Cholecystopancreatitis ndizovuta kwambiri kuzindikira matenda. Izi ndichifukwa choti madokotala sanadziwebe chifukwa chapadera chothandizira pokonzekera zam'tsogolo.
Poyambirira, akukhulupirira kuti matendawa amaphatikiza matenda osachiritsika, osawerengeka komanso osapweteka a kutupa kwa ndulu. Malinga ndi lingaliro lina, cholecystopancreatitis imadziwika ndi biliary pancreatitis, yomwe imawoneka pamene dongosolo la biliary lasokonekera.
M'magawo onse awiri, vutoli limalumikizidwa ndi njira yotupa mu kapamba ndi chikhodzodzo, ndichifukwa chake dokotala amazindikira kapamba ndi cholecystitis nthawi yomweyo.
Kodi cholecystopancreatitis ndi chiyani?
Pathology yalembedwa pagulu lapadziko lonse la matenda ICD-10 pansi pa code K87.0. Matendawa amatupa mwachilengedwe, amakhudza ziwalo ziwiri zamkati mwa akulu nthawi imodzi. Nthawi zambiri, kupezeka kwamtundu wamatenda amapezeka, womwe umafanana kwambiri ndi zovuta zina zam'matumbo.
Monga lamulo, kuwoneka kwa zizindikiro kumachitika chifukwa chakuti munthu amadya mosayenera komanso mosasamala, amalowa m'mavuto opanikizika, amayenda pang'ono komanso osawerengeka, ndipo ali pakati pazinthu zosavomerezeka. Malinga ndi ziwerengero, azimayi nthawi zambiri amadwala chifukwa cha momwe akumvera.
Matenda akuluakulu a kapamba nthawi zambiri amakhala ngati cholecystitis, motero matenda onse awiriwa amayenda limodzi. Matumbo am'mimba adapangidwa mwanjira yoti chiwalo chimodzi chikawonongeka, njira yotupa imafalikira kwa ena. Komanso, zomwe zimayambitsa matenda onse zimagwirizanitsidwa ndi kusakhazikika kwa zakudya, kumwa mowa kwambiri, komanso kusowa kwa chakudya.
Zomwe zimapangitsa kuti pakhale pancreatitis ndi cholecystitis ndi izi:
- Zakudya zosavomerezeka
- Kugwiritsa ntchito molakwika mafuta komanso chakudya chamafuta;
- Mowa wambiri;
- Kupsinjika kwakanthawi
- Kukhalapo kwa matenda ophatikizana am'mimba thirakiti.
Zizindikiro za kapamba ndi cholecystitis
Pancreatitis imatha kuwoneka ndi ululu wamkamwa wam'mimba, makamaka mutatha kudya. Kupweteka kumatha kukhala kosalekeza, komwe kumayambitsa kusasangalatsa kwakukulu kwa wodwalayo.
Mankhwala osokoneza bongo pankhaniyi samabweretsa mpumulo. Popewa kupweteka, munthu amayamba kukana chakudya, chifukwa cha chomwe kuchepa kwambiri kumawonedwa.
Wodwalayo akapatuka pachakudya ndi kudya zakudya zamafuta, mutatha kudya kwambiri nseru angayambike, zomwe nthawi zambiri zimayambitsa kusanza.
- Chifukwa cha kuchepa kwa michere ya pancreatic, chakudya chomwe chalandilidwa sichingakidwebe kokwanira, zomwe zimapangitsa kupweteka kwam'mimba komanso kumatulutsa.
- Munthu amakhala ndi vuto lamagesi nthawi zonse, kudzimbidwa kapena kutsegula m'mimba. Njira ya nayonso mphamvu m'matumbo imabweretsa fetid chopondapo chamafuta chamafuta. Panthawi yophunzira zaukadaulo, ulusi wogaya bwino sangapezeke. Asanachotse, matumbo am'mimba amatha kusokoneza.
- Ndi dyspeptic syndrome, mpweya kapena chakudya chodyedwa, chakudya, amachepetsa, ndipo chakudya chomata ndi mafuta okazinga chimawonekera.
Ngati matendawa ndi oopsa, maselo a Langerhans omwe amapanga mahomoni a insulini m'magazi atha kutenga nawo mbali mu matenda. Pankhaniyi, pali mwayi wokhala ndi matenda ashuga.
Wodwalayo amamva kufooka ponseponse, motero amachepetsa thupi, mphamvu yake yogwira ntchito imachepa. Izi ndichifukwa chosowa ma enzymes ofunikira kwambiri a pancreatic. Chifukwa cha matenda a m'matumbo, chakudya chomwe chilandilidwe sichimasweka kwathunthu ndipo zinthu zopindulitsa sizilowa mthupi, izi zimayambitsa magazi m'thupi.
