Kuledzera kwa pancreatic: Zizindikiro ndi chithandizo

Pancreatitis (ICD code K85 ndi K86) ndimatenda a kapamba pomwe ntchito yake imasokonekera. Mkati mwa limba muli maselo ambiri oonera tinthu tating'ono kwambiri - ma acini, omwe amalumikizidwa ndi netiweki ya ducts. Ndi magawo awa momwe kaphatikizidwe kazakudya zam'mimba zimachitika mu mawonekedwe osagwira. Kuphatikiza pa ma ducts, amachotsedwa ndikuwunikira duodenum. Nthawi zambiri, kuyambitsa madzi a pancreatic kumachitika m'matumbo atasakanikirana ndi chakudya chochokera m'mimba.

Pancreatitis ndi kusintha kwam'kati mwa kapamba. Ndi matenda awa, kukonzekera kwa ma enzymes asanakwane kumachitika mwachindunji mkati mwa acini ndi ma ducts, zomwe zimapangitsa kuti zibalike. Pambuyo pake, madera okhala ndi magawo owonongeka amasinthidwa ndi minofu yolumikizidwa, yomwe sangathe kupanga chilichonse chogwira ntchito mwa biologic.

Kuphatikiza apo, kapamba ndi wopanga wa insulin ya mahomoni, omwe amayang'anira shuga zomwe zili m'magazi a anthu.

Kutengera kukula kwa kutupa, madokotala amasiyanitsa:

1. Pachimake matenda;
2. Matenda opatsirana.

Chimodzi mwazomwe zimayambitsa pancreatitis ndi poizoni ndi ziphe zingapo. Mafuta wodziwika bwino komanso wowopsa nthawi zonse ndi mowa. Aliyense amene amamwa zakumwa zoledzeretsa nthawi zina amakhala pachiwopsezo chokhala ndi pancreatitis yoledzera kapena yovuta.

Madokotala amasiyanitsa maulosi osiyanasiyana okhudzana ndi matenda osokoneza bongo omwe amapezeka pakumwa zoledzeretsa:

1. Kuletsa kubisa;
2. Zotsatira zoyipa za ethanol;
3. Kupsinjika kwa m'matumbo a minyewa ya minyewa chifukwa cha zinthu zomwe zimapangidwa ndi mowa.

Mowa ndi zinthu zake zowola zamthupi zomwe zimapangitsa thupi lake kukhala ndi vuto lililonse mthupi lake. Dongosolo logaya chakudya limakhalanso ndi vuto lakumwa anthu omwe amamwa zakumwa zoledzeretsa, zomwe zimakhudza kwambiri minofu ya kapamba, poyizoni. Kupanga kwa mapuloteni mu madzi a pancreatic kumawonjezeka, kupanga kwa hydrochloric acid kumawonjezeka m'mimba, kupanga bile kumayambitsa chiwindi, ndipo ndende yake imakulanso. Kuchulukitsa kwa gastric acid kumapangitsa kuti ma cholecystokinin apangidwe modabwitsa ndipo kuphatikiza kwake kumawonjezera nthawi makumi.

A kuchuluka kuchuluka kwa mapuloteni mu pancreatic madzi kumabweretsa kukula, mpweya ndi mapangidwe mapuloteni blockages mu pancreatic ducts. Zotsatira zake, kutuluka kwachilengedwe kwa chinsinsi kuchokera ku kapamba kupita m'matumbo kumasokonekera. Chifukwa cha kukhalapo kwa mitundu iyi yopanda pake, kupsinjika mkati mwa ma ducts kumakulira. Ma enzymes omwe amagwira ntchito amalowerera minofu ya pancreatic.

Chiwerengero chachikulu cha ma enzyme omwe amapangidwa ndi maselo a pancreatic ndi osagwira ntchito. Ndi chimbudzi chokhazikika, kutseguka kwawo kumachitika m'makoma a ma ducts a bile, pambuyo pake amatenga nawo gawo pakuwonongeka kwa mapuloteni, mafuta ndi chakudya. Ngati kutulutsa kwa pancreatic madzi kumavulala, kuyambitsa mphamvu kwa enzyme kumachitika mkati mwake. Tizilombo ta pancreatic timadzaza ndi michere yokumba, kuphatikizapo phospholipase, pepsin, elastazin, ndi chymotrypsin wothandizira. Izi zimabweretsa chakuti ma enzyme amayamba kupukusa minyewa yawo ya kapamba.

Njira yakuwonongeka kwamkati ndi kufa imatchedwa necrosis. Kufa pancreatic maselo amatulutsa serotonin, yofunikira pakuchepetsedwa kwa mitsempha yamagazi, ndi maselo am'mimba, omwe amachititsa njira zotupa. Zonsezi zimayambitsa njira yomwe imakhala yovuta kwambiri kuyimitsa kapena kuchiritsa popanda kulowerera kuchipatala ndi mankhwala apadera.

Kukhalapo kwa kuledzera kwa pancreatic kumatsimikiziridwa mosavuta ndi kusanthula kwa magazi a wodwalayo, momwe mukuwonjezeka kwa phosphatase ya alkaline, amylase, mumkodzo, mawonekedwe ambiri am'mimba, khungu la pamimba ndi marble ndi cyatonic, miyendo ndi nkhope zake zimakhala zoyera. Kusintha koteroko pakhungu kumachitika pokhudzana ndi poizoni wam'madzi wa ma subcutaneous capillaries.

