Indlela yokwenza, izimpawu kanye nokwelashwa kwe-pancreatitis esebenzayo

Emsebenzini wezokwelapha, i-pancreatitis esebenzayo iyindlela yokusebenza (ukuvuvukala) yamanyikwe okucasulwa ezinye izifo.

I-World Health Organisation, ukuze igweme ukudideka ekuboneni kwezifo, yethule ukuhlukaniswa kwezifo okukodwa emhlabeni jikelele - i-ICD-10 (ukubuyekeza okweshumi), okubandakanya izigaba ezingama-21.

Ikhodi ye-ICD 10 yi-K86, enikezwe i-pancreatitis esebenzayo.

I-Pathogenesis

Lesi sifo sizibonakalisa siphikisana nesizinda sokungasebenzi komzimba, lapho ama-enzyme akhiqizwayo engena ngaphakathi esiswini.

Ukuvuvukala kuqala ngokunqwabelana okuphelele noma okuyingxenye kwalezi zindlela zokuxhumana noma ngenxa yokuphuma kokuqukethwe kwamathumbu kubo.

Kusukela siqale ukukhuluma ngezimbangela ze-pancreatitis esebenzayo, kuyadingeka ukuthi sibize i-pathology, esivame ukuba yimbangela yokuvela kwayo.

Lokhu kufaka phakathi:

• i-hepatitis yegciwane;
• i-cholecystitis ebaliwe;
• isifo se-gallstone;
• i-gastritis eyingozi yohlobo olungamahlalakhona;
• izifo ezahlukahlukene zamathumbu;
• ukuqina kwesibindi;
• i-bysary dyskinesia.

Ngaphezu kwalokho, kunezimo eziningi ezingezinhle ezingasebenzi ezifweni, kepha ezingasivusa lesi sifo, ezifana:

• ukuhlukumezeka esiswini;
• ukuphuza ngokweqile;
• ukudla okunamafutha, okuthosiwe, okunezipayisi;
• ukuthatha imishanguzo ethile;
• imiphumela yokufaka ubuthi emzimbeni ubuthi bezimboni nezasendlini, amakhowe, izinsimbi ezisindayo, ukutheleleka nge-radioactive.

Ividiyo evela kusazi:

Izimpawu nokubonakaliswa kwalesi sifo

Esigabeni sokuqala, izimpawu zokuqina kwe-pancreatitis kubantu abadala zizibonakalisa ngokuvilapha.

Imvamisa, isiguli uqobo nezihlobo zayo abazinaki kakhulu izimpawu:

• ukuqhakaza;
• ubuhlungu nosizi esiswini;
• ukushisa kwenhliziyo nokushaya;
• isicanucanu

Ngokuvamile, baphendukela ekwelashweni okubonakalayo besebenzisa izindlela zendabuko.

Udokotela kufanele abonane kuphela lapho isiguli sinomkhuhlane ngenxa yokuphuza kakhulu komzimba, ukuhlanza kuvuleke, futhi kubandahle.

Yize ukubonakala kwezinye izimpawu kufanele kubangele i-alamu:

• ukusikwa okubukhali kobuhlungu e-hypochondrium;
• umlomo owomile
• ama-hiccups abuhlungu.

Kungakuhle ukukhumbula ukuthi ekuqaleni kwendatshana kwakukhulunywa ngezifo zabathengi ezaba yimbangela yalesi sifo.

Ngakho-ke, baphoqa noma bangeze ukuthinta kwabo kwezinhlamvu ezingemuva ngokujwayelekile kwe-pancreatitis:

• isifo se-gallstone sinikeza ubuhlungu ku-hypochondrium efanele;
• ngokutheleleka kwamathumbu, izinga lokushisa liyenyuka bese uhudo uvuleka;
• i-cirrhosis ibonakaliswa yi-edema kanye nokwanda kwesibindi.

Lapho lesi sifo sikhula, kuvela izimpawu ezinzima kakhulu: umkhuhlane wokushisa, ukuphefumula, ukuphefumula, ukujuluka okunamathelayo.

Izimpawu zezinguquko ezisebenzayo kumanyikwe ezinganeni

Ngaphambi kokukhuluma ngezibonakaliso, akuvimbi ukuthi uhlale ucinga izimbangela zoku "kuqhuma" emaphashini ezingane.

Uyasazi isibonelo? Imvelo, indawo yokuhlala ehlobo, osebeni lomfula, abaseshi bezingulube, amasoseji othosiwe, amaphiko enkukhu, amasu - konke okomntwana "kuphilile". Ngaphezu kwalokho, nakanjani, nge-ketchup noma imayonesi - ingane ithanda okuthile. Bese kuthi ingxoxo emnandi - ubhiya kubazali, nesiphuzo esinemibala enama-chips, amantongomane athosiwe, iziqhekeza ezinosawoti, izinti zezinhlanzi ezomile - ezinganeni. E-dessert, ikhekhe. Futhi ebusuku nakusihlwa, abazali bakhathazekile ngokushaya “u-03”.

