Hiki i nā hōʻailona kumu nui o ka pancreatitis ke hoʻomaka e hoʻopilikia i ka mea maʻi iʻeono mau mahina ma hope o ka hoʻomaka ʻana o ka mai. I kēia kūlana, kamaʻilio nā kauka e pili ana i ka hoʻohuli o ka papa maʻi o ka maʻi pancreatic, a ma hope o kekahi manawa, hele aku ka pancreatitis i loko o ka Palapala.
ʻO kahi mākaʻeha a lāʻau koʻikoʻi paha o nā maʻi i kekahi mau manawa e hoʻomaka wale e hōʻike wale ma lalo o kekahi mau kūlana. Inā ulu ka ala, a laila e hoʻomaka ka make ʻana o nā ʻāpana koʻikoʻi o nā kolo o ka maʻi maʻi. Kahi mua kahi hana i hana ʻia i ke kaona momona, a laila e hoʻomau i nā koena o ke kaila.
ʻO ka hōʻailona nui o ka hoʻomaka ʻana o ka exacerbation ka ʻeha a me ka hōʻeha nui ma ka ʻaoʻao hema. Inā nui nā ʻōpala o ka hanana, a laila e nānā ʻia ka ʻeha ma hope o ke kua i lalo, a hāʻawi hoʻi ma lalo o ka scapula a i hope paha.
ʻO nā hōʻailona ʻē aʻe o ka exacerbation o ka pancreatitis:
- edema pancreatic;
- ʻeha nui ʻeha i ka ʻōpū;
- ka hoʻomohala ʻana o ka hopena i loko o ka ʻōpū o ka ʻōpū.
Eia kekahi, me ka hoʻihoʻi ʻana o ka pancreatitis, kahi piʻi ʻana o ke ʻano wela o ke kino, hōʻilo a me ka luaʻi, hiki ke hōʻoluʻolu ʻia ka pono o ka mea maʻi. Ua ʻike ʻia nā ʻaoʻao i ka wā i kiʻī nui ai kahi noho me nā kīnā o ka meaʻai undigested a me ka umu, ʻaʻole like kēia mau ʻōuli.
I kekahi mau mea maʻi, hiki i ke kala o ke kino ke loli - huli i uliuli a i ʻole e loaʻa i kahi jaundice. ʻO ka hoʻomakaʻana o kahi kūlana ukiuki mai 2 a 8 mau lā.
Hōʻike ʻia ka pancreatitis e ka loli ʻana i nā hōʻailona. Ma kahi o kēia mau ʻokoʻa, ka puʻuwai, ka leʻaleʻa o ka momona, ka nui o ka palu i loko o nā ʻōpū, pancreas a me flatulence e hele pinepine ma ka ʻaoʻao, ma ka hoʻohālike. Hiki nō hoʻi ke neʻe ʻana i nā ʻula ma luna o ka ʻili o ka ʻili o ka ʻōpū, ke kua a i ʻole ka umauma.
ʻO nā hōʻailona a me nā hōʻailona o ka exacerbation o ka pancreatitis koʻikoʻi
Inā koʻikoʻi ke kūlana o ka mea maʻi, a laila hiki ke ʻike ʻia nā hōʻailona o ka pīhoihoi a i ʻole ka hūlū paha. Hiki ke hāʻule maʻalahi i ka wela o ke kino a piʻi paha i ka māka kiʻekiʻe.
ʻO ka pae o ka hōʻemi i hōʻike ʻia e nā hōʻailona, ka huhū o ka pancreas e hiki i kekahi nui ke hilinaʻi i kēlā mau ʻano:
- ka nui a me ke kiʻekiʻe o ka hōʻino i nā kiko o ka pancreas;
- nā hiʻohiʻona o nā hana malfunctions organ;
- ka nui o nā exacerbations o mua o ka pancreatitis maʻi.
ʻO nā syndromes koʻikoʻi i ka hoʻomohala ʻana o ka hana kaʻeha, nā lāʻau lapaʻau e komo pū ana:
- ʻeha
- malabsorption (ma kahi kūpono ʻole i nā mea momona);
- kalepule (hewa o ka hoʻoweliweli ʻana);
- dyspepsia intestinal (hana ʻole o ka hoʻoulu ʻana o nā enzymes);
- asthenic (hoʻoluhi a me ka luhi).
Kuhi ʻia nā hana ʻino o ka intracecretory a me nā hana exocrine, i ʻike pū ʻia i nā hōʻailona a me nā hōʻailona.
Pehea ka hana ʻana?
Ke ola maikaʻi o ka mea maʻi me ka exacerbation o ka pancreatitis kūlohelohe, akā naʻe, me ka ʻole ʻoi ʻana me ka hōʻiliʻili, mālama ʻia ka mālama.
ʻOiai, ʻaʻole hiki ke waiho ʻia kēia kūlana me ka hoʻopili ʻole ʻana i nā mea lapaʻau, no ka mea, ʻo ka pancreas, ka mea e hana ai i ka nui o nā enzyme, e pono ai ka lawa ʻana o ka ʻai, aia i kahi nāwaliwali nāwaliwali.
ʻO ke kaʻina hana like ʻole e hoʻopilikia ʻia i ke kaʻina hana ʻana, a ma hope iho e paʻakikī wale nō ka mālama ʻana.
Hoʻokumu i ka pathogenesis o ke kaʻina o ke ake a me ka maʻi pancreatitis i ka pancreas, pono ke nānā ʻia o ka mālama ʻana:
- hoʻemi i ka huni o ka pancreatic wai;
- ʻohi ʻana i ka ʻeha;
- enzyme replacement therapy;
- ka pale ʻana o nā hoʻopiʻi.
Hiki ke loaʻa i ka emi ʻana o ka hana huna pancreatic me ka mālama ʻana i ka mālama i kahi meaʻai kūikawā, e hāʻawi ana i ka hōʻemi i ka ʻai ʻana i nā momona o nā holoholona, nā hua momona, nā meaʻai kīkī, a me nā mea inu wai i ka wā exacerbation i ka wā o kahi maʻi maʻi.
Pono ka papaʻai i ka hoʻohana ʻana i nā lāʻau lapaʻau:
- nā papa pancreatic;
- myalropic antispasmodics.
I ka wā o ka hōʻoluʻolu o ke kaʻina hana o ka maʻi maʻi, ka hana nui e hoʻemi i ka nui o ka maʻi, ka mea i loaʻa i ka hana intraorgan o nā enzyme pancreatic a hoʻohaʻahaʻa i ke kaomi i loko o nā kumu.
Hiki ke loaʻa i kēia ma muli o ka mea i kapa ʻia ʻo kahi mea huna pilikino ma muli o ka papaʻai o ka papaʻaina No. He mea nui ia e kāohi i ka hana o ka wai ʻōpū, ka mea e hoʻoulu ai i ka mea huna o ka wai pancreatic i ka wā o ka exacerbation o ka pancreatitis maʻi.
Pono ka hoʻomaʻamaʻa ʻana i ka hōʻoluʻolu o ka ʻeha, hiki ke loaʻa ma muli o ka hoʻohana ʻana o antispasmodics, non-narcotic analgesics. Hoʻomaopopo ka loiloi haʻahaʻa loa no ka steatorrhea (ʻoi loa ka hoʻopiʻi ʻana i nā momona me nā moena) me nā mea make me nā lipid mau o nā mea he 15 g i kēlā me kēia lā, ka mea i hele pū me ka emi ʻana o nā ʻoi māhina a me nā maʻi.
ʻO ka lāʻau lapaʻau
No ka mālamaʻana i ka exacerbation o ka pancreatitis kūloko, e hoʻohana ke kauka i ka blockers N-2 histamine (Ranitidine, Famotidine) a i ʻole nā mea pale proton inhibitor (Rabeprazole, Omeprazole no ka pancreatitis).
Pono ka hoʻokele Fractional o nā antacids e mālama i ka maʻi, no ka laʻana, hiki iā Alfogel, Maalox. I kekahi mau hihia, he mea pono ke hoʻokipa a pau i ka hoʻōki ʻana i ka hana o nā mea huna o ka pancreatic (Octreotide) a i ʻole ka hana a nā ʻano o kāna enzymes (Gordoks, Kontrikal).
Ke kāohi nei i ka ʻeha ʻeha aʻo ke hoʻokuʻu ʻana i ka exacerbation o ka maʻi e hiki ai ke loaʻa:
- anticholinergics (Platifillin, Metacin, Atropine);
- antispasmodics (No-shpa, Papaverin, Drotaverin);
- non-narcotic analgesics (Metamizole sodium (Analgin), Ketorolac, Paracetamol);
- nā hui o nā lāʻau lapaʻau non-narcotic (Baralgin).
I kekahi mau kūlana, hiki ke mālama ʻia ka hoʻōla o ka maʻi pancreatitis me ka hoʻohana ʻana i nā analgesics opioid (Tramadol, Promedol).
No ka hōʻemi i ke kiʻekiʻe o ka hōʻike o ka dyspepsia a me ka nele o ka enzyme, nā lāʻau lapaʻau kūikawā, no ka laʻana ʻo Creon, e kōkua me ka exacerbation o ka maʻi pancreatitis.
Hiki i kēia mau lāʻau ke hōʻoluʻolu i ka ʻeha ma muli o ka hōʻoluʻolu o ka mea huna pancreatic e like me ke kaomi. Hiki ke hoʻopau ʻia nā maʻi maʻi me ke kōkua o prokinetics (Motilium, Cisapride).
Hiki ke kuhikuhi i nā ʻano kino o ke ʻano o ka exacerbations o ka pancreatitis:
- e kāohi ai i ka maʻi ʻeha (nā hana analgesic);
- nā maʻi ʻōpū (antispasmodic);
- ka hoʻemi ʻana o ke kaʻina hana i nā kinipili (anti-inflammatory);
- hoʻonui i ka hana endocrine o ka pancreas (kaola-hoʻoikaika i ka hana ʻaina e wehe i ka pancreatitis);
- ka hoʻonui ʻana i ka catabolism (antihypoxic);
- ke kāohi nei i ka mokuʻāina o nā asthenia (sedatives).
He aha ka mea nui e hoʻomanaʻo?
I ka wā o kahi exacerbation o ke kaʻina hana i loko o ka pancreas, he mea nui e hoʻomau i ka hoʻomaha piha o kāna mau hana nui. No kēia, e kau ʻia kahi mea maʻi i ka hoʻomaha hoʻomaha moe, me ka wikiwiki hoʻi ka therapeutic i nā lā 2-3 mua mai ka hoʻomaka o ka hoʻouka.
Hiki paha i ke kauka ke inu i ka wai maʻemaʻe ʻole me ka hakahaka ʻole ma ka nui o ka 200-300 ml i loko o 6 mauʻai a pau i ka lā. Hiki ke hoʻololi ʻia ka wai i ka ʻeleʻele palupalu, kahi e inu ai i nā sips liilii, a me ka mea ʻono hoʻi i kau ʻia ma luna o nā puʻu rose, akā, ʻaʻole iʻoi aʻe ma mua o 2 mau aniani i ka lā.
ʻAʻole liʻiliʻi e lilo i ka hoʻohana ʻana i ka yoghurts haʻahaʻa haʻahaʻa me ka honi ʻole a me nā hoʻopiha, nā wai i hoʻomo ʻia ʻia, kefir a me nā wai ʻula, i hoʻoheheʻe ʻia mua me ka wai mineral.
I kekahi mau lā ma hope o ka exacerbation, hiki iā ʻoe ke komo palu i nā kūmole, ʻaila, ʻuwī i ka ʻāina o ka wai maʻemaʻe, nā ʻoki lau mai loko mai o ka ʻai a ka iʻa ʻai, a ka iʻa, a me ka mea ʻai ʻole, akā ʻaʻole ka pua. Ma lalo o nā kūlana ʻole e ʻai ʻoe i ka ʻai a me nā iʻa ʻona, okroshka a me borsch.
