Pancreatic kutupa kwa ana

Zomwe zimayambitsa, Zizindikiro, njira zochizira pancreatitis mwa ana ndi akulu ndizosiyana. Malinga ndi ziwerengero zamankhwala, gawo lothamanga la zotupa za m'mimba mwa mwana ndizofala kwambiri. Mavuto a ziwalo zamatumbo ndi owopsa. Kuyambira masiku oyambirira a mwana, ndikofunikira kuchita zakudya zoyenera. Kodi kupewa matenda ndi chiyani? Momwe mungathetsere zoyambitsa zake? Kodi kugwiritsa ntchito mankhwala kunyumba kuli ndi mawonekedwe?

Etiology (chiyambi) cha njira yotupa

Chomwe chimapangitsa bungwe kuperewera kwa vuto la kuperewera kwa zakudya zabwana kumabodza kokwanira ndi malo ake akuluakulu. Thupi la mwana limayankha zomwe amakonda makolo ake, abale ake apamtima. Ana amatengera zochita zachikulire. Njira yofunika yodzitetezera ku kudya ndikudya moyenera, makamaka ndi mwana.

Chimodzi mwazomwe chimayambitsa etiology ya pancreatitis chagona m'zinthu zamakono zomwe zimapangidwa pakupanga dongosolo. Matendawa amapangidwa ndi akatswiri: cystofibriosis, cystic fibrosis, pancreatic hypoplasia. Kugonekedwa kuchipatala mwadzidzidzi, thandizo la akatswiri liyenera kukonzedwa munthawi yoyenera komanso moyenera.

The acute ndi aakulu magawo a kapamba mu ana ndi akulu, monga lamulo, amadza chifukwa chotupa. Mukalowa m'magazi owola a zinthu zoyipa zoledzera zimayamba. Akuluakulu amatha kumwa mowa mwauchidakwa, kusuta nyama, zakudya zamafuta ndi nyama yokazinga, komanso mankhwala.

Maziko a enzymatic amunthu wathanzi omwe alibe zododometsa mu anatomy ndikukula kwa ziwalo zam'mimba pamapeto pake amapangidwa pafupifupi zaka zitatu. Katundu pa zikondamoyo muubwana kumatha kuchitika chifukwa cha kuyambitsidwa kwa mwana ku chakudya cha "wamkulu" (bowa, ketchups, masoso, zakumwa zotsekemera za kaboni).

Ndingadye chiyani ndi zotupa za kapamba

Zakudya zamitundu yoyipa, kuphatikiza tchipisi, zopaka, osati zopangidwa ndi nyumba, nthawi iliyonse zimayambitsa ma enzyme ambiri. Chakudya chopatsa thanzi chimakhala ndi zinthu zomwe zimapangitsa kukoma, ndizowonjezera. Kuyambira ubwana, ziwalo zogaya zimayamba kugwira ntchito "modzidzimutsa" ndipo zimakhala zake zimatha msanga.

Kudya zina, kuphatikiza zakudya zachikale nthawi iliyonse, makamaka kwa ana - ndizodzaza ndi poyizoni, kuchepa mphamvu kwa thupi, ndi zina zoyipa, kuphatikizapo imfa.

Mankhwala pafupipafupi amakhumudwitsanso minyewa yotupa. Awo, poyang'ana koyamba, mavitamini "osavulaza" ogwiritsira ntchito makolo (pakamwa) ayenera kusankhidwa ndi madokotala a ana mosamala kwambiri. Kupeza kwa ana mankhwala kuyenera kuyang'aniridwa nthawi zonse.

Zizindikiro pa gawo lililonse la kapamba

Mwa ana, poyerekeza ndi achikulire, magawo okhalitsa ndi owopsa amakhala ochepa. Ali aang'ono, kuwonetsa pafupipafupi mawonekedwe owopsa otha kugwira ntchito ndi kotheka. Mu pancreatitis pachimake, chithunzi chotsatira chachipatala ndichikhalidwe:

• Choyamba, kuwonjezeka kowopsa kwa kutentha kwa thupi;
• Kachiwiri, zizindikiro za dyspeptic (kutsegula m'mimba ndi mseru, kudutsa kusanza).

Pakakhala vuto, mwana amadandaula za kupweteka m'mimba. Monga lamulo, pali zovuta kudziwa malo ake (malo enieni).

Monga complication, popanda chithandizo choyenera cha kutupa kwa pancreatic, pakhoza kukhala ziwalo edema, kukulira kukula

Kuphwanya kawirikawiri chakudya kumapangitsa kuti thupi lizipanga zakudya zosafunikira. Pang'onopang'ono, kutupa kosatha kwa kapamba kumachitika mwa mwana, kapena ngati vuto lodana kwambiri ndi maselo osapatsidwa mphamvu limasiya kugwira ntchito mwachizolowezi.

Njira yakukula kwa matendawa imatsatiridwa:

• kuchepa thupi;
• kutaya mtima;
• kugona
• ulesi.

