Mitundu, Zizindikiro ndi njira yothandizira pancreatitis

Kapamba ndi gawo la machitidwe awiri a thupi nthawi imodzi - kugaya chakudya ndi endocrine.

Ngakhale kutsika pang'ono (pafupifupi magalamu 70), ntchito yake pakachitidwe koyenera ka makina awa ndi yayikulu kwambiri.

Imagwira ntchito yotulutsa chakunja, kubisa madzi a kapamba a duodenum. Muli ma enzymes atatu - lipase, trypsin ndi amylase.

Ntchito ina yokhudza thupi ndikupanga mahomoni omwe amayang'anira mitundu ingapo ya kagayidwe - protein, lipid ndi chakudya. Ma hormone a 5 amapangidwa mu chitsulo, kuphatikiza insulin, glucagon.

Pancreatitis ndi kutupa kwa kapamba. Kufunikira kwa chimba mu chimbudzi ndi njira za metabolic zimabweretsa kukula kwakukulu pamkhalidwe wa wodwalayo komanso kusokonekera kwa ziwalo zonse.

Kodi kapamba ndi chiani, ndipo chifukwa chiyani ndi kowopsa?

Mu kapamba (kapamba), kapu ya kapamba imapangidwa, yomwe imayendetsedwa kudzera m'miyendo kuti ilowe m'mimba. Enzymes amatenga hydrochloric acid wa m'mimba ndipo amaphatikizidwa ndi kuphulika kwa michere m'matumbo.

Kutupa kwa tiziwalo timene kumayambitsa kutsekedwa kwa njira yotuluka kwaulere kwa madzi. Zimakhazikika mu ndulu ndikuyamba kugwira ntchito yake minofu yake - amazigaya.

Kutupa kwa kapamba kumayambitsa kulephera kutulutsa madzi, kapangidwe kake ndi kuchuluka kwake sikokwanira kuchita chimbudzi. Ma neoplasms ndi miyala yomwe imalepheretsa zotsatira zamtundu wa michere kukhala njira inanso yopezera gland.

Madzi a pancreatic, osakhala ndi malo ogulitsira, amathandizidwa mwachindunji mu chiwalo. Enzymes amawononga kapamba. Njira imathamanga, minofu necrosis imayamba. Njira yotupa imakhudzanso ziwalo zapafupi.

Kuchuluka kwa poizoni kumatulutsidwa m'magazi, komwe kumayambitsa thupi lonse, kuledzera. Poizoni wowopsa, mtima, mapapu, ndi ubongo zimavutika. Kulowetsedwa ndi pancreatitis pachimake kumatha kuyamba msanga.

Amayambitsa matenda a pancreatic

Chomwe chimapangitsa kuti pakhale pancreatitis ndi kuchepa kwa madzi a pancreatic mu gland, kuphwanya kutuluka kwake. Kukumana kovuta kumayamba nthawi zambiri chifukwa chomwa mowa komanso kutsekeka kumasulidwa kwa ma enzymes chifukwa cha miyala (matenda a gallstone).

Mutha kugawa zomwe zimayambitsa pancreatitis pachimake m'magulu atatu:

1. Kuchulukana kwa thambo ndi kuchedwa kwa ma enzyme mu gland. Izi zitha kuchitika chifukwa cha miyala, zotupa ndi ma pathologies a zimakhala zapafupi.
2. Kuchulukitsa kwa ma enzyme ochulukirapo pazofunikira.
3. Kuponya bile mu pancreatic duct.

Zinthu zosiyanasiyana m'moyo mwa ana ndi akulu zimatsogolera pakukula kwa izi.

Akuluakulu

Zomwe zimayambitsa kukula kwa mawonekedwe owopsa ndi kukokoloka kwa matenda ndi:

• zolakwika zopatsa thanzi - kudya kwambiri, kukonda mafuta, zakudya zonunkhira, zakudya zosasinthika;
• kugwiritsa ntchito mankhwala ena;
• kuvulala kwam'mimba, kuphatikiza pambuyo pa opaleshoni;
• miyala mu ducts ya bile;
• matenda endocrine (shuga mellitus) ndi zotupa zamitsempha yokhala ndi magazi osokonekera kupita kwa kapamba;
• Zotsatira za matenda opatsirana ndi ma virus;
• oncological pathologies, kulephera kwa impso.

Chomwe chimayambitsa kukula kwa matendawa kwa amuna ndi kumwa mowa mwauchidakwa limodzi ndi zakudya zamafuta. Ngakhale mawu oti "alcohol pancreatitis" alipo. Matendawa nthawi zambiri amakhudza operekera zakudya omwe amadya zakudya zosavuta komanso masangweji.

Zowonjezera zomwe zimayambitsa matendawa mwa azimayi ndi kukonda kudya zakudya komanso kufa ndi njala. Chakudya chopanda malire chimadzetsa mtolo wowonjezera m'thupi. Matenda a mahomoni, kutenga pakati, komanso kugwiritsa ntchito njira zakulera zimathandizanso kuti matendawa atukuke.

Zomwe zimachitika pancreatitis zimasiyana malinga ndi dera, nyengo. Izi ndichifukwa cha miyambo yazakudya, chizolowezi cha anthu kumwa mowa komanso zinthu zina zomwe amakonda.

Kanema pazomwe zimayambitsa ndi zizindikiro za kapamba:

Mu ana

Mphamvu ya chitetezo chamthupi mwa ana imatsogolera ku mfundo yoti nthawi zambiri amakhala ndi matenda.

Zitha kuchititsa khansa ya m'mimba mwa mwana:

• Zakudya zosagwiritsidwa ntchito masiku ambiri pakudya;
• majeremusi (makamaka, nyongolotsi);
• thupi lawo siligwirizana ndi zinthu;
• cystic fibrosis - kobadwa nako matenda;
• kugwiritsa ntchito zakudya zomwe sizoyenera kubadwa, zonunkhira, mchere, chakudya mwachangu;
• kutopa ndi kuchuluka kwa zochitika zolimbitsa thupi, mwa ana okulirapo, makalasi pambuyo pa sukulu mozungulira, zigawo, kukwezedwa;
• kuvutika m'mimba.

Pathology imatha kukhala chifukwa cha matenda ovuta a bacteria kapena bacteria (chikho, herpes, mumps), komanso mavuto ena am'mimba. Dysbacteriosis nthawi zambiri imabweretsa kukula kwa ana mwa mawonekedwe.

Kanema kuchokera kwa Dr. Komarovsky:

Mitundu ndi gulu la matendawa

Pancreatitis imagawidwa m'mitundu chifukwa cha zomwe zimachitika:

1. Poyamba zimachitika chifukwa cha kuwonongeka kwa minofu ya kapamba. Zimayambitsidwa ndi zolakwika za zakudya, poizoni wambiri ndi mankhwala, mankhwala. Zomwe zimayambitsa zimatha kukhala zovuta zakubadwa komanso matenda obadwa nawo. Kutupa kumatha kuchitika nthawi iliyonse. Kuzindikira kwakanthawi ndi chithandizo chokwanira kumatha kubwezeretsa ziwalo zathupi kukhala zabwinobwino.
2. Fomu yachiwiri (yotakasika) imatsimikiziridwa ngati kutupa kumayamba chifukwa cha matenda ena. Zomwe zimayambitsa matenda zingakhale gallstone (cholelithiasis), matenda amtundu wamavuto, zotupa zam'mimba, matenda amtima. Kupambana kwa mankhwalawa a kapamba mu nkhaniyi kumatengera kuzindikira ndi kuchotsa zomwe zimayambitsa, ndiko kuti, matenda oyamba. Nthawi zambiri zifukwa izi sizingakhazikitsidwe ndikutha.

Nthawi zambiri chomwe chimayambitsa kutupa ndi gastritis, biliary dyskinesia.

Pancreatitis ndi pachimake komanso matenda.

Fomu ya pachimake imadziwika ndi kuyambanso mwachangu kwamatenda, kuwonjezereka kwa zizindikiro. Madzi a pancreatic, osasunthika mu kapamba, amayamba kuwononga maselo ake. Thupi la gland limakula kukula chifukwa cha edema. Fomu ya pachimake imadziwika kwambiri ndi anthu azaka zapakati pa 30 mpaka 60 ndi ana.

