Reactive pancreatopathy: ndi chiyani kwa akulu?

Reactive Pancreatitis - Njira yayikulu ya aseptic yotupa mu kapamba yomwe idayamba motsutsana ndi maziko a matenda am'mimba ndi ziwalo zina zamkati, zomwe zimadziwika ndi kuyambiranso kwa zizindikiro pambuyo poyambira chithandizo.

Pachithunzi cha chipatala, kugundana pamimba, kusanza, kusanza, kutentha pa mtima, kuchuluka kwa kutentha, kutentha thupi ndi kuledzera. Pazindikiritso, zowerengera zam'mbuyomu komanso kuwunika kwa thupi, mayeso a radiology ndi ultrasound, endoscopy ndizofunikira kwambiri.

Chithandizo cha Conservative chimaphatikizapo kuikidwa kwa zakudya, antispasmodics ndi analgesics, kukonzekera kwa enzyme.

Reactive pancreatitis ndi mtundu wa zochita za kapamba ku matenda am'mimba, zolakwika pakudya, poyizoni, chifuwa, ndi zina zambiri.

Mu 30-50% ya milandu, chomwe chimayambitsa kuchuluka kwa kapamba ndizovuta kwambiri, zomwe nthawi zambiri zimakhudza azimayi - chifukwa chake pancreatitis yogwira imakhudza makamaka gawo la akazi.

Kuphatikiza apo, ma pathologies osiyanasiyana a chiwindi, m'mimba, matumbo, matenda a poizoni, poyizoni ndi kuledzera zingayambitse kuwonongeka kwachiwiri kwa kapamba.

Nthawi zambiri, kuchuluka kwa pancreatic reacization kumawonedwa mwa ana omwe ali ndi gastroduodenitis. Chowoneka mosiyana ndi yogwira pancreatitis ndikoyamba kwakanthawi kwa zizindikiro pambuyo poti chayamba kupezeka ndi zomwe zimapangitsa komanso kuyambiranso msanga mankhwala atayamba kudya.

Amayambitsa yogwira pancreatitis

Zomwe zimayambitsa kupanikizika kwa kapamba kumatha kukhala kosiyanasiyana: matenda am'mimba (ma hepatitis, chiwopsezo cha gallstone), kuchuluka kwa cholecystitis, kuchuluka kwa matenda am'mimba, matenda a chiwindi, dyskinesia, matenda am'mimba, matenda am'mimba, kumwa, , matenda achilengedwe komanso opatsirana, poyizoni wa chimbudzi ndi mafakitale, bowa, etc. Vuto lalikulu kwa madokotala othandizira opaleshoni ndikupanga iatrogenic re wapamwamba kapamba pambuyo zikunena endoscopic pa ya ndulu ritsa (ERCP).

Tizilombo toyambitsa matenda tizilombo toyambitsa matenda tikhazikitsidwa ndi kukhazikika kwa ma pancreatic enzymes ndikuwonongeka kwake parenchyma. Choyambitsa chachikulu chomwe chimatsogolera kukokoloka kwa madzi a pancreatic mu pancreatic duct yayikulu ndi cholelithiasis.

Mu matenda a gallstone, miyala yaying'ono (yochepera 4 mm), yomwe imagwera wamba duct ndi duodenal papilla, imayambitsa mkwiyo ndi kuphipha. Popita nthawi, kupanikizika kosalekeza kwa duct ya bile yokhala ndi kupindika kwa Oddi kumabweretsa chitukuko cha strictures ndi stenosis yachilendo bile.

Izi zitha kubweretsa kusokonezedwa kwa nyumbazi ndi ma gallstones akuluakulu komanso kupezeka kwa timadziti ta pancreatic mu pancreatic duct yodziwika bwino.

Zovuta zam'mimba mu ma pancreatic ducts posachedwa zimayambitsa kuwonongeka kwa acini yake, maselo acinar amakhala pachiwopsezo cha zotsatira za proteinolytic zama enzymes awo.

Ngati wodwala akudwala gastroduodenitis motsutsana ndi maziko a cholelithiasis, zilonda zam'mimba ndi chilonda cha duodenal, chiopsezo chokhala ndi pancreatitis yogwira kumawonjezeka nthawi zambiri. Matenda obwera chifukwa cha chotupa cha duodenum amatha kubweretsa papillitis ndikuyambiranso Reflux yamatumbo am'mimba mu ma pancreatic ducts.

Zotsatira zake, kukonzekera kwanyengo kwa ma pancreatic michere mu minofu yake kumakhala kotheka.

Ma Enzymine a pancreatic amayamba kuwononga parenchyma ya gland, njira zotsatsira-biochemical zimayatsidwa, ndipo zinthu zowola kwambiri zimalowa m'magazi, zomwe zimapangitsa kuti pakhale vuto lalikulu la pancreatic.

Chithunzi cha chipatala cha yogwira pancreatitis nthawi zambiri chimayamba kupezeka patangopita maola ochepa atatha kufotokozera za chinthu choyambitsa matenda. Zizindikiro za chotupa cham'mimba chikugwirizana ndi zomwe zimayambitsa matenda.

Wodwalayo amakhala ndi nkhawa chifukwa cha ululu wolimba wam'matumbo (pamimba pamatumbo ndi hypochondria, akuwonekera kumbuyo ndi kumapeto kwa mapewa), kukulira ndikatha kudya. Ululu mu pancreatitis yogwira sukutchulidwa monga momwe mitundu ina ya zilonda zamkati zimapwetekera.

Madandaulo aulendewu owonjezera, kutentha kwadzidzidzi, kuyamwa kumadziwika. The ululu syndrome limodzi ndi dyspeptic zizindikiro: nseru, kusanza ndi kusanza ndi ntchofu ndi bile.

Popeza kusanza kumayambitsa kuwonjezeka kwa kubisalira kwamkati ndi m'mimba, kupweteka kwam'mimba pambuyo kusanza kumatha kuchuluka.

Ngati wodwalayo sanayang'ane ndi gastroenterologist pa nthawi yake ndipo sanayambire chithandizo poyambira pancreatitis yogwira, matendawo amatha kwambiri chifukwa cha kuchuluka kwa ma protein a enzymes m'magazi: kuledzera kwa zochitika kumawonjezera, kutentha kumakwera mpaka ziwonetsero, khungu limakhala lotuwa komanso lozizira, tachycardia ndi ochepa hypotension. Odwala omwe ali ndi vuto lalikulu la kapamba amafunikira kuchipatala mu dipatimenti ya gastroenterology.

Matenda a yogwira pancreatitis

Pamene zizindikiro zoyambirira za yogwira pancreatitis zikuwonekera, kuyezetsa kachipatala ndi zamankhwala amuzolengedwa kumachitika: kuwunika kambiri magazi ndi mkodzo, coagulogram, mulingo wa ma pancreatic enzymes m'magazi ndi mkodzo, magazi elastase, mapuloteni ndi calcium. Nthawi zambiri pamakhala kuchuluka kwa amylase ndi trypsin inhibitor m'magazi ndi mkodzo pamlingo wokhazikika wa lipase ndi trypsin. Mwina kuwonjezeka kwa magazi m'masiku ochepa a matenda.

Kukula kwa yogwira pancreatitis akuwonetseredwa ndi kuchuluka kwa matenda a kugaya chakudya mu anamnesis, kukhalapo kwa ena etiological zinthu wodwala.

Panthawi yoyeserera thupi, tachycardia, ochepa hypotension, pallor pakhungu ndi mucous nembanemba ndizofunikira.

