Ukwanda kwe-pancreatitis: ongakudla (imenyu)

I-pancreatitis engapheli yisifo esinenkambo efana ne-wave. Lolu hlobo lwe-pancreatitis lubonakala ngezikhathi zokuxolelwa: isimo somuntu sithuthukisa noma sibi.

Ngokukhuphuka kwe-pancreatitis, umuntu welashwa emnyangweni we-gastroenterological noma ukuhlinzwa.

Uma kunenkambo emnene ye-pancreatitis engapheli, umuntu angalinda ukwanda kwesifo ekhaya, ukwelashwa kuyizimpawu, futhi kuqede izimpawu nezimpawu zesifo, kuphinde kuthuthukise inhlala-kahle yesiguli.

Kulokhu, uthatha ikhefu lokugula futhi enze ukwelashwa ngosizo lwemithi. Ukwanda kwe-pancreatitis engapheli kusengcono ukunganaki futhi ufune usizo lodokotela.

Ukugula kakhulu kungaholela ekuhlinzweni. Ukwelashwa okungafanele.

Izizathu eziyinhloko

Lesi sifo singangena esigabeni esibuhlungu ngenxa yezizathu ezilandelayo:

1. Ukusetshenziswa kwenombolo enkulu yotshwala;
2. Ukwephulwa kwepheshana elisebenzayo.

Ngaphezu kwalokho, kunezinye izizathu ezingabalulekile kangako. Kodwa-ke, lezi zimbangela zandisa kakhulu imvamisa yesifo esandayo. Okusemqoka yile:

• Ukudla ngokweqile njalo
• Ukudla okuhleliwe kwenani elincane lotshwala;
• Ukubhema
• Isisindo esiningi;
• Ukudla inani elikhulu lokudla okunamafutha;
• Ukwemukelwa kwemithi;
• Izimo ezivame ukucindezela;
• Izifo ezithathelwanayo.

Ezimweni eziningi, izimpawu zokwanda kwesifo se-pancreatic zenzeka ngokushesha okukhulu. Ngosuku lokuqala, umuntu uzizwa ekhubazeka kakhulu enhlalakahleni, ngakho-ke uma edla imishanguzo noma ecela udokotela, ukwelashwa kungaqhubeka esibhedlela.

Izimpawu ezibalulekile zokwanda kwe-pancreatitis engapheli

Ukwehla kwesimo ngesikhathi sokuqina kwepancreatic pancreatitis kungasolwa ngokubonakaliswa okulandelayo komtholampilo:

• Ubuhlungu besisu obufiphele. Banikezwa ngemuva futhi baqinise ngemuva kokudla;
• izitulo ezikhululekile nezijwayelekile nokungcola kwamafutha ezinduneni;
• umuzwa wokufutheka emlonyeni, ukuhlanza nge-bile, okunganikeli impumuzo futhi kunzima ukuwahlanza ngezidakamizwa.

Uma umuntu ezizwa engeza lesi sifo okokuqala, khona-ke usevele esazi ukuthi imbangela yazo zonke izimpawu ukuvuvukala kwamanyikwe, okunezimpawu zawo.

Uma uzwa izinhlungu esiswini sezimpawu ze-dyspeptic, kungakuhle ukuthi uhlolwe ngudokotela okokuqala, ozokunikeza ukwelashwa futhi akutshele ukuthi wenzeni.

Ngobuhlungu obukhulu kanye nokungakwazi ukuqeda ukuhlanza, udinga ukubiza i-ambulensi ngokushesha.

Iqembu le-ambulensi lizonikeza umuntu ophikweni lokunakekela abagxile kakhulu, ngoba ukulungiswa komzimba we-electrolyte kuyadingeka, futhi lokhu kungenziwa ngokujwayelekile esibhedlela. Lezi zimo ziyingozi empilweni yomuntu, ngakho-ke kwenqatshelwe ngokuphelele ukuhlehlisa ukuvakasha kudokotela, uma kukhona.

Kukhona amathuba aphezulu wokuthi ukukhuphuka kwe-pancreatitis kuholele ekungasebenzi kahle kwengxenye pancreatic, okuzogcina kudinga ukungenelela kokuhlinzwa.

Uma izimpawu zimnene, ngokwesibonelo, uma ukukhuphuka kwenyanza kuziveza ngobuhlungu obuqandayo, ukwanda kwesimo sezinyawo, isicanucanu, ungalinda kuze kuse ukuya emtholampilo wendawo.

