Kuchulukirachulukira kwamatenda owopsa a kapamba: zikuyenda bwanji?

Matenda obwezerezedwanso kapamba, okhala ndi ma virus a 10 k85, ndi njira yomwe imayendetsedwa ndi kusintha kwa ntchito zapamba. Ili ndi chikhalidwe chamazungulira, chomwe chimakhala chowunikira. Ndi matendawa, chifukwa cha kusintha kosintha kapangidwe ka minofu ya kapamba, ntchito zake zachinsinsi zimaphwanyidwa.

Kulekanitsidwa kwa pancreatitis yobwezeretsanso kukhala pachimake komanso chovuta.

Kusiyana kwakukulu pakati pancreatitis yayitali ndi kuyambika kwa kupweteka kwambiri nthawi zambiri kuposa mitundu ina ya matendawa. Kukulitsa kwa matenda omwe amapezekanso pancreatitis kumatha kuchitika limodzi ndi zizindikiro zazikulu. Ngati mankhwalawa sanachitike mwadzidzidzi, pali zovuta zingapo zomwe zingasokoneze ntchito ya ziwalo zonse zam'magazi a anthu.

Kubwereranso kosatha kwa chifuwa chachikulu chimachitika chifukwa cha mawonekedwe a exocrine osakwanira. Izi zikutanthauza kuti chindacho sichimatulutsa michere yamafuta. Mu gawo pachimake, chotupa chimapangidwa. Amadziunjikira madzi, chifukwa chake amakula kukula. Izi zimabweretsa kutsutsana kwa ziwalo zoyandikana, zomwe zimapangitsa kupweteka. Poterepa, pali kuphwanya zochitika mu ntchito yonse ya m'mimba. Pankhani ya kudwala kwamatenda, minofu ya glandular imatha, fibrosis, minofu ya pancreatic parenchyma.

Pali mitundu ingapo yamatenda malinga ndi gulu lomwe linakhazikitsidwa ku Msonkhano Wapadziko Lonse ku Marseille mu 1963:

1. Gawo la kapamba pachimake;
2. Pachimake kapamba ndi kubwezeretsa chimbudzi;
3. Matenda obwereza kapamba, amadziwika ndi kusakwaniritsidwa kobwezeretsa minyewa ya kapamba;
4. Pancreatitis yolepheretsa, yomwe imayambitsidwa ndi kuphwanya patency ya duct ndikupanga miyala;
5. Matenda osapatsirana a pancreatitis, omwe amadziwika ndi kuwonongeka kwa ntchito kapena ma anatomical.

Masiku ano, kuchuluka kwazomwe zimachitika pancreatitis yosatha kumachulukirachulukira, monga kuchuluka kwa odwala omwe ali ndi pancreatitis yaposachedwa. Malinga ndi madotolo, chinthu chachikulu chomwe chikuthandizira kuonekera kwa matendawa ndiko kumwa zakumwa zoledzeretsa komanso kugwiritsa ntchito zakudya zosafunikira. Izi zimathandizira kuti thupi limakhala likuwonekera poyizoni. Zotsatira zake, kutsegula kwambiri kwa kapamba kumachitika.

Kuphatikiza apo, zifukwa zingapo zowonjezera zomwe zimayambitsa matendawa zimatchulidwa:

1. Kugonjetsedwa kwa chakudya chamagaya ndi mitundu yosiyanasiyana ya ma virus;
2. Kugwedeza kwamakina kwa gland;
3. Njira zopangira opaleshoni;
4. Mkhalidwe wamanjenje wamanjenje, wopsinjika;
5. Kutupa kwamitsempha yamagazi;
6. Atrophy ya minofu kutuluka kwa ma pancreatic ndi bile ducts.

Zizindikiro za pancreatitis yobwerezabwereza sizimachitika mwadzidzidzi, koma zimawoneka pang'onopang'ono, zikuchulukirachulukira komanso zimayambitsa nkhawa pokhapokha ngati mukuchulukirachulukira.

Matendawa amadziwika ndi matenda osokoneza bongo omwe nthawi zonse amakhala.

Chifukwa cha kukomoka kwa ziwalo, ma enzyme sangathe kuphwanya chakudya mokwanira, chifukwa chomwe chakudya chogaya m'mimba chimachotsedwa m'thupi.

Chifukwa cha izi, thupi la wodwala sililandira zinthu zofunikira, odwala nthawi zambiri amachepetsa thupi kwambiri. Odwala amakhala ndi matendawa pafupipafupi, zomwe zikuipiraipira tsiku lililonse.

Kupweteka kwakanthawi ndizomwe zimachitika chifukwa cha kusintha kwa ma pancreatic ducts, omwe amatha:

1. Kufalikira pochulukitsa cysts of njira zamkati zam'mimba, mawonekedwe ake omwe amakhala ndi mbiri pakakhala kuphwanya kutulutsa kwachinsinsi;
2. Maonekedwe a foci a minofu yakufa (lalikulu mokwanira post-necrotic cysts);
3. Kutupa njira zosiyanasiyana zovuta.

Matendawa amakula ndi zizindikiro zopweteka. Pa chikhululukiro, odwala amamva kupweteka kumanzere kwa hypochondrium ndi dera la epigastric mukatha kudya. Nthawi zina ululu umakhala wolephera ndipo umaperekera kumbuyo. Mwakamodzikamodzi, ululu umalunjikidwa pachifuwa, womwe umafanana ndi kuukira kwa angina pectoris.

Kupulumutsanso ndikuchepetsa ululu wamkati ndikotheka ndikamagona mbali imodzi, kumbuyo kwa mawondo ndi mawondo atakanikizidwa pachifuwa.

