I-acute edematous pancreatitis iyindlela emnene yokuvuvukala kwamanyikwe.
Kubonakala ngokuvuvukala kwesitho, ukungabikho noma i-necrosis eyodwa, ukuba khona kwenani elincane le-exudate e-peritoneum.
Njengomthetho, inqubo ye-pathological yenzeka ngenxa yokuvuvukala kwe-duodenum 12 noma i-gastritis. Ngokuxilongwa okufika ngesikhathi nokwelashwa okwanele, odokotela banikeza i-prognosis enhle.
Izimbangela zesifo
I-pancreatitis iqondwa njengeyinkimbinkimbi yama-syndromes nezinqubo ze-pathological lapho ama-enzymes wokugaya (ama-lipases, ama-amylases, ama-protein) enza khona ku-pancreas uqobo. Emzimbeni womuntu ophile kahle, ama-enzyme anjalo ekuqaleni anefomu elingasebenziyo futhi asebenza kuphela lapho engena kwi-duodenum.
Ama-pancreas angavuvukala ngenxa yamasawoti abangela ukucindezelwa kwawo. Kuyinto ngokucindezela isikhathi eside lapho ama-enzyme engena ngaphakathi kwe-organ parenchyma futhi aholele ekubhujisweni kwayo kancane kancane.
Uhlobo oluxakile lwe-pancreatitis lukhula ikakhulukazi ngenxa yokudla okungalinganiselwe nokuphuza ngokweqile iziphuzo ezidakayo. Njengoba ukudla okusheshayo sekudumile kakhulu emashumini eminyaka amuva, ukwanda kwezifo zamathumbu emathunjini kukhuphuke kakhulu.
Futhi, i-pancreatitis edematous ivela ngaphansi kwethonya lezinto:
- ukwanda kokudla okunamafutha nokuthosiwe ekudleni;
- ukudla okunamafutha ngemuva kokudla okuningana okunamafutha;
- ukusetshenziswa kwemithi ethile isikhathi eside;
- ukuguqulwa okubukhali kokudla okujwayelekile ngemuva kokulandela ukudla okuqinile;
- izivivinyo ekwamukelweni kwe-cuisine exotic, isibonelo, Indian;
- ukudla ngokweqile ngemuva kokuzila ukudla isikhathi eside;
- ubuthi obunezinto ezinobuthi - umongo weviniga, i-methyl alcohol noma i-alkali.
Inqubo "yokuzigaya" ngokuhamba kwesikhathi iholela ezinguquko ezonakalisayo kumanyikwe. Lokhu kuthinta ukucasha kwesitho sangaphandle nangaphakathi kwesitho. Imiphumela yesimo sokungakhathaleli impilo yakho ingaba wukushintshwa kwezifo ezingama-pancreatitis ezingama-edematous, kanye nokukhula kwezifo ezihambisanayo zomgudu wokugaya ukudla.
Izimpawu nokuxilongwa kwe-pathology
Lapho ama-pancreas egcwala, isiguli sizwa izimpawu zokuziphatha.
Ngakho-ke, izimpawu zalesi sifo ziyisibonakaliso sokuhambela udokotela, okuthi, uma esolwa nge-pancreatitis ye-edematous, azonquma ukuthi isifo sitholakele.
Isibonakaliso esiyinhloko se-edematous pancreatitis ukwephula kwesitulo. Kubizwa nangokuthi uhudo lwe-pancreatic. Amanyumba omuntu anephunga elingajabulisi, ukuhlanganiswa kwamafutha nezinhlayiya zokudla okungaphanjwanga. Isifo sohudo senzeka ngemuva kokudla, kwesinye isikhathi kube ngokuzumayo ngokwemvelo.
Izimpawu ezisele zenqubo yokuvuvukala kungaba yilezi:
- Ubuhlungu obulinganiselayo noma obukhulu ku-hypochondrium yesobunxele, kwesinye isikhathi buzungeze.
- Ubuthakathaka, amandla anciphile okusebenza, ukuphathwa ikhanda.
- Ezinye izinkomba ze-dyspepsia ukuhlanza, isicanucanu, ukuthopha.
Ukuvuvukala kwamanyikwe ngokuhamba kwesikhathi kuholela ekungeneni kwama-enzyme nemikhiqizo yokubola enoshe umzimba. Lokhu kufakazelwa yi-pallor yesikhumba, ukukhukhula okwandayo, umkhuhlane ophakeme nokuvuvukala kwemilenze nge-pancreatitis.
Esimweni sokwamukelwa, uchwepheshe ulalela izikhalazo zesiguli futhi enze ukuhlolwa okubonakalayo, egcizelela isifunda esiswini futhi anaka isimo sesikhumba namalunga aphansi. Uma usola uhlobo olukhulu lokuxhamazela kwe-pancreatitis, unikeza le ndima:
- Jab. Ukuvuvukala kwesitho kukhonjiswa yizinga eliphakeme le-ESR namaseli amhlophe egazi.
- TANK. Ukwanda kokuhlungwa kwe-trypsin, i-amylase ne-lipase kubonisa isifo.
- Ukuhlaziywa komchamo. Ngalesi sifo, ukwanda kokuqukethwe kwama-amylase kuyabonakala.
- ICoprogram. Lesi sifo sikhonjiswa yizinga lokukhula kwamafutha angathathi hlangothi namafutha acid kulondawo.
- Ukuhlaziywa kwe-Fecal. Inquma ukugxila kwe-elastase.
- I-Ultrasound Nge-pancreatitis, kubalulekile ukunquma usayizi wamanyikwe, ukwakheka kwe-parenchyma yayo, kanye nokuba khona kweziza ze-echogenic.
