Mankhwala a kapamba akulu: mankhwala osokoneza bongo a mankhwala

Chizindikiro chachikulu cha pancreatitis mwa munthu wamkulu ndi kupweteka. Imazungulira thupi lonse, kuphatikiza m'mimba ndi kumbuyo. Kholingo, kufooka, kugona kugona kumaphatikizidwa ndi kusanza kwakukulu, komwe sikubweretsa mpumulo.

50% ya odwala amachepetsa thupi. 15% amadwala matenda otsegula m'mimba. Pa palpation, zizindikiro za paresis, zotupa zimapezeka. Matendawa akapita patsogolo, zizindikiro za kukwiya kwa m'mimba, komanso ziwalo zapafupi, zimawonekera.

Khungu limasunthika, zizindikiro za cyanosis zimawonedwa. Ichi ndi mawonekedwe amtundu wankhanza wamatendawa. Cyanosis imawonekera m'dera la navel, nkhope ya wodwalayo imakhala yofiyira.

Chithandizo cha kapamba mu akulu

Ngati mukupeza chizindikiro chimodzi kapena zingapo za kutupa kwa kapamba, muyenera kulumikizana ndi akatswiri anu. Adzawongolera kusanthulaku. Pambuyo pake, wodwalayo ayenera kupita ku ofesi ya dokotala wa gastroenterologist. Dokotalayo amapereka mankhwala kwa wodwala. Kenako muyenera kulumikizana ndi katswiri wazakudya. Katswiri ndi amene azindikire kadyedwe. Komanso, wodwalayo amapatsidwa zakudya.

Kodi kapamba amathandizidwa bwanji ndi akulu? Chithandizo cha mankhwalawa chimaphatikizapo:

1. Kupulumutsidwa kwa zowawa.
2. Kuthetsa kutupa mu ziwalo zomwe zakhudzidwa.
3. Chotsani zizindikiro za kulephera kwa gland.
4. Chithandizo cha kutukusira kwa ziwalo zapafupi.
5. Kupewa mavuto.

Zochizira matendawa, mankhwala a antienzyme, analgesics, antispasmodics, H2-blockers, antacid ndi mankhwala. Zotsatira zabwino zimatheka nthawi yoyamba kugwiritsa ntchito mankhwala. Mankhwala okhala ndi aprotinin polypeptide ali ndi mphamvu kwambiri. Nthawi yomweyo, njira zimachitidwa kuyeretsa thupi la michere ya pancreatic.

Malangizo a Zopweteka

Wodwala akamadandaula za ululu wopweteka, dokotala amafotokozera Paracetamol, Analgin, Baralgin. Mankhwalawa amaperekedwa kwa akulu ndi ana omwe. Ngati munthu akudandaula za kupweteka kosalephera, amapatsidwa mankhwala a narcotic analgesics. Mapiritsi a kapamba mu akulu monga luprenorphine, Tramadol ndi mankhwala. Nthawi zina adokotala amalimbikitsa kutenga stelazine, melipramine. Imwani mankhwalawa mosamala, popeza pamakhala mwayi woti mungakhale osokoneza bongo.

Chithandizo cha michere ndi anti-enzyme wothandizira

Ndi edema ya pancreatic mwa achikulire, mankhwala a antienzyme a kapamba amadziwika. Intravenous Drip imachitidwa. Odwala akulimbikitsidwa kutenga Aprotinin, Contrakal. Mankhwalawa amagwiritsidwa ntchito kawiri pa tsiku. Kutalika kwa njira yochiritsira kwa achikulire kumasiyanasiyana kuyambira masabata 1 mpaka 1.5. Mankhwalawa samangoperekedwa pokhapokha ngati munthu wapezeka kuti ali ndi tsankho.

Komanso, wodwalayo akulimbikitsidwa kutenga michere yomwe ili ndi trypsin, amylase, lipase.

