I-pancreatitis emakati iyisifo esivame kakhulu ezikhathini zanamuhla, esihambisana nokuhlukumezeka kokusebenza kwamanyikwe.
Lesi sifo siletha ingozi ethile ngoba ekuqaleni ubheka ubunzima bokuthola izifo, ngoba lokhu kuyadingeka ukuthi wenze izifundo eziningi uphinde uphumelele izivivinyo ezidingekayo. Kulokhu, abanikazi kumele baqaphele impilo yezilwane ezifuywayo futhi uma izimpawu zepancreatitis ziqala ukuziveza, funa usizo lodokotela wezilwane.
Izimpawu eziphambili zalesi sifo
I-pancreatitis emakati ikhathazekile futhi ihlala isikhathi eside. Esimweni sokuqala, kungavela izimpawu eziphambili zokuthuthuka kwalesi sifo.
- Ukuhlanzwa njalo nezihlalo ezikhululekile;
- Umzimba wekati umanzi;
- Isilwane silapha ngokubukeka;
- Ukuphazamiseka kwesistimu yenhliziyo kuyabonakala;
- Ukushisa komzimba kuyenyuka;
- Kwezinye izimo, ukuphefumula kuyaphazamiseka;
- Ikati libuhlungu;
- Isikhumba sesilwane sithole i-tint ophuzi.
I-pancreatitis ye-acute Ikati livame ukukhula ngokumelene nesizinda sesifo esithile esinganakiwe hhayi nje kuphela ama-pancreas, kodwa nezinye izitho. Lapho ubuthi bungena emithanjeni yegazi, umzimba wonke uyathinteka.
I-pancreatitis engapheli ayinazo izimpawu eziphawuliwe. Ngakho-ke, abanikazi kungenzeka bangaboni ukuthuthukiswa kwalesi sifo iminyaka eminingi, bathatha umsebenzi ophansi wekati ngokukhathala noma imisindo yokuguga. Kulokhu, ikati lihlala ligeleza njalo, lihlala ligudla esiswini, lithebula okuthe xaxa koshizi ophuzi, izinwele ziphulukana nokuncipha nokuqina. Kuyadingeka ukubonana nodokotela wezilwane uma ikati linezimpawu ezinjengokuphamba ngemuva kokudla, ukuntuleka kokudla, izihlalo ezikhululekile, ukushaya kwenhliziyo okusheshayo, nokukhathala.
Izimbangela zesifo
Ngaphambi kokuqala ukwelashwa, kubalulekile ukuthola imbangela yalesi sifo ukuze ugweme ukwakhiwa kabusha kwe-pancreatitis esilwaneni. Ngale njongo, kwenziwa izivivinyo ezidingekayo bese kwenziwa ucwaningo oluningilizayo lwempilo yesilwane.
Izimbangela ezinkulu zalesi sifo emakati yilezi:
I-Pathology ngesikhathi sokuzalwa;
Isisindo ngokweqile noma esincane kakhulu esilwaneni;
Ukuguquguquka komzimba nge-calcium;
Ukuhamba ngenxa yokufakwa kumakhemikhali, izidakamizwa eziyingozi, utshwala nezinye izinto eziyingozi;
Ukuba khona kwezibungu, izifo fungal noma amagciwane;
Ukudabukela esifundeni sesisu ngenxa yokusebenza okungaphumelelanga;
Ukuvuvukala kwamathumbu noma ama-pancreas;
Ukuba khona kwezifo ezinjengesifo sikashukela, i-cholecystitis, izifo zesibindi nezinso.
Ezinhlafunweni zeqembu lasempumalanga, ubungozi bokuthola lesi sifo buphakeme kakhulu kunakwezinye izinhlobo zamakati. Lesi sifo singanda kakhulu ngesikhathi sokukhulelwa, izimo ezicindezelayo noma ngemuva kokushintsha uhlobo lokudla. I-pancreatitis iyatholakala, njengomthetho, kumakati amadala, uma lesi sifo singabangelwa ubuthi noma isifo esidlulayo.
Ukwelashwa kwe-pancreatitis emakati
Lesi sifo siyatholakala futhi selashwa ngokubamba iqhaza kukadokotela wezilwane. Uma, ngemuva kokudla, ikati likhulisa i-Reflex yokuhlanza, kuyadingeka ukumisa okwesikhashana ukondla kuze kuboniswe isilwane kudokotela.
