Ali kuti, momwe zimapwetekera komanso momwe mungachiritse kapamba
Munkhani yowunikirayi, tiona komwe zikondamoyo zili komanso momwe zimapwetekera, fotokozani matenda akulu am'mimba, perekani malingaliro pakugwiritsa ntchito mankhwala ndi kuchiza kapamba kunyumba ndi mankhwala azitsamba.
Pancreas imagwira ntchito zofunika kwambiri m'thupi la munthu, imagwira ntchito moyandikana ndi ziwalo zam'mimba, ndipo kulephera pang'ono pantchito yake kumabweretsa kusintha kosagwirizana.
Madokotala ku Greece wakale amawona kuti kapamba ndi gawo limodzi lofunikira kwambiri, lotchedwa "kapamba", lomwe limamasulira kuti "nyama yonse." Zowonadi, chiwalo ichi chimagwira ntchito zosasinthika, zomwe zikuluzikulu ndizo: kuwongolera kagayidwe kabwino ka mphamvu ndi kukonza chimbudzi. Kusungunuka kwa mapuloteni, mafuta ndi chakudya m'matumbo kumachitika chifukwa cha michere ya gland, ndipo mahomoni ake amakhala ngati owongolera shuga m'magazi.
Ali kuti kapamba
Mphunoyi imapezeka m'mimba (pafupifupi mulingo woyamba ndi wachiwiri wa lumbar vertebrae). Chiwalocho chili kuseri kwa m'mimba ndipo chimayenderana kwambiri ndi duodenum.
Ngati titayang'ana mbali ya khoma la m'mimba, malo ake ali pafupifupi 5-10 masentimita pamwamba pamchombo.
Mutu wa gland wozunguliridwa ndi duodenum, womwe umazungulira mozungulira ngati nsapato. Kudzera m'mitsempha yama pancreatic-duodenal, magazi amaperekedwa m'mapapo.
Kodi kapamba amapweteka bwanji?
Matenda a pancreatic monga pancreatitis, adenocarcinoma, miyala yomwe imatuluka, necrosis ndi matenda a shuga ndizofala.
Pancreatitis - kutupa kwa kapamba, komanso kuwonongeka kwake, kuwonetsa izi:
- kupweteka m'deralo pansi pa nthiti kumanzere;
- kufooka;
- kuchuluka thukuta;
- mtima;
- kutentha kwakukulu;
- nseru, kusanza;
- chikasu cha khungu ndi azungu azungu;
- kutsegula m'mimba;
- mwina mkhalidwe wodabwitsa.
Ululu wowonjezereka wa kapamba umawoneka modzidzimutsa, umakhala pachimake pachimake - umafalikira mbali yonse yakumanzere ndipo ukhoza kufalikira kumbuyo. Antispasmodics sangathetsere kupweteka, kuchepetsedwa kwina kumatha kukhala pansi ndikukhala patsogolo pang'ono. Nthawi zina wodwalayo amamva ngati "akuphulika" kuchokera mkati, mwathupi amamva kukulitsa kwa gland komanso kukakamira m'nthiti, zomwe zimasokoneza kupuma kwathunthu.
Ndi kupweteka kowonjezereka, gag reflex imakula. Kuwombera kungayambitse ululu. Nthawi zambiri, kusanza kumawoneka m'mawa kapena monga momwe zimachitikira pakudya, mwachitsanzo, chifukwa cha kukokana m'mimba. Pambuyo kusanza, komwe kumakhala ndi kulawa kowawa kapena kowawa, kupumula kumabwera kwakanthawi. Kusanza kumatha kukhala kwadongosolo kapena kuwoneka kwakanthawi.
Ngati pakhosi likuchitika pachimake, muyenera kupita kuchipatala nthawi yomweyo, komwe azachipatala azikupatsirani chithandizo chamankhwala. Popanda kuchitapo kanthu, matendawa sadzatha.
Ndi kusanza kwanthawi yayitali, m'mimba mumatsukidwa ndi kafukufuku ndipo ma enzyme apadera amaperekedwa kuti athetse kukwiya kwa kapamba ndi m'mimba.
Kuchiza kunyumba kwa kapamba
Pamene kapamba kakufika pachimake, kusala kwathunthu kumafunikira kwa maola 24-46. Munthawi imeneyi, kupanga madzi akumwa kapamba kumachepetsedwa, kumachepetsa mphalaphala. Masiku ochepa chisanachitike, munthu amataya njala. Pakadali pano, muyenera kumwa madzi osakanikirana ndi kaboni, msuzi wa rosehip kapena yankho la soda.
Zizindikiro za chifuwa chachikulu chimaphatikizapo kusanza ndi kupweteka m'mimba komwe kumatenga masiku angapo. Zizindikiro zomwezo zimatha kulengeza cholecystitis, appendicitis, kutsekeka m'matumbo, kapena zilonda zam'mimba. Kuti mudziwe matenda olondola, pitani kuchipatala msanga. Pachimake kapamba amachiza kokha mchipatala.
