Kukula kwachilengedwe kwa maselo a ziwalo zogaya chakudya sikosachedwa mwachangu. Poyerekeza ndi zomwe zakupezeka, zomwe zimayambitsa kuvulala, kuvulala, ndi kupsinjika kwamanjenje. Kusintha kwachangu kwa pancreatic kumachitika chifukwa cha matenda angapo a ziwalo zoyandikana. Pangozi ndi azimayi oyembekezera, okalamba. Kodi ndikuyenera kuwonana ndi dokotala ndikuwonetsa alamu? Kodi pali zizindikiro zilizonse mwa ana?
Zovuta zakuzindikira
Gulu lina la anthu limasinthasintha masinthidwe amtundu wa gland - the parenchyma. Izi zimachitika chifukwa cha kukula kwa matenda a chiwindi, m'mimba, chikhodzodzo, matenda am'matumbo, ndiye kuti, mavuto azachipatala m'magawo am'mbuyomu komanso otsatirawa am'mimba.
Kusokonekera kwa maselo a pancreatic kumachitika chifukwa cha zochitika pomwe, kudandaula chifukwa chosowa chakudya, makamaka ana amawononga:
- zogulitsa zomwe siziri zachilengedwe zimakongoletsa (mchere wa sodium), zoteteza, ma utoto;
- zakumwa zoziziritsa kukhosi za kaboni;
- tchipisi;
- zopangidwa nthawi yomweyo.
Chidwi cha onse chiyenera kukopeka ndikuti zovuta zimakhalapo pakuzindikira kusintha kwa chinthu chokhazikika, chifukwa cha kusatsimikizika kwa zizindikirazo, mawonekedwe awo osiyanasiyana. Ultrasound imatha kupereka zenizeni. Zosintha zovuta zimapezeka mwadzidzidzi mu chiwalo. Mtundu wa echo umapangidwa chifukwa cha ultrasound. Chizindikiro chimatumizidwa kuzinthu zakutchire ndi zida. Zimawonetsedwa, ndipo madontho a mithunzi yosiyanasiyana ya imvi amawonekera pa polojekiti yolumikizidwa.
Pali nthawi yapadera pomwe zizindikiro za echo zimakhala zosakhalitsa. Dokotala ayenera kuganizira zinthu zotsatirazi - nthawi:
- kuwonongeka kwa matenda a shuga a shuga (shuga wamkulu);
- kudya zakudya zolimba;
- kusintha kwakuthwa m'moyo (kuphatikiza pakati, gawo laophunzira);
- njira zotupa mthupi.
Kuchita ma ultrasound pamilandu iyi ya moyo wamunthu kumapereka zotsatira zolakwika. Chizindikiro chimodzi chosadziwika ndikutheka kwa zakudya zina (nsomba, uchi, zipatso za zipatso). Izi zikutanthauza kuti thupi "limasainira" za ngoziyi.
Ndi mbiri yabwino yotenga (kuphatikiza mbiri yakale yachipatala ndi dotolo), zomwe zimanenedwa kuti zam'badwo zimafotokozedwa, poyizoni samaphatikizidwa. Kumasulira: kuledzera kwa thupi kumakhala ndi zofanana. Zoyipa zomwe zingachitike ndi mankhwala zimakhazikitsidwa.
Zizindikiro zosadziwika ndizomwe zimayesedwa bwino. Zimaphatikizapo kuyezetsa magazi a labotale. Monga lamulo, kuchuluka kumayikidwa:
- kuchuluka kwa maselo oyera;
- kuchuluka kwa erythrocyte sedimentation rate (ESR);
- mulingo wa michere.
Makhalidwe a lymphocyte ndi hemoglobin, m'malo mwake, amachepa. Kusanthula kwa Stool kumavumbula chakudya chambiri. Mu mkodzo, chinthu cha enzymatic, diastase, chimapezeka.
Zolinga ndizogwirizana komanso cholinga.
Chifukwa chogwirizira cholowa m'malo mwa maselo abwinobwino ndizosowa m'thupi (kawiri pa tsiku, magawo ambiri, zakudya zabwino). Mankhwala osalamulirika (maantibayotiki, furosemide, Trichopolum) ndi owopsa pachilichonse.
Kapangidwe ka kapamba kameneka kamawonongeka chifukwa chogwiritsa ntchito mafuta osakanizika nthawi zonse komanso chakudya chambiri
Zolinga zoyambitsa kusinthasintha kwa minyewa:
- cholecystitis (mawonekedwe akulu);
- zilonda zam'mimba za m'matumbo;
- kutupa kapena kuvutika kwa kapamba;
- matenda a Reflux (kungokhala / kuyenda kwa ndulu, kapu ya pancreatic kuchokera ku chiwalo chimodzi kupita ku chinzake china chakumaso);
- colitis yosakhala yamatumbo.
Poyamba, metamorphoses yodziwika bwino amadzazindikira. Matenda akunja mthupi (fuluwenza, tonsillitis, chibayo) amathanso kukhala chothandizira pakuwonetsa pancreatitis (kutupa), steatosis (kuchepa kwa maselo m'mafuta), komanso kuchepa kwa enzymatic. Matenda obadwa nawo a gland amapezeka nthawi yomweyo pakubadwa. Ndi cystic fibrosis, ntchito ya bile ducts ndi patency yawo imasokonekera. Mitsempha ya lactose ndi mahomoni amatsika kwambiri.
Akatswiri adatsimikizira kuti zotupa za kumtunda kwa kapamba nthawi zambiri zimakhala zosasinthika
Zizindikiro zimatsimikizira mankhwalawo
Odwala amafotokoza zizindikiro zopweteka m'mimba. Tizilombo timeneti timakhala kumbuyo kwa chimbudzi. Ululu wofatsa ndiwokhalitsa. Zodabwitsazi zimachitika chifukwa mukatenga gawo lokhala moyenda pang'ono, zolimba zimatha ndipo pang'onopang'ono zimatha. Mwanayo akulira kwambiri. Amayesa kugona pambali pake ndikukoka miyendo yake pachifuwa chake.
Madzi am'mimba amapezeka m'misamba ya chakudya, koma samapezeka mwa mwana. Kupumira sikubweretsa mpumulo ngati zikuchitika poyizoni. Mu maola oyamba ndi mawonekedwe owopsa, kutentha kumakwera kwambiri, mpaka madigiri 40. Kuthwa kwambiri kwa matendawa kumaphatikizapo chithandizo chamkati, kupuma mwamphamvu pakama, kudya, kuthetsa zomwe zimayambitsa kugwedezeka kwapanc.
Chithandizo cha Zizindikiro zimaphatikizapo mankhwala:
- antispasmodics;
- mankhwala omwe amachepetsa kuledzera (poyizoni wa thupi pogwiritsa ntchito zinthu zowola);
- zoletsa (zoletsa kaphatikizidwe) ka puloteni wa proteinase;
- ndi chifuwa - antihistamines;
- michere;
- mavitamini ndi michere.
M'masiku oyamba, wodwalayo ayenera kukana chakudya kwathunthu. Imwani ofunda, mchere wamchere kwambiri wopanda madzi tsiku lililonse ngati chakumwa. Mwanthawi yovuta, odwala amapereka chithandizo cha matenda am'mimba. Aakulu - kutsegula m'mimba kusinthana ndi kudzimbidwa.
Tinthu tating'onoting'ono ta lilime ndi louma, ndipo tating'alu wachikasu. Kulakalaka kumachepa kapena kulibe. Odwala akuvutika ndi lamba, kumatulutsa. Wodwalayo afooka, amatopa msanga. Kukhalapo kwa zizindikiro zopitilira ziwiri kumapereka chidziwitso chamankhwala.
Pambuyo poyankhulana ndi dokotala wopezekapo kuti apweteke pang'ono mu dera la epigastric, zinthu zamafuta zimagwiritsidwa ntchito. Kupukutira kwa parafini kumayikidwa m'malo a thupi.
Chomera chambiri chophatikiza ndi mbewu zotere chikulimbikitsidwa:
- zipatso za red-hawthorn ndi katsabola wa m'munda;
- masamba a peppermint;
- maluwa a camomile wopanga mankhwala ndi mchenga wosafa.
2 tbsp. l kuthira madzi otentha (200 ml). Ikani yankho pamapangidwe osamba madzi. Pambuyo mphindi 15, chotsani ndikuzizira. Sulani kudzera mu sieve yabwino kapena cheesecloth, wopindidwa mu zigawo zingapo. Onjezani madzi otentha kwa kulowetsedwa kukhala chizindikiro cha 200 ml. Tengani theka lagalasi katatu patsiku, ola limodzi mutadya.
Kusintha kwina kwa kapamba mwa mwana kumachitika chifukwa chophwanya zakudya za ana. Ana nthawi zambiri amadya chakudya nthawi yomweyo. Akuluakulu omwe amadyetsa thupi lomwe silili lamphamvu malinga ndi enzymatic set ali ndi vuto la kuperewera kwa zakudya m'zakudya zonunkhira, zonunkhira komanso zokazinga. Zotsatira zake, ma pathologies akulu amapezeka.