Ukwanda kwe-pancreatitis engapheli eqhubekayo: kuhamba kanjani?

I-pancreatitis engapheli ejwayelekile, enekhodi ye-10 k85 mcb, inqubo ehambisana nezinguquko emisebenzini yepancreatic. Inemvelo yokujikeleza, equkethe ukubonakaliswa kwe-exacerbations ngezikhathi ezithile. Ngalesi sifo, ngenxa yezinguquko esakhiweni sezicubu ze-pancreatic, imisebenzi yaso yemfihlo iphulwa.

Ukwahlukaniswa kwe-pancreatitis ebuyayo ibe yisimo esibi nesingapheliyo kunemibandela, ngoba ukubanjwa kobuhlungu okuvela kumuntu phakathi nezinyanga eziyisithupha ukusuka ekuqaleni kokukhula kwe-pathology kungokwesimo esibuhlungu, nangemva kwalokho kuye kwesalapheki.

Umehluko omkhulu enkambeni yesifo se-pancreatitis esingapheli ukuqala kokuhlasela kobuhlungu kaningi kakhulu kunezinye izinhlobo zesifo. Ukwanda kwe-pancreatitis engapheli yokuphindaphindeka kungenzeka ngokuhlangana nezimpawu ezinzima. Uma ukwelashwa kungakulindelekile, izinkinga eziningi zingahle zibe nomthelela ongemuhle emsebenzini wazo zonke izitho zohlelo lokugaya komuntu.

Inkambo ebuyela emuva ye-pancreatitis engapheli yenzeka ngenxa yokubukeka kokuntuleka kwe-exocrine. Lokhu kusho ukuthi indlala ayakhiqizi ngokuphelele ama-enzyme wokugaya. Esigabeni esibuhlungu, kwakhiwa i-cyst. Iqongelela uketshezi, ngenxa yokuthi ikhula ngosayizi. Lokhu kuholela ekucindezelweni kwezitho zomakhelwane, okubangela ubuhlungu. Kulokhu, kunokuphulwa kokusebenza kohlelo lonke lokugaya ukudla. Endabeni yokuqhubeka kwesifo, izicubu ze-glandular ziyaphela, i-fibrosis, ukubuyiselwa kwezicubu ze-pancreatic parenchyma.

Kunezinhlobo eziningi zezifo ngokuya ngezigaba ezamukelwa kwiNgqungquthela Yezizwe eMarseille ngo-1963:

1. Isigaba se-pancreatitis esibuhlungu;
2. I-pancreatitis ebukhali enamandla okubuyisela isitho sokugaya ukudla;
3. I-pancreatitis engapheli ejwayelekile, ebonakala ngokubuyiselwa okungaphelele kwezicubu ze-pancreatic;
4. I-pancreatitis eyingozi, ebangelwa ukwephulwa kwe-patency ye-duct kanye nokwakhiwa kwamatshe;
5. Uhlobo olungalapheki lwe-pancreatitis, olubonakala ngokulimala kwezitho ezisebenzayo noma zomzimba.

Namuhla, inani lamacala okubonakaliswa kwe-pancreatitis engapheli eqhubekayo likhula njalo, njengoba kunjalo nangezinombolo zeziguli ezine-pancreatitis ye-latent. Ngokusho kodokotela, into ephambili enomthelela ekubonakaleni kwalesi sifo ukusetshenziswa kabi kotshwala nokusetshenziswa kokudla okusezingeni elifanele. Lokhu kunomthelela wokuthi umzimba uhlala udalulwa ubuthi. Njengomphumela, ukusebenza ngokweqile kwe-pancreatic kwenzeka.

Ngaphezu kwalokho, kugcizelelwa izizathu eziningi ezengeziwe ezingabangela ukuthuthukiswa kwalesi sifo:

1. Ukwehlulwa kwesitho sokugaya ngamagciwane ahlukahlukene;
2. Ukuqhaqhaqhaqeka kwemishini;
3. Izinqubo zokuhlinzwa;
4. Isimo sokuxineka kwezinzwa, izimo ezicindezelayo;
5. Isimo se-Spastic semithambo yegazi;
6. I-atrophy yemisipha ekuphumeni kwama-pancreatic ne-bile ducts.

