Ojiji nke ndị na - egbochi ihe na - egbochi ihe ọria

Site na pancreatitis, mmezi nke nchebe na-eduga na mbufụt nke anụ ahụ yana mmepe nke saịtị necrotic.

Iji gbochie usoro ọgwụgwọ dị otú a, ọkachamara ahụ na-edepụta Mgbakọ, Trasilol, Gordoks ma ọ bụ Antagozan. Ojiji nke ọgwụ ndị a maka nchịkwa intraven dị mkpa n’ụbọchị mbụ nke nnukwu pancreatitis.

Endị Enzymes Pancreatic

Isi ọrụ nke pancreas bụ ịrụ ọrụ endocrine (nke ime) na exocrine (mpụga). Ọrụ endocrine gụnyere mmepụta nke homonụ - insulin, nke na-ebelata glucose, na glucagon, nke na-akwalite idobe glucose na umeji.

Ọrụ exocrine nke pancreas bụ mmepụta nke enzymes pụrụ iche (enzymes) maka nri. Ha kwesiri ka ekee ha n’otu n’otu - lipolytic, amylolytic na enzymes proteolytic. Ka anyị tulee n'ụzọ zuru ezu akụkụ nke ọ bụla.

Enzymes Lipolytic. Otu a nwere ọrụ maka mmebi nke abụba abụba na glycerol. Prolipase bụ enzyme lipase na - adịghị arụ ọrụ nke, mgbe ọ banyere duodenum, na - ejikọta ya na colipase.

Lipase na-eme ka enwee salts na trypsin zuru oke. A na-emebisị ihe ndị dị na lipolytic n'ime awa 7-14. Renal glomeruli na-ahụ maka ịkpụcha ha: ha na-akwalite nnabata nke lipase n'ụdị anụ ahụ, yabụ adịghị ahụ ihe ndị dị na lipolytic na mmamịrị. A na - emepụtakwa ihe ndị dị ka lipase site na imeju, akpa ume na eriri afọ.

Enzymes amylolytic. E nwere ọtụtụ ụdị - alfa, beta na gamma amylase. A na-akpọkwa enzymes ndị a sitị. Na usoro mgbaze, ọ bụ naanị alfa-amylase esonye.

A na -emepụtakwa ya na obere ego site na gland dị iche iche, karịsịa mgbe a na-ata ata. Yabụ, na-atọ anyị ụtọ uto mgbe anyị na-ata ata nri nwere stachi- osikapa ma ọ bụ nduku. Site n'enye amylase, usoro ibulite steepụ na carbohydrates ndị ọzọ nwere mgbagwoju anya na -adị mfe.

Enzymes nke Proteolytic. Ọrụ bụ isi otu a bụ ndọkpụ nke protein. Enzymes nke Proteolytic na-atụnye ụtụ na nbibi nke amino asịd dị na peptides na protein. E nwere ụdị nchebe abụọ dị iche iche na mmiri ihe ọ juiceụ pancụ:

1. Peptidase, ma ọ bụ exopeptidase, na-ahụ maka hydrolysis nke ogige mpụga nke peptides.
2. Proteinase, ma ọ bụ endopeptidase, nke na-akụda ihe dị n’ime peptides.

N'ihi ya, lipase, amylase na protease na-emejupụta mmiri ọgwụ a na-eme, nke, mgbe ọ na-abanye duodenum, na-agbajikwa ụmụ irighiri ihe nri ndị dị mgbagwoju anya ka ha dịrị nfe.

Ihe na-akpata ya na ihe mgbaàmà nke pancreatitis

N'ime ahụike, ịgbalite enzymes pancreatic na-apụta na duodenum.

Ọ bụrụ na arụ ọrụ nke amylase, proteinase na lipase na-amalite na pancreas n'onwe ya, anyị nwere ike ikwu maka ọdịda nke akụkụ ahụ.

A na-aghọrọ pancreatitis dị ka ihe mgbagwoju anya nke syndromes na ọrịa ndị na-esonyere ya na ịrụ ọrụ nke enzymes na gland, nke na-eduga usoro nke "mgbaze onwe". N'ihi ya, ha anaghị abanye duodenum ahụ, nri digestion na-ama jijiji.

E nwere ọtụtụ ihe na-eduga ụdị usoro a:

• ị drinkingụ mmanya ugboro ugboro
• ịhapụ iso nri edozi;
• oke oke nri nke nri eghe na abuba;
• iri nri na-edozi ahụ mgbe ị gachara eri nri ma ọ bụ buo ọnụ;
• Nchịkwa ọgwụ ụfọdụ a na - achịkwaghị achịkwa;
• mmerụ nri usoro;
• pathology nke ọrịa.

Site na mmegharị nke enzymes na pancreas, mbufụt na-eme: ọ na-abawanye na nha, mpaghara necrotic na-apụta. Usoro dị otú a enweghị ike ịbụ asymptomatic, na mgbakwunye, enwere mmebi nke eriri afọ.

Site na enweghi ntụpọ nke enzymes pancreatic na duodenum na mbufụt nke pancreas, a na-achọpụta ihe mgbaàmà ndị a:

1. Mgbu na hypochondrium nke aka ekpe, mgbe mgbe ọ na-eme ọrịre.
2. Nnukwu mbelata nkwarụ, ọrịa na adịghị ike.
3. Ọrịa dyspeptik - ịmịcha mmiri, ọgbụgbọ ma ọ bụ ọgbụgbọ, enweghị agụụ, nri ụra.

Ihe mgbaàmà nke ọrịa ahụ nwere ike ịdị iche na-adabere na enweghị enzyme otu:

• Enweghị Amylase na-ebute afọ ọsịsa, ụkọ vitamin, oke ibu. Ahụ ọkụ na-aghọ mmiri, ihe oriri na-esighi ike dị na ya.
• Enweghi oke nke lipase nke na-akụda abụba na-akpata steatorrhea - mmụba na ụba nke abụba dị na oche. Site na pancreatitis, ngiri afọ na-acha ka ọ na-acha odo odo ma ọ bụ oroma, ha na-enwe ọmarịcha imi.
• Site na ụkọ nke nchebe, a na-ahụ eriri protein na-enweghị ihe ọ bụla dị na akwara ndị ahụ. Ihe njiri mara ya bu nmeghari akwara.

Ọ bụrụ na mmadụ achọpụta ihe ịrịba ama ndị ahụ, ọ ga-achọ enyemaka ahụike ozugbo enwere ike. Dọkịta ga-edenye ụzọ maka ule na ọgwụgwọ zuru oke.

Nkịtị Enzyme Enzyme Na-egbochi

Ahụ́ mmadụ na - emepụta ọ bụghị naanị enzymatic ihe na - enyere aka nbibi nke ụmụ irighiri ihe dị mgbagwoju anya, kamakwa ọ na - egbochi mgbochi nzuzo, i.e. ihe ndị na - egbochi oke mmiri ihe ọreatụ pancụ pancreatic.

Ndị na - egbochi enzyme gụnyere pancreatic polypeptide (PPP), YY peptide, somatostatin, glucagon pancreatic, pancreastatin na neuropeptides.

Agwaetiti Langerhans, nke dịkarị na ọdụ nke pancreas, na-emepụta homonụ pụrụ iche, PPP, nke na-egbochi mmepụta mmiri, enzymes na bicarbonates. Ọ na - egbochi mmepụta nke acetylcholine.

Usoro nzuzo PPP na-abawanye n'ụdị ndị a:

1. ya na inye ya nri ma obu iri nri;
2. mgbe mkpali nke irighiri akwara;
3. na acidification nke duodenum;
4. mgbe ekpughere n’ime gastrin na peptide na-ewepu afọ mgbu;
5. mgbe ekpughere ya na nzuzo, cholecystokinin na VIP.

Umlọ ahụ na colon distal na-ahapụ YY peptide ozugbo abụba batara na mgbaze. Peptide a na - enyere aka belata ike nke gland na nsonaazụ cholecystokinin na nzuzo.

Mkpụrụ ndụ Pancreatic D na akpụkpọ ahụ mucous nke akụkụ nri diges na-emepụta somatostatin. Homonụ a na - egbochi mmepụta nke enzymes na bicarbonates. Sistem na akwara autonomic na-ekere òkè na mmepụta somatostatin, ozugbo abụba na amino asịd sitere na nri.

Ndị ọzọ na-egbochi ọgwụ mgbochi na-anọchi anya homonụ ndị dị otú a:

• Pancreatic glucagon, nke na-akwụsị imepụta mmiri, bicarbonates na enzymes.
• Pancreatin, na-egbochi mwepụta nke acetylcholine. A na-emepụta ya na ngwụcha njedebe nke akwara ahụ.
• Neuropeptides, nke nwere peptide calcitonin-information (na-akpali somatostatin) na enkephalins (belata mmepụta acetylcholine).

Site na usoro ndị na-emebi emebi na gland, enwere ike ịmechi ihe nzuzo nke pancreatic enzyme inhibitors, yabụ, a ga-anara ọgwụ.

Cipleskpụrụ nke ọgwụgwọ maka ọrịa anụahụ

Ihe abuo abuo nke ezigbo ọgwụgwọ maka oria a bu nri nri na ogwu. Usoro ọgwụgwọ a na-ewulite n'otu n'otu dabere ogo ọrịa ahụ na mmebi ahụ.

Ihe oriri pụrụ iche maka ọrịa anụ ezi sitere na nri nri 5 dị ka Pevzner si kwuo. Ọ na-ewepụ oke nri nke carbohydrate na abụba oriri, ma na-ezubekwa iri nri protein.

Site na mmalite nke ọrịa pancreatitis na-adịghị ala ala, a na-edenye ụbọchị 3-4 nke ibu ọnụ. N'oge a, ị ga-ajụrịrị iri nri na ị drinkụ mmiri alkaline dị ọkụ, dịka ọmụmaatụ, Borjomi.

Mgbe agụụ na-egbu ya na palọ, a na-ewebata nri ndị dị na nri nke na-agaghị agbari nri nri. A na-ahapụ ndị ọrịa na-arịa ọrịa pancreatitis:

• ụdị anụ na azụ dị iche iche;
• ofe akwukwo nri na ahihia kpọrọ nkụ;
• Achịcha na achịcha ụnyaahụ;
• ngwaahịa skim;
• nkpuru osisi, ahihia na akwukwo nri;
• ọka e ji esi mmiri ma ọ bụ mmiri ara ehi nke skim;
• akwa ke mmachi mmachi;
• efere rosehip, mmanụ a honeyụ ma ọ bụ jam (amachaghị).

Site na mbufụt nke pancreas, ọ dị mkpa ịjụ nri na-eme ka usoro digestive ka njọ:

1. Ngwa ahịa chọkọleti, achịcha, kuki.
2. Achịcha ọhụrụ.
3. Ihe oriri.
4. Ichebe ya, smut meats na pickles.
5. Anụ anụ na -eme nri.
6. Ngwaahịa mmiri ara ehi.
7. Ihe ọ .ụ Carụ Carbonated.
8. Ngwa nri.
9. Ọkpụkọ ọgaranya.
10. E nwere ọtụtụ àkwá.
11. Tii siri ike na kọfị.
12. Uslọ ahịa.
13. Legumes na tomato.

Site na mkpo obi nke pancreatitis na-adịghị ala ala, ọ dị mkpa ịgbaso ezumike ụra.

Ọgwụ maka pancreas gụnyere ihe:

• ndị na - egbochi enzyme iji belata mmegharị nke protein na - egbochi (proteinases);
• ihe ndị na - egbochi ihe na - egbochi akpukpo ukwu nke oghere nke afọ, purulent mbufụt nke omental bursa, mmepe nke pancreatic necrosis na rotly cellulite nke cellulose nke oghere n'azụ peritoneum;
• Ndị na - egbochi H2 iji belata mmepụta hydrochloric acid;
• antacids iji wepu acid hydrochloric n’ime eriri afọ;
• antispasmodics maka nkwarụ akwara nke ire ụtọ nke metụtara ọrụ sphincter na-arụ ọrụ nke ọma na nsị akwara;
• ọgwụ anticholinergic iji gbochie usoro ndị na-adịghị mma na ganglia na cobex cerebral;

Na mgbakwunye, a na-eji ndị enzymatic mee ihe iji melite usoro mgbaze ma kpochapụ ọgba aghara dyspeptik.

Ọgwụ dị irè

N'ụbọchị mbụ nke iwe nke ụdị na-adịghị ala ala, ojiji nke ndị na-egbochi nchebe maka ọgwụgwọ nke ọrịa pancreatitis dị mkpa. Ọgwụ ndị a na-ewepụ ihe kpatara ọdịdị nke mgbu azụ na mgbasa nke saịtị necrotic.

A na-enweta ọgwụ site na pulmonary parenchyma na ehi pancreas.

N'okpuru ebe a bụ ọgwụ kachasị dị irè, usoro ọgwụgwọ nke ọgwụ dibịa na-ekpebi n'otu n'otu. Ha adịghị n'ụdị mbadamba, mana n'ụdị itinye uche ma ọ bụ lyophilisate maka infusion.

A na-eme ọgwụgwọ nke pancreatitis na inhibitors na nlekọta intravenous naanị na ọnọdụ supine. Ọzọkwa, nọọsụ na dọkịta kwesịrị iji nlezianya nyochaa ọnọdụ onye ọrịa. Ekwesịrị ịhụrịrị nri Dika. 5, nke, yana ọgwụ ịgwọ ọrịa, ga - ahụ na ọ ga-enwetara onye ọrịa ahụ gbakee na-enweghị nsogbu ọ bụla.

Etu a gha esi kpoo panreatitis ka ndi okacha mara na vidiyo n’isiokwu a.