Ndi kutalika kwa nthawi yayitali kwa kapamba, kapamba amadziwika. Pathology imadziwoneka panjira zingapo - kuwukira kovuta komanso njira yotupa. Njira yachiwiri imasiyanitsa magawo atatu a chitukuko.
Gawo loyamba la matendawa limatsatiridwa ndi kukokoloka kumene komwe kumachitika osaposa kawiri m'miyezi 12. Mu gawo lachiwiri, kufalikira kumachitika nthawi zambiri, kumatenga nthawi yayitali - mpaka kasanu pachaka. Mu gawo lachitatu kupitirira kasanu.
Kutumizira ku mayeso a chipatala ndi chikhalidwe kuti mupeze kulumala kwa kapamba kumaperekedwa chifukwa cha matenda osachiritsika. Izi zimaphatikizapo chitukuko cha matenda a shuga, kuphatikizira pafupipafupi, kupukusa chakudya cham'mimba, etc.
Onetsetsani kuti mwatumiza odwala kukayezetsa omwe anachitidwa opaleshoni yotsala kapena yovulaza yamatumbo. Chifukwa chake, tiyeni tiwone zifukwa zomwe zimapangitsa kuti munthu akhale wolumala, ndipo ndi odwala ati omwe amalandila?
Zizindikiro za ITU ndi njira zofufuzira
Matenda apathengo ndi matenda oopsa omwe amatsogolera kusokoneza kwam'mimba komanso m'mimba. Kuwonongeka kwa kapamba kumatha kudzetsa kusokonezeka kwa endocrine mu mawonekedwe a matenda a shuga ndi zina.
Amadziwika ndi njira yofatsa yamatenda yomwe odwala amatha kugwira ntchito. Koma gulu la odwala limaphatikizidwa ndi kuchuluka kwa thupi, kulumikizana ndi mankhwala opanga mafakitale. Poterepa, kusintha komwe kukuyenera kuchita pamafunika.
Pakadwala kapamba, kupatsidwa chithandizo chamankhwala ndi chikhalidwe chake kuyenera kuperekedwa ngati wodwala ali ndi magawo 2 ndi 3 a pathological process. Mwanjira ina, kufalikira kumachitika ka 5 kapena kupitilira kasanu m'miyezi 12.
Chithunzicho chikuthandiziridwa ndi kuphwanya kwapakati kapena kuphwanya kwambiri kwa kupanga michere yamagaya, kuchuluka kwa shuga m'magazi, kutupa kwa ndulu (cholecystitis) ndi zina zoyipa za matendawa.
Kodi kulemala kwamatenda apakhungu kumapereka? Yankho ndi lakuti inde. Lamulo limapereka kulumala pazotsatirazi:
- Mbiri yokhudza kutuluka magazi pafupipafupi.
- Pambuyo pa opaleshoni, poyambira maziko a kukamwa kwakanthawi kapena koopsa.
- Mitsempha thrombosis ya m'munsi malekezero.
- Kusokonezeka kwa ziwalo za m'chifuwa.
Ngati pali zovuta zomwe zikufotokozedwazo, dokotala yemwe akupezekapo amapereka chitsogozo chakuchipatala ndi mayeso. Zimaphatikizapo kafukufuku wanthawi zonse. Mndandanda:
- Njira zowunikira. Ntchito ya kugaya chakudya michere mthupi imaphunziridwa, ndende ya amylase mu mkodzo imatsimikiza.
- Ntchito ya enzyme imaphunziridwa pamimba yopanda kanthu ndipo ndi katundu mu duodenum, pulogalamu yamakonzedwe imachitika.
- X-ray ya duodenum, m'mimba.
- Sampuli ya Staub-Traugott yokhala ndi shuga iwiri.
- Ultrasound ya kapamba, chiwindi, ndulu ya chithokomiro, biliary thirakiti.
- Tomography yophatikizidwa imatha kuwona kukhalapo kwa miyala mu kapamba wa kapamba - kuwerengedwa kwapancreatitis.
Kufufuza zamankhwala ndi chikhalidwe cha anthu ogwira ntchito omwe adachitidwa opaleshoni ndizovuta kwambiri. Popeza ndikofunikira kuganizira zotsatira zomwe zakwaniritsidwa - ngati kunali kotheka kuchepetsa ululu wam'mimba, kukonza kutuluka kwa pancreatic madzi, kubwezeretsa ntchito za pancreatic, kutseka fistulas, kuthetsa pseudocysts, etc.
