Kodi msana wanga ungandipweteke ndi matenda ashuga? Ndi kuphwanya kwa kagayidwe kazakudya, odwala amadwala matenda osiyanasiyana, zovuta ndi kusapeza bwino. Nthawi zambiri, odwala matenda ashuga amadandaula za kupweteka kumbuyo, makamaka kudera lumbar. Pancreatitis, yomwe imadziwika ndi kupukusira kwa kapamba, imatha kuyambitsa zovuta kwa wodwalayo.
Zofunikira pakuthandizira matenda a matenda amisempha ndi njira zamtundu uliwonse zothandizira ululu. Pakapangidwe ka kupweteka kwa msana mu kapamba, gawo lalikulu limayimbidwa ndi njira zomwe zimachitika mu kapamba. Izi zitha kukhala zotsekemera za bile ducts, kusokonezeka kwama cell m'matenda, kutupa, kusintha kwa dystrophic.
Mu nthawi yayikulu ya kapamba, ululu wammbuyo umayamba chifukwa chakufinya kwamatumbo, chiwalo chimatupa, timadzi tambiri timadzaza mkati mwake. Kupezeka kwa masamba a dystrophic ndi necrotic kumatha kukhala chizindikiro payekha, kuyambira nthawi zambiri mpaka umodzi.
Ndi chitukuko cha matenda oopsa a pathological, kuphwanya umphumphu wa ziwalo za tchire parenchyma, ma enzyme amachotsedwera mopitilira malire a ma ducts, kotero kupweteka mu vuto ili kungakulitse kwambiri. Kutupa kwachangu kukupatsa kusasangalala kwambiri, tsopano:
- njira za ischemic;
- m'malo mwa glandular minofu ndi cholumikizira akuyamba.
M'madera ena a kapamba, ma cystic neoplasms amapezeka, komanso magawo osanja.
Zotsatira zake, zigawo za minofu zomwe zidatsalira zimapanikizika, kutuluka kwa michere kumachitika, ndipo ululu umakwera.
Popanda chithandizo komanso njira yayitali yotupa, kupweteka kwamkati kumachitika ngakhale ndikukwiya pang'ono.
Makhalidwe opweteka
The kudziwa kwawoko kupweteka ndi chikhalidwe chake pancreatitis imatha kudziwika ngati munthu zizindikiro, koma, zimadalira kuopsa kwa matendawa. Ngati kutupa ndi pachimake, zilonda kumachitika pokhapokha ngati chakudya chikupweteka. Pamene pathological njira ikupita, kuchuluka kwa kupweteka kumawonjezeka.
Anthu odwala matenda ashuga amathamangira posaka njira yosavuta, koma nthawi zambiri, wodwalayo samadzimva kuti wagona, wagona kumbali yake, kapena mwana atakula. Wodwala atagona kumbuyo kwake, amakhala kuti sakumuwonetsa.
Monga lamulo, kupweteka kwa pancreatitis wodwala yemwe ali ndi matenda a shuga kumalowetsedwa pamimba, mwachitsanzo, m'chigawo cha epigastric. Komabe, odwala ambiri amadandaula za kupweteka kwa kumanja kapena kumanzere kwa hypochondrium, kawirikawiri ululu womwe umakhala pachimake cha matendawa umafanana ndi ululu wamakhalidwe a angina pectoris, amawonetsa kusakhudzika kumbali yakumanzere, mbali yakumanzere ya nsagwada yakumanzere kapena nkono.
Njira yotupa yotupa imayamba pang'ono, ululu umatha kukhala wosiyanasiyana:
- m'dera lumbar (mwanjira yakumanzere-lamba kapena lamba wathunthu);
- kumbuyo m'malo osafalikira mpaka minofu yoyandikana nayo;
- pansi pa sternum (m'dera la nthiti zam'munsi);
- Pamwamba pa m'mimba, pamimba.
Ochuluka a odwala matenda ashuga omwe akhala akuvutika ndi pancreatitis nthawi zambiri amamva kupweteka, ndiye kuti, ululu umapindika. Nthawi zambiri ululu umakhala wawukulu kwambiri kotero kuti chitukuko cha kusokonezeka kwa m'maganizo sichitha.
Kodi msana wanga ungandipweteke ndi matenda ashuga ngati ndimadya chakudya cholemera? Inde, nthawi zambiri ndi kapamba ndizomwe zimachitika. Zizindikiro zoyambirira za ululu zimayamba kuwonekera pafupifupi theka la ola mutatha kudya chakudya chotere.
Zovuta za zilonda zam'mimba zam'mimba zam'mimba pamimba yopanda kanthu sizimachitika, nthawi zina, pakapita nthawi, wodwalayo adanenanso kuchuluka kwa kupweteka.
Kuchepetsa mwadzidzidzi kwa ululu pamenepa kumayimira kufa kwa minofu yapakhosi - necrosis.
Momwe mungathetsere zowawa kunyumba
Ngati gawo la kutupa mkati mwa ziwalo ndilosokonekera, kutha kwa zowawa kungakhale umboni wakukula kwa matendawo. Kuwonetsedwa kwa omwe amadziwika kuti "pamimba pamimba" kuyenera kuyesedwa ndikuzindikiridwa ndi dokotala wa opaleshoni yekha mu vivo, ndizoletsedwa kugwiritsa ntchito mankhwala aliwonse opweteka kuti muchepetse ululu.
