Ubuhlungu be-pancreatitis yizimpawu eziphambili zomtholampilo ezibonisa ukwanda kwesifo.
Ubuhlungu bunikeza umuntu ubunzima obuningi. Ngokuvamile, kuphela ngemuva kokubonakala kobuhlungu, umuntu uphendukela kodokotela ukuze athole usizo.
Ngabe kubuhlungu i-pancreatitis kwenzeka kanjani?
Yikuphi Ubuhlungu be-pancreatitis okuvela futhi kubuhlungu kuphi nge-pancreatitis? Ukuvela kobuhlungu kubangelwa izizathu eziningana.
Ubuhlungu be-pancreatitis engapheli, kanye nokuqaqanjelwa kakhulu, ngokuyinhloko kwenzeka ngenxa yokuphazamiseka kwe-duct ephazamisekile yokuhambisa ukuthungwa kwe-gland. Ngaphezu kwalokho, imbangela yobuhlungu kungaba ukwephulwa kwe-microcirculation kwezicubu zesitho, ukuvela kwe-foci of supplement kanye nokuvela kwe-pathologies degenerative.
Endabeni yokugula ngesimo esibuhlungu, khona-ke izinguquko ze-pathological ezihambisana nokwakheka kwe-predominate pre-prehincess izicubu zesitho.
Kulesi simo, ukuthuthukiswa kwalo lonke uhla lwezimpawu zezimpawu zenqubo yokunwetshelwa kwenzeka:
- kuba khona kokuqubuka kwezicubu zomzimba;
- kukhona ukwephulwa kokusebenza komzimba;
- ushintsho umbala kwenzeka.
Ukuqothuka koketshezi kwezicubu ze-gland uma kwenzeka ukuvuvukala kuholela ekunyukeni kokucindezelwa kwezicubu, ngaphezu kwalokho, ukukhuphuka kosayizi be-gland kuthinta amathumbu, kumunca. Ukucwilisa amathumbu kuholela kubuhlungu obukhali.
Isifo ngasinye sinezimpawu zomuntu ngamunye, ngakho-ke ngokuthuthukiswa kwe-pathology, ukwenziwa kwe-pain pancreatitis kuzohluka kancane esimweni ngasinye.
Imvamisa, ukwenzeka kokungakhululeki kanye nobuhlungu obukhulu bubonwa esiswini.
Uma ama-enzyme akhiqizwa izicubu ze-glandular engayitholi indlela yokuphuma, angena emikhawulweni yesitho futhi lokhu kuqinisa uphawu lobuhlungu.
I-pancreatitis engapheli ibonakala ngokuba khona kophawu lobuhlungu bokuqina okuphansi, kanti nobuhlungu uqobo buhlala buthelekile futhi bungaba buhlungu, bungabopha ibhande futhi bufane nomuzwa wokuhlaselwa yi-angina, ongadukisa isiguli.
Imvamisa, imibhinqo ebuhlungu esiswini bese iphansi emuva nge-pancreatitis uma lesi sifo siba ngokoqobo ngokwemvelo.
Izimbangela zobuhlungu zingaba inani elikhulu lezizathu, phakathi kwalokhu okulandelayo okungahlukaniswa:
- Noma yikuphi ukugula kwendlela yokugaya ukudla kungavusa ukuvela kwe-pancreatitis.
- Ukuthola usizi e-peritoneum.
- Ukwehluleka ngemuva kwehomoni yomzimba.
- Ukwehlulwa komzimba yizibungu.
- Ukuphuza ngokweqile utshwala.
- Ukwemukelwa okungenangqondo ngesikhathi sokwelashwa kwezidakamizwa, ngokwesibonelo. Ama-antibiotic.
- Ukudla okungenamsoco.
- Isisulu sokuqothuka.
Ngokuhambisana nezibalo zezokwelapha, akunakwenzeka ukuthola imbangela ngqo ye-pancreatitis ku-30% wawo wonke amacala akhonjwayo.
Ukuqondiswa kobuhlungu kanye nemvelo yabo
Isibonakaliso sobuhlungu esiswini siyisimpawu esibonisa kakhulu i-pancreatitis. Ukwenza kwasendaweni nomlingiswa kungahluka ngokuya ngokuthi iyiphi ingxenye yendlala etholakalayo nenqubo yokuvuvukala.
