Namuhla, izifo zezitho zokugaya zivame kakhulu. Kepha iningi lalezi zifo alibangeli ukuphazamiseka okukhulu, ngakho-ke abanye abantu baphila iminyaka nge-colitis noma i-gastritis.
Kodwa-ke, ngokuvuvukala kwamanyikwe, ukunganakwa kwalesi sifo ngeke kusebenze. Ukwelashwa ngezidakamizwa kuyindlela ephumelelayo enganciphisa kakhulu izinhlungu, kanye nokuvimbela ukuvela kwezinkinga.
I-iron isitho esibalulekile, ngakho-ke, noma yikuphi ukuphazamiseka ekusebenzeni kwayo kuthinta ukusebenza okujwayelekile kwesitho somzimba wonke. Ngenxa yalokhu, ukuphazamiseka kwe-hormonal kwenzeka, futhi izinto ezizuzisayo azithathwa ngenani elidingekayo.
Umsebenzi we-pancreatic
Umzimba wenza imisebenzi eminingi, efaka:
- ukukhiqizwa kwama-hormone: i-insulin, i-glucagon, i-ghrelin, njll;
- lenza ukwakheka kwama-enzymes wokugaya adiliza ama-carbohydrate, amaprotheni namafutha;
- ihlanganyela ezinqubweni ze-metabolic futhi ilawula ukuhamba kweglucose egazini.
Isifo se-pancreatic
Ukwelashwa kokungasebenzi kahle ekusebenzeni kwama-pancreas, njengomthetho, kwenziwa ngendlela yokulondolozwa i.e. usebenzisa izidakamizwa.
Kodwa ukuthatha umuthi kudingekile kuphela ngemuva kokuqokwa kochwepheshe.
Uma lo mthetho ungahlangabezwanga, khona-ke umzimba uzoba nokungalingani kwe-metabolism kanye nenqubo yokugaya ukudla.
Izifo ezithinta i-pancreas:
- izifo ezivame kakhulu ezenzeka ngokudla okungalingani - ukuvuvukala kwesikhumba noma i-pancreatitis;
- isifo esicishe singalapheki futhi sibucayi lapho imisebenzi yesitho sikhubazeka khona - lesi isifo sikashukela;
- isifo esingavamile sofuzo, i-cystic fibrosis, singathinta indlala;
- izicubu ze-pancreatic kwesinye isikhathi zakha ama-cysts abuhlungu noma ama-benign;
- ngokungahambisani ngokuphelele nokudla okufanele, amafomu enziwa ngamatshe.
Iphathwa kanjani i-pancreatitis eyingozi?
Umuntu onesimo esibi se-pancreatitis udinga ukwelashwa esibhedlela ngokushesha nokwelashwa okulandelayo esibhedlela.
Kulokhu, kufanele alandele ukudla okhethekile, ngakho-ke isiguli sithola izakhi zomuntu ngokusebenzisa i-dropper.
Futhi, uma kwenzeka ukwanda, kubalulekile ukususa izinhlungu, ukunciphisa umsebenzi wama-enzyme futhi kunciphise ukudakwa. Kulokhu, udokotela unquma ama-analgesics neminye imithi okuhloswe ngayo ukwelapha isitho esineguli.
Izinsuku ezimbalwa zokuqala, le mishanguzo iphathwa kahle. Lapho isimo sesiguli sizinza, umuthi ungaphinde uphuzwe ngendlela yepilisi. Futhi, ukunciphisa ukwakheka kwe-enzyme, kubanda kuyasetshenziswa lapho kutholakala khona indlala.
Uma ukutheleleka kwegciwane kuvela kanye nenqubo yokuvuvukala, udokotela unquma imithi elwa namagciwane. Ezimweni ezimbi kakhulu, udokotela ohlinzayo ususa ingxenye ye-gland ebunjiwe.
Iphathwa kanjani i-pancreatitis engapheli?
Ngemuva kokunqoba ukuvuvukala okukhulu, ama-pancreas awabuyiswanga ngokuphelele. Odokotela batusa ngokuqinile ukuthi ngemuva kokuhlasela qhubeka nokwelashwa: bambelela ekudleni okuthile futhi uthathe ama-enzyme ezibhebheni ezithuthukisa ukusebenza kokugaya ukudla.
Ukuze ugweme ukubhebhetheka okuphindaphindiwe, kuyadingeka ukuyeka ukubhema notshwala, kanye nokudla okuthosiwe nokunamafutha. Isiguli esine-pancreatitis ngaso sonke isikhathi kufanele siphathe amaphilisi endlala bese siwaphuza ngemuva kokudla kaningana ngosuku.
Yiziphi izidakamizwa ezibekelwe ukwelashwa kwe-pancreatitis?
Isibonakaliso esiyinhloko sokulimala kwe-gland kubuhlungu obuthakathaka, obukhuphuka ngemuva kokudla nalapho ulala phansi.
