Kutupa kwa kapamba, komwe amadziwika m'chipatala kuti ndi kapamba, ndi limodzi mwa matenda ofala kwambiri masiku ano. Monga matenda ena ambiri am'mimba, amatha kuoneka ngati ali pachimake kapena chovuta, ndipo chizindikiro chake chachikulu ndi kupweteka kwam'mimba.
Kupweteka komwe kumachitika ndi kapamba kumapereka malingaliro osasangalatsa kwa wodwalayo, ndipo nthawi zina amakhala olimba kwambiri komanso osalolera mpaka zomwe zimapangitsa kuti azikhala osazindikira. Kuti muchepetse mkhalidwe wa munthu, muyenera kudziwa momwe mungapetsere kupweteka kwa kapamba.
Limagwirira ululu
Kukula, chikhalidwe ndi kufalikira kwa kupweteka kwa kapamba kumakhudzidwa ndi njira zingapo zomwe zimachitika mu minofu ya kapamba - kutsekeka ndi kutukusira kwa ma ducts, ischemia, kusintha kwa dystrophic. Komabe, monga momwe odwala ambiri amawonera, kupweteka kumachitika mphindi 30 mutatha kudya.
Mu pachimake kapamba, ululu wophika wophika umapezeka, womwe umawonjezera mphindi iliyonse. Njira zachikhalidwe zoperekera ululu sizithandiza munthu - ngakhale "mluza" kapena malo okhala. Nthawi zambiri ululu umapezeka kumtunda pamimba, nthawi zina mu hypochondrium yamanzere.
Chizindikiro chachikulu cha pancreatitis pachimake ndikumva kupweteka mwadzidzidzi, komwe kukukula mwachangu. Komanso, pachimake mawonekedwe amatendawa amatha kutsatiridwa ndi izi:
- kuchuluka kwa kutentha kwa thupi;
- kuchuluka kwa mtima;
- kusanza ndi kusanza.
Mwanthawi yayitali matenda a munthu, kupweteka kwamphamvu kusiyanasiyana, komwe kumatha kuwonekera pamimba, kumbuyo komanso ngakhale lumbar, kumakhala kosokoneza. Nthawi zambiri ululu umakulirakudya ukamamwa kapenanso kumwa mowa.
Nthawi zina zimachitika kuti pambuyo pa kupweteka kwambiri kumabwera mpumulo. Simuyenera kusangalala pasadakhale, chifukwa izi zitha kukhala chizindikiro cha dera lalikulu la kapamba.
Zinthu ngati izi zimayambitsa kupweteka kwamatenda a kapamba:
- kuperewera kwa zakudya m'thupi ndi kudya kwambiri;
- kumwa mowa;
- kuchuluka kwa matenda am'mimba thirakiti;
- kumwa mankhwala ena;
- poyizoni;
- kuvulala kwam'mimba;
- kupsinjika
Momwe mungachepetsere kuukira kwa kapamba kunyumba?
Ululu wokhala ndi vuto la kapamba limachitika mwadzidzidzi. Izi zitha kuchitika kunyumba, kuntchito, poyendera kapena m'dziko. Ngati mulibe mankhwala oyenera, muthanso kusintha ndikuchepetsa wodwalayo pogwiritsa ntchito njira zosavuta.
Pofuna kukhwima kwamatenda owoneka ngati ali ndi matendawa, njira yoyenera kwambiri komanso yotetezeka ya opaleshoni ndiyo kugwiritsa ntchito chikhodzodzo cha chotupa pamimba. Komabe, nthawi zina, kuwira kwa madzi oundana kungangokulitsa mitsempha yamagazi ndikulepheretsa kugwira ntchito kwa matenda, motero kupangitsa kupweteketsa mtima kwambiri.
Panthawi imeneyi, wodwala amalimbikitsidwa:
- perekani mtendere wakuthupi ndi wamalingaliro;
- khalani pansi mokhalitsa kapena malo okhala pang'ono;
- kukana kwathunthu chakudya;
- kupuma kosafunikira, komwe kumakupatsani mwayi wochepetsera kupweteka;
- tengani ma analgesics omwe amachotsa ululu;
- itanani ambulansi.
