Chithandizo cha Pancreatic Exacerbation

Pancreatitis yodwala komanso yapachimake imasokoneza thupi lonse ndipo nthawi zambiri imabweretsa kuwonongeka kwa ziwalo zina zofunika, motero ndikofunikira kudziwa momwe mungachitire ziphuphu pakuchulukirachulukira komanso mgulu lakhululukidwe kuti mupewe zovuta zamtsogolo komanso zosasinthika.

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Zizindikiro zakukula kwa kapamba

Mawu akuti "kapamba" amatanthauza matenda am'mapapo otupa, zomwe zimapangitsa kuti zinthu zisinthe. Pancreatitis yachilendo ili ndi gawo:

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1. Gawo lazichotsedwa - njira ya asymptomatic kapena malo-yodziwika bwino yamatendawa, yowonetsedwa ndi ululu wam'mimba pamimba kumanzere, makamaka atatenga chakudya "cholemera" (zonunkhira, zamafuta) komanso nthawi yanjala.
2. Gawo la kuchuluka kwa kapamba. Zizindikiro zimatchulidwa ndikuwonekera pamodzi.

Pafupipafupi kuchuluka kwa zochitika kumadalira kuopsa kwa matendawa, kuwonekera kuyambira kawiri pachaka mpaka mosalekeza.

Ndi pancreatic pancreatitis exacerbation, zizindikiro zotsatirazi zimawonekera:

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• kupweteka: kupweteka kwapadera kumanzere kwa hypochondrium, mpaka dera la epigastric, kapena kuzungulira, kukulira malo apamwamba. Nthawi zina odwala amangodandaula za ululu wammbuyo,
• kuchepa ndi kusowa kwa chakudya,
• yaitali nseru
• kusanza kopanda mpumulo
• kutsegula m'mimba mpaka katatu pa tsiku,
• mafuta, mushy volumetric stool,
• kugwedezeka pamimba, mpweya wowonjezereka,
• kuwonda
• kuchepa magazi
• vuto la endocrine: khungu lowuma, stomatitis.

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Ululu ndiye chizindikiro chachikulu cha kutupa kwapancreatic. Amapitiliza, amakula mphindi 30 atatha kudya.

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Amatha kuchitika paroxysmally, kuyambira maola angapo mpaka masiku atatu, kapena kukhala kwamuyaya.

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Ngati zizindikiro zonse zikuwonetsa kukokoloka kwa kapamba, kulandira chithandizo kunyumba sikothandiza ndipo kungakhale pangozi. Wodwalayo amafunikira chithandizo chamankhwala cha dokotala wa gastroenterologist, amene angakuwuzeni momwe mungachitire ziphuphu pakuchulukirachulukira.

Mfundo zochizira kutupa kwa kapamba

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Ngati kapamba akukulitsidwa, muyenera kuyimbira foni dokotala popanda kuyesa kuti mucheze ndi adani anu. Nthawi zambiri, chithandizo chamankhwala chimachitika kuchipatala.

Njira zazikulu zochizira pancreatitis zimaphatikizira:

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1. Njala mpaka masiku atatu ndikusintha kwa wodwalayo chakudya. Ngati ndi kotheka, mtsempha wa magazi ndi shuga amawayambitsa.
2. Kuchotsa kupweteka komanso kuthetsa kupindika.
3. Enzyme m'malo mankhwala - kumwa mankhwala okhala ndi pancreatic michere.

Pamaso zovuta pamafunika njira zochizira.

Pancreatic mankhwala ochiritsira panthawi yowonjezera

Pharmacotherapy yowonjezera pancreatitis amathetsa ntchito zotsatirazi:

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1. Momwe mungachepetsa ululu?
2. Kodi kuchotsa njira yotupa?

Kuti muthane ndi izi, mankhwalawa amaphatikizidwa:

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• analgesics: paracetamol, analgin,
• antispasmodics: baralgin, no-shpa, papaverine,
• mankhwala a antisecretory: omeprazole, ndi maantacid: gefal, maalox, phosphalugel,
• kupanga mahomoni ena somatostatin - okreotide,
• kukonzekera kwa polyenzyme: kapamba, mafuta,
• prokinetics: domperidone, trimebutin.

Chidziwitso: mutha kumwa mankhwala okhawo omwe mwawongoleredwa ndi dokotala. Mankhwala ambiri amafunika kupaka ya chipatala kuchipatala.

Pancreatic zakudya mankhwala pa kuchuluka

Cholinga chofunikira chothandizira pancreatitis mu pachimake gawo ndikukhazikika kwa chinsinsi cha pancreatic madzi. Chifukwa cha izi, wodwalayo akuwonetsedwa kuti ali ndi njala masiku 1 mpaka atatu kuchokera pomwe matendawa adayamba. Amaloledwa kumwa mpaka malita 2 amadzi patsiku.

Kusintha kwa zakudya zachilengedwe kumachitika pang'onopang'ono - zakudya zikukula pang'onopang'ono ndipo kuchuluka kwake kukukulira.

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Zida zamagetsi

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Munthawi yachikhululukiro, wodwalayo ayenera kutsatira zakudya mpaka miyezi iwiri. Zakudya zonse zopatsa mphamvu za calorie ziyenera kufanana ndi 2500-2800 patsiku, logawika chakudya 5-6. Chifukwa chaichi, tebulo No. 5 malinga ndi Pevzner ndi omwe adayikidwa.

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Kupewa kufalikira kwa kapamba

Kuyimitsa kuukira kwa kapamba sizitanthauza kuchira kwathunthu. Wodwala yemwe ali ndi matenda a pancreatitis omwe ali ndi vutoli amafunika kutsatiridwa ndi katswiri kapena gastroenterologist wazaka zambiri.

Kuphatikizika kwa njira zopewera kumaphatikizapo:

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• chakudya
• kukonzanso m'malo opezeka ma sanatoriums ndi madzi amaminiti 3 mpaka 4,
• physiotherapy
• mankhwala azitsamba
• mukutenga maphunziro a multienzyme (pancreatin, creon) kwa masabata 4 mpaka 6,
• malinga ndi zomwe zikuwonetsa, kumwa mankhwala a choleretic ndi antispasmodics,
• kusiyiratu mowa ndi kusuta.

Ndi mwayi wofika kwa dokotala ndikuchulukitsa kwa kapamba komanso kuyambitsa kwamayendedwe azachipatala ndi prophylactic, kutsimikizika kwa zotsatira za matendawa nthawi zambiri ndikwabwino.

Momwe mungachiritsire kapamba komanso momwe mungagonjetsere ululu panthawi yowonjezera

Pancreatitis ndi gulu la matenda odziwika ndi kutupa kwa kapamba mwa akulu ndi ana. Ma enzoni a pancreatic samatulutsidwa mu duodenum, koma kukhalabe ndikudzilimbitsa. Pambuyo pa chimbudzi, poizoni amatulutsidwa: kulowa m'magazi, amawasamutsira ziwalo zina, ndikuazivulaza. Momwe kuchuluka kwa kupweteka kwamatumbo kumayambira, zizindikilo ndi chithandizo, komanso zoyenera kuchita, zalongosoledwa pansipa.

Kutupa kumatha kuchitika mu:

• mawonekedwe pachimake
• kuyambiranso
• mawonekedwe osakhazikika
• monga kukokomeza matenda kapamba.

Kubwereranso ndi kukokomeza kumakhala ndi zofananira, koma ndizosiyana. Kukhazikika kwa zizindikiro m'miyezi isanu ndi umodzi yoyambirira ndikubwezeretsanso kwamphamvu pambuyo - mawonekedwe owonjezereka. Pankhaniyi, kusintha kuchokera pachimake kupita pachaka ndikotheka popanda chithandizo choyenera, kupezeka kwa kachilombo, matenda, kapena majeremusi.

Zizindikiro zakuchulukirapo kwa kapamba zimawonetsedwa mu mawonekedwe a:

1. Zowawa, zowawa pansi pa nthiti, kudutsa m'chigawo chokhaza, kumbuyo konse.
2. Kuwawa mkamwa, kuwuma, kuwirira koyera pamalirime.
3. Kusanza, kuchepa kwa chakudya, kuchepa thupi, nthawi zina kusanza. Omaliza adzapezeke ngakhale ndi kusowa kwathunthu kwa chakudya: wodwalayo asanza ndi bile.
4. Kutsegula m'mimba, ndowe nthawi yomweyo kumakhala ndi mafuta a sheen, tinthu tating'onoting'ono ta chakudya chosagwiritsidwa ntchito. Nthawi zina pamakhala kusintha kwa m'mimba ndi kudzimbidwa.
5. Kulephera pamlingo wamtima, kutentha thupi mpaka madigiri 38, kuzizira, zizindikiro za kuchepa kwa vitamini ndizotheka.
6. Kufooka, thanzi loperewera, kugona, kufupika, kuthamanga magazi, komanso khungu laimvi zimadziwika.
7. Pamalo opingasa, kulimbitsa zizindikiritso ndikotheka - kumakhala kosavuta ngati mungakhale pansi, mutatsamira patsogolo.

Kuukira kumatha kupitilira sabata, pomwe zizindikirazo zidzatchulidwa, kupweteka, nseru - mosalekeza. Ngati zizindikiro za kufalikira kwa kapamba ndizofatsa, kuukiraku kumatha kukhala nthawi yayitali - mpaka miyezi iwiri.

Komanso, zowawa sizikhala ndi malo omveka bwino (mwachitsanzo, zimafalikira kudera lonse lakumbuyo kapena lumbar) ndikuzilimbitsa mutatha kudya, usiku.

Udindo wa kapamba

Popeza vutoli lilipo kale, simungachedwe kupita kwa dotolo: popeza kugwidwa kumakhudza kwambiri dongosolo logaya, komanso poizoni umayambitsa thupi lonse.

Chithandizo chilichonse cha kufalikira kwamatenda kapamba amayamba ndi kutsimikizira matendawa, popeza zizindikiro zofananira zimawoneka ndi matenda ena.

Wodwalayo ayenera kudutsa:

• kuyezetsa magazi: zamankhwala am'mwazi, zokhuza shuga,
• kuwunikira
• urinalysis
• X-ray, ultrasound ya peritoneum,
• gastroscopy
• zopangidwa tomography.

Kuphatikiza apo, kafukufuku amachitika. Ndi chithandizo chake, dziwani kuti kuukira kungakhale kwakutali bwanji, zomwe zimayambitsa matenda.

Werengani zambiri za mayeso a kapamba ndi zina za pancreatic pathologies munkhaniyi ...

Chithandizo cha kapamba ndi kuchuluka kwa kapamba:

• kumwa mankhwala
• Cholinga cha zakudya
• kugwiritsa ntchito mankhwala azikhalidwe
• prophylaxis.

Mfundo ziwiri zoyambazo zimagwiritsidwa ntchito ndi adokotala.

Chithandizo cha pancreatic pancreatitis ndi exacerbation chitha kuthandizidwa ndi:

1. Kupewa m'mabungwe a sanatorium: Mineralnye Vody, Kislovodsk ndi Zheleznovodsk, Truskavets (Ukraine), Karlovy Vary (Czech Republic).
2. Chithandizo cha matenda omwe amakhudza mwachindunji mkhalidwe wa kapamba.

Amasankhidwa payekha ndi dokotala. Monga momwe adalembera, ndikofunikira kutenga antispasmodics (No-Shpa, Papaverine), mankhwala a antisecretory (Omeprazole), kukonzekera kwapancreatin pakukwanira (Mezim, Licrease). Simungathe kusintha mankhwala osavomerezeka popanda kuvomerezedwa ndi adokotala, sinthani mlingo wake.

1. Kusala kudya kwa masiku atatu: kumachepetsa ntchito yopanga enzyme, kumachepetsa England. Zakumwa zokhazokha zomwe ziyenera kulowa m'mimba: madzi ofunda akadali madzi, tiyi ofooka, rosehip decoction, ndi michere amawonjezereka kudzera mu chubu cham'mimba. Amaloledwa 1.5-2 malita a kumwa patsiku - 50 ml pa ola limodzi kapena 200 ml 6 pa tsiku. Madzi amalola madzi amchere (Narzan, Essentuki-17, Borjomi) - sip imodzi kangapo patsiku. Madzi samayikidwa limodzi ndi kusanza, nseru.
2. Zakudya zopatsa thanzi - m'magawo ang'onoang'ono mpaka 7 okhathamira, zakudya zamadzimadzi zomwe zimakhala ndi chakudya, zomwe ndizofooka kwambiri zomwe zimapangitsa kapamba. Zowonetsedwa ndi msuzi wa mkaka wa oat ndi chimanga chopanda batala, shuga, msuzi wa mpunga, karoti, mbatata zosenda, mafuta osapatsa mkaka wopanda mafuta, zinthu zopanda mkaka zopanda mafuta. Kutumiza kukula kuyenera kukhala supuni 2-3.
3. Pamasiku 14 otsatira, kuperekera zakudya kumawonjezeka mpaka 200 mpaka 200 magalamu a chakudya. Chakudya chimaphikidwa popanda mchere, shuga, ndimadzimadzi, mawonekedwe osenda.
4. Wodwalayo amasamutsidwa ku chakudya No. 5p. Muli chakudya chophika, chophika, ndi chophika.

Chithandizo cha chifuwa chachikulu cha pachimake chiyenera kutsagana ndi kupatula kwa zinthu zomwe zimapangitsa kuti pakhale katulutsidwe ka madzi am'mimba: maapulo, marinade, zonunkhira, otentha, okazinga ndi mafuta komanso msuzi wamphamvu. Nkhumba, mwanawankhosa, tsekwe ndi bakha, mafuta onse, kupatula mafuta ophikira azamasamba - chimanga ndi maolivi sizimayikidwa.

Izi zitha kukhala zokongoletsa za mitengo ndi chindapusa, ma tinction a mowa, kuphatikizapo chomera, chowawa, chosafa, mahatchi, oats, wort wa St. John ndi zitsamba zina.

Ndikofunika kukumbukira kuti mankhwala azikhalidwe sizoyipa: zingathandize kukonza vutoli, koma osachiritsa. Kugwiritsa ntchito zitsamba kulikonse kuyenera kuvomerezana ndi adokotala ndikugwiritsidwa ntchito kokha ndi mankhwala ndi zakudya.

• kudya komanso kukhala ndi thanzi labwino,
• kusiya zizolowezi zoyipa: kusuta fodya ndi kumwa mowa,
• mankhwala okhazikika okhazikitsidwa ndi dokotala
• kuyendera spas ndi kuchiritsa madzi pa upangiri wa dokotala.

Izi zimathandizira kupewa kuchulukirachulukira.

Ngati pancreatitis ikuipiraipira, chithandizo choyambirira chothandizira chimachepetsa kukula ndikuchepetsa vutoli.

Thandizo ndi:

1. Kukana chakudya chilichonse. Theka lililonse la ola, muyenera kumwa 50 ml ya madzi osakhalitsa kuti muimitse kupanga michere.
   
2. Kuonetsetsa kupumula kwathunthu, makamaka malo oyimirira kapena kukhala, owongoka. Zovala zapafupi ziyeneranso kuchotsedwa, makamaka ngati zimayika nkhawa pamimba.
3. Kuwonetsetsa kupuma koyenera: kupumira kosachepera komwe kumapuma pang'ono.
4. Ngati mukufuna kusanza, itchuleni mwakathina pakukakamiza lilime.
5. Kutenga 0,8 mg a No-Shpa, Drotaverin kapena Papaverine, mutha kusunganso piritsi ya nitroglycerin pansi pa lilime. Ngati ndi kotheka, ndikofunikira kusintha magwiritsidwe a mapiritsi ndi jakisoni wamkati: 2 ml ya No-Shpa, yankho la peresenti ya Papaverine hydrochloride, kapena yankho la 0.2% ya Plifillin hydrotartrate. Kuphatikiza apo, mutha kulowa 2 ml ya yankho la 1% la Diphenhydramine kapena 1 ml ya yankho la 0,1% la Atropine Sulfate. Jekeseni ndizopindulitsa kwambiri: sizikhudza m'mimba, koma mwachangu lowani m'magazi.

