Ukwelashwa ngezidakamizwa kwe-pancreatitis kudume kakhulu, ngoba ngosizo lwayo kuphela olungenza ngcono isimo sesiguli. Ngaphambi kokuthi uqale ukuthatha noma imiphi imishanguzo, udinga ukubonana nochwepheshe.
I-pancreatitis yisifo sesitho esifana ne-pancreas. Lokhu kugula kungakhula ngenxa yokuthi umuntu wake wahlaselwa yisifo esithathelwanayo ngaphambili, futhi ngenxa yobukhona bokulimala, isilonda se-peptic, ngenxa yokuncika kotshwala noma ngokweqile.
Ngaphezu kwalokho, imbangela ingaba yifa. Izimpawu eziphambili zalokhu kugula zibandakanya lezi zimpawu ezilandelayo:
- asikho isifiso sokudla;
- isicanucanu
- ukoma
- ukwephulwa kokungalingani kwamagciwane.
Ukwelashwa kwe-pancreatitis ngezidakamizwa
Kufanele uthintane nodokotela, uhlolwe, ngenxa yalokho, udokotela uzonikeza ukwelashwa okudingayo ngemithi efanele.
Ukwelashwa kwezidakamizwa kungasuselwa ekusetshenzisweni kwezinhlanganisela ezahlukahlukene zezidakamizwa, umthamo wazo onqunywa wodwa.
Odokotela banquma imali ngesimo samaphilisi, ama-microgranules. Lezi zinhlobo zezidakamizwa zinezenzo ezisheshayo ngokweqile.
Ngenxa yokwelashwa ngokusetshenziswa kwamadivaysi ezokwelapha, kungenzeka ukuthi ususe izibonakaliso ezithile zalesi sifo, ngokwesibonelo, isifo sohudo, esingavela ngenxa yezinqubo zokuvuvukala esidlekeni kanye nokumiselwa kabi kwamafutha.
Ukwelashwa kwezifo, kusetshenziswa inkimbinkimbi yezindlela zokwelapha, kubandakanya:
- ama-enzyme inhibitors
- ama-antibacterial agents
- Ama-enzyme
- izidakamizwa ze-antispasmodic ne-anticholinergic,
- I-H2 blockers
- ama-antacid.
Ama-inhibitors (ama-blockers) ama-enzymes we-pancreatic.
Ama-enzyme inhibitors (kontrikal, gordok, trasilol, antagozan) asetshenziselwa ukunciphisa umsebenzi wamaprotheni we-pancreatic, obangela ukuvuvukala nokusakazeka kwama-pathologies.
Lezi zimali zenziwa ngamanyikwe kanye ne-pulmonary parenchyma yezilwane. Okuphumelela kakhulu ukusetshenziswa kwama-enzyme inhibitors ngosuku lokuqala lwesifo.
Ama-antibacterial agents.
Lawa ma-ejenti kuthiwa anciphisa izinqubo zokuvuvukala kumanyikwe kanye nasezicutshini eziseduze, kanye nasezithweni ezilimele.
Ngosizo lwemithi elwa namagciwane, ungagwema:
- i-pancreatic pancreatic necrosis;
- ukuvuvukala okuhlanzekile kwesikhwama sokufakelwa;
- ukuvuvukala kwe-peritoneum;
- ukubola kwesikhala se-cellulitis cellulose
Faka ama-antibiotic ngemiphumela ehlukahlukene. Lokhu kufaka phakathi: i-cephalosporin, i-penicillin, i-fluoroquinolone, i-macrolide.
Enzymes
Lawa ma-ejenti aqukethe ama-enzymes e-pancreatic afana ne-lipase, amylase, ne-proteinase: i-pancectin, i-creon, i-pancurmen, i-festal, i-enzistal ne-panzinorm.
Ukwelashwa ngamadivayisi anjalo wezokwelapha kunemiphumela elandelayo emzimbeni:
- calms pancreas;
- kukhuthaza ukutholwa okungcono kwamaprotheni, amafutha kanye nama-carbohydrate;
- kuthuthukisa ukugaya ukudla;
- kuqeda i-dyspepsia.
Izidakamizwa ze-antispasmodic.
Ngokukhishwa kwemisipha ebushelelezi, ehambisana nezinqubo ze-pathological ku-duct ye-bile nokusebenza okulimazekile kwecala le-fibro-muscular, kuba nesidingo sokuthatha i-antispasmodics.
Ama-contraction avela ngenxa yokungasebenzi kahle kwama-sphincters e-pancreatic duct, okwenza kube nzima ukuthola ujusi we-pancreatic kwi-duodenum.
Njengomthetho, basebenzisa izidakamizwa ze-antispasmodic:
- mebeverin
- papaverine
- cha-shpa
- drotaverinum
- i-spasmodic
- ubambo
- spasmol.
Izidakamizwa ze-Anticholinergic
Amandla amakhulu wezidakamizwa ze-anticholinergic ukunciphisa imiphumela yezakhi ze-acetylcholine ne-cholinomimetic.
Kunezinhlobo ezinjalo zama-anticholinergics: ama-nicotinolytics nama-muscarinolytics. Ukwelashwa kwe-pancreatitis engapheli, njengomthetho, ama-muscarinolytics asetshenziswa: i-pirenzepine, i-gastril, i-gastrosipine.
Izidakamizwa ze-Cholinolytic zivimba izinqubo ze-pathological ku-cortex ye-cerebral kanye ne-ganglia, lokhu kubangela ukwehla kwesivinini se-neuromuscular synapse, ngenkathi umsebenzi wabo usenziwa ngendlela ejwayelekile, futhi nezinqubo zokuhanjiswa kwezimoto zithuthuka.
Izidakamizwa zeCholinolytic:
- i-metacin
- atropine
- platyphyllin
- chlorazine
- antispasmodic.
Lezi zidakamizwa zivame ukusetshenziswa njengama-antispasmodics asebenzayo.
Ama-antacid
Lezi izidakamizwa okubalwa kuzo ukwelashwa kwezifo ezincike ku-acid emgudwini wesisu ukuze kuhlukaniswe i-hydrochloric acid yejusi yesisu.
Ukwakheka okwandayo kwe-hydrochloric acid kuthuthukisa ukucasulwa kwamanyikwe, ngenxa yalesi sizathu, ngesimo esingelapheki se-pancreatitis, ama-ejenti asetshenziswa anciphisa ukugcinwa kwesisu, okunciphisa umphumela we-hydrochloric acid.
Ama-antacid yilawo adonswa ngumzimba futhi angamunwa. Ukusuka kwi-pancreatitis, izidakamizwa ezingama-antacid ezingangeneki kuthiwa:
- i-alumag
- I-Almagel
- maalox,
- i-altacid
- maalucol,
- gastracid
- intende yesandla.
Lawa ma-antacid aqukethe izinto ezinjenge-aluminium ne-magnesium, ezingabamba i-pepsin, i-lysolecithin, i-bile acid, futhi zivikele.
Ekwelapheni i-pancreatitis, ama-antacid awasetshenziswa ngokuhlukile kuma-inhibitors.
I-blockers-H2
Ngomsebenzi we-antisecretory, ama-H2-blockers asetshenziswa:
- i-ranitidine
- i-femotidine
- nizatidine.
Ukwelashwa kwe-antisecretory kusetshenziselwa ukunciphisa ukwakheka kwe-acid ngesisu, ngoba i-hydrochloric acid iyona nto eyinhloko ekwakhiweni kwe-secinin, ebandakanyeka ekudaleni usawoti we-bicarbonate yi-epithelium ye-pancreatic ducts.
Ngenxa yalokhu, ukuncipha kwevolumu ye-acid, kanye nosawoti we-bicarbonate, kwenyusa ukusebenza kwezokwelapha.
Izici Zokwelapha
Ukwelapha i-pancreatitis kunqunywa kuphela ngawodwana, njengoba kunjalo nangendlela yokwelapha i-pancreatitis ngemithi.
Ukwelashwa kwezidakamizwa kwe-pancreatitis kufanele kwenziwe ngokuhambisana nokuphumula okuqinile kombhede, ukudla okuhlukile, ikakhulukazi nokudla okwandayo kwemikhiqizo yamaprotheni. Isiguli kufanele sinamathele kulokhu kudla okungenani izinsuku ezingama-21.
Lapho isiguli sinokuqhakaza inkambo yalesi sifo, khona-ke ukulambela izinsuku ezimbalwa kungamsiza, kubaluleke kakhulu ukuya ekwelashweni ngokufanele uma kuyi-pancreatitis eyingozi ezinganeni.
Uma ukungasebenzi kahle kwe-gland kukhulu kakhulu, kwesinye isikhathi kunzima ukugwema ukuhlinzwa. Ngemuva kwalokho, i-laparoscopy isetshenziselwa ukwelapha i-pancreatitis.
Ukwelashwa okulekelelayo kungenzeka kudingekile ekwelashweni kwalesi sifo. Ngemuva kwalokho umuthi wokwelapha i-pancreatitis uqukethe ukuthatha umuthi onjenge-pancreatin. Njengomthetho, kuthathwa isikhathi eside. Isiguli nsuku zonke futhi siphindaphindeka sisebenzisa lo muthi.
Ibuye isetshenziselwe ukwelapha i-pancreatitis:
- izidakamizwa ze-choleretic;
- ama-enveloper agents;
- izidakamizwa ze-hormonal zohlobo lwe-anabolic ne-steroid.
Kungenzeka ukuthatha izidakamizwa ezinjenge-mezim-forte, festal.
Lapho kwenzeka izinhlungu ezinzima, odokotela, njengomthetho, banezici ezikhethekile zama-antienzyme.
Ukusetshenziswa kwezidakamizwa ze-antispasmodic, ama-analgesics nakho kuvame ukuba yindlela ephumelelayo yokwelapha i-pancreatitis.
