Kwi-pancreatitis ebukhali futhi engamahlalakhona (ukuvuvukala kwamanyikwe), izimpawu eziyinhloko zomtholampilo kubuhlungu. Ubuhlungu obubangela izinkinga eziningi kumuntu ophethwe yi-pancreatitis. Kungemva kokuvela kobuhlungu, umuntu anqume ukuya kudokotela.
Enye yezindawo ezibaluleke kakhulu ekwelapheni i-pancreatitis yizindlela ezahlukene zokuphumula kobuhlungu ekhaya.
Izimpawu zobuhlungu zihlangana kanjani ne-pancreatitis?
Emshinini wokubonakala kobuhlungu nge-pancreatitis, indima enkulu ingadlalwa ngezinqubo ezahlukahlukene ezenzeka kumanyikwe, isibonelo:
- Ukwephulwa kwe-microcirculation yezicubu (ischemia).
- Ukuvinjezelwa kweziqubu zesikhumba.
- Izinguquko ze-Dystrophic nezokuvuvukala.
Ukubekwa phambili kwezinguquko ezithile kungenxa yohlobo lwesifo (ifomu eliyingozi noma elingamahlalakhona).
Kwi-pancreatitis ebukhali, intende ingeyokushintshwa okulimazayo kwezicubu ze-gland uqobo. Kukhona ukuthuthukiswa kwazo zonke izimpawu zakudala zokuvuvukala:
- izinhlungu
- ukudumba;
- umsebenzi okhubazekile;
- ubomvu.
I-Edema, ebangelwa ukuqongelela ngokweqile uketshezi, inomphumela ongemuhle ongezekile. Icindezela izicubu ze-pancreatic.
Ukuvela kweziza ze-necrotic kanye ne-dystrophic ku-pancreatitis eyingozi kuyisibonakaliso esisodwa futhi kungaqala kusuka kuzilonda ezizimele kuya ekupheleleni kwe-pancreatic necrosis.
Lapho i-pathology enjalo yenzeka, ukwephulwa kokwethembeka kwama-lobes we-gland parenchyma kuhambisana nokususwa kwama-enzyme ayo ngaphezu kwemingcele ye-anatomical ye-duct. Ngakho-ke, izinhlungu nge-pancreatitis zikhula zibe namandla ngokwengeziwe.
Ushintsho lokuvuvukala lwe-pancreatitis engapheli alunamandla kangako. Lapha, izinqubo ze-ischemic kanye nokufakwa esikhundleni kwezicubu ze-glandular. Kwezinye izindawo zama-pancreas, kuvela ama-cysts nezindawo zokubala.
Ngenxa yalolu shintsho, izingxenye zezicubu ezisasebenza ziyacindezelwa, futhi ukuphuma kwe-enzymes yokugaya i-pancreatic kuyaphazamiseka. Ubuhlungu be-pancreatitis buba banzi ngokwengeziwe.
Ngenkambo ende yesifo se-pancreatitis esingamahlalakhona, ushintsho lwe-pathological sensitivity luyabonwa - izinhlungu zenzeka ngokuphendula izithasiselo ezithobekile (allodynia).
Isici esibuhlungu
Isimo nokusasazeka kobuhlungu ku-pancreatitis kungabhekwa njengokukodwa, kepha ngakolunye uhlangothi, kuncike enkambisweni yenqubo yokuvuvukala. Kwi-pancreatitis esibuhlungu, izinhlungu zenzeka ngokushesha ngemuva kokudla okungaxineki kokudla. Ngokuqhubeka kokuphazamiseka kwe-pathological, ubuhlungu be-pancreatitis buye buye buye buqhamuke.
Isiguli siyagijimisa ekusetshenzisweni okungaphumelelanga kwesethi evumayo. Kodwa-ke, ezimeni eziningi, noma ngabe "umbungu" uyavela (imilenze iphakanyiselwe esiswini), noma isikhundla eseceleni, noma isikhundla esihleli phansi asilethi ukukhululeka okulindelwe. Kwisikhundla esiphakeme, kubonakaliswa izimpawu eziningi zobuhlungu.