Ndikofunika kulingalira za kukhalapo / kusakhalapo kwa zovuta zoyambirira ndi zoyambirira zamankhwala opaleshoni, popeza ndizo maziko a chithandizo chamankhwala kapena chithandizo chamankhwala.
Njira Zakuwononga Gulu
Odwala omwe adachitapo pancreatic resection (kuchotsedwa gawo limodzi kapena gawo lonse) amalandila kulumala kwa gulu lachiwiri kapena loyamba, chifukwa amapezeka kuti ali ndi vuto logaya chakudya m'mimba komanso chakudya.
Kupeza kulumala mu pancreatic necrosis kumakhazikitsidwa pakakhala zovuta. Ngati palibe, ndiye kuti pali mwayi wopereka gulu lachitatu. Mavuto omwe akupitilizidwa kuwululidwa - mapangidwe a fistulas akunja, kutayika kwa dongosolo logaya chakudya, wodwalayo amapatsidwa gulu lachiwiri la zilema.
Gulu loyamba lazolumala mu pancreatic necrosis limaperekedwa pazithunzizi pamene munthu wapezeka ndi zovuta zomwe zimadziwika ndi kupezeka kwakukulu kwa imfa yomwe ili pafupi.
Zoyimira Gulu:
- Gulu lachitatu. Gawo lachiwiri la matenda osachiritsika, pali zoletsa zina zofunika kuchita. Mbiri yodzikakamiza kapena chithandizo chamankhwala popanda opaleshoni, kapena zofowoka zapachiwalo zilipo.
- Gulu lachiwiri. Pali wolumala wotchulidwa womwe umapezeka mu gawo lachitatu la ulesi. Mumakonda kukokoloka pafupipafupi, kutulutsa magazi mkati, kumakhala ma pancreatic ndi fistulas akunja atachitidwa opaleshoni. Palibe njira yothandizira pochiritsira kukonzekera kwa mankhwala. Kukula kwakukulu kwa pseudocysts kapena cysts mu kapamba.
- Gulu loyamba. Kuchepa msanga kwa ntchito yofunika, yomwe ikuwonekera poyambira kukhudzika kwa mphamvu mkati mwathupi lathuli, mwamphamvu kwambiri m'mimba, mawonekedwe a dystrophy. Munthu sangadzisamalire yekha.
Zofooka zolembera zimatengera gulu lomwe mwapatsidwa, chifukwa cha malo omwe munthu amakhala.
Kuphatikiza apo, lamalamulo m'mizinda ina limapereka ndalama zoyendetsera anthu pazonyamula anthu, zolipira ngongole, komanso kugula mankhwala.
Kupewa kwachiwiri
Njira zachiwiri zodzitetezera zimafuna kutsatira kwambiri malingaliro onse, popeza amadwala matenda omwe alipo. Maziko a kupewa ndi kudya.
Madokotala amalimbikitsa kudya mapuloteni pazolimbitsa thupi - 1 g pa kg iliyonse ya kulemera. Ndikofunikira kudya m'magawo ang'onoang'ono, kutafuna chakudya mosamala. Musachokere pazakudya zomwe zimakulitsa katundu pazokhudzidwa.
M'pofunika kuchepetsa kugwiritsa ntchito mkate wopanda nzeru, tirigu wowuma, mafuta amkaka, mafuta a nyama - ng'ombe, mwanawankhosa, bakha, tsekwe. Mafuta msuzi, mayonesi, msuzi wosiyanasiyana, zonunkhira ndi zokometsera ndi zotsutsana.
Njira zachiwiri zodzitetezera zimaphatikizapo:
- Kuchotsera zakumwa zoledzeretsa. Izi zimachitika makamaka pamene wodwala akudwala khansa yoledzera.
- Nthawi spa mankhwala.
- Kugwiritsa ntchito mankhwala a choleretic kawiri pachaka kwa masiku 20-25.
- Kumwa mankhwala a enzyme.
- Kugwiritsa ntchito ma multivitamin kupindika masika komanso kutsegula m'mimba pafupipafupi.
Chiyembekezo chokhazikitsa gulu la olumala chimatsimikizidwa ndi kuchuluka komanso kutalika kwa nthawi yayitali kwa miyezi 12, zovuta zomwe zidakhalapo pambuyo pa mankhwala ndi / kapena opaleshoni. Dokotala yemwe amapezekapo akuti atha kupeza gulu, amaperekanso malangizo ena opita kukayezetsa kuchipatala komanso kuchitira anzawo zantchito.
Momwe mungalembe zolumala zikufotokozedwa muvidiyoyi.
