Pancreatitis pachimake: mankhwala ndi mapiritsi

Pakati pa matenda apancreatic, kapamba amayesedwa moyenerera. Matendawa amatha kukhala ndi mitundu yosiyanasiyana komanso yovuta kwambiri, ndipo pamapeto pake, mwayi wa imfa ndiwambiri. Mpaka pano, pali njira zambiri zochizira pancreatitis pachimake, kuyambira mankhwala osokoneza bongo mpaka kumapeto ndi dontho.

Zoyambitsa Pancreatitis

Zikondwererozi ndizachilendo "Fakitala" yamahomoni ndi tiziwopsezopomwe chimbudzi ndi mphamvu kagayidwe kazinthu zonse zimatengera. Ndi kutupa kwa chiwalochi, ma enzymes ake a caustic (monga madzi a pancreatic) samalowetsa m'matumbo ang'onoang'ono kuti akawononge chakudya, koma kukhalabe m'matumbo okha, potero amayamba "kukumba".

Panthawi imeneyi, zinthu zophatikiza ndi michere zimatulutsidwa, zomwe, kulowa m'magazi, zimatha kuyambitsa ziwalo zina. Chifukwa chake, atangotulutsa zinthu zonyansa kuchokera ku kapamba zimasokonekera, kupezeka kwa kapamba kumalembedwa.

Mawonekedwe owopsa a matendawa amakhudzana ndikuwonjezereka kwa michere yowonongeka, chifukwa chomwe kufalitsa kwa matenda kumawonjezeka, komwe kumamveka panthawi yopweteka.

Pafupifupi akuluakulu onse ali pachiwopsezo. (makamaka amuna), komanso posachedwapa, matenda a kapamba mu ana awonjezereka. Zifukwa zazikulu zomwe zimayambitsa kutupa kwa kapamba, madotolo amaphatikizapo:

• Mowa, kusuta fodya komanso kugwiritsa ntchito mankhwala osokoneza bongo. Kudalira kwa mtundu uwu kumakulitsa chiopsezo cha matenda omwe amachitika chifukwa cha kapamba ndi ziwalo zina zamkati.
• Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali komanso popanda chifukwa, makamaka kwa mankhwala a mahomoni (okhala ndi estrogen, acetylsalicylic acid, komanso corticosteroids).
• Kupezeka kwa chibadwa cha matenda am'mimbamo, komanso matenda a ndulu.
• Mankhwala am'madzi kapena poyizoni wazakudya. Mwachitsanzo, kuyamwa kwa mankhwala ophera tizilombo, mankhwala ndi zina zopangira zina mthupi la munthu ndi chakudya.
• Kugwiritsa ntchito tsiku lililonse zakudya zoyipa komanso zopanda thanzi, zomwe zimaphatikizapo yokazinga, mafuta, zakudya zotsekemera komanso zopatsa thanzi. Kusala kudya ndi chimodzi mwazomwe zimayambitsa matendawa.

Izi zimaphatikizanso zifukwa zochepa, monga kuvulala kwam'mimba komanso zotsatira za kulowererapo kwa dokotala wa opaleshoni kapena endoscopist.

Zizindikiro za mawonekedwe owopsa a matenda

Mwambiri, odwala omwe ali ndi vuto la pancreatitis pachimake amathandizidwa mosavomerezeka. Izi zimakakamizidwa ndi zovuta za nthawi yamatendawa, yomwe imadziwika ndi kukula kwakukulu kwa zovuta (chifukwa chake mitundu iyi imatchedwa "pachimake") komanso kuopsa kwa zizindikiro. Anthu awa amadziwa bwino zomwe zikuwonetsa matenda awo.

