kusiyana kotani pakati pa ziwalo
Kudziwa ngati kapamba ndi ndulu ndizofanana kapena ayi ndikosavuta, kungoyang'ana chithunzi cha ziwalo. Ndulu yamtunduwu imafanana ndi nyemba ya khofi kapena impso yaumunthu, ndi ya chitetezo cha mthupi, ndipo kapamba amayendetsedwa bwino ndipo amatanthauza zida zamagetsi ndi endocrine.
Ndulu imagwira ntchito yothandizira, ndipo zikondamoyo - zachinsinsi, zimakhudzana ndi chimbudzi ndi njira ya metabolic.
Malo ndi Anatomy
Zikondamoyo ndichinthu chofunikira. Ili kumbuyo kwa m'mimba, moyandikana ndi duodenum, polumikizana ndi ndulu kumbuyo kumtunda kumanzere. Zikondwererozo zimasiyana ndi ndulu pamawonekedwe, kapangidwe kake, mtundu wake.
- Nduluyo imagawika mbali ziwiri: mtengo, woyang'ana kumbuyo, ndi kumbuyo kwa kutsogolo, "kuyang'ana" mtsogolo.
- Mu kapamba, thupi, mchira ndi mutu zimasiyanitsidwa. Zolemba zina zimapumira khosi. Kumbuyo kwa thupi kumalumikizana ndi msana, mitsempha ya impso, msempha wam'mimba. Osiyanitsidwa ndi kutsogolo ndi lakuthwa. Mtsempha wotchedwa ndulu umadutsa. Imafika mchira wa kapamba, pomwe imasunthira nthambi zolozetsa ndulu.
Kapangidwe ka kapamba ndizovuta kwambiri kuposa momwe limapangidwira thupi:
- Zikondamoyo zimakhala ndi zotumphukira zolumikizidwa ndi zingwe. Muli zotengera, zodzikongoletsera, mitsempha, matupi a lamellar, ganglia ya mitsempha.
- Muobules muli mitundu yozungulira (acini). Amakhala ndi dipatimenti yobisa yomwe imabisa ma enzyme otayika ndikuyika ma ducts.
- Pakati pa acini pali mabwalo a Langerhans. Amatulutsa ma insulin, ma pancreatic polypeptide, glucagon.
Nduluyo "imalumikizidwa" ndi ziwalo zina zamkati zomwe zimakhala ndi masamba a peritoneum:
- Kunja, chiwalocho chimakutidwa ndi chipolopolo chachikulu cha minofu yolumikizira. Kuchokera pakadutsa mkati mwake "mitengo" - trabeculae. Mwa iwo, magazi omwe amasungidwa mu chiwalo amatuluka kulowa m'magazi.
- Mkati mwake mumakhala zamkati mwa mitundu iwiri. Red imakhudzidwa ndikupanga magazi. Choyera chimadziunjikira lymphocyte.
- Pakati pa zamkati, malo oyang'anirako amasiyanitsidwa omwe amakhala ndi antibacterial function.
Yogwira
Ntchito za kapamba zimaphunziridwa bwino ndipo ndi motere:
- Kupanga kwa michere yokugaya.
- Kupanga kwa mahomoni komwe kumakhudza shuga.
Koma ndulu kwa nthawi yayitali idakhalabe chodabwitsa. Posachedwa, akukhulupirira kuti imasunga mahomoni omwe amawongolera mafupa ndikuchita zina, zomwe zatchulidwa pamwambapa:
- "Chophatikizika" cha magazi enaake omwe amatsitsidwa kulowa m'magazi kuti atayika kwambiri.
- Kupanga kwamaselo oyera, ma antibodies, kuphatikiza magazi.
- Mafuta a maselo owonongedwa, mapulateleti, kuyeretsa magazi kuchokera kuzinthu zakunja.
- Kukhazikitsidwa kwa kapangidwe ka maselo ofiira a m'magazi, omwe amapezeka pamlingo wa kakulidwe ka mazira aumunthu.
Pogwira ntchito bwino ndulu, munthu samayamba kuzizidwa ndi chimfine. Mkhalidwe wake umalumikizidwa ndi thanzi la ziwalo zotsatirazi:
- mtima
- mapapu
- urogenital thirakiti
- impso
- m'mimba
- chikhodzodzo
- kapamba.
Ndulu ndiyo gawo lalikulu kwambiri la chitetezo cha m'thupi la munthu, lomwe limatchedwanso kuti lymphatic. Ali ndi udindo woyendetsa timadzi tambiri tambiri tomwe timatulutsa m'mimba:
- Zosefera zinthu zovulaza.
- Amatulutsa ma lymphocyte - maselo omenyera matenda opatsirana.
Ma lymph "amayenda" kuchokera m'malo omwe amapita kumakoma, amalowa m'mitsempha, kutsukidwa, kupatsidwa mphamvu ndi ma lymphocyte ndi chitsulo, ndikulowa m'magazi.
