Mankhwala osokoneza bongo a kapamba

Kuti ayambe kuthandizira matenda a zam'thupi, dokotala, atamuunika moyenera, amamulembera mankhwala omwe amathandizidwa ndi zovuta zamatendawo komanso thanzi la wodwalayo. Palibe njira yodalirika yodalirika; wodwala aliyense, momwe amasankhidwira amasankhidwa payekhapayekha.

Poyamba, mu nthawi yayikulu ya kapamba, ndikofunikira kupuma pabedi, motere, ndi mawonekedwe olemetsa a koopsa, chithandizo chimachitika pokhapokha kuchipatala. Ngati lamulo lokakamizirali silimawonedwa, matendawa amatha kubweretsedwa ndikuphwanya ntchito zofunika.

M'masiku atatu oyambilira a nthawi yayikulu, tikulimbikitsidwa kukana kudya chakudya ndikugwiritsa ntchito madzi okha kuti tipewe kuchepa kwa madzi m'thupi komanso kuchotsa mwachangu zinthu zakupha m'thupi.

Kuti muchepetse mkhalidwe wa wodwalayo ndi ululu waukulu, mankhwala amalembedwa. Chithandizo chokwanira chimaphatikizapo kumwa mitundu ingapo ya mankhwalawo kuti muchotse zizindikiro zosiyanasiyana za matenda ndikubwezeretsanso magwiridwe antchito a kapamba.

Mwa zina mwa mankhwalawa othandizira pancreatitis pachimake, maantibayotiki, ma antienzymes, ma painkillers ndi mankhwala omwe amachepetsa ma spasms amatha kusiyanitsidwa. Mu chifuwa chachikulu cha pancreatitis, njira yothandizira mankhwalawa imaphatikizapo kukonzekera kwa enzyme, mankhwala othandizira kupsinjika, komanso mankhwala osokoneza bongo. Kuphatikiza apo, amagwiritsa ntchito mankhwala omwe ali ndi choleretic, enveloping, komanso mankhwala a vitamini amachitika. Katswiriyu amadya zakudya zomwe ndi zakudya komanso kupereka zakudya zomwe zikuyenera kutsatiridwa kunyumba.

Zochizira matenda a mtima, magulu otsatirawa a mankhwalawa amatengedwa:

• kukonzekera cramping ndi analgesic zotsatira,
• enzyme ndi othandizira othandizira,
• maantacid
• mankhwala osokoneza bongo,
• Ma H2-blockers a histamine receptors.

Pamene tiziwalo timene timayambitsa kuphatikizidwa kwa insulin zikuphatikizidwa mu matenda, kukonzekera kwa insulin kumaphatikizidwanso munthawi ya chithandizo.

Ndikofunikira kutsatira malingaliro a dokotala, ngati kupweteka kwa kapamba sikugwiritsidwa ntchito moyenera, kumatha kukhala koopsa.

Malangizo a Zopweteka

Pancreatitis imayendera limodzi ndi kupweteka kwambiri. Kuti apumule, amatenga ma antispasmodics, omwe amachotsa ululu ndi kupindika. Ndi lamba komanso kupweteka kwambiri, dokotalayo amatha kukupatsani mankhwala a narcotic analgesics, omwe amangogulidwa ndi mankhwala.

Mankhwala a Antispasmodic ndi awa:

• "Papaverine" - piritsi limodzi katatu patsiku. Contraindication - kulephera kwa chiwindi, chifuwa, khungu, ukalamba,
• Mebeverin (Meverin, Trimedat, Aprofen, Niaspam, Duspatalin). Amamwa kawiri tsiku lililonse 200 mg musanadye kwa mphindi 20. Kuvomerezeka kwa mankhwalawa kumaloledwa kuyambira azaka 12. Contraindations zimaphatikizapo matupi awo sagwirizana ndi chinthu chogwira ntchito, pakati,
• "No-shpa" ("Spazmol", "Drotaverina hydrochloride", "Drotaverin") - katatu patsiku (ndi kutalika kwa maola 8), mapiritsi 1-2. Contraindication - hypersensitivity, hepatic ndi aimpso kulephera.
• "Spasmomen" ("Riabal") - katatu patsiku mphindi 20 asanadye, piritsi limodzi. Contraindication - hypersensitivity.

