Popeza magawo ang'onoang'ono a kapamba (pancreas), omwe amatha "kusungunuka", kusunthika kwake, nthawi zina "galasi", kufunitsanso kubwezeretsa kapangidwe kake momwe angathere ndikuwonjezera moyo wake ndikomveka - chifukwa pakukulitsa moyo wake, wodwalayo amakula komanso ake.
Koma kuti muyankhe funso momwe mungabwezeretsenso ntchito ya chiwalo, kuti mumanganso kapangidwe kake komanso kubwezeretsa kwa maselo, muyenera kuphunzira kaye zifukwa zomwe zalephera.
Pancreatic kuchira pambuyo pachimake kuukira kwa kapamba
Pali njira zambiri zoyambira gland. Wosavuta kwambiri komanso wakupha kwambiri ndikumwa, gawo lililonse limakhala "nambala yakufa" yomwe singatulukemo.
Chiwonetsero chilichonse chakunja chosawoneka bwino (komanso chosangalatsa) cha kapu ya vodika pamilomo (njira ndi mavu a mowa) ndizofanana ndikhudza thupi lotentha ndi msomali wotentha. Kupatula apo, mowa uli ndi vuto lodziwikiratu - koma mkati mwake, popeza sizikhudza kapukusi yake, ngati yowonongeka, timadziti tam'mimba timene timalowa m'mimba timatha kupha munthu motalika komanso kupweteka ngati kuchokera pachilonda cha mfuti mpaka m'mimba.
Njira ina yachiwawa yapang'onopang'ono komanso yopweteketsa thupi ndiyo kusuta. Vasospasm yoyambitsidwa ndi zochita za chikonga kumabweretsa ischemia (kusakwanira kwa magazi), zomwe zimapangitsa kufa kwa ziwalo za minofu ya mapangidwe awa, zomwe sizisiyana mu misa yayikulu. Chidutswa chilichonse cha ndudu ndichipinda cha phulusa ndi chilonda m'matumba a pancreatic.
Njira yachitatu "yofinya kuchokera pakuwala" kwa pancreatic gland ndikumangana kosatha pakati pa zomwe mukufuna ndi zomwe zikupezeka - kupsinjika kwakanthawi.
Zitsamba zina zonse "zoyaka" ndizowopsa:
- Kudya chakudya chokwanira kuchuluka kwa chakudya chokwanira m'thupi, mchere wambiri, mchere wambiri, wopaka zinthu zambiri zokoma;
- kugwira ntchito yovuta kwambiri yamasewera pamasewera ndi zochitika zofananira (ndi kunyamula makilogalamu 100 kapena kuposerapo kuposa mutu);
- kuvuta kwa mpweya wa mafakitale kapena utsi mumzinda waukulu wokhala ndi zambiri zamagetsi zamagetsi.
Ndikupitiliza kusungidwa kwa zinthuzi, funso ndikuti: kodi kapamba angachiritsidwe yekha - kuyeretsa koledzera kwam'nyumba ndikomwe kungakhale gawo loyamba pamsewu wokonzanso matenda a kapamba, omwe nthawi zonse amakhala osachiritsika (poganiza za kubadwa kwatsopano kwa anthu amakono).
Kukhala m'chipatala ndi regimen okhazikika komanso kudya ndi chakudya ndi njira yabwino yopezera lingaliro lakale komanso kusiya zomwe kale zinkawoneka ngati "oyera."
Pambuyo pozindikira kukula kwa vutoli ndikusintha momwe thupi lanu limayendera, ndikotheka kukhala ndi gawo lathunthu pazinthu zofunikira za chiwalo chokhala ndi mankhwala ndi chiyambi cha kusinthika kwachiwiri.
Mfundo zazikuluzikulu zochizira pancreatitis yayikulu komanso yovuta ndi:
- kutsatira okhazikika pabedi;
- ntchito kwa lesion m'dera la ayezi chikhodzodzo theka lililonse la ola limodzi ndi kusokonezeka kwa maola 1-3 isanayambike zotsatira;
- opaleshoni yathunthu;
- kugwiritsa ntchito mankhwala a antibacterial;
- kugwiritsidwa ntchito kwa njira zopondera chimbudzi cha chimbudzi;
- enzyme m'malo mankhwala.
Mfundo zoyendetsera kuzunzidwa makamaka muzovuta kwambiri sizimasiyana ndi zina mwa "chifuwa cham'mimba": zilonda zapamwamba ndi zina.
Chithandizo cha matenda a matenda
Mwayi wolimbikitsa thanzi la pancreatic pakuwonongeka kosatha ndikokulirapo kuposa momwe zimachitikira.
Kuchepetsa mawonekedwe osakhazikika kumachepetsa chiopsezo cha pancreatic necrosis - necrosis ya malo ochulukirapo kapena ochepera minofu ndikulowa kwa ma enzymes a gland kulowa m'magazi, komanso m'mimba mwa patsekeke lomwe likuwononga magawo omwe ali pano:
- peritoneum;
- mitsempha
- zombo.
Kanema kuchokera kwa katswiri:
Kukwiya, komanso kuwononga kwambiri mapangidwe awa, omwe amamva kupweteka kwambiri pakukhudzidwa ndi mankhwala, kumatha kubweretsa imfa chifukwa chodzidzimutsa, pomwe matenda ake amabweretsa peritonitis.
Ngakhale kuchepa kwambiri pancreatitis ya ululu syndrome, zomverera zimakhala kwambiri ndipo zimafuna kugwiritsa ntchito analgesics yamphamvu kapena kuphatikiza izi:
- Baralgin;
- Palibe-shp;
- Platyphyllin;
- Analgin.
Kwa ululu wowopsa, mankhwalawa amagwiritsidwa ntchito limodzi ndi diphenhydramine kapena othandizira amphamvu kwambiri amagwiritsidwa ntchito (mpaka Promedol kapena Novocaine pamtunda waukulu).
Pofuna kupondereza-kupondereze ntchito ya kapamba (wa m'mimba) yapancreas, mankhwala otsatirawa ndi othandiza:
- Aminocaproic acid
; - Trasilol;
- Ranitidine;
- Omeprazole
;Gulu la othandizira ma antibacterial (pofuna kupewa matenda) limaperekedwa:
- Doxycycline;
- Ampioksom;
- Gentamicin.
Kutulutsa ndi kutulutsa madzi mthupi kumachitika ndi kulowetsedwa kwa mayankho:
- zokhudza thupi;
- "Sokoneza";
- Reopoliglyukina.
Monga antiemetic, jakisoni wa Cerucal kapena analogues ake amagwiritsidwa ntchito.
Gulu:
- Panzinorma;
- Pancreatin
- Chiboni.
Pofuna kukonzanso kapamba, ndizanzeru kugwiritsa ntchito mankhwala kuti mubwezeretsenso:
- Methyluracil;
- Riboxin.
Momwe kufalikira kumachepera, physiotherapy yolumikizidwa ndi mankhwalawa monga:
- iontophoresis yokhala ndi Contrical kapena GHB (γ-hydroxybutyric acid);
- ultrasound ku gland ndi zina.
Kukhalapo kwa matenda am'mimba, kuchepa thupi kumakhala chizindikiro chogwiritsa ntchito nthawi yayitali:
- Chiboni
- Zikondwerero ndi njira zofananira.
Pamaso pa cysts, cholinga chowonjezera, mwayi wa kapamba, netiyo imakonzedwanso ndikusintha kwa izi popanga matupi athanzi.
Kudzikongoletsa kwa matenda a shuga
Woopsa kapamba chifukwa cha zotupa-dystrophic, gawo lalikulu la kapamba limasinthidwa ndi adipose kapena bala.
Ndi kuchepa kwake kwakukulu ndi kuphatikizidwa kwa zisumbu za Langerhans, kusakwanira kumayamba osati kunja kokha, komanso intrasecretory, ndikupanga matenda a shuga, omwe amatchedwa pancreatic (chizindikiro) - chifukwa cha chifuwa chachikulu cha chifuwa.
Chifukwa cha kukula kwa shuga kulolera minofu ya thupi, imatha kuganiziridwa ngati matenda a shuga a II. M'mimba yopanda kanthu, kuchuluka kwa shuga m'magazi ndikwabwinobwino, koma mukatha kudya kumachulukitsa, zomwe zimapangitsa kuti hyperglycemia ikhale ndi nthawi yayitali.
