Kodi pancreatic atrophy ndi chiyani?

Pancreas ili kuseri kwa peritoneum pamlingo wa magawo awiri a I-II vertebral lumbar. Chiwalochi chimagwira machitidwe ofunikira kwambiri mthupi. Kenako, tiona zomwe ntchito zake zili, ndi kuphwanya kwake muzochita zake. Makamaka, timaganizira momwe pachimake pancreatic necrosis imawonekera.

Ntchito zolimbitsa thupi

Katulutsidwe wakunja pancreatic ndikofunikira pa duodenum - madzi a pancreatic amatulutsidwa mwa iwo. Muli ma enzymes: amylase, lactase, maltase, lipase, trypsin ndi ena. Chifukwa cha madzi a pancreatic, zinthu zam'mimba zomwe zimakhala ndi asidi m'mimba sizimasinthidwa ndipo chakudya chimagwidwa. Poyamba, ma enzyme amapangidwa osagwira, kenako amayamba kugwira ntchito mu duodenum 12. Kuchita kwawo ndikufuna kuthana ndi mafuta, mafuta, mapuloteni m'magawo akuluakulu. Kulimbikira kwa enzyme kumachitika mchikakamizo cha enterokinase, bile. Kubisika kwamkati ndikupanga zofunikira. Izi zimaphatikizapo, makamaka, lipocaine, glucagon ndi insulin. Awiri omaliza ndi okangana mwa iwo okha. Amathandizanso pa kayendetsedwe ka magazi ndende, chakudya. Chifukwa cha lipocaine, phospholipids amapangidwa m'chiwindi. Izi, zimapindulitsa mu kukhathamiritsa kwa mafuta acids. Ndi kuchepa kwa lipocaine, mafuta a chiwindi amayamba.

Mkati mwa gland mumadutsa njira yomwe imatseguka mu duodenum. Nthawi zambiri bile ndi pancreatic ducts nthawi zambiri amapanga mokwanira. Zotsatira zake, amatsegula nipple yayikulu ya duodenum. Mu ma pancreatic ducts, kuthamanga kwachilengedwe kuyenera kukhala kwapamwamba kuposa momwe zimayambira bile. Izi ndichifukwa chakufunika koteteza kutulutsa zomwe zili m'matumbo ndi chikhodzodzo.

Zambiri

Kukwiya kwa kapamba ndi chikhalidwe chodziwika ndi kuchepa kwa thunthu, chipangidwe chake komanso kusowa kwa ntchito zake. Njirayi imatha kuchitika chifukwa cha kusinthika kwakukhudzana ndi ukalamba, komanso matenda omwe amaperekedwa ndi kuwonongeka kwa parenchyma, kukakamira, kutsekeka kwa magazi, ndimatenda opatsirana okhalitsa. Pankhaniyi, kulemera kwa gland, yomwe nthawi zambiri imakhala pafupifupi 80-90 g, imatsika mpaka 30-40 ndi pansi.

Kuwongolera kwa kapamba kumatha kukhala kwachilengedwe, kukulira chifukwa cha njira zachilengedwe zaukalamba. Amakhala ndi matenda ofooketsa kwambiri (mawonekedwe a cachectic). Atrophy ndizotsatira zamitundu yonse yamatenda a kapamba, pomwe gawo lalikulu la stroma limasinthidwa ndi minofu ya fibrous, yomwe imayendera limodzi ndi kupitirira kwa endocrine ndi exocrine insuffidence.

Mtundu wapadera wa atrophy ndi lipomatosis, momwe mbali yayikulu ya parenchyma imasinthidwa ndi minofu ya adipose. Pancreas atrophy mu shuga mellitus amakhala m'malo apadera. Zina mwa matendawa zomwe zimayambitsa matenda a gastroenterology zimaphatikizana ndi chindoko cha chiwindi, matenda a chiwindi, kuchepa kwa zotupa, komanso kufalikira kwa ma phunzo.

Pathanatomy

Izi matenda akuphatikizidwa ndi kuchepa kwakukulu kwa kukula kwa kutulutsa - mpaka 20-18 g, kusasinthika kumakungika kwambiri, kumtunda kwa thupilo kumakhala kodzaza, kapisozi kamadulidwe ndi minofu yoyandikana ndi adipose, komanso ziwalo zoyandikana. Kapangidwe ka kapamba kumasintha, kukula kwambiri kwa minofu yolumikizana, komwe kumatha kuchuluka kuzungulira kwa lobules (perilobular sclerosis) kapena mosiyana (intralobular sclerosis). Pa kukula kwa microscopic, zotupa zimadziwika ndi kupukusa kuchuluka kwa minofu ya fibrous (intraacinous sclerosis), kufa kwa maselo a glandular parenchyma.

Ndi lipomatosis, ngakhale kuti izi zimadziwika ndi kusungidwa kapena ngakhale kukula kwa ziwalozo (pseudohypertrophy), zambiri zimasinthidwa ndi minofu ya adipose, momwe mumakhala malo ena aminyewa. Malinga ndikuwona kwa akatswiri pazachipatala cha gastroenterology ndi endocrinology, nthawi zambiri ndi izi matenda a islet zida ndi endocrine organ function amasungidwa.

Zizindikiro za Atrophy

Chithunzi cha chipatala cha pancreatic atrophy chimatsimikiziridwa ndi zomwe zimayambitsa kukula kwake (shuga mellitus, pancreatitis yayitali ndi ena). Komabe, mulimonsemo, zizindikilo zake ndizoperewera komanso kuperewera kwa endocrine. Kuperewera kwa kutulutsa kwa Exocrine (exocrine) kumadziwika ndi kuchepa kwa michere ya m'mimba, komanso ma bicarbonates ndi ma elekitirodiya ena, omwe amalepheretsa zomwe zili m'mimba, kupereka malo abwino kwa michere ya pancreatic. Zizindikiro zake zimakhala mapando otayirira, kusadya bwino, komanso kuchepa thupi.

Chizindikiro choyambirira cha kusakwanira kwa exocrine ntchito ndi steatorrhea (kuchuluka kwa mafuta a ndowe). Chizindikiro chimayamba ndi kuchepa kwa katulutsidwe ndi 10% mwazonse. Kuchepetsa thupi kumachitika chifukwa chophwanya chimbudzi cha chakudya, kuyamwa kwa zinthu m'matumbo, kuchepa kwa chilakolako chofuna kudya. Ndi matenda omwe alipo kale, zizindikiro za kuchepa kwa vitamini zimayamba.

