Pancreatitis Chronic - unyango ngexesha exacerbation kunye noxolelo

pancreatitis ezingapheliyo sisifo zepancreas ukudumba uhlobo kunye utshintsho yayo cross-imibhobho. Ekubeni ke ixesha elide ekuphuhliseni pancreatitis parenchymal omzimba sclerosis kunye nelahleko exocrine ezidalwe umsebenzi wayo. Ekuphuhlisweni sifo adlale isifo ebalulekileyo kwinkqubo yokwetyisa. Ngoko ke, xa kwafunyaniswa ukuba pancreatitis esinganyangekiyo, unyango esi sifo kufuneka yenziwe ngokusebenzisana kunye nonyango kwezinye comorbidities. Unyango lwe-pancreatitis inde, ecwangcisiweyo, ngokuqhubekayo ngexesha exacerbation kunye noxolelo.

Chronic pancreatitis: unyango kwinqanaba oyingozi

Exacerbation kwesifo ubonisa umfanekiso ngokukhawuleza lwezonyango, iintlungu obukhulu. Ngexesha exacerbation wabonisa pancreatitis aphathe ezingapheliyo lulandelayo esibhedlele. Kuyimfuneko ukuba kupheliswe zonke unobangela kunye neendlela yayintsholongwane eyosulela lophuhliso sifo. Ethetha oonobangela ekhokelela ukuvela kweempawu zesi sifo, iquka zokuzicoca senyongo kunye iphecana biliary, unyango lwezifo oyingozi futhi ezingapheliyo esiswini, nokuzila ngokupheleleyo utywala.

Ngemihla zokuqala zonyango ukuze kuthintelwe secretion pancreatic yindlala emiselweyo kunye namanzi obrak, esebenzisa amanzi ashushu kwezimbiwa yabengezela. Ukongeza kwizidlo ebandayo mandatory kwi kummandla epigastric, ukuphumla yovakalelo neyomzimba, tubeless njengeminqweno rhoqo juice esiswini. Ukuphucula nencindi yejusi yenziweyo injeke, amisele antispasmodics kunye anticholinergics (iziyobisi "No-Spa," "Platifillin", "Baralgin", "Atropine", "papaverine"). Ukunciphisa isiphumo ububona yejusi esiswini iphathwa njenge asidi (lithetha "Almagell" "Fosfalyugel"), H2 receptor blocker (iziyobisi "Ranitidine", "Kvamatel") kunye nempompo Proton inhibitors (iziyobisi "Omeprazole"). Ukunciphisa umsebenzi enqanda proteolytic ezilawulwa ulawulo vutrivennoe of inhibitors yayo (amalungiselelo "Contrycal" "Trasylol", "Gordoks").

amachiza umchamo e pancreatitis ezingapheliyo iphathwa womchamo ukunciphisa kuphela zinetyhefu ukususwa iimveliso ukubola; kodwa ukuba zinqanda umsebenzi enqanda pancreatic. A nomphumela ofanayo lukhutshwe epsilon-aminocaproic acid kunye ziiprotein hydrolysates.

Xa ngamandla iintlungu ibonisa isabelo analgesics ezahlukeneyo. Ukusetyenziswa opioids ukuba contraindicated. Kuba nokulungisa iingxaki microcirculation kunye reopoligljukin exchange amanzi amtyuba asetyenziswe, nezinye izisombululo saline.

Xa exocrine insufficiency ngenjongo unyango replacement usebenzisa amalungiselelo enzyme ( "Pancreatin", "umbingelelo womthendeleko", "Mezim").

Xa iintlobo etshabalalisayo pancreatitis cytostatics butofelwe ilawulwa (iziyobisi "Cyclophosphamide", "Fluorouracil").

Xa ukusilela ndlala kwamadlala okanye tableted usebenzisa insulin arhente hypoglycemic.

Ukuze kuthintelwe ukudumba suppurative amisele antibiotics.

Ngoku siyazi ukuba sibaphathe njani pancreatitis in ahlekise. Kodwa lo sifo ikhondo ezingapheliyo kwaye akukho ibaluleke kangako kunyango kuxolelwe, njengoko oku kuthintela imbonakalo iimpawu acute kunye phambili kwesifo.

pancreatitis Chronic: unyango esweni

Unyango lwe-pancreatitis ezingapheliyo esweni kukuba ukuthintela isifo, ukukhuthaza uphuhliso lwabo, kunye nonyango kwabo ngexesha elifanelekileyo. therapy Pathogenetic esweni kukuba ukubuyisela secretion esiswini, ekususweni dyskinesias iphecana biliary, ngokunjalo ukukhuthazwa kweenkqubo okungenisa kwi pancreas. Ukulungiselela le njongo emiselweyo ukutya lokudla ukuncipha ngamanqatha kunye protein zanda. Ukuphucula protein yokucolwa kwi kwiproteni yangasemva okunciphisa steroid (iziyobisi "Retabolil," Nerobolum "). Xa ubukho zokumodareyitha insufficiency ezidalwe neentlobo okungephi seswekile ukuba ngcathu wekhabohayidreyiti. Ukuba glucose igazi nganye ezinga malungu abantu, amalungiselelo alawulwa insulin. Isigulana kufuneka ayeke ngokupheleleyo ukusetyenziswa utywala kuyo ubomi babo esitya ukutya okunempilo.

pancreatitis Chronic, unyango oluqhutywa ngokungqinelana kungentla, kaninzi iba uyekelelo uhlale ixesha elide, nto ezingahambi kuphuhliso iingxaki.