Kodi mankhwalawa amayenera kugwiritsidwa ntchito motani komanso pancreatitis?

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Kutupa kwa kapamba sikungokhala kosasangalatsa, komanso koopsa, komwe, ngati osaphunzitsidwa kapena ndi chithandizo chokwanira, kukhoza kutenga moyo wa munthu. Monga momwe zimakhalira ndi kutupa konse kwa kapamba, pali chiopsezo chachikulu chotenga kachilombo ka bacteria, kamene kamayambitsa matenda oopsa a wodwala aliyense wachisanu. Tizilombo toyambitsa matenda tikalowa, zimakhala zosatheka kuti tisiye kutupa ndi NSAIDs, kukonzekera kwa enzyme, komanso kudya kosavomerezeka komwe kumatsitsa kapamba. Wolefuka ndi matendawa, thupi silingakhale lotha kuthana ndi mdani wolimba kwambiri, wogwira ntchito, zomwe zikutanthauza kuti mankhwala apadera amafunikira - maantibayotiki, omwe angayambitse zotsatira zoyipa. Koma madokotala amakonda kugwiritsa ntchito mankhwala opha pancreatitis mosamala kwambiri, chifukwa awa ndi mankhwala osatetezeka omwe angayambitse mavuto ena.

Chithandizo cha kapamba ndi maantibayotiki

Pancreatitis ndimatenda a anthu okonda zakumwa zoledzeretsa ndi zotengera zabwino za mbale zomwe zimanenedwa (zonunkhira, zamchere, zokazinga, kugwiritsa ntchito zakudya zowonjezera ndi zokometsera zamphamvu). Inde, izi zimaphatikizapo anthu onenepa kwambiri, komanso odwala omwe ali ndi matenda opatsirana opatsirana, komanso iwo omwe ali ofunitsitsa kumwa mankhwala. Komabe, magulu awiri oyamba a anthu ndi gawo lalikulu la odwala omwe ali ndi kapamba, oposa 90% ya odwala omwe ali ndi mawonekedwe amtunduwu ndi zidakwa ndipo anthu omwe amamwa mowa kwambiri. Chifukwa chake, titha kunena kuti zizolowezi zathu zoyipa zimasandulika kukhala matenda akulu kudzera mu zolakwa zathu.

Njira yovuta yotupa m'mapapo nthawi zonse imayendera limodzi ndi kuphwanya kwa chiwalo. Chifukwa chake, chithandizo cha kapamba chimakhala makamaka ndikuonetsetsa kuti chimbudzi sichikuvutika. Zowonadi, kuchuluka kwa chimbudzi cha mapuloteni, mafuta ndi ma carbohydrate mwachindunji zimadalira kapamba amene amachita ntchito zake.

Potumiza chodwala, i.e. kumwa kwambiri zakudya zomwe zimafunikira kuti azipanga madzi a pancreatic ambiri kungangokulitsa vutolo (zomwezo zimapangira mowa, zomwe zimapangitsa kupanga makina ogaya). Kupatula apo, kutupa kumagwirizanitsidwa nthawi zonse ndi kupsinjika, ndipo kupanga ma enzyme olimba kumayambitsa kukwiya kwa mucous nembanemba wa chiwalo. Kuti mupewe izi, odwala amapatsidwa kukonzekera kwa enzyme (Pancreatin, Mezim, Creon, Festal, etc.) ndi zakudya zama calorie ochepetsedwa zoletsedwa zamafuta am'mafuta komanso chakudya chamagulu.

Ichi ndiye maziko omwe chithandizo cha kapamba chimakhazikitsidwa. Koma sikutheka nthawi zonse kumangolingalira gawo lokhalo lazamankhwala. Mawonekedwe owopsa a matendawa sangachite popanda kupweteka kwakanthawi kwamankhwala, komwe madokotala amayesa kuyimitsa ndi antispasmodics (No-shpa, Drotaverin, Spazmil, Spazmolgon, etc.). Ngati antispasmodics sathandizira, ma painkiller amphamvu (Tempalgin, Ketanol, Ketanov, Ketoral, etc.) amaphatikizidwa mu regimen ya chithandizo.

Kalanga, ngakhale analgesics yamphamvu sikuti nthawi zonse imatha kuthandiza munthu amene ali ndi vuto la pancreatitis, makamaka ngati matendawa apereka zovuta. Ndipo zovuta zomwe zimachitika nthawi zambiri zimafotokozedwa ndikufalikira kwa kutupa ziwalo zina ndikulumikizana kwa kachilombo ka bacteria. Apa ndipomwe mankhwala opha pancreatitis atenga mbali yofunika pakupulumutsa moyo wa wodwalayo.

Kodi chilichonse ndichowopsa? Inde, zoopsa zilipo ndipo ndi zenizeni. Kutupa komwe kumachitika nthawi zonse kumayendetsedwa ndi kutulutsidwa kwa exudate mu kuchuluka kwakukulu (izi zitha kufotokozera kutupa kwa ziwalo zopaka). Ndipo exudate imadziwikanso kuti ndi malo osungirako mabakiteriya, omwe, atafika kumeneko, anayamba kubereka mwachangu, chomwe ndi tanthauzo la moyo wawo.

Gawo la exudate limapita kumtunda kwa chida choyipacho (kwa ife, kapamba) ndikulowa ziwalo zam'mimba zapafupi ndi kulowa m'mimba. Ngati ngakhale michere imodzi ilowa m'madzi otupa, pakapita kanthawi ambiri azikhala ochuluka kwambiri kotero kuti kutupa kumayambira m'mimba (peritonitis), ndipo iyi ndi matenda omwe amafa kwambiri.

Koma nthawi zina, kapamba amayambitsidwa ndi kachilombo ka bacteria. Izi zimachitika pafupipafupi, ndipo chochititsa nthawi zambiri ndi matenda a cholecystitis ndi ndulu. Osati zokhazo, zikondamoyo ndi ndulu zimayandikana, zomwe zimatanthawuza kuti kutupa kuchokera ku chiwalo chimodzi kumatha kupita kwina. Chifukwa chake ziwalo zamtunduwu zimakhala ndi duct yodziwika yomwe mandimu ndi pancreatic amalowa mu duodenum.

Kuphwanya kwapadera kwa matuluka a bile chifukwa cha kutupa kapena matenda a ndulu kumayambitsa kukokoloka kwa ndulu, kufuna kugwiritsa ntchito maantibayotiki, ndipo nthawi zambiri opareshoni. Pamodzi ndi bile, mabakiteriya atizilombo amathanso kuponyedwa mu kapamba, zimapangitsa kutupa kwa chiwalo. Izi zikufotokozera kuti pancreatitis nthawi zambiri imayamba motsutsana ndi maziko a cholecystitis komanso mosinthanitsa.

Ndipo popeza kuti zomwe zimapangitsa matenda onsewa kukhala amtundu womwewo, mankhwala opha pancreatitis ndi cholecystitis ndi omwewo. Nthawi zambiri awa amakhala ma penicillin otetezedwa, ma cephalosporins ndi ma macrolides, omwe nthawi zambiri amakhala ndi ma tetracyclines ndi mitundu ina ya maantibayotiki, makamaka pamankhwala ambiri.

Nthawi zina, ndikofunikira kupereka mitundu ya 2 ndi 3 ya mankhwala a antibacterial makamaka ngati chithandizo cha mankhwala oyamba sichithandiza. Zomwe zimalephera izi nthawi zambiri zimakhala kukana kwa mabakiteriya, omwe akuyamba vuto chaka chilichonse. Ngakhale tizilombo tating'onoting'ono timavutika kuti tizipulumuka pogwiritsa ntchito masinthidwe komanso kupanga zinthu zatsopano zomwe zimawathandiza kuti asamamvere maantibayotiki. Ndipo popanda kudziwa mdani (bacterium) kumaso, ndizovuta kunena kuti ndi antibacterial mankhwala otani omwe angathane nawo.

Chingakhale chanzeru kwambiri kupenda mwachangu tizilombo toyambitsa matenda komanso chidwi chake cha mankhwala opha tizilombo. Koma njira yodziwira nthawi yomweyo mtundu wa bakiteriya ndi katundu wake sizinapangidwe, ndipo kuwunika kokhazikika kumafunikira nthawi yayitali, komwe sikumakhala kovuta kwambiri. Zikafika pamoyo wamunthu, asanalandire zotsatira za maphunziro a labotale, amathandizidwa ndi ma anti-spectrum mankhwala ambiri, omwe pamakhala mwayi wawukulu wokhudzana ndi tizilomboti kuposa mankhwala omwe amalembedwa mwachinsinsi. Kuphatikiza apo, nthawi zambiri pamakhala zovuta zingapo osati chimodzi, koma mitundu ingapo ya tizilombo toyambitsa matenda.

Ndi matenda osatha a kapamba, zonse ndizosiyana pang'ono. Nthawi zambiri kutupa kumeneku sikuti ndi njira ya bakiteriya, zomwe zikutanthauza kuti sizomveka kuchiza ndi maantibayotiki. Koma nthawi yayitali imapitilizanso kubwereza, chomwe chimatha kukhala kugwiritsa ntchito zakudya “zoletsedwa” komanso kutsegulira kwa microflora yokhala pathogenic, yomwe panthawiyi imakhala yopanda thupi.

Matenda a nthawi yayitali ndi kuwononga chitetezo cha mthupi, chifukwa chake ma pathologies omwe amakhala ndi matenda nthawi zonse amatsitsa kuchepa kwa chitetezo chathupi. Ndipo izi ndi zina mwa zinthu zofunika za tizilombo tomwe timafunikira kuti tithe kuyamba kugwira ntchito ndikuyamba kukhala tizilomboti, chifukwa mabakiteriya ochulukirachulukira alipo, zopangidwa ndi poizoni zomwe zimagwira zimawunjikana mthupi, zomwe zimayambitsa kutupika ndi kuledzera kwa thupi.

Chifukwa chake, maantibayotiki osachiritsika a kapamba angayikidwenso ngati pali kukayikira kwa mabacteria akuchulukirachulukira. Mwachitsanzo, munthu amapita kuchipatala kukadandaula za ululu komanso kupsinjika kwa kapamba, koma nthawi yomweyo amakakamira pachakudya popanda zolephera, sanamwe mowa kwambiri, sanamwe mopitirira muyeso, ndipo anali ndi moyo wathanzi. Pankhaniyi, chifukwa cha kukokomeza kwa kapamba ndi kukokoloka kwakukulu kumatha kuganiziridwa ngati kutsegulitsa kwa mabakiteriya omwe amapatsidwa mwayi kapena kulowa kwa tizilombo toyambitsa matenda m'thupi.

Malinga ndi dongosolo la lymphatic, bakiteriya, yemwe ali m'chiwalo chimodzi kapena gawo limodzi, amatha kufalikira thupi lonse, ndipo ichi ndichinthu chinanso chomwe chimayankhula motsutsana ndi antibayotiki yothandizira bacteria pancreatitis yamtundu uliwonse.

Mukatha kugwiritsa ntchito maantibayotiki, kupweteka ndi kutupa kumatsika kwenikweni mkati mwa masiku awiri otsatira, koma izi sizitanthauza kuti kapamba amachiritsidwa. Kuchiza matenda sikophweka. Nthawi zambiri, gawo lachiwopsezo litatha, gawo logundika limayamba, lomwe limadziwika ndi nthawi yochulukirapo komanso kuchulukana. Mulimonse momwe zingakhalire, kupweteka kwambiri kwa kapamba, komwe ndi kapamba wam'mimba, sikuyenda popanda chofufumitsa, motero madotolo atatulutsa m'chipatala amalimbikitsa kuti mudye zakudya zanu ndikukonzekera nthawi zonse.

Ndi maantibayotiki omwe angagwiritsidwe ntchito pancreatitis

Kugwiritsa ntchito mankhwala opha pancreatitis kumathandiza kuti pakhale zovuta zomwe zikuwopseza. Zotsatira zomwe zimayembekezereka zimatheka ndi kuyamba kwakanthawi kwamankhwala, popeza munthawi yomwe mwasowa kusintha kwakukulu kumatha kuchitika mthupi, nthawi zambiri sikungasinthike. Mankhwala okhawo omwe amagwiritsidwa ntchito molondola matendawa amatha kuchepetsa vuto la wodwalayo, amamuchotsetsa mawonekedwe owawa komanso kuwonjezera kuchuluka kwa moyo wake.

Mkhalidwe wachilengedwe wa pancreatitis umafunikira kwambiri pochiritsira ndi maantibayotiki, chifukwa pankhaniyi ndikofunikira kuyimitsa chitukuko cha matendawo posachedwa ndikuyesera kuti muthane nawo. Mu mawonekedwe osakhazikika, mobwerezabwereza wobwereza nthawi ndi nthawi, monga lamulo, odwala sakhala amafunikira maantibayotiki.

Chizindikiro chachikulu cha kutumiza mankhwala okhala ndi antibacterial katundu ndi zizindikiro za peripancreotitis, mkhalidwe womwe kutupa kuchokera ku kapamba kumayambira kufalikira kumankhwala apafupi ndi mucous membrane wa mucous of gallbladder omwe ali pafupi. Panthawi imeneyi, kuchedwa sikuvomerezeka ndipo mankhwala a penicillin ndi cephalosporins amatchulidwa ngati njira zadzidzidzi. Kuphatikiza apo, ngati kuli kofunikira, dokotalayo amapereka mtundu wina wa maantibayotiki, popeza momwe mankhwalawo amathandizira komanso kuchuluka kwa mankhwalawa zimadalira mtundu wa matenda ndi kuchuluka kwa zotupa.

Mndandanda wa mankhwala ogwiritsidwa ntchito

Ngati pali zotupa m'matumba, madokotala amalimbikitsa maantibayotiki, koma pokhapokha patakhala ndizotheka kudziwa izi. Mankhwalawa akuphatikizapo:

Amoxiclav
Biseptolum
Abactal
Amoxicillin
Bactrim
Vancocin
Chienam
Cyprolet ndi ena.

Ndi pancreatitis yomwe ikufunika kuchitapo kanthu mwachangu, akatswiri nthawi zambiri amagwiritsa ntchito Ceftriaxone ndi imodzi mwa mankhwalawa omwe ali ndi machitidwe osiyanasiyana mwanjira ya De-Nol, Kvamatel, Omez, Tserukal, Ultrop. Muzochitika zingapo, Atropine amalembedwa, ndi nthawi, mawonekedwe mu mapiritsi amatenga mwayi.

Mitengo yapakati

Mtengo wapakati wa mankhwala opha maantibayotiki amatha kukhala osiyana, chifukwa cha mtundu wa mankhwalawa. Malo omwe amapezeka amapangidwenso amakhudzanso kusiyana kwa mtengo, chifukwa mankhwalawo angatenge ndalama zambiri likulu kuposa m'mizinda yaying'ono.

Pogula, zotsatirazi ziyenera kuganiziridwa. Chowonadi ndi chakuti mankhwalawo omwe, omwe ali mgulu lomwelo, amatha kukhala ndi mayina osiyanasiyana komanso amasiyana pamtengo. Kusiyanaku kumadalira dziko lomwe mankhwalawo amapangidwira komanso makampani omwe amapangidwira mwachindunji. Kusiyana kwamitengo kumadza chifukwa chakuti mankhwalawo enieni amakhala okwera mtengo kangapo kuposa ma generics, ngakhale zinthu zomwe zimagwira mwa iwo ndizofanana. Ndipo izi sizitanthauza kuti kope la mankhwala omwe amadziwika kuti sangakwanitse.

Poyerekeza, mutha kuwona kusiyana pamtengo wa mankhwalawa, omwe nthawi zambiri amalembera kapamba:

Pancreatin ku Russia itha kugulidwa pamtengo kuyambira pa ruble 30 pakompyuta iliyonse ya mapiritsi 60,
Mezim Forte (pancreatin yemweyo, koma pansi pa chizindikiro china) adzagula ma ruble 245 pama mapiritsi 80.

Pazonse, mankhwala opangira maantibayotiki ndiwotsika mtengo komanso wotsika mtengo, mtengo wawo umatengera mtundu wa mankhwalawo, popeza kutulutsa kokwanira ndikofunikira kugwiritsa ntchito m'badwo waposachedwa wa mankhwala, mtengo wawo ungakhale wokwera pang'ono kuposa ena onse. Ngati kuikidwa kumapangidwa kuti athetsere zizindikiro za kutupa, ndiye kuti amatembenukira ku mankhwala osavuta, omwe angakhale otsika mtengo.

Malangizo ogwiritsira ntchito

Kugwiritsa ntchito maantibayotiki pafupipafupi ndikosayenera chifukwa pamenepa pali zosokoneza za tizilombo tating'onoting'ono tomwe timagwiritsa ntchito. Ndi kugwiritsa ntchito mosasamala komanso mosagwiritsa ntchito mankhwala ochepetsa mphamvu ya chifuwa, zizindikiro za kapamba zimayenera kuchotsedwa kwa nthawi yayitali osati kuchitira bwino nthawi zonse. Chifukwa chake, kumwa mankhwala osokoneza bongo kuyenera kuyambitsidwa pokhapokha kuwongoleredwa ndi katswiri ndikutsatira malangizo ake mosamalitsa. Ndizoletsedwa kuchitira mankhwala opha mabakiteriya popanda vuto, chifukwa ndikotheka kukulitsa zomwe zili ndi matenda ngati awa ndipo matendawa amadzikumbutsa okha mobwerezabwereza. Zochita zoterezi zimatha kuyambitsa mavuto yayitali kwa nthawi yayitali komwe kumatha kuchitika mwa kupweteka kwa kapamba kapena matenda a shuga.

Kuchita mankhwalawa pogwiritsa ntchito maantibayotiki amphamvu kumafunika kutsatira malangizo ogwiritsa ntchito mankhwalawa:

Kukhazikitsidwa kwa mankhwalawa kudzera mu jakisoni wamkati kapena mu mnofu kumakhala kothandiza,
Chithandizo cha mankhwalawa chimatha sabata limodzi kapena iwiri, kugwiritsa ntchito maantibayotiki osavomerezeka,
Maantibayotiki omwe mapiritsi amatsukidwa ndi madzi okhaokha,
Saloledwa kudzilimira payekhapayekha malinga ndi mankhwalawo.
Ngati palibe kusinthika kwa kukhala bwino ndi kugwiritsa ntchito mankhwalawa kwa masiku atatu, ndikulimbikitsidwa kuyang'anitsanso nthawi yomwe mwapangidwiratu, popeza izi zimawonetsa kusadziletsa kwa ma virus.
Maphunzirowa ayenera kutsirizidwa kwathunthu, kumaliza kwake kusanachitike chifukwa chosintha thanzi sichiloledwa.
Kuphatikiza zotsatira zabwino kuchokera ku chithandizo, mankhwala akupitiliza kwa masiku ena awiri,
Kulandila kwa mankhwala kuyenera kuchitika nthawi yofotokozedwa mosiyanasiyana, pakanthawi kovomerezeka - pakukonzekera, kuyenera kuchitika mosiyanasiyana kwa mankhwalawa.

Ndikofunikira kwambiri kuwongolera mkhalidwe wa odwala ndikuwunika chithandizo choyenera ndi mankhwala a kapamba, chifukwa ndi matenda omwe amapezeka pafupifupi kawiri alionse amabweretsa zovuta zazikulu.

Chifukwa chake, ndikofunikira kwambiri pankhaniyi kutsatira malamulo a mankhwalawa ndi antibacterial agents:

Kukhazikitsidwa kwa mankhwala opha pancreatitis kumachitika kokha makamaka kutchulidwa, ndiye kuti, pamene chithandizo chokwanira sichinabweretse mpumulo.
Musanalembe mankhwala, muyenera kumuyesa wodwalayo, ndikofunikira kuti mankhwalawa abweretse mankhwala.
Kuti mupeze zotsatira zake mwachangu, ndikulimbikitsidwa kulandira ma jakisoni omwe ali ndi jakisoni.
Ndikofunika kutsatira mosamalitsa njira yomwe mwayikirayo ndikuimaliza kwathunthu, ngati masiku khumi akuperekedwa, ndiye kuti chithandizo chamatenga nthawi yambiri, osatinso, koma osachepera.

Zitha kutenga nthawi yayitali kuchiritsa kapamba, chifukwa chake simuyenera kuyembekeza kuti zotulukazo zitha kupezeka mwachangu ndipo zizindikilo za matendawa zitha kutha. Ngakhale atachira kwathunthu, chiwopsezo cha kuchuluka sichitha.

Contraindication

Ndi kutupa m'mapapo, ndikofunikira kuyang'anitsitsa momwe wodwalayo alili, popeza matenda omwe alipo chifukwa cha kapamba angawononge mphamvu ya chithandizo chomwe adalandira. Chifukwa chake, monga contraindication yomwe imapangitsa kugwiritsa ntchito mankhwala osokoneza bongo kukhala osayenera, zinthu zotsatirazi zitha kugwira ntchito:

Kukhalapo kwa HIV
Mkhalidwe wa pakati ndi nthawi yoyamwitsa,
Matenda akulu a chiwindi,
Kusalolera payekha kwa mankhwala othandizira,
Mkhalidwe kulephera aimpso.

Pa mankhwala, kudziletsa kugwiritsa ntchito zakumwa zoledzeretsa ndikofunikira, ngati izi sizinachitikebe kale. Monga mukudziwa, kapamba ndi mowa ndi malingaliro apadera, ndipo ngati wodwalayo akufuna kuchira, ndiye kuti amakana mowa. Ngati wodwalayo ali ndi vuto loti siligwirizana ndipo m'mbuyomu anali ndi vuto lililonse la mankhwala, muyenera kudziwitsa dokotala.

Maantibayotiki opha pancreatitis mwa mwana

Odwala achikulire amatha kugwiritsa ntchito mankhwala aliwonse omwe amuchidwayo pochiza, popanda zotsutsana nawo. Ana ayenera kuthandizidwa mosamala popereka mankhwala, chifukwa si mitundu yonse ya mankhwala omwe angagwiritsidwe ntchito paubwana. Chifukwa chake:

Mankhwala ochokera ku gulu la fluoroquinolones amatha kulepheretsa kukula kwa mafupa ndikuletsa kukula kwawo.
Cephalosporins imavulaza ana chiwindi.

Komanso, ana sakhazikitsa mankhwala monga Amikacil, Netilmicin, Cephalexin, Ampicillin ndi Amoxicillin, chifukwa kugwiritsa ntchito sikupereka chithandizo chofunikira chifukwa chochepa chogundika.

Kodi maantibayotiki amalembedwa liti?

Kwambiri, ndi matenda apanthawi yake, njira za mankhwalawa zochizira kapamba zimabweretsa zotsatira zabwino. Momwemonso momwe ochiritsira ochiritsira sanathandizidwe, amathandizidwa ndi maantibayotiki kuti atulutse kapamba ku microflora ya pathogenic.

Kugwiritsa ntchito maantibayotiki kumachitikanso ndi zovuta zazikulu zomwe zimapezekanso chifukwa cha kapamba. Chifukwa chake, ndimatenda achilengedwe omwe ali ndi matendawa, zizindikiro zake ndizosakhazikika za michere yopangidwa ndi edema ya chiwaloacho. Zotsatira zake, timadzi tambiri tomwe timatulutsa timadzi tomwe timatulutsa pakhungu timadziunjikira tokha ndipo zinthu izi, polumikizana ndi zotumphukira za m'mimba, zimayambitsa kutupa. Matendawa ndi owopsa kwa wodwala, chifukwa amakhala gawo loyambirira la peritonitis. Kuperekera nthawi yake maantibayotiki mu mlingo wofunikira kungasokoneze kupititsa patsogolo kwa mkhalidwe wopweteketsa moyo ndikuletsa zotsatira zoyipa kwambiri. Pofuna kuti musaphonye nthawi, popeza njira ya pathological imakhala yofulumira, maantibayotiki pamenepa amapezeka mu jakisoni wamkati kapena m'mitsempha yamkati. Njira zonse zamankhwala zimachitidwa poyang'aniridwa ndi achipatala.

Njira zina zochizira

Chithandizo chogwiritsa ntchito njira zovuta chimatha kusintha matendawa mwachangu ndikubwezeretsa ntchito zake zofunika. Mu chifuwa chachikulu cha pancreatitis, mankhwala amalembedwa ndipo amakonzedwa njira yochizira odwala. Njira zamankhwala zimapangidwa kuti zithetse zizindikiro zopweteka zomwe zimachotsedwa mothandizidwa ndi No-Shpa ndi Papaverine.

Kutupa kukachitika komwe kumakhudza kapamba, mankhwala osapweteka a antiidal ndi a aspirin sagwiritsidwa ntchito, chifukwa amatha kukhumudwitsa mucous membrane wa gland ndikuchepetsa magazi, chifukwa chake, odwala amamva kupweteka kwambiri ndikuwopseza kutulutsa magazi mkati.

Metronidazole nthawi zambiri amatengedwa ngati mankhwala antimicrobial mu milandu yayikulu ya matendawa, ndizofunikira makamaka makamaka pazilonda zowonjezera zomwe zimakhudza kapamba.

Panthawi yochulukirapo ya kapamba, kukana kwa enzyme iliyonse ndikofunikira kwambiri, chifukwa izi zimatha kuyambitsa kusintha kwakukuru mu mkhalidwe wake. Ma Enzymes monga mankhwala obwezeretsa m'malo mwake chifukwa cha kuperewera kwawo amatengedwa pokhapokha kutha kwa nthawi yovuta kwambiri.

Kutalika kwa njira zina zochiritsira pogwiritsa ntchito mankhwalawa kumatsimikiziridwa ndi dokotala. Sizoletsedwa kuti tiziunikira pawokha kapena kusintha kusintha kwa mankhwalawa, chifukwa izi ndizovulaza thanzi, komanso kupangitsa kuti pakhale chidwi china.

Ngati njira ina yochiritsira, kugwiritsa ntchito opaleshoni kungaganiziridwe. Pankhaniyi, mitundu iwiri imanenedwa - monga njira yachindunji komanso yosadziwika. Ndi kulowererapo kwawoko, opareshoni imachitidwa pa chimodzi mwazigawo zam'mimba. Kuthandizira mwachindunji kumagwiritsidwa ntchito pochotsa cysts, gallstones, komanso gawo la zikondwerero zomwe zimakhudzidwa ndi necrosis. Njira ya opaleshoni imagwiritsidwa ntchito popanga zovuta ndi zovuta koma ngati mankhwalawa samabweretsa zotsatira zomwe akuyembekezeredwa.

Chakudya chokhazikika cha kapamba chimawerengedwa monga njira ina yogwiritsira ntchito maantibayotiki. Zakudya zopatsa thanzi matendawa ziyenera kukhala zopindika, kuchuluka kwa zakudya zamagawo ochepa sayenera kukhala ochepera asanu patsiku. Kunja kwa nthawi yowonjezereka, odwala ayenera kulandira zinthu zambiri zama protein, apo ayi zakudya za tsiku ndi tsiku sizosiyana kwambiri ndi zakudya zama pathologies ena am'mimba.

Okondedwa owerenga, malingaliro anu ndiofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kuwunika maantibayotiki a kapamba mu ndemanga, izi zingakhale zothandizanso kwa ogwiritsa ntchito ena a tsambali.

Victor:

Ine, monga dokotala wodziwa zambiri, ndikudziwa bwino ndipo nthawi zambiri ndimaona momwe odwala amapezeka ndi kapamba. Nthawi zambiri, zinali zotheka kuchepetsa zovuta zawo pokhapokha mothandizidwa ndi maantibayotiki, makamaka muzochitika pamene matendawa ayambitsidwa ndipo kapamba palokha ali woipa. Zachidziwikire, odwala oterewa sangathe kubwezeretsanso thanzi labwino kwa odwala otere, koma apambana nthawi yayitali kutalikitsa kukhalapo kwawo ndikuwapangitsa kukhala omasuka momwe angathere pambuyo pa maantibayotiki.

Alena:

Ndikuvomereza kuti kumwa maantibayotiki kumathandiza kwambiri pakuthandizira matenda ovuta kwambiri. Munthawi imeneyi, odwala nthawi zambiri amakhala alibe chilichonse chotsalira, pokhapokha ngati maantibayotiki amphamvu atha kubwezeretsa microflora yachilendo kwa nthawi yayitali, ndipo pano adokotala ndi wodwalayo ali ndi ufulu wosankha. Njira ziti zomwe zingagwiritsidwe ntchito kusunga thupi, muyenera kupanga chisankho pamodzi. pakati pa tsiku amalola. Monga akunenera, kukonzekera kudya. Zotsatira zake, ululu wake wam'mimba udayamba kuwoneka, nthawi zina amadwala, ndipo akamadina zikondamoyo, amamva kuwawa. Kodi ndizosatheka kuchiritsa, ndipo safuna kumva zakuletsa zakumwa.

Mitundu ya maantibayotiki omwe amagwiritsidwa ntchito pancreatitis

Kupangira mankhwala opha tizilombo ndikofunikira pakuwonjezereka kwa matenda a kapamba. Ntchito mankhwala a m'badwo waposachedwa kwambiri. Dokotala amamulembera mankhwalawo, poganizira zaumoyo wa wodwalayo, kuopsa kwa vutolo, kupezeka kwa zotsutsana. Dotolo afotokozereni chifukwa chomwe akufotokozera mankhwalawa, atenga nthawi yayitali bwanji kuti mugwiritse ntchito mankhwalawa.

Popeza kuti matenda a pancreatic amaonedwa kuti ndi matenda oopsa komanso ovuta, pamene kutupa ndi chizindikiro chimodzi cha pancreatitis chikuwonekera, amatenga antispasmodic ndikupita kwa dokotala. Sizoletsedwa kudzipangira nokha mankhwala othandizira, chifukwa izi zimapangitsa kuti azindikire zovuta.

Pakachitika matenda mthupi, maantibayotiki amaikidwa omwe amagwiritsidwa ntchito pochiza pancreatitis.

1. Cephalosporins a m'badwo wa 3-4 - Ceftriaxone, Cefaperazone, Cefipim.
2. Aminopenicillins amalimbana ndi B-lactamase - Sulbactam.
3. Penicillins - Amoxiclav, Augmentin, Flemoxin Solutab.
4. Carbapenems - Ertapenem, Meropenem.
5. Macrolides - Azithromycin, Clarithromycin, Amoxicillin.
6. Fluoroquinolones - Moxifloxacin, Gatifloxacin.

Ndi pancreatitis mwa akulu, ndizovomerezeka kumwa mankhwala aliwonse omwe adchulidwa ndi dokotala kuchokera pamndandandawu, malinga ngati palibe zotsutsana.

Pancreatitis ndi maantibayotiki sagwirizana mthupi la mwana, chifukwa chake, ndi kapamba, si magulu onse a mankhwala omwe amapatsidwa mankhwala.

Fluoroquinolones, carbapenems amalepheretsa kukula ndi mapangidwe amafupa.
Cephalosporins ali ndi poizoni.

Amaloledwa kwa achinyamata kupitirira zaka 12 kuti atenge Bactrim, yomwe imatulutsidwa m'mapiritsi ndi kuyimitsidwa.

Pamaso pa pachimake mawonekedwe a kapamba, antibacterial othandizira osiyanasiyana sipekitiramu zochita.

Nthawi zambiri, mankhwalawa amalowetsedwa m'mitsempha ndi m'mimba.

Ngati kuchulukitsa kwa matenda kapamba kumawonedwa, komwe kumayendetsedwa ndimatenda a chiwindi ndi ndulu, matumbo, owonetsedwa ndi kutentha kwamatumbo, colitis, flatulence, belching, ndiye kuti kapamba amathandizidwa ndi antibacterial. Makamaka pamene njirayo ipita kwa ziwalo zomwe zili pafupi. Mwachitsanzo, ndi njira yotupa mu chikhodzodzo, zotere zimagwiritsidwa ntchito.

Ngati palibe zizindikiro zotchulidwa za matendawa komanso zovuta za purulent, palibe chifukwa chomwa ma antibacterial othandizira osachiritsika a kapamba.

Pankhani ya nthenda yogwira ntchito, imawonedwa chifukwa cha kupweteka kwa ziwalo zina zam'mimba - chikhodzodzo, zotupa zake, matumbo. Zizindikiro za matendawa ndi ofanana ndi gawo la pachimake la kapamba. Cholecystopancreatitis ikachuluka, wodwalayo amadandaula chifukwa cha kutentha kwambiri, kupweteka kwambiri, kutsegula m'mimba, ndi kusanza. Zotsatira zake, amalembera:

mibadwo 3 ndi 4 ya cephalosporins yapamwamba,
macrolides, mankhwala amadziunjikira mu bile ndi kukonzekera kwambiri - Clarithromycin, Azithromycin.

Ngakhale zovuta ndi zovuta zomwe zingachitike mukamalandira mankhwala a antibacterial, amagwiritsidwa ntchito pokhapokha ngati adokotala adanenanso, monga zovuta, maantibayotiki amatha kupulumutsa miyoyo.

Mankhwala obwera mwatsopano

Ndi pancreatic pancreatitis, mankhwala opha majeremusi Ceftriaxone, omwe ndi am'badwo wachitatu, adalembedwa, amatha kuletsa kapangidwe ka makoma a mabakiteriya omwe amakhala tcheru ndi zomwe zimagwira. Mankhwalawa ali ndi mawonekedwe osiyanasiyana, amagwiritsidwa ntchito pakagwa zovuta, kupewa odwala ndi kapamba.

Mankhwala othandizira pancreatitis mwa munthu wamkulu amalowetsedwa m'matumbo, m'mitsempha.

Sizovomerezeka kugwiritsa ntchito chida ichi ngati:

kuchuluka kwa chidwi chamankhwala,
Miyezi itatu yapakati
nthawi yochepetsera
kutsika kwa impso ndi kwa chiwindi.

Ndikofunikira kudziwa kuti ceftriaxone amatanthauza mankhwala omwe sagwirizana ndi maantibayotiki ena omwe ali ofanana.

Zotsatira zake, pali kuchuluka kokwanira kwa maantibayotiki omwe amathandiza pancreatitis ndi zovuta zake, ndipo onse amapatsidwa zovuta zosiyanasiyana. Nthawi yomweyo, gulu lotere la mankhwala limatha kugwiritsa ntchito bwino komanso kuwopseza microflora yamatumbo. Chifukwa chake, madokotala ambiri amapereka mankhwala othandizirana paliponse kuti apewe izi.

Malamulo okalandira ndalama

Kuchita bwino kwa zotsatira za mankhwala opha maantibayotiki kutengera momwe wodwalayo adamwa mankhwalawo. Izi zimachitika makamaka ngati matendawa ndi oopsa.

Ngati mankhwala a antimicrobial sanatengedwe molondola, mavuto amakula.

Ziwengo
Kupsinjika.

Mawonekedwe a mankhwala mukamamwa maantibayotiki.

Ndi dokotala yekhayo amene amakupatsani mankhwala, potengera matendawa.
Maantifuwa amphamvu amagwiritsidwa ntchito ngati mankhwala achikhalidwe alibe mphamvu.
Pofuna kukwaniritsa mwachangu momwe mankhwalawo amathandizira, majekiseni amapatsidwa.
Ndikofunikira kutsatira njira ya mankhwala yomwe dokotala wakupatsani, kuti musachulukitse kapena kuchepetsa kugwiritsa ntchito maantibayotiki.
Ngati palibe kusintha pakapita masiku atatu, ndiye kuti tizilombo toyambitsa matenda timalimbana ndi antibayotiki, chifukwa chake limasinthidwa ndi lina.
Njira ya chithandizo ndi masiku 14.
Kuphatikiza zotsatirazi, nthawi yolandila iwonjezeka mpaka masiku awiri.

Chithandizo cha matenda a pancreatic chikhala chotalika, chifukwa chake musayembekezere zotsatira zazotsatira, koma tsatirani malangizo a dokotala.

Kugwiritsa antchito pafupipafupi antimicrobial

Mu pachimake matendawa, mitundu yambiri ya antibayotiki yokonzekera imalembedwa: fluoroquinolones, penicillin wopanga ndi cephalosporins. Tikhazikika pa mankhwala aliwonse mwatsatanetsatane.

Cefoperazone ® imayendetsedwa kudzera m'mitsempha. Wothandiza kwambiri polimbana ndi tizilombo tosiyanasiyana, tili ndi mphamvu ya bacteria. Amagwiritsidwa ntchito masiku 7 mpaka 10. Imagwiritsidwanso ntchito ngati chivundikiro cha antibacterial pochita opaleshoni ya kapamba ndi zovuta zake.

Ceftriaxone ® Kodi mbadwo wachitatu wa mankhwala a cephalosporin omwe ali ndi bactericidal. Njira ya mankhwala a kapamba ndi Cefriaxone pafupifupi sabata limodzi. Mankhwalawa amaperekedwa kawiri pa tsiku.

Amoxiclav ® - ndimaphatikizidwe apiritsi. Muli amoxicillin ndi clavulanic acid. Kuti mupeze chithandizo chokwanira, ndikokwanira kumwa piritsi limodzi kamodzi patsiku. Kutalika kwa maphunzirowa ndi pafupifupi masiku 7.

Pefloxacin ® kapena abactal ® - ndi mankhwala othandizira odwala omwe ali m'gulu la fluoroquinolones. Ili ndi kutentha kwakukulu kwa minyewa ya kapamba. Kulowetsedwa kogwira mtima kwambiri (kudzera m'mitsempha - kukhetsa, mkati mwa ola limodzi) kawiri pa tsiku.

Vancocin ® - maantibayotiki, maantibayotiki a gulu la glycopeptides. Amagwiritsidwa ntchito ngati sepsis, vuto la beta-lactam. Mankhwalawa amapangidwira kuchiza matenda. Chosakaniza chophatikizacho ndi vancomycin hydrochloride. Botolo imodzi ili ndi galamu ya 0,5 kapena 1 ya chinthu ichi. Mankhwala othandizira amapezeka mu mawonekedwe a ufa.

Doxycycline ® kutumikiridwa kudzera m'mitsempha kapena kudzera m'mitsempha. Ikaperekedwa, doxycycline ® imatsala pang'ono kulowa m'matumbo. Njira ya mankhwala kumatenga zosaposa masiku 10.

Maantibayotiki othandizira kupha pachimake

Mlingo ndi kutalika kwa nthawi ya mankhwala a antimicrobial chithandizo zimatengera kuopsa kwa matendawa komanso zovuta zina. Kusasunthika mu minyewa ya m'magazi ndi edema ndizovuta ndikukula kwa autolysis, momwe maselo ndi minyewa ya kapamba zimasokonekera mchikakamizo cha ma enzymes awo.

Nthawi zambiri pamakhala exudate - pathological chikhalidwe chodziwika ndi kudziunjikira kwachilengedwe kwamadzi. Omaliza, limodzi ndi ma enzymes a proteinolytic, amakumana ndi membrane wa peritoneal. Izi zimabweretsa kufooka kwa mapepala a parietal ndi visceral peritoneal, i.e. peritonitis.

Peritonitis imadzetsa chiwopsezo m'moyo wa wodwalayo ndipo imafunika chisamaliro chamankhwala. Matendawa akakhala kuti sanalandire chithandizo chamankhwala osakwanira kapena osakwanira, sizingachitike. Ndi matendawa omwe atha matendawa, kufa kumafika 60-80%.

Maantibayotiki omwe ali ndi mawonekedwe osiyanasiyana azithandiza kupewa zovuta za septic: Amoxicillin ®, Ciprolet ®, Chloromycetin ®.

Amoxicillin ® Ndi mankhwala osokoneza bongo opangidwa ndi gulu la penicillin. Imayamwa bwino ndi thupi ndipo siiwonongedwa ndi madzi a m'mimba. Amoxicillin ® mu pancreatitis pachimake imagwiritsidwa ntchito popewa kuyambiranso. Mankhwalawa amagwiritsidwa ntchito mwachangu.

Tsiprolet ® - Awa ndi antibacterial mankhwala ochokera pagulu la fluoroquinolones. Mankhwala, njira ya pakamwa yoyendetsera Ciprolet ® imachitika. Ma gramu-gramu, mabakiteriya osagwiritsa ntchito gramu komanso anaerobic tizilombo timawaganizira kwambiri mankhwalawo.

Chloromycetin ® kapena Chloramphenicol ®. Ili ndi zochita zambiri. Ma kristalo owawa osawoneka bwino sakhala ngati amasungunuka m'madzi. Amawerengera shigellosis, kapena kamwazi ndi typhoid fever. Chloromycetin ® imagwira ntchito kwambiri komanso poizoni. Chifukwa cha zovuta zoyipa, zimangoperekedwa chifukwa cha zilonda zoperewera.

Kwenikweni, mankhwalawa amaperekedwa kudzera m'mitsempha yam'mimba. Kuti muchepetse ululu, wodwalayo amapatsidwa mankhwala ochepetsa mphamvu ya mankhwala enaake, omwe amakhala ndi mphamvu yochititsa chidwi.

Kumwa maantibayotiki ndi njira yopewa kupewa matenda omwe angawononge moyo wathu. Matenda obwezeretsa bwino amawonekera ngati wodwalayo alumikizana ndi chipatala chapadera.

Maantibayotiki ochulukitsa matenda a kapamba

Kumwa mankhwala a antibacterial a pancreatitis ndi osathandiza komanso koopsa, chifukwa kutupa kumakhala ndi matenda osapatsirana. Mankhwala amphamvu amatha kulowa m'matumbo a lumen ndikuwononga microflora yopindulitsa.

Dokotala wa gastroenterologist amalembera maantibayotiki ngati pali mwayi wokhala ndi parapancreatitis. Kusinthidwa kwakanthawi kameneka kumabweretsa kufooka kwa mafayilo obwezeretsanso. Pakubwerera, madokotala amapereka njira yothandizira odwala omwe ali ndi Ampioksom ®, Augmentin ®, Cefuroxime ®, Cefixime ® ndi Cefoperazone ®.

Kupha matendawa kwa amayi apakati, mankhwala okonzekera ma penicillin kapena mwachitsanzo, ampicillin, adayikidwa. Woopsa, kukhazikitsidwa kwa Carbenicillin ®.

Maantibayotiki othandizira odwala kapamba chifukwa cha matenda akuluakulu siabwino pochizira ana. Kwa azaka zopitilira 12, Bactrim ® ndiyabwino , likupezeka piritsi komanso mafomu oimitsa. Amatengedwa pakamwa ndikutsukidwa ndi madzi ambiri. Mimba ndi mkaka wa m`mawere si contraindication, koma ndi bwino kufunsa dokotala.

Malamulo ndi mawonekedwe a kumwa maantibayotiki

Chithandizo cha mankhwala omwe ali ndi ma antiotic antiotic amafuna maulangizi angapo:

kukwaniritsa kwambiri kumalola kuti mugwiritse ntchito intravenous kapena mu mnofu makonzedwe a mankhwala,
Njira ya chithandizo ndi kuyambira masiku asanu ndi awiri mpaka milungu iwiri. Kupitilira masiku 14 a antibayotiki osavomerezeka.
tikulimbikitsidwa kuti timwe mankhwala ndi madzi oyera okha,
palibe chifukwa chomwe mungasinthiremo kusintha mwakufuna kwanu,
Kusintha kwa zinthu mkati mwa masiku atatu kukuwonetsa kuti tizilombo toyambitsa matenda timalimbana ndi mtundu uwu wa mankhwalawa, motero mankhwalawo ayenera kusinthidwa.
Simungaleke kumwa mankhwalawo mukangokhala kuti zinthu zili bwino.
kuphatikiza zotsatirazi, mankhwalawa apitirize masiku ena awiri,
pakati Mlingo wa mankhwala, m`pofunika kukhalanso ofanana nthawi kukhalabe ndende ya mankhwala m'magazi.
Maantibayotiki a kapamba ndi cholecystitis amadziwika ndi dokotala okha.

Njira Zina Zothandizira

Njira yophatikizidwa imatilola kusintha ndikukhazikitsanso kapamba munthawi yochepa kwambiri. Ndi kapamba, kupitilira mu mawonekedwe osakhazikika, lipatseni mankhwala ndikupanga mndandanda wazithandizo. Pakuchulukitsa, ndikofunikira kuyitanitsa chithandizo chamankhwala mwadzidzidzi ndikuthira compress yozizira pamimba yapamwamba. Masiku atatu oyambilira akuwonetsa kugona ndi kugona pa bedi.

Mankhwala osokoneza bongo amapangidwa kuti athetse kupweteka kwambiri. Ndi kuchulukitsa, wodwalayo amamva kupweteka kwambiri, komwe amayimitsidwa ndi mankhwala monga No-shpa ® ndi Papaverine ®.

Kugwiritsa ntchito mankhwala a aspirin komanso osagwiritsa ntchito mankhwala opha ma cell osagwiritsa ntchito mankhwalawa kumachotsedwa, chifukwa amakhumudwitsa mucous nembanemba magazi, zomwe zimapangitsa kuti magazi azituluka mkati.

Monga mankhwala owonjezera antimicrobial, tikulimbikitsidwa kuti mutenge Metronidazole ®. Mu kapamba, metronidazole ® nthawi zambiri imayikidwa makamaka pakakhala zovuta kusintha kwa necotic pafupifupi 30% ya kapamba.

Kutenga mankhwala a antisecretory, monga omeprazole ®, kumachotsa matenda am'mimba omwe amadalira asidi pochepetsa kupanga hydrochloric acid.

Kugwiritsa ntchito kukonzekera kwa enzyme mu nthawi yovuta kwambiri sikuletsedwa.

Encyme m`malo mankhwala amamuthandiza kukonza Zizindikiro za exocrine kusowa, pokhapokha njira yotupa yotupa ithe.

Kutalika kwa mankhwala ndi kuchuluka kwa mankhwalawa kuyenera kusankhidwa ndi adokotala okha. Kusintha kwaulere kwa mankhwala kumatha kuvulaza thanzi, komanso kumayambitsa chiwopsezo chatsopano cha kapamba.

Ndi chithandizo chothandizira, ma enzymes amatengedwa, mwachitsanzo, Mezima ® kapena Festal ®, omwe amasintha chimbudzi ndikuwongolera ntchito ya kapamba. Ngati kutupa kumayendetsedwa ndimatenda amchere amchere, ndiye kuti njira zothetsera isotonic zimayikidwa.

Opaleshoni ndi njira yachindunji komanso mwachindunji yotupa kwamatumbo. Poyambirira, ntchito zimachitika pa ziwalo zam'mimba, ndipo chachiwiri, kukhetsa kwa zotupa za cystic, kuchotsa ma gallstones kapena mbali zina zomwe zimakhudzidwa zimachitika. Chithandizo cha opaleshoni chimagwiritsidwa ntchito pakusagwiritsa ntchito njira zosasinthika komanso kukhalapo kwa zovuta zambiri.

Odwala ayenera kutsatira zakudya okhwima komanso zakudya zopatsa thanzi. Muyenera kudya osachepera kasanu patsiku. Pa chikhululukiro, kugwiritsa ntchito zakudya zomwe zimakhala ndi mapuloteni ambiri zimasonyezedwa. Chakudya chokhwima chomwe sichimaphatikizapo zakudya zonunkhira komanso mafuta, cocoa, khofi ndi zakumwa zozizilitsa mpweya zimathandizira kuchira. Madzi amchere am'madzi ali ndi phindu pazakudya zam'mimba.

Maantibayotiki othandizira kutupa kwa kapamba

Kufalikira kwa tizilombo tating'onoting'ono toyambitsa matenda mu kapamba timapezeka:

hemato native
zam'malo
njira yokwezeka.

Potsirizira pake, nthendayo imalowa kuchokera kugaya ziwalo zapafupi: the duodenum, chikhodzodzo, dongosolo la mitsempha ya portal.

Maantibayotiki apadera amtundu wa kapamba, pafupipafupi ndi nthawi yaudindo woikidwiratu ndi dokotala, mutaganizira:

kuopsa kwa chikhalidwe
zam'tsogolo matenda,
mbiri yakaliyonse
zopikisana.

Malamulo ndi mawonekedwe a kumwa maantibayotiki

Mukamasankha antibacterial mankhwala, zotsatirazi zimaganiziridwa:

kuthekera kolowa ndi chotchinga cha hematopancreatic mu tiziwalo timene timayamwa ndi ziwalo zapafupi,
contraindging poika mankhwala enaake,
microflora sensitivity,
zovuta za mankhwala.

Mwa zina zoyipa, matupi awo sagwidwa nthawi zambiri amapezeka kuti ndi:

zotupa limodzi ndi kuyabwa,
rhinitis
Quincke edema - moyo wowopsa.

Zikatero, mankhwalawo amathetsedwa.

Mwina kukula kwa kuledzera ndi mankhwala antimicrobial. Chifukwa chake, kumwa mankhwala kuli ndi malamulo ena ake:

osamwa mowa nthawi yonseyi,
kutsatira malangizo a mankhwala,
osapitilira muyeso umodzi komanso tsiku lililonse,
kutenga mosamalitsa pafupipafupi.

Ngati lamulo limodzi silikusungidwa, zotsatirazi ziziwoneka:

mutu
chizungulire
kusamva
kusokoneza kayendedwe ka kayendedwe.

Kugwiritsa ntchito maantibayotiki pafupipafupi kumapangitsa kuti zomera za pathogenic zizikhala zosokoneza mankhwalawa chifukwa cha masinthidwe omwe amachitika. Amaphatikizidwa ndi kugwiritsidwa ntchito kosalamulirika komanso konyansa kwa antimicrobial othandizira. Pankhaniyi, ndikokayikitsa kuchiritsa matendawa. Chifukwa chake, mutha kumwa kapena kumangiriza mankhwala osankhidwa ndi akatswiri okha.

Ndi zoletsedwa kuti mudzichite nokha, apo ayi, nthenda yomwe ili ndi matendawa idzayambidwanso.

Izi zimatha kubweretsa kukulitsa zotsatira zoyipa zazitali komanso zoyambitsa:

Ndi kugwidwa kwamphamvu

Zimatsimikiziridwa kuti mankhwala othandizira (ngati wodwalayo adakhala ndi kapamba pancreatitis) amatha kuchepetsa chiopsezo chotenga matenda a pancreatic necrosis, koma samakhudza kufa.

Ma antimicrobials amalembedwa pokhapokha pakutsimikizika kwa pancreatic necrosis ndi chiwopsezo chomwe chikukula:

Koma amagwiritsidwa ntchito pochiza:

cholangitis
stasis ya bile, ngati ndulu yadzaza ndi calculi,
ma cysts angapo, ngati pali njira yotupa ndipo kapamba ndimapweteka kwambiri.

Mu kutupa kosalekeza

Ngati matenda a kapamba amayamba kuipiraipira, matendawa ayenera kuthandizidwa ndi antimicrobial wothandizila akazindikira kuti:

peripancreatitis ndi ultrasound ndi CT,
pachimake cholecystitis, cholangitis kapena kuchulukitsa kwa matenda mu chikhodzodzo,
kukula kwambiri kwama bakiteriya m'matumbo.

Mitundu ya maantibayotiki omwe amagwiritsidwa ntchito pancreatitis

Ngati chiwonetserochi chikufotokozedwa, chithandizo chamankhwala othandizira am'badwo waposachedwa chimagwiritsidwa ntchito. Poika ndi dokotala, poganizira zaumoyo, kuwawa kwa vutolo, ma contraindication omwe akupezeka. Awunikanso chifukwa chomwe mankhwala aliwonse amupangira, nthawi yayitali bwanji komanso muyezo uti wa piritsi ndi piritsi (piritsi kapena jakisoni) ndikofunikira kumwa mankhwala.

Popeza kuti pancreatitis ndiwowopsa komanso yovuta kuchiza matenda, ngati pali kutupa ndi chizindikiro chimodzi cha pancreatitis, ndikofunikira kutenga antispasmodic ndikuyitanitsa dokotala kapena gulu lodzidzimutsa mwachangu. Ndizowopsa kupatsa mankhwala ena nokha dokotala asanamufufuze: mawonekedwe a chipatala atha kuchotsedwa, zomwe zipangitsa kuti azindikire zovuta za matendawa..

Kuchepetsa ndi chithandizo chovuta kwambiri, chomwe chikuyenera kuperekedwa chifukwa cha kapamba, sichovomerezeka. Chifukwa chake, mankhwala othandizira ophatikizika amagwiritsidwa ntchito, ngati pali zisonyezo pakugwiritsa ntchito kwake. Amagwiritsidwa ntchito popanda kudikira yankho la kufesa bakiteriya kuti chidwi chazomera chikhale ndi maantibayotiki. Zotsatira za phunziroli zikapezeka, chithandizo chimasinthidwa poganizira momwe wodwalayo alili komanso kamvekedwe ka zinthu za antibacterial. Ngati ndi kotheka, sinthani maantibayotiki.

Mndandanda wa mankhwala a antibacterial ofunikira chithandizo ndiwambiri:

cephalosporins a mibadwo 3 ndi 4 (Ceftriaxone, Cefaperazone, Cefipim),
aminopenicillins kugonjetsedwa ndi B-lactamase (Sulbactam),
penicillins (Amoxiclav, Augmentin, Flemoxin Solutab),
carbapenems (Meropenem, Ertapenem),
macrolides (Azithromycin, Clarithromyci, Amoxicillin),
fluoroquinolones (Moxifloxacin, Gatifloxacin).

Dzina la mankhwalawo kuchokera pagulu limodzi lingakhale losiyana. Zimatengera dziko lopanga komanso kampani yopanga mankhwala yomwe imapanga. Mtengo wa mankhwala omwe ali ndi chophatikizira chomwecho ndiwosiyana: mankhwala oyamba ndiokwera mtengo kwambiri kuposa ma generics. Koma izi sizitanthauza kuti kupambana kwa makopi kumakhala kotsika kwambiri kuposa mankhwala omwe amadziwika.

Wachikulire amathanso kuthandizidwa ndi mankhwala aliwonse omwe adanenedwa ndi adokotala kuchokera pamndandandawu, malinga ngati palibe zotsutsana. Sikuti magulu onse a antibayotiki omwe amagwiritsidwa ntchito mwa mwana:

fluoroquinolones ndi carbepenems amaletsa kukula kwa mafupa ndi chitukuko,
cephalosporins poizoni chiwindi.

Sitikulimbikitsidwa kutenga:

aminoglycosides (Amikacil, Netilmicin),
Cephalosporins a m'badwo woyamba (Cephalexin, Cefazolin),
aminopenicillins (Ampicillin, Amoxicillin).

Kuphatikizika kwawo mu minyewa ya kapamba sikufikira pakufunika kwa achire.

Maantibayotiki matenda a cholecystopancreatitis

Rease pancreatitis imayamba chifukwa cha pachimake matenda a ziwalo zina zam'mimba: ndulu ndi ndulu zake, matumbo. Chithunzi cha chipatala chimafanana ndi pancreatitis yayikulu. Ndi kuchulukana kwa cholecystopancreatitis, kumachitika ndi kutentha kwambiri, kupweteka kwambiri, kutsegula m'mimba ndi kusanza, ikani izi:

othandiza kwambiri cephalosporins 3 ndi 4 mibadwo,
macrolides (amadziunjikira mu ndulu yambiri) - Clarithromycin, Azithromycin.

Ngakhale zingakhale zovuta zina komanso kuthekera kwa zovuta panthawi ya mankhwala opha maantibayotiki, ayenera kumwedwa monga momwe adanenera adotolo, popeza muzovuta kwambiri, mankhwalawa amatha kupulumutsa miyoyo.

Kodi chiwindi ndi kapamba ndi chiani

Ziwalo zonse ziwiri ndizofunikira pakugwira bwino ntchito kwa thupi, matenda amtundu uliwonse omwe amayambitsa zovuta zam'mimba. Tiziwopsezo timatanthauzira kapangidwe ka michere, mahomoni omwe amalimbikitsa chimbudzi cha chakudya, kuyamwa kwa zinthu, kuwongolera kagayidwe kazakudya, mapuloteni - kuwonongeka kwa mapuloteni. Chiwindi ndi malo ogwirira ntchito a thupi, omwe ali kudzanja lamanja, pansi pa chithunzi.

imatulutsa bile
nawo hematopoiesis,
amalimbikitsa mapuloteni, vitamini, madzi, chakudya,
zimalepheretsa ma allergen, poyizoni,
amachotsa zinthu zowola.

Ikani zikondamoyo pakhoma lakumaso kwa peritoneum kumbuyo kwa m'mimba. Thupi limakhala ndi madipatimenti awiri:

m'modzi- amapanga madzi a pancreatic, ma enzyme ake omwe amawononga zinthu zonse za m'mimba zopezeka m'mimba,
chachiwiri, yosagwirizanitsidwa ndi zonyansa za England, amatulutsa insulini yomwe imalowa m'magazi, yomwe imakhudzidwa ndi kagayidwe kazachilengedwe.

Chithandizo cha chiwindi ndi kapamba ziyenera kuchitika kokha ndi dokotala - kudziwitsa molondola ndi kupatsidwa mankhwala molondola ndikofunikira. Ndi matendawa, ziwalo zonse ziwiri zimakhala ndi zofanana zomwe sizimawoneka koyambirira. Malo omwe ululu umatsimikiziridwa ndi gawo lomwe lakhudzidwa. Zizindikiro zotsatirazi zamatenda zimadziwika:

kulawa kowawa mkamwa
khungu limasintha
ukufalikira
kutentha kwa mtima
chikasu pakhungu,
mkodzo wakuda
kutupa
kutentha kuwonjezeka
kusowa kwa chakudya
ndowe zakuda ndi ntchofu,
kusanza
kutsegula m'mimba
kudzimbidwa
kuwonda.

Ndizosavomerezeka kudzilingalira nokha ziwalo zofunika izi. Pambuyo polumikizana ndi adotolo, wodwalayo amatumizidwa kuti akakhale ndi mayeso kuti adziwe bwino matendawa, kupatula chotupa chowopsa. Chithandizo chachikulu cha chiwindi ndi kapamba zimaphatikizapo zinthu zingapo:

kukana kumwa zakumwa zoledzeretsa,
kusuta kusuta
kudya okhwima
kupatula mafuta, zonunkhira, yokazinga, yosuta ndi zotsekemera,
Matenda a mtundu wa zakumwa,
zakudya zabwino.

Pakakhala vuto, wodwala amatumizidwa kuti akalandire chithandizo. Pancreatitis - nthenda ya kapamba - imafunikira kupatsa thupi mpumulo masiku oyambira, kuletsa kupanga kwa michere yambiri. Pankhaniyi, kusala, kupumula, kuzizira pamimba ndikulimbikitsidwa. Pozindikira mozama, madokotala amatipatsa mankhwala a chiwindi ndi kapamba:

Ndi kutupa kwambiri, chiwopsezo cha zovuta, njira yochizira imaphatikizapo kugwiritsa ntchito mankhwala a mahomoni. Kuphatikiza apo, ikani izi:

mankhwala azitsamba omwe amalepheretsa kuwonongeka kwa maselo,
mavitamini akuluakulu - kulimbitsa chitetezo,
Ma enzyme omwe amachititsa kuti minyewa iziyenda bwino,
kuyeretsa kukonzekera - kulowetsedwa kwa shuga, njira za saline zochotsa poizoni, poizoni,
othandizira obwezeretsa omwe amalimbikitsa kukonzanso kwa khungu panthawi yachikhululukiro.

Mankhwala ochizira chiwindi ndi kapamba

Kuzindikira molondola kumathandizira kupereka mankhwala moyenera. Chiwalo chilichonse chimakhala ndi chithandizo chamankhwala, malinga ndi zomwe zimayambitsa matendawa. Kuchiritsa matenda omwe amayamba chifukwa cha zovuta, matenda, poyizoni,

hepatoprotectors kuteteza kapangidwe ka limba - Hepabene, Phosphogliv,
blockers of spasms, ululu - No-shpa, Drotaverin,
Maantibayotiki omwe amalimbana ndi tizilombo toyambitsa matenda - Tetracycline, Penicillin,
choleretic - Ursosan, Allohol.

Ntchito ya madotolo mu matenda a ziwalo zofunika zam'mimba ndikuthandizira kupweteka, kutulutsa matenda onse, ndikuchotsa poizoni. Kuti muthane ndi vutoli, magulu angapo amankhwala amagwiritsidwa ntchito. Potsitsimutsa kapamba, mankhwala otsatirawa ndi omwe adapangidwa:

zida zokumba - Panzinorm, Creon,
Maantacid okhala omwe amachepetsa zotsatira za asidi am'mimba - Maalox, Phosphalugel,
proton bomba inhibitor yomwe imabwezeretsa chimbudzi ku gastritis, matenda a zilonda zam'mimba, omez,
mankhwala azitsamba omwe amachepetsa kutupa - Hofitol, Legalon,
proteinolysis inhibitor - Okteriod.

Madokotala amagwiritsa ntchito mankhwala kuti abwezeretse chiwindi ndi kapamba, kuchotsa zizindikiro za matendawa:

antiviral - Ribavirin, Interferon,
njira zothetsera poyizoni wakupha - Gluconeodez, Hemodez,
antibacterial othandizira - Bactrim, Biseptol,
kusanza, nseru - Motilak, Tserukal,
ndi m'mimba - Imodium,
pakufalikira - Espumisan.

Hepatoprotectors

Gulu la mankhwalawa limathandizira kukonza ndikuwongolera ntchito kwa chiwindi. Mankhwala amathandizira kuti asatulutse zinthu zakupha, zoteteza ma hepatocytes ku zochita za zinthu zovulaza. Madokotala amapereka hepatoprotectors Liv 52, Heptral, Chofunikira Forte N, Silimar pochiza:

matenda amafuta a chiwindi,
mowa, kuwononga poizoni,
virus hepatitis
biliary cirrhosis,
zovuta zapuloteni
Mavuto opangidwa ndi bile,
mankhwala a chiwindi.

Wotchuka wa hepatoprotector LIV-52Amapangidwa m'mapiritsi, madontho, ndipo ali ndi zosakaniza zachilengedwe. Mankhwala amabwezeretsa ntchito ya thupi, amaletsa poizoni. Mankhwalawa amasiyanitsidwa ndi:

Zochita zochizira: mathamangitsidwe a hepatocyte kusinthika, kuchuluka kukana zoyipa, matenda a kagayidwe kachakudya njira, activation ya bile lotuluka.
Zizindikiro: aakulu, hepatitis yayikulu, mafuta hepatosis, cirrhosis.

Malangizo ogwiritsira ntchito LIV 52:

Kupanga: Zitsamba zopitilira 10 ndi mbewu zomwe zimaba kuchokera pakupanga kwazakumwa.
Mlingo: akulu - mapiritsi 2 katatu patsiku.
Mapindu ake: masamba azinthu zamasamba, kugwiritsa ntchito zaka ziwiri ndizololedwa.
Zotsatira zoyipa: hyperemia, edema, zotupa pakhungu, kutsegula m'mimba, kuyabwa, mseru.
Contraindication: mimba, kudziwa zosakaniza, kuyamwa.

Zochizira matenda a chiwindihepatoprotector hepabenezomwe zimagwira bwino ntchito ya ndulu, ma hepatocytes. Mankhwala ali:

Zochita zochizira: imabwezeretsa kukhulupirika kwa nembanemba maselo, katulutsidwe ka bile, imagwiranso ntchito kagayidwe kachakudya.
Zizindikiro zogwiritsidwa ntchito: kuledzera, bysary dyskinesia, nthawi yayitali ya matendawa, kuchepa kwamafuta, kuchiritsa kwa postoperative pambuyo pochotsa ndulu.

Kupanga: Tingafinye wa mankhwala owoneka bwino, mkaka nthula zipatso.
Mlingo: 1 kapisozi katatu patsiku ndi chakudya.
Ubwino: Zomera zimakhudza mankhwalawo.
Nthawi zoyipa: mawonetseredwe a thupi lawo, mkodzo wowonjezera, kutsegula m'mimba.
Contraindication: zaka mpaka 18, kuzindikira zigawo zikuluzikulu, kutupa kwambiri kwa chiwindi, ducts ya bile.

Othandizira

Kuwonongeka kwa chiwindi komwe kumayamba chifukwa cha mitundu ingapo ya ma virus. Matenda ndi akulu, amakhala ndi zovuta. Pathology imayambitsidwa ndi ma virus monga:

A - Matenda a Botkin, afala, kufalikira kwawonjezera kufooka kwa chiwindi,
Mu- zinthu zoyipa zimasintha kusayanjana ndi chiwonongeko cha ziwalo, zimayamba kukhala matenda a chiwindi,
Ndi- palibe katemera motsutsana ndi matendawa, mphamvu zoteteza sizinapangidwe,
E- Zofanana ndi mtundu A, koma zosavuta kutulutsa,
Delta- amapezeka limodzi ndi B osiyanasiyana, amakwiya mapangidwe otupa.

Zochizira matenda a chiwindi ntchito mankhwalaRibavirinopangidwa ndi makapisozi, mapiritsi, zothetsera zamkati zamkati, zomwe zimagwiritsidwa ntchito kuchipatala. Mankhwala amasiyanitsidwa ndi:

Zochita zochizira: imalowa m'maselo omwe akhudzidwa, imalepheretsa DNA ya kachilomboka, kuletsa kubereka kwayo.
Kupanga: yogwira pophika ribavirin.
Zizindikiro zogwiritsidwa ntchito: aakulu hepatitis mtundu C

Malinga ndi malangizo ogwiritsira ntchito, Ribavirin amasiyanitsidwa ndi:

Mlingo: Imakhazikitsidwa payekha ndi adotolo opezekapo.
Zotsatira zoyipa: kuchuluka kwa mavuto, chizungulire, mseru, uterine magazi.
ContraindicationSizoletsedwa kugwiritsa ntchito amayi apakati, oyembekezera, osakwana zaka 18, matenda amtundu wa endocrine, matenda a kupuma, kulephera kwa aimpso.

Kuphatikiza ndi Ribavirin, mankhwala ndi mankhwala. Interferonmukamagwiritsa ntchito mfundo iti:

Zochita zochizira: chitetezo chokwanira, kuponderezedwa kwa ma virus.
Zizindikiro zogwiritsidwa ntchito: hepatitis B, C, Delta.
Kupanga: zimatengera mtundu wa kumasulidwa.
Mlingo: nthawi ya maphunzirowa, kuchuluka kwake kumatsimikiziridwa ndi adokotala, poganizira momwe wodwalayo alili
Mapindu ake: kuchira msanga kwa chitetezo chathupi.
Zotsatira zoyipa: kunjenjemera m'thupi, pakamwa kowuma, kusokonezeka chidwi, kulawa mseru.
Contraindication: kusokonezeka kwa m'maganizo, khunyu, matenda a impso.

Thistle ndi Artichoke Mapiritsi

Zomera zamankhwala zimagwira ntchito pochiza matenda a chiwindi. Kuchita bwino ndikusiyana pakukonzekera komwe kuli artichoke ndi nthula mkaka - Legalon, Karsil, Hofitol. Njira yodziwika bwino ndiCinemalzomwe zimadziwika:

Zochita zochizira: hepatoprotective, antitoxic, activating kaphatikizidwe kamapuloteni, ma enzyme, kukhazikitsa ma cell membrane, minofu yobwezeretsa.
Zizindikiro zogwiritsidwa ntchito: hepatitis yayitali, poizoni wama cell, kukula kwa matenda amitsempha.

Mukamagwiritsa ntchito Sinimal, muyenera kuganizira:

Kupanga: nthula mkaka wokhala ndi silybin, silidanin, flavonoids, alkaloids.
Mlingo: Mapiritsi 2 katatu tsiku musanadye.
Mapindu ake: mankhwala azitsamba.
Nthawi zoyipa: thupi siligwirizana, kutsegula m'mimba.
Contraindication: mimba, kumva kukoma kwa zosakaniza.

Palibe mankhwala othandiza Hofitolyokhala ndi munda wa artichoke. Mankhwala omwe ali ngati njira yothetsera mkamwa amasiyanitsidwa ndi:

Zochita zochizira: kusintha kwa kutuluka kwa ndulu, kuyeretsa magazi kuchokera ku urea, ammonia, kumakulitsa kwamikodzo.
Zizindikiro zogwiritsidwa ntchito: hepatitis yayitali, matenda enaake, cholecystitis, dyskinesia wa biliary.
Kupanga: madzi am'munda wa artichoke munda.
Mlingokwa akulu katatu patsiku, 5 ml.

Mankhwala Hofitol, mogwirizana ndi malangizo omwe amagwiritsidwa ntchito, ali ndi izi:

Mapindu ake: poizoni wochepa, wogwira mtima.
Zotsatira zoyipa: ziwengo, ntchito kwa nthawi yayitali - kutsekula m'mimba.
Contraindication: mkaka wa m`mawere, pakati, matenda amphongo, matenda a impso, kwamikodzo, matenda amwano mu mawonekedwe owopsa.

Choleretic

Gulu la mankhwalawa limathandizira kukulitsa katulutsidwe ka bile, kukweza kwake, katulutsidwe m'matumbo. Kuchepetsa njira zomwe zikuyenda bwino kumathandizira kugaya chimbudzi. Mankhwala a Cholagogue amasiyana mu njira zawo zowonjezera zowonjezera:

Essentiale Forte - imafotokoza zam'mimba,
Ursosan- linalake ndipo tikulephera kupanga mafuta a cholesterol,
Hofitol- Imachepetsa kupangidwa kwa gasi, imachotsa kumverera kolemetsa,
Allochol- amateteza ntchito yam'mimba, matumbo,
Holosas- amasiyana mu anti-kutupa action.

Yemwe amapangira choleretic wothandizila, yemwe ali ndi mawonekedwe - Nikodin:

Zochita zochizira: odana ndi kutupa, choleretic, bactericidal.
Zizindikiro zogwiritsidwa ntchito: gastroenteritis, hepatitis yotakasika, cholecystitis, biliary dyskinesia.
Kupanga: yogwira pophika - hydroxymethylnicotinamide.
Mlingo: katatu patsiku 1 g.

Malinga ndi malangizo ogwiritsira ntchito, Nikodin amasiyanitsidwa ndi:

Zotsatira zoyipa: kupweteka kumanja mu hypochondrium, m'mimba, urticaria, thupi lawo siligwirizana, mphuno, kutsokomola, khungu redness.
Contraindication: cholestasis, hypersensitivity, anacid gastritis, mkaka wa m`mawere, pakati, zaka mpaka 10.

Madokotala nthawi zambiri amapereka Liobil - mapiritsi a chiwindi ndi kapamba. Mankhwalawa ali ndi choleretic. Gawo Lantchito:

Zochita zochizira: imalimbitsa ntchito ya ziwalo, imalimbikitsa kusweka, kuyamwa kwa mafuta.
Zizindikiro zogwiritsidwa ntchito: zosakwanira zakale ntchito ya kapamba, matumbo atomu, cholecystitis, hepatitis.
Kupangaimakhala ndi zigawo za bilevine achilengedwe.

Mukamagwiritsa ntchito Lobil, muyenera kuganizira izi:

Mlingo: piritsi katatu patsiku.
Mapindu ake: kapangidwe kazachilengedwe.
Zotsatira zoyipa: peristalsis, kuchuluka kwa matenda am'mimba, kutentha kwa mtima.
Contraindication: Mimba, blockage wa bile duct ndi miyala, kutupa kwa kapamba, kuyimitsa lactose, mkaka wa m`mawere.

Mankhwala opha tizilombo

Ngati tizilombo toyambitsa matenda tachititsa kuti ziwalo ziwiri zofunika kwambiri za m'mimba zigwiritsidwe ntchito, ma antibayotiki amagwiritsidwa ntchito ndi madokotala. Pali mawonekedwe ogwiritsira ntchito mankhwala osokoneza bongo. Mankhwalawa, amapatsidwa mawonekedwe a mapiritsi, mu mnofu, jekeseni wamkati:

cephalosporins- Ceftriaxone, Cefotaxime,
chimfine- Ciprofloxacin,
penicillin- Amoxiclav
yotakata-sipamu mankhwala - Bimeptol, Sigmamycin, Bactrin, Biseptol, Oletetrin.

Ndi kuchulukana kwa kapamba, mankhwala osokoneza bongo ndi mankhwala Rifampicinyomwe ili ndi mawonekedwe:

Zochita zochizira: bactericidal, amawononga tizilombo mkati mwa cell.
Zizindikiro zogwiritsidwa ntchito: bakiteriya matenda.
Kupanga: yogwira mankhwala ndi rifampicin.
Mlingo: 10 mg pa kilogalamu ya kulemera kamodzi pa tsiku.
Contraindication: matenda a chiwindi, chiwindi, kulephera kwa impso, kutenga pakati, zaka mpaka chaka.
Zotsatira zoyipa: kusanza, thupi lawo siligwirizana, chizungulire, mtima ndi mtima - kuchepetsa mavuto.

Maantibayotiki amagwiritsidwa ntchito pokhapokha ngati akuwuzani dokotala. Ndi kuchulukana kwa kapamba Ampicillin. Mankhwala:

Zochita zochizira: linalake ndipo tikulephera bakiteriya cell wall.
Zizindikiro zogwiritsidwa ntchito: matenda a m'matumbo.
Kupanga: yogwira mankhwala ndi ampicillin.
Mlingo: jakisoni wa akulu - mpaka 500 mg pambuyo pa maola 6, malinga ndi malangizo a dokotala.
Zotsatira zoyipa: malungo, rhinitis, kupweteka pamodzi, urticaria.
Contraindication: kudziwa penicillin, chiwindi ntchito, mitsempha yotupa, matenda a mononucleosis.

Mankhwala abwino kwambiri

Ndi matenda otupa am'mimba, omwe amaphatikizidwa pakudya m'mimba chifukwa chopanga ma enzymes apadera, madokotala amapereka mankhwala amakono kwambiri. Kukonzekera kumathetsa mavuto osiyanasiyana. Zochizira pancreatitis ntchito:

kusintha ma enzymes - Panzinorm, Mezim,
zikuthandizira kukopeka kwawo - ma antacites omwe amachepetsa kupanga kwa madzi a m'mimba - Gastal, Maalox, Phospholugel.

Zochizira zotupa mu chiwindi, mankhwala abwino ndi awa:

Ovesol, Hepel, Hepatamine - hepatoprotectors - kuonjezera kukana zoyipa, imathandizira kuchira,
Cholenzym, Allohol- choleretic,
Ursodeoxycholic acid - mankhwala a cholelotolytic omwe amathandiza kupukusa miyala, kumasula ma ducts,
Hepel- mankhwala othandizira kubwezeretsa maselo kunyumba,
Galstena- amathandizira ma spasms, amathandizanso kupweteka, amalimbikitsa mapangidwe a bile.

Heptral chifukwa cha kapamba

Mankhwala amatanthauza hepatoprotectors, muli ma amino acid omwe amathandizira kukonzanso, kusintha kwa metabolic njira. Heptral amalimbikitsidwa ngati akudwala kwambiri. Mankhwalawa ali:

Zochita zochizira: antidepressant, choleretic, amathandizanso kupweteka, amalimbikitsa kukonzanso minofu, amaletsa kukula kwa fibrosis.
Zizindikiro zogwiritsidwa ntchito: hepatitis, kapamba, mafuta a chiwindi, kuledzera kwa maukadaulo osiyanasiyana.
Kupanga: yogwira mankhwala ndi ademethionine 1,4-butanedisulfonate.

Heptral imayikidwa intramuscularly kapena kudzera mu mtsempha wa mafupa. Mankhwala:

Mlingo: Tsiku lililonse mpaka 800 mg, njira yoyendetsera, inde, wololera.
Mapindu ake: imathandizira pang'onopang'ono zinthu zapoizoni, zimapanga zinthu zofunikira kupanga maselo atsopano.
Zotsatira zoyipa: kutentha kwa mtima, dyspepsia, gastralgia, thupi lawo siligwirizana.
Contraindication: zaka mpaka 18, yoyamwitsa, kudziwa magawo a zinthu, 1, 2 trimester ya mimba.

Chithandizo cha matenda a kapamba, chiwindi, ncholinga chofuna kubwezeretsanso michere. Mankhwala ambiri amakhala ndi zinthuzi, koma mayamwidwe ake amalepheretsedwa ndi kupanga kwamphamvu kwa madzi a m'mimba. Sinthani njira zimathandiza Maalox. Mankhwala ndi amodzi:

Zochita zochizira: kulowererapo kwa ufulu hydrochloric acid, kupewa kwachiwiri katulutsidwe, yafupika ntchito ya chapamimba madzi, enveloping kwambiri mucous nembanemba.
Zizindikiro zogwiritsidwa ntchito: kutentha kwa mtima, matenda opatsirana, kupweteka kwa epigastric.

Maalox amapezeka mu mawonekedwe a kuyimitsidwa, mapiritsi otafunidwa, akaperekedwa, dziwani izi:

Kupanga: yogwira mankhwala ndi aluminium hydroxide.
Mlingo: Piritsi 1 kanayi pa tsiku, ola limodzi mutadya ndi usiku.
Mapindu ake: Kuchotsa kwamkwiyo, kupweteka kwam'mimba.
Zotsatira zoyipa: totupa, kuyabwa, urticaria, kudzimbidwa, kutsegula m'mimba.
Contraindication: Mimba, kulephera kwa aimpso, kulolerana kwa fructose, zaka mpaka zaka 15, mkaka wa m'mawere, kuzindikira kwa zigawo zina.

Karsil wa kapamba

Ndi matenda a chiwindi, kapamba, mankhwala wozikidwa mkaka nthula.Mankhwala otchuka Carsil amachotsa msanga kutupa, amamuyendetsa njira za metabolic. Chida chimasiyanitsidwa ndi:

Zochita zochizira: kukonza kukoka kwam'mimba, kufulumizitsa masinthidwe am'magazi, kuthetsa zovuta za metabolic, kutsitsa cholesterol.
Zizindikiro zogwiritsidwa ntchito: cirrhosis, zotupa zotupa za maumbadwa osiyanasiyana, chiwindi, kapamba.
Kupanga: nthula mkaka wokhala ndi mafuta ofunikira, silymarin, flavonoids, alkaloids, mavitamini.

Malangizo ogwiritsira ntchito dragee Carsil amalembera:

Mlingo: akulu omwe ali ndi matenda oopsa - zidutswa 4 katatu patsiku.
Mapindu ake: maziko a mbewu.
Zotsatira zoyipa: kutsegula m'mimba, nseru, zotupa, kuyamwa, chifuwa.
Contraindication: Hypersensitivity zigawo zikuluzikulu, zosakwana zaka 12, kuledzera kwamphamvu kwa thupi, kutenga pakati.

Essentiale Forte

Chimodzi mwazida zabwino zochizira matenda a chiwindi. Chofunikira Forte N chili ndi zosakaniza zachilengedwe, chololera bwino odwala, chimapezeka m'mapiritsi. Mankhwalawa amakhala ndi:

Zochita zochizira: normalization wa lipid ndi cholesterol kagayidwe, kusintha mapuloteni, kubwezeretsa kwa hepatocytes, cholepheretsa kukula kwa minofu yolumikizika.
Zizindikiro zogwiritsidwa ntchito: hepatic coma, hepatitis, mafuta hepatosis, cirrhosis, zotupa zakupha.
Kupanga: phospholipids ochokera ku soya.

Malinga ndi malangizo, gwiritsani ntchito mankhwala Ofunika Forte N, zotsatirazi ziyenera kuganiziridwa:

Mlingo: Makapu awiri katatu tsiku lililonse ndi chakudya.
Mapindu ake: Chifukwa cha enzymatic zochita, kuchira kwamphamvu kwa maselo owonongeka kumachitika. Itha kutengedwa nthawi yapakati.
Zotsatira zoyipa: matupi awo sagwirizana ndi osowa - urticaria, kuyabwa, zotupa, ndikugwiritsa ntchito nthawi yayitali - kutsegula m'mimba.
Contraindication: tsankho ku zigawo zikuluzikulu, zaka mpaka 12.

Zakudya zamatumbo chifukwa cha kutupa kwa kapamba ndi chiwindi

Udindo wofunikira mu matenda umaperekedwa kwa zakudya okhazikika. Zakudya zoyenera zimathandiza kuthetsa kutupa, zimachepetsa mkhalidwe wa wodwalayo. Nutritionists amapereka malingaliro:

Chotsani zinthu zoyipa
kuchepetsa mchere mpaka magalamu asanu patsiku,
gwiritsani ntchito ukadaulo wophika - kuphika, mbale zotentha, kuwira,
idyani zakudya za tsiku ndi tsiku m'magawo 6, m'magawo ang'onoang'ono,
Idyani m'mawonekedwe ofunda okha,
kumwa pafupifupi malita awiri amadzi,

Matenda a kapamba ndi chiwindi, ndizoletsedwa kuphatikiza ndi zakudya:

Phula zakudya - mphesa, kabichi,
mankhwala a ufa
chakudya chamafuta,
maapulo
kusuta
nyengo zotentha, msuzi,
chakudya chamzitini
mafuta amkaka,
mowa
msuzi, kupatula masamba,
chokoleti
khofi
ayisikilimu
mazira
nyemba
radishi
radishi
anyezi wobiriwira
bowa.

Nutritionists amalangiza musanakheke, kudya, kuwaza nyama, masamba, zipatso. Mndandanda wazinthu zofunikira ndi:

mbewu zosenda - nsapato, semolina, oatmeal, mpunga,
skim mkaka,
ng'ombe
nyama yankhuku
masamba ophika
masamba msuzi,
nsomba zamafuta ochepa
mikate yoyera
msuzi wa rosehip,
timadziti
odzola
tiyi wakuda.

Kuchiza ndi wowerengeka azitsamba

Pazovuta za matenda, madokotala amalimbikitsa kugwiritsa ntchito mankhwala omwe ali ndi zosakaniza zachilengedwe. Zithandizo za anthu a chiwindi ndi kapamba zimatengedwa pakamwa. Sinthani mkhalidwe wodwala:

nkhuku yam'mimba yankhuku - kumapeto kwa supuni, kumwa ndi madzi, kudya musanadye
mwatsopano mbatata mugalasi kwa masiku awiri,
zipatso za currant ndi uchi - supuni patsiku theka la ola musanadye,
mafuta onunkhira - Hafu chikho katatu patsiku musanadye.

Amathandizira kuthetsa zosasangalatsa za matenda:

mankhwala azitsamba kuchokera ku mbewu za mkaka nthula - tengani supuni imodzi ola limodzi, kuyambira pa 8 koloko mpaka 8 koloko,
juwisi wokonzedwa kumene, yemwe amaphatikiza zigawo zina - kaloti - 7, parsley - 2, udzu winawake - 5,
Mafuta odzola - sungunulani supuni katatu patsiku,
Imwani m'mawa ma clove awiri odulidwa a adyo amadzipereka mumadzi amadzulo.

Pokonzekera ndalama zothandizira kuchipatala, tikulimbikitsidwa kugwiritsa ntchito mankhwala azomera. Zitsamba za kapamba ndi chiwindi zimagwiritsidwa ntchito ngati mitundu ya decoctions. Onjezani supuni zouma kapena zatsopano zopopera ndi kapu yamadzi otentha, tsimikizani mphindi 15. Pochiza chiwindi, mbewu zimasiyana mosiyanasiyana:

peppermint, tansy - choleretic,
maluwa a chamomile- thandizani kumasuka,
Wort wa St.- Amathandizira kutuluka kwa ndulu,
kusalidwa kwa chimanga - kusintha kagayidwe, kukhala okodzetsa, choleretic zotsatira,
wosafera- imamasula masamba a bile ducts, ndimatsuka mchenga, miyala yaying'ono.

Mankhwalawa pancreatitis, ochiritsira amalimbikitsa mankhwala azitsamba omwe amathandizanso:

calendula- disinfides, amachepetsa kutupa, Iyamba Kuthamanga kagayidwe kachakudya njira,
mbewu zamkaka- Sinthani kagayidwe kachakudya, chotsani poizoni,
tiyi wamadzi - Amachepetsa kutupa,
chisakanizo cha muzu wa valerian, hawthorn, barberry, peppermint - imabwezeretsa ntchito za thupi.