Kodi ndingathe kukhala ndi kapamba wam'mimba mu kusamba
Zotsatira zakuchiritsira zakusamba mthupi la munthu zakhala zikudziwika kwanthawi yayitali. Kuyendera pafupipafupi kukasamba, mutha kuchotsa matenda ambiri. Koma contraindication for mafuta process, omwe ndi ochuluka kwambiri, ayenera kukumbukiridwa. Kusamba ndi kapamba, monga matenda ena ambiri otupa, kumatha kubweretsa thupi osati maubwino wokha, komanso kungavulaze. Musanapite kuchipinda chonyowa, muyenera kufunsa dokotala, yemwe adzayesa momwe wodwalayo alili ndi kudziwa zotsutsana ndi njirayi.
Ubwino wa kusamba kwa Russia kwa thupi la munthu
Ndikosavuta kuwerengera kuchuluka kwa zotsatira zabwino za kusamba machitidwe onse, ziwalo zamunthu. Zotsatira zake zazikulu ndi zotsatirazi:
Kusamba mu pachimake kapamba
The pachimake yotupa ndondomeko mu kapamba limodzi ndi kutupa kwambiri, kuchuluka kwa ziwalo, kakang'ono kuwonjezeka kutentha. Mwachidule, izi zimawonetsedwa ndi malungo, kupweteka kwambiri pamimba, chifuwa, kusanza, kusanza, kutsekula m'mimba.
Popeza njira za pathogenetic za kapamba, pofuna kuchotsera mwachangu zizindikiro zazikulu, mfundo zazikulu zamankhwala pamasiku owopsa ndi "kuzizira, njala ndi mtendere". Izi zikutanthauza kusapezeka kwa chakudya m'zakudya zilizonse, kupatula madzi akumwa, kuyang'anitsitsa kama ogona masiku ochepa, kugwiritsa ntchito malo ozizira a malo ozizira. Izi zimathetseratu kugwiritsa ntchito kusamba, saunas kapena mapaipi otentha.
Kuwonetsedwa kwamatenthedwe acancer pancreatitis kungapangitse kuwonjezeka kwa kutukusira kwa England komanso kukulitsa kwa zizindikiro za matendawa. Ndi cholecystitis, cholelithiasis - pafupipafupi anzawo a kapamba - kutentha kumakwiyitsa choleretic. Ndipo izi ndizowopsa pakupanga biliary colic, jaundice yovutitsa nthawi yomwe akupititsa miyala komanso kutsekeka kwa ndulu ya bile. Chifukwa chake, kutupa kwa kapamba ndi kusamba ndi malingaliro apadera.
Kusamba pa chikhululukiro cha matendawa
Atafika pagawo loti chikhululukiro cha pancreatitis chazolepheretsa, zoletsa pazakudya za wodwalayo ndi moyo wawo zimakhala zochepa. Kuti chilolezo chodwala chisamayendere kupita kuchipinda chonyowa, ndikofunikira kukayezetsa. Dokotala amayesa mayeso amthupi: kuyezetsa, palpation pamimba. Koma ndikofunikira kupititsa mayeso angapo: kuyezetsa magazi konse, kuyesa kwamkodzo, kuyesa kwamwazi wamagazi, kuyezetsa magazi, komanso kuyezetsa magazi a m'mimba.
Ngati zotsatira za njira zonse zoyeserera zikuwonetsa kusakhalapo kwa kutupa kwa kapamba, ndipo thanzi la wodwalayo silikusiyana ndi momwe munthu amakhalira wathanzi, ndiye kuti adokotala amalola njira zosamba pansi pazinthu zingapo:
Bath kapena sauna: ndibwino kuti musankhe?
Sauna amasiyana ndi kusamba popeza kuti sauna ili ndi chinyezi chochepa, chifukwa chake, kutentha kosavuta kumakhala kosavuta kulekerera. Kutentha mu sauna nthawi zambiri kumakhala kochulukirapo kuposa kusamba, komwe kumakhala kowopsa ngati wodwala wapezeka ndi kapamba.
Mu gawo lowopsa la matendawa, kuyendera sauna, komanso kusamba, ndizoletsedwa. Sitikulimbikitsidwa kuchita izi ndi chikhululukiro cha kapamba chifukwa chaukali womwe umachitika chifukwa cha kutentha m'mapapo (kutupira, kuwonjezeka kwa minofu). Sauna ndi kapamba, motero, ndizosagwirizana kwathunthu.
Kodi ndingathe kusamba ngati muli ndi kapamba?
Nthochi ndi pancreatitis mu pachimake siteji imatsutsana, monga momwe akusamba eni ake. Pakukhululukidwa kwa matendawa ndi chikhumbo chachikulu chofuna kusamba nthunzi, izi zitha kuchitika, koma kutsatira malamulo okhwima:
- mutha kumangoyenda ndi tsache la birch (thundu silikulimbikitsidwa, popeza ndilokhazikika),
- tsache liyenera kukhala lofewa, lotentha kotheratu,
- n`kosatheka kuyendetsa mwamphamvu, mosafunikira, ndikubowola pamimba kuti mupewe kuthamanga kwambiri kwa magazi kupita kwa kapamba, kutupa kwa ziwalo zake. Izi zimatha kupangitsa kuti ziwonjezeke.
Kodi ndizotheka kuthira madzi ozizira pambuyo pa chipinda chinyezi?
Aliyense amadziwa phindu losiyanitsa kutentha kwa thupi, koma ndi kapamba, kusinthasintha kwakuthwa kwa kutentha kumatha kukhala koopsa ku England. Kutsanulira madzi ozizira mutapita kuchipinda chonyowa kumayambitsa kutulutsa kwadzidzidzi kwa mahomoni opsinjika (ma catecholamines) m'magazi, omwe amachititsa kuti mitsempha yayikulu ipangike.
Mwa munthu wathanzi, kuphunzitsidwa kwamasamba kotere kumakhala kopindulitsa kwambiri kwa thupi. Ndipo wodwala yemwe ali ndi pancreatitis, njirazi zimabweretsa chizungulire, kufooka kwambiri, komanso kuwonongeka kawirikawiri m'moyo wabwino. Komanso kuphipha kwamitsempha kumapangitsa kuchepa kwa magazi mu kapamba, komwe kumakulitsa kwambiri vuto lakelo ndipo kungayambitse matenda.
Kusamba kotentha: mutenga bwanji wodwalayo?
Wodwala pancreatitis amayenera kusiya njira yake yokondedwa ndi ambiri - kusamba kutentha, makamaka pamlingo wokhathamira. Ndi chikhululukiro cha matendawa, amaloledwa kusamba motsatira malamulo ena:
- Kutentha kwa madzi sikuyenera kukhala kwakukulu,
- mutha kusamba osapitilira mphindi 15,
- sikulimbikitsidwa kumiza thupi lonse m'mbafa: ndikofunikira kuti musamwe madzi otentha pa kapamba.
Pa matenda otupa am'mimba, ndikofunikira kusamba m'malo osamba.
Madokotala amaletsa wodwala matenda a pancreatitis kuti asamapite kukasamba kapena pa sauna, kusamba kapena kusamba kwambiri pakapukusira kwa zotupa m'mapapo kuti asawonongeke komanso asamayende bwino. Mukafika pa gawo lokhululukidwa kwa matendawa, nthawi zina mutha kupita kuchipinda chanthunzi, koma muyenera kutsatira malingaliro onse a dokotala.
Mitundu ya mankhwala a kapamba
Tikuwona nthawi yomweyo kuti chithandizo cha pancreatitis chikuwonetsa kuti mutha kumwa mankhwala otsatirawa:
- analgesics
- Kukonzekera kwa enzyme
- mankhwala anticholinergic
- kukonzekera kwa antienzyme
- mafuta
- maantacid
- H2 - blockers.
Munthawi yoyamba kugwiritsa ntchito mankhwalawa, chithandizo chothandiza kwambiri cha matendawa chimatheka. Kuchuluka kwa pancreatitis kumapangidwira kukonzekera kwa antienzyme, komwe chinthu chogwira ntchito ndi aprotinin polypeptide. Katunduyo amachokera m'mapapu a ng'ombe.
Kukonzekera kwa antienzyme kwa pancreatitis yovuta komanso yosatha kumayenera kuphatikizidwa ndi kuyeretsedwa kuchokera ku michere ya pancreatic ndi zinthu zawo zowola. Ndikofunikanso kuchitapo kanthu kuti muyeretse matumbo.
Mankhwala a Antispasmodic amatha kuledzera kuti muchepetse kupweteka kwapachangu ndi kutupa kwa pancreatic ndikuthandizira vutoli. Mankhwala atha kuphatikizira analgin kapena paracetamol.
Mankhwala enzyme omwe adapangidwa kuti:
- kuchepetsa nseru
- kusintha chimbudzi
- kuchepetsa kuchuluka kwa kupweteka kwa ana ndi akulu.
Kuphatikizikako kumakhala ndi ma enzymes omwe amathandiza kugaya chakudya. Kugwiritsa ntchito michere mopitilira muyeso kumatha kubweretsa vuto m'tsogolo, kenako vuto limodzi liyenera kuthandizidwa. Musanagule, muyenera kudziwa zonse kuchokera kwa dokotala.
Zokonzekera zonse za enzyme zimagawidwa m'mitundu iwiri:
- Mankhwala okhala ndi bile omwe ali ndi mphamvu. Zabwino zimathandizanso kwa mankhwala a choleretic, omwe amatha kukhala ndi bile kapena yopanda bile. Koma kwa mitundu yonse iwiri ya mankhwala pali contraindication kwa ana ndi akulu.
- Maantacidids omwe amachepetsa acidity ya madzi am'mimba komanso kuchuluka kwa michere yomwe imawonongeka m'mimba. Mutha kumwa iwo kuti muwonjezere mphamvu ya kukonzekera kwa enzyme.
- Kukonzekera kwazitsamba ndi choleretic kanthu, mwachitsanzo, mankhwala azitsamba.
Pafupifupi mitundu yonse yamankhwala omwe adalembedwapo amagwirizana ndi othandizira kapena oyambira. Dziwani kuti mankhwalawa a choleretic ochokera ku mankhwala azikhalidwe, omwe nthawi zambiri amatha kuledzera, amatsimikizira kugwira ntchito kwawo pothana ndi vuto la kapamba, ndipo amatha kuchiza.
Mankhwala enzyme
Ndi pancreatitis, michere ya pancreatic iyenera kudyedwa mutangotha kudya, kapena nthawi, kuchuluka kwa makapisozi atatu. Mankhwalawa amagwiritsidwa ntchito atatha kuthetseratu, wokhala ndi ululu waukulu.
Mlingo weniweni wa ana ndi akulu umakhazikitsidwa mwa aliyense payekha. Izi zimatengera kusowa kwa lipase.
Ndi kapamba, dokotala atha kukulembera kukonzekera kwa enzyme:
- Chiboni. Ndi chinsinsi chazokha chosakwanira.
- Pancurmen
- Panzinorm. Ndi biliary pancreatic insuffuffence
Mwa mitundu yayikulu ya steatorrhea, madokotala amakupatsani mankhwala ena owonjezera: mavitamini K, D, E, A ndi gulu B, omwe mudzamwa pa ndandanda.
Mankhwala a Antenzyme akuwonetsedwa kwa anthu omwe ali ndi vuto lotere:
- kapamba edema
- hypermilasemia
- yapakati mawonekedwe a pancreatic aakulu kutupa.
Mankhwala a Antenzyme amawonetsedwa kukapanda kuleka. Mwachitsanzo, aprotinin imakhazikitsidwa mpaka kawiri pa tsiku, ndi mlingo wa mayunitsi 100,000, contracal of 20,000 units.
Nthawi zambiri njira yochizira imachokera masiku 7 mpaka 10. Mwa akulu ndi ana, kutalika kwa mankhwalawa kumatha kusiyanasiyana, mwachidziwikire, kuchuluka kwa mankhwalawa.
Kugwiritsa ntchito mankhwala a antienzyme kumatengera kulekerera kwa wodwalayo!
Chithandizo cha grositis yovomerezeka ndi azitsamba wowerengeka: mwachangu ...
Chithandizo cha pancreatitis chimachokera pa kugwiritsa ntchito mankhwala a antispasmodic ndi anticholinergic. Amabayidwa jekeseni pang'ono pakatikati, ndiye kuti amwe mankhwalawa sangagwire ntchito.
Chithandizo chotere chimachitika pokhapokha chifukwa cha kutupa kwa kapamba wokhala ndi ululu waukulu.
- Gastrocepin
- Palibe-shpa
- Papaverine
- Platyphyllin
Pakakhala mtundu wina wa kapamba ndipo pakakhala chiwonetsero cha cholangitis ndi peripancreatitis, mankhwala amaikidwa. Njira yothandizira mankhwalawa sikukutengera zaka za wodwalayo, ndipo chithandizo cha matenda a kapamba sikuti amangokhala othandizira.
Kuphatikiza pa maantibayotiki, cefuroxime ndi mankhwala, omwe amaperekedwa 1 g kudzera m'mitsempha kapena intramuscularly.
Munthawi yomweyo, intramuscularly pa mankhwala kutumikiridwa:
Contraindations kuti mudzacheze
Zolepheretsa ndi contraindication zimatsimikiziridwa osati kokha kwa odwala omwe ali ndi pancreatitis, komanso kwa anthu athanzi.
Koma pazochitika zonsezi, nthunzi yotentha imaperekedwa kwa iwo omwe samaloledwa kutentha kwakukulu. Pakati pazolephera, pali ma pathologies omwe amayenda ndi kupitilira kwa kutupa kwa kapamba. Zina mwa izo ndi:
- kwamikodzo thirakiti kutupa ndi matenda a impso,
- matenda a capillaries ndi mtima,
- cholecystitis ndi matenda a ndulu,
- urolithiasis ndi kukula kwa neoplasms mu impso,
- Milandu yomwe imakhudzana ndi kusakwanira kwamadzi ndikupangitsa kutupa kwadongosolo,
- matenda ovuta am'mimba (ulcerative pathologies, kukula kwa neoplasms, kutupa njira, kukokoloka).
Komanso choletsedwa kusambira ndi ziletso izi:
- msambo
- rheumatism
- kuthamanga kwa magazi
- matenda ndi mavuto a chapakati mantha dongosolo,
- chitukuko cha matenda opatsirana, kuphatikiza ndi ma virus,
- matenda ashuga
- dermatitis ndi matenda ena apakhungu.
Musanayendere njirazi, ndikofunikira kudziwitsa adokotala za kukhalapo kwa zoletsa izi. Kuyesa kwa mwayi wogwiritsa ntchito osambira kumathanso kuchitika ndi adokotala.