Regency pancreatitis iyenera kumvetsedwa ngati matenda omwe amayamba chifukwa chogwiritsa ntchito molakwika kapamba komanso kutupa kwake. Gland ndi yomwe imayambitsa kubisala kwa madzi a pancreatic, omwe ali ndi michere yayikulu yogaya chakudya.
Chifukwa cha kapamba, mahomoni amapangidwa omwe amawongolera kagayidwe ka mafuta, mapuloteni ndi zakudya m'thupi la munthu.
M'magawo oyamba, pancreatitis yotakataka imadziwika ndi mawonekedwe osiyanasiyana, ndipo zizindikiro zake zimakhala zingapo, mwachitsanzo, kutentha kwapakhosi, kuphulika, kupindika, komanso kudana ndi mafuta. Ngati zizindikiro zotere zikuwoneka, ndiye kuti izi zimakhala chidziwitso chofunafuna chithandizo chamankhwala mwachangu, makamaka kwa ana.
Ndani ali pachiwopsezo?
Rease pancreatitis palokha sitinganene kuti ndi vuto loopsa, komabe, ngati mankhwala ake sanayambike munthawi yake, matendawa amasintha kukhala oopsa. Reactive pancreatitis ndi chizindikiro choyambirira chabe chakuti munthu akudya bwino.
Monga lamulo, amuna amadwala matenda amtundu wa kapamba chifukwa chosasamala zakudya ndi kumwa zakumwa zoledzeretsa. Izi zimapangitsa kupanikizika kwa ndulu ndi duodenum. Zotsatira zake, kutuluka kwa msuzi wa pancreatic kuyimitsidwa ndikuyambitsa matendawa kumayamba. Kuphatikiza apo, pancreatitis yogwira thupi imatha kukhala chiwonetsero cha matenda aliwonse omwe alipo:
- zilonda zam'mimba;
- matenda a chiwindi;
- virus hepatitis;
- gastritis;
- matenda a ndulu;
- cholecystitis.
Matendawa amatha kuyamba pambuyo poti walandira, zomwe zimapangitsa kuti minofu ituluke. Zikatero, ma enzyme am'mimba amasiya kulowa mu duodenum, zomwe zimapangitsa kuti minofu iwonongeke komanso kudzipukusa pamimba, zizindikiro pano zidzakhala zowala kwambiri.
Nthawi zina, kukula kwa yogwira pancreatitis kungayambitse kugwiritsa ntchito mankhwala pafupipafupi:
- paracetamol;
- mahomoni;
- metranidozole.
Pancreatitis amathanso kuyambitsa kukula kwa matenda ashuga, chifukwa ndiye kapamba amene ali chiwalo chomwe chimayang'anira kupangika kwa insulin. Ngati zisonyezo zikuwonetsa kutukusira kwa thumbo, ndiye kuti zosagwira bwino ntchito zimayang'aniridwa mu ntchito yake, kuchuluka kwa shuga kumayamba kuchepa ndipo potero zimayambitsa kuyambika kwa matenda ashuga mwa akulu ndi ana.
Zizindikiro za pancreatitis yogwira
Ngati tizingolankhula za mawonekedwe, ndiye kuti matendawa akuwoneka ndi kupweteka kolimba m'miyendo, kulimbikitsidwa kusanza ndi hiccups. Zizindikiro zowawa zimatha kuchitika pafupipafupi komanso mwamphamvu, koma izi sizingakhale chifukwa chotenga okhawo opweteka.
Kuphatikiza apo, zimatha kupweteka m'malo osiyanasiyana, chifukwa chakuti mbali zosiyanasiyana za ndulu zimayatsidwa. Ngati pansi pake zakhudzidwa, ndiye kuti kusamva kumamveka pansi pa nthiti yakumanja, koma ngati thupi la gland, ndiye pansi pa scapula. Kutupa kwa khosi la ndulu kumadziwika ndi ululu pansi pa nthiti yakumanzere. Ngati ndi pancreatic necrosis, ndiye kuti zizindikirozo zidzakhala zowoneka bwino, ndipo zotsatira zake sizikhala zabwino.
Pali zisonyezo zina zakukula kwa matendawo. Zizindikirozi zimaphatikizira kuchepa kwamphamvu kwa chakudya, kusakonda kudya, komanso kumatha kukhala kutsalira, phokoso, kutsokomola mwamphamvu, komwe kumawonetsedwa mwa akulu ndi ana.
Ngati tikulankhula za ana, ndiye kuti matendawa nthawi zambiri amayambitsidwa ndi matenda am'mimba, kutentha thupi komanso kusowa kudya.
