Zikondamoyo ndi chiwindi zimalumikizidwa ndi njira zingapo, zomwe zimatulutsidwa pafupi ndi m'mimba. Magwiridwe antchito - ntchito yamagayikidwe ndi makina - ntchito zimalumikizana.
Pokonzekera kugaya, ziwalo zimatulutsa ndipo zimapereka kwa zilonda 12 zam'mimba zomwe zimagwira ntchito - madzi a pancreatic ndi bile. Zinthu izi zimapereka chizolowezi chogaya chakudya.
Ngati mulibe bile m'matumbo kapena kuchepa kwamadzi kumawonedwa, ndiye kuti mavitamini osungunuka ndi mafuta sangathe kuzimitsidwa mu thupi la munthu, zomwe zimayambitsa matenda oopsa komanso ngakhale kufa.
Odwala ambiri ali ndi chidwi ndi chiwindi pancreatitis? Palibe matenda otere mu zamankhwala. Chiwindi komanso popanda kutupa kwa kapamba kumakhala ndi matenda ake - matenda a chiwindi, hepatitis - njira yotupa mu chiwindi, etc.
Zotsatira za chifuwa chachikulu pachiwindi
Matenda a kapamba amadziwika nthawi yayitali komanso kukhululuka. Koma ngakhale pagawo lotsiriza, njira za pathological zimawonedwa zomwe zimakhudza kugwira ntchito kwa ziwalo zina zamkati, kuphatikizapo chiwindi.
Matenda a hepatatic atha kukhala chifukwa cha kupindika kwa ma ducts, kuwonetsa kusintha kwa kapamba, komwe kumakwiyitsa bile. M'matenda a chiwindi, masinthidwe otakataka amawululidwa, omwe ali zotsatira za kuledzera pakuwukira.
Ndi matenda a shuga ndi kapamba, vuto la chiwindi limapezeka kawirikawiri, kapangidwe kake limasintha. Kuwonongeka kwa kapamba, mpweya wambiri wambiri m'thupi, kumakhala ndi zotsatira.
Mutu wa chiwalo ukakwera, duct wamba imakhala yopunduka, stenosis (kulimbikira kupindika) kwa lumen kumadziwika. Kutuluka kwathunthu kwa bile kumakwiya, komwe kumakwiyitsa kusunthika, kuyamwa kwa bile acid ndi bilirubin yokhudzana ndi mapuloteni kumachitika.
Ngati zotsalira za bilirubin zawonjezeka, ndiye kuti izi zimatsogolera kukukula kwa jaundice yovuta. Zimadutsa ngati mubwezeretsa kutuluka kwa ndulu. Kusayenda kwa bile kumakhala ndi zifukwa zotsatirazi:
- Kutupa kowopsa m'mutu wa kapamba.
- Pseudotumorous aakulu kapamba, amene limodzi ndi kuchuluka kwa zolumikizana minofu. Kusintha uku kungapezeke pogwiritsa ntchito ultrasound, zizindikiro za echogenicity.
- Tumor neoplasms ndi cysts ku gland.
Ngati chinsinsi chamkati chikugwiriridwa, matendawa amakula. Insulin, yomwe imapangidwa mu kapamba, imakhudzanso kuchuluka kwa shuga, komanso imayang'anira kagayidwe ka mafuta m'thupi. Ndi kuchepa kwake, steatosis imayamba - kuwonongeka kwapadera kwa lipids mu chiwindi ndi kuchuluka kwachulukidwe kwamafuta acid. Kuperewera kwa mankhwala kumayambitsa chiwindi.
Chiwonongeko ndi necrosis ya pancreatic minofu imayendera limodzi ndi kuledzera kwa thupi, kusintha kosinthika kwa ziwalo zina kumawonedwa - chiwindi dystrophy, maziko a kuvunda mkati mwake amapezeka.
