Ngati kapamba amapweteka: Zizindikiro ndi mankhwala, zakudya

Udindo wa kapamba ndi kayendetsedwe ka mphamvu zama metabolism ndi njira zina zamkati mwa thupi.

Zimapanga michere yama protein yamagetsi yomwe imakhudzidwa ndi kuwonongeka kwa mapuloteni, zakudya zamafuta ndi mafuta kuchokera kuzakudya, kuphatikiza apo, imapanga glucagon ndi insulin - mahomoni omwe amawongolera kuchuluka kwa shuga m'thupi.

Kutupa kwa kapamba, Zizindikiro ndi chithandizo chomwe tikambirane, chimatchedwa pancreatitis - kuchokera ku liwu Lachilatini "pancreas".

Matendawa amatha kuchitika pachimake kapena kutenga matenda osachiritsika. Pancreatitis pachimake imadziwika ndi kuukira kwadzidzidzi mwadzidzidzi, koopsa kuumoyo ndi moyo. Mu chifuwa chachikulu cha khunyu, khunyu silikumveka ndipo limatha kubwerezedwa kwa zaka zambiri.

Zomwe zimachitika

Zitha kupangitsa chitukuko cha zotupa zapansi:

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

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

matenda a ndulu
matenda a chiwindi
zilonda zam'mimba, etc.

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

Zizindikiro za kutupa kwapancreatic

Panthawi ya kutupa kwa kapamba, chimodzi mwazizindikiro ndi chizindikiro cha kupweteka komwe kumachitika mu mawonekedwe akhungu. Wodwalayo amamva ululu wolimba kwambiri, ndikubwerera m'malo ena. Mpumulo umabwera chifukwa chakhazikika pomwe thupi lidayang'ana kutsogolo.

Zizindikiro zikuluzikulu za kutupa pachimake kwa kapamba:

ululu wopweteka pansi pa nthiti za herpes zoster,
kusanza ndi kusanza (mutatha kusanza, mpumulo wosakhalitsa umabwera)
kusokonekera kwa khoma lakunja kwamkati,
khungu
kufooka ndi thukuta,
malungo.

Zizindikiro zoyambirira zitha kuwoneka ngati kuuma kwa gawo la epigastric 1.5 mpaka 2 maola mutatha kudya. Nthawi zambiri kuyimilira kwa Reflex kumayendetsedwa ndi kuchepa kwamphamvu kwa kudya komanso kupweteka kwamutu komanso chizungulire. Pakadali pano, kusinthika kwa matenda oyipa kwakachitika kale m'matumbo.

Komanso, nthawi zambiri, mwa kupweteketsa kwakumwa, mutha kudziwa kuti ndi gawo liti la gland lomwe lachita chiphuphu:

Chifukwa chake, chizindikiro cha kutupa kwa mchira wa kapamba ndiye ululu womwe umamveka mu hypochondrium yamanzere. Kupweteka kumeneku kumatha kufalikira kuderalo pakati pa IV thoracic ndi ine lumbar vertebrae.
Ndi kutupa kwa mutu wa kapamba, chizindikiro cha ululu nthawi zambiri chimadziwoneka kumanja pansi pa nthiti, ndikulowa pakati pa VI ndi XI vertebrae.
Thupi loyipa la kapamba limatha kupweteketsa m'dera la epigastric.

Ndizodziwika kuti munthawi yakukhululuka, munthu amatha kumva bwino komanso kumangokhala ndi kufooka kwakanthawi, nthawi zina kugaya chakudya komanso kutsegula m'mimba. Pambuyo pamavuto a kupsinjika, kutentha kwa thupi nthawi zina kumadzuka kuzidziwitso za subfebrile

Fomu yovuta

Akatswiri amakhulupirira kuti kukhazikika kwa chifuwa chachikulu kumabweretsa chidwi chachikulu cha zakudya zamafuta, kusuta fodya komanso kumwa mowa kwambiri.

Sizikudziwika bwino momwe mowa umakhudzira kugwira ntchito kwa kapamba.

Mwina, zitha kulepheretsa kutuluka kwam'mimba kuchokera ku kapamba kapena kusintha kwambiri kapangidwe kake ka mankhwala, motero, timadziti tam'mimba timayambitsa kutupa.

Zizindikiro za matenda apathengo:

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

Kutengera ndi zisonyezo, madokotala amasiyanitsa mitundu ingapo ya matenda osakanikirana a kapamba: asymptomatic, ululu, kubwereranso pseudotumor.

Zizindikiro

Kuti mumvetsetse chifukwa chomwe kapamba amapweteketsa, panthawi ya mayeso, adokotala amvera madandaulo anu onse, atolere mbiri yachipatala, akuyezeni, kukupatsani mayeso ofunikira komanso a labotale:

Kuyesa kwamwazi wama biochemical: mulingo wa amylase, lipase, trypsin umakwera. Fomu ya necrotic idzatsagana ndi kuchepa kwamankhwala a calcium a seramu. Kuchulukitsa ALT ndi AST. Milingo ya Bilirubin imatha kuchuluka. Ngati chiwalo chonse chikukhudzidwa, kupanga insulini kumayipa, kenako hyperglycemia. Amylase adzawonekera mkodzo.
Zoyeserera za zida: ultrasound, FGDS, chifuwa x-ray, organic angiography, tomography, laparoscopic kufufuza kwam'mimba.

Dokotala ayenera kuyang'anira maonekedwe anu, khungu la mucous nembanemba. Katswiriyu amadziwa momwe angayang'anire kapamba kuti azitha kusiyanitsa zowawa zomwe zimabwera chifukwa cha kuwonongeka kwa kapamba ndi omwe amayamba chifukwa cha matenda am'mimba.

Chithandizo cha kutupa kwa kapamba

Chithandizo cha pachimake kapamba sichitha kuzengereza - chikuwopseza moyo. Ngati ma enzyme ochokera ku kapamba sanayime munthawi yake, amatha kuwononga minofu yonse, komanso kupangitsa kuti magazi asatayike kwambiri komanso "poyizoni" wamagazi pogwiritsa ntchito zida zosweka zomwe zingathe kupha munthu.

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

Mankhwala

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

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

Ngati kupanikizika kwa kapamba kumachitika ndi matenda a shuga - mankhwalawa amachitidwa monga adapangidwira ndi endocrinologist.

Cysts ndi zotupa zoyipa za kapamba zimakhalanso zovuta za chifuwa chachikulu.

Popeza ndi ma neoplasms omwe amagwira ntchito mu ma cell, maonekedwe awo amatha kuwonetseredwa kuphatikiza maphunziro a ultrasound ndi MRI, komanso ndikugawidwa kwa mahomoni ochulukirapo.

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

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

Ndi kuchulukitsa kwa matenda a kapamba, ndikofunikira kupatula chakudyacho:

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

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

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

Kupewa kufalikira kwatsopano

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

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

Kutupa kwa Pancreatic: Momwe Mungabwezeretsere Kupweteka

Udindo wa kapamba m'thupi la munthu ndiwambiri kwambiri: umatenga gawo mu mphamvu ya kagayidwe kazakudya, umapereka chimbudzi, umathandiza kugaya mapuloteni, umayang'anira kuchuluka kwa shuga komanso umagwira nawo machitidwe ena ofunikira m'thupi. Kutupa kwa pancreatic (kapena kapamba) ndi kowopsa ndi zovuta zomwe zingayambitse matenda a shuga kapena ngakhale pancreatic minofu necrosis.

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

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

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

The pachimake mawonekedwe a kapamba amatha kuthandizidwa kuchipatala, ndipo madokotala amayenera "kukhazika" kapamba mwachangu, apo ayi matendawa amawopseza kuti asinthe kukhala kufa kwa necrosis (kufa minofu) ndi kufa kwa wodwalayo.

Chifukwa chake, ndi ululu woyamba mu epigastric dera kapena kutupa kwa hypochondrium, muyenera kufunsa dokotala nthawi yomweyo. Matenda acute amatsogolera kuimfa mu 15% ya milandu chifukwa chofika kwa katswiri.

