I-Pancreatitis kubantwana isifo esifanayo. Bonke abantwana abangama-20 baxilonga. Le ngxaki yindlela yokuvuvukala kwindlela yokugaya. Ubuntwaneni, esi sifo sinempawu zayo. Inkambo yayo ihluke ngokuthe ngqo kwindlela esi sifo esikhula ngayo kubantu abadala.
Iimbangela ze-pancreatitis kubantwana
Ukuphuhliswa kwesi sifo kubangelwa ukuveliswa okunzulu kwama-enzyme epakreatic (ngokukodwa iprotease) kunye nempembelelo yengqondo yale nkunkuma esebenzayo kwiimveliso ezilinakaliswe yile lungu. Njengomphumo wokuzibhubhisa, i-toxins nezinye izinto eziphazamisayo ziphonswa kwigazi kunye ne-lymph. Ukuvuvukala kwama-pancreas kuqhubeka kwezi fom:
- ziqatha;
- engapheliyo;
- ku sebenza.
I-pancreatitis enobuchule kubantwana
Le fom yokugula igxeka yizinto ezilandelayo:
- Ukungabikho komntwana obangelwa yintsapho - utshintsho lobunzima ekubunjweni kunye nobukhulu bepascreas. Ukongezelela, izithintelo kunye nokuxhaswa kungabonakala kule nxalenye yesistim sokutya. Ngenxa yoko, ukuveliswa kwe-enzyme ye-pancreatic kunzima kwisixa esifanele kwi-duodenum.
- Ukulimala kwesisu - kunokubakho ukuphuka kwezicubu zeli lungu.
- Izifo zePasasitic - "ukukhukhuma" kwezinambuzane ziphazamisa iidoncreas. Ngenxa yoko, i-pancreatitis enzima ikhula kumntwana.
- Isifo seGallstone - ukubunjwa kungadlulela iidonti, okubangela ukuba inkqubo yokugaya iphele ukusebenza kakuhle.
- Imilinganiselo - ityiliti yokufaka i-deposit yenziwa ngenxa yokudlula i-vitamin D.
- Ezinye izifo zesisu esiswini , apho umphumo wejusi ye-pancreatic kunzima kwaye ukuhlaselwa kokutya kwenzeka.
I-Pancreatitis kubantwana abakwifomu elibi libangelwa zizinto ezinjalo:
- "Ukuzigcoba ngokuzenzekelayo" kwama-pancreatic tissue;
- umonakalo kumzimba wendlela yokugaya inyama, ecatshulwa yintsebenzo yeentlanzi kunye namayeza;
- izifo.
I-pancreatitis engapheliyo kubantwana
Le ndlela yokukhubazeka ayinqabile kakhulu kwiintsana. Ngokuqhelekileyo ukutshatyalaliswa kwe-pancreatitis emntwaneni kwenzeka emva kokugula kwangoku kwimeko eqhelekileyo. Nangona kunjalo, le ntsholongwane ifunyenwe kwezinye iimeko. Umzekelo, ufunyaniswa xa ukuvuvukala okutshatyalaliswa kwepascre kumntwana kubonwa ixesha elide. Ngamanye amazwi, isifo esingasigxina sisiphumo sokungalindelekanga okanye ukungonelanga kwinqanaba lokuqala lesi sifo.
I-pancreatitis esebenzayo kubantwana
Esi sifo sisabela kumzimba kwinkqubo eqhubekayo yokuvuvukala. I-pancreatitis esebenzayo kumntwana ivela ngenxa yezi zizathu zilandelayo:
- Izifo ezithathelwanayo - inkukhu yenkukhu, umqala, u-E. coli njalo njalo;
- ukuphulwa kwemigaqo yokusondeza iintsana (umxube ongakhethiweyo, ekuqaleni kokuvelisa ukutya okuncedisayo);
- ukutya okungenakulinganisela - ubukho ekudleni kokutya okuthosiweyo, iimveliso zokutshaya, ukutya okukhawulezayo;
- ukutya izithelo ezingavuthiyo, amajikijolo kunye nemifuno.
I-Pancreatitis kubantwana - iimpawu
Izibonakaliso zokuvuvukala i-pancreas zixhomekeka kakhulu kwifom yesifo. Isigaba esichukumisayo sihamba kunye nomfanekiso wesithombeni:
- intlungu;
- isicaphulelo sinomdla wokuhlanza;
- ukwanda kweqondo lomzimba;
- ukoyika;
- ukoma okunzulu;
- isifo sohudo;
- iingubo ezimhlophe ngolwimi .
