Njira zamakono zochizira pancreatitis pachimake

Njira zotupa mu kapamba zimabweretsa zovuta zambiri kwa wodwala. Uku ndikumverera kowawa kwambiri, kusanza komanso kubwereza, ngakhale kuwopseza moyo.

Kupewa zotsatira zoyipa chifukwa chodwala kapena kufalikira kwa matendawa, kufinya kwamatenda kapenanso kumapeweka. Zimakhazikitsidwa ndi malamulo osavuta ndi malingaliro omwe amafunika kukhala ndi moyo wathanzi.

Kugwirizana kwa pancreatitis pachimake sikukayikira, popeza zomwe zimayambitsa matenda zimachitika chifukwa cha zizolowezi zoyipa kudya komanso kumwa mowa. Malinga ndi ziwerengero, munthu aliyense wachisanu amakumana ndi vuto lotere.

Talingalirani njira zamakono zochizira pancreatitis mu njira yosasinthika komanso opaleshoni, yomwe mankhwalawa amalamula odwala? Ndipo pezaninso zoyambira zakupewa zomwe zimathandizira kupewa kuwopsa.

Njira zamakono zochizira khansa

Chithandizo chowongolera chimaphatikizapo kugwiritsa ntchito mankhwala amakono omwe amasankhidwa payekhapayekha. Njira yochizira pancreatitis ndi mankhwala imawunikidwanso pafupipafupi kuti mupeze achire.

Mothandizidwa ndi mankhwala, ndizotheka kuchotsa zizindikiro zosokoneza - chimbudzi, mseru, kusanza, kupweteka. Izi mawonetseredwe azachipatala amachokera pakutupa kwa kapamba ndi mavuto ndi mayamwidwe amafuta m'thupi.

Pancreatitis yoyamba ndi matenda odziyimira pawokha, amatanthauza kugwiritsa ntchito mankhwala a magulu osiyanasiyana - othandizira, maantibayotiki, ma antispasmodics, ndi zina. Matendawa amafunika kugwiritsa ntchito mankhwalawa, komanso chithandizo chamankhwala chofuna kuthetsa matenda oyambitsidwa, mwachitsanzo, cholecystitis.

Wotakataka komanso pachimake kapamba nthawi zonse amathandizidwa mu inpatient. Dokotala amalimbikitsa munthu wamkulu kuti akane chakudya masiku angapo. Mofananamo, mainkilinki, mapiritsi omwe amachepetsa kutupa, etc. amagwiritsidwa ntchito.

Matenda a kapamba amachiritsidwa kunyumba. Dokotala, poganizira mayeso onse, amasankha algorithm yabwino kwambiri. Magulu a mankhwala atha kutumikiridwa:

• Mankhwala a Antenzyme. Oimira - Antagozan, Kontrikal.
• Maantibayotiki amathandizira kuchepetsa njira zotupa osati mu zofunikira, komanso ziwalo zapafupi. Mapiritsi amathandizira kupewa zovuta - pancreatic necrosis, peritonitis, sepsis, abscess, etc. Mankhwala osokoneza bongo m'magulu otsatirawa amasankhidwa - tetracyclines, fluoroquinolones, macrolides.
• Mankhwala a enzyme amathandiza kuyamwa kwa zinthu zomwe zimachokera ku chakudya, zimapangitsa kuti kugaya chakudya, kuchuluka kwa dyspeptic. Lembani Festal, Panzinorm, Pancreatin.
• Antispasmodics - No-shpa, Papaverin.

M'mazithunzi ena azachipatala, amitriptyline chifukwa cha kapamba amadziwika kuti ndi mankhwala othandizira. Mankhwalawa adapangidwa poyambira kuchiritsa matenda osokoneza bongo, koma amathandiza odwala ena kuchepetsa ululu.

Mlingo wa mankhwalawa komanso kuphatikiza kwake amasankhidwa payekha. Pa nthawi yoyembekezera komanso yoyamwitsa, maantibayotiki sanapangidwe, amayesa kupewa kugwiritsa ntchito antispasmodics.

Mankhwala akapanda kugwira ntchito, ndiye kuti ululu wamankhwala ululu umachotsedwa kudzera mu neural blockade - jekeseni yomwe imakupatsani mwayi woletsa zizindikiro zopweteka zomwe kapamba amatumizira.

Kudzinyenga kumapangitsa kuti wodwalayo akhale bwino kwa milungu ingapo kapena miyezi ingapo.

Kupewa matenda osachiritsika komanso kapamba

Kupewera kwa kapamba ndikofunikira kwambiri osati kokha kwa anthu omwe adapezeka ndi matendawa, komanso kwa iwo omwe ali pachiwopsezo.

Pancreatitis ndimatenda ofala kwambiri am'mimba. Kuchiza kutupa kwa kapamba kumafuna zambiri kuposa kungomwa mankhwala. Kupewa matenda kapamba kumathandiza kupewa kutenganso matendawa, kutalikitsa nthawi yachikhululukiro kwa nthawi yayitali.

Zakumwa zoledzeretsa

Kuledzera ndi imodzi mwazinthu zazikulu zomwe zingayambitse matenda a kapamba. Kugwiritsa ntchito moledzera tsiku lililonse kapena pafupipafupi kumadzetsa mavuto akulu mthupi, kuwonjezera apo, ngakhale atamwa mowa bwanji.

Mamolekyu amowa a ethyl, mosasamala kanthu kuchuluka kwake, amawononga maselo a kapamba, amachititsa kusintha kwa pathological (edema, calcification), zomwe zimatsogolera pakupanga kutupa. Chifukwa chake, muyenera kuyesetsa kuti musamwe mowa kapena kuchepetsa kumwa kwake. Magalasi angapo pamwezi wa vinyo wopepuka amaloledwa, koma osatinso. Njira yabwino ndiyo kukana mowa kwathunthu.

Zofunika! Palibe kuchuluka kwa zakumwa zoledzeretsa, zakumwa zilizonse zomwe mumamwa zimabweretsa zovuta, kuphatikizapo kapamba.

Nikotini, mainsisi amakhudza osati kapamba, komanso thupi lonse. Zikondazo, zikaphatikizidwa ndi kusuta fodya komanso kumwa mowa mwauchidakwa, zimawonongeka mofulumira kanayi.

Mwa anthu omwe amamwa ndikusuta, kapamba ndi kufalikira kwa mawonekedwe osakhazikika amakula nthawi zambiri kuposa mwa anthu opanda zizolowezi zoyipa. Nikotini imayambitsa kukondoweza kwambiri kwa katulutsidwe ka m'mimba, imakhumudwitsa komanso imapangitsa kukula kwa ziwalo zam'mimba.

Kafukufuku waposachedwa akutsimikizira kuti kusuta kumathandizira kuti ntchito yopatsirana ipite patsogolo komanso kutulutsa khansa.

Khalidwe labwino

Moyo wathanzi umakhala ndikuyenda tsiku lililonse mlengalenga, kugona mokwanira komanso kupuma mokwanira, kupatula zochitika zopsinjika, zolimbitsa thupi zolimbitsa thupi.

Izi sizothandiza zimangolimbitsa thupi ndikuziteteza ku ma pathologies osiyanasiyana, kuphatikizapo kapamba, komanso zimawonjezera kukana kuyipidwa ndi zinthu zakunja.

Chakudya chopatsa thanzi ngati njira yopewera

Zakudya zoyenera ndizofunikira kwambiri panjira yathanzi komanso njira yachikhalidwe yothanirana ndi mavuto akudya. Kugwiritsa ntchito zakudya zovulaza, kuwonongeka kwa thanzi komwe kumapangidwira, ndipo nthawi yomweyo, zotsatira zoyipa sizimangoyambitsa ziwalo zam'mimba, komanso machitidwe ena amthupi - amanjenje, ozungulira, mtima, komanso impso.

Popewa kapamba, kudya kwambiri sikofunikira. Ndikokwanira kupatula zakudya zoyipa kwambiri komanso mavuto omwe amapezeka ndi kapamba amatha kupewedwa.

• masamba ophika, owotcha kapena mphodza,
• supu zamasamba zopanda kabichi yoyera,
• mkaka ndi maphunziro oyamba
• msuzi pa msuzi wina wachiwiri,
• nyama yotsamira (nkhuku kapena nsomba), yothina - monga kupewa kapamba kapamba,
• Zakudya zoziziritsa kukhosi, vermicelli,
• phala
• omelet
• kanyumba tchizi casseroles,
• mabisiketi owuma, mararmade, makeke omasukiliya, marshmallows, pastille,
• tchizi wofatsa komanso wopanda mafuta,
• zinthu zopanda mkaka,
• buledi wa tirigu
• uchi (supuni 1-2 patsiku),
• maapulo okoma
• zipatso zosafunikira, kissel, tiyi wopanda mphamvu,
• yogati
• mchere mafuta (50 g pa sabata).