Zoletsedwa kunyumba:

• Ikani ozizira, chifukwa izi zimatsogolera ku vasoconstriction ndi cramping.
• Kupereka mainkonipulini (mwachitsanzo, "Analgin", "Spazmalgon"), chifukwa zotsatira zawo zimadodometsa chizindikirochi.
• Apatseni ma enzyme (mwachitsanzo, Mezim, Festal), pongokulitsa zinthu.
• Tsuka m'mimba mwako. Zimangololedwa kusanza ngati wodwala akudwala kwambiri.

Kuchulukitsa kwa kapamba ndi vuto lowopsa lomwe limadziwika ndi ululu komanso poyizoni wa thupi poizoni. Zikatero, ndikofunikira kufunsa dokotala momwe mungathere ndikuyamba chithandizo, musanayambe kugwiritsa ntchito thandizo.

Matenda, omwe anthu amangowatcha - "kuchuluka kwa kapamba," mwina akhoza kukhala angapo. Nthawi zambiri, ndimtundu wa kapamba wam'mimba, ngakhale matenda ena omwe angakhudze chiwalo samasiyidwa. Matenda a pancreatic omwe amayamba chifukwa cha matenda aliwonse angawononge kwambiri moyo wamunthu. Zikondazo zimachita ntchito yofunika kwambiri - zimatulutsa insulin ndipo zimatulutsa michere yokumba. Momwemo, ngati matenda amtunduwu, munthu amayamba kuona zovuta, ndipo njira zazikulu zimayambitsa matenda, kutanthauza mkhalidwe pakati pa moyo ndi imfa.

Mulemba la lero, tikambirana za chiyani chomwe ndi njira zoyambirira zokulitsira mavuto mu kapamba, momwe tingapezere matenda kumayambiriro ndi njira zomwe zitha kuchitidwa kuti muchepetse chiopsezo cha kukumana ndi matenda a chiwalo chofunikira ichi.

Kuchuluka kwa Pancreatic: Zizindikiro

Matenda aliwonse a kapamba ndiowopsa chifukwa pakakhala kusowa chimba palibe gawo lina lomwe limatha kugwira ntchito yomwe imagwiritsidwa ntchito ndi gland.

Chifukwa chake, kufa kwa minofu ya pancreatic ndikutaya kwakanthawi kwa thupi, zomwe zimakhudza thanzi la wodwalayo.

Ntchito zachindunji za kapamba zimatha kugawidwa m'magawo akuluakulu awiri. Yoyamba ndikupanga insulini, yomwe imafunika kuwongolera kuchuluka kwa shuga m'magazi. Maselo ochepa pancreatic omwe amaphatikizidwa pakupanga, ndizowopsa zomwe zimapangitsa munthu kukhala ndi matenda a shuga. Odwala omwe ali ndi vuto la kapamba, matenda a shuga nthawi zambiri amakhala nawo.

Gawo lachiwiri la ntchito za chiwalo ndikupanga ma enzyme okumba. Nthawi zambiri, kapamba amawononga mafuta, chakudya, ndi mapuloteni omwe munthu amalandila kuchokera kunja ndi chakudya akamalowa mu duodenum. Ngati densi yatsekeka pazifukwa zina, ma enzymewo sangathe "kutuluka" m'matumbo ndikukhalabe mkati mwake, osagaya chakudya, koma maselo a chiwalocho. Zinafika kuti zikondamoyo zimayamba kugwira ntchito modziwononga.

Pancreatic boma aakulu kapamba

Potengera ntchito yakuwononga, chitsulo chimawonongeka, minofu yamoyo imasandulika minofu yolumikizika, kutupa kumayamba. Ndi chikhalidwe ichi chomwe anthu amachitcha "kukokosera kwa kapamba," ndiye kuti kapangidwe kake kapenanso matenda osapweteka amadziwika. Mu gawo lowopsa, kulumpha mu chiwonongeko kumachitika mwachangu - patangopita nthawi yochepa, tsamba la minofu limafa. Munthawi ya matenda, kapamba amawonongeka pang'onopang'ono, koma kwanthawi yayitali, ndipo chotupa chimatha kufalikira kudera lachiwalo chonse.

Nthawi zambiri, gawo loyambirira la kufalikira kwa kapamba limalembedwa mwa akulu, azaka makumi anayi mpaka makumi asanu. Pali vuto lomwe lakumana ndi chiyambi cha kuledzera, zakudya zamafuta ndi zonunkhira, komanso mavuto ambiri pakudya. Akatswiri azachipatala amasiyanitsa mitundu inayi yayikulu ya kapamba owopsa:

1. Fomu ya Purulent.
2. Fomu ya edematous (yapakati).
3. Fomu la hemorrhagic.
4. Pang'ono kapena kwathunthu pancreatic necrosis (minofu imfa).

Vuto lalikulu pakupeza pancreatitis pachimake ndi kuchuluka kwa zizindikiro. Izi zikutanthauza kuti mwa anthu osiyanasiyana nthenda yomweyo imatha kudziwonetsa ndi zizindikilo zosiyanasiyana. Komabe, maphunziro apamwamba a matendawa amakhalabe ndi zizindikiro zomwe zimathandiza madokotala kuzindikira matendawa.

