Kukanidwa zotsatira za kapamba

Chiwalo chofunikira kwambiri m'mimba ya m'mimba ndi kapamba. Ndipo ngati tilingalira kuti zolephera zimayamba m'ntchito zake, ndiye kuti izi zitha kutsogolera thanzi lonse.

Ngati kapamba akalephera, zizindikiro zake zimawonekera bwino:

kupweteka kwambiri mu hypochondrium wamanzere,
lamba m'chuuno
ukufalikira
kusanza mseru, osayima, ndi kuwonjezeka kwa kusanza kosayenera,
kupweteka kupindika.

Kugwidwa kovuta kumakhala kovuta kupumula, ma antispasmodics ndi ofooka, kusanza kumakhala kosalamulirika, m'mimba kukokana.

Zizindikiro zolephera za pancreatic

Ndi kuwunika kwamphamvu kwa wodwala, kuwonjezeka kwa kutentha kwa zizindikiro zam'munsi kumatsimikiziridwa.

Zizindikiro zowonjezera zomwe mutha kudziwa kulephera kwa kapamba ndipo musazisokoneze ndikuwonetsa matenda ena:

kutsegula m'mimba
kuchuluka pagulu Reflex,
tachycardia
kutentha kwadzidzidzi ndi thukuta,
chikaso cha khungu ndi mapuloteni amaso.

Pancreatitis yosachiritsika imatenga mawonekedwe osachiritsika ndipo amakula nthawi ndi nthawi, makamaka ngati kuphwanya zakudya, mutatha phwando kapena phwando lakumwa ndi nyanja yamowa. Matenda apakhungu a pancreatitis amadziwika ndi kukulira kwa kapamba, kenako ndimamva kuphulika kwa nthiti, kuvuta kupuma.

Ndi herpes zoster, ululu umakhala waukulu kwambiri kotero kuti amatha kusokonezedwa mosavuta ndi mawonekedwe a osteochondrosis, cholecystitis, pyelonephritis, appendicitis. Kulephera kwa kapamba ndizosadabwitsa kusokoneza, chifukwa ndi mphamvu yonse ya ululu, ndizosiyanasiyana - kukoka kosasunthika, kudula lakuthwa, kupindika kwambiri kapena kwa masiku angapo mosalekeza kupweteka kwapakati.

Zoyenera kuchita ngati kapamba walephera?

Mulimonsemo, zoyambirira zomwe zimachitika pancreatic kulephera akutenga antispasmodics, painkillers, anti-yotupa mankhwala, kusinthana ndi chakudya chamagulu anowa, zakumwa zamchere. Ndi labu yotsimikizira kupatuka mu misempha ya shuga, insulin imayikidwa kwa wodwala, pamodzi ndi mankhwala okhala ndi ma enzymes.

Zinthu zosangalatsa pamutuwu!

Kasitomalayu ndiye amachititsa kuti pakhale ma enzymes ena, kuphatikizapo insulin. Ndi kapamba.

Matenda a kapamba nthawi zambiri amayambitsa kusokonezeka kwamatumbo, omwe, omwe amatha kubweretsa chitukuko.

Kuwoneka kwa madontho ofiira pamthupi la wodwala yemwe ali ndi chifuwa cham'mimba, gastroenterologists amaphatikizana ndi kufalikira kwamatenda. Nthawi zambiri zofanana.

Kodi ndi ndani?

Agiriki akale amadziwa za izi ndipo amazitcha "kapamba". Zikondazo zimatulutsa madzi a kapamba - zimakhala ndi michere yonse yofunikira yomwe imathandizira kugaya mapuloteni, mafuta ndi chakudya m'matumbo. Ndipo ntchito yake yachiwiri ndikupanga mahomoni, titi, insulin yomwe imadziwika ndi aliyense: imayang'anira kuchuluka kwa shuga m'magazi. Ngati kutulutsa kwa ndulu kwatsekedwa ndi, mwachitsanzo, ndulu, ma enzyme sangathe "kutuluka", khalani pachiwopsezo ndikuwononga maselo ake. Pali kutupa - kapamba. Ikhoza kukhala yovuta komanso yopanda matenda.

Zomwe kapamba imayatsidwa

Choyamba, amabwezera kwa ife chifukwa cha zolakwa zathu. Malo oyamba mu "provocateurs" amagawidwa ndi matenda oledzera ndi ndulu: izi ndizoposa 70% ya milandu. Mwa njira, pancreatitis pachimake ikhoza kuyamba mwa osamwa ngati "adutsa". Mwambiri, akatswiri akuti, pali zifukwa zopitilira zana za matendawo. Zodziwika bwino:

● matenda a duodenum (duodenitis, chironda chachikulu),

● kumwa mankhwala ena (okodzetsa, sulfonamides, ndi ena otero),

● matenda (a chiwindi a hepatitis B, C),

● matenda a metabolic,

Chifukwa chiyani izi zili zowopsa?

Pancreatitis pachimake imatha kulingaliridwa monga mafashoni a kanema owopsa. Enzymes "amasungunula" maselo a kapamba, ndipo ngati njirayo ndi yotopetsa kwambiri, mtima ndi kupuma, komanso kulephera kwaimpso kumayamba ... Inde, madokotala amachita chilichonse kuti apulumutse wodwalayo, koma ngakhale pamene chiwopsezo chikhala kuti chatsalira, vuto lalikulu lingachitike. . Phulusa la nkhondo yaposachedwa ndimatenda omwe amapha.

Matenda a kapamba sakhala okhathamira, koma, mosiyana ndi pachimake, amatsogolera kusintha kosasintha kwa kapamba. Maselo "omwe amagwira ntchito" omwe amasinthidwa amasinthidwa ndi ma cell omwe ali ndi ma cell omwe sangathe kupanga ma enzymes ndi mahomoni. Zotsatira zake ndi matenda matumbo, kukula kwa matenda ashuga. Nthawi zina kupweteka kwamatumbo kumayambitsanso khansa ya kapamba.

Moni, mwachangu?

Kupweteka kwam'mimba kosagonjetseka, kusanza, kusanza, kutentha thupi, kugunda kwamtima nthawi zambiri, - izi ndi zizindikiro zazikuluzikulu za kapamba. Zikakhala choncho

Zofunika:

● Nthawi yomweyo itanani ambulansi!

● kukana chakudya ndi zakumwa: kumakwiyitsa kapamba komanso kumapangitsanso kupanga michere.

Sizingatheke:

● imwani ma pinkil ndi mankhwala ena dokotala asanafike,

● Ikani chofufumitsa pamimba yanu.

Chitha:

● Kuti muchepetse ululu, ndi bwino kungokhala phewa pang'ono ndikuyika chofunda chamadzi oundana kumanzere kwa m'mimba, pansi pa nthiti. Kodi si kwathu kuja? Gwiritsani ntchito chikwama cha zakudya zokutira.

Mbiri yabodza

Mu chifuwa chachikulu, nkhope ndizosiyana. Pali mawonekedwe otchedwa ululu, chizindikiro chake chachikulu ndi kupweteka mu hypochondrium kumanja kapena kumanzere, kumbuyo. Amachulukana kwambiri pambuyo pa zakumwa zoledzeretsa, zamafuta kapena zonunkhira. Matenda a dyspeptic amadwala matenda opatsirana pafupipafupi, osasokoneza chakudya chotsalira, ndimalandidwe.

Komabe, pali mtundu wa asymptomatic wa chifuwa chachikulu, kwa nthawi yayitali munthu samazindikira za matendawa.

M'chipatala komanso kunyumba

Kodi kutupa kwa kapamba kumachitika motani? Pachimake pancreatitis - kokha kuchipatala, ndi "kutentha" kuukira kosagonekanso kuchipatala ndikofunikira.

"Kuti muthandize pancreatitis moyenera, muyenera kumvetsetsa zomwe zikuchitika," atero mayeso a gastroenter Lyudmila Zharkova, ", kuyesedwa kwadzidzidzi (x-ray, ultrasound, etc.) kumachitika nthawi yomweyo kuchipatala ndipo kuyezetsa koyenera kumachitika. Ndi kufatsa komanso kupatsa mphamvu kwa pancreatitis pachimake, choyambirira, ndikofunikira kuthetsa kupsinjika ndi kupweteka ndikutchinjiriza kupanga michere ya kapamba, kuphatikiza kuledzera komanso kupewa kutaya madzi m'thupi - wodwala amapatsidwa shuga ndi shuga. Masiku awiri kapena atatu - alibe chakudya, koma muyenera kumwa kwambiri - mchere wamchere wamchere wopanda mpweya. Dokotala atha kukulemberani mankhwala othandizira.

Koma zochitika zake ndizosiyana: mwachitsanzo, kapamba ya pachimake imatha kuyambitsa kupuma, hypoxia. Chifukwa chake, timafunikira chithandizo cha oxygen kudzera pa chigoba, ndipo nthawi zina chithandizo chotsitsimutsa, ndipo izi ndizotheka kuchipatala. Vuto lalikulu ndikulephera kwa impso, kenako wodwala amafunika kuyimba. Mitundu ina ya pancreatitis pachimake imafuna opaleshoni yodzidzimutsa.

Chithandizo cha matenda apakhungu a pancreatitis nthawi zambiri chimakhazikika: dokotala amalembera mankhwala kuti athetse ululu, michere ngati kapamba amatulutsa ochepa. Nthawi zina insulin imafunikanso kuwongolera kuchuluka kwa shuga m'magazi. Ndipo koposa zonse - chakudya, ndi chomwe chimapulumutsa kuchokera ku kubwerera m'mbuyo.

Kodi kudya ndi kapamba?

Chitha:

Zopangira mkaka, ma protein opukusira, nyama yokhala ndi mafuta ochepa, nkhuku, nsomba, chimanga - oat, Buckwheat, mpunga, masamba, ophika ndikuwotchedwa mumayeretsedwe (mbatata, kolifulawa, kaloti, squashi, dzungu, beets, nandolo wobiriwira), zipatso ndi zipatso - yosenda yaphika kapena yophika.

Sizingatheke:

Mtedza, bowa, nyemba, ma broth amphamvu, mafuta, zokometsera komanso zowawasa, masoseji, masoseji, masoseji, mafuta, nyama zakumwa, zipatso, zipatso, mkate, mapira, zipatso zophika, makeke , makeke, chokoleti, ayisikilimu, mowa, kvass, khofi, zakumwa zoledzeretsa.

Mwa njira

Odwala ayenera kuchepetsa kwambiri kugwiritsa ntchito mchere. Choyenerera ndikuphika chofewa. Batala kapena mafuta a masamba amatha kungowonjezeredwa ku mbale yomalizidwa: mafuta omwe amathandizidwa ndi kutentha ndi oyipa kwa kapamba.

Ndemanga Katswiri

Nutritionist Marina Uvarova:

- Pambuyo pancreatitis pachimake, munthu nthawi zambiri "amasunga" pazakudya. Koma zolembedwa - zovuta kwambiri: zoletsa zina za chakudya zimakhalabe ndi moyo pafupifupi. Kodi tingatani kuti tithane ndi vuto la wachibale yemwe akudwala? Phunzirani kuphika bwino. Mwa njira, zakudya zambiri zomwe zimatha kukhala chakudya cha golidi banja lonse - ichi ndi chakudya choyenera komanso chabwino chomwe chidzateteza ku matenda am'mimba ndi ena ambiri, ndikusunga chiyanjano.

