Kusiyana kwamunthu pakati pa amuna ndi akazi osiyana momwe amapangidwira chigawo chokhala ndi ntchito za endocrinological kulibe. Kukhazikitsidwa kuti m'malo opitilira theka la milandu yodziwitsa pancreatitis yovuta kwambiri komanso yovuta, choyambitsa ndikugwiritsa ntchito zakumwa zoledzeretsa. Mu gulu la zaka zosakwana 40, izi ndizokwera kwambiri. Kuwonetsedwa kwa matenda apakhungu amatha kukhala owonekera, obisika, olemedwa ndi ma pathologies ena omwe amapezeka m'thupi. Momwe mungadziwire matenda a kapamba ndikuyamba kulandira chithandizo chanthawi?
Zizindikiro zapadera
Kukhazikika kwa ma pathologies mu anyamata omwe alibe vuto la kubereka kwamankhwala kuyenera kuyambitsa katswiri wa gastroenterologist kuti aziganiza zoyambitsa mowa. Zakumwa zakumwa zoledzeretsa zimasokoneza minyewa yanyumba.
Mphamvu yamanjenje imasokonekera, kupanga ndi kuchuluka kwa chakudya cham'mimba kumatha kusokonekera. Chinsinsi cha mandala. Chifukwa cha kutukusira kwa mucous nembanemba wa duodenum, zomwe zili mkati mwake zimaponyedwanso mu pancreatic duct. Kuwonjezeka kwa mtima wamankhwala wokhala ndi zakumwa zoledzeretsa kumathandizira. Zinthu zovulaza zimalowa m'magazi ndipo zimanyamulidwa m'thupi lonse.
Mu chifuwa chachikulu cha pancreatitis, kupweteka kwapadera mu epigastric kwachilendo. Chizindikiro cha matendawa ndichachikulu kwambiri kwakuti, ngakhale atamwa kwambiri komanso kuchepa kwa mphamvu ya kupweteka, munthu amalira, kubuula, ndikuyesera kusintha mawonekedwe ake. Zowawa zimayamba kuphika, limodzi ndi kusanza mobwerezabwereza. Maola oyambukira, mimba imakhala yofewa. Komabe, mtsogolo, palpation (palpation yake ndi kupanikizidwa pang'ono) ndizowawa.
Maphunziro a Laborator amatha kudziwa ntchito yayikulu ya enzyme amylase (kapena diastase) mkodzo. Koma m'maola oyambilira, kusanthula sikunachitike. Chifukwa chake, ndikofunikira kuyang'ana bwino zomwe wodwala akuchita.
Dyspepsia amakhalanso ndi chithunzi cha matenda apachikondomu mwa amuna omwe ali ndi mawonekedwe osakhazikika. Vuto la Stool limatha kufotokozedwa mosiyanasiyana. Kuunika kwa microscopic ya ndowe kumavumbula kuchuluka kwakukulu kwamitsempha yama minofu ndi ma mamolekyulu amafuta. Ma enzyme omwe amapangidwa ndi chitsulo siokwanira, ndipo chakudya chake sichinapatsidwe.
Dyspepsia imakhudzana mwachindunji ndi kuperewera kwa exocrine pancreatic function
Kusintha kwazopweteka komanso chizolowezi chopanga miyala
Malinga ndi ziwerengero, mawonekedwe owopsa nthawi zambiri amapezeka mwa amuna achichepere, osakhazikika - mwa amayi okalamba. Dandaulo lalikulu la wodwala wokhala ndi pancreatitis yopweteka kwambiri samangokhala mu gawo la epigastric, komanso ma umbilical. Kutikako kumakhala m'matumbo am'mimba: kuchokera ku hypochondrium, mpaka ku navel. Mwachilengedwe, ululu wake umakhala wowuma ndipo ukupweteka. Wodwalayo amakumana ndi kusasangalala komanso chidzalo pamimba.
Nthawi iliyonse ululu umakulira:
Zizindikiro zakukula kwa kapamba- zolakwika mu chakudya;
- kumwa mowa;
- kudya zakudya zamafuta;
- kudya kwambiri
Poyerekeza ndi chizindikiro cha kupweteka kosalekeza, kukomoka kumachitika. Ndiye kupweteka kwambiri mu epigastric dera kumatenga zoster. Mokulimba, sizimasiyana ndi zomwe zimadziwika mu pancreatitis yayikulu. Odwala ena amatenga kupweteka kumbuyo ngati kuwukira kwa angina pectoris. Pakati pamankhwala oyamba ndi wodwala, akatswiri amafunikira kuchita electrocardiogram yamtima.
Spasms imaphatikizidwa ndi zowawa palpation m'zigawo zam'mimba (dera lam'mimba). Munthu amakhudzidwa ndi kuchepa kwa njala ndipo, chifukwa chake, kuwonda kwambiri. Kuchepetsa mseru m'magawo asanu ndi atatu mwa khumi kumabweretsa kusanza. Chizindikiro sichitha kuphatikizidwa ndi kudya zakudya kapena chifukwa cha zakudya monga bowa, tomato, uchi.
