The biliary mtundu wa kapamba amaphatikizidwa m'gulu la matenda amamba kapamba, amapangidwa chifukwa cha kusokonekera kwa magwiritsidwe amtundu wa biliary. Kupweteka kwamtundu wamtunduwu kumakhudza, monga lamulo, akuluakulu. Biliary pancreatitis ndimatenda ochiritsika, koma atha kulandira chithandizo cha panthawi yake mogwirizana ndi malingaliro onse.
Chithandizo choyenera cha kapamba wokhala ndi pancreatitis yotere imalola munthu kuti abwerere m'machitidwe ake achikhalidwe kwakanthawi.
Zizindikiro za bancary pancreatitis pafupifupi zikufanana ndi mawonetseredwe apakhungu pancreatitis.
Monga lamulo, bancary pancreatitis imayamba chifukwa cha izi:
Matenda oopsa kapena pachimake cholecystitis. Matendawa amatupa kwa ndulu. Cholecystitis imasangalatsa kutuluka kwa ndulu;
- Matenda a Gallstone - milomo ya chikhodzodzo imatsekedwa ndi miyala yamkati, izi sizimalola kuti bile ipange kutulutsa kwachilengedwe. Kusintha kumayambitsa kuponyedwa kwa bile mu kapamba;
- Cholangitis ndimatenda otupa omwe amapezeka mumabala am'mimba, omwe amaphwanya mawonekedwe awo.
Matenda omwe ali pamwambawa amafuna kuwonjezeka kwa munthu. Chithandizo ndichofunika mosasamala kanthu kuti pali matenda amodzi kapena angapo. Matendawa ali ndi mawonekedwe apamwamba, ndipo nthendayi ndi yosachiritsika, amatha kukhala ndi vuto la pancreatitis.
Madokotala amasiyanitsa mitundu yayikulu ya biliary pancreatitis:
- Pachimake biliary kuukira;
- Matenda a biliary amadalira pancreatitis.
Choopsa cha matendawa ndikuti kusintha kwa kapamba kumatha kusinthika. Kukhazikika kwa matendawa kumadziwika ndi kutupa komwe kumayambitsa gland.
Kutupa kumapangitsa kugwira ntchito kwa kapamba. Kenako zida zam'mimba zimapunduka, izi zimatha ndikuwonjezeka kwa maselo odwala m'matumbo, ndipo pang'onopang'ono zonsezi zimasanduka kesi.
Zowonetsera zamankhwala a biliary pancreatitis
Zizindikiro za pancreatic pancreatic pancreatitis zimapangitsa kuti dokotala wodziwa bwino azidziwitsa matenda osakhudzana ndi njira zovuta zowonera:
- Kumayambiriro kwa matendawa, munthu amadera nkhawa kupweteka kwapafupipafupi m'mimba. Ululu umatha kukhala lamba, ndikupereka m'munsi kumbuyo kapena hypochondrium yamanzere. Nthawi zambiri kusapeza kumawonekera chifukwa chodya kwambiri mafuta, yokazinga, zakudya zonunkhira kapena kumwa zakumwa zoledzeretsa;
- Chimodzi mwazinthu zodziwika ndi matendawa ndiko kulawa kowawa pakamwa;
- Kusanza usiku;
- Kusintha kwa kutentha kwa thupi mmwamba;
- Kukomoka, kutsegula m'mimba, kapena kudzimbidwa ndi chiwonetsero chowonjezereka cha biliary pancreatitis.
Gawo lazovuta la biliary pancreatitis limatha kudziwonetsa mu ululu wowopsa mu hypochondrium.
Mukapita kukaonana ndi katswiri, muyenera kulembapo zizindikiro zonse zosokoneza kuti adokotala azindikire moyenera.
Zizindikiro
Kuwonetseratu kwovuta kwa biliary pancreatitis kumangopezeka kuchipatala kokha chifukwa cha kuyesa kwamkodzo ndi magazi, komanso kuwunika kwa ultrasound.
Wodwala akangofika kuchipatala ndi madandaulo ofala, adotolo amayesa kuyesa magazi ambiri. Ngati kuchuluka kwakukulira m'magazi oyera atapezeka, titha kunena kuti mtundu wapansi wa kapamba unayamba, zomwe zikutanthauza kuti chithandizo chiyenera kuyambitsidwa mwachangu.
Pachiwonetsero chotsatira, kuyesedwa kwamomwe kumachitika magazi. Ngati pancreatitis ili mu gawo la pachimake, kuchuluka kwakukulu kwa transaminase kudzapezeka.
