Ukuvuvukala kwamanyikwe kuhambisana nezimpawu ezahlukahlukene ezibangelwa izinqubo ze-necrotic nokuvuvukala ezenzeka kwezicubu zesitho. Ukuqhekeka e-pancreatitis ebukekayo kuwuphawu oluvamayo lokwanda, kuyaphindwa, akukulethi mpumuzo.
Ukuqunjelwa kungabangelwa ngqo yisifo uqobo, noma ukukhula ngenxa yezinkinga (uhlobo olubi lwe-peritonitis, ukudakwa kakhulu). Isibonakaliso singazibonakalisa ngesimo esithambile, kanye nangendlela ye-pstreatic ne-hemorrhagic pancreatitis ene-pancreatic necrosis.
Ngokubonakaliswa kwesineke kwesiguli, akahlanze amahlandla amabili, noma umane uyagula. Ukwelashwa kokuqapha kuzodingeka ukunciphisa isibonakaliso sokuxwayisa; ukuhlinzwa akusona isilinganiso esikhulu.
Uma ukuhlaselwa kuyinto edematous noma hemorrhagic, khona-ke ukuphanza kuyaphindwa. Kunobuhlungu obukhulu bebhande. Izinhlayiya zokudla okungaphanjwanga zigcinwa ekuhlanzeni, kamuva kuphela inkungu ne-bile.
Kubayini ukuhlanza kubonakala?
Ukuqunjelwa, kungakhathalekile ukuthi unhlobo lwe-pancreatitis, kuhlala kuhambisana nobuhlungu obukhulu. Izimbangela zokubonakaliswa kwesimo se-pathological ziningi, njengoba kunjalo nangezimpawu.
Ngesikhathi sokuhlaselwa, isiguli sihlaselwa ukwesaba okunamandla, sinokukhathazeka okuqinile. Kwezinye izimo, kugula nge-pancreatitis ngenxa yokopha. Ngokuphikisana nesizinda sokuhlasela okuqinile, ukudakwa komzimba kuyabonakala, izinto ezinobuthi ezisegazini zinomthelela kusebenze kwesikhungo sokuhlanza ebuchosheni.
Isizathu sokubukeka kwe-bile kungenxa yokuthi i-bile idlula i-valve ye-pyloric, ephumula ngesikhathi sokuqhuma.
Ingena emgudwini wesisu, ixubene nokuqukethwe kwayo.
Ngokwezibalo, ku-70% wezithombe zomtholampilo we-pancreatitis exacerbated chronic, izizathu zilele kulezi zinkinga ezilandelayo:
- I-Dyskinesia.
- I-Cholecystitis.
- Isifo se-Gallstone.
- I-jaundice eyingozi.
Zonke lezi zinqubo ezingekho emthethweni emzimbeni womuntu zibonakaliswa ngokukhishwa kwe-bile emathunjini nasesiswini, ngokulandelana, kubonakala ekuhlanzeni.
Isicanucanu nge-pancreatitis kwenzeka ngenxa yokusebenzisa kabi uphuzo oludakayo, okufaka isandla ekwephuleni kwemfihlo yokugcotshwa kwe-pancreatic kanye nemfihlo ye-bile. I-Ethanol ingadala ama-spasms we-sphincter yase-Oddi, ngenxa yalokho, ukwanda komthwalo ositholwayo kuyaphawulwa, okuyisikhuthazo ekuthuthukiseni ukwanda kwe-exacerbation. Esikhathini sokululama ngemuva kokuxhamazela, iziguli zivame ukuletha isicanucanu nokuhlanza.
Lokhu kungenxa yokungapheleli kwama-enzymes e-pancreatic kanye nokuba khona kwezifo ezihambisanayo zomgudu wesisu, okuholela ekukhuleni kokuphazamiseka kwengqondo kwe-dyspeptic.
Ukuqhekeka ngokumelene nokuqina kwepancreatitis
Ngaphambi kokuthi ufunde ukuthi ungasusa kanjani isicanucanu ku-cholecystitis kanye ne-pancreatitis, cabanga ukuthi yikuphi ukuhlanza okuvela ekulimazeni okukhulu kwabesifazane nabesilisa?
Ngendlela emfushane ye-pathology, isiguli singaphalaza kube kanye noma kabili, ngokuvamile kungabi ngaphezulu. Kwezinye izimo, ukugabha nge-pancreatitis kuletha impumuzo, kepha lesi yisimo esingajwayelekile. Njengomthetho, i-etiology yokuhlanza kulesi simo ukugxunyezwa noma ukudla okungekuhle.
Omunye umtholampilo uyatholakala ezigulini okutholakala ukuthi une-edematous noma hemorrhagic pancreatitis. Ngefomu le-edematous, kune-syndrome enamandla yezinhlungu, ukugabha okungapheli nezixuku eziningi.
