Kapamba ndi gawo la zosakaniza zosakanikirana zomwe zimagwira ntchito m'mimba ndi endocrine. Ali m'malo obwezeretsanso. Chitsulo chimakhala ndi magawo atatu: mutu, thupi ndi mchira.
Gawo lalikulu la kapamba limayambitsa ntchito yopanga ma enzymes ofunikira kuti chimbudzi chikhale bwino. Izi zimaphatikizapo trypsin ndi amylase, zomwe zimaphwanya mapuloteni, lipase, yomwe imakhudzidwa ndikugaya mafuta, ndi lactase, yomwe imayang'anira kunyamula kwa lactose, i.e. shuga mkaka.
Kupanga kwa ma enzymes ndikomwe kumatchedwa exocrine organ function. Pakati pa lobules ya gland ndi gawo lake la endocrine - zisumbu za Langerhans. Amabisa mitundu ingapo ya mahomoni - insulin, glucagon, somatostatin ndi pancreatic polypeptide.
Zofunikira kwambiri mwa izi ndi insulin ndi glucagon, chifukwa zimayendetsa bwino kagayidwe kazakudya. Kuphwanya kapangidwe ka insulin kumabweretsa matenda oopsa monga matenda a shuga.
Zoyambitsa Pancreatitis
Kutupa kwa kapamba amatchedwa kapamba.
Kutengera zifukwa zomwe zinayambitsa kutupira, imagawidwa kukhala pulayimale ndi sekondale.
Yoyambayo imayamba chifukwa chakuwonongeka kwa gland, komanso yachiwiri chifukwa cha matenda a ziwalo zapafupi.
Zomwe zimayambitsa matenda oyamba a kapamba:
- kumwa mowa mopanda malire;
- kuchuluka kwa mafuta, yokazinga ndi kusuta zakudya muzakudya;
- kusuta
- pafupipafupi kutengeka mtima, kupsinjika;
- kuchitapo kanthu kwa opaleshoni pa ziwalo zilizonse zam'mimba chifukwa cha kufalikira kwa matenda;
- poyizoni wa chakudya;
- helminthic infestations;
- kutengera kwa chibadwa;
- zotsatira za poizoni wa mankhwala ena - diuretics (furosemide), maantibayotiki, ma estrogens;
- mavuto obadwa nawo mu kapangidwe ka ziwalo zamkati;
- virus hepatitis, makamaka B ndi C;
- mumps (dzina lodziwika bwino la matendawa ndi ma mumps);
- kusokonezeka kwa sphincter ya Oddi minofu, yomwe imayendetsa kayendedwe ka zotulutsa mu duodenum.
Zomwe zimayambitsa kupweteka kwachiwiri kwapancreatitis ndi:
- Matenda a chiwindi ndi biliary thirakiti - cholelithiasis, cholecystitis, cirrhosis;
- Momwe thupi limagwirira ntchito ndi autoimmune m'thupi;
- Magetsi a m'mitsempha ya chinsinsi cha ntchito zonse za tchire - cystic fibrosis;
- Matenda a Crohn;
- Zilonda zam'mimba ndi / kapena duodenal.
Pancreatitis imatha kukhala yovuta komanso yosatha malingana ndi kuchipatala komanso kuopsa kwa zizindikiro. Acute pancreatitis, agawika m'magulu atatu
Edematous, kapena interstitial - imachitika ngati maselo amtundu umodzi amwalira, koma cholinga cha necrosis sichipanga.
Sterile pancreatic necrosis (popanda matenda), amatha kukhala ochepa, ochulukirapo, mafuta, hemorrhagic komanso osakanizidwa.
Wosokonekera pancreatic necrosis - imapezeka pafupifupi sabata pambuyo poyambira kutukusira, pamene maluwa a pathogenic ayamba kugwira ntchito.
Zizindikiro ndi chithandizo cha kutupa kwa kapamba
Njira yodwala ya kapamba imakhala yabwino kwambiri ndipo samalankhula zambiri kuposa pachimake.
