I-Pancreatic Exacerbation

Ama-pancreas emzimbeni womuntu enza imisebenzi eminingi. Okunye okubaluleke kakhulu ukukhiqizwa kwama-enzyme abamba iqhaza kakhulu ekuqhekekeni kwamafutha, amaprotheni nama-carbohydrate eza nokudla. Kodwa-ke, ngaphansi kwethonya lezinto eziningi ezingezinhle (ukusetshenziswa kabi kotshwala, isifo se-gallstone), lo msebenzi we-pancreatic ungaphazamiseka. Njengomphumela walokhu, ukuphuma kwejusi yokugaya kuhlulekile, ingxenye yamanenjana iyawa, ukuvuvukala kwayo kuqala, futhi ikhula i-pancreatitis.

Njengezinye izifo eziningi zokuvuvukala, i-pancreatitis yenzeka isikhathi eside - izinkathi zokuxolelwa ziyahlangana nezikhathi zokwanda. Njengomthetho, ukwanda kwama-pancreas kuyinkathi yezikhathi futhi kuwa ngesikhathi sekwindla-sentwasahlobo.

Izizathu

Kunezimbangela eziningi zokwanda kwamanyikwe. Kodwa-ke, ukuvama kakhulu kwe-pancreatitis kwenzeka ngenxa yalokhu:

• ukusetshenziswa kabi kotshwala;
• izinkinga zokudla;
• ukuthatha imishanguzo ethile;
• ubuthi;
• ukwanda kwesifo se-gallstone;
• izingcindezi nemizwa eqinile;
• izifo ezithinta umzimba.

Ngesikhathi sokukhanyiswa kwama-pancreas, umsebenzi wama-enzymes uyanda, ngaphansi kwethonya lapho izicubu nezindonga zesitho esinegciwane ziba nolaka, ukuvuvukala kanye nobuhlungu obukhulu emgodini wesisu.

Kwesinye isikhathi ukuqedwa kwezici ezicasulayo kusiza ukubhekana ngokushesha nokuhlaselwa kwe-pancreatitis, noma kunjalo, uhlobo olunolaka lokulimala kwe-pancreatic lungalashwa kuphela esibhedlela.

Izimpawu

Izimpawu zokwanda kwama-pancreas zingahlanganiswa nezimpawu zezinye izifo zohlelo lokugaya ukudla, kodwa akunakwenzeka ukuba ungazinaka. Isiguli siphazanyiswa ubuhlungu obukhulu besisu, uhudo kanye nokuhlanza kuqala, okunzima ukuyeka.

Izimpawu ezivelele kakhulu ze-pancreatitis yilezi:

• ubuhlungu obukhulu ngakwesobunxele, lufinyelela emuva emuva noma kwehlombe;
• isifo sohudo
• isicanucanu nokuhlanza
• umunyu emlonyeni;
• umkhuhlane, ukuphefumula komoya kanye nokubanda;
• ukunciphisa umzimba.

Isibonakaliso esiyingozi kakhulu nesingathi sína ukwanda kokushisa komzimba kumazinga abucayi, ahambisana nokubanda. Isibonakaliso esifanayo sivame ukukhombisa ukukhula kwesibili kokuvuvukala, okuvame ukuphela ngokukhipha kwangaphakathi.

Ukuqhakaza, ukuguquka kwesitulo, ubuhlungu besisu - lezi yizimpawu zokuqala zokwanda kwamanyikwe

Kuqhubeka isikhathi eside kangakanani ukwanda kwe-pancreatitis engapheli?

Uhlobo olungapheli lwesifo se-pancreatic lubonakala isikhathi eside sokwanda. Imvamisa, isikhathi sokwanda sithatha izinsuku ezi-5 kuye kwezingu-7, kepha esimweni se-pathology esinzima, isikhathi sesigaba esibuhlungu singaba yizinsuku eziyi-10-14.

Isikhathi eside sokukhukhumeza sichazwa ukungakwazi kwamakhanse ukulungisa ngokushesha izicubu ezonakele nemisebenzi engasebenzi. Kungakho, ngisho nasezimpawu zokuqala zesifo, isiguli kufanele sibonane nodokotela.

Ukuxilonga

Isimo samanyikwe, isilinganiso sokulimala kwezicubu nemisebenzi yaso kunqunywa kusetshenziswa izindlela ezahlukahlukene zokucwaninga. Ikakhulu, isiguli sinqunyelwe:

• ukuhlaziywa okujwayelekile kwegazi nomchamo;
• I-Ultrasound yesibeletho sesisu;
• i-gastroscopy;
• imaging magnetic resonance.

Ukuthola ngokufanele ukwanda kwe-pancreas kuphela ngokusebenzisa okuhlanganisiwe kwezindlela ezahlukahlukene zokucwaninga

Ukuthi wenzeni nge-exacerbation?

Endabeni yokuphinde ubuye futhi ngokushesha kwesifo, kubuhlungu kakhulu, okunomlingiswa owandayo. Umphumela wezinhlungu ezinzima kungaba ukulahlekelwa ukwazi kanye nokushaqeka kobuhlungu, ngakho-ke umuntu udinga ukulaliswa esibhedlela ngokuphuthumayo.

Ukuthi wenzeni ngokwanda kwamanyikwe?

• Nikeza isiguli ukuthula okuphelele. Kunconywe ukuthi umuntu ozwa izinhlungu athathe isikhundla sokuhlala phansi noma sokuphinda aqumbe. Lokhu kuzosiza ukunciphisa ukuhamba kwegazi emzimbeni wesitho esinegciwane, futhi ngenxa yalokho, kwehlise ukukhula kwenqubo yokuvuvukala.
• Ungadli. Ezinsukwini ezintathu, isiguli kungcono ukwenqaba ukudla noma yimiphi imikhiqizo. Lokhu kuzosiza ukunciphisa ukukhiqizwa kwama-enzyme.
• Faka isicelo sokubandayo esithweni esinegciwane. Iphakethe lokushisa lokubandayo noma iqhwa kuzosiza ukudambisa ukuvuvuka nobuhlungu.
• Thatha ama-antispasmodics.

Indlala, ukuthula nokubanda kuyizimo eziphambili zokunciphisa ukubhebhetheka kwe-pancreatitis

Yini ukwelapha?

Ukwelashwa kwesigaba esibuhlungu se-pancreatitis, esenziwa esibhedlela, kusetshenziswa uhla lonke lwezidakamizwa.

Injongo eyinhloko yokwelashwa kwezidakamizwa:

• dambisa izinhlungu;
• buyisela umsebenzi we-pancreatic;
• qeda izifo ezihlangene.

Ngale njongo, kungakuhle ukuthi usebenzise izidakamizwa ezilandelayo:

Ama-antispasmodics

I-pancreatitis kanye nesifo sikashukela

Isibonakaliso esikhulu sokuhlaselwa kwe-pancreatitis Ubuhlungu. Kwesinye isikhathi izinhlungu ziba zinkulu kangangokuba kube nzima ukubekezelela. Izidakamizwa ezivela eqenjini le-antispasmodics ezine-vasodilating ne-myotropic effect zizosiza ekudambiseni isimo somuntu.

Ukususa ngokushesha izinhlungu nge-pancreatitis ekhulayo, kungcono ukusebenzisa ama-antispasmodics angahlashelwa. Isibonelo, kungaba yi-No-shpa noma i-Papaverin. Le mishanguzo inemiphumela emibi emincane. Ngokuphathwa kwe-intravenous kwalezi zidakamizwa, umphumela wazo uqala ngaso leso sikhathi, okubaluleke kakhulu esimweni sokusebenza kwengqondo kwesiguli, okuthi isekhondi ngalinye ligcwele izinhlungu ezinzima.

Kodwa-ke, bobabili uPatverine no-No-shpa banesikhathi esifushane. IPlatifillin izosiza ukudambisa izinhlungu ezinzima isikhathi eside, kepha uma iqhathaniswa nezinye izidakamizwa ze-antispasmodic, inezindlela eziningi eziphikisayo nemiphumela emibi.

Uma kwenzeka ukushaqeka kobuhlungu, ama-narcotic painkiller asetshenziswa.

Ukulungiselela i-enzyme

Ukwanda kwe-pancreatitis kuvame ukuhambisana nokushoda kwe-enzyme. Ngakho-ke, amalungiselelo e-enzyme anendawo ebalulekile ekwelapheni i-pancreas. Zingahlukaniswa ngamaqembu amaningana:

• Ama-single-shell (Penzital, Mezim, Pancreatin) - ayakwazi ukunciphisa ijubane lomsebenzi wamanyikwe, anciphise ukuvuvukala futhi anciphise izinhlungu.
• Amagobolondo amabili (Pantsitrat, Creon) - ambozwe ngegobolondo elivimbelana ne-acid.

Amanye amalungiselelo we-enzyme (i-Digestal, amaphilisi we-Festal) angahle athathwe kumanyikwe ngesikhathi sokuqhuma kwe-pancreatitis, ngoba aqukethe izakhi ze-bile ezikhuthaza umsebenzi we-pancreatic, ngaleyo ndlela ziqinisa izinhlungu.

Eminye imishanguzo

Ngokuphikisana nesizinda sokukhula kwesigaba se-pancreatitis esibuhlungu, isiguli singaba nezifo ezihambisanayo. Ngakho-ke, ukwelashwa okwandisa i-pancreatitis engapheli kubanda hhayi ekubuyiselweni kwemisebenzi ye-pancreatic, kodwa nasekugcinweni kwezinye izitho zomzimba. Ngale njongo, ama-histamine receptor blockers nama-antacid (i-Almagel, Fosfalugel) asetshenziselwa ukunciphisa ukukhiqizwa kwe-hydrochloric acid esiswini, izidakamizwa ze-choleretic, kanye nemithi elwa namagciwane uma kungenzeka ukuthi kunegciwane.

Yonke imishanguzo efakwe kuhlu inqunywe ngudokotela, futhi umthamo wazo ukhethwa ngawodwa esigulini ngasinye.

Ukuphendula umbuzo wokuthi ungaphatha kanjani ukwanda kwama-pancreas esimweni lapho izindlela zokugcina zingasebenzi futhi kunengozi ekhulayo yezinkinga ezinkulu, ochwepheshe baphawula ukuthi lezi ziguli zinendlela eyodwa - ukungenelela kokuhlinzwa.

I-pancreatitis ekhulayo ibeka engcupheni impilo yeziguli, ngakho-ke, idinga ukunakekelwa kwasesibhedlela ngokushesha

Ukudla okunempilo okwandayo kwama-pancreas

Isimo esiyinhloko sokususa izimpawu ezingemnandi ngesikhathi sokukhipha i-pancreas ukudla. Njengomthetho, iziguli zabelwa inombolo yetafula 5.

Isiguli sivunyelwe ukudla ukudla okune-protein eningi (inyama enamafutha amancane nenhlanzi), ukudla okusanhlamvu okuphukiwe, ukuphuza itiye kanye nomhluzi we-rosehip. Zonke izitsha kufanele zithambe futhi zinikezwe isiguli ngesimo esigcotshisiwe noma esichotshoziwe.

Ukudla kanye nokudla okufanele - isimo esiyinhloko sokwelashwa okuphumelelayo kokuvuvukala kwe-pancreatic nokuvinjelwa kwawo

Uhlu lokudla okwenqatshelwe okungenakudliwa ngokubhebhetheka kwe-pancreatitis lubandakanya:

• ukubhema inyama, amasoseji;
• ukudla okusemathinini;
• umhluzi wenyama oqinile;
• isithako sezipayisi, amasoso nezinongo;
• amakhowe;
• cocoa, ikofi, iziphuzo ezinekhabhoni;
• imikhiqizo yobisi enamafutha (ushizi wekotishi, ukhilimu omuncu, ukhilimu);
• ukudla okusheshayo (amantongomane, ama-chip, ama-pistachios).

Ngaphandle kohlu olubanzi lwemikhawulo, imenyu yesiguli kufanele ihluka futhi ilinganiswe, i.e. akufanele ifake okusanhlamvu kuphela, kepha futhi nezinhlobo ezinamafutha amancane enhlanzi nenyama, ezicebile ngamaprotheni namavithamini.

Ukwelashwa okuhlukile

Kunombono wokuthi i-pancreatitis ingalapheka ekhaya ngosizo lwamakhambi abantu. Kodwa-ke, i-gastroenterologists yanamuhla iphikelela ukuthi ukusetshenziswa kwamakhambi ahlukahlukene kanye nezitshalo zokwelapha kungazuza futhi kuthuthukise ukusebenza kwe-pancreatic kuphela kwi-pancreatitis engapheli. Ukusebenzisa izindlela ezinjalo esigabeni esimbi kwesinye isikhathi akuyona nje into engenamsebenzi, kodwa futhi kuyingozi.

Ukuhlola izinhlobonhlobo zamakhambi kanye ne-infusions ngesikhathi sokukhukhumala, ungalahlekelwa isikhathi esiyigugu bese uphuthelwa ithuba lokubuyisa ngokushesha yonke imisebenzi yesitho esinegciwane.

Kodwa-ke, njengoba ochwepheshe banamuhla bephawula, ezinye izindlela zingasetshenziswa ukuqeda izimpawu ezihlangene. Ngakho-ke, ukwenza kusebenze ukuphuma kwe-bile futhi wenze kube lula ukusebenza kwesibindi, ungasebenzisa amabala okugaya, i-dogrose, i-dieelle. Futhi ukuthuthukisa isimo sengqondo sesiguli, ama-decoctions we-chamomile, ama-linden kanye nama-mint ahamba kahle kakhulu.

Ukuvimbela

Ukuze uvikele ukwanda kwe-pancreatitis engapheli, ochwepheshe be-gastroenterologists batusa:

• landela inombolo yokudla 5;
• yeka ngokuphelele ukusetshenziswa kotshwala;
• zivivinya njalo futhi uvakashele udokotela;
• phila impilo enempilo;
• lawula i-cholesterol noshukela wegazi;
• thatha amalungiselelo e-enzyme anqunywe udokotela wakho;
• qeda imiphumela enobuthi emzimbeni wokudla okungalawulwa kwemithi;
• ukwenza ukwelashwa ezikhungweni zephrofayli elihambisanayo.

Izinkinga nemiphumela engaba khona

Ngokwayo, i-pancreatitis engamahlalakhona inomphumela omubi kuwo wonke umzimba womuntu. Kodwa-ke, izikhathi ezivamisile futhi ezivikelekile zokuxhamazela ziyingozi kakhulu, ukwelashwa okungafanele okungabangela:

• ukuthuthukiswa kwesilonda se-peptic;
• ukuvela kwama-fistulas ezicutshini zesitho;
• ukuvela kwe-cystosis;
• ukuvuvukala kwe-peritoneum;
• isifo sikashukela mellitus;
• ukubonakala kwezimbila ezinesihlungu.

Futhi nokho, naphezu kweqiniso lokuthi ukuhlaselwa kwe-pancreatitis kuthathwa njengesimo esibucayi se-pathological, ukunamathela ngokuqinile kwizincomo zikadokotela, ukuphuza njalo izidakamizwa ezinqunyiwe, ukudla okulinganiselayo nokwenqaba imikhuba emibi kungadala ukuthethelelwa okuzinzile futhi kusize umuntu akhohlwe ngobuhlungu obubuhlungu nezimpawu ezingezinhle ezihambisana nakho isikhathi eside. ukwanda kwamanyikwe.