Imvamisa, izinhlungu nge-pancreatitis zitholakala endaweni esiswini esiphezulu. Imvamisa le yingxenye ye-epigastric, kepha kwesinye isikhathi izinhlungu zingashintshela kwesokunxele noma kwesokudla i-hypochondrium. Ngezikhathi ezithile, ubuhlungu be-pancreatitis obunzima bufana nesici sobuhlungu be-angina pectoris.
Zibonakaliswa ngokubhaka, kushisa izimpawu ezingemnandi ku-sternum, kufinyelela ohlangothini lwesobunxele emuva, uhlangothi lwesobunxele lomhlathi noma ingalo engezansi. I-pancreatitis engapheli ibonakala ngeqiniso lokuthi ubuhlungu abunakho ukwenziwa kwasekhaya okucacile. Zingahluka ngobukhulu:
- Esifundeni se-lumbar ngesimo sebhande eligcwele noma ngakwesobunxele.
- Endaweni engemuva ngaphandle kokusakazekela ezindaweni eziseduze.
- Endaweni engxenyeni engezansi ye-sternum (esifundeni sezimbambo ezingaphansi).
- Isisu esiphakathi noma ngaphezulu.
Iningi leziguli ezihlushwa i-pancreatitis engapheli zibona imvamisa yokuqhamuka kobuhlungu, ngamanye amagama, uhlobo oluyinqwaba. Nge-pancreatitis, lobuhlungu bungaba bukhulu obuhlukahlukene. Kepha esikhathini esiningi kuphakama kangangokuba ngisho nokuphazamiseka kwengqondo kungenzeka.
Nakani! Ubuhlungu kwi-pancreatitis engapheli buhlobene ngqo nokusetshenziswa kwamafutha, ukudla okunezipayisi noma okuthosiwe notshwala. Izimpawu zokuqala zobuhlungu zibonakala isigamu sehora ngemuva kokudla.
Ubuhlungu obunjengolcer, okungukuthi, ubuhlungu esiswini esingenalutho buqabukela kakhulu. Ngezinye izikhathi ngemuva kwezikhathi zokuthuthuka, izikhathi ezithile zobuhlungu obukhulayo zenzeka.
Uma ubuhlungu busenyamalele, lesi akusona sonke isikhathi isizathu senjabulo. Lokhu kuyiqiniso ikakhulukazi ezimweni lapho izinhlungu zazinzima kakhulu. Ukunyamalala kwalo okungazelelwe kuveza ukuthi i-necrosis ikhula kwezicubu eziningi.
Ungasusa kanjani izinhlungu ekhaya
Kwi-pancreatitis ebukhali, ukunyamalala kobuhlungu obukhulu nobungazelelwe kungaba nemiphumela emibi. Isithombe esivele "sesisu esibuhlungu" sitholakala kahle sihlolwe ngudokotela ohlinzayo kuphela kwi-vivo.
Okusho ukuthi, ukusetshenziswa kwanoma imuphi umuthi wobuhlungu kuthambisa izinhlungu, ngenxa yalokho isifo kunzima ukusithola. Ngokuthuthukiswa kwe-pancreatitis eyingozi, indlela ephumelela kunazo zonke ukusetshenziswa kwefudumeza iqhwa esiswini.
Susa usizi lwe-pancreatic ekhaya nge-non-narcotic (non-steroidal) analgesics. Izinto eziphumelela kakhulu kule ngxenye yile:
- I-Paracetamol
- I-Ibuprofen.
- I-Diclofenac.
I-Paracetamol itholakala kumathebulethi, isiraphu noma amaphilisi ezinokuqukethwe koketshezi. Umthamo wesidakamizwa kuleso naleso simo ukhethwa ngamunye. Kuyaluleka ukuthi uqale ukwelashwa ngemithamo emincane, futhi uma kunesidingo, kufanele inyuswe kancane kancane.
