Zosokoneza pakugwira ntchito kwa chiwalo cham'mimba zomwe zimagwira ntchito za endocrine ndizotheka chifukwa cha matenda am'mimba ndi duodenum, kachiberekero ka biliary ndi chiwindi, komanso kudya kwambiri. Pathologies amatsogolera osati ku matenda ashuga okha. Ndi chithandizo cholakwika, peritonitis, abscess, gland cysts imayamba. Momwe mungasiyanizire zizindikiro, kuzindikira zomwe zimayambitsa pancreatitis yovuta komanso yopweteka? Kodi ndimankhwala ati a kutupa kwa pancreatic omwe angapereke thandizo labwino?
Zowona kuti chithandizo chabwino kwambiri cha matendawa ndikuletsa kwake ndikosapeweka. Kutupa kwa pancreatic kumatha kuchitika pachimake kapena mawonekedwe osakhazikika. Chimbudzi cham'mimba chimayang'anitsitsa zakudya zosakhazikika komanso zopanda thanzi.
Njira zotupa zomwe zimatchedwa pancreatitis zimachitika pogwiritsa ntchito mafuta komanso zonunkhira zambiri, komanso uchidakwa wolephera.
Amayambitsa matenda a ziwalo zomwe zili pafupi ndi chala kuti aziwonetsa matenda:
- cholecystitis;
- ma gallstones
- zilonda zam'mimba ndi zilonda zam'mimba.
Mitundu ya kapamba (pachimake komanso chovuta) ili ndi zizindikiro, njira komanso njira zochizira.
Kuunika kwakukulu kumaphatikizapo kuyesa kwakuthupi, kuwonetsa zam'mimba, magazi ndi mkodzo poyesa ntchito ya enylme yotulutsa amylase yopangidwa ndi kapamba.
Pankhani yoyesera yowunikira, kufotokozera za mtundu wa genesis (chitukuko) cha matenda osokoneza bongo, ngati pali matenda omwe ali ndi zofanana, adokotala omwe amapezekapo adzafufuza mayeso a x-ray, kuphunzira ntchito za ma ducts a bile, ducts pancreatic, m'mimba ndi duodenum.
Chithandizo cha pachimake kapamba
Chithandizo cha matenda oopsa a matendawa chimafunikira opareshoni. Kutupa kovuta kumachitika chifukwa cha kuchuluka kwama michere omwe amawononga ma cell awo. Pali necrosis ya tiziwalo timene timatulutsa, timene timayambitsa kutupa. Nthawi zambiri amayamba kudya zakudya zamafuta ndi mafuta okazinga, limodzi ndi mowa wambiri womwe umamwetsa.
Maphunziro a pachimake a matendawa amabweretsa kusayenda bwino kwamitsempha yam'mimba. Olemba zachipatala akuwonetsa kuti kuponyera kwa bile kuchokera kwakukulu kupita ku duct kuchokera ku kapamba kumapangitsa kuti pakhale mawonekedwe apadera a kapamba.
Mu pachimake matenda, amylase zochitika kupitilira mu 500 maulendo. Kusanthula kumawonetsa mapangidwe apamwamba a mapuloteni a C-design. Zambiri za izi zimapereka lingaliro lochulukitsa la insulin yopanga ndi gland.
Hypofunction (kuchepa) kwa kapamba kumabweretsa mtundu 2 shuga. Panoramu x-ray imawonetsa malo okhala ndi phokoso lambiri pakati pa chifuwa ndi m'mimba.
Pancreatitis pachimake ndi osowa mu zotsatirazi:
Kukonzekera kwa encyme ya pancreatic- ndi kuwonongeka, kuvulala kwam'mimba, opareshoni yam'mimba;
- kuphwanya magazi mu zikondamoyo chifukwa cha thrombosis, mkondo wa chotengera, compression ndi chotupa chake;
- poizoni ndi acid, alkalis;
- chithandizo cha nthawi yayitali ndi corticosteroids;
- mankhwala osokoneza bongo.
