Zikondwererozi ndimtundu wa endocrine glands, magwiridwe antchito ake ndikupanga ma insulin komanso michere yama michere, yomwe ikuthandizira kupukusa chakudya.
Matenda ofala kwambiri a kapamba ndi chifuwa chachikulu cha kapamba komanso matenda a 2. Mavuto ndi limba amatha chifukwa cha matenda ena - chotupa neoplasms, cysts, khansa.
Ndi zotupa m'mitsempha, wodwalayo amamva kupweteka kwambiri, kunyansidwa komanso kusanza, komanso kugaya chakudya. Pakuwopsa, wodwala amafunika thandizo kuchokera kwa akatswiri azachipatala.
Chithandizo cha kapamba kumakhala ndi mawonekedwe. Wodwala sayenera kupatula zomwe zimakhudza thupi, kukonzekera enzyme. Kuphatikiza apo, mutha kugwiritsa ntchito wowerengeka azitsamba kutengera zinthu ndi mankhwala azomera.
Chithandizo cha pachimake kapamba
Mwanjira yodwalayo ya matendawa, chithandizo chovomerezeka chimakhala chovomerezeka m'mayendedwe, chimayang'aniridwa ndi achipatala, chifukwa ndi mkhalidwe womwe umawopseza osati thanzi komanso moyo wa wodwala. Ngati gawo la pachimake limakayikiridwa, ndikulimbikitsidwa kuti musakayikire, nthawi yomweyo itanani gulu la madokotala.
Momwe mungathandizire kapamba kunyumba? Sitikulimbikitsidwa kuti muthe kumwa mankhwalawa nokha kuti muchepetse chizindikiro cha ululu. Mutha kuyika poto yozizira pamimba yanu. Muyenera kukana chakudya ndi madzi madokotala asanafike.
Kuti khazikitse mkhalidwe wa wodwalayo, akatswiri azachipatala amaika dontho lokhala ndi mchere wambiri, kupereka mankhwala amtundu wa anti-emetic, ndikuwapatsa mankhwala opweteka.
Akangolowa kuchipatala, wodwalayo amayesedwa mwachangu kuti atsimikizire kuti wavulala kwambiri. Kenako wodwalayo akulimbikitsidwa kusala - izi zimathandiza kuchepetsa katundu pazinthu zamkati, zimamupatsa nthawi "yopuma".
M'chipatala, zinthu zotsatirazi zimachitika:
- Intravenous makonzedwe a sodium kolorayidi.
- Kugwiritsa ntchito mankhwala okodzetsa, omwe amathandiza kupewa kutupa kwa mkati, amathandizira kuchotsa ma enzymes ndi zinthu zoopsa m'thupi. Monga lamulo, Diakarb kapena Furosemide ndi mankhwala.
- Kuchepetsa ma spasms, mankhwala a antispasmodic - No-shpa amagwiritsidwa ntchito.
- Poyerekeza ndi kusamba mobwerezabwereza, kugwiritsa ntchito mankhwala Metoclopramide ndikofunikira.
- Ndi ululu waukulu, Ketorolac imayendetsedwa.
Pakadutsa masiku 3-5, wodwalayo akulimbikitsidwa kusala. Mutha kumwa madzi ofunda okhaokha opanda mpweya. Woopsa mawonekedwe, pamene wodwala samadya chakudya kwa milungu ingapo, zakudya za makolo zimachitika.
Mankhwala othandizira ndi ofunikira ndikofunikira pazithunzizi pakagwiritsidwa ntchito njira yowonongeka ya kapamba, kapena pali zizindikiro za njira yotupa m'mimba.
Ndi zizindikiro za peritonitis kapena zizindikiro zamadzi m'matumbo am'mimba, kulowererapo kwa laparoscopic kumachitika.
Chithandizo cha chifuwa chachikulu cha khansa
Zizindikiro za matenda osakhwima amatenda kwambiri. Ngati wodwalayo akuchulukirachulukira, ndiye kuti mankhwala a algorithm ndi ofanana ndi gawo la matenda. Monga lamulo, zifukwa zomwe kukulira kwa chithunzicho zikugona mu zakudya zopanda pake - wodwalayo samatsata zakudya.
Zakudya ndiye maziko a chithandizo. Ndikofunika pang'ono kuchoka pazolankhula za adotolo momwe ululu umadziwonekera. Zomverera zowawa sizimachoka zokha, kugwiritsa ntchito ma pinkiller ndikofunikira.
Kodi ndimamwa chiyani kapamba kuti muchepetse ululu? Ngati ululu wamankhwala umatchulidwa kwambiri, ndiye kuti mankhwala a antispasmodic ndi mankhwala - No-shpa. Mapiritsi amathandizira kuchepetsa kutupa mthupi, motero, ululu umachepa.
Monga mankhwala ochititsa chidwi, mutha kumwa mankhwalawa:
- Kuti muchotse ma spasms m'mimba, m'mimba, antispasmodics of myotropic zochita - Sparex imagwiritsidwa ntchito.
