Ukuhlaselwa ngamandla kwe-pancreatitis kuhambisana nokuwohloka okubalulekile enhlalakahleni, isiguli siphazanyiswa yizinhlungu ezinzima, kuze kufike ekulahlekelweni yimizwa. Ukubhekana nesimo esinjalo ekhaya akunakwenzeka. Isiguli sidinga ukulaliswa esibhedlela.
Ukuntuleka kokwelashwa okwanele kuholela ekukhubazekeni, ngenxa yalokho, ukukhubazeka, futhi esimweni esibi kunazo zonke, ukufa. Ukwelashwa kwe-pancreatitis esibhedlela kunezimpawu zayo, kuyasiza ukubuyisa ukusebenza kwamanyikwe.
Kukuphi umnyango abaphethwe yi-pancreatitis? Konke kuncike esithombeni somtholampilo. Kwesinye isikhathi isiguli silaliswa esibhedlela endaweni yokunakekela kakhulu, lapho kwenziwa khona ukwelashwa okulondoloziwe. Kwezinye izimo, isiguli sidinga ukufakwa emnyangweni wokuhlinzwa - uma kudingeka ukuhlinzwa.
Ake sibone lapho ukulashwa esibhedlela kwe-pancreatitis kudingeka, futhi kwenziwa kanjani ukwelashwa endaweni yokubekezelela?
Ukuthi wenzeni ngokuhlaselwa okuqatha?
Ngaphambi kokuthola ukuthi yikuphi ukwelashwa kwe-pancreatitis eyingozi esibhedlela, udinga ukunaka ukuthatha ucingo lwe-ambulensi. Yini engenziwa ngaphambi kokufika kochwepheshe bezokwelapha, futhi yini enganconywa? Izimpendulo zale mibuzo kufanele zaziwe kuzo zonke iziguli.
Uma kunobuhlungu obukhulu ngaphansi kwembambo yesobunxele noma kwesokudla, khona-ke kuyenqatshelwe ngokuphelele ukubekezelela. Isimo ngeke sithuthuke sisodwa. Udinga ukushayela i-ambulensi. Ngaphambi kokufika kukadokotela, awukwazi ukuthatha amaphilisi womphumela we-anesthetic (Analgin, Spazmalgon kanye nezinye izidakamizwa).
Awukwazi ukufaka i-pad yokushisa efudumele noma eshisayo endaweni ebuhlungu; ukudonsa ubambo phezu kwesikhafu noma isikhafu; phuza utshwala ukuze unciphise izinhlungu; phuza noma yiluphi uketshezi. Uma kukhona isicanucanu esikhulu noma ukuhlanza kukhona, izidakamizwa ze-antiemetic zinqatshelwe ukuthi zisetshenziswe kuze kufike odokotela.
Ngokukhuculula lesi sifo, ungenza okulandelayo:
- Beka isiguli endaweni yokuhlala ehleli embhedeni noma kusofa.
- Faka isicelo se-damp, izicubu ezibandayo noma iphakethe lokushisa elibandayo endaweni ebuhlungu.
- Pholisa egumbini.
Uma isiguli isikhathi eside sihlushwa ukuvuvukala kwamanyikwe, sibhaliswa esikhungweni sezokwelapha lapho kubhaliswa khona lapho kutholakala ukuthi sinomdlavuza we-pancreatitis, okusho ukuthi unenkinga yalesi sifo.
Udokotela ofike uzokwenza ukwelashwa okudingekayo okusekelwe kwizimpawu zomtholampilo. Ukulalisa isiguli imvelaphi engemuva kobuhlungu obukhulu, jovela uPapaverine oxutshwe nosawoti.
Kuyenqatshelwe ngokuphelele ukwenqaba ukungeniswa esibhedlela, naphezu kobunzima obukhona emsebenzini, emkhayeni, njll. Ubuhlungu obukhulu bukhombisa ukuqala koshintsho olunamandla emzimbeni.
Ukulaliswa esibhedlela kwesiguli esine-pancreatitis
Bangaki esibhedlela abane-pancreatitis? Impendulo eqondile yombuzo ayikho. Lapho isiguli sinendlela emfushane yokwanda, kunconywa ukwelashwa kokungeniswa, isiguli singaya ekhaya. Isikhathi sokulashwa esibhedlela sincike ekubambekeni kwesikhathi kokuxhumana nodokotela.
Ngefomu elibi, ukungena esibhedlela kuhlale kunconywa. Kungenzeka uhlole kahle isimo sesiguli, ukusebenza kwesitho sangaphakathi, kanye neminye imiqondo ebalulekile esibhedlela.
