Mapiritsi Othandizira A kapamba

Kapamba, mankhwalawa omwe amalembedwa ndi katswiri wazovuta, amagwira ntchito zosiyanasiyana. Mwa zazikulu, kakulidwe ka ma enzyme omwe amalimbikitsa kuyamwa kwa chakudya, mapuloteni ndi mafuta ayenera kudziwika. Kuphatikiza apo, thupi limatulutsa insulini, kuchepa kwake komwe kumatha kuyambitsa matenda ashuga. Pali matenda osiyanasiyana a kapamba. Mulinso zotupa zosiyanasiyana: gastrinoma, insulin ndi ena. Pancreatitis ndi matenda ena otchuka a kapamba. Chithandizo cha pathologies sichimangotengera kumwa mankhwala. Zofunikanso monga kusunga kwa chakudya. Acute pancreatitis ndi kutupa komwe kwayamba kwambiri. Zina mwazifukwa zazikulu zakutukuka kwake zimayenera kutchedwa uchidakwa, kusowa kwa zakudya m'thupi. Kuphatikiza apo, matenda am'mimba amatha kukhala zovuta za chifuwa, chimfine kapena zilonda zapakhosi. Pancreatitis imayendera limodzi ndi zowawa, zomwe zimatha kukhala zamtundu wa zoster. Amapangidwa makamaka m'dera la hypochondrium ndi epigastric. Ndi vuto lalikulu, kukoka kwake ndi kupsinjika kumachepa, kusanza kumachitika. Panthawi imeneyi, wodwala amafunikira kuchipatala mwachangu.

Njira zochizira pancreatitis

Zikondwererozo zikamayaka kwambiri, mankhwala okhala ndi mapiritsi satha. Kuti muchepetse vutoli, mankhwala amaperekedwa kudzera m'mitsempha. Wodwalayo amalandiranso michere ya makolo, popeza kulandila kumakhala kovuta. Pakati pa mankhwala omwe amagwiritsidwa ntchito kuti athetse vuto lodana kwambiri, ndikofunikira kutchula njira monga Contrical (kutumikiridwa nthawi yomweyo, kamodzi pa mlingo wa magawo 10 mpaka 60,000), Pantripin, Gordoks. Mankhwalawa onse ndi othandizira a antienzyme. Kapangidwe ka zochita zawo kumatengera zoletsa za ntchito za ma protein (chymotrypsin, trypsin ndi ena). Ziyenera kunenedwa kuti mankhwalawa amathanso kuyambitsa mavuto osiyanasiyana, motero amawayikidwa limodzi ndi antihistamines.

Ndi mapiritsi ati a kapamba nthawi zambiri omwe amaperekedwa?

Kukonzekera kwaantacid sikofunikira kwenikweni pa mankhwalawa kapamba. Ntchito yawo ndikuyipitsa kapena kumanga hydrochloric acid, kupewa kuti ipangidwe. Komabe, kuzitenga padera kuchokera kubisalira zoletsa sizikulimbikitsidwa. Chithandizo cha kapamba ndi mapiritsi a Maalox ndizofala kwambiri. Monga antacid, mankhwalawa "Ranitidine" amagwiritsidwa ntchito. Mankhwala monga Spazgan, No-shpa, Diclofenac, Papaverine ndi mapiritsi ena a ululu wa kapamba amadziwika ngati adjuvants. Amangochepetsa mkhalidwe wa odwala.

Mankhwala "Maalox"

Zikondazo zikapsa, chithandizo ndi mapiritsi chimalimbikitsidwa atachotsa matenda oopsa. Kuphatikizika "Maalox" kumakhala ndi zovuta za magnesium hydroxide ndi aluminium. Izi zimapereka chitetezo, zimawonetsa kukhudzika. Mankhwalawa ali ndi katundu woyamwa, wovuta komanso wokuta. Imwani mankhwalawa mutatha kudya, pambuyo pa ola limodzi ndi theka. Mankhwalawa amasungidwa mkamwa mpaka atayambiranso.

Mwa zina mwazovuta zomwe amamwa mankhwala a "Maalox", kuchepa kwa magazi m'thupi ndi kuwonongeka kwa impso kuyenera kuzindikirika. Kuchiza kwanthaŵi yayitali kwa kapamba wokhala ndi mapiritsi a Maalox kungayambitse kuchepa kwa phosphorous m'thupi. Izi ziyenera kukumbukiridwa.

Kutanthauza "No-spa"

Zikondwerero zikayamba kuvuta, chithandizo ndi mapiritsi chimayikidwa ndi katswiri. Monga tanenera kale pamwambapa, kuwonjezera pa mankhwala oyambira, ndalama zowonjezereka zimalimbikitsidwa. Ntchito yawo ndikuchotsa kuphipha ndi kupweteka. Chimodzi mwa mankhwala otchuka a antispasmodic ndi No-shpa. Zomwe zimagwiritsidwa ntchito ndi drotaverine hydrochloride. Mankhwalawa amathetsa kukokana, amachepetsa kukula kwa ululu. Mlingo wa tsiku ndi tsiku wa akulu ndi mamilimita 120-240, wogawidwa pawiri kapena katatu. Kutalika kwa ntchito - zosaposa masiku 1-2.

Ngati ndi kotheka, nthawi yayitali ayenera kufunsa katswiri.

Mankhwala ena a kapamba

Akatswiri amati, ngakhale patakhala kuti matendawa alibe matenda, akhoza kutsatana ndi zotupa za bakiteriya. Pano, chithandizo cha kapamba ndi mapiritsi okhala ndi mitundu yambiri ya antibayotiki ndi mankhwala. Makamaka, mankhwalawa amaphatikizapo Ampicillin, Tobramycin, Carbenicillin. Limagwirira ntchito ya mankhwalawa zachokera zoletsa ntchito za tizilombo tating'onoting'ono tokhala tcheru. Asanapereke mankhwala awa, kafukufuku wapadera wa labotale amachitidwa. Zimakupatsani mwayi kudziwa mtundu komanso kuchuluka kwa chidwi cha mabakiteriya.