Kukhazikika kwam'mimba ndikopweteka pamtunda wapamwamba, chizindikiro chabwino cha Mayo-Robson chatsimikizika (kupweteka pakona yakumanzere yamtengo wamanzere). Mimba imakonda kugonja, koma kufatsa, Zizindikiro za kupsinjika kwa peritoneal zimakhala zoipa.

Ultrasound yam'mimba, makamaka kuyang'aniridwa kwa ziphuphu ndi biliary ndiyo njira yotetezeka kwambiri komanso yodziwikiratu yodziwira matenda a pancreatitis. Njira iyi imakuthandizani kuti mupeze calculi mu duct wamba wa bile, edema ndi kukulitsa kwa kapamba.

Kuti mumvetse bwino za matendawa ndikuwunika kwatsatanetsatane, zingakhale zofunikira kuyang'ana mwachidule zam'mimba, ziwonetsero za tomography (muyezo wapagulu wodziwitsa pancreatitis) ndi MSCT yam'mimba.

Endoscopic RCP ndi choledochoscopy yogwira pancreatitis iyenera kuchitidwa pokhapokha kuwonetsa mwamphamvu (kutsimikizika kwa kutsekeka kwa dambo la ndulu ndi Calculator); kulingalira kwamphamvu kwa maginito ndi kapepala ka biliary kukhoza kusintha m'malo mwa maphunziro awa, omwe angalole kuwona mawonekedwe, ndikuwonetsetsa kukula kwawo.

Kuwona kwa thunthu la celiac ndi yogwira pancreatitis kumawonetsa kukhathamira kwa minofu ya kapamba.

Esophagogastroduodenoscopy mu pachimake nthawi yogwira pancreatitis akuwonetsedwa kwa odwala onse, chifukwa zimangoletsa kudziwa matenda amodzimodzi, komanso, ngati kuli kotheka, kuyambitsa kubwezeretsa kwa endoscopic kwa patency ya duodenal papilla. Laparoscopy imangofunika pancreatitis yovuta kwambiri, yovuta kudziwa matenda.

Chithandizo cha yogwira pancreatitis cholinga chake kuyimitsa edema ndi kutupa kwa kapamba, kuthetsa kuledzera, ndi kubwezeretsanso njira yabwinobwino yamadzimadzi a kapamba. Kuchita bwino kwa pancreatitis yotakataka sikungatheke popanda kuthetseratu chifuwa, chidwi chachikulu chimaperekedwa pochiza matenda omwe amayambitsa.

Mu pachimake nthawi yogwira pancreatitis, achire kudya kwathunthu akusonyezedwa kwa masiku awiri. Munthawi imeneyi, madzi okha ndi ma infusions a zitsamba zotsutsa amatupa amaloledwa.

Ndi njira yofatsa yogwiritsira ntchito pancreatitis, kufa ndi njala sikofunikira, pakadali pano, zakudya zopatsa thanzi zimalembedwa, zoletsa mapuloteni komanso mafuta. Cholinga cha kadyedwe ndikupanga kupuma kwa kapamba, kuchepetsa kupanga kwa michere ya kapamba.

Kuti muchite izi, muyenera kudya pang'ono, chakudya chiziphwanyidwa, kulowa m'mimba m'magawo ang'onoang'ono. Pofuna kusintha detoxization, tikulimbikitsidwa kuti tidye madzi ambiri.

Mwa mankhwalawa, ma pancreatic Enzymes (pancreatin) ndi omwe amapatsidwa, ma painkillers (omwe ali ndi mawonekedwe ofewa othandizira kapamba - osagwiritsa ntchito mankhwala a anti-yotupa, ovuta kwambiri amathandizidwa ndi narcotic analgesics), antispasmodics (drotaverin, platifillin), ndi njira zochepetsera kusalala. Kuchepetsa ululu pancreatitis yogwira, morphine sangathe kugwiritsidwa ntchito, chifukwa kumapangitsa kupindika kwa duquenal papilla yayikulu ndikuthandizira matenda oopsa.

Ngati kukula kwa yogwira pancreatitis kumachitika chifukwa cha cholelithiasis kapena matenda a sphincter a Oddi, ndizotheka kugwiritsa ntchito njira zakuthana ndi mankhwalawa kuti athetse: endoscopic kuchotsa kwa calculi yayikulu pancreatic duct ndi wamba duct pa ERCP, papillotomy.

Matenda obwera chifukwa cha zovuta kuphatikizira pancreatitis ndi abwino, nthawi zambiri pambuyo poyambira chithandizo, zizindikiro zonse zimabwezeranso mwachangu.

Kupewa kwa matenda amtunduwu kumakhala kuzindikira kwakanthawi komanso chithandizo cha matenda omwe angayambitse kukula kwa kapamba, komanso pazotsatira zamakhalidwe abwino, kukana zizolowezi zoipa (kusuta, kumwa mowa mwauchidakwa).

Momwe mungachitire pancreatitis yotakasika mu akulu ndi ana

Reactive pancreatitis ndimatenda a kutupa omwe ali ndi koopsa omwe amakhudza kapamba.

Chofunikira chomwe chimasiyanitsa matendawa ndi matenda ena apakhungu ndikuti kutupa komwe kumachitika nthawi zonse kumachitika motsutsana ndi maziko a matenda ena ammimba. Zimayambitsa chitukuko cha kukanika kwa chiwindi, m'mimba, matumbo, chikhodzodzo.

Kukhazikika kwa matendawa ndikosayembekezereka, kokhazikika, koma mankhwala atayamba, zizindikiro zimatha msanga. Matendawa sakhala mwaukadaulo.

Zikondazo zimagwira ntchito yofunika kwambiri pakati pa ziwalo zina za m'mimba. Cholinga chake ndi kupaka madzi a pancreatic, ofunikira kuti chimbudzi chokwanira.

Madzi a pancreatic omwe amaphatikizidwa ndi ma ducts amalowa m'matumbo, pomwe amayamba kuphwanya chakudya.

Ngati pali zifukwa zomwe zimapangitsa kuponyera kwamatumbo m'matumbo a ma pancreatic, kutseguliridwa kwa ma enzymes kusanachitike kumachitika - chitsulo chimadzigaya chokha, zomwe zimatsogolera pakupanga njira zothetsera.

The yogwira pancreatitis mu mawonekedwe a yankho la kusakwanitsa kwam'mimba thirakiti limachitika motsutsana maziko ductfunction amene amaloledwa kulowa kwa michere mu duodenum ndi yaying'ono matumbo.

Kutupa kumayamba pambuyo pophwanya patency ya ma ducts (kwathunthu, pang'ono), kapena chifukwa choponyera matumbo.

Zomwe zimayambitsa kutupa kwa gland ndizosiyanasiyana, koma matenda ammimba ndichofunika kwambiri:

aakulu ndi matenda a m'mimba, kuphatikizapo gastritis, chapamimba ndi zilonda zam'mimba, matenda am'mimba,
matenda a chiwindi - matenda enaake,
kukanika kwa ndulu ndi biliary thirakiti - cholecystitis, bysary dyskinesia, kupezeka kwa miyala.

Zina zangozi:

kunenepa kwambiri, kunenepa kwambiri,
kumwa pafupipafupi
mankhwala odzichiritsira, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali,
Zakudya zopanda pake zomwe zimakhala ndi zokometsera zambiri, zamafuta, zamafuta,
kupsinjika ndi nkhawa pafupipafupi,
kuvulala kwam'mimba.

Mawonetseredwe azachipatala

Zizindikiro za pancreatitis yotakataka imadzipangitsa kumverera maola ochepa itatha kukhudzidwa ndi chinthu china chovuta.

Gawo loyambirira la matendawa limaphatikizapo chizindikiro cha mtundu wa dyspepsia: wodwalayo amavutitsidwa ndi kuphulika ndi kukwiya, mawonekedwe omwe amakhala osasangalatsa pambuyo pake amawonekera, kuukira kwa mseru komanso kupweteka kwamtima.

Pamene matenda oyamba akupita patsogolo, njira ya yogwira pancreatitis imakulirakulira - kupweteka kumachitika.

Zowawa zotupa zotumphukira kwambiri, zazing'onoting'ono m'chilengedwe. Malowa ndi pamimba pamimba ndipo amasinthira kumanzere kwa hypochondrium. Ululu umaperekanso kumbuyo, masamba. Komwe kuli komwe kumatengera kukula kwa zikondamoyo zoyipitsidwa. Regency pancreatitis imadziwika ndi kuwonjezeka kwa ululu mutatha kudya, komwe kumalumikizidwa ndi kutulutsidwa kwakukulu kwa michere.

Ngati sanachiritsidwe, wodwalayo amayamba kufooka kwambiri chifukwa cha kukhathamiritsa kwa ma enzymes a proteinolytic m'magazi - zizindikiro za poizoni zimayamba, kutentha kumakwera (zizindikiro zotsika 37 ° -37.3 °), kuthamanga kwa magazi kumatsika, ndipo kugunda kumakwera. Mawonetseredwe a Clinic a yogwira pancreatitis amatha kuthandizidwa ndi kuphatikiza kwa zizindikiro za matenda oyamba - kupweteka kwakuthwa mbali yakumaso ndi ndulu, kutentha thupi ndi matenda am'mimba opatsirana m'matumbo, kukulitsa chiwindi ndi matenda amitsempha.

Njira ya matenda a ana

The yogwira pancreatitis ana amatha kuchitika zaka zilizonse, kuphatikizapo makanda mpaka chaka.

Zomwe zimachitika ndizosiyanasiyana komanso zofala - matenda apamtima omwe amapezeka pafupipafupi amatha kukhala poyambira pancreas.

Makanda, nthawi zambiri matendawa amakula chifukwa cha kubadwa kwa thupi mwa kapangidwe ka ziwalo ndi michere yake. Zakudya zopanda pake, zodziwika kale ndi zakudya za akuluakulu, kusowa kwa regimen kumapangitsa kuti zikondwerero zizipsa.

Nthawi ya matenda ana mu chipatala amafanana ndi yogwira pancreatitis akuluakulu - kupweteka kwambiri, dyspepsia, zizindikiro za kuledzera. Kuphatikiza apo, mwana wodwala ali ndi:

stoolokone - kudzimbidwa, kutsegula m'mimba, ndowe zimatembenuka chikasu, kumera kumawonekera, kubowola kumayamba kumveka,
mkodzo umakhala wakuda bii,
khungu limatha kukhala lachikasu
mwa makanda ndi makanda mumakhala nthawi zokulira mofuula ndi kukuwa.

Pamadandaulo ocheperako a mwana chifukwa cha kupweteka pamimba yakumanzere ndi mbali yakumanzere, zochitika zamadzulo usiku (kuyambira 3 mpaka 5 m'mawa), makolo ayenera kufunsa dokotala. Njira yogwira pancreatitis mwa ana ndi yowopsa ndipo imafuna chisamaliro chodzidzimutsa.

Zakudya za odwala

Zakudya za yogwira pancreatitis ndizofunikira kuyambira masiku oyamba a chithandizo. cholinga chazakudya zopatsa thanzi ndikutsitsimutsa thupi zolemetsa ndikuchepetsa ntchito yachinsinsi. Kuti mukwaniritse cholingachi, amagwiritsa ntchito chakudya chokwanira - kudya pang'ono panthawi yofanana (maola 3 mpaka 3,5). Kuvomerezera kudya kwamadzimadzi ambiri.

Zakudya zothandizira kutumphukira kwa kapamba zimaphatikizapo:

soups
Nyama yophika, nsomba zoyera, nkhuku,
mikate yoyera mwa obalalitsa,
phala loyenga mkaka,
mapuloteni othira mafuta,
masamba obiriwira ocheperako (mbatata, broccoli, zukini) mu owiritsa, ophika,
mafuta - otsekemera (mpaka 15 g patsiku), mpendadzuwa (mpaka 30 g),
Zopanda mkaka wopanda mafuta
compote, tiyi, zakudya wopanda shuga.

Kutalika kwa zakudya zimatengera wodwala, kuchuluka kwa kuwonongeka kwa ziwalo, thanzi komanso kudziwidwa kofunikira. Nthawi zina, zakudya zopatsa thanzi ndizofunikira kwa moyo wonse. Mowa ndi kusuta ndizoletsedwa kwathunthu kwa anthu omwe ali ndi pancreatitis yogwira ntchito.

Mankhwala achikhalidwe polimbana ndi matendawa

Pali njira zambiri zodziwika zopewera kutaya kwa kapamba. Chithandizo cha mankhwala ochiritsira wowerengeka ndicholinga chofuna kusiya zizolowezi zoyipa ndikubwezeretsa magwiridwe antchito amthupi. Koma musanalandire chithandizo chamankhwala a wowerengeka, kufunsa gastroenterologist ndikofunikira.

Kutolere kwa phyto No. 1 - kusakaniza yaiwisi ya chamomile, zipatso za hawthorn, tsamba la timbewu tonunkhira ndi mbewu za katsabola motalikirana ndi 1: 2: 3: 3: 10, 10 g ya zosonkhanitsa, zotentha ndi kapu yamadzi otentha, otenthetsedwa kwa mphindi zingapo, kuloledwa kuziziritsa, kusefedwa ndi kumwa 100 ml kawiri pa tsiku, ola limodzi asanadye,
Kutolere kwa phytos No. 2 - kusakaniza wort wa St. John, udzu wopindika, masamba a birch ndi stigmas pamiyeso ya 1: 1: 2: 2, 20 g wa phytosborder amadzazidwa ndi 400 ml ya madzi otentha, osungidwa kwa mphindi 25, kuloledwa kuziziritsa ndikuthira madzi oyenera mpaka kuchuluka kwake koyambirira, kumwa 100 ml 4 pa tsiku musanadye,
mankhwalawa a juisi - osakaniza mwatsopano odziwirira kumene kwa kaloti ndi mbatata m'miyeso yofanana osakanikirana ndi 5 ml ya mafuta a maolivi, amamwa atangokonzekera, pafupipafupi makonzedwe amakhala mpaka kanayi pa tsiku.

Kutalika kwa mankhwalawa infusions ndi timadziti ndi yogwira pancreatitis zimatengera mkhalidwe wodwala. Ngati chithandizo cha mankhwala wowerengeka chimabweretsa mpumulo, chimatha kubwerezedwa nthawi ndi nthawi kuti muchepetse ndikuwongolera ntchito pancreatic.

Reactive pancreatitis ndi matenda omwe nthawi zonse amawonetsa kusagwira bwino ntchito m'mimba. Pazizindikiro zowopsa (kupweteka, kusowa kwa chakudya, chimbudzi), ndikofunikira kukaonana ndi dokotala nthawi yomweyo. Kuzindikira koyambirira ndi chithandizo chokwanira kumatha kuthana ndi kutupa ndikubwezeretsanso ntchito ya pancreatic.

Kodi ndimawonekedwe ati a kapamba ka ana ndi momwe angachitire?

Ponena za matenda a kapamba, amakumbukira makamaka kapamba.

Komabe, pali matenda monga pancreatopathy (molakwika - kapamba), omwe amadziwika ndi hypofunction wa limba popanda kutupa.

Chifukwa chake, mwa ana, pancreatopathy imachitika chifukwa cha kuperewera kwa zakudya.

Kodi kapamba ndi chiani?

Pancreatopathy ndi kukanika kwa pancreatic komwe sikumayendetsedwa ndi njira yotupa, komwe kumayambitsa kuchepa kwa ma enzymes.

Ndi matendawa, ntchito ya chiwalo imasokonekera, yomwe imakhudzanso chimbudzi chonse. Kutengera zomwe zayambitsa vuto, pali:

Poyamba - imayamba chifukwa cha matenda ena.
Chachiwiri - nthawi zambiri zimapezeka ndikuyambitsidwa ndi zakudya zosayenera komanso zopatsa thanzi.

Matendawa amasokoneza chimbudzi cha chakudya, chomwe chimadzatsogolera mavuto a metabolic. Izi zikufotokozera chifukwa chake chithandizo chiyenera kuyambitsidwa mwachangu.

Amawerengera payokha yogwira pancreatopathy. Zimayimira kuyankha kwa kapamba pazinthu zakunja.

Nthawi zambiri zimachitika pambuyo kutupa matenda, poyizoni ndi chifuwa. Kuukira kumayendera limodzi ndi kuterera kwa ma ducts, chifukwa chomwe limba limatupa. Mu mkhalidwe uwu, ana amadandaula za kupweteka kwakuthwa pamimba ndi kutentha thupi, amayamba kuchita zinthu ndikulira.

Chodabwitsa komanso kuwopsa kwa matendawa ndikuti kwa nthawi yayitali amakhala asymptomatic kapena amadziwonetsera ngati zizindikiro zofatsa.

Izi zimabweretsa chakuti chithandizo chimayamba mochedwa kwambiri, kapamba kale zowonongeka kwambiri.

Limagwirira ndi zomwe zimayambitsa

Zomwe zimayambitsa kukula kwa kapamba ndizochulukirapo komanso zosiyanasiyana. Chifukwa chake kusowa kwa michere ya pancreatic kumachitika motere:

zosakwanira mu chiwalo,
kupanga mokwanira mu chiwalo, koma kutsekereza kwa ma ducts komwe kumapangitsa chinsinsi kusaloleza kulowa lumen,
kupanga kokwanira mu chiwalo, koma ntchito ya michere m'matumbo.

Panthawi yomwe enzyme osati zopangidwa zokwanira, kutsogolera kumachitika ndi zinthu monga:

matenda a kapamba - khansa, kapamba, cystic fibrosis,
kusokonekera kwa minofu ya glandular kukhala minofu ya adipose,
opaleshoni ya ziwalo
kulephera kwatsopano
Kukula kwa thupi,
mlangizi.

Njira yachiwiri yopezera matendawa ndikuletsa miluza ya tiziwitsi. Chifukwa cha izi, zotupa, miyala, minofu yolumikizira, zipsera za postoperative zimagwira. Njirayi imadziwika kwambiri ndi odwala achikulire.

Kusagwiritsa ntchito ma enzymes m'matumbo lumen nthawi zambiri kumalumikizidwa ndi kuwonongeka kwa nembanemba yake.

Payokha, njira yokhayo yopanda zakudya komanso yosayenera imasiyanitsidwa. Nthawi zambiri, motere matendawa amakula ana. Iron sangathe kuthana ndi katundumwana akudya kwambiri kapena china chake chomwe chimavuta kugaya. Izi zimabweretsa kukulitsa kwa kapamba.

Zizindikiro mwa ana

Monga tanena kale, matendawa amatuluka nthawi yayitali obisika. Kukhalapo kwake kumawonetsedwa ndi kufooka kwa mwana, kufooka kwake komanso zizindikiro za kuchepa kwa vitamini. Ndi maphunziro ena a pancreatopathy, zizindikiro zotsatirazi zimawonekera:

kuwonda
pafupipafupi kutsegula m'mimba
Ndibwino kuti mukuyamwa.
kusanza ndi kusanza
kumva m'matumbo,
Kung'ung'udza m'mimba ndikukutulutsa,
kusowa kwa chakudya.

Kuphatikiza apo, ana omwe ali ndi mkhalidwewu amakhala opanda chidwi. Ndiosavuta kusiyanitsa pakati pa anzawo chifukwa chokana kusewera, kusangalala komanso kulira.

Kuzindikira matendawa

Ngati kuperewera kwa pancreatic kumayikiridwa, kafukufuku wachitatu wokhudzana ndi kugaya chakudya amachitika. Kuphatikiza pa kufunsa wodwalayo, adokotala amafotokozera kutsatira kusanthula:

Magazi - mulingo wa shuga ndi seramu elastase imakupatsani mwayi woweruza kukanika.
Facks - mulingo wa pancreatic elastase umawonetsa hyper- kapena hypofunction ya gland.

Komanso gwiritsani ntchito njira zodziwira matenda kudziwa chomwe chimayambitsa matenda, komanso kuunika chiwalocho ndi momwe zimayambira:

Kufufuza kwa Ultrasound kumazindikira matenda ndi ma neoplasms, komanso kumawafotokozera.
X-ray yamitsempha yamagazi ndi mitsempha yam'mimba yamkati imasiyanitsa kusowa kwenikweni kwa gland kuti isasunthidwe kwa duct ndi chotupa kapena mwala.
MRI imakulolani kuwona kapangidwe kake kapamba, kumazindikira kusokonezeka kwa maselo achinsinsi.

Njira monga mwachindunji probe secretin-cholecystokinin mayeso. Amakhala ndi kukondoweza kapamba, kutsatiridwa ndi kutolera kwapadera. Izi zimathandiza kuwunika kuthamanga kwa thupi. Komabe, njirayi ili ndi zovuta. Chachikulu ndi kusasangalala pamakhalidwe. Chifukwa kwa ana nthawi zambiri sizigwiritsidwa ntchito.

Kodi kuchitira?

Chithandizo cha pancreatopathy ndi pakusintha zizolowezi zakudyakukana kudya kwambiri, komanso mankhwala osokoneza bongo.

Chithandizo cha mankhwala osokoneza bongo ndikufuna kuthana ndi zomwe zimayambitsa, matenda omwe adalimbikitsa kukomoka kwa ziwalo. Mankhwala amapangidwanso kuthandiza thupi kugaya chakudya.

Chithandizo chachikulu chomwe chimagwiritsidwa ntchito pazinthu izi ndi Pancreatin. Amapangidwa kuchokera ku zikondamoyo za nyama ndipo amagwiritsa ntchito matenda osiyanasiyana azinsinsi za chimbudzi.

Mlingo wake umasankhidwa payekha kutengera kuzunza kwake komanso kulemera kwa mwana. Mu pancreatopathy yayikulu, kukonzekera kwa enzyme kogwiritsidwa ntchito kumagwiritsidwa ntchito pazinthu zonse zamagulu. Izi zimawathandiza kuti azilowetsedwa bwino ndi thupi.

Zofunikanso symptomatic mankhwala:

mankhwala antidiarrheal
antiemetic mankhwala
mankhwala kuchepetsa kutentha mu yogwira pancreatopathy.

Osagwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala a dokotala. Mankhwala osankhidwa molakwika komanso mlingo wake ungawononge thanzi la mwana wanu.

Kuchita bwino kwa mankhwalawa kumatipatsa mwayi wowerengera kulemera kwa mwana komanso kuchepa kwa m'mimba.

Zoyambitsa

Zomwe zimayipa mthupi la munthu, zomwe zimapangitsa kuti njira ya pathological ikhale ndi kutupa kwa maphunzirowo, pamalo a mbali ya chimbudzi, imatchedwa chinthu choyambirira.