Ndikofunika kwambiri kuti wodwala asatalikirane ndi mavuto ake. Zachidziwikire, mwezi ukatha kukokoloka, zakudya zimayenera kuyang'aniridwa kwambiri (panjira, muyenera kukhala pakudya pakudya panthawi ya chimfine, chimfine ndi matenda ena, ndikuwonjezera matenda osachiritsika). Kenako, pakatha miyezi isanu ndi umodzi, pang'onopang'ono mukulitse. Kodi zonse zili bwino?

Zabwino Pang'onopang'ono mutha kubwerera ku zakudya zanu zamasiku onse (kumene kulibe mafiriji), mudzisamalire ndipo musagwiritse ntchito mankhwala owopsa. Ngati chikhululukiro chikulimbikira, mutha kugula kapu yaying'ono ya vinyo wopepuka pa gome la zikondwerero. Ingokhalani osakudya saladi Olivier. Koma chidutswa chansomba chofiira chimakhala chokwanira kugula. Mbiri sikuyenera kukhala yochulukitsa: gland iyenera kugwira ntchito popanda mavuto. Musakhale ndi njala pakudya gawo laling'ono, kapu yamadzi ingakuthandizeni ngati mumamwa theka la ola musanadye. Ndipo musaiwale lamulo lina: yesani kudya nthawi yomweyo kuti kapamba sigwire ntchito pachabe.

Gawani izi:

Munkhani zoulutsa nkhani, chomwe chimapangitsa kuti Vladislav Galkin (wazaka 38) aphedwe, "chidapangidwa ngati" mtima pachimake womwe unabuka pachiwopsezo cha pancreatitis yayikulu, "yomwe wopangayo adachita kuchipatala cha Botkin.

Pancreatitis ndi kutupa kwa kapamba, mphamvu zake zomwe m'thupi ndi zokulirapo chifukwa cha matenda ake ziwalo zina zonse zitha kufa. Chifukwa chake, liwu lodziwika pofufuza nkhaniyi ndi "pancreatitis", osati "mtima kulephera". Kupatula apo, anthu onse pamapeto pake amafa chifukwa choti mtima wawo umasiya kugunda, koma akatswiri amisala amayang'ana zomwe zinayimitsa izi - monga momwe amanenera, "choyambitsa imfa." Pancreatic necrosis (mtundu wowopsa kwambiri wa kapamba: kutupa kumakhala kwambiri kotero kuti maselo a kapamba amafa) - izi ndi zomwe zimapangitsa, ndipo kumangidwa kwa mtima ndi zotsatira zake.

Zikondamoyozo zimalemera pafupifupi magalamu 80 ndipo zimawoneka ngati chidutswa cha yisiti yaphokoso yofewa. Ili "kuseri kwa m'mimba", lomwe limawonetsedwa mu dzina la Russia. Agiriki akale adapeza chitsulo, koma chifukwa chake samadziwa chomwe chinali. Malingaliro adayikidwa patsogolo, mwachitsanzo, kuti uku ndikolumikizana kwa m'mimba, kudzipatula ndi msana. Kwa zaka zana khumi ndi zisanu zotsatira, asayansi adapitilizabe kugawa thupi ngati chithunzi cha ana - m'magawo akulu: mtima, mapapu, chiwindi, ndi zina zambiri.

Ntchito za kapamba zinayamba kumveka pokhapokha pa zaka za zana la 20.

Thupi limagwira ntchito pambali ziwiri. Kutsogolo kwake ndi chimbudzi, zochulukitsa za nduluzo zimagwira ntchito yake: kudzera m'madontho apadera, imayika ma enzyme kumtundu wa m'matumbo omwe amatha kugaya mwachangu chidutswa cha kebab kapena mbatata yokazinga.

Kutsogolo kwamkati ndikupanga mahomoni ofunikira kwambiri (insulin ndi glucagon), omwe, kulowa m'magazi, amawongolera kagayidwe kazachilengedwe. Mu makina oonera zinthu zing'onozing'ono, chitsulo chimafanana ndi tchizi cha ku Switzerland, pomwe m'malo mwa mabowo, malo opangira mahomoni, ndipo "tchizi" palokha ndi maselo omwe amapanga ma enzymes. Ngati pazifukwa zina kutuluka kwa michere yogaya chakudya m'mimba ikasokonekera, ndiye kuti "idzadzigaya" ndi liwiro la mphezi. Njirayi ndi pancreatic necrosis.

Tsopano tangolingalirani: kutulutsa kwadzidzidzi kumasefukira ndi michere yamphamvu kwambiri ndikuyamba "kudzimbidwa" yokha. Masamba otsekemera kwambiri amafa (necrotic), necrosis imafalikira kwa ziwalo zoyandikana. Makoma amatumbo oyandikana ndi nduluyo amayamba kuyatsidwa, "kumasuka", kupatsanso mpweya, ndipo mabakiteriya am'matumbo amatulutsa chotchinga ichi mosalephera, ndikupatsira chilichonse chowazungulira. Poizoni wamagazi amayamba - sepsis. Miyezo yamadzi ndi mchere zimasokonekera. Zinthu zomwe zimathandizira kutupa zimamasulidwa. Koma si chikanda pakhungu loyaka, koma ziwalo zonse ndi kachitidwe. Impso, mapapo, chiwindi, matumbo amasiya kugwira ntchito. Magazi amayamba kugundana m'malo osayenera, ndipo kutuluka magazi kumachitika nthawi yomweyo. Pali zolephera zingapo.

Chiwembuchi sichili ngati chilichonse. Mu chiwindi ndi ndulu - malo awo ali kwenikweni ofanana ndi kapamba - tsoka lotere silichitika. Alibe ma enzymes a caustic, motero necrosis samakula, ndipo ali ndi mawonekedwe owoneka omwe amawateteza pakufalikira kwa njira zowopsa. Matenda ndiovuta kulowa m'mtima, chifukwa pafupi ndi ziwalozo ndi "zoyera" - mapapu ndi mitsempha yamagazi, ndipo zomwe zimayambitsa mtima necrosis zimalumikizana ndi mitsempha yokhazikika, osatinso kuti “mudzidya” mkati. Munthu yemwe ali ndi vuto la mtima popanda kulandira chithandizo amapulumuka mu 75 peresenti ya milandu, wokhala ndi pancreatic necrosis - konse.

Anthu osiyanasiyana amatenga pancreatic necrosis. Mu 10 peresenti ya milandu, chomwe chimayambitsa matendawa sichikudziwika, koma tikudziwa chinthu chachikulu chotsala 90 peresenti. Theka la odwala amamwa bwino, pafupifupi kuchuluka komweko kwamiyala mu chikhodzodzo, chomwe, monga mukudziwa, chimatuluka chifukwa cha kusachita masewera olimbitsa thupi, kunenepa kwambiri komanso zakudya zosowa.

Muli otetezeka, ngati thupi lanu limakhala lochepera 25, tsiku lililonse mumayenda mwachangu kwa mphindi 30 mpaka 40 mosalekeza. Mumakhala ndi kadzutsa, nkhomaliro, chakudya chamadzulo ndi kangapo, ngati mukumva njala. Simumamwa osaposa magalasi awiri a vin (kapena magalasi awiri a vodka) patsiku ndipo mulibe chizolowezi chomamwa kuposa magalasi anayi pa "tchuthi". Khalani athanzi!

Zomwe zimagwira ntchito kapamba

Chiwalo chaching'onoachi chimagwira ntchito zingapo zofunika mthupi: kupukusa chakudya, kunjenjemera komanso kusokoneza bongo. Gland ili m'dera la retroperitoneal, chikwama cha omentum chimalekanitsa ndi m'mimba.

Pafupi ndi kapamba pali dzenje, lamanzere lamanzere ndi msempha. Chiwalocho chimagawidwa m'madipatimenti angapo: mchira, thupi ndi mutu.

Madzi a pancreatic amalowa m'matumbo kudzera mu dambo la Wirsung. Koma musanalowe m'mimba, imalowa mu duct ya bile.

Gland ya Parenchymal imakhala ndi magawo awiri okhala ndi mawonekedwe osiyana:

Zilumba za Langerhans. Pakadali pano, insulin ndi glucagon zimabisidwa.
Gawo lodana. Amatulutsa madzi a pancreatic.

Kodi kapamba amakana chiyani? Zomwe zimayambitsa matenda a m'mimba m'mimba nthawi zambiri zimakhala zoperewera.

Ntchito ya nduluyo ikasokonekera, ndiye kuti singakhudze zovuta zake. Ndi kukula kwa kutupa, njira yodzigaya-yokha imayamba, chifukwa chomwe ma enzyme a ziwalo amawonongeka.

Choyambitsa chachikulu cha kukanika kwa gland ndi kumwa mowa kwambiri komanso kudya mopatsa thanzi. Zinthu ngati izi zimayambitsa kuwonekera kwamatenda mu 70% ya milandu.

Zomwe zimayambitsa pancreatitis yovuta komanso yopweteka:

chibadwa
kuvulala chiwalo
kumwa mankhwala ena
matenda (mycoplasmosis, hepatitis virus),
matenda a ndulu
zovuta za endocrine.

Kuphatikiza pazifukwa zomwe zili pamwambazi, pali zinthu zingapo zomwe zikukhudza kukula kwa ziwalo zosiyanasiyana za thupi. Ngati kapamba amalephera ndi kapamba wa neancosis, ndiye kuti zinthu zina zomwe zimayambitsa vuto lingakhale cholelithiasis, cholecystitis.

Khansa ya chiwalo cha parenchymal imayamba chifukwa cha kusuta, kudya kwambiri, kukhalapo kwa matenda osachiritsika (shuga, kapamba). Odwala okulirapo kuposa zaka 60, makamaka amuna, ali pachiwopsezo cha oncology.

Zomwe zimayambitsa mapangidwe a cyst, kuphatikiza pazomwe tatchulazi, ndi: kukubwera kwa helminthic komanso kuchuluka kwa cholesterol m'magazi. Komanso zonyansa zimatha kukana kugwira ntchito ndi matenda ashuga.

Choyambitsa chachikulu cha matenda oopsa a hyperglycemia chimapezeka mu chibadwa chathupi. Zina zomwe zikudziwikiratu ndi kunenepa kwambiri, kupsinjika, ndi ukalamba.

Chithunzi cha matenda a pancreatitis pachimake komanso aakulu

Chizindikiro chachikulu cha kutukusira pachimake kwa "zotupa" ndikumva kuwawa. Poyamba, amapezeka m'dera la epigastric komanso mu hypochondria. Kenako kusokonezeka kumatha kumveka kumbuyo ndi m'mimba.

Zizindikiro zodziwika bwino za kapamba zimaphatikizira kusanza pafupipafupi, komwe kumayambitsa kusowa kwamadzi, kumanga, kusefukira kwam'mimba, kutsegula m'mimba, kuwonda mwadzidzidzi, pakamwa kowuma. Matenda a wodwalayo akayamba kuipira, kutentha kumawonekera (mpaka madigiri 40), hypotension imayamba ndipo kugunda kwa mtima kumawonjezeka.

Nthawi zambiri matendawa amayenda limodzi ndi kutsindikiza kwa chizindikiritso. Ndipo nkhope ikatembenuka, ndiye kuti ndikuwonetsa mtundu wamatenda, momwe poizoni wowopsa umachitika ndi vuto la kufalikira kwa magazi.

Gawo lachitatu la odwala omwe ali ndi pancreatitis pachimake amakhala ndi chizindikiro monga jaundice. Nthawi zina mawanga amawoneka pamabowo, kumaso ndi m'mimba, ofanana ndi petechiae kapena kukha magazi. Zotupa zazikulu zakumaso zimatha kuchitika kumbuyo, m'mimba, ndi pachifuwa.