Kuperewera kwa Endocrine (intrasecretory) kumawonetsedwa ndi kusokonezeka kwa kagayidwe kazakudya, kumapitilira ngati vuto la hyperglycemic. Komabe, zizindikiro za matenda ashuga zimayamba mwa theka lokhalo la odwala. Izi ndichifukwa choti maselo opanga insulini amatha kusungidwa bwino mu pathology poyerekeza ndi acinar. Kuperewera kwa insulin, glucagon amakula. Wodwalayo amatha kusokonezedwa ndi kufooka kwambiri, chizungulire, ludzu.

Zizindikiro za pancreatic atrophy

Zizindikiro zokhudzana ndi matendawa zimatengera makamaka chifukwa chani chomwe chinayambitsa kukula. Komabe, mosasamala za matenda oyambira, chithunzi cha chipatala chidzawonetsedwa ndi zizindikiro zosonyeza endocrine ndi exocrine kusakwanira.

Poyerekeza ndi maziko akuti michere yokugaya imayamba kupangidwira m'miyeso yaying'ono, zizindikilo zimawoneka zomwe zikuwonetsa kuyamwa kwa chakudya. Choyamba, zimaphatikizapo kuwonda. Sikuti chifukwa chokhacho kuti zinthu zofunika zimasiya kumizidwa, komanso kuchepa kwakukulu kwa chilakolako cha chakudya. Mosalephera, chithunzi cha chipatala chimathandizidwa ndi dilution ya chopondapo. Zikachitika kuti ma enzymes amachepetsedwa ndi oposa khumi, mafuta ochulukirapo adzapezeka mu ndowe.

Ndi njira yayitali ya njirayi, zizindikiritso zimawonjezeredwa zomwe zikuwonetsa kuchuluka kwa hypovitaminosis. Izi zimaphatikizapo khungu louma, misomali yochepetsera, kuchepa tsitsi, kufooka kwathunthu komanso khungu. Panthawi yakusowa kwambiri kwa vitamini, zovuta zingapo zamitsempha zimatha kuchitika.

Kuletsa kwa endocrine ntchito kumadziwika ndi zizindikiro zosonyeza mavuto a kagayidwe kazakudya. Kuchokera pamawonedwe a labotale, izi zikuwonetsedwa ndi kuwonjezeka kwa milingo ya shuga. Wodwala amayamba kudandaula pokodza mwachangu, kukhathamira ludzu komanso kukamwa kowuma, kutsuka mosalekeza, chizungulire, ndi zina zotero. Ndizofunikira kudziwa kuti mawonetsedwe azachipatala omwe ali pamwambapa amapezeka mwa makumi asanu okha mwa odwala.

Kuzindikira ndi kuchiza matendawa

Kuzindikira koyambirira kwa matendawa kumakhala ndi kuyesa kwamwazi wamagazi ndi mapulogalamu. Ndi kuyesa kwamwazi wamagazi am'magazi, kuchepa kwa milingo ya ma pancreatic enzymes kudzapezeka. Kuti muyeze momwe thupi limapangidwira, kuyezetsa kwa ultrasound, kulingalira kwamphamvu yamagalasi, endoscopic retrograde cholangiopancreatography ndi mankhwala. Ndikofunikira kuchita biopsy ndikutsatira kufufuza kwa mbiriyakale.

Chithandizo cha ululu wa kapamba amayamba posankha zakudya zosavomerezeka. Ndikofunikira kusiya zizolowezi zoyipa ndikupanga kuperewera kwa mavitamini. Othandizira enzyme amagwiritsidwa ntchito kukonza exocrine kusakwanira. Muzochitika kuti pali zizindikiro zosonyeza kuchepa kwa insulin, chithandizo cha insulini chikusonyezedwa.

Pathogenesis ya kusintha kwa atrophic mu kapamba

Kusintha kwa atrophic mu kapamba kumakhala kwachilengedwe akamakula chifukwa cha masoka okalamba. Amakhala ndi matenda oopsa.

Kuphatikiza apo, atrophy ndizotsatira zamtundu uliwonse wamatenda a kapamba, omwe ali ndi gawo lalikulu la stroma Amasinthidwa ndi minofu ya fibrous, yomwe imatsogolera pakuwonjezeka kwambiri kwa endocrine ndi exocrine kusakwanira.

Nthawi zambiri, kulemera kwa chiwalo chamkati kumasiyana kuchokera pa 80 mpaka 90 g. Ngati kusintha kwina kumayang'anidwamo, ndiye kuti kumatsika mpaka 30-40 g ndi pansi. Pali kusintha mu kapangidwe ka chiwalo palokha. Kwa matendawa, kuonekera kwa kuchuluka kowonjezera kwa minofu yolumikizidwa ndi khalidwe.

Pancreatic atrophy imachitika pazifukwa zotsatirazi:

Kupezeka kwamphamvu kwa mafuta kwa ziwalo.
Vuto la matenda ashuga.
Kumwa mowa kwambiri, kusuta.
Zilonda za Duodenal, m'mimba.
Zakudya zopanda pake.
Autoimmune pathologies okhudza m'mimba.
Kuyambiranso kwa kapamba.

Atrophic pancreatitis yolimbana ndi matenda a shuga a mellitus amakhala m'malo apadera. Matendawa amadziwika ndi kuchepa kwakukulu kwa chiwalo mpaka 20 g, kusasinthika kwake kumakhala kofinya, pamwamba kumakhala kambiri, kapisozi kogwirizana ndi minofu yamafuta, ziwalo zapafupi.

Lipomatosis imawonekanso ngati atrophic mawonekedwe a matenda apamba. Ngakhale nthendayi imadziwika ndi kukula kwa chiwalo kapena kuchuluka kwake, koma zambiri zimasinthidwa ndi minyewa ya adipose, yomwe magawo ake a glandular amadziwika. Mu 80% ya omwe ali ndi matenda otere, pulogalamu ya islet ndi ntchito ya endocrine imasungidwa.

Gulu lachiwopsezo limaphatikizapo odwala omwe ali ndi vuto lobadwa nalo, amadalira mowa, kuvulala m'mimba, matenda opatsirana a ziwalo zamkati, kuwerengera cholecystitis.

Mawonetseredwe azachipatala a atrophy

Tasanthula matenda a pancreatic atrophy, ndi chiyani, ndipo chiwalo cha atrophy, titha kudziwa zomwe zikuwonetsa matenda. Zizindikiro zimayambitsidwa ndi etiology yakukula kwa njira ya pathological m'thupi (kukhudzika kwa shuga m'thupi, mawonekedwe a kapamba, etc.).

Osatengera chomwe chimayambitsa komanso chopangitsa, odwala onse ali ndi vuto la chilengedwe la endocrine komanso exo native. Kuperewera kwa chinsinsi cha panja kumayendetsedwa ndi kuchepa kwa kupanga michere yamagaya, ma elekitirodiya, omwe amathandizira kuteteza zomwe zili m'mimba, ndikuthandizira kupereka malo abwinobwino ma enzymes apachifungo.

Odwala amadandaula za kuphwanya kwam'mimba, komwe nthawi zambiri kumawonetsedwa:

Kutsegula m'mimba.
Anachepetsa chilako.
Kuchepetsa thupi.

Chizindikiro choyambirira cha kuperewera kwa exocrine ndikochulukitsidwa kwa mafuta m'thupi komanso ndowe. Chizindikiro ichi chimadziwika motsutsana ndi kumbuyo kwa kuchepa kwa kupanga ndi 10% ya mtengo wamba.

Wodwalayo amayamba kuchepa thupi msanga. Izi ndichifukwa choti njira yogaya chakudya, yoletsa michere m'matumbo imasokonekera, ndipo kusowa kwa chakudya kumachepa. Ngati munthu ali ndi atrophic pancreatitis yayitali, ndiye kuti kuyesa kwa labotale kukuwonetsa kuchepa kwama mavitamini ndi michere yambiri.

Kuperewera kwa Endocrine kumadziwika ndi vuto la carbohydrate metabolism lomwe limachitika ngati hyperglycemic syndrome.

Komabe, hafu yokha ya odwala amadandaula ndi zizindikiro za matenda a shuga (kukodza mwachangu, pakamwa pouma, kugwiritsa ntchito chimbudzi pafupipafupi, ndi zina zambiri).

Kusiyanitsa mitundu

Mukamayang'ana wodwala mu 90% ya zithunzi zamatenda, kuperewera kwa thupi kumapezeka. Khungu limakhala loonda, limayamba kuuma kwambiri. Nthawi zambiri pamakhala zinthu zopanda pake. Nthawi yomweyo, kutsekemera sikulola "kumva" kuchepa kwa mkati.

Pamene pathogenesis zachokera kupezeka kwa kapamba, ndiye palpation wodwala amadandaula zopweteka kapena kukhumudwa kwambiri. Zotsatira za kuyesa kwamwazi m'mwazi zikuwonetsa kuti ntchito ya michere yam'mimba yachepa.

Cop program imathandizira kudziwa mafuta mu ndowe (steatorrhea). Monga lamulo, zoposa 10% za tsiku lililonse zomwe zimagwiritsidwa ntchito tsiku lililonse zimapezeka ndowe. Kuchuluka kwa minofu ya ndowe kumakuloweka kwambiri, komwe ndikupatuka kuzolowera.

Nthawi zambiri, kafukufuku wokhudzana ndi kuchuluka kwa glucose akuwonetsa kuwonjezeka kwakukulu, komwe kumafunikira kuchezeranso kwa madokotala monga endocrinologist kapena diabetesologist.

Njira zina zodziwira matendawa:

Kuchita ndi kupimidwa kwa ma pancreas kumawonetsa kuchepa kwa ziwalo mkati. Kapangidwe kamene kamakhala kachulukidwe, kachulukidwe kamachulukidwe, mafunde omwe amakhala osagwirizana.
MRI imalimbikitsidwa ngati ma ultrasound sapereka chidziwitso chokwanira ndipo tsatanetsatane wina amafunikira kuti adziwe njira zoyenera zamankhwala.
RCP imayesedwa kuti iwonenso momwe zilili zozizirirazo, kuti mupeze zosintha zomwe nthawi zambiri zimakhala ndi kapamba wambiri. Chifukwa cha kunyenga kwachipatala koteroko, ndizotheka kuzindikira kuchepa kwa ma pancreatic ducts, cruuosity ndi kusalinganika kwa makoma.
Angiography ndiyofunikira pakavomerezeka pomwe katswiri wa zamankhwala akayika njira yotupa. Njirayi imakupatsani mwayi wotsutsa kapena wotsimikizira zomwezo.

Kuphatikizika kwa kapamba kumayenera. Pakufufuza kwamankhwala pamasamba omwe adatengedwa, kuchuluka kwa fibrosis ndi chiwonongeko cha parenchyma, momwe zimakhalira ndi zinthu zomwe zimapanga insulin zimayesedwa.

Njira yodziwira matendawa imakupatsani mwayi wofotokozera za matendawo.

Mankhwala othandizira pancreatic atrophy

Poyamba chizindikiro cha kusintha kwa atrophic mu kapamba, zakudya zimalimbikitsidwa kaye. Wodwala ayenera kuchepetsa kuchuluka kwa zakudya zomwe zimakhala ndi mafuta a nyama.

Ndikofunikira kuyang'anira kusowa kwa mapuloteni m'thupi, kuchepa kwa mphamvu, ndikuwongolera kuchepa kwa mavitamini ndi michere. Popeza nikotini zimayambitsa chisokonezo pakupanga mabicarbonate m'ziwalo zamkati, ndudu ziyenera kutayidwa.

Chowongolera chachikulu cha chithandizo chokhwima chimasinthira mankhwala othandizira ntchito ya exocrine ndi intracecretory secretion. Mankhwala a enzyme tikulimbikitsidwa kulipilira njirazi.

Kuti mupeze chithandizo choyenera chothandizira, mankhwalawa amayenera kudziwika ndi ntchito yayikulu ya lipase, sayenera kuwonongeka mothandizidwa ndi madzi a m'mimba. Pankhaniyi, mapiritsi amafunikira kuthandizira kutulutsidwa kwa zinthu zam'mimba m'matumbo ang'onoang'ono, kupititsa patsogolo ntchito yogaya chakudya.

Ma Microbeads amakwaniritsa zonse zofunikira zofunikira.Popeza ndi lipase yomwe imataya ntchito mwachangu, chifukwa chake, kukonzanso kumachitika poganizira zomwe zili mumankhwala komanso kuchuluka kwa steatorrhea (mafuta omwe amapezeka mumagazi).

Kugwiritsa ntchito bwino kwa mankhwalawa kumatsimikiziridwa ndi: kuchuluka kwa kuchepetsedwa kwa steatorrhea ndi ndende ya elastase mu ndowe. Kukonzekera kwa enzyme kumathandiza kukwaniritsa zotsatirazi zochizira:

Kuchepetsa secondaryitis.
Sinthani microflora m'matumbo.
Thandizani kusintha kwa kagayidwe kazachilengedwe.

