Chamba ndi chachiwiri chachikulu kwambiri m'thupi la munthu. Ili pamwamba pamimba, mwachindunji pamimba. Imakhala ndi mawonekedwe owuma ndipo pafupifupi kutalika kwake kumakhala kosakwana masentimita 24.
Chiwalochi chimakhala ndi kukhudzika kwakukulu, chifukwa chake, chimagwira onse osakwiya. Pafupifupi njira iliyonse yotupa mu kapamba amatchedwa pancreatitis mu terminology yachipatala. Chizindikiro cha pancreatic chimatha kudziwonetsa mosiyanasiyana. Zomwe zimayambitsa matendawa zimasiyanasiyana.
Pali zizindikiro zodziwika bwino za kapamba zomwe zimafunikira chisamaliro chamankhwala mwachangu, popeza pali matenda omwe amapezeka kumbuyo kwa kutupa kwapancreatic, omwe pakakhala kuti sanalandire chithandizo chanthawi yake amabweretsa mavuto ambiri kwa thanzi la wodwalayo.
Zizindikiro za kutupa kwapancreatic
Poyamba, ziyenera kunenedwa kuti zizindikiro za matendawa zimatha kuonekera kwambiri komanso sizikuwonekera. Chizindikiro chodziwika bwino cha matendawa ndi kupindika kwa kapamba, komwe kumabweretsa kuwoneka ngati ululu. Chifukwa chake, kukwezedwa kwa ma enzymes koyenera kwa chimbudzi cha zinthu zofunikira kuti azitha kutsata ndikutseka. Zotsatira zakezi, minyewa imayamba kugwira ntchito wina ndi mnzake, ndipo zilonda zimawonekera pamaso pawo.
Pafupifupi njira iliyonse yotupa mu kapamba imayambitsa mawonekedwe a fibrosis kapena minofu yolimba. Matendawa, amathandizanso kuwonongeka pamtundu wa echogenicity panthawi ya ultrasound komanso kuthekera kotenga insulinoma kapena chotupa chokhala ndi mahomoni. Fibrosis, komanso kapamba, imatha kukhala yacymptomatic, yomwe imapangitsa kuti matendawa azindikire nthawi yake komanso molondola.
Nthawi zambiri, odwala amazindikira zizindikiro za matendawa monga kupindika, maonekedwe a m'mimba komanso kumatulutsa. Kulakalaka kumachepa, pomwe wodwala amachepetsa. Popeza zonsezi zimayambitsa mavuto ndi kugaya kwam'mimba, zizindikiro monga mseru, kusanza, ndi kudzimbidwa zimawonedwa. Kuphatikiza apo, matenda a pancreatic amatsogolera ku kuwoneka kwa doko louma kapena zolengeza, komanso mawonekedwe a kapezi pakhungu.
Kusokonezeka kwa chakudya chamagaya nthawi zambiri kumayambitsa kuchepa kwa madzimadzi ambiri pamimba, pomwe kukomoka kumawonedwa.
Zomwe zimayambitsa Kutupa Kwa Pancreatic
Kutupa kwa pancreatic kumachitika makamaka pokhudzana ndi moyo wosayenera.
Pazonse, madokotala ali ndi zifukwa zopitilira zana za chitukuko cha matenda a kapamba.
Zina mwa izo, zomwe ndizodziwika kwambiri ndikumwa mowa kwambiri komanso kusiya zizolowezi zoipa, monga kusuta fodya.
Kuphatikiza apo, zinthu zotsatirazi zomwe zimayambitsa kutupa m'mapamba ndizofalikira:
- matenda a ndulu;
- kumwa mankhwala ena;
- matenda opatsirana;
- kagayidwe kachakudya matenda;
- kukhalapo kwa mphutsi;
- kuvulala kwam'mimba zosiyanasiyana, etc.
Mu pancreatitis pachimake, herpes zoster amawonekera mwadzidzidzi. Kupweteka kwambiri kumatha kukhala kwa maola ambiri kapena masiku angapo. Pankhaniyi, ndikofunikira kuchipatala mwachangu ndikuwongolera kuchipatala moyang'aniridwa ndi dokotala.
Matenda a kapamba sakhala aukali kwambiri. Komabe, imakhala ndi zotsatira zosasintha mu thupi. Monga lamulo, pakufa kwa maselo ogwira ntchito a chiwalo, minofu yolumikizirana imapangidwa yomwe imatulutsa mahomoni ndi ma enzyme. Zotsatira zake, munthu amatha kukhala ndi matenda a matumbo komanso matenda ashuga.
Nthawi zina, khansa ya kapamba imachitika.
Msuzi wa Chithandizo cha Pancreatitis
Aliyense akhoza kupeza kapamba, koma, monga lamulo, awa ndi akulu. Ngakhale pali kuchuluka kwa mankhwalawa, ambiri akuyesera kuchiritsa matendawa mothandizidwa ndi mankhwala achikhalidwe.
Komabe, ndikofunikira kukumbukira kuti pachimake pancreatitis imafunikira chisamaliro chachipatala ndikuchipatala. Choyamba, muyenera kudziwa momwe mungabwezeretsere kuphipha kwa pancreatic. Ku chipatala, amchere ndi glucose amathandizira izi.
Amathetsa kuledzera ndikuchepetsa mphamvu ya madzi m'thupi, pomwe kudziletsa kudya ndi kumwa zamadzi zambiri kumalimbikitsa. Nthawi zina, mankhwala owonjezera mankhwala amafunikira.
Mu matenda omwe akudwala, adokotala amatipatsa mankhwala omwe amachepetsa ululu, komanso ma enzyme owonjezera kuti athandizire kupanga ma enzyme. Nthawi zina, insulin imalimbikitsidwa kuti izikhala ndi shuga.
Njira yayikulu yothandizira mankhwala apakhungu ya kapamba ndizotsatira kwambiri zakudya, pomwe zotsatirazi zikulimbikitsidwa:
- Zinthu mkaka wowawasa.
- zakudya zama protein ndi zakudya zopanda mafuta.
- Nsomba.
- Mbale.
- Masamba ophika ndi owiritsa.
- Zipatso zatsopano ndi zipatso.
Zosafunika kudya:
- mtedza
- bowa;
- nyemba;
- zakudya zamafuta ndi zonunkhira;
- soseji ndi nyama zotsekemera;
- kuchuluka kwa zinthu zophika mkate;
- zakumwa zoledzeretsa komanso zakumwa zoledzeretsa, etc.
Iyenera kuchepetsa kwambiri kumwa kwa mchere wa patebulo.
Pancreatic colic - momwe mungachotsere?
Pancreatic spasms ikhoza kukhala yosiyana. Ngati mukuyenera kuchotsa zowongoka zowoneka bwino kunyumba, ndikofunikira kukhazikitsa wodwalayo pang'ono pang'onopang'ono, kugona kumbuyo kwake ndikutsutsana kwathunthu, popeza izi zimangowonjezera zomverera zowawa. Ma compress ofunda amakhalanso otsutsana. Bola kugwiritsa ntchito kuzizira.
Mkati mwa maola 24, zakudya zimapangidwa kwathunthu kuti muchepetse nkhawa pa kapamba. Ma flake oatmeal m'magawo ang'onoang'ono ndikofunikira kuyamba kukhala ndi thanzi mukatha kudya kwambiri. Kuphatikiza pazakudya zoyenera, colic yokhala ndi pancreatitis imathandizira kuchotsa zakumwa zoledzeretsa, ngakhale ndibwino kumwa pafupipafupi komanso pang'ono. Mutha kumwa madzi wamba, mchere, koma wopanda mpweya, tiyi wazitsamba ndi mankhwala.
Mutha kuthana ndi kuphipha kunyumba mothandizidwa ndi mankhwala a ululu (mwachitsanzo, paracetamol). Muthanso kugwiritsa ntchito mankhwala a antispasmodic, kupweteka kwapancreatic, pomwe kuchepetsedwa kwambiri. Ngati ululu wambiri wathera kale, gwiritsani ntchito kukonzekera ndi ma enzymes omwe adzathandizire ntchito ya gland.
Mwambiri, mankhwalawa kapamba mu mitundu yosagwiritsa ntchito pachimake amachitika pogwiritsa ntchito maphikidwe osiyanasiyana wowerengeka. Tiyenera kukumbukira kuti kugwiritsa ntchito zithandizo zilizonse za anthu, komanso mankhwala ochokera ku pharmacy, kumafunikira upangiri wamankhwala. Iyi ndiye njira yokhayo yotsimikizira kuti kuvulaza kwambiri sikumachitika mthupi m'malo mothandizidwa.
Pancreatitis yodwalayo ili ndi malo mu ICD kapena matenda apadziko lonse lapansi. Matendawa amafunika kuti azindikirane komanso kulandira chithandizo nthawi yake, chifukwa zimachitika pancreas nthawi zambiri zimadzetsa zovuta zambiri zaumoyo. Ndikwabwino kuchiza ma pancreatic ducts moyang'aniridwa ndi dokotala. Komabe, nthawi zambiri kusankha kwa wodwala kumagwera kunyumba, ndikugwiritsa ntchito:
- Mankhwala apadera omwe amathandizira kuyendetsa kapamba.
- Kuzizira kumachepetsa kuchepetsa ululu;
- Madzi amchere, omwe amayenera kumwa kwambiri, onse kupewa ndi kuchitira mankhwala.
- Zakudya zapadera.
Matenda a kapamba, monga matenda ena aliwonse, amafunika kuti azindikire komanso kulandira chithandizo nthawi yake. Ngati wodwalayo ali ndi zizindikiro monga kusanza komanso kusanza, kuponderezana ndi chidwi chokhala ndi kutentha, kumva kupweteka kwa mtima, kukoka ndi kupweteka pakati pa nthiti kumbali yakumanja, muyenera kuwona dokotala. Kunyalanyaza izi kungayambitse zovuta zomwe zimafuna chithandizo chowonjezera.
Kuzindikira mwadzidzidzi, komanso chithandizo chamankhwala, kumatha kudzetsa mavuto ambiri azaumoyo. Ichi ndichifukwa chake, ngati pali kukayikira pang'ono kwa matenda ena, funsani adotolo mwachindunji, omwe akupatseni mayeso ofunikira, ngati kuli koyenera, upangiri wa akatswiri ndi chithandizo choyambirira. Chifukwa chake, simudziwa kuti ndi matenda “amanjenje,” kapena nthenda yomwe imafunikira matenda oyamba ndi chithandizo chamtsogolo.
Momwe mungachiritsire kapamba amauza katswiri muvidiyoyi.