Ukuze udambise isimo esibuhlungu, udinga ukuhlala phansi, bese uncika phambili noma ubeke isiqaqa sokushisa esibandayo esiswini sakho. Kodwa noma kunjalo ngaphandle kokusebenzisa ama-painkillers, okuzodambisa ngokushesha ukuhlupheka kwe-pancreatitis akunakwenza.
Njengomthetho, odokotela banquma i-antispasmodics kanye ne-analgesics:
- Papaverine;
- I-Baralgin;
- IDrotaverinum (amaphilisi noma ama-ampoules);
- No-Shpa;
- Paracetamol;
- Asperin.
Ngokulashwa kwangaphakathi, ama-H2 blockers anqunyelwe:
- I-Famotidine;
- I-Ranitidine.
Ukunciphisa lesi simo, ama-antihistamines nezidakamizwa ze-anticholinergic asetshenziswa:
- I-diphenhydramine;
- Atropine;
- I-Platyphyllinum.
Izidakamizwa ze-Antacid
Izidakamizwa ezihlukanisa futhi zibopha i-hydrochloric acid zisiza ukuvikela ulceration ku-mucosa wesibeletho, futhi zivimbela ukuqala kokucasulwa.
Imvamisa, ngalezi zinhloso, ukumiswa noma ama-gels kunqunywa ukuthi kudale ifilimu evikelayo ku-mucosa nezidakamizwa ezinciphisa ukukhiqizwa kwe-hydrochloric acid:
- Phosphalugel;
- I-Almagel;
- U-Omez;
- Contralock
- I-ocid;
- IGastrozole;
- I-Pepsidil;
- I-Ranitidine;
- Gasterogen;
- I-Famotidine;
- I-Zoran
- I-Acidex.
Ama-antacid ngesimo se-proton pump blockers, anjenge-lanzoprazole, nawo anqunyelwe. Ukunciphisa ukwenziwa kwama-enzyme ezigulini ezinepancreatitis, kunconywa ukusebenzisa amaphilisi we-Aprotinin noma weKontrikal.
Ukunciphisa i-acidity, udinga ukuphuza inani elikhulu lezixazululo ze-alkaline. Isibonelo, i-soda ihlanjululwe ngamanzi noma amaminerali.
Izidakamizwa ze-Enzymatic
Lapho isiguli sesivele sesiqalile ukudla, ngemuva kokunciphisa isimo sokulungiselela ukusebenza kwe-gland, kanye nokwenza ngcono inqubo yokugaya ukudla, udokotela unquma ukwelashwa ngemithi equkethe i-enzyme.
Thatha amaphilisi anjalo we-pancreatitis ngemuva kokudla. Njengomthetho, lezi zibhebhe ziphuzwa isikhathi eside kunalokho, futhi zinesimo esingelapheki se-pancreatitis noma ukungasebenzi kahle kwe-gland - njalo. Umthamo unqunywa udokotela ohambelayo, osuselwa ezicini ezithile zesiguli.
Ama-enzymme athandwa kakhulu afaka:
- I-Pancreatin
- I-Pasinorm;
- Mezi;
- Ikhoni
- Festal.
Ekwenzeni kwalezi zibhebhe, ama-enzyme engulube asetshenziswa, okungabangela ukwenzeka kokungezwani komzimba.
Ezimweni ezinjalo, ezigulini ezithambekele ekwelashweni komzimba, udokotela unquma izidakamizwa ezisuselwa ezintweni zezitshalo (i-papain, i-fungus). Amathebulethi adume kakhulu avela kuleli qembu:
- Pepfiz;
- Somilase
- I-Unienzyme.
Ukwelashwa okwengeziwe kwezifo ze-pancreatic
Ezimweni ezinzima ikakhulukazi nge-pancreatitis, udokotela ubeka i-insulin uma ikhiqizwa ngamanani anganele. Ngokukhula kokutheleleka ngegciwane kanye nokudlulisela kabusha, kuyelelwa ama-antibiotics (Ampicillin). Uma lokhu kuyinkinga ebucayi, ukudla kwe-pancreatic necrosis kufakiwe, njengendlela yokwelashwa eyinkimbinkimbi.
Futhi, kwezinye izimo, imisebenzi iyenziwa, kepha ukungenelela kokuhlinzwa kuyivelakancane kakhulu, ngoba indlala iyisitho esizwela kakhulu. Ngenxa yesizathu esifanayo, ukwelashwa ngezidakamizwa nakho kulinganiselwe kakhulu, ngoba kukhona ukungalingani kulo lonke uhlelo lokugaya ukudla, futhi ukumunca izidakamizwa kuba yingxenye.
Ngaphezu kwalokho, abantu abaphethwe i-pancreatitis bagcina bengabekezeleli imithi ethile. Yingakho lesi sifo singelapheki futhi isiguli kufanele sinamathele ekudleni okuqinile kwempilo futhi sisuse imikhuba emibi empilweni yaso.
