Kodi kapamba ndi chiyani komanso zomwe zimatsatiridwa ndi, ambiri amadziwa. Kuchepetsa kotereku ndikutupa kwa kapamba, kumabweretsa kupweteka kwambiri ndikusokoneza kugwira ntchito kwa mkati.
Koma nthawi zina, njira yotupa imakhalapo. Ndipo michere yamphamvu ya kapamba imasokonekera. Kusakwanira kwa exocrine kotereku sikumangotchedwa pancreatopathy.
Komanso, kusokonekera kotereku kumatchedwa kuchepa kwa kapamba, komwe kumayambitsa kusokonekera kwa kapamba. Vutoli limachitika popanda kutupa, koma limayendera limodzi ndi mseru, kupweteka kwam'mimba, kuchepa kwa chilimbikitso ndi zizindikiro zina. Zomwe zimachitika pamenepa zimatha kukhala matenda obadwa nawo, mavuto obadwa nawo, kusowa kwa michere.
Kodi pancreatopathy amawonetsedwa bwanji mwa akulu?
Zikondwererozi zimakhudzidwa ndi zochitika zonse zakunja ndi zamkati. Maselo apadera, ma islets a Langerhans, amatulutsa insulini yofunikira kuti glucose ayamwidwe.
Ngati mahomoni sakwanira, shuga imayamba. Ntchito yotereyi ndi yachinsinsi. Katemera wakunja amaphatikizira kupanga ma enzyme opukusa - lipase, amylase ndi trypsin.
Lipase ndi amene amachititsa kuti mafuta asungunuke, amylase - kutembenuza kwa chakudya chamagulu, ndipo ma trypsins amathandizira kupukusa mapuloteni bwino. Ngati mulibe michere yokwanira, kapamba amayamba. Matendawa amathanso kuchitika ali ana, koma achikulire amadwalanso ngati amadya mosiyanasiyana komanso mopitirira muyeso. Mukakalamba, matendawa nthawi zambiri amakhala ndi chikhalidwe cha ischemic kapena mtima.
Matendawa amakhala ndi zizindikiro zotsatirazi:
- Wodwalayo amadandaula za kupweteka pang'ono mu hypochondrium yakumanzere kapena navel.
- Nthawi yomweyo, chilakole chimachepa, chopondapo chimakhala chosakhazikika, nseru, kuwoneka mwachisawawa.
- Kusanthula ndowe kumawonetsa kukhalapo kwa steatorrhea, momwe mafutawa sanadzidimbidwe kwathunthu.
- M'mayeso a magazi ndi mkodzo, mumapezeka ma enzymes ochepa.
- Kufufuza kwa Ultrasound kwa zikondwerero, monga lamulo, sikuwulula kusintha koonekeratu, koma nthawi zina kupanikizika kumakulitsidwa pang'ono, matenda atizilombo amatha kuwonjezera kuchulukana.
Kuchuluka kwa kukula ndi kuuma kwa zizindikiro zomwe zili pamwambapa zimatengera momwe ziphuphu zimakhudzidwira. Kuzindikira kusintha kwa ziwalo zamkati kumatha kuwonetsa kuchuluka kapena kuchepa kwa chikwangwani cha echo. Ngati palibe zakuphwanya, echo ndizabwinobwino.
Kuti mumve kutsimikiza kwa matendawa, muyenera kufunsa dokotala, kudziwa momwe matendawa mungakhalire ovuta kwambiri chifukwa cha zofanana ndi matenda ena. Pambuyo pa maphunziro ofunikira, mankhwala othandizira amaloza mankhwala.
Ndikofunikira kumvetsetsa kuti pancreatopathy si matenda oopsa, chimayimira kuwonekera kwa kuphwanya koyamba. Ngati mungafune thandizo kuchipatala munthawi yake, mutha kupewa zotsatira zoyipa.
Kuchiza Mavuto
Kuperewera kwa pancreatic ndi koyambirira komanso kwachiwiri. Poyamba, kukula kwa matendawa kumachitika pamene zinthu zomwe sizimadalira zomwe sizimadalira wodwala kapena dokotala zakhudzidwa.
Izi zimaphatikizira matenda a cystic fibrosis a kapamba, kubadwa kwa zotsekemera za kapamba, Schwachmann-Diamond syndrome, lipase ndi kuperewera kwa trypsin, cholowa chotengera pancreatitis.
Mavuto oyambira ndi a sekondale amayenera kuthandizidwa ndimankhwala omwe ali ndi ma enzymes. Kwa nthawi yayitali, Pancreatin, yopangidwa pamaziko a michere yazomwe nyama zimachokera, adagwiritsidwa ntchito pazomwezi. Koma chifukwa chakuwonjezereka kwa asidi m'mimba, mankhwalawa samapangidwira ndipo alibe mphamvu yochizira.
Masiku ano, pharmacology yamakono imapereka mankhwala ambiri m'mapiritsi, granules ndi dragees. Mankhwala oterowo ali ndi chipolopolo choteteza ndi ma micros, chifukwa chomwe amatha kuchita.
Ngati vuto silili lalikulu, amaloledwa kugwiritsa ntchito njira ina yochiritsira mothandizidwa ndi zitsamba zamankhwala.
