ʻO ka ulu nui a me ka hōʻike ʻana o ka maʻi pancreatic e pono ai ka mālama wikiwiki ʻana me nā lāʻau lapaʻau. ʻO ka hoʻomaʻamaʻa ʻana o ka mālama conservative e alakaʻi i ka hoʻolālā ʻana o nā hoʻopiʻi hope loa. ʻOiai ka hoʻouka kaua hoʻokahi pinepine e hoʻonāukiuki i ka hoʻololi o ka palaka i kahi kūlana maʻi. I kekahi manawa pono i ka maʻi maʻi. ʻO nā lāʻau lapaʻau e lawe ai me ka exacerbation o ka pancreatitis? No ke aha e makemake ʻia ai nā inikini? Pono pono wau e hoʻokō i nā koi o ka papaʻai no ka meaʻai a ʻai i nā huahana ma ke kua o ka lāʻau lapaʻau?
Hoʻopilikia i nā hōʻailona a me ka haʻaleleʻana i nā kumu
ʻO ka mea hoʻowalewale no ka hōʻike ʻana i nā ʻano ʻano like ʻole o ka hōʻeha ʻana i ka hōʻino kino ʻana o kahi meaʻaiʻai, ka hoʻohana ʻana i nā nui o ka ʻawaʻawa. ʻAʻole hiki i ka lāʻau lapaʻau me ke kūkā ʻana i nā kumu i alakaʻi ʻia ai ka hoʻouka ʻana. Ke hele hewa nei nā ala o nā io i kokoke i ka pancreas (cholelithiasis, cholecystitis, gastric a me duodenal ulia) i kekahi hana huna.
Ma ka maʻi pancreatitis, ka autolysis enzymatic a i ʻole ʻia ke kaomi ʻana o nā mea a nā mea huina o ka huina me nā hana endocrinological e kū nei, ka hopena o ka pancreatic necrosis - necrosis, ka punupene purulent o ka pancreatic parenchyma (nā palupalu).
Ke alakaʻi nei i ka hoʻomohala ʻana o ka maʻi palia o ka maʻi i ka sclerosis (ʻeha) i ka kiko glandular. Luku Sclerotic, hoʻokomo ʻia e ke kaʻina hana, e ulu mālie. I ka wā o ka pathology, ʻO ke kāpili o nā huila o ke kino i pilikia. ʻAʻole holo maikaʻi ka ʻaihue ʻana o ka meaʻai.
I ka wā o ka hoʻouka ʻana i ka pancreatitis aʻokiʻoki, he kanaka hiki ʻole ke hōʻeha ma ka ʻōpū o luna, ʻoi aku ka nui o ka hypochondrium ʻokoʻa, kahi i loaʻa ai ka huila o ka hiapo. ʻO ke kino a me ke poʻo o ke kolo, aia ma ke ala o ka umbilical cord e pili iki i luna. Hoʻololi kekahi ʻano mele i kona ʻano, e lilo i kāʻei. E kahe i ke kanaka e lawe i kahi kūlana kūikawā, e noho ana a moe ana paha, me nā wāwae paʻa i ke kino.
Ma hope o ke kūkā kamaʻilio ʻana me ka hele ʻana o ke kauka-gastroenterologist hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau
ʻO nā hōʻailona ʻē aʻe o ke kūlana koʻikoʻi:
- aia nō ka emi o ke kahe koko;
- aia ka tachycardia (palpitations puʻuwai) ma muli o ke kaumaha o ka puʻuwai;
- aia kekahi hopena kiʻekiʻe o ka mahana o ke kino i 39-40 degere.
ʻO kahi hiʻohiʻona hiʻona i ka pancreitis pancreatic indomitable he luaʻi. ʻO ka lawe pinepine ʻana i nā mea o loko o ka ʻōpū i lawe mai i ka hoʻomaha i ka mea maʻi.
Hoʻōla lāʻau Pancreatitis
Pono ke koi ʻana i ka maʻi pancreatic no kahi lawelawe ambulance. ʻO ka mālama maʻi maʻi maʻi maʻi ma hope o ke hoʻokuʻi ʻana i ka hoʻokipa hoʻokele ʻia e mālama ʻia i ka keʻena hoʻokele. Ma hope o kahi nānā loiloi (e nānā ʻana i ke kauka, ka ultrasound o ka ʻōpū o ka ʻōpū, ke ʻano a me nā hoʻāʻo ʻana a me ka urine no ka hana amylase), inā pono, e hoʻoneʻe ʻia ka mea maʻi i kahi papa lāʻau.
