Pachimake kapamba: mawonekedwe a maphunziro a matendawa, zakudya ndi chithandizo

Pancreatitis - kutupa kwa kapamba. Kasitomala ndiye chitsulo chachikulu kwambiri m'thupi lathu. Imagwira ntchito zofunika kwambiri zachinsinsi: ntchito ya intrasecretory imakhala pakupanga mahomoni a insulin, lipocaine ndi glucagon, ntchito ya exocrine imawonetsedwa mwachinsinsi cha madzi a pancreatic mu duodenum, omwe amalepheretsa acidic yam'mimba komanso kuchita nawo chimbudzi.

Chophimba chamkati chimadutsa mozungulira, ndikutsegukira mkati mwa duodenum, ndipo ndulu ya bile imatsegulanso pamenepo. Onsewa amapanga zomwe zimawonekera. M'matenda abwino a chithokomiro, kupanikizika kwa kapamba wam'mimba kumakhala kwakukulu kuposa kumayamwa kwa bile kuti ndulu ndi matumbo asatsitsidwe. Kusiyana kwakapanikizika kusokonezedwa, kutuluka kwa msuzi wa pancreatic kumakhala kovuta, komwe kumayambitsa zovuta zingapo zomwe zimatsogolera kuti gland iyambe kudzipenda yokha. Pamaziko awa, kutupa kapena kapamba kumachitika.

Zimayambitsa kapamba

• Kuledzera
• Matenda a ndulu ndi ndowe zake
• Matenda a Duodenal
• Kuvulala kwamkati
• Kugwiritsa ntchito mankhwala kwa nthawi yayitali monga maantibayotiki, anticoagulants, immunosuppressants, sulfonamides, Brufen, paracetamol, indomethacin, estrogens ndi glucocostyroid mahomoni
• Matenda am'mbuyomu (hepatitis B ndi C, mumps, etc.)
• Hyperlipidemia
• Hyperparathyroidism
• Matenda a mtima
• Kutupa kwa minyewa yolumikizana
• Miyala mumiyala ya England

Pali mitundu iwiri ya kapamba:

Zizindikiro za Acute Pancreatitis

Zizindikiro za pancreatitis pachimake zimatengera kuti matendawa ndi ofatsa kapena owopsa. Pancreatitis yofatsa imakhala ndi ululu wocheperako komanso chiopsezo chochepa cha zovuta. A kwambiri mawonekedwe a kutupa ndi odzaza ndi kufa kwa zikondamoyo, zomwe zingayambitse mapangidwe a abscesses ndi kukula kwa purulent pancreatitis.

Zizindikiro zazikulu za pancreatitis pachimake:

• nseru ndi kusanza, bile limakhalapo nthawi zina m'masanzi,
• kupweteka kwambiri mu hypochondrium wamanzere,
• kutentha kwambiri
• zimbudzi zotayirira
• kudumphira m'magazi,
• ukufalikira, kulemera,
• maonekedwe a zotupa m'magawo umbilical.

Kutupa kwaphokoso kumachitika ndikuphwanya kutuluka kwa pancreatic madzi. Zikondazo zimayamba kupukusa minyewa yake yomwe, yomwe imabweretsa ululu wolimba kwambiri. Ululu nthawi zambiri umachitika mwadzidzidzi pambuyo kudya kwambiri, kudya zakudya zamafuta kapena mowa.

Mu chilonda chachikulu cha pancreatitis, kuyambika kwa vuto lopweteka nthawi zambiri kumayendera limodzi ndi kuwonjezeka kwa kuthamanga kwa magazi. Koma zimachitikanso kuti, atachulukanso, kupsinjika kumatsika kwambiri, wodwalayo amatembenuka, amakhala ndi chofooka champhamvu, thukuta lozizira limawonekera. Zizindikiro zoterezi zingasonyeze kukula kwa vuto lodzidzimutsa, lomwe limafunikira chithandizo chamankhwala mwachangu.

Zoyambitsa Acute Pancreatitis

Pancreatitis imatha kukhala yopanda matenda kapena yopanda matenda. Viranc pancreatitis imachitika chifukwa cha zotupa zopatsirana za kapamba, mwachitsanzo, ndi chikuku, ma hepatitis a mavairasi, chifuwa chachikulu.

Zomwe zimayambitsa kupweteka kwa kapamba:

• kudya kwambiri, kugwiritsa ntchito zakudya zamafuta, zakudya zonunkhira,
• matenda a ndulu
• opaleshoni ya kapamba ndi ziwalo zapafupi,
• uchidakwa
• kuchuluka kwa cholecystitis, gastroduodenitis, hepatitis ndi zina zotupa njira ya m'mimba dongosolo,
• kumwa mankhwala omwe amatha kukhala ndi poizoni pancreatic minofu,
• kuwonongeka kwa kapamba.