Kusasinthika kwa madzi amkati am'mimba kumayambitsa zotupa, edema ya minofu, yomwe imakhudza chikhalidwe cha munthu. Kuthamanga kwa kayendedwe ka madzi amitsempha kumatengera ntchito ya minofu ndi mtima. Kuyenda kwa diaphragm, kukakamiza kosavomerezeka pakupuma kumakhudza mitsempha yamatumbo, ndikutulutsa ululu, kumathandizira kayendedwe kake m'mphepete mwake.
Kuthamanga minofu ndikumapumula nthawi yochita masewera olimbitsa thupi kumathandizira kuti thupi lizisuntha. Chifukwa cha izi, kagayidweko kamayenda bwino, matupi otupa ndi mafupa amakula.
Zoyambitsa mavuto ndi zotsatira zake
Kutupa kwamtundu woterewu (lymphedema) kumachitika ngati dongosolo la lymphatic silikuyenda bwino, mwachitsanzo, ndi kuchepa kwa mitsempha ya magazi ndi magazi, zomwe zimaperekedwa ndi makina amodzimodzi. Zimakhudza mtima, mapapu, diaphragm, nthawi zambiri lymphedema ndizotsatira za venous stasis, zomwe zimayambitsidwa ndi kusokonezeka kwa mtima wamtima.
Kuchuluka kwa lymph kumakhudza chiwindi, impso kapena matumbo, kapamba, kamene kamalowetsedwa ndi ziwiya za m'mimba ndipo mumakhala timitsempha tambiri.
Kukhalapo kwa njira yotupa kumayesedwa osati kokha ndi kuchuluka kwa kapamba, komanso ma lymph n cell omwe maselo amapangidwira kuthana ndi matendawa. Ngati chitetezo cha mthupi chimagwira bwino ntchito, kusatetezeka kwa thupi, chiwopsezo cha matenda, kutupa, ndi kuchuluka.
Vuto lakukula mwaubwino (chinthu chotchedwa splenomegaly) likuwonetsa:
- njira yotupa mthupi
- ntchito yolakwika yamakina ena
- kawirikawiri - mavuto mu ndulu pawokha.
Mwachitsanzo, gastritis yosatha, matenda am'magazi, thrombosis, zotupa zoyipa zimakhudza kukula kwa ziwalo zam'mimba.
Nthawi zina, ndulu imachotsedwa chifukwa siikhala chiwalo chofunikira. Zokhudza:
- zowonongeka zazikulu, monga misozi,
- kufalikira kwa mitsempha
- hepatic cirrhosis, kuchepa magazi, matenda obadwa nawo,
- khansa ya magazi
- kupezeka kwa thupi la zilonda zam'mimba, zotupa zoyipa.
Yankho la funso loti ndizotheka kukhala popanda chindodo, komabe, munthu yemwe adachotsa chiwalochi amakhala ndi chimfine.
Ziwalo zogaya zimalumikizana, mavuto amodzi amatha kusokoneza enawo. Kuti mukhale ndi zakudya zopatsa thanzi, muzichita masewera olimbitsa thupi, komanso muzifufuza pafupipafupi.
Mavuto a kapamba amapezeka nthawi zambiri chifukwa cha zakudya zopanda pake komanso kumwa mowa. Nthawi zina kapamba amayatsidwa moto chifukwa cha matenda a ziwalo zina zapafupi.
Zizindikiro zamatenda
Kukula kwa thupi si chizindikiro chokhacho chomwe chikuwonetsa vuto. Pali zizindikiro zina:
- Zowawa pakukhudzana ndi momwe gawo la chiwalo limasonyezera kutupa, matenda opatsirana.
- “Fossil” wa minofu ndi chizindikiro cha matenda operewera.
- Ndi matenda ena, mwachitsanzo, kugunda kwamtima kwa splenic, munthu akudwala, asanza.
- Kutentha, kuzizira, kupweteka kwapanja m'mbali mwa nthiti kumatsimikizira kuti palibe.
Matenda a ndulu nthawi zambiri amasokonezedwa ndi matenda a kapamba. Ndi matenda omwe ali ndi matenda onsewa, munthu amazindikira:
Zomverera zamakutu zimasinthika ndikuuma, chilakolako chimagwa.
Momwe mungasungire ziwalo zathanzi
Kuti "mubalalitse" kutuluka kwa mitsempha, konzekani. Zomwe zimayambitsa njira zosasunthika mu dongosolo la zam'mimba ndizakudya ozizira, kuzimiririka. Munthu ayenera:
- Valani ofunda, kuteteza thupi ku nthawi yozizira, nyengo yofunda.
- Thungani chakudya bwino.
- Pali zinthu zomwe zimakhala ndi phindu pa dongosolo la lymphatic. Zakudya za ndulu zimaphatikizapo ma hercule, ma apricots, maapulo, udzu winawake. Basil, turmeric, Cardamom, ginger, horseradish, flaxseed, seaweed ndizabwino.
