Mankhwala a kapamba a chifuwa chachikulu

Pancreatitis ndi kutupa kwa kapamba. Matendawa amatha kuchitika komanso kuuma. Amathandizirana ndi kupweteka komanso kuwonongeka kwa ntchito, osati kokha kapamba, komanso ziwalo zapafupi zomwe zimalumikizana nawo: chiwindi, ndulu, matumbo.

Mu chilonda chachikulu cha pancreatitis, chithunzi cha chipatala chimatchulidwa, ndipo chithandizo chimangokhala chokwanira. Kukweza kwa matenda nthawi zina kumafunikanso kugonekedwa. Koma gulu lalikulu la odwala omwe ali ndi pancreatitis aakulu amathandizidwa kunyumba. Ndikofunikira kudziwa magulu akuluakulu ndi mankhwala enieni a kapamba, chifukwa chomwe amalembera komanso momwe angachiritsire molondola.

Kodi ndingathe kuzichitira ndendende

Mapapo ndi kufalikira kwamatenda owopsa a kapamba angachiritsidwe panyumba zotsatirazi:

• Mwafufuzidwa kwathunthu mzaka ziwiri zapitazi ndipo matenda ena amawachotsa (mwachitsanzo, zotupa, gallstones, matenda a zilonda zam'mimba).
• Zizindikiro zakuchulukirazi ndizodziwika bwino kwa inu ndipo sizosiyana ndi zakale.
• Munalandira upangiri wamankhwala.
• Kuchulukaku ndi kofatsa, popanda kusanza, popanda kutsegula m'mimba kwambiri.
• Pakupita masiku ochepa chithandizo, kusintha kumadziwika.

Mfundo zochizira pancreatitis yayitali

1. Zakudya kupatula zakudya zamafuta, nyama zosuta, msuzi wolemera, zakudya zamzitini. Choletsedwa chotere mu matenda a kapamba zimawonedwa kwa moyo. Ndi kuchulukitsa, njala imayikidwa kwa masiku angapo, kenako chakudya chamafuta ochepa mpaka kutupa kumatha.
2. Kusiya mowa ndi kusuta.
3. Kupumula.
4. Kutsitsa katulutsidwe ka timadziti tam'mimba pakukokomeza kwa kapamba.
5. Kudya kwa ma enzyme pamapiritsi othandizira kugaya.
6. Kuchotsa spasms ndi matenda a matumbo motility.
7. Kudya kwa mavitamini ndi michere, chifukwa mayamwidwe awo kuchokera ku chakudya ndi kapamba ndimatupa.
8. Mankhwala obwezeretsa matumbo.
9. Chithandizo cha matenda osokoneza bongo, omwe amatha kukhala ovuta kwambiri kapamba kapenanso kakhansa.

Chithandizo cha pancreatitis ndi chovuta, kutengera zizindikiro zake. Palibe mapiritsi abwino a kapamba. ” Matendawa amatha kuchitika munjira zosiyanasiyana. Wina amakhala ndi zowawa ndipo amafunikira machilitso, enanso atavulala ndi chimbudzi, ndipo amafunikiranso kukonzekera. Wina akhoza kupweteka komanso kutsegula m'mimba, motsutsana ndi izi - kunenepa komanso kutopa.

Mankhwala Opweteka

Chizindikiro chachikulu chomwe chimavutitsa munthu ndi kufalikira kwa kapamba ndi kupweteka. Ndi mapiritsi ati oti mutenge kapamba?

• Mankhwala opweteka kwambiri omwe amatha kumwa ndi kutupa kwa chiwalochi Paracetamol (ndiye otetezeka kwambiri pamatumbo). Paracetamol Mapiritsi a 1-2 amatengedwa katatu patsiku mphindi 30 asanadye. Komabe, amadzipereka mosamala vuto la matenda a chiwindi.
• Ndizothekanso kugwiritsa ntchito maphunziro amfupi komanso ma analgesics ena omwe si a narcotic - Spazgan, Baralgin, Ketanov, Ibuprofen, Nimesulide. Pali maphunziro omwe amatsimikizira kulimbitsa kwa analgesic mphamvu ya mankhwalawa tikamamwa pamodzi ndi ma multivitamin complexes, komanso ndi antidepressants (amitriptyline).

Mankhwala opweteka sayenera kumwa kwa masiku opitilira 10.

