Zoyenera kuchita ngati mseru ndi kapamba

Pancreatitis nausea ndizofala, chifukwa chake, kukhazikika nthawi zonse komwe kumachitika masana makamaka mukatha kudya kumatha kuonedwa ngati chimodzi mwazizindikiro zomwe zikuwonetsa kusokonekera kwa pancreatic.

Mukadutsa mayeso ndikuyamba kulandira chithandizo, mseru udutsa. Koma kuchira kumatenga milungu ingapo, motero kudzakhalapo ndikofunikira kudziwa zoyenera kuchita komanso njira zotetezedwa zomwe zingachepetse mseru.

Kodi kudwala ndi kutupa kwa kapamba?

Pancreatitis ndi kutupa kwa kapamba. Mukutupa, chiwalo sichingagwire ntchito bwino, chimagwira ntchito molakwika - ma enzymenti omwe amapanga chitsulo samalowetsa duodenum, koma amathandizidwa mkati mwa kapamba palokha. Zotsatira zake, minofu yake imawonongeka.

Mchitidwewu umayendetsedwa ndi zizindikiro zosasangalatsa: kwenikweni, ndikumva kupweteka pamimba kumanzere, kubwezeretsa mseru komanso kusanza. Chifukwa chiyani kudwala kapamba?

Kupanga kwamphamvu michere yamagetsi yomwe singathe kugwira ntchito yawo, zimatsogolera ku mfundo yoti zinthu zimalowa m'magazi. Kuledzera kwa thupi kumayamba.

Zofunika! Zimakwiya chifukwa chakuti m'mimba mumakhala chakudya chochuluka chomwe sichikumbidwa. Nzosadabwitsa nseru mu aakulu kapamba limawonekera kwambiri pambuyo pakupuma kwambiri, kudya zakudya zamafuta kwambiri kapena mowa.

Chizindikiro chofunikira chodziwitsa kuloleza dokotala kuti afotokoze vuto mu kapamba: kusanza sikumabweretsa mpumulo kwa wodwala. Ngati poizoni wabwinobwino pambuyo poti wayambitsanso kumva bwino, ndiye kuti akudwala ndi kapamba, izi sizichitika. Pankhaniyi, kuzunzidwa kumatha kubwerezedwa mobwerezabwereza. M'masanzi, zodetsa za bile zimatha kupezeka.

Kodi mungatani kuti muchepetse nseru ndi kapamba ndi cholecystitis?

Popeza nseru imayambitsa michere yambiri, ndikofunikira kuyimitsa kapangidwe kake. Chifukwa chake, kuti muchepetse nseru, muyenera kusiya kudya. Maola angapo oyamba, ndikofunikira kuti musamwe madzi. M'tsogolomu, ngati kusanza kwayamba kale, kudya kwamadzi kumakhala kofunikira. Izi ndizofunikira kuti muchepetse kusowa kwamadzi. Mutha kumwa madzi oyera kapena msuzi wa duwa lakuthengo.

Yang'anani! Wodwalayo atenge malo apamwamba ndi kukoka mawondo ake mpaka pachifuwa chake. Ndi kupweteka kwa kapamba, izi zimathandizira kuthetsa vutoli. Ndikofunika kusankha chipinda chopuma bwino kuti mupumule. Mutha kulumikizanso chinthu chozizira kumanzere kwam'mimba, mwachitsanzo, thaulo losungunuka ndi madzi ozizira. Izi zimachepetsa ntchito za kapamba.

Mankhwala a antiemetic amachepetsa mavuto. Amakhala ndi mphamvu, choncho yankho lenileni ndi mlingo wake liyenera kutsimikiziridwa ndi dokotala. Zomwezi zimagwiranso ntchito kwa mankhwala omwe amawongolera kupanga michere yamagaya.

Pancreatitis nthawi zambiri imaphatikizidwa ndi matenda a ziwalo zina zam'mimba, mwachitsanzo, ndi cholecystitis - kutupa kwa ndulu. Kodi mungatani kuti muchepetse nseru ndi kapamba ndi cholecystitis? Ngati vuto lakuwonongeka lili mwa ndulu, mankhwala a spasmolytic amasonyezedwa. Amachotsa kuphipha kwamtundu wa biliary. Mutha kumwa madzi amchere osakhala ndi mafuta, ndikuyika ozizira ku hypochondrium yoyenera.

Mukayimitsa mseru komanso kusanza, muyenera kutsatira kwambiri chakudyacho, chifukwa ndicho chakudya cholakwika chomwe chimayambitsa matenda a kapamba ndi cholecystitis. Kuphatikiza podziwa momwe mungachotsere mseru mu kapamba, muyenera kudziwa momwe mungaletsere kuti zisachitike.

Zofunika! Kuchokera pazakudya za tsiku ndi tsiku ndikofunikira kupatula mafuta okazinga, soseji, marinade, nyama yamafuta, confectionery. Njira yophika yomwe amakonda kwambiri ndi kuwira, kuwotcha, kuwongolera. Muyenera kudya 4-5 pa tsiku, m'magawo ang'onoang'ono.

Madokotala malangizo

Ndikusanza kwanthawi yayitali, thupi limataya madzi mwachangu. Izi zimakhudza kayendedwe ka machitidwe ake onse; malire a electrolyte amasokonezeka.

Wodwala akagonekedwa m'chipatala, amamulembera wodwala, zomwe zingathandize kuperewera kwa michere.

Momwe mungachepetse nseru ndi kapamba kunyumba? Nthawi yakusanza itatha, madzi osavuta ndi kuphatikiza mankhwala - chamomile, yarrow, chingwe, lingonberries - zikuthandizira kuchotsa kusapeza bwino.

Ndikofunika kuti chitetezo chogwiritsa ntchito decoctions chotere chotsimikizidwa ndi dokotala. Palibe chifukwa chomwe mungawonjezere madzi ndi mandimu, izi zimawonjezera acidity m'mimba ndikuwonjezera chikhalidwe cha wodwalayo.

Zofunika! Ngati magazi amatsuka m'masanzi, ululu wosaletseka wawonekera, khungu limatsika, kuthamanga kwa magazi, kusokonezeka kumayang'aniridwa, ambulansi iyenera kuyitanidwa. Ndikotheka kuti opaleshoni yodzidzimutsa yokha ndi yomwe ingathandize.

Pancreatic Nusea - chizindikiro chapamwamba chomwe chikuwonetsa kuti dongosolo logaya chakudya m'thupi limasokonekera. Kuti mupeze matenda olondola, ndikofunikira kukayezetsa - kumadutsa magazi ndi mkodzo poyesa, kupanga ma pancreas. Kuyambitsidwa panthawi yake kumathandiza kupewa zovuta zazikulu zomwe zingaike pachiwopsezo cha moyo - mwachitsanzo, kuukira kwa chifuwa cha pancreatitis kapena kapamba.

Pathology

Chikhansa ndi gawo lofunikira lamkati lomwe limakupatsani mwayi woyamwa bwino womwe umalowa m'thupi la munthu. Imasunga ma mahomoni ambiri ndi ma enzyme, kuphatikiza insulin ndi glucagon.

Njira yotupa yomwe imapezeka m'mapapo amatchedwa pancreatitis. Kukhazikika kwa ma enzymes m'thupi kumabweretsa kutupira ndi kukwiya. Izi zitha kuchitika mwadzidzidzi, koma zimatha kudutsa zaka.

Izi matenda akufotokozera. Pancreatitis, malinga ndi maphunzirowa, amatha kukhala owawa kapena osachiritsika. Komabe, mulimonsemo, matenda oterewa amatsogolera pakuwonongeka pang'onopang'ono kwa chiwalo chofunikira pakugaya chakudya.

Zomwe zimayambitsa matenda

Poyamba, timaganizira zomwe zimapangitsa kuti pakhale matenda monga kapamba. Zachiwembu, monga lamulo, zimachitika zinthuzi zikakulirakulira. Koma, mwatsoka, nthawi zambiri sizotheka kudziwa zomwe zimayambitsa matenda omwe mapamba amadzigaya okha.

Madokotala amapereka zinthu zotsatirazi, chifukwa chake kapamba amadziwika kwambiri nthawi zambiri:

1. Zakudya zopanda pake. Kugwiritsa ntchito molakwika zakudya zosapatsa thanzi (zonunkhira, mafuta, yokazinga) zimatha kuyambitsa matenda a kapamba. Chochita pankhaniyi? Kanani zakudya zopanda thanzi ndikufunsani zakudya. Zakudya zamafuta sizimakola thupi bwino. Zotsatira zake, pali kuphwanya kwa kutuluka kwa pancreatic madzi. Nthawi yomweyo mawonekedwe ake amasintha. Zinthu zotere zimayambitsa nseru, kupweteka.
2. Kuvulala kwapancreatic. Kuvulala kwa chiwalo kumatha chifukwa cha kupweteka kwam'mimba, ngozi yagalimoto, kugwa kuchokera kumtunda, mpeni kapena bala la mfuti. Nthawi zina vutoli limafunika kuchitapo opaleshoni.
3. Kumwa mankhwala. Mankhwala ena amatha kusokoneza kugwira ntchito kwa kapamba. Maantibayotiki, ma immunosuppressants, corticosteroids amatha mosavuta kuyambitsa matenda a pancreatitis. Zoyenera kuchita kwa wodwala? Pewani mankhwalawa ndikutsatira zakudya.
4. Mowa. Zakumwa zokhala ndi zakumwa zoledzeretsa zimasokoneza kwambiri ziwalo zambiri. Kapamba ndiwonso. Chithunzithunzi chomwecho chikuwoneka ndi vuto la kuperewera kwa m'thupi. Kutuluka kwa msuzi wa pancreatic kumavulala kwambiri m'thupi, chifukwa chomwe matendawa amakula.
5. Kuperewera kwa zakudya m'thupi. Potere, chakudya chama protein chimatanthauzidwa. Ngati thupi limadwala pafupipafupi ndi kuperewera kwa zinthuzi, munthu amayamba kudwala matenda a chamba.
6. Miyala. Kuchulukitsa, kuyenda m'mphepete mwa bile, kumathandizira kuphwanya kutuluka kwa madzi ndikuwonjezera kutupa kwa chiwalo. Zotsatira zake, wodwalayo amakhala ndi mseru, kusanza, kupweteka, chizungulire.
7. Matumbo am'mimba. Nthawi zina matenda osiyanasiyana amatha kupweteketsa ena.

Zizindikiro zakuwukira

Ndi matenda awa, zizindikiritso zambiri zimazindikira ndi odwala. Pafupifupi mbiri yonse yazachipatala ili ndi zizindikilo zotere. Pancreatitis imawonetsedwa ndi zowawa. Potere, vuto limatha maola ambiri.

Zizindikiro zotsatirazi ndizomwe zimachitika pancreatitis:

1. Kupweteka kwam'mimba. Chizindikiro chofunikira kwambiri komanso pafupipafupi. Zikuwoneka pafupifupi 80-95% ya odwala. Ululu umatha kukhala pafupipafupi kapena mobwerezabwereza, kuwotcha kapena kuwawa, kupindika kapena kuwawa. Zovuta zimapezeka kumtunda kumanzere kumanzere komanso m'chigawo cha epigastric. Chifukwa chake pancreatitis yovuta imawonekera. Mikwingwirima imakonda kulimba pambuyo podya chakudya (pambuyo pa mphindi 20-30). Wodwalayo amakumana ndi vuto lalikulu atadya yokazinga, mafuta, zokometsera, kusuta zakudya kapena kumwa mowa. Ululu umatha kufalikira kumbuyo, clavicle kumanzere, tsamba lamapewa, mkono. Nthawi zambiri, kusasangalala kumamanga. Ndianjala, izi Symbomatology amachepetsa kwambiri. Kuyimitsa kokhazikika kumathandizanso kuchepetsa kusasangalala: ndikosavuta kuti wodwalayo athe kupirira pamene akhala, atatsamira pang'ono.
2. Kutsegula m'mimba Chizindikiro ichi chimawonedwa mu theka la odwala. Mpando umakhala ndi fungo losasangalatsa, uli ndi mawonekedwe osasinthika. M'matumba, mafuta osasankhidwa amawonedwa.
3. Kuchepetsa thupi. Zizindikiro zofala. Tchulani kuukira kwa chifuwa chachikulu. Monga lamulo, zimawonedwa m'magawo omaliza a matendawa.
4. Kusanza, kusanza. Zizindikiro zotere sizimabweretsa mpumulo kwa wodwala. Nthawi yomweyo, kuphatikizira ndi kutsegula m'mimba, imawononga thupi kwambiri. Kutanuka kwa khungu kumachepa, mawonekedwe ake amakhala owuma kwambiri. Kuwonetsa mawonekedwe a nkhope kumawonedwa.
5. Kutsekeka kwa bile duct. "Madontho ofiira" amawoneka pamimba ndi chifuwa. Akakanikiza, samasowa. Nthawi zina pamakhala kusowa kwa nembanemba ndi khungu chifukwa chofinya chimbudzi ndi chotupa chotupa.
6. Thupi, kuzizira, kupuma movutikira. Zizindikiro zotere zimawonetsa kupangika kwa thupi. Pankhaniyi, ndikofunikira kuyamba chithandizo chokwanira nthawi yomweyo. Kuchedwa kulikonse kumatha kubweretsa zovuta zazikulu.

Pambuyo pa kuchitika kangapo konse, matendawa amakhala osachiritsika. Pankhaniyi, wodwalayo nthawi zina amakumana ndi zizindikiro zonse za kapamba. Koma chosasangalatsa kwambiri ndikuwonongeka pang'onopang'ono kwa chiwalo.

Thandizo loyamba

Chithandizo chokwanira chimalembedwa ndi adokotala okha. Kudzichitira nokha mankhwala, makamaka osazindikira kuzindikira koyenera, ndizowopsa. Nthawi yomweyo, kumbukirani kuti kusokonezeka kwakukulu m'mimba sikuyenera kuloledwa ndi kumizidwa ndi analgesics. Ngakhale mutadziwa kuthana ndi vuto la kapamba kunyumba, muyenera kuunikiridwa. Izi zimateteza motsutsana ndi kukula kwa zovuta zosasangalatsa kwambiri.

Ngati mukukumana ndi vuto m'mimba, muyenera kufunafuna thandizo kuchokera kwa gastroenterologist. Wodwala akakhala ndi ululu “wokhotakhota”, ndikofunikira kuyimbira ambulansi nthawi yomweyo. Komabe, pamene gulu lazachipatala likuyenda, ndizotheka kuchepetsa zomwe wodwala akukumana nazo chifukwa cha chifuwa cham'mimba.

Thandizo loyamba limaphatikizapo malingaliro otsatirawa:

1. Kulandila kwa antispasmodics. Mankhwala oterowo amatha kuchepetsa kuphipha. Chifukwa chake, kuonetsetsa kuti akutuluka mu lumen wa matumbo a pancreatic. Pankhaniyi, tikulimbikitsidwa kuti musagwiritse ntchito mapiritsi, koma jekeseni wamitsempha. Amachita bwino kwambiri komanso mwachangu. Chithandizo chogwira mtima kwambiri ndi No-shpa.
2. Chithandizo cha chimbudzi. Wodwala amalimbikitsidwa kumwa kukonzekera kwa enzymatic: Festal, Mezim, Pancreatin. Ndalamazi zimathandizira kukonza chimbudzi ndipo zimatha kuchepetsa ululu.
3. Ozizira pamimba. Njira ngati izi zimathandizira wodwalayo. Komabe, musagwiritse ntchito kuzizira kwa ayezi. Potere, m'malo momasuka, mutha kukulitsa vutoli. Ndikofunika kugwiritsa ntchito phukusi lotenthetsera lodzaza ndi madzi ozizira, kapena ayezi wokutidwa ndi thumba ndi nsalu. Chochitikachi sichingothandiza kuthetsa kupweteka, koma chimachepetsa kutupa.

Madokotala, ofotokozera momwe angachepetse kuukira kwa kapamba, makamaka amalimbikira kupatula chakudya chilichonse. Wodwala amangofunika kumwa. Potere, ndikofunikira kwambiri kupatsa madzi oyera oyera kapena mchere wopanda mchere.

Chithandizo cha kunyumba

Woopsa, wodwala amafunikira kuchipatala. Koma nthawi zina, atapima mozama, dokotalayo amamulembera wodwala chithandizo ndipo samutengera kuchipatala. Pankhaniyi, ndikofunikira kudziwa anthu omwe ali pafupi ndi wodwalayo momwe angachepetse kuukira kwa kapamba kunyumba. Ndikofunikira kuti mankhwala osokoneza bongo a No-Shpa ndi enzymatic akhale pafupi.

Malangizo ochepa osavuta amakupatsani mwayi wopewa kuwukira pafupipafupi:

1. Njala. M'mimba mwake muyenera kuchotsedweratu. Zikatero, chitsulo chidzasiya kupanga ma enzyme omwe amawapweteka. Chifukwa chake, odwala amaloledwa kumangodya madzi, tiyi ndi othandizira m'masiku ochepa.
2. Lola. Kuwotcha kapamba ndizoletsedwa. Njirayi imayambitsa kutupa kwambiri ndikuthandizira pakuwonongeka kwa kapamba ndi mahomoni ake omwe. Kumbukirani: hypochondrium ya kumanzere "imasankha" kuzizira! Chifukwa chake, ayezi wofundira ayezi ayenera kuyikiridwa ndi kapamba.
3. Mtendere. Pathology imatha kutsogolera mosavuta pakukula kwa zovuta zazikulu. Chifukwa chake, madokotala amalimbikitsa mwamphamvu kuti mumasule thupi lonse momwe mungathere. Odwala amalangizidwa kuti azitsatira pogona mpaka zizindikire za kupweteka kwambiri kwa kapamba zimatha.

Matenda opatsirana

Kodi pancreatitis wowopsa ndi chiani? Ziwopsezo sizidutsa popanda kutsatira ndipo nthawi zambiri zimabweretsa zovuta zosasangalatsa.

Izi zikuphatikiza:

• matenda
• chotupa
• minofu ya necrotic ya England.

Pazovuta zazikulu, wodwala amafunika kuchitapo kanthu opaleshoni. Pambuyo pa opaleshoni, wodwalayo nthawi zambiri amapatsidwa insulin kuti azitha kuwonetsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, mankhwala apadera omwe amakhala ndi ma enzyme omwe amatsimikizira kuti m'mimba mumapezeka mafuta ambiri komanso mapuloteni amalimbikitsidwa.

Chosafunikanso kwambiri ndi zakudya zopatsa thanzi, zomwe muzochitika zamakedzana, wodwala amayenera kuyang'ana moyo wake wonse. Ndipo siyani mowa uliwonse.

Matenda a kapamba amatha kuyambitsa zovuta izi:

• kufalikira kwa mitsempha
• kuchuluka kwa madzi mderalo
• kupweteka kwakanthawi
• kufufuma kwamatumbo ang'onoang'ono ndi ndulu zamkati,
• chiopsezo chokhala ndi khansa yapancreatic.

Chakudya pambuyo povutitsidwa kwambiri

Odwala akulimbikitsidwa kudya No. 5 chifukwa cha kapamba. Komabe, mutavutika ndi masiku angapo, muyenera kusiyiratu kugwiritsa ntchito chakudya.

Ma Dietitians amalimbikitsa malamulo otsatirawa:

• Kwa masiku 2-4, wodwalayo amaletsedwa kudya. Ndikulimbikitsidwa kugwiritsa ntchito madzi am'madzi okha pochiritsa, monga Borjomi, Essentuki No. 4.Muyenera kumwa pang'ono pang'onopang'ono.
• Tsiku la 5. Chololedwa mosamala kuwonjezera menyu. Pankhaniyi, muyenera kudziwa kuti wodwalayo adayikapo tebulo la kapamba ya 5 kap.
• Tsiku 6-7. Chakudyacho chimaphatikizapo msuzi wa mucous, zakudya, zakudya monga chimanga, kefir, cutlets za ng'ombe, nkhuku ndi nsomba. Chovomerezeka: mbatata zosenda, masamba. Mbale zonse zokhala ndi kapamba zimayenera kudyetsedwa kapena kuwiritsa. Wodwala amatha kumwa tiyi wopanda mphamvu, maapulo osenda, makeke, msuzi wamtchire wamtchire.

Izi matenda ali ndi dzina limodzi losasokoneza - prediabetes. Tsoka ilo, zikafika pancreatitis yayitali, mwayi wokhala ndi matenda oopsa oterewo ndiwambiri. Popewa kupezeka kwa matenda osokoneza bongo, odwala amawapatsa mankhwala No. 5 a kapamba. Zakudya izi ziyenera kutsatidwa moyo wonse.

Maziko azakudya ndi izi:

• mkaka, kefir, tchizi yofewa, yogurt, curd wowawasa,
• pasitala, phala (mpunga, oats, buckwheat),
• masamba (beets, zukini, kaloti, dzungu, mbatata),
• mikate yoyera, tirigu wowaza,
• nsomba zowonda
• nyama (nkhuku, kalulu, nkhuku, nyama yamphongo),
• mafuta odzola, maapulo ophika, msuzi wabulosi,
• zipatso za oats, zakumwa za zipatso, tiyi wa chamomile, timadziti tamitengo ta asidi,
• msuzi wosenda, broths zamasamba.

Kuchokera pazakudya ziyenera kuperekedwa:

• kabichi watsopano, zipatso zowawasa, nyemba,
• sorelo, radish, sipinachi, radish,
• buledi watsopano, maswiti, muffin,
• zonunkhira ndi zonunkhira zotentha,
• Zakudya zamzitini, nyama zosuta, soseji, mazira,
• nsomba, msuzi wa nyama, borscht, msuzi wa kabichi,
• msuzi wokoma, mowa,
• ayisikilimu, kirimu, kirimu wowawasa,
• zakudya zokazinga.

Zakudya izi zimaphatikizapo kudya pafupifupi 6 pa tsiku, m'magawo ang'onoang'ono. Izi zimathandiza kupewa kudya kwambiri.

Maganizo a odwala

Modabwitsa, ndimatenda amtunduwu, odwala onse amalimbikitsa chinthu chimodzi: kulumikizana ndi gastroenterologist ndipo musazengereze kulandira chithandizo! Kodi odwala omwe amapezeka ndi pancreatitis amatsimikizira chiyani? Ndemanga za odwala zimanena za kusinthaku kwakukhalanso wathanzi pambuyo pa mankhwala omwe adalembedwa ndi adokotala komanso kutsatira zakudya zomwe wapatsidwa.

Odwala ambiri amati atalandira chithandizo kwa nthawi yayitali amatha kubwereranso ku zakudya zawo. Ndipo pa nthawi imodzimodziyo sakumananso ndi zowawa zazikhalidwe.

Pomaliza

Mbiri imapereka zitsanzo zoposa chimodzi, pomwe ngakhale matenda osachiritsika adachotsedwa kwathunthu. Chifukwa chake khalani olimba mtima, khalani wolimba ndikutsatira malangizo onse a dokotala. Ndikukufunirani zabwino komanso zabwino!

Khansa ya m'mimba ndi kapamba imapezeka nthawi zambiri. Pafupifupi 80% ya anthu omwe akudwala matendawa amakumana ndi mtundu wina wa khungu.

Nthawi zambiri, nseru imapatsa odwala zovuta zambiri kuposa zowawa za matenda.

Kuyenera kudziwika kuti kumverera kwa nseru mu kapamba kumakhala ndi zochitika zina zamankhwala. Ndizokhudza iwo, mitundu ya kapamba ndi njira zolimbana ndi mseru zomwe zikukambidwa m'nkhaniyi.

Mitundu ya kapamba ndi mawonekedwe a nseru

Monga matenda ena aliwonse am'mimba, kapamba amatha kukhala amitundu iwiri: yovuta komanso yopweteka.

Chizindikiro chachikulu cha mtundu woyamba wa kutupa komwe kumachitika m'mapapo ndi ululu wosapweteka.

Ndi chifukwa chakuti ma enzyme osapanga bwino omwe amapangidwira chimbudzi ndikutsata chakudya zimakhudza minofu ya kapamba.

Pambuyo pa necrosis ambiri a chiwalochi, ululu womwe umakumana nawo umatha kupirira.

Nthawi zambiri, ndikamakula kwambiri kwamatendawa, kupweteka kumachitika pakatikati pamatumbo, nthawi zina "kupatsidwa" kwa minofu yamtima.

Chizindikiro chodziwika bwino cha kapamba am'mimba ndi mseru, womwe umachitika pakumwa zakumwa zoledzeretsa kapena zakudya “zolemetsa”.

Ponena za matendawa, matendawa ayenera kutchulidwa, omwe pambuyo pake amayamba kudzimbidwa. Nthawi zambiri pamakhala kuphatikiza koyera pa mucous nembanemba wamkamwa ndikutchingira khungu.

Pancreatitis yodwalayo imakhala ndi zizindikiro zofanana ndi pachimake, kuphatikiza ndi mseru komanso kusanza.

Kuphatikiza apo, zizindikiro zake ndi izi: kuphatikiza ndi ndulu ya bile, kutulutsa, kutentha pa chifuwa, kufooka ndi kuchepa thupi.

Zotsatira za chifuwa chachikulu nthawi zambiri chimaphwanya kusinthana kwa madzi ndi chakudya m'thupi, ndiko kuti, matenda a shuga.

Zikuonekeratu pamwambapa, chizindikiro chachikulu cha matendawa ndi chovuta cha matenda ndi mseru.

Ndi chiwonetsero chazachipatala cha chiwonetsero chazovuta mu kapamba.

