I-pancreatitis ngesinye sezifo eziyingozi kakhulu wezinqubo zokugaya kanye ne-endocrine. Ingenzeka ngezindlela zesikhathi eside ezingamahlalakhona ezingapheli futhi zeparoxysmal. Bobabili babonakala ngezimpawu ezinzima ezinzima. Kubonwa ezimweni eziningi kubantu abadala, kuhlangana kakhulu, futhi kuvame ukunciphisa, impilo.
I-pancreatitis engapheli (CP) ibeka umkhawulo ekukhetheni kokudla kwesiguli futhi ibangela nobuhlungu besisu uma ukudla kungalandelwa. Kwesinye isikhathi lesi sifo siba sibi kakhulu nokuphazamiseka kwengqondo okubonakala dyspeptic (ukuhlanza, uhudo, ushintsho lwefecal). I-acute pancreatitis (OP) ithwala izimpawu ezifanayo. Ukuhlaselwa okuthe xaxa kunesifo esibuhlungu kakhulu, ukwenqatshelwa ngokuqinile kokudla nomkhuhlane.
I-athikili ixoxa ngezimpawu zezimpawu zesifo, ikakhulukazi, kungaba khona izinga lokushisa ngokuvuvukala kwamanyikwe.
Umthombo wokushisa okunyukayo
Ingabe kukhona lokushisa nge-pancreatitis futhi ngani? Okokuqala, isizathu salokhu kusabela komzimba kufanele sicaciswe. Kuyadingeka ukuphakamisa izinga lokushisa lomzimba womuntu ezimweni zokuvuvukala ukuvuselela amasosha omzimba. Emazingeni okushisa angaphezu kuka-37.2 ° C, ama-antibodies amasha okutheleleka ngegciwane athola ngokushesha egazini, uma ngabe yilesi isizathu. Futhi, ukuvuvukala kusabela okungokwemvelo kunoma yikuphi ukulimala kwezicubu. Uma isitho esibaluleke njenge-pancreas (i-pancreas) sicasulwa, khona-ke umbuso wokushisa uyashintsha emzimbeni wonke.
Ngakho-ke, izinkomba ezethusayo kwi-thermometer azijwayelekile ngokulimala kwe-pancreatic.
Uma i-pancreatitis isifo esivuvukelayo, khona-ke inkomba 37.3-37.7 ° C ingabhekwa njengejwayelekile? Eqinisweni, cha. Izinga lokushisa lingakhuphuka kuphela lapho izinqubo ezonakalisayo ezisebenzayo zenzeka ku-pancreatitis eyingozi.
Kungaba khona yini okushisa nge-pancreatitis yefomu elingamahlalakhona noma eleqile? Isisu sizolimala kunoma yisiphi isigaba sesifo, futhi ukuphazamiseka kwesisu kuyinto ethile yazo zonke izinkomba zokuvuvukala kwepancreatic.
Kodwa izinga lokushisa njengophawu lwezinqubo zokulimala kwesitho libonakala kuphela kuma-pancreatitis acute. Lezi zingxenye ezilandelayo zichaza ukuthi kungani lokhu kugxilwe kakhulu kangaka.
Umehluko phakathi kwe-pancreatitis, cholecystitis kanye ubuthi be-pancreatic
Uhlobo lwesifo lwesikhathi eside ludinga ukudla okukhethekile, imikhawulo yokudla kanye nenani lokudla. Ngaphandle kwalokho, kungenzeka hhayi ukubhebhethekisa nje kuphela, kepha futhi ukubuyela futhi ekuhlaselweni kwe-pancreatitis e-pute.
Ukushisa ngesikhathi se-pancreatitis kusihlwa noma ebusuku ngesikhathi somkhosi kuwuphawu olwesabekayo oludinga isenzo esisheshayo. Kodwa kuthiwani uma ukubanda nobuhlungu besisu kukhathaza umuntu ongakaze ahlaselwe ukuvuvukala kwepancreatic?
Ukuhlaselwa kwe-OP yisifo esifihlayo esingenaso isithombe esicacile somtholampilo, ngenxa yalokho kuhlanganiswa kalula nezinye izifo zokugaya ukudla.
Ukuvuvukala kwamanyikwe etafuleni lemikhosi kuyisimo esibi sokuphelelwa yithemba, ngoba kulula kakhulu ukukuxubanisa nobuthi bokudla. Lesi sakamuva asinazimpawu ezibucayi, kepha imiphumela emihle kakhulu. Ithebula elingezansi libonisa umehluko nezindawo ezivamile zamacala amabili la.
| I-pancreatitis ye-acute | Ubuthi |
| Okujwayelekile | |
| Ukuhlanza okuphindaphindekile nezitulo ezikhululekile | |
| Izinga lokushisa elingaphansi kwe-37.6 ° С, lihlala isikhathi eside | |
| Ukomisa | |
| Umehluko | |
| Uhlelo lwezinzwa lusebenza ngokujwayelekile | Ukuphazamiseka kwemizwa: ukuqunjelwa, ukulahlekelwa ukwazi, ukwehluleka ukuphefumula |
| Ubuhlungu obukhulu phakathi kwesisu ezingeni le-I-III lumbar vertebrae | Ukuminyanisa esiswini (ngaphandle kwendawo ecacile) |
| Ukuqhakaza | Kuya ngembangela yobuthi |
| Mhlawumbe ukubonakala kwamabala aluhlaza okwesibhakabhaka noma ophuzi ngakwesobunxele ngaphezulu kwebhande | Umbala wesikhumba awuguquki |
Okokuqala, lapho ulungisa lezi zibonakaliso, udinga ukubiza i-ambulensi. Womabili la macala anzima kakhulu kusisombululo esizimele. Uma izinga lokushisa lingaphansi kophawu olubonisiwe, alikho iphuzu lokuthi ulibulale. Uma kwenzeka unobuthi, i-gastric lavage kufanele yenziwe futhi i-enema kufanele inikezwe; ukuhlaselwa kwe-pancreatitis akudingi lezi zenzo.
Umzimba unikeza ukubuyekezwa okufanayo kokuvuvukala kwe-pancreatic uma kwenzeka i-cholecystitis, inkinga yezinkinga ze-gallstone. I-pathogenesis yayo ifana ne-OP futhi iqukethe ukuphazamiseka kokujikeleza kwe-bile nokuchayeka kwi-microflora ye-pathogenic.
| I-pancreatitis ye-acute | I-Cholecystitis |
| Okujwayelekile | |
| Isicanucanu nokuhlanza | |
| Ukushisa emazingeni we-febrile (38.5 ° С ± 0.5) | |
| Ukuqhakaza | |
| Umehluko | |
| Izinga lenhliziyo livamile | I-Tachycardia |
| Ubuhlungu obukhulu endaweni ekhonjisiwe | Ubuhlungu esiswini esifanele |
| Akukho umlutha | Ubuhlungu bukhula ngokunyakaza |
| Akukho mehluko | Lapho uphefumula, ama-halves angakwesokunxele nangakwesobunxele wesisu sesisu awahambi ngokufana |
Womabili la macala adinga ucingo lwasenkingeni yokunakekelwa kwasesibhedlela. Ungazama ukwehlisa ukushisa, uma kunesidingo. Imvamisa, i-cholecystitis ayiphathwa isikhathi eside, kanti ukuqwashisa ngekusasa kunethemba.
Ungawehlisa kanjani amazinga okushisa nge-pancreatitis?
Njengoba kushiwo ngaphambili, umbuso obucayi wokushisa uhlukile ku-OP. Ifomu elibi libonakala ngenkambo esheshayo kusuka ekuqaleni kobuhlungu kuze kube sekufeni.
Isibonelo, ngenxa yokuzicwilisa kwendlala, kwenzeka izicubu ze-necrosis. Lapho-ke impilo yesiguli incike ohlotsheni lwayo nendawo okugxilwa kuyo.