The yogwira pancreatopathy mu mwana
Reaction pancreatopathy ndimomwe zimachitika ndi kapamba kuzinthu zilizonse zomwe zimapangitsa. Chifukwa chake, chodabwitsa ichi sichiri matenda osiyana, koma chizindikiro cha thupilo chokhudza zovuta zake.
Zizindikiro za kuphwanya ana mutha kuzipeza pambuyo povutika ndi kupuma kwamatenda oyambitsa matenda kapena matenda ena otupa, poyizoni wa chakudya chifukwa chogwiritsa ntchito zinthu zotsika mtengo. Chakudya sichingakhale chifukwa.
Ndi yogwira pancreatopathy mu ma pancreatic ducts, spasms imayamba ndipo gawo lake lomwe limatupa. Mu makanda ndi ana mpaka chaka chimodzi, izi zitha kuchitika chifukwa cha:
- Kuyambitsa kolakwika kwa zakudya zowonjezera;
- Kumwa madzi a mphesa;
- Kuyambitsa chakudya chamagulu a nyama;
- Amawonjezera zokometsera ndi zonunkhira ku chakudya cha ana.
Zotsatira zake, mwana amawonjezera mapangidwe a mpweya m'matumbo, amasokoneza ntchito ya chiwalo chamkati chamkati.
Nthawi zambiri, matendawa amakhala ndi zizindikiro zotsatirazi:
- Pamwamba pa navel, mwana amamva kupweteka kwakukulira m'chiuno, komwe kumatha ngati mutakhala pansi ndikukweza thupi lanu patsogolo.
- Matendawa amaphatikizidwa ndi mseru, kusanza, kutentha thupi mpaka madigiri 37, kuwonda kwa chopondapo, pakamwa pouma, kuwoneka ngati kuyanika kwamalirime.
- Mwana amakhala woledzera, wosakwiya, wakana masewera.
Ngati kupweteka kwam'mimba sikumira kwa nthawi yayitali ndipo zizindikiro zina zimayang'aniridwa, ndikofunikira kuyesedwa ndi dokotala wa ana kapena gastroenterologist. Vuto lalikulu, ambulansi imayitanidwa.
Dokotala adzakuwunikirani kuyezetsa ndi kuyesa kwa ultrasound, pambuyo pake muyenera kugwiritsa ntchito mankhwala osokoneza bongo.
Malangizo azakudya zopatsa thanzi
Popewa kukula kwa zotsatira zoyipa, ndikofunikira kutsatira mankhwala othandizira ndikutsatira zakudya. Izi ndizofunikira kwambiri ngati pancreatopathy imawonedwa mwa mwana, popeza ana amakonda kudya zakudya zosiyanasiyana ndi zosungirako komanso zinthu zovulaza.
Muyenera kudya maola anayi aliwonse, osachepera kasanu ndi tsiku. Ntchito zimayenera kukhala zazing'ono kuti kapamba azitha kuthana ndi kuchuluka kwa chakudya, ndipo wodwalayo sakudya mopitirira muyeso. Chakudya chiyenera kukhala pansi ndi kudya motentha.
Mu chilonda chachikulu cha pancreatitis, masiku 15 oyamba sangathe kudya zipatso ndi masamba. Makamaka ayenera kusiyira kabichi yoyera ndi sorelo, zomwe zimapangitsa kuti azikhala ndi madzi am'mimba.
Muyeneranso kusiya:
- msuzi uliwonse;
- mafuta, zonunkhira komanso wowawasa zakudya;
- ndinasuta nyama ndi soseji;
- ma pickles ndi ma pickles;
- mtedza, nyemba, bowa;
- kuphika, buledi wonenepa, makeke, makeke;
- ayisikilimu, chokoleti, shuga, uchi;
- khofi, koko;
- mphesa, zipatso za malalanje;
- zakumwa zoziziritsa kukhosi.
Zakudyazo zimakhala ndi msuzi wamkaka wokhala ndi chimanga, zakudya zosenda zamasamba, mazira osenda, tchizi tchizi, chimanga chokhala ndi masamba, nsomba zopanda mafuta, nkhuku zamafuta ochepa, zinthu zamkaka zopatsa mkaka ndi mkaka wopanda mafuta. Zakudya ziyenera kuwiritsa kapena kuwotchera. Kawiri pa sabata mutha kudzichitira dzira lowiritsa.
Kuchokera pa lokoma pang'ono, mutha kugwiritsa ntchito ma biscuit cookies, marshmallows, zipatso zophika, marmalade. Ludzu limatha ndi ma kissels amadzimadzi, msuzi wa rosehip, zipatso zowuma, pang'ono zamchere zamchere.
Pankhani ya vuto la kapamba, tikulimbikitsidwa kuti tiziphatikiza mapuloteni a nyama tsiku lililonse. Kuti muchite izi, gwiritsani ntchito nyama yabwino kwambiri yopanda mafuta - nkhuku, nkhuku, nyama yamchere, kalulu. Cod, zander, nsomba komanso carp wamba ndizabwino kwambiri. Onetsetsani kuti mwadya msuzi wamasamba tsiku lililonse popanda nyama kapena msuzi wa bowa.
Pophika, musagwiritse ntchito mafuta a masamba. Ngati zinthu zikuyenda bwino, mafuta ochepa a azitona amaloledwa.
Kapangidwe ndi kagwiridwe kake kofotokozedwera kanema mu nkhaniyi.
