Njira zotupa mu kapamba zimabweretsa zovuta zambiri kwa wodwala. Uku ndikumverera kowawa kwambiri, kusanza komanso kubwereza, ngakhale kuwopseza moyo.
Kupewa zotsatira zoyipa chifukwa chodwala kapena kufalikira kwa matendawa, kupweteka kwamatenda kapamba kumaletsedwa. Zimakhazikitsidwa ndi malamulo osavuta ndi malingaliro omwe amatanthauza moyo wathanzi.
Kugwirizana kwa pancreatitis yovuta kwambiri ndikosakayikitsa, chifukwa chomwe chimayambitsa matendawa ndi chifukwa cha zizolowezi zoyipa kudya komanso kumwa mowa. Malinga ndi ziwerengero, munthu aliyense wachisanu amakumana ndi vuto lotere.
Talingalirani njira zamakono zochizira pancreatitis mu njira yosasinthika komanso opaleshoni, yomwe mankhwalawa amalamula odwala? Komanso dziwani zoyambira zakutsogolo zomwe zimathandiza kupewa kuukira kwambiri.
Njira zamakono zochizira khansa
Chithandizo chowongolera chimaphatikizapo kugwiritsa ntchito mankhwala amakono omwe amasankhidwa payekhapayekha. Njira yochizira pancreatitis ndi mankhwala imawunikidwanso pafupipafupi kuti mupeze achire.
Mothandizidwa ndi mankhwala, ndizotheka kuchotsa zizindikiro zosokoneza - chimbudzi, mseru, kusanza, kupweteka. Izi mawonetseredwe azachipatala amachokera pakutupa kwa kapamba ndi mavuto ndi mayamwidwe amafuta m'thupi.
Pancreatitis yoyamba ndi matenda odziyimira pawokha, imakhudzana ndi kugwiritsa ntchito mankhwala a magulu osiyanasiyana - othandizira, maantibayotiki, ma antispasmodics, ndi zina. Matendawa amafunika kugwiritsa ntchito mankhwala omwe atchulidwa, komanso chithandizo chamankhwala chothetsa matenda oyambitsidwa, mwachitsanzo, cholecystitis.
The yogwira ndi pachimake kapamba nthawi zonse amazichitira inpatient. Dokotala amalimbikitsa munthu wamkulu kuti akane chakudya masiku angapo. Mofananamo, ma painkillers, mapiritsi omwe amachepetsa kutupa, etc. amagwiritsidwa ntchito.
Matenda a kapamba amachiritsidwa kunyumba. Dokotala, poganizira mayeso onse, amasankha mulingo woyenera wa mankhwala. Magulu a mankhwala atha kutumikiridwa:
- Mankhwala a Antenzyme. Oimira - Antagozan, Kontrikal.
- Maantibayotiki amathandizira kuchepetsa njira zotupa osati mu zofunikira, komanso ziwalo zapafupi. Mapiritsi amathandizira kupewa zovuta - pancreatic necrosis, peritonitis, sepsis, abscess, etc. Mankhwala osokoneza bongo m'magulu otsatirawa amasankhidwa - tetracyclines, fluoroquinolones, macrolides.
- Mankhwala a enzyme amathandiza kuyamwa kwa zinthu zomwe zimabwera kuchokera ku chakudya, zimapangitsa kuti pakhale kugaya, mawonekedwe a dyspeptic. Lembani Festal, Panzinorm, Pancreatinum.
- Antispasmodics - No-shpa, Papaverin.
M'mazithunzi ena azachipatala, amitriptyline chifukwa cha kapamba amadziwika kuti ndi mankhwala othandizira. Mankhwalawa adapangidwa poyambira kuchiritsa matenda osokoneza bongo, koma amathandiza odwala ena kuchepetsa ululu.
Mlingo wa mankhwalawa komanso kuphatikiza kwake amasankhidwa payekha. Pa nthawi yoyembekezera komanso yoyamwitsa, maantibayotiki sanapangidwe, amayesa kupewa kugwiritsa ntchito antispasmodics.
Mankhwala akapanda kugwira ntchito, ndiye kuti ululu wamankhwala ululu umachotsedwa kudzera mu neural blockade - jekeseni yomwe imakulolani kuti muimitse zizindikiro zopweteka zomwe kapamba amatumizira.
Kudzinyenga kumapangitsa kuti wodwalayo akhale bwino kwa milungu ingapo kapena miyezi ingapo.