Makina a chitukuko cha matendawa ndi motere. Ma enzymes opukusira omwe amapangidwa ndi kapamba mu thupi lathanzi amaphatikizidwa pokhapokha atalowa m'mimba. Koma mothandizidwa ndi zinthu zomwe zimayambitsa vuto, chinsinsi cha ntchito yake chimasokonekera ndipo ma enzymes amayambitsa kale kapamba. M'mawu osavuta, thupi limayamba kudzimbidwa, chifukwa chake kutupa kumayamba.

Kuzindikira matenda apachimbudzi

Kuunika kwa pancreatitis pachimake kumayikidwa ndi gastroenterologist kapena dokotala wa opaleshoni. Ndikofunikira kwambiri kuchitira nthawi yantchito komanso njira zodziwitsira matenda ndi kupeza chidziwitso chokwanira chokhudza kapamba ndi ziwalo zapafupi. Zizindikiro za pancreatitis yovuta kwambiri imatha kukhala yolakwika pakuwonekera kwa matenda ena a matenda ena (appendicitis, cholecystitis) ndikusankha njira zolakwika zamankhwala.

Kuti adziwe pancreatitis pachimake, dokotala atha kukulemberani zotsatirazi:

• zasayansi mayeso a mkodzo, magazi, ndowe,
• Ultrasound yam'mimba,
• CT ndi MRI ya kapamba,
• laparoscopy ndi ntchito yaying'ono yokhudzana ndimayendedwe ang'onoang'ono opatsirana kuti adziwe matenda,
• angiography - kafukufuku wamitsempha yamagazi.

Njira zofunikira ndi ultrasound, MRI ndi CT, pomwe adotolo amatha kudziwa kukula kwa kapamba, ma contours ake, mawonekedwe ake. Ultrasound imagwiritsidwa ntchito pozindikira matenda oyamba, kudziwa malire a kutupa ndi kuzindikira neoplasms.

Chithandizo cha pachimake kapamba

Ndi mawonekedwe ocheperako a kapamba, matendawa amatha kuthandizidwa kunyumba, kuwunika pafupipafupi ndi katswiri. Ndi matenda oopsa kwambiri, chithandizo chikuyenera kuchitika kuchipatala. Cholinga chachikulu cha chithandizo ndikubwezeretsanso matenda a pancreatic komanso kupewa zovuta.

Chithandizo cha pachimake pancreatitis chikuphatikizira mankhwala otsatirawa:

• analgesics
• myotropic antispasmodics,
• Mankhwala othandizira kupewa matenda apakati.

Ngati matendawa afika poipa kwambiri, ndipo chithandizo chamankhwala chokhwima sichithandiza, akatswiri amatha kuyang'ana ku laparotomy - njira yogwira ntchito pomwe dokotala amafika pagawo lowonongeka.

Ndi madokotala okha omwe angadziwitse mitundu yoyenera yamankhwala othandizira pancreatitis pachimake ndikuthandizira kuthetsa zizindikiro. Ndikofunika kwambiri kuti musachedwe kupita kwa adotolo zikafika zizindikiro zoyambirira za matendawo: kuwukira koyamba kwa kutupa kwa pancreatic kumatha kutha ndikusintha kwa matenda kukhala mawonekedwe osakhazikika.

Zakudya za pachimake kapamba

Tsiku loyamba pambuyo kuchulukana kwa pachimake kapamba, madokotala amalimbikitsa kutsatira kusala kwachithandizo. Amaloledwa kugwiritsa ntchito madzi osavuta amchere amchere popanda mpweya, mankhwala osokoneza bongo azitsamba, odzola. Voliyumu ya tsiku ndi tsiku ndi 1.5-2 malita. Mu chifuwa chachikulu cha pancreatitis, chakudya No. 5 chimayikidwa, koma katswiri ayenera kusankha menyu. Cholinga chazithandizo zamafuta ndikuchepetsa katundu paziphuphu zoyipitsidwa ndi gawo lonse logaya chakudya, komanso pang'onopang'ono kubwezeretsa ntchito yolakwika.

Pankhani ya kapamba owopsa, zakudya ndi zakumwa zonse zomwe zimatha kukhumudwitsa m'mimba zimaphatikizidwa kuchokera kuzakudya:

• mowa
• buledi watsopano, makeke,
• tirigu wowuma (barele, mapira, barele),
• nyemba zamtundu uliwonse,
• nyama yamafuta
• masoseji, mankhwala osungira,
• msuzi wamafuta
• wolakwa,
• phala lamatumbo, masuzi,
• juwisi wowawasa
• zakumwa zoziziritsa kukhosi.

