ʻO ka maʻi preatitis maʻi ʻo ia ka maʻi a me nā maʻi dystrophic o ka pancreas, kahi e alakaʻi ai i kahi hōʻino o kāna hana waho a me loko. Hoʻohālikelike ʻia e ia me kahi kaho e like me ka neʻe e like me ka neʻe ʻana o ka nalu me ka hōʻeha ʻana i ka maʻi maʻi dyspeptic - hōʻilo, ka luaʻi, ka lemela a me nā hōʻailona ʻē aʻe.
ʻO ke kumu
Manaʻo ʻia ka pancreatitis i ke kūpaʻa ʻana o kona lōʻihi ma kahi o ʻeono mahina. Ke ulu nei ka palauwai, e loli ana ke ʻano o nā pancreas, a me nā wā i pau. ʻO ka hapa pinepine, hōʻeha nā kāne i ka pancreatitis, kahi mea e pili ana i ka hoʻohuiʻana i ka waiʻona.
ʻO ka moʻolelo kūikawā ka nui o ka make nui ma ka exacerbation o ka maʻi pancreatitis. Wahi a nā helu helu, aia ma kahi o 10% i nā makahiki 10 mua ma hope o ka maʻi, a aneane 50% i nā makahiki he iwakālua.
ʻO kahi hiʻohiʻona o ka maʻi he manawa lōʻihi (latent) i ka manawa, ʻaʻohe mea e ʻike ʻia, a i ʻole nā pumehana. ʻO ka hoʻonāukiuki o ka maʻi pancreatitis he kūlana weliweli loa, e koi ai i ka mālama lāʻau paʻakikī.
ʻOiai ke holomua nui o ka maʻi a me ka mālama ʻana o ka pancreatitis, e ulu mau ana ka nui o nā hihia, ma muli o nā kumu kumu. ʻO ka mea mua ma ka nui o ka hōʻino ʻana i ka inu palaka. "Noho ʻia" wahi ʻelua e noho ʻia e nā maʻi o ka maʻa biliary, nā pēpē a me ka ʻihi duodenal 12.
ʻO ka ʻoiaʻiʻo me ka pale hewa ʻana o nā hana o ka ʻōnaehana o ka bile, hiki i ka bile ke komo i loko o ka pancreas, no laila ke kumu o kona huhū ʻia. ʻO ia ke kumu i loaʻa pinepine ai ka maʻi pancreatitis i ka cholecystitis.
ʻO nā ʻōnaehana kiʻekiʻe e pili ana:
- ka māhuahua a me ke kīpē i ke momona a me ka palaoa;
- nui loa;
- lawe i kekahi mau lāʻau lapaʻau;
- nā maʻi mua;
- hoʻonāukiuki i ke kaumaha, ʻoi loa ka ikaika a lōʻihi loa.
Nā Hoʻomaka
Hoʻomaʻamaʻa koke nā ʻōmaʻomaʻo o ka exacerbation o ke poʻo pancreatitis me ka wikiwiki. Pane i loko o kahi lā, hiki ke loli nui ke ʻano o ka mea maʻi, a me ka ʻeha hōʻeha nui ma lalo o nā iwi āpau, ma ka ʻaoʻao hema. ʻO ka manawa pinepine, ka hōʻano pinepine ʻia o ka ʻeha ʻana e like me nā ala ʻē aʻe a hiki ke ʻike i ke kua a me ka umauma.
ʻO kahi hōʻailona o ka exacerbation ka kāʻei o ke kāʻei e hoʻolei ma luna o ka ʻōpū a me nā ʻaoʻao. E hui pū me ka ʻeha a i kekahi mau manawa ma hope o kona hōʻea ʻana, pilikia ka maʻi, ke hoʻohuli ʻana i ka luaʻi, a me ka huhū.
ʻO ka hoʻonāukiuki o ka maʻi pancreatitis i ka pākeke e hiki ke hele pū me ka maʻi a me ke kuni, ka ʻī ʻana o ka ʻili, ka pōkole o ka hanu, ka hāʻule ʻana o ke koko a me ke poʻo.
Inā makemake ʻoe i kahi hoʻouka kaua, pono ʻoe e kāhea i kahi ambulance, a ma mua o ka hiki ʻana o nā kauka e hoʻokaʻawale i ka hana kino. E hōʻoluʻolu i ke kūlana, hiki iā ʻoe ke noi i kahi pā anu i kahi anu anu i ka hoʻokūpaʻa ʻana i ka ʻeha. ʻAʻole pāpā ʻia ke ʻai aku i kekahi meaʻai; hiki iā ʻoe ke inu i ka wai ʻole wale ʻole me ka ʻole o nā wahi liʻiliʻi.
