Pancreatitis muvana chirwere chinowanikwa. Vana vese makumi maviri vanozviongorora. Ichi chirwere chirwere chokuvhiringidza mumugwagwa wekudya. Muhuduku, chirwere ichi chine maitiro ake. Nzira yaro yakasiyana nedzimwe chirwere chinokura kune vanhu vakuru.
Zvinokonzerwa nekuputika muvana
Kubudirira kwechirwere ichi kunokonzerwa nekugadzirwa kwakanyanya kwemakemikari epancreatic (kunyanya protease) uye kukanganisa kwechiito ichi chinoshanda pane zvakakanganisika zvechigadziko ichi. Somugumisiro wezvokuzviparadza, chepfu uye zvimwe zvinhu zvinoparara zvinokandirwa muropa uye lymph. Kuvhirwa kwepakresi kunowedzera nenzira dzakadai:
- acute;
- chronic;
- reactive.
Yakanyanya pancreatitis muvana
Ichi chirwere chekurwara chinokonzerwa nezviitiko zvinotevera:
- Congenital anomalies - kuchinja kwechirwere muhumi uye kukura kwepascreas. Mukuwedzera, zvinomanikidza uye kubata zvinogona kuonekwa munhengo iyi yekugadzirisa chirongwa. Nokuda kweizvi, zvakabuda zveanzymine pancreatic zvakaoma mumwero wakakodzera mu duodenum.
- Kukuvara kumimba - kunogona kuve nekuputika kwezvimedu zvechirongwa ichi.
- Zvirwere zvepasasitic - "kunyengedza" kwezvipembenene zvinoputika mumatope epancreas. Somugumisiro, pancreatitis yakawanda inowedzera mumwana.
- Gallstone chirwere - kuumbwa kunogona kuvhara mahara, izvo zvinoita kuti chirwere chekudya chirege kurega kushanda zvakanaka.
- Nhamba - munyu inowanikwa inokonzerwa nekudarika kwevhitamini D.
- Zvimwe zvirwere zvemuviri wepamuviri , umo izvo zvinobudiswa zvepancreatic juice zvakaoma uye kupera kwezvokudya kunoitika.
Pancreatitis muvana vane maitiro akaoma anokonzerwa nezvinhu zvakadaro:
- "Kudzika-kudya" kwepascreatic tishu;
- kukanganisa mumuviri wezvokudya zvekudya, zvinokonzerwa nechiito chepfu uye mishonga;
- autoimmune zvirwere.
Kugara pancreatitis muvana
Ichi chimiro chekurwara hachiwanzove mucheche. Kazhinji kazhinji pancreatitis yakadaro mumwana inoitika mushure mekurwara kwenguva pfupi mune fomu yakaoma. Zvisinei, izvi zvirwere zvinowanika mune dzimwe mamiriro. Semuenzaniso, inowanikwa apo kana kuputika kwepencreas mumwana kuchionekwa kwenguva refu. Mune mamwe mazwi, chirwere chisingaperi chisingazogadziriswi kana kusina kukodzera kurapwa kwechikamu chekutanga chechirwere chacho.
Akashanda pancreatitis muvana
Chirwere ichi ndechekuita kwemuviri kusvika kune zvinopfuurira kuvhiringidza. Kuita zvepabonde pancreatitis mumwana kunoitika nokuda kwezvikonzero zvinotevera:
- zvirwere zvinotapukira - hukuya, chibaya, E. coli nezvimwewo;
- kukanganisa kwemitemo yekuyamwisa vana (kusanganiswa kusina kusarudzwa, kutanga kwekudya zvokudya zvakakwana);
- zvokudya zvisina kukodzera - kuvapo mune kudya kwezvokudya zvakabikwa, kusvuta zvishandiso, kudya zvakanyanya;
- kudya michero isina kuibva, majeki nemiriwo.
Pancreatitis muvana - zviratidzo
Zviratidzo zvekuputika kwepascre zvinowanzoenderana nechimiro chechirwere. Icho chiitiko chakaoma chinoperekedzwa nekliniki yakadaro:
- kurwadziwa;
- kushungurudzika nechishuwo chekurutsa;
- kuwedzera kwekushisa kwemuviri;
- kutya;
- nyota yakasimba;
- diarrhea;
- kuchenesa kupfeka parurimi .
Muhupo hwekushanda kwepachikapu, zviratidzo zvinotevera zvinowanikwa:
- kurasikirwa nechido;
- ganda rinosvibira;
- muviri wekupisa muviri unomuka;
- Chiedza chechiedza chinoonekwa;
- mwana wacho anowanzovhiringidzwa nemutsipa;
- rima mashizha mashizha;
- mwana wacho anova akanyanyisa.
Kugara kwepachicreatitis mucheche kune zviratidzo zvakafanana neyemafomu. Inoratidzirwa nekiriniki yakadaro:
- kuzvidzora;
- nausea;
- kurwadziwa;
- kutonhora kunomuka;
- kurasikirwa nechido;
- lethargy.
Pain mu pancreatitis
Kunzvimbo kwechiratidzo ichi kunobva pane zvakasikwa zvekuvhiringidza. Pain in pancreatitis inoitika mushure mechinguva chiduku mushure mekutsvaga zvokudya zvinokuvadza. Nekuwedzera kwehutachiona, chimiro chechinetso chiri kuwedzera. Chimiro chakaoma chechirwere chinoratidzwa nekunzwa kunorwadza mudumbu rekumusoro. Zvishoma nezvishoma, vanotanga kupa muchikamu chakanyatsosimbiswa uye nejaya riri pasi. Kugara pancreatitis mune vana vane nzvimbo shomanana inotaridzirwa yekuwana nzvimbo yekurwadziwa. Zvinorwadza zvinorwadza zvinogona kusiyana zvakanyanya.
Kutonhora mune pancreatitis
Inoshanda sechidziviriro chekudzivirirwa kwemuviri kune kuvhiringidza kunenge kuri kuitika mukati maro. Muuropi, hypothalamus inokonzera thermoregulation. Muchivhiringidziro, muviri unotanga kubudiswa kwe interleukin, chikamu chinochengetedza chinokosha. Anoendesa kune hypothalamus chiratidzo pamusoro pe "vatorwa venyika". Mhuka inopindura kune izvi nechills uye yakawedzera kupisa kushandiswa. Zvose izvi zviratidzo zvekudzivirira muvana zvinogona kuonekwa muhutachiona hwechirwere ichi. Kana chirwere chacho chichienda pane imwe nguva isingagumi, kutonhora kwemuviri kunowira zvishoma.
Kuvhiringidza kwepascreas - kurapwa
Asati asarudzwa kurapwa, chiremba anofanira kuve nechokwadi chekuziva kwekuongororwa. Kuongororwa kunobatsira mune izvi. Inosanganisira zvidzidzo zvakadaro:
- Kuendeswa kwechirwere chekutsvaga ropa kunotsanangurira huwandu hweeukocytes (mukuputira, inowedzera).
- Ultrasound yechipfuva chemuviri, iyo inobatsira kuona kuchinja kwechimiro uye ukuru kwezviviri zvemukati.
- Biochemical blood test, iyo inobvumira kuona hupamhi hwemapase, lipindi uye amylase.
- Ikopi , iyo inenge isina zvokudya zvakasiyana-siyana zvinogona kuonekwa, zvichiratidza kusakwanira kugadzirwa kwemakemikari epacreatic.
- Urine analysis, iyo inobatsira kuziva kuti kuvapo kweAmylase.
Kurapa kwepancreatitis muvana yakaoma uye yakareba nzira. Chinangwa chekusunga zviratidzo zvechirwere ichi, kupa hupakisi nekuzorora kwebasa uye kubvisa maitiro etiological. Inzira yakanyatsoshandiswa inoshandiswa, kusanganisira kushandisa nzira dzakadaro:
- drug therapy;
- chirwere chokurapa;
- vanhu mishonga;
- kurapwa kurapwa (nefomu risina hanya).
Kurwisa kwepachikwereti - rubatsiro rwekutanga
Nzira yekuderedza mamiriro ezvinhu emuviri muduku muhutachiona uye yakaoma chigarire chechirwere chakafanana. Inosanganisira maitiro akadaro:
- Zvakakosha kudzikama mwana ndokumugadzika kuitira kuti muviri uwedzere mberi.
- Bvisa mbatya dzinoita kuti zviome kuti mwana afufure.
- Iwe haugone kufudza mwana wako usati wasvika "ambulensi".
- Zvakakosha kupa imwe hafu yenguva kumwana kunwa (kwete-carbonated mineral water) 50 ml mumwe nomumwe.
- Usatora mwana painkillers asati ambulensi isvika, nokuti izvi zvichaita kuti zvive zvakaoma kufungidzira chirwere.
- Kana kurwisa kuri pamwe chete nekurutsira, usashamba mudumbu (rega zvose zvisiyane).
- Hazvibviri kuisa chishuvo kumimba, nokuti izvi zvichaita kuti mamiriro emapancasi awedzere uye kusimbisa marwadzo.
Kana vabereki, vachiziva kugadzirisa kuputika kwepakreas mune chimiro chakashata chekugara kwenguva refu, haigoni kurwisa nekurwisa mumwana, iwe unofanira kunge uchitsvaga ambulensi. Iwe haugoni kurega! Mukuwedzera, haufaniri kusarudza mishonga inoratidzika, nekuti izvi zvingangowedzera mamiriro acho ezvinhu.
Kugadzirira kwekutengesa
Mishonga yose inofanira kurongerwa nachiremba. Zvinotanga kukutanga kwechirwere muchimiro chejojo, uye vhiki inotevera (apo marwadzo anorwadza anobviswa) zvinodhaka zvekuputika zvinogona kutarisirwa nenzira yemapiritsi. Kazhinji kacho kugadzirira kwakashandiswa:
- painkillers ( No-shpa , Tramal, Analgin, Papaverin, Promedol);
- proteolytic enzyme (Trasilol, Contrikal);
- zvinodhaka zvinoderedza kusunungurwa kweencenatic enzyme (famotidine, Octreotide);
- mishonga inoshandiswa kugadzirisa microcirculation (Dipyridamole, Trental).
Pancreatitis muvana - kudya
Kunyatsogadzirisa kudya kune imwe yemamiriro ezvinhu ekurapa kwechirwere ichi. Apo chirwere ichi chinopera, chiremba anogona kukurudzira "kudya kwemafuro" kwemazuva maviri. Munguva iyi, mwana anokwanisa kunwa kunwa mune zviduku zve sipu zvemvura inodziya pasina gasi (somuenzaniso, Borjomi). Apo "kudya kwechinguva" muchipatara, kunwa kwejusi rinokonzera, rinogona kukanganisa kushandiswa kwemakemikari epacreatic.
Kana chirwere chemwana chichigadziriswa, mwana wacho anotumirwa kune kudya kwekurapa. Mumavhiki maviri okutanga mushure mokubviswa kwepasmiti dzose ndiro dzakagadzirwa pasina munyu. Zvokudya zvekuputika kwepascreas zvinofanira kuva zvishoma (kanomwe ka6 pazuva) mune zvikamu zviduku. Zvokudya zvinofanira kucheneswa kuitira kuti iine mvura kana yega-yakasanganiswa nemvura. Kutanga mukudya kwechecheche kuti apinde iwe unoda peji, somuenzaniso, mapira, iyo inofanira kubikwa mumukaka, yakanatswa nemvura (chiyero 1: 1).
Zvishoma nezvishoma, kudya kwomwana kunogadziriswa nezvidyo zvakadai:
- vegetarian soups;
- proteine omelet yakagadzirirwa kupisa;
- miti casseroles ;
- apulo maapuro akanaka;
- jelly kubva pamuchero mutsva;
- akagadzirirwa pahove dzehove dzakaderera;
- puddings;
- steamed cutlets nyama nezvimwe zvakadaro.
Kwehafu yenguva haibvumirwi kudya zvokudya zvakadaro:
- salinity;
- pâtés;
- chocolate;
- nuts;
- kubika;
- mukaka wakanyoroveswa;
- zvokudya zvekunamatira;
- broths;
- carbonated drinks.
Pancreatitis - mishonga yevanhu
Kubudirira kwakanyanya mukurapa kwechirwere ichi kunoratidza kusanganiswa kweklassical uye mamwe "madhiragi". Tora kuputika muvana vaduku iwe unoda pasi pekutarisirwa kwechiremba. Chiremba anoziva mishonga ipi uye mishonga inogona kubatanidzwa, nokuti kana iwe uchivabatanidza nenzira isina kururama, mwana anogona kukuvadzwa zvakakomba. Kupfuura kubata chirwere chinopisa muvana:
- bark barberry;
- flaxseeds;
- motherwort;
- dill mbeu;
- sage;
- immortelle;
- inflorescences of chamomile;
- calendula;
- St. John's wort uye mamwe mishonga yemishonga.