Masiku ano, matenda a ziwalo zogaya chakudya ali ponseponse. Koma ambiri mwa matendawa samayambitsa zovuta zazikulu, chifukwa chake anthu ena amakhala zaka zambiri ndi colitis kapena gastritis.
Komabe, ndi kutupa kwa kapamba, kunyalanyaza matendawa sikugwira ntchito. Chithandizo cha mankhwala osokoneza bongo ndi njira yothandiza yomwe ingathandize kuchepetsa ululu, komanso kupewa kupezeka kwamavuto.
Chitsulo ndi gawo lofunikira, chifukwa chake, zosokoneza zilizonse pakugwira kwake zimakhudza magwiridwe antchito a thupi lonse. Zotsatira zake, kusokonezeka kwa mahomoni kumachitika, ndipo zinthu zopindulitsa sizikumizidwa pazofunikira.
Ntchito ya pancreatic
Thupi limagwira ntchito zambiri, monga:
- kupanga kwa mahomoni: insulin, glucagon, ghrelin, etc;
- amachititsa kaphatikizidwe ka michere yam'mimba yomwe imaphwanya chakudya, mapuloteni ndi mafuta;
- amatenga nawo mbali mu kagayidwe kachakudya ndikuwongolera kuchuluka kwa shuga m'magazi.
Matenda a kapamba
Chithandizo cha malfunctions pakugwira ntchito kwa kapamba nthawi zambiri imachitika mu njira yolumikizira i.e. kugwiritsa ntchito mankhwala osokoneza bongo.
Koma kumwa mankhwala ndikofunikira pokhapokha poikidwa katswiri.
Ngati izi sizikwaniritsidwa, ndiye kuti thupi limakhala ndi vuto la kagayidwe kazakudya ndi chakudya.
Matenda okhudzana ndi kapamba:
- matenda omwe amafala kwambiri omwe amakhala ndi zakudya zopanda thanzi - kutupa kwa gland kapena kapamba;
- matenda osachiritsika komanso owopsa omwe ntchito za chiwalo zimadwala - iyi ndi matenda a shuga;
- nthenda yachilengedwe yachilendo, cystic fibrosis, imatha kukhudza chithokomiro;
- minofu yokhudza kapamba nthawi zina imayamba kukhala ndi zilonda zoyipa kapena zotupa;
- osagwirizana kwathunthu ndi zakudya zoyenera, mawonekedwe amiyala mu chiwalo.
Kodi pancreatitis pachimake imachiritsidwa bwanji?
Munthu amene ali ndi vuto lalikulu la kapamba amafunikira kuchipatala msanga ndi kuchipatala.
Pankhaniyi, ayenera kutsatira zakudya zapadera, motero wodwala amalandira michere kudzera pakaponya dontho.
Komanso, pakuchulukitsa, ndikofunikira kuchotsa ululu, kuchepetsa ntchito za ma enzymes ndikuchepetsa kuledzera. Pachifukwa ichi, adotolo amapereka mankhwala a analgesics ndi mankhwala ena othandizira kuchiritsa odwala.
Masiku angapo oyamba, mankhwalawa amaperekedwa kudzera m'mitsempha. Matenda a wodwalayo akadzikhazikika, mankhwalawa amathanso kumwa m'mapiritsi. Komanso, kuti muchepetse mapangidwe a enzyme, kuzizira kumayikidwa komwe kuli gland.
Ngati kachilombo ka bakiteriya kaonekera limodzi ndi njira yotupa, dokotala amakupatsani mankhwala opha mabakiteriya. Zinthu zikafika povuta kwambiri, dokotalayo amachotsa mbali yomwe yawonongeka.
Kodi matenda a kapamba amadwala?
Pambuyo pakuthana ndi kutupa pachimake, kapamba sanabwezeretse kwathunthu. Madokotala amalimbikitsa mwamphamvu kuti pambuyo poti aukirebebe pitilizani mankhwala: kutsatira zakudya zinazake ndi kumwa ma enzymor mapiritsi omwe amatha kugaya ntchito.
Kuti mupewe kukokomeza mobwerezabwereza, muyenera kusiya kusuta fodya komanso mowa, komanso zakudya zamafuta ndi zamafuta. Wodwala pancreatitis ayenera kunyamula mapiritsi a zonyansa ndikuwamwa atatha kudya kangapo patsiku.
Ndi mankhwala ati omwe amathandizidwa pancreatitis?
Chizindikiro chachikulu cha kutukusira kwa thumbo ndi ululu wofooketsa, womwe umakula pambuyo podya ndi pogona.
Kuti muchepetse vuto lopwetekalo, muyenera kukhala pansi, kenako kutsamira kapena kuyika chopondanso kutentha pamimba yanu. Komabe osagwiritsa ntchito ma painkiller, omwe athetse msanga kuvutika kwa kapamba sangathe kuchita.
Monga lamulo, madokotala amapereka mankhwala antispasmodics ndi analgesics:
- Papaverine;
- Baralgin;
- Drotaverinum (mapiritsi kapena ma ampoules);
- Ayi-Shpa;
- Paracetamol;
- Asperin.
Ndi chithandizo chakanthawi, ma H2 blockers amalembedwa:
- Famotidine;
- Ranitidine.
Pofuna kuthana ndi vutoli, antihistamines ndi anticholinergic mankhwala amagwiritsidwa ntchito:
- Diphenhydramine;
- Atropine;
- Platyphyllinum.
Mankhwala a Antacid
Mankhwala omwe amalepheretsa ndikumanga hydrochloric acid amathandizira kupewa zilonda pamimba, komanso amathandizanso kuyambitsa mkwiyo.
Nthawi zambiri, pazifukwa izi, kuyimitsidwa kapena ma gels amadziwika kuti amapanga filimu yoteteza pa mucosa ndi mankhwala omwe amachepetsa kupanga hydrochloric acid:
- Phosphalugel;
- Almagel;
- Omez;
- Kutsutsana
- Acid;
- Gastrozole;
- Pepsidil;
- Ranitidine;
- Gasterogen;
- Famotidine;
- Zoran
- Acidex.
Maantacid okhala ngati ma proton pump blockers, monga lanzoprazole, amakhazikikanso. Kuti muchepetse kupanga ma enzymes odwala omwe ali ndi kapamba, tikulimbikitsidwa kugwiritsa ntchito mapiritsi a Aprotinin kapena Kontrikal.
Kuti muchepetse acidity, muyenera kumwa njira zambiri zamchere. Mwachitsanzo, sopo wothira madzi kapena mchere wamchere.
Mankhwala enzymatic
Wodwala akayamba kudya, atachepetsa vutoli kuti lizigwira bwino ntchito, komanso kukonza chimbudzi, dokotala amamulembera mankhwala omwe ali ndi enzyme.
Imwani mapiritsi otere a kapamba mutatha kudya. Monga lamulo, mapiritsi awa aledzera kwa nthawi yayitali, ndipo ali ndi mawonekedwe a kapamba kapena chifuwa chosakwanira - pafupipafupi. Mlingowo umaperekedwa ndi adokotala, omwe amatengera zomwe wodwalayo ali nazo.
Othandizira enzyme otchuka ndi awa:
- Pancreatin
- Pasinorm;
- Mezi;
- Chiboni
- Chikondwerero.
Popanga mapiritsiwa, ma enzyme a nkhumba amagwiritsidwa ntchito, zomwe zimapangitsa kuti thupi lanu lisagwidwe.
Zikatero, kwa odwala omwe amakonda chifuwa, dokotala amakupangira mankhwala ozikidwa pazomera (papain, fungus ya mpunga). Mapiritsi odziwika kwambiri kuchokera pagululi:
- Pepfiz;
- Somilase
- Unienzyme.
Zochizira zowonjezera zamatenda a kapamba
M'mavuto ovuta kwambiri a kapamba, dokotala amamulembera insulin ngati itapangidwa mosakwanira. Ndi kukula kwa kachilombo koyambitsa matenda ndikuwonjezera, maantibayotiki ndi omwe amapatsidwa mankhwala (Ampicillin). Ngati izi ndizovuta kwambiri, zakudya za pancreatic necrosis zimaphatikizidwanso, ngati chithandizo chovuta.
Komanso, nthawi zina, maopareshoni amachitidwa, koma kulowererapo kwa opaleshoni ndikosowa kwambiri, chifukwa gland ndi chiwalo chovuta kwambiri. Pazifukwa zomwezo, chithandizo chamankhwala chimaperewera kwambiri, chifukwa pamakhala kuperewera kwa chakudya m'thupi lonse, ndipo kuperewera kwa mankhwalawo kumakhala kwakanthawi.
Kuphatikiza apo, anthu omwe ali ndi vuto la pancreatitis m'kupita kwa nthawi amakhala osalolera ku mankhwala ena. Ichi ndichifukwa chake matendawa ndi osachiritsika ndipo wodwalayo ayenera kutsatira kwambiri zakudya zomwe amadya ndipo asiyane ndi zizolowezi zoipa pamoyo wake.
