Kuwerengera kwa kapamba: Zizindikiro ndi chithandizo

Nthawi zambiri, mapangidwe amiyala mu kapamba amalumikizidwa ndi kupezeka kwa kapamba mwa wodwalayo.

Ichi ndichifukwa chake zizindikiro za matendawa ndizofanana kwambiri ndikuwonekera mu mawonekedwe opweteka kwambiri pamimba, steatorrhea, komanso mawonekedwe a sekondale yachiwiri ya shuga.

Miyala ya pancreatic ndizosiyanasiyana (zazing'ono ndi zazikulu), zomwe zimaphatikizapo:

1. Zinthu zambiri zamankhwala, zomwe mchere wamchere ndi orthophosphate ndi carbonate, komanso zosafunika zamchere zamchere ndi magnesium;
2. Zamoyo zomwe zimayimiriridwa ndi mapuloteni, cholesterol, ma cell a epithelium;
3. Maselo oyera.

Nthawi zina, pancreolithiasis imabweretsa matenda a shuga. Izi zikuchitika chifukwa chakuti chifukwa cha kupangika kwa ma calcication, kusokonezeka kwa metabolic kumachitika. Pankhani yothana ndi mankhwala, madokotala amayenera kuwunika kuchuluka kwa shuga m'magazi kuti apewe kukula kwa matenda ashuga. Zizindikiro zoyambirira zikaonekera, muyenera kufunafuna thandizo kuchipatala.

Kafukufuku wokhudzana ndi gastroenterology amatsimikizira kufunikira kwa cholowa cha pancreatolithiasis. Miyala ikawoneka mu ndulu, zikondamoyo zimavutikanso, kutupa kumatha kukhazikika ndipo miyala imatha kupanga.

Zotsatirazi ndizomwe zimapangira kupanga ma calcication:

1. Kupezeka kwa kusayenda kwa pancreatic madzi, omwe nthawi zambiri amawoneka ndi cysts ndi chotupa neoplasms;
2. Matenda a Gallstone, cholecystitis;
3. Njira zotupa m'mimba yam'mimba;
4. Matenda a mahomoni;
5. Zizolowezi zoipa;
6. Zakudya zopanda pake.

Mothandizidwa ndi zinthu izi, msuzi wa pancreatic umadzaza, mchere wamkati umawonekeramo. Nthawi zambiri, miyala yopangidwa mu kapamba amawoneka mumiyala yayikulu, m'chigawo cha mutu, nthawi zambiri mthupi kapena mchira wa England.

Masiku ano, akatswiri ambiri amatsimikizira mgwirizano pakati pakupanga miyala mu kapamba ndi matenda monga:

1. Mowa pancreatitis, womwe umawoneka motsutsana ndi maziko a uchidakwa;
2. Parathyroiditis ndi zotupa tating'onoting'ono tokhala kumbuyo kwa chithokomiro.

Ngati pali miyala mu kapamba, Zizindikiro zimapezeka kale koyambira. M'magawo oyamba, Zizindikiro ndi izi:

1. Maonekedwe a kukoka ndi kupweteka kwa epigastrium mutatha kudya ndi kumwa mowa, kupatsa dera lumbar;
2. Kulemera pamimba, kutulutsa;
3. Nthawi zambiri mseru komanso kusanza;
4. Kukhazikika pansi.

Ndi kuchulukitsa kwa matendawa, steatorrhea imatha kuchitika - kukhalapo kwa mafuta mu ndowe. Ndi kukula kosalekeza, miyala imapangitsa kuti zodonthekazo zigundidwe, zimasefukira, chifukwa cha zomwe maenje amawoneka. Kupsinjika kwa minofu yayikulu ya gland kumachitika, zomwe zimapangitsa kuti ziwonongeke komanso mawonekedwe owoneka pambuyo pake a zipsera.

Zonsezi zimawonjezera ululu wammbuyo ndikuthandizira kuti ntchito ya gland iwonongeke, yomwe imawonetsedwa ndikuphwanya chimbudzi ndikuwonjezera shuga m'magazi.

Nthawi zambiri, kudziwika kwamiyala ya pancreatic sikovuta, koma mawonekedwe a radiological a mawonekedwe ndi mapangidwe a ma calcication nthawi zambiri samayang'aniridwa panthawi yoyesedwa matenda ena.

Kuti mutsimikizire moyenera komanso moyenera matendawo, dokotala amafunikira zotsatira za mayeso a labotale ndi njira zina zovuta.

Kuti mupeze matenda olondola, gwiritsani ntchito:

1. Kuyesa kwa magazi;
2. Ultrasound ya ducts a thupi;
3. Kuunika kwa X-ray. Pankhaniyi, miyala ya pancreatic imatha kuyang'aniridwa mu mawonekedwe a mithunzi yaying'ono kapena yaying'ono yozungulira. Kuti mumvetse bwino za matendawa mupange zithunzi zingapo;
4. Mbiri. Ndi njira yolondola yozindikirira yomwe imakupatsani mwayi kuti mufufuze momwe minofu yam'mimba imakhalira, onani malo enieni a miyala;
5. MRI Zimathandizira kuwunika kuchuluka kwa patency ya ma pancreatic ducts.

