Limagwirira chitukuko, Zizindikiro ndi mankhwala a yogwira pancreatitis

Muzochita zachipatala, yogwira pancreatitis ndi matenda (kutupa) a kapamba omwe amapezeka ndi matenda ena.

World Health Organisation, pofuna kupewa chisokonezo pakuzindikiritsa matenda, yakhazikitsa gulu limodzi padziko lonse lapansi la matenda - ICD-10 (kukonzanso khumi), lomwe lili ndi magawo 21.

Khodi ya ICD 10 ndi K86, yopatsidwa yogwira pancreatitis.

Pathogenesis

Matendawa amadziwonetsa pokhapokha patayipa, pomwe ma enzyme opanga amalowa m'mimba.

Kutupa kumayambira ndikuwonjezera kwathunthu kapena pang'ono kwa njira izi zoyankhulirana kapena chifukwa cha kufalikira kwamatumbo mkati mwawo.

Popeza tinayamba kukambirana za zomwe zimayambitsa kupatsanso pancreatitis, ndikofunikira kutcha matenda, omwe nthawi zambiri amakhala omwe amachititsa.

Izi zikuphatikiza:

• virus hepatitis;
• kuwerengetsa cholecystitis;
• matenda a ndulu;
• pachimake gastritis a matenda;
• matenda osiyanasiyana m'matumbo;
• matenda a chiwindi;
• biliary dyskinesia.

Kuphatikiza apo, pali zovuta zina zingapo zomwe sizigwira ntchito pamatenda, koma zomwe zimayambitsa matenda, monga:

• kuvulala kwam'mimba;
• kumwa kwambiri mowa;
• mafuta, okazinga, zakudya zonunkhira;
• kumwa mankhwala ena;
• mavuto obwera chifukwa choizoni m'thupi ndi chiphe zamafuta azakudya komanso zam'nyumba, bowa, zitsulo zolemera, matenda amtundu wa radioactive.

Kanema kuchokera kwa katswiri:

Zizindikiro ndi matendawo

Pa gawo loyamba, zizindikiro za yogwira pancreatitis mwa akulu zimawonekera mwaulesi.

Nthawi zambiri, wodwalayo payekha komanso abale ake samasamala kwambiri zomwe zingachitike:

• kutulutsa;
• kupweteka ndi kulemera pamimba;
• kutentha kwadzuwa ndi masana;
• nseru

Nthawi zambiri, amayamba kugwiritsa ntchito mankhwalawa pogwiritsa ntchito njira zachikhalidwe.

Dokotala amayenera kuthandizidwa pokhapokha ngati wodwalayo ali ndi malungo chifukwa cha kuledzera kwakukulu kwa thupi, kusanza kumatseguka, ndipo kuzizira kumachitika.

Ngakhale kuwonekera kwa zizindikiro zina kuyenera kuyambitsa:

• kupweteka kwakuthwa mu hypochondrium;
• kamwa yowuma
• hiccups zopweteka.

Ndikofunika kukumbukira kuti kumayambiriro kwa nkhaniyi kunali zokhudzana ndi matenda oyambitsa matenda omwe adayambitsa matendawa.

Chifukwa chake, amawunikira kapena kuwonjezera kukhudza kwawo kokhudzana ndi chikhalidwe cha pancreatitis:

• matenda a ndulu umapweteka mu hypochondrium yoyenera;
• ndi matumbo, kutentha kumatuluka ndikutsegula m'mimba;
• matenda a chiwindi amawonekera ndi edema ndi kukulitsa kwa chiwindi.

Matendawa akamakula, zizindikiro zowopsa zimawonekera: kutentha thupi, kufupika, kupuma movutikira, thukuta lomata.

Zizindikiro za kusintha kwamphamvu kwa kapamba mwa mwana

Musanalankhule za zizindikirocho, sizilepheretsa kuganizira zomwe zimayambitsa "kuphulika" m'matumba a ana.

Kodi mukudziwa chitsanzo? Zachilengedwe, nyumba yachilimwe, gombe la mitsinje, khumbi lodyera nkhumba, soseji yokazinga, mapiko a nkhuku, makatani - zonse za mwana ndi "zathanzi". Komanso, mosalephera, ndi ketchup kapena mayonesi - mwana amakonda china chake. Kenako pakulankhula kwawokoma - mowa kwa makolo, ndi chakumwa chautoto chokhala ndi tchipisi, mtedza wokazinga, zopaka zamchere, zopindika zouma - kwa mwana. Zakudya zotsekemera, mkate. Ndipo usiku ngakhalenso madzulo, makolo ali ndi nkhawa “03”.

