Isimo sempilo yabantu sincike kakhulu ekugayeni okujwayelekile. Futhi ama-pancreas ngumzimba oyinhloko olawula le nqubo. Ikhiqiza ama-enzyme aqeda amaprotheni, amafutha, nama-carbohydrate ekudleni. Ngaphezu kwalokho, ikhipha ama-insulin nama-glucagon emgodini ungene egazini, elibhekele ukuthathwa kweglucose. Ngakho-ke, uma kukhona ukungasebenzi kahle emsebenzini wale gland, khona-ke hhayi ukugaya kuphela, kepha nohlelo lwe-endocrine luyahlupheka. Ukwephulwa kwemisebenzi yalo mzimba kuvame kakhulu. Ngemuva kwakho konke, i-pancreas ibhekana nengcindezi ekhuphukayo ngenxa yokungondleki okungafanele, ukuvezwa izifo kanye notshwala. Izimo ezingezinhle zemvelo, izithako eziningi zamakhemikhali ekudleni nazo ziwuthinta kabi umsebenzi wazo. Ngakho-ke, abantu abaningi banesithakazelo embuzweni wokuthi ungawabuyisela kanjani ama-pancreas.
Imisebenzi
Ama-pancreas enza imisebenzi ye-intracretory and exocrine. Okokuqala, kukhiqiza ujusi we-pancreatic oqukethe ama-enzyme nama-enzyme. Ingena kwi-duodenum futhi idlala indima ebalulekile ekugayweni kokudla. Ngaphezu kwalokho, amaseli ngamanye alesi sitho akhiqiza ama-hormone abhekene nokuthathwa koshukela.
Uma noma yimuphi wale misebenzi ukhubazekile, impilo yomzimba wonke iyahlupheka. Ngenxa yokuntuleka kwama-enzymes wokugaya ukudla, ukufakwa kwezakhi zomzimba kuyanda, okuthinta kabi ukusebenza komuntu nomsebenzi wazo zonke izitho zomzimba. Ukwephulwa kokukhiqizwa kwama-hormone kungaholela ekwakhiweni kwesifo sikashukela.
Ingozi ye-pathologies enjalo ukuthi imvamisa baqala ukukhula ngokungaziphathi. Inqubo evilaphayo yokuvuvukala ingaholela ekuwohlokeni noma ekufeni kwamaseli. Uma ukwelashwa kungaqalwa ngesikhathi, kungenzeka kungenzeki ukubuyisa ama-pancreas. Amaseli afile athathelwa indawo yizicubu ezinwebayo, anciphisa ukukhiqizwa kwama-enzyme. Futhi izohluleka ukubuyisela amaseli azalwe kabusha ngenxa yenqubo yokulimala noma ukulimala. Kepha ungamisa izinqubo ze-pathological futhi uvikele ezinye iziphazamiso.
Amanyikwe enza imisebenzi ebaluleke kakhulu emzimbeni
Izifo
Kunokuphazamiseka okuphathekayo nokusebenzayo kwalo gland. Kwesinye isikhathi imisebenzi yayo yephulwa ngaphandle kokulimaza amaseli, ngokwesibonelo, ngemuva kokuxineka kakhulu, ubunzima bezinzwa kanye nokulimala kwesibindi. Kulokhu, akukho monakalo kumaseli we-gland, kuphela ukukhiqizwa kwama-enzyme kuncishisiwe. Ukwelashwa okukhethekile kwezifo ezisebenzayo akudingekile, imvamisa ukululama kwenzeka ngokwako.
Kepha imvamisa, ama-organic pathologies we-pancreas atholakala, okuholela kumonakalo noma ukonakala kwamaseli awo. Ngasikhathi sinye, ukwelashwa okuyinkimbinkimbi kuyadingeka ukuze kubuyiswe imisebenzi yalesi sitho, kodwa noma ngabe ayisebenzi ngaso sonke isikhathi. I-prognosis yokutakula incike ohlotsheni lwe-lesion, ukuqina kwayo kanye nezifo ezihambisanayo.
Kukhona ezinye zezifo ezivamile ze-pancreatic:
- Isifo sikashukela i-mellitus sibonakaliswa ukukhiqizwa kwe-insulin. Lokhu kungenxa yokuthi amaseli we-beta ama-pancreas enza lo msebenzi onakele futhi ayafa. Kulokhu, umuntu ulahlekelwa yikhono lokudla ushukela. Lokhu kuthinta isimo somzimba jikelele. Akunakwenzeka ukubuyisela ngokuphelele ukusebenza kwabo kula maseli, ngakho-ke isiguli siphoqelelwa njalo ukuthi siphuze imishanguzo ekhethekile.
