Izimpawu nokwelashwa kwe-pancreatitis ezinganeni

Umzimba wezingane unamandla amakhulu kunomuntu omdala futhi uphendula ngokuzwakalayo kuzo zonke izinguquko.

Noma yikuphi ukwephulwa kwerejimeni ejwayelekile kungavusa isifo enganeni, kufaka phakathi i-pancreatitis - ukuvuvukala kwamanyikwe.

Ama-pancreas angenye yezakhi ezibaluleke kakhulu ezikhiqiza ama-enzyme adiliza izingxenye zemikhiqizo. Ijusi elikhiqizwe indlala lisiza ukugaya ukudla.

Iphinde ikhiqize ama-hormone alungisa ushukela emzimbeni. Ngokuvamile, izinkinga ezihambisana ne-pancreatitis zibandakanya ukuphazamiseka emzimbeni wonke.

Ukuhlukaniswa kwe-pancreatitis ezinganeni

Bangama-5 kuya kwangama-20% kuphela wezingane abhekene nale nkinga.

Kunezindlela ezahlukahlukene zezifo zesifo:

1. Ifomu elingamahlalakhona - Lokhu ukuvuvukala okungapheli kwamanyikwe, okudlula esigabeni sokuxolelwa, bese kungena esigabeni sokuxhamazela. Lolu hlobo lungaqala futhi lube ngesimo se-latent. I-pancreatitis engapheli ibanga izifo zohlelo lokugaya, isifo se-gallbladder kanye ne-microflora yamathumbu. Lolu hlobo lokuvuvukala ezinganeni alutholakali kakhulu; izingane ezifunda isikole zivame ukuba nezimpawu zalo.
2. Ifomu elisebenzayo - ukuvuvukala nokuvuvukala kwendlala ngenxa yokungondleki okwanele, kanye nokusabela okuqinile komzimba emithini noma kunoma iyiphi i-allergen yangaphandle. Uma kungekho usizo, i-necrosis kanye nokopha kwesitho kungaqhamuka. Ingenzeka ezinganeni zanoma yimuphi unyaka, kodwa imvamisa iminyaka eyi-10-18;
3. Ifomu elisebenzayo - Lokhu kungukuncipha kwemisipha yendlala, ngenxa yalokho amanyikwe aqala ukuzigaya uqobo (aluchithe). Lolu hlobo luyakhula ngenxa yezifo ezifanayo zesimo esithathelwanayo, ngenxa yobuthi. Le yindlela ejwayelekile yokuhlaselwa ezinganeni.

Kunamazinga ahlukahlukene obunzima balesi sifo:

1. Imnene - lapho izimpawu zimnene, amalunga nezinhlelo zonakaliswa kancane. Leli banga lingelapheka kalula futhi linokugula okuhle.
2. I-Seve - izimpawu zimenyezwa kakhulu, kuvela izinkinga ezinzima (ukuvuvukala kwe-purother, necrosis). Ngobu bunzima, inkinga ingaxazululwa ngokuxakile.

Ukuze ungenzi lesi simo sibe sibi kakhulu, kufanele uyiqaphele kakhulu ingane futhi ungaphuthelwa yizimpawu zokuqala ezingalashwa kuphela ngosizo lokudla okhethwe kahle.

Ividiyo evela kuDkt Komarovsky:

Izimbangela ze-pathology ebuntwaneni

Imbangela eyinhloko yokuvuvukala kwe-pancreatic enganeni ukunganaki kwabazali. Izifo zalolu hlobo ezinganeni ngamacala angawodwa, ngakho-ke abazali bavame ukwenza buthaka ukulawula impilo yengane.

Izimbangela zesifo yilezi:

1. Ukungasebenzi ukuqina kokusebenza kwama-enzyme e-pancreatic. Lokhu kuyimbangela ezinganeni ezingaphansi kweminyaka engu-5 ubudala, ngoba umzimba ungakulungele ukubhekana nokudla okungenayo kahle.
2. Ukudla okutholwa yingane akuhambelani nezici zobudala bakhe.
3. Ukuhlukumeza okunamafutha, upelepele, omuncu, usawoti, ukudla okuthosiwe.
4. Ukuhlukumezeka kwemikhiqizo eseqedile (amasoseji, amasoseji).
5. Ukusetshenziswa ngokweqile kokudla okusheshayo neziphuzo ezinoshukela ngegesi.
6. Ukwehluleka ukuhambisana nokudla - ukudla okungafakwanga (izikhala ezinkulu phakathi kwemithamo yokudla), nezingxenye ezinkulu ngokweqile, okulimaza kakhulu isimo sohlelo lokugaya ukudla.
7. Ukwephulwa kwamaphethini okulala - lokhu kungaba yinto engemihle, ngoba emzimbeni wengane ukucindezela okukhulu.
8. Umsebenzi omkhulu womzimba.
9. Ukuba khona kwengcindezi. Izingane zizwela kakhulu lezi zinhlobo zezinto. Empilweni yabo kunenqwaba yezingcindezi:
   • ukuzivumelanisa engadini noma esikoleni;
   • Izinkinga zontanga;
   • Izinkinga zokuxhumana nabazali kanye nabanye.
10. Ubuthi bunomthwalo omubi omkhulu kakhulu ku-gland.
11. Ukuthatha umuthi, njengemithi elwa namagciwane.
12. Izifo ezinzima ze-Congenital, njenge-cystic fibrosis. Ngalesi sifo, ingane idinga ukwelashwa kwe-enzyme impilo yonke.
13. Izifo ezizalwa yisibindi, isisu, isinye.
14. Ukuba khona kwezifo ezahlukahlukene zomzimba emzimbeni.
15. Isizinda sofuzo kanye nefa.
16. Ukuba khona kohlobo lwesifo sikashukela uhlobo 1 no-2.
17. Uma ingane ine-allergies, khona-ke lokhu kuthinta kakhulu isimo samanyikwe.
18. Izinkinga ngemuva kokugoma.
19. Ukungenelela kokuhlinzwa. I-Anesthesia inomphumela omubi ezinhlelweni zomzimba.
20. Ukulimala emgodini wesisu (iziqubu, ukulimala) kuthinta ukusebenza kwezitho zomzimba.

Ividiyo evela kuDkt Komarovsky ngokudla okunempilo nokunempilo:

Izimpawu nezimpawu

Njenganoma yisiphi isifo, i-pancreatitis inezimpawu ezithile nezimpawu:

Isibonakaliso sokuqala ezinganeni, njengomthetho, ukwanda kwezinga lokushisa. Kusuka kumanani we-37fe.5ile C, ezimweni ezingandile futhi eziphakeme. Ingane ikhala ngobuhlungu ku-peritoneum.

Noma kubuhlungu kwenzeka ngakwesobunxele ngaphansi kobambo, kunganika izingxenye ezahlukahlukene zomzimba:

• emhlane;
• ngakwesokunene;
• endaweni eseduze nenkaba;
• enkabeni yesisu;
• noma kunomuzwa wokuthi kubuhlungu yonke indawo.

Ukuthi ngabe lolu phawu luhlobene ngqo nokuvuvukala kwesibindi lungabhekwa kalula uma isimo singekho ngcono ngemuva kokuthatha i-antispasmodics, okusho ukuthi kuwuphawu lwe-pancreatitis.

Ezinye izimpawu:

• ukuntuleka kokudla - amahora ambalwa ngaphambi kokuqala kobuhlungu esiswini sesisu, ingane iyenqaba ukudla;
• ukuvela kwenhliziyo;
• ukuhlanza kuvuleka, kwesinye isikhathi nge-bile;
• ukuqhakaza;
• isihlalo sokucasulwa (izitofu ezikhululekile) noma ukuqunjelwa;
• isimo se-ketoacidosis singakhula (ngenxa yokuqongelela kwama-ketones, i-acetone nokunyuka kashukela wegazi).

Isigaba esiyisisekelo se-pancreatitis singabukwa isikhathi eside kakhulu futhi sibe yisidina ngokwemvelo, kwesinye isikhathi sibangele nobuhlungu obumnene. Kulula ukulawula ngokudla - lokhu kuqinisekisa ukuthi ukukhula kwesifo kuzoma isikhathi eside uma ukudla kungephulwa.

Izindlela Zokuxilonga

Udokotela we-gastroenterologist kuphela ongakuqinisekisa ukuthola lesi sifo, ngemuva kochungechunge lwezivivinyo nezifundo:

1. Ukuhlolwa kwegazi okuningiliziwe.
2. Izifundo ze-Biochemical:
   • ukuzimisela kwamazinga wamaprotheni we-serum;
   • ukunqunywa komsebenzi we-pancreatic catalysts in serum yegazi (amylase, lipase);
   • ukuzimisela komsebenzi we-amylase.
3. I-Ultrasound ingukuhlonza kohlelo lokugaya ukudla, kepha lokhu akusilo njalo isifundo esinembile, ngoba i-pancreas enwetshiwe akusona isifo. Esimweni esithile, lokhu kuyisici ngasinye, futhi kubhekwa njengokujwayelekile. Ukuxilongwa kwe-pancreatitis kubhekwa njengoshintsho ekwakhiweni nasekuguqukeni kwamanyikwe.
4. I-tomography ehlanganisiwe noma i-MRI yezitho ezidingekayo;
5. Inani ushukela kanye ne-acetone emzimbeni kufanele lilawulwe, ngoba ukuvuvukala kwesibindi kuvusa ukwanda kwabo.