Amanyikwe ahlukaniswe inhloko, umzimba nomsila. Uma inqubo yokuvuvukala ithinta ikhanda, khona-ke uhlangothi olungakwesokudla lwe-hypochondrium lubi. Ukuqondiswa kwenqubo ye-pathological emzimbeni wesitho kuholela ekungaphatheki kahle esiswini, futhi ukuvuvukala komsila wesikhumba kubonakaliswa imizwa engathandeki ohlangothini lwesobunxele.
Ngokuvuvukala komzimba wonke, lonke ingxenye yesisu somzimba iqala ukulimala. Isimpawu sobuhlungu sifinyelela emhlane, imvamisa ebuhlungu kakhulu ivela emlenzeni, kwabesifazane izinhlungu zingakhanya ziye endaweni eyi-groin.
Ngokuya ngokuthi iyiphi indawo yomzimba uphawu olusakazeka kuyo, nokuthi iyiphi indawo yesitho esithintekile inqubo yokuvuvukala, uhlobo lobuhlungu lungahluka:
- isimungulu;
- ukulimala;
- ukusika;
- bukhali;
- umuzwa ovuthayo kungenzeka;
- Ubuhlungu obusakazeka endaweni ethile noma kuyo yonke indawo yesisu.
Ukuthuthukiswa kwesibonakaliso sobuhlungu kungahambisana nokunyuka kokushisa komzimba kanye nokuvela kwezitulo ezikhululekile.
Imbangela enkulu yobuhlungu ukuqhekeka kweziqubu, ukwakheka kwesimila nezibazi eziphazamisa ukuphuma kwezithukuthuku. Ukuqongelelwa kwejusi le-pancreatic kuholela ekwandeni kwengcindezi nokuphazamiseka kokuhlinzekwa kwegazi kumaseli we-pancreatic izicubu. Inqubo yokuvuvukala iholela ekulimaleni kolwelwesi lwezinzwa.
Ngokukhuphuka ngokweqile kwesimo esingapheli sesi sifo kumuntu, kuvela izinhlungu ezidabukisayo, ezingatholakala endaweni esifundeni se-lumbar. Ukuzwa kobuhlungu kwezinye izimo kubuye kungabekezeleleki, ngoba izinhlungu eziqubuka endabeni zihlanganiswa yimizwa engathandeki yokudonsa evela ekucindezeleni amathumbu.
Isikhundla sonyawo sikhulu kangangokuba, lapho sikhulisiwe, sibeka ingcindezi ezingxenyeni ezihlukile ze-duodenum nesibindi.
Umphumela wokubeka ingcindezi esibindini ukuthuthukiswa kwesiguli sezinkinga zomsebenzi wesitho futhi okubonakaliswa ngesimo sokuthuthukiswa kwe-cholecystitis, ukuphuma kwe-bile kusuka esinyeni senyongo kuyaphazamiseka.
Amandla obuhlungu kwi-pancreatitis ebukhali ingaba ukuthi umuntu uba nokuthuthumela okukhulu ngokumelene nemvelaphi yakhe.
Isikhathi sokuhlaselwa kobuhlungu singasehluka, kanti ukuhlaselwa ngokwako kungenzeka phakathi nobusuku.
Ukuze kuncishiswe ukubonakaliswa kwezimpawu ezingemnandi ngesikhathi sokuqubuka kwazo, isiguli kufanele sinikezwe indawo yokuhlala nomzimba osuqonde phambili.
Lesi sikhundla ngaphezu kwalokho sikuvumela ukuthi udambise ukungezwani esifundeni sesisu, okubuye kuthuthukise isimo sesiguli.
Izindlela zokuhlolwa nokuvimbelwa kwezifo ze-pancreatic
Ukuvimbela ukwanda kwe-pancreatitis kulula kakhulu. Kanye nokuvimbela lesi sifo uqobo.
Ukuvimbela ukuthuthukiswa kokuvuvukala kwe-pancreatic, akufanele uhambisane nokudla okunempilo kuphela, kodwa futhi uqaphele irejimeni yansuku zonke. Akunconyelwe ukuthatha ukudla ebusuku, lokhu kungenxa yokuthi ngalesi sikhathi sosuku umzimba uya kwimodi yokusebenza kancane.
