Mankhwala a kapamba akuluakulu: mankhwala osokoneza bongo ndi mankhwala

Kukula kwa kapamba mu akulu sichachilendo. Matenda a kapamba amtunduwu amatha kuchitika osati chifukwa cha kuperewera kwa zakudya m'thupi, kuledzera, komanso chifukwa cha zifukwa zina zambiri, mwachitsanzo, kuchuluka kwamafuta kapena calcium m'magazi. Kunena zowona, madokotala aku Europe amakhulupirira kuti mu milandu 15-20% ndizosavuta kuzindikira chomwe chimayambitsa matendawa.

Ngati kapamba sangathe kuchita gawo lina lililonse la ntchito zake chifukwa cha kuyambika, ndiye kuti titha kulankhula za insuffine ndi exocrine pancreatic insuffence. Kuwonetsedwa kwa kuperewera kwa endocrine nthawi zambiri kumakhala shuga.

Zizindikiro za Pancreatitis

Ndi zizindikiro ziti zomwe zimawonedwa mwa akulu atadwala matendawa? Ndi kutupa kwa kapamba, wodwalayo angamve kupweteka kwakanthawi komanso kolimba kumbuyo ndi m'mimba. M'malo mwake, ichi ndiye chizindikiro chachikulu.

Ululu umatha kutsatiridwa ndi kusanza, nseru (izi zimachitika pafupipafupi ngati chakudya chinali chamafuta). Kuphatikiza wodwala amatha kudandaula za kutopa, kugona komanso kufooka.

Ndi kutupa kwapamwamba, ntchito ya kapamba imachepa - kupanga michere yamagayidwe am'mimba kumachepera (ndi exocrine insuffence), komwe kumayambitsa mavuto ammimba: flatulence, matumbo amafuta, masitepe otayirira, kuchepa thupi kumayamba. Pankhani ya kuchepa kwa endocrine, insulin yokwanira imapangidwa mutatha kudya, kotero kuchuluka kwa glucose m'magazi kumakwera.

Kuti muwone pancreatitis, dokotala amakupatsirani kuyesa kwa magazi ndi mkodzo, komanso ndi ultrasound ya kapamba, kuti muwone kuchuluka kwa zomwe mkati mwake zimakulitsidwa. Komanso, ngati pakufunika kutero, wodwalayo amayesedwa ndi X-ray, ndipo pazotsatira zomwe zapezeka, dokotalayo amawona kuti ndi mankhwala ati omwe ayenera kumwedwa kuti athandize kapamba.

Ngati chithunzichi chikuwonetsa kukula kwa kapamba, ndikofunikira kumayesedwa osazindikira kuti kupatuka koteroko ndi zotsatira za njira iliyonse yotupa, ndipo ngati matendowo atsimikizika, yambani mankhwalawa pancreatitis posachedwa. Kukula kwakanthawi kaphikidwe ka thanzi mwa akulu ndi kutalika kwa 15 mpaka 22 cm ndi 3 cm mulifupi.

Chithandizo cha kapamba

Njira zochizira matendawa zitha kufotokozedwa m'mawu amodzi. Madokotala ati kapamba amakonda kuzizira, njala, ndi mtendere.

Pazizindikiro zoyambirira za kapamba mwa anthu akuluakulu, dokotala nthawi zambiri amapereka mwachangu masiku atatu. Pakadali pano, kapamba akabwezeretsedwa, ndikofunikira kumwa madzi ambiri akumwa kuti musangokulirirani kwathunthu chifukwa chosowa kwamadzi mthupi, komanso kuti muchepetse kuchuluka kwa matendawa.

Chithandizo cha pancreatitis mwa akulu ndi njira yayitali kwambiri, muyenera kukonzekera izi. Ndikofunika kuti musangomwa mankhwala okhawo omwe dokotala angagwiritse ntchito, komanso kutsatira njira yothandizira odwala.

Njira zodzitchinjiriza zimathandizira kupewa kupitilirabe kwamatendawa makamaka mukangoyamba kutupa.

Chithandizo chimapangidwira kuti abwezeretse ntchito ya pancreatic ndi kuthekera kwake kwachilengedwe pakupanga madzi a pancreatic. Komabe, wodwalayo amayeneranso kuchita zonse zofunika kuti aletse matenda osokoneza mtima a shuga, zomwe zimabweretsa kukula kwa matenda osokoneza bongo.