Ekubeni kwintsebenziswano ye-pancreatitis, iziphumo ezilandelayo ziyabonwa:
- ukulahleka kwesidlo;
- ulusu luba luhlaza;
- ukushisa komzimba kuphakama;
- iifesi ezikhanyayo ziyabonwa;
- umntwana uhlala ephazamiseka ngokuhlanza;
- amaqabunga omchamo omnyama;
- inkwenkwe iya kuba yintliziyo.
I-pancreatitis engapheliyo kumntwana ineempawu ezifana nefom elula. Ubonakaliswe ngeso sikrini seklinikhi:
- ukuqothulwa;
- isicefe
- intlungu;
- ukushisa kuphakama;
- ukulahleka kwesidlo;
- ukunyaniseka.
Ubuhlungu kwi-pancreatitis
Ubume bolu xwebhu luxhomekeke kwimeko yovulo. Ubunzima be-pancreatitis buya kwenzeka emva kwexesha elifutshane emva kokuvezwa kwenkqubo yokutya. Ngenkqubela yokukhubazeka, uhlobo lwengxaki luyanda. Ifomu elibi le sifo libhekiselele kwivalelo ezibuhlungu kwisisu esisentla. Kancinci, baqala ukunika inxalenye ecacisiweyo kunye nomhlathi osezantsi. I-pancreatitis engapheliyo kubantwana inendawo engabonakaliyo yendawo yokuhlalisa intlungu. Iintlungu ezibuhlungu zinokuhlukahluka.
Ukushisa kwi-pancreatitis
Isebenza njengempendulo yokukhusela yomzimba kwinkqubo yokuvuvukala eyenzeka ngaphakathi kwayo. Kwingqondo, i-hypothalamus inoxanduva lokushushumbisa. Kwiprogram yokuvuvukala, umzimba uqala ukuveliswa kwe-interleukin, icandelo elikhuselekileyo lokukhusela. Unika kwi-hypothalamus uphawu malunga "namazwe angaphandle". Umzimba uphendula ngoku ngokukhupha kunye nokwandisa ukutshintshwa kwentsha. Yonke le miqondiso ye-pancreatitis kubantwana ingabonwa ngesimo esibi sesifo. Xa isifo sifika kwisigaba esingapheliyo, ubushushu bomzimba buphuma kancane.
Ukuvuvukala kwepascreas - unyango
Ngaphambi kokuba kuqeshwe unyango, ugqirha kufuneka aqinisekise ukuba ukuchaneka kokuchonga. Ukuxilongwa kunceda kule nto. Iquka ezo zifundo:
- Ukunikezelwa kokuhlolwa kwegazi jikelele ukucacisa izinga le leukocyte (kwenkqubo yokuvuvukala, yanda).
- I-Ultrasound yesisu esiswini, esinceda ukubona utshintsho kwisakhiwo kunye nobukhulu bezitho zangaphakathi.
- Uvavanyo lwegazi lwegazi, oluvumela ukufumana amanqanaba aphakamileyo e-lipase, trypsin kunye ne-amylase.
- Iiprogram , apho iinqununu ezingadliwayo zingabonakaliswa, kubonisa ukuveliswa okwaneleyo kweenzyme zepascreatic.
- Uhlalutyo lwe-Urine, olunceda ukufumanisa ubukho be-amylase.
Ukunyangwa kwe-pancreatitis kubantwana kuyinkqubo enzima kwaye ide. Iinjongo zokubamba iimpawu zesi sifo, ukubonelela ngepencreas ngokuphumla okusebenzayo kunye nokuphelisa izinto ezinobomi. Indlela esebenzayo isetyenziswa, kuquka ukusetyenziswa kwezi ndlela:
- unyango lweziyobisi;
- zokutya;
- izilwanyana zabantu;
- unyango ogqityiweyo (ngefom ehoywa).
Ukuhlaselwa kwe-pancreatitis - uncedo lokuqala
Isicalulo sokunciphisa imeko yesigulane esincinci kwisigaba esisigxina nesigxina sesifo sifanayo. Iquka ezo zixhobo:
- Kubalulekile ukuzinzisa umntwana kwaye umhlalise ukuze umzimba uphelelwe phambili.
- Susa izambatho ezenza kube nzima ukuba umntwana aphefumule.
- Awukwazi ukuyondla umntwana wakho ngaphambi kokufika kwe "ambulensi".
- Kufuneka ukuba unike isahlulo seyure kwiintsana zokusela (amanzi angabonakali ngamaminerali) 50 ml nganye.
- Musa ukuthatha i-painkillers ngaphambi kokuba i-ambulensi ifike, kuba oku kuya kunzima ukuxilonga ukugula.
