Tātaritanga o te pancreatitis, ona tikanga. Ko te tohu me te maimoatanga o mate

Mumura o nga repe taiaki - he huru kino, me te kino. I roto i te rongoā e karangatia ana ko pancreatitis. I roto i tenei mate, te whākōkī whakaputaina e te repe taiaki, noho i roto i reira, timata ki te whakangaro ia kiko. Treatment Me takirōpūiti i roto i te wā e tikanga. Te kore, riro ma'i te mumura. He aha, ka, taea kitea he puka whakapeka o te mate? Kia pehea te ko te tātaritanga pārōnaki o pancreatitis ma'i? I roto i enei mea kia kōrero i roto i te taipitopito.

Ko te ngako o te mate

Taiaki - he okana iti, engari nui o te pūnaha kūnatu. takoto te reira i muri i te kopu, me te toro i te duodenum ki te kōateate. I roto i te hanganga lobed pancreatic. I roto i ia taupa he tau mahani. E hono ana te tinana o te aerodynamics katoa, me te hanga i te tau mahani pancreatic matua. He he ano hoki te tuarua (atu) mahani. taka ki roto ki te duodenum ia tetahi o ratou.

Rino i roto i te tangata tinana kua rua ngā mahi:

1. Exocrine (exocrine). Wai tukua i te repe ki te duodenum, kei whākōkī. E whai wāhi ana ratou i roto i te nakunaku o ngā kai pūmua, te warowaihā me te fatty.
2. Endocrine (endocrine). secretes te repe taiaki ki te hormones polypeptide toto. whakahaere ratou tukanga pūkoro i roto i te tinana.

A, no te e takahi mumura o te repe taiaki. Tenei pu ia ia te te tātaritanga o pancreatitis. E kore te te ngaro tukua i te tinana ki te duodenum. I roto i te hononga ki tenei tukanga o ngā wāhi repe whaiaro nakunaku-haamata. Wāhanga o whākōkī me tāoke i te wa ano tukua ki nga oko toto, horahia puta noa i te tinana me pakaru ētahi atu okana (ate, whatukuhu, pūkahukahu, ngakau, me te ara te roro).

Ko te mate i puta i roto i te tangata e tika ana ki ngā take. whakaatu tatauranga 50% o te iwi e mamae i mumura o te repe taiaki e tika ana ki te tūkino waipiro. I roto i te 20% o te wā, whakaatu ana tātaritanga o pancreatitis i roto i ngā pakeke e whakawhanake te mate e tika ana ki te cholelithiasis. Ētahi atu take o pancreatic mumura ngā:

• hopuhopu, viral me pirinoa mate;
• mate fungal;
• whara me te paihana;
• whawhe endoscopic me ngā mahi.

whakarōpū o pancreatitis

Na roto i te āhua o te akoranga mate ai kia whakapeka (OP), me te ma'i (KP). I raro i te ahua tuatahi o te mate e auraa reira he tukanga inflammatory e puta i roto i te repe taiaki, me te haere ki ētahi atu te kopa, i nga okana. whakawhanake ohorere te mate e tika ana ki te rōpū o te waipiro, raukikini fatty ranei kai. I roto i ētahi wā, te tīmatanga o te mate e pā ana ki te kohi o te nui o te kai i muri i te nohopuku auroa.

tohunga pancreatitis whakapeka whakarōpū e whai ake nei:

1. Pākaha pancreatitis whakapeka. Ki te kahore e tenei puka o nga whekau mahi tika. Rerekē. tātaritanga o te pancreatitis heheu maumaui nui.
2. Whakapeka puka ngawari. A, no te tenei ahua o mate o ngā mahi takahi i te iti.
3. Pākaha pancreatitis whakapeka faingataa urutomo parapancreatic, peritonitis, abscesses purulent, sepsis, toto.

puta pancreatitis ma'i i roto i te tangata i muri i ngā whakapeka o mumura o te repe taiaki. Tei runga i te pakeke o tohunga tohatoha:

1. Taumaha. Hoki te akoranga kai paipa tonu-pancreatitis angamaheni. He onge me poto-ora wā o murunga.
2. Hoki te mate tika kino. Exacerbations 3-4 wa he tau puta i mumura o te repe taiaki. Fakamamahi syndrome puku nui roa.
3. akoranga ngawari o te mate. He poto-ora, me te onge Exacerbations. puta ratou 1-2 wa o te tau.

Tohu o te mumura whakapeka

mamae Epigastric - he tohumate tohu o te pancreatitis whakapeka. kawea tātaritanga pārōnaki o te aroaro o tenei āhuatanga i roto i tonu i muri i te mamae e maha na kaha e kore e taea e te iwi e takoto marie, ka noho. i muri anake i te tātaritanga me tohunga tātaritanga tika kia tango i tetahi mehua ki te hiki i te huru o te tūroro.

Kei te ruaki, i roto i te nuinga o te wā he maha - tetahi atu tohu noa o te mumura whakapeka o nga repe taiaki. e kore e kawea te reira i te tauturu ki te iwi e mate ana. Ratou huru ko e tika ana ki te ruaki ko anake whiwhi kino. Ētahi atu tohu o te pancreatitis whakapeka ngā:

• kiri ha ma, akrozianoz (rironga tae kiri cyanotic);
• bloating;
• whakaroa hau kumete,;
• ngoikore nui.

Tohu o te pancreatitis ma'i

He rerekē i roto i te wā o exacerbations me remissions nga āhuatanga āhuatanga o te HP. whakawhirinaki ratou i runga i te maha o ngā āhuatanga: te atamira, te ahua haumanu o te akoranga mate. Ahakoa tenei, i reira e rave rahi tohu nui o te pancreatitis ma'i:

1. Tokopā. faaite te reira i te hua i roto i te rōrahi me te auau o kumete. Kalou i roto i te pancreatitis ma'i he tūturu i roto i te tae grayish me kakara fetid. Reira maha kei toenga kai e kore e i waiho i raro ki te nakunaku. Ko te tohu i runga ake puta no te mea o downsizing mahi exocrine parenchyma me ngā maumaui secretions repe ki te duodenum.
2. Ngoikore, tremors puta noa te tinana, matekai, hukihuki, defecation tumu me te urination, mate o mahara. E pā ana ēnei tohu ki te CP takahi o te mahi endocrine pancreatic.
3. syndrome mamae puku. Pain e kore localization mārama. Ka taea e puta te reira i roto i te puku waenganui o runga ranei, me te hanga pūāhua tinga. I roto i ētahi wā, e kore e kitea te mamae.

Tātaritanga o te pancreatitis whakapeka

Hei whakaū i te tātaritanga, whakahau tākuta ki to ratou whakamātautau tūroro. Kei roto te reira i tātaritanga o whakamātautau toto pancreatitis whakahaere ki te whakatau i te nui hua i roto i te whākōkī taiaki. whakamātautau Tūaritia hoki amylase i serum. he tiketike ake noa i roto i te wa torutoru mo te hunga iwi e tapaea pancreatitis whakapeka te taumata o tenei pūmua whākōkī.

ngā ano tikanga Tātari mimi. E ai ki nga hua o te tātaritanga o tūroro whakakitea:

• proteinuria (pūmua i roto i te mimi);
• mōkitokito hematuria (toto i roto i te mimi i runga i te whaiaroaro täkupu e);
• cylindruria (i roto i te mimi pūtau porotakaroa i takea mai i ngā pūtau toto, pūmua coagulated, tākihi epithelium tubular).

Pono tikanga o te tātaritanga o te pancreatitis whakapeka ko te tomography computed (CT). Te reira i whakarato whakapakoko o te repe taiaki, e tata ana te kopa me okana, ki te tautuhi i raruraru o te mate, ki te aromatawai i te hōkai me te āhua o pāpaka o te repe taiaki ki pancreatic necrosis.

Tātaritanga me te maimoatanga o te pancreatitis whakapeka taea te whakahaere i roto i laparoscopy. Ki te awhina o ona taote ki te nui rawa o te whakawhirinaki whakatau i te ahua o te mate, te tautuhi me te whakatutuki i etahi o nga pōauautanga o te mate.

Ko te tikanga nui rawa mō, kōrero, ohie, me te haumaru o te kimi i te mate - tātaritanga ultrasound o pancreatitis whakapeka (US). A, no te mau ana i roto i tona rahi tata, takiwa, āhua, hanganga ā-, echogenicity o nga repe taiaki, te āhua o te pūnaha tau mahani.

Tātarihia te puka ma'i

Tātaritanga o te pancreatitis i roto i ngā pakeke ngā te ultrasound tuatahi, me te CT. whakaritea pai iwi e mate ana cholangiopancreatography retrograde endoscopic. Tenei tikanga o te tūhuratanga, ko te huinga o te whakamātautau fluoroscopic endoscopy.

Tātaritanga o te pancreatitis ma'i ngā ano te whakatau exocrine mahi pancreatic. ako taiwhanga, tuku ki a koutou te kitea toenga i roto i te feces pukupuku kai - Ki tenei whakaaro, coprogram tohunga whakahaere.

taea hoki te aromatawai Exocrine mahi o te repe taiaki e whakamātautau C-manawa. Ratou painga matua - ko reira kore-urutomo (ki Kahore he aha ofati i te tapatahi o te arai waho tūturu o te tinana). Ka taea hoki te tātaritanga taua o pancreatitis whakatau i te tōtika o te therapy whākōkī.

Methods o te rongoā pancreatitis whakapeka

Ki te koe i tetahi tohu suggestive o te whanaketanga o te OP, te mate tangata hiahia ki te whai i te tuatahi āwhina:

• tukua te fariiraa o te kai me te inu mo te torutoru nga ra;
• tāpiri ki te rohe epigastric he pounamu wai wera ki te wai tio ranei mōkihi matao;
• hoatu antispasmodics (i roto i te whakamahi o "kahore-kaukau" ranei "Papaverine" hekenga whākōkī production).

I muri i te āwhina tuatahi kia karanga tonu te tākuta. kia falemahaki te tangata i roto i te fare ma'i. tū tonu te hōhipera ultrasound tātaritanga o pancreatitis whakapeka. I muri i te whakatūnga o te Pë tātaritanga tika whakaritea ( "Baralgin", "Analgin") i roto i te tikanga ki te pehi i te mamae.

I roto i te maimoatanga me ngā rongoā o amino ngā waikawa me kūhuka whakamahia. hanga ake e ratou te kirihou me te hiahia pūngao o te tinana tangata. Faataahia e a paturopi. E hiahiatia ana ēnei taero mo te maimoatanga me te ārai o pōauautanga ero.

He torutoru nga ra i muri i te tīmatanga maimoatanga i roto i te kōpiro iti whakapumautia te stylet. E mea titauhia mo te tono o ngā tikanga o te kai enteral. Kia whakahokia whēkau mahi te, whakaaetia te manawanui e ki te kai i roto i te ara tūturu. kia ngā te kai o pata, huawhenua maoa, hua tatao.

maimoatanga tūpato i roto i 87% o te wā ko reira angitu. Ko te toe 13% o te iwi e mate ana i roto i te hiahia o te pokanga. Kei te kawea te reira i roto i ka heheu te tātaritanga o te pancreatitis pōauautanga nui. maimoatanga hāparapara o te whāinga e whai ake nei:

1. Te heke i roto i te endotoxemia. Hoki tenei i whakaritea pana wai me te decompression pana wai biliary me rerenga parukore o te kōhao puku. I roto i te mahi o te tinana e ahu whākōkī, tāoke me ētahi atu matū kaha biologically.
2. Maimoatanga o hopuhopu necrosis pancreatic me pōauautanga necrotic (abscesses, fistulas, cysts, peritonitis). Hei whakarite i tēnei whāinga, e whakatuwhera tohunga, me te pana wai postnecrotic, kōwhao purulent, me sequestrectomy resection o te repe taiaki.

Maimoatanga o te mumura ma'i

teuteu whākōkī i runga i te pūtake o te pancreatin ( "Mezim", "aho", "Creon"), paturopi ( "Abaktal", "Amoxiclav" "Sumamed"): Ki te whakakitea pancreatitis tātaritanga te ahua ma'i o te mate, e taea te whakahaere ngā taero ki tūroro et al. I roto i ētahi wā (hei tauira, ka hanga e pseudocysts) titau minimally urutomo (transcutaneous) tafa pana ranei.

nui te reira i te kai tōtika nui tūranga. I te exacerbation o te mate mo te 1-2 ra mate rāhuitia tetahi ki te kai. Ka taea e tatou te inu anake wai (1-1,5 rita ia ra): tea ngoikore, te wai kohuke kawakore, kahore hope hupa hau (1-2 mōhiti). 2-3 tukua ki te kai ra. Uru hupa mucous, te huarākau wai miraka koshi, puree huawhenua, wai hua tiēre.

I roto i te murunga me piri ki te tohutohu e whai ake nei:

1. Cook mo te tokorua, i roto i te shabby ranei tunua i roto i te oumu. Aukati te ngako i roto i parakore puka i te kai, me te ki rohe te konutai pūhaumāota me 6 g ia ra.
2. Kai kai iti 5-6 wā i te ra. Ko te pāmahana tūtohutia o rīhi wera - e kore i runga 57-62 nekehanga, matao - kaua e iti iho i te 15-17 nekehanga.
3. Waiho i te kai o kai kaiota, koi, raukikini me te kēne, pī me te pīni, harore, inu ngawari me te waipiro, kvass, inu hua kawa, hua parāoa reka. E whakaaetia Kirīmi me te kirīmi kawa i roto i ngā rahinga iti i roto i ngā rīhi.

tikanga Nontraditional o te maimoatanga

I roto i te puka whakapeka o mumura o te repe taiaki anake otinga tika, ko te ki te whakapā atu ki tō tākuta. e kore te mea e tika ana whakamātautau ki rongoā iwi i raro i tenei momo o te mate. Ki te nga tohu me te tātaritanga o te ira pancreatitis ki te ma'i, ka taea e koe te tamata i te tikanga o te maimoatanga e tapaea ana e rongoa kē.

Te pānga pai i roto i nuinga o te wā e homai rongoā. Ko te whakamahi o te otaota taea tino whakapai ake te huru o te iwi e mate ana i te pancreatitis ma'i. Tenei ko te tohutaka o rongoā tuku iho:

• Whāranu nga wahi e rite o te witi hiraka, puawai Kamomere me calendula, rau te kopakopa me te miniti otaota;
• tango 1 haora. l. i te ranunga hua me ringihia 2 kapu o te wai kohua;
• hoatu te hupa i roto i te pati i te wai mo te 15 meneti;
• tikanga rite infuse mō te 45 meneti me te tātari.

Hupa e tūtohu ki te inu toru ana inoinga i te ra mo te 15 meneti i mua i te kai i te kai o 0.4 kapu, i mua i-diluted ki mahana te wai ki te ipurau. Kia mau ki te taputapu e taea te paemahana o ake ki te 5 ra.

Prevention o pancreatitis

Ārai Ko taea te whanaketanga o te pancreatitis. Ko te mea tuatahi ki te titiro i muri i to ratou hauora. Ētahi mate o wahi biliary me au tōngāmimi, wahi gastrointestinal whakapataritari mumura pancreatic. A, no te e haere tonu te ino o te hauora me te ahua o tohu hihira ki te tākuta, te tango i te whakamātautau e tika ana, me whakamātautau tango i te wahi i whakaritea.

Ko tētahi atu mehua ārai nui - ko ki te whakaiti i te kohi waipiro. Ahakoa iwi tino hauora, tohunga tohutohu kore ki te inu nui o inu waipiro-kei roto. I roto i mate o te wahi gastrointestinal i waipiro me te hiahia ki te whakarere rawa.

I roto i te mutunga, ko reira ia tapao e te pancreatitis (whare hauora, tātaritanga, maimoatanga o te mate) - take akiaki hauora. Ki te whai koe i tetahi tohu suggestive o mumura o te repe taiaki, he mea e tika ana ki te kōrero i te tākuta. Ka taea e te mate Arā meinga pōauautanga nui me te ora-te whakawehi.