Abantu abaningi bayabesaba odokotela kanye nokungaphatheki kahle, ngakho-ke abashesha ukuqala ukwelashwa, okuyiphutha elikhulu. Ngokuhamba kwesikhathi, ukubhujiswa kwama-pancreas kanye nokufakwa esikhundleni kwezicubu ezinamafutha noma izicubu ezithintekayo kushesha.

Lokhu kuzophazamisa ukugaya futhi kungaholele kushukela.

Ukwelashwa

Njengomthetho, ukwanda kwe-pancreatitis engapheli akuhlali ngaphezu kwesonto elilodwa. Lesi sigaba asisiyongo enkulu empilweni yesiguli futhi asiholeli ekuphazamisweni okuphelele komzimba, kepha izimpawu nezimpawu zaso zivimbela umuntu ekuholeni impilo egcwele.

Okokuqala, udinga ukuthola inhloso yokwelashwa esigabeni esibuhlungu se-pancreatitis engapheli:

1. Misa izinhlungu;
2. Buyisela umthamo wamanzi emzimbeni;
3. Yehlisa umthwalo kumanyikwe, lokhu kuzomisa ukwanda kwesimo.

Lapho uthintana okokuqala nodokotela, izidakamizwa ezingezona ezibangelwa ukuvuvukala zibekelwe isiguli. Njengomthetho, izidakamizwa zinciphisa ukuvuvukala okungapheli kwe-syndrome.

I-Paracetamol ivame kakhulu, inomphumela omncane omubi ku-mucosa wesibeletho. I-Paracetamol akufanele ithathwe uma kukhona i-pathology yesibindi. Akumele sikhohlwe ukuthi umuthi unomphumela we-hepatotoxic.

Uma izinhlungu zingahambi ngosizo lwalemithi, khona-ke isiguli kudingeka sinqunywe i-narcotic analgesics. Imvamisa, le yi-tramadol.

Izidakamizwa ezingeziwe zokumisa i-pain syndrome yile:

• ama-enzyme e-pancreatic: i-creon ne-pangrol;
• ama-antispasmodics: i-papaverine ne-drotaverine;
• proton pump inhibitors: rabeprazole, lansoprazole.

Ukubuyisela ukulingana kwamanzi-electrolyte, isiguli sifakwa ngo-saline womzimba: ushukela ongu-5% noma i-0,9% sodium chloride.

I-hypovolemia enkulu kakhulu idinga ukuqokwa kwezixazululo ze-colloidal, okuyi-gelatin noma i-rheopolyglucin. Ngokuphuma kwegazi, ukumpontshelwa igazi lonke noma ukwethulwa kwamangqamuzana abomvu egazi kuyakhonjwa.

Ukhulula ama-pancreas, kufanele uthathe izinyathelo ezilandelayo:

• ukudla okuvinjelwe amafutha noma ukuzila ukudla izinsuku eziningana;
• ukuyeka ngokuphelele ukubhema notshwala;
• ukuthatha i-octreotide - isidakamizwa - i-analogue ye-somatostatin, i-pancreatic hormone.

Izindlela zokuvimbela

I-Exacerbations ingesinye sezici ezisesimweni sokuqina kwepancreatitis. Isiguli kufanele siqinisekise ukuthi ukwanda okuvela kakhulu kuyaqabukela ngangokunokwenzeka. Umphumela ofanele: akukho ngaphezulu kwesisodwa ngesikhathi seminyaka eminingana.

Ngabe udinga ukwenzelani lokhu? Kubalulekile ukuqapha ngokucophelela indlela odla ngayo nsuku zonke, ubushiye ngokuphelele utshwala nokubhema.

Ngaphezu kwalokho, umbuso wamandla wenhlangano uyasebenza. Kulokhu, izinkomba nezimpawu zenkinga ngeke zivele isikhathi eside. Kuhle kungaba ukukhetha kwemenyu yamatafula ayi-5 ngeviki.

Uma imbangela yokuvuvukala kwe-pancreatic kuyindlela yokuqina kwezitho noma amasistimu, khona-ke izindlela zokwelashwa kufanele zithathwe ngokushesha.

Ukuvikela ukwanda kwe-pancreatitis engapheli, udinga:

• ukunciphisa umkhawulo wokudla ngokwekhalori, vimbela ukuzuza kwesisindo;
• nciphisa ngokuqinile amafutha ekudleni;
• yidla kaningi futhi ngokweqhezu;
• Ungayi emikhosini ehambisana nenala yotshwala nokudla;
• ngaphambi kokusebenzisa noma imuphi umuthi xhumana nodokotela wakho.