Kukula ndi kuopsa kwa mseru kwenikweni kumadalira kuopsa kwa kapamba. Mwa odwala ena, matenda a zam'mimba amatha kuchitika nthawi ndi nthawi kwakanthawi, pomwe kwa ena samapuma usana ndi usiku.

Nthawi zambiri, ngakhale kusanza sikuthandizira kuthetsa vutoli, monganso momwe zimakhalira ndi matenda ambiri am'mimba.

Mfundo zazikuluzikulu za mseru, matenda omwe amaphatikizira, ndi monga:

• mosalekeza kapena kwakanthawi, kutengera kuuma kwa matendawa. Ndi matenda owopsa a matendawa, mseru umachepa kwa mphindi imodzi,
• mnzake wa mseru ndi ululu. Khansa ya m'maganizo imatha kuchitika ululu utatha,
• Nthawi zambiri, pancreatitis imasokoneza pambuyo kudya zakudya “zolemera” kapena zakumwa zoledzeretsa,
• kusanza ndi kapamba ndichinthu chachilengedwe kwathunthu chomwe chimayamba chifukwa cha mseru.

Kodi chimayambitsa nseru?

Zikondazo zimayang'anira ma endocrine ndi machitidwe am'mimba. Poyamba, thupi limatulutsa insulini, chachiwiri ntchito yake ndikuti kapamba amatulutsa gwero la proenzymes lomwe limalowa mkatikati mwa matumbo ang'ono ndipo amasinthidwa kukhala ma enzyme pamenepo.

Ntchito yawo yayikulu ndikugawa chakudya chizikhala mapuloteni, mafuta ndi chakudya.

Ndi kapamba, kulowa kwa proenzymes m'matumbo ang'onoang'ono kumayipa, amasintha kukhala ma enzymes mu kapamba.

Zotsatira zake ndi izi:

• njira zoyipa zakukonzekera minofu ya kapamba, zimabweretsa kutupa,
• maonekedwe a poizoni m'malo mwazomwe zimalowa m'matumbo. Zotsatira zake, kuledzera kumachitika, zomwe zimachitika ndi mseru.

Chifukwa chake, zikuwonekeratu kuti nseru ndi kusanza ndizomwe zimateteza pakamwa, zomwe sizitha chifukwa cha kusowa kwa ma enzymes olimbana ndi chakudya chomwe chikubwera, ndiko kuti, kugaya.

Kusanza ndi kusanza mu pancreatitis pachimake kumachitika pafupipafupi, chifukwa pancreatic necrosis imachitika kwambiri.

Chifukwa chake, kumwa kwa chakudya chambiri cha chimbudzi, makamaka zakudya zamafuta, wokhala ndi pancreatitis ndimadzaza ndi mseru.

Zachidziwikire, kusanza kumatha kubweretsa mpumulo, koma osati nthawi zonse komanso osati ndi pancreatitis yovuta, yomwe imatha kuchiritsidwa popanda zotsatira zenizeni za thupi pokhapokha ndikugonekedwa kuchipatala mkati mwa maola 3-4 kuchokera pomwe matendawa adayamba.
Kanema:

Pankhaniyi, pali mipata yabwino yolepheretsa chiwonongeko chokwanira cha chiwalo chofunikira kupangira ma proenzymes ndi insulin. Mukuyenera kudziwa kuti pafupipafupi kufooka kwa kapamba kumatha kupha.

Kuthandiza mseru komanso zizindikiro zina za kapamba

Anthu ambiri amakhala ndi nkhawa akaganizira zoyenera kuchita ngati atazindikira zizindikiro zosonyeza kapamba. Mwanjira yodwala, ndikofunikira kuyimba ambulansi nthawi yomweyo.

Chithandizo cha matenda pachimake matenda atha kuchitika onse ndi mankhwala komanso opaleshoni.

Zonse zimatengera kuopsa kwa njira yotupa yomwe imayambitsa matenda a insulin ndi michere.

Ngati nseru ndi ululu wam'mimba sizingalephereke, ndiye akatswiri asanafike muyenera kumwa mapiritsi, mwachitsanzo, "No-shpu" kapena "Paracetamol".

Dokotala asanafike, muyenera kupereka mpumulo kwa thupi lomwe limayang'anira kupanga ma proenzymes (osagwirizana ndi zomwe muyenera kudya), ndipo ayezi amayenera kuyikiridwa pamimba.

Pofuna kuthana ndimatenda oopsa a matendawa, ndikofunikira kuyamba ndi kuyambitsa njira zamchere, mwachitsanzo, "Regidron" kapena sodium chloride, kudzera m'mitsempha.

Madokotala amagwiritsa ntchito Analgin ngati chithandizo. Kutupa kukachepa, mankhwala amalembedwa kuti apondereze zinsinsi za ma enzymes (Creon, Festal, kapena Gordoks) ndi ma antacid, monga Gaviscon.

Ngati ululu umanenedwa, ndiye kuti madokotala amayamba kugwiritsa ntchito mankhwala a narcotic analgesics, mwachitsanzo, Promedol. Opioid Morphine sagwiritsidwa ntchito ku Russia.

Akatswiri ambiri amakhulupirira kuti mankhwalawa amatha kubowoleza kuphipha kwa Oddi, komwe kungapangitse kutuluka kwa ndulu.

Ndizofunikira kudziwa kuti analgesic, yomwe imakhazikika pa opium, imagwiritsidwa ntchito kwambiri ku Sweden - m'dziko lino, ululu uliwonse wam'mimba umayimitsidwa nawo.

Poyankha funso la momwe mungachepetsere mseru ku chifuwa chachikulu, muyenera kuyamba ndi upangiri wosonyeza moyo wabwino. Ndikofunikira kupatula masewera olimbitsa thupi kwambiri komanso kugwira ntchito mwanjira ina, kupumula ndi kugona.

Kuchokera pazakudya za wodwala siziyenera kuphatikizidwa: nsomba yokazinga ndi mafuta ndi nyama, mbale zolemera, zonunkhira. Chakudya chimayenera kuwiritsa kapena kuwotcha. Phindu labwino ndikumwa kumwa kwa infusions a chamomile, mamawort ndi hypericum.

Inde, muyenera kumwa mankhwala pafupipafupi omwe amathandizira kukonza chimbudzi ndikuchepetsa ntchito ndi mphamvu yolimbana ndi mseru.

Nthawi zambiri ndi "Creon" ndi mankhwala omwe amakhudza ma emetic Center - "Ondansetron" kapena "Domperidone".

Zotsatira za pamwambapa ndikuti kunyansidwa ndi kusanza komwe kumachitika ndi matenda monga kapamba ndizotsatira. Ndiye chifukwa chake ndikofunikira kumenyera nawo, koma ndi zomwe zimayambitsa.

Ngati mukukayikira kuti kapamba, makamaka pachimake, muyenera kufunsa dokotala, apo ayi zotsatira zake zimakhala zoipa. Imfa nthawi zina imatheka.

Kuukira kwa kapamba kumatha kudabwitsa munthu. Kuti muchepetse vuto la ululu, kuti muchepetse zovuta, muyenera kudziwa momwe mungadzirere nokha.

Kutsatira malamulo kunyumba

Kuti muthandizire kunyumba, tsatirani malamulo osavuta:

1. Simungathe kudya, muyenera kuchepetsa nkhawa pa thupi. Mosasamala mawonekedwe a matendawa, kusala kudya ndikofunikira masiku 1-2. Ichi ndi chofunikira pa matenda a kapamba. Patsiku lanjala, kumwa madzi osavomerezeka a kaboni kapena msuzi wa rosehip ndikololedwa. Kuchuluka kwa madzi patsiku ndi 1-1,5 malita. Ndikofunika kumwa ma Mlingo yaying'ono, nthawi zambiri.
2. Asanayang'anitsidwe ndi dokotala, sizikulimbikitsidwa kuti mutenge kukonzekera kwa enzyme ("Creon", "Festal"). Kumwa mankhwalawa kumatha kukulitsa vuto la munthu ndikupangitsa kuti zikhale zovuta kudziwa matenda.
3. Wodwala akuyenera kupereka mtendere wathunthu, kupewa kupsinjika kwamthupi ndi m'malingaliro. Patsiku la matenda, kupuma pabedi ndikofunikira.
4. Kugwiritsa ntchito compress yozizira kumalo a chifuwa kungathandize kuchepetsa ululu.
5. Zovala siziyenera kukakamizidwa, nthawi zambiri munthu amakhala ndi vuto losowa mpweya. Ndikulimbikitsidwa kuti muzipumira mwapang'onopang'ono, kupuma kwanu nthawi ndi nthawi ndikuwonjezera kuwawa.

