Mene ne kwanciyar hankali? Cutar cututtuka, magani

A cikin tsarin cututtuka na kwayoyin narkewa, yawancin kashi daga 5.1 zuwa 9% na daga cikin ciwon kwalliya (CP). Tare da wadannan ciwo, ƙuƙwalwar ƙwayar cuta ta shafi, ƙaddamarwa na farawa. A sakamakon haka, a cikin jiki faruwa degenerative canje-canje. Da farko, tsari na ilimin lissafi zai iya faruwa a cikin wutsiyar pancreas, kansa ko kuma tsakiya. Sakamakon cutar ita ce kawar da dukan kwayoyin halitta. Wasu mutanen da ke sha wahala daga mummunan mummunar cuta na ƙarshe sun mutu. Halin da ake ciki a duniya a kan matsakaici yana da kimanin 11%.

Ƙarin game da cutar

Don haka, menene cikewar kwanciyar hankali? A wannan lokaci, kwararru sun tsara dukkanin rukuni na pancreatic. Duk wani ciwo yana cikin siffofin da ke ciki:

• lokaci-m hanya tare da aukuwa na m pancreatitis .
• Hanyar hankali, raguwa ko rarraba raunuka na parenchyma pancreatic kuma maye gurbin tare da nama mai haɗawa;
• Canje-canje a cikin tsarin sakon kwayoyin;
• Halitta na cysts, pseudocysts, duwatsu da cikakkun bayanai;
• Ƙaddamar da endocrine da exocrine insufficiency.

Gaskiyar cewa akwai nau'o'in cututtuka daban-daban na Ƙididdigar Ƙididdigar Duniya ta goma. Hanyar kwanan nan ICD-10 ta rabu zuwa:

• HP na ilimin ilimin giya (lambar K86.0);
• Sauran CP yana da ciwo mai rikitarwa, maimaitawa, maimaitawa, ba'a bayyana ilimin halitta ba (lambar K86.1).

Abubuwan da suka fi dacewa da ke haifar da pancreatitis na kullum

Mafi sau da yawa, cutar ta auku saboda cin zarafin giya don dogon lokaci. A maza, na kullum pancreatitis, pancreatic ciwon daji zai iya ci gaba idan suka sha fiye da shekaru 15. A cikin mata, yiwuwar rashin lafiya zai kara yawanci giya don fiye da shekaru 10.

Barasa ba shine kawai abin da ke taimakawa wajen haifar da pancreatitis ba. Dalilin cutar zai iya shan taba. Abubuwa da suke shigar da huhu tare da hayaki sun shiga jini kuma suna yada cikin jiki, suna da mummunar tasiri a kan dukkanin gabobin ciki, ciki har da pancreas.

Sauran haddasa cutar

Wasu dalilai da ke haifar da mummunan ƙwayar cuta (code for ICD-10 - 86.0 da 86.1) sun haɗa da:

• Amfani da kayan abinci mai hatsi, abinci mai gina jiki maras tsawo;
• Cututtuka daban-daban na gastrointestinal fili (neoplasms, cholecystitis, da dai sauransu);
• Nauyin kiba, kiba;
• Shan wasu magunguna (Azathioprine, Furosemide, Prednisolone, isrogens roba, Erythromycin, Ampicillin, da dai sauransu);
• Kamuwa da cuta tare da ƙwayoyin cuta (cytomegalovirus, hepatitis B cutar, C, da sauransu).

Nazarin da aka gudanar a cikin 'yan shekarun nan sun nuna cewa akwai alamun da ke ci gaba da haifar da pancreatitis pancreatitis. Wannan mummunan cuta ne wanda ba shi da cikakken cikawa (tare da bambancin jigilar mahaifa a cikin siffar masu karuwa). A cikin marasa lafiya da halayen dan Adam wanda ke cike da kwanciyar hankali yana nuna kanta a farkon wuri. Duk da haka, mataki na ƙarshe ya zo daga baya fiye da wasu nau'in cutar.