Kubwezeretsa kuthekera kwa kapamba kuti azigwiritsa ntchito madzi am'madzi kumathandizira kupewa kuperewera kwa zakudya m'thupi ndi zakudya zomwe zingayambike chifukwa cha kugawanika kwa zakudya zomwe zimalowa m'mitsempha yamagazi. Kuwonongeka kwa kapamba ndi kumera kungalepheretsedwe ndikubwezeretsa kamvekedwe kabwino ka minofu ya m'mimba m'mimba ndikuyimitsa ntchito yogwira ntchito ya michere yam'mimba.

Chithandizo cha pancreatitis mwa akulu ndizofunikira kuyang'aniridwa ndi dokotala, ngati atazindikira mozama. Chowonadi ndi chakuti zizindikiro za kapamba nthawi zambiri zimakhala zofanana ndi zizindikiro za matenda ena.

Koma ngati pancreatitis yapezeka, chithandizo ndi kupewa matendawa kumachitika pamoyo wonse. Ndikofunikira kutsatira malingaliro onse a dokotala pazakudya zamagulu, kudya pafupipafupi mankhwala ochotsa matenda, ndikuwongolera kapamba ndi mankhwala.

Chifukwa chake, mankhwala a kapamba amathandiza odwala:

• Kwezani zowawa;
• Chotsani kuperewera kwa kapamba;
• Kuthana ndi kutupa mkati mwa gawo lowonongeka;
• Pewani kukula kwa zovuta.

Matenda a wodwalayo akayamba kuchuluka, mndandandandawo / mankhwalawa amawunikanso, ndipo zakudya zake zimayamba kulimba. Ngati vutolo likuyenda bwino, wodwalayo amaloledwa kuwonjezera chakudya, kuwonjezera kuchuluka kwa magalimoto, kusintha mankhwala osokoneza bongo ndi ofooka.

Zokhudza zakudya ndi chithandizo

Kutsatira kwambiri zakudya zochizira kumakupatsani mwayi wochepetsera katundu pazinthu zomwe zakhudzidwazo pakutupa kwa kapamba ndipo kumathandizanso kuti mupumule msanga:

• Ndi mtundu uliwonse wa kapamba, wodwalayo sayenera kudya zokometsera, mafuta, osuta, zakudya zamchere, zonunkhira, mitundu ya chakudya, kununkhira. Kuphatikiza simungathe kumwa zakumwa zoledzeretsa zamphamvu zilizonse.
• Mu mawonekedwe a kapamba, muyenera kusiya kumwa mafuta ambiri ndi mapuloteni. Muyenera kudya pafupipafupi, pomwe chakudya chambiri chimakonzedwa (kutenthedwa) ndikumazisenda.
• Pankhani ya chitukuko cha mawonekedwe owopsa, zakudya za wodwalayo zimaperekedwa kudzera m'mitsempha, dokotala amafotokozera kuti akusala kudya.
• Wodwalayo amapatsidwanso ma enzyme kukonzekera komwe kumalepheretsa kupanga kwa pancreatic madzi. Izi zimakuthandizani kuti muchepetse kupweteka (pancreatitis) yayitali, imatha kutulutsidwa kumanzere kapena kumanzere hypochondrium, m'chigawo cha epigastric ndipo amatha kuperekedwanso kumbuyo ndi kumanzere phewa lakumanzere).
• Pofuna kusintha, zakudya zimatha kusintha, komabe, kukonzekera kwa enzymatic kuyenera kuledzera ndi maphunziro kwa nthawi yayitali.
• Kuti athetse kupweteka kwamatenda a pancreatitis akuluakulu, kuzizira kumayikidwa mu hypochondrium kumanzere, komwe kumathandizira kuthetsa edema ya pancreatic. Dotoloyo adatinso mankhwala angapo: anti-kutupa, analgesics, mankhwala omwe amachepetsa ma spasms, histamine receptor blockers mu gastric mucosa.
• Paokha, wodwalayo amangomwa mankhwala osokoneza bongo monga No shpa, Papaverine ndi antispasmodics ena odziwika bwino. Mankhwala otsalawo ayenera kumwedwa pokhapokha mukaonana ndi dokotala.