Ngakhale kuwonongeka kwakanthawi kochepa komwe kumachitika chifukwa cha matenda osokoneza bongo odwala matenda ashuga omwe ali ndi mitundu yonse iwiri yamatenda, anthu omwe akudwala matenda opatsirana pancreatic amatha kupewa chitukuko cha endocrine.
Zomwe zimapanga payekha matenda a shuga a pancreatic ndi:
- kuthekera kwakuthwa mwadzidzidzi kwa hypoglycemia;
- kusowa kwa ketoacidosis;
- kuwonongeka kwakuchepa kwambiri kwa mitsempha yayikulu komanso yayikulu, komanso ma arterioles ndi capillaries, kuposa ndi matenda a shuga a mitundu yonse iwiri;
- mphamvu ya kutsitsa-mapiritsi ochepetsa shuga pokhapokha gawo loyambirira la zotupa za gland ndi zopanda pake mtsogolo;
- kufunafuna kochepa kwa mankhwala a insulin;
- kuthekera kubwezeretsa ntchito ya chithokomiro potenga ndalama kuchokera ku sulfonylurea ndi biguanides (Metformin ndi ena), komanso kugwiritsa ntchito moyenera zakudya komanso masewera olimbitsa thupi.
Ndi kukhalapo kwa nthawi yomweyo shuga ndi kapamba mu wodwalayo, chithandizo chamankhwala ndichofunika pakukonzanso kagayidwe kazakudya komanso kuperewera kwa michere. Chifukwa chosowa mphamvu pakumwa mapiritsi, mankhwalawa amachitika ndi munthawi yomweyo kugwiritsa ntchito ma enzyme ndi ma hormone othandizira omwe amayang'aniridwa ndi magazi.
Panthawi ya hyperglycemia, kudya mokwanira komanso kufunikira kuti muzitsatira ndizofunikira kwambiri. Kupatula pokhapokha ngati pali zoopsa zilizonse zochokera pamenepo (ndikukana nthawi yomweyo zomwe zidachitika kale) ndizotheka kukwaniritsa zotsatira zenizeni polimbana ndi matenda ophatikizika a matenda.
Zina mwa zakudya za matenda a shuga a pancreatic eti:
- kukana kwamtundu wa msuzi wa nyama, zakudya zamafuta ndi zonunkhira (mayonesi ndi masuzi), komanso maapulo atsopano ndi kabichi;
- lakuthwa zoletsa mu chakudya (ndi mkate yekha matenda ashuga);
- kugwiritsa ntchito maswiti okha opangidwa mwanjira yapadera (kwa odwala matenda ashuga);
- m'malo mwapamwamba kwambiri (100-200 g) mapuloteni omwe amapezeka mosavuta muzakudya osati zosakwana 300-400 g zamasamba ndi zipatso.
Kanema kuchokera kwa Dr. Evdokimenko:
Chithandizo cha mankhwala aanthu a pancreas
Pochiza matenda oopsa monga pancreatitis (makamaka kuphatikiza ndi matenda ashuga), munthu sayenera kudalira ndalama zomwe zinali zothandiza chifukwa phindu lamankhwala amakono silinapezeke kwa anthu.
Chifukwa chake, njira zina zochiritsira zitha kukhala zothandiza kwa dokotala wazamankhwala, wopangidwa ndi sayansi, popanda kusintha. Komabe, kuvomerezedwa ndi dotolo wowagwiritsa ntchito, atha kugwiritsidwa ntchito (ndikuwonetsa kuti, ndikusintha pang'ono, wodwalayo atembenukira kuchipatala chofunikira).
Kuchiza kunyumba (munthawi yakulipira kochulukirapo) kutha kuchitika mwanjira zotsatirazi:
- Tea kuchokera ku plantain (1 tbsp. L. Youma zopangira / 1 tbsp. Madzi owira), 100 ml katatu kapena tsiku.
- Tiyi wochokera ku dandelion muzu (50 g / 300 ml ya madzi otentha, kunena 2 maola), umagwiritsidwa ntchito mofananamo (musanadye).
- A decoction wa flaxseed (3 tbsp. L / 1 L ya madzi otentha, kusiya mu thermos usiku) 100 ml katatu patsiku.
- Tiyi yochapidwa mofanana:
- wosafera;
- daisies;
- Wort wa St.
- masamba a birch.
- Chojambulira cha nsalu yophika yoghurika yomwe imagona pa epigastric dera usiku.
