Mavuto omwe amagwira ntchito kapamba ndizosiyanasiyana, amodzi mwa iwo ndi pseudotumor pancreatitis.
Iye ndi amodzi mwa zilonda zowopsa zamapazi, chifukwa chomwe wodwalayo amatha kufa.
Chifukwa chake, muyenera kudziwa kuti ndi chiyani, momwe matendawa amasiyana ndi kapamba wamba komanso chifukwa chake zimakhalapo.
Njira yopititsira patsogolo
Malinga ndi ICD 10, matendawa ali ndi code ya K86.1. Nthawi zambiri imakhala yovuta. Matendawa amatupa kapamba, chifukwa pomwe pali tinthu tating'onoting'ono, ndipo minyewa yathu imakula. Kuchulukana kumachitika mosasiyananso, kukhudza malo ena, chifukwa chomwe matenda ake amafanana ndi mawonekedwe a neoplasias.
Mtundu wa pseudotumor wa chifuwa chachikulu chimayamba kupanga ndikukula kwa michere. Izi zimayambitsa kutupa, ndipo kudzimbidwa kwa minofu ya ndulu kumawonedwa. Chifukwa cha izi, maselo amafa, ndipo necrosis ya gawo limodzi la chiwalo limachitika.
Popewa matenda owononga thupi pogwiritsa ntchito zinthu zomwe zimasokonekera maselo, mapangidwe olimba a minofu yolumikizana amayamba, omwe amateteza malo owonongeka. Zotsatira zake, ma pseudocysts amapangidwa. Chiwerengero chawo chimawonjezeka pamene matendawa akupita patsogolo, zomwe zimatsogolera kuwoneka kwa edema.
Popita nthawi, ma pseudocysts amakutidwa ndi laimu, zomwe zimapangitsa kuti kapamba azikhala mokulira komanso kuchuluka kwakukula kwa kukula kwake. Izi zimateteza thupi ku matenda, koma nthawi yomweyo, kapamba wodziletsa amaika ziwalo zina zoyandikana.
Makamaka:
- duodenum;
- bile ducts;
- splenic, mitsempha ya portal.
Kusintha kumeneku kumakhudzanso thanzi la wodwalayo, zomwe zimabweretsa zovuta.
Popeza matenda osatha a pseudotumor pancreatitis amayamba ndi zovuta pakapangidwe ka enzyme, muyenera kudziwa zomwe zimayambitsa.
Kupatuka uku kungayambitse izi:
- matenda a ndulu;
- uchidakwa;
- molakwika mankhwala a kapamba kapena kusowa kwa mankhwala;
- kuvulala kwa kapamba;
- matenda opatsirana;
- vuto la autoimmune.
Mavutowa sangangoyambitsa matenda, komanso amathandizira pakukula kwake.
Zizindikiro zamatsenga
Zizindikiro zazikulu za matenda ndi:
- kufooka
- kutopa;
- kusowa tulo
- kusokonekera;
- kupweteka komwe kumachitika pafupipafupi komanso kwanthawi yayitali;
- zosokoneza mu ntchito ya dyspeptic system;
- nseru
- kusanza
- kuchepa kwa chakudya;
- kuchepa kwambiri kwamphamvu m'thupi;
- chilonda, khungu la khungu.
Kanema kochokera kwa Dr. Malysheva:
Mtundu wa kapamba wamtunduwu umadziwika ndi chitukuko chochepa. Nthawi zina njirayi imatha kupitirira zaka 10. Kuzindikira koyenera nkovuta.
Ndizowerengeka izi zomwe zitha kukayikiridwa ndi zosintha monga:
- kukhalapo kwa kukula kosasinthika kwa kapamba (wodziwika ndi palpation);
- kukulitsa mutu
- zosokoneza mu exocrine pancreatic function.
Ndizosatheka kuzindikira izi nokha, chifukwa izi zimafunikira chidziwitso kapena njira zapadera zodziwonera.
Njira Zodziwitsira
Phunziro pang'onopang'ono limafunikira kuti zitsimikizireni matendawo.
Mulinso:
- Kuyesedwa kwa magazi konse, mkodzo, ndowe. Ndi pseudotumor syndrome, mulingo wa leukocytes ndi ESR m'magazi umakwera. Mkodzo umakhala ndi bilirubin wambiri ndi alpha-amylase pakalibe urobilin. Kusanthula ndowe kumakuthandizani kuti mupeze zonyansa zam'mimba.
- Ultrasound Ultrasound yam'mimba ikuwonetsa kuwonjezeka kwa kapamba. Komanso, kuphunzira koteroko kumathandizira kuphunzira momwe zilili ma pancreatic ducts.
- Kuyesa kwamwazi wamagazi. Kukhalapo kwa pseudotumor mawonekedwe a kapamba kumasonyezedwa ndi kuchuluka kwa trypsin, lipase, sialic acid, bilirubin m'magazi.
- Roentgenography.
- CT scan (MRI). Chifukwa cha njirazi, mutha kuwunikira momwe chiwalo chija chilili ndikuwonetsetsa momwe mungapangire carcinomas.
- Kuwerenga kwa ma pancreatic ducts ogwiritsira ntchito endoscopy.
- Kufufuza kwakale. Ndikofunikira kuti tilekanitse mawonekedwe amtunduwu wa kapamba ndi khansa ya kapamba.
Ngati ndi kotheka, dokotala atha kukulemberani njira zina: kusanthula magazi, kuyesa kwa cerulin, cholecystography.
