Kutupa kwa kapamba kumayendera limodzi ndi zizindikiro zosiyanasiyana zomwe zimayambitsidwa ndi ma necrotic komanso kutupa komwe kumachitika minyewa ya chiwalo. Kuboweka pancreatitis pachimake ndi chizolowezi chowonjezera, kubwerezedwa, sikubweretsa mpumulo.
Vomiting imayambitsidwa ndi matenda enieni, kapena imayamba chifukwa cha zovuta (pachimake mawonekedwe a peritonitis, kuledzera kwambiri). Chizindikiro chake chimatha kudziwonetsa mwa mawonekedwe ofatsa, komanso mawonekedwe a interstitial ndi hemorrhagic pancreatitis ndi pancreatic necrosis.
Ndi chiwonetsero chofatsa cha wodwalayo, samasanza koposa katatu, kapena amangodwala. Chithandizo chowonongera chidzafunika kuti muchepetse chenjezo;
Ngati nthendayi ikuwonjezereka kapena kutenthedwa, ndiye kuti kusanza kumachitika mobwerezabwereza. Pali ululu wolimba kwambiri. Tinthu tating'onoting'ono ta chakudya chosasankhidwa timawonedwa m'masanza, pambuyo pake ndimphongo ndi ndulu.
Kodi kusanza kumawoneka bwanji?
Kusoka, ngakhale mawonekedwe a kapamba, nthawi zonse kumayendetsedwa ndi ululu waukulu. Zomwe zimayambitsa kuwonekera kwa matenda a pathological ndizambiri, momwemonso Zizindikiro.
Pakakhala vuto, wodwalayo amakumana ndi mantha akulu, amakhala ndi nkhawa. Nthawi zina, odwala ndi kapamba chifukwa chotuluka magazi. Poyerekeza ndi kuukira kwamphamvu, kuledzera kwa thupi kumawonedwa, zinthu zapoizoni m'magazi zimathandizira kutseguka kwa malo osamba mu ubongo.
Zomwe zimawoneka ngati bile ndi chifukwa chakuti bile limapitilira pyloric vala, yomwe imapumula nthawi yowonjezera.
Imadutsa m'matumbo am'mimba, imasakanikirana ndi zomwe zilimo.
Malinga ndi ziwerengero, mu 70% mwa zithunzi zamatenda achisangalalo cancreatitis, zifukwa zomwe zili m'mavuto otsatirawa:
- Dyskinesia.
- Cholecystitis.
- Matenda a Gallstone.
- Chotupa chowopsa.
Njira zonsezi zonyansa mthupi la munthu zimadziwika ndi kutulutsidwa kwa bile m'matumbo ndi m'mimba, motero, kumawonekera m'masanzi.
Kuchepetsa msana ndi kapamba kumachitika chifukwa chomwa zakumwa zoledzeretsa, zomwe zimapangitsa kuphwanya katulutsidwe kapamba komanso katulutsidwe ka bile. Ethanol ikhoza kuyambitsa spasms ya sphincter ya Oddi, chifukwa, kuwonjezeka kwa kulowererapo kwazinthu kumadziwika, komwe kumapangitsa kuti chiwonetsero chikule. Mukuchira pambuyo pakuwonjezera, odwala nthawi zambiri amakhala ndi mseru komanso kusanza.
Ichi ndi chifukwa cha kuperewera kwa michere ya kapamba komanso kupezeka kwa matenda am'mimba, omwe amatsogolera pakukula kwa matenda a dyspeptic.
Kubwezerana pancreatitis pachimake
Musanaphunzire momwe mungachotsere nseru mu cholecystitis ndi kapamba, taganizirani kusanza komwe kumachitika chifukwa cha kutupa kwa amayi ndi abambo?
Ndi mtundu wofatsa wa matenda, wodwalayo amatha kusanza kamodzi kapena kawiri, nthawi zambiri osachulukanso. Nthawi zina, kusanza ndi kapamba kumadzetsa mpumulo, koma izi sizotheka. Monga lamulo, etiology yotsuka pamkhalidwe uwu ndi chimbudzi kapena kudya pang'ono.
Chipatala china chimapezeka mwa odwala omwe amapezeka ndi edematous kapena hemorrhagic pancreatitis. Ndi edematous mawonekedwe, pali amphamvu ululu syndrome, kusanza kosalekeza ndi anthu ambiri.
Kupumira sikubweretsa mpumulo; Zizindikiro zowonjezera: kupuma kwambiri, chizungulire, kutsegula m'mimba nthawi zina kumakhalapo, kutentha kwa thupi kumakwera. Zizindikiro zimawonedwa mkati mwa masiku 3-7. Kuti muchepetse kusanza, ndikofunikira kuchotsa kutupa kwa zofewa za kapamba. Conservative Therapy mankhwala amaperekedwa kwa odwala.