ʻAʻole hiki iā ʻoe ke lawe i kekahi lāʻau lapaʻau koe wale nō me nā antispasmodics (No-shpa, Papaverin, Drotaverin). Inā hiki, ʻoi aku ka maikaʻi o ka ʻōlelo ʻana. E hōʻemi i ka nui o ka maʻi ʻeha e kōkua i kahi pose e noho ana me ke kino e neʻe i mua.
Hiki i ka hoʻonāukiuki i ka maʻi pancreatitis hiki mai i elima mau lā a i ʻelua pule. ʻO kēia mau wā ma muli o ka hiki ʻole o ka pancreas e ola wikiwiki. No laila, he mea pono e kiʻi i nā ʻōlelo lapaʻau a me nā ʻōlelo aʻoaʻo e pili ana i ka mālama ʻana i ka maʻi.
Naʻi hoʻolika
No ka poʻe e ʻeha nei i ka pancreatitis kūlohelohe, kahi kaila melemele o ka ʻili ma muli o ka stagnation o ka bile ka mea maʻamau. Eia kekahi, ʻike pinepine ʻia kēia mau mea maʻi i ka diabetes type 2 a me kahi maʻi maʻi anemia.
E noʻonoʻo i ka pancreas a me ka hoʻonui nui o ke kaʻina pathological, ua hoʻohālikelike ʻia nā noi ʻana - ultrasound, x-ray, compute tomography a MRI paha. Hiki ke hoʻohui ʻia kēia mau ala e nā hoʻokolohua diagnostic:
- lunda;
- pancreosemine-secretin;
- ʻaʻā elastase;
- hoʻohuʻikui hydrochloric.
ʻO ka hoʻohanaʻana i ka resonance résonance kekahi o nā ala noiʻi pololei a hoʻomaopopo ʻole; hiki iā ia ke hoʻokaʻawale i ka pancreatitis maʻi mūlū me ka huhū ʻoi ʻana
ʻO ka hōʻike ʻana o ka pancreosemin-secretin, ka mea e ʻae ai i ke ʻano o ka pancreatic dysfunction, ua manaʻo ʻia ʻo ia ke ʻano o ke ʻano hoʻokolohua gula. I ka wā o ke kaʻina hana, e lawelawe ʻia ai ka hoʻokele ʻelua-lumen i ka mea maʻi ma lalo o ka mana X-ray. Me kāna kōkua, ua lawe ʻia nā hiʻohiʻona o nā ʻōpū o ka ʻōpū a me nā ʻōpū.
Hoʻolaha ʻia ka ʻike ma kahi ʻōpū ʻole, pre-do injections of pancreosemin and secretin. I loko o nā maʻi pancreatitis mau loa, ka nui o ka nui o ka huna ʻana o ka pancreatic a me ka piʻi ʻana o nā bicarbonates hōʻemi, a me ka pae o nā huina o ke ʻano o ke ʻano o ka huakaʻi.
Diet no ka exacerbation o ka pancreasInā ʻike ka bicarbonate alkalinity i nā hopena hōʻike, a laila loaʻa ke kumu no ke kānalua i ka hoʻomohala ʻana o nā kaʻina hana oncological.
ʻO ka hōʻike diagnostic kūpono o ka hōʻike ʻo ka pancreosemine-secretin i mea kiʻekiʻe loa i ka hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe. Inā pono, hiki i ke kauka hele ke kuhikuhi i ka gastroscopy, endoscopy (ERCP) a i ʻole biopsy.
He mea kūpono ia he nui aku ʻo nā 90 mau ala no ka maʻi maʻi o ka pancreatitis, akā ua mamao loa ia e hiki ke hoʻomaopopo i ka maʻi i kahi wā mua.
Me kēlā me kēia ʻano o ka pancreatitis, ka loli ʻana o ka kemikū o ke koko, ka waiʻai a me nā feces. No laila, kahi kuhikuhi o ka nānā koko a me ka biochemical, urinalysis a me kahi coprogram i kuhikuhi ʻia. Eia kekahi, ʻo ka loiloi wai-electrolyte o ke koko ka loiloi ʻana, ʻo ia ka mea e hōʻike ai i ka emi ʻana o nā pae o ka calcium a me ka nele o ka wai o ka wahi moe. Hoʻopili ʻia kēia me ka hoʻopōʻino a me nā pilikia ʻino o ka ʻōnaehana cardiovascular.
ʻO ke kāʻei o nā loina (coprogram) hiki ke hoʻoholo i ka mālama ʻana i ka hana o ke kūwili ʻana, ʻo kona mau ʻōhua nui ke kūlike, ka ʻoni, ʻona a me ke kū mai o nā poke.
