Kupweteka kwa kapamba > Chithandizo ndi kupewa

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Pancreatitis ndi matenda ofala kwambiri masiku ano. Malinga ndi mawerengero azaka zisanu zapitazi, mayi aliyense wa 4 ndi aliyense wamwamuna wachisanu ndi zitatu padziko lapansi amadwala kapamba! Zomvetsa chisoni. Chifukwa chake, kapamba ndi kutupa kwa kapamba, ntchito yayikulu yomwe ndikupanga insulini ndi ma enzyme ofunikira kuti pakhale chakudya choyenera komanso mwadongosolo.

Mavuto aliwonse a peritoneum kapena iliac dera, limodzi ndi kulephera kuyenda molunjika, kukhala bwinobwino, komanso kuchepa kwa chilako, mafuta otulutsa kapena mafuta, pakamwa pouma ndi ludzu komanso kusanza, kuchepa thupi mwadzidzidzi komanso kudzimbidwa kwanthawi yayitali, kuyenera kukuchenjezani, monga matenda omwe afotokozedwa pamwambapa ikhoza kukhala zizindikiro za pancreatitis yomwe ikupita patsogolo.

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Zoyambitsa Pancreatitis Pain

Zomwe zimayambitsa kupweteka ndi kapamba ndizosiyanasiyana: kuyambira pakudya m'thupi mwakanthawi (mwadzidzidzi, ndimagawo ambiri okazinga, onunkhira komanso mafuta), kumatha ndi pathologies a gallbladder ndi duodenum, kuvulala, mabala ndi zotsatira za opaleshoni yam'mimba, kumwa mankhwala ena (furosemide, estrogens, kugwiritsa ntchito maantibayotiki pafupipafupi), zotupa zam'mimba, zotupa za m'mimba, mtundu 1 ndi mtundu 2 matenda osokoneza bongo, kusintha kwa mahomoni komanso chibadwidwe chamtsogolo cha matendawa. Pafupifupi theka la milandu, sizotheka kukhazikitsa chomwe chimayambitsa matenda. Matenda a kapamba amatha kukhudza azimayi kuposa abambo.

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Kutengera ululu wa kapamba

Kodi ndimapweteka otani a kapamba omwe nthawi zambiri amasokoneza odwala? Palibe yankho la funsoli, popeza kupweteka kwa kapamba kumatha kukhala kosiyana: kusoka, kudula, kupweteka, ndi kutulutsa mbali panthawi inayake (mwachitsanzo, pansi pa nthiti yakumanja), kapena pakati pamimba, komanso nthawi zina ngakhale kupatsa mu groin kapena nsana wanu.

Mtundu wa zowawa zimatengera gawo liti la kapamba lomwe limapsa: mutu, thupi kapena mchira. Ngati mutu wa kapamba wakupsinjika, umapweteka mbali yakumanja mwachindunji pansi pa nthiti, ngati thupi la chithokomiro, ululu umalimba m'malo otchedwa "pansi pa supuni", ngati mchira ukupweteka mbali yonse yakumanzere kwa peritoneum, koma ululu wowoneka bwino umadziwika pansi pa nthiti yakumanzere.

Kudziwitsa zakupweteka kwa kapamba kumakhala kovuta kwambiri, nthawi zambiri odwala sangadziwe komwe kumawapweteka, akuti "chilichonse chimapweteka," - Pankhaniyi, pali nkhani yokhudza kutulutsa kwathunthu kwa kapamba: thupi ndi mutu, komanso mchira. Pankhaniyi, ululu umatha kuperekedwa kwa coccyx, kumbuyo (ngati kuti mukuzungulira wodwala), mwendo, iliac ndi inguinal malo. Nthawi zambiri, azimayi amadandaula za zowawa zachilendo mu perineum, yomwe imathamanga kuyenda.

Kupweteka kwam'mbuyo ndi kapamba kumapangidwanso pafupipafupi, chifukwa kapamba wodwala amatulutsa ziwalo zonse za peritoneum. Ichi ndichifukwa chake msana umawoneka kuti ululu. Mofananamo, msana umapweteka ndi kutupa kwa impso.

Mutu wapakhungu ndi pancreatitis ndichinthu chachilendo chomwe chimachitika motsutsana ndi maziko a kufooka kwathunthu komanso kutopa kwa thupi.Nthawi yomweyo, kutupa kwa kapamba, monga lamulo, sikumayendetsedwa ndi kuwonjezeka kwa kutentha kwa thupi, koma pafupifupi kumadziwoneka kofanana ndi mawonekedwe ena a jaundice a nkhope ndi khungu. Ndikofunika kudziwa kuti nthawi zambiri (makamaka ngati matendawa ndi okhazikika kale) pamakhala kupweteka kwambiri chifukwa cha kapamba ndipo matendawa amapezeka mwanjira yapambuyo (palibe kupweteka kwambiri kapena kupweteka kwa kapamba).

Ndi kapamba wotero, wotchedwa "mwala" (chifukwa cha kupangika kwa miyala mu kapangidwe ka kapamba), mutu wa nduluyo umayatsidwa kwambiri, mulingo wa amylase m'mwazi ndi mkodzo umachulukana. Pankhaniyi, motsutsana ndi maziko a kusowa kwa kapamba ka pancreatic, odwala amadandaula za kutaya mtima kwanthawi yayitali komanso kutulutsa magazi nthawi zonse. Kansa yamtunduwu ndi yowopsa chifukwa kuwonjezera pazizindikiro zomwe zili pamwambapa, zomwe nthawi zambiri zimakhala zosatheka kudziwa popanda kulowerera kuchipatala (mwachitsanzo, kuchuluka kwa amylase m'magazi ndi mkodzo, kuchuluka kwa shuga m'magazi), malo abwino pakupititsa patsogolo matenda a shuga 1 komanso 2 mtundu (shuga yam'mbuyomu, osati yodalira insulin).

Kodi kuzindikira pancreatitis pachimake?

Acute pancreatitis, yomwe amadziwika kuti "kuukira kwa kapamba," ndi matenda oopsa, ndipo ndi imodzi mwa matenda ofala kwambiri a ziwalo zam'mimba. Ndi kapamba uyu, kapamba amayamba "kudzimbidwa yekha", ndipo ngati simulowerera nthawi ndikupereka wodwala mankhwala oyenera ndipo osakupatsani zakudya zoyenera zomwe zili ndi shuga yochepa, edema, kutupa kwa fungo lozungulira kuzungulira tinthu timene timayambitsa.

Chifukwa chake, pancreatitis yachilendo imatha kuzindikiridwa ndi kukhalapo kwa madandaulo otsatirawa:

Kupweteka kwambiri pamimba pamimba (pansi pa nthiti yakumanja).
Ma shoni, kupweteka kwambiri, kumakhalitsidwa pansi ndikukhala kapena kugona, kugwada pansi.
Kuchepetsa mseru
Kubowola (ndi zodetsa za bile).
Kusintha kuzakudya zonse, incl. ndi madzi akumwa omveka.
Kumverera kwadzaza kwamatumbo, kumatulutsa.
Khungu lonyowa lakuda ndi tint kapena kakomedwe kakasu.
Chowonekera (wodwalayo amawona) kuchepa kwa kuthamanga kwa magazi ndi kuchuluka kwa mtima.

Kuzindikira kupweteka ndi kapamba

Kuzindikira matenda a pancreatitis pachimake kumafuna mayeso otsatirawa ndi manambala:

Kuyesedwa kwa magazi konse.
Kuphatikiza kwamwazi m'mwazi (kumapangitsa kuti azitha kudziwa kuchuluka kwa amylase m'magazi ndi mkodzo).
X-ray ya m'mimba.
Ultrasound yam'mimba.
Fibrogastroduodenoscopy ("probe" mwa anthu wamba) - - imathandizira kukhazikitsa kukhalapo kwa zilonda ndi neoplasms, komanso zimapangitsa kutenga madzi am'mimba kuti awunikenso.
Laparoscopy
Composed tomography (ngati oncology ikukayikira).

Pancreatitis Pain Management

Ululu womwe umachitika pancreatitis yayikulu umatchulidwa, ndipo ndiomwe umapangitsa munthu mwanjira ina kuwalandira. Chithandizo chikuchitika mosamalitsa dokotala. Ngati pancreatitis wodwala amatha kupezeka ndi matendawa kapena amachepetsa ululu (kuweruza ndi zomwe zachitika kale), ngati mukukumana ndi chifuwa chachikulu (makamaka chachikulu), muyenera kuyimbira ambulansi nthawi yomweyo. Tiyenera kudziwa kuti funso lamuyaya "momwe mungathandizire kupweteka ndi kapamba?", Pali yankho losavuta - lozizira. Kuzizira kumazizira ululu, kuuchotsa. Kupweteka kwa shingles pancreatitis nthawi zambiri kumayambitsa mantha komanso kusokoneza chidwi, koma ngati pazifukwa zina kuyendera kwa dokotala sikungatheke, zotsatirazi ziyenera kuchitidwa:

Muchepetse kudya kwakanthawi (mpaka kufa ndi njala) kwa maola 18-24 panthawi yanthawi yochulukirapo (kuchokera pakumwa - madzi amchere amchere kapena tiyi yofooka yopanda shuga).
Lemberani ozizira (mutha kugwiritsa ntchito potenthetsera ndi ayezi) kumalo opweteka (kuchokera ku hypochondrium yoyenera mpaka ku navel). Mulimonsemo musatenthe peritoneum! Izi zimatha kudzetsa edema ndi sepsis, zomwe nthawi zambiri zimafunikira kuchitidwa opaleshoni mwachangu.
Panthawi yowonjezera komanso masiku angapo pambuyo pa kuukiridwa, wogwiritsa ntchito dontho la glucose kapena rheosorbylact (200-400 ml) amalimbikitsidwa.
Njala yoyamba ikatha, wodwalayo adzafunadi kudya, chifukwa chakuti zikondamoyo zoyipitsidwa, chifukwa chosowa chakudya chogaya, zimayamba kudzipukusa. Pankhaniyi, mutha kuyamba kudya pang'ono. Yang'anani! Shuga ayenera kukhala ochepa kuti azingolembera Mlingo wochepa, chifukwa kumwa shuga tsopano kungayambitsenso matenda. Koma thupi limafunikirabe glucose, ngati ma dontho omwe ali ndi glucose sanapangidwe, tiyi wakuda wopanda mphamvu amatha kutsekemera pang'ono.
Musachotse ufa wonse, wokazinga, wamafuta - i.e. zonse zomwe zikondamoyo zomwe zidadwala zimagwiritsa ntchito mphamvu zambiri, zomwe sizili m'thupi lofooka. Mutha kudya dzira limodzi owiritsa, chidutswa cha mkate wa dzulo (kapena chouma mu toaster), mbale zingapo za ma biscuit cookies kapena owuma angapo. Kudzikongoletsa kwa maapulo owuma, msuzi wa zoumba zouma kapena tiyi kuchokera m'chiuno chowongoka kumawonetsedwanso (ndibwino kutenga m'chiuno mwatsopano ndikuwawunikira mu thermos kuposa kumwa tiyi m'matumba). Malingaliro omwe ali pamwambawa ali ndi vitamini C ndi glucose (fructose), omwe sangakhale ovulaza, koma ofunikira kwambiri kwa thupi.
Pambuyo masiku 3-4, kutsatira zakudya, zomwe wodwalayo ayenera kukhazikika. Komabe, muyenera kupitiliza kudya zakudya zopanda shuga pang'ono, kumwa kwambiri komanso kupewa kudya zakudya zosafunikira. Nthawi iliyonse mukatha kudya, ndikulimbikitsidwa kuti muthe kukonzekera kwa enzyme (Mezim 10000, Pancreatinum 8000, Festal, Festal Forte) mapiritsi 1-2 kutengera mlingo (ndikofunikira kuti mulingo wa enzyme wa tsiku ndi tsiku usapitirire 25,000).
Onetsetsani kuti mukumana ndi dokotala wa gastroenterologist kuti mupitenso kukayezetsa kwam'mimba ndikuzindikiritsa zomwe zimayambitsa pancreatitis yayikulu. Musayambitse matendawa ngakhale mukumva bwino, chifukwa mavuto ndi kapamba akhoza kukhala gawo loyamba pakupanga shuga.