Zizindikiro zikuluzikulu za kutupa kwapakhungu pancreatic:

tachycardia
kusanza
kupweteka kwakuthwa kuzungulira msomali
kutentha kuwonjezeka
kutsegula m'mimba

Matenda

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

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

Kutengera ndi zisonyezo, madokotala amasiyanitsa mitundu ingapo ya matenda osakanikirana a kapamba: asymptomatic, ululu, kubwereranso pseudotumor.

Mu mawonekedwe oyamba, wodwalayo sakudziwa za matendawa, akumva ululu, akumva kupweteka kwakanthawi pansi nthiti, ndipo ndikubwerera m'mbuyo ululu umawonekera, koma amazimiririka atatha kulandira chithandizo.

Mtundu wa pseudotumor wa kutupa kwa pancreatic kumachitika mutu wake ukakulirakulira, ukukulira ndi minyewa ya fibrous.

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

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

Pamutu wapachala

Kusintha kwazonse mu kukula kwa kapamba ndizotetezeka koposa kukulira kwina kulikonse.

Mutu wa gland uli ndi mawonekedwe apadera komanso mawonekedwe achilendo: umapezeka mwa munthu wamkulu pamlingo wa ma vertebrae awiri oyamba, ndipo mwa khanda lobadwa kumene limakweza pang'ono.

Mukakula, kukula kwabwinobwino kwa mutu wa kapamba kumayenera kufika pa 35 mm, ndipo ngati kuli kocheperako kapena kokulirapo, ndiye izi zimawonedwa ngati matenda.

Mapangidwe a volumetric a pancreatic mutu nthawi zambiri amadziwika pa ultrasound yam'mimba ndipo amadziwika kuti ndi matenda oopsa. Itha kukhala yopanda pake kapena yoyipa bwino, yomwe imafunikira kuchotsedwa mwachangu.

Matenda ngati amenewa nthawi zambiri amapezeka mwa anthu patatha zaka 60. Ngakhale dokotala wodziwa bwino amatha kudziwa zoyambirira za kutukusira kwa mutu wa England: kusintha kwa khungu ndi kusintha kwa mapuloteni amaso achikaso.

Chithandizo cha matenda amtunduwu chimachitika kuchipatala.

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

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

Zomwe zimayambitsa matendawa

Nthawi zambiri, zomwe zimayambitsa matenda a kapamba zimakhudzana ndi mowa. Kuphatikiza apo, zilibe kanthu kuti zidamwa tsiku lanji m'mbuyomu: vodika wokwera mtengo kapena vinyo wosakwiridwa.

Anthu amaganiza kuti mowa umapereka chiwindi chachikulu, chomwe chimatsogolera ku matenda ena, koma umatha kupirira ndi ma alcohols mothandizidwa ndi ma enzymes ake kufikira nthawi ina.

Zikondamoyo sizikhala ndi mapuloteni otero, chifukwa chake ma alcohols amagunda pamalopo pomwe sangathe kudziteteza.

Komanso, zinthu zotsatirazi zimawerengedwa kuti ndizomwe zimayambitsa kutupa:

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

Njira zochepetsera kutupa ndi chithandizo cha kapamba

Pa ululu uliwonse wam'mimba, ndikofunika kukaonana ndi dokotala nthawi yomweyo. Chithandizo cha kapamba nthawi zambiri chimachitika kuchipatala. Madokotala omwe ali pachimake amatha kusangalatsa kapamba, kupondereza ntchito zake zachinsinsi.

Amathandizanso mitsinje yopanda mankhwala omwe ali ndi mankhwala osokoneza bongo ndikuwapatsanso mankhwala ambiri othana ndi mankhwalawa kuti asasinthe kapena kusokonezeka kwachiwiri.

Ngati zovuta zakumapazi ndizovuta, kuchitapo kanthu kwa opaleshoni kumagwiritsidwa ntchito.

Momwe mungachiritsire zitsamba ndi wowerengeka azitsamba

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

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

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

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

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

Mankhwala

Mankhwala amachotsa chachikulu chomwe chimayambitsa kupukusira kwa kapamba, komanso:

bwezeretsa ntchito,
letsa kupweteketsa mtima
lipira kubwezeretsa kwa endocrine.