- Chitani masewera olimbitsa thupi nthawi zonse, chitani masewera olimbitsa thupi.
- Imwani mankhwala azitsamba kuchokera ku sage, nettle, madzi oyera a kabichi.
Thanzi la ziwalo zofunika, moyo wamunthu umatengera mkhalidwe wa ndulu. Muyenera kukhala ndi moyo wathanzi, kuchita masewera olimbitsa thupi, kugwiritsa ntchito bwino. Thanzi la pancreatic ndilosavuta kukhalapo popanda kumwa mowa komanso kupereka zakudya zabwino.
Kodi ndulu ili kuti ndipo imagwira ntchito yanji?
Ndulu ndi gawo lofunikira la chitetezo chathupi. Amayang'anira mapangidwe a magazi, amatenga nawo mbali mu kagayidwe kachakudya. Ili pakati pa 2 cm kumanzere kwa m'mimba, moyang'anizana ndi mchira wa kapamba, kupindika kolimba, impso kumanzere.
Ngakhale kupezeka kwake m'mimba, ndulu sizikhudzana ndi chimbudzi. Thupi ili, lomwe limayang'anira chitetezo chokwanira komanso kupanga magazi, limagwira ntchito zotsatirazi:
- Kaphatikizidwe ka immunoglobulins - maselo achitetezo a chitetezo omwe amawononga ma pathojeni omwe amalowa mthupi. Awa ndi mapuloteni okhudzana ndi chitetezo cha mthupi.
- Mapangidwe a lymphocyte ndi monocytes.
- Ndulu ndi manda a maselo ofiira am'magazi: hemoglobin imapangidwa kuchokera ku chitsulo cha maselo ofiira amwazi, omwe amaphatikizidwa ndikupanga maselo ofiira amwazi, ndi bilirubin - pambuyo pake ndi gawo la bile.
- Kapangidwe ka maselo amwazi mu nthawi ya unamwino ndikupanga ma protein. Pafupifupi kubadwa, mafuta m'mafupa amayamba ntchito imeneyi. Ngati mafuta a fupa la munthu wamkulu aleka kutulutsa ma cellelo chifukwa cha matenda, matendawa amapezekanso mu ndulu.
- Ndulu ndi malo am'magazi: ngati kutuluka kusokonezeka, kumatha kukhalamo magazi ambiri, kukulira kwakukulu. Ndi makulidwe a njirayi, amaponyera magazi pabedi lamitsempha, ndikufaniziranso kukula kwakuthupi.
Mungamvetse bwanji kuti ndulu imapweteka?
Ndulu, monga chiwindi, ilibe zopweteka. Chifukwa chake, sizimapweteka, koma zimachulukana kwambiri kukula kwake ndi matenda kapena mawonekedwe ndipo zimatha kuponderezana ziwalo zozungulira. Imadziwonetsera yokha, pokhapokha patali kwambiri, pomwe kusintha ndi kukula kwake kwakhala kwakukulu.
Mukukonzekera matendawa, omwe amatha miyezi ingapo, matenda a ndulu amatha kupezeka pokhapokha ngati akuwerenga. Pogwiritsa ntchito njira zomwezo, mutha kusiyanitsa komwe kumachokera kupweteka - kapamba kapena ndulu.
Zoyipa
Ndulu ilibe zolandilira zowawa, choncho chiwalocho sichimapweteka. Koma malo omwe ali pafupi ndi ziwalo zina (m'mimba, kapamba, matumbo, impso kumanzere ndi adrenal gland) kumabweretsa minofu ya edema. Splenomegaly chifukwa cha matenda oopsa (omwe ali ndi matenda enaake, matenda a magazi, matenda oyambitsidwa ndi ma virus) amayambitsa kupweteka chifukwa cha kutalika kwa kapisozi komanso kukakamiza ziwalo zoyandikana.
Nthawi zambiri, ndulu imawonongeka chifukwa chovulala. Izi nthawi zambiri zimachitika ndikamenyedwa kapena kugwa. Zowonongeka zimatha kukhala zosiyanasiyana, mpaka chotumphukira cha ziwalo. Nthawi zambiri, kuvulala kumawononga chotupa cha m'mimba: Kutaya magazi kwambiri kumachitika magazi atalowa m'zigawo za m'mimba, kenako ndikulowa m'mimba. Zikatero, ndulu imachotsedwa, koma Munthu amakhala mokwanira popanda chiwalocho, ndipo kusintha kwamphamvu kwamachitidwe ena sikachitika.
Kuphatikiza pa kuwawa, palinso zifukwa zina zopweteka:
- matenda oopsa omwe amayambitsa matenda a chifuwa chachikulu (chifuwa chachikulu, ma hepatitis),
- kugunda kwamtima chifukwa cha kuwopsa kwakanthawi kochepa,
- chotupa, chifukwa cha matenda oopsa a bakiteriya,
- kukula kwakakulu komwe kukukulika parenchyma,
- neoplasms.