Pancreatitis pachimake ndikosatheka kuzindikira. Munthu amamva kupweteka m'chiuno, pakati pake pomwe pali epigastrium (pakati pa nthiti ndi navel). Kumayambiriro kwa kutupa, kusanza kangapo kumatha, pambuyo pake palibe mpumulo, kugunda kwamtima kumachitika mwachangu. Ngati munthu amatha kunyalanyaza izi, patatha masiku awiri kapena atatu kutentha kwake kukwera.

Kwa odwala omwe ali ndi pancreatitis, yoyera yovala palilime, kakomedwe kowawa pamkamwa, kupuma koyipa

Mu chilonda chachikulu cha pancreatitis, ululu umakhalapo nthawi zonse, sugwirizana ndi zakudya kapena zamadzimadzi. Komabe, zomwe zimachitika pakudya zimachitikabe - mutatha kudya, munthu amayamba kusanza kapena kusanza kamodzi, nthawi zambiri zimakhala ndi chakudya chosasamba. Mukamamwa ma pinkiller, ululu umachepa, ndipo kutha kwa zovuta za pinkiller, kumayamba kuwonjezeka.

Kuphatikiza pa zodziwika bwino, mitundu iliyonse yamatumbo a pancreatitis imakhala ndi zizindikiro zapadera. Ganizirani mawonekedwe ake patebulo.

Gome 1. Zizindikiro zamatenda otupa a pancreatic

Kodi tikulimbikitsidwa kuchitanji ndi kapamba pakachulukana?

Mapaipi ndi amodzi mwa ziwalo zofunika kwambiri. Ili mkati mwa m'mimba ndipo imalumikizana ndi duodenum. Thupi limagwira ntchito yopanga ma enzymes apadera omwe amathandizira kugaya chakudya. Kuphatikiza apo, amapanga mahomoni omwe amayambitsa shuga. Kubwezeretsanso kwa matenda am'mimba mwake kumabweretsa mavuto akulu mthupi. Chifukwa chake, funso la momwe mungachitire ziphuphu pakuchulukana ndilothandiza kwambiri.

Vuto lotupa la chiwalochi limatchedwa pancreatitis. Kuti muyankhe funso la momwe tingachitire ndi vutoli, muyenera kudziwa chithunzi chake. Kuchulukitsa matenda, zizindikiro zotsatirazi ndi zodziwika bwino:

1. Kupweteka kwambiri pamimba. Ndizofunikira kwambiri kuti ma antispasmodics ndi ma painkillers samapereka zomwe akufuna. Matenda a ululu amawonjezeka ngati munthu wagona kumsana kwake. Chifukwa chake, odwala omwe ali ndi vuto lotere nthawi zambiri amayesa kupewa izi.
2. Zizindikiro za Dyspeptic. Matendawa amadziwika ndi mawonekedwe a kusanza, chizungulire, komanso kusokonekera kwa tulo.
3. Kuphwanya mawonekedwe a England, mapangidwe a cysts. Izi zimatha kupezeka ndi ultrasound.
4. Ululu mutatha kudya. Nthawi zambiri, zakudya zokazinga, zonunkhira komanso zamafuta zimadzetsa mavuto. Komanso, chomwe chimapangitsa kukhala mowa.
5. Kuphwanya phiko. Tizilombo tambiri timatulutsa mosiyanasiyana, mtundu wakuda ndi fungo losasangalatsa.
6. Kukwiya, kugona, nseru.
7. Kuchepetsa thupi. Izi zikuchitika chifukwa cha kuchepa kwa chilakolako chofuna kudya.

Kubwezeretsanso kwa kapamba kumawerengedwa kuti ndi vuto lalikulu, koma kuchitidwa opareshoni sikofunikira. Komabe, kusiya matendawa popanda kulandira chithandizo kumaletsedwa kotheratu, chifukwa pamakhala vuto la kugaya chakudya m'mimba.

Momwe mungachiritsire matendawa, adotolo adzauza. Mwachizolowezi, chithandizo chamankhwala chimapangidwa kuti muchepetse katemera wa pancreatic, kupondereza ululu, kupewa zovuta, komanso kugwiritsa ntchito ma enzyme.

Kuchepetsa katemera wa pancreatic, zakudya zapadera zimasonyezedwa. Zimatanthawuza kuchepetsedwa kwa kudya mafuta, zakudya zonunkhira, zakumwa zoledzeretsa ndi zinthu zamkaka. Madokotala amakupatsanso mankhwala ena:

• kutanthauza kuchepetsa kubisika kwam'mimba,
• zinthu kuti tiletse enzymatic ntchito kapamba,
• mankhwala a antispasmodic kuti muchepetse kupanikizika.

Kubwezeretsanso kwa kapamba, ntchito yayikulu ndikuchepetsa kusokonezeka kwa njira yotupa ndi kukakamiza mkati mwa ducts. Kwa izi, kupumula kwachinsinsi kumawonetsedwa. Zimatheka kudzera mu zakudya. M'masiku awiri oyamba, kusala kumayikidwa, pambuyo pake wodwalayo amasintha kudya No. 5 malinga ndi Pevzner.

Pofuna kuthetsa ululu, ma analgesics, antispasmodics, michere, prokinetics amagwiritsidwa ntchito. Ndi steatorrhea, momwe mumakhala kuchepa kwamafuta oposa 15 g patsiku, kutsekula m'mimba ndi kuchepa thupi, ntchito yothandizira ziwalo zina.

Pancreatitis yowonjezereka imafuna kugwiritsa ntchito mankhwala a antisecretory. Pachifukwa ichi, gwiritsani ntchito H2 histamine blockers, monga Famotidine ndi ranitidine, komanso proton pump inhibitors - rabeprazole, omeprazole.

