Ngabe ama-pancreas alimala kanjani? Lo mbuzo ubuzwa yiwo wonke umuntu oye wahlangabezana nobuhlungu endaweni yesitho.
Ngokubonakala kobuhlungu kumanyikwe, kuphakama umbuzo wokuthi ungamelana kanjani ngokuzimele nemizwa yobuhlungu evelayo. Imizwa enjalo ingakhombisa ukuthuthukiswa kwama-pathologies nokuphazamiseka ekusebenzeni kwesitho esibalulekile.
Noma ngubani onezimpawu zokungasebenzi kahle kwesitho kufanele azi ukuthi kufanele enzeni uma i-pancreas ihlasela, nokuthi angabuqeda kanjani ubuhlungu ekhaya ngaphambi kokuba udokotela afike.
I-pancreas yisitho esithatha ingxenye enkulu yokugaya, sikhiqize ujusi we-gastric ocebiswe ngama-enzyme asiza inqubo yokugaya ukudla engena emgodini wokugaya ukudla.
Ngaphezu kwalokho, umzimba unesibopho sokukhiqiza ama-hormone wokugcotshwa kwangaphakathi. Isibonelo, i-insulin ye-hormone ekhiqizwa amaseli we-beta weziqhingi zaseLangerhans inesibopho sokulawula okuqukethwe ushukela ku-plasma yegazi nokutholwa kweshukela ngama-cell of tisulin ancike ku-insulin. Ngokuphula umkhiqizo wayo, isifo sikashukela siyakhula.
Ngaphezu kwe-insulin, amaseli we-pancreatic akhiqiza ama-hormone alandelayo ahlobene nohlelo lwe-endocrine yomthetho emzimbeni:
- amangqamuzana e-alpha akhiqiza i-glucagon;
- Amaseli eDelta ahlanganisa somatostatin;
- Amaseli e-D1 akhiqiza i-VIP;
- Amaseli e-PP akhiqiza i-pancreatic polypeptide.
Ngaphezu kwalokho, amaseli we-pancreatic akhiqiza inani elincane le-gastrin, i-thyroliberin ne-somatoliberin.
Ama-hormone akhiqizwa amaseli we-alpha, i-beta, i-delta, i-D1 ne-PP abandakanyeka kakhulu ezinhlelweni eziningi ze-biochemical ezenzeka emzimbeni.
Kungani ama-pancreas elimele?
Ngokuvamile, imbangela yobuhlungu ukukhula kwezicubu zenqubo yokuvuvukala okungenzeka ngezizathu eziningi.
Inqubo yokuvuvukala ekhula kwezicubu zomzimba ibizwa nge- pancreatitis.
Izici Ezinegalelo Ku-pancreatitis
Njengoba kushiwo ngenhla, imvamisa imbangela yokungasebenzi kahle kanye nokuvela kobuhlungu bezinqubo inqubo yokuvuvukala.
Ukuzwa kobuhlungu okuvela kuleli cala kutholakala ngokucacile esiswini ngokuguqukela ohlangothini lwe-hypochondrium yangakwesobunxele nangemuva.
Ngendlela engapheli yesifo, izinhlungu zingavuvukala, zinikeze umhlane ongezansi obangela ukudinwa. Ubuhlungu esimweni esinjalo buhambisana nomuntu njalo, hhayi ngokunyamalala ngisho nasebusuku.
Imvamisa, ukwenzeka kobuhlungu be-bhande, okunamandla kakhulu futhi kuvame ukusika ngokwemvelo. Ubuhlungu obunjalo bungebangeli ukungaphatheki kahle kumuntu kuphela.
Kwezinye izimo, kungaphazamisa isiguli kakhulu kangangokuba kuholele ekushayweni kobuhlungu, okungaholela ekufeni.
Esimweni lapho kunesimo esinjalo, kufanele kuthathwe izinyathelo ezidingekayo zokunciphisa ubukhulu bezinhlungu futhi ngokuphuthumayo usizo lwejubane.
Ukuthuthukiswa kwe-pancreatitis kungenzeka ngenxa yezizathu ezilandelayo:
- Ukudla okungenampilo. Ukudla ngokweqile noma ukubulawa yindlala ngokweqile, ukudla okunamafutha nesipayisi kukhuthaza ukukhiqizwa kwama-enzyme angabhubhisa amaseli wezicubu zezitho.
- Ukubhema kanye nokusebenzisa kabi utshwala kubangela ukukhiqizwa ngokweqile kwejusi le-pancreatic, okuholela ekubhujisweni kweseli.
- Ukwephulwa kwezinqubo zokusebenzisa umzimba kanye nokunikezwa kwegazi emzimbeni.
- Ukuphazamiseka ekusebenzeni kwezicubu zesibindi, amathumbu amancane, i-gall bladder kanye ne-biliary.