Madokotala amasiyanitsa zinthu zingapo zomwe zimapangitsa kuti pancreatitis ya poizoni ikhale patsogolo:

1. Kumwa mowa wambiri. Poizoni wauchidakwa ndi kapamba zimalumikizana bwino, chifukwa wothandizirana ndi causative ndi mowa wotsika mtengo wopanda pake;
2. Kuphwanya khunyu, kupezeka kwa ma gallstones;
3. Zakudya zopanda pake ndi kuchuluka kwa mafuta, mchere komanso zakudya zosuta;
4. Kumwedwa chifukwa cha matenda, kuwawa pamimba kapena kapamba, chifukwa cha mankhwala

Zizindikiro zotsatirazi zingasonyeze kuchuluka kwa poizoni wa pancreatitis:

1. Shingles za kupweteka pachimake, makamaka zotulutsidwa mu hypochondrium ndi dzenje la m'mimba;
2. Kuwonjezeka kowopsa kwa kutentha kwa thupi (pamwambapa 38 digiri Celsius) ndi kuchuluka kwa mtima;
3. Kusintha kudya (kumawoneka chifukwa cha kuchuluka kwa ma pancreatic enzymes m'matumbo), nseru ndi kusanza;
4. Khungu lakhungu, m'malo amdima;
5. Kutulutsa kwamphamvu, kumverera kwa "chidzalo" ngakhale ndi m'mimba yopanda kanthu;
6. Ndi kutayika kwakukulu kwa madzimadzi ndi thupi, zizindikiro zakukhumudwa zimawonedwa;
7. Kuphwanya phiko (nthawi zambiri kutsekula m'mimba).

Muyenera kuyang'anira chidwi chakuti ambiri mwazizindikiro zomwe ali pamwambazi ndi muyezo wa matenda am'mimba, kapamba kapena matumbo.

Zizindikiro za kutupa zimathandizidwa ndi kusakwiya konse, kufooka, kusowa chidwi m'moyo.

Kukula kwa zizindikiro kumadalira kwathunthu kuopsa kwa kapamba.

Pancreatitis ya poizoni imakhala ndi zovuta zingapo zomwe zimachitika ngati wodwalayo samatsatira malangizo a dokotala, samatsatira chakudyacho, ndikuledzera.

Zotsatira zotsatirazi zakukula kwa matenda a pathology ndizotheka:

1. Madzi ochuluka osakanikirana;
2. Kukula kwa toxosis mu zimakhala;
3. Kupita patsogolo kwa pancreatic necrosis;
4. Imfa ya ziwalo zazikuluzikulu za minyewa;
5. Maonekedwe ndi kukula kwa kuperekera, komwe kungakhale chifukwa chomwe chimayambitsa kufa kwa chitukuko cha matendawa;
6. Kudzikundikira kwamadzi mu mawonekedwe a madzi a pancreatic mozungulira khoma la fibrous;
7. Kukula kwa kakulidwe;
8. Mapangidwe abodza achuma a cystic;
9. Pancreatic abscess.

Cholinga chothandizira odwala pancreatitis ndi:

1. Kuchepetsa ululu;
2. Kutulutsa kuchokera mthupi;
3. Kupereka chochititsa chidwi chofuna kuyambitsa kukonzanso kwa malo owonongeka a gland.

Pofuna kuyeretsa madzi am'magazi komanso madzi am'mimba mthupi lonse, madokotala amapereka njira zomwe zimathandizira kuti azichotsa matendawa. Kuphatikiza apo, odwala amalembedwa:

1. Mankhwala ochepetsa mphamvu ya antibiotic, omwe amaphatikizapo metronidazole, flagyl ndi ceftriaxone. Amalembedwa kuti ateteze kutupa ndi kuponderesa microflora ya bakiteriya, yomwe imakhudza gawo loipa;
2. Mankhwala a Spasmolytic, omwe mwa iwo Promedol, No-Shpa, Papaverin, Novocain, Platifillin ndi Metacin ndi othandiza kwambiri. Amagwiritsidwa ntchito popewa kuphipha mu ndulu ndi ma pancreatic ducts, komanso kuchepetsa ululu;
3. Kukonzekera kwa Antacid komwe kumathandizira kuchepetsa kuchuluka kwa kupanga michere mu gland;
4. Pulogalamu ya pampu ya proton imalembedwa kuti ipondereze zochita za ma enzymes ophatikizidwa mu kapamba, kuonetsetsa kuti ingathe kuwononga mkati;
5. Mchere wamchere wamchere imagwiritsidwa ntchito kukonza acid, alkali, madzi ndi electrolyte bwino;
6. Kugwiritsa ntchito ma cytostatics, omwe amodzi a Fluorouracil. Amasankhidwa kuti achepetse kuchuluka kwa kuledzera kwa kapamba.

Mlanduwo ukadzayamba kufooka matenda enaake, omwe amadziwika kuti ali ndi vuto lalikulu komanso zotsatira zake, ndipo amatchedwa purulent pancreatitis, lingaliro lokhalo ndilo kuchitidwa opareshoni.

M'masiku amakono azachipatala, njira yodziwika bwino yochitira opaleshoni ndi laparoscopy, yomwe si yowawa komanso yopweteka kwambiri pochiza zilonda zam'mimba zosiyanasiyana.

Kupewera kwa pancreatitis yoledzeretsa kumaphatikizanso machitidwe ndi njira zingapo, zomwe zofunikira kwambiri ndi:

1. Kusamalira zakudya zabwino, kudya mapuloteni okwanira;
2. Kukana kumwa mowa, makamaka pamodzi ndi zakudya zamafuta ambiri;
3. Kusuta kufuma;
4. Kuyesedwa pafupipafupi ndi gastroenterologist - 1 nthawi pachaka.

About pancreatitis akufotokozedwa mu kanema munkhaniyi.