Pancreatitis ku Izinja: Iimpawu and Treatment, Ukutya

Pancreatitis ezinjeni, njengokuba abantu, kuba kukukrala zepancreas, nto leyo ibekwe esiswini, kufuphi nesisu duodenum. Iron ethwala iinjongo ezimbini eziphambili - ukuveliswa enzyme, ngoko kweyela duodenum kwakunye ukuveliswa hormone imixokelelwane insulin engena ngqo kwi egazini.

Oonobangela pancreatitis ezinjeni

Iimeko kungakhokelela ukuvela esi sifo:

• amavila namanqatha kakhulu ukutya;
• utshintsho ngesiquphe kwisidlo kwi pet iminyaka ukhulile kakhulu;
• karhulumente, nto leyo sikhatshwa isixa ukwanda kwamafutha egazini (hyperlipidemia, Cushing syndrome, isifo seswekile, hyperlipidemia, tsvergshnautserov idiopathic, hyperthyroidism);
• inani elandileyo calcium igazi (ukunxila ivithamin D, nangezilonda okubulalayo hyperparathyroidism).

Direct pancreatitis sezizathu isenokuba ukusebenzisa amayeza ezithile, ezifana:

• "Procainamide";
• loop kunye thiazide womchamo;
• "Metronidazole";
• "Paracetamol";
• estrogen;
• sulfonamides;
• "Ranitidine";
• "Cimetidine";
• "Azathioprine";
• "Tetracycline";
• L-asparaginase.

Ezinye izinto:

• isifo iphecana biliary, emathunjini amancinci kunye nekhadi wesibindi;
• umonakalo pancreatic;
• imixube ubuthi organophosphate;
• Njengokungeniswa (a wokwehla wayolula kuxinzelelo lwegazi).

Kwiimeko ezininzi, unobangela uhlala izifo ayaziwa ezifana pancreatitis ezinjeni.

iimpawu

Xa izilwanyana abosulelwe pancreatitis, bafumana iimpawu ezifana:

• ethobe yaguqa, ekubeni kukho buhlu- eludongeni esiswini;
• flatulence (of esiswini);
• ukugabha emva kwako;
• wokuwa omkhulu iphecana emathunjini;
• tachycardia;
• pancreatitis etsolo ezinjeni luphawulwa pruritus, kukukhanyela kokutya, ukungabikho izitulo kunye kokunyuka ngequbuliso lobushushu emzimbeni;
• ukubonakala kanye noboya foamed njengesihlalo ulwelo kunye livumba emuncu.

Kufuneka kuqatshelwe ukuba ixesha lokuqala sifo lwenzeka kunye lobushushu yesiqhelo kunye wokutya na isilo-qabane.

I-pancreatitis ezibukhali uphethwe amathontsi abangena iziyobisi ezifana "Sandostatin" ngokunxulumene isisombululo le Hartmann kunye "Gordoksom". Ngenxa yokusebenzisa impilo yezilwanyana luyaphucuka ngokukhawuleza. Ngaloo ndlela kunokwenzeka ukuthintela pancreatitis ezinjeni.

Iimpawu kunye nonyango lwezifo ezingapheliyo izilwanyana ezifana ingaba:

• isilwanyana sisitya njengesiqhelo, kodwa kwangaxeshanye ukuncipha;
• Dog lonke ixesha fade, iinwele zakhe inkangeleko mpilweni;
• DC therapy pancreatitis kufuneka kwenzeke phantsi zokunciphisa pet ubomi.

Nangona kunjalo, ezi mpawu kunokuphinda kuvele ezinye izigulo. Yiloo nto, ukuba ukumisela pancreatitis engapheliyo izinja, zifuna uxilongo ezikhethekileyo: ultrasound nepancreas, igazi nomchamo iimvavanyo, kwakunye X-ray.

unyango

Unyango lwe-pancreatitis etsolo na ukutya lasekunene isilwanyana. A mfuno kuyimfuneko - ubuncinane imini ukudla, ngoko kufuneka banikwe ukutya esithandwayo ngeedosi ezincinane. Kwaye kufuneka bayondliwa kuphela ukutya zokutya kukutyeba eliphantsi. Ukuba luchanekile ukunika ukutya sibathantamise inja, ngoko okwesibini, kufuneka agule (ngaphandle kokuba uhlobo sifo ayikho esingapheliyo).

