Kodi mankhwalawa amayenera kugwiritsidwa ntchito motani komanso pancreatitis?

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

Kupangira mankhwala antibacterial

Pancreatitis ndi yotupa mwachilengedwe. Zimabweretsa kuwonongeka kwa maselo a kapamba. Pafupifupi odwala ⅕, njira yachipatala ndiyovuta. Kutumiza kolakwika kwa mankhwala oletsa kupha, kulephera kudya zakudya zoyenera, kapena kuchedwetsa mayeso achipatala kumabweretsa zizindikilo zomwe zingayambitse imfa. Oopsa kwambiri mwa iwo ndi: kugwa kwa impso ndi kumangidwa. Kuchepetsa mseru ndi harbinger wa kukula kwa kapamba.

Mankhwala othandizira antibacterial amathandizika ngati:

abscess, peritonitis kapena phlegmon,
kupezedwa kwa mkwiyo mu glandular zimakhala, m'mimba thirakiti ziwalo,
mapangidwe a cancts a pancreatic, matenda a bakiteriya omwe amakhala ndi necrosis ya maselo a gland, kutupa kwamitsempha yamitsempha,
kutumphuka kwa nthiti za kapamba,
gallbladder motility dysfunction.

Chizindikiro cha matenda ndi ululu wovuta kupweteka, womwe Ketonal ndi ma opaleshoni ena sangathe kuthetsa.

Ndi zotsatirapo zosiyanasiyana zabwino za antimicrobials, ali ndi mbali zoyipa zoyipa. Madotolo adazindikira kumachitika kwa thupi lawo siligwirizana: redness of the khungu, kutupa kwamphuno mucosa, kuyabwa. Kuledzera kwa mankhwala osokoneza bongo sikumatha. Pogwiritsa ntchito mankhwalawa kwa nthawi yayitali, mabakiteriya amawonetsa masinthidwe omwe amamuwonjezera mankhwala. Pazizindikiro zoyambirira za zoyipa kapena kusakwanira kwa mankhwalawa, dokotala ayenera kusiya.

Chithandizo cha pachimake komanso matenda osachiritsika

Panthawi yakukalamba kwa matenda, sipangakhale zizindikiro za sepsis. Njira zolimba mu kapamba zimabweretsa edema ndikuwonongeka kwa minyewa ya ziwalo ndi ma enzymes awo. Poyankha ndi kukwiya, thupi limatulutsa mayankho okhala ndi ma microparticles omwe amagwira ntchito limodzi ndi membrane wam'mimba. Zotsatira za zotupa zotere zimatha kukhala chiwonongeko cha kapamba. Oposa ⅔ odwala omwe ali ndi pancreatitis pachimake ali pachiwopsezo cha kufa.

Kuyimitsa chitukuko cha matendawa, othandizira zotsatirazi amalembedwa omwe ali ndi zochita zambiri: Levomycetin,

Pa gawo loyambirira la mankhwalawa, kulowetsedwa kwamitseko kumachitika, komanso jakisoni wamkati wamatumbo. Nthawi yomweyo, sedative amalembedwa mu mawonekedwe a amitriptyline, omwe ali ndi phindu pa gulu lamanjenje. Izi ndizofunikira chifukwa chopweteka kwambiri. Wodwala akangopeza chithandizo chamankhwala, ndiye kuti mankhwalawo amathandizira kwambiri ku matenda. Ndi peritonitis yotchulidwa, njira zadzidzidzi zimachitika pokhudzana ndi kuwopseza kufa mwadzidzidzi.

Ndi mawonekedwe a ulesi a kapamba, palibe chifukwa chogwiritsira ntchito maantibayotiki. Chosiyana ndi parapancreatitis, chofotokozedwa zotupa za retroperitoneal parapancreatic minofu. Kuziyambitsa ndizovuta kwambiri. Ma cellulose omwe akhudzidwa ndi gawo la aseptic la matenda ndi omwe amatha kudziwa nthawi yayitali kwambiri, yomwe ndi yachiwiri komanso yovuta ya magazi.

Zophatikizidwa ndi mapiritsi

Kuti athetse zizindikiro za kapamba, jakisoni wa chiberekero amachitika. Samalola sepsis wa mabakiteriya am'mimba kuti apakidwe. Doxycycline ndi Ampiok ndi mankhwala apadziko lonse lapansi. Amaperekedwa kudzera m'mitsetse yamitsempha ndi intramuscularly kwa masiku 7-10. Ceftriaxone akuwonetsa zotsatira zoyambira ndi matenda a bakiteriya am'mimba. Amoxicillin adapangidwa kuti athetse kutupa kwa ma ducts a bile, njira zoteteza komanso kupewa kuti zisadzabwerenso.

Amitriptyline amachitira zinthu zovuta zomwe zimayamba chifukwa cha kupweteka kwanthawi yayitali m'mimba. Mankhwala odziwika omwe amapezeka m'mapiritsi ndi awa:

Azithromycin (motsutsana ndi mitundu yosiyanasiyana ya mabakiteriya),
Abactal (mu pachimake pancreatitis),
Amoxiclav (yothandiza kupwetekedwa kwachangu),
Zosakanikirana (kwa chithunzithunzi chambiri).

Mankhwala mwanjira iliyonse amatengedwa pokhapokha malinga ndi mankhwala omwe dokotala wakupatsani. Kudzidzidzimutsa nokha kumatha kuyipa ndi zotsatira zosayembekezereka.

Pazifukwa zoyenera zamankhwala, kuyesa kwa bacteriological yankho la bile ndi chapamimba, matumbo ndi kapamba, komanso chikhalidwe cha microflora kumachitika. Mlingo wa kuzindikira kwa tizilombo tating'onoting'ono tating'onoting'ono tokha tokhudza zochita za antimicrobial tatsimikiza. Pokhapokha motere ndikotheka kusankha mankhwalawa oyenera omwe samatsogolera pakuwoneka kwachilendo m'magulu a micobiocenotic komanso mawonekedwe a zochitika.

Mankhwala opha maantibayotiki amayikidwa limodzi ndi mankhwala a antibacterial. Zogulitsa mkaka wowonda ziyenera kupezeka mu zakudya, zomwe zimapangitsanso maselo owonongeka ndikubwezeretsa microflora yamatumbo. Maantibayotiki a kapamba amatengedwa osapitilira masiku 14. Ndi kachilombo ka kachilombo ka kapamba, kugwiritsa ntchito mankhwala oletsa kupha tizilomboto nkoletsedwa.

Zochizira kapamba, njira zosiyanasiyana zitha kugwiritsidwa ntchito ndipo zotsatira zabwino zitheka ndi njira yolumikizidwa.

Maantibayotiki othandizira pancreatitis sagwiritsidwa ntchito kawirikawiri, pamene vutoli ndi lalikulu komanso mankhwala amphamvu ayenera kumwedwa.

Mankhwalawa amagwiritsidwa ntchito kuti athetse zizindikiro zazikulu za matenda omwe amapezeka m'matumbo oyipa.

Maantibayotiki tikulimbikitsidwa ngati pali chiopsezo chotenga matenda a ziwalo zosiyanasiyana zam'mimba. Mankhwala salola kukula kwa zotsatira ndi zovuta zomwe zimakhala zakupha.

Ubwino ndi kuipa kwa chithandizo

Maantibayotiki othandizira pancreatitis akuluakulu amatha kuchotsa msanga njira yotupa, ndikulepheretsa kusintha kwa ziwalo ndi ziwalo zapafupi, potero kuchepetsa mwayi wazovuta komanso zovuta.

Msika wamakono wamankhwala umapereka mitundu yambiri ya maantibayotiki othandizira, omwe ali ndi zotsatira zosiyanasiyana, ntchito, ndipo ndizochepa kuzizolowera.

Zoyipa zamafuta opitilira apozi ndizochulukirapo kuposa zabwino, chifukwa nthawi zambiri zimayambitsa zovuta komanso zotsatira zina zosasangalatsa.

Zotsatira zoyipa zazikulu ndi izi:

Khungu loyera.
Kuthamanga thupi.
Rhinitis.
Matenda a Stool ndi zovuta zina za dyspeptic

Ngati pali zifukwa zina zovuta, ndiye kuti chithandizo chamankhwala ena mapiritsi chiyenera kutayidwa ndikupempha dokotala kuti akuuzeni malangizo.

Mukamagwiritsa ntchito mankhwala amphamvu a kapamba, kuledzera kumatheka. Izi zimachitika ngati mankhwalawo sagwiritsidwa ntchito moyenera, kupatuka ku chiwembu chomwe adokotala akuwonetsa.

Zizindikiro za kuledzera zimayamba chifukwa cha kugwiritsidwa ntchito limodzi kwa maantibayotiki komanso:

Za mowa.
Mankhwala osagwirizana.

Zotheka kutero mukamagwiritsa ntchito mankhwala. Kupatuka kulikonse pa chithandizo chamankhwala kumayambitsa kupweteka kwam'mutu, chizungulire, kusokonezeka kwa zida zamagetsi.

Mu kapangidwe ka mankhwala pali zinthu zomwe zimayambitsa kusintha kwa mabakiteriya okhala ndi tizilomboti, kotero pakapita kanthawi amayamba kuzolowera zinthu zomwe zimagwira, zomwe zimachitika ndi mankhwalawa zimatha ndipo ntchito zovulaza anthu zikupitilirabe.

Ngakhale zolakwa zina, mankhwala othandizira pancreatitis amagwiritsidwa ntchito kusunga thanzi ndi moyo wa wodwalayo.

Maantibayotiki othandizira kupha pachimake

Pancreatitis imatha kuchitika pachimake kapena chovuta, motero mankhwalawa amachitika ndi mankhwala osiyanasiyana.

Mu milandu yayikulu, zotsatira za mankhwalawa zimatengera nthawi yogwiritsira ntchito mapiritsi.

Mukumwa mankhwalawo mwachangu, kumakhala mwayi wopewa kusintha kwa nthendayi ku matenda osachiritsika, maonekedwe a zovuta, omwe mwina ndi peritonitis.

Kugwiritsa ntchito maantibayotiki kwa masabata atatu pambuyo poti chiwonetsero chachikulu cha matendawa chimachepetsa mwayi womwe umatha kufa.

Lemberani mankhwala amphamvu pokhapokha muli ndi zisonyezo komanso zovuta kwa wodwalayo.

Ngati peritonitis yapangidwa kale, ndiye kuti moyo wa munthu ndiwopseza mwachindunji, chifukwa cha izi, maantibayotiki ayenera kugwiritsidwa ntchito.

The causative othandizira a izi adzakhala tizilombo toyambitsa matenda m'matumbo, omwe ali:

Zamoyo zoterezi zimatha kukhala ndi moyo ndikukula popanda kukhalapo kwa okosijeni, ndipo pancreatitis yovuta kwambiri imayenera kugwiritsa ntchito mankhwala omwe ali ndi mawonekedwe osiyanasiyana ogwirira ntchito omwe amakhudza ndendende mafotokozedwewo.

Mwa mankhwala akuluakulu, mitundu ingapo ya mankhwalawa imasiyanitsidwa, yomwe imagawidwa m'magulu:

Penicillins, Ampicillin kapena Augmentin amagwiritsidwa ntchito ngati mankhwala.
Cephalosporins, mwa mankhwala abwino amatulutsa Kefzol, Klafornan, Cefotaxime. Mankhwalawa amagulitsidwa m'njira yothetsera vutoli, amalowetsedwa mu minofu kawiri pa tsiku ndipo amagwiritsidwa ntchito nthawi zambiri pa matenda a kugaya chakudya.
Carbapenems, mankhwala amachita ntchito yabwino kwambiri, koma ndiokwera mtengo kuposa mankhwala ena. Mankhwala, Tienam kapena Meropenem amagwiritsidwa ntchito.

The pachimake mawonekedwe a matenda ayenera kuthandizidwa kuchipatala, opaleshoni ikuchitika. Kusankhidwa kwa antibacterial othandizira, mlingo wawo ndi kutalika kwa chithandizo chitha kutsimikiziridwa ndi dokotala.

Mankhwala ophatikizika ochulukitsa

Mu mawonekedwe osakhazikika panthawi yowonjezera, chithandizo cha kapamba ndi maantibayotiki chiyenera kuchitika kuchipatala, chifukwa pamakhala chiopsezo chachikulu cha zovuta.

Mu sabata yoyamba, maphunziro angapo amachitika omwe amatha kudziwa madzi, mchere ndi miyeso ina, komanso kuchuluka kwa michere. Kusanthula kwamphamvu magazi ndi zizindikiro zina kumachitika.

Kuphatikiza mankhwala kumakhala kuchepetsa kuchepa kwa michere ya pancreatic, kuthetsa njira yotupa ndi kutupa.

Pachifukwa ichi, njira yopumulira pang'ono-kugona imagwiritsidwa ntchito:

Kuzizira kumagwiritsidwa ntchito nthawi zonse m'mimba kuti athetse kufooka.
Masiku atatu oyambirira atachulukirachulukira, muyenera kugwiritsa ntchito njala, yomwe imachotsa kupsinjika kwa kapamba ndikuchepetsa kutulutsa kwa ma enzymes. Zakudya zonse zimaphatikizidwa, madzi okha ndi omwe amaloledwa maola angapo aliwonse.
Pofuna kuchira msanga komanso kuthandizira, mankhwalawa amagwiritsidwa ntchito omwe amatha kuchepetsa kutulutsidwa kwa michere. Gwiritsani ntchito mankhwala Dalargin, omwe amalowetsedwa m'matumbo kawiri pa tsiku kwa masiku 21.
Dotoloyo akuwonetsa kugwiritsa ntchito mankhwala a cimetidine ndi antacid omwe angabwezeretse nkhawa za kapamba pochepetsa acidity ya madzi a m'mimba.
Chithandizo chokwanira chimaphatikizapo kugwiritsa ntchito mankhwala omwe amachepetsa michere, omwe amaperekedwa kudzera mu mtsempha kapena njira yodontha. Mankhwala, gwiritsani ntchito Contrical kapena Gordox.
Kwa zowawa, ma analgesics omwe amapezeka mu Sandostatin angagwiritsidwe ntchito, omwe amagwiritsidwa ntchito jakisoni.

Atayimitsa chiwonetsero chachikulu cha matendawa, dokotala amasankha ndikuwapatsa mankhwala othandizira ndi ena.

Mankhwala amasankhidwa payekhapayekha kwa munthu aliyense, physiotherapy imagwiritsidwanso ntchito kuchepetsa ululu ndi kutupa.

Chithandizo cha kapamba ndi maantibayotiki

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

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

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

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

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

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

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

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

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

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

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

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

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

Matenda a nthawi yayitali ndi kuwononga chitetezo cha mthupi, chifukwa chake ma pathologies omwe amakhala ndi matenda nthawi zonse amatsitsa kuchepa kwa chitetezo chathupi. Ndipo izi ndi zina mwa zinthu zofunika za tizilombo tomwe timafunikira kuti tithe kuyamba kugwira ntchito ndikuyamba kukhala zofunikira, chifukwa mabakiteriya ochulukirapo amakhala ndi, zomwe zimapangitsa kuti zinthu zofunikira m'thupi lawo ziziunjikira mthupi, zomwe zimapangitsa kuti thupi lizitupa komanso kuledzera.

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

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

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

Pancreatitis ndi ...

Pancreatitis si matenda osiyana, koma gulu la ma pathologies omwe amaphatikiza chizindikiro chofunikira - kutupa kwa kapamba.

Zikondazo zimakonda kutchedwa "kapamba," chifukwa zimapezeka pamenepo, komabe, dzinali linaperekedwa ndi madokotala omwe amaphunzira ma anatomy pamitembo yakufa, ndipo akagona pansi, chiwalocho chimapezekanso pansi pamimba.

Ngakhale kukula kwake kocheperako (mpaka 10 cm mwa akulu), gawo la kapamba pamagayilo ndi kugwira ntchito koyenera kwa thupi ndilothandiza.

Thupi limatulutsa mpaka malita awiri a madzi a pancreatic patsiku, omwe amakhala ndi ma enzymes 22.

Zinthu izi zimalowa mu duodenum, zomwe zimazungulira kapamba, ndikupanga mapuloteni, mafuta ndi chakudya mu mphamvu ndi zinthu zomanga maselo a thupi.

Iron imasunganso kuchuluka kwa shuga m'magazi ndikuwongolera kuwonjezeka kapena kuchepa kwa kuchuluka kwake.

Nkhani yothandiza? Gawani ulalo

Pazifukwa zosiyanasiyana, kapamba amatha kuyaka, ndiye kuti chizolowezi chake chophwanyika chimaphwanyidwa.

Amapitilizabe kupanga madzi a pancreatic okhala ndi ma enzyme, koma osatha kuwabaya mu duodenum - njira yakudzigaya yokha iyamba.

Mu chifuwa chachikulu cha pancreatitis, chomwe chimakula nthawi zonse mokwanira, pamakhala chiopsezo chokhala ndi necrotic process - minofu necrosis.

Poizoni amatulutsidwa ndikulowa m'magazi, omwe amayenda mthupi lonse kudzera m'magazi, kufikira mtima, ubongo, mapapu, impso ndi chiwindi.

Zinthu zamkati zimatha kuyambitsa pancreatitis, koma nthawi zambiri, kapamba amayamba chifukwa cha kuchuluka kowonjezereka komwe munthu amapanga pamatumbo ake.

Chimodzi mwazomwe zimayambitsa pancreatitis ndi uchidakwa. Katundu wolemera amathandizidwanso ndi chakudya cholemera, makamaka chamafuta ndi mafuta okazinga.

Kuchiza ndi mankhwala omwe amathandizira kapamba angayambitsenso kapamba. Kutupa kosafunikira, kuvulala, acidity yowonjezera yam'mimba yam'mimba imapangitsanso pancreatitis.

Vuto lalikulu la kapamba ndi kuzindikira.

Chimodzi mwazinthu zomwe zimapezeka pambuyo pa mankhwala a Soviet ndi kuchuluka kwakukulu kwa matenda omwe amadza chifukwa cha m'mimba thirakiti poyerekeza ndi maiko Akumadzulo.

Chiwerengero cha kapamba amene ali pamalo achitatu pambuyo pothandizidwa ndi appendicitis ndi cholecystitis ndi apamwamba kwambiri.

Kuyendera kwa dokotala ndi madandaulo ochokera m'matumbo am'mimba, monga lamulo, kumatha ndi matenda a chifuwa chachikulu, chomwe madokotala nthawi zambiri amayesa kupewa kupita nawo kumayiko omwe ali ndi mankhwala opita patsogolo kwambiri.

Chochulukacho chofalikira cha overdiagnosis ndikuti madokotala (akatswiri othandiza kuzizindikira) amatanthauzira mawonetseredwe amachitidwe ngati chidziwitso cha ntchito ya chiwalo ndikupanga kupezeka kwawonekera ndi mawonekedwe osakwanira.

Chitsanzo chimodzi ndikukula kwachulukidwe wa kapamba ndi ma ultrasound, ndiye kuti, adotolo amawona pazenera kuti chiwalocho ndichopepuka kuposa chiwindi.

Komabe, chithunzi choterechi ndichizolowezi mwa achikulire, ndipo sikuti chifukwa chodziwika pancreatitis.

Chitsanzo china chofala cha overdiagnosis chodwala chachikulu komanso chovuta cha pancreatitis mwa ana. Nthawi yomweyo, zinthu zambiri zimawopsa nthawi imodzi.

Choyamba, kodi ana amatha bwanji kusungitsa kapamba kwambiri? Kachiwiri, kudziwikako sikumatsimikiziridwa mwa akulu, ngakhale kuti kapamba ndimatenda omwe amatha kuchiritsidwa kwathunthu padera.

