Ukuvuvukala kwepancreatic, okwaziwa emphakathini wezokwelapha ngokuthi i-pancreatitis, ngesinye sezifo ezivame kakhulu ezweni lanamuhla. Njengezinye izifo eziningi zohlelo lokugaya ukudla, kungenzeka ngesimo esibuhlungu noma esingamahlalakhona, futhi uphawu lwaso oluphambili Ubuhlungu besisu.
Ubuhlungu obenzeka nge-pancreatitis bunikeza umuzwa omningi ongemuhle esigulini, futhi ngezinye izikhathi baba namandla kakhulu futhi bangabekezeleli kangangokuba kungaholela ekulahlekelweni yimizwa. Ukuze udambise isimo somuntu, udinga ukwazi ukuthi ungabuyisa kanjani futhi kanjani ubuhlungu be-pancreatitis.
Indlela yokusebenza kobuhlungu
Ukuqina, imvelo nokwasekhaya kobuhlungu ku-pancreatitis kuthintwa izinqubo eziningi ezenzeka ezicutshini zepancreas - ukuphazamiseka kanye nokulimazeka kweziqubu zayo, ischemia, ushintsho lwe-dystrophic. Kodwa-ke, njengoba iningi leziguli liphawula, izinhlungu zenzeka imizuzu engama-30 ngemuva kokudla.
Kwi-pancreatitis eyingozi, kubuhlungu ukubekezelela ukubhaka, okwandisa umzuzu ngamunye. Izindlela zendabuko zokunikeza izinhlungu azimsizi umuntu - noma "i-embyo pose" noma isikhundla sokuhlala. Imvamisa Ubuhlungu butholakala ngaphakathi esiswini esingaphezulu, kwesinye isikhathi kwi-hypochondrium yangakwesobunxele.
Isibonakaliso esiyinhloko se-pancreatitis esibuhlungu Ubuhlungu obungazelelwe, obukhula ngokushesha. Futhi, indlela ebaluleke kakhulu yesi sifo ingahambisana nezimpawu ezilandelayo:
- ukwanda kokushisa komzimba;
- ukukhuphuka kwenhliziyo;
- isicanucanu nokuhlanza.
Ngendlela engapheli yesifo somuntu, Ubuhlungu bamazinga ahlukahlukene, okungabekwa endaweni yesisu ephezulu, emuva ngisho nokudla, kuvame ukuphazamisa. Imvamisa izinhlungu ziba zimbi kakhulu ngemuva kokudla noma ukuphuza utshwala.
Kwesinye isikhathi kuyenzeka ukuthi emva kokubuhlungu obukhulu kufike impumuzo. Akufanele uthokoze kusengaphambili, ngoba lesi simo singase sibe uphawu lwe-necrosis yendawo enkulu yamapancreas.
Izici ezinjengalezi zingavusa ukuhlaselwa ngamandla kwe-pancreatitis:
- ukungondleki kanye nokudla ngokweqile;
- ukuphuza utshwala;
- ukubhebhetheka kwezifo zamapheshana emathunjini;
- ukuthatha imishanguzo ethile;
- ubuthi;
- ukuhlukumezeka emgodini wesisu;
- ukucindezela
Ungasusa kanjani ukuhlaselwa kwe-pancreatitis ekhaya?
Ubuhlungu ngokuhlaselwa yi-pancreatitis kwenzeka ngokuzumayo. Lokhu kungenzeka ekhaya, emsebenzini, kwezokuhamba noma ezweni. Uma ungenawo umuthi ofanele osusondele, ungasusa amandla futhi udambise isimo sesiguli usebenzisa amasu alula.
Endabeni yokuqanjwa kwesimo esibi sesi sifo, indlela efanelekile nephephe kakhulu yokuqedwa kobuhlungu kungaba ukufakwa kwesigaxa seqhwa esiswini. Kodwa-ke, kwezinye izikhathi, i-bubble yeqhwa ingangeza kuphela ama-vasospasms futhi iphazamise ukusebenza kwesitho esinegciwane, ngaleyo ndlela idale ukuhlaselwa kobuhlungu obukhulu nobukhulu.
Futhi kulesi simo, isiguli siyanconywa:
- ahlinzeke ukuthula ngokomzimba nangokomzwelo;
- thatha isikhundla sokuhlala ntofontofo noma isikhundla sokuhlala;
- yenqaba ngokuphelele ukudla;
- ukuphefumula okungajulile, okukuvumela ukuthi unciphise ubuhlungu;
- thatha ama-analgesics aqeda izinhlungu;
- shayela iqembu labasebenza ngama-ambulensi.
Ngokuhlasela kwe-pancreatitis ebaluleke kakhulu, akufanele wenqabele ukulaliswa esibhedlela, ngoba umphumela wokuhlinzekelwa okungazelelwe kwezokwelashwa kungaholela ekuphumeni kwegazi kwangaphakathi
Uma kwenzeka kwanda ukuvuvukala okungamahlalakhona kwama-pancreas, isiguli singanconywa ukuthatha ama-analgesics angewona ama-steroidal. Okokuqala, sikhuluma ngezidakamizwa ezifana neParacetamol, i-No-spa, i-Ibuprofen, i-Diclofenac.
Isikhundla esibuyela emuva noma okubizwa nge- "umbungu pose" (ukuqinisa imilenze esifubeni) kungasidambisa isimo sesiguli. Kodwa-ke, isilinganiso esiyinhloko sokuvimbela ubuhlungu be-pancreatitis yisidlo, esinikeza ukwenqatshwa okuphelele kokudla okuthosiwe, okunamafutha, okunezipayisi nokunosawoti, imikhiqizo kafulawa neyokubhakwa, iziphuzo ezidakayo.
Indlela ephumelelayo yokuvimbela i-pancreatitis ekhulayo ukuzila ukudla okwenziwa izinsuku ezintathu, lapho kuvunyelwe ukusetshenziswa kwamaminerali amanzi netiye noju.
Ukulandela ukudla kuzosiza ukubuyisela umsebenzi wesitho esinegciwane futhi kususe kancane kancane ubuhlungu obukhulu
I-Yoga namanye amadivaysi ezokwelapha anegalelo ekunciphiseni kwezinhlungu nge-pancreatitis ekhulayo, noma kunjalo, lezi zindlela kufanele zisetshenziswe ngokucophelela kakhulu futhi kuphela ngemvume kadokotela.
Ama-painkiller we-pancreatitis engapheli
Ukuphendula umbuzo wokuthi yiziphi izidakamizwa ezingabekelwa i-pancreatitis, ama-gastroenterologists aqaphela ukuthi ukukhethwa kwemithi ngokuqondile kuncike ebangeni lokulimala kwe-pancreatic kanye nobukhulu bobuhlungu.
Ukudambisa izinhlungu nokwelashwa okuyinkimbinkimbi kwe-pancreatitis exacerbated chronic, kungcono ukusebenzisa amaqembu alandelayo emithi.
Ama-enzymes we-pancreatic
Ngokuphikisana nesizinda sokuvuvukala okungapheli kwama-pancreas, isiguli singaba nezifo ezihambelanayo. Isibonelo, ukuswelakala kwe-pancreatic enzyme. Uma lokhu kwenzeka, udokotela unquma amalungiselelo e-enzyme angenza inqubo yokugaya ijwayelekile futhi asheshise kakhulu ukubuyiselwa kwemisebenzi ye-pancreatic.
Ama-enzymes yizinto ezisebenza ngokuphila ezithuthukisa inqubo yokuguqula ukudla.
Ukulungiselela i-enzyme zezinhlobo ezintathu:
I-pancreatitis kanye nesifo sikashukela- I-single-shell (Pancreatin, Mezim) - ikuvumela ukuthi unciphise inqubo yokuzigaya kwamanyikwe futhi unciphise ukuvuvukala. Isetshenziselwa izinhlungu ezinkulu.
- Amagobolondo amabili (i-Pancytrate, i-Creon) - evikelwe igobolondo elivimbelana ne-acid, ebavumela ukuthi baxube ngokulinganayo nokudla futhi bathuthukise ukugaya kwayo.
- Kuhlanganisiwe (i-Dimethicone, i-Festal) - kube nomphumela ohlanganisiwe kumanyikwe, kuthuthukise ukugaya ukudla, kuqede ubumbano kanye nokuqhakaza.
Amalungiselelo e-enzyme ahlanganisiwe we-pancreatitis exacerbated kufanele asetshenziswe ngokucophelela, ngoba ama-bile acid akwisimo sawo angasebenza umsebenzi owenziwe ngcono wamanyikwe, ngaleyo ndlela izinhlungu ezanda ukwanda
I-Somatostatin kanye nama-analogues ayo
I-hormone somatostatin iyakwazi ukunciphisa masinyane izinhlungu emzimbeni wonke, kufaka phakathi nokunciphisa izinhlungu kumanyikwe. I-analogue ejwayelekile kakhulu yale hormone yi-Octreotide. Ngisho nokusetshenziswa kwesikhashana kwalesi sidakamizwa kukuvumela ukuthi udambise izinhlungu nge-pancreatitis ngokushesha nangendlela efanele. Kodwa-ke, lo muthi unemiphumela emibi eminingi futhi unqunyelwe abadala kuphela.
I-Histamine receptor blockers
Lezi izidakamizwa ezinciphisa ukukhiqizwa kwe-hydrochloric acid. Isidakamizwa esidume kakhulu kuleli qembu yi-Famotidine. Amathebulethi abunobuncane be-contraindication futhi avimbela kahle ukukhishwa kwe-hydrochloric acid.
I-Proton pump inhibitors
Njengokuvimbela izidakamizwa, i-proton pump inhibitors ivimbela ukukhishwa kwe-hydrochloric acid futhi ayinayo imiphumela emibi. Izidakamizwa ezinje zifaka u-Esocar, uLansoprazole nabanye.
Ama-painkiller e-pancreatitis acute
Njengoba indlela ebandayo ye-pancreatitis ihambisana nobuhlungu obukhulu, umsebenzi oyinhloko wokuhlinzeka ukunakekelwa kwezokwelapha i-anesthesia.
Ngale njongo, ungasebenzisa:
- ama-analgesics;
- antispasmodics;
- izidakamizwa ze-narcotic nezengqondo.
Imijovo
Kungenzeka ukuthi udambise ngokushesha izinhlungu ku-pancreatitis eyingozi usebenzisa ama-analgesics angewona ama-steroidal, alawulwa nge-intramuscularly. Okokuqala, sikhuluma ngeNo-shpe, Atropine, Analgin neParacetamol. Le mishanguzo ivame ukubekwa ngama-antihistamines (diphenhydramine noma i-Suprastin).
Uma imali ebhalwe ohlwini ibingasebenzi futhi nobuhlungu buqhubeka banda, isiguli singabekelwa izidakamizwa. Ngakho-ke, izidakamizwa ezifana neTramadol, i-Promedol noma i-Omnopol zizosiza ukubhekana nobuhlungu obukhulu kakhulu ngesikhathi sokwanda kwe-pancreatitis.
Ama-painkillers aqinile e-pancreatitis angasetshenziswa kuphela njengoba kuyalelwe udokotela futhi kusesibhedlela kuphela
Amaphilisi
Amaphilisi ngesimo esibi sesifo anqunyelwe ukubuyisela umsebenzi we-pancreatic. Bakhethwa ngudokotela uqobo kwisiguli ngasinye, kuye ngezinga lomonakalo wamanyikwe kanye nokuba khona kwezifo ezihlangene.
Imvamisa, iziguli zinikezwa ama-diuretics ukuthi anciphise ukudakwa komzimba, izidakamizwa zokunciphisa umsebenzi wama-enzyme, ama-antibiotic uma kungenzeka ukuthi utheleleke ngegciwane, i-hepatoprotectors ukugcina umsebenzi wesibindi, izidakamizwa ezilwa nezilonda kanye nemithi yokuqinisa ejwayelekile.
Ama-antispasmodics
Izidakwamizwa ze-antispasmodic zenzelwe ukudambisa ngokushesha futhi ngokuphepha imithambeka ku-pancreatitis eyingozi futhi iqede nobuhlungu obumnene. Leli qembu lezidakamizwa lifaka i-Papaverine, uPlifillin, i-Atropine.
Ukususa ukuhlaselwa kobuhlungu ku-pancreatitis ebukhali enama-painkillers kungaba nemiphumela emibi esigulini, ngoba isithombe somtholampilo kuleli cala singafiphala futhi udokotela ngeke akwazi ukusithola kahle.
Ngakho-ke, uma uzwa ngisho nobuhlungu obuncane nge-pancreatitis, kufanele uthintane nodokotela ukuze akusize, ngoba ukuzelapha ngokwakho esimweni esinjalo kungaba yingozi enkulu. Yiba nempilo!
