Pancreatic painkiller

Njira yotupa m'matayala amachitika pazifukwa zosiyanasiyana. Nthawi zambiri, kugwiritsa ntchito molakwika zakumwa zoledzeretsa, zakumwa zoziziritsa kukhosi, kudya kwambiri, kupsinjika ndi kukhalapo kwa matenda ena am'magazi kumayambitsa matenda. Zilibe kanthu kuti ndi chani chomwe chabweretsa dziko lino. Pankhaniyi, ndikofunikira nthawi zonse kudziwa momwe mungayambitsire kapamba.

Mndandanda wa Mankhwala Osokoneza bongo a Pancreatic

Musanamvetsetse momwe mungayambitsire kapamba, muyenera kudziwa mtundu wa njira ya matenda.

Ngati zopinga zina mu ducts ya bile zimayambitsa kupweteka kwa thupilo, ndiye kuti muchotse kusamvana kungakuthandizeni:

• kununkha
• mamakomakheni,
• antispasmodics
• analgesics
• intraductal lithotripsy.

Ndi kapamba wamtundu wa autoimmune, ndizothandiza kwambiri kugwiritsa ntchito mankhwala:

• kutengera ursodeoxycholic acid,
• kuchokera pagulu la corticosteroids.

Nthawi zina, kukokomeza duct kumachitika.

Ngati ululu wammbuyo wabwera chifukwa cha biliary pancreatitis, ndiye kuti ndibwino kugwiritsa ntchito:

• mankhwala otengera ursodeoxycholic acid,
• Mlingo wapamwamba wa michere ya kapamba,
• antispasmodics.

Zizindikiro zosasangalatsa za pancreatic pancreatitis popanda kukhalapo kwa zotupa, zotsekemera ndi njira zina za pathological zimatha kuchotsedwa ndi:

• antispasmodics,
• Kukonzekera kwa enzyme
• zamitsempha.

Njira zamankhwala zomwe mungagwiritse ntchito zimasankhidwa ndi dokotala okhazikika pazithunzi zamankhwala, nthawi ya matendawa komanso zaka za wodwalayo.

Mankhwala a analgesic

Ululu wamtundu uliwonse umatha kuimitsidwa mothandizidwa ndi analgesics. Ngati matendawa adadwala, ndiye kuti dokotala atenga njira inanso. Popeza gulu lotere la mankhwalawa limakhala ndi zotsutsana zambiri, ndikofunikira kulingalira momwe matenda a pancreatic pancreatitis amachitikira komanso ngati pali njira zina zam'magazi. Mwachitsanzo, mankhwala osapweteka a antiidal omwe ali ndi vuto la shuga samalimbikitsidwa pakakhala vuto ndi kugaya chakudya m'mimba.

Pofuna kuthana ndi zomverera zosasangalatsa, madokotala amalangiza kuphatikiza mankhwala omwe akuphatikizira zoletsa kusintha matendawa ndi madzi akulu a polyenzymes.

Udindo waukulu umachitika ndi kukanika kwa sphincter ndikusokoneza matumbo a mawonekedwe a dyskinetic. Zikatero, ndibwino kugwiritsa ntchito analgesics.

Mukamasankha ma pinkre pa ululu wa kapamba, ndikofunikira kulipira zofunika zingapo mu mawonekedwe a:

• ntchito yayikulu
• kukhudzika nthawi yayitali
• kusowa kwa zoyipa.

Gulu la analgesics limaphatikizapo:

Diclofenac amagwiritsa ntchito bwino mavuto. Mankhwalawa amapezeka m'njira zingapo.

Antispasmodics

Choyambitsa chachikulu cha kumva kupweteka ndi kuphipha m'misempha yosalala. Chifukwa chake, zochita za ma pancreas a kapamba ziyenera kukhala ndi cholinga chothana ndi cramping ndikuyimitsa kupititsa patsogolo kwa kutupa.

Mankhwalawa nthawi zambiri amagawika m'magulu awiri:

Gulu loyamba liyenera kuphatikiza Duspatalin kapena Mebeverin. Kuchita kwawo ndikufuna kuthana ndi ma spasms, kuchepetsa kupezeka kwa maselo a maselo, kuyimitsa calcium ndikuchepetsa kutulutsa kwa potaziyamu kuchokera kumapangidwe osalala a minofu.

The achire zotsatira amapezeka 30-30 mphindi. Mphamvu ya analgesic imatha mpaka maola 12.

Buscopan ndi gulu limodzi. Mukatha kugwiritsa ntchito mankhwalawa, kuchepa kwa chinsinsi cha tiziwalo tamadya kumawonedwa. Sizikhudza kugwira ntchito kwamkati yamanjenje.

Mankhwala otsatirawa ali m'gulu lachiwiri la mankhwala.

1. Palibe-shpa. Mtundu uwu wa antispasmodic umadziwika kuti ndi wotchuka kwambiri, koma wokwera mtengo. Imafulumira kugwira ntchito, koma ndizoletsedwa kutenga masiku opitilira masiku atatu.
2. Drotaverinum. Analog ya No-shpa, koma yotsika mtengo kwambiri. Palibe ogwira ntchito.
3. Papaverine. Amapezeka mu mawonekedwe a yankho la jakisoni, suppositories ndi mapiritsi.

Samabweza zoyambitsa zowawa, koma amangokhala ngati adjuvant. Sizingagwiritsidwe ntchito kwa nthawi yayitali.

Kukonzekera kosangalatsa

Ma painkiller a pancreatic pancreatitis samalimbana nthawi zonse ndi ululu. Chowonadi ndi chakuti ma analgesics ndi antispasmodics amangochotsa chizindikiro chosasangalatsa kwakanthawi, koma osalimbana ndi chifukwa cha kutupa.

Pofuna kupewa kukokomezeka kwa kapamba kapamba ndi kupindika m'njira ya stenosis kapena necrosis, kukonzekera kwa enzymatic kumayikidwa ndi madokotala.

Mankhwala abwino kwambiri kuchokera pagululi ndi Creon. Koma sichitha kugwiritsidwa ntchito pazochitika zonse. Mankhwala amathandizidwa pokhapokha zotsatira za mayeso ndi kuzindikira zikadziwika.

Kuphatikiza pa Creon, mankhwala otsatirawa amatha kuperekedwa kwa wodwala.

1. Panzinorm. Ntchito ngati vuto la exocrine magwiridwe. Amapezeka mu kapisozi kapamwamba.
2. Pancreatin Analogue yaku Russia ya Creon. Ndiotsika mtengo. Koma sizothandiza munthawi zonse. Zingawononge makoma am'mimba.
3. Chikondwerero. Muli magawo ambiri azitsamba kukonzekera. Kuphatikizika kwake sikumaphatikizapo ma enzymes okha, komanso magawo a bile ndi hemicellulose. Amalembera achikulire ndi ana opitilira zaka zitatu.

Kuchiza ndi michere kumatenga milungu iwiri mpaka miyezi 1.5, kutengera kuopsa kwa matendawa, chikhalidwe cha kupweteka komanso msinkhu wa wodwalayo.

Chithandizo chothandizira

Ndi kutupa kwa kapamba, ndikofunikira kuti musangochotsa zowawa za ululu, komanso kuti muchepetse chomwe chimayambitsa matenda. Kumwa mankhwala sikupereka chithandizo chokwanira komanso chapamwamba. Ngati munthu satsatira malingaliro a dokotala, ndiye kuti zotsatira zake zabwino sizikhala.

Mankhwala othandizira odwala omwe ali ndi nkhawa amaphatikizapo kugwiritsa ntchito njira zothandizira odwala kupweteka, komanso mitundu ina ya mankhwala:

• sedative. Kugwiritsa ndi kupanikizika kosalekeza. Sinthani kugona tulo komanso kuteteza dongosolo lamanjenje ku zisonkhezero zachilengedwe,
• antihistamines. Chotsani kuyabwa, redness ndi zotupa pakhungu, zomwe zimayambitsidwa ndi zovuta zina mukamadya zakudya zina,
• kashiamu yochokera kukonzekera. Ndi kapamba, kashiamu amatengedwa woipa kwambiri. Amatsukidwa m'mafupa, omwe amayamba kuwonongeka.
• mavitamini zovuta. Ayenera kukhala ndi mavitamini a B, ascorbic acid, retinol, tocopherol, omega 3-6-9 acid acid,
• kukonzekera. Tetezani m'mimba, kapamba ndi m'mimba m'mimba pazinthu zoyipa,
• mankhwala a mahomoni. Amawonetsedwa pamene ntchito ya endocrine iyamba kuvutika mu kapamba,
• antiemetics. Gwiritsani ntchito pokhapokha kusanza ndi mseru nthawi zambiri zimasokonezedwa,
• mankhwala antidiarrheal. Sinthani miyambo ndi matumbo,
• adsorbents. Chotsani poizoni, mabakiteriya akufa ndi zida zawo zowonongeka. Sinthani chopondapo. Koma zingayambitse kudzimbidwa.

Chithandizo cha ululu chimatenga masiku 10 mpaka 20.

Nthawi zina, kapamba amadziwika ndi chotupa chopatsirana. Pofuna kuthana ndi maluwa okhala ndi pathogenic, madokotala amapereka mankhwala omwe ali ndi zotsatirapo zosiyanasiyana. Zomwe zimagwiritsidwa ntchito kwambiri ndi Tobramycin, Carbenicillin ndi Ampicillin. Gulu la mankhwala munjira iliyonse limasankhidwa payekha ndi dokotala.

Kuti mankhwala othandizira ululu akhale opindulitsa kwambiri, malamulo ena ofunika akuyenera kutsatiridwa.

1. Idyani zakudya zopatsa thanzi. Ndikofunikira kusiya katundu wolemera mwanjira yazakudya zokazinga, nyama zamafuta ndi nsomba, mayonesi, masoso, zinthu zomalizidwa, zakudya zachangu.
2. Musamamwe zakumwa zakumwa zoledzeretsa: mowa, vinyo, champagne, cocktails.
3. Osamadya usiku. Chakudya chomaliza sichikhala pasanafike 7 pm.
4. Cook wophika wokha, chithupsa kapena mphodza.

Ngati ululu wamalonda sukulola kugona ndi kuphwanya moyo, ndiye kuti ndikofunikira kukonza kusala kudya kwa masiku angapo. Zakudya zilizonse sizimasungidwa kumenyu. Mutha kumwa madzi osasakanizidwa okha kapena mchere. Pakadali pano, mutha kuthira kuzizira kumanzere. Kuti muchite izi, tengani chidutswa cha ayezi ndikukulunga mu nsalu yopyapyala.

Ma painkiller a pancreatitis pachimake

Ngakhale kuchuluka kwa ma pinkiller, imodzi mwanjira zazikulu zopulumutsira kupweteka kwambiri pa kapamba ndi kugwiritsa ntchito analgesics. Mankhwala osankha woyamba ndi a salicylates (Aspirin) kapena Acetominofen, omwe amadziwikanso kuti Paracetamol. Amatengedwa musanadye chakudya kuti apweteke. Zokonda, akatswiri amalimbikitsa kupatsa Paracetamol, chifukwa imakhala yosakhumudwitsa kwambiri kapamba. Komabe, mwa odwala omwe ali ndi vuto lalikulu la chiwindi, amatha kugwiritsidwa ntchito pokhapokha ngati mukukumana ndi adokotala. Popeza mankhwalawa ndi hepatotoxic.

Mlingo wa painkiller wa pancreatitis pachimake amasankhidwa payekha. Koma, mulimonsemo, ndikulimbikitsidwa kuti ikhale yochepera momwe mungathere.

Madokotala ambiri amayesetsa kuchepetsa ululu kwa odwala omwe ali ndi vuto lalikulu la kapamba, mapiritsi a pancreatin, omwe alibe zokutira za asidi. Amayamba kukhazikitsidwa m'mimba, komanso kumtunda kwa duodenum. Komabe, ayenera kugwiritsidwa ntchito ndi mankhwala omwe amatchinga katulutsidwe ka m'mimba.

Jakisoni wopaka ndi mapiritsi a kapamba

Makamaka, nthawi zambiri amagwiritsa ntchito mankhwala ngati awa mapiritsi:

• antispasmodic zotsatira - Mebeverin, No-shpu. Komanso, kutenga Papaverine, Meteospasmil, Buscopan, amathandizira kuchotsa kuphipha,
• Kuphatikiza apo, amagwiritsanso ntchito ma pinkiller pancreatitis, monga analgesics. Mwachitsanzo, Baralgin, Acetamifen,
• a non-steroidal anti-kutupa mankhwala ndi othandiza: Voltaren, Movalis, Indomethacin.

Kulandila ndalama zilizonse zomwe zalembedwa ziyenera kuchitika pokhapokha atakambirana ndi dokotala.

Pa siteji ya chithandizo chamankhwala, komanso panthawi yakuchulukitsa kwa matendawa, jakisoni wa ululu amayikidwa kuti akhale ndi mphamvu komanso yowonjezereka. Pakati pa analgesics, otchuka kwambiri ndi awa: Buprenorphine, Pentazocine.

Osati pafupipafupi, mitundu yosiyanasiyana ya novocaine blockades imaphatikizidwa mu njira yochizira. Mankhwala omwe ali ndi jakisoni wa antispasmodic, gwiritsani ntchito Eufillin.

Ngati mankhwala onsewa sanayimitse kupweteka, pakuwukira kwambiri, nthawi zina akatswiri amapereka mankhwala opha ziwalo za kapamba, omwe ali ndi mawonekedwe a mankhwalawa. Izi ndi monga: Promedol, Fentanyl.

Chikhansa, mosakayikira, chimodzi mwazinthu zofunika kwambiri zam'mimba. Koma ntchito yake imasokonekera.

Cholinga chake ndimomwe zimakhudzira thupi la zakunja ndi zamkati zomwe zimayambitsa matenda a etymology.

Opaleshoni opweteka m'mimba ndi kapamba amathandizira kupweteka kwambiri.

Munthu amene wakumana ndi matenda otere ayenera kudziwa momwe angapangire kapamba, zomwe angachite kuti aletse zizindikiro za matendawa, zomwe zimapangitsa kuti aphwanye ntchito yake.

Munkhaniyi tikufotokozerani zomwe zikuwonetsa kuti mumamwa ma pinkiller, ndi mtundu wanji wa mankhwalawa omwe akuyenera kumwa chifukwa chokhala ndi vuto la kapamba ndipo, pamapeto pake, chifukwa cha momwe ntchito ya gululi yalephera.

Zisonyezo za kutenga ma pinkiller

Tisanakuuzeni momwe mungapangire kapamba, muyenera kudziwa ngati chofunikira kuchita izi.

Mutha kutenga zina zilizonse zachipatala ngati mukukayikira kuti matenda amtunduwu atapezeka atapezeka kuti wadwala.

Mwachizolowezi, kapamba amavutika ndi kukula kwa matenda am'mimba monga gastritis, duodenitis, kapamba ndi zina.

Matenda onsewa amadzetsa kusokonezeka kwa dongosolo logaya chakudya. Tizilombo ta kapamba titha kuwonongeka, kuwotchera ndi kukhudzidwa ndi mabakiteriya okhala ndi tizilombo toyambitsa matenda.

Zonsezi zimatsogolera kuti ntchito yogaya chakudya imasokonekera. Chifukwa chake kufunika kwazinthu zachilengedwe komanso kukhazikika.

Chifukwa chake, kutengera ndi chiyani, akatswiri amalangiza odwala kuti asadzabadwe?

• Zovuta zosasangalatsa zimachitika pafupipafupi. Anthu adakumana ndi mavuto kale.
• Kukula kwa zilonda zam'mimba, gastritis, kapamba ndi zina zam'mimba. Ululu ndi mnzake wa izi.
• Matenda osakhazikika am'mimba atatha kudya. Poterepa, tikukamba za njira ya pathological m'thupi.
• Kumtunda kwam'mimba, kupweteka kapena kumva kuwawa kumamveka.

Kuti mumvetsetse momwe mungapangire kapamba, timalimbikitsidwa kuyang'ana kwambiri zomwe mukuwona.

Uphungu! Kanani kudzilamulira nokha kwa mankhwala a analgesic. Ngati vuto la m'mimba silinakuvuteni kale, mutha kumwa mankhwala a analgesic. Komabe, ngati kupweteka kumachitika mwatsatanetsatane, sikatha kuyimitsidwa ndi mapiritsi. Pankhaniyi, pezani chithandizo chamankhwala!

Contraindering to anesthesia yakunyumba

Sikuti nthawi zonse zimakhala zokongoletsa zam'mimba komanso kapamba, ndikofunika kutengera kunyumba.

Njira yabwino ndikukana kukana kudzithandiza pokhapokha mutazindikira molondola.

Ndiye kuti, ngati simunapiteko m'mbuyomu dokotala yemwe angadziwitse molondola chomwe chimayambitsa khungu lanu, ndiye kuti kutenga analgesic iliyonse ndi ngozi kwa thanzi lanu.

Chifukwa chake, choyambirira, anthu omwe amadandaula za chiwonetserochi amafunika kusiya njira yodziwira okha kunyumba:

• Kuchepetsa mphumu limodzi ndi kusanza.
• Kuledzera kwamthupi. Nthawi zambiri zimachitika pogwiritsa ntchito zinthu zachikale.
• Zizindikiro zosonyeza kuti khoma lam'mimba limapanikizika.
• Kuthamanga kwa magazi. Munthu amene magazi ake amakhala ocheperako amatha kusiya kuzindikira.
• Mkhalidwe wopindulitsa.
• Kubweza Nthawi zambiri ndi kukanika kwa pancreatic, zidutswa za chakudya chosasinthika zimatha kuonedwa m'masanzi. Komanso, magazi amatha kupezeka m'masanzi a wodwala - ichi ndi chizindikiro choopsa.
• Ludzu lalikulu ndi kuyanika kuchokera ku khungu. Zizindikiro zotere zimasonyeza kuchepa thupi.

Izi sizizindikiro zonse, kuwonetsera kwake komwe sikuli kosafunika kokha, komanso koopsa kutenga ma pinkiller.

Momwe mungayambitsire kapamba

Chifukwa chake mukudwala. Kulephera kwachitika m'matumbo anu am'mimba, chifukwa choti chakudya chilichonse chimakhala ndi kupweteka kwambiri.

Pakufunika kuchitapo kanthu pochizira. Kodi chingalepheretse bwanji matenda? Mwamwayi, malo azachipatala amakono ndi "opsinjika" ndi mankhwala a analgesic.

Zambiri mwa izi zikupezeka pakauntala. Ndi mawonetseredwe a zizindikiro zomwe zikuwonetsa kukanika kwa pancreatic, tikulimbikitsidwa kutenga antispasmodics.

Zofunika! Kumbukirani kuti kumwa mankhwala opweteka samapereka chithandizo kwa matendawa, kukulira komwe kumapangitsa kuti kuwonekere kukhala kupweteka kwamawu.Kugwiritsa ntchito ma analgesics ndi njira yoletsa kusapeza bwino, osati zisonyezo za matenda.

Nthawi zina ndimatchulidwe opweteka, kugwiritsa ntchito mankhwala a piritsi samabweretsa zotsatira zomwe mukufuna.

Chifukwa chake, kuti muchotse kusapeza bwino, muyenera kupereka mankhwalawa mwamphamvu.

Ambiri sakonda kupereka jakisoni, komabe, iyi ndi njira yabwino yothanirana ndi ululu wowopsa wa spastic.

Ndi mankhwala amtundu wanji omwe amayenera kumwa pamenepa?

Iliyonse ya mankhwalawa ndi ya gulu la antispasmodics. Kulandila kwawo kumakupatsani mwayi wosiya kusimva m'mimba m'nthawi yochepa.

Ngati ululu umachitika mutatha kudya ndipo simungathe kulekerera, pakufunika kumwa mankhwala othandizira ululu kwambiri.

Pankhaniyi, tikulimbikitsidwa kuphatikiza antispasmodic ndi analgesic. Mwachitsanzo, mutha kumwa mapiritsi a Spazmalgon ndi Analgin, kapena Riabal ndi Nurofen.

Werengani mosamala malangizo omwe adabwera ndi mankhwalawo. Izi ndizofunikira kuti mudziwe momwe mungatengere molondola komanso kuchuluka kwake.

Ngati kugwiritsa ntchito mapiritsi kuti muthandize pakhungu sikubweretsa zotsatira zomwe zikufunidwa, ndikulimbikitsidwa kuti muthe kugwiritsa ntchito mankhwalawa popereka mankhwala.

Mwachitsanzo. Ndikumva kupweteka kwambiri, mutha kubayira kuchuluka kwa No-shpa ndi Analgin mu mtsempha wa wodwala.

Ngati izi sizikuthandizani, madokotala amalangiza Kitanov kuti asagwire ntchito. Musamagwiritse ntchito molakwika kugwiritsa ntchito mankhwalawa pofuna mankhwala, chifukwa ali ndi zinthu zosokoneza bongo.

Zomwe Zimakhudza Kutha kwa Gland

Matenda am'mimba sikuti ndi chifukwa chokhacho chomwe chikuwoneka kuti ndi chopweteka m'mimba.

Amatha kudzipangitsa kuti azimva komanso chifukwa cha njira yolakwika yomwe imatsogolera anthu. Ndiye, ndi zinthu ziti zomwe zingayambitse kupweteka m'thupi?

• Mankhwalawa a antibayotiki.
• Kagayidwe kachakudya. Nthawi zambiri munthu iyemwini amakhumudwitsa metabolic m'thupi mwake, chifukwa chake izi ndizosayenera.
• Kugwiritsa ntchito kwambiri zakudya zamafuta.
• Zizolowezi zoipa. Choyamba, tikulankhula za kusuta komanso kumwa mowa.
• Nthawi ya bere. Amayi ambiri oyembekezera amaloledwa kudya chinthu chomwe choletsedwa kwa iwo, mwachitsanzo, keke ya khofi. Chifukwa chake, izi zimalimbikitsa kukalamba.

Chifukwa chake, maonekedwe a ululu kumanzere kwammimba (komwe kakhansa) amayamba ndi iye mwini.

Kupewa

Pofuna kupewa kuwoneka bwino m'mimba, muyenera kukhala ndi moyo wabwino. Choyamba, ndikofunikira kuchepetsa kumwa.

Mowa wa Ethyl umabweretsa zowononga paminyewa ya kapamba, chifukwa chake, amalephera kumwa mowa wokhala ndi matenda am'mimba.

Kupanda kutero, ululu m'mimba sangathe. Kachiwiri, kupewa kuti zisachitike, phwando lililonse lisanachitike, thandizo liyenera kuperekedwa m'mimba mwa michere.

Chifukwa chake, popita kukacheza, imwani piritsi la Pancreatin kapena Creon. Kuchita izi kukuthandizani kupewa mavuto pambuyo pa phwando monga kusekerera ndi kumverera kolemetsa m'mimba mwanu.

Ndipo pomaliza, chachitatu, idyani pomwe. Thanzi lanu limatengera momwe mumakonzera zakudya zanu.

Osagwiritsa ntchito mafuta ochulukirapo, osuta komanso amchere kwambiri. Tsatirani njira yakumwa kuti muchepetse kusowa kwamadzi ndikusunga madzi bwino.

Lamulo lomaliza - pachiwonetsero choyamba cha malaise pitani kuchipatala. Mukateteza matendawa, nthawi zambiri kumakhala kuti sikumayenderana ndi kuphwanya m'mimba.

Kanema wothandiza

Mu pachimake pancreatitis kapena kufalikira kwake, mawonekedwe a zosasangalatsa ndizotheka, pakati pake ndikuyenera kuwunikira ululu.

Amayambitsa zovuta zambiri, koma amatha kuyimitsidwa mothandizidwa ndi mankhwala.

Zopweteka za pancreatitis ziyenera kutumizidwa ndi dokotala, kutengera momwe munthu alili ndi matendawa omwe.

Njira zochitira kupweteka kwambiri

Ngati chiwopsezo cha kapamba mu mawonekedwe owopsa chikuwonekera kwa nthawi yoyamba, ndiye kuti ululuwo udzakhala wakuthwa komanso mwadzidzidzi, ndipo mphamvu yake imachulukira mwachangu.

Vutoli likhoza kukhala paliponse, ndipo pofuna kuyimitsa chizindikiro, sizotheka nthawi zonse kupeza mapiritsi ndi mankhwala ena.

Pankhaniyi, ndibwino kuyimba ambulansi, ndipo madotolo asanafike, mutha kudzithandiza nokha kapena munthu yemwe ali ndi vuto.

Chachikulu ndikudziwa malamulo oyambitsidwa omwe amaloledwa ndikuletsa:

1. Wodwalayo ayenera kukhala pansi kapena kukhazikika, ndikuyika thupi patsogolo. Sitikulimbikitsidwa kutenga malo opingasa, chifukwa chizindikirocho chimangokulirapo.
2. Sizoletsedwa kugwiritsa ntchito mankhwala omwe ali ndi ma enzymes, omwe odwala amakonda kugwiritsa ntchito zowawa pakudya. Kuti tiletse kuukira, ndikofunikira kuti musachulukitse magawidwe a michere, koma kuti muchepetse kupanga kwawo.
3. Osasanza, ngakhale mutakhala ndi mseru kwambiri kapena burping. Kunyumba, zothetsera zimagwiritsidwa ntchito nthawi zambiri, ndikuyembekeza kuti mukatha kusanza zinthu zidzasintha, koma zonse zimachitika mwanjira ina.
4. Osamadya kapena kumwa msuzi kapena zakudya. Amaloledwa kugwiritsa ntchito madzi okha opanda mpweya wa alkaline ululu, muyenera kumwa pang'ono pang'ono pang'ono.
5. Yesetsani kuti musagwiritse ntchito ma pinkiller a pancreatitis adokotala asanafike, popeza kupumirako kwa chizindikirocho kungathe kusokoneza chithunzi cha matenda, ndipo matendawo azikhala ovuta. Drotaverin kapena Papaverine amadziwika kuti ndi okhawo omwe amavomerezedwa ndi mankhwala opweteka kwambiri musanapite kuchipatala.

Ndikumva kupweteka kwambiri komanso kupweteka kwambiri pancreatitis, anthu nthawi zambiri amatengedwa ndi ambulansi, amupeza kuchipatala, kuzindikira koyenera kumatsimikiziridwa ndipo thandizo loyenerera limaperekedwa. Njirayi imapewa zovuta zovuta, kukhetsa magazi.

Ndi chizindikiro cholimba, mutha kugwiritsa ntchito njira zina zosavuta wowerengeka. Ngati kuukira kulibe mphamvu kwambiri, ndiye kuti muthandizire kuzizira pamimba, yomwe imaletsa chisangalalo msanga.

Chiwerengero chambiri chogwira ntchito chimasonkhanitsidwa m'mapazi a munthu, kotero kutikita minofu kumathandizanso kuchepetsa ululu womwe umayamba chifukwa cha kapamba.

M'tsogolomu, ndi chithandizo chamankhwala, mutha kugwiritsa ntchito decoction yozizira m'chiuno kapena timbewu tonunkhira, komanso msuzi wa kaloti, makangaza.

Zakumwa izi zimathandizira gawo la chovulazidwa, njira zopukusa chakudya, ndizopewera ululu, koma maphikidwe onse azithandizo zamakhalidwe azitha kugwiritsidwa ntchito pothandizana ndi adokotala.

Pakuwopsa kwambiri, ma decoctions ndi infusions sangathe kugwiritsidwa ntchito, koma sangathandize.

Analgesics

Pafupifupi mitundu yonse ya ululu imatha kuyimitsidwa ngati ma analgesics amagwiritsidwa ntchito. Mu njira yotupa yopatsirana pachimake, madokotala amatha kulimbikitsa mankhwala ochokera m'magulu ena a mankhwala. Chilichonse chimasankhidwa payekha kwa wodwala aliyense.

Ma analgesics onse ali ndi mawonekedwe awo ogwiritsira ntchito, contraindication ndi zotsatira zoyipa.

Mukamagwiritsa ntchito mankhwala omwe si a steroidal, ululu umatha, koma mankhwalawa sayenera kugwiritsidwa ntchito ndi odwala omwe ali ndi matenda owonjezera kapena zolakwika zam'mimba.

Kuti muchepetse kupweteka, mutha kugwiritsa ntchito njira zovuta momwe mumakhala zoletsa za zinthu za m'mimba, momwe mumakhala ma polyenzymes ambiri.

Kukula kwa ululu ndi kapamba nthawi zambiri kumawonekera chifukwa cha kuphwanya kwa ntchito ya sphincter ya Oddi, komanso matumbo a dyskinesia.

Pankhaniyi, ndibwino kuti musagwiritse ntchito analgesics, perekani zomwe amakonda antispasmodic mankhwala.

Antispasmodics

Poyerekeza ma analgesics ndi antispasmodics othandizira kupweteka, maubwino angapo omaliza amatha kusiyanitsidwa:

1. Kugwiritsa ntchito kwambiri pambuyo pa makonzedwe.
2. Yaitali achire zotsatira.
3. Zotsatira zoyipa zochepa.

Popeza kupweteka kwa kapamba kumawonekera kawirikawiri chifukwa cha kuphipha kwa minofu, ndiye chifukwa cha kutupa kwa kapamba, madokotala amalimbikitsa kugwiritsa ntchito antispasmodics nthawi zonse.

Myotropic painkillers a kapamba adziwonetsa bwino kwambiri. Ndi thandizo lawo, mutha kuthana ndi masasamba mosavuta, mosasamala kanthu komwe kunachitikira.

Mankhwala onse a antispasmodic amagawidwa m'mitundu iwiri:

Chimodzi mwazinthu zabwino kwambiri za antispasmodics ndi Duspatalin. Mankhwala oterewa amatha kuchotsa ma spasms nthawi yomweyo ndikuchepetsa kuphatikizira kwa sodium m'maselo, kuwonjezera, zochita za calcium zimasiya, kutuluka kwa potaziyamu kumachepa, ndipo ma hypotomies samakwiyitsidwa.

Pafupifupi theka la ola mutatha kumwa mapiritsi, mphamvu ya ululu imayamba kuchepa, ndipo zochita za zinthu zomwe zimagwira zimatha mpaka maola 12.

Analgesic wa chifuwa chachikulu

Samalirani thanzi lanu - sungani cholumikizacho

Mu nthawi yayitali ya matenda kuchokera ku zowawa, madokotala amapereka mankhwala omwe si a steroidal analgesics. Amasankhidwa payekha, kuphatikiza apo, amatha kugwiritsa ntchito mankhwala omwe amakhudza ndikuchotsa chomwe chimayambitsa chizindikirocho.

Nthawi zambiri amagwiritsidwa ntchito kuti athetse vuto:

1. Ibuprofen, Nimesil kapena Diclofenac.
2. Antispasmodics ndi analgesics, kuphatikiza No-shpa, Baralgin.
3. Zoletsa za kutulutsidwa kwa madzi a pancreatic, omwe amathandizanso kupsinjika ku gawo loyatsidwa. Mankhwalawa Gordoks, Krivriven.
4. Mankhwala a Hormonal otengera somatostatin. Izi zimachepetsa kutulutsidwa kwa ma enzymes ndikuchepetsa pang'ono zowawa.
5. Mankhwala enzymatic omwe amatha kupititsa patsogolo ntchito m'mimba, pakati pawo mutha kumwa Creon, Mezim, Festal.
6. Ma antihistamines, okodzetsa. Mankhwalawa amachotsa edema kuchokera ku gawo lowonongeka. Mankhwala, Furosemide, Suprastin, diphenhydramine amagwiritsidwa ntchito.

Zakudya zoyenera, masewera olimbitsa thupi, kugwiritsa ntchito mankhwala ena wowerengeka kumatha kuchotsa ululu mu mawonekedwe osachiritsika.

Njira zoterezi zimathandiza ngati ululuwu ndi wofewa, kuwoneka, nthawi ndi nthawi, popanda njira yovuta kwambiri yazizindikiro.

Baralgin pa zowawa

Baralgin pancreatitis yakhala ikugwiritsidwa ntchito kwa zaka zoposa 10 kuchiritsa, kuthetsa ululu ndi zizindikiro zina za matendawa.

Kapangidwe ka mankhwala kamakhala ndi mankhwala ambiri, omwe pamodzi amaperekanso zotsatirazi:

1. Amakhala ndi mphamvu ya analgesic.
2. Chotsani minyewa yam'mimba.
3. Amachotsa zotupa m'machitidwe ofatsa.
4. Chotsani kutentha.

Ndi matendawa, Baralgin nthawi yomweyo imakhudza zingapo zomwe zimabweretsa kupweteka, molunjika kwa ma receptor, koma tikulimbikitsidwa kuti musagwiritse ntchito mankhwalawa kupweteka kwambiri, koma chizindikiro chochepa kapena chofatsa chomwe chimawoneka pafupipafupi pamasewera osatha a maphunzirowa.

Baralgin sakhala wa mankhwala osokoneza bongo, ndi gawo la gulu la analgesics.

Mankhwalawa amaperekedwa kwa wodwala ngati mankhwala ena omwe atchulidwa pamwambawa kuchokera kuma gulu osiyanasiyana a mankhwala samathandiza. Mutha kugula chida ichi m'njira zosiyanasiyana:

1. Mapiritsi, omwe ali ndi 500 mg yogwira ntchito. Zitha kugwiritsidwa ntchito kupweteka pang'ono kapena jakisoni.
2. Makandulo, komwe padzakhale 300 mg yogwiritsira ntchito zosakaniza. Fomu ili siligwiritsidwa ntchito matendawa.
3. Mayankho omwe amagwiritsidwa ntchito ngati ma donopo kapena jakisoni. Fomuyo imalimbikitsidwa chifukwa cha ululu wokwanira, ndipo yankho lokha lingathe kuperekedwa limodzi ndi mankhwala ena.

Mapiritsi amatha kugwiritsidwa ntchito mpaka zidutswa 6 tsiku lonse, mosasamala kanthu ndi chakudya, koma ngati muli ndi matenda, ndibwino kuti muzigwiritsa ntchito mphindi 30 musanadye, kuti muchepetse kuwonjezereka kwa zowawa mukamamwa mankhwala.

Baralgin ili ndi ma analogi ambiri omwe amapangidwa m'maiko osiyanasiyana, ndi makampani osiyanasiyana. Mosiyana ndi ma analogues, Baralgin ali ndi gawo limodzi lokhazikika.

Ngakhale mankhwalawa ndiwotchuka kwambiri, ali ndi tanthauzo lililonse, koma sayenera kumwa popanda chilolezo cha dokotala.

Mankhwala aliwonse amakhala ndi contraindication, zoyipa ndi Baralgin pancreatitis sichoncho.

Ngakhale mutangogwiritsa ntchito piritsi limodzi, kukulitsa zovuta zoyipa kumatheka, zomwe mwa izi:

1. Thupi lawo siligwirizana.
2. Kuphwanya kapangidwe ka magazi, kuchuluka kwa maselo othandiza magazi kuundana ndi magazi kumachepa.
3. Kuphwanya kwa mtima ndi mtima dongosolo.
4. Kulephera kwa kwa chiwindi ndi impso ntchito.

Ndi ma pathologies ambiri, mankhwalawo saloledwa kugwiritsa ntchito. Zofunikira kwambiri ndi matenda a impso, chiwindi, magazi ndi mtima.

Chifukwa chiyani zowawa zimawoneka

Zomverera zowawa ndizomwe zimawonetsera zazikulu za matenda am'mimba kapamba.

Zimayambitsidwa ndi zifukwa zomwe zimangowonjezera:

• osagwirizana ndi zakudya zotchulidwa - kudya kwambiri kapena kudya zakudya zoletsedwa,
• kumwa zakumwa zoledzeretsa,
• kupsinjika kwamanjenje
• matenda a ziwalo zina zam'mimba dongosolo mu pachimake gawo - mwachitsanzo, kutupa kwa ndulu kapena gastritis,
• poyizoni ndi chakudya, mankhwala osokoneza bongo kapena mafusidwe a mankhwala.

Nthawi zambiri ululu umadzipangitsa kumva ngati theka la ola litatha kudya zosayenera. Ndi nthawi yino yomwe imafunikira kuti chinsinsi cha ntchito za kapamba zizikulitsidwa chakudya chikamalowa m'mimba. Ngati chakudyacho ndi cholemera, chosatha, kapamba amakumana ndi katundu wolemera, kutupa kwake kumayamba. Pankhaniyi, edema ya kapamba imayamba, kuthamanga kwa magazi kupita ku chiwalo kumakulanso, chifukwa cha momwe kupsinjika mkati mwake kumawonjezeka, kupweteka kumachitika.

Komanso ululu umayambitsidwa ndi:

• kuchepa kwa ma pancreatic ducts,
• kusintha kwa minyewa ya dystrophic,
• Hypoxia - mpweya wosakwanira kwa thupi,
• kusokonezeka kwa magazi kupita kwa kapamba.

Zilonda zam'minyewa zowonjezera zimayambitsa kukula kwa pancreatic necrosis. Ngati ma pancreatic lobes ali ndi necrotic nthawi imodzi (ndi mwa iwo momwe amapezeka madzi a pancreatic), amawathira mu peritoneal patsekeke. Izi zimayambitsanso kupweteka kwambiri, wodwalayo ali pamavuto akulu kwambiri ndipo sangaganizire china chilichonse kupatula momwe angachezerere kupweteka ndi kapamba pamtundu uliwonse.

Ululu mu mawonekedwe a kapamba ali ndi njira yosiyana yosinthira. Njira yotupa siinakhale yovuta monga nthawi ya kuukira, mkwiyo wa kapamba ndi wopanda pake. Koma minofu yomwe idawonongeka nthawi ya kukokoloka imachepa, m'malo mwake ndimalumikizidwa minofu yolimba m'malo mwa glandular. Amakanikizira ziwiya zowazungulira, mathero amanjenje ndi ziwalo zamkati. Chifukwa chake, wodwalayo amatha kudandaula za kupweteka kosalekeza, kupweteka kwa hypochondrium, nthawi zina mpaka kumanja kapena kumanzere, kumbuyo kwapakati pamapewa.

Zoyenera kuchita ndikumva kupweteka kwambiri

Nthawi zambiri zotere zimagwira munthu pantchito, kunyumba kapena kuphwando. Mutha kutsata zikondamoyo zoyipa musanafike ndi njira zowoneka bwino.

Koma nthawi yomweyo, ndikofunikira kudziwa zomwe zingachitike komanso zomwe sizingachitike kuti musavulaze wodwalayo:

1. Wodwala ayenera kukhala pansi kapena kukhazikika, kukhazikika thupi patsogolo. Ndikwabwino kunama pamsana pako - izi ndizolimbikitsa ululu.
2. Palibe vuto musakonzekere wokhala ndi ma enzyme, monga ambiri amachitira ndi kupweteka kwam'mimba pambuyo pa phwando ndi kumasulidwa. M'malo mwake, tsopano muyenera kuchepetsera kupanga ma enzyme.
3. Musalimbikitse kusanza ngati muli ndi mseru, kupindika ndi kusanza, ndi potaziyamu permanganate ndi mayankho ena.
4. Osamadya - ena amayesa kumwa zakudya zonunkhira, msuzi kapena kudya gawo la porcos yosangalatsa, koma tsopano si nthawi yoti achite. Zimangololedwa kumwa mchere wamchere wopanda mafuta m'magawo ang'onoang'ono komanso magawo ang'onoang'ono.
5. Yesetsani kuti musatenge ma analgesics ndi ma painkiller ena, chifukwa izi zimapangitsa kuti azindikire zovuta. Njira yokhayo yothetsera kupweteka mu pancreatitis yovuta imatha kuyesedwa ambulansi isanadze - awa ndi mapiritsi kapena jakisoni wa Drotaverin ndi Papaverine.

Mankhwala opweteka ululu wa kapamba

Momwe mungachepetse ululu ndi kapamba kawirikawiri, komanso ndi mawonekedwe ake, dokotala azindikire, poganizira momwe wodwalayo alili. Mankhwala opweteka momwe amapangira jakisoni nthawi zambiri amagwiritsidwa ntchito, chifukwa chifukwa cha kusanza komanso kutsegula m'mimba komwe kumayenderana ndi kufalikira kwa kapamba pafupifupi nthawi zonse, mapiritsi ndi makapisozi alibe nthawi yopasuka komanso kusamba.

Kwa ululu wokwanira, kuphatikiza kwa analgesics ndi antispasmodics kumayambitsidwa - Drotaverin ndi Baralgin kapena Papaverin ndi Analgin, etc.

Ngati mankhwalawa sathandizira, ma narcotic painkiller amagwiritsidwa ntchito:

Ketanov sakhala wa mankhwalawa, koma ndi mankhwala amphamvu, opweteka kwambiri, chifukwa chake nthawi zambiri amagwiritsidwa ntchito ngati njira ina. Nthawi zina Novocaine umatsekedwa. Mankhwalawa (mosiyana ndi mankhwalawa) angagulidwe ku pharmacy popanda mankhwala a dokotala.

Ndi kuchulukana kwa kapamba, wodwalayo amafunika kupuma kwathunthu - m'thupi, m'maganizo. Pambuyo pa analgesic pancreatitis, pakhale chikhodzodzo cha ayezi pamimba. Izi zimathandizira kuthetsa edema ya pancreatic, yomwe imathandizanso kuchepetsa ululu. Koma izi sizikulimbikitsidwa kunyumba: hypothermia ikhoza kuyambitsa vasospasm ndikuwonjezera vuto la wodwalayo.

Mankhwala okwanira okuthandizira kuchepetsa ululu amathandizanso:

• kubwezeretsa kagayidwe kamchere wamadzi,
• kuti tiletse kubisalira kwa michere,
• kuthetsa tizilombo tating'onoting'ono.

Ndi mpumulo wa njira yotupa ndi kubwezeretsanso ntchito za pancreatic, ululuwu udzachepera mphamvu.

Momwe mungachotsere kupweteka pachiwopsezo cha kapamba

Ngati kupweteka kumakhala kovuta mu matenda osakhazikika, dokotala yekha ndiye ayenera kusankha njira zowachotsera. Anesthetics amalembedwa kuchokera pagulu la anti-yotupa kapena ma analgesics, omwe samakhala ndi mankhwala, komanso mankhwala omwe amachotsa zomwe zimapangitsa kupweteka.

Nthawi zambiri, izi ndi:

1. NSAIDs - Ibuprofen, Diclofenac, Nimesil.
2. Antispasmodics ndi analgesics - Baralgin, Analgin, No-spa.
3. Zoletsa za kupanga kapamba wa pancreatic - amakulolani kutsitsa zikondamoyo paz kutupa kwake. Awa ndi a Gordoks, Krivriven, Kontrikal.
4. Zina zomwe zili ndi mahomoni somatostatin - chinthu ichi chimachepetsa mphamvu ya kapamba ndipo chimachepetsa kupweteka.
5. Kukonzekera kwa enzyme - kulimbikitsa chimbudzi ndikuthandizira kapamba, izi zikuphatikizapo Mezim, Creon, Festal, Pancreatin.
6. Ma antihistamines ndi okodzetsa - amachepetsa kutupa m'matumbo a m'mimba, awa ndi a Furosemide, Triampur, Suprastin, Diphenhydramine, Pipolfen.

Kuthana ndi kupweteka komanso kupewa zatsopano zimathandiza kudya, kupuma zolimbitsa thupi, wowerengeka azitsamba.

Koma njirazi zimangothandiza ndi ululu wochepa panthawi yachikhululukiro.

Ngati wodwalayo akuipiraipira, ngakhale atachitapo kanthu, ambulansi imayenera kuyitanidwa nthawi yomweyo.

Kodi kupweteka kwamatenda kapamba

Ndi kufalikira kwachiwiri, kupweteka kumakhala kocheperako kuposa kuwukira koyamba. Malo achitukuko akusintha. Zovuta zimapezeka m'mbali zotsatirazi:

• kumbuyo
• kumtunda kapena visa yam'mimba,
• pachifuwa.

Pankhani ya chifuwa chachikulu, kupweteka sikukukuku, kumachitika mosiyanasiyana. Zosokoneza zake zomwe zimachitika zimagwirizanitsidwa ndikugwiritsa ntchito zakudya zambiri, mowa.

Zimachitika kuti pambuyo pakuchulukana kwambiri, ululuwo umazimiririka. Musamasuke, titha kulankhula za necrosis ya dera lalikulu la kapamba.

Chifukwa cha zomverera zopweteka mwa odwala, kuphwanya chikhalidwe cham'maganizo kumawonedwa. Ndi nthawi yayitali ya matendawa, psyche imakhala yowonongeka kwambiri.

Ululu panthawi yowonjezera pancreatitis imapangitsa kuwonongeka kosasinthika kwa thanzi la wodwalayo. Chifukwa chake, ndikofunikira kukhazikitsa pancreas munthawi, kuiwalako kwakanthawi za kupsinjika ndi kupweteka.

Njira zothetsera ululu ndi kapamba

Kuukira koyamba kwa matendawa, monga lamulo, kumachitika mosayembekezereka. Pazifukwa zabwino, thandizo loyamba kwa wodwala limaperekedwa kunyumba kapena kuntchito. Malamulo omwe atchulidwa akuyenera kuwonetsetsa:

1. Wovutitsidwa amapatsidwa mtendere wathunthu.
2. Wokhala ndi thupi lopendekeka pang'ono.
3. Ululuwo umatha kupumulako pang'ono mothandizidwa ndi kupuma kosafunikira.
4. Chakudya sichilimbikitsidwa.
5. Ndi kusanza, sikulimbikitsidwa kumwa mankhwala, njira zothetsera kuyeretsa m'mimba ndi matumbo. Mutha kungochotsa kusanza ndi zala zanu.
6. Simungathe kumwa mapiritsi, zimakhudza zotsatira zakuzindikiritsa matendawa.
7. Wodwalayo amaloledwa kupereka theka la magalasi amadzi.
8. Paketi ya ayezi sayenera kuyikika pamalo ovuta - kuzizira kumawonjezera ma vasospasms, kusokoneza ntchito ya chiwalo chodwala.
9. Pankhani ya kuphipha kwamphamvu, wodwala sangakhudzidwe ndi ma analgesics omwe amapangidwa kuti athetse zizindikiro za ululu. Ma antispasmodics a kapamba amadziwika kuti apulumutse phokoso.
10. Pambuyo pakuthandizidwa koyamba, adokotala amatchedwa kwawo.

Mankhwala omwe amathandizira kuthetsa chizindikiro cha ululu

Pambuyo pokhazikitsa matenda, madokotala amasankha mtundu womwe mankhwala oti akapatse wodwalayo. Jakisoni wa kapamba amatchulidwa ndi adokotala, potengera momwe wodwalayo alili. Awa ndi mankhwala omwe amachepetsa kuvutika kwa odwala omwe ali ndi kapamba.

Ngati jakisoni wa kapamba, antispasmodics amagwiritsidwa ntchito, kupumula minofu ya ziwalo zamkati. Zodziwika kwambiri ndi palibe-shpa, atropine.

Zikondwererozi zidzakhala zosagwiritsidwa ntchito ndi analgin, baralgin, paracetamol. Nthawi zambiri, ma analgesics amaperekedwa limodzi ndi antihistamines, mwachitsanzo, suprastin kapena diphenhydramine.

Muzovuta, odwala amapatsidwa mankhwala, mwachitsanzo, tramadol. Jakisoni ndi wa okalamba. Mankhwalawa amalamulidwa kwa masiku atatu malinga ndi kuchuluka kwa nthawi zomwe zingachitike patsiku.

Kuti ayambirenso kapamba, odwala amapatsidwa mapiritsi okhala ndi ma enzymes. Mankhwala amasankhidwa malinga ndi umboni wa dokotala wokhudzana ndi matendawa. Kapangidwe ka mankhwala a munthu payekha (chikondwerero, zosangalatsa) kumaphatikizapo bile. Pamaso pa concomitant matenda am'mimba, mankhwala oterewa amatsutsana.

Antispasmodics

Chithandizo cha matenda amatchulidwa kwathunthu. Ma antispasmodics a kapamba amaphatikizidwa ndi mankhwala ena opangidwa kuti athetse ululu ndi matenda athunthu. Mankhwala no-shpa adapangidwira kuti asachepetsa ululu wambiri. Pankhani ya matenda oopsa a matendawa, mankhwalawa amathandizidwa pogwiritsa ntchito syringe, amayamba kuchitapo kanthu akangomaliza kumwa.

Papaverine mu kapamba amathandiziranso kupindika. Mankhwalawa amachotsa kuphipha kwa valavu, yomwe imapangitsa kuti madzi azitulutsa kuchokera ku kapamba. Zotsatira zake, kupsinjika mkati mwa gland kumachepa, ululu umatha.

Papaverine ndiolandiridwa limodzi ndi mankhwala ena: okodzetsa, opakhungu.

Pulifillin ya mankhwala imagwiritsidwa ntchito ngati njira yomaliza, ili ndi zovuta zambiri mwanjira zoyipa - kulanda, kukomoka, tachycardia.

Atropine nthawi zina imavulaza thupi mu kudzimbidwa, kukomoka, palpitations. Tengani mosamalitsa moyang'aniridwa ndi dokotala.

Momwe mungathetsere kupweteka ndi chowonjezera pancreatitis

Ndi matenda omwe afotokozedwawo, ma pinkiller amathandizidwa mosamala, popeza ululu umapezekanso pazifukwa zina. Ngati palibe kukayika pazifukwa, amaloledwa kuwonjezera kutenga baralgin, diclofenac. Kusankha ndi kumwa kumayesedwa ndi dokotala, poganizira zifukwa zingapo.

Kuti muchepetse nkhawa pang'ono, mankhwalawa amagwiritsidwa ntchito omwe amakakamiza kupanga michere pakachitika ma spasms, mwachitsanzo, contracal.

Somatostatin wokhala ndi ma analogues amalembedwa kuti apondereze kupanga kwazinthu zopangidwa ndi kapamba.

Mezim kapena pancreatin amachepetsa katundu pazinthu zovuta. Kuti muchepetse kutupa, ma diuretics amalembedwa mwachitsanzo, furosemide. Ndi cholinga chomwecho, ma antihistamines, mwachitsanzo, suprastin, amagwiritsidwa ntchito.

Njira Yina Yothandizira Kupweteka Kwa Pancreatitis

Pewani kusokonezeka kumathandiza kudya kwapadera. Malowa amakhala ndi kusala kudya kwa masiku atatu, ndipo amaloledwa kumwa madzi amchere ndi tiyi ndi uchi.

Kupweteka kwa Yoga kumafoola, njira zosankhidwa za wowerengeka. Njira zotere zimafunikira chisamaliro mosamala, pambuyo pokambirana ndi gastroenterologist.

Simungachotse kuukira mothandizidwa ndi infusions okhala ndi mowa. Izi zimakulitsa vutoli, zomwe zimapangitsa kuti matendawa azichulukana.

Limagwirira ululu

Ndi kutupa kwa kapamba, edema ya stroma ndi minofu imachitika. Izi zimabweretsa kukulira komanso kutupa kwa chiwalo. Madzi amadzimadzi amayamba thukuta kulowa m'malo mwaulere pakati pa kapamba ndi kapisozi wake.

Bokosi la kapamba ndi filimu yopyapyala yophimba chiwalo mbali zonse. Ili ndi ambiri receptors. Mukasesa thukuta lamadzi am'mimba, kapisolo amatambasuka, komwe kumabweretsa ululu wamphamvu. Kuphatikiza apo, pali njira zina zingapo zothandizira kupweteka kwa kapamba:

• Kusakhazikika kwa madzi amadzimadzi a phula ndi pancreatic mu duct. Hypertension imathandizanso kutalikirana kwa maudindo osiyanasiyana a m'madipatimenti osiyanasiyana, kukwiya kwa ma ululu komanso kupweteka.
• Pancreatic ischemia. Ndi pancreatitis, kutuluka kwa magazi mu ndulu kumachepa, zomwe zimapangitsa kuti magazi asakwanitse kupita ku maselo ake. Mu thupi, mkhalidwe wa ischemia umachitika, womwe umawonekera ngati dziko la ischemia.
• Ndi chiwonongeko chachikulu (kapena kuwonjezera zovuta), kutulutsidwa kwakukulu kwa ma enzymes m'magazi ndipo kumayambira patrone. Izi zimabweretsa ululu wam'mimba kwambiri (chifukwa cha kupsinjika kwa peritoneum ndi mitsempha yoyandikana ndi mitsempha yapafupi).

Pakukhumudwitsa, ndikofunikira kumvetsetsa momwe mankhwalawo amapezekera kuti apereke mankhwala moyenera.

Analgesia osagwiritsa ntchito mankhwala

Opaleshoni yokhala ndi njira zosagwiritsa ntchito mankhwalawa imagwiritsidwa ntchito mumaola oyamba ambulansi isanafike. Choyamba, amapatsa wodwalayo malo omasuka ndikuonetsetsa kuti mwamtendere kwathunthu. Mpumulo ululu umapezeka ngati wogwidwayo abweretsa mawondo pamimba (otchedwa umbuli).

Pakadali pano, wodwalayo sayenera kupatsidwa chakudya, zakumwa, zodzikongoletsera, chifukwa izi zimayambitsa kusanza nthawi yomweyo. Kuti muchepetse Zizindikirozi, mutha kupatsa kapu ya mchere wamchere wamchere (Borjomi), womwe kuyambira kale wakhala ukugwiritsidwa ntchito ngati thandizo loyamba la kupweteka.

Njira ina yopanda mankhwala a analgesia ndi yozizira kwa kapamba. Amakhulupilira kuti pamenepa ntchito yogwira ziwalo zimaletseka, zomwe zimathandizira zonse. Komabe, njirayi ndi bwino kusaigwiritsa ntchito mpaka ambulansi itafika. Izi ndichifukwa choti wodwalayo atazindikira kuti matendawa sangathe kutsimikiziridwa, ndipo kugwiritsa ntchito kuzizira kumangokulitsa njira yina yomwe imachitika m'mimba.

Mankhwala osokoneza bongo

Ndi kapamba, mitundu yotsatirayi ya analgesics imagwiritsidwa ntchito:

1. Myotropic antispasmodics (No-shpa, Papaverin, Platifillin).
2. Mankhwala osokoneza bongo a nonsteroidal (kapena sanali a narcotic analgesics) - Ibuprofen, Indomethacin, Aspirin, Diclofenac. Mankhwala osakanikirana Baralgin ndi Pentalgin ndi gulu limodzi.
3. Narcotic analgesics (Promedol, Fentanyl).
4. Kukonzekera kwa novocaine mndandanda (Novocain, Lidocaine)

Magulu awiri oyamba a mankhwala odwala amatha kutengedwa kunyumba kuti athetse ululu. No-shpa (analog ya ku Russia ya Drotaverin) ndiyabwino kwambiri. Gulu lomaliza la mankhwala othandizira kupweteka limagwiritsidwa ntchito pokhapokha kuchipatala ndikuyang'aniridwa ndi dokotala (pambuyo pogwiritsa ntchito antispasmodics ndi noncotic analgesics).

Kuchita opaleshoni kuchipatala kumatanthauza kumwa mapiritsi omwe ali pamwambapa, koma nthawi zambiri amagwiritsa ntchito jakisoni wovomerezeka. Chifukwa cha izi, jakisoni wa subcutaneous komanso intramuscular, kulowetsedwa kulowetsedwa kumayikidwa.

Mankhwala osokoneza bongo oletsa kuponderezana

Chofunikira china cha analgesic mankhwala ndi mankhwala osokoneza bongo omwe si a antiidal (non-narcotic analgesics). Amachitapo kanthu katatu panjira zitatu: amachepetsa kutupa, kupweteka komanso kutentha pang'ono kwa thupi. Zizindikiro zonse zitatuzi zimawonedwa ndi kapamba, zomwe zikutanthauza kuti NSAIDs ndi mankhwala osankha zochizira matenda ofatsa. Makina awo amachitidwe amachokera pazolepheretsa ndi zozungulira za COX-2 (cycloo oxygenase). Pulogalamuyi imayendetsa njira zotupa mthupi la munthu, zomwe zimabweretsa zowawa komanso kuwonjezeka kwa kutentha kwa thupi.

Zothandizira pakumva ululu kuchokera ku gulu la ma analgesics omwe si a narcotic amagwiritsidwa ntchito:

• Diclofenac (zotchulidwa mu mawonekedwe a jakisoni kapena mapiritsi a 75 mg patsiku). Ali ndi moyo wautali. Chalangizidwa kunyumba ndi kuchipatala.
• Indomethacin (kutumikiridwa pakamwa 25 mg mapiritsi, kumwa 2-3 patsiku).
• Paracetamol Amayikidwa pokhapokha ngati thupi likhale lotentha, matupi athu amathirakiti. Zothandiza kwambiri kutsitsa kutentha, zimathandizanso kupweteka komanso kutupa. Piritsi limodzi limalembedwa kukonzekera katatu patsiku.

Kuchokera pagulu lomwelo, Aspirin, Ketoprofen, Ibuprofen ndi ena angagwiritsidwe ntchito. Aspirin akuwonetsa kwa odwala onse omwe ali ndi vuto la mtima.

Zofunika! Mankhwala osapatsirana omwe amaletsa kutupa amadzipaka odwala omwe ali ndi matenda am'mimba, makamaka m'mimba. Odwala omwe ali ndi mbiri ya gastritis, matenda a zilonda zam'mimba, ayenera kumwa gulu ili lokha ndi mankhwala a antisecretory (Omez, Omeprazole, Pariet, Nexium) kapena ma enveloping agents (Almagel, Fosfalugel, Maaloks).

Narcotic analgesics yothandiza kupweteka

Ma analcics a narcotic a analgesia amagwiritsidwa ntchito komaliza. Ngakhale zimagwira bwino (kupweteka kumayima nthawi yomweyo), ma narcotic analgesics ali ndi zovuta zingapo zoyipa. Chosasangalatsa kwambiri kwa iwo ndi kusiya kapena kusiya.

Masiku ano, magulu angapo a narcotic analgesics amagwiritsidwa ntchito. Onsewa ali ndi makina amodzi ochitira. Zimalepheretsa zolandirira zowawa, motero zimamasula gawo la enkephalins ndi endorphin. Ululu ndi kusapeza zimachoka patapita mphindi zingapo.

Kwa analgesia a kapamba, Morphine yekha sagwiritsidwa ntchito kuchokera pagululi. Chowonadi ndi chakuti amawaza minyewa yosalala ya kapamba ndi chikhodzodzo, ndikukulitsa zinthuzo koposa.

Mankhwala omwe amagwiritsidwa ntchito kuti apange pancreatitis kuchokera ku gulu la narcotic analgesics:

• Promedol ndi wa narcotic wokhala ndi tanthauzo la analgesic. Ntchito 1% ndi 2% yankho la jakisoni, 1 ml mosazindikira.
• Fentanyl ndi Tramadol, omwe amagwiritsidwanso ntchito kuti athetse pancreatitis pachimake, ali ndi vuto lofanananso ndi kagwiritsidwe ntchito kake.

Zofunika! Ma analcics a narcotic amalembedwa mchipatala kokha ndi chilolezo cha dotolo wamkulu wa chipatala. Kuvomerezedwa kumachitika motsogozedwa ndi dokotala.Mankhwalawa ndi owopsa pazotsatira, chifukwa chake amagwiritsidwa ntchito pokhapokha ngati anti-yotupa ndi antispasmodic mankhwala sagwira ntchito.

Kugwiritsa ntchito novocaine pothandizira kupweteka

Njira ya Novocaine ndi njira yabwino yopulumutsira ululu wokhala ndi zovuta zochepa. Amagwiritsidwa ntchito ngati madzi a jakisoni pakukulitsa maantibayotiki, pakuwukhetsa kwa mankhwala. Njira yothetsera novocaine imagwiritsidwanso ntchito kutsekereza kukhathamiritsa kwa misempha ndi mitsempha yake, yothandizanso potupa kwa kapamba.

Njira Za Opaleshoni Yopulumutsa

Anesthesia yamtunduwu imagwiritsidwa ntchito pazovuta kwambiri, pamene njira zonse zamankhwala zimatha. Pachifukwa ichi, novocaine blockade ya mitengo ikuluikulu ya mitsempha ndi ma prxuse amagwiritsidwa ntchito.

Pafupi kwambiri ndi kapamba ndi ma solar plexus ndi mitsempha ya celiac yomwe imayambira pamenepo. Monga mankhwala a pathogenetic, awo suprapleural novocaine blockade amagwiritsidwa ntchito. Zotsatira zake, kutupa ndi kutupa kwa minofu ya kapamba kumachotsedwa, ululu umadutsa.

Pomaliza

Pancreatitis anesthesia ikhoza kuchitika osati kuchipatala, komanso kunyumba. Mankhwala ochepa okha ndi omwe amaloledwa kupumira ululu ndi wodwalayo yekhayo. Ngati muli ndi vuto la pancreatitis yovuta kwambiri, simuyenera kutenga mankhwala oletsa kuperewera kuti dokotala asakayikire mukazindikira matendawa. Imbani ambulansi ndikudikirira kufika kwawo. Ngati vuto lakumva ululu kwambiri, tengani piritsi limodzi la No-shpa kapena mankhwala othana ndi kutupa (Ketoprofen, Ibuprofen, Pentalgin) ndikuyimbira ambulansi.

Limagwirira ululu

Kukula, chikhalidwe ndi kufalikira kwa kupweteka kwa kapamba kumakhudzidwa ndi njira zingapo zomwe zimachitika mu minofu ya kapamba - kutsekeka ndi kutukusira kwa ma ducts ake, ischemia, kusintha kwa dystrophic. Komabe, monga momwe odwala ambiri amawonera, kupweteka kumachitika mphindi 30 mutatha kudya.

Mu chilonda chachikulu cha pancreatitis, kupweteka kwa kuphika kopanda phokoso kumachitika, komwe kumakulitsa mphindi iliyonse. Njira zachikhalidwe zoperekera ululu sizithandiza munthu - ngakhale "mluza" kapena malo okhala. Nthawi zambiri ululu umapezeka kumtunda pamimba, nthawi zina mu hypochondrium yamanzere.

Chizindikiro chachikulu cha pancreatitis pachimake ndi ululu mwadzidzidzi, womwe ukuwonjezeka mofulumira. Komanso, pachimake mawonekedwe amatendawa amatha kutsatiridwa ndi izi:

• malungo
• kugunda kwa mtima
• kusanza ndi kusanza.

Mwanthawi yayitali matenda a munthu, kupweteka kwamphamvu mosiyanasiyana, komwe kumatha kuwonekera pamimba, kumbuyo, komanso ngakhale kupweteka, kumakhala kosokoneza. Nthawi zambiri ululu umakulirakudya ukamamwa kapenanso kumwa mowa.

Nthawi zina zimachitika kuti pambuyo pa kupweteka kwambiri kumabwera mpumulo. Simuyenera kusangalala pasadakhale, chifukwa izi zitha kukhala chizindikiro cha dera lalikulu la kapamba.

Zinthu ngati izi zimayambitsa kupweteka kwamatenda a kapamba:

• kuperewera kwa zakudya m'thupi ndi kudya kwambiri,
• kumwa mowa
• kuchuluka kwa matenda am'mimba,
• kumwa mankhwala ena
• poyizoni
• pamimba
• kupsinjika

Momwe mungachepetsere kuukira kwa kapamba kunyumba?

Ululu wokhala ndi vuto la kapamba limachitika mwadzidzidzi. Izi zitha kuchitika kunyumba, kuntchito, poyendera kapena m'dziko. Ngati mulibe mankhwala oyenera, muthanso kusintha ndikuchepetsa wodwalayo pogwiritsa ntchito njira zosavuta.

Pankhani ya kukula kwa matenda pachimake pamatendawa, njira yoyenera kwambiri komanso yotetezeka ya opaleshoni ndiyo kugwiritsa ntchito chikhodzodzo cha chotupa pamimba. Komabe, nthawi zina, kuwira kwa madzi oundana kungangokulitsa misempha ndikulepheretsa kugwira ntchito kwa matenda, mwakutero kupangitsa kupweteketsa mtima kowonjezereka.

Panthawi imeneyi, wodwala amalimbikitsidwa:

• khalani ndi mtendere wakuthupi ndi wamalingaliro,
• khalani pansi kapena malo okhala pang'ono,
• musakane kudya chakudya,
• kupuma kosasunthika, komwe kumakupatsani mwayi kuti muchepetse kupweteka pang'ono,
• imwani ma analgesics
• itanani ambulansi.

Ngati kuchulukitsa kwa kutupa kwa kapamba, wodwalayo angalimbikitsidwe kuti atenge mankhwala omwe si a steroidal analgesics. Choyamba, tikulankhula za mankhwala monga Paracetamol, No-spa, Ibuprofen, Diclofenac.

Kukhala wokhazikika mmalo kapena otchedwa "mluza" (kukulitsa miyendo pachifuwa) kungachepetse mkhalidwe wa wodwalayo. Komabe, njira yayikulu yodziletsira kupweteka ndi kapamba ndi chakudya chomwe chimapatsa kukanidwa kwathunthu kwa zakudya zokazinga, zamafuta, zonunkhira komanso zamchere, ufa ndi zinthu zophika buledi, zakumwa zoledzeretsa.

Njira yothandiza yopewa kufalikira kwa kapamba ndi kusala kwa masiku atatu, pomwe kugwiritsa ntchito madzi amchere ndi tiyi wokhala ndi uchi wololedwa.

Yoga ndi zida zina zamankhwala zimathandizira kuchepetsa ululu wokhala ndi pancreatitis yowonjezereka, komabe, njirazi ziyenera kugwiritsidwa ntchito mosamala kwambiri pokhapokha ngati chilolezo cha dokotala chikuyenera.

Ma painkiller a pancreatitis aakulu

Poyankha funso lomwe ndi mankhwala omwe angafotokozedwe ka kapamba, ma gastroenterologists amati kusankha kwa mankhwala mwachindunji kumadalira kuchuluka kwa kuwonongeka kwa kapamba ndi kuchuluka kwa kupweteka.

Kuti muchepetse ululu ndi zovuta kuchizira kwa pancreatitis yowonjezereka, ndikofunika kugwiritsa ntchito magulu otsatirawa a mankhwala.

Pancreatic michere

Poganizira za kutupika kwa kapamba, wodwalayo atha kudwala matenda oyamba. Mwachitsanzo, kuperewera kwa pancreatic enzyme. Izi zikachitika, adotolo amakupatsirani kukonzekera kwa enzyme komwe kungayambitse kugaya chakudya ndikuthandizira kwambiri kubwezeretsa ntchito za kapamba.

Ma Enzymes ndi zinthu zokhudzana ndi chilengedwe zomwe zimasintha njira yotembenuzira chakudya.

Kukonzekera kwa enzyme ndi amitundu itatu:

• Gamba-limodzi (Pancreatin, Mezim) - amakulolani kuti muchepetse njira yodzipukusa-kapamba ndi kuchepetsa kutupa. Ntchito ululu waukulu.
• Zipolopolo ziwiri (Pantsitrat, Creon) - chotetezedwa ndi chipolopolo chosagwira asidi, chomwe chimawalola kusakaniza ndi chakudya ndikuwongolera kugaya kwake.
• Zophatikizika (Dimethicone, Festal) - zimathandizira kapamba, kusintha chimbudzi cha chakudya, chotsani bata komanso kufalikira.

Somatostatin ndi mawonekedwe ake

Hormat somatostatin amatha kuchepetsa ululu mthupi lonse, komanso kuchepetsa ululu wa kapamba. Analogue yodziwika bwino kwambiri ya timadzi iyi ndi Octreotide. Ngakhale kugwiritsa ntchito mankhwalawa kwakanthawi kumakuthandizani kuti muchepetse kupweteka ndi kapamba msanga komanso moyenera. Komabe, mankhwalawa ali ndi zotsatira zoyipa zambiri ndipo amangoperekedwa kwa akulu okha.

Ma painkiller a pancreatitis pachimake

Popeza mtundu wovuta wa kapamba umayendera limodzi ndi kupweteka kwambiri, ntchito yayikulu yopereka chithandizo chamankhwala ndi kupweteka.

Pachifukwa ichi, mutha kugwiritsa ntchito:

• analgesics
• antispasmodics
• mankhwala osokoneza bongo a narcotic ndi psychotropic.

Ndikotheka kuthana ndi kupweteka msanga m'matumbo a pancreatitis pachimake osagwiritsa ntchito mankhwala omwe amalumikizidwa intramuscularly. Choyamba, tikulankhula za No-shpe, Atropine, Analgin ndi Paracetamol. Mankhwalawa nthawi zambiri amaperekedwa ndi antihistamines (Diphenhydramine kapena Suprastin).

Ngati ndalama zomwe zalembedwazo sizikuyenda bwino ndipo ululuwo ukupitilirabe, wodwalayo amatha kupatsidwa mankhwala. Chifukwa chake, mankhwalawa monga Tramadol, Promedol kapena Omnopol amathandiza kuthana ndi kupweteka kwambiri pachimake pakakulirakulira kwa kapamba.

Mapiritsi a pachimake mawonekedwe a matenda amatchulidwa kuti abwezeretse pancreatic ntchito. Amasankhidwa ndi dokotala payekhapayekha kwa wodwala aliyense, kutengera kuwonongeka kwa kapamba ndi kupezeka kwa matenda olimba.

Nthawi zambiri, odwala amathandizira okodzetsa kuti achepetse kuledzera kwa thupi, mankhwala ochepetsa mphamvu ya michere, maantibayotiki ngati angayambitse matenda oyambitsidwa ndi bakiteriya, hepatoprotectors kuti akhalebe ndi chiwindi, antiulcer mankhwala ndi mankhwala obwezeretsa.