The aakulu mawonekedwe a matendawa amapezeka mu nthawi ya kukokomeza ndi kuzindikira kwa zizindikiro. Gawo loyamba silikhala ndi kuwonongeka kwakuthwa. Pakadali pano, zimakhala zapanchipsi zimatha kugwira ntchito ndipo zimasinthidwa ndi minye yolumikizana. Enzymes ndi mahomoni amapangidwa pang'ono, ndipo sangathenso kupereka chimbudzi chokwanira ndi kagayidwe kazinthu.

Ndi kuphwanya zakudya kapena kupsinjika, kufalikira kumayamba. Ndi kusintha kwakukulu kwa minofu, zizindikiro zosalekeza za kapamba zimawonedwa.

Zizindikiro zake

Chizindikiro cha mitundu chimasiyana kwambiri. Maonekedwe osachiritsika kumayambiriro kwa matendawa alibe zizindikiro zowonekera.

Fomu yovuta

Kuchedwa kwa ma enzyme mu gland kumabweretsa kuwonongeka kwa minofu yake. Mafuta amakula, kutupa kumachuluka. Necrosis (imfa) ya minofu imatha kuyamba msanga. Ndi aseptic chilengedwe, mankhwalawa amayamba pang'onopang'ono kuposa matenda.

Zizindikiro:

• kuchuluka kwa kutentha pamwamba pa 38º, kuwonjezeka kwa kugunda kwa mtima (pamwamba pa 90), kutsika kwa kuthamanga (pansipa 90 mm / Hg);
• kusinthana kwa kudzimbidwa ndi matenda otsegula m'mimba, mzimbe
• kusanza, kusanza ndi ndulu;
• kupweteka kwambiri pansi pa nthiti ndi lamba, mwina kukula kwa kupweteketsa mtima ndi kuwonongeka;
• kamwa yowuma, kusowa kwa chakudya;
• lilime lophimba, lamba, ma hiccups;
• kutulutsa ndi mavuto m'mimba;
• Kusintha kwa mthunzi wa khungu - pallor to blue, yellowness of the sclera;
• thukuta kwambiri, kuchepa thupi, kumva kufooka.

Matenda a wodwalayo ndi oopsa ndipo amafuna kuti agonekere kuchipatala. Nthawi zina, matendawa amakhala osapweteka, odwala amawalekerera popanda kuchipatala. Izi zimawopseza kuwonongeka kwakukulu kwa pancreatic ntchito.

Malingaliro olakwika

Ululu umamveka m'malo omwewo - hypochondrium, imaperekedwa kumbuyo, khalani ndi chikhalidwe chomangira. Ndi kutupa kwakukulu kwa kapamba, ziwalo zozungulira zimapwetekanso. Amadziwika ndi kuchepa kwa ululu ndikusintha kwa malo amthupi - otsetsereka ndi squats.

Kuchulukitsa kumapangitsa kuti anthu azimwa mowa komanso kudya zakudya zambiri.

Zizindikiro za matendawa mwa amuna ndi akazi ndi zofanana. Zizindikiro za pancreatitis mwa amuna nthawi zambiri zimawonekera pambuyo pa misonkhano yocheza ndi mowa, Zizindikiro zake azimayi zimachitika nthawi zambiri mukayesa kudya kapena kusala chakudya chisanachitike.

Zizindikiro zina:

• kutsegula m'mimba, kutsatiridwa ndi kudzimbidwa, kusanza mseru, nthawi zina kusanza;
• zidutswa zosasankhidwa mu ndowe ndi masanzi;
• kusapeza bwino m'mimba, malamba, hiccups;
• pafupipafupi ulemu
• kumangokhala osasangalala, kuchepa thupi, thukuta.

Kuperewera pang'onopang'ono kwa thupi ndi zodontha m'maso chifukwa cha kuwonongeka kwa minofu ya minyewa kumayambitsa kukwiya msanga, kukwiya.

Ndi vuto lakunyumba kunyumba, muyenera kukana chakudya, kusunga kugona. Kuzizira kumatha kugwiritsidwa ntchito maola 2 aliwonse kwa mphindi 10-15.

Kanema kochokera kwa Dr. Malysheva:

Mavuto

Pancreatitis ndi amodzi mwa matenda oopsa kwambiri, nthawi zina osapitilira milungu iwiri kuchokera nthawi yambuyo ndi isanayambike zovuta.