• mafuta msuzi,
• zakudya zamafuta
• zokometsera zokometsera ndi zokometsera,
• ankasuta nyama
• kuteteza
• nsomba yamafuta - nsomba, nsomba, mullet,
• caviar
• mafuta okazinga ndi zonona wowawasa,
• mafuta a nkhumba
• buledi wa rye ndi makeke,
• khofi, tiyi wamphamvu, koko, zakumwa zozizilitsa kukhosi, kvass,
• Zipatso za malalanje
• mpiru, kutentha
• Ma fries achi France
• tchizi
• agalu otentha
• tchipisi
• mtedza
• nkhuyu, mphesa, masiku,
• mazira owiritsa kwambiri, mbale zokhala ndi mazira athunthu, mazira okazinga,
• mkaka wa mbuzi
• sinamoni.

Malamulo oyipa azakudya:

• Zakudya zimaphikidwa, kuwotchera kapena kuwotchera osapanga dzimbiri la golide (kutumphuka kwa golide ndi cholesterol yowopsa).
• Osamadya mbale zotentha kwambiri komanso zozizira kwambiri.
• Kuchepetsa kudya kwamchere kwambiri monga momwe kungathekere (kumalimbikitsa kusungidwa kwa madzi mthupi ndipo kumakwiyitsa ziwalo za m'mimba za m'mimba.
• Zakudya ziyenera kukhala zopindika - idyani chakudya maola awiri aliwonse ochepa.
• Chakudya chomaliza ndi maola awiri asanagone.
• Chakudya chimayenera kudulidwa momwe angathere.
• Zigawo ndizochepa.
• Zopatsa mphamvu - zopatsa mphamvu zopitilira 2900.

Mankhwala ophatikizika

Mankhwala ambiri amatha kupangitsa kuti matenda awonjezeke kapena kupangitsanso kutupa m'mapapo. Muyenera kudziwa ngati njira yothanirana ndi yomwe mankhwala omwe ndi oletsedwa komanso omwe sangapweteke.

Mankhwala otsatirawa ayenera kumwedwa kokha moyang'aniridwa ndi dokotala:

• antiepileptic mankhwala,
• ma analcics
• kulera kwamlomo
• mankhwala a immunosuppress
• okodzetsa
• ma steroid
• ma statins
• antibacterial mankhwala
• magulu antimicrobial sulfonamide,
• paracetamol
• mankhwala ochepetsa kuthamanga kwa magazi,
• othandizira odwala matenda ashuga
• immunostimulants.

Chochita chonyalanyaza kwambiri ndikusinkhasinkha. Ndi madokotala okhawo omwe angadziwe matendawa, gawo, komanso kupereka chithandizo chokwanira. Ndikosatheka kuchitira mankhwala odziperekera kwa anthu omwe amapezeka ndi kapamba komanso omwe ali pachiwopsezo.

Zithandizo za anthu

Kupewera kwa kapamba kumatha kuchitika ndi wowerengeka azitsamba. Zimathandizanso kupewa kutupa ndikuchichotsa. Koma ndi pancreatitis omwe apezeka kale, njira zina zochiritsira ndi kupewa ziyenera kuphatikizidwa ndi chithandizo chachikulu.

Krythea ndi mankhwala othandiza pancreatitis, zilonda zam'mimba. Imasinthasintha mulingo wa asidi, imawonjezera kusinthika, imasintha njira yogaya, komanso imathandizanso kupsinjika ndi kupweteka. Tengani tincture 15 akutsikira katatu pa tsiku kwa mphindi 30 musanadye.

Anyezi wosankhidwa - kutsanulira 80 g wa 300 ml ya mowa wamphamvu. Kuumirira masiku 5 m'malo amdima. Vuto ndi kumwa 5 akutsikira tsiku lililonse katatu.

Masamba opukutidwa - 150 g, kutsanulira 400 ml ya mowa wamphamvu. Kuumirira masiku 10 m'malo amdima. Tengani madontho 10 kawiri pa tsiku.

Grass cuff - 50 g imaphwanyidwa, 250 ml ya mowa wamphamvu amathiridwa, ndikuthira sabata limodzi, madontho 5 amatengedwa katatu tsiku lonse.

50 g ya stigmas chimanga, calendula, chamomile kumunda, peppermint amasakanikirana. Kuphatikizikako kumathiridwa ndi madzi otentha. Kuumirira 2 hours. Alumali moyo wa kulowetsedwa m'malo ozizira ndi masiku 5. Tengani supuni musanadye katatu.

Kupewa koyamba kwa kapamba ndikofunikira kwa anthu omwe ali pachiwopsezo. Kuti mupeze izi, mutha kuthira nthangala za fulakesi. Amatseka mokoma makoma a mucous nembanemba, amatulutsa acidity, ndikuchotsa zofunikira m'thupi.

Amasiya kupweteka, amathandizanso kuledzera, njira zotupa, ndikuletsa kukula kwa maselo a khansa. Kuphatikiza apo, amachepetsa cholesterol yoyipa ", amalimbitsa chitetezo chokwanira, komanso kuthamanga kwa magazi.

Amayenera kumwa 50 g musanadye kanayi pa tsiku.

Ndizotheka kuchitira kapamba ndi jelly yachifumu. Izi ndizopangira njuchi. Ndizoletsedwa ngati kupewa kapamba ndi chithandizo ngati pali zotsutsana ndi uchi ndi zotumphukira zake. Muli zinthu zofunika, mavitamini ndi michere. Amasinthasintha kapamba. Chidacho chimatha kuwonjezeredwa ku chakudya ndi supuni 1 kapena kusakaniza ndi ma compotes ndi zakudya.

Madzi a mbatata omwe angofinyidwa kumene ayenera kuledzera mu makapu 0,5 mphindi 30 musanadye, pambuyo pa mphindi 5, kumwa 200 ml ya kefir kapena msuzi wa karoti.

Zonunkhira kuchokera ku oats. Ma 150 g a oats amatsukidwa, amadzaza madzi ndikuthiriridwa kwa maola 24. Kenako amauma ndikuyiyika kuti ikhale ufa. Amadzisiritsa ndi madzi ndikuwiritsa kwa mphindi 5 mpaka unakhuta, ndiye kuti kisselyo imalowetsedwera theka la ola limodzi. Vuto la Kissel. Imwani tsiku lonse. Kissel ndi njira yabwino yothanirana ndi kapamba, zilonda zam'mimba, zilonda zam'mimba.

Munthu aliyense amadziwa bwino - matenda ndi osavuta kupewa kuposa kuchiza nthawi imeneyo. Pancreatitis imakhala yothandiza chifukwa imayamba kudwala mwachangu. Pachifukwa ichi, njira za prophylactic ziyenera kugwiritsidwa ntchito kupewa mavuto.

Njira Zolepheretsa Pancreatitis

Pancreatitis ndi amodzi mwa matenda ofala kwambiri nthawi yathu, omwe amapatsa odwala mavuto ambiri.

Chithandizo cha matendawa ndizovuta, zimafuna kuti wodwalayo azitsatira zakudya komanso kumwa mankhwala ambiri.

Chifukwa chake, lingaliro lokhalo loyenera apa ndi kupewa kapamba.

Zinthu za kupewa

Masiku ano, pali matenda oyamba komanso achitetezo omwe amatenga matendawa. Kupewera koyambirira kuyenera kumvetsedwa ngati njira zomwe zimathandizira kupewa kuwoneka koyambirira kwa kutupa kapamba. Njira izi zimapangitsa kuti zithetse zoyambira zoyambitsa matenda.

Kupewera kwachiwiri kuyenera kumvedwa ngati njira yochepetsera chiopsezo cha zovuta komanso kubwereranso kwa chifuwa chachikulu chokhala kale.

Kupewa kwa matendawa ndikofunikira kwa amuna ndi akazi omwe amakonda kudya zakudya zamafuta ndi zonunkhira. Ngati njira zonse zikuchitika molondola, ndiye kuti chiwopsezo chodwala matenda chimakhala chovuta kufika pa zero. Kumbukirani, kupewa matenda ndikosavuta kuposa kuthana nawo.

Mfundo zofunika

Kutengera kuti kapamba ndi kutupa kwa kapamba, zida zofunika kwambiri kupewa:

• moyo wathanzi
• kusiya mowa ndi kusuta,
• kupewa kupsinjika kwa mitsempha,
• zopuma zosangalatsa
• zakudya zoyenera komanso zopatsa thanzi.

Zinthu zonsezi zimakhudzana ndi kupewa koyambirira. Ngati sanachite, ndiye kuti munthu akhoza kudwala matenda a chifuwa chachikulu. Mtundu wowopsa wa matendawa umapanganso, zomwe nthawi zambiri zimabweretsa zovuta zambiri.

Popeza kupewa kumatenga gawo lalikulu pano, tikambirana zofunikira zake mwatsatanetsatane.

Kusiya mowa

Woyambitsa pancreatitis wambiri ndi uchidakwa. Kuchokera kwa iye kuti kapamba amavutika kwambiri. Kuphatikiza apo, kugwiritsa ntchito moledzera zakumwa zoledzeretsa (vinyo, mowa) ngakhale zimatsogolera ku matenda ake.

Mowa umadzetsa kukula kwa njira za m'magazi a gland (mapangidwe amiyala, edema), yomwe patapita kanthawi imayambitsa kapamba.

Kusuta kufafaniza

Popewa kapamba, kupewa matendawa kumafunikiranso kupatula kusuta kwa moyo. Izi ndichifukwa choti chikonga chimakhala ndi vuto lililonse mkati mwa munthu, kuphatikiza kapamba. Kubisika kwake kumakhudzidwa, kutupa kwa mucosa kumayambira kumbuyo kwa kuwonongeka kwa maselo ndi carcinogen mu utsi.

Komanso, kuphatikiza kusuta fodya komanso kumwa mowa mwauchidakwa kumayambitsa kuvulaza kwambiri thupi.

Zakudya zoyenera

Kuti mukhale ndi thanzi labwino muyenera kudya zakudya zoyenera. Kuti muchepetse kuopsa kwa mapangidwe a matenda, simuyenera kugwiritsa ntchito mankhwala osokoneza bongo komanso mafuta, komanso zonunkhira komanso mchere wamafuta. Amatsogolera kuzinthu zochuluka kwambiri. Zotsatira zake, ndi kugwiritsa ntchito pafupipafupi mbale zotere, kufooka kwa ziwalo kumachitika, komwe kumakwiyitsa kapamba.

Komanso, zinthu zomwe zimakhala ndi mafuta ochulukirapo (mwachitsanzo, zosungirako, zotsekemera, ndi zina) zimakhala ndi zovuta kuzonda zam'mimba. Kukhala kothandiza kudziteteza ku zochuluka zamagetsi zosavuta kugaya (confectionery, shuga). Zina zonse zitha kudyedwa mofatsa.

Moyo wathanzi

Kuti mukhale ndi thanzi labwino, ndikofunikira kuti mukhale ndi moyo wathanzi, womwe umaphatikizapo kuyenda tsiku ndi tsiku, kugona mokwanira komanso kupuma, komanso kuchita masewera olimbitsa thupi. Zonsezi sizimangolimbitsa thupi, komanso zimateteza kupewa matenda osiyanasiyana, kuphatikizapo kapamba.

Kupewa Mankhwala

Njira ina yoletsera matendawa ndi njira zina zamankhwala. Chifukwa chake, pali mankhwala ena apadera (mwachitsanzo, Pancreatin, Festal, etc.) omwe adapangidwa kuti aletse mapangidwe a matenda a pancreatic. Komabe, ziyenera kukumbukiridwa kuti kulandira ndalama zotereku kuyenera kuchitidwa pokhapokha ngati akuwuza dokotala.

Kupewa azitsamba

Mankhwala ena amakhalanso ndi maphikidwe ena omwe angalepheretse kapamba. Mankhwala ena othandiza kwambiri amawaganizira kuti ndi mankhwala omwe amapangidwa kuchokera masamba a bay. Zimathetsa njira zotupa m'matumbo ndikuchepetsa chiopsezo cha mapangidwe awo mtsogolo. Kuphatikiza apo, mutha kumwa decoction wa masamba a mabulosi.

Malingaliro okonzedwa pamaziko a chindapusa kuchokera ku zitsamba zamtundu uliwonse ndizothandiza. Mutha kumwa zakumwa zamasamba (mwachitsanzo, kaloti kapena mbatata). Yokhazikika komanso cranberries. Monga mukuwonera, wowerengeka azitsamba amasiyana siyana, ndipo apa mutha kusankha nokha zabwino kwambiri.

Kupewa kwachiwiri

Second prophylaxis iyenera kuchitidwa ngati munthu wapezeka kale ndi matenda osachiritsika. Kukhazikitsa kwake kumapewetsa kuchulukitsa kwa matendawa, komanso kukula kwa zovuta mtsogolo.

Zimaphatikizanso kuchita kwa njira zochizira matenda ake. M'pofunika kutsatira mosamalitsa malangizo omwe adokotala akupereka. Kukula kwakhululuka kumalimbikitsidwa ndi:

• kutsatira zakudya okhwima. Ndikofunikira kupatula zakudya zotsekemera, zowotcha, mwachangu kuchokera kuzakudya. Zakudya zonse zimadyedwa mwa mawonekedwe osweka okha. Kuphatikiza apo, zogulitsazo ndizowotchera, kuwiritsa kapena kuphika,
• kukana kwathunthu zakumwa zoledzeretsa zilizonse ndi kusuta,
• Kusungabe zolimbitsa thupi pakudya ndi kudya,
• mayeso olamulira pakanthawi. Amayikidwa ndi katswiri, kutengera kuwopsa kwa matendawa.

Monga mukuwonera, kupewa kapamba sikutivuta kwambiri. Koma zimathandizira kupewa kukula kwamatenda omwe amatha kuchepetsa kwambiri moyo wa munthu. Chifukwa chake, muyenera kudziwa momwe mungadzitetezere ku matendawa.

Kodi kapamba kakakulu ndi chiyani?

Pancreatitis pachimake zimachitika ndi zomwe zidakalipira kale. Chizindikiro cha mkhalidwewu ndi kufotokozanso mwachangu kwa zizindikiro komanso kuchotsa kwa zizindikiro za kutupa atangokhudzana ndi chinthu chomwe chimayambitsa kugwiraku.

Nthawi zambiri zotsekemera zimayang'ana mu chilengedwe ndipo zimatulutsidwa mu hypochondrium, kupweteka kumatha kukhala kumanja ndi kumanzere, ndipo nthawi zina kumakhala ndi chovala chogwirizira, zonse zimatengera kuchuluka kwa njira yotupa mu kapamba.

Kutupa kwa pancreatic ndi mitundu iwiri.

Chizindikiro cha pancreatitis pachimake ndi kuthandizira kwazizindikiro komanso kuchotsa kwa zizindikiro za kutupa atangogwirizana ndi zomwe zimayambitsa zimatha.

Pa chifuwa chachikulu, kupita patsogolo kwa zovuta zamtundu wakuthengo komanso kantchito.

Kukula msanga kwa yotupa kumadzetsa kuwonjezereka kwa kutentha ndi kuwonongeka kwakuthwa konsekonse. Nthawi zambiri mwa odwala mumadumphira kuthamanga kwa magazi. Zizindikiro za kuledzera zikayamba, odwala amatha kusintha kusintha kwa khungu ndi m'mimba.

Zojambula zowonjezera za sinus zimatha kuwonekera pamimba. Nthawi zambiri khungu la cyanotic limasungidwa kumtundu, chifukwa khungu limasweka. Pamene kutupa kumayamba, chikaso cha khungu ndi sclera ya maso zimawonedwa m'mapamba.

Mwa zina mwazinthu, zomwe zimayambitsa kupweteka kwa kapamba ndizizindikiro zam'mimba, kuphatikizapo:

Mosiyana ndi poyizoni wa chakudya, kuchepa kwamatenda ndi pancreatitis sikumabweretsa mpumulo kwa wodwala.

Mavuto opuma ndi chopondapo amawonekera makamaka. Vomiting ikhoza kukhala yodetsedwa ndi bile. Mosiyana ndi poyizoni wa chakudya, kuchepa kwamatenda ndi pancreatitis sikumabweretsa mpumulo kwa wodwala. Stool mu pancreatitis pachimake, monga lamulo, imakhala yogwirizana komanso imakhala ndi fungo losasangalatsa.

Nthawi zambiri zidutswa za chakudya chosasokonekera zimapezeka mgonero. Kuphatikiza apo, pakupanga, ndiye kuti ndulu yokha ndiyo imatuluka. Nthawi zina, odwala, m'malo mwake, kudzimbidwa, limodzi ndi kumatulutsa, pomwe minofu yam'mimba imakhala yovuta.

Mankhwala

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Zimabwezeretsa kupanga kwa insulin

Chithandizo choterocho nthawi zambiri chimachitika kuchipatala. Kukumana kovuta nthawi zambiri kumatha kutha ndi masiku 2-8. M'masiku oyambilira, otsitsira omwe amakhala ndi njira yokonzera komanso kusala amagwiritsidwa ntchito.

Mu matenda osachiritsika, ma analgesic antispasmodics amagwiritsidwa ntchito omwe amatha kuthetsa zizindikiritso za kapamba. Nthawi zambiri amatchulidwa mankhwala monga no-shpa, baralgin, papaverine. Njira zakuchiritsira zamankhwala zimaphatikizapo kugwiritsa ntchito mankhwala kuti azitsatira kapamba - izi zimaphatikizapo almagel, phosphalugel.

Nthawi zina, kuti magwiritsidwe ntchito a chimbudzi, makonzedwe a enzyme angalembedwe - konkoni, mezym, kapamba. Amayenera kumwa pambuyo Pakudya ndikutsukidwa ndimadzi amchere a mchere.

Pafupifupi, mankhwalawa a pancreatitis ndi mankhwala amatha kwa miyezi iwiri, pambuyo pake mlingo wa mankhwala umachepetsedwa. Kuti muchepetse kuchira, muyenera kutsatira malangizo onse a dokotala.