The aakulu mawonekedwe a pancreatic kutupa amadziwika ndi m`malo wathanzi lamoyo maselo ndi zolumikizana minofu. Njira ya matendawa amagawika magawo awiri - pachimake komanso kukhululuka. Chifukwa chake, kutengera gawo la matendawa, kuchuluka kwa zizindikirazo zimasiyanasiyana.

Wodwalayo amatha kuvutika ndi kupweteka kosalekeza kapena kwakanthawi. Nthawi zambiri amapezeka akudya epigastric kapena hypochondrium mphindi 30 atatha kudya.

Nthawi zambiri ululu umaperekedwa kwa tsamba, kumbuyo, miyendo ndi chifuwa. Ngati ndulu zonse zakupuka, ndiye kuti vuto lakelo limakhala ndi chikhalidwe chomangirira. Komanso, kusapeza bwino nthawi zambiri kumayendetsedwa ndi mseru komanso kusanza.

Ndi kuchulukirachulukira kwa chifuwa chachikulu, wodwalayo amakhalanso ndi vuto lofanana ndi matenda a dyspeptic monga momwe amaphera matendawa. Komanso, wodwalayo amamva kufooka ndipo amatopa msanga.

Mu anthu omwe akudwala matenda a kutupa kwa gland kwa zaka zopitilira 10, kulephera kwamankhwala kumachitika. Chifukwa chake, kuchepa kwa katulutsidwe ka madzi amadzimadzi kumathandizira kuti pakhale zizindikiro zingapo:

kukhumudwa katatu mpaka tsiku,
chisangalalo
ndowe ndi zonyezimira, imvi, imakhala yofanana ndi phala komanso fungo losasangalatsa.

Odwala ambiri, mosiyana ndi momwe nthendayi imayendera, matendawo amaperewera m'thupi. Chifukwa chake, ndi kutupa kosatha kwa kapamba, wodwalayo amakhala ndi vuto la mafupa, anorexia, dysbiosis ndi kuchepa magazi.

Kuchulukitsa kwa matendawa nthawi zambiri kumabweretsa kukula kwa boma la pre-hypoglycemic state komanso kutsekeka pambuyo pake. Zochitika zoterezi zimatha kuzindikira zizindikiritso zingapo: kufooka kwambiri, kunjenjemera mthupi lonse, thukuta lozizira, kukomoka.

Kutsika kwa nthawi yayitali kwa kapamba kumawonjezera mwayi wodwala yemwe ali ndi vuto lowopsa monga matenda a shuga. Koma izi zimachitika osati kokha mu kutupa kwakukula kapena kutupira kwakanthawi.

Komanso zotupa, ma cysts, ndi njira zina zowonongeka zomwe zimachitika mu chiwalo cha parenchymal zimasokoneza thupi.

Chifukwa chake, ndikofunikira kudziwa zomwe zizindikiro zimayendera ndi matenda ena owopsa a kapamba.

Zizindikiro zomwe zikuwonetsa kulephera kwa gland mu khansa, cysts, shuga, miyala, ndi pancreatic necrosis

Ndi ma cysts omwe amapezeka pancreas, kapisozi kamapangidwa mu gawo lomwe madzi amadzaza. Maphunziro amatha kuwoneka m'mbali iliyonse ya gland. Zizindikiro zake zimakonda kupezeka chotupa chikakhala chachikulu ndikugonjera ziwalo zapafupi.

Ndi chotupa, wodwala amatha kupweteka m'mimba yapamwamba. Sizachilendo kuti munthu achepetse thupi kwambiri komanso kuvutika kudya m'mimba.

Kupanga kwakukulu kumakhala palpated nthawi ya palpation. Chotupacho chimakakamiza ziwalo zapafupi, zomwe zimasokoneza kutuluka kwa ndulu. Chifukwa chake, wodwalayo amatha kusintha mtundu wa ndowe ndi mkodzo.

Pamaso pa cyst mu kapamba, munthu amakhala wopanda mphamvu. Ngati matenda alowa, ndiye kuti zizindikiro monga kupweteka kwa minofu, kutentha thupi, migraines ndi kuzizira kumawonekera.

Zizindikiro zakulephera kwapancreatic ndi mapangidwe amiyala mu chiwalo:

kupweteka kwa paroxysmal komwe kumachitika m'mimba kumtunda ndikufikira kumbuyo,
mukasuntha miyala mu duct ya bile, mawonetseredwe a jaundice ovuta
kugaya chakudya nthawi zina kumakhalapo.

Mu pancreatic necrosis, pamene ziwalo za thupi zimwalira, pamakhala mphamvu zamphamvu zopweteka za epigastrium kapena kumbuyo kwa sternum, zomwe nthawi zambiri zimawunikira ku kolala, kutsikira kumbuyo kapena kumbuyo. Mavutowa amatha kwambiri mpaka munthu amayamba kuzindikira.

Zizindikiro zina za pancreatic necrosis zimaphatikizapo pakamwa pouma, tachycardia, kupuma movutikira, kudzimbidwa, kusanza ndi mseru, kusefukira. Wodwalayo amadwala matenda otopa okhazikika. Chizindikiro cha matenda ndi mawonekedwe a peritoneum ya mawanga a cyanosis ndi khungu la nkhope.

Khansa ya pancreatic ndimachitika kawirikawiri, koma ndiowopsa, kotero kudalirika kwa kuchira nthawi zambiri sikuli bwino. Chotupacho chimakula msanga, zimakhudza mitsempha yapamwamba, mitsempha ndi ziwiya za ziwalo zapafupi.

Popeza khansa imakhudza kuchuluka kwa mitsempha, wodwalayo amamva kupweteka kwambiri. Pamaso pa chotupa, kuwonda msanga, ludzu losatha ndi kusanza kumadziwika, chifukwa cha kukakamizidwa kwa mapangidwe pamimba.

Komanso, odwala amadandaula pakamwa pouma, kumva kupsinjika mu hypochondrium yoyenera komanso chopondapo chopepuka (chopondapo chamadzimadzi chokhala ndi fungo losasangalatsa). Odwala ena, nembanemba ndi khungu limasanduka chikaso, chifukwa cha kusachita bwino mu kutuluka kwa ndulu.

Ngati kuchuluka kwa glucagon kupangidwa ndi chotupa cha pancreatic, wodwalayo amasokonezedwa ndi dermatitis, ndipo glucose imakulanso m'magazi ake. Khansa yamchiberekero ya parenchymal ndiyowopsa chifukwa imapatsa metastases oyambirira m'mapapo, chiwindi, ma lymph node, ndi zina zambiri. Chifukwa chake, ndikofunikira kuzindikira matendawa munthawi yake ndikuwathandiza moyenera omwe amapulumutsa moyo wa wodwalayo.

Kukhalapo kwa matenda ashuga kumatha kutsimikiziridwa ndi zizindikiritso zingapo:

kukodza pafupipafupi
kuwonda mwadzidzidzi popanda kusintha zakudya,
njala yosatha
dzanzi la miyendo
kupweteka m'mimba
kuwona kwakachepera
kusanza ndi kusanza
Khungu lowuma komanso loyera
ludzu
kuchiritsa pang'onopang'ono kwa mabala.

Chithandizo ndi kupewa

Chithandizo cha pachimake kapamba ndi kapamba chimachitika kuchipatala. Kuchipatala, okodzetsa amaperekedwa kwa wodwala, kuthetsa cramping ndi kuthetsa poizoni. Ngati ndi kotheka, analgesics, kusanza, antimicrobial ndi immunostimulating othandizira amagwiritsidwa ntchito.

M'masiku oyambirira a chithandizo, odwala ayenera kukana chakudya. Ndipo m'milungu ndi miyezi yotsatira, wodwalayo ayenera kutsatira zakudya zapadera.

Ndi kusagwira bwino ntchito kapena kusayenera kwa mankhwala azikhalidwe, opaleshoni imachitidwa, ndikudzikundikira kwa mafinya mu peritoneum - peritoneal lavage. Nicrotic minofu ya chiwalo imachotsedwa, ndi cyst, resection imachitika, ndi khansa, chemotherapy kapena radiation mankhwala.

Matenda a kapamba nthawi yochulukirapo amathandizidwa ndi chakudya. Kotero kuti kapamba samalephera, maswiti, zokometsera, zakudya zamafuta ndi amchere siziyikidwa pazakudya. Mowa uyenera kutayidwa paliponse.

Monga njira yothanirana, ndikofunika kusintha tiyi wamphamvu komanso khofi ndi mankhwala azitsamba a lingonberry, nettle, rose m'chiuno kapena dandelion. Ngati zingapo mwazodziwikazo zikuwoneka nthawi imodzi, muyenera kufunsa dokotala wa gastroenterologist kapena endocrinologist.

Zambiri pazizindikiro za matenda a kapamba zimaperekedwa mu kanema munkhaniyi.

Ntchito ya pancreatic

Udindo wa kapamba ndi wokulirapo

Monga tafotokozera pamwambapa, kapamba amachita ntchito zofunika kwambiri, chifukwa cha momwe thupi limagwirira ntchito momwe liyenera kuchitira. Ntchito zazikulu zomwe chitsulo chimachita ndikuphatikizapo:

Kupanga kwa ma enzyme, ndiye kuti, kutenga nawo mbali mwachangu pantchito yokumba. Ngati ma enzyme osachepera imodzi apangidwa yaying'ono kapena yayikulu, izi zimatha kudzetsa njira zosasinthika, chifukwa chomwe thupi limakhala ndi kupsinjika kwakukulu
Malangizo mu kagayidwe, monga kupanga maselo a insulin

Pomwe vuto litabuka ngakhale ndi ntchito imodzi mwazomwe zatchulidwa, kugaya ndi metabolism kumasokonekera, ndipo ndizovuta kwambiri kuibwezeretsa chifukwa chomwe kuphwanya sikungawoneke nthawi yomweyo. Nthawi zambiri, amapezeka pomwe palibe chomwe chingachitike.

Kuti muwonetsetse kuti ntchito za kapamba ndizochita zake, muyenera kudya moyenera. Chakudya choyenera komanso chabwino chomwe chimakhudza kupanga kwa michere yonse yofunikira.

Zizindikiro ndi zizindikiro za matenda apamba

Nthawi zambiri, anthu amanyalanyaza mawonekedwe aliwonse opweteka m'mimba, poganiza kuti izi zidzangochitika zokha. Koma, mwatsoka, ululu uliwonse, ngakhale wosakhalitsa, siwofala, zikuwonetsa kuti pali zovuta zina ndi kapamba. Chimodzi mwazizindikiro zazikuluzikulu zakuti matenda a gland akupanga kuchepa thupi, kenako, munthu akadya mwachizolowezi osatsatira zakudya zilizonse.