Mankhwalawa akutsatira mankhwalawa amathandizira odwala kapamba:

• Ferrestal
• Enzyme forte
• Chikondwerero
• Creon 25000,
• Pancreatin
• Mezim
• Creon 8000.

Zinthu zomwe zikugwirika ndi kapangidwe ka mapiritsi awa ndiofanana. Mankhwala a kapamba amayenera kuledzera atangodya. Mlingo watsimikiza ndi dokotala potengera kuchuluka kwa kuchepa kwa lipase. Ngati pali zizindikiro za steatorrhea, wodwalayo akulimbikitsidwa kuti atenge mavitamini B, A, E, D, K.

Chithandizo cha kapamba ndi mankhwala a antispasmodic

Mu kapamba pachimake mu akulu, choline ndi antispasmodics ndi mankhwala.

Wodwala amalimbikitsidwa kumwa mapiritsi monga:

Mankhwalawa amathandizanso kupuma. Ngati munthu akumva zowawa kwambiri, ndiye kuti sanapatsidwe mapiritsi, koma jakisoni.

Mankhwala onse ochizira pancreatitis akuluakulu ayenera kumwedwa kokha malinga ndi malingaliro a dokotala.

Kugwiritsa ntchito mankhwala owonjezera

Chithandizo cha matendawa chimaphatikizapo kukhazikitsidwa kwa blockers H2. Wodwalayo akulimbikitsidwa kuti atenge Ranitidine, Famotidine. Ndi kupanda kwa exocrine, kugwiritsa ntchito ma antacid amalembedwa kwa wodwala. Amathandizira kuti magwiridwe antchito a duodenum. Chithandizo cha pancreatitis pachimake mu akulu chimaphatikizira kumwa Fosfalugel, Almagel.

Ubwino wabwino wathanzi ndikugwiritsa ntchito mankhwala enveloping, choleretic, sedative. Ndikulimbikitsidwanso kumwa mahomoni, calcium.

Pofuna kupewa kapamba akuluakulu, Asentra, Galstena, Gordoks, Digestal, Duspatalin, Yogulakt, Creon 10000, Pangrol 10000, Pancreoflat, Reopoliglukin, Hofitol ndi omwe adayikidwa.

Chithandizo cha chifuwa chachikulu cha khansa

Cholinga chachikulu chothandizira pancreatitis ndikuchepetsa ululu, komanso kupewa kuchulukitsa mu gland. Kukhoza kutenga ndi kugaya chakudya ndimakonzedwe.

Ngati wodwala alibe zovuta, amachotsedwa kuchipatala. Ndi ululu waukulu, analgesics ndi mankhwala. Mu chifuwa chachikulu, munthu amavomera kutsatira zakudya. Mutha kudya zakudya zopanda mafuta. Osamamwa mowa. Nthawi zina ndi chifuwa chachikulu mu akulu, mankhwala owonjezera amakonzekera. Wodwalayo akulimbikitsidwa kuti atenge michere ya pancreatic.

Ngati thupi silitulutsa insulini yeniyeni, dokotala amatipatsa majakisoni oyenera.

Zonenedweratu

Wodwala akafuna thandizo la mankhwala panthawi yake, ndiye kuti kuchira kumayamba msanga, ndipo matendawa amabwerera. Mawonekedwe owopsa amoyo amawonedwa pafupifupi 5-10% ya odwala. Vuto lalikulu kwambiri ndi matenda ashuga. Odwala ena amawonetsa zizindikiro za kulephera kwa impso, kuwonongeka kwa ubongo.

Matenda a pancreatitis samachiritsidwa kwathunthu. Zowonongeka zamagulu ndimachitidwe opitilira. Izi nthawi zambiri zimayambitsa magazi, pseudocyst, kapena khansa.