Chisamaliro chodzidzimutsa cha pancreatitis pachimake ndi cholondola komanso panthawi. Ndikofunikira kuzindikira bwino matendawa ndikuthandizira thupi kuthana ndi zowawa isanafike ambulansi.

Momwe mungachepetsere kupweteka mu kapamba kapamba

Kuthandizidwa mwachangu ndi pancreatitis pachimake ndikuchepetsa ululu. Mu matenda pachimake matenda, hospitalization mwachangu akuwonetsedwa. Kudziyendetsa nokha painkiller kumatha kukhala koopsa, kuchipatala, mankhwala amaperekedwa kudzera mwa dontho.

Kuchepetsa pang'ono mkhalidwe wodwala kumathandizira kukhala pabwino ndi thupi lopendekeka kutsogolo, ayezi amaloledwa pa kapamba.

Mankhwala Opweteka

Ngati kufika kwa dokotala koyambirira sikumayembekezeredwa, ndikulimbikitsidwa kuti mupeze 5 ml ya Baralgin intramuscularly kuti muchepetse ululu kunyumba. The analgesic mphamvu ya mankhwala kumatenga mpaka maola 8.

Baralgin ikhoza kusinthidwa ndi yankho la Papaverine mu Mlingo wa 2 ml. Kuti muchepetse ululu msanga, muyenera kulowa mankhwalawo mwamphamvu kapena modekha. "Papaverine" amathandizira kuphipha kwamisempha ya ziwalo zamkati ndipo amaonedwa ngati mankhwala otetezeka.

Momwe mungachepetse kupweteka kwamatenda a kapamba

Mwanthawi yayitali, ululuwu ndi wofatsa. Pa palpation yam'mimba mwa wodwalayo atagona kumbuyo kwake, ululu umayambitsidwa nthawi zambiri kumanzere, ndikatembenukira kumbali, kumachepa. Munthawi yodwala, matenda amaloledwa kuthandizidwa kunyumba, kuyitanidwa kwadzidzidzi ndikofunikira.

Ngati munthu ali ndi chidaliro pakukulitsa kwa matenda osachiritsika, kugwiritsa ntchito mankhwala osankhidwa ndikotheka.

Antispasmodics ithandiza kuthetsa ululu: No-shpa, Papaverin. Njira zimagwiritsidwa ntchito ngati jakisoni, mutawerenga kale malangizowo.

A compress ozizira amathandizira kuchepetsa ululu. Kuzizira kumayikidwa kwa kapamba kwa mphindi 15-20. Ndikofunika kugwiritsa ntchito phukusi lotenthetsera lokhala ndi madzi ozizira.

Momwe mungathane ndi kusanza ndi kapamba

Monga kupweteka pachimake, kusanza ndi mseru zimakhala zizindikiro zofunika kwambiri za kapamba. Ndi matenda pang'ono pang'onopang'ono, nseru siyikulimbikitsidwa kuthandizidwa ndimankhwala, imazimiririka yokha pakatha zovuta za wodwalayo.

Kusanza kwambiri kumayambitsa mavuto ambiri. Kuukira kusanza sikuyenera kukhala koletsa, m'malo mwake, kumathandizira kuchotsera masanzi ndikusuntha pang'ono muzu wa lilime.

Mwanjira yodwala, pamene kusanza kumakulitsa mkhalidwe wa wodwalayo, kulandira mankhwala kumayamba msanga. Ma Antiemetics adalembedwa: Domperidone, Metoclopramide, Trimebutin. Popewa kuchepa kwa thupi m'thupi, ndizotheka kutenga njira zamchere ("Regidron"). Ngati magazi ali m'masanzi, vutoli laipiraipira, ndikofunikira kupereka wodwala kwa dokotala.

Kodi mankhwala a kapamba amachiza?

Pancreatitis ndimatenda oopsa, ndi dokotala yekha amene amathandiza matendawa. Ngati kuwopsa kwa matendawa kuli kokulirapo, zakudya za makolo (zamitsempha) zimagwiritsidwa ntchito. Acute pancreatitis amathandizidwa kuchipatala, nthawi zonse (kunyumba zina).

Kufunika kwa chithandizo chovuta kumachitika chifukwa chakuti gulu lina la mankhwalawa limakhudza gawo la munthu wodwala. Kusankhidwa kwa mankhwalawa kumatengera mawonekedwe ndi kuchuluka kwa matenda, momwe wodwalayo aliri, komanso matenda oyanjana.

Antispasmodics ndi analgesics

Ma painkiller No-shpa, Papaverin, Baralgin alandiridwa ndikuwoneka kuti ndiofunikira mu khabati yamankhwala kunyumba. Mankhwalawa ndi othandiza komanso otetezeka. Amathetsa kuphipha kwamisempha yosalala, kuchepetsa ululu. Ma analgesics nthawi zina amatengedwa: Paracetamol, Aspirin. Nthawi zina, popewa kukula kwa thupi lanu siligwirizana, ma antihistamines amagwiritsidwa ntchito: Atropine, Platifillin, Diphenhydramine.

Amayambitsa Nusea ku Pancreatitis

Kukhazikika kwa mseru ndi kusanza kumalumikizidwa ndi poyizoni wamkati wa thupi. Ma enzymes am'mimba, michere yogwira thupi yomwe nthawi zambiri imathandizira kugaya chakudya, imayamba kupanga zochuluka kwambiri, ikupha m'mimba thirakiti, ikudutsa ndikusokoneza magwiridwe antchito.

Nthawi zambiri, nseru imachitika mukatha kudya.Zogulitsa zina zimatengedwa ndi thupi moyipitsitsa kuposa zina; zina zimatha kuwonjezera spasms. Zikondamoyo zimakumba kwambiri, chifukwa, ma enzymes ofunikira pokonzera chakudya m'matumbo kuti abwerere kumalo opangira, kapamba, akupita kukimbira ziwalo.

Zowopsa zomwe zimaphatikizapo zakudya:

• yokazinga
• lakuthwa
• yokhala ndi fiber yambiri
• khofi
• zakumwa zoziziritsa kukhosi.

Kugwiritsa ntchito kwazinthu kuchokera pamndandanda sikudutsa popanda kufufuza kwa kapamba. Kuopsa kwa nseru kapena kusanza zimatengera kukula kwa chakudyacho ndi kukula kwake.

Kodi nseru

Kuwonetsedwa kwa matendawa mu odwala ndi amodzi. Pancreatitis sichoncho. Khansa ya m'mimba imawonedwa ngati chizindikiro wamba, chofotokozedwa m'njira zosiyanasiyana. Mwa odwala ena, nseru imadziwoneka kamodzi, osasokonezanso, kwa ena imayamba kukhala yopweteka.

Chikhalidwe cha kusanza ndi mseru wa kapamba:

• zimasiyanasiyana pafupipafupi (pafupipafupi kapena episodic),
• amabwera limodzi ndi ululu (zimachitika nthawi yomweyo ndi zowawa kapena pambuyo pake)
• chifukwa cha zoopsa (zomwe zalembedwa pamwambapa)
• kusanza komwe kumachitika kawirikawiri kumabweretsa mpumulo.

Kutengera mphamvu ya chiwonetsero cha mseru, wodwalayo amasankha njira yothanirana ndi mavuto. Ena amakhulupirira kuti palibe chomwe chimayenera kuchitidwa. Kusokonezeka, wodwalayo amatha kumwa mapiritsi osafunikira kapena kusokoneza mtundu wololedwa wa mankhwalawo.

Choyamba, funsani dokotala wanu kaye. Momwe mungapiririre ndi nseru kwakanthawi kapenanso kupereka chithandizo chamankhwala chokwanira, nkhaniyo imatero.

Njira zopewera kupewa ngozi

Momwe mungapewere nseru ndi kapamba:

• kutsatira zakudya, kudya (kudya nthawi yokhazikika, pamlingo wokhazikitsidwa ndi malamulo azachipatala),
• kuwunika kutentha kwa chipinda: wodwalayo sayenera kutenthedwa, supercool, kuchenjeza zomverera zosasangalatsa ndi zochitika.

Zakudya ndi zakudya ndizofunikira kwambiri. Pankhani ya chifuwa chachikulu cha pancreatitis, kuti kusanza kusasokoneze, ndikofunika kuti musamadye, osamwa kena kalikonse koma mchere wam'madzi kapena chimbudzi cha rose m'chiuno. Malangizowo athetse vuto la kuchepa madzi m'thupi, kupewa mseru.

Mukatha masiku ochulukirachulukira, muzibweretsa chakudya chamafuta mosavuta:

• supu zamasamba (kupatula masamba oletsedwa chifukwa cha kapamba),
• phala lamadzi (kulawa, onjezani mafuta ochepa, ngati mukufuna),
• nyama / nsomba,
• tchizi tchizi
• odzola (ndi madzi ochepa)
• zikondwerero.

Ndikofunikira kupatula zinthu zomwe zimakina chakudya chokwanira.

Nthawi zina thupi limadziteteza ku chakudya chochuluka, limayika chida chamalingaliro, kuchepetsa chidwi chake. Wodwalayo amatha kumvetsera ku malo osawuluka, kapena mosemphanitsa, amayamba kuthana ndi izi. Kukhazikika kwa masiku awiri popanda chakudya kapena kuyesa kudzutsa chilakolako chokhala ndi chakudya chokoma sikothandiza: njira zomwe zafotokozedwazo sizibweretsa mpumulo m'matumbo.

Ngakhale akutsutsa dongosolo la chakudya chimbudzi, amafunika kutsatira zakudya zothandizidwa ndi adokotala. Thupi limafunikira kuti lilandire mphamvu kuti ligwire ntchito, kapena momwe munthu alili idzavulala kwambiri.

Ngati mkhalidwe wopanda vuto woterewu wodwala akuwona kuti akusuta fodya kapena kumwa mowa, ndi bwino kuthamangitsa malingaliro okhumudwitsa. Nikotini, mowa umadzetsa mavuto ena mthupi, umabweretsa zotsatira zosasangalatsa kuposa kusanza kwa kapamba.

Ngati wodwalayo akhululuka, akumva kuwawa, pali chifukwa choti abwerere kwakanthawi zakudya.

Zoyenera kuchita ngati wodwala akumva kuti akusoweka

Pali njira zingapo zochotsera nseru mu kapamba kapamba:

• Kwa tsiku lonse, ndikofunikira kukana chakudya, kumwa madzi amchere okha.
• Kuphatikiza pa mchere wam'madzi, amaloledwa kugwiritsa ntchito rosehip decoction kapena kuchepetsa mandimu ndi madzi otentha. Ndimu yokhala ndi kapamba ndizosatheka, kuchepetsa kuchuluka kwa zinthu zamadzimadzi zomwe zimatha kuvutitsa kugaya, ndizotheka kuchotsa kwakanthawi ndi kusanza.
• Ndikulimbikitsidwa kugona pansi, kupumula, kuyika ayezi kumanzere. Popanda madzi oundana, thaulo lopukutira ndi madzi ozizira ndiloyenera. Madokotala ena amalangiza kuyika kuzizira pafupi ndi nsana wanu. Yesani njira zonse ziwiri pogwiritsa ntchito zogwira mtima.

Malangizo: kuwukira kosanza - njira yochotsera katundu, kumabweretsa mpumulo. Mapeto atatha kusanza, muzitsuka pakamwa panu, kumwa madzi amchere kapena madzi osakanizika (mwachitsanzo, yankho la mandimu), gonani pansi mu kuzizira ndikupumula kwathunthu.

Nthawi ndi nthawi tengani mankhwala oletsa ululu ngati chikhalidwe cha kusanza sichingalephereke. Palibe-shpa amene atero. Piritsi singathe kugwira ntchito, gwiritsani ntchito jakisoni. Ngati zotsatirapo zake zili zabwino, lembani zotsatirazo mtsogolomu pogwiritsa ntchito njira yotsimikiziridwa.

Kusamalira thupi pakumuwopseza ndi ntchito ya adokotala. Mwa kupanga nthawi, wodwalayo azilandira uphungu wa katswiri yemwe akudziwa momwe wodwalayo alili. Kudzichiritsa nokha kumavulaza ndi matenda oopsa.

Ngati chiwopsezo cha pancreatitis chili champhamvu kwambiri, kungotsala mwayi wakuyimbira ambulansi, muyenera kuyendetsa bwino kwambiri. Asananyamuke katunduyu, ndikofunikira kugona m'chipinda chozizira, pakupuma kwathunthu, ndi compress yozizira yomwe ili kumbali (kapena kumbuyo).

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu:

Kukonzekera kwa enzyme

Kusintha kagayidwe komanso kuphatikiza bwino mapuloteni, mafuta ndi chakudya, zinthu za enzyme zimagwiritsidwa ntchito, kuphatikizapo amylase, lipase, proteinase. Kukonzekera kwa enzyme kumawerengedwa popanda kutsatira dokotala; mankhwala otchuka ndi a Creon, Pancreatin, ndi Festal.

Ngati munthu sagwirizana ndi mapuloteni a nkhumba, mankhwala azitsamba amagwiritsidwa ntchito: Somilase, Pepphiz. Ma Enzymes amatchulidwa ndi dokotala, omwe atengedwa mutatha kudya. Kutalika kwa kuvomerezedwa kumadalira mawonekedwe ndi kuchuluka kwa chitukuko cha zotupa, zaka za wodwalayo, komanso matenda ena.

Chifukwa chiyani nseru imachitika?

Poyamba, timvetsetsa kuti kapamba ndi chiani, komanso chifukwa chake matendawa amawonetsedwa ndi vuto losasangalatsa. Pancreatitis amatchedwa kutupa kwa kapamba, matendawa amafala kwambiri mwa azimayi kuposa amuna.

Ndi kutupa m'matumbo a gland, sangathe kugwira ntchito zake bwino, zomwe zikutanthauza kuti kuphatikiza kwachilengedwe kwa ma enzymes kumayima palimodzi (pancreatic necrosis), kapena kutsika kumlingo wotengera kuperewera kwa njirayo, mtundu wa kapamba (kapenanso pachimake). Nthawi yonseyi, ma enzyme osakwanira, odwala amamva kulemera pamimba, chifukwa m'mimba simatha kuthana ndi chimbudzi chakudya.

Popanda michere yofunika, iye sangathe kusintha chakudya kuti chizitha kuyenda m'matumbo. Chifukwa cha kusowa bwino kotere, odwala amakhalanso ndi vuto chifukwa chodya zakudya zopakidwa thupi zomwe zimatulutsa mpweya ndikuyamba kuwola mpaka pang'ono.

Palinso chifukwa chachiwiri chachikulu chomwe chizindikirochi chimakhalira - chisokonezo mu unyinji wa kutembenuka kwa enzyme. Kuti mupeze ma enzymes athunthu am'mimba, kapamba woyamba amapanga zomwe zimatchedwa proenzymes - mwana, wosakonzekera ma enzymes amtundu wawo.

Gawo lotsatira la kuchitapo kanthu ndikupeza ma enzyme athunthu. Kulephera kumachitika pakadali pano, kotero ma proenzymes samatembenuka, koma amadzikundikira mu kapamba palokha, ndikupangitsa nseru komanso kupweteka. Zotsatira za kuyimitsidwa kwa enzyme mwanjira zingakhale motere:

1. Ma enzyme omwe amapezeka m'matumbo amatulutsa tinthu tomwe timene timayambitsa matenda
2. chifukwa cha mapangidwe olakwika a enzyme, m'mimba imakhala ndi vuto la kusowa kwa zinthu zofunika kwambiri, chifukwa chake chakudya chake, chosagulitsidwa ndi ma enzyme, chimayamba kubisa poizoni.

Kusanza kambiri kumatha ndikusanza, chifukwa thupi limakhala likuledzera kwambiri panthawiyi, ndipo limakhala ndi malingaliro achilengedwe kuti athetse zomwe zimayambitsa matenda. Pa gawo loyamba, m'mimba amapereka zonse zomwe sizingatheke, ndipo malinga ndi mfundo yotsalira, ndulu ndi madzi a m'mimba zimatuluka.

Odwala sayenera kuopa kusanza, chifukwa kwa ena kumakhala kosavuta kwa ena, ndipo mseru umachoka, koma osayiwala pakukonzanso madzi mu thupi, ndikuchita enemas ndi Regidron.

Zinthu zotsatirazi zimatha kuyambitsa zosasangalatsa za kapamba:

• kudya kwambiri
• kudya zakudya zosaloledwa, kunyalanyaza njira zophikira,
• mowa.

Momwe mungathetsere nseru

Khansa ya m'mitsempha inayake m'njira ina iliyonse imadandaula pafupifupi aliyense wodwala matenda a kapamba. Zimayimira kutukusira kwa kapamba. Madigirii amatha kusiyanasiyana kutengera kuchuluka kwa zotupa zotulutsa, zovuta zomwe zimagwirizana, ndi zina. Odwala ena sangathe kuchichotsa nthawi zonse, akumamva kuti m'mawa kwambiri, pomwe odwala ena amapereka lipoti la mseru nthawi ndi nthawi. Vomiting, yomwe nthawi zambiri imapezeka mwa odwala a kapamba, mwina sangathetse vutoli nthawi zonse.