Matenda a chiwindi ndi kapamba
Ma pathologies onse a chiwindi amadziwika ndi kusintha kwa khungu la munthu. Izi zikuchitika chifukwa cha kuchuluka kwa bilirubin mthupi. Hepatitis yachilengedwe imayendera limodzi ndi jaundice, kapena imachitika popanda zizindikiro zamankhwala. Mitundu ikuluikulu ya matendawa imayambitsa kukomoka kapena kufa.
Matenda otupa chiwindi ndi matenda oopsa. Mulinso hepatitis, yomwe imawonetsedwa mwa wodwala kwa miyezi 2-3, pomwe mankhwalawa samapereka chithandizo. Zifukwa zake ndizosakwanira kulandira mtundu wa matenda, kumwa mowa, poyizoni ndi zinthu zapoizoni, amagwira ntchito m'makampani owopsa.
Kunenepa kwambiri kwa chiwindi kumayamba chifukwa cha zovuta za kagayidwe kachakudya matenda ashuga, kupatsirana, matenda a Reye. Mfundoyi imakhala ku zakumwa zoledzeletsa, zakudya zolimba pamphepete mwa njala, kapena,, kudya kwambiri mafuta.
Matenda ena a chiwindi:
- Cryptogenic cirrhosis.
- Matenda a parasitic.
- Mitundu ya tumor.
- Matenda opatsirana, etc.
Chiyanjano pakati pa kapamba ndi chiwindi ndi cholimba. Kuphwanya ntchito za kapamba kumapangitsa kuti chiwindi chisagwire ntchito, ndipo matenda amtunduwu akuwonekera pachitseko cha England, ntchito yake, kupanga insulini - pazochitika zonse.
Mitundu yodziwika kwambiri ya kapamba imaphatikizira kapamba pazowonetsa zake zonse komanso matenda a shuga. Mtundu woyamba ndi matenda odziyimira pawokha, mtundu wachiwiri umayamba chifukwa cha cholelithiasis, cholecystitis, mavuto a chiwindi ndi ziwalo zina zam'mimba.
Matenda a kapamba amatchedwanso mawonekedwe a viral. Zomwe zimayambitsa: Kachilombo ka Coxsackie, chikuku, mahepatitis, nkhuku, fuluwenza, ndi zina. Matendawa amaphatikizidwa ndi kusakwanira kwa chinsinsi cha ntchito kapamba.
Mu zojambula zambiri, mawonekedwe opatsirana amakula chifukwa cha hepatitis ya viral, chifukwa ziwalo zimakhala ndi ma ducts wamba, njira zamitsempha, ndi dongosolo lamagazi. Chithandizo cha kapamba ndi chiwindi chimachitika mokwanira, maantibayotiki amafotokozedwa, popeza kuphatikiza koteroko kumathandizira njira zamkati za thupi.
Matenda ena a pancreatic amaphatikizapo oncology ya mutu kapena thupi la chiwalo, cysts, chotupa neoplasms, cystic fibrosis (pancreatic cystic fibrosis).
Zizindikiro za matenda a chiwindi ndi England
Thupi laumunthu limapangidwa mwanjira yoti kuphwanya kachitidwe ka chiwalo kapena kuchepa kwa ntchito yake kuwonekere ndi "zizindikilo" zosiyanasiyana. Monga taonera kale, kuwonongeka kwa chiwindi nthawi zambiri kumadziwika ndi mavuto akhungu.
Choyamba - jaundice. Zizindikiro zitha kukhala zovuta kuzisintha. Nthawi zina timadontho tating'ono tating'ono timawonekera. Nthawi zambiri, malo achitukuko ndi mabowo a axillary. Ndi mavuto ndi biliary thirakiti, kuyabwa kumawoneka, kuuma kwambiri pakhungu.
Chimodzi mwazizindikiro zamatenda a cirrhosis ndikupanga mitsempha ya kangaude mthupi lonse. Ngati sanachiritsidwe ndi matenda amitsempha, zotsatira zake zimakhala zoopsa.
Zizindikiro zina za matenda a chiwindi:
- Zomverera zowawa zimakhazikitsidwa mu hypochondrium yoyenera. Pali chisokonezo m'mimba, sizidalira chakudya. Kukomoka kwambiri pamlomo wamkamwa.