Pazocheperako pang'ono, amatha kukhala asymptomatic, koma nthawi zambiri amakhala ndi mawonekedwe azikhalidwe.
Matenda a kapamba amawonekera potsatira:
- munthu amanyansidwa ndikamaona zakudya zamafuta;
- Pakulimbitsa thupi, kupweteka kosasangalatsa kumachitika pansi pa nthiti yakumanzere;
- kulimbitsa thupi kosalekeza chifukwa chosowa ma enzymes a pancreatic;
- odwala amasiya kudya;
- odwala amachepetsa thupi msanga ndipo samatha kulemera;
- pali kuchuluka kwambiri kwa mpweya m'matumbo;
- kuwinduka pafupipafupi, kutentha kwa mtima.
Ndi kuchulukitsa kwa njira yotupa, muyenera kulabadira mwachangu mawonekedwe a zotsatirazi:
- Zowawa zakuthwa, nthawi zambiri kwa omwe akukhala m'chigawo cha epigastric, koma nkukhala ndi mawonekedwe a shingles. Ululu umatha kuwala kumanzere. Ululu ukhoza kukhala mu mawonekedwe a kulanda. Amatchulidwa makamaka akamadya zakudya zamafuta ndi yokazinga, mowa.
- Chilichonse.
- Kutumphukira kwa kasupe, pafupifupi kopanda mpumulo.
- Mimba imakhala "yolakwika" chifukwa cha kusokonezeka kwa minofu kukhoma kwam'mimba.
- Kuchulukitsa thukuta.
- Wodwala amakhala wotumbululuka, akumva kufooka kwambiri.
- Hyperthermia.
- Ngati munthu angathe kupita kuchimbudzi, ndiye kuti mutha kuwona chopondapo chamadzi choponderezedwa ndi mafuta okwanira mafuta.
- Kuchuluka kwa kugunda kwa mtima (tachycardia).
Pancreatitis imatha kukulira, makamaka chifukwa chophwanya zakudya.
Momwe mungathandizire munthu pakuwukira? Ambulansi iyenera kuyitanidwa kuti madokotala atengere wodwala kuchipatala, chifukwa odwala oterewa sangathe kuthandizidwa kunyumba.
Kupereka chithandizo chamankhwala koyenera nkomwe kumapha.
Njira zodziwira pancreatitis
Pozindikira pancreatitis, njira zogwiritsira ntchito zasayansi ndi zida zogwiritsidwa ntchito.
Kuyesa kwa magazi kwa biochemistry. Mutha kuwona kuwonjezeka kwa kuchuluka kwa michere ya pancreatic - trypsin, amylase, maltase. Mlingo wa zitsanzo za bilirubin ndi chiwindi - AST (aspartate aminotransferase) ndi ALT (alanine aminotransferase) amathanso kukulira. Ndi kukomoka kwathunthu, padzakhala hyperglycemia chifukwa kuchepa pakupanga insulin.
Urinalysis, momwe amylase adzatsimikizidwira (nthawi zambiri sasowa).
Njira ziwiri izi zikugwirizana ndi njira zasayansi.
Kafukufuku wothandizira akuphatikiza:
- diagnostics a ultrasound;
- fibrogastroduodenoscopy;
- chifuwa x-ray;
- kuphunzira zamatumbo a kapamba;
- pamimba laparoscopy;
Kuphatikiza apo, njira zothandizira zimaphatikizapo kulingalira ndi kulingalira kwamakina ndi maginito.
Choyamba thandizo ndi mankhwala a kapamba
Monga tafotokozera pamwambapa, wodwala matenda a khunyu amayenera kupita kuchipatala msanga. Pakuwopsa kwambiri, muyenera kuyamba kumuthandiza wodwalayo. Mankhwala osagwirizana ndi antisteroidal, mwachitsanzo, mapiritsi awiri a Ibuprofen, ali oyenerera izi. Koma ndi othandiza pokhapokha polimbikitsa kupweteka kwambiri kapena pang'ono.
