Zoyenera kuyika ma dontho a kapamba

Chimodzi mwa matenda oopsa kwambiri ndi kapamba, yemwe amafunika chithandizo chamankhwala pompopompo. Madontho a pancreatitis amatchulidwa pachimake cha matenda komanso kuchulukitsa kwa matenda. Kuphatikiza kwamankhwala osokoneza bongo kumapangitsa kuti zitheke mwachangu, kuchitapo kanthu komweko kumapangitsa kuti chodwala chizipuma. Cholinga chachikulu cha omwe akutsikira ndikuchotsa mofulumira kutupa, kuchotsa zinthu zapoizoni zomwe zidatsalira m'mimba zomwe sizidavomere.

Kodi oponya mafuta ndi otani?

Njira zakuchira zimasankhidwa payekhapayekha, koma chithandizo chokha chimachitika kuchipatala, komwe wodwala amayang'aniridwa ndi dokotala. Wodwala yemwe akufuna thandizo kuchipatala amayenera kukhala akukonzekera, popeza gawo loyambirira la mankhwalawa limangokhala lomwe limayamwa.

Ma Dropper ali ndi zabwino zambiri zosiyanasiyana. Jekeseni wamkati wamankhwala amathandizira, nthawi yomweyo, zotsatira za mankhwalawa zimachitika nthawi yomweyo. Madontho a pancreatitis ndiye gawo lalikulu la maphunzirowa, popanda iwo sizingatheke kubwezeretsa mkhalidwe waumoyo wa wodwalayo.

Nthawi zambiri, kukhalapo kwa mphamvu pachimake kumva kwa ululu kumatanthauza chisonyezo chochititsa chidwi kwambiri cha matenda. Chifukwa oyamba kuyika makina ndi mankhwala ochititsa chidwi.

Amatha kuyimitsa kupweteka komanso kupewa kupweteka. Ndi mitundu yanji ya ma pinkiller omwe atenge, dokotala amawuza ndikusankha mankhwalawo, payekhapayekha, popeza wodwala aliyense amakhala ndi kapamba m'njira zosiyanasiyana. Kupatula apo, kuyambitsa wothandizila wina kumakhala ndi zotsutsana ndi thupi. Chifukwa chake, kuti muchepetse izi, kupereka mankhwala nokha sikuletsedwa.

Kugwiritsa ntchito kachitidwe ndikovomerezeka pambuyo podziwikiratu, motero kumwa mankhwala musanapimidwe dokotala sikulimbikitsidwa. Kugwiritsa ntchito mankhwala kungavulaze kutsimikiza kwa matenda oyenera, zomwe zimapangitsa kuti zikhale zovuta kusankha njira yoyenera yothandizira.
Mukazindikira kuti wapezeka ndi matendawa ndipo njira yochiritsira yolumikizira khungu imasankhidwa, mankhwala amawonjezeredwa omwe amachepetsa kuwonongeka mu minofu ya kapamba.

Ndikofunikira m'migawo yoyambirira kuti muzindikire zizindikiro za kapamba ndipo muyambe kulandira chithandizo. Chifukwa chake wodwalayo amatha kupezeka kwathunthu, ndipo chofufumitsa cholakwika chitha kuvulaza thupi pang'ono.

Chifukwa cha kutukusira kwa kutukusira kwa England, zimayambitsa zovuta muntchito ya minofu ya mtima, chiwindi ndi impso. Ngati wovutikayo akuchulukirachulukira kwa chifuwa cha kapamba, ndiye kuti dokotalayo amalamula chithandizo ndi othandizira omwe amaletsa zonse zokhudzana ndi matenda a nthawi yovuta kwambiri, mosiyana ndi momwe zimakhalira matenda atayamba.

Kuphatikiza apo, ndi kapamba, ogwetsa thupi amalola kuti thupi lipumule, ndikuchotsa michere yopanga thupi.

Ubwino wake ndiwakuti kuchuluka kwa mankhwalawa kumakhalabe m'thupi kwa nthawi yayitali, ponena za kugwiritsa ntchito mankhwalawa ndi pakamwa.

Phindu la otsika

Mu gawo lachiwopsezo chachikulu cha kapamba, ndi kuwonongeka kwakumapeto kwa kapamba, thupi likalephera kugwira ntchito yake, thanzi la wodwalayo limakhala losakhutiritsa kwambiri. Wovutikayo amapezeka:

nseru
kusanza
kugwira ntchito kwa minofu ya mtima kumalephera,
kutentha kumakwera
zopweteka zosalephera zimachitika.

Ndi zizindikiro zotere, simungakhale kunyumba, wodwala amafunikira thandizo kuchokera kwa madokotala. Ndipo woyamba pa mankhwalawa amatuluka.

Ubwino wolowetsa kachitidwe ka kapamba.

Yankho limalowa nthawi yomweyo.
Mankhwala obayidwa pafupifupi amakhudza nthawi yomweyo.
Kutsika sikumakhudza dongosolo la m'mimba, sikusintha mtendere wa chofunikira.
Mankhwala omwe adatsitsidwa amakhalabe m'thupi kwa nthawi yayitali, mmalo mongolowa mthupi ndi njira ina.

Kodi ndi ma donti omwe amagwiritsidwa ntchito pancreatitis? Pali mitundu itatu ya otsikira omwe amagwiritsidwa ntchito pancreatitis. Iliyonse ya njirayi ili ndi cholinga komanso kukhudza kwake.

Tsitsani kupweteka.
Kutulutsa mphamvu ya antienzyme.
Thandizani thupi.

Painkiller dropers

Wopezedwa ndimatenda a kapamba amamva kuwawa. Pa gawo loyambirira, ululuwu ndi wamphamvu komanso wowopsa, womwe umabweretsa ululu. Wodwalayo amayamba kugwedezeka kopweteka, komwe kumapangitsa kusintha kwa kugwira ntchito kwa mtima ndi mitsempha yamagazi, kuthamanga kwa magazi, chifukwa chake kuvutika kwapweteka kuyenera kuthetsedwa nthawi yomweyo. Kupanda kutero, wodwalayo angafe.

Kodi nditha kumwa mankhwalawa a kapamba ndimisempha? Wovutitsidwayo alibe ufulu wogwiritsa ntchito mosamala mankhwala omwe angathetsere ululu, popeza mayeso olakwika amatha kupezeka pa nthawi yoyesedwa.

Pambuyo podziwikiratu atakhazikitsidwa, mankhwala a ululu amaperekedwa kwa pancreatic pancreatitis. Chifukwa cha machitidwe, kukhudzika kwakukulu kumatsika, ndipo zovuta sizingachitike.

Kutengera ndi gawo la kusapeza bwino, ma painkillers ochokera ku kapamba amagwiritsidwa ntchito mosiyanasiyana paziwonetsero.

Antispasmodics - Papaverine, No-Shpa.
Analgesics - Acetaminophen, Pentalgin.

Otsitsa oterewa amaperekedwa ngati ululu wofatsa.

Ndi kuchulukitsa kwa matenda osachiritsika, ma dontho omwe amakhala ndi mphamvu amakayikira.

Monga mankhwala antispasmodic, Eufillin ndi mankhwala.
Kuchepetsa kutupa, minyewa ya kukodzetsa - Furosemide ingathandize.

Dongosolo limakhala ndi Novocaine, cholowa m'malo mwa Somatostatin. Mankhwala a narcotic omwe ali ndi analgesic amagwiritsidwa ntchito pakagwidwa kwambiri matenda.

Anti odana ndi zotupa

Matenda a pancreatic amawonetsedwa ndi michere yayikulu ya michere yoyenera kugaya chakudya ndi kuvuta kwa thupi.

Mothandizidwa ndi chinsinsi, kutulutsa kwa ndulu kumachitika, minofu yake imafa. Chifukwa chake, kuphatikiza pakuchotsa ululu wamankhwala pakachulukitsa kapamba, machitidwe omwe ali ndi mankhwala oletsa kutupa amathandizira kugwiritsidwa ntchito kwa ma enzymes ofunikira pakugaya. Komanso, machitidwe oterewa amathandizira:

Pochotsa kutchukitsa,
kukonza minyewa yamtima,
kukhazikitsa zakudya zama cell.

Mankhwala odziwika pokana kutukusira kwa ndulu, omwe amasiya ma Paracetamol ndi mankhwala. Kapangidwe ka mankhwala othandizira-kutupa kumapangidwa pazifukwa zosiyanasiyana.

M'badwo.
Chochulukitsa.
Kukhalapo kwa matenda awiri.
Zomwe zikuchitika pakukula kwa matenda amisala.

Kwenikweni, zochizira odwala, Xylene, Contrical, kapena machitidwe awo ofanana amaperekedwa. Odwala omwe akumana ndi vuto la kapamba nthawi yoyamba amaika machitidwe okhala ndi mankhwala ankhalwe kuposa omwe amapititsidwa kuchipatala mobwerezabwereza matenda osachiritsika. Mukangoyamba chithandizo, zotsatira zoyipa ndizochepa.

Amayika machitidwe oterowo m'chipatala, kunyumba kukhazikitsidwa kwa njira zotsutsana ndi zotupa kumaletsedwa. Dongosololi likakhazikitsidwa, ndikofunikira kukonzekera kuti mavuto ayambe kuwonekera, chifukwa magwiritsidwe ake a mankhwalawo amapita nthawi yomweyo. Chifukwa chake, asanapereke mankhwala obweretsera, dokotala amayang'ana ndi wodwalayo kuti pakhale chisankho cha munthu payekha.

Ngati kutupa kwa kapamba sikumachotsedwa munthawi yake, ziwalo zapafupi (impso, mtima) ndizowonongeka. Chifukwa chake, machitidwe omwe ali ndi zotsutsa-zotupa amadziwika nthawi yomweyo atazindikira kuti ali ndi matenda.

Othandizira otsika

Njira imodzi yochizira matenda a kapamba ndi kuwombera kwa njala. Ngati kapamba akukulirakudya, chakudya chouma chimagwiritsidwa ntchito nthawi zambiri, zomwe zikutanthauza kukana kwa chakudya ndi madzi, ndikofunikira kumasula chiwalocho, chomwe chimafuna kuti kusunthika kwathunthu.

Mtundu wouma wamantha umatha masiku awiri, ndipo panthawiyi thupi limathandizidwa ndi otsika. Kwa nthawi yayitali chonchi, thupi saloledwa kuchoka popanda kumwa ndi kudya, motero odwala amafunika kukhazikitsidwa kwa shuga, mchere m'mitsempha, komwe kumathandiza kupewa kuchepa kwa madzi m'thupi komanso kufooka kwa thupi.

Kunyumba, mutha kuyika kachitidwe ndi mankhwala othandizira. Koma pancreatitis ikamakulirakulira, ndi cholecystitis, chitukuko cha matenda a shuga amawonekeranso, ndikulimbikitsidwa kuti chithandizo chothandizira chimatengedwe kuchipatala komwe kuli zida zoyenera zolembera zakusokonekera, ndipo wodwalayo amakhala akuyang'aniridwa ndi dokotala.

Kudzera painkillers, anti-kutupa ndi machitidwe othandizira, zizindikirizo zidzachotsedwa ndikuzimitsa lawi la moto.

Thupi likamadwala ndikuyamba ntchito yachilengedwe, limaloledwa kupitiliza mankhwala kunyumba, kutsatira chakudya patebulo ndi malangizo a dokotala.

Ndikofunika kukumbukira kuti kulandira chithandizo mosaloledwa kungasokoneze vutoli ndikuvulaza thupi.

Mitundu ya otsikira

Matendawa amatupa a pancreatic mucosa, chifukwa chomwe chiwalocho chimasiya kugwira bwino ntchito zake. Kupanga ma enzymes ofunikira kugaya chakudya kumachepetsedwa, zizindikiro zosasangalatsa zimawonekera - nseru, kusanza, kutsegula m'mimba, kulemera, kutulutsa, kuzizira, kupweteka. Poizoni amadziunjikira pang'onopang'ono, zizindikiro za kuledzera zimakulitsa - kufooka, kupweteka mutu, chizungulire, ndi zina. Kuti mukwaniritse zochizira, ndikofunikira:

Lekani kutupa,
Chotsani zomwe zimabweretsa zovuta,
Pangani zopumira zapakanthawi kwakanthawi, kuphatikizapo kuchepetsa kuchuluka kwa mapiritsi omwe agwiritsidwa ntchito,
Tsukani thupi la zinthu zopweteka, poizoni,
Kubwezeretsani ntchito ya pancreatic.

Amachiza matenda owopsa a kapamba kuchipatala. Zingati zomwe akuyenera kuyika ziyenera kukhazikitsidwa zimatengera umunthu, thanzi, zaka, komanso chitetezo chamthupi. Gwiritsani ntchito mitundu itatu ya otsikira ndi njira ina yochitirapo kanthu.

Kutalika kwa maphunziro

Zingati zomwe akuyika kuti aziyang'ana zimatsimikiziridwa payekhapayekha. Dziwani zambiri za matendawo, kuopsa kwa matendawa, kupezeka kwa matenda olimba, zaka, kusalolera kwa aliyense. Odwala omwe ali pachiwopsezo chachikulu cha zovuta amakupatsidwa dongosolo tsiku lililonse kapena tsiku lililonse kuyambira mwezi umodzi mpaka 6. Gululi limaphatikizapo anthu omwe amadalira mowa, okalamba, omwe ali ndi chiopsezo chotenga matenda a shuga mellitus, oncology, ndipo pali matenda omwe amakhalanso nawo. Ngati munthu wachira msanga, palibe mavuto, mankhwalawa amasiya pakatha sabata. Kuphatikiza zotulukazo, muyenera kutsatira zakudya zokhazikika kwa mwezi umodzi, kenako pang'onopang'ono musinthane ndi zakudya zoyenera.

Mapangidwe a dontho

Zimatsimikiziridwa payekhapayekha paliponse. Wotsitsa nthawi zambiri amakhala ndimankhwala angapo okhala ndi njira zingapo zochitira.

Ma analgesics amagwiritsidwa ntchito pochepetsa ululu. Pewani kupweteka msanga. Gwiritsani Acetaminophen, Analgin.
Pamaso pa kuphipha, kupsinjika kwa minofu, antispasmodics amagwiritsidwa ntchito - No-Shpa, Drotaverin, Papaverin. Vutoli limasintha pakatha mphindi 5.
Mankhwala oletsa kupweteka kapena olimbitsa mtima amaperekedwa ngati wodwalayo ali woopsa kwambiri, pamakhala kudandaula kapena kupweteketsa mtima pafupi ndi izi. Nthawi zambiri amagwiritsa ntchito Novocaine.
Gordox ndi mankhwala wothandizira anti-kutupa. Mankhwalawa amaletsa kutupa, amachepetsa kutupa, amagwiritsa ntchito mankhwala osokoneza bongo, amachepetsa kupanga ma enzymes apakhungu, komanso kuchepetsa kufinya.
Kuti muyeretse thupi, chotsani poizoni, gwiritsani ntchito Polydez, Hemodez. Mankhwala osokoneza bongo amathandizira kuthetsa kuledzera, kusintha thanzi lathunthu.
Mapangidwe a dontho amatha kuphatikiza antibacterial othandizira ngati chifuwa cham'mimba chikugwirizana ndi matenda opatsirana kapena ngati pali zizindikiro zamphamvu za kutupa. Ikani mankhwala kuchokera pagulu la fluoroquinolones - Ofloxacin, Ciprofloxacin.
Mavitamini ndi michere amayamba kuyambitsa thupi. Kuti achepetse mulingo wa monosaccharides, onjezani mphamvu m'magulu am'magazi monga shuga. Popewa kuchepa kwa madzi m'thupi, njira ya sodium chloride imawonjezeredwa.
Kuchepetsa ntchito ya kapamba, kuchepetsa kuchuluka kwa ma enzymes, Kontrikal kapena analogues ake.

Zachidziwikire, mutha kusankha mawonekedwe a dontho, mutha kugula nokha pulogalamuyi popanda kukhalapo kwa madokotala, koma njira zotere ziyenera kuyang'aniridwa ndi akatswiri, chifukwa zovuta zimatha kuchitika.

Mavuto pambuyo pa dongosolo

Dongosolo liyenera kukhazikitsidwa ndi ogwira ntchito oyenerera. Madokotala amayenera kuwunika momwe mankhwalawa alowera m'thupi.

Mwinanso kuoneka ngati simugwirizana ndi mankhwalawa omwe amaperekedwa. Potere, chithandizo chimayimitsidwa nthawi yomweyo, kapangidwe kake kamasinthidwa.
Hematoma kapena kuvulala. Ichi ndiye chinthu chaching'ono kwambiri chomwe chingakhale. Pafupifupi palibe chidwi chomwe chimaperekedwa kwa izi. Amachitika mphindi zochepa atayambitsa singano. Kuti muchepetse kuvulala kwa minofu, vasofix choyambirira chimaperekedwa, kumanzere kumanja mpaka kumalizidwa kwathunthu kwa chithandizo.
Kutupa kwa minofu kumachitika ngati singano sikulowa m'mitsempha, mankhwalawo adayamba kulowa mu minofu yofewa. Pankhaniyi, muyenera kukonza cholakwacho nthawi yomweyo.
Embolism ya mpweya imachitika mpweya utalowa mumtsempha. Nthawi zambiri zinthu zimawonedwa ngati madotolo sanachotsere singano panthawi yomwe mankhwalawo atha. Kubayira chida chamwazi kumatha kupha.
Sepsis ndizosowa ngati malamulo a asepsis samatsatiridwa. Kulowerera magazi, minofu imachitika kudzera mu singano.
Necrosis kapena minofu necrosis imachitika ndikuyambitsa kwa mankhwala amphamvu kapena mulingo wovomerezeka umapitilira.

Mavuto samachitika ngati ogwira ntchito ali ndi udindo pantchito yawo, kachipangizidwe kamakaikidwa kuchipatala, osati kunyumba.

Contraindication

Ndondomeko yokhayi ilibe zotsutsana. Koma zoletsa ndizokhudzana ndi mankhwalawa omwe amaperekedwa. Chotsutsana mwachindunji ndi kupezeka kwa tsankho pamagulu ena, chizolowezi chowonjezera cha ziwengo. Pankhaniyi, dokotala yemwe amapezekapo amapeza ngati pali zovuta zilizonse pazinthu zilizonse, mankhwala. Ngati yankho ndi inde, mankhwala amasankhidwa ndi njira yocheperako yomwe ingayambitse kuyanjana. Kuphatikiza apo, ma antihistamines amaphatikizidwa ndi dontho, lomwe limachepetsa mwayi wosadziwika bwino. Amakanizidwa kukhazikitsa dongosolo kunyumba popanda kuyang'aniridwa ndi katswiri.

Otsitsira ogwira mtima a kapamba

Ndikosavuta kunena mosasiyanitsa kuti ndiwotani yemwe amagwira ntchito kwambiri. The wamba mkhalidwe, kukhalapo kwa matenda ophatikizika, chikhalidwe, mphamvu zowawa, zaka, mikhalidwe ya anthu imayang'aniridwa. Kuphatikiza apo, kuyenerera kwa dokotala kumakhala ndi gawo, lomwe liyenera kusankha mankhwala othandiza kwambiri pamlandu uliwonse.

Madontho akuwonjeza

Zizindikiro za mawonekedwe awa ndizopweteka kwambiri pamimba, kusanza kosalekeza, kutsegula m'mimba, nseru, kufooka, kutentha thupi. Chithandizo chimayamba ndi kupweteka. Ma analgesics, anesthetics, antispasmodics amagwiritsidwa ntchito. Kusankha kumadalira kukula, chikhalidwe cha ululu. Pambuyo pake, amayamba kuchepetsa kutupa, kuchepetsa ntchito za kapamba, ndikuchotsa poizoni. Lembani zovuta zotsutsa-zotupa, zomwe zingaphatikizepo mankhwala angapo omwe ali ndi njira zingapo zochitira.Pambuyo pa masiku ochepa osamalidwa kwambiri, amayamba kuyika dontho lolimbitsa kuti akhale wathanzi, kuwonjezera mphamvu zamagetsi, ndi kuteteza madzi m'thupi. Chithandizo chikuyenera kuchitika kuchipatala moyang'aniridwa ndi akatswiri.

Droppers chifukwa cha chifuwa chachikulu

Amadziwika ndi chithunzi chofooka chachipatala, zizindikiro zopanda pake. Pali kusapeza, kufooka, kupuma kosokonezeka, kupweteka kwa mtima, kupindika, kupsinjika pamimba. Ululu pamenepa umatha kukhala wopsinjika, kukanikiza, kusakhazikika, kukhalitsa kapena kwakanthawi. Chithandizo chikuchitika ndi mapiritsi, kuyimitsidwa. Komabe, kukonza zomwe zimachitika, kuthana ndi poizoni, kuonjezera chitetezo chokwanira, kulimbitsa omwe akutsikira kungafotokozere. Nthawi zambiri, amayikidwa kuchipatala, munthu amathandizidwa nthawi zonse. Mavitamini, shuga amatha kuperekedwa kunyumba, koma nthawi zonse moyang'aniridwa ndi akatswiri.

Mayina Mankhwala Osokoneza bongo

Mndandanda wamankhwala umasankhidwa ndi katswiri kuti aunike bwinobwino wodwalayo, kutsimikizira kuti adziwe. Nthawi zambiri, mankhwala otsatirawa ndi mankhwala:

Acetaminophen. Paracetamol analog. Mu kapangidwe kake kazinthu 500 mg. Ili ndi katundu wa analgesic, antipyretic, anti-kutupa. Contraindication - hypersensitivity kwa zigawo zikuluzikulu, zaka mpaka 12, hepatic, aimpso kulephera.
Analgin. Ili ndi katundu wotchulidwa wa analgesic, komanso antipyretic, anti-yotupa. Contraindised mu vuto la magazi, tsankho.
Ayi-Shpa. Antispasmodic yochokera ku drotaverine. Imagwira pamitsempha yosalala yam'mimba, popanda kusokoneza matumbo. Sichimayambitsa mavuto, chimaperekedwa kwathunthu m'thupi masana. Osagwiritsidwa ntchito tsankho la zigawo zikuluzikulu, chiwindi, kulephera kwaimpso, ana ochepera zaka 6.
Papaverine. Zomwe zimagwira ndi papaverine hydrochloride wokhala ndi katundu wotchedwa antispasmodic. Gwiritsani ntchito mosamala odwala omwe ali ndi zaka zopitilira 75. Zotsatira zoyipa zomwe zingachitike zimaphatikizira kuchepa kwa magazi, kupweteka mutu, kufooka, komanso nseru.
Novocaine. The yogwira mankhwala ndi procaine ndi analgesic kwenikweni. Gawani ululu waukulu. Imachepetsa kukhudzika kwa mitsempha, imachepetsa kufalikira. Chowonongera chachikulu ndicho hypersensitivity ku zigawo zake.
Gordok. Machitidwe pamaziko a protinin. Ndi proteinase inhibitor, yomwe imapezeka m'mapapu a ng'ombe. Kubwezeretsanso kuchepa kwa ma enzymes omwe matenda kapamba sangathe kutulutsa, amakhudza kayendedwe ka magazi. Perekani kukhathamiritsa kwa kapamba, kuchepa kwamkati.
Haemodeis. Madzi-saline solution yotseketsa mphamvu. Ayeretsa thupi ku poizoni, zinthu zovulaza. Amachotseredwa ndi impso. Odwala bronchial mphumu, tsankho kwa zigawo zikuluzikulu, kutupa impso, matenda a chiwindi.
Ofloxacin. Maanti-awonetsero othandizira. Perekani pamaso pa matenda am'mimba thirakiti.
Ciprofloxacin. Wothandizira antimicrobial ndi anti-spectrum antiotic antiotic.
Wampikisano. The yogwira mankhwala aprotinin amachepetsa ntchito ya pancreatic michere, kusiya awo owononga. Perekani ndi pachimake kapamba, magazi amkati.

Pamaso pa tsankho la munthu payekha kupita ku mankhwala ena ake, mayendedwe ake amalembedwa.

Madokotala amafufuza

Akatswiri onse amagwirizana pa chinthu chimodzi - pancreatitis yacute sangathe kuchiritsidwa kunyumba yekha. Ngati mungathandizidwe mwadzidzidzi, kumva kupweteka, kuchepa kwa magazi, kuledzera kwambiri, kusowa madzi m'thupi, kumangidwa kwamtima kumachitika. Ngati mukumva kupweteka kwambiri, muyenera kuyimbira ambulansi nthawi yomweyo, osamayamwa mpaka madotolo atafika, No-Shpa, Drotaverin amaloledwa.

Ndemanga za Odwala

Okondedwa owerenga, lingaliro lanu ndilofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kuwunika omwe anaponya pancreatitis m'mawuwo, izi ndizothandizanso kwa ogwiritsa ntchito ena a tsambali.

MaSt:

“Pakachulukitsa, ndimadzilowetsa ndekha mankhwala kudzera m'mitsempha kapena m'mitsempha. Ndikusakaniza kuwaza kwa sodium chloride ndi ma ampoule a analgin, spazialgin, papaverine. Ntchito yayikulu ndikuchotsa kuphipha, kugonetsa. Nawa mankhwala awa onse kuti muchite izi. Ndimayimira syringe, imapezeka pafupifupi ma cubes 6. Ndimagwira pakama, ngati ndichisoni - kudzera m'mitsempha. Kutulutsidwa m'mphindi zochepa. ”

Andrey:

“Mkazi wanga ndi dokotala, ndipo kukhathamira kwa magazi amandigwira, kukhazikitsa dongosolo. Mankhwalawa ndi ena onse omwe nthawi ina adawagoneka mu chipatala. Zimathandiza kwambiri. Onetsetsani kuti mudya, kupumula. Nthawi ndi nthawi, shuga amandigwetsa, mavitamini. ”

Kodi kapamba ndi chiyani?

Mwa pancreatitis, ndichikhalidwe kutanthauza gulu lonse la zotupa zomwe zimayamba m'mapazi a wodwala wina.

Kutupa kumatha kukhala koopsa komanso kosatha, ndipo kumayambitsa kuvulaza chiwalocho.

Pathology imabweretsa kuti ma enzyme omwe chitsulo chimapanga sichimayamba kugwira ntchito pamalo oyenera, koma mu chitsulo chomwe, chimapangitsa kudzipukusa kwake.

Pambuyo pa izi, ma enzyme limodzi ndi kufalikira kwa magazi m'thupi lonse la wodwalayo ndipo amachititsa kuledzera kwambiri komanso koopsa kwa thupi.

Nthawi zambiri, pancreatitis imapangidwa chifukwa cha kupezeka kwa miyala mu ndulu ndi kumwa kwambiri.

Nkhani yothandiza? Gawani ulalo

Kuphatikiza apo, kudya kwambiri, chimfine, herpes, appendicitis kapena chifuwa cha chakudya kungakhale chinthu chowonjezera.

Matendawa amawonekera ndi zizindikiro zotsatirazi: kupweteka pamimba, chopondapo chamimba chosasinthika, kusanza mseru, kusanza, tachycardia, hypotension, kugwa ndi kugwedezeka.

Amathandizira kapamba mothandizidwa ndi mankhwala, mankhwala wowerengeka komanso zakudya zamagulu.

Chofunikira kwambiri ndikukumbukira kuti mawonekedwe osatenthetsa a matenda omwe amafunsidwa ndi owopsa kwa thupi, chifukwa amatha kuyambitsa machitidwe a oncological mu kapamba.

Pharmacological mawonekedwe a mankhwalawa

Kontrikal ndi wa gulu lotere la mankhwala omwe amakhudza mapangidwe a magazi ndi magwiridwe antchito a pancreatic enzymes. Ndi hemostatic ndi proteinolysis inhibitor.

Mankhwalawa amatha kuchotsa magazi oyambitsidwa ndi kuchuluka kwa mankhwala ndi mankhwala omwe amalimbana ndi vein thrombosis. Kuphatikiza apo, amachotsa njira zomwe zimawononga gland panthawi ya kapamba.

Kontrikal ndi pancreatitis amawongolera ma enzymus omwe amatulutsidwa ndi gland ndipo amafunika chimbudzi chokwanira.

Pa nthawi ya kapamba, thupi limapanga ma enzyme ochulukirapo, motero amapukusa tinthu tomwe timeneti.

Zodabwitsazi zimafunikira chithandizo mwachangu ndi proteinase inhibitors, omwe mankhwalawa ndi.

Kuchita kwa mankhwalawa, monga hemostatic, ndikugawa kwa magazi. Njira imeneyi imatchedwa fibrinolysis.

Ngati ikukula, ndiye kuti magazi amayamba kuchepa komanso mitundu yosiyanasiyana ya magazi.

Izi zimatha kudzetsa matenda a m'magazi kapena kugwiritsa ntchito mankhwala enaake omwe amachepetsa magazi. Ndili ndi mitundu iyi ya magazi yomwe Contrical imamenyera.

Kodi mankhwalawa amakhala ndi chiyani ndipo amapangidwa bwanji?

Pakadali pano, Contrical ili ndi mtundu umodzi wamasulidwe - chinthu chomwe chimagwiritsidwa ntchito pokonzekera yankho la kulowetsedwa kwamkati. Ndiye kuti, mu ma ampoules. Mwanjira yam'mapiritsi, mankhwalawa samapezeka.

Aprotinin amatengedwa ngati chinthu chogwira ntchito, ndipo mannitol amagwiritsidwa ntchito kuti athandizire.

Mafuta amodzi omwe amafunsidwa ali ndi aprotinin yambiri kotero kuti ntchito zake zimafanana ndi magawo 10,000 amtundu wa antitrypsin.

M'mafakitala, Kontrikal imagawidwa ndi mchere waumunthu womwe umayikidwa mu chidebe chosalimba.

Mu ampoule pamakhala ma millilitere awiri a yankho - ndizomwe zimafunika pokonzekera botolo la Contrikal.

Phukusi limodzi lili ndi Mbale 10 yogwiritsira ntchito mankhwala ndi mchere.

Ndikulimbikitsidwa kusungidwa Contrical m'malo opumira, obisika kulowa kolowera dzuwa. Kutentha kosungira sikuyenera kupitirira 26 digiri Celsius.

Kodi Contrical imagwira ntchito bwanji ndi kapamba?

Mankhwala omwe amafunsidwa ali ndi zabwino zambiri. Izi ndi izi:

Zimaletsa mapuloteni kuti asawonongeke.
Imakhala ndi phindu pa fiberrin fiber mu zimakhala.
Imakhazikika kagayidwe kake kapamba.
Matendawa hemostasis.
Kuchepetsa ntchito ya michere ya chiwalo yomwe ikufunsidwa, yomwe ingayambitse kukula kwa pancreatic necrosis.

Ndi kuchulukitsa kwa kapamba m'thupi, trypsin, chymotrypsin ndi kallikrein amapangidwa kwambiri.

Mankhwala omwe amafunsidwa amatha kuwalepheretsa, kukhala ndi zotsatira za antienzyme, komanso kupewa kudzipangitsa kudzimbidwa kwa timuyo ta minyewa.

Kodi makoma amadziwika kuti?

Contrical imawonedwa ngati njira yothetsera chilengedwe, yomwe nthawi zambiri imayikidwa ngati mankhwala omwe amathandiza ambiri a ma pathologies.

Ayenera kuwonedwa mwatsatanetsatane:

Opaleshoni yamchiberekero kapena m'mapapo.
Amniotic madzimadzi embolism.
Kuvulala
Kuthira magazi musanayambe, panthawi, komanso pambuyo pa ntchito.
Zomwe zimachitika chifukwa cha kufalikira kwazinthu zina zakunja.

Muzochitika izi, Contrycal imagwiritsidwa ntchito kuletsa magazi. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito pochiza matenda angapo a pathologies:

Necrosis wa England.
Pachimake kapamba.
Matenda a kapamba, omwe nthawi zina amakula.
Kuchulukitsa kwa fibrinolysis, kupangitsa magazi kutuluka kwambiri.
Mumps pachimake zomwe zinachitika pambuyo pa opaleshoni.
Edema wa Quincke.
Zowononga minofu yambiri.
Zodabwitsa kuti zimachitika zosiyanasiyana.
Ndi malo ambiri owonongeka minofu.

Monga kupewa, Contrical imagwiritsidwa ntchito pazinthu zotere:

Kudzimbidwa kwa tiziwalo timene timayambitsa opaleshoni (postoperative pancreatitis).
Embolism atachitidwa opaleshoni.
Kutulutsa magazi kosiyanasiyana.
Mafuta embolism pamene kuvulaza thupi kapena chigaza.

Kuphatikiza apo, Kontrikal adalembedwa kuti ateteze magazi ndikuchepetsa kuchuluka kwa magazi kuti atumize panthawi ya aorto - coronary artery bypass grafting.

Zotsatira zoyipa za Contricale

Kuchiza ndi mankhwala omwe mukufunsaku kukhoza kukhumudwitsa thupi.

Nthawi zambiri timakhala tikulankhula za zinthu zina zomwe sizingachitike komanso momwe akumvera. Ngati mankhwalawa amathandizidwanso, ndiye kuti zotsatira zoyipa zimachitika nthawi zambiri ndi 5%.

Zotsatira zoyipa zomwe zimadza chifukwa ch kumwa mankhwalawa ndi izi:

Kutsitsa magazi.
Zosangalatsa pamtima.
Nthawi zambiri nseru, limodzi ndi kusanza.
Mavuto a chikumbumtima.
Psychoses.
Kukhazikika kwa kuyerekezera zinthu.
Kuwonjezeka kwa magazi kulenga.
Ziwengo
Local thrombophlebitis pamalo omwe Contrical idalowetsedwa: edema, redness pakhungu ndi kupweteka m'malo opaka khungu.

Matenda a typinine amapezeka pawokha mankhwala atachotsedwa ndipo safunika kusintha.

Mseru ndi kusanza nthawi zambiri kumayambitsidwa ndi mankhwala mwachangu, kotero ogwira ntchito zachipatala ayenera kuchita izi pang'onopang'ono.

Zotsatira zoyipa zimatha kukhala zofatsa kapena zazikulu. Zizindikiro zotsatirazi zikuwonetsa kukula kwake:

Khungu.
Kuyabwa
Kutupa.
Kupindika kwa bronchi.
Kutupa kwa pharynx.
Kupititsa patsogolo kapena kuletsa kwa kugunda kwa mtima.
Hypotension.
Edema wa Quincke.
Kugwedezeka kwa anaphylactic.

Ngati ziwonetsero zimachitika, mankhwalawo amayenera kuchotsedwa pomwepo ndikusinthanitsa ndi analogues.

Momwe mungatengere

Pa koyamba pancreatitis, mankhwala ayenera kumwedwa pa mlingo: poyamba, magawo 300 a mankhwalawa amaperekedwa kwa wodwala. Mankhwalawa amayenera kuperekedwa kapena kutsitsa.

Mlingo wokonza ndi magawo 20-30 masauzande ola limodzi, koma osapitirira muyeso womwe uli pamwambapa.

Mkhalidwe wa munthu ukakhala wofanana, mulingo wake umachepetsedwa kukhala magawo 200,000 ndipo amathandizidwa mpaka wodwalayo atachira.

Pakuchulukirachulukira kwa matendawo matenda, mlingo umasintha: kuchuluka koyamba kwa mankhwalawa sikupereka magawo 50,000. Mlingo womwewo umayamwa kwa masiku asanu ndi limodzi.

Pofuna kupewa mtundu wovuta kwambiri wa kapamba, Contrycal imayendetsedwa motere:

Pamaso pa opareshoni, mayunitsi 200,000.
Pambuyo kukhazikitsa, mankhwalawa amatumizidwa 100,000 maola 6 aliwonse kwa masiku awiri.

Kuti muthane ndi yankho lolondola la wogonthayo, muyenera kuwonjezera yankho lanu, lomwe limagulitsidwa limodzi, ku chidebe ndi mankhwala.

Poyamba, Contrical imasakanikirana ndi mamililita awiri a mchere, ndiye njira ina yothetsera. Mlingo pankhaniyi uyenera kutumizidwa ndi katswiri wodziwa bwino.

Tiyenera kukumbukira kuti nthawi yomweyo musanagwiritse ntchito Contrakal, madokotala amayenera kuyesa wodwala kuti adziwe kuchuluka kwa momwe akumvera.

Ngati zomwe sizikuwoneka, ndiye kuti mutha kulowa mu chipangizocho, ndikupatsa munthu aliyense antihistamine mankhwala kuti apatsenso mphamvu.

Madotolo amayenera kutsatira malangizo olowetsera Contrakal: osathamanga kuposa mamililita asanu pamphindi.

Milandu ya bongo ya Kontrikal yolembedwa. Koma ngati zoterezi zitachitika, ndiye kuti munthu akhoza kudwala kwambiri kapena kupweteka.

Ndizofunikira kudziwa kuti mankhwalawa kulibe, chifukwa chake, madokotala amakonda chithandizo cha mankhwala osokoneza bongo.

Momwe mungathanirane ndi ana a Contrakal

Chowonadi ndi chakuti mankhwalawa omwe angafunsidwe amatha kuikidwa ngakhale ali wakhanda. Chofunika kwambiri ndikuwonetsetsa kuchuluka kwa mankhwalawa omwe adokotala adapereka.

Pankhani ya ana, akudziwa kuti kuchuluka kwa mankhwalawa kwa tsiku ndi magawo 14,000 pa kilogalamu imodzi yakulemera kwa thupi.

Ngati mwana akulemera zoposa ma kilogalamu 5, ndiye kuti mankhwalawa amachitika muyezo wa akulu.

Momwe Contrical imalumikizirana ndi mankhwala ena

Mankhwala omwe amafunsidwa nthawi zambiri amawayikidwa limodzi ndi kapangidwe kamankhwala ena.

Izi zikusonyeza kuti katswiriyu ayenera kuganizira magwiridwe angapo amachitidwe awo:

Contrical sayenera kutumikiridwa ndi beta-lactam antibiotic ndi mayankho omwe ali ndi lipids, amino acid ndi dextran.
Wothandiziridwayo angalepheretse kugwira bwino ntchito kwa urokinase kapena streptokinase.
Ngati magazi a Contrical ndi heparinised akaperekedwe nthawi yomweyo, amatha kuvala nthawi yayitali.

Pofuna kupewa zovuta, ndikofunikira kuganizira malingaliro omwe mukuwonetsa musanagwiritse ntchito Contrakal.

Mitu ya mankhwalawa

Patsamba lamankhwala omwe amapezeka pali mankhwala osankhidwa - ma analogi ndi mankhwala osokoneza bongo omwe amafunsidwa.

Mankhwala osokoneza bongo - ma synonyms - awa ndi mankhwala omwe mankhwalawo ali ofanana ndi Contrikal, koma ali ndi zinthu zosiyanasiyana zogwira ntchito. Izi zikuphatikizapo Gordoks, Ingiprol.

Kukonzekera - ma analogues - mankhwala okhala ndi zosakaniza zofanana zofanana ndi Contrycal. Ali motere: Aprotex, Vero - Narcap.

Ngati mukufuna m'malo Contrical, kusankha kwa mankhwalawa kuyenera kuchitika kokha ndi katswiri woyenera.

Mtengo wa mankhwalawo womwe umafunsidwa umasiyanasiyana malinga ndi omwe angagulitsidwe.

Ndalama zomaliza zimachokera ku ruble 600 mpaka 900, zomwe zimapangitsa Kontrikal kupezeka m'magulu onse a anthu.

Kanema wothandiza

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.

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.

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.

Nthawi zambiri mukatha kudya, kusakhazikika kumamveka m'mimba. Pali malingaliro akuti ululu umalowa mthupi lonse. Ngati muli ndi zizindikiro zotere, simuyenera kupirira, onetsetsani kuti mwakumana ndi katswiri. Matenda ambiri am'mimba amatha kukhala ndi zizindikiro zotere, amodzi mwa iwo ndi kapamba.

Kodi chimayambitsa matendawa ndi chiyani?

Zoyambitsa matendawa:

kuperewera kwa chakudya
zopsinjika pafupipafupi
kusuta
uchidakwa
mavuto
kugwiritsa ntchito mankhwala a mahomoni
matenda a chiwindi
chilonda
poyizoni ndi poizoni.

Zonsezi pamwambapa zimasokoneza kapamba, zimachulukitsa chinsinsi cha msuzi wa kapamba.

Njira yopangira pancreatitis ndi kudzimbidwa. Ma Enzymes omwe amathandizira, edema imayamba, minofu ya kapamba imamwalira ndipo imasinthidwa.

Zizindikiro za matendawa

Musanayambe chithandizo cha pancreatitis ndi mankhwala kapena mothandizidwa ndi mankhwala azikhalidwe, muyenera kufunsa katswiri. Amazindikira za matendawa ndikuwapatsa mankhwala. Ngati zizindikiro zotsatirazi zikuchitika, simuyenera kuchedwetsa kupita kwa dokotala:

kupweteka kwambiri pamimba,
kupweteka kwa hypochondrium kumanja,
kupweteka m'mimba mwa m'mimba
ululu wowonda wazungulira thupi lonse,
kupweteka pachifuwa komanso pansi pa phewa lakumanzere,
kusanza
kutsegula m'mimba
kudzimbidwa
ukufalikira
m'mimba yolimba
kupuma movutikira
kuthamanga kwa magazi
kuchuluka kwa mtima
mawanga amdima angaoneke mu navel.

Wodwala akuyamba kulipira miniti iliyonse, ndi dokotala yekha yemwe angadziwe matenda a kapamba. Mapiritsi omwe amamulembera amathandizira kuukanso. Ngati sizotheka kupereka wodwala kuchipatala, onetsetsani kuti mukuyimbira ambulansi.

Kuzindikira matendawa

Simumvetsetsa zomwe zimayambitsa kupweteka, komwe kumatha maola ambiri. Kupatula apo, imakumangirirani "kuyambira kumutu mpaka kumapazi". Pano, simungathe kuchita popanda "chithandizo choyamba". Koma kuti mudziwe bwino, muyenera kufunsa katswiri. Zizindikiro za kapamba ndizoti zimatha kusokonezeka mosavuta ndi aimpso, matenda a mtima, angina pectoris. Ndikofunika kuyambitsa chithandizo cha pancreatitis ndi mankhwala kapena njira zina pokhapokha mutayesedwa kwathunthu.

Sipangotengera kuyesedwa chabe, muyenera kuyang'aniridwa ndi makina a ultrasound. Kuwonjezeka kwa kapamba ndi kusintha kwa kapangidwe kake kumaonekera bwino pazida.

Ndikovuta kwambiri kuzindikira matendawa, ndipo akatswiri okhawo ndi omwe angathane ndi vutoli.

Zakudya zoyenera

Chinthu choyambirira chomwe dokotala angakulangizeni atazindikira kuti ndi kapamba ndizakudya. Zinthu zambiri zomwe zimakhala ndi zowonjezera ndi ulusi zimayenera kusiyidwa. Amathandizira kukulitsa katulutsidwe wa chakudya cham'mimba ndipo amatsogolera pakuphuka. Chakudya cha kutupa kwa kapamba uyenera kukhala wowonjezera kalori, muzakudya ziyenera kukhala mapuloteni makumi asanu. Ndiye choti ndidye ndi kapamba?

Phala lophwaphidwa
steamed dzira omelette
nsomba zothimbidwa
nyama yofewa
skim mkaka,
oyera obera
wokondedwa

Kuchokera pamenyu muyenera kupatula kwathunthu: marinade, broths amphamvu. Monga mukuwonera, ngati mukukhudzidwa ndi kapamba, mapiritsi si njira yokhayo yomwe mungatulukire. Ndikofunikira kusintha zakudya zanu, kuwonjezera pazakudya zochepa zopatsa mphamvu, ziyenera kukhala zazing'ono komanso zochepa.

Mukafuna olowa

Nthendayi imatha kugwa ndimatenda angapo, odziwika kwambiri omwe ndi kapamba. Chomwe chimatchedwa ndondomeko yotupa kapamba. Monga lamulo, kutupa kumachitika chifukwa cha kutsekeka kwa ndulu ya chotupa chifukwa cha chotupa, miyala kapena mabala. Ma Enzymes a pancreatic juice, osakhala ndi malo ogulitsira, amayamba kuyatsidwa kale kapamba. Enzymes zimawononga minofu ya chiwalo, imachepetsa.