Zizindikiro za Pancreatitis

Ndi zizindikiro ziti zomwe zimawonedwa mwa akulu atadwala matendawa? Ndi kutupa kwa kapamba, wodwalayo angamve kupweteka kwakanthawi komanso kolimba kumbuyo ndi m'mimba. M'malo mwake, ichi ndiye chizindikiro chachikulu.

Ululu umatha kutsatiridwa ndi kusanza, nseru (izi zimachitika pafupipafupi ngati chakudya chinali chamafuta). Kuphatikiza wodwala amatha kudandaula za kutopa, kugona komanso kufooka.

Ndi kutupa kwapamwamba, ntchito ya kapamba imachepa - kupanga michere yokugaya amachepetsa (ndi kusakwanira kwa exocrine), komwe kumayambitsa mavuto ammimba: flatulence, chopondapo mafuta, mapando otayirira, kuwonda kumayamba. Pankhani ya kuchepa kwa endocrine, insulin yokwanira imapangidwa mutatha kudya, kotero kuchuluka kwa glucose m'magazi kumakwera.

Kuti muwone pancreatitis, dokotala amakupatsirani kuyesa kwa magazi ndi mkodzo, komanso ndi ultrasound ya kapamba, kuti muwone kuchuluka kwa zomwe mkati mwake zimakulitsidwa. Komanso, ngati pakufunika kutero, wodwalayo amayesedwa ndi X-ray, ndipo pazotsatira zomwe zapezeka, dokotalayo amawona kuti ndi mankhwala ati omwe ayenera kumwedwa kuti azichiritsa kapamba.

Ngati chithunzichi chikuwonetsa kukula kwa kapamba, ndikofunikira kumayesedwa osazindikira kuti kupatuka koteroko ndi zotsatira za njira iliyonse yotupa, ndipo ngati matendowo atsimikizika, yambani mankhwalawa pancreatitis posachedwa. Kukula kwakanthawi kaphikidwe ka thanzi mwa achikulire ndi kutalika kwa 15 mpaka 22 cm ndi 3 cm mulifupi.

Chithandizo cha kapamba

Njira zochizira matendawa zitha kufotokozedwa m'mawu amodzi. Madokotala ati kapamba amakonda kuzizira, njala, ndi mtendere.

Pazizindikiro zoyambirira za kapamba mwa anthu akuluakulu, dokotala nthawi zambiri amapereka mwachangu masiku atatu. Pakadali pano, zikondamoyo zikabwezeretsedwa, ndikofunikira kumwa madzi akumwa oyera kuti musangokwaniritsa mokwanira chifukwa cha kusowa kwamadzi mthupi, komanso kupewa kuchulukitsa matenda.

Chithandizo cha pancreatitis mwa akulu ndi njira yayitali kwambiri, muyenera kukonzekera izi. Ndikofunika kuti musangomwa mankhwala okhawo omwe dokotala angagwiritse ntchito, komanso kutsatira njira yothandizira odwala.

Njira zodzitchinjiriza zimathandizira kupewa kupitilirabe kwamatendawa makamaka mukangoyamba kutupa.

Chithandizo chimapangidwira kuti abwezeretse ntchito ya pancreatic komanso kuthekera kwake kupanga madzi a pancreatic mwachizolowezi. Komabe, wodwalayo amayeneranso kuchita zonse zofunika kuti aletse matenda osokoneza mtima a shuga, zomwe zimabweretsa kukula kwa matenda a shuga.

Kubwezeretsa kuthekera kwa kapamba kuti apange madzi osungira kumathandizira kupewa kuperewera kwa zakudya m'thupi ndi zakudya zomwe zimayambika chifukwa chakugawanika kwa chakudya komwe kumalowa m'mitsempha yamagazi. Kuwonongeka kwa kapamba ndi kumera kungalepheretsedwe ndikubwezeretsa kamvekedwe kabwino ka minofu ya m'mimba m'mimba ndikuyimitsa ntchito yogwira ntchito ya michere yam'mimba.