Chithandizo cha ziwerengero mu zikondamoyo ndi njira yovuta komanso yovuta, zomwe sizimabweretsa zotsatira zabwino. Itha kukhala yotsalira kapena yopanga opaleshoni. Nthawi zambiri, kuphatikiza kwa njira ziwiri izi kumagwiritsidwa ntchito. Pali mitundu ingapo ya mankhwala wowerengeka yothandizira mankhwalawa.

Njira zazikulu zochizira matenda a mtima zimangokhala:

1. Kutaya mwachangu ululu ndi zizindikiro zina;
2. Kubwezeretsa kupanga enzyme modabwitsa;
3. Kukhazikitsidwa kwa kagayidwe kachakudya njira;
4. Kuthana kwa zowerengera ndi kupewa kukonzanso kwawo.

Kuchiza mosamala kumatha kubweretsa zabwino ndi miyala yaying'ono komanso kuzunza kosowa. Poterepa, kutsimikizika kwakukulu ndikuchotsa matenda. Chifukwa cha izi, mankhwala opha maantibayotiki, choleretic ndi chinsinsi amadziwika. Kuti muchepetse kupweteka, mutha kugwiritsa ntchito analgesics ndi antispasmodics.

Wodwala akayamba kumva bwino, madokotala amayesa kuyambitsa kusuntha ndi kutuluka kwawo m'matumbo. Pankhani yopanga miyala yolimba, amayesa kuyisungunula. Izi zimachitika munthawi yakukhululukidwa mothandizidwa ndi mapiritsi, omwe Ursodiol kapena Henodiol amagwiritsidwa ntchito nthawi zambiri.

Chepetsani zizindikiro ndikuchepetsa katundu paziphuphu, zomwe pamodzi ndi kugwiritsa ntchito mankhwala zimathandizira kuchira, ndizotheka pokhapokha ngati mukudya.

Ngati njira zonse zochiritsira sizikubweretsa zotsatira zabwino ndipo palibe kusintha, muyenera kulingalira za upangiri wa njira ya opaleshoni yothetsera vutoli.

Chithandizo cha opaleshoni chikuwonetsedwa ngati mndandanda wotsatira ulipo:

1. Njira yayitali yamatendawa, yomwe imadziwika ndi pafupipafupi komanso mwamphamvu;
2. Kukula ndi kupita patsogolo kwa kapamba ka kuchepa;
3. Concomitant pancreatic necrosis;
4. Kulephera kuyimitsa kupweteka ndi ma standard painkiller;
5. Kupeza wodwala ali pamavuto akulu.

Pali mitundu ingapo ya maopareshoni, lirilonse lomwe limasankhidwa payekha malinga ndi kukula ndi miyala, momwe wodwalayo alili ndi chipangizo cha chipatala:

1. Lithotripsy - kuphwanyidwa kwa zowerengeka mothandizidwa ndi mphamvu yamagetsi.
2. Endoscopic retrograde cholangiopancreatography. Imachitika pogwiritsa ntchito chubu cha endoscopic chosinthika ndi kamera kumapeto. Ndi chithandizo chake, ndizotheka kutsata ma gositi mu gland ndikuchotsa kuchotsedwa kwawo.
3. Laparotomy ya gland imatanthawuza kuphwanya umphumphu wa chiwalo kuchotsa calculi,
4. Pancreatectomy yathunthu imagwiritsidwa ntchito pamaso pa kupukusa kwamphamvu mu gland parenchyma.

Mavuto omwe amapezeka kawirikawiri pancreatic calculi ndi awa:

1. Matenda a kapamba;
2. Kuwoneka ngati njira yotupa m'matumbo a mafuta kuzungulira England;
3. Kufalikira kwa kakulidwe ka cystic ndi mawonekedwe a zotupa;
4. Kulakwira mwala, womwe umawoneka pamaso pa miyala m'makola a kapamba);
5. Kuthira pakumwazika kwa ma pancreatic ducts.

Malinga ndi zotsatira za mawerengero, nthawi zambiri, miyala mu kapamba pambuyo pa mawonekedwe ochotsedwanso.

Izi zikusonyeza kuti ngakhale pakuchitapo kanthu kwa opaleshoni ndikuchotsa miyala, njira zamomwe amapangira zomwe amapanga sizingathetsedwe.

Komabe, ngati mapangidwe kapena kuchotsedwa kwa miyala momwe machitidwe awo angachotsedwere, ndiye kuti mutha kuyambiranso. Pofuna kuti musabwerezenso kuwonekera, mukuyenera kutsatira malamulo angapo, omwe pazofunikira kwambiri ndi:

1. Kutsatira zakudya zoyenera zomwe sizimapatula zotsekemera, zamafuta;
2. Kukana mowa ndi kudya kwambiri;
3. Kukhalabe ndi moyo wathanzi.

Ndikofunikira kupita ku dokotala pafupipafupi, kukayezetsa ndi kupewa chithandizo.

Momwe mungayeretsere kapambafotokozedwa mu kanema munkhaniyi.