Zithandizo za anthu
Njira yothandiza komanso yotsika mtengo yochizira kapamba kunyumba ndikutsuka limba ndi zotengera zake mothandizidwa ndi zakudya. Kwa matenda am'mimba, zakudya zotsekemera zimachotsedwa pazakudya (kugwiritsa ntchito uchi kokha ndikololedwa), zakudya zamafuta, zokazinga ndi zokometsera, komanso mowa. Ndiyeneranso kusiya kusuta. Ndikofunika kukhazikitsa zoletsa pachakudya, kudya mopitirira muyeso sikuyenera kuloledwa. Phala ndi lothandiza, makamaka buckwheat ndi oatmeal. Malamulo anu akumwa ndikofunikanso. Muyenera kumwa madzi ambiri, mutha kuthira madzi a mandimu pang'ono mwatsopano.
Njira zotsatirazi zithandizira kupweteka kwa kapamba.
Kupondereza yogurt
Amagwiritsidwa ntchito kupweteka ndi kutupa pakamachitika kapamba. Minofu yofewa imanyowetsedwa mu yogurt ndipo compress imayikidwa pamimba m'mimba. Imatsalira kulumikiza thumba lapulasitiki pamwamba ndikukulunga ndi mpango wansalu kapena mpango. Njirayi imatenga pafupifupi milungu isanu ndi umodzi.
Ndimu adyo osakaniza
Kuti mukonzekere mankhwala owerengeka, mufunika 1 kg ya mandimu, yomwe imagwiritsidwa ntchito ndi peel, 300 magalamu a adyo ndi parsley yofanana. Zosakaniza zonse zimayikidwa chopukusira nyama. Ma mandimu amapangidwiratu. Chosakanizacho chimasungidwa m'firiji mumtsuko wagalasi ndipo chimatengedwa katatu patsiku, 1 tsp. kotala la ola musanadye.
Kuti tiwonjezere zotsatira zake, tikulimbikitsidwa kumwa kusakaniza ndi kulowetsedwa kothandiza. Amakonzedwa motere: tengani mulingo wa mabulosi abulu, lingonberry, masamba a sitiroberi, ziphuphu za chimanga, nyemba nyemba. Supuni imodzi yazosungunulidwazo imatsanulidwa mu thermos ndi kapu imodzi yamadzi otentha ndikuyikidwa usiku umodzi. Galasi la kulowetsedwa kumagawika magawo atatu ndikumwa limodzi ndi adyo osakaniza. Mankhwalawa amachitika kwa miyezi itatu.
Mkaka wa mkaka wa parsley
Muzimutsuka bwino ndi magalamu 800 a parsley, dulani bwino ndikutsanulira mkaka wowira. Kuti mukonze msuzi, gwiritsani ntchito mbale zokongoletsa. Mkaka uyenera kuphimba masamba onse. Msuzi ukuyaka chifukwa cha kutentha pang'ono, mkaka sayenera kuloledwa kuwira. Gawo ili ndilokwanira tsiku limodzi. Phwando limachitika mu supuni 2 ola lililonse.
Malangizo a Kanema
Mankhwala
Pochizira matenda a kapamba, magulu a mankhwala amagwiritsidwa ntchito.
Kupweteka kumachepetsa
Mankhwala osokoneza bongo amagwiritsidwa ntchito: "Drotaverin", "No-Shpa", "Baralgin", "Papaverin". Pakakhala kupweteka pang'ono, Iburofen kapena Acetaminophen ikuthandizani. Kugwiritsa ntchito ma analgesics ("Aspirin" kapena "Paracetamol") ndi ma antihistamine monga "Diphenhydramine", "Platyphyllin", "Atropine" ndiolandilidwa.
Othandizira enzymatic
Pofuna kuchepetsa kupanga michere, odwala amapatsidwa "Contrikal", "Aprotinin". Pomwe chiwonongeko chachikulu chimatha kapena matenda opatsirana kwambiri, mankhwala a enzyme amafunikira kuti athandize kugaya chakudya. Poterepa, sankhani: "Mezim", "Panzinorm", "Pancreatin", "Festal", "Creon". Kugwiritsa ntchito kwawo kumatsutsana pakagwirizana ndi mapuloteni a nkhumba, chifukwa gawo ili ndiye maziko. Monga mwana, zoterezi zimatha kupangitsa m'mimba kutsekeka, kenako mankhwala azitsamba adzawathandiza: "Somilase", "Unienzyme", "Somilaza", amachokera ku bowa la papain kapena mpunga.
Mavitamini amadya mukatha kudya. Dokotala amakupatsani mlingo woyenera payekha. Nthawi zina, atalandira chithandizo chamankhwala, amalandila chithandizo chothandizira, chomwe chingakhale chofunikira pamoyo wonse. Ngati kuphwanya ntchito ya exocrine, mankhwala osokoneza bongo amagwiritsidwa ntchito omwe amawongolera kuchuluka kwa shuga wamagazi - kukonzekera kwa insulin.
