Tlhahisoleseling ea pele mabapi le mafu a pancreatic e hlahile lekholong la XVIII. Nakoana hamorao ho ile ha fumaneha hore setho sena se ka tuka, 'me lefu lena le bitsoang "pancreitis" le "pancreas" ka mantsoe a Latin a utloahala "pancreas").
Ka nako e telele, pancreatitis e ne e nkuoa e sa phekolehe ka lebaka la mathata a mangata. Matsatsing ana, e se e khona ho phekola pancreatitis eseng feela ho lipontšo tsa eona, empa le maloetse a mang a manyeme.
Lingaka tsa khale li ne li nka "manyeme" e le "sesosa sa thabo", ka nepo a lumela hore ke boemo bo monate le tsamaiso e tsitsitseng ea methapo e tlatselitseng mosebetsing oa eona o felletseng. Kajeno ke 'nete e netefalitsoeng ke saense - khatello ea maikutlo e hlile e ama sebata, mme e ka senya mesebetsi ea eona ea mantlha.
'Mele ona o ka tšoantšoa le tau e phomolang kapa panther, e ka qhekelloang le ho utluoa ha e utloa molumo oa phoofolo. Batho ba bangata ba etsa joalo feela, ba monya lijo tse mafura, tse natefisang mahlo ebe ba li noella ka joala.
Lipakane le lipheo tsa kalafo e bolokang matla
Phekolo ea manyeme ka meriana e khethoa ka bonngoe ho mokuli e mong le e mong mme haholo ho latela boteng ba mafu a kopaneng le mathata.
Ho phekola manyeme, o lokela ho fihlela:
- phomolo ea bohloko;
- sa tloaelehang mokhoa oa ho hlohlona le ho anya lijo;
- ho felisoa ha dyspeptic phenomena - ho nyekeloa, ho hlatsa, bolutu le lets'ollo;
- ho ntlafatsa ho monya ha limatlafatsi tse ngata ka mpeng;
- matšeliso bakeng sa khaello ea li-enzyme le lihormone.
Lithibela-mafu
Litlhare tsa antibacterial li laeloa bakeng sa mocheso o phahameng oa 'mele, ho tahoa ho matla, matšoao a ho etsoa ha li-abscesses, cysts le pseudocysts ea manyeme, hammoho le ho ruruha ha lesapo la mokokotlo, peritonitis le mathata a septic.
Lithibela-mafu tse pharalletseng hangata li sebelisoa ho tsoa sehlopheng sa cephalosporins, macrolides le phtholquinolones. Kalafo ea antibacterial e eletsoa bakeng sa ho ruruha ka har'a lisele tsa manyeme ea manyeme le likarolong tse ling tsa 'mele oa gastrointestinal. E boetse e sebelisoa ho thibela mathata a fapaneng a baktheria, pancreatic necrosis mme e laetsoe hantle haeba ho thunngoa ha pancreatic duct.
Phekolo e sebetsang ea pancreatitis e hlobaetsang e khoneha ka thuso ea lithethefatsi tse kang Amoxicillin, Ciprolet, Levomycetin. Matsatsing a pele a tlhaselo, li fuoa mokuli kahare kapa ka ho toba ka mpeng. Haeba ho hlokahala, chelete e tsoang ho lihlopha tse 'maloa e sebelisoa.
Hangata meriana e thibelang likokoana-hloko ha e sebelisoe ho phekola pancreatitis e sa foleng, sesupo sa mantlha ke ho ruruha ha methapo ea mokokotlo kapa bile. Ho loants'oa tšoaetso ea baktheria, Amoxiclav, Augmentin, Cefuroxime, Cefoperazone le Cefixime li kanna tsa khethoa.
Enzymes
Ts'ebetso ea tšilo ea lijo ke kakaretso ea mosebetsi oa litho tse fapaneng tsa tšilo ea lijo hore li seke mathe, lero la gastric, enzymes le bile. Tlas'a tlasa maemo a mosebetsi oa bona o hokahaneng hantle, hangata lijo lia chesoa le ho khothatsoa. Ka hona, bohlokoa ba lero la pancreatic bo thata ho feta overestimate - mosebetsi oa eona ha se feela ho se nke lehlakore ha hydrochloric acid, empa hape le ho phatloha ha liprotheine, mafura le lik'habohaedreite tse kenang 'meleng.
Enzyme e 'ngoe le e' ngoe e fumanehang ka har'a lero la pancreatic e etsa mosebetsi oa eona oa ho senya liprotheine, mafura, lik'habohaedreite le li-acid tsa acid.
Ho pancreatitis e sa foleng, lefu la tsoekere le cystic fibrosis, mosebetsi oa pancreatic oa exocrine oa fokotseha, 'me ho haella ha enzymatic ho etsahala. Empa pele u phekola manyeme ka lithethefatsi tse nang le enzyme, ho hlokahala tlhahlobo.
Pheko e sebetsang ka ho fetesisa le e tsebahalang ke Creon, hangata lingaka li beha lingoloa tsa Panzinorm, Pancreatin, Festal, Mezim, Enzitstal le Pancurmen. Ho ja lithethefatsi tsena khafetsa ho latela moralo o boletsoeng ho thusa ho tlosa bohloko, bolulo, ho nyekeloa le pelo le matšoao a mang a seng monate.
Ho bohlokoa ho tseba hore ho nka setlhare leha e le sefe se nang le enzymes se hlokahala feela nakong ea lijo kapa hang ka mor'a sona, ho seng joalo ho senyeha ho ka etsahala. Creon e fumaneha ka har'a li-capsules tse khethehileng tse nang le li-minimicrospheres. Li-capsules tsena li lokela ho metsoa li felletse feela, ntle le ho hlafuna kapa ho kopanya se kahare ho lijo le lino, ho seng joalo moriana o tla senngoa ke ketso ea lero la gastric mme o ke ke oa ba le phello ea kalafo.
Antispasmodics
Hoa hlokahala ho phekola manyeme ka antispasmodics ho kokobetsa bohloko, bo ka bang matla haholo kapa ba hlaha ka mokhoa oa ho opa le ho kokobela bohloko ba nako le nako. Ketso ea lithethefatsi tsa antispasmodic e haholo-holo e etselitsoe mesifa e boreleli, e fanang ka spasms ea sphincter ea Oddi. Ke ka sphincter ena moo li-enzyme tsa "pancreatic" li kenang ka mpeng. Ntle le moo, antispasmodics e ka fokotsa hypertonicity ea li-ducts tsa bile.
Drotaverin e na le phello e matlafatsang le e hlasimollang ka ho fokotsa boemo ba ion ea calcium bo sebetsang ka mesifa e boreleli ea manyeme.
Tse laoloang ka ho fetisisa ke Papaverine, Drotaverin, No-shpa, Platifillin, Atropine. Ka ho eketsoa ke pancreatitis, Drotaverin o qala ho nka khato ka metsotso e seng mekae, e u lumellang ho fa mokuli phomolo. Mekhoa ea sehlopha sena e thusa ho imolla mesifa ea litho tsa ka hare le ho imolla boemo haholo.
Li-antacid
Bakeng sa mathata a manyeme, litokisetso tsa antacid tse hlokahalang ho kenyelletsa hydrochloric acid ea lero la gastric li ka sebelisoa. Ho eketseha ha tlhahiso ea hydrochloric acid ho hlohlelletsa secretion ea makhopho, 'me li-antacid li thusa ho tlosa litlamorao tsa lona.
Lithethefatsi tse sebetsang ka ho fetisisa bakeng sa maloetse a pancreatic ke Almagel, Fosfalugel, Maalox. Tloaelo ea bona e fana ka phomolo e sebetsang ho setho se senyehileng, se potlakisang ts'ebetso ea ho nchafatsa.