Potengera komwe hemorrhagic pancreatitis, ma necrotic amapezeka mu minofu yamkati, wodwalayo amavutika kwambiri komanso kupweteka kwambiri. Minofu yakufa ndi magazi zimafalikira kudzera m'mimba, zomwe zimabweretsa kuledzera. Zizindikiro:
- Kubwereza kusanza ndi kuphatikizika kwa magazi.
- Fungo lamphamvu losanza.
Popanda thandizo la panthawi yake, wodwalayo amakumana ndi mantha kapena kugwa, kuperewera kwa thupi ndi matenda akulu a electrolyte kumapezeka.
Zoyenera kuchita ndi kusanza?
Momwe mungachepetsere nseru ku kapamba, chochita ndi kusanza kosalekeza? Zizindikiro zotere zikawoneka, ndikulimbikitsidwa kum'tsimikizira wodwalayo, kumupatsa chithandizo chodzidzimutsa. Kuti muchepetse kusokonezeka kwa madzi ndi kusokonezeka kwa ma electrolyte, chithandizo chofunikira ndi chofunikira. Fotokozerani analgesics a narcotic komanso osakhala a narcotic, mankhwala a kulowetsedwa omwe cholinga chake ndi kuthetsa kuledzera ndi kubwezeretsanso kuchepa kwa ma electrolyte ndi madzi.
Ngati njira izi sizikuthandizira kuchotsa chizindikiro, ndiye kuti antiemetics iyenera kutengedwa kuti muchepetse mkhalidwe wa wodwalayo. Mwachitsanzo, Tserukal. Mutha kuthana ndi kusanza pogwiritsa ntchito mankhwalawa mukazindikira kuti zotere sizikuchotsekeka - magazi am'mimba komanso magazi m'matumbo, kutsekeka kwamatumbo, mafuta m'matumbo.
Zomwe zimagwiritsidwa ntchito ndi mankhwala a Cerucal:
- Lowani kudzera m'mitsempha kapena intramuscularly.
- Mlingo wa munthu wamkulu ndi 20 mg - muyezo umodzi.
- Mlingo wapamwamba ndi 80 mg patsiku.
Kutalika kwa kugwiritsa ntchito antiemetic kumatsimikiziridwa payekhapayekha. Kuphatikiza pa kuthetsa kusanza, Cerucal imathandizira kukhazikika pakumvekera ndi kukhazikika kwa makoma am'mimba, imathandizira kukonzanso kwachakudya komwe kumachokera m'matumbo lumen.
Mankhwala ofanana - Itoprid, Domperidone amathandizira kuchotsa kusanza.
Mutha kuthana ndi kusanza pogwiritsa ntchito mankhwala osiyanasiyana komanso zitsamba zochizira chiwindi ndi kapamba:
- Imwani madzi oyera enieni ndi mandimu. Kwa 250 ml amadzimadzi, osaposa madontho asanu a madzi a zipatso.
- Njira yothandizira. Mu 250 ml ya madzi onjezerani supuni 1 ya apulo cider viniga.
- Tiyi yokoma ndi timbewu tonunkhira ndi mandimu.
- Onjezani theka la supuni ya tiyi ya ginger wowuma ndi madzi otentha, siyani mphindi zisanu. Imwani yaying'ono.
Njira zapanyumba ndi njira yochepa yomwe imathandizira kuchotsa chizindikiro chosasangalatsa kwakanthawi kochepa. Maphikidwe osagwiritsa ntchito samakhudza zomwe zimayambitsa matendawa, musathandizenso kuletsa kupitilira kwa matenda.
Kusoka kumachitika mosayembekezereka - m'mawa kapena nthawi yamadzulo, usiku. Madokotala okha ndi omwe angamuthandize kuti amuletse. Ngati wodwala wapezeka ndi mawonekedwe a necrotic, ndiye kuti mankhwalawo amayenera kulepheretsa njira za necrotic ndikusiya magazi. Ndi edematous mawonekedwe, mankhwala okodzetsa amaikidwa kuti athandize kuchepetsa kuuma kwa kudzikuza.
M'masiku oyambirirawo, wodwalayo amalimbikitsidwa kuti apumule komanso azikhala ndi matenda a kapamba. Komanso, malinga ndi lingaliro la adokotala, zakudya zimakulitsa. Zakudya zomwe zimatha kudyedwa ndi kapamba ndi matenda ena okhudzana zimayambitsidwa pang'onopang'ono menyu. Fotokozani mankhwala othandizira, mwachitsanzo, mankhwala Pancreatin.
Zizindikiro za kapamba zimakambidwa mu kanema munkhaniyi.