- Kusokonezeka kwa chakudya cham'mimba ndi ma pathologies a chiwindi ndi kapamba kumawonetsedwa ndi kudzimbidwa kwa nthawi yayitali kapena kutsekula m'mimba (pafupipafupi). Chopondapo ndimadzimadzi, cha kuchuluka kwamafuta, mafuta ndi kusintha kwa fungo.
- Kusintha kwa mahomoni. Matendawa amafala kwambiri mwa amuna. Chilichonse chiri chifukwa cha zapamwamba za estrogen mthupi - mahomoni azakugonana achikazi.
- Ntchito zolakwika za CNS. Zizindikiro zake zambiri zimaphatikizira kugona kapena kugona, kusakhazikika popanda chifukwa, kuchepa ndende. Ngati simukuchita, ndiye kuti mukufa.
- Intoxication imayamba ndi ntchito yochepa ya chiwindi. Imadziwonekera mu mawonekedwe a ululu mu minofu ndi mafupa, dziko lanthete.
Matenda a chiwindi amachititsa kuti kapamba azigwira bwino ntchito, zomwe zimakwiyitsanso zizindikiro zina. Ndi pancreatitis, wodwalayo amamva kupweteka kwambiri atamwa mowa kapena akudya, nthawi zambiri amadzera kumbuyo. Odwala amadwala komanso kusanza. Pa palpation, pali kuwonjezeka kwa zowawa mu navel.
Matenda a shuga a shuga amawonetsedwa ndi njala yosatha, ludzu komanso kukokana pafupipafupi, kuchepa thupi, mavuto okhala ndi erectile ntchito mwa amuna, komanso kuwonongeka kwa mawonekedwe.
Chithandizo cha chiwindi ndi kapamba
Chilichonse mthupi chimalumikizana, kulumikizana mu chiwalo chimodzi kumayambitsa kuwonongeka kwa linzake. Mwachitsanzo, nephroptosis - kufalikira kwa impso, kumakhudza magwiridwe antchito a kapamba, ndulu ya ndulu, ndulu, chiwindi. Ndiye chifukwa chake ndi zizindikiro zowopsa, muyenera kufunsa dokotala.
Chithandizo chimaphatikizapo kugwiritsa ntchito mapiritsi osati chakudya chokwanira, komanso zakudya zoyenera. Ndikofunikira kuchepetsa katundu kuchokera ku kapamba. Kuti muchite izi, sankhani zakudya zomwe musadye, osaphatikiza zakudya zomwe sizingachitike. Lekani mbale zonona ndi zonunkhira, zonunkhira. Onetsetsani kuti mukuchotsa mowa ku menyu, zomwe zimawononga chiwindi.
Mankhwala ndi mapiritsi a tsiku ndi tsiku amatengera kuchipatala, kuwonongeka kwa kapamba ndi chiwindi, matenda oyanjana. Malangizo a mankhwalawa angaphatikizidwe ndi mankhwala:
- Kuti ayambitse gland, kukonzekera kwa enzyme kumayikidwa. Amathandizanso kukonza kupanga kwa bile. Oimira gulu lino ndi Cleon, Holenzim, Mezim Forte, Panzinorm.
- Chiwindi ndi mtundu wa fyuluta yomwe imatsuka thupi la munthu. Ngati chawonongeka, sichingagwire ntchito. Kuti muchiritse, mankhwalawa amayeretsedwa. Amachotsa zinthu zowola, zotayidwa, zinthu zapoizoni ndi ziphe m'misempha - Karsil, Ovesol.
- Hepatoprotectors - Fosfontsiale, Hepagard, Rezalyut, etc. Amabwera osiyanasiyana - nyama, chomera, mankhwala a amino acid, mankhwala a homeopathic. Zomerazi zimaphatikizanso zomwe mungapatse mwana.
- Kubwezeretsanso mankhwala omwe amathandizira kukonza ma cell a gland.
