Kutupa kwa pancreatic kumakhala kovuta komanso kosatha. Iliyonse mwaiwo imaphatikizidwa ndi kusintha kwapadera kwazomwe zimachitika mu minyewa yokhudzidwa.
Matenda osachiritsika amadwala matendawa atadwala kwambiri. Njira yaulesi yotupa imaberekamo, zomwe zimayambitsa kuphwanya thupi. Komanso, ngakhale mutachotsa gwero lavutoli, njira zowonongeka sizimayima.
Muzochita zachipatala, mitundu yosiyanasiyana ya matendawa imasiyanitsidwa, chifukwa cha ukadaulo, Zizindikiro zamawu, mawonekedwe a chipatala ndi zina mwazomwe zimadziwika chifukwa cha kupezeka kwake.
Tiyeni tiwone mitundu ndi magawo a kapamba, tipeze zoyenera kuchita ngati zikondazo zikupindika, ndipo ndi chithandizo chiti chomwe chikufunika?
Gawo ndi kukula kwa matenda
Kutengera mtundu wa njira yodutsidwayo, gulu la matendawa limapereka madigiri atatu: ofatsa, odziletsa komanso okhwima. Ndi ofatsa mawonekedwe a pathological ndondomeko, khunyu mwa wodwala amapezeka osaposa kawiri pachaka, amadziwika ndi kanthawi kochepa.
Monga lamulo, kuchulukitsa kumagona posagwirizana ndi zakudya zomwe zaperekedwa. Ndi pancreatitis, zakudya zina zimafunikira, kupatula zakudya zamafuta, zonunkhira ndi zonunkhira. Komanso nthawi ndi nthawi muyenera kukonzekera tsiku losala kuti chitsulo chizipuma.
Ngati kupweteka kumachitika ndi mawonekedwe ofatsa, ndiye kuti ndikosavuta kuyimitsa mothandizidwa ndi mankhwala. Chikhululukiro chikachitika, wodwalayo amamva bwino.
Kukula kwapakati kwamatenda kumadziwika ndi mfundo zotsatirazi:
- Kuwonjezera kowopsa mpaka kanayi pachaka;
- Zikondwerero zimakoka nthawi zonse, pamakhala zowawa;
- Pali kuphwanya magwiridwe antchito a thupi;
- Ultrasound imawonetsa kusintha kwa kapamba;
- Wodwala akuchepa thupi.
Ndi mawonekedwe oopsa a matendawa, exocrine ndi intracecretory insuffuffence amadziwika, zizindikiro za kutulutsa zimatchulidwa, zimakhala kwanthawi yayitali. Zomwe zimayambitsa zimaphatikizapo kuperewera kwa zakudya m'thupi, matenda ophatikizika - cholecystitis, dyskinesia, gastroduodenitis, kutupa kwa duodenal papilla yayikulu.
Magawo anayi a matenda kapamba amodzi amadziwika:
- Perclinical siteji. Palibe chipatala, matendawa amapezeka mwangozi mothandizidwa ndi mayeso a labotale ndi zida zothandizira kudziwa zoyenera kuchita.
- Mu gawo lachiwiri, munthu wamkulu amakhala ndi ululu wolimba wamkati, zizindikiro za dyspeptic palibe. Gawoli limatha kukhala zaka 5 mpaka 10, nthawi iyi nthawi yochulukirapo ndikupezeka.
- Pa gawo lachitatu, chipatalachi chimapezeka nthawi zonse. Kuwonjezeka kwa ululu, mawonetseredwe a dyspeptic amadziwika, endocrine ndi exocrine insuffence akupezeka.
- Pa gawo lachinayi, pancreatic atrophy yapezeka, ndipo matenda a shuga amayamba. Kusintha kwa matendawa kukhala machitidwe a oncological sikutsutsidwa.
Ngati mupeza zizindikiritso zoyambirira, muyenera kufunsa dokotala. Matendawa amafunika kuwazindikira bwino komanso kulandira chithandizo munthawi yake.
Mitundu ya matenda
Mitundu ingapo yamatenda apathengo amadziwika. Mtundu wa parenchymal wamatenda umayendera limodzi ndi vuto la chinsinsi cha kapamba. Zowonongeka m'misewu ya gland sizikuwoneka, miyala palibe. Chofunikira - kupita patsogolo pang'onopang'ono, chipatala chimakhala chikutha, ndizovuta kudziwa.
Kodi dyskinesia ndi chiyani? Matendawa kulibe, ndi bysary dyskinesia, compression of the ducts bile, omwe minyewa ya chikhodzodzo ndi bile ducts amagwira ntchito moperewera, yomwe imakwiyitsa kapamba.
Rease pancreatitis si matenda odziyimira pawokha. Pathology imachitika chifukwa cha kusagwira bwino kwa ziwalo zapafupi - zotupa zam'mimba, duodenum, cholecystitis.
Palibe chinthu monga cholowa cha chibadwa. Komabe, amagwiritsidwa ntchito ndi akatswiri azachipatala pomwe achibale amodzi apezeka ndi matendawa popanda chifukwa. Pakadali pano, asayansi amagwirizanitsa pathogenis ya pathology ndi chilema china.
Kuvulala kwapancreatic kumatha kubweretsa mavuto ndi thupi, chifukwa cha zomwe zimachitika pambuyo poti zimapweteka kwambiri. Pa palpation ya kuchuluka kwa chiwalo, chachikulu chimadandaula za ululu, pali zizindikiro za dyspeptic ndi zina zipatala zina zokhudzana ndi kapamba. Matenda owopsa amathandizidwanso chimodzimodzi ndi mtundu wa matenda.
Mitundu ina ya kapamba owopsa:
- Alimentary pancreatitis imachitika chifukwa cha kudya mafuta ndi zonunkhira zam'makutu, zidakwa zamtunduwu zitha kudanenedwanso ndi izi;
- Gastrogenic imayamba chifukwa cha ma pathologies am'mimba;
- Kutsimikizika kwa mtundu wa ischemic kumachitika chifukwa cha kufalikira kwa mitsempha yamagazi ndimagazi kapena ma atherosclerotic plaque;
- Biliary pancreatitis - kuwonongeka kwa biliary thirakiti;
- Matenda opatsirana. Amayambitsa - tizilombo hepatitis, mumps;
- Maonekedwe olimbitsa thupi kapena oopsa amayamba chifukwa chokhala ndi zitsulo zolemera, utoto, sol sol, ndi mankhwala ena.
Colitis ndi pancreatitis imayamba chifukwa cha kuperewera kwa zakudya m'thupi. Matendawa amayenda limodzi ndi kutukusira kwa mucous nembanemba. Zizindikiro: kupweteka kupweteka, mpweya wowonjezereka, kugundana pamimba. Mu ndowe pali kusakanikirana kwa magazi. Chosangalatsa ndichakuti, kutupa kwa kapamba kumatha kupangitsa colitis, ndipo mosemphanitsa, colitis imatsogolera kapamba.
Zotsatira zamtundu uliwonse wamatendawa: khola (chifukwa chosowa michere), chifuwa chachikulu cha chifuwa chachikulu, chifuwa chachikulu cha m'mimba, magazi m'matumbo am'mimba.
Chithandizo cha kapamba malinga ndi siteji
Pancreatologist angalimbikitse chithandizo chamankhwala osokoneza bongo kapena wodwala ngati ali ndi vuto la kutupa kwapancreatic. Pamene chifukwa chachulukidwe ndikutupa kwa ndulu, dokotalayo angakulangizeni cholecestomy - resection ya ndulu.
Kutupa kwa ndulu nthawi zambiri kumabweretsa mavuto ndi kapamba. Chiwalochi chikachotsedwa ndi opaleshoni, zizindikiro za kapamba zimatha.
Chizindikiro chokwanira cha opaleshoni ndi pancreatic necrosis. Kusankhidwa kwa njira ya opareshoni kumatengera mkhalidwe wa wodwala, mtundu wa zamankhwala. Potengera maziko a aseptic chikhalidwe cha pancreatic necrosis, laparotomy sachitidwa konse, chifukwa pali chiopsezo chachikulu chotenga matenda a ziwalo, kakulidwe ka magazi obisika.
Laparotomy ndi njira yamakono yochiritsira yomwe imagwiritsidwa ntchito motere:
- Wopatsirana cysts ndi pseudocysts.
- Phlegmon retroperitoneal fiber.
- Peritonitis
- Muli.
Pambuyo pa kulowererapo, wodwalayo amakhala m'chipinda chothandizira odwala kwakanthawi, ndiye kuti amamuthamangitsa. Wodwalayo amagona m'chipatala pafupifupi mwezi wathunthu, komwe amalandira chithandizo choyenera. M'tsogolomu, muyenera kutsatira zakudya.
Chithandizo cha chifuwa chachikulu cha mpamba chimathandizira kukulitsa gawo la chikhululukiro, motero, kupewa kuchulukitsa. Kumwa mankhwala motsutsana ndi matendawo chifukwa cha matendawa kumathandizira kuthetsa mavuto osiyanasiyana:
- Chithandizo cha ululu. Kuti muchepetse kupweteka, wodwalayo amapatsidwa mapiritsi a No-shpa, Papaverine. Simungagwiritse ntchito Aspirin, Nise ndi mankhwala ena odana ndi kutupa, chifukwa amathandizira kuti magazi azichepetsedwa, amakhumudwitsa mucosa wam'mimba;
- Polysorb imapangidwira pancreatitis - enterosorbent yomwe imamanga zofunikira m'thupi ndikuziwachotsa;
- Pondani katulutsidwe ka pancreatic. Proton pump inhibitors amagwiritsidwa ntchito - Omez, Contrical;
- Chithandizo cham'malo chimaphatikizapo kuchepetsa katundu pa kapamba. Amagwiritsa ntchito mankhwala okhala ndi michere yokumba - Festal, Mezim, Pancreon, Pancreasim;
- Maantibayotiki tikulimbikitsidwa pokhapokha ngati pali bakiteriya matenda. Lembani Amoxiclav, Ampiok;
- Pofuna kusokoneza madzi ndi electrolyte bwino, m'malo mankhwalawa saline ndi zokhudza thupi zofunika.
Odwala ndi matenda mawonekedwe a matenda chikhululukiro ayenera kutsatira zakudya. Lipids ndi ochepa menyu, ndipo zakudya zophatikiza ndi mapuloteni zimaphatikizidwa muzakudya. Zakudya zokometsera komanso zamafuta, zakumwa zoledzeretsa, khofi, ma fiber opaka, koloko, confectionery ndizoletsedwa.
Katswiri mu kanema mu nkhaniyi adzalankhula za kapamba.