Kuti muthane ndi matenda obwereza matenda, kugwiritsa ntchito ma antacid pafupipafupi komanso m'gulu la mankhwalawa amaphatikizidwa ndi njira yochizira pancreatic pancreatitis. Dokotala wanu atha kukulemberani maalox kapena alfogel. Nthawi zina, kupondera kwachinsinsi cha chiwalo kapena ntchito ya michere yake ndikofunikira. Kuti muchite izi, mumafunikira ma antienzyme - mwachitsanzo, gordoks kapena kontrikal.

Kuti muthane ndi ululu, gwiritsani ntchito ndalama zotsatirazi:

• anticholinergics - metacin, atropine,
• ma analgesics omwe si a narcotic - analgin, ketorolac,
• antispasmodics - palibe-shpa, papaverine,
• zinthu zophatikiza - baralgin,
• opioid analgesics - meperidine, tramadol.

Kuchepetsa zizindikiro za dyspeptic ndi kuchepa kwa chinsinsi, kukonzekera kwa enzyme kumagwiritsidwa ntchito - creon kapena cancitrate. Pofuna kuthana ndi vuto losayenda bwino, mutha kugwiritsa ntchito prokinetics - chisapride kapena motilium.

Patsiku loyamba ndikuwonjezera mphamvu yotupa, zakudya zamafuta ziyenera kusiyidwa kwathunthu kapena zochepa. Pambuyo poletsa ntchito pachimake, mbale zowononga kwambiri zimawonetsedwa. Zosankha zanu zimakhala ndi izi:

• masamba azakudya zamasamba ophika,
• mafuta amkaka ochepa,
• masamba osenda
• masamba ophika
• zipatso zopanda acid
• mousse, odzola, odzola,
• tiyi wopanda mphamvu
• msuzi wa rosehip.

Pambuyo pake, chakudyacho chimatha kufalikira pang'onopang'ono, komabe, zipatso, zokazinga ndi zokometsera, marinade, nyama zosuta ndizoletsedwa. Zakudya zonse ziyenera kukhala zofatsa momwe zingathere kuti musapweteketse zomwe zakhudzidwa.

Pancreatitis imatha kuvuta motsogozedwa ndi zinthu zosiyanasiyana. Chifukwa chake, ndikofunikira kuti muzisamala kwambiri njira zodzitetezera. Mulinso izi:

• magwiridwe antchito ndi kupumula,
• zaukhondo ndikusintha thanzi,
• Zakudya zabwino komanso zopatsa thanzi,
• kuyeserera koyeserera kwa akatswiri a zamankhwala ndi gastroenterologist.

Panthawi yowonjezera, njira yoletsa kuyambiranso imakhala yofunikira, kuphatikizapo chakudya No. 5, physiotherapy, komanso masewera olimbitsa thupi ochepa. Ngati ndi kotheka, dokotala amakupatsani mankhwala.

Ngati munthu ali ndi pancreatitis yoopsa, yomwe imakonda kuchuluka, mankhwala osokoneza bongo amayenera kupitilizidwa kwa chaka chimodzi. Anthu oterewa amakhala ndi ululu wam'mimba kwambiri, matenda ammimba.

Kuchulukitsa kwa kapamba ndi vuto lotere lomwe limafuna chithandizo chamankhwala mwadzidzidzi. Kuti muchepetse mkhalidwe wanu ndikupewa kubwereranso kumatenda, ndikofunikira kwambiri kukwaniritsa bwino zoika zonse za gastroenterologist ndikuthana ndi kupewa kutupa.

Momwe mungachitire ndi kapamba pakachulukitsa

Zikondamoyo ndichinsinsi cha thupi. Pancreatitis (kutupa m'matumbo ake) kumadziwika kuti ndi njira yodziwika bwino kwambiri yothandizira thupi.

Chithandizo cha kapamba ndi kuchuluka kwa zotupa zimachitika m'njira zosiyanasiyana. Ngakhale kuti pali mankhwala ambiri masiku ano, odwala ena amachira.

Kuti mudziwe momwe mungathandizire kapamba pakachulukitsa, muyenera kufunsa katswiri.

Zambiri zomwe zimapangitsa kukokomeza kwa kapamba zimadziwika. Koma nthawi zambiri masinthidwe amomwe amachitika chifukwa cha:

• kumwa kwambiri mowa,
• osagwirizana ndi zakudya
• kugwiritsa ntchito mankhwala ena
• kuledzera
• kuchuluka kwa matenda a ndulu,
• mavuto ndi kupsinjika mtima kwakukulu,
• pachimake matenda opatsirana.

Ngakhale kumwa kamodzi kapena mowa womwe uli ndi zakumwa zoledzeretsa kungachititse kuchuluka kwa matenda a kapamba.

Pakadali pano, kuwonjezereka kwa ntchito ya michere kumachitika, mothandizidwa ndi komwe minofu ndi makoma a gland yomwe ikukhudzidwa idzakwiya, edema ndi kupweteka kwambiri mu peritoneum.

Nthawi zina kuchotsa zomwe zimayambitsa matendawa kumathandizira kuti matenda ayambike, koma mawonekedwe osokoneza bongo omwe amasintha kapamba amachiritsidwa pokhapokha ngati akuchira.

Mawonekedwe akuwonjeza kwa ndulu imatha kusokonezeka ndi zomwe zina mwa njira zina za m'matumbo zimachitikira, koma sizimamveka.

