Pambuyo pakupanga kwakanthawi kovuta komwe kumakhudza kapamba, madokotala amawona zovuta za pachimake kapamba. Zosintha sizinasinthidwe, zomwe zimayambitsa kukulitsa kwa necrotic phenomena.
Mavuto oyambilira amayambitsidwa ndi chifukwa: ndimatupa a poizoni omwe amapangidwa chifukwa chakutha kwa ziwalo zofewa zamkati. Sabata yachiwiri, pakakhala palibe chithandizo choyenera, zotsatira zoyipa zimachedwa. Amaphatikizidwa ndi kufalikira kwa matenda apakati.
Munthawi ya matenda, chiwindi ndi ducts bile zimavutika. Kuwonongeka kwa kapamba kumakwiyitsa mapangidwe a cysts, fibrosis, ndipo amatha kuyambitsa khansa. Kusintha kwa kusatetemera kwakanthawi kumathandizira kuti matendawo ayambike.
Ndi chidakwa cha matendawa, motsutsana ndi maziko a poizoni, pancreatic necrosis imayamba nthawi yomweyo. Ngati chithandizo chanthawi yake sichinayambike, matendawa amayambitsa kulumala kapena kufa.
Mitundu yamavuto
Pali zovuta zambiri zomwe zimakhumudwitsidwa ndi kuukira kwa kapamba. Kuti mupewe kupepuka mu mankhwala, gawoli limasiyanitsa mitundu iwiri yayikulu: mochedwa komanso koyambirira zoyipa zomwe matendawa adayambitsa.
Post-necrotic syndrome, zovuta zowononga za pancreatitis pachimake, zotsatira za mapangidwe a puluro-pulmonary ndizovuta kwambiri.
Zochitika pambuyo pa necrotic zodabwitsanso zimagawika modabwitsa komanso kulephera kwa impso ndi chiwindi.
Kutulutsa kochuluka kwa ma enzymes komanso zinthu zoopsa m'magazi kumabweretsa kukula kwa zovuta zoyambirira:
- Kulephera kwa mtima.
- Kusintha kosasintha m'mapapu.
- Kutulutsa magazi m'matumbo, m'mimba.
- Peritonitis
- Jaundice
- Mavuto amisala
- Mtsempha wamagazi thrombosis.
- Kutupa kwa serous nembanemba.
Ndi kulephera kwa hepatic-aimpso, chiwindi chimachulukana kwambiri, palibe kukodza (pali kudzimbidwa), kapena, mosiyana, pali kuwonjezeka kwamphamvu kwamikodzo patsiku. Magawo a arterial akukula, khungu ndi mucous nembanemba zimakhala zouma.
Mu 50% ya odwala, zotsatira za kuvulala kwamphamvu kumachitika mwa njira ya peritonitis ya serous kapena purulent form.
Pachimake kapamba ndi zotsatira zake
Pakuwopsa, peritonitis imayamba, yomwe imakhala yachilengedwe. Ili ndi vuto lalikulu, lomwe limayikidwa limodzi ndi mphamvu ya m'mimba.
Chifukwa cha kuledzera, ntchito ya impso ndi chiwindi imasokoneza. Mavuto akulu ndi magwiridwe am'mimba, mapangidwe a ziphuphu zakupha, komanso mapapu am'mimba amatha.
Mochedwa mavuto amabwera pambuyo poti wachibale wodwala. Nthawi zambiri pambuyo 20-25 masiku kuchokera isanayambike matenda. Nthawi zambiri, zotsatira zoyipa zimapezeka. Choyipitsitsa cha izo ndi poyizoni wamagazi.
Mavuto apambuyo:
- Muli m'mimba.
- Parapancreatic syndrome.
- Hyperhidrosis.
- Pancreatic necrosis.
- Pilephlebitis (kutukusira kwa mitsempha ya portal).
- Pseudocysts kapena cysts.
Zotsatira zoyipa zimaphatikizidwa ndi chotupa neoplasms, lymphadenitis (imachitika chifukwa cha kuledzera kwa thupi), kuopseza ndi mantha (chifukwa cha zotsatira zoyipa za zinthu zoopsa), kufooka kwamitundu yambiri.
Ngati ma pancreatic minofu amafota, pomwe ma cysts amapanga, chodabwitsa ichi chimawonetsedwa ngati chiopsezo cha moyo. Mankhwala othandizira amafunikira. Matendawa amakomera pokhapokha ngati mungagwiritse ntchito nthawi yake.
Kuwonongeka kwa magazi nthawi zambiri kumachitika - njira yodutsa yomwe yapezeka chifukwa cha kuphulika kwa mtsempha wamagazi pakatupa.
Zotsatira za matenda osachiritsika
Zotsatira za matenda osakhazikika zimaphatikizapo kusokonezeka kwamkati, komwe kumalumikizidwa ndi kugwira kwa kapamba. Nthawi zambiri, chiwindi ndi ma ducts a bile amakhudzidwa.
Wodwalayo amapezeka ndi mtundu wotupa wa hepatitis, cholestasis, cholecystitis - matenda otupa a bile ducts, purulent cholangitis.
Mapangidwe a ma cysts ndi chifukwa chovuta pakukutulutsa kwa madzi a pancreatic kudzera pazitsotso mkati mwa chiwalo. Pali mitundu ingapo ya ma neoplasms - zoona ndi yabodza. Pafupifupi 80% ya zithunzi zamankhwala, cyst yabodza imadziwika.
Kafukufuku wambiri watsimikizira kuti kapamba amatanthauza matenda omwe amayambitsa khansa. Makamaka, khansa ya kapamba.
Zovuta zina zimasiyanitsidwa:
- Mtundu woyamba wa shuga. Chiwopsezo cha kutukuka ndichopitirira ngati wodwala ali ndi zakumwa zoledzeretsa.
- Chuma choperewera magazi.
- GERD.
Mwa akulu ndi abambo, matendawa amatha kudzutsa matenda oopsa a m'matumbo, zomwe zimapangitsa kuti pakhale patsekeke pamimba. Kuphatikiza apo, mitsempha ya varicose yam'mimba imapangika, yomwe nthawi zambiri imawonetsedwa ndi magazi akulu.
Kuti muzindikire zovuta mu nthawi, ndikofunikira kuyang'anira kutentha kwa thupi, kukakamiza, kukoka, kupuma kwa wodwala.
Njira zochizira
Zovuta za chifuwa cham'mimba komanso kufalikira kwake zimathandizidwa pansi pazovuta. Kutengera njira zodziwira matenda komanso kuyesedwa kwa labotale, dokotalayo amalimbikitsa njira yabwino yochizira. Nthawi zonse zimasiyanasiyana, monga zimatengera zotsatira zenizeni za matendawa.
Fotokozani chithandizo cha kulowetsedwa - njira yothandizira, yomwe imaphatikizapo kuyambitsa mu melee pazomwe zimalepheretsa kuchepa kwa thupi. Onetsetsani kuti mwapereka mankhwala osala kudya, antibacterial ndi mankhwala ena. Nthawi zambiri, ngalande zochulukirapo za zimakhala ndi kachilomboka zimagwiritsidwa ntchito.
Pambuyo pamakina awa, fistula imawoneka yomwe imapangitsa kuti zovuta azimuchiritsa. Kwenikweni, zokonda zimaperekedwa kwa mankhwala. Pharmacology imapereka mankhwala osiyanasiyana othandizira.
Ngati kumayambiriro kwenikweni pali kutayika kwakukulu kwa madzi a pancreatic, ichi sichiri chizindikiridwe cha opareshoni. Kuperewera kwa pancreatic, komwe kumayambitsidwa ndi fistula, kumatha kulipiriridwa ndi mapiritsi. Nthawi zambiri, fistula imachiritsa yokha. Ngati cholumikizira ndi cham'mbali kapena ducts, njira yobwezeretsedwera imachepetsedwa kwambiri.
Octreotide itha kutumizidwa kuchitira fistulas. Mlingo watsiku ndi tsiku: 100 mcg subcutaneous katatu patsiku, nthawi ya chithandizo ndi masiku asanu. Mankhwala amachepetsa ntchito ya trypsin, ali ndi antispasmodic, ndipo amaletsa kuledzera kwa onse.
Opangawo akuwonetsedwa pazinthu monga:
- Kukhalapo kwa magazi m'matumbo a cyst.
- Hemorrhagic kapena purulent mawonekedwe okondweretsa.
- Wotayika peritonitis.
- Kuphwanya cysts pamimba pamimba.
- Kupasuka ndi kuwonjezera.
Mu nthawi ya postoperative, mankhwala othandizira (mwachitsanzo, Furazolidone) amachitika, zakudya zapadera zimafunika. Lembetsani ma pinkiller, amatumikiridwa mpaka kasanu ndi tsiku.
Kupewa mavuto a kapamba
Mfundo zopewera zimaphatikizapo kuphatikiza zakumwa zoledzeretsa kuchokera pachakudya, kusiya kusuta, kudya mokwanira komanso moyo wathanzi. Kuvulala kwambiri kumayambitsidwa ndimatenda ndimowa, makamaka kugwiritsa ntchito pafupipafupi komanso kumwa kwakukulu. Ndi kapamba, ndimaletsedwa kumwa. Ngati izi sizingatheke, chepetsani kumwa kamodzi pa mwezi.
Kudya wathanzi ndi kiyi wa moyo wautali. Odwala ayenera kutsatira mosamalitsa chakudya, osalemetsa thupi ndi chakudya cholemera. Ndikofunikira kusiya mafuta ndi mchere, kupatula mbale zonse zonunkhira. Muyenera kusiya zakudya zomwe zimaphatikizapo ma carcinogens - mankhwala osungira, utoto, zonunkhira, ndi zina zambiri.
Pankhani ya matenda osachiritsika omwe ali ndi cholinga cholowa m'malo, tikulimbikitsidwa kumwa Pancreatin. Mlingo umasiyanasiyana 16,000 mpaka 32,000 tsiku lililonse (mpaka mapiritsi 4) ndi zakudya. Pazipita tsiku lililonse mapiritsi 18.
Mutha kuyimitsa kupweteka m'mapazi pogwiritsa ntchito njira zosakhudzana. Odwala ambiri amalimbikitsa kutenga decoction kapena kulowetsedwa kutengera chomera chomwe chimafa (pokhapokha povomerezana ndi dokotala).
Ndi zovuta ziti zomwe zingayambitse akatswiri a pancreatitis mu kanema munkhaniyi.