Ma antispasmodics ali osavomerezeka kuti atengedwe popanda umboni wa dokotala masiku opitilira 2. Mankhwalawa amathanso kuyambitsa mavuto, monga chizungulire, kuthamanga magazi, nseru, komanso kusanza.

Pakakhala dongosolo la kutukusira kwa England, wodwala amamva kupweteka kwambiri kuchokera kumanzere pansi pa nthiti zapakhosi. Ululu umatha kusokoneza kumbuyo, kumbuyo, pakati pa masamba. Magawo awa akuwonetsa kuti ndi gawo liti la chiwalo lomwe lakhudzidwapo.

Pofuna kuthana ndi vuto la kupweteka, mankhwala otsatirawa amatengedwa:

• analgesics amphamvu - "Analgin", "Baralgin",
• mankhwala omwe si a steroid - "Ibuprofen", "Paracetamol".

Kuchepetsa ululu wosaletseka, analcics ya narcotic, kuyambitsa komwe kumachitika ndi mu mnofu:

Mankhwala ochepetsa chimbudzi

Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo kukakamiza kwa michere. Ndizofunikira kuthetsa kukhumudwa kwa dyspeptic, kutsitsa kapamba, kuthandizira kugaya chakudya moyenera, kubwezeretsa mayamwidwe a zinthu zopindulitsa. Pancreatin ndiye puloteni yofunika kwambiri ya kapamba.

Zili m'mapiritsi otsatirawa:

Kapangidwe kamankhwala kamaphatikizanso: amylase, lipase, proteinase. Mankhwala awa:

• imathandizira kuyamwa kwachilengedwe
• kulimbana ndi vuto la dyspeptic,
• Amathandizira kuti chimbudzi chikhale chakudya,
• imathandizira ntchito ya kapamba.

Amatenga mphindi 15-20 asanadye katatu patsiku kwa mapiritsi a 1-2. Contraindication - matumbo, kusalolera, pachimake chiwindi.

Sitikulimbikitsidwa kumwa michere kwa masiku opitilira 10. Kugwiritsa ntchito nthawi yayitali pancreatin kungayambitse hyperuricosuria. Ndikofunika kulumikiza kudya kwa mankhwala a enzyme ndi chakudya kapena mukangodya.

Ndi kudya kokwanira kwa pancreatin mthupi, kuperewera kwa kapamba kumalipidwa. Zinthu zonse zomwe zimabwera ndi chakudya kulowa mthupi zimakhala ndi digestibility yabwino, ndipo wodwalayo samakumana ndi vuto lotopa komanso kusowa kwa vitamini.

Mukamalandira othandizira:

• kuledzera kwamthupi kumachepa
• ululu umachepa
• thanzi la wodwalayo likukula
• ngozi ya imfa yafupika,
• chitukuko cha edema ndi minofu necrosis chatsekedwa.

Ikani mankhwala ena motere:

• "Trasilol"
• Traskolan
• Gordok
• Ingitril
• "Wampikisano."

Mu chipatala, antienzyme kukonzekera kumayikidwa m'mitsempha kapena intramuscularly patsiku loyamba pambuyo povulala ndi kapamba. Mankhwalawa amafunikira kuti muchepetse kutulutsa kwambiri kwa minofu chifukwa cha kutulutsidwa kwa katulutsidwe ka pancreatic.

