Iyini i-pancreatitis nokuthi yiziphi izimpawu ezihambisana nayo, abaningi bayazi. I-pathology enjalo ukuvuvukala kwamanyikwe, kubangela ubuhlungu obukhulu futhi kuphazamise ukusebenza kwesitho sangaphakathi.
Kepha kwezinye izimo, inqubo yokuvuvukala ayikho. Futhi imisebenzi ye-enzymatic yamapancake ayisakhubazekile. Ukuntuleka okunjalo kwe-exocrine ibizwa ngokuthi i-pancreatopathy.
Futhi, ukungasebenzi okunjalo kubizwa ngokuthi ukungapheleli kwe-pancreatic, okuholela ekusebenzeni kahle kwamanyikwe. Lesi simo senzeka ngaphandle kokuvuvukala, kepha sihambisana nokucanuzelelwa, ubuhlungu besisu, ukulahleka kokudla nezinye izimpawu. Izizathu zalokhu zingalala ezifweni zamafa, ukukhubazeka kokuzala, ukuntuleka kwama-enzyme.
Ngabe i-pancreatopathy ibonakaliswa kanjani kubantu abadala?
Ama-pancreas abandakanyeka kuyo yonke imisebenzi yezimfihlo yangaphandle neyangaphakathi. Amangqamuzana akhethekile, ama-islets weLangerhans, akhiqiza i-insulin edingekayo ukuze ushukela afakwe.
Uma i-hormone inganele, kuvela ushukela. Umsebenzi onjalo uyimfihlo eyimfihlo. Umsebenzi wokufihlwa kwangaphandle uhlanganisa ukukhiqizwa kwama-enzymes wokugaya - i-lipase, i-amylase ne-trypsin.
U-Lipase unesibopho sokuqhekeka kwamafutha, i-amylase - ekuguqulweni kwama-carbohydrate, futhi ama-trypsins asiza ukwenza kangcono amaprotheni wokugaya. Uma kungekho ama-enzyme anele, i-pancreatopathy iba. Lokhu kudalwa kwe-pathology kuvame ukwenzeka ebuntwaneni, kepha abantu abadala nabo bayagula uma bedla ngokungafani nangokujwayelekile. Ebudaleni, lesi sifo sivame ukuba nemvelo ye-ischemic noma yemithambo yegazi.
Lesi sifo sinezimpawu ezilandelayo:
- Isiguli sikhononda ngobuhlungu obuncane ku-hypochondrium yangakwesobunxele noma inkaba.
- Ngasikhathi sinye, isifiso sokudla siyancipha, isihlalo somzimba sihlala singazinzile, isicanucanu, ukuvela kwethotho kuvela.
- Ukuhlaziywa kwezindimbane kukhombisa ubukhona be-steatorrhea, lapho amafutha engagaywanga ngokuphelele.
- Ekuhlolweni kwegazi nomchamo, kutholakala inani eliphansi lama-enzymes.
- Ukuhlolwa kwe-Ultrasound kwama-pancreas, njengomthetho, akuvezi izinguquko ezisobala, kepha kwezinye izimo ama-pancreas andiswa kancane, i-pathology ingakhuphula i-echogenicity.
Izinga lobukhulu nobukhali bezimpawu ezingenhla kuncike ekutheni ama-pancreas athinteka kabi kangakanani. Ukuxilongwa kwezinguquko kusitho sangaphakathi kungadalula ukwanda noma ukuncipha kwesiginali ye-echo. Uma kungekho ukwephulwa, i-echo ijwayelekile.
Ukuthola ukuzwisiseka okunembile kwalesi sifo, kufanele uthintane nodokotela wakho, ukuthola ukuthi i-pathology ngokwakho kungaba nzima kakhulu ngenxa yezimpawu ezifana nezinye izifo. Ngemuva kwezifundo ezidingekayo, kunikezwa i-enzyme replacement therapy.
Kubalulekile ukuqonda ukuthi i-pancreatopathy akuyona isifo esibi, ngokuyinhloko isibonakaliso sokubukeka kokuphulwa kokuqala. Uma ufuna usizo lodokotela ngendlela esheshayo, ungakugwema ukuthuthukiswa kwemiphumela emibi.
Ukwelashwa Okungahambi kahle
Ukuntuleka kwe-pancreatic kusemqoka futhi kungokwesibili. Esimweni sokuqala, ukukhula kwesiphithiphithi kwenzeka lapho izinto okuthiwa zingaxhunyiwe ezinganciki esigulini noma kudokotela zithinteka.
Lokhu kufaka phakathi izifo ngendlela ye-cystic fibrosis ye-pancreas, ukuvimbela kokuzala kwemithambo ye-pancreatic, iSchwachmann-Diamond syndrome, ukusilela kwe-lipase kanye nokushoda kwe-trypsin, ifa elenzelwe ukuqubuka kabusha kwepancreatitis.
Ukuphazamiseka okuyisisekelo nokwesibili kufanele kwelashwe ngemithi equkethe ama-enzyme. Isikhathi eside, iPancreatin, ekhiqizwa ngesisekelo wama-enzyme wemvelaphi yezilwane, yayisetshenziselwa le njongo. Kepha ngenxa yesizathu sokwanda ukwakhiwa kwe-acid esiswini, isidakamizwa esinjalo asisebenzi futhi asinamphumela ofanele wokwelapha.
Namuhla, i-pharmacology yesimanje inikeza izidakamizwa eziningi emathebhuleni, emigodini kanye nasemiseleni. Umuthi onjalo unogobolondo ovikelayo kanye ne-Microscon, ngenxa yawo onomphumela ofanele.
Uma icala lingelibi, kuvunyelwe ukusebenzisa enye indlela yokwelashwa ngosizo lwamakhambi okwelapha.