Chiwonetsero cha matenda osachiritsika a kapamba: a) virsungolithiasis; b) kukulitsa kwa Virsungianov duct
Kuchiza matenda
Kuthetsa pseudotumor pancreatitis, zovuta ndizofunikira, zomwe zimaphatikizapo njira zingapo:
- Kuwonetsedwa kwa mankhwala osokoneza bongo. Chithandizo cha Conservative sichimaganiziridwa kuti ndi chothandiza pa matenda. Kugwiritsa ntchito mankhwala kulibe vuto lililonse, makamaka pamlingo wapamwamba wa matendawa. Iyenera kugwiritsidwa ntchito poyambira pseudotumor pancreatitis (ngati matendawa adapezeka kuti adapezeka kale). Komanso, mankhwalawa amathandizira kuti muchepetse kupita patsogolo kwa matenda. Nthawi zambiri amagwiritsidwa ntchito kukonzekera opareshoni. Mankhwala amachepetsa mphamvu, amakhala bwino, ndikupangitsa thupi kukhala losavuta kuchitidwa opareshoni. Ndi matenda amtunduwu, mankhwalawa ayenera kuikidwa ndi katswiri potengera mawonekedwe a chithunzi cha chipatala. Nthawi zambiri amagwiritsa ntchito ma pinkiller ndi mankhwala omwe amathandizira kusintha kwa kapamba.
- Opaleshoni. Njirayi ndiyofunika kuthandizira. Pa nthawi ya opareshoni, zimakhala zokhala ndi thukuta lomwe limakulitsa, zomwe zimapangitsa kutsika kwa ziwalo zapafupi. Ndikofunikira kuyang'ananso mwachangu za minofuyi ndipo ngati maselo a khansa apezeka, kukonza malo owonongeka a kapamba. Ngati palibe maselo a khansa omwe amapezeka, ma cystic akuluakulu omwe amayenera kuchotsedwa ndikutsitsidwa mutu wa kapamba. Izi zimachepetsa kupanikizika kwa ma pancreatic ducts. Opaleshoni ndiye chithandizo chothandiza kwambiri, chifukwa kusintha kumabwera pafupifupi pambuyo pake. Ndikofunikira kwambiri kuzikonza mothandizidwa ndi mankhwala osokoneza bongo komanso wowerengeka azitsamba.
- Kugwiritsa ntchito mankhwala wowerengeka. Njira zina zochiritsira nthawi zambiri zimagwiritsidwa ntchito, ngakhale ndizosatheka kukwaniritsa zotsatira zokha ndi thandizo lawo. Koma kuphatikiza ndi njira zina zochiritsira, ndizothandiza kwambiri. Mwa mankhwala otchuka a wowerengeka azitsamba otchedwa decoctions a mankhwala a mankhwala. Amathandizira kusintha kwa kapamba, kuchepetsa ululu, kuyeretsa thupi, komanso kuchepetsa kutupa.
- Chithandizo cha zakudya. Zakudya zimakuthandizani kuti muchepetse kukula kwa matendawa. Kuthana ndi zinthu zovulaza m'zakudya, ndizotheka kuchepetsa katundu pamimba. Komanso, kudya zakudya zopatsa thanzi kumakupatsanso mwayi woti uzitsanso zinthu zina zofunikira, kulimbitsa thupi. Ndi kuchulukitsa kwa matenda, nthawi zina kufa ndi njala, komwe kumayeretsa poizoni. Pambuyo pa opaleshoni, chithandizo chamankhwala chimathandizira kuchira mwachangu.
Mukamakonza zakudya za odwala oterowo, ndikofunikira kupatula izi:
- maswiti;
- zipatso zowawasa;
- nyemba;
- mafuta;
- kusuta;
- mchere;
- kabichi;
- Tiyi
- khofi
- makeke;
- mowa
Zakudyazo ziyenera kupangidwa kuchokera ku nyama ndi nsomba zamitundu yochepa yamafuta (makamaka mawonekedwe owiritsa), chimanga, mankhwala amkaka a skim. Masamba ndi zipatso musanagwiritse ntchito zimafunikira chithandizo cha kutentha. Zakumwa zamphesa, zakumwa za zipatso, zamasamba azitsamba ndizoyenera monga zakumwa.
Kanema kuchokera kwa katswiri wazakudya za pancreatitis:
Kupewa komanso kudwala
Ndi chithandizo choyenera komanso chapanthawi yake cha pseudotumor pancreatitis, matendawa ndi abwino. Wodwala amatha kukhala ndi moyo wabwinobwino, malinga ndi chidwi chake popewa kupewa.
Njira zopewera:
- Kukana zizolowezi zoyipa (uchidakwa, kusuta).
- Kumwa mankhwala okhazikitsidwa ndi dokotala.
- Munthawi yake chithandizo cha matenda opatsirana, mavuto mu ndulu.
- Zakudya zoyenera.
Kutsatira malangizowa kukuthandizira kupewa kuyambiranso matendawa komanso kukulitsa zovuta. Mukanyalanyaza malamulowo, matendawa atha kukulanso.
Kuphatikiza apo, ikhoza kujowina:
- mtsempha thrombosis;
- matenda a shuga;
- peritonitis;
- jaundice
- Kupangidwa kwa ma cysts atsopano;
- kusokonekera kwa ma cysts kukhala chotupa chowopsa.
Pseudotumor pancreatitis ndi njira yoopsa, yodzala ndikuwopseza khansa. Chifukwa chake, ndikofunikira kuti muzitha kuzindikira nthawi yake ndikupeza chithandizo.
