Kuchuluka kwa matenda opatsirana aakulu

Nthawi zambiri matendawa amayamba kupangika pang'onopang'ono, pambali ya cholelithiasis, matenda aakulu a cholecystitis, zilonda, matenda opatsirana, kuledzera ndi kuperewera kwa zakudya m'thupi (uchidakwa, kumwa mafuta ndi zakudya zokometsera zambiri). Koma zikhoza kuchitika chifukwa cha zizindikiro zingapo zopweteka kwambiri.

Zizindikiro za kuwonjezeka kwa chifuwa

Kuperewera kwa matenda nthawi yayitali ndi matenda a nthawi yaitali, kaŵirikaŵiri kawiri kawiri, ndi nthawi zovuta kwambiri. Pa ululu wochulukirapo mu hypochondrium yoyenera kapena shingles amachitika, zomwe zingathe kutsatiridwa ndi kunyoza, kusanza, kubisa.

Kulimbana ndi zopweteka sikukhala ndi nthawi yeniyeni, koma nthawi zambiri imakhala ndi mphamvu yogwira komanso kudya. Odwala angakhale ndi jaundice (osati chizindikiro chokhalitsa). Pazigawo zomaliza za matendawa, matenda a shuga angapangidwe.

Kuwonjezeka kwa chifuwa chachikulu cha matenda opatsirana nthawi zambiri kumagwirizanitsidwa ndi chisokonezo pa zakudya za wodwala - kudya mafuta, mchere, zakudya zokometsera, mowa.

Chithandizo

Dokotala-gastroenterologist akuchiritsidwa ndi odwala omwe ali ndi matenda opatsirana aakulu, ndipo nthawi zambiri cholinga chake ndi kupumula kwa ululu ndi malipiro a kusowa kwa matenda a endocrine. Ndikumva kupweteka kumaphatikizapo kuwonjezereka kwa matenda opatsirana opatsirana, osalidwa ndi mankhwala osokoneza bongo (aspirin, diclofenac, etc.) akhoza kulamulidwa. Mankhwalawa amakhalanso ndi zotsutsana ndi zotupa, ndipo ndi kuchepa kwa kutupa, ululu umachepa.

Ndikumva ululu kwambiri, mankhwala omwe amagwiritsidwa ntchito pochiza matenda opatsirana - octreotide - angathe kuuzidwa. Zimalepheretsa kupanga mahomoni omwe amachititsa kuti ziphuphu zisinthe. Komanso, ndalama zimaperekedwa kuti zichepetse kupanga mavitamini ena (trasilene, pantripine), zamadzimadzi (methyluracil, pentoxyl) ndi mankhwala a lipotropic (lipocaine, methionine). Ndi kuperewera kwa exocrine kwa kapangidwe, makonzedwe a enzyme amalembedwa: pancreatin, chikondwerero, cholenzyme. Kuphatikiza apo, ma complex multivitamin akulimbikitsidwa.

Pathandizidwa, wodwalayo, ngakhale asakhale ndi ululu waukulu, amafunika kuti asamalephereke kuyenda moyenera, kusowa kwa maganizo-maganizo ndi nkhawa.

Mphamvu

Mu matenda opatsirana kwambiri, monga matenda ena aliwonse a m'mimba, chimodzi mwa zinthu zofunika kwambiri pa chithandizo ndi zakudya. Odwala amafunika kuchotsa zakudya zamchere ndi zophika, zokazinga ndi zonunkhira, zakumwa za carbonate, khofi, mikate yoyera, mowa amatsutsana.

Powonjezereka tsiku loyamba, mutha kudya, kugwiritsa ntchito madzi amchere okha (Borjomi) popanda mafuta, kutentha kutentha, teas, msuzi wa dogrose. M'masiku otsatirawa, pamene chiwonongeko chimafooketsa, chakudya chamagawo m'magawo ang'onoang'ono akulimbikitsidwa, maola 3-4. Pakudya, wodwala ayenera kuchepetsa kuchuluka kwa mchere wambiri (masamba, zipatso, mkate wochuluka), kuti asapitirize matumbo a peristalsis komanso kuti asamachepetse m'mimba komanso m'mimba mwacosa yamakina ofunikira komanso amchere. Zakudya zowonjezera zomwe zili ndi calcium ndi potassium - timadziti, makamaka kaloti, mavitamini a zipatso zouma, mkaka wofukiza, ndi nyama yowonda, yokhala ndi chitsulo. Ndi kuchepetsa kuchepetsa kulemera, muyenera kuwonjezera kuchuluka kwa mapuloteni mu zakudya.

Mankhwalawa amapangidwa kokha pa malangizo a dokotala.