Zotsatira zakuchotsedwa kwa pancreatic

Chikhansa ndichinthu chofunikira kwambiri pakataya chakudya chamunthu. Amatenga nawo gawo la mapuloteni, mafuta a metabolism.

Ndi matenda oopsa angapo ndikuwonongeka kwakukulu kwa chiwalo, munthu amathanso kuthandizidwa kuti amuchotse, zomwe zimabweretsa zotsatirapo zina.

Ntchito ya pancreatic

Zikondamoyo m'thupi la munthu zimagwira ntchito ziwiri zazikulu:

• exocrine;
• mowolowa.

Chifukwa cha ntchito yoyamba, imatenga gawo mgawo chifukwa chomasulidwa kwa madzi a pancreatic, omwe kenako amalowa mu duodenum.

Ntchito ya chinsinsi cha intra ndikupanga thupi la mahomoni, yomwe imayang'anira kuchuluka kwa shuga m'magazi. Iron imatulutsanso mahomoni ena - glucagon.

Zimathandizira zotsatirazi:

• amatenga nawo mbali popanga michere yam'mimba;
• imayang'anira kagayidwe ka thupi chifukwa cha insulin, yomwe imachepetsa shuga m'magazi, ndi glucagon, yomwe imawonjezera chidwi chake.

Kuwonongeka kwa thupi, komanso kukula kwa njira yotupa mkati mwake, kumayambitsa kusokonezeka kwa metabolic m'thupi. Mu matenda owopsa a chiwalo, munthu amatha kupatsidwa ntchito kuti amuchotse.

Zizindikiro zochotsa

Zizindikiro zazikulu zochotsa chidutswa cha kapamba kapena chiwalo chonse ndi:

• zotupa zoyipa;
• pachimake kapamba necrosis;
• necrosis ya gland chifukwa chomwa mowa;
• kuwerengetsa kapamba.

Khansa ya pancreatic ndiye chizindikiro chachikulu cha kuchotsedwa kwake. Zambiri zimatengera kukula kwa chotupa. Ngati zimakhudza gawo linalake la ndulu, ndiye kuti kuyikanso kwake kwachitika. Ndi kufalikira kochulukitsa kwa chotupa, njira yokhazikika imatha kukhala kuchotsedwa kwathunthu kwa chiwalo.

Pancreatic necrosis imakhalanso ngati imodzi mwazifukwa zotheka kuti zithetsedwe. Pansi pake, amatulutsa madzi, pansi pake pomwe pomwe amadziwononga yekha ndi kudzimbidwa.

Ndi kuledzera kwa nthawi yayitali, chiwalo chija chimayamba kufa. Nthawi zina, wodwalayo adzafotokozedwa kuti kwathunthu kuchotsedwa kwina kapena kwina.

Ndi pancreatitis yowerengeka, mchere wamchere umasonkhana mu gland. Zotsatira zake ndi kupangidwa kwa miyala yomwe imatha kubowola malekezowo. Ndi matendawa, odwala omwe ali pachiwopsezo chowononga moyo amachotsedwa.

Izi ndichifukwa cha malo apadera a ziwalo. Imaphimbidwa bwino ndi ziwalo zoyandikana, zomwe zimapangitsa kuti dokotalayo azitha kupeza.

Nthawi zambiri, pancreatectomy sikuti amangokhala ndi zotupa zokha, komanso amafunika kuchotsa ziwalo zapafupi (ndulu, chikhodzodzo, komanso gawo la m'mimba).

Njira yokonzanso pambuyo pancreatectomy

Pambuyo pancreatectomy, wodwala akhoza kukhala ndi zovuta mu mawonekedwe a:

• magazi amkati;
• kusiyana kwa msoko;
• matenda m'malo ochotsa;
• kuwoneka kwa zilonda za kupsinjika chifukwa chabodza lalitali.

Njira yokonzanso pambuyo pa opareshoni imaphatikizapo kupatsa wodwala chisamaliro chapadera m'masiku atatu oyamba.

Masiku oyamba pambuyo pancreatectomy ndiowopsa kwa odwala chifukwa cha kutembenuka komwe kumachitika chifukwa cha thupi lawo.

Pali chiopsezo chachikulu cha kuwonongeka kwa ziwalo zoyandikana. Kukula kwa postoperative kuwunika kwa wodwalayo sikudalira kuti chofufumitsa chonse kapena gawo lokhalo lake chimachotsedwa.

M'tsogolo, wodwalayo ayenera kutsatira malamulo ena:

1. Tsatirani zakudya zopatsa chidwi kupatulapo zonunkhira, mafuta, zakudya yokazinga komanso zakudya zosuta.
2. Mpaka kumapeto kwa moyo, nthawi zonse khalani ndi kukonzekera komwe kuli ndi michere yamagaya. Ndi chithandizo chawo, chithandizo chamankhwala chidzachitika.
3. Nthawi zonse jekeseni insulin m'thupi kuti mukhale ndi shuga.

Wodwala yemwe wapulumutsidwa ndi kapamba amafunikira makamaka chithandizo chamankhwala.

Kuti akhalebe chimbudzi chokwanira, amamuika kukonzekera enzyme, mwa izi:

• Mikrazim - kwa mayamwidwe a mapuloteni, chakudya, mafuta;
• Vestal - kulimbikitsa chimbudzi;
• Creon - monga cholowa m'malo mwa kusowa kwa michere mthupi.

Kukonzekera kwa enzyme ndikofunikira kuti muchepetse vuto la mseru komanso matumbo mwa odwala. Zizindikiro izi ndizodziwitsa za nthawi ya postoperative.

Odwala onse omwe ali ndi kapamba wakutali amakhala ndi matenda ashuga 1. Amafunikira jakisoni wokhazikika wa insulin, yomwe idzalowe m'malo mwa kusowa kwa mahomoni m'thupi.

Chidwi chachikulu chimaperekedwa pakudya kwa odwala.

Malangizo amaperekedwa kwa iwo:

• chakudya chokhazikika;
• kudya kwamadzi kokwanira;
• kugwiritsa ntchito chophika chokha chophika, chakudya, mafuta owotchera, ndi makeke ophika;
• chakudya chamagulu;
• kusiyanitsidwa kwa coarse CHIKWANGWANI ku zakudya.

Wodwalayo akatsatira malamulo okonzanso, amatha kukulitsa moyo wawo ndikuwongolera.

Kanema wokhudza kapamba ndi tanthauzo la thupi:

Moyo wopanda chamba

Mankhwala amakono amapereka yankho lomveka bwino ku funso la momwe angakhalire atachotsa kapamba. Tekinoloje yalola kukulitsa chiyembekezo cha moyo wa odwala omwe adapulumuka kuchotsedwa kwa ziwalo.

Pambuyo pancreatectomy, munthu amatha kukhala ndi moyo wathunthu, koma ndi malire. M'milungu yoyamba atamuchita opaleshoni, amafunika kudya mwamphamvu. M'tsogolomu, zakudya zake zimakula.

Anthu omwe adapulumuka kumiseche akufunika kuwunika tsiku ndi tsiku thanzi lawo.

Malamulo atatu ofunika akuyenera kusamalidwa:

1. Lowetsani insulin mthupi tsiku lililonse.
2. Imwani mankhwala okhala ndi michere yokugaya tsiku lililonse.
3. Muzisungabe zakudya zokhwima pochepetsa chakudya chamafuta.

Iwo omwe adapulumuka pakuchotsedwa kwa mutu wa chithaphwi, mchira wake kapena chiwalo chonse, sangathe kubwezeretsanso thanzi lathunthu.

Ndi kuchotsedwa kwa chiwalo, makonzedwe am'mimba amagwira ntchito molakwika pakutha kwa kupanga mahomoni ena. Kuthandizira pakubwezeretsa zakudya m'thupi komanso zakudya zoyenera kumatha kuyambitsa zovuta zomwe zimachitika chifukwa cha opareshoni ndikuthandizira gawo lina la gawo lakutali.

Ziwonetsero

Zonena za nthawi yayitali ya odwala omwe achotsa kapamba zimadalira kuuma kwa matenda omwe amatsogolera pancreatectomy.

Kukhazikika kwakanthawi kokwanira kwa odwala omwe adapulumuka pambuyo pa chiwalo kumbuyo kwa khansa. Pamaso pa metastases, kuchotsedwa kwa gland kumalola kukulitsa moyo wa odwala ndi chaka chimodzi chokha.

Ambiri a iwo amwalira mchaka choyamba atachitidwa opaleshoni.

Nthawi yayitali yomwe odwala amakhala ndi chochotsedwa ndi zaka 5.

Ndi kuyang'aniridwa mosamala ndi odwala omwe amadya, kudya insulin, ma enzyme komanso mankhwala osokoneza bongo, zomwe zimapangitsa kuti moyo ukhale wopanda malire - munthu akhoza kukhala ndi moyo wautali.