Kufunika kwa magwiridwe antchito a kapamba azolimbitsa thupi ayenera kudziwika ndi aliyense. Ndi gland iyi yomwe imapanga mahomoni monga glucagon, insulin ndi lipocaine.
Ma mahormone amatenga gawo limodzi pazochitika za thupi. Zikondazo zimapangitsanso ma enzyme angapo omwe amathandizira kugaya chakudya ndikuthandizira chakudya.
Kukula kwake kumatengera kutalika ndi kutulutsa kwa ndere. Kusintha kulikonse kapangidwe kake kapena kuwonjezeka kukula kungasonyeze kukhalapo kwa matenda. Itha kukhala pancreatitis komanso necrosis ya gland.
Kulandila panthawi yake muzochitika izi ndikofunikira kwambiri, chifukwa matenda a kapamba amayamba msanga komanso popanda chithandizo amatsogolera kuti wodwalayo afe.
Nthawi zina madokotala amatha kudumpha gawo loyambirira la matendawa, chifukwa nthawi zambiri satsatiridwa ndi chizindikiro chilichonse. Chifukwa chake, ngati wodwala akumva kupweteka pamimba, dokotala amakupatsirani kuyesa kwa ziphuphu.
Kufotokozera kwa kapamba
Munthawi yabwinobwino, kapamba amakhala ndi miyeso yotsatila, kutengera zaka za munthuyo: mutu - masentimita 18-16, mchira - 16-20 sentimita. Chiwalocho chili m'mimba kumtunda, kumbuyo kwa m'mimba pafupi ndi ndulu.
Popeza kapamba amapezeka kumbuyo kwa ziwalo zina, sizingatheke kuzindikira kusintha kwake ndikupanga mwachangu kuti amakula ndi palpation. Zikatero, kudutsa kwa ultrasound kapena MRI ya chiwalo kumakhala kofunikira.
Ndi mitundu yodziwitsa izi, katswiri amatha kudziwa kukula kwa kapamba, kupezeka kwa ma neoplasms, mwachitsanzo, cysts, ndi kukhalapo kwa foci of kutupa, omwe angakhudze kugwirana komanso mutu.
Kuti mudziwe matenda, ndikofunikanso kukaonana ndi gastroenterologist, yemwe amatsogozedwa ndi zithunzi ndi zotsatira za mayeso ena kuti adziwe mtundu wa matenda.
Choyambitsa kupweteka kwambiri mu kapamba ndi kapamba. Odwala omwe ali ndi kapamba, ma ultrasound amawonetsa kusintha kwa kukula kwa chiwalo, mchira ndi mutu wa kapamba zimatha kuchuluka.
Komanso, kukulitsa kwakukulu kwa chiwonetsero sikuli koopsa pamoyo wamunthu monga kuchuluka kwawoko, ndiye kuti, ngati mchira kapena mutu ukukulitsidwa.
Pancreatitis ndizovuta kudziwa panthawi yomwe matendawa amakula. Ndi ululu waukulu, kukula kwa kapamba kumakhala kwabwinobwino, ndipo sikakulitsidwa. Musanapange matenda anuwo, muyenera kudikirira osachepera maola 6 mpaka 7 pambuyo poti waukira, ndipo pokhapokha dziwani momwe mchira ulili, kapena ngati chiwalocho chikukula kapena ayi.
Pozindikira, adotolo sayenera kuphonya ngakhale kusintha pang'ono ngati kapamba akukulitsidwa. Izi zitha kuwonetsa pancreatitis komanso kukula kwa oncology.
Ndi kukula kwa khansa, kuwonjezeka kwa mchira kapena mutu wa chiwalo kumawonedwa. Pancreatitis imadziwika ndi kuwonjezeka kwa chiwalo chonse, komanso kuphwanya kwake homogeneity ndi malire.
Zomwe zimayambitsa matendawa
Akatswiri azindikira zingapo zomwe zimayambitsa matenda a kapamba. Mwa iwo, pali cholowa, kuphwanya kapangidwe ka minofu ya chiwalo, komanso matenda osapezeka kapena sanapezeke. Zomwe zimayambitsa zimatha kukhala zovuta komanso zimayambitsa matenda.
Chizindikiro chachikulu cha kapamba ndi kuwonjezereka kwa kapamba, mwachitsanzo, mchira. Zifukwa apa zingakhale motere:
- kukhalapo kwa mwala, womwe umapezeka mumzenje wowonjezera;
- organen adenoma yokhala ndi ma cysts;
- pancreatic pseudocyst;
- purulent abscesses m'dera la mchira wa pancreatic;
- neoplasms yoyipa pa chiwalo;
- duodenal duodenum;
- neoplasms pa papilla yaying'ono ya duodenum.