Nthawi zambiri, ululu umakhala wosapirira kwambiri kotero kuti ma narcotic analgesics (Morphine, Promedol) amayenera kugwiritsidwa ntchito kuti awathandize. Kuchepetsa kuphipha kwam'matumbo am'mimba, ma antispasmodics amagwiritsidwa ntchito (Drotaverin, No-Shpa, Spazmolgon, Papaverin wa jekeseni wamkati).
Otsatirawa ndi mankhwala omwe amalepheretsa kupanga ma pancreatic enzymes ndipo, potero, amachepetsa kuwonongeka kwake. Yophatikiza ndi yawo (mayina ena - Gordoks, Trasilol). Komanso, wodwalayo ayenera kumwa mankhwala omwe amachepetsa katulutsidwe ka madzi a m'mimba (omeprazole, ranitidine, famotidine).
Wodwalayo atatha kudya, kukonzekera kwa enzyme (Pancreatin, Mezim-Forte, Creon, Pangrol) amalembedwa kuti azilimbitsa chimbudzi.
Chofunika kwambiri pa mankhwalawa kapamba ndimadyedwe azakudya. Tsoka ilo, ndikachira, ambiri samatha kuleza mtima komanso samatha kudya moyenera komanso mosatetezeka.
Ntchito ya dokotala pamenepa ndikuwonetsa wodwalayo kufunika kotsatira chakudya, chifukwa ngati kuphwanya zakudya, kuwonjezereka kwa njira yotupa kumatha kuchitika mosavuta, ndipo ngati munthuyo sathandizika pakapita nthawi, akhoza kufa. Ndikofunikira kwambiri kupanga mndandanda woyenera wa odwala omwe, atadwala kapamba, adayamba kudwala matenda ashuga.
Nayi mndandanda wazitsanzo za zinthu zoletsedwa:
- Zakumwa zoledzeretsa.
- Mphepete ndi madzi okoma.
- Zakudya zautsi, zamchere, zamafuta ndi zamafuta.
- Zakudya zamatenda.
- Masoseji.
- Zambiri zonunkhira ndi zokometsera.
- Zokoma
- Masuzi owiritsa.
- Chakudya chotentha kwambiri kapena chozizira kwambiri.
Zakudya zonse ziyenera kuwotchera, kuphika kapena kuphika. Buckwheat, mbatata zophika, msuzi wazakudya, mpunga wothiriridwa ndioyenereradi.
Momwe mungachitire pancreatic pancreatitis kunyumba?
Chithandizo cha kapamba kunyumba chitha kuchitika pogwiritsa ntchito mankhwala achikhalidwe. Maphikidwe angapo amadziwika omwe mungafunikire oats, mbatata ndi zitsamba zina.
Mafuta ndi othandiza kwambiri pakuchulukitsa kapamba. Amachepetsa kupweteka komanso amachepetsa mwayi wokhala obwereranso. Kukonzekera msuzi wa oat, ndikofunikira kuthira kapu ya oatmeal ndi lita imodzi yamadzi, kuyatsidwa pamoto ndikuphika kwa mphindi 15. Chilichonse chikakhala chokonzeka, msuzi umafunika kukokedwa ndikuthiridwa kwa maola 12. Madzi awa amayenera kumwedwa kawiri pa tsiku kwa mwezi umodzi kuti athandize ambiri.
Mbatata ndi yofunika kwambiri chifukwa cha kapamba, chifukwa, mwina, aliyense ali nayo kunyumba. Kuti mugwiritse ntchito ngati mankhwala, muyenera kuyang'ana kuchuluka kwa mbatata, kuviika bwino pa grater. Kuterera komwe kumayikidwa kumayikidwa mu cheesecloth ndikufinya mosamala kuti mupeze msuzi. Madzi a mbatata amatengedwa magalamu 100 kamodzi patsiku maola awiri musanadye. Kupititsa patsogolo vutoli, pakatha theka la ola limodzi mumatha kumwa kefir otsika mafuta.