Izimpawu ze-pancreatitis eziphindaphindekayo azenzeki ngokuzumayo, kodwa zibonakale kancane, ziyanda emvelweni futhi zibangela ukukhathazeka kuphela ngezikhathi zokuxhamazela.

Lesi sifo sivezwa yisifo sokugaya ukudla esiqhubekayo.

Ngenxa yokungasebenzi kwezitho zomzimba, ama-enzyme awakwazi ukukuqeda ukudla ngokugcwele, ngenxa yalokho ukudla okugaywe emzimbeni okukhishwe emzimbeni.

Ngenxa yalokhu, umzimba wesiguli awutholi inani elifanele lezinto eziwusizo, iziguli ezimweni eziningi zehlisa isisindo esiningi. Iziguli ziba nohudo kaningi, ukwanda kwesimo nsuku zonke.

Ubuhlungu obukhali besikhathi esithile bumphumela woshintsho emihumeni ye-pancreatic, engaba:

1. Ukuvalwa kwe-cysts ngokugcina izindlela of izindlela zokungathandeki kokusha kwendlala, ukubonakala kwako okukhona lapho kuvela ukuphazanyiswa kokuphuma kokukhukhumala
2. Ukubonakala kwe-foci yezicubu ezifile (ama-cysts amakhulu e-post-necrotic anele);
3. Izinqubo zokuvuvukala zokuhlukahluka kobukhulu.

Lesi sifo siba nezimpawu zobuhlungu obukhona. Ngesikhathi sokuxolelwa, iziguli zizwa izinhlungu ezithambile ku-hypochondrium yangakwesokunxele kanye nasesifundeni se-epigastric ngemuva kokudla ngakunye. Kwesinye isikhathi izinhlungu ziyagunda futhi zinika ngemuva. Ezimweni ezingavamile, izinhlungu ziqondiswa esifubeni, esifana nokuhlaselwa kwe-angina pectoris.

Usizo kanye nokuncishiswa kobunzima bezinhlungu kungenzeka lapho ulele ohlangothini olulodwa, ngomhlane ogogekile namadolo acindezelwe esifubeni.

Ukuxilongwa kwalesi sifo kuqukethe iqoqo lezindlela zokwelashwa, ezibandakanya:

1. Ukwenza ucwaningo kusetshenziswa i-Ultra, elungisa usayizi nezinguquko zomzimba;
2. Ukuhlolwa kwesisu kanye ne-duodenum, njengoba lezi zitho zomzimba zibandakanyeka enqubweni yokudla;
3. I-CT, ngosizo okutholakale ukuba khona kwe-foci yezinguquko kuzicubu ezingaphansi, indawo yazo kanye nevolumu kutholwa;
4. Ngosizo lwe-MRI, kungenzeka ukubona ngokusobala izinguquko ohlelweni lwe-ductal gland;
5. Ukuhlolwa kwegazi kwe-biochemical kokuqukethwe kwe-trypsin, lipase, diastase inhibitors;
6. Ukuhlaziywa okujwayelekile kwezindunduma, ezizokhombisa inani lama-enzyme emathunjini.

Umgomo oyinhloko wokwelashwa ukusetshenziswa kwezidakamizwa, okuzohambisana nokululama okuphezulu kwamanyikwe.

Ngemuva kwayo, kungenzeka ukusebenzisa amakhambi esintu asiza ukugcina indlala ye-parenchymal futhi ivikele ukubuyela emuva okulandelayo.

Iphuzu elibalulekile ekwelapheni i-pancreatitis engapheli eyindida ukuhlanganiswa okuphoqelekile kokwelashwa kwezidakamizwa kanye nokubambelela ekudleni okukhethekile kokudla.