Kuti muchepetse kupweteka kwambiri, lipatseni mankhwala omwe akukhudzana ndi analgesics ndi antispasmodics. Mlingo umatsimikiziridwa payekha, kutengera mphamvu ya ululu. Jekeseni wa Papaverine, No-shpu, Analgin ndi mankhwala ena amavomerezeka.

Kuwongolera kuchepa kwa endocrine, kuyambitsa insulin ndikofunikira. Ndi kusintha kwa atrophic, kufa kwa ma islet sikumawonedwa, motero, timadzi timapangidwa, koma mosakhalitsa. Mlingo komanso pafupipafupi kugwiritsa ntchito mankhwala a insulin zimatengera nthawi yamatendawa, matenda a etiology, zotsatira za kafukufuku wa tsiku ndi tsiku wa glucose.

Chofunikira ndikukonza kwa ntchito m'mimba, makamaka, kuphatikiza kwa microflora yamatumbo. Chifukwa chake, ma probiotic ndi prebiotic amagwiritsidwa ntchito.

Kuphatikiza apo, makonzedwe okhala ndi mavitamini amalimbikitsidwa. Ndikofunikanso kudzaza kuchepa kwa zinthu zotsatirazi:

Zowonjezera pakubadwa zimatha kuyikidwa mu mankhwala angapo, kapena mankhwala amodzi, omwe nthawi imodzi amaphatikizanso zinthu zofunika pakapangidwe kake.

Kuthandizira opaleshoni kumachitika muzipatala zapadera. Njirayi imaphatikizidwa ndi kuphatikizika kwa zisumbu za Langerhans, kenako kutsatiridwa kwa kapamba ndi kulandira mankhwala othandizira.

Popeza kusintha kwa atrophic mu kapamba kumakhala chifukwa cha zovuta kwambiri zamatenda omwe ali ndi vuto lalikulu la wodwalayo, chithandizo cha opaleshoni sichilamulidwa.

Zotsogola ndi kupewa

Kukula kwa zotulukapo za matendawa kumadalira kuchuluka kwa kuwonongeka kwa ntchito za exocrine komanso intracretory. Popeza maselo a islet amasungidwa pang'ono, motero, pali insulini yopanga yotsalira. Chifukwa chake, mkhalidwe wa ketoacidotic samapezeka kawirikawiri, koma kuchepa kwakukulu kwa shuga m'magazi kumayamba.

Kudziwa pathogenesis ya pathological process, kuchotsa "gwero loyambilira" - matenda oyamba, kuyambitsidwa kwakanthawi kwa mankhwalawa - mfundo zonsezi zimakuthandizani kuti mukwaniritse bwino zochizira komanso chidziwitso chabwino.

Monga prophylaxis, ndemanga za odwala amalimbikitsa kugwiritsa ntchito njira zamankhwala azikhalidwe. Zimathandizira kukonza magwiridwe antchito, zimathandizira kukonza chimbudzi, komanso kupewa zovuta zazikulu mthupi.

Mankhwala othandizira, mankhwala opangira mankhwala amagwiritsidwa ntchito - hawthorn, katsabola, peppermint, mankhwala a chamomile, ndi ena. Chotsatira chotsatirachi chimathandiza kuchirikiza thupi: sakanizani supuni zitatu za nthomba za katsabola ndi timbewu tofanana, onjezerani supuni ziwiri za hawthorn, supuni imodzi ya mankhwala a chamomile. Thirani madzi otentha. Kuti utuluke. Tengani 100 ml kanayi patsiku. Njira ya mankhwala ndi milungu iwiri.

Monga kupewa, tikulimbikitsidwa kutsatira malangizo:

Kusiya kusuta, mowa.
Kuthandiza pa nthawi yake matenda omwe alipo.
Zakudya zoyenera komanso zopatsa thanzi.
Kusungabe kuchuluka kwa ntchito ya enzyme.
Kusungabe moyo wokangalika. Kuchita masewera olimbitsa thupi pang'ono ndi pancreatitis, makamaka yoga ndi kuyenda, ndizothandiza kwambiri.

Atrophy ya kapamba ndi matenda oopsa, chifukwa chake, pakumveka kowawa m'gawo la epigastric, kuchipatala kuyenera kuchezeredwa. Mankhwalawa ayambitsidwa msanga.

Ntchito ndi pathologies a kapamba afotokozedwa mu kanema munkhaniyi.

Kusokonezeka kwa thupi

Pakusintha kwa kupanikizika kwa kapamba, matenda oopsa amawonekera. Amaphatikizidwa ndi mpweya wotuluka wa pancreatic madzi, kumasulidwa kwa zomwe zili m'matumbo kapena m'matumbo. Poyerekeza ndi kuthana ndi mavuto, maselo a kapamba amayamba kuwonongeka. Ma enzyme ophatikizika amasulidwa ndikuyamba kugwira ntchito kwa iwo. Amalowa m'matumbo a parenchyma, adipose ndi minyewa yolumikizana. Zotsatira zake, kukhudzana kwamtambo kumachitika. Kudzera mu enzyme imodzi, ina imamasulidwa. Izi zimakwiyitsa yotupa yomwe imapangitsa kuti magazi azithamanga, ndipo kenako - kusokonekera kwa magazi. Izi zimathandizira ku thrombosis mu gland. Chifukwa cha zovuta zamagazi, kapamba zimachitika, nthawi zambiri zimadzetsa pancreatic necrosis.

Zoyambitsa chisokonezo

Mkhalidwe wamatumbo, monga lamulo, umawoneka chifukwa cha kupweteka kamodzi kapena kubwereza kwa kapamba. Fomu ya pachimake imakhudzana mwachindunji ndi matenda a ndulu. Zilonda (m'mimba kapena duodenum), cirrhosis, hepatitis, ndi uchidakwa zimakhala ngati zimapangitsa zinthu.

Chidziwitso Chofunikira

Monga tafotokozera pamwambapa, imodzi mwazomwe zimagwira ntchito ya gland ndi chinsinsi cha kupanga mahomoni. Zisumbu za Langerhans zimatenga nawo gawo pantchito imeneyi. Pakakhala pakugonjetsedwa ndi maziko a pathologies, kuphatikiza ndi kapamba mu nyengo yayitali, kufooka kwamafuta m'chiwindi ndi shuga (shuga) amakula. Zikondamoyo zimatha kudzisankhira pawokha mtundu wa chakudya. Zonse zimatengera chakudya chomwe mumadya. Mukamamwa chakudya chochuluka, ma enzyme enanso omwe amawaphwanya amayamba kugwira ntchito. Ngati mafuta azakudya amakula, ndiye kuti lipase yochulukirapo imapangidwa, ndipo ngati mapuloteni - trypsin. Komabe, izi siziyenera kuzunzidwa. Chowonadi ndi chakuti kapamba nthawi zambiri samapereka chizindikiro choti atha kwambiri. Monga lamulo, njira yankhanzayo imadziwonetsera yokha, zomwe sizikuwonetsa gawo loyambirira la matenda, koma maluwa akenthu.

