Ho latela lipalo-palo tse tsoang lilemong tsa morao tjena, batho ba ka bang 60,000 ba Russia ba tšoaroa ke lefu la ho hlohlona ka matla selemo le selemo. Ho tloha ka 1980, palo ea batho ba nang le lefu lena e imenne habeli, 'me kamora 2008, bakuli ba eketsehileng ba 3 ba ngolisitsoe.
Ho ata ha lefu la pancreatic ho amana haholo le mokhoa oa motho oa sejoale-joale. Maemong a khaello ea nako le boiteko ba ho pheha lijo tse phetseng hantle, batho ba rata ho reka lijo tse potlakileng, 'me ke bona boemo bo nepahetseng ka ho fetisisa. Ho hobe ka ho fetisisa, ba tlola lijo tsa hoseng kapa lijo tsa motšehare ka ho fetesisa lijo tse ngata tse mafura le khalori e phahameng ea lijo tsa mantsiboea.
Melao-motheo ea kalafo ea lithethefatsi
Pancreatitis e ka ba e bohloko haholo ebile e sa foleng, e ka ba bokuli bo ka sehloohong kapa ea nts'etsopele khahlano le methapo e meng ea methapo. Tlhaselo ea ho ruruha ho matla ha manyeme ho hlaha ka lebaka la ho ata ha li-enzyme ka lebaka la tšilafalo ea mokokotlo (outflow).
Tlas'a tšusumetso ea lintho tse mpe, li-enzyme tsa tšilo ha li kene ka ka popelong e nyane, empa li lula ka har'a gland. Ka lebaka leo, li hlasela lisele tsa setho ka botsona. Mokhoa oa pathological o ka qholotsoa ke tšebeliso ea lijana tse mafura, tse halikiloeng le tse nokiloeng ka joala, lino tse tahang, lihlahisoa tse khaotsoang le tse tsubeloang.
Re lokela ho hlokomela hore kalafo ea manyeme ka matlapa nakong ea ho ata ha e sebelisoe ka lebaka la ho nyekeloa ke pelo le ho hlatsa khafetsa. Meriana e fanoa ka ente kapa infusion, drip, mokhoa.
Matšoao a tšoereng pancreatitis e mpe ke a latelang:
- bohloko bo sa khaotseng sebakeng sa epigastric, se tlohile hypochondrium. E ka ba ea tlhaho ea zoster 'me ea fuoa lehare le letsohong le letšehali. Kamora ho ja le ho robala mokokotlong oa hao, bohloko bo ea mpefala;
- ho eketseha ha mocheso oa 'mele;
- ho nyekeloa le pelo le ho hlatsa tse sa tliseng phomolo;
- ho sohla makhooa a mahlo, ka linako tse ling letlalo;
- dyspeptic phenomena - bloating, flatulence;
- ponahalo ea matheba a maputsoa haufi le mokhubu.
Phekolo ea pancreatitis e lula e rarahane ebile e ikemiselitse feela ho felisa matšoao. Mosebetsi oa eona o ka sehloohong ke ho susumetsa sesosa se lebileng ho holiseng lefu lena.
Lethathamo la lithethefatsi tse fanoeng bakeng sa kalafo ea pancreatitis le ka tsela e latelang:
- analgesics, ho kenyelletsa narcotic. Se ke ua sebelisa lithethefatsi tse nang le chefo ho sebete, - sulfonamides, Tylenol;
- litokisetso tsa enzyme le thibelo ea lijo;
- li-antacid ho fokotsa acidity ea lero la gastric;
- lithibela-mafu
- li-anti-dysbiosis agents;
- enterosorbents;
- meriana ea ho etsa tsoekere e khutsitseng ea mali;
- li-vithamine complexes;
- hepatoprotectors;
- anticholinergics e thibelang mokena-lipakeng oa acetylcholine.
Enzymes
Limolek'hule tsa polymer tsa lintho tse etsang lijo li tsitsitse tlas'a maemo a tloaelehileng. Mmeleng oa motho, li lokela ho robeha ka mocheso o tlase haholo - 36.6 °. Ho bapisa, re ka pheha mahe a likhoho, protheine eo e emelang feela ka metsing a belang.
Bakeng sa karabelo ea lik'hemik'hale e etsahala tlas'a maemo a "bonolo", ho hlokahala li-hydrolysis le li-catalyss tsa inversion. Lintho tsena li hlahisoa ka mokokotlong oa molomo, ka mpeng le litho tse ling tsa tšilo ea lijo. Li-enzymes tsa "pancreatic" li qala mosebetsi oa tsona ka ho fepa lijo mothating oa ho qetela, li senya liprotheine ho amino acid, mafura ho glycerin le carboxylic acid, le lik'habohaedreite ho monosaccharides.