Mwana amatopa msanga, kusakhazikika kwake kwamphamvu kumaphwanyidwa (kutsegula m'mimba kumaloledwa ndi kudzimbidwa).

Zizindikiro za kapamba zimapweteka kwambiri ana kuposa akulu. Matenda a mwana amakula chifukwa chakupezeka kwa zakudya zomwe zimagulitsidwa. Makanda oyamwitsa nthawi zambiri amakhala alibe lactose, wopezeka kwathunthu kuchokera mkaka wa m'mawere.

Pamaso chithandizo ...

Makanda ochita masewera olimbitsa thupi amayenera kutetezedwa kuti asavutike mpaka m'mimba (kugwa, kupumira, masewera ambiri). Kuvulala kumayambitsa kuwonongeka kwa minofu, kusamutsa ziwalo, kukakamiza kwamitsempha yamagazi, ma ducts a bile. Malinga ndi ziwerengero zamankhwala, ena mwa ana omwe ali ndi vuto la kapamba, kumapeto kwake adadwala matenda opatsirana (chimfine, mumps-mumps).

Pambuyo pa kufufuza kwakuthupi kokwanira, magazi, mkodzo ndi ndowe zimatengedwa. Njira za chida (ultrasound, x-ray) zimayang'ana mkhalidwe wa kapamba. Pakuwunika kambiri kwa magazi a wodwala, magawo amomwe amachititsa michere amasiyana ndi abwinobwino (zomwe leukocytes ndi mulingo wa ma enzyme achulukitsidwa).

Zitsanzo za Fecal mu labotale zimayesedwa ngati pulogalamu. Malinga ndi zotsatira zake, mawuwo amapangidwa: kodi pali michere yokwanira m'thupi yopangidwa ndi chimbudzi cham'mimba chogwiritsa ntchito mphamvu ya endocrinological.

Zizindikiro za matendawa zimatsimikiziridwa ndi kupezeka kwa mkodzo wa chinthu china - amylase. Kuunika kwa ultrasound kumatsimikizira kukula kwa kapamba, kuchepa kwake (kapangidwe kake). Kuwonjezeka kapena kuphwanya umphumphu kumawonetsa njira zopitilira kutupa.

X-ray imatha kuwonetsa kusunthika kwa ziwalo (m'mimba, duodenum) yomwe ili pafupi ndi England, miyala yopangidwa, kutsekeka kwa ma pancreatic ducts. Panthawi yovuta komanso yolimba, kuyezetsa mwana kwa X-ray sikuli koyenera.

Chithandizo cha kapamba

Maziko a mankhwalawa otupa ndi pachimake mitundu ya zotupa zam'mimba ndikuchotsa edema kuchokera pazitsotso za chiwalo zomwe zimachotsa bile. Ma analgesics, antispasmodics amagwiritsidwa ntchito. Nthawi yomweyo, mothandizidwa ndi maantibayotiki, pali kulimbana ndi matenda omwe adayamba chifukwa cha bile. Zizindikiro za kutupa kwapancreatic ziyimitsidwa, kuwonjezera - corticosteroids ndi antihistamines.

Poyamba, mwana ayenera kudya zakudya zopatsa thanzi. Uku ndikusala kudya kwathunthu ndikuyambitsa michere yama michere ndi njira zamankhwala. Kutalika kwa chakudya "chanjala" kumatha kupitilizabe, kutengera mtundu wa thupi ndi chiwalo, makamaka, kuyambira masiku 1-3 mpaka masabata 1-1.5.

Kenako, pang'onopang'ono, mabatire amalowetsedwa m'magawo ang'onoang'ono a 5-6 kapena kangapo patsiku. Chakudya chizikhala chokonzedwa nthawi zonse, kutentha - kutentha, zofewa, chophika - mwa kusasinthika. Chepetsani kugwiritsa ntchito mafuta, shuga ndi zinthu zomwe muli nazo. Ndikulimbikitsidwa kuti mumwe madzi osapsa ozizira, omasulidwa ku mpweya, ½ chikho pakati pa chakudya.

Kuphatikiza apo, ma enzyme opangidwa omwe amathandizira kugaya chakudya amapatsidwa ntchito kuti agwiritse ntchito

Ndi chithandizo choyenera, chomwe chimayamba pachigawo choyambirira cha kapamba, chidziwitso chakuchulukira kwaubwino ndichabwino. Mu mtundu wa matenda, zambiri zimatengera kuwonekera kwake. Chithandizo cha ana pambuyo kuchipatala chikuchitika kunyumba. Zokonzekera zamasamba zimagwiritsidwa ntchito popanda fungo lamtengo wapatali kapena tiyi wowawa (tiyi wa chamomile, rosehip, kulowetsedwa kwamasamba, decoction ya mbewu za fulakisi).

Kuyendera kwa zamankhwala kwa dokotala wa ana ndi gastroenterologist ndikofunikira nthawi zosachepera ziwiri pachaka, makamaka paukhanda, zaka 6-7, kutha msinkhu. Ana odwala akuwonetsedwa chithandizo chamankhwala.