Ngokuvuvukala isikhathi eside kwamanyikwe, i-pancreatitis iyatholakala. I-Pathology izibonakalisa ngezindlela eziningana - ukuhlaselwa okunamandla kanye nenqubo yokulimala evilaphayo. Inketho yesibili ihlukanisa izigaba ezintathu zentuthuko.
Isigaba sokuqala salesi sifo sihambisana nokwanda okubangelwa ukwanda kwezinyanga ezimbili. Esigabeni sesibili, ukwanda kwenzeka kaningi, kuhlala isikhathi eside - kuze kube cishe kahlanu ngonyaka. Esigabeni sesithathu ngaphezulu kwamahlanu.
Ukudluliselwa ohlolweni lwezokwelapha nolwezenhlalo ukuze uthole ukukhubazeka ku-pancreatitis kunikezwa ngenxa yezinkinga zesifo esingamahlalakhona. Lokhu kufaka phakathi ukuthuthukiswa kwesifo sikashukela i-mellitus, ukuvama kakhulu, ukukhiqizwa kokugaya ukudla okulimazayo, njll.
Qiniseka ukuthi uthumela ukuyohlolwa iziguli eziye zathola ukwelashwa kokuhlinzwa kwesigaba esilinganiselwe noma esinzima sokuphazamiseka kohlelo lokugaya ukudla. Ngakho-ke, ake sibheke ukuthi yiziphi izizathu zokuthola ukukhubazeka, futhi yiliphi iqembu abaguli abalitholayo?
Izinkomba ze-ITU nezindlela zokucwaninga
I-pancreatitis engapheli yisifo esibi esiholela ekuphazamiseni umgudu wesisu kanye nohlelo lokugaya ukudla. Ukulimala kuma-pancreas kungavusa ukuphazamiseka kwe-endocrine ngendlela yesifo sikashukela neminye i-pathologies.
Kubonakala ngenkambo yesifo emnene yokuthi iziguli zihlala zikwazi ukusebenza. Kepha leli qembu leziguli lifakwa emgqonyeni womzimba onzima, ukuxhumana namakhemikhali ezimboni. Kulokhu, kudingeka izinguquko eziphoqelekile ezimweni zokusebenza.
Kwi-pancreatitis engapheli, ukudluliselwa ekuhlolweni kwezokwelapha nakwezenhlalo kufanele kunikezwe uma isiguli sinezinyathelo 2 no-3 zenqubo ye-pathological. Ngamanye amagama, i-exacerbations ivela izikhathi ezi-5 noma ngaphezulu kwezingu-5 ezinyangeni eziyi-12.
Lapho isithombe sengezwa ukwephulwa okulinganiselwe noma okunzima kokukhiqizwa kwama-enzymes wokugaya ukudla, ukwanda kokuxineka koshukela egazini, ukuvuvukala kwegallbladder (cholecystitis) neminye imiphumela emibi yesifo.
Ingabe ukukhubazeka ku-pancreatitis engapheli kunika? Impendulo inguyebo. Umthetho uhlinzekela ukukhubazeka kula macala alandelayo:
- Umlando wokuphuma njalo kwegazi kwangaphakathi.
- Ngemuva kokuhlinzwa, ngemuva kwemvelaphi yokugaya okulinganiselayo noma okunzima.
- I-Vein thrombosis yemikhawulo ephansi.
- Ukuphazamiseka kwezitho zomzimba we-pelvic.
Uma kunezinkinga ezichaziwe, udokotela oholayo unikeza umhlahlandlela wokwenza ukuhlolwa kwezempilo nakwezenhlalo. Kubandakanya ukucwaninga okujwayelekile. Uhlu:
- Ukuhlola indlela. Umsebenzi wama-enzymes wokugaya emzimbeni ufundwa, ukuhlushwa kwe-amylase kumchamo kunqunywa.
- Umsebenzi we-enzyme ufundwa esiswini esingenalutho futhi ngomthwalo e-duodenum, kwenziwa i-Coprogram.
- I-X-ray ye-duodenum, isisu.
- Isampula le-Staub-Traugott ngomthwalo oshukela ophindwe kabili.
- I-Ultrasound yamanyikwe, isibindi, i-gallder, ipheshana le-biliary.
- I-tomography ehlanganisiwe ingabona ukuba khona kwamatshe ku-pancreatic duct - i-pancreatitis ebalwa.
Ukuhlolwa kwezokwelapha nezenhlalo kwekhono lokusebenza kweziguli ezihlinzwa kuyinkimbinkimbi kakhulu. Njengoba kuyadingeka ukuthi unake imiphumela etholakele - noma ngabe kungenzeka ukuthi kunciphise i-pain syndrome, kuthuthukiswe ukuphuma kwejusi le-pancreatic, ukubuyisela umsebenzi we-pancreatic, ukuvala ama-fistulas, ukuqeda ama-pseudocysts, njll.