Zina mwazizindikiro zazikulu zamatenda, kuvutitsa chifukwa chosokoneza bongo, komanso kusanza, kumonekeranso momveka bwino. Kwa munthu wathanzi labwino kwambiri, izi zidzakhala zodabwitsadi ndipo zimakupangitsani kuti muzidzidalira. Maonekedwe a nseru akuwonetsa kuti njira za kugaya zimasokonekera, ndipo pomwepo kusanza kapena mseru kumayambitsa. Pali matenda ambiri a kapamba omwe ali ndi zizindikiro zawo zapadera. Zizindikiro zazikulu za mawonetsedwe zimaphatikizapo:

Ululu womwe umawoneka kwambiri kwambiri ndipo wapezeka pafupifupi m'chigawo cha nthiti zam'munsi, komanso kuchokera kumbuyo
Ululu wamtunduwu. Zimakhala zosalephera mphindi iliyonse, ndipo munthu sangathe kusuntha
Kupezeka kwa Refresh Reflex, komwe kumawonekera makamaka panthawi yapamwamba kwambiri. Pakadali pano, munthu amatha kusanza kopitilira kamodzi, ndipo kusanza kumakhala ndi fungo lonunkhira, zomwe zikuwonetsa kuphwanya chilengedwe chamchere m'mimba
Kulakalaka. Munthu amatha kusiya zakudya zomwe amakonda komanso kuchepetsa kuchuluka kwa zakudya patsiku, chifukwa sangafune kudya
Kutentha kwa thupi, komwe kumachitika ndi kutupa kwambiri kwa kapamba
Ululu umachepa ngati munthu akutsamira. Zowawa zimatha kudukiratu kapena kuchepa mpaka pomwe munthu adzakhale momwemo

Nthawi zina, Zizindikiro zimayamba mwachangu kwambiri kotero kuti munthu samamvetsetsa zomwe zidachitika. Zikakhala choncho, muyenera kuyimbira ambulansi nthawi yomweyo, chifukwa nthawi zambiri pamafunika chithandizo chambiri kuchipatala.

Zoyambitsa Matenda

Nkhani yothandiza? Gawani ulalo

Kwenikweni, choyambitsa chachikulu cha mavuto a kapamba ndi moyo wopanda tanthauzo, ndiko kuti, kumwa mowa mwauchidakwa kapena kusuta fodya kwambiri. Kuphatikiza apo, zakudya zimachita mbali yayikulu. Ngati munthu amadya kwambiri mafuta ndi zonunkhira, ndiye kuti ali ndi mwayi wowonjezereka wamavuto. Zomwe zimayambitsa zovuta komanso matenda osiyanasiyana ndi kapamba zimatha kuwerengedwa:

Mavuto ndi duodenum. Mu thupi la munthu, chilichonse chimalumikizana bwino. Ndipo ngati kulephera kumachitika pamalo amodzi, ndiye kuti izi zidzakhudzanso chiwalo china
Opaleshoni pamimba kapena ziwalo zina zam'mimba
Kuvulala kwam'mimba
Kumwa mankhwala omwe atha kukhala chifukwa chachikulu cholepheretsa ntchito za pancreatic, ndipo chifukwa chake, chitukuko cha matenda
Kulowa kwa matenda mthupi. Nthawi zambiri, munthu wamkulu sangasamale pang'ono pang'onong'ono, ngakhale zikuwonetsa kuti matenda alowa mthupi. Ndipo, monga lamulo, matenda oterewa ndi omwe amachititsa kusowa kwa kapamba
Kubadwa kolakwika mu kapamba. Izi nthawi zambiri zimaphatikizapo kupindika kwambiri kwa duct ya bile, kapena, kutalika kwake
Mavuto a metabolic omwe amabweretsa chitukuko cha matenda ena, chifukwa ziwalo sizilandira zinthu zofunika, kapena, mosiyana, zimalandira zochuluka kuposa momwe zimafunikira
Kusokonekera kwa mayimidwe m'thupi lanu. Izi zitha kuchitika chifukwa cha kupsinjika, komanso chifukwa cha chitukuko cha matenda ena.
Mavuto a mtima. Matenda a mtima amapangitsa kuti magazi amtundu wina amachepa, potero amachepetsa kuchuluka kwa michere ndi michere yofunika yomwe imalowetsa iwo
Khalidweli. Monga lamulo, ana omwe makolo awo ali ndi matenda a pancreatic nawonso atha kukhala eni ake matenda.

Zomwe zimayambitsa kukula kwa matenda a chiwalo ichi ndizambiri, ndipo, ndizovuta kwambiri kuwongolera chilichonse. Ndiye chifukwa chake, ngati vuto lililonse la kupweteka limachitika, ngakhale litakhala lopilira komanso lopanda vuto lililonse, muyenera kufunsa dokotala kuti mumupatse upangiri, popeza ndi iye yekha amene angadziwe zoyenera ndi zovuta.

Pancreatitis

Ululu ngati chimodzi mwazizindikiro zazikulu za matenda a kapamba

Chimodzi mwa matenda ofala kwambiri a chiwalochi ndi kapamba. Pancreatitis ndichotupa chachikulu chotupa chonse. Pali mitundu iwiri ya kapamba - pachimake komanso aakulu. Zizindikiro ndi zizindikiro zotsatirazi ndizomwe zimapangitsa kuti pakhale pancreatitis yayikulu:

Zowawa m'mimba
Kuwonjezeka kwakukulu kwa kutentha kwa thupi
Kupanga kwamphamvu kwa mpweya
Mavuto ndi chopondapo, chomwe ndi kutsekula m'mimba, komwe kumatha kukhala 10 mpaka 15 patsiku
Kuthetsa madzi m'thupi kwambiri. Kuthetsa magazi kumachitika chifukwa cha matenda otsekula m'mimba, omwe amachotsa pafupifupi madzi onse m'thupi.
Kusanza, komanso nthawi zina kusanza, komwe kumapereka mpumulo
Zosangalatsa pamtima
Pakamwa pakamwa
Kupuma pang'ono
Jaundice Chizindikiro ichi chimakhala chosowa kwambiri, komabe chimadziwika ndi zizindikiro zazikulu za pancreatitis pachimake.

Zina mwazomwe zimayambitsa pancreatitis yayikulu ndi:

Biliary thirakiti matenda
Mapangidwe a miyala
Analandira zoopsa, ndipo chifukwa chake, opaleshoni ikuthandizira
Mavuto okhala ndi ziwiya zomwe zimatsogolera kuperewera kwa ziwalo zopezeka ndi oxygen
Matenda omwe amalowa mu duodenum
Kutupa kulikonse komwe kumachitika ndi chiwalo chilichonse cham'mimba
Thupi lawo siligwirizana
Kuwonekera kwa poizoni

Ngati tikunena za mtundu wa kapamba, ndiye kuti zotsatirazi ndi izi:

Ululu wopweteka womwe umabweretsa kusapeza bwino
Kumverera kolemetsa mu hypochondrium yamanzere
Mavuto ndi chopondapo, chomwe chitha kuonekera ngati kudzimbidwa, komanso, kutsegula m'mimba
Mpando wokhala ndi zinyalala zopanda chakudya. Zili choncho chifukwa pali ma enzyme okwanira chakudya chabwinobwino.
Kuchepetsa thupi, zomwe zimachitika chifukwa chakuti michere yambiri siyatengedwa mthupi.

Zoyambitsa zazikulu zamatenda a kapamba zimaphatikizapo:

Chithandizo chovuta cha pachimake kapamba
Mavuto a mtima
Zakudya zopanda pake, monga kudya zamafuta kwambiri ndi zonunkhira zomwe sizimakola thupi
Matenda a chithokomiro
Mavuto akunyowa

Nthawi zambiri, matenda a kapamba amayamba kuvuta mchaka kapena kugwa. Kuphatikiza apo, tchuthi cha Chaka Chatsopano chisanachitike, anthu omwe ali ndi vuto lotere amalimbikitsidwa kuti ayambe kumwa ma enzymes othandizira kuti asinthe maphwando mosavuta komanso mosavuta.

Matenda a shuga

Zikondamoyo monga chiwalo chofunikira

Matenda a shuga ndi limodzi mwa matenda ofala kwambiri a kapamba omwe amachitika chifukwa cha kusapanga insulin. Nthawi zambiri, matenda a shuga amakula pang'onopang'ono, pomwe nthawi zina amawongolera zizindikiro zonse ndikulola kuti munthu azizolowere. Ndipo izi ndizowopsa. Zizindikiro zazikuluzikulu zomwe munthu ali ndi matenda a shuga zitha kunenedwa kuti:

Pakamwa pakamwa. Komanso, kumverera kudzakhala kosalekeza, ndipo ngakhale kumwa madzi ambiri, sikudutsa
Kuchulukitsa mkodzo
Kuchulukitsa kwakuthwa, ndipo nthawi zina kuchepa kwambiri kwa thupi
Khungu lowuma
Mapangidwe a pustules pakhungu
Kufooka kwa minyewa nthawi zonse
Olimba, ngakhale mabala ang'ono, amachiritsa kwa nthawi yayitali

Ngati matendawa adadutsa kwambiri, ndiye kuti m'maso munthu amatha kuwonongeka, mabala omwe amachiritsidwa kwakanthawi yayitali amayamba kuwoneka, kuzunza mutu kosalekeza, chikumbumtima champhamvu, komanso kununkhira kosalekeza kwa khungu la munthu. Zomwe zimayambitsa matenda a shuga zimaphatikizapo:

Khalidweli. Pangozi ndi omwe makolo awo kapena agogo awo adadwala
Kulemera kwambiri
Kupsinjika
M'badwo. Asayansi atsimikizira kuti munthu wamkulu, ndiye kuti akhoza kukhala ndi matenda a shuga

Chifukwa chakuti insulin ikasiya kupangidwa mthupi, iyenera kubwezeretsedwanso. Nthawi zambiri, odwala amapatsidwa jakisoni wa insulin. Ngati gawo la matenda a shuga ndilofatsa, ndiye kuti mutha kuchita ndi kumwa mapiritsi kapena kutsatira zakudya zovuta.

Zimayambitsa kulephera kwa kapamba

Pachimake kapamba - matenda akuluakulu a kapamba, ndi akulu komanso zovuta. Kukula mwachangu kwa matendawa ndikosavuta kuneneratu: wodwalayo amatha kufa patangopita maola ochepa kapena mkati mwa sabata loyamba pambuyo poyambira zizindikiritso zoyambirira. Zoyambitsa zikuluzikulu zomwe zimatsogolera kumayambiriro matendawa ndi zotsatira zake:

kumwa mowa mwauchidakwa (25-30%) - kumapangitsa kuwonongeka kwakulu kwa kapamba mwa amuna,
matenda a ndulu (40-70%) - amatsogolera ku imfa ya kapamba mwa akazi.

Kuphatikiza pa iwo, kusintha kwakukulu mu minofu ya pancreatic kumayambitsidwa ndi:

kuvutika m'malo opezeka ziwalo, kuphatikizira opaleshoni pa gland palokha kapena ziwalo zoyandikana,
zilonda zam'mimba zopweteka zam'mimba kapena duodenum ndikulowetsedwa m'mutu wa kapamba,
atherosulinotic zotupa zam'mimba zomwe zimayambitsa kukula kwa ischemia - kuphwanya magazi kumitsempha ndikusintha kwa necrotic mu minofu yake.
virsungolithiasis - miyala yomwe ili pamalo oyamba, ikuphwanya patency yake komanso kugawa madzi a pancreatic,
kwambiri chakudya chifuwa
matenda opatsirana ndi ma virus
hypoparathyroidism.

Pangozi ndi anthu:

Kugwiritsa ntchito zakudya zamafuta, okazinga ndi onunkhira,
ndi kutengera za kumtundu,
kunenepa kwambiri (chiwopsezo chachikulu cha kapamba kumachulukitsa katatu, kufa - 2).

Pazonse, mabukuwa amafotokoza zoposa 40 zomwe zimayambitsa kukula kwamphamvu kwa kutupa kwa kapamba. Chiwerengero chachikulu cha milandu chikulembedwa nthawi ya chisanu, m'chilimwe kuchuluka kwawo (makamaka zowonongeka) kumachepetsedwa chifukwa cha kusintha kwa chikhalidwe cha zakudya. M'chilimwe, kumwa zamasamba, zipatso, amadyera amakula, pomwe mafuta ndi nyama - zimachepa.