Ndi matenda am'mimba, munthu sangathe kugwiritsa ntchito mankhwalawa, omwe angayambitse matenda monga matenda a shuga, necrosis, ndi poyizoni wamagazi.
Maantibayotiki
Kuti muchepetse kupweteka komanso kupewa mkwiyo, mankhwala amagwiritsidwa ntchito ngati ma gels kapena kuyimitsidwa. Ntchito yawo ndikuchepetsa asidi ya hydrochloric ("Fosfalugel", "Almagel") kapena kuchepetsa kupanga kwake ("Omez", "Proseptin", "Contraloc", "Omeprazole", "Otsid", "Gastrozol").
Miyeso ya pancreas
Mphunoyi imakhala yachiwiri pambuyo pa chiwindi pakati pa ziwalo zomwe zimapanga michere. Kuyambira sabata lachisanu la mimba, mapangidwe ake amayamba. Matenda a mwana wakhanda ndi masentimita 5, pofika chaka amafikira masentimita 7, ndipo mwa mwana wazaka khumi amakhala pafupifupi masentimita 15. Kukula komaliza kwa kapamba kumapangidwa ndi zaka khumi ndi zisanu ndi chimodzi.
Mbali yotakata kwambiri ya kapamba wamunthu wamkulu ndi mutu: m'lifupi mwake umayambira masentimita 5, makulidwe mkati mwa 1.5-3 cm. Thupi ndiye gawo lalitali kwambiri lachiwalo, mulifupi mwake ndi masentimita 1.7-2.5. - mpaka 3.5 cm, m'lifupi - pafupifupi 1.5 cm.
Kuti mudziwe matenda mu mankhwala, ultrasound imagwiritsidwa ntchito, chifukwa chake mawonekedwe ndi kukula kwa chiwalo zimatsimikiziridwa, posonyeza momwe zilili. Njira zina zofufuzira ndizovuta chifukwa kapamba amakhala ozama mokwanira.
Kapangidwe ka limba wathanzi ndi ofanana. Zosintha zazing'ono pamutu, mchira kapena thupi zitha kuwerengedwa kuti ndi zachizolowezi pakakhala zisonyezo zabwino kwambiri zamagetsi amwazi.
Ntchito za kapamba m'thupi
Mphunoyi imakhala ndi mitundu iwiri ya minofu, iliyonse yomwe imakhala ndi ntchito yake: endocrine ndi exocrine.
Ntchito ya Exocrine
Imodzi mwamaudindo ofunikira kwambiri a kapamba m'thupi ndikupanga madzi am'mimba, omwe amakhala ndi mchere, madzi, michere (michere).
Mavitamini a Pancreatic ndi awa:
- Trypsin ndi chymotrypsin (thandizani kupukusa mapuloteni)
- Amylase - amawononga chakudya;
- Lipase - amaliza njira yothetsera mafuta omwe anali atakopeka ndi ndulu kuchokera mu ndulu.
Momwe zimapangidwira madzi a kapamba pali zinthu zina - mchere wamchere, womwe umapereka mphamvu ya zamchere. Izi zimachepetsa acidity ya chakudya chochokera m'mimba ndikuthandizira kuyamwa kwa chakudya.
Kutsekemera kwa madzi a kapamba kumakhudzana mwachindunji ndi kudya. Izi zikutanthauza kuti mukamadya zakudya zosiyanasiyana, ma enzyme amadzimadzi amitundu yosiyanasiyana amapangidwa.
Ntchito ya Endocrine
Kutulutsa kwa mahomoni m'magazi - glucagon ndi insulini - ndi ntchito yachinsinsi ya kapamba.
- Insulini imayang'anira kagawidini ndi lipid (ie mafuta) kagayidwe. Zimalimbikitsa kutuluka kwa magazi m'magazi ndi matupi amthupi. Chifukwa cha izi, shuga wamagazi amachepetsedwa. Matenda omwe amapanga insulin amatulutsa matenda a shuga.
- Glucagon ikhoza kutchedwa kuti antagonist wa insulini chifukwa idapangidwa kuti iwonjezere kuchuluka kwa magazi m'magazi. Maselo a alpha omwe amatulutsa glucagon amathandizira kupanga mankhwala a lipocaine, omwe amaletsa kuwonongeka kwamafuta m'chiwindi.
- Mahomoni ena omwe ndi ofunikira m'thupi amapangidwanso, monga ghrelin, yomwe imathandizira kudya komanso imalimbikitsa kudya.
Zambiri zamakanema
Matenda ambiri a kapamba ndiosavuta kupewa kuposa kuchiritsa. Kupewa zizolowezi zoipa (mowa ndi kusuta fodya) komanso zakudya zopatsa thanzi kumachepetsa chiopsezo chamatenda amthupi.