Uma umphumela we-analgesic ubuthakathaka kakhulu, kunqunywa ibuprofen noma i-diclofenac. Kungenzeka ukudambisa izinhlungu ngokunika amandla ama-NSAIDs nama-tranquilizer noma ama-antipsychotic kuphela ngobuhlungu obukhulu.
Ukwelashwa okuyinkimbinkimbi kwe-pancreatitis engapheli kubandakanya amaqembu alandelayo wezidakamizwa.
Ama-enzymes we-pancreatic
Ngamanye amagama, i-pancreatin. Ngakolunye uhlangothi, ithuthukisa ukugaya futhi inciphise umthwalo kwizicubu zeglandular. Futhi ngakolunye uhlangothi, ukwehla komthamo osebenzayo kungabudambisa ngqo ubuhlungu noma, ezimweni ezibucayi, ubukhulu bawo.
IHormone somatostatin nezinto zokwenziwa zokwenziwa nayo
I-Somatostatin ithambekele ekunciphiseni ukuzwela komzimba kubuhlungu futhi, ikakhulukazi, ebuhlungwini ngesikhathi se-pancreatitis. I-analogue yokwenziwa yesidakamizwa yi-octreotide. Umuthi unesikhathi eside sokusebenza, ngakho-ke ngisho nenkambo yesikhathi esifushane yezinsuku ezintathu ikuvumela ukuthi uzuze umphumela wesikhathi eside impela.
Kodwa-ke, i-somatostatin inobubanzi obuhlukile bokuphikisana kanye nemiphumela emibi, ngakho-ke yona kanye nezimpawu zayo azikwazi ukusetshenziswa ukwelapha zonke iziguli. Umuthi ubekiwe ngawodwa, njengoba kunjalo nangendlela yokwelashwa kwe-pancreatitis ngemithi.
Ama-blockers we-H2-histamine receptor
Lokho okubizwa ngokuthi "ukuthula okusebenzayo" kwama-pancreas kungadalwa hhayi ngokucindezela okuqondile koku secretion ngama-enzyme e-pancreatic. Ungasebenzisa umphumela oqondile wama-proton pump inhibitors noma ama-H2 histamine receptor blockers kule nqubo.
Phakathi kwama-blocker we-H2-histamine receptors, i-Famotidine isidakamizwa esithandwa kakhulu. Inomsebenzi we-antioxidant, inemiphumela emincane engezansi, ithuthukisa izici ze-rheological zegazi.
Usebenzisa i-femotidine, imfihlo yokusetshenziselwa izinsalela ze-pancreatic ezigciniwe ingancishiswa. Lokhu kungenxa yokuthi umuthi muhle ucindezela ngokushesha ukukhishwa kwe-hydrochloric acid esiswini.
I-Proton pump inhibitors
I-Proton pump inhibitors ifaka:
- Rabeprazole
- Esomeprazole
- I-Lansoprazole.
Le mithi inemiphumela emincane embalwa. Ngakho-ke, ukusetshenziswa kwalezi zidakamizwa cishe kuphephile. Ngomthamo okhethwe ngamunye, ama-proton pump inhibitors angathathwa isikhathi eside.
Kungashiwo ukuthi kwesinye isikhathi amakhambi ama-pancreas nawo ayasiza, okungenzeka ukuthi akuyona indlela yokwelashwa eyinhloko, kepha kwabakhayo benza umsebenzi omuhle kakhulu.
Ukukhululeka kobuhlungu esibhedlela
Uma kwenzeka ngenxa yesifo sokuqina kwesibeletho, isiguli kumele siphuthunyiswe esibhedlela ngokuphuthumayo. Ukudambisa izinhlungu esibhedlela, ama-narcotic analgesics angasetshenziswa. Yikuphi okuvame ukusetshenziselwa i-pancreatitis eyingozi? Okuvame ukusetshenziswa:
- UKetanov.
- ITramadol.
- I-Omnopon.
- I-Promedol.
Ezimweni ezihlaselwe kakhulu, ama-analcics ama-narcotic ahlanganiswa nama-tranquilizer, ama-antidepressants kanye nama-antipsychotic. Le mishanguzo ithuthukisa isenzo somunye nomunye.