Almagel e sireletsa lera le kahare la makhopho a tsoang litlamong tse chefo tsa hydrochloric acid le bile
Bohlahlobi
Ho lokisa bohloko ho mafu a pancreatic ho thata haholo, empa ho kokobetsa bohloko ke mohato o hlokahalang ho thusa mokuli. Letšoao la bohloko ha le bake mahlomola 'meleng feela, empa le nyenyefatsa le khatello ea kelello ea mokuli.
Moriana oa ts'oaetso ea pancreaticHo bohlokoa ho tseba hore ha ho ratehe haholo ho nka lithethefatsi ho tsoa sehlopheng sa NSAID, hobane phello ea eona e chefo ho li-membrane tsa mucous tsa pampitšana ea ka mpeng. Phekolo ea manyeme bakeng sa bohloko e etsoa ho sebelisoa li-analgesics le anesthetics.
Li-antispasmodics li na le matla a ho hlohlona, a fokolisang sekhahla 'me ka tsela eo a nolofalletsa ho tsamaisa lero la tšilo ho tsoa methapong ea tšoelesa. Haeba bohloko bo sa emise, joale ho kgothaletswa ho nka Analgin, Baralgin kapa Paracetamol.
Tabeng ea bohloko bo sa feleng, ho sebelisoa li-narcotic analgesics - Fentamil kapa Promedol. Morphine ha e sebelisoe bakeng sa maloetse a pancreatic, kaha e eketsa molumo oa sphincter oa Oddi, e tsosang moferefere oa secretion ea pancreatic.
Cholinolytics le H2 blockers
Ho phekola manyeme, ho sebelisoa li-anticholinergics le li-blockers tsa H2. Lithethefatsi tsa Cholinolytic ke lintho tse thibelang kapa ho fokolisa ketso ea acetylcholine, e ikarabellang bakeng sa ho pepesa hoa tsamaiso ea methapo. Tabeng ena, bokhoni ba bona ba ho imolla li-spasms le ho eketsa peristalsis bo sebelisoa.
Li-receptor tsa methapo ea cholinergic li bapala karolo ea bohlokoa ho taolo ea tšilo ea lijo, ho hlohlelletsa mosebetsi oa mpa. Ts'ebetso ea gastrocepine ke ho hatella mekhoa ea protheine le ho ntlafatsa phallo ea mali ho mucosa ea gastric, ka ho etsa joalo ho eketsa ho hanyetsa ha bona mabaka a mabe
Lithethefatsi tse kang Gastril, Pirenzepine, Gastrozipin, Metapin, Chlorozil, Gastrocepin li thusa ho phekola manyeme le ho lokisa boemo.
H2-histamine receptor blockers e sebetsa joaloka li-antacid mme e thibele tlhahiso ea hydrochloric acid ka mpeng. Ka bohloko bo sa feleng, Famotidine le Ranitidine li laetsoe.
Li-antienzymes (lithethefatsi tsa antiprotein)
Pancreatitis e hlobaetsang maemong a mangata e phekoloa ka botlalo ka tlhokomelo ea bongaka e nakong. Kamora tlhahlobo ea bongaka sepetlele, ngaka e etsa kalafo ea kalafo mme e etsa qeto ea ho phekola manyeme.
Phekolo ea antenzyme ke mosebetsi oa mantlha o rarolloang ka li-inhibitors tsa proteinolytic - Pantripin, Gordoks, Ingitril, Kontrikal, Trasilol, jj. Lithethefatsi tsena li nkuoa matsatsing a pele a ho kula.
Phekolo ea bongaka
Phepo e nepahetseng ha e thusa feela ho tiisa boemo ka li-pathologies tse fapaneng tsa manyeme, empa hape e arohana le bona ka ho sa feleng. Na manyeme a ka phekoloa ka sejo se le seng? Kaha re fumane lefu qalong ea nts'etsopele, ho na le monyetla o mong le o mong oa ho qoba litlamorao tsa eona, mme re ka bua ka ho fola ka botlalo.
Re lokela ho hlokomela ka ho khetheha hore maemong a sa sebetseng hantle makhopho, mehopolo ea "kalafo" le "phepo e nepahetseng" ke mantsoe a kopanyang. Ntle le ho latela melao e itseng, phekolo ea lithethefatsi e ke ke ea tlisa litholoana.
Melao-motheo e akaretsang ea phepo e nepahetseng ea phepo ke e latelang:
- Lihlahisoa tsohle li lokela ho jelloa ka foromo e nang le phofshoana, ho qoba ho ts'oaroa ha mochini ka mokhoa oa ho silila. Porridge, sopho ea mucous, li-sopho tse khotliloeng li amohelehile;
- ka mokhoa o nepahetseng, haeba lijo li na le tatso e sa jeleng paate, kaha li letsoai, li khahliloe, linoko le linoko li matlafatsa tšebetso ea manyeme;
- Lijo tse halikiloeng ha li amohelehe; mekhoa e metle ea ho pheha ke ho pheha, ho pheha le ho baka;
- lihlahisoa tsa protheine - nama, chisi le lihlahisoa tsa lebese li lokela ho ba le mafura a fokolang;
- ho khothalletsoa ho ja lijo ka mokhoa o futhumetseng, mme eseng ka mokhoa o chesang kapa o koetsoeng ka botlalo;
- ho arohana ke boemo ba bohlokoa bakeng sa bophelo bo botle ba lipilisi tsohle tsa ka mpeng, ka hona, o hloka ho ja khafetsa hanyane ka hanyane e le hore o se ke oa tlatsa litho tsohle.
Maemong a hlobaetsang, ho itima lijo ka mokhoa oa kalafo ho etsoa matsatsi a 1-3, o ka noa metsi a hlakileng feela.
Hape ho lokela ho hlokomeloe hore bakeng sa maloetse a fapaneng le boima ba bona, lijo li ka fapana haholo. U ka tloaelana le mefuta le matšoao a li-pancreatic pathologies mona.
Maemong a mangata, bakuli ba khothalletsoa ho ja 5, e etselitsoeng ka kotloloho ho tsitsisa mesebetsi ea litho tsa ka tlung.
Lijo tse thibetsoeng li kenyelletsa:
- lieie tse ncha, pastry;
- likuku le lieiee;
- lihlahisoa tse khabisitsoeng le tse khaotsoeng;
- Chokolete
- boroso, soseji, soseji, lihlahisoa tse felileng,
- nama e mafura, lore;
- mabenkele a mabenkele le litholoana tse bolila;
- li-mushroom le linaoa;
- meroho e meng - radish, ginger, radish, onion;
- joala
Ho bohlokoa haholo hore liprotheine tse ngata, mafura, lik'habohaedreite le livithamini li teng lijong.
Ho theha lenane ka nepo lihlahisoa tse joalo:
- mahobe a tšoeu a maobane kapa a omisitsoeng pele;
- lijo-thollo le lithuto tsa pele le bona;
- nama e boreleli - khoho, mohatla, mmutla, veal;
- mefuta e sa tsoakoang ea litlhapi - carp, cod, pherche, Pike perch;
- li-jelly tse litholoana le liapole tse halikiloeng;
- litapole, lihoete, zucchini, mokopu;
- jelly, litholoana tse pepiloeng, tee ea litlama.
Phekolo ea manyeme e hloka tlhokomelo e qobelloang ea bongaka mme e etsoa feela kamora tlhahlobo. Etsa mekhoa e meng ntle le tumello ea ngaka ha e khothalletsoe. Haeba u belaella ho se sebetse hantle ha manyeme, o lokela ho ikopanya le litsebi ho fumana lisosa le ho fana ka kalafo e nepahetseng. Eba bophelo bo botle!