Kuti mupeze matenda olondola, dokotala wa m'mimba angalimbikitse cholangiopancreatography ndikuyambiranso kuyambitsa kwa kulingalira kwa maginito a mphamvu ya maginito.
Chithandizo
Chithandizo cha pachimake biliary pancreatitis chikuchitika mu chipatala moyang'aniridwa ndi gastroenterologist. Njira yamtunduwu wa kapamba imafuna chithandizo chovuta, chomwe chimaphatikizapo zakudya ndi mankhwala.
Chithandizo cha mankhwala osokoneza bongo chimachitika mogwirizana ndi chiwembu chotsatira:
- Kuti muchepetse kupweteka kwambiri, mankhwalawa amaikidwa antispasmodics ndi analgesics. Mu vuto lalikulu la wodwala, mankhwalawa amaperekedwa kudzera m'mitsetse yamkati.
- Pa gawo lotsatira, mankhwala cholinga chake ndikuchepetsa kupanga ma enzyme opukusa omwe amathandizira kapamba. Kukonzekera kwamakono kwa enzymatic kumayikidwa.
- Pambuyo pochita zinthu zothandiza kuti muchepetse matenda a pancreatitis a biliary, gastroenterologist angaganize kuchitapo kanthu opaleshoni. Njira yakuchizira ndiyotheka ngati kapamba amayamba chifukwa cha cholelithiasis, zomwe zimadziwika kuti zimadziwika pamaso pa munthu.
Kuchita opaleshoni kungachitike m'njira ziwiri:
- Kudula kwakunja kwa khoma lam'mimba lam'mimba - laparotomy;
- Ma punctori awiri mumimba khoma - laparoscopy.
Njira yoyamba ndiyotsika mtengo, koma siyokongoletsa mokwanira, pamakhala zotsalira pamavuto.
Chithandizo cha pachimake bancion pancreatitis sichinakwaniritsidwe popanda mankhwala a dokotala okhwima. Pali malamulo angapo omwe wodwala ayenera kutsatira:
- Ndikofunikira kupatula kwathunthu zokometsera zanthawi zonse zomwe wodwala amakhala nazo, zokometsera, zakudya zamafuta ndi zakumwa zina zilizonse za mowa. Zinthu zonse za kapamba zimayenera kukhala zamagulu amphaka;
- Kukhalapo kwa zopangidwa ndi choleretic muzakudya, mwachitsanzo, mazira a mazira, batala kapena kirimu wowawasa, sikuloledwa;
- Pafupipafupi zakudya kangapo patsiku;
- Zakudya zonse ziyenera kukhala ndi kutentha kwa madigiri 40-50.
- Chilichonse cha mbale chimayikidwa patebulo monga mousse, mbatata yosenda kapena pudding. Chifukwa chake, chakudya ndi nthaka.
Kupewa komanso zovuta zomwe zingachitike
Kuchita bwino kwa biliary pancreatitis ndiye njira yofunika kwambiri kuti munthu abwerere mwachangu moyo wake. Ndi matenda oopsa komanso osasiyidwa, pamakhala chiopsezo chosuntha ma gallstones kupita ku ma ducts a bile. Izi zikachitika, ndiye kuti kuchitapo kanthu kwa opaleshoni kwasonyezedwa.
Simungathe kunyalanyaza zisonyezo za biliary pancreatitis, kusiya chilichonse chokha. Popanda chithandizo, ziwalo zonse zam'mimba zimasinthika ndikuyenda bwino.
Zowawa zakukwera zimawonjezeka nthawi iliyonse, makamaka mukamadya zakudya zolemera, monga makeke okazinga, chokoleti, okroshka, hodgepodge, makeke ndi zakumwa zozunguliridwa ndi mpweya.
Ndi matenda apamwamba a gallstone kapena kapamba, pali chiopsezo cha parenchymal pancreatitis. Kutupa kwa kapamba wa pancreas parenchyma kumalumikizidwa ndi:
- Kufunika kwachithandizo chanthawi yayitali kuchipatala;
- Opaleshoni yayikulu;
- Kutalika kwa njira zakuchira;
- Kutsatira ndi okhwima kwambiri zakudya pafupifupi moyo wonse.
Kuti mupewe kupangika kwa ma bancary pancreatitis ndi zovuta zina zam'mimba, zomwe zimatha kukhala zovuta, ndikofunikira kutsatira moyo wathanzi: idyani bwino, musiye mowa, ndikuchita masewera olimbitsa thupi pafupipafupi.
Kutsatira malamulo odziwika ndi osavuta, mutha kusintha thanzi lanu, kukulitsa mphamvu ndi kuwonjezera chiyembekezo cha moyo.
