Kodi kapamba amathandizidwa bwanji kuchipatala?

Ndi vuto la pancreatitis pachimake, nthawi zambiri sizotheka kuthana kunyumba. Amatha kukhala limodzi ndi kuwonongeka kwakukulu mu thanzi, kupweteka kwambiri, nseru, kusanza, ngakhalenso kusazindikira. Zikatero, kulandira zipatala ndi kulandira chithandizo chofunikira kuyang'aniridwa ndi madokotala. Kupereka chithandizo chamankhwala kuchipatala choterocho mosakayikira kumatha kubweretsa zovuta, komanso kufa.

Kugoneka kwa odwala ndi kapamba

Pancreatitis ndi kutukusira kwa kapamba komwe ma enzymes opanga ndi gland sangathe kulowa m'matumbo kuti akamwe chakudya ndipo, chifukwa chake, amayamba kugaya tinthu timene timayamwa. Zidaziwikiratu kuti “zonyansa” zimadzidya zokha.

Ichi ndi matenda oopsa komanso owopsa omwe amafunika chithandizo chamankhwala choyenerera. Matendawa amatha kuchitika m'mitundu iwiri: aakulu komanso pachimake.

Nthawi zambiri, chithandizo cha matendawa chimachitika kunyumba, malinga ndi zomwe adokotala adapereka. Komabe, kukula kwa chifuwa chachikulu cha kapamba kapena kufalikira kwa matenda osachiritsika kungayende limodzi ndi kuukiridwa ndi zizindikiro zopweteka kwambiri. Zikatero, simuyenera kupirira ululu komanso kugwiritsa ntchito njira zochiritsira wowerengeka, koma muyenera kuyitanitsa gulu la ambulansi. Kulowerera popanda chithandizo chamankhwala mosavutikira kumayambitsa matenda, kulumala ngakhale kufa kwa wovutikayo.

Chifukwa chake, chisonyezo chakuchipatala kwa wodwala yemwe ali ndi kutupa kwa pancreatic ndikokula kwa vuto lodana kwambiri, lomwe limatsagana ndi kupweteka kwambiri, kuwonongeka kwakukulu muumoyo.

Kusanza ndi kuperewera kwambiri (makamaka ndi kuphatikizika kwa ndulu) kungakhalenso zizindikiro zowopsa. Ngati zichitika, ndikulimbikitsidwa kukaonana ndi dokotala posachedwa.

Zizindikiro za kupweteka kwamatenda a pancreatic ndi monga:

• Kupweteka kwambiri mu hypochondrium woyenera, komanso pamwamba pa msomali,
• Kubweza
• Kutsegula m'mimba
• Kukweza kutentha mpaka madigiri 38 ndi kupitilira apo,
• Tachycardia.

Ngati chiwopsezo chachikulu cha kapamba, ambulansi isanafike palibe;

1. Imwani ma pinkiller ndi antiemetics.
2. Mangani hypochondrium.
3. Ikani mafuta otentha, ofunda ndi kutentha kwina kulikonse.
4. Imwani zakumwa zilizonse kupatula madzi ochepa.

Wodwalayo ayenera kuyikika pa sofa kapena pogona pakukhazikika, kuyika nsalu yozizira kapena yofundira pamalo owawa, ndi kuwongolera mpweya wabwino. Titafika, gulu la ambulansi, litafufuza momwe wodwalayo alili, lipereka thandizo kwa woyamba kuzunzidwa. Pofuna kuchepetsa ululu, wodwalayo nthawi zambiri amapatsidwa jakisoni ndi papaverine wothira mchere.

Matenda Othandizika

Kuti mankhwalawa akhale othandiza, ndikofunikira kuti wodwalayo azindikire moyenera, kuti adziwe zam'thupi mwake pakumwa mankhwala ena ake. Pachifukwa ichi, wodwala amatha kupatsidwa mitundu yotsimikizira izi:

• magazi ndi mkodzo mayeso,
• hemogram (kukhazikitsa njira yotukukira malinga ndi kuchuluka kwa maselo oyera a magazi),
• CT kapena MRI
• ECG
• kuchuluka kwa magazi m'magazi (pofuna kudziwa ngati pali ma enzymus apachifupa m'magazi),
• Ultrasound (kudziwa malo omwe akutupa),
• emergency laparoscopy (ndi puranc pancreatitis, kukula kwa zovuta zazikulu).

Kutengera ndi zotsatira za mayeso, dokotalayo amatsimikizira kapena amakana kukhalapo kwa matenda a kapamba, akhazikitsa mawonekedwe ake, kuchuluka kwa kuwonongeka kwa chiwalocho, ngati ziwalo zina zam'mimba zimakhudzidwa, ngati pali chiopsezo cha zovuta, komanso amasankha njira zoyenera zochizira.

Kodi amadwala kapamba?

Chithandizo cha pancreatitis kuchipatala chimatengera gawo la matenda omwe wodwalayo adalandiridwa kuchipatala komanso kupezeka kwa zovuta. Kuchokera ku dipatimenti yolandila, wodwalayo amatumizidwa kumalo othandizira odwala kwambiri. Akatswiri a ambulansi amatha kuperekanso wodwala ku dipatimenti ya gastroenterology.

Nthawi yomweyo, madokotala pakulandila ku dipatimenti ali ndi ntchito ziwiri zazikulu:

• khazikitsani mtima wodwalayo, siyani kuukira,
• letsa kukula kwa zovuta.

Ndipo atatsiriza ntchitozi, madokotala amayamba kuchiza matendawa.

Ngati munthu wamwalira ndi vuto la puritis, necrotic pancreatitis, amatumizidwa nthawi yomweyo kuchipatala kuti am'thandize pochita opaleshoni moyang'aniridwa ndi woyambitsa kapena dokotala wa opaleshoni. Pambuyo pa chisamaliro chodzidzimutsa komanso kukhazikika kwathunthu kwa thanzi, wodwalayo amasamutsidwa kupita ku dipatimenti ya gastroenterology kapena opaleshoni, komwe amayang'aniridwa ndi dokotala wa gastroenterologist kapena dokotala wa opaleshoni, motsatana.

Ngati pali kukayikira kwa zovuta za kapamba kapena kupezeka kwa matenda okhudzana, endocrinologist ndi oncologist akuphatikizidwa, kuwonjezera apo, kugwira ntchito kwa kupuma, mtima ndi impso zimayang'aniridwa.

Panthawi yakuchotsa, munthu amalandila zithandizo zothandizira kupitiliza mankhwala kunyumba, ndikuwadziwitsanso pakufunika kowunikira pafupipafupi ndi a GP am'deralo. Kukonzanso kukonza kumatenga miyezi isanu ndi umodzi.

Mu mawonekedwe

The pachimake maphunziro a matenda zambiri kumatenga masiku awiri mpaka asanu ndi awiri. Pankhaniyi, masiku awiri kapena atatu oyamba amawoneka kuti ndi ovuta kwambiri, omwe ali ndi vuto, popeza mkhalidwe wa wodwalayo umayenera kukhazikika. Munthawi imeneyi, chiwopsezo chachikulu cha zovuta zakupha chimakhalapo, chifukwa chake chimadziwika ndi mankhwala othandizira kwambiri. Masiku oyamba omwe wodwala amatha kukhala pansi.

Ndi kukula kwamtundu wa kutupa kwa kapamba kapena kufalikira kwa matenda osachiritsika, wodwalayo amatha kuchipatala kuyambira masiku 7 (10) mpaka 14. Kutalika kwa chithandizo kumakhudzidwanso ndi kutha kwa mankhwala omwe mwasankha.

Ngati pakufunika opaleshoni, opaleshoniyo itadwala, wodwalayo amatha sabata ina m'dipatimenti ya masana, ndipo atachira kwa mwezi umodzi ndi theka mpaka miyezi iwiri, amayenera kupita kwa dotolo nthawi ndi nthawi.

Mu mawonekedwe osakhazikika

Chithandizo cha pancreatitis kuchipatala ndi mawonekedwe ake osakanikira amachitika makamaka makamaka ngati matendawa atakulitsa. Kutalika kwa nthawi yayitali kuchipatala kumatha kutenga sabata limodzi kapena awiri.

Komabe, kutupa kwamatumbo kosatha kumatha kuthandizidwa kwazaka zambiri. Mankhwalawa amachitika kunyumba, ndipo panthawi yankhanza kwambiri, kupita kuchipatala kumafunikira moyang'aniridwa ndi madokotala.

Njira zakuchipatala

Chithandizo chokhacho cha kapamba kuchipatala chimakhudzanso kukhazikitsidwa kwa zinthu izi:

1. Kuchotsa ululu.
2. Kuchotsa kwa ma spasms a minofu yosalala ya kapamba.
3. Kuthetsa kufooka.
4. Kuyimitsa ntchito ya michere yogaya chakudya.
5. Chithandizo cha matenda.
6. Matenda a chimbudzi.
7. Kuthetsa mavuto obwera chifukwa cha mankhwala.

Kodi kapamba amathandizidwa bwanji kuchipatala? Funso ili ndilokondweretsa kwa odwala ambiri omwe ali ndi kutupa kwa pancreatic kwa nthawi yayitali. Madokotala amalembera - mankhwala othandizira (kuphatikizapo ogwetsa, jakisoni), kadyedwe ndi opareshoni. Kugwiritsa ntchito njira zachikhalidwe muchipatala sikuchitika.

Mankhwala othandizira

Nthawi zambiri, chithandizo cha kapamba chimachitika ndimankhwala. Komabe, gawo loyamba la chithandizo cha matendawa ndi kuonetsetsa kuti kupumula kwapancreatic. Pachifukwa ichi, wodwalayo amatumizidwa ndi njala yamadzi. Kwa masiku 3-4, amaletsedwa kudya china chilichonse kupatula madzi osakhala a calcium (ndikofunikira kuti amwe mu mawonekedwe owuma pang'ono).

Kuphatikiza apo, catheter imatha kuyikidwira m'mimba mwa wodwalayo kwa masiku angapo, momwe zomwe zili mkati mwake zimatuluka.

Chithandizo cha matendawa chimaphatikizapo kugwiritsa ntchito mankhwala otsatirawa:

• Diuretics, kuchotsa madzimadzi ndikuchotsera kudzikuza.
• Ma Painkiller (Novocain, Promedol, Lexir, ndi ena otero).
• Ma Antispasmodics omasulira masheya a minyewa yosalala ya tezi (No-shpa).
• Ma Antienzymes omwe amalepheretsa kubisalira kwa ndulu kuti ipangitsenso minofu yake
• Mankhwala a Vascular thrombosis prophylaxis angagwiritsidwe ntchito.
• Ndi purulent process, maantibayotiki amaikidwa.
• Kukonzekera komwe kumabwezeretsa acidity yam'mimba.
• Vitamini wowerengeka kulimbitsa thupi, kukweza kamvekedwe ndi chitetezo chokwanira.

Mankhwala ayenera kumwedwa mosamala malinga ndi kuchuluka kwa mankhwalawa adotolo, kutivulaza thupi. Mofananamo, ndikofunikira kutenga ndalama zomwe zithandizira kugwira ntchito kwa chiwindi ndi impso, chifukwa nthawi yamankhwala amathandizidwa kwambiri.

Kutulutsa thupi pang'onopang'ono kuchokera kumankhwala, m'mimba mumatsukidwa ndi yankho la sopo.

Munthawi yonse ya chithandizo, mapuloteni, electrolyte, metabolism ya carbo amayang'aniridwa.

Opaleshoni

Ngati njira za necrotic zayamba kale mu gland, opaleshoni imachitidwa. Pali njira zitatu zogwiritsira ntchito kapamba:

• Kuchotsa mchira komanso thupi la chithokomiro.
• Kuchotsa mchira, thupi ndi gawo la mutu wa ndulu.
• Kuchotsa kwamadzimadzi kapangidwe kake kapamba ndi kutsuka kwake.

Opereshoni imachitidwa pansi pa opaleshoni yodwala. Amakhala wathanzi pambuyo pa masabata a 1-2, wodwalayo amasamutsidwa kukalandira chithandizo chakunyumba, pafupifupi miyezi 1.5-2.

Zadzidzidzi

Ngati munthu walowetsedwa kuchipatala ali ndi pancreatitis yacute, ndipo vuto lake ndi lalikulu kwambiri, muyenera kuchitapo kanthu mwachangu. Chifukwa chake, muzochitika zotere, laparoscopy yadzidzidzi imagwiritsidwa ntchito.

Asanachitike, kuyezetsa magazi ndi mkodzo pafupipafupi, kuyesa kwamwazi m'magazi, urinalysis wa toxology ndi magazi a zotupa amachokera kwa wodwala. Kuphatikiza apo, wodwalayo amapatsidwa enema ndi opaleshoni.

Pa nthawi ya opaleshoni, minofu yakufa ya thupi imachotsedwa, nthawi zina, kuchotsedwa kwa tiziwalo timene timalowa m'mimba. Pofuna kupewa matenda, mankhwala opha tizilombo amaperekedwa kwa wodwala pambuyo pa njirayi.

Ndi chithandizo chamtunduwu, kukhalabe wodwala kuchipatala kungakhale kosiyana masiku 5 mpaka 7, bola ngati palibe zovuta.

Kodi chimabweretsa chiani kuchipatala kwa wodwala matenda a khunyu?

Zakudya ndi imodzi mwazinthu zofunikira kwambiri pochiza pancreatitis. M'masiku atatu kapena anayi oyambira, odwala nthawi zambiri amaletsedwa kudya chilichonse kupatula mchere ndi madzi owiritsa. Chifukwa chake, masiku awa mutha kubwera kwa odwala pokhapokha ndi botolo la Borjomi. M'tsogolo, ndikofunikira kufunsa dokotala mtundu wa chakudya chomwe wodwala angadye.

Ngati tizingolankhula za malamulo ovomerezeka, odwala ndi kapamba amatha kubweretsedwa:

1. Wopepuka supu yekha masamba msuzi.
2. Zaphatikizika zipatso (apulo, ma apulosi ena owuma kapena zoumba) wopanda shuga.
3. Porridge hercules, nthaka yamtundu wa mbatata yosenda.
4. Nkhuku yophika, yosankhidwa mu blender kupita ku boma la puree.
5. Kaloti owiritsa kapena kuwotcha, mbatata.
6. Ma makeke osaphika wowawasa.
7. Msuzi wa Rosehip.

Chilichonse chiyenera kukhala chatsopano komanso makamaka chopanda mchere, zonunkhira ndi shuga. Mbale zonse ziyenera kuphwanyidwa kuti zikhale zoyera. Zakudya zophika, zamafuta, msuzi wolemera ndizoletsedwa. Wodwala amatha kudya zakudya zotentha zokha, palibe chakudya chotentha kapena chozizira kwambiri.

Kefir, mkaka, tchizi chanyumba, masamba atsopano ndi zipatso sizabwino kuti abweretse. Zogulitsa zotere, ngakhale zimathandizira kukhazikitsa microflora yam'mimba, zimayambanso kutulutsa, kuwoneka mwachisawawa, kupangika kwa mpweya, zomwe zimapangitsa kuti wodwalayo awonjezeke.

Zakudya ziyenera kukhala zopindika, ndipo nthawi yolumikizana ndi chakudya isapitirire maola anayi. Ndikofunika kuti muyenera kudya zokha. Ngati munthu safuna chakudya, ndiye kuti thupi lake silakonzeka chimbudzi. Muzochitika izi, ndi bwino kubweretsa madzi kapena msuzi wamasamba.

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Akatswiri amagogomezera kuti zitha kuyambitsidwa ndi kupezeka kwa wodwala, kuphatikiza pancreatitis, gastritis kapena esophagitis.

Zimayambitsa pancreatitis pachimake ndi mbali yake

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Zizindikiro ndi mawonekedwe a mankhwalawa aakulu kapamba

Tsoka ilo, chifuwa chachikulu ndi matenda oopsa, omwe amadziwika ndi moyo wonse. Monga lamulo, kutupa kumachitika chifukwa cha moyo wopanda tanthauzo komanso cholowa

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Momwe amathandizira komanso pancreatitis mu chipatala

Ataloledwa kuchipatala, wodwala amayamba kuthandizidwa, malinga ndi izi mfundo za kapamba (Yopangidwa munjira yoyenera):

• mpumulo wa zowawa (ndi kuchulukitsa kwa matendawa, odwala amadwala ululu wolekezera womwe umafuna kuchotsedwa pompopompo),
• kulowererapo ndi kupewa zovuta (pakutha kwa ziwalo, maantibayotiki amagwiritsidwa ntchito pakuwopseza kapena pakuchita opaleshoni (ngati mankhwala sangachitike),
• thupi detox (munthawi yotupa ndi mawonekedwe a purulent, ma sumu ambiri amatulutsidwa m'magazi, omwe amayenera kuchotsedwa mwachangu komanso osasinthika) - njira zamakakamizidwe diuresis (makonzedwe akulu a okodzetsa) ndi kulowetsedwa kwambiri kwa mayankho amchere (sodium chloride, potaziyamu mankhwala ena, calcium chloride) amagwiritsidwa ntchito ) Amabwezeretsa mulingo wamchere wamadzi, kupatula chitukuko chamadzi, zomwe zimakhala zowopsa kwa wodwala omwe ali ndi vuto lofananalo.

• Anachepetsa kupanga ma enzyme mkati mwa gland (Cholinga chachikulu cha kapamba ndi kapangidwe kazitsulo kamene zimapangidwa ndi chitsulo mkati mwake, kuchepa kwa zomwe akupanga kudzathandizira kuimitsa ntchito yotupa). Timagwiritsa ntchito mankhwala ochokera ku gulu la proton pump inhibitors (kuchepetsa kapangidwe ka timadzimadzi ta m'mimba pamaselo a cellular) ndi ma H1-histamine blockers (mwachangu amachepetsa kupanga ma enzyme),
• symptomatic mankhwala - kuthetseratu vuto la dyspeptic (kusanza, kupweteka m'mimba, colic yamatumbo ndi flatulence). Maantacid (Almagel, Fosfalugel), antiemetics (Metoclopramide, Cerucal) ndi fixative (Loperamide) amagwiritsidwa ntchito,
• Cholinga cha zakudya (Kufa kwathunthu m'masiku oyamba a mankhwalawa kumachotsa kutupa ndi kutupa kwa kapamba).

Zomwe zimatha kubweretsedwa kwa wodwala

Mwezi woyamba pambuyo pochulukitsa matendawa, wodwala amayenera kudya zakudya zopatsa chidwi. Sabata yoyamba yakuchipatala ikuwonetsa kukana chakudya kwathunthu. Amaloledwa kugwiritsa ntchito pokhapokha:

• Kutentha madzi amchere
• tiyi wokoma
• decoction wa zouma zipatso.

Zosankha zabwino kwambiri zosamutsira wodwala masiku awa zikhala: "Borjomi", ma compotes opangidwa kuchokera ku ma apricots owuma ndi maapulo owuma, tiyi, shuga.

Kuyambira sabata yachiwiri amaloledwa kudya:

• msuzi wamasamba
• nyama yophika (mitundu yamafuta ochepa),
• nsomba yophika
• phala pamadzi ochokera pansi kapena mbewu zaphika,
• buledi wowuma.

Mutha kubweretsa zotsekemera, msuzi wokonzeka (mbatata, karoti), chimanga chaphiri, chomwe ndi chokwanira kuthira madzi otentha pophika, mafuta ophika mapuloteni.

Kuyambira sabata lachitatu, menyu amakula kwambiri. Zimakhala monga zakudya wamba kwa odwala ndi kapamba, zomwe zidzafunika kutsatiridwa miyezi ingapo mutachira.

Sichikuphatikiza kugwiritsa ntchito zotsatirazi mbale ndi zakudya pazakudya:

• mafuta
• yokazinga
• zamchere
• kusuta
• lakuthwa
• masamba abwino ndi zipatso (kupatula maapulo okoma, sitiroberi, mapeyala, ma apricots),
• khofi
• zakumwa zoziziritsa kukhosi
• msuzi wa nyama (mafuta),
• mafuta
• nyama yamafuta ndi nsomba,
• mowa.

Miyezo Yamasamaliro Azachipatala

Ndi kuchuluka kwa matendawa kuchipatala, angathe kutsatira mitundu yothandizira:

• njira zopulumutsira (pazovuta zomwe zimawopseza moyo wa wodwalayo),
• opaleshoni yolowerera (yokhala ndi necrosis yayikulu (kufa kwa maselo) kwa chiwalo kapena kufalikira kwa ma pancreatic ducts),
• mankhwala othandizira,
• physiotherapy (munthawi yakachira),
• kuyang'anira pafupipafupi ndi akatswiri a mkhalidwe wa wodwalayo.

Zochuluka motani

Opaleshoniyo ikuchitika pokhapokha ngati pali chowopseza ku moyo wa anthu komanso ngati sizingatheke kukonza vutoli mothandizidwa ndi njira zachikhalidwe. Pali malo angapo opaleshoni yopangira pancreatitis:

• kuphatikizika kwa ziwalo (kuchotsa mbali yakufa kuti tiletse njira ina),
• Kuthana kwa kuphimba kwa mapindikidwe a kapamba, kulepheretsa kuphipha kwa michere m'mimba yaying'ono,
• kuchotsedwa kwa zilonda ndi ma pseudocysts odzadza ndi mafinya ndi zotsalira za minofu yakufa.

Opaleshoni imatenga ola limodzi. Mankhwala ena amatha kuyambira masiku atatu mpaka milungu iwiri, malingana ndi kuopsa kwa vuto la wodwalayo akangolowa kuchipatala.

Njira zokulitsa

Mankhwala othandizira okhwima nthawi zambiri amaphatikizapo maantibayotiki ambiri kupha matenda mu peritoneum ndi kutupa mu chiwalo.

Ndi kusalolera kwa mankhwalawa, maantibayotiki ena omwe amatha kupatsidwa mankhwala amatha kupatsidwa mankhwala. Ndikofunikira kwambiri kukhala ndi chidziwitso pazamankhwala anu okha ndikupereka dokotala izi panthawi.

Kodi kuchitira pachimake mawonekedwe

Ntchito zazikulu pa mankhwalawa pachimake mawonekedwe ndi:

• kuthetsa edema ndi kutupa kwa chiwalo,
• kupewa mavuto
• kubwezeretsa.

Kutupa kumachoka mwa kuchepetsa kupanga ma enzyme pogwiritsa ntchito antienzyme othandizira pakati - "Sandostatin", "Octreotide" (zimakhudza malo omwe ubongo umayambitsa chida cham'mimba chogaya chakudya).

Ntchito antispasmodics mwachangu. Amapangitsa kuti magazi azikhala pang'onopang'ono ndipo amathandizira kutuluka kwa michere mthupi. Pakakhala ma spasms, ululu wammbuyo umadutsanso.

Zogwiritsidwa ntchito: Duspatalin, Sparex, No-shpa, Trimedat.

Mavuto amapita chifukwa cha kukhazikitsa milingo yayikulu ya antimicrobial agents. Detoxization imachitika ndi "kuthira" magazi ndi mchere kukonzekera (njira ya saline, ndi zina) ndi mankhwala okodzetsa.

Migwirizano ya mankhwala aakulu

Mu pachimake matenda wodwalayo ali kuchipatala pafupifupi mwezi umodzi (mwina adzachotsedwa m'mbuyomu, koma potsatira motsatira malamulo a dokotala ndi kupumula kwa kama). Pambuyo pa chithandizo chachikulu, nthawi yayitali yochira komanso nthawi yokonzanso ikuyenera kutsatira (ngati opaleshoni idachitidwa).

Kuwongolera zinthu nthawi yowonjezera mawonekedwe osachedwa kumathanso - pafupifupi masabata awiri. Pambuyo poti wodwalayo abwerera kunyumba ndi zotupa komanso chakudya.

Kuchira kwathunthu pambuyo povulaza kumachitika m'miyezi 3-4.

Zakudya zowonjezereka komanso mankhwala amakonzanso zotsatira zabwino ndikuthandizira kuchira.

Zoyenera kuchita utatha

Chachikulu malamulo atachoka kuchipatala:

• kutsatira zakudya (malamulo oyambira),
• zolimbitsa thupi zolimbitsa thupi (kuloledwa makalasi azachipatala),
• kugona mokwanira komanso kupuma
• kuvomerezeka anakonza mankhwala onse zotchulidwa ndi dokotala.

Pomaliza

Kuti muchotse bwino zizindikiro za pathological, muyenera kutsatira zomwe dokotala akutsimikiza. Kutupa kwa kapamba nthawi zambiri kumachitika chifukwa cha zolakwika pakudya, kuchepa kwa zakudya komanso kugwiritsa ntchito zinthu zotsika mtengo, zopweteka.

Kukonza menyu - Ichi ndiye chikhalidwe chachikulu chothandizira anthu omwe ali ndi matenda omwe afotokozedwawo. Malingaliro adzakhazikitsidwa kwakanthawi osaposa zaka 1-2, koma zotsatira zake zidzakhala zabwino - kubwezeretsa magwiridwe antchito a m'mimba kumapangitsa kuti zibwerere m'moyo wakale ndikufewetsa zakudya.

• Wowunika
• Sergey Andrianov
• PhD mu Sayansi Yachipatala

Mankhwala omwe amalimbikitsidwa pachimake pancreatitis

Pancreatitis ndi matenda otupa a kapamba omwe amachitika mchikakamizo cha zinthu zosiyanasiyana zoyipa. Izi ndi monga: mowa, zakudya zopanda pake, kusuta fodya komanso matenda ena.

Chaka chilichonse, pafupifupi anthu 35 mpaka 40 (mwa anthu 100,000 ku Russia) amalandila izi kuchipatala. Pa 70% yaiwo ndi amuna.

Matendawa ndi amodzi owopsa kwambiri, popeza pali kuthekera kwachitukuko mavuto akulu. Pafupifupi 10% ya anthu omwe matendawa amatha kudwala matenda a peritonitis amafa ambulansi.

Munkhaniyi tikambirana njira zazikuluzikulu mankhwala pachimake kapamba ndipo makamaka kugwiritsa ntchito mankhwala munthawi imeneyi.

Chithandizo cha pancreatitis pachimake kuchipatala: angati ali kuchipatala

Kuukira kwamphamvu kwa kapamba kumayendetsedwa ndi kuwonongeka kwakukulu muumoyo, wodwalayo amasokonezeka ndi kupweteka kwambiri, mpaka kusiya kuzindikira. Kupirira zoterezi kunyumba ndizosatheka. Wodwala amafunika kugonekedwa m'chipatala.

Kuperewera kwa chithandizo chokwanira kumayambitsa kulumala, chifukwa, kulumala, ndipo pazowopsa kwambiri, imfa. Chithandizo cha pancreatitis kuchipatala chili ndi zovuta zake; zimathandizira kubwezeretsanso magwiridwe antchito a kapamba.

Mu dipatimenti iti omwe ali ndi kapamba? Zonse zimatengera chithunzi cha chipatala. Nthawi zina wodwala amagonekedwa m'chipinda cha odwala osamala kwambiri, komwe amathandizira odwala. Nthawi zina, wodwalayo ayenera kuyikidwa m'dipatimenti yopanga opaleshoni - ngati pakufunika opaleshoni.

Tiyeni tiwone ngati kuchipatala kwa pancreatitis kukufunika, ndipo kodi chithandizo chimachitika bwanji?

Mankhwala oti mutenge ndi pachimake kapamba

Ngati m'chipatala atatha njira zonse zodziwitsa anthu za matenda anu, dokotalayo angaganize njira yachikhalidwe yochizira matendawa ndikuchotsa kufunika koperekera opaleshoni, ndiye mfundo zazikulu mankhwala ikhale yotsatirayi:

Zopweteka

Kwa mankhwala oletsa kupweteka, colic kapamba, omwe amakhala mu vuto lodziwika bwino, amagwiritsidwa ntchito ngati gulu la mankhwala antispasmodics. Izi ndi mankhwala osokoneza bongo kujambula kupindika kwamisempha:

• m'mimba
• matumbo
• magawo onse am'mimba.

Kuphatikiza apo, mankhwalawa kuthetsa Chifukwa chachikulu chomwe chitukuko cha kutukusira pachimake mu chiwalo chofotokozedwachi ndi kusasinthika kwa ma enzymes mkati.

Pancreatitis ikachitika kuphipha ndi kubera komanso ma pancreatic ducts - malekezero omwe timadziti ta kapamba totuluka - amatuluka.

Edema mu njira yotupa imakakamira, ndipo colic imakwiyitsa kukakamiza, kumene amayamba kufinya kachiwiri njira ya pathological ndondomeko.

Antispasmodics ndi zochita zake zochulukirapo choka kuchulukitsa, ma enzyme ochulukirapo amatuluka, kotero zotsatira zingapo zimakwaniritsidwa:

• kuthetsa kupweteka
• kuchotsedwa kwa michere yoyenda,
• kukonza chimbudzi.

Kukonzekera kotsatiraku kumagwiritsidwa ntchito makamaka.

No-Shpa kapena Drotaverin

Nthawi zambiri osankhidwa antispasmodic mankhwalawa kapamba. Wofatsa pa minofu yosalala ya ziwalo zam'mimba, kuphatikizapo kapamba.

Zikoka pa mayendedwe a ayoni mkati mwa makoma amnyumba ndi midadada kupangika. Zotsatira zimachitika mkati mwa mphindi 20-30. Amagwiritsidwa ntchito ngati mapiritsi kapena jakisoni (ndi kuchuluka, pomwe wodwalayo sakudziwa kapena akuzunzidwa ndi kusanza kosatha).

Mankhwalawa amayenera kuyambitsidwa m'thupi. aliyense Maola 6 masiku ochepa, ndiye kuti mlingo umachepetsedwa. Contraindication ndi:

• • zaka za ana
  • mimba
  • yoyamwitsa
  • kupsinjika pang'ono
  • kukhalapo kwa thupi lawo siligwirizana ndi mankhwala.

Mu ana ndi amayi apakati "No-shpa" oti mugwiritse ntchito m'mabanja osaphatikizidwa, chilichonse chidzadalira kuchuluka kwa moyo, chiwopsezo ndi lingaliro la katswiri.

Mankhwala amadziwika. ana antispasmodic. Pamwamba kugwira ntchito. Chidacho chimapangidwa m'mapiritsi ndi ma ampoules ambiri.

Zotsimikizika Ndi ziwengo zosiyanasiyana za mankhwala ndi chizolowezi kuthamanga magazi.

Mimba imayikidwa kokha malinga ndi kuyamikiridwa ndi dokotala, chifukwa zingasokoneze khansa ya mwana wosabadwayo.

Ma painkiller amagwiritsidwa ntchito makamaka jakisoni mpaka katatu patsiku.

Mankhwalawa amapezekanso ngati mawonekedwe a Motilak. Ntchito ya antispasmodic ya mankhwalawa imakhazikika antiemetic machitidwe.

Amapezeka mu lozenges ndi mapiritsi okhala ndi matenga. Pali mitundu ya kubwezeretsanso.

Mwa ana, amagwiritsidwa ntchito ngati manyuchi (mlingo umawerengeredwa ndi kilogalamu). Mankhwala chosokoneza mpaka zaka 12 ndi amayi omwe ali ndi mwana kapena yoyamwitsa. Analogs:

Zoyenera kuchita ndi kuwukiridwa kovuta?

Musanadziwe chithandizo chamankhwala a pancreatitis pachimake kuchipatala, muyenera kuyang'anira chidwi choitanira ambulansi. Chingachitike ndi chiyani akatswiri azachipatala asanafike, ndipo ndizosavomerezeka? Mayankho a mafunso awa ayenera kudziwika kwa wodwala aliyense.

Ngati pali kupweteka kwambiri pansi pa nthiti yakumanzere kapena yakumanja, ndiye kuti sikuletsedwa kupirira. Zinthu sizingoyenda zokha. Mukufuna kuyimba ambulansi. Dokotala asanafike, simungatenge mapiritsi a mankhwala osokoneza bongo (Analgin, Spazmalgon ndi mankhwala ena).

Simungathe kuyika poto yotentha kapena yotentha pamalo opweteka, kukoka hypochondrium ndi mpango kapena mpango, kumwa zakumwa zoledzeretsa kuti muchepetse ululu, ndipo nthawi zambiri mumamwa madzi aliwonse. Ngati muli ndi nseru kwambiri kapena kusanza kulipo, mankhwala a antiemetic ndi oletsedwa kugwiritsidwa ntchito mpaka madokotala atafika.

Ndi kuchuluka kwa matendawa, mutha kuchita izi:

• Ikani wodwalayo pampando wampando kapena pa sofa.
• Ikani chinyezi, kapena zoziziritsa kukhosi kapena poyatsira kuzizira kupita kumalo opweteka.
• Ventil chipinda.

Ngati wodwala wadwala kwa nthawi yayitali chifukwa cha kutupa kwa kapamba, amalembetsedwa ku chipatala komwe amamuthandiza kuti adziwe matenda a kapamba, zomwe zikutanthauza kuti ali ndi zovuta za matendawa.

Dokotala yemwe adafika azichita chithandizo chofunikira potengera Zizindikiro zakuchipatala. Podwalitsa wodwalayo kumbuyo kwa ululu waukulu, jekeseni Papaverine wothandizidwa ndi saline.

Ndi koletsedwa kukana kupita kuchipatala, ngakhale pali zovuta zilizonse kuntchito, m'banja, ndi zina. Kupweteka kwambiri kumayambira kuyambika kwa kusintha kwakukuru kwa matenda m'thupi.

Therppentent Therapy

Wodwala amayenera kukhala m'chipatala moyang'aniridwa ndi madokotala. Ochuluka kwambiri, odwala amalandila chithandizo chamtundu wa edematous kapena necrotic. Zojambula zambiri - pafupifupi 70%, chithandizo chokwanira cha mankhwala osokoneza bongo.

Cholinga ndikukhazikika kwa momwe munthu aliri, kupewa chiwonongeko chowononga mthupi. Wodwala amafunika kukhazikika mwachangu, popeza pali mwayi woti afe.

Choyamba muyenera kukhazikitsa magawo omwe amathandizira kuchepetsa katundu pa kapamba. Panthawi yopweteka kwambiri, nseru komanso kusanza, wodwalayo samalandira chakudya kudzera mkamwa. Kumwa nkoletsedwa. Ndi kufatsa pang'ono pang'ono, njala imatha kwa masiku 2-4. Kwa masiku 3-5, mutha kudya chakudya chamadzimadzi kwa masiku atatu.

Catheter imayikidwa kudzera pamphuno m'mimba, zomwe zimathandizira kupanga kuthamanga kwa magazi. Ili m'mimba maola 24-72. Nthawi zambiri mwa odwala, izi zimachepetsa ululu mkati mwa maola ochepa.

Ngati palibe ululu waukulu, ndiye kuti mankhwala a antacid amalimbikitsidwa - Almagel 10 ml 4 pa tsiku. Ngati maphunzirowa ali ovuta, makonzedwe a makolo amabwera.

Zochita kuti muchepetse kutupa kwa mkati:

• Pesi yotenthetsera yozizira pamalo a chiwalo.
• Njira yothetsera Mannitol imalowetsedwa m'mitsempha.
• Drip Haemodeus.
• Patsiku loyamba, Furosemide imayendetsedwa.

Popewa kuledzera kwa enzymatic, gwiritsani ntchito Contrical. Mankhwala amalowetsedwa mthupi ndi njira yolumikizira - mpaka katatu patsiku. Nthawi zambiri, odwala samayanjana ndimankhwala. Chifukwa chake, pochotsa wodwala pamkhalidwe wowopsa, ndikofunikira kuti pali ma ampoules omwe ali ndi Prednisolone pafupi.

Ngati mawonekedwe a necrotic adapezeka mwa munthu wamkulu, ndiye kuti mankhwalawa amadziwika ndi antibacterial.Nthawi zambiri, Tienam amawonetsedwa pa 250 kapena 500 mg, kukoka pang'ono kumachitika.

Analgin imalembedwa ngati mankhwala a ululu - imayendetsedwa kudzera m'mitsempha kapena intramuscularly, procaine, promedol. Muzojambula zambiri, analcics ya narcotic komanso yopanda narcotic amaphatikizidwa ndikugwiritsa ntchito myotropic antispasmodics.

Kusintha madzi ndi electrolyte bwino, muyenera kulowa yankho la isotonic sodium chloride kapena 5% shuga. Njira yotsirizayi imagwiritsidwa ntchito pokhapokha ngati wodwala ali ndi kuchuluka kwa glucose moyenera. Pofuna kuthana ndi vuto la mtima, yankho la mahomoni (adrenaline ndi norepinephrine) ndi catecholamines amagwiritsidwa ntchito.

Ndikosatheka kuchiritsa matendawa, koma kuchipatala, madokotala amateteza wodwalayo, kusintha kapamba.

Njira ya mankhwala munthawi yamagetsi inakonzedwa kwa masabata atatu. Pambuyo pachipatala kuchipatala, ndikofunikira kulandira chithandizo chodzitchinjiriza pambuyo pamiyezi isanu ndi itatu kuti tipewe matenda.

Chipatala chithandizo cha kapamba

Pambuyo popereka chithandizo kuchipatala, wodwalayo ayenera kuthandizidwa panjira yothandizira, kutsatira zakudya zapanchipi, kumwa mankhwala onse omwe dokotala amafunikira. Nthawi zambiri, odwala amapezeka ndi cholecystitis, yomwe imawerengedwa mu njira yothandizira.

Odwala amathandizidwa kulandira chithandizo kuchipatala kawiri pachaka. Maphunzirowa adapangidwa kwa milungu itatu ndi itatu. Povomereza, desensitization imachitika, zomwe zimatanthawuza kuyeretsa kwa thupi la poizoni, poizoni.

Povomereza, njira za enema zimachitika, m'mimba mumatsukidwa, kusala kudya kwa prophylactic pancreatitis moyang'aniridwa ndi madokotala kumalimbikitsa. Machitidwe awa amathandizira kukonza pancreatic ntchito. Wodwalayo ayenera kukhala pachakudya cha madzi kwa pafupifupi maola makumi awiri ndi awiri.

Gawani kulandila kwa afiti:

Rheosorbylact imathandizidwa tsiku lililonse, mlingo ndi 200 ml. Pamapeto pa gawo ili, wodwalayo amalimbikitsidwa kudya motsatira chiwerengero cha zakudya patebulo 14, 15 kapena 16.

Lemberani mankhwala oletsa kutupa:

• Wampikisano. Musatchule pa mimba, tsankho mapuloteni a ng'ombe, munthu tsankho la mankhwalawa. Mankhwalawa amaperekedwa kudzera m'mitsempha, muyezo Mlingo ndi 500,000. Malinga ndi zomwe zikuwonetsa, ndizovomerezeka kuuchulukitsa.
• Gordok. Sikugwira ntchito mu nthawi yoyambirira ya mimba. Amabayidwa pang'onopang'ono. Kuthamanga - zosaposa 5-10 ml pamphindi. Lowani mu mitsempha yayikulu. Poyamba, kuyambitsa 1 ml kumachitikadi - gawo "loyesa", popeza wodwalayo amatha kuyamwa.
• Mannitol imayendetsedwa ndi njira ya drip kapena ndege. Mlingo umasiyanasiyana kuchokera 150 mpaka 200 ml. Contraindication imaphatikizana ndi mawonekedwe owopsa a chiwindi kulephera, kusokonezeka kwa impso, hemorrhagic stroke. Sitha kugwiritsidwa ntchito ndi organic tsankho.

Kusankha kwa mankhwalawa kumachitika chifukwa cha zotsatira zasayansi. Kutengera pa iwo, adotolo amapaka mankhwala othandizira.

Monga mankhwala a diuretic omwe amathandizira kuchepetsa hydrolysis mu minofu yofewa ya minofu, kugwiritsa ntchito Furosemide ndikofunikira. Mlingo wokhazikika ndi piritsi limodzi masiku atatu aliwonse. Nthawi zambiri Furosemide imaphatikizidwa ndi Asparkam.

Zotsatira zake, tikuwona kuti ndikofunikira kuchiza pancreatitis yovuta kwambiri komanso yosagwiritsidwa ntchito kuchipatala munthawi yake. Izi zimakuthandizani kuti mubwezeretsenso ntchito ya mkati komanso kapangidwe kazinthu zofunika kwambiri zamafuta kapamba, zomwe zimathandiza kwambiri kukhala ndi moyo.

Momwe pancreatitis imathandizira ikufotokozedwa mu kanema m'nkhaniyi.

Momwe mungachiritsire pancreatitis pachimake kuchipatala

Kugonekedwa kuchipatala ndikofunikira chifukwa cha matenda oopsa a kapamba, omwe sangathe kuyimitsidwa ndi mankhwala a ululu kunyumba. Wodwala akamupereka, amamuchotsa kuchipatala chololeza kuchipatala. Chithandizo chikuchitika ndi kuvomerezedwa nawo kwa opaleshoni yotsitsa ndi resuscitator.

Pancreatitis pachimake amachitiridwa motere:

1. Poyamba, madokotala amachepetsa ululu wodwala komanso zovuta zingapo zamanjenje, zam'maganizo mothandizidwa ndi analgesics. Mwa izi, Baralgin, Promedol, Analgin, etc. kukonzekera kumagwiritsidwa ntchito. Novocaine blockade ingagwiritsidwe ntchito.
2. Pothana ndi matenda oopsa m'mitsempha ya bile, madokotala amagwiritsa ntchito No-shpu, Nitroglycerin ndi mankhwala ena.
3. Zikondwerero zimayenera kutsitsidwa, kotero wodwala amayankhidwa kuti akhale ndi njala. Amayenera kumwa zakumwa zamchere, monga Borjomi.
4. Kuphatikiza pa njira zomwe tatchulazi, kupewa ndi kuchiza magazi pazitseko zamagulu osiyanasiyana (kapamba, chiwindi, ndi zina) kumachitika.

Pofuna kupewa kuwonongeka pamlingo wodwala wokhala ndi pancreatitis chifukwa cha kuledzera, cheke chimapangidwa ndi mtima ndi mapapu, kenako ndikuwachotsa ndikuwachotsa m'mimba. Izi zimachitika ndi yankho la sopo, Pyroxan kapena Obzidan amagwiritsidwa ntchito.

Jakisoni wamkati amapangidwa ndi mayankho a insulin ndi shuga ndi potaziyamu.

Mu pachimake kapamba panthawi ya mankhwala, wodwalayo amayang'aniridwa pafupipafupi momwe thupi limagwirira ntchito. Kagayidwe ka ma electrolyte kamaphunziridwa (mwachitsanzo, sodium kapena potaziyamu), kuchuluka kwa shuga m'magazi, kupezeka kwa mapuloteni mkati mwake, kumayang'aniridwa, etc.

Nthawi zambiri, pachipatala pochizira pancreatitis yovuta kwambiri, kuunika kwathunthu kwa wodwalayo sikuchitika, chifukwa ndizosatheka chifukwa cha zovuta zomwe munthu ali nazo ndipo zitha kubweretsa kuwonongeka kwakanthawi mkati mwamatendawo. Chifukwa chake, kuyesedwa kumachitika m'magawo awiri. Poyamba, kokha pamaziko a zizindikiritso zimatsimikiziridwa, kenako njira zapamwambazi zimachitika, ndipo pambuyo poti mkhalidwe wa wodwalayo wayesedwa, kuyezetsa labotale kumachitika.

Mankhwala ochizira matenda a kapamba komanso njira zochizira matenda osiyanasiyana

Opaleshoni imalembedwa ngati wodwala wayamba kusokonezeka, zizindikiro za jaundice, zilonda zomwe sizitha kuyimitsidwa ndi mankhwala, ngakhale atalandira chithandizo chazitali.

Mitundu ya opaleshoni yosaloledwa pamatumbo a bile kapena m'mimba ndi matumbo angagwiritsidwe ntchito. Ngati ndi kotheka, opareshoni imachitika kuti kukhetsa ma cysts, kuchotsa miyala, ndipo nthawi zina kufunikira kwachiphaso kungakhale kofunikira.

Odwala ambiri amafuna kudziwa kuti ndi masiku angati omwe mawonekedwe a pancreatitis amathandizidwa. Nthawi zambiri, odwala amapezeka masiku 7 mpaka 10, kenako amawachotsa, koma munthuyo amathandizanso miyezi isanu ndi umodzi.

Wodwalayo amathandizidwa ndikumwa mankhwala osiyanasiyana, mavitamini, kuyang'anira kudya mosamalitsa.

Ngati matendawa ali ndi mitundu yoopsa, ndiye kuti atatha kulandira chithandizo chambiri masiku awiri, wodwalayo ayenera kuyang'aniridwa ndi madokotala pafupifupi miyezi 1.5-2.

M'mitundu yovuta ya kapamba, wodwalayo (ngati safuna kuchitidwa opareshoni kapena akhale ndi nthawi yachikhululukiro) amakhala m'chipinda chachipatala cha 1 tsiku loti ayesedwe.

Masiku angati odwala adwala atachitidwa opaleshoni zimatengera mtundu wa opaleshoni yolowerera, kuthekera kochira kwa thupi la wodwalayo. Nthawi zambiri nthawi imeneyi imaposa masiku 7. Zitatha izi, munthuyu amamugwirira ntchito kunyumba, yomwe imatenga miyezi 1.5-2. Amamwa mankhwala, zakudya, komanso masewera olimbitsa thupi.

Zoyenera kuchita ndi kuwopsa kwa kapamba?

Ngati munthu ali ndi zizindikiro za kugunda kwa kapamba, ndikofunikira choyamba kuyimbira gulu la ambulansi. Ngakhale madokotala amafika kwa wodwala, ndikofunikira kuti mum'patse chithandizo choyamba. Kuti muchite izi, tsatirani izi:

1. Ikani wodwalayo pa sofa kapena pogona.
2. Ikani chiwiya chotenthetsera chodzaza ndi madzi ozizira kapena thaulo lonyowa kupita kumalo opweteka. Ndikosatheka kutenthetsa pamimba.
3. Tsegulani zenera m'chipindacho. Pukuteni.

Adotolo akafika pamalowo, adzapereka njira zofunikira potengera chithunzi chachipatalachi. Nthawi zambiri, ndikumva kuwawa, Papaverine amaperekedwa. Kupitilira apo, wodwalayo amalowetsedwa kuchipatala, pomwe kuchipatala sikungakanidwe.

Pakumapweteka koyamba m'mimba, muyenera kuyimbira foni dokotala kapena kupita kuchipatala. Kuchepetsa ngakhale maora ochepa kumatha kudwalitsa wodwala matenda ake komanso kumabweretsa zovuta. Kuphatikiza apo, pancreatitis pachimake popanda chithandizo choyenera imatha kukhala yachangu.

Duspatalin

Mankhwalawa ali ndi mawonekedwe:

M'modzi wa kwambiri mankhwala antispasmodic.

Akuchita kusankha pa minofu ululu wam'mimba.

Amagwiritsidwa ntchito ngati mawonekedwe a makapisozi kapena mapiritsi katatu patsiku, ola limodzi mutadya (kapena musanadye).

Zotsimikizika ngati thupi siligwirizana ndi zigawo zikuluzikulu za mankhwalawo ndi ana osakwana zaka 3 (kuyambira wazaka 3-18 pali mankhwala apadera).

Mimba ikakhazikitsidwa payekha zikuwonetsa.

Tetracycline

Ndi kiyi antimicrobial wothandizila kuchulukitsa. Mankhwala lonse kuchuluka kwa zochita. Zotsimikizika pa mimba, kuyamwa, mpaka zaka 8, ndi matenda a chiwindi ndi impso.

Amagwiritsidwa ntchito piritsi limodzi 3 katatu patsiku mpaka masiku 10.

Amatchedwanso Co-trimoxazole. Patsiku loyamba, mankhwala othandizira ma antimicrobial amatengedwa Mlingo wa mantha (mpaka mapiritsi 10), ndiye kuti mapiritsi awiri ndi atatu 3-4 pa tsiku.

Dokotala adzalembera nditchati chogwiritsira ntchitokutengera zaka za wodwala komanso kukula kwa zovuta.

Zotsimikizika mankhwala a mitundu yayikulu ya chiwindi ndi kulephera kwa impso, kwa hematopoietic pathologies, mpaka zaka zitatu, azimayi oyembekezera komanso oyamwitsa.

Munthawi ya bere ndi kuubwana, Biseptol akuwonetsedwa kokha payekha kopita.

Uku ndikuyimitsidwa kwa kayendetsedwe ka jakisoni (intramuscular and intravenous). Contraindicated mu pathologies a magazi, chiwindi ndi impso, ana mpaka miyezi iwiri.

Njira yogwiritsira ntchito mpaka masiku 14. Mankhwalawa amayikidwa nthawi 1-2 patsiku.

Sigmamycin

Amadziwikanso kuti Oletetrin. Makapisozi kapena yankho la jakisoni. Zotsimikizika ndi chidwi chowonjezera pazogwira ntchito.

Njira yopita ikatha masiku 10. Mapiritsi amagwiritsidwa ntchito katatu patsiku musanadye, kutsukidwa ndi madzi pang'ono.

Pa nthawi yoyembekezera komanso muubwana, amakonzekera dokotala malinga ndi payekha zikuwonetsa pamene phindu lomwe lingapezeke likhoza kuvulaza.

Omeprazole kapena Omez

Amapezeka mu mawonekedwe a makapisozi, sungunuka m'malo acidic pamimba. Thupi chifukwa cha chipolopolo chimamasulidwa pang'onopang'ono, zomwe zimapereka zotsatira yunifolomu kukhudzana tsiku lonse.

Amagwiritsidwa ntchito kamodzi patsiku - patsiku (m'mawa) asanadye, kumwa ochepa kuchuluka kwa madzi.

Maphunzirowa ali mpaka masiku 30-60. M'mimba komanso osakwana zaka 12, mankhwalawa amatha kufotokozedwa ndi zomwe phindu kuchokera ku kugwiritsidwa ntchito kwake kumadalira zomwe zingavulaze mwana wosabadwa kapena mwana.

Ichi ndi chida chamakono kuchokera pagulu la proton pump inhibitors. Ali ndi zambiri kutchulidwa zotsatira, zimachepetsa mulingo wa ma enzyme mogwira mtima kuposa Omeprazole.

Imafotokozedwa nthawi imodzi patsiku - m'mawa, njira yogwiritsira ntchito ndiyifupi - kuyambira 14 mpaka 28 masiku. Zotsimikizika oyembekezera ndi kuyamwa, komanso ana osaposa zaka 18.

Kupatula zotheka kulowa payekha dongosolo ndi zolinga zapadera.

Zodzikongoletsera

Zogwiritsidwa ntchito pompopompo kuchotsera The poizoni m'thupi masiku awiri oyamba kukokoka.

Njira zoyeserera wokakamizidwa diuresiskumwa Mlingo waukulu wa mankhwala okodzetsa, kenako ndikubwezeretsa voliyumu yoyambirira m'thupi chifukwa cha kuyambitsa njira zambiri zamavuto a jekeseni.

Furosemide kapena Lasix

Ndi okodzetsa ntchito yayikulu. Itha kugwiritsidwa ntchito ngati mapiritsi kapena jakisoni mpaka katatu pa tsiku. Kutalika kwa kayendetsedwe sikumapitilira masiku 3-5 (nthawi zina amaperekedwa kamodzi kwakukulu).

Ngozi Kudya wambiri kumatanthauza kutsuka thupi m'magazi a michere - potaziyamu ndi magnesium, zomwe zimakhudza ntchito yamtima. M'mimba komanso ubwana, amalembera mikhalidwe kuwopseza wa moyo.

Ndi okodzetsa zochita zofewa, zotsatira zake ndizachilendo, zimayamba m'masiku ochepa.

Amagwiritsidwa ntchito pa milandu osatchulidwa kuledzera kapena kupitiriza kwa chithandizo chachikulu ndi Furosemide.

Ubwino Mankhwala amateteza mawonekedwe a magazi ndikuwoneka modekha (thupi limatha kubwezeretsa kuchepa kwamadzi). Maphunzirowa ali mpaka masiku 5, mapiritsi 1-2 patsiku amagwiritsidwa ntchito.

Mukamanyamula mwana muyenera mosamala zokhudzana ndi kumwa mankhwalawa, osachulukitsa Mlingo womwe adokotala akuwonetsa. Ana amapatsidwa ntchito ndi kufunika.

Maantacid ndi njira ambulansi kuthetsa ululu m'mimba ndi zovuta zina za dyspeptic (m'mimba). Zimagwiritsidwa ntchito ngati kuli kothekaPalibe mtengo wokhazikika.

Phosphalugel

Mankhwalawa amapezeka mu mawonekedwe a kuyimitsidwa okonzekera pakamwa, akutsokomola chapamimba, amachepetsa asidi komanso kutentha kwamtima. Monga gawo la aluminium phosphate.

Mulingo wambiri watsiku lililonse ndi ma sache 4, makamaka ntchito pafupipafupi. Pa nthawi yoyembekezera komanso muubwana (ngakhale yoyamwitsa) palibe zotsutsana.

Uku ndiko kuyimitsidwa komwe kumakhalanso ndi mchere wa aluminiyamu, zotsatira zake zimakhala zofanana. Ikani supuni 1 mpaka 4 pa tsiku.

Pali mitundu yosiyanasiyana ya mankhwala:

• «Almagel A"(Ndi mankhwala ochititsa dzanzi),
• «Almagel Neo"(Zowonjezera zake - zimathandizira kutulutsa).

Mankhwala othandiza kwambiri omwe muyenera kumwa kwa matenda a kapamba komanso panthawi ya vuto

Mutha kutchula mndandanda wonse wa matenda omwe amakhudza munthu, makamaka chifukwa cha kuperewera kwa zakudya m'thupi ndi moyo wawo. Pancreatitis ndi amodzi mwa matenda. Inde, kutupa kwa kapamba kumatha kuyamba pazifukwa zina.

Tilankhulanso zaiwo, koma nthawi zambiri matendawa amakhala chifukwa chonyalanyaza wodwalayo. Komanso, mopanda kunyalanyaza, matendawa ndi oopsa kwambiri, mpaka amafa.

Chifukwa chake muyenera kumvera thupi. Chithandizo chokhacho chingakhale chautali komanso chodula.

Zolankhula zathu lero ndi zokhudzana ndi zomwe mungatenge ngati matendawa adakupezani.
(zina ...)

Mankhwala othandizira

Pachimake pancreatitis akuluakulu amathandizidwa kuchipatala pogwiritsa ntchito njira zotsatirazi:

1. Choyamba, ndikofunikira kuchotsa ululu. Kwa izi, mankhwala monga Baralgin, Novocaine, Analgin, Promedol mwanjira ya mapiritsi ndi jakisoni amagwiritsidwa ntchito.
2. Gawo lachiwiri ndi kuchita matenda oopsa a bile ducts. Kwa izi, mankhwala ngati No-Shpa ndi oyenera.
3. Onetsetsani kuti mwachotsa katundu m'matumba ndikuonetsetsa mtendere. Izi zikuthandizira kusala kwamadzi. M'masiku ochepa atangoyamba kumene chithandizo, mumatha kumwa kawirikawiri madzi akumwa ndi mchere.
4. Chofunikira kwambiri ndikupewa wa thrombosis.

Kodi njira zadzidzidzi zimatenga nthawi yayitali bwanji? Izi nthawi zambiri zimatenga mphindi zochepa, koma nthawi zina zimatenga tsiku lonse. Akatha kukhazikitsa, nthawi yochizira kwambiri imayamba.

Zimaphatikizaponso kumwa kwa sorbents (Smecta, Almagel) ndi mankhwala othana ndi kutupa (Gordox ndi Mannitol drip, Kontrikal). Kuchepetsa hydrolysis, diuretics (Furosemide) ndi mankhwala.

Pofuna kupewa kuwonongeka kwa wodwalayo, ndikofunikira kuyeretsa ndi kukhetsa m'mimba, ndikuwunikanso ziwalo zina zamkati, koma kufufuza kwathunthu kwa dokotala sikuchitika chifukwa chakuopsa kwake. Kutsogolera ntchito ya kapamba, jakisoni wa insulin amapangidwa.

Chifukwa chake, kuthetsedwa kwa vuto la pancreatitis pachimake kapena kukokoloka kwa mawonekedwe ake osakhazikika nthawi zambiri kumatenga pafupifupi masiku 7-10, ndipo masiku oyamba a 2-3 ndiwo nthawi yodziwika bwino kwambiri. Pambuyo pochoka kuchipatala, wodwalayo amayenera kuyang'aniridwa ndi madokotala kuyambira mwezi umodzi ndi theka mpaka miyezi isanu ndi umodzi.

Matenda a kapamba amayenera kuyimitsidwa ndi mayeso a nthawi ndi nthawi, kutsatira dongosolo ndi kudzilamulira wekha pakulimbikitsidwa.

Ndi angati ali kuchipatala ndi kapamba

»Pancreas» Ndi angati ali kuchipatala omwe ali ndi kapamba

Okutobala 15, 2014 ku 10:28 a.m.

Mankhwala, sichachilendo kunena za masiku ena aliwonse omwe wodwalayo alonjezedwa kuti athetse matendawo.

Ichi ndi chifukwa cha machitidwe a chiwalo chilichonse ndi kusintha kosiyana pakulandila komweko.

Komanso, pali matenda mankhwalawa omwe ndikosatheka kuneneratu masiku aliwonse, chifukwa ndizosatheka kuti muchotse matendawa.

Yankho lolondola kwambiri kufunso lautali wa kapamba lingakhale mawu - moyo wonse.

M'malo mwake, njira yolowera pachipatala sichikhala nthawi yayitali - nthawi zambiri vuto limakhala lochotsedwa m'masiku ochepa.

Komabe, aliyense amene wapezeka ndi kapamba kamodzi m'moyo wake ayenera kumvetsetsa kuti zimangotengera moyo wake nthawi yochulukirapo yomwe sangakumbukire matenda osasangalatsa ngati amenewo.

China chomwe chingadziwe kuchuluka kwa mankhwalawa amathandizidwa ndi mawonekedwe ake.

Nthawi zambiri, pakakhala kuti matendawa adayamba kuzindikira (matenda oopsa), chithandizo cha mankhwalawa chimaperekedwa kwa masiku 7, 7, ndikuchiritsa odwala mpaka miyezi isanu ndi umodzi, kuphatikizapo choleretic, enzymatic, hepatoprotective mankhwala ndi mavitamini.

Inde, chofunikira kwambiri ndichakudya chamagulu. Ngati matendawa adapezeka koyambirira kwawo ndipo malamulo onse ndi malingaliro adatsatiridwa, ndizotheka kuti wodwalayo sadzakumbukiranso matenda a kapamba.

Koma kuchuluka kwake komwe muyenera kulandira ngati simupereka thanzi lanu ndikulola kusintha kwa matenda owopsa kukhala osachiritsika - munthu akhoza kungolingalira. Chithandizo chapambuyo pake chimayambika chifukwa cha matenda am'mapapo, minyewa yake imakhudzidwa, chifukwa chake, ntchito za chiwalo zimawonongeka kwambiri ndipo zimavuta kunena za madeti enieni.

Ndiye chifukwa chake chinthu chofunikira kwambiri kwa wodwalayo sikufunsa dokotala kuchuluka kwa mankhwalawa, koma kutsatira malingaliro ake onse, kusiya mowa ndi kusuta, kusinthana ndi zakudya zopatsa thanzi komanso zinthu zina zomwe zimapangitsa kuiwala za kapamba, ngati sichikhala kwamuyaya, osachepera nthawi yayitali. Kumbukirani, kupambana kwa chithandizo chamankhwala sikudalira kuchuluka kwa nthawi yomwe mumakhala kuchipatala, koma makamaka momwe mungagwiritsire ntchito mosamalitsa.

Zingati kuti mukhalebe kuchipatala cha kapamba?

Kutalika kwa kuchipatala chifukwa cha kapamba kumadalira mtundu wa matendawa komanso kupezeka kwake komanso kuuma kwa zovuta.

Pakuwonjezereka kwa mawonekedwe osachiritsika a kutupa kwapancreatic, kutalika kwa nthawi yayitali m'chipatala kungatenge masiku atatu okha, pomwe wodwalayo adzalembedwera njira yeniyeni yothandizira kuchipatala.

Ngati pali mtundu wovuta wa kapamba, ndiye kuti wodwalayo amayenera kuyang'aniridwa ndi madokotala osachepera sabata, mpaka masabata a 5-6. Ichi ndi chifukwa cha kuchuluka kwa zovuta zamagulu osiyanasiyana komwe kutupira kwamapazi kumakhala nako. Zikatero, mapapo, ndi impso, ndi magazi zimatha kukhudzidwa.

Nthawi zina wodwalayo amafuna makolo awo zakudya kwa mwezi wathunthu. Zambiri zakugona kuchipatala ndi kapamba kwa wodwala wina zitha kuganiziridwa ndi dokotala, chifukwa malingaliro omwe wodwalayo amakhala nawo samawonetsa kusintha.

Mitundu yonse yodwalayo komanso yovuta yamatendawa imafuna kukhazikitsidwa kwa malangizo okhwima kwakanthawi. Ndipo ngati pambuyo pachilonda cham'mimba cha kapamba nthawi yayitali ya mankhwala a kapamba angatenge miyezi isanu ndi umodzi ndikupitiliza kupatsanso mankhwala kwa zaka zingapo, ndiye, mwatsoka, kusiya mawonekedwe osokoneza bongo asintha kukhala moyo.

Chithandizo cha pancreatitis kuchipatala chimachitika ndicholinga chofuna kuthetseratu zizindikiro za matendawa, ngati matendawa wadutsa pagawo lovuta. Chithandizo cha chifuwa chachikulu pachimake mu chipatala ndichofunika kuyimitsa kukhudzika kwamatenda a wodwalayo pakuwonekera matenda, komanso kuthetsa zinthu zomwe zingayambitse matenda.

Mitundu yodwala yamatenda nthawi zambiri imachiritsidwa kunyumba, koma nthawi zina amathandizidwa mchipatala. Nthawi zina, wodwala akakumana ndi necosis ya pancreatic minofu, wodwalayo amapanga opaleshoni.

Chithandizo cha kapamba kuchipatala: kuchuluka kunama, momwe angachiritsire, kupuma

Chithandizo cha pancreatitis kuchipatala chimachitika ndicholinga chofuna kuthetseratu zizindikiro za matendawa, ngati matendawa wadutsa pagawo lovuta. Chithandizo cha chifuwa chachikulu pachimake mu chipatala ndichofunika kuyimitsa kukhudzika kwamatenda a wodwalayo pakuwonekera matenda, komanso kuthetsa zinthu zomwe zingayambitse matenda.

Mitundu yodwala yamatenda nthawi zambiri imachiritsidwa kunyumba, koma nthawi zina amathandizidwa mchipatala. Nthawi zina, wodwala akakumana ndi necosis ya pancreatic minofu, wodwalayo amapanga opaleshoni.

Chithandizo cha kapamba kuchipatala: amathandizidwa bwanji, masiku angati?

Pancreatitis ndimatenda omwe nthabwala zake zimakhala zoipa. Koma vutolo limakhala lodetsa nkhawa kwambiri pamene gawo layamba kupweteka kwa kapamba liyamba.

Nthawi zambiri mankhwala othandiza samathandizanso panthawiyi, ndipo ululuwo sukusunthika kotero kuti ungachititse kuti musamagwidwe ndi mantha komanso mantha.

Ichi ndichifukwa chake chithandizo cha pancreatitis kuchipatala ndi njira yokhayo yotithandizira: Kugwiritsira ntchito chipatala mwachangu nthawi zambiri kumapulumutsa wodwala ku kulumala kapena kufa. Nthawi zina amalephera kulandira chithandizo chamankhwala, ndipo milandu yovuta imafunikira kuchitapo kanthu.

Zizindikiro zakuchipatala

Chithandizo cha inpatient ndikofunikira pawiri:

• ngati chifuwa chachikulu chalowa pachimake,
• pamene pancreatitis pachimake amadziwika.

Milandu yonseyi ndi yoopsa chimodzimodzi, ndipo matendawo ndi omwe amadzala ndi imfa. Chifukwa chake, pakufunika kuti adokotala aziona momwe wodwalayo alili. Mu chipatala pokhapokha pofunikira maphunziro omwe angachitike kuti atsimikizire matenda a kapamba.

Zizindikiro zake ndi:

1. Kupweteka kwambiri pamimba. Amatha kukhala kumanja, kumanzere kapena pakati. Nthawi zina ululu umabweza. Kuyenda pang'ono kumabweretsa chiwopsezo chatsopano. Zimakhala zosatheka kupuma komanso kutsokomola, kuti zisayambitse chilimbikitso chake.
2. Kusilira ndi mseru, popanda mpumulo.
3. Tachycardia ndi kufooka.
4. Kuzizira ndi kutentha thupi mpaka 38 ° C.
5. Kutsitsa magazi.
6. Kutsegula m'mimba Chakudya chopanda kanthu chimatha kuwonedwa mu ndowe.

Ndi vuto la pancreatitis pachimake, kuchitapo kanthu mwadzidzidzi kungafunike, popeza nthawi zambiri kumakhala koopsa m'moyo wa wodwalayo.

Zizindikiro

M'masiku oyamba, kufufuza koyambirira kumakhazikitsidwa, komwe kuyenera kutsimikiziridwa pamene mkhalidwe wa wodwalayo ukupita bwino - mkati mwa masiku 5. Koma kuyesedwa koyambirira kumachitika m'chipinda chachipatala chachipatala.

Pamenepo, kutentha kwa thupi ndi kuthamanga kwa magazi zimayezedwa, dokotalayo amawona kuchuluka kwa kutupika kwa miyendo, kukweza m'mimba ndikuyang'ana kuyang'ana kwamaso ngati pali vuto, ngati pali kukaikira kwa jaundice wolepheretsa.

1. Kuyesedwa kwa magazi kwachipatala - kutsimikizira kuwonjezeka kwa ESR ndi kuchepa kwa kuchuluka kwa mapuloteni.
2. Urinalysis - kudziwa alpha-amylase. Zolemba zake zapamwamba ndi chizindikiro cha pancreatitis yovuta komanso yopweteka.
3. Kuwunikira kwa Fecal - kuyesa kugwira ntchito kwa kapamba. Zakudya zamafuta onunkhira komanso zoperewera zimawonetsa bwino matenda awa.
4. Mothandizidwa ndi ultrasound, kutanthauzira komweko kwa kutupa kumatsimikiziridwa.

Kutengera zotsatira, kufufuza kumapangidwa. Kuthekera kopanga zovuta kumayesedwa. Ngati wodwalayo ali ndi thanzi labwino, ndiye kuti amatumizidwa kuchipatala. Pakakhala mwayi wokulitsa, sankhani dipatimenti yochotsa chipatala.

Kenako pakubwera mawu omaliza onena za njira yabwino kwambiri yothandizira. Pali njira ziwiri - kaya mankhwala kapena opareshoni, koma zimaphatikizidwanso ndi mankhwala.

Malangizo a mankhwalawa

Kusala kudya ndi gawo loyamba lofunikira pakusanza komanso kupweteka kwambiri. Zikatero, ngakhale zakumwa siziletsedwa. Madziwo amaperekedwa kokha. Kusala kouma kumatenga masiku 2-4, kutengera kuuma kwa mkhalidwe wa wodwalayo. Ndiye kwa masiku 3-6 wodwalayo "amabzidwa" pazakudya zamagetsi zamagetsi ndi theka.

Atazindikira kuti ali ndi pancreatitis pachimake, dokotala wa ambulansi amapweteka antispasmodic.

Catheter woonda amayilowetsa m'mimba mwa wodwalayo kudzera m'mphuno kuti amuchotsere secretion waukali wa asidi. Ululu umasowa mumaola ochepa.

Njirayi imatenga masiku 1 mpaka atatu. Kusintha electrolyte ndi madzi bwino, yankho la sodium chloride limayambitsidwa. Ndi zizindikiro zapakati, ma antacid (Sorbex, Almagel, Maalox, Fosfalugel) amalembedwa kuti ateteze mucosa wam'mimba.

Koma mankhwalawa chifukwa cha mseru kapena kusanza ndi osayenera.

Ma analgesics, novocaine blockades amalembedwa kudzera m'mitsempha kapena intramuscularly, nthawi zina kugwiritsa ntchito mankhwala osokoneza bongo amaloledwa.

Mwa mankhwala ochepetsa mphamvu ya kulowetsedwa kwa mtsempha, Contrical imagwiritsidwa ntchito (katatu patsiku), kamodzi - Gabexat mesylate, 2 kawiri patsiku - Gordoks.

Matenda oopsa am'mphepete mwa biliary amachotsedwa mothandizidwa ndi antispasmodics - No-shpa, Papaverine, Nitroglycerin. Kudya kwamavitamini ovuta.

Zisonyezero zochizira

Sizotheka nthawi zonse kuchiza kapamba ndimankhwala, ngakhale kuchipatala. Opaleshoni mankhwala a pachimake mawonekedwe amatumizidwa otsatirawa milandu:

1. Ngati kuledzera kwambiri komanso kupweteka sikumusiya wodwala patatha masiku awiri chiyambireni kumwa mankhwala.
2. Pamene imodzi yowonjezerayo idawonjezeredwa pazizindikiro - kutaya chikumbumtima.
3. Kusokonezeka kwakukulu kunachitika - jaundice wovuta. Uku ndikufanizira kwa bilirubin mu mucous membranes ndi khungu chifukwa chophukira kwa bile ducts ya chiwindi.
4. Maonekedwe a neoplasm (cyst).

Opaleshoni imatha kukhala mwachindunji komanso yosalunjika. Chitani zofanizira motere:

• kunyamula mitsuko yamadzi,
• pangani masana a kapamba,
• chotsani miyala.

Njira zosadziwikiratu zimaphatikizapo ntchito yam'mimba, thirakiti la biliary, neurotomy (mitsempha yodutsa). Pambuyo pakuchita opaleshoni, wodwalayo amakhala m'chipatala kwa sabata lathunthu, ndipo gawo la kuchira limatenga mwezi umodzi ndi theka mpaka miyezi iwiri.

Thandizo loyamba ambulansi isanafike

Ngati mukukayikira kuukira kwa kapamba, ndiye kuti simungakayike. Makamaka pamene kufalikira kwa matenda a ululu mu hypochondrium - kumanzere kapena kumanja.

Tsoka ilo, ma ambulansi ogwira ntchito nthawi zambiri safika mwachangu. Koma muyenera kuphunzira kuti chithandizo chodziimira pawokha podikirira madokotala sichovomerezeka.

Simungatenge ma pinkiller: analgesics ndi antispasmodics okhawo adokotala. Ndi zoletsedwa ngakhale kumwa.

Koma mutha kuthetsa vutoli pang'onopang'ono pogwiritsa ntchito izi:

• khalani chete
• ikani katundu wozizira kapena wa ayezi pamalo owawa,
• khazikitsa chipinda.

Zochita zina zonse ndizoyipa. Dokotala yekha, atatha kuyang'ana zizindikiro, amatha kupereka chithandizo choyamba, koma nkhondo yeniyeni ndi kapamba ndiyamba kuchipatala.

Chithandizo cha kapamba kuchipatala: Zizindikiro zakuchipatala, kutalika kwa nthawi, mitundu yamankhwala

Ndi vuto la pancreatitis pachimake, nthawi zambiri sizotheka kuthana kunyumba.

Amatha kukhala limodzi ndi kuwonongeka kwakukulu mu thanzi, kupweteka kwambiri, nseru, kusanza, ngakhalenso kusazindikira. Zikatero, kulandira zipatala ndi kulandira chithandizo chofunikira kuyang'aniridwa ndi madokotala.

Kupereka chithandizo chamankhwala kuchipatala choterocho mosakayikira kumatha kubweretsa zovuta, komanso kufa.