Zizolowezi zoyipa kudya, zomwe zimatsatiridwa ndi kupsinjika mosalekeza, kupweteka kwa mitsempha, kuchuluka kwa malingaliro ndi thupi - zinthu zomwe zimayambitsa njira zotupa m'mapapo, chifukwa, zimachulukitsa kapamba.
Matenda aliwonse a mawonekedwe osachiritsika sangachiritsidwe kwathunthu. Mothandizidwa ndi kukonza mankhwalawa, chiphuphu chokhazikika chitha kupezeka, koma palibe china. Izi zimagwiranso ntchito kwa matenda a kapamba.
Zotuluka zimasinthidwa nthawi ndi nthawi ndizochulukitsa zomwe zimakhala nthawi yayitali. Amakhala nthawi, osowa kapena pafupipafupi. Njira yamatendawa imatha kubwerezedwanso palokha - kungowonjezereka kumatha mphamvu zomwe zimapangidwanso.
Zizindikiro ndi kuchiza kwa kufalikira kwa pancreatitis yayitali kumalumikizana. Tchulani zifukwa ziti zomwe zingayambitse kutupa, ndipo ndi zizindikiro ziti zomwe zikusonyeza kuti matendawo ayambiranso?
The pathogenesis of pancreatitis aakulu
Kutupa kosalekeza ndi njira yotopetsa yomwe imayendetsedwa ndi kuchepa kwapang'onopang'ono kwa minofu ya mkati. Kulephera kutsatira malangizo a dokotala omwe akupezekapo kungayambitse kusintha kwa minyewa ya minyewa, minyewa yamkuntho, ndi zovuta zina.
Ngakhale kupumula kwachulukidwe, minofu yapang'onopang'ono imayang'aniridwa, imasinthidwa ndi maselo am'mimba, zomwe zimayambitsa kuphwanya magwiridwe antchito a chiwalo. Ziwerengero zimazindikira kuti matenda am'mimba amapezeka kwambiri mwa odwala okalamba, pomwe amayi.
Njira yayitali yamatendawa imadziwika ndi magawo awiri - chikhululukiro ndikuchulukirachulukira. Mlingo wa gawo lomaliza umatha kukhala wofatsa, wowopsa kapena wapakati. Kuchulukitsa kumatha kuchitika chifukwa cha zifukwa zotsatirazi:
- Kugaya chakudya thirakiti (chapamimba, zilonda zam'mimba, kutupa mu duodenum 12, cholecystitis, stenosis ya ma pancreas odziwika).
- Zakudya zopanda pake (kudya kwambiri, kuperewera kwa chakudya, mafuta ochulukirapo komanso chakudya chamagulu pazakudya).
- Kuledzera, kusuta.
- Zowopsa pa kapamba a mankhwala.
- Makamaka.
- Matenda opatsirana komanso ma virus, etc.
Pazifukwa zofananazo, pancreatitis yayikulu imayamba. Kunena zowona, m'mitundu yambiri kujambula kwamatsenga kumachitika chifukwa chophwanya zakudya, kugwiritsa ntchito mankhwala molakwika, komanso kumwa mowa.
Mawonetseredwe azachipatala
Musanaphunzire momwe mungagwiritsire kapamba panthawi yachikondwerero, momwe mungakhazikitsire gawo lamkati, lingalirani za matenda obwereranso. Kayezetsa thupi adotolo akuwonetsa phungu lakhungu, kuwuma kwambiri kwa khungu ndi mucous nembanemba, kutulutsa bwino pang'ono.
Pa palpation, wodwalayo amadandaula za kupweteka kwa hypochondrium yamanzere ndikuzungulira msomali. Nthawi zina mumatha kumverera kuwonjezeka kwa ndulu ndi chiwindi kukula. Mwa odwala ena, zizindikiro zamatenda zomwe zimakhudzana ndi khungu zimawululidwa - zotupa zingapo pachifuwa ndi pamimba.