Zizindikiro ndi chikhalidwe cha kupweteka
Momwe ululu uliri, kukula kwake komanso kutengera kwakeko zimadalira momwe zimayambira ndi kuchuluka kwake:
- Kuvulala (nthawi zambiri kumavulaza, kupasuka kwa ziwalo za ziwalo) kumapangitsa kupweteka kwakuthwa kowongoka kumbuyo ndi pansi pa tsamba. Zimaphatikizidwa ndi mawonetseredwe azachipatala: kuzizira thukuta, ludzu, kusanza, kugwa kwakuthwa m'magazi.
- Chotupa chimawonetsedwa ndi kupweteka kwambiri mu hypochondrium yamanzere, yomwe imapatsa phewa lakumanzere, hyperthermia yapamwamba, kuzizira.
- Chifuwa chachikulu cha m'mimba chimaphatikizidwa ndi kupweteka kwambiri kupweteka kwa kumanzere kwa hypochondrium chifukwa cha kuchuluka kwa ndulu, kusintha m'magazi kumawonekera.
- Kugundika kwa ndulu kumabweretsa chisonyezo chopweteka kwambiri mu hypochondrium yamanzere. Amaperekanso kumbuyo kwenikweni ndipo amathandizidwa ndikupuma.
- A cyst kapena kutupa process of the spleen minofu (splenitis) akuwonekera mwa kupweteka kwambiri mu hypochondrium ndi kumbuyo, kutsatana ndi kuwonongeka ponseponse: kufooka kwapafupipafupi, kusowa kwa kudya, kusokonezeka msana kumadandaula. Ngati kutentha kwa mafefebrile pazindikiridwa pamtunduwu, izi zitha kuwonetsa kukhumudwa - chosaopsa kapena chovulala.
- Ululu ku ndulu kumachitika mu pachimake tizilombo matenda. Sichimayenderana ndi matenda a ziwalo palokha ndipo zimadutsa mwachangu limodzi ndi matenda.
- Matenda obadwa nawo okhala ndi zakudya zopanda thanzi zimapangitsanso kupweteka. Kuwonetsera kwachidziwitso kumadziwika mu mawonekedwe amtundu wamisempha ndi zofooka zawo.
Thandizo loyamba la ululu
Ngati kupweteka kwapweteketsa mwadzidzidzi kumachitika, zotsatirazi ziyenera kuchitika:
- itanani gulu lodzidzimutsa
- Ndi bwino kumuyika wodwalayo kumbuyo kwake kuti akhale wakhama,
- musapereke mankhwala aliwonse (simuyenera kupereka ma analgesics ndi antispasmodics, kuti musanamize chithunzi chachipatala),
- Osamagwiritsa ntchito ma compress (osatentha kapena ozizira sayenera kugwiritsidwa ntchito) - izi zimatha kudzetsa thanzi.
Zovuta zomwe zimapezeka mu ndulu
Kuphatikiza pa kuvulala, cyst ili pamalo oyamba pakati pazomwe zimapangitsa kupweteka kwamitundu mitundu. Nthawi zambiri, ma cysts amapezeka mwa akazi. Iyi ndi njira yayitali yomwe imatenga zaka. Mzimayi sangayikire kuti ali ndi mapangidwe amadzimadzi mpaka kukula kwake kumakhala kwakukulu kuposa 6-7 cm, kapena pazifukwa zina cyst sikhala ndi mafinya. Kenako mkhalidwe wayamba kuipiraipira, kufooka, kufooka, kusakhudzika, kupweteka kosaneneka mu hypochondrium yamanzere ndi kumbuyo kudzawonekera.
Kulakalaka kumachepetsa kwambiri, mseru wokhazikika umawonekera. Nthawi zina ululu umawonekera m'mimba, matumbo, komanso impso. Ngati zamkati za purulent zikuwoneka mu cyst, izi zimayambitsa kutentha komwe kumatenga miyezi yambiri, kupumula pama manambala ochepetsa thupi ndikutulutsa thupi.
Pamene chotupa chikugundana ndi mafinya zilowa m'mimba, zovuta zowopsa zimatulukira peritonitis.
Ndi zazikulu zazing'ono zamapangidwe amadzimadzi, ndikofunikira kuyang'ana mphamvu za chitukuko, kuchititsa ultrasound kangapo pachaka. Ngati kukula kwake kuli kwakukulu - cyst imachotsedwa operatively mu dipatimenti yapadera. Opaleshoni ndiyovuta, wodwalayo amayenera kuwonedwa ndi dokotala kwa nthawi yayitali.