Zotsatira za matenda osiyidwa

Kunyalanyaza mkhalidwe wa kapamba kumayambitsa zovuta zingapo. Kuopsa kwake kumakhalapo chifukwa chakuti pafupi ndi izo pali ziwalo zina zomwe sizofunikira kwenikweni kwa thupi. Izi, makamaka ndulu, chiwindi, m'mimba. Mtima suima pambali. Ndi kuphwanya kwa kapamba, chiwalochi chimaphatikizidwanso nkhawa. Zosintha pakuyenda kwamakina zimachitika mwachangu kwambiri. Kwa kapamba, nthawi zina maola angapo amakhala okwanira.

Pachimake pancreatic necrosis

Nkhani yothandiza? Gawani ulalo

Njirayi ndiyo kufa kwa ziwalo. Pali zinthu zingapo zovuta zomwe zimapangitsa kukula kwake. Pamtima pawo kutuluka kwa chiwalo. Pachimake pancreatic necrosis imayamba ngati nthawi yayitali mayeso ndi chithandizo. Pochita izi, ma enzymes awo a ziwalo amatenga gawo limodzi. Pansi pa kuchitapo kwawo, kapamba amakumbidwa. Ndi activation ya interstitial michere, pathological njira patsogolo. Zotsatira zake, foci ya mafuta necrosis imapangidwa.

Kufotokozera kwa njira

Zotsatira zakusokonekera kwa mafuta acids, kusintha kwa pH kumachitika. Poterepa, intracellular trypsogen imayambitsa. Pambuyo pake, amasintha kukhala trypsin. Pulogalamuyi, imayendetsa ma protein omwe amapanga proteinolytic foci. Mathandizo amayamba kuwongolera makoma olimba komanso minyewa yolumikizana. Njira yowonongeka imapitirira kupanikizika. Kubwezeretsanso chiwalo pamenepa kumakhala kosatheka. Ndi chiwonetsero cha zizindikiro zowonekeratu, zotsatira zakupha zimatha kukhala nthawi yomweyo.

Zoyambitsa

Pancreatic necrosis, zomwe zimakambidwa pansipa, nthawi zambiri zimachitika chifukwa chomwa mowa kwambiri, kudya kwambiri, dyskinesia mu biliary thirakiti, kusokonezeka kwa kutuluka kwa ma enzymes motsutsana ndi maziko a cholangitis, kuwerengetsa cholecystitis. Mankhwala osalondola, kuphwanya mlingo komanso mlingo wa mankhwala angayambitse matenda. Acute pancreatic necrosis imatha kupezeka ndi matenda opatsirana pafupipafupi, kupsinjika.

Pathology

Kutengera ndi gawo logawidwa, pachimake pancreatic necrosis imatha kukhala yochulukirapo komanso yokhazikika. Mchitidwewo umatha kupita patsogolo mwachangu kapena kupitilizabe mokwanira. Malinga ndi mtundu wa pathological shaka, pancreatic necrosis imagawidwa kuti ikhale yowononga, yothandizira, hemostatic, hemorrhagic komanso edematous. Omalizirawo amaonedwa ngati mawonekedwe ofatsa kwambiri. Chifukwa cha puffness, kapamba amakulitsidwa, zomwe zimapangitsa kuti azikhala ndi nkhawa pancreatocytes komanso vuto la microcirculation. Chithandizo cha edematous siteji nthawi zambiri zimakhala bwino. Ndi pempho losayembekezereka kwa katswiri, zamatsenga zimatenga mawonekedwe osiyidwa kwambiri. Makamaka, ntchito ya necrotic imasokoneza kutuluka kwa michere ya m'mimba kuchokera ku kapamba. Zotsatira zake, kugaya kwa chiwalo kuchokera mkati kumayamba. Mapeto ake, mafinya amalowa m'mimba. Zotsatira zake, peritonitis yachilendo imayamba. Pankhaniyi, opaleshoni ndiyosapeweka. Kupanda kutero, sepsis imayamba, yomwe imatsogolera kuimfa.

Chithunzi cha kuchipatala

Kodi pancreatic necrosis imawonetsedwa bwanji? Zizindikiro za matenda am'mimba kwambiri. Kumanzere hypochondrium kumayamba zilonda za herpes zoster. Imafalikira thupi lonse pansi pa nthiti. Ululu umawonekera kumapewa ndi phewa, monga pamtima. Njira zake zimatsatiridwa ndi kusanza kwachiphamaso, kutulutsa magazi, kusefukira. Kutentha kwa wodwala kumakweza, khungu limasanduka lotumbulika kapena lofiira. Chizindikiro chachikulu cha matenda a pathological ndi chizindikiro cha Grey-Turner. Imadziwoneka yokha ngati mawanga amiyala kuchokera kumbali zam'mimba. Pa palpation khoma, zowawa ndi kusokonezeka zimadziwika. Kuzindikira kumakhazikika pakuwunika koyang'ana, madandaulo a odwala, komanso zotsatira za maphunziro othandizira ndi a labotale. An ultrasound adayesedwa kuti ayesere kuchuluka kwa mawonekedwe a parenchyma. CT ndi MRI, angiography ndi laparoscopy zimatha kukhazikitsa matenda.

Njira zochizira

Chithandizo cha pachimake necrosis chitha kukhala opareshoni komanso chosasinthika. Kusankha kudzadalira kusintha kwa ziwalo. Kuwonetsedwa kwa mankhwala kumayikidwa palokha. Mwa mankhwala omwe akulimbikitsidwa kuti agwiritse ntchito ndi antispasmodics (No-Shpa, mwachitsanzo), mankhwala othandizira komanso cytotoxic omwe amakhudza kaphatikizidwe ka enzyme. Mwa njira zopangira opaleshoni, laparotomy ndi laparoscopy amagwiritsidwa ntchito. Komabe, pakuchita opareshoni sizotheka nthawi zonse kuthetsa matenda. Mwambiri, odwala amathandizidwa kuchipatala.

Pancreatic necrosis imayendera limodzi ndi kukula kwa enzyme alastase, imayambitsa kuwonongeka mu kayendedwe ka mitsempha yamagazi ndi minyewa yam'mapapo. Chifukwa chake, pakupita nthawi, necrosis imafalikira ngakhale kunja kwa malire a chiwalocho. Tiziwalo zomwe zidagwa sizidzatha zokha.

