Malangizo a Gordoks ogwiritsira ntchito pancreatitis course

Mankhwala ali ndi yogwira mankhwala aprotinin ndi zina zowonjezera: mowa wa benzyl, NaCl, madzi a jekeseni.

Gordox ali m'gulu la mankhwala a heestatic. Amapangidwa kuchokera ku aprotinin, womwe ndi polypeptide wokhala ndi mitundu makumi asanu ndi limodzi ya amino acid. Fluhibololamine inhibitor iyi imapezeka kuchokera ku zopangira nyama, makamaka, kuchokera ku tiziwalo tating'ono ta ng'ombe.

Monga mankhwala ena owonjezera, mowa wa benzyl ndi sodium chloride umaphatikizidwa ndi ma protein ambiri a plasma proteinase. Gordox ikupezeka mu mawonekedwe a kukhathamiritsa, kuchepetsedwa mu njira yapadera yothetsera kulowetsedwa kwamadzi.

Chithandizo cha kapamba ndi Gordoksom: ndemanga zamankhwala

Pancreatitis ndi njira yotupa yomwe yapanga minofu ya kapamba. Ndi matendawa, ma ducts amatsekedwa, ndipo madzi a pancreatic panthawi ya chimbudzi amalowa m'matumbo aang'ono.

Zomwe zimachitikazo ndizambiri. Nthawi zambiri chimakhala mowa kapena zakudya zopanda thanzi. Zotsatira zake, thupi limadzigaya lokha.

Pofuna kuletsa njirayi munthawi yake komanso kupewa zovuta zazikulu, mankhwala akulu koma othandiza ndi omwe amapatsidwa. Chimodzi mwa izo ndi Gordoks.

Mankhwalawa amayenera kumwedwa pokhapokha atazindikira mozama komanso moyang'aniridwa ndi madokotala.

Mutha kuzindikira vutoli pogwiritsa ntchito zizindikiro:

Kumva kupweteka m'dera la epigastric. Potere, zowawa zimatha kupita kumalo ena. Itha kukhala batani lachiuno kapena lamba. Kuwonetsedwa kwa kupwetekedwa mtima sikufotokozera mwachangu vuto lenileni.
Kusanza kwambiri ndi mseru. Ngakhale utamasulidwa, munthu samasiya kusasangalala komanso kumva kuwawa.
Kutentha kwambiri.
Kuthamanga kwa magazi.
Kutentha kwa mtima
Kubwula.
Kufalikira, chisangalalo.
Kubwera pansi kwa chopondapo. Munthu amatenga matenda otsegula m'mimba nthawi yayitali. Choponderacho ndi chamafuta ndipo chimatuluka ngati chithovu, chokhala ndi tinthu tosaphatikizika, mtundu wobiriwira umapambana.
Kusintha khungu.
Mpweya woipa.
Kupuma pang'ono.

Maziko a mankhwalawa ndi aprotinin. Pezani ng'ombe. Nthawi yoyamba yomwe adapanga mankhwalawo ku Venice. Ntchito ya yogwira mankhwala ndi mankhwala ikufotokozedwa mu KIE.

Madzi othandizira.
Sodium Chloride
Benzyl mowa.

Mankhwalawa ali ndi mtundu umodzi wamasulidwa. Ichi ndi chowonjezera ndi jakisoni. Kukhazikika mu ma ampoules sikuyenera kuzindikira. Njira yothetsera vutoli ndi yopanda utoto kapena kuoneka wachikasu pang'ono.

Mu 1 ampoule 10 ml ya yankho. Katundu wamkulu amatengera kuwerengera kwa 10,000 zikwi KIE pa 1 ml. Kuchokera pakuwerengera kosavuta zimatsata kuti mu ampoule amodzi mumakhala K100 miliyoni ya zomwe zimagwira.

Mukangomwa mankhwalawo, imapangidwa, imakonzedwa ndi impso ndipo imachoka ndi mkodzo mwachilengedwe. Pafupifupi kotala limodzi la mankhwalawa limatuluka pakatha masiku awiri.

Gordox ya pancreatitis imakonda kutumikiridwa pochiza matenda kapena nkhawa.

Zisonyezero zamankhwala:

Pachimake ndi mawonekedwe a kapamba.
Mankhwala oopsa, oopsa komanso okoka m'mimba pakukula kwa kapamba.
Pancreatic necrosis.
Kutulutsa magazi chifukwa cha hyperfibrinolysis.
Polymenorrhea.

Monga prophylaxis, imagwira ntchito ngati:

Angioneurotic edema.
Zowonongeka zamakina pakhungu la pancreatic.
Pachimake mawonekedwe osapweteka panthawi yokonzanso.
Kupuma.
Embolism.
Mankhwala amathanso kukhala othandizira pazochita zina za pancreatic pathologies.

Ana osakwana zaka 18.
Nthawi ya kuyamwitsa.
Momwe thupi limasokoneza.
Kuphwanya magazi.
Mimba
Mu nthawi ya kwambiri hypothermia.

Mankhwalawa amakhala ndi mankhwala. Kuwonekera koteroko kumathandizira kuchepetsa kuwonekera kwa zizindikiro zosasangalatsa.

Njira ya mankhwalawa imaphatikizapo:

Maantacid. Gulu la mankhwalawa limathandizira kuchepa kwa hydrochloric acid. Amagwiritsidwa ntchito pamene wodwala akuvutika ndi acidity yayikulu komanso ma pathologies omwe amagwirizana ndi izi. Ngati acidity m'mimba ndi yokwera, ndiye ma enzyme amapangidwa zochulukirapo mu kapamba. Nthawi zambiri amagwiritsidwa ntchito chifukwa cha matenda a kapamba. Kukonzekera: Palmagel, Almagel, Maalox ndi ena.
Maantibayotiki. Zofunika panjira yotupa kwambiri. Zimathandizanso kuchepetsa chiopsezo cha zovuta zazikulu. Ndikofunika kuti mankhwalawa ali ndi zochitika zambiri. Itha kukhala penicillin, macrolide ndi zina.
Kukonzekera kwa Antenzyme. Enzymer mu zikondwerero zimasokoneza maselo ndi minyewa yake, ndikupangitsa kuti afe. Amayambitsanso kutupa. Kuchepetsa mphamvu ya michere pa kapamba, lembani mankhwala othandizira gulu. Mwa izi, Gordoks adangolemba. Ndikofunika kugwiritsa ntchito kumayambiriro kwa chitukuko cha matendawa.
Mankhwala enzymatic. Mankhwala wamba ndi Festal, Pancreatin. Mapiritsi oterewa amakhudza chimbudzi, komanso amathandizira kuti thupi lizigwira ntchito bwino.
Ma H2 blockers. Gulu la mankhwalawa limayang'anira mapangidwe a asidi. Nthawi zambiri amagwiritsidwa ntchito pochiza Gordoksom. Ma blocker awa ndi: Nizatidine, Ranitidine, Famotidine.
Anticholinergics. Ili ndi mitundu iwiri: Gulu la M ndi H. Mu chifuwa chachikulu, mankhwala a anticholinergic a gulu la M amayamikiridwa. Wodziwika bwino: Spazmolitin, Atropine, Platifillin, Chlorosin.
Mankhwala a Antispasmodic. Amagwiritsidwa ntchito nthawi zambiri: Spazmol, Papaverin, Drotaverin, No-shpa.

Chithandizo chilichonse komanso chithandizo chamankhwala chimayenera kuyikidwa kokha ndi akatswiri. Izi zikugwiranso ntchito monga mankhwala Gordoks palokha, komanso njira yonse yochizira.

Mukamasankha chithandizo, akatswiri amayamba kuchokera ku vuto lililonse. Nthawi zonse zosankhidwa ziyenera kuyang'aniridwa ndi odwala.

Kuphatikiza apo, akatswiri amafufuza zakudya zopanda chithandizo chomwe sichingatheke. Panthawi yochulukirapo, zakudya zopatsa thanzi ziyenera kuchitika osachepera mwezi umodzi.