Ngati nseru sikuvutitsa wodwalayo, ndiye kuti si bwino kuichiza ndi mankhwala, koma yesani kuichotsa mothandizidwa ndi wowerengeka azitsamba. Nthawi zambiri, wodwala akamamwa mankhwala a kapamba, ndipo kapamba wake amayamba kuyenda bwino, chizindikirocho chimatha kugwiritsidwa ntchito, chifukwa mankhwalawa amagwiritsidwa ntchito pokhapokha, kufikira wodwalayo atachira komanso chifukwa chomwe chinayambitsa mseru.

Khansa ya m'mimba, yomwe siyimapatsa munthu mwayi wogwira ntchito komanso kupuma bwinobwino, imafunikira chithandizo chamankhwala. Monga lamulo, odwala amapatsidwa antiemetics, omwe amatha kuthetsa mawonetsedwe a chizindikiro ichi. Mankhwalawa akuphatikizapo Domperidone, Trimebutin, Ondansetron, Metoclopramide. Mankhwalawa amatha kugwiritsidwa ntchito kunyumba ngati piritsi, koma pakulimbana kwambiri ndi kuchipatala, wodwalayo amatha kupaka mankhwalawa mu ambulansi kuti athetse kusanza kapena mseru kwambiri mwachangu.

Popeza kusanza komwe kumachitika pambuyo pa nseru kumatha thupi, Regidron kapena sodium chloride imayang'aniridwa mwamphamvu kuti ibwezeretse miyezo yokhazikika, yomwe imabwezeretsa madzi osalala amchere. Pambuyo pothandizidwa ndi ndalamazi, odwala amawona kuti kusapeza bwino mu gawo lalikulu kumatha.

Njira zosagwiranso ntchito yothandizira kuti muchepetse nseru ndi antispasmodic ndi ma painkiller - Promedol, No-shpa, Analgin, Papaverin. Komanso, pochotsa chizindikirochi, mankhwala amagwiritsidwa ntchito omwe angathetse chinsinsi cha michere ya gland - Gordox, Festal, Creon, Gaviscon, Contrical. Mwa kumwa mankhwalawa, odwala amathandizanso kuukira mseru.

Kuchotsa mseru, odwala ayenera kukumbukira kuti chithandizo chamankhwala sichithetsa vutoli, zomwe zikutanthauza kuti kukomoka kumatha kubwereranso. Kuti muchotse nseru kotheratu, monga chizindikiro cha kapamba, muyenera kuchiritsa matenda oyambitsidwa, ndipo mtsogolomo tsatirani njira zodzitetezera kuti musayambitse matenda.

Zomwe mseru ungayankhule - izi zimapezeka mu kanema:

Kodi kusanza kumawoneka bwanji?

Kusoka, ngakhale mawonekedwe a kapamba, nthawi zonse kumakhala limodzi ndi ululu waukulu. Zomwe zimayambitsa kuwonekera kwa matenda a pathological ndizambiri, momwemonso Zizindikiro.

Pakakhala vuto, wodwalayo amakumana ndi mantha akulu, amakhala ndi nkhawa. Nthawi zina, odwala ndi kapamba chifukwa chotuluka magazi. Poyerekeza ndi kuukira kwamphamvu, kuledzera kwa thupi kumawonedwa, zinthu zapoizoni m'magazi zimathandizira kutseguka kwa malo osamba mu ubongo.

Chomwe chikuwoneka ngati bile ndi chifukwa chakuti bile limapitilira pyloric valve, yomwe imapumula nthawi yayitali.

Imadutsa m'matumbo am'mimba, imasakanikirana ndi zomwe zilimo.

Malinga ndi ziwerengero, mu 70% mwa zithunzi zamatenda achisangalalo cancreatitis, zifukwa zomwe zili m'mavuto otsatirawa:

• Dyskinesia.
• Cholecystitis.
• Matenda a Gallstone.
• Chotupa chowopsa.

Njira zonsezi zonyansa mthupi la munthu zimadziwika ndi kutulutsidwa kwa bile m'matumbo ndi m'mimba, motero, kumawonekera m'masanzi.

Kuchepetsa msana ndi kapamba kumachitika chifukwa chomwa zakumwa zoledzeretsa, zomwe zimapangitsa kuphwanya katulutsidwe kapamba komanso katulutsidwe ka bile. Ethanol ikhoza kuyambitsa spasms ya sphincter ya Oddi, chifukwa, kuwonjezeka kwa kulowererapo kwazinthu kumadziwika, komwe kumapangitsa kuti chiwonetsero chikule. Mukuchira pambuyo pakuwonjezera, odwala nthawi zambiri amakhala ndi mseru komanso kusanza.

Ichi ndi chifukwa chosowa michere ya kapamba komanso kupezeka kwa matenda am'mimba, omwe amatsogolera pakupanga matenda a dyspeptic.

Kubwezerana pancreatitis pachimake

Musanaphunzire momwe mungachotsere mseru wokhala ndi cholecystitis ndi kapamba, taganizirani kusanza kotani komwe kumachitika chifukwa cha kutupa kwa azimayi ndi abambo?

Ndi mtundu wofatsa wa matenda, wodwalayo amatha kusanza kamodzi kapena kawiri, nthawi zambiri osachulukanso. Nthawi zina, kusanza ndi kapamba kumadzetsa mpumulo, koma izi sizotheka. Monga lamulo, etiology yotsuka pamkhalidwe uno ndi chimbudzi chokwiyitsa kapena kuperewera kwa zakudya.

Chipatala china chimapezeka mwa odwala omwe amapezeka ndi edematous kapena hemorrhagic pancreatitis. Ndi edematous mawonekedwe, pali amphamvu ululu syndrome, kusanza kosalekeza ndi anthu ambiri.

Kupumira sikubweretsa mpumulo; Zizindikiro zowonjezera: kupuma kwambiri, chizungulire, kutsegula m'mimba nthawi zina kumakhalapo, kutentha kwa thupi kumakwera. Zizindikiro zimawonedwa mkati mwa masiku 3-7. Kuti muchepetse kusanza, ndikofunikira kuchotsa kufooka kwa timinyewa tofewa ta kapamba. Conservative Therapy mankhwala amaperekedwa kwa odwala.

Potengera komwe hemorrhagic pancreatitis, ma necrotic amapezeka mu minofu yamkati, wodwalayo amavutika kwambiri komanso kupweteka kwambiri. Minofu yakufa ndi magazi zimafalikira kudzera m'mimba, zomwe zimabweretsa kuledzera. Zizindikiro:

1. Kubwereza kusanza ndi kuphatikizika kwa magazi.
2. Fungo lakuthwa losasangalatsa.

Popanda thandizo la panthawi yake, wodwalayo amakumana ndi mantha kapena kugwa, kuperewera kwa thupi ndi matenda akulu a electrolyte kumapezeka.

Zoyenera kuchita ndi kusanza?

Momwe mungachepetsere nseru ku kapamba, chochita ndi kusanza kosalekeza? Zizindikiro zotere zikawoneka, ndikulimbikitsidwa kumutsimikizira wodwalayo, kumupatsa chithandizo chodzidzimutsa. Kuti muchepetse kusokonezeka kwa madzi ndi kusokonezeka kwa ma electrolyte, chithandizo chofunikira ndi chofunikira. Fotokozerani analgesics a narcotic komanso osakhala a narcotic, chithandizo cha kulowetsedwa ndikuchotsa kuthetsa kuledzera komanso kubwezeretsanso kuchepa kwa ma electrolyte ndi madzi.

Ngati njira izi sizikuthandizira kuchotsa chizindikiro, ndiye kuti antiemetics iyenera kutengedwa kuti muchepetse mkhalidwe wa wodwalayo. Mwachitsanzo, Tserukal. Mutha kuthana ndi kusanza pogwiritsa ntchito mankhwalawa mukazindikira kuti zotere sizikuchotsekeka - magazi am'mimba komanso magazi m'matumbo, kutsekeka kwamatumbo, mafuta m'matumbo.

Zomwe zimagwiritsidwa ntchito ndi mankhwala a Cerucal:

• Lowani kudzera m'mitsempha kapena intramuscularly.
• Mlingo wa munthu wamkulu ndi 20 mg - muyezo umodzi.
• Mlingo wapamwamba ndi 80 mg patsiku.

Kutalika kwa kugwiritsa ntchito antiemetic kumatsimikiziridwa payekhapayekha. Kuphatikiza pa kuthetsa kusanza, Cerucal imathandizira kukhazikika kamvekedwe ndi mawonekedwe a makoma am'mimba, komanso imasinthasintha kutuluka kwa chakudya m'matumbo a lumen.