Komabe, nthawi zambiri, kuukira kapena kufalitsa matendawa kumatha kuchitika mwadzidzidzi, kutengera munthu modzidzimutsa. Popeza kuti zizindikiro za matenda ambiri am'mimba ndizofanana, muyenera kudziwa Zizindikiro za kapamba (makamaka, kapamba):

• Kukula mwadzidzidzi kwa kuukira. Nthawi zina munthu alibe nthawi yoti adzuke patebulopo, monga mawonekedwe, mawonekedwe osasangalatsa amadzuka.
• Kupweteka kwapakati, komwe kumakhala kumanzere kapena kumanja kwa gawo lamalipiro. Kukula kwa kupweteka kwamatenda kumadalira gawo la chitukuko, nthawi zina ululu samachotsedwa ngakhale ndi ma painkiller (kutanthauza za mankhwala osokoneza bongo). Kuukira kotereku kumatha kukhala kwa masiku angapo, kuchititsa kupweteka, kukomoka, ndi kufa. Inde, izi zimangochitika ndi matenda osiyidwa kwambiri.
• Kuwonjezeka kwakukulu kwa kutentha (hyperthermia), kuchepa kapena kuwonjezeka kwa kuthamanga kwa magazi.
• Flatulence, mawonekedwe a kutentha kwa mtima kapena ma hiccups, komanso lakuthwa (mu mawonekedwe a spasms) mkangano wam'mimba.
• Kusintha kwa khungu, khungu lakuthwa kapena redness, acrocyanosis (mtundu wa cyanotic) titha kuwonedwa.
• Zowopsa za mseru komanso kusanza, pambuyo pake palibe kusintha.
• Zilakalaka kuti zisokoneze, kutsegula m'mimba.
• Kutsitsa kamvekedwe ka thupi lonse, kuwoneka thukuta, kufoka ndi kufooka.

Mu chifuwa chachikulu, chizimba chomwe chilime choyera kapena chachikasu, kusowa kwa chakudya komanso kuchepa kwa thupi kumawonedwa. Zizindikiro zina (monga kutsekula m'mimba kapena kudzimbidwa) zimatha kudwala.

Malangizo a Zopweteka

Kudya kwa mankhwala ndi mankhwala alionse kuyenera kuvomerezana ndi adokotala. Kudzipatsa nokha mankhwala a pancreatitis pachimake ndi mankhwala zimangokulitsa vutolo. Komabe, ndimatenda otere, ndikofunikira kuti mukhale ndi mapiritsi ndi mankhwala omwe amatha kukhazikitsa kupweteka kwakanthawi koyamba (makamaka ngati kapamba kali pachimake, osati matenda).

Kusankha pakati pa mankhwalawa ndiwokulira, koma muyenera kusankha nokha kuti zakwaniritsidwa (malinga ndi zomverera) zimachitika mwachangu ndipo, nthawi yomweyo, sizikhala ndi vuto lililonse pakubwera kwa thupi.

Mndandanda wazowawax yomwe imathandizira kuthetsa kupweteka kwamphamvu kwa kapamba ikuwoneka ngati iyi:

• Papaverine. Ndi antispasmodic wa kapamba m'mitundu mitundu. Ikupezeka mu mawonekedwe a mapiritsi, yankho la jakisoni, komanso mu mawonekedwe a rectal suppositories. Papaverine amatha kupirira bwino ndi zowawa zamkati, amachotsa kukokana, komanso amachepetsa kupsinjika.
• Platyphyllinum. Amathandizanso kupweteka kwambiri, ndi njira yothandizira mwachangu. Nthawi zambiri amagwiritsidwa ntchito nthawi imodzi ndi papaverine kuti muwonjezere zotsatira. Itha kukhala ngati mankhwala pazinthu zofunika kuti munthu athetse.
• Palibe-shpa. Ndi mankhwala otchuka kwambiri kulimbana ndi kukokana kwa m'mimba, kudula ululu komanso kumva kupweteka mseru. Mwa zina, palibe-spa yomwe imathandizira kuti munthu akhale ndi vuto lalikulu. Mankhwalawa alibe zotsatira zoyipa zamagetsi, koma ali ndi zotsutsana zosiyanasiyana (monga mtima ndi kulephera kwa impso, tsankho la lactose, ndi zina).
• Drotaverinum. Mosiyana ndi no-shpa, mankhwalawa ali ndi mtengo wotsika kwambiri pazomwe zimagwiritsidwa ntchito popanga (drotaverine hydrochloride).
• Zoyipa Ili ndi fanizo la Papaverine. Mbali yake imatha kutchedwa kuti mpaka pamlingo wina wake kumalimbikitsa kulimbitsa chitetezo cha m'thupi. Izi zikuwonekera pakuwonjezeka pakupanga mapuloteni oteteza (monga interferon) omwe amalimbana ndi ma virus ndi matenda.
• Nikoverin. Kuphatikizidwa kwa nicotinic acid ndi papaverine kumathandizanso kuchuluka kwa magazi, komanso kuthana ndi minyewa komanso kupweteka.

Pakuwukira, ndibwino kuti musamwe mapiritsi monga Analgin, Citramon ndi othandizira ofananawo. Sadzachotsera zomverera zopweteka za kapamba, koma kuwunika kumakhala kovuta.

Mankhwala a enzyme a kapamba

Chifukwa cha zovuta za matendawa, kapamba amatulutsa zinthu za enzyme zochulukirapo (mu mawonekedwe osakhazikika, m'malo mwake, pali kusowa kwa zinthu). Chiwerengero chonse zopitilira 20 michereomwe ali m'gulu limodzi mwa magulu anayi:

1. Ma lipolitics. Izi zimaphatikizapo michere monga lipase ndi phospholipase.
2. Amylolytics. Mlingo wa zinthu izi (zomwe zimaphatikizapo amylase) mkodzo ndi magazi zimatha kudziwa ntchito ya kapamba.
3. Proteolytics. Elastase, trypsin, chymotrypsin, peptidase. Pewani kudzikongoletsa (kudzimbidwa) kwa minyewa ya kapamba.
4. Nyukiliya Deoxyribonuc tafadhali ndi ribonuc tafadhali. Ntchito yawo ndikufafaniza ma nikic acid.

Mankhwala omwe amawongolera kuchuluka kwa ma enzymes, nawonso, amatha kugawidwa m'magulu awiri - mapiritsi ndi mapiritsi. Chowonadi ndi chakuti kukonzekera kwa mapiritsi kumachepetsa ululu kwambiri, chifukwa amayamba kusungunuka m'mimba, koma sangathe kulangizidwa ngati chithandizo cha nthawi yayitali.

Makapisozi amatha kumimbidwa mu msuzi wamchere wa duodenum, womwe umatha kugaya bwino. Nthawi zambiri, mankhwala a kapisozi amadziwika chifukwa cha kupweteka kwa kapamba chifukwa cha kusowa kwa michere. Muyenera kudziwa kuti mankhwalawa a kapamba ndi mankhwala, makonzedwe ake omwe amapezeka m'mapiritsi, ndiosatheka kwenikweni (izi zikugwiranso ntchito pachimake pamatendawa).

Mwachitsanzo, Pangrol, Panzinorm Forte, Enzistal-P, Penzital, Festal, Pancreatin, Mezim Forte, Creon, Panzinorm 10000 ndi mitundu ina ya mankhwalawa amatsutsana ndikuwopseza kwambiri komanso kufalikira kwa chifuwa chachikulu. Sayenera kumwedwa konse osavomerezeka ndi adokotala.

Zothandizira envelopu

Kupweteka kwambiri zimatengera gawo la kutupa kwa kapamba. Mapiritsi ambiri, ngakhale amagwira bwino ntchito, sangathandizire kuchepetsa zizindikiro, popeza sangathe kuletsa mphamvu ya madzi a m'mimba.

Ndalama zotere zimaphatikizapo Almagel, yomwe ndi antacid (i.e., kuchepetsa acidity) wothandizira. Ndikulimbikitsidwa kugwiritsa ntchito zilonda zam'mimba, zilonda zam'mimba, acidity, esophagitis, enteritis, duodenitis, flatulence, komanso kapamba.

Ma analogi a Almagel ndi njira zovomerezeka zowawa mu hypochondrium: Maalox, Fosfalugel, Gastracit, Agiflux, Maalukol, Koalgel, Gastal, Prolanta, Palmagel. Komabe, musanachiritse pancreatitis, mankhwala (makamaka, ma antacid) ndi mawonekedwe awo amayenera kuwunikidwa kuti akupange contraindication. Ena mwa iwo ndi bwino osagwiritsa ntchito limodzi ndi mankhwala ena.

Kuchepetsa acidity yam'mimba, komanso monga adjuvant, histodil nthawi zina amalimbikitsidwa. Tiyenera kudziwa kuti mankhwalawa amalephera kuperekedwa kwa iwo omwe ali ndi matenda akuluakulu a chiwindi, impso ndi mtima. Monga analogues a Histadil, Belomet, Simesan ndi Cimetidine ayenera kutchedwa.

Ranitidine amathana bwino ndi kuchepa kwa katulutsidwe ka hydrochloric acid ndi kuchepa kwa ntchito ya pepsin (encyme ya caustic ya madzi a m'mimba). Ranitidine amakhala ndi mphamvu yofulumira ya analgesic osati ndi kutentha ndi kutentha kwa mtima, komanso kukokana kwam'mimba kwambiri. Ili ndi mndandanda wazotsatira zosiyanasiyana zoyipa, motero muyenera kusamala kwambiri ndi kuchuluka kwa mankhwalawa.

Ranitidine monga zotsatira Atzilok, Acidex, Histak, Zantak, Ranigast, Ranital, Ranisan, Gertokalm, Ranitin, Rantak, Maudindo, Ulran, Ulkosan, Ulkodin.

Mankhwalawa onse amachepetsa ululu ndi zizindikiro. Ndiye chifukwa chake ayenera kumwedwa mosamala, chifukwa ndikofunikira kuchiza omwe amayambitsa matendawa, osati zotsatira zake. Aliyense wa analgesic amatha kuteteza kwakanthawi zinthu zam'mimba zomwe zimachitika mkati mwa thupi, zomwe zimabweretsa zovuta kwambiri (ndipo nthawi zina zosatheka).

Ndondomeko yaukira

Kuchulukitsa kwa matendawa imatha kupeza munthu kulikonse. Choyambirira kwambiri pazoyenera kukhala kuyimba foni ya ambulansi, chifukwa ndizosatheka kuchiza matenda apamba pancreatitis kunyumba nthawi iliyonse - ndizofunikira momwe zimafunikira. Madokotala akangofika, zotsatira zake zimakhala zabwino kwa wodwalayo.

Pambuyo poyitanirayo, ndikofunikira kuti pakhale mtendere kwa munthuyo, kumugoneka pa sofa, pakama kapena kukhala pampando. Panthawi ya kuukiridwa, sizikudziwika ngati pali kachitidwe ka necotic, chifukwa chake wodwalayo sayenera kudya ndi kumwa ambulansi isanafike.

Chosiyana ndi ichi mankhwala antispasmodic ndi mankhwala kumverakuti munthu ali mumkhalidwe womwe chithandizo chamankhwala choyenerera sichingatheke kwakanthawi (mwachitsanzo, ali kuthengo kapena akukwera sitima yayitali).

Chida chabwino chothetsera wodwalayo ndi ayezi kapena woziziritsa. Amayikidwa m'malo omwe ululu umakhala waukulu. Ili ndi mtundu wina wa ayi, koma wopatsa chidwi, chokhacho ndikuti phukusi lotenthetsere silingakanikizidwe mwamphamvu kulowa mthupi. Kugwiritsa ntchito ma compress ozizira kumathandizira kuti kuchepa kwakanthawi kwakanthawi mu hypochondrium.