Mu chifuwa chachikulu cha pancreatitis, zakudya zimawonedwa munthawi yonse ya chithandizo komanso kwa miyezi ingapo mutachulukitsa. Makamaka okhwima ayenera kuonedwa zoletsa zopatsa thanzi mu masabata oyambilira atatha kufalikira. M'tsogolomu, menyu akhoza kuwonjezeredwa kuti aphatikize msuzi wa nyama yopepuka, nyama yochepa-mafuta, mazira a nkhuku, sopo, tchizi chanyumba, mkaka wopanda mafuta, yogati, mkate wowuma.

Zakudya zimalimbikitsidwa kuti zizisenda kapena kuwiritsa. Chakudya chizikhala chotentha, koma osati chotentha kapena chozizira. Zoletsedwazo sizigwira ntchito kokha pamafuta ndi nyama yokazinga, komanso kwa zonunkhira, shuga ndi mchere. Ngakhale kudya zakudya zopanda phindu ndizovomerezeka, zomwe zingayambitse kugaya ndi kuwonongeka kwa thanzi la wodwalayo.

Creon ® chifukwa cha pancreatitis pachimake

Pazakudya zapamwamba kwambiri, kuchuluka kwa michere yokumba yopangidwa ndi kapamba ndiyofunikira. Mu chifuwa chachikulu cha pancreatitis, gland imayatsidwa ndipo singathe kugwira ntchito zake. Zotsatira zake, chakudyacho sichikhala choperewera pang'ono, chimayamba kuvunda ndi kuvunda m'matumbo, zimayambitsa kuphuka, kuphwanya kwam'mimba komanso kupweteka kwam'mimba, komanso kusokonezeka kwa chopondapo. Chifukwa cha zovuta zomwe zimapangitsa kuti chiwopsezo chikuwonjezeka.

Kuti muwonetsetse kugaya zakudya kwambiri komanso kuyamwa kwa michere, mankhwalawa Creon® amathandiza - kukonzekera kwamakono kwamankhwala, komwe kumapezeka mwa makapisozi. Kamoto iliyonse ya mankhwalawa imakhala ndi mitundu yambiri ya zolembera zomwe zimakhala ndi pancreatin yachilengedwe. Fomuyi imapereka chokwanira kwambiri: chipolopolo cha gelatin chimasungunuka nthawi yomweyo m'mimba, ndipo zopepuka zomwe zili mu kapisozi zimasakanikirana ndi chakudya ndikuthandizira kuti pakhale kupasuka komanso kuthira kwamphamvu michere, mavitamini ndi michere.

Creon® imawonetsedwa osati kuchepa kwa exocrine pancreatic ntchito yoyambitsidwa ndi kapamba, komanso matenda ena am'mimba, amadziwika ndi kuchepa kwa ntchito ya pancreatic enzyme: cystic fibrosis, gastrowodenitis, cholecystitis. Mosiyana ndi kukonzekera kwina kwa enzyme, Creon® imatha kutengedwa ndi kapamba kwambiri, komanso kukokoloka kwa chifuwa chachikulu. Mankhwalawa amayenera kumwedwa pakudya kapena nthawi yomweyo. Ngati pali zovuta kumeza, zomwe zili m'mbale ya kapisozi zimatha kuwonjezeredwa ku zakumwa kapena zakudya zilizonse zofewa za asidi (yogati, zipatso puree).

Zinthuzi zidapangidwa mothandizidwa ndi Abbott ndicholinga chowonjezera chidwi cha odwala paumoyo wawo. Zomwe zalembedwazo sizilowa m'malo ndi upangiri wa azaumoyo. Onani dokotala

RUCRE172658 kuchokera pa 07.25.2017

1. Bondarev V.I., Pepenin A.V. Chithandizo cha odwala omwe ali ndi pancreatitis pachimake // Annals of hepatology. 1999. - Vesi 4, Na. 2.

2. Briskin B.S., Rybakov G.S. ndi ena a Pancreatic necrosis potengera malingaliro amakono azachipatala ndi chithandizo cha mankhwala..Chinese All-Russian Congress of Surgeons: Zipangizo za Congress. Volgograd, 2000.

3. Banks P. Pancreatitis: Trans. kuchokera ku Chingerezi M: Mankhwala, 1982

4. Vashetko R.V., Tolstoy A.D., Kurygin A.A. Pancreatitis pachimake ndi kuvulala kwa pancreatic. St. Petersburg: Nyumba Yofalitsa "Peter", 2000.

