Ukuthuthukiswa kwe-pancreatitis kubantu abadala akuyona into engjwayelekile. Lesi sifo se-pancreatic singenzeki nje ngokungondleki, ukuphuza ngokweqile, kodwa futhi ngenxa yezizathu eziningi, ngokwesibonelo, okuqukethwe okwandisiwe kwamafutha noma i-calcium egazini. Uma kukhulunywa kakhulu, odokotela base-Europe bakholelwa ukuthi ezimweni eziyi-15-20% cishe akunakwenzeka ukubona imbangela yalesi sifo.
Uma ama-pancreas engakwazi ukwenza noma iyiphi ingxenye yemisebenzi yayo ngenxa yokuvuvukala, khona-ke singakhuluma ngokungapheleli kwe-endocrine ne-exocrine pancreatic insuffence. Ukuboniswa kokungapheleli kwe-endocrine ezimweni eziningi kuba yisifo sikashukela.
Izimpawu ze-Pancreatitis
Yiziphi izimpawu ezingabonakala kubantu abadala ekuqaleni kwesifo? Ngokuvuvukala kwama-pancreas, isiguli singabuzwa ubuhlungu bekhanda obujwayelekile futhi obunzima emuva nesisu. Eqinisweni, lolu uphawu olukhulu.
Ubuhlungu bungahambisana nokuhlanza, isicanucanu (lokhu kwenzeka kaningi uma ukudla bekuyamafutha). Kubandakanya isiguli singakhala ngokukhathala, ukozela nobuthakathaka.
Ngokuvuvukala okuthuthukile, ukusebenza kwama-pancreas kuyancipha - ukukhiqizwa kwama-enzymes wokugaya kuyancipha (ngokuphelelwa insuffine), okuholela ezinkingeni zokugaya: ukuthopha, isifutho samafutha, izihlalo ezikhululekile, ukwehla kwesisindo kuqala. Uma kwenzeka ukungapheleli kwe-endocrine, i-insulin enganele ikhiqizwa ngemuva kokudla, ngakho-ke izinga le-glucose egazini liyakhuphuka.
Ukuthola i-pancreatitis, udokotela unquma ukuhlolwa kwegazi kanye nomchamo, kanye ne-ultra pancreas, ukuthola ukuthi lesi sikhulu sangaphakathi sikhulisiwe kangakanani. Futhi, uma kunesidingo, isiguli siyahlolwa i-X-ray, futhi ngenxa yemiphumela etholakele, udokotela unquma ukuthi imiphi imithi okufanele ithathwe ukwelapha i-pancreas.
Uma isithombe sikhombisa ukwanda ngosayizi wama-pancreas, kuyadingeka ukuthi uhlolwe ngaphandle kokwehluleka ukuthola ukuthi ukuphambuka okunje esivamile kungumphumela wanoma iyiphi inqubo yokuvuvukala, futhi uma ukuxilongwa kuqinisekisiwe, qala ukwelashwa kwe-pancreatitis ngokushesha okukhulu. Ubukhulu obujwayelekile be-pancreas enempilo kubantu abadala buyi-15-22 cm ubude nama-3 cm ububanzi.
Ukwelashwa Kwe-pancreatitis
Uhlobo lokwelashwa lwalesi sifo lungachazwa ebinzaneni elilodwa. Odokotela bathi ama-pancreas athanda ukubanda, indlala nokuthula.
Ngezibonakaliso zokuqala ze-pancreatitis kubantu abadala, udokotela uvame ukunquma ukushesha kwezinsuku ezintathu. Ngalesi sikhathi, lapho ama-pancreas esebuyiselwa, kuyadingeka ukuthi uphuze amanzi amaningi okuphuza ahlanzekile ukuze ungagcini ngokunxephezela ngokuphelele ukungabi bikho kwamanzi emzimbeni, kodwa futhi nokunqanda ukwanda kwesifo.
Ukwelashwa kwe-pancreatitis kubantu abadala kuyinqubo ende kakhulu, udinga ukulungela lokhu. Kuzodingeka hhayi kuphela ukuthi uthathe imishanguzo ebekwe udokotela, kodwa futhi ulandele nokudla okwelaphayo.
Izindlela zokuvimbela izosiza ekugwemeni ukuqhubeka kwesifo uma kungenzeka ukuthi inqubo yokuvuvukala iqale.