Kutanthauza "Ampicillin". Kufotokozera kwapfupi

Mankhwala ndi a gulu la semisynthetic penicillin. Zochita zake zimakhazikitsidwa pakutha kupondereza kuphatikizika kwa khoma la khungu la bakiteriya. Chipangizocho chili ndi mphamvu yolimbana ndi tizilombo tosiyanasiyana tating'onoting'ono tating'onoting'ono tating'ono, kupatula tomwe timatulutsa penicillinase. Mlingo wa mankhwalawa umayikidwa payekha, molingana ndi kuopsa kwa zizindikiro ndi kulolera kwa wodwala.

Mwa contraindication amatchedwa lymphocytic leukemia, hypersensitivity, kuphwanya chiwindi ntchito. Mankhwalawa amayambitsa zovuta zingapo, zomwe zimakonda kwambiri.

Katundu wa enzyme

Pankhani ya kuchepa kwa ntchito ya exocrine ya gland, akatswiri amalimbikitsa mankhwala omwe ali ndi pancreatin. Kulandila ndalama zotere kumatha nthawi yayitali. Mlingo umayikidwa payekha. Mankhwalawa, makamaka, amaphatikizapo "Festal". Ziyenera kunenedwa kuti mankhwalawa amapatsidwa mankhwala apakhungu a kapamba. Kuchulukitsa kwa matenda kapena mawonekedwe ake owopsa ndi kuphwanya. Pankhaniyi, kulandila ndalama kuyenera kuchitika mosamalitsa malinga ndi malangizo a dokotala.

Mankhwala "Festal". Malangizo achidule: zofunikira

Mankhwala, monga tafotokozera pamwambapa, pancreatin ilipo. Pulogalamuyi ili ndi ma enzyme angapo omwe amathandizira kuti ntchito ya pancreatic ikhale yachilengedwe. Makamaka, lipase, amylase ndi proteinase zilipo. Zimayendetsa chimbudzi cha mapuloteni ndi zakudya zamafuta. Izi, zimathandizira kuyamwa kwawo mwachangu komanso kokwanira m'matumbo ang'onoang'ono. Enzyme ya hemicellulase, yomwe ilinso mu mankhwalawa, imathandizira pakuwonongeka kwachilengedwe kwa fiber.

Chifukwa cha izi, njira ya m'mimba imagaya bwino, kapangidwe ka mpweya m'matumbo amachepa. Mankhwalawa amakhalanso ndi choleretic, omwe amathandizira emulsia yamafuta ndikuwonjezera kuyamwa kwawo. Mankhwala "Festal" amalimbikitsidwa atangodya. Akuluakulu amalimbikitsidwa katatu patsiku kwa mapiritsi a 1-2. Ngati ndi kotheka, kumwa Mlingo wapamwamba muyenera kufunsa dokotala. Chithandizo cha kapamba ndi mapiritsi a Festal amatha masiku angapo, miyezi, ngakhale zaka (poika mankhwala othandizira). Mankhwala ayenera kuyang'aniridwa ndi katswiri.

Tumor pathologies. Chithandizo

Zotupa za pancreatic ndimapangidwe a mahomoni. Amatha kukhala oopsa kapena owopsa. Kuzindikira kwa pathologies kumachitika ndi computer tomography kapena ultrasound. Chithandizo cha kapamba ndi mapiritsi awa sizothandiza. Monga lamulo, mankhwala amaikidwa kuti athetse kukomoka, kuthetsa vutoli. Njira zazikulu zochotsera matenda ndi kuyambitsa maopaleshoni.

Kodi pali mankhwala osokoneza bongo a kapamba?

Anthu ambiri amayesa kupewa kumwa mankhwala othandizira, makamaka kukonzekera kwachilengedwe, mankhwala azitsamba. Makamaka, monga momwe tikulimbikitsira, mwachitsanzo, mankhwala azikhalidwe, phula ndi wotchuka kwambiri. Ili ndi kuchuluka kwa zinthu zambiri zogwiritsa ntchito pakachilengedwe, mankhwala achilengedwe, mavitamini. Kuphatikiza apo, phula limakhala ndi kufufuza zinthu ndi mchere wofunikira m'thupi. Chipangizocho chimakhala ndi phindu pazochitika zambiri zamthupi, chimathandizira kukhazikika kwa ziwalo zamkati, makamaka, zimathandizira kugwira ntchito kwa kapamba. Ndi bwino kudya pafupifupi magalamu atatu a phula katatu patsiku musanadye. Iyenera kutafunidwa bwino.

Zosagwiranso ntchito kwambiri ndizo mafuta. A decoction amakonzekereratu. Kuti muchite izi, 250 g yaiwisi amathiridwa ndi theka la madzi. Kwa maola khumi, osakaniza amapaka. Kenako, kulowetsedwa kumawiritsa kwa theka la ola. Msuzi womwe unayambitsidwa umaloledwa kulowerera m'malo amdima, otentha. Pambuyo maola asanu ndi limodzi, iyenera kusefedwa ndi kuwonjezeredwa ku thanki yamadzi kuti voliyumu ndi lita imodzi. Hafu ya ola limodzi asanadye, msuzi umatengedwa pa 7 tbsp. l kangapo patsiku. Nthawi yayitali ya masabata pafupifupi awiri. Zothandiza pa kapamba ndi uchi. Ndikulimbikitsidwa kuti muzidya supuni musanadye. Ndi kutupa, madzi a mbatata amathandiza. Ma peeled tubers amayikidwa mu juicer. Mankhwala aledzera 100 magalamu asanadye pa ola limodzi. Pa nthawi yoyembekezera, mankhwala ndi osafunika kwenikweni. Ngati pali zakusokoneza mu ntchito ya kapamba panthawi ya kubereka, njira yayikulu yothandizira ndikutsatira zakudya zapadera, zomwe zimasankhidwa ndi katswiri wazakudya.

