Zizindikiro zazikulu za kapamba zimatha kuvutitsa wodwalayo miyezi isanu ndi umodzi yokha matenda atayamba. Panthawi imeneyi, madokotala amalankhula za kuyambiranso kwamatenda a pancreatic, ndipo patapita nthawi, kapamba amayamba kale.
Mtundu wa matenda kapena wowopsa pachimake nthawi zina umayamba kuonekera pokhapokha pena pake. Ngati kubwereranso kumachitika, ndiye kuti kufa kwa magawo ofunikira m'thupi la odwala kumayamba. Njira yofananira imayamba kupezeka m'mizere yamafuta, kenako ndikupitilira kutsitsimutso.
Chizindikiro chachikulu cha kuyambika kwa kutalika ndi kupweteka kwambiri kumbali yakumanzere. Ngati pali zotupa zambiri zakhudzidwa, ndiye kuti ululu umayang'anidwanso kumbuyo kwam'mbuyo, ndikupatsanso pansi pa scapula kapena kumbuyo.
Zizindikiro zina zakukula kwa kapamba:
- pancreatic edema;
- kupweteka kwambiri m'mimba;
- Kukula kwa kulowetsedwa pamimba.
Kuphatikiza apo, ndikubwerezanso kwa kapamba, kuwonjezeka kwa kutentha kwa thupi, nseru, ndi kusanza kumatha kuyamba, komwe sikungachepetse thanzi la wodwala. Milandu idadziwika pomwe panali mipando yochepa kwambiri yokhala ndi zosafunikira za chakudya chosagwiritsidwa ntchito ndi thovu, Zizindikiro zotere sizofala.
Mwa odwala ena, khungu limatha kusintha - kutembenukira mtundu wamtambo kapena kukhala ndi jaundice. Nthawi yovuta ngati iyi ikuchokera masiku awiri mpaka atatu.
Pancreatitis imadziwika ndi kusiyanasiyana kwa zizindikiro. Kuphatikiza pazizindikirozi, kutentha kwa mtima, kutaya mtima, matumbo ambiri, kapamba ndi kubala nthawi zambiri kumayendera limodzi, kuyankhula mophiphiritsa. Madontho ofiira amathanso kuyamba kuwoneka pakhungu la pamimba, kumbuyo kapena pachifuwa.
Zizindikiro ndi zizindikiro zakuchuluka kwa kapamba
Ngati wodwalayo ali woopsa kwambiri, ndiye kuti zizindikiro za poizoni wambiri kapena kuwonongeka kwake zitha kuzindikirika. Kutentha kwa thupi kumatha kugwa kwambiri kapena kukwera mpaka pamlingo waukulu.
Kuchulukitsa komwe zizindikiro zimasonyezera, kutupa kwa kapamba kumatha kutengera zinthu izi:
- kuchuluka ndi kuchuluka kwa kuwonongeka kwa minofu ya pancreatic;
- mawonekedwe a ziwalo zolakwika;
- kuchuluka kwa kuchulukirachulukira kwa matenda kapamba.
Njira zazikuluzikulu pakubwezerera kwachakudya, mankhwala akuphatikizanso:
- kupweteka
- malabsorption (mayamwidwe osakwanira a michere);
- maldigestion (kusowa kwa chimbudzi);
- dyspepsia yamatumbo (kusokonekera kwa michere);
- asthenic (kutopa ndi kutopa).
Kuphwanya ntchito za intracecretory ndi exocrine kumadziwika, zomwe zimathandizidwanso monga zizindikiro ndi zizindikiro.
Kodi amathandizira bwanji?
Kuchita bwino kwa wodwalayo ndikuchulukirachulukira kwa kapamba kovuta kumakhala kovuta, komabe, popanda kuchitapo kanthu opaleshoni, mankhwalawa ndiwokhuza.
Ngakhale izi, izi sizingasiyidwe popanda kuchitapo kanthu kuchipatala, chifukwa kapamba, yemwe amapanga michere yambiri yofunikira pakugaya chakudya chokwanira, amakhala wofooka komanso wopanda nkhawa.
Njira yofananirayo imakhudza chimbudzi, ndipo mankhwalawo amangokhala ovuta.
Kutengera pathogenesis ya yotupa ya matenda kapamba mu kapamba, mankhwala ayenera ku:
- kutsika katulutsidwe wa pancreatic madzi;
- kutseka ululu;
- enzyme m'malo mankhwala;
- kupewa mavuto.
Kutsika kwa katemera wa pancreatic kumatheka ndi kupezeka kwa zakudya zapadera, zomwe zimathandiza kuchepetsa kumwa kwamafuta am'madzi, mkaka, zakudya zonunkhira, komanso zakumwa zoledzeretsa pakuchulukitsa kwa matenda osachiritsika.
Zakudya ziyenera kuphatikizapo kugwiritsa ntchito mankhwala:
- michere ya pancreatic;
- myotropic antispasmodics.