Ukwelashwa kuhloselwe ukubuyisela umsebenzi we-pancreatic kanye nekhono lawo ekukhiqizeni okujwayelekile ujusi we-pancreatic. Kodwa-ke, isiguli kufanele futhi sithathe zonke izindlela ezidingekayo ukuvimbela ukubekezelelwa kwe-glucose engasebenzi kahle, okuholela ekuthuthukisweni kwesifo sikashukela mellitus.
Ukubuyisela ikhono le-pancreas ekwakheni ijusi eliseceleni kusiza ukugwema ukungondleki kanye nokungezwani kokudla, okungakhula ngenxa yokuqhekeka okungafakwanga kwezakhi zomzimba emithanjeni yegazi. Ukubhujiswa kwama-pancreas kanye nokwakheka kwezibazi kungavinjelwa ngokubuyisela ithoni ejwayelekile yezicubu zomgudu wokugaya ukudla nokumisa ukukhiqizwa okusebenzayo kwama-enzyme wokugaya ijusi.
Ukwelashwa kwe-pancreatitis kubantu abadala kudingekile kuphela ngaphansi kokuqashwa kukadokotela, lapho kwenziwa khona ukuxilongwa okuyikho. Iqiniso ngukuthi izimpawu ze-pancreatitis zivame ukufana nezimpawu zezinye izifo.
Kodwa uma kutholakala ukuthi i-pancreatitis, ukwelashwa nokuvimbela lesi sifo kwenziwa empilweni yonke. Kuyadingeka ukulandela zonke izincomo zikadokotela ngokudla kokudla, uphuze njalo imithi enqunyelwe ukususa izimpawu zesifo, futhi uphathe ukwelashwa kwe-pancreatitis efanele ngemithi.
Ngakho-ke, imishanguzo ye-pancreatitis isiza iziguli:
- Susa izinhlungu;
- Susa ukungapheleli kwe-pancreatic;
- Ukwelapha inqubo yokuvuvukala emzimbeni owonakele;
- Vimbela ukuthuthukiswa kwezinkinga.
Uma isimo sesiguli siba sibi kakhulu, uhlu / umthamo wezidakamizwa uyabuyekezwa, futhi ukudla kudle ngokuqinile. Uma isimo sithuthuka, isiguli sivunyelwe ukwandisa ukudla, ukukhulisa ukusebenza kwezimoto, ukufaka izidakamizwa esikhundleni salabo ababuthakathaka.
Izici zokudla nokwelashwa
Ukubambelela ngokuqinile ekudleni okwelaphayo kukuvumela ukuthi wehlise umthwalo esithweni esithintekile ngesikhathi sokulimala kwamanyikwe futhi kusiza ukululama ngokushesha:
- Nganoma yiluphi uhlobo lwe-pancreatitis, isiguli akufanele sidle okubabayo, okunamafutha, okubhemayo, kokudla okunosawoti, izinongo, imibala yokudla, nokunambitheka. Kubandakanya awukwazi ukuphuza utshwala wanoma imaphi amandla.
- Esimweni esingamahlalakhona se-pancreatitis, kuyadingeka ukuyeka ukusetshenziswa kwamafutha amaningi namaprotheni. Udinga ukudla kaningi ngezingxenye ezincane, kuyilapho ukudla kuvame ukucutshungulwa (kufakwe amandla) futhi kuxutshwe.
- Endabeni yokuthuthukiswa kwefomu elibuhlungu, ukondliwa kwesiguli kuphathwa ngaphakathi, udokotela unquma ukuthi uzilile.
- Isiguli sinikezwa namalungiselelo we-enzyme esivimbela ukwenziwa kwejusi ye-pancreatic. Lokhu kukuvumela ukuthi unciphise izinhlungu (ku-pancreatitis engapheli, ingabekwa endaweni eyi-hypochondrium yesobunxele noma kwesokudla, esifundeni se-epigastric futhi inganikezwa emuva nangecala lesokunxele se-blade).
- Uma kwenzeka ngcono, ukudla kungashintsha, noma kunjalo, amalungiselelo e-enzymatic kumele adakwe nezifundo isikhathi eside esanele.
- Ukuqeda ubuhlungu be-pancreatitis engapheli kubantu abadala, kubanda kubekwa kwi-hypochondrium yesobunxele, esiza ekuqedeni i-edema ye-pancreatic. Udokotela ubuye anikeze izidakamizwa eziningi: izidakamizwa ezilwa nokuvuvukala, ama-analgesics, izidakamizwa ezinqampuzayo, i-histamine receptor blockers ku-mucosa gastric.
- Ngokwakhe, isiguli singaphuza kuphela izidakamizwa ezifana neNo shpa, i-Papaverine nezinye izidakamizwa ze-antispasmodics. Izidakamizwa ezisele kufanele zithathwe kuphela ngemuva kokubonana nodokotela.