Zizindikiro ndi zizindikiro zakulephera kwa pancreatic

Zizindikiro zazikulu zakulephera kwa pancreatic ndi:

Malo omwe akumva ululu m'mimba ndi osiyana, koma 95% amapezeka kumtundu wa epigastrium, amatha kukhala herpes zoster. Mu 50%, chizindikiro cha ululu ndi champhamvu kwambiri, chotsatira ndi kuwonongeka. Kuphuka kumayambiriro kwa matendawa kumayenderana ndi kupweteka kwa ziwalo za m'mimba.

Ndikupima mozama, mwa munthu wamkulu komanso mwa mwana, zomwe zimachitika pambuyo poti ziwonetserozo zikuluzikulu. Zopezeka:

kuzungulira kwa khungu,
cyanosis
kupuma movutikira
tachycardia
dontho mu kuthamanga kwa magazi mpaka kugwa.

Palpation yam'mimba imawulula zowawa mu hypochondria ndi epigastrium, nthawi zina minyewa. Ndi chitukuko cha pancreatic necrosis, wolowa mu epigastric amamva. Kusokonezeka, komwe kumayendetsedwa ndi njira yayitali ya necotic mu kapamba, amadziwika ndi zovuta za ziwalo zingapo komanso amakhudza kuphwanya:

kupuma
zamtima
hepatic-aimpso ntchito.

Kuchulukirachulukira kwa pafupipafupi kwa kapamba kumayambitsanso kusokonezeka kwa kapamba. Kubwereza kulikonse, Zizindikiro zimachulukana, munthu amayamba kuchepa thupi, kutsekula m'mimba ndimtundu wamtundu (woduwa wokhala ndi mafuta a sheen komanso zinyalala zopanda chakudya) kumakhala kosalekeza, kupweteka kumawonjezeka, kukulirakulira, chilakolako chimatha, kufooka kumayamba pang'onopang'ono ndikuyamba kusiya kugwira ntchito. Ngati njira zachipatala zadzidzidzi sizitengedwa munthawi yake, izi zitha kuwopseza imfa ya wodwalayo.

Zotsatira zakulephera kwa pancreatic

Zikondwererozo zimakhala ndi malire. Zotsatira za kapamba zimatha kukhala zowopsa komanso zowopsa. Ndi hemorrhagic kapena mawonekedwe osakanikirana a pancreatic necrosis, mwayi wokhala ndi zotsatira zakupha umawonjezeka. Nthawi zambiri omwe amakhala ndi pancreatitis yovuta kwambiri, ayenera kuchitapo kanthu mwadzidzidzi, koma ngakhale pambuyo pake matendawo sakhala abwino nthawi zonse.

Kodi ndizotheka kubwezeretsa kapamba pambuyo pake polephera?

Pankhani yachipambano cha matenda opweteka kwambiri a pancreatic pambuyo pakuchita opaleshoni kapena mankhwala osokoneza bongo, wodwalayo amayenera kuchita zambiri kuti abwezeretse ziwalozo. Maselo otayika a pancreatic samabwezeretseka, motero, kwa moyo wapamwamba kwambiri, chakudya chokhazikika chokhazikika komanso kugwiritsa ntchito mankhwala osokoneza bongo ndi mankhwala. Pokhapokha ngati tikutsimikiza mwamphamvu malingaliro athu onse ndiye kuti titha kupewereranso ndi vuto labwino. Chithandizo, komanso kadyedwe, chimachitika moyang'aniridwa ndi dokotala yemwe amachititsa kukonza zakudya, komanso mankhwala omwe amamwa komanso mankhwala ake.

Chakudya chokhwima chimapitilira chaka chonse. Nthawi zambiri, muyenera kutsatira malamulo oletsedwa azakudya moyo wanu wonse. Maziko ndi tebulo No. 5p malinga ndi Pevzner. Mafuta, okazinga, onunkhira, osuta, mchere amachepetsa. Kuphatikiza apo, muyenera kutsatira zakudya - ziyenera kukhala zazing'ono komanso pafupipafupi. M'magawo ang'onoang'ono, ndikofunikira kudya chakudya cha tsiku lililonse kwa nthawi 6-8. Nthawi yomweyo, chakudya chizikhala chotentha - sizovomerezeka kudya zakudya zotentha kwambiri kapena kuzizira, izi zimatha kusokoneza chimbudzi. Chakudya chizikhala pansi pakuphika kwa mushy pakuphika. Simungadye pamizere yayikulu - izi zimabweretsa kupanikizika kwa ntchito kwa kapamba: chimbudzi, chitsulo chimayenera kupanga madzi ambiri amkati okhala ndi michere yambiri, yomwe imatha kupititsa patsogolo njirayi. Mukaphika, zinthuzo zimakonzedwa ndi kuwira, kuwotcha, kutsitsa, kuphika mu uvuni.

Ngati matenda ashuga amayamba pambuyo pancreatitis yovuta kwambiri, zakudya No. 9 zimayikidwa ndi kuchepetsedwa kapena kuphatikizidwa kwa zakudya m'zakudya ndi chithandizo choyenera. Mulimonsemo, kukana kwathunthu mowa (ngakhale zakumwa zoledzeretsa zochepa), kusuta ndikofunikira.

Njira zotsimikizika zosinthidwa mwanjira ya:

kuchuluka kwa zochitika zamagalimoto (makamaka ndi kunenepa kwambiri, zomwe ndizowopsa zake),
chepetsani zochitika zovuta
makulidwe a ntchito ndi kupumula ndi kugona mokwanira mokwanira.

Mankhwala

mu shuga mellitus - mankhwala oyenera ochepetsa shuga,
pambuyo kapamba ndi kuphwanya chimbudzi cha chakudya - ntchito kwa nthawi yayitali michere.

Mankhwala onse amathandizidwa mosiyanasiyana: Mlingo, kutalika kwa mankhwalawa komanso mankhwala enieniwo amasankhidwa potengera momwe mkhalidwewo uliri, magawo a labotale komanso kuthekera kwina kwa thupi pambuyo poti muchite bwino. Kumbukirani kuti kapamba amapha mwachangu, chifukwa chake kudzichiritsa nokha ndikosavomerezeka. Simungakayike ndi pancreatic pathologies - ndi zizindikiro zoyambirira zomwe muyenera kulumikizana ndi katswiri. Izi zimapereka mwayi wokhala ndi thanzi kwazaka zambiri.

Khansa yapakansa

Kusakhudzidwa mutatha kudya ngati alamu

Matenda enanso akuluakulu a kapamba omwe amatsogolera ndi khansa. Zizindikiro zazikulu za khansa zimaphatikizapo:

Khungu loyera
Ululu womwe nthawi zambiri umapita kumbuyo
Kuchepetsa chidwi cha thupi, kuchepa kwathunthu kwa chikhumbo
Tulutsani chopondapo

Zina mwazomwe zimayambitsa khansa ya pancreatic ndi:

Zakudya zopanda pake, monga kudya nyama ndi mafuta ambiri
Kusuta
Kusintha kwa minofu ya pancreatic komwe kumachitika pakukalamba
Matenda a shuga
Pancreatitis, womwe ndi mawonekedwe ake osakhazikika

Tiyenera kudziwa kuti khansa ya kapamba imadzipangitsa kumverera kwambiri mu magawo omaliza, pamene metastases idafalikira kale ku ziwalo zina. Ndiye chifukwa chake khansa ya chiwalochi imawonedwa ngati imodzi yoyipitsitsa komanso yopatsa chidwi, chifukwa munthu "amawotcha" patsogolo pake.

Matenda a kapamba ndi ovuta kwambiri kuchiza, chifukwa nthawi zambiri amapezeka ngakhale atakhala ochepa. Chifukwa cha izi, funso la zizindikiro zazikulu zamatenda a chiwalochi limasinthidwa, chifukwa ngati mukudziwa za iwo, mutha kulumikizana ndi katswiri kuti amununikire. Madokotala ambiri amalimbikitsa kuyesedwa kamodzi pazaka ziwiri zilizonse kuti adziwe zovuta zomwe zingachitike.

Pafupifupi zizindikiro zina za matenda a kapamba amawuza kanemayo:

Zikondwererozi zimagwira ntchito zofunika kwambiri mthupi la munthu: kuchuluka kwa zinthu, chinsinsi china kapena kugaya chakudya. Chifukwa chake, pophwanya magwiridwe antchito a chiwalochi, chamoyo chonse chimavutika! Kodi matenda a kapamba amawonekera bwanji ndi momwe angapewere?

Udindo wa kapamba ndi magwiridwe ake

Ngakhale ndi kakang'ono kakang'ono, kapamba ndi kofunikira kwambiri!

Zikondwererozi zimagwira ntchito zofunika kwambiri mthupi la munthu: kuchuluka kwa zinthu, chinsinsi china kapena kugaya chakudya. Imapezedwa mobwerezabwereza, ndipo thumba la gland limalekanitsa m'mimba ndi zofunikira. Pafupi ndi chitsulo pali mtsempha wa impso wamanzere, vena cava, ndi aorta. Misonkhano ikuluikulu, kapamba amagawidwa m'madipatimenti:

Madzi a pancreatic amalowa m'matumbo kudzera pa Wirsung duct kapena, monga momwe amatchulidwira kuti, pancreatic. Asanalowe m'matumbo, amaphatikiza ndi bile duct.
Zikondazo zimaphatikizapo magawo awiri, osiyana mosiyanasiyana:

zilumba za Langerhans (kupanga glue ndi insulin),
glandular gawo (amapanga pancreatic gland juice).

Zomwe zimayambitsa matenda kapena kuchulukitsa kumakhala chakudya cholakwika cha munthu. Zizindikiro zamatenda omwe amaphatikizana ndi kapamba ndizofanana, awa ndi ma syysreptic ndi ululu. Njira yamatenda a kapamba imayendera limodzi ndi matenda am'mimba. Ndiye chifukwa chake kutsatira malamulo azakudya ndi gawo lofunika kwambiri pobwezeretsa.

Ndi chithokomiro chokhala ndi thanzi labwino, ma enzyme samakhudzanso minofu yawo. Mukutupa, njira ya kudzimbidwa kwa minofu ya kapamba imayamba, maselo a gland omwe ali ndi michere yambiri amawonongeka. Ma Enzymes amatuluka ndipo amawonongeka minofu yosasinthika, motero kutseka bwalo.

Matenda a kapamba: Zizindikiro

Matenda a kapamba ndi matenda opita patsogolo. Chifukwa cha matendawa, minofu yokhazikika yokhazikika imasinthidwa ndi minofu yolumikizira. Choyambitsa matenda ambiri a kapamba ndi uchidakwa. Malo achiwiri mwa zomwe zimayambitsa pancreatitis ndi matenda am'mimba.

Zina zomwe zimayambitsa kupweteka kwa kapamba zimaphatikizapo: opareshoni ndi kuvulala pamimba, kapamba, chiwindi, ma hepatitis B ndi C, omwe amadziwika kuti amachepetsa mafuta. Zakudya zakupha ndizomwe zimayambira kukulitsa matendawa. Pafupipafupi matenda a kapamba amayimiridwa ndi nthawi ziwiri: nthawi yayikulu komanso kukhululuka.