Hoʻolālā: nā loina nui
Lawe ʻia ka maʻi maʻi pancreatitis i ke kahua ʻoihana ke hele nei i ka haukapila, ʻoiai e loaʻa ana ka hopena o ka hoʻomohala ʻana i ka pīhoʻomaʻi hypovolemic (ke ʻano nui o ka nui o ke kaila o ke koko) a me nā hoʻopiʻi. I nā lā ʻelua a ʻekolu paha, e pono ai ka pōloli piha, i ka lā ʻekolu a ʻehā paha, e ʻae ʻia ka meaʻai ma nā wahi liʻiliʻi, ʻaʻole iʻoi aku ma mua o 200 ml.
ʻO ka hapanui o ka ʻona e pono ai he pelekikena ma ke ʻano wai - cereals, kākā ʻia i mau ai a me ka ʻele. Hoʻopili loa nā kahu o nā holoholona i meaʻai ʻole i kaʻai, a pāpā ʻia i ʻole e ʻai i ka ʻai, i nā mea momona a nā iʻa, nā ʻiʻo a me nā meaʻai aia. ʻAʻohe kūpono ke hoʻohana ʻana i nā lau aiʻa a me nā huaʻai, nā meaʻaiʻai a me nā mea inu wai ʻole.
Hiki i kekahi mau mea maʻi ke hoʻomau i ka minamina hoʻomau (ke neʻe nei) i ka wai o gastric e ke kaila no kekahi mau lā. No ka mālamaʻana i ka exacerbation o ka pancreatitis, hoʻomaka lākou me ka hoʻokō intravenous o nā proton pump inhibitors, H2-histamine receptor blockers, antacids, a me nā lāʻau lapaʻau ʻeha. Ma hope mai, huli lākou i nā papa papa o nā lāʻau lapaʻau.
No-spa kekahi o nā lāʻau liʻiliʻi hiki i ka mea maʻi ke hoʻohana i ka wā o kahi hoʻouka
No ka mea, ʻo ka pancreatitis ma ke ʻano ʻoi e hele pū me ka hoʻomoʻi pinepine ʻana a me ka maʻi maʻamau, hoʻopiʻi ka nui o ke kahe ʻana i nā wai me ka paʻakai.
Hoʻokomo ʻia ka hoʻomaʻamaʻa maʻi o ka hōʻoluʻolu o ka pancreatitis maʻi i ka hihia o ke ʻano hōʻeha nui, ʻaʻole i ʻae ʻia i ka ʻola conservative. I kekahi manawa hikiʻole ke hana ʻo ia i ka hana ma muli o kahi kūlana hoʻonāukiuki o nā wahi i hōʻino ʻia a puni ke koena. ʻO kēia kūlana ka ʻano o ka pancreatitis exacerbated ma muli o ka waiʻona, a me ka wehe ʻana e aneane hiki ʻole ke alo.
ʻO ka hoʻomaha hōʻeha
Me ke kaumaha maʻalahi, No-shpa, Buskopan, Papaverin, Drotaverin, Baralgin, Paracetamol, Trigan-D a me Pentalgin e kuhikuhi ʻia. I nā hihia kūʻokoʻa loa, inā ʻaʻole e hoʻomanawanui ka mea maʻi i nā analgesics a me nā antispasmodics, hoʻohana ʻia nā lāʻau anti-inflammatory non-steroidal. ʻO kēia ma muli o kā lākou hopena hoʻonāukiuki i ka mucosa gastrointestinal.
Nā antenzymes a me nā lāʻau lapaʻau
Me ka hyperfunction o ka pancreas, ka hoʻomaʻamaʻa ʻana no ka exacerbation o ke pancreatitis maʻi i hoʻohui ʻia me nā lāʻau antienzyme. Kūleʻa lākou i ka synthesis o nā enzymes, ma laila e hāʻawi ai i ka hoʻomaha hoʻomaha mau i ka huelo maʻi. Eia kekahi, pale i ka antienzyme therapy i ka hoʻomohala ʻana o nā hoʻopiʻi e like me ka pancreatic necrosis.
Ke hoʻokele ʻia nei ka lāʻau antenzyme i loko o nā kūlana paʻa wale nō ma lalo o ka mākaʻi loea. Hoʻolakoʻo ia nā lāʻau ma nā lā lohi, no ka mea, ʻo ka hapanui o lākou he allergens ikaika. Inā pono, hiki ke lawelawe ʻia nā antihistamines.
Nā huaʻōlelo āpau e pili ana i ka antienzyme:
- ʻAiʻiwa;
- Gordox;
- Pantripine;
- Trasilol;
- Fluorouracil, Fluorofur, Ribonuclease (cytostatics).
I kekahi mau hihia, hoʻohana ʻia nā antibiotika - me ka laʻana, me ka hoʻowalā ʻana o ka papilla duodenal. No ke pale aku i ka maʻi maʻi bacterial, ua kuhikuhi ʻia ʻo Azithromycin, Doxycycline, Cefaperazone, Ampioks, Cefuroxime.