Ndi ma pancreatogenic osatha a m'mimba, kuchuluka kwa magazi kwa magazi kumasokonezeka ndipo hypovitaminosis imayamba. Chifukwa cha ululu mutatha kudya, munthu amayesera kudya pang'ono komanso kukana chakudya.
Ndazindikira cholecystitis ndi zina zowonjezera zizindikiro:
- Hafu ya ola litatha kudya, zotsekemera zimawoneka mu hypochondrium yoyenera, nthawi zina ululu umaperekedwa kumbuyo, clavicle yamanja, ndi scapula yamanja.
- Pamene kutuluka kwa ndulu kusokonezeka, mizu ya khungu imakwiya ndi bile acid, zomwe zimapangitsa kuyabwa kosadziwika bwino pakhungu.
- Wodwalayo amakhalanso ndi mseru, kumeta, kuwawa mkamwa mukatha kudya, kutsekula m'mimba, kuphatikizapo kuchepa kwa chakudya. Ngati matendawa ayamba, kusanza kumayambitsa kumasulidwa kwa zotupa za bile. Vutoli limatha kuchitika chifukwa cha zakudya zamafuta ndi mowa.
Mwambiri, Zizindikiro za cholecystitis ndi kapamba ndizofanana, chifukwa chake ndikofunikira kufunsa dokotala yemwe adzayezetsa bwino kuti adziwe ngati ali ndi matendawa, pamayeso a mayeso kuti adziwe matendawa, apange matenda a kuchipatala ndikuwapatsa mankhwala.
Zizindikiro za pancreatic cholecystitis zimaphatikiza zizindikiro zonse pamwambapa, matendawa amaphatikizidwa ndi dyspeptic, ululu ndi psycho-maikutlo syndrome.
Chifukwa chake, chithandizo chiyenera kukhala chokwanira, kukumbukira mawonekedwe amunthu.
Kuzindikira ndi kuchiritsa kwa cholecystitis pancreatitis
Kuti adziwe matendawa, wodwalayo amayenera kukayezetsa magazi ndi mitundu inanso. Kuunikiridwa kwa ultrasound pamimba pamimba, esophagogastroduodenoscopy, kumveka kwa duodenal, ndi kusanthula kwamtundu wina wamtunduwu kumayeneranso.
Ngati matenda amtundu wa 1 amakayikiridwa, shuga wa m'magazi amayeza. Njira zakuzindikira zimasankhidwa potengera momwe wodwalayo alili komanso kuopsa kwa matendawa.
Ngati pali matenda mu nthawi ya mayeso, dokotalayo adazindikira zina zake. Pa palpation, wodwalayo amamva kupweteka pamimba ndi hypochondrium yoyenera. Pakakhala izi, chiwindi chokulirapo chimakulidwa, chomwe chimatuluka pansi m'mbali mwa zipilala zotsika mtengo. Zizindikiro zake zimaphatikizapo kukhalapo kwa chizindikiro cha Mussi-Georgiaievsky ndi Ortner.
Njira yamatendawa imatha kukhala yosiyana. Mu matenda a pachimake matenda, wapezeka purulent-ulcerative mawonekedwe, ndipo nthawi zonse, ndi waulesi. Ngati zizindikiro zingapo zapezeka, muyenera kufunsa kuchipatala msanga kuti mupeze chithandizo chanthawi komanso kupewa zovuta.
- Mu gawo lowawa la matendawa, wodwalayo amayikidwa kuchipatala, komwe maphunziro onse amachitika ndipo njira ya chithandizo imasankhidwa.
- Ngati pachimake purulent matenda am`mimba ndi peritonitis wapezeka, mwadzidzidzi ntchito. Komanso, kuchitapo kanthu kwa opaleshoni kumachitika ndikuwonjezera kwa matenda omwe alipo, chizindikiritso cha ma gallstones.
- Kenako, mankhwala othandizira amakhudzidwa kuti atseke njira yotupa ndikuyambiranso ntchito ya kapamba.
- Mwanjira yayitali ya matenda, opaleshoni imathanso kutumizidwa, koma imachitidwa molingana ndi dongosolo.
Ngati opaleshoni ya pancreatic sifunikira, mankhwala othandizira okhazikika amagwiritsidwa ntchito. Kuti muchite izi, gwiritsani ntchito mankhwala ochepetsa mphamvu ya antibacterial, antispasmodic ndi choleretic, ma enzymes omwe amasintha chimbudzi ndi kulowetsedwa kwa chakudya.
Komanso njira yotsimikiziridwa ndi wowerengeka ikhoza kukhala yoyenera, yomwe ikufuna kubwezeretsa thupi - madzi a rosehip, kutulutsa bile. Munthu akayamba kulandira chithandizo, amakhala ndi mwayi wopewera zovuta zazikulu ndikuchira matenda.
About pancreatitis ndi matenda ophatikizika akufotokozedwa mu kanema munkhaniyi.