Izinqubo eziphambili zokwelashwa zemiphumela yokwelashwa imi kanje:

1. Endabeni yenkambo yesifo engapheli noma ebukhali yesifo, kudingeka isifiso esiphuthumayo nesingapheli soshukela we-pancreatic, kanye nokuphathwa kwe-intravenous kwama-ejenti ekhemisi anikezela ukuncishiswa okuyimfihlo kokuqukethwe esiswini;
2. Uma kunesidingo, ukuze ugweme ukushaqeka kwe-hypovolemic, inani elithile le-insulin linikezwa isiguli;
3. Ukuvimbela ukufihliza kwesisu kanye nokuphephisa ubuhlungu, kufakwa ama-inhibitors alandelayo: i-omeprazole, esomeprazole nezinye izidakamizwa ze-pharmacological;
4. I-enzymatic toxemia, enquma ubunzima besifo, iqedwa ngokuphoqelela imithamo yokugaya: i-Mannitol, iLasix nezinye izidakamizwa.

Uma kungenzeka ufune usizo lodokotela ngokungafanele, kungavela izindlela ezilandelayo:

1. Jaundice Kubukeka njengendaba yokuthi ikhanda le-pancreatic landisiwe ngenxa yokucindezela izibazi emigodini ye-bile. Lokhu kuvimbela ukuhamba kwe-bile ukungena emathunjini. Iyanqwabelana futhi igxiliwe egazini;
2. Ukucindezelwa komthambo we-portal okhipha ngalo igazi kuhanjiswa esibindini. Lokhu kuholela ekuqineni kwegazi ezindongeni zesisu ne-esophagus, futhi kudala imithambo ye-varicose. Eminye imikhumbi ayikwazi ukuma, okuholela kokopha okukhulu okungaqeda ekufeni;
3. Ukwephulwa komsebenzi we-intrasecretory we-gland, okuzibonakalisa ushintsho lwe-carbohydrate metabolism, okuholela ekuthuthukisweni kwesifo sikashukela mellitus.

Kwezinye izimo, izinkinga zingenzeka lapho kuboniswa ukwelashwa okuhlinzwa:

1. Ama-cysts ama-pancreatic nge-supplement;
2. Ama-aneurysms wamanga, lapho i-cyst patity ixhumana khona nokugeleza kwegazi kwe-arterial;
3. Ukuvela kwezinguquko zokuvuvukala esitho, lapho kungenakwenzeka khona ukuqeda izinhlungu ngezidakamizwa.

Umthetho obaluleke kakhulu okufanele ulandelwe esiteji sokwanda kwe-pancreatitis engapheli ukuzila ukudla nokuphumula.

Uma izinhlungu zinzima kakhulu, kunconywa ukuthi uzila ukudla izinsuku eziyi-1-2. Ungaphuza kuphela amanzi e-alkali.

Ngemuva kokukhululeka kobuhlungu, kuvunyelwe ukudla:

• Isobho kusuka okusanhlamvu nemifino (ngaphandle kweklabishi);
• Izinhlamvu ezihlukahlukene;
• Ama-protein omelet;
• Izinkukhu, inyama yomvundla ngesimo sama-meatballs, ama-meatballs, ama-cutlets wesiphuphu;
• Imikhiqizo yobisi ivunyelwe ukudla amanoni aphansi kuphela, ngamanani amancane;
• Imifino nezithelo kufanele zitholwe kuphela noma zibhakwe.

Kunqatshelwe ngokuphelele ukuphuza utshwala, inyama enamafutha, ibhotela, ama-marinade kanye no-ukhukhamba.

Ukuthi kungenzeka kube nomphumela omuhle womlando wezokwelapha kuncike ekuthobeleni kwesiguli izindlela eziningana zokuvimbela ezingavimbela ukwanda kabusha:

1. Ukunamathela okuphoqelekile ekudleni okwelashwa 5 kwe-pancreatitis;
2. Ukukhishwa ngokuphelele ukusetshenziswa kweziphuzo ezidakayo nemikhiqizo kagwayi;
3. Ukugcwaliseka kwazo zonke izincomo zikadokotela;

Uma kungekho ukuvimbela nokugcina impilo engenampilo, lesi sifo singasiholela ezinkingeni ezinkulu futhi size sife.

Mayelana ne-pancreatitis engapheli ichazwa kuvidiyo kule ndatshana.