Mapangidwe a miyala mu kapamba

Aliyense amadziwa kuti miyala imatha kupanga impso kapena chikhodzodzo. Sikuti aliyense angayankhe funsoli - kodi pali miyala mu kapamba?

Pancreolithiasis amapezeka kawirikawiri kwambiri ngakhale mutakakumana ndi dokotala, katswiri amayamba kukayikira matenda pang'ono.

Ndipo muyenera kuchitira matenda a matenda mosachedwa, miyala mu kapamba imayendera limodzi ndi kupweteka kwambiri ndipo imatha kubweretsa necrosis ya gland komanso kukula kwa matenda a shuga.

Zomwe Zimayambitsa Mwala

Zosungidwa pamiyala zimatha kukhala mthupi, mchira kapena mutu, koma nthawi zambiri zimakhala m'miyala. Pancreatolithiasis imayamba kulimbana ndi kapamba ndi kuphatikizika munthawi zingapo zingapo zovuta.

Zomwe zimayambitsa chitukuko cha matenda a m'matumbo zimaphatikizapo:

• kuphwanya phosphorous-calcium metabolism;
• mapangidwe a cysts ndi zotupa zomwe zimalepheretsa kutuluka kwa madzi a pancreatic ndikuwatsogolera pakusayenda kwake;
• matenda opatsirana komanso otupa a m'mimba;
• kukanika kwa parathyroid glands;
• kunenepa kwambiri komanso kuchepa mphamvu zolimbitsa thupi;
• chikonga komanso uchidakwa.

Amakhulupirira kuti chimodzi mwazomwe zimayambitsa pancreolithiasis ndi chibadwa cham'tsogolo.

Miyala ikusunga mawonekedwe pang'onopang'ono.

Pali magawo atatu, magawo:

1. Pa gawo loyamba, kapangidwe ka kapamba amasintha, mandimuwo amadzala ndipo amapanga protein yayikulu mumizere.
2. Mu gawo lachiwiri, chinsinsi chokhazikika chimakutidwa ndi mchere wamchere.
3. Gawo lachitatu, kuyimitsidwa kumawerengeredwa, komwe kumayendetsedwa ndi matenda otupa komanso matenda opatsirana m'matumbo, bile ducts kapena duodenum. Pakadali pano, zizindikiro za matenda zimadziwika.

Kukula kwamiyala kumasiyanasiyana kuchokera kumchenga wamtundu kupita pamphaka yayikulu. Miyala ikuluikulu yomwe imapangidwa imalepheretsa zisa za gland ndikusokoneza kufalitsa kwachinsinsi.

Madziwo amayamba kudziunjikira ndikutambasulira makoma a ndulu, zomwe zimayambitsa kutupa kwa gawo limodzi la gland, ndipo kenako kudziyang'anira.

Popanda chithandizo chanthawi yake, minofu ya kapamba imawonongeka ndikuwonongeka, zomwe zimabweretsa zotsatirapo zoyipa. Kupanga kwa insulin kumachepa ndipo shuga imayamba.

Zizindikiro za matendawa

Symbomatology ya pancreolithiasis ndi yofanana ndi zizindikiro za ma pathologies ena. Kuwonetsedwa kwa matendawa kumatha kusokonezedwa ndi zilonda zam'mimba kapena kuukira kwa colic colili. Izi zimapangitsa kuti azindikire matendawa ndipo zimachitika kuti amayamba kuchiza matenda osiyanasiyana.

Odwala amadandaula ndi izi:

1. Matenda opweteka. Kupweteka kwa paroxysmal kapena kudula kumayambira m'chigawo cham'mimba ndipo kumawonekera kumbuyo, kumbuyo kumanzere kumimba kapena kudera lamapeto.
2. Pafupipafupi ululu. Zowopsa zomwe zimachitika zimasinthira nthawi yopweteka. Colic imatha kudzetsa nkhawa, kudya kwambiri kapena kumwa mowa. Kumayambiriro kwa matendawa, kukomoka kumachitika kawirikawiri ndipo kumadutsa mwachangu. Mtsogolomo, ululu umadziwonekera kawirikawiri ndipo kutalika kwa colic kumasiyana kuchokera ola limodzi mpaka masiku angapo.
3. Masewera owopsa.
4. Kuukira mseru.
5. Kudzimbidwa. Kudzimbidwa kumatsatiridwa ndi kutsekula m'mimba.
6. Maonekedwe a ndowe zamafuta amafuta ndi zidutswa za miyala.
7. Kuteteza khungu. Amayamba ngati mwala wotseka kapamba wa ndulu ya bile.
8. Kuyesedwa kwa magazi kumawonetsa kuchuluka kwa shuga. Mtsogolomo, odwala adazindikira kuwonda, kufooka kowonjezereka ndi zizindikiro zina za matenda ashuga.

Poyerekeza ndi pancreatolithiasis, kukula kwa kapamba, ma cystic kapangidwe kake kapena zotupa mu England ndi zotheka, kuthekera kwa magazi.

Diagnostic diagnostic

Kupatula zolakwika pakuzindikira, mutasanthula madokotala a anamnesis ndi madandaulo, zovuta za kafukufuku wazopsa zimalembedwa:

• kuyezetsa magazi kuyesa ESR, shuga ndi magazi oyera;
• X-ray ya m'mimba patsekeke zingapo zimakupatsani mwayi kuti muzindikire kukula kwakukulu komanso yayikulu;
• endoscopic ndi ultrasound imatha kudziwa kukhalapo ndi kufalikira kwa miyala yamtundu uliwonse;
• CT kapena MRI.

Kuti muwone malo omwe ali ndi madongosolo ndikuwunika momwe ndulu zikuluzikulu, kutulutsa kwa cholangiopancreatography kumachitika.

Chithandizo cha Pancreatolithiasis

Kutengera ndi momwe wodwala alili komanso kukula kwa miyala yomwe wapangidwayo, chithandizo cha matendawa chimatha kuchitidwa opareshoni kapena chosasamala.

Conservative mankhwala amalembedwa ochepa madipoziti, limodzi ndi kufupi ndi otsika mwamphamvu ululu.

Chithandizo chopanda opaleshoni chimaphatikizapo:

• chakudya chamagulu;
• kumwa mankhwala oletsa kutupa;
• ma pinkiller ndi okodzetsa;
• michere;
• kukonzekera kubwezeretsa phosphorous-calcium metabolism;
• zothandizira sedimentation (Ursodiol).

Mfundo zakusintha kwa zakudya zimakhazikika pakufunika kogwira ntchito ya kapamba ndi ndulu ndikutchiritsa chiwindi:

• Idyani zakudya zazing'ono komanso pang'ono;
• pewani kudya kwambiri ndi kufa ndi njala;
• atatha chakudya chambiri, asanagone, osachepera maola awiri;
• kukana mbale yokonzedwa ndi kuwaza mafuta;
• chakudya chizikhala ndi chakudya kapena chiwongoleredwe;
• kukana zakudya ndi mbale zokhala ndi mchere wambiri, mafuta ndi zonunkhira zotentha;
• kuchepetsa kugwiritsa ntchito shuga, maswiti ndi khofi wamphamvu;
• kupatula pachakudya cha makeke ndi ufa wa tirigu;
• mu zakudya sayenera kupezeka zomwe zimayambitsa kupesa ndi kutulutsa;
• kugwiritsa ntchito mkaka wa skim ndi masamba omwe ali ndi michere yambiri kumakuthandizani kuti musinthe matumbo;
• kuloledwa kudya chimanga ndi mbale zamphesa zam'mphepete, pasitala, nsomba zamafuta ochepa ndi nyama;
• maziko azakudya azikhala ophika, ophika komanso ophika masamba ndi zipatso ndi peel;
• mutha kudya mazira ochepa, buledi wouma wochokera ku rye kapena ufa wonse wa tirigu;
• onetsetsani kuti mumamwa madzi oyera tsiku lililonse, malita 1.5;
• kukana chikumbumtima, mowa ndi zakumwa ndi mpweya;
• ndikofunikira kuwonjezera zolimbitsa thupi zolimbitsa thupi tsiku lililonse kapena kuyenda maulendo ataliatali.