Chachitatu, matumbo a mwana amangopangika, ndipo mnjira imeneyi, zolephera zimakhala zabwinobwino.

Mu pancreatitis yayitali kapena cholecystitis, ana nthawi zambiri amathandizidwa ndi gawo lalikulu la moyo wawo - kunyumba ndi zipatala, umunthu wawo umapangidwa mothandizidwa ndi chinthu china chowopsa - kuchipatala.

Zotsatira zake, akulu amakula mwa iwo, osati kokha ndi thanzi labwinobwino ("ochiritsidwa"), komanso ovutika m'maganizo.

Kuchulukitsa kwa chifuwa chachikulu ndi chimodzi mwazomwe zimayambitsa mimbayo. Mkazi sangathe kudya, kutentha kwake kumatuluka, mamvekedwe ake a chiberekero amawonjezereka, madotolo amalingalira kuti achotse mimbayo, ndipo mkaziyo avomera, achita mantha komanso watopa.

Ngati mupenda mwapadera milandu iliyonse, zimapezeka kuti kapamba ndi vuto lachiwiri, mwachitsanzo, ndi cholecystitis (kutupa kwa ndulu ndikapangira miyala).

Pancreatitis imatha kuyambitsanso chithandizo, mwachitsanzo, kumwa maantibayotiki, kuchuluka kwa mankhwala kapena kuvulala kwa pancreatic duct panthawi yodziwitsa.

Maantibayotiki zochizira pancreatitis

Maantibayotiki a cholecystitis kapena kapamba amalembedwa kuti apondereze matendawa ndikuchepetsa mphamvu yotupa.

Kuchiza kwa antibacterial kumakhala koyenera chifukwa cha kuchuluka kwa tizilombo tambiri - otenga mbali ofunikira pakudya, omwe mwa njira yotupa amatha kusewera gulu lotsutsa ndikuwonjezera vuto la wodwalayo.

Komabe, kuvomereza kumwa maantibayotiki aliwonse komanso makamaka kwa chithandizo chilichonse, ndikofunikira kukumbukira zovuta zomwe zimapangitsa kuti mupezeke koyenera mumankhwala amakono a sukulu ya pambuyo pa Soviet.

Katswiri wodziwa bwino yekha ndi amene angazindikire zobisika zonse za momwe maantibayotiki amathandizira m'thupi (mwachitsanzo, kusintha zikhalidwe ndi mankhwala), motero, kudzilimbitsa mukamasankha maantibayotiki sichinthu chabwino,
kuvomera maantibayotiki, komanso njira zina zochiritsira, ndikofunikira kutsimikizira kuti matendawa ndi olondola.

Mwachidziwikire, kukwaniritsa izi sikophweka: ndikosavuta kwa katswiri kuti amuchotsetse wodwala ndi mawu ovuta kutchula kapena chiyembekezo chodzetsa, pambuyo pake wodwalayo avomera kulandira chithandizo chilichonse kuti adzipulumutse ku zovuta zomwe zingachitike chifukwa cha chizolowezi chochita pancreatitis.

Ngakhale zili choncho, wodwalayo ali ndi chidwi ndi munthu aliyense payekhapayekha ndipo ayenera kuteteza zofuna zawo.

Ndani ngati si ine? Ili ndiye funso loyamba lomwe ndikofunikira kudzifunsa ndikudziwonetsa kuti palibe dokotala yemwe amasamala zaumoyo wanu kuposa inu.

Funsani mafunso ndikuwona zomwe dokotala akuchita. Kodi adotolo amayesera kuyankha momveka bwino, kuwopseza, kupereka njira zina?

Werengani mabuku azachipatala zokhudzana ndi matenda anu. Lolani kuti mumvetsetse kutali ndi chilichonse, koma nthawi zina zitha kukhala zogwirizana ndi lingaliro la adokotala anu kapena kutsutsana naye.

Lumikizanani ndi azachipatala ena ndi akatswiri ena omwe sakufuna kusunga mtundu wanu.

Mulimonsemo, simudzayenera kupereka thanzi lanu kwa anthu ena, koma kuyesa kulingalira momwe mulili komanso zomwe mungagwiritse ntchito pancreatitis, simudzalakwitsa.

Kupweteka kwambiri pamimba, kusanza ndi ndulu, mseru ungasonyeze kapamba - kutupa kwa kapamba. M'matendawa, michere yomwe umapangidwa ndi thupi, mmalo mongomusiya duodenum, imakhalabe m'misempha ndikuyamba kuyigaya. Izi zimatsogolera kutulutsidwa kwa poizoni yemwe amatulutsidwa m'mitsempha, kufikira impso, mtima, mapapu, ubongo ndikuwononga minofu yake. Mankhwala omwe amwa mankhwalawa panthawi ya kapamba angapewe izi.

Zizindikiro za Pancreatitis

Kapamba amapanga michere yam'mimba ndi mahomoni omwe amawongolera mapuloteni, mafuta, metabolism - insulin, glucagon, somatostatin. Chiwalocho chimakhala ndi mawonekedwe obisika ndipo chimakhala m'mimba kumtunda, kumbuyo kwa m'mimba, chikugwirizana kwambiri ndi duodenum. Iron kulemera pafupifupi 70 g, kutalika kwake kumasiyana 14 mpaka 22 cm, m'lifupi - kuchokera 3 mpaka 9 cm, makulidwe - 2-3 cm.

Kutupa kwa pancreatic kumatha kuchitika m'mitundu yovuta komanso yosatha, mawonetsedwe azachipatala omwe ali osiyana. Pancreatitis pachimake ndi yakufa, chifukwa poizoni amatha kupweteka kwa minyewa ya gland ndi ziwalo zina, matenda, puritis. Ngakhale ndi chithandizo chanthawi yake ndi njira zamakono, kufa ndi 15%.

Palibe chithunzi chachipatala chomveka bwino mu pancreatitis yayikulu, chifukwa chake, mayeso owonjezera amafunikira kuti azindikire molondola. Mwanjira yodwala, matendawa amaboweka kapamba, omwe amayambitsa kupweteka kwa ziwalo zina, amasokoneza kayendedwe ka chakudya kudzera m'mimba ndi matumbo. Kuphatikiza apo, matendawa amadziwonetsera muzizindikiro zotsatirazi:

kupweteka kwapweteka pamimba, mpaka mbali yakumanzere, kumbuyo,
nseru
kusanza ndi bile, komwe sikubweretsa mpumulo,
ukufalikira
kusowa kwamadzi
khateyo limayamba, limodzi ndi chikasu pakhungu, mkodzo wakuda, ndowe zowala,
Nthawi zina, malo owoneka bwino amakhala pafupi ndi msomali kapena kumanzere kwam'mimba, nthawi zina amakhala ndi tinge yachikasu.

M'matenda osaneneka mu kapamba, kusintha kosasintha kumachitika. Amachepa, limachepa, maselo amasinthidwa ndi minyewa yolumikizana, chifukwa chomwe chiwalo chimaleka kukwaniritsa ntchito zake, ndipo kaphatikizidwe ka michere yam'mimba ndi mahomoni amachepa. Pancreatitis yodziwika bwino imadziwika ndi chithunzi cha matenda osachiritsika, zizindikiro zake zimatha kusokonezeka mosavuta ndi matenda ena am'mimba.

Matendawa amakula pang'onopang'ono ndipo sadzipangitsa kumverera kwa nthawi yayitali. Pathology imadziwoneka ngati ululu wammbuyo kapena wamkati pamimba, pafupi ndi hypochondrium yamanzere, imatha kupatsa kumbuyo kwakumbuyo. Matendawa amaphatikizidwa ndi mseru, kusanza, kugona, kutentha kwachisangalalo, kakomedwe kosakoma kamkamwa. Kutsekula m'mimba kumatha kusinthana ndi kudzimbidwa, limodzi ndi ndowe za chakudya chosalowetsedwa kutuluka. Kuonda kwambiri, maonekedwe a mafupa am'mimba amatha. Popeza kapamba amapanga insulin, pancreatitis yachilendo imakonda kuyenda ndi matenda a shuga.

Mankhwala achikulire a kapamba

Popeza mwazindikira Zizindikiro za kutupa kwa kapamba, muyenera kufunsa dokotala ndipo mupeze kafukufuku. Kenako, malinga ndi zotsatira za mayeserowa, adotolo adzalembera dongosolo la chithandizo. Amapereka zofunikira kuchita:

mpumulo wa zizindikiro zopweteka,
Kuchotsa kwa zotupa m'mimba kapamba ndi ziwalo zapafupi,
Kutha kwa matendawa chifukwa cha kuperewera kwa kapamba,
kupewa mavuto.

Mukayamba chithandizo, mukulira mwayi wopambana. Mankhwala onse a kapamba mu akulu ayenera kumwedwa monga momwe adanenera dokotala pomupatsa. Zochizira kapamba, antispasmodics, ma antacid, antienzyme, ndi N-2 blockers ndi omwe amapatsidwa. Muli ndi othandizira okhala ndi aprotinin polypeptide. Kufanana ndi kumwa mankhwala, njira zimayeretsedwa kuti ziyeretse thupi la pancreatic enzymes, zakudya.

Antispasmodics wa kapamba

Pofuna kuthetsa kupweteka pakukonda, antispasmodics amagwiritsidwa ntchito. Amakhala ndi nthawi yopumula minofu yosalala, yomwe imathandizira kuchotsedwa kwa ma enzymes pamodzi ndi ma ducts kuchokera ku kapamba.Ma antispasmodics ndiwongoyembekezera kwakanthawi: zochita zawo zikangotha, ululuwo ubwerera, ndiye kuti chithandizo chachikulu chikuyenera kukhala chofanana ndi kukonza ntchito ya thupi. Pakukokomeza, adokotala amatipatsa jakisoni wamkati kapena m'mitsempha, osagonja kawirikawiri. Pakutupa kosalekeza, mapiritsi amagwiritsidwa ntchito.