I-pancreatopathy esebenzayo enganeni
I-pancreatopathy esebenzayo kungukuphendula kwama-pancreas kunoma yikuphi ukuvuselela. Ngakho-ke, lo mkhuba awusona isifo esihlukile, kodwa isibonakaliso somzimba mayelana nomthelela ongemuhle kuso.
Izimpawu zokuhlukunyezwa ezinganeni zingatholakala ngemuva kokuhlaselwa yigciwane lesifo sokuphefumula esibuhlungu noma ezinye izifo ezivuthayo, ubuthi bokudla ngenxa yokusebenzisa imikhiqizo esezingeni eliphansi. Ukungezwani kokudla nakho kungaba imbangela.
Ngama-pancreatopathy asebenzayo kuma-dancts e-pancreatic, ama-spasms aqala futhi isitho sangaphakathi ngokwaso sivuvukale. Ezinganeni nasezinganeni kuze kube unyaka, lesi simo kungenzeka ngenxa:
- Ukwethulwa okungalungile kokudla okuhambisana nakho;
- Ukuphuza ujusi wamagilebhisi;
- Isingeniso ekudleni kwezitsha zenyama;
- Ingeza izithako nezinongo ekudleni kwezingane.
Ngenxa yalokhu, ingane yandisa ukwakheka kwegesi emathunjini, yaphazamisa umsebenzi wesitho sangaphakathi esingavuthiwe.
Imvamisa, i-pathology inezimpawu ezilandelayo zomtholampilo:
- Ngaphezulu kwenkaba, ingane izwa izinhlungu ezibukhali zebhande, ezinyamalala uma uthatha isikhundla sokuhlala bese uthambekisa umzimba wakho phambili.
- Lesi sifo sihambisana nokuba nenhliziyo, ukugabha, imfiva kuze kube ngama-37 degrees, ukuncipha kwesitulo, umlomo owomile, ukubukeka kwensimbi emhlophe olimini.
- Ingane iba nomunyu, icasuke, yenqabe imidlalo.
Uma izinhlungu zesisu zingapheli isikhathi eside futhi kubonakala nezinye izimpawu, kubalulekile ukuthi uhlolwe ngudokotela wezingane noma nge-gastroenterologist. Esimweni esibi kakhulu, kubizwa i-ambulensi.
Udokotela uzonikeza ukuhlolwa kanye nokuhlolwa kwe-Ultra, ngemuva kwalokho ukwelashwa ngezidakamizwa kuyadingeka.
Ukuncoma izondlo
Ukugwema ukuthuthukiswa kwemiphumela emibi, kubalulekile ukulandela indlela yokudla futhi ulandele indlela odla ngayo. Lokhu kubaluleke kakhulu uma i-pancreatopathy ibonwa enganeni, ngoba izingane zithanda ukudla ukudla okuhlukahlukene okunezinto ezigcinwe emzimbeni kanye nezinto eziyingozi.
Udinga ukudla njalo amahora amane, okungenani izikhathi eziyisithupha ngosuku. Izinsizakalo kufanele zibe zincane ukuze ama-pancreas akwazi ukubhekana nayo yonke imali yokudla, futhi isiguli singadli ngokweqile. Ukudla kumele kube ngumhlabathi futhi kudliwe kufudumele.
Kwi-pancreatitis eyingozi, izinsuku zokuqala eziyi-15 azikwazi ukudla izithelo nemifino engavuthiwe. Ikakhulu badinga ukulahla iklabishi elimhlophe kanye ne-sorrel, izakhi zazo ezikhuthaza ukukhululeka kojusi besisu.
Udinga nokushiya:
- noma yimuphi umhluzi;
- ukudla okunamafutha, okunezipayisi nokunosawoti;
- ngabhema inyama namasoseji;
- ukhukhamba no-ukhukhamba;
- amantongomane, amasundu, amakhowe;
- ukubhaka, isinkwa esinsundu, amakhekhe, namakhekhe;
- u-ayisikhilimu, ushokoledi, ushukela, uju;
- ikofi, ukhukhunathi;
- amagilebhisi, izithelo zosawolintshi;
- iziphuzo zekhabhoni.
Ukudla kuqukethe amasobho obisi anezinhlamvu, izitsha zemifino ezicutshisiwe, amaqanda aqhekeziwe, ushizi wekhokho, okusanhlamvu ngemifino, inhlanzi engenamafutha, inkukhu enamafutha aphansi, imikhiqizo yobisi ebilisiwe nobisi olunamafutha amancane. Izitsha kufanele zibiliswe noma zithambe. Kabili ngesonto ungaziphatha ngeqanda elibilisiwe.
Ukusuka kumnandi ngenani elincane, ungasebenzisa amakhukhi ama-biscuit, uswidi, izithelo ezibhakiwe, i-marmalade. Ukoma kuqothulwe ngama-kissels ama-liquid, ama-rosehip broths, ama-compotes wezithelo omisiwe, amanzi amaminerali we-alkali.
Uma kwenzeka ukungasebenzi kahle kwe-pancreatic, kunconywa ukufaka amaprotheni ezilwane emenyu yeziguli nsuku zonke. Ukuze wenze lokhu, sebenzisa inyama ephezulu esezingeni eliphezulu ngaphandle kwamafutha - iturkey, inkukhu, i-veal, unogwaja. I-Cod, zander, perch ne-carp ejwayelekile nakho kuhle. Qiniseka ukuthi udla isobho lemifino nsuku zonke ngaphandle kwenyama noma umhluzi wekhowe.
Ekuphekeni, ungasebenzisi uwoyela wemifino. Uma isimo sithuthuka, inani elincane lamafutha omnqumo livunyelwe.
Isakhiwo nemisebenzi yamanyikwe kuchazwe kule vidiyo kule ndatshana.