Kuchulukitsa kwa kapamba

Kuchulukitsa kwa kapamba kumadziwika chifukwa cha kuchuluka kwa matendawa. Wodwalayo amamva kupweteka kwambiri m'chigawo cha epigastric komanso m'chigawo chakumanzere chakumanzere. Ululu suchoka kwa nthawi yayitali. Kunyumba, kupweteka kwapweteka kumayendetsedwa ndi kugwiritsa ntchito opanda-shpas komanso kukhazikitsidwa kwa malo okhala ndi thupi logwedera kutsogolo ndi mawondo owakwezedwa pachifuwa.

Wodwalayo amayamba kunyansidwa kwambiri ndikusanza ndi zotsalira za chakudya ndi bile, zomwe sizibweretsa mpumulo utatha. Njirayi imayendetsedwa ndi flatulence, kutentha kwa mtima ndi chopondapo. Pali kuwonjezeka kwa kutentha kwa thupi, kuthamanga kwa magazi. Povutidwa kwambiri, wodwalayo amasintha ndipo amagwidwa ndi mantha.

Onani dokotala

Ngati zizindikiro za kuchuluka zikupezeka, pitani kuchipatala msanga. Zizindikiro zomwe zafotokozedwa pamwambapa zimadziwika kwambiri ndi matenda ena am'mimba. Dokotala amatha kudziwa moyenera komanso kudziwa zomwe zimayambitsa matenda. Ngati matendawa atsimikizika, dokotala wam'magazi amachotsa matenda a chifuwa cham'mimba, ndikuwapatsa chithandizo wodwala.

Kukhazikitsidwa kwa dontho la kapamba kumayendera pafupifupi njira zonse zochizira. Wotsitsa amapereka mankhwalawo mwachindunji pamwazi, kupewetsa kugaya chakudya, osakuwonjezera. Panthawi yovulaza kwambiri, chochitikacho chimakhala chinthu chofunikira, monga gawo la mankhwalawo, pothandizidwa mozungulira mbali imodzi, imawonjezera kuwukira.

Malangizo onse

Mu matenda osachiritsika panthawi yomwe akukhululukidwa, kuyendera gastroenterologist nthawi zonse kumayenera kuyesedwa ndikuwongolera matendawo, ndikutsatira zakudya. Pankhani ya mawonekedwe ochulukirachulukira, kuthandizidwa kuchipatala kumalimbikitsidwa, ndikupereka kuwunika konse kwa wodwala. Nthawi zina, kuchipatala sikutheka pazifukwa zina, dokotala amakupatsani mankhwala kunyumba. Njira zambiri zochizira zikuphatikiza malamulo:

Kupatula chakudya
Mtendere wathunthu
Kuzizira m'dera lodzala.

Kusala kudya kumayikidwa pakatha masiku atatu akuwonjezera. Masiku ano, amaloledwa kutenga mchere wopanda madzi, tiyi wopanda mphamvu ndi decoction yamtchire yamtchire. Zakudya zosankhidwa zimayambitsidwa m'thupi la wodwalayo kudzera pa probe, glucose amabwera ngati ma donels. Kenako pang'onopang'ono amayamba kuyambitsa chakudya.

Wodwala akuyenera kuwonetsetsa kuti akupumula komanso kugona. Izi zimachepetsa kuchuluka kwa magazi mu kapamba, amachepetsa kukwiya kwa ziwalo zathupi. Kutupa kumathandizira kuchotsa compress yozizira, nthawi zambiri amagwiritsa ntchito chopondapo ndi madzi ozizira, oikidwa m'malo opaka.

Kugwiritsa ntchito dontho

Wosiyidwa monga njira yoperekera mankhwala osokoneza bongo ndi michere imawululira zokayikitsa popanda kuyerekezera ndi njira zina. Wotsitsa amatanthauza njira ya jekeseni wamitsempha, amaperekera mwachindunji magazi, kuti mankhwalawo ayambe kugwira ntchito nthawi yomweyo. Zachidziwikire, njira yamtunduwu imakhala ndi zovuta:

Mwayi wopatsirana,
Momwe mpweya umalowera m'mitsempha,
Kuchepa kwa mankhwalawa kulowa mu zofewa.

Njirayi nthawi zina imatenga nthawi yayitali ndipo imakhala yosasangalatsa kwa wodwalayo. Koma maubwino a ma pancreatitis a pancreatitis ndiwotsimikizika ndikuthana ndi zovuta zomwe zingachitike.

Udindo wa oponya mankhwala

Madontho a kapamba amatenga gawo lalikulu pakuchiza matendawa. Amapereka mankhwala mwachangu komanso moyenera thupi la wodwalayo. Njira yake sikukulitsa njira yotupa mu kapamba. Ndikofunikira kumvetsetsa mwatsatanetsatane omwe omwe akutsikira amaperekedwa chifukwa cha kapamba. Monga lamulo, otsikira amagwiritsa ntchito mitundu itatu:

Ophera. Amathandizira kuchepetsa kugwedezeka kwa ululu, nthawi zambiri kumakhala koyenda ndi kapamba. Ndikofunikira kuti muchepetse kupweteka kwakanthawi posachedwa, chifukwa chake, dontho lokhala ndi mankhwala osokoneza bongo limayikidwa mutangozindikira.
Otsitsa-odana ndi kutupa amapatsidwa odwala omwe ali ndi chithandizo chamankhwala, kuyang'anira okhazikika kwa akatswiri ndikofunikira pano. Chinsinsi chake ndikumachotsa zotupa ndikuchepetsa kutukusira kwa minofu ya pancreatic.
Othandizira oponya amafunikira kuti thupi lisafe ndi njala. Pakuchulukirachulukira kwa njira yotupa, wodwalayo amaletsedwa kudya chakudya.

Mankhwala ogwiritsidwa ntchito

Kutengera ndi kuchuluka kwa kupweteka kwa omwe amasiya kupweteka, mankhwala a mphamvu zosiyanasiyana amagwiritsidwa ntchito. Antispasmodics (papaverine, no-spa ndi ena), ma analgesics (acetamiphene, pentalgin ndi ena) amagwiritsidwa ntchito kupweteka pang'ono. Nthawi zambiri, awa amagwiritsidwa ntchito pochiza matenda enaake. Pakuchulukana, ma dontho omwe ali ndi mankhwala amphamvu amapatsidwa. Monga antispasmodic - aminophylline, diuretics (furosemide) amagwiritsidwa ntchito pothandiza kutupa kwa minofu. Otsitsira amaphatikizapo novocaine ndi m'malo mwa somatostatin. Mankhwala a narcotic othandizira kupweteka amagwiritsidwa ntchito pakuwomba kwambiri.

Wothandizirana ndi anti-kutupa ndi paracetamol. Ndikofunikira kumvetsetsa kuti dokotala amatipatsa mankhwala omwe angayambitse kutupa. Kamangidwe ka odana ndi kutupa dontho kamapangidwa pamaziko a zinthu zambiri:

M'badwo wodwala
Zomwe zimachulukitsa,
Kukhalapo kwa matenda ena
Zolemba zamatenda.

