Ukuphazamiseka ekusebenzeni kwesitho sohlelo lokugaya olwenza imisebenzi ye-endocrine kungenzeka ngenxa yezifo zesisu kanye ne-duodenum, ipheshana lesibindi kanye nesibindi, kanye nokudla ngokweqile okuhleliwe. Ama-Pathologies awaholeli nje kushukela. Ngokulashwa okungalungile, i-peritonitis, i-abscess, i-gland cysts iyakhula. Ungazihlukanisa kanjani izinkomba, ukukhomba izimbangela ze-pancreatitis ebabayo futhi engamahlalakhona? Yimiphi imithi yokwelapha ukuvuvukala kwe-pancreatic enganikeza usizo olusebenzayo?
Iqiniso lokuthi ukwelashwa okungcono kakhulu kwalesi sifo ukuvikelwa kwalo akunakuphikwa. Ukuvuvukala kwepancreatic kungenzeka ngesimo esibuhlungu noma esingamahlalakhona. Isitho sohlelo lokugaya silalela ukungondleki okungajwayelekile futhi okungekho emthethweni.
Izinqubo zokuvuvukala ezibizwa ngokuthi i-pancreatitis zenzeka ngokusetshenziswa njalo kwamafutha nokudla okunezipayisi, notshwala obungamahlalakhona.
Zivusa i-pathology yezitho ezitholakala eduze kwe-gland ukukhombisa isifo:
- cholecystitis;
- inyongo
- isilonda esiswini kanye ne-duodenal ulcer.
Izinhlobo ze-pancreatitis (acute and chronic) zinezimpawu ezihlukile, izindlela zokwelashwa.
Ukuhlolwa okuyinhloko kufaka ukuhlolwa okujwayelekile komzimba, i-ultrasound of the patity isisu, igazi nomchamo ukuhlolwa komsebenzi we-enzyme ye-amylase ekhiqizwa amanyikwe.
Endabeni yokuxilongwa okwengeziwe, ukucaciswa kwe-genesis (development) of dysfunctions, uma ngabe kunesifo esinezimpawu ezifanayo, udokotela oholayo uzokhipha ukuhlolwa kwe-x-ray, ukutadisha imisebenzi ye-bile ducts, dancts pancreatic, esiswini ne-duodenum.
Ukwelashwa kokuvuvukala okukhulu kwe-pancreatic
Ukwelashwa kwesimo esiyingozi sesifo kungadinga ukungenelela kokuhlinzwa. Ukuvuvukala okukhulu kubangelwa ukwanda kwama-enzyme abhubhisa amaseli abo. Kukhona i-necrosis yezicubu ze-gland, inqubo yabo yokuvuvukala okuhlanzekile. Lokhu kuvame ukukhula ngemuva kokudla okunamafutha okunamafutha nokudla okuthosiwe, okuhambisana notshwala obuningi obudliwayo.
Inkambo ethile yesifo iholela ekugxambeni kwipheshana le-biliary. Imithombo yezokwelapha ikhombisa ukuthi ukuphonswa kwe-bile kusuka kokuyinhloko kuya kwi-duct kusuka ku-pancreas kudala isimo sokukhula kohlobo olukhethekile lwe-pancreatitis.
Emkhosini obhebhethekako walesi sifo, imisebenzi ye-amylase idlula okwejwayelekile amahlandla angama-500. Ukuhlaziywa kukhombisa amanani aphezulu we-C-design protein. Imininingwane mayelana nayo inika umqondo olinganiselayo we-insulin ye-hormone eyenziwe nge-gland.
I-Hypofunction (ukuncipha) kwama-pancreas kuholela kuhlobo 2 sikashukela. I-Panoramu x-ray ikhombisa isikhundla se-overestimated sedaphragm (septum yemisipha phakathi kwesifuba nesisu sesibeletho) ohlangothini lwesobunxele.
I-pancreatitis e-acute ayiveli kulezi zimo ezilandelayo:
Ukulungiselela kwe-pancreatic enzyme- ngomonakalo, ukuhlukunyezwa esiswini, ukuhlinzwa emgodini wesisu;
- ukwephulwa kokujikeleza kwegazi emanyengeni ngenxa ye-thrombosis, ukubolekwa komkhumbi, ukucindezelwa yi-tumor yayo;
- ubuthi ngama-asidi, ama-alkali;
- ukwelashwa isikhathi eside ngama-corticosteroids;
- komzimba.
Isiguli sihlushwa ngobuhlungu bokuqhuma, bungabekezeleleki ngokwemvelo. Kuvame ukwenziwa kwasendaweni esiswini esiphezulu, ingaba yi-herpes zoster. Isiguli siphoqelelwa ukuthatha isikhundla esithile - ukuhlala noma ukulala phansi, imilenze icindezelwe esiswini sayo. Kwesinye isikhathi umuntu angathatha izinhlungu ezinzima ngokuhlaselwa yi-angina pectoris.
Ukuhlanzwa okuphindaphindwayo nokungaxoleli akulethi impumuzo. Umfutho wegazi kanye nenhliziyo kuyancipha. Ukushisa komzimba, njengomthetho, kukhuphuka kancane kancane. Isikhumba siphaphathekile futhi sibanda ekuthinteni, simbozwe umjuluko onamathelayo. Ulimi lome, ngokuthinta. I-Peristalsis (ukugaya ukudla) emathunjini ibuthakathaka, amagesi awaphunyuki.
Amaseli ekhanda aqukethe okungenani (15%) amayunithi wokusebenza kunezinye izingxenye zesitho (umsila nomzimba)
Ukwelapha uhlobo olunzima lokuvuvukala kwe-pancreatic, baqala ngokungenisa ama-painkillers emzimbeni, futhi umsebenzi wezinhliziyo uyagcinwa. Nge-edema eyenzeka yendlala, kubanda kufakwa endaweni elusizi. Isiguli sinqunywe ukuthi sidliwe yindlala izinsuku ezingama-3-5, ama-antispasmodic nama-vasodilators (Drotaverin, Buscopan, Papaverine).
Isiguli sidinga ukuphumula okuphelele. Uthola ukulungiswa kwamaprotheni kanye nama-electrolyte Balances. Kunconywa ukuhambisa kuze kufinyelele kumalitha angama-5-6 wamanzi ngosuku izinsuku ezintathu kuya kweziyi-10, kuya ngobunzima besifo. Sebenzisa imithi elwa namagciwane (Klaforan, Abaktal, Ciprofloxacin), ama-enzyme (Pancreatin, Enzistal, Mezim-forte).
Iziguli ezake zaba ne-pancreatitis ebukhali kufanele zihlale zilandela ukudla, iziphuzo zotshwala ziyahambelana nazo. Kunconywa ukuthatha ukwelashwa ngamanzi amaminerali (i-Essentuki, Borjomi). Uma imiyalo kadokotela ingalandelwa, insimbi ibuye ikhanyiswe futhi. Uhlobo olubi lwesifo lungena kunguqulo yempilo yonke.
Ukwelashwa kokulimala kwe-pancreatic engapheli
I-pancreatitis ingahlakulela isizinda senqubo yokuvuvukala - eyinhloko noma ehlobene nezifo ezikhona pheshana esiswini. Ifomu lesibili yi-cholecystitis, isilonda sesisu kanye nezilonda ze-duodenal. Inkambo yokuvuvukala okungapheli yinde futhi ibucayi. Ukuhlasela okukodwa nje kwanele ukwakha umlingiswa obonakele.
Izimpawu zesithombe somtholampilo se-pancreatitis esinezimpande zifaka:
- izinhlungu
- isifo sohudo
- ukuncipha.
Ukuqondiswa kobuhlungu kuhlukile: phambi kwenqubo yokuvuvukala ekhanda lesikhumba, kwenzeka nge-hypochondrium kwesokudla, emzimbeni nasemsileni - eduze nendawo ephakathi kwesisu.
Izinkinga zokufika kwesikhashana kwefomu elingapheli ama-cysts, amatshe, isifo sikashukela kanye nomdlavuza. Esikhathini sokuqala, i-necrosis (necrosis) yezicubu ze-gland, i-peritonitis (ukuqhuma endaweni yokulimala kanye nokungena kokuqukethwe emzimbeni wethambo), i-jaundice evimbayo, ama-abscesses (ubuthi begazi).
Kwabesifazane kukho konke ukukhulelwa nengane encane, ukulandela izindlela zokuvikela i-pancreatitis kubaluleke kakhulu.
Esigabeni sokuqala sokwelashwa kwefomu elingapheli, umsebenzi ukukhipha ukuvuvukala kwamanyikwe. Ukwakha izimo ezinhle zokuphuma kwejusi le-pancreatic kuvumela ukungondleki ukondla okungenani izikhathi ezingama-5-6 ngosuku. Imikhiqizo yamaprotheni "evunyelwe" ifaka ushizi wekotishi onamafutha aphansi, inyama engenamafutha nenhlanzi, ushizi ongaphekiwe noshizi.
Izidakamizwa ze-Pharmacological ezivela ekhemisi, kanye nokwelashwa okungaphandle kwe-pancreatitis engapheli - Methyluracil, Pentoxyl. Isikhathi sokusetshenziswa kwabo kungahlala kuze kube inyanga eyi-1. Ukuba khona kwama-cysts, amatshe, ama-fistulas angalapheki, izinhlungu eziphikelelayo zinikeza ukungenelela okuhleliwe kokuhlinzwa. Ukuvinjwa kwefomu elingamahlalakhona kufaka, okubaluleke kakhulu, ukwelashwa okuphezulu kakhulu futhi okufika ngesikhathi kwe-pancreatitis ebaluleke kakhulu.
Ukubuyekezwa kwezindlela zokwelapha ezihamba phambili ze-pancreatitis
Galstena. I- "plus" yesidakamizwa iyisizinda sayo semvelo. Ukwakheka kwe-homeopathic kufaka phakathi amakhambi (ubisi thistle, celandine enkulu, i-dandelion yokwelapha). Usawoti kuyo (i-sodium sulfate ne-phosphate yensimbi) nawo umsuka wemvelo, oncibilikisiwe otshwaleni we-ethyl. Umuthi uvunyelwe ukuthi ujutshwe namanzi ngaphambi kokuwusebenzisa (1 tbsp. L.).
Qedela ngebhodlela lika-20-100 ml kukhona isaphulelo sedonsa. Kunconywa abantu abadala ukuthi basebenzise amaconsi ayi-10 kathathu ngosuku, kuya ngokudla (uhhafu wehora ngaphambi kokudla noma ihora emva kwawo). Esikhathini sokwanda kwe-pancreatitis, i-Galsten ingasetshenziswa njalo ngehora, kepha hhayi ngaphezulu kwezikhathi eziyi-8 ngosuku. Bese futhi, kufanele ubuye kumthamo ojwayelekile. Inkambo yokwelashwa ifinyelela ezinyangeni ezi-3, eziningi, ngekhefu lamasonto angama-3-4.
Yimaphi amaphilisi azosiza ukuqeda izinhlungu nokuthi ungelashwa kanjani ukuvuvukala kwe-pancreatic ekhaya
Gordoks. Okuphikisayo. Into esetshenziswayo yamalungiselelo etholakala emithanjeni yezinkomo zokuhlatshwa yi-aprotinin. Isithako samakhemikhali sivimbela ukusebenza kwe-enylme ye-amylase, kwehlisa ukuqina kwegazi okuphezulu. Itholakala njengomjovo kuma-ampoules noma i-powder. Izimali zisebenza ngokuphathwa ngaphakathi, ngendlela yokudonsa. Imiphumela yokungezwani komzimba kungenzeka ngenxa yokungabekezelelani komuntu ngamunye ne-aprotinin.
I-Dalargin. I-Peptide (protein) yemvelo i-powder isetshenziselwa umjovo. Mhlawumbe umjovo wayo we-intramuscular. Kufanele unake ukwehla kwengcindezi esigulini ngesikhathi sokusebenzisa i-dalargin.
Ikhoni. I-Pancytrate. Imikhiqizo iqukethe i-enzyme ye-pancreatinin etholakala kuma-pancreas engulube. Umthamo wansuku zonke ungaba ngamaphilisi angama-15. Eminyakeni eminingi, abantu abaningi bebelokhu besebenzisa izidakamizwa njengokwelashwa okuthatha indawo ukuze basebenze ngokungemthetho kwesitho. Inzuzo yePancitrate ukuthi ivunyelwe ukuthi isetshenziswe ngabesifazane abakhulelwe, bekhonkotha abesifazane nezingane.
Ukusetshenziswa kwemithi yendabuko kanye nemithi kusiza ukwenza ngcono isimo nemisebenzi yama-pancreas. Isiguli sivunyelwe ukuphumula ekudleni, ukuphambukisa indlela esidla ngayo. Ngenqubo ephumelelayo yesifo, imikhiqizo evela esigabeni esenqatshelwe (isinkwa sama-rye, isobho kumhluzi oqinile, ushokoledi, amaqanda abiliswe kanzima, ama-legumes, iklabishi) ijika ibe yingxenye yesigaba "esinqunyelwe".