Ua hōʻike pū ʻia lākou me ka pahuhopu o ka hoʻopau ʻana i nā hoʻopiʻi hope o ka pancreatitis:
- fistulas a me nā kaulua o ka pancreas;
- diabetes houpo insulin-type;
- neoplasms malignant o ke kino.
He aha e hana me ka hoʻouka ʻana o ka pancreatitis aʻa? E hōʻoluʻolu i ka edema mai nā papa o ke kino a kaua i kona huhū, kuhikuhi nā kauka i ka mea maʻi i ka wikiwiki holoʻokoʻa no kekahi mau lā. I ka manawa like, ʻoi aku nā lawelawe therapeutic a me nā ʻōnaʻai momona e hoʻokomo i ka intravenously. ʻO ka lōʻihi, hiki i ka hoʻomaka mua o ka hana lapaʻau ke piʻi i ʻelua pule.
ʻO ka hoʻomaʻamaʻa ʻana o nā hoʻopiʻi purulent a me nā necrotic (e like me nā hōʻike ʻana he hoʻokahi) pono i ka hoʻohana ʻana o:
ʻO ka papa inoa o nā lāʻau lapaʻau no ka mālamaʻana o ka pancreas- nā mea lawelawe e keʻae i ka hana o ka enzymatic o ka momona (Mexidol, Contrical);
- antibacterial (Klafaran, Abactal);
- immunomodulators (cycloferon);
- painkillers (Ketorol);
- antispasmodics (drotaverinum).
ʻO nā lāʻau i loaʻa ka belladonna extract, Buscopan, he hopena antispasmodic. Inā ʻaʻole hiki ke hoʻokō i nā dinamika kūpono i loko o ka hoʻomohala, ka hoʻomohala ʻana o nā ʻōpiopio, ʻo ka nīnau no ke kahe ʻana o ka lilo ʻana.
Nā hopena pōʻino i nā wā mua:
- kūmole pancreatic;
- jaundice (hana);
- heʻole i loko o ka ʻōpū o ka ʻōpū (hoʻopili nui);
- peritonitis (hakahaka o nā wahi ʻoiaʻiʻo).
Ma hope o ka wikiwiki ʻana, hoʻolōʻihi ʻia kekahi mau meaʻai i loko o ka ʻai o ka mea maʻi. E mālama pono ma mua o ka hoʻohaʻahaʻa ʻaʻa mai ka palaoa a me nā ʻī. ʻOi aku ka ulu o ka papa meaʻai ma muli o ka laiki a iʻa ʻaʻa paha.
Hoʻololi ʻia nā meaʻai momona āpau; ʻaʻole i hoʻohui ʻia ka aila i loko o ka palapalapa a me nā cereals, akā he waiu wale nō. ʻO Kissel ka semi-wai ma ka hana mau. I ka hopena o ka pule 1 ka wā e ʻae ʻia ka ʻai o ka huela - ʻaina pākē momona haʻahaʻa, ʻekele i hua ʻia, ulu momona o ka ʻiʻo. Pono nā ʻeke o ka meaʻai i ka liʻiliʻi (100 g), nā meaʻai i kēlā me kēia 2 mau hola.
Ua koho ʻia nā lāʻau lapaʻau no ka mea maʻi, me ka mālama ʻana i nā contraindications a pau pono i kā lākou hoʻohana
Nā lāʻau lapaʻau mai kahi pahu kōkua kōkua no ka mea maʻi me ka pancreatitis
ʻO ka hui like ʻana no Contricale ʻo Aprotinin. Hoʻokuʻu ʻia ka hoʻomākaukau ʻana i ka protein i loko o ke ʻano o kahi pauahi, kahi e hoʻomākaukau ʻia ai kahi hoʻonā no ka hoʻonā. Ke kūʻai piha ʻia nā Ampoules me kahi kala. Hoʻopū ka mea hana i kekahi mau enzymes (plasmin, trypsin).
E mālama luhi ʻia ʻo Contrycal (i loko o kahi mokulele a i ʻole ka pahu). Pono ke hoʻohana pono ʻana i ka lāʻau lapaʻau, pono paha ke ʻano o nā hopena alerine, kahi hōʻemi haʻahaʻa i ke koko.
ʻO ka mea ikaika ma ka lāʻau antimicrobial synthetic drug Abactal he pefloxacin. Hoʻolaha ʻia ka hoʻokuʻu ʻana i nā ʻano ʻano ʻelua: nā papa a me ke ʻano no ka 0.4 g kēlā me kēia keiki.Mo nā keiki he 15 mai nā makahiki a ʻo nā pākeke e ʻōlelo ʻia nō he dosis o 0.8 g i kēlā me kēia lā (kakahiaka a me ke ahiahi). Pono ʻoe e inu i ka lāʻau lapaʻau me ka papaʻaina.