Kuti athetse ululu, No-Shpa (Hungary) kapena analogue Drotaverin nthawi zambiri amaloledwa. Zomwe zimagwiritsidwa ntchito mwa mankhwalawa ndi drotaverine hydrochloride. Chidacho chimathandizira kupindika kwam'mimba m'mimba, chimbudzi, kwamkati, bile, ndulu. Zotsatira za mankhwala pambuyo pakamwa makonzedwe amapezeka kotala la ola, pambuyo jekeseni - mphindi yachiwiri. Mu kutukusira pachimake kwa England, amadziwika:

jekeseni wa mu mnofu: 2 ml ya njira imodzi,
ndi jekeseni wovomerezeka wa 2 ml, mankhwalawo amadzimadziika ndi 8-10 ml ya njira yothandizira ya sodium chloride, jekeseni pang'onopang'ono kwa mphindi zisanu,
mapiritsi: pafupifupi tsiku lililonse 80 mg, mlingo waukulu wa tsiku ndi tsiku ndi 240 mg.

Amatha kuthetsa kupweteka Papaverine, zomwe zimagwira ntchito zomwe zimafanana ndi dzina la mankhwalawa. Mankhwalawa amathandizanso minofu yosalala ya ziwalo zogaya chakudya m'mimba ndi kupuma, amachotsa ma spasm, omwe amachititsa kuti madzi azuluka mu kapamba. Opanga osiyanasiyana amasula mankhwalawo mwanjira ya mapiritsi, suppositories, jakisoni. Mankhwala a akulu:

mapiritsi: 40-60 mg 3-4 pa tsiku, pazipita tsiku lililonse ndi 0,6 ga,
subcutaneous ndi mu mnofu jakisoni wa kapamba: 0,5-2 ml yachiwiri peresenti yothetsera, muyeso umodzi umodzi ndi 5 ml, tsiku lililonse mlingo ndi 15 ml.

Platifillin amachepetsa kupindika kwam'mimba, kumachepetsa mphamvu ya minofu ya ndulu ndi chikhodzodzo. Opanga osiyanasiyana amapanga antispasmodic mwanjira ya mapiritsi kapena jakisoni. Pothandizanso kupweteka kwambiri, jakisoni amatchulidwa: yankho limayendetsedwa kamodzi kapena kawiri pa tsiku katatu, tsiku lonse limakhala 15 ml, mlingo umodzi osapitilira 5 ml.

Atropine imatsitsimutsa minofu yosalala yam'magazi, imalepheretsa chidwi cha acetylcholine, neurotransmitter yomwe imagwiritsa ntchito ma neuromuscular signation. Opanga osiyanasiyana amapanga mapiritsi ndi jakisoni. Kuti muchepetse kupweteka kwambiri, 1 ml ya yankho la 0,1% ya atropine sulfate imabayidwa katatu mpaka katatu patsiku. Mankhwalawa ali ndi chidwi pa mitsempha, mtima, chifukwa chake, uyenera kugwiritsidwa ntchito mosamala moyang'aniridwa ndi achipatala.

Kodi antimicrobials ndi yoyenera liti?

Mankhwala a antibacterial ayenera kuthandizidwa mosamala chifukwa cha zovuta zoyipa, chopinga cham'mimba. Chifukwa chake, payenera kukhala mawonekedwe owonekeratu opanga mankhwala. Izi zikuphatikiza:

kupeza pa nthawi yoyesedwa yosasinthika ya chotupa m'minyewa, ziwalo zoyandikana (cholecystitis), matumbo,
kusayenda kwa ndulu, dyskinesia wa ndulu ndi ma ducts,
chiopsezo cha kufalikira kwa matenda ndi bakiteriya, omwe umachulukana pamaso pa cholangitis, cysts m'thupi la gland, pancreatic necrosis,
akuwoneka kuti waphulika nguluwe m'mitsempha,
kuwoneka kwa zizindikiro za peripancreatitis (kutupa m'thupi lathu).

Ubwino ndi kuipa kwa maantibayotiki

Kusankhidwa kwa maantibayotiki kumafunikira chidziwitso cha mapangidwe ake. Ndikosatheka kuponderesa zomera zamankhwala ena. Nthawi yotayika imayambitsa wodwala yemwe ali ndi pancreatitis pachimake ku necrosis ndi kufa chifukwa cha kuledzera kwambiri, komwe kumakhala kovuta kupirira mankhwala ena.

Mawonetsero oyipa akuphatikizapo:

kuthekera kotukuka kwa hypersensitivity ndi matupi awo owonetsa (pakhungu pakhungu, kuyabwa, nkhope, mphuno, kuwukira mphumu),
Zowopsa za chiwindi ndi impso pakadutsa kuchuluka kwake, pomwe wodwalayo amamwa zakumwa zoledzeretsa.
zotsatira zosafunikira za mankhwala ena omwe wodwala amatenga (mwachitsanzo, owonda magazi),
chizungulire, mseru, kutayikira kwamakutu nthawi zambiri kumachitika chifukwa cha zochita za ma antibayotiki mu ubongo wamakono.
Kusagwirizana kwamatumbo kumabweretsa kufunika koti atenge ma priotic ndi prebiotic mankhwala kuti abwezeretse chimbudzi pakatha nthawi ya maantibayotiki.

Maantibayotiki ndi mtundu wina wa mankhwala. Zimapezeka kuchokera ku zinthu zachilengedwe kapena zopangidwa. Chitanipo kanthu pa tizilombo tamoyo. Magulu osiyanasiyana amasiyana pamapangidwe azokopa. Mankhwala amphamvu kwambiri amapha tizilombo toyambitsa matenda.

Ena amaphwanya kagayidwe, kapangidwe ka michere ya maselo ndipo potero amasokoneza kagayidwe kake kotero kuti amapange zinthu zosavomerezeka pamiyoyo ya microbe.

Tsoka ilo, mankhwalawa amathanso kukhudza microflora yomwe mukufuna, maselo amanjenje, chiwindi, ndi impso. Zinthu zapoizoni zimalepheretsa kugwira ntchito kwamkati mwa munthu, zimayambitsa poizoni ndipo zimafunikanso kuyeretsa kowonjezereka kwa thupi.

Zoyipa zamankhwala othandizira kuphatikiza ndi mankhwalawa zimaphatikizanso kuthekera kwa kuyambitsa kukana kwa tizilomboto. M'malo mwake, ndi nkhani yosokoneza bongo, koma monga zotengera, magulu onse amatayika pamankhwala omwe angatheke. Vutoli limayesedwa ndi asayansi padziko lonse lapansi.

Monga mankhwala ena aliwonse, maantibayotiki amatha kuyambitsa mavuto m'magazi. Ndi pafupipafupi kuchuluka kwa allergenicity, mankhwalawa samachotsedwa machitidwe.

Malamulo ogwiritsa ntchito maantibayotiki

Chithandizo cha pancreatitis ndi maantibayotiki chimachitika molingana ndi malamulo ambiri azachipatala. Ngati palibe deta pa tizilombo tating'onoting'ono tomwe timayambitsa kutupa, mankhwala osokoneza bongo amawonetsedwa. Akalandira mawu, tank losanthula pazomera limagwiritsa ntchito antibayotiki woyenera kwambiri.

Musanagwiritse ntchito, kuyezetsa kwamkati kumayikidwa kuti kuzindikiritsa hypersensitivity ya thupi ndikutchingira kuti sayanjana. Mlingo umawerengeredwa pa kulemera ndi zaka za wodwalayo.

Maantibayotiki opha pancreatitis mwa akulu ndi ana amaperekedwa pakadutsa masiku 7 mpaka 7, kudzifupikitsa kapena kukulitsa nthawi yayitali ya chithandizo, odwala amalephera kuvulaza thupi lawo, chifukwa chidziwitso cha mankhwala osankhidwa chimatayika.

Ndikofunikira kuganizira kulemberana makulidwe a kaperekedwe ka wodwalayo; muzovuta kwambiri, njira yokhayo yovomerezeka imalimbikitsidwa (mwamphamvu komanso m'mitsempha) chifukwa cha kusanza, mayamwidwe otsika m'matumbo, odwala amamwa mapiritsi ndi kusintha.

Kuchulukana kwa madyerero kumachitika chifukwa chofunikira kukhalabe ndi kuchuluka kwa mankhwala othandizira m'thupi, kotero adotolo amayang'ana kwambiri za kuchuluka kwa kudzikundikira ndi chimbudzi. Mfundo ya kuyanjana kwa mankhwalawa, kukweza kapena kuwongolera mbali ina yakumvera imatengedwa.

Osagwiritsa ntchito maantibayotiki omwe ali ndi poizoni wamphamvu kwambiri, impso. Mankhwala a antibacterial amagwiritsidwa ntchito m'njira zonse.

Kodi maantibayotiki omwe ali ndi chifuwa chachikulu?

Matenda a kapamba sakhala owopsa, koma kukokoloka kulikonse kumayendera limodzi ndi kuchuluka kwa microflora ya pathogenic ndikugwira zigawo zatsopano za kapamba. Nthawi yomweyo, chikhodzodzo, ndulu, duodenum, m'mimba, komanso chiwindi zimagwira nawo ntchito yotupa.

Tizilombo toyandikana ndi koyamba kukhudzidwa (peripancreatitis). Zikatero, ndikofunikira kuti pakhale china cholimbana ndi tizilombo tating'onoting'ono.

Mankhwala amaikidwa pachimake gawo:

Ampiox,
Augmentin
Amoxicillin
Amoxiclav
Chloramphenicol
Cefoperazone,
Cefuroxime
Cefixime

Kuchita bwino kumaweruzidwa ndi kuphatikiza kwa kutentha, kusapweteka, kubwezeretsa chopondapo. Musanagwiritse ntchito, ndikofunika kupatula pathogen yofunika kwambiri kapena microflora yosakanikirana ndi njira ya bacteriological kuti musankhe antibayotiki woyenera. Kubzala ya bile, chapamimba madzi. Onetsetsani kuti mukutsimikiza za mankhwalawo.

Makhalidwe a antibayotiki omwe amagwiritsidwa ntchito kwambiri

Kusankha kwa mafomu (mapiritsi kapena jakisoni) kumatsimikizika mwakuya kwa mkhalidwe wa wodwalayo. Zolemba zina zimatengedwa ndi mankhwala omwe munthu amapereka. Mukutupa kwadzaoneni, mankhwala amphamvu kwambiri amagwiritsidwa ntchito.

Cefotaxime ndi semisynthetic cephalosporin a m'badwo wachitatu, amapezeka kokha mu Mbale mu ufa mawonekedwe obwezeretsanso ndi makonzedwe intramuscularly kapena intravenly, zotsatira zimayamba pambuyo pa mphindi 30 ndipo zimatha maola 12, zimawononga mabakiteriya, kutsekereza kachitidwe ka enzyme, zimasokoneza coagulability wamagazi ndi mtima wokhetsa magazi.

Doxycycline - opangidwa m'mapiritsi, makapisozi ndi ma ampoules, amalepheretsa kuphatikizika kwa mapuloteni m'magazi, ndi a gulu la tetracycline, amagwira ntchito kwambiri ndipo amawonongeka kochepa chifukwa cha maluwa oyamba a matumbo, amalimbikitsa kuyipa kwa chiwindi, chifukwa chake sagwiritsidwa ntchito kuwonetsa kulephera kwa chiwindi, kuyambitsa mavuto kumva, masomphenya, dongosolo lamanjenje.

Ceftriaxone - imangopezeka jekeseni, monga Cefotaxime imaphatikizidwa ndi gulu la semisynthetic cephalosporins a m'badwo wachitatu, pakati pazotsatira zoyipa ziyenera kuganizira zotsatira za hematopoiesis (kapangidwe ka maselo amwazi), kuchuluka kwamchere mu bile, ndi kutupa kwamatumbo.

Ampiok - amapezeka m'mapiritsi ndi ma Mbale a jakisoni, chinthu chogwira ntchito ndi kuphatikiza kwa Ampicillin ndi Oxacillin, ndi gawo la gulu la penicillin, chifukwa chake imakhala ndi vuto pa hematopoiesis, imathandizira zotsatira za anticoagulants.

Mankhwalawa onse amatsutsana m'mimba, mkaka wa m`mawere, silimaperekedwa kwa odwala ochepa. Amagwiritsidwa ntchito molingana ndi zofunikira, koma mukalandira chithandizo amafunika kubwezeretsa m'mimba.

Mwa mankhwala apiritsi omwe amagwiritsidwa ntchito pancreatitis yayitali amatha kuthandizidwa. Azithromycin ndi kapangidwe kamapangidwe kamtundu wa erythromycin kamene kamaletsa kaphatikizidwe ka mapuloteni m'mitundu yosiyanasiyana ya mabakiteriya. Komabe, zimatha kupangitsa kuti munthu azikhala ndi mseru, kusanza, kusawona bwino, kuletsa kupanga kwa ma lymphocyte amwazi. Pambuyo pakulekana, imakhala m'magazi a wodwalayo masiku ena 5-7.

Abactal - mankhwalawa ndi a gulu la fluoroquinolones, amagwira ntchito pa DNA ya tizilombo, ali ndi zotupa zosiyanasiyana. Amasankhidwa mosamala kwa odwala omwe ali ndi zotupa zam'matumbo za ubongo zomwe zimadwala chifukwa cha vuto la cerebrovascular, epileptic syndrome, aimpso ndi hepatic insufficiency, amalembedwera odwala osakwanitsa zaka 18, omwe ali ndi hemolytic anemia.

Sumamed - gawo lomwe limagwiritsa ntchito mankhwalawa ndi azithromycin dihydrate, motero, zinthu zonse zimasungidwa ndikulimbikitsidwa, ana adayikidwa pambuyo pazaka 12, kutengera kulemera, mlingo umasankhidwa mosamala kwa odwala omwe ali ndi arrhythmias, kulephera kwa mtima, myasthenia.

Ciprolet A - ndi kuphatikiza kwa Tinidazole ndi Ciprofloxacin. Zimawonetsedwa pamatenda osakanikirana. Mosamala zotchulidwa atherosulinosis yamitsempha yamaukwati okalamba, matenda amisala, khunyu. Odwala mu pachimake porphyria, magazi matenda, osakwana zaka 18, ali ndi pakati.

Maantibayotiki opatsirana ndi chifuwa chachikulu

Ndikofunika kudziwa kuti mankhwala opha pancreatitis mwa akulu omwe ali ndi mawonekedwe osagwiritsidwa ntchito sagwiritsidwa ntchito.

Chizindikiro cha kumwa mankhwala chimatha kukhala ndi kusintha kwa kutupa kwa ziwalo zina zamkati kapena kukula kwa zovuta.

Nthawi zambiri, poyerekeza ndi maziko a matenda, matenda a kutupa kwa ndulu amayamba, motero pakatha maantibayotiki angagwiritsidwe ntchito:

Gulu la mankhwala a Fluoroquinolone, omwe amaphatikizapo mapiritsi a Abactal. Tengani 400 mg 2 kawiri pa tsiku.
Maantibayotiki a Marolide, omwe ma Sumamed kapena Azithrimycin amalekanitsidwa. Gwiritsani ntchito mankhwala a 500 mg kamodzi patsiku.
Kupititsa patsogolo mkhalidwe wa kapamba, mankhwala a cephalosporin amagwiritsidwa ntchito. Pakati pawo, Cipro kapena Ciprofloxacin ndikulimbikitsidwa. Imwani 2 pa tsiku osaposa sabata limodzi.
Mankhwala a penicillin, mu mawonekedwe a kapamba, Amoxiclav ndi mankhwala. Mankhwalawa ndi amitundu yambiri, muyenera kumwa mapiritsi a 1 sabata 2 kawiri pa tsiku. Kuphatikiza apo, Augmentin akhoza kulembedwa.

Maantibayotiki ndi mankhwala amphamvu, mankhwala aliwonse amatsutsana ndipo kudzichiritsa kungavulaze, kukulitsa vutolo.

Ngati matendawa agwirika kwambiri, ndipo mitundu yothandizidwa siyipereka zotsatira, madokotala amatha kugwiritsa ntchito Metronidazole kuwonjezera. Mankhwala oterewa amathandizidwanso kuti ndi maantiotic, koma opatsa mphamvu.

Mankhwala, mulingo wa microflora m'matumbo umasokonezeka, zomwe zikutanthauza kuti ndikofunikira kumwa ma probiotic omwe amateteza matendawa ndikuwonjezera kuchuluka kwa mabakiteriya opindulitsa.

Gwiritsani ntchito bata:

Onetsetsani kuti mukugwiritsa ntchito zakudya zoyenera mukamalandira chithandizo komanso mukachira. Ndikofunikira kumwa mkaka wowotchera mkaka.

Zotheka

Maantibayotiki ndi mankhwala amphamvu omwe amasiya kutupa msanga. Samathandizika muzochitika 100%, kotero kusintha kwa magene mu gland kumatha kupitiliza.

Pankhaniyi, mankhwalawa amachitika ndi njira zogwirira ntchito. Kuti mupewe zovuta zomwe zingachitike chifukwa chamankhwala osasamala, muyenera kusiya mowa, kutsatira zakudya zoyenera.

Zotsatira zoyipa kwambiri komanso zopweteka kwambiri ndizo peritonitis ndi sepsis. Zina mwazinthu zazikulu komanso zomwe zimachitika kawirikawiri chifukwa cha maantibayotiki ndi awa:

Kulephera kwa zomera m'matumbo, komwe kumawonetsedwa ndi chopondapo, kusanza ndi mseru nthawi zonse.
Sinthani kapangidwe ka magazi.
Kuvulala kwa chiwindi kapena impso. Pamaso pa matenda a ziwalo zofotokozedwazo, chithandizo chikuyenera kuchitika mosamala kwambiri kupatula zotsatirapo zake.
Ziwengo, zomwe zimawonetsedwa ndi kuyabwa, zotupa.
Chuma chamkamwa kapena kumaliseche.
Kuphwanya kwamanjenje.
Mankhwala mukamagwiritsa ntchito jakisoni.

Nthawi zambiri, zotsatira zoyipa zimayamba ndi chithandizo cha nthawi yayitali kapena osagwirizana ndi zomwe adokotala amafunsa.

Enzymes ndi anti-enzyme akukonzekera kapamba

Kuti achepetse kuchuluka kwa madzi am'mimba, dokotalayo amatipatsa mankhwala omwe ali ndi zinthu zomwe zimalocha m'malo mwa michere yopangidwa ndi kapamba. Awa ndi amylase, omwe amalimbikitsa kusintha kwa wowuma kukhala shuga, komanso proteinase ndi lipase (wakaleyo amaswa mankhwala omwe amapezeka pakati pa amino acid m'mapuloteni, mafuta omaliza). Kukonzekera kwa puloteni ya kapamba kumathandizira ntchito ya kapamba, kumathandizira kupewa kufooka, kupukusa chakudya moyenera, kuchotsa m'mimba, nseru, kutulutsa magazi, ndi kusefukira.

Pa chithandizo cha pancreatic, mankhwala a enzyme okhala ndi pancreatin ndi mankhwala. Imaphwanya mafuta, mapuloteni ndi chakudya, ndikusintha amylase, lipase, proteinase:

Chikondwerero. Kuphatikiza pancreatin mu kapangidwe - hemicellulose, bovine bile Tingafinye. Mankhwala amalimbikitsa osati chimbudzi ndi chakudya, komanso kuwonongeka kwa utsi, kusintha kwa katulutsidwe ka bile, ndikuthandizira lipase. Mlingo: piritsi limodzi patsiku limodzi kapena chakudya.
Chiboni. Kutulutsa mawonekedwe - makapisozi 150, 300, 400 mg wa kapamba. Mlingo umatengera chithunzi cha matenda, omwe amatengedwa nthawi ya chakudya kapena itatha.
Panzinorm 10000 ndi 20000. Wopangidwa m'mapiritsi, kumwa piritsi 1 limodzi ndi zakudya katatu patsiku.
Chimbudzi. Kutulutsidwa mawonekedwe - dragees. Imwani mutatha kudya kapena nthawi ya chakudya 1-2 ma PC. katatu patsiku.
Mezim 10000 ndi 20000. Opangidwa m'mapiritsi, makapisozi, ma dragees. Tengani chakudya isanayambe kapena itatha 1-2 ma PC. kamodzi mpaka katatu patsiku.

Ndi edema ya pancreatic, ntchito yake iyenera kupanikizidwa. Kuti muchite izi, adotolo amafotokozera kukonzekera kwa antienzyme kukonzekera. Pakati pawo, Contrical kapena analogi yake Aprotinin iyenera kusiyanitsidwa. Amayambitsa proteinase, amalepheretsa dongosolo la kallikrein-kinin - gulu la mapuloteni omwe amatenga gawo limodzi pakukonzekera, kupangika kwa magazi, ndi kuyamba kwa ululu.

Pancreas yoyaka imapangitsa kuti m'mimba pakhale hydrochloric acid yambiri. Kuchuluka kwa acidity kumazungulira tiziwalo tating'ono, kumayambitsa kupweteka kwambiri, kumapangitsa kuti michereyo izigaya. Kusintha mphamvu ya kukonzekera kwa enzyme ndi kupewa kuwonongeka kwa makoma am'mimba, madokotala amapereka ma antacid, omwe ntchito yawo ndi yothandiza kuti hydrochloric acid ikhale. Mankhwala a gululi amadziwika ndi envelopu athari, amateteza ku zotsatira zoyipa, kusintha kapangidwe ka bicarbonates, komanso kupewa flatulence.

Zida zazikulu zaantacid zomwe zimagwiritsidwa ntchito pochiza ziphuphu zakumwa ndizo mankhwala a magnesium ndi aluminium. Mankhwala oterewa amachepetsa kuchuluka kwa hydrochloric acid, kukhala ndi choleretic, mankhwala oletsa ululu, kukhala ndi zovuta, kusintha katulutsidwe wa bile, ndikuchotsa kapangidwe ka mpweya. Mankhwala okhala ngati mapiritsi musanayambe kugwiritsidwa ntchito amayenera kuphwanyidwa kapena kutafunidwa bwino. Kuti kukhazikika bwino kwa acid-base, otsatirawa ndi omwe atchulidwa:

Gel Almagel. Akuluakulu amayenera kumwa 1-2 tsp. patsiku theka la ola musanadye komanso pogona. Mlingo wapamwamba wa tsiku lililonse ndi 16 tsp. Njira ya mankhwala ndi milungu 2-3.
Kuyimitsidwa ndi mapiritsi Maalox. Imakhala ndi ma analgesic, kuimitsa ululu pamtunda wam'mimba. Mlingo - mapiritsi 2-3 kapena 15 ml ya kuyimitsidwa ola limodzi mutatha kudya komanso musanagone. Njira ya mankhwala ndi miyezi 2-3.
Mapiritsi a Gastracid. Mlingo: 1-2 mapiritsi 4 pa tsiku mukatha kudya musanayambe kugona. Njira yochiritsira salinso yopitilira milungu itatu.
Mapiritsi a Alumag. Imwani 1.5 maola pambuyo chakudya. Njira ya mankhwala ndi mwezi.
Gel ndi mapiritsi a Palmagel. Mlingo: Mapiritsi awiri kapena atatu kapena mphindi 5 mg ya kuyimitsidwa ola limodzi ndi theka mutatha kudya. Njira ya mankhwala ndi miyezi 2-3.

Malangizo apakati pazamankhwala

Kuchita bwino kwa mankhwala kwa munthu wamkulu kapena mwana kumatengera kugwiritsa ntchito bwino mankhwalawa, makamaka magawo owopsa a kapamba.

Mukamapereka mankhwala othandizira, muyenera kutsatira malamulo angapo oyambira:

Mankhwala ndi osiyanasiyana komanso amagulu osiyanasiyana, chifukwa mankhwala aliwonse amakhala ndi zotsatira zake. Amatha kuthandizidwa ndi adokotala, atazindikira bwino lomwe za thupi.
Mankhwala amphamvu kwambiri atha kutumizidwa ngati mankhwalawa amathandizira kulandira chithandizo.
Mchiwindi cha matenda, mankhwala amalowetsedwa mu minofu kapena mtsempha. Kugwiritsa ntchito mapiritsi pakamwa kulibe zotsatira zabwino, kugwiritsa ntchito kwake kumakhala kotsika.
Jekeseni angathe kuchitidwa mpaka katatu pa tsiku, pafupifupi masiku 10. Ndi matenda opitilira muyeso, mankhwalawa atenga nthawi yayitali, ngakhale atalandira chithandizo cha antibayotiki, wodwala adzafunika kugwiritsa ntchito mankhwala osokoneza bongo komanso moyo wathanzi kwa moyo wonse.
Maantibayotiki nthawi zambiri amalembedwa limodzi ndi mankhwala ena, omwe amatha kuchotsa kukokana ndi kupweteka, kutulutsa kwamkati ndi zotulutsa m'matumbo.
Ndi matenda owonjezera a ndulu, madokotala amatipatsa mankhwala omwe amasintha kutuluka kwa ndulu ndi chiwindi.
Ngati pali zolephera pamatumbo am'mimba, zizindikiro zowonjezera zimawonekera, ndiye kuti dokotala amalembera mankhwala osati chifukwa cha kapamba, komanso matumbo, m'mimba.

Pomaliza, ziyenera kunenedwa kuti chithandizo cha kapamba chimachitika palimodzi.

Ndizosatheka kumwa maantibayotiki okha, ayenera kuthandizidwa ndi mankhwala ochokera kuma gulu ena a pharmacological, komanso zakudya zoyenera, njira zina.

Mu pachimake mawonekedwe, mankhwala amachitika kupatula mavuto akulu mu mawonekedwe a peritonitis. Mu gawo lodzala, mankhwalawa amagwiritsidwa ntchito ngati kutupa kumapitilira ziwalo zina ndi minofu.

Kanema wothandiza

Kodi mungadziteteze bwanji ku mavuto obwera chifukwa cha maantibayotiki?

Kuti muchepetse mavuto omwe amabwera chifukwa cha ma antibayotiki m'matumbo, tikulimbikitsidwa kuphatikiza chithandizo ndi kugwiritsa ntchito mankhwala okhala ndi mabakiteriya opindulitsa (ma probiotic). Izi zikuphatikiza:

Bifidumbacterin,
Bifiform
Lactobacterin,
Linex
Acipol
Holastarm.

Mankhwala okhala ndi prebiotic kwenikweni sakhala ndi tizilombo tating'onoting'ono tokha, koma amawongolera mayamwidwe, zakudya komanso kubereka m'matumbo. Chifukwa chake, nthawi yomweyo, odwala amalimbikitsidwa maphunziro a Maxilac, Lb17, Multidophilus kuphatikiza.

Zakudya zomwe zimapangidwira pancreatitis zimakupatsirani chitetezo chokwanira kwambiri ku ziwopsezo zoyambitsidwa ndi maantibayotiki. Njira yovuta kwambiri imayenera kusala kudya kwakanthawi (masiku 1-3) ndikungolimbitsa thupi kokha kwamtchire, mchere wamadzi wopanda mafuta. Kenako, mkati mwa sabata, wodwalayo amaloledwa:

nyemba zosenda m'madzi,
oyera oyera oyera
madzi odzola
msuzi kapena msuzi wa oat,
madzi mbatata yosenda popanda mafuta.

Mtsogolomo, nyama yophika nyama yophika ndi yokulungidwa, soups zamasamba, ndi batala zimasiyidwa bwino. Zakudya zopatsa thanzi kwa wodwala wokhala ndi pancreatitis nthawi zambiri amakulolani kuchita popanda mankhwala.

Kusintha kwa chakudya chokhwima ndi zowawa zowonjezereka kumathandizira kumasula kapamba ndi kupewa kutupa. Mankhwala othandizira antibiotic ndi malo osavomerezeka. Chifukwa chake, kumwa mankhwala kuyenera kuthandizidwa mosamala, mukumvera contraindication ndi kuthekera.

Ma H2 blockers

Mankhwala a kapamba nthawi imodzi ndi ma antacid, secretion inhibitors, blockers a H2-histamine receptors, ayenera kutumikiridwa. Mankhwalawa amapanga histamine insensitive gastric cell receptors omwe amapanga hydrochloric acid. Izi zimachepetsa kaphatikizidwe kake ndikulowa kwa lumen pamimba, zomwe zimathandiza pancreatitis. Mphamvu ya blockers pamthupi sikungokhala: zobisalira zoletsa zimapangitsa kuti mucosa wa gastric azigonjetsedwa ndi zinthu zamtopola, zimathandizira kuchira kwake.

