Pancreatitis e Izinja: Izimpawu kanye Ukwelashwa, Ukudla

Pancreatitis e izinja, njengoba kubantu, yisishiso kwamanyikwe, esemgwaqweni esiswini, eduze isisu duodenum. Iron ithwala izinjongo ezimbili eziyinhloko - ukukhiqizwa ama-enzyme, bese ukuwela duodenum kanye ekukhiqizweni kwama-hormone kanye insulin amaketanga engena ngokuqondile egazini.

Izimbangela pancreatitis e izinja

Izimo angaholela ukuvela sifo:

• ukudla ukhuluphele futhi amafutha amaningi;
• ushintsho okungazelelwe Ukudla at the pet iminyaka ukhulile;
• isimo, okuyinto kuhambisana isamba anda kwamafutha egazini (hyperlipidemia, Cushing syndrome, isifo sikashukela, hyperlipidemia, tsvergshnautserov idiopathic, i-hyperthyroidism);
• inani elikhulu igazi calcium (ukudakwa uvithamini D, izimila ebulalayo hyperparathyroidism).

Direct pancreatitis isici kungaba ukusetshenziswa kunemithi noma amaphilisi owaphuzayo, njenge:

• "Procainamide";
• loop bese thiazide isisu;
• "Metronidazole";
• "Paracetamol";
• estrogens;
• sulfonamides;
• "Ranitidine";
• "Cimetidine";
• "Azathioprine";
• "Tetracycline";
• L-asparaginase.

Okunye izimbangela:

• biliary ipheshana isifo, emathunjini amancane kanye nekhadi isibindi;
• umonakalo pancreatic;
• organophosphate Izingxube ubuthi;
• ukushaqeka (ukwehla okukhulu futhi isikhathi eside e-blood pressure).

Ezimweni eziningi, imbangela igcina izifo ezingaziwa ezifana pancreatitis ezinjeni.

izimpawu

Ngo izilwane ezigulayo pancreatitis, wathola izimpawu ezifana:

• esakhala, wawa, kwazise ziningi ubuhlungu odongeni kwamathumbu;
• ukubuyisa (esiswini);
• ukuhlanza ngemva kokudla;
• ukuduma okukhulu yaleli pheshana emathunjini;
• tachycardia;
• pancreatitis acute ezinjeni libhekene pruritus, uyaphika ukudla, ukungabi izihlalo kanye nokwenyuka kwezinga lokushisa komzimba;
• ukubukeka kanye noboya obukhulu foamed ketshezi sezinyawo nge iphunga omuncu.

Kumele kuqashelwe ukuthi, isikhathi sokuqala lesi sifo kwenzeka nge lokushisa evamile futhi esesuthi unayo isilwane.

I pancreatitis abukhali kutholakala ukuthi uphethwe yini amaconsi ngokufaka izidakamizwa ezifana "Sandostatin" mayelana nesigameko nesixazululo Hartmann futhi "Gordoksom". Ngenxa yalokho ngokusebenzisa kwawo impilo isilwane liyathuthuka ngokushesha. Ngakho kungenzeka ukuvimbela pancreatitis ezinjeni.

Izimpawu kanye nokwelashwa kwezifo ezingalapheki nezilwane ezifana kungaba:

• Isilwane esidla njengenjwayelo, kodwa ngesikhathi esifanayo ukunciphisa umzimba;
• Inja sonke isikhathi fade, izinwele zakhe ukubukeka okungenamsoco;
• DC yokwelapha pancreatitis okufanele kwenzeke ngayo kuncike umngane wokuphila Ukudla isilwane.

Nokho, lezi zimpawu kungaphinde kwenzeke ngoba ezinye izifo. Yingakho, ukucacisa pancreatitis okungalapheki izinja, zidinga ukuhlola ekhethekile: ultrasound uvivinyo amanyikwe, egazi noma omchamo, kanye-X-ray.

ukwelashwa

Ukwelashwa of pancreatitis acute iyona Ukudla kwesokudla isilwane. Imfuneko kudingekile - ubuncane ngokuzila ukudla ngosuku, bese kufanele banikwe ukudla isilwane ngemithamo emincane. Futhi kufanele fed ukudla wezokudla kuphela ngamafutha ongaphakeme. Uma ilungile ukunikeza ukudla aphathe inja ke okwesibili, lokho kusho ukuthi akumele sigule (inqobo nje uma isimo isifo singakabi zezifo ezingelapheki).