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

Ndi mayeso ati omwe amafunikira

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

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

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

kuchuluka kwamankhwala pamagazi
magazi okhathamira
mkodzo, ndowe,
malovu.

Momwe mungachepetsere kuukira kwa mwana

Kunyumba, madokotala samalimbikitsa kuti azimasuka ndi mwana. Ndi zizindikiro zilizonse za matendawa, muyenera kupita naye kuchipatala.

Koma m'moyo muli zochitika zosiyanasiyana, mwachitsanzo, chithandizo chachipatala sichikupezeka.

Zikatero, muyenera kuyesetsa kuti muchepetse kupweteka kwambiri m'mapapo mwanu, kenako onetsetsani kuti mumutumiza kuchipatala chapafupi. Izi zikufunika:

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

Zakudya Zabwino Komanso Zakudya

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

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

Zogulitsa zomwe zingathe

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

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

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

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

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

Zakudya zopweteka: Kudya ndiye gawo loyamba lopumira

Chikondamoyo ndi tinthu tating'ono tomwe timagwira ntchito kwa awiri, osapezeka mumthunzi wa "abale" ake akale: chiwindi, impso, mtima ndi ziwalo zina zomwe anthu adaphunzira kale.

Pakadali pano, wowotchera wamkuluyo ndi dona wachichepere wokhala ndi mawonekedwe, kotero nthawi zina amamuchititsa nkhawa.

Mwamwayi, tsopano madotolo amadziwa momwe angachiritsire kapamba: chakudya ndichinthu choyamba kupatsa dona yaying'ono koma yopanda chidwi.

Laboratory Chemical Laborator

Chifukwa chake, matenda osasangalatsa a kapamba: Zizindikiro za matendawa, chithandizo, zakudya. Choyamba, ndikofunikira kudziwa kufunikira kwa thupili pakugwira ntchito bwino kwa thupi lonse.

Tadpole wodabwitsa wosachepera 20cm komanso wamtali 3 cm yekha amakhala kumbuyo kwa m'mimba, atakhazikika pakati pa duodenum ndi ndulu, atagona pa impso.

Tsopano mukumvetsetsa komwe dzina la kutuwa limachokera.

Ntchito za gululi ndizofunikira kwa aliyense wa ife, chifukwa chifukwa cha ntchito yake yolinganizidwa bwino, timapeza madzi a pancreatic (chapamimba) pakupaka chakudya ndi mahomoni: glucagon ndi insulin, zomwe zimatsimikizira kagayidwe koyenera ka mafuta m'thupi. Zotsatira za kulephera kwa ntchito izi ndi ziti? Choyamba, matenda osasangalatsa koma osachiritsika - matenda ashuga. Chifukwa chake, zakudya zoyenera zamatenda a pancreatic ndikutsimikizira kuti matenda osokoneza bongo adzadutsa inu.

Nthawi zambiri timazindikira za zovuta ndi kapamba chifukwa cha ululu wam'mimba

Zizindikiro za matendawa

Ngati kupweteka kwa kapamba kumayambira, chakudyacho ndi "njira yothandizira" thupi, yomwe ingakutetezeni ku mawonekedwe a matenda oyamba. Koma mungamvetse bwanji kuti zovuta zili ndi thupi?

Kumbukirani zisonyezo:

nseru, zomwe nthawi zambiri zimayambitsa kusanza,
kupweteka kwam'mimba, chikhalidwe chake chomwe chimasiyana (kuchokera pakumenyedwa kwa bondo mpaka kupweteka kapena kupweteka),
kuwonda msanga
Matenda a stool (matenda am'mimba amawonedwa nthawi zambiri),
kusowa kwa chakudya
ukufalikira
malungo.

Ngati mukutulutsa matendawa, ndiye kuti masiku angapo oyamba ndibwino kukana chakudya, koma nthawi yomweyo, madokotala amalimbikitsa kumwa kwambiri - magalasi 7 amadzimadzi tsiku lililonse

Chakudya choyambirira

Mfundo yayikulu yothandiza pochiritsa zakudya ndi zakudya zopatsa thanzi. Muyenera kudya pafupipafupi (nthawi 5-6 patsiku), koma m'malo ochepa.