Zoyambitsa necrosis

Musanayambe chithandizo molingana ndi chiwembu kapena njira ina, ndikofunikira kukhazikitsa chomwe chimayambitsa matenda awa. Kupatula apo, ngati zotsatirapo zake zachiritsidwa, popanda kuthetsa zomwe zimayambitsa, matendawa amayambiranso.

Matenda ena amatsogolera ku necrosis. Mwachitsanzo, cholecystitis, DZHVP kapena cholangitis, yowonetsedwa ndikuphwanya kutuluka kwa ma enzymes, nthawi zambiri imakhala chifukwa chotere. Matenda opatsirana amayambitsa kusintha kwa ma pancreatic tis.

Choyambitsa chachikulu cha matenda otere ndi kumwa mowa kwambiri, chakudya chokhazikitsidwa ndi zakudya zopanda thanzi.

Mavuto a kapamba amayambanso pamene anthu amadzimva okha ndikugwiritsa ntchito mankhwala mosasamala. Katswiri yekha ndiamene angadziwe momwe thupi lidzakhalire pogwiritsa ntchito mankhwala ena ake. Kupatula apo, mphamvu ya mankhwala pazinthu zathupi ndizovuta kwambiri. Kupsinjika, kutengeka mtima kumathandizanso kumabweretsa neancosis ya pancreatic.

Zosiyanasiyana za necrosis

Necrosis imatha kuwonekera m'njira zambiri. Ndikofunikira kudziwa mawonekedwe onse amtunduwu, chifukwa zosiyanasiyana zimakhudza cholinga chamankhwala. Njira yakukula kwa matenda am'mimba ndiyofunikira pakuwonekera kwa zizindikiro. Chifukwa chake, kuwunika kukula kwa matendawa kumakhalanso kotheka pokhapokha mawonekedwe ake akadziwika.

Matendawa amatha kuikidwa m'magulu osiyanasiyana. Mwachitsanzo, malinga ndi dera lomwe lawonongedwa ndi njira zowonongeka, mitundu yotsatirayi imasiyanitsidwa:

Mwa chikhalidwe cha matendawa, ndi chikhalidwe kusiyanitsa mitundu iwiri:

Ultrasound ya pancreatic necrosis

Mwa mtundu wa necrotic process, mitundu yotere imadziwika kuti:

hemorrhagic
wopatsa chidwi
kutupa,
zowononga
zothandiza.

Ndikofunikira kuyang'anitsitsa momwe muliri, musachedwe kulandira mankhwalawo. Mwachitsanzo, edematous necrosis imatha kuchiritsidwa mwachangu. Koma izi ndizotheka ngati chithandizo chokhazikika chikuyambitsidwa munthawi yake. Zimatengera nthawi yakukhazikitsidwa kwa zamankhwala ngati dokotala atha kuthandiza kwathunthu kapena ayi. Kupatula apo, necrosis siyimayima. Dera lomwe lakhudzidwalo likukula, ndikupangitsa matendawa kukhala owopsa.

Ngati matendawa sanayime, ndiye kuti kapamba amayamba kudzipenda yekha. Kupatula apo, michere yokugaya, osapeza njira yotuluka, imadziunjikira mkati mwa thupi ndikuyigwira. Pankhani ya matenda akuthamanga, mafinya, kupindika kumatha kulowa mkati mwa m'mimba. Pambuyo pake, peritonitis imayamba, yomwe imatha kukhala ndi zovuta zoyipa kwambiri.

Kuopsa kwa zotsatirazi kumatsutsana ndi kukayikira kwa pancreatic necrosis kuchita mayeso ambiri, mayeso. Ngati ndi kotheka, chitani ntchito. Inde, ngati simungachite kanthu, vutoli limatha kubweretsedwa ku sepsis ndi kufa.

Zizindikiro za Necrosis

Pancreatic necrosis

Ndi necrosis, kupweteka kwambiri mu quadrant yapamwamba kumamveka kumanzere. Nthawi zina odwala amamva kupweteka m'mbali zonse za m'mimba pansi pa nthiti. Ululu umakhala munjira zambiri wofanana ndi vuto la mtima, kotero nthawi zina odwala amakhala olephera, akukhulupirira kuti ali ndi nkhawa ndi zowawa za mtima.

Kuti muwasiyanitse, muyenera kuyesera kuti mukhale pansi ndikukoka miyendo yanu pamimba yanu. Ngati kupweteka kumachepa, ndiye kuti ndi pancreatic necrosis. Zizindikiro za matendawa zimaphatikizira nseru. Kusintha, komwe kumachitika pambuyo pake, kumakhala kopanda phindu, koma sikumakhala bwino pambuyo pake, mpumulo suchitika.

Ndi necrosis, kulephera kumachitika m'matumbo onse. Kutsata kumverera kotulutsa, kufalikira kumawonekera. Kuphatikiza pazizindikiro zofala, pali mawonekedwe omwe ali ndi mawonekedwe a mitundu ina yokha ya necrosis.

Mulimonsemo, mukamayesedwa kunja, odwala samazindikira kulimba kwa khoma lamkati lakumbuyo. Pamene necrosis imakula popanda chithandizo chokwanira, madzimadzi amadziunjikira m'mimba kapena m'misempha ya pericardial.

Kuzindikira, chithandizo cha necrosis

Ngati necrosis ikukayikira, kuyezetsa kwamitundu yambiri kumachitika. Ali ndi zolinga ziwiri: kutsimikizira kuzindikira kwa necrosis kapena kutsutsa, kuzindikira zifukwa zomwe zingayambitse vuto lotere. Kuti muwonetsetse moyenera, kumayesedwa kwa ultrasound, laparoscopy, ndi MRI.

Njira yochizira pancreatic necrosis imasankhidwa payekha.

Zofunikira mu izi ndi momwe wodwalayo alili, poganizira momwe matendawa amayambira. Kutengera izi, mankhwala ena ndi omwe amapereka. Chofunikira pamikhalidwe yonse ndi chakudya chokhwima, kukanidwa kwa zinthu zonse zoletsedwa. Nthawi zambiri gwiritsani ntchito kusala kudya pofuna kuchiritsa. Ngati vutoli ndi lalikulu, ndiye kuti opaleshoni imachitidwa. Tsoka ilo, zovuta zimatheka pambuyo pakuchita opaleshoni.

