Ngokubuka ubukhulu obuncane be-pancreatic (pancreas) gland, engakwazi "ukuncibilika", ukuduneka kwayo, kwezinye izimo cishe ngengilazi, isifiso sokubuyisela isakhiwo ngangokunokwenzeka futhi sandise impilo yaso kuyaqondakala - phela, ngokwelula impilo yaso, isiguli ubude futhi okwakhe.
Kepha ukuze uphendule umbuzo wokuthi ungawubuyisela kanjani umsebenzi wesitho, ukuze wakhe kabusha isakhiwo saso kanye nokuvuselelwa kwamaseli, kufanele uqale ufunde izizathu zokwehluleka kwaso.
Ukululama kwe-pancreatic ngemuva kokuhlaselwa ngamandla kwe-pancreatitis
Kunezindlela eziningi zokuqalisa i-gland. Esilula nesabulala kakhulu kubo siyaphuza, isiqephu ngasinye empeleni siyinombolo "ebulalayo" okungenakuphuma kuyo.
Isethulo ngasinye sangaphandle esingenacala (futhi esinomusa) sephuzo le-vodka ezindebeni (inketho yi-mugs kabhiya) silingana nokuthinta umzimba oshisayo ngezipikili ezishisayo. Ngemuva kwakho konke, utshwala bunomphumela oqondile wokukhipha amandla - kepha buzwa ngaphakathi, ngoba bungathinti i-capsule yayo, uma ilimele, iziphuzo zokugaya zingena esiswini sangasese zingadala ukufa isikhathi eside futhi zibuhlungu njengokuqhamuka esilondeni sokudubula kuya esiswini.
Enye indlela yobudlova obuhamba kancane nobubuhlungu emzimbeni ukubhema. I-vasospasm ebangelwa isenzo se-nicotine iholela ku-ischemia yayo (ukuphuma kwegazi okunganele), okuholela ekufeni kwezingxenye zezicubu zalolu lwimi, ezingafani nobunzima obukhulu. Zonke izinkinobho zikagwayi ku-ashtray yisibazi sezicubu ze-pancreatic.
Indlela yesithathu “yokucwilisa ukukhanya” okuvela ku-pancreatic gland ukungqubuzana okuhlala njalo phakathi kwalokho okufunayo nalokho okutholakalayo - ukucindezela ngendlela engapheli.
Zonke ezinye izindlala "ezivuthayo" nazo ziyingozi:
- ukudla inani elilinganiselwe lokudla okungakwazi ukukugaya ukudla komzimba, ikakhulukazi okunosawoti ocebile, opelepele, okugcwala ukunambitheka kanye nezinto ezilondolozela ukunambitha;
- ukwenza umsebenzi onzima kunawo wonke kwezemidlalo kanye nezimo ezifanayo (ngokuphakamisa isisindo esingamakhilogremu ayi-100 noma ngaphezulu ngaphezulu kwekhanda);
- ukuphefumula komoya wezimboni noma i-smog yedolobha elikhulu elinamakhompiyutha amaningi okuhola kumagesi aqeda amandla.
Ngokuqhubeka kokugcinwa kwalezi zinto, umbuzo uthi: ingabe i-pancreatitis ingalapheka inyamalala iphelele - kuphela ukuqeda ngokuzithandela kokudakwa kwasekhaya okungahle kube yisinyathelo sokuqala sendlela yokuvuselela i-pancreatitis, ehlala ivame ukungalapheki (isivele ibhekene nefa elibuthakathaka kubantu banamuhla).
Ukuhlala esibhedlela ngohlobo oluqinile nokudla yindlala kuyisisekelo esisebenzayo esingaguqula ukubukwa komhlaba okudala bese kushiya lowo obebonakala sengathi "ungcwele"
Kungemva nje kokubona ubucayi besimo nokushintsha isimo sengqondo ngomzimba wakho, lapho kungenzeka ukuthi ube nomphumela ogcwele ezicutshini zesitho esinezidakamizwa ngokuqala kokuvuselelwa kabusha kwe-pancreatic.
Imigomo ejwayelekile yokwelashwa kwe-pancreatitis eyingozi futhi engamahlalakhona yile:
- ukuhambisana nokuphumula kombhede okuqinile;
- isicelo endaweni ye-lesion of bladder yeqhwa njalo ngesigamu sehora-ngehora nokuphazamiseka kwamahora angama-1-3 ngaphambi kokuqala komphumela;
- i-anesthesia ephelele;
- ukusetshenziswa kwezidakamizwa ze-antibacterial;
- ukusetshenziswa kwezindlela zokucindezela umsebenzi wokugaya ukudla kwendlala;
- ukwelashwa esikhundleni se-enzyme.
Imigomo ejwayelekile yokuvuselela umuntu ezimweni ezinzima kakhulu ayihlukile kuleyezinye izinhlobo zesisu esibuhlungu kakhulu: isilonda eyenziwe kahle nokunye.
Ukwelashwa kwesimo se-pathology esingamahlalakhona
Amathuba wokuqinisa impilo ye-pancreatic kumonakalo ongamahlalakhona mkhulu kakhulu kunasesimweni esibi kakhulu.
Ukuphuma ngesimo esingamahlalakhona kunciphisa kakhulu ingozi ye-pancreatic necrosis - i-necrosis yendawo ethe xaxa noma engaphansi kakhulu yezicubu ngokungena kwe-enzymes ye-gland ukungena egazini, kanye nokuya esikhungweni sesisu ngomonakalo wezinhlaka ezikhona lapha:
- peritoneum;
- izinzwa
- izitsha.
Ividiyo evela kusazi:
Ukucasulwa, kanye nomonakalo omkhulu kakhulu kulezi zakhiwo, ezisabela kabuhlungu ekuhlaselweni ngamakhemikhali, kungaholela ekufeni ngokushaqeka, ngenkathi ukutheleleka kwazo kuholela ku-peritonitis.
Ngaphandle kobunzima obuphansi kakhulu be-pancreatitis yesifo sezinhlungu, imizwa iqine kakhulu futhi idinga ukusetshenziswa kwe-analgesics enamandla noma inhlanganisela yalokhu:
- I-Baralgin;
- Akukho-shp;
- I-Platyphyllin;
- Ukuhlaziya.
Ngobuhlungu obukhulu, le mishanguzo isetshenziswa ihlanganiswa ne-diphenhydramine noma ama-ejenti anamandla amakhulu asetshenziswa (kuze kufike ku-Promedol noma i-Novocaine kwimithamo ephezulu).
Ukuze ucindezele-ukucindezela umsebenzi we-exocrine (wokugaya ukudla) wamanyikwe, kusebenza izidakamizwa ezilandelayo:
- I-Aminocaproic acid;
- Trasilol;
- I-Ranitidine;
- Omeprazole
Isigaba sama-antibacterial agents (ngenhloso yokuvimbela ukutheleleka) wethulwa:
- I-Doxycycline;
- I-Ampioksom;
- I-Gentamicin.
Ukukhishwa emzimbeni kanye nokuvuselelwa komzimba kwenziwa ngokufakwa kwezixazululo:
- ngokomzimba;
- "Hlakaza";
- Reopoliglyukina.
Njenge-antiemetic, kusetshenziswa imijovo yeCerucal noma i-analogues yayo.
Iqembu:
- IPanzinorma;
- I-Pancreatin
- Ikhoni.
Ukuze wakhe kabusha ama-pancreas, kunengqondo ukusebenzisa izidakamizwa ukubuyisela:
- I-Methyluracil;
- Riboxin.
Njengoba ukwanda kudamba, i-physiotherapy ixhunyiwe ekwelashweni ngesimo:
- I-iontophoresis ene-Contrical noma i-GHB (γ-hydroxybutyric acid);
- I-Ultra Gland nokuningi.
Ukuba khona kwesifo sohudo, ukunciphisa umzimba kusebenza njengophawu lokusetshenziswa isikhathi eside:
- Ikhoni
- Festal futhi izindlela ezifanayo.
Lapho kukhona ama-cysts, ukucubungula okubanzi, amathuba we-pancreatic necrosis, i-gland ivuselelwa ngokubekwa kwalawa mafomu kuya kwezicubu ezinempilo.
Ukulungiswa kwendlala yesifo sikashukela
Kwi-pancreatitis enzima engapheli ngenxa yezinqubo zokuvuvukala-dystrophic, ingxenye ebalulekile yomzimba we-pancreas ithathelwa indawo yi-adipose noma isicubu sesicubu.
Ngokuncipha okukhulu kukho ngokubandakanyeka kweziqhingi zeLangerhans, ukungakwaneli kukhula hhayi kuphela ngaphandle, kepha futhi nokuqina, ngokwakhiwa kwesifo sikashukela, esibizwa nge-pancreatic (uphawu) - ngenxa yokuqina kwesibeletho.
Ngenxa yokuthuthuka kokubekezelela ushukela wezicubu zomzimba, kungabhekwa isifo sikashukela sohlobo II. Esiswini esingenalutho, izinga likashukela wegazi liyinto evamile, kepha ngemuva kokudla liyakhuphuka, okuholela ku-hyperglycemia ende.
Naphezu kwembubhiso ecishe yabulala abantu ngokuvela kwe-pancreatitis engapheli ezinesifo sikashukela nazo zombili lezi zinhlobo zezifo, abantu abahlushwa ukuvuvukala kwepancreatic bangagwema ukuthuthukiswa kwalesi sifo se-endocrine.
Izici zomuntu ngamunye zesifo sikashukela se-pancreatic yilezi:
- ikhono le-hypoglycemia ebukhali;
- ukuntuleka komkhuba we-ketoacidosis;
- ukulimala okungavamile kakhulu kwimithambo emikhulu naphakathi, kanye ne-arterioles kanye nama-capillaries, kunokuba nesifo sikashukela esingafani nalokhu sobabili;
- ukusebenza kahle kwamacwecwe anciphisa ushukela kuphela esigabeni sokuqala se-lesion ye-gland kanye nokuphelelwa yithemba kwabo esikhathini esizayo;
- isidingo esiphansi sokwelashwa kwe-insulin;
- amandla okubuyisela umsebenzi we-gland ekuthatheni imali evela ku-sulfonylurea kanye ne-Biguanides (Metformin nabanye), kanye nokusetshenziswa kahle kokudla nokuvivinya okunengqondo.
Ukuba khona kanyekanye kwesifo sikashukela nepancreatitis esigulini, ukwelashwa okubuyiselwayo kuyadingeka ukuze kulungiswe i-carbohydrate metabolism kanye nokuqedwa kokushoda kwe-enzyme. Ngenxa yokuntuleka komthelela ekuthatheni amaphilisi, ukwelashwa kwenziwa ngokuphathwa kanyekanye kwama-enzyme nama-ejenti ama-hormone ngaphansi kokuhlolwa kwegazi.
Ezimweni ze-hyperglycemia, konke ukudla okulinganiselayo kanye nesidingo sokuhambisana nakho kufanelekile ikakhulukazi. Kuphela uma kukhishwe yonke imikhiqizo eyingozi evela kuyo (nokwenqatshwa ngesikhathi esifanayo kokudakwa okujwayelekile) kungenzeka ukufeza imiphumela yangempela ekulweni ne-pathology ehlanganisiwe.
Izici zokudla zesifo sikashukela se-pancreatic yilezi:
- ukwenqaba ngezigaba umhluzi wenyama, ukudla okunamafutha kanye nezinongo (imayonnaise nososo), kanye nama-apula amasha neklabishi;
- imikhawulo ebukhali ekudleni kwesinkwa (nesinkwa kuphela sikashukela);
- ukusetshenziswa kwamaswidi kuphela nokwakheka okukhethekile (kwabanesifo sikashukela);
- kunokuphakeme (100-200 g) okuqukethwe kwamaprotheni wokugaya kalula ekudleni futhi kungabi ngaphansi kwama-300-400 g wemifino nezithelo.
Ividiyo evela kuDkt Evdokimenko:
Amakhambi e-Folk ama-pancreas
Ekwelashweni kwe-pathology engathi sína njenge-pancreatitis (ikakhulukazi ehlanganiswa nesifo sikashukela), umuntu akufanele ancike kwizimali ezazisebenza lapho izinzuzo zomuthi wanamuhla zazingatholakali kubantu.
Ngakho-ke, ezinye izindlela zokwelashwa zingasiza kuphela kudokotela ochwepheshe wezokwelapha, obekwe ngokwakhiwa kwesayensi, ngaphandle kokuzibuyisela esikhundleni. Noma kunjalo, ngokuvunyelwa udokotela obelapha, bangasetshenziswa (ngesibonakaliso sokuthi, ngokushintsha okuncane kwesimo, isiguli sizophendukela esikhungweni esikhethekile).
Ukwelashwa ekhaya (ngesikhathi sokuxhoma i-exacerbation) kungenziwa ngalezi zindlela ezilandelayo:
- Tea kusuka ku-plantain (1 tbsp. L. Dry raw raw / 1 tbsp. Amanzi abilayo), 100 ml izikhathi ezi-3 / ngosuku.
- Tea kusuka empandeni ye-dandelion (50 g / 300 ml wamanzi abilayo, gcizelela amahora ama-2), isetshenziswa ngokufanayo (ngaphambi kokudla).
- Isilinganiso se-flaxseed (3 tbsp. L / 1 l yamanzi abilayo, shiya ku-thermos ebusuku) 100 ml kathathu ngosuku.
- Itiye eliphulwe ngezilinganiso ezilinganayo:
- i-dieelle;
- ama-daisies;
- ISt. Wort
- ama-birch efihlekile.
- Indwangu ecindezelwe yendwangu yogurt ebekwe esifundeni sase-epigastric ebusuku.