I-Pancreatitis yisifo esibalulekileyo esinxulumene nokuvuvukala kwepakrosi kunye nokungabikho kwengqwalasela eyiyo kwingxaki ebangela iingxaki. Unyango lwe-pancreatitis kunye namayeza yinyathelo lokuqala, njengommiselo, unyango lwesi sifo luqala ngalo. Kukho izidakamizwa ezininzi ezikhusela ngokuphumelelayo isigulo.
Kuchaneka njani ukunyanga i-pancreatitis?
Ukuvuvukala kwepakresi kwenzeka xa i-enzymes ekwahlukanayo isebenza kwi-gland. I-Pancreatitis ikhula ngeendlela ezahlukeneyo, kukho ezimbini zazo: eziqatha kwaye ezingapheliyo. Isigulana sesi sifo sincike kunyango lwakhe. Ekuboneni kokuqala kwe-pathology, izidakamizwa ze-analgesic kunye ne-antitiferments zimiweyo, kwaye amalungiselelo omzimba ongapheliyo (onobuqili) aquka ama-agent for stimulating secretion, antispasmodics kunye neqela lezinye i-agents. Imithetho emithathu esemqoka kukuba: ukubonelela uxolo lwesigulane, ukutya okunomsoco kunye nokubandayo ukususa ukuvuvukala.
Ngokusekelwe kwiimpawu ezimiselweyo zonyango ukuba zenze i-pancreatitis, yeka iimpawu ezihamba kunye nazo. Kubalulekile ukubeka ingqalelo (ngenjongo yokuqeda) i-pathologists apho isiqalo sesifo sifunda khona, ingakumbi ukuba:
- isifo sikashukela;
- Isilonda sesisu ;
- amatye e-gallbladder;
- utyhefu ngamachiza;
- izifo zokuphefumula.
Unyango lwe-pancreatitis engapheliyo ngamayeza
Ukuba i-pancreatitis ifunyaniswa, isifo esichukumisayo sifumaneka kwaye unyango luyenziwa kuwo, kodwa ngaphandle kwempumelelo, ukukhubazeka kunokuthathwa njengento engapheliyo. Kwizicubu kwakukho ukuvuvukala, kwaye unyango olunzima olujoliswe ekukhutshweni kweempawu ezifunekayo. Ziziphi iidakamizwa ezithatha nge-pancreatitis yefomu engapheliyo? Inkqubo yokonyango ilandelayo:
- intlungu ebuhlungu usebenzisa i-antispasmodics;
- kwi-antibiotitic exaceration inganyulwa okanye ityunjwe;
- Ukunciphisa ubunqunu besisu, i- antacids iyadliwa;
- lawula umsebenzi wemfihlo obizwa ngokuba yi-inhibitors kunye ne-H2-blockers;
- Ii-enzyme zisiwe, ngokusekelwe kwisidingo somzimba we-lipase;
- Kwiimeko ezinqabileyo, ii-antifoam agents zithathwa ngokuthe ngqo.
Unyango lwe-pancreatitis enobuhlungu kunye namayeza
I-pancreatitis enobuchule kunzima ukuyixilonga, kukho ubunzima xa iimpawu zifana nezinye izifo. Isigulane sivakalelwa ngendlela engathandekiyo kwimimandla yentliziyo, amahlombe, i-shoulder, hypochondrium. Ukukhathazeka kuya kufinyelela kwicala lesobunxele lomzimba, kukho intlungu ebuhlungu. Emva kwesidlo esininzi kukho ubunzima esiswini, isisongela, isifo sohudo . Le meko ibuhlungu, kwaye kunokwenzeka ukuba yenze unyango esibhedlele nakwi-pancreas. Ugqirha ubeka imishanguzo eyanceda imeko yesigulane kwi-pancreatitis enzima:
- kuthetha, ukugcina imisebenzi yesibindi;
- iipilisi;
- iziyobisi ezivimbela ukugcinwa kwemigca;
- ukulungiselela ukususwa kwe-edema;
- amayeza okulwa nokudambisa amanzi.
Ziziphi iziyobisi zokunyanga i-pancreatitis?
Uphuhliso oluphumelelayo lwe-pancreatic pathology yinkqubo ende. Ukubuyisela ukusebenza ngokuqhelekileyo kwegland kunye nokuveliswa kwejusi ye-pancreatic, iindlela ezahlukeneyo zisetyenziselwa. Into ephambili ithatha amayeza. Ekubuyiselweni kwe-gland, amayeza adlala indima enkulu. Ngaphantsi kwesondlo esondeleyo se-gastroenterologist, ukuvuvukala kwe-pancreas kuvaliwe, unyango, iziyobisi zinqunywe yingcali.
