Ukulunywa umuzwa ovuthayo futhi odabukisayo owenzeka ebusweni besikhumba. Lapho lo muzwa kwenzeka, umuntu uhlangabezana nokungajabuli okukhulu, okuholela ekwephulweni kwekhwalithi yempilo.
Ukuvela kwesibonakaliso esinjalo kuholela ekuphazanyisweni kokulala kanye nesimo sokucindezela.
Ngaphezu kwalokho, amandla okusebenza esiguli ayancipha, nezinhloso zokuzibulala ziyavela.
Isikhumba siqala ukuklwebheka kaningi uma isiguli sinezifo zesikhumba. Kodwa futhi kungavela ngesikhathi sokuthuthukiswa kwezifo ze-organic ezifana, ngokwesibonelo, i-pancreatitis.
I-pancreatitis yisifo esibonakala ngenqubo yokuvuvukala kwezicubu zamanyikwe.
Ukugula kungathatha izindlela ezimbili:
- ezingamahlalakhona
- bukhali.
Umehluko omkhulu phakathi kwalezi zinhlobo zesifo ukuthi ifomu elinamandla liyashesha, kanti elingelapheki liyavilapha.
Ukulunywa kwezifo zepancreas kuvela lapho ifomu lesifo elingamahlalakhona livela futhi lithuthuka.
Kungani isikhumba esidlekayo sivela ngokuqina kwepancreatitis?
Ukulunywa komzimba ngokuvuvukala kwama-pancreas kungenzeka uma isiguli sinesimo esingapheli sesi sifo.
Ukulunywa ngamanyikwe esigulini kungavela emacaleni amabili kuphela.
Izimbangela zokungajabuli zingafaka:
- Ukuba khona emzimbeni wesiguli kokungezwani kwemithi.
- Ukuthuthukiswa kwe-edema ye-pancreatic.
Kuvela ukungezwani nezidakamizwa ngenxa yokusetshenziswa kwezidakamizwa ezisetshenziswa ekwelapheni i-pancreatitis, equkethe izinto ezibangela ukubonakala kokungezwani komzimba.
Ukulunywa ngamandla komzimba nge-pancreatitis kuyinto eyivelakancane kakhulu.
Uma ukulunywa emaphashini kudalwa yizidakamizwa, khona-ke kungahambisana nokudakwa komzimba, ukubukeka kwenhliziyo kanye nesifiso sokuhlanza.
Ngenxa yokuthuthuka kwe-puffness, i-iron inyuka ngevolumu. Okuholela ekucindezelweni kwezitho eziseduzane ezifana nesibindi kanye nenyongo.
I-pancreatic edema icasule ukwephula ukuphuma kwe-bile. Ukwephulwa okunjalo kuholela ekungeneni kwe-bile emgodini wegazi. Njengomphumela wokungena kwe-bile acid egazini, zifinyelela emaphethelweni ezinzwa futhi zivuse ukuvela kokulunywa kanzima.
Imbangela yesibonakaliso esingathandeki kungenzeka ukuthi kukhula i-cholecystitis, ukuqhubekela phambili kwayo ngemuva kwesizinda se-pancreatitis kukhuphuka ngenxa yokuphulwa kokuphuma kwe-bile.
Ukuthola imbangela eqondile yokubonakala kokungakhululeki esikhunjeni, isiguli kufanele sihlolwe umzimba.
Ngesikhathi sokuhlolwa, uzodinga ukuphumelela lonke uhla lokuhlola kubandakanya ukuhlolwa kwegazi, umchamo nezindunduma.
Igazi linikelwa ukukhomba isilinganiso phakathi kwamaseli egazi amhlophe namaseli abomvu egazi.
Ngaphansi kwezimo ezijwayelekile, cishe amangqamuzana abomvu egazi angaba yizigidi ezi-5, amapulatifti ayizinkulungwane ezingama-300 kanye namaseli wegazi amhlophe acishe abe ziyizinkulungwane ezingama-4-9 egazini lomuntu. Ukwanda kwenani lamaseli amhlophe egazi kukhombisa ukuba khona kwezinqubo zokuvuvukala emzimbeni.
Ukuhlolwa kwegazi kwembula ukuqina kwalo ngenxa yokuphelelwa ngamandla komzimba. Ukuhlaziywa kuveza ukwehla kwenani lamaseli ebomvu egazi.
Ngaphezu kwalokho, kwenziwa ukuhlolwa kwegazi kwe-biochemical. Lapho kutholakala khona ukugcwala ngokweqile kwe-bilirubin kuyo.
Ngemuva kokwenza izivivinyo zonke eziyinkimbinkimbi, udokotela obonayo ukhetha indlela namaqhinga wezindlela zokwelapha okuhloswe ngazo ukumisa ukungaphatheki kahle okwenzeka esikhunjeni somzimba.
Izindlela zokulungisa
Ukuqeda umuzwa okhulayo wokulunywa noma ukuncipha, kuzodingeka uthintane nodokotela wakho ukuze uthole usizo lochwepheshe.