Pancreatitis yamtundu wa zakumwa zoledzeretsa zimapezeka nthawi zambiri mwa anthu omwe ali ndi vuto laukali kwa nthawi yayitali. Mwa amuna, nthawi zambiri amakula pambuyo pa zaka 10 za nkhanza, mwa azimayi mwachangu - pambuyo pa zaka 6-7. Zizindikiro za chikazi ndi chachimuna ndizofanana.
Mawonekedwe a pancreatic matenda amaphatikizira mapangidwe amiyala. Izi zikufotokozedwa motere: mu madzi a pancreatic, mapuloteni omwe amawonjezeka amawonjezeka. Malinga ndi ziwerengero zamankhwala zomwe zilipo, matenda a ndulu ndiwofala kwambiri mwa azimayi.
Mapulagi a mapuloteni amatsekeredwa mumizere ya bile. Amalumikizidwa ndi calcium calcium calcium. Imatulutsa mapulagi, "simenti". Kutsekedwa kwa maliseche kumayambitsa zowononga za ndulu mpaka necrosis (minofu necrosis). Angapo ma polycystic osachulukitsa a maselo apadera a pancreatic amapangidwa.
Madokotala odziwa ntchito amatha kulimbikitsa zotupa pakhungu. Koma umboni woyenera wokhazikitsa chidziwitso chokwanira umaperekedwa ndi kuyesa kwa chiwalochi. Ultrasound limawonetsa bwino ma formological, mawonekedwe awo a cystic. Maselo osinthika amatha kupangitsa khansa kutulutsidwa.
Matenda a chithokomiro amakula chifukwa cha matenda obwera ndi bakiteriya m'mimba, kutuluka kwamkati kwa ziwalo. Nthawi yomweyo, kutentha kwambiri, kuchepa kwa hemoglobin wamagazi, kufooka kumayanjana ndi zizindikirazo.
Kuwonetsedwa nthawi imodzi yamtundu wankhanza wa kapamba kumapereka maziko woika wodwalayo mbiri yakale malinga ndi mtundu wa matenda
Pali zizindikilo zakunja zotere:
- kusinthana kwanyumba ndi kudzimbidwa;
- kukhuthala kapena khungu;
- kuchuluka kwa masisitere;
- tachycardia (mtima palpitations - kugunda zoposa 100 pamphindi).
Zikondamoyo zimatulutsanso insulin. Nthawi zambiri, kuwonongeka kwa minofu ya ziwalo kumabweretsa insulin kuchepa. Choopsa ndichakuti amabisika. Kuzindikira kwa thupi kumakhala umboni wa kusakhazikika kwa mahomoni m'thupi komanso chakudya chamafuta.
Pankhaniyi, kusowa kwamadzi kumachitika:
- Digiri yoyamba (ludzu lofooka, kuchuluka kwa kupuma komweko)
- Digiri yachiwiri (ludzu lolimbitsa, ma mucousuma owuma, kuchuluka kwa mkodzo kumachepa, kumakhala kwakuda bii);
- Digiri yachitatu (ludzu lakuya kapena palibe, kusachedwa mayendedwe a chikumbumtima, kuyankhula, kutsitsa magazi, ketoacidosis - mawonekedwe a matupi a ketone mkodzo).
Kuti muzindikire kuzindikira kwa zizindikiro zakunja kwambiri za matenda a shuga, ndikofunikira kuchita mayeso ndi katundu wamagazi (glucose). Mankhwala ena odwala insulin angafunike.
Kodi ndi odwala otani?
Mukamayang'anira madokotala, akatswiri azachipatala nthawi zambiri amawona kusiyana pakati pa odwala. Odwala achikazi, monga lamulo, amatsatira malangizo a dokotala mosamala. Mosamala yang'anani nkhani yokhudza kudya. Wodwala amafunikira choyamba kuti athetse chomwe chinayambitsa thupi ku matenda. Siyani kumwa zakumwa zoledzeretsa, khazikitsani zakudya.
Chakudyacho chizikhala chokwanira mu protein komanso Vitamini. Mavitamini a Nicotinic acid ndi B akuwonetsedwa. Zakudya zokometsera komanso zamafuta siziphatikizidwa, ngakhale ndizokonda zaukonda komanso zomwe amakonda.
Amuna ena amatchula kusakwanira kuntchito kuti azipereka chakudya chamagulu pafupipafupi (nthawi 5-6 patsiku). Kukula kwakukulu, ili ndi vuto lamaganizidwe - kupatutsidwa kwa wodwala pakukhululuka. Ndifunikanso kulowetsa ma enzymes (pancreatin, pancytrate, creon, festa).
Odwala achimuna safuna kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe ngati adjuvants. Pokonzekera infusions, nthawi ndi maluso ena amafunikira. Kusuta kumayambitsa chitukuko ndikusokoneza mankhwalawa matenda a kapamba. Malinga ndi ziwerengero, kuchuluka kwa omwe amasuta amuna kumakhala kwakukulu.