Kupanda kutero, matenda azachipatala ndi ovuta kwambiri kuzindikira. Ngati shuga akwera ndi kapamba, njira yothandiza kwambiri yothetsera ululu wam'mimba ndikugwiritsa ntchito madzi oundana m'mimba ndi kumbuyo.
Kupweteka kwapancreatic kumatha kuyimitsidwa kunyumba, chifukwa ichi kugwiritsa ntchito mankhwala osaphatikizana ndi steroid amaloledwa, othandiza kwambiri pagawo lino la mankhwala ndi mapiritsi: Ibuprofen, Paracetamol, Diclofenac.
Paracetamol itha kugulidwa ngati mapiritsi, madzi, kapena mapiritsi amadzaza amadzimadzi. Mlingo wa mankhwalawa aliyense ayenera kusankhidwa motsatana. Mutha kuyamba kuchira ndi ndalama zochepa kwambiri, ngati kuli kotheka, mlingo umakulitsidwa pang'onopang'ono.
Ndi kufooka kwa analgesic mphamvu ya Paracetamol, tikulimbikitsidwa kusinthana ndi mankhwala:
- Diclofenac;
- Ibuprofen.
Ululu umathetsedwera chifukwa cha zomwe zimapangitsa kuti mankhwala azitha kutulutsa mankhwala osokoneza bongo, ma antipsychotic, koma izi zimayenera kuchitidwa pokhapokha ngati mukupweteka kwambiri.
Njira yovuta yochizira yotupa imaphatikizira mankhwala: ma pancreatic Enzymes, mahomoni somatostatin ndi mankhwala ena opangira, blockers a H-2-histamine receptors.
Ma pancreatic michere amasinthitsa chimbudzi cha chakudya, amachepetsa katundu pa minyewa yake. Kuphatikiza apo, amathandizira kuchepetsa magwiridwe antchito, kukula kwa ululu wamankhwala.
Somatostatin amadziwika ndi kuthekera kochepetsa chidwi cha anthu odwala matenda ashuga kuti apweteke, ma analogue opangira mankhwala ndi Octreotide. Mankhwala amakhala ndi nthawi yayitali yowonekera, chifukwa chake, m'masiku atatu ndizotheka kukwaniritsa zotsatira zokhazikika.
Tiyenera kumvetsetsa kuti somatostatin ali ndi ma contraindication ambiri, mavuto. Chifukwa chake, mankhwalawa ndi mawonekedwe ake saloledwa kugwiritsidwa ntchito pochiza odwala onse odwala matenda ashuga. Kusankhidwa kuyenera kuchitika payekhapayekha, kuyambira:
- chithunzi cha matenda;
- Zizindikiro
Blockers of H-2-histamine receptors amathandizira poletsa kubisala kwa michere ya pancreatic, akuwonetsedwa kuti azigwiritsidwa ntchito ndi proton pump inhibitors.
Pakati pa blockers, Famotidine ndi mankhwala otchuka kwambiri, amadziwika ndi zochita za antioxidants, ali ndi zovuta zochepa, ndipo amathandiza kwambiri kukonza machitidwe a magazi a wodwala.
Chifukwa cha Famotidine, ntchito yotsalira yotulutsa pancreatic imachepetsedwa, zomwe zimachitika chifukwa cha kuletsa kwachangu kwam'mimba m'mimba mwa hydrochloric acid.
Pamodzi ndi mankhwala omwe tatchulawa pokana kupweteka kumbuyo ndi kupweteka kwam'mimba m'matenda a shuga, ma protein a proton pump angagwiritsidwe ntchito:
- Lansoprazole;
- Rabeprazole;
- Esomeprazole
Mankhwalawa amadziwika kuti amapereka mitundu yambiri yosagwirizana ndi thupi la wodwalayo ndipo samayambitsa shuga m'magazi. Pachifukwa ichi, kugwiritsa ntchito mankhwalawa ndizotetezeka kwathunthu kwa thanzi, pokhapokha ngati mulingo wofanana wasankhidwa, proton pump zoletsa amaloledwa kugwiritsidwa ntchito kwanthawi yayitali.
Tiyeneranso kudziwitsa kuti mankhwala osiyanasiyana wowerengeka azitha kugwiritsidwa ntchito pofuna kuthetsa ululu wa kapamba, sangathe kubwezeretsa chithandizo chachikulu, koma kuphatikiza kwawo kumathandizira kuti munthu akhale ndi matenda ashuga.
Chipatala Chachithandizo
Pancreatitis yayikulu, odwala matenda ashuga ayenera kuthandizidwa kuchipatala mwachangu, mankhwala amagwiritsidwa ntchito pochotsa ululu kuchipatala - analgesics. Ndi mtundu wanji wa mankhwalawa ofunikira, adokotala amasankha vutoli, nthawi zambiri kuposa momwe ena akufotokozera: Ketanov, Promedol, Tramadol, Omnopon.
Muzochitika zovuta kwambiri, analcics ya narcotic iyenera kuphatikizidwa ndi antipsychotic, antidepressants, and tranquilizer. Izi ndikofunikira kuti zochita za wina ndi mnzake zitheke komanso kuti muchepetse kupweteka kwam'mbuyo komanso m'mimba.
Mavuto omwe angachitike chifukwa cha matenda ashuga afotokozedwa muvidiyoyi.