Ukusikeka akulethi ukukhululeka; kukhona ukunambitha okumunyu emlonyeni. Izimpawu ezengeziwe: i-saving ezinzima, isiyezi, uhudo kwesinye isikhathi lukhona, izinga lokushisa lomzimba liyenyuka. Izimpawu zibonwa kungakapheli izinsuku ezingama-3-7. Ukuqeda ukuhlanza, kubalulekile ukususa ukuvuvukala kwezicubu ezithambile zamanyikwe. Ukwelashwa kwe-Conservative kunqunyelwe iziguli.
Ngokuphikisana nesizinda se-hemorrhagic pancreatitis, izinqubo ze-necrotic zenzeka ezicutshini zesitho sangaphakathi, isiguli sinobuhlungu obukhulu nobunzima. Izicubu ezifile negazi zisakazeka ngokusebenzisa isisu esiswini, okuholela ekudakweni. Izici Zezimpawu:
- Ukuphindaphindwa kokuhlanza nge-admixube yegazi.
- Iphunga elimnandi lokuhlanza.
Uma kungekho usizo ngesikhathi, isiguli sihlangabezana nokuqhaqhazela noma ukuwa, ukuphuma komzimba onenkinga enkulu ye-electrolyte kutholakala.
Yini okufanele uyenze ngokuhlanza?
Ungasusa kanjani isicanucanu ku-pancreatitis, wenzani ngokuhlanza njalo? Lapho kuvela izimpawu ezinjalo, kunconywa ukuthi uqinisekise isiguli, simnikeze usizo oluphuthumayo. Ukuqeda ukuphazamiseka komzimba kanye nokuphazamiseka kwe-electrolyte, kuyadingeka ukwelashwa okubonakalayo. Nikeza ama-analgesics wesimo se-narcotic kanye ne-non-narcotic, ukuphathwa kokungenelela okuhlose ukuqeda ukudakwa futhi kuphinde kwenzeke ukuntuleka kwama-electrolyte namanzi.
Uma lezi zindlela zingasizi ukususa uphawu, khona-ke ama-antiemetics kufanele athathwe ukunciphisa isimo sesiguli. Isibonelo, i-Tserukal. Ungasusa ukugabha ngokusebenzisa umuthi lapho ukuxilongwa okunjalo kungafakwa - ukuphuma kwesisu namathumbu, ukuvimba kwamathumbu, ukugcotshwa kwamathumbu.
Izici zokusebenzisa isidakamizwa Cerucal:
- Faka ngaphakathi noma ngaphakathi kwe-intramuscularly.
- Umthamo womuntu omdala ngu-20 mg - umthamo owodwa.
- Isilinganiso esiphezulu ngu-80 mg ngosuku.
Isikhathi sokusetshenziswa kwe-antiemetic sinqunywa ngokuhlukile. Ngaphezu kokuqeda ukugabha, i-Cerucal isiza ukuzinzisa ithoni kanye ne-peristalsis yezindonga zesisu, iqinisekisa ukwenziwa okujwayelekile kokukhishwa kokudla ku-lumen yamathumbu.
Imithi efanayo - I-Itoprid, iDomperidone isiza ukususa ukuhlanza.
Ungalwa nokuhlanza usebenzisa imikhiqizo ehlukahlukene kanye namakhambi ekwelapheni isibindi namanyikwe:
- Phuza amanzi acwebile angenawo ujusi kalamula. Nge-250 ml koketshezi, hhayi ngaphezu kwamaconsi amahlanu kashukela wezithelo.
- Isixazululo se-acetic. Ku-250 ml wamanzi engeza isipuni esisodwa se-apula cider uviniga.
- Itiye elimnandi nge-mint ne-lemon balm.
- Faka uhhafu wethisipuni we-ginger izimpande ku-ketshezi olufudumele, shiya imizuzu emihlanu. Phuza ngezingcezu ezincane.
Izindlela zasekhaya ziyisinyathelo sesikhashana esisiza ukususa uphawu olungathandeki isikhathi esifushane. Izindlela zokupheka ezihlukile azithinti imbangela yalesi sifo, akusizi ukumisa ukuqhubeka kwe-pathology.
Ukuphumula kungenza ngokungalindelekile - isikhathi sasekuseni noma kusihlwa, ebusuku. Odokotela kuphela abazosiza ukummisa. Uma isiguli sitholwa sinefomu le-necrotic, khona-ke ukwelashwa kuhloselwe ukuvimbela izinqubo ze-necrotic nokuyeka ukopha. Ngefomu le-edematous, imithi ye-diuretic ibekelwa ukusiza ukunciphisa ubulukhuni bokuphelelwa yithemba.
Ngezinsuku zokuqala, isiguli sinconyelwe ukuphumula nokulamba kwe-pancreatitis. Ngokuzayo, ngesinqumo sikadokotela, ukudla kuyanda. Ukudla okungadliwa nge-pancreatitis nezifo ezihlobene nakho kungeniswa kancane kancane kwimenyu. Nikeza ukwelashwa okubuyiselwe esikhundleni, ngokwesibonelo, umuthi Pancreatin.
Izimpawu ze-pancreatitis zixoxwa kuvidiyo kule ndatshana.