Zizindikiro zakukulira kwa matendawa: kupweteka kwakanthawi kapena kosalekeza, komwe kumakhala ndi mphamvu zambiri, nthawi zambiri kumachitika theka la ola pambuyo chakudya chomaliza ku dera la epigastric, kudera laling'ono. Ululu umawongolera mkono, kumbuyo, sternum ndi tsamba la phewa. Ngati kapamba wonse wakhudzidwa, ndiye kuti ululuwo umakhala wamtambo. Nthawi yomweyo, nseru ndi kusanza zimawonjezeredwa kupweteka kwa m'chiuno, komwe sikumabweretsa wodwalayo ngakhale mpumulo wocheperako.

Zizindikiro za chimbudzi zikudzipangitsanso kumva: kusowa kudya, kusilira, kutentha kwa thupi kumawuka, kufooka kwa thupi, komanso kutopa zimadziwika.

Ngati wodwala akudwala matenda a kapamba kwa zaka zopitilira khumi, ndiye kuti alibe ululu kapena ululu, koma kufalikira kwa kutheka kwa gland kumayamba. Kupanga kwa madzi a mandimu kumakhala ndi magawidwe ake osiyana: chopondapo monga kufooka, zosaposa katatu patsiku, imvi, chonyezimira, fungo losasangalatsa, zotsala zomwe sizikumbidwa)

Kudya kwambiri nthawi zonse - katundu pa kapamba!

Kuphwanya njira yogaya chakudya pamatendawa kumayambitsa kuperewera kwa vitamini, kuchepa kwamafuta, mapuloteni, chakudya, michere yaying'ono komanso zazikulu. Mwanjira ina, pali zovuta zazikulu ndi mayamwidwe azinthu zopindulitsa za chakudya.

Wodwala amakhala ndi kuwonda kwambiri, kukula kwa kuchepa kwa magazi m'thupi, dysbiosis, mafupa. Ndi gawo ili la mankhwalawa kuti thanzi limatha, kutsatira zakudya zoyenera, zomwe zimathandiza kusunga zinthu zopindulitsa m'thupi.

Kuchulukitsa kwa chifuwa chachikulu chimakhala chifukwa chakukula kwakutali kwa mikhalidwe ya hypoglycemic, monga kugwedezeka kwa thupi, thukuta lozizira, kufooka kwa thupi. Ndi nthawi yayitali ya matendawa, matenda oopsa kwambiri amatha kupezeka pakapita nthawi - matenda ashuga mellitus (sekondale).Njira yochizira imayamba kuchipatala ndi kusala kudya mokakamizidwa, komwe pambuyo pake kumasinthika kukhala chakudya chokhwima: mbale zotentha, zophika ndi zotentheka, ndizotheka kugwiritsa ntchito sopo wopepuka

Zizindikiro za matendawa

Poyambirira, matendawa amatuluka mosadukiza, wodwalayo samadandaula nthawi zonse, ngakhale kuchokera ku chimbudzi. Zomwe zimayambitsa nkhawa ndizopweteka, zomwe zimapangidwa m'mimba, sub-rib. Nthawi zina ululu umakhala lamba, umatha kupereka kumbuyo. Ululu umalimba ndikuyamba kwa usiku. M'tsogolomo, wodwalayo amawona kuchepa thupi, popanda chifukwa chodziwika, komanso kufooka, kutopa ndi kulemera kwa dera la epigastric.

Ndi chitukuko cha khansa ya kapamba, kudya si chinthu chachikulu, ndikofunikira kwambiri kuyambitsa opaleshoni.

Pakadali pomwe chotupa chija chikukula, chizindikiro china chimawonjezeredwa - jaundice. Chimakula msanga, khungu limapeza mtundu wonyezimira. Ichi ndichifukwa cha kukakamira kwa duct ya bile. Kuphatikiza apo, kuyabwa pakhungu kumawonjezeredwa ndi zizindikirazo, ndipo ndowe zimayamba kusungunuka.

Wodwalayo amasiya kudya, amakhala ndi nkhawa chifukwa cha mseru, kupindika kumawonekera. Pali kukana kudya nyama, komanso mafuta amafuta. Kuchepa kwa madzimadzi mthupi kumachuluka, kuchepa thupi kumakhala kofunikira kwambiri. Kugwirizana ndi chakudyacho kukukhala chinthu chofunikira kuti munthu achire mwachangu.

Zizindikiro za khansa ya mchira komanso zodutsa thupi

Zizindikiro zimatengera komwe kuli zotupa za pancreatic.

Matenda amtunduwu amapezeka kawirikawiri. Chomwe chimapangitsa izi ndi komwe chotupa chake, chomwe ndi kukula kwakukulu chimafikira bile duct. Chotupacho chimakula msanga kukhala mitsempha ndi mitsempha yapamwamba. Mu gawo limodzi mwa zisanu, kakulidwe ka matenda a shuga mellitus (sekondale) amadziwika chifukwa cha kufa kwa maselo omwe ali ndi vuto lopanga insulin.

Kuchokera mchira, chotupacho nthawi zina chimamera m'matumbo a ndulu ndi zamkati. Zonsezi zimabweretsa kuwonjezeka kwa kukula kwa ndulu. Ndi malo ngati omwe ululu umatchulidwira makamaka, chifukwa chotupacho chimakula ndikuyandikira.

Kwa zotupa zambiri, chithandizo chamankhwala chokha ndichovomerezeka. Mu magawo oyambilira, zotupa zomwe zimagwiritsa ntchito mahomoni enaake zimadziwika. Ma tumende amtunduwu amadziwika ndi kukula kwapang'onopang'ono, koma izi sizimalepheretsa kuwonongeka kwa kakhansa pakumera kwama mahomoni m'thupi.

Zizindikiro zimadalira mwachindunji mtundu womwe matendawa amakula.

Zikachitika kuti glucagon wambiri atapangidwa panthawi ya matendawo, munthuyo amadzidzimuka ndi matenda am'mimba, komanso kuchuluka kwa shuga m'magazi kumawonjezeka. Matenda a kapamba, makamaka khansa, ndi owopsa poyambika ndi metastasis m'matumbo a chiwindi, fupa, zamitsempha, mapapo, ndi zina zambiri. Uku ndi kudedwa konse kwamatenda. Kuti mudziwe njira yoyenera yamankhwala, ndikofunikira kuzindikira thupi ngati muli ndi biopsy. Kuchita opareshoni ndikofunikabe kuti mupeze chotupa mu kapamba.

Pancreatic matenda kupewa, zakudya

Zakudya zimagwira ntchito yofunika kwambiri pothandiza kupewa komanso kupewa matenda a kapamba. Mndandanda wazinthu zomwe zimalimbikitsidwa kuti zigwiritsidwe ntchito ndi anthu omwe ali ndi matenda a pancreatic amatsimikiza. Ndikofunikira kuwonjezera mkate muzakudya za tsiku ndi tsiku (zoyera, zakuda, pokhapokha dzulo). Menyu wodwala yemwe ali ndi matenda a gland ayenera kukhala ndi mbale zoyambirira: mkaka ndi masamba, supu ya kabichi, borscht.

Zakudya ndizo maziko a thanzi la pancreatic!

Ngati maphunziro achiwiri, mungathe kudya ng'ombe, nsomba yophika kapena mtundu wa ma cutlets omwe amawotchera. Ndikothekanso kugwiritsa ntchito nyama ya kalulu, mphodza ndi nkhuku zosenda. Zamasamba zamitundu yonse, kupatula yokazinga, sizoletsedwa. Zakudya monga chimanga, mkaka ndi zakudya zochokera kwa iwo, chimanga ndi pasitala zimaphatikizidwanso muzakudya zochizira komanso kupewa matenda apancreatic.

Mafuta amayenera kuchotsedwa muzakudya, mutha kugwiritsa ntchito batala, koma ochepa, monga mafuta a masamba. Ndizololedwa kudya dzira limodzi lowiritsa tsiku lililonse. Kuchokera zakumwa, muyenera kusankha zakudya zonona, tiyi wopanda mphamvu, compote kapena zakudya. Zakudya siziyenera kuphatikizapo:

ozizira kwambiri kapena mbale zotentha
nyama, ndi msuzi wa nsomba,
nsomba zamitundu yosiyanasiyana ndi nyama iliyonse,
chokoleti
zonunkhira
ayisikilimu
maapulo wowawasa
mowa
bowa.

Mfundo yofunika, mbale zimafunika kuphika zophika kapena kuwotcha, kuwonjezera zonunkhira kwa izo ndizoletsedwa. Monga kupewa matenda, ndikofunika, choyamba, kutsatira zakudya zapadera ndikusiya zizolowezi zoipa: Kusuta fodya, zokhwasula-khwasula, kumwa mopitirira muyeso, komanso kudya zakudya zamafuta kwambiri.

Zonsezi pamwambapa ziyenera kupewedwa. Ndizothandiza kwambiri ngati matenda kupewa kuti musinkhe ndi mankhwala azitsamba kuchokera ku maula, ma dandelion, mabulosi abulu, mchiuno ndi mano. Ngati mukumva kuti mavuto a kapamba akuyandikira, samalirani thanzi lanu: perekani zakudya zonunkhira, zakudya zamafuta kwambiri, pewani zokhwasula-khwasula ndi kumwa mowa.

Popewa matenda, onetsetsani kuti mukudya zakudya zopatsa thanzi. Ndikofunika kwambiri kudya nthawi zosachepera 4-5 patsiku ndimodzimodzi pakudya. Ndipo osamadya kwambiri, zimakhudzanso matumbo, ndikupangitsa matenda angapo.
Zikondazo zimadziwika ndi zisonkhezero zakunja ... Ndi matenda ati omwe angakhale? Onerani vidiyo:

Pancreatitis ya kapamba ndimatenda oopsa omwe matendawa amawonongeka, ndipo mtsogolomo izi zimabweretsa kusintha kwa metabolic. Lero tilingalira zomwe zimayambitsa matenda, momwe mungathane nawo, njira zogwiritsira ntchito.

Zomwe zimayambitsa matendawa

Kuzindikiritsidwa kwa kapamba kapamba munthawi yathu yathu. Koma kodi chifukwa chiyani anthu akuvutikirabe? Mudzamvetsetsa chilichonse mukazindikira zifukwa zomwe zimakulimbikitsani maonekedwe anu.

Kumangika ndi zakumwa zoledzeretsa.
Zakudya zoperewera, zomwe ndimakonda kugwiritsa ntchito zakudya zamchere, zonunkhira komanso mafuta.
Kulemera kwambiri.
Matenda onga, monga: cholecystitis, hepatitis, cholelithiasis, zilonda zam'mimba, gastritis, kutupa.
Opaleshoni yam'mimba kapena kuvulaza kwake.
Kusuta
Zakudya.
Khalidweli.
Kumwa mankhwala, pambuyo pake matendawa amawoneka (tetracyclines, cytostatics, sulfonamides).

Zizindikiro za pancreatitis pachimake

Ndi matenda amtunduwu, kutulutsa kwaulere kwa pancreatic madzi kumasokonekera, kumatha kugayidwa ndi michere yake. Pa matenda a pancreatic pancreatic pachimake, zotsatirazi ndi zikhalidwe:

Zowawa. Imachitika kumanzere kwam'mimba, ndipo patapita kanthawi imafalikira kumimba yonse.
Kuchepetsa mseru komanso kusanza.
Kuthamanga kwa magazi sikunapangidwe.
Kumvetsetsa kwenikweni kumaphwanyidwa.
Vuto ladzidzidzi lingachitike.

