Ole vailaʻau fofo ole pancreatitis e sili ona lauiloa, talu ai ona ole fesoasoani e mafai ai ona faʻaleleia tulaga ole maʻi. Ae e te leʻi amata aveina ni vailaʻau, oe manaʻomia le feutagai ma se fomaʻi faapitoa.
O le Pancreatitis o se faʻamaʻi o se okeni e pei o le pancreas. O lenei faʻamaʻi e mafai ona atiaʻe ona o le mea moni sa iai muamua se tagata ua maua se faʻamaʻi pipisi, e mafua mai foʻi ona o le i ai o manuʻa, pepesi papala, e mafua mai i le ava malosi pe ova tele.
I se faʻaopopoga, o le mafuaʻaga e ono mafua mai. O faʻailoga taua o lenei maʻi e aofia ai faʻailoga nei:
- leai se fiaʻai;
- niniva
- fia inu
- solia o microbial le paleni.
Togafitiga o le pancreatitis ma vailaʻau
E tatau ona e faʻafetaiaʻi se fomaʻi, ia suʻesuʻeina, o le mea lea, o le fomaʻi o le a faʻatonuina le manaʻomia togafitiga ma vailaʻau talafeagai.
Fualaʻau togafitiga e mafai ona faʻavae i luga o le faʻaaogaina o tuʻufaʻatasiga o fualaʻau, o le suʻesuʻeina o na mea e fuafua na o tagata taʻitoʻatasi.
Fomai faatonuina tupe i le ituaiga o capsules, microgranules. O nei ituaiga vailaʻau e televave gaioiga.
Ona o togafitiga ma le faʻaogaina o masini faʻafomaʻi, e mafai ai ona e tuʻua nisi faʻailoga o le faʻamaʻi, mo se faʻataʻitaʻiga, manava manava, e mafai ona aliaʻe ona o faʻafitauli tau i le gland ma le le lava le faʻaaogaina o gaʻo.
Mo le faʻamaloloina o se maʻi, o loʻo faʻaogaina se vailaʻau o togafitiga, e aofia ai:
- enzyme inhibitor
- antibacterial sui
- enzymes
- antispasmodic ma anticholinergic vailaau,
- H2 poloka poloka
- antacids.
Inhibitors (poloka poloka) o le pancreatic enzymes.
Enzyme inhibitors (kontrikal, gordoks, trasilol, antagozan) o loʻo faʻaaoga e faʻaititia ai le gaioiga o le pancreatic proteases, e mafua ai le pupuga ma le faʻasalalauina o faʻamaʻi.
O nei tupe e faia mai i le pancreas ma pulmonary parenchyma o meaola. Ole sili ona aoga ole faaaogaina ole enzyme inhibitors ile aso muamua ole faamai.
Antibacterial sui.
O loʻo faʻatatau i nei vailaʻau e faʻaititia ai faʻafitauli tau le gaogao i totonu o le pancreas ma i ua sosolo latalata ane, faʻapea foʻi ma vaega ua faaleagaina.
Faatasi ai ma le fesoasoani a vailaʻau antibacterial, e mafai ona e aloese mai ai:
- pancreatic pankre panciva necrosis;
- fulafula fulafula o le ato ato;
- afaina o le peritoneum;
- rotting cellulitis cellulose retroperitoneal avanoa.
Faaaoga antibiotics ma le tele o aafiaga. E aofia ai: cephalosporin, penicillin, fluoroquinolone, macrolide.
Enzymes
O loʻo iai ni vailaʻau e pei o lipase, amylase, ma protease: pancectin, creon, pancurmen, festal, enzistal, ma panzinorm.
Togafitiga ma ia masini faʻafomaʻi o aʻafiaga ia o le tino:
- faʻafilemu le pancreas;
- faʻalauteleina le faʻaaogaina lelei o le polotini, gaʻo ma masoa suka;
- faʻaleleia le faʻamalosia o meaʻai;
- aveese le dispepsia.
Vailaau antispasmodic.
Faatasi ai ma le faʻataʻutaʻuina o maso lamolemole, lea e fesoʻotaʻi ma faʻataʻitaʻiga faʻafitauli i totonu o le talo o le talo ma le faʻaleagaina o le gaioiga o le fibro-muscular mataupu, e tatau ona ave le antispasmodics.
O le faʻaititia e aliali mai ona o le le lelei le faʻaaogaina o le sphincters i le pancreatic duct, ma e faigata ai ona maua le sua o le pancreatic i le duodenum.
I le avea ai o se tulafono, latou te faaaogaina antispasmodic vailaau:
- mebeverin
- papaverine
- leai-shpa
- drotaverinum
- spasmodic
- uaea
- spasmol.
Vailaau anticholinergic
Le malosi masani o anticholinergic vailaʻau o le faʻaititia o aʻafiaga o acetylcholine ma cholinomimetic vaega.
E i ai ituaiga o anticholinergics: nicotinolytics ma muscarinolytics. Mo le togafitiga o le faʻamaʻi o le pancreatitis, e masani ona faʻaaogaina le muscarinolytics: pirenzepine, gastril, gastrosipine.
Cholinolytic fualaau faasaina poloka faagasologa i le cerebral cortex ma ganglia, o lenei mafua ai le faʻaititia o le saoasaoa o le neuromuscular synapse, a o la latou galuega ua masani ai, ma faʻagaioiga-evakuasi gaioiga faaleleia.
Vailaau Cholinolytic:
- metacin
- atropine
- platyphyllin
- chlorazine
- antispasmodic.
O nei vailaʻau e masani ona avea ma aoga antispasmodics.
Vailaau Antacids
O vailaʻau ia e faʻamaonia i le togafitia o le maʻi faalagolago i luga o le faʻamaʻi o le gastrointestinal tract ina ia faʻaleaogaina ai le vailaau o le sua o le manava.
Ole faʻatupulaia ole faʻapipiʻi o le hydrochloric acid e faʻaleleia ai le faʻamama ole pancreas, mo lenei mafuaʻaga, ile faʻasologa o taimi o le pancreatitis, o loʻo faʻaaoga vailaʻau e faʻaititia le faʻamama ole manava, e faʻaititia ai le aʻafiaga o le hydrochloric acid.
Antacids o mea ia e faʻaaogaina e le tino ae le o faʻaaogaina. Mai pancreatitis, antacid non-absorable fualaau faasaina ua faatatauina:
- alumag
- Almagel
- maalox, ma
- altacid
- maalucol,
- tagata leaga
- palmagel.
O nei antacids o loʻo i ai mea e pei o alumini ma magnesium, e mafai ona faʻaaogaina pepsin, lysolecithin, oona empa, ma puipuia foi.
I le togafitiga o le pancreatitis, antacids e le faʻaoga faʻatasi e ala i inhibitors.
O poloka-H2
Mo antisecretory galuega, H2-poloka e faʻaaogaina:
- ranitidine
- famotidine
- nizatidine.
Ole antisecretory togafitiga e faʻaitiitia ai le faʻatulagaina o le acid e ala i le manava, talu ai o le hydrochloric acid o le mea autu lea i le fausiaina o le secretin, lea e aʻafia i le fausiaina o le bicarbonate masima e le epithelium o pancreatic ducts.
Ole mea lea ua faʻaitiitia ai le aofaʻiga o le masima, faʻatasi ai ma masima bicarbonate, ua faʻateleina ai le aoga o le togafitiga.
Togafitiga togafitiga
Togafitiga o le pancreatitis e faʻamamaina mama taʻitoʻatasi, faʻapena foi le togafitiga o le pancreatitis ma vailaʻau.
Fualaʻau togafitiga o pancreatitis e tatau ona faia i le tausisia o le malolo malolo, se eseʻaiga meaai, aemaise lava ma le faʻateleina o taumafa o porotini oloa. O le tagata gasegase e tatau ona tausisi i lenei taumafataga mo le itiiti ifo i le 21 aso.
A oso le gasegase i le aluga o le faʻamaʻi, ona fia 'ai lea mo ni nai aso fesoasoani ia te ia, e taua tele le alu sao i le togafitiga pe a fai o se pankreatitis matuia i tamaiti.
Afai o faʻaleagaina gaioiga o le gland ua matua tele lava, o nisi taimi e faigata ai ona aloese mai le taotoga. Ma, laparoscopy e faʻaaoga e togafitia ai le pancreatitis.
Atonu e manaʻomia le fesoasoani vaega i le togafitiga o lenei faamaʻi. Ona aofia ai lea ile vailaʻau o le pancreatitis ile aveina ole fualaau e pei ole pancreatin. I le avea ai o se tulafono, e ave mo se taimi umi. O le tagata gasegase i aso uma ma e masani ona inu lenei vailaʻau.
Faʻaaoga foi e togafitia ai le pancreatitis:
- vailaʻau koleretic;
- teutusi sui;
- fualaau oona hormonal o anabolic ma steroid ituaiga.
E mafai na ave ni vailaʻau pei ole mezim-forte, festal.
A tiga tiga ogaoga tupu, fomai, o se tulafono masani, taua uiga antienzyme sui.
Le faʻaaogaina o antispasmodic vailaʻau, analgesics e masani ona avea ma se auala lelei e togafitia ai le pancreatitis.