Chithandizo cha pancreatitis mwa akulu ndizofunikira kuyang'aniridwa ndi dokotala, ngati atazindikira mozama. Chowonadi ndi chakuti Zizindikiro za kapamba nthawi zambiri zimakhala zofanana ndi zizindikiro za matenda ena.

Koma ngati pancreatitis yapezeka, chithandizo ndi kupewa matendawa kumachitika pamoyo wonse. Ndikofunikira kutsatira malingaliro onse a dokotala pazakudya zamagulu, kudya pafupipafupi mankhwala ochotsa matenda, ndikuwongolera kapamba ndi mankhwala.

Chifukwa chake, mankhwala a kapamba amathandiza odwala:

• Pulumutsani
• Chotsani kuperewera kwa kapamba,
• Kuthana ndi kutupa m'mimba yowonongeka,
• Pewani kukula kwa zovuta.

Matenda a wodwalayo akayamba kuchuluka, mndandandandawo / mankhwalawa amawunikanso, ndipo zakudya zake zimayamba kulimba. Pofuna kusintha, wodwalayo amaloledwa kuwonjezera chakudya, kuwonjezera kuchuluka kwa magalimoto, kusintha mankhwala osokoneza bongo ndi ofooka.

Zokhudza zakudya ndi chithandizo

Kutsatira kwambiri zakudya zochizira kumakupatsani mwayi wochepetsera katundu pazinthu zomwe zakhudzidwazo pakutupa kwa kapamba ndipo kumathandizanso kuti mupumule msanga:

• Ndi mtundu uliwonse wa kapamba, wodwalayo sayenera kudya zokometsera, mafuta, osuta, mchere wamchere, zonunkhira, mitundu ya chakudya, kununkhira. Kuphatikizapo simungamwe zakumwa zoledzeretsa zamphamvu zilizonse.
• Mu mawonekedwe a kapamba, ndikofunikira kusiya kumwa kwamafuta ambiri ndi mapuloteni. Muyenera kudya pafupipafupi, pomwe chakudya chambiri chimakonzedwa (kupukusidwa) ndikupukutidwa.
• Pankhani ya kukula kwa pachimake mawonekedwe, wodwalayo amadyetsedwa mtsempha, dokotala amamuonetsa kuti akusala kudya.
• Wodwalayo amapatsidwanso ma enzyme kukonzekera komwe kumalepheretsa kupanga kapamba wa pancreatic. Izi zimakuthandizani kuti muchepetse kupweteka (pancreatitis) yayitali, imatha kutulutsidwa kumanzere kapena hypochondrium kumanzere, m'chigawo cha epigastric ndipo amatha kuperekedwanso kumbuyo ndi kumanzere phewa lakumanzere).
• Pofuna kusintha, zakudya zimatha kusintha, komabe, kukonzekera kwa enzymatic kuyenera kuledzera ndi maphunziro kwa nthawi yayitali.
• Kuti athetse kupweteka kwamatenda akuluakulu a kapamba akuluakulu, chimfine chimayikidwa kumanzere hypochondrium, chomwe chimathandiza kuthana ndi edema ya pancreatic. Dotoloyo adatinso mankhwala angapo: anti-kutupa, analgesics, mankhwala omwe amachepetsa ma spasms, histamine receptor blockers mu gastric mucosa.
• Paokha, wodwalayo amangomwa mankhwala osokoneza bongo monga No shpa, Papaverine ndi antispasmodics ena odziwika bwino. Mankhwala otsalawo ayenera kumwedwa pokhapokha mukaonana ndi dokotala.