Pomwe mumamwa mapiritsi

Zikondamoyo zimayankha nkhawa, kuperewera kwa chakudya, mowa (makamaka zakumwa zozama), kutopa konse. Imakhala yoyaka, pomwe ikukula kwambiri. Popeza kuyandikana kwa thupi la kapamba ndi chiwindi, kuphwanya magazi kumakhudza magwiridwe onse a ziwalo. Minyewa yomwe ikukulidwa imakanikizira chiwindi, kusokoneza kayendedwe ka metabolic, kuphatikizapo katulutsidwe ka bile.

Kukula kwakukulu komwe chitsulo chobowolacho kumatenga kumachitika chifukwa cha mphamvu yake yopanga ma enzymes ofunikira pokonza chakudya chamadyedwe ndikuyamwa kwina mu chimbudzi.

Kutengera izi, zikuwonekeratu kuti kapamba ndi wofunikira bwanji mthupi la munthu. Chifukwa chake, ayenera kuthandizidwa mosachedwa, komanso osaganizira kuti matendawa atha pakokha. M'malo mwake, matendawa amatha kutenga mawonekedwe osakhazikika, odwala kwa odwala.

Tisanakambirane momwe tingabwezeretsere kapamba, timaganizira za matendawa. Zizindikiro zotsatirazi ndi chizindikiro kuti nthawi yakumwa mapiritsi:

• kusowa kwa chakudya
• kusanza
• kutsegula m'mimba
• kufooka wamba.

Chizindikiro chachikulu chomwe kapamba amafunikira thandizo mwanjira ya mankhwalawa ndikuyambitsa kupweteka kwa hypochondrium yamanzere. Amalimbikitsidwa ndikamadya zakudya zamafuta, zakudya yokazinga, zakudya zonunkhira komanso mowa.

Zikondamoyo zimakonda kumwa mowa

Zowawa zimatha kugwedezeka kapena kupezekapo pafupipafupi (komwe kumatchedwa kupweteketsa). Zimatengera zakudya zomwe munthu amadya, komanso momwe zikondamoyo zake zinaipira chifukwa cha izi.

Akatswiri amati pancreatitis yosatha, ululu womwe umayamba chifukwa cha kutupa kwa minofu kumakhala kosalekeza. Kupezeka kwake kumakwiyitsidwa ndi chakudya chilichonse, kusanza ndi kutsekula m'mimba kumayamba maola angapo mutatha kudya.

Matenda a chithokomiro amayenera kuthandizidwa nthawi yomweyo, kupewa kuti asadutse komanso asadutse kwambiri. Kuti muchite izi, chotsani zotupa potenga mapiritsi oyenera. Tikambirana pansipa kuti ndi mankhwala ati omwe angathandize kuthana ndi matendawa.

Ndi mapiritsi ati omwe amalimbikitsidwa pochotsa ziphuphu

Ndi zizindikiro zomwe zili pamwambapa, munthu ayenera kufunsa dokotala nthawi yomweyo kuti akuuzeni malangizo. Koma pali zochitika zina pomwe sing'anga sayandikira, ndipo mankhwalawo ayenera kugwiritsidwa ntchito posachedwa. Kuti muchite izi, mutha kulumikizana ndi mankhwala omwe ali pafupi, komwe ogulitsa pali pafupifupi mankhwala onse ofunikira.

Mphamvu ya mankhwala yotupa ya kapamba ndi chiwindi imagawidwa m'magawo awiri:

• Kuchepetsa kuphipha
• kubwezeretsa ntchito ya thupi.

Ngati mukupweteka kwambiri, kumayambira kumayambiriro kwa matendawa, muthane ndi antispasmodic, mwachitsanzo, mankhwala Drotaverin, No-Shpa ndi Palibe Shpa Forte. Amatsitsimutsa minofu ndikufulumizitsa kuchotsedwa kwa kuphipha.

Mlingo wololedwa motere:

• Drotaverin kapena No-Shpa - mapiritsi 2,
• No-Shpa Forte - piritsi 1.

Komanso, analgesic, mwachitsanzo, amathandiza pa matenda a matenda oopsa a kutupa kwa kapamba. Paracetamol kapena Aspirin. Idzachepetsa ululu ndikupatseni mwayi wokhala kuchipatala kapena paramedic point.

Pankhaniyi, mankhwala monga Tylenol ndi sulfonamidesyomwe imayambitsa chiwindi ndi poyizoni. Yotsirizirayi ili kale ndi zotupa zolimba, choncho simuyenera kuzinyamula kuwonjezera.

Kuphatikiza pa mankhwalawa, maantibayotiki amaikidwa ndi dokotala malinga ndi zotsatira za kuyesedwa ndi kusanthula kwa mayesowo. Amasankhidwa payekha pamunthu aliyense, poganizira kulolerana komanso kupezeka kwa zovuta zina.

Maantibayotiki monga Ceftriaxone, zofunikira kuti tiletse chiyambi cha kufooka kwa minofu ndikusunthira kwakenso kufikira pakuwonongeka. Zimayamba chifukwa cha zovuta zomwe michere imapangidwa ndi kapamba. Gawo lotsatira likhoza kukhala kufa (necrosis) kwamatenda ndi matenda amthupi chifukwa cha zinthu zowola (sepsis).

Koma maantibayotiki, monga njira zina, amalembedwa ndi dokotala, sibwino kuti muzisankha nokha.

Chithandizo cha Pancreatic

Momwe mungathandizire zikondamoyo? Popeza wachotsa vuto la kupweteka ndi kuwona zoletsa pazakudya, wodwalayo amayamba kumwa mankhwala omwe amathandizira kupanga ma enzymes apadera. Zimafunikira kuti zithandizire kugaya chakudya komanso kulimbitsa ziwalo zake ndi thupi.

Kubwezeretsa pancreatic kumatha kuyamba Festala. Mapiritsi awa ali pafupi ndi mankhwala aliwonse. Kuphatikizika kwa mankhwalawa kumaphatikizapo zinthu zomwe zimathandizira kugaya chakudya ndikuchotsanso katundu ku gland ndi ziwalo zina zomwe zimakhudzidwa. Mlingo wa mankhwalawa nthawi zambiri amawonetsedwa ndi malangizo omwe akuphatikizana.