Mankhwala ochepetsa mphamvu ya hydrochloric acid mu kapamba wokhala ndi acidity yayikulu

Chithandizo cha pancreatitis ndi H2-blockers ndichofunikira kuti muchepetse kaphatikizidwe ka hydrochloric acid. Mankhwalawa amathandizira kapamba komanso kupewa kaphatikizidwe ka michere. Ndi kuchulukana kwa kapamba, m`pofunika kuchita kwakanthawi kuletsa synthesis wa chapamimba madzi. Njirayi ndiyosakhalitsa, motero pangafunike kugwirira ntchito kuti mgonero ugwire.

Kulandilidwa ndi blockers a H2 kungakhale limodzi ndi zovuta izi:

• chifuwa
• nseru
• kutaya tsitsi
• kudzimbidwa
• vuto mumtima.
• kuphwanya kwa msambo mu akazi, kuchepa kwa chilakolako chogonana.

Mankhwala a antisecretory akuphatikizapo:

• "Omeprazole" ("Omez", "Noflux", "Zerocide", "Ultop", "Barol", "Omitox"). Amatengedwa kawiri tsiku lililonse pamimba yopanda mu kapisozi imodzi nthawi imodzi. Mankhwalawa sakuvomerezeka kuti agwiritsidwe ntchito ndi hypersensitivity to the yogwira ntchito, ana osaposa zaka 5, poyamwitsa.
• "Ranitidine" ("Histak", "Gastrosidin", "Famotidine", "Atzilok", "Cimetidine"). Kulandila kumachitika kawiri pa tsiku kwa theka la ola musanadye piritsi limodzi. Contraindental ndi mimba, aliyense tsankho, ndi nthawi yoyamwitsa. Maphunzirowa ali pafupifupi milungu iwiri. Zotsatira zoyipa zomwe zingachitike: kutsekula m'mimba, kupweteka mutu, kusefukira, nseru, kuchepa tsitsi, zotupa pakhungu.

Mankhwala osokoneza bongo

Gulu la mankhwala othana ndi kutupa limafunikira kutupira pachimake. Koma kumwa mankhwalawa chifukwa cha kapamba sikuyenera, chifukwa chitha kuperewera zenizeni zamatenda.

Kuphatikiza apo, ndalamazi zimakhala ndi zotsatirapo zoipa ndipo sizingatheke kwa masiku opitilira 10:

Mankhwala Opindika

Maantibayotiki amalimbana bwino ndi kutupa kwa chiwalo, ziwalo zophatikizana ndi minyewa yake, zimatha kupewa zovuta (zotupa, peritonitis, pancreatic necrosis, sepsis). Maanti -amu osokoneza bongo amagwiritsidwa ntchito:

• macrolides
• mbadwo watsopano cephalosporins,
• chimfine.

Cephalosporins - "Ceftriaxone", "Cefotaxime", "Cefoperazone", "Ceftazidime", "Klaforan" amapezeka mu mawonekedwe a ufa kapena lyophilisate popanga yankho. Amatengedwa mu mawonekedwe a jakisoni intramuscularly kapena kudzera m'mitsempha (zipatala).

Yankho limapukusidwa motere: imwani madzi a jakisoni - 1 ampoule (2 ml) ndi lidocaine - 1 ampoule (2 ml). Kusakaniza uku kumatengedwa mu syringe ya 5 ml ndikuyika mu botolo la ufa, logwedezeka. Ufa utasungunuka, yankho limatha kugwiritsidwa ntchito pakayendetsedwe.

Njira ya mankhwalawa ndi masiku 7-10, jekeseni 1 kawiri patsiku (kwa akulu, Mlingo wa cephalosporins ndi 1 g mu botolo).

Macrolides akuphatikizapo: "Azithromycin", "Roxithromycin", "Erythromycin", "Josamycin", "Fromilide", "Clarithromycin", omwe akupezeka mapiritsi kapena makapisozi amkamwa. Ali m'gulu la mankhwala otetezeka m'gulu la antibayotiki.