5. Veronsky G.I., Shtofin S.G. Njira zopangira opaleshoni mu pancreatitis pachimake // Choyamba Moscow International Congress of Surgeons: Abstracts. Moscow, 1995.

6. Ziwerengero za Glanz S. Biomedical. Per. kuchokera ku Chingerezi M: Chitani, 1998.

7. ZemskovC. Mankhwala ochizira pancreatitis pachimake ndi zovuta zake: Abstract. dis. Dr. med. Kiev, 1980.

8. Ivanov P.A., Grishin A.V., Scherbuk A.N. ndi ena .. Kusankha njira zomvekera bwino zochizira pancreatitis pachimake // Opaleshoni. 1998. - Na. 9.

9. Malangizo ogwiritsira ntchito mankhwala a Creon® 10000 kuchokera pa 05/11/2018.

Pachimake kapamba

Pachimake kapamba - Iyi ndi njira yotupa, yowonetsedwa mu enzymatic autolysis (kudzimbidwa) kwa kapamba. Mwa mitundu yolemekezeka komanso yotukuka, necrosis ya gawo la tinthu timene timatulutsa ndi minyewa ya ziwalo zapafupi ndi ziwiya zimatha kuchitika, komanso kupezeka kwa matenda achiwiri kumalo otupa.

Pali mitundu 5 ya pachimake kapamba:

1. Fomu yodalirana - kutupa kwambiri kwa kapamba palokha.
2. Fomu la hemorrhagic - zotupa m'mimba tiziwalo.
3. Pachimake kapamba necrosis - mawonekedwe akuwoneka kuti amawola pazitsulo zophatikizika.
4. Pachimake cholecystopancreatitis - munthawi yomweyo kutupa kwa kapamba ndi ndulu.
5. Purulent kapamba - kukhalapo kwa foci ya purulent fusion mu gland.

Matenda a kapamba

Matenda a kapamba Nthawi zambiri amakula m'malo osagwiritsidwa bwino mankhwala owopsa. Itha kukhalanso chotsatira cha kutukusira kwa ziwalo zina zam'mimba. Matenda apathengo angayambitsenso uchidakwa. Fomu yodwalayo ikuwonetsedwa mukusunthika kwapang'onopang'ono kwa kapamba, komwe kumayambitsa kuchepa kwapang'onopang'ono kwa minyewa ya minyewa ndi minyewa yomwe imalephera kugwira ntchito yawo. Kutupa kumatha kutulutsa chisa chonse komanso ziwalo zake.

Pali mitundu inayi ya matenda kapamba.:

1. Asymptomatic - kutupa sikumadzipangitsa kumva.
2. Zowawa - Amawonetsedwa ndi kupweteka kosalekeza pamimba, ndikuwonjezera kupweteka kwambiri.
3. Zotsatira - ululu wambiri umawonekera pokhapokha nthawi yowonjezera.
4. Pseudotumor - Fomuyi ndiyosowa kwambiri. Poterepa, mutu wa gland umakula ndi minyewa ya fibrous ndikukula kukula.

Zizindikiro za Chronic Pancreatitis

Chilango chimachepa, kupindika, kusanza komanso kusanza, chifukwa chake wodwalayo amachepetsa thupi. Pali kuwonjezereka kwa salivation ndi kapangidwe ka gasi m'matumbo, makonzedwe am'mimba amasokonezeka. Mavuto opezeka pafupipafupi, chakudya chimatuluka pang'ono, matenda otsegula m'mimba si osowa.

Ululu wam'mimba ndi kumbuyo, kutengera ndi gawo liti la gland lomwe limayatsidwa. Kuyambira mafuta, zakudya zonunkhira kapena mowa, kufalikira kwa njira ya matendawa m'njira zopweteka kapena zopweteketsa mtima ndizotheka.

Chithandizo cha matenda kapamba

Pochiza matenda kapamba, kuyesayesa kumaletsa kupweteka komanso kupewa kuwonongeka kwa kapamba. Enzymatic ndi antibacterial m'malo. Matendawa samachiritsidwa kwathunthu. Wodwala ayenera kumwa mankhwala moyo wake wonse, apo ayi, njira yotupa imayambiranso.

Pa kukokomeza, kulandira zipatala, kugona mokwanira pamasiku awiri, kumwa zakumwa zamkati ndi kusala kudya kumalimbikitsidwa.

Pancreatitis Zakudya

Ntchito yofunika kwambiri pachimake kapamba Ndikuteteza katundu pazoyala zowolazo ndikupatsanso mtendere wambiri. Popeza kapamba amatenga gawo lofunikira pakukonza chakudya ndikuyambitsidwa muzakudya zilizonse, njira yothandiza kwambiri yoperekera mpumulo panthawi yakukwaniritsa ndi njala.

