I-Pancreatitis ezinganeni yisifo esivamile. Zonke izingane ezingu-20 ziyihlola. Lesi sifo kuyindlela yokuvuvukala emgqumeni wokugaya. Ebusheni, lesi sifo sinemfanelo yaso. Inkambo yayo ihluke kakhulu ukuthi isifo sifana kanjani nabantu abadala.
Izimbangela ze-pancreatitis ezinganeni
Ukuthuthukiswa kwalesi sifo kungenxa yokukhiqizwa okukhulu kwama-enzyme (pancreatic protease) kakhulu kanye nomphumela we-pathological of this substance active on the tissue damaged of this organ. Ngenxa yokuzibulala, izinhlayiya kanye neminye imikhiqizo ephazamisayo iphonswa egazini nase-lymph. Ukuvuvukala kwe-pancrea kuqhubeka ngamafomu afana nalokhu:
- i-acute;
- i-chronic;
- isasebenza.
I-pancreatitis enhle ezinganeni
Leli fomu lokugula lishukunyiswa yizici ezilandelayo:
- Ukungabikho kwama-congenital - ukuguqulwa kwamathambo ekubunjweni nobukhulu bama-pancreas. Ngaphezu kwalokho, izimbangela kanye nokunamathela kungabonakala kule nhlangano yesistimu yokugaya ukudla. Ngenxa yalokhu, ukukhishwa kwama-enzyme e-pancreatic kunzima ngesilinganiso esifanele ku-duodenum.
- Ukulimala esiswini - kungase kube nokuhlukana kwezicubu zalesi sitho.
- Izifo ze-parasitic - "ukukhukhumeza" kwezinambuzane zihlanganisa ama-pancreas. Ngenxa yalokho, i-pancreatitis enzima iqala enganeni.
- I-Gallstone isifo - ukubunjwa kungase kuhlanganise amadoksi, okubangela ukuthi uhlelo lokugaya luyeke ukusebenza ngendlela efanele.
- Ukubalwa - usawoti ubeka ngenxa yokudlula i-vitamin D.
- Ezinye izifo zomuthi wamathumbu , lapho ukukhishwa kwejusi le-pancreatic kunzima futhi kutholakala ukuqhuma kokudla.
I-Pancreatitis ezinganeni ezinesimo esibucayi kubangelwa izici ezinjalo:
- "Ukuzigaya ngokweqile" kwamathiskrikhi we-pancreatic;
- umonakalo emzimbeni wesimiso sokugaya, okwenziwe yisenzo sezinyosi nemithi;
- izifo ezizimele.
I-pancreatitis engapheli ezinganeni
Leli fomu lokugula lingavamile kakhulu ezinganeni. Ngokuvamile ukukhathazeka okunjalo kwengane kwenzeka ngemuva kokugula kwamuva kufomu elimangalisayo. Kodwa-ke, lesi sifo sitholakala kwezinye izimo. Isibonelo, kutholakala ukuthi ukuvuvukala okusebenzayo kwamaphakheji kwengane kubonakala isikhathi eside. Ngamanye amazwi, isifo esingelapheki siwumphumela wokwelapha okungenakulinganiswa noma okwanele kwesigaba sokuqala sesifo.
I-pancreatitis esebenzayo ezinganeni
Lesi sifo ukuphendula komzimba ohlelweni oluqhubekayo lokuvuvukala. I-pancreatitis esebenzayo enganeni ivela ngenxa yezizathu ezilandelayo:
- izifo ezithathelwanayo - inkukhu yenkukhu, umkhuhlane, E. coli nokunye;
- ukwephulwa kwezimiso zokusondliwa kwezinsana (ingxube engakhethi, ukuqala ukudla okuhambisanayo ekuqaleni);
- ukudla okungalingani - ukutholakala kokudla okuthosiwe, imikhiqizo yokubhema, ukudla okusheshayo;
- bedla izithelo ezingavuthiwe, amajikijolo nemifino.
I-Pancreatitis ezinganeni - izimpawu
Izimpawu zokuvuvukala ama-pancre ngokuyinhloko kuxhomeke esimweni sesifo. Isiteji esiyingozi sihambisana nesithombe esinjalo somtholampilo:
- ubuhlungu;
- isicanucanu sinesifiso sokuhlanza;
- ukushisa komzimba okwandisiwe;
- ukwesaba;
- ukoma okunamandla;
- isifo sohudo;
- ukugqoka emhlophe ngelimi .