Pafupifupi zizindikiro zina za matenda a kapamba amawuza kanemayo:

Zizindikiro

Mukamayang'ana wodwala ndi pancreatic atrophy, kuchepa kwa thupi kumatsimikizika. Khungu louma, lopanda pake. Ndi kuchepa kwa kukula kwa mbeuyo, sikungatheke kuyipaka. Ngati chomwe chikuyambitsa matendawa ndi kapamba, ululu umatha kumveka pakhungu. The diagnostic algorithm imaphatikizapo:

Amasanthula. Mukamayesa magazi a biochemical, kuchepa kwa ntchito ya ma pancreatic enzymes kumatsimikiziridwa. Zizindikiro zake ndizo steatorrhea zomwe zapezeka pakompyutayi (mafuta ochulukirapo 9% omwe amamwa tsiku ndi tsiku amapezeka mu ndowe) ndi creatorrhea (mawonekedwe apamwamba amtundu wa minofu mu ndowe). Nthawi zambiri amapezeka kuti akuwonjezeka m'magazi a magazi, ndicho chifukwa chofunsira ndi endocrinologist kapena diabetesologist.
Njira zowonera. Ndi ultrasound ya kapamba, kuchepa kwa kukula kwake, kuchuluka kwa kapangidwe kake, kuchuluka kwa zachilengedwe, kusakhazikika kwa ma contour kutsimikiza. Kuti muwone bwino kwambiri ziwalozo, kuti mudziwe zomwe zimayambitsa atrophy, MRI ya kapamba imachitika. Kuti muwone momwe ductal system, kusintha komwe kumakhalira ndi chifuwa chachikulu, RCP imawonetsedwa - endoscopic retrograde cholangiopancreatography (kusanthula kwa x-ray). Ndi thandizo lake, mutha kudziwa kupendekera kwa pancreatic duct, kukhuthala kwa makoma, kuchimwa. Kupatula ma neoplasms a kapamba, angiography amachitidwa.
Biopsy. Njira yofunikira yodziwonera ndi pancreatic biopsy. Mukamayesa biopsy, kuchuluka kwa fibrosis ndi chiwonongeko cha parenchyma, kuchuluka kwa kuwonongeka kwa zinthu zokhudzana ndi glandular, ma islets a Langerhans (malo opanga insulin) amawunikira. Pankhani ya lipomatosis, mafuta achilengedwe awonongeka. Kuchita biopsy kumatha kuwonanso matendawo.

Zochitika zolimbitsa thupi

Ndi atrophy ya kapamba, chithandizo cha mankhwala ndizovomerezeka. Chakudya chizikhala chochepa m'mafuta. Kuyenera kuwonedwa mokwanira pakuchepa kwa mapuloteni-mphamvu, kukonza kwa hypovitaminosis. Kuchotsa kofunikira ndiko kuchotsa kwa kusuta kwathunthu, chifukwa chikonga chimasokoneza kupanga kwa bicarbonates ndi kapamba, chifukwa chomwe acidity ya zomwe zili mu duodenum imawonjezeka kwambiri.

Chitsogozo chachikulu cha chithandizo cha matenda amtunduwu ndikusintha kwa exocrine ndi endocrine pancreatic secretion. Kuti alipire njira zosokonezeka zam'mimba zodutsira m'mimba, gastroenterologist imapereka kukonzekera kwa enzyme. Kuti mukwaniritse matenda, mankhwalawa ayenera kukhala ndi ntchito yayikulu ya lipase, osagwirizana ndi madzi a m'mimba, onetsetsani kuti ma enzymes amatuluka m'matumbo ang'ono, ndikulimbikitsa chimbudzi cha patsekeke. Enzyms mu mawonekedwe a ma micronanules amafanana ndi izi.

Popeza ndi lipase kuchokera ku michere yonse ya kapamba yomwe imataya ntchito mwachangu, kukonza kumapangidwira poganizira momwe zimakhalira pakamwa ndi zovuta za steatorrhea. Mphamvu ya chithandizo imayesedwa ndi zomwe zili elastase mu ndowe komanso kuchuluka kwa kuchepetsa kwa steatorrhea. Kukonzekera kwa enzyme kumathandizanso kuthetseratu kupweteka, kuchepetsa yachiwiri ya matenda a m'mimba, kupanga magwero a matenda am'mimba, komanso kukonza kagayidwe kazachilengedwe.

Kuwongolera kwa endocrine kusakwanira kumachitika ndi insulin. Ndi atrophy ya kapamba, zisumbu za Langerhans zimasungidwa pang'ono, chifukwa chake, insulin m'thupi imapangidwa, koma yaying'ono. Mlingo ndi dongosolo la insulin makonzedwe zimatsimikiziridwa payekhapokha kutengera njira ya matenda, chinthu, komanso kuchuluka kwa kuwunika kwa shuga m'magazi. Kukhazikitsidwa kwa kukonzekera kwa enzyme kumathandizira kuti ntchito ya pancreatic ikhale yambiri komanso chakudya cha metabolism. Chifukwa chake, dongosolo la insulin mankhwala limatsimikiziridwa kutengera mlingo ndi mphamvu ya enzyme m'malo.

Chofunikira pakuwongolera kothandiza kugaya chakudya ndi mawonekedwe a matumbo microbiocenosis, popeza kugwiritsidwa ntchito kwa ma enzymes kumapangitsa kuti zinthu zizipsa. Ma Probiotic, prebiotic amagwiritsidwa ntchito. Mankhwala othandizira a Vitamini amawonetsedwa jekeseni, komanso magnesium, zinc, ndi kukonzekera zamkuwa.

Mankhwala othandizira

Mankhwala othandizira opaleshoni ya matenda amenewa amachitika m'malo apadera. Zilumba za Langerhans zikuphatikizidwa, ndikutsatira ndikuchotsa ma gland ndi encyme. Komabe, popeza kuti atrophy nthawi zambiri imachitika chifukwa cha matenda oopsa omwe amakhala atanena kuti aphwanya chikhalidwe cha wodwalayo, chithandizo chotere sichichitika kawirikawiri.

Kodi atrophy imayamba liti?

Atrophic pancreatitis imalowa m'malo mwa matenda. Chifukwa cha kutupa kwambiri, maselo a ziwalo amafa. Pakukhululukidwa, amasinthidwa ndi minofu ya fibrous, yomwe sichita ntchito zowonekera, koma imangodzaza mipata yomwe imapangidwa. Kuchiza sikubwezeretsa acini wakufa. Komanso, njira ya atrophic imatha kukhazikika, chifukwa cha matenda ashuga, kuchepa kwamafuta. Nthawi zina, kuchepa kwa ntchito ya ziwalo kumachitika chifukwa cha ukalamba wa thupi.

Pancreatic mafuta osowa ndikusintha kwa minofu ya limba ndi mafuta. Zotsatira zake, ntchito zachinsinsi zakunja ndi zamkati zimasowa.