Isibonelo esingathandeki? Ngemuva kwalokho ungakhumbula inkukhu ethosiwe yokuzalwa kukagogo noma i-shawarma evela edokodweni emgwaqweni, edliwe lapho ngosizo lwezandla zezingane ezingcolile.

Ngeshwa, kunezibonelo ezingaphezu kwezanele zokunganaki, futhi okuvame ukunakekela abazali ngobugebengu.

Ividiyo evela kuDkt Komarovsky ngezinkinga zokugaya ezinganeni:

Manje mayelana nezibonakaliso ngokwazo. I-pancreatitis esebenzayo ezinganeni inezimpawu zokuziphatha abazali okumelwe bazazi.

Okumangalisa kakhulu kubo:

• izikhathi zokuhlanza ezingayiniki impumuzo enganeni;
• umbala ophuzi ophuzi wesikhumba;
• umchamo onemibala emnyama;
• imibala yokukhanya engabonakali ngokwemvelo;
• umkhuhlane ophakeme, ukubanda, umkhuhlane.

Omama abangenalwazi, lapho besiza ingane, bathembela kulwazi lomunye umuntu kanye nokwazi kwabo. Kulokhu, i-pancreatitis iqala ukucindezela ngokungalawuleki umthamo wamahhashi wemithi elwa namagciwane.

Ngenxa yalolu dlame, i-pancreas entekenteke yengane iphendula ngokuhlanza, umkhuhlane, kanye ne-dysbiosis kubangela isifo sohudo esingalawuleki somisa umzimba, okuqinisa isimo sezingane.

Ukuxilongwa kwalesi sifo

Ukuxilonga isifo, awudingi nje kuphela udokotela onolwazi, osebenza nge-endocrinologist, kodwa futhi nethuluzi elibanzi elinomuthi wanamuhla.

Izindlela nezindlela zokuxilongwa zifaka:

1. Ukuthatha umlando. Le ndlela, ebandakanya ukuxoxa nesiguli nalabo abaseduze nayo, ikuvumela ukuthi uthole imininingwane mayelana nendlela yokuphila yesiguli, ukudla, ukuphumula, ukuthambekela kokungahambi kahle komzimba, ukuba khona kwezifo zofuzo, ezizosiza ekuhlonzeni okokugcina.
2. Ukuhlolwa kwegazi. Isigaba esibalulekile sokuxilongwa, ngoba ucwaningo lomtholampilo nolwemvelo lokwakheka kwegazi likuvumela ukuthi ukhombe amazinga aphakeme amaseli egazi amhlophe, amylase ne-lipase, okubonisa ukuba khona kwezinqubo zokuvuvukala emzimbeni.
3. I-Tomography ehlanganisiwe. Uma kuqhathaniswa nendlela yokuhlolwa ye-X-ray, i-CT inika isithombe esifundisayo, esiphakeme kakhudlwana ngekhwalithi kunomlingani waso omdala.
4. Ukuhlolwa kwe-Ultrasound - I-Ultrasound. Kwesinye isikhathi kuyaye kutholakale amatshe ezinso kuphela uma usebenzisa le ndlela yokuhlolwa.
5. I-ERCP. Ngaphandle kokuhlala ekuxhumekeni, siphawula ukuthi le yindlela ekhethekile ye-X-ray ekuvumela ukuthi unqume i-pathology ye-gallbladder, i-bile ducts, i-pancreas, isibindi, kubandakanya nesifo esifana ne-pancreatitis.
6. I-Fibroesophagogastroduodenoscopy. Igama eliyinkimbinkimbi lendlela lingaqondwa ngokukhombisa ukuthi ukuhlolwa kwenziwa kusetshenziswa i-endoscope - uphenyo olunjalo lwevidiyo. Nguye owenza sikwazi ukwenza isiphetho ngesidingo se-biopsy - ukuthatha amasampula ezicubu endaweni ethintekile ukuze aqhubeke nokufunda.
7. I-Urinalysis Lesi isifundo esivame kakhulu. Ngokuya kokuhlaziywa, kufikelwa iziphetho ngomsebenzi wohlelo lomchamo womzimba, ukuba khona kwezifo kanye nokusebenza kwezinye izitho zomuntu.

Ukwelashwa kwe-pathology

Ukukhetha isu elithile lokwelashwa namathuluzi wokuthonya lesi sifo, udokotela uphishekela imigomo ethile:

1. Ukususa ukuvuvukala nokumisa i-edema ye-pancreatic.
2. Ukususwa kobuthi emzimbeni womuntu.
3. Ukubuyisela esele kwe-secretion yamajusi e-pancreatic.

Uma i-pancreatitis iqhubeka ngokulandela uhlelo olulula futhi ingaxakaniseka nezifo ezengeziwe eziqinisa isithombe sonke, khona-ke odokotela, njengomthetho, banquma izidakamizwa ezivela emaqenjini alandelayo:

1. Enzymes ngcono ukugaya: uCreon, uMezim, uPanzinorm.
2. Izidakamizwa zeCarminative (ukunciphisa ukwakheka kwegesi esiswini namathumbu): i-Empumisan, i-Gascon Drop, iMeteospasmil, i-Relzer, i-Antiflat Lannacher.
3. Ama-Antispasmodics: Cha-Shpa, uPlififilin.
4. Ama-antibiotic: Amacwecwe - i-Azithromycin, i-Abactal, i-Amoxiclav, i-Sumamed. Ukulungiselela kwe-Intramuscular - Cefotaxime, Ampioks, Doxycycline, Ceftriaxone.
5. Amafomu omthamo wokubulala izinzwa: Diclofenac, Ibuprofen.

Ukudla okunempilo kwabagulayo

Ngeke ibe khona imfihlo enkulu futhi ibinzana ngeke likusabise uma ufunda ukuthi ukudla kwe-pancreatitis akuyona ukondliwa nje kuphela, kodwa futhi nokuqhubeka kokwelashwa, okufanele kuphathwe umthwalo wemfanelo omkhulu.

Kodwa-ke, izindlela ezinhlanganweni zenhlangano yokudla ezondlekile ku-pancreatitis e-acute zinezici eziningi.

Lokhu kufaka lokhu okulandelayo:

1. Musa ukuthatha ikhefu ekudleni. Ukuvama kungumgomo okumele uqashelwe ngokuqinile. Emini, ukudla okuyi-5-6 kuyadingeka (3 main + 2-3 eyengeziwe).
2. Ukuphaka kufanele kube ngaphansi kilojoule futhi kube mincane.
3. Isimo esiyinhloko umbuso wokushisa. Ukudla kufanele kufudumele. Akufanele futhi kuzizwe okubandayo noma okuphezulu - kufanele kube ngama-40-50 degrees.
4. Isakhiwo sokudla - akufanele ngabe siqukethe i-fiber ehlanganisiwe nefayibha, edinga umzamo owengeziwe ovela emgodini wokugaya ukudla wokugaya. Kuyalulekwa ukuthi ukudla kuyabanjiswa futhi kuxoxwe.
5. Ukwakheka kwamakhemikhali kufanele kube mnene. Ukuze wenze lokhu, udinga ukubheka ukuthathwa kwamaprotheni, amafutha kanye nama-carbohydrate.
6. Khipha kalula ama-carbohydrate agayekayo: ushukela, uju, ujamu, ujamu.

Ukudla nezincomo ezinconyiwe:

1. Inhlanzi enamafutha aphansi nenyama (inkukhu yasekhaya, inyama yenkomo entsha, i-veal).
2. Ama-decoction wemifino kanye nesobho ngokufakwa okusanhlamvu ne-pasta.
3. Amabhisikidi, ama-crackers, isinkwa esimhlophe esimisiwe.
4. Imikhiqizo yobisi enamafutha amancane.
5. I-Porridge eyenziwe ngamabele: i-buckwheat, i-semolina, ilayisi, i-oatmeal - yokuvumelana okungamanzi noma, njengoba besho, "okhulumayo".
6. Izinga lamafutha nsuku zonke: imifino - kuze kufike ku-15 amagremu, ukhilimu - kuze kufike ku-30 ​​amagremu. Kuyadingeka ukuqonda kahle le ndlela evamile, isb., Kucatshangelwa ukulungiswa kwezinye izitsha kuzo.
7. Ukuphuza - itiye elibuthakathaka, umhluzi we-rose yasendle, ama-compotes, ama-juices wemvelo (onenkomba ye-glycemic ephansi ngezithelo).
8. Imifino enconyiwe: izaqathe, ukholifulawa, ithanga, beet, uphizi oluhlaza, kodwa ifomu elibilisiwe noma elibhakwe kuphela.