Iipilisi ze-pancreatitis
Esinye sezibonakaliso ezingathandekiyo zesifo sisifo sesifo. Ukuphazamiseka kunokunyaniseka ukuba isiguli siphefumula kwaye sithetha ngxaki. Intlungu inamandla, ibuyisela emuva, iphantsi kweminye kunye nezinye iinxalenye zomzimba, ibonisa ukuba iyiphi inxalenye yomzimba echaphazelekayo. Emva koko oogqirha banikezela izidakamizwa zokuxhatshazwa kwe-pancreatitis: i-analgesics eqinile, izidakamizwa ezingekhoyo-steroid, i- narcotic analgesics ezithathiweyo. Unyango lwe-pancreatitis kunye ne-anesthetics yamaqela amaninzi lwenziwa.
- I-H2-blockers ye-histamine receptors. Ukunciphisa ukuveliswa kwe-enzyme ye-pancreatic, iziyobisi ezilawula umsebenzi we-secretory kuthiwa yi-Famotidine, i-Ranitidine.
- Ukuba udinga ukukhupha i-spasms kwaye uququzelele ukuphuma kwe-enzyme, misela izidakamizwa ze-spasmolytic. Ngenxa yobuhlungu obukhulu, uPapaverin, Atropine, Aprofen, No-Shpa asetyenziswa .
- Amachiza angenayo i-Nonsteroid ethathwe ngokuvuvukala nentlungu-iParacetamol, i-Ibuprofen, i-Aspirin, i-Nimesil. Bayeka intlungu kunye nomkhuhlane.
- Uhlalutyo. Umzekelo, uBargin, u-Analgin.
- I-Buprenorphine kunye neTramadol zinamagunya anamandla alawulwa nge-intramuscularly.
Iziyobisi ezichasayo kunye ne-pancreatitis
Ngexesha le sifo, i-pancreas echaphazelekayo iguguzwa yi-enzyme zayo, kwaye umzimba uphaxeka. Izidakamizwa ezichasayo kufuneka ziphakanyise umda weentlungu zentlungu, zandise imivenge yegazi ecaleni kwenkxalabo yokuvuvukala, kunye nokuqinisa umzabalazo wendalo wokuvuvukala. Leli qela leziyobisi lithintela ukubunjwa kwe-thrombi kwaye linomphumo wokuchasa. Unyango lwe-pancreatitis ekhuselekileyo kunye namayeza asekhaya unokwenzeka, kodwa kungcono ukubeka impilo yakho kubaqeqeshi.
Iirjimeni zeziyobisi eziwayo:
- 2 ii-cubes ze-Analgin kunye ne-3 ml ye-Baralgina, i-intramuscularly. Ikhosi iyahlengahlengiswa ngugqirha kwaye malunga neveki.
- I-Fenicaberan (2 ml / 0.25% r-ra), i-Atropine (1 cube ye-1% isisombululo) kunye nePapaverine (4/2%).
- Ukwamkelwa kwe-Intramuscular No-shpy kunye ne-Platifillin (1 ml ekuseni nakusihlwa). Ulawulo olongezelelweyo olunokwenzeka lweprostanone.
- Xa isifo sibuhlungu, i-antibiotics inokumiselwa: i-Cefuroxime, i-Ampiox, i-Levomycetin kunye nabanye.
Amalungiselelo okuvuselela i-pancreatitis
Emva kokubamba ukuhlaselwa kwentlungu nokuphelisa ixesha elimangalisayo, unyango lwe-pancreatitis kunye nemithi luquka ukuthatha imithi equkethe i-amylase, i-lipase, ne-trypsin. Amalungiselelo enzyme nge-pancreatitis: i-Creon, i-Pancitrat, i-Penzinorm, i-Mezim, iivithamini ezinomnumzana kunye namanye amayeza. Kwezinye iimeko (kwaye xa i-syndrome ephambili) misela i-anti-enzyme izidakamizwa ngaphakathi. Bayivimba umsebenzi wee-agent zangasese, kodwa zinemiphumo emibi emibi. Ukulungiselela:
- Iintlangano;
- Gordoks;
- Aprotinin;
- Inhistril.
Antacids kwi-pancreatitis
Ukongeza kwii-enzyme agents, amalungiselelo anqandekileyo anqunyelwe ukunyanga i-pancreatitis, eyandisa ukwenziwa kwezenzo zabo. Ukunciphisa i-acast acidity, imixube ye-alkaline isetyenziswe, umzekelo, i-Almagel, iFosfalugel kunye nokunye. Ezi ziyobisi ziphelisa ukungapheli kwe-exocrine, okukhokelela ekuphulaphuleni ukusebenza kakuhle kwe-duodenum, kunye nenqanaba le-asidi ye-pancreatic juice esiswini.