Zomwe zimapangidwira wokonzera dontho la kapamba limaphatikizapo shuga ndi mchere. Mlingo ndi kuchuluka kwa omwe akutsikira ndiye mankhwala. Zimatengera kuchuluka ndi kutupa, machitidwe a thupi la wodwalayo. Chithandizo choyenera komanso chothandiza sichingatheke popanda thandizo la katswiri woyenera. Kudzichitira pancreatitis kumakulitsa matendawa ndikupangitsa kuti kuvulaza thupi.

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu:

Kufunika kwa dontho ndi njira yotupa m'matumbo

Kulowetsedwa mkati mwa mankhwala kumakhala ndi zabwino zambiri. Pakati pawo pali kulowererapo mwachangu kwa mankhwala m'magazi. Izi zimapereka chitsimikizo kuti mankhwalawo ayamba nthawi yomweyo kuchotsa ziphuphu za wodwala. Popeza ndi pancreatitis muyenera kuchitapo kanthu mwachangu, apo ayi ziwalo zina zitha kudwala, matenda oyipa - matenda a shuga - amapezeka.

Njira izi pochiza wodwala zimaperekanso:

pomwe mankhwala obayidwa
Mphamvu ya mankhwala,
chimbudzi chokwanira, kuphatikiza chodwala,
kusunga mankhwala mthupi, mosiyana ndi njira zina zamankhwala
thandizo lamthupi
Kuchotsa kuledzera.

Kodi wodwalayo amafunafuna kapamba?

Pali mitundu ingapo ya ma dontho omwe amaperekedwa chifukwa cha kapamba. Iliyonse ya njirazi imakhala ndi cholinga komanso ntchito (kupweteka kwapweteka, mphamvu ya antienzyme, kukonza thupi).

Pali mitundu itatu yayikulu ya kulowetsedwa kwa mtsempha.

Kupeza mpumulo

Wodwala pancreatitis amamva ululu. Mu gawo loyamba, ndilamphamvu kwambiri komanso limatha kupweteka. Kugwedezeka kwapweteka kumatha kusokoneza dongosolo lamtima. Chifukwa chake, kuvutika kowawa kuyenera kuthetsedweratu.

Wodwala sayenera kudziyamwa yekha dokotala asanafike, chifukwa mayeso a mayeso amatha kupotozedwa. Dokotala akadzakhazikitsa matendawa, wodwalayo amapatsidwa njira za analgesic zothandizira kuchepetsa ululu, kupewa kupweteka. Amathandizira pang'onopang'ono kuchulukana ndikulepheretsa zovuta kuti zisakule.

Kuti athetse kukula kwa njira yotupa

Pazakudya zomwe zili ndi matendawa, ma enzyme a pancreatic amatulutsidwa. Kuphatikiza apo, ndizovuta kuzichotsa m'thupi, ndipo zodwalitsa zimayenera kuperekedwa ndi kutulutsa kokwanira.

Chifukwa chake, adotolo amafufuza wodwala wodwala omwe amawachotsa. Amapangitsa kuti achepetse kapamba, kuchepetsa kutupika, kuchepetsa kutupira, kusintha ntchito, kusintha maselo a chakudya, komanso zoletsa kupanga ma enzyme.

Wodwala yemwe amapezeka koyamba ndi kapamba amamulembera mankhwala oopsa, mosiyana ndi omwe abwerera m'mbuyo. Njira izi zimachitika pokhapokha atazindikira matendawa. Mankhwala akangoyamba kumene, zotsatira zake zimakhala zochepa. Amapangidwa kuchipatala okha. Wotsutsa-kutupa dontho la kapamba kunyumba saloledwa.

M'masiku awiri oyamba, Mlingo wa mankhwalawa ukhoza kutumizidwa pazokwanira, ndiye kuti umakhala wofanana. Mukakhazikitsa dongosolo, ndikofunikira kukonzekera kuwonekera kwa zoyipa, chifukwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwala zimalowa nthawi yomweyo m'magazi a wodwala.

Kuti mukhale ndi thupi

Chithandizo chachikulu cha kapamba ndi kugunda kwamvuto, komwe kumatha kutenga masiku angapo. Popanda chakudya, madzi, simungathe kusiya thupi kwa nthawi yayitali. Pankhaniyi, wodwalayo ndi mankhwala akukonza okonza.

Kubwezeretsa kulimba kwa thupi, kubwezeretsani mulingo wamadzi, monosaccharides, shuga amayamba. Popewa kusowa kwamadzi, sinthani madziwo, gwiritsani ntchito mchere. Njira zothandizira zimapereka chithandizo chamankhwala mwachangu kwambiri, osasokoneza njira yogaya chakudya ya wodwala.

Mavitamini ndi mankhwala olimbitsa thupi amakhalanso ndi jakisoni kuti athandizire thupi. Wodwalayo amatha kuwaika kunyumba. Koma chokonza chowongolera kapamba chimachitika kokha kuchipatala. Simungathe kuzichita kunyumba. Wodwala ayenera kuyang'aniridwa ndi madokotala. Kuphatikiza apo, chipatalachi chimakhala ndi zida zomwe zimapangitsa kuti muzitha kuwona ngakhale zosintha zazing'ono kwambiri.

Pambuyo pa masiku 4 - 5, wodwalayo amaloledwa kudya zakudya zotentha komanso zamafuta ochepa (broths, crackers, mkaka wowawasa).

Mankhwala oponyera dontho la kutupa kwa pancreatic

Dzina la dontho la kapamba, mankhwala awo amatsimikiziridwa ndi adokotala okha. Odwala sangathe kuthandizidwa pawokha, chifukwa mankhwala omwe amadzilimbitsa okha amatha kukulitsa matendawa ndikuwadzetsa zovuta zambiri.

Mapangidwe a dontho amatengera kuopsa kwa kapamba ndipo amasankhidwa payekhapayekha.

Mu kapangidwe ka dontho la kapamba ndi kapamba, pamakhala ma antibacterial othandizira kupewa zoyipa zomwe zimakhudzana ndi ziwalo zina. Komabe, nthawi zambiri mankhwalawa akukwanira odana ndi kutupa ndi mankhwala a analgesic.

Pofuna kupewa matenda, zovuta za purulent za kutupa kwa kapamba, adotolo amatipatsa mankhwala a fluoroquinolones (Ciprofloxacin, Ofloxacin).

Kuchepetsa katulutsidwe ka michere ya chiwalo, mankhwala a Sandostatin amagwiritsidwa ntchito. Chifukwa cha gawo ili, kumasulidwa kwa ma enzymes ndi timadziti timayimitsidwa. Mu gawo lodana kwambiri ndi kutupa kwa gland, mankhwalawa amalola kuti muchepetse kupweteka, amachepetsa kuwoneka kwa zovuta. Chida ichi chimaphatikizidwa mu saline, ndipo mlingo umawerengeredwa ndi adokotala.

Chida chofunikira kwambiri chopewera ntchito za ma enzymes ndi Contrical. Pancreatitis dontho lokhala ndi zigawo zina za mankhwalawa limaletsa ntchito ya trypsin ndi chymotrypsin.

Mankhwala Omeprazole kapena Pantoprazole wochotsa pancreatitis amalembedwa kuti achepetse acidity yam'mimba. Kapangidwe kamankhwala awa ndizosiyana, koma mfundo zake ndizofanana. Mlingo wa mankhwalawa amasankhidwa ndi dokotala. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito Mlingo wa 40 mg patsiku.

Ma painkiller otsitsira pancreatitis ndi awa: No-shpu, Papaverin, Drotaverin ndi ena omwe ali ndi fanizo. Amatha kukhala ndi mankhwala ochotsa kuledzera - Hemodez, Polydez.