Kuzindikira matendawa kumakhala ndi njira zingapo zachipatala, monga:

1. Kuchita kafukufuku pogwiritsa ntchito ultrasound, yomwe imakonza kukula ndi kusintha kwa thupi;
2. Kuyang'anira m'mimba ndi duodenum, monga izi ziwalo zimathandizira pakuchitika kwa pathological;
3. CT, mothandizidwa ndi komwe kupezeka kwa chidwi cha kusintha kwa minofu yapansi, malo ndi voliyumu yake zimapezeka;
4. Mothandizidwa ndi MRI, ndizotheka kudziwa masinthidwe amkati mwakachetechete;
5. Kuyesa kwa magazi pa zamankhwala okhutira zamtundu wa trypsin, lipase, diastase inhibitors;
6. Kusanthula kwapafupipafupi kwa ndowe, zomwe zikuwonetsa kuchuluka kwa michere m'matumbo.

Njira yayikulu yothandizira ndi kugwiritsa ntchito mankhwalawa, omwe amayenda limodzi ndi kuchiritsa kwachikulu.

Pambuyo pake, ndizotheka kugwiritsa ntchito wowerengeka azitsamba omwe amathandizira kuti azisenda ma grench a parenchymal komanso kupewa kupewa kuyambiranso.

Chofunikira pakuchiza matenda osakanikirana omwe amapezeka pancreatitis ndikofunikira kwa kuphatikiza mankhwalawa ndikutsatira zakudya zapadera.

Njira zazikulu zamankhwala zochizira zotsatirazi ndi izi:

1. Pankhani ya matenda osachiritsika kapena owopsa a matendawa, kufunikira kwamphamvu komanso kosalekeza kwa madzi a pancreatic ndikofunikira, komanso kulowetsedwa kwamatenda a pharmacological omwe amapereka chinsinsi chodulira zam'mimba;
2. Ngati ndi kotheka, kuti mupewe kudandaula kwa hypovolemic, insulin ina imaperekedwa kwa wodwala;
3. Popetsa chapamimba ndi pancreatic secretion ndikuchepetsa ululu, zoletsa zotsatirazi zimayambitsidwa: omeprazole, esomeprazole ndi mankhwala ena a pharmacological;
4. Enzymatic toxemia, yomwe imatsimikiza kutha kwa matendawa, amachotsedwa pakukakamiza Mlingo wa okodzetsa: Mannitol, Lasix ndi mankhwala ena.

Ngati mungafunefune chithandizo chamankhwala mosayembekezereka, matendawa angaoneke:

1. Jaundice Zikuwoneka kuti zatheka chifukwa chakuti mutu wa kapamba umakulitsidwa chifukwa cha zipsinjo zamakina pazitsemba za bile. Izi zimalepheretsa kutuluka kwa bile kulowa m'matumbo. Amadziunjikira ndipo imalowa m'magazi;
2. Kuphatikizika kwamitsempha yama portal momwe magazi amaperekedwa kwa chiwindi. Izi zimayambitsa kukokoloka kwa magazi m'makoma am'mimba ndi kummero, ndikupanga mitsempha ya varicose. Zotengera zina sizingathe kuyimirira, zomwe zimatsogolera kukhetsa magazi kwambiri komwe kumatha kutha;
3. Kuphwanya kwa ntchito ya gustine, yomwe imadziwonetsa mu kusintha kwa kagayidwe kazakudya, ndikupangitsa kukula kwa matenda osokoneza bongo.

Nthawi zina, mavuto akhoza kuchitika omwe opaleshoni ikuwonetsedwa:

1. Pancreatic cysts ndi supplement;
2. Aneurysms abodza, momwe cyst patsekiti imalumikizirana ndi kuthamanga kwa magazi;
3. Maonekedwe akusintha kwamatumbo mu chiwalo, momwe sizingatheke kuchotsa ululu ndi mankhwala.

Lamulo lofunika kwambiri lomwe liyenera kutsatiridwa pakukula kwa kapamba kakang'ono ndi kusala kudya ndikupumula.

Ngati ululu ulipo kwambiri, tikulimbikitsidwa kuti musala kudya masiku 1-2. Mutha kumwa madzi amchere basi.

Pambuyo popuma ululu, amaloledwa kudya:

• Supu kuchokera ku chimanga ndi masamba (wopanda kabichi);
• Mbewu zosiyanasiyana;
• Ma protein a mapuloteni;
• Nkhuku, nyama ya kalulu mwa mawonekedwe a nyama, mndandanda wa nyama, zidutswa za nthunzi;
• Zinthu zamkaka zimaloledwa kudya mafuta ochepa, ochepa;
• Masamba ndi zipatso zimangoyatsidwa kapena kuphika.

Ndi zoletsedwa kumwa mowa, nyama zamafuta, batala, marinade ndi ma pickles.

Kuthekera kwa zotsatira zabwino za mbiri yachipatala zimadalira pakutsatira kwa wodwala njira zingapo zomwe zingalepheretse kuyambiranso:

1. Kutsatira kovomerezeka pachithandizo chamadokotala 5 a kapamba;
2. Kupatula kwathunthu pakumwa zakumwa zoledzeretsa ndi malonda a fodya;
3. Kukwaniritsidwa kwa malingaliro onse a dotolo;

Popanda kupewa ndi kukhalabe ndi moyo wopanda thanzi, matendawa amatha kubweretsa zovuta zowopsa komanso ngakhale kufa.

About pancreatitis yayitali akufotokozedwa mu kanema munkhaniyi.