Ngemuva kokuthi isiguli singene egunjini labezimo eziphuthumayo, okokuqala, izinkomba zokucindezela kwegazi nokushisa komzimba ziyalinganiswa. Lapho-ke udokotela ulala isisu sesisu, abheke abelungu ngamehlo ukuze babone ukuthatheka, uhlola isimo samaphethelo angenhla nalawa aphansi ukuvuvukala.
Ezinye izindlela zokuxilonga:
- Ukuba khona kwama-leukocytes egazini kuyahlolwa.
- Ukuhlaziywa kwe-biochemical kwegazi, ukuzimisela kwama-enzyme.
- Ukuhlolwa kwe-Ultrasound ukukhomba okwasekhaya kwenqubo yokuvuvukala.
- I-Laparoscopy
Ngemuva kokuxilongwa kokuqala, uchwepheshe unquma uhlobo lwesifo, okwasekhaya kanye nethamo lesilonda. Amathuba okuthuthukisa izinkinga kubalwa. Ngokusekelwe kulolu lwazi, isinqumo senziwa ekwelashweni okwengeziwe. Ukwelashwa kungakha amandla noma kuhlinzwa. Kepha isiguli sisebenzisa imishanguzo nganoma yisiphi isimo.
Esimweni esilinganiselwe, ukwelashwa kuyenziwa ophikweni lokunakekelwa olunzulu. Uma isiguli sitholakala sidakwe kakhulu, ukusongelwa komthambo, ukulahleka kwengqondo ngenxa yokushaqeka kobuhlungu - ngokushesha esikhungweni sokunakekelwa esibanzi.
Ukwelashwa Ngeziguli
Isiguli kufanele sibe sesibhedlela ngaphansi kokuqashwa odokotela. Ngobuningi obukhulu, iziguli zithola ukwelashwa ngohlobo lwe-endematous noma necrotic ye-pathology. Kwimidwebo eminingi - cishe ama-70%, ukwelashwa okwanele ngezidakamizwa.
Umgomo ukuqina kwesimo somuntu, ukuvimbela ukubhujiswa okubhubhisayo emzimbeni. Isiguli sidinga ukuqiniswa ngokushesha okukhulu, ngoba kungenzeka ukuthi kukhona umuntu ofile.
Okokuqala udinga ukusebenzisa iqoqo lezinyathelo ezisiza ukwehlisa umthwalo kumanyikwe. Ngesikhathi sobuhlungu obukhulu, isicanucanu nokuhlanza, isiguli asikutholi ukudla ngomlomo. Ukuphuza kwenqatshelwe. Ngama-degree amnene kuya alinganiselayo, indlala ihlala izinsuku ezingama-2-4. Izinsuku ezingama-3-5, ungakudla ukudla okuwuketshezi izinsuku ezingama-3-5.
I-catheter ifakwa emakhaleni isiya esiswini, esiza esiza umfutho wegazi ophansi. Kuyinto esiswini amahora angama-24-72. Kaningi ezigulini, lesi silinganiso sinciphisa izinhlungu emahoreni ambalwa.
Uma kungekho buhlungu obukhulu, khona-ke kunconywa izidakamizwa ze-antacid - i-Almagel 10 ml izikhathi ezine ngosuku. Uma inkambo ilukhuni, ukuphathwa kwabazali bama-blockers kuyenziwa.
Izenzo zokunciphisa ukuvuvukala kwesitho sangaphakathi:
- Iphakethe lokushisa elibandayo endaweni yesitho.
- Isixazululo seMannitol sifakwa emthanjeni.
- Drip Hemodez.
- Ngosuku lokuqala, iFurosemide iyabhalwa.
Ukuvimbela ukudakwa kwe-enzymatic, sebenzisa i-Contrical. Umuthi wethulwa emzimbeni ngendlela ye-intravenous - kuze kube kathathu ngosuku. Ngokuvamile, iziguli ziba nemiphumela engemihle emithini. Ngakho-ke, ngesikhathi sokususwa kwesiguli esimweni esibucayi, kubalulekile ukuthi kube nama-ampoules anePrednisolone esesandleni.
Uma ifomu le-necrotic litholakala kumuntu omdala, khona-ke ukwelashwa ngemithi elwa namagciwane kuyaphoqelekile. Ngokuvamile, iTienam ichazwe ku-250 noma ku-500 mg, kwenziwa isiphuzo esisezingeni eliphansi.
I-analgin ichazwe njengomuthi wobuhlungu - ihanjiswa ngaphakathi noma ngaphakathi; I-Procaine, i-Promedol. Kwimidwebo eminingi, ama-analgesics wesimo se-narcotic kanye ne-non-narcotic ahlanganiswa nokusetshenziswa kwe-myotropic antispasmodics.