Muyenera kuphika chakudya mwapadera - kwa banja kapena kuphika. Mutha kuphika kapena kuphika, chinthu chachikulu sikuti mwachangu. Musanadye, yang'anani kutentha kwa chakudyacho. Zakudya siziyenera kuzizira kwambiri kapena kutentha, mulingo woyenera ndi madigiri 30-60.

Mphamvu yamafuta akudya patsiku sayenera kupitirira 1800 kcal.

Mchere panthawi yowonjezera ndi bwino kupatula kapena kuchepetsa kuchuluka kwake momwe mungathere. Komanso shuga, yomwe simukhala ndi chilichonse chothandiza, koma ili ndi zopatsa mphamvu zambiri.

Chakudya chimayenera kukhala chamadzimadzi, theka-lamadzimadzi, grated, kapena kudulidwa. Kuchulukitsa pamatumbo pa nthawi ya matenda ndi zovulaza.

Steam cutlets - chiwonetsero cha pulogalamu yazakudya

Zakudya zowonjezera

Chifukwa chake, kapamba ndi mankhwala: zakudya, zakudya, maphikidwe. Ndi kuchulukitsa kwa matendawa, masiku atatu oyamba atha kukhala ndi njala. Koma adotolo ayenera kusankha munthawi iyi, inde.

Chakudya choyenera cha kuchuluka kwa zikondamoyo ndikutsimikizira kuti matendawa sangayambitse matenda ena owonjezereka. Chifukwa chake, kwa masiku angapo, odwala ayenera kumwa madzi okha (moyenerera "Borjomi" wopanda mpweya) ndi msuzi wa rosehip. Kwa tsiku, mutha kumwa magalasi asanu a Borjomi pamoto kutentha ndi magalasi atatu a msuzi wa rosehip.

Kuyambira lachitatu kapena tsiku lachinayi amaloledwa kuwonjezera mbale zotere pamenyu:

msuzi wowerengeka wamasamba
nyama zodulira kapena nyama zopanda nyama,
nsomba zamafuta ochepa
mazira (omel wowawiritsa kapena wowotcha),
tchizi chamafuta ochepa
masamba osenda
maapulo ophika
tiyi, odzola, compote,
odzola zipatso.

Monga momwe mumamvetsetsa kale, ngati kapamba amapweteka, chakudya komanso kupita kwa dokotala - awa ndi njira zanu zoyenera polimbana ndi matendawa.

Poyamba, madokotala adalangiza kudya zakudya zosenda bwino. Izi zikuthandizira thupi kulimbana ndi kuchuluka.

Matenda Aakulu Matenda

"Ngati matendawa sangathenso kuchira, bwanji muikire malire?" Choyambirira, kuti musafunikire zakudya zam khansa yapanconic mtsogolomo. Chifukwa chake, momwe mungathandizire kapamba ndikudya kwa matenda osachiritsika.

Ndingadye chiyani?

buledi (makamaka wouma kapena dzulo),
siki yotsika (mutha kuwonjezera supuni wowawasa wowawasa),
nsomba yamafuta ochepa ndi nyama yophika, yonyowa kapena yophika,
mazira (omele kapena owiritsa owiritsa),
kefir ndi kanyumba tchizi (wopanda acidic),
tchizi chamafuta ochepa
batala
masamba (oyengeka) mafuta,
phala
pasitala
maapulo osakhala acidic
masamba osenda
odzola, decoctions wa blackcurrant ndi duwa m'chiuno, tiyi, compotes.

Ngati mukufuna zikondwerero kuti zisakusokonezeni, chakudya 5 ndicho chisankho chanu choyenera, pankhani zamankhwala. Mwa njira, ngati mukusintha kwamatenda a kapamba, zakudya zamtunduwu zimakutetezani kukulephera kwa ziwalo zoyandikana.

Odwala a pancreatitis amayenera kunena zabwino ku chakudya chomwe amakonda

Kodi mudzayiwala zakudya zamtundu wanji?

Odwala ena samadziwa mndandanda wazakudya za kapamba. Pali anthu omwe amapanga zakudya zawo "kuchokera kwina", kudutsa zakudya zoletsedwa pamndandanda - ndizosavuta kudya.

Ndiye, ndi chakudya chiti chomwe omwe akuvutika ndi matendawa ayenera kukana?

mizimu
ma pickles ndi ma pickles,
chakudya chokometsera
nyama yamafuta / nsomba, mafuta anyama, mafuta,
mafupa (impso, mtima, chiwindi, ubongo),
masoseji,
caviar
mwachangu
woyamba kudya pa msuzi,
bowa kapena kabichi
chakudya zamzitini
margarine
mayonesi
ketchup, msuzi wokometsera,
ayisikilimu
mafuta amkaka,
kuphika / kuphika,
mkate wa rye
masamba (kabichi, radishi, sipinachi, radish, tomato, tsabola belu),
nyemba
chimanga ndi mbale za mapira,
khofi, tiyi wamphamvu,
madzi owala.

Mverani adotolo ndikukhala athanzi!

Osanyalanyaza mndandanda wazakudya zoletsedwa, apo ayi mutha "kulandira" pancreatic pancreatic necrosis, zakudya zochizira zomwe ndizovuta kwambiri. Pakalipano, kudya moyenera kumakubwezerani moyo wabwino komanso wokangalika.

Pancreas ndi mayi wina wopanda chidwi yemwe amafunikira chisamaliro, koma tsopano mukudziwa "kupanga ubwenzi" ndi iye, sichoncho?

Zizindikiro ndi chithandizo cha kutupa kwa kapamba. Zakudya

Chithandizo cha pancreatitis chimaphatikizapo kuikidwa kwa magulu ena a mankhwala ndi chakudya chamagulu. Magawo oyambirira a chithandizo cha pachimake cha kapamba amachitika mu chipatala, kumalizira kwa mankhwala kungachitike kunyumba.

Zimayambitsa kapamba

Pakadali pano, zopitilira 100 zomwe zimayambitsa kutupa kwa minofu ya pancreatic. Izi zikuphatikiza:

Matenda ena am'mimbamo (duodenitis, hepatitis, gastritis),
zolakwika m'zakudya, makamaka kugwiritsa ntchito kuchuluka kwa chakudya kapena kuchuluka kwamafuta, zonunkhira, zakudya yokazinga, komanso kusankha zakudya zosazolowereka (mwachitsanzo, paulendo wapaulendo - zokonda za zakudya zam'dziko),
kukonda zakumwa zoledzeretsa ndi kugwiritsa ntchito zakumwa zingapo zakumwa zopanda zakudya (cologne, mowa waukadaulo),
kugwiritsa ntchito nthawi yayitali mankhwala omwe amawonongera minyewa ya kapamba.

Nthawi zambiri, chidwi cholimbikitsa matenda chiwonetsero cha matendawa chimapereka zotsatira za zifukwa zingapo zopweteketsa mtima. Mphamvu ya chinthu chimodzi chokha chowononga chingakhale chosakwanira pakukula kwa matendawa kapena kungoyambitsa kusintha kwaposachedwa kwamawonekedwe a labotale.

Matenda osachiritsika a matendawa nthawi zambiri amayamba chifukwa chosakwanira kwamankhwala osokoneza bongo kapenanso chifukwa chawonekera pafupipafupi kapena pafupipafupi ndi zotsatira zofananira (mwachitsanzo, ndi matenda ena am'mimba ngalande - chiwindi, m'mimba, matumbo).

Chiwerengero cha odwala omwe ali ndi matenda a pancreatic chaka chilichonse amangochulukirapo. Izi zikugwiranso ntchito pamatenda osiyanasiyana omwe amakhala ndi matenda komanso matenda. Kuwonjezeka kwa kuchepa kwa thupi kumayambitsidwa, kumbali imodzi, ndi zakudya zomwe zikuchulukirachulukira, ndipo, kutsika kwa mtundu wawo komanso kusamalira chidwi cha anthu ambiri kuumoyo wawo.

Kusintha kwa zotupa m'matumba a pancreatic amapezeka chimodzimodzi kwa akazi ndi abambo. Izi zimawonedwa mwa akulu kangapo kangapo mwa ana. Kukula kwa kapamba mwa mwana (makamaka sukulu yamkaka ndi zaka zoyambira kusukulu) ndi vuto losowa.

Chithunzi cha kuchipatala cha mitundu yosiyanasiyana ya matendawa

Zizindikiro za kutupa kwapancreatic amadziwika ndi kukula msanga komanso kulimba kwakukulu. Amayambitsidwa chifukwa chophwanya mawonekedwe a anatomical a chiwalo (edema ndi kuwonongeka kwa ma cellular), komanso kuphwanya mphamvu yake yogwira (kaphatikizidwe ka mahomoni ndi ma enzymes am'mimba). Kwa mawonekedwe owopsa, zizindikiro zotsatirazi ndi zikhalidwe:

kupweteka kwamitundu yosiyanasiyana, koma mwa odwala ambiri amasiyana kwambiri mpaka osapilira,
kupweteka kumakhazikika m'mimba kumtunda, nthawi zambiri kumafalikira mpaka kumtunda kwa lumbar, sternum (imafanana ndi ululu ku angina pectoris), tsamba lamanzere lamanzere ndi nthambi yam'mbuyo,
kupweteka ndi kapamba kumakhala ndi chizolowezi chowonjezereka, nthawi zambiri kumakoka kapena kuphulika, sikutha ndi analgesics wamba ndipo sikusintha kukula kwake ndi kusintha kwa malo amthupi,
kusowa kwachakudya chilichonse (mpaka kuda chakudya), nseru yayitali kwanthawi yayitali ngakhale mutangotchula za chakudya, magawo obwereza a kusanza osaphikidwa, omwe adyedwa kumene chakudya,
Ambiri amakhala ndi matchulidwe am'mimba otupa - amatulutsa matendawa osakhudzana ndi magazi ndi ntchofu, chimbudzi chimbudzi ndi zosafunikira zamafuta,
chikhalidwe cha wodwalayo chimasintha - kutentha kumakukwera kwambiri, kuzizira komanso kufooka kwambiri.

Kusintha kwakukulu kwa kapamba ndi zizindikiro zamankhwala kuli m'njira zambiri zofanana ndi pachimake. Komabe, kuopsa kwa zizindikiro za munthu ndi kochepa kwambiri. Mu chosinthika chodwala chotupa, munthu amadandaula:

Kusintha kwachakudya (kuwonongeka, kupewera zakudya zina),
kukomoka pafupipafupi kusanza ndi kusanza mobwerezabwereza chakudya chosagaya bwino,
kupweteka pamimba, koma kupweteka kale, osaphulika, pamimba pamimba (kufinya kwa ululu kumbuyo ndi mkono wamanzere sikumawonedwa kawirikawiri),
matumbo amadzimadzi, omwe amakwiya chifukwa chophwanya dongosolo la chimbudzi, osati mwa kuwonjezera kwawothandiza.

Ngati zizindikiro zoyambirira za kapamba (onse pachimake komanso chovuta) zimachitika, ndikofunikira kufunsa dokotala posachedwa. Zoyenera kuchita pamkhalidwe wotere, kuyezetsa kwamtundu wanji ndikofunikira komanso ndi mankhwalawa omwe akuyenera kuthandizidwa - adokotala asankha.

Katswiri kokha ndi amene angazindikire zovuta mu nthawi ndikupereka mankhwala ofunikira kuti athetse.

Mavuto obwera chifukwa cha zotupa za kapamba ndizovuta, angapangitse kuti necrosis yathunthu ikhale yathunthu.

Ndi mayeso ati omwe amaperekedwa pancreatitis?

Ngati kapamba akuyembekezeredwa kuti wapukutidwa, kutsimikizika kwa chizindikirocho ndikuwunika maphunziro a labotale ndikofunikira. Zodziwika bwino ndi izi:

kupenda kwapadera kwa magazi a zotumphukira (leukocyte count ndi leukocyte formula kulocha kumawonjezera kumanzere),
kuyesa kwamkodzo kuti adziwe alpha-amylase (munthawi yomweyo, enzyme iyi palibe),
pulogalamu ya pancreatitis, mafuta ochulukirapo okwanira apezeka),
kuwerenga kwa kuchuluka kwa michere ya kapamba (lipase, trypsin, amylase) - ntchito za michereyi zimachulukana kwambiri ndi kapamba,
Ultrasound yamimba yam'mimba (kuwonjezeka kwa kukula kwa ziwalo, kuphatikizika kwazinthu zowoneka bwino komanso zowundana, kuwonekera kwa kuphatikizika kwa m'mimba kumawululidwa - pachimake cha kapamba, munthawi yayitali ya matendawa.
mwachidule kusiyanitsa kwa radiology ya ziwalo zomwe zimakhala mkati mwa m'mimba zimathandizira kwambiri pancreatitis yayitali, popeza kusintha kwina kuwululidwa (kuwerengetsa kwa duodenum, kuphwanya kwa mgodi wam'mimba).

Chifukwa cha chidziwitso chokwanira chomwe chapezedwa (kuyezetsa kuchipatala ndi zotsatira za kufufuza kwa matenda ndi chida), adotolo amapanga lingaliro la kuopsa kwa matendawa mwa wodwala wina, za mtundu wa kutupa ndikupereka malingaliro amomwe mungamuthandizire wodwala, zomwe mungadye komanso nkhani zina zothandizira kuchipatala.

Zakudya za pancreatic kutupa

Panthawi imeneyi, zakudya ndizofunikira kwambiri, chifukwa ndizosatheka kuchotsa zotupa popanda kuwongolera chakudyacho.

Patsiku loyamba la kupanikizika kwa kapamba, wodwalayo ayenera kusiyiratu chakudya chilichonse ndikugwiritsanso kuzizira m'mimba.

Matenda a wodwalayo akayamba kuyenda bwino, zakudya zopatsa thanzi zimaloledwa ndikukula kwake pang'onopang'ono. Mndandanda wa tebulo la mndandanda 5 umalola wodwala kuchita izi:

buledi wa tirigu, koma wotchedwa "dzulo", wauma pang'ono,
kuchuluka kwa zotsalira ndi mabisiketi,
supu zosiyanasiyana zamasamba ndi chimanga,
nyama ndi nsomba zokhazokha pazophatikiza ndi zakudya (kalulu, nkhuku, nkhuku), chonyowa, pogaya kapena kuphika,
zogulitsa zamkaka zilizonse, koma pang'ono komanso zamafuta ochepa,
Zakudya zilizonse zamphesa (kasseroles, mbewu zachikhalidwe, soufflé),
mazira ndi pasitala pang'ono,
Zipatso ndi zipatso zokhwima kwambiri ndipo zimakhala zotsekemera,
chakumwa chololedwa chochepa kwambiri osati tiyi wokoma kwambiri, compote, mankhwala azitsamba,
Maminolo am'madzi ndi oyenera kugwiritsa ntchito ngati gawo la mankhwala a spa chifukwa cha chifuwa chachikulu.

Ndikofunikira kuti wodwalayo adye ochepa, ndiye kuti, m'malo ochepa 5-7 patsiku, mbale zonse ziyenera kukhala kutentha.

Mankhwala

Pali mankhwala omwe amayenera kugwiritsidwa ntchito kuti atseke njira yotupa, ndipo mitundu yosiyanasiyana yofunikira ndiyofunika kubwezeretsa magwiridwe antchito. Nthawi zambiri mankhwala omwe amapezeka m'magulu a mankhwalawa:

ma pinkiller a non-narcotic (Diclofenac, Ibuprofen) ndi narcotic (Promedol, Ketanov) mndandanda,
otseketsa otchedwa proton pump (Rabeprazole, Pantoprazole, Lansoprazole) kuti achepetse kubisalira kwa timadziti tam'mimba,
H2 histamine receptor blockers (Ranitidine, Famotidine) pacholinga chomwecho,
zoletsa za proteinolytic fusion ya pancreatic minofu (Gordoks, Kontrikal),
kuchuluka kulowetsedwa mankhwala ndi colloidal ndi saline njira,
ndikusintha, ma enzyme ofanana ndi omwe amaphatikizidwa ndi kapamba.

Kutupa kwa kapamba ndizovuta zokwanira, koma ndi zotheka kutha, ngati chithandizo chachipatala chitha kuperekedwa munthawi yake.