Chithandizo cha edematous kapamba

Acute edematous pancreatitis ndi mtundu wofatsa wa kutupa kwa kapamba.

Amadziwika ndi kutupa kwa chiwalo, kusakhalapo kapena chinthu chimodzi cha necrosis, kukhalapo kwa exudate pang'ono mu peritoneum.

Monga lamulo, njira ya pathological imachitika chifukwa cha kutupa kwa duodenum 12 kapena gastritis. Ndi chithandizo chanthawi yake komanso chithandizo chokwanira, madokotala amapereka chiyembekezo chabwino.

Zomwe zimayambitsa matendawa

Pancreatitis imamveka ngati gawo limodzi la ma syndromes ndi ma pathological momwe ma enzymes (lipases, amylases, proteinase) amathandizira pancreas palokha. Mthupi la munthu wathanzi, ma enzyme oterewa amakhala kuti amakhala osagwira ntchito ndipo amathandizira pokhapokha atalowa mu duodenum.

Zikondamoyo zimatha kutupira chifukwa cha ma spasms omwe amachititsa kuti azikhala wovuta. Ndizovuta kwambiri kuti ma enzyme amalowetsa ziwalo ndipo amayamba kuwonongeka pang'onopang'ono.

Mitundu yovuta kwambiri ya kapamba imayamba chifukwa chosadya moyenera komanso kumwa kwambiri zakumwa zoledzeretsa. Popeza chakudya chofulumira chatchuka kwambiri m'zaka makumi angapo zapitazi, kuchuluka kwa ziwalo zam'mimba zamatumbo kwachuluka kwambiri.

Komanso edematous kapamba zimachitika mchikakamizo cha zinthu:

• kuchuluka kwa mafuta ndi nyama yokazinga muzakudya;
• kudya mafuta pambuyo popuma nthawi yayitali;
• kugwiritsa ntchito mankhwala kwakanthawi yayitali;
• kusinthika kwakukhalakudya kwabwinobwino mukatha kudya mosamalitsa;
• kuyesa polandirira zakudya zosowa, mwachitsanzo, India;
• kudya kwambiri pambuyo pakusala kudya nthawi yayitali;
• poyizoni wazakudya zoopsa - viniga, mandyl mowa kapena alkali.

Njira ya "kudzimbidwa" pakapita nthawi imabweretsa kusintha kowonongeka kwa kapamba. Izi zimakhudzana ndi kubisika kwa mkati ndi kwamkati kwa chiwalo. Zotsatira za kusasamala thanzi lanu kumatha kukhala kusintha kwa matenda osokoneza bongo a edematous pancreatitis, komanso kukula kwa matenda am'mimba a m'mimba.

Zizindikiro ndi kuzindikira matenda

Zikondwererozo zikatupa, wodwalayo amamva zizindikiro.

Chifukwa chake, zizindikiritso za matendawa ndi chizindikiro chochezera ndi dokotala, yemwe, ngati akuganiza kuti ali ndi matenda a pancreatitis, adzalembera matenda.

Chizindikiro chachikulu cha edematous pancreatitis ndikuphwanya kwa chopondapo. Amatchulidwanso m'mimba. Ndowe za anthu zimakhala ndi fungo losasangalatsa, kuphatikiza kwa mafuta ndi tinthu tating'onoting'ono ta chakudya chosagwiritsidwa ntchito. Kutsekula m'mimba kumachitika mutatha kudya, nthawi zina kumachitika mwadzidzidzi.

Zizindikiro zotsalira za kutupa:

1. Kupweteka kwapakati kapena kowawa mu hypochondrium yamanzere, nthawi zina kumazungulira.
2. Kufooka, kuchepa kwa mphamvu yogwira ntchito, kupweteka mutu.
3. Zizindikiro zina za dyspepsia ndikusanza, mseru, kubala.

Kutupa kwa kapamba pakapita nthawi kumayambitsa kukhathamiritsa kwa michere ndi zinthu zomwe zimawola thupi. Izi zikuwonetsedwa ndi kutsekeka kwa khungu, kutuluka thukuta kwambiri, kutentha thupi komanso kutupa miyendo ndi kapamba.