- I-pancreatitis ye-acute nayo iyisifo esijwayelekile. Kuvela ngenxa yokuthi kunzima ukususa ujusi we-pancreatic kanti ama-enzyme asala endlebeni, alimaze izicubu zawo. Kukhona ukuvuvukala okunamandla, okuhambisana nobuhlungu obukhulu.
- Kwi-pancreatitis engapheli, izicubu ze-gland zibhujiswa kancane kancane, kancane kancane kuholele ekonakalisweni kokukhiqizwa kwama-enzyme. Lesi sifo sibonakaliswa yizikhathi zokukhishwa nokukhishwa. Ngaphandle kokwelashwa okudingekayo, inqubo eqhubekayo yokuvuvukala ingaholela ku-necrosis yezicubu noma ukubonakala kwesimila esibuhlungu.
- Ama-tumors kuma-pancreas ngokuvamile akha njenge-complication ye-pancreatitis. Lokhu kungaba ukwakheka okuhle, isibonelo, i-cyst noma i-lipoma. Kepha umdlavuza ovamile.
- Kwesinye isikhathi amatshe angatholakala kumanyikwe. Uma beqa izindunduma, lokhu kungaholela ekulimazeni okukhulu noma ekusebenzeni okhubazekile kwepancreatic.
Imbangela eyinhloko yokungasebenzi kahle kwe-pancreatic imvamisa ukungondleki
Izizathu
Ukusebenza okujwayelekile kwalo gland kubaluleke kakhulu kuwo wonke umzimba. Kepha futhi kuncike kakhulu empilweni yomuntu nasekuondleni. Lapho udla ukudla okuningi okusindayo, enoshevu ngamakhemikhali noma ngotshwala, ukuba khona kwemikhuba emibi, umthwalo okuyo uyanda. Ngakho-ke, ukungasebenzi kahle kwe-pancreatic kutholakala kakhulu kubantu asebekhulile noma asebekhulile. Ngaphezu kwalokho, amadoda atheleka kalula kulezi zifo. Kepha zingavela nasezinganeni, ngokwesibonelo, ngenxa yokuphazamiseka kokuzalwa, isimo sofuzo, noma amaphutha amakhulu wokudla okunempilo.
Imbangela eyinhloko yokusebenza kabi kwe-pancreatic kubhekwa njengokudla okungafanele. Ukudla ngokweqile noma ikhefu elide ekudleni, ukusetshenziswa ngokweqile kwamafutha, izinongo nokudla okusemathinini, ukudla okungenampilo noma utshwala - konke lokhu kukhulisa umthwalo kuzo zonke izitho zokugaya ukudla. Kepha ikakhulukazi kulokhu, amanyikwe ayahlupheka.
Ukungasebenzi kwalesi sitho kungavela futhi njengokusabela kwezifo ezilandelayo:
Ukudla okuthandwa kangakanani amanyikwe- i-gastritis noma isilonda;
- cholecystitis engapheli;
- isifo se-gallstone;
- ukuvala ukulimala kwesisu;
- izifo ezijwayelekile ezibangelwa amagciwane noma ezingamagciwane;
- helminthiases;
- ukuphazamiseka kokujikeleza komgogodla esiswini;
- ukwehluleka kwezinso;
- systemic lupus erythematosus.
Izimpawu
Inkinga yokuhlonza ama-pathologies anjalo ukuthi ezigabeni zokuqala akukho zimpawu ezikhonjisiwe. Ngama-patent pathologies, yizimpawu ezijwayelekile zokuphazamiseka kokugaya ukudla kuphela ezingabhekwa. Lesi yisicanucanu ngezikhathi ezithile, ukugabha, usizi esiswini ngemuva kokudla, ukuthokomala, ukulahleka kwesifiso. Ukunciphisa inani lama-enzyme kuholela ekuntuleni kwezakhi zomzimba. Lokhu kuboniswa wukukhanda, ubuthakathaka, ukukhathala. Ngenxa yokuthi ukudla kugaywe kahle, i-dysbiosis iyakhula, ukuqunjelwa kokunye kuhlangana nesifo sohudo.