Mwa zitsamba, ma buluu, senge, chowawa, yarrow, valerian, wort wa St.
Tiyeni tionenso ena maphikidwe.
Supuni imodzi yamasamba abulosi uyenera kuthiridwa ndi kapu yaying'ono ya madzi otentha ndikusiyidwa kwa mphindi 45. Pambuyo pa izi, muyenera kufinya masamba owira bwino. Madzi omwe amayambitsidwa amamwa magalamu 100 kamodzi tsiku lililonse m'misung'ono yaying'ono pamwezi.
Pamaso pa matenda a shuga 1, tikulimbikitsidwa kugwiritsa ntchito sage decoction. Kuti muchite izi, tengani supuni imodzi ya sage ndikuthira madzi, kuwira pamoto wochepa kwa theka la ola. Msuzi uwu umathandizira kupanga insulin. Malangizo a iris ndi chowawa amathandizanso ngati mumamwa pafupifupi mphindi 10 musanadye.
Kulowetsedwa kwa Immortelle ndikosavuta kukonzekera. Mufunika pafupifupi magalamu asanu a maluwa ake owuma, omwe muyenera kudzaza ndi magalasi awiri amadzi ozizira ndikusiya usiku. M'mawa, madziwo amasefedwa ndipo amatengedwa ndi kapu imodzi patsiku ngati crescent.
Zophatikizidwanso zofanana ndizipatso za tsabola, udzu wa mbalame yakuthengo ndi celandine, mizu ya dandelion, stigmas ya chimanga ndi violet tricolor. Ma supuni atatu azitsamba zonsezi amafunika kuthiridwa ndi theka la lita imodzi ya madzi otentha, kuyatsidwa moto ndikuphika kwa mphindi zingapo, kenako kuzizirira pang'ono, kuvutikira ndi kutenga 100 ml katatu patsiku kwa masabata awiri, ndipo adzakuthandizani pochiza kutupa.
Zovuta za kapamba
Ndi chithandizo chamankhwala chosayembekezereka, zovuta za kutupa zimatha.
Pali zovuta zosiyanasiyana zomwe zimadza chifukwa cha kufalikira kwa kapamba.
Kupezeka kwa zovuta kumadalira kuchuluka, magawo komanso kuopsa kwa matendawa.
Mavuto a pancreatitis pachimake akuphatikizapo:
- pancreatic necrosis;
- matenda othandizira;
- kapangidwe ka kapamba.
Mu matenda oyamba, mungamve:
- Kuchulukana kwamadzi ochulukirapo kuzungulira kapamba.
- Kutulutsa kwa magazi.
- Kupweteka kokhazikika.
- Kuchepetsa kanyamaka ndi matumbo ang'onoang'ono.
- Khansa yapakansa.
- Pancreatic fibrosis ndi pancreatic lipomatosis.
Popewa kukula kwa kapamba, muyenera kudya moyenera. Pamaphwando ndi tchuthi, simuyenera kuphatikiza mowa wambiri ndi zakudya zamafuta, chifukwa izi zimawonjezera katundu pa zikondwerero, ndipo pakapita nthawi zimangosiya kugwira ntchito yake mokwanira.
Muchepetse kugwiritsa ntchito nyama zosuta, zonunkhira, zokometsera, zokazinga, zamzitini. Monga akunenera, zonse ndizotheka, pakungokhala pang'ono. Muyenera kusiya kusuta. Ngati pali kale matenda monga cholelithiasis, cholecystitis, ndiye kuti ayenera kuthandizidwa munthawi yake. Ngati wodwala yemwe ali ndi pancreatitis wagwiridwanso kangapo, ndiye kuti malangizo abwino ndi kutsatira zakudya ndi kumwa mankhwala onse omwe dokotala wanena.
Zizindikiro ndi zochizira zapakhungu zakambidwa mu kanema munkhaniyi.