Kuwonongeka kwa ndulu pakati pa matenda omwe amatsogolera pakupanga kupweteka kumakhala kwachiwiri. Amayamba chifukwa cha pachimake splenic artery thrombosis pambuyo pa matenda kapena opaleshoni. Zimachitika payekhapayekha: nthawi zambiri - ndi chizindikiro chowawa m'mimba ndi kumbuyo. Koma ena samva chilichonse - mawonekedwe osapweteka amakula.
Chotupa chimachitika parenchyma ndulu pambuyo kwambiri matenda a bakiteriya. Zomwe zimayambitsa zimatha kukhala kuvulala pang'ono, osadziwika. Amayenda kwambiri, ndi kutentha thupi kwambiri, kuzizira, kupweteka kwam'mimba kwa m'mimba ndi kumbuyo.
Matendawa chifuwa chimachitika ndi ululu kumanzere kwa hypochondrium ndi kumbuyo, koma posachedwa ndizosowa kwambiri. Amadziwikanso kuti samapezeka kawirikawiri, chifukwa amakula nthawi yayitali, ndipo m'magawo oyamba satha kupezeka.
Ma neoplasms a ndulu samakonda kukhazikika. Izi zikachitika, ndiye kuti pali zizindikiro zingapo: kupweteka kwam'mimba, nseru, kusowa chakudya, kutentha thupi. Mayendedwe a Benign mu ndulu ndi monga:
Mndandanda wa neoplasms yoyipa ndiwowonjezereka, koma ndi osowa kwambiri:
- angio, lymph, fibro, reticulosarcoma,
- hemangioendothelioma.
Kwa ndulu, zotupa za metastases yake kuchokera kwa ziwalo zoyandikana ndizodziwika bwino, m'malo chotupa chotupa. Ngati neoplasm idayamba kukhazikika, ndiye kuti pamagawo oyamba osawunika nkovuta kwambiri kukayikira. Pokhapokha pakukula kwakukulu, pakakhala kusintha kwakukulu kosasinthika, zizindikirizo zoyambira za matenda:
- kulemera ndi kusapeza bwino mu hypochondrium wamanzere,
- kufooka koopsa
- thukuta kwambiri
- kuwonda
- ascites ndi madzimadzi pamimba.
Kuwonongeka kwa ndulu kumayendera limodzi ndi ma syndromes ena a pathological:
- chiwindi matenda osiyanasiyana,
- hemolytic anemia
- khansa
- hepatolienal syndrome,
- Zizindikiro za kupindika kwa koloni (pamakhala kupindika kwamatumbo).
Izi zimaphatikizidwa ndi kupweteka, nseru, kufooka, thanzi labwinobwino ndipo limafunika kuzindikira mosiyanitsa komanso chithandizo chokwanira. Kudzipatsa nokha mankhwala sikulimbikitsidwa chifukwa cha kuopsa ndi kupweteka kwa chotupa.
Kuzindikira matenda
Pozindikira matenda a ndulu, pali njira zingapo zomwe zimagwiritsidwa ntchito. Popeza imapezeka m'mimba, chiwalo chokulirapo chitha kupaka pakamwa poyeserera. Izi zimachitika kawirikawiri ndi cirrhosis ya ma etiology osiyanasiyana (chidakwa, ma virus), pamene ndulu imafikira lalikulu, ndipo m'mphepete mwake mumachoka hypochondrium. Nthawi zambiri, izi sizingachitike.
Ngati palibe splenomegaly, sizingatheke kudziwa ndulu pakuyesedwa ngakhale ndi matenda omwe alipo. Njira yophweka yosanthula kusintha kwanyumba ndi chiwonetsero. Mothandizidwa ndi sonography, miyeso ya chiwalo, mawonekedwe ake, mawonekedwe ake, mapangidwe ake a mapangidwe ndi zina zake zimatsimikiziridwa. Ultrasound ndi njira yotetezedwa, chifukwa chake, choyamba, wodwala yemwe akuwoneka kuti asintha mu ndulu amawunikira pogwiritsa ntchito ultrasound. Njira imeneyi ingagwiritsidwe ntchito kuyesa mwana.
Kuvulala kumayendetsedwa ndi kutuluka kwa magazi, kusintha kumatha kudziwika nthawi ya ultrasound kapena CT scan - kusanthula kwa tomographic. CT ndi njira yotsogola kwambiri yomwe imakupatsani mwayi kuti muwone mwatsatanetsatane kusintha kulikonse mu chiwalo, kuchitidwa ngati pali zotsutsana ndi MRI - imaging yamagalasi.
Panthawi yovulala iliyonse, ndikofunikira kufufuza ndulu ndi ziwalo zoyandikana, kuphatikiza zikondamoyo, chifukwa kutulutsa magazi osadziwika kungathe kutha.
Njira zogwiritsira ntchito zasayansi:
- kuyezetsa magazi konse
- Kutsimikiza kwa kuyezetsa magazi kuti mupewe kukana kwa maselo ofiira a m'magazi,
- kuyesa kwa diagnostic ndi adrenaline (kuyesa kwa Frey): ndi ndulu yathanzi, kukula kwake kumachepetsedwa ndi theka, ndipo ndi matenda a ndulu amawonjezeka kwambiri, izi ndizofunikira kusiyanitsa chida chopepuka kuchokera ku chotupa chotupa.