- Phunziro lalifupi limayikidwa antisecretory mankhwala - Diacarb kapena Omez piritsi. Ndikofunika kugwiritsa ntchito ndi edematous pancreatitis.
- Octreotide imathandizira kupondereza kubisika kwa mahomoni ndi kapamba, chifukwa ndi omwe amachititsa kupweteka pakapangidwe. Mankhwala amatha kumwedwa kokha moyang'aniridwa ndi dokotala.
Ndi kunenepa kwambiri kwa kapamba - lipofibrosis, mankhwalawa amapezeka pogwiritsa ntchito mankhwala othana ndi zotupa a non-steroid chikhalidwe (Diclofenac), antispasmodics (Papaverine), maantibayotiki. Muzochitika zapamwamba, kuchitapo kanthu kwa opaleshoni kumafunika.
Potengera komwe matendawa atenga matendawa, minyewa yachilengedwe imalowedwa m'malo ndi minyewa yolumikizira, kuwonongeka kwina kumawonedwa, motero, matenda a shuga amapezeka, chimbudzi chimakwiya. Kuti chiwalo chamkati chizipuma, mankhwala a pancreatic omwe amakhala ndi ma enzymes amawonjezeranso kuperekedwa:
- Festal (monga chithunzi) amatengedwa katatu patsiku, piritsi limodzi pakudya. Kuti muchepetse acidity ya madzi am'mimba, histamine blockers amaphatikizidwa.
- Pancreatin, Creon, Panzinorm - michere ya pancreatic. Muyenera kumwa mapiritsi awiri katatu patsiku pachakudya, ndikofunika kumwa madzi amamineral popanda mpweya. Mankhwala amathandizira kugwetsa mafuta, chakudya komanso mapuloteni.
Mapiritsi okhala ndi michere yokugaya amathandizira kuthetsa kusasangalala kwam'mimba, kumatulutsa, komanso kukonza chimbudzi ndi thanzi. Madotolo akuti Mezim Forte nthawi zambiri amagulitsidwa yabodza. Kuti muwone momwe mankhwalawo amachokera, ndikokwanira kumanunkhiza - njira yeniyeniyo imakhala ndi fungo linalake losasangalatsa, ndipo ma fake samanunkhiza.
Mu matenda osachiritsika, zizindikiro zikafufuzidwa kwanthawi yayitali, kuchuluka kwa insulin kumachepa, komwe posakhalitsa kumayambitsa kukula kwa matenda a shuga.
Panthawi yomwe yapezeka, kufunsa kwa endocrinologist ndikofunikira kuti kumveketsa bwino kagwiritsidwe ntchito ka mankhwala ndi thanzi.
Zakudya za matenda a kapamba
Chithandizo cha matenda a pancreatic amafunika zakudya zoyenera, kuletsa zinthu zina, kuti asapangitse katundu wambiri mkati. Choyamba, muyenera kupatsa thanzi zakudya zamasamba ndi zipatso.
Tomato watsopano samalimbikitsidwa kwa odwala, koma mwatsopano wobowoleza phwetekere pamodzi ndi msuzi wa karoti ndi chida chabwino chomwe chimathandizira magwiridwe antchito amkati.
Nkhaka, ngakhale atakhala kuti amapezeka madzi, amalemera ndi mchere, motero amayenera kudyedwa ndi odwala. Akatswiri azachipatala amalimbikitsa kuti odwala azikonzekera masiku osala kudya nkhaka.
Njirayi imathandizira kupumitsa kapamba, imalepheretsa kupukusira mkati mwake.
Ndi kutupa kwa kapamba, mutha kudya zipatso:
- Strawberry
- Papaya
- Chinanazi
- Mavwende
- Melon
Zipatso zololeza ziyenera kuphwanyidwa ndi kudulidwa, simungathe kudya zipatso zambiri patsiku. Ndikofunikira kusiya mapeyala, zipatso zilizonse, maapulo wowawasa, mapichesi, mango, plums. Menyuyi imaphatikizapo zamkaka ndi mkaka zomwe zimakhala ndi mafuta ochepa.
Nyama imangokhala yopanda mafuta, chifukwa chake imaloledwa kuphatikiza nyama yamphongo, nkhuku yopanda khungu, nkhuku, nyama ya kalulu m'zakudya. Njira yophikira - kuphika, kuphika. Pewani kukazinga mu batala / masamba mafuta.
Pa ziwalo zonse zam'mimba, ndiye kapamba yemwe amatha kupezeka chifukwa cha zakumwa zoledzeretsa, chifukwa chake muyenera kukana kumwa mowa.
Mankhwala othandizira
Nthawi zina, kugwira ntchito molakwika kwa kapamba kumafunika kuchitidwa opaleshoni. Zachidziwikire, kuchitapo kanthu opaleshoni kumachitika kokha molingana ndi zidziwitso zenizeni, popanda chiyembekezo chamankhwala othandizira.
