Kanyama kapamba kumawerengedwa kuti ndi chimodzi mwazinthu zovuta kwambiri m'thupi la munthu. Mavuto a gland ndi ovuta kuzindikira, ndipo zikafika, zimakhala zovuta kwambiri kubwezeretsanso ntchito ya thupi.
Kagayidwe ndi chimbudzi chokwanira chimatengera ntchito ya kapamba. Kafukufuku wazachipatala akuwonetsa zoposa 200 zomwe zimayambitsa kapamba.
Zomwe zimayambitsa zovuta zapancreatic ndimatenda a gallstone komanso uchidakwa. Ndikudziwika bwino kuti vuto ndi m'mimba ndipo, makamaka, ndi kapamba kumapezeka mwa anthu ambiri omwe amamwa mowa mwandondomeko.
Komabe, lero tikambirana zomwe zimayambitsa matenda monga kapamba, zomwe zimayambitsa, kuwonjezera pa kuperewera kwa zakudya m'thupi.
Ntchito ya pancreatic
Chikhansa ndi chinsinsi chomwe chimapanga mahomoni apadera ndi madzi a m'mimba. Popanda kapamba, ndizosatheka kuchita chimbudzi komanso kupangika kwathunthu kwa thupi.
Zikondazo ndizotalika masentimita 15 okha, koma kulemera kwake ndi magalamu 80 osachepera. Patsiku limodzi, thupi limabisala kuposa malita 1.4 a chimbudzi.
Ntchito yachinsinsi ya kapamba ndikuyendetsa madzi akumwa a pancreatic kupita nawo ku duodenum.
Madzi a pancreatic ali ndi ma enzymes angapo:
- trypsin
- nseru
- mkaka
- lipase.
Zikondazo zimapanganso mahomoni:
- glucagon
- insulin
- lycopoin.
Ma mahomoni awa ali ndi vuto la shuga m'magazi, amathandizidwanso pakupanga phospholipids ndi carbohydrate metabolism.
Zoyambitsa Pancreatitis
Zachidziwikire, kapamba amakhudzidwa mwachindunji ndi moyo ndi chakudya chomwe munthu amadya. Pofuna kugaya chakudya, mapuloteni ndi mafuta, kapamba amatulutsa michere yapadera, mwachitsanzo, ndi trypsin ya mapuloteni, ndi lipase ya mafuta.
Ichi ndichifukwa chake kumwa kwambiri, zakudya zovulaza, mankhwala amabweretsa kutsika mu kutuluka kwa pancreatic madzi. Madzi amangokhala mu minyewa ya ndulu, osafikira duodenum, awa ndi zifukwa zoyambirira zomwe zimabweretsa mavuto ambiri, kuphatikizapo kapamba amayamba.
Chifukwa cha zovuta zam'mimba, njira yotupa imachitika, ndipo, ndiponso, kapamba kovuta. Zomwe zimayambitsa matendawa:
- kuvulala
- kudya kwambiri
- poyizoni.
Palibe pafupifupi milandu pamene kutupa kumachitika ngati dziko lodziimira paliponse. Zikondwerero zimaphatikizidwa nthawi zonse mu matenda a pathological mu matenda aliwonse, makamaka dongosolo logaya chakudya.
Monga lamulo, mkhalidwe wa kapamba ndizovuta kudziwa, chifukwa kudziwa kuti chiwalo chaching'onochi ndi chovuta kwambiri. Ndikofunikira kudziwa momwe mungakonzekere moyenera pancreatic ultrasound kuti mupeze zotsatira zoyenera ...
Chifukwa chake, pancreatitis pachimake imakhala ndi zifukwa zomwe zimadziwika padziko lonse lapansi.
Matenda a biliary thirakiti ndi ndulu
Choyambitsa ndichimodzi mwazofunikira pakuwonekera kwa pacreatitis, ndi matenda oopsa m'mitsempha yamafinya, machitidwe osayenerera amthupi amayamba kukhazikika.
Ndipo pali kudzikundikira kwa zinthu zomwe zimayambitsa kutseguka kwa ma enzyme motsutsana ndi minyewa ya pancreatic. Mukuchita izi, mitsempha yamagazi imakhudzidwa, zomwe zimapanga edema yamatenda owopsa komanso zotupa pambuyo pake.
Izi zimachitika 70% ya milandu yovuta yotupa mu kapamba. Mu 30%, kapamba amatha kukhala idiopathic.
Matenda a duodenum ndi m'mimba
Mapangidwe osakwanira kwa sphincter a Oddi amawonekera ndikuphwanya kwam'mimba, monga:
- gastritis
- kutupa kwa duodenal
- zilonda zam'mimba
- kufooka kwa ntchito yamagalimoto.
Ndi matendawa, matumbo omwe amapezeka m'matumbo amaponyedwa m'miyendo ya kapamba, komanso matenda a ndulu.
M'matenda otsatirawa, pali kuphwanya kayendedwe ka magazi m'magazi, komwe kumachepetsa zakudya zake, ndipo potero, mumayamba kupindika. Tilembera matenda awa:
- matenda ashuga
- mtima atherosulinosis
- matenda oopsa
- mimba
Mimba imayambitsa kupanikizika kwa uterine pamatumbo, zomwe zimayambitsa mapangidwe a pancreatic ischemia, kotero pali chiopsezo cha pancreatitis pachimake.