Pali zinthu zambiri zotere zomwe zimayambitsa kupanikizika kwa kapamba mwa akulu, zomwe zimakonda kwambiri ndi:

kumwa kwambiri zakumwa zoledzeretsa,
Kukhazikika kwa matenda a matenda a matenda a matenda omwe amapezeka m'matumbo, komwe kumakhala zilonda zam'mimba ndi m'mimba, colitis, gastritis, ndi zina zambiri zamatenda.
kudya kwambiri komanso kupezeka kwa mapaundi owonjezera.
Zakudya zopanda mafuta, zomwe zimaphatikizapo kugwiritsa ntchito zakudya zamafulumira, mafuta, okazinga, zonunkhira, mchere komanso zakudya zosuta.
mankhwala aatali komanso achisokonezo,
kukhudzana pafupipafupi ndi thupi lamanjenje komanso lamavuto omwe amachititsa kwambiri matenda amanjenje.
kuvulala kwa gulu la parenchymal ndi kuwonongeka kwa umphumphu wake.

Ndizofunikanso kudziwa kuti pancreatitis yotakataka imayamba pazinthu zotsatirazi zomwe zikupanga dongosolo la chimbudzi:

aakulu mawonekedwe a cholecystitis,
gastritis kapena zilonda zam'mimba,
matenda a helminth,
matenda a chiwindi,
Zakumwa zoledzeretsa
matenda amatsenga
dyskinesia m'mimba,
kutsekeka kwa bile ducts.

Zotsatira zoyipa zomwe zimayambitsa izi zimayambitsa zizindikiro za yogwira pancreatitis, chithandizo chamankhwala chomwe chimayenera kukhala chokwanira, kuthetsa zomwe zimayambitsa chitukuko cha matenda, kubwezeretsa magwiridwe antchito a chiwalo chowonongeka ndikudziwikiratu chitetezo cha onse.

Zizindikiro

Chizindikiro chimodzi cha pancreatitis yogwira mtima ndi kupweteka, komwe kumachitika kwambiri, malinga ndi malo omwe amapangidwira, ndikotheka kuweruza dera lomwe ziphuphu zakhudzidwako. Ngati kumva zowawa kuwonetseredwa pamlingo wokulirapo wa hypochondrium, ndiye kuti izi zikuwonetsa kuti njira yotupa imapangidwa makamaka kumutu kwa gland.

Kuvulala kwa epigastric zone kumawonetsa kuwonongeka kwa thupi la kapamba. Zomverera zosasangalatsa m'dera lamanzere hypochondrium zikuwonetsa kuwonongeka kwa mchira. Ndipo ndikuwoneka ngati ululu, womwe uli ndi mawonekedwe omangira, maphunzirowa amatuluka omwe amachititsa gawo lonse lachiberekero cha parenchymal.

Kuwonekera kwa yogwira pancreatitis mwa munthu wamkulu kumatha kuyambitsa zotsatirazi:

kupweteka kwa epigastric
kumverera kwa nseru wokhala ndi zovuta zamtundu wa hiccups,
kumiseche, komwe kapangidwe kake kamadzaza ndi bile;
minofu yam'mimba,
kukwera kwa kutentha kwa thupi ndikumamva kuzizira,
kukula kwa kufupika,
ulemu, womwe umabweretsa maluwa,
katulutsidwe thukuta lolimba.

Kutalika kwa nthawi yayitali kumatha kutsagana ndi kukoka kawirikawiri komanso matumbo. Zizindikiro za matenda amtunduwu zimakhala ndi chikhalidwe champhamvu kwambiri cha maphunzirowa ndi zakudya zosayenera.

Chifukwa chake, chithandizo chachikulu cha yogwira pancreatitis iyenera kutsatira kwambiri zakudya komanso mankhwala.

Ngati, ndi kukula kwa matenda am'mimba a kapamba, matenda am'mimbamo amayamba kuchuluka, ndiye kuti zizindikiro monga:

kapangidwe kokhala ngati loyera panthaka,
mawonekedwe auma pamkamwa,
kukula kwa ululu waukulu.
kuphwanya chopondapo, mpaka chitukuko cha matenda otsegula m'mimba.
kuwonjezeka kwa kutentha kwa thupi mpaka m'malire a subfebrile.

Kuphatikiza apo, anthu omwe ali ndi vuto la kukula kwa matendawa amatha kukhala ndi zizindikiro monga kudyedwa ndi zakudya zamafuta, kulephera kudya, mpaka kutayika kwathunthu, mawonekedwe a kutentha kwa mtima ndi mseru, kukula kwa hypersalivation.

Diagnostic ultrasound konsekonse ikhoza kupereka chithunzi chonse chokhudzana ndi kuphwanya kwa pathological kuphwanya kwa magwiridwe antchito, kuphatikiza pakuwonjezeka kukula kwake. Chifukwa chake, kuti apange matenda olondola, odwala amapatsidwa njira zina zodziwunikira kuti ayesetse kachilomboka.

Njira zoyendera

Kuzindikira koyenera kumapangidwa pambuyo pakupeza mbiri yonse yachipatala ndikuchita njira zotsatirazi:

zasayansi zamankhwala amuzolengedwa ndi zasayansi mapangidwe a magazi,
Ultrasound
CT
endoscopic kuwunika kwa dongosolo lonse la chakudya cham'mimba.

Ngati pancreatitis yovuta kwambiri imapezeka, ndiye kuti wodwalayo ayenera kuchipatala ndipo chithandizo chiyenera kuyambika nthawi yomweyo.

Njira zochotsera njira ya pathological

Mu yogwira pancreatitis, chithandizo chitha kuphatikizira kugwiritsa ntchito mankhwala osokoneza bongo, zakudya zapadera zamagulu oyenera komanso mankhwala achikhalidwe.

Njira zina zimathandizira kuchiritsa pancreatitis pochotsa chizindikiro chake, kubwezeretsa magwiridwe antchito ndikuwongolera thanzi la wodwalayo. Njira zina ndizotetezedwa, sizoyambitsa thupi.

Koma musaiwale kuti chithandizo cha wowerengeka chiyenera kukhala chachitali komanso nthawi yomweyo mwadongosolo. Ndikofunikira kumwa mankhwala osokoneza bongo, komanso kuti thupi la wodwalayo lisasinthane ndi mankhwala amtundu wina kapena zina, ndikulimbikitsidwa kusinthana kwazitsamba.

Maphikidwe okonza wowerengeka wowerengeka

Momwe mungachiritsire kapamba kuti musavulaze kwambiri thanzi lanu? Funsoli limafunsidwa ndi anthu ambiri omwe ali ndi matenda osachiritsika a kapamba. Pofuna kuchiza mawonetsedwe a matenda awa, ochiritsa mwachilengedwe amalimbikitsa kutenga ma broths omwe amaphatikizapo mitundu yosiyanasiyana yazomera zomwe zimakhala ndi anti-kutupa, antibacterial, machiritso. Ganizirani maphikidwe otchuka kwambiri amtunduwu.

Ndikofunikira kuwaza ndikusakaniza gawo limodzi la nettle, St. wort wa St. John ndiwokokedwa ndi magawo awiri a zipatso za rosehip. Mukakonza zopereka, muyenera kutenga supuni ziwiri za zopangira ndi kuziwotcha 500 ml ya madzi otentha owiritsa. Kuumirira kwa ola limodzi ndi kupsyinjika. Quoction yotere imalimbikitsidwa kuti atenge 100 ml musanadye.
Pogaya ndi kusakaniza muyezo wofanana wa burdock ndi elecampane. Kwa zotsatira zosakanikirana onjezerani zomwezo zosemedwa zokhala ndi chowawa, tchire, wort wa St. John, chamomile, calendula, chingwe ndi sinamoni. Tengani supuni ziwiri zotsatirazo zosonkhanitsa ndi nthunzi mu 400 ml ya madzi owiritsa. Kuumirira kwa mphindi 60 ndi kupsyinjika. Msuzi wozizira umalimbikitsidwa kumwa 100 ml katatu patsiku mphindi 30 asanadye.
Pukusani ndi kusakaniza wofanana magawo a celandine udzu, mbalame za m'mphepete mwa mbalame, tsabola, tricolor violet, manyazi ndi chimanga ndi dandelion. Tengani supuni imodzi zotsalira za therere ndi nthunzi imodzi imodzi ya madzi owiritsa. Kuumirira kwa mphindi 25, ndiye kupsyinjika ndipo akhoza kumwedwa theka la ola musanadye.Patsiku, ndikulimbikitsidwa kumwa magalasi atatu a decoction iyi.

Kuphatikiza pa wowerengeka wowerengeka azitsamba a kapamba, zakudya zapadera zimafunikanso.

Zakudya zamagulu

Thanzi la zotupa za pancreatic liyenera kukhala lozungulira, lophatikiza zakudya zisanu mpaka zisanu ndi chimodzi pang'ono. Ndikulimbikitsidwa kudya nthawi imodzi. Mu sabata yoyamba ya chithandizo cha matenda am'mimba, ndikofunikira kuchotsa mchere pazakudya zanu.

Komanso ziyenera kuthetseratu kugwiritsa ntchito:

zakudya zamafuta, makamaka zomwe zimakhala ndimafuta a nyama,
zakudya zopatsa mphamvu kwambiri komanso zopaka,
kuchepetsa kumwa zamasamba ndi zipatso zamtundu watsopano,
makeke ndi makeke,
mapira, barele, dzira, tirigu ndi chimanga,
bowa ndi nyemba,
kabichi, radish, radish, anyezi ndi adyo,
Chakumwa cha cocoa
zakumwa za khofi
mankhwala oledzera.

Amaloledwa kudya ndi chitukuko cha pancreatic matenda a parenchymal organ:

supu zingapo zamasamba kapena pasitala,
konda mitundu ya ma cookie ndi oyambitsa,
Buckwheat, oatmeal, semolina ndi phala la mpunga,
zipatso ndi zipatso zatsopano,
masamba ophika mu uvuni kapena wowotcha monga mbatata, kolifulawa, kaloti ndi beets,
kuchokera ku zakumwa ndikulimbikitsidwa kugwiritsa ntchito misuzi yachilengedwe, osati chakumwa champhamvu cha tiyi ndi mankhwala osakaniza azitsamba.

Mitundu yamafuta ochepa ndi nyama ndi nsomba zimaloledwa.

Ngati wodwala amafuna mankhwala a reanc pitisreatitis, ndiye kuti amapita kuchipatala poika mankhwala opha maantibayotiki, kugwiritsa ntchito antispasmodics ndi painkillers.

Mankhwala othandizira odwala pakhungu ndi ofunikira ovuta kwambiri komanso kupweteka kwa kapamba. Njira yofatsa ya njira iyi yothandizirana imatha kuthetsedwa kunyumba, kutsatira malangizo a dokotala.

Njira zopewera

Cholinga chachikulu cha kakulidwe ka kapamba mu ana ndi kuperewera kwa zakudya m'thupi ndi kudya kwambiri.

Izi zimabweretsa chifukwa chakuti kapamba sangathe kuthana ndi katunduyo ndipo chakudya chochuluka sichikumbidwa kapena kusamwa. Malamulo osavuta azithandiza kupewa matendawa:

Idyani pafupipafupi, koma pang'ono,
imwani zamadzi zambiri
kukana zakudya yokazinga ndi yoyipa,
Idyani zipatso ndi masamba abwino okha,
muchepetse kuchuluka ndi zokometsera ndi mchere.

Tangoganizirani mndandanda wazitsanzo Kwa ana azaka 12 ndi chimbudzi chovuta:

Chakudya cham'mawa - phala yophika m'madzi ndi mkaka, zakudya kuchokera ku zipatso.
Chakudya chamasana - chopanda dzira loyera.
Chakudya chamadzulo - msuzi wamasamba, nsomba yophika ndi mbatata yosenda.
Zokhwasula -phika apulo wophika ndi uchi.
Chakudya chamadzulo - masamba ophika ndi ng'ombe.

Kutsatira zakudya kumathandiza kupewa matendawa, komanso kuchepetsa kusasangalala kwa mwana wokhala ndi pancreatopathy.

Hypofunction ya kapamba imakhudza osati zakudya za mwana, komanso mapangidwe ake. Matendawa amayambitsa kusowa kwa michere, yomwe imatsogolera Kuchepetsa thupi ndi kuchepa kwakanthawi. Chifukwa chake, ndikofunikira kuyesa kuletsa kukula kwa kapamba kapena kuyamba kulandira chithandizo munthawi yake.

Chifukwa chiyani mwana ali ndi vuto la m'mimba komanso zoyenera kuchita, Dr. Komarovsky amatiuza:

Mitundu ya matenda

Pali mitundu yosiyanasiyana yamatenda a kapamba, osiyana muukali wa kutupa, zizindikiro zamatenda ndi kutalika kwa matendawa.

Mwanjira yamatendawa matendawa, ma enzyme opukusa, osatha kulowa mu duodenum, amayamba kuwononga kapamba.

Matenda amtunduwu ndi owopsa kwambiri, chifukwa amapereka zovuta kwambiri chifukwa cholowerera zinthu zowola m'magazi.

Pankhaniyi, wodwalayo amafunika kuthandizidwa mwachangu, nthawi zina amafikira opaleshoni. Zomwe zimayambitsa pancreatitis ambiri ndizo kudya kwambiri, kumwa mowa mwauchidakwa ndi calculi mu chikhodzodzo.

Mwambiri, zinthu izi zimachita m'njira zovuta. Madokotala a ambulansi akuti chiwerengero chachikulu kwambiri cha anthu odwala matenda a chamba chimachitika patchuthi, pamene odwala agonekedwa m'chipatala atatha phwando.

Mitundu ikulu ya matendawa imadziwika ndi kutsika kwa magazi, kuchepa mphamvu kwa thupi komanso kukomoka kwa wodwalayo.

Pankhani ya chiwopsezo cha pancreatitis pachimake, tikulimbikitsidwa kuti wodwala azipititsa kuchipatala nthawi yomweyo. Popeza uwu ndi mtundu wowopsa wa matendawa ndipo mwina kupangika kwa ma cysts ndi ma abscesses, komanso necrosis ya gawo la gland, chithandizo chiyenera kuyambitsidwa mwachangu.

Zomwe zimachitika

Kwa amuna, kugwidwa kwa kapamba kwamatenda kumakhala kofala kuposa azimayi. Izi ndichifukwa choti anthu achimuna amadya mizimu yambiri, kuwagwira ndi zakudya zamafuta. Pankhaniyi, kupsinjika mu duodenum kumawonjezeka ndi kutuluka kwa msuzi wa kapamba kumakulirakulira, zomwe zimapangitsa kudwala.

Zomwe zimapangitsa kuti pakhale pancreatitis yogwira mtima zimaganiziridwa:

zizolowezi zoipa (uchidakwa, kusuta, kudya kwambiri),
Kugwiritsa ntchito mankhwala osokoneza bongo (mafuta, okazinga, osuta fodya komanso azakumwa, komanso zakumwa zoziziritsa kukhosi).
kuvutika kwamkati pamimba, limodzi ndi chotupa cha ma pancreatic parenchyma,
kugwiritsa ntchito mankhwala kwa nthawi yayitali (mahomoni, NSAIDs, metronidazole),
kukhudzana ndi kupsinjika kwanthawi yayitali.