Njira zochizira
Mankhwala amatengera matenda omwe adadziwika. Vulala ikachitika ndi nthyole ya nduluyo, imachotsedwa ndikuchita opareshoni. Njira zopangira opaleshoni zimagwiritsidwanso ntchito ngati ma cysts apakidwa, purifi, ma neoplasms, magazi.
Ngati minofu ya ndulu sinawonongeke, chithandizo chamankhwala chimayikidwa. Mulinso:
- ma pinkiller
- odana ndi yotupa mankhwala
- mankhwala kuti athandizire kugaya chakudya,
- antipyretic,
- maantibayotiki
- kuthamanga kwa magazi kusintha mankhwala.
Mankhwala omwe adapangidwira amakhala ovuta komanso amodzi, zimatengera matenda omwe adadziwika, mawonetseredwe ake, kusintha kwa sonography komanso mayeso a labotale, komanso zizindikiro zamankhwala. Pa chithandizo, kupumula kwathunthu ndikofunikira: wodwalayo wagona pabedi. Zochita zilizonse zolimbitsa thupi siziyikidwa pambali. Mankhwala odzipatsa okha saloledwa chifukwa chovuta kwambiri.
Ndi matenda a hemolytic, splenectomy (kuchotsa ndulu) imachitidwa ndipo mtsogolo - mankhwala. Ndi kuchulukana kwa mipweya pakukhazikika kwa koloni, othandizira antifoam, kukonzekera kwa enzyme (ngati pali kapamba), antispasmodics ndi mankhwala.
Ndi wapezeka abscesses ang'onoang'ono, antiotic mankhwala ndi mankhwala.
Momwe mungadziwire zomwe kapamba kapena ndulu zimapweteka
Kuti mudziwe chomwe chimayambitsa ululu - ndulu kapena kapamba, ndikofunikira kuchita kafukufuku wofufuza bwino, kuti mudziwe kuti ndi ziwalo ziti zomwe zimatayika. Ndulu sizimva kuwawa chifukwa kusowa kwa zolandilira ululu mmenemo. Chizindikiro cha kupweteka chimayamba pokhapokha kukula kwake kwapamwamba kwambiri. Izi zimachitika ndi edema kapena kuchuluka kwa metastase, chosaopsa kapena zotupa, ndi mawonekedwe a abscesses.
Ululu mu kapamba ndizodziwika: zimatha kupezeka mu hypochondrium yoyenera, kukhala lamba. Komanso, chizindikiro cha ululu chimaphatikizidwa ndi kusanza, komwe sikubweretsa mpumulo, kupukusana kwa m'mimba, kupindika, kuyamwa. Choyipa chilichonse m'zakudya ngakhale pang'ono pang'onopang'ono kwa mowa kumatha kuyambitsa kupweteka kwapancreatic.
Zakudya ndi kupewa matenda a ndulu
Mbali yofunika kwambiri pa chithandizo chovuta ndi kudya. Malamulo ena opatsa thanzi ayenera kusamalidwa:
- Idyani zakudya m'magawo ochepa, koma nthawi zambiri,
- osapatula mbale zotentha kwambiri kapena zoziziritsa kukhosi,
- osamadya kwambiri,
- osamadya mafuta, okazinga, onunkhira, amchere, opanda malire,
- chotsani chakudya cholimba.
Ndikofunika kupatula mowa ndi kusuta mukamalandira chithandizo. Ndikulimbikitsidwanso kuchepetsa kupsinjika kwa m'maganizo ndi nkhawa, chifukwa zimakhudza mkhalidwe wa munthu pakubala.
Ngati pakufunika chithandizo chamankhwala othandizira opaleshoni ndipo wodwalayo adapitilizidwa ndi splenectomy, thupi limapitiliza kugwira ntchito yake moyenera. Matenda a Catarrhal amatha kufalikira pafupipafupi chifukwa chakuti chifukwa cha kusapezeka kwa ndulu - chinthu chachikulu cha chitetezo - immunoglobulins chitha kupangidwa.
Ndipo ngakhale ndikuchotsedwa kwa ndulu, moyo upitilira patsogolo popanda zowonongeka zowopsa, muyenera kusamala kwambiri zaumoyo wanu. Ndikulimbikitsidwa kupewa malo owopsa omwe angayambitse kuvulala, kutsatira zakudya ndi kusiya zizolowezi zoyipa, kuti musangokulitsa kapamba kapena gastritis komanso kuti musakhale ndi vuto lopweteka osati mu kapamba, komanso ndulu.
Kodi ndulu ili kuti ndipo imagwira ntchito yanji?
