Ungayiphatha kanjani i-pancreas

Imininingwane yokuqala ngezifo ze-pancreatic yavela ngekhulu le-XVIII. Ngemuva kwesikhashana kwatholakala ukuthi lesi sitho singashiswa, kanti i-pathology yabizwa ngokuthi i-pancreatitis (i- "pancreas" ngesiLatin Latin ifana ne "pancreas").

Isikhathi eside, i-pancreatitis ibonwa njengengalapheki ngenxa yezinkinga eziningi. Kulezi zinsuku, sekuyinto ekwazi ukwelapha i-pancreatitis hhayi kunoma yikuphi ukubonakaliswa kwayo, kodwa nezinye izifo zepancreas.

Abelaphi basendulo babheka i-pancreas njenge "gland yenjabulo", bekholelwa ngokufanele ukuthi kwakuyisimo esihle nesistimu yezinzwa ezinzile ebamba iqhaza emsebenzini wayo ogcwele. Namuhla iqiniso elifakazelwe ngokwesayensi - ukucindezela kuthinta kabi indlala, futhi kungaphazamisa imisebenzi yayo eyisisekelo.

Lo mzimba ungafaniswa nebhubesi lokuphumula noma i-panther, elingadonswa, futhi lizwakale ekuphenduleni kokubhonga kwesilwane. Abaningi benza lokho nje, bethola ukudla okunamafutha, okunezipayisi bese bekuphuza notshwala.

Imigomo nezinhloso zokwelashwa okuqashile

Ukwelashwa kwama-pancreas ngemithi kukhethwa ngakunye esigulini ngasinye futhi kuncike kakhulu ekubeni khona kwezifo ezihambisanayo kanye nezinkinga.

Ukwelapha i-pancreas, kufanele ufeze:

• ukukhululeka kobuhlungu;
• ukuqondisisa inqubo yokugaya ukudla kanye nokwenziwa kokudla;
• Ukuqedwa kwesimo se-dyspeptic phenomena - isicanucanu, ukugabha, ukubumbana kanye nesifo sohudo;
• nokwenza kahle ukufakwa kwezakhi zomzimba emathunjini;
• isinxephezelo sokushoda kwama-enzyme nama-hormone.

Ama-antibiotic

Imithi elwa namagciwane ilungiselelwe ukushisa komzimba okuphezulu, ukudakwa kakhulu, izimpawu zokwakheka kwamathumba, ama-cysts kanye nama-pseudocysts ama-pancreas, kanye nezilonda ze-necrotic, peritonitis ne-septic complication.

Imishanguzo ebanzi ebanzi ejwayelekile ivame ukusetshenziswa eqenjini lama-cephalosporins, ama-macrolides nama-phtholquinolones. Ukwelashwa kwe-antibacterial kuyelulekwa ukuvuvukala kwezicubu ze-glandular zepancreas nezinye izitho zomgudu we-gastrointestinal, lapho inqubo ye-pathological isakazeke khona. Iphinde isetshenziselwe ukuvimbela izinkinga ezihlukene zamagciwane, i-pancreatic necrosis futhi imiselwe ngokuqondile uma kwenzeka kuphuma i-pancreatic duct.

Ukwelashwa okusebenzayo kwe-pancreatitis eyingozi kungenzeka ngosizo lwezidakamizwa ezifana ne-Amoxicillin, Ciprolet, Levomycetin. Ezinsukwini zokuqala zokuhlaselwa, zinikezwa isiguli ngaphakathi noma ngokuqondile emgodini wesisu. Uma kunesidingo, imali evela emaqenjini ambalwa iyasetshenziswa.

Imithi elwa namagciwane ayivamisile ukusetshenziselwa ukwelapha i-pancreatitis engapheli, inkomba enkulu ukuvuvukala kwe-gallbladder noma i-bile ducts. Ukulwa nokutheleleka ngegciwane, i-Amoxiclav, i-Augmentin, iCefuroxime, iCefoperazone neCefixime ingabekwa.

Enzymes

Umsebenzi wokugaya uwukugcwala komsebenzi wezitho ezahlukahlukene zomgudu wokugaya osamazela, amathe wesisu, ama-enzyme ne-bile. Kuphela kungaphansi kwesimo somsebenzi wabo ohlelwe kahle lapho ukudla kuvame ukugaywa futhi kufakwe. Ngakho-ke, ukubaluleka kwejusi le-pancreatic kunzima ukwedlula i-overestimate - umsebenzi wayo akuyona nje ukungathathi hlangothi kwe-hydrochloric acid, kodwa futhi nokuqhekeka kwamaprotheni, amafutha kanye nama-carbohydrate angena emzimbeni.

I-enzyme ngayinye equkethe ujusi we-pancreatic yenza umsebenzi wayo wephula amaprotheni, amafutha, ama-carbohydrate nama-nucleic acid

Kwi-pancreatitis engapheli, i-mellitus yesifo sikashukela kanye ne-cystic fibrosis, umsebenzi we-pocrreatic we-pocrreatic uyancipha, futhi ukuntuleka kwe-enzymatic kwenzeka. Kodwa ngaphambi kokulapha i-pancreas ngemithi equkethe i-enzyme, kudingeka ukuhlolwa.

Ikhambi eliphumelela kakhulu nelidumile yiCreon, imvamisa odokotela banquma iPanzinorm, Pancreatin, Festal, Mezim, Enzitstal nePancurmen. Ukudla njalo lezi zidakamizwa ngokuya ngohlelo olunqunyiwe kusiza ukuqeda izinhlungu, ukugcwala, isicanucanu nezinye izimpawu ezingezinhle.

Kubalulekile ukwazi ukuthi ukuthatha noma yisiphi isidakamizwa esiqukethe ama-enzyme kuyadingeka kuphela ngesikhathi sokudla noma ngokushesha nje emva kwalokho, kungenjalo ukuwohloka kungenzeka. I-Creon itholakala kumakhompiyutha akhethekile aqukethe ama-minimicrospheres. La makhompiyutha kufanele agwinywe kuphela, ngaphandle kokuhlafuna noma ukuxuba okuqukethwe kwawo ekudleni noma eziphuzweni, uma kungenjalo umuthi uzobhujiswa ngesenzo sejusi esiswini futhi ngeke ube nomphumela owelaphayo.

Ama-antispasmodics

Kuyadingeka ukwelapha ama-pancreas nge-antispasmodics ukuze udambise izinhlungu, ezingaba zinkulu noma zivele ngendlela yobuhlungu bokuxineka ngezikhathi ezithile. Isenzo sezidakamizwa ze-antispasmodic ikakhulukazi sihloselwe imisipha ebushelelezi, enikezela ngemikhaba ye-sphincter yase-Oddi. Kungenxa yalesi sphincter lapho ama-enzyme e-pancreatic engena ngaphakathi emathunjini. Ngaphezu kwalokho, ama-antispasmodics anganciphisa i-hypertonicity ye-bile ducts.

IDrotaverin inomphumela we-hypotensive and vasodilating ngokunciphisa izinga lama-ion e-calcium esebenzayo emisipha ebushelelezi yama-pancreas

Okuvame ukubekwa kakhulu yiPapaverine, iDrotaverin, iNo-shpa, iPlifillin, i-Atropine. Ngokukhuphuka kwe-pancreatitis, iDrotaverin iqala ukwenza into ngemizuzu embalwa, ekuvumela ukuthi unikeze isiguli ikhefu. Izindlela zaleli qembu zisiza ukwehlisa imithambo yemisipha yezitho zangaphakathi futhi kunciphise isimo.

Ama-antacid

Ngezinkinga zama-pancreas, amalungiselelo we-antacid adingekile ukuze kuhlukaniswe i-hydrochloric acid yejusi yesisu kungasetjenziswa. Ukukhiqizwa okwandayo kwe-hydrochloric acid kuvuselela ukucasulwa kwamanyikwe, futhi ama-antacid asiza ukuqeda imiphumela yaso enolaka.

Izidakamizwa ezisebenza kahle zezifo ze-pancreatic yiAlmagel, Fosfalugel, Maalox. Ukuphuza kwabo kuhlinzeka ngokuphumula okusebenzayo esitho esilimele, esheshisa inqubo yokubuyiselwa kwabo.

I-Almagel ivikela ulwelwesi lwama-mucous we-pancreas emiphumeleni enobuthi ye-hydrochloric acid ne-bile

Ama-analgesics

Ukulungisa izinhlungu ezifweni ze-pancreatic kunzima impela, kepha ukukhululeka kobuhlungu kuyindlela edingekayo yokusiza isiguli. Isifo sezinhlungu asibangeli nje kuphela ukuhlupheka ngokomzimba, kodwa futhi sibukela phansi kakhulu i-psyche yeziguli.

Umuthi wokuvuvukala we-pancreatic

Kubalulekile ukwazi ukuthi akufiseleki kakhulu ukuthatha izidakamizwa eqenjini le-NSAID, ngoba umphumela wazo unobuthi kulwelwesi lwama-mucous lomgudu wesisu. Ukwelashwa kwama-pancreas ngobuhlungu kwenziwa kusetshenziswa ama-analgesics nama-anesthetics.

Umphumela we-analgesic unama-antispasmodics, akhulula umsipha futhi ngaleyo ndlela enze kube lula ukuhambisa ijusi yokugaya ngemisele yolayini. Uma izinhlungu zingavumi, khona-ke kunconywa ukuthatha i-Analgin, Baralgin noma Paracetamol.

Uma kwenzeka kubuhlungu obuqhubekayo, ama-narcotic analgesics asetshenziswa - uFentamil noma i-Promedol. I-Morphine ayisetshenziselwa izifo ze-pancreatic, ngoba yandisa ithoni ye-sphincter ye-Oddi, okuvusa ukuqina kokugodlwa kwe-pancreatic.

Ama-Cholinolytics nama-H2 blockers

Ukwelapha i-pancreas, ama-anticholinergics nama H2 blockers asetshenziswa. Izidakamizwa zeCholinolytic yizinto ezivimba noma zenze buthaka isenzo se-acetylcholine, esibhekele ukucasulwa kohlelo lwezinzwa. Kulokhu, amandla abo okususa imisebe futhi andise i-peristalsis ayasetshenziswa.

Ama-receptors e-Cholinergic nerve receptors adlala indima ebaluleke kakhulu kulawulo lokugaywa kokugaya, ukuvuselela umsebenzi wesisu. Umsebenzi we-gastrocepine ukucindezela izinqubo ze-proteinolytic kanye nokwenza ngcono ukuhamba kwegazi ku-mucosa yesibeletho, ngaleyo ndlela kwandise ukumelana kwabo nezinto ezingezinhle

Izidakamizwa ezinjengoGastril, Pirenzepine, Gastrozipin, Metapin, Chlorozil, Gastrocepin zisiza ukwelapha amanyikwe futhi zilungisa isimo.

Ama-blockers e-H2-histamine receptor asebenza njengama-antacid futhi avimbe ukukhiqizwa kwe-hydrochloric acid esiswini. Ngobuhlungu obungapheli, i-Famotidine ne-Ranitidine inqunyelwe.

Ama-antienzymes (izidakamizwa ze-antiprotein)

I-pancreatitis eyingozi ezimweni eziningi ilashwa ngokuphelele ngokunakwa okufika ngesikhathi kwezokwelapha. Ngemuva kokuhlolwa kokuxilongwa esibhedlela, udokotela udweba uhlobo lonyango futhi unqume ukuthi ungalashwa kanjani ama-pancreas.

Ukwelashwa kwe-Antenzyme kuyinto ebaluleke kakhulu etholakala ngama-proteinoly inhibitors - Pantripin, Gordoks, Ingitril, Kontrikala, Trasilol, njll. Le mishanguzo ithathwa ezinsukwini ezimbalwa zokuqala zokugula.

Ukondleka kwezokwelapha

Ukondliwa okufanele kusiza hhayi kuphela ekuqiniseni isimo ngama-pathologies ahlukahlukene wamanyikwe, kodwa futhi kuhlanganyela nawo kuze kube phakade. Ngabe ama-pancreas angalapheka ngokudla okukodwa? Ngemuva kokuthola isifo ekuqaleni kwentuthuko, kukhona lonke ithuba lokugwema imiphumela yako, futhi singakhuluma ngokululama okugcwele.

Kufanele kuqapheleke ukuthi uma kwenzeka kungasebenzeki kahle kumanyikwe, imiqondo “yokwelashwa” nethi “umsoco”, empeleni, iziphawulo. Ngaphandle kokulandela imithetho ethile, ukwelashwa ngezidakamizwa ngeke kulethe imiphumela.

Imigomo ejwayelekile yokudla kokudla ungokulandelayo:

• yonke imikhiqizo kufanele idliwe ngohlobo oluyimpuphu, ukugwema ukucasuka komshini wokugaya ukudla. I-Porridge, amasobho we-mucous, isobho elibunjiwe lamukelekile;
• ngombono, uma ukudla kunambitheka ngokungathathi hlangothi, ngoba okunosawoti, okukhethiwe, okubabayo nesiqholo kukhulisa umsebenzi wamanyikwe;
• ukudla okuthosiwe akwamukeleki; izindlela ezinhle kakhulu zokupheka ukupheka, ukuhambisa ukudla nokubhaka;
• imikhiqizo yamaprotheni - inyama, ushizi nemikhiqizo yobisi kufanele iqukethe inani elilinganiselwe lamafutha;
• Kunconywa ukudla ukudla ngendlela efudumele, hhayi okushisayo noma okupholile ngokuphelele;
• ukuqhekeka kuyisimo esibalulekile sempilo yalo lonke leli pheshana emathunjini, ngakho-ke udinga ukudla kaningi kancane kancane ukuze ungalayisi kakhulu izitho.

Ezimweni ezimbi kakhulu, ukuzila ukudla okwenziwa ngezinsuku ezingama-1-3, ungaphuza kuphela amanzi angenalutho.

Kufanele futhi kuqashelwe ukuthi ezifweni ezahlukahlukene nobulukhuni bazo, indlela odla ngayo ingahluka kakhulu. Ungajwayelana nezinhlobo nezimpawu ze-pancreatic pathologies lapha.

Ezimweni eziningi, iziguli zinconyelwa ekudleni ezinombolo 5, eziklanyelwe ngqo ukuqinisa ukusebenza kwezitho zokugaya ukudla.

Ukudla okuvinjelwe kufaka phakathi:

• namakhekhe amasha, i-khekhe;
• amakhekhe namakhekhe;
• imikhiqizo ekheniwe futhi ekheniwe;
• Chocolate
• umvimba, amasoseji, amasoseji, imikhiqizo eseqedile,
• inyama enamafutha, isinqumelo;
• izitolo zezithelo kanye nezithelo ezimuncu;
• amakhowe nezinsimbi;
• imifino ethile - isithombo, ginger, isithombo, anyanisi;
• utshwala

Kubaluleke kakhulu ukuthi inani elanele lamaprotheni, amafutha, ama-carbohydrate namavithamini akhona ekudleni.

Ukuqamba kahle imenyu kuhlongozwayo kusuka kumikhiqizo enjalo:

• isinkwa esimhlophe sangaphambilini noma esomisiwe;
• okusanhlamvu nezifundo zokuqala nabo;
• inyama ebondayo - inkukhu, iturkey, unogwaja, i-veal;
• izinhlobonhlobo zezinhlanzi - i-carp, i-cod, i-perch, i-pike perch;
• izithelo ezi-jelly nama-apula abhakwe;
• amazambane, izaqathe, i-zucchini, ithanga;
• jelly, izithelo ezidliwayo, itiye herbal.

Ukwelashwa kwama-pancreas kudinga ukubhekwa okuphoqelekile kwezokwelapha futhi kwenziwa kuphela ngemuva kokuhlolwa. Faka ezinye izindlela ngaphandle kwemvume kadokotela akunconywa. Uma usola ukungasebenzi kahle kwamanyikwe, kufanele uthinte ochwepheshe ukuthola izimbangela futhi unikeze nokwelashwa okufanele. Yiba nempilo!