- Ukuba uhlaselo luhamba kunye nokuhlanza, musa ukuhlamba isisu (vumela konke kwenzeke ngokwemvelo).
- Akunakwenzeka ukufaka ukubanda kwisisu, kuba oku kuya kuphucula imeko yepakreas kwaye kuqinise i-spasms.
Ukuba ngabazali, bekwazi ukuphelisa ukuvuvukala kwepascreas kwifom ye-pancreatitis engapheliyo, abanakukwazi ukujamelana nokuhlaselwa komntwana, kufuneka ngokukhawuleza ubize i-ambulensi. Awukwazi ukuyilahla! Ukongezelela, akufanele ukhethe imithi ye-analgesic ngokwakho, kuba oku kunokunyusa nje imeko.
Ukulungiswa kwepascreatitis
Wonke amayeza kufuneka amiselwe ngugqirha. Ziye zaziswa kwisigaba sokuqala sonyango ngendlela ye-injections, kunye neveki kamva (xa iindawo ezibuhlungu zipheliswayo) iziyobisi zepascreatitis zilawulwa ngendlela yamacwecwe. Ngokuqhelekileyo amalungiselelo asetyenziswayo:
- i-painkillers ( No-shpa , Tramal, Analgin, Papaverin, Promedol);
- i-proteolytic enzymes (Trasilol, Contrical);
- iziyobisi ezinciphisa ukukhululwa kwe-enzyme ye-pancreatic (i-famotidine, i-Octreotide);
- amayeza asetyenziselwa ukuphucula i-microcirculation (i-Dipyridamole, i-Trental).
I-Pancreatitis kubantwana - ukutya
Ukutya ngokuchanekileyo ngenye yeemeko zokwenza unyango olufanelekileyo lwesifo. Xa isifo sibuhlungu, ugqirha unokuncoma "ukuma kwexesha" kwiintsuku ezingama-1-2. Ngeli xesha, umntwana anganikwa isiselo kwiincinci ezincinci zamanzi amachiza afudumele ngaphandle kwegesi (umzekelo, uBorjomi). Xa "ikhefu lokutya" esibhedlele, i-suction of juice yogast isenziwa, njengoko inokubangela ukuba i-enzyme ye-pancreatic iqhube.
Xa imeko yomntwana iququzelelwe, umntwana udluliselwa kwisondlo sokunyanga. Ngexesha leveki zokuqala ezimbini emva kokuhoxiswa kwe-spasm zonke izitya zilungiselelwe ngaphandle kwetyuwa. Ukutya ukuvuvukala i-pancreas kufuneka kube yi-fractional (amaxesha ama-5-6 ngosuku) kwiincinci ezincinci. Ukutya kufuneka kususwe ukuze kube ngumbane okanye umququzeleli wamanzi. Okokuqala ekudleni komntwana ukuba angenele udinga i-porridge, umzekelo, i-millet, ekufuneka iphekwe ngobisi, ihlanjululwe ngamanzi (isilinganiso 1: 1).
Kancinci, ukutya komntwana kuphuculwa ngeesitya ezifana nalezi:
- isobho;
- i-omelet yamaprotheni ekulungiselelwe ukuqhuma;
- casseroles ;
- bhakabhile amaapulo amnandi;
- jelly kuma berries amnandi;
- zilungiselelwe ngeenqanawa ezincinci zentlanzi;
- iipuddings;
- i-cutlets inyama kunye nokunye okunjalo.
Isiqingatha sonyaka akuvumelekanga ukuba sidle ukutya okunjalo:
- usawoti;
- pâtés;
- tshokoleta;
- amantonga;
- kubhaka;
- ubisi oluncibilikileyo;
- ukutya okusemgangathweni;
- iibhonti;
- iziphuzo ze-carbonate.
I-Pancreatitis - izilwanyana zomntu
Ukusebenza ngokusemgangathweni kwonyango kwesi sifo kubonisa ukudibanisa kwe-classic kunye nezinye "iziyobisi". Yiphatha i-pancreatitis kubantwana abancinci oyifunayo phantsi kolawulo logqirha. Ugqirha uyazi ukuba amayeza kunye namachiza anokudibaniswa, kuba ukuba ubahlanganisela ngokungalunganga, umntwana unokuxhatshazwa kakhulu. Kunokuba baphathe i-pancreatitis kubantwana:
- bark barberry;
- iifelkseeds;
- umama;
- imbewu yeerill;
- sage;
- immortelle;
- i-inflorescences ye-chamomile;
- calendula;
- I-St. John's wort kunye nezinye izityalo zonyango.