Kuti mumvetsetse ngati kapamba ndi ndulu ndizofanana kapena ayi, ndikofunikira kuyang'ana chithunzi cha ziwalo, komanso komwe aliyense waiwo ali. Ndulu ndi kapamba ndizofunikira pantchito yokhudza thupi pochita chakudya, madzi a metabolism, komanso kuchuluka kwa magazi. Ndulu imagwira ntchito zothandizira, kapamba - chinsinsi, zimatenga gawo pang'onopang'ono kugaya ndi kagayidwe.
Gland ndi yotalika, kukula kwa kapamba pafupifupi 20 cm, imayikidwa ngati chimbudzi komanso endocrine system. Thupi la chiwalo limakhala kumbuyo kwa m'mimba ndipo limalumikizana nawo mwachindunji. Mutu umatulutsidwa pafupi ndi matumbo akulu, kulumikizana ndi njira kudzera mwa iwo, chinsinsi cha m'mimba chimalowa mu duodenum. Dera la mchira ndi lofanana ndi peyala.
Kunja, ndulu, ngati kanjere ka khofi, impso, ili ndi mawonekedwe osalala, ofiira owoneka bwino. Ndi gawo limodzi la chitetezo chathupi. Ili pakati pa 2 cm kumanzere kwa m'mimba, moyandikana ndi mchira wa kapamba, matumbo akulu, impso.
Ngakhale ili mkati mwa peritoneum, ilibe kanthu kokhudzana ndi kugaya chakudya.
Ndi thupi lomwe limayendetsa magazi ndikupanga chitetezo, likuchita ntchito zingapo.
- Mapangidwe a lymphocyte - omwe ndi maselo chitetezo cha m'thupi, ali ndi udindo woteteza thupi.
- Kusokonezeka kwama cell owonongeka - mu mankhwala ndichizolowezi polemba posungira maselo ofiira amwazi. Maselo ofiira atatha, amakhala mu trabeculae wa chiwalo, momwe amafera, amapereka chitsulo chomwe chimafunikira pakapangidwe ka maselo atsopano ndi bilirubin, yomwe pambuyo pake imalowa mu mawonekedwe a bile.
- Kapangidwe ka maselo am'magazi panthawi ya fetal ndi chopangidwa ndi mapulateleti. Pafupifupi pakubadwa kwa mwana, ntchito iyi imachitidwa ndi m'mafupa. Mafuta a m'mafupa a munthu wamkulu akaleka kutulutsa mapulateleti chifukwa cha matenda, mapondowo amawonedwanso ndulu.
- Ndi malo owonjezera magazi. Zinyalala zikasokonekera, zimatha kuyamwa magazi ambiri, zomwe zimachulukitsa chiwalo. Vutolo litasintha, nduluyo imangoyika magazi kulowa m'magazi, ndipo imakhalanso yofanana.
Zovuta zomwe zimapezeka mu ndulu
Kuphatikiza pa zowawa, zomwe zimachokera mu thupi, pali:
- chotupa - chowonetsedwa ndi kuphatikizika kwa thanzi, kupweteka kwambiri pansi pa nthiti yakumanzere, kumbuyo,
- organal infarction - amawonekera chifukwa cha pachimake gawo la ochepa thrombosis pambuyo opaleshoni mankhwala, matenda. Pali zopweteka zosayembekezereka m'mimba, kumbuyo, nthawi zina palibe zizindikiro,
- abscess - imayamba chifukwa cha matenda oyambitsidwa kale, matenda oopsa - kutentha thupi, kupweteka pamimba, kumbuyo,
- chifuwa chachikulu - kupweteka pansi nthiti yakumanzere, kumbuyo,
- chosaopsa, zotupa zoyipa.
Matenda a kapamba ndi ndulu akayamba, amagwiritsa ntchito njira zina zochizira. Zomera zochiritsa zakhala zikudziwika kwa nthawi yayitali.
- Propolis - ali ndi antimicrobial.
- Hops - amachepetsa kusapeza bwino.
Njira yakuchiritsira idzatsimikiziridwa ndi zomwe zidayambitsa matendawa. Zikondazo zimayamba kutupa, matenda omwe amapha maantibayotiki amachotsedwa. Leukemia amathandizidwa ndi chemotherapy.
Matenda a kapamba ndi ndulu
Ndi matendawa, kugwiritsa ntchito mankhwala achikhalidwe ndikotheka. Mankhwala othandizira ndulu ndi kapamba akhala akudziwika kwa anthu kwanthawi yayitali. Pachifukwa ichi, phula lokhala ndi antimicrobial katundu imakonda kugwiritsidwa ntchito. Tincture wa izo mphindi 30 asanadye. Mlingo woyenera ndi madontho 20 katatu patsiku.
