Ngati munthu akumva kusasangalala m'mimba mwake, ndiye kuti ayenera kufunsa othandizira. Uyu ndi dokotala woyamba yemwe amayenera kufunsidwa kuti akumane ndi mavuto am'mimba. Komabe, ngati uku ndi kapamba, ndiye dokotala uti amene amayang'anira, kuthandizira, kuchiza?
Tiyeni tiwone mu nkhani zomwe adotolo amachita pamatenda a kapamba, ndi zomwe amachita choyamba.
- Adokotala atenga zonse pazomwe zingayambitse matenda.
- Afufuze wodwalayo, ayang'ane m'mimba mwake ndi khunyu.
- Ikufotokozera zamtundu ndi mtundu wa zowawa.
Kuyendera koyambirira
Kulemba koyamba kumatha kuwonetsa ngati ululu ndi kapamba ndizogwirizana, kapena ngati zachokera munjira zina. Kuzindikira koyenera kwa labotale kungathandize mayeso a labotale, omwe adzatsogolera wodwalayo.
Ndipo pamenepo zidzaululidwa kale kuti ichi ndi kapamba kapena matenda ena omwe dokotala wina amamuchita.
Chofunika kwambiri kuti mudziwe njira zodutsira m'matumbo ndi ultrasound, makamaka ngati pakhala vuto la pancreatitis, pomwe adokotala angadziwitse:
- Kodi kapamba amawakulitsa,
- heterogeneity ya echogenicity, chomwe chizikhala chizindikiro cha chotupa, kapamba amayamba,
- Kuphatikiza apo, zitheka kuwona ma neoplasms osiyanasiyana (ma cysts kapena zotupa),
- kudziwa malo ndi kuwonongeka kwa gland.
Ngati kupimidwa kwa ultrasound kukuwonetsa kukhalapo kwa njira zotupa mu kapamba, ndiye kuti mukalandira chithandizo chambiri wodwalayo amapita kwa a oncologist. Ndiye amene amapanga chisankho kaya upangike opaleshoni kapena ngati mankhwala a chemotherapy ayenera kuthandizidwa ndikuchita pa oncology.
Kutupa kwa pancreatic (pancreatitis) nthawi yomweyo kumafunika chithandizo kuchokera kwa akatswiri angapo.
Povulala kwambiri, wodwalayo amatumizidwa mwachangu ku dipatimenti yochita opaleshoni, komwe amamuwunikira mosamala ndi dokotala wa opaleshoni kapena othandiza kuti adzutse matenda (izi zimatengera mkhalidwe womwe munthuyo adzakhala ali kuchipatala).
Chithandizo ndikutsatira
Pambuyo pochotsa chiwonetsero chachikulu cha kapamba, wodwalayo amasinthana ndi chithandizo cha gastroenterologist. Popeza kapamba amatsogolera pakudya m'mimba, kuyamwa kwa gastroenterologist komanso nthawi yothandizidwa ndi iye ndikofunikira kuti ntchito yina ya thupi ipitirire ndikugwira ntchito zake.
Kuphatikiza apo, adotolo adzapatsa wodwalayo upangiri wofunikira pa gulu lazithandizo zamagulu azakumwa, popeza kuti kutsatira chakudya chapadera kumathandizira kwambiri pancreatitis, ndipo izi zitha kukhala zakudya zosavuta zopweteka m'mapapo kapena zakudya zomwe zimasankhidwa payekha.
Ngati gastroenterologist amafotokoza bwino chithandizo, izi zimapangitsa wodwalayo kuiwala za matenda monga kapamba, mwachitsanzo. Ngati zochitika sizikula bwino, nthawi ndi nthawi munthu amatha kuzunzidwa ndimachulukidwe ambiri.
Kodi ndi liti pamene endocrinologist ingafunike?
Nthawi zambiri, kapamba angafunsidwe ndi katswiri wofanana ndi endocrinologist. Nthawi zambiri, zimatengera zochita zake mwachindunji, momwe kapamba amachitikira mtsogolo, komanso ngati matendawa adzabweretsa zovuta m'matenda a shuga.
Ngati kuphwanya kapangidwe ka insulin kakupezeka m'thupi la munthu, adotolo ayenera kusankha muyezo woyenera wa timadzi timene timatulutsa. Ntchito za endocrinologist zimaphatikizapo kulembetsa kwa wodwala yemwe ali ndi matenda osokoneza bongo komanso kuwunikira momwe thanzi lake lilili, makamaka amamuthandiza wodwalayo ndikumuyang'ananso patsogolo.
Wodwala akamalandira chithandizo chamankhwala ndikuchotseredwa, amayenera kulembetsa ku malo okhala ndi ochiritsira. Ndi dotolo uyu yemwe adzayesetsanso ziphuphu za wodwalayo ndikumutumiza kwa akatswiri akatswiri kuti akamuyeze.
Samachita kwambiri, pamutuwu, pochita zowunikira komanso pothandiza kupewa. Izi, komabe, ndizokwanira kupewa kapamba, kapena matenda ena.
Wochiritsirayo ayenera kutsimikizira wodwala kuti atsatire malingaliro onse a madotolo, chifukwa kukhazikitsa kwawo komanso kufufuza kwakanthawi ndizotheka kupewa zovuta zosafunikira za matendawa.
M'malo mwake, gawo lalikulu mochizira matenda opatsirana a kapamba limayendetsedwa ndikuwunika koyenera kwa odwala. Wodwala ayenera kudziwa kuti thanzi lake ndilofunika kwambiri ndikuwonetsetsa zoyipa zonse mthupi lake panthawi.