Zizindikiro zake ndizazikulu kwambiri pochiza matendawa kunyumba. Chifukwa chake, mu pancreatitis yovuta kwambiri, ambulansi imayenera kuyitanidwa mwachangu. Dokotala wodziwa bwino adokotala ayenera kumuyesa wodwalayo, ndipo alephera, amuzindikiritse kuchipatala kuti apitirize chithandizo. Sizokayikitsa kuti opaleshoni ya pancreatic ikhoza kupewedwa m'njira yamatenda.

Nthawi Yawonongeka Pancreatic

Izi ndi izi:

Zowawa sizodziwikiratu ngati poyamba.
Pankhaniyi, dyspeptic syndrome predominates: kutentha pa chifuwa, kupindika, nseru, kutulutsa.
Pali matenda a maldigestion. Apa ndipomwe pali kuphwanya kwa chimbudzi cha chakudya kuzinthu zomwe zimayamwa.
Pali matenda a malabsorption. Poterepa, kachipangizo kamene kamayamwa matumbo ang'onoang'ono sikasokonezeka konse.

Pa maldigestion ndi malabsorption, zizindikiro zotsatirazi ndizodziwika:

fetid, zopondera zambiri,
kuwonda
Kuchepa kwamadzulo usiku,
kutulutsa magazi kumachitika
conjunctivitis, stomatitis, ndi kuyabwa kwa khungu kumachitika
kuchepa kwa magazi kumayamba
chifukwa chakuti pali kuphwanya mayamwidwe kashiamu, pamakhala kukokana ndi mafupa,
neuropsychic arousal,
mawonekedwe a thukuta lozizira
kunjenjemera m'thupi
khungu lowuma
pali kumverera kwa ludzu losalekeza.

Ndikofunikira kuchiza pancreatitis yayitali kuti mupewe opaleshoni ya pancreatic. Mankhwalawa ayenera kukhala okwanira komanso ovomerezeka. Pambuyo poti mwadutsa mayeso onse ofunikira, komanso kufunsa dokotala, chithandizo chitha kutumikiridwa. Tsopano tikambirana za matenda omwe wodwala amayenera kupeza kuti chithunzi chake chikhale bwino.

Kuzindikira matenda

Mitundu yotsatirayi yazidziwitso ipereka chithunzi chonse cha matendawa:

Kuyesa kwa Ultrasound Pancreatic ultrasound ya kapamba ndi njira yofunika kwambiri yowunikira. Matenda amtunduwu akuwonetsa kuchuluka kwa kuchuluka kwake, kukuwonetsa kupendekeka kwa kapangidwe, kupezeka kwa cysts ndi kukula kwa ma ducts. Kulondola kwa phunziroli ndi 80-85%. Izi sizotsatira zapamwamba kwambiri, kotero kuyesa kwa labotale kuyeneranso kutengedwa.
Kuyerekezera ndi maginito okonzanso. Mitundu yodziwitsa, monga ija, imawonetsa kuchuluka kwa kapamba amakulitsidwa. Kuphatikiza apo, mothandizidwa ndi kafukufuku wotere, mitundu yoipa, mapangidwe apadera, ndi zotupa za ziwalo zapafupi zitha kupezeka.
Endoscopic retrograde cholangiopancreatography. Iyi ndiye njira yolondola kwambiri, yomwe ikuwonetsa pafupifupi 100% zotsatira. Komanso, mtundu wodziwonetsa ndi wotsika mtengo kwambiri pamwambapa. Zowona, pali opanda: njira imeneyi si yosangalatsa kwambiri, ndipo nthawi zina imakhala yopweteka.

Ndi mayeso ati omwe akuyenera kuchitika kuti adziwe matenda?

Kuphatikiza pa njira zomwe zatchulidwazi pakuzindikira matenda, dokotala amapereka malangizo operekera maphunziro awa:

Kuyesedwa kwa magazi konse. Zotsatira zake zikuwonetsa zizindikiro za kutupa ndi kuchepa kwa magazi m'thupi.
Kupereka magazi kuti mupeze shuga. Kusanthula koteroko ndikofunikira kuti mudziwe ngati wodwala ali ndi shuga.
Urinalysis Ikuwonetsa matenda a impso.
Electrocardiogram ndi echocardiography zimapatula matenda a mtima.

Pambuyo pakupereka mayeso omwe ali pamwambapa, chithunzicho chidzaonekera bwino, komanso kuwunika kwa kapamba kapangidwe kapangidwe kapena ayi.

Udindo wa akatswiri pochiza matendawa

Matenda a kapamba amafunika chithandizo choyenera. Chifukwa chake, wodwalayo sayenera kukafunsidwa ndi dokotala m'modzi, koma ndi angapo, kuti chithunzi cha momwe akuwonera chikuchitika, ndipo madotolo adamupatsa chithandizo choyenera.

Wodwalayo ayenera kukumana ndi akatswiri ngati awa:

Gastroenterologist. Amapereka chithandizo.
Kwa dotolo. Kuthandiza kwa katswiriyu ndikofunikira ngati zowawa sizisiya kapena pali zovuta zina.
Endocrinologist. Ndikofunikira ngati wodwala ali ndi matenda a shuga.
Kwa wa mtima. Kulumikizana ndi katswiriyu ndikofunikira kupatula zotheka za mtima ndi mtima.

Zotsatira za chithandizo zimadalira ziyeneretso za madokotala. Chifukwa chake, muyenera kusankha zabwino kwambiri pazigawo zawo. Mutha kufunsa za zomwe adotolo adakumana nazo, kuchuluka kwa maopa omwe adachita, ngakhale pali ziwerengero. Thanzi lanu lili m'manja mwanu. Ndipo chifukwa cha luso waluso, kuthamanga ndi chithandizo chamankhwala anu ndikuchira mwachangu zimadalira 80%.

Mfundo za zakudya zoyenera za kapamba. Zakudya

Ndi matendawa, ndikofunikira kutsatira malamulo ena okhudzana ndi zakudya. Popeza kukhala wodwala kumadalira mtundu ndi chakudya chomwe chimatengedwa. Mfundo zotsatirazi zomwe muyenera kudziwa:

Muyenera kudya zakudya zosachepera 5-6 patsiku. Muyenera kudya pang'ono, pang'ono.
Ndikofunika kudya zakudya zosenda bwino. Chowonadi ndi chakuti, monga kuphatikiza kwa mbale, kupukusira kwa m'mimba sikungakwiyitsidwe.
Mapuloteni (magalamu 150 patsiku) ayenera kuchuluka m'zakudya. Kuchuluka kwa mafuta sikuyenera kupitirira 80 magalamu patsiku. Zakudya zomanga thupi zimafunikiranso kusamala.
Taboo ndi yotentha kwambiri kapena, m'malo mwake, mbale yozizira.
Munthawi yakuchulukirachulukira kwa vutolo, ndikofunika kusiya chilichonse chokwanira chakudya tsiku limodzi.

Tsopano taonani zakudya zomwe zili ndi phindu pa boma pa kapamba.

Mndandanda Wazogulitsa

Mkhalidwe waukulu wamatenda monga pancreatic pancreatitis ndi zakudya. Ili ndiye mfundo yayikulu yothandizira. Kodi tanthauzo la chakudya ndi chiyani? Gwiritsani ntchito zakudya zokha ndi mbale zomwe sizimakwiyitsa mucous membrane wa kapamba. Zotsatirazi zingathe ndipo ziyenera kudyedwa ndi anthu omwe akudwala matendawa.

Dzulo ndi mkate wakale wa tirigu.
Yachiwiri nkhuku kapena msuzi wa ng'ombe.
Nyama: nkhuku, nyama yamphongo, nkhuku. Njira kukonzekera: wiritsani, kuphika mu uvuni. Nyama siyenera kukhala ndi zokometsera zilizonse.
Nsomba zaphika, zophika kapena kuphika mu uvuni.
Zinthu zamkaka zokhala ndi mafuta ochepa.
Yophika masamba. Ngati mukufuna yaiwisi, ndiye pokhapokha mu grated mawonekedwe.
Mitundu yosiyanasiyana ya pasitala.
Groats (buckwheat, mpunga, oatmeal).
Zipatso zophika (maapulo ndi mapeyala m'maganizo).
Jelly.
Chipatso chofewa, zakudya, tiyi wopanda mphamvu.

Mndandanda wazakudya zomwe zimapangidwa ndi kapamba

Nyama yoyamba kapena msuzi wa nsomba. Ndiye kuti, mafuta oopsa, opatsa mphamvu.
Mapira sayenera kudyedwa kuchokera ku chimanga.
Nyama zamafuta, nsomba, nkhuku.
Kuyambira masamba, masamba a radish, radish, kabichi, sorelo ndi sipinachi.
Mkate watsopano kapena makeke aliwonse.
Mitundu yosiyanasiyana ya soseji, zakudya zamzitini.
Zakumwa zoledzeretsa.
Ayisikilimu.
Tiyi yamphamvu, khofi.

Kugwiritsa ntchito zinthu zomwe zatchulidwazi kumabweretsa zotsatira zoyipa, zomwe zimatchedwa "kutupa kwa kapamba" (kapamba, pongoyika). Pofuna kuti musasewere roulette ndi thanzi lanu, kumbukirani zakudya zomwe zaletsedwa kudya ndi matendawa. Kupatula apo, kudya kale 60% yazotsatira zabwino zamatenda.

Chithandizo cha matenda kapamba

Chithandizo cha matendawa ndikufuna kuchepetsa kuchuluka kwa bile. Pancreatitis ya kapamba, mankhwalawa omwe amachepetsa kokha kugwiritsa ntchito mapiritsi apadera, apereka zotsatira kwakanthawi. Ndipo, kuphatikiza pa izi, wodwalayo azidya molondola, kutsatira zakudya, ndiye kuti izi zikhala pafupifupi chitsimikizo cha kuchira kochita bwino.

Koma tsopano tiyeni tiganizire za mankhwala omwe amathandiza kulimbana ndi matenda.

Chifukwa chake, mankhwala omwe amathandizira kuchotsa kuphipha kwa minofu:

Awa ndimapiritsi a kapamba. Pancreatitis imachiritsidwa ndi antispasmodics otsatirawa: No-Shpa, Spazmoverin, Spazmol.
Dongosolo lokonzekera milingo "Papaverine".

Mankhwala otsatirawa amachepetsa kubisala kwa madzi a m'mimba:

Makapisozi Omeprazole.
Mapale "Ranitidine", "Famotidine".

Mankhwalawa otsatirawa amateteza kugaya chakudya ndikuwongolera ntchito ya pancreatic. "Allohol", "Pancreatin", "Phenipentol" - awa ndi magome ochokera ku kapamba. Pancreatitis si sentensi.

Komanso, mankhwala omwe amalepheretsa kupanga ma pancreatic enzymes amapatsidwa mankhwala ochizira kapamba. Pakati pa mankhwalawa, yankho la Aprotinin limagwiritsidwa ntchito nthawi zambiri.

Ngati ululu wowopsa ulipo kapena munthu akuonda, ndiye kuti kulandira kuchipatala ndi chithandizo chowonjezereka ndizotheka mosamalitsa ndi akatswiri.Kuchitapo kanthu kwa opaleshoni kumayikidwa ngati zikondamoyo sizikuliranso. Kuchiza, kudya ndi kugonjetsedwa kwambiri sikungathandize. Kuchotsa kokha gawo limodzi lomwe kudzapulumutse ku chiwonongeko chowonjezereka.

Izi sizikutanthauza kuti mukalandira chithandizo cha mankhwala, kuchira kwathunthu kumachitika. Zachisoni kuti, koma kapamba sangathe kuchiritsidwa kwathunthu. Koma kuti zikondamoyo zisawonongeke, ndikofunikira kulandira chithandizo, ndikutsatira zakudya zosasunthika, zomwe tafotokozazi.