Ngokuphulwa kwamanyikwe, ubuhlungu besisu, isicanucanu, nenhlala-kahle jikelele kuvame ukubonwa
Kancane kancane, ukungasebenzi kuyathuthuka, kuholele ekulimazeni kwamaseli e-gland. Ukuvuvukala kuyaqala, ukuphuma kwejusi le-pancreatic kuyaphazamiseka. Lezi zinqubo ze-pathological zihambisana nezibonakaliso ezishiwoyo.
Ngaphezu kokucanuzelelwa kwenhliziyo nokuqaqanjelwa ngamathumbu, ezinye izinkomba zingavela:
- Ubuhlungu obuzwayo noma obukhali, obuvuthayo. Imvamisa ibonwa esiswini esingenhla noma ngakwesobunxele, kepha inganwebeka engalweni, emuva nasesifundeni senhliziyo. Ubuhlungu ngemuva kokudla buqina, ikakhulukazi bube obuningi, kanye nasendaweni ephakeme.
- Ngokuvuvukala, ukushisa komzimba kuvame ukukhuphuka. Lokhu akubangelwa inqubo yokuvuvukala kuphela, kepha futhi nokudakwa okujwayelekile komzimba. Kulesi simo, kuvela ubuthakathaka, isikhumba siphenduka siphume, kumile umjuluko obandayo.
- Ubuhlungu bekhanda bungabangelwa ukudakwa noma ukwehla komzimba. Isiguli singathola ukukhathala, ukucasuka, ukuncipha kokunakwa.
- Uma ama-pancreas engasebenzi ngamandla aphelele, ukumuncwa kwezakhi kuyaphazamiseka. Ngenxa yalokhu, isiguli sinciphile kakhulu, noma sinokudla okujwayelekile.
- Ngokuvamile nge-pathologies enjalo, i-tachycardia iyakhula. Ukwanda kwenhliziyo kungaholela esifushane sokuphefumula, ukukhathala, ukujuluka.
Ukuxilonga
Ukubuyiselwa okugcwele kwama-pancreas kungenzeka kuphela ngezigaba zokuqala ze-pathologies. Ngakho-ke, ukuxilongwa kusenesikhathi kubaluleke kakhulu. Ukuze wenze lokhu, uma uzizwa ungasasebenzi, kufanele uhlolwe. Uchwepheshe ngemuva kwenhlolokhono angenza ukuxilonga kokuqala futhi anqume ukuthi yiziphi izifundo ezidingekayo.
Ama-pancreas we-pancreas angatholakala kuphela lapho wenza ukuhlolwa kwe-insimbi
Imvamisa, ziqala ngokuhlolwa kwegazi okujwayelekile nangokuphilayo, i-urinalysis. Bazosiza ekuboneni izinga le-glucose, ukuba khona kwama-enzyme. Ngaphezu kwalokho, indlela eyinhloko yokuthola i-pancreatic pathologies yi-ultrasound. Kuyasiza ukubona ubukhulu besitho, isimo sezicubu, ukuba khona kwamatshe noma isimila. Kwesinye isikhathi, i-FGDS noma i-gastroscopy ingadingeka. Ukunquma isimo sezinye izitho zomgudu wokugaya ukudla, kunqunyelwe i-MRI.
Ukwephulwa kwama-pancreas kungatholwa yi-coprogram - ukuhlaziywa kwezindunu. Okuqukethwe okwandayo kwamafutha acid, isitashi noma izicubu zemisipha kungatholakala kuwo. Kwesinye isikhathi kuyadingeka ne-biopsy yezicubu.
Ama-pancreas nokugaya kungenziwa kwenziwe kube okujwayelekile kuphela ngemuva kokuxilongwa okuyikho. Ungazindli, ngoba ngaphandle kokuqeda imbangela ye-pathology, akukho mithi ezosebenza. Ukwelashwa okufanele kuphela okuzosiza ukugwema i-pancreatic necrosis, ukuvuvukala, noma ezinye izinkinga.
Okufanele ukwenze
Abaningi banentshisekelo kulo mbuzo: ingabe ama-pancreas abuyiselwe. Kuya ngobucayi besifo saso, iminyaka yesiguli, indlela yakhe yokuphila kanye nokuba khona kwezifo ezihlangene. Ngama-pathologies angathi sína, ukululama kuphume embuzweni. Ngemuva kwakho konke, amangqamuzana alimile e-gland awunawo amandla okuphinda enze kabusha njengamaseli wesibindi. Kodwa ukubuyela ezicubu ezinempilo imisebenzi yazo kanye nekhono lokukhiqiza ama-enzyme adingekayo kungenzeka impela. Izindlela ezinkulu zokwenza lokhu ngokusebenzisa ukudla okunempilo nokuthatha imishanguzo ekhethekile.
Ekuhlaselweni okukhulu kwe-pancreatitis, kufanele ufune usizo lodokotela
Kulungile
Ngobuhlungu besisu obukhulu, kufanele uthinte isikhungo sezokwelapha ngokushesha okukhulu. Zingabangelwa i-pancreatitis ebukhali, ukuthikamezwa kwama-ducts ngamatshe, noma ukukhula kwesimila. Zonke lezi zimo zisongela impilo futhi zidinga ukwelashwa ngokushesha, kuvame ukuhlinzwa.
Ukwelashwa okuqhubekayo kuncike ekutheni usizo lokuqala luzohlinzekwa kahle yini uma kwenzeka kuhlaselwa i-pancreatitis. Udinga ukwazi ukuthi kulokhu, isiguli sidinga indlala, ukuthula kanye nokusebenzisa imishini ebandayo gland. Ama-analgesics aqinile kwesinye isikhathi asetshenziswa, kepha udokotela kufanele awanikeze. Ukuze ungathwali umthwalo wamanyikwe, ukwethulwa kwezidakamizwa kwenziwa kangcono kakhulu ngaphakathi. Ngakho-ke, iziguli ezine-pancreatitis eyingozi kufanele zibe sesibhedlela. Kaningi, ama-antispasmodics asetshenziselwa ukudambisa izinhlungu: IDrotaverin, uNo-Shpa, uPapaverin, uPlifillillin. Ukufakwa kwamaNovocaine noma i-Promedol kwesinye isikhathi kuyadingeka.
Ukulungiselela i-enzyme kuyadingeka ukuze kudambiswe ukucindezelwa kumanyikwe
Ukwelashwa kwezidakamizwa
Ukusekela ama-pancreas ngemuva kokuhlaselwa, kanye ne-pancreatitis engapheli, ungasebenzisa umuthi okhethekile obekwe udokotela wakho. Ukuzelapha ngemithi yokuhlanzeka kwengulube akwamukeleki.
Ngenqubo yokuvuvukala noma ephula ukuphuma kwejusi le-pancreatic, kusetshenziswa izidakamizwa ze-antisecretory. Bafaka amandla umsebenzi wama-enzyme futhi banciphise umphumela wabo olimazayo ku-mucosa. Imvamisa kakhulu yi-Omeprazole, Pantoprazole, Ranitidine, Kontrikal noma Gordoks. Kwesinye isikhathi iMaloalox noma iAlmagel, evimbela ukungasebenzi kwe-hydrochloric acid, nayo iyabekwa. Ukhulula i-edema futhi usheshise ukuqeda ubuthi, ama-diuretics ayadingeka: I-Furosemide, iLasix, iDiacarb.
Lapho kukhona ukutheleleka, ama-antibiotics ayadingeka. Kwesinye isikhathi i-Urolesan isetshenziselwa ukukhipha imisebe ku-gallbladder, Cerucal noma Metoclopramide, okunciphisa isicanucanu.
Kodwa izindlela eziphambili zokwelashwa izidakamizwa ezisekela ama-pancreas, anciphisa umthwalo phezu kwawo. Lawa ama-enzyme nezinsizakalo zokugaya ukudla. Imvamisa, iPancreatin imiselwe, kepha futhi neFestal, iMezim, iCreon nayo iyasebenza.
Umsoco
Indlela ebaluleke kakhulu yokwenza ngcono ukusebenza kwamanyikwe ibhekwa njengokudla okufanele. Ukuzikhethela kokudla kuya ngohlobo lwe-pathology kanye nobunzima bomonakalo wayo. Kwi-pancreatitis eyingozi, kungakuhle ukwenqaba ukudla izinsuku eziningi, uphuze kuphela amaminerali angenamakhabhoni noma ama-decoctions amakhambi. Ngemuva kwalokho kunikezwa ukudla okuqinile. Kuvunyelwe ukusebenzisa isobho se-mucous, umhluzi welayisi, umhluzi wemifino, okusanhlamvu okuhlanganisiwe, ama-white crackers, ama-steam wenyama.
Noma yikuphi ukwephulwa kwemisebenzi yamanyikwe, ukudla okuyisipesheli kuyaphoqelelwa
Ngemuva kokunciphisa isimo sesiguli, uvunyelwe ukushintshela ekudleni okuqinile okungatheni. Kubandakanya imifino ebilisiwe noma eyosiwe, inyama enamafutha amancane nenhlanzi, imikhiqizo yobisi enamafutha aphansi, ushizi othambile, okusanhlamvu okucijisiwe, compote yezithelo eyomisiwe, i-kissel. Kuyadingeka ukuzama kaningi ukufaka imikhiqizo yokudla ethuthukisa ukusebenza kwamanyikwe. Lokhu kuhluma kweBrussels, ithanga, i-zucchini, i-broccoli, ama-apula aluhlaza, ama-walnuts, ama-sea kale.
Uma kwenzeka wephula imisebenzi yamanyikwe, kubalulekile ukugwema ukudla okulimaza amaseli awo. Ngemuva kwakho konke, alulama, futhi kancane kancane lokhu kuholela ku-necrosis noma umdlavuza. Ukuze ugweme lokhu, kufanele ubushiye ngokuphelele utshwala, ikofi, iziphuzo ezinamakhabhoni, inyama enamafutha, umhluzi ohlanganisiwe, izindunduma namakhowe. Ama-radad, ama-radish, amaswidi kanye ne-confectionery, ukudla okuthosiwe nezinongo, ama-marinade nokudla okusemathinini nakho kuyingozi kulesi sitho.
Amakhambi esintu
Ngaphezu kwemithi ebekwe udokotela, kungenzeka ukusungula umsebenzi wamanyikwe ngamakhambi esintu. Isimo esiyinhloko sokusetshenziswa kwabo ukubonisana nodokotela okuphoqelekile. Futhi kungcono ukuzisebenzisa kuphela ngesikhathi sokuxolelwa. Izindlela ezisebenzayo yilezi:
- hlafuna ucezwana lwepropolis noma uphuze i-decoction yalo;
- chop 500 g kalamula, i-150 g yegalikhi ne-parsley, thatha isipuni imizuzu engu-15 ngaphambi kokudla;
- ngesidlo sasekuseni, kuyasiza ukudla i-buckwheat ofakwe ku-kefir;
- Ubuhlungu bungavuselelwa nge-yoghur compress eyenziwe ebusuku.
Ngaphezu kwemithi ebekwe udokotela wakho, ungasebenzisa izindlela zokwelapha zendabuko
Ngaphezu kwalokho, amakhambi asetshenziswa ekwelapheni ama-pancreas. Kuyasiza esikhundleni setiyini ukuphuza ama-decoctions we-dieelle, i-wort yase-St, i-chamomile, i-birch buds. Ukufakwa okuwusizo komhlonyane, izimpande zemashi, i-valerian noma i-elecampane. I-Tincture yeRhodiola rosea iyasebenza futhi.
Ukuvimbela
Ukusiza ama-pancreas ukuthi asebenze kahle, kufanele ushintshe indlela ophila ngayo nokudla kwakho. Ngemuva kwakho konke, i-pathologies yayo ivame ukukhula kancane futhi ingabonakali, futhi iholele emiphumeleni eyingozi.
Kepha lokhu kungagwenywa uma ulandela imithetho elula:
- yeka ukubhema, zama ukungaphefumuli intuthu kagwayi;
- yekani ukuphuza utshwala;
- zama ukungavumeli ukuzuza kwesisindo;
- ukunciphisa ukusetshenziswa kokudla okunamafutha, izinongo, ama-marinade, inyama ebhemayo, ethosiwe;
- lawula ushukela wegazi;
- faka ukudla kwe-fiber, okufana okusanhlamvu okuphelele noma iklabishi;
- udla njalo amaprotheni ukudla, inyama noma izinhlanzi ezihamba phambili.
Ama-pancreas angathuthukiswa kuphela ngendlela ehlanganisiwe. Kuyadingeka ukuthi uyeke imikhuba emibi, ushintshe indlela yokuphila kanye nokudla okunempilo. Ukuhamba okuwusizo nokuzivocavoca umzimba, kepha ngaphandle kokulayisha ngokweqile. Uma udla okulungile, gwema ukucindezelwa, ulale ngokwanele, futhi uphathe wonke ama-pathologies akhuphuka ngesikhathi, izinkinga ezingathi sína ngamanyikwe zingagwenywa.
