Mndandanda wa mankhwala ochizira kapamba

Pancreatitis ndi kutupa kwa kapamba. Matendawa amatha kuchitika komanso kuuma. Amathandizirana ndi kupweteka komanso kuwonongeka kwa ntchito, osati kokha kapamba, komanso ziwalo zapafupi zomwe zimalumikizana nawo: chiwindi, ndulu, matumbo.

Mu chilonda chachikulu cha pancreatitis, chithunzi cha chipatala chimatchulidwa, ndipo chithandizo chimangokhala chokwanira. Kukweza kwa matenda nthawi zina kumafunikanso kugonekedwa. Koma gulu lalikulu la odwala omwe ali ndi pancreatitis aakulu amathandizidwa kunyumba. Ndikofunikira kudziwa magulu akuluakulu ndi mankhwala enieni a kapamba, chifukwa chomwe amalembera komanso momwe angachiritsire molondola.

Kodi ndingathe kuzichitira ndendende

Mapapo ndi kufalikira kwamatenda owopsa a kapamba angachiritsidwe panyumba zotsatirazi:

• Mwafufuzidwa kwathunthu mzaka ziwiri zapitazi ndipo matenda ena amawachotsa (mwachitsanzo, zotupa, gallstones, matenda a zilonda zam'mimba).
• Zizindikiro zakuchulukirazi ndizodziwika bwino kwa inu ndipo sizosiyana ndi zakale.
• Munalandira upangiri wamankhwala.
• Kuchulukaku ndi kofatsa, popanda kusanza, popanda kutsegula m'mimba kwambiri.
• Pakupita masiku ochepa chithandizo, kusintha kumadziwika.

Mfundo zochizira pancreatitis yayitali

1. Zakudya kupatula zakudya zamafuta, nyama zosuta, msuzi wolemera, zakudya zamzitini. Choletsedwa chotere mu matenda a kapamba zimawonedwa kwa moyo. Ndi kuchulukitsa, njala imayikidwa kwa masiku angapo, kenako chakudya chamafuta ochepa mpaka kutupa kumatha.
2. Kusiya mowa ndi kusuta.
3. Kupumula.
4. Kutsitsa katulutsidwe ka timadziti tam'mimba pakukokomeza kwa kapamba.
5. Kudya kwa ma enzyme pamapiritsi othandizira kugaya.
6. Kuchotsa spasms ndi matenda a matumbo motility.
7. Kudya kwa mavitamini ndi michere, chifukwa mayamwidwe awo kuchokera ku chakudya ndi kapamba ndimatupa.
8. Mankhwala obwezeretsa matumbo.
9. Chithandizo cha matenda osokoneza bongo, omwe amatha kukhala ovuta kwambiri kapamba kapenanso kakhansa.

Chithandizo cha pancreatitis ndi chovuta, kutengera zizindikiro zake. Palibe mapiritsi abwino a kapamba. ” Matendawa amatha kuchitika munjira zosiyanasiyana. Wina amakhala ndi zowawa ndipo amafunikira machilitso, enanso atavulala ndi chimbudzi, ndipo amafunikiranso kukonzekera. Wina akhoza kupweteka komanso kutsegula m'mimba, motsutsana ndi izi - kunenepa komanso kutopa.

Mankhwala Opweteka

Chizindikiro chachikulu chomwe chimavutitsa munthu ndi kufalikira kwa kapamba ndi kupweteka. Ndi mapiritsi ati oti mutenge kapamba?

• Mankhwala opweteka kwambiri omwe amatha kumwa ndi kutupa kwa chiwalochi Paracetamol (ndiye otetezeka kwambiri pamatumbo). Paracetamol Mapiritsi a 1-2 amatengedwa katatu patsiku mphindi 30 asanadye. Komabe, amadzipereka mosamala vuto la matenda a chiwindi.
• Ndizothekanso kugwiritsa ntchito maphunziro amfupi komanso ma analgesics ena omwe si a narcotic - Spazgan, Baralgin, Ketanov, Ibuprofen, Nimesulide. Pali maphunziro omwe amatsimikizira kulimbitsa kwa analgesic mphamvu ya mankhwalawa tikamamwa pamodzi ndi ma multivitamin complexes, komanso ndi antidepressants (amitriptyline).

Mankhwala opweteka sayenera kumwa kwa masiku opitilira 10.

• Antispasmodics amagwiritsidwanso ntchito. - No-shpa, Buskopan, Mebeverin, Duspatalin, Papaverin. Amathandizira kuphipha kwamatumbo, matumbo, potero amachepetsa kuthinana kwamatumbo.
• Momwe acidic ikuluikulu imayambira m'mimba kulowa mu duodenum, pomwe chinsinsi chake chimayamba kugwira ntchito kapamba. Momwemo, mankhwala omwe amachepetsa kubisala kwa hydrochloric acid mwachindunji amathandizanso kupweteka. Mankhwalawa akuphatikizapo ma H2 receptor blockers. Ranitidine, Famotidinekomanso ma proton pump zoletsa Omeprazole (Omez, Losek, Ultop), Rabeprazole (Pariet), Pantoprazole (Nolpaza, Contralock), Esomeprazole (Nexium).
• Nthawi zina amagwiritsidwa ntchito mankhwala antisecretory Dalargin kwa mu mnofu kapena mtsempha wamkati.
• Maantacid - Phosphalugel, Maalox komanso kuchepetsa acidity wa chapamimba madzi. Ikani kwa iwo mphindi 40 mutatha kudya musanakagone.

Kasitomala ndiye gland wothandiza kwambiri m'thupi lathu. Amatulutsa malita 1.5-2 a pancreatic madzi patsiku okhala ndi michere ya 10-20 magalamu enanso okhala ndi michere mmimba. Njira yotupa yopatsirana pafupifupi nthawi zonse imayambitsa kutsika kwa chiwerengero chawo, zomwe zimakhudza chimbudzi cha chakudya (makamaka mafuta).

Zotsalira zopanda chakudya zomwe sizimalowetsedwa m'matumbo, zimayambitsa kupesa, kumatulutsa, kutsegula m'mimba (malabsorption syndrome). Kutupa kwamatumbo kumakulitsa kupweteka kwam'mimba, kuperewera kwa malabsorption kumabweretsa kuchepa kwa thupi, kuchepa magazi ndi hypovitaminosis.

Chifukwa chake, mankhwala akuluakulu a kapamba ndi kufalikira ndi ma enzymes omwe amathandizira kugaya chakudya komanso kuyamwa kwa chakudya. Zosakhazikika, amachepetsa ululu, amakhalanso pansi, amalepheretsa kuchepa kwa mavitamini ndi michere m'matumbo.

Kukonzekera kwa enzyme kumapezeka mu mawonekedwe a piritsi komanso mawonekedwe a kapisozi. Fomu iliyonse ili ndi zabwino komanso zovuta zake. Mndandanda wamapiritsi omwe ali ndi michere yokumba ndi wamkulu. Zonsezi zimakhala ndi ma amylase, lipase ndi proteinase mumagulu osiyanasiyana, kuphatikiza zina zowonjezera.

• Kukonzekera kotsika mtengo kwa enafe ndi kwathu Pancreatin Koma ndikutambasulira ikhoza kutchedwa kuchiritsa kwa kapamba, popeza imakhala ndi ma enzymes ochepa (malinga ndi lipase - pafupifupi 3,000 magawo). Amagwiritsidwa ntchito kwambiri pazolakwika mu zakudya. Mwa zabwino - mtengo wotsika (kuyambira 30 ruble).
• Pancreatin analogue - Mezim. Ntchito - pafupifupi 3,500 IU ya lipase. Mtengo wake ndi wa ma ruble 100 pa paketi 20 yamapiritsi 20.
• Penzital (pafupifupi 6000 PIECES of lipase). Mtengo - kuchokera ku ma ruble 170.
• Enzistal P (3500 PIECES). Mtengo wake umachokera ku ma ruble 70.
• Panzim forte (3500 PIECES). Mtengo wake umachokera ku ma ruble 160 pamapiritsi 20.

Ngati tirikunena za chithandizo choyenera, ndiye kuti kapamba akayamba, mankhwala ayenera kusankhidwa ndi kuchuluka kwa ma enzymes. Malangizowo ali makamaka pazomwe zili ndi lipase. Mankhwala obwezeretsanso abwinobwino, osachepera 25,000-40000 magawo a lipase a chakudya chachikulu komanso magawo 10,000 a zodyera zowonjezera amafunikira.

• Mapiritsi otchuka kwambiri a kapamba omwe ali ndi ntchito yolimbikitsidwa ndi Mezim Forte 10000, 20000. Mitengo ya mankhwalawa imayamba pa ma ruble 200 pa paketi 20 yamapiritsi.

Mankhwala othandiza kwambiri masiku ano ndimakonzedwe a pancreatin mwanjira ya microtablets, minimicrospheres kapena microplates omwe atsekedwa mu kapisozi ka gelatin (IV m'badwo). Tinthu tating'onoting'ono ta pancreatin mu kapisozi siopitilira 2 mm. Chipolopoloacho sichimasungunuka m'mimba, koma m'matumbo a duodenum, tinthu timene timasakanikirana ndi chakudya, zotsatira za mawonekedwe amtunduwu ndizokwanira.

Makapisozi otchuka kwambiri a kapamba ndi mtengo wawo:

Mtengo pa paketi 20 20 makapu

(pafupifupi)

Mankhwala okwera mtengo kwambiri mndandanda uno ndi a Creon, otsika mtengo kwambiri ndi Panzinorm.

Zikondazo zikapweteka, kukonzekera kwa pancreatin kumachitika nthawi yudya itatha kapena itangotha. Njira ya mankhwala ndi kuyambira 1 mpaka 3 miyezi. M'tsogolomu, mutha kumwa mapiritsi a zotsutsana zilizonse za zakudya. Nthawi zambiri, mankhwala amathandizidwa kuti akhale ndi moyo.

Tizikumbukira kuti kapamba SIKUFUNA kukonzekera kwa enzyme yomwe ili ndi zigawo za bile - Festal, Digestal, Enzistal, chifukwa amatha kupweteka kwambiri.

Njira yachitsanzo yolandirira njira yowonjezera kuphipha

1. Zakudya za kapamba. Kusiya mowa ndi kusuta.
2. Creon 25,000 X katatu pa tsiku pachakudya chachikulu, 10,000 X 3 kawiri pakudya kwamkati kwa masabata 12.
3. Omeprazole 20 mgX2 kawiri pa tsiku kwa masabata anayi, ndiye 20 mg m'mawa kwa masabata awiri.
4. Mebeverin 200 mgX2 kawiri pa tsiku kwa milungu 6.
5. Ululu - Paracetamol 500-1000 mg X3 katatu patsiku mphindi 30 musanadye masiku 7.

Kukonzekera kubwezeretsa microflora yamatumbo

Kuphwanya chiŵerengero chaubwinobwino komanso tizilombo toyambitsa matenda m'matumbo amawonedwa pafupifupi onse odwala matenda a kapamba. Izi zikufotokozedwa ndikusowa kwa kudzipatula kwa enzyme, njira zowonjezera mphamvu, zomwe zimapanga malo abwino pofalitsa microflora ya pathogenic.

Kuti athetse vuto ili, nthawi zina limasankhidwa:

• Maantibayotiki am'mimba: Enterofuril (Imani kuyimba)Rifaximin (Alphanormix). Kapena Ciprofloxacin, mpaka masiku 7.
• Kenako - ma probiotic ndi prebiotic okhala ndi mabakiteriya abwinobwino opindulitsa. Izi zikuphatikiza: Bactistatin, Enterol, Linex, Bifiform, Floristin, Normobact etc. Kuvomerezedwa mukamadya kapena mukatha kudya kwa masabata atatu.

Chithandizo cha pachimake kapamba

Ngati kapamba adayambiratu, mankhwala othandizira pakamwa sangathandize. Chithandizo cha maulosi ndizovomerezeka pano. Wodwala adzapatsidwa:

• Mtsempha wa magazi kulowetsedwa kwa mayankho.
• Opaleshoni mpaka narcotic analgesics.
• Blockers of michere ya proteinolytic - Gordoks, Kontrikal.
• Octreotide ndi mankhwala opondera kutulutsa thumbo.
• Maantibayotiki.
• Antiemetics
• Kugwira ntchito ngati njira zoyeserera zikutsimikizira kuti sizothandiza.

Mankhwala azitsamba a kapamba

Amadziwika kuti mbewu zina zimakhala ndi zinthu zomwe zimathandizira pochiza matenda ambiri. Kuyambira kale, matenda am'mimba adathandizidwa ndi wowerengeka azitsamba, ndipo ochiritsa adachita bwino. Ndi kupita patsogolo kwamphamvu kwa mankhwala a pharmacology, chidwi pa mankhwala azikhalidwe zachilengedwe kwatha. Koma tisaiwale kuti machiritso a mbewu sanasoweke, ndipo mankhwala azitsamba angathandize kwambiri pochiza matenda am'mimba, kuphatikizapo kapamba.

Kuthira mankhwala azitsamba kokha sikungathandize kuchiritsa kapamba, koma amachepetsa kuchuluka kwa mankhwala omwe amwedwa.

Ophera

Ngati mukumva kupweteka kwambiri, mankhwala otsatirawa ndi mankhwala:

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• Antispasmodics "Nosh-pa", "Spazmalgon" amagwiritsidwa ntchito ngati vuto lolimbikira limachitika chifukwa cha kupsinjika mkati mkati mwa ma pancreatic ducts.
• Otseka mapampu a proton Omeprazole, Rabeprazole amachepetsa ntchito ya odwala.
• "Diclofenac" kapena "Nurofen" adalembedwa kuti atsekere kutupa.
• "Duspatalin" imagwiritsidwa ntchito kupulumutsa m'matumbo a m'mimba.

Antiemetics

Magawo onse a matendawa amatha kutsatiridwa ndi msambo wa mseru komanso amayambitsa matenda osokoneza bongo. Ngati sasiya kumbuyo kwa mankhwala, wodwalayo amapatsidwa jakisoni wa Metoclopramide, kapena amapatsidwa mankhwala amkamwa (mayina a miyala ndi Tserukal, Itoprid, ndi Trimebutin).

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Gulu la mankhwalawa limathandizira kuchepetsa kupanga kwa hydrochloric acid opangidwa m'mimba. Ikuwonjezera mulingo wa ma enzymes omwe amathandizira pakhungu la pancreatic ndikuyamba kugaya minofu ya chiwalo chomwe chafotokozedachi. Ichi ndichifukwa chake odwala omwe ali ndi pancreatitis yayitali amalembedwa "Maalox" kapena "Almagel".

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Maantibayotiki

Ndi gawo limodzi lofunikira la mankhwala othandizira. Edema ya gland imatsogolera pakupanga kwa kulowetsedwa - madzimadzi omwe ali ndi zinthu zofunikira pazamoyo. Amadziunjikira pamimba ndikusakaniza ndi michere yambiri. Kuphatikizika koteroko kumabisa pang'onopang'ono ziwalo zamkati zomwe zili pafupi. Peritonitis imachitika, yomwe mu 70% ya milandu imabweretsa kufa.

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Pofuna kuthana ndi kutupa kwa peritoneum, mankhwala opha antibacterial omwe amagwiritsidwa ntchito motsutsana ndi anaerobic microflora amagwiritsidwa ntchito (Penicillins, Tselafosporins). Mu pachimake matenda, amathandiza kupewa mawonekedwe owopsa. Pochizira mawonekedwe osakhazikika, zokonda zimaperekedwa ku Ampioks kapena Cefoperazone.

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Phytopreparations

Zida zopangidwa ndi zitsamba zimatha kuchepetsa pancreatic kutupa. Amabwezeretsa patency mkati mwa ma ducts, amathandizira pakuchotsa poizoni m'thupi. Katundu wotere amakhala ndi mlandu wa choleretic. Ndikofunika kuti muzigwiritsa ntchito panthawi yachikhululukiro, muyenera kumwa kwa nthawi yayitali, maphunziro a masabata asanu ndi atatu omwe akupuma.

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Madokotala amatenga mankhwala azitsamba pakuchiza matenda. Njira zowonjezerazi zimakuthandizani kuti muchepetse kuchuluka kwa mankhwalawa komanso kuchepetsa nthawi ya kudya.

Mukamasankha chithandizo, ndikofunikira kumvetsetsa kuti chithandizo chothandizira kuti musabwerenso ziyenera kuchitika pongowonetsa. Ndipo popeza mankhwalawa a kapamba amafunikira munthu payekha, phytopreparations ingatengedwe pokhapokha malinga ndi dokotala.

Pachimake kapamba

Njira yotupa kwambiri imayambitsa kuchepa kwa ma enzymes mu milomo ya mkati. Zotsatira zake, kapamba amayamba kudzipenda yekha. Kuukira kumachitika, komwe kumayambitsa kukula kwa kutupa ndi kuwonjezeka kwa kukula kwa gawo lomwe lakhudzidwalo. Nthawi zina kufa kwamisempha.

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Potere, anthu amamva kupweteka kwambiri pafupi ndi solar plexus, imaperekedwa kumbuyo. Belly amatupa, malungo amadzuka. Nkhope zanu zimakhala zakuthwa. Khungu limatembenuka ndipo limakutidwa ndi thukuta lomata. Zakudya zilizonse zomwe zimapangidwa zimayambitsa mseru komanso kusanza, pomwe sizibweretsa mpumulo. Kusala kudya kokha ndi komwe kumathandizira wodwalayo.

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Poyerekeza ndi pancreatitis, kutsegula m'mimba, ndowe zimakhala ndi madzi osasintha, zimakhala ndi zakudya zopanda pake ndi chithovu. Kusanza pafupipafupi ndi kutsegula m'mimba kumatha thupi. Kuwonongeka kwa ma elekitirodiya kumapangitsa kuti kupuma kuyende bwino, zomwe zimayambitsa zovuta pamtima.

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Zikakhala zotere, chithandizo chamankhwala chimafunika mwachangu, apo ayi zitha kupezeka. Mpaka nthawi yomwe ambulansi ifika, wodwalayo amafunika kuonetsetsa kuti pakhale mtendere, kupaka compress ndi ayezi pamimba ndikupereka mankhwala ochititsa dzanzi.

Chithandizo cha kutupa pachimake chimachitika ndimankhwala malinga ndi zotsatira zake. Choyamba, ndikofunikira kuyimitsa kaye zazikulu za njirayi, kuti gulu ladzidzidzi lifike pamalowo:

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• Ikani wodwala dontho lokhala ndi mchere.
• Tiperekenso mankhwala othandizira kusiya kusanza ("Tserukal").
• Ndipanga jakisoni wothandizila ("Ketanov").
• Onetsetsani kuti mukumwa mankhwalawa amodzi a mankhwala antisecretory.

Kale kuchipatala njira zoyenera zodziwira matenda zimachitika. Ngati njira yowonongeka ya pancreatitis ikukayikiridwa, wodwalayo amapititsidwa ku dipatimenti yopanga opaleshoni kuti akachitidwe opaleshoni kuti achotse mbali zakufa za gland. Ngati zizindikiro za peritonitis zapezeka, laparoscopy imachitika.

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Chithandizo cha maulalo chimachitika malinga ndi chiwembu chotsatira. Wodwala amapatsidwa:

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1. Ma diuretics omwe amachepetsa kutupa kwa chimbale chovulazidwacho ndikuchotsa michere yamafuta m'magazi (Furosemide kapena Diacarb).
2. Mankhwala "Omez" (80 mg patsiku).
3. Kuti athetse kusanza, Metoclopramide imayendetsedwa kudzera m'mitsempha.
4. Maziko a mankhwalawo ndi mankhwala a pancreatic, omwe amagwira ntchito omwe amatseketsa michere (Gordox kapena Contrical).

Masiku asanu ndi limodzi oyamba a mankhwalawa adawonetsa njala, wodwalayo amangovomerezeka kumwa madzi ofunda mu sips yaying'ono.

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Mu kanemayi, Dr. Evdokimenko amalankhula za mankhwalawa a kapamba. p, blockquote 26,0,0,0,0 ->

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Matenda a kapamba

Njira yaulesi yotupa imayambitsa kupangidwe kwa kusintha kwa mapangidwe a pancreatic minofu. Zotsatira zake, exocrine ndi intrasecretory insuffence amakula. Mphamvu yakuchotsa mikhalidwe yotereyi imatheka pokhapokha pogwiritsa ntchito zovuta: mankhwala amagwiritsidwa ntchito pochotsa ziphuphu, maphikidwe a mankhwala ena.

Chisamaliro chochuluka chimaperekedwa kuti muchepetse chiwopsezo cha nthawi yochulukirapo, kusunga ntchito ya matenda. Pazifukwa izi, mankhwala othandizira amaperekedwa. Munthu ayenera kudya zakudya moyo wake wonse.

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Monga chithandizo, mankhwalawa amagwiritsidwa ntchito pazotsatira. Mankhwalawa kapena mankhwala ena amasankhidwa poganizira kukula kwa chithunzi cha matenda ndi kupezeka kwa zovuta. Popeza kutupa kosatha kwa kapamba kumasokoneza kupanga ma enzymes ofunikira kuti chimbudzi, mankhwala omwe angabwezeretse kuchepa uku akuphatikizidwa mu njira zochizira.

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Mankhwala onse amakhala ndi chipolopolo chapadera chomwe sichisungunuka m'mimba. Izi zimapereka mwayi wopereka ziwalo zofunikira mwachindunji kumtunda. Mankhwalawa amaledzera ndi zakudya zokha, ndipo musamazipeze.

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Kugwiritsa ntchito mankhwala ngati amenewa kumabweretsa zotsatirazi:

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• Ma Enzito ochokera kunjaku amachepetsa katundu pachipolopolo.
• Chifukwa cha iwo, kugwiritsidwa ntchito kwamagulu akuluakulu azinthu (mapuloteni, chakudya ndi mafuta) zimachitika mwachangu, popanda zovuta.
• Chimbudzi chimakhala chofanana.
• Zizindikiro za dyspepsia zimadzithetsa.

Mankhwalawa amagawika m'magulu awiri akulu:

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Mapiritsi, omwe ali ndi ma enzymes okha:

Kudya kwawo kumachepetsa matumbo, kusintha chakudya, kupondera mseru, kumachepetsa kusefukira, komwe kumakhudza mkhalidwe wa wodwalayo.

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Mankhwala, omwe, kuphatikiza ma enzyme, mulinso bile:

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• "Enzyme."
• "Festal" (dzina lina lazamalonda ndi "Pancreatin" kapena "Creon").

Mankhwalawa ali ndi chithandizo chokwanira, koma sangatengedwe ngati matendawa amatuluka motsutsana ndi maziko a zilonda zam'mimba, zilonda zam'mimba kapena kupezeka kwa miyala mu ducts ya bile.

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Apa Elena Malysheva mu pulogalamu ya Live Healthy amalankhula za mankhwalawa.

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Kuchulukitsa kwa kapamba

Fomu yobwereza yomwe imakhala yodziwika ndi kuyambitsidwa kwapafupipafupi kwa kupweteka. Alibe zizindikiro zowoneka bwino ngati mawonekedwe owopsa, komabe, kuchepa kwa mankhwalawa kumapangitsa kuti pakhale zovuta zomwezo.

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Wodwalayo amatembenukira ku thandizo la madokotala, monga lamulo, panthawi yotsatira. Chithandizo chake chimayamba ndi kusala kudya komanso kugwiritsa ntchito mankhwala olimbitsa thupi. Chithandizo chokwanira chimachitika pokhapokha ululu utatha. Maziko ake ndi:

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• Kukonzekera kwa Antenzyme komwe kungachepetse kutseguka kwa zinthu zomwe zimawononga mapuloteni a England ndipo zimayambitsa kukula kwa njira za necrotic. Mndandanda wa mankhwalawa umaphatikizapo Pantripin, Kontrikal ndi Ingitril, Gordoks.
• Mankhwala a Antisecretory ("Omeprazole").
• Analgesics ("Baralgin", "Trigan-D", "Acetamifen", "Pentalgin").

Chithandizo sichingayende bwino ngati wodwala sathandizira kupewa matendawa. Ayenera kusiya zizolowezi zoipa, mowa ndi kusuta fodya, kutsatira kwambiri zakudya, kumwa madzi ambiri, kuchiza matenda am'mimba.

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Ndikofunikira kukumbukira kuti homeopathic Inde sangathe kuyambiranso. Mankhwala okhawo ovuta omwe amatha kuponderezana ndikuyimitsa zizindikiritso zazikulu za kutupa kwa pancreatic, amachotsa zomwe zimayambitsa matendawa ndikuletsa kutuluka kwa zovuta zazikulu ngati khansa.

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Masiku ano, pharmacology yamakono ndiwokonzeka kupereka mankhwala pamtengo wotsika mtengo womwe ungathandize kubwezeretsanso gawo la matenda.

Zolinga za zolimbitsa thupi

Ntchito za mankhwala osokoneza bongo ndizotsatirazi.

1. Kuthetsa ululu kapena kuchepa kwa mphamvu yake kukhala yofatsa.

2. Kukhathamiritsa kwa njira zogaya(peristalsis, splitting and mayamwidwe chakudya, kuchotsa kwa kuchuluka kwa mpweya).

3. Kuthetsa mawonetseredwe a dyspeptic. Kuchotsa mseru, kusanza, kutsekula m'mimba.

4. Naturalization wa mayamwidwe njira ya zinthu zofunika matumbo.

5. Kubwezeretsa kuchepa kwa enzymatic ndi mahomoni. Kugwiritsa ntchito ma enzymes onse okhudzana ndi chimbudzi ndi insulin.

Magulu ogwiritsira ntchito mankhwala

Chachikulu mankhwala a pancreatic a m'magulu otsatirawa.

1. Mankhwala a antibacterial. Kuchiza ndi kapamba kumalimbikitsidwa. Ndikulimbikitsidwa kuchitira moyenera maantibayotiki, momwe chidwi cha mabakiteriya omwe apezeka ndi mbeu mwa wodwalayo wapezeka. Onetsetsani kuti muwapatsa mankhwala omwe akuwoneka kuti akupita patsogolo, kutentha thupi, zizindikiro za mapangidwe a zilonda zam'mimba, chikhazikitso cha necrosis, peritonitis, zovuta za septic. Maantibayotiki a gulu la cephalosporins, macrolides, phthoquinolones ndi mankhwala.

M'mikhalidwe yovuta kwambiri, maantibayotiki amaperekedwa. Mapiritsi a pancreatic sagwiritsidwa ntchito. Maantibayotiki wamagulu angapo atha kutumizidwa kuti athe kuphatikiza mabakiteriya onse okhala ndi zochita zawo.

2. Zosangalatsakukonzekera. Mankhwalawa amagwiritsidwa ntchito kuti zikondamoyo zisapume. Ndi mulingo wokwanira wa ma pancreatic enzymes m'magazi, imayimitsa kaphatikizidwe kawo mwachindunji ndi kutseguka. Zofunika chithandizo.

Pancreatic michere

Kuphatikiza apo, chifukwa cha kuperewera kwa kapamba ndi kuchepa kwa enzyme, kuyimitsidwa kwa mankhwala a enzymatic mkati ndikofunikira. Izi zikufotokozedwa ndikuti minofu yowonongeka ya pancreatic imasinthidwa ndi minofu yolumikizira kapena adipose. Chifukwa cha kuchepa kwa magwiridwe antchito a kapamba, kuchuluka kwa ma enzymes omwe amakhala osakwanira kuti kukonzere ndikutha chakudya. Kugwiritsa ntchito michere kumabweretsa kukhathamiritsa kwa chimbudzi cha chakudya, kuchotsedwa kwa nseru, kusanza, kuphatikizira chopondapo. Mapiritsi ndi mapiritsi ambiri ndi awa: creon, pancreatin, kapamba, michere, chikondwerero, panzinorm ndi ena. Mapiritsi omwe anaikidwa ndi enzymatic m'malo mwake amachotsa kupangika kwa mpweya wambiri, kumachepetsa ululu.

Momwe mungatengere Creon 10000 ndi imodzi mwazomwe amamwa mankhwala enzyme. Ndi mankhwala ochokera ku kapamba wa nkhumba. Chofunikira chachikulu ndi lipase. Koma pambali pake pali amylase ndi proteinase. Mankhwalawa ali ndi membrane wosagwira gastro, omwe amalola kuti mankhwalawo alowe m'matumbo, kudutsa mphamvu ya madzi a m'mimba. Popeza ichi, ndizosatheka kutafuna makapisozi, ndizosatheka kuzigwiritsa ntchito kuchepetsedwa mu zakudya. Chifukwa chake mankhwalawo amawonongeka ndi ma enzyme am'mimba.

3. Antispasmodics. Mfundo zazikuluzikulu zakugwiritsa ntchito mankhwalawa ndi minofu yosalala, yomwe imapereka kuphipha kwa kupindika kwa Oddi, komwe ma enzymes a pancreatic amalowa m'matumbo, komanso bile duct hypertonicity. Nthawi zambiri zotchulidwa Palibe-shpu, Papaverine…

4. Anticholinergics. Ndi kapamba, mankhwalawa amagwiritsa ntchito luso lawo la antispasmodic, komanso luso lotukula peristalsis (gastril, pirenzepine, gastrosipine).

Kukonzekera kwamutu

5. Maantacid. Mankhwalawa ali ndi mphamvu yoletsa hydrochloric acid, kuchepetsa kukwiya kwake. Kubisala kwa asidi ndi kulowa kwake mu duodenum kumathandizira kusinthitsa kubisala ndi kutseguka kwa michere ya pancreatic. Maantacid okhala, kusasokoneza, kusokoneza izi. Ndi kapamba, ma antacid osakhazikika amalembedwa. Kuphatikiza pa kukhathamiritsa hydrochloric acid, iwo adsorb pepsin ndi bile acid okha. Chifukwa chake, pali chowonjezera china chowonjezera. Mankhwalawa ndi Almagel, Gastratsid, Maalukol.

6.Ma blockers H2-histamine receptors. Zili zofunika kwa kapamba komanso maantacid. Mankhwalawa amalepheretsa mapangidwe a asidi omwe amapangidwa ndi maselo am'mimba.

7. Mankhwala a antiprotease (gordoks, kontrikal, trasilol). Amayambitsa michere yama pancreatic. Mankhwalawa ndiwotulutsira madzi ena m'mapapo ake. Kugwiritsa ntchito kwake kumakhala kothandiza masiku ochepa a kapamba.

Mapiritsi a kapamba

8. Ngati muli ndi vuto lalikulu la dyspeptic, mankhwala a antiemetic amagwiritsidwa ntchito kupititsa patsogolo peristalsis.Mwachitsanzo, metoclopramide, cerucal.

9. Kupumula. Ndi kuchepa kwa katemera wa pancreatic, zotsatira za analgesic zimaperekedwa. Ma antispasmodics ali ndi mphamvu ya analgesic. Pochotsa kuphipha, amateteza kutulutsa kwa michere ya pancreatic ku gland.

Ngati zowawa zikupitilira, analgesics omwe si a narcotic amalimbikitsidwa. (analgin, baralgin). Ndi ululu wowala, wosachotsa bwino ululu, narcotic analgesics ndi mankhwala. Koma sungasankhe morphine. Ndi bwino analgesic, kumawonjezera mamvekedwe a sphincter a Oddi. Zomwe zimathandizira kusokonekera kwa madzi a pancreatic mu gland.

10. Octreotide ndi gulu la mankhwala a mahomoni. Mankhwalawa amalepheretsa kubisika kwa ma pancreatic ndi michere ya m'mimba. Nthawi yomweyo Octreotide amachepetsa kutsatsa magazi kwa kapamba. Izi zimapangitsa kukayikira pakukwanira kwake.

Kulowetsedwa mankhwala

Mankhwala osokoneza bongo a chiwindi ndi kapamba Mndandanda wamagulu omwe amagwiritsidwa ntchito pochiritsa kapamba amakhalanso kulowetsedwa njira mankhwala olimbitsa thupi

Woopsa milandu, pafupifupi onse mankhwala kutumikiridwa m`nsinga kapena intramuscularly. Mapiritsi sagwiritsidwa ntchito. Pambuyo normalization wa ambiri, mankhwalawa intravenous ndi mu mnofu jekeseni pang'onopang'ono mu mapiritsi ndi makapisozi.

Zomwe zimayambitsa Kutupa Kwa Pancreatic

Nthawi zambiri, kutupa kwa kapamba kumayamba chifukwa cha chizolowezi chomwa mowa komanso matenda a ndulu. Kuphatikiza apo, zomwe zimayambitsa matendawa zimatha kuphatikizidwa ndi chemotherapy, mahomoni, kuvulala, matenda komanso kugwiritsa ntchito kwambiri mankhwala osokoneza bongo amphamvu. Nthawi zina, tizilombo toyambitsa matenda totupa ta m'mapapo timakhala idiopathic - osadziwika.

Zizindikiro zake

Aliyense ayenera kudziwa zoyambirira za kapamba kuti athe kuyankha munthawi ndikuyamba chithandizo. Mu magawo oyamba, kutupa kwa kapamba kumawonekera, ndikupanga zovuta zotsatirazi:

• kudzimbidwa, limodzi ndi kutulutsa,
• kudzimbidwa
• kumva kuwawa komanso kusasangalala pambuyo chakudya.
• kupweteka mwadzidzidzi pamimba,
• nseru
• kuzizira
• kusanza.

Zomwe mankhwalawa amachita

Pancreatitis ndi yofalikira komanso yosachiritsika, chifukwa chake, zamankhwala zamakono zili ndi zida zambiri zothana ndi matendawa. Kuchiza kwa zikondamoyo zoyipitsidwa ndi mankhwala kunyumba kumatenga nthawi yambiri, koma posankha ndalama moyenera, kuchiritsa ndikotheka. Odwala ayenera kukhala ndi lingaliro la mankhwala akuluakulu omwe amagwiritsidwa ntchito polimbana ndi kapamba. Chithandizo chilichonse chimakhala ndi mayendedwe ake ogwiritsira ntchito, ndipo amafunikira kudziwika ndi mtima kuti chithandizo ndichabwino komanso chosavulaza.

Mu pachimake kapamba

Mankhwalawa atithandizanso kuchepetsa kuukira, koma zitatha izi, wodwalayo ayenera kupita kuchipatala, kumene akatswiri odziwa bwino amupatsa mankhwala. Ngati inu kapena wina wa m'banjamo atadwala matenda a kapamba, onetsetsani kuti zida zothandizirazo zili ndi mankhwala otsatirawa:

Kuchulukana kwa kapamba sikungakhale kopanda tanthauzo, chifukwa chake, kupumula kwakanthawi pambuyo poti kuukire sikungachitike ngati kubwerera mkhalidwe wabwinobwino. Kulephera kupereka chithandizo chamankhwala chodalirika kumatha kuyambitsa fibrosis. Matendawa oopsa samadziwonetsa mwanjira iliyonse. Ndizotheka kuzizindikira pokhapokha ndi ultrasound.

Matenda a kapamba

Kutupa kwamtundu wambiri kumatha kubweretsa kuwonongeka kwina. Popewa kuwonjezeka kukula kwa mutu wa kapamba, madokotala amapereka chithandizo cha nthawi yayitali ndi mankhwala kuchokera pamndandanda:

Monga chowonjezera pa mankhwalawa, mudzayenera kumwa mankhwala apadera kuti muthetse chimbudzi ndi kubwezeretsanso microflora yamatumbo:

Gulu la mankhwala zochizira kapamba ndi chiwindi

Zida zakuthana ndi zida zolimbana ndi matenda a chiwindi ndi kapamba zimaphatikizapo mitundu ingapo ya mankhwala. Agawidwa m'magulu angapo, gulu lililonse limakwaniritsa cholinga chake. Mankhwala ena amachepetsa Zizindikiro, ena amaletsa, ndipo ena amalimbana ndi kutupa mwachindunji. Zochizira kapamba, gulu lotsatirali la mankhwalawa limagwiritsidwa ntchito kudziwa momwe mungagwiritsire ntchito moyenera.

Antidiarrheal

Mu chifuwa chachikulu cha pancreatitis, kutsekula m'mimba kumawonedwa nthawi zambiri - chizindikiro chomwe chimadziwoneka ngati chimbudzi chomasuka nthawi zonse. Zikatero, kuyezetsa kumachitika, ndikatsimikizira matendawo, chithandizo choyenera chimayikidwa. Ndikofunikira kuthana ndi kuphwanya dongosolo lazinthu zopangira zinthu zofunika kwambiri kuti tichotse zotsatira zoyipa (kuchepa madzi m'thupi, kuledzera) ndikuthandizira kuchira. Ntchito yayikulu ya wodwalayo ndikutsatira zakudya zomwe dokotala wakupatsani. Wodwala amalimbikitsidwa kuti amwe mankhwala omwe amawongolera kutsekula m'mimba. Imwani mankhwalawa:

Maantacid

Kuwoneka kwa kupweteka kosaletseka pamimba yam'mimba ndi kapamba kumawonetsa kuwonjezeka kwa kupsinjika mkati mwa ma ducts ndikuwonjezereka kwa chinsinsi cha timadziti ta pancreatic. Miyezo yokhala ndi asidi imasokonekera, njira zopanda chilengedwe zimayamba m'mimba, zomwe zimatha kuthana ndi maantacid. Monga lamulo, amafunsidwa kwakanthawi kochepa, komanso pokhapokha kuti athe kuchotsa wodwalayo pamalo ovuta. Dzilembereni mndandanda wamankhwala omwe amachepetsa kupweteka kwambiri m'mapapo:

Mankhwala osokoneza bongo

Kukonzekera kwa gululi kumagwiritsidwa ntchito kuphwanya ntchito zachinsinsi za maselo am'mimba.Popanda iwo, chithandizo cha pancreatitis pachimake ndi chovuta kwambiri. Malingana ngati m'mimba mutulutsa madzi ochulukirapo monga momwe zimakhalira, kusintha sikubwera. Kusagwiritsa ntchito kungayambitse chotupa cha pancreatic, chomwe chitha kuthetsedwa mwa njira yokhayo - ndikuchita opareshoni. Pofuna kuchiritsa kapamba, osatsogolera pamkhalidwe wovuta, kulandira chithandizo kwakanthawi kofunikira ndikofunikira. Mphamvu yotsutsa mwachangu kwambiri imaperekedwa ndi mankhwala otsatirawa:

Mankhwala a Myotropic antispasmodic

Gastroenterological antispasmodics ndiwo chisankho choyambirira polimbana ndi ululu wamapapo mu kapamba. Mankhwala a antispasmodic amatithandizanso kugwira ntchito ya minofu kwa maola angapo ndikuchepetsa kuvutikaku. Izi zimapatsa madokotala nthawi yowonjezerapo njira yothanirana ndi matendawa ndikusankha kuti ndi mapiritsi ati omwe angapatsidwe mankhwala abwino.

Panthawi zadzidzidzi, madokotala akapanda mwayi wowunika wodwalayo kuchipatala, gulu ili la mankhwalawa limagwiritsidwa ntchito pothana ndi vuto la kapamba. Gulu lalikulu la myotropic antispasmodics wochizira matenda a kapamba limaphatikizira mankhwala otsatirawa:

Mankhwala osokoneza bongo oletsa kuponderezana

Mankhwala a gululi ali ndi antipyretic yabwino, anti-yotupa komanso analgesic. Mawu oti "non-steroidal" akuwonetsa kusiyana pakati pa mankhwala a gululi kuchokera ku glucocorticoids omwe ali ndi zotsatira zoyipa. Kuledzera kwa njira zotere ndi zochepa kwambiri. Amakhulupirira kuti alibe vuto. Oyimira odziwika kwambiri m'gulu la NSAID pochiza matenda a kapamba ndi awa:

Zida zogwira mtima kwambiri za kapamba

Madokotala amalingalira momwe angachiritsire kapamba mu kapamba / kapamba kwambiri. Kumapeto kwa maphunzirowa, wodwalayo amachotsedwa ndikuwonera ndipo amalimbikitsidwa pakulimbikitsa thanzi lawo komanso kupewa kutenganso matendawa. Madokotala amafotokoza mwatsatanetsatane mankhwala omwe amwe kuti abwezeretse kapamba kukhala wabwinobwino. Nthawi zambiri, mutatha kuchotsa pancreatitis, mankhwala obwezeretsa amayikidwa, omwe akufotokozedwa pansipa.

Pancretinol ndiwothandiza kwambiri, komanso, osavulaza kwathunthu mankhwala achilengedwe azitsamba. Mankhwala othandizira pancreas atatha, Pancretinol imathandizira kuphatikiza zochizira, kuthandiza kubwezeretsa ntchito yamaselo ndikubwezerera zowonongeka zomwe zimayambitsidwa ndi maantibayotiki. Kapangidwe kake:

Malangizo ogwiritsira ntchito:

1. Njira ya mankhwalawa ndi milungu 4, pomwe mudzamwa piritsi limodzi tsiku lililonse nthawi yomweyo.
2. Ngati ndi kotheka, bwerezani njira yopewera kupirira kwa masiku 30.

Bifidumbacterin imagawidwa kwambiri mdera la Russian Federation. Mankhwalawa amagulitsidwa muma pharmacies pamtengo wotsika mtengo kwambiri. Kuchita kwake ndikofunikira kukhazikitsa magwiridwe antchito a ma cell a pancreatic ndikubwezeretsanso microflora ya ziwalo zogaya chakudya. Bifidumbacterin imasintha kagayidwe, imalepheretsa kukhazikika kwa njira zotupa komanso imalimbitsa chitetezo cha mthupi. The kapangidwe kamodzi ka mlingo:

• live bifidobacteria - osachepera 107,
• sucrose - 7-10%,
• edible gelatin - 0,7-1.0%,
• skim mkaka - 15-25%.

Malangizo ogwiritsira ntchito:

1. Zomwe zili mu vial zimasungunuka ndi madzi owiritsa pamoto kutentha kwa 10 ml pa mlingo.
2. Chiwerengero cha Mlingo wa mankhwalawa mlingo umodzi umatsimikiziridwa pamtengo pa phukusi.
3. Muyenera kumwa mankhwalawa kwa mphindi 25-30 musanadye.

Hilak Forte ndi mankhwala othandizira kugaya chakudya. Kugwiritsa ntchito mwadongosolo kumathandizira kukhazikika pamiyeso ya acid-base, kusintha microflora, kubwezeretsa ntchito za kapamba, komanso kukonza zina zonse.

Hilak Forte amathandizira kusamalira zofunikira za mucous nembanemba. Zimathetsa zovuta zomwe zimachitika mogwirizana ndi zinthu kuchokera ku mankhwala omwe amagwiritsidwa ntchito pochiza matenda a kapamba. Kuphatikizikako kumaphatikizapo magawo azinthu zopangidwa ndi metabolic ndi excipients:

• Streptococcus faecalis - 12.5%,
• Lactobacillus ac>

Malangizo ogwiritsira ntchito:

1. Mankhwalawa amatengedwa pakamwa kapena ndi chakudya, kuchepetsedwa ndi madzi pang'ono.
2. Pafupipafupi kugwiritsa ntchito mankhwalawa katatu katatu patsiku, 45-50 akutsikira.
3. Kutalika kwa kuchira kumatsimikiziridwa payekhapayekha.
4. Zinthu zikakhala bwino, mlingo wa mankhwalawo umachepa.

Kupewa kwa Matenda a Pancreatic

Pofuna kuti musamaganize momwe mungachiritsire kapamba, yesetsani kupewa matenda. Ngati mukusamala ndi matenda ashuga, khalani osamala kwambiri, chifukwa chifukwa cha matendawa, kapamba amayamba. Kupewa matenda a pancreatic sikovuta. Lembani zomwe mwayang'ana kwa akatswiri omwe angakuthandizeni kukhala ndi thanzi labwino kwa zaka zikubwerazi:

• Pewani zakudya zopanda pake pazakudya zachangu,
• kuchepetsa kumwa kwanu
• musamamwe mankhwala osagwiritsa ntchito mankhwala a dokotala,
• Gwiritsani ntchito zinthu zachilengedwe: makangaza, phula, zipatso za zipatso, nyama yopanda nsomba ndi nsomba,
• Ngati mukuwona kuti kapamba wanu ndi zilonda, pitani kuchipatala mwachangu.

Matenda a kapamba

Matenda a kapamba nthawi zambiri amapezeka chifukwa cha mphamvu ya kapamba a mowa, kusuta, kugwiritsa ntchito zinthu zambiri zamafuta ndi matenda a ndulu. Kuphatikiza apo, kapamba amachititsa matenda a mtima, mankhwala osokoneza bongo, zilonda zam'mimba za duodenum ndi matumbo, chibadwa chamtsogolo, komanso matenda ashuga. Ndizosadabwitsa, koma ngakhale zovuta zam'madzi za helminthic zimapanganso zomwe zimachitika, osatchula matenda opatsirana komanso kusokonekera kwa mahomoni m'thupi la munthu.

Kukhazikika kwa njira ya pathogenic ya kapamba imayendera limodzi ndi zizindikiro zazikulu:

• kusanza
• malungo (kuzizira)
• kuchuluka kwa kutentha kwa thupi
• kupweteka kwakuthwa m'mizere yoyendera dzuwa,
• chisangalalo
• kutsegula m'mimba ndi zosafunika zam'mimba zopanda chakudya.

Mlingo wamatenda am'magazi akuti kukula kwa kapamba, komwe kumapangitsa kwambiri matendawa. Chifukwa chake, mukamapereka mankhwala othandizira kutupa kwamatumbo, chithunzi cha chipatala cha kukula kwa matendawa chimawerengedwa. Pancreatitis ali ndi mitundu iwiri ya kukula kwake - pachimake komanso chovuta. Chifukwa chake, mawonekedwe aliwonse ali ndi zizindikilo zake komanso kapangidwe kake ka mankhwala.

Panthawi yovulaza kwambiri, mankhwala omwe amakhalapo ali oponderezedwa ndipo sangabweretse zotsatira zabwino zomwe zakhala zikuyembekezeka komanso zothandiza, koma zimangokulitsa mkhalidwe wa wodwalayo. Chifukwa chake, mankhwalawa amachitika moyang'aniridwa ndi othandizira odwala nthawi zonse, mothandizidwa ndi okhazikika tsiku ndi tsiku kuchipatala chachipatala. Mu nthawi ya matenda, pachakudya sichimaletsedwa kwenikweni, ndipo chakudya chokwanira chimaperekedwa kwa masiku atatu.

Pakuchulukirachulukira kwa kapamba, njira zotsatirazi zimayikidwa:

• mankhwala omwe amayimitsa ntchito ya michere ndi madzi a pancreatic pancreatic,
• painkiller (analgesics),
• mankhwala okonzekera chikhalidwe ndi njira zochotsekera,
• ndi chitsimikiziro cha gawo lomwe limayambitsa matenda otupa - anti-spectrum antibayotiki.

Pa gawo loyambirira la zotupa m'matumbo, mankhwala amapaka jekeseni kuti asakulitse chiwopsezo cha pancreatic. Mapiritsi a kapamba, amayamba kutenga kokha ndi njira yokhazikika yachikhululukiro ndi kuchepa kwa njira yotupa yamatenda. Atasiya kupweteka, wozunzidwayo amaloledwa kudya chakudya patebulo la chakudya No. 5P.

Popeza mudutsa pachimake cha pancreatitis pachimake, wodwalayo akulimbikitsidwa kutsatira mosamalitsa zomwe dokotala wanena ndikutsatira njira yochiritsira yomwe mukudya. Komanso, panthawi ya kapamba, ndikofunikira kupatula zizolowezi zoipa ndi moyo watsiku ndi tsiku.

Ndi kapamba wokhala ndi vuto losatha, kukonzekera kwa enzyme kumayendetsedwa kusintha magwiridwe antchito (Mezim, Festal).

Mankhwalawa amapangidwa kuchokera ku chiwalo cha pancreatic cha ng'ombe, ndipo panthawi yamavuto ndikupanga ma enzymes mu gland, amatha m'malo mwake ndikuwongolera gawo logaya chakudya.

Komanso pakuletsa njira yotupa, ndi matenda omwe akudwala, madokotala amalembera mankhwala omwe amaletsa kutupa:

Mapiritsiwa amatha kuchotsa njira yotupa kuchokera ku kapamba ndikuletsa kukula kwa peritonitis, sepsis, abscess. Mlingo ndi kuchuluka kwa masiku ogwiritsira ntchito, adokotala amakupatsani mankhwala, chifukwa, atakhala ndi chithunzi cha matenda omwe ali pafupi, azitha kupereka mankhwala moyenera ndi njira zamankhwala. Kuphatikiza pa ndalama izi, kukonzekera komwe kumakhala ndi enzyme kumayang'anidwanso komwe kumapangitsa kuti chakudya chikonzedwe bwino. Mankhwalawa akuphatikizapo: Creon, Pancreatin.

Mulimonsemo, popanda chidziwitso chachipatala komanso chidziwitso, mankhwala omwe amadzipatsa nokha sangathe kubweretsa zipatso zabwino ndipo panthawi imodzi apanga mkhalidwe wosabwereranso ku chithandizo cha matenda am'thupi. Chifukwa chake, tikulimbikitsidwa kuti kupimidwa kwathunthu ndikuwonetsetsa kuti mwalandira chithandizo chamankhwala kuchipatala.

Zomwe mankhwala amaikidwa

Ndi mapiritsi ati omwe angathandize pancreatitis ndikuwabwezeretsa bwino ntchito m'mimba? Ili ndiye funso lalikulu lomwe limafunsidwa pafupipafupi ndi omwe akukumana ndi mayesero kuchipatala.

Ndi pancreatitis, pamakhala kuvuta kwakanthaŵi ndi zizindikiro za kupweteka, chifukwa chake, mapiritsi amayikidwa kuti athetse mfundo izi:

1. Antispasmodics. Mankhwalawa amagwiritsidwa ntchito kupweteka kwam'mimba komanso kudula kwam'mimba, chifukwa chake ndioyenera: No-spa, analgin, baralgin ndi ena painkiller. Ndi ululu wamphamvu, tikulimbikitsidwa kuti mugwiritse ntchito jakisoni.
2. Ma H2 blockers. Kuti muchepetse kupanga kwa pancreatic madzi ndi michere ya gland, Ranitidine ndi Famotidine amagwiritsidwa ntchito.
3. Maantacid. Ngati chithunzi cha matenda a m'matumbo chikuwonetsa kuti sangakwanitse kubisa zinsinsi ndi ma enzyme, dokotala amupatseni mankhwala a kapamba, mapiritsi kapena mankhwalawa: Almagel, Fosfalugel.
4. Othandizira enezymatic. Zokonzekera izi zimakhala ndi lipases, ma amylases, ndi trypsin. Mwa mankhwala omwe amakonda kwambiri, kufunikira kwakukulu ndi: Creon 8000, Mezim, Festal, Pancreatin.

Mankhwala ndi mankhwala ena otupa a kapamba amayenera kudya kwa nthawi yoposa chaka chimodzi, ndipo zotsatira zake za mankhwalawa zimawonekera pokhapokha patatha miyezi 3-4 ndikugwiritsa ntchito mwadongosolo.

Antispasmodics

Chizindikiro chachikulu mthupi, ndi kutupa kwa kapamba, ndikupweteka. Chifukwa chake, poyambira, adayikidwa kuti azitha kusala kudya ndi mankhwala - antispasmodics. Athandizira kuchepetsa ululu wosawonongeka ndikuwononga chithunzi cha matenda, omwe sangayambitse mavuto komanso sangapewe kukhazikitsidwa koyenera.

Zomwe zimayambitsa zizindikiro za kupweteka pakukula kwa kapamba, pali kuchuluka kwakukulu. Pakati pawo, chachikulu komanso chopweteka kwambiri:

• kutupa kwa chiwalo,
• kutalika kwamphamvu kwa kapamba chifukwa cha edema,
• Oddi valavu mawonekedwe ndi spasmodic kuwukira,
• spasms wa ndulu ndi zimbudzi,
• spasms aang'ono matumbo.

Zochita zonsezi zoyipa ndizotsatira zamasamba pakupanga kwamphamvu kwa adrenaline ndi cortisol (mahomoni amantha ndi nkhawa). Kukhala ndi mphamvu pa minofu yosalala, mahomoni awa amapweteketsa zowawa komanso zoyipa m'thupi la munthu.

Chifukwa chake, zikawoneka, antispasmodics amagwiritsidwa ntchito, omwe ali ndi mpumulo pagulu la minofu iyi, lomwe limachotsa zonse kapena gawo la ululu. Kodi mankhwalawa amagwira bwanji ntchito yopanga matenda osachiritsika ndipo ndi njira yanji yomwe ingagwiritsidwe ntchito kuchepetsa ululu wa kapamba?

Zimatsimikiziridwa kuti chomwe chimayambitsa kupanikizana ndi kuphipha kwa valavu ya Oddi, kudzera momwe madzi am'mimba ndi bile ya zinthu zimalowa mu duodenum 12. Chifukwa chake, timachiza kapamba pogwiritsa ntchito Duspatalin. Zimathandizira bwino matenda a pancreatitis, koma popeza mankhwalawo ali ndi mawonekedwe a piritsi kapena ufa, kugwiritsa ntchito kapangidwe kake ka kapamba kovuta.

Mwanjira yovuta kwambiri ya kapamba, ululu wammbuyo umalimbana kwambiri, ndipo nthawi zina umayambitsa kukhumudwa ndi kufa. Chifukwa chake, kuti muchepetse kupweteka kumeneku, mankhwala ndi ma jakisoni apadera amagwiritsidwa ntchito:

Mankhwala a No-shpa ndi ochokera ku mbewu, zomwe zimakupatsani mwayi wogwiritsa ntchito mapiritsi, koma pokhapokha ngati pali manyowa. Chifukwa chake, osazengereza kugwiritsa ntchito, popeza kupweteka kwa munthu yemwe ali ndi pancreatitis yovuta kwambiri kumabweretsa mavuto akulu pamalingaliro ndikupangitsa kupweteketsa mtima.

Ponena za papaverine, mankhwalawa ndi ofanana ndi zomwe amachita pa No-shpa, ndipo amathandizanso kuvutikaku kuchokera kumisempha yosalala yam'mimba. Choyipa chake ndi nthawi yayifupi yochitapo kanthu, yomwe imafunikira kubwereza kwa mankhwalawa pambuyo pa maola 3-4.

Mankhwala omwe akhala akuchita kwa nthawi yayitali ndi a Platifillin. Mankhwalawa amathandizira kuchepetsa ululu kwa maola 12-16, ndipo amathandizidwa ndi intramuscularly. Kukhala ndi chidwi chachikulu pakuwunika kwa kupweteka kwa pathological, kugwiritsidwa ntchito kwake kumachitika motsogozedwa ndi madokotala.

Ma antispasmodics amachita bwino ndi zizindikiro za ululu wa kapamba, mankhwalawa amagwiritsidwa ntchito kukhazikika kamvekedwe ka minofu pabwino, komwe kumapangitsa njira yamatendawa.

Mankhwala okhala ndi antibacterial kanthu

Mankhwala omwe amaperekedwa pochizira kutupa kwa pancreatic kumayimitsa mkhalidwe wopanda pake wa wodwala ndikubweretsa matenda awa mu njira yolola. Kuwonetsera kowopsa kwa kapamba mu gawo la pachimake, kumathandizira kugonjetsedwa osati chiwalo chokha, komanso kuwononga makhoma a gland ndi ma ducts ake ndi madzi a pancreatic. Nawonso, izi zidzapangitsa kuti maonekedwe a ma kapamba akufa - minofu necrosis kapena peritonitis.

Cholinga chothana ndi kapamba ndi maantibayotiki:

• Kuchotsa kwa yotupa,
• kupewa kukula kwa matenda opatsirana a ziwalo zoyandikana omwe amakhudzidwa ndi michere ndi kapamba wa pancreatic,
• Kuchotsa kutukusira kwa chiwalo palokha.

Pakutsimikizira kusanthula kwa kupukutika kwa ndulu ya bile kapena kusunthira mu chikhodzodzo, mankhwala opatsirana opatsirana pogwiritsa ntchito mankhwala opatsirana amakhalanso mankhwala akuluakulu. Dokotala, ndi mayeso omwe alipo, amapereka mankhwala, kutengera mtundu wa chitukuko cha matenda, njira yofunikira ya mankhwalawa omwe ali ndi antibacterial.

Zomwe zimathandiza komanso zomwe mapiritsi a antibacterial amathandizira pancreas, gland:

• pa nthawi yochizira kunyumba komanso gawo losavuta la matendawa, Oletetrin, magulu a mankhwala a Tetracycline, Sigmamycin ndi mankhwala,
• chitukuko cha pachimake kapamba, Tienam, Cefotaxim, Abaktal, Vancramycin amagwiritsidwa ntchito kuchipatala,
• kusintha kwa microflora, perekani Linex, Bifiform, Laktiale.

Mwatsatanetsatane, njira zamankhwala zomwe zimayenera kumwa, komanso zomwe zingachitike mukamachiritsa kapamba, dokotala wofotokozanso adzakuwuzani za njira yonse yodziwira matenda.

Anti-kutupa

Mankhwala othana ndi kutupa amagwiritsidwa ntchito pochiza matenda osiyanasiyana a kutupa. Ma NSAID osakhazikika pamaso amadziwika kuti ndi amodzi mwamphamvu kwambiri. Sizovuta kuchotsa njira za pathogenic, komanso kutentha kwapansi kwa thupi, kusiya kupweteka kwamthupi. Mankhwalawa amaperekedwa ndi gastroenterologist. Chifukwa chake, chisankho chodziyimira pawokha ndikugwiritsa ntchito kosagwirizana sichili bwino m'magulu, chifukwa zimabweretsa zotsatira zaumoyo ngati zitagwiritsidwa ntchito molakwika. Ndi mankhwala ati omwe amagwiritsidwa ntchito pochiza matenda a pancreatic?

Kwenikweni, pochiza kutupa kwa kapamba, amagwiritsidwa ntchito kuchipatala, mabungwe azachipatala, mankhwala ochepetsa mphamvu ya kutupa, omwe amapezeka mosavuta mthupi, podutsa m'mimba, m'mitsempha, m'mitsempha. Chifukwa cha njirayi, mankhwalawo amalowa m'magazi a munthu mwachangu, omwe amathandizira kuchira komanso kuchotsa Zizindikiro za matendawa.

Wothandizira anti-kutupa othandizira ochizira kapangidwe kake ndi kuphatikiza kwa Analgin ndi Baralgin, kutengera ndi zizindikiro za kapamba, kukula ndi kuchuluka kwa mankhwala aliwonse omwe amamuika ndi dokotala.

Komanso pochiza gland, Atropine ndi kuwonjezera kwa Papaverine ndi Fenikaberan amagwiritsidwa ntchito pochiza. Kukhala ndi mphamvu yayikulu yoteteza kutukusira ndi kupweteka kwa kapamba, kapangidwe kake kamachepetsa zizindikiro ndikuthandizira kuchira.

Zithandizo za anthu

Pochiza matenda a kapamba, mankhwala azikhalidwe ndi zakudya zimathandiza mozizwitsa. Njirazi zimayimitsa Zizindikiro zopweteka, zimachepetsa kutupa, ndikuthandizira magwiridwe antchito a chitetezo chamunthu. Chakudyacho, mmalo mwake, chimalemeretsa thupi laumunthu ndi mchere wofunikira, zimathandizira kuchepetsa kukwiya kwa mucosal kuchokera ku chiwalo chodwala cha pancreatic. Mankhwala ambiri a kapamba alibe contraindication ndipo samakhala ndi vuto lililonse mthupi.

Amakhulupirira kuti njira yolimba kwambiri komanso yothandiza kwambiri yotupa kapamba ndi Krythea Amur. Ndi kapangidwe koyenera ka mankhwala, kamakhala ndi zinthu zotsatirazi pa munthu akamamwa:

• Amakonza dongosolo logaya chakudya,
• Amathandizanso kusanza ndipo amathandizanso kusanza,
• Amathandizanso kupweteka.

Zowona, pali gulu la anthu - chifuwa. Chifukwa chake, musanagwiritse ntchito mankhwala azikhalidwe, ndikofunikira kufunsa dokotala.

Mankhwala osokoneza bongo othandizira kufalikira kwa matendawa

Ndiwonjezeke wa kapamba, muyenera kuyitanitsa ambulansi mwachangu! Palibe tanthauzo kuyesa kudziyimira pawokha kuti muchepetse kutupa kwambiri, chifukwa izi sizingapereke zotsatira zabwino komanso zimabweretsa zovuta zingapo, pakati pawo ndi steatosis ndi necrosis.

Chifukwa chake, kuti mupewe kupezeka kwa zotsatira zoyipa, pazizindikiro zoyambirira za matenda, mukuyenera kuyitanitsa gulu la madokotala. Pakadali pano, amafika pamalopo, wodwalayo ayenera kulandira thandizo loyamba. Muli zotsatirazi:

• muyenera kuchita jakisoni wamanjenje ya No-shpa (izi zithandiza kupumula komwe kumangika m'matumba achikopa, chifukwa chomwe wodwalayo ayamba kumva bwino),
• ndikofunikira kukhazikika kwa wodwalayo, ndikulowera miyendo yake m'mimba mwake, ndikuyika kutsogolo kwa thupi pang'ono (izi zithandiza kuchepetsa kupweteka komanso kugunda kwa mseru),
• muyenera kuyika compress yozizira kumadera a epigastric kwa mphindi 10-15 (izi zimachepetsa ululu).

Kuchipatala, wodwalayo adzapatsidwa thandizo lonse lofunikira, lomwe limachepetsa ululu ndikuchotsa kutupa m'matumbo. Chifukwa cha izi, mankhwala a antispasmodic ndi analgesic amagwiritsidwa ntchito nthawi zambiri, komanso mankhwala omwe amachepetsa kubisika kwa michere ya m'mimba. Mankhwalawa amaperekedwa kudzera m'mitsempha kapena intramuscularly. Mofanananso ndi izi, chakudya chamafuta chimayikidwa.

Kumbukirani kuti kuchulukana kwa kapamba sikungakhale popanda chifukwa ndipo kusintha kwakanthawi kwakanthawi pambuyo poti kuukire sikuyenera kuonanso ngati kubwereranso kwina. Ngati mukukana chithandizo chamankhwala chamankhwala panthawiyi, izi zitha kuchitika chifukwa cha matenda osiyanasiyana ophatikizika omwe sangathe kuwonekera kwa nthawi yayitali, pang'onopang'ono kumabweretsa kutsutsana kwa gland.

Komabe, ndi chithandizo chanthawi yake chowonjezera, palinso chiwopsezo cha kupezeka kwawo. Chifukwa chake, pamaso pa matenda monga kapamba, odwala amafunika kuchita ma ultrasound ndi histology nthawi ndi nthawi. Njira zodziwira matendawa sizingodziwitsa zovuta za kapamba, komanso kuwunika matendawa, kuti adokotala azitha kusintha mankhwalawa munthawi yake.

Kukonzekera zochizira matenda a pancreatic pathologies

Njira yayitali ya kapamba sikhala wowopsa pachimake, chifukwa ingayambitse kulephera kwa magwiridwe antchito. Pazifukwa izi, madokotala amatipatsa mankhwala omwe amathandizira kapamba. Mwa mankhwala awa, odziwika kwambiri ndi awa:

Kuchiza ndi mankhwalawa kuyenera kuchitika kwa nthawi yayitali (osachepera miyezi 6). Muli ma enzymes omwe amathandizira kukonza ntchito m'mimba. Amayamba kuchitapo kanthu akangolowa m'mimba. Popewa kufalikira kwa matendawa, timalimbikitsidwa kudya pakudya kapena pambuyo chakudya.

Monga wowonjezera mankhwala kubwezeretsa kugaya ntchito ndi kusintha matumbo microflora amadziwikanso:

Gulu la mankhwala zochizira kapamba

Mankhwala amakono amapereka mankhwala ambiri omwe amalimbikitsidwa pochiza kutupa kwa kapamba. Onsewa ali ndi katundu wawo ndipo, pamlingo wina kapena wina, amathandizira kubwezeretsanso ntchito za pancreatic. Komabe, lingaliro lomaliza la momwe tingachitire matendawa, lidakalipobe ndi adotolo.

Ma analgesics (mainkelizi)

Mankhwalawa samathandizira kubwezeretsa gland, koma amathandizanso kupweteka, komwe kumachitika kawirikawiri ndi khansa ya kapamba ndi kapamba. Matendawa amakhala chifukwa chakukula kwa njira yotupa mthupi, yomwe imaphatikizira kutsekeka kwa ductal system. Zotsatira zake, kutuluka kwa msuzi wa pancreatic kumasokonezeka ndipo njira yodzigaya yokha imayendetsedwa m'matumbo a gland, omwe amachititsa kupweteka kwambiri. Ndipo kuwaletsa, madokotala amagwiritsa ntchito mankhwala otsatirawa:

Ngati mankhwalawa sathandizira kuchepetsa ululu komanso kusintha mkhalidwe wa wodwalayo, mankhwala opweteka kwambiri a ululu amagwiritsidwa ntchito - Morphine, yemwe ali ndi vuto la mankhwalawa.

Kukonzekera kwa enzyme

Timalankhula za mankhwala omwe ayenera kuthana ndi kapamba, sitinganene za kukonzekera kwa enzyme. Amapereka osati kuchotsera njira zotupa, komanso amachepetsa katundu pazinthu zodwala, zomwe zimakuthandizani kuti mubwezeretse magwiridwe ake mwachangu.

Kukonzekera kokhala ndi ma enzyme okugaya timagwira ntchito yofunika kwambiri pancreatitis, chifukwa amapereka chithandizo cha chimbudzi ndikuwongolera chakudya, mapuloteni ndi metabolism yamafuta.

Ndalama zotere zimakhala ndi kapamba wa nyama, yemwe ali ndi lipase, amylase ndi proteinase, kaphatikizidwe kamene thupi lake limakhazikika pakhungu. Ndipo tikalankhula za mankhwalawa omwe angapangitse kuti pakhale njira yogaya chakudya, ayenera kumwa mankhwala awa, ndiye kuti mankhwalawa ayenera kusiyanitsidwa:

Maantacid

Kupezeka kwa kupweteka kwak pachimake pamimba kumawonetsa kuchuluka kwa kupsinjika kwa gland ndi chiwonetsero chachuma cha pancreatic madzi. Zotsatira zake, kuphwanya koyenera kwa asidi-acid kumachitika, njira zopanda chilengedwe zimayamba kugwira ntchito m'mimba, zomwe ma antacid okha amatha kuyimitsa. Monga lamulo, ndikofunikira kuti azitenga masiku ochepa, mpaka wodwala atakhala wovuta.

Mwa maantacid okhala, omwe ali ambiri ndi:

Kukonzekera kwa Antenzyme

Monga tanena kale, ndi kuchulukitsa kwa kapamba, kapamba wa m'mimba, komwe kumapangitsa kutsekeka kwa ndulu ndi kusokonezeka kwa pancreatic madzi. Ndipo pomwe kapamba akupitiliza kupangira michere yamagayidwe, mawonekedwe a wodwalayo sadzatha. Chifukwa chake, m'malo otere, madokotala amatengera thandizo la antienzyme lomwe limaletsa kupanga michere. Mwa iwo, omwe nthawi zambiri amalembedwa:

Mankhwala a Hormonal

Mankhwala a Hormonal pancreas amagwiritsidwa ntchito pokhapokha ngati endocrine ntchito ya gland idasokonekera chifukwa cha njira yotupa, yomwe insulin (mahomoni omwe amachititsa kuti shuga ayambe kuthamanga). Pankhaniyi, wodwalayo amakhala ndi shuga wambiri pamwazi, yomwe imakhalanso yoopsa pakudwala kwake.

Pankhaniyi, majakisoni apadera a insulin amagwiritsidwa ntchito, omwe ali ndi mahomoni opanga pancreatic. Amasinthiratu mashuga am'magazi, potero amachepetsa chiopsezo cha vuto la hyperglycemic ndikuwopseza moyo wa wodwalayo. Njira zoterezi zimagwiritsidwa ntchito malinga ndi chiwembu, chomwe chimasankhidwa mosiyanasiyana.

Muyenera kumvetsetsa kuti mankhwala osayenera angayambitse mavuto akulu azaumoyo. Chifukwa chake, pamaso pa matenda a kapamba, mankhwalawa onse ayenera kumwedwa pokhapokha atakumana ndi dokotala.