Mankhwala omwe amatchulidwa ndi Pancreatin. Mankhwalawa ndi enzyme, imakhala ndi zinthu zomwe zimathandiza ziwalo zamkati kuyamwa mapuloteni, zakudya zamafuta ndi mafuta omwe amatulutsidwa pakudya.

Kuchuluka kwa matendawa omwe amadya kawirikawiri ndi chakudya kumatengera kuopsa kwa matendawa komanso kutalika kwa matendawa. Njira ya kumwa mankhwalawa zimatengera izi. Mapiritsi aledzera kuyambira sabata limodzi mpaka mwezi umodzi. Ndikofunika kudziwa kuti kutenga Pancreatin kumalumikizidwa bwino ndi dokotala.

Mankhwala amakhudzanso chimodzimodzi. Mezim ndi Chiboni, zomwe zimathandizanso kuyamwa kwa chakudya komanso kuthetsa kupsinjika kwa kapamba. Mlingo wawo ungapezeke muzomwe zaphatikizidwa.

Mapiritsi onse omwe atchulidwa pamwambapa amathandizira kuti thupi lizilimbike lokha.Ndipo monga mankhwala aliwonse, amatha kuyambitsa mavuto. Mphamvu ndi nthawi yake zimadalira kulekerera kwapazinthu zomwe zimapanga mankhwala.

Akatswiri amazindikira kuti ndalamazi zimakhudza thupi kwambiri, chifukwa chake simuyenera kuzunza. Mankhwalawa chifukwa cha kutupa kwa kapamba, sizingatheke kuti muchotse matendawa mwachangu ndi mapiritsi ogwedeza. Izi zitha kungodzivulaza.

Chifukwa chake, ndikulimbikitsidwa kwambiri kuti mupite kwa dokotala pachiwonetsero choyamba cha matenda ndikupeza upangiri kuchokera kwa iye, kuphatikizapo kumwa mankhwala.

Momwe mungapangitsire kusintha kwa mapiritsi

Kuyankhula za momwe mungabwezeretsere kapamba mothandizidwa ndi mankhwala, mawu ochepa ayenera kunenedwa za momwe mungapangire kusintha kwa mankhwala.

Pakuwopsa kwambiri, ndibwino kukana chakudya cha tsiku limodzi

Pakuwopsa kwambiri, ndibwino kukana chakudya chilichonse chatsiku limodzi ndikungomwa madzi osakhala ndi kaboni. Izi zimathandizira kuthetsa kutupira. M'masiku atatu otsatirawa, muyenera kudya zakudya zosavuta, zomwe zimapezeka m'mimba, mwachitsanzo, oatmeal. Kudzimbidwa kwake motsutsana ndi mapiritsi omwe atengedwa kudzadutsa mosavuta, popanda mavuto ndi michere.

Popeza mwachotsa kuukira ndikuganiza zamankhwala mothandizidwa ndi madokotala, muyenera kupitiliza kudya. Pakadali pano, zakumwa zoledzeretsa, zamafuta ndi zonunkhira, zakudya yokazinga, pasitirosi ya tirigu, ndi mkate watsopano sizoletsedwa. Pazonse, zinthu zonse zomwe zimafunikira kuyesayesa kuchokera m'thupi la wodwalayo kuti zigaye komanso kuti mukhale.

Zosankha zake zizikhala ndi msuzi wowoneka bwino wamasamba, chimanga, nyama yophika pang'ono yophika. Nthawi zina, mutha kugwiritsa ntchito mkaka wopanda mafuta pang'ono. Mkate umatha kudyedwa dzulo, kuthetsa ma muffin ndi maswiti.

Pamodzi ndi kumwa mapiritsi, madokotala amapereka chithandizo kwa odwala. Kuphatikizika kwa njirazi kumathandizira kukhazikitsa ma enzyme ndikuwongolera zochita za kapamba. Ngati matendawa ayamba, muyenera kupita kuchipatala kukalandira chithandizo chokwanira ndikuchira.

Muyenera kudziwa kuti ngakhale mutamwa mapiritsi simuyenera kuwonjezera mlingo, mukuphwanya malangizowo. Ndipo mwa mwayi woyamba, wodwalayo ayenera kupita kuchipatala kuti akalandire malangizo kuchokera kwa katswiri. Dokotala amakulemberani mankhwala ndikusankha mulingo woyenera, womwe ungakuthandizeni kuchira mwachangu.

Mankhwala a kapamba

Mu chithunzi cha matenda apathengo, nthawi yoyamba (mpaka zaka 10) ndi nthawi ya exocrine insuffuffing imasiyanitsidwa. Mu nthawi yoyambirira, wodwalayo amadandaula kwambiri pamimba, yomwe imatha kukhala mwamphamvu komanso kutulutsa kwina, amakhala ndi vuto la kukomoka kwa mtima (kutentha kwa mtima, nseru, belching, anorexia).

Munthawi ya kuperewera kwa procrine, dyspepsia imayamba kugwiritsidwa ntchito, pomwe vuto la ululu silitha kutchulidwa kapena kusakhalapo. Poyerekeza ndi kusowa kwa kudya komanso kulephera kudya zakudya, kupatsirana kwa malabsorption kumayamba. Kutengera ndi gawo la matendawa, chipatala, concomitant pathologies, adokotala amawona kuti ndi mankhwala ati omwe amayenera kuphatikizidwa mu regimen yothandizira.

Mankhwala odziwika, omwe:

• kuthetsa ululu
• pangani mtendere wogwira ntchito mthupi,
• sinthani ntchito zachinsinsi za kapamba,
• zolondola zowoneka bwino za kutuwa,
• sinthani kagayidwe kazakudya,
• kukonza malabsorption.

