Ndi dokotala uti amene amasamalira kapamba

Ambiri saganiza za komwe ali ndi kapamba, ndi zomwe amagwira mpaka mavuto atayamba. Koma ndikuwoneka ngati ululu wam'mimba kwambiri, kupukusa m'mimba kapena kusanza, pakufunika kufunafuna thandizo kuchipatala. Nthawi yomweyo, anthu ambiri amakhala ndi funso: lomwe dokotala amatenga kapamba. Ngati vuto loterolo likuchitika, muyenera kungoyendera akatswiri omwe angakupatseni mwayi kwa katswiri woyenera.

Kufotokozera Kwambiri pa Vutoli

Zikondamoyo zimachita mbali yofunika kwambiri chimbudzi. Apa ndipamene ma enzyme omwe amaphwanya chakudya mu duodenum amapangidwa. Kuphatikiza apo, msuzi wa pancreatic womwe umatulutsidwa ndi iwo umayambitsa chimbudzi. Ndi zotupa kapena kufalikira kwa ndulu za ndulu, izi ndi ma enzymes omwe ali mmenemo amaleka kulowa m'mimba. Amawonongeratu chithaphwi pachokha, ndikupangitsa kupweteka kwambiri, komanso zimapangitsa kuti magazi atulutsidwe m'magazi. Zotsatira zake, ntchito ya ziwalo zambiri imasokonekera, koma chiwindi chimadwala kwambiri.

Nthenda yofala kwambiri yokhudza kapamba ndi kapamba, yemwe amatha kukhala pachimake kapena kupweteka. Izi matenda amayamba ndi vuto la kuperewera kwa m'thupi, poyizoni ndimankhwala kapena mowa, matenda opatsirana, komanso kuchuluka kwa gastritis yosatha. Pankhaniyi, muyenera kupita kwa dotolo kuti mukamufufuze ndi kulandira chithandizo chamankhwala.

Kuphatikiza apo, kukanika kwa pancreatic kumatha kuyambitsa matenda ashuga. Kupatula apo, ndi thupi lomwe limapanga insulin ndikuwongolera kutulutsa kwa glucose.

Ma pancreatic pathologies osiyanasiyana oterewa komanso zoopsa zawo amakakamiza odwala kuti akaonane ndi dokotala. Kutengera ndi kuopsa kwa matenda, mawonekedwe ndi gawo, akatswiri otsatirawa angathandize:

1. othandizira;
2. gastroenterologist;
3. dokotala wa opaleshoni;
4. endocrinologist;
5. oncologist.

Mu chilonda chachikulu cha pancreatitis, wodwala amafunikira kuchipatala mwachangu

Kuthandiza ndi vuto lodana kwambiri

Ndi kusapeza pang'ono m'mimba, si aliyense nthawi yomweyo amapita kwa dokotala. Koma mawonekedwe owopsa a kapamba, omwe amatha kukhala pachiwopsezo cha moyo, amawonetsedwa nthawi zonse ndi zizindikiro zotchulidwa. Amakakamiza odwala ambiri kuti ayitane ambulansi kapena kuti angayendere dokotala wakomweko. Izi ziyenera kuchitika, chifukwa popanda thandizo la panthawi yake, pamakhala zovuta zoyipa.

Ndikofunikira kufunsa dokotala ndi zizindikiro zotere:

• kuluma kwakuthwa, kupweteka m'mkamwa ndi kumanzere, kumatha kuperekera kumbuyo, osagonja pakuluma;
• kusanza kophatikizidwa ndi bile;
• kuphwanya chopondapo, ndipo mmenemo, tinthu tosiyanasiyana ta chakudya chosawonongeka timawonedwa;
• kukwiya kwanyumba;
• malungo.

Ndi zizindikirozi, simuyenera kuganizira za adokotala ati, chifukwa muyenera kuyimbira ambulansi posachedwa. Nthawi zambiri wodwala amagonekedwa m'chipatala mu dipatimenti yochita opaleshoni, ndipo makamaka m'malo ovuta kwambiri - m'chipatala. Kumapeto kwa kuyesedwa koyenera, chisankho chimapangidwa pazomwe odwala amafunikira. Kuthandizidwa ndi dokotala wa opaleshoni ndikofunikira pakutchinga matumba a pancreatic, kukhalapo kwa cysts kapena zotupa zomwe zimayambitsa kuphwanya ntchito zake. Nthawi zina, pamaso pa zovuta njira ya minofu necrosis, kuchotsa kwa chiwalo amafunikira.

Koma nthawi zambiri ngati mungapeze chithandizo chamankhwala panthawi yake, chithandizo chamankhwala chitha kuperekedwa. Njira zazikulu zothandizira matenda oopsa a kapamba kupuma, kuzizira ndi njala. Kukana kwa chakudya ndi kuzizira kozizira kumafunika masiku angapo. Kenako dokotala amakupatsani mankhwala ena ake apadera ndi zakudya. Atatuluka m'chipatala, wodwalayo amapatsidwa malangizo othandiza kuti athandizidwe, chifukwa kapamba amafunika kudya kwapadera komanso kuyang'aniridwa ndi achipatala.

Thandizo la akatswiri

Zizindikiro zoyambirira za matenda akudya zam'mimba zikaonekera, matenda oyamba amachitika ndi dokotala wakomweko. Ndiye amene amayang'anitsitsa kupezeka kwa zowawa, amapeza kupezeka kwa zizindikiro zina ndi kusankha mayeso. Ndipo ngati pakufunika kutero, othandizira amapereka njira yotumizirana ndi akatswiri kapena kuchipatala. Nthawi zambiri, zizindikiro za kapamba zimafanana ndi chiwonetsero cha osteochondrosis, zilonda zam'mimba, pyelonephritis, komanso ngakhale shingles. Chifukwa chake, muyenera kudziwa kaye zoyenera, kenako ndikupeza amene amachiza matendawa.

Nthawi zambiri, achire komanso gastroenterologist amathandizira pancreatic pathologies

Ndiwo wothandizira yemwe atha kutumizira mayeso kuti akawunike. Ultrasound nthawi zambiri imayikidwa, ndipo ngati ndi kotheka, ndi MRI. Kuyesedwa kwa mkodzo, kuyezetsa magazi komanso kuyesa kwamphamvu kumafunikanso. Amazindikira kukhalapo kwa ma enzymes m'magazi, ESR, kuchuluka kwa maselo oyera. Pambuyo pokhazikitsa chitsimikizo, wodwalayo amatumizidwa kwa dokotala yemwe amathandizira matenda oterewa.

Wodwalayo adawonanso wodwalayo atatuluka m'chipatala, pomwe amathandizidwa ndi chifuwa chachikulu cha kapamba. Odwala omwe adazindikira izi adalembetsa.

Gastroenterologist

Ndi kapamba, kugwira ntchito kwa ziwalo zonse zam'mimba kumasokonekera. Inde, chifukwa chakutha kwa kupanga mahomoni ofunikira ndi ma enzyme, chakudya sichingayikidwe bwino. Ndipo chifukwa cha zotupa, poizoni amatulutsidwa, chifukwa chomwe chiwindi chimadwala. Chifukwa chake, odwala omwe ali ndi matenda amtunduwu amayang'aniridwa ndi gastroenterologist. Uyu ndiye katswiri wamkulu pa matenda a matenda am'mimba.

Zizindikiro za kutupa kwapancreatic

Gastroenterologist, kuphatikiza pa njira zoyeserera zolembedwa ndi akatswiri, nthawi zambiri amalimbikitsa kuti apange kupopera, gastroscopy, kuyesa kwa X-ray kwa gland pogwiritsa ntchito kusiyanitsa, transabdominal ultrasound kapena endoscopic retrograde cholangiopancreatography. Njirazi zimatha kutsimikizira kapena kutsimikizira kuwunika koyambirira, komanso kudziwa zovuta pakugwira ntchito kwa ziwalo zina zam'mimba.

Kufufuza kotereku kumakupatsani mwayi kuti mudziwe momwe zilili ma pancreatic ducts, kukhalapo kwa njira zowerengera, kupangidwa kwa ma calcified, cysts kapena malo ochepetsa minofu. Izi zimapangitsa kuzindikira minofu ya atrophy, kuchepa kwa ma ducts kapena kukula kwa zotupa mu nthawi. Kuti atsimikizire matendawa, gastroenterologist imafotokozeranso mayeso apadera ofunikira kuti apangidwe ndimadzi a pancreatic.

Pazovuta zilizonse za pancreatic, kufunsa endocrinologist ndikofunikira

Endocrinologist

Mavuto a pancreatic samawonetsedwa nthawi zonse mu mawonekedwe a kapamba. Kupatula apo, thupi ili limayang'anira kupanga insulin, glucagon ndi somatostatin. Ma hormones amenewa amawongolera kuchuluka kwa glucose. Nthawi zina kukanika kwa pancreatic kumakhudza gawo lino lokha. Izi zimabweretsa kutsika pang'ono pakupanga kwa mahomoni awa. Vutoli limayambitsa kukula kwa matenda ashuga.

Endocrinologist amatenga nawo mankhwalawa. Chifukwa chake, odwala onse omwe atayika chiwopsezo cha pancreatic amatumizidwanso kuti akalandire. Inde, kuchepetsera kupanga insulini kumakhala koopsa. Matenda a shuga amatha kuyamba osadziwika, koma nthawi zonse amakhala ndi zotsatirapo zoyipa zaumoyo. The endocrinologist, atapereka mayeso ofunikira ndikupanga matenda, amapereka mankhwala apadera. Odwala omwe ali ndi matenda ashuga amafunikira kuwunika pafupipafupi, kumwa mankhwala apadera.

Oncologist

Nthawi zina wodwala amene amadandaula kuti m'mimba mwake mumapweteka, pambuyo poyesedwa amatumizidwa kwa oncologist. Kupatula apo, choyambitsa kusapeza koteroko chimatha kukhala chotupa. Tsimikizirani kupezeka kwake pambuyo pa CT, MRI, ultrasound kapena ERCP. Chithandizo cha zovuta zotere ndizotheka ndi chemotherapy kapena opaleshoni.

Chotupa chikhoza kuyamba chifukwa cha nthawi yayitali ya chifuwa cham'mimba. Makamaka ngati wodwala aphwanya malingaliro a madokotala. Kupatula apo, matendawa nthawi zambiri amafunikira zakudya zapadera komanso kugwiritsa ntchito mankhwala apadera nthawi zonse.

Kusokonezeka kwa kapamba kumabweretsa kuwonongeka konsekonse mu thanzi. Nthawi yomweyo, ziwalo zambiri zimavutika, chimbudzi komanso kugaya zakudya zimasokonekera. Kukuchezerani panthawi yake kwa dokotala ndi komwe kungakhale njira yabwino yakuchiritsira komanso kupewa zovuta zazikulu.