I-pancreas emva kwesibindi iyona enkulu kunazo zonke emzimbeni. Kumuntu omdala, ubude buba ngu-12-14 cm futhi bukhona ngaphansi kwesisu ezingeni le-vertebrae yokuqala yesifunda se-lumbar. Umsebenzi womzimba ukhiqizwa ujusi we-pancreatic, okuqukethe ama-enzyme okubangela ukuwohloka kokudla, kanye nokuhlanganiswa kwama-hormone, ikakhulu-i-insulin.
Izifo zama-pancreas
Umzimba ujwayele izifo ezifana nalezi:
- umdlavuza;
- i-cystic fibrosis;
- isifo sikashukela;
- i-pancreatitis.
Umdlavuza we-Pancreatic uhilela ukwelashwa ngamaphilisi e-anesthetic kuphela endaweni engasebenzi, kwezinye izimo, ukususwa kwesisu kukhonjisiwe. Ku-cystic fibrosis ehambisana nokuphathwa kokwelapha nge-Pancreatin nezinye izinyimba eziboniswayo. Isifo sikashukela singakhulumi kakhulu ngesifo se-pancreatic ngenxa yesilinganiso esinganele se-insulini esikhiqizwa yiyo.
Ngakho-ke, cabangela ukwelashwa kwesifo esinjengokuvuvukala kwe-pancreas noma i-pancreatitis, engamelwa ngamafomu acuthakathaka nesiguli.
Ukwelashwa kokuvuvukala okukhulu kwama-pancreas
Ukususwa kwe-acute okumangalisayo kuhambisane nobuhlungu obunzima esiswini, ukubuyisela emuva, kanye nesisulu sokudla, isifo somkhuhlane, ubuthakathaka obukhulu - okungukuthi, izimpawu ezibonakalayo zokudakwa komzimba, okuvela ekukhululweni kwe-enzyme yokugaya inyama egazini egazini.
Lesi sifo sidinga ukunakekelwa ngokushesha esibhedlela. ngisho naphezu kwendlela yesimanje yokwelashwa kwezifo ze-pancreatic, ukubulala kufike ku-7-15%.
I-pancreatitis evelele isho ukudla okuqinile nokuphathwa:
- izindlela ezizongayo (ukususwa kwe-detoxification, ukususwa kwe-spasm ye-muscle ebushelelezi nokuzwa okubuhlungu, ukusetshenziswa kwezidakamizwa ze-cytostatic ezivimbela ukuhlanganiswa kwama-enzyme);
- ukuhlinzwa - ezindaweni ezikude, ikakhulukazi amacala ahlasela i-laparoscopy.
Ukwelashwa kokuvuvukala okungapheli kwama-pancreas
Uma, lapho i-pancreatitis ephuthumayo, kunethuba lokubuyisela ukusebenza okugcwele kwegciwane elivuthayo, ifomu elingapheli ligcizelela ukuqedwa okungenakugwemeka kwemisebenzi ye-pancreas.
Lapho ukuvuvukala okungapheli, ukudla kukhonjisiwe. Ukuze kususwe ubuhlungu ema-pancreas, ukwelashwa kunqunywe ngama-choli- kanye nama-antispasmodics: Atropine, Platyphylline, No-shpa, Papaverin.
Ukuqeda i-dyspepsia (okungavamile kwesisu) kuthatha ama-antacids (i-Almagel, i-Phosphalugel namanye ama-alkaline compounds), kanye ne-H2-blockers (i-Ranitidine, i-Famotidine).
Uma ukukhushulwa kususwe futhi isifo sezinhlungu simiswa, ukulungiselela iqembu le-enzyme yokwelashwa kwe-pancreas kunqunywe: i-Creon, i-Panzinorm kanye nezifanekiselo zalo, iPankurmen.
Ngenxa yokwelashwa kwama-pancreas ngezidakamizwa ezinamabhomu enomzimba ekubunjweni kwawo, kungenzeka ukuba aqede noma anciphise i-dyspepsia, ivuselele inqubo ye-calorification futhi ibuyiselwe isisindo somzimba enempilo. Iziguli ezine- pancreatitis ezingapheli zidinga ukuqhubeka ukwelashwa kwe-enzyme isikhathi eside, ngoba ukunciphisa ukucindezeleka okukhulu kudinga amaviki angu-3-5, futhi ukuphela kokuphela kuthatha izinyanga ezingu-6-12. Konke lokhu kudingeke uthathe ama-enzyme.
Ukwelashwa ezimweni ezikhethekile
Ngezinye izikhathi ukuvuvukala kwe-pancreas kufakwe ukutheleleka, bese bekhuluma ngokuthuthukiswa kwe-cholangitis noma i-peripancreatitis. Ngemva kokuhlola izimpawu, udokotela ubeka ukwelashwa kwamaphakheji ngamaphilisi (noma ngokuqondile - izixazululo zamagciwane) weqembu lama-antibiotics: Ampiox, Cefobide, Cefuroxime, Doxycycline, Cefspane.
Uma ukuvuvukala kwe-pancreas kuhambisana ne-edema yayo, ukwelashwa kwe-antiferment kusetshenziselwa ukusetshenziswa kwe-Contrikal, Gordoksa. Ukuze ususe ubuhlungu obukhulu kakhulu, sebenzisa i-Analgin noma (ezimweni ezimbi kakhulu) izidakamizwa zezinambuzane.