Akufanele udle ukudla okusheshayo, futhi udinga ukunciphisa ukusetshenziswa kotshwala, okunamafutha nokudla okuthosiwe. Kuyinto efiselekayo ukusebenzisa inyama ebilisiwe futhi ebhakelwe ukudla. Ngaphezu kwalokho, kuyadingeka ukukhawula ukusetshenziswa kwemikhiqizo kafulawa namaswidi.
Ngaphambi kokubamba iqhaza edilini, kuyadingeka ukuthatha amalungiselelo e-enzymatic aqukethe i-amylase, enye yama-enzyme aphambili akhiqizwa ama-pancreas, ukwenza lula umsebenzi womzimba.
Ukuze ufune usizo ngokushesha futhi ukhombe ubukhona bokugula emzimbeni, kufanele wazi ukuthi yiziphi izimpawu zokuqala zalesi sifo.
Lezi zibonakaliso yilezi ezilandelayo:
- Ubuhlungu obukhali noma obuzwayo esiswini;
- Ubuhlungu be-bhande esifundeni se-lumbar;
- ukubonakala kokuzwa kwenhliziyo isicanucanu nokuhlanza;
- ukubukeka kokuzonda kunoma yikuphi ukudla;
- ukuvela kokuqhakaza;
- ukucwilisa isikhumba;
- ukwehlisa umfutho wegazi;
- ukukhuphuka kwenhliziyo.
Uma kunokusolwa kwe-pancreatitis noma lapho kuvela izimpawu zokuqala zalesi sifo, kufanele kwenziwe ukuhlolwa okuningiliziwe ukuthola ukutholakala kwesifo okuso.
Ngesikhathi sokuxilongwa, kusetshenziswa izindlela zokuhlola ezilandelayo:
- Ukwenza ukuhlolwa kwegazi elebhu.
- Ukuhlolwa kwegazi kwe-biochemical. Lokhu kuhlaziywa kwembula izinga le-amylase egazini.
- I-X-ray yesibeletho sesisu.
- I-Fibrogastroduodenoscopy. Ukusebenzisa le ndlela kukuvumela ukuthi usungule ubukhona bezilonda nezimpawu, ngaphezu kwale ndlela kukuvumela ukuthi uthole ijusi lesisu lesiguli ukuze lihlaziywe.
- I-Laparoscopy Indlela ikuvumela ukuthi uthathe izinto ezibonakalayo uma kungadingekile. I-biopsy yenza sikwazi ukubona ukuba khona kwamaseli womdlavuza lapho kukhona umdlavuza osolwayo.
- I-Tomography eyenziwe nge-composed - eyenziwa uma kunesimila sepancreatic.
Enye yezindlela ezivamile zokuthola i-pathology yi-ultrasound.
Uma kunesidingo, udokotela angavele anikeze ezinye izinhlobo zokuxilonga.
Ukudabuka kobuhlungu ekhaya
Uma isiguli sinophawu lobuhlungu obuvuthayo olunganikezwa umgogodla, kuyadingeka ukumisa uphawu olungathandeki futhi kubangele indawo yesifo ukuthi inganambitheki. Ngale njongo, ungasebenzisa amakhaza ekhaya. Kufakwa ibhodlela lamanzi ashisayo elinamanzi eqhwa noma iqhwa isikhathi esiyimizuzu eyi-15 ukuya kwengama-20, emva kwalokho likhishwe isikhashana bese kuthi iseshini iphindwe. I-compress ebandayo ibangela ukwehla kwezinga lokubonakaliswa kobuhlungu futhi kunciphisa isimo somuntu ophethwe yi-pancreatitis.
Ekubonakalisweni kokuqala kwesibonakaliso sobuhlungu, kufanele kubizwe udokotela. Ngaphambi kokuba udokotela afike, ukuze anciphise izinhlungu, ngaphezu kwamakhaza, unganika isiguli isibhebhe seNo-shpa futhi siphuze amanzi amaminerali ngaphandle kwegesi ngenani elincane njalo ngemizuzu engama-30.