Mankhwala a Pancreatitis

Kuti muthane ndi zizindikiro ndi zowawa, mankhwala otsatirawa adalembedwa:

1. Mankhwala a Antispasmodic. Ndi kupweteka kwapweteka pamimba, wodwalayo amatenga antispasmodics ndi analgesics, kuphatikiza No Shpa, Analgin, Paracetamol, Baralgin. Ngati ululu mukuwonjezeka kwa matendawa ndi owopsa, tikulimbikitsidwa kuti musamwe mapiritsi, koma kubaya mankhwalawo.
2. Ma H2 blockers a histamine receptors. Kuti muchepetse kupanga kwa michere ya pancreatic, mankhwala monga Ranitidine ndi Famotidine amagwiritsidwa ntchito.
3. Kukonzekera kwamantchito. Ngati kusowa kwa procrine kumawonedwa, zomwe zingayambitse vuto la duodenum, dokotala amafotokozera mankhwala kapena zosakanikirana monga Fosfalugel, Almagel ndi mankhwala ena.
4. Kukonzekera kwa enzyme. Kuphatikizikako kumaphatikizapo lipase, amylase ndi trypsin. Mankhwala odziwika kwambiri ndi a Creon 8000, Creon 25000, Mezim, Pancreatin, Festal, Enzym Forte, Farestal.

Popeza ndalama zonsezi ndizofanana pakapangidwe ndipo zimakhala ndi ntchito zofanana, muyenera kufunsa dokotala musanamwe mankhwala.

Kusankha kwa mankhwala kumadalira ntchito yomwe muyenera kuthana. Enzymes piritsi amatithandizanso kupweteka, ndipo mankhwala omwe amapezeka m'mabotolo ndi othandiza kwambiri kukwaniritsa kusowa kwa ma enzymes awo ngati matendawo akudwala.

Mankhwala a kapamba nthawi zambiri amayenera kumwa kwa zaka zingapo. Zotsatira zabwino zoyambirira kuchokera ku chithandizo zitha kuwoneka mwezi umodzi ndi theka mpaka miyezi iwiri. Chotsani zizindikilo zazikulu sizidzakhala pang'ono kuposa miyezi isanu ndi umodzi. Pazifukwa izi, wodwala amatha kusankha payekha kuti agule mankhwala ati. Kutengera kuthekera kwawo kwachuma - okwera mtengo kapena otsika mtengo. Anthu ambiri amasankha mankhwala otsika mtengo opangidwa ku Russia, mwachitsanzo, Pancreatinum.

Mankhwalawa kapamba, zotsatirazi zotchulidwa:

• mankhwala othandizira
• mankhwala a choleretic
• mankhwala a mahomoni
• calcium
• envelopu mankhwala.

Ndiwothandizanso pochiza mavitamini a magulu B, A, D, K, E, zomwe zimapangitsa kuti pakhale kukwaniritsa kuchepa kwa michere mthupi la wodwalayo. Kuti muthane ndi zotupa, Aspirin kapena Diclofenac ndi mankhwala.

Ndi dokotala uti yemwe ndiyenera kulumikizana naye pancreatitis

Panthawi ya zizindikiro zoyambirira za kapamba, muyenera kufunafuna chithandizo cha madokotala nthawi yomweyo. Kuti muchite izi, choyambirira, muyenera kupita ku ofesi ya othandizira, yomwe imayesa koyambirira, kulemba zoloza kwa akatswiri ndikupereka mayeso ofunikira.

Kuti mankhwalawa athandizike, muyenera kupangana ndi dotolo yemwe adzakupatseni malangizo oti amwe mankhwala ati chifukwa cha matendawa. Wopatsa zakudya azithandizira kudziwa zomwe zingadyedwe ndi kapamba, apanga menyu, ndikuwonetsa kuti zipatso ndi ndiwo zamasamba zomwe zimakhala ndi kapamba zimatha kuphatikizidwa m'zakudya.

Dokotala akupatsirani mankhwala azakudya, ndikuwuzeni zakudya zomwe siziyenera kuperekedwa kuchakudya ndikulemba mndandanda wazakudya zofunika. Komanso, wodwalayo adzaphunziranso kudya moyenera kuti akhazikitse ziphuphu.