Ma H2-blockers amayenera kumwedwa mosamala, pa mlingo wokhazikitsidwa ndi adokotala, chifukwa amatha kuyambitsa zovuta zambiri. Zovuta zambiri ndi mankhwala a m'badwo 1. Zochizira zikondamoyo zoyipa, mankhwalawa ndi awa:

Cimetidine. Mankhwalawa amatengedwa musanadye kapena nthawi ya chakudya. Kuzindikira kwakukulu m'magazi kumawonedwa pambuyo pa maola awiri. Awa ndi mankhwala a m'badwo woyamba, chifukwa chake, amatha kupweteketsa mavuto ena osiyanasiyana kuchokera ku ziwalo zosiyanasiyana. Pakati pawo - kutsegula m'mimba, kusokonezeka kwa mutu, kupweteka kwam'mimba, zotupa zamkati mwa dongosolo lamanjenje, kusintha kwa kapangidwe ka magazi, kunachepetsa chitetezo chokwanira. Pambuyo pa tsiku, 48% yazinthu zomwe zimagwira ntchito zimachoka m'thupi.
Ranitidine. Mankhwala ndi a m'badwo wachiwiri. Ntchito yake imakhala 60 times ya cimetidine. Mankhwalawa amatengedwa mosasamala kanthu ndi chakudya. Chogwiritsidwacho chimapereka zovuta zochepa, zomwe zimadziwika ndi nthawi yayitali yochitapo kanthu. Amalowa mwachangu m'magazi, kuphatikiza kwakukulu kumawonedwa pambuyo pa maola awiri. 40% ya zomwe zimagwira thupi zimachoka m'thupi pambuyo pa tsiku.
Mapiritsi a Famotidine. Mankhwala a m'badwo wachitatu, motero ogwira ntchito kwambiri kuposa Ranitidine, ali ndi zovuta zochepa ndipo amalekeredwa bwino. Chipangizocho chitha kutengedwa mosasamala kanthu ndi chakudya. Mulingo wapamwamba umawonedwa pambuyo pa ola limodzi, theka la moyo ndi maola 3.5, kugwirako kumatenga maola 12.

Kafukufuku waposachedwa awonetsa kuti ma H2-histamine receptor blockers ali ndi zovuta zambiri. Amalephera kupitiliza kuchuluka kwa acidity kwa maola opitilira 18, atalandira chithandizo mobwerezabwereza, thupi limagwiritsa ntchito mankhwalawa ndipo limatha kupirira, ndikuyamba kuzolowera mankhwala. Kubwezerani kwakukulu kwa blockers ndikuti kugwiritsa ntchito kwawo kumayambitsa kukula kwa kapamba kapena kufalikira kwake.

Proton pump zoletsa

Posachedwa, H2-histamine receptor blockers ayambanso kugwiritsa ntchito mankhwala othandiza komanso otetezeka - proton pump inhibitors (PPIs). Kuchita kwawo ndikufuna kutsekereza ntchito za michere, yomwe imadziwika kuti "proton pump", yomwe imakhudzidwa mwachindunji ndi kaphatikizidwe ka hydrochloric acid. Ubwino wa IPP ndikuti samasokoneza bongo atatha kuletsa, akulephera kuyambitsa matenda a kapamba, chifukwa cha zovuta zingapo.

Ma protein onse a proton pump ndi ma benzimidazole ofunikira, chifukwa chake, amadziwika ndi machitidwe ofanana. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimadziunjikira mobisa wam'madzi, pomwe, mothandizidwa ndi acidity yayikulu, imasinthidwa ndikuyamba kugwira ntchito, kutsekereza ntchito ya enzyme. IPPs imatha kuwongolera kapangidwe ka hydrochloric acid tsiku lonse, mosasamala zomwe zimapangitsa kuti amasulidwe.

Wothandizidwa kwambiri pagululi ndi Omeprozole, womwe ndi mankhwala ochepa omwe amapereka mofulumira hydrochloric acid synthesis. Mu kutupa kwambiri kapamba, mankhwalawa mankhwala 20 mg kamodzi patsiku, pobwerera - 40 mg / tsiku, aakulu - 60 mg / tsiku. Mukatha kugwiritsa ntchito Omeprozole, kupanga kwa hydrochloric acid kumachepetsedwa ndi 50%. Kuchepa kwa acidity kumayambira patatha maola awiri, mphamvu kwambiri imawonedwa patsiku lachinayi.

Chithandizo chothandiza cha kapamba ndi Pantoprazole, yemwe amagulitsidwa pansi pa mayina Nolpaza, Sanpraz, Ulsepan. Pantap. Mankhwalawa amagwira ntchito mosasamala chakudya, koma ndibwino kuti mutenge mphindi 10 chakudya chisanafike. Pazipita ndende ya mankhwala m'magazi amawona pambuyo 2, 5 maola, zotsatira kumatenga tsiku. Kutalika kwa mankhwala kumatsimikiziridwa ndi adokotala.

Zochizira kapamba, Rabeprazole (analogues - Pariet, Razo, Khairabesol) amagwiritsidwa ntchito ngati mankhwala ochizira. PPI imayamba kuletsa kupanga kwa hydrochloric acid mkati mwa ola limodzi mutatha kumwa mankhwalawo. Kutsika kwakukulu kwa acidity m'mimba kulembedwa patatha maola awiri kapena anayi pambuyo pa kumwa koyamba, zotsatira zokhazikika pambuyo masiku atatu a chithandizo. Patsiku loyamba, indexation ya acidity imatsika ndi 61%, patsiku lachisanu ndi chitatu la chithandizo - ndi 88% ya manambala oyamba.

Mankhwala ena a kapamba

Nthawi zina, chifukwa cha kupweteka kwa kapamba, madotolo amatumiza mankhwala, omwe amachepetsa mphamvu ya mantha ndi kuchepetsa nkhawa. Mankhwalawa samangochepetsa kukhumudwa, komanso amathandizira zotsatira zamankhwala opweteka a kapamba. Mwa mankhwala omwe mungadziwike:

Ndi kutupa kwa kapamba, adotolo atha kupereka mankhwala a mahomoni. Poletsa kupanga kwa pancreatic ndi madzi a m'mimba, Octreotide imagwiritsidwa ntchito - analogue of the somatostatin, yomwe imagwiritsidwa ntchito pochiza zotupa. Corticosteroids (mwachitsanzo, prednisone) amadziwika ngati matenda osachiritsika adayamba chifukwa cha matenda a autoimmune. Hormone chithandizo kwakanthawi, chifukwa chithandizo cha nthawi yayitali chimatha kuyambitsa mavuto ambiri.

Mu chifuwa chachikulu, chimbudzi nthawi zambiri chimawonedwa, limodzi ndi m'mimba. Kuperewera kwa enzyme kumachepetsa kugaya chakudya, chifukwa choti chakudya chimachedwa m'mimba, ndipo mabakiteriya omwe amayambitsa kuwola amakhalamo, zomwe zimayambitsa matenda otsegula m'mimba komanso kubala. Ma sorbents amatha kuthana ndi vutoli. Smecta ndi kapamba amalepheretsa njirazi, kuchotsa kusapeza bwino komanso kukhazikika kwa chopondacho. Mankhwalawa amapanga nembanemba yoteteza pa mucosa, amaikapo poizoni ndi mabakiteriya ndikuwawonetsa pamodzi ndi ndowe.

Maantibayotiki amagwiritsidwa ntchito kuti awononge tizilombo toyambitsa matenda omwe adatulutsa zovuta zakupatsirana: kupasuka kwa kapamba, kukondoweza kwa ndulu, kutupa kwa ma ducts a bile, maonekedwe a cysts, ndi matenda a bakiteriya. Mankhwala osokoneza bongo a pancreatitis pachimake amaperekedwa ndi jekeseni, popeza kutulutsa kuyenera kuchitapo kanthu mwachangu. Maantibayotiki amayenera kumwedwa pokhapokha ngati akuwongolera dokotala, chifukwa ndi okhawo omwe amatha kuwononga maselo a chamba komanso kuyambitsa kutupa. Pakati pa mankhwalawa akuyenera kufotokozedwa:

Ceftriaxone, cefotaxime kuchokera pagulu la cephalosporins,
Amoxiclav kuchokera ku gulu la penicillin,
Thienam kuchokera pagulu la thienamycin,
Ampioks - mankhwala osakanikirana ndi mankhwala a Ampicillin ndi Oxacillin,
Vancomycin pagulu la ma trousclic glycopeptides.

Pofuna kupewa edema ya pancreatic, chotsani michere yambiri ndi ziphe m'thupi, madokotala amamulembera okodzetsa - okodzetsa. Ndi kapamba, Furosemide ndi Diacarb amalembedwa limodzi ndi potaziyamu. Kumwa okodzetsa kuyenera kukhala kokhazikika monga momwe adauongolera adokotala, popeza kugwiritsa ntchito molakwika kumatha kuwononga maselo apachifupa, kupangitsa kuchuluka kwa creatinine ndi urea m'magazi, kuchepa kwamphamvu kwa magazi ndi zina.

Zambiri za kumwa mankhwala a kapamba

Dotolo ayenera kuyikiranso mankhwalawa ndikufotokozera kuti ndi mankhwala ati a kapamba omwe ayenera kumwa, omwe ndi omwe nthawi ya chakudya. Mwachitsanzo, mankhwala a enzymatic a kapamba amamwa nthawi yomweyo ndi kudya, pamene maantibayotiki amatengedwa pambuyo pake, proton pump inhibitors kamodzi patsiku. Ma painkiller amatha kutengedwa ngati pakufunika nthawi iliyonse, kuyang'anira mosamala mlingo womwe ukupezeka mu malangizo.

Mapiritsi onse okhala ndi kapamba ayenera kutsukidwa ndi madzi ambiri akumwa. Munthawi ya matendawa, mowa umaletsedwa mwamphamvu, poizoni wake amene amawononga maselo onse amthupi, kuphatikizapo kapamba. Kuphatikizidwa kwa mankhwalawa ndi ethanol kumakulitsa kuchuluka kwa chiwindi, impso, ndi ziwalo zina zam'mimba, zomwe zimayambitsa zovuta zazikulu.

Mankhwala aliwonse angayambitse zoyipa ndipo ali ndi contraindication, kotero musanagwiritse ntchito, muyenera kuwerenga malangizo ndikudziwitsa dokotala za matenda ena aliwonse. Ngati mankhwala a pancreatitis aputa zovuta ndi zovuta zina, ziyenera kutha pomwepo, ndikuthira mankhwala ndi chinthu chinanso chogwira ntchito.

Kutalika kwa nthawi ya mankhwalawa kwa mtundu uliwonse wa mankhwala ndiudokotala. Mwachitsanzo, maantibayotiki sangathe kuledzera kwa milungu yopitilira iwiri, popeza mabakiteriya amayamba kukhala osokoneza bongo ndipo mankhwala amakhala osagwira. Ndikosatheka kusokoneza chithandizo chamankhwala, chifukwa sikuti zimangochepetsa mphamvu ya chithandizo, komanso zimayambitsanso matenda.