Haeba palo ea li-enzyme tsa lero la pancreatic e fokotseha, joale ho kenngoa ha lijo ka mpeng ho thata kapa hoa emisa. Ho lefella bofokoli ba bona, ho lokisetsoa litokisetso tsa enzyme - Pancreatin, Mezim-forte, Creon, Panzinorm, Enzibene, Licreaz, Pancreolipase, Mikrasim, Hermitage.
Ka li-pathologies tse kopaneng tsa pampitšana ea biliary, matlapa a tsoang ho manyeme a lokela ho ba le li-acid tse mafura. Lisebelisoa tse joalo li kenyelletsa Festal, Enzistal, Digestal, Enzim le Ferestal. Meriana eohle e nang le enzymes e lokela ho tahoa ke lijo.
Kontrikal ke setlhare sa tlhaho, hobane se entsoe ka matšoafong a likhomo
Likhanyetsano
Phekolo ea antenzyme e etsoa moo ho nang le pancreatitis ea methapo ea methapo, e tsamaeang le ho ruruha le hyperamylasemia ea manyeme. Ka nako e ts'oanang, ts'ebetso ea eona e eketseha haholo, 'me tlhahiso ea li-enzyme e etsahala ka lebelo le potlakileng. Ka lebaka leo, ho e-na le ho ja lijo, li-enzyme tse thusang ho qala ho qala ho sefa setho ka botsona ebe lia se senya.
Ntle le moo, sistimi eohle ea tšilo ea lijo e na le bothata, 'me ho na le li-enzymes tse ngata maling tse lebisang ho taolong ea' mele le ho senyeha hoa bophelo bohle. Tabeng ena, matlapa a joalo a makhopho a tla sebetsa:
- Contrikal;
- Gordox;
- Aprotinin.
Ho khothalletsoa ho nka litokisetso tsa antienzyme ka matsatsi a seng makae a qalang ka mor'a ho qala ha lefu lena, hobane nakong e tlang ts'ebetso ea bona e ea fokotseha.
Li-painkillers le antispasmodics
Ho kokobetsa bohloko, bo ka utloisang bohloko haholo, ho sebelisoa li-analgesics - Analgin, Baralgin, Paracetamol. Li-anti-spasms li thusa ho felisa lithethefatsi tsa antispastic - No-Shpa, Gastrocepin, Atropine, Platifillin, Papaverine.
Haeba mpa e opeloa hampe haholo, ho ka etsahala hore u sebelise lithethefatsi tse fumanoang intramuscularly. Li-analgesics tse matla tsa opioid ke Tramadol (Tramal) le Promedol.
Li-analgesics le antispasmodics li ngotsoe e le liente mme li sebetsa hantle haholo ho pancreatitis e sa foleng.
Lipilisi tsa bohloko ho manyeme ho tsoa ho sehlopha sa lithethefatsi tse seng khahlanong le 'mele (Diclofenac, Ibuprofen le tse tlisoang ke tsona) ha li sebelisoe, hobane li ama ka matla lera la mucous. Sena se ka lebisa ho bohloko bo eketsehileng.
Li-antiemetics le li-antacid
Gastrocepin e nooa metsotso e 30 pele ho lijo, tekanyetso ea letsatsi le letsatsi e tsoa ho 50 ho isa ho 150 ml
Litlhaselo tsa ho nyekeloa le pelo le ho hlatsa tse etsahalang ka lebaka la ho ruruha makhopho a pancreas a imolla lithethefatsi tse kang Cerucal, Metucal, Metoclopramide. Ho hlokahala hore lipilisi tsa antiemetic ho thibela ho omella.
Bakeng sa tšilo e tloaelehileng ka hara duodenum, tikoloho ea alkaline ea hlokahala, eo hangata e fanoang ke sodium bicarbonate ho lero la pancreatic le bile. Haeba mosebetsi oa manyeme le phallo ea bile e khathatsoa, alkalization ea komello ea lijo ha e etsahale.
Ho khelosa litaba tsa acidic tse tsoang ka mpeng, ho sebelisoa li-antacid - Hilak-forte, Fosfalugel, Almagel, Maalox, Enterosgel le litharollo tse ling tsa alkaline.