Wodwalayo amavutitsidwa ndi kuphulika kwapweteka, kosalephera mwachilengedwe. Nthawi zambiri pamakhala kumtunda, imatha kukhala herpes zoster. Wodwalayo amakakamizidwa kutenga malo ena - atakhala kapena atagona, miyendo imakankhidwa mpaka m'mimba mwake. Nthawi zina munthu amatha kupweteka kwambiri chifukwa cha matenda a angina pectoris.
Kubwereza mobwerezabwereza komanso kosasunthika sikubweretsa mpumulo. Kuthamanga kwa magazi ndi kugunda kwa mtima kumachepa. Kutentha kwa thupi, monga lamulo, pang'onopang'ono kumakwera. Khungu limakhala lotumbululuka ndi kuzizira kukhudza, yokutidwa ndi thukuta lomata. Lilime lili louma, lokhudza. Peristalsis (chimbudzi cha chakudya) m'matumbo chimafooka, mpweya suthawa.
Maselo am'mutu amakhala ndi magawo ochepa othandiza (15%) kuposa ziwalo zina (mchira ndi thupi)
Kuchitira mawonekedwe owopsa a kutupa kwa pancreatic, amayamba ndi kukhazikitsa kwa ma pinkiller mthupi, ndipo ntchito yamtima imasungidwa. Ndi edema yomwe ikubwera, kuzizira kumayikidwa pamalo owawa. Wodwala amadziwika kuti adye chakudya cham'masiku atatu, antispasmodic ndi vasodilators (Drotaverin, Buscopan, Papaverine).
Wodwala amafunikira kupuma kwathunthu. Amakonzedwa bwino ndi mapuloteni komanso ma electrolyte. Ndikulimbikitsidwa kuperekera malita asanu ndi limodzi a 5-6 amadzimadzi patsiku kwa masiku atatu mpaka 10, kutengera kutha kwa matendawa. Gwiritsani ntchito maantibayotiki (Klaforan, Abaktal, Ciprofloxacin), ma enzymes (Pancreatin, Enzistal, Mezim-forte).
Odwala omwe adakhala ndi pancreatitis yayikulu ayenera kutsatira zakudya, zakumwa zoledzeretsa zimaperekedwa kwa iwo. Ndikulimbikitsidwa kumwa mankhwalawa ndi mchere wam'madzi (Essentuki, Borjomi). Ngati malangizo a dokotala samatsatiridwa, chitsulocho chimayambiranso. Mtundu woyipa wa matendawa umakhala mtundu wonse wa moyo.
Chithandizo cha matenda a pancreatic aakulu
Pancreatitis imatha kukhazikitsidwa motsutsana ndi kumbuyo kwa njira yotupa - yoyamba kapena chifukwa cha matenda omwe apezeka m'mimba. Fomu yachiwiri ndi cholecystitis, chilonda cham'mimba ndi zilonda zam'mimba. Njira ya kutupa kosatha ndikutalika. Kumenyedwa kokhako ndikokwanira kupanga komwe kumakhala kovutitsidwa.
Zizindikiro za chipatala chozika mizu ndi monga:
- kupweteka
- kutsegula m'mimba
- Kuchepetsa thupi.
Kudziwitsidwa kwawoko ndikusiyana: pamaso pakatupa pakukula kwa mutu, kumachitika mu hypochondrium yoyenera, mthupi ndi mchira - pafupi ndi pakati pamimba.
Mavuto ena obwera chifukwa cha matenda osakhalitsa ndi cysts, miyala, shuga, ndi khansa. Mu magawo oyambilira, necrosis (necrosis) ya minofu ya gland, peritonitis (yopasuka pamalo a malo omwe ali ndi chiphuphu komanso kulowetsedwa kwa nkhani mkati mwa patsekeke la thupi), jaundice yovuta, abscesses (poyizoni wamagazi).
Kwa amayi panthawi yonse yokhala ndi pakati komanso mwana wakhanda, kutsatira njira zopewera kapamba ndizofunikira kwambiri.
Pa gawo loyambirira la chithandizo chamankhwala chovuta, ntchito ndikuchotsa kutupa kwa kapamba. Kupanga zabwino kutuluka kwa pancreatic madzi amalola kupatula zakudya zosachepera 5-6 patsiku. Zinthu zolocha "zololedwa" zimaphatikizapo tchizi-mafuta ochepa, tchizi chosawonda ndi nsomba, tchizi chosaphika komanso tchizi.
