Ivhapreas mushure mechiropa ndicho chikuru pane muviri. Mune munhu mukuru, inenge yakareba kusvika 12 kusvika ku12 masikati uye iri pasi pemudumbu panzvimbo yekutanga vertebrae yenharaunda ye lumbar. Basa remuviri nderekugadzirwa kwepancreatic juice, iyo iyo maantimisi anokonzera kuparadzwa kwezvokudya, pamwe nekushandiswa kwamahomoni, kunyanya - insulini.
Zvirwere zvepascreas
Muviri unowanzoita zvirwere zvakadai sokuti:
- kenza;
- cystic fibrosis;
- chirwere cheshuga;
- pancreatitis.
Chirwere chepancreatic chinosanganisira kurapwa nemapiritsi anesthetic chete pane zvisingagoni kushanda, mune dzimwe nguva, kubviswa kwechirwere kunoratidzwa. In cystic fibrosis inofanana nekurapa kwekudya nePancreatin nemamwe maantimisi inoratidzwa. Chirwere cheshuga chiri, chaizvoizvo, kwete chirwere chepancreatic zvakanyanya sechikonzero chekushaya kukwana kwe insulini inogadzirwa nayo.
Saka, chimbofunga kurapwa kwechirwere chakadai sokuputika kwepancreas kana pancreatitis, iyo inogona kumira nemafomu akaoma uye asingagumi.
Kurapa kwekurwadza kwakanyanya kwepascreas
Huru pancreatitis inobatana nekurwadziwa kwakanyanya mumudumbu, kudzokera shure, pamwe nekushushikana, fivhiri, kushaya simba-kureva, zviratidzo zvakaratidzwa zvekumwa kwemuviri, izvo zvinobva pakusunungurwa kwe-enzymes inopa-inouraya inopisa muropa.
Izvi zvinoda nguva pfupi yekupatara. kunyange pasinei nemanzwiro emazuva ano ekurapwa kwezvirwere zvepancreatic, lethality inosvika 7-15%.
Kunakisa pancreatitis kunoreva kudya zvakasimba uye kurapa:
- nzira dzinogadziriswa (detoxification, kubviswa kwepasimasi yemisumbu yakanyorova uye kunzwa kunorwadza, kushandiswa kwemishonga inokonzera kushandiswa kunokanganisa maitiro enzymes);
- kuongororwa - mukunze, kunyanya maitiro akaoma anoshandisa laparoscopy.
Kurapa kwekugara kusaputika kwepascreas
Kana, pane pancreatitis yakaoma, pane mukana wekudzorera kushanda kwakakwana kwesimbi inopisa, chimiro chisingaperi chinofananidzira kupera kusingadzivisiki kwebasa repancreas.
Muzvirwere zvisingaperi, kudya kunoratidzwa. Kuti abvise marwadzo mupakreas, kurapwa kunorayirwa ne-choli- uye antispasmodics: Atropine, Platyphylline, No-shpa, Papaverin.
Kuti abvise dyspepsia (kusagadzikana kwemudumbu) kutora antacids (Almagel, Phosphalugel nemamwe makemikari ealkaline), pamwe neH2-blockers (Ranitidine, Famotidine).
Kana imwe nguva kuwedzerwa kubviswa uye chirwere chinorwadza chinomiswa, kugadzirira kweboka remakemikari yekurapa kwepancreas inorayirirwa: Creon, Panzinorm nemafananidzi ayo, Pankurmen.
Kutenda nekurapa kwepakreas nemishonga ine enzyme muhutano hwavo, zvinokwanisika kubvisa kana kuderedza dyspepsia, kurongedza nzira ye calorification uye kudzorera hutano hwehutano hwakanaka. Varwere vane chirwere chisingaperi chepancreatitis vanofanira kuramba vachirapa enzyme kwenguva yakareba, sezvo kubviswa kwekuwedzera kwakanyanya kunoda vhiki 3-5, uye kupera kukwana kunotora mwedzi 6-12. Zvose izvi nguva ino unoda kutora enzymes.
Kurapa mune zviitiko zvakasiyana
Dzimwe nguva kuputika kwepascreas kunowanikwa nehutachiona, uye zvino vanotaura pamusoro pekugadzirwa kwecholangitis kana peripancreatitis. Zvayakaongorora zviratidzo, chiremba anorayira pancreas kurapwa nemapiritsi (kana zvakanyatsonaka - mazano ejojekiti) yeboka remishonga inorwisa mabhakitiriya: Ampiox, Cefobide, Cefuroxime, Doxycycline, Cefspane.
Kana kuputika kwepancresi kunofambidzana ne edema yayo, therapy intiferment inoshandiswa nekushandiswa kweContrikal, Gordoksa. Kuti abvise kurwadziwa kukuru, shandisa Analgin kana (mumamiriro ezvinhu akaipisisa) zvinodhaka zvinodhaka.