Bakuli ba bang ba ka utloa bohloko ba ho ruruha, haholo mokokotlong. E ikhopotsa ka tšenyo 'meleng oa manyeme. Tabeng ena, matlapa a bohloko ba mala a tla thusa - Omeprazole, Dalargin, Gastal kapa Renny. Ho bohlokoa ho tseba hore soda e thibetsoe morero ona. Carbonate, e thehiloeng kamora ts'ebeliso ea eona, e qhibiliha ka mpeng mme e nts'etsapele ho nchafatsa lijo tse tlotsitsoeng.
Bacteria le Enterosorbents
Ka lebaka la khaello ea enzymatic pancreatitis, tekanyo ea acid e thehiloeng kahare ea lijo e ka mpeng e ea khathatseha. Hobane sena, sebakeng sa tšilo ea lijo, mekhoa ea ho senya le ho belisa e qala, e lebisang ponahalong ea chefo le lintho tse kotsi 'meleng.
Polyphepan e kentse chefo e tsejoang tsohle tse ka har'a tšilo ea lijo ea motho
Dysbacteriosis e thusa ho senyeha ho hoholo ha ho kenngoa limatlafatsi le livithamini, setofo se holofetseng le mokhathala. Li-probiotic tse nang le bifidobacteria le lactobacilli li sebelisoa ho khutlisetsa botsitso lipakeng tsa li-microorganisms tse molemo le tsa pathogenic.
Mabitso a lipilisi tsa dysbiosis:
Seo u lokelang ho se etsa haeba tsoekere ea mali e tlama- Linex;
- Bifidumbacterin;
- Lactobacterin;
- Bifiform;
- Acipol;
- Acylact;
- Gastroparm
- Biobactone;
- Bifilis;
- Bifikol;
- Makatsa.
Mochine oa ts'ebetso ea li-enterosorbents o thehiloe ho amohelang chefo le phello ea bactericidal. Ha u khetha moriana ho mokuli ea itseng, ba tataisoa ke matla a boloi ba moriana, ke hore, bokhoni ba ona ba ho monya.
Ka pancreatitis, boholo bo boholo ba likhoele tse sa koaeloang le lintho tse nang le chefo li kena ka mpeng. Ka lebaka leo, ho thunya ho etsahala, peristalsis e ea matlafala, 'me e khothaletsa ho khaotsa ho fetoha hangata.
Linex e sebelisoa ho phekola le ho thibela dysbiosis ea tšimoloho efe kapa efe
Enterosorbents li laeloa ho tlosa mmele oa chefo le ho fokolisa ts'ebetso ea mala. Tse tummeng ka ho fetisisa le tse tummeng ho tsena ke khabone e entsoeng. Lithethefatsi tse kang Smecta, Polysorb, Polyphepan, Lactulose, Filtrum-Sti le tsona lia sebetsa ho pancreatitis.
Re lokela ho hlokomela hore ho etsa hore boemo bo be bo tšoanang, ha hoa lekana ho noa matlapa a le mong kapa tse 'maloa tsa lichelete tsena. Tsela ea kalafo ea hlokahala, e ka tloha matsatsi a 'maloa ho isa ho khoeli kapa ho feta.
Ho fokotsa tsoekere le lithibela-mafu
Hoa hlokahala ho phekola makhopho ka pancreatitis e matla, pancreatic necrosis le neoplasms, hammoho le pancreatitis e sa foleng e nang le khafetsa e khutlang e sebelisang li-antibacterial agents. Ho latela boemo ba mokuli, ngaka e etsa qeto ea hore na ke lipilisi kapa liente life tse tla sebetsa hantle. Litlhare tse sebelisoang ka ho fetisisa ke li-macrolide le li-cephalosporins - Cefoperazone, Cefixime, Rifampicin, Kanamycin.
Tabeng ea ho latela lefu lena le bakoang ke lefu la tsoekere, mokuli o ea hlahlojoa ke ngaka ea methapo ea kutlo. Ngaka e khetha chelete bakeng sa ho fetola tsoekere ka foromo ea letlapa kapa ho fana ka ente ea insulin.
Ka hona, manyeme a ka phekoloa feela ka phekolo e rarahaneng, e behiloeng kamora tlhahlobo e felletseng. Ho ipusa tsa lipilisi hantle ho ke ke ha tlisa phomolo, 'me ho hobe le ho feta, ho ka potlakisa ts'ebetso ea ho ruruha. Ka hona, ha matšoao a pancreatitis a hlaha, ho bohlokoa ho ikopanya le setsi sa bongaka le ho hlahlojoa. Eba bophelo bo botle!