Zizindikiro zokhazikitsidwa za chiwindi ndi kapamba ndizochulukitsa kwathunthu ndikuyeretsa kwachibadwa kwa thupi. "Gulu" lawo limawonetsetsa kugwira bwino ntchito kwam'mimba ndi matumbo.
Chiwindi ndi kapamba kuyeretsa
Kusintha kwa chiwindi ndi England, mutha kugwiritsa ntchito njira zina zochizira. M'magulu ena othandizira, pali maphikidwe ambiri omwe angathane ndi ntchitoyo.
Asanatsukidwe, kukonzekera ndikofunikira. Zimatanthawuza kutsatira boma lakumwa - amamwa pafupifupi malita atatu amadzimadzi patsiku. Pang'ono pang'ono amatha kusintha malo ndi zipatso zowuma. Masiku khumi asanatsukidwe pompopompo, zakudya zamafuta ndi okazinga, nyama zosuta, khofi, koloko, maswiti sakhala kunja kwa menyu, amachepetsa kumwa kwa mchere wa patebulo.
Ndi zitsamba ziti zomwe zingagwiritsidwe ntchito pochiza chiwindi ndi kapamba? Anatsimikizira kulowetsedwa kwa Bay masamba. Mapepala khumi amathiridwa ndi 450 ml ya madzi otentha, tsimikizirani tsiku mu thermos. Tengani m'mawa 50 ml asanadye chakudya cham'mawa. Njira yoyeretsa yonse ndi milungu iwiri. Zadziwika kuti malaise wamba amatha kuonedwa masiku angapo oyambira - izi ndizosiyana ndi zomwe zimachitika. Posachedwa zizindikiro zosasangalatsa zidzatha.
Muzu wa Burdock umasintha thanzi la chiwindi. Pafupifupi 5-8 g la chigawo chowuma chathiridwa ndimadzi. Ikani kusamba kwamadzi, kutentha, koma osabweretsa chithupsa. Gawani bukuli m'magawo angapo, akumwa masana. Tengani tsiku lililonse la sabata.
Maphikidwe omwe amayeretsa chiwindi ndikuwongolera zochitika zapancreatic:
- Sakanizani kapu ya mafuta owuma ndi 500 ml ya kefir yamafuta ochepa. Siyani usiku. M'mawa, idyani theka asanadye kadzutsa, siyani gawo lachiwiri kuti mudzalandire - maola awiri asanagone. Njira ya mankhwala ndi masiku 10. Pambuyo pakupuma kwa masiku khumi, bwerezani. Pa nthawi yopuma, zipatso 6 za ma apricot zimadyedwa patsiku.
- Parsley kuphatikiza mkaka amathandizira kuyeretsa chiwindi, ndulu ndi kapamba. Ma kilogalamu awiri a mizu yodulidwa kutsanulira mkaka 3000 ml. Kuphika pamoto wochepa mpaka mafayilo osalala (pafupifupi ola limodzi). Idyani "mankhwala", wokonzedwa kunyumba, masiku atatu. Zogulitsa zina ndizoletsedwa.
Pamapeto pa chithandizo, muyenera kumwa madzi ambiri amchere sabata imodzi, popeza mankhwalawa ali ndi diuretic, amachotsa madzi ambiri mthupi.
Kuyeretsa chiwindi ndi kapamba: kuwaza mizu ya chicory - supuni ziwiri pa 250 ml ya madzi otentha. Bweretsani chithupsa. Zozizira, zosefera. Tengani masamba ochepa tsiku lonse. Njira ya mankhwala ndi milungu itatu. Ndiye yopuma sabata, kubwereza.
Mankhwala a chiwindi ndi kapamba angathandize panthawi yake. Katswiri wa gastroenterologist amatenga nawo mankhwalawa; kufunsana ndi katswiri wa matenda opatsirana (virus hepatitis), endocrinologist (shuga mellitus), ndi oncologist (tumor neoplasms) angafunikire.
The etiology ya kapamba imakambidwa mu kanema munkhaniyi.