Wodwala nthawi zambiri amakhala ndi nkhawa za kupweteka kwambiri pamimba. Zowonetsera kwambiri za matendawa ndi:

• kupweteka kwakumanzere, mbali yakumanzere,
• kutsegula m'mimba
• nseru ndi gag Reflex zomwe ndi zovuta kusiya
• kuwawa pamkamwa,
• kutentha kwambiri, kufupika ndi kuzizira,
• kuwonda.

Zizindikiro zowopsa kwambiri ndikuwonjezereka kwa kutentha kwa thupi mpaka pamavuto otsika, omwe amaphatikizidwa ndi kuzizira.

Mawonetsedwe oterowo nthawi zambiri amatanthauza kupangika kwachiwiri kwa mapangidwe otupa, omwe nthawi zambiri amathera ndi kutulutsa kwamkati.

Pa chifuwa chachikulu, nthawi yayitali imakhala yodziwika. Kwenikweni, kumatenga masiku 5-7, koma mu vuto lomwe limakhala ndi zovuta zambiri, nthawiyo ndi masiku 10-15.

Kutalika kwa kufalikira kwachitika chifukwa cha kulephera kwa gawo lomwe lakhudzidwalo kukonza mwachangu minofu yowonongeka ndikugwiritsidwa ntchito.

Mwachindunji, ngakhale ndi mawonekedwe oyamba a matenda, wodwalayo ayenera kufunsa katswiri.

Ngati kukokoloka kwa kapamba sikuchiritsidwa munthawi yake, kupweteka kwamatumbo kumayambiranso, motero, nthawi zowonjezereka zimawonekera pafupipafupi ndipo zimatulutsidwa.

Mkhalidwe wa kapamba, kuopsa kwa kuwonongeka kwa minofu yake ndikugwirira ntchito kumatsimikiziridwa ndi njira zosiyanasiyana zodziwira matenda. Kwambiri wodwala ndi mankhwala:

• kusanthula kwa magazi ndi mkodzo,
• Ultrasound yam'mimba
• gastroscopy
• MRI

Pamaso pa matenda owopsa komanso obwereza a pathological process, kumva zowawa kwambiri zimawonekera, zomwe zikukula mwachilengedwe.

Zotsatira za chisangalalo choterechi zimakhala zopanda vuto komanso zododometsa, motero wodwala adzafunika kuchipatala msanga.

Asanachitike madokotala ndi kuchuluka kwa kapamba, ndikofunikira:

• Tsimikizirani mtendere kwa wodwala. Wodwalayo ayenera kukhala pang'onopang'ono kapena kukhazikika. Izi zipangitsa kuti kuchepetsedwa kuthamanga kwa magazi kupita ku chiwalo chomwe chikukhudzidwacho ndikusiya kukula kwa kutupa.
• Osamadya. Kwa masiku atatu, wodwalayo amakana kudya chakudya chilichonse. Izi zipangitsa kuti achepetse kupanga ma enzyme.
• Ikani ozizira ku chiwalo chomwe chakhudzidwa. Pesi yoziziritsa kapena yozizira imathandizira kuchotsa kutupa ndi kupweteka.
• Gwiritsani ntchito antispasmodics.

Sizoletsedwa pamabanja:

• Tengani mankhwala oletsa ululu (mwachitsanzo, Analgin, Spazmalgon), chifukwa momwe zimathandizira kuti azindikire zovuta.
• Gwiritsani ntchito ma enzymes (mwachitsanzo, Mezim, Festal), pamene zikuonjezera zomwe zikuchitika.
• Mimba imatsukidwa payokha. Ndizovomerezeka kutengera gag Reflex wodwala akadwala.

Kuchulukitsa kwa matendawa omwe akufunsidwa ndi gawo lovuta kwambiri, lomwe limadziwika ndi ululu komanso kuledzera.

Zikakhala zotere, pamafunika kufunsa katswiri kaye ndikuyamba chithandizo, ndipo izi zisanachitike.

Pankhani ya kuphwanya kapamba, mankhwala amathandizidwa ndi katswiri poganizira zaumoyo wa wodwalayo.

Ngati mukukumana ndi zizindikiro zosasangalatsa komanso kusasangalala, muyenera kuchitapo kanthu. Zolinga zazikuluzikhala:

• kuthetsa kupweteka
• Kutumiza chiwalo chomwe chakhudzidwa,
• kukondoweza kwa kudzikongoletsa kwa ndulu.

Lingaliro pakugwiritsa ntchito mankhwala aliwonse limapangidwa ndi katswiri wakupezekapo. Munthawi zonsezi, chithandizo chimatha kusiyanasiyana, makamaka chifukwa cha zovuta zake komanso momwe gawo limayambira.

Zochizira matendawa, mankhwalawa a m'migulu yotsatirayi amakhazikitsidwa:

Ndalama zonse zomwe zili pamwambazi zimasankhidwa ndi katswiri, mlingo wake umasankhidwa payekha kwa wodwala aliyense.

Mankhwala akuchulukirachulukira a kapamba chifukwa cha njira zosasamala sanapereke zotsatira zomwe zikuyembekezeka komanso chiwopsezo cha zotsatira zowopsa chikuwonjezeka, madotolo amachita opareshoni.

Zakudya zopatsa thanzi ndichinthu chofunikira chamankhwala pochulukitsa matenda.