Pathology imatha kuchitika chifukwa cha ma pathological omwe amapezeka m'matumbo am'mimba, mwachitsanzo, chifukwa cha:

virus hepatitis
aakulu cholecystitis
zilonda zam'mimba kapena zilonda zam'mimba,
helminthiasis,
poyizoni wazakudya
matenda a chiwindi,
ZhKB,
dyskinesia m'mimba.

Nthawi zina kuukira kumachitika motsutsana ndi maziko azakudya zam'mimba (gastritis kapena zilonda zam'mimba, matenda a chiwindi, kutsekeka kwa mzere ndi ndulu, ndi zina zambiri. Kuphatikiza apo, nthendayi imatha kuchitika pambuyo povulala chiwalochi limodzi ndi kuwonongeka kwa parenchyma ndikutulutsa kwa ma enzymes mu duodenum ndikudziwonongeranso kwa ndulu.

Thanzi la yogwira mawonekedwe a kapamba

Chakudya chokhala ndi mafinya a pancreatitis ndiye mankhwala othandizira. Imagwira gawo lalikulu popewa zomwe zimachitika komanso pochiza matendawa, kuonetsetsa kuti ziphuphu zikuchitika. Ndikofunikira kukhazikitsa njira yatsopano, yosiyana ndi yomwe idayambitsa matenda.

Ndikofunika kupatula zakudya zonunkhira, zamafuta ndi mafuta, zakumwa zonunkhira ndi zakumwa zoledzeretsa zakudyazo, zomwe zimatha kupweteketsani ngakhale mutangokhalira kulolera.

Zakudya zokhala ndi mawonekedwe amtunduwu wa kapamba ndizofunikira kuti zisakulitse matendawa. Ndi kuchulukitsa kwa matendawa, kuletsa zoletsa, masiku awiri oyamba ndi njala afunika. Kunja kwa nthawi ino, mndandanda wazakudya zambiri ukupezeka:

nkhuku ndi nsomba zam'madzi, nsomba zam'madzi,
ng'ombe yophika kapena yophika,
zipatso ndi masamba
phala ndi phala,
zinthu zophika mkate
ochepa maswiti.

Pa chikhululukiro, zakudya zimatha kukhala zosiyana kwambiri ndi zakudya panthawi yowonjezera. Nthawi zina, mutha kuperekanso vinyo wowuma pang'ono. Muyenera kudya pang'onopang'ono pang'onopang'ono, kupewa kudya kwambiri.

Komabe, zakudya sizokhazo zomwe zingathandize pancreatitis yogwira ntchito.

Katswiri amatha kudziwa mankhwala othandizira kuphatikizira, kuphatikizapo antispasmodics, michere (pamene yogwira pancreatitis imakhala yotalikirapo, chinsinsi chawo chimachepetsedwa kwambiri, komanso mankhwala a carminative.

Tiyenera kukumbukira kuti odwala omwe ali ndi pancreatitis sangathe kuchita nawo masewera olumikizana ndi kudumpha, kusuntha kwadzidzidzi, kunyamula mphamvu ndi kugwedezeka.

Kuchiza matenda

Mu chipatala, chithandizo chimayamba ndi kuchotsedwa kwa ululu ndi kulowetsedwa kwamitsempha kuti muchepetse thupi ndi zakudya za makolo. Kuphatikiza apo, pancreatin mu yogwira mawonekedwe a kapamba amalembedwa kuti athe kulipirira kufooka kwa enzone ya kapamba.

Kuti athetse ma spasms, antispasmodics amalembedwa (Drotaverin, No-shpa, Papaverin, Spazmalgin). Ndipo kuti muchepetse ululu waukulu, mainkinkiller (Nurofen, Baralgin, Ibuprofen) akuwonetsedwa. Monga kukonzekera kwa enzyme, mutha kugwiritsa ntchito Festal, Creon, Panzinorm, Mezim.

Nthawi zina, njira yothandizira maantibayotiki imavomerezeka. Ndikothekanso kukupatsani mankhwala othandizira kuti muchepetse kupanga kwa mpweya. Woopsa matendawa, kuchitapo kanthu opaleshoni kungakhale kofunikira.

Matenda opatsirana

Popewa zovuta, malingaliro a dokotala wowona ayenera kuyang'aniridwa mosamala. The pachimake mawonekedwe a matenda amapereka zovuta kwambiri, mpaka imfa ya wodwalayo.

Mwina zotheka za pachimake yogwira pancreatitis:

endotoxin mantha,
kutupa kwa peritoneum,
machira kapena phlegmon,
zotupa,
fancula kapamba
necrosis ya malo oyandikana ndi ziwalo.

Pambuyo pokhazikitsa kutupa kwa kapamba, ndikofunikira kuti nthawi yomweyo ndiyambe mankhwala, apo ayi matendawa atha kukhala osakhazikika. Popanda chithandizo chokwanira, matendawa angayambitse kusintha kwamisempha.

Mutha kuthana ndi chithandizo cha matenda ofatsa kunyumba, koma chithandizo cha chipatala chimawonetsedwa nthawi zambiri. Chithandizo cha matendawa chimakhala chodziwikiratu, kudya kumakhala kofunikira komanso kupatula kwa zomwe zimapangitsa kuti pakhale kutupa.

Reactive pancreatopathy: ndi chiyani kwa akulu?

Kodi kapamba ndimtundu wanji ndi zomwe zimatsatiridwa ndi, ambiri amadziwa. Kuchepetsa kotereku ndikutupa kwa kapamba, kumapangitsa kupweteka kwambiri komanso kusokoneza kugwira ntchito kwa mkati.

Koma nthawi zina, njira yotupa imakhalapo. Ndipo michere yamphamvu ya kapamba imasokonekera. Kusakwanira kwa exocrine kotereku sikumangotchedwa pancreatopathy.

Komanso, kusokonekera kotereku kumatchedwa kuchepa kwa kapamba, komwe kumayambitsa kusokonekera kwa kapamba. Vutoli limachitika popanda kutupa, koma limayendera limodzi ndi mseru, kupweteka kwam'mimba, kuchepa kwa chilimbikitso ndi zizindikiro zina. Zomwe zimachitika pamenepa zimatha kukhala matenda obadwa nawo, mavuto obadwa nawo, kusowa kwa michere.

Kodi pancreatopathy amawonetsedwa bwanji mwa akulu?

Zikondwererozi zimakhudzidwa ndi zochitika za kunja komanso zamkati. Maselo apadera, zilumba za Langerhans, zimatulutsa insulini yofunikira kuti glucose ayamwidwe.

Ngati mahomoni sakwanira, shuga imayamba. Ntchito yotereyi ndi ya mkati mwachinsinsi. Ntchito zakunja kwa chinsinsi zimaphatikizira kupanga michere ya m'mimba - lipase, amylase ndi trypsin.

Lipase ndi amene amachititsa kuti mafuta asungunuke, amylase - kutembenuza kwa chakudya chamagulu, ndipo ma trypsins amathandizira kupukusa mapuloteni bwino. Ngati mulibe michere yokwanira, kapamba amayamba. Matendawa amathanso kuchitika ali ana, koma achikulire amadwalanso ngati amadya mosiyanasiyana komanso mopitirira muyeso. Mukakalamba, matendawa nthawi zambiri amakhala ndi ischemic kapena mtima.

Matendawa amakhala ndi zizindikiro zotsatirazi:

Wodwalayo amadandaula za kupweteka pang'ono mu hypochondrium yakumanzere kapena navel.
Nthawi yomweyo, chilakole chimachepa, chopondapo chimakhala chosakhazikika, nseru, kuwoneka mwachisawawa.
Kusanthula ndowe kumawonetsa kukhalapo kwa steatorrhea, momwe mafutawa sanadzidimbidwe kwathunthu.
M'mayeso a magazi ndi mkodzo, mumapezeka ma enzymes ochepa.
Kufufuza kwa Ultrasound kwa zikondwerero, monga lamulo, sikuwulula kusintha koonekeratu, koma nthawi zina kupanikizika kumakulitsidwa pang'ono, matenda amtundu amatha kuwonjezera zachilengedwe.