Ma pancreatic enzymes amathandizira chakudya, mowa ndi poyizoni wa mankhwala. Intoxication ikhoza kukhala:
- Zoopsa
- Mchere
- Acidic
- Potengera maziko akuukira kwa helminthic.
Kugwiritsa ntchito masamba ndi zipatso zomwe zili ndi chiwerengero chachikulu cha mankhwala ophera tizilombo komanso kuthira mankhwala ena owonjezera pazakudya kumathandizanso kutsegula kwa michere ya gland.
Kuphatikiza apo, pali mankhwala angapo omwe amayambitsanso njirayi, pakati pawo:
- Mankhwala osokoneza bongo oletsa kuponderezana
- Furosemide
- Azathioprine
- Metronidazole
- Ma estrogens
- Tetracycline
- Thiazide okodzetsa
- Sulfonamides
- Glucocorticosteroids
- Cholinesterase Inhibitors
Nthawi zambiri, kapamba amawonekera mwa anthu omwe amadya kwambiri mwanjira iliyonse. Kuwonongeka kwa mafuta kagayidwe kake kumayambitsanso ma enzyme.
Ngati munthu ali ndi vuto lofuna kudya kwambiri, ndiye kuti chiopsezo chokhala ndi kapamba zimachulukitsa kangapo, makamaka motsutsana ndi maziko a kudya zakudya yokazinga ndi mafuta. Pazonse, ndikofunikira nthawi zonse kudziwa zomwe zikondamoyo zimakonda kuti thupi lizikhala bwino.
Ndi mabala, kuvulala kwakanthawi, komanso chifukwa chakulephera kugwira ntchito pa duodenum ndi chikhodzodzo cha ndulu, njira yotupa yopweteka kwambiri m'mapapo ingayambike.
Kuopsa kwa kapamba kumachulukitsidwa ndi matenda opatsirana:
- Matenda owopsa komanso chiwindi.
- Kulephera kwa chiwindi.
- Matenda oopsa a tonsillitis.
- Kuku pox
- Mapampu (ma mumps).
- Njira zoyipa-zotupa (zambiri komanso zopezeka mu peritoneum).
- Kamwazi.
- Sepsis yamatumbo.
Madokotala ena amati mitundu ina ya kapamba imayamba. Odwala oterowo nthawi zambiri amakhala ndi ma antibodies m'magazi awo omwe amawonetsa autoaggression. Izi zimayambitsa kutupa kwa kapamba.
Pali zovuta ndi majini ambiri omwe matendawa amakula kuyambira masiku oyamba amoyo.
Zokhudza mowa pa kukula kwa kapamba
Odwala ambiri kuchipatala omwe amapezeka kuti ali ndi pancreatitis pachimake ndi anthu omwe amamwa mowa wambiri.
Malinga ndi chidziwitso china, oposa 40% ya odwala omwe amathandizidwa kuchipatala ndi omwe amamwa mowa ndi kapamba, komanso kapamba wowononga.
- 30% yokha ya odwala amathandizidwa ndi matenda a gallstone.
- Pafupifupi 20% ya anthu onenepa kwambiri amadwala matendawa.
- Kuvulala, hepatitis ya mavairasi, kugwiritsa ntchito mankhwala osokoneza bongo ndi poyizoni ndizomwe zimayambitsa pancreatitis mwa 5% yokha.
- Anomalies of development, deficiital defici, genetic tsogolo sapitilira 5%.
Kupewa kwa Pancreatitis
Kuukira kwa kapamba mu mawonekedwe owopsa, ichi ndi chifukwa chachikulu chothandizira kuchipatala mwachangu. Chithandizo chikuyenera kuchitika kuchipatala, nthawi zina opaleshoni imayikidwa.
Nthawi zambiri, kapamba mu mawonekedwe owopsa amakhala osakhazikika. Pankhaniyi, kapamba amadziwononga nthawi yonseyi.
Kupewa mitundu yonse ya kapamba ndi njira yabwino kwambiri yopewera mavuto ambiri omwe nthawi zambiri sangasinthike.
Kusiya kusuta fodya komanso kumwa mowa kumachepetsa katundu pa kapamba, komanso nthawi zina. Komanso, ndi chifuwa chachikulu, nthawi yochotsera chikhale kwa nthawi yayitali.
Kuchulukana kwa kapamba kumachitika chifukwa cha:
- Kuchita masewera olimbitsa thupi kwambiri
- Bath ndi sauna
- Kudumphadumpha ndi kuthamanga magulu
Kusintha kwakukulu kwambiri kwa masewera olimbitsa thupi panthawiyi, asayansi adazindikira kutikita minofu, masewera olimbitsa thupi komanso masewera olimbitsa thupi.
Ndikofunika kuchotsa miyala ku chikhodzodzo akangopezeka ndi dokotala. Ntchito ya kapamba zimatengera mkhalidwe wa ndulu ndi njira zake.
Pokonzekera zovuta, adotolo adzalembera zakudya zapadera za miyala mu ndulu. M'pofunika kuti mukadye chakudya moyenera, mukumvera malangizo onse azachipatala.