Mankhwala a Pancreatitis

Kuti muthane ndi zizindikiro ndi zowawa, mankhwala otsatirawa adalembedwa:

1. Mankhwala a Antispasmodic. Mukupweteka kwambiri pamimba, wodwalayo amatenga antispasmodics ndi analgesics, kuphatikiza No Shpa, Analgin, Paracetamol, Baralgin. Ngati ululu pakakulitsa kwa matendawa ndi wamphamvu kwambiri, ndikulimbikitsidwa kuti musamwe mapiritsi, koma kubaya mankhwalawo.
2. Ma H2 blockers a histamine receptors. Kuti muchepetse kupanga kwa michere ya pancreatic, mankhwala monga Ranitidine ndi Famotidine amagwiritsidwa ntchito.
3. Kukonzekera kwamantchito. Ngati kusowa kwa procrine kumawonedwa, komwe kungayambitse vuto la duodenum, dokotala amafotokozera mankhwala kapena zosakanikirana monga Fosfalugel, Almagel ndi mankhwala ena.
4. Kukonzekera kwa enzyme. Kuphatikizikako kumaphatikizapo lipase, amylase ndi trypsin. Mankhwala odziwika kwambiri ndi a Creon 8000, Creon 25000, Mezim, Pancreatin, Festal, Enzim Forte, Farestal.

Popeza ndalama zonsezi ndizofanana pakapangidwe ndipo zimakhala ndi ntchito zofanana, muyenera kufunsa dokotala musanamwe mankhwala.

Kusankha mankhwala kumadalira ntchito yomwe muyenera kuthana. Enzymes piritsi amatithandizanso kupweteka, ndipo mankhwala omwe amapezeka m'mabotolo ndiwofunikira kwambiri kuti akwaniritse kuchepa kwa ma enzymes awo ngati matendawa adwala.

Mankhwala a kapamba nthawi zambiri amayenera kumwa kwa zaka zingapo. Zotsatira zabwino zoyambirira kuchokera ku chithandizo zimawonedwa mu mwezi umodzi ndi theka mpaka miyezi iwiri. Chotsani zizindikilo zazikulu sizidzakhala pang'ono kuposa miyezi isanu ndi umodzi. Pazifukwa izi, wodwala amatha kusankha payekha kuti agule mankhwala ati. Kutengera kuthekera kwawo kwachuma - okwera mtengo kapena otsika mtengo. Anthu ambiri amasankha mankhwala otsika mtengo opangidwa ku Russia, mwachitsanzo, Pancreatinum.

Mankhwalawa kapamba ndi mankhwala:

• sedative;
• mankhwala a choleretic;
• mankhwala a mahomoni;
• calcium
• envelopu mankhwala.

Amathandizanso pochiza mavitamini a magulu B, A, D, K, E, omwe angapangitse kuchepa kwa michere m'thupi la wodwalayo. Kuti muthane ndi zotupa, Aspirin kapena Diclofenac ndi mankhwala.

Ndi dokotala uti yemwe ndiyenera kulumikizana naye pancreatitis

Panthawi ya zizindikiro zoyambirira za kapamba, muyenera kufunafuna chithandizo cha madokotala nthawi yomweyo. Pa izi, choyambirira, muyenera kupita ku ofesi ya akatswiri, omwe amayesa mayeso, kulemba zoloza kwa akatswiri ndikupereka mayeso ofunikira.

Kuti mankhwalawa athandizike, muyenera kupita kukaonana ndi dokotala yemwe akupatseni malangizo omwe amwe mankhwalawa. Wopatsa zakudya azithandizira kudziwa zomwe zingadyedwe ndi kapamba, apanga menyu, ndikuwonetsa kuti zipatso ndi ndiwo zamasamba zomwe zimakhala ndi kapamba zimatha kuphatikizidwa m'zakudya.

Dokotala akupatsirani mankhwala azakudya, ndikuwuzeni zakudya zomwe siziyenera kuperekedwa kuchakudya ndikulemba mndandanda wazakudya zofunika. Komanso, wodwalayo adzaphunziranso kudya moyenera kuti akhazikitse ziphuphu.