Kuchuluka kwa kukula ndi kuuma kwa zizindikiro zomwe zili pamwambapa zimatengera momwe ziphuphu zimakhudzidwira. Kuzindikira kusintha kwa ziwalo zamkati kumatha kuwonetsa kuchuluka kapena kuchepa kwa chikwangwani cha echo. Ngati palibe zakuphwanya, echo ndizabwinobwino.

Kuti mumve bwino matendawa, muyenera kufunsa dokotala, kudziwa momwe matendawa mungakhalire ovuta kwambiri chifukwa cha zofanana ndi matenda ena. Pambuyo pa maphunziro ofunikira, mankhwala othandizira amaloza mankhwala.

Ndikofunikira kumvetsetsa kuti pancreatopathy si matenda oopsa, chimayimira kuwonekera kwa kuphwanya koyamba. Ngati mungafune thandizo kuchipatala munthawi yake, mutha kupewa zotsatira zoyipa.

Kuchiza Mavuto

Kuperewera kwa pancreatic ndi koyambirira komanso kwachiwiri. Poyamba, kukula kwa matendawa kumachitika pamene zinthu zomwe sizimadalira zomwe sizimadalira wodwala kapena dokotala zakhudzidwa.

Izi zikuphatikiza ndi matenda mu mawonekedwe a cystic fibrosis ya kapamba, kubadwa kwa zotsekemera za kapamba, Schwachmann-Diamond syndrome, lipase ndi kuperewera kwa trypsin, cholowa chotengera pancreatitis.

Mavuto oyambira ndi a sekondale amayenera kuthandizidwa ndimankhwala omwe ali ndi ma enzymes. Kwa nthawi yayitali, Pancreatin, yopangidwa pamaziko a michere yazomwe nyama zimachokera, adagwiritsidwa ntchito pazomwezi. Koma chifukwa chakuwonjezereka kwa asidi m'mimba, mankhwalawa samapangidwira ndipo alibe mphamvu yochizira.

Masiku ano, pharmacology yamakono imapereka mankhwala ambiri m'mapiritsi, granules ndi dragees. Mankhwala oterowo ali ndi chipolopolo choteteza ndi ma micros, chifukwa chomwe amatha kuchita.

Ngati vuto silili lalikulu, amaloledwa kugwiritsa ntchito njira ina yochiritsira mothandizidwa ndi zitsamba zamankhwala.

The yogwira pancreatopathy mu mwana

Reactive pancreatopathy ndimomwe zimachitika ndi kapamba kuzinthu zilizonse zomwe zimapangitsa. Chifukwa chake, chodabwitsa ichi sichiri matenda osiyana, koma chizindikiro cha thupilo chokhudza zovuta zake.

Zizindikiro za kuphwanya ana mutha kuzipeza pambuyo povutitsidwa ndi kachilombo koyambitsa matenda kupatsirana kapena matenda ena otupa, poyizoni wa chakudya chifukwa chogwiritsa ntchito zinthu zotsika mtengo. Chakudya chomwe chingayambitsenso matenda.

Ndi yogwira pancreatopathy mu milomo ya kapamba, ma spasms amayamba ndipo mbali yakeyo imatupa. Mu makanda ndi ana mpaka chaka chimodzi, izi zitha kuchitika chifukwa cha:

Kudyetsa kosayenera
Kumwa madzi a mphesa
Mawu oyamba azakudya za nyama,
Amawonjezera zokometsera ndi zonunkhira ku chakudya cha ana.

Zotsatira zake, mwana amawonjezera mapangidwe a gasi m'matumbo, amasokoneza ntchito ya chiwalo chamkati chamkati.

Nthawi zambiri, matendawa amakhala ndi zizindikiro zotsatirazi:

Pamwamba pa msomali, mwana amamva kupweteka kwakukulira kwa lamba komwe kumasowa ngati mutakhala pansi ndikukweza thupi lanu patsogolo.
Matendawa amaphatikizidwa ndi mseru, kusanza, kutentha thupi mpaka madigiri 37, zoponda zoonda, pakamwa pouma, kuwoneka ngati kuyala kwamaluwa pamalirime.
Mwanayo amakhala wamwano, wosakwiya, wakana masewera.

Ngati kupweteka kwam'mimba sikumira kwa nthawi yayitali ndipo zizindikiro zina zimayang'aniridwa, ndikofunikira kuyesedwa ndi dokotala wa ana kapena gastroenterologist. Vuto lalikulu, ambulansi imayitanidwa.

Dokotala adzakuwunikirani kuyezetsa ndi kuyesa kwa ultrasound, pambuyo pake muyenera kugwiritsa ntchito mankhwala osokoneza bongo.

Malangizo azabwino

Popewa kukula kwa zotsatira zoyipa, ndikofunikira kutsatira mankhwala othandizira ndikutsatira zakudya. Izi ndizofunikira kwambiri ngati pancreatopathy imawonedwa mwa mwana, popeza ana amakonda kudya zakudya zosiyanasiyana ndi zosungirako komanso zinthu zovulaza.

Muyenera kudya maola anayi aliwonse, osachepera kasanu ndi tsiku. Ntchito zimayenera kukhala zazing'ono kuti kapamba azitha kuthana ndi kuchuluka kwa chakudya, ndipo wodwalayo sakudya mopitirira muyeso. Chakudya chiyenera kukhala pansi ndi kudya motentha.

Mu chilonda chachikulu cha pancreatitis, masiku 15 oyamba sangathe kudya zipatso ndi masamba. Makamaka ayenera kusiyira kabichi yoyera ndi sorelo, yemwe mbali zake zimapangitsa kuti madzi abwinidwe.

Muyeneranso kusiya:

msuzi uliwonse
mafuta, zonunkhira komanso zowawasa,
ndinasuta nyama ndi masoseji,
ma pickles ndi ma pickles,
mtedza, nyemba, bowa,
kuphika, buledi wonenepa, makeke, makeke,
ayisikilimu, chokoleti, shuga, uchi,
khofi, koko
zipatso za mphesa
zakumwa zoziziritsa kukhosi.

Zakudyazo zimakhala ndi msuzi wamkaka wokhala ndi chimanga, zakudya zosenda bwino zamasamba, mazira osenda, tchizi tchizi, zamphesa ndi masamba, nsomba zopanda mafuta, nkhuku zamafuta ochepa, zopatsa mkaka ndi mkaka wopanda mafuta. Zakudya ziyenera kuwiritsa kapena kuwotchera. Kawiri pa sabata mutha kudzichitira dzira lowiritsa.

Kuchokera pa lokoma pang'ono, mutha kugwiritsa ntchito ma biscuit cookies, marshmallows, zipatso zophika, marmalade. Ludzu limatha ndi ma kissels amadzimadzi, msuzi wa rosehip, zipatso zowuma, pang'ono zamchere zamchere.

Ngati vuto la kapamba likulephera, tikulimbikitsidwa kuphatikiza mapuloteni a nyama tsiku lililonse. Kuti muchite izi, gwiritsani ntchito nyama yabwino kwambiri yopanda mafuta - nkhuku, nkhuku, nyama yamchere, kalulu. Cod, zander, nsomba komanso carp wamba ndizabwino kwambiri. Onetsetsani kuti mwadya msuzi wamasamba tsiku lililonse popanda nyama kapena msuzi wa bowa.