Kwazaka khumi zapitazi, kasamalidwe ka odwala omwe ali ndi vuto lalikulu la kapamba adayamba kuchokera ku opareshoni zamtopola mpaka kuyembekezera kukakamizidwa. Njira yamakono yothandizira odwala omwe ali ndi pancreatitis yayikulu imayambitsa kufunika kolumikizana ndi mankhwalawo ndi gawo la zochitika za mapangidwe a kapamba, poganizira za kuyesedwa kwamphamvu - mayeso a labotale, ultrasound, CT, ndi zina zambiri.

Odwala ambiri amalowa kuchipatala mu gawo la toxemia. Ntchito zazikulu zamankhwala pakadali pano ndi izi: chithandizo cha antienzyme, kukonza kwa hypovolemia ndi zovuta zam'magazi, mavuto am'magetsi, kupewa kulephera kwamatumbo, kupewa zovuta za septic.

Mu gawo la purulent zovuta, pamodzi ndiwofatsa antibacterial mankhwala, m`pofunika kugwiritsa ntchito mankhwala opaleshoni - pang'onopang'ono zolowerera motsogozedwa ndi ultrasound ndi CT ndi cholinga choperekera-drainage mankhwalawa a abscesses, endoscopic sanction of abscesses, miyambo ya opaleshoni yotsuka ukhondo komanso kutulutsa kwam'mimbamo kwa patarotomy kulowa "pakufunika kwa laparotomy" ", Ndi zopangidwa.

Pathogenetically olimbitsa mankhwala kwa odwala omwe amawononga kapamba mu toxemia ndi antienzyme mankhwala. Kwambiri achire zotsatira zimatheka ndi synergistic kupondereza enzyme synthesis pa milingo ya kapamba ndi kuchotsedwa ndi inactivation ma enzyme omwe akuzungulira kale m'magazi.

Kuponderezedwa kwa ntchito ya gland kumachitika ndikupanga kupumula kwakuthupi chifukwa cha kupindika kwa nasogastric, hypothermia yam'deralo, kuletsa kwambiri kudya. Kuchokera kwa othandizira a pharmacological, somatostatin analogues (octreotide, sandostatin) ndi othandiza kwambiri.

Sandostatin - ma octapeptide opanga, ndi ena omwe amapezeka mu mahomoni achilengedwe achilengedwe somatostatin. Magawo ake akuluakulu amathandizirana kuphatikizira kupansi ndi kusunthika kwa kapamba, m'mimba, matumbo aang'ono, malamulo a ntchito ya chitetezo cha mthupi, kupanga ma cytokines, ndi mphamvu ya cytoprotective.

Mlingo wamba wa sandostatin ndi 300-600 mcg / tsiku ndi ma intravenous atatu kapena subcutaneous. Kutalika kwa mankhwala a sandostatin nthawi zambiri samapitilira 4-7 s-zamakono ndipo zimatengera nthawi ya gawo la toxemia.

Ma cytostatics (5-fluorouracil) ndi opioate receptor agonists (dalargin), omwe amasankha mokhazikika mu pancreatocytes ndikuletsa mapangidwe a proenzymes, sanataye tanthauzo lawo. Ribonuclease, yomwe imawononga maselo a RNA a maselo, imakhalanso ndi machitidwe ofanana, chifukwa chomwe kapamba limapumira.

Ranitidine ndi H2 blocker wa histamine receptors, suppressal basal komanso yolimbikitsidwa ndi histamine, gastrin, acetylcholine, baroreceptor mkwiyo, chakudya katundu secretion wa hydrochloric acid.

Famotidine imofanananso ndi zochita za ranitidine komanso nthawi yayitali yotsutsana ndi zotsatira za antisecretory. Ubwino waukulu wa Famotidine umaphatikizaponso kusayanjana ndi dongosolo la chiwindi cytochrome P-450, chifukwa chomwe sichikhudza kagayidwe kamankhwala ambiri ndipo sikunayambitsa kukopeka kwawo.

Kuphatikiza apo, famotidine imathandizanso kubisalira kwa prolactin ndipo sikuti imayambitsa mphamvu ya antiandrogenic, sikuyenderana ndi chidakwa cha chiwindi. Mu chifuwa chachikulu cha pancreatitis, mlingo umodzi wa 40 mg / tsiku ndiwotheka.

Omeprazole ndi rabeprazole ndi zotumphukira za benzimidazole ndipo zimagwira antisecretory chifukwa cha choletsa cha K / HF-ATPase (pampu ya proton) ya maselo a parietal a mucosa. Mankhwala osokoneza bongo amachepetsa kubisala ndi kusinthidwa kwa m'mimba, ngakhale mutakhala kuti mumatsitsimutsa bwanji.

Kuchita kwawo kachipatala ndizokwera kwambiri pakati pa mankhwala a antiulcer. Omeprazole ali ndi lipophilicity yayikulu, imalowa mosavuta m'maselo a parietal a mucosa, momwe imadziunjikira ndikuwonjezera pa acid p p.

Mbali ya rabeprazole ndi kusakhalapo kwa zotsatira zoyipa kuchokera ku dongosolo lamkati lamanjenje, mtima ndi kupuma. Mu pancreatitis pachimake, tsiku lililonse mlingo wa mankhwala ndi 40 mg wa omeprazole, ndi 20 mg ya rabeprazole.

Kuwonongeka kwa ma enzymes ozungulira kumachitika pogwiritsa ntchito kukonzekera kwamitsempha yamagetsi - aprotinin (Gordox, Ingitrile, Contrical, Trasilol). Katundu wa aprotinin ndikutulutsa kwina kwa mapuloteni ofunika kwambiri (plasmin, kininogenase, trypsin, chymotrypsin) a plasma, maselo am'magazi ndi minofu, mapangidwe okhazikika osakanikirana nawo, omwe amakupatsani mwayi kuti muchotse wodwala kuopseza ndi toxemia.

Aprotinin amakhudza kulumikizana kwamphamvu pakati pazinthu zingapo zophatikizika ndi fibrinolysis, komanso njira yogwiritsa ntchito magazi, yofunikira pakukonza kwa vuto la microcirculation mu pancreatitis pachimake. Mlingo watsiku ndi tsiku ndi pafupifupi Kili miliyoni ya mankhwala.

Ndikofunikanso kuchotsa ma enzymes omwe amayenda m'magazi kuchokera mthupi. Izi zimatheka ndi mtsempha wokakamiza diuresis, mu milandu yoopsa - plasmosorption, hemosorption, plasmapheresis, peritoneal dialysis.

Chimodzi mwazinthu zofunikira za kuchuluka kwa kuledzera mu chifuwa chachikulu cha kapamba ndiko kuphatikiza ndi kudzikonzakonza kwokha kwa kagwiritsidwe ntchito ka matumbo kulephera. Kuopsa kwa zovuta zamagetsi zamagetsi kumakulitsidwa ndi kuchepa kwa madzimadzi ndi mchere nthawi yakusanza.

Gulu loipa lazinthu zamatumbo, kuphatikizira kuphwanya kwa kayendedwe, kuletsa kuyamwa ndi kuthamangitsidwa komanso kusokonezeka kwa metabolic, kumafuna chithandizo chomwe chimawongolera zovuta izi ndikuletsa.

Njira zikuluzikulu zomwe zimayendetsa masanjidwe am'mimba, omwe amagwiritsidwa ntchito pochita izi, ndiopanga dopamine receptor antagonists: domperidone (motilium), metoclopramide (perinorm, raglan, cerucal), antispasmodics.

Limagwirira a zochita za metoclopramide ndi chifukwa blockade wa dopamine zolandilira ndi kuwonjezereka kwa poyambira chisangalalo cha trigger zone chemoreceptors. Chifukwa chake, mankhwalawa amathandizira kuchepetsa mseru, kusanza, kumalimbikitsa kutsuka kwam'mimba komanso matumbo.

Metoclopramide imagwiritsidwa ntchito pokonza minyewa ndi mtsempha tsiku lililonse osapitilira 30 mg. Domperidone (motilium) imatsekereza makamaka komanso pang'ono, ma dopamine receptors, okhala ndi vuto lofanana ndi metoclopramide, koma amagwira ntchito kwambiri.

Amalowa bwino kudzera mu chotchinga cha magazi ndiubongo, koma imakhala ndi antiemetic chifukwa imasintha mamvekedwe a matumbo komanso kutayika kwa m'mimba. Amayikiridwa pakamwa, mpaka 40 mg / tsiku.

Chuma chake chachikulu ndikuchepa kwa kamvekedwe ka minofu yosalala yamkati, kuchepa kwa ntchito zake zamagalimoto, zomwe zimapangitsa kuti matumbo azikhala osakanikirana ndi mankhwala ena, ndipo imakhala ndi mphamvu ya analgesic.

Poyerekeza ndi papaverine, drotaverin imakhudzanso nthawi yayitali, sizikhudza kayendedwe kazinthu zamagetsi ndi zamkati. Mlingo wofananira wachilengedwe ndi 40-80 mg katatu patsiku intramuscularly kapena kudzera m'mitsempha.

Pakusanza kwambiri kosalephera, mungagwiritse ntchito chlorpromazine (chlorpromazine) mu milingo yaying'ono ya sedative antipsychotic. Komabe, pali malire pazomwe zimagwiritsidwa ntchito pakuchita opareshoni, monga cholelithiasis, ICD, kuchuluka kwa matenda am'mimba komanso zotupa zam'mimba.

Mosiyana ndi izi, chifukwa chodziwika bwino kwambiri chomwe chimayambitsa matenda a kapamba mdziko lathu, zovuta komanso zovuta za antipsychotic za chlorpromazine zimafunidwa mu zakumwa zoledzeretsa, zomwe nthawi zambiri zimakwaniritsa chithunzi cha matenda.

Chimodzi mwazomwe zimayambitsa kupsinjika ndipo, chifukwa chake, kugwedezeka ndi kupweteka. Mpumulo wamapweteka pochiza matenda a pancreatic necrosis sikuti amangokhala zochitika zokhudzana ndi wodwala, komanso kupewa matenda oyamba ndi magazi.

Kuwonongeka kwa dera ndi kachitidwe ka minofu trophism, kutsekeka kwa magazi chifukwa cha kuchepa kwa magazi ndi michere ya cellcirculat imakulitsa chithunzi chonse cha matenda oyambitsidwa ndi toxemia.

Choyenera kwambiri ndikuphatikiza kwa njira yolimba ya kudzaza kuchepa kwa BCC, yomwe imapereka chithandizo mwachangu cha zovuta zamagetsi zamagetsi poyambitsa polyionic media ndi malo ena a plasma, otsatiridwa ndi kuchuluka kwamadzi am'manja, komwe kumapereka kuchotsa kwa poizoni.

Momwe mungachiritsire matenda a kapamba: regimens, mankhwala, opaleshoni komanso zakudya

Masiku ano, akatswiri a gastroenterologists amawona kukula kwa matenda oopsa monga chifuwa chachikulu cha kapamba. Izi zimachitika chifukwa cha zinthu zambiri zomwe sizikhudza boma la kapamba munjira yabwino.

Mankhwala amakono amagwiritsa ntchito njira zingapo zochiritsira zomwe zimathandizira kuchepetsa ntchito yopititsa patsogolo njira ya pathological. Chifukwa chake, ndimotani momwe mungagwiritsire matenda a kapamba, malinga ndi njira zomwe achipatala amagwirira ntchito, ndipo ndi njira ziti zomwe amagwiritsa ntchito?

Pang'ono pa etiology yamatenda a kapamba

Mwa aakulu kapamba amatanthauza chododometsa chochitika cha kapamba.

Matenda amtunduwu amadziwika ndi chitukuko chochepa, momwe masinthidwe amomwe amapezeka m'ziwalo zimadziwika, ngati zilipo, minofu yabwinobwino imasinthidwa ndi mafuta.

Kupanga kwa ma enzymes ndi mahomoni kumachepa, zotupa za cystic zimayamba kupanga, mafuta ndi mapuloteni apuloteni amawonekera m'mizere.

Monga lamulo, matendawa amakula chifukwa cha:

• Matenda a Gallstone.
• Mowa wambiri.

Kuphatikiza apo, kapamba amatha kuputa:

• Hepatitis B, C.
• Gastritis
• Colitis.
• Cirrhosis.
• Matenda am'mimba.
• Cholecystitis.
• Kusuta.
• Kuvulala kwa gland.
• Zilonda.
• Matenda a impso.
• Pathology ya duodenum 12.
• Kupezeka kwa miyala.
• Mapampu.
• Kukula kwamafuta m'magazi.
• Mankhwala ena.
• Khalidweli.

Kutupa kwa kapamba a mawonekedwe osachiritsika nthawi zambiri kumapezeka kwa anthu azaka zapakati kapena zopumira pantchito, koma posachedwapa matendawo "abwereranso".

Matenda a kapamba amatha:

Chifukwa cha zovuta zoyipa zomwe zili pamwambapa pa gland, njira yotupa imayambitsa. Nthawi yomweyo, kukhalapo kwake kumakhala kosalekeza, ndipo matendawa pawokha samayenderana: nthawi zakhululukidwa zimasinthidwa ndikuchulukirachulukira.

Tanthauzo lalikulu la njirayi ndikuti limakhudza minofu yathanzi, yomwe, ikapezedwa ndi izi, imafa posachedwa.

M'malo mwake, chinthu cholumikizidwa chimapangidwa chomwe chimavulaza thupi.

Pakapita kanthawi, kutengera kuchuluka kwa minyewa yabwinobwino m'mitsempha yafupika, ntchito ya chiwalochi imathanso kuchepa, ndipo chifukwa cha matendawo kwambiri, amatha kutha kwathunthu.

Kufunsidwa kwa wodwalayo ngati kapamba amabwezeretsa ngati akudwala matendawa, madotolo amayankha mosaganizira - pakukweza kwambiri kwa matendawa, kuvuta kwakubwera, ndipo njira yeniyoyo singadzisinthe.

Kodi matendawa ndi otani?

Chizindikiro choyamba komanso chachikulu cha kapamba, ngakhale mawonekedwe ake (pachimake, kupweteka), ndikumva kupweteka. Malo a kutulutsa kwake kumadalira pomwe gawo la kutupa kwa kapamba limachitika. Chifukwa chake, ululu umatha kumverera onse kumanja ndi kumanzere kwa hypochondrium, kapena pansi pa nthiti pakati (pansi pa supuni).

Zizindikiro zopweteka nthawi zambiri zimadzipangitsa kumva kukhala ndi ola limodzi mutadya zakudya zamafuta kapena zonunkhira. Mukamayesa kugona, zovuta zimakulirakulira, pomwe zimatha kupereka m'mimba, phewa kapena pamtima. Kuchepetsa maonekedwe owawa kumathandizira kukhala pakukhala ndi torso pang'ono kutsogolo, pomwe miyendo imakanikizidwa pachifuwa.

Chifukwa chakuti pancreatitis imasokoneza ntchito ya gland, kupanga ma enzyme ofunikira pakugaya chakudya mwanjira yochepa kumachepetsedwa. Zotsatira zake, mawonekedwe amake amawonedwa - pali kusagwira bwino ntchito kwa ziwalo zonse zam'mimba zamatumbo, chifukwa chake, ndikubwezeretsanso matenda, chipatala chotsatira chikuwoneka:

Madokotala amagogomezera kuti kupweteka chifukwa cha kutupa kosatha mwina kulibe. Monga lamulo, zimachitika mwa odwala omwe amadya mwamphamvu nthawi zonse. Mafuta ambiri amadwala matendawa.

Ndikofunikanso kuganizira zinthu monga kukhalapo kwa ma pathologies ena, mwachitsanzo, gastritis, zilonda. Zizindikiro zawo zitha kuonedwa ndi kuchulukitsa kwa kutupa kosatha.

Njira zamakono ndi regimens yodwala yokhala ndi chifuwa chachikulu

Tiyenera kunena kuti njira zamankhwala zothandizira odwala matenda amtunduwu zimakumana ndi vuto lililonse, molingana ndi machitidwe ake komanso momwe wodwalayo alili. Pambuyo pofunsidwa mozama, gastroenterologist ndipo, mwina, dokotala wa opaleshoni ndi omwe angadziwe njira zabwino zogwiritsira ntchito chithandizo chamankhwala.

Cholinga cha njira ndi njira zonse zochiritsira zimayendetsedwa:

• Kuchepetsa mawonekedwe owonetsa matendawa.
• Popewa zovuta.
• Kusamalira ntchito za gaini ndimankhwala a enzymatic.
• Kulimbitsa thupi ndi mavitamini.
• Kukhazikitsa bata la endocrine.
• Popewa kufalikira kwamtsogolo.

Njira zazikulu zochizira matenda a kapamba:

1. Mankhwala.
2. Zakudya zamafuta ochepa.
3. Kuthandizira opaleshoni (malingana ndi zikuwonetsa).
4. Maphikidwe ena a mankhwala.

Chithandizo cha matenda am'mimba chikuchitika mu chipatala mu dipatimenti ya zamankhwala kapena opaleshoni.

Njira ya mankhwala

Njira zochizira zochizira matenda osafunsidwa zimatengera thanzi la wodwalayo.

Kusamalidwa kwachipatala chifukwa chodwalanso pancreatitis yayitali ndikosiyana ndi komwe madokotala amakupatsani kapamba kanyumba, ngakhale kuti mitundu yonse yamtunduwu imakhala ndi etiology yomweyo, koma kupititsa patsogolo kwake ndi kosiyana. Kutengera izi, njira yochizira imachitidwa molingana ndi ziwembu zosiyanasiyana.

Chithandizo cha mankhwalawa chifukwa cha chifuwa chachikulu cha kapamba kumakhala koyenera ngati munthu sakumana ndi zovuta zomwe amachitidwa opareshoni. Izi zikuphatikiza:

1. Kuchepetsa kutulutsa kwa gland.
2. Kukhalapo kwa chotupa.
3. Kupezeka kwa miyala mumayendedwe a chiwalo.

Ngati wodwala ali ndi pancreatitis yachiwiri, mfundo yofunika ndiyo mankhwala osankhidwa bwino, omwe amathandiza kuchotsa zomwe zimayambitsa matendawa, mwachitsanzo, cholecystitis, zilonda, gastritis ndi zina.

Kuchepetsa kuphipha kwam'mimba, minyewa ya antispasmodic imalembedwa:

Ma analgesics amalimbikitsidwa kuti athe kupuma:

Kuti muchepetse kutupa, mankhwala opha kutupa amatchulidwa, ndipo amachitapo kanthu pofuna kusangalatsa malo okhala:

Ngati ndi kotheka, ma solar a solar ndi otsekedwa, kuphatikiza apo, kuphatikiza antioxidants ndikololedwa, zomwe zimapangidwa pakukakamiza ntchito zachinsinsi za gland ndikuchotsa kufinya kwa ndulu ya bile. Mankhwala a Sandostatin, omwe amachedwetsa katulutsidwe wa kapamba, amachepetsa kuchuluka kwa secretin ndi cholecystokinin yomwe yatulutsidwa, yatsimikizira bwino.

Nthawi yoyamba kuukira kwamatenda, kufa kwathunthu ndi njala. Kuti thupi lipitirize kukhala ndi thupi, zakudya zopatsa mphamvu zimalembedwa (mothandizidwa ndi omwe akutsikira, shuga ndi saline zimabayidwa kudzera m'mitsempha, zomwe zimathandiza kuthetsa kuledzera).

Pofuna kuchepetsa mwayi wokhala ndi matenda osiyanasiyana, maantibayotiki amalimbikitsidwa, asanagwiritse ntchito, thupi limayesedwa kuti athe kupezeka.

Njira zamankhwala zimaphatikizira kugwiritsa ntchito mankhwala othandizira m'malo mwake kuthandiza kuthetsa kupsinjika kwakukulu. Mankhwala a mtundu uwu ayenera:

1. Muli ndi kuchuluka kwama lipase.
2. Khalani ndi chipolopolo cholimba kwambiri.
3. Kukhala ocheperako kukula.
4. Mulibe bile acid.

Ngati mankhwala enzyme m'malo sapereka chikuyembekezeka, ndiye kuthetsa ululu zotchulidwa:

• Paracetamol
• Meloxicam.
• Ibuprofen.
• Naproxen.
• Kalinoxib

Pankhani ya matenda ashuga, wodwalayo amawonetsedwa jakisoni wa insulin, komanso mankhwala omwe amachepetsa kupezeka kwa shuga m'magazi.

Mankhwala othandizira

Opaleshoni yokhansa yapakhungu imayikidwa ngati matenda akuphatikizidwa ndi zovuta zazikulu. Pano, njira yogwiritsira ntchito imagwiritsidwa ntchito:

1. Wodwala akapezeka kuti ali ndi zotupa za cystic, machitidwe opangira opaleshoni amachitika kuti adziwulule ndikuchotsa zomwe zili.
2. Ngati kuli kofunikira kudula gawo lina la ndulu yomwe yakhudzidwa ndi kutupa.
3. Ngati kukoka kwa chotupa pogwiritsa ntchito laparoscopic fenestration kumafunika.
4. Ngati pancreatic duct ndi madzi ndi miyala ilipo. Njira yogwirira ntchito imakupatsani mwayi kuti muchotse miyala, potero mutsimikizire kutuluka kwa mandimu m'matumbo.

Pankhani ya kapamba wam'mimba kapamba, kuchitapo kanthu kwa opaleshoni ndikufuna kukhazikitsa kutulutsa kwa ndulu m'matumbo.

Malinga ndi achire miyezo, laparoscopy akuwonetsedwa, kupatula chikhalidwe chapakati pamimba.

Pamodzi, ma punctures angapo ang'onoang'ono amapangidwa, kukula kwake sikupitirira 1 cm, momwe kamera imayikidwira ndipo opareshoni amachitidwa pogwiritsa ntchito zida zapadera.

Munthawi ya ntchito, wodwalayo amayang'aniridwa ndi achipatala. Ngati ali ndi matenda ashuga, ndiye kuti endocrinologist adzafunika kuwunika amene azitsimikizira kupezeka kwa shuga m'magazi.

Njira yazakudya ndi wowerengeka

Udindo wofunikira pakuchiza matenda osachiritsika umayimbidwa ndi kudya kwamphamvu, kukana kwathunthu okazinga, zonunkhira komanso zamafuta. Kudya kumayenera kukhala pafupipafupi komanso m'magawo ang'onoang'ono mpaka mpaka 5-6 patsiku.

Munthawi yowonjezera, ndikulimbikitsidwa kuti muzitsatira kusala kochiritsira komanso mfundo za zakudya No. 5P kwakanthawi.

Zakudya zimakonzedwa ndi mchere wocheperako, kuphatikiza zonunkhira zotentha ndi zokometsera, soseji ndi marinade. Pokonzekera msuzi, msuzi wamasamba kapena msuzi wa zakudya kuchokera ku fillet ya nkhuku amatengedwa ngati maziko.

Chachiwiri chimakhala ndi nyama yophika, yophika kapena yowotchera, kuphatikiza kuwonjezera pa zakudya zoletsedwa: nsomba zamafuta ndi nyama, nyemba, zipatso zouma ndi zipatso zatsopano, ma pickles ndi zakudya zam'chitini, makeke abwino, maswiti, etc.

Zakudya zofunikira kwambiri ndi mbatata, kolifulawa, ma beets, maapulo otsekemera, zukini ndi dzungu, zinthu zopanda mkaka wowawasa wopanda mafuta, komanso mafuta onunkhira ochokera ku oats kapena zipatso zosaphika.

Zosakaniza zatsopano zomwe masamba ena azitsimikizira bwino:

Kusuta fodya ndi mowa kumatsutsana kwathunthu.

Ponena za funso ngati zingatheke kuchiritsa matenda a kapamba pogwiritsa ntchito wowerengeka azitsamba, madokotala amagogomezera kuti mapiritsi onse, mankhwala osakanikirana ndi zina zotere amapangidwa kuti alimbikitse zotsatira za mankhwala ndi zakudya. Ndikosatheka kuchira ku matenda osachiritsika mpaka kalekale, koma kuchotsa ndikuchepetsa pafupipafupi kwake kuli mkati mwa mphamvu ya mankhwala komanso wodwalayo.

Pakati pa zitsamba, dandelion, tricolor violet, celandine, chamomile, malo okwezeka a mbalame akuyenera kudziwika, koma zopereka zovuta kutengera mitundu yosiyanasiyana zimagwira bwino. Chifukwa chake, chopereka cha amonke chokhala ndi mawonekedwe apadera chadzikhazikitsa bwino.

1. Masabata atatu musanadye, kumwa chikho cha kulowetsedwa kwa 1 tbsp. maluwa osafa ndi chamomile 200-250 ml. madzi otentha. Zitsamba zimayenera kupatsiridwa kwa mphindi 30, kenako zisa.
2. Kwa milungu inayi, imwani kapu ya kulowetsedwa kosatha tsiku lililonse. Kuti akonzekere, 5-7 magalamu a maluwa owuma amathiridwa mu 500 ml. madzi otentha ndikuumirira usiku wonse.
3. Kwa miyezi iwiri, tengani pamimba yopanda 0,5 supuni ya mkaka nthula mbewu, koma osapitirira katatu patsiku. Maphunzirowa amabwerezedwa kawiri pachaka.
4. Pakatha mwezi umodzi, 50 ml amatengedwa pamimba yopanda kanthu. kutentha kulowetsedwa kwa masamba a golide masharubu. Kwa makapu 2,5-3 amadzi otentha, tengani masamba atatu a mbewu, wiritsani kwa mphindi 10 ndikusiya kuti mupweteke usiku umodzi.

Komabe, panthawi yakukweza kwa matenda amtundu uliwonse, ndikofunikira kuyimitsa mankhwala azitsamba awa. Chowonadi ndi chakuti ena a iwo amatha kukhumudwitsa chiwalo choyipitsidwa, mwakutero chimalimbikitsa thanzi la munthu ndikuyamba kubwereranso. Njira zina zochiritsira zosagwiritsidwa ntchito masiku ena ziyenera kugwiritsidwa ntchito pokhapokha ngati exacerbation yachotsedwa komanso kokha ndi chilolezo chodwala.

Kuthekera kwawonetsero labwino

Kusamalira mosamalitsa malangizo onse a akatswiri popewa matenda a kapamba, matendawa amapitilira pang'ono, ndipo potero amapanga zofunikira kuti zitheke.

Ngati wodwala akukayikira malingaliro a madokotala, samatsatira malamulo oletsa kudya, amamwa mowa, samamwa mankhwala, ndiye kuti chiwopsezo cha zovuta ndi zovuta zimawonjezeka kangapo, nthawi zina zimatha kutsogola osati patebulo la opareshoni, komanso kufa .