Kunqatshelwe ngokuphelele ukuthi isiguli sidle:

• khekhe nesinkwa esisha;
• umvimba nenyama othosiwe, obhemayo futhi owelaphekile;
• ushizi obabayo namafutha;
• i-borscht, isobho seklabishi, elilungiselelwe kuma-broths wenyama, izinhlanzi, amakhowe;
• ukhilimu omuncu omuncu;
• amawundlu namafutha engulube;
• izithelo zezinhlobonhlobo ze-acidic;
• ukhukhamba no-ukhukhamba;
• izindondo ezahlukahlukene;
• i-sorrel, isipinashi, isithombo, isithombo, iklabishi elimhlophe;
• amaswidi, izinongo, amakhekhe, u-ayisikhilimu;
• notshwala nganoma uluphi uhlobo.

Ividiyo evela kuDkt Malysheva:

Umuthi wendabuko

Ukusetshenziswa kwamakhambi esintu okuveze ukuthi usizo nokusebenza kwawo ngempumelelo sekuhloliwe amakhulu eminyaka akuphikisi ngisho namakhanda avelele kwezokwelapha. Ukusetshenziswa kwabo okunekhono futhi abanekhono kubo kuyasheshisa inqubo yokupholisa, ngoba banomphumela we-antispasmodic, kanye nezindawo ezihlanganisiwe, ezivumayo, ezokuhlukumeza, izakhiwo ezilwa ne-antibacterial.

Amakhambi ama-decoctions

Ungapheka kanjani i-decoction: iqoqo lamakhambi ngenani lama-gramu ayi-10 (wezipuni ezi-2), elibekwe esitsheni sengilazi, lithululelwa ngamagremu angama-200 amanzi ashisayo. Ngemuva kwalokho vala isivimbo bese ubeka imizuzu engama-30 kubhavu wamanzi. Ngemuva kwalokho, ihlanganiswe imizuzu engama-20, ihlungiwe bese ithululelwa esitsheni.

Iqoqo le-herbal lithengwa ekhemisi noma lilungiselelwe amakhambi athengwe ngokwahlukile.

Ukuqoqwa No. 1:

1. I-Peppermint - izingxenye ezi-3.
2. Dill (imbewu) - izingxenye ezi-3.
3. Hawthorn (izithelo) - izingxenye ezi-2.
4. I-Chamomile (umbala) - 1 ingxenye.

Thatha isigamu sengilazi izikhathi ezintathu ngosuku, ihora elilodwa ngemuva kokudla.

Ukuqoqwa No. 2:

1. I-Knotweed (utshani) - 1 ingxenye.
2. ISt John wort - 1 ingxenye.
3. Izikhonkwane zommbila - izingxenye ezi-2.
4. Amaqabunga eBirch - izingxenye ezi-2.

Thatha isigamu sengilazi ngemuva kokudla izikhathi ezine ngosuku.

Inombolo yokuqoqa 3:

1. Ama-rosehip - izingxenye ezi-2.
2. Insimu yamahhashi (utshani) - 1 ingxenye.
3. ISt John wort - 1 ingxenye.
4. I-Nettle - 1 ingxenye.

Thatha ngaphambi kokudla, uhhafu wengilazi, amahlandla ama-4 ngosuku.

Ukuqoqwa No. 4 - konke kucezu olulodwa:

1. Celandine.
2. Izithelo ze-anise.
3. Ukubekwa kabi kommbila.
4. Impande ye-Dandelion.
5. I-Grass violets tricolor.
6. Utshani beHighlander.

Thatha imizuzu engama-20 ngaphambi kokudla ingilazi yomhluzi, amahlandla ama-3 ngosuku.

Ukuqoqwa No. 5:

• Amaqabunga eTrifoli - izingxenye ezi-3.
• I-Buckthorn bark - izingxenye ezi-4.
• U-Celandine utshani - izingxenye ezi-3.
• Impande ye-Dandelion - izingxenye ezi-4.
• Amaqabunga e-Peppermint - izingxenye ezi-3.

Thatha isigamu sengilazi izikhathi ezintathu ngosuku imizuzu engama-30 ngaphambi kokudla.

Ukwelashwa kwejusi

Izithako

• Ijusi karoti - 75 ml.
• Ijusi yamazambane - 75 ml.
• Amafutha omnqumo - amathisipuni ayi-1,2.

Zonke izakhi zilungisiwe futhi zihlanganiswa ngokushesha ngaphambi kokuzisebenzisa.

Odokotela, njengomthetho, ne-pancreatitis engasebenzi yomzimba banikeza i-prognosis enhle. Ngokuqala kokwelashwa okuyinkimbinkimbi, izimpawu zikhombisa ngokushesha ukuthambekela kokuphindaphinda.

Ukuvimbela lesi sifo kuqukethe ekuboneni nasekuboneni izimpawu zalesi sifo ekuqaleni, kanye nokuqeda imikhuba emibi nokubuka ukudla okunempilo.