Zotsatira zamankhwala osokoneza bongo, wodwalayo amakhala wathanzi, madongosolo ang'onoang'ono samachepetsedwa popanda opaleshoni ndipo amatsitsidwa m'matumbo.

Opaleshoni akuwoneka pazochitika zotsatirazi:

• kusunthika kwakukulu ndi kulimba kwa matenda opweteka omwe sangatithandizire kupweteka;
• kuphwanya magwiridwe antchito a kapamba;
• kuchuluka kwakukulu;
• yotupa njira mu gland.

Zikatero, kuchotsa miyala ndikulimbikitsidwa. Opaleshoni yamkati imachitidwa pansi pa opaleshoni yodutsa pamimba, kenako ndikutsatira gawo la chimbudzi kapena kupindika kwa kapamba ndi kutulutsa ma calcication.

Muzovuta, gawo la gland limachotsedwa kapena pancreatectomy imachitika (kuchotsedwa kwathunthu). Pancreatectomy ndi njira yokhazikika, pambuyo pake wodwala amafunikira chithandizo ndikumamwa mankhwala a enzymatic ndi mahomoni amoyo.

Njira yophwanya ma deposito ogwiritsira ntchito kutali nkhawa wave lithotripsy imachitika. Milandu imaphwanyidwira kumchenga ndipo imatulutsidwa ndi endoscope kapena imatulutsidwa mwachilengedwe m'matumbo.

Opaleshoniyo imachitika pang'onopang'ono komanso chifukwa cha opaleshoni wamba. Zimatenga mphindi 30 mpaka 60 za nthawi ndipo imawerengedwa kuti ndi njira yovuta kwambiri yochotsera miyala kuchokera ku zikondamoyo. Ngakhale pambuyo pa njirayi, kuwoneka kwa hematomas pamimba ndi kupweteka kumatheka.

Nthawi zina, zowerengera zimachotsedwa endoscopically pogwiritsa ntchito retrograde cholangiopancreatography.

Madipoziti ang'onoang'ono amachotsedwa popanda kuwononga nembanemba, kutulutsa miyala ikuluikulu, kutulutsa timiyala ndikutchingira calculi mu duodenum, pomwe amachotsedwa mwachilengedwe.

Zoyipa za njirayi zimaphatikizaponso kuthekera kochotsa miyala kwathunthu komanso kuthekera kochotsa zokhazikikazo zomwe zili pamphepete mwa kapamba.

Chithandizo chothandiza kwambiri cha pancreatic lithiasis ndi kuphatikiza kwa miyala yokhazikika komanso kuchotsa miyala mu gland. Kuphatikiza apo, chithandizo cha matenda ophatikizika ndi omwe adayamba motsutsana ndi maziko a mapangidwe a zosungidwa amachitika.

Zotsogola ndi kupewa

Monga njira zochizira komanso zodzitetezera, malingaliro ena ayenera kutsatira:

• kutsatira mfundo zachakudya;
• khalani ndi moyo wokangalika, kusambira, kuyenda, kusewera masewera;
• pachaka amapita kukayezetsa pachipatala powunika momwe amasonyezera phosphorous, calcium ndi glucose m'magazi;
• munthawi yochizira matenda a biliary ndi m'mimba, pamene zizindikiro zoyambirira zikuwoneka, dokotala;
• kusiya kumwa mowa kwambiri ndi kusuta.

Kanema wochokera kwa Dr. Malysheva wamomwe mungapewere matenda a kapamba:

Kuzindikira matendawa kumayambiriro kwa chitukuko komanso chithandizo chamankhwala chothandizira kumathandizira kuchira kwaposachedwa komanso kosachedwa kwa kapamba pancreolithiasis m'njira yokhazikika. Kutaya bwino ma depositi nthawi ya opaleshoni yoposa 80%.

Ngati sanapatsidwe, pali chiopsezo chokhala ndi pancreatic necrosis, matenda a shuga, mapangidwe a cysts ndi abscesses. Kuchitika mwadzidzidzi kwa mwalawo ndikutuluka kwa magazi.