Lapho kukhona ukushisa okuqhubekayo, lezi zimpawu zilandelayo:
- ukulahlekelwa kwesifiso;
- isikhumba sibe siphuzi;
- ukushisa komzimba kuphakama;
- izidakamizwa ezikhanyayo ziyabonwa;
- ingane ivame ukuphazamiseka ngokuhlanza;
- amahlamvu omcibisholo amnyama;
- le kid liba kakhulu moody.
I-pancreatitis engapheli kwengane inezimpawu ezifana nefomu elimangalisayo. Kubonakala ngesithombe esinjalo somtholampilo:
- ukuqotshwa;
- isicasuli;
- ubuhlungu;
- ukushisa kuphakama;
- ukulahlekelwa kwesifiso;
- ubuqili.
Ubuhlungu ku-pancreatitis
Ukuhlelwa kwalesi sigameko kuncike esimweni senqubo yokuvuvukala. Ukubuhlungu kokuphazamiseka kwenzeka emva kwesikhashana ngemva kokuvezwa kokudla okuphakelayo. Ngokuqhubeka kwe-pathology, isimo senkinga siyancipha. Ifomu eliyinkimbinkimbi yesifo libhekene nokuzwa okubuhlungu esiswini esingaphansi. Kancane kancane, baqala ukunikela engxenyeni ecindezelweyo kanye nomhlathi ophansi. I-pancreatitis engapheli ezinganeni inendawo engakaze ibe yindawo yokuhlaziya ubuhlungu. Izinzwa ezibuhlungu zingahlukahluka.
Ukushisa ku-pancreatitis
Isebenza njengomzimba wokuzivikela womzimba ohlelweni lokuvuvukala olwenzeka ngaphakathi kwalo. Ebuchosheni, i-hypothalamus inesibopho se-thermoregulation. Inqubo yokuvuvukala, umzimba uqala ukukhiqizwa kwe-interleukin, into ekhethekile yokuvikelwa. Uhambisa hypothalamus isignali mayelana "namazwe angaphandle". Umzimba uphendule ngalokhu nge- chills kanye nokwanda kwezokushisa. Zonke lezi zibonakaliso zokuphefumula ezinganeni zingabonwa ngendlela elula yesifo. Uma lesi sifo siya esigabeni esingapheli, izinga lokushisa lomzimba liphuma kancane.
Ukuvuvukala kwe-pancreas - ukwelashwa
Ngaphambi kokuqokwa kwelashwa, udokotela kumele aqiniseke ukuthi ukuhlolwa kwesifo kulungile. Ukuxilonga kusiza kulokhu. Kuhlanganisa izifundo ezinjalo:
- Ukulethwa kokuhlolwa kwegazi jikelele ukucacisa izinga lama-leukocytes (inqubo yokuvuvukala, yanda).
- I-Ultrasound yesigxobo sesisu, esiza ukubona ukushintsha kwesakhiwo nobukhulu bezitho zangaphakathi.
- Ukuhlola igazi kwegazi, okuvumela ukuthi kutholakale amazinga aphezulu we-lipase, trypsin ne-amylase.
- I-coprogram , lapho izinhlayiya zokudla ezingenakulinganiswa zingatholakala khona, okubonisa ukukhiqizwa okwanele kwama-enzyme e-pancreatic.
- Ukuhlaziywa kwama-urine, okusiza ukubona ukuthi kukhona amylase.
Ukwelashwa kwe-pancreatitis ezinganeni kuyinkimbinkimbi eyinkimbinkimbi. Ihlose ukubopha izimpawu zesifo, ukuhlinzeka ngama-pancre ngokuphumula okusebenzayo nokuqeda izici ze-etiological. Indlela esebenzayo isetshenziswa, kuhlanganise nokusetshenziswa kwezi zindlela:
- ukuphathwa kwezidakamizwa;
- ukudla okwelashwa;
- izikhambi zabantu;
- ukwelashwa okuhlinzekwa (ngefomu elinganakiwe).
Ukuhlasela kwe-pancreatitis - usizo lokuqala
Iqhinga lokunciphisa isimo sesiguli esincane esigabeni esiphezulu nesicindezelekile sesifo sifana nalokhu. Kuhlanganisa ukuphathwa okunjalo:
- Kubalulekile ukuzolalisa ingane bese uyibeka ukuze umzimba uphuthunyiswe kancane.
- Susa izingubo ezenza kube nzima ukuba ingane iphefumule.
- Awukwazi ukondla ingane yakho ngaphambi kokufika kwe-"ambulensi".
- Kudingekile ukunikeza yonke ihafu yehora ukuze ingane iphuze (amanzi angabonakali ngamaminerali) 50 ml ngayinye.
- Ungathathi izingane zokuphuza izingane ngaphambi kokuba i-ambulensi ifike, ngoba lokhu kuzokwenza kube nzima ukuxilonga lesi sifo.