Zizindikiro zapadera:
- Ululu mu peritoneum umayamba kumva. Samatengera kudya zakudya, amapatsa hypochondrium yamanzere. Ngati pali kuwonjezeka kwa thupi chifukwa cha kutupa, ndiye kuti ululu umaperekedwa kwa kolala ndi khosi.
- Kusokonezeka kwa chakudya cham'mimba - fungo la fungo la fetid komanso kusasinthika kwamafuta, nseru, kumatha kusanza kosaletseka - sikumabweretsa mpumulo.
- Kuchepetsa chilako, komwe kumapangitsa kutsika kwa thupi.
- Pakamwa pakamwa, kuwawa mkamwa.
- Chikaso cha sclera ndi khungu.
Kutalika kochulukirapo ndi masiku 7 kapena kuposerapo. Zizindikiro za matenda osachiritsika ndi munthu payekha. Odwala ena amadwala chifukwa chosanza mobwerezabwereza, chomwe sichimapereka mpumulo. Ena akuvutika ndi matenda otsegula m'mimba.
Nthawi zina chizindikiro chodziwika bwino ndi ululu chabe. Ngati wodwalayo ali ndi mbiri ya matenda a shuga ndi kapamba, ndiye kuti pali chidwi chambiri.
Chithandizo cha kufalikira kwa kapamba ndi mankhwala
Mankhwalawa amadziwitsidwa pambuyo podziwunika mosiyanasiyana. Kuunika kwa ultrasound kumachitika, njira zamakono zimagwiritsidwa ntchito - computer tomography ndi MRI. Muyeneranso kuyesa magazi, mkodzo ndi ndowe. Malinga ndi zotsatira zake, matenda amapangidwa.
Vuto lodziwika mwa akulu limafunikira chithandizo panjira yolephera; Kuti muchepetse kapamba, njala, kuzizira ndi mtendere zimalimbikitsidwa moyang'aniridwa ndi katswiri wazachipatala.
Ngati mungayambirenso, funsani dokotala. Chithandizo choyenera cha pancreatitis yovuta kwambiri pachimake chokhazikitsidwa ndi gastroenterologist. Mukayamba mankhwala mwachangu, ndiye kuti simungakhale ndi vuto la pancreatitis pachimake. Mankhwala osokoneza bongo amatha kutengedwa kunyumba. Pa nthawi yomwe mayi ali ndi pakati, mkazi ayenera kuikidwa kuchipatala.
Malangizo a mankhwalawa akuphatikizapo mankhwala:
- Mapiritsi omwe amathandizira kuthetsa ululu. Amakhala ndi antispasmodic zotsatira. No-shpu kapena Spazmalgon amatengedwa katatu patsiku, piritsi limodzi, lotsukidwa ndi madzi opanda kanthu. Mlingo wa tsiku ndi tsiku utha kuwonjezereka mwa kusankha kwa dokotala.
- Mankhwala okhala ndi anti-yotupa omwe ali m'gulu lomwe si la steroid - Ketoprofen. Ndi kutupa kwa mutu, thupi kapena mchira wa kapamba, akulu amakayikira 300 mg katatu patsiku. Njira yochizira imakhalapo payekhapayekha.
- Ma enzymes am'mimba - Creon, Pancreatin, ndi ena. Mlingo wa enzayimi wa pancreatic umasiyana magawo 15 mpaka 20 masauzande. Imwani mapiritsi pakudya, tikulimbikitsidwa kuti mlingo wa tsiku ndi tsiku ugawidwe pawiri.
- Kuchepetsa magwiridwe azinsinsi a kapamba, Omeprazole ndi mankhwala. Mankhwalawa amatha kuchepetsa bwino kukakamira mkati mwa ma ducts, chifukwa amalepheretsa kubisala. Izi zimachepetsa katundu pazinthu zopunduka. Mlingo 10-20 mg.