Malangizo a Zopweteka

Ndizotheka kuchepetsa ululu wamatumbo a pancreatitis mwakuwona chakudya, kupatula mowa ndi kusuta, kugwiritsa ntchito mankhwala omwe si a narcotic, antispasmodics, polyenzyme kukonzekera ndi othandizira omwe amachepetsa kuchuluka kwa hydrochloric acid mu madzi a m'mimba.

Nthawi zambiri amalimbikitsidwa kumwa Paracetamol chifukwa cha ululu, chifukwa imakhala ndi vuto losautsa m'matumbo ndipo imathandizanso kupweteka, koma ndi hepatotoxic, chifukwa chake iyenera kutengedwa mosamala vuto la matenda a chiwindi. Kuti muchepetse kupweteka, makonzedwe a intramuscular 50% Analgin solution ndi 2% Papaverine kapena Baralgin yankho ndi kuphatikiza antihistamines akhoza kukhazikitsidwa.

Pambuyo kuchepetsa kupweteka kwam'mimba, antispasmodics ndi mankhwala. Gulu ili la mankhwalawa limamasulira kupindika kwa minofu yolumikizira ndulu, imatsitsimutsa kupindika kwa Oddi, kotero kuti ma enzyme apachifukwachi amatha kusiya thupi ndikulowa duodenum.

Mankhwala a Antispasmodic ndi awa:

• Mebeverin. Nthawi zambiri, 100 mg amadziwika 4 kapena tsiku kapena 135 mg katatu patsiku. Muyenera kumwa mapiritsi mphindi 20 musanadye. Mukakwaniritsa zotsatira zachipatala, mlingo uyenera kuchepetsedwa pang'onopang'ono milungu ingapo. Mankhwalawa amalembera ana opitirira zaka 12. Munthawi yamankhwala, simungayendetse magalimoto kapena kuchita zinthu zofunika kuchitapo kanthu mwachangu.
• Ayi-Shpa. Zomwe zimagwiritsidwa ntchito ndi drotaverine hydrochloride. Ma 1.5 mapiritsi amaperekedwa patsiku. Kwa ana opitirira zaka zopitilira 6, mlingo umodzi suyenera kupitilira 0,5 mapiritsi. Mankhwalawa amaperekedwa popanda kulandira mankhwala.
• Drotaverinum. Zitha kutumizidwa kwa ana kuyambira chaka chimodzi. Akuluakulu amalimbikitsidwa kumwa mapiritsi a 1-2 katatu patsiku, kwa ana kuyambira chaka chimodzi mpaka zaka 6, kotala kapena theka la piritsi (mpaka mapiritsi atatu patsiku). Gawo lothandiza la lactose, chifukwa chake, mankhwalawa saikidwa kwa anthu omwe ali ndi vuto la lactase. Kugulitsa OTC,
• Papaverine. Mankhwala a 40-60 mg 3-5 kawiri pa tsiku. Mankhwala amapezeka pamapiritsi a 40 mg, suppositories kapena yankho. Ndi makonzedwe a intramuscular, intravenous kapena subcutaneous, mlingo umodzi wa 10-20 mg, nthawi pakati pa jakisoni ndi maola osachepera anayi. Itha kulembedwera ana mpaka chaka chimodzi.
• Platyphyllinum. Amalembedwa piritsi 2 kapena katatu patsiku. Mlingo womwe umayendetsedwa ndi jakisoni zimatengera zomwe akuwonetsa, njira ya makonzedwe ndi zaka za wodwalayo, koma osapitilira 10 mg. Amagwiritsidwa ntchito mosamala odwala omwe ali ndi malungo (amachepetsa zochitika za thukuta), ndi matenda am'minyewa wam'mimba, ulcer colitis (ULC), chiwindi kapena kulephera kwaimpso, matenda a Down.
• Trimedat. Mlingo wa tsiku ndi tsiku sapitilira 300 mg pamene amamwa pakamwa ndi 50 mg akapatsidwa mankhwala osokoneza bongo kapena m'mitsempha. Pafupipafupi komanso nthawi yayitali ya makonzedwe zimatengera momwe matenda aliri komanso zaka za wodwalayo. Tchuthi cha OTC.
• Meteospasmil. Kuphatikiza apo kumachepetsa kupindika m'matumbo. Osasankhidwa kwa ana osakwana zaka 14. Tengani akulu kapisozi 2 kapena katatu pa tsiku musanadye. Tchuthi chotsalira.

Ngati antispasmodics sapereka zomwe amayembekeza analgesic mkati mwa maola 3-4, ma antipsychotic (Droperidol omwe ali ndi Fentanyl) akhoza kukhazikitsidwa. Pokhapokha mutazindikira chidwi cha ma analgesics omwe si a narcotic, ma opiate ndi ma analogu awo opanga amatha kugwiritsidwa ntchito.

Kuchepetsa kupweteka kumatheka ndi ma intraintestinal makonzedwe a Trypsin kapena Chymotrypsin. Enzymes imalepheretsa kubisala kwa kapamba, komwe kumachepetsa ntchito yake yachinsinsi ndikuthandizira kupweteka. Othandizira a polyenzymatic omwe ali ndi zochita za proteinolytic amachita pa gland kudzera pamakina a mayankho.

Ntchito yowonjezereka ikaponderezedwa, ululu wocheperako umafotokozedwa. Ndikofunikira kusankha zinthu za enzyme zomwe zimakhala ndi minimicrospheres ndipo zokutira ndi nembanemba zomwe zimasungunuka m'matumbo okha. Mankhwala enzymatic samangoletsa ululu, komanso kuwongolera zovuta zam'mimba. Kukonzekera kokhazikika kwa enzyme Creon.

Kuti muchepetse kupweteka, gawo lina la mankhwalawa liyenera kumwedwa musanadye chakudya kuti muchepetse kugwiritsidwa ntchito kwina kwa cholecystokinin, komwe kumabweretsa ululu. Mapiritsi a pancreatic ayenera kumwedwa kangapo patsiku.

Pakakhala kusowa kwa chakudya m'mimba, Creon amatengedwa 10,000 kasanu patsiku, ndi kusakwanira pang'ono, Creon amalembedwa 20,000 kasanu patsiku, ndipo kugaya kwambiri, Creon amamuika 25,000 kasanu ndi kamodzi patsiku .. Ndi Creon kokha kwa miyezi 6 yomwe imalepheretsa kuyambiranso. , mu odwala omwe anakana kukonzekera kwa enzyme, ululu unabweranso mu 20% ya milandu.

Kuchepetsa kukakamira kwa ductal ndi minofu, ndikuchepetsa ululu, kumatha kuponderezedwa kaphatikizidwe ka kapamba, komanso poletsa kupanga kwa hydrochloric acid. Chifukwa chaichi, mankhwala antisecretory ndi proton pump inhibitors amalembedwa.

Ngati wodwalayo atenga Creon 10,000 (yowerengeka ngati magawo a 50,000 a lipase patsiku), antispasmodic (mwachitsanzo, Duspatalin 400 mg / tsiku) ndi zoletsa za pampu ya proton, ndiye kuti ululu wamkati umachepa kale tsiku litatha.

Momwe mungachepetse katundu

Pofuna kupewa kufalikira kwamatenda ndikukula kwa matendawa, ndikofunikira kuti muchepetse kusokonezeka kwachinsinsi mu gland, kuti muchepetse kuchuluka kwa madzi a pancreatic ndi kuchuluka kwa michere yomwe ilimo. Kupereka mpumulo wogwira ntchito mthupi, ndizotheka kuchepetsa kupsinjika kwa minyewa ndi minofu, kuchotsa ululu, ndikuthandizira kubwezeretsanso kwa gland.

Kuonetsetsa kupumula kogwira ntchito, njala ikuwonetsedwa kwa masiku 2-5, kenako kusintha kwa patebulo la manambala No. 5P (njira yoyamba, kenako yachiwiri). Kuponderezera kwa mankhwala osokoneza bongo kumachitika ndi analogue yopanga somatostatin (Octreotide), yomwe imalepheretsa chinsinsi cha gastrin ya mahomoni. Mankhwala a 50-100 mg ndi mankhwala amkati mwa masiku atatu.

Pakatikati pa jakisoni ndi maola 8-12. Kutalika kwa kayendetsedwe, Mlingo ndi pafupipafupi zimatengera kuchuluka kwa kutupa, kugwira ntchito ndi kulolera kwa mankhwalawa. Pakhoza kukhala ndikuchitika kwa mankhwalawa mu mawonekedwe a flatulence, zimbudzi zotayirira, zimayimitsidwa ndi othandizira a polyenzymatic ndi kuchepa kwa mlingo wa Octreotide.

Ngati nthendayo ipitilira kuuma kwambiri, ndiye kuti chikuchulukirachulukira cha chifuwa cham'mimba, polyvalent aprotinin proteinase inhibitors yomwe imapangitsa ma enzymes a pancreatic m'magazi amatha kupatsidwa nthawi yomweyo. Ogwiritsa ntchito bwino a proteinase inhibitors amaphatikizapo Gabexate mesylate. Mankhwalawa amasakanikirana ndi njira ya shuga ndikutsanulira 7-8 ml pamphindi, katatu patsiku kwa masiku 7-10.

Mwa zolepheretsa zonse, Gabexate yokha imalowa m'matumbo a minyewa ndikuletsa ma protein ophatikizidwa. Imalepheretsa ntchito ya gland M-anticholinergic Pirenzepine (Gastrocepin). Amalemba mapiritsi a 25 kapena 50 mg katatu patsiku kwa masabata 2-3, pang'onopang'ono kuchepetsa mlingo. Ndi kuchulukitsa kwa matendawa, ma anticholinergics amatha kulembedwa kuti athetse chimbudzi cham'mimba ndi chikhodzodzo: zothetsera za Platifillin, Atropine kapena Metacin.

Acidity ya chapamimba madzi masana akhoza kuwongoleredwa kokha mwa kutenga proton pump zoletsa. Mayina a mankhwala ochokera pagululi:

Proton pump inhibitors amapezeka m'mabotolo. Mlingo wa tsiku ndi tsiku ndi kapisozi imodzi. Kutengera ndi kuopsa kwa matendawa komanso momwe mankhwalawo akumvera, dokotala yemwe akupezekapo amatha kusintha mankhwalawa. Zingasokoneze kaphatikizidwe ka michere pochepetsa kuchuluka kwa hydrochloric acid ndi maantacid (Almagel, Maalox, Rutatsid, Fosfalugel). Muyenera kupita nawo kwa milungu 3-4.

Multip-Enzyme M'malo Chithandizo

Encyme m`malo mankhwala ndikofunikira ngati pali zotsatirazi zizindikiro za exocrine kuchepa:

• steatorrhea, momwe mafuta oposa 15 g patsiku amatsanulidwa ndi ndowe,
• dyspepsia
• kulimbikira m'mimba
• zikubwera tropholoqond kulephera.

Kukonzekera kwa pancreatin kumawerengedwa monga mankhwala ochiritsira omwe amatulutsa chimbudzi pakapanda kugaya chakudya ndi ntchito. Zisakhudze ntchito yam'mimba, chiwindi, kayendedwe ka mota ndi matumbo. Kukonzekera kwa Polyenzyme kumaphatikizapo amylase, proteinase (chymotrypsin ndi trypsin), lipase.

Zophatikiza ndalama kuwonjezera pancreatin pakuphatikizidwa zimakhala ndi simethicone kapena dimethicone, chomera choleretic, bile acid. Simethicone ndi Dimethicone zimatsogolera kuchepa kwa kapangidwe ka mpweya. Ma acid akachulukidwe amawonjezera katulutsidwe katemera, kutulutsa kwa chikhodzodzo komanso matumbo, zimapangitsa kuwonjezeka kwa matumbo a osmotic.

Mapiritsi okhala ndi bile acid sangatengedwe ndi mitundu yodwala komanso yopweteka ya kapamba, komanso matenda a chiwindi, matenda a chiwindi ndi zilonda zam'mimba. Kukonzekera komwe kumakhala ndi bile kumathandiza pokhapokha patakhala chiwindi ndi kapamba, ndiko kuti, ndi ma syndromes (dyskinesia a chikhodzodzo, dyspepsia atatha kudya kwambiri, bile acid akusowa).