Zisonyezero ndi mawonekedwe apakhungu a pancreatitis omwe amapezeka pafupipafupi, mawonekedwe owononga pancreatitis, kapamba ka necrosis, pseudocysts, zoopsa zam'thupi, chotupa neoplasms yovulaza.
Iron ndi "chosapindulitsa"; ndizovuta kwambiri kulosera zotsatira za opareshoni, chifukwa sizikudziwika momwe angachitire poyendetsa makina. Malinga ndi ziwerengero, izi zimapangitsa kuti pakhale zovuta zingapo pazithunzi zambiri zamankhwala.
Mitundu ya ntchito:
- Necrectomy (minofu ya necrotic imachotsedwa mu njirayi).
- Kuyambiranso kumakhudza kuchotsedwa kwina kwa chiwalo.
- Kukwaniritsa kwathunthu.
- Kukula kwa ma pseudocysts ndi ma abscesses.
Kukula pambuyo pa kulowererapo kumatsimikiziridwa ndi njira zambiri. Nthawi zambiri odwala amakhala ndi magazi m'mimba, thrombosis, matenda ofewa a tiziwalo timene timatulutsa m'mimba. Nthawi zambiri, mawonekedwe a pancreatic fistulas.
Zotsatira zosalephereka za kulowererapo ndikusowa kwa enzyme ndi chimbudzi, ndipo ndikapangika gawo limodzi, mchira, mtundu 1 wa shuga umayamba.
Pambuyo pa opaleshoni, odwala amafunikira kudya mosamalitsa. Zolakwika mu zakudya zimatha kubweretsa zovuta zina, kuphatikizapo zakupha.
Zithandizo za anthu
Kusintha kovuta m'mapamba kumafunika njira yophatikizira. Kubwezeretsa chiwalo, abambo ndi amayi amatha kugwiritsa ntchito mankhwala othandizira omwe amathandizira kukonza chiwalo.
Ndi ululu waukulu, odzola ndi yogati angathandize. Ndikofunikira kuphatikiza nsalu ya thonje ndi mkaka, kuyiyika m'mimba, ndikugwira mbali yakumanzere. Pamwamba amaphimbidwa ndi kanema, atavala mpango. Siyani compress usiku umodzi. Njira yochizira milungu ingapo.
Propolis imagwiritsidwa ntchito kawirikawiri pochiza anthu wowerengeka. Kuti muthane ndi mavuto a pancreatic, muyenera kupukusa madontho 20-30 a tincture mumkaka ofunda, kumwa pang'ono. Njira ya mankhwala ndi milungu 4.
Maphikidwe amathandizira kuchiritsa kapamba:
- Thirani 500 g oats ndi mankhusu a madzi otentha, ikani madzi osamba. Wotani pamoto kwa mphindi 40, mothandizidwa ndi pusher, pukutani mafuta ophikira, kuphika kwa mphindi 20. Lolani kuziziritsa, imwani 120 ml katatu patsiku. Kutalika kwa chithandizo ndi miyezi 1-1.5.
- Hercules bwino ntchito ya gland, tikulimbikitsidwa kuti kapamba. Wophika m'madzi, mchere sungathe kuwonjezera. Kudya kwa masiku angapo popanda mafuta. Kutsitsa kotero kumapereka mpumulo kwa kapamba.
- Ndi kutupa kwa kapamba, ma pectolaola otengedwa ndimatumbo a pinki amatengedwa. Kukonzekera 50 g chomera, kutsanulira 800 ml ya madzi. Kuumirira masiku angapo m'malo amdima, nthawi zina gwedezani. Mankhwalawa amasungidwa mufiriji patsinde pansi. Tengani madontho 30 musanadye, kuchuluka - 4 pa tsiku, njira ya mankhwala - miyezi iwiri.
Ndemanga za odwala zikuwonetsa kuti parsley wokhala ndi mkaka amathandizira kukonza vutoli. M'pofunika kutsuka 800 g zamasamba, kudula ndi mpeni. Kenako chomera chimathiridwa ndimkaka kuti madziwo azikokolola. Imirirani pamoto wochepa kuti mkaka usanduke (simungathe kuwira). Umu ndi mulingo watsiku ndi tsiku. Gwiritsani ntchito supuni imodzi ola lililonse. Pa nthawi ya pakati, kufunsa kwa dokotala kumafunika musanagwiritse ntchito mankhwala.
Monga prophylaxis yamavuto apancreatic, tikulimbikitsidwa kuchepetsa kumwa mowa, kusiya chizolowezi choipa monga kusuta. Ndikofunikira kusinthitsa menyu yanu, kutsogoza moyo wathanzi, kusewera masewera.
Ndi zizindikiro za matenda a kapamba ndi chiwindi, chinsinsi cha kuchira bwino ndi kuchezera kwa dokotala panthawi yake. Izi zikuthandizira kuti chimbudzi chikhale ndi ntchito.
Momwe mungabwezeretsere magwiridwe antchito a kapamba amauza katswiri muvidiyoyi.