Pa phwando, katswiri amamvera madandaulo a wodwalayo ndikuwunikira, ndikuwonetsetsa pamimba ndikuyang'anira momwe khungu limayambira komanso miyendo yake. Ngati mukukayikira mtundu wamankhwala amtundu wa kapamba, amakupatsirani malembawo:

1. Jab. Kutupa kwa chiwalo kumasonyezedwa ndi gawo lokwera la ESR ndi maselo oyera amwazi.
2. TANKHA. Kuwonjezeka kwa kuchuluka kwa trypsin, amylase ndi lipase kumawonetsa matenda.
3. Kusanthula kwa mkodzo. Ndi matenda amtunduwu, kuwonjezeka kwa zomwe amylase kumawonedwa.
4. Cop program. Matendawa akuwonetsedwa ndi kuchuluka kwamafuta osagwirizana ndi mafuta m'zipondazo.
5. Kusanthula kwamaganizidwe. Imadziwitsa ndende ya elastase.
6. Ultrasound Ndi kapamba, ndikofunikira kudziwa kukula kwa kapamba, kapangidwe kake ka m'mimba, komanso kupezeka kwa malo a echogenic.
7. Mayeso a duodenum 12. Imafufuza kuchuluka kwa michere isanachitike kapena pambuyo pake.
8. CT ndi MRI ya kapamba. Maluso amenewa amathandizira kupenda mosamala ma ducts ndi chiwalo chokha.

FGDS imagwiritsidwanso ntchito. Amawunika mkhalidwe wa mucous nembanemba wa duodenum ndi m'mimba, kuphatikizapo dera la Vater papilla.

Mfundo zoyambirira zamankhwala osokoneza bongo

Chithandizo cha edematous kapamba ikuchitika modzikakamiza. Wodwalayo akagonekedwa kuchipatala pambuyo poti wavulala kwambiri, m'mimba mwake amatsuka. Gawo lotsatira la chithandizo ndikusala kudya kwachithandizo ndi kumwa mankhwala. Amaloledwa kumwa madzi ofunda amchere. Pankhaniyi, njira zina zochiritsira sizingapangitse munthu kuti achire.

Pafupifupi, njira ya mankhwalawa imachokera ku milungu iwiri mpaka itatu, ndipo kupumula kumachitika kale masiku 3-4. Munthawi imeneyi, munthu amachotsa zowawa ndi kusanza kosalekeza. Magulu akuluakulu a mankhwala omwe amagwiritsidwa ntchito pochiza pancreatitis amaperekedwa pagome.

Palibe chifukwa chomwe munthu ayenera kudzipangira yekha mankhwala. Kugwiritsira ntchito mankhwala kumachitika mu chipatala moyang'aniridwa ndi madokotala omwe amapita. Motere mungapewe:

• zotupa zamkati;
• mapangidwe a fistula mu limba;
• kupezeka kwa jaundice;
• kukula kwa zilonda zam'mimbazi;
• kutupa kuzungulira gland.

Edematous pancreatitis ndi gawo loyamba la kufooka kwa ziwalo.

Kuthandiza kwakanthawi kwamatenda am'mimba kumalepheretsa kukula kwa kapamba, komwe opaleshoni imachitidwa pang'ono kapena kuthetseratu England.

Zakudya za pachimake edermatous kapamba

Chithandizo cha matendawa chimaphatikizaponso kutsatira njira yochizira.

Pambuyo masiku ambiri osala kudya, mutha kuyamba kudya zakudya zomwe zimaloledwa kudya No. 5.

Chofunika cha zakudya zapadera ndizakudya zochepa za mapuloteni ndi mafuta komanso kuchuluka kwa chakudya chamagulu ambiri.

Zakudya za zakudya zimakhala ndi mbale zopepuka zomwe sizigwiritsa ntchito mphamvu yakugaya chakudya ndipo sizipangitsa kuti mpweya upangidwe.

Malamulo akuluakulu azakudya zopatsa thanzi pakudya kwamapapo achepa ndi awa:

1. Kuphatikiza zakudya zopatsa chidwi, zomwe zimakhala ndi kutumikiridwa kwa 5-6 patsiku.
2. Kuwotcha, kuphika, kudyetsa kapena kuwiritsa.
3. Kuchepetsa zakudya zakumwa zosaphika: musanagwiritse ntchito, ayenera kupera kapena kuwira.
4. Kugwirizana ndi boma lapadera la kutentha kwa zakudya: siziyenera kuzizira kwambiri kapena kutentha.

Mndandanda wazinthu zomwe zimaloledwa komanso zoletsedwa za edemaat pancreatitis zimafotokozedwa pansipa.

Monga lamulo, edematous pancreatitis ndi zotsatira za kuperewera kwa zakudya m'thupi komanso kumwa kwambiri mowa. Ndikusala kudya nthawi yayitali masana, ambiri amadya nthawi yogona, yomwe imakhudzanso chakudya cham'mimba. Ngati vuto la dyspeptic limayamba koyamba, ndiye kuti zilonda zam'mimba ndi duodenum, zotupa za kapamba, etc. zimapezeka. Chifukwa chake, munthu aliyense ayenera kutsatira zakudya zomwe aziteteza ku kutupa ndi kutupa miyendo.

Acute pancreatitis akufotokozedwa mu kanema munkhaniyi.