I ka wā o ka exacerbation o ka pancreas, hōʻike ka mea maʻi i ka hoʻokipa wikiwiki i ka haukapila no ka lawa pono o ka lāʻau
Nā Enzymes a me nā Antacids
Ma hope o ka hoʻomahaʻana i nā hōʻailona maʻi, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e pili ana i ka enzyme - Pancreatin, Creon, Mezim, Panzinorm, Enzistal, etc. a me nā mea i makemake ʻia e kēia hui e hiki ai iā ʻoe ke hoʻokō:
- ka lawe ʻana i ka pancreas ma muli o ka lako o nā enzyme;
- hoʻomaikaʻi maikaʻi ʻana o nā kalapona a me nā protein;
- hana maʻamau o ka hoʻoneʻe ʻana o ka hana;
- hoopau i nā hōʻailona o ka dyspepsia - flatulence, bloating, nausea a me ka luaʻi.
ʻO ka hikiʻole o ka hoʻohana ʻana i nā antacids ma muli o ka hoʻonāukiuki ʻana o ka mucosa ʻeha i ka wā o ka hoʻokuʻu o ka enzyme pancreatic. Hoʻonui ka nui o ka wai o ka gastric a hoʻonāukiuki i ka hoʻomohala ʻana o ka gastritis a me nā ʻōpū. E hooki i kēia kaʻina hana, kuhikuhi ʻia nā lāʻau lapaʻau e hōʻemi i ka hoʻopalike ʻana o ka waikila hydrochloric a i ʻole ka ʻohi ʻana. ʻO ka hopena e pili ana i ka maʻi pancreatitis ʻo Maalox, Almagel a me Phosphalugel.
I ka hoʻohalike ʻana me nā antacids, hiki ke hoʻohana ʻia nā H2 blocker e hōʻemi i ka helu o ka hoʻokumu ʻana o nā mea huna o ka gastric, a me ka mea e hōʻemi ana i ka acidity. Ma hope o ka lawe ʻana i kēlā mau lāʻau, nā ʻehaʻeha o ka ʻōpū i hōʻeha ʻia e ka huhū o nā membrane mucous e nalowale.
Meaʻaiʻai
He mea koʻikoʻi loa ka meaʻai no ka pancreatitis i kēlā me kēia manawa, a ʻo ka wikiwiki hoʻi ma hope o ka hoʻoulu ʻana i ka therapeutic, pono ia e hoʻolōʻihi i ka huahana digestible i loko o kaʻai. ʻAʻole hiki i kēia ke hoʻohuli koke i ka meaʻai maʻamau, ʻoiai ua hiki ke hōʻemi hou ʻia ka pancreatitis.
Pono ʻoe e ʻai pinepine, a 8 i ka manawa i ka lā, akā i loko o nā wahi liʻiliʻi, hoʻomaka me ka 50 gr. i kahi wā. He aha kaʻu e ʻai ai i nā lā 5-8 mua ma hope o ka hele ʻana mai i ka hoʻokē ʻai.
- nā kō kōmala wai ma ka wai;
- masops a me nā pā i hana ʻia, mau pōpō nunui, koe wale no ka millet a me ka palaoa;
- i ke aniani a i ʻole ai nā papa keʻokeʻo;
- ʻele a me nā huaʻai hua me ka ʻole o ke kō.
ʻAʻole kūpono nā mea kanu haʻahaʻa i nā hana o ka physiological a ʻaʻole i hoʻopiha i nā pono o ke kino, no laila, ʻaʻole i ʻōlelo ʻia e noho i luna o ia mau meaʻai no ka hebedoma. Eia naʻe, hoʻōla kaʻai i nā meaʻai karoli i ka hana o nā enzyme pancreatic, kahi e pono ai lākou. I ka lā aʻe, hoʻohoʻi ʻia nā huahana protein - curd soufflé a me nā ʻulaʻula, nā omelet steamed, huaʻai a me ka palaoa i ʻoa ʻia.
Ma waho o ka hoʻonāukiuki, hōʻike ʻia nā mea maʻi me ka pancreatitis kūloko i ka meaʻai No. Pono ia e kāhuli i nā momona holoholona me nā palaʻai meaʻai, ʻoiai lākou e kākoʻo i ka hana ʻeha a hiki ke hoʻonāukiuki i ka hana ʻana.
Ka lōʻihi loa o ka mālama ʻana no ka hoʻomaʻamaʻa ʻana o ka maʻi pancreatitis ma waena o hoʻokahi mahina, ma hope o ka mea maʻi ke ʻano ʻoluʻolu a hiki ke hoʻi hou i ke ola maʻamau. Mea paʻakikī ka wānana e pili ana i ka manawa o ke kala ʻana, ʻoiai he kiʻekiʻe ka nui o ka hōʻemi.