Kuchepetsa ululu, hop imathandiza kwambiri. Supuni ya conifer cones imathiridwa 200g yamadzi otentha. Hafu ya ola imalowetsedwa ndipo supuni ziwiri zimatengedwa tsiku lililonse musanadye. Chithandizo cha ziwalozi zimatengera zomwe zidayambitsa matendawa. Ngati ndulu ndi kapamba zimayambitsa kutupa, maantibayotiki ndi mankhwala ena amagwiritsidwa ntchito kuti athetse matendawa. Ndi leukemia, njira ya chemotherapy imagwiritsidwa ntchito.
Kuwonjezeka kwa ziwalo zamtunduwu kumawonedwa ndi matenda a chiwindi, kuchepa magazi, matenda aliwonse omwe ali m'magawo osiyanasiyana komanso ndi magazi. Nthawi zambiri, izi zimachitika nthawi ya palpation. Mphendoyi ikakulitsidwa, imakhala yosatheka kuiyika. Chiwalochi chikakulitsidwa, chimatha kukoka magazi ambiri. Koma njirayi imabweretsa zotsatira zoyipa, chifukwa nduluyo imachepera kusefa. Zotsatira zake, maselo ambiri amatulutsidwa m'magazi, ndipo izi zimayambitsa magazi.
Ndikofunikira. Kuwonjezeka kwa kapamba kumachitika ndi kuvulala kobadwa nako, matenda opatsirana, ndikuwonongeka pamimba.
Kudziwitsa za ziwalo malinga ndi njira yaku China
Malinga ndi lingaliro lamankhwala akum'mawa, njira yamagetsi, yomwe ikuphatikiza ndulu ndi chitsulo chamkokedwe, imakhudza luntha la munthu, kuganiza, luso la kulenga ndi malingaliro ake. Zizindikiro zakusowa mphamvu kwa ziwalozi ndi kusilira, kutsekemera kwamkati mwa minofu ya miyendo, kusokonekera kwa kukumbukira, kugona, masana, kufooka komanso kulakalaka kwamphamvu maswiti. Osangokhala mucous membrane mkamwa, komanso milomo ya munthu imatha kunena zaumoyo wa njira iyi. Ngati ntchito ya ndulu ndi yabwinobwino, ndiye kuti milomo yake ndi yonyowa ndipo imakhala ndi mtundu wa pinki. Milomo yokhala ndi imvi yakuda ndi chizindikiro chakuti thupi lilibe mphamvu. Zizindikiro monga kupindika pafupipafupi komanso kuphatikiza, kupweteka m'mapapo, mitsempha ya varicose mumiyendo ndi kupweteka m'chiuno kumatsimikizira izi.
Zizindikiro zotsatirazi zikuwonetsa kufalikira kwa chiteshi ndi mphamvu.
Momwe mungakwaniritsire mphamvu zoyenera
Kusamalira mphamvu mu mulingo wa ndulu ndi kapamba, ma emetics nthawi zambiri amagwiritsidwa ntchito. Izi ndichifukwa choti mphamvu imakwera. Pakatikati, Cardamom sing'anga imagwiritsidwa ntchito pamenepa. Ngati mphamvu zomwe zili mumakamu ndizofunikira kwambiri, zimagwiritsa ntchito zinthu kuti zizizizire - izi ndi udzu winawake komanso tiyi wobiriwira. Ndi zochulukirapo, mizu ndi phwetekere zimayambira bwino. Ngati njirayi ilibe mphamvu, ndiye kuti palinso Cardamom pakati, ginger, adyo, tsabola wofiyira ndi zina zotentha pazomwe zimagwiritsidwa ntchito kuti zitheke.
Zochita pazanthawi yayikulu ndi nthawi kuyambira maola 9 mpaka 11. Kutengera izi, nthawi yadzadya kadzutsa yachiwiri. Ngati ngalande ili bwino, ndiye kuti chakudya cham'mawa ndichofunika. Zimafunikira kuti dongosolo la enzyme la channel ligwire ntchito.
Pali zosemphana ndi mphanvu. Chifukwa cha zovuta izi, madzimadzi sangathe kusiya thupi ndipo adasungidwa. Zikatero, tiyi wa diuretic angathandize. Anthu omwe akudwala matenda osiyanasiyana am'mimba amalangizidwa kuti adye chiwindi cha nkhosa kapena ng'ombe. Muyeneranso kuphatikiza msuzi wamasamba muzakudya zanu. Beet, fennel ndi timbale ta udzu winawake ndizabwino pamenepa.
Kupewa matenda
Pakadali pano, palibe amene wakwanitsa kutsutsa chowonadi kuti kupewa matendawa ndikosavuta kuposa kuchiza. Kupewa kwakukulu ndikukhala ndi moyo wathanzi. Ndikofunikira kutsatira malamulo a ukhondo waumunthu, kuti tisiye kwathunthu zizolowezi zakudya. Ndikofunikira kutsatira njira zonse zodzitchinjiriza panthawi yophunzitsa zolimbitsa thupi. Zonsezi zikuthandizani kuti musangogwira ntchito molakwika m'thupi, komanso matenda ena ambiri.