Ukuze ekwelapheni pancreatitis ezinjeni lidlule masinya, kubalulekile:

• isikhathi ukusungula isifo;
• unamathele ukudla ngesandla esiqinile;
• izidakamizwa ukuze aphathe isilwane sakho.

ukwelashwa

Pancreatitis ngaphandle yezinkinga ngokuvamile iphathwa conservatively. Kuze kube manje, akukho izidakamizwa, umphumela okuhloswe kuphela ukuqeda ukuvuvukala e kwamanyikwe. Kushaqwe izidakamizwa ezifana ne "aprotinin", "Dopamine" (ngemithamo sakugcina) nabanye abaningi, baye babonisa kanjani impumelelo yabo kuphela endaweni yokucwaninga. Lapho ukuhlola le mithi ku izilwane abasibonise kuphumelele.

What means ukunikeza?

Umgomo oyinhloko yokwelapha sezokwelashwa kudlule ngaphandle yezinkinga pancreatitis ezinjeni. Izimpawu kanye nokwelashwa kufanele oxhumene, ie, ukwelashwa siyefana. Indlela yokubhekana nalesi sifo?

1. ukwelashwa ukumnika. It wenziwa ukususa amanzi emzimbeni futhi electrolyte iziyaluyalu. Ngenxa yalezi zinkinga ukuze sisebenzise Colloid weThrojani namanzi crystalloid. Uma impatho ukumnika Kwenziwa ngokungalungile, kungase kubangele nomphumela ohlukile futhi simo esiya siba sibi besikhumba saleso silwane. Ukusebenzisa Izingxube colloidal (uketshezi olungenambala olusegazini, izixazululo of polysaccharides futhi "dextran 70") ngoba resumption of umthamo woketshezi kuyisici esiyinhloko therapy isifo.
2. Analgesics. Anesthesia iyadingeka ukuze kususwe ubuhlungu besisu. esebenza Ngakho analgesic izilwane kuyinto "butorphanol," okuyinto bafake intramuscularly njalo ngemva kwamahora 8.
3. Proton futha inhibitor kanye blocker H2-histamine. Izidakamizwa kulolu chungechunge ( "omeprazole" futhi "Famotidine") lisetshenziswa ukwehlisa ukukhiqizwa hydrochloric acid esiswini.
4. Antispasmodics. Amathuluzi zalolu hlobo zisetshenziswa ukuze aqede ukusikwa imisipha ye imbobo main pancreatic. Lokhu kwenza kube nokwenzeka ukuze unciphise ukugandeleleka Amapayipi pancreatic. Ngenxa yalesi isixazululo 2% iqondiswa papaverine hydrochloride, "shpy" futhi 24% "aminophylline" isixazululo.
5. Corticosteroids. Sebenzisa uma pancreatitis ezinjeni kuhambisana beshaqekile.
6. nemithi Antiemetic ( "Reglan", "seren" futhi "Ondansetron") engabelwe ezifuywayo ne ukuhlanza engalawuliwe.
7. Imithi elwa namagciwane. Bamiswa, uma kunobungozi kwegciwane. Uma isilwane has nobufakazi basemtholampilo futhi laboratory sepsis, bese usebenzisa i-aminoglycoside, "Ampicillin" zonke 8 amahora "penicillin G" njalo ngemva kwamahora 6.

Ngaphezu kwalokho pancreatitis kudingeka ukuqapha amazinga igazi glucose.

ukwelashwa kuhlinzwa

Ukuze aphathe pancreatitis ezinjeni kokuhlinzwa, izinkomba ezilandelayo:

• ukuvaleka Amapayipi Bile;
• pseudocyst kwetinhlavu kanye ulceration e kwamanyikwe.

Ukuze ubone ukuthi anomalies enjalo ezimweni eziningi ukwenza i-ultrasound besisu. Ngo ukusebenza kwalokho engenziwa uma kwenziwe yokwelapha kwagcizelela ka pancreatitis, nesimo isilwane siyaqhubeka siba sibi.

pancreatitis olunamandla ngokuvamile esethola ngokuphelele, futhi okunye ukwelashwa liyadingeka.

Yini ukondla inja nge pancreatitis?

Kukhona imithetho esikhethekile amandla, okumele ilandelwe ekwelapheni isifo isilwane:

1. izingxenye ezincane ukudla.
2. Njalo ukusuthisa (isilwane kufanele inikwe ukudla njalo emahoreni 3-4).
3. Yonke imikhiqizo kumele kutsho ukuze kuvinjelwe nokuguqulwa esiswini ukulimala mucosal.
4. Umthamo carbohydrate ukudla fat-aqukethe ekudleni kumele kungancipha.
5. Ukudla amaprotheni (inhlanzi, ushizi nenyama) kufanele linqobe imenyu.
6. Akuvunyelwe ukondla inhlanzi isilwane sasekhaya esigula futhi ukujula yenkomo umhluzi.
7. Zonke ukudla esidi bungaveli ekudleni.
8. Nciphisa ekudleni okuthosiwe nazo akuvumelekile.
9. ukudla ngomumo azidingeki ukunikeza kushisa kakhulu noma hhayi buyabanda.
10. ngokuzila ukudla (izinsuku hhayi ningi than 2) kuboniswa ngenxa sithuthukiswe ubuhlungu emizweni.

Umthetho eyinhloko amandla izinja nge pancreatitis - ekunciphiseni amafutha imikhiqizo yokudla. Lokhu kungenxa yokuthi amafutha ukunikeza umthwalo omkhulu kwamanyikwe, futhi esikhathini kuba buhlungu avuvukele.

Kuyadingeka ukuba sikhumbule ukuthi ngisho emva kokuphothulwa ukuphathwa isilwane bangase babe nomuzwa ubuhlungu lapho ukuthatha ukudla okunamafutha.

Yikuphi imikhiqizo sivumelekile ukunikeza ngaphansi izifo?

Nutrition izinja nge pancreatitis kungenzeka ukudla ekhethekile wadala zona ngokukhethekile. Ukwakheka okuphakelayo kuhlanganisa zonke izinto ezidingekayo adingekayo i isilwane okungenampilo.

Kaningi kuyenzeka ukuthi isilwane, ejwayele okumnandi futhi ezahlukene, kodwa ngesikhathi esifanayo imikhiqizo eyingozi, engathandi ukuba ukudla wokwehlisa umzimba. Esimweni esinjalo kubalulekile ukuba sibekezele musa ukujwayela inja. Indlala kunoma isiphi isimo kuyowuthonya, futhi isilwane kuyodingeka babe into ngeke.

Ngaphezu ukondla izilwane sivumelekile ukunikeza inyama wezokudla (inkukhu, turkey noma unogwaja). It kungenziwa abilisiwe, ugaye nge blender noma inyama grinder u hlanganise irayisi noma Couscous. Izimo zethu zihluke kakhulu ngemithamo emincane zingadla inja ne imifino oqoshiwe ngesimo puree. Ivunyelwe ukukufaka ukudla ephansi fat imikhiqizo amasi (ubisi noshizi).

Akumelwe sikhohlwe ukuthi ukunikeza isilwane sakho kufanele kube izingxenye ezincane, ukukhiqiza i umthwalo anda kwamanyikwe, kanye hhayi kuvuse kuhlasela lesi sifo.

Yikuphi imikhiqizo zivinjelwe?

Pancreatitis ezinjeni kuhilela ukwenqaba ukudla okuthile, njenge:

• ngibhema ushizi okubabayo, ayi;
• rye isinkwa esisha;
• inhlanzi oily futhi inyama;
• yenkomo kanye yemvu amafutha;
• imifino (corn, isithombo, isipinashi, iklabishi, Sorrel, parsley), okusanhlamvu nokuyimidumba.

Umzimba we noma yisiphi isilwane ihlukile, ukuthuthukiswa pancreatitis kungabuye nhlobonhlobo. Kule ndaba kufanele kuphawulwe ukuthi ukudla okunomsoco, ubude bayo kanye Ukwakheka angaqoka wezilwane kuphela. Ngakho-ke, akudingeki ukuba self-medicate.