Mankhwala othandizira
Mfundo zochizira pachimake kapamba ndi njira yokhazikika. Komabe, nthawi zina, maphunzirowa samapereka zotsatira zake, wodwalayo amakumana ndi zovuta, zomwe zimafunikira opaleshoni.
Kuchitapo kanthu kwa opaleshoni kuli ndi mawonetsero angapo - zovuta za purulent, ascites, pleurisy, kupezeka kwa ululu waukulu, jaundice wovuta, kupita patsogolo kwa pancreatitis yogwira, kupezeka kwa miyala mu chikhodzodzo cha ndulu ndi ma ducts.
Mu chifuwa chachikulu, ntchito zimachitika monga momwe anakonzera. Nthawi zambiri, chizindikirochi chimakhala kupezeka kwa zovuta, kapena kuti matendawa amakhala akuchulukirachulukira, pomwe kuchotsera kumatenga nthawi yayitali.
Njira zazikulu zogwirira ntchito:
- Endoscopic kulowererapo.
- Kuyambiranso kwa gland (kuchotsedwa kwina kwa chiwalo).
- Pancreatectomy yathunthu (kuchotsa kwathunthu kwa kapamba).
Opaleshoniyo ndi njira yovuta komanso yosasinthika, yomwe imadzaza ndimavuto ambiri chifukwa cha mawonekedwe ndi malo a kapamba. Dokotala amayenera kunena izi pakuwonana koyambirira.
Pambuyo pa kulowererapo, wodwalayo amatumizidwa kumalo othandizira odwala kwambiri, komwe amapatsidwa chisamaliro choyenera. Pambuyo pa masiku 1-2, amawasamutsa ku dipatimenti ya opaleshoni, komwe amalandila mankhwala ofunikira, zakudya.
Chithandizo cha opaleshoni chimatha kubweretsa magazi, matenda a shuga, kuperewera kwa m'mimba ndi kuperewera kwa chakudya, zovuta za purulent - peritonitis, abscess, sepsis, ndi zina zambiri.
Njira zopewera
Njira zodzitetezera poyambirira zimaphatikizanso kulimbitsa chitetezo cha thupi komanso kupatula zinthu zomwe zimatsogolera kusintha kosaneneka kwa kapamba.
Zina mwa zinthu zomwe ndi zovuta monga zakudya zamafuta ndi zonunkhira, kumwa mowa, kusuta fodya komanso kudya kwambiri. Zizolowezizi ndizowopsa makamaka kwa odwala omwe ali ndi abale ake apamtima omwe ali ndi matenda a kapamba.
Contcomitant pathologies, mwachitsanzo, cholelithiasis, amathanso kukhudza chitukuko cha kapamba. Chifukwa chake, tikulimbikitsidwa kuchiza matenda onse munthawi yake, osataya pang'ono mpaka pambuyo pake.
Kuzindikira kupewetsa mavuto a kapamba ndizowona. Kuti muchite izi, tsatirani malamulo awa:
- Siyani zoyipa zonse kapena muchepetse.
- Muzipewa kudya zakudya zoletsedwa ndi kapamba. Muyenera kudya chakudya chomwe sichimadzaza chitsulo, chomwe muli mchere wochepa, shuga wamafuta, mafuta ndi mafuta m'thupi.
- Chakudyacho chimaphatikizapo masamba ndi zipatso zambiri, mbewu. Masamba amadyedwa mumtundu wophika kapena wowiritsa, sangadye osaphika.
- Kutsatira ndi boma lakumwa. Ndikulimbikitsidwa kumwa malita awiri amadzi oyera tsiku lililonse, zomwe zimathandiza kuti thupi lizigwira ntchito bwino.
- Muyenera kukonzekera masiku osala kudya nthawi zonse. Ngati mbiri yodwala kapamba imalumikizana ndi mtundu 1 wa matenda a shuga, ndiye kuti kusala kudya ndizoletsedwa.
Ndi chiwopsezo chotheratu cha kapamba, ntchito yake yanthawi zonse imasokonekera. Kuti izi zitheke, amamwa mankhwala a enzyme panthawi ya chakudya. Madokotala amalimbikitsa kumwa mapiritsi ndi cholinga - Mezim, Enzistal, Creon.
Kupewa kwa kapamba ndi njira yopitilira komanso yosanja, pakukhazikitsa komwe kumadalira mtundu wa moyo komanso thanzi la wodwalayo. Kutsatira ndemanga zonse kumalola zaka zambiri kupewa matenda ochulukirachulukira komanso kupewa kuti matenda asadzaonongeke.
Momwe mungapewere matenda a chamba akufotokozedwa mu kanema munkhaniyi.