Poterepa, ndikofunikira kuphatikiza mapuloteni ena muzakudya. Ngati zizindikiro zazikulu ndi matenda akudya m'mimba zilipo, tikulimbikitsidwa kuti tizimva chakudya masiku angapo.

Onetsetsani kuti mukupumula pakama panthawi yamankhwala ndikuchepetsa zochitika zonse zolimbitsa thupi.

Ngati munthu atsatira malingaliro onse ndikusamalira thanzi lake, ndiye kuti zotsatira zake sizitali.

Kugwiritsa ntchito bwino mosamala kumachepetsa chiopsezo chovuta kwambiri komanso opaleshoni yotsatira.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Factory form ya kumasulidwa

Wopanga mankhwalawa pancreatitis ndi kampani yaku Hungary Gedeon Richter. Mankhwalawa amaperekedwa mu mawonekedwe a chosakanizira, chovilitsidwa mu saline. Kenako madziwo amagwiritsidwa ntchito mwa kulowetserera mitsempha.

Gordox imapangidwa mwanjira yothetsera kukonzekera kwamkati, 10,000 KIE / ml. Muli galasi lokwanira ndi chopumira. Ampoules amapindidwa mu pulasitiki ya 5 ampoules.

Contraindication mankhwala ndi zotheka mavuto

Milandu yoyeserera imaphatikizira izi:

Kuchepetsa
Mimba mu trimester yoyamba ndi yachitatu,
Chiwopsezo cha aprotinin ndi zinthu zina za mankhwala.

Palinso zotsutsana. Izi zikuphatikiza ndi izi:

Kutsitsa kutentha kwa thupi pansi pa digrii 36,
Zosokoneza magazi
Kukhudzika kwambiri ndi chiwopsezo cha ziwengo zamankhwala,
Posachedwa akuchitika pamtima ndi m'mapapu.

Zotsatira zoyipa za Gordoks ndizosowa, nthawi zambiri mankhwalawa amalekerera. Koma pali zochitika za mawonetseredwe otere:

Mbale wamiseru
Zosangalatsa pamtima
Hallucinogenic zotsatira
Thupi lawo siligwirizana mu urticaria,
Kugwedezeka kwa anaphylactic.

Gordok lero akuti ndi njira imodzi yochizira matenda a kapamba osiyanasiyana. Ichi ndi njira yotsika mtengo, koma mtengo wake umakhala ndi chifukwa chake, ndipo odwala 8 mwa 10 adakhutira ndikugwiritsa ntchito mankhwalawa.

Chidachi chimakhala ndi antiprotease, antifibrinolytic mphamvu pa thupi. Chifukwa cha mphamvu ya yogwira ntchito, aprotinin, ntchito ya michere yambiri ya proteinolytic imapanikizika. Aprotinin ndi zoletsa za kallikrein.

Mukamagwiritsa ntchito aprotinin pakuchita opaleshoni pogwiritsa ntchito AIC, kuchepa kwa njira yotupa kumadziwika, komwe, kumathandizira kuchepetsa kuchepa kwa magazi, komanso kumachepetsa kufunika kwa kuthiridwa magazi.

Monga lamulo, mukamagwiritsa ntchito Gordox, palibe zovuta zoyipa zomwe zimachitika mwa odwala. Nthawi zina, vuto la kuledzera ndi thupi lawo limatha. Nthawi zina ndi mankhwala a Gordoksom pamakhala chiwonetsero cha kupweteka kwa minofu, kusintha kwa kuthamanga kwa magazi.

Kuwonetseredwa kwa thupi nthawi yonse ya jekeseni woyamba wa mankhwalawa kumakhala kochepa, kufupika kwa kukula kwawo kumawonjezereka (pafupifupi 5%) ndi kuyamwa mobwerezabwereza. Kuwoneka kwakuwoneka bwino kwambiri kwa matupi awo sagwirizana kapena anaphylactic kumawonjezereka ngati, kwa miyezi 6, chithandizo cha Gordox chinachitika kawiri kapena kupitilira.

Pamene aprotinin amawonjezeredwa m'magazi a heparinised, kuwonjezereka kwa nthawi ya kusokonezeka kwa magazi athunthu kumadziwika.

Ngati Gordox amagwiritsidwa ntchito nthawi imodzi ndi Reomacrodex, ndiye kuti pali kuwonjezeka kwa zotsatira zolimbikitsa.

Aprotinin amaletsa zotsatira za urokinase, streptokinase, alteplase.

Aprotinin ndi seramu pseudocholinesterase inhibitor. Ngati mumagwiritsa ntchito mankhwalawa nthawi yomweyo, kagayidwe ka suxamethonium chloride kumatha kuchepa, kupuma minofu kumakulanso, ndipo ziphuphu zimatha kukula.

Yogwira pophika mankhwala imawonjezera heparin. Ngati Gordoks adalowetsedwa m'magazi ophatikizana, nthawi yowundana imachulukana.

Ngati Dextran ndi aprotinin atengedwa limodzi, onse awiriwa azidzithandiza okha. Pofuna kupewa kukula kwa hypersensitivity reaction, osagwiritsa ntchito mankhwalawa nthawi yomweyo.

Aprotinin amathanso kutsekereza mankhwala a thrombolytic, omwe amaphatikizapo ma urokinase, ma-alteplases ndi streptokinases. Pankhani yodzapuma minofu m'masiku atatu otsatira, ndikofunikira kuchenjeza adokotala kuti apite kutero, chifukwa izi zitha kuyambitsa mavuto. Ngati zizindikiro zapezeka, chithandizo chamankhwala chikuyenera kuyimitsidwa nthawi yomweyo.

Momwe mungachitire pancreatitis adzauzidwa ndi akatswiri mu vidiyo iyi.

Kufotokozera za mankhwalawa

Gordox ndi mankhwala mu mawonekedwe a yankho la jakisoni, yemwe ali ndi chikhalidwe cha hemostatic. Phukusi la ma ampoules asanu a 10 ml atha kugulidwa ku pharmacy. Mankhwalawa amaperekedwa kudzera m'mitsempha molingana ndi dongosolo lomwe adokotala adapereka.

Zomwe zimagwiritsa ntchito mankhwalawa ndi aprotinin, komanso mowa wa benzyl, sodium chloride, madzi a jakisoni amaphatikizidwa. Kugwiritsa ntchito mankhwalawa kumaperekedwa m'njira zingapo - kumachitika pancreatitis yovuta komanso yosatha, komanso kumakupatsani mwayi wopewa kutukusira kwa njira yotupa pakukonzanso.

Chithandizo cha pancreatitis Gordoksomzaklyuchitsya pakugawa kwa yogwira zinthu za yankho mthupi lonse, kuchuluka kwambiri kwa mankhwala m'magazi kumatha kuchitika kwa maola asanu mpaka khumi.

Poyerekeza ndi mankhwala ena ofanana, mankhwalawa samakhudza ubongo, komanso samalowa mu placenta. Zomwe zimagwira zimalimbana ndi mapuloteni - zinthu zomwe zimawononga mapuloteni.

Kuphatikiza mankhwala kumathandizira:

Ntchito zamphamvu za pancreatic,
Chepetsani milingo ya kallikrein,
Kukhazikika kwa njira ya fibrinolysis,
Kuletsa kutulutsa magazi.

Mankhwalawa amagwiranso ntchito, kutengera mtundu wa mankhwalawa omwe dokotala wakupatsani komanso mlingo wake.

Yankho likhoza kugulidwa ku pharmacy iliyonse mukamapereka mankhwala. Gordox ali pa Mndandanda B.

Sungani mankhwalawo pamtunda wa madigiri 15-30, kutali ndi ana komanso dzuwa. Moyo wa alumali sukupitilira zaka zisanu.

Yemwe amawonetsedwa ngati mankhwalawo

Gordox ndi mankhwala othandizira ovuta, chifukwa cha ichi amalembera matenda osiyanasiyana. Nthawi zambiri, yankho limagwiritsidwa ntchito kuletsa magazi pambuyo pakuchita opaleshoni zikondamoyo, zoopsa, zowopsa komanso zovulala.

Mankhwala analamula kuti pachimake mawonekedwe a matenda, kuchulukitsa kwa matenda, pang'ono necrosis of pancreatic minofu, mkhutu kugwira ntchito mkati ndi chitukuko cha kapamba chifukwa cha kuvulala. Komanso, mankhwalawa amagwiritsidwa ntchito pakubwezeretsa pambuyo pochita opaleshoni, ndikubwereza pafupipafupi kwa matendawo, pofuna kukonzanso.

Musanamwe mankhwalawa, malangizo omwe angagwiritsidwe ntchito ndi Gordox pancreatitis ayenera kuphunziridwa. Popeza njira yothetsera vutoli imadziwika kuti ndi yogwira ntchito ngati mankhwala, itha kugwiritsidwa ntchito pokhapokha mutakambirana ndi adokotala. Mankhwalawa amachitika mu chipatala, moyang'aniridwa ndi madokotala.

Komabe, ndikofunikira kuganizira kuti Gordox mu pancreatitis pachimake ndi matenda ena atha kukhala ndi contraindication. Makamaka, yankho silingagwiritsidwe ntchito:

Panthawi ya mkaka,
Munthawi yoyamba komanso yachitatu ya mimba,
Pamaso pa sayanjana ndi aprotinin ndi zina za mankhwala,
Ngati matenthedwe achera pansi pazenera wamba.
Pankhani yakusokonezeka,
Ngati wodwalayo wachita opaleshoni yam'mapapo ndi mtima pafupipafupi.

Ambiri, odwala amalekerera bwino mankhwalawa, koma nthawi zina, zovuta zimachitika chifukwa cha vuto la mseru, palpitations, kuyerekezera zinthu zina, matupi awo sagwirizana ndi urticaria, anaphylactic.

Odwala ambiri atagwiritsa ntchito Gordoks amasiya ndemanga zabwino ndi pancreatitis yamitundu yosiyanasiyana, ngakhale kuti mtengo wake ndi yankho.

Kugwiritsa ntchito mankhwala osokoneza bongo

Malangizo ogwiritsira ntchito ndi Gordox pancreatitis ali ndi chidziwitso chonse chomwe muyenera kudziwa. Musanayambe chithandizo, kuyesedwa kwapadera kumayenera, komwe kumakupatsani mwayi kuti muwone ngati ma antibodies amatha kupangidwa mukakumana ndi zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa.

Pochiritsa kapamba, makulidwewo ayenera kuchepetsedwa ndi 0,9% sodium kolorayidi kapena 5% shuga yokhala ndi voliyumu yosachepera 500 ml. Mankhwala ocheperawa amagwiritsidwa ntchito maola anayi otsatira.

Dokotala amapaka jakisoni wa mayeso a 0,1 ml kudzera m'mitsempha kuti adziwe momwe thupi limasamala ndi mankhwalawo. Kenako, yankho limabwera ndi dontho.

Wodwalayo ali m'malo apamwamba ndipo amasintha kwambiri momwe angathere.
Mankhwala amaperekedwa pang'onopang'ono, kusamala, mu mtsempha waukulu.
Mankhwala ena saloledwa kulowetsedwa pamalo amodzi panthawi ya mankhwala a Gordox.

Mlingo weniweni umawerengeredwa ndi adotolo, kuwonetsetsa momwe thupi limakhalira komanso kupezeka kwa matenda ang'onoang'ono. Koma nthawi zambiri mankhwalawa amagwiritsidwa ntchito molingana ndi chiwembu chovomerezedwa ndi ambiri:

Zochizira za akulu, 0,5-2 ml yankho limagwiritsidwa ntchito maola anayi ndi asanu ndi limodzi.
Pazachipatala cha ana, Gordox amagwiritsidwa ntchito muyezo wa tsiku lililonse wa 0,5 ml pa kilogalamu imodzi ya kulemera kwa mwana.

Ngati mankhwalawa salekerera bwino, adokotala amamulembera mankhwala analogue omwe ali ndi vuto lofanana ndi thupi, kuphatikiza Ingitril, Contrical, Trasilol.

Vuto la mankhwala osokoneza bongo, wodwalayo amatha kuyanjana, komanso kuti anaphylactic angadabwe. Kwa zizindikiro zilizonse zokayikitsa, kugwiritsa ntchito mankhwalawa kuyimitsidwa.

Ngati wodwalayo ali ndi hyperfibrinolysis ndi kufalitsa mafala am'mitsempha, yankho limagwiritsidwa ntchito ngati mankhwala pokhapokha zizindikiro zonse zosafunikira zithe.

Mosamala kwambiri, ndi muyeso wa phindu ndi ngozi, mankhwalawa angagwiritsidwe ntchito ngati wodwala:

Opaleshoni ya mtima inachitidwa, hypothermia yozama imawonedwa, palinso chiwopsezo chakumangidwa kozungulira chifukwa cha kulephera kwa impso,
M'mbuyomu, panali zisonyezo zamankhwala omwe amapezeka ndi aprotinin, popeza kubwerezabwereza kwa yankho nthawi zambiri kumayambitsa kuyanjana kwambiri ndi anaphylactic. Ngati munthu wapatsidwa mankhwalawa m'masiku 15 otsatira, muyenera kuchita mayeso pogwiritsa ntchito mlingo woyeserera.
Matupi a diathesis adapezeka, pankhaniyi, chithandizo chikuchitika mosamalitsa ndikuyang'aniridwa ndi dokotala. Popewa kugwiritsidwa ntchito kosafunikira, muyezo umodzi womwe umagwiritsidwa ntchito kutsimikizira mphamvu ya mankhwalawa.

Kuti muzindikire hypersensitivity, mayesowo amachitika mphindi 10 isanayambike chithandizo chachikulu.

Ngati kukhazikitsidwa kwa muyeso kwa vuto lililonse kukuwonekera, Gordox iyenera kutayidwa, mwinanso kugwedezeka kwa anaphylactic kungayambike.

Kuchita ndi mankhwala ena

Yogwira pophika mankhwala imawonjezera heparin. Ngati Gordoks adalowetsedwa m'magazi ophatikizana, nthawi yowundana imachulukana.

Ngati Dextran ndi aprotinin atengedwa limodzi, onse awiriwa azidzithandiza okha. Pofuna kupewa kukula kwa hypersensitivity reaction, osagwiritsa ntchito mankhwalawa nthawi yomweyo.

Momwe mungachitire pancreatitis adzauzidwa ndi akatswiri mu vidiyo iyi.

32 ndemanga pa "" Pulogalamu: Kuchiza pancreatitis wowerengeka azitsamba ndi mankhwala ""

Anthu ambiri omwe ali ndi pancreatitis yosatha amadandaula madokotala. Zomwe mankhwala opangidwa ndi madokotala sagwira ntchito. Amathandizira kwakanthawi, kenako ndikuwonjeza. Odwala amafuna kuchiritsa kapamba kosatha ndi mankhwala. Koma popanda zoyeserera za wodwalayo mwiniwake izi sizingatheke. Choyamba, muyenera kukonza minofu yowonongeka ya pancreatic ndikukhazikitsa chimbudzi. Ndipo izi ndiye, choyamba, ndizakudya. Tiyenera kuiwaliratu za mowa, wokazinga komanso wamafuta. Mukadali ndi matenda a "pancreatitis" osakhalapo broth, kuphika supu kokha pa broths zamasamba. Kofi, koko, zokometsera, kusuta, zotsekemera, mkate watsopano, ma muffin amaletsedwanso. Ndikwabwino kudya masamba osaphika, koma ophika. Zakudya zamkati 5-6 patsiku, makamaka nthawi imodzi.
Gwiritsani ntchito wowerengeka azitsamba kuchiza matenda a kapamba: phula tincture, msuzi wa oat, chicory, kulowetsedwa kwa golide, mbatata ya mbatata, zitsamba. Kukonzekera kwazitsamba kumayenera kuledzera kwa miyezi isanu ndi umodzi, ndikusintha kapangidwe kamasabata awiri aliwonse. Osataya zitsamba zofinyiridwa, koma zigwiritseni ntchito ngati mawonekedwe a kapamba.

Tengani kaloti awiri ndi 2 mbatata zazing'ono zazing'ono, pangani madzi a juicer. Muyenera kupeza pafupifupi 200 g amadzi. Imwani gawo ili mphindi 30 musanadye. Tengani kamodzi patsiku. Njira ya mankhwalawa kapamba kwa sabata limodzi. Ndiye yopuma masiku 10 ndi njira yatsopano ya sabata iliyonse ya chithandizo chamadzimadzi. Zingakhale bwino kuzolowera ndi kumamwa mcherewu chaka chonse. (HLS 2012, No. 19 p. 14-15)

Ndikofunika kwambiri kuti mutengeko kwa masamba ophuka. Kuboola kwa oats ndichinthu chabwino pakugaya chakudya. Mbewu zouma nthawi zambiri zimakhala zofunikira pa unyamata. Ndipo pambali pake, oats amatha kuchiritsa pancreatitis kosatha.
Chinsinsi: tengani ma 100 g a oats, nadzatsuka, kutsanulira madzi owiritsa, kuyikika pamalo otentha, kuphimba ndi nsalu. Patsiku limodzi, mbande zimatuluka. Pukuleni pa thaulo. Pouma, ikazinga mu chopukusira cha khofi kukhala ufa (kapena chopukusira nyama ndi chouma). 1 tbsp. l kutsanulira ufa 200 g madzi, wiritsani kwa mphindi 2-3, ozizira komanso kumwa. Sungani msuzi osaposa maola 1.5. Njira ya chithandizo mpaka kuchira kwathunthu.

Ndizotheka kuchiza kapamba kunyumba osati kumera mbewu za oat. Nazi ndemanga zamankhwala a oats ochokera ku Vestnik ZOZH a 2012 No. 21.
Ndidapezeka kuti ndimadwala chifuwa cham'mimba ndili ndi zaka 60 ndikuyezedwa pafupipafupi. Kenako ndinakumbukira Chinsinsi cha agogo anga ochokera ku Altai Territory. Anandithandiza, kwazaka 17 ndakhala ndikungokhala osachulukana.
Mitsuko yamafuta m'matumba, yowuma pa thaulo. M'mawa, tengani theka lagalasi la mafuta abwino, ophika m'matope (mu chopukusira khofi) mpaka ufa. Thirani ufa ndi kapu yamadzi ozizira, aperekeni kwa ola limodzi, oyambitsa zina. Kenako unasi, pofinyira, ponyani kekeyo, ndikumwa madzi hafu ya ola musanadye. Imwani kulowetsedwa kwa oats kwa mwezi umodzi.
Njira yothetsera wowerengeka iyi idathandizira pomwe mwana wa mchimwene wanga adadwala matenda a khunyu. Anamupotoza kotero kuti maulendo awiri adatengedwa ndi ambulansi ndikumalandira kuchipatala. Kenako anamwa decoction wa oats ndipo kwa zaka zambiri akumva bwino.
Ndimalimbikitsa anthu ambiri kuti amwe oo decoction a kapamba, ndipo tsopano aliyense amandithokoza chifukwa Chinsinsi ichi.

Ngati pali miyala mu chikhodzodzo kapena chikhodzodzo ndikuchotsedwa, ndiye kuti simungathe kumwa infusions ndi decoctions a oats.
Ngakhale mbewu zirizonse mumakhala zoletsa zomwe zimalepheretsa kumera kwa mbewu m'munda wovuta. Zinthu izi zimachepetsa kagayidwe kake mthupi la munthu ndikusokoneza chimbudzi. Chifukwa chake, oats musanapange kulowetsedwa kapena decoction iyenera kunyowa, ndikuthira madzi. Ndipo ndibwino kumera njere. Chifukwa chake mapindu a oats zochizira kapamba azikhala ochulukirapo.

Zikomo chifukwa cha ndemanga, ndidazindikira kaloti ndi mbatata. Ndiyesera, ndizilemba zotsatila. Kuzindikirika kwa pancreatitis yosatha, kuzunzidwa kwa chaka, kwataya makilogalamu 20. Kupweteka kokhazikika.

Ndi mbewu za oat zomwe, mutanyowa, sizinakhazikike bwino phytic acid (omwewo ma inhibitors). Bwino kumera. Simungathe kuuma kapena pogaya mu chopukusira cha khofi, mutha kupera mbewu zofesedwa bwino mu blender powonjezera madzi (kapena kulowetsa zitsamba) ndi uchi

Mu zozhe ndidawerenga kuti pancreatitis, dandelion maluwa zimathandiza bwino, mutha kudya mwatsopano, mutha kuwuma ndikupanga

Inde, ndidapezanso ndemanga zingapo pamakhalidwe oyenera omwe ma dandelions adathandizira kuchiritsa kapamba:
1. Ndimadwala chifuwa cham'mimba komanso dyskinesia wazaka 73, ndili ndi zaka 73. M'mawa pamimba yopanda kanthu ndimamwa kulowetsedwa kwa Hercules: 2 tbsp. supuni ya phala mu 300 ml ya madzi ndimawiritsa kwa mphindi 2, kukulunga kwa mphindi 20. Ndimamwa theka m'mawa, theka lachiwiri madzulo.
Chapakatikati, ndimang'amba masamba a dandelion, kufinya msuzi, kusakaniza ndi uchi. Ndimatenga masiku 10 supuni 1 katatu patsiku musanadye. Sindimadya mafuta komanso okazinga, ndimasuntha kwambiri. zopweteka sizivutikira kwa nthawi yayitali. (Ndemanga kuchokera ku nyuzipepala ya HLS 2012, No. 4, p. 40)

2. Ndi kapamba, kulowetsedwa kwa dandelion kumathandiza. Chapakatikati, mumtsuko wa lita imodzi ndimasonkhanitsa maluwa a dandelion ndikutsanulira vodka. Nditseka ndikuyika m'malo amdima mpaka mwambowo.
Mu Ogasiti, kapamba wanga adayaka. Ndinkaponya 100 g wa tinthochi tokhala ngati dandelion, ndikuwonjezera 1 tbsp. l wokondedwa. Adayamba kutenga 1 tbsp. l Mankhwalawa kwa mphindi 20 musanadye mu gawo limodzi mwa magalasi atatu a madzi ofunda. Adatenga katatu patsiku. Ndakhala ndikumwa chaka chachiwiri ndikuchulukitsa kwa kapamba - ululu umacheperachepera. (HLS 2011, No. 24 p. 31)

Ndinawerenga ndemanga zambiri zabwino za mankhwalawa ndi kapamba ndi chomera cha Golden masharubu. M`pofunika kumwa kwa mwezi 3 pa tsiku, kulowetsedwa masamba a mbewu. Komanso, masamba amafunikira pang'ono - pepala limodzi pa lita imodzi ya madzi otentha (kukulunga, kunena tsiku). Imwani okha 50 mg. Ndiye kuti, pepala limodzi ndi lokwanira masiku 6. Pa njira ya chithandizo - ma shiti 5. (Ndemanga kuchokera ku nyuzipepala ya HLS 2012, No. 16 p. 35)

Odwala ambiri, atakhala ndi nkhawa, amayamba kukulitsa kudya mopitirira muyeso. Koma malingaliro awo sakhala ndi cholinga nthawi zonse. M'malo mwake, kapamba sichinachiritsidwe, ndipo kuphwanya zakudya kumayambitsanso pancreatitis yovuta. Chifukwa chake, pakupita nthawi, amayamba kukhulupilira kuti ndizosatheka kuchiritsa matendawa mpaka kalekale.

Ndili ndi zaka 47, anandipeza ndi chifuwa chachikulu cha khansa. Ndinkamva kuwawa kwambiri chifukwa moyo unkawoneka kuti watha. Sipangakhalenso kalikonse kupatula semolina, koma zopweteka mu kapamba sizinathe. Ndidalangizidwa kuti nditembenukire kwa akatswiri pa kapamba - Professor Nikolai Safronovich Makokha, yemwe panthawiyo ankagwira ntchito mumzinda wathu. Dotolo wakomweko sanandipatse chilolezo kwa iye, koma pulofesayo adandilandira popanda wonditumizira. Ndinakuwuzani kuti ndimankhwala ati a kapamba omwe adandiyikira. Pulofesayo anakwiya kuti kapamba anali wopanda ntchito chifukwa cha chithandizo chotere, ndipo ngati sichinathandize, kenako anamwalira. Zikondazo zimangofunika kuthandizidwa, koma pali zitsamba mwachilengedwe cha izi. Thupi limadzaza zinthu zofunika kuchokera kwa iwo ma microdoses. Ndipo akadziunjikira, zaka 10 zidzagwira ntchito moyenera.
Awa ndi zitsamba zomwe Pulofesa Makokha adandiwuza kuti ndizichitira ndi kapamba.
Mwezi umodzi kumwa chamomile, ndiye masiku 7 kutuluka, miyezi 2 - yarrow, masiku 7 kuchokera, miyezi 3 - maluwa osafa. Kenako kachiwiri camomile - 1 mwezi. Ndiye knotweed kapena calendula - 1 mwezi.
Ndinagula zitsamba ku pharmacy, bokosi lililonse limakhala ndi malangizo amomwe angatengere. Nditatenga ngakhale msuzi waku ntchito.
Pulofesayo adandiwuzanso kuti ndisamadye sopo wamafuta - izi ndi chakudya chakufa. Pukutani chakudya ndi mano anu kuti ayambe kulowa m'mimba ngati msuzi. Ndinayamba kutero. Posakhalitsa adasiya kumva kupweteka atatha kudya. Tsopano ndili ndi zaka 84 ndipo zikondamoyo sizimavuta. (Ndemanga kuchokera ku nyuzipepala "Vestnik ZOZH" 2009, No. 17, p. 10)

Ndili ndi malingaliro abwino pofotokoza mankhwala a kapamba ndi zitsamba malinga ndi njira ya Pulofesa Makokha. Ndinawerenga Chinsinsi ichi mu Healthy Lifestyle Bulletin cha 2009 ndipo ndidachilandira.
Ndi kudya kwamphamvu, ndimadwalabe kawiri pa sabata, nthawi zina ngakhale kawiri patsiku. Ndinkamwa mapiritsi 5 a analgin, koma shpa sizinathandize.
Ndikuchiritsidwa mwezi wa 4. Panalibe ziwopsezo konse. Pang'onopang'ono ndimaphatikizira kanyumba tchizi ndi kefir m'zakudya, ndisanadye - chakudya chowonjezera cha kapamba nthawi yomweyo chinayamba. (HLS 2012, No. 8, p. 8-9)

Iwo omwe akufunsa funso "Kodi angachiritse bwanji kapamba kosatha?" Ayenera kutsatira njira yophikira ndi phula. Poyerekeza ndi ndemanga, zimathandiza kwambiri kuchokera ku kapamba. Zimathandizanso kuchepetsa kukokomeza. Ndipo ngati mutenga nthawi yayitali mokwanira, ndiye kuti mutha kuchiritsa matenda a kapamba.
20 madontho 10% a tincture ayenera kuwonjezeredwa theka la kapu ya mkaka wotentha. Ngati munthu salekerera mkaka bwino, womwe nthawi zambiri umachitika ndi kapamba, ndiye kuti mutha kutenga 1/4 chikho cha mkaka kapena 1 tbsp. supuni. Koma mkaka uyenera kugwiritsidwa ntchito. Kuphatikiza kwa mkaka ndi phula kumapereka chofunikira kwambiri pakuchiritsa. Mutha kugula tincture ku pharmacy kapena kukonzekera nokha. Tincture wa propolis uyenera kutengedwa nthawi yogona yokha, pomwe bedi limawongoka, ndipo ngakhale mano ali otupa.
Ndemanga pa mankhwalawa kapamba ndi phula tincture.
Ndinali ndi vuto la kapamba. Zilimba zamkati tsiku lililonse zimayambitsa kupezeka kwanga. Zinali zosatheka ngakhale kukhudza kumbuyo. Ndipo ngati mutakhala ndi mwayi wodya chidutswa cha hering'i kapena maapozi, kenako mumakwera kuchokera zowawa pakhoma. Inenso ndine dokotala ndipo ndikudziwa kuti kapamba amathandizidwa ndi ma enzyme, ndi ma enzyme, m'malo mwa kapamba, zilepheretsani kwathunthu.
Nditangoganiza zothandizira matenda a bronchitis ndi mkaka wa phula ndipo ndinazindikira kuti ululu wanga wam'mbuyo utachepa ndipo ambiri ndinayamba kudya mwachizolowezi. Propolis anathandiza - matendawa amayamba kuchepa.
Koma simungatenge phula pafupipafupi - masiku 10 adatenga - pumulani. Kuchita bwino kwa mankhwala aliwonse, ngati amamwa mosalekeza, kumachepetsedwa. Khosi yotsatira m'masiku 20, mwachitsanzo, mumakhala nthawi 1 pamwezi. (Ndemanga kuchokera ku nyuzipepala "Vestnik ZOZH" 2016, No. 10, p. 11)

Mu nyuzipepala ya Vestnik ZOZH pali ndemanga zambiri za chithandizo chokwanira cha kapamba ndi phula tincture.

Ndemanga nambala 1. Kuchokera ku ululu wa kapamba, ndidathandizira kupangika kwa phula ndi mkaka, njira yomwe ndidawerengamo moyo wabwino. Kenako ndimalephera kudya chilichonse. Khalani pa porridge ndi masamba soups. Ndipo mankhwala ndikatha kudya ndimadya pafupifupi chilichonse. Koma ndimayesetsabe kutsatira zakudya. (HLS 2015, Na. 8 p. 8)
Kubwereza nambala 2. Kuyambira pancreatitis ndimamwa 1-2 pachaka maphunziro a tincture wa phula ndi mkaka, womwe ndidaphunzira ku HLS. M'mbuyomu, shuga anga adakwanitsa mayunitsi 8, tsopano ndi 5-5.5. Ndikumva bwino. Amapatula zakudya mafuta onse. Tsiku lililonse m'mawa ndi madzulo ndimamwa kulowetsedwa kwa chaga. (2 tsp. Pa lita imodzi yamadzi madigiri 60, ndimalimbikira thermos). (HLS 2016, No. 10, p. 10)
Kubwereza nambala 3. Ndakhala ndi kapamba kwa nthawi yayitali. Sindinathe kudya - zopweteka zimayamba nthawi yomweyo. Anatha kuchiritsa kapamba - tsopano ndimadya chilichonse. Anakana okhazidwa. Ndidathandizidwa ndi phula tincture, ndidapanga ndekha. Kuumirira 30 g ya phula mu 100 ml ya mowa. Pomwe ndimamwa mowa wina, ndikumumiriza wina. Amwa mankhwalawa 1 nthawi patsiku asanagone, akuyambitsa 1 tsp mu 100 ml ya mkaka wotentha. zopindika. Ndinkamwa sabata, kenako kupuma kwa masiku awiri, ndiye ndinamwanso sabata ndi masiku awiri yopumira. Chifukwa chake, kufikira machiritso athunthu. Pa chithandizo, ndimatsatira kadyedwe.
Tsopano popewa nthawi ndi nthawi ndimatenga tincture uwu. (HLS 2012, No. 7, p. 32)

Ndipo bwanji za iwo omwe ali ndi pancreatitis yovuta kwambiri? Momwe mungachepetse ululu m'mapamba? Ndi mapiritsi ati oti mutenge ndi kufalikira?

Baralgin, no-shpa, papaverine athandizira kuchepetsa ululu. Kuti muchepetse kapamba kumathandizira mankhwala omwe amakhala ndi ma pancreatic enzymes: festal, panzinorm, chimbudzi.
Mawu akuti pancreatitis yovuta, malinga ndi madokotala, ayenera: "Njala, kuzizira komanso mtendere." Osamadya chilichonse kwa tsiku limodzi, kumwa madzi ochepa, ngati mukusanza komanso kutsekula m'mimba, ndiye kumwa madzi ambiri kuti musathe madzi am'madzi. Ndikofunika kuti muzikhala ndi njala nthawi yayitali, koma ndibwino kuyang'aniridwa ndi dokotala. Kutuluka mukumva njala pama porridge amadzi pamadzi. Ndi kukokomeza kwa kapamba, muyenera kuyika thovu kapena kanthu kena kozizira pamimba. Onetsetsani kuti mukugona pakama, ngati musuntha, kapamba amayenera kupanganso insulin, ndipo ndiyabwino popanda iyo. Mpatseni mpata.

Ndawerenga pamabungwe azithandizo za kapamba nthawi zambiri kuti ndi matendawa ndi bwino kusintha tiyi ndi khofi ndi chicory, ngakhale atakhala ndi mafuta, pompopompo, omwe angagulidwe motchipa m'misika yonse

Ndimadwala chifuwa cham'mimba. Popewa kufalikira, ndimayang'anitsitsa kadyedwe kake. Zikondazo sizivomereza mafuta onse, yokazinga, yosuta, ufa, zotsekemera, komanso masamba osaphika ndi zipatso - amayenera kupatsidwa chakudya kapena kuwotcha. Pancreatitis nthawi zambiri imamasulira matenda a shuga, chifukwa chake ndimaletsa kudya kwamphamvu thupi. Chakudya changa chachikulu ndi mapuloteni. Ndimadya pang'ono m'magawo atatu aliwonse. Ngati kupweteka, kutulutsa, kuyerekezera, ndimatenga kukonzekera kwina. Koma satenga milungu yopitilira iwiri kuti achiritse. Kupatula apo, kapamba sayenera kuloledwa kukhala waulesi. Ndimamwa ma infusions azitsamba omwe amasintha magwiridwe antchito a kapamba. Ndimamwa ma infusions am'magazi azitsamba 1 pamwezi (theka chikho katatu patsiku mphindi 30 asanadye), ndiye ndimapuma masiku 10.
Zithandizo zonsezi (zakudya, ma enzyme, zitsamba) zimandithandizira kuiwalako kutuluka kwa kapamba kwa nthawi yayitali. (Ndemanga kuchokera ku nyuzipepala "Vestnik ZOZH" 2016, No. 7, p. 12)

Ndipo sindinapeze ndemanga kulikonse, momwe mbewu za fulakesi zimathandizira pochotsa ziphuphu. Apa ndi pa tsambali, malingaliro pa momwe oats anathandizira ndi kapamba alipo, koma osanenapo kanthu za mbewu za fulakesi. Ngakhale pali maphikidwe ambiri pa intaneti. Ndinagula 1 kg ya mbewu ya fulakesi, koma tsopano ndikuganiza kuti kunali bwino kugula mafuta a oats.
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Mbewu za fulakesi zimatha kuyambitsa matenda otsegula m'mimba, ndipo izi zimachitika kawirikawiri ndi kapamba. Mafuta alibe mavuto. Mafuta amatha kubwezeretsa minyewa: minyewa ya chiwindi, kapamba, thupi lonse. Chifukwa chake, msuzi wa oats uyenera kuledzera ngakhale ndi munthu wathanzi - izi zidzakulitsa ubwana wake

Mu chifuwa chachikulu cha pancreatitis, mungafunike kufa ndi njala, koma mukudwala, muyenera kudya maola atatu aliwonse. Ngati muwerenga ndemanga za madokotala pamapulogalamu, ndiye kuti mwachangu kuchuluka kwa odwala omwe amavomerezedwa ndi pachimake oyamba komanso kufalikira kwamphamvu kwambiri kapamba kumawonjezeka nthawi zambiri. Awa ndi omwe adatenga udindo mwachangu kwambiri ndikuyamba kufa ndi njala masiku oyamba kapena kudya 1 nthawi patsiku

Ngati muli ndi pancreatitis ndi cholecystitis, ndiye kuti kulowetsedwa kwa anyezi mankhusu kungakuthandizeni. Ine ndekha ndimatenga nthawi zonse.
2 tbsp. l anyezi wosankhidwa kutsanulira 100 ml ya mowa wamphamvu. M'milungu iwiri ndimasefa. Ndimatenga madontho 20, ndikusakaniza 1 tbsp. l mafuta opindika. Njira ya mankhwala ndi milungu iwiri. (Ndemanga kuchokera ku nyuzipepala ya HLS 2015, No. 2 p. 28)

Pachilimwe chatha ndidakokolola kwambiri chifuwa cham'mimba. Kwa milungu ingapo panali m'mimba mwake, m'mimba. Nthawi ina, hilak forte adathandizira, koma kenako adasiya kuthandiza. anapeza njira yopulumutsa.
Tengani 10 g ya ma rhizomes ofukizira ndi zotupa, kutsanulira kapu ya madzi otentha ndikusamba mumadzi osamba kwa mphindi 30. Popanda kuzirala kuti muvutike, onjezerani madzi owiritsa kwa 200 ml. Imwani 50 ml 4 pa tsiku kwa mphindi 30 musanadye. Maphunzirowa ndi mwezi umodzi. Ngati muli ndi matenda oopsa, ndibwino kupatula zofukizazo kuchokera pagululo - zimakweza kukakamiza. (Ndemanga kuchokera ku nyuzipepala ya HLS 2012, No. 5, p. 34)

Pamene kufalikira kwanga kwa kapamba kumayamba, ndimakhala ndi zowawa m'mapapo, ndiye ndimayamba kuthandizidwa ndikutola zitsamba. Ndimatenga 1 tbsp. l mitundu ya calendula, plantain, dieelle, motsatizana. Ndikupaka chilichonse kukhala ufa. 2 tbsp. l kutsanulira 0,5 l madzi otentha mu osakaniza, kunena 1 ora ndi kumwa theka chikho 3 pa tsiku 30 mphindi musanadye. Usiku, kumanzere kwanga, ndimapanga compress kuchokera ku yogati.
Kutalika kwa chithandizo ndi milungu 4. (Ndemanga kuchokera ku nyuzipepala ya HLS 2017, No. 15, p. 31)

Marigolds ali ndi mphamvu yayikulu yochiritsa, amathandizira kuchotsa kapamba ndi matenda a chiwindi ndi impso. Mothandizidwa ndi marigolds, ndinatha kuchiritsa kapamba, komanso kuchepetsa kupanikizika. Nditenga kulowetsedwa kwa marigolds ndi tincture.
Kulowetsedwa: supuni 1-2 zamaluwa owuma kutsanulira 200 ml ya madzi otentha, kusiya kwa mphindi 15-20. Sumutsani ndi chikho 1/4 4 pa tsiku kwa mphindi 15 musanadye.
Tincture: 25-30 inflorescence a marigold (makamaka amdima) kutsanulira 300 ml ya mowa. Kuumirira masiku 15. Tengani 1 tsp. pa 100 ml ya madzi mphindi 15 musanadye, 1 nthawi patsiku.
Malangizo: Tenga masiku 21. Masiku 7 yopuma. Chitani maphunziro osachepera atatu, kupitilirani bwino. (Younikiridwa ndi nyuzipepala ya HLS 2018, No. 12, p. 30)

Zikondazo zimatha kuchiritsidwa kwamuyaya, koma ndimachithandizo chotalika kwambiri. Muyenera kutsatira zakudya zosafunikira kwa pafupifupi chaka chimodzi ndikumwa ma infusions azitsamba kwa chaka chimodzi kuti mubwezeretsere kutulutsa ndi kutulutsa chimbudzi.

Mankhwala a kapamba ndi colitis. Muziwotcha 400 g wa timbewu tonunkhira, 100 g wa wort wa St. John, 100 g ya repeshka. Thirani mu thermos 1 tbsp. l kusonkhanitsa kapu yamadzi otentha, kunena usiku. Ndimamwa kulowetsedwa mu 1/3 - 1/2 chikho 3 pa tsiku 30 mphindi musanadye. Kulowetsedwa bwino chimbudzi, kumachepetsa colic, kubwezeretsa minofu pancreatic. (Unikani kuchokera ku HLS 2012, Na. 23, p. 36)

Upangiri wa Dokotala pakuchiza pancreatitis mu chikhululukiro.
Njira yoyamba ya chithandizo. Tengani muyezo wofanana muzu wa burdck ndi elecampane, chitsamba chowawa, St. wort wa St., conchwort, akavalo akavalo, zingwe, tchire, chamomile ndi calendula. Muziganiza ndi 1 tbsp. l kusonkhanitsa kutsanulira 0,75 malita a madzi otentha. Kuumirira 2 hours. kumwa makapu 0,5 kutentha mphindi 30 musanadye katatu pa tsiku. Maphunzirowa ndi milungu iwiri.
Njira yachiwiri ya mankhwala azitsamba - mankhwala ndi kulowetsedwa kwa udzu Thirani 2 tsp. mpiru 1.5 chikho madzi otentha. Kuumirira mu thermos kwa maola 4. Imwani kapu theka katatu pakatha mphindi 30 musanadye. Maphunzirowa ndi milungu iwiri.
Osataya mbewuzo, koma muzigwiritsa ntchito tsiku ndi tsiku pamatumbo apamwamba. Afalikireni ndi kutentha kapena kutentha pakhungu, kuphimba ndi polyethylene ndi bulangeti, kugona pansi kwa mphindi 30. Njira za 10-15 njira
(Unikani kuchokera ku nyuzipepala ya HLS 2015, No. 10 p. 18. Kuchokera pa zokambirana ndi dokotala Vanin A. I. KMN)

Ndi cholecystitis ndi kapamba, mavalidwe amchere pamimba yapamwamba amathandiza. Tawulo waffle amakhala wothira mu 10% yankho la sodium chloride, yoyikidwa pamimba ndi bandeji kapena nsalu. Zimatha maola 9-10. Njira ya chithandizo ndi mavalidwe a 7-10.

Ndichitira kapamba monga: kutenga 2-3 tbsp. supuni ya zamkati zatsopano kapena zowuma, kutsanulira 0,5 malita a madzi otentha ndi kuwira kwa mphindi 2-3. Ndimalimbikira theka la ola ndikumwa 3 zina theka la ola musanadye. Maphunzirowa ndi mwezi umodzi.

Nazi zitsamba zina zingapo zochizira kapamba. Ngati mumawatenga pafupipafupi mumaphunziro ndi kusinthana, ndiye kuti mutha kuchiritsa kapamba kotheratu. Onetsetsani kuti mukutsatira zakudya mukamalandira chithandizo.
Kutola nambala 1. Immortelle, tansy, chamomile, knotweed, dandelion muzu. Tengani zitsamba zonse za 1 tbsp. l ndi kutsanulira 1 lita imodzi ya madzi otentha. Kukulunga, kunena 2 maola. Tengani theka kapu katatu pa tsiku kwa mphindi 30 musanadye. Maphunzirowa ndi mwezi umodzi.
Kutola nambala 2. Sakanizani 3 tbsp. l sage, maluwa a calendula, muzu wa burdck. Malinga ndi 2 tbsp. l red clover, repeshka, ndi dandelion. 2 tbsp. l cha chopereka ichi, kutsanulira 0,5 malita a madzi otentha mu thermos, kunena 5 maola. Tengani theka chikho 3 pa tsiku kwa mphindi 30 musanadye, nthawi inayi - usiku. Maphunzirowa ndi mwezi umodzi.
Kutola nambala 3. Pogaya ndikusakaniza magawo ofanana mizu ya dandelion ndi elecampane, udzu wa chicory ndi masamba a timbewu. 1 tbsp. l kutola zitsamba kutsanulira kapu yamadzi otentha, kusiya kwa maola awiri. Tengani katatu patsiku musanadye za chikho 1/3.
(Ndemanga kuchokera ku nyuzipepala "Vestnik ZOZH" 2016, No. 7, p. 12, 2011, No. 24 p. 31)

Kodi Gordox ali bwanji

Gordox mu pancreatitis imalepheretsa kutseguka kwa michere ya proteinolytic ndipo imathandizira kuchepetsa ntchito ya magazi a fibrinolytic komanso kupewa magazi. Mankhwala amaperekedwa ngati mulingo wa trypsin ndi lipase uchulukira mu seramu yamagazi, yomwe imayendera limodzi ndi kupweteka kwambiri kumanzere kwa hypochondrium.

The yogwira pophika mankhwala aprotinin, monga othandizira zigawo, mowa, madzi, sodium mankhwala enaake amagwiritsidwa ntchito. Aprotinitis ndi polypeptide yochokera m'mapapu a ziweto.

Gordox ali ndi antiprotease, heestatic, antifibrinolytic katundu. Gawo lalikulu lamankhwala silimalola kuti mapuloteni azitha kugwira ntchito ngati choletsa kallikrein. Mankhwalawa amatulutsa ma cytokines otupa komanso chinthu chomwe chimasinthasintha glycoproteins.

Pochita opaleshoni, aprotinin amagwiritsidwa ntchito kuti achepetse kuyamwa, komwe kumachepetsa magazi komanso kumachepetsa mwayi wothiridwa magazi.

Chifukwa chake, Gordox ali ndi zotsatirapo zamankhwala:

amachepetsa ntchito ya magazi ya fibrinolytic, chifukwa amalepheretsa ma enzymes (kallikrein, trypsin, chymotrypsin, plasmin kininogenase). Imalepheretsa zonse zochitika za michere ya England ndi zochitika zama protein ena,
imapangitsa kusungunuka kwa magazi ndi kuwundana magazi,
amachepetsa ntchito yama cytokines, mapuloteni omwe amachititsa kutupa,
muthane ndi kuchepa kwa glycoproteins (zomwe zikuchitika).

Mankhwalawa amachotsedwa m'magazi mu maola 10

Pambuyo poyambitsa yankho, atropine imapezeka m'malo ophatikizana, chifukwa momwe mulingo wake umagwera mwachangu. Ambiri a aprotinin amadziunjikira impso, gawo laling'ono kwambiri limasonkhana mu cartilage.

Mu ubongo mumakhala mankhwala ochepa, ndipo salowa m'magazi a cerebrospinal fluid. A aprotinin ambiri akusunthira kudutsa placenta. Chithandizo cha Gordox chimagawika pansi pa zochita za impso za lysosomal.

Mukafuna kutenga Gordoks

Popeza Gordoks ali ndi ntchito ya antiprotease, amasonyezedwa matenda a kapamba ndi ziwalo, zomwe zimatsatana ndi kuchuluka kwa kallikrein ndi mapuloteni ena.

Gordox amawerengera matenda otsatirawa:

pachimake kapamba (amagwiritsidwa ntchito ngati imodzi mwanjira zovuta kwambiri zochizira),
chifuwa chachikulu (ngati chibwereza chimachitika kapena matendawa ndi akulu),
kapamba, wopangidwa kumbuyo kwavulala kapena opaleshoni,
magazi oyamba chifukwa cha hyperfibrinolysis,
kapamba,
angioneurotic edema,
Zizindikiro zakukhumudwa (zoopsa, zowopsa, zotupa),
kuvulala kwamatenda akulu.

Contraindication ndi zosafunika zotsatira za mankhwala

Mndandanda wa contraindication wa mankhwalawa ndi wochepa. Monga mankhwala ena aliwonse, Gordox silingatengedwe ngati pali kulolera pazinthu zazikulu kapena zothandizira za mankhwalawo, komanso hemorrhagic diathesis (DIC), mu trimester yoyamba ndi yachitatu ya mimba.

Ma painkiller a kapamba

Zotsatira zosafunika mukamamwa Gordok ndizosowa kwambiri. Odwala ena, thupi limagwiritsa ntchito mankhwalawo ndi dyspeptic disc (nseru, kusanza) ndi matupi awo owoneka (zotupa pakhungu, mphuno, urticaria, bronchospasm, conjunctivitis, anaphylactic reaction).

Nthawi zambiri, mukalandira chithandizo, kupweteka kwa minofu kumawonekera ndipo kumasiyana ndi magazi abwinobwino (hypotension kapena tachycardia). Pakhoza kukhala zovuta zoyambira pakati pa dongosolo lamanjenje, mwachitsanzo, chisokonezo, matenda amisala, kuyerekezera zinthu.

Zomwe zimayambitsa mankhwalawa panthawi yoyamba jekeseni ndizosowa kwambiri, chiwopsezo cha chitukuko chake chimawonjezeka ndi 5% ndi jekeseni lotsatira la yankho. Zotsatira zoyipa kwambiri za allergic kapena anaphylactic zingachitike ngati maphunziro opitilira awiri a mankhwala a Gordox akaperekedwa mkati mwa miyezi isanu ndi umodzi.

Kodi mankhwalawa amagwiritsidwa ntchito bwanji?

Gordox imapangidwa ndi mawonekedwe amadzimadzi ndipo iyenera kuphatikizidwa mu mtsempha. Mu muyezo wokwanira 10 ml ya mankhwalawa (chigawo chogwira ntchito ndi 100,000 KIE kapena 14 mg ya aprotinin). Zoyikapo pulasitiki zisanu ndizotsekedwa mufakitore, momwe mumakhala ma galasi okwanira magalasi 5. Mukamagwiritsa ntchito Gordoks, malangizo ogwiritsira ntchito ayenera kuyang'aniridwa mosamala.

Mankhwalawa amalowetsedwa m'mitsempha pang'onopang'ono, osaposa 5 ml m'masekondi 60

Kubayirira kumachitika pokhapokha ngati wodwala wagona (chifukwa mankhwalawo angapangitse opaleshoni ya kukakamiza). Gordox imalowetsedwa m'mitsempha yayikulu yomwe mankhwalawa sathandizidwa. Kuti muyese kuyankha kwa thupi pazomwe zimagwira, 1 ml ya Gordox imaperekedwa kwa wodwala. Ngati ziwopsezo sizinachitike mumphindi 10, ndiye kuti mlingo wonse womwe dokotala watchulidwa ndi dokotala umaperekedwa.

Wodwala wamkulu nthawi zambiri amapatsidwa ma kIU a 0.5-2 miliyoni; yankho limalowa m'mitsempha mkati mwa ola limodzi. Mlingo wokhalitsa 200 zikwi za KIE akuwonetsedwa ndi gawo la maola 4-6. Ngati zizindikiro za kapamba zimatha pang'onopang'ono, ndiye kuti thandizo limachepa kukhala 500,000 KIE / tsiku.

Mu chifuwa chachikulu cha khansa, 50,000-1,000,000 KIU imayikidwa ndipo pang'onopang'ono imatha masiku 2-6 kupita ku 50- 300,000 KIU ndipo imathetsedwa zizindikiritso za enzymatic zitatha. Ndi kuchulukitsa kwa matenda a kapamba, 25-50 zikwi KIU imayendetsedwa tsiku lililonse kwa masiku 3-6.

Gordox imalembedwa kwa ana malinga ndi kulemera kwa thupi: 20,000 KIE amatengedwa pa 1 kg. Malangizo ogwiritsira ntchito Gordoks ali ndi chidziwitso chakuti palibe chidziwitso pazomwe zimachitika pathupi la ana, chifukwa chake Gordoks amangogwiritsidwa ntchito moyang'aniridwa ndi dokotala.

Zowonjezera

Gordox ikhoza kuperekedwa kwa amayi apakati mu trimester yachiwiri. Nthawi yomweyo, kuwunika pafupipafupi zamankhwala kwa mayi ndi mwana kuyenera kuchitika. Palibe zambiri zakuchipatala zomwe zingatsimikizire kuti mankhwalawa samalowa mkaka wa m'mawere ndipo samakhudza chamoyo chosapsa, chifukwa chake, sikulimbikitsidwa kuti mutenge proteinase inhibitor pa nthawi ya msambo.

Ndi mankhwala osokoneza bongo a Gordox, wodwalayo amatha kuyamba sayanjana, ngakhale kudana ndi anaphylactic kungachitike. Ngati pali zizindikiro za kulekerera kwa mankhwala, ndiye kuti Gordox imathetsedwa ndipo chithandizo cha kapamba chimachitika.

Mankhwala amakhudzana ndi mankhwala ena, chifukwa chake mankhwalawa amayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala.

Aprotinitis yowonjezera ku magazi a heparinised imabweretsa kuwonjezeka kwa nthawi yowundana. The munthawi yomweyo makonzedwe a Gordox ndi Reomacrodex timapitiriza achire zotsatira za onse mankhwala (kuchititsa chidwi).

Yogwira pophika yankho limalepheretsa zotsatira za urokinase, alteplase, streptokinase. Komanso ndi serum cholineterase inhibitor yofooka, chifukwa chake, kugwiritsa ntchito mankhwala munthawi yomweyo, kupumula kwa minofu kumawonjezeka, komanso kukula kwa ziphuphu kumachitika.

Gordox imagawidwa mu mankhwala ndi mankhwala. Iyenera kusungidwa pa 15-30 ⁰⁰. Alumali moyo zaka 5. Asanayambe maphunziro achire, ndikofunikira kuti muwone ngati pali chidwi chamunthu pazigawo za Gordox, chifukwa chake kuyesa kwa khungu kumachitika.

Ngati wodwalayo anali ndi zovuta zonse, ndiye kuti histamine receptor ndi corticosteroids blockers ayenera kutengedwa pamaso pa aprotinin therapy. Ngati DIC ndi hyperfibrinolysis iwonetsedwa, ndiye kuti kuwongolera kwa Gordox ndizovomerezeka pokhapokha zizindikiro zonse za DIC zikachotsedwa ndipo pali njira yolepheretsa heparin.

Gordox iyenera kumwedwa mosamala ngati opuma minofu akatengedwa masiku 2-3 asanafike mankhwala a aprotinin. Ndi maphunziro achiwiri a Gordox, chiopsezo chotenga chifuwa chachikulu komanso kusakhazikika kwa mankhwalawa kumawonjezereka, kotero anthu omwe ali ndi vuto laling'ono ayenera kuyang'anitsitsa thanzi lawo ndikuzindikira kuti chiwopsezo chake ndi chiyani.

Mowa umagwiritsidwa ntchito ngati mankhwala osokoneza bongo ku Gordoks, kotero, mankhwalawa a tsiku lililonse sayenera kupitirira 90 mg / kg ngati mlingo uli ndi zochuluka kuposa zomwe adokotala adapereka, ndiye kuti zotsalazo ziyenera kutayidwa, chifukwa yankho silingasungidwe.

Mankhwala omwe, monga Gordox, ali ndi aprotinin:

Victor:
Zaka zingapo zapitazo ndidapezeka kuti ndimadwala kapamba. Nthawi yotsatira yowonjezera ikubwera, ndi Gordoks okha omwe amandipulumutsa. Ngakhale kuti masiku ano pali njira zambiri zatsopano za mankhwalawa, ndikupitirizabe kuzigwiritsa ntchito, popeza zimaposa zina zonse zofananira.

Lyudmila:
Mwana wanga atamuchita opaleshoni, adapezeka kuti ali ndi pancreatitis panthawi yokonzanso. Atatembenukira kwa dotolo kuti atithandizire, adatifotokozera jakisoni wamkati wa Gordox, womwe timayenera kuchipatala. Chipangizocho sichinali chotsika mtengo ndipo nthawi zambiri tinkapita kukayendera. Asanagwiritse ntchito, tinawerenga mosamala malangizo ogwiritsira ntchito ndipo tinaphunzira kuti mankhwalawa angayambitse matupi awo chifukwa cha anaphylaxis. Koma mwamwayi, tinatha kupewa zonsezi. Pambuyo pa jakisoni 3, matenda ake adakhala bwino, pomwe palibe mavuto omwe adapezeka.

Stepan:
Pa kukokomeza, Gordox amkodwa kwa ine - m'masiku atatu ndimakhalanso munthu.

Gordox ndi othandiza ndipo malinga ndi kuwunika kwa odwala, kale patsiku la 2 atayamba chithandizo, mkhalidwe umayenda bwino, ululu wammbuyo sukutchulidwa. Popeza kugwedezeka kwa anaphylactic kumatha kuchitika pakumwa, mankhwalawa amaperekedwa kwa odwala kuchipatala.