Udokotela wezilwane ubeka iqoqo lezinyathelo ekwelapheni i-pancreatitis:
- Okokuqala, zonke izinto ezikhonjwayo zokuthuthuka kwalesi sifo ziyaqedwa;
- Umthamo wegazi ugcinwa esilwaneni;
- Ubuhlungu buyamiswa ukuze isimo sekati singabangeli ukwethuka;
- Izinyathelo zithathwa ukumisa i-gag reflex;
- Lapho kukhona izifo ezingamagciwane, ukwelashwa okufanele kwenziwa;
- Ngemuva kwalokhu, isilwane sinqunywe ngokudla okuyisipesheli kokudla ngezingxenye ezincane;
- Uma kwenzeka isifo sikashukela, ukwelashwa kwenziwa ngokuphatha i-insulin;
- Ngaphezu kwalokho, kwethulwa amalungiselelo e-enzymes e-pancreatic;
- Kusetshenziswa ama-antacid;
- Ukuqapha njalo isimo sesilwane, udinga ukuvakashela njalo udokotela wezilwane, uhlolwe igazi nomchamo, ubheke isisindo, ukulingana kwamanzi nempilo ejwayelekile yekati.
Ukucacisa lesi sifo, lesi silwane sabelwa ukuba senze i-ultrasound, x-ray, biopsy, gastroscopy. Umchamo negazi kuthathwa nokuhlaziywa okujwayelekile nokwenziwe ngamakhemikhali.
Uma izimpawu zalesi sifo zithambile futhi lesi sifo sisesigabeni sokuqala sokukhula, kudliwe isilwane esikhethekile sokudla. Ngokuhlanza, kuthathwa izidakamizwa ze-antiemetic bese kuthathwa umuthi wobuhlungu uma ikati lizwa izinhlungu.
Ngesikhathi sokufunda, izimbangela zesifo ziyacaciswa futhi udokotela wezilwane uthatha zonke izindlela zokuziqeda ngosizo lokwelashwa nangezinye izindlela.
Esimweni lapho i-pancreatitis isesigabeni esinokuthi singalashwa, abanikazi bayalwa ukuba bondle ikati ngokwendlela edliwayo futhi baqhubeke nenkambo yokwelashwa isilwane, lapho inqubo yokuvuvukala ivinjelwe ngamaphilisi okulwa namagciwane, izidakamizwa ziyathathwa ukuze zithuthukise uhlelo lwezinhliziyo, ama-corticosteroids nama-enzyme.
Ngendlela ebaluleke kakhulu yalesi sifo, lesi silwane selashwa ngokushesha ngemuva kokuxhumana nomtholampilo wezilwane ukuze ikati lingafi ngokushaqeka noma nge-sepsis. Ngosizo lwama-anesthetics, izidakamizwa ze-narcotic analgesic, isilwane sikhishwa ebuhlungwini obukhulu, ngemuva kwalokho inqubo yokubuyisa ibhalansi yamanzi esilwaneni yenziwa. Ukwenza lokhu, ama-dropper kanye nemijovo kusetshenziswa i-colloidal, usawoti nezinye izixazululo.
Ngosizo lwe-atropine kanye nezidakamizwa ezifanayo, secretion iyancishiswa, ezithinta kabi izitho zangaphakathi. Ama-hormone kanye ne-ribonuclease kungasusa i-puffness nokuvuvukala, futhi kuthinte ukusebenza kwamanyikwe.
Ukuphambanisa ubuthi nezinye izinto eziyingozi, udokotela wezilwane ubeka i-hardware noma i-detoxation yezidakamizwa. Uma lesi sifo sesiqalisiwe futhi kungenelelwa okuphuthumayo kuyadingeka, kwenziwa ukuhlinzwa ukuze kususwe i-purulent, necrotic ne-cystic foci ethintekile ezithweni.
Amathuba okuphulukisa i-pancreatitis
I-pancreatitis emakati iyindlela engenakuqondakala yesifo. Uma lesi sifo sisesigabeni sokuqala sokukhula, amathuba okuthola ukwelashwa okuphelele aphezulu. Ingozi ukuthi i-pancreatitis engalashwa ingaqhubeka futhi ngesimo esinamandla ngokwedlulele.
I-pancreatitis ekati ingaba yingozi ikakhulukazi uma isifo sikashukela, izinso noma isifo samathumbu sibhekwa. Esimweni esingapheli sesi sifo, kunikezwa imishanguzo yokuphila konke, engeke ilaphe ngokuphelele, kepha izosiza ekugwemeni ukwanda okukhulu.