Momwe mungadziwire matendawa?
Kuzindikira matendawa ndikovuta kwambiri ndipo chifukwa chake muyenera kuchita njira zingapo zamankhwala:
- mumayesedwa ndi ultrasound (pamimba) yam'mimba;
- perekani mkodzo pakuwunikira;
- perekani magazi kuti muwunike ndikuwonetsa zamankhwala;
- gastroscopy;
- pitani pamakompyuta owerengera.
Iliyonse mwanjira izi ndizofunikira komanso zofunikira kudziwa mtundu wa kuwonongeka kwa thupi. Kuyesedwa kwa magazi kambiri kukuwonetsa kuchuluka kwa leukocytes, chifukwa pamaso pancreatitis yogwira, msambo wawo udzakulitsidwa kwambiri. Biochemistry imatha kudziwa milingo ya amylase, yomwe ingathandize kuti adziwe matenda ake omaliza.
Pambuyo popereka njira yoyenera ya gastroscopy, adokotala azitha kupeza zotsatira za biopsy, zomwe zikufotokozeranso chithunzi chonse cha matendawa. Gastroscopy iwonetsa kukula kwa kutupa kwa minyewa ya m'matumbo ndi m'mimba. Kufufuza kwamtundu wam'mimba kumathandizira kudziwa kusintha kwamitundu komanso kuchuluka kwa kupatuka kwawo kuzungulira ponseponse. Kuyesa mkhalidwe wa chamoyo chonsecho kumachitika pogwiritsa ntchito njira yopangidwa ndi anthu.
Chithandizo
Rease pancreatitis, ngakhale siyowopsa, imafunikira chithandizo mosalephera. Kuphatikiza apo, ndikulimbikitsidwa kuwunikira nthawi zonse zaumoyo wawo, komanso kutsatira zakudya zapadera. Kudzipatsa nokha mankhwala kungakhale chifukwa chachikulu chosinthira matendawa kukhala m'gulu la matenda osachiritsika.
Nthawi zina, pancreatitis yogwira imaphatikizira kuchipatala kwachangu kwambiri kwa akulu ndi ana. Ngati kudwala kudwala, ndiye kuti kwa masiku 4 ali kuchipatala amathandizira. Kuchiza panthawiyi kumaphatikizaponso njira yothira madzi a mchere osagwiritsa ntchito mpweya, komanso kugwiritsa ntchito poyatsira kuzizira pamimba.
Kuti muchotse matenda omwe akulu ndi ana ali nawo, pamafunika kuchita njira zingapo zochiritsira kuti akhazikike bwino m'mimba ndi thirakiti lonse. Chithandizo cha pancreatitis cha mankhwalawa chimayamba ndi ma dropper, ma pinkiller ndi mankhwala okodzetsa omwe amachepetsa kutupa. Kuphatikiza apo, adotolo amafotokozera mankhwala kuti athetse chinsinsi cha madzi a pancreatic.
Dokotala amatikakamiza kuti muzikhala ndi zakudya zapamwamba tsiku lonse komanso chakudya chokhazikika chomwe simungapewe. Idzakhala ndi kuthetseratu kwathunthu kwa zakudya zolemera kuchokera ku menyu: zotsekemera, zokazinga, zamchere, zamafuta, ndizosuta, komanso kupatula zakumwa zoledzeretsa. Kuchuluka kwa zakudya za tsiku ndi tsiku kumayenera kukhala kumadzimadzi.
Ngati pancreatitis yovuta kwambiri ya ana ikupezeka, mwachitsanzo, ndiye kuti njira zoterezi zimathandizira. Mankhwala onse amatchulidwa poganizira msinkhu wa munthu aliyense wodwala komanso kuopsa kwa matendawa. Ndi kuchulukitsa kwa yogwira pancreatitis, kugwiritsa ntchito mankhwala otere ndikulimbikitsidwa:
- duspatoain;
- octreotide;
- pirenzepine.
Kuphatikiza pa mankhwala, chithandizo chimaphatikizapo kudya kwapadera kwamtundu womwe amalimbikitsidwa kwa akuluakulu.
Pali mankhwala omwe amathandizira ndulu ya bile ndi akulu omwe ndi ana. Amatha kupititsa patsogolo ntchito zawo, komanso kukhazikitsa ntchito ya duodenum. Ndi njira yosakanikirana pochiza matendawa, mabakiteriya amoyo angalimbikitsidwe kuti athandize kusintha kwa microflora yam'mimba.