Ululu wambiri wa kapamba samatchulidwa pang'ono kuposa pachimake. Odwala a gastroenterologists amakhala ndi ululu wosakhazikika, osasinthika (gwiritsitsani), ndikuwonjezeka mukatha kudya. Imatha kupereka pamitundu yosiyanasiyana ya peritoneum, koma imakonda "kupweteka" pansi pa nthiti yakumanzere. Kupweteka kwamatenda a pancreatitis sichinali choyambirira, koma vuto lachiwirili, chifukwa zimayambira kumbuyo kwa matenda am'matumbo, matenda am'matumbo ndi duodenum, hepatitis B ndi C, mumps (mumps), matumbo owonongeka ndi helminth, komanso chifukwa chogwiritsa ntchito nthawi yayitali komanso nthawi zonse mowa (zoposa magalamu 50 a mowa wamphamvu ndi vinyo wouma woposa 80 patsiku). Zotsatira zoyipa za kapamba zimaphatikizidwanso ndi kugwiritsidwa ntchito kosalekeza kwa madzi a carbonated ndi zakumwa zoziziritsa kukhosi, zimayambitsa kupweteka kosalekeza kwa ziphuphu, zovuta chifukwa cha kutulutsa magazi pang'onopang'ono, ndipo pang'onopang'ono matenda a minyewa. Munthawi ya chifuwa cham'mimba, ululu suwoneka nthawi zonse, koma pokhapokha zolakwika m'zakudya zimachitika. Ndiye chifukwa chake, ngati muli ndi matenda a kapamba, muyenera kutsatira zakudya zoyenera. Mwakutero:

Zakudya zopatsa thanzi kwambiri zomwe zimakhala ndi shuga "wovuta": chokoleti, makeke ndi maswiti, zopangidwa ndi ufa.
Zakumwa za kaboni ndi timadzi tokhathamira, zakumwa zoziziritsa kukhosi.
Zakudya zophika, zamafuta ndi zonunkhira.
Osamagwiritsa ntchito nkhanza.

Zomwe zili pamwambazi sizitanthauza kuti muyenera kumangokhala ndi chakudya chokwanira, osangozunza komanso kudya mopitirira muyeso. Simuyenera kudzikana nokha kuti mukhale nyama, nsomba kapena bowa, chifukwa mapuloteni amafunikiridwa kwambiri ndi thupi, kutsatira zakudya zokha, ndibwino kuphika kapena kugwiritsa ntchito zinthu zotere zophika. Ndikofunikira kudziwa kuti soups wolemera pa msuzi wamafuta amatsutsana kwambiri.Ndikwabwino kuphika msuzi pamsuzi wamasamba achilengedwe, ndiye kuti azikumbidwa mosavuta ndikupeza zabwino.

Kupewa kwa Pancreatitis Pain

Kupewa kapamba mu phukusi komanso pachimake ndikosavuta, ndipo sikutha kokha ndi zakudya zoyenera. Ndikofunikira kuyang'anira maulamuliro amasana, osamadya usiku (popeza usiku zikondwerero zimayenda pang'onopang'ono kapena zomwe zimatchedwa "kugona machitidwe", monga thupi lonse. Pakudya chakudya usiku "timadzutse" ndikukakamiza kugwira ntchito. chakudya ndi mowa, komanso zakudya zamafuta ambiri ndi zowotchera .. Ndikwabwino kudya nyama yophika ndi yophika, ndikuchepetsa kudya kwa ufa. Musadye maswiti ambiri (mumakeke ndi chokoleti, monga lamulo, onjezani shuga losavuta, lomwe limavuta kulisokoneza ndi michere ya pancreatic) Ngati ete, kuti chakudya akubwera - bwino kutenga yokonza enzyme sayenera kulowerera koloko ndi timadziti ndi utoto Samalani a kapamba lanu mukhale ndi thanzi labwino ..!

Pancreas - kapangidwe ndi ntchito zazikulu

Zowawa m'mapazi zimabweretsa chizunzo chachikulu

Chikondamoyo ndi chiwalo cham'mimba chomwe chimakhala kumbuyo kwa m'mimba kumbuyo kwamimba. Amadziwika ndi mawonekedwe achilendo, ali ndi mutu, thupi ndi mchira. Kutalika kwa kapamba ndi 16-22 cm, ndipo amalemera pafupifupi 80g.

Pancreas ili ndi mawonekedwe a alveolar-tubular. Ikagawidwa kukhala maubweya a utoto wonyezimira, amtundu uliwonse womwe umakhala ndi minyewa ya glandular ndipo imakhala ndi kachitidwe kake ka ma ducts. Zinyalala zazing'ono izi zimalumikizidwa zikuluzikulu, zomwe, zimaphatikizidwa mu duct wamba. Chophimbira chofala chofananira chimayendetsa kutalika konse kwa chiwalo ndikuyamba kulowa mu duodenum.

Tizilombo tambiri touluka timapangidwa kuchokera m'maselo omwe amapanga madzi a pancreatic, okhala ndi michere yambiri. Kuchokera ku boles, chinsinsi chimadutsa pakati pamayendedwe wamba kudutsa gland yonse. Pakati pa zoles of glandular pali magulu a glandular cell, omwe amatchedwa islets of Langerhans. Maselo amtunduwu samakhala ndi ma ducts, amatulutsa insulin ndi glucagon mwachindunji m'magazi. Pancreas ndimatumbo amtundu wosakanikirana wamtundu uliwonse, ndiko kuti, umagwira zonse za endocrine ndi exocrine:

Ntchito ya procrine ndikuchita nawo chimbudzi. Chotulutsa chimatulutsa madzi a pancreatic ndipo kudzera mumadontho amachichotsa mpaka ku duodenum. Pafupifupi 500-700 ml ya madzi amapangidwa tsiku lililonse, omwe amakhala ndi ma enzymes oyenera kugaya chakudya - amylase, omwe amathandizira kuti asinthe kukhala shuga, trypsin ndi chymotrypsin - ma enzyme omwe amachititsa kuti mapuloteni aphulike, lipase, yomwe imayambitsa kuphwanya mafuta, etc. Chifukwa chake, madzi a pancreatic ndi chakudya chofunikira kwambiri m'mimba chofunikira kupukusa zofunikira za chakudya.
Ntchito ya endocrine ya gland ndimatupi a glucagon ndi insulin - mahomoni omwe amaphatikizidwa ndi kayendedwe ka kagayidwe kazachilengedwe.

Zikondazo zimagwirizana kwambiri ndi ziwalo zina zam'mimba. Njira iliyonse yamatenda yomwe ikukhudzana nayo imakhudza chimbudzi. Popanda michere yopangidwa ndi iyo, kusweka kwachilendo kwa chakudya ndikosatheka, ndipo popanda mahomoni a glucagon ndi insulin, kudziwitsidwa kwa njira ya metabolic m'thupi ndi kosatheka.

Kodi kupweteka ndi kapamba kumachitika bwanji?

Kodi kupweteka kwa kapamba kumawoneka bwanji ndipo kumapweteka pati ndi kapamba?

Ululu wambiri pancreatitis, komanso pachimake, makamaka zimachitika chifukwa cha kusokonezeka kwaposachedwa kukamwa kwa kayendedwe ka zotupa.Kuphatikiza apo, chomwe chimapangitsa kupweteka kumakhala kuphwanya kwa ma microcirculation mu ziwalo za chiwalo, kuchitika kwa foci ya supplement komanso kumachitika kwa ma degenerative pathologies.

Pankhani ya matenda mu pachimake mawonekedwe, ndiye pathological kusintha kugwirizana ndi mapangidwe suppularase mu zimakhala za chiwalo.

Mu izi, chitukuko cha mawonekedwe onse a zizindikiritso za kuphatikizika kumachitika:

pamakhala zotupa m'matipi amthupi,
pali kuphwanya kachitidwe ka thupi,
kusintha kwa mtundu kumachitika.

Kuchulukana kwamadzi mu minyewa ya tinthu timene kumatupira kumapangitsa kuti minofu ichulukane, komanso, kuwonjezeka kwa kukula kwa mbewa kumakhudza matumbo, kumafinya. Kusesa matumbo kumabweretsa zowawa.

Matenda aliwonse amakhala ndi machitidwe amodzi payekha, chifukwa chake, ndikupanga matenda am'mimba, kuphatikizidwa kwa kupweteka kwa kapamba kumakhala kosiyana pang'ono pazochitika zonse.

Nthawi zambiri, kupezeka kwa kusasangalala ndi kupweteka kwapweteka kumawonedwa pamimba.

Ngati ma enzyme opangidwa ndi tiziwopsezo tosapeza njira, amatha kulowa m'malire a ziwalozo ndipo izi zimakulitsa chizindikiro cha ululu.

Matenda apathengo amadziwika ndi kukhalapo kwa chizindikiro cha kupweteka kwambiri, komanso kupweteka pakokha ndikosapweteka komanso kupweteka, kumatha kukhala lamba komanso kufanana ndi kumverera kwa ziwopsezo za angina, zomwe zingasokeretse wodwalayo.

Nthawi zambiri, lamba lachiberekero m'mimba ndi kutsika kumbuyo ndi kapamba kumayamba ngati matendawa atakhala achilengedwe.

Zomwe zimayambitsa kupweteka zimatha kukhala zifukwa zambiri, zomwe zotsatirazi zimatha kusiyanitsidwa:

Matenda aliwonse am'mimba angayambitse matenda a kapamba.
Kukumana ndi zowawa mu peritoneum.
Kulephera mu mahomoni amthupi.
Kugonjetsedwa kwa thupi ndi mphutsi.
Mowa wambiri.
Kulandila kosatheka panthawi ya mankhwala. Maantibayotiki.
Zakudya zopanda pake.
Kudziletsa.

Malinga ndi ziwerengero zamankhwala, sizotheka kukhazikitsa chifukwa chenicheni cha kapamba mu 30% ya milandu yonse yomwe yatchulidwa.

Kuzindikira kwawawa ndi chikhalidwe chawo

Chizindikiro chopweteka m'mimba ndicho chizindikiro chachikulu cha kapamba. Chitukuko ndi chikhalidwe chake zimatha kusiyana kutengera gawo liti la chiberekero lomwe lingatengeke ndi kutupa.

Zikondazo zimagawidwa mutu, thupi ndi mchira. Ngati njira yotupa imakhudza mutu, ndiye kuti mbali yakumanja mu hypochondrium imapweteka. Kudziwitsa za pathological mu thupi la chiwalo kumabweretsa chisokonezo m'mimba, ndipo kutupa kwa mchira wa gland kumawonetsedwa ndi zomverera zosasangalatsa mbali yakumanzere.

Ndi kutupa kwa chiwalo chonse, mbali yonse yam'mimba imayamba kupweteka. Zizindikiro zopweteka zimafikira kumbuyo, nthawi zambiri kupweteka kwam'mimba kumachitika mwendo, mwa azimayi ululu umatha kulowa kudera lachiberekero.

Kutengera gawo lomwe thupi limafalikira, komanso komwe gawo lachiberekero limakhudzidwa ndi kutupa, mtundu wa ululu ukhoza kukhala wosiyana:

osayankhula
kupweteka
kudula
lakuthwa
kumva koyaka kumatha kuchitika
kupweteka kufalikira mu dera linalake kapena m'mimba.

Kukhazikika kwa chizindikiro cha kupweteka kumatha kuyenda ndi kuwonjezeka kwa kutentha kwa thupi ndi mawonekedwe a zikopa zotayirira.

Chifukwa chachikulu chowonekera kupweteka ndi kutsekeka kwa ma ducts, mapangidwe a chotupa ndi zipsera zomwe zimasokoneza kutuluka kwa chinsinsi. Kudzikundikira kwa madzi a pancreatic kumabweretsa kuwonjezeka kwa kukakamiza ndi kusokonezeka kwa magazi ndikupanga maselo amisempha ya pancreatic. Njira yotupa imayambitsa kuwonongeka kwa ziwalo zamanjenje.

Ndi kuchulukitsa kwa mtundu wodwala wamatenda mwa munthu, kupweteka kwamphamvu kumawonekera, komwe kumatha kufalikira m'dera lumbar. Zomverera zowawa nthawi zina zimakhala zosavutikira, popeza ululu womwe umatuluka m'mimba umalumikizidwa ndi zosakoka zomverera zomwe zimadza chifukwa chotsinya matumbo.

Momwe gland imakhalira kotero kuti ikakulitsidwa, imayika zovuta m'malo osiyanasiyana a duodenum ndi chiwindi.

Zotsatira zoika kupanikizika kwa chiwindi ndikutukuka kwa wodwalayo pazovuta mu ntchito ya chiwalo ndikuwonetsedwa mu chitukuko cha cholecystitis, kutuluka kwa ndulu kuchokera ku ndulu kumayambitsa kusokonezeka.

Mphamvu ya ululu wamapapo pancreatitis imatha kukhala kuti munthu amayamba kugwedezeka kwambiri chifukwa cha kumene amakhala.

Kutalika kwa vuto la kupweteka kumatha kukhala kosiyana, ndipo zovuta zomwe zimachitika iwonso zimatha usiku.

Kuti achepetse kuwoneka kwa zosasangalatsa zizindikiro zawo zikamachitika, wodwalayo apatsidwe malo okhala ndi thupi lopendekeka chamtsogolo.

Izi zimathandizanso kuti muchepetse mavuto kumimba, komwe kumathandizanso wodwalayo.

Njira zoyeserera ndi kupewa matenda apamba

Kupewa kufalikira kwa kapamba khunyu ndikosavuta. Komanso kupewa matendawa palokha.

Popewa kukula kwa kutupa kwa kapamba, simuyenera kungotsatira zakudya zathanzi, komanso kutsatira malamulo a tsiku ndi tsiku. Sitikulimbikitsidwa kudya chakudya usiku, izi zimachitika chifukwa chakuti nthawi imeneyi masana thupi limalowa munthawi yochepa yogwira ntchito.

Simuyenera kudya zakudya zachangu, muyenera kuchepetsa kumwa mowa, mafuta komanso zakudya zopanda mkaka. Ndikofunikira kugwiritsa ntchito nyama yophika komanso yophika chakudya. Kuphatikiza apo, amafunika kuchepetsa kudya zakudya ndi maswiti.

Musanatenge phwando, pamafunika kukonzekera michere yomwe imakhala ndi amylase, imodzi mwazinthu zazikulu zopangidwa ndi kapamba, kuti athandizire ntchito ya thupi.

Kuti mupeze chithandizo mwachangu ndikuzindikira kupezeka kwa matenda m'thupi, muyenera kudziwa zomwe zizindikiro zoyambirira za matendawa ndi.

Zizindikiro zake ndi izi:

kupweteka kapena kupweteka m'mimba,
lunda m'chiuno lumbar,
maonekedwe a nseru ndi kusanza,
maonekedwe onyansa ndi chakudya chilichonse,
ukufalikira
kusintha kwa khungu,
kutsitsa magazi
kuchuluka kwa mtima.

Ngati pali kukayikira kwa kapamba kapena ngati zizindikiro zoyambirira za matendawo ziwonekera, kuyezetsa kokwanira kuyenera kuchitika kuti athe kuzindikira koyenera.

Mukamazindikira, njira zotsatirazi zikugwiritsidwa ntchito:

Kuchita magazi oyeserera.
Kuyesa kwamwazi wamagazi. Kusanthula kumeneku kumawulula kuchuluka kwa amylase m'mwazi.
X-ray ya m'mimba.
Fibrogastroduodenoscopy. Kugwiritsa ntchito njirayi kumakupatsani mwayi wokhazikitsa kupezeka kwa zilonda ndi ma neoplasms, kuwonjezera pa izi, njirayi imakuthandizani kuti mupeze msuzi wamatumbo a wodwalayo kuti awunike.
Laparoscopy Njira imakuthandizani kuti muthe kutenga biopsy zakuthupi ngati pakufunika. Kufufuza mwa njira imodzi kumapangitsa kuti azindikire kupezeka kwa maselo a khansa pamaso pa khansa yomwe ikukayikira.
Yogwiritsa tomography - yochitidwa ngati pali chotupa cha pancreatic.

Njira imodzi yodziwika yodziwira matenda a m'mimba ndi ma ultrasound.

Ngati ndi kotheka, dokotala atha kukupatsirani mitundu inanso yazachipatala.

Kutumiza ululu kunyumba

Ngati wodwalayo ali ndi vuto lowopsa lomwe lingaperekedwe kwa msana, muyenera kuyimitsa chizindikiro chosasangalatsa ndikusangalatsa madera omwe wodwalayo akudwala. Pachifukwa ichi, mutha kugwiritsa ntchito kuzizira kunyumba. Botolo lamadzi otentha ndi madzi oundana kapena ayezi limayikidwa pakadutsa mphindi 15-20, pomwepo limachotsedwa kwakanthawi kenako gawo limabwerezedwa. Compress yozizira imayambitsa kuchepa pamlingo wowonetsera kupweteka ndikuchepetsa mkhalidwe wa munthu yemwe akudwala kapamba.

Pakuwonetsa koyamba kwa chizindikiro cha kupweteka, dokotala amayenera kuyitanidwa. Dokotala asanafike, kuti muchepetse kupweteka, kuwonjezera pa kuzizira, mutha kupatsa wodwala piritsi la No-shpa ndikumwa madzi am'minigawo popanda mafuta pang'ono mphindi 30 zilizonse.

Sikulimbikitsidwa kugwiritsa ntchito ma pinkiller adokotala asanafike, chifukwa kugwiritsa ntchito kwawo kungapangitse kudwalanso kwa matendawa. Zakudya ziyenera kutayidwa kwathunthu. Pambuyo popereka thandizo kwa wodwala, amapita naye kuchipatala kuti akamuyeze ndi kuchipatala.

Mutha kuchotsa ululu ndi ma pinkiller mutatha kuyesedwa. Pachifukwa ichi, mutha kugwiritsa ntchito mankhwala ngati Baralgin, Citramon kapena Paracetamol.

Chipatala chachipatala chowongolera kapamba chimaphatikizanso kugwiritsa ntchito kwa magulu angapo a mankhwala osiyanasiyana omwe amalepheretsa kupanga ma pancreatic enzymes, kusintha chimbudzi ndi kuchepetsa acidity ya chakudya chotengera mukamayendetsa kuchokera m'mimba kupita m'matumbo.

Kuthetsa zizindikiro za ululu kuchipatala

Pambuyo pa kufufuza ndikukhazikitsa kuzindikira koyenera, matendawa amathandizidwa. Njira zomwe zimagwiritsidwa ntchito pamenepa zimadalira kukula kwa matendawo. Dokotala wopezekapo amasankha njira zamankhwala poganizira zomwe zapezeka pakuwunika ndi mthupi la wodwalayo.

Mpumulo wopweteka pachipatala ukhoza kuchitika pogwiritsa ntchito ma non-steroidal analgesics.

Mankhwala othandiza kwambiri ndi awa:

Paracetamol tikulimbikitsidwa kuti imwedwa pa mlingo wocheperako, ndipo zikavuta, amatha kuchuluka.

Ngati mphamvu ya analgesic ya Paracetamol sikokwanira, ndiye Ibuprofen ndi Diclofenac amagwiritsidwa ntchito pochepetsa ululu.

M'tsogolomu, chithandizo chovuta chimaphatikizapo kugwiritsa ntchito mankhwala omwe ali m'magulu osiyanasiyana amankhwala.

Magulu awa ndi:

H2 histamine receptor blockers.
Kukonzekera komwe kumakhala ndi ma enzyme okumba.
Mankhwala okhala ndi mahomoni somatostatin kapena mankhwala ena osakanikirana nawo.
Antiemetics
Mankhwala omwe amathandizira kuchepetsa katundu pa kapamba.

Monga mankhwala okhala ndi michere ya pancreatic, monga, Pancreatinum ndi Panzinorm. Mankhwalawa samangoleketsa katundu pazilonda zake, komanso amathandizanso kusintha kuchuluka kwa acid pazakudya panthawi yomwe amayenda kuchokera kumalire am'mimba kupita kumkono wa duodenum.

Mankhwala ochepetsa mphamvu ya antiemetic amachepetsa kumva mseru komanso kupondereza kusanza, komwe kumapangitsa wodwalayo kumva bwino.

Nthawi zina, kugwiritsa ntchito H2 histamine receptor blockers kungafunike. Mankhwala oterewa amatha kuchepetsa ntchito za ma enzymes omwe ali mu kapamba, kuletsa kaphatikizidwe ka hydrochloric acid pamimba. Mankhwala odziwika kwambiri m'gululi ndi Famotidine.

Kugwiritsa ntchito mankhwala omwe ali ndi somatostatin kungachepetse kupweteka kwa kapamba. Chithandizo chotchuka m'gululi ndi Octreotide. Kugwiritsa ntchito mankhwala amtunduwu kumatha kuchita zabwino zambiri.

Zambiri pazizindikiro za pancreatitis zimaperekedwa mu kanema munkhaniyi.

Kodi Zizindikiro zopweteka zimachitika bwanji ndi kapamba

Kupweteka kapena kuwonda kwa kapamba ndi chizindikiro cha kakulidwe ka kapamba kamene kamapezeka motsutsana ndi maziko azifukwa zotsatirazi:

cholecystitis yomwe ikukula mkati mwa ndulu,
zilonda zam'mimba kapena duodenum,
kugwiritsa ntchito mankhwala osokoneza bongo, makamaka amuna.

The limagwirira kukula kwa kupweteka kwa pancreatic pancreatic zotupa muli mu kupitirira kwa zotsatirazi matenda a m'mitsempha ya chiwalo iyi yomwe imachitika mchikhalidwe cha pathogenic.

chitukuko cha ischemia cha England, chodziwika ngati kusokonezeka kwa ma microcirculation mu minofu zida.
zovuta zotseketsa m'matumbo a ma pancreatic ducts,
kukulitsa kwa kusintha kwa dystrophic mothandizidwa ndi kutupa.

Kukula kwa vuto mu gland kumadalira mtundu wamatendawa. Mu nthawi ya pancreatitis yovuta kwambiri, kusintha kwamitsempha ya gland yomwe yakhudzidwa, yomwe imakhala yotupa, yolimba kwambiri, yomwe imathandizira kuwonetsedwa kwa zisonyezo zonse zapamwamba zogwirizana ndi njirazi, zotchulidwa ngati:

mapangidwe a zowawa
maonekedwe a kudzikuza,
kusokonekera magwiridwe
mapangidwe ofiira.

Kapangidwe ka edema komwe kumachitika chifukwa cha kudziunjikira kwamadzi yambiri kumapangitsa kuti pakhale zovuta zina zowonjezera pakukakamiza kwa zida za minofu ya England. Kukula kwa kusintha kwa dystrophic ndi kusokonezeka kwa necrotic kumatha kuwonetsedwa ngati gawo laokha la zotupa zam'mimba, komanso kupita patsogolo kwa mawonekedwe athunthu a pancreatic necrosis. Kukula kwa ma pathologies oterewa m'matumbo a gland kumabweretsa kuphwanya umphumphu wa lobes ya parenchyma.

Izi zimapangitsa kuchotsedwa kwa ziwalo za pancreatic enzymatic kupyola gawo lophatikizira la pancreatic duct, kotero kuwonekera kwa ululu ndi kapamba kumakulirakulira kwambiri, kutenga mawonekedwe ooneka ngati mphero, mchikakamizo cha momwe kufooketsa kwa ziwonekere kwa kugwira ntchito kwa impso, chiwindi ndi ziwalo zina za parenchymal.

Kukula kwa zotupa m'matumbo mu nthawi yayitali mawonekedwe owonongeka a parenchymal gland amakhala ndi mawonekedwe owawa kwambiri. Gland itayamba kuyaka, njira zosinthira minofu ya glandular minofu yolumikizana ndikukula kwa njira ya ischemic imayambitsidwa. M'madera ena a thupi, ma cysts ndi mawebusayiti owerengeka amayamba kupanga. Zotsatira za maphunzirowa ndi kupsinjika kwa ma gland, komanso kuphwanya kutulutsa kwa ma pancreatic enzi komanso kuwonjezereka kwa mphamvu ya zopweteka.

Mtundu wopatsirana wamatenda osiyanasiyana a kapamba amadziwika ndi kukula kwa allodynia, ndiko kuti, kupezeka kwa matenda opweteka mukakumana ndi omwe amaletsa mofatsa.

Munthawi yonyamula mwana mwa amayi, kuwonongeka kwa pancreatic kumatha kuchitika motsutsana ndi maziko a cholelithiasis, kudya kosafunikira kwa mavitamini ndikuwonjezeka kwa cholesterol m'magazi. Kuchepa kwa matendawa kumawonjezera ndikutalika kwakanthawi kokhala ndi pakati, chifukwa chake, mu magawo omaliza, pazochitika zoposa 50%, azimayi amtsogolo azindikira matendawa.

Zizindikiro za pancreatitis yamtunduwu ndizofanana ndi toxosis ndipo pambuyo pokhapokha mawonekedwe owawa akumva kupweteka kapena kugunda, omwe amatha kupezeka paliponse mthupi: kumbuyo, kumanzere, mu mgolo, kumanzere kumanzere, kumanzere kumanzere, madokotala amamuwonetsa wodwala njira zina zowunika.

Makhalidwe ndi kutulutsa kwawawa

Ngati mbali yakumanzere ya kapamba iyamba kupweteka, ndiye kuti aliyense ayenera kudziwa zomwe akufunika kuchita ndi komwe angapite kukapeza thandizo loyenerera. Kuwoneka kwa ululu wosakhazikika kapena wopweteka kwambiri m'dera la epigastric ndi chifukwa chofulumira chochezera ndi dokotala wa gastroenterologist, kuzindikira kwathunthu ndi kusankha kwa mankhwala oyenera.

Chikhalidwe cha mawonekedwe ndi dera lachitukuko cha zomverera zopweteka pakukonzekera zotupa za kapamba ndizizindikiro za munthu payekha zomwe zimatengera mtundu wa matendawa.

Chikhalidwe cha kupweteka kwamatumbo kapamba

Ndi kupita patsogolo kwa matenda apakhungu pancreatic, kupweteka kumachitika m'matumbo atatha kudya, makamaka ngati chakudyachi ndi mafuta kwambiri, zonunkhira, kapena amchere. Kupita patsogolo kwa njira za pathological mu patsekiti ya gawo lomwe lakhudzidwa limathandizira kuwonjezeka kwa kupweteka kwambiri.

Ngati kupweteka kumachitika, wodwalayo amayamba kuthamanga akusaka malo amthupi, omwe amathandizira thanzi lathunthu. Koma, palibe maimidwe, ngakhale mawonekedwe a mluza, kapena pambali, palibe chomwe chimafooketsa mawonekedwe a ululu. Zopweteka zapakhomo pamimba, nthawi zambiri, imatha kukhala dera lamanzere kapena kumanzere kwamanja kwa hypochondrium. Nthawi zina, kupweteka mu kukula kwa kapamba kapamba kumatha kukhala ndi mawonekedwe ofanana ndi mawonetsedwe azachipatala a angina pectoris.

Amawonetsedwa ndikumverera koyaka mu danga lakutali ndi kubwerera kudera lakumbuyo, nkono ndi gawo lamunsi la nsagwada mbali ya kumanzere.

Chikhalidwe cha kupweteka kwambiri kapamba

Njira yodwala yamatenda a pancreatic mwa akulu imadziwika ndi mawonekedwe owoneka osapweteka, omwe amatha kukhala ndi kutanthauzira kosiyanasiyana komanso kukula kwa mawonekedwe. Imatha kung'amba, kuphwanya, kukoka ndi kudziwonetsa mwaukali kwambiri nthawi zosiyanasiyana masana, usana ndi usiku. Kupweteka kumatha kuchitika:

mbali yakumanzere ndikubwerera kudera lumbar kumanzere,
m'malo a hypochondrium kumanja kapena kumanzere, ndikumanga
m'munsi kumbuyo,
kumbuyo
kumtunda kapena pakati pamimba.

Ndizofunikiranso kudziwa kuti ngati muli ndi matenda osachiritsika, zizindikiro zopweteka zimakhala ndi mawonekedwe osokonekera omwe amakula mosiyanasiyana.

Musaiwale kuti kupezeka kwa ululu chifukwa cha kupweteka kwa kapamba kumadalira chakudyacho komanso kugwiritsa ntchito zakudya zoletsedwa zomwe zimakhumudwitsa mafinya a m'mimba, pambuyo pa mphindi 30 mpaka 40.

Zikondazo zimapweteka atatha kudya, monga kudya zakudya zamafuta ambiri, zonunkhira kapena mchere, komanso kumwa zakumwa zoledzeretsa kapena kaboni, komanso zakudya zosankhika kapena zosuta.

Zitha kukhala zosowa kwambiri kudwala pamimba yopanda kanthu. Pambuyo pakuchira bwino, pakapita nthawi, ululu wakuthwa mu hypochondrium ukhoza kukhalanso wamphamvu.

Odwala ena amafunsa kuti, "Kodi bwanji kupweteka mwadzidzidzi kwa kapamba kumatha mwadzidzidzi?"

Muzochitika izi pamene zovuta zakumva zowawa kwambiri zimaleka kuwonekera kwawo komanso mkhalidwe wa wodwalayo zimakhazikika, izi zitha kukhala chifukwa chosakondwera, koma njira zowonjezera zowunika. Izi ndizoyenera chifukwa ndi chikhalidwe ichi cha mawu opweteka, kuwonongeka kwa ma neancotic kumatha kupita patsogolo.

Kuzindikira kuwawa

Ngati colic ikachitika, kapena kupweteka kwambiri komanso kupweteka kwa gawo la epigastric la wodwalayo, njira zotsimikizira izi zimayikidwa:

kuyesedwa kwa magazi pa kafukufuku wamankhwala, momwe amapezeka gawo lalikulu la ESR, ndi zizindikilo zina zomwe zikuwonetsa kukula kwa njira yotupa,
kuyezetsa magazi kwa kafukufuku wamankhwala am'magazi, momwe kuchuluka kwa michere ya pancreatic, monga trypsin, amylase, etc., kutsimikiza
kuyesa kwamkodzo ndi chopondapo,
Ultrasound yam'mimba
X-ray ya peritoneum,
Ndime ya esophagogastroduodenoscopy,
Ndime ya endoscopic retrograde cholangiopancreatography,
MRI kapena CT.

Kudziwitsa za m'mimba kumachitidwanso, pomwe wodwalayo amawona maderawo, akakakamizidwa, zimapweteka.

Malo ndi malo a palpation

Kapamba ndi gawo lalikulu, lokhala ndi nthambi zitatu:

mutu wamakhola
thupi lokakamira
mchira wowongoka pang'ono.

Ndi chiwopsezo cha pancreatic chiwalochi, monga tanena kale, choyamba kapamba amaponyera mbali yakumanzere, ndipo pambuyo pake zizindikiro zina zamankhwala zimayamba kuonekera, munthawi ya nseru, kusanza, kutentha thupi, kupweteka kwa mutu, kuchepa kwa chakudya, kudzimbidwa kapena kutsegula m'mimba. Wodwala nthawi zambiri amayamba kupita kuchimbudzi usiku. Mimba yamkati imayamba motsutsana ndi kusokonezeka kwa chimbudzi m'matumbo am'mimba, malamba akuwonekera. Nthawi zambiri, kukoka kwa ululu m'mimba yochepa kumatha kuwoneka.

Mitu ndi magawo a palpation a zomwe zimakhudzidwa zimathandiza kudziwa mtundu ndi mitundu ya njira ya pathological. Kuti tichite izi, pofufuza mfundo zotsatirazi:

Malangizo a Desjardins, omwe ali pamwamba pomwe kumanja kwa umbilical fossa ndi 3 cm.
Mayo-Robson amalo omwe ali kumanzere kwamkatikati mwa m'mimba. Kuwoneka kwa ululu pakadali pano kumatanthauza kuwonongeka kwa mchira wa ndulu komanso kukulira kwa mawonekedwe kapena chovuta cha pancreatic pathology.
Gawo la gubergrice, lomwe lili kumanzere kwam'mimba moyang'anizana ndi Desjardins.
Ma point a Kacha omwe ali mdera la kumapeto kwa minofu ya rectus pamimba.
Male-Guy point, yomwe ili mu hypochondrium, kumanzere kwa minofu ya rectus abdominis.

Koma, kuti mudziwe zolondola, zotsatira za njira zonse zowunika zomwe zimachitika zimaganiziridwa.

Momwe mungathetsere zowawa kunyumba

Ndi chitukuko cha njira yowonongeka ya pancreatic pathology, zizindikiro zopweteka zomwe zidasowa mwadzidzidzi zimatha kukhala chizindikiritso cha zotsatira zoyipa. Chipatala cha pamimba chowawa chitha kuwunikidwa moyenera pokhapokha ngati katswiri wochita opaleshoni ali mwanjira yake. Izi zikutanthauza kuti mukamamwa mankhwala ndi ma analgesic zotsatira, kutha kwa kuwawa kwa zizindikiro za ululu kumachitika, zomwe zimandivuta kuti mudziwike bwinobwino. Chifukwa chake, ndi chiyani chomwe chikufunika kuchitidwa, kapena kutengedwa pamene kupweteka kwakuthwa kukhale kumbali, kapena mu hypochondrium? Ndipo chiwopsezo cha pancreatic chitha kufikira liti?

Ndi vuto la chifuwa chachikulu cha kapamba kunyumba kapena kuntchito, mutha kuthana ndi mavuto pochita izi:

Patsani mtendere wathunthu kwa wodwala, kupatula kusuntha kwamwadzidzidzi.
Pezani kuzizira, komwe ululu umatchulidwa kwambiri, ngati mawonekedwe otenthetsera kapena botolo la pulasitiki lopanda ayezi.
Kupatula kwakanthawi pang'ono kuyamwa kwa zinthu zonse zomwe zimagulidwa, kufikira atafika ambulansi, zakumwa zamchere zochepa za chikho 1/3 pambuyo pa mphindi 40-45 ndizololedwa.

Ngati patadutsa ola limodzi, mutatha kutenga ma pinkiller, mawonekedwe a mapiritsi, ululu sutha, ndiye kuti muyenera kupaka jekeseni ndi No-shpa kapena Papaverine.

Kumwa mankhwala amphamvu ndi analgesic zotsatira osavomerezeka, ndikotheka kumwa mankhwala osapweteka a narcotic asanafike gulu lachipatala.

Ophera

Kuchepetsa ululu wa kapamba, tikulimbikitsidwa kugwiritsa ntchito njira zotsatirazi za analgesic sipekitiramu:

mapiritsi a paracetamol
kukonzekera ibuprofen
diclofenac.

Mlingo wake umasankhidwa poganizira za momwe thupi la wodwalayo lilili.Ndikofunikira kuti muyambe kulandira chithandizo chamankhwala ochepa, ndikukula pang'onopang'ono kwa mlingo.

Mochulukirapo, ndikumva kupweteka kwambiri komanso kusakwanira kwenikweni kwa zotsatira za mankhwala omwe ali pamwambawa, kuthekera kwa zotsatira za NSAIDs ndi tranquilizer ndi antipsychotic mankhwala angagwiritsidwe ntchito.

Njira yayitali ya kapamba iyenera kuthandizidwa ndimankhwala ovuta, omwe amaphatikizapo mitundu yotsatirayi yamagulu a mankhwala.

Enzone ya pancreatin, yomwe imathandizira ndikuthandizira kugaya kwam'mimba njira, komanso kuchepetsa mphamvu yogwira pakumenyedwa kwa mafunde a parenchymatous, omwe amathandiza kuthetseratu kupweteketsa mtima kapena kuchepetsa mphamvu yowonetsera.

Hormone somatostatin

Katunduyu ali ndi katundu wapadera wochepetsera chidwi chamunthu pazizindikiro zopweteka. Ili ndi mphamvu yayitali yokhala ndi nthawi yayitali.

Ndizofunikira kudziwa kuti mndandanda wa zotsutsana ndi zoyipa za chinthuchi ndizambiri. Chifukwa chake, cholinga chake chimachitika payekhapayekha, poganizira mawonekedwe onse a thupi la wodwala aliyense.

Zomwe zimapangidwanso ndi generic ya timadzi tokhala ndi mphamvu imodzimodzi, yotchedwa Octreotide.

H2 histamine receptor blockers

Ndikothekanso kuchepetsa kuchuluka kwa magwiridwe antchito pa gland pogwiritsa ntchito proton pump inhibitor kapena kugwiritsa ntchito H2 histamine receptor blockers, otchuka kwambiri omwe ndi Famotidine omwe ali ndi mndandanda wocheperako wazovuta komanso kuthekera kosintha kwa magazi. Mankhwalawa amachepetsa kugwira ntchito mwachinsinsi kwa kapamba, zomwe zimapangitsa kuti zibwezeretsere mpaka pomwepo.

Kupuma pachipatala

Kugwiritsira ntchito kwa odwala kuchipatala, kuchipatala, kumachitika muzovuta kwambiri ndi vuto la kupweteka kwa kapamba kapena kufalikira kwamphamvu kwa matenda oopsa. Pofuna kuthetsa ululu wamankhwala opweteka, mankhwalawa amatha kugwiritsidwa ntchito, omwe ndi othandiza kwambiri:

Komanso, mankhwalawa amatha kuphatikizidwa ndi antipsychotic, tranquilizing ndi antidepressant mankhwala omwe amathandizira wina ndi mzake zotsatira za pharmacological.

Zowawa zonse zatha, wodwalayo amapatsidwa chakudya chapadera ndi tebulo Na. 5.

Kupewa komanso zotsatira zake

Kupewera kwa matenda a pancreatic kumakhala ndikuwunika zinthu izi:

kusiyidwa kwathunthu kwazinthu zokhala ndi zakumwa zoledzeretsa ndi fodya kuchokera m'moyo wa wodwalayo,
kufikira kwa dokotala panthawi yoyamba pamene zisonyezo zosasangalatsa zikuwonekera m'gawo la epigastric,
Kupanga zakudya zoyenera komanso zopatsa thanzi,
kukhala ndi moyo wathanzi
muziyenda usiku musanagone
kupatula chakudya chamadzulo,
kuthetseratu kudyetsa chakudya ndi njala.
munthawi yake chithandizo cha matenda onse a m'matumbo.

Potsatira zonse zomwe zanenedwa pamwambapa komanso malingaliro a dokotala yemwe akupita, wodwala aliyense azitha kudzimva wolimba, wathanzi ndikukhala ndi zaka zingapo zosangalatsa.

Zowawa zake

Kukula ndi chikhalidwe cha kupweteka kwa kapamba zimatengera gawo la matendawa, nthawi ya tsiku, chidzalo cha m'mimba.

Chifukwa chake, kupweteka kosalekeza kumathamangitsa munthu kumayambiriro kwa kufalikira. Monga lamulo, zimawonekera mutatha kudya, komabe, nthawi zina mutha kuwona zomwe zimachitika usiku.

Ngati kukula kwa kapamba kumalumikizana ndi kuchuluka kwa zilonda zam'mimba za duodenum, mawonekedwe a ululuwo amasintha - amayamba kudula, kuwotcha, kudera kwina m'dera la odwala komanso kuwoneka m'mawa. Izi matenda amadziwikanso ndi kupezeka kwa zomwe zimadziwika kuti ululu wa njala.

Nthawi zina, kufotokozera za dokotala, wodwalayo amalephera kudziwa momwe masasayidi am'deralo. Izi ndichifukwa choti pachimake pancreatitis, chithunzi cha chipatala chimakhala chosalala: kupweteka kwa m'chiuno kumatha kumvekedwa osati pamimba, komanso m'munsi kumbuyo. Nthawi zambiri ngakhale mikono ndi miyendo zimapweteka, ngakhale ndizovuta kwambiri kwa munthu wokhala kutali ndi mankhwala kulingalira momwe miyendo imalumikizana ndi kapamba. Dokotala yekha ndi amene angadziwe chomwe chimayambitsa zachilendozi.

Ali kuti

Vuto lalikulu kwambiri la kapamba ndi kapamba limapezeka m'mimba. Apa ndipomwe ziphuphu zoyipa zimapezeka. Ululu umafalikira pamimba yonse yam'mimba. Amalumikizidwa ndi zowawa m'mimba ndi m'mimba yotsika, nthawi zambiri kumagwidwa mbali yoyenera. Zosasangalatsa zoterezi zimatsagana ndi gawo loyambirira la pancreatitis.

Zakudya zopakidwa bwino m'mimba yaying'ono zimakhumudwitsa matumbo ndipo zimayambitsa kukula kwa kutupa. Pali dysbacteriosis yolimba, chifukwa cha izi, munthu mwadzidzidzi amachepetsa thupi. Njira zomwe zimachitika m'matumbo zimapangitsa zambiri kusamva bwino, zomwe ululu umakhala waukulu.

Kuchulukitsa kwa kapamba kumatha kuwonetsa mawonekedwe a edema a kapamba ndi milomo yake, chifukwa chomwe, kuphwanya minofu yoyandikana ndi chodwala kumachitika. Malinga ndi kutha kwa mitsempha komwe kumazungulira kapamba, ululu wammbuyo umafalikira kumadera ena a thupi, makamaka nthawi zambiri kumapereka kumbuyo kwa perineum.

Anus

Ndi kuchulukitsa kwa kapamba, kupukusa kwathunthu kumasokonekera. Chifukwa cha zoperewera chakudya, kutupa kumachitika m'matumbo apansi, zizindikiro za m'mimba kapena kudzimbidwa kumayamba. Pali ululu - onse mkati mwa matumbo a matumbo, ndipo pambuyo pake, kutulutsa chidwi ndi anus. Zomverera zimakhala zowawa kwambiri kotero kuti munthu mwadala amayamba kuletsa mtima wofuna kusiya, mwakutero akungokulitsa vutolo.

Hypochondrium

Kutengera ndi gawo liti la kapamba omwe matendawa amatupa, ululu umatha kukhala kumanja kapena kumanzere, ndipo nthawi zina, mpaka ku chifuwa.

Pancreas yonse ikawonongeka, ululu umagwira dera lonse la epigastric: makona atatu, mawonekedwe ake omwe amakhala pachifuwa komanso onse a hypochondria. Zomverera zofananira zimawonedwa ndi vuto la mtima, komabe, dokotala wodziwa bwino amatha kudziwa palpation kuti matendawa amaphatikizana ndi kapamba.

Ngati ululu umamveka kumanja kokha, izi zikutanthauza kuti kutupa kumakhudza mutu wa kapamba, ndipo ngati kumanzere, mchira.

Nyali

Zovuta pamatumbo zimakhudzanso thanzi la munthu. Ndi kapamba, pali kuchepa kwakulu kwa zinthu zofunika kuzifufuza ndi mavitamini, calcium ndi michere ina yofunikira yomwe imatsukidwa kunja kwa thupi, chifukwa cha nyamakazi ndi arthrosis. Chifukwa chake, musadabwe ngati kulumikizana kwa bondo kapena nsapato: izi ndi zotsatira za kuwonongeka pang'onopang'ono kwa minofu yamafupa.

Matenda a pancreatic amachititsa kuledzera kwathunthu kwa thupi. Kusintha kwatsoka komwe kumakhudza kayendedwe kazinthu zamagazi ndi mitsempha kumayamba chifukwa cha njira zoyipa zomwe zimachitika m'matumbo, komanso kusowa kwa michere nthawi zonse. Ndiye chifukwa cha ichi ambiri odwala omwe ali ndi pancreatitis amadandaula pakusintha kwadzidzidzi kwa kuthamanga kwa magazi ndi kupweteka kwapakhosi, kuwukira komwe nthawi zina kumakhala kwa masiku awiri kapena atatu.

Kodi kuukirako kumatenga nthawi yayitali bwanji?

Kutalika kwa matenda a kapamba, kuchuluka kwawo komanso malo ake zimatha kusiyanasiyana kutengera momwe kapamba amakhudzidwira komanso mbali zake zomwe zadzaza.Kukhazikika kwa zizindikiro zoyambirira kumachitika kumapeto kwa chakudya kapena pambuyo pake. Kupweteka koteroko kumapitirirabe mosalekeza. Kukula kwa zizindikiro zachiwiri kumayamba patangotha maola awiri kuchokera nthawi yomwe kufalikira kumayamba.

Chizindikiro choyamba cha pancreatitis pachimake ndimapweteka, nthawi zambiri chimatulutsidwa pansi pa supuni ndi hypochondrium. Ngati zotupa zimakhudza chisa chonse, ululu umayamba. Pankhaniyi, kutentha kumakwera, tachycardia imawonedwa, kuthamanga kwa magazi kumachepa. Mwina kuwoneka kufupika kwa mpweya ndi kuchepa kwa malovu, komanso kubisala kwa thukuta lakumaso. Khungu lakhungu limatembenuka, limakhala latsitsi la imvi, mawonekedwe amaso amawongoka. M'matenda akulu akulu, wodwalayo samawoneka wosakhazikika ngakhale atatha kuukira, matenda a cyanosis amachitika.

Kuphatikiza pazizindikirozi, palinso ena omwe dokotala wodziwa bwino azindikira kutulutsa kwa kapamba:

Mimba yatupa - izi zimachitika chifukwa cha kupumula kwa minofu ya m'mimba,
Ndi kupsinjika kwapang'onopang'ono pamimba, kusokonezeka kwa minofu sikuchitika kapena kufooka kwambiri,
Pali paresis yamatumbo ndi m'mimba - minyewa yomwe imayambitsa kupindika kwake imagwira ntchito.

Mu gawo loyambirira la kapamba, wodwalayo amatha kukumana ndi zochitika monga kusintha pafupipafupi kudzimbidwa ndi kutsegula m'mimba. Nthawi zambiri, kusintha koteroko m'matumbo kumachitika pambuyo pakumwa zakumwa zoledzeretsa, zamchere, zamchere kapena zowonda.

Chikhalidwe cha kupweteka kwa kapamba

Pancreatitis pachimake imadziwika ndi kupezeka kwa ululu mutangotuluka kumene kwa chinthu chondipangitsa kupweteka: chakudya chokometsera, chakumwa kapena mankhwala osokoneza bongo. Poyamba, kupweteka, kupweteka kumawonjezeka mwachangu. Chithandizo sichimabweretsa kusintha kwa mawonekedwe, kapena kuyesayesa kuyimirira ndikuyenda m'chipindacho. Ngakhale kumbali, kapena malo a mluza, kapena kukhala pampando wokhala pakati, atatsamira pilo, sizivuta. Ngati munthu ayesera kunama kumbuyo kwake, ululuwo umakhala wosapiririka. Malo okhawo omwe matendawa amachepetsa pang'ono amakhala, ndikulowera mtsogolo.

Monga lamulo, pakakhala kuukira kwa kapamba, odwala amadandaula za kupweteka kwam'mimba - moyenera, kumtunda kwake, komwe kumafanana ndi dera la epigastric. Zomverera zosasangalatsa zimasunthira kumanzere kapena kumanzere hypochondrium. Nthawi zina, ululu wakuthwa kumbuyo kwa sternum wokhala ndi phazi lamanzere umatha kuchitika, kuphimba mkono wamanzere, kumbuyo kapena chibwano, ndipo nthawi zina zonse nthawi imodzi. Kuti musiyanitse ndi kuukira kwa angina pectoris, kuyenera ndi chidziwitso cha dotolo wodziwa bwino chidzafunika.

Mu chifuwa chachikulu, mawonekedwe a ululu amasintha. Amakhala okhazikika, opsinjika, mwamphamvu zosiyanasiyana, koma nthawi zambiri amakhala olimba kwambiri - nthawi zina amakhala olimba kwambiri mpaka amabweretsa zovuta m'malingaliro.

Chizindikiro chowopsa ndikusowa kwadzidzidzi kwa zowawa, makamaka ngati m'mbuyomu kudakhala kwambiri. Izi zikuwonetsa kuti neancosis ya pancreatic yayamba kale ndipo wodwala amafunikira chithandizo cha opaleshoni mwachangu.

Thandizo loyamba

Kuukira koyamba kwa kapamba kumatha kugwira munthu mosayembekezereka akakhala kunyumba, kuphwando kapena kuntchito. Ndikofunikira kwambiri kwa wodwalayo komanso anthu omwe amamuzungulira kuti asachite mantha ndikuchita chilichonse kuti athetse vuto lakelo.

Imbani ambulansi nthawi yomweyo.
Panthawi yozunzidwa, wodwalayo amafunika kupumula kwathunthu - mwathupi komanso mwamalingaliro. Ndikofunika kupita naye kuchipinda chayekha kufupi ndi bafa ndi chimbudzi, kuti anthu onse azitha kufikira dokotala.
Zowawa zimacheperachepera pakukhala, ndikutsamira chamtsogolo.
Kupuma mwapamwamba, kusinthana ndi nthawi yochedwa, kumathandizira kupweteka.
Wodwalayo sayenera kulolera kuti akakamize kudya kapena kumwa kena kake (chidutswa cha hering'i wowotedwa, kapu ya vodika, ndi zina), izi zimangokulitsa mkhalidwe wake.
Ngati wodwala akudwala, mutha kuyesa kusanza ndi mphamvu yolingalira: kupereka poto lalikulu la mafuta owunda kapena chidutswa chopanda chofufumitsa cha kirimu batala. Ngati izi sizokwanira, mutha kukanikiza zala zanu pamizu ya lilime, - mpumulo ubwera mwachangu.
Ngakhale ululu ulipo kwambiri, muyenera kupewa kutenga ma analgesics: ambiri aiwo amatha kungokulitsa mkhalidwe wa wodwalayo ndikusokoneza kuzindikira koyenera.
Jakisoni wa papaverine, drotaverine kapena no-shp amathandizira kupumira kwamphamvu. Pakumwa mapiritsi munthawi yotsukidwa, kusanza kumangokulitsa.
Simuyenera kugwiritsa ntchito thumba kapena chotenthetsera ndi madzi oundana pamimba yanu! Zovuta zakuzizira zimatsogolera ku vasospasm yowonjezereka ndikuwonjezereka kwa zomwe zimakhala za matenda.
Wodwala amayenera kupatsidwa madzi ambiri wopanda mpweya, kutentha kwa firiji, - kapu ya kotala mphindi 30-45 zilizonse.

Momwe mungathetsere ululu mwachangu

Changutsani kupweteketsa ululu mu pancreatitis yovuta kwambiri:

Novocaine,
Ketanova
Omnopona,
Tramadola
Fentanyl.

Kuphatikiza pa mankhwala a ululu, mankhwala oletsa kuponderezana, ma antipsychotic, ndi makonzedwe amtundu wa mankhwalawa amathandizidwa kuti athetse mtima wa wodwalayo. Kukhazikitsidwa kwa ma pinkiller kumaphatikizidwa ndi kugwiritsa ntchito maantibayotiki, antispasmodics ndi mankhwala ena. Kugwiritsidwa ntchito mokwanira, njira izi zimathandizira wodwalayo kupwetekedwa m'malo mwachangu ndikuchepetsa zomwe zimachitika.

Ululu ululu womwe umayamba chifukwa cha kukokoloka kwa chifuwa chachikulu chitha kuchotsedwa ndi mankhwala otsatirawa:

Baralgin,
Diclofenac,
Ibuprofen
Metamizole
Paracetamol.

Amagwiritsidwanso ntchito ngati pali chifukwa chofunikira kuthetseratu kupweteka pakhungu. Mlingo wa mankhwala aliwonse umatsimikiziridwa ndi dokotala, kuyang'ana zaka za wodwalayo komanso zidziwitso zomwe matenda amayanjana ndi kutupa kwa pancreatic.

Ululuwo umachepera mphamvu, ndipo posakhalitsa umatha ngati wodwalayo atsatira zakudya.

Njira yabwino yothandizira ululu womwe ukubwera nthawi yayitali ndikusala kudya. Wodwalayo ayenera kukana kudya kwa masiku atatu, kudya yekha wofooka, wowuma tiyi ndi supuni ya uchi ndi mchere wam'madzi wopanda mpweya. Pa tsiku lachinayi, mutha kudya pang'ono - madzi phala, msuzi wosenda, mkaka wowonda.
Ndi zoletsedwa kugwiritsa ntchito mitundu ingapo ya zakumwa zoziziritsa kukhosi kupweteka! Zimangoletsa wodwalayo, koma, m'malo mwake, zitha kukulitsa chifukwa cha kukwiya kwa zakumwa zoledzera.
Yoga ndi mankhwala ena akhoza kukhala othandiza, komabe, ayenera kugwiritsidwa ntchito pokhapokha mutakambirana ndi dokotala.

Pancreatitis Zakudya

Wodwala atasiya kusala kudya kwa masiku atatu, amafunika kutsatira zakudya zowonjezera zomwe sizimapatula chakudya chokazinga, chamafuta ndi zonunkhira, mchere wambiri ndi zonunkhira.

Zakudya zamadzimadzi ndi theka zamadzimadzi zopangidwa ndi mkaka wamadzi kapena wopanda mafuta,
Msuzi wofowoka wa nkhuku (kuti ikhale yosangalatsa, mutha kuyikamo supuni ya mphindi kutatsala pang'ono kuphika),
Zakudya za nyama yankhuku yophika,
Nyama yowoneka bwino, masamba omata, zidutswa za nthunzi,
Nsomba yophika
Nyama ndi nyama zophika zophika mu uvuni (wopanda crispy crust),
Zomera zamasamba,
Zophika ndi kuyeretsa zipatso zotsekemera.

Wodwalayo akulimbikitsidwa kuti azitsatira mfundo za zakudya zopatsa thanzi: idyani zakudya zazing'ono kangapo patsiku (4-6 kuphatikiza chakudya musanayambe kugona).

Chithandizo cha pancreatitis chikuyenera kuchitika moyang'aniridwa ndi dokotala: kudya kosagwiritsidwa ntchito mosiyanasiyana kwa mankhwala ena ndi mankhwala kungayambitse kuwonongeka m'moyo wanu.

Okondedwa owerenga, malingaliro anu ndiofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kukumbukira momwe titha kuchepetsa ululu wa kapamba mu ndemanga, izi zingakhale zothandizanso kwa ogwiritsa ntchito ena a tsambali.
“Ndakhala ndi khunyu kwa zaka makumi awiri. Koma kamodzi, ngati mtsikana wazaka khumi ndi zisanu, atamvetsera zonenedweratu za dotolo zokhudzana ndi matenda obwera chifukwa cha matenda ashuga komanso imfa ya zaka zisanu pambuyo pake, adataya mtima. Ngakhale, mwina, sizinali pachabe kuti amandiwopseza motero: Ndidamwa mapiritsi mwachangu, ndikukhala pachakudya chokhwima kwa zaka ziwiri - zokhazokha zamadzimadzi pamadzi, sopo wotsukidwa ndipo - patchuthi chachikulu - zodula zouma. Adataya kawiri (kuyambira ali mwana anali wonenepa). Anatenga baralgin, drotaverine, kumwa madzi amchere ambiri popanda mpweya. Ndiye, zoona, adayamba kudya chilichonse, komabe samakoka mafuta ndi okazinga. Kangapo kwa zaka zingapo adagwira kapamba, koma sanabwere kuchipatala. Palibenso matenda a shuga. ”

“Ngati muli ndi kapamba, chinthu chachikulu sikuti kukhala wamanjenje. Ndizoyenera kuda nkhawa - ndi momwemo, dikirani kuukira. Kugwirira ntchito kwambiri kumavulazanso. Ndazindikira kuti: Ndikhala kuntchito yayitali kwambiri kuposa masiku onse - ndikwabwino kuti muthe kutenga nospochka kapena kapamba pang'onopang'ono, apo ayi muyenera kukhala pamadzi ochepa kwa masiku atatu ndikumwa mankhwala akulu kwa mwezi umodzi "

Pachimake kapamba

Maziko a pancreatitis pachimake ndi momwe amadzipangira tokha tomwe timapanga minyewa yake. Nthawi zambiri, michere yomwe imasungidwa ndi gland siyigwira ntchito. Kuti muyambitse ma enzymes osagwira ntchito, pamafunika ndulu yokwanira, yomwe imapezeka mu lumen ya duodenum. Mu chifuwa chachikulu cha pancreatitis chifukwa cha zifukwa zingapo, kutseguka kwa ma enzymes kusanachitike kumachitika m'matumbo mwake, osati matumbo, zomwe zimapangitsa kuwonongeka kwa minofu yake.

Njira za pathological monga kuwonjezeka kwa kapangidwe ka pancreatic madzi, kuphwanya kwa kutuluka kwake, kusintha kwa kapangidwe kake ka mankhwala kumabweretsa pancreatitis. Nthawi zambiri, kukula kwa matendawa kumathandizidwa ndi kuledzera.

Mosasamala kanthu za zomwe zimapangitsa, kupangika kwa kapamba a pachimake kumachitika mwanjira yomweyo. Mothandizidwa ndi ma enzymes, mitundu ya edema pamatumbo. Ngati matendawa adapezeka munthawi yake ndipo chithandizo chokwanira chidayamba, edema imachoka popanda zovuta. Mitundu yowonjezereka ya pathology imatsogolera pakukula kwa edema, mpaka kutsekeka kwa ziwiya zodyetsa England ndi mapangidwe a foci a necrosis. Foci ya necrosis ikhoza kukhala yaying'ono kapena yathunthu, pomwe zonse kapena pafupifupi zonse za kapamba ndi necrotic. Vuto la chifuwa chachikulu cha kapamba limakonda kuchitika mwadzidzidzi mukatha kudya kapena kumwa mowa. Zizindikiro zake zikuluzikulu ndi izi:

Zowawa kwambiri m'chiuno. Masiku 1-3 oyamba akumva ululu, pambuyo pake amachepa ndikuyamba kuzizira
Kusanza, kusanza
Thupi. Ndi pancreatitis yovuta, yophatikizidwa ndi kusefukira, kutentha kwa thupi kumatha kukwera mpaka 38-39 ° C.
Kufalikira, kumverera kwa chidzalo, zimbudzi zomasuka
Kutsika kwa magazi, palpitations, chizungulire

Kuzindikira pancreatitis pachimake sikophweka, makamaka kumayambiriro. Kusiyanitsa mosiyanasiyana ndikofunikira, komwe kumaphatikizapo magazi, mkodzo, ultrasound yam'mimba, gastroscopy, m'mimba x-ray.

Matenda a kapamba

Zikondamoyo zimapweteka pokhapokha ngati zingachitike bwino

Pancreatitis yosatha ndi kutupa kosatha kwa kapamba. Itha kukhala yayikulu, yachiwiri komanso yofanana, kukulira motsutsana ndi matenda ena am'mimba.Matenda osapweteka a pancreatitis (mu 50-70% ya milandu) amatha kulowa mu mawonekedwe osakanikirana, pamene magawo a necrosis amapezeka pang'onopang'ono kukhala minofu, m'malo mwa athanzi owoneka bwino, koma nthawi zambiri kapamba amayamba pang'onopang'ono motsutsana ndi maziko a cholecystitis, cholelithiasis, mothandizidwa ndi pachimake komanso zakudya zamafuta, zakumwa zoledzeretsa, kusokonezeka kwa chitetezo cha m'thupi, ndi zina zambiri.

Matendawa akamakula, pakuchedwa kuchepa kwa michere ya kapamba, kusinthika kwakukulu kwa ma ducts, kupanga ma calcication mu minyewa ya tiziwalo, ndi kudzikundikira kwa madzi a pancreatic. Izi zimatsogolera panjira ya pancreatic. Zotsatira zake, chimbudzi chimasokonekera, njira zopangira ndi kulowa kwa insulin m'magazi zimasokonekera. Pali mwayi wokhala ndi matenda ashuga.

Matenda apansi a pancreatitis amawonetsedwa ndi zowawa m'dera la epigastric, zikuwonekera kumanzere, nthawi zambiri kumapita ku hypochondrium kumanja, kudera lumbar. Ululu wake ndi waukulu, ukupweteka, kukulitsa maola angapo mutatha kudya komanso usiku. Ululu umakhala wachilengedwe nthawi zonse, nthawi zambiri umaperekedwa pansi pa tsamba lamanzere, mu clavicle lamanzere. Ululu umatha kusokoneza kwa milungu ingapo ngakhale miyezi ingapo, kutsitsa ndi kukulitsa kwa nthawi. Munthawi yowonjezera kupweteka, mawonekedwe a ululu mu mawonekedwe a pancreatitis amakhala. Amakhala lamba, limodzi ndi kusanza, kutulutsa.

Kulakalaka matenda apathengo, monga lamulo, sikuti kuvutika kapena kutsika pang'ono, koma chifukwa choopa kuyambitsa kupweteketsa kwatsopano, odwala ambiri amakana kudya. Chifukwa chake, nthawi zambiri ndimatendawa pamakhala kuwonda kwambiri.

Kuphwanya kwa procrine gland ntchito kumabweretsa kugaya chakudya, komwe kumawonetsedwa ndi kudzimbidwa, kutulutsa. Zonsezi zimawonedwa kumayambiriro kwa matendawa, chifuwa cham'mimba chikamapitirira, chopondacho chimakhala chamadzimadzi, mapangidwe a mpweya amawonjezeka, ndipo matumbo a colic amapezeka.
Ngati sanalandire, matenda apathewa amatha kukhala ovuta chifukwa cha matenda a shuga, jaundice, ndi zina zambiri.

Khansa yapakansa

Khansa ya kapamba ndi vuto loipa lomwe limatuluka m'maselo a gland parenchyma yokha. Awa ndi njira zosowa kwambiri, zomwe abambo amakonda kudwala. Nthawi zambiri, khansa imapezeka m'magawo omaliza, chifukwa chake matendawa amakhala osavomerezeka.
Zomwe zimayambitsa chitukuko cha matendawa sizimamveka bwino, koma zimatsimikiziridwa kuti chitukuko chake chimatsutsidwa ndi:

matenda (shuga, chifuwa, chifuwa chachikulu)
kusuta fodya komanso kumwa mowa mwauchidakwa
zakudya zopatsa thanzi (mafuta ochulukirapo, zakudya zazonunkhira m'zakudya)

Chithunzi cha chipatala cha khansa ya pancreatic chimatengera mawonekedwe a matenda ndi kutulutsa kwawo. Chizindikiro chodziwika ndi kupweteka komwe kumachitika chifukwa cha chotupa. Ululu umatha kukhala wosiyana: kupweteka kumatha kukhala kukoka, kuzimiririka kapena lakuthwa, kudula, paroxysmal. Kwa odwala omwe adapezeka kuti ali ndi khansa yapamwamba, njira ya "mbedza" ndiyowonekera: kupweteka kwambiri kumapangitsa wodwalayo kukhala pansi, kuwerama, ndikukhomerera pilo pamimba yake.

Chifukwa cha chotupa chomwe chikukula, chotupa wamba cha pancreatic duct, duodenal lumen ndi veins splenic chimakhala chotseka. Izi zimabweretsa kuthekera kosakonzekera komanso kotsika kwa bile, kuwonjezeka kwapanthaka, komanso kukulira kwa jaundice kwamakina amachitidwe. Khungu limayamba kupukutira, kubowola, kuyabwa. Ntchito ya mtima, chiwindi, impso imasokonekera, mitsempha imavulala, mkhalidwe wa wodwalayo umakulirakulira.

Pokhudzana ndi kuledzera pang'onopang'ono kwa thupi, zizindikiro monga kufooka, ulesi, kunyalanyaza, ndi kutentha thupi zimawonekera.Chifukwa cha chimbudzi ndi mayamwidwe, komanso kuchepa kwa chilimbikitso, pamakhala kuwonda kwambiri.

Ndizovuta kudziwa khansa ya pancreatic koyambirira, ngakhale pali kupezeka kwa njira zosazindikira. Kuchiza nthawi zambiri kumachitika ndi njira yogwira ntchito. Chofunikira pakugwirira ntchito ndi kusowa kwa metastases.

Chithandizo cha Matenda a Pancreatic

Matenda a kapamba amafunikira kuthandizidwa pang'onopang'ono

Chithandizo cha chilonda chachikulu cha pancreatitis chikuchitika mosamalitsa m'dipatimenti yopanga opaleshoni, odwala omwe ali ndi mawonekedwe amtunduwu ndipo zovuta zake zimayikidwa m'chipinda chothandizira kwambiri. Chithandizo chikuchitika onse awiri ndi njira zosasamala komanso opaleshoni. Mu chifuwa chachikulu, chisankho chakuchipatala chimatengera kuuma kwa zizindikirozo. Cholinga chachikulu cha mankhwalawa ndikuchepetsa ululu, kubwezeretsanso ntchito ya gland ndikupewa kukula kwa zovuta.

Pofuna kuthetsa ululu, mankhwala opweteka a narcotic komanso osagwiritsidwa ntchito mankhwalawa amagwiritsidwa ntchito. Mlingo wa mankhwala omwe amaperekedwera amasankhidwa ndi adotolo kutengera mtundu wa wodwalayo. Pazifukwa zomwezo, ndikofunikira kugwiritsa ntchito michere ya pancreatic yokhala ndi mapaseti okwanira a lipase (Creon, Panzinorm) pogwiritsa ntchito munthawi yomweyo proton pump inhibitors (Omeprazole, Pantoprazole). Izi zimakuthandizani kuti muteteze ma enzyme kuti asawonongedwe mothandizidwa ndi madzi am'mimba komanso kuti mupatsenso ziwonetsero zolimbitsa thupi.

Mu pachimake kapamba, komanso kukokosera kwa matenda a matenda, antimicrobial mankhwala ntchito. Nthawi zambiri, ma anti-wodziwikiratu mankhwala ogwiritsa ntchito (Ampicillin, Kefzol, Klaforan, etc.).

Physiotherapy imagwiritsidwa ntchito kwambiri. Imakhala ndi analgesic komanso anti-kutupa kwenikweni. Monga lamulo, limayikidwa munthawi ya kukomoka kwambiri. Nthawi zambiri, ma electrophoresis a yankho la novocaine, ma modutsa a diadynamic, timadziti ta sinusoidal modified. Udindo wofunika kwambiri pakuthandizira matenda a kapamba amaperekedwa ku zakudya zapadera. Popanda zakudya zamankhwala, ndizosatheka kuchiritsa wodwala.

Njira yayikulu yothandizira pakudya pano ndikugwiritsa ntchito chakudya chomwe chimateteza kugaya chakudya. Masiku atatu oyamba wodwala akuwonetsedwa kuti ali ndi njala, kumwa kokha ndikuloledwa, pomwe kuchuluka kwa madzimadzi tsiku lililonse kuli pafupifupi 1.5 malita. Ndikulimbikitsidwa kuti mumwe madzi osowa a carbonated alkaline, broths of rose rose, tiyi wopanda mphamvu. Matenda a wodwalayo akangoyamba kukonza, amayamba kumusamutsira ochepa, kenako nkukhala wathanzi. Muyenera kudya m'magawo ang'onoang'ono osachepera 5-6 patsiku.

Ndikulimbikitsidwa kupatula zakudya muzakudya zomwe zimakulitsa katundu paz kapamba. Awa ndi mikate yatsopano, makeke, zikondamoyo, pizza, nyama zonona, mafuta otentha, soseji, nyama zotsekemera, msuzi wamafuta ndi msuzi, batala, margarine, tiyi wamphamvu, khofi, zakumwa zoziziritsa kukhosi. Mowa uyenera kuthetsedwa kwathunthu ndipo kusuta kuyenera kukhala kochepa. Popeza mphamvu yawofatsa, opaleshoni kukonza matendawo ikuchitika. Njira zochizira opaleshoni zimagwiritsidwanso ntchito popanga zovuta, mwachitsanzo, ngati peritonitis yapanga pancreatic necrosis (necrosis ya minofu ya tinyezi), etc.

Pankhaniyi, kupachikidwa pamimba kumachitika (peritoneal lavage), kuchotsa ziwalo zowonongeka, kuchotsedwa kwa ndulu, zina ndi zina. Monga lamulo, palibe dokotala m'modzi yemwe anganeneratu molondola zotsatira za opaleshoni, chifukwa chake kuchitidwa opaleshoni kumangochitika ngati chomaliza. Pambuyo pochira, wodwalayo amayang'aniridwa ndi dokotala.Kangapo pachaka amayenera kukayezetsa, ndipo amafunika kudziwa dokotala, kutengera kuopsa kwa matendawa.

Pambuyo matenda, odwala amalangizidwa kutsatira boma la ntchito ndi kupuma, kupewa kumwa mowa ndi kusuta. Ndi chikhululukiro chosalekeza, chithandizo cha spa chimasonyezedwa.

Nthendayi, chifukwa chake imagwira, imawauza makanema ojambula:

Zovuta pakuchitika kwa kapamba zimayambitsa zovuta zambiri kwa munthu, zimasokoneza moyo wabwinobwino. Matenda a kapamba amadziwika ngati ali pachimake kapena mawonekedwe osakhazikika. Kupweteka ndi kapamba kumatha kuthamanga kwambiri, kumayendetsedwa ndi kuchepa kwa chakudya, kuchepa thupi, kulephera kukhala bwinobwino, kuyenda. Ndikofunikira kudziwa momwe mungadziwire pancreatitis ndikutha kupirira ululu kunyumba komanso kuchipatala.

Limagwirira ululu pancreatitis

Machitidwe otupa ndi osachiritsika omwe amapezeka m'mapapo amatchedwa pancreatitis. Njira zotsatirazi zomwe zimachitika m'matumbo zimakhudza mawonekedwe a mawonekedwe a kupweteka:

Kufalikira (kutsekereza) kwa ductal system ya gland chifukwa cha kusayenda kwa pancreatic madzi ndi bile mu ducts. Kusunthika kumachitika chifukwa chakuthwa kwakanthawi kwa milomo ya tiziwiti, kusintha kosasinthika (kuchuluka kowonekera chifukwa cha uchidakwa, poizoni m'thupi) kwamadzimadzi kapena chifukwa cha chotupa, miyala, ntchito ya duct (ma parasites (mphutsi) m'mizere.
Kuwonongeka kwa microcirculation wa zimakhala. Pancreatitis ikachitika, pamakhala kuchepa kwa magazi m'matumbo, ma cell omwe amaperekedwa bwino ndi magazi.
Kusintha kwa Dystrophic mu kapamba. Zingwe zimapangidwa ndi ma pancreatic enzymes, omwe amadziunjikira zochuluka kuposa zofunika.
Njira zotupa zomwe zimatupa tiziwalo tating'ono tating'ono ndi tinthu tating'ono timene timatulutsa. Zotsatira zake, kuchuluka ndi kutupa kwa kapamba kumachitika.

Zoyambitsa

Akatswiri amadziwa zifukwa zambiri zoyambira ndi kupindika kwa kapamba. Malinga ndi ziwerengero, mu 30% ya odwala chomwe chimayambitsa matenda opatsirana pancreatic sichingadziwike. Matenda a kapamba amayamba chifukwa cha:

Kugwiritsa ntchito mowa kwambiri. Mowa ndi chimodzi mwazomwe zimayambitsa pancreatitis, kumamwa pafupipafupi zakumwa zachitsulo kumatha kugwira ntchito bwino, komwe kumakhala koyipa kwambiri chifukwa cha thanzi lathunthu.
Zolakwika mu zakudya. Zakudya zonona, zokazinga ndi zonunkhira, kudya mafuta mwadongosolo kumabweretsa kupanga kwambiri madzi a m'mimba ndikuwonongeka kwa gland.
Anomalies mu ntchito ya gallbladder (matenda a ndulu). Zikondamoyo ndi ndulu zimakonda kulowerera mu duodenum. Ngati densi yolekeka ndi miyala, kukokoloka kwa chimbudzi kumachitika, zomwe zimayambitsa kutupa kapena kuwononga kwa ndulu.
Zinthu zovuta, mavuto amanjenje.
Kuvulala, kupweteka kwam'mimba, kuvulala kwam'mimba, m'mimba, komwe magene a pancreatic amatha kuwonongeka.
Matenda a shuga.
Matenda a mahomoni.
Matenda (chimfine, mumps, chimfine, hepatitis).
Neoplasms mu peritoneum.
Kudziletsa.
Kuthamanga kwa magazi.
Kutupa matenda am'mimba thirakiti ndi duodenum. Gastritis, duodenitis, zilonda zam'mimba zimatha kukhudza kutulutsidwa kwa madzi am'mimba.
Zotsatira zoyipa za zida zamankhwala. Mankhwala ambiri amakhala ndi mankhwala othandizira, mahomoni, mankhwala osapweteka a antiidal omwe ali ndi vuto lanyumba ndipo amatha kuyambitsa kutupa.

Chikhalidwe ndi kufalikira kwa kupweteka kwa kapamba

Pancreatitis ululu sensations ndi osiyana, amakwaniritsidwa kubwereza tsiku lililonse ndipo zimatengera malo anatomical - malo a chotupa chotupa (mutu, thupi, mchira), mtundu wa njira yotupa. Chikhalidwe cha kupweteka kwa kapamba ndizosiyana:

Matenda a kapamba, palibe kuwonekera kwachilendo kwa kupweteka, kumatha kukhala kosiyanasiyana mwamphamvu, kumachitika nthawi ndi nthawi (cramping mtundu). Kulimbitsa ululu kumachitika usiku. Pakukhumudwa kwamatenda, zowawa zimapezekamo:

kumtunda ndi pakati pamimba,
dera lumbar, mawonekedwe a lamba wathunthu kapena pang'ono - kumanzere,
dera kumbuyo
pachifuwa chotsika (dera la nthiti m'munsi).

