Mankhwala kutumikiridwa pachimake kapamba

Pancreatitis ndi dzina lachipatala lotupa kapamba, njira yomwe imatha kuchitika pachimake kapena mawonekedwe osakhazikika. Mu pancreatitis pachimake, pancreatic yachilendo imatha kubwezeretsedwanso, ndipo pancreatitis yayikulu, nthawi yachulukidwe imasinthanso ndi chikhululukiro, koma pakapita nthawi, kuchepa kosatha kwa pancreatic kumachitika. Tiyeni tikambirane mwatsatanetsatane mawonekedwe a matendawa, kuzindikira kwake komanso momwe amathandizira.

Pafupipafupi matenda a kapamba pakati pa matenda am'mimba, amachokera ku 5.1 mpaka 9%. Kwa zaka 30 zapitazi padzikoli kudwala matenda a kapamba kawiri konse. Gawo loyamba la matendawa limatenga zaka 10, lodziwika ndi kusinthana kwakanthawi ndikuchotsedwa. Wodwala amadera nkhawa kwambiri zowawa. Pa gawo lachiwiri, pali zovuta zamatumbo, kunenepa. Ululu umayamba kuonekera pang'ono. Mavuto a pancreatitis aakulu amatha kuchitika nthawi iliyonse. Nthawi zambiri, kapamba limayendera limodzi ndi kutulutsa ma enzymes m'magazi, zomwe zimayambitsa kuledzera kwambiri.

Makulidwe a Classical:

• Poid metabolic . Amayamba mothandizidwa ndi mankhwala osokoneza bongo komanso / kapena mowa.
• Idiopathic . Amatuluka popanda prerequisites owoneka.
• Wodzitchinjiriza . Zotsatira zakulephera kubadwa.
• Autoimmune . Zimachitika chifukwa chakuwukira kwa chitetezo cha mthupi pa kapamba.
• Zotsatira . Imakhala ndi nthawi yayitali yochotsedwa, kusinthana ndi kutulutsa.
• Zopindulitsa . Zimachitika chifukwa cha kufalikira kapena kukakamira kwa ma pancreatic ducts.
• Poyamba . Amayamba popanda matenda am'mbuyomu.
• Sekondale . Amayamba ngati matenda enanso.

Zakusankhidwa ndi M.I. Khirisimasi:

• Poyamba : etiology yosadziwika, chidakwa, mankhwala, chifukwa cha kuperewera kwa zakudya kapena kagayidwe kachakudya.
• Zotsatira-zowawa : chifukwa cha kuwonongeka kapena kuvulala kwachikondwerero, pambuyo pa opaleshoni.
• Sekondale : chifukwa cha matenda ena.

Kugawa malinga ndi dongosolo lapadziko lonse lapansi M-ANNHEIM (2007):

• Mwa chiyambi (chiopsezo) (kuyambira mtundu wa A mpaka M).
• Malinga ndi gawo lazachipatala.
• Malinga ndikuvuta kwa matendawa (pali dongosolo laudindo).

Ndi kapamba, odwala amadandaula za kupweteka kwam'mimba, nthawi zambiri - kumanzere kwake, kupatsa kumbuyo. Kufotokozera zamkati kumawonetsedwa, komwe kumadziwonetsera mu mseru, kusanza, kufooka, kutentha thupi, kutentha thupi, kuchepa kwa chilakolako cha chakudya. Mpandowo ndi mushy, oiri, wokhala ndi tinthu tosiyanasiyana ta chakudya. Pankhaniyi, mitundu ina ya kapamba imatha kukhala yofanana ndi wodwalayo, koma zovuta zam'mimba zilipobe, zomwe zitha kufotokozedwa mwakuya m'mimba kapena kutsekemera pang'ono m'derali mutadya kapena kumwa.

Zomwe zimayambitsa kutupa kwapancreatic zimagwirizanitsidwa ndi moyo wopanda thanzi komanso chibadwa. Atha kukhala:

• kuperewera kwa zakudya m'thupi
• uchidakwa
• kutupa kwamatumbo,
• matenda a minofu ofala
• mavuto obwera chifukwa chomwa mankhwala,
• kuvulala
• cholowa cholowa matenda.

Kupita patsogolo kwa matenda

Imfa atazindikira koyamba matenda a kapamba ndi mpaka 20% pazaka 10 zoyambirira. Pambuyo pazaka 20, odwala oposa 50% amamwalira. Zomwe zimayambitsa imfa ndizovuta zomwe zimakhudzana ndi kufalikira kwa kapamba, kuchepa kwamatumbo ndi matenda. Chiwopsezo cha khansa ya pancreatic mu pancreatitis yayitali imawonjezeka nthawi 5.

Zizindikiro

Pafupifupi njira 90 zosiyanasiyana zofufuzira zingagwiritsidwe ntchito kuzindikira matenda a kapamba. Tsoka ilo, ambiri aiwo saulula magawo oyambilira a matendawa. Chiwerengero chambiri cholakwika chazovuta chimayenderana ndi mtundu wa multisymptom ndi gawo la matendawa omwe amawonetsa pancreatitis yosatha, kusowa kwaukadaulo kwa zida zamankhwala, komanso kusowa kwa ma algorithms omveka.

Kuzindikira kumatha kuchitika pambuyo pa kufufuza kwathunthu, komwe kumaphatikizapo:

1. Kuyesa kwamagazi kachipatala kuti mupeze zizindikiro za kutupa ndi kuchuluka kwa leukocytes, kuchuluka kwa ESR ndi zizindikiro zina.
2. Kuyesa kwa magazi a biochemical kuti mudziwe kuchuluka kwa michere ya pancreatic.
3. Urinalysis kuti muwone ngati ili ndi amylase.
4. Kuwunikira kwa fecal kwa fiber yoperewera.
5. Ultrasound yam'mimba kuti muzindikire kusintha kwa kapamba ndi ziwalo zina zam'mimba thirakiti.
6. Gastroscopy
7. Zojambula zam'mimba.
8. Endoscopic retrograde cholangiopancreatography (ERCP).
9. Ntchito zoyeserera pambuyo pa shuga kapena kutsitsa kwa mankhwala.

Malangizo

Matenda a kapamba amafunikira kudya, chithandizo chamankhwala, ndipo, nthawi zina, kuchitapo kanthu opaleshoni. Popeza pancreatitis yayitali imatha kukhala ndi zifukwa zosiyanasiyana ndipo imasiyana mu kuchuluka kwa kuledzera, pamangokhala yankho limodzi ku funso lmomwe mungagwiritsire matenda a kapamba: muyenera kuyitanitsa ambulansi nthawi yomweyo ndikutumiza wodwala kuchipatala kuti akamupime mayeso oyenerera. Ndipo masiku atatu otsatirawo, njala, kupumula pamalo opumira, mpweya wabwino komanso kuzizira (gulu la madotolo lisanachitike, muyenera kuphatikiza ndi madzi oundana ndi ayezi kumalo am'mimba ndikuwongolera chipindacho).

Mankhwala

Kumwa mankhwala a chifuwa chamtundu wamagulu kumalimbana ndiku kuthetsa mavuto angapo:

• Mankhwala opweteka . Kupitilira kutulutsa pancreatitis kosatha, monga lamulo, kumayendetsedwa ndi zowawa kwambiri, kupumula komwe kumachitika ndi mankhwala monga No-shpa, Novocain, Papaverine, Platifillin, Atropine, nthawi zina? Adalits. Koma palibe chifukwa chomwe muyenera kugwiritsa ntchito aspirin, Nise ndi NSAID ena! Samangokwiyitsa mucosa, komanso amachepetsa magazi, zomwe zimathandizira kutuluka kwa magazi.
• Pancreatic secretion kukakamiza . Proton pump inhibitor, omeprazole, ndi mankhwala monga contracal amagwiritsidwa ntchito.
• M'malo mankhwala kutsitsa ziphuphu mu mawonekedwe a lipase, amylase, proteinase, ndiye kuti, kapamba, omwe amagulitsidwa pansi pa mayina amalonda Festal, Mezim, Creon, Panzinorm, Digestal, etc.
• Mankhwala othandizira popewa kukula kwa matenda opatsirana kapamba. Maantibayotiki opepuka monga Ampicillin ndi omwe amapatsidwa.
• Ngati kuphwanya magazi-electrolyte bwino, m`malo mankhwala amakhazikitsidwa mu mawonekedwe a saline ndi zokhudza thupi mayankho.