Fomu yovuta imayendera limodzi ndi kupweteka kwambiri, nthawi zambiri kugwedeza kwapweteka. Zizindikiro za kuledzera zimachulukirachulukira - khungu limayamba, kulephera kwa impso, kusokonezeka kwamitsempha yamagazi chifukwa chazovunda.

Kupuma pang'ono, kupweteka pachifuwa kumatha kuwoneka. Ma Enzymes omwe sapeza njira yotuluka ndikudziunjikira mu ndulu angayambitse matenda komanso puritive foci. Peritonitis ndiyotheka. Imfa ya ziwalo za thupi imapangitsa kuti pakhale kugaya kupitilira. Gawo la endocrine la gland, zisumbu za Langerhans, litawonongeka, kupanga kwa mahomoni kumachepa.

Mu matenda osachiritsika, minyewa ya ziwalo zokhudzana ndi kapamba imayamba. Awa ndi ziwindi za chiwindi ndi bile, zomwe zimachepetsa mapapu. Hepatitis, cholecystitis, ngakhale chibayo chimatha kukhala mnzake wa chifuwa chachikulu.

Kuwonongeka kwa minofu ya pancreatic kumabweretsa kuwonongeka kwake, mapangidwe a cysts, ndipo nthawi zina khansa. Nthawi zambiri, kuchepa kwa magazi m'thupi kumayamba.

Choyambitsa chachikulu cha kufa kwa kapamba ndi chitukuko cha zotupa za purulent ndi kuwonjezera kwa sepsis.

Njira Zodziwitsira

Kuunika koyambirira kwa wodwalayo kumapereka chithunzi cha matendawa. Ndi kapamba, kukula kwa kutupa kwa kapamba kumatha kuwonekera ndi mtundu wa ululu ndi kutulutsa kwawo.

Maphunziro omwe adatumizidwa:

• kuyezetsa magazi konsekonse, biochemical, pa chisonyezo cha alpha-amylase - onetsani kutupa, kuchepa kwa magazi, kuchepa kwa magazi;
• magazi a ma elekitirodi - amakupatsani mwayi kuti muwone kuchepa kwa thupi ndikupezanso michere;
• mayeso a fecal (Coprogram) - kutsimikiza kwa pancreatic elastase;
• kusanthula mkodzo wambiri;
• Ultrasound - ikuwonetsa kukula ndi maulalo a limba, kuyambitsa kusintha kwa minofu, kusakhazikika, kufalikira kwa ma ducts, cysts;
• radiology imagwiritsidwa ntchito pofuna kudziwa miyala;
• CT, MRI - imathandizira kuzindikira kuwerengera, kusintha kwa ma ducts, mkhalidwe wa kapamba ndi ziwalo zapafupi;
• kuyesa kwa endoscopic kwa bile ducts (ERCP) - kafukufuku wofunsa, amayikidwa ngati pakufunika.

Muzovuta, amatha kutumiza mankhwala osokoneza bongo a biopsy. Amachitika kuti azindikire kuchuluka kwa zomwe zimachitika mu necrotic komanso kudziwa othandizira odwala. Dokotala wa gastroenterologist amathandizira pakuzindikira ndi kulandira chithandizo. Khodi ya ICD 10 ya fomu yovuta kwambiri ndi K85, K86 ndi kapamba wamatumbo.

Njira zochizira

Chithandizo cha pachimake mawonekedwe ikuchitika mu chipatala.

Magulu otsatirawa a mankhwala ndi omwe amaperekedwa:

1. Ma painkiller, antispasmodics - No-shpa, Plifillin, Baralgin, Pentazocine, Gastocepin. Ndikumva kupweteka kwambiri - Promedol.
2. Mankhwala okhathamiritsa kuti achotse zinthu zowola ndikuchepetsa kutupa - Lasix.
3. Mankhwala a Antisecretory - Omeprazole, Cimetidine.
4. Ma Probiotic - Bifiform kuti ikhale bwino.
5. Ma Enzymes - Enzystal, Pancreatin.
6. Maantibiotic - Doxycycline, Ampiok kupatula kapena kuchiza matenda.
7. Antiemetic - Cerucal popewa kuchepa kwa madzi m'thupi.