Panthawi yomwe akukana kudya, wodwalayo amwe madzi ochepa ndi theka. Mutha kumwa madzi, mchere wopanda madzi, mankhwala opaka m'chiuno kapena zitsamba, tiyi wopanda mphamvu. Madziwo amayenera kumwedwa m'magawo ang'onoang'ono. Kuyamba kwa chakudya mutasala kudya kumadalira munthu payekha ndipo zimatengera momwe wodwalayo alili ndi kuchuluka kwa zowonekera ndi zida zothandizira.

Chithandizo aakulu kapamba ndizokwanira. Chimodzi mwazinthu zofunikira kwambiri zamankhwala ndi zakudya. Kuchulukitsa kwa matendawa nthawi zambiri kumachitika nthawi zina pomwe wodwala amaphwanya zakudya kapena akamwa mowa. Zakudya ndizochulukirapo zomwe zimapangitsa kapamba komanso prophylactic yabwino kwambiri pokana kutulutsa. Ndikofunika kukumbukira kuti kapamba ndi matenda osachiritsika ndipo zakudya ziyenera kupitilizidwa.

Chakudya chimayenera kukhala chamagulu, koma otsika kwambiri. Ndikofunika kuti muzidya chakudya chambiri chamadzimadzi kapena chonyowa, m'madzi owiritsa kapena owira. Kudya kumayenera kukhala m'magawo ang'onoang'ono 5-6 patsiku.

Ndikofunikira kwambiri kudya zakudya zomanga thupi zowonjezera mapuloteni. Mukamakonza nyama, onetsetsani kuti mwayamba kuphika mpaka theka, ndiye kuti mutha kuphika kapena kuphika. Onetsetsani kuti mwadya tchizi chatsopano.Zakudya zamasamba, kaloti owiritsa ndi dzungu ndizothandiza kwambiri. Yololedwa phala. Mutha kudya ma stew, casseroles, makeke ophika, msuzi ndi masamba ophika ndi zipatso. Zothandiza panyanja kale, zimakhala, zikongoletsa kapamba, koka.

Zoletsedwa Chilichonse ndi mafuta, wowawasa, onunkhira komanso okazinga. Osamadya mwachangu komanso zakudya zopezeka ndizosakaniza zachilengedwe. Ndipo pansi pa chiletso chathunthu ndi mowa.

Zosavomerezeka kudya bowa, nyama yozizira, ya zamzitini, kuchuluka kwa mazira (chizolowezi ndi dzira limodzi kapena awiri pa sabata). Pewani kumwa pafupipafupi mafuta a masamba ndi nyama, osapitirira 50 g patsiku .chepetsani kugwiritsa ntchito sipinachi, rhubarb, sorelo ndi radish. Osamagwiritsira ntchito nkhwangwa kapena zakudya zamafuta ambiri. Ndikofunika kupatula zakumwa za marinade ndi zakumwa za kaboni.

Shuga ndi maswiti amathanso kudyedwa ngati matenda ashuga sanayambike. Koma yesetsani kuti musagwiritse ntchito molakwika, chifukwa insulin, yomwe imaphwanya shuga, imapangidwa ndi chiwalo chodwala mosakwanira. Kuyambira zokometsera, mutha kugwiritsa ntchito vanilla, katsabola, sinamoni ndi mbewu za caraway.

Chomwa chopatsa thanzi chimakhala zipatso zatsopano komanso zakudya. Madzi amatha kumwa chilichonse kupatula zipatso.

Zithandizo za anthu

Kulandila kwa infusions wazitsamba kumabwezeretsa kufooka kwamphamvu kwa thupi, kumathandiza kubwezeretsa matendawa pakukula. Koma sasiya kutsatira zomwe dokotalayo wapereka. Kuphatikiza apo, pofuna kupewa kuchulukana kwa matendawa, ndikofunikira kutsatira zakudya. Ngati kukokomeza komabe kunayamba, ndikofunikira kusinthana ndi njala ndikukulitsa kuchuluka kwa oledzera.

• Kutola zitsamba. Phatikizani magawo ofanana a nthangala za katsabola, wort wa St. John, yarrow ndi mahatchi, zilonda za nyemba zosankhira nyemba, m'chiuno ndi mizu ya galangal. Onjezani theka la udzu wa celandine, ndi woopsa, choncho payenera kukhala pang'ono. Ma supuni awiri azinthu zosonkhanitsira amathira theka la lita imodzi ya madzi otentha ndikulilola kuti lithe kwa maola eyiti. Tengani gawo limodzi mwa magawo atatu a magalasi atatu pa tsiku theka la ola musanadye. Njira ya chithandizo ndi masabata a 6-8, ndiye kupuma kwa sabata limodzi. Munthawi ya kukokomeza, supuni zitatu zosonkhanitsira ziyenera kupangidwa.
• Kutolere kubwezeretsa pang'ono pang'ono kwa minyewa yathu. Sakanizani supuni ziwiri zamphumphu, komanso supuni ziwiri za maluwa osatha ndi zipatso zosankhidwa za hawthorn, onjezerani supuni ya maluwa a chamomile. Thirani chopereka ndi magalasi atatu amadzi, chiritsani pamoto wochepa ndikuzimitsa. Kuzizira, kupsinjika. Tengani theka lagalasi mukatha kudya. Maphunzirowa ali mpaka miyezi iwiri.
• Ma ndevu agolide. Tengani masamba atatu a ndevu zagolide, tsamba lililonse liyenera kukhala osachepera 20. Dulani masamba ndikuphika m'magalasi atatu amadzi kwa mphindi 20. Zovuta. Kulandila kumayamba ndi supuni ya msuzi pang'onopang'ono, kubweretsa mlingo wa 150 ml patsiku.
• Kufika mochedwa. Chomera chimakonza ngakhale minofu yakufa. Kukonzekera kulowetsedwa, dzazani supuni imodzi yotsekemera ndi kapu ya madzi otentha ndikulola kuti ituluke kwa ola limodzi. Tengani kotala kotala katatu patsiku theka la ola musanadye. Maphunzirowa ndi mwezi, ndiye kupuma kwa sabata.
• Ndimu. Tengani kilogalamu ya mandimu ndi ma peels, koma odzaza ndi 300 g a parsley ndi adyo. Pogaya zosakaniza ndi sufurazo ndikusiya kukalolera m'malo abwino kwa sabata. Tengani supuni musanadye.
• Madzi a mbatata. Muzimutsuka mbatata 3 ndi kaloti 2 bwino. Dulani maso a mbatata. Dutsani juzi. Hafu ya ola pamaso chakudya, kumwa 200 ga madzi, njira ya mankhwala sabata, ndiye yopuma masiku 7. Ingofunika maphunziro atatu.
• Sauerkraut madzi. Madzi awa amakhala ndi chinthu chomwe chimakhudza bwino ntchito ya kapamba. Mutha kumwa momwe mungathere, ndikofunikira kumwa supuni ziwiri musanadye chilichonse.
• Oatmeal odzola. Tengani oats ndikudzaza ndi madzi kwa masiku angapo musanaphuke. Kenako pukutani mbewuzo ndi kupera mu ufa. Kuyambira ufa, kuphika zakudya zonona kamodzi pa tsiku.
• Kutoleretsa kukonza njira yogwirira ntchito. Tengani zofanana zipatso za tsabola, udzu wa mbalame, wort wa St. John, chimmero cha chimanga, mizu ya dandelion, udzu wa tricolor violet ndi celandine. Supuni zitatu zosonkhanitsira amathira makapu atatu a madzi otentha ndikuphika kwa mphindi 10 pa moto wochepa. Zovuta. Tengani decoction musanadye mu kapu katatu patsiku.
• Kutolere, analisic, antispasmodic ndi antimicrobial. Pogaya ndi kusakaniza magawo ofanana a mizu ya elecampane, zipatso za hawthorn, peppermint ndi chamomile. Konzani decoction a iwo, omwe ayenera kumwedwa ofunda katatu patsiku, magawo awiri mwa atatu agalasi musanadye.
• Kutolere kwa cholesteroma. Zosungirazo zikuphatikiza zitsamba zotsatirazi: Elecampane wamtali, Hypericum perforatum, calendula, chamomile, mizu ya burdck, udzu wowuma wowuma, udzu wa pine marsh, munda wamavalo am'munda, magawo atatu motsatizana. Tengani zonsezo zigawo zofanana, pogaya ndi kusakaniza. Thirani supuni ya chophatikiza ndi kapu yayikulu ya madzi otentha ndipo muimire kwa ola limodzi. Zovuta. Tengani kulowetsedwa theka la ola musanadye gawo limodzi mwa magawo atatu a galasi.
• Mowa kulowetsedwa zitsamba. Tengani supuni ya zitsamba zosafa, chicory ndi mullein. Sakanizani zitsamba ndikuzaza ndi botolo la vodika. Zisiyeni zipite masiku atatu. Tengani madontho 10 pa 100 ml ya madzi katatu patsiku musanadye.
• Kutola zitsamba. Tengani supuni zitatu za wort wa St. John ndi zitsamba za mamawort ndi supuni zisanu ndi chimodzi za maluwa osatha. Thirani supuni ya chopereka ndi kapu ya madzi otentha ndipo muiyere kwa ola limodzi. Zovuta. Tengani theka chikho katatu patsiku theka la ola musanadye.
• Kutola zitsamba. Zosungirazo zikuphatikiza magawo atatu a maluwa a calendula, maluwa osatha, nthanga za fulakesi, khungwa la buckthorn ndi udzu wa thyme, magawo asanu a burlap udzu, magawo anayi a masamba a timbewu tonunkhira, m'chigawo chachiwiri chamaluwa cham chamomile ndi zipatso za katsabola. Pogaya zosakaniza zonse ndikusakaniza. Ma supuni awiri azinthu zosonkhanitsira amathira theka la lita imodzi ya madzi otentha ndikusiya kudzaza usiku. Mavuto m'mawa. Tengani katatu patsiku gawo limodzi mwa magawo atatu a kapu ya ola musanadye. Njira ya chithandizo ndi milungu isanu ndi umodzi mpaka isanu ndi itatu. Ndiye yopuma kwa sabata.