Chithandizo cha pachimake kapamba

Matenda amtunduwu amafunikira kuchipatala. M'chipatala, wodwala amayankhidwa kuti azitsatira:

Kulowetsedwa kwamitsempha komwe kumathandiza kuyeretsa magazi a poizoni ndi michere ya pancreatic.
Mankhwala opweteka.
Mapiritsi omwe amawononga ma enzymes a gland. Mwachitsanzo, mapiritsi a Cordox.
Mankhwala oletsa kusanza.
Maantibayotiki.
Antispasmodics.

Kuphatikiza apo, chithandizo chamankhwala chimaphatikizapo:

Kusokonezeka kwathunthu kwa zakudya kudzera pakamwa mpaka masiku 6. Izi ndizofunikira kuti ntchito ya kapamba iyimitsidwe kwakanthawi.
Mitseko yamkati.
Kupanga kwa kukodza kuti mkodzo ukhale wambiri kuti uchoke m'thupi ndi mkodzo.
Bowel lavage.

Kupewa kwa Pancreatitis

Pofuna kuti musayambenso, ndipo matendawa sangakugwetseninso, ndikofunika kutsatira malamulo otsatirawa:

Idyani pomwe. Kutsatira zakudya ndizofunikira kwambiri kuti mukhale ndi thanzi la pancreatic.
Kuletsa kwamtundu uliwonse zakumwa zoledzeretsa zilizonse.
Siyani kusuta.
Chepetsani zolimbitsa thupi. Kuthamanga, kudumpha, kuchezera malo osambira ndi saunas kuli koyipa kwa kapamba. Njira yabwino ndiyo kupumira masewera olimbitsa thupi komanso kutikita minofu.

Kuchokera munkhaniyi, mudaphunzira zomwe zimatengera matenda otchedwa pancreatic pancreatitis. Adasankha njira zochizira matendawa komanso momwe angadziwire matendawa. Tidazindikira kuti kudya mosamalitsa ndiye njira yofunika kuti wodwalayo achotse mwachangu.

Kuchotsa kwa pancreatic ndi njira yovuta kwambiri. Kodi opaleshoni yochotsera chofufumitsa imakhala yoyenera bwanji?

Kodi munthu angathe kukhala wopanda chamba? Kodi opaleshoniyo ikhudza bwanji moyo wabwino? Zoyenera kuchita atachotsedwa? Mayankho a mafunso amenewa ndi enanso afotokozedwa m'nkhaniyi.

Zowonetsa ndi kufunikira kwa kuchotsedwa kwapa

Chikondamoyo ndi chiwalo cham'mimba chomwe chimakhala kumbuyo kwa m'mimba, pakati pa matumbo ang'ono ndi ndulu.

Chotupa chachikulu kwambiri m'gayikirachi ndi:

Zikondamoyo ndi gawo limodzi la dongosolo la endocrine. Gland ndiye amachititsa ntchito yopanga insulin, glucagon, polypeptide.

Kulephera kwa kapamba kumayambitsa matenda osokoneza bongo, kupangika kwa kapamba ndi chifuwa chachikulu.

Ndi matenda amtundu wa kapamba, amakhala zaka zambiri ngati amatsatira zakudya ndikutsatira malangizo onse a dokotala.

Zikondazo zimatulutsa zinthu zomwe zimakhudzana ndi kuwonongeka kwa mafuta, mapuloteni, chakudya, zimathandizira kugwiritsidwa ntchito kwa zakudya zopindulitsa.

Ntchito yayikulu ya kapamba ndikugwetsa chakudya kukhala tinthu tating'onoting'ono. Mwa munthu amene wataya kapamba, cholumikizira chofunikira chimasowa, chomwe chimayambitsa kuphatikizika kwa michere mthupi.

Kuphatikiza apo, kapamba amatulutsa insulin, yomwe imayamwa magazi a glucose ndipo imathandizira kuti michere ikhale m'magazi.

Ntchito ya gland imasokonezedwa ndi zifukwa zosiyanasiyana:

uchidakwa
kuperewera kwa zakudya m'thupi
kusuta
cholowa
kubadwa kwatsopano
kagayidwe kachakudya matenda (kagayidwe).

Opaleshoni yamatenda oopsa nthawi zonse amakhala oopsa. Ndikosavuta kuneneratu momwe opaleshoniyo apitirire ndikudziwitsa zamtsogolo.

Ngakhale ngati opaleshoni imachitidwa pa ziwalo pafupi ndi gland, pancreatitis yovuta imatha.

Asanayambe kuchitapo kanthu opaleshoni, amathandizira othandizira.

Pokhapokha atatsimikizira kuti matenda a minofu yakufa kapena mawonekedwe a chotupa cham'mimba, opaleshoni imayikidwa.

Choyamba, amapeza zomwe zimayambitsa kutupa ndi mtundu wa chotupa. Nthawi zambiri matendawa amatulutsa kutupa, chifukwa chake miyala imachotsedwa, ngati sizithandiza, ndiye kuti ndulu ya ndulu.

Pambuyo pa kutupa kwa gland, chotupa chabodza chikuwoneka. Kutupa kwanthawi yayitali m'makola angayambitse chotupa chowopsa. Chotupa choterechi mu kapamba zimachita zinthu mwankhanza.

Zotupa zoterezi zikukula mwachangu. Zizindikiro zakuwonekera kwa matendawa zimatengera malo omwe akuwonekera.

Ndi chotupa m'mutu wapachikondwerero, kufupika kwa ma ducts a bile kumachitika, komwe kumayambitsa chikaso cha khungu, ngati chotupacho chili m'thupi kapena mchira wa kapamba, ndiye kuti pamakhala kupweteka pamimba kapena kupweteka kumbuyo.

Chifukwa chake, ngakhale pali zovuta kuntchito, pali nthawi zina pomwe sizingalephereke:

zotupa zoyipa
kuchuluka kwa kapamba,
kapamba,
kuvulala chiwalo
magazi.

Panthawi ya kapamba, dokotalayo amachotsa chiwalo chonse, kapena gawo lina la kapamba.

Nthawi zina, ziwalo zapafupi ndi ndulu zimachotsedwanso: ndulu ya ndulu, ndulu, pang'ono m'mimba kapena matumbo, komanso m'mimba.

Pakati pa opaleshoni, zovuta zimatheka: kutaya magazi kapena kutenga kachilomboka.

Chifukwa chake, ndikofunikira kuthetsa zomwe zimapangitsa kuti pakhale zovuta:

Mukasankha opaleshoni, thanzi la wodwalayo ndi msinkhu wake limawaganiziridwa.

Nthawi yogwira ntchito

Kuchotsa kwina ndi kachiwalo chathunthu kumasiyanitsidwa. Ndi kuwonongeka kwakukulu kwa chiwalo, chotupa chachikulu, pamene kuchotsedwa kwina sikunathandize, kuchotsa chisa chonse.

Pali mitundu iwiri ya ntchito yochotsa. Ngati chotupa chija chapezeka pamutu pa chotupa, ndiye kuti chotsani mutu ndi chidutswa cha matumbo ang'ono.

Nthawi zambiri ndikofunikira kuchotsa mbali yam'mimba ndi chikhodzodzo cha ndulu ndi ma lymph node. Ngati mapangidwe ake ali mchira, ndiye kuti muchotse mchira, thupi la chindacho, ndulu yamitsempha yamagazi.

Zimakhala zovuta kuneneratu pasadakhale momwe opareshoniyo idzayendere.

Mavuto a postoperative omwe angachitike:

Ngakhale zitakhala kuti palibe zovuta, ndiye kuti kukonzanso ndikofunikira. Kuti thupi lizichira, pamafunika nthawi komanso mosamalitsa kutsatira malangizo a dokotala. Pambuyo pakuchotsa ziwalo, kupanga ma cell osakwanira nthawi zambiri kumawonedwa.

Kuphatikiza pa momwe muliri, thupi lamaganizidwe ndilofunika. Ndikosavuta kutsimikiza kufunika kwa chilimbikitso chamakhalidwe, chifukwa opaleshoni ndiyo nkhawa ya thupi.

Kuchotsa kapamba kumayambitsa matenda a shuga, matenda a metabolic. Mulingo wamakono wamankhwala umalola munthu kukhala ndi moyo popanda wopanda chofunikira chotere.

Pankhaniyi, ndikofunikira kuyang'anira kudya kwambiri, kuwongolera thanzi, kuyesedwa pafupipafupi, kugwiritsa ntchito mankhwala amoyo (kutsatira kukonzekera - insulin kapena glucagon), komanso kutsatira kutsatira kugona.

Dokotala azindikire nthawi yokwanira komanso kuchuluka kwake. Zonsezi ndizofunikira kuti mabedi, magazi amawoneka.

Ngati kuchotsedwa kwa kapamba kunali kwapadera, ndiye kuti gawo latsalalo limapanga ntchito yotayika.

Mwinanso, insulin ndi mahormoni sizofunikira, ndipo tidzatha kudzipatula pakudya, moyo wathanzi, komanso kuwongolera shuga.

Zakudya pambuyo opaleshoni

Ngakhale kuti ndizovuta kuneneratu momwe thupi lidzakhalire mutachotsa chiwalo, zambiri zimadalira wodwalayo payekha komanso chisamaliro chake. Kusiya kusuta fodya ndi mowa kumafunika.

Kudya zakudya zopatsa thanzi kuyenera kukhala kofunikira pamoyo:

Patatha masiku angapo atachitidwa opaleshoni, idyetsani mafupa. Akaloledwa kumwa madzi okha,
Pakatha masiku atatu, tiyi wokhala ndi ufa wowerengeka wa ufa wa tirigu umayambitsidwa muzakudya,
thupi likasintha, chakudya chimakulitsidwa ndi msuzi komanso mazira osenda,
ndiye chimanga, masamba ophika, nsomba zamtengo wapatali zimayambitsidwa,
patsiku lakhumi, amabweretsa zinthu zatsopano, kuwona momwe thupi limagwirira ntchito.
Zakudya zokazinga, zamafuta ndi zomwe zimasuta zidzaiwalika kwamuyaya.

Musanayambe zatsopano, muyenera kufunsa dokotala. Amakhala ndi ufa, wowuma, zonunkhira, mkaka wathunthu, maswiti.

Ndikofunika kuti chakudyacho chili ndi mapuloteni, kuchepetsa mafuta, chakudya komanso shuga. Chakudya chimatengedwa m'magawo 2 aliwonse, muyenera kumwa madzi okwanira lita imodzi patsiku.

Kudya usiku ndizochepa - ndiye kapu ya kefir yamafuta ochepa yokha yomwe imaloledwa. Nthawi zambiri, mavitamini ndi michere yama mineral amaphatikizidwanso.

Mukachotsa kapamba, zakudya zimatsitsidwa pazinthu izi:

nsomba zokhala ndi mafuta ophika ndi nyama,
Zinthu zopanda mkaka zopanda mafuta mkaka wonse ndizovomerezeka,
zopheka, msuzi wamasamba, zipatso zosaphatikizika ndi mbale zowotcha zimaloledwa.

Kuchotsa kapamba si chigamulo chophweka, chomwe cholinga chake ndi kupulumutsa moyo.

Ngakhale matendawa ndi abwino, ndiye kuti moyo wina udzawafunikira kuyang'aniridwa komanso kulandira mankhwala kwa moyo wanu wonse. Koma kwa anthu ambiri, opaleshoni iyi idandipatsa mwayi wokhala ndi moyo.