Izimbangela, izimpawu, izindlela zokwelapha i-pancreatitis ezinganeni nakubantu abadala azifani. Ngokwezibalo zezokwelapha, isigaba esisebenzayo sokulimala kwe-pancreatic enganeni sivame kakhulu. Izinkinga ze-organ pathologies zikhulu kakhulu. Kusukela ezinsukwini zokuqala zokuphila kwengane, kubalulekile ukufeza umsoco wakhe ofanele. Yini ukuvikela izifo? Ungasusa kanjani izimbangela zokuvela kwayo? Ingabe ukusetshenziswa kwezidakamizwa ekhaya kunezici?
I-Etiology (imvelaphi) yenqubo yokuvuvukala
Ukusolwa kwenhlangano yokungondleki kahle kwengane ngamanga aphelele nendawo yayo yokuba umuntu omdala. Isidumbu sengane siphendula lokho okuthandwa ngabazali bayo, izihlobo eziseduzane. Izingane zilingisa ukusebenza kwabantu abadala. Inkomba ebalulekile yokuvimbela ukudla ukudla ngendlela efanele, ikakhulukazi nengane.
Enye yezimbangela eziphambili ze-etiology ye-pancreatitis ilele ku-pathology ye-discgenital ekhona yesakhiwo kanye nokusebenza kohlelo lokugaya ukudla. Ukuxilongwa kwenziwa ochwepheshe: cystofibriosis, cystic fibrosis, pancreatic hypoplasia. Ukulaliswa esibhedlela okuphuthumayo, usizo lochwepheshe kufanele luhleleke ngendlela efike ngesikhathi futhi efanelekile.
Izigaba ezinzima futhi ezingamahlalakhona ze-pancreatitis ezinganeni nakubantu abadala, njengomthetho, zivela ngenxa yenqubo yokuvuvukala. Lapho usungena egazini lemikhiqizo ebolayo yezinto ezinobungozi ukudakwa iba. Abantu abadala bangabusebenzisa kakhulu utshwala obunamandla, inyama ebhemayo, ukudla okunamafutha nokuthosiwe kanye nemithi.
Isisekelo se-enzymatic somuntu ophilile ongenakho ukhubazeka ku-anatomy nokuthuthukiswa kwezitho zokugaya ekugcineni sakhiwe cishe iminyaka emithathu. Umthwalo kuma-pancreas ebuntwaneni kungenzeka ngenxa yokufakwa kwengane ekudleni "kwabantu abadala" (amakhowe, ama-ketchups enziwe ngesinaphi, amasoseji, iziphuzo ezimnandi zekhabhoni).
Yini engingayidla ngokuvuvukala kwamanyikweUkudla kwezinhlobonhlobo eziyingozi, kufaka phakathi ama-chips, ama-crackers, hhayi okwenziwe ekhaya, isikhathi ngasinye kubangela ukukhululwa okukhulu kwama-enzyme wensimbi. Ukudla okulimazayo kufakwe izinto ezithuthukisa ukunambitheka, kuyayilutha. Kusukela ebuntwaneni, isitho sokugaya ukudla siqala ukusebenza "ngemodi ephuthumayo" futhi izicubu zayo ziphela ngokushesha.
Ukudla okunye, kufaka phakathi ukudla okudala noma kunini, ikakhulukazi ezinganeni, kugcwele ubuthi, ukuphuma komzimba neminye imiphumela emibi, kuze kube ngumphumela obulalayo.
Imithi ejwayelekile futhi ivusa ukuvuvukala okusebenzayo kwezicubu ze-gland. Lezo, ekuboneni kokuqala, amavithamini "angenangozi" wokusetshenziswa kwabazali (ngomlomo) kufanele akhethwe ngabezingane ngokucophelela okukhulu. Ukutholakala kwezingane ezidakamizweni kufanele kubhekwe njalo.
Izimpawu kuwo wonke amabanga we-pancreatitis
Ezinganeni, uma kuqhathaniswa nabantu abadala, izigaba ezingamahlalakhona nezibabayo azijwayelekile. Emncane, ukubonakaliswa okuvame kwefomu elisebenzayo eliyingozi kungenzeka. Ku-pancreatitis esibuhlungu, isithombe esilandelayo somtholampilo siyimpawu:
- okokuqala, ukwanda okubukhali kokushisa komzimba;
- okwesibili, izimpawu ze-dyspeptic (isifo sohudo kanye nenausea, esidlulayo ekuhlanzeni).
Ngesikhathi sokuhlaselwa, ingane ikhala ngobuhlungu esiswini. Njengomthetho, kunobunzima ekunqumeni indawo okuyo (indawo ngqo).
Njenge-complication, ngaphandle kokwelashwa okufanelekile kokulimala kwe-pancreatic, kungahle kube khona i-organ edema, ukwanda ngosayizi
Ukwephula njalo kokudla okuthile kuholela ekukhiqizweni okungahleliwe kwama-enzymes wokugaya umzimba womzimba. Kancane kancane, ukuvuvukala okungapheli kwama-pancreas kwenzeka enganeni, noma ngemuva kokuhlaselwa ngamandla, amangqamuzana angenasifo ayeka ukusebenza ngokujwayelekile.
Inqubo yokuthuthukiswa kwalesi sifo ihambisana:
- ukuncipha;
- ukulahleka kwesifiso sokudla;
- ukozela
- ubuqili.
Ingane ikhathala ngokushesha, ukuguquguquka kwesimo sayo esivamile kwephulwe (isifo sohudo sithathelwa indawo ukuqunjelwa).
Izimpawu ze-pancreatitis zinamandla kakhulu ezinganeni kunabantu abadala. Isifo sengane sikhula ngokubakhona kokungezwani kokudla komkhiqizo. Izinsana ezinceliswa amabele zivame ukungabi ne-lactose, etholakala ngokuphelele kubisi lwebele.
Ngaphambi kokwelashwa ...
Izinsana ezi-Hyperactive zidinga ukuvikeleka kakhulu ekuxinekeni kuya emgodini wesisu (ukuwa, iziqubu, umthwalo osindayo wezemidlalo). Ukulimala kufaka ukulimala kwezicubu, ukususwa kwezitho zomzimba, ukucindezelwa kwemithambo yegazi, izindunduma ze-bile. Ngokwezibalo zezokwelapha, ezinye zezingane ezihlushwa i-pancreatitis, ngakusasa zathola isifo esithathelwanayo (umkhuhlane, ama-mumps).
Ngemuva kokuhlolwa okujwayelekile komzimba, igazi, umchamo kanye nezindundana nakanjani zithathwa. Izindlela zensimbi (i-ultrasound, i-x-ray) zihlola isimo se-pancreas. Ekuhlaziyeni okujwayelekile kwegazi lesiguli, amapharamitha we-biochemical ahlukahluka kusuka kokujwayelekile (okuqukethwe kwama-leukocytes kanye nezinga lama-enzyme kuyakhuphuka).
Amasampula we-Fecal elabhorethri ahlolwa ikhomishini. Ngokwomphumela wazo, kwenziwa isiphetho: ingabe kunama-enzyme anele emzimbeni akhiqizwa yisitho sokugaya ukudla ngemisebenzi ye-endocrinological.
Izimpawu zesifo ziqinisekiswa ubukhona bomchamo wento yezinto eziphilayo - i-amylase. Ukuhlolwa kwe-ultrasound kunquma ubungako bama-pancreas, i-echogenicity yayo (isakhiwo). Ukwanda noma ukwephulwa kobuqotho kukhombisa izinqubo eziqhubekayo zokuvuvukala.
Ama-X-ray angabonisa ukuthunyelwa kwezitho zomzimba (isisu, i-duodenum) esiseduzane nendlala, amatshe akhiwe, izithintelo zemithambo yepancreatic. Ngesikhathi sezigaba ezibucayi nezisebenzayo, ukuhlolwa kwengane kwe-X-ray akunakualulekwa.
Ukwelashwa Kwe-pancreatitis
Isisekelo sokwelashwa kwezinhlobo ezisebenzayo nezibabazekayo zokulimala kwe-pancreatic ukususwa kwe-edema kusuka emigungwini yesitho esisusa i-bile. Ama-analgesics, ama-antispasmodics asetshenziswa. Ngasikhathi sinye, ngosizo lwama-antibiotics, kukhona umzabalazo wokulwa nokutheleleka okwavela ngenxa yokuqina kwe-bile. Izimpawu zokuvuvukala kwe-pancreatic ziyamiswa, ngaphezu kwalokho - ama-corticosteroids nama-antihistamines.
Ekuqaleni, ingane kufanele ibe ekudleni okuqinile. Lokhu kuzila okuphelele nokwazisa kwezakhi zomzimba nezisombululo zemithi. Isikhathi sokudla "okulambile" singakwazi ukuqhubeka, ngokuya ngesimo esijwayelekile somzimba nesitho, ikakhulukazi, kusuka ezinsukwini ezingama-1-3 kuya kumaviki ayi-1-1,5.
Ngemuva kwalokho, kancane kancane, amabhethri angeniswa ezingxenyeni ezincane zama-5-6 noma ngaphezulu ngosuku. Ukudla kufanele kuhlale kulungiselelwe okusha, kufudumele - ngamazinga okushisa, athambile, abilisiwe - ngokuhambisana. Khawulela ukusetshenziswa kwamafutha, ushukela kanye nemikhiqizo equkethe. Kunconywa ukuthi uphuze amanzi angenamakhaza angenamakhaza, akhululwe kumagesi, ½ inkomishi phakathi kokudla.
Ngaphezu kwalokho, ama-enzymes enziwe asiza ukugaya ukudla anqunyelwe ukusetshenziswa
Ngokulashwa okuyikho, okuqale esigabeni sokuqala se-pancreatitis, i-tiba yokwelapha ivumile. Ngendlela engapheli yesifo, okuningi kuya ngemvamisa yokubonakala kwayo. Ukwelashwa kwezingane ngemuva kokuba isibhedlela senziwe ekhaya. Ukulungiswa kwemifino kusetshenziswa ngaphandle kwephunga le-pungent noma ukunambitheka okumunyu (itiye le-chamomile, i-rosehip, ukufakwa kwe-plantain, i-decoction yembewu yefilakisi).
Ukuhlolwa kwezokwelapha okuhleliwe okwenziwa ngudokotela wezingane kanye ne-gastroenterologist kubalulekile okungenani izikhathi ezingama-1-2 ngonyaka, ikakhulukazi ebuntwaneni, eminyakeni engu-6 kuya kwengxenye, ukuthomba. Izingane ezigulayo zikhonjiswa indlela yokwelashwa.
