Kurapa kwepancreatitis kuri sei: kwakanyanya uye kusingaperi

Zvemukati

• 1. Acute chirwatata
• Kana kuvhiya kuchikurudzirwa
• 2. Chirwere chepancreatitis
• Kana kuvhiya kuchikurudzirwa

Kurapa kwepancreatitis, chinova chirwere chinoputika chepancreas, kunoitwa nematanho ekuderedza kuzvimba kwechikamu ichi, zvichiita kuti chipore. Nzira yekurapa nayo inoratidzirwa nachiremba mukuru kana gastro, ichisiyana zvinoenderana nechimiro chinounzwa nechirwere, uye chinogona kuva chakanyanya, pachinomuka nekukasira, kana chisingaperi, pachinoshanduka zvishoma nezvishoma.

Kazhinji, kurwara kwepacreatitis chirwere chakazvimiririra, kureva kuti, ichiwedzera nekukasira asi ichienda pakurapa kwepanyama, ichingokurudzirwa kushandiswa kwemishonga kubvisa marwadzo emudumbu, manejimendi eserum mutsinga, mukuwedzera pakudzivisa kudya nemuromo, kuitira kudzikisa kuzvimba uye kudzivirira pancreatitis kubva pakuipa.

Kurapa kwekusingaperi kwepancreatitis kunogona kuitwa nekutsiviwa kwemakemikari akakosha anoderedza manyoka uye kusagadzikana kugaya kunokonzerwa nechirwere, pamwe neanalgesics kubvisa marwadzo emudumbu. Chronic pancreatitis haina mushonga uye inowanzo kukonzerwa nekunwa doro kana autoimmune kusagadzikana.

Rondedzero yekurapa yemhando yega yega yepancreatitis inosanganisira:

1. Acute chirwatata

Acute pancreatitis inokudziridza kuzvimba kwakanyanya mupancreas, ine shanduko inokurumidza, saka kurapwa kunofanirwa kutangawo nekukurumidza, kubvisa zviratidzo uye kudzivirira mamiriro kubva pakuwedzera.

Mhando huru dzekurapa dzinosanganisira:

• Kuchengeta chikafu, nekutsanya kweinenge maawa makumi mana nemasere kusvika makumi manomwe nemaviri: kubvumira rwatata kuzorora nekufambisa kupora kwaro. Kana kutsanya kuchidikanwa kwemamwe mazuva, chikafu chakakosha chinogona kupihwa kuburikidza netsinga kana kuburikidza neasogastric tube. Kana yaburitswa nachiremba, chinwiwa chemvura kana chepastiyamu chinogona kutanga, kudzamara wapora;
• Kudiridza, ine serum mutsinga: iyo yekuzvimba maitiro inofambisa kurasikirwa kweropa remidzi yemvura uye, nekudaro, zvakakosha kutsiva iyo kudzivirira kupera mvura mumuviri;
• Painkillers uye anti-inflammatories, senge Dipyrone kana Ibuprofen: anoshandiswa kudzikamisa marwadzo mudumbu repamusoro maitiro epancreatitis
• Mishonga inorwisa mabhakitiriya: iwo anongodiwa chete kune vanhu vane njodzi huru yekutapukirwa, senge muzviitiko zvinokura necrotizing pancreatitis, muvarwere vakwegura kana nehutachiona husina simba.

Kana kuvhiya kuchikurudzirwa

Maitiro ekuvhiya akadai sekubvisa nyama dzakafa kana kudonhedza zvakavanzika zvinoratidzwa kune varwere vane hutachiona hwepancreatic necrosis uye zvimwe zvinetswa senge abscess, hemorrhage, pseudocysts, perforation kana viscera dziviriro, semuenzaniso.

Uye zvakare, kuvhiyiwa kunogona kuratidzirwawo kubviswa kweye nduru, mune zviitiko apo pane mabwe muguruva rinokonzera kurwara kwepancreatitis.

Tsvaga kuti ungaziva sei zviratidzo zveaccancreatitis.

2. Chirwere chepancreatitis

Mune chisingaperi chirwere chepancreatitis, kuzvimba kwenguva refu kwerwatata kunoitika, izvo zvinogona kukonzera kugadzirwa kwemavanga nekuparadzwa kwenyama yemuviri ino, iyo inogona kurasikirwa zvishoma kana kugona zvachose.

Sezvo kuzvimba uku kusisina mushonga, kurapwa kunovavarira kudzikisa zviratidzo uye mhedzisiro yezvinetso zvacho, zvichiratidzwa:

• Pancreatic enzyme yekuwedzera: kutsiva ma enzymes anogona kunge achishaikwa kunoratidzwa nekutora kwekugadzirira mafuta chikafu, sezvo kushaikwa kweaya maenzymes kunogona kukonzera shanduko mukugaya uye kunwa kwechikafu;
• Kuchengeta chikafu: kudya kwakaderera-mafuta, kuri nyore-kugaya, semukaka wakasviba, zai jena, nyama isina mafuta kana zviyo zvakakwana, semuenzaniso, zvakakosha. Dzidza zvakawanda nezve izvo kudya kwepancreatitis kunofanira kutaridzika;
• Marwadzo anoderedza, dzakadai seDipyrone kana Tramadol: inogona kudiwa kubvisa marwadzo emudumbu.

Zvinogona zvakare kuve zvakakosha kushandisa insulin kune varwere vakave nechirwere cheshuga nekuda kwechirwere, corticosteroids kudzikisira kuzvimba muvanhu vane chirwere nekuda kwezvikonzero zve autoimmune, kana imwe mishonga inobatsira kubvisa marwadzo, akadai seanodzvinyirira uye pregabalin, semuenzaniso. muenzaniso.

Kana kuvhiya kuchikurudzirwa

Kuvhiya kunowanzoitwa kana zvichidikanwa kubvisa zvinovhiringidza kana kudzikisira kwepancreatic ducts, kudurura pancreatic fluid kana kubvisa nyama dzakakuvara, izvo zvinogona kukuvadza kuzvimba.

Dzidza zvakawanda nezvezviratidzo uye zvikonzero zvechisingaperi kurwara kwepancreatitis.

Uye zvakare, panguva yekurapa zvakakosha kuti usashandise zvinhu zvine chepfu kumanyoka, senge zvinwiwa zvinodhaka nemidzanga, semuenzaniso, sezvo zvichikonzera kurwisa kutsva uye zvichikuvadza kuzvimba kwerwatata. Tarisa uone aya uye mamwe matipi mune inotevera vhidhiyo: