Pancreatic jakisoni wa kapamba

Kutupa kwa pancreatic kumatchedwa pancreatitis. The pachimake mawonekedwe a matenda limodzi ndi sclerotic, kutupa ndi necrotic ziwalo kuwonongeka. Chomwe chimapangitsa izi ndi kusatuluka kwamadzi mu duodenum. Ndipo pali kuwonjezeka kwa kukakamiza mu ma ducts, kuwonongeka kwa ma cell a chiwalo. Izi zimatsogolera ku autolysis ndi necrosis yamitsempha yama minofu.

Chizindikiro chachikulu cha matenda am'mimba ndicho kupweteka kwa m'chiuno. Zimayaka kupitirira kumbuyo kwa sternum kapena kulowa m'dera la mtima. Kukula kwa kupweteka kwambiri kumawonjezeka ndi kupitilira kwa mtundu wa hemorrhagic wamtundu wotopetsa wa matenda. Mitsempha ya minyewa ya m'matumbo ikaphimbidwa ndi necrosis, zomverera zowawa zimakhala zochepa.

Kodi chiopsezo cha kapamba

Ndi chitukuko cha hemorrhagic pancreatic necrosis, zotsatira zowopsa zimachitika patadutsa maola 24 atatha kuyambika kwa zizindikiro zoyambirira. Ngati wodwalayo akufuna thandizo, zizindikirazo zitha kuyimitsidwa mu gawo 1. Matendawa akamakula, pamakhala chiwopsezo chotenga:

1. Peritonitis.
2. Necrosis wam'mimba.
3. Kulephera kwa chiwindi.
4. Edema GM.
5. Kulephera kwina.

Kuthekera kwa kufa mu mawonekedwe owopsa a matendawa ndi 15%. Ndi necrosis yathunthu, wodwalayo amafa 70% ya milandu. Nthawi zina pamsana ndi kapamba, pankakhala matenda a shuga kapena matenda ashuga.

Thandizo lachipatala la kapamba

Chithandizo cha matenda awa chimachitika ku chipatala. Pambuyo pokhazikika pamatenda a wodwalayo, adokotala amapita kuti athetse matenda omwe amayambitsa. Kupweteka kosaletseka kumachotsedwa ndi analgesics. Kubwezeretsa thupi pambuyo pancreatic kuukira, wodwalayo amaikidwa madzi amadzimadzi okhathamiritsa. Izi zimathandiza kupewa kufooka kwa thupi pakuchepa thupi.

Ma ambulansi isanafike, wodwala amayenera kuyika compress yozizira pamimba yapamwamba. Kuzizira kumachepetsa ululu, kumathandizira kuchepetsa kupanga michere yazakudya m'thupi. Ngati ululu sukupilira, amaloledwa kutenga 1-2 cap. nitroglycerin. Mwakutsatira, mutha kulowa No-shpa kapena Papaverine.

Jakisoni wa Antispasmodic

Kugwiritsa ntchito jakisoni wa antispasmodic mu pancreatitis pachimake sikuti chifukwa cha ma analgesic kwenikweni. Zimathandizanso kupumula kwamatenda a ziwalo zamkati. Kukhazikitsidwa kwakanthawi kwa antispasmodics kumathetsa chiopsezo cha necrosis. Nthawi zambiri, wodwalayo amapatsidwa jekeseni:

Kupereka jakisoni wa Nitroglycerin kumathandizira kuti mpumulo wa sphincter wa hepatic-pancreatic ampoule.

Chithandizo cha jakisoni wa analgesic

Kuchulukitsa kwa matenda a zam'mimba kumaphatikizapo kukhazikitsidwa kwa Paracetamol, Baralgin, Analgin. Majakisoni amenewa amathandizira kuti ma spasms amasulidwe kuchokera kuzinthu zachiwalo komanso kutulutsa kwa madziwo kupita ku duodenum.

Mankhwalawa amaphatikizidwa ndi antihistamines. Kugwiritsa ntchito diphenhydramine, Suprastin, Tavegil ndikulimbikitsidwa. Amakhala ndi mphamvu zotsitsa komanso antiemetic.

Pofuna kuchepetsa kupweteka komanso kuchepetsa kubisala kwa thupi, jakisoni wa Sandostatin amaperekedwa kwa wodwala. Mankhwalawa amathandizidwa mosavuta, osapitirira katatu kapena maola 24. Ngati wodwala akuvutika ndi ululu wosapweteka, adayikidwa kuti agwiritse ntchito Tramadol kapena Promedol. Mankhwalawa ali ndi vuto la narcotic. Kutalika kwa mankhwala ndi masiku atatu.

Zogulitsa Pancreatic

Jekeseni wa kapamba zimapangidwira sikuti amangoletsa kumva kupweteka. Ndi nthawi yayitali, matendawa amasintha kukhala mawonekedwe osakhazikika. Izi zimathandiza kuchepetsa kuchuluka kwa insulin m'mwazi, pambuyo pake shuga.

Matenda a kapamba amaphatikizira jakisoni wa insulin. Pakuchulukitsa kwa matendawa, maantibayotiki amapatsidwa wodwala. Mankhwala amphamvu kwambiri ndi Gentamicin. Amabayidwa m'matumbo 2-4 nthawi / tsiku. Cholinga cha mankhwalawa chimathandizira kupewa mawonekedwe a purulent.

Kukhazikitsidwa kwa Contrycal kwa kapamba

Kontrikal ndi kukonzanso kwa bungwe la mankhwala ku Croatia Pliva Khrvatsk doo. Kudya kwake kumakhudza kugwira ntchito kwa ma pancreatic Enzymes. Pulogalamu yamankhwala omwe amapezeka mankhwalawo amaphatikizapo proteinolysis inhibitors ndi he hetaticatic agents.

Contrical imapezeka mu mawonekedwe a lyophilisate yankho lomwe limapangira jakisoni. Dzina lodziwika bwino ndi Counter-ampoule. Amalembera kapamba. Chomwe chimagwiritsa ntchito mankhwalawa ndi aprotinin, ndipo gawo lothandizira ndi mannitol. Kuphatikizika kwawo kumapereka lyophysilate. Wosungunulidwa kale ndi zosungunulira, umalowetsedwa m'mitsempha ya wodwala.

Zofananira wamba zimaphatikizapo Gordoks, Pantripin, Respikam. Gordox ndi yotsika mtengo kuposa Contrakal, koma imayambitsa ziwengo. Pantripine imagwiritsidwa ntchito poletsa pancreatic necrosis.

Zizindikiro ndi contraindication

Kontrikal ndi mankhwala apadera omwe amagwiritsidwa ntchito pochiza ndi kupewa kapamba:

• aakulu kupezekanso kapamba,
• kapamba,
• kapamba pachimake,
• hemorrhagic mantha,
• kuwonongeka kwakukuru kwa minofu.

Mankhwala amapatsidwa kuti aletse kudzimbidwa kwa ndulu. Komanso, jakisoni amaperekedwa kwa wodwala poletsa postoperative pancreatitis.

Mankhwalawa amatsutsana pokhudzana ndi chidwi cha aprotinin. Palibe jakisoni wolembedwa mu 1 trimester komanso mkaka wa mkaka. Zotsatira zoyipa kwambiri ndizoyambitsa thupi.

Kodi mankhwalawa amagwiritsidwa ntchito bwanji?

Wodwala ndi mankhwala otsitsira kapena jakisoni a Contrikal mu kapamba kapamba. Mlingo wa mankhwalawa ukhoza kukhazikitsidwa potsatira mfundo zapakati. Kwa nthawi yayitali, mlingo waukulu wa mankhwalawa umaperekedwa kwa wodwala, womwe ndi 300,000 ATPE. Kenako imatsikira mpaka 30,000 ATPE.

Mu chifuwa chachikulu cha pancreatitis, mlingo woyambira umasiyana kuchokera ku 200,000 mpaka 300,000 ATPE. Mlingo wokonza, womwe umachepetsedwa nthawi 10, umaperekedwa pa ola limodzi. Ndi kuchulukitsa kwa mtundu wodwala wamatendawa, kuchuluka kwake kumasiyana kuchokera pa 25,000 mpaka 50,000 ATPE / maola 24. Njira ya mankhwalawa ndi masiku 3-6.

Ndikutulutsa magazi m'mimba, mulingo ndi 1,000,000 ATPE. Kenako wodwalayo amapatsidwa dontho, lomwe limapereka ndalama mwachangu 200,000 ATPE / 60 min.

Mankhwalawa amaperekedwa pamene wodwala ali pamalo opingasa. Mlingo wa makonzedwe ake a mankhwalawa amasiyana pakati pa 5-10 ml / m. Mankhwala okonza amaperekedwa pogwiritsa ntchito dontho. Munthawi ya achire, ndikofunikira kuyambitsa 7,000,000 ATPE kwa wodwala. Odwala omwe amakonda kuyanjana, nthawi yomweyo amafunika kutenga Zyrtec kapena Suprastin.

Malangizo pazakudya

Mwanjira yodwala, wodwalayo amaloledwa kudya pokhapokha masiku 4-5. Izi zisanachitike, mutha kumwa madzi ochepera mchere wopanda mafuta. Wodwala amafunikira kuti azitsatira pancreatic zakudya. Chakudya chomwe chili ndi mapuloteni osavuta kugaya amayenera kuwotchera.

Mwanthawi yayitali, zakudya zimatsatiridwa kwa zaka zingapo. Zakudya zokazinga, zonunkhira, chiwindi cha nkhuku, mowa samayikidwa. Mutha kudya nsomba zotsamira, nyama, masamba.

Jakisoni wa Antispasmodic

Ma jakisoni a Antispasmodic ochokera ku kapamba kapamba amagwiritsidwa ntchito chifukwa chotsatira:

1. Mankhwalawa amathandizira kutha kwa zowawa. Zotsatira zake, wodwalayo amayamba kumva bwino.
2. Komanso, kukonzekera kwamtunduwu kumathandizanso kupumula minofu ya minyewa, chifukwa chomwe njira yodutsa pancreatic madzi mumgawo ingayambitsiridwe.

Nthawi zambiri, jakisoni wotsatira wa spasmolytic ayenera kugwiritsidwa ntchito pochotsa ziphuphu:

Platyphyllinum. Mankhwalawa amagwiritsidwa ntchito pokhapokha ndikuyang'anira dokotala. Pofuna kuti mankhwala azikondweretsa. Wodwalayo akulimbikitsidwa kuti apange jekeseni wa 1-2 mamilimita a yankho la 0.2% mosadukiza. Nthawi yovulala iyenera kukhala maola 12.

Odeston. Mankhwalawa amalimbikitsa chimbudzi ndi kuthetseratu kwa bile, amabwezeretsa kukhathamiritsa kwa Oddi, amachotsa kukokana ndikuchotsa zisonyezo monga kupweteka, kusanza, nseru, kutsekula m'mimba ndi kuphwanya mseru. Izi zimathandiza kupewa kukula kwa kuphatikizana kwa kapamba monga cholecystitis.

Metacin. Mlingo umodzi wambiri wa mankhwalawa ndi mamiligamu awiri. Palibe mankhwala opitilira mamililita 6 omwe angagwiritsidwe ntchito patsiku wodwala aliyense. Chifukwa chake, masana, jakisoni wopitilira muyeso sangathe kupitirira jakisoni atatu.

Atropine Yankho la 0.1% mu ampoules tikulimbikitsidwa. Itha kuperekedwa kwa wodwala mosadukiza. Chithandizo chotere nthawi zambiri chimaphatikizidwa ndikupereka mankhwala a analgesic. Mlingo umodzi wa Atropine ndi gawo limodzi lokha lamankhwala. Ngati ndi kotheka, jakisoni amatha kubwereza pambuyo pa maola 3-4.

Ayi-Shpa. Amamasulidwa, onse ngati njira yothetsera jakisoni wamkati, komanso makonzedwe amkati. Mpesa wamba wa mankhwalawo ndi mamililita awiri. Ngati kuli kofunikira kuti mupeze mtsempha, pafupifupi mamililita 8-10 a mchere amawonjezeredwa. Pofuna kuti muchepetse magazi, mankhwalawa amaperekedwa pang'onopang'ono kwa mphindi 5.

Papaverine. Kugwiritsira ntchito kwa wothandizirayi kumatsimikizira kuchoka kwa ndulu, kumachepetsa kupanikizika mkati mwa kapamba, kumachepetsa kupindika kwa Oddi, komanso kumapangitsa zotsatira zina za analgesic zamankhwala ena.

Matenda a pancreatitis aakulu ndi pachimake nthawi zambiri amathandizidwa ndimankhwala omwe ali pamwambawa m'njira zothetsera jakisoni wamkati, mu mnofu ndi m'mimba.

Ma analgesic jakisoni

Kuthira mankhwala kapamba chifukwa cha chotupa mkati mwake momwe matendawa amalimbikitsidwa mothandizidwa ndi NSAIDs.

Paracetamol Chithandizo cha kutupa kwa kapamba ndi chida choterechi ndi chifukwa chakuchepetsa kutentha kwa thupi, kuthetsa ululu komanso kuchepetsa kukula kwa njira ya pathological mu thupi. Jekeseni wa kapamba ndi mankhwala amachitika pogwiritsa ntchito njira yothetsera mulingo wa 10 mamiligalamu yogwira ntchito pa millilita.

Baralgin. Chida ichi chimathandiza kuchiritsa matenda chifukwa cha zinthu zingapo zofunikira. Pakati pawo, ndikofunikira kuwonetsa anesthesia ya pancreatic, kuthetsa kuphipha kwa minofu ya minofu, kuthetsa mpaka kufalikira komanso kuchepetsa kutentha kwa thupi. Wachikulire amatha kugwiritsa ntchito ma milliliters a 2,5 ndi 5, onse a jakisoni ndi ma dontho. Kuphatikiza mankhwalawa kumaloledwa ndi mankhwala ena omwe angabwezeretse kutupa.

Analgin. Monga mankhwala ena ambiri, mankhwalawa ali ndi njira zitatu zofunika kwambiri zochiritsira: analgesia, kutentha kwapansi komanso kuchepa kwa kuchuluka kwa kutupa. Mankhwala amapezeka mu ampoules a milliliters a 1-2 omwe ali ndi yankho la 0.25% kapena 0,5% ya yogwira ntchito.

Sandostatin. Ndi analogue yopanga ya somatostatin. Mankhwala amapangidwa mwa njira yothetsera jakisoni kapena lyophilisate pakukonzekera kwake. Muli mankhwala ophatikiza amodzi, omwe voliyamu imodzi ndi imodzi, mulingo wa 0,05 mg kapena 0,5 milligram wa chinthu chomwe chikugwiracho. Sandostatin imatha kuthandizira kapamba chifukwa imalepheretsa kuchuluka kwa katulutsidwe kameneka, chifukwa chake madzi a kapamba amapangidwa pang'ono. Nthawi zambiri mankhwalawa amalembedwa kwa odwala atachitidwa opaleshoni. Pafupifupi kubwereza kulikonse pa kugwiritsa ntchito chida ichi pa intaneti ndikwabwino.

Zilonda zapakhungu pancreatitis ziyenera kuyikidwa kokha ndi dokotala wodwalayo atapima mayeso athunthu.

Sizoletsedwa kuchita mankhwala mosadalira, popeza mankhwala aliwonse amasiyana mndandanda wazotsatira zake zoyipa.

Zinthu zina za kapamba

Nthawi zina, kuwonjezera pa analgesics ndi antispasmodics a kapamba, mankhwala ena amagwiritsidwanso ntchito.

Hormone insulin. Kugwiritsa ntchito chida ichi ndi chifukwa chakuti ndi nthawi yayitali ya kapamba, kuchepa kwa insulin m'magazi a wodwala kumachitika. Nthawi zambiri, matenda amtunduwu amabweretsa kukula kwa matenda ashuga.

Gentamicin. Malangizo othandizira kupha omwewa omwe amagwiritsidwa ntchito amatha kugwiritsidwa ntchito pakuwonjezera matendawa, munthu akayamba kutupa kwambiri m'mapapo. Gentamicin iyenera kuperekedwa kudzera mu 2 mpaka 4 pa tsiku. Cholinga cha mankhwalawa chimalepheretsa kukula kwa mitundu yosiyanasiyana ya purulent pathologies, yomwe nthawi zina imachitika ndi kapamba.

Wampikisano. Chida ichi chimakhudza mwachindunji kugwira ntchito kwa ma pancreatic enzies. Kukonzekera kumapangidwa mwanjira ya lyophilisate yankho lomwe limapangidwa kuti jekeseni. Chofunikira chachikulu cha mankhwalawa ndi Aprotinin. Chogwiritsidwacho chimayenera kuchepetsedwa musanagwiritse ntchito, kenako ndikuikiridwa mu mtsempha wa wodwala.

Ndikofunika kuyang'anira dzina la mankhwalawo chifukwa mankhwalawo angagwiritsidwe ntchito molakwika chifukwa cha mankhwalawo.

Pancreatitis imawonedwa ngati matenda osapatsirana, chifukwa chake, katemera sangateteze mwana ku matendawa. Sikulimbikitsidwa kuperekera katemera matenda ena pachimake chifukwa cha matendawa chifukwa sizingatheke kuwerengera mavuto omwe amabwera.

Katswiri mu kanema mu nkhaniyi adzalankhula za mankhwalawa a kapamba.

Mankhwala othandizira pancreatic

Mu chifuwa chachikulu cha pancreatitis, mankhwala amaperekedwa kudzera mu mtsempha wa magazi, intramuscularly kapena subcutaneously ndi ma dontho ndi jakisoni..

Mapiritsi ndi zinafotokozedwa mu gawo la attenuation yamatenda komanso mankhwalawa aakulu kapamba.

Kuchita bwino kwa mankhwalawa kumatengera zomwe mankhwala oti atenge ndi kapamba. Mankhwala osankhidwa bwino amachepetsa nthawi yamankhwala, kupewa zovuta ndi kusintha kwa matendawo kukhala mawonekedwe osakhazikika.

Zofunika! Mankhwala othandizira kapamba pancreatitis amagawika m'magulu akulu ndi othandiza.

Gulu lalikulu limaphatikizapo:

• antispasmodics
• analgesics
• Kukonzekera kwa enzyme
• Kukonzekera kwa Antenzyme
• maantacid
• Ma blockers a H2-histamine,
• maantibayotiki
• opaleshoni.

Gulu lothandizira lili ndi:

• mankhwala a choleretic
• mavitamini zovuta
• sedative
• Kukonzekera azitsamba.

Antispasmodics

No-spa yodziwika bwino, Papaverine, Spasmalgon imathandizira kupindika kosalala kwa minofu, chepetsani kupanikizika m'mizere ndipo potero muchepetse kupweteka. Panthawi yoti wodwala azidwala kwambiri, amapatsidwa chithandizo chambiri kapena kudzera m'mitsempha. Buscopan, Meteospasmil imatha kutengedwa nthawi yowonjezera ya kapamba. Ndikofunika kuchita izi musanadye.

Analgesics

Analgin, Baralgin, Pentalgin ntchito kupweteka, mayankho a jakisoni ndi abwino kwambiri. Mphamvu ya mankhwala imamveka mwachangu.

Narcotic analgesics Promedol, Tramadol amagwiritsidwa ntchito kuyimitsa kuwukira kwa kupweteka kwambiri kwa akuluakulu. Oyambitsa matenda amtunduwu amagwiritsidwa ntchito kuchipatala.

Kukonzekera kwa enzyme

Njira yotupa imasokoneza kupanga kwa ma pancreatic enzymes. Pofuna kuthandiza kapamba m'mimba, kukonzekera kwa enzyme kumayikidwa. Nthawi zambiri amagwiritsidwa ntchito pakukhululuka, koma onse payekhapayekha. Odziwika kwambiri ndi Mezim, Festal, Panzinorm, Creon. Mankhwala ndi kumwa ndi mankhwala. Enzymes ayenera kumwedwa ndi zakudya.

Zofunika! Kupweteka kukachitika mutatha kudya chakudya chamtima, simungathe kukonzekera ma enzyme - izi zimapangitsa kukula kwa kutupa. Ndikwabwino kuti musatenge kapena piritsi la baralgin.

Kukonzekera kwa Antenzyme

Kontrikal, Trasilol, Gordoks, Tsalol. Kuchiza ndi mankhwalawa kumayamba tsiku loyamba la matendawa. ndipo pitirirani mpaka mkhalidwe wa wodwalayo uchita bwino. Sodium chloride imayambitsidwa mu isotonic solution pogwiritsa ntchito dontho.

Ndikulimbikitsidwa kuti kutupa kwapancreatic kutenga maacacid kuti achepetsa hydrochloric acid. Ntchito limodzi ndi antienzyme kukonzekera. Awa ndi a Almagel, Alumag, Fosfalugel, Maaloks, ena.

H2-histamine blockers

Mankhwala ochepetsa ulcer antisecretory amachepetsa kutupa pochepetsa kupanga hydrochloric acid. Zothandizirazi zimaphatikizapo ranitidine, famotidine, nizatidine. Mankhwalawa pachimake kapamba, amagwiritsidwa ntchito kuyambira tsiku loyamba la matendawa munjira ya jakisoni. Mwanthawi yotupa, amamwa katatu patsiku kwa masiku 14-20.

Maantibayotiki

Palibe mgwirizano pa kugwiritsa ntchito maantibayotiki pakuchiritsa kapamba. Anayikidwa kuti ateteze matenda a cholangitis, matenda a gallstone, chotupa cha ma pancreatic duct. Maantibayotiki nthawi zambiri amagwiritsidwa ntchito mu penicillin mndandanda (Amoxiclav, Amoxicillin), kapena kuphatikiza, mwachitsanzo, penicillin wokhala ndi streptomycin.

Chiwembu chothandizira matenda a kapamba

Mankhwala odwala amaperekedwa m'njira zingapo:

• kukana kumwa mowa,
• Kutsatira zakudya zamafuta ochepa (osapitirira 80 g patsiku). Kudya zakudya zazing'ono kangapo ka 5-6 patsiku,
• kupweteka
• Chithandizo cha vuto la enzyme,
• vitamini mankhwala
• mankhwalawa pathologies a endocrine, hepatobiliary ndi m'mimba dongosolo.

Zofunika! Njira yochizira pancreatitis ndi mankhwala imasinthidwa malinga ndi momwe wodwalayo alili, kutengera mawonekedwe a kutupa ndi kuuma kwake.

Zofunikira pancreatitis mankhwala:

• detoxization ndi mtsempha wa magazi kulowetsedwa wa electrolyte ndi colloidal njira (Lactosol, saline). Lembani sorbents Reosorbilact, Sorbilact, rheological solution Reopoliglyukin, Refortan, Heparin, glucose solution 5%, 10%, hepatoprotectors,
• kulandira achire mpaka masiku 2-3,
• analgesia ndi analgesics, antispasmodics, mankhwala ena,
• kufunafuna kwa m'mimba kapena kukhazikika kwa ma antacid,
• kuletsa kwamatumbo katulutsidwe pogwiritsa ntchito H2-blockers (Ranitidine, Cimetin). Ntchito ngati zam'mimba sizingayamwe,
• magazi prophylaxis: kulowetsedwa kwa plasma, m'malo mwa plasma,
• kugwiritsidwa ntchito kwa ma pancreatic secretion inhibitors ndi ma protein enzyme a protein,
• enzyme m'malo mankhwala. Imachitika m'magawo osiyanasiyana a matenda,
• mankhwala a mahomoni - Somatostatin, Sandostatin, Glucagon, ena. Njira yophunzirira mosakwanira, koma kugwiritsa ntchito ndalamazi kumakhumudwitsa kubisa kwam'mimba ndi kapamba. Zotsatira zake, ululu ndi kutupa zimadutsa mofulumira kwambiri.

Ndondomeko yoperekera chithandizo imangofotokoza mwachidule momwe mungathandizire kutaya kwa chamba ndi mankhwala. Nthawi zonse zimapangidwa ndi dokotala!

Mankhwala osokoneza bongo

Mankhwala othandizira akuluakulu amapereka mankhwala a endocrinologist, gastroenterologist, dokotala wa opaleshoni kapena othandizira. Nthawi yomweyo, mankhwalawa amathandizidwa pochiza matenda amodzimodzi komanso kuchotsedwa kwa zizindikiro za matendawa.

Odwala a chifuwa cham'mimba amatha msanga chifukwa kusanza ndi mseru. Mankhwala othandizira antiemetic Cerucal adziyambitsa okha ngati mankhwala a pancreatic pancreatitis. Mankhwalawa amamasulidwa mu mawonekedwe a yankho la jakisoni mu ma ampoules a 2 ml. Lowani kudzera mu intravenous ndi intramuscularly, mlingo wokwanira tsiku lililonse ndi 80 mg.

Mankhwalawa amathandizira kapamba, zilonda zam'mimba ndi duodenum, kutupa kwa esophagus. Mankhwala amachepetsa acidity yam'mimba, amachepetsa kupanga madzi am'mimba, chifukwa chomwe kutupa kumachepa, ululu umachoka. Mlingo wofotokozedwa ndi dokotala.

Chida ichi sichachilendo. Nthawi zambiri amachepetsa kuchepetsa acidity yam'mimba mu kapamba, zilonda zam'mimba ndi m'mimba, kutupa kwa esophagus ndi matenda a Reflux. Amapangidwa ngati njira yothetsera jakisoni wa 2 ml wokwanira ndi mapiritsi a 150 ndi 300 mg.

Mankhwala amathandizira kudzimbidwa omwe amapezeka kumbuyo kwa mankhwala. Mankhwala okhala ndi mayamwa ochepa sachepetsa mphamvu ya minofu ya m'matumbo. Amapezeka mu mawonekedwe a madzi.

Novocaine imakhala ndi mankhwala osokoneza bongo, odana ndi kutupa komanso antitoxic. Kuphatikiza apo, mankhwalawa amachepetsa kupanga kapamba wa pancreatic ndikuchotsa kuphipha kwa minofu yosalala.

100 ml ya yankho la 0.25% imayendetsedwa kawiri pa tsiku.

Mankhwala ochokera ku gulu la NSAID. Mankhwala othandizira opweteka. Nthawi zambiri sizimayambitsa mavuto, koma sizivomerezeka kwa odwala omwe ali ndi zilonda zam'mimba.

Sandostatin

Chithandizo cha pancreatitis mu pachimake komanso nthawi yaoperative ikuchitika ndi somatostatins - kukonzekera kwa Sandostatin, Octreotide.

Sandostatin yomweyo amachepetsa katemera wa pancreatic, mankhwala ndi mankhwalawa amachitika kuyambira masiku oyamba a matendawa. Lowani pang'onopang'ono pa 100 mcg katatu pa tsiku kwa masiku 5 kapena kuposa. Mankhwalawa amathandizira komanso amachepetsa kutupa.

Zofunika! Pofuna kupewa matenda monga pancreatitis ya mankhwala osokoneza bongo, simungathe kudzilimbitsa nokha!

Kukonzekera kwa enzyme, choloweza mmalo cha madzi a pancreatic. Zili pamtundu wamitundu iwiri. Ubwino wa mankhwalawa ndikuti mankhwala omwe amapezeka amaperekedwa kwa duodenum. Ndi kapamba, amadziwika kuti alipire kuchepa kwa ma pancreatic enzyme.

Trypsin Inhibitor (pancreatic enzyme). Kutenga nawo hematopoiesis, kumawonjezera chitetezo chathupi. Imwani mapiritsi 1-2 katatu patsiku mukatha kudya. Kutalika kwa maphunzirowo mu pancreatitis yachilendo ndi masabata awiri, aakulu mwezi umodzi ndi theka mpaka miyezi iwiri.

Mankhwala osokoneza bongo a pancreatitis osachiritsika komanso opweteka kwambiri amaphatikizapo kugwiritsa ntchito antienzyme. Ndi matenda a pancreatic, kutulutsa kofinya kwa msuzi wa pancreatic kumachitika. Chopinga chimalepheretsa ntchito za michere ya chakudya, ndipo chimadziletsa kudziwononga thupi. Mankhwalawa amaperekedwa kudzera mu chipatala.

Mankhwalawa ali ndi choleretic kwenikweni, amalepheretsa mapangidwe amiyala, amathandizira kupanga bile, motero amalembera kutupa ndi kapamba pakukhululuka. Tengani mapiritsi 2 katatu patsiku.

Mankhwala othandizira pancreatitis

Kuukira kwa kapamba nthawi zambiri kumadzachitika mwadzidzidzi, ndi chakudya kapena pambuyo pa mphindi 20-25. Pafupipafupi, kuukira kwa matendawa kumayamba patatha maola awiri chakudya chitatha. Ululuwu ndi waukulu kwambiri mpaka munthu amatha kuzindikira kapena kufa chifukwa cha kupwetekedwa mtima.

Kukalamba matenda kapamba ayenera kuthandizanso kuukira kwa chifuwa kunyumba. Ndikofunikira kukhazikitsa chidwi kumayambiriro kwa kuukira.

Ma analgesics ndi antispasmodics angachite izi bwino. Mankhwala osavuta otchipa, analgin ndi No-shpa atha kuyimitsa kupweteka koyambirira. Amaba mankhwala osokoneza bongo.

Jakisoni ndi bwino kukonzekera piritsi, popeza imachitika mwachangu. Kuphatikiza apo, wodwalayo amavutika ndi mseru komanso kusanza, ndizovuta kumwa piritsi.

Chithandizo chothandiza cha kapamba chifukwa cha kupweteka ndi Baralgin. Ichi ndi mankhwala osakanikirana, imaphatikizapo analgesic ndi antispasmodic. Mankhwalawa amaperekedwa pang'onopang'ono, kudzera m'mitsempha. Ngati nkosatheka kupereka jakisoni, imwani zomwe zili mkati ndikutsuka ndi madzi.

Papaverine amabayidwa intramuscularly ndi 2 kapena 3 ml ya 2% yankho. Mankhwala amathandizanso kuphipha kwamisempha ya mkati.

Madontho a Nitroglycerin 1-2 amalimbikitsidwa kupweteka kwambiri ndi mavuto a mtima.

Mankhwala osapweteka a antiidal amachepetsa kutupa. Ndi kapamba chifukwa cha kutupa, Paracetamol nthawi zambiri amadziwika. Mankhwalawa ali ndi contraindication, siikuperekedwa kwa matenda a chiwindi, zilonda zam'mimba.

Zofunika! Paketi ya ayezi imayikidwa pang'onopang'ono pancreas, ndikofunikira kuyika wodwalayo. Dokotala wa ambulansi ayenera kudziwitsidwa za kugwiritsa ntchito mankhwalawa, ndikuwonetsa kuti ndi ati.

Malangizo onse azachipatala ambiri amabwera ku chinthu chimodzi: kupewa matenda aliwonse ndizosavuta kuposa kuchiza. Kupewa matenda ndikofunikira.

Yalimbikitsa:

• mankhwala a chiwindi ndi m'mimba matenda,
• samalira zochitika zatsiku ndi tsiku - idya nthawi inayake, kugona mokwanira,
• Tafuna chakudya, osathamangira chakudya,
• idyani zakudya zazing'ono
• lekani zizolowezi zoyipa.

Mankhwala abwino sangakuthandizeni ngati wodwalayo samvera chakumwa chake ndikuledzera. Njira zosavuta izi ndizotheka kupewa kutulutsa kapamba.

Kugwiritsa ntchito zitsamba

Osanyalanyaza mankhwala achikhalidwe. Ngakhale ndi kuchulukitsa kwa kapamba, zitsamba sizigwiritsidwa ntchito, koma pochiza pancreatitis yayikulu, amapindulitsa mosakayikira. Nthawi zambiri tikulimbikitsidwa kumwa decoctions zitsamba theka la ola musanadye. Atsogoleri a zitsamba zamankhwala pancreatitis ndi chamomile, die, calendula, m'chiuno.

Pancreatitis: kukula kwa matendawa

Ntchito yayikulu ya kapamba ndikupanga ma enzyme omwe amapanga chakudya mwachangu, kuphwanya zinthu zambiri. Chotulutsa chimatulutsa madzi a pancreatic, omwe amakhala ndi ma enzymes ake osagwira. Amayikidwa mu duodenum. Ngati kutuluka kwawo kusokonezeka pa chifukwa chilichonse, kutsegula kwa ma enzymes kumachitika m'matumbo akeake: kudzipanga kwake kwa chiwalo kumayamba. Kutupa komwe kumayamba:

• kusintha kwa maselo ogwirira ntchito ndi ma adipose kapena minofu yolumikizika,
• mu pachimake, chachikulu necrosis (imfa) yama cell maselo.

Kwambiri pachimake kapena pancreatitis yovuta kwambiri pachaka pachimake imadziwika ndi kupwetekeka kwapweteka kwakumata komwe kumayenderana ndi kuwonongeka kwa maselo mu gland. Chithunzi chofananacho chachipatala chimawonedwa ndi yogwira pancreatitis. Zimachitika ngati ndulu kapena chida china chamkamwa chikuyenderera. Cholecystitis yomwe ilipo ndi matenda omwe nthawi zambiri amachititsa kuti azitha kugwira ntchito mu kapamba. M'mawonekedwe ake, amafanana ndi kuukira kwa pachimake kapamba.

Kupweteka kumayambira mbali yakumanzere ndipo kumakhala ngati lamba, kumakulirakudya kwa supine ndikatha kudya kapena kumwa.

Kuphatikiza pa kupweteka kwambiri, matendawa amayenda ndi: nseru,

• kusanza kosalephera komwe sikubweretsa mpumulo,
• kutsekula m'mimba (mafuta okuta pansi ndi zakudya zotsala),
• kutentha kwambiri.

Spasmolytic sipekitiramu jakisoni

Ngati vutoli litha kukhala labwinobwino popanda kuchitidwa opaleshoni, njira ina yoperekera chithandizo imachitika mu dipatimenti ya gastroenterological kapena achire. Magulu angapo a mankhwala omwe ali ndi njira zingapo zochitira ntchito amagwiritsidwa ntchito kuti abwezeretse kapamba. Zina mwa izo ndi antispasmodics, yomwe imatha kubayidwa intramuscularly mapewa komanso m'manja:

Amakhala ndi myotropic effect (amakulitsa mphamvu ya mitsempha yamagazi, kusintha magazi ndikuyenda bwino) ndikumachepetsa kuphipha kwa minofu yosalala.

Papaverine - mankhwala omwe ali ndi dzina lantchito yake. Amatanthauzira ku antispasmodics wamphamvu. Amapezeka mumitundu yosiyanasiyana ya pharmacological, imodzi mwazo ndi yankho la 2% la jakisoni. Imayendetsedwa kudzera mu intramuscularly, koma kudzera m'mitsempha yosakanikirana monga gawo la zovuta zotsekemera ndizotheka. Kuti mumveke bwino, njira yodontha yobweretsa njira zotere imagwiritsidwa ntchito. Njira yamachitidwe ikuchokera:

• pa makulidwe a kutuluka kwa ndulu ndi madzi a pancreatic,
• pakuchepetsa kupsinjika mkati mwa ziwalo zomwe zakhudzidwa.

• glaucoma
• atrioventricular block (amodzi mwa mitundu ya kusokonezeka kwa miyambo ya mtima),
• ochepa hypotension,
• matenda a chiwindi
• kusalolera payekha.

• woyembekezera
• Azimayi nthawi yobereka,
• ana osakwana zaka 1.

Kwa iwo, mankhwalawa amatha kutumizidwa payekhapayekha ngati akuwonetsa padera ndi dokotala chifukwa cha mavuto.

• thupi lawo siligwirizana
• chisokonezo chamtundu
• kutsitsa magazi
• kusokonezeka kwa mtima
• thukuta
• eosinophilia mu formula yamagazi (nthawi zambiri amakhala ndi chinthu chodziwika bwino).

Popereka mankhwala, malangizowo amaphunziridwa mosamala. Amagwiritsidwa ntchito payekhapayekha, poganizira matenda onse omwe alipo.

Pancreatic jakisoni wa kapamba

Mukuchulukirachulukira kapena njira ya pachimake, limodzi ndi kutulutsidwa kwa michere yambiri, kukonzekera kwa antienzyme kumagwiritsidwa ntchito mwa njira ya kukoka kwa mtsempha:

• Gordoks - magawo 500,000,
• Contrikal - mayunitsi 200,000.

Mlingo wa tsiku ndi tsiku ndi mamiliyoni 1 ndi magawo 400,000, motero. Zimalepheretsa zowonongeka za michere ya proteinolytic. Ndikulimbikitsidwa kuyika odwala mu chipatala.

Kvamatel ogwiritsidwa ntchito kwambiri (chosakaniza - Famotidine) - blocker N₂-Histamine zolandilira. Histamine imadzetsa kukhathamiritsa kowonjezereka kwa madzi a m'mimba, potero kumakulitsa kutupa. Kvamatel (m'badwo wachitatu wachipatala blocker H₂Histamine receptors) imapereka magwiridwe othandizira a maselo a kapamba:

• mwanjira zina zimachepetsa kaphatikizidwe ka michere ya proteinolytic,
• imapangitsa kukula kwa minyewa yolumikizana ndi malo a necrosis.

Kuchiza kumayamba ndi kukokoloka kwamitseko ndipo kumachitika kuchipatala.

Dalargin ndi mankhwala othandizira, koma amagwiritsidwanso ntchito pancreatitis:

• amalepheretsa kupanga ma enzyme,
• kubwezeretsa minyewa yowonongeka,
• m'malo mwa necrotic maselo athunthu.

Mankhwalawa amatchulidwa ngati jakisoni wa kutupa kwa kapamba kudzera m'mitsempha kapena m'mitsempha.

Sandostatin (Octreotide) - imagwiritsidwa ntchito kuthetsa ululu wambiri kapena pachimake pancreatitis. Zimakhudza katulutsidwe wa kapamba, kuletsa. Mankhwala siagwiritsidwe ntchito kunyumba. Amawerengedwa ndi dokotala kuti ajekeseni m'chipatala ngati gawo la chithandizo chokwanira. Ndikokwanira kutenga jakisoni pang'ono kuchokera ku kapamba kuti mululu wa amylase m'magazi ukhale wotsika bwino. Kugwiritsidwa ntchito ndi madokotala ochita opaleshoni yovuta yamapapo.

Trental ndi solcoseryl ang'onoang'ono Mlingo (2 ml) yolumikizira mafupa othandizira amathandizira kutsekeka kwa magazi pamavuto. Izi ndizofunikira mu magawo oyamba a chithandizo cha kutupa kwa pancreatic pachimake kuti muwonjezere mphamvu ya mankhwala a magulu ena.