Amalungiselelo e-Cholagogue of pancreatitis
Ukufezekisa loo miphumo njengokunciphisa umthwalo wemfihlo kwi-pancreas, ukuphelisa i-edema kunye ne-stagnation ye-bile, ukuphucula ukusetyenziswa kwe-digestion ekusebenziseni i-cholagogue. Xa unyango lugqithiselwa i-pancreatitis, unyango lunqunywe ngugqirha kwaye, nangemvume yakhe, i-herb ingaxhaswa kunye nemifuno equkethe izinto ezifana ne-vitamin C, i-oil efunekayo, iswekile yamagilebhisi, i-tar, i-menthol, i-flavones, i-flavonoids, i-tanins, njl njl. Iipilisi eziqhelekileyo ezisetyenziswayo ziyi-pancreatitis, ezifana neziyobisi:
- Essentiale;
- Holenzim;
- Hofitol;
- Allochol;
- Libiol;
- Ursosan;
- Odeston;
- Nikodin.
Ukunyangwa kwe-Scheme ye-pancreatitis kunye neyeza-iziyobisi
Kwimichiza yanamhlanje, kukho iindlela ezininzi kunye nezindlela ezisetyenziswayo, ngoncedo apho ukuhlaselwa kwe-pancreatitis kupheliswa. Inxaxheba ephambili kuyo idlalwa ngamagosa e-pharmacological. Kodwa kubalulekile ukuqwalasela ukuba i-pancreatitis yimeko ephuthumayo, unyango olwenziwa esibhedlele. Ngokuqhelekileyo, izigulane zizibhedlele, zibeka umxhasi, zixhasa umsebenzi wezitho ezahlukeneyo kunye neenkqubo, ukuchaza imishanguzo yokunciphisa iimpawu zesifo. Amanyathelo okunyamekela okunyamezelayo ancedisa iziyobisi kwi-pancreatitis, ekhusela ukutshatyalaliswa kwezicubu ze-pancreatic nokubulala intsholongwane.
Unyango lwe-pancreatitis enzima kwikhaya-iziyobisi
Ukunyangwa kwe-pancreatic inflammation namayeza kunokwenzeka ekhaya, kodwa kwimeko yokuba isigulane siza kugcinana nodokotela, kwaye iphezulu kakhulu. Oku kuyinyani ngokukodwa kwinkqubo engathandekiyo yesifo. Kubalulekile ukuqinisekisa uxolo olupheleleyo, ukulandela ukutya. I-syndrome yesisu isuswe nge-analgesics kunye neyeza-antibiotics. Ukuba ukuhlaselwa akuyona yokuqala, umntu unokuthatha unyango:
- Kodwa-Shpu;
- IPapaverine i-intramuscularly;
- Drotaverine.
Iinjongo zonyango kwizifo ezikhuselekileyo zikhusela iinkqubo zengxaki, i-necrosis kunye nosulelo. I-pancreatitis enkulu ingakhokelela kwezinye izifo, kwaye icebo lonyango lixhomekeke kubo. Ukuba imeko ayizinzile, ugxininiso luya kugqirha, ugqirha unika imishanguzo yokumisela imeko:
- Glucagon;
- Calcitonin;
- Somatostatin.
Unyango lwe-pancreatitis enobuhlungu kunye namayeza esibhedlele
Kwiimeko ezininzi, xa isifo sifika kwifom eqaqambileyo, kubhedlelelwa esibhedlele. Ulwaphulo luphantsi kolawulo lwagqirha esibhedlele. Ngeentsuku zokuqala zokuhlala esibhedlele kunqunywe ukutya okungqongqo, kwindlala. Ukuze ususe utywala, iindleko ezinkulu zamanzi, kuquka i-glucose kunye ne-saline, zifakwe kwi-droppers, kunye nezidakamizwa ze-pancreatitis zinikezwa kwaye zenziwe nge-intramuscularly, kunye ne-intravenously. Ngokuxhomekeke kubukhulu beempawu, amayeza ahlukeneyo anqunywe:
- I-Spasmolytics (Ketanov, Spazmalgon) isuse intlungu esiswini.
- Izidakamizwa ze-enzyme zinciphisa umsebenzi we-pancreas (iziyobisi ezifana neSandostatin, Contrical).
- Ukwamkelwa okunokwenzeka kwamathambo, kodwa phantsi kolawulo oluqinileyo logqirha (Hydromoron, Meperidin).
Ngaliphi na uhlobo kunye nesantya sesifo, unyango lwe-pancreatitis kunye neyeza kufuneka lube phantsi kweliso lugqirha oqhelaniswe nembali yesifo kwaye uyazi izizathu zokuphuhliswa kwezilwanyana. Kucetyiswa ukuba uqale unyango kwinqanaba elide, kude kube yinto yokugula idala iingxaki kwaye ayihambi kwisigaba esingapheliyo.