Zochizira matenda mawonekedwe:

• maofesi okhala ndi mavitamini A, B, E, D, K;
• Kukonzekera kwa enzyme - Festal, Digestal, Creon, Pancreatin;
• ma painkiller - Gastocepin, Papaverine, Analgin, Ketanov;
• antioxidants - Hypoxene, Unitiol;
• immunomodulators - Timogen, Amiksin;
• secretolytics kuchepetsa kutulutsidwa kwa madzi a pancreatic - Nizatidine, Omeprazole.

Mankhwalawa kapamba amtundu uliwonse, chakudya nchofunika. Ndi chiwonetsero chakuthwa cha matendawa, kufa ndi njala kumasonyezedwa.

Mu gawo lowopsa, njala ndi kugwiritsa ntchito mchere wamadzi ndi msuzi wa rosehip masiku atatu akuwonetsedwa. Pambuyo pakuwongolera vutolo, chimanga ndi ma decoction okhala ndi mawonekedwe ambiri a gluten amawonjezeredwa muzakudya.

Opaleshoni

Mankhwala opaleshoni ya kapamba amachitika m'njira zovuta za matenda. Pancreatitis pachimake imafunikira opaleshoni, ngati sizotheka kukhazikika kwa boma la mankhwala, kusala komanso kudya. Amachitika ndi minofu necrosis, abscesses pa England, cholecystitis ndi peritonitis.

Ndi kuwonongeka kwakukulu kwa chiwalo, madera omwe amakhudzidwa kwambiri amathandizidwa kuti asafalikire zotupa ndi necrosis.

Mu matenda a kapamba, ntchito zimachitika zotsatirazi milandu:

• neoplasms yoyipa;
• miyala mu ducts ya bile;
• matenda opweteka omwe sangathe kuimitsidwa;
• stenosis ya bile kapena kapamba kakulu;
• magazi.

Mitundu ingapo ya ntchito imachitidwa, nthawi zina imayenera kuphatikizidwa.

Kugwedezeka ndi kuyamwa kwa gawo lina la chiwalocho kumachitika pamene necrosis yakhudza mbali zina za kapamba.

Physiotherapy

Njira zochitira masewera olimbitsa thupi zimagwiritsidwa ntchito munthawi ya kukonzanso pambuyo pochita opaleshoni komanso mwa matenda osakhazikika.

Njira zotsatirazi zikuwonetsedwa pa kapamba:

• magnetotherapy;
• mankhwala a laser;
• electrophoresis ndi mankhwala;
• chithandizo chamatope;
• kukhudzika kwa ultrasound.

Ndondomeko zimayendetsa kagayidwe kachakudya kagayidwe kake ka magazi ndi kupereka magazi mthupi, ndikulimbikitsa machiritso pambuyo pakupanga opaleshoni.

Kupewa

Njira zopewera ndi mfundo za moyo wathanzi. Pakati pawo, chimodzi mwazofunikira ndikukana mowa. Zakudya zopatsa thanzi zimathandizira kuchepetsa katundu pa kapamba. Kudya fractional - nthawi 5-6 patsiku. Muyenera kusiya kugwiritsa ntchito mbale zotentha ndi zozizira. Njira zofunikira zophikira ndizowira, zowongolera komanso zofowoka.

Zakudya za nyama zimakonzedwa kuchokera ku mitundu yochepa yamafuta a nyama, makamaka minced - mawonekedwe a pastes, cutlets, soufflé, casseroles. Zinthu zonse zamkaka zopanda mafuta zimaloledwa. Malamulowa amagwirizana ndi zakudya Na. 5.

Kukhazikika kwa mankhwala omwe amachepetsa katundu pa kapamba:

1. Mavitamini a B - kusintha njira za metabolic, kuonjezera hemoglobin, kulimbitsa mitsempha ya magazi.
2. Ma Enzymes - Pancreatin, Mezim, Festal - amapanga kuchepa kwa thupi, kuthandiza kugaya.
3. Ma Antispasmodics a matumbo oyipa - Duspatalin.

Kutha kwa siteji ya pachimake kapena kukhululuka, chithandizo mu malo okhala ndi ma balneological Resorts ndi bicarbonate mchere amasonyezedwa. Kutsatira zakudya kumayenera kukhala njira ya moyo, apo ayi magwiritsidwe a kapamba amatayika.