I-pancreatitis engapheli - ukwelashwa kokukhuphula nokukhululwa

I-pancreatitis engapheli yisifo sezinhlayiya zesimo sokuvuvukala neshintsho ekusebenzeni kwamathanga ayo. Ngenkambo eqhubekayo yokuphazamiseka kwengqondo, ukuphefumula kwe-parenchyma yelungu kuqala nokulahlekelwa yi-exocrine nokusebenza kwe-endocrine. Ekuthuthukiseni lesi sifo, ukubaluleka okukhulu kudlalwa yizifo zesimiso sokugaya ukudla. Ngakho-ke, uma kutholakala i-pancreatitis engapheli, ukwelashwa kwesifo kufanele kwenziwe ngokubambisana nokwelashwa kwamanye ama-pathologies ahambisanayo. Ukwelashwa kwe-pancreatitis kuqhubeka, kuhlelekile, kuqhubeka ngesikhathi sokukhuphula nokukhululwa.

I- pancreatitis engapheli : ukwelashwa esiteji esibucayi

Ukukhushulwa kwalesi sifo kubonakala emfanekisweni omtholampilo, isifo esibuhlungu kakhulu. Esikhathini sokucindezeleka okunzima, i-pancreatitis engapheli kufanele ilashwe esibhedlela. Kubalulekile ukuqeda zonke izimbangela kanye nezinqubo eziphilayo zokuthuthukisa lesi sifo. Ukuqedwa kwezimbangela eziholela ekubonakalweni kwezimpawu zalesi sifo kubandakanya ukuhlanzwa kwe-gallbladder ne-bile ducts, ukwelashwa kwezifo ezinzima nezihlala njalo zesisu, ukulahla ngokuphelele utshwala.

Ezinsukwini zokuqala zokwelapha, ukuze kugweme ukuvinjelwa kwe-pancreas, ukuphuza okuphelele nokuphuza okune-alkali kunqunyelwe, okusetshenziselwa amanzi ashisayo, namanje amaminerali. Ngaphezu kokudla, ukubandayo esifundeni se-epigastric, ukuphumula ngokomzwelo nangokwenyama, ukulangazela okuqhubekayo kwe-gastric juice aspiration kuyimpoqo. Ukuthuthukisa ukuphuma kwejusi okukhiqizwa yi-pancreas, i-antispasmodics kanye ne-anticholinergics kunqunywe (amalungiselelo e-No-shpa, Platifillin, Baralgin, Atropin, Papaverin). Ukuze kuncishiswe umphumela oshukumisayo wejusi esiswini, ama- antacids (Almagel, Fosfalugel), i-H2 receptor blockers (izidakamizwa i-Ranitidine, Kwamatel) kanye ne-proton pump inhibitors (i-Omeprazole drug) nazo zinqunywe. Ukuze kuncishiswe umsebenzi we-enzyme yama-proteolytic, kunqunywe ukuphathwa kokubambisana kwama-inhibitors (amalungiselelo "Kontrikal", "Trasilol", "Gordoks").

I-diuretics e-pancreatitis engapheli ayinqunyelwe nje kuphela ngokuthi i-diuretics yokunciphisa ukudakwa ngokususa imikhiqizo yokulimaza, kodwa futhi ngenhloso yokuvimbela umsebenzi we-enzyme ye-pancreatic. Umphumela ofanayo unikezwa i- epsilon-aminocaproic acid namaphrotheni hydrolysates.

Ngesifo sobuhlungu obukhulu, ukuqokwa kwama-analgesics ahlukahlukene kuboniswa. Ukusetshenziswa kwe-analgesics yama-narcotic kunqatshelwe. Ukulungisa ukuphazamiseka kwe-microcirculation kanye noketshezi kwamanzi ketshezi kusetshenziswa i-rheopolyglucin, ezinye izixazululo ze-saline.

Ngokwehluleka kwe-exocrine ngenhloso yokwelapha okufaka endaweni, amalungiselelo enzyme asetshenziswa (Pancreatin, Festal, Mezim).

Ngezinhlobo ezibhubhisa ze-pancreatitis nge-cytostatics engenayo ngokujova (izidakamizwa "Cyclophosphamide", "fluorouracil").

Uma umsebenzi we-hormonal we-gland unganele, i-insulini noma izidakamizwa ezibizwa ngokuthi i-hypoglycemic isetshenziswa.

Ukuze uvimbele ukuvuvukala okuphefumulayo, ama-antibiotic anqunywe.

Manje sisazi ukuthi yini okufanele siphathe ukucindezeleka esikhathini sokukhushulwa. Kodwa lesi sifo sinenkinga engapheli futhi akubalulekile nakancane ukwelashwa esiteji sokukhululwa, ngoba lokhu kuzovimbela ukubukeka kwezimpawu ezinzima nokuthuthukiswa kwalesi sifo.

I-pancreatitis engapheli: ukwelashwa ekuxoxweni

Ukwelashwa kwe-pancreatitis engapheli esigabeni sokuxoxwa kubandakanya ukuvimbela izifo ezikhuthaza ukuthuthukiswa kwayo, kanye nokwelashwa okufika ngesikhathi. Ukwelashwa kwe-pathogenetic esigabeni sokuxolelwa kuhlanganisa ukuvimbela ukuvinjwa kwesisu, ukukhishwa kwe- dyskinesia bhiliary tract, kanye nokugqugquzelwa kwezinqubo zokuvuselela emaphakathini. Ngenxa yalokhu, ukudla okudliwayo okunomthelela we-fat nokunyuka kwamaprotheni okuqukethwe kunqunywe. Ukuze uthuthukise amaprotheni emetabolism ngokusuka ngemuva kokudla kwamaprotheni, ama-anabolic steroids anqunyelwe (amalungiselelo "I-Retabolil," i-Nerobol ") .Ngaphambi kokungakwazi kahle kwe-intrasecretory nokuphefumula kwesifo sikashukela, ukusetshenziswa kwe-carbohydrate kunciphile.Uma i-glycemia ingavamile, ukulungiswa kwe-insulini kuyamiswa. Isiguli kufanele simise ngokuphelele ukusebenzisa Utshwala, kulo lonke ukuphila kuhambisana nokudla okunengqondo.

I-pancreatitis engapheli, ukwelashwa okwenziwe ngokuvumelana nalokhu okushiwo ngaphambili, ngokuvamile iphenduka ukuxolelwa isikhathi eside, ayihambisani nokuthuthukiswa kwezinkinga.