Mankhwala othandizira

Mankhwala othandizira opha pancreatitis achindunji mwachindunji. Njira zosadziwikiratu zimaphatikizapo opaleshoni pamitsempha yam'mimba, thirakiti lam'mimba, ndi neurotomy. Zowongolera? kukhetsa kwa cyst, kuchotsa miyala, kufufutidwa kwachimbudzi.

Mankhwala ochizira pancreatitis akuwoneka milandu zotsatirazi:

• mawonekedwe ovuta a matendawa, omwe amaphatikizidwa ndi jaundice wovuta,
• Ululu wammbuyo womwe sutha ndi chithandizo cha nthawi yayitali.
• mawonekedwe a chotupa.

Odwala omwe ali ndi pancreatitis yayitali pakukhululukidwa akuwonetsedwa ngati chakudya choletsa mafuta komanso mapuloteni ambiri. Zakudya zokometsera ndi ma coarse fiber, kofi, cocoa, sodas ndi zakumwa wowawasa siziyenera kuyikidwa pambali. Madzi ocheperako akuwonetsedwa: Slavyanovskaya, Smirnovskaya, Essentuki No. 4. Zakudya zam'madzi, 5-6, nthawi zina 8 patsiku. Pakati pakuchulukitsa, kusala kudya kumayendetsedwa kwa masiku 2-4.

Kupewa matenda kapamba

Chithandizo cha chifuwa chachikulu mu chipatala komanso ngati sichingatheke sichingalephereke. Mowa umasokoneza kapamba, chifukwa chake, pofuna kupewa, uyenera kusiyidwa kwathunthu. Ndikofunika kuchitira matenda am'mimba, m'mimba ndi duodenum munthawi yake, chakudya choyenera chopanda mafuta a nyama ndi zonunkhira zotentha ndizofunikira. Izi zithandizira kuti chifuwa chachikulu chizitha nthawi yayitali.

Kukayikira pang'ono pancreatitis kumafuna kutsimikizika kapena kutsimikizika kwa gululi la matenda am'mimba, zomwe sizingatheke popanda zida zamakono zodziwikiratu komanso madokotala aluso omwe amagwiritsa ntchito miyezo yamakono yodziwitsa matenda a kapamba. Chifukwa chake, nthawi zonse musankhe chipatala chomwe chili ndi zonse zomwe mungafune kuti mudziwe zoyenera.

Zizindikiro za Pancreatitis Acute

Chipatala cha pancreatitis pachimake nthawi zambiri chimakhala ngati poizoni. Matendawa amayambikadi ndipo amayenda ndi izi:

1. Ululu wamkati pachimake, nthawi zina pamakhala kumanja kapena kumanzere kwa hypochondrium.
2. Ululu mu nthawi ya pachimake umawonekera ku ziwalo zina za thupi: scapula, kumbuyo, m'mimba pang'ono.

Kugunda kwamwadzidzidzi, kupweteka, kuzizira panthawi ya kukokoloka kwa kapamba

Zowawa pakukhudzana ndi chifuwa chachikulu cha pancreatitis ndizovuta kwambiri ndipo nthawi zambiri zimakhala chifukwa chopita kwa dokotala. Mu chifuwa chachikulu cha pancreatitis, limodzi ndi ululu waukulu, munthu nthawi zambiri amatenga mankhwala omwe angathandize kuchepetsa ululu: antispasmodics kapena analgesics - amachepetsa vutoli kwakanthawi kochepa, koma osathetsa vuto lalikulu.

Zofunika! Ngati wodwala safuna thandizo la kuchipatala munthawi yake, chiopsezo chokhala ndi necrosis ya organic, komanso kutupa kwa purulent, kumawonjezera, komwe kumatha kutha ndi imfa ya munthu.

Kuledzera kwa thupi kumakhudzana ndi ntchito ya ziwalo zonse zamkati, chifukwa chake kungowunikira kwathunthu ndikuyikidwa kwina kwa chithandizo chamankhwala kungathandize kukonza mkhalidwe wa wodwalayo, kupewa mitundu yonse yamavuto ndi maopareshoni.

Thandizo loyamba lothandizira

Pakuwopsa kwa kapamba, muyenera kuyitanitsa gulu la ambulansi posachedwa, popeza kuchedwa kungayambitse zovuta zambiri, komanso ngakhale kufa. Asanachitike akatswiri azachipatala, palibe njira zodzithandizira nokha zomwe siziyenera kumwa. Kuti muchepetse katemera wa pancreatic, mutha kuyikapo paketi ya ayezi pamimba yanu. Ndi kusanza kwambiri, ayenera kusamalidwa kuti musathenso kulowa m'mapapu. Chifukwa cha izi, wodwalayo ayenera kugona pambali pake ndikugwetsa mutu wake pansi. Mwa mankhwalawa, mutha kutenga No-shpa, Baralgin. Madotolo atafika, ayenera kudziwitsidwa zomwe adachitapo kale ndikufotokozera mwatsatanetsatane zomwe zimadziwika.

Kodi kuchitira pachimake kapamba

Chithandizo cha pancreatitis pachimake chimachitika mu chipatala moyang'aniridwa ndi madokotala. Wodwalayo adapangidwa kuti apumule pakama, maphunziro angapo akuchitika omwe angathandize kudziwa njira zamankhwala. Kwenikweni, chithandizo chimachitika ndi njira zosakhazikika, kuphatikiza pakamwa ndi kulowetsedwa kwamankhwala osokoneza bongo. Cholinga chachikulu cha mankhwala ochiritsira ndikuchotsa njira yotupa, kuchotsa kukhazikitsidwa kwa necrosis ya minofu ya gland, kukondoweza kwa njira zobwezeretsedwera mu ziwalo zam'mimba.

Ambulansi isanabwere, Baralgin itha kutengedwa kuchokera ku mankhwala osokoneza bongo

Chithandizo cha mankhwala osokoneza bongo a pancreatitis pachimake imachitika pokhapokha ngati patakhala kuti palibe njira zoyeretsa kapena minofu necrosis mu kapamba. Ngati njira zosasinthika zakhazikika m'thupi, njira yokhayo yopulumutsira moyo wa munthu ndi kuchitidwa opaleshoni.

Gawo lofunika kwambiri pa chithandizo chamankhwala ndi chakudya chokhwima, chomwe chimayenera kutsatira kwa nthawi yayitali. Pambuyo pachimake nthawi, wodwalayo akupitiliza chithandizo pamankhwala. Mankhwala otani omwe angatenge ndi pancreatitis pachimake? Adzauzidwa ndi dokotala aliyense payekha kwa wodwala aliyense. Ndikofunikira kutsatira malingaliro onse a dotolo, kutsatira mosamalitsa Mlingo uliwonse wa mankhwala, kutsatira zakudya. Ngati munthu anyalanyaza malangizo a dokotala, osatsatira kadyedwe, ndiye kuti chiopsezo choukiridwanso kachiwiri chikuwonjezeka kangapo.

Mwachidule

Potupa kwambiri kwa kapamba, adotolo angadziwike mankhwala otsatirawa:

• antispasmodics (kuchepetsa kapena kuchepetsa kupweteka kwam'mimba, amatengedwa pakamwa kapena kutumikiridwa kudzera m'mitsempha kapena intramuscularly): No-shpa, Spazgan, Baralgin,
• Ma H2-blockers a histamine receptors (amachepetsa kupanga kwa michere ya pancreatic): Ranitidine, Famotidine,
• Maantacidid (wolembera exocrine osakwanira): Phosphalugel, Almagel,
• kukonzekera kwa enzyme (Sinthani magwiridwe antchito a m'mimba): Creon 10000, Creon 25000, Creon 40,000, Mezim, Pancreatin, Festal,
• antibacterial mankhwala (ofotokozedwera chiopsezo chowonjezereka cha zosakanikirana kapena njira zopatsukira m'matumbo a zikondamoyo): makamaka mankhwala osakanikirana ndi gulu la cephalosporins, penicillins, fluoroquinolones, macrolides,
• pancreatic enzyme inhibitors (muchepetsani zinsinsi za ma protein a gland, zomwe nthawi zambiri zimayambitsa kutupa:: Kontrikal, Gordoks, Trasilol.

Ku chipatala, pafupifupi mankhwala onse amathandizidwa kudzera m'mitsempha. Kuphatikiza pa mankhwalawa omwe ali pamwambapa, odwala adayikidwa kuti ayambitse mayankho (shuga, Reopoglukin, Contrical), komanso diuretics ndi Vitamini. Ndi chithandizo chakunja, wodwalayo amapatsidwa mankhwala othandizira pakamwa.

Zofunika! Ngati wodwala ali ndi pancreatitis yayikulu, chithandizo, mankhwala osokoneza bongo ndi mankhwala awo amadziwika ndi dokotala payekhapayekha. Kudzilanga nokha kapena kumwa mosasamala kwa mankhwalawa sikungangobweretsa zotsatira zabwino zokha, komanso kungayambitse zovuta ndi zotsatirapo zoyipa.

Zochizira

Acute pancreatitis ndi matenda oopsa komanso oopsa, mankhwalawa amayenera kuchitika ndi dokotala wodziwa bwino - katswiri pankhani ya gastroenterology. Chofunikira muzochitika zotere ndikupewa kudziletsa komanso kupeza nthawi yake kuchipatala, chifukwa simungataye nthawi ndi matenda. Kuperewera kwa chithandizo choyenera kungayambitse kukula kwa necrosis ya gland kapena peritonitis.

Mankhwala ochiza matenda amtunduwu amachitika kokha ngati akuwuzidwa ndi dokotala. Ndikofunikira kutsatira mlingo ndi kumwa mankhwala onse omwe adokotala adawauza.

Yang'anani! Kuphatikiza pa kumwa mankhwala, muyenera kutsatira zakudya zosasinthika, ndipo munthawi yovuta kwambiri, musakane kudya.

Matendawa akayamba kapena mankhwalawo atachitika molakwika, mankhwala akumwa sangabweretse zotsatira zomwe mukufuna. Zikatero, dokotalayo nthawi zambiri amapereka mankhwala opangira opaleshoni.

Chithandizo cha chifuwa chachikulu cha pakhungu pakuchulukirachulukira

Pa kukokomeza, chithandizo cha chifuwa chachikulu chimatsatira zolinga izi:

1. Kupulumutsidwa kwa zowawa.
2. Kuchepa kwa kupanikizika kwa ma pancreatic ducts.
3. Kuwongolera zamavuto amagetsi-amagetsi.
4. Ntchito zachinsinsi zakunyumba.
5. Kukondoweza kwa matumbo motility.

Kupumula

Kuchepetsa ululu, wodwala m'masiku oyamba kukokometsedwa akuwonetsedwa ndi njala. Kenako zakudya zosiyidwa zimasankhidwa (tebulo Na. 5). Choyamba, mbale zomwe zimakulitsa michere ya enzymatic zimasiyanitsidwa ndi zakudya. Ichi ndi zokometsera, zokazinga, zamchere, zamafuta. Ndikwabwino kudya kasanu patsiku, kutsimikizika ndi zakudya zama protein (zamafuta ndi nsomba, zamkaka). Kuti chakudya chisagaye mosavuta, chimaphikidwa m'malo ochepa, ofunda, koma osatentha, m'malo amadzimadzi kapena theka.

Zofunika! Odwala omwe amasunga mfundo zonse za kudya mosavomerezeka, kukokoloka kumawonedwa kangapo katatu, kuchitapo kanthu kwa opaleshoni sikuchitika kawirikawiri, ndipo kuchira kumachitika mofulumira.

Ngati ululu wammbuyo sutha m'masiku oyamba, mankhwala osapweteka a antiidal (paracetamol, diclofenac, etc.) ndi antihistamines (suprastin, diphenhydramine, pipolfen, ndi zina) amawonjezeredwa pamankhwala. Kuphatikiza kwa mankhwalawa kumachepetsa kutupa ndi kupweteka, kumachepetsa poizoni wamavuto othandizira m'thupi la munthu.

Ndi zowawa zomwe zimapweteka, ma narcotic analgesics (trimeperidine kapena octreotide) amawonjezeranso mankhwalawo. Ngati njira ina yochizira ululu, kutsekeka kwa mitengo ikuluikulu ya mitsempha ndi ma plexuse ndikotheka.

Kuchepa kwa kukakamira kwa mkati

Ndi chithandizo cha panthawi yake matenda oopsa, kupweteka ndi kutupa zimatha msanga, zomwe zikutanthauza kuti gawo lachiwopsezo cha kapamba limadutsa. Kuchotsa kwa kusunthika mu ndulu za kapamba kumatheka pokhapokha ndikumapumula kwa sphincter ya Oddi (ili pakati pa duct chachikulu ndi patsekeke ya duodenum). Antispasmodics (no-spa, papaverine, baralgin, atropine, platifillin, metacin) amagwiritsidwa ntchito pochotsa kuphipha.

Kuwongolera zamavuto amagetsi-amagetsi

Amagwiritsidwa ntchito pochotsa ndi kubwezeretsanso ma electrolyte ndi madzi amthupi otayika. Pachifukwa ichi, njira za colloidal ndi mapuloteni a kulowetsedwa a kulowetsedwa zimawonjezeredwa pamankhwala. Ngati kapamba amachitika ndi kufalikira kwa minofu, ndiye kuti kugwiritsa ntchito kukakamiza kukakamiza kuphatikiza ndi kulowetsedwa ndi zotheka. Pankhaniyi, kuchotsa kwa poizoni m'thupi la wodwalayo kwathandizira.

Anti zachinsinsi zochizira

Ma michere gland imadzipweteka tokha. Ndi kapamba, izi poizoni amathandizidwa. Kuti athetse, mankhwalawa omwe amachepetsa ntchito zachinsinsi amagwiritsidwa ntchito, omwe amaphatikiza njala ndi chakudya amapereka zotsatira zowoneka. Mankhwala osokoneza bongo: contracal, trasilol, gordox, sandostatin.

Kuchulukitsa kwa ma peristalsis

Popeza pancreatitis imalepheretsa kugwira ntchito m'mimba ndi duodenum, kugaya kungakhale kovuta. Kupititsa patsogolo ndikulimbikitsa peristalsis, metoclopramide, cerucal, domperidone amawonjezeredwa pamankhwala. Mankhwalawa samangolimbikitsa peristalsis, komanso amachotsa zovuta zina za dyspeptic (kutentha kwa mtima, nseru, kusanza, ndi zina).

Chithandizo cha matenda kapamba chikhululukiro

Popanda kukokomeza, mankhwalawa chifukwa cha matenda kapamba amakhala ndi zifukwa zotsatirazi:

1. Onjezani gawo la chikhululukiro, potchinjiriza china chowonjezera.
2. Muchepetse kupita patsogolo kwa matendawo.
3. Pewani zovuta zomwe zingachitike.

Njira yayikulu yothandizira ndi kudya mosamalitsa mwaoletsedwa ndi mafuta, okazinga, zokometsera komanso mchere wamafuta. Zakudya zoperewera ndi mbale zomwe zimapangisa ntchito ya enzymatic ya England Chakudyacho chimayenera kukhala ndi zakudya za mapuloteni (mitundu yamafuta ochepa a nsomba ndi nyama, zopangidwa mkaka), chimanga ndi ndiwo zamasamba. Zakudya zonse ziyenera kuwiritsa kapena kuwotchera, ziyenera kuthandizidwa kufunda, m'malo otentha kapena madzi pang'ono. Ndikwabwino kudya nthawi yayitali, kasanu patsiku, m'magawo ang'onoang'ono.

Pakudya m'mawa, idyani chakudya chovuta (mafuta ochokera ku chimanga mkaka), kugwiritsa ntchito nyama kumaloledwa. Chakudya chamasana chimayenera kukhala ndi msuzi komanso kosi yayikulu. Chakudya chamadzulo chimakhala ndi chakudya chopepuka, chopanda thanzi (tchizi chamafuta ochepa, tchizi chamasamba). Usiku, kukonza peristalsis ndi m'mimba, ndibwino kumwa kapu ya kefir kapena chakumwa china cha mkaka wowawasa.
Upangiri wambiri wokhudzana ndi chifuwa chachikulu cha kapamba ndi izi:

• Supu imakonzedwa pa msuzi wamasamba kapena msuzi wa nyama yopendekera (nkhuku, nkhukundu, nyama yamwana wang'ombe, kalulu, ng'ombe yotsamira).
• Zamasamba zimaphikidwa monga mbale yam'mbali kapena momwe zimapangidwira, zimawiritsa kapena kuwotchera.
• Zipatso zimaphikidwa mu mawonekedwe ophika, zokonda zimaperekedwa kwa maapulo ndi mapeyala.
• Mkaka wonse ndi osavomerezeka, chifukwa umakhala ndi mafuta ambiri.
• Zakumwa zoledzeretsa komanso zopatsa mphamvu siziphatikizidwa. Tiyi, zodzikongoletsera za zitsamba, ma compotes a zipatso zouma ndi zakudya zimaloledwa.
• Mkate ndi bwino kudya mu mawonekedwe owuma, osapsa.
• Kuchokera puddings wokoma, curass casseroles amaloledwa.

Zofunika! Mankhwalawa matenda a kapamba panthawi yachikhululukiro, ndikokwanira kungotsatira zakudya. Izi zimathandizanso wodwalayo kudziwa zomwe zimayambitsa matendawa, zomwe zikutanthauza kuti zimalepheretsa kuchulukana. Mankhwala mu gawoli amasankhidwa pokhapokha pozindikira komanso atakambirana ndi katswiri.

Chithandizo cha Zizindikiro

Pamaso pa zizindikiro za kuchepa kwachinsinsi, kukonzekera kwa pancreatic kumawonjezeredwa kwa wodwala pakuchiza. Ichi ndi panzinorm, chikondwerero, pancreatin.

Ngati kuchepa thupi msanga (mpaka makilogalamu 15) kumawonedwa, ndiye kukhazikitsidwa kwa mayankho a amino acid, mapuloteni, emulsions yamafuta, komanso vitamini mankhwala.

Ngati matenda a shuga apezeka, mankhwala amkamwa a hypoglycemic kapena jakisoni wa insulin amalembedwa mwachangu.

Gawo lofunika kwambiri pochiza matenda a kapamba. Kupititsa ku sanatorium kumatha kupezeka kuchokera kwa dokotala. Ndizofunikira kudziwa kuti odwala onse omwe ali ndi vuto losatha la kapamba amayang'aniridwa ndi achipatala ndipo amawunika ndikumayesedwa ndi kuchiritsidwa kawiri pachaka. Ndi mitundu yapamwamba yamatenda a kapamba, kuchipatala kumatha kufika mpaka kanayi pachaka.

Pomaliza

Chithandizo cha chifuwa chachikulu ndi njira zingapo, kuphatikizapo zakudya, mankhwala osokoneza bongo, ndi mankhwala a spa. Kuchita opareshoni ndizosowa kwambiri ndipo kumachitika kokha malinga ndi zisonyezo. Mwambiri, nthawi zambiri, chithandizo chokhazikika chimagwiritsidwa ntchito kuletsa zizindikiro za chifuwa chachikulu, kuchepetsa kutupa, kutalikitsanso nthawi yachikhululukiro, kukulitsa chiyembekezo cha moyo wa wodwalayo komanso kupewa kukula kwa zovuta. Ndikofunikira kuti musayambitse vuto lanu, koma kumvera malangizo a dokotala ndikutsatira malangizo onse. Pankhaniyi, ndizotheka kukwaniritsa chikhazikitso chokhazikika cha pancreatitis, chifukwa chake kuyiwalani za zisonyezo zosautsa zoterezi kosatha.

Maphikidwe zochizira matenda kapamba

Kuchiza ndi wowerengeka azitsamba kumaonedwa kuti ndi kotetezeka komanso kothandiza kwambiri kuposa kugwiritsa ntchito mankhwala azizilombo zakumaso. Maphikidwewo ndiosavuta kukonzekera. Odwala amachita chidwi ndi kupezeka kwa pulogalamuyi. Nkhaniyi yatchulira njira zopangira mankhwala ochizira matenda a kapamba ndi anthu wowerengeka:

Maphikidwe omwe adawerengedwa amagwiritsidwa ntchito pochiza pancreatitis aakulu mawonekedwe. Idzatenga nthawi kuchiritsa kapamba. Kukonzanso kumatenga miyezi ingapo. Nkhaniyi ikuyambitsa zovuta kugwiritsa ntchito njira zina zamaphikidwe omwe ali pachimake pa matendawa.

Ngati mwapezeka, palibe funso lochizira pancreatitis pachimake kunyumba. Kugwiritsa ntchito mankhwala wowerengeka masiku osavomerezeka sikulimbikitsidwa. Anasankha chithandizo choyenera kuchipatala. Chofunikira pakukula kwa chisamaliro chapadera ndichakudya, chomwe chimawonjezeredwa munthawi ya miyezi isanu ndi umodzi kapena kupitirirapo.

Pakatha masiku ochepa, zizindikirazo zikachepa, nthawi yokonzanso imayamba. Kuphatikiza pa kuchira, ndikofunikira kuchepetsa njira yotupa. Mankhwala achikhalidwe amapulumutsa. Mafuta akumwa azitha, amaloledwa kuyamba kulimbikitsa zotsatira za mankhwalawa.

Maphikidwe zochizira pancreatitis

Ganizirani njira zotsimikiziridwa zomwe zimagwiritsidwa ntchito popitiliza chithandizo. Amaloledwa kugwiritsidwa ntchito mukamachepetsa nthawi yovuta kwambiri. Amaloledwa kuphatikiza njira yopumira pancreatitis yayitali. Popeza gawo la kapamba limakumba ndi dongosolo la endocrine, maphikidwe adapangidwa kuti azisamalira izi:

Maphikidwe omwe alipo sangathe kulembedwa. Zithandizo za anthu a pancreatitis zimapangidwanso tsiku lililonse. Osawanyalanyaza kuti akwaniritse zotsatira, ali ndi chuma chambiri kugwiritsa ntchito. Choyamba, muyenera kuwerengera za anthu omwe adakumananso ndi matenda ofanana, ndiye kuti mupangire njira yochizira pancreatitis kunyumba.

Malangizo ochizira pancreatitis kunyumba

Tsatirani uphungu wa asing'anga, ngati pali kufuna kutembenukira ku mankhwala azikhalidwe. Kuti tipewe kufalikira, tikuganizira mfundo zofunika:

• mankhwalawa amayendetsedwa ndi adokotala, ndikofunikira kukambirana ndi dokotala kusankha njira ychithandizo yanthawi yomwe amapezeka ndi kapamba ndi gawo la chitukuko cha matendawa.
• osagwiritsa ntchito malonda ngati mwazindikira kuti pali vuto linalake kapena chifukwa cha zotsatira zake zonse.
• njira wowerengeka wowerengeka azitsamba pogwiritsa ntchito zitsamba. Ndikwabwino kugula mankhwala m'masitolo,
• ndikofunikira kuyang'anira kuchuluka ndi kuchuluka kwa madyerero, osachulukitsa kapena kuchepa,
• mukakhala kuti mulibe chiyembekezo, mankhwalawa amalowa,
• Njira zakuchiritsira zophika wowerengeka ndizosakwiya, muyenera kukhala oleza mtima kuti mupeze zotsatira,
• musaphatikize maphikidwe angapo patsiku nthawi imodzi, njira yosinthira ingatuluke ndipo zinthu ziziipiraipira,
• ndikosayenera kuphatikiza mankhwala othandizira ofooketsa a homeopathic ndi mankhwala achikhalidwe, nyimbozo zingakhale zofanana, mankhwala osokoneza bongo amatha.

Chithandizo chilichonse chimafunikira ulemu ndi chisamaliro. Kuchiza ndi wowerengeka azitsamba ndi chikhalidwe kuphatikiza kumabweretsa zotsatira zosangalatsa. Pancreatitis nthawi zambiri imachitika chifukwa cha vuto la munthu, ndipo ndibwino kuteteza matendawa kuposa kuchiza. Chifukwa chake, mayeso okhazikika, kuyang'anira momwe m'mimba muliri, kutsatira zomwe zili ndizoyenera, komanso kupatula zakumwa zakumwa zoledzera.

Zochita zotupa m'matumbo a kapamba zimayambitsa kukula kwa kapamba, omwe amatha kukhala ndi pachimake komanso matenda osachiritsika. Matendawa amakula chifukwa chodzikundikira kwambiri ma enzyme mumiyendo ya tiziwiti, tomwe timawononga timuyo ta ziwalozo, ndikusokoneza magwiridwe ake, potero timayambitsa kutupa. Chipatala cha pancreatitis pachimake chimatchulidwa nthawi zonse, ndipo wodwalayo nthawi zambiri amafunikira chithandizo chamanthawi. Gawo lofunika kwambiri la chithandizo chamankhwala ndi mankhwala osokoneza bongo, omwe amatenga magulu angapo a mankhwalawa m'njira zosiyanasiyana. Kukonzekera zochizira pancreatitis pachimake kumatha kusintha thupi, kuchepetsa kutupa, kuletsa zizindikiro za matendawa, kuchepetsa zovuta zamitundu mitundu, kukonza zomwe wodwalayo ali nazo.

Chithandizo cha chilonda chachikulu cha pancreatitis chimachitika nthawi zambiri kuchipatala, pomwe wodwala amapatsidwa chithandizo chamankhwala chodzidzimutsa. Ndi vuto laling'ono la matendawa, mankhwalawa amatha kuchitika pang'onopang'ono. Mankhwala othandizira amakhala ndi kumwa mankhwala, kupumula, komanso kutsata kudya mosamalitsa. Mphamvu ya chithandizo chamankhwala mwachindunji zimatengera momwe wodwalayo alili, gawo komanso mtundu wa matendawa. Musanachiritse pancreatitis pachimake, ndikofunikira kusiyanitsa ndi matenda ena am'mimba, omwe angakhale ndi zizindikiro zofanana.

Pancreatitis pachimake yatchula zizindikiro, zomwe nthawi zambiri zimachitika mwadzidzidzi kumwa mowa, poyizoni wa chakudya, motsutsana ndi maziko a cholelithiasis ndi zina zomwe zimapangitsa. Kuukira kwadzaoneni nthawi zambiri kumachitika chifukwa chakutseka kwa bile duct ndi miyala. Koma muzochitika izi, adotolo amatipatsa chithandizo chamankhwala opangira opaleshoni kutiichotse ndulu kapena kubwezeretsa mawonekedwe a ndulu ya bile.

Chizindikiro chachikulu cha matendawa ndimapweteka kwambiri m'dera la epigastric pamimba, kumanzere kapena kumanzere hypochondrium. Ululu nthawi zambiri umakhala ndi lamba, amatha kukhala akuchita kusenda, kudula, kutsagana ndi nseru, kusanza, pakamwa kowuma. Kusungunuka kwa kapamba wamkati ndi kuphatikizika kwa bile, pomwe izi sizibweretsa mpumulo. Kuphatikiza pazizindikiro zazikulu za matendawa, mkhalidwe wa wodwalayo umatha kuwonongeka kwambiri, limodzi ndi chipatala chowonjezera:

1. Kuchuluka kwa kutentha kwa thupi mpaka madigiri 40.
2. Kugunda kofulumira.
3. Kusokonezeka kwa mtima.
4. Kupuma pang'ono.
5. Kutsitsa magazi.
6. Pallor, khungu cyanosis.
7. Kufalikira.

Kupweteka kwambiri komanso kupweteka kwambiri mu kapamba chifukwa cha kapambayu amakhala ndi mathero ambiri am'mitsempha, omwe amachititsa kupweteka kwambiri. Matenda a ululu amatha kukhala maola angapo kapena masiku, motero ndikofunikira kwambiri kuzindikira matendawa nthawi, kutenga njira zonse zothandizira ochizira kuti muchepetse matendawa.

Chithandizo cha pachimake kapamba ayenera kuchitika woyamba chizindikiro cha matenda. Popeza mitundu ina ndi magawo amatha kupha, muyenera kuyitanitsa gulu la ambulansi posachedwa. Gulu la madokotala lisanafike, wodwalayo ayenera kuonetsetsa kuti pali mtendere. Monga mankhwala ochititsa dzanzi, mutha kumwa antispasmodic No-shpa kapena Drotaverin, omwe amathandizira kuchepetsa ululu, kukhalanso ndi thanzi kwakanthawi.

Therapy ya pachimake kapamba imakhala ndi kutenga magulu angapo a mankhwala omwe amaperekedwa pakamwa, kudzera m'mitsempha kapena intramuscularly. Malangizo, komanso mlingo wa mankhwalawa, nthawi yovomerezeka imakhazikitsidwa ndi dokotala payekhapayekha kwa wodwala aliyense. Chithandizo cha pachimake kapamba chimakhala ndikuchotsa ululu wammbuyo, kuchepetsa kuchuluka kwa michere ya kapamba, kupondereza matenda, kubwezeretsa kapena kukonza magwiridwe antchito a chiwalo.

Mankhwala osokoneza bongo amatsimikiziridwa ndi gastroenterologist ndipo pokhapokha patatha zotsatira za maphunziro onse a labotale ndi othandizira. Ngati dotolo akutsimikiza kuti wodwalayo safuna kuti agonekere kuchipatala, chithandizocho chimaperekedwa pamaziko olimbitsa thupi, ndikuphatikiza kumwa mankhwala angapo, omwe aliwonse amakhudzana ndi kapamba. Muchipatala, mankhwala onse amathandizidwa kudzera m'mitsempha kapena intramuscularly ndipo amayang'aniridwa ndi akatswiri azachipatala okha.

Kuphatikiza pa mankhwala omwe amagwiritsidwa ntchito pokhudzana ndi matenda a pancreatitis pachimake, adotolo amatipatsa zakudya "zanjala", zomwe ziyenera kutsatiridwa kwa masiku atatu.

Woopsa pancreatitis yovuta kwambiri, wodwalayo amaikidwa m'chipinda choperekera chithandizo chachikulu, momwe njira zonse zofunikira zamankhwala zimatengedwa kuti zithetse njira yotupa, komanso kuchepetsa ngozi. Milandu yomwe chithandizo chamankhwala chosasamala sichingabweretse zotsatira zomwe zikuyembekezeka kapena matendawa ayamba, dokotalayo amamulembera opaleshoni ya laparoscopic, yomwe imatanthawuza njira zina zowonongera, imakhala ndi nthawi yochepa yothandizira. Pambuyo pa opaleshoni, munthu amayeneranso kumwa mankhwala ambiri kuti apewe kupweteka.

Chithandizo cha pancreatitis mu gawo pachimake cha matendawa chimakhala ndi kumwa mankhwala angapo, omwe ali ndi vuto lililonse pa kapamba ndi kugaya chakudya kwathunthu.

Mankhwala onse omwe ali pamwambawa amapezeka m'mitundu mitundu. Woopsa milandu, wodwalayo ndi mankhwala oyambitsa kulowetsedwa limodzi ndi mankhwala.

Mankhwala aliwonse omwe amagwiritsidwa ntchito pochiza pancreatitis yapadera ayenera kutumizidwa ndi dokotala. Katswiri wokhawo yemwe amatha kujambula njira zamankhwala, aperekeni malangizo othandiza.

M'malo azachipatala, mankhwala monga Contrical, omwe ndi cholowa m'malo mwa plasma, nthawi zambiri amalembedwa kuti apondereze zochitika za michere ya proteinolytic yomwe imathandizira pakupanga njira yotupa m'matumba a pancreatic.

Ndi kusanza mobwerezabwereza, wodwalayo amapatsidwa kukonzekera kwa metoclopramide - Cirucal, Metoclopramide, womwe umaperekedwa kudzera mwa intramuscularly. Mankhwalawa amatha kusintha matumbo, kusintha kugaya. M'masiku oyambilira a nthawi yovuta kwambiri, ma painkillers, mankhwala antispasmodic amagwiritsidwanso ntchito, timalimbikitsidwanso kugwiritsa ntchito madzi ofunda omwe alibe mafuta, chakudya "chanjala", ndikuchotsa kuyanjana ndi chilichonse chomwe chimapangitsa.

Pofuna kuthetsa kuphipha komanso kuchepetsa ululu, No-shpu imagwiritsidwa ntchito nthawi zambiri. Kunyumba, mumatha kumwa mapiritsi (80 mg kawiri patsiku), ndipo kuchipatala, mankhwalawa amathandizidwa ndi intramuscularly.

Pamaso pa kutupa komwe kumayamba chifukwa cha bakiteriya wa pathogenic, njira ya antibacterial imalembedwa. Mankhwalawa amaperekedwa kudzera m'mitsempha kapena m'mitsempha. Maphunzirowa ali mpaka masiku 10. Pamodzi ndi antimicrobial therapy, kukonzekera kwa enzyme (Creon, Mezin, Panzinorm), komanso ma probiotic (Linex, Hilak forte, Lactovit) amagwiritsidwa ntchito.

Pankhani ya edema yamatumba apancreatic, kukonzekera kwa antienzyme - Trasisol - imagwiritsidwa ntchito kudzera mkati, pang'onopang'ono.

Mu nthawi yovuta kwambiri, adokotala atha kukupatsirani mankhwala Octreotide, omwe ndi analogue yopanga mahomoni somatostatin. Mankhwalawa amachepetsa kubisika kwa m'mimba ndi kapamba, potero kuchepetsa zizindikiro za matendawa, amatithandizanso kuti ntchito ya thupi ikhale yofanana.

Chithandizo cha pancreatitis pachimake chimatha kutenga masiku 5 mpaka 10 kuchipatala. Pa chithandizo chamankhwala chotuluka atatuluka, dokotalayo amatchulanso mitundu ingapo yamankhwala omwe wodwala amamwa kwa milungu ingapo kapena miyezi ingapo.

Zochizira pancreatitis yovuta kwambiri, mankhwala onse omwe amagwiritsidwa ntchito mwanjira zonse komanso ammimbawa amagwiritsidwa ntchito, koma kusankha kwawo kuyenera kumasiyidwa kwa adokotala.

Acute pancreatitis ndi matenda oopsa komanso owopsa omwe amafunika chithandizo choyenera moyang'aniridwa ndi madokotala. Kudzichiritsa pancreatitis pachimake ndikosatheka, popeza kudya mosasamala kwa mankhwalawa kumatha kuyambitsa zovuta, ndipo nthawi zina zosasinthika, zimagwira mu minofu ya chiwalo. Amadziwika kuti ngati sanalandire bwino matendawa kapena mosazindikira, matendawa amatha kukhala ndi matenda osachiritsika, omwe nthawi yakhululuka imakhala yodziwika bwino. Ngati pali mbiri ya pancreatitis pachimake, ndikofunikira kutsatira malamulo ena:

1. Mu nthawi yovuta kwambiri, ndizoletsedwa kutsuka m'mimba kapena kugwiritsa ntchito moto wotentha pamimba.
2. Pankhani ya mseru, nkoletsedwa kusanza popanga.
3. Sizoletsedwa kugwiritsa ntchito njira zina zochizira.
4. Mankhwala ayenera kusankhidwa pamodzi ndi adokotala.
5. Ndi kapamba, mankhwalawa onse amatengedwa molingana ndi chiwembu chapadera.
6. Pambuyo poyambitsidwa koyamba kwa matenda a antispasmodic ndi ocheperako, muyenera kufunafuna thandizo la kuchipatala, chifukwa ululuwo umatha kubwerera mwamphamvu.
7. Tsatirani mosamala mankhwalawa.
8. Mankhwala a kapamba mu akuluakulu ayenera kuphatikizidwa ndi mankhwala azitsamba.

Acute pancreatitis ayenera kuthandizidwa kuchipatala komwe munthu aliyense wamkulu amalandila chithandizo choyenera chomwe chingathandize kuthana ndi zovuta za matendawa. Ngati muchiza matendawa pazoyambira, kutsatira malangizo onse a dotolo, mutha kuchotsa matenda owopsa kwambiri patatha masiku awiri atagonekedwa kuchipatala. Komabe, njira yochiritsira yokha imatha kutenga milungu ingapo kapena miyezi. Kukula kwa phukusi la pachimake pancreatitis mwachindunji kumatengera kuchuluka kwa kuwonongeka kwa chiwalo, zaka za wodwalayo, matenda okhudzana ndi zina ndi zina mwa zinthu zazikulu.

Chithandizo cha pancreatitis pachimake mu akulu ndi njira yayitali kwambiri yomwe imafuna kuti munthu alabadire thanzi lake. Izi ndizowona makamaka pankhani ya zakudya komanso moyo. Anthu omwe adwala kale ndi matendawa mpaka kumapeto kwa moyo wawo ayenera kutsatira zakudya, popeza zolakwika zilizonse zokhudzana ndi zakudya zimawonjezera chiopsezo chodwalanso.

Chithandizo cha pancreatitis pachimake: mankhwala a mankhwala ndi wowerengeka azitsamba

Izi zakhala zofunika kwambiri posachedwa, chifukwa chiwopsezo cha pancreatitis pachimake chakwera kwambiri. Izi zikufotokozedwa ndi zakumwa zoledzeretsa, kufala kwa matenda a ndulu ndi matenda ena opweteka a m'mimba.

Chithandizo cha pancreatitis pachimake akuluakulu ndi ana ayenera kuchitika kokha mu chipatala. Therapy yamtundu uliwonse wamatenda a pancreatitis nthawi zonse imayamba ndi njira zolembera, koma poyang'aniridwa ndi dokotala wa opaleshoni ndi restuscitator, monga momwe nthawi zambiri mkhalidwe wa wodwalayo umakulirakulira. Angafunike chithandizo chadzidzidzi.

Njira yochizira pancreatitis yachilendo imaphatikizira kugwiritsa ntchito mankhwala ochokera kuma gulu osiyanasiyana a pharmacological. Ndikofunikira kuchita mankhwala a analgesic ndi anti-shock, komanso kuyambitsa mankhwala omwe amathandizira kupsa mtima kwa enzymatic.

Mankhwala ochizira pancreatitis pachimake amasankhidwa ndi dokotala. Chisankho chimatengera kuuma kwa vutolo, kupezeka kwa matenda amtunduwu komanso zomwe wodwalayo ali nazo. Zambiri zomwe mankhwalawa amatha kupatsidwa pancreatitis yachilendo →

Ziphuphu zobwezeretsanso mchere wamchere m'thupi

Njira yotupa imayambitsa kukula kwa kuledzera: kutentha thupi kumawonekera, kugunda kwa mtima ndi kupuma kumachulukitsa, kusanza kopweteka, kutsegula m'mimba, ndi thukuta labwinobwino limayamba. Chifukwa cha njirazi, munthu amataya madzimadzi ambiri, kuchuluka kwake kozungulira magazi kumachepa, kuchuluka kwa ma electrolyte m'mwazi kumachepa.

Chifukwa chake, mankhwalawa a pancreatitis pachimake kuchipatala amafunikira kulowetsedwa ndi detoxification, yomwe imagwira ntchito zotsatirazi:

• limbana ndi mantha komanso kugwa,
• kubwezeretsa ndalama,
• kusintha kwa mawonekedwe a electrolyte magazi,
• kupewa thrombosis, kuphatikizapo zikondamoyo,
• bwino kagayidwe.

Reopoliglukin ndi jakisoni wotsekemera, yemwe amachepetsa kukhuthala kwa magazi, amasinthanso kukoka kwam'mimba, komanso amachepetsa kutupa kwa kapamba. Hemodez imagwiritsidwanso ntchito, imamangiriza poizoni ndikuwachotsa ndi mkodzo, zomwe zimapangitsa kuti detoxification.

Kubwezeretsa mchere wamchere, njira zamchere ndizowonjezera jakisoni, kuphatikizapo kukonzekera:

• isotonic mayankho a sodium chloride, potaziyamu, polarizing osakaniza
• 5% shuga yankho ndi insulini imathandiza kuti mafuta asawonongeke,
• Acesol, Trisamine,
• ndewu ya calcium gluconate.

Njira yotupa imathandizira kuti kusuntha kwamkati mwa thupi kukhala mbali ya acid. Chifukwa chake, pofuna kusintha acid-base balance, sodium bicarbonate solution imayendetsedwa kudzera m'mitsempha.

Pambuyo pobwezeretsa kuchuluka kwa magazi ndi magazi-ma electrolyte kagayidwe kake, njira yolumikizira mafupa a Albumin, Polyglukin, ndi plasma yamagazi ndikofunikira. Amasintha zakudya zama minofu, amathandiza chitetezo cha mthupi, komanso amalipira kuchepa kwa mapuloteni olimbana ndi kapamba. Kuyambitsidwa kwawo kumathandizanso kuthana ndi magazi, kumathandiza kuwonjezera kuthamanga kwa magazi, kumathandizira wodwalayo. Kwa makolo zakudya mu pachimake matenda, mafuta emulsions zimaperekedwa kudzera m`mitsempha.

Zinthu zotsatirazi zamankhwala zimagwiritsidwa ntchito kuti muchepetse kutulutsa kwa michere ya m'mimba ndikuchepetsa madera a pancreatic minofu necrosis chifukwa cha autolysis:

• Protease inhibitors (Kontrikal, Trasilol, Gordoks). Amapatsidwa mtsempha wa magazi kangapo patsiku mu mlingo kutengera kuuma kwa vutolo. Mankhwalawa amaletsa ntchito ya trypsin ndi michere ina yokumba, kupanga ma cell osagwira nawo, omwe amachotsedwa msanga mthupi. Koma mankhwalawa amagwira ntchito pokhapokha gawo loyambirira la kapamba.
• Cytostatics (5-fluorouracil) imakhalanso ndi anti-yotupa, kufooka kwa zotsatira ndipo imalepheretsa kaphatikizidwe ka michere ya proteinolytic. Koma awa ndi mankhwala osokoneza bongo, kotero kuyenera kwake kusankhidwa kumasankhidwa nthawi zonse payekha.
• Ma synthet neuropeptides (dalargin).
• Madera

Hydrochloric acid yomwe imapangidwa ndi gastric mucosa imathandizira chinsinsi cha kapamba. Chifukwa chake, mankhwala ochizira pancreatitis pachimake amaphatikizanso mankhwala omwe amachepetsa chinsinsi cha m'mimba. Nthawi zambiri, Kvamatel, Almagel ndi ma antacid ena ndi omwe amapereka. Majakisoni a Atropine ndi othandiza. Cimetidine amathandizira kudzera m'mitsempha.

Chithandizo cha pancreatitis pachimake ndi kukonzekera kwa antienzyme ziyenera kuyamba pomwe wodwala akangolowa kuchipatala. Amapatsidwa mankhwalawa kangapo patsiku mpaka atasintha.

• Ikani mawonekedwe ozizira otentha kumanzere hypochondrium.
• Kutulutsa chakudya pakamwa.
• Kulakalaka zomwe zili m'mimba ndi chubu cha nasogastric, makamaka ndi nseru komanso kusanza pafupipafupi. Maantacidids amathanso kubayidwa mwachindunji m'mimba pogwiritsa ntchito kafukufuku.
• Chitani intragastric hypothermia.

Njira zochotsedwera monga lymphosorption ndi plasmapheresis zimathandizira kuti kuthamangitsidwa kwachangu kwa michere yamagetsi, poizoni, ndi zinthu zosokonekera zama cell kuchokera mthupi.

Plasmapheresis amatchedwa kuyeretsa magazi. Ndi njirayi, magazi ena amachotsedwa m'thupi, kutsukidwa ndi poizoni ndikuilowetsedwa m'mitsempha ya wodwalayo. Kuchita uku kumachitika malinga ndi zomwe zikuwonetsa: Zizindikiro za kapamba, kakulidwe ka peritonitis, nthawi yogwiritsira ntchito momwe njirayi imathandizira pakukula kwa opaleshoni. Zoyipa zake ndi: zovuta, kutalika kwa nthawi, mtengo wake wokwera.

Kupweteka kwambiri kwa herpes zoster, ngakhale motsutsana ndi maziko a zovuta komanso zovuta za chithandizo chogwiritsa ntchito analgesics, zimapitirira tsiku lonse. Kupitiliza kwa mtundu wa ululu wamankhwala kumafotokozedwera ndi kupangika kwachilengedwe mu minofu ya kapamba. Zowonadi, ngakhale njira zonse zochiritsira, njira ya autolysis siyitha kuyimitsidwa nthawi yomweyo.

Kuti achepetse mavuto a wodwala, ophera ululu amaperekedwa. Tramadol, Baralgin, Novocaine ndi mankhwala ena oletsa kugwiritsa ntchito. Zabwino zimachitika ndi subcutaneous makonzedwe a Promedol, kugwiritsa ntchito osakaniza shuga ndi novocaine njira. Kuchita kwa opaleshoni kumalimbikitsidwa ngati antispasmodics (Papaverine, njira za Plifillin) zimayendetsedwa mosavomerezeka.

Kuyambitsa kwawo sikungokulitsa ziwiya za kutisita tulo, komanso kuthanso kwa kuphipha kwa Oddi, kutsimikizira kutuluka kwa timadzi ta bile ndi pancreatic kulowa m'matumbo. Intravenous makonzedwe a Atropine ndi Nitroglycerin amathandizanso kuthetsa kuphipha kwa minofu yosalala ya bile ducts.

Ndi ululu waukulu, blockages akuwonetsedwa. Nthawi zambiri mabalo awiri apawiri a m'matumbo kapena parvertebral novocaine blockade malinga ndi Vishnevsky. Epidural anesthesia imathandizanso kwambiri. Njirazi sizimangochepetsa ululu ndi kutupa, komanso zimachepetsa kutulutsa kwina kwa kapamba, zimathandizira kutuluka kwa ndulu m'matumbo.

Chifukwa chake, ma blockade amagwiritsidwa ntchito pochiza pachimake biliary pancreatitis, kapena cholecystopancreatitis, yomwe imachulukitsa yomwe nthawi zambiri imakwiya chifukwa chakudya kwamafuta ambiri kapena zakudya zokazinga. Zambiri pazomwe mungadye ndi kapamba wa mankhwalawa

Ndi matenda amtunduwu, Novocaine imatha kutumikiridwa kudzera m'mitsempha yosakanikirana ndi diphenhydramine ndi promedol. Ndondomeko amathandizira kupumula kwa sphincters, sinamize katulutsidwe ka bile ndi kugaya michere.

Kuti muchepetse kupweteka, muyenera kukhala ndi chidwi cha zomwe zili m'mimba mwa chubu. Amachepetsa kuwawa kwa ululu ndi kutsitsa kwa magazi a laser. Nthawi yomweyo, kutukusira chiwalo kumacheperanso, magazi a magazi amayenda bwino.

Kuthana ndi kapamba am'mimba, ndikofunikira kuchotsa mthupi mokwanira ma enzymes omwe amawononga kapamba. Kuphatikiza apo, nthawi zambiri, mawonekedwe amtundu amadziwika ndi matenda, kotero kuyambitsa kukodzetsa kumachepetsa kwambiri vutoli.

Itha kugwiritsidwa ntchito intramuscularly kapena kudzera m'mitsempha, kutengera kulimba kwa vuto la wodwalayo, pokhapokha ngati paliwopsezo wa mapuloteni kapena mchere. Kukakamiza kotereku kumathandizanso kuchepetsa kuledzera ndikuchita bwino. Nthawi zambiri, yankho la Lasix ndi Mannitol limagwiritsidwa ntchito pazolinga izi.

Kutupa komwe kumachitika m'mapapo kumapangitsa kuti pakhale kuphwanya kwa chakudya chambiri komanso kuledzera kwambiri. Zotsatira zake, mutadya, mseru umapezeka, kusanza kowawa ndi kuphatikizika kwa bile, pambuyo pake munthu samamasuka. Izi zimabweretsa kuchepa kwa madzimadzi ndi ma elekitirodi, kukhetsa wodwala. Mwa mankhwala a antiemetic, Cerucal nthawi zambiri amagwiritsidwa ntchito ngati jekeseni.

Wodwala yemwe akukayikira kuti ali ndi pancreatitis yayikulu ayenera kuchipatala ku dipatimenti ya opaleshoni, pomwe amayamba kulandira chithandizo chamankhwala champhamvu kwambiri. Izi ndichifukwa cha kuthekera kwa kuwonongeka msanga, njira zowonjezera za necrotic, kufunika kwa opaleshoni yodzidzimutsa. Malinga ndi ziwerengero, mankhwalawa opaleshoni yamapapo pancreatitis imachitidwa mwa wodwala aliyense wachisanu.

Pochita opaleshoni, pali zisonyezo zapadera:

• wowerengeka mankhwala a pancreatitis pachimake sanapereke zotsatira zabwino (malinga ndi zikuwonetsa zofunika, zam'mimbamo zam'mimbamo ndipo zotupa zimachotsedwa),
• mawonekedwe a peritonitis,
• mapangidwe a chithupsa kapena chotupa mu minofu ya England
• akuganiza kuti ali ndi vuto la opaleshoni yam'mimba,
• kukhalapo kwa zizindikiro za phlegmonous kapena gangrenous cholecystitis.

Njira za Endoscopic zolowerera zimagwiritsidwa ntchito kwambiri, makamaka, zotumphukira za peritoneal. Kugwiritsa ntchito laparoscope, ngalande zimakhazikitsidwa m'mimba, zomwe zimathandizira kuti ayeretsedwe kuchokera ku michere yambiri ndi poizoni.

Zochita zoyambirira za wodwala pakachulukitsa matenda zimachepetsedwa kukhala mfundo zitatu izi: njala, kuzizira ndi mtendere. Maonekedwe a ululu wam'mimba kwambiri, kusanza kosaletseka, kuledzera kwakukulu, muyenera kuyimbira ambulansi nthawi yomweyo.

Njira zotsatirazi ziyenera kuchitika:

1. Musachotsere chakudya m'mimba.
2. Ikani ayezi kumanzere hypochondrium.
3. Chepetsa munthu ndi kumugoneka bwino.
4. Apatseni mankhwala a antispasmodic monga mapiritsi kapena jakisoni wa intramus. Sipangakhale No-shpa, Papaverin, Platifillin.
5. Pangani jekeseni wamitsempha ya Cerucal, ngati ilipo, mu nduna yanyumba yamankhwala.

Madokotala kuchipatala, atakhazikitsa matendawa, adzapereka ma pinkiller: Analgin, Baralgin, etc.

Acute pancreatitis ndi matenda omwe nthawi zambiri amatsogolera ku opaleshoni yodzidzimutsa. Palibe wowerengeka azitsamba omwe angathandize wodwalayo. Afunika kum'thandizira kuchipatala basi, ndipo munthuyo akatengedwa kupita kuchipatala, amapezeka nthawi yambiri osamuchita opareshoni.

Kudzichiritsa nokha, kuyesera kuchotsa mawonekedwe a pancreatitis pachimake pogwiritsa ntchito njira zina kumayambitsa kutayika kwa nthawi yamtengo wapatali ndikuwonjezera kudwala kwa matendawa. Palibe njira yachikhalidwe yomwe ingagwiritsidwe ntchito poyambira.

Panthawi yomwe mayendedwe achulukitsa, wodwala amatha:

• Kulowetsedwa ndi decoction wa wosafa (1 tbsp. L. Zomera zamaluwa mu kapu yamadzi otentha). Imwani katatu patsiku kwa chikho 1/2.
• Kulowetsedwa kwa masharubu golide. Masamba opatsirana (2 ma PC.) Thirani makapu awiri a madzi otentha, wiritsani kwa mphindi 20. Kenako mankhwalawa amathandizidwa kwa maola 8, amasefa ndi kumwa 25 ml katatu patsiku.
• Propolis mu mawonekedwe ake oyera. Zidutswa zolemera pafupifupi 3 g zimatafunidwa pakudya.
• Zakudya zonunkhira kuchokera ku mabulosi am'madzi amawu. Kuchuluka kwake ndi magalasi atatu patsiku.

Chithandizo cha pancreatitis pachimake ndi ntchito yovuta yomwe ingathe kuthana ndi zovuta. Wodwalayo amayenera kuyang'aniridwa ndi akatswiri a mafayilo osiyanasiyana, chifukwa thanzi ndi moyo wa wodwalayo zimatengera nthawi yayitali komanso kukwanira kwa zovuta zovuta.

1. 
   Zazikulu, G. Kusokonezeka kwa metabolid ya lipid. Diagnostics, kliniki, chithandizo / G. Galler, M. Ganefeld, V. Yaross. - M: Mankhwala, 2016 .-- 336 p.
2. 
   Lodewick P.A., Biermann D., Tuchey B. Mwamuna ndi shuga (otanthauziridwa kuchokera ku Chingerezi). Moscow - St. Petersburg, Binom Publishing House, Nevsky Dialect, 2001, masamba 254, makope 3000.
3. 
   Gitun T.V. Chitsogozo chofufuza cha endocrinologist, AST - M., 2015. - 608 p.
4. Kruglov Victor Diagnosis: shuga, Phoenix -, 2010. - 192 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.