Mankhwala a pharmacological ochokera ku pharmacy, ndi chithandizo cha mankhwala a pancreatitis aakulu - Methyluracil, Pentoxyl. Kutalika kwa nthawi yomwe amagwiritsa ntchito kumatha kukhala mwezi umodzi. Kupezeka kwa ma cysts, miyala, fistulas yosachiritsa, kupweteka kosalekeza kumapereka mwayi wopanga opaleshoni. Kupewa kwa mawonekedwe osakhazikika kumaphatikiza, koposa zonse, chithandizo cha mankhwala apamwamba komanso munthawi yake.
Kuwunika kwamankhwala abwino kwambiri a kapamba
Galstena. "Kuphatikiza" kwa mankhwalawo ndi malo ake achilengedwe. The homeopathic zikuchokera zimaphatikizapo zitsamba (mkaka nthula, lalikulu celandine, mankhwala dandelion). Mchere mkati mwake (sodium sulfate ndi phosphate yachitsulo) nawonso ndi ochokera ku chilengedwe, kusungunuka mu mowa wa ethyl. Mankhwalawa amaloledwa kuchepetsedwa ndi madzi asanagwiritse ntchito (1 tbsp. L.).
Malizitsani ndi botolo la 20-100 ml pali donho la dispenser. Akuluakulu amalimbikitsidwa kugwiritsa ntchito madontho 10 katatu patsiku, kutengera chakudyacho (theka la ola musanadye kapena ola limodzi mutatha kudya). Munthawi yakukwaniritsidwa kwa kapamba, Galsten angagwiritsidwe ntchito ola lililonse, koma osapitirira 8 pa tsiku. Ndiponso, muyenera kubwerera ku mlingo woyenera. Njira ya chithandizo mpaka miyezi itatu, zingapo, ndikupuma kwa masabata atatu.
Ndi mapiritsi ati omwe amathandizira kuthetsa ululu ndi momwe angachiritsire kutupa kwa kapamba kunyumba
Gordok. Wampikisano. Zomwe zimapangidwira kukonzekera komwe kumachokera ku zisa za ng'ombe zophera ndi aprotinin. Mankhwala ena amalepheretsa ntchito ya enylme ya amylase, amachepetsa magazi kwambiri. Imapezeka ngati jakisoni mu ampoules kapena ufa. Ndalama zimayendetsedwa kudzera m'mitseko, ndi dontho. Thupi lawo siligwirizana zimatheka chifukwa cha tsankho.
Dalargin. Peptide (protein) yachilengedwe ufa umagwiritsidwa ntchito jekeseni. Mwina jekeseni wamitsempha. Muyenera kuyang'anira kuchepa kwa kukakamizidwa kwa odwala panthawi yogwiritsira ntchito dalargin.
Chiboni. Pancytrate. Zogulitsazo zimakhala ndi puloteni ya pancreatinin yomwe imachokera ku kapamba wa nkhumba. Mlingo wa tsiku ndi tsiku ukhoza kukhala mpaka 15 makapu. Kwa zaka zambiri, anthu ambiri akhala akugwiritsa ntchito mankhwala osokoneza bongo pakulimbitsa chakudya chokwanira m'thupi. Ubwino wa Pancitrate ndikuti umaloledwa kugwiritsidwa ntchito ndi amayi apakati, akunyumba ndi amayi ndi ana.
Kugwiritsa ntchito mankhwala achikhalidwe komanso mankhwala opangira mankhwala kumathandizira kukonza mkhalidwe ndi ntchito za kapamba. Wodwala amaloledwa kupumula mu zakudya, kusiyanitsa zakudya zake. Ndi kupambana kwa matendawa, zopangidwa kuchokera ku gulu loletsedwa kwambiri (mkate wa rye, msuzi pa msuzi wamphamvu, chokoleti, mazira owiritsa, ma legamu, kabichi) pang'onopang'ono zimasanduka gulu la "zoletsa".
