Pancreatitis Anesthesia

Pancreatitis ndi njira yotupa mu kapamba. Ili ndi mitundu itatu:

Zikondazo zimathandizira kupanga ma enzyme omwe amathandizira kugaya ndi kuwononga chakudya m'mimba. Ndipo zimapangitsanso insulin kuti igwetse glucose, ndipo ngati sikokwanira, shuga amayamba. Chifukwa chake, ndikofunikira kuyang'anira magwiridwe oyenera a dongosolo la chimbudzi kuti mupewe zotsatira zosafunikira ndi kutupa. Mukupweteka kwambiri, ndikofunikira kukaonana ndi katswiri wothandizira, kunyumba nokha, ndizothandiza, koma mtsogolomo zimatha kubisa chifukwa chenicheni cha kuwonekera kwa malaise. Chofunikira kwambiri pakuchulukitsa ndi analgesia, koma choyamba muyenera kukhazikitsa chomwe chimayambitsa kupweteka.

Zomwe zimayambitsa kupweteka

kudya zokometsera, zokazinga, zosuta, zamchere komanso zamafuta,
uchidakwa
poyizoni
kugwiritsa ntchito mankhwala pafupipafupi (ma antibayotiki, mahomoni),
kuchuluka kwa zam'mimba zam'mimba,
kagayidwe kachakudya chifukwa choperewera kapena kuperewera kwa chakudya m'thupi,
kusakhazikika kwamalingaliro (kupsinjika),
cholowa.

Monga lamulo, ululu umadziwonekera pakadutsa mphindi 30 kuchokera pachakudya, ndi pambuyo pa nthawi iyi kuti kapamba amakumana ndi katundu wambiri.

Njira zochotsera ululu pachimake pancreatitis

Sitikulimbikitsidwa kuti muchepetse kupweteka ndi kapamba panu musanachitike ambulansi, chifukwa akafika, adokotala ayenera kupeza chomwe chimapangitsa kupweteka. Ngati kupwetekako sikumatha, ndiye kuti kudzipereka nokha kumangololezedwa pokhapokha adokotala akakuzindikirani bwino matenda anu. Ngati mukukayikira kuti mukuyambiranso, muyenera kuyimba ambulansi nthawi yomweyo.

Zizindikiro zakukula kwa matendawa:

kupweteka m'mimba,
nseru, nthawi zina zimapitirira,
kutsegula m'mimba, nthawi zambiri ndi kuphwanya kwam'mimba,
kuchuluka kwamphamvu kwa kutentha kwa thupi,
kufooka, ulesi.

Ngati mukuwona chiwonetsero cha zomwe zili pamwambapa, ndiye kuti ambulansi isanachitike, ululu umatha kupumula. Munthu ayenera kugona paphiri kumbuyo kwake. China chake chozizira kapena chowundana, monga madzi oundana, chiyenera kuyikidwa pa tsamba lazolowera ululu. Amaloledwa kumwa mankhwala kuchokera pagulu la analgesics kapena antispasmodics. Mndandanda wamankhwala omwe angabwezeretse kwakanthawi kuukira kwa kapamba:

Drotaverin
Maxigan
Ayi-Shpa
Fentanyl,
Spazmalgon,
Chikondwerero
Mezim
Tramadol
Pancreatin

Mankhwalawa amatha kuthetsa ululu msanga, koma kwakanthawi. Kulandila kwa opweteka ena chifukwa cha kapamba kumatha kuyambitsa zosiyana, ndiye kuti kumangowonjezera zosasangalatsa za wodwalayo.

Nthawi zambiri, akatswiri amapereka mankhwala othandizirana kwa odwala. Izi ndichifukwa choti ndikumva kupweteka pafupipafupi, odwala amakumana ndi zovuta zomwe zimakhudza thanzi lathunthu.

Kuthandizira ndi chifuwa chachikulu kapena chowonjezera pancreatitis?

Ndi kuchulukitsa kwa matenda a kapamba, ndikofunikira kusamala ndi mankhwala. Ululu umatha kudwala chifukwa cha matenda ena, ndipo kutenga antispasmodics kumapangitsa kuti zikhale zovuta kudziwa chomwe chimayambitsa. Ngati mukutsimikiza kuti ululuwo umayamba chifukwa cha kukokomeza kwa kapamba, mankhwala otsatirawa amaloledwa:

Zochita zoyenera pakuwukira

Kudziletsa sikulimbikitsidwa ndi madokotala, koma pamakhala nthawi zina pamene munthu amene ali ndi pancreatitis yovuta sangathe kupita kuchipatala maola ochepa kapena masiku. Ntchito imabuka pamaso pa munthu: momwe amachepetsa ululu? Zikatero, akatswiri amalangiza kuti achite motere:

Masiku angapo oyamba, wodwalayo amadzipatsa chakudya. Mutha kumwa madzi osakhala ndi kaboni pang'ono: theka lililonse la ola, kapu ya kotala. Ngati simutsatira malangizowa, mutha kupangitsanso kuchuluka kwa michere yogaya chakudya m'mimba, yomwe imangokulitsa ululu wa munthuyo.
Pa nseru, musagwiritse ntchito njira zomwe zimathandiza kuyeretsa m'mimba. Njira yabwino kwambiri yotsanzirira ndikulimbikira muzu wa lilime ndi zala ziwiri.
Kuchepetsa ululu, ndiko kuti kuthetseratu njira yotupa ndi kutupa kwa kapamba, ayezi ayenera kuyikika pachigawo cha thupi pakati pa chifuwa ndi navel (epistragal dera). Thandizo lopwetekedwa mwadzidzidzi ndi gawo chabe.
Wodwala amaloledwa kumwa mankhwala kuchokera pagulu la analgesics ndi antispasmodics. Ngati alipo, perekani jakisoni (mwachitsanzo Novocaine).

Kuchulukitsa

Munthu ayenera kumvetsetsa kuti mapiritsi a kupweteka m'mapazi si njira yotsatirira. Popeza pancreatitis pachimake kapena kubwereranso kwawo nthawi zambiri kumakhala chifukwa cha zakudya zolemera kapena zamafuta, kumwa mowa kwambiri, muyenera kutsatira moyo wathanzi, chifukwa izi zimachepetsa kwambiri chiopsezo.

Kupewa matenda sikukutanthauza kugwiritsa ntchito mankhwala poyambanso kubwereranso, koma kukonza zakudya ndi zakudya za tsiku ndi tsiku:

Chotsani kabichi, maapulo, nyemba, tsabola wobiriwira kuchokera kuzakudya. Mitundu ina ya zipatso ndi ndiwo zamasamba amaloledwa kudya.
Munthu yemwe ali ndi matendawa "pancreatitis" amafunika chakudya chama protein kwambiri kuti azisamalira thupi. Nyama yamafuta ochepa (kalulu, nkhuku, nyama yamwana wamchere) iyenera kuphatikizidwa muzakudya za tsiku ndi tsiku.
Zopangira mkaka zamafuta zimalimbikitsidwanso kuti zizikhala zopanda ntchito. Zinthu zamafuta zopanda mkaka, m'malo mwake, zimalimbikitsidwa kuti zizigwiritsidwa ntchito, chifukwa zimakhudza kutulutsa kwamatumbo ndipo zimalepheretsa kusasangalala kapena kukhumudwitsa.

Pinkiller chachikulu cha pancreatitis pachimake

Ndi kupweteka m'matumbo, oteteza pakhungu amamasulidwa omwe amachita ziwalo zina zamkati mwakudya mwakufa: chizindikirocho chimakula, chimatha kukhala masiku angapo ngati chisamaliro chadzidzidzi sichinaperekedwe. Anesthetics amalembedwa mwachangu, chifukwa sikuti thanzi la wodwalayo limavutika, komanso mkhalidwe wake wamaganizidwe.

Ngati ndi kotheka, opaleshoni kuti muchepetse vuto la wodwala, mankhwala aliwonse omwe ali m'magulu otsatirawa amagwiritsidwa ntchito:

myotropic antispasmodic,
mankhwala osapweteka a antiidal (NSAIDs),
noncotic kapena narcotic analgesic,
zokongoletsa.

Kukongoletsa asanafike ambulansi kumaloledwa mwa kutenga antispasmodic. Mankhwala oterowo amathandizira pang'onopang'ono kupweteka ndipo samapangitsa mafuta onse ku matenda.

Njira yoyenera yothandizira kupweteka kwa kapamba ndi No-shpa (Drotaverinum): wachikulire akhoza kudzipiritsa yekha jakisoni. Palibe chifukwa chomamwa mapiritsi motere, popeza chizindikiro cha ululu chimayendetsedwa ndi mseru komanso kusanza.

Ma analcics a narcotic ndi mankhwala oletsa kupanikizika amapangidwira okhazikika moyang'aniridwa ndi dokotala. Amagwiritsidwa ntchito poyesa kulephera kupweteketsa ululu ndi antispasmodics ndi NSAIDs, omwe si ma narcotic painkillers.

Fentamil kapena Promedol amalembedwa ngati mukukumana ndi zovuta (mwachitsanzo, ndi necrosis) komanso kupweteka kwambiri. Kukhalapo kwazomwe zikuwonetsa komanso mawonekedwe a stationary amalola opaleshoni yokhala ndi narcotic painkillers.

Anesthesia imaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo a novocaine (Novocain, Lidocaine). Izi zimachitika ndi akatswiri a mbiri yakuchipatala, omwe akuyenera kuwongolera ndi wodwala ali mu dipatimenti yochita opaleshoni kapena malo othandizira odwala kwambiri. Nthawi zina procaine blockade ya solar plexus imachitika mu gastroenterology.

Kutupa kwachangu ndi kupweteka kwambiri kuyenera kuchotsedwa ndi kholo makonzedwe a mankhwala: ndi njira imeneyi yoyendetsera, amachitapo kanthu nthawi yomweyo. Mapiritsi oletsa kupweteka kwa pancreatic amagwiritsidwa ntchito ngati mukuchulukirachulukira kapena matenda atadwala.

Ma painkiller a pancreatitis aakulu

Pancreatitis yachilendo imadziwikanso ndi zowawa. Koma nthawi zambiri, zimatengera momwe mankhwalawa amachitikira. Kumayambiriro kwa ululu kumakhala kotsika kwambiri chifukwa cha kuphatikizana ndi kupweteka kwa pachimake. Kutentha kwambiri kumatha kusakhalapo; kusanza sikutheka nthawi zonse. Chifukwa chake, ndizotheka nthawi zina kumwa mankhwala aliwonse piritsi:

No-shpa, papaverine, Duspatalin (Meteospasmil) - mankhwala ochititsa chidwi ndi ma antispasmodics awa ndi othandiza ngakhale ziwalo zina zapafupi zam'mimba zikuphatikizidwa - m'mimba, chikhodzodzo, chiwindi, ndi gastritis ndi cholecystitis zimachulukirachulukira.
Analgin, Baralgin, - analgesics, kugwiritsa ntchito komwe kumakhala kovomerezeka ngati matendawa ndi osachiritsika, wokhala ndi chizindikiro chopweteka kwambiri.
Indomethacin, Movalis, Ketanov - NSAIDs, kayendetsedwe ka nyumba zawo kumakupatsani mwayi woti musunthe, ngakhale mutapanda jakisoni, koma piritsi.

Ngati piritsi silikuyambitsa zotsatira zomwe mukufuna, mankhwalawa amadziwitsa ngati jekeseni wamitsempha, kulowetsedwa kapena kulowetsedwa. Njira iyi yoyendetsera ntchito imakhala ndi maubwino: mwachangu komanso moyenera ndizotheka kuti muchepetse kupweteka kulikonse.

Pambuyo pochotsa zowawa zowawa, kukonzekera kochokera pa ma enzymes kumayikidwa: Pancreatin, Creon, Panzinorm.

Pancreatitis analgesic mapiritsi akuluakulu

Ngati kuchulukitsa kwa kapamba sikuchitika kuchipatala, ndiye kuti akuluakulu amaloledwa kumwa mankhwala mapiritsi ndi mapiritsi kunyumba. Mankhwala amtunduwu ali ndi ma analgesic abwino ndi ululu wochepa. Kuti mukwaniritse izi, mankhwalawa amayenera kumwedwa pokhapokha ngati akuwuzani dokotala. Nayo, mlingo ndi nthawi yoyang'anira ziyenera kuvomerezedwa. Kutsatira mwamphamvu malingaliro a katswiri ndikofunikira kuti tipewe zovuta.

Paracetamol

Kuphatikiza apo, si mankhwala onse ochokera m'magulu omwe ali pamwambawa omwe ali oyenera kuthandizira kapamba. Mwachitsanzo, Paracetamol, yomwe imagwiritsidwa ntchito kwambiri kunyumba komanso kuvomerezedwa kuti agwiritsidwe ntchito mwa mwana, siyabwino kuchiza matenda a kapamba. Mankhwala ndi a gulu la NSAIDs, amachepetsa kutentha, nthawi zina amachepetsa kumva kuwawa. Izi ndichifukwa chamapangidwe ochitira:

imakhudza gawo la thermoregulation, motero kuwongolera kusunthidwa kwa kutentha kwa kapamba,
imaletsa kaphatikizidwe kazinthu zomwe zili mkati mwamanjenje zomwe zimayambitsa kupweteka.

Koma ndi kagwiritsidwe ntchito kake, chitsulo chimatha kuvulazidwa kwambiri, ndipo chizindikiro cha ululu, chomwe ndi kapamba wamtundu wina, mankhwalawa sangathe kusiya.

Amadziwika kuti nthawi yotupa, kutengera zomwe zimayambitsa, madzi a pancreatic, omwe ali ndi ma enzyme ambiri pazomwe zimapangidwa, sangathe kuchoka kumtundu womwe wakhudzidwa chifukwa cha kufooka. Chuma chimatupa, kudzimbidwa kwake kumachitika, ndipo pambuyo pake - minofu necrosis, magazi osokonekera ndikupereka kwa oxygen (ischemia). Izi zimatsatiridwa ndi kupweteka kwambiri. Paracetamol siyingakhudze edema, yomwe imayambitsa kutalika kwa kapisozi ndi ululu, komanso kuchepetsa kupanga ma enzymes omwe amagwira ntchito.

Mwa NSAIDs, Ketonal nthawi zambiri amasankhidwa. Zomwe zimagwira ndi ketoprofen. Mankhwala ali ndi mwayi kuposa mankhwala ena mgululi:

Amathetsa ululu wamtundu uliwonse,
amatenthetsa kutentha
Amachepetsa kutupa.

Koma ndikuchulukirachulukira kwa kapamba, sikuti nthawi zonse amakhazikika. Kuphatikiza pa kapamba, kutupa kumafalikira mpaka ziwalo zina zam'mimba. Mankhwalawa ali ndi contraindised mu gastritis kapena zilonda zam'mimba: zimatha kuyambitsa kukoka, mapangidwe a kukokoloka kapena zilonda zam'mimba. Ketonal sayenera kumwedwa kwa masiku opitilira 3.

Ma NSAID ena

Oimira ena angapo a gulu la NSAIDs saloledwa kugwiritsa ntchito ululu: Diclofenac, Nise, Ibuprofen:

mavuto ambiri
Chizindikiro chotchulidwa chopweteka mu hypochondria chogwiritsa ntchito kamodzi sichigwira ntchito.

Madokotala sanakhazikitsidwe pancreatitis: antispasmodics ndi analgesics amagwiritsidwa ntchito, omwe ndi osavuta kutenga kunyumba. Kusankha kwa ma painkillers kumakhalabe ndi katswiri.

Mawonekedwe a analgesics

Kugwiritsa ntchito ma analgesics omwe si a narcotic amaloledwa kunyumba monga akuwongolera dokotala. Baralgin imadziwika kuti ndi imodzi yabwino kwambiri. Ndi chida chophatikizira, chili ndi zovuta kupanga:

Chifukwa chake, amachepetsa kuphipha ndipo amagwiritsa ntchito mankhwala mwachangu, makamaka poyang'anira Ngakhale ngati ndizosatheka kupanga jakisoni, ndipo mankhwalawa sapezeka mu mawonekedwe a piritsi, mutha kumwa yankho kuchokera ku zochulukirapo: zotsatira zake zimabwera pakadutsa mphindi 10-20.

Momwemonso amachitira Maxigan. Mapiritsi a 1-2 amagwiritsidwa ntchito katatu patsiku, kutengera kuwuma kwa chizindikiro.

Mivalgan - ali ndi machitidwe ofanana, koma aphatikizidwa mu agranulocytosis, chifukwa iwo amomwe amachititsa kusintha koteroko m'magazi, makamaka ndi kudya kosalamulirika.

Nospaz ndi mankhwala enanso ophatikizira kupweteka kwanthawi yayitali. Mu kapangidwe - analgesic ndi antispasmodic. Odwala omwe ali ndi mphumu ya bronchial komanso amakonda kuchita ziwopsezo zosiyanasiyana.

Tramadol ndi opioid osagwiritsa ntchito narcotic analgesic yophatikizika yopangira kanthu. Imakhala ndi mphamvu komanso ma analgesic amphamvu kwambiri, ofanana ndi narcotic, ili ndi vuto lapakati ndipo imagwira chingwe cha msana. Tili m'gulu la mndandanda wa 1 wa zinthu wamphamvu wa Komiti Yoyimira Pazachipatala ya Ministry of Health. Amamasulidwa ndi mankhwala ndi zisindikizo ziwiri.

Mankhwala a narcotic

Mankhwalawa amatengedwa komaliza. Ngakhale zotsatira zake zapafupi, ali ndi zovuta zambiri zoyipa, chowopsa kwambiri ndicho uchidakwa. Chifukwa chake, amasankhidwa kwakanthawi kochepa m'malo opumira. Njira yogwira ntchito ndikutchinga ma receptors opweteka ndikumasula ma endorphin ndi enkephalins.

Mwa mankhwala omwe ali mgululi, ndi Morphine yekha yemwe sagwiritsidwa ntchito: amachititsa kupindika kwa minofu ya kapamba ndi chikhodzodzo.

Zogwiritsidwa ntchito: Promedol, Fentanyl.

Antispasmodics

Mankhwala a mzere woyamba wothandizira kupweteka chifukwa:

kumasuka kwa minofu yosalala ya ma pancreatic ducts,
kukulitsa chilolezo chawo
kuchepetsa matenda oopsa komanso edema.

Makamaka chothandiza poletsa kuwerengera ndi wamba duct yotupa. Mothandizidwa ndi antispasmodics, kamwa yake imatseguka, mwalawo umalowa mu lumen ya duodenum, ululu umatha.

No-spa imathandizira bwino kuphipha komanso kuwawa, koma imakhalapo kwakanthawi kochepa. Chifukwa chake, kuchipatala, mankhwala osokoneza bongo omwe amakhala ndi moyo wautali wa moyo amagwiritsidwa ntchito.

Papaverine ndi wofanana ndi No-spee, wakuchita pang'ono. Chifukwa chake, mu chipatala kukhazikitsidwa zotchulidwa 4 pa tsiku mu mawonekedwe a jakisoni.

Platifillin ndiwothandiza kwambiri komanso wokhalitsa pakati pa antispasmodics. Kutalika kwa kufalikira kwa magazi ndi maola 12. Imakhazikitsidwa kawiri patsiku moyang'aniridwa ndi ogwira ntchito zachipatala, chifukwa zimakhala ndi zovuta zambiri.

Duspatalin ndi mankhwala othana ndi poizoni omwe amachepetsa mphamvu ya phula wa Oddi ndipo amatulutsa kutulutsa kwa pancreatic madzi. Amathandizanso kupweteka, ndizoyenera kugwiritsidwa ntchito kunyumba. Amatengedwa mphindi 30 asanadye, kawiri pa tsiku, piritsi 1 (200 mg). Osatinfuna, wotsukidwa ndi madzi ambiri. Okhazikika mu amayi apakati komanso oyamwitsa pamene akuyendetsa galimoto. Zisakhudze kuchuluka kwa kuthamanga kwa magazi, mosiyana ndi ma antispasmodics ena.

Njira zosagwiritsa ntchito mankhwala othandizira kupweteka

Ndi kuchulukirachulukira kwa kapamba ndi ululu, njira zopanda mankhwala zomwe zimagwiritsa ntchito zimagwiritsidwa ntchito: kuzizira, njala ndi kupuma:

Dokotala asanafike, onetsetsani kuti mukupumula kwathunthu: kugona pansi kapena mkono. Ululu umachepetsedwa ndikuchepetsa kukakamiza kwa edematous kapamba pa solar plexus. Simungasunthe kapena kuwonetsa zochitika zina zolimbitsa thupi.
Ikani madzi oundana oundana m'mimba mwanu.
Kukana chakudya (njala kwa masiku atatu). Ingomwa madzi oyera, opanda kaboni.

Kugwiritsa ntchito mankhwala a ululu sikuti kumakhala ndi zotsatirapo zabwino nthawi zonse. Chithandizo pazamankhwala onse chiyenera kuyang'aniridwa ndi katswiri.

Njira za anthu

Ndikosatheka kuchiza pancreatitis kokha ndi wowerengeka azitsamba, koma decoctions ndi infusions angagwiritsidwe ntchito kudyetsa thupi lanu ndi zinthu zofunikira. Akuluakulu ambiri sakhulupirira mankhwala ndipo amayesa kuloweza m'malo ndi maphikidwe a anthu omwe ayesedwa nthawi yayitali. Pali mitundu ya zitsamba yomwe phindu lake limatha kukhudza kapamba ndipo, motero, limathandizira kapena kupewa kupweteka. Ndikofunikira kudziwa kuti mankhwalawa pancreatitis paokha (kunyumba) ndizotheka kokha ndi matenda ake osachiritsika. Ndi zitsamba ziti zomwe zingagwiritsidwe ntchito decoctions, muyenera kufunsa katswiri.

Mafuta opanda mankhwala achikhalidwe amalimbikitsidwa pazakudya zamagulu, koma phala ili lingagwiritsidwenso ntchito kulowetsedwa. Chinsinsi ndichosavuta: kutsanulira mapaundi a oatmeal ndi 1 lita imodzi ya madzi otentha ndikusiya kuti mupatsekere kwa ola limodzi. Pambuyo pa ola limodzi, finya msuzi kudzera mu suna kapena gauze. Tengani theka la magalasi (125 ml) osaposa katatu pa tsiku.

Ophera

Mankhwala opweteka a kapamba amatha kuperekedwa mosiyanasiyana. Awa ndi matenda ovuta komanso okhala ndi mawonekedwe osakhazikika. Chifukwa chake, chithandizo kapena kungochiritsa zizindikiro mosavutikira kumafuna njira yokwanira. Mankhwala amodzi ndi oyenera kwa wodwala mmodzi, kwa ena - ena. Nthawi yomweyo, ndizotheka kuti wachitatu atha kuchita popanda mankhwala, kudzipatula ku wowerengeka azitsamba.

Popeza nthendayi yomwe ikufunsidwa imakhudzana ndi kukanika kwa ma ducts a bile, kupwetekedwa mtima kwapweteka kumachitika pogwiritsa ntchito njira izi:

kugwiritsa ntchito ma analgesics omwe si a narcotic,
kutenga myotropic antispasmodics,
kununkha
lithotripsy mkati mwa ducts,
lithoextraction.

Komanso, ma pinkiller omwe ali ndi lingaliro lina la chochita amathandizira kuchitira autoimmune pancreatitis:

corticosteroids
ursodeoxycholic acid,
njira yoletsa kukomoka kwa ndulu.

Ngati pali matenda amtundu wa biliary, ndiye kuti madokotala nthawi zambiri amalimbikitsa ndi kupweteka kwakukulu kutembenukira ku njira zotsatirazi:

antispasmodics wamphamvu,
mkulu-pancreatic michere
zamitsempha
zotumphukira za ursodeoxycholic acid,
non-steroidal anti-kutupa tiba (i.e., Movalis),
opaleshoni.

Mankhwala osokoneza bongo a pancreatitis pachimake

Pogwiritsa ntchito mankhwalawa mosasamala, spasmolytics ndi analgesics ndibwino kuposa ena. Mankhwala a maguluwa atha kugulidwa popanda mavuto aliwonse ku pharmacy iliyonse, mphamvu zawo zimakhala zomveka bwino komanso zowongoleredwa, zomwe zimachotsa zotsatira zosayembekezereka.

Komabe, yankho labwino kwambiri mulimonsemo ndikufunsira kwa dokotala. Ndikofunikira kufunsa dokotala kuti mukulitse ululu wamankhwala kuti mumve malangizo momveka bwino. Ngati ululu ukupitilizabe ngakhale kumwa mankhwala, mwina dokotala angaganize kuti ndikofunikira kuchipatala komanso chithandizo chamankhwala othandizira.

Analgesics

Oimira apamwamba a gululi la mankhwala ndi kukonzekera kwa Analgin, komanso Paracetamol. Amadziwika ndi anthu ambiri, ndipo kuchita kwawo kwatsimikiziridwa kwazaka zambiri. Ma analgesics amatseka pafupifupi mtundu uliwonse wa ululu. Nthawi yomweyo, muyenera kumvetsetsa kuti kutenga paracetamol chifukwa cha kapamba, komanso analgin, ndizotheka kuthetsa chisokonezo. Ichi ndi chizindikiro chamankhwala chomwe sichikhudza matendawa.

Ndi kapamba, paracetamol ndi analgin amatengedwa muyezo, womwe, pakadapanda mphamvu ya analgesic, umatha kuwirikiza, koma osatinso.

Tiyeneranso kuganizira kuti paracetamol ndi mankhwala osokoneza bongo a hepatoxic. Ngati munthu akuvutika ndi mavuto a chiwindi, ndiye kuti paracetamol iyenera kusiyidwa kuti apewe kukulira.

Ma analgesics owopsa a chikhalidwe cha mankhwalawa, komanso mankhwala ochititsa dzanzi, amatha kutengeka ndi kuchuluka kwa kapamba makamaka kuchipatala, kuyang'aniridwa mosamala ndi madokotala.

Mankhwala othandizira

Kugonekedwa ku chipatala ndi lingaliro la dokotala kapena muyezo woyenera mukakumana ndi wodwala ndi ambulansi.

Kuukira kwamphamvu kwa kapamba kumafunika chithandizo ndi mankhwala oopsa. Popeza ndikumva kupweteka kwambiri, kumwa mapiritsi ndi kutembenukira ku analgesics kumakhala kopanda ntchito, madokotala amatembenukira ku majekeseni. Ngati pali mawonekedwe azachipatala oyenera, anesthetics (Lidocaine kapena Novocaine), mankhwala a narcotic (Fentamil kapena Promedol) akhoza kukhazikitsidwa. Amawalembera kuchipatala kuchipatala chachikulu. Nthawi zambiri amapezeka mu dipatimenti ya gastroenterological.

Nthawi zambiri, kapamba amatsogolera pakukula kwa edema. Mankhwala a diuretic amathandiza kuwathetsa.

Mankhwala osokoneza bongo a kapamba

Njira yodwalayo yamatendawa ili ndi njira yakeyake yofotokozera mankhwala. Palibe munthu amene angakane kulandira chithandizo chamankhwala. Kukhala ndi thanzi labwinobwino, komanso kugwira ntchito kwathunthu kwa kapamba ndi kugaya chakudya mokwanira, kuyenera kusamalidwa mothandizidwa ndi njira zapadera.

Kudya kamodzi kokha kapena kwamphamvu yokazinga, mowa kapena ngakhale manjenjemera kungayambitse matenda, mseru (kapena kusanza) komanso kuwonjezeka kwa thupi. Kuti muthane ndi zizindikiro zomwe mukuyembekezazi, muyenera kumwa mankhwala mukangodya.

Ma analgesics omwe afotokozedwa pamwambapa, komanso antispasmodics, atero. Baralgin imagwiranso ntchito bwino ndi kapamba wamatenda osachiritsika. Madokotala amalimbikitsa kuti wodwala aliyense azitha kuyang'anira momwe mankhwala enaake amagwirira ntchito, asankhe othandiza kwambiri ndi kuwagwiritsa ntchito mosalekeza.

Ndi chifuwa chachikulu cha pancreatitis, chomwe chimayendera limodzi ndi zovuta zowopsa, njira zamankhwala zamphamvu ndizabwino - Ketanov, Indomethacin, Movalis. Komanso, kunyumba amatha kumwedwa onse ngati mapiritsi, ndi ma jakisoni (kutengera mankhwala - kudzera mu intrausly, intramuscularly, kulowetsedwa). Inde, majakisoni amatha kutumikiridwa pakokha pokhapokha ngati chidziwitso chofunikira komanso chidziwitso chachitika. Kupanda kutero, mutha kuyambitsa chiwopsezo cha matenda, mawonekedwe a zowonjezera zina.

Njira ina yothetsera kuvulaza kupweteka kwa kapamba ndikugwiritsa ntchito kukonzekera kwa enzyme. Izi zikuphatikizapo Creon, Panzinorm, Pancreatin. Awa ndimankhwala omwe, pogwiritsa ntchito pafupipafupi, amatha kusokoneza chimbudzi, ndikuthandizira kuchira.

Monga chithandizo, odwala ena amawunikira kuti achepetse ntchito zapancreatic potenga blockers a H2 receptors. Amayenda bwino ndi m'badwo waposachedwa wa mankhwala - Zantac, Famotidine. Umu ndi momwe amakono madokotala amathandizira pancreatitis yayitali.

Pomaliza, ndikofunikira kutchula njira zingapo zapakhomo zomwe zingathandize kuchepetsa ululu wamapapo pachimake ambulansi isanafike kapena yomwe ingakupatseni mwayi wopita kwa dokotala. Madzi oundana omwe amakhala ndi minofu yambiri, m'njira inayake, ndi antispasmodic komanso analgesic, komanso othandiza kwambiri. Ice iyenera kuyikidwa m'malo opweteketsa ululu kwa mphindi zingapo. Komanso, kuphatikiza miyendo ya wodwalayo angagwiritsidwe ntchito pomuukira.

Musanathetse kupweteka kwambiri, ndikofunika kukana chakudya, kudziyika nokha madzi, mankhwala othandizira m'chiuno kapena mbewa, tiyi wopanda mafuta, ndi yogurt yamafuta ochepa. Kwa ululu wofatsa, mutha kumwanso zakumwa zatsopano (makamaka kuchokera pa makangaza kapena kaloti). Kukhala kofunikira kutembenukira kumakonzedwe a calcium, komanso magnesium.

Kuzindikira

Kuti mupeze mankhwala oyenera, ndikofunikira kukhazikitsa njira yodziwikiratu munthawi yake. Kuti muchite izi, muyenera kudziwa momwe pancreatitis yosatha imadziwonekera. Zizindikiro, matenda, chithandizo amadziwika ndi madokotala, koma odwala amafunika kumvetsetsa chifukwa chomwe thanzi lawo silili bwino.

Mwachitsanzo, ndi kutupa pachimake, kupweteka kwambiri pamimba kumawonekera. Amatha kukhala akuthwa kapena opepuka. Kuphatikiza apo, kapamba amadziwika ndi kuphwanya kwam'mimba (kutaya m'mimba kapena kudzimbidwa kumayamba), kupindika, pakamwa kowuma, komanso kutentha thupi. Mtundu wa matenda ungakhalenso asymptomatic. Koma nthawi zambiri, kupweteka kumachitika pakapita nthawi.

Kuzindikira koyenera kumatha kuchitika kuchipatala pambuyo pa mayeso angapo. Wodwalayo amatumizidwa kuti akalandire ultrasound, mkodzo, ndowe ndi magazi.

Kusankha kwa njira zamankhwala

Ndi kapamba, njira yapadera yamankhwala yofunikira ndiyofunika. Ndikofunika kuti dokotala woyenera apereke mankhwala. Chithandizo cha kapamba nthawi zambiri chimayamba ndi njala. Pakadali pano, ma analgesics amphamvu amalembedwa omwe amatha kuthetsa ululu. Wodwala amayenera kukhala m'chipatala moyang'aniridwa ndi madokotala. Mu nthawi yovuta kwambiri, ma enzyme apadera amathandizira kudzera m'mitsempha. Izi zitha kukhala mankhwala monga "Contrikal", "Gordoks". Plasma, njira zamchere, Reopoliglyukin, kukonzekera kwa Albumin kumathandizidwanso.

Pachiwopsezo chachikulu, kusala kudya kwamasiku atatu ndikofunikira. Munthawi imeneyi, amaloledwa kumwa madzi opanda mpweya, msuzi wa rosehip kapena tiyi wopanda mafuta. Nthawi yomweyo, kukonza mankhwalawa kumachitika. Pambuyo pake, chakudya chokhazikika chimayikidwa.

Mankhwala othandizira kapamba pancreatitis amasankhidwa malinga ndi wodwala. Ngati ndi kotheka gwiritsani ntchito ma pinkiller. Kuphatikiza apo, mankhwala amafunikira omwe amawongolera kapamba.

Kukonzekera kubwezeretsa

Chimodzi mwamaudindo akuluakulu ndikupangitsa kuti kapamba azisintha. Kwa izi, mankhwala apadera amagwiritsidwa ntchito. Pancreatitis imachiritsidwa ndi maantacid. Amapangidwa kuti athetsere chizindikiro cha ululu komanso kuteteza mucous m'mimba ndi m'matumbo. Pazifukwa izi, gwiritsani ntchito mankhwala monga Fosfalugel, Maaloks, Gaviscon.

Ma receptors omwe ali ndiudindo wopanga hydrochloric acid, monga Ranitidine, Omeprazole, akutseka. Ndi kuchepa kwa katulutsidwe kake, kukondoweza kwa kapamba kumayima. Ayenera kutengedwa kwa milungu iwiri. Muzipatala, Ranitidine amawonetsedwa ndi intramuscularly pa 50 mg katatu patsiku. Jekeseni wa intravenous makonzedwe ndiothekanso. Vutolo litatha, amayamba kumwa mapiritsi. Monga lamulo, 150 mg ya Ranitidine amakhazikitsidwa kawiri pa tsiku.

Koma omeprazole imayendetsedwa kamodzi patsiku. Zokwanira 40 mg, kuchepetsedwa mu physiotherapy. Mankhwala amaperekedwa kudzera m`mitsempha. Popita nthawi, kusintha kwa mapiritsi kapena mapiritsi omwewo ndikotheka. Ndikofunikira kumwa 20 mg kawiri patsiku.

Ndalama zowonjezera

Kuphatikiza pa analgesia ndi kuyimitsa kukondweretsa kwa pancreatic, ndikofunikira kupanga magwiridwe antchito onse am'mimba. Pazifukwa izi, sikuti mankhwala apadera okha omwe amagwiritsidwa ntchito pochiza pancreatitis. Mankhwala omwe mungamwe, kuphatikiza pa antispasmodics ndi mankhwala omwe amachepetsa katulutsidwe ka hydrochloric acid, akuyenera kufotokozedwa ndi adokotala.

Chifukwa chake, othandizira enzyme nthawi zambiri amalimbikitsidwa. Nthawi zambiri mankhwala "Pancreatin". Izi ndi enzymatic wothandizila popanda bile acids, yomwe ili ndi michere yapadera ya kapamba - amylase, proteinase, lipase. Zimathandizira kukonza chimbudzi ndi kulowa kwa duodenum ya michere yayikulu.

Mankhwala ena atha kutumizidwa m'malo mwa Pancreatin. Chithandizo cha pancreatitis chimachitikanso mothandizidwa ndi mankhwala monga "Creon", "Mezim", "Festal".

Chithandizo cha antibacterial

Nthawi zina, pancreatitis yosatha imachulukirachulukirachulukira chifukwa chotupa totupa la ndulu. Nthawi yomweyo, antibacterial othandizira sangathe kugawidwa ndi.

Mankhwala monga Cefuroxime atha kupatsidwa mankhwala. Amayikidwa intramuscularly pa 1 g katatu patsiku. Komanso pankhaniyi, mankhwalawa "Doxycycline" ndi othandiza. Gawani 0,1 ga katatu patsiku. Kuchiza kuyenera kukhala masiku 7 mpaka 10.

Koma simungathe kuyambitsa nokha maantiwa popanda chidziwitso chotsimikizika. Mulimonsemo, ndikuyang'aniridwa ndi dokotala kokha kuti kapamba ayenera kuthandizidwa ndi mankhwala. Zithandizo za anthu zimagwiranso ntchito pokhapokha atakambirana ndi adokotala.

Njira zina

Zodzikongoletsera ndi ma infusions a zitsamba zosiyanasiyana amagwira ntchito bwino pa kapamba. Malipiro okonzedwa okonzeka akhoza kupezeka ku pharmacy kapena kudzipanga nokha. Ndikofunika ndikumvetsetsa momwe kuphatikiza zitsamba komwe kumakhudzira boma la kapamba.

Kugwiritsa ntchito bwino kumawerengedwa ngati tincorane, mbewa ndi chingwe. Zosonkhanitsira zimathiridwa ndi madzi otentha (pamlingo wa 100 ml ya madzi pa 1 tbsp. L.) Ndipo yophika kwa mphindi zitatu. Msuzi umatha kuledzera chikho 1/3 pamimba yopanda kanthu kawiri pa tsiku.

Palinso mankhwala ena wowerengeka ndi njira zochizira pancreatitis. Ochiritsa nthawi zambiri amalangiza kuphatikiza wort wa St. John, nsapato zamahatchi, chingwe, tchire, chitsamba, elecampane, mizu ya burdck, maluwa a chamomile ndi calendula. Supuni ya zitsamba zosakanizika zosakanizidwa imathiridwa ndi kapu yamadzi otentha. Kutola kukathiridwa, mutha kumwa. Ndikokwanira kudya 100 ml katatu patsiku musanadye.

Komanso mkhalidwe wa kapamba umakhudzidwa ndimachitidwe apadera olimbitsa thupi. Cholinga chake ndi kutikita minofu ya mkati mwa ziwalo zonse zamkati. Ndikofunikira kugwira mpweya wanu ndikutulutsa / kutulutsa m'mimba.

Tikuyenera kuvomereza kuti zizolowezi zoyipa zimasokoneza kwambiri magwiridwe antchito amkati. Zowopsa zambiri zomwe zimagunda kapamba. Khalidwe labwino limatsogolera kumatenda ake. Mu chilankhulo cha madokotala, matendawa amatchedwa pancreatitis. Wodwalayo amakhala ndi zochitika zosiyanasiyana zosasangalatsa, monga nseru, kusanza. Koma mawonekedwe osasangalatsa kwambiri omwe amayenda ndi kapamba ndi kupweteka kwapakati. Kodi kuchitira matenda? Ndipo nchiyani chomwe chingachitike kunyumba?

Pathology

Cancreas ndi gawo lofunikira lamkati lomwe limakupatsani mwayi woyenera kudya chakudya cholowa m'thupi la munthu. Imasunga ma mahomoni ambiri ndi ma enzyme, kuphatikiza insulin ndi glucagon.

Njira yotupa yomwe imapezeka m'mapapo amatchedwa pancreatitis. Kukhazikika kwa ma enzymes m'thupi kumabweretsa kutupira ndi kukwiya. Izi zitha kuchitika mwadzidzidzi, koma zimatha kudutsa zaka.

Izi matenda akufotokozera. Pancreatitis, malinga ndi maphunzirowa, amatha kukhala owawa kapena osachiritsika.Komabe, mulimonsemo, matenda oterewa amatsogolera pakuwonongeka pang'onopang'ono kwa chiwalo chofunikira pakugaya chakudya.

Zomwe zimayambitsa matenda

Poyamba, timaganizira zomwe zimapangitsa kuti pakhale matenda monga kapamba. Zachiwembu, monga lamulo, zimachitika zinthuzi zikakulirakulira. Koma, mwatsoka, nthawi zambiri sizotheka kudziwa zomwe zimayambitsa matenda omwe mapamba amadzigaya okha.

Madokotala amapereka zinthu zotsatirazi, chifukwa chake kapamba amadziwika kwambiri nthawi zambiri:

Zakudya zopanda pake. Kugwiritsa ntchito molakwika zakudya zosapatsa thanzi (zonunkhira, mafuta, yokazinga) zimatha kuyambitsa matenda a kapamba. Chochita pankhaniyi? Kanani zakudya zopanda thanzi ndikufunsani zakudya. Zakudya zamafuta sizimakola thupi bwino. Zotsatira zake, pali kuphwanya kwa kutuluka kwa pancreatic madzi. Nthawi yomweyo mawonekedwe ake amasintha. Zinthu zotere zimayambitsa nseru, kupweteka.
Kuvulala kwapancreatic. Kuvulala kwa chiwalo kumatha chifukwa cha kupweteka kwam'mimba, ngozi yagalimoto, kugwa kuchokera kumtunda, mpeni kapena bala la mfuti. Nthawi zina vutoli limafunika kuchitapo opaleshoni.
Kumwa mankhwala. Mankhwala ena amatha kusokoneza kugwira ntchito kwa kapamba. Maantibayotiki, ma immunosuppressants, corticosteroids amatha mosavuta kuyambitsa matenda a pancreatitis. Zoyenera kuchita kwa wodwala? Pewani mankhwalawa ndikutsatira zakudya.
Mowa. Zakumwa zokhala ndi zakumwa zoledzeretsa zimasokoneza kwambiri ziwalo zambiri. Kapamba ndiwonso. Chithunzithunzi chomwechi chimawonedwa ndi kuperewera kwa chakudya m'thupi. Kutuluka kwa msuzi wa pancreatic kumavulala kwambiri m'thupi, chifukwa chomwe matendawa amakula.
Kuperewera kwa zakudya m'thupi. Potere, chakudya chama protein chimatanthauzidwa. Ngati thupi limadwala pafupipafupi ndi kuperewera kwa zinthuzi, munthu amayamba kudwala matenda a chamba.
Miyala. Kuchulukitsa, kuyenda m'mphepete mwa bile, kumathandizira kuphwanya kutuluka kwa madzi ndikuwonjezera kutupa kwa chiwalo. Zotsatira zake, wodwalayo amakhala ndi mseru, kusanza, kupweteka, chizungulire.
Matumbo am'mimba. Nthawi zina matenda osiyanasiyana amatha kupweteketsa mtima.

Zizindikiro zakuwukira

Ndi matenda awa, zizindikiritso zambiri zimazindikira ndi odwala. Pafupifupi mbiri yonse yazachipatala ili ndi zizindikilo zotere. Pancreatitis imawonetsedwa ndi zowawa. Potere, vuto limatha maola ambiri.

Zizindikiro zotsatirazi ndizomwe zimachitika pancreatitis:

Kupweteka kwam'mimba. Chizindikiro chofunikira kwambiri komanso pafupipafupi. Zikuwoneka pafupifupi 80-95% ya odwala. Ululu umatha kukhala pafupipafupi kapena mobwerezabwereza, kuwotcha kapena kuwawa, kupindika kapena kuwawa. Zovuta zimapezeka kumtunda kumanzere kumanzere komanso m'chigawo cha epigastric. Chifukwa chake pancreatitis yovuta imawonekera. Mikwingwirima imakonda kulimba pambuyo podya chakudya (pambuyo pa mphindi 20-30). Wodwalayo amakumana ndi vuto lalikulu atadya yokazinga, mafuta, zokometsera, kusuta zakudya kapena kumwa mowa. Ululu umatha kufalikira kumbuyo, clavicle kumanzere, tsamba lamapewa, mkono. Nthawi zambiri, kusasangalala kumamanga. Ndi njala, izi zikuwoneka kuti zimachepetsa. Kuyimitsa kokhazikika kumathandizanso kuchepetsa kusasangalala: ndikosavuta kuti wodwalayo athe kupirira pamene akhala, atatsamira pang'ono.
Kutsegula m'mimba Chizindikiro ichi chimawonedwa mu theka la odwala. Mpando umakhala ndi fungo losasangalatsa, uli ndi mawonekedwe osasinthika. M'matumba, mafuta osasankhidwa amawonedwa.
Kuchepetsa thupi. Zizindikiro zofala. Tchulani kuukira kwa chifuwa chachikulu. Monga lamulo, zimawonedwa m'magawo omaliza a matendawa.
Kusanza, kusanza. Zizindikiro zotere sizimabweretsa mpumulo kwa wodwala. Nthawi yomweyo, kuphatikizira ndi kutsegula m'mimba, imawononga thupi kwambiri. Kutanuka kwa khungu kumachepa, mawonekedwe ake amakhala owuma kwambiri. Kuwonetsa mawonekedwe a nkhope kumawonedwa.
Kutsekeka kwa bile duct. "Madontho ofiira" amawoneka pamimba ndi chifuwa. Akakanikiza, samasowa. Nthawi zina pamakhala kusowa kwa nembanemba ndi khungu chifukwa chofinya chimbudzi ndi chotupa chotupa.
Thupi, kuzizira, kupuma movutikira. Zizindikiro zotere zimawonetsa kupangika kwa thupi. Pankhaniyi, ndikofunikira kuyamba chithandizo chokwanira nthawi yomweyo. Kuchedwa kulikonse kumatha kubweretsa zovuta zazikulu.

Pambuyo pa kuchitika kangapo konse, matendawa amakhala osachiritsika. Pankhaniyi, wodwalayo nthawi zina amakumana ndi zizindikiro zonse za kapamba. Koma chosasangalatsa kwambiri ndikuwonongeka pang'onopang'ono kwa chiwalo.

Thandizo loyamba

Chithandizo chokwanira chimalembedwa ndi adokotala okha. Kudzichitira nokha mankhwala, makamaka osazindikira kuzindikira koyenera, ndizowopsa. Nthawi yomweyo, kumbukirani kuti kusokonezeka kwakukulu m'mimba sikuyenera kuloledwa ndi kumizidwa ndi analgesics. Ngakhale mutadziwa kuthana ndi vuto la kapamba kunyumba, muyenera kuunikiridwa. Izi zimateteza motsutsana ndi kukula kwa zovuta zosasangalatsa kwambiri.

Ngati mukukumana ndi vuto m'mimba, muyenera kufunafuna thandizo kuchokera kwa gastroenterologist. Wodwala akakhala ndi ululu “wokhotakhota”, ndikofunikira kuyimbira ambulansi nthawi yomweyo. Komabe, pamene gulu lazachipatala likuyenda, ndizotheka kuchepetsa zomwe wodwala akukumana nazo chifukwa cha chifuwa cham'mimba.

Thandizo loyamba limaphatikizapo malingaliro otsatirawa:

Kulandila kwa antispasmodics. Mankhwala oterowo amatha kuchepetsa kuphipha. Chifukwa chake, kuonetsetsa kuti akutuluka mu lumen wa matumbo a pancreatic. Pankhaniyi, tikulimbikitsidwa kuti musagwiritse ntchito mapiritsi, koma jekeseni wamitsempha. Amachita bwino kwambiri komanso mwachangu. Chithandizo chogwira mtima kwambiri ndi No-shpa.
Chithandizo cha chimbudzi. Wodwala amalimbikitsidwa kumwa kukonzekera kwa enzymatic: Festal, Mezim, Pancreatin. Ndalamazi zimathandizira kukonza chimbudzi ndipo zimatha kuchepetsa ululu.
Ozizira pamimba. Njira zoterezi zimathandizira wodwala kwambiri. Komabe, musagwiritse ntchito kuzizira kwa ayezi. Potere, m'malo momasuka, mutha kukulitsa vutoli. Ndikofunika kugwiritsa ntchito phukusi lotenthetsera lodzaza ndi madzi ozizira, kapena ayezi wokutidwa ndi thumba ndi nsalu. Chochitikachi sichingothandiza kuthetsa kupweteka, koma chimachepetsa kutupa.

Madokotala, ofotokozera momwe angachepetse kuukira kwa kapamba, makamaka amalimbikira kupatula chakudya chilichonse. Wodwala amangofunika kumwa. Potere, ndikofunikira kwambiri kupatsa madzi oyera oyera kapena mchere wopanda mchere.

Chithandizo cha kunyumba

Woopsa, wodwala amafunikira kuchipatala. Koma nthawi zina, atapima mozama, dokotalayo amamulembera wodwala chithandizo ndipo samutengera kuchipatala. Pankhaniyi, ndikofunikira kudziwa anthu omwe ali pafupi ndi wodwalayo momwe angachepetse kuukira kwa kapamba kunyumba. Ndikofunikira kuti mankhwala osokoneza bongo a No-Shpa ndi enzymatic akhale pafupi.

Malangizo ochepa osavuta amakupatsani mwayi wopewa kuwukira pafupipafupi:

Njala. M'mimba mwake muyenera kuchotsedweratu. Zikatero, chitsulo chidzasiya kupanga ma enzyme omwe amawapweteka. Chifukwa chake, odwala amaloledwa kumangodya madzi, tiyi ndi othandizira m'masiku ochepa.
Limbani. Kuwotcha kapamba ndizoletsedwa. Njirayi imayambitsa kutupa kwambiri ndikuthandizira pakuwonongeka kwa kapamba ndi mahomoni ake omwe. Kumbukirani: hypochondrium ya kumanzere "imasankha" kuzizira! Chifukwa chake, ayezi wofundira ayezi ayenera kuyikiridwa ndi kapamba.
Mtendere. Pathology ikhoza kutsogolera mosavuta pakukhazikitsa zotsatira zoyipa. Chifukwa chake, madotolo amalimbikitsa mwamphamvu kuti muwonjezere katundu pa thupi lonse. Odwala amalangizidwa kuti azitsatira pogona mpaka zizindikire za kupweteka kwambiri kwa kapamba zimatha.

Mavuto a matendawa

Kodi pancreatitis wowopsa ndi chiani? Ziwopsezo sizidutsa popanda kutsatira ndipo nthawi zambiri zimabweretsa zovuta zosasangalatsa.

Izi zikuphatikiza:

matenda
chotupa
minofu ya necrotic ya England.

Pazovuta zazikulu, wodwala amafunika kuchitapo kanthu opaleshoni. Pambuyo pa opaleshoni, wodwalayo nthawi zambiri amapatsidwa insulin kuti azitha kuwonetsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, mankhwala apadera omwe amakhala ndi ma enzyme omwe amatsimikizira kuti m'mimba mumapezeka mafuta ambiri komanso mapuloteni amalimbikitsidwa.

Chosafunikanso kwambiri ndi zakudya zopatsa thanzi, zomwe muzochitika zamakedzana, wodwala amayenera kuyang'ana moyo wake wonse. Ndipo siyani mowa uliwonse.

Matenda a kapamba amatha kuyambitsa zovuta zotsatirazi:

kufalikira kwa mitsempha
kuchuluka kwa madzi mderalo
kupweteka kwakanthawi
kufufuma kwamatumbo ang'onoang'ono ndi ndulu zamkati,
chiopsezo chokhala ndi khansa yapancreatic.

Chakudya pambuyo povutitsidwa kwambiri

Odwala akulimbikitsidwa kudya No. 5 chifukwa cha kapamba. Komabe, mutavutika ndi masiku angapo, muyenera kusiyiratu kugwiritsa ntchito chakudya.

Ma Dietitians amalimbikitsa malamulo otsatirawa:

Kwa masiku 2-4, wodwalayo amaletsedwa kudya. Ndikulimbikitsidwa kugwiritsa ntchito madzi am'madzi okha pochiritsa, monga Borjomi, Essentuki No. 4. Muyenera kumwa pang'ono pang'onopang'ono.
Tsiku la 5. Chololedwa mosamala kuwonjezera menyu. Pankhaniyi, muyenera kudziwa kuti wodwalayo adayikapo tebulo la kapamba ya 5 kap.
Tsiku 6-7. Chakudyacho chimaphatikizapo msuzi wa mucous, zakudya, zakudya monga chimanga, kefir, cutlets za ng'ombe, nkhuku ndi nsomba. Chovomerezeka: mbatata zosenda, masamba. Mbale zonse zokhala ndi kapamba zimayenera kudyetsedwa kapena kuwiritsa. Wodwala amatha kumwa tiyi wopanda mphamvu, maapulo osenda, makeke, msuzi wamtchire wamtchire.

Izi matenda ali ndi dzina limodzi losasokoneza - prediabetes. Tsoka ilo, zikafika pancreatitis yayitali, mwayi wokhala ndi matenda oopsa oterewo ndiwambiri. Popewa kupezeka kwa matenda osokoneza bongo, odwala amawapatsa mankhwala No. 5 a kapamba. Zakudya izi ziyenera kutsatidwa moyo wonse.

Maziko azakudya ndi izi:

mkaka, kefir, tchizi yofewa, yogurt, curd wowawasa,
pasitala, phala (mpunga, oats, buckwheat),
masamba (beets, zukini, kaloti, dzungu, mbatata),
mikate yoyera, tirigu wowaza,
nsomba zowonda
nyama (nkhuku, kalulu, nkhuku, nyama yamphongo),
mafuta odzola, maapulo ophika, msuzi wabulosi,
zipatso za oats, zakumwa za zipatso, tiyi wa chamomile, timadziti tamitengo ta asidi,
msuzi wosenda, broths zamasamba.

Kuchokera pazakudya ziyenera kuperekedwa:

kabichi watsopano, zipatso zowawasa, nyemba,
sorelo, radish, sipinachi, radish,
buledi watsopano, maswiti, muffin,
zonunkhira ndi zonunkhira zotentha,
Zakudya zamzitini, nyama zosuta, soseji, mazira,
nsomba, msuzi wa nyama, borscht, msuzi wa kabichi,
msuzi wokoma, mowa,
ayisikilimu, kirimu, kirimu wowawasa,
zakudya zokazinga.

Zakudya izi zimaphatikizapo kudya pafupifupi 6 pa tsiku, m'magawo ang'onoang'ono. Izi zimathandiza kupewa kudya kwambiri.

Maganizo a odwala

Modabwitsa, ndimatenda amtunduwu, odwala onse amalimbikitsa chinthu chimodzi: kulumikizana ndi gastroenterologist ndipo musazengereze kulandira chithandizo! Kodi odwala omwe amapezeka ndi pancreatitis amatsimikizira chiyani? Ndemanga za odwala zimanena za kusinthaku kwakukhalanso wathanzi pambuyo pa mankhwala omwe adalembedwa ndi adokotala komanso kutsatira zakudya zomwe wapatsidwa.

Odwala ambiri amati atalandira chithandizo kwa nthawi yayitali amatha kubwereranso ku zakudya zawo. Ndipo pa nthawi imodzimodziyo sakumananso ndi zowawa zazikhalidwe.

Pomaliza

Mbiri imapereka zitsanzo zoposa chimodzi, pomwe ngakhale matenda osachiritsika adachotsedwa kwathunthu. Chifukwa chake khalani olimba mtima, khalani wolimba ndikutsatira malangizo onse a dokotala. Ndikukufunirani zabwino komanso zabwino!

Zovuta pakuchitika kwa kapamba zimayambitsa zovuta zambiri kwa munthu, zimasokoneza moyo wabwinobwino. Pancreatitis amadziwika kuti ali pachimake kapena mawonekedwe osakhazikika. Kupweteka ndi kapamba kumatha kuthamanga kwambiri, kumayendetsedwa ndi kuchepa kwa chidwi, kuchepa thupi, kulephera kukhala bwinobwino, kuyenda. Ndikofunikira kudziwa momwe mungadziwire pancreatitis ndikutha kupirira ululu kunyumba komanso kuchipatala.

Limagwirira ululu pancreatitis

Machitidwe otupa ndi osachiritsika omwe amapezeka m'mapapo amatchedwa pancreatitis. Njira zotsatirazi zomwe zimachitika m'matumbo zimakhudza mawonekedwe a mawonekedwe a kupweteka:

Kufalikira (kutsekereza) kwa ductal system ya gland chifukwa cha kusayenda kwa pancreatic madzi ndi bile mu ducts. Kusunthika kumachitika chifukwa chakuthwa kwakanthawi kwa milomo ya tiziwiti, kusintha kosasinthika (kuchuluka kowonekera chifukwa cha uchidakwa, poizoni m'thupi) kwamadzimadzi kapena chifukwa cha zotupa, miyala, ntchito ya duct (ma parasites (mphutsi) m'mizere.
Kuphwanya kwa ma cellcirculation a zimakhala. Pancreatitis ikachitika, pamakhala kuchepa kwa magazi m'matumbo, ma cell omwe amaperekedwa bwino ndi magazi.
Kusintha kwa Dystrophic mu kapamba. Zingwe zimapangidwa ndi ma pancreatic enzymes, omwe amadziunjikira zochuluka kuposa zofunika.
Njira zotupa zomwe zimatupa tiziwalo tating'ono tating'ono ndi tinthu tating'ono timene timatulutsa. Zotsatira zake, kuchuluka ndi kutupa kwa kapamba kumachitika.

Zoyambitsa

Akatswiri amadziwa zifukwa zambiri zoyambira ndi kupindika kwa kapamba. Malinga ndi ziwerengero, mu 30% ya odwala chomwe chimayambitsa matenda opatsirana pancreatic sichingadziwike. Matenda a kapamba amayamba chifukwa cha:

Kugwiritsa ntchito mowa kwambiri. Mowa ndi chimodzi mwazomwe zimayambitsa pancreatitis, kumamwa pafupipafupi zakumwa zachitsulo kumatha kugwira ntchito bwino, komwe kumakhala koyipa kwambiri chifukwa cha thanzi lathunthu.
Zolakwika mu zakudya. Zakudya zonona, zokazinga ndi zonunkhira, kudya mafuta mwadongosolo kumabweretsa kupanga kwambiri madzi a m'mimba ndikuwonongeka kwa gland.
Anomalies mu ntchito ya gallbladder (matenda a ndulu). Zikondamoyo ndi ndulu zimakonda kulowerera mu duodenum. Ngati densi yolekeka ndi miyala, kukokoloka kwa chimbudzi kumachitika, zomwe zimayambitsa kutupa kapena kuwononga kwa ndulu.
Zinthu zovuta, mavuto amanjenje.
Kuvulala, kupweteka kwam'mimba, kuvulala kwam'mimba, m'mimba, komwe magene a pancreatic amatha kuwonongeka.
Matenda a shuga.
Matenda a mahomoni.
Matenda (chimfine, mumps, chimfine, hepatitis).
Neoplasms mu peritoneum.
Kudziletsa.
Kuthamanga kwa magazi.
Kutupa matenda am'mimba thirakiti ndi duodenum. Gastritis, duodenitis, zilonda zam'mimba zimatha kukhudza kutulutsidwa kwa madzi am'mimba.
Zotsatira zoyipa za zida zamankhwala. Mankhwala ambiri amakhala ndi maantibayotiki, mahomoni, mankhwala osapweteka a antiidal omwe ali ndi vuto lanyumba ndipo amatha kuyambitsa kutupa.

Chikhalidwe ndi kufalikira kwa kupweteka kwa kapamba

Pancreatitis ululu sensations ndi osiyana, amakwaniritsidwa kubwereza tsiku lililonse ndipo zimatengera malo anatomical - malo a zotupa zotupa (mutu, thupi, mchira), mtundu wa njira yotupa. Chikhalidwe cha kupweteka kwa kapamba ndizosiyana:

Matenda a kapamba, palibe kuwonekera kwachilendo kwa kupweteka, kumatha kukhala kosiyanasiyana mwamphamvu, kumachitika nthawi ndi nthawi (cramping mtundu). Kulimbitsa ululu kumachitika usiku. Pakukhumudwa kwamatenda, zowawa zimapezekamo:

kumtunda ndi pakati pamimba,
dera lumbar, mawonekedwe a lamba wathunthu kapena pang'ono - kumanzere,
dera kumbuyo
pachifuwa chotsika (dera la nthiti m'munsi).

Mu chifuwa chachikulu cha pancreatitis, odwala amamva kukoka, osalolera, pachimake, kupsinjika, kupweteka komanso kumangika, komwe kumadziwika kuti:

wam'mimba
kubwerera
hypochondrium wamanzere,
m'mimba.

Momwe mungazindikire pancreatitis yachilendo

Pakuwopsa kwa kapamba, kapamba samayamba kugaya chakudya, koma yekha. Ngati simukufuna thandizo la kuchipatala pa nthawi yake, osayamba kutsatira malamulo azakudya, pali kutupa ndi kutupa kwa utsi kuzungulira kapamba. Muzochitika zapamwamba, necrosis ya gland imayamba. Zizindikiro za pancreatitis pachimake ndizosavuta kuzindikira:

nseru
ukufalikira
kukomoka mtima,
kuchepa kwakukulu kwa kuthamanga kwa magazi,
osafuna chakudya ndi madzi akumwa,
chizungulire
kupweteka kwambiri pansi pa nthiti yakumanja,
chisangalalo
ma emetic amatuluka ndi zosafunikira za bile,
khungu la chikasu
kupweteka pachimake kupweteka ndi kapamba, yemwe amakhala pansi kapena ngati wagona, ngati mukugwada.

Momwe mungachepetsere kupweteka mu kapamba kapamba

Kutupa kovuta kwa kapamba kumachitika mwadzidzidzi, nthawi zambiri wodwala amayenera kupereka thandizo koyamba kuntchito kapena kunyumba. Therapy yamtunduwu wa kapamba imachitika kokha kuchipatala moyang'aniridwa ndi dokotala. Pankhani ya ululu wamkati pachimake, ndikofunikira kuyimbira ambulansi ndikuchita izi:

Patsani wodwala mtendere - pathupi (kusuntha kwadzidzidzi kumayambitsa kupweteka), komanso kutengeka mtima.
Chotsani kapena chovala chosasunthika chomwe chimasokoneza kupuma kwabwinobwino kapena komwe kumayambitsa m'mimba.
Kuti muchepetse kupweteka, ndikofunikira kukhazikitsa wodwalayo pofewetsa thupi, kapena kulimbikitsa kugona m'mimba mwake.
Wodwala amafunika kumwa tsiku lililonse kotala kapu imodzi ya madzi owiritsa kapena mchere wa mchere wopanda mafuta.
Kuzizira kumachepetsa ululu. Kwa mphindi khumi ndi zisanu, mutha kuyika chotenthetsera ayezi, matumba otsekemera ndi gel kapena botolo lamadzi owundana pamimba yanu (m'dera la kupweteketsa ululu).
Apatseni wodwala kuti atenge antispasmodic - No-shpa, Papaverine kapena Drotaverin, ngati nkotheka, perekani jakisoni wamkati ndi imodzi mwazomwezi.

Madokotala okha ndi omwe amatha kudziwa mtundu wa kutupa. Pofuna kukulitsa vutoli ngakhale madokotala asanafike, kuukira kwadzaoneni, wodwalayo amaletsedwa:

Pumirani kwambiri - zimakulitsa ululu.
Idyani chakudya.
Tengani ma pinkiller (Spazmalgon, Analgin, Baralgin) - amachepetsa ululu ndipo amatha kulepheretsa akatswiri kudziwa bwino matendawa.
Tengani kukonzekera kwa enzyme (Mezim, Creon, Festal), komwe kumatha kulimbikitsa mkhalidwe wa wodwalayo.
Mukamasanza, musagwiritse ntchito njira zothetsera kapena mankhwala kuyeretsa m'mimba.
Kuwotcha pamimba - izi zimatha kutupa ndi sepsis.

Chithandizo cha ululu wa kapamba

Chithandizo cha kutupa kwamatumbo ndikufuna kufewetsa thupi, kuthetsa ululu, kuthetsa njira yotupa, komanso kufinya chimbudzi. Pambuyo pakupenda mosamalitsa kwa peritoneum komanso pamaso pa zotsatira zoyesedwa, dokotala wa gastroenterologist aliyense payekhapayekha amapanga dongosolo la mankhwala lomwe limaphatikizapo kugwiritsa ntchito mankhwala, kukonzekera kwa antienzyme, mavitamini, ndi zakudya. Mwa mankhwala, madokotala amalembera:

Pancreatic secretion inhibitors - amagwiritsidwa ntchito popewa kwakanthawi (kutsekeka) kwa ndulu. Mankhwala a gululi akuphatikizapo Gordoks, Kontrikal, Kontriven, Aprokal. Mankhwalawa:
- chepetsani kugwira ntchito kwa proteinase ya ma cellular ndi ma plasma amwazi,
- pewani neancosis ya pancreatic,
- sinthani dongosolo la kinin-kallikreinovoy (KKS).
Hormonal mankhwala Somatostatin kapena analogues (Octreotide) - omwe amagwiritsidwa ntchito pochepetsa kupweteka pachiwopsezo cha pancreatitis, kupondera chinsinsi cha serotonin.
Mankhwala a enzyme (Panzinorm, Mezim, Festal, Pancurmen, Creon, Enzistal Pancreatin) - ali ndi zotsatirazi paumoyo wa wodwalayo:
- gwiritsani ntchito njira yogwiritsira ntchito chakudya,
- chepetsa mphamvu zowawa
- sinthani ntchito ndi kuchepetsa katundu pa kapamba,
- zimathandizira kuyamwa koyenera kwa zinthu zachilengedwe.
H2 histamine receptor blockers (Famotidine, Nizatidine, Cimetidine) - adapangidwa kuti alepheretse zobisika m'matumbo a pancreatic poletsa kupanga kwa hydrochloric acid m'matumbo.
Ma blockers (zoletsa) a pampu ya proton - Ezokar, Omeoprazole, Rabeprazole. Cholinga chachikulu cha mankhwalawa ndikuwonetsetsa kuti kutulutsa kwa hydrochloric acid ndikolepheretse pampu ya proton m'maselo a parietal.
Mankhwala a diuretic - Diakarb, Triampur, Furosemide.
Ma antihistamines (Pipolfen, Suprastin, Peritol, Diphenhydramine) - adapangidwa kuti achepetse kutulutsa kwa minofu ya tinyezi.
Maantacid (Fosfalugel, Palmagel, Maalox, Altacid) - adapangidwa kuti asakanikize hydrochloric acid, yomwe imabisidwa ndi m'mimba.
Antispasmodics (Drotaverin, Papaverin, Eufillin, No-shpa, Riabal, Spazmolin) - adapereka njira yothandizira kupweteka.
Mankhwala a antibacterial (Amoxilav, Azithromycin, Abactal, Sumamed) - amagwiritsidwa ntchito kuthetsa microflora ya bakiteriya, yomwe ingayambitse matenda. Maantibayotiki amathetseratu microflora yonse m'matumbo, kotero amagwiritsidwa ntchito limodzi ndi ma probiotic (Linex).
Cholinolytics - Chlorozin, Metacin, Platifillin, Antopit. Mankhwala a gululi amatithandizira kugaya chakudya.
Mankhwala a Antisecretory - Omeprazole, Lansoprazole, Omez. Mankhwala amachepetsa ululu, amalepheretsa katulutsidwe ka hydrochloric acid, komanso amachepetsa njira yotupa.

Zizindikiro za Pancreatitis

Kapamba amapanga michere yam'mimba ndi mahomoni omwe amawongolera mapuloteni, mafuta, metabolism - insulin, glucagon, somatostatin. Chiwalocho chimakhala ndi mawonekedwe obisika ndipo chimakhala m'mimba kumtunda, kumbuyo kwa m'mimba, chikugwirizana kwambiri ndi duodenum. Iron kulemera pafupifupi 70 g, kutalika kwake kumasiyana 14 mpaka 22 cm, m'lifupi - kuchokera 3 mpaka 9 cm, makulidwe - 2-3 cm.

Kutupa kwa pancreatic kumatha kuchitika m'mitundu yovuta komanso yosatha, mawonetsedwe azachipatala omwe ali osiyana. Pancreatitis pachimake ndi yakufa, chifukwa poizoni amatha kupweteka kwa minyewa ya gland ndi ziwalo zina, matenda, puritis. Ngakhale ndi chithandizo chanthawi yake ndi njira zamakono, kufa ndi 15%.

Palibe chithunzi chachipatala chomveka bwino mu pancreatitis yayikulu, chifukwa chake, mayeso owonjezera amafunikira kuti azindikire molondola. Mwanjira yodwala, matendawa amaboweka kapamba, omwe amayambitsa kupweteka kwa ziwalo zina, amasokoneza kayendedwe ka chakudya kudzera m'mimba ndi matumbo. Kuphatikiza apo, matendawa amadziwonetsera muzizindikiro zotsatirazi:

kupweteka kwapweteka pamimba, mpaka mbali yakumanzere, kumbuyo,
nseru
kusanza ndi bile, komwe sikubweretsa mpumulo,
ukufalikira
kusowa kwamadzi
khateyo limayamba, limodzi ndi chikasu pakhungu, mkodzo wakuda, ndowe zowala,
Nthawi zina, malo owoneka bwino amakhala pafupi ndi msomali kapena kumanzere kwam'mimba, nthawi zina amakhala ndi tinge yachikasu.

M'matenda osaneneka mu kapamba, kusintha kosasintha kumachitika. Amachepa, limachepa, maselo amasinthidwa ndi minyewa yolumikizana, chifukwa chomwe chiwalo chimaleka kukwaniritsa ntchito zake, ndipo kaphatikizidwe ka michere yam'mimba ndi mahomoni amachepa. Pancreatitis yodziwika bwino imadziwika ndi chithunzi cha matenda osachiritsika, zizindikiro zake zimatha kusokonezeka mosavuta ndi matenda ena am'mimba.

Matendawa amakula pang'onopang'ono ndipo sadzipangitsa kumverera kwa nthawi yayitali. Pathology imadziwoneka ngati ululu wammbuyo kapena wamkati pamimba, pafupi ndi hypochondrium yamanzere, imatha kupatsa kumbuyo kwakumbuyo. Matendawa amaphatikizidwa ndi mseru, kusanza, kugona, kutentha kwachisangalalo, kakomedwe kosakoma kamkamwa. Kutsekula m'mimba kumatha kusinthana ndi kudzimbidwa, limodzi ndi ndowe za chakudya chosalowetsedwa kutuluka. Kuonda kwambiri, maonekedwe a mafupa am'mimba amatha. Popeza kapamba amapanga insulin, pancreatitis yachilendo imakonda kuyenda ndi matenda a shuga.

Mankhwala achikulire a kapamba

Popeza mwazindikira Zizindikiro za kutupa kwa kapamba, muyenera kufunsa dokotala ndipo mupeze kafukufuku. Kenako, malinga ndi zotsatira za mayeserowa, adotolo adzalembera dongosolo la chithandizo. Amapereka zofunikira kuchita:

mpumulo wa zizindikiro zopweteka,
Kuchotsa kwa zotupa m'mimba kapamba ndi ziwalo zapafupi,
Kutha kwa matendawa chifukwa cha kuperewera kwa kapamba,
kupewa mavuto.

Mukayamba chithandizo, mukulira mwayi wopambana. Mankhwala onse a kapamba mu akulu ayenera kumwedwa monga momwe adanenera dokotala pomupatsa. Zochizira kapamba, antispasmodics, ma antacid, antienzyme, ndi N-2 blockers ndi omwe amapatsidwa. Muli ndi othandizira okhala ndi aprotinin polypeptide. Kufanana ndi kumwa mankhwala, njira zimayeretsedwa kuti ziyeretse thupi la pancreatic enzymes, zakudya.

Enzymes ndi anti-enzyme akukonzekera kapamba

Kuti achepetse kuchuluka kwa madzi am'mimba, dokotalayo amatipatsa mankhwala omwe ali ndi zinthu zomwe zimalocha m'malo mwa michere yopangidwa ndi kapamba. Awa ndi amylase, omwe amathandizira kukonzanso kukhuthala kukhala ndimaswiti, komanso proteinase ndi lipase (yoyamba imaphwanya zida zapakati pa amino acid m'mapuloteni, chachiwiri - mafuta). Kukonzekera kwa enzyme kwa kapamba kumathandizira kapamba, kuthandizira kupewa kufooka, kupukusa chakudya moyenera, kuchotsa m'mimba, nseru, kutuphuka, ulemu.

Pa chithandizo cha pancreatic, mankhwala a enzyme okhala ndi pancreatin ndi mankhwala. Imaphwanya mafuta, mapuloteni ndi chakudya, ndikusintha amylase, lipase, proteinase:

Chikondwerero. Kuphatikiza pancreatin mu kapangidwe - hemicellulose, bovine bile Tingafinye. Mankhwala amalimbikitsa osati chimbudzi ndi chakudya, komanso kuwonongeka kwa utsi, kusintha kwa katulutsidwe ka bile, ndikuthandizira lipase. Mlingo: piritsi limodzi patsiku limodzi kapena chakudya.
Chiboni. Kutulutsa mawonekedwe - makapisozi 150, 300, 400 mg wa kapamba. Mlingo umatengera chithunzi cha matenda, omwe amatengedwa nthawi ya chakudya kapena itatha.
Panzinorm 10000 ndi 20000. Wopangidwa m'mapiritsi, kumwa piritsi 1 limodzi ndi zakudya katatu patsiku.
Chimbudzi. Kutulutsidwa mawonekedwe - dragees. Imwani mutatha kudya kapena nthawi ya chakudya 1-2 ma PC. katatu patsiku.
Mezim 10000 ndi 20000. Opangidwa m'mapiritsi, makapisozi, ma dragees. Tengani chakudya isanayambe kapena itatha 1-2 ma PC. kamodzi mpaka katatu patsiku.

Ndi edema ya pancreatic, ntchito yake iyenera kupanikizidwa. Pachifukwa ichi, adotolo amafotokozera kukonzekera kwamakonzedwe othandizira. Pakati pawo, Contrical kapena analogi yake Aprotinin iyenera kusiyanitsidwa. Amayambitsa proteinase, amalepheretsa kallikrein-kinin dongosolo - gulu lama mapuloteni omwe amatenga gawo limodzi pakukonzekera, kuwundana kwa magazi, komanso kupweteka.

Pancreas yoyaka imapangitsa kuti m'mimba pakhale hydrochloric acid yambiri. Kuchuluka kwa acidity kumazungulira tiziwalo tating'ono, kumayambitsa kupweteka kwambiri, kumapangitsa kuti michereyo izigaya. Kusintha mphamvu ya kukonzekera kwa enzyme ndi kupewa kuwonongeka kwa makoma am'mimba, madokotala amapereka ma antacid, omwe ntchito yawo ndi yothandiza kuti hydrochloric acid ikhale. Mankhwala a gululi amadziwika ndi envelopu athari, amateteza ku zotsatira zoyipa, kusintha kapangidwe ka bicarbonates, komanso kupewa flatulence.

Zida zazikulu zaantacid zomwe zimagwiritsidwa ntchito pochiza ziphuphu zakumwa ndizo mankhwala a magnesium ndi aluminium. Mankhwala oterewa amachepetsa kuchuluka kwa hydrochloric acid, kukhala ndi choleretic, mankhwala oletsa ululu, kukhala ndi zovuta, kusintha katulutsidwe wa bile, ndikuchotsa kapangidwe ka mpweya. Mankhwala okhala ngati mapiritsi musanayambe kugwiritsidwa ntchito amayenera kuphwanyidwa kapena kutafunidwa bwino. Kuti kukhazikika bwino kwa acid-base, otsatirawa ndi omwe atchulidwa:

Gel Almagel. Akuluakulu amayenera kumwa 1-2 tsp. patsiku theka la ola musanadye komanso pogona. Mlingo wapamwamba wa tsiku lililonse ndi 16 tsp. Njira ya mankhwala ndi milungu 2-3.
Kuyimitsidwa ndi mapiritsi Maalox. Imakhala ndi ma analgesic, kuimitsa ululu pamtunda wam'mimba. Mlingo - mapiritsi 2-3 kapena 15 ml ya kuyimitsidwa ola limodzi mutatha kudya komanso musanagone. Njira ya mankhwala ndi miyezi 2-3.
Mapiritsi a Gastracid. Mlingo: 1-2 mapiritsi 4 pa tsiku mukatha kudya musanayambe kugona. Njira yochiritsira salinso yopitilira milungu itatu.
Mapiritsi a Alumag. Imwani 1.5 maola pambuyo chakudya. Njira ya mankhwala ndi mwezi.
Gel ndi mapiritsi a Palmagel. Mlingo: Mapiritsi awiri kapena atatu kapena mphindi 5 mg ya kuyimitsidwa ola limodzi ndi theka mutatha kudya. Njira ya mankhwala ndi miyezi 2-3.

Ma H2 blockers

Mankhwala a kapamba nthawi imodzi ndi ma antacid, secretion inhibitors, blockers a H2-histamine receptors, ayenera kutumikiridwa. Mankhwalawa amapanga histamine insensitive gastric cell receptors omwe amapanga hydrochloric acid. Izi zimachepetsa kaphatikizidwe kake ndikulowa kwa lumen pamimba, zomwe zimathandiza pancreatitis. Mphamvu ya blockers pamthupi sikungokhala: zobisalira zoletsa zimapangitsa kuti mucosa wa gastric azigonjetsedwa ndi zinthu zamtopola, zimathandizira kuchira kwake.

Ma H2-blockers amayenera kumwedwa mosamala, pa mlingo wokhazikitsidwa ndi adokotala, chifukwa amatha kuyambitsa zovuta zambiri. Zovuta zambiri ndi mankhwala a m'badwo 1. Zochizira zikondamoyo zoyipa, mankhwalawa ndi awa:

Cimetidine. Mankhwalawa amatengedwa musanadye kapena nthawi ya chakudya. Kuzindikira kwakukulu m'magazi kumawonedwa pambuyo pa maola awiri. Awa ndi mankhwala a m'badwo woyamba, chifukwa chake, amatha kupweteketsa mavuto ena osiyanasiyana kuchokera ku ziwalo zosiyanasiyana. Pakati pawo - kutsegula m'mimba, kusokonezeka kwa mutu, kupweteka kwam'mimba, zotupa zamkati mwa dongosolo lamanjenje, kusintha kwa kapangidwe ka magazi, kunachepetsa chitetezo chokwanira. Pambuyo pa tsiku, 48% yazinthu zomwe zimagwira ntchito zimachoka m'thupi.
Ranitidine. Mankhwala ndi a m'badwo wachiwiri. Ntchito yake imakhala 60 times ya cimetidine. Mankhwalawa amatengedwa mosasamala kanthu ndi chakudya. Chogwiritsidwacho chimapereka zovuta zochepa, zomwe zimadziwika ndi nthawi yayitali yochitapo kanthu. Amalowa mwachangu m'magazi, kuphatikiza kwakukulu kumawonedwa pambuyo pa maola awiri. 40% ya zomwe zimagwira thupi zimachoka m'thupi pambuyo pa tsiku.
Mapiritsi a Famotidine. Mankhwala a m'badwo wachitatu, motero ogwira ntchito kwambiri kuposa Ranitidine, ali ndi zovuta zochepa ndipo amalekeredwa bwino. Chipangizocho chitha kutengedwa mosasamala kanthu ndi chakudya. Mulingo wapamwamba umawonedwa pambuyo pa ola limodzi, theka la moyo ndi maola 3.5, kugwirako kumatenga maola 12.

Kafukufuku waposachedwa awonetsa kuti ma H2-histamine receptor blockers ali ndi zovuta zambiri. Amalephera kupitiliza kuchuluka kwa acidity kwa maola opitilira 18, atalandira chithandizo mobwerezabwereza, thupi limagwiritsa ntchito mankhwalawa ndipo limatha kupirira, ndikuzolowera mankhwalawa.Kubwezerani kwakukulu kwa blockers ndikuti kugwiritsa ntchito kwawo kumayambitsa kukula kwa kapamba kapena kufalikira kwake.

Proton pump zoletsa

Posachedwa, H2-histamine receptor blockers ayambanso kugwiritsa ntchito mankhwala othandiza komanso otetezeka - proton pump inhibitors (PPIs). Kuchita kwawo ndikufuna kutsekereza ntchito za michere, yomwe imadziwika kuti "proton pump", yomwe imakhudzidwa mwachindunji ndi kaphatikizidwe ka hydrochloric acid. Ubwino wa IPP ndikuti samasokoneza bongo atatha kuletsa, akulephera kuyambitsa matenda a kapamba, chifukwa cha zovuta zingapo.

Ma protein onse a proton pump ndi ma benzimidazole ofunikira, chifukwa chake, amadziwika ndi machitidwe ofanana. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimadziunjikira mobisa wam'madzi, pomwe, mothandizidwa ndi acidity yayikulu, imasinthidwa ndikuyamba kugwira ntchito, kutsekereza ntchito ya enzyme. IPPs imatha kuwongolera kapangidwe ka hydrochloric acid tsiku lonse, mosasamala zomwe zimapangitsa kuti amasulidwe.

Wothandizidwa kwambiri pagululi ndi Omeprozole, womwe ndi mankhwala ochepa omwe amapereka mofulumira hydrochloric acid synthesis. Mu kutupa kwambiri kapamba, mankhwalawa mankhwala 20 mg kamodzi patsiku, pobwerera - 40 mg / tsiku, aakulu - 60 mg / tsiku. Mukatha kugwiritsa ntchito Omeprozole, kupanga kwa hydrochloric acid kumachepetsedwa ndi 50%. Kuchepa kwa acidity kumayambira patatha maola awiri, mphamvu kwambiri imawonedwa patsiku lachinayi.

Chithandizo chothandiza cha kapamba ndi Pantoprazole, yemwe amagulitsidwa pansi pa mayina Nolpaza, Sanpraz, Ulsepan. Pantap. Mankhwalawa amagwira ntchito mosasamala chakudya, koma ndibwino kuti mutenge mphindi 10 chakudya chisanafike. Pazipita ndende ya mankhwala m'magazi amawona pambuyo 2, 5 maola, zotsatira kumatenga tsiku. Kutalika kwa mankhwala kumatsimikiziridwa ndi adokotala.

Zochizira kapamba, Rabeprazole (analogues - Pariet, Razo, Khairabesol) amagwiritsidwa ntchito ngati mankhwala ochizira. PPI imayamba kuletsa kupanga kwa hydrochloric acid mkati mwa ola limodzi mutatha kumwa mankhwalawo. Kutsika kwakukulu kwa acidity m'mimba kulembedwa patatha maola awiri kapena anayi pambuyo pa kumwa koyamba, zotsatira zokhazikika pambuyo masiku atatu a chithandizo. Patsiku loyamba, indexation ya acidity imatsika ndi 61%, patsiku lachisanu ndi chitatu la chithandizo - ndi 88% ya manambala oyamba.

Mankhwala ena a kapamba

Nthawi zina, chifukwa cha kupweteka kwa kapamba, madotolo amatumiza mankhwala, omwe amachepetsa mphamvu ya mantha ndi kuchepetsa nkhawa. Mankhwalawa samangochepetsa kukhumudwa, komanso amathandizira zotsatira zamankhwala opweteka a kapamba. Mwa mankhwala omwe mungadziwike:

Ndi kutupa kwa kapamba, adotolo atha kupereka mankhwala a mahomoni. Poletsa kupanga kwa pancreatic ndi madzi a m'mimba, Octreotide imagwiritsidwa ntchito - analogue of the somatostatin, yomwe imagwiritsidwa ntchito pochiza zotupa. Corticosteroids (mwachitsanzo, prednisone) amadziwika ngati matenda osachiritsika adayamba chifukwa cha matenda a autoimmune. Hormone chithandizo kwakanthawi, chifukwa chithandizo cha nthawi yayitali chimatha kuyambitsa mavuto ambiri.

Mu chifuwa chachikulu, chimbudzi nthawi zambiri chimawonedwa, limodzi ndi m'mimba. Kuperewera kwa enzyme kumachepetsa kugaya chakudya, chifukwa choti chakudya chimachedwa m'mimba, ndipo mabakiteriya omwe amayambitsa kuwola amakhalamo, zomwe zimayambitsa matenda otsegula m'mimba komanso kubala. Ma sorbents amatha kuthana ndi vutoli. Smecta ndi kapamba amalepheretsa njirazi, kuchotsa kusapeza bwino komanso kukhazikika kwa chopondacho. Mankhwalawa amapanga nembanemba yoteteza pa mucosa, amaikapo poizoni ndi mabakiteriya ndikuwawonetsa pamodzi ndi ndowe.

Maantibayotiki amagwiritsidwa ntchito kuti awononge tizilombo toyambitsa matenda omwe adatulutsa zovuta zakupatsirana: kupasuka kwa kapamba, kukondoweza kwa ndulu, kutupa kwa ma ducts a bile, maonekedwe a cysts, ndi matenda a bakiteriya. Mankhwala osokoneza bongo a pancreatitis pachimake amaperekedwa ndi jakisoni, popeza kuti kufalikira kuyenera kuchitapo kanthu mwachangu. Maantibayotiki amayenera kumwedwa pokhapokha ngati akuwongolera dokotala, chifukwa ndi okhawo omwe amatha kuwononga maselo a chamba komanso kuyambitsa kutupa. Pakati pa mankhwalawa akuyenera kufotokozedwa:

Ceftriaxone, cefotaxime kuchokera pagulu la cephalosporins,
Amoxiclav kuchokera ku gulu la penicillin,
Thienam kuchokera pagulu la thienamycin,
Ampioks - mankhwala osakanikirana ndi mankhwala a Ampicillin ndi Oxacillin,
Vancomycin pagulu la ma trousclic glycopeptides.

Pofuna kupewa edema ya pancreatic, chotsani michere yambiri ndi ziphe m'thupi, madokotala amamulembera okodzetsa - okodzetsa. Ndi kapamba, Furosemide ndi Diacarb amalembedwa limodzi ndi potaziyamu. Kumwa okodzetsa kuyenera kukhala kokhazikika monga momwe adauongolera adokotala, popeza kugwiritsa ntchito molakwika kumatha kuwononga maselo apachifupa, kupangitsa kuchuluka kwa creatinine ndi urea m'magazi, kuchepa kwamphamvu kwa magazi ndi zina.

Zambiri za kumwa mankhwala a kapamba

Dotolo ayenera kuyikiranso mankhwalawa ndikufotokozera kuti ndi mankhwala ati a kapamba omwe ayenera kumwa, omwe ndi omwe nthawi ya chakudya. Mwachitsanzo, mankhwala a enzymatic a kapamba amamwa nthawi yomweyo ndi kudya, pamene maantibayotiki amatengedwa pambuyo pake, proton pump inhibitors kamodzi patsiku. Ma painkiller amatha kutengedwa ngati pakufunika nthawi iliyonse, kuyang'anira mosamala mlingo womwe ukupezeka mu malangizo.

Mapiritsi onse okhala ndi kapamba ayenera kutsukidwa ndi madzi ambiri akumwa. Munthawi ya matendawa, mowa umaletsedwa mwamphamvu, poizoni wake amene amawononga maselo onse amthupi, kuphatikizapo kapamba. Kuphatikizidwa kwa mankhwalawa ndi ethanol kumakulitsa kuchuluka kwa chiwindi, impso, ndi ziwalo zina zam'mimba, zomwe zimayambitsa zovuta zazikulu.

Mankhwala aliwonse angayambitse zoyipa ndipo ali ndi contraindication, kotero musanagwiritse ntchito, muyenera kuwerenga malangizo ndikudziwitsa dokotala za matenda ena aliwonse. Ngati mankhwala a pancreatitis aputa zovuta ndi zovuta zina, ziyenera kutha pomwepo, ndikuthira mankhwala ndi chinthu chinanso chogwira ntchito.

Kutalika kwa nthawi ya mankhwalawa kwa mtundu uliwonse wa mankhwala ndiudokotala. Mwachitsanzo, maantibayotiki sangathe kuledzera kwa milungu yopitilira iwiri, popeza mabakiteriya amayamba kukhala osokoneza bongo ndipo mankhwala amakhala osagwira. Ndikosatheka kusokoneza chithandizo chamankhwala, chifukwa sikuti zimangochepetsa mphamvu ya chithandizo, komanso zimayambitsanso matenda.

Kuti mankhwalawa akhale othandiza, muyenera kutsatira zakudya. Mwanjira yamatendawa, kumenyedwa kwa njala kumasonyezedwa m'masiku awiri oyamba, mutatha kudya zakudya zamafuta ochepa. Mafuta, zonunkhira, amchere, tsabola, zakudya zosuta, zakudya zina zomwe zimapangitsa kuti madzi am'mimba atulutsidwe, mapangidwe a mpweya m'matumbo amaletsedwa. Mu mtundu wa matenda, kugwiritsa ntchito kwawo kumakhala kochepa. Zakudya ziyenera kukhala zonyowa, mutha kuwotcha, kuphika, kuphika. Idyani zakudya zazing'ono 5-6 patsiku.

Khungwa la aspen

Khungwa limatsuka kapamba kuti lizichotsa poizoni ndipo limasokoneza makulidwe am'mimba ndi chiwindi. Ndikofunikira kugwiritsa ntchito makungwa a aspen achinyamata. Chinsinsi: ikani makungwa 300 pa poto, dzazani ndi madzi kuti wosanjikiza wamadzi ubisa pang'ono kumtunda kwa mtengowo. Makungwa amayenera kuwiritsa kwa mphindi 30, kenako msuzi uyenera kupatsidwa kwa maola 12. Pambuyo maola 12, tsitsani kulowetsedwa mumtsuko wosabala ndikutenga 50 ml tsiku lililonse m'mawa komanso pogona.

Ngati maphikidwe wowerengeka amagwiritsidwa ntchito zoposa miyezi iwiri, ndiye kuti ayenera kusinthidwa kuti akwaniritse bwino komanso kuti thupi lisazizolowere.

Penyani thanzi lanu ndikusamalira. Kumbukirani kuti m'malo mothetsa ululu wolekerera, ndibwino kuti musamawonekere.