Imithi Yepancreatitis
Ukuqeda izimpawu nobuhlungu, kunqunywa le mithi elandelayo:
- Izidakamizwa ze-antispasmodic. Ebuhlungwini obukhulu esiswini, isiguli sithatha i-antispasmodics kanye ne-analgesics, kufaka phakathi i-No Shpa, Analgin, Paracetamol, Baralgin. Uma izinhlungu ngesikhathi sokwanda kwesifo ziqine kakhulu, kunconywa ukuthi ungaphuzi amaphilisi, kepha ukufaka umjovo umuthi.
- Ama-H2 blockers we-histamine receptors. Ukunciphisa ukukhiqizwa kwe-pancreatic enzyme, kusetshenziswa izidakamizwa ezifana neRanitidine ne-Famotidine.
- Ukulungiselela kwe-Antacid. Uma i-exocrine insufficiency ibonwa, okungaholela ekungasebenzi kahle kwe-duodenum, udokotela ubeka izidakamizwa noma izingxube ezifana neFosfalugel, i-Almagel nezinye izidakamizwa.
- Ukulungiselela i-enzyme. Ukwakheka kufaka i-lipase, i-amylase ne-trypsin. Izidakamizwa ezidume kakhulu yiCreon 8000, iCreon 25000, iMezim, iPancreatin, iFestal, i-Enzim Forte, iFarestal.
Njengoba yonke le mali ifana ngokwakhiwa futhi inemisebenzi ecishe ifane, kufanele uthintane nodokotela ngaphambi kokuphuza umuthi.
Ukuzikhethela kwezidakamizwa kuya ngokuthi yimuphi umsebenzi okudingeka uwusombulule. Ama-enzymes asefomu lethebhulethi anciphisa izinhlungu kahle, nemithi emaphaketheni ilungele ngokwanele ukugcwalisa ukuntuleka kwama-enzyme awo uma isifo sesingalapheki.
Imithi yokwelapha i-pancreatitis imvamisa kufanele iphuze iminyaka eminingana. Imiphumela emihle yokuqala evela ekwelashweni ingabonakala enyangeni eyodwa nohhafu kuya ezinyangeni ezimbili. Hlukana nezimpawu eziphambili ngeke kube ngaphambi kwezinyanga eziyisithupha kamuva. Ngalesi sizathu, isiguli singazinqumela ngokuzimela ukuthi imiphi imithi okufanele uyithenge. Ngokusekelwe emandleni abo wezezimali - kubiza kakhulu noma kushibhile. Abantu abaningi bakhetha izidakamizwa ezishibhile ezenziwe eRussia, ngokwesibonelo, iPancreatinum.
Ekwelapheni i-pancreatitis kunqunywe:
- sedative;
- izidakamizwa ze-choleretic;
- izidakamizwa ze-hormonal;
- calcium
- emboza imithi.
Ziyasebenza futhi ekwelashweni kwamavithamini wamaqembu B, A, D, K, E, okungenza ukuthi kube nokuntuleka kwezakhi zomzimba emzimbeni wesiguli. Ukumisa inqubo yokuvuvukala, kubekwa i-Aspirin noma i-Diclofenac.
Yimuphi udokotela okufanele ngithinte lapho welapha i-pancreatitis
Uma kwenzeka kunezibonakaliso zokuqala ze-pancreatitis, kufanele ufune usizo lodokotela ngokushesha. Ukuze wenze lokhu, okokuqala, udinga ukuvakashela ihhovisi labelaphi, elizokwenza ukuhlolwa kokuqala, ubhale okudluliselwe kochwepheshe futhi unikeze izivivinyo ezidingekayo.
Ukuze umuthi uphumelele, udinga ukuvakashela udokotela oyisidakamizwa ozonikeza izeluleko zokuthi imiphi imithi yokuphuza lesi sifo. Isazi sezempilo sizosiza ekuboneni ukuthi yini edliwayo nge-pancreatitis, uzokwakha imenyu, akhombise ukuthi yiziphi izithelo nemifino ene-pancreatitis engafakwa ekudleni.
Udokotela uzonikeza indlela yokudla okwelaphayo, akutshele ukuthi yikuphi ukudla okufanele kungafakwa ekudleni futhi enze uhlu lwezitsha ezinconywayo. Futhi, isiguli sizokwazi ukufunda ukuthi singadla kanjani kahle ukuze sisungule ama-pancreas.