Chitsanzo chosasangalatsa? Kenako mutha kukumbukira nkhuku yokazinga ya tsiku lokondwerera kubadwa kwa agogo kapena a shawarma kuchokera ku booth mumsewu, idadyedwa pomwepo mothandizidwa ndi manja a ana akuda.

Tsoka ilo, pali zitsanzo zoposa zokwanira za kunyalanyaza, ndipo nthawi zambiri osasamalira makolo.

Kanema wochokera kwa Dr. Komarovsky wokhudza zovuta zam'mimba mwa ana:

Tsopano za zizindikiro zomwe. Rease pancreatitis mu ana ali ndi mawonekedwe omwe makolo ayenera kudziwa.

Chozizwitsa kwambiri mwa iwo:

• kusanza komwe sikumapereka mpumulo kwa mwana;
• khungu lowawa la khungu;
• mkodzo wakuda;
• ndowe zopanda mawonekedwe wamba;
• kutentha thupi, kuzizira, malungo.

Amayi osazindikira, akathandiza mwana, amadalira zomwe wina akudziwa komanso kuzindikira kwawo. Pankhaniyi, kapamba amayamba kuponderezana mosavomerezeka muyezo wa mahatchi.

Zotsatira za nkhanzazi, kapamba wosokonekera wa mwana amayankha ndi kusanza, kutentha thupi, komanso matenda osokoneza bongo amachititsa kuti m'mimba muzikhala magazi osapumira, omwe amakulitsa mkhalidwe wa mwana.

Kuzindikira matendawa

Kuti mupeze matenda, simuyenera kungokhala dokotala wodziwa bwino, yemwe ndi endocrinologist, komanso chida chachikulu chomwe mankhwala amakono ali nacho.

Mitundu ndi njira zodziwira matenda osiyanasiyana ndi monga:

1. Mbiri kutenga. Njirayi, yomwe imaphatikizapo kufunsa wodwalayo ndi ena omwe amakhala nawo, imakupatsani mwayi wodziwa moyo wa wodwalayo, kudya, kupumula, kutsutsana, kupezeka kwa matenda obadwa nawo, omwe pambuyo pake adzathandizanso kudziwa matendawo.
2. Kuyesa kwa magazi. Gawo lofunika lazidziwitso, chifukwa kafukufuku wazachipatala ndi wamaumbidwe amomwe magazi amapangira amakupatsani mwayi wodziwika wokwanira wamisempha yoyera yamagazi, amylase ndi lipase, kuwonetsa kukhalapo kwa njira zotupa mthupi.
3. Zolemba pamakompyuta. Poyerekeza ndi njira yoyeserera ya X-ray, CT imapereka chithunzithunzi chodziwika bwino, chomwe ndichulukidwe kambiri kwambiri kuposa mnzake wakale.
4. Kuyesa kwa Ultrasound - Ultrasound. Nthawi zina zimakhala zotheka kudziwa miyala ya impso pokhapokha ngati mukugwiritsa ntchito njira imeneyi.
5. ERCP. Popanda kukhazikika pamalingaliro, tikuwona kuti iyi ndi njira yapadera ya X-ray yomwe imakupatsani mwayi wazomwe mungagwiritse ntchito ndulu ya ndulu, ndulu za bile, kapamba, chiwindi, kuphatikizapo matenda monga kapamba.
6. Fibroesophagogastroduodenoscopy. Dzinalo lovuta la njirayi limatha kumveka posonyeza kuti mayesowo amachitika pogwiritsa ntchito chibwano - vidiyo ya kafukufuku. Ndiye amene amapangitsa kuti athe kufotokoza za kufunika kwa biopsy - amatenga zitsanzo za minofu kuchokera mdera lomwe lakhudzidwa kuti apitirize kuphunzira.
7. Urinalysis Ili ndiye kafukufuku wofala kwambiri. Kutengera ndi kusanthula, malingaliro amapezeka pantchito ya kwamikodzo thupi, kukhalapo kwa matenda ndi kugwira ntchito kwa ziwalo zina zamunthu.

