Le lisi o vailaʻau mo togafitiga o le pancreas

O se tagata e leai se poto i anatomi atonu o le a faigata ona ia taʻu atu e uiga i le tofiaina o le pancreas, ao faia le fesili le tonu: o le a le mea e faia i totonu o tatou tino?

Peitaʻi o le taʻua muamua o ia mea ua uma ona maua i galuega a tagata anatomists na soifua i le afe o tausaga ua mavae. I le Talmud, le tusi o le ola tulafono ma tu ma aga na aumaia mai le Tusi Paia, o le pankreas ua uma ona taʻua o le "tamatamailima a le Atua."

O le avea ma se tasi tuʻufaʻatasia o faʻaletonu i totonu ma fafo, e faʻatino se taua tele i le faʻaogaina o faʻasologa ma metabolism.

Aisea ua afaina ai lenei mea taua? Aisea tatou te faʻagaioi ai ina ia faʻamalosia o ia e ia lava ia faamanatu i le tiga?

Mafuaaga o le pancreatic pupuga

O le pancreas o se itutino e sili ona maaleale.

I le le faʻatagaina poʻo le aveeseina o mafuaʻaga faʻamatalaina i lalo, e mafai ona e faʻafaigofieina lona olaga:

1. Mafia ona ole tino ile ava malosi.
2. Faʻamaʻi o le pili ma faʻamama (faʻamama, faʻaititia).
3. Manua tiga.
4. O le faʻataʻitaʻiga o le duodenum i le faʻatupuina o le fulafula o lona membrane mucous, o le duodenitis.
5. Aveina o vailaʻau: anticoagulants, antibiotics, anti-inflammatory, sulfonamides ma isi.
6. Faʻamaʻi e fesoʻotaʻi ma ogaoga faʻamaʻi: viral hepatitis C ma B, mumps.
7. Hyperfunction o le parathyroid glands e fesoʻotaʻi ma a latou faʻateleina poʻo le ovaʻa gaosia o le parathyroid hormone.
8. O le tulai mai i le tino o ascariasis o se faamaʻi e faaosofia e le manava namu o ascarids.
9. Hormonal le tumau.
10. Vascular faamai.
11. O le siʻitia o le maualuga i le serum lipids - gaʻo pei o meaola gaosi.
12. Tulaga masani.
13. O meaʻai e tele i meaʻai gaoa ma manogi.

Faailoga ma faʻailoga o suiga faʻafitauli

O uluaʻi faʻailoga o se faʻamaʻi o le gland e aliali mai, o se tulafono, pe a maeʻa le fasefulu tausaga, e seasea lava ona tupu i se tamaititi. O lenei mea e tupu pe a o se tagata ua sili ona afaina ai o ia ma ua ia faʻailoa mai ia lava.

Tiga i le hypochondrium

O le pancreatitis i lona maʻi oso lea e faʻaalia ai ia faʻailoga ma le tiga. Fuafua i le ogaoga o le tafe, o le tiga e vaevaeina: le mautonu, maamaai, oti, toso. Lenei ona o le mea moni o le edematous tisiki faʻamalosia le mamafa i neura pito.

Fafine

Ma pancreatitis, o se faʻaaliga soʻo, dispepsia, e masani ona tupu. Ole mea faigata lea ole soli ole faʻaogaina ole tino, e faʻaalia ile maʻi, puaʻi pe a uma ona 'ai, faʻapito (maʻi ole manava, manava malosi).

O ia uiga faʻailoga faʻailoga e sili atu ona faʻaalia i le amataga lava o le faʻamaʻi. Mafuaʻaga e aofia ai meaʻai paʻu, taumafa meaʻai e le mafai ona talia e le manava, faʻapea foʻi ma le tagofia o vailaʻau ma ava malosi.

Vomita o se faʻailoga o le onā

Faatasi ai ma le faʻateleina o le pancreatitis, ua afaina le neura vagus, mafua ai le maʻi. I le 80% o mataupu, o lea e iʻu i le faʻamaloloina o vometi e ala i le gutu.

I le taimi muamua - ona o mea o loʻo i totonu o le manava, ma i isi tele avega mamafa, o le faʻamalosia ona faʻamatuu le papala e tupu. Manatua, pe a faʻamatala e se tagata se tulaga: e leai se mea e saeia, ae peiseai o loʻo "liliu mai" mea uma - o le mea tonu lava lea.

Dehydration

Lenei o se auga ogaoga o iloga ai le dehydration. I le le maua ai o le "aofia ai" o faalavelave faafuaseʻi tausiga faafomai, e mafai ona avea ma matautia.

O le mea e sili ona lamatia e le gata mo le tino, ae e faʻapea foʻi mo le ola lautele, o le vaega lona lua ma le tolu o le ala o le faʻamaʻi.

O faʻaalia i nei faʻailoga:

• mamafa leiloa ova atu i le 9%;
• o se tasi ua lagona le le gafatia lona fiainu;
• o le membrane mucous i le gutu mago;
• e uliuli le lanu o le urine, e pa'ū ifo lona alu i fafo;
• ua faʻaliliuga palapala ma se iʻuga o le faʻalavelave o le mafaufau;
• foliga mai mea taua (foliga le malamalama, fia moe, leaga le tautala).

Paʻu paʻu

O le faʻaiuga o le auli o le uʻamea, ua faʻateleina ai i le lapoʻa, amata ona tuʻu atu le mamafa i ona vaega ma taofia ai le alu atu o le talo.

E atagia mai i le paʻu, na te maua mai le paʻu samasama poʻo le paʻepaʻe paʻepaʻe.

I se faʻaopopoga, ona o le le manava i le manava ma le okesene o le okesene, o se lanumoana o le nasolabial tafatolu, fao i vae ma lima, paʻu i luga o le manava ma itu e mafai ona tupu.

Isi faailoga

I luga o le tino, o isi faʻailoga o le faʻamaʻi pancreatic mafai ona tupu:

1. Tiga i le itu tauagavale i autafa o le soʻoga o ivi asoaso ma le ivitū.
2. Faatasi ai ma se uiga faʻamalosi i itu o loʻo siosiomia le nila (totonu ma luga), tupu le tiga.
3. I le taimi o le le toe alu ese i tua o tamatamailima mai le manava, ua malosi lagona tiga.

Vitio mea e uiga i faʻailoga ma togafitiga o le faʻamaʻi:

O a vailaʻau e inu mo le pancreatitis?

Pancreatitis o se maʻi ogaoga e manaʻomia le vaʻai totoʻa ma se tuʻufaʻatasia auala i le togafitiga togafitiga.

A inu fualaau, e manaʻomia lou malamalama lelei i le latou mafuaʻaga.

Sini o togafitiga o vailaʻau:

1. Taotoga aveesea le ogaoga o tiga.
2. Aveesea o le gland dysfunction (toilalo).
3. Nofoaga o le afaina faʻagaioiga ma nisi togafitiga o le maʻi faʻamaʻi.
4. Puipuia o mafuaʻaga fesoasoani i le atinaʻeina o faʻafitauli.

A faʻalavelave le pancreas, o loʻo sosoʻo mai lalo o le a fesoasoani e faʻamautu ai lana galuega ma faʻaoso oe ia lelei atili:

1. Ia faʻamamaʻi tiga ma faʻaititia ai le tiga - No-shpa, Papaverin, Baralgin. E manatua le tuʻu tasi o laʻua togi e le tatau ona sili atu i le lua laupepa. Ua fautuaina e fomai le aveina o Papaverine ma Platifillin. O se tiga tiga tele e le mafai ona faʻamaloloina e le fomaʻi e ala i le faʻatinoina o se tui.
2. Mezim, Festal, Creon o le a mafai ona faʻamalosia ma paleni galuega a le pancreas - o mea nei e suitulaga i enzymes.
3. Diclofenac ma Aspirin mafai ona faʻamamaina le afaina, ma faatasi ai ma le tiga.
4. Fomai faatonuina Octreotide i tagata gasegase - o lenei ituaiga fua e faatonuina mo matuitui pancreatitis ma e faia intravenous.

Vailaau faʻavasegaina

Togafitiga o le pancreatitis ma vailaʻau o le a aoga na o le taua o le faʻatonutonuina o meaʻai ma tuʻufaʻatasia o faʻaaogaina uma meafaigaluega fofo.

O le aupega o vailaau faʻaonapo nei e sili atu ma le luasefulu vailaʻau e mafai ona faʻamamaʻia le mafatiaga o le tagata maʻi, e mafai ona faʻamaloloina le faʻateteleina o faʻafitauli e aafia ai le pancreas secretory okeni.

O le faʻavasegaina o vailaʻau faʻalagolago i sini o togafitiga ma a latou togafiti i luga o le faʻamaʻi o loʻo tuʻuina atu i le laulau:

Togafitiga

O le mafuaʻaga o nei vailaʻau e afua mai i o latou igoa, o lona uiga, e tatau ona latou faʻamamaʻia le tiga. E taua le silafia e ui lava i le tiga, o le ofuina o se lanu iloga, fomai faatonuina vailaʻau e le oi ai ni vailaʻau oona.

E masani ona aofia ai:

1. Antispasmodics: Leai-Shpa, Mebeverin, Meteospasmil, Papaverine, Buscopan.
2. Vailaau non-steroid non-steroid: Voltaren, Indomethacin, Movalis.
3. Analgesics: Acetamifen, Baralgin, Analgin, Paracetamol.

Enzymes

Vailaʻau o lenei kulupu ua faʻamoemoe e faʻafaigofie le faʻatinoina o le pancreas, lea na iʻu na leiloa lona malosi ole exocrine.

E tusa ai ma le mafuaʻaga ma le faʻapogai o le enzymes, o loʻo i ai nei faʻavasegaina vaevaeina i latou i 5 vaega:

1. Faigofie: Abomin, Betaine.
2. Tuufaatasia: Flogenzim, Wobenzin.
3. O vailaʻau o loʻo iai le pancreatin ma mea o loʻo i ai (steapsin, starch, protease): Mezim, Creon, Pancreatin, Mikrasim, Pangrol, Hermitage, Festal.
4. Faaputuga mai laau: Somilase, Unienzyme, Solisim.
5. O vailaʻau e aofia ai le papala, pancreatin, hemicellulase: Enzistal, Digestal, Festal, Panzinorm.

Aneti

E tatau ona maitauina e vili pe a uma le meaʻai meaai ma ma pancreatitis pasia i auala eseese. I le mataupu lona lua, e alualu i luma, ma faʻaletonu le tino, e le maua ai se mapusaga ma iʻu atu ai i le faʻateʻa o le tino. I lenei tulaga, o le faigofie ole gastric lavage e le fesoasoani.

Lenei, sili atu faʻavae faʻavae e fesoʻotaʻi ma le ona oona ua tupu: toxins fausia i le taimi o le oti o tisu o loʻo faʻaofi i totonu o le medulla oblongata e ala i le toto toto ma galue i luga o le nofoaga puʻupuʻu o loʻo i le pericardial itulagi.

O le sili ona aoga fofo mo spasms o le Cerucal. E faʻaaogaina o se tui.

Ma faʻaopopoga, faʻatasi ma puaʻi: ​​Motilium, Bimaral, Torekan.

Torekan, faʻatusatusa i le Etaperazin tutusa, Haloperidol, Meterazin, faʻaopopo atu i le antiemetic aafiaga, o loʻo i ai foi se sili lelei agamalu faʻamalieina (faʻafilemu) aafiaga.

Antidiarrheal

Manava manava tatupu pe manava matua o se faʻaalu soʻo e tupu ai faʻateleina o le pancreatitis. Tutoatasi, a aunoa ma le fesoasoani faʻafomaʻi, o le a le mafai ona e alu ese mai lenei e le gata o le matua le fiafia, ae o le tele matautia matautia.

Ole mea lea, e le ose mea na tupu se fomaʻi ile faʻamaʻi ole pancreatitis e faʻatonuina ai le fofoa ole manava, e aofia ai vaega nei:

1. Mo le "faʻavasegaina" o le faʻaogaina o mea gaʻo, enzymatic fualaau faasaina ua faatonuina: Festal, Mezim, Pancreatin.
2. Enterosorbents - o nei vailaʻau aoga, ao i totonu o le manava, mitiia tele toxins. I le lumanaʻi, latou te aveʻesea i latou mai le tino i se auala masani. E aofia ai: Almagel, carbonated, Polysorb.
3. Ina ia faʻaopopoina le vaivai o le leo o le rektum ma ia faʻaititia le faʻaletonu o gaioiga totoga ave: Loperamide, Lopedium, Immodium.
4. Painkillers ma antispasmodics mo manava manava: Baralgin, No-Shpa, Papaverin, Spazmil, Renalgan.
5. Ina ia masani ai le microflora ofa, fautuaina fomai: Colibacterin, Bactistatin, Lactobacterin.
6. Vitamini-minerale faʻamalologa lea e fesoasoani e faʻamalosia le puipuia puipuiga o le tino: Supradin, Vitrum, Complivit.

Fasiotoga

Ole faʻaopoopoina ole faʻamama o le hydrochloric acid o loʻo faʻagaioia ai le gaioiga o le pancreatic secretion, ma e le manaʻomia ona o le faʻateleina o le pancreatitis. Antacids ua ave e puipuia lenei.

E vaevaeina i pepa e faʻaaogaina e le faʻaaogaina o le tino. A togafitia pancreatitis, fomai e sili atu ona faatonuina ai alumini-magnesium-o loʻo iai poʻo le faʻaitiitia vailaau.

Le sili ona lauiloa o latou: Phosphalugel, Almagel, Altatsid, Maaloks, Gastratsid, Maalukol, Alumag.

Antisecretory fualaau

Ole faʻateleina ole faʻasaina ole sua tau gastric, e aofia ai le hydrochloric acid, faʻaosofia ai le faʻateleina ole pancreatitis. Ole faʻamoemoe maualuga ole antisecretory vailaʻau o le faʻaititia o le faʻamatuʻuina ole hydrochloric acid.

Aunoa ma le alu atu i totonu o tulaga faʻafomaʻi loloto, e taua le maitauina o loʻo vaevaeina uma nei fua faʻatatau i la latou meatotino i totonu o PPIs (proton pump inhibitors) ma le poloka histamine H2. Uma ia faʻaititia uma po ma le ao gaosi oloa. Naʻo tulaga muamua e le aʻafia le cholinergic, aʻo le pito i tua e le afaina ai histamine.

H2-histamine tagata poloka poloka:

1. Tupulaga o Cementidin: Histodyne, Altamet, Belomet, Ulcometin, Tagamet.
2. Tupulaga o Ranitidine: Zantag, Histak, Ranisan, Acidex, Zoran.
3. Tupulaga o Famotidine: Antondine, Ulfamide, Gaster, Quamatel, Pepsid. Topzid.

PPIs poʻo poloka pamu poloka:

1. Tupulaga o Omeprazole: Omez, Zerocide, Omizak, Osid, Erosit.
2. Tupulaga o lansoprazole: Lanzap, Lanzopton.
3. Tupulaga Pantoprazole.
4. Tupulaga Rabenprazole: Parry.
5. Tupulaga o Esomeprazole: Nexium.

Vailaau tui lautele

Na latou mauaina o latou igoa ona o le lautele, poʻo le sili atu, sili atu, lautele togafitia meatotino. O lo latou aoga e salalau atu i maʻi eseese, e aofia ai le pancreatitis.

Le tupulaga fou o antibiotics, lea e masani ona faatonuina e fomaʻi i tagata matutua tagata gasegase, e aofia ai:

• Ceftriaxone;
• Azithromycin;
• Cefotaxime.

Ae aua le faʻagaloina le tuai, faʻamaonia, ae le faʻaititia vailaau aoga ma le lautele o vaega o gaioiga, e aofia ai:

• Cefoperazone;
• Doxycycline;
• Aofaʻi;
• Amoxiclav;
• Ampicillin.

Myotropic antispasmodic

Nofoaga ma le aveeseina o spastic faaletonu i faamaʻi o le gastrointestinal tract, pancreas, gall bladder ma bile ducts o le mafuaʻaga autu lea o myotropic antispasmodic fualaau.

E aofia ai ituaiga vailaʻau o loʻo i ai ni antispasmodic ma vasodilating meatotino.

Le sili e lauiloa i taunuʻuga o (faʻaputuputu faatasi):

• Papaverine, Papaverine hydrochloride;
• Mebeverin, Duspatalin;
• Bicyclan, Halidor;
• Drotaverin, Drotaverina hydrochloride, No-Shpa, No-Shpa Forte, Spazmol;
• Otilonia bromide, Spasmomen;
• Pinaveria bromide, Dicetel;
• Platyphyllin;
• Trimebutin;
• Fenicaberan;
• Flavoxate e.

Non-steroidal anti-inflammatory

Nei o ituaiga sili ona lauiloa ma lauiloa o fomaʻi. Na faʻataua e se tasi, i Amerika, e ova atu i le 70 miliona talavai e faʻatonu mo le faʻatauina o nei vailaʻau i le tausaga.

Uma fesuiaiga ituaiga o lenei kulupu, ae e taua le matauina o nei sili atu nai lo le selau igoa eseese, e iai le tutusa meatotino ma faia i luga o le mataupu faavae tutusa: anti-inflammatory, analgesic ma antipyretic.

O a ni vailaʻau sili ona lelei e ave, o le a le mea e filifilia? O le fesili o loo fesiligia matua sese.

Ina ia faʻaitiitia le afaina o faʻafitauli e fesoʻotaʻi ma le faʻateleina o le pancreatitis, fomaʻi masani ona faatonuina:

• Acetylsalicylic acid po o Aspirin;
• Dififunisal;
• Sulindak;
• Lysine monoacetylsalicylate;
• Phenylbutazone;
• Indomethacin;
• Flurbiprofen;
• Piroxicam;
• Diclofenac;
• Nabumeton;
• Ibuprofen;
• Ketoprofen;
• Mesalazine ma le tele o isi.

Vitio mai ia Dr.Evdokimenko:

O Fofo e Gagana Lelei

O le tuʻuina atu o se tali manino i le fesili e uiga i vailaʻau sili ona aoga mo le togafitia o le pancreas, e leai se faʻafetai e pei o le finau poʻo le finau poo fea le sone poʻo le itulagi e sili ona talafeagai mo tagata.

Ma matou manatu o le a e malilie o le tutusa le tutusa tali, e pei: e faalagolago uma i le tino o le tagata - o le a tutusa tutusa mo filifiliga e lua.

Pancreatitis o se maʻi faigata tele e le mafai ona togafitia. Tele faalagolago i le fuafuaga ma togafiti o le faʻafetauia o lenei maʻi, i luga filifilia filifilia fomaʻi ma o latou lavelave talosaga.

E ui lava o nisi faʻasalalauga faʻavae i suʻesuʻega faʻaletino e mafai ona faia.

Le tele o taimi, i le afaina o le pancreas, fomai faatonuina le: painkillers, antibiotics ma vailaau mai le enzyme vaega.

E aofia ai:

1. Sauniuniga Enzyme: Creon, Panzinorm.
2. Antacids: Gaviscon, Rennie, Phosphalugel, Maalox.
3. Polokalama poloka poloka: Omez, Lanzap, Pantoprazop, Lanzopton.
4. Antibiotics: Azithromycin, Cefotaxime.
5. Painkillers: Leai-Shpa, Meteoospasmil, Voltaren, Movalis. Baralgin, Paracetamol.

Ina ia mafai faʻatoʻilaloina lelei faʻafitauli e fesoʻotaʻi ma faʻamaʻi o le pancreatic, e te manaʻomia le faʻasoa i luga e le gata i le onosai. E manaʻomia le mulimulituʻi i le fautuaga a le fomaʻi ma toe iloilo atoa le olaga, e aofia ai le tuʻufaʻatasiga o meaʻai ma le meaʻai, faʻapea foi ma le faiga o le malologa ma faʻamalositino.