Kuti mankhwalawa akhale othandiza, muyenera kutsatira zakudya. Mwanjira yamatendawa, kumenyedwa kwa njala kumasonyezedwa m'masiku awiri oyamba, mutatha kudya zakudya zamafuta ochepa. Mafuta, zonunkhira, amchere, tsabola, zakudya zosuta, zakudya zina zomwe zimapangitsa kuti madzi am'mimba azisungidwa, mapangidwe a mpweya m'matumbo ndi oletsedwa.Mu mtundu wa matenda, kugwiritsa ntchito kwawo kumakhala kochepa. Zakudya ziyenera kukhala zonyowa, mutha kuwotcha, kuphika, kuphika. Idyani zakudya zazing'ono 5-6 patsiku.

Momwe mungachiritsire kapamba

Chizindikiro cha matendawa ndimadzimva kupweteka kwambiri, kuyambira kumanzere. Kulandila kwa antispasmodics ndi ma painkiller pankhaniyi sikuthandiza. Zizindikiro zosiyanitsa ndizopweteka kwambiri pancreatic mukangodya. Kuphatikiza apo, matendawa amatha kutsatiridwa ndi mseru, kutsekula m'mimba, hiccups, kutentha thupi.

Mwachibadwa, odwala onse ali ndi funso: momwe angachiritsire kapamba? Osadzilimbitsa, kufunsa dokotala. Chithandizo cha pancreatitis kunyumba limodzi ndi zakudya, panthawiyi muyenera kudya mbewu monga zophika m'madzi, mbatata zosenda, zakudya komanso mapira. Ngati kupweteka sikuli kwakukulu, akulangizidwa kumwa ma tinctures kuchokera ku phula ndi zitsamba: plantain, dandelion ndi chamomile.

Matenda

Matenda a kapamba amachitika chifukwa cha kudya kwambiri. Kuledzera kwa mowa ndi zakudya zamafuta kumakhudzanso. Nthawi zambiri matenda opatsirana amawonekera pambuyo poti sanapatsidwe pachimake pancreatitis. Matendawa amapezekanso pogwiritsa ntchito mankhwala ena ake. Matenda apathengo achilengedwe amatha kupita patsogolo, ndipo nthawi zambiri amakhala ndi zotsatirazi:

kusanza
kupweteka m'mimba
kuwonda
kusanza, kusanza,
ulemu wokhazikika
matenda otsekula m'mimba
jaundice.

Chithandizo cha siteji yodwalayo chimakhazikitsidwa pa mfundo zingapo: kuchotsa kwa ululu, kudya kwapadera, kusintha kwa kapamba. Ndi ululu wodula, ma analgesics omwe si a narcotic atha kutumizidwa. Ma Enzymes amatchulidwa kuti akonze njira yokumba. Ndikofunikira kuchitira kukokoloka kwa chifuwa chachikulu mu chipatala, moyang'aniridwa ndi akatswiri.

The pachimake mawonekedwe a matenda kapamba amayamba pambuyo poyizoni, uchidakwa, ndi cholelithiasis. Matenda oterewa amadziwika ndi mkhalidwe wosauka wa ziwalo zamkati komanso chiwopsezo cha kusintha kwamphamvu mu gland munthawi yochepa. Chizindikiro chachikulu cha pancreatitis pachimake ndi kupezeka kwa ululu waukulu m'chigawo cha epigastric. Zizindikiro zina za matendawa ndi:

kufooka
kuphwanya chopondapo
chizungulire.

Chithandizo cha pachimake siteji, monga lamulo, chikuchitika pogwiritsa ntchito njira zamankhwala - mankhwala. Mfundo zazikulu zamankhwala:

kutsatira zakudya - zakudya pothandizira kapamba ndicholinga chotsimikizira kupuma kwa chiphuphu choyipacho,
kuthetseratu kupweteka - mankhwala ochita kupanga amachitika pogwiritsa ntchito mankhwala osokoneza bongo komanso osagwiritsa ntchito mankhwalawa,
Zizindikiro mankhwala - mankhwala antiemetic,
kuyeretsa magazi kuchokera ku ma enzymes omwe amatulutsidwa kuchokera ku kapamba,
mankhwalawa pachimake kapamba ndi mankhwala osokoneza bongo.

Yogwira

The yogwira pancreatitis akufotokozera motsutsana maziko a matenda pachimake a m'mimba dongosolo. Chizindikiro choyamba chodwala mwa mwana chikhoza kukhala mseru wamphamvu komanso kutsegula m'mimba, mwa munthu wamkulu - kudula ululu pansi pa nthiti mutangodya. Kenako kusamvana kungathe, kapena kuipiraipira. Kuphatikiza apo, nthawi zambiri amasintha malo achitukuko. Zizindikiro zina za gawo lotupa:

kutentha kwapakati kosalekeza
kubwatula
ukufalikira
kudya zakudya zamafuta,
kuperewera kwambiri
tsankho la kununkhira.

Mitundu yogwira matendawo siyowopsa monga magawo ena. Zomwe mungatenge pancreatitis ziyenera kutsimikiziridwa ndi dokotala. Amathandizira matendawa ndi ma ruble, ma analgesic jakisoni. Kumbukirani kuti kudzichiritsa pancreatitis ngakhale ndimankhwala kungayambitse matenda. Katswiriyu amafunika kuti azikupatsani zakudya zokwanira komanso zakudya zopatsa thanzi nthawi zonse. Wodwala ndi zoletsedwa:

yokazinga, mafuta,
okoma, amchere,
chakudya chosuta
kumwa mowa.

Dziwani zizindikiro za kapamba mwa azimayi.

Pancreatic mankhwala

Zochizira pagawo lililonse, wodwalayo ayenera kupita kwathunthu kuti akonzere chakudya. Mankhwala onse ochizira kapamba amadziwika ndi dokotala. Njira yoyamba yothandizira mankhwalawa ikufuna kuthana ndi zomwe zimayambitsa, zomwe zimatupa ngati kutupa. Ndikofunikira kuthetsa kupweteka ndikubwezeretsa ntchito m'mimba. Mankhwala amakono ochizira kapamba adziwonetsa okha ngati mankhwala am'nyumba. Ndikosatheka kuchiritsa matendawa mpaka kalekale.

Mapiritsi

Kuchiza ndi mapiritsi kuyenera kuyamba pambuyo poti kuvulala kwamphamvu kumathetsedwa. Ithandizira kumasula kwa "Spazgan" kapena "No-shpa". Mlingo wachikulire wa tsiku ndi tsiku ndi mamililita 240, wogawidwa pawiri. Kutalika kwa ntchito - zosaposa masiku awiri. Pamodzi ndi mankhwalawa, ma antacid omwe amasokoneza hydrochloric acid ndi omwe amapatsidwa - Ranitidine kapena Maalox.

Mapiritsi okhala ndi pancreatitis Maalox ali ndi envelopu, yosatsa malonda. Ndikofunikira kumwa mapiritsi awiri nthawi yomweyo kapena ola limodzi mutatha kudya. Mankhwalawa amayenera kusungidwa pakamwa mpaka atasungunuka. Ngati pakufunika thandizo mwachangu, onjezani mlingo kuti mapiritsi 4. Pambuyo kukhazikika kwa matendawa pofuna kupewa mkati mwa miyezi iwiri, ndikofunikira kumwa piritsi limodzi katatu patsiku.

Kukonzekera kwa encyme ya pancreatic

Mankhwala othandizira kapamba amapangidwa kuti abwezeretsenso mucosa ya pancreatic. Muli ma enzymes apadera omwe amalipira kugaya chakudya mu matenda. Dokotala amayenera kupereka michere - mosamalitsa pazomwe zimayambitsa matendawa. Kwambiri, akatswiri amalangiza odwala omwe ali ndi pancreatin.

Pancreatin ili mu kukonzekera kwa Festal. Mapiritsi tikulimbikitsidwa kuti kumwedwa atatha kudya. Akuluakulu amayenera kuthandizidwa malinga ndi chiwembu: mapiritsi 2 katatu patsiku. Ngati ndi kotheka, mwachilolezo cha dokotala, mutha kuwonjezera kuchuluka kwa mapiritsi 4. Chithandizo cha pancreatic matenda okhala ndi thovu Festal amatha masiku angapo - mpaka miyezi ngakhale zaka.

Maantibayotiki

Ngati kutupa kumachitika, akatswiri atha kukupatsirani mapiritsi othandizira. Monga lamulo, mankhwala otsatirawa opha pancreatitis amalembedwa: Sumamed Cefotaxime, Amoxiclav, Ceftriaxone:

Amoxiclav tikulimbikitsidwa kumwa piritsi limodzi patsiku sabata limodzi.
Sumamed ali ndi antimicrobial zabwino. M`pofunika kumwa iwo 2 kawiri pa piritsi limodzi, njira ya mankhwala masiku 10.
Nthawi zonse ndi maantibayotiki, mankhwala omwe ali ndi mabakiteriya amoyo - Linex kapena Acipol - ndiwo mankhwala.

Dziwani zambiri zamomwe mungachiritsire kapamba wanu ndi mankhwala.

Zochizira kapamba, njira zosiyanasiyana zitha kugwiritsidwa ntchito ndipo zotsatira zabwino zitheka ndi njira yolumikizidwa.

Maantibayotiki othandizira pancreatitis sagwiritsidwa ntchito kawirikawiri, pamene vutoli ndi lalikulu komanso mankhwala amphamvu ayenera kumwedwa.

Mankhwalawa amagwiritsidwa ntchito kuti athetse zizindikiro zazikulu za matenda omwe amapezeka m'matumbo oyipa.

Maantibayotiki tikulimbikitsidwa ngati pali chiopsezo chotenga matenda a ziwalo zosiyanasiyana zam'mimba. Mankhwala salola kukula kwa zotsatira ndi zovuta zomwe zimakhala zakupha.