Ukulungisa ukulingana kwamanzi ne-electrolyte, udinga ukufaka isisombululo se-isotonic sodium chloride noma isisombululo se-5% kashukela. Inketho yamuva isetshenziswa kuphela ezimweni lapho isiguli sinegciwane le-glucose ngaphakathi kwemikhawulo ejwayelekile. Ukulwa nokwehluleka kwenhliziyo, isisombululo sama-hormone (i-adrenaline ne-norepinephrine) kanye ne-catecholamines siyasetshenziswa.
Akunakwenzeka ukwelapha lesi sifo, kepha esibhedlela, odokotela bajwayela isimo sesiguli, bathuthukise umsebenzi wamanyikwe.
Inkambo yokwelashwa ezimeni zokumiswa yenzelwe amasonto ama-3. Ngemuva kokwelashwa esibhedlela, kuyadingeka ukuthi uthole ukwelashwa okukuvimbela ngemuva kwezinyanga ezingama-6-6 ukuvikela ukugula okubuye kusenze.
Ukwelashwa kwesibhedlela kwe-pancreatitis engapheli
Ngemuva kokunikeza usizo esikhungweni sezokwelapha, isiguli kufanele selashwa ngaphandle kwesikhashana, silandele indlela yokudla ye-pancreatic, siphuze yonke imishanguzo etuswa udokotela. Imvamisa, iziguli zitholakala ukuthi zine-cholecystitis, ebhekwa emgqeni wokulashwa.
Iziguli zinikezwa ukwelashwa esibhedlela kabili ngonyaka. Inkambo ephelele yenzelwe amasonto ama-3-3,5. Lapho sesitholile, i-desensitization iyenziwa, okubonisa ukuthi ukuhlanza umzimba kobuthi, izinto ezinobuthi.
Ekwamukelweni, izinqubo ze-enema zenziwa, isisu empeleni siyageza, kunconywa i-prophylactic for pancreatitis ngaphansi kokuqashwa kodokotela. Lezi zenzo zisiza ukuthuthukisa umsebenzi we-pancreatic. Isiguli sidinga ukuhlala ekudleni kwamanzi cishe amahora angama-72.
Yabela ukwamukelwa kwabathakathi:
- USmecta.
- ISorbex.
- I-Almagel.
I-Rheosorbylact ilawulwa ngaphakathi nsuku zonke, umthamo ungama-200 ml. Ekupheleni kwalesi sigaba, isiguli sinconyelwe ukudla ngokuya ngenombolo yetafula 14, 15 noma 16.
Nikeza izidakamizwa ezilwa nokuvuvukala:
- Okuphikisayo. Contraindication: musa ukunquma ngesikhathi sokukhulelwa, ukungabekezeleli amaprotheni ezinkomo, ukungabekezelelani komuntu ngamunye umuthi. Umuthi uphathwa ngokuhlinzwa, umthamo ojwayelekile ungama-500 000. Ngokwezinkomba, kuvunyelwe ukuwandisa.
- Gordoks. Ayisebenzi ku-trimester yokuqala yokukhulelwa. Ihanjiswa kancane kancane. Ijubane - akukho ngaphezu kwe-5-10 ml ngomzuzu. Faka kuphela kumithambo ephambili. Ukuqala, ukwethulwa kwe-1 ml kwenziwa ngempela - "ingxenye" yokuhlola, ngoba isiguli singasabela.
- IMannitol ilawulwa indlela ye-drip noma ye-jet. Umthamo wehluka kusuka ku-150 kuya ku-200 ml. Contraindication ifaka uhlobo olubi lokwehluleka kwesibindi, ukungalungiseki kokufakwa kwezinso ezinso, isifo sohlangothi se-hemorrhagic. Ayikwazi ukusetshenziswa ngokubekezelela okuphathelene nezinto eziphilayo.
Ukukhethwa kwezidakamizwa kungenxa yemiphumela yelebhu. Ngokusekelwe kubo, udokotela upenda uhlobo lwelashwa oludingekayo.
Njengomuthi wokugaya osiza ukunciphisa i-hydrolysis kwezicubu ezithambile zemisipha, ukusetshenziswa kwe-furosemide kuyadingeka. Umthamo ojwayelekile yithebhulethi elilodwa njalo ezinsukwini ezintathu. Imvamisa iFurosemide ihlanganiswa ne-Asparkam.
Ngenxa yalokhu, siphawula ukuthi kuyadingeka ukwelapha i-pancreatitis eqinile futhi engalapheki esikhungweni sezokwelapha ngendlela esifike ngesikhathi. Lokhu kukuvumela ukuthi ubuyisele umsebenzi wesitho sangaphakathi kanye nokwakheka kwama-hormone ebaluleke kakhulu ama-pancreas, athuthukisa kakhulu impilo.
Ukuthi i-pancreatitis iphathwa kanjani ichazwa kuvidiyo kule ngxenye.