Kodi mumakumana ndi zochitika za pancreatic atrophy ziti?

Ngati mwadwala matendawa mobwerezabwereza ndi kapamba ndi mapangidwe akulu a necrosis,
kumwa mowa nthawi zonse
kudwala matenda ashuga
Zakudya za tsiku ndi tsiku zomwe zili ndi zakudya zamafuta ambiri,
khalani ndi matenda a autoimmune okhudza kapamba,
adachitapo chiwalo kapena akudwala khansa ya kapamba.

Chithunzi cha morphological cha matendawa chimatha kuyimiridwa ndi cysts, foci ya necrosis komanso kulowetsedwa.

Kusintha kwa atrophic mu gland nthawi zonse kumakhala kofanana ndi okalamba. Komabe, pakali pano kunenepa kwambiri padziko lonse lapansi komanso kufalikira kwa matenda kapamba, matendawa amapezekanso mwa anthu okalamba.

Ndi zizindikiro ziti zomwe zimawoneka ndi matendawa?

Chithunzi cha chipatala cha atrophy chimayamba pang'onopang'ono. Monga lamulo, zizindikiro za matendawa zimatha kupezeka zaka 10 mpaka 10 kuchokera pakuyamba kufalikira kwa matendawa. Anthu omwe ali ndi matenda oterewa amakhala ndi mawonekedwe: khungu limakhala lotumbululuka, losalala, komanso louma kukhudza. Odwala ndi ochepa thupi, koma anthu onenepa kwambiri amapezeka koyambirira kwa matendawa.

Madandaulo akuluakulu a wodwalayo ndi chimbudzi: kusadya bwino, kusanza, kusanza, kutulutsa chakudya mutatha kudya, kutsegula m'mimba komanso kuwotcha.

Steatorrhea ndi mafuta ochulukirapo omwe amapezeka mu ndowe. Mpando umakhala wowoneka ngati madzi pang'ono, osasunthika mafuta, osasambitsidwa bwino pazitseko za chimbudzi.

Komanso, odwala amakhala ndi ululu wammbuyo mu hypochondrium yamanzere. Koma njira ya atrophy imachepetsa ululu. Chifukwa chake, pambuyo pakupanga kwa fibrotic m'malo mwa gland, ululu umayamba kusweka kapena kuzimiririka. Palibe chithandizo. Lilime la wodwalayo limasandulika red kapena rasipiberi. Nthawi zina mapangidwe a malo amapezeka.

Mchira wa gland ukakhudzidwa, odwala amakhala ndi zizindikiro za matenda ashuga. Chowonadi ndi chakuti ma cell a kapamba amatulutsa insulin ndi glucagon. Ma hormone awa amawongolera kagayidwe kazinthu. Zizindikiro za matenda ashuga zimayamba pang'onopang'ono. Pankhaniyi, pali ludzu losatha, kuyabwa kwa khungu, magawidwe a mkodzo wambiri.

Mfundo Zachithandizo

Kuchiza kuyenera kuyamba ndi kudya. Ndi kapamba, ndikofunikira kupatula nyama yamafuta. Patsani zokonda kalulu, nkhuku ndi nkhuku. Ndikofunika kuphika makamaka kapena kuphika. Ndizololedwa kuphika mbale zam nyama. Zakudya zamapuloteni ziyenera kupezeka m'zakudya. Mutha kugwiritsa ntchito mapuloteni amasamba (soya, nyemba, mphodza). Kuchuluka kwa muffin, ufa ndi chokoleti ziyenera kuchepetsedwa. Ndi zizindikiro za matenda ashuga, chithandizo chimathetseratu kugwiritsa ntchito maswiti. Muyeneranso kuchepetsa kwambiri zamafuta.

Komanso, chithandizo chimakhudzanso kusintha kwa kadyedwe. Wodwala ayenera kukana kudya kwambiri komanso kudya maphwando ambiri. Chakudya chimatengedwa m'magawo ang'onoang'ono. Muyenera kudya osachepera 5-6 patsiku. Kudya pafupipafupi kotereku kumathandizira kutsitsa. Ma enzyme ochepa azikhala okwanira kugaya michere.

Chithandizo chimaphatikizanso kuletsa mowa ndi kusuta. Mowa umakhala ndi poizoni pakhungu lowonongeka. Ndipo kusuta kumalimbikitsa kubisalira pakasowa chakudya. Izi zimakhudza mucosa wam'mimba thirakiti.

Cholinga chofunikira cha chithandizo cha mankhwala ndichilengedwe. Kuti muchite izi, gwiritsani ntchito mankhwala a Creon, Pancreatin, Mezim, Hermitage. Mankhwalawa amawayambitsa kudya ndikumawagwiritsa ntchito pafupipafupi.

Chithandizo chitha kuphatikizidwa ndi mankhwala a antispasmodic. Drotaverin, No-shpa, Odeston amatengedwa kupweteka. Amapumula minofu yosalala ya ma sphincters, kusintha magwiridwe antchito a zimbudzi za m'mimba.

Kupewa

Pancreatic atrophy ndichinthu chowopsa m'moyo. M'malo mochiza matenda opangidwowa, ndibwino kuti mupewe kuchitika. Kuti izi zitheke, ndikofunikira kuchitapo kanthu panthawi yake chithandizo cha matenda omwe adalipo. Moyo wokangalika ndi mankhwala abwino kwambiri ochiritsira matenda onse, pancreatic atrophy sichoncho. Zakudya zoyenera zimagwiranso ntchito yofunika. Ngakhale munthu wathanzi amafunikira kudya mapuloteni, mafuta ndi zakudya zingapo tsiku lililonse. Mwa maswiti, amakonda zipatso, zipatso ndi ndiwo zamasamba, chifukwa zimakhala ndi michere yambiri, kufufuza zinthu ndi ma amino acid, omwe amafunikira thupi la munthu.

Mwachidule. Pancreatic atrophy ndi kuchepa kwa misa. Izi zimakhumudwitsa dongosolo logaya chakudya ndipo zimapatsa munthu ululu komanso kusasangalala. Pofuna kupewa mapangidwe a atrophic, muyenera kutsatira moyo wathanzi (osasuta, osamwa zakumwa zoledzeretsa pafupipafupi komanso zochuluka). Zakudya za tsiku ndi tsiku ziyenera kukhala zofanana, popanda kudya kwambiri. Ngati muli ndi matenda a shuga mellitus, muyenera kudzipatula pakudya maswiti, chifukwa ichi chingakhale chifukwa chomwe amapangidwira.