Ukuze unyango lwe-pancreatitis e kudlule ngokukhawuleza nangendlela efanelekileyo izinja, kubalulekile ukuba:

• ixesha ukuseka isifo;
• unamathele ukudla eqine;
• ichiza lokunyanga lesilwanyana sakho.

unyango ngamachiza

Pancreatitis ngaphandle iingxaki ngokuqhelekileyo iphathwa ngokulumka. Ukuza kuthi ga ngoku, akukho iziyobisi, isiphumo olujoliswe kuphela bayeke ukudumba kwi pancreas. Iziyobisi ezifana "Aprotinin", "Dopamine" (ngeedosi ezincinane) kunye nabanye abaninzi ngakumbi, aye abonisa impumelelo yabo kuphela elabhoratri. Xa ukuvavanya la machiza kwizilwanyana abaye babonisa ukuba angasebenzi.

Yintoni kuthetha ukuba aphe?

Eyona njongo iphambili ye unyango lonyango kwenzeka ngaphandle iingxaki pancreatitis ezinjeni. Iimpawu kunye nonyango kufuneka ezihambelanayo, oko kukuthi, unyango kufana nomqondiso. Indlela ukumelana nesi sifo?

1. Nokubandakanywa therapy. Oku kwenziwa ukuze ususe emzimbeni kunye electrolyte ukuphazamiseka. Ukuze ezi ngxaki ukuze asebenzise colloid dropper neencindi crystalloid. Ukuba unyango ukumnika wenziwa ngokungachanekanga, oku kungabangela nomkhwezeli kunye xiyimo kwesilwanyana. Ukusebenzisa umxube colloidal (plasma, izisombululo ze polysaccharides kunye "dextran 70") ukwenzela omisa volume fluid ngumba omkhulu kunyango izifo.
2. Analgesics. Ukubulawa kufuneka ukususa iintlungu esiswini. Ngaloo ndlela omele iintlungu izilwanyana yi "butorphanol," nto leyo bafake intramuscularly qho kwiiyure 8.
3. Proton inhibitors impompo kunye blocker H2-histamine. Iziyobisi kolu ngcelele ( "omeprazole" yaye "Famotidine") isetyenziselwa ukunciphisa imveliso zehydrochloric acid esiswini.
4. Antispasmodics. Izixhobo elolu hlobo isetyenziselwa ukuze kupheliswe yindibanisela esihlunwini we bile engundoqo pancreatic. Oku kwenza kube lula ukuba azole ukuhlisa uxinzelelo kwi imibhobho pancreatic. Ngenxa yesi-2% isisombululo ilawulwa papaverine hydrochloride, "shpy" no-24% "aminophylline" isisombululo.
5. Corticosteroids. Faka ukuba pancreatitis inja sikhatshwa nematha.
6. amayeza Antiemetic ( "Reglan", "hamid" yaye "Ondansetron") ezimiselwe ukufundwa izilwanyana kunye ukugabha ezingalawulekiyo.
7. Antibiotics. Bona amisiweyo, ukuba kukho ingozi yosulelo amagciwane. Ukuba isilwanyana unobungqina kwezonyango kunye kwilebhu nokudumba, ngoko sebenzisa i aminoglycoside, "Ampicillin" zonke iiyure 8 "penicillin G" qho kwiiyure 6.

Ukongeza pancreatitis kufuneka levels iswekile yegazi.

unyango ngotyando

Ukuze ukunyanga pancreatitis inja kwegazi, okukhomba zilandelayo:

• ukuvaleka bile duct;
• pseudocyst ukubunjwa zizilonda kwi pancreas.

Ukuze ubone mgaqweni ezifana kwiimeko ezininzi ukwenza ultrasound esiswini. Ukongeza msebenzi ungenziwa xa kwenziwe unyango balomeleza ngayo pancreatitis, kunye nobume isilwanyana siyaqhubeka siba sibi.

pancreatitis Acute idla ingathityazwa ngokupheleleyo, kwaye kufuneka unyango olungaphezulu.