Ukwelashwa kanye nezincomo zomtholampilo

Ukuvimbela ukuthuthukiswa kwezinhlobo ezinzima zalesi sifo, ukwelashwa kufanele kuqale ngokushesha, lapho nje kutholakale izimpawu zokuqala zomala.

Amaqhinga we-Pancreatitis Behahlangual:

1. Okokuqala, kubalulekile ukususa izinhlungu. Endaweni lapho kukhona indlala khona, kuyasiza ukunamathisela okuthile okubandayo imizuzu engama-1-2.
2. Nikeza umuthi wobuhlungu. I-Paracetamol noma i-Ibuprofen ilungele ingane, noma ungasebenzisa i-antispasmodics - uNosh-pa, Duspatalin, njll.
3. Uma ukungasebenzi kubangelwa ubuthi, khona-ke faka ama-sorbents - iSmecta, amalahle amhlophe, iLactofiltrum, njll.
4. Kulesi simo, kufanelekile ukusebenzisa izidakamizwa ezizovimbela ukomisa - iRegidron, iHydrovit, njll.
5. Ukuqeda isicanucanu nokuhlanza, izidakamizwa ezifana neCerucal, Metoclopramide, njll.
6. Ukuqeda ukushisa kwenhliziyo, kusetshenziswa izidakamizwa ze-antisecretory - Pirenzapine, Fosfalugel, Maalox nabanye.
7. Ngokulondolozwa kwemvelo kwama-pancreas, uCreon, iPancreatin, iMezim, njll.
8. Ezimweni ezithile, ama-antibiotics, ama-antihistamines, noma ama-corticosteroids angabekwa.

Umthamo nezidakamizwa zichazwa kuphela ngudokotela.

Uma isimo sishubile, kufanele uthinte isikhungo sezokwelashwa ngokushesha ukuthola usizo olufanele.

Ukwelashwa kweziguli ezincane, kumele kusetshenziswe ukudla okhethekile - ithebula 5P. Ukugcinwa kwayo, ezimweni eziningi, kuqinisekisa ukufezeka komphumela ophezulu wokuqeda ukuvuvukala.

Ithebula 5P kungukudla okwelapha okufanele kulandelwe ngesikhathi sokuqina kwezimpawu zesifo okungenani inyanga nesigamu. Udinga ukudla kaningi, izikhathi ezingaphezu kwezingu-3-4 ngosuku. Umthamo wokudla kufanele ube mncane.

Uhlelo lwalesi sidlo lubeka imikhiqizo okufanele ingafakwa ngokuphelele naleyo evunyelwe ukuthi ibandakanyeke ekudleni.

Ithebula lemikhiqizo enqatshelwe futhi evunyelwe:

Isimo sezulu nokuvikela

Izingane ziyaqabukela zithathelwa i-pancreatitis. Imvamisa bahlushwa isifo sokuphamba ngenxa yokudla okungafanele, ukudla ukudla okungenampilo nemithi.

Konke lokhu kuqedwa kalula ngokulungisa irejimeni nokudla. Izimo ezinjalo zinomphumela omuhle kuma-99% wamacala.

Uma ingane ithambekele ekuthini i-pancreatitis engamahlalakhona, khona-ke kufanele ibhekwe njalo udokotela wezingane nodokotela wezitho zangasese, ingene enkambweni yokwelashwa ehlose ukunciphisa izimo eziphindaphindekayo futhi kufanele ivuseleleke ezindaweni ezikhethekile.

Izindlela zokuvimbela i-pancreatitis:

• umsoco ofanele, olinganiselayo;
• ukuhambisana nokudla;
• ukudla kufanele kube kufanele iminyaka yobudala yengane;
• ukuvimbela kwezifo ze-etiologies ezahlukahlukene;
• ukugcinwa komsebenzi nokuphumula;
• ukuthatha imishanguzo kuphela njengoba kuyalelwe udokotela;
• ukusebenza ngokomzimba okulinganiselayo

Ababelethi abanothando nabanothando bayisihluthulelo sempilo yengane.