Ukuvela okukhulu nokubonakaliswa kokuvuvukala kwe-pancreatic kudinga ukwelashwa okuphuthumayo ngemithi. Ukungasebenzi kahle kwe-Conservative therapy kuholela ekwakhiweni kwezinkinga ezifika sekwephuzile. Ngisho nokuhlasela okukodwa kuvame ukucindezela ukuguqulwa kwe-pathology ibe yifomu elingamahlalakhona. Kwesinye isikhathi isiguli sidinga ukuhlinzwa. Yimiphi imithi ongayithatha ngokubhebhethekisa i-pancreatitis? Kungani kufanele kufakwe imijovo? Ngabe ngidinga ukuhambisana nezidingo zokudla nokudla okwenziwe ngemuva ngemuva kokwelashwa ngezidakamizwa?
Ukwelashwa kwezimpawu nokususwa kwezimbangela
Isisusa sokubonakaliswa kwezinhlobo ezahlukahlukene zokuvuvukala ukwephulwa okunonya kokudla okunempilo, ukusetshenziswa kwenqwaba yotshwala. Ukwelashwa ngezidakamizwa akunakwenzeka ngaphandle kokubhekana nezimbangela eziholele kulokhu kuhlaselwa. Ama-pathologies wezitho ezitholakala eduze kwe-pancreas (cholelithiasis, cholecystitis, gastric kanye ne-duodenal ulcers) nawo aphula umsebenzi wawo wobumfihlo.
Ku-pancreatitis e-acute, i-enzymatic autolysis noma okuthiwa ukugayeka okuzimele kwamaseli okugaya ukudla ngemisebenzi ye-endocrinological kwenzeka, okubangelwa yi-pancreatic necrosis - necrosis, i-purulent fusion ye-pancreatic parenchyma (izicubu).
Ukuqondiswa kokuthuthukiswa kokuhlukahluka okungapheli kwesi sifo kwenzeka ngokubhekisisa i-sclerosis (scarring) kwezicubu ze-glandular. Ukubhujiswa kwe-sclerotic, okuthonywe inqubo yokuvuvukala, kukhula kancane kancane. Ngesikhathi se-pathology, ukuvela kwama-enzymes emzimbeni kuyaphazamiseka. Ukugaya ukudla okubandakanya amaprotheni, amafutha kanye nama-carbohydrate akuhambi kahle.
Ngesikhathi sokuhlaselwa yi-pancreatitis ebukhali, umuntu unobuhlungu obungabekezeleleki esiswini esiningi, imvamisa kwi-hypochondrium yangakwesokudla, lapho umsila we-gland utholakala khona ngokomzimba. Umzimba nekhanda lesitho, eliqonde entanjeni ye-umbilical, kuthinteka kancane kancane. Isimpawu sobuhlungu siguqula isimilo saso, sibe yibhande. Kuphoqa umuntu ukuthi athathe isikhundla esikhethekile, ehleli noma elele phansi, imilenze iqiniswe ngokuqinile emzimbeni.
Kungemva kokubonisana nodokotela ohambele udokotela-gastroenterologist kuphela ongazisebenzisa izidakamizwa
Ezinye izinkomba zesimo esibucayi:
- kukhona ukwehla komfutho wegazi;
- kune-tachycardia (inhliziyo palpitations) ngenxa yomthwalo osenhliziyweni;
- kukhona ukwanda okubukhali kokushisa komzimba kuya kuma-39-40 degrees.
Isici esibonakalayo ku-pancreatic pancreatitis eyingozi wukuhlanza okungenakugwenywa. Ukuphuma njalo kokuqukethwe esiswini akulethi ukulethwa isiguli.
Ukwelashwa Kwe-pancreatitis Attack
I-pancreatic syndrome idinga ucingo oluphuthumayo lwenkonzo ye-ambulensi. Ukwelashwa kweziguli ngemuva kokulaliswa esibhedlela okuphuthumayo kwenziwa emnyangweni wokuhlinzwa. Ngemuva kokuhlolwa okuningiliziwe (ukuhlolwa ngudokotela, i-ultrasound of the tumbo, ukuhlolwa kwegazi kanye nomchamo womsebenzi we-amylase), uma kunesidingo, isiguli sidluliselwa ewadini yokwelapha.
Ziphinde zitholakale ngenhloso yokuqeda izinkinga zamuva kwe-pancreatitis:
- ama-fistulas kanye nama-cysts ama-pancreas;
- uhlobo lokuncika kwesifo sikashukela;
- Ama-neoplasms amabi wesitho.
Yini okufanele uyithathe ngokuhlaselwa kwe-pancreatitis ebaluleke kakhulu? Ukudambisa i-edema emiseleni yesitho nokulwa nokuvuvukala kwayo, odokotela banquma isiguli ukushesha okuphelele izinsuku eziningana. Ngasikhathi sinye, ama-ejenti okwelapha nezisombululo zezakhi zemithi ziphathwa ngaphakathi. Ngokuhamba kwesikhathi, isigaba sokuqala sokwelashwa singathatha amasonto amabili.
Ukwelashwa kwezinkinga ze-purulent necrotic (ngokusho kwezinkomba ngazinye) kudinga ukusetshenziswa kwe:
Uhlu lwezidakamizwa zokwelapha i-pancreas- ama-ejenti acindezela umsebenzi we-enzymatic we-gland (Mexicoidol, Contrical);
- i-antibacterial (Klafaran, Abactal);
- ama-immunomodulators (cycloferon);
- ama-painkiller (uKetorol);
- antispasmodics (drotaverinum).
Izidakamizwa eziqukethe i-belladonna ekhishwe, iBuscopan, zinomphumela we-antispasmodic. Uma kungenakwenzeka ukufeza amandla amahle kwezokwelapha, ukuthuthukiswa kwezinkinga, kuphakama umbuzo wokungenelela kokuhlinzwa.
Imiphumela eyingozi ezigabeni zokuqala yilena:
- i-pancreatic necrosis;
- i-jaundice (imishini);
- ithumba emgodleni wesisu (ukutheleleka okubanzi);
- i-peritonitis (ukuqhuma kwezindawo zokuvuvukala).
Ngemuva kokuzila ukudla ngokuphelele, okunye ukudla kuyangeniswa kancane kancane ekunakekelweni yisiguli. Zama ngokucophelela ukubekezelela ama-crackers avela kusinkwa sikakolweni netiye. Ngaphezu kwalokho, lokhu kudla kuyakhula ngenxa yelayisi noma umhluzi we-oat.
Konke ukudla okunamafutha akufakiwe; i-oyile ayifakwanga amazambane abunjiwe kanye nezinhlamvu, kepha ubisi oluncane kuphela. I-Kissel iyi-semi-liquid ngokungaguquguquki. Ekupheleni kweviki yoku-1, ukudla kwamaprotheni kuvunyelwe - ushizi wekotishi onamafutha amancane, amaqanda aqhekekile, ama-patties wenyama enomhluzi. Ukudla kokudla kufanele kube kuncane (100 g), ukudla njalo ngamahora ama-2.
Imithi iyakhethelwa isiguli, kucatshangelwa ukwephulwa komuntu ngamunye ekusebenziseni kwabo
Imithi evela kwikhithi yosizo lokuqala yesiguli esine-pancreatitis
Isichazamazwi se-Contricale yi-Aprotinin. Ukulungiswa kwamaprotheni kukhishwa ngesimo se-powder, lapho kufanele kulungiswe khona isixazululo somjovo. Ampoules athengiswa ephelele nge-solvent. Into esebenzayo ivimbela ama-enzymes athile (iplasmin, trypsin).
I-Contrycal ihanjiswa ngokungenantambo emthonjeni (endaweni yokuhlohla noma idrophu). Ukusetshenziswa ngomuthi ngokucophelela kuyadingeka, mhlawumbe ukubonakala kokungezwani komzimba, ukuncipha okukhulu komfutho wegazi.
Into esebenzayo ku-antimicrobial synthetic drug Abactal yi-pefloxacin. Ukukhishwa kwenziwa ngezindlela ezimbili: amaphilisi kanye nomjovo we-0.4 g lilinye.Izingane ezingaphezu kweminyaka engu-15 ubudala kanye nabantu abadala zinconywa umthamo we-0.8 g ngosuku (ekuseni nakusihlwa). Kufanele uphuze umuthi ngokudla.
Nge-pancreatic pancreatitis, ihanjiswa ngaphakathi. Ezimweni ezinzima kakhulu zalesi sifo, umthamo wenyuka waba ngaphezu kwe-1,6 g. Kepha kulokhu, kunamathuba okuthi kwakhiwa kwegazi emithanjeni yegazi.
Njengezidakamizwa eziningi ezine-immunostimulating and antiviral zokwelapha, i-Cycloferon ihlanganiswe ngezinto zemvelo - ulamula. Isixazululo ne-powder yomjovo asisetshenziswanga nje kuphela ngaphandle, kepha futhi nange-intramuscularly. Yenza isikhathi esisodwa ngosuku ku-250 mg izinsuku ezimbili zilandelana. Ngemuva kwalokho, gcina umthamo, ukwenze ngosuku. Isifundo sifinyelela kuma-sindano ayi-10.
Ukwelashwa kwe-pancreatitis enzima, ukuphathwa okuphindaphindiwe kwama-immunomodulators kwamukelekile. Ngokungafani nemithi elwa namagciwane, uCycloferon uvame ukubekezelelwa yiziguli futhi uhlanganiswe nezinye izidakamizwa.
Umuthi we-analgesic Ketorol nawo unomphumela wokulwa nokuvuvukala. Ngesikhathi sokuhlasela phakathi nosuku, kuvunyelwe ukwenza umjovo we-intramuscular (i-ampoule eyi-1) izikhathi ezi-6, kodwa hhayi ngaphezulu kwezinsuku ezi-5. I-1 ml yeKetorol iqukethe ama-30 mg we-ketorolac tromethamine, into engabambisa ubuhlungu be-etiologies ehlukahlukene (imvelaphi). Isidakamizwa sinconywa ngokuqapha ezinganeni ezingaphansi kweminyaka engu-16 ubudala, iziguli ezinenkinga yokusebenza kwesibindi nezinso, izitho zomgudu wesisu, inhliziyo.
I-No-shpa (Drotaverin, Nospan) - umuthi wokwenziwa unomphumela we-antispasmodic. Ukusetshenziswa kwaso kuholela ekuqabuleni kwemisipha ebushelelezi ngesikhathi se-spasm. Ngokufakwa kweNo-shpa ngendlela yomjovo, imiphumela emibi iyenzeka (imizwa yokushisa, imizwa, isiyezi, ukusabela kwesikhumba, ukujuluka).
I-Buscopan iyatholakala ngefomethi ye-dragee ne-rectal suppository. Kunconywa ukusebenzisa umuthi wezingane ezingaphezu kweminyaka engu-6 ubudala kanye nabantu abadala kumthamo wama-1-2 ama-PC. kuze kube kahlanu ngosuku. Amakhandlela (kwesinye isikhathi amabili) afakwa njalo emahoreni ama-4. Kudingeka ukunakwa ngokucophelela kulo muthi kubantu asebekhulile, omama abahlengikazi kanye nalabo abenza imisebenzi edinga ukusabela nokuzola okusheshayo.
Le mishanguzo esetshenziswa kakhulu isetshenziswa kalula njengomjovo ngesikhathi kuhlaselwa i-pancreatitis eyingozi, ihambisana nokuhlanza okungalawuleki. Kulokhu, izinto zabo ezisebenzayo zingena ngokushesha egazini lesiguli.
Ukuze ngesikhathi esifanele, izidakamizwa zinikeze isiguli izinzuzo ezisebenzayo, izidingo zokugcinwa kwemithi kumele zibhekwe. Azikwazi ukuba yiqhwa, zigcinwe ngamazinga okushisa aphezulu, ngaphansi kwethonya lokukhanya kwelanga. Kubalulekile ukuqapha njalo isikhathi sokusetshenziswa esikhonjiswe kwiphakheji. Ngaphambi kokusetshenziswa, amaphilisi kufanele ahlolwe ukuze kufane umbala kanye nobuqotho, kanye nezimpawu zokungatholakali kokuzitika ngodonga, amakhandlela asisombululo.