Ngemuva kokuhlola isiguli, udokotela unquma zonke izivivinyo ezidingekayo ezingakwazi ukuthola ngokunembile imbangela yesimpawu esingathandeki. Ngemuva kokuhlolwa, udokotela obonayo unquma imishanguzo edingekayo.
Uma imbangela yesibonakaliso esingathandeki ukusetshenziswa kwezidakamizwa ezidingekayo ekwelapheni i-pancreatitis, khona-ke izothathelwa indawo nge-analogues nokuqokwa kanyekanye kwama-antihistamines ukuqeda ukubonakaliswa kokungahambi kahle komzimba.
Ukusetshenziswa kwama-antihistamines kungakhawulela ukuzwela kwe-histamine receptors, okunciphisa ukusabela kokungezwani nezidakamizwa ezithathwe ekwelapheni i-pancreatitis.
Kwezinye izimo, izidakamizwa zeqembu le-glucocorticoid zingasetshenziswa. Ukusetshenziswa kwalezi zimali kukuvumela ukuthi ukhulule ukungezwani komzimba futhi kunciphise ukubonakaliswa kwezimpawu ezibonakalayo pancreatitis.
Esimweni lapho ukulunywa komzimba nge-pancreatitis kubangelwa khona ukuvuvukala kwamanyikwe, bese kusetshenziswa ama-ursodeoxycholic acids ekwelapheni.
Ukwelashwa ngalezi zihlanganisi kungadambisa ama-bile acids, acasule ukuphela kwezinzwa futhi abangele imizwa engemnandi futhi engathandeki.
Amathiphu wokwenza i-pancreatitis therapy
Ukwelashwa kwama-pancreas kunconywa ukuba kwenziwe kuphela ngaphansi kokuqondisa udokotela, esimweni sesibhedlela sesikhungo sezokwelapha.
Inkambo yalesi sifo izoba lula kakhulu futhi nokuvela kokungakhululeki kungavinjelwa uma ukwelashwa kwenziwa ngempumelelo ngaphansi kokuqondisa kukadokotela onolwazi.
Emkhakheni wezokwelapha, ukuvimbela ukwenzeka kwezinkinga, kuyadingeka ukuthi ugcinwe ngokuqinile zonke izincomo zikadokotela maqondana nemikhawulo yokudla. Ukuhambisana nokudla kungenye yezinto ezifaka isandla ekululameni ngokushesha.
Ukudla okunempilo kudinga ukuthi ngaphandle kokudla okunomthelela ekwandiseni lesi sifo.
Uhlu lwemikhiqizo enjalo lufaka:
- ukubhema inyama;
- ukudla okunosawoti;
- izitsha ezi-spice;
- iziphuzo eziqukethe utshwala;
- iziphuzo eziphezulu zekhofi;
- iziphuzo zekhabhoni.
Uma lezi zincomo zingalandelwa, kunamathuba amaningi okuqhuma kwe-pancreatitis engapheli, okuzovusa ukuvela kokulunywa kwesikhumba.
Ngaphezu kwalokho, ukwehluleka ukulandela ukudla okuqinile kungavusa ukuguquguquka kwesimo esibi sesifo kuye kwesinye esingalapheki, esimweni esinjalo kuzoba nzima kakhulu ukugwema ukubonakala kwesimpawu esingathandeki.
Ukuvela kokulunywa ngohlobo lwe-CP pseudotumoral
Isikhumba siqala ukuluma esigulini ngokwakhiwa kwesimo se-pancreatitis esingamahlalakhona kuhlobo lwe-pseudotumoral. Le ndlela yesifo iba kancane.
Ukuthuthukiswa kwalesi sifo ngaphambi kokuvela kwezinguquko ezibonakalayo ze-pathological kungenzeka esikhathini esiyiminyaka eyisikhombisa kuya kwengu-15.
I-pancreatitis yalolu hlobo ibonakala ngokubonakala kwesimila ekhanda lamanyikwe. Isifo esinjalo singelashwa kuphela ngokuhlinzwa.
Isici esibonakalayo salolu hlobo lwe-pancreatitis engapheli ukuvela kokulunywa kwe-cholestatic. Isizathu salesi simo ama-bile acid, aqongelela emzimbeni ngesikhathi sokuphazamiseka ekusebenzeni kohlelo lwe-biliary. I-asidi icasula iziphetho zezinzwa ezitholakala esikhunjeni.
Izimpawu ezinkulu zokungasebenzi kahle kohlelo lwe-biliary zimi ngalendlela elandelayo:
- Umchamo omnyama.
- Izinduku zokukhanya.
- Ukuqondisisa kwesikhumba.
- I-sclera ephuzi yama-eyeballs.
- Ukulunywa esikhunjeni.
Ukuvela kwalezi zimpawu kuhlotshaniswa nokwanda kokuxineka komzimba kwe-bilirubin eqondile, efakwa ezicutshini zomzimba.
Ngemuva kokuhlinzwa, zonke izinkomba zokuphazamiseka kuyanyamalala, futhi ukuphuma kwe-bile okuvela esibindini kanye nasezinyungwini zomzimba kuyinto ejwayelekile.
Izimpawu ze-pancreatitis zixoxwa kuvidiyo kule ndatshana.