Zizindikiro zakucha kwa kapamba
Mwa munthu aliyense, matenda a kapamba amatuluka payekhapayekha, kutengera kuwopsa kwa matendawa ndi kulolerana kwake, komanso kutulutsa kwawoko, kungakhale thupi, mutu, mchira.
Chizindikiro chachikulu cha kutupa kwa pancreatic ndi ululu wamphamvu, womwe umatha kukhala kudula kapena kukoka. Kupweteka uku kumatha kukhala kwa nthawi yayitali ndipo sikugwirizana ndi zakudya. Kutengera ndi kuopsa kwa matendawa, kupweteka kwa kapamba kumakulanso.
Zomverera zowawa zimapezekanso m'dera la mtima, komanso masamba. Nthawi zambiri, ululu umatha kukhala wopweteka kwambiri mpaka munthu amakhala ndi nkhawa. Muzochita zamankhwala, mumakhala milandu yodziwika ya imfa, chomwe chimapangitsa anali kupweteka kwambiri.
Zizindikiro zachiwiri za matenda a kapamba ndi mseru, kusanza, chimbudzi chosakhazikika. Zimadziwikanso kuti mchira wa kapamba umachulukana, womwe umatsimikiziridwa ndi kupezeka kwa ultrasound.
Zizindikiro za izi zitha kukhala kusintha kwa khungu. Imakhala ndi mtundu wachikasu, ndipo khungu la zala limakhala mtundu wonyezimira wamtambo.
Njira zochizira zotupa za kapamba
Musanapitilize ndi mankhwalawa ndikuchotsa kutupa kwa chiwalo, ndikofunikira kufunsa ndi akatswiri angapo kuti athe kupatula kukhalapo kwa matenda olumikizana.
Asanapite kwa dokotala, wodwala sayenera kupatula mafuta, okazinga ndi osuta zakudya kuchokera pachakudya ndipo asamwe mowa. Komanso, simungathe kutenthetsa kapamba.
Nthawi zambiri, chithandizo cha kapamba chimakhala ndi zinthu zovuta kuchita: kusintha pakudya, physiotherapy, komanso ngati mukudwala pang'ono, kumwa mankhwala.
Njira yopangira opaleshoni imaganiziridwa kwa wodwala aliyense payekha malinga ndi kuopsa kwa matendawa, opaleshoni yamatenda a pancreatic amachitika kokha ngati njira yomaliza.
Pancreatic kutupa kwa ana
Malinga ndi ziwerengero zamankhwala, kuchuluka kwa ana omwe akudwala matenda a pancreatic akukula chaka chilichonse.
Cholinga cha izi ndi:
- kuperewera kwa zakudya m'thupi
- chibadwa
- kapena poyizoni thupi.
Thupi la anawo limagwiranso ntchito kwambiri pamiyeso yosiyanasiyana.
Kuzindikira matenda kwa ana adakali achichepere kumatha kukhala kovuta. Izi zimatha kudzetsa vuto lolakwika ndikusankhidwa kwa chithandizo chopanda tanthauzo.
Matenda akuluakulu a kapamba mu ana ndi othandizira komanso osatha kapamba, ndipo kupweteka kwapakhosi kumakhala kofala.
Kuthandizira ndi matenda apamba
Ngati mukumva kupweteka m'dera la thupi, tikulimbikitsidwa kukana chakudya chathunthu patsiku ndikumamwa zakumwa zambiri zamchere. Itha kukhala madzi amchere popanda mpweya. Ice kapena chiwiya chotenthetsera ndi madzi ozizira chiyenera kuyikiridwa m'dera la navel. Izi zikuthandizira kuchepetsa ululu.
Ngati ululu suchepera, ndiye kuti mutha kumwa mapiritsi a 1-2 a no-shpa. Imathandizanso kupindika komanso kuthandiza kuchepetsa ululu. Sikulimbikitsidwa kumwa mankhwala ena ndi mapiritsi a kapamba popanda mankhwala a dokotala.
Ngakhale ululu utatha, muyenera kuwona dokotala, ngati ululuwo ndi waukulu, ndiye kuyimbira ambulansi. Palibe chifukwa chomwe mungamwere mankhwala osalandira mankhwala a dokotala.
Madokotala amakumbutsa kuti kupweteka sikubwera kokha, nthawi zonse amakhala ndi zifukwa. Ichi chingakhale chizindikiro choyamba cha matenda oopsa, nthawi zina ngakhale khansa. Kuzindikiritsa mosadziwika bwino komanso chithandizo cha matendawa kungayambitse kuchotsedwa kwathunthu kwa ziwalo.