Mankhwala othandizira pancreatic pancreatitis ndi exacerbation sangathe kudya okha. Dongosolo lothandizira limapangidwira poganizira mawonetseredwe azachipatala, zovuta zomwe zilipo komanso matenda ophatikizana.
Mankhwala a antibacterial nthawi zina amaperekedwa kuti ateteze kuwonongeka kwa m'matumbo. Penicillin kapena mndandanda wa cephalosporin ndi mankhwala.
Mankhwala osagwiritsa ntchito mankhwala a kutupa kwa glandular
Chithandizo cha pancreatic pancreatitis ndi exacerbation imathandizidwa ndi chakudya. Ngati ndi kotheka, tikulimbikitsidwa kukana chakudya masiku angapo. Simungadye chilichonse, mumatha kumwa madzi amtundu, zodzikongoletsera zokhala m'chiuno ndi zitsamba.
Ngati akumva kupweteka kwambiri, ndiye kuti bata lololeredwayo, kutentha kwa ayezi kuyikika pancreatic. Monga njira ina, mutha kugwiritsa ntchito botolo lamadzi, chilichonse chopangidwa kuchokera mufiriji (kukulunga ndi nsalu ya thonje).
Ululu utachepa, mutha kuyamba kudya. Amadya m'magawo ochepa chabe, simungathe kudya kwambiri. Zakudya zonse ziyenera kukhala zotentha, sizivomerezedwa kudya ozizira kapena otentha. Amatsatira chakudya patere 5
Zomwe mumadya:
- Zakudya zoyenera, zigawo zamapuloteni ziyenera kuthana ndi chakudya chamafuta ndi mafuta. Amadya mpaka nthawi 7 pa tsiku, m'magawo ang'onoang'ono - wina saposa 230-240 g.
- Simungadye masamba osaphika. Zinthu zonse zimafunikira kutentha. Ikhoza kuphikidwa ophika pang'onopang'ono. Njira zophikira - kuwira, kuphika, kutumizirana m'madzi kapena ndi mafuta osachepera pang'ono.
- Musanagwiritse ntchito, chakudya chimagugudwira gruel. Zakudya zoyambirira zimasenda, zinthu zolimba kwambiri zimakonzedwa kapena kudulidwa ndi blender, chopukusira nyama.
- Zoyenera, masiku oyambira 4 mpaka 7 ochulukirachulukira, ndikwabwino kudya supu zokhazokha zamasamba. Nthawi zina, madokotala amatha kuyambitsa wodwala kudya kwa masiku awiri ndi 2 kapamba.
Pambuyo kuyimitsa kukulira kwa menyu kumakulitsidwa. Mutha kudya buledi wouma kapena owotchera, masikono, makeke osapezedwa, nsomba zamafuta ochepa ndi nyama. Zukini, kaloti, dzungu ndi zipatso zimaphatikizidwa muzakudya zochepa, makamaka zipatso za zipatso, chifukwa zimakwiyitsa mucosa wam'mimba.
Kuti mukwaniritse chikhululukiro chokhazikika, kupewa ndikofunikira. Zimatanthawuza kusunga kwa chakudya chamagulu (zoletsa zina zimachotsedwa), kugwiritsa ntchito mankhwala omwe adapangidwira kuchipatala, kugwiritsa ntchito wowerengeka azitsamba - decoctions motsatizana, chamomile, yarrow ndi zitsamba zina.
Odwala omwe ali ndi pancreatitis yovuta ayenera kuphunzira kukhala ndi moyo wawo, chifukwa ndizosatheka kuchira. Ngati mutsatira malangizowo, pezani mayeso kupewa ndikuchiza matenda obwera munthawi yake, ndiye kuti gawo la chikhululukiro chitha kupitilizidwa kwazaka zambiri.
Acute pancreatitis akufotokozedwa mu kanema munkhaniyi.