Mankhwala ofanana - Itoprid, Domperidone amathandizira kuchotsa kusanza.

Mutha kuthana ndi kusanza pogwiritsa ntchito mankhwala osiyanasiyana komanso zitsamba zochizira chiwindi ndi kapamba:

1. Imwani madzi oyera enieni ndi mandimu. Kwa 250 ml amadzimadzi, osaposa madontho asanu a madzi a zipatso.
2. Yankho la Acetic. Mu 250 ml ya madzi onjezerani supuni 1 ya apulo cider viniga.
3. Tiyi yokoma ndi timbewu tonunkhira ndi mandimu.
4. Onjezani theka la supuni ya tiyi ya ginger wowuma ndi madzi otentha, siyani mphindi zisanu. Imwani yaying'ono.

Njira zapanyumba ndi njira yochepa yomwe imathandizira kuchotsa chizindikiro chosasangalatsa kwakanthawi kochepa. Maphikidwe osagwiritsa ntchito samakhudzana ndi zomwe zimayambitsa matendawa, musathandizenso kuletsa kupitilira kwa matenda.

Kusoka kumachitika mosayembekezereka - m'mawa kapena madzulo, usiku. Madokotala okha ndi omwe angamuthandize kuti amuletse. Ngati wodwala wapezeka ndi mawonekedwe a necrotic, ndiye kuti mankhwalawa amayenera kulepheretsa njira za necrotic ndikusiya magazi. Ndi edematous mawonekedwe, mankhwala okodzetsa amaikidwa kuti athandize kuchepetsa kuuma kwa kudzikuza.

M'masiku oyambirirawo, wodwalayo amalimbikitsidwa kuti apumule komanso azikhala ndi matenda a kapamba. M'tsogolomu, posankha dokotala, zakudya zimakula. Zakudya zomwe zimatha kudyedwa ndi kapamba ndi matenda okhudzana nazo zimayambitsidwa pang'onopang'ono menyu. Fotokozani mankhwala othandizira, mwachitsanzo, mankhwala Pancreatin.

Zizindikiro za kapamba zimakambidwa mu kanema munkhaniyi.

Mankhwala othandizira

Mankhwala othandizira antibacterial amadziwika limodzi ndi mankhwala ena.

Mwa mitundu yotchuka ya anti -opaamu yotchulidwa: Ampicillin, Gentamicin. Zolinga zikuluzikulu zopangira mankhwala ophera tizilombo:

1. Kuchotsa kwa zotupa m'mimba,
2. Kupewa kufalikira kwamatenda ena ziwalo zina,
3. Kuchepetsa mavuto a bakiteriya.

Mankhwalawa amadziwitsidwa ndi adokotala atazindikira matendawa ndikudutsa mayeso ena.

Thandizo loyamba lothandizira kupweteka kwa kapamba kunyumba limachepetsa vuto la wodwalayo, ndi zizindikilo za matenda ndikofunikira kupita kuchipatala mwachangu.

Fomu yovuta

Matenda oyamba a kapamba omwe amapezeka kwambiri. Munthu mwadzidzidzi amamva kupweteka kwambiri pansi pa nthiti yakumanzere, yomwe imafalikira mwachangu m'mimba, ikuwonekera kumbuyo, ndikupeza mawonekedwe omangira.

Khansa ya m'mimba imayendera limodzi ndi ululu kuyambira pachiyambi pomwe.

Pakapita kanthawi, maonekedwe a kusanza amawoneka, omwe amayamba chifukwa cha kutukusira kwa ndulu, kuledzera. Kupumira pancreatitis kumakhala kowawa, sikubweretsa mpumulo, kumabwerezedwa kambiri. Pakadutsa pakati pa kuukiridwa, nseru suma.

Nthawi yomweyo pamakhala chopondapo chochuluka. Zonsezi zimayambitsa kusowa kwamadzi, kusowa kwa electrolyte. Ngati nthendayo idayambitsidwa ndi kachilomboka, kupezeka kwa mabakiteriya kumaonekera m'masanzi.

Fomu yovuta

Amayamba pambuyo pachimake kutupa. Kuwonetsedwa kwa matendawa sikumatchulidwa, koma kumawonedwa kwa nthawi yayitali. Ngati munthu samatsata chakudya, samalandira kukonzekera kwa enzyme, amakhala wodwala nthawi zonse, dera la kapamba limapweteka.
Ululu ndi mseru zimadziwonetsera mosiyanasiyana - zimakhala zamphamvu kapena zowonekera. Kusintha kumachitika kawirikawiri. Chosakhazikika chimayang'aniridwa - kudzimbidwa kumasinthana ndi matenda am'mimba.

Matenda a kapamba amakhala ovuta kwambiri panthawi yapakati. Khansa ya m'mimba imakulirakulira, ululu umakulirakulira. Mwina kuoneka kusanza.

Kuchulukitsa kwa mawonekedwe osakhazikika

Mu mawonekedwe osakhwima, zizindikiro zimawonekera munthawi zakhululukidwa ndikuchulukirachulukira. Chitani zomwe zingakulitse:

• cholakwika pakudya
• kumwa mowa wambiri
• zolimbitsa thupi.

Pakuchulukirachulukira kwa kapamba, mikhalidwe yodzidzimutsa komanso kupweteka kwambiri pamimba ndizofanana. Choyamba, munthu amakhala ndi nkhawa chifukwa cha mseru waukulu, kusanza kumachitika patadutsa maola 6 mpaka 6 chizindikiritso chake chikayamba. Nthawi zambiri amakhala wosakwatiwa, pambuyo pake munthu amakhala wosavuta.

Ngati kufalikira kumayambika chifukwa chomwa mowa kwambiri, kuwonongeka kwa minofu ndikutuluka kuchokera mkamwa kumawonedwa. Nthawi zina kukokoloka kumayamba chifukwa cha ma virus tomwe timayambitsa matendawa limodzi ndi kupezeka kwa kuledzera, kutentha kumadziwika.

Momwe mungachotsere nseru

Momwe mungachepetsere kuukira kwa nseru ndi chifuwa cham'mimba, dokotala akufotokozera. Choyamba, wodwalayo amamuunikira kuti adziwe mtundu wa matendawa, kuchuluka kwa matendawa. Zitatha izi, lembani mankhwala, mankhwala azikhalidwe, omwe amachotsa nseru mu kapamba.

Munthu amagonekedwa m'chipatala ngati matendawo ayamba kuchitika ndipo chithandizo pamenepa chimachitika pokhapokha ngati ali kuchipatala kapena kumalo osamalira anthu ambiri.

Zoyenera kuchita ngati wodwala akudwala

Ma Antiemetics amawonetsedwa kuti atulutsidwe ndi kapamba. Mankhwala ena amagwiritsidwanso ntchito kuti muchepetse chizindikiro. Izi zimayikidwa ndi gastroenterologist.

Chithandizo cha pancreatitis chikuchitika mokwanira, poganizira zomwe zimayambitsa komanso zovuta zowonekera. Kuchepetsa nseru -

Njira zotetezeka kwambiri ndi domperidone (Motilium, Motilak). Amasintha matumbo motility, kuthetsa nseru. Haloperidol amachita pamalo osanza mu ubongo, pogwiritsa ntchito mphamvu zambiri. Koma mankhwalawa amayambitsa mavuto ambiri, chifukwa chake amangopatsidwa mankhwala oopsa.

Chithandizo china chothandiza chomwe chimakhudza malo osanza ndi Cerucal. Zotsatira zake ndizofooka pang'ono kuposa za haloperidol, koma sizinakhale ndi zotsatirapo zake.

Ngati kupezeka kwa mabakiteriya kudzapezekanso m'masanzi, antibacterial agents amadziwika.

Mankhwala azitsamba amadziwa zomwe wowerengeka azitsamba angakuthandizeni komanso chochita ndi nseru kuchokera ku kapamba.

1. A decoction a 50 magalamu a masamba a plantain ndi 50 magalamu a msondodzi athandizanso kubwezeretsa asidi m'mimba. Muyenera kumwa mugalasi masana.
2. Kusintha kutuluka kwa bile, mutha kugwiritsa ntchito decoction ya chamomile ndi maluwa osatha, otengedwa 25 g. Musanadye, imwani kapu imodzi ya msuzi iyi.
3. Amachepetsa kulowetsedwa kwa peppermint. Imwani musanagone.

Khansa ya m'mimba ndi vuto losasangalatsa, makamaka ngati limavutitsa munthu pafupipafupi. Chithandizo cha kapamba, kudya komanso kusiya zizolowezi zoyipa zitha kuthana nazo.