- Uma ukuhlaselwa kuhambisane nokuhlanza, ungahlanza isisu (vumela konke kwenzeke ngokwemvelo).
- Akunakwenzeka ukufaka ubanda emathunjini, ngoba lokhu kuzokwenza isimo se-pancreas siphuthumise futhi kuqiniseke izikhala.
Uma abazali, bekwazi ukukhulula ukuvuvukala kwamaphancasi kwifomu ehlotshisiwe ye-pancreatitis engapheli, abakwazi ukubhekana nokuhlaselwa kwengane, kufanele ngokushesha ubize i-ambulensi. Awukwazi ukulahlekelwa! Ngaphezu kwalokho, akufanele ukhethe imithi ye-analgesic ngokwakho, ngoba lokhu kungenza ngcono isimo.
Amalungiselelo okuphefumula
Yonke imithi kumele inqunywe udokotela. Zethulwa esiteji sokuqala zokwelapha ngendlela yezijovo, futhi ngemva kwesonto (uma iziphazamiso ezibuhlungu ziqedwa) izidakamizwa zokuhlukunyezwa zingenziwa ngendlela yamathebulethi. Ngokuvamile amalungiselelo anjalo asetshenziswa:
- abathintekayo ( No-shpa , Tramal, Analgin, Papaverin, Promedol);
- ama-prozyolytic enzymes (Trasilol, Contrikal);
- izidakamizwa ezinciphisa ukukhululwa kwama-enzyme e-pancreatic (i-famotidine, i-Octreotide);
- imithi esetshenziselwa ukuthuthukisa i-microcirculation (i-Dipyridamole, i-Trental).
Pancreatitis ezinganeni - ukudla
Ukondla ngokucophelela kungenye yezimo zokwelashwa okuphumelelayo kwesifo. Uma lesi sifo siqhubeka, udokotela angancoma "isikhashana sokudla" izinsuku ezingu-1-2. Phakathi nalesi sikhathi, ingane inganikezwa isiphuzo ngama-sips amancane wamanzi amaminerali afudumele ngaphandle kwegesi (isibonelo, i-Borjomi). Lapho "isikhashana sokudla" esesibhedlela, kutholakala ukuncibilika kwesiphuzo esiswini, njengoba kungasusa inhlanganisela ye-enzyme ye-pancreatic.
Lapho isimo somntwana sikhanyiswa, ingane idluliselwa ekudleni okuthandwayo. Phakathi namasonto amabili okuqala emva kokukhishwa kwe-spasm zonke izitsha zilungiswa ngaphandle kosawoti. Ukudla ukuvuvukala ama-pancreas kufanele kube yi-fractional (izikhathi ezingu-5-6 ngosuku) ezinxenyeni ezincane. Ukudla kufanele kususwe ukuze kube ukufana okuketshezi noma okwenziwe ngamanzi. Okokuqala ekudleni kwengane ukufaka udinga iphariji, isibonelo, isilwane, okufanele siphekwe ubisi, sihlanjululwe ngamanzi (isilinganiso 1: 1).
Kancane kancane, ukudla kwengane kusetshenziselwa izitsha ezinjalo:
- isobho semifino;
- i-omelet yamaprotheni eyenzelwe ukuqhuma;
- casseroles yemifino ;
- apula apula amnandi;
- jelly kusuka amajikijolo amasha;
- elungiselelwe ngezinhlanzi ezinamafutha aphansi;
- ama-puddings;
- ama-cutlet nama-meat steamed njalonjalo.
Isiqingatha sonyaka akuvumelekile ukuba sidle ukudla okunjalo:
- u-salin;
- pâtés;
- ushokoledi;
- amantongomane;
- ukupheka;
- ubisi oluncibilikile;
- ukudla okusemathinini;
- izinwele;
- iziphuzo ze-carbonated.
I-Pancreatitis - amakhambi abantu
Ukusebenza kahle kakhulu ekwelapheni lesi sifo kubonisa inhlanganisela "yezidakamizwa" zakudala nezihlukile. Phatha ukucindezeleka ezinganeni ezincane ozidingayo ngaphansi kokuqondiswa udokotela. Udokotela uyazi ukuthi imiphi imithi nemithi ingahlanganiswa, ngoba uma ubahlanganisa ngokungalungile, ingane ingalimala kabi. Kunokuphatha ukwelashwa kwabantwana:
- bark barberry;
- ama-flaxseeds;
- i-motherwort;
- imbewu ye-dill;
- i-sage;
- i-immortelle;
- ama-inflorescences we-chamomile;
- i-calendula;
- I-wort yaseSt. John nezinye izitshalo zokwelapha.