Ndi vuto la chifuwa chachikulu cha pancreatitis, simuyenera kukana kupita kuchipatala, chifukwa choti mwadzidzidzi chithandizo chamankhwala chitha kutulutsa magazi mkati
Ngati kuchulukitsa kwa kutupa kwa kapamba, wodwalayo angalimbikitsidwe kuti atenge mankhwala omwe si a antiidal. Choyamba, tikulankhula za mankhwala monga Paracetamol, No-spa, Ibuprofen, Diclofenac.
Kukhala wokhazikika mmalo kapena otchedwa "embyo pose" (kumangitsa miyendo mpaka pachifuwa) kungachepetse mkhalidwe wa wodwalayo. Komabe, njira yayikulu yodziletsira kupweteka kwa kapamba ndizakudya, zomwe zimapereka kukana kwathunthu kwa zakudya zokazinga, zamafuta, zonunkhira komanso zamchere, ufa ndi zinthu zophika buledi, zakumwa zoledzeretsa.
Njira yothandiza yopewa kufalikira kwa kapamba ndi kusala kwa masiku atatu, pomwe kugwiritsa ntchito madzi amchere ndi tiyi wokhala ndi uchi wololedwa.
Kutsatira zakudya kumathandizanso kuti thupi lanu lizidwala komanso kuti muchepetse kupweteka pang'ono
Yoga ndi zida zina zamankhwala zimathandizira kuchepetsa ululu wokhala ndi pancreatitis yowonjezereka, komabe, njirazi ziyenera kugwiritsidwa ntchito mosamala kwambiri pokhapokha ngati chilolezo ndi dokotala.
Ma painkiller a pancreatitis aakulu
Poyankha funso loti ndi mankhwala ati omwe angagwiritsidwe ntchito chifukwa cha kapamba, akatswiri am'magazi amati kusankha kwamankhwala mwachindunji kumadalira kuchuluka kwa kuwonongeka kwa kapamba ndi kuchuluka kwa kupweteka.
Kuti muchepetse ululu ndi zovuta kuchizira kwa pancreatitis yowonjezereka, ndikofunika kugwiritsa ntchito magulu otsatirawa a mankhwala.
Pancreatic michere
Poganizira za kutupika kwa kapamba, wodwalayo amatha kudwala matenda oyambitsidwa ndi matendawa. Mwachitsanzo, kuperewera kwa pancreatic enzyme. Izi zikachitika, adotolo amakupatsirani kukonzekera kwa enzyme komwe kungayambitse kugaya chakudya ndikuthandizira kwambiri kubwezeretsanso ntchito zikondamoyo.
Ma Enzymes ndi zinthu zokhudzana ndi chilengedwe zomwe zimasintha njira yosinthira chakudya.
Kukonzekera kwa enzyme ndi amitundu itatu:
Pancreatitis ndi shuga- Gamba-limodzi (Pancreatin, Mezim) - amakulolani kuti muchepetse njira yodzipukusa-kapamba ndi kuchepetsa kutupa. Ntchito ululu waukulu.
- Zipolopolo ziwiri (Pancytrate, Creon) - zotetezedwa ndi chipolopolo chosagwira asidi, chomwe chimawathandiza kusakanikirana mogwirizana ndi chakudya ndikuwongolera kugaya kwake.
- Kuphatikizidwa (Dimethicone, Festal) - zimathandizira kapamba, kusintha chimbudzi cha chakudya, chotsani bata komanso kufalikira.
Kukonzekera kwa enzyme yophatikizana ndi chifuwa chachikulu chowonjezereka kuyenera kugwiritsidwa ntchito mosamala, popeza ma asidi a bile omwe ali pakapangidwe awo amatha kuyambitsa ntchito yapamwamba ya kapamba, potero ululu wowonjezereka
Somatostatin ndi mawonekedwe ake
Hormat somatostatin imatha kuchepetsa ululu mthupi lonse, kuphatikizapo kuchepetsa ululu wa kapamba. Analogue yodziwika bwino kwambiri ya timadzi iyi ndi Octreotide. Ngakhale kugwiritsa ntchito mankhwalawa kwakanthawi kumakuthandizani kuti muchepetse kupweteka ndi kapamba msanga komanso moyenera. Komabe, mankhwalawa ali ndi zotsatira zoyipa zambiri ndipo amangoperekedwa kwa akulu okha.
Histamine receptor blockers
Awa ndi mankhwala omwe amachepetsa kupanga hydrochloric acid. Mankhwala odziwika kwambiri m'gululi ndi Famotidine. Mapiritsi ali ndi zochepa zotsutsana ndipo bwino amalepheretsa kutulutsidwa kwa hydrochloric acid.
Proton pump zoletsa
Monga mankhwala otchinga, proton pump inhibitors imalepheretsa kutulutsidwa kwa hydrochloric acid ndipo alibe zotsatira zoyipa. Mankhwalawa ndi monga Esocar, Lansoprazole ndi ena.
Ma painkiller a pancreatitis pachimake
Popeza mtundu wovuta wa kapamba umayendera limodzi ndi kupweteka kwambiri, ntchito yayikulu yopereka chithandizo chamankhwala ndi opaleshoni.
Pachifukwa ichi, mutha kugwiritsa ntchito:
- analgesics;
- antispasmodics;
- mankhwala osokoneza bongo a narcotic ndi psychotropic.
Zingwe
Ndikotheka kuthana ndi kupweteka kwapweteka kwambiri pancreatitis pachimake pogwiritsa ntchito mankhwala omwe si a steroidal analgesics, omwe amaperekedwa intramuscularly. Choyamba, tikulankhula za No-shpe, Atropine, Analgin ndi Paracetamol. Mankhwalawa nthawi zambiri amaperekedwa ndi antihistamines (Diphenhydramine kapena Suprastin).
Ngati ndalama zomwe zalembedwazo sizikuyenda bwino ndipo ululuwo ukupitilirabe, wodwalayo amatha kupatsidwa mankhwala. Chifukwa chake, mankhwalawa monga Tramadol, Promedol kapena Omnopol amathandiza kuthana ndi kupweteka kwambiri pachimake pakuchulukana kwa kapamba.
Ma pinkiller olimba a kapamba amatha kugwiritsidwa ntchito ngati akuwongoleredwa ndi dokotala komanso pokhapokha pachipatala
Mapiritsi
Mapiritsi mu pachimake matenda amatchulidwa kuti abwezeretse kapamba. Amasankhidwa ndi dokotala payekhapayekha kwa wodwala aliyense, kutengera kuwonongeka kwa kapamba ndi kupezeka kwa matenda ophatikizika.
Nthawi zambiri, odwala amathandizira okodzetsa kuti acepetse thupi kuledzera, mankhwala ochepetsa ntchito ya michere, maantibayotiki ngati ali ndi matenda opatsirana ndi bakiteriya, hepatoprotectors kukhalabe ndi chiwindi, antiulcer mankhwala ndi mankhwala ambiri olimbitsa.
Antispasmodics
Mankhwala a Antispasmodic adapangidwira kuti azitha mwachangu komanso mosatekeseka spasms mu pancreatitis pachimake ndikuchotsa ululu wofatsa. Gulu la mankhwalawa limaphatikizapo Papaverine, Platifillin, Atropine.
Kuchotsa vuto lomwe limapweteketsa kapamba ka pachimake ndi ma pinkiller kumatha kukhala ndi zotsatirapo zoyipa kwa wodwalayo, chifukwa chithunzi chachipatala pamenepa sichingatheke ndipo adokotala sangazindikire molondola.
Chifukwa chake, ngati mukukumana ndi ululu wocheperako ndi kapamba, muyenera kufunsa dokotala kuti akuthandizeni, popeza kudzipereka nokha muzochitika zotere kumatha kukhala koopsa. Khalani athanzi!