- Ukusetshenziswa kwezidakamizwa isikhathi eside.
Ukuchayeka ekucindezelekeni kanye nasezinhlungwini zomzimba emzimbeni kudala isimo umuntu angathola ngaso i-pancreatitis.
Umthelela omubi walezi zinto uholela ekuphazanyisweni kumanyikwe, futhi okuthinta izinqubo eziningi ezenzeka emzimbeni wesiguli.
Ngenxa yalesi sizathu, kufanele wazi ukuthi ungazibona kanjani izimpawu zesikhathi sokuvuvukala ngendlela efanele. Umuntu onokuvuvukala kufanele athathe izinyathelo zokuqeda lokhu kwephulwa nezizathu zokuvela kwaso, lapho ukwelashwa kungaqhutshwa ngokuzimele ngaphansi kokuqondisa kukadokotela okukhona. Ukuntuleka kokwelashwa okufika ngesikhathi kungadala izinkinga ezinkulu emzimbeni wesiguli.
Izinkinga eziyingozi kakhulu ukwakheka kwe-pancreatic necrosis, ascites, kanye ne-pseudocyst.
Izimpawu zokukhula kwe-pancreatitis kanye nezimpawu zokuqala zokuphazamiseka
Isifo singabonakala kanjani emzimbeni womuntu? Inqubo yokuvuvukala iqala ukuzibonakalisa kusukela ekuqaleni futhi ibonakaliswa ukubonakala kokungakhululeki kanye nobuhlungu ku-hypochondrium yangakwesobunxele. Okokuqala, kuqala ukuqaqamba kumuntu ohlangothini lwesobunxele, futhi kamuva, ngobuhlungu obandayo, angakwazi ukubamba umhlane futhi esimweni lapho umuntu eba ne-osteochondrosis.
Isici esihlukile sokungaphatheki kahle kanye nobuhlungu ukuqina kwabo ngokushesha ngemuva kokudla. Ngaphezu kwalokho, ukwephulwa kokusebenza kwesitho kukhombisa ukwehla kokungaphatheki kahle lapho umzimba ulungiswa phambili endaweni yokuhlala.
Ngemuva kwezinsuku ezintathu, imizwa ebukhali kakhulu engathandeki kakhulu ithatha uhlamvu olubi. Uma unganaki futhi ungathathi izinyathelo ezifanele, lezi zimpawu ezilandelayo zijoyina ukungahambi kahle:
- umuzwa wokuba nesicanucanu nokuhlanza;
- ukukhuphuka kokushisa komzimba kuya ezingeni lama-38-39 degrees;
- ukubonakala kwesifo sohudo esijwayelekile;
- ukuvela kwesiyezi esivamile;
- ukwehla okuphawuleka komfutho wegazi;
- izinga lokushaya kwenhliziyo.
Ukubonakala kobuhlungu ngemuva kokudla kubangela ukwesaba komuntu nemizwa yokwethuka. Le mizwa ivela ngenxa yokuthi lapho kudliwa ukudla, izinhlungu zinganda kakhulu.
Esimweni esinjalo, isiguli siqala ukuzilinganisela ekudleni, futhi lezo zenzo ziholela ekunciphiseni isisindo.
Ngokwenqatshwa isikhathi eside kwezindlela zokwelapha ukuphazamiseka ekusebenzeni kwamanyikwe, lesi sifo siguqulwa sisuka kokungalapheki siye kwesinye.
Ukuqeda izinhlungu ekhaya
Uma zonke izimpawu ezibonakala zibonisa ukuthi kukhona ukungasebenzi kahle kumanyikwe, kunconyelwa ukuthi uvakashele udokotela okhethekile bese uthola kuye ukuthi ubuhlungu bungasuswa kanjani ngokushesha ekhaya.
Kulokhu, akukho-nausea nokuhlanza, futhi akukho ukwanda kokushisa, ke
Ungabhekana nobuhlungu ngokwakho.
Ngasikhathi sinye, kufanele kukhunjulwe ukuthi uma ukusebenza okuzimele kwezindlela zokwelapha f kukuvumela ukuthi uzuze imiphumela emihle, futhi isimo siba sibi kakhulu. Kufanele ngokushesha ufune usizo kudokotela.
Uyedwa ekhaya ukunciphisa ukungaphatheki kufanele:
- Thatha isikhundla sokulala bese ubeka i-compress ebandayo endaweni ebuhlungu.
- Thatha noma yisiphi isidakamizwa se-antispasmodic.
Njenge-compress ebandayo, ungasebenzisa i-heating pad egcwele u-ice noma ibhodlela lamanzi eqhwa. Ngaphezu kwalokho, ungasebenzisa noma yimuphi umkhiqizo weqhwa kusuka kufriji. I-compress ebandayo kufanele igcinwe kuma-pancreas cishe imizuzu engama-20. Ngemuva kwalokho, i-compress isuswa imizuzu eminingana bese inqubo iphindwa.
Ukuthatha i-antispasmodic, isibonelo, i-No-shp noma izifanekisisi zalo muthi. Ithebhulethi yalo muthi noma ama-analog ayo ayinangozi ngokuphelele. Ithuluzi elinjengoNo-spa likuvumela ukuthi unciphise ukuhlaselwa kobuhlungu futhi wandise izindunduma, ezikuvumela ukuthi uqede ukungakhululeki. Umuntu angazizwa ngcono ngemuva kokuthatha umuthi, okubandakanya ama-enzyme akhethekile, umuthi onjalo ungaba yiMezim kanye nama-analogues awo.
Ngaphezu kwalokho, ngokuvela kobuhlungu obujwayelekile, kufanele ucabangele kabusha indlela odla ngayo bese ususa imikhiqizo enomthwalo omkhulu emgodini wokugaya ukudla. Ukuhambisana nokudla kungenye yezihluthulelo zokwenza kube nzima ukusebenza kwamanyikwe.
Ukusetshenziswa kwezokwelapha
Ukudambisa izinhlungu nokuqeda inqubo yokuvuvukala kwizicubu zomzimba, ukwelashwa kwezidakamizwa kungasetshenziswa. Ngale njongo, amaqembu ahlukahlukene wezidakamizwa asetshenziswa.
Ukwenza ukwelashwa kwezidakamizwa kufanele kwenziwe ngezigaba eziningana.
Inani lezigaba zomphumela wokwelapha esitholeni lincike kuzinga lokuphazamiseka kokusebenza kanye nezinga lokuthuthuka kwezinkinga ezibangelwa yi-pathology ekhulayo.
Imvamisa, imisebenzi ebalulekile edinga ukufezeka ngokuphuza imithi ekhethekile yile:
- ukukhululeka kobuhlungu nokubasusa;
- ukuvimbela kanye nokwelashwa kwezinkinga;
- ukubuyiselwa kokusebenza kwamanyikwe.
Ukwelashwa kokugada kubandakanya ukusebenzisa:
- AmaPainkiller.
- Ama-antispasmodics.
- Izidakamizwa ze-antiemetic.
- Ama-antibiotic.
- Imithi equkethe ama-enzyme.
- Ama-antacid.
Njengama-painkillers, ungasebenzisa iParacetamol. Lesi sidakamizwa sisho izidakamizwa ezingezona ze-steroidal ezilwa nokuvuvukala, zikuvumela ukuthi unciphise ukuvuvukala kanye nokubulala izinzwa. Ngaphezu kwalokho, umuthi uyakwazi ukunciphisa ngokwengxenye inqubo yokuvuvukala.
Lapho uthatha umuthi ngemithamo emikhulu, kubuhlungu esiswini nokwehluleka kwezinso, esimweni sokwehla okukhulu komthamo, ukukhohlisa kungahle kwenzeke.
Ama-antispasmodics asiza ukuphumula imigqa ye-pancreatic futhi ajwayele ukuphuma kwejusi.
Le mithi ifaka phakathi:
- IDrotaverine;
- Cha-shpa;
- UPapaverine nabanye.
Lapho usebenzisa le mishanguzo, ukunakekelwa okukhethekile kufanele kuthathwe kwabesifazane abasesigabeni sokukhulelwa.
I-Metoclopramide ingasetjenziswa njenge-antiemetic, isiza ukwehlisa isicanucanu, ivimbela ukugabha kanye ne-hiccups, futhi ivuselele i-peristalsis yepheshana lesisu elingaphezulu.
Ukuthatha ama-antibacterial agents kungavimba ukwanda kwezinkinga ezingenzeka, njenge-peritonitis, i-abscess kanye ne-sepsis.
Ukusetshenziswa kwe-Abactal, Vancomycin, Ceftriaxone kungasusa imiphumela emibi yokuvuvukala futhi kuvimbele ukwenzeka kwabo. Le mishanguzo ibulala amagciwane futhi ivimbele izinqubo zokwakheka kwezinto odongeni lweseli lwezinto ezincane ezingama-pathogenic.
Ukusetshenziswa kwe-omeprazole kususa izinhlungu, kunciphisa ukukhiqizwa kwe-acid, okuthuthukisa isimo samanyikwe.
Izidakamizwa eziqukethe i-enzyme ezinjengeMezim nePancreatin zenza kube lula ukwenza umsebenzi womzimba ngokunciphisa umthwalo kumaseli wezicubu akhiqiza i-enzyme. Kanye nokuthatha imishanguzo, kufanele kulandelwe izondlamzimba zokudla.
Izimbangela nezindlela zokwelapha izinhlungu kumanyikwe zichazwe kuvidiyo ekulesi sihloko.