Mu chifuwa chachikulu cha pancreatitis, odwala amamva kukoka, osalolera, pachimake, kupsinjika, kupweteka komanso kumangika, komwe kumadziwika kuti:

wam'mimba
kubwerera
hypochondrium wamanzere,
m'mimba.

Momwe mungachepetsere kupweteka mu kapamba kapamba

Kutupa kovuta kwa kapamba kumachitika mwadzidzidzi, nthawi zambiri wodwala amayenera kupereka thandizo koyamba kuntchito kapena kunyumba. Therapy yamtunduwu wa kapamba imachitika kokha kuchipatala moyang'aniridwa ndi dokotala. Pankhani ya ululu wamkati pachimake, ndikofunikira kuyimbira ambulansi ndikuchita izi:

Patsani wodwala mtendere - pathupi (kusuntha kwadzidzidzi kumayambitsa kupweteka), komanso kutengeka mtima.
Chotsani kapena chovala chosasunthika chomwe chimasokoneza kupuma kwabwinobwino kapena komwe kumayambitsa m'mimba.
Kuti muchepetse kupweteka, ndikofunikira kukhazikitsa wodwalayo pofewetsa thupi, kapena kulimbikitsa kugona m'mimba mwake.
Wodwala amafunika kumwa tsiku lililonse kotala kapu imodzi ya madzi owiritsa kapena mchere wa mchere wopanda mafuta.
Kuzizira kumachepetsa ululu. Kwa mphindi khumi ndi zisanu, mutha kuyika chotenthetsera ayezi, matumba otsekemera ndi gel kapena botolo lamadzi owundana pamimba yanu (m'dera la kupweteketsa ululu).
Apatseni wodwala kuti atenge antispasmodic - No-shpa, Papaverine kapena Drotaverin, ngati nkotheka, perekani jakisoni wamkati ndi imodzi mwazomwezi.

Madokotala okha ndi omwe amatha kudziwa mtundu wa kutupa. Pofuna kukulitsa vutoli ngakhale madokotala asanafike, kuukira kwadzaoneni, wodwalayo amaletsedwa:

Pumirani kwambiri - zimakulitsa ululu.
Idyani zakudya.
Tengani ma pinkiller (Spazmalgon, Analgin, Baralgin) - amachepetsa ululu ndipo amatha kulepheretsa akatswiri kudziwa bwino matendawa.
Tengani kukonzekera kwa enzyme (Mezim, Creon, Festal), komwe kumatha kulimbikitsa mkhalidwe wa wodwalayo.
Mukamasanza, musagwiritse ntchito njira zothetsera kapena mankhwala kuyeretsa m'mimba.
Kuwotcha pamimba - izi zimatha kutupa ndi sepsis.

Mankhwala othandizira

Pambuyo pakupita kuchipatala, kuti mupeze zizindikiro za kapamba, wodwalayo amayankhidwa kuti adziwe matenda omwe akuphatikizira:

kuyezetsa magazi konse
X-ray ndi ultrasound ya peritoneum,
kuyesa kwamwazi wamagazi,
fibrogastroduodenoscopy (kumveka),
laparoscopy
zopangidwa tomography.

Kuchepetsa ululu, madokotala amatha kupereka mankhwala a narcotic analgesics, ndipo muzovuta kwambiri, pulogalamu yothandizira opaleshoni imathandizidwa ndikukhazikitsidwa kwa antipsychotic, antispasmodics, maantibayotiki, ma tranquilizer, antidepressants. Ma analgesics omwe amakonda kwambiri:

Chithandizo cha pancreatitis pachimake chimasankhidwa payekha kwa wodwala aliyense. Kuphatikiza pa kumwa mankhwala, wodwalayo ayenera kutsatira zakudya zokhwima. M'masiku oyambira atapita kuchipatala, madokotala amalembera:

Pogona pogona. Kutuluka pakama ndi kusuntha kuyenera kukhala pang'onopang'ono, chilolezo cha dokotala chitachitika.
Njala - nthawi yake imatsimikiziridwa ndi katswiri, chakudya chikatha, amayamba kukula pang'onopang'ono.

Chithandizo cha ululu wa kapamba

Chithandizo cha kutupa kwamatumbo ndikufuna kufewetsa thupi, kuthetsa ululu, kuthetsa njira yotupa, komanso kufinya chimbudzi.Pambuyo pakupenda mosamalitsa kwa peritoneum komanso pamaso pa zotsatira zoyesedwa, dokotala wa gastroenterologist aliyense payekhapayekha amapanga dongosolo la mankhwala lomwe limaphatikizapo kugwiritsa ntchito mankhwala, kukonzekera kwa antienzyme, mavitamini, ndi zakudya. Mwa mankhwala, madokotala amalembera:

Pancreatic secretion inhibitors - amagwiritsidwa ntchito popewa kwakanthawi (kutsekeka) kwa ndulu. Mankhwala a gululi akuphatikizapo Gordoks, Kontrikal, Kontriven, Aprokal. Mankhwalawa:
- chepetsani kugwira ntchito kwa proteinase ya ma cellular ndi ma plasma amwazi,
- pewani neancosis ya pancreatic,
- sinthani dongosolo la kinin-kallikreinovoy (KKS).
Hormonal mankhwala Somatostatin kapena analogues (Octreotide) - omwe amagwiritsidwa ntchito pochepetsa kupweteka pachiwopsezo cha pancreatitis, kupondera chinsinsi cha serotonin.
Mankhwala a enzyme (Panzinorm, Mezim, Festal, Pancurmen, Creon, Enzistal Pancreatin) - ali ndi zotsatirazi paumoyo wa wodwalayo:
- gwiritsani ntchito njira yogwiritsira ntchito chakudya,
- chepetsa mphamvu zowawa
- sinthani ntchito ndi kuchepetsa katundu pa kapamba,
- zimathandizira kuyamwa koyenera kwa zinthu zachilengedwe.
H2 histamine receptor blockers (Famotidine, Nizatidine, Cimetidine) - adapangidwa kuti alepheretse zobisika m'matumbo a pancreatic poletsa kupanga kwa hydrochloric acid m'matumbo.
Ma blockers (zoletsa) a pampu ya proton - Ezokar, Omeoprazole, Rabeprazole. Cholinga chachikulu cha mankhwalawa ndikuwonetsetsa kuti kutulutsa kwa hydrochloric acid ndikolepheretse pampu ya proton m'maselo a parietal.
Mankhwala a diuretic - Diakarb, Triampur, Furosemide.
Ma antihistamines (Pipolfen, Suprastin, Peritol, Diphenhydramine) - adapangidwa kuti achepetse kutulutsa kwa minofu ya tinyezi.
Maantacid (Fosfalugel, Palmagel, Maalox, Altacid) - adapangidwa kuti asakanikize hydrochloric acid, yomwe imabisidwa ndi m'mimba.
Antispasmodics (Drotaverin, Papaverin, Eufillin, No-shpa, Riabal, Spazmolin) - adapereka njira yothandizira kupweteka.
Mankhwala a antibacterial (Amoxilav, Azithromycin, Abactal, Sumamed) - amagwiritsidwa ntchito kuthetsa microflora ya bakiteriya, yomwe ingayambitse matenda. Maantibayotiki amathetseratu microflora yonse m'matumbo, kotero amagwiritsidwa ntchito limodzi ndi ma probiotic (Linex).
Cholinolytics - Chlorozin, Metacin, Platifillin, Antopit. Mankhwala a gululi amatithandizira kugaya chakudya.
Mankhwala a Antisecretory - Omeprazole, Lansoprazole, Omez. Mankhwala amachepetsa ululu, amalepheretsa katulutsidwe ka hydrochloric acid, komanso amachepetsa njira yotupa.

Kodi kapamba kanyengo kamapweteka kumakhala pati ndipo pati?

Ndi kutupa kwamphamvu kwa chiwalo, kupweteka kumatha kuchitika kumbuyo, chifukwa kapamba amayamba kudutsa m'mimba yonse.

Ngati kutupa kumawonedwa m'mutu wa chiwalo, ndiye kuti zimapweteka mu hypochondrium yoyenera. Zizindikiro zosasangalatsa zimatha kuchitika pansi pa hypochondrium yoyenera, mu groin, kumbuyo, kapena peritoneum. Chitukuko chawo sichimadziwika nthawi imodzi. Mwa iwo okha, zizindikiro za kutupa zikupweteka, kudula, kapena kusoka. Zonse zimatengera chomwe chimayatsidwa mu kapamba. Nthawi zina munthu samatha kusamutsa zizindikiro za chifuwa chachikulu cha khansa.

Ndi thupi loyipa la kapamba, kupweteka kumawoneka pansi pa dzenje la m'mimba. Ndi kutupa kwa mchira wa chiwalo, zizindikiro zosasangalatsa zimapezeka mu peritoneum komanso pansi pa hypochondrium yamanzere.

Nthawi zambiri, kudziwa kwawoko za zizindikiro za kapamba kumakhala kosamveka bwino kotero kuti zimavuta kuti munthu adziwe komwe zimapweteka.

Makhalidwe opweteka

Chikhalidwe komanso kutulutsa kwawoko kupweteka kwa kapamba kumatha kuonedwa kuti ndi munthu payekha, koma, zimadalira njira yotupa. Mu chilonda chachikulu cha pancreatitis, kupweteka kumachitika mukangodya chakudya chosasangalatsa.Ndi kupitirira kwa zovuta zamatenda, kupweteka ndi kapamba kumawonjezereka.

Wodwalayo amathamangathamanga pakusaka mosagwirizana ndi njira yopangira. Komabe, nthawi zambiri, ngakhale "mluza" (miyendo yomwe imakwezedwa m'mimba), kapenanso mbali yamalo, kapena malo okhala atakhala osakhalitsa. M'malo a supine, zizindikiro zowonjezera zomwe zimanenedwa zimadziwika.

Nthawi zambiri, kupweteka kwa kapamba kumachitika patsekeke pamimba. Izi nthawi zambiri zimakhala gawo la epigastric, koma nthawi zina ululu umasunthira kumanzere kapena kumanzere hypochondrium. Nthawi zina, ululu wa pachimake kapamba umafanana ndi ululu wamakhalidwe a angina pectoris.

Amawonetsedwa ndi kuphika, kuwotcha zizindikiro zosasangalatsa mu sternum, kufikira kumanzere kumbuyo, mbali yakumanzere ya nsagwada yakumanzere kapena nkono. Matenda a kapamba amadziwonetsa pokhapokha kuti ululu ulibe kutuluka kwachidziwikire. Amatha kukhala osiyana pakulimba:

Mchigawo lumbar mwanjira ya lamba wathunthu kapena kumanzere-lamba.
M'malo oseri osafalikira kumadera apafupi.
M'dera lam'munsi la sternum (m'dera la nthiti zam'munsi).
Pakati kapena pamimba pamimba.

Odwala ambiri omwe ali ndi pancreatitis yayitali amawona kupweteka kwakanthawi, mwakulankhula kwina, mtundu wofinya. Ndi kapamba, ululu ukhoza kukhala wosiyanasiyana. Koma nthawi zambiri amakhala okwera kwambiri mwakuti ngakhale matenda amisala amatha.

Tcherani khutu! Kupweteka kwamatenda a pancreatitis kumakhudzana mwachindunji ndi kugwiritsa ntchito mafuta, zonunkhira kapena zakudya yokazinga ndi mowa. Zizindikiro zoyambirira za ululu zimawonedwa theka la ola mutatha kudya.

Ululu wofanana ndi ulcer, ndiko kuti, kupweteka pamimba yopanda kanthu ndikosowa kwambiri. Nthawi zina, pambuyo pakusintha, nthawi zopweteka zowonjezereka zimachitika.

Ngati ululuwo wasowa, sikuti nthawi zonse pamakhala chifukwa chosangalalira. Izi ndizowona makamaka mu nthawi yomwe ululu wake unali waukulu. Kutha kwadzidzidzi kwake kukusonyeza kuti necrosis imayamba m'misempha yambiri.

Kupuma pachipatala

Zikadwala matenda a khunyu, wodwala ayenera kuchipatala msanga. Kuchepetsa ululu kuchipatala, ma narcotic analgesics angagwiritsidwe ntchito. Ndi ati omwe amagwiritsidwa ntchito kwambiri pancreatitis yacute? Nthawi zambiri amagwiritsidwa ntchito:

Muzochitika zowonjezereka, ma narcotic analgesics amaphatikizidwa ndi bata, antidepressants ndi antipsychotic. Mankhwalawa amalimbikitsa zochita za wina ndi mnzake.