Foleng pancreatitis - kalafo nakong exacerbation le bolelang ho leballa motho

Foleng pancreatitis ke lefu le sa manyeme a hlabang tlhaho le ho fetola ho lona sefapano ducts. Le 'nete hore ka nako e telele ea ho ba le pancreatitis parenchymal lekala sclerosis le ho lahleheloa ke exocrine le endocrine lona mosebetsi. Ka ntshetsopele ya lefu lena le phetha lefu bohlokoa ea tsamaiso tshilong ya dijo. Ka hona, haeba ho fumanoa pancreatitis sa foleng, ho phekola lefu lena le lokela ho ho phethahatsoa ka kopanelo le ho phekola comorbidities tse ling. Phekolo ea pancreatitis e telele, e hlophisitsoeng, e tsoelang pele ka nako exacerbation le bolelang ho leballa motho.

Foleng pancreatitis: kalafo ka ho ba sethaleng a hlobaetsang

Exacerbation ya lefu lena le bontša phatlalletsoang litleleniki tsa setšoantšong, bohloko bo matla. Nakong exacerbation bontša tsoara foleng pancreatitis latelang ka sepetlele. Ho ke ke ho hlokahala ho felisa lintho tsohle tse bakang le mekgwa pathogenic ea ho hōla lefu. Ha a bua le lisosa isang ponahalo ea matšoao a lefu lena le, e akarelletsa tsamaiso ea likhoerekhoere ea gallbladder le pampitšana biliary, kalafo ea mafu a hlobaetsang le le sa foleng la mala, ho ka ho feletseng teloe joala.

Ka matsatsing a pele ea mekhoa ea phekolo e ho thibela metsoako pancreatic secretion balletsweng tlala le metsi alkaline, eo sebedisa mofuthu a phatsimang metsi matsoai. Ho phaella ho e tlamang seratsoana batang ka sebakeng epigastric, maikutlong le 'meleng ba bang kaofela, tubeless aspiration kamehla lero gastric. Ho ntlafatsa outflow ea lero tse hlahisoang ke manyeme, ho laela antispasmodics le anticholinergics (lithethefatsi "Ha ho-Spa," "Platifillin", "Baralgin", "Atropine", "papaverine"). Ho fokotsa e le hantle stimulatory tsa lero gastric tsamaisoa ka antacids (le bolelang "Almagell" "Fosfalyugel"), H2 receptor blockers (lithethefatsi "Ranitidine", "Kvamatel") le inhibitors proton e pompa (lithethefatsi "Omeprazole"). Ho fokotsa mosebetsi oa enzyme proteolytic laolwa vutrivennoe tsamaiso ea inhibitors lona (litokisetso "Contrycal" "Trasylol", "Gordoks").

lithethefatsi Diuretic ka pancreatitis foleng tsamaisoa ka diuretics eseng feela hore le fokotsa toxicity ke tlosa lihlahisoa bola, empa hape le ho thibela metsoako mosebetsi oa enzyme pancreatic. A phello e tšoanang e hlahisoang ke acid e epsilon-aminocaproic le protheine hydrolysates.

Ha bohloko bo matla bontša kabelong ya analgesics tse sa tšoaneng. Tshebediso ya opioids ba contraindicated. Bakeng sa khalemelo ea mafu microcirculation le metsi le letsoai phapanyetsano reopoligljukin sebelisoa, ditharollo tse ling letsoai.

Ka exocrine insufficiency ka sepheo sa ho fumana phekolo Phetolo sebelisa litokisetso potlakisang tsebetso ea lik'hemik'hale ( "Pancreatin", "mokete", "Mezim").

Ha liforomo ea timetso ea pancreatitis entoe laolwa cytostatics (lithethefatsi "Cyclophosphamide", "Fluorouracil").

Ha ho hloleha hormonal tšoelesa kapa tableted sebelisa ka insulin mahlahana hypoglycemic.

E le hore ho thibela suppurative ruruha ho laela lithibela-mafu.

Hona joale re tseba hore na ho tšoara pancreatitis ka a hlobaetsang. Empa lefu lena e na le ka tsela e sa foleng 'me ha e seng tsa bohlokoa ka ho phekola kokobetse, kaha sena se ke ho thibela ho ponahalo ea matšoao a hlobaetsang le letotong lefu.

Foleng pancreatitis: kalafo ka ho leballa motho

Phekolo ea pancreatitis foleng ka bolelang ho leballa motho ke ho thibela maloetse, ho kgothaletsa ntshetsopeleng bona, 'me kalafo bona ka nako e loketseng. Pathogenetic phekolo ka ho leballa motho ke ho normalize ea secretion gastric, hlakolwa dyskinesias pampitšana biliary, hammoho le tlhotlheletso ya dithulaganyo regenerative ka manyeme le. Bakeng sa morero balletsweng ena seratsoana lijo le fokotswa mafura le eketseha dikahare protheine. Ho ntlafatsa protheine metabolism ka morao protheine lijo tseo ke li behetsoeng anabolic steroid (lithethefatsi "Retabolil," Nerobolum "). Ka ho ba teng ha e leka-lekaneng endocrine insufficiency le mefuta e bonolo ya lefu la tsoekere hore a fokotse tshebediso ya lik'habohaedreite. Haeba mali tsoekere ha se boetse maemong, laolwa litokisetso insulin. Mokuli lokela ho feletseng a ke a hlobohe ho sebelisa joala ho pholletsa le bophelo ba bona le hore ba mamele le ho ja e leka-lekaneng.

Foleng pancreatitis, kalafo e etsoa ho latela ka holimo, hangata e fetoha e tšoarellang halelele kokobetse, e sa tsamaea le ntshetsopele ya mathata.