Monga tafotokozera pamwambapa, kukula kwa chifuwa cham'mimba kumayambitsa matenda angapo am'mimba, chiwindi, impso ndi matumbo, kotero ngati alipo, maphunziro awo sayenera kuyamba, koma amathandizidwa mwachangu.

Pomaliza

Pazizindikiro zoyambirira zomwe zikusonyeza kutupa kwa kapamba, muyenera kufunsa katswiri wa gastroenterologist kapena akatswiri ena.

Kuzindikira kwakanthawi kokhako komwe kumagwiritsa ntchito njira zama labotale ndi ma hardware kumatha kuthandizira kuphunzira bwino matendawa, pamaziko omwe chithandizo chofunikira kwambiri chidzalembedwe, kutanthauza kugwiritsa ntchito njira zamankhwala, za opaleshoni ndi zina.

zolemba: (chonse 1, mtengo: 5.00 kuchokera pa 5) Mumakonda ...

Pancreatitis pachimake: Zizindikiro, zoyambitsa ndi zochizira

Acute pancreatitis ndi kutupa kwa kapamba kamene kamayamba motsutsana ndi maziko azinthu zingapo zopangitsa kuti munthu azitha kulandira chithandizo chamankhwala mwachangu.

Malinga ndi magwero osiyanasiyana, anthu omwe amafa kuchokera pachimake kapamba amatha kufikira 40%. Chiwopsezo cha matendawa chilipo pakukula msanga kwa zovuta kwambiri, mpaka kuti amalize necosis ya pancreatic.

Komabe, chithandizo chanthawi yake komanso cholondola chimawalola kupewa, ndipo wodwalayo amachira.

Ichi ndi chiyani

Acute pancreatitis ndi aseptic pachimake kutukusira kwa mtundu wa demarcation, womwe umakhazikika pancreatocyte necrobiosis ndi enzymatic autoaggression yotsatira necrosis komanso kuwonongeka kwa gland ndikuwonjezeranso kwachiwiri matenda opatsirana.

Imfa, ngakhale atagwiritsa ntchito njira zamakono zochizira komanso opaleshoni, ndi yayikulu: okwana 7-15%, okhala ndi mitundu yowonongeka - 40-70%.

Pancreatitis pachimake okhazikika 30-30 zaka. Amuna ali pachiwopsezo chachikulu kuposa akazi. Pafupipafupi kupezeka kwa mawonekedwe kumakhala kwakukulu mwa anthu omwe amamwa mowa kwambiri ndikuvutika ndi matenda amiseche, monga:

• matenda oopsa a dyskinesia ya bile duct,
• aakulu kapena pachimake cholecystitis,
• matenda a ndulu.

Zoyambitsa zina za kapamba:

• hypertriglyceridemia,
• zolakwika mu dongosolo la glandular minofu,
• cystic fibrosis,
• hemolytic uremic syndrome,
• hyperparathyroidism
• kuvulala kwam'mimba
• cholowa
• matenda a autoimmune
• kusunthika kwa ndulu kapena kapamba wamba,
• kuwonongeka kwa ngalande ndi mapeso pakuchitidwa opaleshoni,
• kugwiritsa ntchito mankhwala mosasamala,
• Zotsatira za kupweteka kwambiri kwa ma virus mu ma virus, mumps, mycoplasmosis, chibayo, hepatitis,
• matenda osiyanasiyana am'mimba.

Pancreatitis yachilendo imatha kupezeka m'njira ziwiri:

• zosavuta - ziwalo ndi machitidwe amakhudzidwa. Matendawa amayankha bwino chithandizo, kuchira kumabwera msanga,
• kwambiri - zovuta zotchulidwa zimadziwika mu minofu ndi ziwalo, minofu necrosis, ma abscesses ndi cysts samatchulidwa.

Chithunzi cha chipatala cha matenda ovuta kwambiri chimatha kutsatiridwa ndi:

• pamakhala timadzi tambiri mkati mwake,
• matenda a minofu ndi necrosis,
• cyst wabodza
• mu gland kapena pa minofu yoyandikana nayo, mafinya amadziunjikira.

Njira yopititsira patsogolo

Pancreas ikamagwira ntchito mwachizolowezi, ma michere omwe amapanga amatulutsidwa mu lumen ya duodenum ndipo amathandizidwa ndi zina zothetsera. Chifukwa chake, ntchito yakukonzekera kudya kwa chimbudzi imapitilira - kuwonongeka kwa mapuloteni, mafuta ndi chakudya chamthupi m'njira zosavuta.

Komabe, pazifukwa zingapo zomwe zafotokozedwa pamwambapa, kutsegula kwa enzyme kumatha kuyamba ngakhale mkati mwa gland palokha.

Pali kuwonongeka kwa minofu yake ndi kufa kwawo kwa pambuyo pake, kutupa ndi kukakamira kwa minyewa ya minyewa yokhudzana ndi kutulutsa kwa magazi, kuphipha kwa mitsempha yamagetsi komanso kusokonezeka kwa magazi m'ziwalo.Chovala chachikulu cha pancreatic chatsekedwa.

Madzi a pancreatic sapeza njira yanthawi zonse, amasunthika komanso kuphatikizika kwa michere yogaya chakudya motsutsana ndi glandular minofu ikuwonjezeka.

Zikondamoyo zimachulukana, zimayamba kutupa ngati aseptic (osachiritsika).

Pali kuphatikiza kwa madzi omwe amadzazidwa ndi michere yamatumbo m'mimba, visceral (yophimba ziwalo zam'mimba) ndi parietal peritoneum imakwiya. Mapeto a mitsempha amakhala opanikizika ndipo ma receptor a ululu, omwe peritoneum ali olemera, samakwiyitsidwa.

Poyamba, kupweteka kumachitika mwachindunji pang'onopang'ono pancreas - kumanzere kwa navel ndikubwerera kumbuyo. Kenako m'mimba monse mumapweteka, peritonitis imayamba.

Kuchuluka kwa ma enzymes ndi zopangidwa ndi necrosis kumalowa mu kama wamitsempha, kuledzera kumayamba, kutentha kumakwera, zimachitika zamkati, kuthamanga kwa magazi kumachepa. Wodwalayo amakhala ndi mantha akumwa.

Ma Microorganisms (E. coli, Clostridia, Staphylococcus aureus, Proteus, ndi ena) amalowa m'malo otupa kudzera m'mitsempha ya m'mimba.

Peritonitis imayamba kukhala yotsekemera komanso yovuta kwambiri kuchiza ,imfa ili panthawiyi imafika 70%.

Zizindikiro za Acute Pancreatitis

Palibe chithunzi chachipatala chodziwika bwino cha ziphuphu zakumaso. Pankhani imeneyi, owerengeka owonjezera amafunikira kuti azindikire molondola.

Zodandaula za kupweteka kwam'mimba, nseru, kusanza ndi zinthu zamkati, zomwe sizibweretsa mpumulo, kumatulutsa.

Monga lamulo, chifukwa cha kuledzera ndi kusanza, pali kuphwanya koyenera kwamadzi-electrolyte, kuchepa madzi mthupi, komwe kumapangitsa gawo lalikulu la matenda a pathogenesis.

Malo amtundu wa hemorrhagic amatha kuwoneka kumanzere kwammimba, nthawi zina amakhala ndi tishe yachikasu (chizindikiro cha Grey Turner). Pakhoza kukhala mawanga pa navel (Chizindikiro cha Cullen).

Nthawi zambiri pambuyo pancreatitis pachimake, pseudocysts wa kapamba amapangidwa. Kuchulukana kukula ndi kuchuluka kwa madzi am'magazi, pseudocyst chifukwa cha kupindika kwa ziwalo zozungulira zitha kupweteketsa, kusokoneza kayendedwe ka chakudya m'mimba ndi duodenum. Kutumiza kwa pseudocysts ndikotheka.

Nthawi zina edema kapena sclerosis mu mutu wakuda kwa kapamba zimayambitsa chithunzi cha matenda ofanana ndi kupindika kwa bile ducts ndi pancreatic duct (Wirsung duct).

Chithunzi chofananacho chimawonedwa ndi zotupa za mutu wa pancreatic, chifukwa chake mawonekedwe amtunduwu wa pancreatitis amatchedwa pseudotumor.

Kuwonongeka kwa kutuluka kwa ndulu muzochitika zoterezi kumatha kuyambitsa zovuta za jaundice.

Ambiri omwe amachititsa kuti odwala omwe ali ndi pancreatitis yovuta kwambiri m'masiku oyamba a matendawa amledzeretse, limodzi ndi chitukuko cha kufooka kwa magazi, matenda am'mimba, edema.

Mavuto

Zotsatira zake ndi izi:

1. Pancreatic necrosis.
2. Khansa yapakansa.
3. Chotupa chowopsa.
4. Pancreatic coma.
5. Cysts ndi pseudocysts a kapamba.
6. Pancreatic abscess.
7. The zotupa chiwindi.
8. Kuchita mwachangu.

Ndi zovuta, momwe chikhalidwe chake chimasinthira: mawonekedwe, kutengera kwina komanso kukula kwa kupweteka kumatha kusinthika.