Esimweni esihle kunazo zonke, isiguli sinezinsuku ezingama-4-5 zokuxazulula inkinga. Ngakho-ke, ukuthi benzeni ngokufundwa kwe-thermometer yokuvuvukala kwe-pancreatic kungumbuzo wesibili.
Lesi sifo sinobunye ubunzima - isicanucanu nokuhlanza. Manje abantu abaningi bagcina okungenani isidakamizwa esisodwa se-antipyretic endlini, imvamisa kakhulu lawa ngamaphilisi. Kwi-pancreatitis ebukhali noma esebenzayo, akuvamile ukwelulekwa. Kusebenza kahle kakhulu ukususa ukubanda okubangelwa yi-pancreatitis ngemithi yokungena emzimbeni kanye ne-intramuscular.
Ngaphezu kwalokho, bayakwazi ukwehlisa ngokushesha izinga lokushisa elingama-38.4 ° C nangaphezulu.
I-antipyretic ye-pancreatitis
Njengamanje, kunamathebhulethi angenakubalwa namaphilisi adingekayo kule nhloso.
Ukukhetha kukamuthi osetshenziselwa ukwehlisa izinga lokushisa ne-anesthetize kufanele kwenziwe ngudokotela.
Lapho ukhetha umuthi othize, udokotela uqondiswa ngokuyinhloko yimiphumela etholwe ngesikhathi sokuhlolwa kanye nezimpawu zomzimba womuntu ngamunye.
Uhlu olungezansi lukhombisa imishanguzo evela esigabeni semijovo nelahla.
Izisombululo zokulawulwa kwe-intramuscular:
- Ambene;
- I-Amelotex;
- I-Diclonac;
- I-Dicloran;
- I-Diclofenac;
- UKetanov;
- I-Ketorolac;
- Meloxicam;
- Mesipol;
- Ama-Movalis;
- I-Spasmalgon;
- Khotemin.
Izixazululo zomjovo we-intravenous:
- Bralangin.
- I-Diclonat P.
- UDolak.
- UKetonal.
- I-Ketorolac.
- Spazgan.
- Flamax.
Ukwehlisa ama-degree akuyona ukuphela kokukhathazeka kwesiguli ngesikhathi sokuhlaselwa. Kuyadingeka ukunciphisa umkhawulo wesifo sezinhlungu eside futhi ulungiselele ukwelashwa okuqhubekayo.
Amahora okuqala ngemuva kokuhlaselwa
Into yokuqala isisulu se-OP okufanele siyenze ukubiza i-ambulensi. Ama-analgesics nama-antipyretics angaqeda izimpawu, kepha akwaziwa ukuthi izinqubo zokuzenzakalisa kumalukhi azokulinda isikhathi esingakanani. Kungaba izinsuku noma amahora. Ngakho-ke, isidingo esiphuthumayo sosizo lwezokwelapha, noma ngabe sekuhlwile.
Iphuzu elilandelayo ukuzila ukudla okugcwele kanye ne-pancreatitis izinsuku ezimbili. Esilungisweni sesibhedlela, wonke umsoco odingekayo unikezwa ngaphakathi.
Noma kunjalo ekhaya kuyasiza ukwenza i-compress ebandayo noma vele ufake u-ice esiswini sakho. Ukugqoka okupholile kuthatha imizuzu eyi-10-15, kulandelwe ikhefu ngekota yehora.
Ukuqapha okuphoqelekile konke ukuphumula okugcwele kovuselelwa. Ukuze wehlise izinhlungu futhi uvikeleke ukwanda okwengeziwe, kubalulekile ukukhawulela ukunyakaza kwesiguli futhi kumnikeze isikhundla esihle ngaphambi kokufika kwe-ambulensi.
Imininingwane yezimpawu ezivelele ze-pancreatitis inikezwe kuvidiyo kule ndatshana.