Panthawi yowonjezera yotupa ya matenda osachiritsika, ntchito yayikulu ndikuchepetsa kwambiri matendawa, omwe amayamba chifukwa cha michere ya michere ya pancreatic ndi kutsika kwamkati mkati mwa ducts.
Izi zitha kuchitika chifukwa cha kutsekeka komwe kumachitika chifukwa cha kadyedwe koyambira No. 5 malinga ndi Pevzner (wokhala ndi masiku awiri akusala). M'pofunikanso kupondereza kupanga madzi am'mimba, omwe amachititsa kuti madzi a katemera azitha kutulutsa pakachulukidwe ka chifuwa chachikulu.
Kuchiza kumaphatikizapo kupumula kwa ululu, kumatha kupezeka chifukwa chogwiritsa ntchito antispasmodics, noncotic analgesics. Chithandizo cham'malo chikuwonetseredwa kwa steatorrhea (kuchuluka kwa mafuta ndi ndowe) ndi zotupa za lipid zosaposa 15 g patsiku, zomwe zimayendera limodzi ndi kuchepa kwa minofu yambiri ndi kutsegula m'mimba.
Mankhwala
Kuthana ndi kukokomeza kwa pancreatitis yosatha, adotolo adzagwiritsa ntchito N-2 histamine blockers (Ranitidine, Famotidine) kapena proton pump inhibitors (Rabeprazole, Omeprazole chifukwa cha kapamba).
Magulu oyang'anira maantacid amakhala othandiza pamankhwala omwe amatenga matendawa, mwachitsanzo, amatha kukhala Alfogel, Maalox. Nthawi zina, pamafunika kusintha kuti asiye kupanga kapangidwe ka kapamba (Octreotide) kapena ntchito ya ma enzymes ake (Gordoks, Kontrikal).
Kutsekereza ululu wammbuyo ndikumachotsa kutupa kungayambike ndi:
- anticholinergics (Platifillin, Metacin, Atropine);
- antispasmodics (No-shpa, Papaverin, Drotaverin);
- sanali-narcotic analgesics (Metamizole sodium (Analgin), Ketorolac, Paracetamol);
- kuphatikiza kwa mankhwala omwe si a narcotic (Baralgin).
Nthawi zina, chithandizo cha kufalikira kwa kapamba chingachitike pogwiritsa ntchito opioid analgesics (Tramadol, Promedol).
Kuchepetsa kuchuluka kwa chiwonetsero cha dyspepsia ndi kuperewera kwa enzyme, mankhwala apadera, mwachitsanzo, Creon, adzakuthandizani ndikuchulukirachulukira kwa chifuwa chachikulu.
Mankhwalawa amatha kuchepetsa ululu chifukwa cha kupumula kwa katulutsidwe ka kapamba malinga ndi njira ya mayankho. Zovuta zamatenda zimatha kuthetsedwa mothandizidwa ndi prokinetics (Motilium, Cisapride).
Njira zochizira exacerbations wa kapamba angaloze:
- kutseka ululu wammbuyo (njira za analgesic);
- matumbo kukokana (antispasmodic);
- kuchepa kwa njira yotupa m'matimu (odana ndi kutupa);
- kuchuluka kwa endocrine ntchito kapamba (insulin-njira zolimbikitsira kuchotsa kapamba);
- kukulitsa catabolism (antihypoxic);
- kuyimitsa boma la asthenia (sedatives).
Kodi muyenera kukumbukira chiyani?
Panthawi yowonjezereka yotupa mu kapamba, ndikofunikira kusunga ntchito zake zonse. Pachifukwa ichi, wodwala amapatsidwa gawo lopumula la kama, komanso kusala kudya kwamankhwala m'masiku atatu oyambira kuchokera pamene kuukira kuukira.
Dokotala atha kukuthandizani kumwa madzi oyera okha osakhala ndi mpweya mu 200 ml 200 ml mu milingo 6 tsiku lonse. Madzi amathiridwa ndi tiyi wopanda mphamvu wakumwa, yemwe amamwa mowa wochepa, komanso msuzi wozizira m'chiuno, koma osapitirira magalasi awiri patsiku.
Sipadzakhalanso zothandiza kugwiritsa ntchito yoghurs yokhala ndi mafuta ochepa opanda shuga ndi mafilitare, mkaka wowotchera wowotchera, kefir kapena timadziti, tomwe timasungunulidwa kale ndi madzi amchere.
Patatha masiku ochepa kuchulukitsa, mutha kuphatikiza mapira, msuzi, wopsinjika ku boma lamadzimadzi amadzimadzi, cutlets zotsekemera kuchokera ku nyama yopendekera, nsomba zotsalira, komanso masamba, koma osati kabichi. Nthawi zonse musadye nyama ndi msuzi wa nsomba, okroshka ndi borsch.
