Chotupa chimawonedwa ngati matenda oopsa kwambiri omwe amatha kukhala mwa anthu omwe adadwala kapena akuvutika ndi matenda a pancreatic. M'malo mwake, ndi chopanda chowopsa m'moyo, chomwe sichingagwiritsidwe ntchito ngati mankhwala oyamba ndi antibayotiki.
Akatswiri amati nthawi zambiri chithupsa chimapezeka mwa anthu omwe ali ndi vuto la zakumwa zoledzeretsa zamtundu uliwonse. Njira yokhayo yopulumutsira wodwala pamenepa ndi opareshoni mwadzidzidzi.
Popanda iwo, zotsatira zoyipazi za matendawa zimakhala zotsimikizika, makamaka ngati umuna ndi mafinya uli mchira wa kapamba ndipo suwonongeka bwino. Chifukwa chake, muyenera kudziwa zisonyezo zoyambirira zamatenda ndikufunsani kwa dokotala.
Zizindikiro za kapamba kapamba
Zizindikiro za kapamba kapamba ndi monga:
- Thupi;
- Ululu wowawa pamwamba pa navel;
- Maonekedwe a chotupa chokhala ngati chotupa pamimba;
- Zambiri kufooka, kusinthika khungu;
- Tachycardia;
- Kuchulukitsa thukuta;
- Kuchepetsa mseru
- Kuchepetsa chilako.
Chotupa sichimachitika mwadzidzidzi matenda atayamba kuchitika, koma amapanga sabata limodzi kapena awiri. Nthawi zambiri imakhala yovuta chifukwa cha matenda ophatikizana ndi ziwalo komanso ndikuchita opaleshoni mwadzidzidzi kulowa m'mimba, matumbo. Pus imalowa m'malo pansi pa diaphragm, m'chigawo cha pleural, imawononga kapangidwe ka minofu, imayambitsa pururisy pururisy, matumbo a abscess, fistula yotuluka. Nthawi zambiri magazi akhungu amayamba, omwe ndi owopsa pamoyo wa munthu.
Kuti muwonetsetsetsetsetsetsetsetsetsetsetsetsetsetsetsetsetse, muyenera kuchita kuyezetsa magazi ndi zamankhwala am'mwazi ambiri, ma ultrasound ndi m'mimba m'mimba. Adzakulolani kuti muwone bwino matenda omwe ali ndi matenda ndikupeza njira zabwino zochiritsira.
Monga lamulo, uku ndi kugwira ntchito komwe kumapangidwira njira yoletsa kukonzekera pambuyo pake.
Zomwe zilonda zam'mimba zimachitika ndi kutupa kwa kapamba
Zomwe zimapangitsa kuti ma finya odzaza mafinya apangidwe mu kapamba sichimamveka bwino. Akatswiri akukhulupirira kuti chachikulu pakukula kwa kathumba ikhoza kukhala:
- Matenda obwera kuchokera kunja;
- Kupunthwa kopanda phindu kwa pseudocysts yamutu;
- Maonekedwe a fistula yomwe ili pakati pa cyst ndi matumbo;
- Chithandizo cholakwika cha kapamba kapena kutha msanga kwambiri.
Malinga ndi ziwerengero, nthawi yayikulu ikamabzala mafinya ndi chithupsa, mabakiteriya ndi bacilli oyambitsa matumbo amapezeka. Ngati wodwala ali ndi pancreatic necrosis, kuthekera kwakukulu kwa matenda achiwonetsero komwe kumayambitsa kukula kwa patsekeke ndi mafinya. Ali pachiwopsezo ndipo amayesedwa mosamalitsa.
Ponena za kapangidwe ka khosalo, ndizomveka. Pambuyo povulazidwa kwambiri, minofu yam'mimba imayamba kuwonongeka pang'ono.
Ma enzyme osaphatikizika amakhudza mbali yakumaso ndi ziwalo zozungulira, akumawononga. Izi zimabweretsa kukula kwa pseudocysts kapena kukula kwa kapamba ka necosis, komwe ndiko maziko a kakulidwe ka m'mimba mwa purulent. Ngati matenda alowa mwa iwo, amathandizira kukulitsa kwakukulu f puroses, kapena kumakwiyitsa. Phlegmon malinga ndi dongosolo la masanjidwe a ICD amatchulira matenda oopsa kwambiri omwe ali ndi vuto labwino, komabe, ndiwofanana kwambiri ndi kathumba, kofotokozedwa kamodzi. Chifukwa chake, odwala omwe ali ndi abscesses, madokotala ayenera kupenda mosamala momwe angathere kupezeka kwa phlegmon mwa iwo.
Chithandizo cha chowonjezera
Ngati ndi kutupa ndi kutupa kwa kapamba a wodwalayo, dokotala wa gastroenterologist, wothandizira, amathandizira odwala ndi othandizira ake, madokotala a opaleshoni ndi endoscopists atachita kale. Amachita zoyera zam'miyendo ndi m'makina awo.
Nthawi zina, kukoka pang'ono pang'ono kudzera pakhungu kumachitika, komabe, kumakhala kothandiza ndipo kumabweretsa kuchiritsidwa kwathunthu muzochitika zochepa.
Kuphatikiza apo, njira yofananira yoyeretsera zamkati kuchokera ku mafinya sizimapangitsa kuti azitha kudziwa phlegmon kapena kukhalapo kwa ma abscesses angapo.
Chifukwa chake, opaleshoni yotupa yokhala ndi ngalande yotsatira ndi njira yabwino kwambiri yothandizira. Zimathandizira madotolo kuti azisanthula mozungulira chofufumimba ndi ziwalo zoyandikana ndi phlegmon ndi sekondale yachiwiri.
Pambuyo pa opaleshoni, odwala amapatsidwa mankhwala opha maantibayotiki, ma painkillers, mankhwala omwe amathandiza gland kugwetsa enzyme ndikuchepetsa ntchito yawo.
Kuti athetse thupi, wodwalayo amapatsidwa chithandizo chamankhwala.
Njira zopewera kupewa pancreatic abscesses
Popeza zomwe zimayambitsa zenizeni za kupezeka kwa ma pancreatic abscesses pambuyo povulaza kwambiri kapamba kapena chifukwa cha kukokoloka kwa pancreatic sikunafotokozedwe bwino, palibe mndandanda weniweni komanso kupewa kwawo. Madokotala amalimbikitsa kuti achitepo kanthu popewa kukula kwa matendawa, chifukwa m'mitsempha ya purulent imapangidwa motsutsana ndi maziko awo. Kuti muchite izi:
- Pewani zizolowezi zoipa;
- Osamadya kwambiri, chifukwa kunenepa kwambiri kumawonjezera mwayi wokhala ndi matendawa;
- Onaninso pafupipafupi ngati pali anthu ena m'banjamo omwe ali ndi matenda a kapamba kapena matenda a ndulu.
Ngati munthu wadwala kale matendawa, ayenera kutsatira kwambiri zakudya, kuchotseratu mowa, shuga, shuga ndi mafuta onunkhira. Kutalika kwake kumatengera kutha kwa matendawa komanso kutalika kwa matendawa. Nthawi yomweyo, chakudyacho chizikhala ndi mapuloteni, masamba komanso zipatso zambiri zokhala ndi carotene, Vitamini C. Simungadye nyama yokazinga, yosuta, mankhwala a ufa kuchokera kwa wholemeal. Ndikofunikira kupewa mbale zokhala ndi fiber yambiri yazomera, chifukwa zimapangitsa kupanga mahomoni omwe amakhudza kapamba.
Ponena za kunenedweratu kwa matenda monga chomera, ndi osamveka - popanda kuchitapo kanthu opaleshoni, zotsatira zake zidzakhala zakupha. Ngati zidachitika munthawi yake komanso mwaukadaulo, chithandizo chotsatira chidachitika molondola komanso molimbika, mwayi wochira umawonjezeka kwambiri. Zitha kukhala zokwanira ngati simunyalanyaza malangizo a madokotala, yang'anirani zaumoyo wanu komanso osayang'ana thupi mopitirira muyeso. Chachikulu cha machiritso athunthu ndikufunafuna thandizo posachedwa, osadikirira kuwonongeka.
Zambiri zokhudzana ndi kapamba zimaperekedwa mu kanema munkhaniyi.