• Antispasmodics amagwiritsidwanso ntchito. - No-shpa, Buskopan, Mebeverin, Duspatalin, Papaverin. Amathandizira kuphipha kwamatumbo, matumbo, potero amachepetsa kuthinana kwamatumbo.
• Momwe acidic ikuluikulu imayambira m'mimba kulowa mu duodenum, pomwe chinsinsi chake chimayamba kugwira ntchito kapamba. Momwemo, mankhwala omwe amachepetsa kubisala kwa hydrochloric acid mwachindunji amathandizanso kupweteka. Mankhwalawa akuphatikizapo ma H2 receptor blockers. Ranitidine, Famotidinekomanso ma proton pump zoletsa Omeprazole (Omez, Losek, Ultop), Rabeprazole (Pariet), Pantoprazole (Nolpaza, Contralock), Esomeprazole (Nexium).
• Nthawi zina amagwiritsidwa ntchito mankhwala antisecretory Dalargin kwa mu mnofu kapena mtsempha wamkati.
• Maantacid - Phosphalugel, Maalox komanso kuchepetsa acidity wa chapamimba madzi. Ikani kwa iwo mphindi 40 mutatha kudya musanakagone.

Kasitomala ndiye gland wothandiza kwambiri m'thupi lathu. Amatulutsa malita 1.5-2 a pancreatic madzi patsiku okhala ndi michere ya 10-20 magalamu enanso okhala ndi michere mmimba. Njira yotupa yopatsirana pafupifupi nthawi zonse imayambitsa kutsika kwa chiwerengero chawo, zomwe zimakhudza chimbudzi cha chakudya (makamaka mafuta).

Zotsalira zopanda chakudya zomwe sizimalowetsedwa m'matumbo, zimayambitsa kupesa, kumatulutsa, kutsegula m'mimba (malabsorption syndrome). Kutupa kwamatumbo kumakulitsa kupweteka kwam'mimba, kuperewera kwa malabsorption kumabweretsa kuchepa kwa thupi, kuchepa magazi ndi hypovitaminosis.

Chifukwa chake, mankhwala akuluakulu a kapamba ndi kufalikira ndi ma enzymes omwe amathandizira kugaya chakudya komanso kuyamwa kwa chakudya. Zosakhazikika, amachepetsa ululu, amakhalanso pansi, amalepheretsa kuchepa kwa mavitamini ndi michere m'matumbo.

Kukonzekera kwa enzyme kumapezeka mu mawonekedwe a piritsi komanso mawonekedwe a kapisozi. Fomu iliyonse ili ndi zabwino komanso zovuta zake. Mndandanda wamapiritsi omwe ali ndi michere yokumba ndi wamkulu. Zonsezi zimakhala ndi ma amylase, lipase ndi proteinase mumagulu osiyanasiyana, kuphatikiza zina zowonjezera.

• Kukonzekera kotsika mtengo kwa enafe ndi kwathu Pancreatin Koma ndikutambasulira ikhoza kutchedwa kuchiritsa kwa kapamba, popeza imakhala ndi ma enzymes ochepa (malinga ndi lipase - pafupifupi 3,000 magawo). Amagwiritsidwa ntchito kwambiri pazolakwika mu zakudya. Mwa zabwino - mtengo wotsika (kuyambira 30 ruble).
• Pancreatin analogue - Mezim. Ntchito - pafupifupi 3,500 IU ya lipase. Mtengo wake ndi wa ma ruble 100 pa paketi 20 yamapiritsi 20.
• Penzital (pafupifupi 6000 PIECES of lipase). Mtengo - kuchokera ku ma ruble 170.
• Enzistal P (3500 PIECES). Mtengo wake umachokera ku ma ruble 70.
• Panzim forte (3500 PIECES). Mtengo wake umachokera ku ma ruble 160 pamapiritsi 20.

Ngati tirikulankhula za chithandizo choyenera, ndiye kuti kapamba akayamba, mankhwala amafunika kusankha ndi ma enzymes apamwamba. Malangizowo ali makamaka pazomwe zili ndi lipase. Mankhwala obwezeretsanso abwinobwino, osachepera 25,000-40000 magawo a lipase a chakudya chachikulu komanso magawo 10,000 a zakudya zowonjezera pakufunika.

• Mapiritsi otchuka kwambiri a kapamba omwe ali ndi ntchito yolimbikitsidwa ndi Mezim Forte 10000, 20000. Mitengo ya mankhwalawa imayamba pa ma ruble 200 pa paketi 20 yamapiritsi.

Mankhwala othandiza kwambiri masiku ano ndimakonzedwe a pancreatin mwanjira ya microtablets, minimicrospheres kapena microplates omwe atsekedwa mu kapisozi ka gelatin (IV m'badwo). Tinthu tating'onoting'ono ta pancreatin mu kapisozi siopitilira 2 mm. Chipolopoloacho sichimasungunuka m'mimba, koma m'matumbo a duodenum, tinthu timene timasakanikirana ndi chakudya, zotsatira za mawonekedwe a michereyi ndizambiri.

Makapisozi otchuka kwambiri a kapamba ndi mtengo wawo:

Mtengo pa paketi 20 20 makapu

(pafupifupi)

Mankhwala okwera mtengo kwambiri mndandanda uno ndi a Creon, otsika mtengo kwambiri ndi Panzinorm.

Zikondazo zikapweteka, kukonzekera kwa pancreatin kumachitika nthawi yudya itatha kapena itangotha. Njira ya mankhwala ndi kuyambira 1 mpaka 3 miyezi. M'tsogolomu, mutha kumwa mapiritsi a zotsutsana zilizonse za zakudya. Nthawi zambiri, mankhwala amathandizidwa kuti akhale ndi moyo.

Tizikumbukira kuti kapamba SIKUFUNA kukonzekera za enzyme zomwe zimapangidwa ndi bile - Festal, Digestal, Enzistal, chifukwa zimatha kupweteka kwambiri.

Njira yachitsanzo yolandirira njira yowonjezera kuphipha

1. Zakudya za kapamba. Kusiya mowa ndi kusuta.
2. Creon 25,000 X katatu pa tsiku pachakudya chachikulu, 10,000 X 3 kawiri pakudya kwamkati kwa masabata 12.
3. Omeprazole 20 mgX2 kawiri pa tsiku kwa masabata anayi, ndiye 20 mg m'mawa kwa masabata awiri.
4. Mebeverin 200 mgX2 kawiri pa tsiku kwa milungu 6.
5. Ululu - Paracetamol 500-1000 mg X3 katatu patsiku mphindi 30 musanadye masiku 7.

Kukonzekera kubwezeretsa microflora yamatumbo

Kuphwanya chiŵerengero chaubwinobwino komanso tizilombo toyambitsa matenda m'matumbo amawonedwa pafupifupi onse odwala matenda a kapamba. Izi zikufotokozedwa ndikusowa kwa kudzipatula kwa enzyme, njira zowonjezera mphamvu, zomwe zimapanga malo abwino pofalitsa microflora ya pathogenic.

Kuti athetse vuto ili, nthawi zina limasankhidwa:

• Maantibayotiki am'mimba: Enterofuril (Imani kuyimba)Rifaximin (Alphanormix). Kapena Ciprofloxacin, mpaka masiku 7.
• Kenako - ma protein ndi ma prebiotic okhala ndi mabakiteriya abwinobwino opindulitsa. Izi zikuphatikiza: Bactistatin, Enterol, Linex, Bifiform, Floristin, Normobact etc. Kuvomerezedwa mukamadya kapena mukatha kudya kwa masabata atatu.

Chithandizo cha pachimake kapamba

Ngati kapamba adayambiratu, mankhwala othandizira pakamwa sangathandize. Chithandizo cha maulosi ndizovomerezeka pano. Wodwala adzapatsidwa:

• Mtsempha wa magazi kulowetsedwa kwa mayankho.
• Opaleshoni mpaka narcotic analgesics.
• Blockers of michere ya proteinolytic - Gordoks, Kontrikal.
• Octreotide ndi mankhwala opondera kutulutsa thumbo.
• Maantibayotiki.
• Antiemetics
• Kugwira ntchito ngati njira zoyeserera zikutsimikizira kuti sizothandiza.

Mankhwala azitsamba a kapamba

Amadziwika kuti mbewu zina zimakhala ndi zinthu zomwe zimathandizira pochiza matenda ambiri. Kuyambira kale, matenda am'mimba amathandizidwa ndi wowerengeka azitsamba, ndipo ochiritsa adachita bwino. Ndi kupita patsogolo kwamphamvu kwa mankhwala a pharmacology, chidwi pa mankhwala azikhalidwe zachilengedwe kwatha. Koma tisaiwale kuti machiritso azomera sanathere, ndipo mankhwala azitsamba angathandize kwambiri pochiza matenda am'mimba, kuphatikizapo kapamba.

Kuthira mankhwala azitsamba kokha sikungathandize kuchiritsa kapamba, koma amachepetsa kuchuluka kwa mankhwala omwe amwedwa.