Chithandizo cha matenda a mtima

Kusankha njira yeniyeni ya chithandizo ndi zida zothandizira matenda, dotolo amatsata zolinga zenizeni:

1. Kuchotsa kutupa ndi kuyimitsa edema ya pancreatic.
2. Kuchotsa poizoni m'thupi la munthu.
3. Kubwezeretsa bwino kwa katulutsidwe ka madzi a pancreatic.

Ngati pancreatitis imachitika malinga ndi chiwembu chophweka ndipo sichivuta ndi zovuta zowonjezera zomwe zikuipiraipira chithunzi chonse, ndiye kuti madokotala, monga lamulo, amakupatsani mankhwala ochokera m'magulu otsatirawa:

1. Enzymes kusintha chimbudzi: Creon, Mezim, Panzinorm.
2. Mankhwala a Carminative (amachepetsa kapangidwe ka mpweya m'mimba ndi matumbo): Empumisan, Gascon Drop, Meteospasmil, Relzer, Antiflat Lannacher.
3. Antispasmodics: Palibe-Shpa, Plifilin.
4. Maantibiotic: Mapiritsi - Azithromycin, Abactal, Amoxiclav, Sumamed. Kukonzekera kwamchiberekero - Cefotaxime, Ampiok, Doxycycline, Ceftriaxone.
5. Mitundu ya mankhwala oletsa kupweteka: Diclofenac, Ibuprofen.

Zakudya zopatsa thanzi kwa odwala

Sipadzakhala chinsinsi chachikulu ndipo mawuwo sangakudabwitseni ngati mutawerenga kuti zakudya za kapamba sizakudya zokha, komanso kupitiriza kwa chithandizo chamankhwala, chomwe chiyenera kuthandizidwa kwambiri.

Komabe, njira zogwirizanirana ndi zakudya zamagulu azakudya zophatikiza khansa ya pancreatitis zili ndi zinthu zingapo.

Izi zikuphatikiza ndi izi:

1. Osadula chakudya. Kuchita pafupipafupi ndi mfundo yomwe iyenera kuonedwa mosamalitsa. Masana, chakudya 5-6 ndichofunikira (3 zazikulu + 2-3 zowonjezera).
2. Kutumizidwa kumayenera kukhala kotsika mu zopatsa mphamvu komanso zochepa.
3. Chofunikira kwambiri ndi kutentha kwa boma. Chakudyacho chizikhala chotentha. Osazizira kapena kutentha kwambiri sayenera kumva - akuyenera kukhala madigiri 40-50.
4. Kapangidwe ka chakudya - sikuyenera kukhala ndi CHIKWANGWANI cholimba komanso CHIKWANGWANI, kumafunikira mphamvu yochulukirapo kuchokera kumimba yopukusira chakudya. Ndikofunika kuti chakudyacho chimasenda ndikusenda.
5. Kuphatikizidwa kwa mankhwala kuyenera kukhala kofatsa. Kuti muchite izi, muyenera kuyang'anira kuchuluka kwa mapuloteni, mafuta ndi chakudya.
6. Pewani chakudya cham'mimba mosavuta: shuga, uchi, kupanikizana.

Zakudya zolimbikitsidwa ndi mbale:

1. Nsomba zamafuta ochepa ndi nyama (nkhuku zoweta, ng'ombe zazing'ono, ng'ombe yamphongo).
2. Zodzikongoletsera zamasamba ndi soups ndi kuwonjezera kwa mbewu monga chimanga ndi pasitala.
3. Mabisiketi, obalaza, mikate yoyera yoyera.
4. Zinthu zamafuta ochepa mkaka.
5. Porridge wopangidwa kuchokera ku chimanga: buckwheat, semolina, mpunga, oatmeal - wa kusasinthasintha kwamadzimadzi kapena, monga iwo amati, "wokambirana".
6. Mlingo wa mafuta tsiku ndi tsiku: masamba - mpaka 15 gm, kirimu - mpaka 30 g. Ndikofunikira kumvetsetsa bwino izi, mwachitsanzo, poganizira kukonzekera kwa mbale zina.
7. Kumwa - tiyi wofooka, msuzi wamtchire wamtchire, ma compotes, masamba achilengedwe (okhala ndi index yotsika ya glycemic mu zipatso).
8. Zakudya Zoyenera: kaloti, kolifulawa, dzungu, beets, nandolo zobiriwira, koma mwa kuwiritsa kapena kuphika.