Kwa ana aang'ono, kukonzekera kumeneku kuli ngati ufa wa kuyimitsidwa. Ndiosavuta kugwiritsa ntchito komanso kupereka. Mankhwalawa salinso osaposa masiku 5 kamodzi patsiku ola limodzi asanadye kapena atadya - maola awiri atatha kudya. Mlingo wa akulu ndi 500 mg. Mankhwalawa ali ndi drawback imodzi - kugwiritsa ntchito kwawo ndikoletsedwa panthawi yoyamwitsa komanso yoyamwitsa. Kuphatikiza apo, simungatenge mankhwala osokoneza bongo pamodzi ndi maantacid ndi kumwa mowa.

Mafuta a fluoroquinolones amaphatikizapo Levofloxacin, Norfloxacin, Ciprofloxacin, ndi Moxifloxacin. Amatha kukhala mumtundu wa mapiritsi ndi kulowetsedwa njira. Mlingo - kawiri pa tsiku, 500 mg pa nthawi yofanana kwa masiku 7-10. Mankhwalawa ndi othandiza kwambiri, koma ndi oopsa. Contraindations imaphatikizapo thupi lawo siligwirizana, pakati, colitis, kuyamwitsa, komanso zaka 18. Mosamala, amatha kuperekedwa kwa anthu omwe ali ndi khunyu, matenda a hematopoietic dongosolo, chiwindi ndi kulephera kwa impso, omwe ali ndi matenda aubongo. Imakhudzidwa ndi kuphatikiza owonda magazi.

Mankhwala Oteteza Ma cell

Pofuna kubwezeretsa maselo a chiwindi, mapiritsi amatengedwa: Ofunika Forte. Mankhwalawa amagwiritsidwa ntchito limodzi ndi mankhwala opha maantibayotiki.

Mankhwala amatengedwa katatu tsiku lililonse, 1 kapisozi ndi chakudya. Ma phospholipids omwe amapezeka pakapangso amakonzanso maselo. Forte ofunika ali ndi phindu pa kagayidwe, ali ndi zovuta zochepa, mankhwala osokoneza bongo sawopseza thanzi.

Zofanizira zotsatirazi zilipo:

Mankhwala ena a kapamba

Kuthira ndi kuchotsedwa kwa zinthu zovulaza m'thupi, kuthana ndi microflora ya pathogenic, mankhwala omwe ali ndi mawonekedwe osiyanasiyana amtundu wa mankhwala - Polyphepan. Mankhwalawa ali mwachilengedwe, Enterosgel amadziwika kuti ndi analogue. Mankhwalawa amatengedwa limodzi ndi othandizira ena pothandizira matenda a pathologies omwe amagwirizana ndi kuledzera.

Ndi dysbacteriosis, kuwonongeka m'matumbo, mawonekedwe a mziwi amathandiza "Acipol", omwe amatulutsa matumbo.

Kupanga chimbudzi, Iberogast imatengedwa. Mankhwalawa ali ndi mphamvu ya tonic ndi choleretic.

Mankhwala azitsamba omwe amachiritsa duct ya bile ndi Flamin. Amanena za mankhwala a cholekinetic, amathandizanso kupindika komanso kutupa, amathandizira kuwonjezera kaphatikizidwe ka bile. Mwa mankhwalawa, titha kuzindikira:

Malangizo a kumwa mankhwala a kapamba

Pancreatitis imadziwika kuti ndi matenda oopsa omwe amatsogolera kuphwanya kwa kapamba. Kuti mupewe kukulitsa zovuta zazikulu zomwe zingayambitse imfa, muyenera kufunsa chithandizo kuchokera kwa dokotala ndikuyamba kulandira chithandizo.

Chithandizo cha kapamba chimatha pafupifupi mwezi. Mankhwala osalamulirika angayambitse zotsatira zoyipa komanso zosafunika.

Kuti muthandizidwe kwambiri, wodwalayo ayenera kutsatira zakudya zowonjezera, zomwe zimaphatikizapo kukana kwa okazinga, mafuta, mbale zonunkhira.