Kubalulekile ukucubungula ubukhona / ukungabi bikho kwezinkinga zokwelashwa kokuqala nokwedlule sekwedlule isikhathi, ngoba ziyisisekelo sezimo ezingalapheki noma zokwelashwa okungaphandle kwaso.
Indlela Yokukhubazeka Yeqembu
Iziguli ezihlaselwe yi-pancreatic resection (ukususwa kwengxenye eyodwa noma sonke isitho) zithola ukukhubazeka kweqembu lesibili noma sokuqala, njengoba kutholakala ukuthi zinokuphazamiseka kwemgudu yokugaya kanye ne-carbohydrate metabolism.
Ukuthola ukukhubazeka kwi-pancreatic necrosis kusekelwe ekubeni khona kwezinkinga. Uma bengekho, khona-ke kukhona ithuba lokukhipha iqembu lesithathu. Lapho kudalulwa izinkinga eziphikelelayo - ukwakheka kwama-fistulas angaphandle, ukuphazamiseka kwesistimu yokugaya ukudla, isiguli sinikezwa iqembu lesibili lokukhubazeka.
Iqembu lokuqala lokukhubazeka kwi-pancreatic necrosis linikezwa kulezo zithombe lapho umuntu kutholakala ukuthi unenkinga ebonakala ngokufa okuphezulu okusondele.
Imikhakha Yeqembu:
- Iqembu lesithathu. Isigaba sesibili sokugula okungalapheki, kunomkhawulo olinganiselayo wokuphila. Kunomlando wokulashwa kokuhlinzwa noma kokuhlinzwa ngaphandle kwezinkinga, noma okuphathelene nokulimazeka okuncane.
- Iqembu lesibili. Kunokukhubazeka okukhulunywayo okutholakala esigabeni sesithathu sokuvuvukala okuvilaphayo. Kukhona ukukhipha njalo, ukopha kwangaphakathi, kukhona ama-pancreatic kanye ne-fistulas yangaphandle ngemuva kokuhlinzwa. Awukho umphumela owelaphayo ngokusetshenziswa kwamalungiselelo we-pharmacological. Usayizi omkhulu wama-pseudocysts noma ama-cysts kuma-pancreas.
- Iqembu lokuqala. Ukwehla okusheshayo komsebenzi obalulekile, okuvela ngemuva kwesizinda se-exocrine nokungasebenzi kahle kwangaphakathi kwesitho sangaphakathi, ngokugaya okunzima okucasulayo, ifomu le-dystrophy. Umuntu akakwazi ukuzinakekela.
Impesheni yokukhubazeka incike eqenjini elabelwe, ngenxa yendawo yokuhlala yomuntu.
Ngaphezu kwalokho, umthetho kwamanye amadolobha uhlinzeka ngezinzuzo zokuhamba ngezithuthi zomphakathi, izindleko zokuthenga, kanye nokuthengwa kwemithi.
Ukuvinjwa kwesibili
Izindlela zokuvikela ukuvimbela kwesibili zidinga ukubambelela ngokuqinile kuzo zonke izincomo, ngoba zinesifo esingamahlalakhona esikhona. Isisekelo sokuvimbela ukudla.
Odokotela batusa ukuthi kudliwe amaprotheni ngaphezu kokujwayelekile komzimba - 1 g ngegremu yesisindo. Kuyadingeka ukudla ngezingxenye ezincane, ukuhlafuna ukudla ngokucophelela. Khipha kwimikhiqizo yemenyu ekhulisa umthwalo entweni ethintekile.
Kuyadingeka ukunciphisa ukusetshenziswa kwesinkwa se-wholemeal, okusanhlamvu okuhlanganisiwe, imikhiqizo yobisi enamafutha, inyama enamafutha - inyama yenkomo, iwundlu, idada, ihansi. Ama-broths anamafutha, imayonnaise, amasoso ahlukahlukene, izinongo kanye nokwethosa kuyaphikisana.
Izindlela zokuvikela ukuvikela zifaka lokhu okulandelayo:
- Ukukhishwa kokusetshenziswa kwezidakwa. Lokhu kuyiqiniso ikakhulukazi lapho isiguli sihlushwa i-pancreatitis yotshwala.
- Ukwelashwa kwe-spa yesikhashana.
- Ukusetshenziswa kwekhambi kwemithi ye-choleretic kabili ngonyaka izinsuku ezingama-20-25.
- Ukuthatha umuthi we-enzyme.
- Ukusetshenziswa kwama-multivitamin complexes entwasahlobo kanye nohudo kaningi.
Amathemba wokusungula iqembu lokukhubazeka anqunywa imvamisa nobude bokukhula kanzima kwe-pathology engapheli ezinyangeni eziyi-12, izinkinga ezikhona ngemuva kokwelashwa kwezidakamizwa kanye / noma kokuhlinzwa. Udokotela obonayo ubika ukuthi kungenzeka athole iqembu, unikeza enye inkomba yokuhlolwa kwezokwelashwa nakwezenhlalo.
Ungasifaka kanjani isicelo sokukhubazeka sichazwe kuvidiyo kule ngxenye.