- Ukuhlolwa kwe-duodenum 12. Ibheka izinga lama-enzyme ngaphambi nangemva kokukhuthaza.
- I-CT ne-MRI yamanyikwe. Lezi zinqubo zisiza ukuhlola ngokucophelela imidumba kanye nesitho ngokwaso.
I-FGDS nayo iyasetshenziswa. Ihlola isimo se-membrane se-mucous ye-duodenum nesisu, kufaka phakathi indawo ye-Vater papilla.
Imigomo eyisisekelo yokwelashwa kwezidakamizwa
Ukwelashwa kwe-pancreatitis edematous kwenziwa ngokucophelela. Uma isiguli singeniswa esibhedlela ngemuva kokuhlaselwa kanzima, isisu sakhe siyagezwa. Isigaba esilandelayo sokwelapha ukuzila ukudla nokwelapha futhi uthathe imishanguzo. Kuvunyelwe ukuphuza amanzi afudumele we-alkaline. Kulokhu, ezinye izindlela zokwelapha azikwazi ukukhiqiza umphumela ofanele wokwelapha.
Ngokwesilinganiso, inkambo yokwelapha isukela emavikini amabili kuya kwayi-3, futhi usizo lusivele selunezinsuku ezingama-3-4. Ngalesi sikhathi, umuntu ususa izinhlungu nokuhlaselwa njalo ukuhlanza. Amaqembu aphambili wezidakamizwa ezisetshenziswa ekwelapheni i-pancreatitis avezwa etafuleni.
| Iqembu lezidakamizwa | Amagama |
| Amaconsi ngokufakwa kwama-antispasmodics | I-No-spa, iRabal, iSpazmol, iDropaverin, iPapaverin, iBuscopan |
| Imithi yokutholwa kwe-pancreatic | I-Cotrical, Gordox, Somatostatin, Trasilol |
| Ama-antacid enza i-hydrochloric acid ibe sesiswini | I-Gaviscon, i-Relzer, i-Rutotsid, i-Topalkan, i-Alyumag, i-Maalok, i-Gastratsid |
| Ama-blockers we-H2-histamine receptor | I-Atzilok, iBlockacid, Kvamatel, Aksid |
| Ama-Narcotic painkiller (ezimweni ezingavamile) | ITramadol, iMoradol |
| Ukwelashwa kokufakwa ukuze uqede ukudakwa | I-Trisol, iQuartasol, usawoti, isixazululo se-Ringer-Locke |
Akunjalo kunoma yikuphi lapho umuntu kufanele azibandakanye khona emithini yokuzelapha. Ukusetshenziswa kwemithi kwenziwa esibhedlela ngaphansi kokulawulwa ngudokotela okukhona. Ngale ndlela ungakugwema:
- i-hemorrhage yangaphakathi;
- ukwakheka kwe-fistula esithoyini;
- ukwenzeka kwe-jaundice;
- ukuthuthukiswa kwama-abscesses kanye nama-cysts e-pancreatic;
- ukuvuvukala okuzungeze indlala.
I-Edematous pancreatitis isigaba sokuqala sokuvuvukala kwezitho.
Ukwelashwa ngesikhathi esifanele kwe-pathology kuvimbela ukukhula kwe-pancreatic necrosis, lapho ukuhlinzwa kwenziwa ngenjongo yokuyisusa i-gland ngokuphelele noma ngokuphelele.
Ukudla kwe-pancreatitis ye-acute edematous
Ukwelashwa kwesifo kuhlanganisa nokubambelela ekudleni okwelaphayo.
Ngemuva kwezinsuku ezimbalwa zokuzila, ungaqala ukudla ukudla okuvunyelwe ngokudla No. 5.
Umongo wokudla okhethekile kungukudla okulinganiselwe kwamaprotheni namafutha nokwanda kokudla kwe-carbohydrate.
Ukwelashwa kokudla kuqukethe izitsha zokukhanya ezingayithwesi umthwalo wokugaya ukudla futhi ezingavuseleli ukwakhiwa kwegesi.
Imithetho eyinhloko yokudla okunempilo kwe-pancreatitis eyingozi ye-edematous yile:
- Ukuhambisana nokudla okuphathelene nokudla, okubandakanya ama-5-6 servings ngosuku.
- Kubiwe, kubhakwe, kudliwe noma kubilisiwe.
- Ukunciphiswa ekudleni kokudla okuluhlaza: ngaphambi kokusetshenziswa, kudingeka ukugaya noma ukubilisa.
- Ukuhambisana nombuso wokushisa okhethekile wokudla: akufanele kubande kakhulu noma kushise.
Uhlu lwemikhiqizo evunyelwe neyenqatshelwe ye-pemreatitis ye-edematous yethulwe etafuleni elingezansi.
| Kuvunyelwe | Kuvinjelwe |
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Njengomthetho, i-pemreatitis ye-edematous ingumphumela wokungondleki kanye nokuphuza ngokweqile ngokweqile. Ngokuzila ukudla isikhathi eside phakathi nosuku, abaningi badla bayolala, okuthinta kabi uhlelo lokugaya ukudla. Uma i-dyspeptic disorder iqala ukwenzeka, khona-ke kutholakala izilonda zesisu ne-duodenum, ukuvuvukala kwamanyikwe, njll. Ngakho-ke, umuntu ngamunye kufanele abambelele ekudleni okuzovikela ekuvuvukeni nasekuvuvukeni kwemilenze.
I-pancreatitis e-acute ichazwe kuvidiyo kule ndatshana.