Yintoni ukondla inja ne-pancreatitis?

Kukho imithetho ezikhethekileyo igunya, ekufuneka zilandelwe ukunyanga isifo kwi qabane:

1. iinxenye ezincinane ukutya.
2. Rhoqo lusidla (isilwanyana kufuneka banikwe ukutya qho kwiiyure 3-4).
3. Zonke iimveliso kufuneka bayisile ukwenzela ukuthintela awufuni ukwenzakala esiswini mucosal.
4. Nomthamo carbohydrate kunye nokutya fat aqulethe kwi ekutyeni kufuneka incitshiswe.
5. Zokutya protein (intlanzi, itshizi kunye nenyama) kufuneka ngegqudu menu.
6. Akuvunyelwe ukuba ukondla qabane iintlanzi abagulayo kunye nobutyebi yenkomo umhluzi.
7. Zonke zokutya emuncu kushenxiswa yokudla.
8. kutya amafutha nazo ayivumelekanga.
9. izidlo Ready kungeyomfuneko ukuba ukunika kushushu kakhulu okanye kubanda kakhulu.
10. ukudla (iintsuku kungekho ngaphezulu kwe-2) lubonise ukuba iminqweno eziphuculweyo intlungu.

Eyona ulawulo ngamandla izinja kunye pancreatitis - kuncitshiswa elityetyisiweyo iimveliso yokudla. Oku kungenxa yokuba amafutha zinika umthwalo onzima phezu injeke, kwaye kwixesha uba buhlungu ebushushwini babo.

Kuyimfuneko ukuba ukukhumbula ukuba nkqu emva kokugqiba unyango isilwanyana banokuziva ubuhlungu xa uthatha ukutya okunamafutha.

Zeziphi izinto zivumelekile ukunika phantsi izifo?

Nutrition izinja ne-pancreatitis ukuze kubekho ukutya ekhethekileyo wadala ngakumbi kubo. Ukubunjwa feed kuquka zonke izinto ezifunekayo ukuze isilwanyana mpilweni.

Kudla ngokuthi isilwanyana, ibihlaba okumnandi ezahlukeneyo, kodwa kwi iimveliso eziyingozi xesha, ngaba unqwenela ukuba ukutya dietetic. Kwimeko enjalo kuyimfuneko phikelela musa lungisa le nja. Indlala kuyo nayiphi na imeko iza kuba negalelo, yaye izilwanyana kuya kufuneka ukuba okuthile.

Ukongeza ukondla izilwanyana bavunyelwe ukunika inyama abakudlayo (inkuku, Turkey okanye umvundla). Kokuba ebilisiweyo, usile kunye blender okanye inyama grinder kwaye dibanisa kunye nerayisi okanye couscous. Kakhulu ngeedosi ezincinane zingatya inja kunye nemifuno zinqunqwe ngokohlobo okubizwa. Ukuvunyelwa ukuba ukufaka ukutya ezisezantsi-fat iimveliso amasi (ubisi kunye netshizi).

Asimele silibale ukuba ukunika isilwanyana sakho kufuneka sibe iinxalenye ezincinane, ukuvelisa umthwalo nochatha injeke, kwakunye ukuba bandiqumbise kokuhlaselwa sisifo esi sifo.

Zeziphi iimveliso abavumelekanga?

Pancreatitis ezinjeni kubandakanya ukwaliwa ukutya okuthile, ezifana:

• yaba ngumsi yonke iphela, nezonka zamasi okuneziqholo, ayi;
• isonka rye okutsha;
• ezinamafutha nenyama;
• yenkomo kunye yemvu amanqatha;
• imifuno (ingqolowa, isithombo, isipinatshi, ikhaphetshu, nangwevu, parsley), iinkozo kunye imidumba.

Eziphilayo nasiphi na isilwanyana yahlukile, uphuhliso pancreatitis nako zinokohluka. Kule nkalo kufuneka kuqatshelwe ukuba ukutya okunezondlo, ubude balo kunye nokwakheka angaqesha kuphela wezilwanyana. Ngoko ke, akukho mfuneko yokuba self-medicate.