Zakudya zokonzedwa bwino ndikutsatira malangizo a dokotala zimapangitsa kuti zizitha kutulutsa ziwalozo ndikuzipatsa mtendere.

Kuletsa kugwiritsa ntchito mankhwala aliwonse ndizovomerezeka kwa masiku atatu. Amaloledwa kokha kumwa mchere wamchere wamchere mpaka 2 malita patsiku.

Pambuyo jekeseni madzi ndi theka-madzi mbale - sopo, odzola. Amayenera kudyedwa m'magawo ochepa 5-6 patsiku. Mowa wamafuta uliwonse, wamafuta, onunkhira komanso okazinga amaletsedwa.

Monga maziko, zakudya zopatsa mphamvu No. 5 zimatengedwa, zomwe zimapangidwira kuti magawo am'mimba azikhala bwino.

Zimaphatikizanso zida zofunikira za thupi, komanso zimachotsa zinthu zoyipa.

Ndi kuyang'anira kusunga zakudya zazakudya kwa miyezi isanu ndi itatu, ndikotheka kukwaniritsa chikhululukiro chokhazikika ndikuchepetsa kwambiri kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito.

Ndikofunikira kwambiri kukwaniritsa kufunikira kwa mapuloteni, chifukwa chake, atangofa ndi njala, ndikulimbikitsidwa kuyambitsa zatsopano za nyama menyu. Khutitsani chakudya ndi nyama yotsika.

Asanaphike, amayenera kutsukidwa kuchokera m'mitsempha ndikuphwanyidwa. Mukachira, ndizotheka kuzigwiritsa ntchito chidutswa chimodzi chophika kapena chophika.

Popeza insulin imapangidwa mkati mwa kapamba, ndizoletsedwa kudya shuga kwa mwezi umodzi atatha. Mikhalidweyo ikakhazikika, imaloledwa kupanga zakudya zamafuta ndi zipatso.

Pambuyo pa masiku 7 oyamba a matendawa, ndizovomerezeka kuphatikiza mitundu yamafuta ochepa am'madzi ndi masamba a nyama omwe adatsitsidwa mu zakudya.

Zakudya zimaphatikizapo cod, pollock, perch ndi safironi cod. Nsomba ndi nyama yokazinga, mchere, wouma ndi wowuma ndizinthu zoletsedwa nthawi yayitali.

Pambuyo pakusala, tikulimbikitsidwa kuti tidye phala kuchokera ku mpunga ndi oats m'madzi owiritsa. Shuga, mafuta ndi mchere sizowonjezeredwa.

Porridge ku chimanga, mapira simalimbikitsidwanso, chifukwa ndizovuta kwambiri kugaya.

Pali lingaliro kuti ndizotheka kuthetsa mtundu wovuta wa kapamba pamikhalidwe ya tsiku ndi tsiku pogwiritsa ntchito njira ina.

Koma akatswiri amakono a gastroenterologists amati kugwiritsa ntchito ndalama zingapo kuchokera ku zitsamba ndi mankhwala opangira mankhwala kungapereke zotsatira zabwino ndikusintha ntchito ya thupi pokhapokha matenda atachotsedwa.

Kugwiritsa ntchito mankhwalawa panthawi yowonjezera kumakhala koopsa.

Malinga ndi akatswiri, njira zina zochiritsira zosagwiritsidwa ntchito masiku onse zitha kugwiritsidwa ntchito kuti zithetsedwe kuwonetsa zinthu zina zoyipa.

Kusintha kutuluka kwa bile ndikupangitsa chiwindi kukhala chovomerezeka, ndizovomerezeka kugwiritsa ntchito chimanga, dogrose, dieelle.

Pofuna kukonza wodwala psychoemotional state, chamomile, linden ndi timbewu decoctions amagwiritsidwa ntchito.

Pofuna kupewa kuchuluka kwa matendawa, madokotala a zakuthambo amalimbikitsa:

• chakudyera No. 5,
• kukana mowa kwathunthu,
• kuzindikira pafupipafupi komanso kuyendera katswiri,
• moyo wokangalika
• kayendedwe ka cholesterol ndi shuga m'magazi,
• ntchito zamankhwala kukonzekera adokotala,
• kupha kwa poizoni mu thupi la mankhwala osokoneza bongo,
• kukhazikitsidwa kwa chithandizo chamankhwala m'malo apadera.

Kuchulukitsa kwa kapamba ndi mkhalidwe wovuta, wofunikira thandizo kuchokera kwa akatswiri.

Kusintha kwa thanzi la wodwalayo komanso kupewa kutenganso matendawa, ndikofunikira kwambiri kutsatira mosamalitsa malangizo onse azachipatala ndikuthandizira njira yoteteza.

Ngati patapita nthawi kuti muwonane ndi dotolo, kudalirika kwa matenda am'mimbamo ambiri.

1. 
   Bliss Michael Kutulutsa kwa Insulin. 1982, 304 p. (Michael Bliss Discovery of insulin, bukuli silinamasuliridwe ku Russia).
2. 
   Evsyukova I.I., Kosheleva N.G. Matenda a shuga. Mimba komanso akhanda, Miklosh - M., 2013 .-- 272 p.
3. 
   Peters-Harmel E., Matur R. Matenda a shuga. Kuzindikira ndi kuchiza, Yesezani - M., 2012. - 500 c.
4. P.A. Lodewick, D. Biermann, B. Tuchey "Munthu ndi matenda a shuga." M. - St. Petersburg, "Binom", "Nevsky Dialect", 2001

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.