Nau'i na pancreatitis

Akwai bambancin bambancin cutar. Daya daga cikin su shine jerin siffofin da ke tattare da pancreatitis na kullum:

1. Maimaitawa. Yana faruwa a 55-60% na lokuta. Tare da wannan nau'i, lokutan gyarawa an maye gurbinsu ta hanyar rikicewar tsarin tsarin ilimin lissafi.
2. Mai ciwo mai raɗaɗi. Wannan nau'in yana samuwa mafi yawa sau da yawa (a cikin kashi 20 cikin dari). Tare da ita, marasa lafiya suna kokafin ciwo mai ciwo da aka gano a cikin rabin rabi na ciki kuma yana haskakawa cikin baya.
3. Pseudotumoral (icteric). Halin da wannan nau'i na kwanciyar hankali ya kasance kashi 10%. Hanyar ilimin ilimin lissafi ta halin da ake ciki shine ci gaba da ƙonewa a saman kango da kuma matsawa na ƙwayar bile na kowa.
4. Painless (latent). An bayyana nauyin a cikin 5-6% na lokuta. Cutar da cutar tana da taushi ko a'a. Lokaci-lokaci akwai dyspepsia saboda pancreatic malfunctions.
5. Sclerosing. Da wannan nau'i na ciwo yana faruwa a cikin babba na ciki. Suna ƙaruwa bayan abinci. Pain yana tare da motsa jiki, kwaskwarima, asarar nauyi. Lokacin da aka gudanar da nazarin duban dan tayi, kwararru sun lura da raguwa da girma da kuma karami na pancreas.

Bisa ga matsayin Marcel-Roman, akwai nau'i na pancreatitis, kamar calcific, obstructive, parenchymal da fibrosis. A farko daga cikinsu, an lura da kututtukan ƙananan launi na pancreas. Tsaro, kyakoki, calcints, duwatsu suna bayyana a cikin ducts. Mene ne kwanciyar hankali na kwanciyar hankali a cikin nau'in ɓarna? Tare da irin wannan cuta, ingancin ciki yana shafar ko'ina. Ba a kafa dutse ba, an hana tsangwama daga cikin ƙananan katako. A cikin ɓangaren ɓarna, ɓangaren ƙonewa yana ci gaba a cikin parenchyma. Ba a kafa kwasfan bayanai ba, ba a shafi tsarin layin ba. Domin fibrosis, maye gurbin parenchyma na jikin ciki tare da nama mai haɗi yana da halayyar. Saboda wannan tsari, exo-da endocrine insufficiency progresses.

Cutar cututtuka na cutar

Da yake magana game da ciwon kwanciyar hankali, yana da daraja la'akari da alamun wannan ciwo. Rikici ya faru a farkon matakan lokacin exacerbations. Suna lalacewa da ciwo a cikin yankin yankin. A mafi yawan lokuta, suna haskaka baya. Yawancin ƙasa kaɗan ana lura da shingles. A cikin mutanen da ke fama da mummunan mummunar cuta, haɗuwa yakan faru ne saboda tasiri akan jiki na haifar da al'amura. Su ne liyafar kayan abinci masu kyau, da giya da kuma abin sha.

Ciwo na cututtuka kuma halayyar cutar. Kimanin kashi 56 cikin 100 na marasa lafiya suna rahoton tashin hankali da kuma zubar da jini. A cikin kashi 33 cikin dari na asarar hasara yana kiyaye, a cikin kashi 29% - flatulence, a cikin kashi 27% - rage yawan ci. Tare da ciwo, bayyanar cututtuka irin su rauni na kowa, gajiya, rage ikon yin aiki na iya bayyana.

Hanyar ci gaba da kwanciyar hankali

Masanan sun bambanta 4 matakai a ci gaba da cutar:

1. Tsarin da aka yi. A wannan mataki, marasa lafiya ba su lura da alamun cututtuka na rashin ciwo. Ana iya gano cutar ta hanyar bazuwa a lokacin jarrabawar duban dan tayi ko lissafin rubutu na ɓangaren ciki.
2. Matsayin farko na bayyanar da ci gaban irin wannan cuta kamar yadda ake ci gaba da haifar da pancreatitis. Manya a wannan lokaci suna fara azabtar da alamar cutar ta farko. Tsawancin mataki zai iya zama shekaru da yawa. A wasu lokuta, cutar tana cigaba da sauri.
3. Stage na ci gaba na akai na asibiti bayyanar cututtuka. A cikin marasa lafiya, akwai alamun endocrin da exocrine insufficiency. Mutane suna ci kadan, kokafin ciwo na ciki.
4. Matakan karshe. Raunin ya zama ƙasa da ƙira. Mutane suna da nauyi sosai. A mataki na karshe, akwai matsaloli daban-daban na mummunan ƙwayar cuta saboda ciwon daji na pancreas, endocrine da exocrine insufficiency. Ɗaya daga cikin su shine ciwon daji na wannan ɓangaren ciki.

Dangane da irin yanayin da ake ci gaba da ci gaba da ciwo mai tsanani, ƙwayar hanya mai kyau, matsakaici na matsakaici da kuma mummunan yanayin da cutar ke da shi. Tare da sauƙi mai sauƙi, lokutan lokuta mai tsanani ya faru (1-2 sau a shekara). Raunin yana da m. Ayyuka na pancreas ba a keta su ba.

Mene ne kwanciyar hankali na matsananciyar matsananci? Wannan cuta, wanda akwai 3-4 exacerbations a kowace shekara. Sun fi tsayi fiye da rashin kwanciyar hankali. A cikin marasa lafiya, nauyin jiki yana raguwa. Ayyukan exocrine na pancreas yana raguwa da matsakaici, ana lura da hyperfermentemia pancreatic.

A cikin mummunar cututtukan cututtukan, cututtuka suna da yawa kuma suna da tsawo. Pain yana tare da ciwo na dyspeptic alama.

Jiyya na cutar: a raga da kuma matakan da suka dace

A cikin kwanciyar hankali na yau da kullum, an umurci farfadowa don cimma burin da ke biyo baya:

• Ragewar bayyanuwar asibiti na cutar;
• Rigakafin sake dawowa;
• Rage yiwuwar rikitarwa na cutar.

Masanan sun rubuta wa marasa lafiya marasa lafiya, maganin magani. Idan ya cancanta, tiyata an yi. Yin jiyya na kwanciyar hankali a cikin manya za a iya aiwatar da su a gida da kuma asibiti. Bayyanawa ga asibiti shine sauya yanayin cutar zuwa mataki na gwaji, domin a wannan lokacin akwai barazana ga rayuwar mai haƙuri kuma akwai bukatar kula da magungunan iyaye.

Amfanin marasa magani

A cikin maganin pancreatitis na kullum, abinci mai taka muhimmiyar rawa. A yayin da aka bayyana lokuta masu yunwa (1-3 da karin) kuma an nuna alamar alkaline mai yawa. Alamun sune iyaye ne ko na jiki (abincin abinci mai gina jiki cikin babban hanji ta yin amfani da bincike na musamman). Godiya ga wannan ma'auni, yana yiwuwa a dakatar da mugunta na pancreas, rage maye kuma ya zama ciwo mai ciwo mai rauni.

Bayan da aka kwatanta da yanayin, mutane masu lafiya suna canjawa zuwa abinci mai gina jiki. Abinci ya kamata ya zama m, raba. Aikin yau da kullum an yi shi ne da miyagun soups, kayan lambu mai tsabta, da ruwa mai shayar da ruwa. Daga sha an yarda dashi, jelly, shayi mai sha, ruwa mai ma'adinai, broth of wild rose.

Wadannan samfurori ne dole ne a ware su:

• Bayyana flatulence;
• Samun a cikin abun da suke ciki shine m fiber;
• Yada hankalin samar da juices masu narkewa;
• Rashin arziki a cikin abubuwa masu yawa.

Shin zai yiwu a sami kifi da nama, kayan naman kaza da kayan kayan lambu mai karfi, abinci mai gwangwani, nama mai naman alade, tsiran alade, kifi mai kifi da nama, kayan abinci mai laushi, kayan lambu da 'ya'yan itatuwa a cikin nau'i mai kyau, gurasa mai naman alade, kayan ado, burodi marar gurasa idan akwai ciwo mai tsanani? Duk waɗannan samfurori sun haramta lokacin da cutar ta damu, saboda haka ya kamata a bar su. Har ila yau kana buƙatar cire daga kayan kayan yaji, ice cream, barasa.

A lokacin gyare-gyaren, cin abinci ya sauya sauƙi. Mutanen da ke da asali na "pancreating pancreatitis pancreatitis" an yarda su ci gurasa, kayan lambu da 'ya'yan itatuwa da kayan lambu, daɗaɗɗa mai yalwa, kifin kifi. Za a iya maye gurbin soups tare da talakawa mai cin ganyayyaki (kabeji daga sinadaran dole ne a cire). Porridge zai iya zama mai friable, mafi muni.

Pharmacotherapy na kullum pancreatitis

Ayyukan maganin miyagun ƙwayoyi a mataki na farko shi ne samar da dormancy aiki na pancreas. An samu wannan ta hanyar:

1. Hanyar manyan maganin da ake amfani da shi a yau. , «Креон » , «Панцитрат » . Wadannan kwayoyi hada da "Mezim forte", "Creon", "pantsitrat".
2. , «Фамотидина » ) или ингибиторов протонной помпы («Омепразола » , «Эзомепразола » ). Matsakaicin hanawa daga ciki acid mugunya via H2-tsoka mai amsa sigina blockers, histamine ( "Ranitidine", "famotidine") ko proton famfo hanawa ( "Omeprazole" "esomeprazole"). Ana amfani da kwayoyi a cikin iyaye ko kuma an ɗauka cikin ciki.
3. или «Сандостатина » . A gabatarwar da "Octreotide" ko "Sandostatin". Wadannan kwayoyi sune analogues na roba na hormone somatostatin. Godiya ga su, hauhawar jini a cikin tsarin gurguzu na rage yawan ƙwayar cuta, kuma saboda haka, an rage zafi kuma ya tsaya.

Idan matakan kiwon lafiya da nufin rage raunin hanzari ba su da wani mummunan sakamako, likitoci sun rubuta labaran kwayoyi ko narcotic analgesics. "Analgin", "Ketoprofen", "Paracetamol" - duk wani magani don kwanciyar hankali na yau da kullum na likita daga likita na farko. Na kwayoyi na zuwa narcotic analgesics, za a iya zaba "Promedol," "Tramal", "FORTRAN".

Yin jiyya na ciwon kwanciyar hankali a cikin tsofaffi na iya hada da maye gurbin maganin polyenzymatic. Indiya don alƙawari - ƙaddarar da feces fiye da 15 grams na mai a kowace rana, cututtuka, rashin hasara mai nauyi. Shirye-shiryen gyaran gyare-gyare sune Abomin, Forte-N, Creon, Pancreatin, Festal, Pankreoflat, Digestal, da Wobenzym.

M magani na cutar

A wasu lokuta, ciwon kwanciyar hankali yana bukatar tiyata. Alamun sune:

• Pain wanda ba ya daina da kwayoyi da abinci;
• Gabatar da abscesses da cysts a cikin pancreas;
• Rashin ƙaddamar da bile ducts, wadda ba za'a iya warware ta hanyar hanyar endoscopic ba;
• Stenosis na duodenum;
• Fistulas a cikin pancreas tare da ci gaba da ƙarfafa ko kuma ascites;
• Sanƙarin ciwon daji, ba a tabbatar da shi ba a cikin yanayi ko tarihi.

"Kullum pancreatitis, cututtuka da kuma magani ga manya" - wani muhimmin likita batun cewa bukatar da hankali. Wannan mummunan cututtuka ne, hanyar ci gaba da rashin karɓuwa. Duk da haka, magani yana da mahimmanci. Yana ba da damar yalwata rayuwar mutane marasa lafiya, sauƙaƙe daga cikin alamu marasa kyau wanda ke nuna alamun rashin ciwo. Alal misali, idan kun bi shawarwari don cin abinci, ƙi barasa, maganin maganin miyagun ƙwayoyi, marasa lafiya sunyi shekaru 10. Rabin wadanda basu nemi taimakon likita ba kuma suna cigaba da shan barasa, shan taba, ci cike, mutu kafin wancan lokaci.