Me ka pancreitis pancreitis, e mālama ʻia i ka intravenously. I nā hihia koʻikoʻi o ka maʻi, e hoʻonui ʻia ka nui o ka nui ka nui o 1.6 g. Akā, i kēia hihia, ʻokoʻa ka hopena o ke koʻoki koko i loko o nā kīʻaha koko.
E like me nā hua lāʻau he nui me ka immunostimulate a me antiviral therapeutic waiwai, ʻike ʻia ka Cycloferon mai nā mea kūlohelohe - lemon. Hoʻohana ʻia ka hopena a me ka pauka no ka inikia ʻaʻole wale a intravenously, akā hoʻi i ka intramuscularly. Hana i ka manawa 1 i ka lā ma 250 mg no nā lā ʻelua i ka lālani. A laila, e mālama ana i ka dosage, hana i ka lā. Aia ke papa i 10 injections.
No ka mālamaʻana i ka pancreatitis koʻikoʻi, ʻae ʻia ka hoʻokele hou ʻana o ka immunomodulators. ʻAʻole like i nā maʻi antibiotika, ʻae ʻia ka Cycloferon e nā mea maʻi a hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
ʻO ka hopena analgesic Ketorol he hopena anti-inflammatory. I ka manawa o ka hoʻouka ʻana i ka lā, ua ʻae ʻia e hana i ka ʻomo intramuscular (1 ampoule) a i ka manawa 6 mau wā, ʻaʻole ia he 5 mau lā. 1 ml o Ketorol he 30 mg o ketorolac tromethamine, kahi mea e hiki ke hōʻoluʻolu i nā ʻeha o nā ʻano etiologies (kumu). Hoʻomaopopo ʻia ka lāʻau lapaʻau me ka mālama ʻana i nā keiki ma lalo o ka 16 makahiki o nā makahiki, nā mea maʻi me ka maʻi aho a me ka hana ʻana, a me nā hana o nā ʻāpana o ka gastrointestinal, naʻau.
No-shpa (Drotaverin, Nospan) - kahi hopena lapaʻau e loaʻa ai ka hopena antispasmodic. ʻO kāna hoʻohana e alakaʻi i ka hoʻomaha ʻana o nā māla maʻa i ka wā o ka spasm. Me ka hoʻolauna ʻana o No-shpa i ke ʻano o kahi maʻi (injection), hiki i nā hopena ʻaoʻao (mau manaʻo i ke wela, palpitations, dizziness, kūlohelohe kūloko, hōʻeha).
Loaʻa i Buscopan ma ka dragee a me ka ʻōnaehana hoʻonohonoho kākoʻo. Manaʻo ʻia e hoʻohana i ka lāʻau lapaʻau no nā keiki ʻoi aku 6 mau makahiki a ʻo nā pākeke i loko o kahi iniha o 1-2 pcs. a i ʻelima mau lā i ka lā. Hoʻokomo ʻia nā kukui (i kekahi manawa ʻelua) i kēlā me kēia 4 hola. Pono ka mālama pono ʻana o ka lāʻau lapaʻau no ka poʻe ʻelemakule, nā kahu hānai a me nā mea e hana nei i nā hana e koi wikiwiki ai a me ka puʻuwai.
Hoʻohana maʻalahi kēia mau lāʻau lapaʻau maikaʻi ke lilo nei i ka inake i ka wā e hoʻouka ai i ka pancreatitis aʻai, i hele pū ʻia me ka hoʻopiʻi ʻole. I kēia hihia, komo koke kā lākou mau mea ikaika i ke koko o ka mea maʻi.
No laila, i ka manawa kūpono, hāʻawi nā lāʻau lapaʻau i ka mea maʻi i nā pōmaikaʻi maikaʻi, pono e mālama ʻia nā koi no ka mālama o nā lāʻau lapaʻau. ʻAʻole hiki iā lākou ke maloʻo, mālama ʻia i ke kiʻekiʻe wela, ma lalo o ke ʻano o ka lā. He mea nui nui kia nānā pinepine ʻia o ka manawa o ke hoʻohana i hōʻike ʻia ma ka pale. Ma mua o ka hoʻohana ʻana, pono e nānā pono ʻia nā papa no ka hoʻonaninani a me ke kūlike, a me nā ampoule no ka pau ʻole o ka wīwī, nā lehelehe ka hopena.