Kupewa

1. Poyamba - zimaphatikizapo kupewa kupangika kwa matenda.
2. Sekondale - kupewa exacerbations aakulu kapamba.

Kupewa koyamba imaphatikizapo chida chachikulu komanso chokwanira chamankhwala othandizira pancreatitis pachimake kuchipatala. Odwala ambiri amasiya kulandira chithandizo, akumva bwino. Ndikofunikira kudziwa kuti kutupa kumapitirira kwa nthawi yayitali kutatha kwa zizindikiro zamankhwala. Simungamve kupweteka, koma nthawi imodzimodzi, matenda omwe sanalandire amatha kudwala wosachiritsika mawonekedwe.

Kupewa kwachiwiri zikuphatikizapo:

• Kupatula mowa.
• Pazaka zonse kutsatira malangizo a zakudya.
• Kuchotsera mankhwala omwe amawononga kapamba.
• Kuthandiza pa nthawi yake matenda monga sinusitis, caries, cholecystitis ndi ena.
• Popanda kuchulukitsa kwa matendawa, kukhathamira kwa mchere wopanda mchere wa madzi kumasonyezedwa.

Momwe mungachotsere papillomas
• Urolithiasis - Zizindikiro ndi chithandizo

Kodi kapamba kakakulu ndi chiyani?

Mu pancreatitis yovuta, tiziwalo tamatumbo timawonongeka ndi ma enzymes ake a gland, omwe amathandizidwa motsogozedwa ndi chinthu chimodzi kapena chimzake, kenako ndikulowera mu minofu ya glandular ndikuyiwononga. Ma enzymes omwe amagwira ntchito m'magazi amatsogolera ku ziwalo zonse za thupi ndi machitidwe a thupi.

Zizindikiro zazikulu za pancreatitis pachimake ndi: kupweteka kwambiri pamimba, nseru komanso kusanza. Kuzindikira kwa pancreatitis pachimake kumadalira kudziwa kuchuluka kwa ma pancreatic enzymes (amylase ndi lipase) m'magazi.

Mankhwalawa pachimake kapamba ndiwosakhazikika ndipo amatsatira kutsatira zakudya, kuyeretsa magazi a michere ya pancreatic, komanso monga chithandizo chamankhwala. Pofuna kuwonongeka pang'onopang'ono, opaleshoni amatha kuchitidwa kuti achotse minofu yakufinya ya pancreatic.

Kuukira kwa pachimake kapamba

Vuto la chifuwa chachikulu cha kapamba limakonda kuchitika mwadzidzidzi mukatha kudya kapena kumwa mowa.

Zizindikiro zazikulu za kuopsa kwa kapamba kapamba:

Choyamba thandizo kuukira kwa pachimake kapamba

Asanafike, simungadye chilichonse, komanso kuti muchepetse zinsinsi za zotayidwa, mutha kuyikapo paketi oundana pamimba yanu.

Osatengera analgesics, omwe amaperekedwa popanda mankhwala. Sizimabweretsa mpumulo, koma zimatha kusokoneza chithunzi cha matenda a kapamba. Mutha kumwa mankhwala otsatirawa:

• Palibe-shpa
• Baralgin
• Papaverine kuphatikiza ndi Platyphylline.

Dziwani kuti mlingo woyamba wamphamvu suyenera kupitilira mapiritsi awiri, ndipo mlingo wotsatira uyenera kuchitidwa pokhapokha maola awiri.

Zowawa

Kupweteka kwapweteka kwambiri, herpes zoster, kutchulidwa komwe kumanja ndi kumanzere kwa hypochondrium, epigastric (epigastric). Zowawa zimaperekedwa (zimayang'ana) kumanzere kwa thupi: phewa, phewa, nthiti zam'munsi kuchokera kumbuyo. Kupweteka kwambiri, kosalekeza, ngakhale motsutsana ndi maziko a mankhwala, kumatha kukhalanso tsiku lina. Choyambitsa kupweteka ndi necrosis (kufa) kwamatenda am'mimba komanso mitsempha ya kapamba.

Zizindikiro za kuledzera

Zizindikiro za kuledzera zimayamba ndi purulent foci mu kapamba:

• kutentha kwa thupi kumakwera pamwamba pa 38C ndi kuzizira,
• kugunda kwamtima kumakwera kuposa 90 kugunda / mphindi,
• khungu limayamba kuzizira ndipo kunyowa
• kupumira msanga.

Zizindikiro zakugwedezeka zimawonekera chifukwa cha kupweteka kwambiri komanso kuchepa kwamadzi ndi thupi, chifukwa chosanza chosalephera: kukakamiza kutsikira pansipa 90 mm / Hg.

Khungu limakhala lofiirira ndi mthunzi wakuda.

Acute pancreatitis amadziwika ndi enieni zizindikiro za cyanosis, zomwe zimayamba chifukwa chakuthwa kwambiri kwa microcirculation, chifukwa chakuchepa kwa kuchuluka kwa magazi ozungulira, chifukwa chosanza kwambiri. Malo amtundu wa cyanotic amapangidwa m'malo osiyanasiyana a thupi (kumaso ndi khosi, mbali yam'mimba, navel).

Zovuta za pachimake kapamba

Pachimake kapamba kumatha kupanikizika ndi mapangidwe a ma abscesses (ma abscesses ofunikira ndi kapisozi), komanso kusintha kwa zochitika zina zam'mimba, mwachitsanzo, kupita ku chithokomiro chamatumbo ndi ndulu.

Ngati khoma la mtsempha wamagazi lisokonezeka, kutulutsa magazi m'mimba kumatha kuyamba.

Pokonza minofu ya kapamba, zinthu zosiyanasiyana zimalowa m'magazi, zomwe zingayambitse kuchepa kwamitsempha yamagazi (kugwa), vuto laimpso, komanso zovuta zina kuchokera ku ziwalo zina zamkati.

Kuphatikiza apo, poyizoni wa magazi (sepsis) ikhoza kuyamba.

Mankhwala othandizira pachimake kapamba

Kuukira kwachuma kwa kapamba chifukwa cha kufooka kwa kabowole kakang'ono ndi mwala kungafune kuchotsedwa kwa ndulu kapena kufooketsa pang'ono kubwezeretsa kwa patency ya ndulu pogwiritsa ntchito endoscope.

Pambuyo pochotsa ma gallstones ndi subsidence ya kutupa, kapamba nthawi zambiri amabwerera mwachizolowezi. Kuchita opaleshoni ya kanyumba ndi chikhodzodzo cha ndulu zitha kuchitika ngati gawo lonse, komanso laparoscopic, kapena njira "yowononga".

Pa opaleshoni ya laparoscopic pakhoma pamimba, chaching'ono (nthawi zambiri 5-10 mm) chimapangidwa kudzera momwe laparoscope ndi chida chopangira opaleshoni chimayikidwa pakatikati pamimba. Dokotalayo pakuchita opaleshoni amawongoleredwa ndi chithunzi cha ziwalo zamkati zomwe zimatulutsidwa kuchokera ku kamera ya laparoscope kupita ku polojekiti.

Phindu la opaleshoni ya laparoscopic imaphatikizapo kuchepetsedwa kwa matenda, kuchira msanga, vuto laling'ono lodzikongoletsera, chiopsezo chotsika cha zomata, komanso nthawi yopweteka yochepa kwambiri yothandizira.

Zoyambitsa Pancreatitis

Kutupa kwa kapamba kumachitika pazifukwa zosiyanasiyana. Nthawi zambiri chomwe chimayambitsa pancreatitis ndi uchidakwa. Itha kuchitika ndi cholelithiasis, ngati bile duct yotsekedwa ndi mwala. Zikatero, ma enzymes omwe amapangidwa ndi gland amawayambitsa mkati mwa chiwalo ndikuyamba kugaya. Zotsatira zake, kutupa kumayamba - pachimake kapamba. Amaphatikizidwa ndi kupweteka kwambiri kwa lamba m'chigawo chachitatu cham'mimba. Izi Iyika moyo wa wodwalayo ngozi, Chifukwa chake, mu pancreatitis pachimake, kuchipatala ku dipatimenti yochita opaleshoni kumafunika.

Zotsatirazi zingayambitsenso kapamba: