Kodi zikondamoyo zimapweteka bwanji? Funsoli limafunsidwa ndi munthu aliyense amene wakumanapo ndi ululu m'dera lachiwalo.
Ndi kuwoneka kwa kupweteka m'mapapo, funso limabuka momwe mungadzipiririre modekha ndikumva kwakumva ululu. Zomverera zoterezi zimatha kuwonetsa kukula kwa ma pathologies ndi zovuta pakugwira ntchito kwa chiwalo chofunikira.
Aliyense amene ali ndi vuto lachiberekero ayenera kudziwa zoyenera kuchita ngati zikondazo zipweteka, komanso njira yothetsera ululu kunyumba dokotala asanafike.
Chimbudzi ndi chiwalo chomwe chimagwira gawo logaya, ndikupanga timadzi ta m'mimba tomwe timapangidwa ndi michere yomwe imathandizira kugaya chakudya kulowa m'mimba.
Kuphatikiza apo, thupi limayang'anira kupanga mahomoni azinsinsi zamkati. Mwachitsanzo, insulin ya mahoni opangidwa ndi maselo a beta am'midzi yaying'ono ya Langerhans ndiyo imayang'anira kuwongolera kwa shuga m'magazi am'magazi komanso kuthana ndi shuga ndi maselo a minofu yotengera insulin. Potsutsana ndi kapangidwe kake, shuga amayamba.
Kuphatikiza pa insulin, maselo a pancreatic amatulutsa mahomoni otsatirawa okhudzana ndi endocrine system yolembera thupi:
- maselo a alpha amatulutsa glucagon;
- Maselo a Delta amapanga somatostatin;
- Maselo a D1 amatulutsa VIP;
- Maselo a PP amatulutsa pancreatic polypeptide.
Kuphatikiza apo, maselo a pancreatic amatulutsa gastrin yaying'ono, thyroliberin ndi somatoliberin.
Ma mahomoni opangidwa ndi alpha, beta, delta, D1 ndi PP amagwira nawo ntchito zambiri zamankhwala omwe amapezeka mthupi.
Kodi ziphuphu zimapweteka bwanji?
Nthawi zambiri, chomwe chimayambitsa kupweteka ndikumakula kwa minyewa yamatumbo yotupa yomwe imatha kupezeka pazifukwa zingapo.
Njira yotupa yomwe imayamba m'matupi amthupi imatchedwa pancreatitis.
Zomwe Zimathandizira Pancreatitis
Monga tafotokozera pamwambapa, nthawi zambiri chomwe chimayambitsa vuto lakusokonekera ndikuwonekera kwa kupweteketsa mtima ndi njira yotupa.
Zomverera zowawa zomwe zimatulukira mu nkhaniyi zimadziwika momveka bwino m'mimba ndikusintha kwa mbali ya hypochondrium yamanzere ndi kumbuyo.
Munthawi yayitali ya matenda, kupweteka kumatha kupweteka, kupatsanso kumbuyo komwe kumapangitsa kugwedezeka. Ululu muzochitika zotere umayenda ndi munthu pafupipafupi, osasowa ngakhale usiku.
Nthawi zambiri, kumachitika kupweteka kwa lamba, komwe kumakhala kwamphamvu kwambiri ndipo nthawi zambiri kumadula mwachilengedwe. Kupweteka kotereku sikungangobweretsa chisangalalo mwa munthu.
Nthawi zina, zimatha kusokoneza wodwalayo mpaka kumabweretsa kuwawa, komwe kumatha kupha.
Zikakhala zoterezi, njira zofunikira ziyenera kutengedwa kuti muchepetse kupweteka kwambiri ndikuitanitsa chithandizo mwachangu.
Kukula kwa kapamba mwina chifukwa cha zifukwa zotsatirazi:
- Zakudya zoperewera. Kudya kwambiri kapena kudya kwambiri, zakudya zamafuta ndi zonunkhira zimayambitsa kupanga ma enzyme omwe amatha kuwononga maselo amizimba yamoyo.
- Kusuta fodya komanso kumwa mowa mwauchidakwa kumakwiyitsa kwambiri kapangidwe ka madzi a kapamba, omwe amachititsa kuti maselo awonongeke.
- Kuphwanya machitidwe a kagayidwe ndi magazi kupita ku thupi.
- Kusokonezeka pakugwira ntchito kwa minyewa ya chiwindi, matumbo ang'ono, chikhodzodzo ndi chithokomiro cha biliary.
- Kugwiritsa ntchito mankhwala kwa nthawi yayitali.
Kuwonetsedwa kwamavutidwe ndi mitsempha yamthupi pa thupi kumayambitsa zochitika zomwe munthu angatenge pancreatitis.
Zotsatira zoyipa za izi zimabweretsa chisokonezo mu kapamba, komwe kumakhudza njira zambiri zomwe zimachitika mthupi la wodwalayo.
Pachifukwachi, muyenera kudziwa momwe mungazindikire munthawi yake momwe mungayambire kuzizira. Munthu amene ali ndi kutupa ayenera kuchitapo kanthu kuti athetse vutoli komanso zifukwa zake, pomwe chithandizo chitha kuchitidwa palokha moyang'aniridwa ndi adokotala. Kuperewera kwa chithandizo kwakanthawi kumatha kuyambitsa zovuta zina mthupi la wodwalayo.
Mavuto owopsa kwambiri ndi kapangidwe ka pancreatic necrosis, ascites, ndi pseudocyst.
Zizindikiro zakukula kwa kapamba ndi zizindikiro zoyambirira zamavuto
Kodi matenda angaonekere bwanji m'thupi la munthu? Njira yotupa imayamba kudziwonekera kuyambira pachiyambi pomwe ndipo imadziwika ndi mawonekedwe osasangalatsa komanso ululu mu hypochondrium wamanzere. Choyamba, imayamba kupweteka kwa munthu kumbali yakumanzere, ndipo pambuyo pake, ndikumva kuwawa kwambiri, imatha kugwira kumbuyo ndikamvanso munthu akayamba kudwala matenda a osteochondrosis.
Chowoneka mosiyana ndi zovuta komanso zowawa zomwe zimadzetsa ndikuwonjezereka kwawo atatha kudya. Kuphatikiza apo, kuphwanya kachitidwe kogwiritsa ntchito ziwalo kukuwonetsa kuchepa kwakumwa pamene thupi lakhazikika patsogolo pakukhala.
Pakatha masiku atatu, zopweteka kwambiri nthawi zambiri zimakhala zopanda vuto. Ngati mumanyalanyaza ndipo simukuchita zoyenera, zizindikilo izi ndi izi:
- kumva mseru ndi kusanza;
- kuchuluka kwa kutentha kwa thupi mpaka madigiri 38-39;
- kuwoneka kwam'mimba kawirikawiri;
- kumachitika kawirikawiri chizungulire;
- kuchepa kwakukulu kwa kuthamanga kwa magazi;
- kuchuluka kwa mtima.
Maonekedwe a ululu akatha kudya amachititsa kuti munthu akhale ndi mantha komanso mantha. Izi zimadzuka chifukwa chakuti mukamadya chakudya, ululu umatha kuchuluka.
Zikakhala choncho, wodwalayo amayamba kudziunjikira chakudya, ndipo machitidwe otere amachititsa kuti achepetse thupi.
Ndi kukana kwanthawi yayitali njira zochizira matenda mukugwira ntchito kwa kapamba, matendawa amatha kuchokera pachimake mpaka aakulu.
Kuthana ndi zowawa kunyumba
Ngati zizindikiro zonse zomwe zikuwoneka zikuwonetsa kuti pali kuperewera kwa mankhwalawa, ndikulimbikitsidwa kukaonana ndi dokotala wodziwika bwino ndikupeza momwe ululu ungachotsedwe mwachangu kunyumba.
Pankhaniyi, palibe mseru komanso kusanza, komanso palibe kuwonjezeka kwa kutentha, ndiye
Mutha kuthana ndi mavuto nokha.
Nthawi yomweyo, muyenera kukumbukira kuti ngati kudziyimira pawokha kwa njira zochizira f kumakupatsani mwayi wopeza zotsatira zabwino, ndipo vutoli likuipiraipira. Muyenera kufunsa chithandizo kuchokera kwa dokotala.
Yekha kunyumba kuti muchepetse mavuto:
- Tengani malo abodza ndipo ikani zoziziritsa kukhosi.
- Tengani mankhwala aliwonse antispasmodic.
Monga choziziritsa kukhosi, mutha kugwiritsa ntchito phukusi lotenthetsera lodzadza ndi madzi oundana kapena botolo lamadzi oundana. Kuphatikiza apo, mutha kugwiritsa ntchito chinthu chilichonse chazizira kuchokera mufiriji. Makina ozizira amayenera kusungidwa kapamba pafupifupi mphindi 20. Pambuyo pake, compress imachotsedwa kwa mphindi zingapo ndipo njirayi imabwerezedwa.
Kutenga antispasmodic, mwachitsanzo, No-shp kapena fanizo la mankhwalawa. Piritsi la mankhwalawa kapena ma analogi ake alibe vuto lililonse. Chida monga No-spa chimakuthandizani kuti muchepetse kupweteketsa mtima ndikukulitsa ma ducts, omwe amakupatsani mwayi kuti musamasuke. Munthu amatha kusintha pakumwa mankhwala omwe ali ndi michere yapadera, mankhwalawa atha kukhala a Mezim ndi ofanana nawo.
Kuphatikiza apo, pakakhala kupweteka kwapafupipafupi, muyenera kuganiziranso zomwe mumadya ndikuchotsa zinthu zomwe zili ndi nkhawa yayikulu pamimba. Kuphatikiza zakudya ndi imodzi mwazinsinsi zotithandizira kugwira ntchito kwa kapamba.
Kugwiritsa ntchito mankhwala
Kuchepetsa ululu ndikuchotsa njira yotupa m'matupi amthupi, chithandizo chamankhwala chitha kugwiritsidwa ntchito. Pachifukwa ichi, magulu osiyanasiyana a mankhwala amagwiritsidwa ntchito.
Kugwiritsa ntchito mankhwala osokoneza bongo kuyenera kuchitika m'magawo angapo.
Chiwerengero cha magawo achire kwambiri pa chiwalo chimadalira kuchuluka kwa zovuta zamagulu ndi kukula kwa zovuta zomwe zimayambitsidwa ndi matenda opangira matenda.
Nthawi zambiri, ntchito zazikulu zomwe zimayenera kukwaniritsidwa ndikumwa mankhwala apadera ndi:
- kupumula kwa zowawa ndikuchotsa iwo;
- kupewa ndi kuchiza mavuto;
- Kubwezeretsa magwiridwe antchito a kapamba.
Chithandizo cha Conservative chimaphatikizapo kugwiritsa ntchito:
- Ophera.
- Antispasmodics.
- Mankhwala a antiemetic.
- Maantibayotiki.
- Mankhwala okhala ndi ma enzymes.
- Maantacid.
Monga painkillers, mutha kugwiritsa ntchito Paracetamol. Mankhwalawa amatanthauza mankhwala omwe si a antiidal a antiidal, amalola kuti muchepetse kutupa komanso kusuwa. Kuphatikiza apo, mankhwalawa amatha kuchepetsa pang'ono mphamvu ya kutupa.
Mukamamwa mankhwalawa mu milingo yayikulu, kupweteka pamimba ndi kulephera kwa impso kumachitika, ngati mukulira kwakukulu, mutha kumachitika.
Ma Antispasmodics amathandizira kupumula ma pancreatic ducts ndikuwongolera kutuluka kwamadzi.
Mankhwalawa akuphatikizapo:
- Drotaverine;
- Ayi-shpa;
- Papaverine ndi ena.
Mukamagwiritsa ntchito mankhwalawa, chisamaliro chapadera chiyenera kutengedwa kwa azimayi omwe ali pa nthawi yotsala.
Metoclopramide ingagwiritsidwe ntchito ngati antiemetic, imathandizira kuchepetsa nseru, imaletsa kusanza ndi hiccups, komanso imathandizira kuzungulira kwa m'mimba thirakiti.
Kutenga antibacterial othandizira kungalepheretse kukula kwa zovuta zomwe zingatheke, monga peritonitis, abscess ndi sepsis.
Kugwiritsa ntchito Abactal, Vancomycin, Ceftriaxone kumatha kuchotsa zovuta zopanda pake chifukwa cha kutupa ndikuletsa kupezeka kwawo. Mankhwalawa amapha mabakiteriya ndipo amatsekera njira zosakanikirana ndi zinthu za cell khoma la tizilombo tating'onoting'ono.
Kugwiritsa ntchito omeprazole kumathetsa ululu, kumachepetsa kupanga asidi, yemwe amasintha kapamba.
Mankhwala okhala ndi enzyme monga Mezim ndi Pancreatin amathandizira kuti ntchito ya thupi ikhale yachilendo pochepetsa katundu m'maselo a enzyme. Pamodzi ndi kumwa mankhwala, zakudya zopatsa thanzi ziyenera kutsatiridwa.
Zomwe zimayambitsa ndi njira zochizira ululu wamankhwala zimafotokozedwa mu kanema munkhaniyi.
