Nthenda yakupha pambuyo pa chiwindi ndi yaikulu mu thupi. Kwa munthu wamkulu, ili ndi kutalika kwa pafupifupi 12-14 masentimita ndipo ili pansi pa mimba pa mlingo woyamba wa vertobrae wa dera la lumbar. Ntchito ya thupi ndi yopanga madzi a pancreatic, omwe amadzimadzi amachititsa kuwonongeka kwa chakudya, komanso kusakanikirana kwa mahomoni, makamaka insulini.
Matenda a kapangidwe
Thupi limakhala ndi matenda ngati awa:
- khansara;
- cystic fibrosis;
- shuga;
- chifuwa chachikulu.
Khansara yotchedwa Pancreatic imaphatikizapo mankhwala ndi mapiritsi a anesthetic okha pa malo osagwiritsidwa ntchito, nthawi zina, kuchotsa chotupacho chikuwonetsedwa. Mu cystic fibrosis mofanana ndi mankhwala opatsirana ndi Pancreatin ndi ma enzyme ena amasonyezedwa. Matenda a shuga ndi kwenikweni, osati matenda ochulukirapo chifukwa cha kuchuluka kwa insulini yomwe imapangidwa ndi iwo.
Choncho, ganizirani momwe matenda amathandizira matenda monga kutupa kwa kapangidwe kapenanso kuperewera kwa thupi, komwe kungayimiridwe ndi mawonekedwe ovuta komanso osapitirira.
Kuchiza kwa kutupa koopsa kwa kapangidwe
Kuchuluka kwa kuperewera kwa chifuwa kumaphatikizidwa ndi kupweteka kwambiri m'mimba, kubwezeretsa, komanso kunyozetsa, malungo, kufooka kwakukulu - ndiko, zizindikiritso za kuledzera kwa thupi, zomwe zimachokera ku kumasulidwa kwa michere yambiri yachitsulo m'magazi.
Matendawa amafuna nthawi yomweyo kuchipatala. ngakhale ngakhale njira zamakono zothandizira matenda a pancreatic, kuwonongeka kumafika 7-15%.
Kuchuluka kwa chifuwa chachikulu kumatanthauza kudya zakudya ndi mankhwala okhwima:
- Njira zowonongeka (kuchotsa mankhwala, kuchotsa minofu yosalala ndi kumva zowawa, kugwiritsa ntchito mankhwala osokoneza bongo omwe amalepheretsanso kupanga mapuloteni);
- opaleshoni - m'madera akutali, makamaka milandu yoopsa ya laparoscopy.
Kuchiza kwa kutupa kosatha kwa kapangidwe
Ngati, mu chiwopsezo choopsa, pali mwayi wobwezeretsanso ntchito yeniyeni yotentha, mawonekedwe osalekeza amatsimikizira kuwonongeka kosapeĊµeka kwa ntchito zapascita.
Mu kutupa kosatha, zakudya zimasonyezedwa. Pochotsa ululu m'makhwala, mankhwala amauzidwa ndi choli- ndi antispasmodics: Atropine, Platyphylline, No-shpa, Papaverin.
Kuchotsa dyspepsia (zovuta za mmimba) zimatenga mankhwala ophera tizilombo toyambitsa matenda (Almagel, Phosphalugel ndi mankhwala ena amchere), komanso H2-blockers (Ranitidine, Famotidine).
Pamene kuwonjezeka kwachotsedwa kuchotsedwa ndipo matenda a ululu amaletsedwa, kukonzekera gulu la ma enzyme kuti lipange mankhwala opangira zikondwerero ndilo: Creon, Panzinorm ndi zifaniziro zake, Pankurmen.
Chifukwa cha mankhwalawa ndi mankhwala osokoneza bongo omwe ali ndi mapangidwe a mavitamini, amatha kuthetsa kapena kuchepetsa dyspepsia, kuonetsetsa kuti pulogalamu ya calorification ndi kubwezeretsa kulemera kwa thupi. Odwala omwe ali ndi matenda oopsa opatsirana akuyenera kupitilirabe mankhwala a enzyme kwa nthawi yayitali, popeza kuchepa kwa kuwonjezereka kwakukulu kumafuna masabata 3-5, ndipo kutaya kwathunthu kumatenga miyezi 6-12. Nthawi yonseyi muyenera kutenga mavitamini.
Kuchiza mwapadera
Nthawi zina kutupa kwapachikazi kumakhudzana ndi kachilomboko, kenaka amalankhula za kukula kwa cholangitis kapena peripancreatitis. Atafufuza zizindikiro, adokotala amalemba mankhwala operekera ziphaso ndi mapiritsi (kapena zenizeni - njira zowonjezera) za magulu a antibiotics: Ampiox, Cefobide, Cefuroxime, Doxycycline, Cefspane.
Ngati kutupa kwa kansalu kumaphatikizidwa ndi edema yake, mankhwalawa amagwiritsidwa ntchito ndi Contrikal, Gordoksa. Kuchotsa ululu waukulu, agwiritsireni ntchito Analgin kapena (nthawi zovuta) mankhwala osokoneza bongo.