Chithandizo cha mankhwala azitsamba mu chipangizocho chili ndi papain kapena fungal amylase, proteinase, lipase. Protease ndi papain zimaphwanya mapuloteni, amylase imaphwanya chakudya, ndipo lipase limaphwanya mafuta kukhala magawo osavuta.

Zakudya zanjala zikatha, odwala nthawi zambiri amawayika mankhwala osakanikirana a kapamba, ndipo patatha milungu itatu, pambuyo poti chotupa chitha, amagwiritsa ntchito mankhwala okhala ndi bile acid kapena hemicellulose. Enzymes ayenera kumwedwa katatu patsiku chakudya. The achire maphunziro okhazikika 2-3 milungu. Pakati pa maphunzirowa muyenera kupuma kwa sabata la 3-4. Muyenera kumwa maphunziro 4-5 pachaka.

Kukonzekera kwa enzyme kumaphatikizapo:

Pamankhwala othandizira kwambiri a exocrine osakwanira, ndikofunikira kuti muphatikizidwe mu mankhwala a regimen omwe amachotsa kuphwanya kwamatumbo microbiocenosis (probiotiki, prebiotic, Symbiotic, synbiotic), popeza kuchuluka kwa mabakiteriya amakhudza zochita za michere.

Panthawi yochira, ndikofunikira kutenga ma phospholipids ofunikira (kapena ma hepatoprotectors), mavitamini, mankhwala a choleretic, calcium, antioxidants kuti akonzenso mwachangu ku gland. Momwe angachiritsire kapamba adzatsimikiziridwa ndi dokotala pambuyo pakupenda bwino ndende yonse. Matenda a pancreatitis amaonedwa kuti ndi matenda osachiritsika, koma mothandizidwa ndi zakudya zabwino komanso mankhwala osokoneza bongo, ndizotheka kukwaniritsa kuchotsedwa kwanthawi yayitali.

Matenda a kapamba kuti achiritsidwe

Mankhwala apadera amagwiritsidwa ntchito pochiza ziphuphu. Komabe, amasankhidwa nthawi zonse osaganizira za mthupi la wodwalayo, komanso mtundu wa matenda omwe adamupeza. Ndipo musanatchule mayina a mapiritsi, omwe nthawi zambiri amagwiritsidwa ntchito kulipirira kuchepa kwa glandular, ndikofunikira kulingalira zamatenda a kapamba.

Pakati pawo, omwe ali ambiri ndi:

• chilonda chachikulu komanso chamba
• matenda ashuga
• cystic fibrosis,
• kapamba,
• chotupa cham'mimba
• khansa ya kapamba.

Muzochitika zonsezi, chithandizo chosiyanasiyana cha kapamba ndi mapiritsi chimachitika. Koma samapereka zabwino nthawi zonse. Tsoka ilo, pamaso pa matenda monga pancreolithiasis, khansa ndi chotupa cham'mimba, mankhwalawa amapatsa mphamvu yochepa chabe. Pofuna kuchiritsa matendawa, opaleshoni ndiyofunikira.

Ndipo ngati tirikulankhula za matenda amtundu wa kapamba, tiyenera kudziwa kuti chimbudzi chimayamba kuvuta makamaka ngati cholakwika ndi chiwalochi. Izi zikuwonetsedwa ndi kupezeka kwa:

• kutentha kwa mtima
• chigonere, ndipo pakumva zowawa mkamwa mwake,
• kumva kuwawa m'mimba,
• matenda amkuwa
• nseru
• kuchuluka kukodza
• ludzu losalekeza
• kusiya zakudya zamafuta ndi mafuta okazinga,
• kufooka.

Tiyeneranso kudziwa kuti kapamba nthawi zambiri amakhala ndi ululu wamkati wam'mimba, omwe mu tanthauzo lenileni la mawu amatenga wodwala, kutentha thupi komanso kutseguka.Monga lamulo, zizindikilo zotere zimachitika pakachulukidwe ka matenda.

Chithandizo cha pachimake kapamba

Ndi chitukuko cha pachimake kapamba, munthu amakumana ndi ululu wamphamvu, mawonekedwe omwe amafotokozedwa ndi kutsegulira kwa njira ya kudzimbidwa mu kapamba chifukwa cha kutupa, komwe kunapangitsa kutupa kwa parenchyma, kukakamira kwa ma ducts komanso kusokonekera kwa madzi a pancreatic mu chiwalo. Pankhaniyi, mapiritsi a ululu wa kapamba sagwiritsidwa ntchito, chifukwa amatha kukulitsa mtima wodwalayo.

Mu pachimake kapamba, mankhwala akuwonetsa ndi mankhwala opangidwa mu njira yothetsera mu mnofu kapena mtsempha wamkati. Pankhaniyi, mfundo yofunika ndiyo kutsekeka kwa kapangidwe ka michere. Pachifukwa ichi, kukonzekera kwa antienzyme kumagwiritsidwa ntchito, zomwe zimaphatikizapo Gordoks ndi Kontrikal.

Kuti muchepetse kupweteka, madokotala amatembenukira ku thandizo la analgesics (Analgin, Ibuprofen, etc.) ndi antispasmodics (No-shpa, Papaverin ndi ena). Ngati zikondamoyo zoyipazo zimapatsa zizindikiro monga kusanza ndi kutsegula m'mimba, ndiye kuti mupewe kuchepa kwa madzi, mankhwala othandizira (Cerucal kapena Metoclopramide) ndi mankhwala antidiarrheal (Regidron, Tannacomp ndi ena) amagwiritsidwa ntchito.

Muzochitika izi pamene kapamba am'mimba amaphatikizidwa ndi kuwonjezeranso kachilombo ka bacteria, maantibayotiki ndi omwe amapatsidwa. Komabe, kugwiritsidwa ntchito kwawo kumapangidwa pambuyo pa kuwunika kwathunthu momwe muliri osati kapamba, komanso chiwindi, chifukwa ndi chifukwa chake pomwe katundu wambiri amapangidwa mukamamwa mankhwalawa. Ndipo popeza ndi kapamba ntchito ya thupi ili imalephereranso, osayang'ana momwe imagwirira ntchito, ma antibacterial mankhwala amagwiritsidwa ntchito mwadzidzidzi.

Intravenous kapena mu mnofu makonzedwe a mankhwala amachitika mpaka mkhalidwe wa wodwalayo ubwerere mwakale. Koma poyerekeza ndi izi, chakudya chamafuta chimagwiritsidwa ntchito. Zimakupatsanso mwayi kuti muchepetse ntchito ya michere yogaya chakudya komanso kuti muchepetse kupanikizika chifukwa cha kapamba woipa.

Matenda a wodwala akangokhazikika, chithandizo chimachitika monga mapiritsi. Kumwa iwo akulimbikitsidwa kwa nthawi yayitali. Komabe, pankhaniyi, kukonzekera zolimbitsa thupi kumaloledwa ndi ena enzyme (Pancreatin, Creon, Mezim, etc.), ndipo ma painkiller amachotsedwa (antispasmodics okhaotsala). Chifukwa chake, tikulimbikitsidwa kuchitira kapamba kwa miyezi iwiri. Pankhaniyi, tebulo la chithandizo No. 5 limalembedwanso, lomwe liyenera kutsatira kwa miyezi 6-12.

Chithandizo cha matenda kapamba

Ndi mapiritsi ati omwe amayenera kumwa pancreatitis yodwala, adokotala amasankha, kutengera mtundu wa wodwalayo. Komabe, ndikukula kwa matendawa, odwala nthawi zambiri amakhala ndi ululu wam'mimba, womwe umayendetsedwa ndi mseru komanso flatulence. Ndipo sizotheka nthawi zonse kukaonana ndi dokotala kuti mumufotokozere ndi mapiritsi a kupweteka m'mimba ndi kapamba ayenera kumwa.

Ndi matenda monga chifuwa chachikulu cha m'mimba, m'mimba mumapweteka kawiri - mutatha kudya kapena pamene munthu wagona. Zikatero, musamamenye piritsi mwachangu. Mutha kuyesa kuchita popanda iwo, kukhala pansi, kukweza thupi lanu lakumaso ndikuyika compress yozizira kwa kapamba. Ngati izi sizikuthandizira kuthetsa ululu, mutha kumwa antispasmodic kapena analgesic. Koma kumbukirani kuti mankhwala osokoneza bongo a mapiritsi a pancreatic ululu amatha kumwa pokhapokha ngati palibe umboni wa kuchuluka kwa matendawa (kusanza, kutsegula m'mimba, kutentha thupi, ndi zina).

Ndi kutupa kwa kapamba ndi kuwoneka kwa ululu mu hypochondrium kumanja kapena kumanzere, madokotala amalimbikitsa kutenga antispasmodics ndi analgesics otsatirawa:

• Baralgin,
• Asperin
• Paracetamol
• Papaverine
• Drotaverinum kapena No-shpu.

Ngati kupwetekako kumapitilira, ndikofunikira kugwiritsa ntchito mankhwala omwe ali mgulu la mankhwala a H2 blockers. Pakati pawo, zomverera zopweteka kwambiri zimachotsedwa:

Komanso, kuti muchepetse mkhalidwe wa wodwalayo, mankhwala a antihistamines ndi anticholinergic - Diphenhydramine, Platifillin ndi Atropine amagwiritsidwa ntchito.

Mankhwala ena a pancreatic

Mankhwalawa kapamba, chofunikira ndikugwiritsa ntchito kukonzekera kwa enzyme, koma osati panthawi yomwe akuyamba kuukira. Zogulitsa zoterezi zimakhala ndi ma enzyme omwe amabwezeretsa ntchito m'mimba ndikuthandizira kuyamwa kwa michere m'matumbo. Mankhwalawa akuphatikizapo:

• Pancreatin
• Mezim Forte
• Panzinorm,
• Festal ndi ena.

Mndandandawu umakhala ndi kukonzekera kwa enzyme, yomwe imakhazikika pa yogwira pancreatin, yomwe imapezeka kuchokera ku zikondamoyo za bovine kapena porcine gland. Anthu ena amakhala ndi vuto lililonse chifukwa cha izi, ndipo muzochitika izi, mankhwala azitsamba, omwe amachokera ku mapapo kapena fungus ya mpunga, amagwiritsidwa ntchito kukonza kapamba. Pakati pawo, omwe ali ambiri ndi Unienzyme, Pepfiz ndi Somilase.

Ngati kapamba limayendera limodzi ndi kuwonjezeka kwa msuzi wa asidi m'mimba ndi chiopsezo chachikulu cha zilonda zam'mimba, madokotala amalimbikitsanso kutenga:

Zida za mankhwala ndi mapiritsi a pancreatic

Tiyenera kumvetsetsa kuti mu 90% ya milandu, kukula kwa kapamba ndi matenda ena amtundu wa kapamba kumatsutsidwa ndi moyo wolakwika, monga kuzunza fodya ndi zinthu zopangidwa ndi mowa, komanso kupezeka kwa zakudya zamafuta kwambiri komanso zakudya zamafuta. Zonsezi zimasokoneza ntchito ya gland ndipo zimakwiyitsa kukula kwa njira yotupa mkati mwake.

Ndipo kuti mankhwalawa athandizike pancreatic mankhwala kuti apereke zotsatira zabwino, chithandizo chamankhwala chiyenera kuphatikizapo zakudya ndi kukana zizolowezi zoyipa. Ngati zinthu zoyipa zikupitiliza kukhudzana ndi kapamba, sizingatheke kuteteza matenda kupita patsogolo ndi kuwonongeka kwa maziko ake. Momwe mungadye pamaso pa kapamba, adokotala adzakuuzani.