Ndi zoletsedwa kuti wodwala adye:

• makeke ndi mkate watsopano;
• soseji ndi nyama yokazinga, yosuta ndikuchira;
• tchizi zonunkhira ndi mafuta;
• borscht, msuzi wa kabichi, wokonzekera msuzi wa nyama, nsomba, bowa;
• mafuta wowawasa zonona;
• mwanawankhosa ndi mafuta a nkhumba;
• zipatso za acidic mitundu;
• ma pickles ndi ma pickles;
• miyendo yosiyanasiyana;
• sorelo, sipinachi, radish, radish, kabichi yoyera;
• maswiti, zonunkhira, makeke, ayisikilimu;
• mowa mwa mtundu uliwonse.

Kanema kochokera kwa Dr. Malysheva:

Mankhwala achikhalidwe

Kugwiritsa ntchito mankhwala azikhalidwe komwe phindu lawo ndi kuyesedwa kwakhala kuyesedwa kwazaka zambiri sizimatsutsana ngakhale mitu yotchuka kuchokera ku mankhwala. Kugwiritsa ntchito mwaluso komanso mwaluso kwa iwo kumathandizira pochiritsa, chifukwa ali ndi antispasmodic zotsatira, komanso biliary, sedative, analgesic, antibacterial.

Zitsamba decoctions

Momwe mungaphikirere decoction: mankhwala azitsamba mu kuchuluka kwa magalamu 10 (supuni ziwiri), yoyikidwa mu chikho chagalasi, amathiridwa ndi magalamu 200 amadzi otentha. Ndiye kutseka chivundikiro ndikuyika kwa mphindi 30 mu madzi osamba. Pambuyo pake, imakhazikika kwa mphindi 20, kusefedwa ndikuthira mumtsuko.

Kutunga kwazitsamba kumagulidwa ku malo ogulitsa mankhwala kapena kukonzedwa kuchokera ku zitsamba zogulidwa zokha.

Kutolera Nawo 1:

1. Peppermint - magawo atatu.
2. Katsabola (mbewu) - magawo atatu.
3. Hawthorn (zipatso) - magawo awiri.
4. Chamomile (mtundu) - 1 gawo.

Tengani theka kapu katatu pa tsiku, ola limodzi mutadya.

Zopereka No. 2:

1. Knotweed (udzu) - gawo limodzi.
2. Wort wa St. John - 1 gawo.
3. Ma stigmas a chimanga - magawo awiri.
4. Masamba a Birch - magawo awiri.

Tengani theka lagalasi mutatha kudya katatu pa tsiku.

Chiwerengero 3:

1. Zopangira mafuta - magawo awiri.
2. Munda wamahatchi (udzu) - gawo limodzi.
3. Wort wa St. John - 1 gawo.
4. Nettle - 1 gawo.

Tengani musanadye, theka lagalasi, 4 pa tsiku.

Kutoleza Na. 4 - zonse m'modzi:

1. Celandine.
2. Zipatso za anise.
3. Milandu yoyesedwa.
4. Muzu wa Dandelion.
5. Grass violets tricolor.
6. Udzu wa Highlander.

Tengani mphindi 20 musanadye kapu ya msuzi, katatu pa tsiku.

Kutolera Nawo 5:

• Masamba a Trifoli - magawo atatu.
• Buckthorn bark - 4 magawo.
• Udzu wa Celandine - magawo atatu.
• Muzu wa Dandelion - magawo 4.
• Masamba a Peppermint - magawo atatu.

Tengani theka kapu katatu pa tsiku kwa mphindi 30 musanadye.

Madzi mankhwala

Zosakaniza

• Madzi a karoti - 75 ml.
• Madzi a mbatata - 75 ml.
• Mafuta a azitona - supuni 1.2.

Zida zonse zimakonzedwa ndikuphatikizidwa nthawi yomweyo musanagwiritse ntchito.

Madokotala, monga lamulo, wokhala ndi pancreatitis yosasinthika amapereka chidziwitso chabwino. Ndi chiyambi chogwiritsa ntchito zovuta mankhwala, zizindikiro zimawonetsa nthawi yomweyo kubwereranso.

Kupewera matendawa kumakhala kuzindikiritsa ndi kuzindikira matendawa kumayambiriro, komanso kusiya zizolowezi zoyipa ndikuwonanso zakudya zopatsa thanzi.