Akunconyelwe ukusebenzisa ama-painkillers ngaphambi kokufika kukadokotela, ngoba ukusetshenziswa kwawo kungaphambanisa ukutholakala kwesifo okuqhubekayo. Ukudla kufanele kulahlwe ngokuphelele. Ngemuva kokuhlinzeka isiguli usizo lokuqala, uhanjiswa esibhedlela ukuze luyohlolwa futhi luqhubeke nokwelashwa.
Ungasusa izinhlungu ngama-painkillers ngemuva kokuhlolwa. Ngale njongo, ungasebenzisa izidakamizwa ezinjengeBarralgin, iCitramon noma iParacetamol.
Indlela yasesibhedlela yokwelashwa kwe-pancreatitis ifaka ukusetshenziswa okwengeziwe kwamaqembu amaningana emithi ehlukahlukene evimba ukukhiqizwa kwama-enzymeni e-pancreatic, asize ukuthuthukisa inqubo yokugaya futhi anciphise i-acidity yesigaxa sokudla lapho uyihambisa isuka esiswini iye emathunjini.
Ukuqedwa kwezimpawu zobuhlungu esibhedlela
Ngemuva kokuhlolwa nokusungulwa kokuxilongwa okuyikho, lesi sifo siyelashwa. Izindlela ezisetshenziswe kuleli cala zincike kwizinga lokuthuthuka kwalesi sifo. Udokotela ohambelayo wenza ukukhetha kwezindlela zokwelashwa ecabanga ngemininingwane etholakala ngesikhathi sokuhlolwa kanye nezimpawu zomzimba wesiguli ngamunye.
Ukukhululeka kobuhlungu esimweni esibhedlela kungenziwa ngokusebenzisa ama-analgesics angewona ama-steroidal.
Izidakamizwa ezisebenza kakhulu yilezi:
- Paracetamol;
- Ibuprofen;
- I-Diclofenac.
I-Paracetamol iyanconywa ukuthi ithathwe kumthamo omncane, futhi uma kwenzeka ukungabikhona kungandiswa.
Uma umphumela we-analgesic weParacetamol unganele, khona-ke i-Ibuprofen ne-Diclofenac asetshenziselwa ukudambisa izinhlungu.
Esikhathini esizayo, ukwelashwa okuyinkimbinkimbi kubandakanya ukusetshenziswa kwezidakamizwa zamaqembu emithi ehlukahlukene.
Lawa maqembu yilawa:
- I-H2 histamine receptor blockers.
- Amalungiselelo aqukethe ama-enzyme wokugaya.
- Imithi equkethe i-hormone somatostatin noma amakhompiyutha okwenziwa ngawo.
- Ama-antiemetics
- Imithi esisiza ukunciphisa umthwalo kuma-pancreas.
Njengoba izidakamizwa eziqukethe ama-enzymes e-pancreatic, faka, isibonelo, i-Pancreatinum nePanzinorm. Lesi sidakamizwa asinciphisi umthwalo ophezu kwendlala kuphela, kepha futhi sinomthelela ekushintsheni kwezinga le-acidity yesigaxa sokudla lapho sithuthwa sisuka esikhungweni sesisu sisiyisa emgodini we-duodenal.
Izidakamizwa ze-antiemetic zinciphisa umuzwa wokucanuzelelwa kwenhliziyo futhi zivimbele isifiso sokuhlanza, esenza ogulayo azizwe engcono.
Kwezinye izimo, ukusetshenziswa kwe-H2 histamine receptor blockers kungadingeka. Izidakamizwa ezinjalo zinganciphisa umsebenzi wama-enzyme aqukethe ama-pancreas, zivimbele ukwakheka kwe-hydrochloric acid emgodini wesisu. Umuthi owaziwa kakhulu kuleli qembu yi-Famotidine.
Ukusetshenziswa kwezidakamizwa nge-somatostatin kunganciphisa izinhlungu ku-pancreatitis. Umuthi odumile kuleli qembu yi-Octreotide. Ukusetshenziswa kwalolu hlobo lwesidakamizwa kungafeza umphumela omuhle ohlala njalo.
Imininingwane yezimpawu ezivelele ze-pancreatitis inikezwe kuvidiyo kule ndatshana.