Kukhazikika kwa zovuta mu chifuwa cham'mimba kumatha kuchitika nthawi iliyonse yamatendawa ndipo kumafunikira kuyesedwa ndi dokotala ndikupezeka kuchipatala cha opaleshoni, chifukwa zovuta zambiri zimabweretsa chiwopsezo pamoyo wa wodwala.

Zizindikiro

Diagnostics imakhala ndi izi:

• mbiri kutenga, kuwunika wodwalayo ndi palpation pamimba, kuzindikira zoyambitsa ululu wakuthwa,
• endoscopic ultrasonography (kuwonjezera pakuwunika kukula ndi kapangidwe ka kapamba, kafukufukuyo amawunika momwe amalekera), angiography (imatha kutsimikizira kusokonekera kwa magazi a kapamba wodziwika bwino),
• Ultrasound kuti muwone kukula kwa kapamba mu kukula, kukhazikitsa etiology yamatendawa pakakhala kuchulukana kwa mipweya kapena madzi m'matumbo, malangizidwe ambiri momwe kuphatikizira kwa kapamba kumachitikira.
• kupimidwa kwakuthupi kuti muwone bwino ndendende kapena chotupa chabodza, njira ya necrosis kunja kwa kapamba pafupi ndi matumbo,
• laparoscopy (amachita mwachindunji kuwunika kwa ziwalo zomwe zili m'mimba, ndikuwonetsa umboni wa chifuwa chachikulu cha m'mimba: malo a mafuta necrosis pa peritoneum ndi omentum, madzi owonjezera pamimba, zotupa zingapo, kutsekeka kwa peritoneum, edentum edema.
• CT ngati njira yolondola yozindikirira, mosiyana ndi ultrasound popanda kusokoneza, pobweretsa lingaliro losiyanitsa mu peritoneum kuti mupeze kulingalira kwathunthu kapena kwanuko, kuchuluka kwa kukulitsa kwa ndulu kukula kwake ndi kutupa, kukhalapo kwa foci ya necrosis komanso kutengera kwawo.

Kuphatikiza apo, kupatsirana kwatsatanetsatane kumachitika kuti ipatule pancreatitis pachimake ku cholecystitis, pachimake chiwopsezo cha m'mimba, kutsekeka kwamatumbo, magazi am'mimba, kuphwanya kwam'mimba zilonda zam'mimba, ischemic syndrome.

Chithandizo cha pachimake kapamba

Mu chifuwa chachikulu cha pancreatitis, chithandizo chitha kuchipatala, moyang'aniridwa ndi akatswiri oyenerera, izi zimawoneka ngati zowopsa. Ngati pancreatitis yokomera ikukayikiridwa, ambulansi iyenera kuyitanidwa mwachangu ndipo munthuyo ayenera kuchipatala.

Nthawi zina chithandizo chamankhwala chosayembekezereka chimatha kupweteka munthu. Thandizo loyamba lomwe lingaperekedwe kwa munthu yemwe ali ndi vuto la kapamba, zizindikiro zomwe zikuwonekeratu, ndikugwiritsa ntchito kuzizira m'mimba, kutenga antispasmodic - Na-shpa, Papaverin, komanso kukana kudya chakudya chilichonse ndi kugona pogona asanafike ambulansi.

M'masiku 3-5 oyamba, wodwalayo amapatsidwa chakudya cha 0, zomwe zikutanthauza - njala. Kuyambira tsiku lachiwiri, ndikofunikira kumwa madzi amchere (Borjomi, Essetuki No. 4) ochuluka, mpaka pafupifupi malita awiri patsiku.

Kwa masiku 3-5, kuwala, chimanga chamadzimadzi (kupatula tirigu) ndizololedwa. Kwa masiku 5-6, mutha kuwonjezera supu zamafuta ochepa, kefir, tiyi, nsomba zamafuta ochepa ndi ena pachakudya.

Chakudya chizikhala chotentha (osati chotentha kapena chozizira), pansi yabwino, kusasinthasintha kwamadzi.

Mankhwala osokoneza bongo a pancreatitis pachimake

1. Kusintha ma microcirculation: kugwiritsidwa ntchito kwa njira zamkati (Reopoliglyukin, Gemodez ndi ena) kumagwiritsidwa ntchito.
2. Anesthesia: chifukwa cha ululu wowawa, kukhazikitsa kwa ma painkiller okha sikuloleza kuti kuthetsedwe, chifukwa chake, mitundu yosiyanasiyana ya blockade (sacrospinal novocaine blockade, perinephral, ​​anesthesia eroshesia ndikuyambitsa kwa mankhwala opatsirana kudzera mu catheter) ndi ma intravenous painkillers (Tramadol, Baralgin ndi ena) amachitika.
3. Kuthetsa kwa zizindikiro zakanjenjemera (kuthinana pang'ono): kumachitika pogwiritsa ntchito njira zamaukidwe amtundu (Polyglukin, Albumin ndi ena).
4. Kuwongolera kwa madzi ndi kuchepa kwa electrolyte: kochitidwa ndi kulowetsedwa kwa mayankho omwe ali ndi mchere (NaCl, KCl ndi ena).
5. Kupewa kwa zovuta za purulent ndi peritonitis: ogwiritsidwa ntchito ndi ma anti-spectrum antibayotiki (Ciprofloxacin, Imipenem, Metronidazole ndi ena).
6. Kuchotsera michere mthupi: kuchitidwa pogwiritsa ntchito kukakamiza, pambuyo pokoka njira zamkati, diuretic (Lasix), plasmapheresis ndi mankhwala.
7. Kukula kwa michere ya pancreatic: ma statins (somatostatin), proteinase inhibitors (Kontrikal, Gordoks). Mankhwala a Antisecretory (Kvamatel, Omeprazole) amagwiritsidwa ntchito kuti asasokoneze zomwe zili m'mimba, chifukwa hydrochloric acid ndiwothandiza kwambiri chobisalira pancreatic.

Pafupifupi 10-15% ya odwala omwe ali ndi vuto lalikulu la pancreatitis adatha gawo la puritive zovuta amafunikira opaleshoni. Amachitika pansi pa opaleshoni yodziwika bwino ya m'mapapo, magawo a necrosis (minofu yakufa) amachotsedwa kapamba.

Kukonzanso kunyumba

Odwala panthawi yachikhululukiro amalimbikitsidwa kuti azitsatira boma la ntchito ndikupuma. Kuletsedwa kusuta ndi kumwa mowa. Sanatorium-resort chithandizo - pokhapokha ngati mukupitiliza chikhululukiro komanso kusapezeka kwa zizindikiro.

Malo okhala ma balneological okhala ndi madzi a hydrocarbonate am'madzi ochepera komanso apakati amasonyezedwa. Awa ndi Yessentuki, Truskavets, Morshin, Zheleznovodsk, Borjomi.

Kusamala kwambiri kuyenera kuchitika ndi njira zolimbitsa thupi, zochitidwa pokhapokha ngati chikhululukiro chilipo.

Mu chifuwa chachikulu cha pancreatitis, kulumala kwakanthawi nthawi zambiri kumachedwetsedwa. Zimatengera kwambiri thanzi la wodwalayo, koma kuwonongeka kwathunthu kwa matenda am'deralo (palpation, sonographic, etc.) ndi ma laboratory dalili.

Nthawi zina, ntchito yakanthawi yochepa kapena yokhazikika kudzera mu VKK ndiyofunikira.

Ntchito yolumikizidwa ndi kupsinjika kwakukulu kwa thupi, kusokonezeka kwa thupi, kuvulala kwam'mimba, kulumikizana ndi ziphe, komanso ntchito yomwe imalepheretsa kudya kwambiri imatsutsana.

Woopsa, wosakanikira, kapamba wamkati popanda chithandizo cha opaleshoni, kulumala kwa nthawi yayitali kumachitika, zomwe zimayambitsa kulumala kwa gulu la III kapena II.

Kupewa

Kupewera kwakukulu kwa kapamba kapamba kumakhalapo pakutsatira zakudya, kudya magawo angapo mpaka kangapo patsiku, kukana zonunkhira, mafuta ndi mafuta osuta. Ndikofunikira munthawi yake, nthawi imodzi pachaka, kuti mudziwe ngati muli ndi matenda. Osakana munthawi yake chithandizo cha gastritis, cholecystitis, hepatitis, kubadwa kwa maliseche mu kapamba.

Pitani ku gastroenterologist osachepera 2 pachaka ndipo musazengereze kupita ku katswiri ngati mukukayikira kukula kwa kapamba am'mimba. Ndikofunika kukumbukira nthawi zonse kuti chithandizo chamankhwala chokhacho komanso chapanthawi yake chidzachotsa mwachangu zisonyezo zonse zosasangalatsa za kapamba, kubweretsa kuyesedwa kwa magazi ndi mkodzo kukhala kwabwinobwino.

Ngati sizinali zotheka kupewa matendawa, ndiye kuti kuyezetsa kuyenera kukhala kwapadera, ndipo kuyang'aniridwa ndi dokotala wa gastroenterologist kuyenera kukhala kosalekeza.