Ukuthuthukiswa kokuhlaselwa kwe-pancreatitis yisimo lapho ukunakekelwa okuphuthumayo kufanele kubizwe khona. Kuze kufike i-ambulensi, ungazama ngokuzimela ukususa usizi esigulini.
Lapho uthatha izinyathelo eziphuthumayo zokunciphisa isimo somuntu, kufanele kukhunjulwe ukuthi i-algorithm yezenzo ze-pancreatitis egcwele izokwehluka ezenzweni ezithathwe phambi kwefomu lesifo elingelapheki.
Ukunakekelwa okuphuthumayo kwe-pancreatitis eyingozi
Isibonakaliso esiyinhloko sokuthi umuntu uhlakulela i-pancreatitis eyingozi ukubukeka kobuhlungu obukhulu obenzeka ngokuzumayo futhi butholakala endaweni yesifunda se-epigastric yomgodi wesisu noma esifundeni se-hypochondrium yangakwesobunxele. Ezimweni ezingavamile, ubuhlungu bungabonakala bufana nokuhlaselwa kwe-angina.
Isiguli sinobuhlungu obukhulu kangangokuba kufanele ngaso sonke isikhathi sishintshe ukuma kwakhe embhedeni sifuna isikhundla somzimba, lapho ubuhlungu buba bukhulu kakhulu.
Ubuhlungu ku-pancreatitis obukhulu buhambisana nokukhuphuka kokushisa komzimba.
Ngaphezu kokunyuka kokushisa komzimba kanye nobuhlungu obukhulu kumuntu, ukuhlaselwa kwe-pancreatitis eshubile kuhambisana nezimpawu nezimpawu ezilandelayo:
- kukhona ukukhuphuka kokujuluka, izithukuthuku ziba kubandayo futhi kube ukuhayiza;
- ukuhlanza okungafanele kanye nenausea obukhulu;
- ukuthatheka kwenzeka;
- ukuhlaselwa kuhambisana nohudo.
Ngaphezu kwalokho, isiguli singakhombisa izimpawu zokudakwa okujwayelekile komzimba, okubonakala ngokubonakala kobuthakathaka obukhulu, ikhanda, ulimi oluqinisiwe nabanye.
Lapho kuvela lezi zibonakaliso, udinga ukubiza iqembu le-ambulensi ngokushesha.
Ukunakekelwa okuphuthumayo kwe-pancreatitis eyingozi ngaphambi kokufika kwe-ambulensi kuyinto ye-algorithm ethile yezenzo okuhloswe ngazo ukunciphisa isimo sesiguli.
I-algorithm yangaphambi kwezokwelapha nezingasebenzisi izidakamizwa imi ngale ndlela elandelayo:
- Kufanele iqinisekise isiguli futhi iqinisekise isimo esizolile kunazo zonke somzimba.
- Ukukhulula umzimba womuntu ezingutsheni ezivimbela ukuphefumula nokuncancisa isisu.
- Ukuze wehlise amandla nobukhulu bobuhlungu, isiguli kufanele sihlaliswe endaweni yokuthi umzimba uthambekele kancane phambili.
- Tusa isiguli ukuthi sithathe umoya omncane ongezeli izinhlungu.
- Bayeke ukudla.
- Kunconywa ukuthi isiguli sinikezwe isiphuzo ngezingxenye ezincane ezingama-50-60 ml, njalo ngemizuzu engama-30. Ngokuphuza, ungasebenzisa amanzi ajwayelekile abilisiwe noma amaminerali ngaphandle kwegesi.
- Uma kwenzeka uhlanza, isisu akufanele sigezwe nganoma yisiphi isixazululo.
- Ngaphambi kokufika kukadokotela, akunconywa ukuthi unikeze iziguli umuthi wokusiza izinhlungu, ngoba zikwenza kube nzima ukuxilonga ngokuqhubekayo.
- Ngaphambi kokufika kukadokotela, akunconywa ukuthi unikeze iziguli amalungiselelo aqukethe i-amylase, ngoba lokhu kungabhebhethekisa isimo somuntu.
I-ambulensi idlulisela isiguli esibhedlela, lapho ihlolwa khona ngokuningiliziwe ukuze iqinisekise ukuthi kutholakele.
Usizo lokuqala lokwandisa ifomu le-pancreatitis elingamahlalakhona
Endabeni yokwanda kwe-pancreatitis engapheli, izimpawu ezifanayo zivela njengasesimweni esibuhlungu. Kepha zivezwa buthaka kakhudlwana. Ukudlondlobala kwendlela engapheli yesifo kungavusa izinkinga ezifana ne-pancreatic necrosis noma i-cholecystitis.
Ubukhulu bezinhlungu buhamba kancane kancane ukusuka ekuhlaselweni kuya ekuhlaselweni. Imvamisa, izinhlungu ezivelayo ziyaqaqamba futhi zithambile.
Amasu we-paramedic osizweni lokuqala osesimweni esinjalo ngokuyinhloko aqeda ukumisa izinhlungu ngemithi, ngaphezu kwalokhu, abezimo eziphuthumayo kufanele banciphise ukuvuvukala.
Esigabeni esilandelayo, isiguli sinikezwa amaphilisi amabili e-Allohol ukuze uthathe. Lesi sidakamizwa sikhuthaza ukuphuma kwejusi le-pancreatic. Isici salo muthi ukusetshenziswa kwaso okulinganiselwe lapho kukhona amatshe enyongo. Kanye ne-Allohol, kufanele kuthathwe umuthi onezakhiwo ze-antispasmodic. Ukwenza ngcono isimo sesiguli, izidakamizwa ezithuthukisa ukugaya futhi zinciphise umthwalo kumanyikwe zingasetshenziswa. I-Pancreatin iyisidakamizwa esinjalo esine-enzymes ye-gland.
Ukudambisa izinhlungu pancreatitis engalapheki noma yotshwala, kwenqatshelwe ukusebenzisa ama-tinctures nezidakamizwa eziqukethe utshwala. Ukwemukelwa kwekhambi elinjalo kungaba nomphumela olimazayo esigulini.
Ngemuva kokulaliswa esibhedlela yisiguli nokuhlolwa udokotela, isiguli sikulungele ukuhlolwa kokuxilonga.
Ngemuva kokuhlolwa, indlela yokwelashwa inqunywa ngawodwana. Uma kunesidingo, uma kutholwa i-necrosis, kwenziwa umsebenzi wokuhlinzwa.
Izidakamizwa ezisetshenziswa ekwelapheni i-pancreatitis
Ekwelapheni kwezindlela ezi-pancreatitis ezinamandla nezingamahlalakhona, kusetshenziswa amaqembu ahlukahlukene emithi. Ngaphezu kwalokho, izindlela ze-physiotherapy ezifana, ngokwesibonelo, ukwelashwa kwe-ozone zingasetshenziswa ekwelapheni ukugula.
Ukulungisa ukusebenza komzimba okujwayelekile, kunconywa ukuthi unake ezinye izindlela zokwelashwa. UMumiye uzibonakalise kahle kakhulu ekwelapheni i-pancreatitis.
Ngaphezu kwalokho, umuntu onenkinga yokuphazamiseka kwamanyikwe kufanele ahambisane nokudla okunconywe udokotela oholayo.
Izidakamizwa ezisetshenziswa ngenkathi kwelashwa lesi sifo zibandakanya okulandelayo:
- ama-antispasmodics kanye nama-analgesics (asetshenziswa ezimweni. uma i-pancreas iba buhlungu kakhulu);
- I-H2 blockers;
- Imithi equkethe ama-enzyme.
Ama-painkiller asetshenziswa ekwelashweni yiNo-shpa, uPapaverin, iBarralgin. Le mishanguzo isebenza kakhulu futhi iphephe kakhulu esigulini.
Amathuluzi asetshenzisiwe aqeda ama-spasms wemisipha ebushelelezi futhi anciphise izinga lobuhlungu. Uma kunesidingo, ama-antihistamines angasetshenziswa avimbele ukuvela kokuphendula okungahambi kahle.
Ama-block2 e-H2 asetshenziselwa ukuvimbela umsebenzi wobumfihlo wamanyikwe.
Imithi equkethe ama-enzyme isetshenziselwa ukwenza ngcono inqubo yokugaya ukudla futhi ingakhulula umthwalo olimini.
Mayelana nokwelashwa kwe-pancreatitis kuchazwe kuvidiyo kule ndatshana.
